Nthiti za Heberden ndi chizindikiro cha osteoarthritis
Nkhono za Heberden ndizozizira zowonjezera pafupi ndi mbali, zomwe zimatchedwanso DIP yokhala pamodzi kapena distal interphalangeal joint, yomwe imakhala pansi pamphepete mwa nkhono.
Nthano za Heberden zingakhale zowawa kapena zosakhala zowawa, malingana ndi siteji yawo yopititsa patsogolo, ndipo nthawi ina anthu akamawumba, nthawi zambiri amawaona ngati osakondweretsa.
Ndi maonekedwe awo osafunika komanso kukhalapo kolemetsa, tiyeni tiwone bwinobwino zomwe mabampu olimbikitsawa amasonyeza, ndi momwe akuyendetsera.
Kukula kwa Node za Heberden
Kafukufuku akusonyeza kugwirizana pakati pa kukhalapo kwa nambala za Heberden ndi kukhalapo kwa kusintha kwa radial osteoarthritis ku zala. Mwa kuyankhula kwina, zovuta za x-ray zikusonyeza zizindikiro za OA (mwachitsanzo, mgwirizano wa malo ochepa) ndi apamwamba pa chala chomwe chiri ndi nthenda ya Heberden kuposa chala chimene sichitha.
Ndichokwanira, zikwanira kunena kuti nthiti za Heberden ndi chizindikiro chachizindikiro cha dzanja la osteoarthritis .
Mu dzanja la osteoarthritis, kalisera m'magulu a mano amatha. Pamene katsamba kakuipitsa, imakhala yovuta, kotero mafupa sangathe kupitirana mosagwirizana.
Pamene katsamba kakang'ono kamatha kutayika, mafupa akugwedezana pamene mgwirizano umasinthika, ndipo izi zimayambitsa kutaya kwa fupa. Thupi limayambanso kutaya mafupa pogwiritsa ntchito fupa latsopano.
Koma ndi mgwirizano wokhudzana, mafupa atsopanowa amawonjezeredwa ngati node pafupi ndi fupa lapachiyambi, ndipo izi zimapangitsa kuti bongo likhale lopanda nzeru.
Zizindikiro za ma node a Heberden
Zisonyezero za chikhalidwe cha Heberden chomwe chimayambira nthawi zambiri zimayambira kuzungulira kwa akazi kapena zaka za pakati pa amuna. Zizindikiro izi zimaphatikizapo kupweteka, kuuma, ndi kuyenda kochepa kwa chimodzi kapena kuposera chala. Nthawi zina, munthu amatha kuona zizindikiro za kutupa monga kutentha ndi kutupa.
Komabe, kwa zaka zingapo, kupweteka ndi zizindikiro za kutupa nthawi zambiri zimathera, ndipo zonse zomwe zatsalira ndi bony zopanda pake-zotchedwa node ya Heberden (mfundo ya Bouchard ndi chinthu chomwecho koma ikukula pakati pa mgwirizano wa pakati) .
Kuphatikiza pa kuyenda kochepa, ziwalo za manja zomwe ali ndi nambala za Heberden nthawi zina zimachoka (mwachitsanzo, chidindo cha ndondomeko ndi chidziwitso cha Heberden chikhoza kuloza chala chapakati)
Chithandizo cha ma Node a Heberden
Panthawi yopweteka kwambiri ya nthendayi ya Heberden, chithandizo chimaphatikizapo mpumulo ndipo nthawi zina kupukutira, kupweteka kumapweteka, monga antisteroidal anti-inflammatories (NSAIDs), ndi kutentha kapena mankhwala oundana.
Thandizo la thupi kapena ntchito lingakhale lothandiza, monga momwe munthu amaphunzirira kuchepetsa ululu ndi / kapena kugwiritsa ntchito chala chawo chokhudzidwa chomwe chili chokhazikika pa kayendetsedwe kake chifukwa cha nthenda ya Heberden.
Kawirikawiri, opaleshoni ikhoza kuchitidwa, koma makamaka ngati zizindikiro zikupitirirabe kapena munthu sangathe kugwiritsa ntchito chala. Chitsanzo chimodzi cha opaleshoni pa chalacho chiyenera kukhala m'malo kapena kubwezeretsa ophatikizidwawo.
Nkhani yabwino ndi yakuti, kamodzi kamodzi kamene kameneka kakuyambitsa, munthu nthawi zambiri alibe ululu. Panthawi imeneyi, node ikhoza kukhala vuto lalikulu. Tsoka ilo, palibe njira yothetsera kusintha kwa mawonekedwe.
Kufunika kwa Node za Heberden
N'zochititsa chidwi kuti nthendayi za Heberden zimakhala zofala kwambiri kwa amayi ndipo zimapezeka mmanja mwa munthu. Amakhalanso ndi malo omwe amapezeka pamphindi.
Kuonjezera apo, kafukufuku akusonyeza kuti pali chibadwa chokhala ndi chibadwa kuti apange node za Heberden, zomwe zimayambitsidwa ndi jini ndizofunikira kwambiri kwa amai ndi kugonjetsa amuna. Izi zikutanthauza kuti ngati amayi anu ali ndi nthenda za Heberden, ndiye kuti muli ndi chiopsezo chachikulu kuti muwapeze ngati mukukhazikitsa dzanja la osteoarthritis.
Mawu Ochokera
Cholinga chomaliza ndichoti zizindikiro zooneka za matenda a osteoarthritis , monga node za Heberden, ndizofunikira pamene matendawa akupezeka.
Izi ndi zosiyana ndi mitundu ina ya nyamakazi, monga nyamakazi ya nyamakazi ndi gout, yomwe nthawi zambiri imadalira kwambiri kuyesa ma laboratory.
Ngati mukuganiza kuti nthendayi ya Heberden ndi / kapena matenda osteoarthritis, chonde onani dokotala wanu kuti apeze matenda oyenera. Palinso zina zaumoyo zomwe zimatha kufanana ndi matenda a mitsempha ya mitsempha kapena kupweteka kwala. Onetsetsani kuti mwapeza matenda oyenerera, kotero kuti pangakhale mapulani othandizira.
> Zotsatira:
Bernstein RA. Nyamakazi ya thupi ndi ziwerengero: mfundo zamakono. Instr Course Lect. 2015; 64: 281-94.
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".
> 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.