Zvisarudzo zvekuvhipwa kweArthritic Wrist Joint
Hwende rekubatanidza ichitsva chemashure maviri epamberi (radius uye ulna), uye boka remazana mashoma mapfupa ari pasi pechanza (mapfupa e-carpal). Kufanana nemamwe masangano mumuviri, bundu rinogona kukura arthritis, zvichikonzera marwadzo pamwe chete uye kuzvimba. Mhando dzakasiyana dzeArthritis dzinogona kukanganisa maziso akabatanidzwa, kusanganisira osteoarthritis uye rheumatoid arthritis.
Kurapa kwechiropa cheArthritis kakawanda kunotanga nemishonga isinganzwisisiki, uye kana izvi zvisingakwanisi kupa rubatsiro, zvinogona kunge zviripo zvokuvhiya. Nenzira yakanaka, kusiyana nemahudyu nemabvi, isu hatifambi pamaoko edu, vanhu vakawanda vanodzidza kuti vakwanise kutakura zviratidzo zvavo zvemaziso echirwere pasina chirwere chikuru. Mune vamwe varwere, zvisinei, zvirwere zveArthritis zvinodzivisa, uye pakupedzisira kuvhiwa kunogona kudiwa.
Non-Surgical Treatments
Kurapa kweArthritis inowanzotanga nemamwe matanho ari nyore. Kune vanhu vane arthritis, mikana yakajairika inosanganisira ice kana kushandiswa kwemhepo , mishonga yemuromo , uye zvirwere zve cortisone . Zvigadziriswe zvekristani uye mabhesi zvinowanzobatsira zvikuru pakurapa kwemaziso arthritis; kurapa kwepanyama kunogona kupawo zororo rezviratidzo zvinorwadza.
Kazhinji kacho, zviratidzo zvehutachiona hwemahythritis zvinogona kutarisirwa nematanho ekurapa asingashandi. Kusiyana nekuputika nemabvi arthritis, kwatinotenderera kumativi ayo ekudzika zvichikonzera marwadzo nekuremara, kumusoro kwepamusoro arthritis inogona kutariswa nemishonga isingashandisi.
Nokuchinja nzira yatinoita nayo, uye kuedza zvimwe zvezvirapa izvi zvisingabviri, zvisingaiti, vanhu vazhinji vanogona kutakura maziso arthritis vasingafaniri kuvhiyiwa. Zvisinei, apo mishonga iyi isingabhadhari inokundikana kugadzirisa zvakakwana zviratidzo, pane mamwe maitiro ekurapa.
Wrist Fusion Surgery
Iko kusungirirwa kwemaoko inzira inowanzopiwa yekurapwa kweArthritis yakaoma yekrist. Mune zvimwe zviitiko, apo arthritis inogumira kunzvimbo duku yejojo, pangava nekugona kwekuita fusion pakati pezvishomanana zviduku zviduku zvesimbi, zvinonzi "kukanganiswa kwechechi." Semuenzaniso, "kukanganiswa kwemakona mana" ndiyo chirongwa chekuvhiya chakaitwa apo arthritis inogumira kumapfupa maduku echiuno, kazhinji anokonzerwa nekuputsika kwekare kana kushungurudzika kusvika pamubatanidzwa.
Muvanhu vane arthritis yakawanda yemaoko - kunyanya apo arthritis inosanganisira magumo emapfupa epamusoro-sarudzo-iyo inosvika yakazara fusion fusion. Muchiitiko ichi, hombe huru uye zvigadzirwa zvesimbi zvakasungirirwa nepamusoro pekubatana kwemaoko. Hondo haizombokotamire zvakare, asi kune vanhu vane chirwere chakanyanya chirwere, chinangwa chekutanga ndechokununurwa kunorwadza. Iko kusungirirwa kwemaoko kunowanzopa sangano rakasimba uye risina marwadzo kuitira kubvumirazve kuita mabasa akawanda.
Wrist Replacement
Chibatanidza chembambo chinogona kuchinjwa, chakafanana nekugadziridzwa kwemabvi kana kushandiswa kwechiuno : hubatanidzwa hunotsiviwa nesimbi uye mapiritsi epurasitiki anobvumira kufamba kwekubatanidza pakati pechanza ne forearm.
Kubatsira kwekugadziriswa kwesimba ndiko kuti, kusiyana nemafungiro, varwere vane chibatanidzwa chinotsiviwa vachave nekufamba kwekristani.
Izvo zvisingabatsiri ndezvekuti izvi kazhinji hazvisi nzira yakanaka yevashandi uye vaduku, sezvo zvirongwa zvisingagadziri kurwisa masimba makuru. Uyezve, kushandiswa kwemaoko kushandiswa kwakafanana, saka kusiyana nekuputika nemabvi kunotsiva, kune vashoma vanovhiya vanoita izvi zvakaoma.
Carpectomy
Mucherechedzo inzira yekuvhiya kubvisa maduku maduku ejoka. Rudzi rwakawanda kwazvo rwemakumbo anokonzera kubviswa kwemuti muduku mudhechi chechigunwe, chinonzi trapezium, kune vanhu vane arthritis yepasi pechigunwe .
Apo arthritis inowanda kupararira mukati mekristani, chirwere chinonzi chirevo chinonzi proximal row carpectomy (kana PRC) chinobvisa zvitatu zviduku zvemafupa kuti zvibvise majoka akaputika emuti.
Mutsara wepamusoro we carpectomy unogona kuva sarudzo kune vanhu vanoda kumira kwekristani uye saka havadi kuwedzerwa, asi vari kushingaira kuti vave nechinzvimbo. Mukuwedzera, chirwere chinogona kunge chiri chakanaka chevanhu vasingasarudzo dzakanaka pakukanganiswa, zvakadai sevasvuta vane mikana yakawanda yezvinetso , zvakadai sekusabatana , nekuvhiyiwa kwekutsvaga.
Mhinduro Pashure Pokuvhiya
Migumisiro yehutano hwehutachiona hwemaarthra uye chirwere chinowanzoenderana nekufananidza up the best therapies for the patient. Hasi imwe neimwe yeizvi yekuvhiya ndiyo yakakodzera kune munhu wose ane arthritis, naizvozvo zvakakosha kuongororwa nachiremba anoziva neumwe wehutsika idzi.
Mune varwere vanovhiyiwa nokuda kwesimba reArthritis, vazhinji vachawana zororo kune vamwe kana kuti marwadzo avo ose. Kunyange zvazvo basa risati rakanaka mushure mekuvhiyiwa kweArthritis, rinowanzova nani kupfuura murwere akawana chirwere chisati chaitika. Kufambisa kwemaoko kwakasiyana, zvichienderana nekusarudzwa kupi kwakasarudzwa.
Sources:
Weiss AC, et al. "Total Wrist Arthroplasty" J Am Acad Orthop Surg March 2013 vol. 21 no. 3 140-148
Wyrick JD. "Inotarisa Row Carpectomy neIntercarpal Arthrodesis yekutungamirirwa kweWrist Arthritis" J Am Acad Orthop Surg July / August 2003; 11: 277-281.