Ingqwalaselo yeHallux Rigidus Izimpawu kunye neZonyango
Ukuba uxelelwe ukuba une hallux rigidus yintoni okufuneka uyifumane? Ngubani owenza le ndlela ye-arthritis kwaye ziziphi iimpawu? Ziziphi iimpawu zokwelashwa ezingekho ngophengiselwano kunye nophando?
Yintoni iHallux Rigidus?
I-Hallux rigidus yindlela yokuguqulwa kwesifo se-arthritis (i-osteoarthritis.) I- Hallux (ibhekisela kwiinzwane ezinkulu) i- rigidus (ibhekisela kubunzima) ngokuqhelekileyo ichaphazela abantu abadala phakathi kweminyaka engama-30 no-60 ubudala, kwaye kaninzi kubangelwa yingozi yokulima .
I-arthritis yezinzwane ezinkulu yindawo eqhelekileyo ye-arthritis ezinyaweni, echaphazela abantu abangama-2.5 ekhulwini labantu abangaphezu kweminyaka engama-50.
Ingxowankulu kwisiseko senzwane enkulu (umxube we-metatarsophalangeal, okanye i-joint MTP) echaphazelekayo kwaye imeko iyaqhubeka kancane kancane. Akunabo bonke abadlali abalimalayo abakhulayo i-hallux rigidus ebuza umbuzo othi: Kutheni abanye behlakulela i-hallux rigidus kodwa abanye?
Ngubani Ophuhlisa i Hallux Rigidus?
Abantu abathatha inxaxheba kwimidlalo apho ukulayishwa, ukuxininisa, kunye nokwandisa ukunyakaza kuyafuneka ukuba iinyawo zabo zibe neengcambu zentsholongwane ezincinci kwaye zidibanise kwidilesi enkulu. "I-toe ye-Turf," igama elinikezelwe kwezi nzakala, lingenza ukuba i-bone spurs okanye i- osteophyte iphuhlise. Ibhola lebhola kunye nebhola edlalwa kwi-turf ebonakalayo kubangelwa amanxeba amaninzi kwimidlalo. Ukuba ayengaphathwa kakuhle, i-toe inokukhokelela kwi-hallux rigidus.
Nangona abadlali kuphela abahlakulela i-hallux rigidus nangona kunjalo.
Abantu abaye bawa phantsi okanye ukubethelwa ngokugqithiseleyo (ukunyuka) kweengxubeni banokukwazi ukuphuhlisa i-hallux rigidus. Iyakwazi ukuhamba kwiintsapho njengoko ezinye iintlobo zonyawo zithandwa ngakumbi ukuphuhlisa i-hallux rigidus kunabanye. I-Hallux rigidus inokubangelwa zizifo ezivuthayo, ezifana ne- rheumatoid arthritis okanye i-gout.
Kutheni Kuthetha Ukunyamekela Ngonyango Kubalulekile NgeHallux Rigidus?
Ukungabi nonyango olufanelekileyo lwezonyango ezinkulu kunokuba nemiphumo emibi. Unyango luyimfuneko ukwenzela ukuba loo mqathango ayiyi kuphuhliswa. I-hallux egxininisiweyo ingabangela:
- Ubuhlungu, nangona ngexesha lokuphumla
- Ubunzima obunzima ngokusetyenziswa kwezandla ezinkulu, ezifana nokuxumla
- Unzima ukugqoka izicathulo ngenxa yeethambo
- Unzima ukugqoka izicathulo eziphezulu
- Intlungu ebuhlungu kwi-hip, emadolweni, okanye emzantsi ongaphantsi ngenxa yokutshintsha indlela umntu ahamba ngayo
- Ukukhawulela
Izinketho zokwelapha kwiHallux Rigidus
Kukho zombini ongacwangcanga kunye nophenyo lokunyanga i-hallux rigidus. Ngokufanelekileyo, i-hallux rigidus iya kufumaneka kwiinkalo zokuqala xa kungasetyenziswanga ukhetho olungakhethiyo. Ukuba imeko leyo ibangela intlungu ekuphumleni okanye ukuxhamla okukhulu, utyando luyafuneka.
