Qhov Tseem Ceeb Qhov txawv - Mob caj dab vs Carpal Qhov Syndrome
Kev mob caj dab tuaj yeem txhais tau tias yog mob ntawm pob qij txha lossis pob qij txha ua rau mob thiab tsis taus, pob qij txha, thiab txhav. Ntawm qhov tod tes, carpal tunnel syndrome yog ib qho mob mononeuropathy uas yog vim muaj kev cuam tshuam ntawm cov hlab ntsha nruab nrab ntawm lub dab teg. Kev mob caj dab, raws li tau hais hauv lub ntsiab lus, yog vim qhov mob ntawm ib lossis ntau cov pob qij txha thiab nws muaj cov kab mob tshwm sim. Tab sis carpal tunnel syndrome (CPS) yog ob qho tib si rau qhov compression ntawm cov hlab ntsha nruab nrab hauv lub qhov carpal, thiab tsis muaj kev cuam tshuam o. CPS tsis muaj ib qho kev tshwm sim. Qhov no yog qhov sib txawv tseem ceeb ntawm kev mob caj dab thiab CPS.
Dab tsi yog mob caj dab?
Kev mob caj dab tuaj yeem txhais tau tias yog mob pob qij txha lossis pob qij txha ua rau mob thiab tsis taus, pob qij txha, thiab txhav. Nws tuaj yeem yog vim muaj ntau yam xws li kev kis kab mob, kev raug mob, kev hloov pauv tsis zoo lossis cov teeb meem metabolic. Ntau hom kev mob caj dab tau piav qhia raws li cov yam ntxwv tshwj xeeb pom hauv txhua qeb.
Osteoarthritis
Osteoarthritis yog hom mob caj dab tshaj plaws. Nws tshwm sim los ntawm kev puas tsuaj rau cov pob txha pob txha pob txha los ntawm kev sib cuam tshuam ntawm caj ces, metabolic, biochemical thiab biomechanical yam. Qhov no ua rau muaj kev mob tshwm sim rau cov pob txha, pob txha, ligaments, menisci, synovium, thiab capsule.
Feem ntau, qhov tshwm sim ntawm osteoarthritis ua ntej 50 tsis tshua muaj tab sis tsis hnov txog. Nrog rau lub hnub nyoog nce qib, qee cov pov thawj hluav taws xob yuav tshwm sim qhia tias yuav muaj mob osteoarthritis yav tom ntej.
Predisposing Factors
- Kev rog
- Polyarticular OA ntau dua rau cov poj niam
- Hypermobility
- Osteoporosis
- Tauma
- Congenital joint dysplasia
Tshuaj Kho Mob
- Kev kho mob nrog kev txav mus los thiab / lossis tsis ua haujlwm
- Cov tsos mob maj mam pib pib thiab nce zuj zus
- Short-lived sawv ntxov sib sib zog nqus
- functional limitation
- Crepitus
- Nyob o
Kev Tshawb Fawb thiab Tswj
Ntawm kev kuaj ntshav, ESR feem ntau yog qhov qub, tab sis qib CRP tau nce siab me ntsis. X-rays yog txawv txav, tsuas yog nyob rau hauv cov kab mob siab heev. MRI tuaj yeem soj ntsuam cov pob txha mos thaum ntxov thiab cov kua muag meniscal.
Thaum tswj hwm tus mob osteoarthritis, lub hom phiaj yog kho cov tsos mob thiab kev tsis taus, tsis yog qhov tshwm sim ntawm hluav taws xob. Kev mob, kev nyuaj siab, thiab kev tsis taus tuaj yeem txo tau, thiab kev kawm tus neeg mob kom raug tuaj yeem ua raws li kev kho mob thiab nws cov teebmeem.
Rheumatoid mob caj dab
Rheumatoid mob caj dab yog ib hom mob caj dab uas ua rau mob synovial. Nws tshwm sim nrog inflammatory symmetrical polyarthritis. Rheumatoid mob caj dab yog ib hom kab mob autoimmune uas nws pib cov tshuaj tiv thaiv kab mob tsim tawm tsam IgG thiab citrullinated cyclic peptide.
Qhov kev nthuav qhia ib txwm ntawm rheumatoid mob caj dab suav nrog kev nce qib, sib luag, peripheral polyarthritis uas tshwm sim dhau ob peb lub lis piam lossis ntau hli hauv cov neeg mob hnub nyoog 30 thiab 50 xyoo. Feem ntau ntawm cov neeg mob yws yws ntawm qhov mob thiab nruj ntawm cov pob qij txha ntawm tes (metacarpophalangeal, proximal interphalangeal) thiab ko taw (metatarsophalangeal). Distal interphalangeal pob qij txha feem ntau yog tseg.
Kev kuaj mob RA tuaj yeem ua raws li kev soj ntsuam soj ntsuam. NSAIDs thiab analgesics yog siv los tswj cov tsos mob. Yog tias synovitis tshwm sim dhau rau lub lis piam, sim ua kom tshem tawm cov tshuaj intramuscular depot methylprednisolone 80-120mg. Yog tias synovitis rov tshwm sim, kev tswj hwm ntawm Kab Mob Hloov Kho Cov Tshuaj Tiv Thaiv Kab Mob Rheumatic (DMARDs) yuav tsum raug txiav txim siab.
Spondyloarthritis
Spondyloarthritis yog ib lo lus sib sau uas yog siv los piav txog ntau yam xwm txheej uas cuam tshuam rau tus txha nraub qaum thiab cov pob qij txha peripheral nrog cov tsev neeg pawg thiab qhov txuas mus rau hom 1 HLA antigen. Ankylosing spondylitis, psoriatic mob caj dab, mob caj dab reactive, post-dysenteric reactive mob caj dab thiab enteropathic mob caj dab muaj nyob rau hauv pawg no.
