Ingaba ubhontsi wakho ubuhlungu? Makhe sithethe ngesifo samathambo!

Ubhontsi ngumnwe obaluleke kakhulu esandleni sethu. Cinga ngako, ukujika isitshixo, ukubamba ikomityi, ukuhambisa 'isikrini' sefowuni ngasemva nangaphambili, ukubhala, ukuzoba... Zonke ezi zinto azinakwenzeka ngaphandle kobhontsi. Kodwa, ngaba wakha wacinga ukuba eli lungu lixabisekileyo lobhontsi linokuba buhlungu ngenye imini, lidumbe, kwaye lingakwazi ukwenza imisebenzi yemihla ngemihla? Ewe, le yingxaki kubantu abaninzi, ingakumbi xa bekhulile. Namhlanje sithetha ngale meko ibizwa ngokuba yi-thumb arthritis.

Yintoni iThumb Arthritis?

Ngamafutshane, isifo samathambo esithupha kukuqhekeka kwe-cartilage ekhuselayo kumalungu esithupha sakho. Le cartilage ifana nezinto ezithintela ukudumba emotweni. Isebenza njengomqamelo onceda amathambo akwilungu ukuba ahambe kakuhle ngaphandle kokukhuhlana. Ekuhambeni kwexesha, njengoko sisebenzisa izandla zethu, le cartilage iyawohloka. Ngokwezonyango, oku kubizwa ngokuba yi-osteoarthritis.

Amaxesha amaninzi, le arthritis idla ngokuvela kwi-carpometacarpal joint (CMC) kubhontsi wakho. Le arthritis ifumaneka kufutshane nesandla, ezantsi kobhontsi, kwinxalenye yenyama yesandla sakho. Ngamanye amaxesha ibizwa ngokuba yi-basal joint. I-CMC joint yiyo enceda ubhontsi wakho ukuba uhambe ngokulula ukusuka kwelinye icala ukuya kwelinye kwaye ubambe izinto ngokuqinileyo. Yiyo loo nto oogqirha beyibiza ngokuba yi-CMC arthritis. Enyanisweni, emva kwe-arthritis kwi-joints yeminwe, olu lolona hlobo luqhelekileyo lwe-arthritis esandleni.

Ngaba nawe unazo ezi mpawu?

Ngoku makhe sijonge ukuba zeziphi iimpawu onokuzifumana ukuba une-arthritis yeenyawo ezinkulu. Ayingomntu wonke oza kuba nazo ezi mpawu ngendlela efanayo, kodwa ezi zezona zixhaphakileyo:

• Ukuziva ubhontsi wakho uqaqambile okanye ungakhululekanga emva kokusebenzisa isandla sakho ixesha elide. Khawucinge nje, ukuba uchitha ixesha elininzi usebenza egadini, ubhala into ethile, okanye wenza imisebenzi yasekhaya, efana nokupheka, ubhontsi wakho uza kuqala ukuqaqamba emva kwexesha elithile.
• Emazantsi esithupha, apho kukho i-'CMC' joint, kunokukhula i-bone spur encinci. Oko kukuthi, i-protrusion encinci eyenzeka phezu kwethambo.
• Isidibanisi sikabhontsi sibonakala sikhulu kwaye sidumbile. Ngamanye amaxesha sinokuba bomvu.
• Amandla kabhontsi ayancipha, kwaye kuba nzima ukuwushukumisa kakuhle. Umzekelo, kuba nzima ukuvula isiciko sebhotile yamanzi, ukuvula ijam, okanye ukujika isitshixo. Kuba nzima ukubamba nantoni na ngokuqinileyo ngesandla.
• Ubhontsi uqaqamba kakhulu xa ubamba, ubamba, okanye ucinezela into ngeminwe. Ingavakala ngathi yintlungu ebukhali ngaphakathi.
• Usenokuziva uvuvukile, uqinile, okanye uthambile ezantsi kobhontsi wakho. Usenokufumanisa kunzima ukugoba okanye ukolula ubhontsi wakho xa uvuka kusasa.

Ukuba unale mpawu, kungcono ukubona ugqirha ngoko nangoko.

Kutheni sifumana isifo samathambo esibizwa ngokuba yi-big toe arthritis?

Njengoko bekutshiwo ngaphambili, imbangela ephambili kukuwohloka kwe-cartilage kwimijoyinti yesithupha. Le cartilage yi-membrane ethintela amathambo ukuba angagudlani kwaye inika amalungu ukuba agude. Njengoko sikhula kwaye njengoko siqhubeka nokusebenzisa izandla zethu, le cartilage iyawohloka ngokwemvelo. Okwenzekayo kukuba amathambo angaphantsi aqala ukugudlana. Oku kubangela intlungu, ukudumba, kunye nomonakalo kwilungu.

Ngubani osengozini enkulu yoku?

