Thaum koj taug kev, tshwj xeeb tshaj yog hnav khau nruj, koj puas hnov mob thiab tsis xis nyob ntawm koj txhais taw, zoo li koj tab tom taug kev rau ntawm lub pob zeb lossis lub pob me me? Koj puas muaj qee zaum hnov qhov txawv txawv zoo li lub thom khwm raug tsoo rau hauv ib qho chaw? Yog tias qhov mob no hnyav zuj zus tuaj, thiab yog tias koj cov ntiv taw hnov me ntsis khaus, koj yuav muaj tus mob hu ua 'Morton's Neuroma'. Tsis txhob ntshai los ntawm lub npe. Nws tsis loj heev. Cia peb tham txog txhua yam yooj yim thiab meej.
Morton's Neuroma yog dab tsi?
Hais yooj yim xwb, qhov no yog qhov o lossis tuab ntawm cov hlab ntsha uas khiav ntawm koj cov ntiv taw. Cov hlab ntsha interdigital khiav ntawm cov pob txha metatarsal ntawm peb txhais taw. Thaum cov hlab ntsha no raug kev nyuaj siab tas li, raug mob, lossis qee yam kev nias, cov nqaij ntawm cov hlab ntsha pib tuab thiab o.
Xav txog nws zoo li ib lub yeeb nkab dej uas raug neeg tsuj ntau zaus, ua rau nws tiaj thiab o. Qhov mob no feem ntau tshwm sim hauv cov hlab ntsha ntawm koj tus ntiv taw thib peb thiab thib plaub (ob tug ntiv taw ze tshaj plaws rau koj tus ntiv taw me).
Qhov tseem ceeb yog tias, txawm hais tias lub npe "neuroma," qhov no tsis yog qog nqaij hlav . Yog li ntawd, tsis tas yuav txhawj txog nws kiag li. Qhov tshwm sim ntawm no tsis yog cov nqaij tshiab loj hlob, tab sis cov hlab ntsha uas twb muaj lawm tab tom raug nias thiab o.
Cov hlab ntsha no o tuaj yeem ua rau mob hnyav thaum koj sawv lossis taug kev, thiab ua rau nws muaj kev nyuaj siab.
Cov tsos mob ntawm tus mob no yog dab tsi?
Cov tsos mob ntawm Morton's Neuroma feem ntau maj mam tshwm sim raws sijhawm. Thaum xub thawj, tej zaum yuav mob me ntsis, uas tej zaum yuav ploj mus thaum koj hle koj cov khau thiab zaws koj txhais taw. Txawm li cas los xij, thaum cov hlab ntsha o zuj zus, cov tsos mob yuav pom tseeb dua.
Cia peb saib cov tsos mob tseem ceeb zoo li no.
| Cov tsos mob | Qhov ntawd xav li cas? |
|---|---|
| Mob hauv qab taw | Thaum sawv lossis taug kev, mob kub hnyiab rau ntawm ko taw ntawm cov ntiv taw. Zoo li muaj ib yam dab tsi zoo li pob zeb lossis pob zeb marble raug thawb rau hauv khau. |
| Qhov mob hnyav zuj zus los ntawm khau | Qhov mob hnyav heev thaum hnav khau siab lossis khau nqaim uas nias cov ntiv taw. Qhov mob yuav ploj mus me ntsis tom qab hle khau tawm. |
| Kev tsis hnov lus thiab kev poob ntawm kev xav | Tej zaum yuav muaj qhov tingling (mob thiab mob koob) rau cov ntiv tes uas raug mob lossis qee zaum loog hauv thaj chaw ntawd. |
| Kev o | Txawm tias tsis muaj qhov o ntawm sab nraud ntawm cov ntiv taw los xij, koj yuav hnov qee qhov tsis xis nyob vim yog qhov o ntawm cov hlab ntsha los ntawm sab hauv. |
Vim li cas ho muaj tej yam zoo li no tshwm sim? Yog vim li cas?
Raws li peb tau hais ua ntej lawm, qhov ua rau qhov no yog vim muaj kev nyuaj siab ntev lossis kev nias rau ntawm cov hlab ntsha ntawm koj cov ntiv taw. Muaj ntau yam ua rau qhov kev pheej hmoo no nce ntxiv.
1. Khau tsis tsim nyog
Qhov no yog qhov laj thawj tseem ceeb thiab feem ntau tshwm sim .
- Khau siab: Thaum koj hnav khau siab, tag nrho koj lub cev qhov hnyav raug coj mus rau pem hauv ntej ntawm koj txhais taw, uas muab kev nyuaj siab ntau dhau rau cov hlab ntsha.
