Izimbangela ze-Interphalangeal Joint Pain kanye nokuchazwe kabanzi
Isifo samathambo singaba buhlungu futhi siphume amandla. Izandla zakho zakhiwe yinkimbinkimbi yamathambo, amajoyini , imisipha, imithwalo, izintambo , izinzwa nemithambo yegazi esebenza ngendlela enembile futhi ehambelanayo ukuletha ndawonye ukulungiswa, ukusebenzisana, namandla okuvumela ukuba wenze imisebenzi emihle yemoto. Lesi sihloko sichaza izimpawu, ukuxilongwa, nokwelashwa kwesifo samathambo.
Anatomy of the Hand
Kukhona amathambo angu-27 esihlalweni nasesandleni. Amathambo amancane ayisishiyagalombili ekhanda abizwa ngokuthi ama- carpals . Esikhatsini sesandla, iminyango eminingana ixhuma kuma- metacarpals amahlanu. I-metacarpal ngayinye ixhuma komunye weminwe noma isithupha. I- phalanges ngamathambo ahambelana nokwenza umunwe ngamunye nesithupha (okungukuthi, amathambo omunwe). Amafomu okujoyina ama-joints lapho ama-phalanges axhuma khona kuma-metacarpals futhi abizwa ngokuthi ama- metacarpophalangeal (MCP) . Amalungu e-MCP asebenza njengamajoyini amazinyo ukugoba futhi aqondise iminwe nesithupha.
Umunwe ngamunye unama-phalange amathathu ahlukaniswe ngamalungu amabili, aziwa njengezixhumanisi ze- interphalangeal (i-IP) (ngaphandle kwalokhu yisithupha, esinezinhlangothi ezimbili kuphela ezihlukaniswe ngokuhlanganyela okuhlangene.) Ukuhlanganiswa kwe-IP okuhlala eduze nendawo yakho ye-MCP ( i-knuckle) yaziwa ngokuthi i- proximal interphalangeal (PIP) ehlangene . Ukuhlanganiswa kwe-IP eseduze kakhulu nokuphela komunwe wakho kuyaziwa ngokuthi ukuhlanganiswa kwe- distal interphalangeal (DIP) .
Amalungu esandla sakho, iminwe, nesithupha zimbozwe ngophuthuthelo ophazamisayo obangela ukushaqeka futhi kuvumela ukunyakaza okungahambisani nokuqhuma. I-cartilage ye-articular ihlanganisa ukuphela kwamathambo ahlangana ndawonye ukuze enze amalungu. Uma ukulahleka kwe-cartilage kuvela ezinhlangothini zesandla, ungase uzwe ubuhlungu obukhulu.
Ekuqaleni, uphawu lwezinhlungu zomzimba alucacile. Ungaqala ukusola ukulimala, kodwa ubuhlungu besandla bungabangwa nezifo, futhi, njenge-arthritis.
Izimpawu Ze-Arthritis Yesandla
Ngokujwayelekile, isibonakaliso sokuqala samathambo wesifo sibandakanya ubuhlungu obuvela ngemuva kokusebenzisa kakhulu isandla. Ukusetshenziswa kakhudlwana kwesandla kungabangela ubuhlungu obuningi ngenkathi ukuphumula kungakusiza, ikakhulukazi ezinyathelweni zokuqala. Njengoba ukuqhuma kwesifo samathambo, ngisho nemisebenzi elula, njengokuvula imbiza noma umnyango , kungabangela ubuhlungu besandla. Ukuqina kokusa kwelanga kungase kube ngaphezulu.
Izimpawu ezijwayelekile ezihambisana nesifo samathambo zihlanganisa:
- Ukuvuvukala
- Ukufudumala ngenxa yokuvuvukala
- Crepitus
- Iminwe edonsa noma yokukhiya
- Ama-cyst noma ama-nodules eminwe.
Izibonakaliso zesifo samathambo esifubeni sesandla ngokuvamile zihlanganisa:
- Qinisekisa ngokuqinile ngeminwe
- Iphunga elithambile ngemuva kwesandla
- Ukuqhutshwa kweminwe kude nesithupha (ukuphambuka kwe-ulnar)
- Ukwephulwa kwe-tendon okubangela ukungazelelwe okungazelelwe ukugoba noma ukuqondisa iminwe
- Ukukhubazeka okuhlangene
- Ngezinye izikhathi, kukhona ukunganaki noma ukukhwehlela kwesandla (isib. I- carpal tunnel syndrome ).
