I kutpui pawh a na em? Thumb arthritis chungchang hi han sawi ila!

Kutpui hi kan kut zungtang pawimawh tak a ni. Ngaihtuah teh, chabi her, cup chelh, phone `screen` hma leh hnung sawn, ziak, draw... Heng zawng zawng hi kutpui tel lo chuan thil theih loh a ni. Mahse, he kutpui ruh hlu tak hi ni khat chu a na thei a, a hring thei a, nitin hna a thawk thei lo thei tih i ngaihtuah ngai em? Ni e, hei hi mi tam tak tan chuan harsatna a ni a, a bik takin kum upa lam nen. Vawiin hian he natna thumb arthritis an tih hi kan sawi dawn a ni.

Thumb Arthritis hi eng nge ni?

A awlsam zawngin, thumb arthritis chu i kutpui ruh (joint)-a protective cartilage tihchhiatna a ni. He cartilage hi car chhunga shock absorbers ang a ni. Cushion angin hna a thawk a, chu chuan ruh chhunga ruhte chu inhnim hrual lovin a kal tluang thei a ni. Hun a kal zel a, kan kut kan hman rual hian he cartilage hi a chhe ta hle mai. Damdawi lam hawi chuan hei hi osteoarthritis an ti a.

A tam zawkah chuan he arthritis hi i kutpui carpometacarpal (CMC) joint-ah a awm thin. Hei hi kutphah bulah, kut zungtang bul hnaiah, i kut tisa laiah a awm a ni. A chang chuan basal joint an ti bawk. CMC joint hi i kutpui chu a sir lehlamah awlsam taka a kal theih nan leh thil a chelh nghet theitu a ni. Chuvang chuan doctor ten CMC arthritis an ti a ni. Dik tak chuan kut zungtang ruh natna (arthritis) hnuah hian hei hi kut ruh natna chi khat a ni ber.

Nang pawhin heng symptoms te hi i nei ve em?

Tunah chuan ke ruh lian (big toe arthritis) i neih chuan eng symptom nge i neih theih ang tih hi han en ila. Mi zawng zawng hian heng symptoms te hi a inang vek dawn lo a, mahse hengte hi a tam ber chu an ni:

• Hun rei tak i kut i hman hnua i kutpuiah natna emaw, nuam lo emaw i hriat. Ngaihtuah teh, huana hna thawkin hun tam tak i hmang a, thil i ziak a, inchhung hna, chaw siam ang chi i tih chuan i kutpui chu rei vak lo hnuah a na tan ang.
• Thumb bul, `CMC` joint awmnaah chuan ruh spur te tak te a lo awm thei a. Chu chu ruh chunga thil chhuak te tak te a ni.
• Kutpui ruh chu a lianin a hring chhuak niin a lang. A chang chuan a sen pawh a ni thei.
• Kut zungpui chakna a tlahniam a, tha taka sawn a harsa thin. Entirnan, tui bottle khuhna hawn te, jam bawm hawn te, chabi herh te chu a harsa ta hle. Kut hmanga eng thil pawh nghet taka chelh chu a harsa ta hle.
• Kut zungtang chu kut zungtang hmanga thil man emaw, man emaw, a chil emaw hian a na hle. A chhungril atang chuan natna khirh tak ang maiin a lang thei.
• I kutpui hnuai lamah a hring, a hring emaw, a hring emaw a awm thei. Zing i thawh hian i kutpui ben emaw, dinglam emaw chu i harsat mai thei.

Heng symptoms te hi i neih chuan doctor pan nghal a tha ber.

Engvangin nge ke ruh lian (big toe arthritis) kan vei?

Sawi tawh ang khan a chhan ber chu kutpui ruh (thumb joints)-a cartilage (cartilage) degeneration vang a ni. He cartilage hi ruhte inhnaih lohna tur leh ruhkawrte chu a smoothness pe theitu membrane a ni. Kum upat chhoh zel leh kan kut kan hman chhunzawm zel chuan he cartilage hi a pianphungah a chhe zel a ni. Thil thleng chu a hnuaia ruhte chu an inhnim tan ta a ni. Hei hian ruh natna a thlen a, a hring a, ruh a tichhia bawk.

Hemi atan hian tute nge hlauhawm ber?

