Zifukwa za kupweteka kwa Interphalangeal ndi Zofotokozedwa Zambiri
Mankhwala a nyamakazi angakhale owawa komanso olepheretsa. Manja anu amapangidwa ndi mawonekedwe a mafupa, mafupa , minofu, mitsempha, mitsempha , mitsempha ndi mitsempha ya mitsempha yomwe imagwira ntchito mwaluso komanso mogwirizanitsa kusonkhanitsa mgwirizano, mgwirizano, ndi mphamvu zomwe zikukuthandizani kuti muzigwira bwino ntchito zamagetsi. Nkhaniyi ikufotokoza zizindikiro, matenda, komanso chithandizo cha matenda a nyamakazi.
Anatomy of the Hand
Pali mafupa 27 mu dzanja ndi dzanja. Mafuta asanu ndi atatu omwe ali muwuni amatchedwa ma carpals . Pa dzanja, ma carpals angapo amalumikizana ndi ma metacarpals asanu. Methacarpal iliyonse imagwirizanitsa ndi chala chimodzi kapena chala chachikulu. The phalanges ndi mafupa omwe amagwirizana kuti apange chala chilichonse ndi thupi (mwachitsanzo, mafupa a mano). Maonekedwe a mafupa omwe phalanges amawagwirizanitsa ndi ma metacarpals ndipo amatchulidwa kuti ndi ma metacarpophalangeal (MCP) . Mgwirizano wa MCP umagwira ntchito yolumikizana ndi kuwongolera zala ndi thumb.
Chilichonse chimakhala ndi ma phalanges atatu omwe amalekanitsidwa ndi ziwalo ziwiri, zomwe zimadziwika kuti interphalangeal (IP) . Kupatulapo izi ndi thupi, kamene kali ndi ma phalanges okha omwe amasiyana ndi mgwirizano umodzi.) Kugwirizana kwa IP komwe kumakhala pafupi kwambiri ndi mgwirizano wanu wa MCP ( kumangiriza) amadziwika kuti ndiphatikizana kwambiri la interphalangeal (PIP) . Kugwirizana kwa IP kumene kuli pafupi kwambiri ndi mapeto a chala chanu kumadziwika kuti ndi mbali ya distal interphalangeal (DIP) .
Mapulogalamu a dzanja lanu, zala, ndi thumbu zimapangidwa ndi khungu lomanga thupi lomwe limayambitsa mantha ndipo limalola kusuntha kwaulere. Katemera wotchedwa articular cartilage ali ndi mapeto a mafupa omwe amasonkhana pamodzi kuti apange ziwalo. Ngati kupweteka kwa kakotila kumapangika m'magulu a dzanja, mukhoza kumva ululu waukulu.
Poyamba, chizindikiro cha kupweteka kwa manja ndi chosavuta. Mungayambe kukayikira kuti palivulala, koma ululu wa dzanja ukhoza kuyambitsidwa ndi matenda, komanso monga nyamakazi.
Zizindikiro za Mankhwala a Mankhwala Opatsa Mankhwala
Kawirikawiri, chizindikiro choyamba cha dzanja la nyamakazi chimaphatikizapo kupweteka kumene kumachitika mukamagwiritsira ntchito dzanja. Kugwiritsiridwa ntchito kwa dzanja kungapangitse kupweteka kochuluka pamene kupumula kungathetsere, makamaka kumayambiriro oyambirira. Pamene matenda a nyamakazi akupita patsogolo, ngakhale zinthu zosavuta, monga kutsegula mtsuko kapena chitseko , zingayambitse ululu. Kuuma kwa m'mawa kungakhale kotchulidwa kwambiri.
Zizindikiro zambiri zokhudzana ndi matenda a nyamakazi ndi awa:
- Kutupa
- Chikondi chifukwa cha kutupa
- Crepitus
- Zing'onozing'ono zomwe zimagwedeza kapena kutseka
- Mphepete kapena mitsempha pa zala.
