Izithombe zidalula ukulimala okuhlangene kwama-Arthritic kanye nama-Deformities
Kungenzeka ukuthi uzwile ukuthi ezinye izinhlobo ze-arthritis zingabangela ukukhubazeka okuhlangene. Ukukhubazeka kwesandla nge-arthritis ye-rheumatoid kuvame kakhulu, njengoba kunamalungu angama-25 angase abe nokulimala kwesifo. Kodwa lokhu kusho ukuthini ngempela? Zibukeka kanjani lezi zimo ezimbi futhi zingathinta kanjani umsebenzi wezandla nezandla zakho ngokubangela ubuhlungu nokunciphisa ukuhamba kokuhamba ?
Sizobheka izithombe eziningana ezibonisa imiphumela ye-arthritis ezandleni, kodwa kubalulekile ukuqaphela ukuthi lezi zimo ezikhubazayo azifani kakhulu nokwelashwa kokuqala kwe-arthritis ye-rheumatoid nezinye izinhlobo ze-arthritis evuthayo. Ukuhlanganiswa kwezidakamizwa zokuguqula izifo ( DMARDS ) kanye ne-tumor necrosis factor inhibitors (i- TNF blockers ) unikeze abantu abaningi ithuba lokuvimbela lezi zinkinga. Ngesikhathi samanje, kucatshangwa ukuthi okungenani abantu abangu-50 abaphila ne-rheumatoid arthritis bayakhululwa.
Njengoba ubheka lezi zithombe, ungabona ubufakazi bezinye zezichasiselo ze-arthritis ongazizwa, njengezinyosi ze- rheumatoid , ukuvuvukala, ukuqhuma kwe-ulnar , izinkontileka, nezinye izinkinga.
Njengoba ubheka lezi zibonelo, sicela ugcine engqondweni ukuthi wonke umuntu uhlukile. Iminyaka nokukhubazeka okwamanje akuyona inkomba yalokho umuntu ovamile angalindela, futhi izinga lezimpawu noma yiliphi umuntu ozobhekana nalo lizohluka kakhulu. Eziningi zalezi zinkinga zihlobene nezifo ezazikhona ngaphambi kokuba ukwelashwa kwamathambo amasha kuvunywe.
Lezi zithombe zizosetshenziselwa ukuchaza ezinye zezinkinga kanye nezinqumo zokwelapha ezibhekene nalabo abaphila ne-arthritis.
Unyaka Omdala Wama-48 Unesifo Se-Rheumatoid Arthritis (Isandla Sobunxele)
Isithombe: Insikazi eneminyaka engu-48 ubudala ene-arthritis ye-rheumatoid iminyaka engama-23 (ngakwesobunxele).
Lesi sithombe sikhombisa ubufakazi bokulimala okubangelwa isifo samathambo esihlala isikhathi eside esasikhona ngaphambi kokuba izidakamizwa ezintsha zokulwa nezifo zifinyeleleke kakhulu.
Ngaphandle kwezidakamizwa eziguqula izifo, ukuhlinzwa kungasetshenziswa ukulungisa umonakalo ophazamisa umsebenzi. Umuntu kulo mfanekiso wayenesihlinzwa sokukhululwa komhubhe we-carpal .
Umama Omdala Wama-59 Osteoarthritis
Isithombe: Indoda eneminyaka engu-59 ubudala ene-osteoarthritis yezandla zakhe iminyaka engama-35.
I-osteoarthritis , njengezinye izinhlobo ze-arthritis, ngezinye izikhathi ingabangela ukukhubazeka okuphawulekayo.
Lesi sithombe sibonisa izinkontileka ezingase zenzeke nge-arthritis ende. Nakuba isandla salowo muntu sibonakala sengathi uhlinzekwe ngesandla, akakwenzi, futhi izivumelwano zingabonakala njengokuhlinzwa.
