Yu tumbu de at bak? Lɛ wi tɔk bɔt thumb arthritis!

Di big finga na wan finga we rili impɔtant na wi an. Tink bɔt am, tɔn ki, ol kɔp, muv di `skrin` fɔ di fon bak ɛn go bifo, rayt, drɔ... Ɔl dɛn tin ya nɔ pɔsibul if yu nɔ gɛt tumbu. Bɔt, yu dɔn ɛva tink se dis valyu jɔyn na yu big an kin mek yu fil pen wan de, i kin swel, ɛn i nɔ kin ebul fɔ du wok dɛn ɛvride? Yɛs, dis na prɔblɛm fɔ bɔku pipul dɛn, mɔ we dɛn dɔn ol. Tide wi de tɔk bɔt dis sik we dɛn kɔl thumb arthritis.

Wetin na Thumb Arthritis?

Fɔ tɔk am simpul wan, tɔŋ at na we di katilej we de protɛkt yu na di jɔyn dɛn na yu big an brok brok. Dis katilej tan lɛk di tin dɛn we de absɔb shɔk na motoka. I de wok lɛk kusɛn we de ɛp di bon dɛn na di jɔyn fɔ muv fayn fayn wan we dɛn nɔ de rɔb pan dɛnsɛf. As tɛm de go, as wi de yuz wi an dɛn, dis katilej kin west. We wi de tɔk bɔt mɛrɛsin, dɛn kin kɔl dis ɔstiɔ-arayt.

Bɔrku tɛm, dis at at kin apin na di carpometacarpal (CMC) joyn na yu tumbu. dis de nia di an, na di bכs pat pan di tכmbכl, na di pat we gεt bכdi na yu an. Sɔntɛnde dɛn kin kɔl am di basal jɔyn. di CMC joyn na in de εp yu tכmbכ fכ muv izi wan frכm sayd to sayd εn grip tin dεm tayt. Na dat mek dɔktɔ dɛn kin kɔl am CMC at at. Infakt, afta at at sik na di joyn dɛm na di finga dɛm, dis na di kayn at at sik we kin apin pas ɔl na di an.

Yu gɛt dɛn sik ya bak?

Naw lɛ wi luk us sayn dɛm yu kin gɛt if yu gɛt big fut at at sik. Nɔto ɔlman go gɛt dɛn sik ya di sem we, bɔt na dɛn wan ya we kin apin pas ɔl:

• Fɔ fil pen ɔ nɔ kɔmfyut na yu big an afta yu dɔn yuz yu an fɔ lɔng tɛm. Imajin, if yu spɛn bɔku tɛm fɔ wok na di gadin, rayt sɔntin, ɔ du os wok dɛn lɛk fɔ kuk, yu big an go bigin fɔ at afta sɔm tɛm.
• na di bכs pat pan di tכmbכl, usay di `CMC` jכint de, wan sכmכl bon spur kin divεlכp. Dat min se na smɔl tin we de kɔmɔt na do we de mek ɔp di bon.
• di joyn na di tכmbכl de sho se i big εn swεla. Sɔntɛnde, i kin ivin bi rɛd.
• Di trɛnk we di big an gɛt kin go dɔŋ, ɛn i kin at fɔ muv am fayn. Fɔ ɛgzampul, i kin at fɔ opin wata bɔtul kap, opin jɔg we gɛt jam, ɔ tɔn ki. I kin at fɔ ol ɛnitin fayn fayn wan wit di an.
• Di big an kin at bad bad wan we yu ol, ol, ɔ pinch sɔntin wit di finga dɛn. I kin fil lɛk shap pen frɔm insay.
• Yu kin fil se yu de swel, yu stif, ɔ yu kin fil lɛk yu big an. Yu kin si se i nɔ izi fɔ bɛn ɔ stret yu big an we yu wek na mɔnin.

If yu gɛt dɛn sik ya, i go fayn fɔ mek yu go to dɔktɔ wantɛm wantɛm.

Wetin mek wi kin gɛt big fut at at sik?

as wi bin dכn tכk, di men tin we kin mek i apin na di kכtilaj we de na di tכmb joyn dεm we de dכn. dis katilej na wan mεmbran we de mek di bon dεm nכ de rכb pan dεn wan dεm εn mek di jכint dεm sכft. We wi de ol ɛn as wi de kɔntinyu fɔ yuz wi an dɛn, dis katilej kin west insɛf. Wetin kin apin na we di bon dɛn we de ɔnda de bigin fɔ rɔb pan dɛnsɛf. Dis kin mek di jɔyn fil pen, swel, ɛn pwɛl.

Udat de pan denja pas ɔl fɔ dis?

