Ngaba wakha wajonga ekamama wakho, ekamakhulu wakho, okanye mhlawumbi iminwe yakho waza waphawula ukuba amalungu akufutshane neencam zeminwe yakho avuvukile kwaye abukeka njengamaqhuqhuva amancinci? Ngamanye amaxesha ungaziva iintlungu kunye nala maqhuqhuva amancinci onokuwava ezandleni zakho. Nangona abantu abaninzi becinga ukuba le yinxalenye eqhelekileyo yokwaluphala, eneneni yimeko echazwe ngokwezonyango. Makhe sithethe ngale nto namhlanje.
Zithini iiNode zikaHeberden?
Ngamafutshane, amaqhuqhuva kaHeberden ngamaqhuqhuva amancinci, afana namathambo akhiwa kwilungu elikufutshane neminwe yakho (ngokwezonyango, sibiza oku ngokuthi lilungu eliphakathi kwe-distal interphalangeal). La ngamaqhuqhuva amatsha amathambo. Alingana nobukhulu be-pea.
Into ebalulekileyo kukuba la maqhuqhuva ayisiso isifo esahlukileyo. Luphawu oluphambili lwesifo esibizwa ngokuba yi-osteoarthritis (OA), esisifo esiwohlokayo samalungu ezandleni.
La maqhuqhuva aqanjwa ngegama lokuhlonipha ugqirha owaqala ukuwachaza, uWilliam Heberden.
Ngoko ke zithini iiNode zikaBouchard?
Le yimeko efana kakhulu neyamaqhuqhuva kaHeberden, kodwa la maqhuqhuva afumaneka kumbindi womnwe. Zombini ziimpawu ze-osteoarthritis.
Kutheni le nto i-osteoarthritis isenzeka?
Cinga ngamalunga ethu njengeehinge zomnyango ezifakwe ioyile. Iihinge kufuneka zibe nento efana negrisi kuzo ukuze zisebenze kakuhle. Ngokufanayo, apho amathambo ethu amabini adibana khona, kwijoyinti, kukho isigqubuthelo esithambileyo nesityibilikayo esibizwa ngokuba yi-cartilage esinceda ukuba iziphelo zamathambo zihambe kakuhle ngaphandle kokukhuhlana.
I-Osteoarthritis kukuwohloka kancinci kancinci kwale maleko ye-cartilage ngokuhamba kwexesha, ngokwanda kwayo, nangokuqhubeka isetyenziswa. Njengoko i-cartilage iphela, uburhabaxa buyaphela kwaye iziphelo zamathambo ziqala ukukhuhlana. Oku kubangela ukudumba ngaphakathi kwelungu, okukhokelela kwiintlungu nokuqina.
Ukuphendula oku kulahlekelwa yi-cartilage, umzimba uzama ukuzinzisa ilungu. Umzimba wenza oku ngokudala ukukhula okutsha, okuncinci kwamathambo ajikeleze ilungu. Ezi kukhula zintsha zamathambo zezo sizibiza ngokuba zii-nodes okanye ii-spurs . Xa zenzeka kwiincam zeminwe, zibizwa ngokuba zii-"Heberden nodes," kwaye xa zenzeka kumalungu aphakathi, zibizwa ngokuba zii-"Bouchard nodes."
Le meko ixhaphake kakhulu kubafazi. Izifundo zibonisa ukuba xa beneminyaka engama-85 ubudala, isiqingatha sabasetyhini kunye nekota yamadoda baya kuba ne-osteoarthritis ezandleni zabo.
Zithini iziphumo ezinokuba nazo kum ezi knots?
Ukuba une-Heberden's nodes, oko kuthetha ukuba unokuba nomngcipheko ophezulu kancinci we-osteoarthritis ezandleni zakho. Nangona kunjalo, usenokuba nazo ezi mpawu.
| Uphawu | Inkcazo |
|---|---|
| Intlungu, ukudumba, kunye nokuqina | Amalungu eminwe yam ayaqaqamba kwaye ayadumba. Ndikufumanisa kunzima ukugoba nokulula iminwe yam, ingakumbi xa ndivuka kusasa. |
| Amaqhina kwi-knuckles | Amaqhuma aqinileyo namathambo akwiijoyinti ezikufutshane neeminwe ayabonakala. |
| Ukuncipha kokuhambahamba | Kuya kuba nzima ukugoba iminwe yakho nokuqina amanqindi akho ngokulula njengangaphambili. |
| Ukuphazamiseka kwimisebenzi yemihla ngemihla | Nemisebenzi elula efana nokuvula isiciko sebhotile, ukuqhobosha ihempe, okanye ukujika isikrufu inokuba nzima. |
Yintoni enokwenziwa ukunyanga le meko?
