Osteoarthritis na hannu (hannun arthrosis) | Dalili, alamomi, motsa jiki da magani

Osteoarthritis na hannaye, wanda kuma aka sani da osteoarthritis na hannu, na iya haifar da ciwo da taurin hannu da yatsunsu. A cikin wannan jagorar za ku koyi komai game da osteoarthritis na hannu.

Hannun osteoarthritis ya haɗa da lalacewa da tsagewar haɗin gwiwa a hannaye, yatsu da wuyan hannu. A zahiri, wannan na iya haifar da lalacewa na guringuntsi, rage sararin haɗin gwiwa da calcifications. Irin waɗannan canje-canje na lalacewa na iya haifar da ciwo. zafi a cikin yatsunsu, zafi a hannu, taurin kai da rage ƙarfin riko. Wani abu da zai iya shafar ayyukan yau da kullun kamar riƙe kofi kofi ko buɗe murfi.

- Osteoarthritis na iya raguwa idan kun ɗauki matakan aiki

Za'a iya gano cutar ta hanyar, ta fuskoki da yawa, ta hanyar jiyya ta jiki, shimfiɗa kullun da motsa jiki. A cikin wannan jagorar, za mu, a tsakanin sauran abubuwa, ta hanyar shirin horo tare da 7 motsa jiki na maganin osteoarthritis na hannu (da bidiyo).

“Ma’aikatan lafiya masu izini na jama’a ne suka rubuta labarin kuma sun duba ingancinta. Wannan ya haɗa da duka likitocin likitancin jiki da chiropractors a Ciwon Asibitocin Lafiyar Jama'a (duba bayanin asibiti a nan). Kullum muna ba da shawarar cewa ma'aikatan kiwon lafiya masu ilimi su tantance zafin ku."

tips: Baya ga nuna bidiyo tare da motsa jiki 7 na maganin osteoarthritis a hannu, za mu kuma ba ku shawara mai kyau game da matakan kai da taimakon kai. Wannan ya hada da amfani da takamammen safofin hannu na matsawa na musamman, barci da goyan bayan wuyan hannu, horo tare da mai horar da hannu da yatsa, da kuma gwada kai da dynamometer na hannu. Hanyoyin haɗi zuwa shawarwarin samfur suna buɗewa a cikin sabuwar taga mai lilo.

- Wadanne sifofi a cikin hannaye da yatsu ne ciwon osteoarthritis ke shafa?

Hannun cuta na hannu ya ƙunshi rushewar guringuntsi da kasusuwa kasusuwa cikin yatsunsu, wuyan hannu da ƙananan gidajen abinci na hannu. Musamman yana shafar:

• wuyan hannu

• 1st metacarpal hadin gwiwagindin babban yatsa)

• Yankakke (PIP hadin gwiwa, hadin gwiwa na yatsunsu)

• Babban yatsun yatsa (hadin gwiwa na DIP, hadin gwiwa na yatsunsu)

Yana da kyau a ambata cewa osteoarthritis na hannu sau da yawa yana farawa da arthrosis a cikin babban yatsan hannu.

A cikin wannan babban jagorar za ku ƙarin koyo game da:

1. Bayyanar cututtuka na osteoarthritis a cikin hannaye

2. Sanadin cutar osteoarthritis a hannu

3. Matakan kai da taimakon kai game da osteoarthritis na hannu

4. Rigakafin osteoarthritis a hannu (ciki har da bidiyo tare da motsa jiki)

5. Jiyya da gyaran osteoarthritis a hannu

6. Gano osteoarthritis a hannu

Wannan cikakkiyar jagora ce akan ciwon osteoarthritis na hannu wanda ma'aikatan kiwon lafiya masu izini na jama'a suka rubuta Ciwon Asibitocin Lafiyar Jama'a. Ka tuna cewa koyaushe kuna iya tuntuɓar mu idan kuna da tambayoyi ko kuna mamakin wani abu.

