Indlela Ebuhlungu Nejwayelekile Ye-Osteoarthritis
I-osteoarthritis ingathinta amalunga kunoma iyiphi ingxenye yomzimba, kuhlanganise iminwe. I-osteoarthritis ye-finger iyisimo esivamile phakathi kwabesifazane be-postmenopausal.
Sivame ukuthatha iminwe kanye nezandla zethu kalula. Phakathi nosuku olujwayelekile, qaphela ukuthi umsebenzi omningi uncike ekuhambeni kwesandla. Qaphela ukubunzima kokunyakaza ngalunye nokuthi imisebenzi enzima yansuku zonke ingaba kanjani kubantu abaphila ngomunwe we-osteoarthritis.
I-Anatomy Yezandla Zakho
I-anatomy yeminwe iyinkimbinkimbi. Ukuze uqonde ngokugcwele ukuthi i-osteoarthritis ingathinta iminwe yakho, kuwumqondo omuhle ukwazi okuthile ngamathambo namalungu angase abe nomthelela. Lokhu kungakusiza futhi ukukhuluma nodokotela wakho mayelana nezimpawu zakho kanye nokwelapha.
Amathambo entendeni yesandla abizwa ngokuthi amathambo e-metacarpal. I-metacarpal eyodwa ixhuma kumunwe ngamunye nesithupha. Umunwe ngamunye wenziwe ngamathambo amancane, okuthiwa i-phalanges. Amajoyini ama-knuckle asondelene nesikhumba (metacarpophalangeal noma ama-MCP) afakwa ukuhlanganiswa kwama-phalanges kuya kuma-metacarpals. Umsebenzi we-MCP ufana ne-hinge lapho iminwe igobile noma iqondiswa.
Ama-phalanges amathathu emunwe ngamunye ahlukaniswe ngamalungu amabili, okuthiwa i-interphalangeal noma ama-IP. Lowo oseduze ne-MCP ubizwa ngokuthi i-interphalangeal noma iPIP ngokuhlanganyela. Ihlangene eduze kokuphela komunwe kuthiwa i-distal interphalangeal noma i-DIP ngokuhlanganyela.
Amalungu e-IP asebenza njengamajoyini wezinyosi.
Izimbangela Ze-Finger Osteoarthritis
I-osteoarthritis yisifo esihlangene esinesifo esibi . Ngalolu hlobo lwe-arthritis, i- cartilage - izicubu ezinzima, kodwa eziguquguqukayo ezihlanganisa imikhawulo yamathambo akha ihlangene - igqoke kancane kancane.
Ukulimala kokujoyina okunjenge-sprain noma i-fracture kungabangela umonakalo we-cartilage.
Ngisho noma ukulimala kungabangeli ngokuqondile umonakalo we-cartilage, kungathinta indlela ijoyina ngayo. Amajoyina angalungiswa ngemuva kokuphulukisa ekulimazeni. Ukungajwayelekile okunjalo kungagcizelela ukujoyina, okungalimaza i-cartilage kamuva.
I-Osteoarthritis Yengane Iyatholakala Kanjani?
Ukuxilongwa kwe-osteoarthritis yomunwe kuqala kuqala ngomlando wezokwelapha oyofaka noma yikuphi ukulimala okungenzeka kubangele isimo.
Ukuhlola ngokomzimba kuvumela udokotela ukuba ahlole ukuhamba kwezingxenyeni ezithintekayo zomunwe nokuthi yikuphi ukunyakaza okuphuthumayo. Ukubukeka kwezinhlamvu zamagama (ama-Bouchard's noma ama-Heberden's nodes) angasiza futhi ngokuxilongwa kwe-osteoarthritis yomunwe.
I-X-rays ivame ukulalelwa ngakho udokotela angabona izithombe zomonakalo ohlangene. Lokhu kubasiza ukuba baqinisekise ukuthi i-cartilage ihlala kangakanani noma uma i-joint is bone-on-bone uma kwenzeka isidumbu sikhathele ngokuphelele.
Izimpawu Ze-Finger Osteoarthritis
Izimpawu ezihlobene ne-osteoarthritis yomunwe zihlanganisa ubuhlungu, ukuqina, nokuvuvukala. Ukwengeza, ukuthuthukiswa kwama-nodes kungabonakala futhi ungase uhlangabezane nokulinganiselwe okuhambayo noma ukunciphisa amandla okubamba.
Ngokujwayelekile, ubuhlungu be-osteoarthritis buzwa ekuqaleni komsebenzi, bese kunciphisa njengoba umsebenzi uqhubeka.
Ngemuva kokuthi umsebenzi uyeke futhi ngesikhathi sokuphumula, ubuhlungu nokuqina ngokuvamile kuvame. Nge-osteoarthritis ephakeme, ubuhlungu bungabonakala ngisho nokuphumula.
Izinketho ezijwayelekile zokwelapha
Ubuhlungu ngokuvamile buyisifo esibangela iziguli ukuba zifune ukwelashwa . Ukwelashwa kokuqala kungasiza ukuphatha i-osteoarthritis yomunwe, ngakho-ke kuwumqondo omuhle ukubona udokotela ngokushesha.
Izinyathelo zokwelashwa ezizimele zihlolwa kuqala futhi zingabandakanya noma yikuphi okulandelayo:
- Imithi elwa nokuvuvukala njenge-aspirin noma i- NSAID
- Kunciphisa amazinga womsebenzi
- Ukushintsha imisebenzi noma imisebenzi edinga ukuphindaphindiwe komunwe
- Umjovo we-Cortisone kuhlangene
- Ukwelapha ngokomzimba kufaka phakathi ukuhamba kokuhamba nokuzivocavoca umzimba
- Ukwelapha emsebenzini
- Ukuphambuka
- Ama-rubs aphezulu
- Isicelo sokushisa
Uma ukwelashwa okuzimele kungaphumeleli ukwanelisa, ukuhlinzwa kungase kube yindlela yokugcina yokukhetha yokuphatha. Ukuhlinzwa kuboniswa iziguli ezinezinhlungu ezingalawulwayo ezithinta umsebenzi wesandla ovamile. Izinketho zokuhlinzwa ze-osteoarthritis yomunwe zihlanganisa i- arthrodesis (fusion) noma ukushintshwa okuhlangene , kuye ngokuhlanganyela okuthintekile.
> Umthombo:
> Hochberg MC, et al. I-American College of Rheumatology 2012 Izincomo zokusetshenziswa kweMithi ye-Nonpharmacologic ne-Pharmacologic e-Osteoarthritis ye-Hand, Hip, ne-Knee. Ukunakekela i-Arthritis & Ucwaningo (Hoboken). 2012; 64 (4): 465-74.
> Osteras N, et al. Ukuzivocavoca kwe-Hand Osteoarthritis. I-Cochrane Database yezibuyekezo ezihleliwe. > 2017; 1: CD010388.
> Vansteenkiste S, Reneman MF, van der Eerden PJ, Soer R, Dijkstra PU, van der Sluis CK. Ikhono Lokusebenza Eliphezulu Limbimbi Yokusebenza Iziguli Ezisebenzayo Ne-Osteoarthritis Yezandla: Isifundo Esihamba Ngezigaba. I-Journal of Therapy Therapy. I-2017; i-pii: S0894-1130 (17) 30007-8.