Unyaka Ongama-18 Omdala Owesifazane onomdlavuza we-Arthritis (Juvenile Rheumatoid Arthritis)
Isithombe: Owesifazane oneminyaka engu-18 ubudala onesifo samathambo e-juvenile rheumatoid arthritis (JRA) iminyaka engu-16.
Lesi sithombe sisesandleni sowesifazane oneminyaka engu-18 ubudala otholakala enesifo samathambo esaseneminyaka engu-2 ubudala (isifo sikhona iminyaka engu-16). Kubalulekile ukuqaphela ukuthi kunezinhlobo ezihlukahlukene ze-JRA ezingaba nezimpawu ezihlukile. Ngokuvamile, ukubikezelwa kwe-JRA kunomusa kunokwama-arthritis kubantu abadala.
Isithombe lapha sibonisa ukuvuvukala okuphawulekayo kanye nokukhubazeka okuhlangene okuncane. Lo wesifazane akazange abe nokuhlinzwa kwesandla.
Okumomotheka kowesifazane kulesi sithombe kubonisa nokuthi abantu abaningi baphila ukuphila okujabulisayo nokujabulisayo ngisho nangezimpawu ze-arthritis.
Uneminyaka engama-60 ubudala omdala one-Arthritis ye-Rheumatoid
Isithombe: Indoda eneminyaka engama-60 ubudala enomonakalo ohlangene kusuka ku-arthritis ye-rheumatoid.
Isithombe lapha sibonisa ukulimala okuhlangene okuhlobene nesifo samathambo kanye nezibazi kusuka ekuhlinzekeni kwesandla.
Ukuvuvukala kwamathenda ezandleni (tenosynovitis) kungaholela ezinkingeni eziningana, njenge- trigger finger .
Unyaka Ongama-35 Omdala Owesifazane Ngesifo Se-Rheumatoid Arthritis (Isandla Sobunxele)
Isithombe: Owesifazane oneminyaka engu-35 ubudala one-arthritis yokuqala.
Lesi sithombe sibonisa ukutholakala okuvamile emthonjeni we-rheumatoid arthritis ezithinta izandla. Ukuvuvukala okuphawulekayo kukhona ngaphandle kokukhubazeka okuphawulekayo. (Lo wesifazane akazange ahlinzwe ngesandla).
Unyaka Ongama-35 Omdala Owesifazane Ngesifo Se-Rheumatoid Arthritis (Kwesokudla)
Isithombe: Owesifazane oneminyaka engu-35 ubudala one-arthritis ye-rheumatoid.
Lesi sithombe sibonisa nokuthola okuhambisana nesifo samathambo esifubeni sokuqala. Ukuvuvukala kukhona kanye nokulimala kokuqala kokuhlanganyela. (Lo muntu akazange ahlinzekwe ngesandla).
Umnyaka Omdala Wama-47 Ophethe I-Arthritis Ye-Rheumatoid (Isandla Esesobunxele)
Isithombe: Owesifazane oneminyaka engu-47 ubudala one-arthritis ye-rheumatoid.
Lesi sithombe sikhombisa ukuvuvukala okuncane kunezithombe ezingenhla zowesifazane one-arthritis yokuqala yesifo se-rheumatoid. Esikhundleni salokho, kukhona ubufakazi bokulimala okuhlanganyelwe kanye nezinkontileka ezivela kwesifo eside. (Lo wesifazane akazange ahlinzwe ngesandla).
Unyaka Omdala Owesifazane onama-55 ane-Arthritis (i-Right Hand)
Isithombe: Owesifazane oneminyaka engu-55 ubudala one-arthritis ye-rheumatoid.
Isithombe lapha sibonisa umunwe omkhulu kakhulu nangokwesandla kwesandla ngezivumelwano ezibangelwa i-rheumatoid arthritis. Umonakalo uphawuleka kakhulu emajoyini e-metacarpophalangeal (amalunga we-MCP), amajoyina asekelwe phansi iminwe. (Lo muntu akazange ahlinzekwe ngesandla).
