Izinketho zokuPhepha unyango lwe-Arthritic Wrist Joint
Isalathisi sesangqa sihlangene samathambo amabini angaphambili (i-radius kunye ne-ulna), kunye neqela lamathambo amancinci angama-8 kwisiseko sesandla (amathambo e-carpal). Njengamanye amalunga emzimbeni, isandla sinokuvelisa i-arthritis, kubangela intlungu kunye kunye nokuvuvukala. Iindidi ezahlukileyo ze-arthritis zinokuchaphazela intambo yesandla, kuquka i- osteoarthritis kunye ne-rheumatoid arthritis.
Unyango lwe- arthritis yesandla ngokuqhelekileyo luqala ngokunyanga okulula, kwaye xa lahluleka ukubonelela, kunokukho iindlela zokuzonwabisa. Ngethamsanqa, ngokungafani nezikhwebu namadolo, asihambanga ngezandla zethu, abaninzi abantu bafunda ukulawula ngokwaneleyo iimpawu zabo zesifo samathambo ngaphandle kokuhlinzwa okukhulu. Kwezinye izigulane, nangona kunjalo, iimpawu ze-arthritis zikhubaza, kwaye ekugqibeleni unyango luya kufuneka.
Unyango olungapheliyo
Unyango lwe-arthritis phantse rhoqo uqala ngamanyathelo athile alula. Kwabantu abane-arthritis yesandla, ukunyanga okuqhelekileyo kubandakanya i- ice okanye ukushisa kwesicelo , imithi yomlomo kunye ne- cortisone injections . Ukuqhaqha kwamakhanda kunye neengqungqelo zihlala zikunceda kakhulu unyango lwe-arthritis yesandla; unyango lomzimba lunokubonelela ngoncedo lweempawu ezibuhlungu.
Ngokuqhelekileyo, iimpawu zesifo samathambo angakwazi ukulawulwa ngamanyathelo angonyango. Ngokungafani ne-hip kunye ne-knee arthritis, apho sihamba khona emacaleni akhe aphantsi okubangela ubuhlungu nokukhubazeka, ukuphela kwe-arthritis kudla ngokulawulwa ngononophelo lwezonyango.
Ngokutshintsha indlela esenza ngayo imisebenzi, kwaye sizama ezinye zezokwelapha ezilula, ezingenasiphelo, abaninzi abantu banokulawula i-arthritis yesandla ngaphandle kokuba baqhutywe kwinkqubo yokupasa. Nangona kunjalo, xa ezi zonyango zingabonakali ngokukhawuleza iimpawu, kukho ezinye iindlela zokwenza unyango.
Ukugqithiswa kweMandla
I- fusion yekhanda yinto eqhelekileyo yokunyanga kwe-arthritis enamandla yesandla. Kwezinye iimeko, apho i-arthritis iphela kummandla omncinci womdibaniselwano, kunokuba nethuba lokwenza umxube phakathi kwambalwa amathambo amancinci, ebizwa ngokuthi "ukucutha okuncinane." Ngokomzekelo, i-"fusion four corner" yindlela yokuhlinzwa eyenziwa xa i-arthritis igqithiselwa amathambo amancinci, ngokuqhelekileyo kubangelwa ukuphuka komdala okanye ukuxhatshazwa kwintsebenziswano.
Kubantu abane-arthritis ephakamileyo yesalathisi-ngakumbi xa i-arthritis iquka iziphelo zamathambo angaphambili-ikhetho iyaba yintambo yomhlaba wonke. Kule meko, i-plate enkulu kunye ne-screws zensimbi zifakwe kwi-joint joint. Isiko asiyi kubuya kwakhona, kodwa kubantu abanesifo esiqheqhaqhaqhaqho, injongo ephambili yintlungu yoxolo. I-fusion yesandla ngokuqhelekileyo inikezela iqhagamshelwano elinamandla kunye nentlungu ukuze kuvumeleke kwakhona imisebenzi emininzi.
Ukutshintshwa kweNkosi
Isalathisi sesandla sinokuthi sithathe indawo, kufana nendlela ukutshintshwa kwamadolo okanye ukutshintshwa kwe- hip kuyenziwa ngayo: idibeneyo ithathelwa indawo yesikhala kunye neeplastiki ezivumela ukunyakaza kokubambisana phakathi kwesandla kunye ne-forearm.
Inzuzo yenguquko yesandla kukuba, ngokungafani ne-fusion, izigulane ezithathiweyo ziza kubakho ukuhamba kwensimbi.
Ukungalungi kukuba le nto ayikho inkqubo efanelekileyo yezigulane ezisebenzayo kunye ezincinci, njengoko izimpembelelo ezingenzelwe ukulwa nemikhosi ebalulekileyo. Ukongezelela, ukutyunjwa kwesandla somnxeba kunokuqhelekanga, ngoko ukungafani nokuqhawula ngamadolo kunye nokuguqulwa kwamadolo, baninzi abagqirha abenza le nkqubo enzima.
Carpectomy
I-carpectomy yinkqubo yokuqhawula ukususa amathambo amancinci. Uhlobo oluqhelekileyo lwe-carpectomy lususa ithambo elincinane kwisiseko sesithupha, esibizwa ngokuba yi-trapezium, kubantu abane- arthritis yesiseko sesithupha .
Xa i-arthritis isasazeka kakhulu kwisikristeni, utyando olubizwa ngokuba ngumzila ophezulu we-carpectomy (okanye i-PRC) ususa amathathu amancinci amancinci ukususa amajoyini angapheliyo yesandla.
Umqolo wesigxina we-carpectomy unokukhetha ukuba abantu abadinga ukuhamba kwesandla kwaye ngenxa yoko abafuni ukuxuba, kodwa bakhuthele ukuba benze indawo. Ukongezelela, i-carpectomy ingaba yindlela engcono kubantu abangenabo abafanelekileyo abafanele ukuxuba, njengababhemayo abanethuba eliphezulu leengxaki ezinjenge- nonunion , kunye nokuhlinzwa kwe-fusion.
Iziphumo Emva Konyango
Iziphumo zonyango lwe-arthritis yesandla kunye nokuhlinzwa zixhomekeke ekuxhathiseni unyango olungcono kunyango ngamnye. Akukho nanye yale ndlela yokugonywa ifanelekile kubo bonke abantu abane-arthritis yesibindi, ngoko kubalulekile ukuba uhlolwe ngugqirha oye wafunyanwa ngolu hlobo lwezakhono.
Kwizigulane ezithatha ukuhlinzwa ngenxa yesifo se-arthritis, abaninzi banokufumana ukukhululeka kwezinye okanye zonke iintlungu. Nangona umsebenzi ungaqhelekanga emva kokuhlinzwa kwe-arthritis ye-arthritis, ngokuqhelekileyo kulunge ngakumbi kunegulane elaphakade ngaphambi kokuhlinzwa. Ukuhamba kwekhanda kuyashintsha, kuxhomekeke kukuphi ukhetho olukhethiweyo olukhethiweyo.
Imithombo:
Weiss AC, kunye no-al. "I-Arthroplasty ye-Arthroplasty Yonke" J Am Acad Orthop Surg March Matshi vol. 21 no. 3 140-148
Wyrick JD. "I-Rx Carpectomy ne-Intercarpal Arthrodesis yokuLawula i-Arthritis" I-Am Acad Orthop Surg July / Agasti 2003; 11: 277-281.