Abasetyhini abaninzi abachaphazelekayo kunamadoda
Zininzi ezibangela iintlungu zenyawo, kodwa ukuba ufumana intlungu ebuhlungu, evelayo xa uyeka ukuhamba nokucebisa unyawo lwakho, unokwaziwa ngokuba yi-neonoma ka-Morton. Ngelixa eligama elikrakrayo, le meko inobungozi kwaye inhlanhla iyanyangwa kakhulu.
Ngokwezizathu ezisisiseko, i-neuroma yandisa okanye i-thickness yentsholongwane enyawo kwindawo leyo phakathi kwezwane, ngokuqhelekileyo isithathu kwisithuba phakathi kweyesithathu kunye neyesine, ilandelwa yinkalo yesibini phakathi kweyesibini neyesithathu.
I-neuromas ka-Morton ayinakuqhathaniswa nendawo yezine neyokuqala.
Kanti ngamanye amaxesha kuthiwa yi-neuroma ye-intermetal, ne-neuroma yangaphakathi, iMaton 's metatarsalgia (intlungu kwindawo ye-metatarsal), i-fibrosis ye-perineural (i-tissue ebomvu ejikeleze imbilini) okanye i-neuropathy ye-neuropathy (isifo esingavamile ngenxa yokunyanzeliswa).
Ukuba unayo i-neuroma ka-Morton, kukho ithuba eli-15% ozakulihlakulela kuzo zombini iinyawo. I-neonomom ye-Morton ibonakala ngokuqhelekileyo kubasetyhini abaphakathi kweminyaka engama-30 kuya kwe-50 ubudala, ngokuqhelekileyo ngenxa yezicathulo ezifanelekayo .
Izizathu
I-neuroma ka-Morton kucatshangelwa ukuba ibangelwa yingozi kwenzondelelo, kodwa izazinzulu aziqinisekanga malunga nesizathu esona sengozi. Ukulimala kungabangelwa ngumonakalo kwiintloko ze-metatarsal, i-ligament ye-intermetatarsal deep (transsatarsal heads) kunye ne-burmeter ye-intermetatarsal (i-sac filled filled fluid). Zonke ezi zakhiwo zingabangela uxinzelelo kunye nokulimala kwimbilini, okokuqala kubangela ukuvuvukala kunye nokulimala kwimbilini.
Ngexesha elide, ukuba ukunyanzeliswa / ukulimala kuyaqhubeka, iimbilini zilungisa ngokwezicubu ezinobumba obukhokelela ekwandiseni nasekuqiniseni umlenze.
Ezinye izimbangela zokulimala kwimbilini zingabandakanyeka nje ngokuba nesitayela sokuhamba esingalunganga okanye isakhiwo esingenangqondo, njengokwenqumla ngaphezulu (ukuhamba kweenyawo ngaphakathi), ukuxhamla (ukunyakaza okukhulu), i-cavo varus ( phezulu kweenyawo ezinyawo ) kunye ne-dorsiflection phezulu) kweenzwane.
Ezi zityalo zendalo (indlela inyawo elihamba ngayo) izinto ezinokubangela ukulimala kwimbilini ngeendlela zonke. Ukuba iimbilini ziyacaphuka kwaye zandiswe, ngoko kuthatha indawo eyongezelelekileyo kwaye iyancipha ngakumbi kwaye inomsindo. Iba ngumjikelo onobungozi.
Iimpawu
Ekuqaleni, ezi zimpawu zingenzeka kanye ngexeshana, kodwa njengoko imeko iqhubeka ngakumbi, iimpawu zingenzeka zonke ixesha. Ngokuqhelekileyo uziva ngcono xa ususa isicathulo sakho kwaye uhlalutya unyawo lwakho .
- Ubuhlungu (obubukhali, ukugwaza, ukubhoboza, ukudubula)
- Ubungqina
- Ukulinganisa okanye "izikhonkwane kunye nezinaliti"
- Ukutsha
- Ukuqhawula
- Uvakalelwa kukuba uhamba kwinto ethile okanye ukuba into ephakathi kwesihlangu sakho
Ukuxilongwa
Umgqirha wakho (ugqirha weenyawo) uya kubuza imibuzo emalunga nemiqondiso kunye neempawu zakho kwaye uya kwenza uvavanyo lomzimba. Ezinye zeemviwo zingabandakanya ukuhlolwa koxinzelelo lwendawo yewebhu. Oku kwenziwa ngokubetha i-metatarsal (amathambo phantsi kwezandla ezantsi) kunye nesandla esinye kwaye usebenzisa isalathisi kunye nomnwe wenkomfa kwelinye icala ukuxinzelela indawo echaphazelekayo ukuba ivelise intlungu / iimpawu. Ukucofa okunomxholo (ukucofa kwe-Mulder) ngokuqhelekileyo kukho. Olu vavanyo lunokubangela ukuba intlungu idule kwizinzwane kwaye ebizwa ngokuba ngumqondiso weTinel. Uvavanyo lweGauthier lubandakanya ukucima i-metatarsal kunye kunye nokuyithutha kunye nokuhla kweemitha ezingama-30.
