Damuwa game da zafi a cikin yatsunsu, kuma ba ku san abin da ke faruwa ba? Wataƙila wannan shine sakamakon rauni, rheumatoid amosanin gabbai, polyosteoarthrosis ko rhizarthrosis. Akwai wasu dalilai na arthralgia waɗanda za a iya gano su kawai tare da taimakon kayan aikin kayan aiki.
Tuntuɓi asibitin, kuma ƙwararrun ƙwararrun za su kafa hoton asibiti, gudanar da hadadden magani. Tare da taimakon magani, physiotherapy, hanyoyin gyare-gyare, za a cire kumburi, za a dakatar da matakai masu lalacewa, kuma za a mayar da gaɓoɓi zuwa ƙarfin aiki.
Me yasa haɗin gwiwar yatsunsu ke ciwo: haddasawa da magani
Arthralgia sau da yawa yakan bayyana a matsayin harbinger ko alamar cuta ta farko. Maɗaukakiyar jin daɗi suna tasowa a sakamakon cututtukan arthropathies mai kumburi, cututtukan degenerative-dystrophic, galibi na asali mai rauni. Ciwo na ciwo yana haifar da haushi na ƙarshen jijiyoyi, wanda ya haifar da:
- gubobi;
- sodium ko potassium urates;
- haɓakar kashi;
- allergens;
- hanyoyin autoimmune.
Abin da ke haifar da ciwo a cikin haɗin gwiwa na yatsun hannu na iya zama cututtuka na jijiyoyi ko matsalar da ba ta da alaka da gabobin kai tsaye. Raɗaɗɗen zafi da ake magana a kai zuwa gaɓar hagu abu ne na kowa a cikin bugun zuciya. Hakanan yana faruwa tare da matsaloli a ɓangaren sama na yankin mahaifa. Tare da hernia intervertebral, yana ba da kafada da gasa, hannaye.
Duk da haka, akwai wasu dalilai na kai tsaye saboda abin da phalanges ya zama maras kyau, ƙananan haɗin gwiwa na gabobin suna fama. Yatsu suna ciwo bayan cututtuka, hypothermia, kumburin nama mai laushi da tsarin kashi.
Rheumatoid amosanin gabbai
Cutar a cikin kashi 7% na lokuta tana shafar mutane sama da 30+. Duk yana farawa da kumburin ƙasusuwan metacarpophalangeal na manyan yatsu. Sa'an nan kuma tsarin catarrhal ya yada zuwa haɗin gwiwar wuyan hannu, ya rufe duk tsarin. Yana shafar hannu daya, sannan ya yada zuwa na biyu. Ƙunƙarar ma'auni na haɗin gwiwa na kusa tare da canji a cikin siffar ya zama hali ga wannan ilimin cututtuka. Ga kamfani, ƙasusuwan ƙashin ƙugu, idon sawu, da idon sawu suna wahala. Arthritis yana da alaƙa da raɗaɗi marasa daidaituwa. A cikin yini da farkon rabin dare suna jurewa, a cikin na biyu kuma suna ƙaruwa kuma ba sa barin barci.
Psoriatic amosanin gabbai
Yana lissafin kashi 5% na lokuta. Haka kuma cutar tana shafar maza da mata bayan shekaru 20. Ga mafi yawancin, yana tasowa a cikin mutanen da ke da bayyanar fata - psoriatic plaques da halayen halayen a jiki. Pathology halin da "a tsaye" kumburi tare da lokaci guda thickening duk gidajen abinci. A lokaci guda, phalanx na yatsa a hannu yana ciwo, fata ya zama ja, ya zama kamar tsiran alade. Ba kamar ƙumburi na rheumatoid ba, tsarin yana rinjayar hannaye biyu, amma yana rinjayar kasusuwa daban-daban.
