ʻO Rhizarthrosis ka maʻi o ke kumu o ka manamana lima. He mea maʻamau kēia pathology. I ka hapanui o nā hihia, lawa ka lāʻau lapaʻau a me ka immobilization o ka manamana lima e hoʻomaha ai. Inā ʻaʻole kēia ka hihia a inā ʻike ʻia kahi deformity o ka manamana lima, hiki ke hana ʻia ke ʻoki.

Definition 

ʻO Rhizarthrosis a i ʻole trapeziometacarpal arthritis ka maʻi o ke kumu o ka manamana lima. Pili ia i ka ʻaʻahu mau a me ka waimaka o ka cartilage ma waena o ka trapezius (iwi lima) a me ka metacarpal mua (iwi manamana lima). He kūlana bilateral pinepine ia (e pili ana i nā manamana lima ʻelua). 

Nā kumu 

ʻAʻole ʻike pinepine ʻia ke kumu maoli o ka osteoarthritis. I kekahi manawa ʻo ka osteoarthritis ka hopena o ka haʻi, rumatika a i ʻole ka maʻi. 

PalekanaEND_LINK 

Hoʻopaʻa ʻia ka hōʻailona maʻi e nā kumu a me nā ʻaoʻao x-ray o ka manamana lima. ʻO kēia mau hoʻokolohua e hiki ai ke ʻike i ke koʻikoʻi o ka luku ʻana i ka cartilage a me ka mālama ʻana i kekahi nui iwi. 

Pili ka poʻe 

He mea maʻamau ka Rhizarthrosis. He 10% o ka osteoarthritis o nā lālā. Hoʻopilikia nui ia i nā wahine ma waena o 50 a 60 mau makahiki. 

Nā mea pilikino 

Ua ʻōlelo ʻia kahi mea endocrine no ka mea e ulu pinepine ka rhizarthrosis i nā wahine postmenopausal. ʻO kekahi mau ʻoihana e koi ana ma ke ʻano hoʻonui i ka pipili pollicidigitale (mea humuhumu…) ʻoi aku ka pilikia. ʻOi aku ka kakaikahi o ka mea traumatic.

ʻO ka ʻeha, ka hōʻailona mua 

ʻO ka ʻeha ka hōʻailona mua, inā he manawaleʻa a i ʻole i nā hana o kēlā me kēia lā e hoʻoneʻe i nā pollici-digital forceps, a i ʻole ka manamana lima me kahi manamana lima ʻē aʻe (e hoʻohuli i ke kī, wehe i ka ipu, ʻili i ka hua, a me nā mea ʻē aʻe.) Hiki ke hele pū ka ʻeha me ka paʻakikī i loko. me ka hoohana ana i ka manamana nui. 

Hoʻololi o ka manamana lima 

Ma hope o 7 a 10 mau makahiki o ka hōʻeha ʻeha, ʻano ʻano ʻino ka manamana lima: ʻo ke kolamu o ka manamana nui ke ʻano o ka M (ka puʻu ma ke kumu o ka manamana lima). Ke hoʻololi ʻia ka manamana lima, hoʻololi ʻia ka ʻeha e ka ʻoʻoleʻa.

ʻO ka lāʻau lapaʻau mua no ka rhizarthrosis. ʻO ka manaʻo e hoʻomaha i ka ʻeha a mālama i ka laulā o ka neʻe. Hoʻohui kēia lāʻau lapaʻau i ka hoʻomaha, nā lāʻau anti-inflammatory a me ka hoʻohana ʻana i ka thermoformable splint i hana ʻia i ka pō (rest orthosis). Hiki i ka infiltration corticosteroid ke hoʻomaha i ka ʻeha i ka wā o ka hoʻouka ʻana.

Inā ma hope o 6 mahina a hiki i hoʻokahi makahiki, ʻaʻole i lawa kēia lapaʻau e hoʻomaha i ka ʻeha a inā ʻike ʻia kahi deformity o ka iwi kuamoʻo, hiki ke noʻonoʻo ʻia ka lāʻau lapaʻau. I ka hoʻomaka ʻana o ka artrosis, hiki ke noi ʻia ʻekolu mau hana: stabilization o ka hui (ligamentoplasty), reorientation o nā ʻili hui (osteomy) a i ʻole ka wehe ʻana i nā aʻalolo i manaʻo ʻia no ka hui (denervation). 

Ke piʻi aʻe ka osteoarthritis, hiki ke hāpai ʻia nā ʻano hana ʻelua: trapezectomy ʻo ia ka wehe ʻana i ka trapezius maʻi a i ʻole ka trapeziometacarpal prosthesis holoʻokoʻa e pani ana i nā ʻāpana ʻelua o ka hui a loaʻa kahi kīʻaha i hoʻopaʻa ʻia i ka trapezius a me ke poʻo metacarpal. 

Hoʻoponopono ʻia kēia mau hana ʻelua. 

Nā lāʻau lapaʻau kūlohelohe no ka rhizarthrosis 

He mea kūpono ka lāʻau lapaʻau i ka osteoarthritis. ʻO nā hiʻohiʻona o nā mea kanu hiki ke hoʻomaha i ka osteoarthritis: ʻo ka ʻala, nona nā waiwai anti-inflammatory, Devil's Claw a i ʻole Harpagophytum, turmeric, blackcurrant buds.

ʻO ka Omega-3 fatty acids kekahi mea lapaʻau maoli no ka osteoarthritis. Loaʻa iā lākou ka hopena o ka pale ʻana i ka hana ʻana o nā mea inflammatory.

No ka pale ʻana i ka rhizarthrosis, pono e mālama i nā hui o nā manamana lima a me nā lima i nā hana o kēlā me kēia lā e like me ka kuke ʻana, ka hoʻomaʻemaʻe a me ka māla. Aia nā mea hana pono: ka wehe ʻana i ka ipu uila, ka wehe ʻana i ka hue, ka wehe ʻana i ka ipu ...

ʻO ka hoʻōki ʻana i ka puhi puana ʻōlelo ʻia hoʻi i ka pale ʻana i ka osteoarthritis, ʻo ka nicotine e hoʻopau maoli i ka hāʻawi ʻana i nā meaʻai i ka cartilage.