Hei hi mi zawng zawngin an dawng vek lo. Mahse mi thenkhat chuan he natna hi an vei tam zawk. Tute nge an nih i en ang u:

• Hmeichhia tan: Hmeichhia hian mipa aiin he ke ruh lian tak hi an vei tam zawk.
• Kum 40 aia upa: Kan tar chhoh zel chuan kan taksaa thil tam tak a chhe vek a, kan ruhkawr (cartilage) pawh a chhe vek hi thil pangngai a ni.
• Genetic predisposition: I chhungkuaa mi tu emaw, i nu emaw, i pa emaw ang chi, osteoarthritis nei a nih chuan nang pawhin i vei theihna tur genetic predisposition i nei thei bawk.
• Tun hmaa kutpui hliam: I kutpui chu a tliak a, nasa taka a hliam emaw, a hliam emaw a nih chuan nakin lawkah arthritis i vei thei a ni.
• Hriselna dang: Natna dang, ruh tichhe thei, lupus leh rheumatoid arthritis nei te pawhin he ke ruh lian tak hi an vei thei a ni.

Engtin nge doctor hian hei hi a hriat theih?

A chunga kan sawi tak symptoms nei doctor i pan hunah chuan i symptoms chungchang a zawt hmasa ang che.

• He natna hi eng chen nge a awm tawh?
• I kutpui chu a na reng em, a nih loh leh thil engemaw i tih lai chauhvin a na em?
• Tun hmain i kutpuiah hliam i nei tawh em?

Zawhna i zawt thei ang.

Tichuan Doctor chuan i kut leh i kutpui chu a enfiah ang. I kutpui ruh chu a chelh thei a, kawng hrang hrangah a kalpui thei bawk. Tichuan,

• I kutpui i hma leh hnung i sawn laiin natna i neih chuan, .
• "gritty feeling" i hriat chuan thil pakhat chu joint chhungah a innghat ang maiin, grains of sand ang maiin,
• Ruhte inhnawh khawm lai hian "crackling" sound (`crepitus`) i hriat chuan, .

Doctor chuan hei hi big toe arthritis a ni thei tih a ringhlel mai thei.

Diagnosis finfiah nan i doctor chuan X-ray pawh a order thei bawk. X-ray hmangin ruh (joint)-a cartilage wear nasat zia te, ruh te chu an inhnim khawm em tih te, ruh spur a lo awm em tih te a hriat theih a ni.

Hei hi eng enkawlna nge ni?

Big toe arthritis enkawlna hi i natna lan chhuah dan nasat dan azirin a inang lo.

In lama i tih theih tur enkawlna

A tir lamah chuan a natna lan chhuah dan a na lutuk lo a nih chuan i doctor chuan in lama i tih theih tur enkawlna awlsam tak tak, chu chu:

• Ice emaw heat emaw: Ice pack emaw heating pad emaw chu i kutpui ruh (joint)-ah ni khatah vawi tam tak minute 5 atanga 15 chhung hnawih thin ang che. An pahnih hian ti ve la, eng thilin nge thlamuanna pe che tih chu en rawh. Mi thenkhat chuan ice hi a ṭangkai hle niin an ngai a, ṭhenkhat erawh chuan heat hi a ṭangkai hle thung.
• Natna tidamtu: Natna leh hliam tihziaawmna turin nonsteroidal anti-inflammatory drugs (NSAIDs) i ei thei a, chu chu ibuprofen (Advil®), aspirin (Aspirin), emaw acetaminophen (Tylenol®) te hi a ni. Mahse hre reng ang che, heng damdawi te hi doctor rawn hmasa lovin ei chhunzawm zel suh.
• Splint Bun: I doctor chuan i kutpui ruh chawlh hahdam nan leh a tul lo taka a che loh nan splint bun turin a rawt mai thei. Hei hi chhun lamah emaw, zan mut laiin emaw i ha thei. Hei hian natna a tihziaawm thei a, ruh chu a dam thuai thei bawk.

Damdawi lam enkawlna

In lama enkawl hian natna a ti reh lo a nih chuan, a nih loh leh hun kal zelah symptom a zual zel a nih chuan i doctor chuan damdawi dang a hrilh ang che.