1. Alamomin osteoarthritis a hannu

Bayyanar cututtuka da jin daɗin rayuwar mutum ya bambanta sosai daga mutum zuwa mutum. Wasu mutane suna da mahimmancin osteoarthritis ba tare da jin zafi ko alama ɗaya ba - yayin da wasu, tare da ƙananan osteoarthritis, suna fama da ciwo da haɗin gwiwa. Alamun da aka samu sau da yawa za a danganta su kai tsaye zuwa girman da tsananin canje-canjen lalacewa da tsagewa.

– 5 matakai na osteoarthritis

Osteoarthritis ya kasu kashi 5 matakai. Daga mataki na 0 (babu osteoarthritis ko haɗin gwiwa) zuwa mataki na 4 (ci gaba, gagarumin osteoarthritis da lalacewa da tsagewa). Matakan daban-daban suna ba da nuni na nawa aka rushe guringuntsi a cikin hannaye da girman girman lalacewa da tsagewar canje-canje. Mun nuna cewa mataki na 4 yana da yawan lalacewa da tsagewar canje-canje, wanda zai ƙunshi gagarumin nakasar hannaye da nakasar aiki.

cututtuka a kan osteoarthritis na iya haɗawa:

• Kumburi a cikin ƙwanƙwasa, tsaka-tsaki ko mafi ƙarancin yatsa

• Haske ko bayyanar kumburi daga cikin gidajen da abin ya shafa

• Reliefarfafa matsewa na gida akan gidajen abinci

• Rage ƙarfin ƙarfi

• Redness na gidajen abinci

• Jin taurin hannu da yatsu

• Jin zafi a hannu da yatsu

• Karkatattun yatsu

• Samuwar guringuntsi a gidajen yatsa na waje (Kullin Heberden)

• Ƙashi na ƙasusuwa a haɗin gwiwar yatsan tsakiya (Bouchard's kullin)

• Ayyuka a hannu yayin amfani da kaya

• Ƙara yawan ƙararrakin ramuwa a cikin goshi da gwiwar hannu

Hannun da cututtukan osteoarthritis suka shafa na iya haifar da karuwar cutar rashin hannu, matsalolin kafada da jijiyoyin gwiwa. Wannan shi ne saboda gaskiyar cewa sau da yawa kuna fara damuwa ba daidai ba idan hannaye ba su yi aiki sosai kamar yadda ya kamata ba, don haka yana shafar tsarin jiki da wuraren da ke kusa. Ana kiran wannan korafin diyya. Osteoarthritis a cikin hannaye na iya, saboda nauyin da ba daidai ba, har ma yana haifar da karuwa a cikin wuyansa (ciki har da wuyan damuwa) da ciwon kafada.

- Me yasa hannaye na suka fi tauri da zafi da safe? 

Akwai manyan dalilai guda uku da yasa hannayenku da yatsunku suka fi ƙarfi da zafi lokacin da kuka fara tashi:

1. Ƙananan ruwan synovial

2. Karancin jini

3. Matsayi mara kyau na wuyan hannu lokacin barci

Lokacin da muke barci, zuciya tana bugawa a hankali kuma jiki yana da ƙarancin buƙata don yawan zagayawa na jini da ruwan synovial. Matsalar kawai ita ce idan muna da wuraren lalacewa tare da yawancin lalacewa da raguwa, waɗannan za su buƙaci wannan microcirculation don ci gaba. Sakamakon shi ne cewa haɗin gwiwa a cikin hannaye da yatsunsu suna jin zafi da zafi. Wasu kuma suna son yin barci da hannuwansu, ko kuma da wuyan hannu, wanda hakan na iya ƙara taurin safiya. Musamman ma'aunin kansa, wato barci da shi goyan bayan wuyan hannu orthopedic, zai iya taimakawa wajen kiyaye wuyan hannu a daidai lokacin da kake barci, kuma don haka kula da wurare masu kyau da kuma siginar jijiya, ta hanyar, a tsakanin sauran abubuwa, ramin carpal da rami na Guyon.

Shawarar mu: Gwada barci tare da goyan bayan wuyan hannu orthopedic

Wannan shawara ce mai kyau da mutane da yawa suka ba da rahoton cewa yana da tasiri mai kyau. Ta hanyar kwanciya da daya goyan bayan wuyan hannu orthopedic kamar yadda aka nuna a sama, kuna son tabbatar da cewa wuyan hannu yana tsaye a tsaye (maimakon lanƙwasa) kuma "buɗe" cikin dare. Ta wannan hanyar, muna kuma so mu guji rage yanayin sarari a wuyan hannu, wanda zai iya rage wurare dabam dabam lokacin da muke barci. Latsa ta don karanta ƙarin game da shawararmu.