Eyona njongo iphambili yonyango kukunciphisa iintlungu nokubuyisela ukusebenza okuqhelekileyo ezandleni zakho . Ugqirha wakho angacebisa iindlela ezahlukeneyo zonyango zoku.
Izinto onokuzenza ngaphandle kwamayeza
- Phumla isandla sakho: Kuphephe ukubeka ubunzima obukhulu esandleni sakho xa sibuhlungu.
- Nxiba i-splint: Ezi zixhobo (i-orthosis) ezixhasa amalungu eminwe zinokunceda ekunciphiseni iintlungu.
- Iicompress ezishushu nezibandayo: Iicompress ezishushu okanye unyango lweparafini wax lungasetyenziswa ukunciphisa iintlungu. Ngamanye amaxesha ukutshintsha iicompress ezishushu nezibandayo nako kuluncedo kakhulu.
- Ingcebiso yoNyango lweMisebenzi: Ingcali yonyango lwemisebenzi egxile kwiingxaki zezandla ingakufundisa indlela yokusebenzisa izandla zakho ngaphandle kokonakalisa amalungu akho, imithambo ekufuneka uyenze, kunye nezixhobo ezahlukeneyo ezinokwenza imisebenzi yemihla ngemihla ibe lula.
Unyango ngamayeza
Kubalulekile: Soloko uqhagamshelana nogqirha wakho phambi kokuba usebenzise naliphi na kula mayeza.
- Iipilisi zokunciphisa iintlungu: Ugqirha wakho unokucebisa amayeza okuthomalalisa iintlungu afana neparacetamol (Acetaminophen) kunye neeNSAID (iziyobisi ezichasene nokuvuvukala ezingezizo eze-steroidal) ngendlela yeepilisi okanye iiloshini.
- Iinaliti ze-steroid: Ukuba intlungu kunye nokudumba kukhulu kakhulu, ugqirha wakho angakunika inaliti ye-steroid ngqo kwilungu. Oku kunokukunika isiqabu ngokukhawuleza.
Ngaba utyando luza kufuneka?
Kwiimeko ezininzi, utyando alufuneki. Nangona kunjalo, ukuba akukho nyango lulawula iintlungu kwaye kunzima kakhulu ukwenza imisebenzi yemihla ngemihla, ugqirha wakho unokuqwalasela utyando. Inkqubo eqhelekileyo kukudibanisa amalungu . Oku kubandakanya ukususa i-cartilage egugileyo kunye nokudibanisa amathambo amabini kunye.
Ufanele uye nini kugqirha?
Ukuba unenye okanye ngaphezulu kwezi mpawu zilandelayo, kubaluleke kakhulu ukubona ugqirha ngokukhawuleza ukuze ufumane ingcebiso.
| Isizathu | Kwenziwe ntoni? |
|---|---|
| Ukuba ubona amaqhuma amatsha okanye ukudumba kwamalungu eminwe yakho. | Bona ugqirha ukuqinisekisa ukuba la ngamaqhuqhuva kaHeberden okanye akunjalo. |
| Ukuba unengxaki yokwenza imisebenzi ebuthathaka efana nokucinezela okanye ukubhala. | Funa ingcebiso kuba oku kunokuba luphawu lokungasebenzi kakuhle kwamalungu. |
| Ukuba unentlungu engapheliyo, ukuqina, okanye ukudumba ezandleni okanye eminweni yakho. | Kubalulekile ukuqala unyango ukulawula iintlungu nokuthintela imeko ukuba ingabi mandundu. |
Umyalezo Wokuya Ekhaya
- Amaqhuqhuva kaHeberden asisosifo esahlukileyo. Luphawu oluqhelekileyo lwe- osteoarthritis, isifo samalungu esiwohlokayo ezandleni.
- Ezi ziqhuma zenzeka njengoko umzimba usabela ekugugeni nasekukrazukeni kwe-cartilage emalungeni ngokuhamba kwexesha.
- Oku kunokubangela ukungakhululeki okufana neentlungu, ukudumba, kunye nokungasebenzi kakuhle kweminwe.
- Kodwa ngonyango olufanelekileyo, umthambo, kunye notshintsho kwindlela yokuphila , ezi mpawu zinokulawulwa kakuhle kwaye ungaphila ubomi obuqhelekileyo.
- Ukuba ubona utshintsho olunje kwiminwe yakho, ungoyiki kwaye ubone ugqirha wakho ngokukhawuleza ukuze akunike icebiso elifanelekileyo.
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