Ðe ƒunukpeƒetetedɔ aɖe le wò afɔbidɛ gã la ŋua? Mina míaƒo nu tso bunion (Hallux Valgus) sia ŋu!

Ðe nède dzesi ƒu sue aɖe si le abe ƒunukpeƒe ene si do tso wò afɔbidɛ gã la gɔme kpɔa? Anɔ eme be wò ŋutɔ èto esia me kpɔ, alo èkpɔ ame aɖe si nènya wòto eme kpɔ. Esiae nye nusi míeyɔna zi geɖe be ‘bunion’. Mina míaƒo nu tso esia ŋu tsitotsito vie egbea, elabena ekpɔa ŋusẽ ɖe ame geɖe dzi.

Nukae nye bunion? Nuka tututue nye Hallux Valgus?

Kpuie ko la, bunion nye ƒu ƒe ʋuʋudedi si dona le wò afɔbidɛ gã la ƒe gɔme, si nye ƒunukpeƒe si afɔbidɛa do ƒome kple afɔ, si woyɔna le atikewɔwɔ me be metatarsophalangeal joint (MTP joint) . Edze abe ʋuʋudedi sue aɖe si le abe bɔl ene. Zi geɖe la, etsia afɔbidɛ gã la ƒe akpa si le eme. Le atikewɔwɔ gome la, míeyɔa esia be Hallux Valgus .

Bu eŋu kpɔ, wohea wò afɔbidɛ gã la yia afɔbidɛ bubuawo gbɔ vivivi, eye emegbe ƒunukpeƒe ma dona ɖe gota. Woyɔa nusi dona ɖe gota ma be bunion.

Ne èse le ɖokuiwò me be ƒu aɖe le yeƒe afɔbidɛ gã la ŋu abe esia ene, vevietɔ ne ele veve sem alo le ʋuʋum le wò asibidɛwo ŋu la, ele be nàkpɔ ɖɔkta godoo . Elabena edada le bɔbɔe wu ne wolée kaba.

Ðe bunions ƒomevi vovovowo lia?

Ẽ, le nyateƒe me la, bunions ƒomevi vovovowoe li. Ƒomevi si bɔ wu si míekpɔnae nye esi dona le afɔbidɛ gã la ƒe nyaƒoɖeamenu ta. Gake bunions ate ŋu adzi ɖe afɔbidɛ bubuwo hã dzi kple le susu bubuwo ta. Wo dometɔ aɖewoe nye esiawo:

• Congenital Hallux Valgus: Esia aɖi nusi wɔ nuku, gake wodzia vidzĩ aɖewo kple bunions. Esia nye nɔnɔme si nɔa anyi tso esime wodzii.
• Ðeviwo alo Ƒewuiviwo ƒe Hallux Valgus: Esiawoe nye bunions ƒomevi siwo dzena le ɖeviwo kple sɔhɛ tsitsi siwo mexɔ ƒe 18 haɖe o. Nɔnɔmea ate ŋu adzɔ le ƒe sia hã me.
• Tailor’s Bunion alo Bunionette: Esia dzɔna le wò afɔbidɛ suea ƒe gɔme . Mègana ŋkɔa nawɔ nuku na wò o, exɔ ŋkɔ elabena tsã la, avɔlɔ̃lawo nɔa anyi ɖe nɔnɔme ɖeka me gaƒoƒo geɖe le ɣeyiɣi ɖeka me, si wɔnɛ be woƒe afɔbidɛ gã la tsia. Zi geɖe la , afɔkpa siwo mesɔ o dodo alo nuwɔna siwo atutu wò afɔbidɛ gã la ɖe afɔbidɛ bubuawo ŋu gbɔe esia tsona.

Aleke gbegbee woyɔa nɔnɔme sia be bunion?

Le nyateƒe me la, esia bɔ wu alesi nàsusui. Numekukuwo ɖee fia be le dukɔwo abe United States ene me la, ame siwo ade ɖeka le etɔ̃ ɖesiaɖe me lae bunions le. Woate ŋu akpɔ nɔnɔme sia le míaƒe dukɔa hã me, vevietɔ le nyɔnuwo dome eye woate ŋu akpɔe be edzi ɖe edzi ne ame tsi.