Gout
Tare da wannan matsala, kasa da 5% na marasa lafiya suna komawa ga likitoci. Ya shafi maza masu shekaru 25-55 fiye da haka. Kumburi yana farawa tare da manyan yatsun kafa, a hankali ya tashi ta hanyar haɗin gwiwa, yana rinjayar phalanges na hannaye. Ciwon yana tasowa ba zato ba tsammani. Yana ratsa gaɓar gaba ɗaya, baya tafiya na dogon lokaci. Yankin da abin ya shafa ya zama shunayya da zafi don taɓawa. A cikin mata, tsari ya fi sauƙi, yana ɗaukar kwanaki 3-10. Koyaya, bayan ɗan lokaci komai ya sake maimaita kansa. Hanya mai kama da igiyar ruwa alama ce ta ci gaban kumburin gouty.
Arthritis
Ƙarƙashin ma'anar gama-gari ku fahimci abubuwan da ba su dace ba na wata dabi'a ta daban. Suna bayyana ne sakamakon cututtukan da suka gabata, tare da cututtuka na tsarin. Alamun kumburi mai tsanani - kumburi, ja, zazzabi, zafi a cikin haɗin gwiwa na yatsunsu. Mafi sau da yawa suna fama da metacarpophalangeal da interphalangeal. A cikin cututtukan arthritis na yau da kullun, abubuwan jin daɗi na episodic suna da damuwa. Bayan lokaci, tsokoki suna rasa ƙarfi da aiki. Arthritis na yatsunsu yana haifar da asarar basirar ilimin lissafi da nakasa.
Polyosteoarthrosis
Haɗin yatsa a hannun yana da zafi sosai tare da sauye-sauye na lalacewa a cikin kasusuwa. Duk yana farawa ne da bakin ciki na nama na cartilaginous, lalacewa ga haɗin gwiwar interphalangeal. Dalilan suna ɓoye a cikin ƙwayar cuta da sclerosis na membrane synovial, anomalies na endocrine. Likitoci sunyi la'akari da polyosteoarthritis na farko a matsayin cuta mai zaman kanta wanda ya haifar da nauyin jiki, hypothermia. Na biyu - a matsayin rikitarwa bayan cututtuka da raunin inji. A cikin duka biyun, zafi mai kaifi yana daɗaɗaɗawa, ƙanƙancewar juyi yana bayyana.
Rhizarthrosis ko osteoarthritis
Wannan wani dalili ne na ciwo a cikin yatsunsu, yana haifar da arthralgia da kuma haifar da matsala a mahaɗin babban yatsan hannu da wuyan hannu. Tsarin yana rinjayar duk haɗin gwiwa. Wannan yana haifar da:
- don rage daraja;
- gogayya da lalata-da-Layer lalata nama;
- thickening a cikin yankin interphalangeal;
- bayyanar nodules da taurin kai.
- kumbura.
Wani likitan likitan kasusuwa yayi sharhi:
Alamun sun bambanta dangane da mataki. A cikin mutanen da suka ɗora babban yatsan yatsa na dogon lokaci kuma a cikin 30% na lokuta, rhizarthrosis yana tasowa azaman cuta mai zaman kanta. Tun da alamun sun kasance 90% daidai da tenosynovitis de Quervain, an bambanta matsalar ta amfani da x-ray. Hoton yana nuna nakasar kashi a fili, kuma ba kyawu mai laushi ba, kamar yadda yake da kumburin tendon.
jawo cutar yatsa
A cikin littafin tunani na likitanci, an san ciwon ciwon yatsa da ake kira stenosing ligamentitis. Alamomi: kaifi zafi a cikin yatsa: kumburi, kumburi samu, numbness. Abin da ya bambanta shi ne kumburin tendon da samuwar nodes wanda ke hana lankwasa phalanges. Idan babu magani a mataki na 3, yatsa yana ɗaukar matsayi mai mahimmanci, a mataki na 4 nakasawa na biyu ya faru, tsarin ya zama wanda ba zai iya canzawa ba. Daga cikin dalilai masu tada hankali da yawa, an fi ambata anomalies na na'urar jijiya ta jijiya.