Unyaka Omdala Owesifazane onama-55 ane-Arthritis (i-Right Hand)
Isithombe: Owesifazane oneminyaka engu-55 ubudala one-arthritis ye-rheumatoid.
Isithombe lapha sikhombisa ukubukeka kwesandla somuntu ngesiphambano sesandla kanye nezinkontileka ezibangelwa isifo se-rheumatoid arthritis. Ukulimala kuvame ukubonakala kancane ngale mbono. (Lo muntu akazange ahlinzekwe ngesandla).
Unyaka oneminyaka engu-22 ubudala omdala ene-Arthritis ye-Rheumatoid (zombili izandla)
Isithombe: Insikazi eneminyaka engu-22 ubudala ene-arthritis ye-rheumatoid.
Isithombe lapha sibonisa owesifazane oneminyaka engu-22 ubudala oye wahlala ne-arthritis ye-rheumatoid iminyaka engu-6. Ukuvuvukala kubonakala kanye nokuqala kokukhubazeka okuhlangene ezandleni zakhe zombili. (Lo muntu akazange ahlinzekwe ngesandla).
Unyaka oneminyaka engu-22 ubudala omdala ene-Arthritis ye-Rheumatoid (zombili izandla)
Isithombe: Insikazi eneminyaka engu-22 ubudala ene-arthritis ye-rheumatoid.
Lesi sithombe sinikeza umbono ongcono wesandla sangaphambili kanye nokukhubazeka okuhlangene kwesibindi okuhlobene nesifo samathambo. (Lo muntu akazange ahlinzekwe ngesandla).
Uneminyaka engama-22 ubudala omdala ene-Arthritis ye-Rheumatoid (kwesokudla)
Lesi sithombe sivumela ukubuka okuncane komonakalo ohlangene kumfazi osemusha onesifo samathambo, okubandakanya kokubili amalunga akhe angaphakathi (interplantsal joints), ukuhlanganiswa okuphakathi kweminwe, namajoyini e-interphalangeal (DIP) ahlukanisiwe, okuhlanganisiwe kakhulu weminwe.
Kubonisa ukukhubazeka kwesandla okubangelwa i-arthritis ye-rheumatoid. Lo muntu akazange abe nokuhlinzwa kwesandla.
Unyaka Ongama-50 Omdala Owesifazane Ophethe I-Arthritis Ye-Rheumatoid
Isithombe: Owesifazane oneminyaka engu-50 ubudala onesivumelwano esithathwa yi-rheumatoid arthritis.
Lesi sithombe sibonisa ukuthi abantu abaningi bathola yini isimanga nge-rheumatoid arthritis. Ama-rheumatologists kanye nodokotela ohlinzayo babheke ngokuyinhloko emsebenzini ohlangene kunokuba kubonakale izimonyo , futhi ngezinye izikhathi umsebenzi omuhle ukhona ngisho nokulimala okukhulu (futhi ngokuphambene).
Abahlinzayo abathathu abahlinzayo bayeka ukuhlinzeka ngesandla ngoba lo muntu wayengenabuhlungu futhi unamandla okubamba kanye nokusebenza kwesandla.
Uneminyaka engama-44 ubudala omdala ne-Arthritis ye-Rheumatoid
Isithombe: Indoda eneminyaka engu-44 ubudala ene-arthritis ye-rheumatoid.
Amalungu amancane omzimba wezandla nama-wrists abandakanyeka nge-rheumatoid arthritis, eholela ezinkonzweni nasezintweni zokukhubazeka. Lesi sithombe sikhombisa inani lamalungu ahlukene angathinteka.
Lo muntu une-arthritis ye-rheumatoid futhi wahlinzwa-i-synovectomy yesisindo (ukususwa kwezicubu zesifo se- synovial ) kanye nokudluliselwa kwethenda okubandakanya kokubili izandla.
