I nu emaw, i pi emaw, i kut zungtang ngei pawh i en a, i kut zungtang hmawr bula ruhkawrte chu a hring vek a, bump te tak te ang maiin a lang tih i hmu ngai em? I kut chunga i hriat theih heng bumps te te nen hian natna i nei ve thei bawk. Mi tam tak chuan hei hi tar chakna pangngai anga an ngaih laiin, a takah chuan damdawi lam atanga sawifiah a ni. Hemi chungchang hi vawiin hian han sawi ila.
Heberden-a Nodes te hi engte nge ni?
A awlsam zawngin Heberden-a node te hi ruh ang chi bumps te tak te an ni a, i kut zungtang hnaih ber joint-ah an lo awm a (medical term-ah chuan hei hi distal interphalangeal joint kan ti a ni). Hengte hi a takah chuan ruh lo thang thar an ni. Pea khat vel zeta lian an ni.
A pawimawh ber chu heng node te hi natna hran an ni lo. Kut ruh natna (osteoarthritis) (OA) an tih natna lan chhuahna lian tak an ni a, chu chu kut ruh natna (degenerative disease) a ni.
Heng lumps te hi a sawi hmasak ber doctor William Heberden chawimawina atan an vuah a ni.
Chuti a nih chuan Bouchard-a Nodes te hi eng nge ni?
Hei hi Heberden-a node nen a inang hle a, mahse heng lumps te hi kut zungtang lai tak (middle joint) ah a awm thin. An pahnih hian osteoarthritis symptom an ni.
Engvangin nge he osteoarthritis hi a lo awm?
Kan joint te hi kawngkhar hinge oil tha tak ang maiin ngaihtuah rawh. Hinge te hian hna tha tak an thawh theih nan grease ang chi thil an neih a ngai a ni. Chutiang bawkin kan ruh pahnih inhmachhawnna hmunah, ruhkawr pakhatah chuan, ruh tawp chu inhnawh tawn lovin a kal tluang taka kal theihna tura puitu, cartilage an tih, khuh nêm tak, hnim hring tak a awm a ni.
Osteoarthritis hi he cartilage layer hi hun kal zelah, kum upa lam leh hman chhunzawm zel avanga a chhe zauh zauh thin a ni. Cartilage a chhe deuh deuh chuan a hrualna chu a bo a, ruh tawp te chu a inhnim hrual tan ta a ni. Hei hian ruh chhungah inflammation a siam a, natna leh tihkhauhna a thlen thin.
He cartilage hloh chhanna atan hian taksa chuan ruh chu tihngheh tumin a bei thin. Taksa hian chu chu a ruh chhehvelah ruh thar, te te siamin a ti a ni. Heng ruh lo thang tharte hi node emaw spurs emaw kan tih te hi an ni . Kut zungtang tip-a an lo awm chuan "Heberden nodes" an ti a, middle joint-a an lo awm chuan "Bouchard nodes" an ti bawk.
Hetiang dinhmun hi hmeichhiaah a tam zawk. Zirchianna atanga a lan danin kum 85 an tlin hunah chuan hmeichhia zinga a chanve leh mipa hmun li a\anga hmun khat chuan an kuta ruh natna (osteoarthritis) an nei tawh ang.
Heng knot te hian ka chungah eng nghawng nge a neih theih?
Heberden’s nodes i neih chuan i kut ah osteoarthritis vei theihna a sang deuh mai thei tihna a ni. Mahse, heng symptoms te hi i tawng ve thei bawk.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Natna, a hring, leh a nghet lo | Ka kut zungtang chu a na a, a hring bawk. Ka kut zungtang ben leh tihdik hi harsa ka ti a, a bik takin zing ka harh hian. |
| Knots chu a knuckles ah a awm | Kut zungtang bula ruhkawr (joints)-ah chuan ruh khauh tak tak a awm tih hriat theih a ni. |
| Mobility tlahniam | A hma ang bawka awlsam taka kut zungtang ben leh kut zungtang hrual chu a harsa zual ta hle mai. |
| Nitin hnathawh tur tihbuai | Bottle cap hawn te, kawr button siam te, wrench herh te ang chi hna awlsam tak tak pawh hi a harsa thei hle. |
He natna hi enkawl nan eng nge tih theih ang?
