Uzo nke mbu, nke a na-ezo aka dika ugwo nke ozo, bu ihe ojo nke mkpiri aka . N'ụzọ doro anya, eriri akpa na-apụta mgbe enwere ọnyá na nkedo volar nke nkwonkwo metacarpophalangeal (MCP). N'aka nke ozo, mmechi mmechi na-ejikọta na metacarpals nke aka na metacarpophalangeal nkwonkwo. A na-akpọkarị nkwonkwo MCP dị ka mkpịsị aka.
Mmiri na-ekpo ọkụ nke njikọta metacarpophalangeal na-etolite ma ọ bụrụ na e nwere nkwarụ nke nkwonkwo nke nkwonkwo - phalanx dị nso nke na-agbanwe site na metacarpal isi, na-agagharị na ntụpọ ihu. Usoro mmechi na mgbakasị na-eso usoro mgbanwe nke obere phalanx.
Dị ka Kelley's Textbook of Rheumatology si kwuo , e nwere ihe akaebe na ọrịa ọrịa rheumatic nke nkwochi na-eduga ná nkwụsị nke ụbụrụ MCP. A na-eche na ịkụda ahụ ike nke na-eme ka ọkpụkpụ na-eme ka ọkpụkpụ akpụkpọ ụkwụ na-agbagharị (ọkpụkpụ carpal dị nso na-agagharị na ntụ ntụ na ọkpụkpụ carpal distal na ntụziaka radial). Mgbatị nke Ulnar na - amalite dị ka mmeghachi omume anụ ahụ, na - anwa ime ka mkpịsị ụkwụ ahụ na - emezigharị na mgbatị ya. Egwu nke ọkpụkpụ ma ọ bụ nke na-arụ ọrụ na- arụ ọrụ nwere ike inye aka na ụfụ, ma ọ pụkwara ime ma ọ bụghị. Ọkpụkpụ synovitis na nkwarụ ike nwere ike itinye aka na mmepe ya.
Ihe omuma nke mbu nke ugbua nke ugbua bu:
- adịghị ike nke mbụ dorsal interossei (interossei bụ uru dị n'etiti ọkpụkpụ ọkpụkpụ)
- ụra nke ngụkọta nkwonkwo radial
- nkwụsị nke akwara intrinsic
- nkwụsị nke mkpịsị ụkwụ (nke a ma ama na ndepụta na mkpịsị aka ogologo)
- ọnye mkpịsị aka nke mbụ nke pụtara ìhè mgbe nkwonkwo MCP agbatị
Ihe omuma di iche iche nke ugbua nke ugbua bu:
- ihe nkedo volar (dislecation) nke mmebi
- enweghị ike ịmịnye nkwonkwo MCP nke ga-eme ka ịkpụzi ọrụ
- ọnya na-ebugharị ma ọ bụ ngbanwe nke mkpịsị ụkwụ
- nchikota akwara hypothenar (otu akwara atọ dị n'ọbụ aka nke na-ejide obere mkpịsị aka)
- mkpochapu nke nkpuchi
- na-eme ka ọkpụkpụ na-agafe agafe
- enweghi ike iji isi aka megide mkpịsị aka
Iji chọpụta nhụjuanya nke ulnar drift, a pụrụ iji goniometer mee ihe. A na-etinye ogwe aka nke goniometer n'elu metacarpal ka ogwe aka a na-agbanwe agbanwe na-agbada na phalange dị nso. Mgbe a chọpụtara ogo nrụrụ, a na-ajụkarị onye ọrịa ka ọ gbatị aka ha, ma ọ bụrụ na ọ ga-ekwe omume, iji gbanwee mmezi na ntinyeghachi. A na-ejikwa nlezianya aka ọrụ aka nyochaa oke nrụrụ ahụ.
Ònye Na-amalite Ulnar Drift?
A na-ejikarị eriri afọ na- ekpo ọkụ na- ekpo ọkụ nke Ulo na nke akwara . Mmetụta oge na-aga n'ihu na nkwonkwo MCP na - emebi capsule njikọ na gburugburu ya. Ma, ọrịa ogbu na nkwonkwo abụghị nanị ọnọdụ ejikọtara ya na eriri afọ. O nwere ike ibute na nsogbu ndị ọzọ na-emetụ n'ahụ ma ọ bụ ọrịa na-ejikọta ahụ, dị ka lupus ma ọ bụ ọrịa arthritis psoria .
Otu ihe gbasara ọmụmụ ihe gosipụtara otu mkpakọrịta na nkwonkwo a na-atụghị anya ya, synovitis villonodular pigmented (PVNS).
Ngwọta Ngwọta
Nhọrọ maka ịgwọ ọrịa na nhụjuanya aka gụnyere ice, mmiri oyi, paraffin wax baths, TENS unit , na ultrasound. A na-atụ aro mmegharị aka, nke bụ isi na-agbatị, na-echekwa ihe dịgasị iche iche dị ka o kwere mee.
A na-atụ aro mgbe ụfọdụ iji belata subluxation nke nkwojiaka, iji kwado nkwonkwo MCP na nkwonkwo na-anọpụ iche, ma belata subluxation nke nkwonkwo MCP site na nkwado mmechi dị nso. N'ozuzu, a na-eyi akwa splints n'abalị ma ọ bụ n'oge ezumike n'oge ehihie.
Ngwọrọgwu nwere ike inye aka na mgbu n'abalị, ma egosighi na ị ga-egbochi ịme ihe ọjọọ. Ọbụna n'ememe oge, ntụgharị nke mbu nwere ike inwe ọganihu.
> Isi mmalite:
> Kelley's Textbook nke Rheumatology. Mbipụta nke itoolu. Firestein et al. Elsevier Saunders. Akụkụ Ahụike nke Arthritis Rheumatoid. Isi nke 70. Aka na nkwojiaka. Page 1112.
> Ndapu nke Metacarpophalangeal.
> Ntuziaka Kasị Mma Maka Nchịkwa nke Mgbagwoju Anya nke Mbụ na Arthritis Rheumatoid. Vancouver Coastal Health. Òtù Ọrịa Ogbu na nkwonkwo (Canada).
> Njikere nke nkwụsịtụ nkwụsịtụ na-agwọ ọrịa na ọgwụgwọ nke nkwụsị nke mbụ nke Aka Rheumatoid. Johnson M et al. Clinical Rheumatology. March 1992.
> Ọhụụ nke ọnwa mbụ abụghị mgbe niile . Zuber M et al. Akwụkwọ nke Ọrịa Rheumatic. 1996.