Iimbangela ze-Interphalangeal Joint Pain kunye neNgcaciso echaziweyo
Isifo samathambo singaba buhlungu kwaye siphumele. Izandla zakho zenziwe ngethungelwano oluxakekileyo lamathambo, amaxhamli , imisipha, iigaments, i- tendon , iintsholongwane kunye nemithambo yegazi esebenza ngokumangalisayo kunye ngokuvisisana ukudibanisa ukulungelelaniswa, ukulungelelanisa kunye namandla okuvumela ukuba wenze imisebenzi emihle yemoto. Eli nqaku lichaza iimpawu, ukuxilongwa, kunye nokunyangwa kwesifo samathambo.
I-Anatomy yeSandla
Kukhona amathambo angama-27 kwisandla kunye nesandla. Amathambo amancinci angama-8 kwisikristwa abizwa ngokuba ngamagumbi . Kwintendelezo yesandla, uninzi lweempawu zidibanisa kwi- metacarpals ezintlanu. I-metacarpal nganye idibanisa kwenye yeminwe okanye isithupha. I- phalanges ngamathambo ahambelana nokwenza umnwe ngamnye nesithupha (oko kukuthi, amathambo eminwe). Ifom edibanisa ifomu apho i-phalanges idibanisa ne-metacarpals kwaye ibizwa ngokuba yi- metacarpophalangeal (MCP) . Amalungu angama-MCP asebenza njengamaqabane aguqa kwaye aqondise iminwe kunye nesithupha.
Umnwe ngamnye unama-phalanges amathathu ahlukeneyo ngamajoyini amabini, aziwa njenge- interphalangeal (IP) amajoyina (ngaphandle kwesi sikhulu, esinama-phalanges amabili kuphela ahlukeneyo ngokubambisana.) Udibaniso lwe-IP ohlala kufuphi nomxube wakho we-MCP ( i-knuckle) eyaziwa ngokuba yi- interphalangeal (PIP) . Ukubambisana kwe-IP okukufuphi ukuphela komnwe wakho kuyaziwa njengento edibeneyo ye-interphalangeal (DIP) .
Amalungu esandla sakho, iminwe, kunye nesithupha zihlanganiswe nge- articular cartilage ephazamisayo kwaye ivumela ukunyakaza okungahambisani. I-cartilage ye-Articular ihlanganisa iziphelo zamathambo ezidibeneyo ukuze zidibanise. Ukuba ukulahleka kwe-cartilage kukhula kumalungu omnxeba, unokufumana intlungu.
Ekuqaleni, uphawu lweentlungu zesandla alucacile. Unokuqala ukukrokrela ukulimala, kodwa intlungu yesandla ingabangela izifo, kwakhona, njenge-arthritis.
Iimpawu zeSandla seArthritis
Ngokuqhelekileyo, uphawu lokuqala lwesifo samathambo lubandakanya intlungu eqhubeka emva kokusetyenziswa ngokubanzi kwesandla. Ukusetyenziswa kongeza kwesandla kunokubangela intlungu eyongezelelweyo xa ukuphumla kungakunciphisa, ngakumbi kwizigaba zokuqala. Njengokuba isandla sesifo se-arthritis sihamba phambili, kwanemisebenzi elula, njengokuvula imbiza okanye umnyango , ungabangela intlungu yesandla. Ukuqina koMasa kunokugqithiswa ngakumbi.
Izimpawu eziqhelekileyo ezinxulumene nesifo samathambo ziquka:
- Ukuvuvukala
- Ukufudumala ngenxa yokuvuvukala
- Crepitus
- Iminwe eyenza okanye ifake
- Iimpawu okanye iinqununu kwiminwe.
Iimpawu kunye neempawu zesifo se- rheumatoid yesandla siyazibandakanya:
- Iigxininisa eziqinile kwiminwe
- Iphunga elithambileyo ngasemva kwesandla
- Ukuqhutyelwa kweminwe kude nesithupha (ukuphambuka kwe-ulnar)
- Ukuphuka kweTendon okubangela ukungazelelwe ngokukhawuleza ukugoba okanye ukulungisa iminwe
- Ukuguqulwa okuhlangeneyo
- Ngamanye amaxesha, kunobunzima okanye ukubetha kwesandla (oko kukuthi, i- carpal tunnel syndrome ).
