Shin yanayin zai hana ko wanda ba zai yiwu ba?
Hannun yana dauke da fiye da bindigogi 25 wadanda suke da saukin kamuwa da cututtuka na rheumatoid arthritis . A gaskiya ma, girman kai da kumburi na wuyan hannu da kullun suna kasancewa alamun farko na wannan cuta mai kwakwalwa .
Rheumatoid arthritis an lalacewa lokacin da tsarin rigakafi ya yi aiki kuma ya kai hare-haren jiki, haifar da ciwo, kumburi, gajiya, da rauni.
Yawancin lokaci, yayin da cutar ta ci gaba, zai iya haifar da kara yawan nakasa kamar zafi da kuma ƙayyadadden iyakar motsi yana sa wuya a yi aiki.
Lokacin da wannan ya faru a hannayensa, zai iya yin bude kwalba mai kusa ba zai iya yiwuwa ba kuma ya kai ga nakasar kwanciyar hannu, hannun hannu, da yatsunsu.
Sanadin Rawanin Rheumatoid Hand Dformity
Kamar yadda yake tare da sauran kayan kwakwalwa a cikin jiki, zane-zane a cikin hannu suna kewaye da jikin mutum mai mahimmanci, wanda aka sani da synovium . Sautin yana samar da ruwa mai gina jiki , wani abu mai mahimmanci, wanda yake taimakawa wajen sa haɗin gwiwa.
Tare da cututtukan cututtuka na rheumatoid, tsarin rigakafi yana aika kwayoyin fararen fata, wanda ake kira leukocytes, don kai hari ga nauyin haɗin gwiwa mai kyau. Sabanin ya amsa wannan mummunar ta hanyar samar da Layer a kan sabon sababbin sassan jiki na synovial, ɗaya a gaba.
Rashin jari daga cikin wadannan takarda yana haifar da lalacewar ci gaba yayin da suke kutsawa cikin sararin samaniya da kuma haifar da sakin sunadarai wanda ya kara fadada kayan gwal da kashi.
Wadannan canje-canje na halitta sunyi tasiri sosai akan gine-ginen hannu, suna haifar da rikice-rikice da ƙaddarar kasusuwa da kwakwalwa.
Hanyoyin hannu da wuyan hannu sun shafi
Rheumatoid arthritis yawanci yakan tasowa asymmetrically, ma'ana cewa zai iya rinjayar daya hannu daban-daban da sauran. Yawanci yana bayyana a cikin ɗaya ko fiye daga cikin ɗakunan da ke cikin hannun:
- Abubuwan da suka hada da ƙananan haɗin gwal (manyan ƙuƙwalwa inda yatsunsu da yatsa suka hadu da hannu)
- Ƙungiyoyi masu haɗuwa na tsakiya (ƙananan tsakiya)
- Hannun wuyan hannu ciki har da haɗin motar motar carpometacarpal, haɗin tsakiya, haɗin gizon radiocarpal, da haɗin gwiwa
Abubuwan da ke cikin haɗin gwal din (ƙananan haɗin yatsun yatsun da yatsotsin) ba su shawo kan cutar har sai cutar ta fara ci gaba kuma an riga an shafe sauran gidajen.
Daya daga cikin alamun da ake ganewa da aka gano na maganin arthritis mai zurfi shine yanayin da aka sani da karkatacciyar hanya . Wannan shi ne inda yatsunsu suka fara farawa zuwa ruwan hoda saboda raguwa na tendons a kusa. A lokaci guda, wuyan hannu zai fara motsawa zuwa kusurwar hannunka na hannunka.
Yin maganin nakasawa a Rheumatoid Arthritis
Lokacin da nakasar hannu yake faruwa, baza a iya juyawa da magunguna ba. Yin aiki zai iya taimakawa wajen sake mayar da hannun kuma mayar da wasu hanyoyin da motsi da aiki. Ba abu mai sauki ba ne don yin aiki kuma yana buƙatar lokaci mai tsawo da farfadowa na jiki.
Daga qarshe, yin amfani da wuri shine hanya mafi kyau don rage girman lalacewa da kuma jinkirin ci gaban maganin arthritis. Jiyya yana bambanta da mataki na cutar:
- A farkon ko arthritis mai yalwaci, maganin cututtukan maganin maganin cututtuka ( DMARDs ) kamar Plaquenil (hydroxychloroquine) da Azulfidine (sulfasalazine) zasu iya taimakawa sau da yawa.
- Dattijon matsanancin matsananciyar cututtuka yana buƙatar karin DMARDs masu karfi ciki har da methotrexate da Arava (leflunomide). Wani magungunan miyagun ƙwayoyi, wanda ake kira TNF blockers, zai iya taimakawa wajen kawar da tsarin rigakafi ta hanyar hana wani ƙwayar ƙwayoyin ƙwayar cuta wanda aka sani da factor necrosis factor (TNF).
> Source:
> Chung, K. da Pushman, A. "Hanyoyin Kasuwanci a Gudanarwar Rheumatoid Hand." J Hand Surg Am . 2011; 36 (4): 736-47. DOI: 10.1016 / j.jhsa.2011.01.019.