Ukwelashwa Kwe-Thumb Arthritis

-Delile

• Izinketho zokwelashwa
• Zilolonge izithupha
• Imithi yokwelashwa kwesithupha
• Imithi kadokotela
• Ama-Super splints
• Izixazululo zokuhlinza
• Umbono

Ngokwakhiwa kwezithupha zami…

I-osteoarthritis esithupheni iyona ndlela ejwayelekile kakhulu ye-arthritis ethinta izandla. Imiphumela ye-osteoarthritis kusuka ekuwohlokeni kwe-cartilage ehlangene kanye nethambo elingaphansi. Kungathinta i-basal joint, okuyijoyinti eliseduze nesihlakala nengxenye eyinyama yesithupha. Lelijoyinti ngokujwayelekile likuvumela ukuthi ucindezele, ushaye, futhi ushwibise isithupha sakho ngamakhulu emisebenzi nsuku zonke.

Kubantu abane-arthritis yesithupha, uqwanga olufana nomcamelo ngaphakathi kwejoyinti luyehla ngokuhamba kwesikhathi. Lokhu kudala ukuthi ithambo lihlikihle amathambo. Izimpawu zesithupha samathambo zingakhubazeka, ngokwengxenye ngoba isithupha sidingeka kaningi usuku ngalunye. Ukwehla kwamandla okubamba, ukuncipha kokuhamba, nokuvuvukala nobuhlungu esandleni sakho kungenzeka. Ungakuthola kunzima ukuvula izimbiza, ukusonta uvule isivalo somnyango, noma ngisho nokuqhwakaza iminwe yakho.

Uma une-arthritis kwamanye amalunga njengamadolo akho, izinkalo, noma izindololwane, kungenza isitho samathambo sibe lula. Abesifazane bathambekele kakhulu ekutholeni isifo samathambo, ikakhulukazi labo abanemigqa eguquguqukayo noma eyekelele yezithupha. Ngokwezibalo, abesifazane basengozini enkulu kunamadoda yokuthuthukisa isifo samathambo.

I-rheumatoid arthritis ingenye uhlobo lwe-arthritis olungathuthuka ku-basal joint.

Izinketho zokwelashwa

I-arthritis ihlukile kumuntu ngamunye.Kunezinhlobonhlobo zokwelashwa ezingasebenzela izimpawu zakho ezithile.

Izinketho zokwelashwa zokuqala zibandakanya:

• ukuzivocavoca umzimba
• ukusetshenziswa kweqhwa
• imithi
• ukuqhekeka
• imijovo ye-steroid

Uma lezi zindlela zingabutholi ubuhlungu futhi zithuthukise ukusebenza, ukujoyina kungadinga ukwakhiwa kabusha ngokuhlinzwa.

Njenganoma yiluphi uhlobo lwe-arthritis, kubalulekile ukukhuluma nodokotela wakho ngaphambi kokwelapha isimo sakho, ikakhulukazi ngaphambi kokuthatha noma yimiphi imithi.

Zilolonge izithupha

Udokotela wakho noma owelapha ngokomzimba angancoma ukuvivinya umzimba. Ungenza lezi zivivinyo ukuze uthuthukise ububanzi bokunyakaza futhi uthuthukise izimpawu zakho ze-arthritis.

Ukuzivocavoca okulula kungafaka ukwelula isithupha, lapho uzama khona ukuthinta ichopho lesithupha sakho ngaphansi komunwe wakho obomvana.

Okunye ukwelulwa, okubizwa nge-IP, kusebenzisa ukujiya Kudinga ukuthi ubambe isithupha sakho ngesinye isandla bese uzama ukugoba ingxenye engenhla yesithupha. Futhi ukuzivocavoca okungeziwe ukuthinta nje izeluleko zomunwe wakho ngamunye esihlokweni sesithupha sakho.

Kufanele wenze lezi zivivinyo kuphela ngemuva kokubonisana nodokotela wakho noma owelapha ngokomzimba. Futhi qiniseka ukuthola imiyalo ukuqinisekisa ukuthi wenza ukunyakaza ngendlela efanele.

Imithi yokwelashwa kwesithupha

Imithi esetshenziselwa izinhlungu ifaka imishanguzo ye-over-the-counter (OTC), imishanguzo kadokotela, nemithi ejojwayo.