Nukawoe nye bunion ƒe dzesiwo?

Zi geɖe la, dzesi gãtɔe nye ƒu si le afɔbidɛ gã la gɔme. Àte ŋu akpɔe ahase egɔme. Tsɔ kpe ɖe eŋu la, dzesi bubuwo ate ŋu anɔ anyi abe:

• Vevesese alo afɔbidɛ gã la ƒe sesẽ . Ate ŋu ave ame ne ètsi tre ko alo ne èle zɔzɔm gɔ̃ hã.
• Ate ŋu avuvu eye wòabiã ƒo xlã ƒunukpeƒea.
• Ɣeaɖewoɣi la , amadede alo dzodzro trɔna .
• Mate ŋu abɔbɔ afɔbidɛ gã la alo aʋuʋui nyuie o. Ɣeaɖewoɣi la, dzobibi ate ŋu anɔ anyi ne wole afɔbidɛa bɔbɔm.
• Afɔkpa ƒomevi aɖewo dodo sesẽ , alo vevesese si dzina ɖe edzi esime nèle afɔkpa dom. Esia dzena vevietɔ ne èdo afɔkpa siwo le gbadzaa le ŋgɔgbe.
• Bli alo callus nye ŋutigbalẽ ƒe tsitsi siwo le ʋeʋẽm. Esiawo ate ŋu ado mo ɖa le afɔbidɛwo ƒe abɔta alo afɔbidɛawo dome.
• Afɔbidɛwo nye nɔnɔme si me afɔbidɛwo ƒe ƒunukpeƒewo kple lãkusiwo sesẽna eye wobɔbɔna, eye woɖia Achilles ƒe lãkusi. Bunion la ate ŋu ana afɔbidɛ bubuawo hã natrɔ woƒe nɔnɔme.
• Afɔbidɛ gã la ƒe ʋuʋu.

Nukatae míekpɔa bunions?

Esesẽ ŋutɔŋutɔ be míagblɔ be susu ɖeka koe li si tae bunions tsina ɖo. Ate ŋu anye susu vovovowo ƒe ƒuƒoƒo . Bu eŋu abe nudzɔdzɔ siwo do ƒome kple wo nɔewo ƒe kɔsɔkɔsɔ ene.

Nu vevi siwo kpɔa ŋusẽ ɖe edzi enye:

• Ƒome ŋutinya: Ne bunions le wò ƒomea me tɔ aɖe, abe dawò, fofowò, mamawò, alo tɔgbuiwò ene, la, anɔ eme be wò hã àxɔe. Esia nye nane si tso domenyiŋusẽfianu me.
• Ƒu ƒe wɔwɔme si mesɔ o: Ame aɖewo ƒe ƒuwo te ŋu ƒoa ƒu bɔbɔe wu le alesi woƒe ƒuwo le ɖoɖo nu le woƒe afɔwo me ta.
• Afɔkpa tiatia: Esiae nye nu vevitɔ kekeake eye wònye nusi dzi míate ŋu aɖu. Vevietɔ le nyɔnuwo gome la, afɔkpa kɔkɔwo kple afɔbidɛ ƒe aɖaka siwo le gbadzaa la tea afɔbidɛ gã la dzi vevie, eye wotunɛ ɖe afɔbidɛ bubuawo ŋu. Ne esia dzɔ ɣeyiɣi didi aɖe la, bunion ate ŋu adze ame dzi.
• Alesi nèzɔnae (Afɔdzideƒe): Wò afɔdzidzedze, si fia alesi nètsɔa wò afɔ dana ɖe anyigba hã ate ŋu akpɔ ŋusẽ ɖe alesi nètsɔa kpekpeme ɖoa wò afɔ dzii dzi.
• Dɔdzẽ ƒe nɔnɔme aɖewo: Le kpɔɖeŋu me, amesiwo ŋu ƒunukpeƒetetedɔ abe ƒunukpeƒetetedɔ alo lupus ene le la ate ŋu axɔ ƒunukpeƒetetedɔ.
• Tsitretsitsi ɣeyiɣi didi alo dɔ siwo naa agba geɖe wò afɔwo wɔwɔ.

