Ingabe isithupha sakho sibuhlungu naso? Ake sixoxe ngesifo samathambo esithupha!

Isithupha siwumunwe obaluleke kakhulu esandleni sethu. Cabanga ngakho, ukuphendukisa ukhiye, ukubamba indebe, ukuhambisa 'isikrini' sefoni emuva naphambili, ukubhala, ukudweba... Zonke lezi zinto azinakwenzeka ngaphandle kwesithupha. Kodwa, wake wacabanga ukuthi leli lungu eliyigugu lesithupha lingaba buhlungu ngelinye ilanga, livuvuke, futhi lingakwazi ukwenza imisebenzi yansuku zonke? Yebo, lokhu kuyinkinga kubantu abaningi, ikakhulukazi ngokweminyaka. Namuhla sikhuluma ngalesi simo esibizwa ngokuthi i-thumb arthritis.

Kuyini i-Thumb Arthritis?

Kalula nje, isifo samathambo esithupha siwukuwohloka kwe-cartilage evikelayo emalungeni esithupha sakho. Lesi sithupha sifana nezinciphisi zokushaqeka emotweni. Sisebenza njengomqamelo osiza amathambo esithombeni ukuba ahambe kahle ngaphandle kokugudlana. Ngokuhamba kwesikhathi, njengoba sisebenzisa izandla zethu, lesi sithupha siyawohloka. Ngokwezokwelapha, lokhu kubizwa ngokuthi i-osteoarthritis.

Ngokuvamile, lesi sifo samathambo sivela esihlanganyelweni se-carpometacarpal (CMC) esithupheni sakho. Lokhu kutholakala eduze kwesihlakala, phansi kwesithupha, engxenyeni yesandla sakho enenyama. Ngezinye izikhathi kubizwa ngokuthi i-basal joint. I-CMC joint yiyo esiza isithupha sakho ukuthi sihambe kalula sisuka kolunye uhlangothi siye kolunye futhi sibambe izinto ngokuqinile. Yingakho odokotela beyibiza ngokuthi i-CMC arthritis. Eqinisweni, ngemva kwe-arthritis emalungeni eminwe, lolu uhlobo oluvame kakhulu lwe-arthritis esandleni.

Ingabe nawe unalezi zimpawu?

Manje ake sibheke ukuthi yiziphi izimpawu ongase uzizwe uma une-arthritis yezinzwane ezinkulu. Akuwona wonke umuntu ozobhekana nalezi zimpawu ngendlela efanayo, kodwa lezi yizona ezivame kakhulu:

• Ukuzizwa ubuhlungu noma ungakhululekile esithupheni sakho ngemva kokusebenzisa isandla sakho isikhathi eside. Cabanga nje, uma uchitha isikhathi esiningi usebenza engadini, ubhala okuthile, noma wenza imisebenzi yasekhaya, njengokupheka, isithupha sakho sizoqala ukuqaqamba ngemva kwesikhashana.
• Ngaphansi kwesithupha, lapho kukhona khona ijoyinti le-'CMC', kungavela i-bone spur encane. Okungukuthi, i-protrusion encane eyakheka phezu kwethambo.
• Ilunga lesithupha libonakala likhulisiwe futhi livuvukele. Ngezinye izikhathi lingase libe bomvu.
• Amandla esithupha ayancipha, futhi kuba nzima ukusishukumisa kahle. Isibonelo, kuba nzima ukuvula isivalo sebhodlela lamanzi, ukuvula ibhodlela lejamu, noma ukujika ukhiye. Kuba nzima ukubamba noma yini ngokuqinile ngesandla.
• Isithupha sibuhlungu kakhulu uma ubamba, ubamba, noma ucindezela into ngeminwe yakho. Kungazwakala njengobuhlungu obukhulu ngaphakathi.
• Ungase uzizwe ukuvuvukala, ukuqina, noma ukuthamba phansi kwesithupha sakho. Ungase ukuthole kunzima ukugoba noma ukuqondisa isithupha sakho uma uvuka ekuseni.

Uma unalezi zimpawu, kungcono ukubona udokotela ngokushesha.

Kungani sithola isifo samathambo ezinzwaneni ezinkulu?

Njengoba kushiwo ngaphambili, imbangela eyinhloko ukuwohloka kwe-cartilage emajoyintini ezithupha. Le cartilage iyi-membrane evimbela amathambo ukuthi agudlane futhi inikeze amalunga ukuba abushelelezi. Njengoba sikhula futhi njengoba siqhubeka nokusebenzisa izandla zethu, le cartilage iyaguga ngokwemvelo. Okwenzekayo ukuthi amathambo angaphansi aqala ukugudlana. Lokhu kubangela ubuhlungu, ukuvuvukala, kanye nomonakalo emajoyintini.

Ubani osengozini enkulu yalokhu?

