Wake wabheka iminwe kamama wakho, kagogo wakho, noma mhlawumbe eyakho waphawula ukuthi amalunga aseduze nezihloko zeminwe yakho avuvukele futhi abukeka njengamaqhubu amancane? Ngezinye izikhathi ungase uzwe ubuhlungu kanye nala maqhubu amancane ongawazwa ezandleni zakho. Nakuba abantu abaningi becabanga ukuthi lokhu kuyingxenye evamile yokuguga, empeleni kuyisimo esichazwa ngokwezokwelapha. Ake sixoxe ngalokhu namuhla.
Ziyini i-Heberden's Nodes?
Kalula nje, ama-node kaHeberden angamaqhubu amancane, afana namathambo akheka esibayeni esiseduze kakhulu neminwe yakho (ngokwezokwelapha, lokhu sikubiza ngokuthi i-distal interphalangeal joint). Empeleni lawa amaqhubu amasha amathambo. Angangosayizi we-pea.
Into ebalulekile ukuthi la ma-node awasona isifo esihlukile. Awuphawu olukhulu lwesifo esibizwa ngokuthi i-osteoarthritis (OA), okuyisifo esiwohlozayo samalunga ezandla.
Lezi ziqhumane ziqanjwe ngokuhlonipha udokotela owazichaza okokuqala, uWilliam Heberden.
Ngakho-ke ayini amaNode kaBouchard?
Lesi yisimo esifana kakhulu nama-node kaHeberden, kodwa la maqhubu ayenzeka esixukwini esiphakathi somunwe. Zombili ziyizimpawu ze-osteoarthritis.
Kungani le osteoarthritis yenzeka?
Cabanga ngamalunga ethu njengamaphiko omnyango agcotshwe kahle. Amaphini kudingeka abe nento efana namafutha ukuze asebenze kahle. Ngokufanayo, lapho amathambo ethu amabili ehlangana khona, endaweni eyodwa, kukhona isembozo esithambile nesishelelayo esibizwa ngokuthi i-cartilage esiza izinhlangothi zamathambo ukuthi zihambe kahle ngaphandle kokugudlana.
I-osteoarthritis iwukuguguleka kancane kancane kwalolu ngqimba lwe-cartilage ngokuhamba kwesikhathi, ngokuguga, nangokuqhubeka nokusetshenziswa. Njengoba i-cartilage iguguleka, ubushelelezi buyaphela futhi iziphetho zamathambo ziqala ukugudlana. Lokhu kubangela ukuvuvukala ngaphakathi kwejoyinti, okuholela ebuhlungwini nasekuqineni.
Ukuphendula lokhu kulahlekelwa yi-cartilage, umzimba uzama ukuzinzisa ilunga. Umzimba wenza lokhu ngokudala ukukhula okusha, okuncane kwamathambo azungeze ilunga. Lokhu kukhula okusha kwamathambo yilokho esikubiza ngokuthi ama-node noma ama-spurs . Uma akheka eziqongweni zeminwe, abizwa ngokuthi "ama-node ase-Heberden," futhi uma akheka emalungeni aphakathi, abizwa ngokuthi "ama-node ase-Bouchard."
Lesi simo sivame kakhulu kwabesifazane. Izifundo zibonisa ukuthi lapho beneminyaka engu-85, ingxenye yabesifazane kanye nengxenye yesine yabesilisa bazobe sebenesifo sokuqaqamba kwamalunga.
Yimiphi imiphumela la mafindo angaba nayo kimi?
Uma unezinhlayiya zikaHeberden, kusho ukuthi ungase ube nengozi enkulu kancane ye-osteoarthritis ezandleni zakho. Kodwa-ke, ungase ubhekane nalezi zimpawu.
| Isibonakaliso | Incazelo |
|---|---|
| Ubuhlungu, ukuvuvukala, nokuqina | Amalunga eminwe yami ayabuhlungu futhi ayavuvukala. Ngikuthola kunzima ukugoba nokuqondisa iminwe yami, ikakhulukazi uma ngivuka ekuseni. |
| Amafindo emaqakaleni | Amaqhubu aqinile, anamathambo emalungeni eduze kweminwe ayabonakala. |
| Ukwehla kokuhamba | Sekunzima ukugoba iminwe yakho nokubopha izibhakela zakho kalula njengakuqala. |
| Ukuphazamiseka kwemisebenzi yansuku zonke | Ngisho nemisebenzi elula njengokuvula isivalo sebhodlela, ukunamathisela izinkinobho zehembe, noma ukujikisa isikrufu kungaba nzima. |
Yini engenziwa ukwelapha lesi simo?
