Iningi labantu abane-arthritis ye-rheumatoid ithuthukisa izimpawu zonyawo
Buza noma ubani onayo: I- rheumatoid arthritis (RA) isifo esixilisayo sokuthola, njengoba isifo esizimele esingabangela ubuhlungu obukhulu nokukhubazeka okuhlangene futhi kwenzeke ukuthi kungenakuphulukiswa. Kodwa-ke, uma ngabe kunesikhathi esihle sokuthola lesi sifo esingelapheki, manje, njengoba izinketho zokwelashwa zitholakalayo zihamba phambili kakhulu-futhi zivumela abantu abaningi abane-RA abazobe behlelwe izihlalo zabakhubazekile ukuze siphile impilo egcwele futhi esebenzayo.
Esinye sezibonakaliso zokuqala zesifo samathambo yisifo sobunzima, ubuhlungu, nokuvuvukala ezandleni nasezinyaweni. Ukuqala kancane kancane kwabanye futhi ngokushesha, kodwa kungakhathaliseki ukuthi, abantu abaningi abane-RA bavuka ngelinye ilanga futhi bayaqaphela ukuthi amalunga ebhola noma izinyawo zabo ayalubuhlungu kakhulu ukuhamba phambili. Ngesikhathi esifanayo, bangase babone iminwe yabo igxile ngenkathi bezama ukuvula imbiza, noma ukuthi abakwazi ukugoba amalunga amancane ngenkathi bepheka ngoba kubuhlungu kakhulu. Njengoba lesi sifo sithuthuka, ubuhlungu nokuqina kungasakazeka emagqumeni, amahlombe, amahlombe, amadolo, amaqaqa, nezinkalo.
Yini Ebangelwa I-Rheumatoid Arthritis?
Ngama-RA, amasosha omzimba ahlasela izicubu ezihlangene zomzimba, okubangelwa ukuvuvukala, okungabangela ukulimala okuqhubekayo kumajoyini athintekile. Ngokuqondile, isimiso somzimba sokuvikela omzimba sihlasele umfutho wamanzi ngaphakathi kwamalungu kanye nombhede ohlangene, owaziwa ngokuthi i-synovium. I-synovium iba nefuthe elikhulu, kubangele ukuhlanganyela okufudumele nokuvuvukala.
Ukuvuvukala okuqhubekayo, ikakhulukazi uma kushiywa kungalashwa, ekugcineni kukhulisa i-synovium futhi kubangele ukuqothulwa kwesikhumba kanye nethambo, okuholela ekuqotheni okuhlangene nokunciphisa ukuhamba. Ngaphezu kwalokho, imisipha, ama-tendon, nemigqa ezungeze futhi zizinzile amalunga angase abe buthakathaka.
Abantu abaningi bahlangabezana nezimpawu zokukhula, ezibhekwa njengama-flares, okulandelwa umsebenzi wesifo esincane noma ngisho nezinkathi zokukhululwa, isimo sobuhlungu, ubunzima, noma ukuvuvukala.
Yiziphi izingxenye zezinyawo ezithintekayo yi-RA?
Uma kuziwa ezinyaweni, i-RA ithinta kakhulu amathinta we- metatarsophalangeal (MTP) wezinzwani. Uma i-RA iqhubeka ingathinta amalunga we-MTP, ukushintsha kancane kancane (lateral) kuzinzwane kungenzeka. Lokhu kungabangela kokubili izinyawo ukuthuthukisa amabuniyoni (i-hallux valgus) . I-RA ingase ibangele ukuguqulwa kwe-forefront nokulahleka kokuzinza, okuholela emakontweni enzwane, njengama-hammertoes. Izinkontileka zezinyosi kanye nezinguquko ku-flexibility flexibility joint zizoholela ekufowuneni nasebuhlungu ngaphansi kwebhola lonyawo . Zonke lezi zinguquko ezakhiweni zonyawo nokuma kungenza ukuthenga isihlangu esikhululekile kunzima kune-RA.
Amanye amalunga enyawo angathinteka yi-RA afaka ukuhlanganiswa kwe-ankle nokuhlanganiswa kwe-talonavicular, okuyingxenye yomdwebo wonyawo. Uma ukuhlanganyela kwetalvicular kuthinteka, unyawo lungaba yinto enqanyuliwe futhi luyizinyawo ezinzima (pes planus) .
