Kutheni kudingeke ukuba unyango
I-Hallux rigidus ligama lonyango le-arthritis eyenzeka kwisiseko senzwane enkulu. Umdibaniso kwisiseko sesohlo esikhulu sibizwa ngokuba ngumhlanganisi wokuqala we- metatarsophalangeal , okanye i-MTP ngokubambisana. Le ngqamaniso yethambo elide le-forefoot kunye nethambo elincinci lezinzwane ezinkulu.
Ngenxa yemishini yeenyawo zethu, lo mbutho ulungele ukwanda kwe-arthritis.
Enyanisweni, i- hallux rigidus, okanye i-bigee arthritis, yindawo eqhelekileyo ye-arthritis ezinyaweni.
Iimpawu zeHallux Rigidus
Uphawu oluqhelekileyo kunye nesona sizathu esivakalayo sokufuna unyango kule ngxaki bubuhlungu besiseko sezinzwane ezinkulu. Le ntlungu ibandakanyeka nomsebenzi, ngokukodwa ukuqhuba okanye ukuxhuma. Ukugqoka izicathulo eziqiniweyo eziqiniweyo ezikhusela ukunyakaza kwisiseko sezinzwane ezinkulu ziya kunceda ukukhulula iimpawu. Ezinye iimpawu eziqhelekileyo zibandakanya ukuvuvukala kwisiseko sezinzwane ezinkulu, inhlama ecaleni kwesi sidibaniso ngenxa yokubunjwa kwethambo , kunye neefowuni ezisuka kwindawo engavumelekanga yezwane.
Iimpawu eziqhelekileyo abantu abanesaziso se-hallux rigidus ziquka:
- Ubuhlungu kwisiseko sezinzwane ezinkulu
- Ukuvuvukala kwezwane
- Ubunzima ngemisebenzi equka ukusebenza, ukuguqula iinduli
Iimpawu zibuhlungu ngakumbi xa inzwane enkulu iguqa phezulu, njengokuba kunjalo xa uhamba ngokukhawuleza okanye usebenza.
Xa inzwane iphoqeleka phezulu, i-bone spurs eyenziwe ifakwe kunye kunye neentlungu nokuvuvukala. Esi sizathu sokuba izicathulo kunye nokuguqulwa komsebenzi kunokunceda kakhulu ukukhulula iimpawu.
Ukuxilongwa kwe-hallux rigidus kwenziwa ngokuvavanya ukuhamba komxhelo we-MTP, ngokuqhelekileyo ukuthelekisa kwinqanaba elichaseneyo ukuze ubone ukunyuka kwexesha elilahlekileyo kwidibeneyo.
I-X-ray iyenziwa ukuze kuqinisekiswe ukuba ubuninzi be-cartilage edibeneyo sele bubule kwaye sibone ukuba i-spurs ye-bone yenziwe kule ndawo. Ukuqaphela ubungakanani be-arthritis kuya kunceda ukukhokela unyango.
Unyango lweHallux Rigidus
- Ukugqithisa iinqwelo ezixhasiweyo
Izicathulo ezixubileyo zikhawuleza ukunyakaza kwisiseko senzwane enkulu. Ukufaka kungenziwa ngezicathulo ezinokukuncedisa izihlangu zakho ezikhoyo. Ngaphandle koko, xa uthengela izicathulo, khangela iintlobo ezinezityalo ezingenakuguquguquka eziza kuthintela umxube we- arthritic ukuguqa. - Ukongeza iLonga lokuLonga ngaphantsi kweenqatyana
I-rocker-bottom yi-sole curve engenakongezwa kwizambatho zakho. I-rock-bottom, efana nezantsi kwe-chair-rocked-chair, inceda unyawo luguquke ngokusuka kwithende ukuya kwizwane xa uhamba. Olu lungiso luye lusetyenzise umda wokunyuka kwe-arthritic toe joint. - Imithi echasayo
La mayeza aya kunceda ukunciphisa intlungu kunye nokuvuvukala kwiindawo zokuvuvukala. Ukuba imithi yomlomo ayinelanga, i- injection ye-cortisone inokuqwalaselwa kwakhona. Izigulane ze-cortisone kwizinzwane ezinkulu zingabangela ubuhlungu, kuba akukho ndawo enkulu yokuba iyeza zijojowe (ukuthelekiswa namadolo okanye ihlombe), kodwa ukukhululeka kudla ngokukhawuleza kwaye kunokuhlala ixesha elide.
Ingaba Ukuhlinzwa Kuyadingeka kuHallux Rigidus Treatment?
Ngamaxesha amaxesha unyango luyilona lungcono lonyango lwe-hallux rigidus, ingakumbi ukuba imilinganiselo engapheliyo ingasebenzi kuwe. Ukuvuthwa akunakwenzeka isinyathelo sokuqala kunyango, kwaye ngokuqhelekileyo abantu kufuneka bazame amanyathelo alula ngaphambi kokuba bathuthele emanyango amaninzi. Iinkqubo ezimbini eziqhelekileyo zokuhlinzwa zibizwa ngokuba yi- cheilectomy okanye i-arthrodesis (fusion). I-cheilectomy yinkqubo eyenziweyo ukususa i-bone spurs. I-cheilectomy iyanceda rhoqo ukuba i-spurs bone iyanqanda ukunyakaza okuhlangeneyo.
Ukuxhalabisa ngokuqhuba i-cheilectomy kukuba ngelixa isuswe sesifuba sisuswe, umdibaniso usengumzimba, kwaye i-spurs iyakwazi ukubuyela.
Nangona intlungu ebangelwa ukunyakaza okuncinci ingaphuculwa, intlungu evela kwi-cartilage ekhulile ingasala. Utyando olunzulu olubizwa ngokuba yi-fusion ehlangeneyo lunokubaluleka kwezi zi gulane. I-fusion yinkqubo ebalaseleyo ekupheliseni intlungu eninzi, kodwa iya kubangela ukuba inzwane ibe nzima ngokusisigxina.
Imithombo:
> Deland JT, Williams BR. "Ulawulo lwe-hallux rigidus" J Am Acad Orthop Surg. 2012 Juni; 20 (6): 347-58.