2. Dalili: Me yasa kake samun ciwon osteoarthritis a hannu?

Dalilin da yasa kake samun ciwon osteoarthritis a hannu da yatsu ya fi rikitarwa fiye da yadda kuke tunani. Ba wai kawai game da kima na dogon lokaci ba, har ma da abubuwan halitta, shekaru da abubuwan haɗari. Bayan an faɗi haka, lalacewar haɗin gwiwa yana faruwa ne lokacin da jiki ya kasa gyara haɗin gwiwa da sauri fiye da karyewa. Amma an rubuta da kyau cewa hannu yana motsa jiki da horar da ƙarfi (tare da riko mai horo) zai iya taimakawa wajen kula da aiki mai kyau, ƙarfafawa da rage zafi a tsakanin marasa lafiya tare da osteoarthritis a hannun.¹ Wadannan abubuwan haɗari suna ƙara haɗarin osteoarthritis na hannu:

• Jima'i (mata sun fi maza kamuwa da ciwon osteoarthritis).

• Mafi girma shekaru (rashin iya gyarawa)

• jinsi (wasu kwayoyin halitta suna haifar da ƙarin haɗari)

• Raunin baya da karaya a hannu

• Maimaituwar lodi

• Raunin kwanciyar hankali tsokoki a hannaye da yatsu

• shan taba (rashin jin daɗi)

• Rage ƙarfin ƙarfi

Idan muka dubi lissafin da ke sama, za mu ga cewa akwai wasu abubuwan da za ku iya sarrafawa, wasu kuma waɗanda ba za ku iya sarrafa kanku ba. Dalilai na yau da kullun na ci gaban osteoarthritis sun haɗa da, a tsakanin wasu abubuwa, wuce gona da iri na tsawon lokaci, abubuwan da ke haifar da ƙwayoyin cuta da raunin da ya faru a baya. Karyewar hannu da yatsu na iya haifar da ci gaban osteoarthritis na hannu a baya.

- tsufa yana nufin ƙara buƙatar kulawa da halaye masu kyau

Ba a yi shi da kyau ba, amma yanayin da ikon gyarawa ya raunana yayin da muke girma. Wannan yana nufin cewa jiki ba ya da kyau wajen gyara wuraren haɗin gwiwa da guringuntsi, da kuma ligaments da tendons. Wannan shi ne ainihin dalilin da ya sa yana da mahimmanci mu kula da biyu daga cikin muhimman kayan aikin da muke da su.

Hannun osteoarthritis na iya haifar da calcifications da lumps na guringuntsi

Lokacin da gurnetin tsakanin yawancin yatsunsu na yatsun, hannaye da wuyan hannu suka rushe, ayyukan gyara zasu faru a nasu ɓangaren a ƙoƙarin gyara don lalacewa. Wadannan matakai kuma suna nufin cewa an kafa nama na kashi a cikin wuraren da abin ya shafa, wanda hakan zai iya haifar da ƙididdiga, lumps na guringuntsi da ƙasusuwa.

- Ganuwa, manyan ƙwallayen ƙasusuwa akan yatsu na iya zama mai nuni ga mahimman cututtukan osteoarthritis

Irin wadannan kashin suna bayyane akan raayoyi kuma suna samarda dalili don fadin girman yadda cutar kumburin kumbura ta yadu. Lokacin da aka ganuwa, manyan ƙwallayen ƙasusuwa akan yatsu ko wuyan hannu, wannan alama ce bayyananne cewa akwai ɗan ƙaramin osteoarthritis a wani mataki na gaba.mataki na 3 ko 4 yawanci).

Heberdens knots 

Lokacin da sassan kasusuwa da bayyane kekuna suka bayyana a sashin yatsun hannu, wadannan suna - a likitance - ana kiran su bangarorin Heberden. Yawancin mutane suna ganin cewa suna da ƙananan rabe-raben raga a ƙarshen ɓangaren yatsun yatsa (gidajen abinci na DIP) kuma suna mamakin abin da hakan zai iya. Gaskiyar ita ce, akwai ƙabilu.

