Mfundo za Bouchard zingatenge zaka kuti zikule
Nyuzipepala za Bouchard zinatchulidwa ndi katswiri wotchuka wa ku France, Charles-Joseph Bouchard, yemwe anaphunzira odwala nyamakazi m'zaka za m'ma 1900.
Nodezi ndizokulumikiza pakati pa zala zachitsulo, zomwe zimatchedwanso PIP kapena zigawo zofunikira za interphalangeal. Mgwirizano wa PIP ndi mgwirizano umene uli woyamba kuposa momwe mungavalitsire mphete, imodzi yovuta kwambiri kuti mutenge mphete yanu ikadutsa kapena mutasiya.
Mwinamwake mwamvapo za nthiti za Heberden , zomwe ziri zofanana ndi zizindikiro zomwe zimayamba pa mgwirizano wa interphalangeal, kapena DIP, yomwe imakhala pafupi kwambiri. Kawirikawiri, nambala za Bouchard zimaonedwa kuti ndizosazolowereka kusiyana ndi mfundo za Heberden.
Chifukwa cha Nodes za Bouchard
Nkhono za Bouchard ndi chizindikiro cha manja a osteoarthritis , kapena dzanja la OA, ndipo dzanja ndilo gawo lachitatu lomwe likukhudzidwa kwambiri ndi OA, motsatira bondo ndi chiuno. Mu OA ya dzanja, kachetechete kameneka pamalumikiza yayamba. Popeza kanyumba kawirikawiri kamapereka chingwe pakati pa mafupa a mgwirizano, ngati kanyumba kakatha, munthu akhoza kuyamba kumva ululu ndi kuuma.
Kuwonjezera pa kuvala, cartilage imakhala yovuta ndipo sichitsitsimutsa mafupa kuti agwirane. Katundu akale atatha, mafupa amakanizana, zomwe zingakhale zopweteka kwambiri.
Pamene kukupaka uku kukupitirira, fupa lomwe lilipo likhoza kuwonongedwa. Thupi lanu limayeseranso kukonzanso mafupawa. Koma mmalo mopanga malo osalala, node ya bony imakula pambali pa fupa lomwe lilipo palimodzi ndipo ichi ndi momwe mfundo ya Bouchard imayambira.
Kufunika kwa Node za Bouchard
Makhalidwe a Bouchard, monga malemba a Heberden, akhoza kapena sangakhale opweteka, koma nthawi zambiri amagwirizana ndi kuyenda kochepa kwa mgwirizano.
Ma nthiti ndi achibale ambiri (kutanthauza kuti adzalandira), ndipo ambiri ofufuza amakhulupirira kuti amayamba chifukwa cha osteophytes , ngakhale ena sagwirizana. Ngakhale zili choncho, ma genetic amathandiza kwambiri kupanga mapangidwe a OA, monga momwe OA ambiri amawonera kuti imakhalapo kuchokera ku kuvala ndi kugwa ndi ukalamba. OA ingathenso kulondola kuvulala kwa ophatikizidwawo.
Ndizoyenera kuzindikira kuti mawonekedwe a Bouchard ndi nthiti za Heberden mu dzanja ndi zothandiza kwambiri pakupeza OA.
Izi zikuti, panthawi yomwe muwona mfundo yatsopano ya Bouchard, kuwonongeka kwakukulu kwachitika ndi chophatikiza chala. Mwa kuyankhula kwina, osteoarthritis yapita patsogolo ndipo inagwiritsidwa ntchito palimodzi.
Kuchiza kwa Node za Bouchard
Chithandizo cha nambala za Bouchard ndi chofanana ndi dzanja OA popanda malo. Izi zimaphatikizapo kupumula palimodzi, mwinamwake pogwiritsira ntchito kapamwamba kuti musasunthire kwambiri, kupweteka kwapweteka monga antisteroidal anti-inflammatories ( NSAIDs ), ndi kutentha ndi mankhwala oundana. Mankhwalawa amachitika makamaka pamene chiwerengero chiri mu mapangidwe.
Pomwe kachilomboka kamapanga, anthu ambiri alibe ululu uliwonse, ngakhale kuti nthawi zambiri amalephera kulepheretsa kuyenda ndi kugwira ntchito, ndipo chala chimatha kuoneka chogwedezeka kapena chopunduka.
Panthawiyi, chifukwa cha kuuma kwa mgwirizano wotsatizana ndi kutayika kwa kayendetsedwe kake, thandizo la thupi kapena ntchito lingakhale lofunika. Pa milandu yoopsa, opaleshoni ikhoza kuchitidwa kuti idzalowe m'malo kapena kugwiritsira ntchito palimodzi, koma izi sizowoneka.
Pomalizira, ndizofunikira kuzindikira kuti pamene nambala za Bouchard zikhoza kukhala zosaganizira, opaleshoni sizimachitidwa kuti zikhale zodzikongoletsera. Mgwirizanowu wayamba kale kuwonongeka ndi nthawi yomwe chiwerengerochi chikuwonekera, ndipo kusinthidwa kapena kusungunuka kumafunikira m'malo mochotsa chiphuphu.
Mawu Ochokera
Pomalizira pake, mfundo ya Bouchard imatengedwa ngati chizindikiro chowonekera cha osteoarthritis , chomwe chingathandize kuthandizidwa. Izi ndi zosiyana ndi mitundu ina ya nyamakazi, monga gout kapena nyamakazi ya nyamakazi , yomwe ingadalire zambiri pa mayeso a ma laboratory kuti azindikire.
Izi zinati, pali zizindikiro zowoneka m'manja mwa anthu ena omwe ali ndi matenda a nyamakazi ndi gout. Mwachitsanzo, mabomba a rubbery (otchedwa rheumatoid nodules) angawoneke pazipilala za m'manja ndi pamatumbo mwa anthu omwe ali ndi nyamakazi. Mofananamo, anthu amene amayamba kugwiritsidwa ntchito kwa zaka zambiri amatha kukhala tophi pala zala (tophi ndi zovuta zodzazidwa ndi makina a uric acid omwe amalowetsedwa mu malo olowa).
Uthenga wabwino ndikuti dokotala akhoza kusiyanitsa mosavuta zizindikiro izi kuchokera kwa omwe amawona mu mitsempha ya osteoarthritis.
> Zotsatira:
> Doherty M, Abhishek A. (2017). Mawonetseredwe a chipatala ndi matenda a osteoarthritis. Hunter D, ed. Zaposachedwa. Waltham, MA: UpToDate Inc.
> Dunkin MA. (nd). Arthritis Foundation: "Zimene Amuna Anu Amanena Zokhudza Zaumoyo Anu".
> Leung GJ, Rainsford KD, Kean WF. Osteoarthritis ya dzanja I: > etiology > ndi pathogenesis, zoopsa, kufufuza ndi kuganizira. J Pharm Pharmacol. 2014 Marko 66 (3): 339-46.
> Rees F et al. Kugawidwa kwa zizindikiro za chala ndi kusonkhana ndi zigawo zapansi pa majekesi a osteoarthritis. Mankhwala Osamalira Amagazi (Hoboken). 2012 Apr; 64 (4): 533-8.