Amanothi kaBourdrd angathatha iminyaka ukuthuthukisa
Amakhadi kaBouchard aqanjwe ngegama elidumile laseFrance, uCharles-Joseph Bouchard, owafunda iziguli ze-arthritis ekhulwini le-19.
Lezi nodes empeleni zikhuliswa ngamabonyane amajoyini aphakathi kweminwe, eyaziwa nangokuthi amalunga we-PIP noma amajoyina angaphakathi emiphakathini ye-interphalangeal. Ihlangene le-PIP yiyona ehlangene engowokuqala ngenhla lapho ubuyogqoka khona indandatho, owodwa onzima kunayo yonke ukuze uthole indandatho eyedlule uma uyivala noma uyivala.
Kungenzeka ukuthi uke wazizwa ngama -node ka-Heberden , okufana nama-bony swellings afana ne-distal interphalangeal joint, noma iphuzu le-DIP, elihlangene eliseduze neminwe. Ngokuvamile, ama-node kaBourdrd abhekwa njengento evamile kunezingqikithi zikaHeberden.
Isizathu seNodes kaBouchard
Amakhadi kaBouchard ayibonakaliso yangempela yesandla se-osteoarthritis , noma ahlinzeke i-OA, kanti isandla siyingxenye yesithathu ehlangene kakhulu e-OA, elandela idolo kanye ne-hip. E-OA yesandla, i- carticlage ye - articular emajoyini igqamile. Njengoba le ngqungquthela ivame ukuhlinzeka umkhumbi phakathi kwamathambo ehlangene, njengoba uqhwaba lususa, umuntu angase aqale ukuzwa ubuhlungu nokuqina.
Ngaphezu kokugqoka, uqwanga luba lukhuni futhi alusekho ubuso obushelelekile ukuze amathambo aphulukane. Uma isidumbu siphelile ngokwanele, amathambo agijimelana, okungaba buhlungu kakhulu.
Njengoba lokhu kugubha okuqhubekayo, ithambo elikhona lingase libhujiswe. Umzimba wakho uzama ukulungisa lokhu kulahlekelwa kwethambo. Kodwa esikhundleni sokwenza indawo ebushelelezi, i-node ye-bony ikhula eceleni kwethambo elikhona lehlangothini lomunwe futhi yilokho indlela ye-Bouchard yaqala ngayo.
Ukubaluleka kwamaNode kaBourdrd
Amakhadi ka-Bouchard, njengama-node ka-Heberden, angase abe nobuhlungu noma angabi nobuhlungu, kodwa ngokuvamile ahlotshaniswa nokunyakaza okulinganiselwe kwesigungu esithintekile.
Ama-node aqinile kakhulu (okusho ukuthi athola ifa), futhi abacwaningi abaningi bakholelwa ukuthi babangelwa ama- osteophyte , nakuba abanye bengavumelani. Noma kunjalo, izakhi zofuzo zidlala indima eyodwa ekubunjweni kwe-OA, njengoba ngokuvamile i-OA ibhekwa ukuthi ivela ekugqoke nasekulileni ngokuguga. I-OA ingase futhi ilandele ukulimala komunye ohlangene.
Kuyafaneleka ukuphawula ukuthi ukubonakala kobuciko bamaNode kaBourdrd kanye nama-Heberden's nodes esandleni sakhe kuyasiza kakhulu ekuhloleni i-OA.
Lokho kusho, ngenkathi ubona isidumbu esisha sikaBourdrd, ukulimala okukhulu kwenzekile ekuhlanganyeleni komunwe. Ngamanye amazwi, i-osteoarthritis iye yathuthuka futhi ithatha umonakalo wayo ekuhlanganyeleni.
Ukwelashwa kwamaNode akwaBouchard
Ukwelashwa kwamakhadi akwaBouchard kufana nesandla se-OA ngaphandle kwamanothi. Lokhu kuhlanganisa ukuphumula okuhlangene, mhlawumbe usebenzisa ubuqhakazizi ukuze ungagudluli kakhulu, ubuhlungu bukhululeka njengama-anti-inflammatory ( non- steroidal anti- inflammories ), kanye nokushisa nokuqhwala kweqhwa. Lezi zindlela zokwelapha zenziwa ikakhulu uma i-node isesigaba sokubunjwa.
Uma i-node isungulile, iningi labantu alinayo ubuhlungu, nakuba ngokuvamile libika ukuvinjelwa ekuhambeni nasekusebenzeni, futhi umunwe ungabonakala uphambene noma ukhubazekile.
Ngalesi sigaba, ngenxa yokuqina okuhlanganyelwe okuhlangene nokulahlekelwa kwezinyathelo zokuhamba, ukwelashwa ngokomzimba noma emsebenzini kungadingeka. Ezimweni ezinzima, ukuhlinzwa kungenziwa ukufaka esikhundleni noma ukufiphaza ukujoyina, kodwa lokhu akuvamile.
Okokugcina, kubalulekile ukuthi uqaphele ukuthi ngenkathi izakhi zeBourdrd zingase zingaboni kahle, ukuhlinzwa akukwenziwe ngezinhloso zezimonyo. Ihlangene sesivele ihlaziywe yisikhathi lapho i-node ibonakala khona, futhi ukuguqulwa noma ukuhlanganiswa kuyadingeka kunokuba kususwe i-bump.
Izwi elivela
Ekugcineni, i-node ye-Bouchard ithathwa njengesibonakaliso esibonakalayo se- osteoarthritis , esingasiza ekuxilongweni. Lokhu akufani nezinye izinhlobo ze-arthritis, njenge-gout noma i- rheumatoid arthritis , engase ithembele kakhulu ekuvivinyweni kwe-laboratory ukuxilongwa.
Lokho kusho ukuthi kunezibonakaliso ezibonakalayo ezandleni zabanye abantu abane-arthritis ye-rheumatoid ne-gout. Isibonelo, ukuqhuma kwe-rubbery (okubizwa ngokuthi i-rheumatoid nodules) kungabonakala ezithombeni nasezingxenyeni kubantu abane-arthritis ye-rheumatoid. Ngokufanayo, abantu abahlakulela ukuhlasela kwe-gout njalo iminyaka eminingi bangase bathuthukise i- tophi ngeminwe (tophi yizintuthwane ezinzima ezigcwele amakristali e-uric acid afakwa endaweni ehlangene).
Izindaba ezinhle ukuthi udokotela angakwazi ukuhlukanisa kalula lezi zibonakaliso kulabo abonakala ku-osteoarthritis.
> Imithombo:
> Doherty M, Abhishek A. (2017). Ukubonakaliswa kwemitholampilo nokuxilongwa kwe-osteoarthritis. U-Hunter D, u-ed. Kusesikhathini. Waltham, MA: UpToDate Inc.
> Dunkin MA. (nd). I-arthritis Foundation: "Okushiwo Yizandla Zakho Ngempilo Yakho".
> Leung GJ, uRainsford KD, uKean WF. I-osteoarthritis yesandla I: > i-etiology > ne-pathogenesis, izici zengozi, uphenyo nokuxilongwa. J Pharm Pharmacol. 2014 Mar; 66 (3): 339-46.
> Rees F et al. Ukusabalalisa kwamanothi eminwe kanye nokuhlangana kwabo nezici zomsakazo we-osteoarthritis. I-Arthritis Care Res (i-Hoboken). 2012 Apr; 64 (4): 533-8.