Kodi chala chanu chachikulu chimapwetekanso? ​​Tiyeni tikambirane za nyamakazi ya chala chachikulu!

Chala chachikulu ndi chala chofunikira kwambiri padzanja lathu. Taganizirani izi, kutembenuza kiyi, kugwira chikho, kusuntha 'screen' ya foni kumbuyo ndi mtsogolo, kulemba, kujambula ... Zonsezi sizingatheke popanda chala chachikulu. Koma, kodi mudaganizapo kuti cholumikizira chamtengo wapatali ichi tsiku lina chingapweteke, kutupa, komanso kusatha kuchita ntchito za tsiku ndi tsiku? Inde, ili ndi vuto kwa anthu ambiri, makamaka achikulire. Lero tikulankhula za vuto ili lotchedwa chala chachikulu.

Kodi Matenda a Nyamakazi ya Thumb ndi Chiyani?

Mwachidule, nyamakazi ya chala chachikulu ndi kusweka kwa chipolopolo choteteza m'malo olumikizirana chala chachikulu. Chipolopolochi chili ngati zotengera zododometsa m'galimoto. Chimagwira ntchito ngati khushoni yomwe imathandiza mafupa omwe ali m'malo olumikizirana kuyenda bwino popanda kukandana. Pakapita nthawi, pamene tikugwiritsa ntchito manja athu, chipolopolochi chimatha. M'mawu azachipatala, ichi chimatchedwa osteoarthritis.

Kawirikawiri, nyamakazi iyi imapezeka pa cholumikizira cha carpometacarpal (CMC) pa chala chanu chachikulu. Iyi ili pafupi ndi dzanja, pansi pa chala chachikulu, m'dera la minofu la dzanja lanu. Nthawi zina imatchedwa cholumikizira chaching'ono. Cholumikizira cha CMC ndicho chimathandiza chala chanu chachikulu kusuntha mosavuta kuchokera mbali imodzi kupita mbali ndikugwira zinthu mwamphamvu. Ndicho chifukwa chake madokotala amachitcha CMC arthritis. Ndipotu, pambuyo pa nyamakazi m'malo olumikizirana zala, iyi ndiyo mtundu wofala kwambiri wa nyamakazi m'dzanja.

Kodi inunso muli ndi zizindikiro izi?

Tsopano tiyeni tiwone zizindikiro zomwe mungakumane nazo ngati muli ndi nyamakazi ya zala zazikulu. Si aliyense amene angakumane ndi zizindikirozi mofanana, koma izi ndizo zofala kwambiri:

• Kumva kupweteka kapena kusasangalala ndi chala chanu chachikulu mutagwiritsa ntchito dzanja lanu kwa nthawi yayitali. Tangoganizirani, ngati mutakhala nthawi yayitali mukugwira ntchito m'munda, kulemba zinazake, kapena kuchita ntchito zapakhomo, monga kuphika, chala chanu chachikulu chidzayamba kupweteka pakapita nthawi.
• Pansi pa chala chachikulu, pomwe pali cholumikizira cha `CMC`, fupa laling'ono lingapangidwe. Ndiko kuti, kutuluka pang'ono komwe kumachitika pamwamba pa fupa.
• Cholumikizira cha chala chachikulu chimaoneka chokulirapo komanso chotupa. Nthawi zina chingakhale chofiira.
• Mphamvu ya chala chachikulu imachepa, ndipo zimakhala zovuta kuchisuntha bwino. Mwachitsanzo, zimakhala zovuta kutsegula chivundikiro cha botolo la madzi, kutsegula botolo la jamu, kapena kutembenuza kiyi. Zimakhala zovuta kugwira chilichonse mwamphamvu ndi dzanja.
• Chala chachikulu chimapweteka kwambiri mukagwira, kugwira, kapena kukanikiza chinthu ndi zala. Chimamveka ngati kupweteka kwakukulu kuchokera mkati.
• Mungamve kutupa, kuuma, kapena kupweteka pansi pa chala chanu chachikulu. Mungavutike kupinda kapena kuwongola chala chanu chachikulu mukadzuka m'mawa.

Ngati muli ndi zizindikiro izi, ndi bwino kupita kwa dokotala nthawi yomweyo.

Nchifukwa chiyani timadwala nyamakazi ya zala zazikulu?

Monga tanenera kale, chifukwa chachikulu ndi kuwonongeka kwa chipolopolo m'malo olumikizirana chala chachikulu. Chipolopolochi ndi nembanemba yomwe imaletsa mafupa kuti asakhudzenane ndipo imapatsa mafupawo kusalala. Tikamakalamba komanso pamene tikupitiriza kugwiritsa ntchito manja athu, chipolopolochi chimatha mwachibadwa. Chomwe chimachitika ndichakuti mafupa omwe ali pansi pake amayamba kukhudzena. Izi zimayambitsa kupweteka, kutupa, komanso kuwonongeka kwa chipolopolocho.

Ndani amene ali pachiwopsezo chachikulu cha izi?