Enkawlna tum ber chu natna tihziaawmna leh i kut hnathawh dan pangngaia siam leh hi a ni . Hemi atan hian i doctor chuan enkawlna chi hrang hrang a rawt thei ang.
Damdawi tel lova i tih theih thilte
- I kut chawlhtir rawh: I kut a na laiin rit lutuk dah loh tur.
- Splint bun: Heng kut zungtang ruh (joint) thlawptu hmanrua (orthosis) te hian natna tihziaawmna kawngah a pui thei a ni.
- Compress lum leh vawt: Compress lum emaw paraffin wax hmanga enkawlna emaw hmangin natna tihziaawm theih a ni. A châng chuan compress lum leh vawt inthlak danglam pawhin a ṭangkai hle bawk.
- Occupational Therapist Thurawn: Kut harsatna lama tui tak occupational therapist chuan i ruh tichhe lova i kut hman dan tur te, exercise i tih tur te, nitin hna awlsam zawka siam thei tur hmanrua chi hrang hrang te a zirtir thei che a ni.
Ruihhlo hmanga enkawl
Pawimawh: Heng damdawi te hi i hman hmain doctor rawn hmasa phawt ang che.
- Painkillers: I doctor chuan natna tidamtu paracetamol (Acetaminophen) leh NSAIDs (Nonsteroidal anti-inflammatory drugs) te chu pill emaw lotion emaw angin a rawt thei ang.
- Steroid injection: A natna leh a hring a na lutuk chuan i doctor chuan steroid injection direct-in ruh chhungah a pe thei che a ni. Hei hian hahdamna rang tak a pe thei a ni.
Surgery neih a ngai dawn em ni?
A tam zawkah chuan zai a ngai lo. Mahse, enkawlna dangin a natna a thunun loh a, nitin hnathawh a harsat em em a nih chuan i doctor chuan zai a ngaihtuah mai thei. A tih dan tlangpui chu joint fusion a ni . Hei hian ruh hring (cartilage) chhe tawh tak takte chu paih chhuakin ruh pahnih chu fuse-in a huam a ni.
Engtikah nge doctor i hmuh ang?
A hnuaia symptoms pakhat emaw a aia tam emaw i neih chuan doctor pan vat a, thurawn lak a pawimawh hle.
| Chhan | Engtin nge tih ang? |
|---|---|
| I kut zungtang ruh (finger joint) ah lump thar emaw, swelling emaw i hmuh chuan. | Hengte hi Heberden-a node an nih leh nih loh finfiah turin doctor hmu rawh. |
| Button emaw ziak emaw ang chi hna nalh tak tak tih harsa i neih chuan. | Hei hi ruh hnathawh tlahniam chhinchhiahna a nih theih avangin thurawn zawng rawh. |
| I kut emaw, i kut zungtang emawa natna awm reng, khauh emaw, hring emaw i neih chuan. | Natna thunun nan leh natna a zual zel loh nan enkawlna tan a pawimawh. |
Take-Home Thuchah a ni
- Heberden-a node hi natna hran a ni lo. Kut ruh natna (degenerative joint disease) osteoarthritis natna lan chhuah dan tlangpui an ni.
- Heng bumps te hi taksain hun kal zelah ruhkawr chhunga cartilage a chhe leh a chhe lutuk avanga a chhanletna a lo awm thin a ni.
- Hei hian kut zungtang natna, hliam, leh hnathawh that lohna te a thlen thei a ni.
- But with proper treatment, exercise, and lifestyle changes , heng symptoms te hi control tha takin i awm thei a, nun pangngai i hmang thei bawk.
- I kut zungtang-ah hetiang hian inthlak danglamna i hmu a nih chuan hlauthawng suh la , doctor hnenah thurawn dik tak dil nghal rawh .
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