Kut natna (arthritis of the Hand): A chhan, a lan chhuah dan leh a enkawl dan te chu a awlsam zawngin sawi ila!

Zingkar i thawh hian i kut zungtangte pawh a khauh deuh tih i hria em, a ben emaw, tihdik emaw pawh a harsa em? A nih loh leh, nilengin hna tenau i thawh hnuah tlai lamah i ruh leh i kutphah ah natna tlem emaw, kang emaw i nei em? Hei hi hahna avanga thleng mai mai niin i ngai mai thei. Mahse, hengte hi kut ruh natna chhinchhiahna hmasa ber pawh a ni thei bawk . Mi tam takin hei hi an hriat chian loh avangin vawiinah hian chipchiar tak leh awlsam takin kan sawi dawn a ni.

Kut ruh natna hi eng nge ni? A awlsam zawngin i hrethiam ang u!

A awlsam zawngin sawi ila, arthritis hi i ruhkawr chhunga tissue awmte beitu natna a ni. Joint chu eng nge ni? Ruh pahnih inzawmna hmun a ni. Kawngkhar chunga hinge awm ang mai a ni. Arthritis hian ruh chhunga lining emaw, ruh tawp khuh tu cartilage nem leh cushiony tak emaw a tichhia thei a ni. I car engine peng hrang hrangte inzawmkhawma i car ri chhuak ang maiin han ngaihtuah teh. He cartilage hi a chhe chuan ruh tawp te chu a lang chhuak a, a inhnim hrual tan thin. Chutah chuan natna, hliam, leh rilru hahna a awm thin. Kan kut hian ruh te te a tam em avangin ruh natna hi kut ah a awm tam zawk. Hun a kal zel a, hei hian i nitin hna thawh a harsat phah thei a ni.

Eng chi ruh natna hian nge kut a nghawng?

Ni e, arthritis hi chi hrang hrang a awm a, mahse kut natna vei tam ber chi thum chungchang hi han sawi ila.

1. Osteoarthritis - ruh natna (degenerative joint disease) a ni

Hei hi arthritis chi khat a ni ber. Mi thenkhat chuan "joint wear" an ti bawk. Osteoarthritis -ah chuan a hmaa ka sawi tawh cartilage chu a chhe zauh zauh a, a chhe vek bawk. Tichuan ruh tawp te chu venhimna tel lovin an inhnim hrual a. Hei vang hian natna, rilru hahna, leh che harsa tih ang chi thil hi hun kal zelah a thleng thin.

Ngaihtuah teh, machine hman fo thin part hrang hrang, hun kal zelah a chhe vek ang mai a ni.

Osteoarthritis hian i kutphah, i kutpui bul leh i kut zungtang lai leh i kut zungtang inkar inzawmna te a nghawng tam ber. Hun a kal zel a, i kut zungtang (finger joint)-ah ruh zung (bone spurs) te te i nei thei.

2. Rheumatoid Arthritis - Taksa chhung atanga lo chhuak inflammation

Rheumatoid arthritis hi a danglam deuh hlek a, chronic inflammatory disease a ni. Chu chu ruh ruh (lining) a inflammation a ni a, chu chu synovium an ti a ni. Autoimmune natna a ni.. Chu chu i taksa ngeia immune system hian i taksa hrisel tak takte chu a rawn bei sual tihna a ni. Kan ruh chhunga synovium hian lubricant a siam a, chu chuan awlsam taka an kal theih nan a pui a ni. Rheumatoid arthritis-ah chuan he synovium hi a lo inflamed chuan natna, a khauh leh che harsa a awm thin. Hun a kal zel a, he inflammation hian cartilage a tichhia a, ruh ngei pawh a chhe tan ta a ni. Ruh vel tendons leh ligament te chu a chak lo va, a inzawm khawm a, chu chuan ruh te pianzia leh a awmna hmun a tidanglam thei a ni. Rheumatoid arthritis hian a tlangpuiin kutphah, kut leh kut zungtang ruh te te a nghawng thin. Thil danglam bik chu taksa sir lehlamah ruhkawr inang chiah chiah a nghawng fo thin. Entirnan, kut pakhat kut zungtang-a arthritis i neih chuan kut dang kut zungtang pawh a nghawng tam zawk.