Si aliyense amene amamva izi. Koma anthu ena amakhala ndi vutoli nthawi zambiri. Tiyeni tiwone omwe ali:

• Kwa akazi: Akazi ali ndi mwayi waukulu wodwala nyamakazi ya mapazi akuluakulu kuposa amuna.
• Zaka zoposa 40: Pamene tikukalamba, zinthu zambiri m'thupi lathu zimawonongeka, ndipo ndi zachilendo kuti chipolopolo cha mafupa athu chiwonongekenso.
• Matenda a m'majini: Ngati wina m'banja mwanu, monga amayi kapena abambo anu, ali ndi matenda a osteoarthritis, inunso mungakhale ndi matenda a m'majini omwe angakuchititseni matendawo.
• Kuvulala kwa chala chachikulu m'mbuyomu: Ngati chala chanu chachikulu chathyoka, chavulala kwambiri, kapena chapindika, mutha kudwala nyamakazi mtsogolo.
• Matenda ena: Anthu omwe ali ndi matenda ena omwe amakhudza mafupa, monga lupus ndi rheumatoid arthritis, nawonso ali pachiwopsezo chotenga nyamakazi iyi ya zala zazikulu.

Kodi dokotala amazindikira bwanji izi?

Mukapita kukaonana ndi dokotala yemwe ali ndi zizindikiro zomwe tatchula pamwambapa, choyamba adzakufunsani za zizindikiro zanu.

• Kodi ululu uwu wakhalapo kwa nthawi yayitali bwanji?
• Kodi chala chanu chachikulu chimapweteka nthawi zonse, kapena chimapweteka pokhapokha mukachita zinthu zinazake?
• Kodi mudavulalapo kale chala chanu chachikulu?

Mungathe kufunsa mafunso ngati.

Kenako dokotala adzayang'ana dzanja lanu ndi chala chachikulu. Angagwire cholumikizira cha chala chanu chachikulu ndikuchisuntha mbali zosiyanasiyana. Kenako,

• Ngati mukumva kupweteka mukasuntha chala chanu chachikulu kumbuyo ndi kutsogolo,
• Ngati mukumva "kugwedezeka" ngati kuti china chake chakhala mkati mwa cholumikizira, ngati mchenga,
• Ngati mumva phokoso la "kusweka" (`crepitus`) pamene mafupa akuphwanyika pamodzi,

Dokotala angaganize kuti izi zitha kukhala nyamakazi ya zala zazikulu.

Kuti atsimikizire matendawa, dokotala wanu angakupatseninso X-ray. X-ray ingasonyeze kuchuluka kwa kuwonongeka kwa minyewa yolumikizana, kaya mafupa akukhuzana, kapena ngati mafupa apanga mafupa.

Kodi mankhwala ochizira izi ndi otani?

Chithandizo cha nyamakazi ya zala zazikulu chimasiyana malinga ndi kuopsa kwa zizindikiro zanu.

Mankhwala omwe mungachite kunyumba

Poyamba, ngati zizindikiro sizili zovuta kwambiri, dokotala wanu angakulangizeni mankhwala osavuta omwe mungachite kunyumba, monga:

• Ice kapena kutentha: Ikani paketi ya ayezi kapena chotenthetsera pa chala chanu chachikulu kwa mphindi 5 mpaka 15 kangapo patsiku. Yesani zonse ziwiri ndikuwona zomwe zimakupatsa mpumulo. Anthu ena amaona kuti ayezi ndi othandiza, pomwe ena amaona kuti kutentha n'kothandiza.
• Mankhwala Ochepetsa Ululu: Kuti muchepetse ululu ndi kutupa, mutha kumwa mankhwala oletsa kutupa omwe si a steroidal (NSAIDs), monga ibuprofen (Advil®), aspirin (Aspirin), kapena acetaminophen (Tylenol®). Koma kumbukirani, musamwe mankhwalawa nthawi zonse popanda kufunsa dokotala.
• Kuvala Splint: Dokotala wanu angakulangizeni kuti muvale splint kuti mupumule chala chanu chachikulu ndikuchiletsa kuti chisasunthe mosafunikira. Mutha kuvala izi masana kapena mukugona usiku. Izi zingathandize kuchepetsa ululu ndikuthandizira kuti chilumikizo chichiritse mwachangu.

Chithandizo chamankhwala

Ngati chisamaliro cha kunyumba sichichepetsa ululu, kapena ngati zizindikiro zikuipiraipira pakapita nthawi, dokotala wanu adzakuuzani za njira zina zamankhwala.

• Jakisoni wa Steroid: Mu izi, steroid imabayidwa mwachindunji mu cholumikizira cha CMC cha chala chachikulu, komwe kumakhala kupweteka ndi kutupa. Izi nthawi zambiri zimapereka mpumulo wabwino wa ululu kwa miyezi ingapo. Komabe, ubwino wa jakisoni uwu ukhoza kutha pakapita nthawi. Komanso, si bwino kulandira jakisoni uwu pafupipafupi.

