Nzira Inorwadza uye Inowirirana yeOsteoarthritis
Osteoarthritis inogona kukanganisa manhengo mune chero chikamu chemuviri, kusanganisira minwe. Finger osteoarthritis inowanzosangana pakati pevakadzi vanomirapaopausal.
Tinowanzotora minwe yedu nemaoko zvishoma. Pakati pezuva rezuva, cherechedza kuti basa rakawanda rinoenderana nekufamba kwesimba. Ziva kusanzwisisika kwegadziriro imwe neimwe uye kuti zvakaoma sei mabasa ezuva nezuva anogona kuva kuvanhu vanogara nemunwe osteoarthritis.
The Anatomy Of Your Does
Finger anatomy yakaoma. Kuti unzwisise zvizere kuti osteoarthritis inogona kuchinja sei meno yako, chinhu chakanaka kuziva chimwe chinhu pamusoro pemapfupa nemapfundo zvinogona kuchinjwa. Izvi zvingakubatsirawo kuti utaure nachiremba wako pamusoro pezviratidzo zvako uye kurapwa kwako.
Mapfupa ari muruoko rwamaoko anonzi metacarpal mafupa. Rimwe metacarpal inobatanidza munwe umwe neumwe nechigunwe. Munwe woga woga unogadzirwa zviduku duku pfuti, inonzi phalanges. Nhengo dzekona dziri pedyo neshizha (metacarpophalangeal kana MCP joints) dzinoumbwa nekubatana kwephalanges kune metacarpals. Sangano reMCP rinoshanda sehinge apo minwe yakanamatira kana yakarongedzwa.
Iko matatu phalanges mumunwe wega wega inoparadzaniswa nemajoini maviri, anonzi interphalangeal kana kuti mapeji eP. Iyo iri pedyo ne MCP inonzi inonzi interphalangeal kana PIP joint. Iko pamwe chete kumagumo emunwe kunonzi "distal interphalangeal" kana "DIP" pamwe chete.
IP joints inoshandawo seyinge joints.
Zvinokonzera Finger Osteoarthritis
Osteoarthritis chirwere chinokanganisa chinowedzera . Nemhando iyi yeArthritis, chironda cheputika - chakasimba, asi chimiro chinoshandiswa chinosvika kumagumo emapfupa ari kuita chibatanidzi - anoreka zvishoma nezvishoma.
Kukuvadza kune imwe sangano yakadai sokuputika kana kuputsika kunogona kukonzera kukanganisa katetilage.
Kunyangwe kana kukuvara kusina kukonzera kukanganisa karoti, zvinogona kukanganisa kuti sangano rinoshanda sei. Masangano anogona kushandiswa zvisina kunaka mushure mokunge vaporesa kubva mukukuvara. Kusagadzikana kwakadaro kunogona kudzvinyirira kubatana, izvo zvinogona kukanganisa martila gare gare.
Ko Finger Osteoarthritis Inozivikanwa Sei?
Kuongororwa kwemunwe osteoarthritis kunowanzotanga nenhoroondo yezvokurapa iyo inosanganisira chero kukuvadzwa kungave kwakakonzera chirwere chacho.
Chirwere chemuviri chinoita kuti chiremba aongorore huwandu hwekufamba mumakumbo akabatwa nemunwe uye chii chinokonzera marwadzo. Chimiro chemaitiro ane mavara (Bouchard's kana Heberden's nodes) anogonawo kubatsira nekuonekwa kwechigunwe osteoarthritis.
X-ray inowanzorairwa kuitira kuti chiremba aone zviratidzo zvekubatana pamwe. Izvi zvinovabatsira kuti vaone kuti martileti anoramba aripo kana kana akabatanidzwa ari bone-on-bone kana katetilage yapera zvachose.
Zviratidzo zveFinger Osteoarthritis
Zviratidzo zvinosangana nemunwe osteoarthritis zvinosanganisira kurwadziwa, kuoma, uye kuzvimba. Uyezve, kukura kwe nodes kunogona kuonekwa uye iwe unogona kunge uine uwandu hushoma hwokufamba-famba kana kuderedza simba rekubata.
Kazhinji, marwadzo e-osteoarthritis anonzwika pakutanga kwebasa, zvino inopera sezvinoita basa racho.
Mushure mokunge basa racho ramira uye panguva yekuzorora, marwadzo uye kuoma kunowanzodzoka. Nehasteoarthritis yapamusoro, kurwadziwa kunogona kunzwika kunyange pazororo.
Common Treatment Options
Urombo kazhinji chiratidzo chinokonzera varwere kutsvaga kurapwa . Kurapa kwokutanga kunogona kubatsira kugadzirisa munwe osteoarthritis, saka pfungwa yakanaka kuona chiremba nekukurumidza.
Maitiro ekuchengetedza maitiro anochengetedzwa anoedzwa kutanga uye aya anogona kusanganisira chero chipi chei chinotevera:
- Anti-inflammatory medication yakadai se aspirin kana NSAIDs
- Kuderedza mabasa emaitiro
- Kuchinja mabasa kana mabasa anoda kudzokorora manyorero
- Cortisone injection mubatanidzwa
- Kurapa kwepanyama kunosanganisira kure-ye-kufamba uye kusimbisa maitiro
- Occupational therapy
- Tsvina
- Nyaya dzepamusoro dzinoshandiswa
- Kushandisa kweshu
Kana kurapwa kwakachengetedza kunokundikana kuunza rubatsiro runogutsa, kuvhiyiwa kunogona kuva yekupedzisira sarudzo yekugadzirisa. Kuvhiya kunoratidzwa kune varwere vane marwadzo asingadzorwi anokanganisa ruoko rwechigarire. Zvokuvhiya zvinoshandiswa pamunwe wetsvina zvinosanganisira arthrodesis (fusion) kana kubatanidza kushandiswa , zvichienderana nesangano rakabatanidzwa.
> Kwakabva:
> Hochberg MC, et al. American College of Rheumatology 2012 Zvikurudzira zveKushandiswa kweAngpharmacologic uye Pharmacologic Therapies muOsteoarthritis yeHoko, Hip, uye Knee. Arthritis Care & Research (Hoboken). 2012; 64 (4): 465-74.
> Osteras N, et al. Dzidzirai Maoko Osteoarthritis. Cochrane Database yekuongorora kwakarongeka. > 2017; 1: CD010388.
> Vansteenkiste S, Reneman MF, van der Eerden PJ, Soer R, Dijkstra PU, van der Sluis CK. Nzvimbo Yepamusoro Yesimba Inoshandiswa Nesimba Rokushanda Mumiriri NeOsteoarthritis Yezvamaoko: Chidzidzo cheChinji-Chikamu. Nyaya ye Hand Therapy. 2017; pii: S0894-1130 (17) 30007-8.