I-Rhizarthrosis isifo samathambo esingaphansi kwesithupha. Le pathology ivame kakhulu. Ezimweni eziningi, imithi kanye nokunganyakazi kwesithupha kwanele ukuyikhulula. Uma kungenjalo noma uma kuvela ukukhubazeka kwesithupha, ukuhlinzwa kungase kwenziwe.

Incazelo 

I-Rhizarthrosis noma i-trapeziometacarpal arthritis isifo samathambo esingaphansi kwesithupha. Ihambisana nokuguga okungamahlalakhona kwe-cartilage phakathi kwe-trapezius (ithambo lesihlakala) kanye ne-metacarpal yokuqala (ithambo lesithupha). Imvamisa kuba yisimo sezinhlangothi zombili (ithinta izithupha zombili). 

Izimbangela 

Ngokuvamile imbangela eqondile ye-osteoarthritis ayaziwa. Ngezinye izikhathi i-osteoarthritis ingumphumela wokuphuka, i-rheumatism noma ukutheleleka. 

kwesifo 

Ukuxilongwa komtholampilo kuqinisekiswa yi-x-ray eyisisekelo neseceleni yesithupha. Lokhu kuhlola kwenza kube nokwenzeka futhi ukubona ukubaluleka kokucekelwa phansi koqwanga nokugcinwa komthamo othile wamathambo. 

Abantu abathintekayo 

I-Rhizarthrosis ivamile. Imele i-10% ye-osteoarthritis yezitho. Ihlasela kakhulu abesifazane abaphakathi kweminyaka engama-50 nengama-60 ubudala. 

Izici zengozi 

Isici se-endocrine sishiwo ngoba i-rhizarthrosis ivame ukwenzeka kwabesifazane abangemva kokuya esikhathini. Ubungcweti obuthile obudinga ngendlela eyihaba i-pollicidigitale clamp (umthungi...) kungaba sengozini enkulu. Isici esibuhlungu asivamile.

Ubuhlungu, uphawu lokuqala 

Ubuhlungu buwuphawu lokuqala, kungakhathaliseki ukuthi luyazenzakalela noma yizenzo zansuku zonke ezihlanganisa amandla e-pollici-digital, noma isithupha ngomunye umunwe (vula ukhiye, vula imbiza, ikhasi isithelo, njll.) Ubuhlungu bungase buhambisane nobunzima usebenzisa isithupha. 

Ukuguqulwa kwesithupha 

Ngemva kweminyaka engu-7 kuya kweyi-10 yokuhlaselwa okubuhlungu, isithupha siyawohloka ngendlela ephawulekayo: ikholomu yesithupha ithatha isimo sika-M (iqhubu phansi kwesithupha). Lapho isithupha sikhubazekile, ubuhlungu buthathelwa indawo ukuqina.

Ukwelashwa kokuqala kwe-rhizarthrosis kungokwezokwelapha. Ihlose ukudambisa izinhlungu nokugcina uhla lokunyakaza. Lokhu kwelashwa kuhlanganisa ukuphumula, imishanguzo eqeda ukuvuvukala kanye nokugqokwa kwe-splint eyenziwe ngokwezifiso ye-thermoformable ebusuku (i-rest orthosis). Ukungena kwe-Corticosteroid kungadambisa ubuhlungu ngesikhathi sokuhlaselwa.

Uma ngemva kwezinyanga ezingu-6 kuya onyakeni, lokhu kwelashwa akuzange kwanele ukuthulisa ubuhlungu noma uma ukukhubazeka komgogodla wesithupha kubonakala, ukwelashwa kokuhlinzwa kungase kucatshangelwe. Ezigabeni zokuqala ze-artrosis kungahlongozwa ukungenelela okuthathu: ukuzinza kwe-joint (ligamentoplasty), ukuhlelwa kabusha kwezindawo ezihlangene (i-osteomy) noma ukususwa kwezinzwa ezihloselwe ukujoyina (denervation). 

Uma i-osteoarthritis ithuthuke kakhulu, izinhlobo ezimbili zokungenelela zingahlongozwa: i-trapezectomy ehlanganisa ukususa i-trapezius egulayo noma i-trapeziometacarpal prosthesis ephelele ethatha indawo yezingxenye ezimbili ezihlangene futhi ihlanganisa indebe ehleliwe ekhanda le-trapezius ne-metacarpal. 

Lokhu kungenelela okubili kulandelwa ukuvuselelwa. 

Ukwelashwa kwemvelo kwe-rhizarthrosis 

Umuthi we-herbal uyasebenza ngokumelene ne-osteoarthritis. Izibonelo zezitshalo ezikwazi ukuqeda i-osteoarthritis: i-ginger, enezici zokuqeda ukuvuvukala, i-Devil's Claw noma i-Harpagophytum, i-turmeric, i-blackcurrant buds.

Ama-omega-3 fatty acids nawo ayindlela yokwelapha yemvelo ye-osteoarthritis. Zinomphumela wokuvimbela ukukhiqizwa kwezinto ezivuthayo.

Ukuze uvimbele i-rhizarthrosis, kuhle ukuthi ugodle amalunga eminwe futhi unikeze isandla emisebenzini yansuku zonke njengokupheka, ukuhlanza nokulima. Kunamathuluzi awusizo: isivuli sethini likagesi, isivuli sebhodlela, isivuli sembiza ...

Ukuyeka ukubhema kuyatuswa futhi ekuvimbeleni i-osteoarthritis, i-nicotine ingaphazamisa ngempela ukunikezwa kwezakhi ku-cartilage.