Ingqwalaselo yeNgqungquthela ye-Osteoarthritis
I-Osteoarthritis inokuchaphazela amajoyina kuyo nayiphi na inxalenye yomzimba, kuquka nesithupha. Ukuxilongwa kwangaphambili kunye nonyango kunceda abantu abane-thunde osteoarthritis ukulawula iimpawu zabo.
I-osteoarthritis yesithupha sinokuqhelekileyo kubasetyhini kunamadoda. Ngokuqhelekileyo, i-osteoarthritis yesithupha ityala emva kweminyaka engama-40 ubudala. Njengabantu abaneminyaka yobudala, oku kubonakala kuninzi.
Isizathu sesigxathu se-Osteoarthritis
I-Osteoarthritis isifo esihlanganyelweyo.
I-osteoarthritis ibangela i- cartilage - iisisulu ezinzima kodwa eziguquguqukayo ezibandakanya iiphelo zamathambo abumba i-joint - ukuba agqoke kancane kancane. Isiqu se-osteoarthritis ngokuqhelekileyo sichaphazela umdibaniso kwisiseko sesithupha, esaziwa njenge-basal joint okanye i-carpometacarpal joint (i-joint CMC). Iqoqo le-CMC lenziwa apho ithambo le-metacarpal lesithupha lidibanisa nethambo ye-trapezium yesandla.
Ukungcola kakubi okanye ukuphulwa kwesithupha kunokulimaza i-cartilage ye-articular, okuyi-cartilage ehlanganisa iiphelo zamathambo ngokubambisana. Ukulimala kwi-joint CMC yesithupha, nangona umonakalo we-cartilage awukho msinya, unokuchaphazela ukuhamba kwesigxina. Ukuba umdibaniselwano uhlehliswa ngokulandela ukulimala, gqoka kwaye udikelele ekunyuseni ukudibanisa, ekugqibeleni uholele kwi-osteoarthritis.
Ukuxilongwa kweThumbulu ye-Osteoarthritis
Ukuxilongwa kwe-thumb osteoarthritis isekelwe, kwinqanaba, kwimbali yonyango yesigulane. Ukulimala kwamandulo kwangaphambili, ngokukodwa kwisithupha, ngokwayo kungabonisa ukuba kutheni i-osteoarthritis iqulethwe kwisiqwenga sesithupha.
Uvavanyo olubonakalayo lunokubonisa intlobo engavumelekanga yokunyuka kwi-CMC, ukuvuvukala, nentlungu okanye ukunyamezela kwisiseko sesithupha. I-Crepitus (isandi sokugaya njengoko udibeneyo sishukunyiswa) sichaza iziphelo zamathambo ezenza idibeneyo zixubana ngomnye nomnye.
I-X-ray ingabonakalisa umonakalo odibeneyo, kodwa intlungu ihlala ihamba phambi kobufakazi be-x-ray.
I-ray-ray okanye ezinye izifundo zengcamango nazo ziyakwazi ukubona i- osteophytes (i-bone spurs).
Iimpawu zeThumbha ye-Osteoarthritis
Ubuhlungu buyimpawu eziphambili ezihambelana nesithuthuthu se-osteoarthritis. Ekuqaleni, intlungu ikhoyo ngokuhamba okanye umsebenzi (umz., Ukujika ikhiye, ukuvula umnyango, ukuphakamisa indebe). Njengoko i-osteoarthritis iyaqhubeka, intlungu ibakho nangethuba lokungasebenzi okanye ukuphumla. Ezinye iimpawu zesifo sesigqirha ziquka:
- ubunzima bokuthabatha izinto
- ukuvuvukala, ukuqina, okanye ububele kwisiseko sesithupha
- Ukubonakala kwandiso lwe-CMC
- ulwahlulo olukhawulelwe
I-Osteoarthritis inokubangela ukuba uhlanganiso lwe-CMC isisitye sokusikhulula kwaye uguqe ngokude kakhulu, ekubhekiselwe kuso njengengxubevange. Ubunzima obuthile, owaziwa njenge-thumb swan neck neckform, luyakwenzeka kwakhona xa iqhagamshelo lesigxina eliphakathi lidibanisa, kwaye ukuhlanganiswa kwe-CMC kuxhomekeka.
Unyango lweThumbulu ye-Osteoarthritis
I-osteoarthritis yasekuqaleni yeso sikhumba ingaphathwa kakuhle ngokukhetha iindlela zokonyango,
- izidakamizwa ezingabhubhisiyo (i-NSAID) ukunciphisa ukuvuvukala nokuvuvukala
- ukuchukumisa ukudibanisa imizuzu emi-5 ukuya kwemizuzu elinesibini ngemini ukukhupha ukuvuvukala nokuvuvukala
- unyango lomzimba okanye unyango lomsebenzi
- ukukhawulelana ukukhawuleza ukuhamba kwesithupha
- ii-injection ze-steroid kwi-joint
Izinketho zokuphanda kwi-thumb osteoarthritis ziquka:
- Ukuhlanganiswa kwe-CMC (arthrodesis) - inketho kwizigulana ezifuna ukukhulula intlungu ezingakhathazeki ngokugqithiseleyo malunga nokulahlekelwa
- ukutshintshwa okuhlangeneyo okanye i-arthroplasty - iplastiki okanye i-prostheses yensimbi isetyenziselwa ukufaka endaweni yokujoyina i-CMC (iprothesis isebenza njengendawo yokucoca emva kokuba i-arthritic surfaces of the bones in the joint CMC isuswe)
- ukugqithiswa kwe-arthroplasty - kususa iingxube ze-arthritic zamalungu e-CMC kwaye zithatha indawo yento ethile (umz
- I-Trapeziectomy - ukususwa kwethambo elincinci elibizwa ngokuba yi-trapezium
Imithombo:
IArthritis yeSigxina. I-American Academy ye-Orthopedic Surgeons. Disemba 2013.
IArthritis yeSigxina. IOrgogate. Julayi 28, 2006.