Kodi mumamvanso kupweteka m'mafupa anu komanso pamene minofu imalumikizana ndi mafupa? Tiyeni tiphunzire za matenda a enthesopathy ndi enthesitis!

Kodi mudayamba mwamvapo kupweteka mwadzidzidzi kapena kutupa pang'ono paphewa lanu, chigongono, bondo, kapena chidendene? Mwina mukadzuka m'mawa, malo amenewo amamveka olimba? Ngakhale kuti zinthuzi zingawoneke ngati zachilendo, nthawi zina izi zitha kukhala chifukwa cha matenda otchedwa ``Enthesopathy`` kapena ``Enthesitis``. Musadandaule, tikambirana izi lero.

Kodi Enthesopathy ndi chiyani? Ndi yosavuta kwambiri!

Mwachidule, 'Enthesopathy' ndi mawu ofala a matenda aliwonse kapena matenda omwe amakhudza malo omwe minofu ndi mitsempha m'thupi lathu zimalumikizana ndi mafupa .

Taganizirani izi motere: minyewa yathu ili ngati mipiringidzo yamphamvu ya rabara. Izi ndi zomwe zimalumikiza minofu yathu ndi mafupa athu. Ndipo mipiringidzo imakhala ngati mipiringidzo yolimba komanso yosinthasintha. Izi zimalumikiza fupa limodzi ndi linzake.

Tsopano, mawu azachipatala a malo enieni omwe tendon kapena ligament imagwirira ku fupa amatchedwa ``enthesis.'' Chifukwa chake, mukawonjezera "-pathy" kumapeto kwa liwu, zikutanthauza kuti pali vuto kapena vuto lomwe limakhudza gawolo. Ndiye ``enthesopathy'' ndi vuto lomwe limapezeka mu chimodzi kapena zingapo mwa ``enthesis'' yanu ndi minofu yolumikizana. Mwamvetsa?

Kodi enthesitis ndi chiyani? Kodi kusiyana pakati pa ziwirizi ndi kotani?

Pali kusiyana pang'ono apa. `Enthesopathy` ikutanthauza vuto lililonse lomwe limakhudza `enthesis`. Komabe, `enthesitis` ikutanthauza kutupa pa `enthesis` imeneyo. Ndiko kuti, `enthesitis` ndi vuto linalake lomwe limagwera m'gulu la `enthesopathy`.

Nthawi zina madokotala angagwiritse ntchito mawu awiriwa mosinthana kuti amatanthauza chinthu chimodzi. Koma musadandaule. Dokotala wanu adzayang'ana zizindikiro zanu, kupeza chomwe chikuziyambitsa, ndikukupatsani chithandizo choyenera, mosasamala kanthu za mawu omwe akugwiritsa ntchito.

Kodi enthesitis ndi yofala bwanji?

N'zovuta kunena kuti ndi anthu angati omwe amadwala matenda a enthesitis chaka chilichonse. Izi zili choncho chifukwa ululu ndi kutupa kwa minyewa ndi mitsempha ya mitsempha n'zofala kwambiri, makamaka akavulala. Ndipo anthu ambiri amachira matenda a enthesopathy asanadziwike kuti ali ndi matendawa.

Komabe, zomwe akatswiri amadziwa n'zakuti matenda a enthesitis ndi ofala kwambiri pakati pa anthu omwe ali ndi matenda otupa a nyamakazi monga psoriatic arthritis ndi ankylosing spondylitis. Ndipotu, kukhala ndi matenda a enthesitis angapo ndi chimodzi mwa zizindikiro zomwe madokotala amagwiritsa ntchito pozindikira matenda amenewa.

Kodi zizindikiro za enthesitis ndi ziti?

Zizindikiro zofala kwambiri za enthesitis ndi izi:

• Ululu:Mungathe kumva kupweteka kwambiri pamalo olumikizirana mafupa kapena tendon. Ululuwo ukhozanso kuwonjezeka mukamagwiritsa ntchito malo olumikizirana mafupa.
• Kutupa: Malo omwe ululu umakhalapo angaoneke ngati kutupa.
• Kusintha mtundu kapena kufiira: Nthawi zina khungu lomwe lili pamalopo lingakhale lofiira kapena losasintha mtundu.
• Kuuma: Makamaka mukadzuka koyamba m'mawa, kapena mukayesa kusuntha cholumikiziracho mutakhala pamalo omwewo kwa kanthawi, chimatha kuuma ndipo sichingathe kupindika kapena kutambasula mosavuta. Tangoganizirani, mukadzuka m'mawa, mumamva kuuma kwambiri kotero kuti simungathe ngakhale kuyika chidendene chanu pansi.