- Khau nqaim thiab nruj: Thaum koj hnav khau uas nruj thiab ze ua ke, cov pob txha ntawm cov ntiv taw yuav raug nias ua ke, nias cov hlab ntsha uas khiav hla lawv.
2. Qee qhov kev ua si thiab kev ua ub no
Tus mob no kuj tseem tuaj yeem tshwm sim los ntawm cov dej num uas muab kev nyuaj siab tas li thiab kev raug mob rau ntawm lub hauv paus ntawm ko taw.
- Kev Khiav: Cov taw ntawm ko taw, tshwj xeeb tshaj yog cov neeg uas khiav deb heev, yeej ib txwm raug kev poob siab.
- Cov kev ua si xws li ntaus pob tesniv thiab ntaus badminton: Hauv cov kev ua si no, koj feem ntau yuav tsum nias rau hauv av nrog sab xub ntiag ntawm koj txhais taw.
- Seev Cev: Seev cev , tshwj xeeb tshaj yog ballet, muab ntau qhov kev nyuaj siab rau ntawm cov taw.
3. Lwm yam teeb meem ntawm ko taw
Yog tias muaj teeb meem nrog cov duab lossis qhov chaw ntawm koj txhais taw, qhov no kuj tuaj yeem ua rau muaj kev nyuaj siab rau cov hlab ntsha.
- Taw tiaj tiaj: Thaum lub ko taw tsis muaj thiab lub hauv paus tiaj tiaj, txoj kev koj taug kev tuaj yeem hloov pauv thiab kev nyuaj siab tuaj yeem muab tso rau ntawm cov hlab ntsha.
- Cov taw siab siab: Qhov no kuj tseem tuaj yeem ua rau ko taw tsis ruaj khov thiab ua rau muaj kev nyuaj siab.
- Bunions: Qhov mob no ua rau o ntawm cov pob qij txha ntiv taw loj, uas tuaj yeem ua rau cov ntiv taw lo rau ua ke.
- Hammertoes: Ib qho mob uas cov ntiv taw khoov rau hauv nruab nrab. Qhov no kuj ua rau muaj kev tsis sib npaug ntawm lub zog.
Koj nrhiav tau qhov no li cas, Kws Kho Mob?
Thaum koj mus ntsib kws kho mob, nws yuav xub nug koj txog koj cov tsos mob. Nws yuav nug koj ntau yam, xws li mob ntev npaum li cas lawm, mob hnyav zuj zus thaum twg, khau hom twg tsis xis hnav, thiab seb puas muaj qhov loog.
Tom qab ntawd, tus kws kho mob yuav kuaj koj txhais taw kom zoo zoo. Nws yuav nias rau ntawm koj txhais taw thiab thaj tsam ntawm koj cov ntiv taw, xyuas seb puas muaj qhov mob tshwj xeeb lossis qhov "clicking". Qhov kev kuaj lub cev no feem ntau tuaj yeem kuaj pom tus mob.
Cov kev ntsuam xyuas uas yuav xav tau
- X-ray: Kev thaij duab X-ray tsis tuaj yeem qhia tau qhov o ntawm cov hlab ntsha no. Txawm li cas los xij, kev thaij duab X-ray yuav raug txiav txim kom tshem tawm lwm yam ua rau mob ko taw, xws li pob txha tawg lossis mob pob qij txha.
- Kev Siv Ultrasound: Daim duab no tuaj yeem saib cov nqaij mos, xws li cov hlab ntsha. Nws tuaj yeem pom tseeb tias cov hlab ntsha o thiab tuab.
- Kev thaij duab MRI: Qee zaum, yog tias kev kuaj mob tsis meej, kev thaij duab MRI tuaj yeem muab daim duab meej dua.
Cov kev kho mob rau qhov no yog dab tsi?
Qhov xov xwm zoo yog tias feem ntau cov neeg tsis tas yuav mus phais. Qhov mob no tuaj yeem tswj tau los ntawm kev kho mob yooj yim thiab kev hloov pauv hauv lub neej. Lub hom phiaj tseem ceeb ntawm kev kho mob yog kom txo qhov siab ntawm cov hlab ntsha thiab tswj kev o.
Kev kho mob uas tsis yog phais
1. Hloov khau: Qhov no yog thawj kauj ruam thiab tseem ceeb tshaj plaws .
- Hnav khau uas muaj lub thawv ntiv taw dav.
- Tsum tsis txhob hnav khau siab kiag li los yog tsuas yog hnav rau tej lub sijhawm tshwj xeeb xwb.