Akuwona wonke umuntu okuthola lokhu. Kodwa abanye abantu banamathuba amaningi okuthola lesi simo. Ake sibone ukuthi bangobani:

• Kwabesifazane: Abesifazane banamathuba amaningi okuthola lesi sifo samathambo ezinzwaneni ezinkulu kunabesilisa.
• Abantu abangaphezu kweminyaka engama-40 ubudala: Njengoba sikhula, izinto eziningi emizimbeni yethu ziyaguga, futhi kuvamile ukuthi uqwanga olusemalungeni ethu luguge.
• Ukuthambekela kwezakhi zofuzo: Uma othile emndenini wakho, njengomama noma ubaba wakho, enesifo samathambo, nawe ungase ube nokuthambekela kwezakhi zofuzo kokusiqala.
• Ukulimala kwesithupha sakho kwangaphambilini: Uma isithupha sakho siphukile, silimele kakhulu, noma siklwebheke, ungase ube nesifo samathambo esikhathini esizayo.
• Ezinye izimo zempilo: Abantu abanezinye izifo ezithinta amalunga, njenge-lupus kanye ne-rheumatoid arthritis, nabo basengozini yokuthola lesi sifo samathambo esibizwa ngokuthi yi-big toe arthritis.

Udokotela ukubona kanjani lokhu?

Uma uya kudokotela onezimpawu ezishiwo ngenhla, uzoqala akubuze ngezimpawu zakho.

• Sekuyisikhathi esingakanani lobu buhlungu bukhona?
• Ingabe isithupha sakho sibuhlungu ngaso sonke isikhathi, noma sibuhlungu kuphela uma wenza izinto ezithile?
• Wake waba nokulimala kwesithupha sakho ngaphambilini?

Ungabuza imibuzo efana nale.

Udokotela uzohlola isandla sakho nesithupha sakho. Angase abambe ilunga lesithupha sakho bese esihambisa ngezindlela ezahlukene. Bese,

• Uma uzwa ubuhlungu lapho uhambisa isithupha sakho emuva naphambili,
• Uma uzizwa "unomuzwa ojulile" njengokungathi kukhona okunamathele ngaphakathi kwejoyinti, njengezinhlayiya zesihlabathi,
• Uma uzwa umsindo "wokuqhekeka" (`crepitus`) njengoba amathambo egudlana,

Udokotela angase asole ukuthi lokhu kungaba yisifo samathambo esibangelwa yizinzwane ezinkulu.

Ukuze kuqinisekiswe ukuxilongwa, udokotela wakho angase futhi akucele ukuthi kwenziwe i-X-ray. I-X-ray ingabonisa izinga lokuguga kwe-cartilage esibayeni, kungakhathaliseki ukuthi amathambo ayagudlana, noma ukuthi ama-bone spurs akhekile yini.

Yiziphi izindlela zokwelapha lokhu?

Ukwelashwa kwe-arthritis yezinzwane ezinkulu kuyahlukahluka kuye ngokuthi izimpawu zakho zibucayi kangakanani.

Izindlela zokwelapha ongayenza ekhaya

Ezigabeni zokuqala, uma izimpawu zingezimbi kakhulu, udokotela wakho angase ancome izindlela zokwelapha ezilula ongazisebenzisa ekhaya, njengokuthi:

• Iqhwa noma ukushisa: Faka iphakethe leqhwa noma i-heating pad esixukwini sesithupha sakho imizuzu emi-5 kuya kweyi-15 izikhathi eziningana ngosuku. Zama kokubili bese ubona ukuthi yini ekunika impumuzo. Abanye abantu bathola iqhwa liwusizo, kanti abanye bathola ukushisa kuwusizo.
• Iziqeda-zinhlungu: Ukuze unciphise ubuhlungu nokuvuvukala, ungathatha imithi engeyona eye-steroidal yokulwa nokuvuvukala (ama-NSAID), njenge-ibuprofen (Advil®), i-aspirin (Aspirin), noma i-acetaminophen (Tylenol®). Kodwa khumbula, ungayithathi le mithi njalo ngaphandle kokubonisana nodokotela.
• Ukugqoka i-Splint: Udokotela wakho angase akuncome ukuthi ugqoke i-splint ukuze uphumuze i-thumb joint yakho futhi uyivimbele ukuthi inganyakazi ngokungadingekile. Ungayifaka emini noma ngenkathi ulele ebusuku. Lokhu kungasiza ekunciphiseni ubuhlungu futhi kusize i-joint ukuthi iphole ngokushesha.

Ukwelashwa kwezokwelapha

Uma ukunakekelwa ekhaya kungabuqedi ubuhlungu, noma uma izimpawu ziba zimbi ngokuhamba kwesikhathi, udokotela wakho uzokutshela ngezinye izindlela zokwelapha.

• Imijovo Yama-Steroid: Kulokhu, i-steroid ifakwa ngqo esihlanganisini se-CMC sesithupha, lapho kukhona khona ubuhlungu nokuvuvukala. Lokhu kuvame ukuhlinzeka ngokukhululeka okuhle kobuhlungu izinyanga ezimbalwa. Kodwa-ke, izinzuzo zale mijovo zingase ziphele ngokuhamba kwesikhathi. Futhi, akukuhle ukuthola le mijovo njalo.

