Zvinokonzera Interphalangeal Joint Pain uye Zvimwe Zvichitsanangurwa
Kupa arthritis kunogona kurwadza uye kuora mwoyo. Maoko ako akaumbwa nenhare yakaoma yemapfupa, mafundo , misungo, ligaments, tendons , mitsipa nemidziyo yeropa inoshandisa zvakajeka uye zvakajeka kuunza pamwe kurongeka, kubatana, uye simba kukubvumira kuti uite zvakanaka motokari mabasa. Ichi chinyorwa chinotsanangura zviratidzo, kuongororwa, uye kurapwa kwesimba reArthritis.
Anatomy of the Hand
Kune mafupa makumi maviri nemaviri ari muruoko uye ruoko. Aya masere mashoma mapfupa ari muchiuno anonzi makara . Muchanza cheruvoko, mimwe yemapapu inobatanidza ma metacarpals mashanu. Chimwe chemasacarpal chinosangana nechimwe cheminwe kana chigunwe. Iyo phalanges mapfupa anonamatira kuumba mumwe nomumwe nemuviri (kureva, mapfupa emunwe). Nhengo dzejinga dzinoumba apo phalanges inosangana kune metacarpals uye inonzi inonzi metacarpophalangeal (MCP) . Masangano anonzi MCP anoshanda seanobatanidza kubatana uye kugadzirisa minwe uye chigunwe.
Munwe mumwe nomumwe une phalanges matatu ayo akaparadzaniswa nemajoi maviri, anozivikanwa seal interphalangeal (IP) majoints (kunze kweiyo chigunwe, icho chinongova nemaviri phalanges akaparadzaniswa nemubatanidzwa mumwechete.) Kubatana kwePI kunogara pedyo nekubatana kwako kweMMP ( chikwata) chinonzi inozivikanwa sekubatana kwepislangeal (PIP) . Ikoji yePI iyo iri pedyo nekuguma kwemunwe wako inozivikanwa sekubatanidza distal interphalangeal (DIP) .
Masangano echanza chako, zvigunwe, uye zvigunwe zvakafukidzwa nearticular cartilage iyo inoita kuti vanhu vashamiswe uye inobvumira kushamwaridzana kusina kusununguka. Gorotiti inosvika pamagumo emapfupa anouya pamwe chete kuti aite manotsi. Kana katetilage kurasikirwa kunowedzera muzvibatanidzwa zvechiko, iwe unogona kurwadziwa kukuru.
Pakutanga, chiratidzo chekurwadziwa kwemaoko hachina kujeka. Iwe unogona kutanga kukanganisa kushungurudzwa, asi kurwadziwa kwemaoko kunokonzerwa nechirwere, zvakare, zvakadai seArthritis.
Zviratidzo zveHama Arthritis
Kazhinji, chiratidzo chokutanga chechigunzva arthritis chinosanganisira marwadzo anowedzera mushure mekushandisa zvakanyanya ruoko. Kushandiswa kwekuwedzera kwechikafu kunogona kukonzera marwadzo akawanda apo zororo rinogona kuzvidzora, kunyanya mumatanho ekutanga. Sezvo ruoko rweArthritis ruchifambira mberi, kunyange zvinhu zvisiri nyore, zvakadai sokuzarura chirongo kana gonhi remukova , zvinogona kukonzera kurwadziwa kwemaoko. Kushushikana kweMangwanani kunogona kuwedzerwa.
Zviratidzo zvinowanzobatanidzwa nemaoko arthritis zvinosanganisira:
- Kuzvimba
- Kushamwaridzana nekuda kwekuputika
- Crepitus
- Vhuni dzinobata kana kuvhara
- Tsanga kana hutsinye muminwe.
