Ambiri mwa anthu odwala nyamakazi amatha kukhala ndi zizindikiro za m'mapazi
Funsani aliyense amene ali nalo: Matenda a chifuwa chachikulu (RA) ndi matenda opatsirana kuti adzilandire, chifukwa ndi matenda omwe amatha kupweteka kwambiri omwe amatha kupweteka kwambiri komanso amakhala osachiritsika. Komabe, ngati nthawi ina nthawi yabwino yodziwidwa ndi matenda osachiritsika, tsopano, monga njira zothandizira zowonjezereka zakhalapo kale -ndipo zikuloleza anthu ambiri ndi RA omwe sakanakhala ndi mipando ya olumala kukhala moyo wokhutira ndi wokhutira.
Chimodzi mwa zizindikiro zoyambirira za nyamakazi ya nyamakazi ndi kuuma, kupweteka, ndi kutupa m'manja ndi mapazi. Kuyamba kumapita pang'onopang'ono kwa ena komanso mwamsanga kwa ena, koma mosasamala kanthu, anthu ambiri omwe ali ndi mpumulo wa tsiku lina amadzuka tsiku limodzi ndikuzindikira kuti ziwalozo mu mpira kapena kupweteka kwa mapazi awo zimapweteka kwambiri. Pa nthawi imodzimodziyo, amatha kuona kuti zala zawo zikuwuma pamene akuyesera kutsegula mtsuko, kapena kuti sangagwiritse ziwalo zina zapadera pamene akuphika chifukwa ndi zopweteka kwambiri. Pamene matendawa akupita, kupweteka ndi kuuma zimatha kufalikira kwa akalonga, mabala, mapewa, mawondo, zidutswa, ndi m'chiuno.
N'chiyani Chimachititsa Chifuwa Chakumwa?
Pokhala ndi RA, chitetezo cha mthupi chimayambitsa ziwalo za thupi, zomwe zimayambitsa kutupa, zomwe zingayambitse kuwonongeka kwa ziwalo zokhudzana ndi thupi. Kwenikweni, chitetezo cha mthupi chimayambitsa madzi amadzimadzi m'magulu komanso chophimba chogwirizanitsa, chotchedwa synovium. The synovium imakhala yotentha kwambiri, yotentha ndi yotupa.
Kupitiriza kutupa, makamaka ngati sichikutsatiridwa, pamapeto pake kumakhudza synovium ndipo imayambitsa khunyu ndi fupa kuti zisawonongeke, zomwe zimayambitsa kufooka pamodzi ndi kuchepa kwa kayendetsedwe kake. Kuphatikiza apo, minofu, tendon, ndi mitsempha yomwe imayzungulira ndi kuimitsa mafupa ingakhale yofooka.
Anthu ambiri amakhala ndi zizindikilo zoonjezera, zomwe zimatchedwa kuti flares, zotsatiridwa ndi zochepa zochitika za matenda kapena ngakhale nthawi ya kukhululukidwa, mkhalidwe wosamva ululu, kuuma, kapena kutupa.
Ndi mbali ziti za mapazi zomwe zimakhudzidwa ndi RA?
Pamene zifika pa mapazi, RA imakhudza kwambiri metatarsophalangeal (MTP) zigawo zala zala. Pomwe RA akupitirizabe kukhudza ziwalo za MTP, kusintha kwapang'onopang'ono (kutsogolo) kusuntha kwazitole kungathe kuchitika. Izi zingayambitse mapazi onse awiri kupanga halluni valgus . RA ingayambitsenso kusuntha kwa kutsogolo ndi kutaya kwa bata, zomwe zimayambitsa mgwirizano wazinyalala, monga nyundo za nyundo. Mikangano yachitsulo ndi kusintha kwa mgwirizano wothandizira palimodzi nthawi zambiri kumabweretsa zovuta ndi zopweteka pansi pa mpira wa phazi . Zonsezi zimasintha ndi kupanga mapazi ndi maonekedwe angapangitse nsapato yabwino kwambiri yovuta kwa wodwala RA.
Zilumikizi zina za phazi zomwe zingakhudzidwe ndi RA zimaphatikizapo mgwirizano wamagulu ndi mgwirizano wa talonavicular, umene uli mbali ya phazi la phazi. Pamene mgwirizano wa talonevicular umakhudzidwa, phazi likhoza kuwonongeka komanso liwiro (pes planus) likhoza kukula.
