Chidule cha Thumb Osteoarthritis
Osteoarthritis ikhoza kukhudza ziwalo mu gawo lirilonse la thupi, kuphatikizapo thupi. Kuyezetsa magazi ndi matenda am'mawa kumathandiza anthu omwe ali ndi thukuta la m'mimba kugwilitsa zizindikiro zawo.
Osteoarthritis ya chala chachikulu chimakhala chofala kwambiri kwa akazi kuposa amuna. Kawirikawiri, osteoarthritis ya thupi imakula pambuyo pa zaka 40. Pamene anthu amatha zaka zambiri, izi zikuwoneka mobwerezabwereza.
Chifukwa cha Thupi Osteoarthritis
Matenda a osteoarthritis ndi matenda osokoneza bongo.
Matenda a osteoarthritis amachititsa khunyu - minofu yolimba koma yokhazikika yomwe imaphatikiza mapeto a mafupa omwe amapanga mgwirizano - kuvala pang'ono pang'onopang'ono. Thupi la mafupa osteoarthritis limakhudza kwambiri mgwirizano pamunsi pa thupi, womwe umadziwika kuti mchere wa basal kapena joint carpometacarpal (mgwirizano wa CMC). Mgwirizano wa CMC umapangidwa pamene fupa la metacarpal la thupi limagwira ku fupa la trapezium.
Kutupa koipitsa kapena kupweteka kwa thupi kumapweteka khungu la articular, lomwe ndi kakoti kamene kamaphimba mapeto a mafupa palimodzi. Kuvulaza kwa CMC yokhala ndi chofufumitsa, ngakhale chitetezo cha cartilage sichiri mwamsanga, chingakhudze kusuntha kwa thupi limodzi. Ngati chophatikizichi chimasokonekera pambuyo povulazidwa, vvalani ndi kugwedeza pazowonjezereka, zomwe zimadzetsa osteoarthritis.
Kuzindikira kwa Thumb Osteoarthritis
Kusanthula kwa chifuwa chachikulu cha mitsempha cha m'magazi chimachokera, pambali, pa mbiri ya mankhwala. Kuvulala kwapachiyambi kwa manja, makamaka pa chala chake chomwecho, kungasonyeze chifukwa chake mafuta a osteoarthritis amapangidwa pa chidutswa cha thupi.
Kufufuza mwakuthupi kungasonyeze kuyenda kosazolowereka mu mgwirizano wa CMC, kutupa, ndi ululu kapena chifundo pamunsi pa thupi. Crepitus (phokoso losakaniza ngati chophatikizidwa likusuntha) limasonyeza mapeto a mafupa omwe amapanga mgwirizano akusakanizana wina ndi mzake.
Ma X-ray akhoza kusokoneza mgwirizano, koma ululu umayamba kutsogolera umboni wa x-ray.
Ma X-ray kapena masewero ena ojambula nawo amatha kuzindikira mafupa a mafupa.
Zizindikiro za Thumb Osteoarthritis
Ululu ndi chizindikiro chachikulu chomwe chimagwirizanitsidwa ndi chifuwa chachikulu cha m'mimba. Poyamba, ululu ulipo ndi kuyenda kapena ntchito (mwachitsanzo, kutembenuza fungulo, kutsegula khomo, kunyamula kapu). Monga matenda a osteoarthritis akupitirira, kupweteka kulipo ngakhale panthawi yopuma kapena kupumula. Zizindikiro zina za nyamakazi yamagulu ndi:
- zovuta kulanda zinthu
- kutupa, kuuma, kapena chifundo pamunsi pa thupi
- mawonekedwe a CMC akufutukuka
- zochepa zoyendayenda
Matenda a osteoarthritis angapangitsenso CMC kuphatikiza cha thupi kumasula ndi kubwezeretsa kutali kwambiri, wotchedwa kusokoneza maganizo. Kuwonongeka kwakukulu, komwe kumatchedwa thumb swan neck neckform, kungathenso kuchitika pamene pakati pa thumb palimodzi imasinthidwa, ndipo mgwirizano wa CMC umagwiritsidwa ntchito.
Kuchiza kwa Thumb Osteoarthritis
Mafupa oyambirira a chifuwa amatha kuchiritsidwa bwino pogwiritsa ntchito njira zopangira chithandizo chamankhwala, mwachitsanzo:
- mankhwala osokoneza bongo (NSAIDs) kuti asachepetse kutupa ndi kutupa
- Pangani mchere kwa mphindi 5 mpaka 15 kangapo patsiku kuti muthe kutupa ndi kutupa
- mankhwala opatsirana kapena mankhwala othandizira
- kupatulira kuti kulepheretsa kuyenda kwa thupi
Njira zopangira opaleshoni yamagazi zimaphatikizapo:
- Mankhwala a CMC amatsitsimutsa (arthrodesis) - njira yokha kwa odwala omwe akufunafuna chithandizo cha kupweteka omwe samangoganizira kwambiri za kutaya thumb
- amagwiritsidwa ntchito m'malo mwa CMC (ma prosthesis amatha kukhala osakanikirana pambuyo pamatenda a mafupa omwe ali pamodzi ndi CMC achotsedwa)
- excision arthroplasty - amachotsa mafupa a CMC ndikusintha ndi zinthu zina (mwachitsanzo, chigawo chotambasula) kusunga mafupa
- Trapeziectomy - kuchotsedwa kwa fupa kakang'ono kotchedwa trapezium
Zotsatira:
Nyamakazi ya Thupi. American Academy of Orthopedic Surgeons. December 2013.
Nyamakazi ya Thupi. Orthogate. July 28, 2006.