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<Provider Id="sundheddkcms"> <Item Id="{BCEE88E2-530F-4B3C-9484-6C749CB10068}" Name="tommelfingerslitage-artrose" Type="PHContentPage" ParentProviderId="sundheddkcms" ParentItemId="{1E1BD1F8-3B42-470A-858B-761DBFCEB657}" SortOrder="1800" PublishDate="2009-01-19T13:42:00" DeleteDate="2999-12-31T00:00:00" PotItemType=""> <Content> <LinkListField Name="Spot2"> <LinkField linktype="internal">{A12FFEB9-7D21-4130-9428-1457C5AB696B}</LinkField> </LinkListField> <HtmlField Name="FactContent"><![CDATA[<h2>Fakta</h2> <ul> <li>Slidgigt i tommelfingerens rodled giver smerter, nedsat bevægelighed og nedsat styrke</li> <li>I starten har du smerter ved brug af fingeren og senere også i hvile</li> <li>Smerterne bliver mindre, hvis du undgår de belastninger, som gør ondt</li> <li>Det kan også være nødvendigt med medicin, der tager smerterne samt bandage</li> <li>Slidgigt i tommelfingerens rodled kan behandles med en operation, hvor lægen fjerner det ømme led</li> </ul>]]></HtmlField> <HtmlField Name="PageContent"><![CDATA[<h2>Hvad er slidgigt i tommelfingerens rodled?</h2> <p>Slidgigt i <a href="~/link.aspx?_id=3850D938D1174D0C9B4D727B6503135B&_z=z">tommelfingerens rodled</a> (tommelfingerartrose) ses især hos ældre og midaldrende kvinder. Men yngre mennesker kan også få det, især hvis der tidligere har været skader eller sygdom i leddet.</p> <p>Et led består af glatte bruskflader, som dækker over knoglen. </p> <p>Ved slitage har du nedslidt brusk, og der opstår smerter og nedsat bevægelighed.</p> <h3>Hvilke symptomer giver en tommelfingerartrose?</h3> <p>Tommelfingerartrose giver smerter og stivhed i leddet. </p> <p>Efterhånden vil kraften i tommelfingeren blive mindre, så gribefunktionen bliver svækket. </p> <p>Ved fremskreden slidgigt vil du også have smerter i hvile, fx om natten. Ofte er leddet hævet, og der kan komme fejlstilling af tommelen.</p> <p>Du kan få problemer med dagligdags aktiviteter, fx at åbne et skruelåg, vride en klud eller dreje en nøgle.</p> <h3>Hvilke symptomer skal du være særlig opmærksom på?</h3> <p>Der er ingen specielt alvorlige symptomer, du skal være opmærksom på. Behandlingen vil primært rette sig mod at lindre smerterne i tommelen.</p> <h3>Hvordan stilles diagnosen?</h3> <p>Lægen kan undersøge bevægeligheden og finde ud af, om ømheden kommer fra tommelfingerens rodled. Et røntgenbillede vil vise typiske forandringer, som ses ved slidgigt. Disse undersøgelser vil sammen med din egen beskrivelse af symptomerne danne baggrund for diagnosen.</p> <h2>Hvorfor får du slidgigt i tommelfingerens rodled?</h2> <p>Som ved slidgigt i andre led, er der ofte ikke en bestemt forklaring. Flere faktorer er forbundet med slidgigt: </p> <ul> <li>Alder </li> <li>Køn</li> <li>Arv</li> <li>Tidligere skader mod leddet</li> <li>Overbelastning gennem mange år</li> <li>Forekomst af leddegigt eller andre sygdomme i led og bindevæv</li> </ul> <h3>Er tommelfingerartrose arveligt?</h3> <p>Nej, der er ikke påvist nogen arvelighed af sygdommen.</p> <h2>Hvordan behandles tommelfingerartrose?</h2> <p>Har du slidgigt, bør du generelt undgå smertefulde aktiviteter, men alligevel "holde dig i gang". Behandling med en skinne, eventuelt i kombination med træning og smertestillende medicin, kan lindre besværet i en periode.</p> <p>I perioder kan du have gavn af en støttende bandage og medicin af typen <a href="~/link.aspx?_id=9598E70BEC694FC292FE9D0C1F701494&_z=z">NSAID</a>. Denne type medicin dæmper irritation i vævet (inflammation) og lindrer derved smerter. </p> <p>Du kan evt. få indsprøjtet binyrebarkhormon i leddet, som kan virke i nogle måneder.</p> <p>I udtalte tilfælde kan det være nødvendigt med operation.</p> <p>Lidelsen vil ofte udvikle sig videre over tid, men symptomerne kan forsinkes af aktiv behandling.</p> <h3>Hvad kan jeg selv gøre?