Kuwoneka ndi kufunika kwa mitsempha yamatenda
Ngati muli ndi nyamakazi yamatenda, mukhoza kudabwa ngati kukhala ndi kachilombo koyambitsa matenda a nyamakazi sikungapeweke. Mafupa a chifuwa chachikulu amapezeka ku 35 peresenti ya anthu omwe ali ndi nyamakazi . Monga gawo la matendawa, olimbitsa, osakhala achisoni, timagulu timene timatulutsa timadzi timene timakhalapo pamaganizo, ziwalo, ngakhale m'mitundu. Phunzirani zambiri za kufunika kwawo komanso ngati pali mankhwala othandiza.
Chidule ndi Kufunika
Mafupa amtunduwu amawoneka kuti ndi amodzi omwe amawoneka ngati khungu la nyamakazi. Poyamba, pamene anthu ayamba kuyesedwa kaamba ka nyamakazi ya dokotala ndi dokotala, pafupifupi 7 peresenti ya iwo amapezeka kuti ali ndi vuto lopweteka.
Mafupa a mafupa amtunduwu amayamba kugwirizanitsidwa ndi kupunduka kwa thupi limodzi ndi maonekedwe ena owonjezera a nyamakazi, omwe angaphatikizepo mapapu kapena maso . Mankhwalawa amatha kukula mosiyanasiyana pa nthawi ya matendawa. Angakhale akukumana ndi mavuto, kuphatikizapo kuyenda kochepa, matenda a ubongo, fistula mapangidwe, ndi matenda.
Pafupifupi 75 peresenti ya anthu omwe ali ndi matenda a Felty's (matenda amphamvu a nyamakazi) amakhala ndi mitsempha ya nyamakazi. Matenda a nyamakazi omwe ali ndi mitsempha amatha kukhala ndi matenda a shuga . Kawirikawiri, amaganiza kuti anthu omwe ali ndi matenda a mitsempha amakhala ndi matenda oopsa kwambiri odwala matenda a nyamakazi ndipo amawonongeka mofulumira kwambiri.
Zizindikiro ndi Zizindikiro
Mafupa a chifuwa amatha kukhala osadziwika, osapweteka. Kaŵirikaŵiri amatha pakati pa 2 millimeters ndi 5 sentimenti. Magazi, omwe amawoneka ngati amodzi kapena ngati magulu a mitsempha, nthawi zambiri amayamba pamene nyamakazi ya nyamakazi ikugwira ntchito. Mitsempha yamagetsi imakhala yosuntha ndipo imakhala ndi mphutsi.
Zina zimangokhala pafupipafupi (fupa) ndipo zimakhala zolimba kapena zovuta kukhudza.
Malo amodzi omwe amachititsa kuti mitsempha ya nyamakazi ikhale yamtunduwu imaphatikizapo chigoba, kumbuyo kwa nsonga zam'mwamba, ziwalo za metacarpophalangeal (knuckles) , tendon Achilles, ndi thambo zotchedwa extensor tendons.
Mafupa amtunduwu sapezeka pamtundu wa sacrum, occiput (kumutu kwa mutu), zingwe zamagetsi, pulmonary parenchyma, pleura, pericardium, myocardium, kapena leptomeninges wa pakatikati wamagazi-koma n'zotheka. N'zotheka kuti mitsempha ya nyamakazi ikhale mkati mwa ziwalo zamkati.
Matenda osadziwika okha sali odwala nyamakazi yokha. Masamba osadziwika amakhala ndi gout (wotchedwa gout tophi ), rheumatic fever , xanthomatosis, ndi sarcoidosis , pakati pa zina. Chinthu chimodzi chosiyana pakati pa mitsempha ya rhumum ndi gout tophi ndi chakuti chifuwa chachikulu cha mimba chimakhala chochepa kwambiri cha ulcerate kapena chimachokera pakhungu. Palinso mgwirizano wodziwika bwino pakati pa mitsempha ya mafupa ndi nthenda yapamwamba ya chifuwa chachikulu pamayeso a magazi.
Chithandizo
Majekeseni osakwanira a steroid angachepetse kukula kwa nodule. Chithandizo ndi DMARD kapena TNF blockers kapena sichikhoza kuthetsa mitsempha ya nyamakazi ngati nyamakazi ya nyamakazi imayang'aniridwa. Chochititsa chidwi n'chakuti anthu ena omwe amachitira mankhwala a methotrexate amakula kwambiri, ngakhale ngati mbali zina za matendawa zikuwoneka bwino.
Kuchotsa opaleshoni ndi njira yosankha, koma mitsempha yamatenda imayamba kubwerera mochepa ngati miyezi yowerengeka, makamaka pamene ilipo pamtunda wowonongeka mobwerezabwereza. Kawirikawiri, pa chifukwa chimenecho, opaleshoni yafooka.
> Zotsatira:
> Cush JJ, Weinblatt ME, Kavanaugh A. Matenda a Nyamakazi: Matenda ndi Chithandizo . West Islip, NY: Professional Communications; 2014.
> Davis JM. Mankhwala Ophwanya Mafupa. Zaposachedwa.
> Firestein GS, Kelley WN. Kelleys Textbook of Rheumatology . Philadelphia, PA: Elsevier / Saunders; 2013.