Kpuie ko la, wò afɔbidɛ gã la nɔa nyaƒoɖeamenu me ɣesiaɣi le ɣeyiɣi didi aɖe (ɖewohĩ ƒe geɖe) me. Nusi dzɔnae nye be nyaƒoɖeamenua tua wò ƒunukpeƒea ɖe ŋgɔ vivivi eye wòhenɛ yia afɔbidɛ bubuawo gbɔ. Mlɔeba ne wò afɔbidɛ keke nenema la, ƒunukpeƒetetedɔ aɖe dzɔna ɖe MTP ƒe ƒunukpeƒea ne wò ŋutilã le agbagba dzem be yeatrɔ ɖe nɔnɔmea ŋu.

Amekawoe le afɔku gã me be woaxɔ bunions?

Amesiame ate ŋu axɔ bunions, gake ƒuƒoƒo aɖewo le afɔku me wu:

• Le nyɔnuwo gome: Nyɔnuwo te ŋu xɔa bunions wu ŋutsuwo. Zi geɖe la, afɔkpa sesẽ siwo ƒe afɔbidɛwo le ɖaɖɛ siwo wodona le atsyã me ate ŋu anye nusi gbɔ wòtso, alo?
• Domenyiŋusẽfianu ƒe ŋusẽkpɔɖeamedzi : Abe alesi míegblɔe va yi ene la, ne afɔkpodzi alo afɔ ƒe kuxi bubuwo le dzilawo ŋu la, ate ŋu anɔ wo viwo hã ŋu. Wokpɔe be amesiwo ŋu bunions le ƒe 70% kple edzivɔwo dzilawo hã le dɔlélea ŋu.
• Le amesiwo xɔ abi le afɔ ŋu va yi gome: Amesiwo dea abi woƒe afɔwo enuenu, abe kamedefefewɔlawo ene, hã le afɔku me wu.

Ðe bunion ate ŋu ahe kuxi bubuwo vɛa?

Ẽ, bunion ƒe amesinɔnɔ ate ŋu ana nɔnɔme bubuwo abe:

• Bursitis: Esiae nye ne kotoku siwo me tsi yɔ fũu le ƒunukpeƒewo, siwo woyɔna be bursa, la vuvu eye wole veve sem. Ne esia dzɔ le bunion dzi la, vevesesea gagblẽna ɖe edzi.
• Afɔbidɛwo: Le afɔbidɛ gã la keke ta la, afɔbidɛ evelia kple etɔ̃lia hã ate ŋu akeke ahabɔbɔ abe akplɔ ene.
• Ƒumeŋuɖui: Esia fia be ƒunukpeƒewo vuvu. Bunion ate ŋu ana ƒunukpeƒetetedɔ si le MTP ƒunukpeƒea navuvu, si ana ƒunukpeƒetetedɔ nadze ame dzi.

Aleke nàwɔ anya kple kakaɖedzi be bunion le ŋuwò?

Ðɔkta awɔ ŋutilãmedɔdada akpɔe ɖa be ƒunukpeƒetetedɔ le ŋuwò hã. Alé ŋku ɖe wò afɔ ŋu, ase wò afɔbidɛ gã la gɔme, eye wòabia nya wò tso wò dzesiwo ŋu. Ahiã be nàgblɔ ɣeyiɣi didi si bunion la le ŋuwò, dɔwɔna siwo nana wògagblẽna ɖe edzi, kple nenye be dɔlélea le wò ƒomea me dometɔ aɖe ŋu tẽ.

Ðewohĩ ahiã be nàyi afɔdɔdala, si nye ɖɔkta si bi ɖe afɔdzidɔ me hã gbɔ.

Dodokpɔ kawoe wowɔna tsɔ dea dzesi bunion?

Zi geɖe la, mehiã be woawɔ dodokpɔ gã aɖeke hafi anya bunion o. Gake wò ɖɔkta ate ŋu aɖe gbe be woawɔ X-ray atsɔ alé ŋku ɖe afisi ƒu siwo le wò afɔ ŋu le, afisi wò afɔbidɛ gã la didi le ne wotsɔe sɔ kple afɔbidɛ bubuawo, kple alesi MTP ƒunukpeƒea le. X-ray koe nye mɔ si dzi woato akpɔ nɔnɔmea nyuie, vevietɔ ne wole amekoko ŋu bum.