Anthu ena omwe ali ndi matenda a enthesopathy angazindikirenso kusintha kwa misomali yawo ya zala ndi zala . Mungazindikire zinthu monga kusokonekera kwa misomali kapena kusintha mtundu wake.

Matenda a Enthesitis amatha kuchitika kulikonse m'thupi lanu komwe tendon kapena ligament imagwirizana ndi fupa, koma pali malo ochepa omwe amakhudzidwa kwambiri:

• Mapewa
• Zigongono
• Manja ndi zikhatho
• Mawondo
• Akakolo
• Mapazi - makamaka kupweteka kwa chidendene (Plantar Fasciitis) - ndi chitsanzo chabwino cha izi.

Nchifukwa chiyani timapeza matenda a enthesitis ndi enthesopathy?

Matenda a enthesopathy (kuphatikizapo enthesitis) amapezeka pazifukwa ziwiri zazikulu:

1. Kuvulala komwe kumawononga minyewa kapena mitsempha yanu.

2. Matenda omwe amayambitsa kutupa m'thupi.

Chifukwa cha kuvulala

Kuvulala kwina komwe kumayambitsa matenda a enthesopathy ndi awa:

• Kuvulala kobwerezabwereza: Ganizirani ululu m'manja mwanu ngati mumagwira ntchito pa kompyuta nthawi zonse. Kapena, kuvulala komwe kumadza kwa wothamanga amene akupitiriza kuchita mayendedwe omwewo.
• Kuvulala pamasewera: Matendawa amatha kuchitika chifukwa cha ngozi zadzidzidzi, kugwa, komanso kupindika pamene mukusewera masewera.
• Chigongono cha tenisi: Kupweteka kunja kwa chigongono.
• Chigongono cha wosewera gofu: Kupweteka mkati mwa chigongono.

Kuvulala kotereku kungawononge malo otchedwa 'enthesis', zomwe zimayambitsa ululu ndi kutupa.

Chifukwa cha matenda otupa m'thupi

Matenda ena amayambitsa kutupa m'thupi, zomwe zingayambitse enthesitis. Chitetezo chathu cha mthupi chimayankha ku matenda ena mwa kupanga mapuloteni apadera otchedwa cytokines. Ngakhale kuti ma cytokines amenewa amathandiza thupi lathu kuchira, amathanso kuyambitsa kutupa. Matenda ena omwe amayambitsa kutupa komwe kungayambitse enthesitis ndi awa:

• Matenda a Psoriatic Arthritis: Uwu ndi matenda a nyamakazi omwe amagwirizanitsidwa ndi matenda a pakhungu a psoriasis.
• Ankylosing Spondylitis: Uwu ndi mtundu wa nyamakazi womwe umakhudza kwambiri msana.
• Matenda a Nyamakazi: Ichi ndi matenda otupa omwe amakhudza mafupa ndipo amayamba chifukwa cha ntchito ya chitetezo cha mthupi.
• Psoriasis: Ngakhale kuti ndi matenda a pakhungu, pali chiopsezo chotenga matenda a enthesitis.
• Bursitis: Kutupa kwa matumba odzaza madzi otchedwa bursa omwe amagwira ntchito ngati ma cushion pafupi ndi malo olumikizirana mafupa.
• Plantar Fasciitis: Matenda opweteka omwe amapezeka pansi pa phazi, makamaka chidendene. Ichi ndi chitsanzo chabwino cha enthesitis.

Kodi pali mavuto ena omwe angachitike chifukwa cha enthesopathy?

Anthu omwe ali ndi matenda a enthesopathy kwa nthawi yayitali (ndiko kuti, matenda omwe amakula ndikuipiraipira pakapita nthawi) ali pachiwopsezo chachikulu chotenga matenda a mafupa . Ma cytokines omwe amayambitsa matenda a enthesitis nthawi zina amalankhula molakwika kuti mafupa athu apanga minofu yatsopano. Matendawa amatha kukulitsa ululu kapena kuyambitsa ululu watsopano.

Kodi dokotala amazindikira bwanji matenda awa?

Dokotala adzazindikira matenda a enthesopathy makamaka pochita mayeso akuthupi . Iye adzayang'ana malo omwe muli ndi zizindikiro, mwina powakhudza. Ndikofunikira kuuza dokotala wanu nthawi yoyamba yomwe mudamva ululu, kuuma, kapena zizindikiro zina, komanso zomwe zimapangitsa kuti zikhale zovuta (kapena zovuta).