Bouchards knots

Idan irin wannan ƙididdiga da ƙwallon ƙafa sun faru a cikin haɗin gwiwa na yatsa na tsakiya, ana kiran wannan nodule Bouchard. Don haka ana amfani da wannan bayanin idan an shafa mahadar ta tsakiya (haɗin PIP).

3. Matakan kai da taimakon kai daga ciwon sankarau na hannu

Idan kana so ka ɗauki hanya mai aiki don rage jinkirin osteoarthritis da rage tsarin tsufa a hannunka, wannan tabbas zai yiwu. Ta hanyar ƙarfafa tsokoki a cikin hannaye, goshi da kafadu, za ku iya sauƙaƙe haɗin gwiwa, da kuma taimakawa wajen inganta yanayin jini da kiyayewa. Hanyoyi masu kyau don yin wannan sun haɗa da amfani riko ƙarfi horo ko mai koyar da yatsa. Yawancin amfani kuma takamammen safofin hannu na matsawa na musamman don ƙara wurare dabam dabam a cikin hannaye da kuma samar da ƙarin kariya. Duk shawarwarin samfur suna buɗewa a cikin sabuwar taga mai lilo.

Shawarar mu: Yin amfani da safofin hannu na matsawa kullun

Ɗaya daga cikin mafi sauƙin matakan kai don farawa da kuma ɗaya daga cikin mafi kyawun shawarwarinmu. Matsi safar hannu yana da, a cikin adadin karatu, an rubuta sakamako mai kyau akan ƙarfin ƙarfi, ƙara yawan wurare dabam dabam da aiki mafi kyau - kuma ga marasa lafiya na rheumatic.² Bugawa ta don karanta ƙarin game da shawararmu. Ana iya amfani da waɗannan kullun.

Shawarwari don ingantacciyar riko: Mai horar da ƙarfin riko

Hanya mafi kyau don horar da ƙarfin riko ita ce ta takamaiman horo. Wannan shine ainihin dalilin da yasa muke ba da shawarar wannan takamaiman mai horar da ƙarfin riko. Kuna iya saita juriya ko'ina daga 5 zuwa 60 kg. Don haka kuna da kyawawan dama don taswirar ci gaban ƙarfin ku (Hakanan zaka iya amfani da dynamometer na hannu don bincika ƙarfin ku daidai - zaku iya karanta ƙarin game da waɗannan a ƙasa a cikin labarin.). Latsa ta don karanta ƙarin game da wannan shawarar mai horar da ƙarfin riko.

4. Rigakafin osteoarthritis a hannu (ciki har da bidiyo tare da shawarwarin motsa jiki)

A cikin sashin da ke sama, mun ambaci yadda yin amfani da ma'aunin kai mai kaifin basira zai iya taimakawa wajen kare hannayenku da yatsu. Kuma yana da ɗan yanayin cewa auna kai da rigakafin sun haɗu da kyau. Amma a nan mun zaɓi yin nazari sosai kan takamaiman motsa jiki waɗanda za su iya taimaka muku rage ci gaban osteoarthritis na hannu. Bidiyon da ke ƙasa ya nuna wato chiropractor Alexander Andorff fito da tsarin horon da aka ba da shawarar a gare ku tare da osteoarthritis a hannu.

BIDIYO: Motsa jiki guda 7 na maganin ciwon hanji

Kuna iya karanta ƙarin game da waɗannan darasi bakwai a cikin labarinmu 7 motsa jiki na maganin osteoarthritis na hannu. A can za ku iya karanta cikakken bayanin yadda ake yin atisayen.

Jin kyauta don biyan kuɗi a tasharmu - kuma ku bi shafinmu na FB don samun shawarwarin kiwon lafiya na yau da kullun da shirye-shiryen horarwa waɗanda za su iya taimaka muku kan hanyarku don samun ingantacciyar lafiya.