Zizindikiro za nyamakazi ya nyamakazi ya dzanja zimaphatikizapo:
- Makhalidwe olimba pamadontho
- Dontho lofewa kumbuyo kwa dzanja
- Kuponyedwa kwa zala kutali ndi chala chachikulu (kutembenuka kwina)
- Tendon rupture zomwe zimachititsa kuti mwadzidzidzi sitingagwedeze kapena kuwongolera zala
- Kuwonongeka kofanana
- Nthawi zina, pamakhala kupweteka kapena kugwedeza kwa dzanja (mwachitsanzo, matenda a carpal tunnel ).
Zizindikiro za matenda opatsirana manja zimaphatikizapo:
- Makhalidwe a Bouchard : Mankhono a Bony omwe amapanga pa mgwirizano wa PIP
- Nthano za Heberden : Minofu ya Bony imene imayambira pamphindi ya DIP
- Ululu pamunsi pa thupi.
Zizindikiro zina zikuphatikizapo redness ndi telangiectasia (dilation) ya misomali ya misomali ya msomali yomwe nthawi zambiri imagwirizanitsidwa ndi matenda opatsirana , monga lupus . Sclerodactyly, kapena kumangiriza khungu pa zala, ndi zilonda za digito nthawi zambiri zizindikiro za scleroderma . Dactylitis, kapena kutupa kwa chiwerengero chonse, imagwirizanitsidwa ndi limodzi la spondyloarthropathies , monga psoriatic nyamakazi .
Kusanthula kwa Matenda a Matenda a Manja
Pali mayesero atatu omwe amagwiritsidwa ntchito pofuna kudziwa ngati wina ali ndi matenda a nyamakazi:
- Kuwunika kwa thupi : Dokotala wanu atsegula mazenera anu, ndikuyang'ana zosaoneka zonse. Dokotala wanu nayenso akhoza kuyesa ntchito ndi mphamvu za dzanja lanu pokupatsani zinthu. Dokotala wanu adzamvanso dzanja lanu kuti adziwe ngati pali mgwirizano.
- X-rays amasonkhanitsa zambiri zokhudza malo olowa nawo, kuchepa kwa mafinya , ndi mawonekedwe a fupa pamphepete mwa mzere.
- Kuyezetsa magazi kumatengedwa ngati chifuwa chachikulu cha nyamakazi chikugwiritsidwa ntchito: chifuwa chachikulu , kachilomboka , chitetezo , CRP , ndi anti-CCP angapangidwe kuti athandizire kutsimikizira.
Kuchiza kwa Mankhwala a Mankhwala
Cholinga cha chithandizo chamankhwala a nyamakazi ndichotseretsa ululu ndi kusintha ntchito. Chithandizochi chingaphatikizepo kugwiritsa ntchito mankhwala osagwiritsidwa ntchito poletsa mankhwala (NSAIDs) kapena mankhwala a analgesic (ululu) . Mpumulo, kutentha, jekesoni ya cortisone , komanso magetsi angagwiritsidwe ntchito.
Kuchita masewera olimbitsa thupi kumathandiza kusunga kayendetsedwe ka ntchito ndi dzanja. Zokambirana zochepa ndi wothandizira manja zidzakuthandizani kuphunzira za zochitika zomwe zingakhale bwino payekha.
Kuchita opaleshoni kumaonedwa ngati njira yomaliza pamene njira zina zothandizira zatha. Opaleshoni ya manja siimapangidwa kawirikawiri chifukwa cha zifukwa zodzikongoletsera. Cholinga chachikulu cha opaleshoni ya manja ndi kupumula kupweteka ndi kusunga kapena kubwezeretsa ntchito.
> Zotsatira:
> Wotsogolera Wodwala Wopereka Anatomy. e-Orthopod.
> Yambani pa Rheumatic Diseases. Kupenda Makhalidwe Odziwika - Dzanja ndi Chiuno. Klippel John, MD ndi al. Gulu lachitatu. Arthritis Foundation.
> Mankhwala a Mankhwala: Chifuwa cha Matenda a Nyamakazi. American Society of Surgery of the Hand. 2008.
> Mankhwala a Mankhwala: Osteoarthritis. American Society of Surgery of the Hand. 2008.