Amathambo akho e-metatarsal ngamathambo amade adibanisa isikhumba sakho ezinzwaneni zakho. Phakathi kweentloko zamathambo e-metatarsal kunye neengxowa ze- phalanges ezixhomekeke (amathambo akho onozwane) zingama-metatarsophalangeal joints .
Ngamanye amazwi, ama-metatarsophalangeal joints adibanisa amathambo akho onyoko kumathambo akho enyawo. Ezi zihlanganiso zizungezwe ngumxube omncinci odibeneyo kwaye zinegulane ezibaxhasa.
Kukulungele ukwazi nokuba umxube wokuqala we-metatarsophalangeal ubizwa ngokuba yi-big toe ehlangene ngelixa iqabane elincinci luthi liyaziwa njenge-five metatarsophalangeal joint. I-metatarsal yokuqala (inzwane enkulu) iphinda ixubushe kunye (okanye idibanisa kunye) namathambo angama-samoid emibini kwinqanaba lezityalo (phantsi kweenyawo).
Iimeko ezichaphazela ii-Metatarsophalangeal Joints
Kukho imimiselo yezempilo echaphazela ama-metatarsophalangeal joints, abuye abizwe njengamajoyina e-MTP. Ezinye zeemeko ziquka:
Metatarsalgia
I-Metatarsalgia empeleni isetyenziselwa ukuchaza nayiphi na intlungu kwibhola lonyawo-inxalenye epholileyo, ehluthayo phantsi kweenyawo zakho ezigqithisa amathambo e-metatarsal. Nangona kunjalo, umthombo oqhelekileyo weentlungu kulo mmandla ngumxube we-metatarsophalangeal.
Bunion
I- bunion ibhon bump bump eyenza kwicala elingaphandle komxube wokuqala we-MTP. Njengomphumo wokubunjwa kwe-bunion, imeko ebizwa ngokuba yi hallux valgus ingahlakulela apho yinto enkulu inzwane ilahleka okanye ibhekisele kwezinye izwane.
Njengoko inzwane yokuqala iqhuma kwizwane ezisezantsi, inyosi yesando ingabangela. Isizathu esivakalayo sokubunjwa kwe-bunion ngesinyosi senyundo sinxibe izicathulo ezingafanelekanga (umzekelo, izithende eziphakamileyo okanye izicathulo ezifanane kakhulu).
Ukongezelela, usenokuba ulivile igama elithi bunionetta eliyiyo xa i-bunion ifomula kwizwane ezincane okanye kwisixube se-metatarsophalangeal.
Ity Toe
Inyosi yeTurf iyenzeka xa inzondo enkulu ixhomekeka, njengokuba idlala ibhola. Ngokukodwa, nge-toe ye-turf, i-MTP kunye neendandatho ezijikelezayo kunye nezicubu zalimala, kunye nokudibanisa kungashenxiswa.
Arthritis
Ngeemeko ezivuthayo, i-rheumatoid arthritis, intlungu kwi-MTP iqhagamshelo inokwenzeka xa imile okanye ihamba. Ukuqina koMasa kwintsebenziswano ye-MTP kungabonakalisa okokuqala isifo se-rheumatoid arthritis. Ukuvuvukala kwesibambathiso kwesi sifo kunokukhokelela ekutheni ukunyanzeliswa kweenyosi zinyundo.
I-osteoarthritis, uhlobo olungenalo ukuvuvukala kwe-arthritis, lunokuthi luvele kwintlanganiso enkulu yeenzwane ze-MTP. Ngeenyawo ze-osteoarthritis , i-cartilage yombutho udibene, kwaye oku kunokudala intlungu kunye nobunzima ngokuhamba.
I-Gout yenye enye ifom ye-arthritis engathintela unyawo, ingakumbi i-MTP yokuqala. Iimpawu zohlaselo lwe-gout ziquka intlungu, ngokubuhlungu, kunye nokufudumala kwezinzwane ezinkulu.
Ekugqibeleni, i-articritis ye-septic yomxube we-MTP inokwenzeka. Nangona ingaqhelekanga kune-gout, i-arthritis ye-septic imele ikhutshwe ngaphandle, njengoko ibonisa intsholongwane ye-bacterial in the joint. Inqubo ebizwa ngokuba yi- arthrocentesis , apho isilwanyana esisetyenziswayo isuswa kwaye ihlolwe phantsi kwe-microscope inokuhlukanisa phakathi kwababini.
I-Hammer Toe
Inyosi yesinyundo yindlela yokutshitshiswa kwe-MTP ngokubambisana, ngokuqhelekileyo kwintsimbi yesibini. Kukho izizathu ezininzi ezinokubangela inyosi yesinyundo. Ngokomzekelo, iinzwane zenyundo zingathuthuka emva kweefom ze-bunion, ezibangela ukuba inzwane enkulu iguqule okanye i-angle ijongene neyontwane yesibili.
Inyosi yesando ingafumaneka kwi-arthritis ye-rheumatoid xa izicubu ezinamafutha kwibhola lonyawo liqhutyelwa phambili phantsi kwezwane. Ukulimala kabuhlungu kwintwane kunokwenza unyawo lwesinyundo, kwaye abanye abantu bazalwa nje beneminyana yezantathu, i-genetic cause, ukutsho.
