Arthritis

ʻO ka osteoarthritis, ʻo ia ka ʻano maʻamau loa o ka maʻi ʻāʻī, e pili ana i ka pau ʻana o ka cartilage e uhi ana i nā iwi i loko o kou mau hono. ʻO ka maʻi rheumatoid arthritis he maʻi ia kahi e hoʻouka ai ke ʻōnaehana pale kino i nā hono, e hoʻomaka ana me ka papa o nā hono.

ʻO ka maʻi ʻāʻī ka pehu a me ka palahalaha o hoʻokahi a ʻoi aku paha o nā hono. ʻO nā hōʻailona nui o ka maʻi ʻāʻī ka ʻeha hono a me ka paʻakikī, ka mea maʻamau e ʻoi aku ka ʻino me ka makahiki. ʻO nā ʻano maʻamau loa o ka maʻi ʻāʻī ʻo ia ka osteoarthritis a me ka rheumatoid arthritis.

Hoʻopilikia ka osteoarthritis i ka cartilage—ʻo ia ka ʻiʻo paʻakikī, palalulu e uhi ana i nā welau o nā iwi kahi e hana ai lākou i kahi hono—e haki. ʻO ka maʻi rheumatoid arthritis he maʻi ia kahi e hoʻouka ai ke ʻōnaehana pale kino i nā hono, e hoʻomaka ana me ka papa o nā hono.

Hiki i nā kristal uric acid, ka mea e hana ai ke nui loa ka uric acid i loko o kou koko, ke hoʻoulu i ka gout. Hiki i nā maʻi bacteria a i ʻole nā ​​maʻi kumu, e like me ka psoriasis a i ʻole ka lupus, ke hoʻoulu i nā ʻano ʻē aʻe o ka maʻi ʻāʻī.

Hoʻololi nā lāʻau lapaʻau ma muli o ke ʻano o ka maʻi ʻāʻī. ʻO nā pahuhopu nui o nā lāʻau lapaʻau ʻāʻī ka hoʻemi ʻana i nā hōʻailona a me ka hoʻomaikaʻi ʻana i ka maikaʻi o ke ola.

ʻO nā hōʻailona a me nā hōʻailona maʻamau loa o ka mumū hono e pili ana i nā hono. Ma muli o ke ʻano o ka mumū hono, hiki i nā hōʻailona a me nā hōʻailona ke komo pū me:

• ʻEha
• Paʻakikī
• Pehu
• ʻUlaʻula
• emi ke ʻano o ka neʻe

ʻO nā ʻano nui ʻelua o ka ʻāʻī — ka osteoarthritis a me ka rheumatoid arthritis — e hōʻino ana i nā hono ma nā ʻano like ʻole.

ʻO ka ʻano maʻamau loa o ka ʻāʻī, ʻo ka osteoarthritis ka mea e pili ana i ka hōʻino ʻana i ka cartilage o kahi hono — ka papa ʻili paʻakikī, palalulu ma nā welau o nā iwi kahi e hana ai lākou i kahi hono. Hoʻomalu ka cartilage i nā welau o nā iwi a hāʻawi i ka neʻe ʻana o ka hono me ka ʻole o ka hakakā nui, akā naʻe, hiki i ka hōʻino nui ke hopena i ka wili ʻana o ka iwi ma luna o ka iwi, kahi e hoʻoulu ai i ka ʻeha a me ka palena ʻana o ka neʻe ʻana. Hiki i kēia ʻano ʻino ke hana i nā makahiki he nui, a i ʻole paha e wikiwiki ʻia e kahi hōʻino a i ʻole ka maʻi o ka hono.

Hoʻoulu pū ka osteoarthritis i nā loli i nā iwi a me ka hoʻohaʻahaʻa ʻana o nā pūnaewele pili e hoʻopili ana i ka ʻiʻo i ka iwi a hoʻopaʻa i ka hono. Inā hōʻino nui ʻia ka cartilage i loko o kahi hono, hiki ke mumū a pehu ka laina o ka hono.

I ka rheumatoid arthritis, e hoʻouka ana ka ʻōnaehana pale o ke kino i ka laina o ka pūpū hono, kahi membrane paʻakikī e hoʻopuni ana i nā ʻāpana a pau o ka hono. E mumū a pehu kēia laina (synovial membrane). Hiki i ke kaʻina maʻi ke hoʻopau hope i ka cartilage a me ka iwi i loko o ka hono.