Unyaka Omdala Wama-62 Unesifo Se-Arthritis
Isithombe: Owesifazane oneminyaka engu-62 ubudala one-arthritis ye-rheumatoid.
lesi sithombe sikhombisa izinga lokulimala kanye nokukhubazeka okuhlangene okungabangela ukulahleka kwe-cartilage kanye nokuguguleka kwamathambo okuvamile ku-arthritis ye-rheumatoid. Lolu hlobo lomonakalo luvame ngokwengeziwe nge-arthritis evuthayo (njenge-arthritis ye-rheumatoid) kune-osteoarthritis. (Lo muntu wayengenalo ukuhlinzeka ngesandla).
Unyaka Omdala Wama-52 Unesifo Se-Rheumatoid Arthritis (Isandla Sobunxele)
Isithombe: Owesifazane oneminyaka engu-52 ubudala one-arthritis ye-rheumatoid.
Lesi sithombe sikhombisa ukuthi owesifazane oneminyaka engu-52 ubudala unesifo samathambo esibhedlela esifuna ukuhlinzwa. Uhlinzekwe isandla sakhe sesobunxele kabili ukuze athole umunwe wokukhishwa komunwe wakhe futhi abe ne-tenodesis (ukuhlinza okuqinisa ukujoyina ngokuhlanganisa i-tendon nasetheni) yomunwe ophakathi kwesokunxele. Ngaphezu kwalokho, wayenezinsipho ezikhishwe kwesithupha kwesokudla nangesobunxele futhi wayesebenzwa ukuhlinzwa komgwaqo womabili.
Unyaka Omdala Wama-52 Unesifo Se-Rheumatoid Arthritis (Kwesokudla)
Isithombe: Insikazi eneminyaka engu-52 ubudala ene-arthritis ye-rheumatoid.
Lesi sithombe sikhombisa esinye isandla somuntu esithombeni esandulele. Ngaphandle kokuhlinzwa ayekuphethe ngakwesokunene sakhe, wayenezintuthwane ezisuka kulesi sikhumba sokunene kanye nokuhlinzwa komhubhe emaceleni zombili zombili.
Umnyaka We-38 Odala Owesifazane Owesifo Sokuvuvukala Kwesifo Sokuvuvukala Kwesifo (I-Right Hand)
Isithombe: Owesifazane oneminyaka engu-38 ubudala waseJapan onesifo samathambo.
Izinganekwane ze-arthritis nemicabango engafanele kuvamile eJapane, futhi. Abantu abaningi bakholelwa ukuthi yisifo esithinta abantu asebekhulile kuphela. Kunabantu abangaphezu kuka-700,000 abane-arthritis ye-rheumatoid eJapane.
Lesi sithombe sesandla sakhe sokunene nesibonakaliso sikhombisa ukukhubazeka okuhlangene nezivumelwano, kodwa akazange ahlinzekwe ngalesi sandla.
Unyaka Owesilisa Owesishiyagalolunye Namashumi amathathu Unesifo Se-Rheumatoid Arthritis (Isandla Sobunxele)
Isithombe: Owesifazane oneminyaka engu-38 ubudala waseJapan onesifo samathambo.
Lesi sithombe sibonisa isandla sangakwesokunxele sowesifazane ofanayo ngaphezulu. Ngenkathi ukukhubazeka kwakhe nezinkontileka kunzima kakhulu (kusukela ekubonweni okubonakalayo) esandleni sakhe sokunene, kwakuyikhanda lakhe lesokunxele kuphela elidinga ukuhlinzwa ukuze kwandiswe umsebenzi.
Unyaka Ongama-50 Omdala Owesifazane Ophethe I-Arthritis Ye-Rheumatoid
Isithombe: Insikazi eneminyaka engu-50 ubudala ene-arthritis ye-rheumatoid.