Nasihar kayan aikin horo: Koyi "buɗe hannunka" da wannan mai horar da yatsa

Shin kun yi la'akari da cewa kusan kowane motsi da muke yi a rayuwar yau da kullun yana "rufe" hannu? Yana da sauƙi a manta cewa yatsun ya kamata su iya tafiya ta wata hanya kuma! Kuma a nan ne wannan mai horar da hannu da yatsa ya shigo cikin nasa. Yana taimaka muku horar da abin da muke kira tsawo yatsa (watau lankwasa yatsunsu a baya). Irin wannan horo na iya samun tasiri mai kyau akan aiki da ma'auni na tsoka a cikin hannaye da yatsunsu. Latsa ta don karanta ƙarin game da shawararmu.

5. Magani da gyara ciwon osteoarthritis a hannu

Likitocin mu a Vondtklinikkene Tverrfaglig Helse sun san cewa mataki na farko kan hanyar samun ingantacciyar lafiyar hannu koyaushe yana farawa da yanke shawara daga majiyyaci. Zaɓin ɗaukar matakan aiki don ingantaccen aiki da ƙarancin zafi a rayuwar yau da kullun. Ma'aikatan lafiyar mu da masu aikin chiropractors suna aiki kullum don taimakawa marasa lafiya na osteoarthritis a kan hanyar zuwa rayuwa mafi kyau ta yau da kullum. Mun cim ma hakan ta hanyar haɗin gwiwa na tushen shaida na dabarun jiyya na jiki da takamaiman motsa jiki na gyarawa. Wasu daga cikin hanyoyin jiyya da ake amfani da su don osteoarthritis na hannu na iya haɗawa da:

• Physiotherapy

• Dabarun tausa hannu

• Ƙarfafa cikin tsoka (IMS)

• Magungunan Laser mara ƙarancin kashi (Laser warkewa)

• hadin gwiwa janyo ra'ayoyin

• Trigger batu far

• Busassun busassun busassun busassun busassun busassu

Waɗanne dabarun magani ake amfani da su sun dace da kowane mai haƙuri. Amma tare da wannan ya ce, jiyya ta jiki sau da yawa ya ƙunshi fasahohin tausa, laser warkewa da haɗin gwiwa. Magungunan Laser yana da ingantaccen tasiri akan osteoarthritis a hannu - da kuma lokacin da ƙwayoyin guringuntsi ke faruwa a cikin yatsu (yatsu).Heberden's nodes da Bouchard's nodes).³ Daga cikin wasu abubuwa, binciken da ya fi girma ya nuna cewa yana rage kumburi a cikin yatsunsu kuma yana ba da taimako mai mahimmanci tare da jiyya na 5-7. Ana ba da laser warkewa kwata-kwata sassan asibitin mu.

Movementarin motsi a rayuwar yau da kullun

Shin kuna da aikin da zai ba ku yawan maimaitawa da nauyin lambobi? Sannan muna ba da shawarar sosai cewa ku kula sosai don samun isasshen motsi da zagayawa na jini. Shiga ƙungiyar motsa jiki, tafi yawo tare da aboki ko yin motsa jiki a gida. Abu mafi mahimmanci shine ka yi wani abu da kake so don haka sarrafa kanka don motsa kanka don ƙarin motsawa a rayuwarka ta yau da kullum.

6. Ganewar osteoarthritis a hannu

Tsarin gano osteoarthritis na hannu ya ƙunshi matakai da yawa. Wadannan sun hada da:

• Anamnesis

• Gwajin aiki

• Binciken hoto (idan likita ya nuna)

Tuntuɓar farko tare da likitan da ke da ƙwarewa a cikin tsokoki da haɗin gwiwa zai fara tare da ɗaukar tarihin (ake kira anamnesis). Anan mai haƙuri ya gaya game da alamun bayyanar cututtuka da zafi da suke fuskanta, kuma mai ilimin hanyoyin kwantar da hankali ya yi tambayoyi masu dacewa. Daga nan sai shawarwarin ya ci gaba zuwa gwajin aiki inda likitan ya duba motsin haɗin gwiwa a hannu da wuyan hannu, yayi nazari don ƙirar guringuntsi kuma yana gwada ƙarfin tsoka a hannu (gami da karfin riko). Ana auna na ƙarshe da a dijital dynamometer. Ana iya amfani da wannan a hankali don taswirar ci gaban aikin hannu da ƙarfin riƙewa a tsawon lokaci a cikin tsarin kulawa. Idan kun yi aiki tare da farfadowa na jiki da gyaran jiki, wannan na iya zama kayan aiki mai amfani don samun a asibitin ku. Hakanan yana iya dacewa da waɗanda ke son tsara ci gaban nasu.

