I-Rheumatoid Foot Deformity Ayingavamile
Akuqhelekanga kubantu abane- arthritis ye-rheumatodi ukuphuhliswa kweemeko eziphezulu nakwezantsi. Ngokutsho kwe-AAOS (i-American Association of Orthopedic Surgeons), abangaphezu kwama-90 ekhulwini abantu abane-arthritis ye-rheumatoyi bathuthuka imilenze kunye neempawu zesikhumba kwixesha le sifo. Nangona ukuphakama okuphezulu, iingxaki zenyawo zithatyathwa okanye zihoywa.
UkuSebenza okuqhelekileyo kunye nokuSebenzayo kweNyawo
Ngalunye unyawo unamathambo angama-26, ahlukaniswe kwiindawo ezintathu: i- hindfoot (i-talus ne-calcaneus), i- midfoot (i-navicular, i-cuneiforms kunye ne-cuboid), kunye ne- forefoot (i-metatarsals kunye namathambo amanani afanayo okanye i-phalanges). Ngokusebenza ngokuqhelekileyo (umz., Ukuhamba nokusebenza), imimandla yonyawo iyamelana. Njengoko uhamba okanye ugijima, unyawo lwakho lugqitha umjikelezo wokubamba (ukuhamba kweenyawo ngaphakathi) kunye nokugqithisa (unyawo luhamba ngaphandle) olwenza unyawo lulungelelanise kwiindawo ezingalinganiyo kunye nokunyanyiswa, kulandelwa ukuqhubela phambili. Kodwa, kwezinye izifo kunye neemeko ezichaphazela iinyawo (umz., Isifo se-rheumatoid arthritis), umjikelezo wesigama / umgca wokutya ungasichaphazeleka, kubangele ukuba unyawo oluqhelekanga (ukugqithisa), ukungena kwintsifo kunye nokungazinzi kwangaphambili, ubunzima obunzima kakhulu (ngaphakathi unyawo) okanye ngaphezulu kokucoca (ngaphandle kweenyawo).
Ezi ziqhelo ziyakutshintsha ukusabalalisa isisindo kwaye kubangele intlungu edibeneyo, iingxaki eziphathekayo eziphathekayo (i-tendon sheaths, bursae, okanye i-entheses), okanye ukungaqhelekanga kwesikhumba (ingqolowa kunye neefowusi). Iingxaki ezincinci zeengcambu zihlala zijikeleze i-hindfoot, njenge-plantar fasciitis, i-tendinitis ye-peroneal, okanye i- bursitis . Iinqununu ze- Rheumatoid zingenza kwi-tendon ye-Achilles.
I-Rheumatoid Arthritis kunye neenyawo ezingalunganga
Nge-arthritis ye-rheumatoid, ukungaqhelekanga kudla ngokubandakanya i-forefoot, ngokukodwa ukuchithwa kwamathambo e-metatarsophalangeal (MTP), ukubetha kwezinzwane (i-hammertoes), kunye ne- confunion (hallux valgus). Izifo ezinjalo zivame ukuqhutyana kunye, ngakumbi kwi-arthritis ephambili ye-rheumatoid, ebangela intlungu kunye nezinye iimpawu ezinokuthi zihambelane nokukhubazeka kombane kunesi sifo ngokwaso. Ukubandakanywa kwamalungu esangqa (i-jointalo ye-talotibial) ayiqhelekanga, ichaphazela i-10-20 pesenti yabantu abane-rheumatoid arthritis. I-subtalar ngokubambisana ixhaphake kakhulu kwi-arthritis ye-rheumatoid, echaphazela i-33-75 ekhulwini labantu abanesifo.
Ukutshatyalaliswa kwezwane, kunye nokuqhawulwa kweetoni ezixhasayo ezibangelwa ukuhluma, zenza i-metatarsal inqumla phantsi kwi-plantar surface, ngokukhawuleza isuse i-metatarsal arch. Ubunzima, iifowusi ezibuhlungu zingenza njengoko iintloko ze-metatarsal zinyanzelwa phantsi kwinqanaba leenyawo.
Ukuxilongwa kweenyawo ezingalunganga
Ugqirha unokugcina ukubola kwe-valgus ye-ankle kunye ne-hindfoot (unyawo lujike ngaphandle) emva kokuba isiguli sigxile. Inkalo yokuvuvukala nokunyamezela e-ankle kukubonisa ukuba yi- synovitis .
I-ankle kunye ne-hindfoot kufuneka iphinde ihlolwe ngoluhlu lwesinyanzelo . Isigulane sinokuhlolwa ngokunyamekela ngethenda ye-Achilles nesithende.
Ukungaqhelekanga kwe-arch kunye ne-frontfoot nako kunokufunyanwa ngokuqwalasela isigulane kwindawo emileyo. Kuya kuba nobungqina bendonga yesifo (i-arch ewa phantsi okanye i-flat foot) okanye i-pes cavus (iphakamileyo ephezulu) ukuba ikhona.
Ukuvuvukala kwama-metatarsophalangeal joints kubangela ukusabalalisa kweenzwane eziqhelekileyo, ezibizwa ngokuba ngumqondiso wokukhanya kwemini. Ukusebenzisa uxinzelelo oluchanekileyo kumalungu e-metatarsophalangeal kuya kubonisa ukunyamekela ukuba kukho.
Izinyango Zonyango
Amathambo ezinyawo angancedisa ukunciphisa intlungu kunye nokuphucula umsebenzi kubantu abane-rheumatoid arthritis foot deformity.
Ukubaluleka kwezicathulo ezifanelekileyo akunakunyuswa. Nangona izicathulo zonyango zinokunciphisa intlungu kunye nokuphucula umsebenzi, kukho ukuthotyelwa ngokungafanelekanga ngenxa yokunganeliseki ngokufanelekileyo kunye nesitayela.
Kwiimeko ezinzima, xa iindlela zokuzigcina zijolise kwizembatho okanye kwiimpawu ze-orthotics zingaphumeleli, utyando lunokuba lukhetho. Ukuthengiswa kwe-Forefoot kunye ne-fusion kubhekwa njengendlela enokwanelisayo yokukhetha.
Imithombo:
Iinyawo kunye ne-Ankle kwiRheumatology. UFiliphu Helliwell et al. Uphando lweArthritis UK. Issue 8. Spring 2011.
http://www.arthritisresearchuk.org/health-professionals-and-students/reports/topical-reviews/topical-reviews-spring-2011.aspx
I-Rheumatoid Deformity of Foot. ULeonard Marmor. Arthritis neRheumatism. Vol. 6. Nombolo 6. Disemba 1963. (Ukupapashwa kokuqala kwi-intanethi ngoNovemba 21, 2005.)
http://onlinelibrary.wiley.com/doi/10.1002/art.1780060610/pdf
I-Rheumatoid Arthritis yeLinya kunye ne-Ankle. OrthoInfo. AAOS. Disemba 2011.
http://orthoinfo.aaos.org/topic.cfm?topic=a00163
I-Primer kwi-Rheumatic Diseases. Arthritis Foundation. Ishumi elinesithathu. Isahluko 2. Ukuhlolwa koMguli. P.13-14.