Oku kuya kubangela intlungu okanye iya kuzisa ezinye iimpawu zakho. Isibonakaliso sikaSullivan sithembekileyo xa usima kunye neenqwelwana ezichaphazelekayo zazisasazeka.
I-neuroma ka-Morton idla ngokuxilongwa ngokusekelwe kwimbali kunye neziphumo zokuhlolwa komzimba, kodwa ngamanye amaxesha ezinye iimvavanyo ezifana ne-x-ray, i-ultrasound okanye i-MRI ziyadingeka.
Unyango
- Gqoka izicathulo ezibanzi kwaye zijonge kwibhokisi lezinyosi ukuze zingabeki uxinzelelo kwizwane zakho kunye neetatarsal. Gwema ukugqoka izithende eziphezulu ngenxa yokuba zinyusa uxinzelelo kwibhola lwenyawo lwakho (forefoot).
- Iipatata zeMetatarsal: Ezi ncedisa ukuphakamisa nokuhlukanisa iintloko zeemetatarsal ukuba zithinte uxinzelelo lwentsimbi. Zibekwe emva nje apho uziva intlungu, kungekhona phezulu kwendawo ebuhlungu.
- Ukuguqulwa komsebenzi: Ngokomzekelo, unokuba uzama ukubhukuda kunokuba usebenze de kube iimpawu zakho zihambe.
- Ukuthabatha iteksi yezemidlalo
- Ukucima
- I-NSAID (imishanguzo echasayo): Aleve, ibuprofen, njl.
- I-Arch isekela okanye i-orthotics: Le ncedisa ukulawula ezinye zehambo ezingavumelekanga ezinyaweni zakho. Isiphakamiso esingaqhelekanga sinokubangela ukuba i-torque eyongezelelweyo kunye nexinzelelo kwi-nerve.
- Ulungiso lwenyama
- Injini yeCortisone: Unceda ukunciphisa ubukhulu beentsimbi ezivuthayo, ezikhulisiweyo.
- Utywala lwenxilisayo: Unceda ukutshabalalisa i-nerve yemichiza.
- Ugqirha: Ukuba unyango olulondolozayo aluyi kunceda utyando lungafuneka. Ukuhlinzwa kungabandakanya ukusika iimbindi okanye ukusika i-intermetatarsal ligament. Izifundo zibonise ukuhlinzwa kunomlinganiselo we-80-85% wempumelelo.
Thintelo
- Gwema ukugqoka izicathulo zeetonte
- Gwema ukugqoka izicathulo eziphezulu
Imithombo:
> Hughes RJ, Ali K, Jones H, Kendall S, iDonell DA. Unyango lwe-Morton neuroma ngejoyi yotywala phantsi kolawulo lwengqondo: ukulandelwa kwamatyala angama-101. AJR Am J Roentgenol . 2007 Juni; 188 (6): 1535-9.
> Kim JY, Choi JH, Park J, Wang J, Lee. Ucwaningo lwama-anatomiki malunga ne-neuroma yangaphakathi ye-Morton: ubudlelwane obuphakathi kwendawo esenzekayo kunye ne-deep-metatarsal ligament (DTML). I-Ankle Int Intl . 2007 Sep; 28 (9): 1007-10.
> Morscher E, Ulrich J, uDick W. Morton we-intermetatarsal neuroma: i-morphology kunye ne- > histological > substrate. I-Ankle Int Intl . 2000 Julayi; 21 (7): 558-62.
> Mozena JD, uClafford JT. Ukusebenza kwe-chemical neurolysis ekwenzeni unyango lwe-nervitive interression of foot: i-study retrospective. J Am Podiatr Med Assoc . 2007 Meyi-Juni; 97 (3): 203-6.
> U-Spina R, uCameron M, uAlexander R. Umphumo wobugcisa obusebenzayo obambelela kwi-neuroma ka-Morton. Australas Chiropr Osteopathy . 2002 Jul; 10 (1): 45-50.
> Wu KK. I-neuroma ye-Morton ye-interdigital: i-review yeklinikhi ye-etiology, unyango kunye neziphumo. J Foot Ankle Surg . Ngo-1996 ngoMar-Apr; 35 (2): 112-9; ingxoxo 187-8.