Izimpawu zesifo se- osteoarthritis zihlanganisa:
- Amakhadi kaBourdrd : Ama-nodules e-Bony athuthuka ngokuhlanganyela kwe-PIP
- Izinga likaHeberden : I-Bony i-nodules ekhula ngokuhlanganyela ku-DIP
- Ubuhlungu phansi kwesithupha.
Ezinye izimpawu zihlanganisa ubomvu kanye ne-telangiectasia (ukuhlenga) kwe-nail fold fold capillaries okuvame ukuxhunyaniswa nezifo ezithinta izicubu , ezifana ne- lupus . I-sclerodactyly, noma ukuqinisa isikhumba phezu kweminwe, nezilonda zedijithali ngokuvamile ziyimpawu ze- scleroderma . I-Dactylitis, noma ukuvuvukala kwayo yonke idijithi, ihlotshaniswa nenye ye- spondyloarthropathies , efana ne- psoriatic arthritis .
Ukuxilongwa kwe-Hand Arthritis
Kunezivivinyo ezintathu eziyinhloko ezisetshenziselwa ukunquma ukuthi umuntu unesifo samathambo:
- Ukuhlolwa ngokomzimba : Ngezandla zakho zivulekile, udokotela wakho angahlola ukulungiswa kweminwe yakho, futhi abuke noma yikuphi ukungajwayelekile okubonakalayo. Udokotela wakho naye angahlola umsebenzi namandla esandla sakho ngokukushaya noma ukubopha izinto. Udokotela wakho uzozizwa futhi isandla sakho ukuze anqume ukuthi kukhona yini ithenda elihlangene.
- Ama-X-ray aqoqa ulwazi mayelana nomklamo ohlangene , ukuthuthukiswa kwama- osteophyte , nokubonakala kwethambo emagqeni ahlangene.
- Ukuhlolwa kwegazi kuthathwa uma kutholakala ukuthi isifo samathambo sisifo: i- rheumatoid factor , i- sedimentation rate , i- CRP , ne- anti-CCP ingalawulwa ukusiza ukuqinisekisa ukuxilongwa.
Ukwelashwa kwe-Hand Arthritis
Umgomo wokwelashwa wesifo samathambo ukukhulula ubuhlungu nokuthuthukisa umsebenzi. Ukwelashwa kungase kuhlanganise nokusetshenziswa kwezidakamizwa ezingekho ukuvuvukala (ama-NSAID) noma imithi ye-analgesic (ubuhlungu) . Ukuphumula, ukushisa, ukufakwa kwe-cortisone , nama-splints angasetshenziswa futhi.
Uhlola usizo lokugcina ukunyakaza nokusebenza kwesandla. Amaseshini ambalwa ngesiphakamisi somuthi uyokuvumela ukuba ufunde mayelana nokuzivocavoca okusemandleni akho esimweni ngasinye.
Ukuhlinzwa kubhekwa njengendlela yokugcina kuphela uma zonke ezinye izinketho zokwelapha sezihlulekile. Ukuhlinzeka ngesandla akuvamile ukwenza izizathu ze-cosmetic kuphela. Izinhloso eziyinhloko zokuhlinzeka ngesandla kukhona ukuphumula ubuhlungu nokugcina noma ukubuyisela umsebenzi.
> Imithombo:
> Umhlahlandlela Weziguli Wokunikeza I-Anatomy. e-Orthopod.
> Ngaphambi kokugula ngezifo. Ukuhlolwa Kwezindawo Ezihlangene Ezikhethekile - Isandla nesandla. Klippel John, MD et al. Umshicileli weshumi nantathu. I-Arthritis Foundation.
> I-Arthritis yesandla: I-Rheumatoid Arthritis. I-American Society Yokuhlinzwa Yezandla. 2008.
> I-Arthritis yesandla: i-Osteoarthritis. I-American Society Yokuhlinzwa Yezandla. 2008.