3. Psoriatic Arthritis - Vun natna nena lo awm ruh natna

Vun natna psoriasis tih hi i hre tawh mai thei . Psoriatic arthritis hi arthritis chi khat a ni a, mi thenkhatah chuan psoriasis nen a awm ve bawk. Kut zungtang a ti na a, ruh a na a, zing lamah a tikhauh bawk. A tam zawkah chuan a symptoms hi rheumatoid arthritis nen a inang tlangpui. Mahse, a chang chuan kut zungtang tlemte chauh a nghawng thei.

He arthritis hian kut peng eng ber nge a tuar ber?

Kut hi arthritis natnain a nghawngna hmun lian pali a awm a, chungte chu:

• Thumb bulpui: Hei hi kutpui leh kutkawr inzawmna hmun a ni.
• Knuckles: Kut hrual a nih chuan ruh (joint) lo chhuak thin.
• Kut zungtang lai (middle joint) te.
• Kut zungtang chunglam ruh: Chu chu nail hnaih ber ruhte tihna a ni.

Tute nge kut ah arthritis vei tam zawk?

Mi thenkhat chuan midang aiin arthritis an vei tam zawk. Hêng thudikte hi i tân a inmil em tih en rawh:

• Kum upa lam: Osteoarthritis hi kum 50 hnuah a tam zawk tlangpui a, kum 35 leh 50 inkar ah hian Rheumatoid arthritis hi a lo lang hmasa thei a ni.
• Hmeichhia nih: Hmeichhia hian mipa aiin arthritis an vei tam zawk.
• Mihring var nih: (Hei hi ramdang data atanga sawi chhuah thudik a ni.)
• Obesity or weight gain : Taksa rihna a san chuan ruhkawr chungah pressure nasa zawk a awm thin.
• Kut hliam hmasa: I kut emaw, i kut zungtang emaw ruh tliak, inher emaw, hliam emaw a awmI neih chuan a hnuah arthritis i vei theihna a sang zawk. Entîr nân, infiamna emaw, hnathawh lai emawa i kut i vuak nasat chuan chu chuan a nghawng thei bawk.
• Genetic influence : I chhungkuaah hian arthritis chi hrang hrang a kal a nih chuan nang pawhin i vei theihna tur genetic predisposition i nei thei bawk.

Hand arthritis natna lanchhuahna chu engte nge ni?

Heng mizia te hi tlem a fimkhur a tha.

A tir lama hmuh theih symptoms: 1.1.

• A dull emaw burning pain in the joints: He natna hi darkar tlemte chhung emaw, a tuk emaw chhungin a lo awm thei a, a bik takin ni khat chhung kut hnathawh nasat hnuah a lo thleng thei a ni. Ni khat chhung kitchen hna rit tak tak emaw, in chhehvel tihfai emaw hnuah hetiang hian i awm mai thei.
• Zing lama kut/kut na leh khauh: Zing lama i harh chuan i kut chu rei lo te chhung chu a nghet lo thei a, chu chuan ben a ti harsa thei hle.
• Kut/kut ruh (joint) a hring chhuak.

Heng symptoms te hi arthritis a lo zual zel chuan a na zual thei a ni:

• Symptoms hi a tam chho zel a .
• A natna chu dull ache atanga sharp, stabbing pain thlengin a awm thei .
• Zanah pawh a natna avang hian i harh mai thei .
• Natna hian i kut hman dan a thlak danglam thei a ni . Entîr nân, thil rit chawi emaw, kutkawr i vawn emaw dân dang i hmang thei a ni.
• A natna hmun vel tissue chu a sen thei a , khawih pawhin a na thei bawk .
• I kut zungtang i ben hian "click" emaw cracking sound ( crepitus ) emaw i hre thei emaw, i hre thei bawk.
• I kut zungtang i phar kim thei lo mai thei.
• Kut zungtang lai takah hian ruh hnah te te , Bouchard’s nodes leh Heberden’s nodes an tih te chu a lo lang thei a ni.
• Kut zungtangte chu a lian thei a, a chhe thei a, a inzawm khawm thei bawk . Hei hian kut a tichak lo thei a , nitin hna thawh a ti harsa hle bawk .