- Thaum xaiv khau, xaiv cov khau uas muaj lub ncoo zoo sab hauv thiab xis nyob rau hauv qab.
2. Cov ntaub qhwv khau thiab cov khoom siv kho mob:
- Muaj cov ntaub qhwv tshwj xeeb (metatarsal pads) uas tuaj yeem ua rau qhov chaw ntawm cov pob txha ntawm ko taw nce me ntsis thiab txo qhov siab rau ntawm cov hlab ntsha.
- Qee zaum koj tus kws kho mob yuav pom zoo kom ua cov orthotics tshwj xeeb, uas tau tsim tshwj xeeb los haum koj txhais taw. Cov no muab kev txhawb nqa zoo thiab faib cov kev ntxhov siab kom raug.
3. Tshuaj Tua Kab Mob:
- Yuav kom txo qhov mob thiab o, koj tuaj yeem noj cov tshuaj xws li paracetamol lossis NSAIDs (Cov tshuaj tsis yog steroidal anti-inflammatory) rau lub sijhawm luv luv, raws li koj tus kws kho mob qhia. Txawm li cas los xij, tsis txhob noj cov tshuaj no tas li ntau tshaj 10 hnub yam tsis tau sab laj nrog koj tus kws kho mob .
4. Kev tso dej khov:
- Thaum muaj mob thiab o, muab dej khov rau ntawm qhov chaw mob li 15-20 feeb yuav pab tau zoo heev. Tsis txhob muab dej khov rau ntawm daim tawv nqaij ncaj qha, qhwv nws nrog daim ntaub nyias nyias.
5. Cov tshuaj Cortisone:
- Yog tias cov kev ntsuas saum toj no tsis pab txo qhov mob, koj tus kws kho mob yuav txiav txim siab muab tshuaj corticosteroid txhaj rau tib thaj chaw kom txo qhov o thiab mob sai sai.
Kev phais mob
Tus kws kho mob tsuas yog yuav xav txog kev phais mob yog tias qhov mob tseem tsis tau ploj mus txawm tias muaj kev kho mob lwm yam los xij thiab yog tias qhov mob hnyav heev uas koj ua tsis tau koj tej dej num niaj hnub.
- Kev phais mob hlab ntsha (Nurectomy): Qhov no yog kev txiav thiab tshem tawm qhov uas puas lawm lossis o ntawm cov hlab ntsha. Qhov no yog txoj kev phais mob uas siv ntau tshaj plaws.
- Lwm txoj kev: Qee zaum muaj kev kho mob niaj hnub no uas siv cua txias heev (cryogenic neuroablation) lossis cov nthwv hluav taws xob (radiofrequency ablation) los tiv thaiv cov hlab ntsha kom tsis txhob xa cov cim mob.
Lub sijhawm twg zoo tshaj plaws mus ntsib kws kho mob?
Ib yam li lwm yam kab mob, nws yog ib qho tseem ceeb uas yuav tsum pib kho thaum ntxov, vim tias yog tsis kho, nws tuaj yeem ua rau cov hlab ntsha puas tsuaj mus tas li thiab mob ntev.
Yog tias koj qhov mob ko taw tsis zoo dua hauv ob lub lis piam nrog cov tshuaj yooj yim hauv tsev (piv txwv li, hloov khau, so), yog tias qhov mob hnyav zuj zus, yog tias nws ua rau nws nyuaj rau ua cov haujlwm niaj hnub, lossis yog tias koj hnov mob loog, mus ntsib kws kho mob yam tsis muaj kev ncua.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Morton's Neuroma yog qhov o lossis tuab ntawm cov hlab ntsha ntawm cov ntiv taw. Nws tsis yog mob qog noj ntshav.
- Cov tsos mob tseem ceeb yog mob ntse heev uas zoo li koj tab tom taug kev rau ntawm lub pob zeb lossis pob zeb marble hauv qab ko taw.
- Qhov laj thawj tseem ceeb rau qhov no yog hnav khau siab, nruj, thiab nqaim ntev ntev.
- Feem ntau, tus mob no tuaj yeem kho tau tag nrho los ntawm kev xaiv khau kom raug, so kom txaus, thiab kev kho mob yooj yim los ntawm kws kho mob.
- Yog koj mob ko taw tas li, tsis txhob tsis quav ntsej thiab nrhiav kev kho mob. Koj ob txhais taw coj koj mus txhua qhov chaw, yog li nws tseem ceeb heev uas yuav tsum saib xyuas lawv kom zoo.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus