Ukuvuvukala Kwe-Thumb? Izimpawu, Izimbangela, Nokwelashwa

Ukuvuvukala kwe-thumb kuyisimo esivamile lapho i-cartilage esigabeni sakho se-thumb iphelelwa khona, kubangele ubuhlungu nokuqina. Ngokuvamile kuchaphazela isigaba esisemqondweni we-thumb yakho lapho sixhumana khona ne-wrist yakho, okwenza imisebenzi yansuku zonke njengokuvula ama-jars noma ukujika izinkinobho kube nzima.

Lesi simo sithuthuka kancane kancane ngokuhamba kwesikhathi futhi sibe yinto evamile njengoba siqale ukuguga. Nakuba kungase kubangele ukukhungatheka lapho imisebenzi elula iba nzima, ukuqonda ukuthi kwenzekani nokwazi izinketho zakho zokwelashwa kungakusiza uphathe izimpawu ngokuphumelelayo futhi ugcine imisebenzi yakho yansuku zonke.

Iyini ukuvuvukala kwe-thumb?

Ukuvuvukala kwe-thumb kwenzeka lapho i-cartilage ebushelelezi evikela isigaba sakho se-thumb iphukile ngokuhamba kwesikhathi. Le cartilage ngokuvamile isebenza njengesivikelo, ivumela amathambo akho ukuba ashelelezele ngokukhululekile komunye lapho uhambisa i-thumb yakho.

Lapho le cartilage iphelelwa khona, amathambo akho aqala ukuqabulana ngqo komunye. Lokhu kuqabulana kubangela ukuvuvukala, ubuhlungu, futhi ekugcineni kushintshe isakhiwo sesigaba sakho. Indawo echaphazelekayo kakhulu yi-carpometacarpal joint, eseduze nasesiqabeni se-thumb yakho eduze ne-wrist yakho.

Cabanga ngakho njengokuthi i-tread ethayini iphelelwa khona. Njengoba ithayini eliphelile lingagxili kahle emigwaqweni, isigaba esingenayo i-cartilage enempilo asihambi ngokukhululeka noma ngokunethezeka njengoba kufanele.

Ziyini izimpawu zokuvuvukala kwe-thumb?

Izimpawu zokuqala zokuvuvukala kwe-thumb zivame ukuqala kancane kancane futhi zibe yinto ebonakalayo ngokuhamba kwesikhathi. Ungase uqale uqaphele lezi zimpawu ngesikhathi semisebenzi edinga ukubamba noma ukucindezela.

Izimpawu ezivamile ongazihlangabezana nazo zihlanganisa:

• Ubuhlungu esiqabeni se-thumb yakho, ikakhulukazi ngesikhathi semisebenzi yokubamba
• Ukuqina esigabeni se-thumb yakho, ikakhulukazi ekuseni
• Ukuvuvukala eduze kwesigaba se-thumb yakho
• Amandla aphansi lapho ucindezela noma ubamba izinto
• Ubunzima bokuvula ama-jars, ukujika izinkinobho, noma ukusebenzisa izinkinobho
• Ukuzwa okucindezelayo lapho uhambisa i-thumb yakho
• Ukuhluka kwendlela isigaba se-thumb yakho ebonakala ngayo ngokuhamba kwesikhathi

Njengoba isimo siqhubeka, ungase uqaphele isigaba se-thumb yakho sibe sikhulu noma sithuthukise i-bump yamathambo. Ubuhlungu bungase buqale ukwenzeka ngisho noma awusebenzisi i-thumb yakho, kufaka phakathi ngesikhathi sokuphumula noma ebusuku.

Ziyini izinhlobo zokuvuvukala kwe-thumb?

Uhlobo oluvamile oluchaphazela i-thumb yi-osteoarthritis, emele iningi lamacala okuvuvukala kwe-thumb. Lokhu kwenzeka lapho i-cartilage evikela iphelelwa khona kancane kancane ngokusetshenziswa okuvamile eminyakeni eminingi.

I-rheumatoid arthritis ingachaphazela ama-thumb joints akho, nakuba lokhu kungavamile. Ngokungafani ne-osteoarthritis, i-rheumatoid arthritis iyisimo sokuziphatha komzimba lapho uhlelo lokuphepha lomzimba wakho luhlasela ngokungalungile izicubu ezempilo zesigaba. Lolu hlobo ngokuvamile luchaphazela ama-joints amaningi emzimbeni wakho, hhayi nje i-thumb yakho.