Kev Kho Mob Cov Nta ntawm ankylosing spondylitis;
- Pab mob plab
- Mob ib leeg lossis ob lub pob tw
- Kev tuav lub lumbar lordosis thaum lub sij hawm tus txha caj qaum
NSAIDs tsis tu ncua los txhim kho cov tsos mob thiab cov tsos mob thiab kev tawm dag zog thaum sawv ntxov tsom rau kev saib xyuas ntawm tus txha caj qaum, lub cev thiab lub hauv siab nthuav dav feem ntau xav tau hauv kev tswj tus kab mob.
Daim duab 01: Kev mob caj dab
Kev Kho Mob Ntawm Psoriatic Arthritis;
- Mono- lossis oligoarthritis
- polyarthritis
- Spondylitis
- Distal interphalangeal mob caj dab
- mob caj dab mutilans
Carpal Tunnel Syndrome yog dab tsi?
Qhov no yog ib qho kev mob mononeuropathy uas yog vim muaj kev cuam tshuam ntawm cov hlab ntsha nruab nrab ntawm lub dab teg. Txawm hais tias nws tsis cuam tshuam nrog cov kab mob hauv qab feem ntau, carpal tunnel syndrome tuaj yeem pom tau tias yog qhov tshwm sim ntawm cov xwm txheej hauv qab no thiab.
- YHypothyroidism
- Kev xeeb tub (tshwj xeeb tshaj yog nyob rau peb lub hlis twg)
- Acromegaly
- kab mob Rheumatoid
Tshuaj Kho Mob
- Ncturnal tingling ntawm tes lossis / thiab hauv pliaj. Qhov mob feem ntau yog delocalized ib
- qaug zog thiab nkim ntawm cov leeg thenar
- Passive maximal dab teg flexion provokes mob
- Ib tingling sensation tshwm sim thaum lub flexor nam ntawm dab teg yog tapped
Daim duab 02: Carpal Qhov Syndrome
Kev tswj hwm
- Kev txhaj tshuaj Steroid lossis txoj hlua khi tuaj yeem txo cov tsos mob me me
- Kev phais decompression ntawm carpal qhov yog qhov kev kho mob tseeb
- Thaum cev xeeb tub tus mob yog tus kheej txwv
Dab tsi zoo sib xws ntawm Kev Mob caj dab thiab Carpal Tunnel Syndrome?
Ob qho xwm txheej cuam tshuam nrog kev mob thiab tsis xis nyob
Dab tsi yog qhov txawv ntawm Kev Mob caj dab thiab Carpal Tunnel Syndrome?
Arthritis vs Carpal Qhov Syndrome |
|
| Kev mob caj dab tuaj yeem txhais tau tias yog mob ntawm pob qij txha lossis pob qij txha ua rau mob thiab / lossis kev tsis taus, pob qij txha o, thiab txhav. | Qhov no yog ib qho kev mob mononeuropathy uas yog vim muaj kev cuam tshuam ntawm cov hlab ntsha nruab nrab ntawm lub dab teg. |
| mob caj dab yog vim qhov mob ntawm kev sib koom ua ke. | Carpal qhov syndrome yog vim qhov compression ntawm cov hlab ntsha nruab nrab thaum nws hla dhau qhov carpal. |
| hom kab mob | |
| Arthritis is a systemic disease | Carpal tunnel syndrome ib tus hais tsis yog kab mob hauv lub cev tab sis tuaj yeem ua rau pom cov kab mob hauv lub cev xws li hypothyroidism, rheumatoid mob caj dab, thiab acromegaly. |
| kho mob nta | |
| Cov yam ntxwv ntawm kev mob caj dab sib txawv raws li qhov sib txawv uas tus neeg mob muaj. Tab sis qhov mob pob qij txha, o, rhiab thiab tawv thaum sawv ntxov yog cov yam ntxwv uas pom nyob rau hauv feem ntau ntawm cov mob caj dab. |
Kev kho mob ntawm carpal tunnel syndrome yog, · Nocturnal tingling ntawm tes lossis/thiab hauv pliaj. Qhov mob feem ntau yog delocalized ib · qaug zog thiab nkim ntawm cov leeg thenar · Passive maximal dab teg flexion provokes mob · Kev hnov mob tshwm sim tshwm sim thaum lub ntsej muag flexor ntawm dab teg raug tapping |
| Kev tswj hwm | |
| Steroids thiab DMARDS yog qhov tseem ceeb hauv kev tswj cov kab mob caj dab. | Txawm tias cov tshuaj steroids tuaj yeem txo cov tsos mob ntawm carpal tunnel syndrome, kev tswj xyuas meej yog los ntawm kev phais decompression ntawm cov hlab ntsha |
Summary – Mob caj dab vs Carpal Tunnel Syndrome
Kev mob caj dab tuaj yeem txhais tau tias yog mob pob qij txha los yog pob qij txha ua rau mob thiab / lossis kev tsis taus, pob qij txha, thiab txhav. Qhov no yog ib qho mob mononeuropathy uas yog vim qhov kev nkag ntawm cov hlab ntsha nruab nrab ntawm lub dab teg. Txawm hais tias mob caj dab yog ib yam kab mob, carpal tunnel syndrome tsis yog kab mob. Qhov no yog qhov sib txawv ntawm ob qhov teeb meem.
Download the PDF Version of Arthritis vs Carpal Tunnel Syndrome
Koj tuaj yeem rub tawm PDF version ntawm kab lus no thiab siv nws rau offline hom phiaj raws li daim ntawv ceeb toom. Thov download PDF version ntawm no Qhov txawv Ntawm Kev Mob caj dab thiab Carpal Tunnel Syndrome