Ekugqibeleni, kubalulekile ukuba uqaphele ukuba iingxaki ezingaphezulu ziyakhula, ngenxa yenkwenkwezi yezintambo, kubandakanywa ingqolowa kunye neembasa ze-bursas ezizaliswe ngamanzi azalisekayo ozenzayo xa izicubu ezinamafutha ezinyaweni zibonakala zixinzelelo oluphezulu okanye ukuxubana.
Ukuphathwa kweengxaki ze-MTP Joints
Ukuze ulawulo lweemeko ze-MTP, udokotela wakho (umzekelo, ugqirha wamazinyo ogqirha ukunyanga unyawo okanye umgcini we-podiatrist) uya kuqwalasela okanye utyando okanye izicwangciso zokungacwangcisi.
Amanqwanqwa
Uninzi lweengxaki ze-MTP ezinxulumene neengxaki zilawulwa ngokungenasiseko. Ngokomzekelo, kwimeko ye-bunion (ingxaki ye-MTP eqhelekileyo), ugqirha uya kuncoma ukuba umntu agqoke izicathulo ezifanelekileyo, kunye neenqobo ze-orthotics (ezifakwe kwiidada ezikhethekileyo ezenzelwe iinyawo zakho). Kwiibhononi, isanti elinebhokisi elikhulu leetekisi, kunye nelinye elithambileyo kwaye lithende linokukunceda. I-Bunion ipads iyakwazi ukukhusela i-bunion ukusuka ekuxubeni.
I-Orthotics inokunceda ukulawula ezinye iingxaki ze-MTP ezifana ne-metatarsalgia. Kule meko, izihlangu ezinzulu okanye iipads phantsi kwamathambo e-forefoot zinganciphisa.
Ezinye iinkqubo ezingenagqirha ziquka ukusetyenziswa kweqhwa okanye ukuthatha imithi echasayo (umzekelo, ibuprofen) ukunciphisa intlungu kunye nokunciphisa ukuvuvukala.
Isicwangciso sokuphanda
Kukho inani leenkqubo zokucoca ezahlukeneyo zokujongana nomcimbi wakho we-MTP. Nangona kunjalo, utyando luvame ukuqwalaselwa kuphela xa izicwangciso zengxowa-mali zingasebenzi.
Ngokomzekelo, enye inkqubo ibizwa ngokuba yi-MTP yokuhlanganiswa kokuqala kunye nokubandakanya amathambo enzwane enkulu kunye ne-metatarsal yokuqala kunye ngokusisigxina. Inokuthi yenziwe kwiimeko ze-arthritis apho i-cartilage ehlangeneyo ikhulile kwaye intlungu ephumayo ayinakuxhaswa yiindlela ezizimeleyo.
I-fusion yokuqala ye-MTP idla ngokuqhutyelwa njengophando lomsebenzi, kodwa ukubuyisela kungaphatha iinyanga ezintandathu. Izikhonkwane zensimbi kwaye, ngokuqhelekileyo, isitya sensimbi sisetyenziselwa ukuzinzisa ukudibanisa.
Enye inqubo ebizwa ngokuba yi-MTP yokuqala yokutshintshwa ngokuhlanganyela yenziwa kwiimeko ze-arthritis ekunciphiseni ubuhlungu obungasombululi ngonyango olulondolozayo. Umnxeba omkhulu uqhagamshelaniswe ususwe kwaye izifakelo zisetyenziselwa ukutshintsha. Ezi zingenziwa zetsimbi okanye iplastiki. Ihluke kwi-fusion kwi-implant ekutshintsheleni isenzo sendibano yokuqala.
ILizwi
Unyawo luyinkimbinkimbi kodwa luyinto eguquguqukayo yomzimba, kwaye amanxeba enyawo anzima kakhulu ukuvumela ukuhamba. Ukuba unesihlungu se-MTP, esiza kubangela intlungu ngokuhamba, qiniseka ukubona ugqirha wakho ngokuvavanya.
Ngaphezulu, ukuba ufumana ubomvu, ukufudumala, okanye ukuvuvukala ngokukhawuleza komxhasi we-MTP (ngokuqhelekileyo kwi-joint MTP yokuqala), nceda ufune unyango ngokukhawuleza, ukulawula ukhuseleko.
> Imithombo:
> I-American Orthopedic Foot & Ankle Society. (2017). I-MTP yokuqala Fusion Joint.
> I-American Orthopedic Foot & Ankle Society. (2017). Ukubuyiswa kokuqala kweMTP.
> Hul EV, Vanhoenacker F, Dyck PV, De Schepper A, Parizel PM. Izilonda ezincinci zethambo ezinyaweni zonyawo kunye neenqaqa: ukuhlaziywa kwamaphepha. Ukuqonda ukuqonda . Ngo-Agasti ka-2011; 2 (4): 439-52.
> Shirzad K, CD Kiesau, DeOrio JK, Parekh SG. Ukutshatyalaliswa kobuthathaka obuncinane. J Am Acad Orthop Surgery. Ngo-Agasti ka-2011; 19 (8): 505-14.
> Whitney KA. (2016). I-Merck Manual Professional Professional Version. I-Metatarsophalangeal Joint Pain.