Zviratidzo nezviratidzo zverhumatoid arthritis zvoruoko zvinowanzobatanidza:
- Simbisai mutsvuku pamwe neminwe
- Ichingu chakanaka kumushure kworuoko
- Kukwevedza kweminwe kubva pachigunwe (kureka kwekupedzisira)
- Tendon rupture inokonzera kukanganisa kamwe kamwe kwekunamatira kana kururamisa minwe
- Joint deformity
- Dzimwe nguva, pane kushaya simba kana kutinhira kwesimba (kureva, carpal tunnel syndrome ).
Zviratidzo zvemaoko osteoarthritis zvinosanganisira:
- Nodhi dzeBuchard: Bony nodules inokura pajoka yePIP
- Nodhesi dzaHeberden : Bony nodules dzinokura pajoka reDIP
- Pain muchitsiko chechigunwe.
Zvimwe zviratidzo zvinosanganisira redness uye telangiectasia (kuwedzera) kwembambo dzemawere capillaries iyo inowanzobatanidzwa nehutachiona hwezvirwere , zvakadai se lupus . Sclerodactyly, kana kusimbiswa kweganda pamusoro peminwe, uye zvipembenene zve digital zvinowanzoratidza zviratidzo zve scleroderma . Dactylitis, kana kupfurikidza kwemajeri akazara, inosanganiswa neimwe yepondyloarthropathies , yakadai sa psoriatic arthritis .
Kuongororwa kweSimba Arthritis
Pane zviyero zvitatu zvakakosha zvinoshandiswa kusarudza kana mumwe munhu ane ruoko rweArthritis:
- Kuongorora kwepanyama : Maoko ako akasvinudzwa, chiremba wako anogona kutarisa kugadzirisa kweminwe yako, uyewo kutarisa chero kusakanganisika kunooneka. Chiremba wako anogonawo kuedza basa uye simba roruoko rwako nekuita kuti iwe unyeke kana kuisa zvinhu. Chiremba wako achazonzwawo ruoko rwako kuti aone kana kune hutano hwakabatana.
- X-rays inounganidza ruzivo pamusoro pekubatana kwepakati nzvimbo yakaderera , kukura kwemaosteophytes , uye kuonekwa kwefupa pamwe chete pamakona akabatanidzwa.
- Kuongorora ropa kunotorwa kana rheumatoid arthritis ichifungidzirwa: rheumatoid factor , sedimentation rate , CRP , uye anti-CCP inogona kurairwa kuti ibatsire kusimbisa kuongororwa.
Kurapa kweHama Arthritis
Chinangwa chekurapa kwemaoko arthritis ndechokubvisa marwadzo nekuvandudza basa. Mishonga inogona kusanganisira kushandiswa kweiyo isinasteroidal anti-inflammatory drugs (NSAIDs) kana analgesic (marwadzo) mishonga . Zororo, kupisa, cortisone injections , uye zvipfeko zvinogona kushandiswa zvakare.
Kudzidzira kunobatsira kuchengetedza kufamba nekushanda kwesimba. Maminitsi mashomanana ane chirwere chekupa ruoko achakubvumira kuti udzidze nezvekudzidzira kwakakosha kune mumwe munhu mamiriro ako.
Kuvhiya kunongoratidzika sekushandiswa kwekupedzisira apo dzimwe nzira dzese dzokurapa dzakakundikana. Kuvhiyiwa kushanda hakuwanzoitwa nokuda kwezvikonzero zvese zvezvipfeko. Zvimwe zvinangwa zvekuvhiyiwa kwemaoko zvinoridzirwa kurwadziwa uye kuchengeta kana kudzorera basa.
> Sources:
> Mutsara wevarwere wekupa Anatomy Hand. e-Orthopod.
> Primer paRheumatic Diseases. Kuongororwa kwenzvimbo dzakasiyana-siyana - Ruoko neWrist. Klippel John, MD et al. Chinyorwa chegumi nemitatu. Arthritis Foundation.
> Hand Arthritis: Rheumatoid Arthritis. American Society for Surgery of the Hand. 2008.
> Hand Arthritis: Osteoarthritis. American Society for Surgery of the Hand. 2008.