Kodi mkhalidwe uli wotetezeka kapena wosapeŵeka?
Dzanja lili ndi ziwalo zoposa 25 zomwe zimayambitsa matenda a nyamakazi . Ndipotu, kuumitsa ndi kutupa kwa ziphuphu ndi zikopa nthawi zambiri ndizo zizindikiro zoyambirira za matenda osokoneza bongo .
Matenda a nyamakazi amachititsa kuti chitetezo cha mthupi chiteteze chitetezo komanso chiteteze ziwalo za thupi, zowawa, kutupa, kutopa, ndi kufooka.
Pakapita nthawi, pamene matendawa akufalikira, amatha kuwonjezereka ngati kupweteka ndi kuyenda kosavuta kumapangitsa kuti zikhale zovuta kugwira ntchito.
Izi zikachitika m'manja, zimatha kutsegula mtsuko pafupi ndi zosatheka ndipo zimapangitsa kuti ziwalo za manja, manja ndi zala zikhale zofooka pang'ono.
Zifukwa za Kupweteka kwa Mankhwala Kwambiri
Mofanana ndi ziwalo zina m'thupi, ziwalozi m'manja zimayandikana ndi memphane yochepa kwambiri, yotchedwa synovium . The synovium imapanga synovial madzi , mankhwala ochepa thupi, omwe amathandiza kuti azigwirizanitsa.
Ndi nyamakazi ya nyamakazi, chitetezo cha mthupi chimatumiza maselo oyera achizungu, otchedwa leukocytes, kuti awononge minofu yathanzi. The synovium imayankha pamsampha uwu popanga maselo atsopano a synovial, imodzi pamapeto.
Kuwonjezeka kwa ziphuphuzi kumayambitsa kupweteka kwambiri pamene akufalikira mu malo ophatikizira ndikuyamba kutulutsa mapuloteni omwe amachititsa kuti nyamakazi ndi fupa zisawonongeke.
Kusintha kwakukulu kwa zinthu zakuthambo kungakhudze kumangako kwa dzanja, kuchititsa kusokonezeka kwa matope ndi kusokoneza mafupa ndi ziwalo.
Zida Zogwira Manja ndi Manja
Matenda a nyamakazi amayamba kukhala osakanikirana, kutanthauza kuti akhoza kugwira dzanja limodzi mosiyana ndi lina. Kawirikawiri imawonekera pa chimodzi kapena zingapo pamalumikizi otsatirawa:
- Mankhwala a metacarpophalangeal (zikuluzikulu zazikulu zomwe zala ndi chala chimagwira dzanja)
- Mapulogalamu ophatikizana a interphalangeal (mapaundi apakati)
- Mipukutu ya dzanjali kuphatikizapo galasi la carpometacarpal, mgwirizano wamkatikatikati, mgwirizano wa radiocarpal, ndi ziwalo zapakati
Mankhwala a interphalangeal (mbali zamkati za zala ndi thuku) sizimakhudzidwa mpaka matendawa apitirira ndipo ziwalo zina zakhala zikukhudzidwa kale.
Chimodzi mwa zizindikiro zowonjezereka za nyamakazi yapamwamba ya nyamakazi ndi chikhalidwe chodziwika ngati kupotoka kwa ulnar . Apa ndi pamene zala zimayamba kuyendayenda ku pinky chifukwa cha kuphulika kwa mavitoni oyandikira. Pa nthawi yomweyi, dzanja lidzayamba kupita kumbali ya dzanja lanu.
Kuchiza Kuchokera Kufooka mu Chifuwa cha Matenda a Nyamakazi
Pamene kupunduka kwa manja kumachitika, sizingatheke ndi mankhwala. Opaleshoni ingathandize kuthandizira dzanja ndikubwezeretsanso kayendetsedwe ka kayendetsedwe kake. Kuchita opaleshoni n'kosavuta kuchita ndipo kawirikawiri kumafuna nthawi yowonongeka ndi mankhwala.
Pamapeto pake, mankhwala oyambirira ndi njira yabwino yochepetsera kuwonongeka ndi kuchepetsa kukula kwa nyamakazi ya nyamakazi. Chithandizo chikusiyana ndi siteji ya matenda:
- Matenda a nyamakazi oyambirira kapena ofooketsa, matenda osokoneza bongo ( DMARD ) monga Plaquenil (hydroxychloroquine) ndi Azulfidine (sulfasalazine) angathe kuthandiza.
- Matenda a nyamakazi ochepa kwambiri amafunikira DMARD amphamvu kwambiri kuphatikizapo methotrexate ndi Arava (leflunomide). Gulu lina la mankhwala, lotchedwa TNF blockers, lingathandize kuthana ndi chitetezo cha m'thupi mwa kulepheretsa mapuloteni otupa otchedwa tumor necrosis factor (TNF).
> Chitsime:
> Chung, K. ndi Pushman, A. "Mfundo Zamakono mu Kulamulira kwa Chifuwa cha Mankhwala." J Kupanga Mankhwala Am . 2011; 36 (4): 736-47. DOI: 10.1016 / j.jhsa.2011.01.019.