I-Post-traumatic arthritis imele enye inketho, ithuthuka ngemuva kokulimaza isigaba se-thumb yakho. Uma uke waphula i-thumb yakho noma waba nokulimala okukhulu, ukuvuvukala kungase kuthuthuke ngemuva kwezinyanga noma eminyakeni kuleyo sigaba.

Yini ebangela ukuvuvukala kwe-thumb?

Ubudala yiyona nto ebaluleke kakhulu ngemuva kwemininingi yamacala okuvuvukala kwe-thumb. Njengoba uqala ukuguga, i-cartilage ema-joints akho iqala ukuphela ngokwemvelo ngemuva kokusetshenziswa kweminyaka eminingi, njengoba ezinye izingxenye zomzimba wakho zibonisa ukuphela kwesikhathi.

Izinto eziningi zingase zifake isandla ekukhuleni kwalesi simo:

• Ukuqala ukuguga nokuphela kwesikhathi kwi-cartilage yesigaba
• Ukufana kwemfuyo okubaleka emindenini
• Ukulimala kwangaphambili esiqabeni se-thumb noma se-wrist
• Ukuhamba okuphindaphindwayo kwe-thumb eminyakeni eminingi
• Ukungahambisani kwama-joints okukhona kusukela ekuzalweni
• Izifo ezithile ezihlasela impilo ye-cartilage

I-genetics yakho idlala indima ebalulekile ekuqondeni ukuthi uzokuthuthukisa yini ukuvuvukala kwe-thumb. Uma abazali bakho noma abazalwane bakho behlangane nalesi simo, ungase ube nethuba elikhulu lokulithuthukisa wena. Noma kunjalo, ukuba nomlando womndeni akusho ukuthi uzothola ukuvuvukala.

Imisebenzi noma izinto zokuzilibazisa ezidinga ukuhamba okuphindaphindwayo kwe-thumb kungase kukhulise ingozi yakho ngokuhamba kwesikhathi. Imisebenzi efana nokusebenzisa ikhompyutha isikhathi eside, ukwenza izinto, noma umsebenzi wesandla ingase ifake isandla ekupheleni kwesigaba, nakuba lokhu ngokuvamile kuthatha iminyaka eminingi ukuthuthukisa kube ukuvuvukala.

Nini okumele ubona udokotela ngokuvuvukala kwe-thumb?

Kufanele ucabange ukuya kudokotela lapho ubuhlungu be-thumb buqala ukuphazamisa imisebenzi yakho yansuku zonke noma buhlala isikhathi esingaphezu kwezinsuku ezimbalwa. Ukubhekwa kwangaphambili kungakusiza uthole ukwelashwa okufanele futhi uvikele isimo singabi sibi.

Funani ukunakekelwa kwezokwelapha uma uhlangabezana nobuhlungu obuhlala njalo esiqabeni se-thumb yakho, ikakhulukazi uma buhambisana nokuvuvukala noma ukuqina. Ungalindi kuze kube ubuhlungu bube sibi, njengoba ukungenelela kwangaphambili kuvame ukuletha imiphumela emihle.

Hlela i-aphoyintimenti ngokushesha uma uqaphela ukuqala ngokuzumayo kobhlungu obukhulu, ukuvuvukala okukhulu, noma uma i-thumb yakho ibafudumala. Lezi zimpawu zingase zibonise ezinye izimo ezidinga ukunakekelwa ngokushesha.

Ziyini izinto ezikhuthaza ukuvuvukala kwe-thumb?

Ukuqonda izinto ezikhuthaza ingozi kungakusiza uthathe izinyathelo zokuvimbela futhi uqaphele izimpawu zokuqala. Nakuba ezinye izinto zingaphezu kokulawula kwakho, ukuzazi kuzokusiza wenze izinqumo ezilwemi mayelana nempilo yesigaba sakho.

