Izizathu eziqhelekileyo kunye noPiliso
Zininzi ezibangela iintlungu zentlungu, kodwa xa abaninzi abantu bethetha ngeentlungu zentlungu bachaza iimpawu ezibangela intlungu phantsi kwebhola lonyawo. Xa intlungu yeenyawo iqhutyelwa phantsi kwebhola lonyawo, igama lezonyango li-metatarsalgia. I-Metatarsalgia idla ngokuqhelekileyo ngokubambisana nokukhubazeka kweenyawo, nangona ingaba nayo ngaphandle kwesakhiwo esingaqhelekanga.
Iimbangela zeNtlungu
I-Metatarsalgia ivela kummandla phakathi kwe-arch kunye nezwane. Ixesha lezonyango ngenxa yentlungu yonyawo, i-metatarsalgia, livela egameni lamathambo eli candelo lonyawo: ii-metatarsal. Iimetatarsal zihlala amathambo amathambo emide kwisiseko senzwane nganye. Ngamanye amaxesha uxinzelelo kwiiphelo zamathambo e-metatarsal lubangela iimpawu kwibhola lonyawo.
Zininzi ezinye izizathu zentlungu enyawo kwezinye iindawo zonyawo. Ezinye ezinye iinkalo zonyawo ezinokubangela iintlungu ziquka:
- Iintlungu kunye neetuni
- Intlungu
- Intlungu yesheel (phantsi kwesithende)
- Intlungu engemva kwesithende (emva kwesithende)
I-Metatarsalgia ingabangela ukunyuswa kwengcinezelo kwiintloko ze-metatarsal. Isizathu soxinzelelo olongezelelweyo kule nxalenye yonyawo sinokubangelwa ukukhubazeka kweenyawo, okanye ukusuka kwingcinezelo esuka kwimithombo ngaphandle kweenyawo, njengezihlangu. Imiba yesakhiwo ngokuqhelekileyo ibhekane nesithambo se-metatarsal, kwaye ukuhluka okuqhelekileyo kubantu abaneentlungu zenyawo kuyimitha ye-metatarsal ende.
Ezinye iintlobo ziquka ukulungelelanisa okungaqhelekanga (ukongezwa okwandisiweyo) kokubambisana kweetatarsal kunye nenzwane (ebizwa ngokuba yi-metacarpophalangeal joint).
Kukho inani leemeko ezingabangela ukwandiswa kwentloko ye-metatarsal, nayo ixhaphake ngokuqhelekileyo nentlungu yenyawo. Ezi meko ziquka iintlobo ezahlukeneyo ze-arthritis , i- osteonecrosis , i- neuromas , i-tumor, okanye izifo.
Ekugqibeleni, ukulimala okubuhlungu, kubandakanywa iziqhekeza kunye neenyembezi ze-ligament, kunokubangela le ntlungu yonyawo.
Izilingo ezisetyenziselwa ukuxilongwa kwe-metatarsalgia ziquka i-x-ray, efumaneka rhoqo xa imi ukuhlola ubunzima beenyawo ngelixa lixhasa ubunzima bomzimba. Imivavanyo ye-MRI ingaba luncedo, ngakumbi xa isiseko senyawo sifumaneka siqhelekile.
Unyango lweNtlungu
Ukunyangwa kwentlungu yonyawo kaninzi kubandakanya imishanguzo echasayo , izicathulo zokuguqulwa, kunye nokufakwa kwezicathulo zakho.
Xa uthengela izicathulo, khangela izicathulo ezinebhokisi lebhokisi elikhulu, inkxaso efanelekileyo, kwaye ugweme izithende eziphezulu . Ukufakwa okulula kunokunceda ngeentlobo ezininzi zentlungu. Iipatata zeMetatarsal zilungele ukonyango lwe-metatarsalgia. Ezi zixhobo zikunceda ukucinezela ibhola lonyawo. Ukuba amanye amanyathelo alula awanciphisi impawu zakho, kufuneka ubone ugqirha wakho ukuqinisekisa ukuba ufumana unyango olwaneleyo.
Iimeko ezibangelwa ukuvuvukala kwe-forefoot nazo zinokuzuza kwi- injection ye-cortisone . I-Cortisone iyinonyango enamandla yokuchasana, kwaye ijoyilo ivumela uxinzelelo oluphezulu lwamayeza ukuba luhanjiswe ngqo kwingingqi yengxaki.
Kwezinye iimeko ezinqabileyo, izigulane azifumani uncedo ngokuguqulwa kwesitampu, kwaye zingadinga inkqubo yokutyanda.
Inkqubo yokuhlinzwa yokuqhelekileyo ibizwa ngokuba yi- metatarsal osteotomy ukulungisa ukungaqhelekanga kwethambo le-metatarsal. I-osteotomy yinkqubo yokuqhawula ngokuzenzela ithambo ukutshintsha ubude kunye / okanye ukulungelelanisa ithambo. Oku kunokutshintsha amandla omlinganiselo obuthwele kwi-forefoot ukukhupha iimpawu zentlungu yonyawo.
Imithombo
Espinosa N, et al. "I-Metatarsalgia" J Am Acad Orthop Surg Agasti 2010; 18: 474-485.