Kodi munayamba mwayang'anapo za amayi anu, agogo anu aakazi, kapena zala zanu ndipo mwaona kuti malo olumikizirana mafupa pafupi ndi nsonga za zala zanu atupa ndipo amaoneka ngati matuza ang'onoang'ono? Nthawi zina mungamve kupweteka pamodzi ndi matuza ang'onoang'ono awa omwe mungamve m'manja mwanu. Ngakhale anthu ambiri amaganiza kuti izi ndi zachilendo pa ukalamba, kwenikweni ndi vuto lomwe limafotokozedwa ndi madokotala. Tiyeni tikambirane za izi lero.
Kodi ma node a Heberden ndi ati?
Mwachidule, tinthu ta Heberden ndi tinthu tating'onoting'ono tofanana ndi mafupa tomwe timapanga pa malo olumikizirana pafupi ndi zala zanu (mwachipatala, timatcha izi kuti malo olumikizirana a distal interphalangeal). Izi kwenikweni ndi mafupa atsopano omera. Ali pafupifupi kukula kwa nandolo.
Chofunika kwambiri n’chakuti ma node amenewa si matenda osiyana. Ndi chizindikiro chachikulu cha matenda otchedwa osteoarthritis (OA), omwe ndi matenda owononga mafupa m’manja.
Mabowo amenewa amatchedwa dzina lolemekeza dokotala amene anayamba kuwafotokoza, William Heberden.
Ndiye kodi Bouchard's Nodes ndi chiyani?
Vutoli ndi lofanana kwambiri ndi la Heberden's nodes, koma ziphuphuzi zimapezeka pakati pa chala. Zonsezi ndi zizindikiro za osteoarthritis.
Nchifukwa chiyani osteoarthritis iyi imachitika?
Taganizirani za mafupa athu ngati ma hinges opaka mafuta ambiri. Ma hinges amafunika kukhala ndi mafuta ngati mafuta kuti agwire ntchito bwino. Mofananamo, pamene mafupa athu awiri akumana, pa cholumikizira, pali chophimba chofewa, choterera chotchedwa cartilage chomwe chimathandiza malekezero a mafupa kuyenda bwino popanda kukandana.
Matenda a nyamakazi ndi kuwonongeka pang'onopang'ono kwa gawo la chigoba ichi pakapita nthawi, ndi ukalamba, komanso chifukwa chogwiritsa ntchito nthawi zonse. Pamene chigobacho chikutha, kusalala kwake kumatayika ndipo malekezero a mafupa amayamba kukandana. Izi zimayambitsa kutupa mkati mwa malo olumikizirana mafupa, zomwe zimapangitsa kupweteka ndi kuuma.
Poyankha kutayika kwa kagayidwe kameneka, thupi limayesetsa kulimbitsa cholumikizira. Thupi limachita izi popanga tinthu tating'onoting'ono ta mafupa kuzungulira cholumikizira. Tinthu tating'onoting'ono ta mafupa timeneti ndi timene timatcha ma node kapena spurs . Tikapanga pamwamba pa zala, timatchedwa "Heberden nodes," ndipo tikapanga pakati pa cholumikizira, timatchedwa "Bouchard nodes."
Matendawa amapezeka kwambiri pakati pa akazi. Kafukufuku akusonyeza kuti akafika zaka 85, theka la akazi ndi kotala la amuna adzakhala ndi matenda a osteoarthritis m'manja mwawo.
Kodi mafundo amenewa angandikhudze bwanji?
Ngati muli ndi ma node a Heberden, zikutanthauza kuti mungakhale ndi chiopsezo chachikulu cha matenda a osteoarthritis m'manja mwanu. Komabe, mungakumanenso ndi zizindikiro izi.
| Chizindikiro | Kufotokozera |
|---|---|
| Ululu, kutupa, ndi kuuma | Mafupa anga a zala amapweteka komanso kutupa. Zimandivuta kupindika ndi kuwongola zala zanga, makamaka ndikadzuka m'mawa. |
| Mafundo m'mafundo | Ziphuphu zolimba komanso za mafupa m'malo olumikizirana mafupa pafupi ndi zala za m'manja zimaonekera. |
| Kuchepa kwa kuyenda | Zikuvuta kupinda zala zanu ndikukumbatira zibakera zanu mosavuta monga kale. |
| Kusokoneza ntchito za tsiku ndi tsiku | Ngakhale ntchito zosavuta monga kutsegula chivundikiro cha botolo, kumanga mabatani a shati, kapena kutembenuza wrench zingakhale zovuta. |
Kodi n’chiyani chingachitike kuti munthu athetse vutoli?