Nɔto ɔlman kin gɛt dis. Bɔt sɔm pipul dɛn kin gɛt dis sik. Lɛ wi si udat dɛn bi:

• Fɔ uman dɛn: Uman dɛn kin gɛt dis big fut at at pas man dɛn.
• We wi dɔn pas 40 ia: As wi de ol, bɔku tin dɛn na wi bɔdi kin west, ɛn i nɔmal fɔ mek di bɔdi we de na wi jɔyn dɛn west bak.
• Jɛnɛtik prɛdispɔzishɔn: If pɔsin na yu famili, lɛk yu mama ɔ papa, gɛt ɔstiɔ-arayt, yu kin gɛt jɛnɛtik prɛdispɔzishɔn fɔ gɛt am bak.
• Di wund dɛn we yu bin dɔn gɛt wit yu big an bifo dis tɛm: If yu big an dɔn brok, yu dɔn brus bad bad wan, ɔ yu dɔn swɛt, yu kin gɛt at at tumara bambay.
• Ɔda wɛl bɔdi prɔblɛm dɛn: Pipul dɛn we gɛt ɔda sik dɛn we kin afɛkt di jɔyn dɛn, lɛk lupus ɛn rεumatoid at, dɛnsɛf kin gɛt dis big fut at at.

Aw dɔktɔ kin no dis?

We yu go to dɔktɔ wit di sayn dɛm we yu bin dɔn tɔk bɔt, i go aks yu fɔs bɔt di sayn dɛm we yu gɛt.

• Aw lɔng dis pen dɔn de?
• Yu big an kin at ɔltɛm, ɔ na we yu de du sɔm tin dɛn nɔmɔ i kin at?
• Yu dɔn ɛva gɛt ɛni injuri na yu big an bifo?

Yu kin aks kwɛstyɔn dɛn lɛk.

Dɔn di dɔktɔ go chɛk yu an ɛn yu big an. I kin ol di jɔyn na yu big an ɛn muv am difrɛn say dɛn. Dɔn,

• If yu fil pen we yu de muv yu big an bifo ɛn go, .
• If yu fil "gritty feeling" lεk sכmtin stכk insay di jכint, lεk grens dεm fכ san, .
• If yu yɛri "krak krak" sawnd (`crepitus`) as di bon dɛn de rɔb togɛda, .

Di dɔktɔ kin tink se dis kin bi big fut at at.

Fɔ mek yu no se yu gɛt di sik, yu dɔktɔ kin ɔda bak fɔ mek dɛn tek ɛkstrem rayt. X-ray kin sho aw di katilej dεm wear na di jכint, if di bon dεm de rכb tכgeda, כ if di bon spur dεm dכn fכm.

Wetin na di tritmɛnt dɛm fɔ dis?

Di tritmɛnt fɔ big fut at at kin difrɛn difrɛn wan fɔ di kayn sik we yu gɛt.

Tritmɛnt dɛn we yu kin du na os

Fɔs, if de sik nɔr tu tranga, yu dɔktɔ kin tɛl yu fɔ du simpul tritmɛnt wae yu kin du na os, lɛk:

• Ays ɔ ɔt: Put ays pak ɔ ɔt pad na di jɔyn na yu big an fɔ 5 to 15 minit bɔku tɛm insay di de. Tray ɔl tu ɛn si wetin go mek yu fil fri. Sɔm pipul dɛn kin si se ays kin ɛp dɛn, ɛn ɔda wan dɛn kin si se ɔt kin ɛp dɛn.
• Di tin dɛn we de mek yu nɔ fil pen: Fɔ mek yu nɔ gɛt pen ɛn swɛlin, yu kin tek mɛrɛsin dɛn we nɔ de mek yu fil pen (NSAID), lɛk ibuprofen (Advil®), aspirin (Aspirin), ɔ acetaminophen (Tylenol®). Bɔt mɛmba se nɔ fɔ tek dɛn mɛrɛsin ya ɔltɛm we yu nɔ go to dɔktɔ.
• Wear Splint: Yu dɔktɔ kin se yu fɔ wɛr splint fɔ mek yu big an jɔyn fɔ rɛst ɛn fɔ mek i nɔ muv we yu nɔ nid. Yu kin wɛr dis na de ɔ we yu de slip na nɛt. Dis kin ɛp fɔ ridyus di pen ɛn ɛp di jɔyn fɔ wɛl kwik kwik wan.

Mɛdikal tritmɛnt

If di kia we dɛn de kia fɔ yu na os nɔ de pul di pen, ɔ if di sayn dɛn de wɔs as tɛm de go, yu dɔktɔ go tɛl yu bɔt ɔda mɛrɛsin dɛn.

• stεroyd Injεkshכn: Insay dis, dεn injεkt wan stεroyd dairekt insay di CMC jכint na di tכmbכl, usay pen εn swεla de. Dis kin mek yu nɔ fil pen fayn fɔ sɔm mɔnt. Bɔt di bɛnifit dɛn we dɛn injɛkshɔn ya kin gi kin west as tɛm de go. Dɔn bak, i nɔ fayn fɔ tek dɛn injɛkshɔn ya ɔltɛm.

