Chithandizo cha Thumb Arthritis

Zamkati

• Njira zothandizira
• Muzichita masewera olimbitsa thupi
• Mankhwala a nyamakazi ya thupi
• Mankhwala akuchipatala
• Zapamwamba kwambiri
• Njira zopangira opaleshoni
• Chiwonetsero

Pogwiritsa ntchito zala zanga zazikulu za m'manja…

Osteoarthritis mu chala chachikulu ndiye nyamakazi yodziwika bwino yomwe imakhudza manja. Osteoarthritis amayamba chifukwa cha kuwonongeka kwa mafupa olumikizana ndi mafupa. Zitha kukhudza gawo loyambira, lomwe ndi cholumikizira pafupi ndi dzanja komanso gawo lamphamvu la chala. Kuphatikizana uku kumakupatsani mwayi wotsina, kuzungulira, komanso kusinthanitsa chala chanu ndi ntchito mazana tsiku lililonse.

Mwa anthu omwe ali ndi nyamakazi ya thumbu, katsitsi kofanana ndi khushoni mkati mwa cholumikizira chimatha pakapita nthawi. Izi zimapangitsa kuti mafupa azipaka mafupa. Zizindikiro za nyamakazi ya thupi zimatha kukhala yolumala, makamaka chifukwa chala chachikulu chimafunika tsiku lililonse. Kuchepetsa mphamvu yogwira, kuchepa kwamayendedwe, ndi kutupa ndi kupweteka mdzanja lanu zitha kuchitika. Mwina zimakuvutani kutsegula mitsuko, kupotokola chotsegulira chitseko, kapena ngakhale kuthyola zala zanu.

Ngati muli ndi nyamakazi m'malo ena monga maondo anu, mchiuno, kapena zigongono, zimatha kupangitsa kuti nyamakazi yayikulu ikhale yayikulu. Azimayi amakonda kukhala ndi nyamakazi ya thumbu, makamaka omwe ali ndi mitsempha yosinthasintha kapena yosalala. Mwambiri, azimayi ali ndi mwayi wambiri kuposa amuna kukhala ndi nyamakazi ya thupi.

Matenda a nyamakazi ndi mtundu wina wa nyamakazi yomwe imatha kukhala yolumikizana.

Njira zothandizira

Matenda a nyamakazi ndi osiyana ndi munthu aliyense. Pali mankhwala osiyanasiyana omwe angagwire ntchito pazizindikiro zanu.

Njira zoyambirira zochiritsira zimaphatikizapo:

• masewera olimbitsa thupi
• kugwiritsa ntchito ayezi
• mankhwala
• akuwaza
• jakisoni wa steroid

Ngati njirazi sizichepetsa kupweteka komanso kukonza magwiridwe antchito, olumikizanawo angafunike kumangidwanso ndi opaleshoni.

Monga momwe zilili ndi mtundu wina uliwonse wa nyamakazi, ndikofunikira kuti mukalankhule ndi dokotala musanachiritse matenda anu, makamaka musanamwe mankhwala aliwonse.

Muzichita masewera olimbitsa thupi

Dokotala wanu kapena wothandizira zakuthupi angakulimbikitseni kuchita masewera olimbitsa thupi. Mutha kuchita izi kuti musinthe mayendedwe osiyanasiyana ndikukhalitsa ndi matenda anu a nyamakazi.

Zochita zosavuta zingaphatikizepo chala chachikulu, momwe mumayesera kukhudza nsonga ya chala chanu pansi pa chala chanu cha pinky.

Kutambasula kwina, kotchedwa IP, kumagwiritsa ntchito kupindika. Pamafunika kuti mugwiritse chala chanu champhamvu ndi dzanja lanu ndikuyesera kugwada kumtunda kwa chala chachikulu. Ndipo masewera olimbitsa thupi ndikungogwira nsonga zala zanu zonse kumapeto kwa chala chanu chachikulu.

Muyenera kuchita izi pokhapokha mutakambirana ndi dokotala kapena wothandizira. Ndipo onetsetsani kuti mwalandira malangizo kuti mutsimikizire kuti mukuyenda moyenera.

Mankhwala a nyamakazi ya thupi

Mankhwala omwe amagwiritsidwa ntchito popweteka amaphatikizapo mankhwala owonjezera (OTC), mankhwala akuchipatala, ndi mankhwala ojambulidwa.