Engtin nge kut ah hian arthritis tan doctor i hmuh theih ang?

Heng symptoms te hi i neih chuan Doctor pan a tha ber. Doctor chuan i kut a enfiah ang a, i symptoms te a zawt ang che. Chubakah chuan:

• X-ray: X-ray hmangin ruh chhunga cartilage chu a chhe tawh em tih leh ruh tawp (bone spurs)-ah ruh thar lo thang thar a awm em tih hriat theih a ni.
• Thisen test: Thisen test hi thisenah thil thenkhat, rheumatoid factor , a bik takin rheumatoid arthritis rinhlelh a nih chuan enfiah nan an ti thin.

Hand arthritis enkawlna tur engte nge ni?

Enkawl dan tur chu arthritis i neih chi hrang hrang, natna stage, ruh engzat nge a nghawng, i kum, i active dan, i kut thunun ber a nghawng em tih leh damdawi lam harsatna dang i neih danah a innghat a ni.

Enkawlna tum berte chu:

• Joint na leh stiffness tihziaawmna.
• Joint mobility leh function tihchangtlun.
• I nunphung tihchangtlun.
• Rheumatoid arthritis emaw psoriatic arthritis ang chi dinhmunah chuan natna zual zel dan tur control.

Enkawlna tur hrang hrang chu splinting/bracing , damdawi , injection , non-drug approach , leh surgery te a ni.

1. Splint emaw brace emaw bun

Chungte chuan ruh natna (joint) chu puihna leh venhimna a pe a ni. Tin, joint deformity tihziaawmna atan te, joint stabilize-na te, joint-a stress tihziaawmna te, joint chu a awmna tur dik takah dah turin an pui bawk. I doctor emaw, occupational therapist emaw, hand therapist emaw chuan i tana splint dik tak, i bun dan tur leh eng chen nge i hak tur tih te a hrilh thei che a ni. Hengte hi rei tak hak chuan taksa ruh a tichak lo thei a ni.

2. Damdawi chi hrang hrang

I doctor chuan ruh natna leh hliam tihziaawmna tur damdawi a pe thei a, rheumatoid emaw psoriatic arthritis ang chi natnaah pawh i ruh chhiatna nasa zawk a awm loh nan a pe thei bawk. I arthritis chi leh nasat dan azirin damdawi hrang hrang i ei thei bawk.

• Acetaminophen: Hei hi natna tidamtu a ni.
• Nonsteroidal Anti-inflammatory Drugs (NSAIDs): Hengte hian natna leh hliam a tiziaawm. Entirnan ibuprofen , diclofenac , naproxen leh celecoxib te hi a ni . Osteoarthritis tan chuan topical NSAID cream hman hmasak ber tur a ni.
• Disease-modifying Antirheumatic Drugs (DMARDs): Hengte hian rheumatoid arthritis kal zel dan a control a, symptoms a ti tlem bawk. Entirnan: Methotrexate , Hydroxychloroquine te hi a awm a.
• Corticosteroids: Hengte hi oral pill atan te, muscle-a injection atan emaw, vein-a injection atan emaw hman a ni. Inflammation leh rheumatoid arthritis symptom dangte an tihziaawm.
• Immunosuppressive damdawi te chu:Hengte hian rheumatoid arthritis kal zel dan a control a, ruh chhehvel ruh chhiatna a ti tlem bawk.
• Biologic Agents: Hengte hian rheumatoid arthritis natnaah hian ruh chhiatna control nan a pui thin. Entirnan: Adalimumab (Humira®) , Etanercept (Enbrel®) te hman a ni .