Palibe mayeso enieni omwe angapezeke nthawi yomweyo kuti adziwe matenda a enthesitis. Komabe, dokotala wanu angagwiritse ntchito ma scan apadera (mayeso ojambulira) kuti ajambule zithunzi za mkati mwa thupi lanu kuti aone kuvulala kapena kutupa kulikonse. Izi zikuphatikizapo:

• X-ray
• Kujambula kwa Ultrasound (`Ultrasound`)
• Kujambula kwa MRI (`MRI - kujambula kwa maginito`)

Ngati dokotala wanu akuganiza kuti muli ndi vuto la kutupa, angakufunseninso kuti muyesedwe magazi .

Kodi mankhwala a enthesitis ndi ati?

Chithandizo chomwe mukufuna chidzadalira chomwe chimayambitsa enthesitis yanu. Chingakhale chinthu chomwe mungachite kunyumba kuti thupi lanu lichiritse mutavulala. Kapena, ngati ndi vuto losatha, lingafunike dongosolo loyang'anira kwa nthawi yayitali. Mankhwala odziwika bwino a enthesopathy ndi awa:

Mankhwala omwe mungachite kunyumba

• Njira ya RICE: Iyi ndi njira yodziwika bwino yochizira mabala ambiri.
• R - Mpumulo: Kupumula gawo la thupi lomwe lakhudzidwa.
• I - Ice: Kuyika paketi ya ayezi kuti muchepetse ululu ndi kutupa.
• C - Kukanikiza: Kugwiritsa ntchito bandeji yokanikiza kuti muchepetse kutupa. Dokotala wanu adzakuwonetsani momwe mungagwiritsire ntchito bwino, popanda kukanikiza kwambiri.
• E - Kukwezeka: Kusunga malo ovulala pamwamba pa mulingo wa mtima.
• Mankhwala Oletsa Ululu: Mankhwala ochepetsa ululu omwe amaperekedwa ndi dokotala monga ibuprofen (NSAIDs) angathandize kuchepetsa kutupa ndi kuchepetsa ululu. Koma kumbukirani kuti, mankhwalawa sakuvomerezeka kugwiritsidwa ntchito kwa nthawi yayitali. Musawamwe kwa masiku opitilira 10 popanda kufunsa dokotala.

Chithandizo choperekedwa potsatira upangiri wa dokotala

• Corticosteroids: Awa ndi mankhwala operekedwa ndi dokotala kuti achepetse kutupa. Dokotala wanu angakupatseni jakisoni wa cortisone mwachindunji mu enthesis yomwe yakhudzidwa.
• Kuchiza ndi thupi: Kuchiza ndi thupi kungathandize kulimbitsa minofu yozungulira kuvulala, kuwonjezera kusinthasintha, komanso kuchepetsa ululu. Katswiri wa thupi adzakuphunzitsani masewera olimbitsa thupi ndi kutambasula kuti akuthandizeni kuchira ndikubwezeretsanso mphamvu zoyenda (kutalika komwe mungasunthe gawo la thupi lanu).
• Mankhwala a DMARD: Mankhwala oletsa matenda a nyamakazi (DMARDs) ndi mankhwala omwe amaletsa chitetezo chamthupi. Amagwiritsidwa ntchito pochiza matenda odziteteza okha, monga mitundu ina ya nyamakazi yomwe imayamba chifukwa cha enthesitis.

Kodi Enthesitis ingachiritsidwe kwathunthu?

Kuchiza matenda a enthesopathy kuyenera kuganiziridwa ngati kuthetsa vutolo pamene likukula, m'malo mochiza, monga kuchiza matenda a bakiteriya ndi maantibayotiki. Matenda a enthesopathy ndi kuvulala komwe kumayambitsa matendawa nthawi zambiri zimatha kwathunthu.

Komabe, mungakhale ndi kuphulika kwa enthesitis - makamaka ngati kumachitika chifukwa cha matenda odziteteza ku thupi. Dokotala wanu adzakupatsani njira zothanirana ndi zizindikiro zanu ndikuchepetsa kuchuluka kwa kuphulika.

Kodi munthu amene ali ndi vuto la enthesopathy angayembekezere tsogolo lotani?

Si aliyense amene amakumana ndi vutoli mofanana. Zimatengera mtundu wa matenda a enthesopathy omwe muli nawo komanso chomwe chinayambitsa vutoli.