Lesi sithombe sikhombisa ukuthi umonakalo ohlangene wesandla okhona kumuntu wesifazane otholakala eneminyaka engu-45 ubudala ene-arthritis ye-rheumatoid manje engu-50. Akazange ahlinzwe ngesandla.
Umama Omdala Wama-44 Ne-Arthritis Ye-Rheumatoid (Kwesokudla)
Isithombe: Indoda eneminyaka engu-44 ubudala ene-arthritis ye-rheumatoid.
Lesi sithombe sibonisa ukuthi kukhona umonakalo ohlangothini lwezithupha nezomunwe ezivame ukwelashwa kwesifo se-rheumatoid arthritis.
Uneminyaka engama-44 ubudala omdala one-Arthritis ye-Rheumatoid (kwesokunxele)
Isithombe: Indoda eneminyaka engu-44 ubudala ene-arthritis ye-rheumatoid.
Lesi sithombe sibonisa "esinye isandla" somuntu one-arthritis ye-rheumatoid. Isandla sakhe sobunxele lapha sibonelo sokukhukhulwa kwe-ulnar, ukukhubazeka okuvamile okuhambisana nesifo samathambo.
Ukuvuvukala ematatarsal angu-4 no-5 (amathambo esandla) kwandisa ingozi yokuthuthukisa ukuqhuma kwe-ulnar ngenxa yokuhamba kwamalungu.
Intombazane eneminyaka engu-7 ubudala ne-Polyarticular Juvenile Rheumatoid Arthritis
Isithombe: Intombazane eneminyaka engu-7 ubudala ene-arthritis ye-polyarticular ye-rheumatoid arthritis.
Lesi sithombe sikhombisa umonakalo owenziwe ngezandla zentombazane eneminyaka engu-7 ubudala okuthiwa une-arthritis ye-rheumatoid nge-biopsy eneminyaka engu-10. Isithombe sikhombisa ukuthi ithambo lakhe edijitheni elithintekayo likhulu kangakanani kunamanye amathambo akhe.
Lo mntwana wayenezihlinzeko ezimbili ezihlukene ukuze akhiphe izicubu ezibomvu ezabangela isivumelwano.
Intombazane eneminyaka engu-7 ubudala ne-Polyarticular Juvenile Rheumatoid Arthritis
Isithombe: Intombazane eneminyaka engu-7 ubudala ene-arthritis ye-polyarticular ye-rheumatoid arthritis.
Lesi sithombe sikhombisa umunwe ngesigungu se-rheumatoid esakhiwe ngumntwana ofanayo ne-JRA.
Unyaka Omdala Owesifazane oneminyaka engu-61 unesifo sofuba se-Rheumatoid Arthritis
Isithombe: Owesifazane oneminyaka engu-61 ubudala one-arthritis ye-rheumatoid.
Abantu abane-arthritis ye-rheumatoid banezinhlobo ezihlukahlukene zokuvuvukala okuhlangene ezihlobene nesifo sabo. Kungaba okuphawulekayo njengalesi sibonelo. Lo muntu ube nokuhlinzwa komhubhe we-carpal ngakwesobunxele.
Unyaka Omdala Owesifazane oneminyaka engu-61 onesifo samathambo esibizwa nge-Rheumatoid arthritis
Isithombe: Insikazi eneminyaka engu-61 ubudala ene-arthritis ye-rheumatoid.
Lesi sithombe sibonisa futhi ukuvuvukala okuhlangene kulo wesifazane ene-arthritis ye-rheumatoid.
Unyaka Omdala Wama-27 Unesifo Se-Rheumatoid Arthritis (Kwesokudla)
Isithombe: Owesifazane oneminyaka engu-27 ubudala one-arthritis ye-rheumatoid.
Isithombe lapha siphinde sikhombise ukuvuvukala kanye nokulimala okuhlangene okuhlobene ne-arthritis ye-rheumatoid. Lo muntu akazange abe nokuhlinzwa kwesandla.