Ustɛm i nid fɔ du ɔpreshɔn?

If ɔl di ɔda tritmɛnt dɛn nɔ ebul fɔ kɔntrol di pen ɛn di we aw yu big an nɔ de wok fayn so dat yu nɔ ebul fɔ du tin dɛn ɛvride, yu dɔktɔ go tɛl yu fɔ du ɔpreshɔn. Bɔku kayn ɔpreshɔn dɛn de fɔ gɛt at at sik we dɛn kɔl thumb arthritis:

• Arthroplasty (jɔyn riplesmɛnt): Insay dis, dɛn kin pul di jɔyn we dɔn pwɛl na di tumbu ɔlsay ɔ sɔm pat pan am ɛn put atifishal jɔyn (atifishal implant) insay.
• Denervation: Dis nɔ de chenj di jɔnkshɔn dairekt wan. Bifo dat, i de blok di signal dɛm frɔm di nerve endings we de kɛr pen signal to di bren. Dis kin mek yu nɔ fil pen.
• Fyuz (arthrodesis): dis involv fכ fכs di bon dεm na di tכmb joyn tכgeda fכ mek i pεrmanεnt. Dis kin rili ridyus di pen ɛn i kin mek yu gɛt mɔ trɛnk. Bɔt di muvmɛnt we di tɔŋ jɔyn de muv smɔl. Dis min se di jɔyn nɔ go ebul fɔ bɛn ɔ ɛkstɛnd.
• `Ligament Rikonstrכkshכn εn Tεndon Intεrposishכn (LRTI)`:pan ɔl we na smɔl kɔmplikɛt nem, dis kin min fɔ pul pat pan di jɔyn we dɔn pwɛl (bɔku tɛm na wan smɔl bon we dɛn kɔl trapezium) ɛn yuz wan tɛndon nia yu an fɔ mek wan tɔŋ-sɔspɛns. Dis kin mek yu nɔ fil pen ɛn mek yu kɔntinyu fɔ muv sɔm kayn we.
• Trapeziectomy wit suspensionplasty: Dis na prosidur we sכm kayn we lεk LRTI. dɛn kin pul wan pat pan di jɔyn we dɔn pwɛl ɛn dɛn kin sכspεnd di tכmb bay we dεn de yuz di tεndon dεm we de nia כ strכng sutura dεm. Dis kin mek bak di pen nɔ bɔku ɛn i kin mek i ebul fɔ muv.

Yu dɔktɔ go disayd us ɔpreshɔn we go fayn fɔ yu, ɛn i go tink bɔt yu sik, yu ej, ɛn wetin yu nid.

Wetin a go ɛkspɛkt wit dis sityueshɔn?

Atraytis na di big fut na wan sik we dɛn kin ebul fɔ mɛn ɛn we dɛn kin trit. Bɔrku pipul kin ridyus dɛn sik bad bad wan wit de tritmɛnt dɛm wae nɔr de du ɔpreshɔn wae wi dɔn tɔk bɔt, lɛk fɔ kia fɔ dɛn na os, mɛrɛsin, ɛn splint. Dɛn kin tink bɔt ɔpreshɔn nɔmɔ if dɛn nɔ gɛt ɛni rilif.

Sɔntɛnde yu dɔktɔ kin tɛl yu fɔ tek tritmɛnt fɔ yu bɔdi ɔ fɔ mɛn yu wok . Wan sɛtifiket han thɛrapist, we dɛn tren spɛshal wan fɔ di sik dɛn we de ambɔg yu an, kin ɛp yu fɔ gɛt trɛnk bak, muv, ɛn wok na yu an ɛn big an. Dɛn kin tich yu patikyula ɛgzampul dɛn, aw fɔ mek i izi fɔ du ɛvride, ɛn aw fɔ protɛkt yu jɔyn dɛn.

Di tin we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

Tink bɔt ɔmɔs tin dɛn wi de yuz wi big an fɔ ɛvride, lɛk fɔ tɔn ki, fɔ ol buk, ɛn fɔ swip na tablɛt skrin. Bɔt we yu gɛt at at sik na yu big an, ivin dis simpul wok kin mek yu fil pen. E kin bɔrku pas aw yu kin tink, ɛn e kin gɛt big impak pan yu ɛvride layf.

So, if yu gɛt pen, swel, stif, ɔ yu big an nɔ de swɛla, nɔ jɔs ignore am ɛn go to dɔktɔ. I kin ɛp yu fɔ gɛt fridɔm ɛn tich yu we fɔ mek i izi fɔ yu fɔ du tin dɛn we yu de du ɛvride. Di kwik we yu bigin fɔ tek tritmɛnt, na di mɔ yu go ebul fɔ wɛl kwik kwik wan.

` Atraytis, Tɔmɔs Pen, Ɔstiɔ-arayt, CMC Atraytis, Jɔyn Pen, An Pen, Tɔmɔs Atraytis