Izinto ezikhuthaza ingozi eziyinhloko zihlanganisa:

• Ukuba neminyaka engaphezu kuka-40, ingozi ikhuphuka kakhulu ngemuva kweminyaka engama-50
• Ukuba owesifazane, njengoba abesifazane bathuthukisa ukuvuvukala kwe-thumb ngokuvamile kunamadoda
• Ukuba nomlando womndeni wokuvuvukala kwabazali noma abazalwane
• Ukulimala kwangaphambili kwe-thumb noma i-wrist, kufaka phakathi ukuphula noma ukulimala
• Imisebenzi edinga ukuhamba okuphindaphindwayo kwe-thumb eminyakeni eminingi
• Izimo zezokwelapha ezithile ezihlasela impilo yesigaba
• Ukungahambisani kwama-joints noma ukungafani kwesakhiwo se-thumb kusukela ekuzalweni

Abesifazane banesibopho kakhulu sokuvuvukala kwe-thumb, ikakhulukazi ngemuva kwe-menopause lapho ukushintsha kwamahomoni kungase kuchaphazele impilo yesigaba. Noma kunjalo, lokhu akusho ukuthi bonke abesifazane bazokuthuthukisa lesi simo.

Ukuba nezinto eziningi ezikhuthaza ingozi akusho ukuthi uzokuthuthukisa ukuvuvukala kwe-thumb, kodwa kusho ukuthi kufanele uqaphele noma yiziphi izimpawu futhi uxoxe ngezindlela zokuvimbela nodokotela wakho.

Ziyini izinhlanganisela ezingase zenzeke ngokuvuvukala kwe-thumb?

Nakuba ukuvuvukala kwe-thumb ngokwako kungesona isifo esibulalayo, kungase kuchaphazele kakhulu ikhwalithi yokuphila kwakho uma kungaphathwa. Ukuqhubeka kwezimpawu kungase kwenze imisebenzi yansuku zonke ibe nzima futhi ikhungathekise.

Izinhlanganisela ezingase zenzeke ongazihlangabezana nazo zihlanganisa:

• Ukulahlekelwa kwamandla e-thumb okuqhubekayo okuchaphazela ukubamba kwakho
• Ukuhamba okuncane esigabeni se-thumb yakho
• Ubuhlungu obuhlala njalo obuphazamisa ubuthongo nemisebenzi yansuku zonke
• Ubunzima bokufeza imisebenzi yomsebenzi noma izinto zokuzilibazisa ozithandayo
• Ukungahambisani kwesigaba okushintsha indlela i-thumb yakho ebonakala ngayo
• Izindlela zokubuyisela ezigxila kwezinye izigaba esandleni sakho
• Umphumela oqondakalayo ekulahlekelweni kobulungiswa emisebenzini yansuku zonke

Esinye sezinto ezinkulu ezikhathazayo yithuba lokuthuthukisa izinkinga zesibili kwezinye izigaba. Lapho i-thumb yakho ilimaza, ungase ushintshe ngokungalindelekile indlela osebenzisa ngayo isandla sakho, ubeke ukucindezela okukhulu ezicubeni zakho, i-wrist, noma ngisho nesandla sakho esiphambene.

Izindaba ezinhle ukuthi ngokwelashwa okufanele, abantu abaningi bangaphatha izimpawu zabo ngokuphumelelayo futhi bagcine ikhwalithi yokuphila kwabo. Ukungenelela kwangaphambili kuvame ukuvimbela lezi zinhlelo zingase zithuthuke.

Ukuvuvukala kwe-thumb kungavikeleka kanjani?

Nakuba ungakwazi ukuvimbela ngokuphelele ukuvuvukala kwe-thumb, ikakhulukazi uma unezinto ezikhuthaza ingozi ye-genetic, kunezinyathelo ongazithatha ukuvikela impilo yesigaba sakho futhi mhlawumbe ulibambezele ukuqala kwezimpawu.

Ukuvikela ama-thumbs akho ngesikhathi semisebenzi yansuku zonke yiyona ndlela ephumelelayo yokuvimbela. Sebenzisa amathuluzi e-ergonomic uma kungenzeka, thatha ama-breaks njalo emisebenzini ephindaphindwayo, futhi gwema ukubamba izinto ngamandla isikhathi eside.

Ukugcina impilo yesigaba jikelele ngokuzivocavoca okuvamile kungakusiza ugcine ama-thumb joints akho aqinile futhi aqinile. Ukuzivocavoca okuthambile nokuqinisa ngokukhethekile izandla zakho nama-thumbs kungase kube usizo.