Nukawoe nye atike siwo wozãna na bunions?

Bunions dada nɔ te ɖe vevesese si le ŋuwò, bunion ƒe lolome, kple alesi gbegbe wòkpɔa ŋusẽ ɖe wò gbesiagbegbenɔnɔ dzii dzi. Kpɔ ɖa, nu aɖewo li mía ŋutɔwo míate ŋu awɔ.

• Trɔ wò afɔkpa: Esiae nye nu gbãtɔ si nàwɔ. Ne ètrɔ ɖe afɔkpa siwo ƒe afɔbidɛwo keke eye goglo ŋu la, ate ŋu aɖe wò afɔbidɛwo ƒe nyaƒoɖeamenu dzi akpɔtɔ. Ƒo asa na afɔkpa siwo le nugbɔ eye wole sesẽm. Mɔ̃ siwo kekea afɔkpa siwo ate ŋu akpe ɖe ŋuwò nàkeke afɔkpa siwo nèdo xoxo hã li.
• Bunion pads kple taping: Woate ŋu atsɔ bunion pads, siwo li le atikedzraƒewo, aƒo xlã bunion la be wòaɖe afɔkpaa ƒe nyaƒoɖeamenu kple ʋuʋudedi dzi akpɔtɔ. Ðewohĩ wò ɖɔkta aɖo aɖaŋu be nàzã atikewɔwɔ ƒe kasɛt atsɔ alé wò afɔbidɛwo ɖe wo nɔƒe.
• Mɔ̃ siwo wotsɔna ɖɔa afɔe: Afɔkpa siwo wotsɔna ɖɔa afɔe nye mɔ̃ siwo wotsɔ dea wò afɔkpa me be wòalé wò afɔ ɖe te. Esiawo ate ŋu anye atike siwo wotsɔna ƒoa ƒui siwo womeƒlena o alo nusiwo wotsɔ dea eme siwo wowɔ ɖe ɖoɖo nu. Wò ɖɔkta ate ŋu aɖo aɖaŋu hã be nàde dometsotso sue aɖe wò afɔbidɛ gã kple wò afɔbidɛ evelia dome. Ðewohĩ ahiã hã be nàzã afɔkpa be wò afɔbidɛ gã la nanɔ dzɔdzɔe ne mèdo afɔkpa o (vevietɔ le zã me).
• Vevesesenutsitikewo : Nonsteroidal anti-inflammatory drugs (NSAIDs) , abe ibuprofen ene, ate ŋu akpe ɖe ame ŋu wòaɖe vevesese kple abi dzi akpɔtɔ. Woate ŋu ano esiawo abe atikekuiwo ene alo abe NSAID siwo wozãna ɖe lãme na ame ene. Gake ɖo ŋku edzi be mègano NSAID-tikewo wu ŋkeke 10 le ɣeyiɣi ɖeka me atikewɔlawo ƒe aɖaŋuɖoɖo manɔmee o.
• Tsikpe: Ne ètsɔ tsikpe sisi ɖe asibidɛ si le veve sem la ŋu aɖabaƒoƒo 15-20 zi geɖe gbesiagbe hã ate ŋu ana gbɔdzɔe. Gake mègatsɔ tsikpe gbadzɛa da ɖe ŋutigbalẽa dzi tẽ o, ke boŋ tsɔ avɔ tsɛ aɖe xatsae.
• Corticosteroid dodo: Ne vuvu kple vevesesea nu sẽ la, wò ɖɔkta ate ŋu ado corticosteroid na wò ɖe bunion la me. Esiawo nye atike siwo woŋlɔ na ame siwo ɖea dɔdzẽ dzi kpɔtɔna kabakaba .
• Lãmesẽnyawo gbɔ kpɔkpɔ : Àte ŋu awɔ dɔ kple kamededeŋutinunyala atsɔ ado ŋusẽ wò afɔ ƒe lãmekawo, ana ƒunukpeƒewo nate ŋu aʋuʋu geɖe wu, eye wòaɖe vevesese dzi akpɔtɔ. Woate ŋu afia kamedede kple kekeɖenudɔwɔwɔ wò be wòakpe ɖe ŋuwò nàna wò afɔbidɛwo nanɔ wo nɔƒe.
• Amekoko :Ne atikewɔwɔ bubuwo mekpe ɖe ŋuwò o ɣleti geɖe, alo ne vevesesea nu sẽ ale gbegbe be màte ŋu azɔ azɔli alo awɔ wò gbesiagbedɔwo o le aɖuɖɔtoea ta la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be woawɔ dɔ na wò be nàɖɔ akɔtaɖonu ɖo . Amekoko ƒomevi vovovowoe li. Wò ɖɔkta alo amekola agblɔ amekoko si ƒomevi nèhiã kple amekoko tsitotsito na wò.

