The first difficulty is to play the A less loud than the F# and the D, the second one is exhaustion after a few measures, the third one is irregularity. Finally, reaching measure 6 of the cutout, it seems nearly impossible to play it correctly, even with the fingering 3142...I tried the search function but as I don't now an identifier for this kind of LH accompaniment, I've been stuck. Does it has a name, btw? It appears in nearly every Mozart Sonata and Concerto...
You need to use rotation of the forearm. It's the same sort of motion that you'd use for octave tremolos.
do you use your finger power to press the F# or are you indeed waggling with your wrist?
Try playing the passage while trying to NOT PLAY the thumb notes..
Pick your LH up right now and place your finger tips on your desk next to your keyboard as if your fingers were on the keys, not pressing anything down. Now rock your entire foream back and forth so that your pinkie tip and tip of your thumb are every so slightly going "da da da da da da da " on the surface of your desk - speed it up keeping a consistent 16th note but not changing the shape of your fingers at all.
As far as irregularity in your rhythm, this is where proper use of the metronome comes in. Remember the "big beat" is most important, the 1 and 3, so do practice with the click on 1 and 3, but also check yourself with the click on the 16th and make sure you are rock-solid in your timing.
If you play it a billion times, I promise you it will work out I never tried to think about what motion to use. Actually I think playing with the fingers is not too bad. Atleast you want the rotation of the forarm to be so small that you barely know you are doing it