Kafukufuku wamakono komanso mankhwala amayamba kutsindika monga mbali yothandizira bwino matenda a nyamakazi . Mankhwala amodzi ndi otupa ndi omwe ali pakati pa zizindikiro zoyambirira za matendawa. Ululu , ubweya wofiira, komanso kutentha pa malo okhudzidwa nawo amatha kukhala zizindikiro zoyambirira za matenda a nyamakazi .
Ngakhale ziwalo zosiyana zambiri zingakhudzidwe ndi nyamakazi ya nyamakazi, ziwalo zina zimagwirizanitsidwa.
Kudziwa kuti ndi zigawo ziti zomwe zimakhudzidwa kwambiri ndi matendawa kungakuthandizeni kudziwa zizindikiro zoyambirira komanso kukuthandizani kuzindikira kufunika kokambirana ndi dokotala, mwamsanga, ngati zizindikirozo zikuchitika. Komanso, ziwalo zomwe zimakhudzidwa ndi nyamakazi ya nyamakazi zimakhala zosiyana kwambiri (mwachitsanzo, mgwirizano womwewo umakhudzidwa mbali zonse za thupi), kupereka chinthu china chofunika kwambiri.
Amagulu Ambiri Amakhudzidwa ndi Chifuwa cha Matenda a Nyamakazi
Mbali zing'onozing'ono za dzanja, mkono, phazi, bondo, ndi minofu zimakhudzidwa kwambiri ndi nyamakazi ya nyamakazi. Njira yodziphatikizira ndi mapulogalamu a MCP (metacarpophalangeal), PIP (mapulogalamu ofunika kwambiri a interphalangeal), ndipo dzanja limakayikira kwambiri nyamakazi, koma osati yomaliza. Chitsanzo cha zizindikiro ziyenera kusiyanitsidwa ndi osteoarthritis , nyamakazi ya psoriatic , ndi pseudogout . Mawondo a mawondo ndi matchulidwe a MTP (metatarsophalangeal) amagwiritsidwa ntchito ndi nyamakazi ya nyamakazi.
Zochepa Zochepa Zomwe Zimakhudzidwa ndi Chifuwa cha Matenda a Nyamakazi
Mankhwala ena omwe angakhalenso ndi chizindikiro cha nyamakazi ya nyamakazi, koma kawirikawiri, amagwiritsa ntchito mapewa, chigoba, mitsempha, tarsal, hip, mgwirizano wa acromioclavicular (pamwambapa), mgwirizano wamagetsi (womwe umagwirizanitsa bere ndi collarbone), mgwirizano wa temporomandibular (tsaya), ndi ziwalo za mkodzo wa msana .
Matenda a chifuwa chachikulu samakhudzidwa ndi msana, thoracic msana, sacroiliac, costochondral (nthiti), kapena choyamba cha carpometacarpal (pansi pa thupi). Ululu ndi kutupa kwa ziwalo za DIP (distal interphalangeal) zimagwirizanitsidwa ndi osteoarthritis ndipo sizimayambitsa matenda a nyamakazi.
Kuwonera Dokotala Wanu
Mukamayendera dokotala wanu, mumangomulangiza kwambiri-zomwe zimapweteka kwambiri kapena zimayambitsa kusokoneza kwambiri ndi zochitika zowonongeka. Kufufuza kovomerezeka kudzachitika, osati kokha kwa mgwirizanowu, koma ena.
Dokotala wanu adzayang'ana maulendo anu kuti ayambe kutupa, kufiira, ndi kuwonongeka; samangolumikizitsa mapepala anu kuti mudziwe ngati kuyenda kumakhala kozoloŵera kapena kosazolowereka ndi kudziwa ngati mukuyendetsa zopweteka zowonjezereka; palpate (yang'anani mwachidwi) chifukwa cha ululu, chikondi ndi chikondi. Kuwonjezera pa ululu, chifundo, kutupa, ndi kayendetsedwe kazing'ono, dokotala wanu adzayang'aniranso mapepala anu a crepitus ndi osagwirizana .
Ngakhale ndikofunika kuti dokotala wanu adziwe bwino lomwe kupezeka kapena kupezeka kwazomwe mwapeza pa nthawi yofufuza, ultrasonography ndi zithunzi za MRI (magnetic resonance imaging) zimakhala zovuta kwambiri kuti zizindikire synovitis ndi zovuta zowonjezereka.
Mankhwala a nyamakazi ya nyamakazi, omwe angawonekere panthawi yofufuza, ingakhale yoperewera pachiyambi cha nyamakazi ya nyamakazi. Nchifukwa chake kuyanjanitsidwa kwa mgwirizano, ngakhale gawo lofunika la njira yothandizira, ndi gawo limodzi. Mbiri yanu ya zachipatala, zotsatira za mayeso a magazi, ndi kufufuza zojambula ndizofunikira pamene mukupanga chodziwika bwino.
Zotsatira:
Matenda a Nyamakazi: Matenda Oyambirira ndi Chithandizo. Kugwirizana Mogwirizana. Tsamba 32. John J. Cush, MD, Michael E. Weinblatt, MD, Arthur Kavanaugh, MD Third edition. Lofalitsidwa ndi Professional Communications, Inc.
Chifuwa chachikulu cha nyamakazi. Yosinthidwa ndi Raashid Luqmani, Theodore Pincus, Maarten Boers. Chaputala 3. Kuzindikira ndi kuchiza matenda a nyamakazi. Oxford Rheumatology Library. Oxford University Press. 2010.
Kelley's Textbook ya Rheumatology. Mbiri ndi Kufufuza kwa Mthupi ka Musculoskeletal System. Davis, Moder, Hunder. Gawo 5. Mutu 40. Lofalitsidwa ndi Elsevier Saunders. Kusindikiza kwachisanu ndi chinayi.