Chirongwa cheChimbwa cheOsteoarthritis
Osteoarthritis inogona kukanganisa manhengo mune chero chikamu chemuviri, kusanganisira chigunwe. Kunyanya kuongororwa uye kurapwa kunobatsira vanhu vane chigunwe chetachiona chetachiona chekuita zviratidzo zvavo.
Osteoarthritis yechigunwe chinowanzoonekwa kune vakadzi kupfuura varume. Kazhinji, osteoarthritis yechigunwe inokura pashure pemakore makumi mana. Sezvo vagari vemazera, izvi zvinoonekwa kakawanda.
Cause of Thumb Osteoarthritis
Osteoarthritis chirwere chinokanganisa chinowedzera.
Osteoarthritis inokonzera maronda - anorema asi anogadzirisa mhuka inosvika kumagumo emapfupa ari kuita chibatanidzi - kupfeka zvishoma nezvishoma. Chifukidzo chemaostearthritis chinowanzokonzera kubatana pamucheto wechigunwe chechigunwe, chinonziwo seboka rebasal kana joint joint carpometacarpal (CMC joint). Kubatana kweMCC kunoumbwa apo metacarpal bone yechigunwe ichibatanidza neropa retrapezium.
Kuputika kwakashata kana kuputsika kwechigunwe kunogona kukuvadza articular cartilage, iyo inotakata iyo inofukidza magumo emapfupa mubatanidzwa. Kukuvadza kumusangano weC CMC wechigunwe, kunyange kana kukanganisa karoti isingakurumidzi, kunogona kukanganisa kufamba kwechigunwe chechigunwe. Kana chibatanidzwa chacho chichiita zvisina kunaka shure kwekukuvadzwa, kupfeka uye kubvarura pajoka iri rinowedzera, pakupedzisira rinotungamirira ku osteoarthritis.
Kuongororwa kweChigumbuso Osteoarthritis
Kuongororwa kwechigunwe chetachiona chinonzi osteoarthritis chinotarirwa, muchikamu, pamurwere wehutano hwehutano. Kukuvara kwemaoko kwekare, kunyanya kumagunwe pachako pachako, kunogona kuratidza kuti nei osteoarthritis yakagadzirwa muhudyu.
Kuongororwa kwemuviri kunogona kuratidza kutenderera kwakasiyana kwekufamba mu CMC pamwe chete, kuzvimba, uye kurwadziwa kana unyoro pasi pechigunwe chechigunwe. Crepitus ( inogunhira sezvinobatanidzwa inosunungura ) inoratidza mhedziso yemapfupa iyo inogadzira chibatanidzi iri kubvarirana.
X-rays inogona kuratidza kukanganisa pamwe chete, asi kurwadziwa kunotanga kutangira x-ray uchapupu.
X-ray kana zvimwe zvidzidzo zvekufungidzira zvekare zvinokwanisa kuona osteophytes (bone spurs).
Zviratidzo zveChimbiso cheOsteoarthritis
Njodzi ndiyo chiratidzo chikuru chinosanganiswa nechigunwe chestostearthritis. Pakutanga, marwadzo aripo nekufambisa kana basa (semuenzaniso, kushandura kiyi, kuvhura musuo, kusimudza mukombe). Sezvo osteoarthritis inofambira mberi, marwadzo aripo kunyange panguva yekusagadzikana kana kuzorora. Zvimwe zviratidzo zvechigunwe chemagetsi chinosanganisira:
- kuoma kunobata zvinhu
- kuzvimba, kuoma, kana unyoro pakadzika kwechigunwe
- kuwedzera kwechimiro cheC CMC
- kunokwana huwandu hwekufamba
Osteoarthritis inogonawo kukonzera kubatana kwe CMC kwechigunwe kumasunungura uye kunamatira zvakare kure, kunonzi sekutengesa. Chimwe chimiro, chinozivikanwa se thumb swan neck neckform, chinogonawo kuitika kana katikati yembiru yechando ichibatanidzwa, uye kusungirirwa kweCMC kunoshandiswa.
Kurapa kweMuviri weOstoarthritis
Kutanga kwemaosteoarthritis echigunwe chinogona kunyatsorapwa kuburikidza nekusarudzwa kwemashure ekurapa, somuenzaniso:
- nonsteroidal anti-inflammatory drugs (NSAIDs) kuderedza kuputika nekudzimba
- icing the joint for 5 to 15 minutes several times a day to eliminate inflammation and inflammation
- physically therapy or occupational therapy
- kupfekedzwa kwekudzivirira kufamba kwechigunwe
- steroid majojo mukati memubatanidzwa
Zvokuvhiya zvinoshandiswa zvechigunwe chetachiona chetachiona zvinosanganisira:
- CMC pamwe chete fusion (arthrodesis) - chisarudzo chevarwere vari kutsvaga rubatsiro rwekurwadziwa avo vasinganyanyi kunetseka nezvekurasikirwa kwechigunwe chakanaka
- joint replacement kana arthroplasty - plastiki kana kuti metal prostheses zvinoshandiswa kutora nzvimbo yeCMC joint (prosthesis inoshanda sepacer mushure mekunge arthritic pamusoro pemapfupa mumusangano we CMC yabviswa)
- excision arthroplasty - inobvisa arthritic panzvimbo dzeM CMC sezvikamu uye inoshandura iyo nedzimwe zvinhu (semuenzaniso wakavharidzirwa chikamu chetendon) kuchengetedza mapfupa akaparadzaniswa
- Trapeziectomy - kubviswa kwetsipa duku rinonzi trapezium
Sources:
Arthritis yeChigunwe. American Academy of Orthopedic Surgeons. December 2013.
Arthritis yeChigunwe. Orthogate. July 28, 2006.