Rhizarthrosis ke ramatiki ea motheo oa monoana o motona. Pathologies ena e atile haholo. Maemong a mangata, meriana le ho se sebetse ha monoana o motona ho lekane ho e imolla. Haeba ho se joalo kapa haeba ho na le ho holofala ha monoana o motona, ho ka etsoa opereishene.

Tlhaloso 

Rhizarthrosis kapa trapeziometacarpal ramatiki ke ramatiki ea motheo oa monoana o motona. E lumellana le ho senyeha ho sa feleng ha lefufuru pakeng tsa trapezius (lesapo la letsoho) le metacarpal ea pele (lesapo la monoana). Hangata ke boemo ba linaha tse peli (e ama menoana ea matsoho ka bobeli). 

Lisosa 

Hangata ha ho tsejoe hantle hore na sesosa sa lefu la osteoarthritis ke sefe. Ka linako tse ling osteoarthritis ke phello ea ho robeha, rheumatism kapa tšoaetso. 

Diagnostic 

Tlhahlobo ea kliniki e netefatsoa ke x-ray ea mantlha le ea lateral ea monoana o motona. Litlhahlobo tsena li boetse li etsa hore ho khonehe ho bona bohlokoa ba ho senngoa ha lefufuru le ho baballa molumo o itseng oa masapo. 

Batho ba amehang 

Rhizarthrosis e tloaelehile. E emela 10% ea osteoarthritis ea maoto le matsoho. E ama haholo-holo basali ba pakeng tsa lilemo tse 50 le 60. 

Lintho tse kotsi 

Ho boleloa ntlha ea endocrine hobane rhizarthrosis hangata e hlaha ho basali ba postmenopausal. Mesebetsi e meng e hlokang ka tsela e fetelletseng ea pollicidigitale clamp (seamstress…) e ka ba kotsing e kholo. Ntho e sithabetsang ha e fumanehe hangata.

Bohloko, letšoao la pele 

Bohloko ke letšoao la pele, ebang ke ka ho iketsahalla kapa ka boitšisinyo ba letsatsi le letsatsi bo bokellang matla a pollici-digital, kapa monoana o motona ka monoana o mong (fetola senotlolo, bula nkho, ebola tholoana, joalo-joalo) Bohloko bo ka 'na ba tsamaea le bothata ho ho sebedisa monoana. 

Phetoho ea monoana o motona 

Ka mor'a lilemo tse 7 ho isa ho tse 10 tsa litlhaselo tse bohloko, monoana o motona o oa holofala: karolo ea monoana o motona e nka sebopeho sa M (bump botlaaseng ba monoana o motona). Ha monoana o motona o holofetse, bohloko bo nkeloa sebaka ke ho satalla.

Phekolo ea pele ea rhizarthrosis ke ea bongaka. E ikemiselitse ho kokobetsa bohloko le ho boloka mefuta e mengata ea ho sisinyeha. Kalafo ena e kopanya phomolo, lithethefatsi tse thibelang ho ruruha le ho roala lesela le entsoeng ka thermoformable bosiu (rest orthosis). Ho kenella ha Corticosteroid ho ka imolla bohloko nakong ea litlhaselo.

Haeba ka mor'a likhoeli tse 6 ho ea ho selemo, phekolo ena ha ea lekana ho kokobetsa bohloko kapa haeba ho na le ho holofala ha lesapo la mokokotlo oa monoana o motona, phekolo ea ho buuoa e ka nkoa. Mehatong ea pele ea artrosis ho ka etsoa tlhahiso ea mehato e meraro: ho tsitsisa ha lenonyeletso (ligamentoplasty), ho tsosolosoa ha libaka tse kopanetsoeng (osteomy) kapa ho tlosoa ha methapo e reretsoeng ho kopanya (denervation). 

Ha lefu la osteoarthritis le ntse le tsoela pele, ho ka etsoa tlhahiso ea mefuta e 'meli ea ho kenella: trapezectomy e nang le ho tlosa trapezius e kulang kapa kakaretso ea trapeziometacarpal prosthesis e nkelang likarolo tse peli tsa motsoako' me e kenyelletsa senoelo se tsitsitseng hloohong ea trapezius le metacarpal. 

Mehato ena e 'meli e lateloa ke tsosoloso. 

Litlhare tsa tlhaho tsa rhizarthrosis 

Meriana ea litlama e sebetsa khahlanong le osteoarthritis. Mehlala ea limela tse ka kokobetsang lefu la masapo a manonyeletso: ginger, e nang le thepa e thibelang ho ruruha, Devil's Claw kapa Harpagophytum, turmeric, blackcurrant buds.

Omega-3 fatty acids le tsona ke kalafo ea tlhaho bakeng sa ramatiki ea masapo. Li na le phello ea ho thibela tlhahiso ea lintho tsa ho ruruha.

Ho thibela rhizarthrosis, ho eletsoa ho boloka manonyeletso a menoana le ho kenya letsoho mesebetsing ea letsatsi le letsatsi e kang ho pheha, ho hloekisa le ho lema. Ho na le lisebelisoa tse molemo: sekoahelo sa likoti tsa motlakase, se bulang botlolo, se bula linkho ...

Ho khaotsa ho tsuba ho boetse ho buelloa ho thibela lefu la masapo a manonyeletso, bokoali bo ne bo tla sitisa phepelo ea limatlafatsi lefufurung.