Ingaba imeko iyakuthinteka okanye ingenakugwema?
Isandla sinamalungu angaphezulu kwama-25 anesifo esithintekayo kwisiphumo se- rheumatoid arthritis . Enyanisweni, ukuqina nokuvuvukala kwezibonda kunye neenkonkxa zidla ngokuba yimpawu zokuqala zezifo ezingapheliyo.
I-rheumatoid arthritis ibangelwa xa i-immune system ingasebenzi kwaye ihlasela amaqumrhu omzimba, ibangela intlungu, ukuvuvukala, ukukhathala, kunye nobuthathaka.
Ngokuhamba kwexesha, njengoko eso sifo siqhubeka, singakhokelela ekukhubazekeni kakhudlwana njengoko intlungu kunye nenqanaba elincinci lokunyakaza lenza kube nzima ukusebenza.
Xa oku kwenzeka ezandleni, kunokuvula ingcambu kufuphi-engenakwenzeka kwaye ikhokelela ekugqibeleni ngokugqithiseleyo kwezibonda, izandla kunye neminwe.
Iingxaki zeRumatoid Hand Deformity
Njengamanye amalunga emzimbeni, amajoyina esesandleni ajikelezwe ngumlenze omncinci, onobuhlungu obizwa ngokuba yi synovium . I-synovium ikhiqiza i- synovial fluid , into enobulunga, enobuncwane obunceda ukucoca i-joint.
Nge-arthritis ye-rheumatoid, i-immune system ithumela iiseli zegazi ezimhlophe, ezibizwa ngokuba yi-leukocyte, ukuhlasela izicubu ezihlangene eziphilileyo. I synovium iyaphendula kulo hlaselo ngokuvelisa uluhlu lwamaseli e-synovial amatsha, enye elandelayo.
Ukuqokelela kwezi thunge kubangela ukukhubazeka okuqhubekayo njengoko befakela kwindawo edibeneyo kwaye kubangele ukukhululwa kweeprotheni eziya kuhlaziya i-cartilage ne-bone.
Ezi zitshintsho eziphilayo eziyinkimbinkimbi zinokuchaphazela ukwakhiwa kwesandla, okwenza ukuphazamiseka kweetoni kunye nokungahambisani kakuhle kwamathambo namalungu.
Amacandelo anesandla kunye nesandla
I-rheumatoid arthritis ivame ukukhula ngokungenasiphelo, oku kuthetha ukuba inokuchaphazela isandla esisodwa kunomnye. Ngokuqhelekileyo ibonakala kwesinye okanye ngaphezulu kwala manqaku alandelayo esandleni:
- Amalungu e-metacarpophalangeal (awona maqhosha amakhulu apho iminwe kunye nesithupha kuhlangene isandla)
- Amalungu amaninzi e-interphalangeal (ama-knuckles aphakathi)
- Amalungu esandla esiqulekileyo, kuquka inxalenye ye-carpometacarpal, umxube we-midcarpal, umxube we-radiocarpal, kunye nama-intercarpal joints
Amalungu e-distal interphalangeal (amaqhosha angaphandle angaphezulu kunye nesithupha) aqhelekanga athatyathwa de sifo siphezulu kwaye ezinye izihlanganisi sele zichaphazelekile.
Esinye sezibonakaliso ezibonakalayo ze-arthritis ephezulu ye-rheumatoid yimeko eyaziwa ngokuba yiyaphambuko ye- ulnar . Yilapho iminwe iqala ukuqhubela phambili kwi-pinky ngenxa yokuphuka kweetoni ezikufuphi. Ngexesha elifanayo, isalathisi iya kuqala ukutshintshela kwisalathisi sesandla sakho.
Ukunyanga Ukutshatyalaliswa Kwesandla Kwi-Rheumatoid Arthritis
Xa ukukhubazeka kwesandla kwenzeka, akukwazi ukuguqulwa ngamachiza. Utyando lunokukunceda ukulungisa isandla kwaye ubuyisele enye inqanaba lokunyakaza kunye nomsebenzi. Akunjalo ukuhlinzwa okulula ukwenza kwaye ngokubanzi kudinga ixesha lokubuyisela elongezelelweyo kunye neyonyango.
Ekugqibeleni, unyango lokuqala luyindlela efanelekileyo yokunciphisa umonakalo nokunciphisa ukuqhubela phambili kwesifo se-rheumatoid arthritis. Utyando luyahlukahluka kwisigaba sesifo:
- Kwisifo sesifo se-rheumato esisekuqaleni okanye esinobuchopho, izidakamizwa ezichasene nezifo ezichasene ne-rheumatic ( DMARD ) ezifana ne- Plaquenil (i-hydroxychloroquine) ne- Azulfidine (i-sulfasalazine) isinokukunceda.
- I-modemate to severe rheumatoid arthritis idinga i-DMARD enamandla kakhulu kuquka i-methotrexate ne- Arava (i-leflunomide). Olunye udidi lweziyobisi, olubizwa ngokuba yi-TNF blockers, lunokunceda ukunqanda umzimba wokuzivikela ngokuvimbela iprotheni evuzayo ebizwa ngokuba yi-tumor necrosis factor (TNF).
> Umthombo:
> Chung, K. kunye noPushman, A. "Iingcamango zangoku kwi-Hand of Rheumatoid Hand". J Hand Surg Am . 2011; 36 (4): 736-47. INGXELO: 10.1016 / j.jhsa.2011.01.019.