Uma uke walimaza i-thumb yakho esikhathini esidlule, qiniseka ukuthi iyaphilisa kahle futhi ulandele izimiso zokwelapha zedokotela wakho. Ukulimala okungaphilisi kahle kungase kukhulise ingozi yakho yokuthuthukisa ukuvuvukala kamuva.

Ukuvuvukala kwe-thumb kuhlonzwa kanjani?

Udokotela wakho uzoqala ngokubuza ngezimpawu zakho, umlando wezokwelapha, noma yimiphi imisebenzi eyenza ubuhlungu be-thumb bube sibi noma bube ngcono. Bazofuna ukwazi ukuthi ubuhlungu beqale nini, buthuthuke kanjani, nokuthi buphazamisa yini imisebenzi yakho yansuku zonke.

Ngesikhathi sokuhlolwa komzimba, udokotela wakho uzohluza ngokucophelela isigaba se-thumb yakho, ahlole ukuvuvukala, ukuncipha, nokuhamba. Bangase bakucela ukuba wenze ukuhamba okuthile noma ukuhlola ukubamba ukuhlola umsebenzi namandla e-thumb yakho.

Ama-X-rays ngokuvamile yi-imaging test yokuqala eyalwe ukuhlonzwa kokuvuvukala kwe-thumb. Lezi zithombe zingabonisa ukunciphisa kwesigaba, ama-bone spurs, nezinye izinguquko ezibonisa ukuvuvukala. Kwezinye izimo, udokotela wakho angase akukhuthaze ukuhlolwa kwe-imaging okwengeziwe njenge-MRI noma i-CT scans ukuze ubone ngokuningiliziwe.

Izivivinyo zegazi ngokuvamile azidingeki ekuhlonzweni kwe-osteoarthritis ye-thumb, kodwa zingase ziyalwe uma udokotela wakho ekrotha i-rheumatoid arthritis noma enye isimo somzimba esichaphazela ama-joints akho.

Iyini ukwelashwa kokuvuvukala kwe-thumb?

Ukwelashwa kokuvuvukala kwe-thumb kugxile ekulawuleni ubuhlungu bakho, ukugcina umsebenzi wesigaba, nokukusiza uqhubeke nemisebenzi yakho yansuku zonke ngokunethezeka. Udokotela wakho uzohlangana nawe ukuthuthukisa uhlelo lokwelashwa oluhambisana nezidingo zakho ezikhethekile nendlela yokuphila.

Ukwelashwa okungeyona opharetha ngokuvamile kuzama kuqala futhi kuvame ukuletha impumuzo enkulu:

• Imithi yokunciphisa ubuhlungu engaphezu kokuthengwa njenge-acetaminophen noma i-ibuprofen
• Imithi yokunciphisa ubuhlungu efake ngqo endaweni echaphazelekile
• Ama-thumb splints noma ama-braces ukusekela isigaba ngesikhathi semisebenzi
• Ukwelashwa komzimba ukuze ugcine ukuhamba namandla
• Ukwelashwa komsebenzi ukufunda amasu okukhuselwa kwesigaba
• Ukuqothulwa kwe-corticosteroid ngenxa yobuhlungu obukhulu
• Ukushintsha kwemisebenzi ukunciphisa ukucindezela esigabeni se-thumb

Ukuhlanganisa kuvame ukuba yiyona ndlela ephumelelayo yokwelashwa okungeyona opharetha. I-splint efanele inganciphisa ubuhlungu ngesikhathi semisebenzi ngenkathi ikuvumela ukuba ugcine umsebenzi. Udokotela wakho noma umhlengikazi wezokwelapha angakusiza uthole uhlobo olufanele lwe-splint ezidingweni zakho.

Uma ukwelashwa okuqondile kungalethi impumuzo eyanele ngemuva kwezinyanga ezimbalwa, izinketho zokwelashwa zingase zicatshangelwe. Lokhu kungase kuhlanganise ukuxuba isigaba noma ukufaka isigaba, kuye ngokukhulu kokuvuvukala kwakho kanye nesilinganiso somsebenzi wakho.

Indlela yokuphatha ukuvuvukala kwe-thumb ekhaya?