Tenosynovitis de Quervain
Saboda cutar de Quervain, ƙasusuwa a kan yatsunsu sun ji rauni a cikin 4% saboda kumburin tsoka. Hanyoyi masu kaifi suna faruwa ba zato ba tsammani a wurin haɗin gwiwa tare da haɗin gwiwar wuyan hannu kuma suna daɗaɗa su ta hanyar lanƙwasa. Pathology yana haifar da lalacewa ga membranes na synovial na extensors na yatsunsu. Matsalolin da ake kawo saukowa ta hanyar motsi guda ɗaya, saboda yawan matsa lamba akan hannu da tafin hannu, yana haifar da canjin cicatricial a cikin ligament. Yana:
- wasa kayan aikin madannai;
- bugu;
- aiki a kan conveyor.
Raynaud ta ciwo
Yatsu sun ji rauni saboda kaifi vasoconstriction saboda cututtuka na tsarin - vasculitis, scleroderma, lupus erythematosus, cututtuka na jini, matsawa na jini da zaruruwan jijiya. Vasospastic Pathology yana tare da cututtukan cututtuka na paroxysmal a ƙarƙashin rinjayar yanayin sanyi. Ciwon asibiti ba ya bayyana tsawon shekaru. Bayan lokaci, hare-haren suna bayyana wanda ke haifar da blanching ko ja na fata, cyanosis. A sakamakon haka, bayyanar cututtuka suna haifar da canje-canje na trophic a cikin kyallen takarda.
carpal tunnel ciwo
Har ila yau, haɗin gwiwar yatsa yana ciwo saboda raunin da ya faru da kuma ci gaba da ciwo na ramin carpal. Faɗuwar da ba ta yi nasara ba, tasiri yana haifar da lalacewa ga mutuncin kyallen takarda, tasoshin jini, haifar da samuwar hematoma ko karyewar hannu. Ci gaban ciwo yana taimakawa ta hanyar matsawa na jijiyar tsaka-tsaki a ƙarƙashin ligament wanda ke riƙe da tendons. Bayyanar cututtuka: rashin jin daɗi na dabino, rage ƙwarewar motsa jiki, rage yawan ƙwayar tsoka a kan babban tubercle. Cututtukan da ke da alaƙa da kumburin zaren tendon sun fi yawa a cikin mata.
Kasusuwa akan yatsunsu suna ciwo:
- Saboda bursitis na nau'i daban-daban.
- Abubuwan da ke cikin yara - Har yanzu cutar, Kawasaki ciwo.
- Cututtuka na tsarin - yaduwa fasciitis, Lyme, Sjögren, Crohn's, cututtukan Bechterev.
- Tumors - cutar sankarar bargo, cutar sankarar bargo na lymphoblastic.
Bincike
Ba shi yiwuwa a tabbatar da dalilin da yasa yatsun hannu suka ji ciwo ba tare da jarrabawar bambanci ba. Na farko, ana gudanar da bincike na gani. Masanin ilimin rheumatologist ko arthrologist yana mai da hankali ga daidaitawar rauni, bayyanar cututtuka, da sauran alamun asibiti. Ana tuntubar majiyyaci ta likitan traumatologist da likitan kwantar da hankali, sannan a aika da gwaje-gwajen dakin gwaje-gwaje.
Biochemistry na jini yana ƙayyade abubuwan rheumatoid, matakan uric da sialic acid, erythrocyte sedimentation rate a cikin jini. A cikin cututtukan cututtuka da na rigakafi, an gano furotin mai amsawa, yana nuna lalata nama.
Me yasa yatsun hannu suka ji rauni, dalili da magani suna taimakawa wajen kafa x-ray, duban dan tayi. Likita yana nazarin tsarin matsala, yana gudanar da ganewar asali na hannun lafiya. Ya zama dole:
- don tantance girman lalacewar tsarin;
- yanayin guringuntsi da ligaments;
- gano alamun farko na anomalies, cysts da nodes.