Cholinga chachikulu cha chithandizo ndi kuchepetsa ululu ndikubwezeretsa ntchito ya manja anu . Dokotala wanu angakulangizeni njira zosiyanasiyana zochizira izi.
Zinthu zomwe mungachite popanda mankhwala
- Pumulani dzanja lanu: Pewani kuyika katundu wambiri pa dzanja lanu pamene likupweteka.
- Valani chivundikiro cha dzanja: Zipangizozi (orthosis) zomwe zimathandiza mafupa a zala zingathandize kuchepetsa ululu.
- Ma compress otentha ndi ozizira: Ma compress otentha kapena paraffin wax angagwiritsidwe ntchito kuchepetsa ululu. Nthawi zina kusinthana ma compress otentha ndi ozizira kumathandizanso kwambiri.
- Malangizo a Katswiri wa Zachipatala Pantchito: Katswiri wa zachipatala wa ntchito amene amagwira ntchito zamanja angakuphunzitseni momwe mungagwiritsire ntchito manja anu popanda kuwononga mafupa anu, maseŵera olimbitsa thupi omwe muyenera kuchita, ndi zipangizo zosiyanasiyana zomwe zingathandize kuti ntchito za tsiku ndi tsiku zikhale zosavuta.
Chithandizo cha mankhwala
Chofunika: Nthawi zonse funsani dokotala musanagwiritse ntchito mankhwala aliwonse awa.
- Mankhwala oletsa ululu: Dokotala wanu angakulangizeni mankhwala oletsa ululu monga paracetamol (Acetaminophen) ndi NSAIDs (mankhwala oletsa kutupa omwe si a steroidal) monga mapiritsi kapena mafuta odzola.
- Jakisoni wa steroid: Ngati ululu ndi kutupa zili zovuta kwambiri, dokotala wanu angakupatseni jakisoni wa steroid mwachindunji m'malo olumikizirana mafupa. Izi zingathandize kuchepetsa ululu mwachangu.
Kodi opaleshoni idzakhala yofunikira?
Nthawi zambiri, opaleshoni sikofunikira. Komabe, ngati palibe njira zina zochiritsira ululu ndipo zimakhala zovuta kuchita zinthu za tsiku ndi tsiku, dokotala wanu angaganizire za opaleshoni. Njira yodziwika kwambiri ndi kulumikiza mafupa . Izi zimaphatikizapo kuchotsa chipolopolo chosweka ndikugwirizanitsa mafupa awiriwa.
Kodi muyenera kupita kwa dokotala liti?
Ngati muli ndi chimodzi kapena zingapo mwa zizindikiro zotsatirazi, ndikofunikira kwambiri kupita kwa dokotala nthawi yomweyo kuti akakupatseni upangiri.
| Chifukwa | Zoyenera kuchita? |
|---|---|
| Ngati muwona zotupa zatsopano kapena kutupa m'malo olumikizirana zala zanu. | Pitani kwa dokotala kuti mutsimikizire ngati awa ndi ma node a Heberden kapena ayi. |
| Ngati mukuvutika kuchita ntchito zovuta monga kutseka mabatani kapena kulemba. | Funani upangiri chifukwa izi zitha kukhala chizindikiro cha kuchepa kwa ntchito ya mafupa. |
| Ngati muli ndi ululu wosatha, kuuma, kapena kutupa m'manja mwanu kapena zala zanu. | Ndikofunikira kuyamba chithandizo kuti muchepetse ululu ndikuletsa kuti vutoli lisakule kwambiri. |
Uthenga Wopita Nawo Kunyumba
- Ma node a Heberden si matenda osiyana. Ndi chizindikiro chofala cha osteoarthritis, matenda otupa a m'manja.
- Matumbo amenewa amapangika pamene thupi likuchitapo kanthu chifukwa cha kuwonongeka kwa chipolopolo m'malo olumikizirana mafupa pakapita nthawi.
- Izi zingayambitse kusapeza bwino monga kupweteka, kutupa, komanso kuchepa kwa ntchito ya zala.
- Koma ndi chithandizo choyenera, masewera olimbitsa thupi, komanso kusintha moyo wanu , zizindikirozi zimatha kuthetsedwa bwino ndipo mutha kukhala ndi moyo wabwinobwino.
- Ngati muwona kusintha kotereku m'zala zanu, musachite mantha ndipo pitani kwa dokotala nthawi yomweyo kuti akupatseni malangizo oyenera.
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