Mankhwala a OTC omwe angathandize ndi zowawa ndi monga acetaminophen (Tylenol), mankhwala osagwiritsa ntchito anti-inflammatory (NSAIDs), ndi zowonjezera.

Ma OSA NSAID amaphatikizapo ibuprofen (Motrin, Advil) ndi naproxen (Aleve). NSAIDs pa mlingo waukulu zingayambitse matenda, choncho onetsetsani kuti musatenge zambiri kuposa zomwe akulimbikitsidwa phukusi kapena ndi dokotala wanu.

Pali zowonjezerapo zomwe zili ndi umboni wina wothandiza. Izi zimaphatikizapo glucosamine ndi chondroitin, zomwe zimapezeka ngati mapiritsi ndi ufa. Kuphatikiza apo, mafuta opangidwa ndi khungu la capsaicin omwe amagwiritsidwa ntchito pa chala chachikulu amathandizira kuchepetsa ululu.

Mankhwala akuchipatala

Mankhwala a nyamakazi amaphatikizapo COX-2 inhibitors monga celecoxib (Celebrex) ndi meloxicam (Mobic). Tramadol (Ultram, Conzip) itha kuperekedwanso. Mankhwalawa amatha kuyambitsa mavuto ena, monga kulira m'makutu anu, mavuto amtima, kuwonongeka kwa chiwindi ndi impso, komanso kutuluka magazi m'mimba. Mungafunike kuyesa magazi mukamamwa mankhwalawa.

Majekeseni a Corticosteroid olumikizana ndi chala chachikulu chothandizira angathandize kuthetsa kutupa ndi kupweteka. Izi zitha kuchitika kawiri kapena katatu pachaka. Thandizo lomwe jakisoni uyu amapereka ndikosakhalitsa koma lingakhale lofunika. Samalani kuti mupewe kuchita masewera olimbitsa thupi mukamamwa mankhwala a steroid mukapanda kutero mumatha kuwononga malo.

Zapamwamba kwambiri

Dokotala wanu kapena wothandizira thupi angakulimbikitseni kachidutswa kakang'ono ka chala chanu, makamaka usiku. Chidutswa cha chala chachikulu chimawoneka ngati theka la magolovesi okhala ndi zolimbitsa mkati. Kuvala chinsalu ichi kumatha kuchepetsa kupweteka, kulimbikitsa malo oyenera a chala chanu chachikulu, ndikupumulitsa olowa.

Mtundu wopindikawu nthawi zina umatchedwa "long opponens" kapena "thumb spica" splint. Kupopera nthawi zambiri kumachitika mosalekeza kwa milungu itatu kapena inayi. Kenako, chidutswa chimavalidwa nthawi ina, usiku kapena nthawi zina zochitika zatsiku ndi tsiku zomwe zitha kuphatikizira cholumikizira.

Njira zopangira opaleshoni

Ngati masewera olimbitsa thupi, mankhwala, ndi kupopera sizimachepetsa mokwanira ululu ndikubwezeretsanso mayendedwe ndi mphamvu, opaleshoni imafunika. Opaleshoni yomwe ingachitike pamatenda a nyamakazi ndi awa:

Kutulutsa kwachinyengo: Mmodzi mwa mafupa anu amanja omwe akukhudzidwa ndi chala chamanthucho amachotsedwa.

Osteotomy: Mafupa olowa nawo amasunthidwa ndikugwirizana molondola. Amatha kuchepetsedwa kuti achotse kukula mopitilira muyeso.

Kuphatikizana pamodzi: Mafupa olowa nawo amalumikizana. Izi zimapangitsa kukhazikika ndikuchepetsa ululu. Komabe, sipangakhale kusinthasintha muulalo, ndipo simudzathanso kuchita ntchito zina.

Olowa m'malo: Mgwirizanowu umalowetsedwa m'malo ndi ma tendon.

Chiwonetsero

Ngakhale kulibe mankhwala a nyamakazi mu chala chanu chachikulu, pali mankhwala osiyanasiyana osavuta omwe angathandize kuthetsa zizindikiritso za anthu ambiri. Lankhulani ndi dokotala wanu kapena wothandizira zakuthupi za mankhwala omwe angakuthandizeni kwambiri.