Nā kumu pilikia no ka mumū hono e komo pū ai:

• Mōʻaukala ʻohana. Holo kekahi ʻano o ka mumū hono i loko o nā ʻohana, no laila, ʻoi aku paha kou hiki ke loaʻa i ka mumū hono inā loaʻa i kou mau mākua a i ʻole nā ​​hoahānau ke maʻi.
• Makahiki. Hoʻonui ka pilikia o ka nui o nā ʻano o ka mumū hono - me ka osteoarthritis, ka mumū hono rheumatoid a me ka gout - me ka makahiki.
• Kou wahine kāne. ʻOi aku ka nui o nā wāhine ma mua o nā kāne e loaʻa i ka mumū hono rheumatoid, ʻoiai ʻo ka hapa nui o nā kānaka i loaʻa i ka gout, ʻo kekahi ʻano o ka mumū hono, he mau kāne.
• Hōʻeha mua o ka hono. ʻOi aku ka nui o nā kānaka i hōʻeha i kahi hono, malia paha i ka wā e pāʻani ana i kahi haʻuki, e loaʻa i ka mumū hono ma ia hono.
• Momona. Ke kaumaha nui nei ka ukana ma nā hono, ʻoihana kou mau kuli, nā ʻūhā a me ke kua. Loaʻa i nā kānaka momona ka pilikia kiʻekiʻe o ka loaʻa ʻana i ka mumū hono.

ʻO ka mumū koʻikoʻi o nā hono, ʻoi aku hoʻi inā pili ia i kou mau lima a i ʻole nā ​​lima, hiki ke paʻakikī iā ʻoe ke hana i nā hana o kēlā me kēia lā. Hiki i ka mumū o nā hono kaumaha ke pale aku iā ʻoe mai ka hele ʻana me ka ʻoluʻolu a i ʻole ka noho pololei ʻana. I kekahi mau hihia, hiki i nā hono ke nalowale mālie i ko lākou laina a me ko lākou ʻano.

I ka wā o ka nānā kino, e nānā nā kauka i kou mau hono no ka pehu, ka ʻulaʻula a me ka mahana. E makemake nō hoʻi lākou e ʻike i ka maikaʻi o kou hiki ke hoʻoneʻe i kou mau hono.

Hiki i ka nānā ʻana i nā ʻano wai kino like ʻole ke kōkua i ka kuhikuhi ʻana i ke ʻano o ka maʻi ʻāʻī āu paha. ʻO nā wai i nānā pinepine ʻia, ʻo ia ka koko, ka mimi a me ka wai hono. No ka loaʻa ʻana i kahi laʻana o ka wai hono, e hoʻomaʻemaʻe a hoʻohemo i ka wahi nā kauka ma mua o ka hoʻokomo ʻana i ka nila i loko o ka haka hono e lawe i kahi wai.

Hiki i kēia mau ʻano hoʻokolohua ke ʻike i nā pilikia i loko o ka hono e hiki ke kumu i kou mau hōʻailona. ʻO nā laʻana:

• Nā X-ray. Ma ka hoʻohana ʻana i nā pae haʻahaʻa o ka radiation e ʻike i ka iwi, hiki i nā X-ray ke hōʻike i ka nalowale o ka cartilage, ka poino o ka iwi a me nā spurs iwi. ʻAʻole paha e hōʻike nā X-ray i ka poino arthritic mua, akā hoʻohana pinepine ʻia lākou e hahai i ka holomua o ka maʻi.
• Computerized tomography (CT). Lawe nā mīkini CT i nā X-ray mai nā kihi like ʻole a hui pū i ka ʻike e hana i nā hiʻohiʻona cross-sectional o nā ʻano kūloko. Hiki i nā CT ke ʻike i ka iwi a me nā pūnaewele palupalu a puni.
• Magnetic resonance imaging (MRI). Ma ka hoʻohui ʻana i nā nalu radio me kahi kahua magnetic ikaika, hiki i nā MRI ke hana i nā kiʻi cross-sectional kikoʻī o nā pūnaewele palupalu e like me ka cartilage, nā tendons a me nā ligaments.
• Ultrasound. Hoʻohana kēia ʻenehana i nā nalu kani kiʻekiʻe e kiʻi i nā pūnaewele palupalu, ka cartilage a me nā ʻano wai kokoke i nā hono (bursae). Hoʻohana ʻia pū ka Ultrasound e alakaʻi i ka hoʻonoho ʻana i ka nila no ka lawe ʻana i ka wai hono a i ʻole ka hoʻokomo ʻana i nā lāʻau i loko o ka hono.