Ubunzima bezinyosi zinyundo buya kwenzeka xa iqhagamshelo le-PIP lingavumelekanga. Oku kudla ngokuphindaphindiweyo kwintontshi yesibini , kwaye ngokuqhelekileyo kubangelwa umtya omkhulu onobuncwane oshukumisayo kwizontana zombini. Iintlungu ezibuhlungu zisoloko zifakela phezulu kwinxalenye yokuqala kwizwane.
Ukubambisana kwe-PIP ngenye yezinto ezintathu ezidibeneyo kwizwane ezincinci (ezinezinzwane ezine ngaphandle kwezinzwane ezinkulu).
Umxhasi we-MTP usekwisiseko sezinzwane, ngoko kuhlangeneyo kwePIP, kunye nokudibanisa kwe-DIP kusekupheleni kwezwane. Ukubambisana kwe-PIP kungabonakali kakuhle, kubangele ukuba phezulu kwalolu dlelane lube luphawu olugqithiseleyo kwizinyosi zesinyo.
Kulo mfanekiso kule khasi, inzwane enkulu inokutshatyalaliswa kwe-bunion, kwaye inzondo yesibili inokukhubazeka kwesinyenye. Izigulane ezinezinyosi zinyundo zihlala ziba nefowuni ngokuthe ngqo kwi-PIP. Le nhlanganisela ye-bunion yezonzwane ezinkulu kunye nesibini yokubola kwesinyenyeko sinokuqhelekileyo. Ukutshatyalaliswa kwe-bunion kubangela ukuba ithotho lesinyundo libe yintlawulo ngenxa yokunyanzelisa isimo esingavumelekanga sesohlwayo sesibini.
Ukunyangwa koMzimba weHammer
Unyango lwezinyosi kufuneka ube ngamaqhinga alula ukuqala. Ngelixa unyango olongezelelweyo lunokuthi lube luyimfuneko, unyango olungenasiphene lunokuzama ukuqala. Amanyathelo okuqala enyango kufuneka abe ne-padding elula yeentloko eziphezulu kwizandla, kunye nokuthenga iimpahla ezifanelekileyo.
Izicathulo ezingcono kakhulu kwizigulane ezinezinyosi zonyundo ziza kuba nebhokisi elikhulu, kwaye akukho mxinzelelo ekupheleni kwezandla, kwaye akuyi kufakelwa kwi-bunion (oku kungenza ukwenyuka komnyo wezinyosi).
Ukufakwa okukhethekileyo kunokusetyenziswa ekunciphiseni ubuhlungu obuvela kwizinyosi zenyundo kubandakanya i-donut cushions kunye nemikhono ye-gel. Ezi zingeniso ziya kunciphisa uxinzelelo kwi-callus eyenziwe.
Ukuba ezi zonyango azaneleyo ekulungiseni inyosi yesinyundo, umsebenzi wokulungiswa kwezandla kunokuba kuyimfuneko. Oku kudla ngokuqhutywa ngokubambisana kunye notyando olwenzela ukutshatyalaliswa kwebunion . Utyando olwenziwe ngunyosi lunokuthi lube luquka ukusika iithoni ukukhupha ingcinezelo ebangela ukukhubazeka, okanye ukuxubusha inzwane ukwenzela ukuba iqonde ngokusisigxina. Ngokuqhelekileyo utyando luxhomekeke ekubeni ukubola kwesinyenyeko senyundo kunokuguquguquka (kunokulungiswa) okanye kugxininiswe (kuhlanganiswe kwindawo engavumelekanga).
Iziphumo zonyango olunyango luyinto enhle, ngokude nje ukuba ukukhubazeka kulungiswe ngokufanelekileyo, kubandakanywa ukukhubazeka kweminye imilwane (njengama-bunions). Iingxaki ezinokwenzeka zokuhlinzwa ziquka izifo, intlungu eqhubekayo, nokuphindaphinda kokukhubazeka.
Imithombo:
Mizel, MS, Yodlowski ML; "Ukuphazamiseka kwamaZiko eMetatarsophalangeal." J. Am. Acad. IOrn. Ugqirha, ngoMeyi 1995; 3: 166 - 173.
Shirzad K, et al. "Ukukhubazeka Okuncinci Kwezontya" J Am Acad Orthop Surg Agasti 2011; 19: 505-514.