Ðe bunions nyona ɖe edzi le wo ɖokui sia?

Ao, bunions medaa gbe le wo ɖokui si o, eye màte ŋu awɔ atike na wo le ɖokuiwò si o. Bunion nye tɔtrɔ si vaa ƒuwo ƒe wɔwɔme me. Be nàte ŋu atrɔe la, èhiã atikewɔlawo ƒe kpekpeɖeŋu. Ne bunion le ŋuwò la, kpɔ egbɔ be yeyi ɖɔkta alo afɔdzidela gbɔ. Ema ko hafi woate ŋu akpɔ dɔlélea le ŋuwò nyuie eye nàdze atikewɔwɔ si aɖe wò dzesiawo dzi akpɔtɔ gɔme.

Ðe woate ŋu axe mɔ ɖe bunion nua?

Esi wònye be bunions ate ŋu atsi le susu vovovowo ta (vevietɔ domenyiŋusẽfianu) ta la, esesẽna be woaxe mɔ ɖe wo nu keŋkeŋ. Gake afɔkpa siwo sɔ nyuie dodo kple agbenɔnɔ si nyo na wò afɔwo zazã ate ŋu akpe ɖe ŋuwò nàna bunions ƒe tsitsi nagbɔdzɔ alo axe mɔ na wo be woagagblẽ ɖe edzi o. Le goawo katã me la, wɔ ɖe aɖaŋuɖoɖo siawo dzi nàtsɔ atia afɔkpa siwo sɔ na wò afɔwo eye wosɔ na wò:

• Ƒo asa na afɔkpa siwo le kpuie akpa, siwo le ɖaɖɛ, eye woƒe afɔkpodzi kɔkɔ – vevietɔ ne wole wò afɔbidɛwo ƒom. Ame siawoe nye wò futɔ gãtɔwo!
• Ne ènya wò afɔkpa ƒe lolome gɔ̃ hã la, te afɔkpa vovovowo kpɔ be nàkpɔ esi sɔ nyuie wu . Elabena menye afɔkpawo katã ƒe lolome sɔ o, tso adzɔnu ɖeka dzi yi bubu dzi.
• Hafi nàƒle afɔkpa yeyewo , te wo kpɔ to anyinɔƒe, tsitretsitsi, kple tsatsam vie me . Kpɔe ɖa be wò afɔbidɛwo le veve sem, woƒo wo, alo woƒo wo le mɔ aɖe nu hã. Ele be teƒe vi aɖe nanɔ afɔkpaa kple wò afɔbidɛ diditɔ kekeake dome.
• Àte ŋu akpɔ afɔkpa si sɔ pɛpɛpɛ wu ne èƒle afɔkpa le ŋkekea ƒe nuwuwu , elabena wò afɔwo vuvu vie le ŋkekea me katã eye wololona vie le fiẽ me wu ŋdi.

Wò ɖɔkta alo afɔdɔdala ate ŋu akafu afɔkpa ƒomevi alo atike nyuitɔ kekeake na wò afɔwo. Ne afɔ ƒe wɔwɔme ƒe kuxi bubuwo le ŋuwò, abe afɔ gbadzawo alo aɖaka kɔkɔwo ene la, bia wò ɖɔkta nenye be èhiã na afɔtiwo be woatsɔ axe mɔ ɖe bunions nu.

Nukae ame si si bunions le ate ŋu akpɔ mɔ na?