Ga likitoci: Dynamometer na hannu na dijital

Et dijital dynamometer kayan aikin gwaji ne na asibiti don ingantacciyar gwajin ƙarfin riko. Wadannan ana amfani da su akai-akai ta hanyar likitocin physiotherapists, likitoci, chiropractors, naprapaths da osteopaths don taswirar ci gaban ƙarfin kamawa a cikin marasa lafiya. Kuna iya karanta ƙarin game da shawararmu ta.

Idan akwai alamun bayyanar cututtuka da alamun asibiti na osteoarthritis na hannu, mai chiropractor ko likita na iya mayar da ku zuwa gwajin hoto na hannaye da yatsunsu. Lokacin zana taswirar osteoarthritis, yawanci ana ɗaukar X-ray, saboda wannan shine mafi kyau don ganin irin waɗannan canje-canje.

taƙaitaEring: Osteoarthritis na hannu (hannun arthrosis)

Abu mafi mahimmanci don rage ci gaban osteoarthritis na hannu shine cewa ku da kanku kuna shirye don ɗaukar matakan aiki. Yi canje-canje a rayuwar ku ta yau da kullun waɗanda sannu a hankali ke taimakawa juya yanayin cikin ni'imarku, tare da hannaye masu ƙarfi da ƙarancin zafi. Idan kuna mamakin inda za ku fara, muna ba da shawarar ku nemi likita mai izini tare da sha'awar jiyya da gyaran gyare-gyare na osteoarthritis. Jin kyauta don tuntuɓar mu idan kuna kusa da ɗayansu sassan asibitin mu na Vondtklikkene Kiwon Lafiyar Jama'a. Muna kuma tunatar da ku cewa za ku iya, gaba ɗaya ba tare da takalifi ba, yi mana tambayoyi idan kuna da tambayoyi.

Dakunan shan magani: Zaɓinku don maganin zamani

Ma'aikatan likitancinmu da sassan asibitin ko da yaushe suna nufin kasancewa cikin fitattun mutane a cikin bincike, jiyya da gyaran ciwo da raunuka a cikin tsokoki, tendons, jijiyoyi da haɗin gwiwa. Ta danna maɓallin da ke ƙasa, zaku iya ganin bayyani na asibitocinmu - gami da a Oslo (gami da Lambert kujeruda Akershus (Dannye itace og Sautin Eidsvoll). Jin kyauta don tuntuɓar mu idan kuna da wasu tambayoyi ko kuna mamakin wani abu.

Duba bayanin asibiti

Mataki na ashirin da: Osteoarthritis na hannu (hannun osteoarthritis)

Rubuta: Masu ba da izini na chiropractors da masu ilimin likitancin jiki a Vondtklinikkene Tverrfaglig Helse

Binciken gaskiya: Labaran mu koyaushe suna dogara ne akan tushe masu mahimmanci, nazarin bincike da mujallu na bincike, kamar PubMed da Laburaren Cochrane. Da fatan za a tuntuɓe mu idan kun ga wasu kurakurai ko kuna da sharhi.

Bincike da tushe

1. Rogers et al, 2007. Sakamakon horon ƙarfi a tsakanin mutanen da ke da ciwon osteoarthritis na hannu: nazarin shekaru biyu. J Hannun. 2007 Jul-Satumba; 20 (3): 244-9; tambaya 250.

2. Nasir et al, 2014. Therapy safofin hannu ga marasa lafiya da rheumatoid amosanin gabbai: bita. Adv Musculoskeletal Dis. Dec 2014; 6 (6): 226-237.

3. Baltzer et al, 2016. Sakamakon sakamako mai kyau na ƙananan ƙwayar laser (LLLT) akan Bouchard's da Heberden's osteoarthritis. Lasers Surg Med. 2016 Yuli; 48 (5): 498-504.

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