Rhizarthrosis chirwere chearthritis chepasi pechigunwe. Iyi pathology yakajairika. Muzviitiko zvakawanda, mishonga uye kusafamba kwechigunwe zvakakwana kuti zvigadzirise. Kana izvi zvisiri izvo kana kana kuremara kwechigunwe kuchionekwa, kuvhiyiwa kunogona kuitwa.

tsananguro 

Rhizarthrosis kana trapeziometacarpal arthritis iarthritis yepasi pechigunwe. Inofananidzwa nekusingaperi kusakara uye kubvaruka kwecartilage pakati pe trapezius (wrist bone) uye yekutanga metacarpal ( thumb bone). Inowanzova mamiriro maviri (inobata zvigunwe zvose). 

Zvinokonzera 

Kazhinji kazhinji chikonzero chaicho cheosteoarthritis hachizivikanwi. Dzimwe nguva osteoarthritis inokonzerwa nekuputsika, rheumatism kana utachiona. 

chirwere 

Kuongororwa kwekiriniki kunosimbiswa neiyo yakakosha uye lateral x-rays yechigunwe. Iyi bvunzo inoitawo kuti zvikwanise kuona kukosha kwekuparara kwecartilage uye kuchengetedzwa kweimwe vhoriyamu yemapfupa. 

Vanhu vane hanya 

Rhizarthrosis inowanzoitika. Inomiririra 10% ye osteoarthritis yemakumbo. Chinonyanya kubata vakadzi vari pakati pemakore makumi mashanu kusvika makumi matanhatu ekuberekwa. 

Zvinhu zvinotyisa 

An endocrine factor inotaurwa nekuti rhizarthrosis inowanzoitika muvakadzi vepashure. Humwe hunyanzvi hunoda nenzira yekuwedzeredza iyo pollicidigitale clamp (seamstress…) inogona kunge iri panjodzi. The traumatic factor is rarer.

Marwadzo, chiratidzo chekutanga 

Marwadzo ndiwo chiratidzo chekutanga, chingave chinongoerekana chaitika kana mumaitiro ezuva nezuva anounganidza pollici-digital forceps, kana chigunwe nemumwe munwe (shandura kiyi, vhura chirongo, svuura muchero, nezvimwewo) Marwadzo anogona kuperekedzwa nekuomerwa mukati. kushandisa chigunwe. 

Deformation yechigunwe 

Mushure memakore manomwe kusvika gumi ekurwiswa kunorwadza, chigunwe chinokanganisa chimiro: mbiru yechigunwe inotora chimiro cheM (bumpu pazasi pechigunwe). Kana chigunwe chakaremara, marwadzo anotsiviwa nekuoma.

Mushonga wekutanga we rhizarthrosis ndeyekurapa. Inotarisira kubvisa marwadzo uye kuchengetedza mararamiro ekufamba. Kurapa uku kunobatanidza kuzorora, anti-inflammatory drugs uye kupfeka kwetsika-yakagadzirwa thermoformable splint usiku (zororo orthosis). Corticosteroid infiltrations inogona kuderedza marwadzo panguva yekurwiswa.

Kana mushure memwedzi mitanhatu kusvika pagore, kurapwa uku hakuna kukwana kudzikamisa marwadzo kana kana kuremara kwechigunwe chepamusoro kuchionekwa, kurapwa kwekuvhiya kunogona kufungwa. Mumatanho ekutanga e artrosis maitiro matatu anogona kutsanangurwa: kugadzikana kwejoint (ligamentoplasty), kudzoreredzwa kwenzvimbo dzakabatanidzwa (osteomy) kana kubviswa kwetsinga dzakagadzirirwa kubatana (denervation). 

Kana osteoarthritis yakanyanya kufambira mberi, marudzi maviri ekupindira anogona kurongeka: trapezectomy iyo inosanganisira kubvisa chirwere chetrapezius kana kuti trapeziometacarpal prosthesis yose inotsiva zvikamu zviviri zvekubatana uye inosanganisira kapu yakagadziriswa mu trapezius uye metacarpal musoro. 

Izvi zviviri zvinopindira zvinoteverwa nekugadzirisa. 

Kurapa kwakasikwa kwerhizarthrosis 

Mishonga yemakwenzi inoshanda kurwisa osteoarthritis. Mienzaniso yemiti inogona kubvisa osteoarthritis: ginger, ine anti-inflammatory properties, Devil's Claw kana Harpagophytum, turmeric, blackcurrant buds.

Omega-3 fatty acids zvakare kurapa kwechisikigo kweosteoarthritis. Vane simba rekuvhara kugadzirwa kwezvinhu zvinopisa.

Kuti udzivise rhizarthrosis, zvinokurudzirwa kuchengetedza majoini eminwe uye ruoko mumabasa ezuva nezuva akadai sekubika, kuchenesa nekurima. Pane maturusi anobatsira: magetsi egaba rekuvhura, bhodhoro rinovhura, jira rinovhura ...

Kurega kusvuta kunokurudzirwawo mukudzivirira osteoarthritis, chikakananda chingavhiringa kupihwa kwechikafu kucartilage.