• Steroid Injection: Hetah hian steroid chu kutpui CMC joint-ah direct-in inject a ni a, chutah chuan na leh hliam a awm a. Hei hian thla engemaw zat chhung chu natna tihziaawmna tha tak a pe tlangpui. Mahse, heng injection te hlawkna hi hun kal zelah a bo thei a ni. Tin, heng injection te hi ei fo pawh a tha lo.

Engtikah nge operation tih a ngai?

Enkawlna dang zawng zawngin a natna chu a thunun thei lo a, i kutpui hnathawh a chhiat em avangin nitin hna i thawk thei lo a nih chuan i doctor chuan operation tih a rawt thei ang. Thumb arthritis hi surgery chi hrang hrang a awm a:

• Arthroplasty (joint replacement): Hetah hian kutpui ruh chhia chu a pum emaw, a then emaw chu lakchhuah a ni a, artificial joint (artificial implant) hmanga thlak a ni.
• Denervation: Hei hian junction chu direct-in a tidanglam lo. Chu ai chuan thluaka natna signal phurtu nerve tawp atanga signal lo lutte chu a block zawk a ni. Hei hian natna hriatna a ti tlem a ni.
• Fusion (arthrodesis): Hei hian kutpui ruh ruhte chu a awm reng theih nan fuse a ni. Hei hian natna nasa takin a tihziaawm thei a, chakna a tipung thei bawk. Mahse, kutpui ruh (thumb joint) che vel hi a tlem hle. Chumi awmzia chu joint chu a ben thei lo va, a extend thei lo tihna a ni.
• `Ligament siam thar leh Tendon Interposition (LRTI)`:Hming buaithlak deuh mahse, hei hian ruh chhia thenkhat (a tlangpuiin ruh te tak te trapezium an tih) lakchhuah a, i kutphah bula tendon hmanga thumb-suspension siam a huam a ni. Hei hian natna a tihziaawm thei a, range of motion engemaw zat a vawng reng thei bawk.
• Trapeziectomy with suspensionplasty: Hei hi LRTI nen hian a inang deuh hlek a ni. A ruh chhia thenkhat chu lakchhuah a ni a, kutpui chu a bul hnaia tendon emaw, suture chak tak emaw hmangin an dah a ni. Hei hian natna a tiziaawm bawk a, chetna a siam thei bawk.

I doctor chuan i dinhmun, i kum leh i mamawhte ngaihtuah chungin eng surgery nge i tana ṭha ber tih a rel ang.

Hetiang dinhmun hi eng nge ka beisei theih ang?

Arthritis of the big toe hi a tam zawk chu enkawl theih leh enkawl theih a ni. Mi tam tak chuan a chunga kan sawi tak, non-surgical treatment, in lama enkawlna, damdawi, leh splints te hmang hian an natna lan chhuah dan chu nasa takin an tihtlem thei a ni. Relief a awm loh chuan surgery tih chauh ngaihtuah a ni.

A châng chuan i doctor chuan physical therapy emaw occupational therapy emaw a rawt thei bawk . Certified hand therapist, kut natna lama a bik taka training nei chuan i kut leh kutpuiah chakna, chetna leh hnathawhna te i neih leh theih nan a pui thei che a ni. Exercise bikte, nitin hna awlsam zawka tih theih dan tur te, leh i ruh ven dan tur te an zirtir thei che a ni.

Hriat reng tur pawimawh ber (Take-Home Message) .

Nitin thil engzat nge kan kutpui kan hman thin tih hi han ngaihtuah teh, key turn te, lehkhabu vawn te, tablet screen-a swipe te hi. Mahse i kutpuiah arthritis i neih chuan he hna awlsam tak pawh hi a hrehawm thei hle. I ngaihtuah aiin a tam zawk a, nitin nunah nghawng lian tak a nei thei bawk.

Chuvangin, i kutpuiah na, a hring, a hring emaw, a hring emaw i neih chuan ngaihthah mai mai suh la, doctor hmu mai suh. Ani chuan thlamuanna hmu tûrin a ṭanpui thei che a, ni tin i thiltih awlsam zâwk tûrin a zirtîr thei bawk che a ni. Enkawl i tan hma poh leh i dam thuai thei ang.

` Arthritis, Thumb Pain, Osteoarthritis, CMC Arthritis, Joint Natna, Kut Natna, Kutpui Arthritis