</h3> <p>Vær opmærksom på, hvad der udløser dine symptomer, og forsøg om muligt at undgå denne form for belastning.</p> <h3>Træningsfilm for hånd og fingre </h3> <ul> <li><a href="~/link.aspx?_id=DC10A7C213DA4F909EAA4AFB32CBE9C0&_z=z">Øvelsesprogram, 3 øvelser</a><br> <br> <a href="~/link.aspx?_id=F3DFB2192D6644B08A1D018DC345B083&_z=z"><img alt="" width="135" height="84" style="width: 135px; height: 84px;" src="8396F5CD2AFA48A295F038B1C7A0856B-135-84"></a></li> </ul> <h3>Hvordan undgår jeg at forværre tommelfingerartrose?</h3> <p>Du bør undgå at overbelaste det smertefulde led. Det kan du gøre ved at ændre på den måde, som du bruger hånden. Der kan være behov for at ændre på arbejdsfunktionen eller fordelingen af hjemlige opgaver.</p> <p>Din behandler kan vejlede om, hvordan du bruger hånden hensigtsmæssigt. </p> <p>Det kan også hjælpe med en skinne, der kan holde tommelfingeren i ro. I perioder kan du lindre symptomerne med smertestillende medicin.</p> <h3>Hvornår skal jeg søge hjælp?</h3> <p>Når du er så generet af smerter, at du har brug for behandling, skal du søge læge.</p> <h2>Hvordan udvikler tommelfingerartrose sig?</h2> <p>Slidgigt udvikler sig langsomt over tid. </p> <p>Ofte vil der være stor variation i smerterne med gode og med dårlige perioder. Det er derfor vigtigt at have tålmodighed og ikke at skride til operation for tidligt. </p> <p>Nogle vil opleve konstant forværring af smerterne og tab af daglige funktioner.</p> <p>Indsprøjtning af binyrebarkhormon kan give lindring i nogle uger/måneder.</p> <p>Efter en operation vil de fleste opleve, at det har en god effekt på smerterne. Mange vil blive smertefrie. </p> <p>Håndkraften vil dog ofte blive ved med at være let nedsat i forhold til en normal hånd. </p> <p>Der er forskellige typer af operation, som hver har deres fordele og ulemper. Valget af operationstype afgøres sammen med håndkirurgen, efter en afvejning af fordele og ulemper hos den enkelte patient.</p> <p> Forud for en operation er det vigtigt, at du har de rigtige forventninger til håndens funktion efterfølgende.</p> <h3>Er tommelfingerartrose farligt?</h3> <p>Nej, det er udelukkende generende på grund af smerter, men breder sig ikke til andre led.</p> <h3>Hvor hyppig er tommelfingerartrose?</h3> <p>Tommelfingerartrose er 2-6 gange hyppigere hos kvinder end hos mænd. Den kan med alderen ses på røntgen hos op mod 30 % af alle kvinder, men kun en mindre del får symptomer, der kræver behandling hos læge.</p> <h2>Vil du vide mere?</h2> <ul> <li> <a href="~/link.aspx?_id=3850D938D1174D0C9B4D727B6503135B&_z=z">Tommelfingerens rodled - røntgen</a></li> <li> <a href="~/link.aspx?_id=FF3F69AB628E408A8B5F375EF3D490BE&_z=z">Artrose i tommelfingeren - for sundhedsfaglige</a></li> <li><a href="https://hmi-basen.dk/news.asp?newsid=12913&x_newstype=39">Hjælpemiddelbasen</a></li> </ul>]]></HtmlField> <TextField Name="DoctorsHandbookID">2740</TextField> <TextField Name="PageTitle">Tommelfingerslitage (artrose)</TextField> <TextField Name="NavigationTitle">Tommelfingerslitage (artrose)</TextField> <CheckBoxField Name="ShowInMenu">true</CheckBoxField> <CheckBoxField Name="ShowInContentField">true</CheckBoxField> <DateTimeField Name="RevisedDate">2023-07-25T00:00:00</DateTimeField> <LinkListField Name="Authors"> <LinkField linktype="internal">{10F0E7D2-8D6D-49AE-94B3-998114356326}</LinkField> <LinkField linktype="internal">{FDEF4DBD-AAF0-4AF0-82F7-983F8710B93E}</LinkField> </LinkListField> <LinkListField Name="Organization"> <LinkField linktype="internal">{DBBC5F07-FEB9-4FAC-8DCA-1C8C28C4F5B5}</LinkField> </LinkListField> <LinkListField Name="SearchAreaID"> <LinkField linktype="internal">9</LinkField> </LinkListField> <TextField Name="Description">Slidgigt i tommelfingerens rodled giver smerter og stivhed i leddet. 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