Imithi ye-OTC engasiza ngobuhlungu ifaka i-acetaminophen (Tylenol), izidakamizwa ezingezona ukuvuvukala (ama-NSAID), nama-supplements.

Ama-OSA NSAID afaka ibuprofen (Motrin, Advil) ne-naproxen (Aleve). Ama-NSAID ngemithamo ephezulu angadala izinkinga zempilo, ngakho-ke qiniseka ukuthi awuthathi okungaphezu kokunconywayo kwiphakethe noma ngudokotela wakho.

Kukhona izithasiselo ezinobufakazi bokusebenza ngempumelelo. Lokhu kufaka phakathi i-glucosamine ne-chondroitin, etholakala njengamaphilisi nampushana. Ngokwengeziwe, okhilimu besikhumba i-capsaicin abafakwe kusithupha bangasiza ekudambiseni ubuhlungu.

Imithi kadokotela

Imithi kadokotela ye-arthritis ifaka i-COX-2 inhibitors efana ne-celecoxib (i-Celebrex) ne-meloxicam (i-Mobic). I-Tramadol (i-Ultram, i-Conzip) nayo ingabekwa. Le mithi ingadala imiphumela emibi ngemithamo ephezulu, njengokukhala ezindlebeni zakho, izinkinga zenhliziyo, ukulimala kwesibindi nezinso, nokopha emathunjini. Ungadinga ukuthi ube nokuhlolwa kwegazi okuthile ngenkathi uthatha le mithi.

Imijovo ye-Corticosteroid esihlanganisweni sesithupha ingasiza ekunciphiseni ukuvuvukala nobuhlungu. Lokhu kungenziwa kabili noma kathathu ngonyaka. Impumuzo le mijovo ehlinzekwayo ingeyesikhashana kepha ingabonakala. Qaphela ukugwema ukuzivocavoca umzimba ngokweqile ngenkathi usebenzisa umuthi we-steroid ngaphandle kwalokho uzibeka engcupheni yokulimaza amalunga.

Ama-Super splints

Udokotela wakho noma owelapha ngokomzimba angancoma isikhunta sesithupha sakho, ikakhulukazi ebusuku. Ukuqhekeka kwesithupha kungabukeka njengeglavu eyisigamu enezinto zokuqinisa ngaphakathi. Ukugqoka le nsimbi kungasiza ekunciphiseni ubuhlungu, kukhuthaze indawo efanele yesithupha sakho, bese uphumuza ilunga.

Lolu hlobo lwesihlwathi kwesinye isikhathi lubizwa nge- “long opponens” noma “thumb spica” splint. Ukuhlunga kuvame ukwenziwa ngokuqhubekayo amasonto amathathu kuya kwamane. Ngemuva kwalokho, i-splint igqokwa kwesinye isikhathi, kungaba sebusuku noma phakathi kwemisebenzi ethile yansuku zonke engacindezela ukujoyina.

Izixazululo zokuhlinza

Uma ukuzivocavoca umzimba, imishanguzo, nokuqhekeza kungabunciphisi ngokwanele ubuhlungu futhi kubuyise ukunyakaza namandla, kungadingeka ukuhlinzwa. Ukuhlinzwa okungenzeka kwe-arthritis yesithupha kufaka:

I-Trapeziectomy: Kususwa elilodwa lamathambo akho esihlakaleni ahlanganiswe nokuhlangana kwesithupha.

I-osteotomy: Amathambo asejoyintini lakho ayahanjiswa futhi aqondaniswe kahle. Zingasikwa ukuze zisuse ukukhula okweqile.

Ukuhlanganiswa okuhlangene: Amathambo ejoyintini ahlanganisiwe. Lokhu kuthuthukisa ukuzinza futhi kunciphise ubuhlungu. Noma kunjalo, akusekho ukuvumelana nezimo ejoyintini, futhi ngeke usakwazi ukwenza imisebenzi ethile.

Ukubuyiselwa ngokuhlanganyela: Ilunga lingena esikhundleni se-tendon graft.

Umbono

Ngenkathi lungekho ikhambi lesifo samathambo esithupha sakho, kunezindlela zokwelapha ezahlukahlukene ezingasiza ekunciphiseni izimpawu kubantu abaningi. Khuluma nodokotela wakho noma owelapha ngokomzimba ngokuthi iziphi izindlela zokwelashwa ezingakusiza kakhulu.