Asinguye wonke umntu ofumana oku. Kodwa abanye abantu banamathuba amaninzi okufumana le meko. Makhe sibone ukuba bangoobani:

• Kwabasetyhini: Abafazi banamathuba amaninzi okufumana esi sifo samathambo esibizwa ngokuba yi-big toe arthritis kunamadoda.
• Ngaphezulu kweminyaka engama-40 ubudala: Njengoko sikhula, izinto ezininzi emizimbeni yethu ziyaguga, kwaye kuyinto eqhelekileyo ukuba i-cartilage esemalungwini ethu iguge nayo.
• Ufuzo oluyimfuza: Ukuba umntu kusapho lwakho, njengomama okanye utata wakho, une-osteoarthritis, nawe usenokuba nesifo esiyimfuza esinokubangela ukuba nayo ikhule.
• Ukulimala kwesithupha sakho sangaphambili: Ukuba ubhontsi wakho waphukile, wakrweleka kakhulu, okanye wakrweleka, usenokuba nesifo samathambo kwixesha elizayo.
• Ezinye iimeko zempilo: Abantu abanezinye izifo ezichaphazela amalungu, njenge-lupus kunye ne-rheumatoid arthritis, nabo basengozini yokufumana esi sifo samathambo esibizwa ngokuba yi-big toe arthritis.

Ugqirha uyibona njani le nto?

Xa usiya kugqirha onezi mpawu uzikhankanyileyo apha ngasentla, uza kuqala akubuze ngeempawu zakho.

• Kudala kangakanani le ntlungu ikhona?
• Ngaba ubhontsi wakho uhlala uqaqamba, okanye uqaqamba kuphela xa usenza izinto ezithile?
• Ngaba wakha wenzakala ubhontsi wakho ngaphambili?

Ungabuza imibuzo efana nale.

Emva koko ugqirha uza kuhlola isandla sakho nobhontsi wakho. Unokubamba ilungu lobhontsi wakho aze alishukumise kwicala elahlukileyo. Emva koko,

• Ukuba uziva iintlungu xa ushukumisa ubhontsi wakho phambili nangasemva,
• Ukuba uziva "umvakalelo okrakra" ngokungathi kukho into enamathele ngaphakathi kwelungu, njengeenkozo zesanti,
• Ukuba uva isandi "esirhawuzelayo" (`crepitus`) njengoko amathambo exubana,

Ugqirha usenokucinga ukuba oku kungaba sisifo samathambo esibizwa ngokuba yi-big toe arthritis.

Ukuqinisekisa ukuxilongwa, ugqirha wakho unokuyalela ukuba kwenziwe i-X-ray. I-X-ray ingabonisa ubungakanani bokuwohloka kwe-cartilage kwilungu, nokuba amathambo ayakhuhlana, okanye ukuba kukho i-bone spurs eyenziweyo.

Zithini iindlela zonyango zoku?

Unyango lwe-arthritis yeenyawo ezinkulu luyahluka ngokuxhomekeke kubukhali beempawu zakho.

Unyango onokulwenza ekhaya

Kwinqanaba lokuqala, ukuba iimpawu azikho nzima kakhulu, ugqirha wakho unokucebisa unyango olulula onokulwenza ekhaya, olufana nolu:

• Umkhenkce okanye ubushushu: Faka ipakethe yomkhenkce okanye i-heating pad kwilungu lobhontsi wakho imizuzu emi-5 ukuya kweli-15 izihlandlo ezininzi ngemini. Zama zombini uze ubone ukuba yintoni ekunika isiqabu. Abanye abantu bafumana umkhenkce uluncedo, ngelixa abanye befumana ubushushu buluncedo.
• Izithomalalisi zentlungu: Ukuze unciphise iintlungu nokudumba, ungathatha amayeza angengo-steroidal anti-inflammatory (NSAIDs), afana ne-ibuprofen (Advil®), i-aspirin (Aspirin), okanye i-acetaminophen (Tylenol®). Kodwa khumbula, musa ukuwasebenzisa la mayeza rhoqo ngaphandle kokubonisana nogqirha.
• Ukunxiba i-Splint: Ugqirha wakho unokucebisa ukuba unxibe i-splint ukuze uphumze i-thumb joint yakho kwaye uyithintele ukuba ingashukumi ngokungeyomfuneko. Ungayinxiba emini okanye xa ulele ebusuku. Oku kunokunceda ukunciphisa iintlungu kwaye kuncede i-joint iphole ngokukhawuleza.

Unyango lwezonyango

Ukuba unyango lwasekhaya aluyithomalalisi intlungu, okanye ukuba iimpawu ziya zisiba mandundu ngokuhamba kwexesha, ugqirha wakho uza kukuxelela ngezinye iindlela zonyango.