Ngati muli ndi vuto lomwe labwera chifukwa cha kuvulala, n'zotheka kuti enthesitis imatha kwathunthu thupi lanu likachira ndipo mwasintha zina pa zochita zanu. Mudzatha kuyambiranso zochita zanu zonse zachizolowezi popanda zotsatirapo zina za nthawi yayitali. Komabe, ngakhale mutamva bwino, musayambenso kuchita masewera olimbitsa thupi mpaka dokotala wanu atakuuzani kuti muchite.

Matenda ena omwe amayambitsa matenda a enthesopathy ndi osatha. Muyenera kuthana ndi matendawa kwa nthawi yayitali, mwina kwa moyo wanu wonse. Dokotala wanu adzakulankhulani za zomwe mungayembekezere komanso momwe mungathanirane ndi matendawa.

Kodi enthesitis ingapewedwe?

Matenda a Enthesitis nthawi zambiri amatha kupewedwa, chifukwa angayambitse kuvulala mwadzidzidzi komanso matenda omwe sitingathe kuwapewa. Lankhulani ndi dokotala wanu za njira zabwino zothanirana ndi matenda aliwonse omwe muli nawo. Mutha kuchepetsa chiopsezo chanu cha kuphulika kwa enthesitis, koma simungathe kuwaletsa nthawi zonse.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati muli ndi kuvulala, kapena ngati ululu kapena kutupa kukuoneka kuti kukusintha, kukukulirakulira, kapena ngati simungathe kusuntha chiwalo cholumikizira mafupa, onani dokotala. Ngati chithandizo chanu cha enthesitis sichikugwira ntchito bwino monga kale, kapena ngati mukuvutika ndi kuphulika kwa mafupa, uzani dokotala wanu . Iye akhoza kusintha kapena kusintha chithandizo chanu.

Kodi ndi mafunso otani ofunika kufunsa dokotala?

Nazi mafunso ofunikira omwe mungafunse dokotala wanu:

• N’chifukwa chiyani ndili ndi "Enthesopathy" kapena "Enthesitis"?
• Ndi mayeso amtundu wanji omwe ndiyenera kuchita?
• Kodi zizindikirozi zingabwerenso?
• Kodi ndiyamba liti kuchita masewera olimbitsa thupi?
• Kodi ndili ndi vuto la thanzi lomwe ndiyenera kuthana nalo kwa nthawi yayitali?

Kodi matenda a enthesopathy ndi ofanana ndi nyamakazi?

Ayi, `Enthesopathy` ndi `Arthritis`Izi ndi nkhani ziwiri zosiyana. Koma pakhoza kukhala mgwirizano wapafupi pakati pa ziwirizi. Pali mitundu yoposa 100 ya nyamakazi, yambiri yomwe ingayambitse kupweteka, kuuma, ndi kutupa, mofanana ndi yomwe imapezeka mu enthesopathy.

Komanso, mitundu yambiri ya nyamakazi yotupa ingayambitse enthesitis. Chifukwa chake, ngati muli ndi nyamakazi, muli pachiwopsezo chachikulu chotenga enthesitis. Lankhulani ndi dokotala wanu za zizindikiro kapena kusintha komwe muyenera kusamala nako.

Pomaliza, uthenga wopita nawo kunyumba

Ngakhale mawu akuti ``Enthesitis`` ndi ``Enthesopathy`` angamveke achilendo pang'ono, kumbukirani kuti amatanthauza matenda omwe amakhudza malo omwe minyewa yanu ndi mitsempha yanu imalumikizana ndi mafupa anu. Ngati mukumva kupweteka kapena kuuma m'malo awa, musanyalanyaze.

Vutoli likhoza kukhala kuvulala kamodzi kokha komwe kumachira, kapena likhoza kukhala chifukwa cha vuto lachipatala lomwe liyenera kuthandizidwa kwa nthawi yayitali.

Choncho, ngati muli ndi mafunso okhudza izi, musaope kupita kwa dokotala ndikulankhula naye. Adzakufotokozerani zomwe zimayambitsa zizindikirozi, momwe mungachepetsere, komanso zomwe muyenera kuchita kuti muthane ndi vutoli. Khalani ndi thanzi labwino!

Matenda a Enthesopathy, Matenda a Enthesitis, Ululu wa Mafupa, Ululu wa Mkaka, Kutupa, Nyamakazi, Sri Lanka