Irosearthritis inokonzerwa nehutachiona inofungidzirwa isingazivikanwi uye yakasiyana neruoko rwemaoko osteoarthritis (OA). Izvo zvakasiyana nokuti kune kuvhiringidza kwakabatanidzwa kunobatanidzwa, izvo zvinotungamirira kuhutano hwekuwana x-ray, pamwe nekurwadziwa kwakanyanyisa kukuru pamwe nekuoma.
Nokuwana ruzivo nezvechirwere ichi, unogona kutarisira kunzwisisa kuti chii chiri kukuremedza kupfuura chimiro chemaoko OA.
Zviratidzo uye Zviratidzo
Kushandiswa kwehutachiona hwehasteoarthritis kunowanzotanga nekutanga kamwe kamwe kwekunzwira tsitsi muzvikwata zvakawanda zvemunwe pamwe nemadhigirii akasiyana-siyana ekutsvuka, kuoma, kushambidzika, uye kuzvimba. Kutanga kwechimbichimbi kwezviratidzo zvinowanikwa muhutachiona hwehasteoarthritis zvakasiyana nekutanga zvishoma nezvishoma kunoonekwa muchimiro chemaoko osteoarthritis.
X-ray emaoko omumwe munhu ane chirwere chinonzi osteoarthritis inoratidzika mukati memaoko, iyo inoputika mumapfupa ari pakati pejoka (pane x-ray, unoona "nzvimbo isina nzvimbo" kana nzvimbo dzinofanira kuva nefupa asi apo haisi).
Mune maitiro esteoarthritis, mamwe mazamu x-ray anogona kuonekwa anosanganisira:
- Osteophytes (bony kukura)
- Subchondral cysts (cysts mumapfupa pasi pechiritilage)
- Zvinyorwa zvishoma (zvishoma nezvishoma)
- Ankyloses (kusagadzikana kwekubatana kubva kune bone fusion)
Vakadzi Vanokurudzirwa Kupfuura Vanhu
Kuwanda kwehuwandu hwehutachiona hwehasteoarthritis inenge 3 kubva muzana yevanhu vazhinji, uye vakadzi vanobatanidzwa kupfuura varume.
Kunyange zvakadaro, zvikamu izvi zvinokwikwidzana nenyanzvi, muchidimbu nokuti zvimwe zvidzidzo zvakaongorora kuwedzera kwechiitiko chemaoko esteoarthritis chirevo chokuti huwandu hwevanhu (kusvika kusvika ku40 muzana) hunoratidza "kuchinja kushanduka."
Izvi zvinoratidza kuti vazhinji vevanhu vane "hand osteoarthritis" vanogona kunge vane "kushanda nemaoko osteoarthritis." Izvi zvakaita kuti nhaurirano pamusoro pekuti ingave inokonzera osteoarthritis ndiyo chaiyo chirwere chayo kana chikamu chechipiri chepachikafu chetachiona.
Kuziva
Kuongororwa kweasteoarthritis isati yakanganisa, sezvo iye zvino haisati yagadzirirwa mumatombo anokosha. Kunyange zvakadaro, vanachiremba vanoshandisa mazano ezvokurapa uye x-ray kuti pakupedzisira zviongororwe.
Nhoroondo Yezvokurapa: Kuti aongorore osteoarthritis inotyisa, chiremba achatanga kutanga nhoroondo yezvokurapa uye kuongorora kwepanyama. Mukutaura kwenhau yezvechiremba, chiremba wako achabvunza mibvunzo pamusoro penhoroondo yako yekare kana yemhuri yeArthritis, kunyanya rheumatoid arthritis (chirwere chekurapa chinogona kunge chinonyanya kufanana neasteoarthritis inoratidzika).
Anobvunzawo nezvekuti kana iwe hauna zviratidzo zvemuviri-wose sefivha yepamusoro-fevha, kuneta, kana kuora muviri. Izvi hazvifanirwi kuvapo mune hutachiona hwehasteoarthritis asi zvinogona kuitika nerheumatoid arthritis kana mamwe marudzi ekuvhiringidza arthritis (somuenzaniso, psoriatic arthritis).
