I-Cheilectomy Surgery ye-Big Toe Arthritis

I-cheilectomy yinkqubo yokucwangcisa eyenziwa ukususa i-bone spurs ukusuka kwisiseko senzwane enkulu enyawo. Izigulane ezineemeko ezibizwa ngokuba yi hallux rigidis , okanye i-arthritis yezinzwane ezinkulu , zinobuhlungu nokuqina kozinzwane ezinkulu.

Igama elithi cheilectomy livela kwigama lesiGrike elithi Cheilos , elithetha "umlomo." I-cheilectomy isusa i-bone spurs, okanye lip lip bone, ezifom ngenxa yesifo se-arthritis.

Ngokususa i- bone spurs, izigulane zinezinzima ezincinci zesohlwayo esikhulu.

Hallux Rigidus

Abantu abane-arthritis kwisiseko senzwane ezinkulu banama-hallux rigidus. Xa umdibaniselwano uguqa kwisiseko sezinzwane, ukunyakaza kweenyawo kuba buhlungu. Indawo eqhelekileyo yentlungu ebantwini abanakho i-hallux rigidus ngqo ngqo phezulu kwezinzwane ezinkulu. Lo buhlungu bubizwa ngokuba yi-dorsal impingement.

Ukumiswa kwe-Dorsal kwenzeka xa inzwane iguqa phezulu, kwaye ithambo lihluma emaphethweni e-pinch esitrateni phezulu kwintwane enkulu. Ngokungafani neentlungu ezinxulumene nemibhoon, intlungu ye-impingement ye-dorsal ayixhaswanga ngokususa izicathulo. Ngamanye amaxesha, intlungu ingancitshiswa ngokugqithisa isihlangu esinyanisiweyo okanye i-insoles yesiko esilungele ukuxhasana kunye kunye nokuyikhusela ekukhuphukeni phezulu.

Unyango

Inkqubo yokwenza unyango kufuneka uqalise ngamanyathelo alula njengenguqu kwizambatho kunye neyeza ezichasayo.

Ukuba iimpawu zentlungu ziqhubeka, udla ugqirha wakho uya kuncoma i- cortisone injection ukuze ancede ukukhulula iimpawu. Ukuba i-cortisone idubule ayinakunceda, unyango olunganyanzelwanga lunokucetyiswa.

I-cheilectomy idla ngokuphindaphindiweyo, kodwa ayinakunceda rhoqo. Inzuzo kukuba ukubuyiswa kwi-cheilectomy kufutshane, kunemiqathango embalwa kwizigulane emva kokuhlinzwa.

Ukuba izigulane azifumani ukukhululeka kwentlungu emva kwe-cheilectomy, ngoko utyando oluninzi olunokuthiwa lu- fusion lungenziwa. I-cheilectomy iyanceda kakhulu kubantu abanentlungu kuphela xa i-toe enkulu iphakanyiswa phezulu, okwenza ukuba i-bone spur ikhontshwe phezulu kwenyawo. Ukuba intlungu ibuhlungu nje ngokuqhelekileyo, ke i-cheilectomy ayinakwenzeka ukuba yinkqubo encedisayo.

Iingxaki zonyango lwe-cheilectomy zingaquka:

1. Intlungu engapheliyo: Ukuba ingxaki ebangela intlungu ayizange iqhube ithambo, kodwa kunokuba i-cartilage egugile idibeneyo kwisiseko sezinzwane ezinkulu, ngoko i-cheilectomy ingenakwanela ukukhulula iimpawu zentlungu. Yingakho kubalulekile ukuba ugqirha wakho ahlolisise unyawo lwakho kwaye anike isibonakaliso sokuba bavakalelwa njani ukuba i-cheilectomy iya kunceda ukuphucula iimpawu zakho.
2. Usuleleko: Ukubakho kweenyawo kunokubakho ukuthintela. Kubalulekile ukulandelela imiyalelo yakho ye-dktoroni ngokucophelela kwaye uyinyamekele ngokunyanzeliswa kwakho ukuqinisekisa ukuba awunayo ingxaki yokusuleleka.
3. Inzakalo yesondlo: Kukhona ezinye iimbilini ezibonelela ngeentlungu ezinkulu ezikufutshane ne-incision for cheilectomy. Ugqirha wakho angathatha amanyathelo okukhusela la mazinyo ngexesha lotyando, kodwa kukho umngcipheko wokulimala kwentsholongwane.

1. Ukuphindaphindwa kwethambo: Iyona nkxalabo eqhelekileyo yale nkqubo yokugonywa kukuba i-bone spur inokubuya. Ingxaki yonyango enkulu ye-arthritic ayihambi kunye ne-cheilectomy, kwaye ngoko impawu ziyakwazi ukubuyela, kwaye i-bone spur iyakhula iphinde iphinde iphinde iphinde iphinde iphinde iphinde iphinde ihlawule.

> Imithombo:

> Mann RA "Iintlungu zeMetatarsophalangeal yokuqala" J. Am. Acad. IOrn. Ukugula, ngoJan 1995; 3: 34 - 43.