Ame akpa gãtɔ siwo ŋu bunions le ate ŋu akpɔ woƒe dzesiwo gbɔ ahanɔ agbe si sɔ evɔ makpɔ ŋusẽ boo aɖeke ɖe woƒe gbesiagbedɔwo dzi o. Wò ɖɔkta awɔ dɔ kpli wò be nàdi atikewɔmɔnu vovovo siwo aɖe wò dzesiwo dzi akpɔtɔ eye wòakpe ɖe ŋuwò nàna wò afɔwo kple afɔbidɛwo nanɔ lãmesẽ me ahasẽ ŋu.

Nu vevitɔe nye be, ne bunions ƒe dzesiwo le ŋuwò la, mègahe ɖɔkta yiyi ɖe megbe o.Zi alesi nèdze atikewɔwɔ gɔme kaba la, zi nenemae mɔnukpɔkpɔ asu asiwò be nàɖu wò dzesiwo dzi evɔ mahiã be nàwɔ dɔ na wò o.

Zi geɖe la, ame siwo wowɔ dɔ na le aɖuɖɔtoe me ate ŋu adze woƒe dɔwɔna siwo katã wowɔna ɖaa gɔme le ɣleti eve va ɖo etɔ̃ me , gake ate ŋu axɔ ɣeyiɣi didi hafi woahaya keŋkeŋ.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne ède dzesi dzesi siawo dometɔ aɖe la, yi ɖɔkta alo afɔdɔdala gbɔ kaba ale si nàte ŋui :

• Vevesese le wò afɔwo alo asibidɛwo ŋu enuenu .
• Esesẽna be nàzɔ alo aʋuʋu asibidɛwo .
• Kpe si woate ŋu akpɔ le afɔbidɛ gã la gɔme (eɖale veve sem alo mele veve sem o).
• Asibidɛwo ƒe vuvu, woƒe biã, alo dzoxɔxɔ le wo ŋu alo le wo ŋu.
• Asibidɛwo ƒe ʋuʋu alo seselelãme ƒe bublu .

Nya kawoe wòle be mabia nye ɖɔkta?

Ne èdo go kple ɖɔkta la, àte ŋu abia nya siawo tɔgbe be nàse nɔnɔmea gɔme nyuie wu:

• Nukatae mexɔ bunion sia? Ðe wònye kuxi le nye afɔ ƒe nɔnɔme ŋua?
• Atikewɔwɔ ka ƒomevie nyo nam wu? Ðe wòahiã be woawɔ dɔ nam?
• Ɣeyiɣi didi kae míate ŋu akpɔ mɔ be gbɔdzɔe tso dɔdamɔnu siawo me?
• Nukae mate ŋu awɔ be bunion nagatsi nye afɔ evelia dzi o?
• Ðe wòle be maƒo asa na afɔkpa ƒomevi aɖewo dodo kuraa?
• Kamedede kawoe mate ŋu awɔ le aƒeme?

Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Bunions, alo hallux valgus, nye afɔ ƒe kuxi si bɔ. Wodzɔna ne wotu wò afɔbidɛ gã la do goe le eƒe dzɔdzɔmenɔnɔme me, ɖo ta afɔbidɛ bubuawo gbɔ. Mlɔeba la, ƒu ƒe ʋuʋudedi ate ŋu ado mo ɖa le ƒunukpeƒe si wò afɔbidɛ gã la do ƒome kple wò afɔ le.

Ne bunion le veve sem na wò alo le nu gblẽm le wò gbesiagbedɔwo ŋu la, ele vevie be nàdi atike . Ate ŋu anɔ bɔbɔe abe afɔkpa ƒomevi si nèdona tɔtrɔ ene, gake be nànya afɔkpa si ƒe ta le ƒoƒom la, ele be nàyi ɖɔkta alo afɔdzidela gbɔ. Emegbe wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàzã atike siwo akpe ɖe ŋuwò nàɖe wò dzesiwo dzi akpɔtɔ eye wòakpe ɖe ŋuwò nàgatrɔ ɖe dɔwɔna siwo nèlɔ̃na ŋu. Anyo wu be nàdi aɖaŋuɖoɖo kaba ale si nàte ŋui, eye màhe ɖe megbe o!