Izinketho zonyango ezingaphelelanga ziquka:
- Ukulungiswa kwezicathulo (umzekelo, iifesti zeembadada zenzelwe ukuyeka ukunyakaza ngaphantsi kwezandla ezinyaweni, izicathulo ezinqambileyo ezinokuthi zinciphise ukuhamba ngokubambisana, okanye zongeza i-rocker bottom to shoes.)
- Ukuguqulwa komsebenzi (umzekelo, ukusetyenziswa kwefuthe eliphantsi.)
- Amachiza anqabileyo (njenge-Advil (ibuprofen) okanye ii- injection ze-steroid .
Okukhethwa kwonyango olukhethiweyo kuquka:
- I-cheilectomy , eyaziwa nangokuthi icaza inkulu (kunye nabantu abazama ukulondoloza ukudibanisa, ukuhamba, kodwa kugqiba ngeentlungu ezingaphantsi.) Oku kubonwa njengendlela "yokubambisana" njengokuba ukuhamba kwi-metatarsophalangeal iqhagamshelo kugcinwa.
- I-Arthrodesis, eyaziwa nangokuthi i-fusion ehlangeneyo (kuba abantu bafuna ukukhululwa intlungu ehlala njalo nangona amajoyina adibeneyo akayi kugoba.) I-Arthrodesis ithathwa ngokuba "yinkqubo yokubambisana" njengoko ukuhlanganiswa kokubambisana kususa naziphi na ezinye iindidi zokunyakaza kwidibeneyo. Kuba abantu abaneendawo zokugcina i-hallux rigidus, nangona kunjalo, i-arthrodesis ingabangela ukulawula kwexesha elide kunye neziphumo ezifanelekileyo zokusebenza.
- Iinkqubo ezintsha ezinjenge-implant arthroplasty ziphononongwa kodwa akukho mntu uqinisekileyo ngokusebenza kwabo kwixesha elide okanye ukhuseleko.
Yintoni Okufanele Uyenze Ukuba Unayo Imiqondiso YeHallux Rigidus?
Ukuba unempawu ze hallux rigidus, yenza iqesha lokubona ugqirha wakho ngokukhawuleza. Uphulo lwangokokuqala kunye nokuxilongwa kwangaphambili luvelisa iziphumo ezilungileyo. Ngokuhamba kwexesha, i-hallux rigidus inokubangela intlungu yokunciphisa ubomi, iingxaki kunye nokuhamba kweenyawo zakho, kunye nokuphazamiseka kwintlungu. Ekuqaleni, amanyathelo okulondoloza njengento yokuguqulwa kwezihlangu, ukunciphisa umsebenzi, iiliti ze-steroid, kunye neyeza ezichasayo ziyakwanelisekisa ukunciphisa intlungu yakho kunye nokumisela ukunyakaza kwidibeneyo. Oko kwathiwa, ukuba ufumana intlungu okanye ekuphumleni okanye ukuba imeko leyo ichaphazela umvuzo wakho, unyango olungagqirha lunokunokwenzeka ukuze ukhulule intlungu.
> Imithombo:
> Dulgeroglu, T., kunye noH. Metineren. Unyango lwe-End-Stage Hallux Rigidus Ukusebenzisa i-Arthroplasty Yonke Isisombululo: Isifundo seKliniki esiTshane. Journal of Foot kunye ne-Ankle Surgery . 2017. 56 (5): 1047-1051.
> Larn, A., Chan, J., Surace, M, no-E. Vulcano. Hallux Rigidus: Ndingayifumana Njani? . IJela Yehlabathi Ye-Orthopedics . 8 (5): 364-371.