Haeba o na le ramatiki ea ramatiki , ho bonahala eka ke tlhaho ho beha molato oa bohloko bohle ba hao holim'a lefu lena. Ha e le hantle, ke lefu le sa foleng le maqhubu a kopantsoeng ke majoe a kopantsoeng ke letšoao le ka sehloohong. Bohloko bo khutlang bo atisa ho amahanngoa le lefu la osteoarthritis, empa lefu la ramatiki le ka ama mokokotlo.
Tšebeliso ea malapa ea malapa le likokoana-hloko ho kenngoa ha sefate sa mokokotlo
Matšoao a mafu a tšoaetso a amang mokokotlo a ka bakang bohloko ba molala , bohloko ba morao, 'me ho ka ba le radiculopathy (bohloko bo hlahisang maotong kapa matsoho) ka lebaka la khatello ea methapo ka har'a mokokotlo kapa methapo ea methapo.
Ha lefu la ramatiki ke mohloli oa bohloko ba morao, ho tloaelehile hore mokokotlo oa mokokotlo (sebakeng sa molala) o amehe ho feta thoko ea thoracolumbar kapa li- sacroiliac joints . Mokokotlo oa mokokotlo o kenang le lefu la ramatiki hangata o hlaha ka mafu a tsoetseng pele.
Ke mokokotlo o ka holimo oa mokokotlo oo hangata o amehang ho ramatiki ea lefu la rheumatoid. Ho lahla ha li-ligamente tse tšehetsang li-vertebrae tsa pele le tsa bobeli tsa kokoana-hloko tsa mofuta oa Cervical (C1 le C2) li ka lebisa boemong bo sa tsitsang mokokotlong. Bakuli ba nang le ramatiki ea lefu lena ba lokela ho hlahlojoa ka linako tsohle bakeng sa matšoao a tlhaloso ea li-subluxation (dislocation e fokolang) mokokotlong oa mokokotlo. Haeba ho ruruha ho bakoa ke khatello ea mokokotlo oa mokokotlo, ho ka 'na ha e-ba le matšoao a ho kenngoa ha maqhubu a malelele (li-neurons tse ka holimo), ho akarelletsa le hyperreflexia (li-reflexes tse sa amoheleng).
Ho na le mekhoa e 'meli e ka khonehang e hlalosang ho ameha ha lihlopha tsa mokokotlo oa mokokotlo oa mokokotlo ka ramatiki ea lefuba:
- Ho eketsa ts'ebetso ea ho ruruha ho tloha maqheku a haufi le methapo ea mafu ho ea fihla sebakeng se fumanoeng ho bona (sebopeho se pakeng tsa disc le 'mele oa vertebral).
- Ho se tsitse ha mokokotlo oa mokokotlo oa li-cervical o qalileng ke tšenyo e kopanetsoeng ea apophyseal (facet), e leng se etsang hore motho a fokotsehe kapa a fokotsehe, e leng se ka bakang li-microfractures tsa li-end, li-disc, kapa ho fokotseha ha marang-rang.
Ho kenyelletsoa ha likarolo tsa likarolo tsa li-lumbar spine le discitis ho 'nile ha boleloa hore ke lefu la ramatiki ka linako tse ling, haholo-holo ho latela litšoantšo le lithuto tsa morao-rao. Tloaelong ea bongaka, pele ho kenngoa ha li-rumatoid tsa mokokotlo ho ka fumanoa, lisosa tse tloaelehileng le tse tebileng tsa bohloko ba morao (mohlala, ho ferekanngoa ha mesifa) li lokela ho felisoa.
Kenyelletso ea Metsing e Amanang le Rheumatoid Arthritis
Matšoao a atisang ho amahanngoa le ramatiki ea lefu la masapo le mokokotlo 'me e tla bonahala ho mokuli a kenyelletsa:
- Karolo ea sebaka se amehileng sa mokokotlo se bakoa ke bonolo
- Matšoenyeho sebakeng se amehileng sa mokokotlo
- Libaka tsa ho haha , haholo-holo sebakeng sa molala
- Ho roala hlooho ho ka etsahala ka ramatiki ea lefu la khohlo ea malapa
- Bohloko bo phatlollang fatše ka lehlakoreng le le leng kapa ka bobeli, ho bontša hore motsoako oa mokokotlo oa mokokotlo o kenngoa (mokokotlo oa radiculopathy)
- Bohloko bo hlahisang leoto le le leng kapa maoto a mabeli, e leng se bontšang hore ho na le metsoako ea metsoako ea lumbar (lumbar radiculopathy)
- Ho thata ho tsamaea, e leng pontšo ea khatello e eketsehileng mokokotlong oa mokokotlo
- Ho fokotsa, ho fokola ha matsoho kapa maoto, ho fetola ho leka-lekaneng le ho kopana ho ka 'na ha e-ba matšoao a mokokotlo oa mokokotlo
- Bothata ba ho laola moriana kapa senya (mohlala, ho se tsitseng, ho se khone ho ntša metsi, kapa ho sitoa ho laola malapa) e ka 'na ea e-ba pontšo ea ho kenella mokokotlong oa mokokotlo. Sena se hloka tlhokomelo ea bongaka hang-hang.
Haeba ramatiki ea ramatiki e baka tšenyo ea likarolo tsa mokokotlo, boemo bo tsejoang e le spondylolistes bo ka 'na ba hlaha. Ka spondylolisthesis, vertebra e ka holimo e fetela pele holimo ho vertebra e ka tlaase e haufi. Vertebra e theohileng e ka beha khatello e eketsehileng mokokotlong oa methapo kapa methapo ea methapo moo e tsoang mokokotlong 'me ea baka mathata a boletsoeng ka holimo a amanang le khatello ea mokokotlo oa mokokotlo.
Lisebelisoa:
> Ramatiki le Maloetse a Amehang. The Foundation ea Arthritis. https://www.arthritis.org/about-arthritis/where-it-hurts/back-pain/causes/back-arthritis.php.
> Currier BL, Coblyn J. Cervical Subluxation ka Rheumatoid Ramatiki. E maemong. http://www.uptodate.com/contents/cervical-subluxation-in-rheumatoid-arthritis.
> Li-Venables PJW, RN ea mahlahahlaha. Lipontšo tsa meriana ea lefu la ramatiki. E maemong. http://www.uptodate.com/contents/clinical-manifestations-of-rheumatoid-arthritis.