Okuhlukanisa ubuhlungu be-RA kusukela ojooarthritis (OA) ovame kakhulu ubuhlungu ukuthi amanxeba amaningi athinteka ngesikhathi esifanayo ne-RA futhi izimpawu ezihlangene ngokuvamile zihambisana, zivela zombili zombili zomzimba ngokulinganayo. Esinye isici esihlukanisa i-RA kusuka ku-OA ukuthambekela kwe-RA kubangele ukuqina kwesikhathi eside.
U-RA ohluphekayo uzovame ukubhekana nobunzima emajoyini abathintekayo isikhathi esisodwa noma ngaphezulu ngemva kokuvuswa, uma kuqhathaniswa nesifo se-OA, ukuqina kwakhe okuhlangene kungancipha ngemva kwemizuzu embalwa yokwelula noma ukuhamba ekuseni.
Ezinye izinkinga zezinyawo ezihlanganiswe ne-RA
Ubuhlungu besithende. Le yinkinga evamile ejwayelekile kubantu abane-RA futhi ingenzeka ngemuva kwesithende noma ngaphansi. Izimo ezihambisana nokuhlukunyezwa kwesithende zibandakanya i- plantar fasciitis (i-heel spur syndrome), i-Achilles tendonitis, ne-bursitis ye-retrocalcaneal. I-bursitis ye-retrocalcaneal iyenzeka lapho isikhwama esigcwele amanzi (bursa) ngemuva kwethambo lesithende sishaya, sibangela ubuhlungu nokuvuvukala.
Ama-syndromes we-Nerve entrapment. Uma i-RA igubha umgodi ohlangene, noma i-synovium, ukuvuvukala kunganciphisa izinzwa futhi kubangele izimpawu zensimbi ekhonjiwe, eyaziwa nangokuthi i-nerp entrapment. Enye yezinzwa ezivamile ezisezinyaweni zibizwa ngokuthi i-tarsal tunnel syndrome. Izimpawu ze-tarsal tunnel syndrome zihlanganisa ukushisa okuvuthayo, ukugubha, noma ukudubula endaweni yesigcawu sezinyawo nokuphela.
Ama-nodules we-rheumatoid. I- nodule ye-rheumatoid ibukeka njengengcansi ngaphansi kwesikhumba, ngokuvamile ehamba phezu kwe-bony evelele noma ithethoni. Ngonyawo, i-nodule ye-rheumatoid ingase ibonakale phezu kwethenda le-Achille noma eceleni kwezinzwane ezinkulu uma i- bunion (i-hallux valgus) ikhona.
Ukuphuza isikhumba. Ukuvuvukala okuhambisana ne-RA kungathinta imithwalo yegazi emincane, okungaholela ekuboniseni isikhumba esithile, kufaka phakathi iziqholo noma amanxeba emilenzeni engezansi. Olunye ukutholakala kwesikhumba oluhambisana ne-RA yi-splinter hemorrhages, okuyizindawo ezincane zomzila wegazi ophukile ovame ukubonwa ezinhlangothini zomunwe noma izintambo.
Nakuba kungekhona wonke umuntu ozokwazi ukubandakanya nge-RA, iningi labantu linenani elilodwa. Kodwa-ke, into ebaluleke kakhulu okumele uyiqaphele ukuthi kunezinketho eziningi zokwelapha ngokwemithi kanye nokungenelela kokuphila okungenza umehluko omkhulu ekulawuleni zonke izici zesifo, kuhlanganise nokubonakaliswa kwezinyawo. Ubuhlobo obuseduze ne-rheumatologist yakho-ozosebenza ekunciphiseni ubuhlungu nokuvuvukala kwakho, ukumisa umonakalo ohlanganyelwe, nokuthuthukisa umuzwa wakho wokuphila kahle-kuzoqinisekisa imiphumela engcono kunazo zonke phakathi nesifo sakho.
Imithombo:
> Brooks, Francis, no Hariharan, Kartik. I-forefoot ye-rheumatoid. I-Curr Rev Musculoskelet Med. 2013 Dec; 6 (4): 320-327.
> I-Arthritis ye-Arthritis ye-Foot and Ankle. I-American Orthopedic Foot & Ankle Society.
> I-Handout On Health: I-Rheumatoid Arthritis. I-National Institute of Arthritis neMisculoskeletal kanye Nezifo Zesikhumba. 2016 February.