Umgomo oyinhloko wokwelashwa ukunciphisa ubuhlungu nokubuyisela ukusebenza okuvamile ezandleni zakho . Udokotela wakho angase ancome izindlela ezahlukene zokwelapha ngalokhu.
Izinto ongazenza ngaphandle kwemithi
- Phumuza isandla sakho: Gwema ukubeka isandla sakho esindayo kakhulu uma sibuhlungu.
- Gqoka i-splint: Lawa madivayisi (i-orthosis) asekela amalunga eminwe angasiza ekunciphiseni ubuhlungu.
- Ukucindezela okushisayo nokubandayo: Ukucindezela okufudumele noma ukwelashwa nge-paraffin wax kungasetshenziswa ukunciphisa ubuhlungu. Ngezinye izikhathi ukushintshana ngokucindezela okushisayo nokubandayo nakho kuyasiza kakhulu.
- Iseluleko Sochwepheshe Wezokwelapha Emsebenzini: Uchwepheshe wezokwelapha ochwepheshe bezinkinga zezandla angakufundisa indlela yokusebenzisa izandla zakho ngaphandle kokulimaza amalunga akho, izivivinyo okudingeka uzenze, kanye namadivayisi ahlukahlukene angenza imisebenzi yansuku zonke ibe lula.
Ukwelashwa ngemithi
Okubalulekile: Njalo xhumana nodokotela wakho ngaphambi kokusebenzisa noma yimuphi wale mithi.
- Ama-Painkiller: Udokotela wakho angase akuncome ama-painkiller njenge-paracetamol (Acetaminophen) kanye nama-NSAID (izidakamizwa ezingezona eze-steroidal ezilwa nokuvuvukala) ngendlela yamaphilisi noma ama-lotion.
- Imijovo ye-steroid: Uma ubuhlungu nokuvuvukala kukhulu kakhulu, udokotela wakho angakunika umjovo we-steroid ngqo emalungeni. Lokhu kungakunikeza impumuzo esheshayo.
Ingabe ukuhlinzwa kuzodingeka?
Ezimweni eziningi, ukuhlinzwa akudingeki. Kodwa-ke, uma kungekho okunye ukwelashwa okulawula ubuhlungu futhi kunzima kakhulu ukwenza imisebenzi yansuku zonke, udokotela wakho angase acabangele ukuhlinzwa. Inqubo evame kakhulu ukuhlanganiswa kwamalunga . Lokhu kuhilela ukususa i-cartilage egugile nokuhlanganisa amathambo amabili ndawonye.
Kufanele ubonane nini nodokotela?
Uma unesinye noma ngaphezulu kwalezi zimpawu ezilandelayo, kubaluleke kakhulu ukubona udokotela ngokushesha ukuze uthole iseluleko.
| Isizathu | Okufanele ngikwenze? |
|---|---|
| Uma ubona amaqhubu amasha noma ukuvuvukala emalungeni akho eminwe. | Bona udokotela ukuze uqinisekise ukuthi lawa ngama-node kaHeberden noma cha. |
| Uma unenkinga yokwenza imisebenzi ebucayi njengokunamathisela izinkinobho noma ukubhala. | Funa iseluleko ngoba lokhu kungaba uphawu lokungasebenzi kahle kwamalunga. |
| Uma unezinhlungu ezingapheli , ukuqina, noma ukuvuvukala ezandleni noma eminweni yakho. | Kubalulekile ukuqala ukwelashwa ukuze ulawule ubuhlungu futhi uvimbele isimo ukuba singabi sibi kakhulu. |
Umlayezo Wokuya Nawe Ekhaya
- Ama-node kaHeberden awasona isifo esihlukile. Awuphawu oluvamile lwe- osteoarthritis, isifo samalunga esiwohlokayo sezandla.
- La maqhubu akheka njengoba umzimba usabela ekugugeni nasekudabukeni kwe-cartilage emalungeni ngokuhamba kwesikhathi.
- Lokhu kungabangela ukungakhululeki njengobuhlungu, ukuvuvukala, kanye nokungasebenzi kahle kweminwe.
- Kodwa ngokwelashwa okufanele, ukuzivocavoca umzimba, kanye nokushintsha kwendlela yokuphila , lezi zimpawu zingalawulwa kahle futhi ungaphila impilo evamile.
- Uma ubona ushintsho olufana nalolu eminweni yakho, ungesabi futhi ubone udokotela wakho ngokushesha ukuze uthole iseluleko esifanele.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment