Na boemo boo bo ka thibeloa kapa bo ke ke ba qojoa?
Letsoho le na le manonyeletso a fetang 25 ao ka ho khetheha a kotsing ea liphello tse kotsi tsa ramatiki ea ramatiki . Ha e le hantle, ho thatafala le ho ruruha ha li-wrists le knuckles hangata ke matšoao a pele a lefu lena le sa foleng.
Matšoao a mafu a bakoang ke lefu la masapo a bakoa ke matla a 'mele a ho itšireletsa mafung' me a hlasela manonyeletso a 'mele, a bakang bohloko, ho ruruha, mokhathala le bofokoli.
Ha nako e ntse e ea, ha lefu lena le ntse le tsoela pele, le ka lebisa ho ho holofala ha bohloko le ho thibela mekhoa e thibelang ho etsa hore ho be thata ho sebetsa.
Ha sena se etsahala matsohong, se ka etsa hore nkho e bule haufi le ho se khonehe 'me e lebise ho fokola butle-butle ha liatla, matsoho le menoana.
Lisosa tsa Phetoho ea Matsoho ea Mafu a Mafu
Joaloka lihlopha tse ling 'meleng, manonyeletso a letsohong a pota-potiloe ke lesea le tšesaane le le nang le pliable tse tsejoang e le synovium . Synovium e hlahisa motsoako oa synovial , motsoako o mosesaane, o nang le matheba a mabeli o thusang ho hlahisa setlolo.
Ka lefu la ramatiki, matla a 'mele a ho itšireletsa mafung a romela lisele tse tšoeu tsa mali, tse bitsoang leukocyte, ho hlasela lisele tse nang le bophelo bo botle. Synovium e arabela tlhaselong ena ka ho hlahisa lisele tse ncha tsa synovial, tse ling tse latelang.
Ho bokella lisele tsena ho baka ho fokola habonolo ha ba ntse ba kenella sebakeng se kopaneng ebe ba etsa hore ho lokolloe liprotheine tse fokolisang lefuba le bone.
Liphetoho tsena tse rarahaneng tsa likokoana-hloko li ka ama mohaho oa letsoho, e leng ho baka ho sotha li-tendon le ho se hlophisehe ha masapo le manonyeletso.
Lihlopha tsa matsoho le matsoho tse amehileng
Hangata ramatiki ea lefu la ho ruruha e hlaha e sa lekane, e bolelang hore e ka ama letsoho le leng ka tsela e fapaneng le e 'ngoe. E atisa ho hlaha ho e 'ngoe kapa tse ling ho tse ling tse latelang letsohong:
- Manonyeletso a metacarpophalangeal (li-knuckles tse kholo moo menoana le lesela le le leng li kopanang ka letsoho)
- Li-interphalangeal joints (li-knuckle tse bohareng)
- Manonyeletso a letsoho ho kenyeletsa lejoe la carpometacarpal, motsoako oa motlakase, motsoako oa radiocarpal le manonyeletso a maiketsetso
Litho tsa distallangeal distal (li-outermost tsa menoana le maoto a maoto) ha li atisa ho ameha ho fihlela lefu lena le hatela pele 'me litho tse ling li se li amehile.
E 'ngoe ea matšoao a mangata a ho feta a lefu la ramatiki e phahameng haholo ke boemo bo tsejoang e le phapang ea ulnar . Mona ke moo menoana e qalang ho theohela ho pinky ka lebaka la ho phatloha ha litone tse haufi. Ka nako e le nngwe, letsoho le tla qala ho fetela ka lehlakoreng le leng la letsoho la letsoho.
Ho Phekola Boikhathatso Boemong ba Rumatoid Arthritis
Ha ho fokola ha letsoho, ha ho na phekolo ea meriana. Phekolo e ka thusa letsoho le ho tsosolosa mefuta e meng ea ho tsamaea le ho sebetsa. Hase ho buuoa habonolo ho etsa 'me ka kakaretso ho hloka nako e telele ea ho folisa le phekolo ea meriana.
Qetellong, phekolo ea pele ke tsela e molemo ka ho fetisisa ea ho fokotsa tšenyo le ho fokotsa tsoelo-pele ea ramatiki ea lefuba. Kalafo e fapana le sethaleng sa lefu lena:
- Nakong ea matšoao a ramatiki a pele kapa a bonolo, mafu a ho loantša mafu ( DMARD ) joaloka Plaquenil (hydroxychloroquine) le Azulfidine (sulfasalazine) hangata a ka thusa.
- Ho tloaelehile hore lefu la ramatiki le matla haholo le hloka matla a DMARD a kenyeletsang methotrexate le Arava (leflunomide). Sehlopha se seng sa lithethefatsi, se bitsoang TNF blockers, se ka thusa ho thibela sesole sa 'mele ka ho thibela protheine ea ho ruruha e tsejoang e le tumor necrosis factor (TNF).
> Mohloli:
> Chung, K. le Pushman, A. "Likhopolo tsa morao-rao tsamaisong ea letsoho la bo-rumatoid." J Hand Surgery Am . 2011; 36 (4): 736-47. DOI: 10.1016 / j.jhsa.2011.01.019.