Pawimawh: Damdawi lei theih loh pawh hi doctor rawn hmasa lovin hman loh tur a ni, a chhan chu damdawi dang i ei theih emaw, hriselna lama harsatna dang i neih theih emaw nen a inzawm thei a ni.

3. Steroid injection pek thin a ni

Steroid hi damdawi chi khat a ni a, inflammation a tiziaawm a, natna a ti reh bawk. Heng injection te hi damdawi hmanga inflammation control theih loh hunah emaw, inflammation hi ruh tlemte chauh a nih chuan an hmang tlangpui. Heng injection te hi a natna hmunah direct in inject thin a ni. Mahse, steroid hian tendon leh ligament a tichak lo thei avangin heng injection te hi hman chhunzawm zel a ni lo va, vawi tlemte chauh hman a ni.

4. Management Strategies dangte

Enkawlna ruahmanna kimchang takah chuan:

• Exercise: Joint strengthening leh stretching exercise hian symptoms tihziaawmna leh hnathawh thatna a pui thei a ni. Physics therapist chuan eng exercise nge i tan a tha tih hriat theih nan a pui thei che a ni.
• Pack lum leh vawt: Cold pack hian natna leh hliam a tiziaawm thei. Hot pack hian congestion a tihziaawm thei. Vawi khatah minute 20 aia rei hnawih loh tur.
• Chawlh hahdam: Chawlh hahdam fo hian ruh natna leh inflammation a tihziaawm thei.
• Ei leh in hrisel leh zunthlum leh cholesterol control theihna.
• I thau lutuk chuan taksa rihna tihtlem rawh.
• Meizial zuk loh tur: Meizial in hian arthritis vei theihna a tipung a ni.
• Occupational therapy: Nitin hnathawhna, incheina emaw, kitchen-a hna thawh emaw-a pui turin mahni invenna hmanrua hman dan i zir thei a ni.

5. Surgery - a tawp ber atan

Damdawi leh enkawlna dangte chuan hahdamna a pe lo a, ruh tawp lama ruh (cartilage) chu a chhe vek tawh a nih chuan operation tih ngaihtuah theih a ni. Surgery chi hrang hrang a awm a, chungte chu:

• Joint fusion (Arthrodesis): He surgery hian plate leh pin hmangin i ruh chhunga ruh awmte chu a fuse khawm thin. Hei hian ruh nghet zawk, natna nei lo a pe che a, mahse ruh chu a inthlak danglam theihna a tikhawtlai thung.
• Joint thlak danglam (Arthroplasty): 1.1.Khup leh hip ang chi joint te chu thlak theih ang bawkin kut chhunga joint te pawh thlak theih a ni. Plastic, ceramic, silicon, a nih loh leh metal hmanga siam artificial joint chu joint chhia thlak nan an hmang thin. Mahse, kut zungtang chhunga artificial joint dah hian kut zungtang che dan pangngai chu a entawn kim lo tih hre reng ang che.
• Tendon transfer: Tendon hi ruh leh ruh inzawmkhawmtu tissue a ni. Arthritis avanga hun rei tak inflammation a awm chuan tendon a ti chhe thei a ni. Chutiang a nih chuan i kut hnathawhna tur siam that nan tendon hrisel section i hmang thei ang.

Nang leh i surgeon chuan i kum, i activity level, i ruh natna, leh i natna leh i piansualna te ngaihtuah chungin eng surgical procedure nge i tan a tha ber tih chu in sawiho ang a, in rel ang.

Kut zai hnuah eng nge beisei tur?

Operation hnuah i kut a dam laiin i kut venhim nan cast emaw splint emaw i bun a ngai dawn a ni. I doctor chuan hand therapist hnenah pawh a refer thei bawk che. Natna tihziaawmna turin hun bituk chhung atan natna tidamtu damdawi an pe thei bawk.

Kut zai hian harsatna a awm em?

