Haddii aad qabto rheumatoid arthritis , waxay u muuqataa dabiiciga oo dhan in lagu dhibaateeyo xanuunkaaga oo dhan. Ka dib marka la eego, waa cudur dabadheeraad ah iyo xannuun-wadareed isku mid ah waa astaamaha asaasiga ah. Xanuunka dhabarka ah ayaa badanaa la xiriira osteoarthritis, laakiin rheumatoid arthritis waxay saameyn kartaa lafdhabarta.
Qalitaanka ilmo-galeenka qanjidhka ilmo-galeenka ee qanjirada
Rheumatoid arthritis oo saameysa lafdhabarta waxay sababi kartaa qoortu xanuun , dhabarka xannuunka, iyo jiritaanka radiculopathy (xanuun ku dhaca lugaha ama gacmaha) sababtoo ah isku-buufinta qulqulka gudaha xudunta laf-dhabarka ama xididdada dareemayaasha.
Marka rheumatoid arthritis uu yahay ilka xanuunka dhabarka, waxay aad ugu badan tahay qanjirrada ilma-mareenka (mandheerta qoorta) si loo xakameeyo halkii laga gooysan lahaa laf-dhabarka wadnaha ama cirroiliac . Ka qayb qaadashada dhuunta ilmagaleenka ee rheumatoid arthritis badanaa waxay ku dhacdaa cudur halis ah.
Waa xuubka ilmagaleenka sare ee ilmagaleenka oo caadi ahaan ku lug leh rheumatoid arthritis. Cillad ka mid ah ilma-galeenka oo taageera xubinta taranka ilmagaleenka hore iyo kan labaadba (C1 iyo C2) waxay keeni karaan xasillooni la'aanta heerkan. Bukaan-socodka qaba rheumatoid arthritis waa in si joogto ah loo qiimeeyaa astaamaha subluxation (qayb ka mid ah qoorta) ee ku dhaca laf-dhabarka ilmo-galeenka. Haddii subluxusku keeno xakameynta xudunta laf-dhabarka, waxaa jiri kara calaamado ku lug leh mareenka dheer ee wadnaha (mareenada sare ee maskaxda), oo ay ku jiraan hyperreflexia (is-qabqabasho badan oo jawaab celin ah).
Waxaa jira laba habab oo suurtogal ah oo sharraxaya ka qaybqaadashada isdhexgalka qaybaha kala duwan ee xuubka ilmo galeenka ee rheumatoid arthritis:
- Kordhinta geedi-socodka bararka ee ka imanaya isku-xididdada dhexdhexaadka ah ee neuroha dhexdhexaadka ah ee loo yaqaan 'discovertebral area' (xidhiidhka u dhaxeeya maqalka iyo jir-dhiska).
- Xasilinta ilmo-galeenka joogtada ah ee ay ku kacday jabaqda (fasalka) burburka wadajirka ah, taasoo keenta cilladda vertebral-ka ama subluxation, taas oo sababi karta microfracto-xakameynta vertebral-ka, hernia-ka, ama naaquska naqaska wareegga.
Ka qayb qaadashada qaybaha kala duwan ee lafaha lafdhabarta iyo maqaarka ayaa loo gooyey rheumatoid arthritis munaasabada, inta badan ka dib barashada sawir-qaadista iyo daraasad dhimista kadib. Hawlaha klinikada ka hor inta aan la ogaanin qulqulka lumbar-ka, waxaa sababi kara sababo caadi ah iyo mid daran ee xanuunka dhabarka (sida., Jabka culus).
Qaybta laf-dhabarka ee la xidhiidha Rheumatoid Arthritis
Calaamadaha badanaa la xiriiraan arthritis-ka rheumatoid ee ku dhaca dhabarka iyo in bukaanka la ogaan karo waxaa ka mid ah:
- Qufac ka yimaada aagga uu saameeyey lafdhabarku wuxuu keenaa niyadjab
- Xajmiga aagga ay saameysay ee lafdhabarta
- Jeermiska , gaar ahaan gobolka qoorta
- Madax-xanuunku wuxuu ku dhici karaa rheumatoid arthritis-ka ah ee dhuunta ilmagaleenka
- Xanuunka oo hoos u dhigaya hal ama labada gacmood, oo muujinaya ka qayb qaadashada xididada laf-dhabarka ilmo galeenka (radopululus)
- Xanuun ku faafaya hal ama labada lugood, muujinta saamiga xididada xididada lumbar (lumbar radiculopathy)
- Dhibaatada socodka, taas oo calaamad u ah cadaadiska kordhaya xudunta lafdhabarta
- Murugo, tabar-dari gacmaha ama lugaha, isbeddelka isu-dheellitirka iyo isuduwidda kuwaas oo noqon kara calaamadaha ka-qaybgalka laf-dhabarka
- Dhibaato la xiriirta xakameynta mindhicirka ama kaadiheysta (sida, ceshad la'aanta, kaadid la'aanta, ama awood la'aanta in lagu xakameeyo caloosha) waxay noqon kartaa calaamad ku lug lahaanshaha laf-dhabarka. Tani waxay u baahan tahay daryeel caafimaad oo degdeg ah.
Haddii arthritis-ka rheumatoidistu uu keeno is-goysyada xuubka hoose ee lafdhabarta, xaalad loo yaqaan 'spondylolisthesis' ayaa laga yaabaa inuu kobciyo. Iyada oo lafdhabarta, isgoysyada sare ee sare ee dhinaca sare ee dhinaca sare ee dhinaca sare ee xiga hoose ee xiga. Cirbidaha leexan ayaa cadaadis dheeraad ah saaraya xadhigga laf-dhabarka ama xididada dareemayaasha meesha ay ka soo baxaan laf-dhabarka waxayna keenaan qaar ka mid ah dhibaatooyinka kor ku xusan ee la xidhiidha cadaadiska xadhigga laf-dhabarka.
Ilaha:
> Arthritis iyo Cudurada Saameynta Dhabarka. Arthritis Foundation. https://www.arthritis.org/about-arthritis/where-it-hurts/back-pain/causes/back-arthritis.php.
> Currier BL, Coblyn J. Cervical Subluxation ee Rheumatoid Arthritis. UpToDate. http://www.uptodate.com/contents/cervical-subluxation-in-rheumatoid-arthritis.
> Astaamaha PJW, Maini RN Muujinta Rugaha ee Rheumatoid Arthritis. UpToDate. http://www.uptodate.com/contents/clinical-manifestations-of-romatoid-arthritis.