Chimene chimasiyanitsa ululu wa RA kuchokera ku ululu wambiri wa osteoarthritis (OA) ululu ndikuti ziwalo zingapo zimakhudzidwa nthawi yomweyo ndi RA ndi zizindikiro zofanana zimakhala zofanana, zimachitika mbali zonse ziwiri za thupi. Chinthu china chimene chimasiyanitsa RA ndi OA ndi chizoloŵezi cha RA kuyambitsa kuuma kwanthaŵi yaitali.
Wodwala matenda a RA nthawi zambiri amamva kupsinjika m'magulu okhudzidwa kwa amodzi kapena maola ochuluka atadzuka, poyerekeza ndi odwala OA, omwe kufooka kwawo kumatha kuchepa patapita mphindi zochepa kapena kutuluka m'mawa.
Mavuto Ena Amphindi Ophatikizidwa ndi RA
Kupweteka kwa chidendene. Iyi ndi vuto lofala kawirikawiri kwa anthu omwe ali ndi RA ndipo akhoza kuchitika kumbuyo kwa chidendene kapena pansi. Zinthu zomwe zimayambitsidwa ndi ululu wazitsulo zimaphatikizapo plantar fasciitis (chitetezo chachitsulo), Achilles tendonitis, ndi retrocalcaneal bursitis. Mphuno yamtunduwu imapezeka pamene thumba lodzaza madzi (bursa) kumbuyo kwa chidendene mafupa amayamba kutentha, kupweteka ndi kutupa.
Mitsempha yothandizira. Pamene RA ikuwombera mzere wothandizana nawo, kapena synovium, kutupa kumatha kuchepetsa mitsempha ndipo zimayambitsa zizindikiro za mitsempha yotchedwa pinched, yomwe imadziwikanso ngati mitsempha yotsekemera. Chinthu chimodzi chomwe chimapezeka m'mimba mwathu chimatchedwa tarsal tunnel syndrome. Zisonyezero za matenda a tarsal amatha kuphatikizapo kuyaka, kupweteka, kapena kupweteka koopsa pambali pa phazi la phazi ndi lokha.
Chifuwa chachikulu. Nthenda yamagazi imakhala ngati pansi pa khungu, kawirikawiri pamwamba pa bony kutchuka kapena tendon. Pa phazi, nthendayi yamatenda ikhoza kuwonekera pa tendyle Achilles kapena kumbali yazala zazikulu ngati bunion (hallux valgus) ilipo.
Kuphulika khungu. Kutupa komwe kumagwiridwa ndi RA kungakhudze mitsempha yaing'ono yamagazi, yomwe ingayambitse maonekedwe ena a khungu, kuphatikizapo ziphuphu kapena mabala pamunsi mwa miyendo. Khungu lina limene limagwirizanitsidwa ndi RA ndimadzimadzimadzimadzimadzi, omwe ndi malo ochepa a mitsempha yamagazi imene imawoneka pambali pa zipilala kapena zitsulo.
Ngakhale kuti onse sangakhale ndi phazi ndi RA, anthu ambiri ali ndi mlingo wina. Komabe, chinthu chofunika kwambiri kuti muzindikire kuti pali njira zambiri zothandizira odwala mankhwala komanso njira zamoyo zomwe zingasokoneze kwambiri kulamulira zonse zokhudza matendawa kuphatikizapo mawonetseredwe a mapazi. Kukhala paubwenzi wapamtima ndi rheumatologist-amene angagwiritse ntchito kuthetsa ululu ndi kutupa kwanu, kulepheretsa kuwonongeka pamodzi, ndikupangitsani kukhala ndi moyo wabwino-zidzakuthandizani kuti mupeze zotsatira zabwino zomwe mungathe panthawi yonse ya matenda anu.
Zotsatira:
> Brooks, Francis, ndi Hariharan, Kartik. Chifuwa chachikulu chowopsa. Curr Rev Musculoskelet Med. 2013 Dec; 6 (4): 320-327.
> Chifuwa chachikulu cha nyamakazi ya Foot ndi Ankle. American Orthopedic Foot & Ankle Society.
> Zolemba Zaumoyo pa Zaumoyo: Rhumamu ya Arthritis. National Institute of Arthritis ndi Musculoskeletal ndi Matenda a Khungu. 2016 February.