Okubalulekile kwe-Thumb Osteoarthritis
I-osteoarthritis ingathinta amalunga kunoma iyiphi ingxenye yomzimba, kuhlanganise nesithupha. Ukuxilongwa kokuqala kanye nokwelashwa kusiza abantu abanesifo se-osteoarthritis ukuphatha izimpawu zabo.
I-osteoarthritis yesithupha igcwele kakhulu kwabesifazane kunamadoda. Ngokuvamile, i-osteoarthritis yesithupha iba neminyaka engama-40 ubudala. Njengoba iminyaka yobudala, lokhu kubonakala kaningi.
Umbono weThuthu Osteoarthritis
I-osteoarthritis yisifo esihlangene esinesifo esibi.
I-osteoarthritis ibangele i- cartilage - izicubu ezinzima kepha eziguquguqukayo ezihlanganisa ukuphela kwamathambo ahlanganisa ukugqoka kancane kancane. Isibilini se-osteoarthritis sithinta kakhulu ukuhlanganiswa phansi kwesithupha, owaziwa nangokuthi umhlanganiso we-basal noma i-carpometacarpal joint (ukuhlanganiswa kwe-CMC). Ukuhlanganiswa kwe-CMC kwakha lapho ithambo le-metacarpal lesithupha lihambisana nethambo le-trapezium lesihenqo.
Ukulimaza noma ukwephuka kwesithupha kungalimaza i-articular cartilage, okuyi-cartilage ehlanganisa amaphethelo emzimbeni. Ukulimala ekuhlanganyeleni kwe-CMC yesithupha, ngisho noma umonakalo we-cartilage awukho ngokushesha, ungathinta ukuhamba kwesigxobo sesithupha. Uma okuhlanganyelwe kugxiliswa ngokulandela ukulimala, gqoka futhi uchithe ukwanda kwalokho okuhlangene, ekugcineni kuholele ku-osteoarthritis.
Ukuxilongwa kwe-Thumb Osteoarthritis
Ukuxilongwa kwesiguli se-osteoarthritis kusekelwe, ngokwengxenye, emlandweni wezokwelapha wesiguli. Ukulimala kwesikhashana esidlule, ikakhulukazi kwesithupha, kungase kubonise ukuthi kungani i-osteoarthritis ithuthukiswe esigxotsheni sesithupha.
Ukuhlola okungokomzimba kungabonisa ukuhamba okungavamile kokujoyina kwe -CMC, ukuvuvukala, nobuhlungu noma ububele phansi kwesithupha. I-crepitus (umsindo wokugaya njengoba ukuhlanganiswa kushukunyiswa ) ukhombisa ukuthi ukuphela kwamathambo okwenza okuhlanganyelwe ukuxubana komunye nomunye.
I-X-ray ingabonisa ukulimala komunye, kodwa ubuhlungu ngokuvamile buqala ubufakazi be-x-ray.
I-X ray noma ezinye izifundo ze-imaging nazo zingathola ama- osteophyte (bone spurs).
Izimpawu Ze-Thumb Osteoarthritis
Ubuhlungu yilona uphawu oluyisisekelo oluhlotshaniswa nesifo se-osteoarthritis. Ekuqaleni, ubuhlungu bukhona ngokunyakaza noma umsebenzi (isib. Ukuvula ukhiye, ukuvula umnyango, ukuphakamisa indebe). Njengoba i-osteoarthritis iqhubeka, ubuhlungu bukhona ngisho nangesikhathi sokungasebenzi noma ukuphumula. Ezinye izimpawu zesifo samathambo zihlanganisa:
- ubunzima obuthinta izinto
- ukuvuvukala, ukuqina, noma ububele phansi kwesithupha
- ukubonakala okwandisiwe kokuhlanganiswa kwe-CMC
- uhla olunqunyelwe lokunyakaza
I-osteoarthritis ingabangela futhi ukuhlanganiswa kwe-CMC kwesithupha ukuze kukhululeke futhi kuguqe emuva kakhulu, okubhekwa ngokuthi ukuxoshwa kwe-hyperextension. Ukukhubazeka okuthile, okuyaziwa njenge-thumb swan neck neckform, kungase kwenzeke lapho ukuhlanganiswa kwesithupha kwegundane kuguquguqukayo, futhi ukuhlanganiswa kwe-CMC kukhonjiswa.
Ukwelashwa kwe-Thumb Osteoarthritis
I-osteoarthritis yasekuqaleni yesithupha ingaphathwa ngokuphumelelayo ngokusebenzisa izinketho zokwelashwa ezingenasidingo, isibonelo:
- izidakamizwa ezingekho ukuvuvukala (non- steroidal anti-inflammatory drugs ) (NSAIDs) ukunciphisa ukuvuvukala nokuvuvukala
- icing the joint for imizuzu emihlanu kuya kwemizuzu ephindwe kabili ngosuku ukukhulula ukuvuvukala nokuvuvukala
- ukwelashwa ngokomzimba noma ukwelapha emsebenzini
- ukukhazimula ukuvimbela ukunyakaza kwesithupha
- ama-steroid imijovo ehlangene
Izinketho zokuhlinzwa ze-thumb osteoarthritis zifaka:
- Ukuhlanganiswa kwe-CMC (i-arthrodesis) - inketho yeziguli ezifuna ukukhululeka kobuhlungu abangakhathazeki ngokweqile ngokulahlekelwa ukunyakaza kwesithupha
- ukushintshwa okuhlanganyelwe noma i-arthroplasty - i-plastiki noma i-prostheses yensimbi isetshenziselwa ukufaka esikhundleni sokujoyina i-CMC (i-prosthesis isebenza njenge-spacer ngemuva kokufakwa kwamathambo emathanjeni ekuhlanganyeleni kwe-CMC)
- i-excth arthroplasty - isusa izingxenyana ze-arthritic zamalungu e-CMC futhi isithatha enye impahla (isb. ishidi elihlanganisiwe) ukugcina amathambo ehlukanisiwe
- I-trapeziectomy - ukususwa kwethambo elincane okuthiwa i-trapezium
Imithombo:
I-arthritis yesithupha. I-American Academy Yabahlinzeki Bama-Orthopedic. Disemba 2013.
I-arthritis yesithupha. I-Orthogate. NgoJulayi 28, 2006.