Kuongorora muviri: Paunenge uchiongorora maoko ako, chiremba wako anogona kunyatsonyora pamunwe wega wega kuti asvike kwekudzivirira, unyoro, shungu, uye kubwinya. Achaongorora zvakare minwe yako yekufamba uye simba.
Yeuka, mune hutachiona hwehasteoarthritis, kune chirwere chinoputika chinoramba chichienderera mberi (sezvinopupurirwa nepakati pezvero zvei-x-ray), kunyanya kusungurudza, kuoma, uye kusagona kubatana basa kune zvakanyanya kudarika pane zvakafanana nemaoko OA.
Chiremba wako achaongororawo mamwe masangano mumuviri wako, kunze kwemaoko ako, semakumbo ako nemakumbo, izvo zvinowanzobatwa mune rheumatoid arthritis asi kwete mune osteoarthritis.
Chimwe chiziviso kuvanachiremba icho munhu angave ane osteoarthritis yakanyanya inhengo dzakasanganiswa nemunwe dzinobatanidzwa. Mune manyowa esteoarthritis, majoini ari pedo neminwe (iyo inonzi distal interphalangeal joints) yoruoko inowanzowanzobatanidzwa, inoteverwa nemajoi ari pedo nemakona (anonzi inowedzera interphalangeal joints).
Maoko emuoko (anonzi metacarpal-phalangeal joints) kazhinji haatambudzi, uye chigunwe chechigunwe chinowanzochengetwa muosteoarthritis.
Dambudziko reRopa: Chiremba wako angangoita kuti kuongororwa ropa, zvimwe kutonga dzimwe zvirwere pane kutonga muhutachiona hwehasteoarthritis. Izvi zvinoedzwa neropa zvinosanganisira:
- Erythrocyte sedimentation rate (ESR)
- C-reactive protein (CP)
- Rheumatoid factor
- Anti-cyclic citrullinated peptide antibody
Iyi miedzo inogona kuva yakanaka (kana yakakwirira) mu rheumatoid arthritis asi inofanira kunge iri mukati mekuronga yakakwana muosteoarthritis.
Kufananidza miedzo: X-ray uchapupu hwehutano huripo pamaoko hunowedzera huwandu hwepamusoro pakuita kuongororwa kweasteoarthritis. Izvi zvinopesana nemagariro ekumhara (nzvimbo dzisina kumira kumativi) dzinoonekwa mune rhumatoid kana psoriatic arthritis.
Kurapa
Chikonzero chaicho chemakemikari esteoarthritis hachizivikanwe, saka kurapwa kuchiri kuoma. Kubva ikozvino, kurapwa kweasteoarthritis inotarisa zvikurukuru panyaya yekurapa uye nonsteroidal anti-inflammatory drugs . Sezvo kutsvakurudza kunofambira mberi, mishonga mitsva inotanga kubuda, kunyange zvazvo uchapupu huri shure kwavo huchiri kutanga kare. Semuenzaniso, adalimumab (tumor necrosis factor inhibitor) inogona kunge iri mushonga unoshanda weasteoarthritis.
Pakupedzisira, pamusana pezvinokonzerwa nemaoko ekushaya simba uye kusina simba ruoko runoshanda newasteoarthritis, kutanga kurapwa kwakanakisisa. Kunyangwe zvakadaro, zvakanaka kuziva kuti, kusiyana nehutamu hutachiona, kuputika kweasteoarthritis kunogona kupera.
Shoko Rinobva
Mufananidzo mukuru pano ndewokuti apo kunyatsoongorora uye kuenzanirana kweasteoarthritis kuchiri kukwikwidzana pakati pezvenyanzvi, kuoma (kana zvichienzaniswa neshoko rinoshandiswa nemaoko osteoarthritis) uye zvakananga x-raiwanikwa (central erosions) inoratidzira zvikamu.
Kana iwe kana munhu waunoda ane osteoarthritis yakawanda, iva nechokwadi chekutsvaga rubatsiro kubva kuna chiremba uyo anonyanya kugadziriswa (anonzi rheumatologist). Ne chirongwa chakanaka chekurapa chinosanganisira mishonga uye chirwere chepanyama, unogona kuwedzera hutano hwako huri pamwe.
> Sources:
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