Tlhaloso e Khutšoanyane ea Thumb Osteoarthritis
Osteoarthritis e ka ama manonyeletso karolong e 'ngoe le e' ngoe ea 'mele, ho akarelletsa le lesesaane. Tlhahlobo ea pele le phekolo ea pele e thusa batho ba nang le lefuba la masapo a mabeli ho laola matšoao a bona.
Osteoarthritis ea lesela le motona e tloaelehile ho basali ho feta banna. Hangata, osteoarthritis ea lesela le motona e hlaha ka mor'a lilemo tse 40. Joaloka lilemo tsa baahi, sena se bonahala hangata.
Lebaka la Thupa Osteoarthritis
Osteoarthritis ke boloetse bo kopantsoeng ba ho kopana.
Osteoarthritis e baka lefuba - e leng maqhubu a thata empa a feto-fetoha a koahelang lipheletsong tsa masapo a etsang motsoako-ho apara butle-butle. Thupa ea masapo a mabeli a tloaelehileng a ama karolo e ka tlaase ea lesela le le leng, le tsejoang e le motsoako oa basal kapa motsoako oa carpometacarpal (motsoako oa CMC). Motsoako oa CMC o thehoa moo masapo a metacarpal a lesesaane le motona a ikopantseng le bone ea trapezium ea letsoho.
Ho phunya kapa ho robeha ha lesela le le leng ho ka senya martilage ea articular, e leng lefuba le koaheletsoeng ke masapo. Ho lematsa motsoako oa CMC oa lesela le le leng, esita leha ts'oaetso ea lefuba e se ka potlako, e ka ama tsamaiso ea lesela le motona. Haeba motsoako o fetoha hampe ka morao ho kotsi, apara le ho senya ho eketseha ha motsoako, qetellong ho lebisa ho osteoarthritis.
Ho Tsejoa ha Thupa Mafuba a 'Mele
Tlhahlobo ea lesapo la majoe a masesaane e thehiloe, ka karolo e itseng, historing ea mokuli. Likotsi tse fetileng tsa letsoho, haholo-holo ho leotoana ka boeona, li ka 'na tsa bontša hore na ke hobane'ng ha osteoarthritis e ntlafalitsoe ka letsoho le leng le le leng.
Tlhahlobo ea 'mele e ka senola tsela e sa tloaelehang ea ho sisinyeha ho kopantsoeng ke CMC, ho ruruha, le bohloko kapa bonolo tlase ea lesela. Crepitus (molumo oa ho sila joalokaha motsoako o sisinyeha) o fana ka maikutlo a hore lipheletsong tsa masapo a etsang se kopane a ntse a hlophana.
Li-ray li ka bontša tšenyo e kopanetsoeng, empa bohloko bo atisa ho etella pele bopaki ba x-ray.
Li-X-ray kapa lithuto tse ling tsa litšoantšo le tsona li ka lemoha li- osteophyte (bone spurs).
Matšoao a Sefuba sa Mafupala
Bothata ke letšoao le ka sehloohong le amanang le lefuba la masapo. Qalong, bohloko bo teng ka ho sisinyeha kapa mosebetsi (mohlala, ho fetola senotlolo, ho bula lemati, ho phahamisa senoelo). Ha lefu la osteoarthritis le ntse le tsoela pele, bohloko bo teng le nakong ea ho se sebetse kapa phomolo. Matšoao a mang a ramatiki a motona a kenyelletsa:
- ho thata ho fumana lintho
- ho ruruha, ho tiea, kapa bonolo ha e le setsi sa lesela
- ponahalo e atolositsoeng ea motsoako oa CMC
- mefuta e fokolang ea ho tsamaea
Osteoarthritis e ka boela ea etsa hore motsoako oa CMC oa letsoho le leng le le leng o lokolloe le ho koala morao haholo, ho thoeng ke ho tšoaetsanoa. Bothata bo itseng, bo tsejoang e le thumbane ea molaetsa oa mokokotlo, bo ka boela ba etsahala ha monoana o motona o kopantsoeng o ntse o lumellana, 'me motsoako oa CMC o fetisetsoa.
Phekolo ea Thupa ea Mafu
Nako ea pele ea masapo a mokuli a lesesaane le motona a ka phekoloa ka katleho ka mekhoa ea phekolo ea meriana, ka mohlala:
- li-anti-inflammatory anti-inflammatory (NSAIDs) ho fokotsa ho ruruha le ho ruruha
- ho kenyelletsa se kopane metsotso e 5 ho ea ho e 15 ka makhetlo a 'maloa ka letsatsi ho loantša ho ruruha le ho ruruha
- phekolo ea meriana kapa phekolo ea mosebetsi
- ho khetholla ho thibela ho sisinyeha ha lesesaane
- liente tsa steroid ka har'a sele
Likgetho tsa ho buoa bakeng sa maoto a mokuli a majoe a mabeli a kenyelletsa:
- CMC e kopantsoeng ka motsoako (arthrodesis) - khetho ea bakuli ba batlang phomolo ea bohloko ba sa ameheng ka ho feteletseng ka ho lahleheloa ke motsoako o motle
- ho sebelisoa karolo e kopanetsoeng kapa arthroplasty - polasetiki kapa li-prostheses tsa tšepe ho nkela sebaka sa CMC sejoe (sefate se sepakapakeng se sebetsa joaloka spacer ka mor'a hore majoe a masapo a metsoako a CMC a tlosoe)
- ho ts'oaroa ha arthroplasty - ho tlosa libaka tsa arthritic tsa manonyeletso a CMC le ho e nkela ka lintho tse ling (mohlala, sekoahelo sa tendon) ho boloka masapo a arohane
- Trapeziectomy - ho tlosoa ha lesapo le lenyenyane le bitsoang trapezium
Lisebelisoa:
Ramatiki ea Thupa. Setsebi se bitsoang American Academy of Orthopedic Surgeons. December 2013.
Ramatiki ea Thupa. Orthogate. La 28 July 2006.