Iimpawu zesandla se-osteoarthritis ziquka:
- Amanqabana eBourdrd : iigununu zeBony eziphuhlisayo kwi-PIP
- I-heberden's nodes : i-nodon yeBony ephuhliswayo ngokubambisana kwe-DIP
- Ubuhlungu kwisiseko sesithupha.
Ezinye iimpawu zibandakanya ubomvu kunye ne-telangiectasia (ukuhluthwa) kweekhilisi zentambo ye-nail edla ngokuxhomekeke kwizifo ezixhamlayo , ezifana ne- lupus . I-sclerodactyly, okanye ukuqina kwesikhumba phezu kweminwe, kunye nezilonda zedijithali zihlala zibonakalisa i- scleroderma . I-Dactylitis, okanye ukuvuvukala kwenani elipheleleyo, lidibene nenye ye- spondyloarthropathies , njenge- psoriatic arthritis .
Ukuxilongwa kwe-Hand Arthritis
Kukho iimvavanyo ezintathu eziphambili ezisetyenziselwa ukuchonga ukuba umntu unayo isifo se-arthritis:
- Uhlolo olusemzimbeni : Ngezandla zakho zivulekile, ugqirha wakho unokujonga ukulungelelaniswa kweminwe yakho, kunye nokujonga nayiphi na into engafanelekanga. Ugqirha wakho unokuvavanya umsebenzi kunye namandla enu ngesandla ngokuba unobuncwane okanye uthabathe izinto. Ugqirha wakho uya kuziva ukuba isandla sakho sinqume ukuba kukho intsebenziswano.
- Ii-ray zama-X ziqokelela ulwazi malunga nendawo yokudibanisa , ukuphuhliswa kwee- osteophyte , kunye nokubonakala kwethambo kwiimida ezidibeneyo.
- Iimvavanyo zegazi zithathwa ukuba i-rheumatoid arthritis ikhunjulwa: i- rheumatoid factor , i- sedimentation rate , i- CRP , kunye ne-anti-CCP inokuyalelwa ukuba incede iqinisekise ukuxilongwa.
Unyango lwe-Arthritis yesandla
Injongo yonyango yesifo sesifo sesisifo kukuphelisa intlungu kunye nokuphucula umsebenzi. Unyango lunokuquka ukusetyenziswa kwezidakamizwa ezingabhubhisiyo (i-NSAID) okanye i- analgesic (intlungu) . Ukuphumla, ukufudumala, i- cortisone injections , kunye neengqamlezo zingasetyenziswa.
Ubonisa uncedo lokugcina ukuhamba kunye nomsebenzi wesandla. Iiseshoni ezimbalwa kunye neengcali zogqirha ziya kukuvumela ukuba ufunde malunga nokuzivocavoca ezilungele imeko yakho.
Uphando lubhekwa nje njengesigqibo sokugqibela xa zonke ezinye iindlela zonyango zihlulekile. Ukuhlinzwa ngokugqithisileyo akuqhelekanga ngenxa yezizathu zokuzilungisa. Iinjongo eziphambili zokutyunjwa kwesandla zikhulula intlungu kunye nokugcina okanye ukubuyisela umsebenzi.
> Imithombo:
> Isikhokelo soMonde wokuSondeza iAnatomy. e-Orthopod.
> Ukuqala kwiRheumatic Diseases. Uviwo lweeNdawo eziHlangeneyo eziManyeneyo - Isandla kunye nesandla. Klippel John, MD et al. Uluhlu lweSithathu. Arthritis Foundation.
> I-Arthritis yesandla: i-Rheumatoid Arthritis. Umbutho waseMerika oPhezulu lweZandla. 2008.
> I-Arthritis yesandla: i-Osteoarthritis. Umbutho waseMerika oPhezulu lweZandla. 2008.