Rheumatoid Cutar Lafiya Ba Shahara ba ne
Ba abin mamaki ba ne ga mutanen da ke dauke da ciwon maganin ƙwaƙwalwar ƙwayar cuta don bunkasa lalacewar ƙananan ƙananan. Bisa ga AAOS (Ƙasar Amirka na likitoci na Orthopedic), fiye da kashi 90 cikin dari na mutanen da ke dauke da ciwon sukari suna ci gaba da kafa alamomin kafa da kuma takalma a kan yanayin cutar. Duk da yawan tsararraki, matsalolin ƙafar ƙarancin suna watsi da su ko watsi.
Hanyar da aka saba da mawuyacin hali
Kowace ƙafa yana da kasusuwa 26, zuwa kashi uku: ƙafar kafa (talus da calcaneus), kwakwalwan kafa (navicular, cuneiforms, da cuboid), da goshin kafa (matattun kafa da ƙananan kasusuwa ko ɓoye). Tare da aiki na al'ada (misali, tafiya da gudana), yankuna na ƙafa sun haɗa kai. Yayin da kake tafiya ko gudu, ƙafafunka yana tafiya ta cikin juzu'i (ƙwallon ƙafa a ciki) da kuma matsayi (ƙafafun kafa) wanda ya ba da damar kafa don daidaitawa zuwa jikin da ba ya da kyau kuma ya sha girgiza, ya biyo bayan motsi gaba. Amma, a wasu cututtuka da yanayin da zai shafi ƙafafun (misali, arthritis na rheumatoid), za a iya shawo kan sake zagaye na maye gurbin / damuwa, wanda zai haifar da ƙarancin kafa na haushi (overpronation), midfoot da rashin kwancen kafa na gaba, matsanancin nauyi a kai tsaye (zuwa cikin ciki ƙafar) ko sama sama (zuwa waje na kafa).
Wadannan abubuwan haɗari zasu iya canza nauyin nauyin nauyin da kuma haifar da ciwon haɗin gwiwa, matsalolin nama mai laushi (ƙuƙwalwar daji, bursa, ko haɗuwa), ko abubuwan da ke cikin fata (masara da masu kira). Matsalar sutura masu sassauci sukan saba faruwa a tsakiya, kamar su fasciitis na plantar, peroneal tendinitis, ko bursitis . Rheumatoid nodules zasu iya samuwa a tendon Achilles.
Rheumatoid Arthritis da Matsalar Cutar
Tare da cututtuka na rheumatoid, abubuwa da yawa sun haɗu da ƙafar kafa, musamman ƙaddamar da haɗin gwanon kafa (MTP), gyaran yatsun kafa (magunguna), da bunion (hallux valgus). Irin wannan nakasar yakan faru sau da yawa, musamman a maganin arthritis mai cike da ciwon zuciya, yana haifar da ciwo da sauran cututtuka wanda zai iya kasancewa da alaka da nakasar injiniya fiye da cutar kanta. Yin haɗin haɗin gwiwa (alamar haɗin gwiwa) ba shi da wata manufa, wanda ya shafi kashi 10 zuwa 20 na mutanen da ke dauke da maganin ƙwayar cuta. Haɗin gwiwar da ke ƙarƙashin kwarjini ya fi yawan ciwon maganin arthritis, wanda ya shafi kashi 33-75 na mutanen da ke fama da cutar.
Rashin rarraba yatsun kafa, tare da kwangila na tendons wanda ke haifar da shinge, dakarun da suka hada da matakan da suka hada dasu a cikin tsire-tsire, kusan kawar da tashar mota. Mai wuya, mai kira mai zafi zai iya zama kamar yadda aka tura shugabannin masarar ƙasa zuwa ƙafafun kafa.
Binciken Cutar Matsala
Dikita zai iya lura da nakasar ƙarancin idon da takalmin kafa (ƙafar ƙafa ta waje) daga baya lokacin da mai haƙuri ke tsaye. Magana game da kumburi da taushi a kusa da idon sa alama ce ta synovitis .
Dole ne kuma a yi amfani da idon da takalma don yin nazari akan iyakar motsi . Mai haƙuri zai iya yin nazari don tausayawa ta hanyar tayin Achilles da kuma diddige.
Ana iya gano abubuwa masu banƙyama na baka da goshin kafa ta wurin lura da marasa lafiya a matsayi na tsaye. Akwai shaidu na shirin bashi (ƙwanƙwasa benci ko ƙafafun kwanciya) ko kuma cajin cafe (babban tuni) idan akwai.
Kusawar haɗin gwiwar katako mai yatsuwa yana haifar da yada yatsun kafa, wanda aka fi sani da alamar hasken rana. Yin amfani da matsa lamba ta hanyar kai tsaye ga tasoshin haɗin gwiwar cin abinci zai nuna jin tausayi idan akwai.
Jiyya Zɓk
Hanyoyin koyaswa na iya taimakawa wajen rage ciwo da kuma inganta aikin a cikin mutanen da ke fama da nakasar ƙwayar ƙwararrun ƙafa.
Muhimmancin takalma masu dacewa ba za a iya rinjaye su ba. Yayinda takalma na warkewa zai iya rage ciwo da inganta aiki, sau da yawa rashin kulawa da rashin biyayya saboda rashin jin daɗi tare da dacewa da kuma salon.
Don lokuta masu tsanani, lokacin da hanyoyi masu ra'ayin juyin juya halin da suke mayar da hankali ga takalma ko ƙwayar kothotics, aikin tiyata na iya zama wani zaɓi. Kamfanonin kafa na gaba da fuska suna ganin yiwuwar zaɓuɓɓuka masu dacewa.
Sources:
Ƙafar da takalma a Rheumatology. Philip Helliwell et al. Binciken Arthritis Birtaniya. Isowar 8. Spring 2011.
http://www.arthritisresearchuk.org/health-professionals-and-students/reports/topical-reviews/topical-reviews-spring-2011.aspx
Rawanin Rheumatoid na Ƙafar. Leonard Marmor. Arthritis da Rheumatism. Vol. 6. A'a. 6 Disamba 1963. (An wallafa shi a ranar 21 ga Nuwamba, 2005.)
http://onlinelibrary.wiley.com/doi/10.1002/art.1780060610/pdf
Arthritis Rheumatoid na Ƙafar da Takalma. OrthoInfo. AAOS. Disamba 2011.
http://orthoinfo.aaos.org/topic.cfm?topic=a00163
Mahimmanci a kan cututtuka na Rheumatic. Arthritis Foundation. Na sha uku edition. Babi na 2. Bayyana Majiyar. P.13-14.