Ingabe isimo singavinjelwa noma singenakugwema?
Isandla sinezixhumanisi ezingaphezu kuka-25 ezithinteka ikakhulukazi emonakalweni we- arthritis ye- rheumatoid . Eqinisweni, ukuqina nokuvuvukala kwama-wrists kanye nama-knuckles ngokuvamile yizibonakaliso zokuqala zalesi sifo esingapheli se- autoimmune disorder .
I-arthritis ye-rheumatoid ibangelwa uma amasosha omzimba ehlukumezeka futhi ehlasela amalunga omzimba, okwenza ubuhlungu, ukuvuvukala, ukukhathala nokubuthakathaka.
Ngokuhamba kwesikhathi, njengoba lesi sifo sithuthuka, singabangela ukukhubazeka okwanda njengoba ubuhlungu kanye nobunzima bokunyakaza kwenza kube nzima ukusebenza.
Uma lokhu kwenzeka ezandleni, kungenza ukuvula imbiza eduze-kungenzeki futhi kuholele ekuqotheni kancane kancane kwezikhali, izandla, neminwe.
Izimbangela ze-Rheumatoid Hand Deformity
Njengamanye amalunga emzimbeni, amalunga esandleni asuke azungezwe i-membrane encane, epholile ebizwa ngokuthi i- synovium . I-synovium ikhiqiza uketshezi lwe-synovial , isisindo esincane, esivumayo esisiza ukugcoba okuhlangene.
Ngesifo samathambo, amasosha omzimba athumela amangqamuzana amhlophe egazi, okuthiwa ama-leukocytes, ukuhlasela izicubu ezihlangene ezinempilo. I-synovium iyaphendula kulokhu kuhlaselwa ngokukhiqiza ungqimba phezu kwezingqamuzana zamaseli amasha we-synovial, enye elandelayo.
Ukuqoqwa kwalezi zicubu kudala ukukhubazeka okuqhubekayo njengoba befaka isikhala esivumelwaneni futhi kubangele ukukhululwa kwamaprotheni okwenza kube ngcono ukuthungula u-cartilage kanye nethambo elizungezile.
Lezi zinguquko eziphilayo eziyinkimbinkimbi yezinto eziphilayo zingathinta ukuzakheka kwesandla, okwenza ukuphazamiseka kwamathambo nokungahambisani kahle kwamathambo namalungu.
Amajoyini Wesandla Nezandla Ethintekayo
I-arthritis ye-rheumatoid ivame ukukhula ngokweqile, okusho ukuthi ingathinta isandla esisodwa ngokuhlukile kwesinye. Ngokuvamile kubonakala ngakunye noma ngaphezulu kwamalungu alandelayo esandleni:
- Amalunga e-metacarpophalangeal (ama-knuckles amakhulu lapho iminwe nesithupha zihlangana khona)
- Amalunga angaphakathi we-interphalangeal (ama-knuckles aphakathi)
- Amalunga wesigqoko kubandakanya ukuhlanganiswa kwe-carpometacarpal, ukujoyina kwe-midcarpal, ukujoyina i-radiocarpal, kanye namajoyina e-intercarpal
Amalungu okuhlukanisa phakathi kwe-interphalangeal (amalunga angaphandle angaphansi kwamagwegwe kanye nesithupha) awavame ukuthinteka kuze kube yilapho isifo sithuthukile kanti amanye amalunga ashintshiwe kakade.
Esinye sezibonakaliso ezibonakalayo ze-arthritis ephezulu ye-rheumatoid yisimo esaziwa ngokuthi ukuphambuka kwe - ulnar . Yilapho iminwe iqala ukuqhubekela phambili ku-pinky ngenxa yokuphuka kwamathenda aseduzane. Ngesikhathi esifanayo, isikhonkwane sizoqala ukuya ngakwesokunene sandla sakho.
Ukwelapha Ukukhubazeka Kwesandla E-Rheumatoid Arthritis
Uma ukukhubazeka kwesandla kwenzeka, ngeke kuguqulwe yimithi. Ukuhlinzwa kungasiza ukulungisa isandla bese ubuyisela ezinye zezinyathelo zokuhamba nokusebenza. Akuyona ukuhlinzwa okulula ukwenza futhi ngokuvamile kudinga isikhathi esilula sokutakula ngelashwa lomzimba.
Ekugcineni, ukwelashwa kwasekuseni kuyindlela engcono yokunciphisa umonakalo futhi unciphise ukuqhubeka kwesifo samathambo. Ukwelashwa kuyahluka ngesiteji sesifo:
- E-earlyth or mild mild rheumatoid arthritis, izidakamizwa eziguqula izifo ezihlukunyezwayo ( DMARD ) njenge- Plaquenil (hydroxychloroquine) ne- Azulfidine (sulfasalazine) zingasiza njalo.
- I-moderate to arthritis ephezulu yesifo sofuba idinga kakhulu i-DMARD enamandla kakhulu kufaka i-methotrexate ne- Arava (i-leflunomide). Esinye isigaba sezidakamizwa, okuthiwa i-TNF blockers, singasiza ukuvimbela isimiso somzimba sokuzivikela ngokuvimbela iphrotheni elivuvukala elibizwa ngokuthi i-tumor necrosis factor (TNF).
> Umthombo:
> Chung, K. kanye noPushman, A. "Imiqondo yamanje ekuphathweni kwesandla soHulumeni." J Hand Surg Am . 2011; 36 (4): 736-47. I-DOI: 10.1016 / j.jhsa.2011.01.019.