Rhizarthrosis ndi nyamakazi ya m'munsi mwa chala chachikulu. Pathology iyi ndiyofala kwambiri. Nthawi zambiri, mankhwala ndi immobilization ya chala chachikulu ndi zokwanira kuthetsa izo. Ngati sizili choncho kapena ngati chala chachikulu chikuwoneka, opaleshoni ikhoza kuchitidwa.

Tanthauzo 

Rhizarthrosis kapena trapeziometacarpal nyamakazi ndi nyamakazi ya m'munsi mwa chala chachikulu. Zimafanana ndi kuwonongeka kosatha ndi kung'ambika kwa cartilage pakati pa trapezius (fupa la dzanja) ndi metacarpal yoyamba (fupa la thumb). Nthawi zambiri zimakhala zapawiri (zimakhudza zala zonse ziwiri). 

Zimayambitsa 

Nthawi zambiri chomwe chimayambitsa osteoarthritis sichidziwika. Nthawi zina osteoarthritis ndi chifukwa cha kupasuka, rheumatism kapena matenda. 

matenda 

Kuzindikira kwachipatala kumatsimikiziridwa ndi ma X-ray a chala chachikulu komanso chakumbuyo. Kuyeza kumeneku kumapangitsanso kuti zitheke kuona kufunika kwa kuwononga chichereŵechereŵe ndi kusungidwa kwa fupa linalake. 

Anthu okhudzidwa 

Rhizarthrosis ndi wamba. Zimayimira 10% ya osteoarthritis ya miyendo. Amakhudza kwambiri amayi azaka zapakati pa 50 ndi 60. 

Zowopsa 

Chinthu cha endocrine chimatchulidwa chifukwa rhizarthrosis nthawi zambiri imapezeka mwa amayi omwe ali ndi postmenopausal. Ntchito zina zomwe zimafuna mokokomeza cholembera cha pollicidigitale (seamstress…) chingakhale pachiwopsezo. Zomwe zimayambitsa zoopsa ndizosowa.

Ululu, chizindikiro choyamba 

Ululu ndi chizindikiro choyamba, kaya modzidzimutsa kapena m'machitidwe a tsiku ndi tsiku omwe amalimbikitsa pollici-digital forceps, kapena chala chachikulu ndi chala china (tembenuzani kiyi, tsegulani mtsuko, peel chipatso, etc.) Ululu ukhoza kutsagana ndi kuvutika mu pogwiritsa ntchito chala chachikulu. 

Kusintha kwa chala chachikulu 

Pambuyo pa zaka 7 mpaka 10 zakuukira kowawa, chala chachikulu chimapunduka: gawo la chala chachikulu limakhala ngati M (kugunda pansi pa chala chachikulu). Chala chachikulu chikapunduka, ululuwo umasinthidwa ndi kuuma.

Chithandizo choyamba cha rhizarthrosis ndi mankhwala. Cholinga chake ndi kuthetsa ululu ndikusunga mayendedwe osiyanasiyana. Mankhwalawa amaphatikiza mpumulo, mankhwala oletsa kutupa komanso kuvala cholumikizira chopangidwa mwachizolowezi chokhazikika usiku (mpumulo wa orthosis). Kulowetsedwa kwa Corticosteroid kumatha kuthetsa ululu panthawi yakuukira.

Ngati pakatha miyezi 6 mpaka chaka, chithandizochi sichinakhale chokwanira kuthetsa ululu kapena ngati kupunduka kwa msana wam'mimba kumawonekera, chithandizo cha opaleshoni chingaganizidwe. Kumayambiriro kwa artrosis njira zitatu zingathe kuperekedwa: kukhazikika kwa mgwirizano (ligamentoplasty), kukonzanso malo olowa (osteomy) kapena kuchotsedwa kwa mitsempha yomwe imapangidwira mgwirizano (denervation). 

Pamene nyamakazi ya osteoarthritis ikupita patsogolo, mitundu iwiri yothandizira ikhoza kuperekedwa: trapezectomy yomwe imaphatikizapo kuchotsa trapezius ya matenda kapena prosthesis yonse ya trapeziometacarpal yomwe imalowa m'malo mwa zigawo ziwiri za mgwirizanowo ndipo imaphatikizapo chikho chokhazikika mu trapezius ndi metacarpal mutu. 

Njira ziwirizi zikutsatiridwa ndi kukonzanso. 

Natural mankhwala rhizarthrosis 

Mankhwala azitsamba amagwira ntchito motsutsana ndi osteoarthritis. Zitsanzo za zomera zomwe zimatha kuthetsa osteoarthritis: ginger, yomwe ili ndi anti-inflammatory properties, Devil's Claw kapena Harpagophytum, turmeric, blackcurrant masamba.

Omega-3 fatty acids ndi mankhwala achilengedwe a osteoarthritis. Amakhala ndi zotsatira zolepheretsa kupanga zinthu zotupa.

Pofuna kupewa rhizarthrosis, ndi bwino kuti musamawononge ziwalo za zala ndikugwira ntchito za tsiku ndi tsiku monga kuphika, kuyeretsa ndi kulima. Pali zida zothandiza: chotsegulira chimbudzi chamagetsi, chotsegulira mabotolo, chotsegulira mitsuko ...

Kusiya kusuta kumalimbikitsidwanso popewa matenda a nyamakazi, chikonga chingasokonezedi kaphatikizidwe ka zakudya ku chichereŵechereŵe.