I kal hian, a bik takin pheikhawk khauh tak ha chungin, lung emaw, hnah te tak te emaw i ke i pen ang maiin i ke kephah ah hian nuam lo leh na i nei em? A chang chuan hmun khata sock hrual ang maiin thil mak tak i nei thin em? Hetiang natna hi a zual zel a, i ke ruhte pawh a na deuh a nih chuan ‘Morton’s Neuroma’ tih natna i nei thei bawk. A hmingin hlau suh. Chutiang chuan a serious lo. Engkim hi awlsam tak leh chiang takin sawi ila.
Morton-a Neuroma hi eng nge ni?
A awlsam zawngin, hei hi i ke ruh inkar a kal nerve a hring emaw, a thim emaw a ni. Interdigital nerve te hi kan ke ruh metatarsal inkar ah a kal a. Heng nerve te hi pressure chhunzawm zel emaw, trauma emaw, compression chi khat emaw an neih chuan nerve tissue chu a thim tan a, a hring tan thin.
Tui pipe-a ke pen nawn leh a, a hrual a, a hring chhuak ang maiin han ngaihtuah teh. Hetiang dinhmun hi i ke ruh pathumna leh palina (i ke ruh te tak te hnaih ber) inkar nerve-ah a awm fo thin .
A pawimawh ber chu, "neuroma" tih hming pu mah se, hei hi cancer tumor a ni lo . Chuvangin ngaihtuah buai a ngai lo tak zet a ni. Heta thil thleng hi tissue thar lo thang lian a ni lo va, mahse nerve awmsa chu a compress a, a hring chhuak zel a ni.
He nerve hring hian i ding emaw, i kal emaw hian natna nasa tak a thlen thei a, pressure a siam thei a ni.
Hetiang natna lan chhuah dan hi engte nge ni?
Morton’s Neuroma symptoms hi hun kal zelah a lo lang zauh zauh tlangpui. A tirah chuan natna tlemte a awm thei a, chu chu i pheikhawk phelh a, i ke i massage hian a reh thei. Mahse, nerve a lo hring deuh deuh chuan symptoms a langsar zual sauh sauh a ni.
Hetiang symptoms lian ber berte hi han thlir ila.
| Symptom a ni | Chu chu engtin nge a ngaih? |
|---|---|
| Kephah hnuai lam natna | Ding emaw, kal emaw a ke ruh inkar a ke ruh na tak, kang na tak. Kekawr chhungah hian lung emaw marble emaw ang chi thil an ke pen ang maiin a lang. |
| Kekawrte hian natna a tizual | A bik takin kekawr hak sang emaw, ke ruh hrual thei pheikhawk tawi emaw bun hian a na nasa hle. Kekawr i phelh hnuah a natna chu a reh deuh deuh thin. |
| Numbness leh hriatna hloh | Kut zungtang natnaah hian tingling sensation (pin leh needle) a awm thei a, a chang chuan chu hmunah chuan a rilru a buai thei bawk. |
| Vung | Pawn lam atanga ke ruh inkar atanga hliam langsar tak hmuh tur awm lo mahse, chhung lam atanga nerve a lo hring chhuak avang hian harsatna engemaw zat i nei thei. |
Engvangin nge hetiang thil hi a lo thlen? A chhan engte nge ni?
Kan sawi tawh ang khan hei hi a chhan ber chu i ke ruh inkar nerve-a rei tak pressure emaw compression emaw vang a ni. Hetiang hlauhawmna tipungtu hi thil engemaw zat a awm.
1. Kekawrte inbel dan dik lo
Hei hi a chhan ber leh a tlangpui ber a ni .
- High heels: High heels i bun hian i taksa rihna zawng zawng chu i ke hmalam lam hawiin a awm a, chu chuan nerve-ah pressure nasa lutuk a siam a ni.
- Kekawr tawi, tight: Kekawr tight leh inhnaih tak i bun hian ke ruh inkar ruhte chu a inzawm khawm a, chu chuan a chhunga nerve kalte chu a compress a ni.
2. Infiamna leh thiltih thenkhat
Hetiang dinhmun hi ke kephah chungah pressure leh trauma awm chhunzawm zeltu thiltih avanga lo awm thei a ni bawk.
- Running: Ke kephah, a bik takin hla taka tlan thinte hian shock an tawk fo thin.
- Tennis leh badminton ang chi infiamna: Heng infiamna chi hrang hrangah hian i ke hmalam atanga leiah pressure i pek a ngai fo thin.
- Dancing: Dancing , a bik takin ballet hian ke ruhroah pressure nasa tak a siam a.
3. Ke position lama harsatna dang
I ke pianzia emaw, a awmna hmun emaw-ah harsatna a awm chuan hei hian nerve-te pressure a tipung thei bawk.
- Flat feet: Ke arch a awm loh a, a kephah a flat chuan i kal dan a danglam thei a, nerve-ah pressure a awm thei bawk.
- High arch feet: Hei hian kea instability a thlen thei bawk a, pressure a ti sang thei bawk.
- Bunions: Hetiang dinhmun hian ke ruh lian (big toe joint) a ti na a, chu chuan ke ruh chu a inzawm khawm thei a ni.
- Hammertoes: Ke ruhte chu a laiah a inbeng kang thin. Hei hian pressure imbalance a thlen bawk.
Engtin nge hei hi i hmuh theih, Doctor?
