Ukufakela Ukuhlanganiswa Okungaxhunyiwe Kweminwe
I-arthritis ivame ukuthinta amalunga eminwe yethu. Ngabe ukushintshwa komunwe kuyinketho? Amalungu amancane ayibalulekile emisebenzini eminingi, futhi isifo samathambo esinamandla sezandla neminwe kungabangela ukukhubazeka okukhulu.
I-arthritis yinkinga eyenzeka lapho kuvuvukala okuhlangene, iphuzu emzimbeni wakho lapho amathambo amabili axhuma khona nokuhamba.
Izinhlobo ezivamile kakhulu ze-arthritis ezitholakala ezandleni ziyi-osteoarthritis ne-rheumatoid arthritis. I-osteoarthritis ngokuvamile ivela ezingxenyeni ze-knuckle zomunwe. I-arthritis ye-rheumatoid ivame kakhulu ekhoneni ngaphansi komunwe lapho ihlangana khona. Izimpawu zesifo samathambo zihlanganisa ubuhlungu, ukuvuvukala, nokulahlekelwa ukuhamba. Njengoba i-arthritis iqhubeka, ukukhubazeka komunwe kuyinto evamile, futhi umunwe okhohlisiwe uvamile.
Ukwelashwa Kwe-Finger Arthritis
Ukwelashwa kwesifo samathambo ngokuvamile kugxile ekuzameni ukuphatha izimpawu ngezinyathelo ezilula. Ngenxa yokuthi asihambi ngezandla zethu, ngokungafani nezinkophe namadolo, abantu abaningi bangakwazi ukuphatha izimpawu zabo ngezokwelapha ezilula. Lezi zokwelashwa eziqaphayo ngomuthi wesifo somzimba zingabandakanya:
- Imithi yomlomo
- Izithako ezihlangene
- Izijovo ezihlangene
- Ukwelashwa okushisayo
- Yenza ukwelashwa
Uma lezi zindlela zokwelapha zinganiki izifo ezanele, khona-ke izindlela zokwelashwa zingacatshangelwa.
Kunezinketho ezimbalwa zokuhlinzwa, kodwa ukushintshwa komunwe kungase kube ukucubungula kokwelashwa okunengqondo. Njengamanye ama-hip namadolo asetshenziselwa ukuguqulwa, ukushintshwa komunwe kubandakanya ukukhishwa kwendawo ehlangene, futhi ukufaka esikhundleni sokufakelwa okufakelwe ukuhlehlisa umsebenzi ohlangene ojwayelekile.
Ukufakelwa okuhlanganyelwe kweminwe kuhloswe ukufeza imigomo emithathu ecacile. Okokuqala, ukushintshwa kufanele kunciphise ubuhlungu. Okwesibili, ukuhlanganiswa komunwe kufanele kuzinze. Futhi ekugcineni, umunwe kufanele ube nokuhamba okuhle. Uma lezi zinhloso zingenakutholwa, ngenxa yesimo somunwe, imisebenzi yesiguli, noma ngezizathu ezithile, ke ezinye izindlela zokushintshwa komunwe kufanele zicatshangelwe.
Ngabe Ukushintshaniswa Kokuhlangana Kwamanye Amanothi kuyindlela?
Ukufakelwa okuhlanganyelwe kweminwe kufanele kucatshangelwe lapho ukwelashwa okulula okuchazwe ngenhla kungakhulumi ngokwanele ukukhululeka. Ukushintshwa kwamazinyo ngokuvamile kuvunyelwe iziguli ezindala ezingenzi imisebenzi esindayo. Ngenxa yokuthi izimpande zokufaka esikhundleni somunwe zingaphelelwa yisikhathi noma zithukulule ngokuhamba kwesikhathi, azifanelekile iziguli ezincane, ezisebenzayo. Kulezi ziguli, izinqubo zokuhlinzwa ezihlukile zingacatshangelwa (bheka ngezansi).
Ukuhlinzwa Kokufakelwa Kwamafutha Okuhlangene
Ukuhlinzekwa kokujoyina okuhlangene kwenzanga kwenziwa ngokususa kokuqala ubuso obunakele nokukhubazeka. Uma ingxenye esonakele yokujoyina isusiwe, ithambo liphela lihlotshaniswa ukufaka ukufakelwa okufakelwayo. Izimpande zensimbi zingenziwa zensimbi, i-ceramic, noma i-plastic. Izimplantshi zimi futhi zigcinwe ngokuqinile esigxotsheni esingenalutho sethanga.
Ukunakekelwa kuthathwa ukuvikela amathenda kanye nemigqa ezungeze ukujoyina.
Ngemuva kokuhlinzwa, uzosebenza nomhlengikazi wesandla ukuze uphinde uhambisane namandla okuhlanganyela. Ingqikithi yokutakula emva kokujoyina ngokuhlanganyela komunwe ingathatha izinyanga ezimbalwa. Izingozi zokufakelwa komunwe ngokuhlanganyela zifaka ukutheleleka, ukulimala kwesibindi, ukungazinzi okuhlanganyelwe, nokufaka izinkinga ezifaka ukukhipha nokukhipha. Njengoba kushiwo ngaphambilini, ukuguqulwa okuhlanganiswe ngomunwe ngokuvamile kufaneleka kubantu abangeke bacindezele iminwe ngokuphakamisa okunzima noma imisebenzi ephindaphindiwe. Kunezinye izinqubo zokuhlinzeka ezifaneleka kangcono ukubambelela kulezi zinhlobo zemisebenzi.
Izindlela ezihlukile ekushintsheni okuhlangene kwamazinyo
Kunezinye izinketho zokucubungula okufanele uzicabange uma ukushintshwa komunwe akuyona inketho efanele kuwe. Mhlawumbe enye ejwayelekile kakhulu ibizwa ngokuthi i- fusion ehlangene . Ukuhlanganiswa okuhlangene kuyindlela yokuhlinzekela unomphela ukuhlanganyela, futhi kushukumise amathambo ukuze akhule lapho okuhlangene kwakukhona khona. Ngokuvamile ukubambisana kugcinwe endaweni efanele ngamacwecwe, izikhonkwane, izikhonkwane, noma izintambo kuze kube yilapho ithambo liphulukiswa ngokuphelele. Inzuzo yenqubo ye-fusion yilapho ephulukisiwe, lesi yisixazululo esihlala njalo - azikho izimpande zokuphuma noma ukukhulula ngokuhamba kwesikhathi. Ukungahambi kahle ukuthi ukuhamba komunwe kunqunyelwe, nakuba kunamalungu amaningi amaningi lokhu kuthinta kancane umsebenzi womunwe.
Imithombo:
I-Eaton C, "I-Finger Osteoarthritis" E-Hand.com Electronic Textbook of Surgery Hand.
Murray PM. "I -Arthroplasties Yokufakelwa Okutsha Kwezizukulwane Zezingxenye ZamaFinger ". J Am Acad Orthop Surg September / Okthoba 2003; 11: 295-301.