Unyaka Ongama-49 Omdala Owesifazane Ophethe I-Arthritis Ye-Rheumatoid
Isithombe: Insikazi eneminyaka engu-47 ubudala ene-arthritis ye-rheumatoid.
Njengazo zonke izithombe lapha, lesi sithombe sibonisa ukukhubazeka nokuhlanganyela okuvamile kakhulu kubantu abane-arthritis ye-rheumatoid.
Ukwelashwa kokuqala kwe-arthritis ye-rheumatoid kuyindlela engcono yokulawula lesi sifo nokuvimbela ukubola. Ubuhlungu nokuqina kuhlotshaniswa ne-arthritis ye-rheumatoid yezandla futhi kufanele kulawulwe.
Izwi elivela
Izandla zethu zibaluleke kakhulu ezintweni zonke esikwenzayo, kusukela ekubambe izinto ngokuthintana nezinto zokubamba izinto. Sisebenzisa izandla zethu ukupheka, ukuhlanza, ukugqoka, ukudlala nezingane zethu, ukubhala, ukudala, nokunye okuningi.
Ukubukeza lezi zithombe ze-arthritis kuyabuhlungu, kodwa kuyisikhumbuzo esibonakalayo sokuthi kufanele sivikele kanjani izandla zethu uma sinesifo samathambo. Ukwelashwa kwasekuqaleni nokufutheka kwe-arthritis evuthayo kungenza umehluko hhayi nje ebuhlungu nasekuqiniseni namhlanje, kodwa amandla ethu okwenza lokho esikuthandayo ukukwenza ngezandla zethu kusasa.
Uma uhlala ne-arthritis, thatha ku-rheumatologist yakho mayelana namasu okuvikela okuhlangene . Khumbula ukuthi ukuphuza ngokweqile (ngisho noma kungekho ubuhlungu) kuhlotshaniswa nengozi eyengeziwe yokukhubazeka okuhlangene.
Khuluma ngezinketho zokwelashwa ezifanele kakhulu ukunciphisa ukuqhubeka kwesifo, futhi futhi, kuncishise ingozi yokukhubazeka okuhlangene. I-Ultrasound yindlela eyodwa yokuthola ukukhwabanisa kwe-synovitis, okunye okubizwa ngokuthi "ukubhujiswa okuthula" kwamalungu.
Ukuhlinzeka ngesandla kungaba usizo kwabanye abantu, futhi uma kwenziwa kahle, kungathuthukisa izinga lokuphila. Lokhu kusho, kubalulekile ukuthi ukuhlinzekwa kugxilwe ngcono ekuthuthukiseni umsebenzi wedwa, kunokugxila emiphumeleni yezimonyo.
Ngisho nangomonakalo ohlangene, abantu abaningi bayakwazi ukuphila ukuphila okunethezeka nokukhiqiza. Kodwa ukuba usebenza kahle futhi ube ngummeli wakho siqu ekutholeni ukunakekelwa okungcono kunokwenzeka kuphakamisa amathuba akho okujabulela ikusasa lakho ngezinhlungu ezincane nokuhamba okuningi ngangokunokwenzeka.
> Imithombo:
> Chung, K., noS S. Kotsis. Uhambo Lweminyaka Engu-16 Esifundweni Sezifo Zesifo Sama-Rheumatoid. Ukuhlinzwa Kweplastiki Nezokuvuselela . 2017. 140 (1): 109-115.
> Ishikawa, H. I-Treatment yakamuva ye-Rheumatoid Hand Deformity. Journal of Science Orthopedic. 2017. 22 (4): 583-592.
> Selvaag, A., Kirkhus, E., Tornquist, L. et al. Ukulimala Kwama Radiographic In Amandla Nezigcawu Zezigulane Nge-Juvenile Idiopathic Arthritis Emva kweminyaka engu-29 yezifo Isikhathi. I-Rheumatology I-Journal Online . 2017. 15 (1): 20.