Doctor i pan hunah i symptoms te a zawt hmasa ang che. Thil tam tak a zawt ang che, chu chu natna chu eng chen nge a awm tawh tih te, engtikah nge a zual zel tih te, eng ang pheikhawk nge hak nuam lo tih te, leh rilru hahna a awm em tih te a zawt ang che.
Tichuan, doctor chuan i ke chu uluk takin a enfiah ang. I ke kephah leh i ke ruh inkar hmun chu a hmet ang a, natna bik emaw "click" tih hriatna emaw a awm leh awm loh a enfiah ang. He taksa enfiahna hian a natna chu a hriat theih fo thin.
Test a ngai mai thei
- X-ray: X-ray hian nerve a hring chhuak tih a lantir thei lo. Mahse, ke natna thlentu dang, stress fracture emaw, arthritis emaw tih loh nan X-ray tih tir theih a ni.
- Ultrasound: He scan hian soft tissue, nerve ang chi te a en thei a. Nerve hring leh thick te chiang takin a lantir thei.
- MRI scan: A then phei chuan diagnosis a chiang lo a nih chuan MRI scan hian thlalak chiang zawk a pe thei a ni.
Hei hi eng enkawlna nge ni?
Thu lawmawm tak chu mi tam zawk hian surgery kal a ngai lo. He natna hi enkawlna awlsam tak leh nunphung thlak danglam hmanga enkawl theih a ni. Enkawlna tum ber chu nerve-a pressure tihtlem leh swelling control hi a ni.
Surgery hmanga enkawlna ni lo
1. Kekawr thlak: Hei hi a pawimawh ber leh a hmasa ber a ni .
- Kekawrte chu ke ruh box zau tak nei ha la.
- High heels hak hi bansan vek la , a nih loh leh hun bik atan chauh tihkhawtlai rawh.
- Kekawr i thlan dawnin kekawr chhung lam cushioning tha tak nei leh kekawr bul tan nuam tak thlang rawh.
2. Kekawrte leh orthotics:
- Ke ruh inkar hmun chu tlem a tizau thei a, nerve-a pressure tihziaawm thei tur special pads (metatarsal pads) a awm bawk.
- A châng chuan i doctor chuan i ke nena inmil tûra siam bik orthotics, custom-made orthotics a rawn rawt ṭhin. Chungte chuan thlawpna tha tak an pe a, pressure pawh inang tlangin an sem darh bawk.
3. Natna tidam thei: 1.1 .
- Natna leh hliam tihziaawm nan doctor-in a tih angin, hun rei lote chhung atan damdawi paracetamol emaw NSAIDs (Nonsteroidal anti-inflammatory drugs) emaw i ei thei a ni. Mahse, doctor rawn hmasa lovin ni 10 aia rei heng damdawi te hi ei chhunzawm zel suh .
4. Ice dahna hmun:
- Natna leh hliam a awm chuan minute 15-20 chhung vel ice hnawih hian a ti hahdamna tha tak a pe thei a ni. Ice hi vunah direct-in hnawih lo la, puan te tak te in khuh rawh.
5. Cortisone hmanga kah chhuah:
- A chunga kan sawi takte hian natna a tiziaawm lo a nih chuan, i doctor chuan a hmun khatah corticosteroid injection pek a tum mai thei a, chu chuan rang takin a hring leh natna a tihziaawm thei a ni.
Inzai
Doctor chuan enkawlna dang zawng zawng karah pawh natna a reh loh chuan leh nitin hnathawh i tih theih loh khawpa na a nih chuan operation tih chauh a ngaihtuah ang.
- Neurectomy: Hei hian nerve chhia emaw, a hring emaw chu tan a, lakchhuah a ni. Hei hi surgery tih dan tlangpui a ni.
- Thiltih dan dang: A châng chuan tunlai enkawlna a awm a, chu chu nerve-in natna signal a thawn loh nân khaw lum lutuk (cryogenic neuroablation) emaw, electrical wave (radiofrequency ablation) emaw hmangin a titawp thei a ni.
Doctor hmuh hun tha ber chu eng nge ni?
Natna dang ang bawkin enkawl tan hmasak a pawimawh a, enkawl loh chuan nerve tichhe reng thei leh natna rei tak a thlen thei a ni.
In lama damdawi awlsam tak tak (e.g., pheikhawk thlak, chawlh hahdam) hmanga kar hnih chhunga i ke natna a reh loh chuan, a na zual zel a nih chuan, nitin hnathawh a harsat phah a nih chuan, emaw, i ke natna i neih chuan tihkhawtlai lohvin doctor pan tur a ni.
Take-Home Thuchah a ni
- Morton’s Neuroma hi ke ruh inkar nerve a hring emaw, a thick emaw a ni. Cancer a ni lo.
- A lan chhuahna ber chu ke ruh hnuaia lung emaw marble emaw ke pen ang maia natna nasa tak a ni.
- Hei hi a chhan ber chu pheikhawk kekawr sang tak, tight, narrow rei tak hak vang a ni.
- Vawi tam tak chu, he natna hi kekawr thlan dik, chawlh hahdam leh doctor hnen atanga enkawlna awlsam tak hmanga tihdam vek theih a ni.
- Ke na reng reng i neih chuan ngaihthah suh la , doctor thurawn la rawh. I ke hian hmun tinah a hruai che a, chuvangin uluk taka enkawl a pawimawh.
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