Ama-node ka-Heberden ayibonakaliso emtholampilo ye-osteoarthritis
Izindwangu zikaHeberden ziyi-bony swellings yehlangene esiseduzane nomunwe womunwe, owaziwa nangokuthi umhlanganiso we-DIP ohlangene noma we-distal interphalangeal, ohlangene nje ngezansi komunwe.
Izinga likaHeberden lingase libuhlungu noma lingaba buhlungu, kuye ngokuthi isigaba sabo ekuthuthukiseni, futhi uma selusungulwe ngokugcwele, abantu bavame ukubheka njengento engathandeki.
Ngokubukeka kwabo okungathandeki kanye nobukhona obunzima, ake sihlolisise ukuthi lezi zimpi eziqinile zisho ukuthini, nokuthi zilawulwa kanjani.
Ukuthuthukiswa kwamaNode kaHeberden
Ucwaningo lubonisa ukuxhumana phakathi kobukhona bama-node kaHeberden kanye nokuba khona kwezinguquko ze-osteoarthritis eminwe. Ngamanye amazwi, izingqinamba ze-x ray zibonisa izimpawu ze-OA (isibonelo, isikhala esivumelanisiwe sokunciphisa) ziphakeme eminwe ene-node kaHeberden kunomunwe ongenawo.
Ngalokho, kunelungelo lokusho ukuthi ama-node ka-Heberden ayibonakaliso yangempela yesandla se-osteoarthritis .
Ngesandla se-osteoarthritis, uqwanga ohlangothini lwamagciwane luphelile. Njengoba le-cartilage ihlambalaza, iba yinkimbinkimbi, ngakho-ke amathambo awakwazi ukuqhubekela phambili ngokuphumelelayo phakathi komunye.
Uma isigulwane sigcina sigqoke ngokwanele, amathambo agxila lapho ihlangene iguquguquka, futhi lokhu kuholela ekulahlekelweni kwethambo. Umzimba uphendukela ekulahlekelweni kwethambo ngokutshala amathambo amasha.
Kodwa ngokuhlanganyela kuphazanyiswa, ukukhula kwamathambo amasha kuyengezwa njenge-node eceleni kwethambo langempela, futhi lokhu kubangela ibony bump ye-node ye-Heberden eqhubekayo.
Izimpawu zamaNode kaHeberden
Izimpawu zesimo esithuthuka se-Heberden ngokuvamile ziqala ngokuzungezela kokuya esikhathini sokuba abesifazane noma iminyaka yobudala besilisa. Lezi zimpawu zihlanganisa ubuhlungu, ukuqina, kanye nokulinganisa okulinganiselwe kokunyakaza kweyodwa noma okungaphezulu kweyodwa. Ngezinye izikhathi, umuntu angabona futhi izibonakaliso zokuvuvukala njengokufudumala nokuvuvukala.
Nokho, esikhathini esithile seminyaka embalwa, ubuhlungu nokubonakaliswa kokuvuvukala kuvame ukuba phansi, futhi konke okushiywe yi-bony okungenakuphulukisa-okubizwa ngokuthi i-node ka-Heberden (i -node kaBourdrd iyinto efanayo kodwa ikhula phakathi komunye womunwe) .
Ngaphandle kwezinga elilinganiselwe lokunyakaza, amalunga omunwe anama-node ka-Heberden ngezinye izikhathi ahlubuka (isibonelo, umunwe wenkomba ngenombolo kaHeberden ingase ikhombe emunwe ophakathi)
Ukwelashwa kwamaNode kaHeberden
Phakathi nokuthuthukiswa okubuhlungu kwama-node ka-Heberden, ukwelashwa kufaka ukuphumula futhi ngezinye izikhathi ububanzi obukhulu, kanye nokunciphisa ubuhlungu, njengama-anti-inflammatory nonsteroidal (ama-NSAID), nokushisa noma ukwelashwa kweqhwa.
Ukwelapha ngokomzimba noma emsebenzini kungasiza futhi, njengoba umuntu efunda indlela yokunciphisa ubuhlungu kanye / noma ukusebenzisa iminwe yabo ethintekile evinjelwe ekuhambeni kwayo ngenxa yezinga likaHeberden.
Ngokuvamile, ukuhlinzwa kungenziwa, kodwa ikakhulu uma izimpawu ziqhubeka noma umuntu engakwazi ukusebenzisa umunwe. Esinye isibonelo sokuhlinza ngomunwe kungaba ukufaka esikhundleni noma ukufiphaza ukuhlanganiswa okuthintekile.
Izindaba ezinhle ukuthi uma isakhi se-bony sisungulile, umuntu ngokuvamile akanalo ubuhlungu. Ngalesi sigaba, le node ingase ibe yinkinga enkulu yezithokozi. Ngeshwa, akukho indlela ngempela yokumane uthuthukise ukubonakala kwejoyina.
Ukubaluleka kwamaNode kaHeberden
Kuyathakazelisa ukuqaphela ukuthi ama-node ka-Heberden ajwayelekile kubantu besifazane futhi atholakale esandleni esiphezulu somuntu. Zibuye zivame ukutholakala kumunwe wenkomba.
Ngaphezu kwalokho, ucwaningo lubonisa ukuthi kunezici eziphilayo zokuthuthukisa izakhi ze-Heberden, lapho isakhi esithintekayo sibhekene nabesifazane futhi siphambene namadoda. Lokhu kusho ukuthi uma unyoko enama-hedidi ka-Heberden, kungenzeka ukuthi ube engozini enkulu yokuthola uma uhlakulela isifo se-osteoarthritis.
Izwi elivela
I-tidbit yokugcina yilapho izimpawu ezibonakalayo ze- osteoarthritis , njengama-node ka-Heberden, ziyingxenye ebalulekile lapho isifo sesitholwa.
Lokhu kuhluke kwezinye izinhlobo ze-arthritis, njenge- arthritis ye-rheumatoid ne-gout, evame ukuthembela kakhulu ekuvivinyweni kwe-laboratory.
Uma usola isifo sikaHeberden kanye / noma isifo se-osteoarthritis, sicela ubheke udokotela wakho ukuze ahlolwe kahle. Kukhona nezinye izimo zezempilo ezingalingisa lokho kwesifo se-osteoarthritis noma ngisho ne-bump emunwe. Qinisekisa ukuthi uthola ukuxilongwa okufanele, ngakho-ke ungenza uhlelo lwezokwelapha oluphumelelayo.
> Imithombo:
Bernstein RA. I-arthritis yesithupha kanye nezinombolo: imiqondo yamanje. I-Instr Course Lect. 2015; 64: 281-94.
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".
> 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.