Surgery dang ang bawkin kut zai hian harsatna engemaw zat a nei thei a ni. Entir nan:

• Beisei angin mobility a tha lo.
• Implant chu a chhe emaw, a chhe emaw avanga thlak a ngai thin.
• Fusion surgery neih laiin ruh inzawm lo emaw, inzawm dik lo emaw.

Surgery atanga dam leh theih nan eng chen nge hun a duh?

I dam leh hun chhung chu thil tam takah a innghat a, chung zingah chuan i dinhmun nasat dan te, operation chi hrang hrang i tih te, surgeon thiamna te, leh enkawlna i zawm that dan te pawh a tel a ni. A tlangpuiin joint reconstruction surgery hnu thla thum vel hnuah hnathawh pangngaiah i kir leh thei a ni. I medical team chuan i dam leh hun tur chu i tan a tha ber tur ngaihtuahna tha ber an pe ang che.

Enkawlna thar i zawng em?

Ni e, US-ah hian clinical trial engemawzat kalpui mek a ni a, a bik takin osteoarthritis tan chuan stem cell enkawlna ang chi thilte hi a ni. A rah chhuah hmasa berte hi a fuh hle. Tin, kum sawm kalta chhung khan psoriatic arthritis leh rheumatoid arthritis tan damdawi thar tam tak hmuhchhuah a ni a, zirchianna tam zawk neih mek a ni bawk.

Glucosamine leh Chondroitin pills te hi a tha em?

Heng supplement te hi U.S. Food and Drug Administration (FDA) ang agency te hian an enfiah lo va, an pawm lo bawk. Hei hian damdawi pangngai angin clinical trial khauh tak tak an nei lo tihna a ni. Clinical trial thenkhatah chuan natna tihziaawmna kawngah a \angkai thei tih hmuhchhuah a nih laiin, osteoarthritis natna a zual zel tih finfiah a la ni lo. Hetiang thil hman i ngaihtuah a nih chuan doctor zawt ngei ang che. Damdawi dang i ei lai nen an inzawm thei bawk.

Kut a arthritis hi a veng thei ang em?

Vanduaithlak takin arthritis hi a pumpelh kim thei lo. Mahse, i tar chhoh zel chuan arthritis symptoms hi i ngaihven thei a ni. I ruh (joint)-ah danglamna i hmuh chuan doctor pan nghal rawh. Risk factor thenkhat control turin hma i la thei bawk:

• Chaw tha ei: I taksain a mamawh ei tur pe la, i taksa rihna hrisel tak vawng reng rawh. I taksa rihna (BMI 25 aia tam) hian i ruh (joint)-ah pressure a siam nasa zawk.
• Meizial zu suh: Meizial in hian ruh natna (arthritis) vei theihna a tipung a ni.

Chuti a nih chuan, he thil atang hian eng nge kan hriat reng tur? (In lama hruai tur thuchah)

I kut ruh natna dull emaw, kang emaw i neih chuan, zing lama i hliam emaw, i ruh a hring emaw a nih chuan hengte hi arthritis chhinchhiahna a ni thei. Kan sawi tawh ang khan arthritis chi hrang hrang hian kut a nghawng thei a.

A tha ber chu heng symptoms te hi i neih chuan doctor thurawn la nghal mai tur a ni. Doctor chuan uluk takin a enfiah ang che a, i tana tha tur treatment plan a pe ang che.

Chu enkawlna ruahmannaah chuan kut exercise, hot and cold pack, leh nunphung thlak danglamna ang chi thil te, damdawi, splint/braces, steroid injection, leh a tawp ber atan surgery thlengin a tel thei a ni. Arthritis damdawi awm lo mah se, i natna lan chhuah dante chu i la enkawl thei a, nun ṭha tak i la hmang thei tih hre reng ang che. Chuvangin hlauthawng suh la, i doctor thurawn zawm rawh.

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Kut ruh natna, ruh na, ruh natna, ruh natna, kut na, ruh na, ruh natna enkawlna