Kodi opaleshoni imafunika liti?

Ngati njira zina zonse zothandizira sizikuchepetsa ululu ndipo ntchito ya chala chanu chachikulu ikulephera kwambiri moti simungathe kuchita zinthu za tsiku ndi tsiku, dokotala wanu angakulangizeni opaleshoni. Pali mitundu ingapo ya opaleshoni ya nyamakazi ya chala chachikulu:

• Arthroplasty (kubwezeretsa mafupa): Pachifukwa ichi, cholumikizira cha chala chachikulu chowonongekacho chimachotsedwa kwathunthu kapena pang'ono ndipo chimasinthidwa ndi cholumikizira chopangira (chopangira chopangira).
• Kuchepa kwa ululu: Izi sizisintha mwachindunji malo olumikizirana. M'malo mwake, zimaletsa zizindikiro kuchokera kumapeto kwa mitsempha yomwe imanyamula zizindikiro za ululu kupita ku ubongo. Izi zimachepetsa kumva ululu.
• Kusakaniza (arthrodesis): Izi zimaphatikizapo kuphatikiza mafupa a chala chachikulu pamodzi kuti chikhale chokhazikika. Izi zitha kuchepetsa ululu ndikuwonjezera mphamvu. Komabe, kuyenda kwa chala chachikulu kumakhala kochepa. Izi zikutanthauza kuti cholumikiziracho sichingapindike kapena kukulitsidwa.
• `Kukonzanso kwa Ligament ndi Tendon Interposition (LRTI)`:Ngakhale kuti ndi dzina lovuta pang'ono, izi zimaphatikizapo kuchotsa gawo la cholumikizira chowonongeka (nthawi zambiri fupa laling'ono lotchedwa trapezium) ndikugwiritsa ntchito mtsempha pafupi ndi dzanja lanu kuti mupange kuyimitsidwa kwa chala chachikulu. Izi zitha kuchepetsa ululu ndikusunga kuyenda kwina.
• Kuchotsa chiwalo cha trapeziectomy pogwiritsa ntchito suspensionplasty: Iyi ndi njira yofanana ndi LRTI. Gawo la cholumikizira chowonongeka limachotsedwa ndipo chala chachikulu chimapachikidwa pogwiritsa ntchito tendon yapafupi kapena sutures yamphamvu. Izi zimachepetsanso ululu ndikuthandizira kuyenda.

Dokotala wanu adzasankha opaleshoni yoyenera kwa inu, poganizira za matenda anu, zaka zanu, ndi zosowa zanu.

Kodi ndingayembekezere chiyani ndi vutoli?

Matenda a nyamakazi a chala chachikulu cham'manja ndi matenda omwe amachiritsidwa komanso otheka kuwathetsa. Anthu ambiri amatha kuchepetsa kwambiri zizindikiro zawo pogwiritsa ntchito njira zosagwiritsa ntchito opaleshoni zomwe zatchulidwa pamwambapa, monga chisamaliro cha kunyumba, mankhwala, ndi ma splints. Opaleshoni imaganiziridwa pokhapokha ngati palibe mpumulo.

Nthawi zina dokotala wanu angakulangizeni chithandizo cha thupi kapena chithandizo cha ntchito . Katswiri wodziwa bwino za matenda a manja, yemwe waphunzitsidwa bwino za matenda a manja, angakuthandizeni kupezanso mphamvu, kuyenda, ndi kugwira ntchito m'dzanja lanu ndi chala chachikulu. Angakuphunzitseni masewera olimbitsa thupi, njira zochepetsera ntchito za tsiku ndi tsiku, komanso njira zotetezera mafupa anu.

Chinthu chofunika kwambiri kukumbukira (Uthenga Wopita Nawo Kunyumba)

Taganizirani zinthu zambiri zomwe timagwiritsa ntchito zala zathu zamanja tsiku lililonse, monga kutembenuza makiyi, kugwira mabuku, ndi kusuntha pazenera la piritsi. Koma mukadwala nyamakazi pa chala chanu chaching'ono, ngakhale ntchito yosavuta iyi ikhoza kukhala yopweteka. Ndi yofala kwambiri kuposa momwe mukuganizira, ndipo ingakhudze kwambiri moyo wanu watsiku ndi tsiku.

Choncho, ngati mukumva kupweteka, kutupa, kuuma, kapena dzanzi pa chala chanu chachikulu, musangonyalanyaza ndikuonana ndi dokotala. Iye angakuthandizeni kupeza mpumulo ndikukuphunzitsani njira zochepetsera zochita zanu za tsiku ndi tsiku. Mukayamba chithandizo mwachangu, mumatha kuchira msanga.

Nyamakazi , Kupweteka kwa Chala Chachikulu, Matenda a Nyamakazi, Matenda a Nyamakazi a CMC, Kupweteka kwa Mafupa, Kupweteka kwa Manja, Nyamakazi ya Chala Chachikulu