Kunini lapho kudingeka khona ukuhlinzwa?

Uma zonke ezinye izindlela zokwelapha zihluleka ukulawula ubuhlungu futhi ukusebenza kwesithupha sakho kuphazamiseka kangangokuthi awukwazi ukwenza imisebenzi yansuku zonke, udokotela wakho angase asikisele ukuhlinzwa. Kunezinhlobo eziningana zokuhlinzwa kwe-arthritis yesithupha:

• I-Arthroplasty (ukufakwa esikhundleni kwamalunga): Kulokhu, ilunga elilimele lesithupha lisuswa ngokuphelele noma ngokwengxenye bese lithathelwa indawo yilunga lokwenziwa (ukufakelwa kokwenziwa).
• Ukwehliswa kwemisipha: Lokhu akushintshi ngqo indawo ehlangana kuyo. Kunalokho, kuvimbela izimpawu ezivela eziphethweni zemizwa ezithwala izimpawu zobuhlungu ziye ebuchosheni. Lokhu kunciphisa umuzwa wobuhlungu.
• Ukuhlanganiswa (i-arthrodesis): Lokhu kuhilela ukuhlanganisa amathambo esihlanganisi sesithupha ndawonye ukuze kube okuhlala njalo. Lokhu kunganciphisa kakhulu ubuhlungu futhi kwandise amandla. Kodwa-ke, ukunyakaza kwesihlanganisi sesithupha kulinganiselwe. Lokhu kusho ukuthi isihlanganisi asikwazi ukugoba noma ukwelulwa.
• `Ukwakhiwa Kabusha Kwemisipha Nokuhlukaniswa Kwemisipha (LRTI)`:Nakuba kuyigama eliyinkimbinkimbi kancane, lokhu kuhilela ukususa ingxenye yelunga elonakele (ngokuvamile ithambo elincane elibizwa ngokuthi i-trapezium) nokusebenzisa umsipha eduze kwesihlakala sakho ukudala ukumiswa kwesithupha. Lokhu kunganciphisa ubuhlungu futhi kugcine ukunyakaza okuthile.
• I-Trapeziectomy ene-suspensionplasty: Lena inqubo efana kancane ne-LRTI. Ingxenye yelunga elilimele iyasuswa bese isithupha silengiswa kusetshenziswa imisipha eseduze noma i-suture eqinile. Lokhu kunciphisa nobuhlungu futhi kuvumela ukunyakaza.

Udokotela wakho uzonquma ukuthi yikuphi ukuhlinzwa okukulungele, ecabangela isimo sakho, ubudala kanye nezidingo zakho.

Yini engingayilindela ngalesi simo?

I-arthritis yozwane olukhulu iyisimo esilawulekayo nesingelapheka kakhulu. Abantu abaningi banganciphisa kakhulu izimpawu zabo ngokwelashwa okungadingi ukuhlinzwa okukhulunywe ngakho ngenhla, njengokunakekelwa ekhaya, imithi, kanye nezibopho. Ukuhlinzwa kucatshangelwa kuphela uma kungekho mpumuzo.

Ngezinye izikhathi udokotela wakho angase akuncome ukwelashwa ngokomzimba noma ukwelashwa ngokomsebenzi . Uchwepheshe wezandla oqeqeshiwe, oqeqeshwe ngokukhethekile ezinkingeni zezandla, angakusiza ukuthi uthole amandla, ukunyakaza, kanye nokusebenza esandleni sakho nasesithupheni sakho. Bangakufundisa ukuzivocavoca okuthile, izindlela zokwenza imisebenzi yansuku zonke ibe lula, kanye nezindlela zokuvikela amalunga akho.

Into ebaluleke kakhulu okufanele uyikhumbule (Umyalezo Wokuya Ekhaya)

Cabanga ngokuthi zingaki izinto esizisebenzisa nsuku zonke, njengokujika okhiye, ukubamba izincwadi, nokuswayipha esikrinini sethebhulethi. Kodwa uma uba nesifo samathambo esithupheni sakho, ngisho nalo msebenzi olula ungaba buhlungu. Kuvamile kakhulu kunalokho ocabanga, futhi kungaba nomthelela omkhulu empilweni yakho yansuku zonke.

Ngakho-ke, uma uzwa ubuhlungu, ukuvuvukala, ukuqina, noma ukuba ndikindiki esithupheni sakho, ungamane nje ungakunaki bese ubona udokotela. Angakusiza uthole impumuzo futhi akufundise izindlela zokwenza imisebenzi yakho yansuku zonke ibe lula. Uma uqala ukwelashwa ngokushesha, kulapho ungalulama khona ngokushesha.

I- Arthritis, Ubuhlungu Bezithupha, I-Osteoarthritis, I-CMC I-Arthritis, Ubuhlungu Bamalunga, Ubuhlungu Besandla, I-Arthritis Yezithupha