• Iinaliti zeSteroid: Kule nto, i-steroid ifakwa ngqo kwilungu le-CMC lesithupha, apho kukho iintlungu nokudumba. Oku kudla ngokubonelela ngokukhululeka kwiintlungu kangangeenyanga ezimbalwa. Nangona kunjalo, iingenelo zezi naliti zinokuphela ngokuhamba kwexesha. Kwakhona, akulunganga ukufumana ezi naliti rhoqo.

Kunini apho kufuneka khona utyando?

Ukuba zonke ezinye iindlela zonyango azikwazi ukulawula iintlungu kwaye ukusebenza kobhontsi wakho kuphazamisekile kangangokuba awukwazi ukwenza imisebenzi yemihla ngemihla, ugqirha wakho unokucebisa utyando. Kukho iintlobo ezahlukeneyo zotyando lwe-arthritis yebhontsi:

• I-Arthroplasty (ukutshintshwa kwamalungu): Kule meko, ilungu elonakeleyo lesithupha lisuswa ngokupheleleyo okanye ngokuyinxenye kwaye litshintshwe lilungu elenziweyo (ukufakelwa kokwenziwa).
• Ukuncipha kwentliziyo: Oku akutshintshi ngokuthe ngqo indawo edibana kuyo. Endaweni yoko, kuthintela imiqondiso evela kwiziphelo zemithambo-luvo ezithwala imiqondiso yentlungu ukuya engqondweni. Oku kunciphisa ukuziva intlungu.
• Ukuhlanganiswa (arthrodesis): Oku kuquka ukudibanisa amathambo esixhanti seminwe ukuze kube yinto ehlala ihleli. Oku kunokunciphisa kakhulu iintlungu nokunyusa amandla. Nangona kunjalo, intshukumo yesixhanti seminwe incinci. Oku kuthetha ukuba isixhanti asinakugotywa okanye sandiswe.
• `Ukwakhiwa kwakhona kweLigament kunye neTendon Interposition (LRTI)`:Nangona ligama elintsonkothileyo, oku kuquka ukususa inxalenye yelungu elonakeleyo (ngesiqhelo ithambo elincinci elibizwa ngokuba yi-trapezium) kunye nokusebenzisa umsipha okufutshane nesandla sakho ukwenza ukuxhonywa kwesithupha. Oku kunokunciphisa iintlungu kwaye kugcine uluhlu oluthile lokushukuma.
• I-Trapeziectomy ene-suspensionplasty: Le yinkqubo efana kancinci ne-LRTI. Inxalenye yelungu elonakeleyo iyasuswa kwaye ubhontsi uxhonywe kusetyenziswa imisipha ekufutshane okanye i-sutures eqinileyo. Oku kunciphisa iintlungu kwaye kuvumela intshukumo.

Ugqirha wakho uya kugqiba ukuba loluphi utyando olukulungeleyo, ecinga ngemeko yakho, ubudala bakho kunye neemfuno zakho.

Ndingalindela ntoni kule meko?

I-arthritis yonyawo olukhulu yimeko elawulekayo nenganyangekayo. Abantu abaninzi banokunciphisa kakhulu iimpawu zabo ngonyango olungelulo utyando olukhankanyiweyo apha ngasentla, olufana nonyango lwasekhaya, amayeza, kunye nee-splints. Utyando luqwalaselwa kuphela ukuba akukho siqabu.

Ngamanye amaxesha ugqirha wakho unokucebisa unyango lomzimba okanye unyango lomsebenzi . Ingcali yezandla eqinisekisiweyo, eqeqeshwe ngokukodwa kwiingxaki zezandla, inokukunceda ufumane amandla, intshukumo, kunye nokusebenza kwakhona esandleni sakho nakubhontsi wakho. Banokukufundisa imithambo ethile, iindlela zokwenza imisebenzi yemihla ngemihla ibe lula, kunye neendlela zokukhusela amalungu akho.

Eyona nto ibalulekileyo ekufuneka uyikhumbule (Umyalezo Wokuya Ekhaya)

Cinga ngezinto ezininzi esizisebenzisa imihla ngemihla, njengokujika izitshixo, ukubamba iincwadi, nokuswayipha isikrini sethebhulethi. Kodwa xa unesifo samathambo kubhontsi wakho, nalo msebenzi ulula unokuba buhlungu. Kuqhelekile kunokuba ucinga, kwaye kunokuba nefuthe elikhulu kubomi bakho bemihla ngemihla.

Ngoko ke, ukuba ufumana iintlungu, ukudumba, ukuqina, okanye ukuba ndindisholo kubhontsi wakho, musa ukuyityeshela nje uze ubone ugqirha. Unokukunceda ufumane isiqabu aze akufundise iindlela zokwenza imisebenzi yakho yemihla ngemihla ibe lula. Okukhona uqala unyango ngokukhawuleza, kokukhona ungaphola ngokukhawuleza.

I- Arthritis, Iintlungu zeThupha, i-Osteoarthritis, i-CMC Arthritis, Iintlungu zamalungu, Iintlungu zesandla, i-Arthritis yeThupha