An wajabta MRI don cututtukan da ake zargi da lalata da cututtukan neoplastic. Tomography yana taimakawa wajen samun hotuna na 3D na kyallen takarda mai laushi a cikin tsinkaye daban-daban, don gano raunuka na baya-bayan nan da na yau da kullum. Hanyoyi masu ba da labari suna nuna ƙaura, nisa na sararin haɗin gwiwa a cikin maganin arthritis, ƙwayar guringuntsi a cikin arthrosis, ƙaurawar kashi, girma. Wani lokaci ana yin amfani da densitometry don tantance yawan kashi.
Saboda abin da phalanges na yatsunsu ya ji rauni, wasu hanyoyin bincike za su ba da shawara - electrospondylography da electroneuromyography. Fasaha ta farko ta bayyana sashin kashin baya da ke da alhakin motsi na gabobin. Na biyu yana ƙayyade yanayin tsokoki da jijiyoyi na gefe. Tare da ciwo mai zafi a cikin yatsa, ƙwararren na iya ba da shawarar huda. Hanyar sha'awa ta percutaneous tana ba ku damar ɗaukar sirri, a lokaci guda ku ba da maganin rigakafi ko analgesic don sauƙaƙe alamun bayyanar cututtuka.
Bincike
- Binciken Ultrasound.An nuna binciken da ba shi da haɗari don kumburi da lalacewa ga kyallen takarda mai laushi, tsokoki, ligaments, tendons, capsules na haɗin gwiwa ta amfani da raƙuman ruwa na ultrasonic.
- Radiyon rediyo.Sanya don raunin da ya faru: raguwa da raguwa na kasusuwa, cututtuka na haɗin gwiwa: arthrosis da arthritis na haɗin gwiwa.
- Yin nazari.Gabaɗaya gwajin jini da fitsari, nazarin halittu na jini yana nuna alamun kumburi, kasancewar kamuwa da cuta, ɓarna a cikin ƙasusuwan ƙashi da guringuntsi.
- Hoto na maganadisu na maganadisu.Hanya mai mahimmanci don bincikar gidajen abinci tare da abun ciki na bayanai har zuwa 99%.
Yatsu suna ciwo: haddasawa da magani
Ko da kuwa ilimin etiology, NSAIDs an wajabta su don sauƙaƙe jin zafi, zazzabi, kumburi. Tasiri: nimesil, phenylbutazone, indomethacin, teraflex, sodium diflofenac. Idan haɗin gwiwar yatsunsu suna da ciwo sosai, ketrolac da tenoxicam sun dace da magani. Tare da drip ko intramuscular jiko, suna cire alamun na tsawon kwanaki 3.
Corticosteroid kwayoyi - dexamethasone, prednisolone kuma taimaka catarrhal tsari. A lokaci guda, kumburi yana raguwa, ana inganta hanyoyin tafiyar da rayuwa a cikin guringuntsi, wanda ke ba da gudummawa ga saurin dawo da motsi. Chondroprotectors suna yin kauri ga tsarin nama na kasusuwa, suna hana haɓakar matakai na degenerative.
Physiotherapy - duban dan tayi da kuma lantarki motsa far, acupuncture inganta jini wurare dabam dabam. Gymnastics na warkewa yana taimakawa wajen bunkasa tsokoki, mayar da motsi zuwa ga haɗin gwiwa. An shawarci marasa lafiya da su sake nazarin abincin su, su ci abinci tare da fifikon furotin da abinci na shuka, kuma su sha maganin spa.
Hanyoyin Magani
- liyafar wani likitan traumatologist- likitan kasusuwa
- Shock kalaman far na hannu
- Plasmolifting na gidajen abinci
- PRP Therapy don wuyan hannu
- Toshewar haɗin gwiwar hannu
- Allura a cikin goga
- Phonophoresis
- electrophoresis
- Ultrasound na hannu
- Physiotherapy
- Maganin magani
- Orthotics
- Magnetotherapy