Ukuphathwa ekhaya kudlala indima ebalulekile ekulawuleni izimpawu zakho zokuvuvukala kwe-thumb nokugcina ikhwalithi yokuphila kwakho. Ukushintsha okulula emgqeni wakho wansuku zonke kungenza umehluko omkhulu ezingeni lakho lokuthula.

Ukufake ubushushu noma ubuqandwe e-thumb yakho kungakusiza ulawule ubuhlungu nokuqina. Sebenzisa i-compress efudumele noma i-paraffin bath ngaphambi kwemisebenzi ukuze ukhulule ama-joints aqinile, futhi ufake uqandwe ngemuva kwemisebenzi uma uhlangabezana nokuvuvukala noma ubuhlungu obukhulu.

Ukuzivocavoca okuthambile kungakusiza ugcine ukuhamba namandla e-thumb yakho. Ukuzivocavoca okuthambile, njengokuthinta i-thumb yakho kuwo wonke umunwe noma ukwenza i-fist ethambile, kungenziwa izikhathi eziningi usuku lonke.

Cabanga ukusebenzisa amathuluzi nezindlela zokuguqula ukunciphisa ukucindezela esigabeni se-thumb yakho. Ama-jar openers, ama-handles e-ergonomic ezitsheni, nama-handles e-lever-style angenza imisebenzi yansuku zonke ibe lula futhi ingabi buhlungu.

Qaphela amazinga wakho wemisebenzi futhi uzithathe kancane usuku lonke. Ukushintshana phakathi kwemisebenzi esebenzayo nama-breaks kungakusiza ukuvimbela izimpawu zakho zingase zikhule.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho yedokotela?

Ukulungiselela i-aphoyintimenti yakho kungakusiza uqinisekise ukuthi uthola okuningi kakhulu ekuhambeleni kwakho futhi uthole ukunakekelwa okuhle kakhulu kokuvuvukala kwe-thumb yakho. Ukuthatha isikhathi ngaphambi kokuhlela imicabango yakho nolwazi kuzokwenza ingxoxo ibe yingcono.

Bhala izimpawu zakho, kufaka phakathi ukuthi zaqala nini, yini eyenza zibe ngcono noma zibe sibi, nokuthi zichaphazela kanjani imisebenzi yakho yansuku zonke. Chaza ngokucacile ukuthi yimiphi imisebenzi eyingozi kakhulu futhi linganisa ubuhlungu bakho ngesilinganiso esingu-1 kuya ku-10.

Letha uhlu lwayo yonke imithi oyithathayo njengamanje, kufaka phakathi imithi engaphezu kokuthengwa kanye nezinhlanganisela. Futhi, buthana nanoma yimaphi amarekhodi ezokwelapha adlule ahlobene ne-thumb yakho noma izinkinga zesandla, kufaka phakathi ama-X-rays noma ezinye izifundo ze-imaging.

Lungiselela uhlu lwemibuzo ofuna ukuyibuza udokotela wakho. Cabanga ukubuza ngezinketho zokwelashwa, imiphumela okulindelekile, ukushintsha kwemisebenzi, nokuthi kufanele ulandele nini.

Uma kungenzeka, letha ilungu lomndeni noma umngani e-aphoyintimenti yakho. Bangakusiza ukuba ukhumbule ulwazi olubalulekile futhi banikeze ukwesekwa ngesikhathi sengxoxo mayelana nezinketho zakho zokwelashwa.

Iyini into ebalulekile mayelana nokuvuvukala kwe-thumb?

Ukuvuvukala kwe-thumb kuyisimo esilawuleka esichaphazela izigidi zabantu, ikakhulukazi njengoba beqala ukuguga. Nakuba kungase kubangele ukukhungatheka lapho imisebenzi elula iba nzima, izindaba ezinhle ukuthi ukwelashwa okuphumelelayo kukhona ukukusiza ugcine ikhwalithi yokuphila kwakho.

Ukuqaphela kwangaphambili nokwelashwa kwezimpawu kuvame ukuletha imiphumela emihle. Ungawunaki ubuhlungu be-thumb obuhlala njalo noma ucabange ukuthi kuyinto evamile yokuguga okumele uyikhuthazele ngaphandle kosizo.

Khumbula ukuthi ukuvuvukala kwe-thumb kunokwelashwa kakhulu, futhi abantu abaningi bangaqhubeka nemisebenzi yabo evamile ngokuphathwa okufanele. Ukusebenzisana eduze nodokotela wakho ukuthuthukisa uhlelo lokwelashwa oluphelele yiyona nto ebalulekile yempumelelo.

Hlala uqaphile ngempilo yesigaba sakho ngokuvikela ama-thumbs akho ngesikhathi semisebenzi yansuku zonke, ukugcina ukufaneleka jikelele, nokufuna ukunakekelwa kwezokwelapha lapho izimpawu ziyakuchaphazela. Ngenhlanhla efanele, ungaphatha ukuvuvukala kwe-thumb ngokuphumelelayo futhi uqhubeke ubenza izinto ozithandayo.

Imibuzo evamile ebuzwa mayelana nokuvuvukala kwe-thumb

Q1. Ingabe ukuvuvukala kwe-thumb kungaphiliswa ngokuphelele?

Ukuvuvukala kwe-thumb akunakupheliswa ngokuphelele, kodwa kungaphathwa kahle ngokwelashwa okufanele. Ukulimala kwe-cartilage okubangela ukuvuvukala kuyaphila, kodwa izimpawu ezifana nobuhlungu nokuqina zinganciphisa kakhulu ngokunakekelwa okufanele. Abantu abaningi abane-thumb arthritis baphila impilo enethezeka, esebenzayo ngokulandela uhlelo lwabo lokwelashwa nokwenza ukulungiswa okulula kwesitayela sempilo.

Q2. Ingabe ngizodinga ukuhlinzwa ngokuvuvukala kwe-thumb?

Abantu abaningi abane-thumb arthritis abadingi ukuhlinzwa futhi bangaphatha izimpawu zabo ngempumelelo ngokwelashwa okungeyona opharetha. Ukuhlinzwa ngokuvamile kucatshangelwa kuphela lapho ukwelashwa okuqondile kungalethanga impumuzo eyanele ngemuva kwezinyanga ezimbalwa zokusetshenziswa okuqhubekayo. Udokotela wakho uzohlangana nawe ukwenza izinto ezingeyona opharetha ngaphambi kokuxoxa ngezenketho zokwelashwa.

Q3. Kuthatha isikhathi esingakanani ukuvuvukala kwe-thumb ukuthuthuka?

Ukuvuvukala kwe-thumb ngokuvamile kuthuthuka kancane kancane eminyakeni eminingi, ngokuvamile eminyakeni eminingi. Inqubo ngokuvamile iqala ngokuphela kancane kwe-cartilage okuqhubeka kancane kube izimpawu ezibonakalayo. Abantu abaningi baqaphela izimpawu zokuqala eminyakeni engama-50 noma engama-60, nakuba ukushintsha kwe-cartilage okungaphansi kungase kube sekwenzeka iminyaka eminingi ngaphambi kokuba kuvele izimpawu.

Q4. Ingabe ngingasasebenza ngokuvuvukala kwe-thumb?

Yebo, abantu abaningi abane-thumb arthritis bangaqhubeka besebenza, ikakhulukazi ngokwelashwa okufanele nokushintsha kwendawo yomsebenzi. Ukushintsha okulula njengokusebenzisa amathuluzi e-ergonomic, ukuthatha ama-breaks avamile, noma ukulungisa ukusetha kwakho komsebenzi kungenza umehluko omkhulu. Umhlengikazi wezokwelapha angakusiza ubone ukulungiswa okuthile okuzokuvumela ukuba usebenze ngokunethezeka.

Q5. Ingabe ukuvuvukala kwe-thumb kuyifa?

Ukuvuvukala kwe-thumb kunengxenye ye-genetic, okusho ukuthi kungase kubaleke emindenini. Uma abazali bakho noma abazalwane bakho behlangane nokuvuvukala kwe-thumb, ungase ube nethuba elikhulu lokulithuthukisa wena. Noma kunjalo, ukuba nomlando womndeni akusho ukuthi uzothola lesi simo, futhi abantu abaningi abangenayo imlando yomndeni basathuthukisa ukuvuvukala kwe-thumb njengoba beqala ukuguga.