Kodi muli ndi chotupa pa chala chanu chachikulu cha chala? Tiyeni tikambirane za bunion iyi (Hallux Valgus)!

Kodi munayamba mwaonapo fupa laling'ono looneka ngati chiphuphu likutuluka pansi pa chala chanu chachikulu chala? Mwina munakumanapo ndi izi nokha, kapena munawonapo munthu amene mumamudziwa akuchita. Izi ndi zomwe nthawi zambiri timazitcha 'bunion'. Tiyeni tikambirane za izi mwatsatanetsatane lero, chifukwa zimakhudza anthu ambiri.

Kodi bunion ndi chiyani? Kodi Hallux Valgus ndi chiyani kwenikweni?

Mwachidule, bunion ndi fupa lomwe limakula pansi pa chala chanu chachikulu cha chala, komwe chala cha chala chimalumikizana ndi mwendo, chomwe chimadziwika kuti metatarsophalangeal joint (MTP joint) . Chimawoneka ngati chotupa chaching'ono chonga mpira. Nthawi zambiri chimakula mkati mwa chala chachikulu cha chala. Mwachipatala, timachitcha Hallux Valgus .

Tangoganizirani, chala chanu chachikulu cha phazi chimakokedwa pang'onopang'ono ku zala zina zamanja, kenako cholumikiziracho chimatuluka. Kutuluka kumeneko kumatchedwa bunion.

Ngati mukumva ngati muli ndi chotupa chonga ichi pa chala chanu chachikulu chamanja, makamaka ngati chikukupangitsani kupweteka kapena dzanzi m'zala zanu, muyenera kuwonana ndi dokotala . Chifukwa n'kosavuta kuchiza ngati chapezeka msanga.

Kodi pali mitundu yosiyanasiyana ya ma bunion?

Inde, pali mitundu ingapo ya ma bunion. Mtundu wofala kwambiri womwe timawona ndi womwe umayamba chifukwa cha kukakamizidwa kwa chala chachikulu cha chala. Komabe, ma bunion amathanso kukula pa zala zina za chala komanso pazifukwa zina. Nazi mitundu ina:

• Congenital Hallux Valgus: Izi zingamveke zachilendo, koma ana ena amabadwa ndi ziphuphu. Izi ndi vuto lomwe limakhalapo kuyambira kubadwa.
• Achinyamata kapena Achinyamata Hallux Valgus: Iyi ndi mitundu ya ma bunion omwe amapezeka mwa ana ndi achinyamata osakwana zaka 18. Vutoli limathanso kuchitika pa msinkhu uwu.
• Bunion ya Tailor kapena Bunionette: Izi zimachitika pansi pa chala chanu chaching'ono cha chala. Musadabwe ndi dzinali, limatchedwa chifukwa osoka anali kukhala pamalo omwewo kwa maola ambiri, zomwe zimapangitsa kuti chala chawo chachikulu cha chala chikhale chopanikizika. Izi nthawi zambiri zimachitika chifukwa chovala nsapato zosakwanira kapena kuchita zinthu zomwe zimakankhira chala chanu chachikulu cha chala motsutsana ndi zala zina zaching'ono.

Kodi vuto limeneli limatchedwa bunion ndi lofala bwanji?

Izi zimachitika kawirikawiri kuposa momwe mungaganizire. Kafukufuku akusonyeza kuti m'maiko ngati United States, pafupifupi munthu m'modzi mwa atatu aliwonse ali ndi ziphuphu. Matendawa amathanso kuonekera m'dziko lathu, makamaka pakati pa akazi ndipo amatha kuonekera akamakula.

Kodi zizindikiro za bunion ndi ziti?

Kawirikawiri chizindikiro chachikulu ndi chotupa chomwe chili pansi pa chala chachikulu cha chala. Mutha kuchiwona ndikumva. Kuphatikiza apo, pakhoza kukhala zizindikiro zina monga:

• Kupweteka kapena kuuma kwa chala chachikulu cham'manja. Kungapweteke pongoyima kapena poyenda.
• Pakhoza kukhala kutupa ndi kufiira mozungulira chotupacho.
• Nthawi zina pamakhala kusintha kwa mtundu kapena kufiira .
• Kulephera kupindika kapena kusuntha chala chachikulu cha chala bwino. Nthawi zina pangakhale kutentha mukapinda chalacho.
• Kuvuta kuvala mitundu ina ya nsapato , kapena kupweteka kwambiri mukavalira nsapato. Izi zimaonekera makamaka mukavalira nsapato zopapatiza kutsogolo.
• Chimanga kapena makwinya ndi zotupa za pakhungu zomwe zimakhuthala. Izi zimatha kumera pa bunion kapena pakati pa zala.
• Zala za hammer ndi vuto lomwe mafupa ndi minofu ya zala zimakhala zolimba komanso zopindika, zofanana ndi tendon ya Achilles. Bunion ingayambitsenso zala zina kusintha mawonekedwe.
• Kusanza kuzungulira chala chachikulu cham'manja.

N’chifukwa chiyani timapeza ma bunion?

N'zovuta kunena kuti pali chifukwa chimodzi chokha chomwe chimayambitsa ma bunion. Zingakhale kuphatikiza kwa zifukwa zingapo . Taganizirani ngati mndandanda wa zochitika zogwirizana.

Zinthu zazikulu zomwe zimakhudza ndi izi:

• Mbiri ya banja: Ngati wina m'banja mwanu, monga amayi anu, abambo anu, agogo anu, kapena agogo anu, ali ndi ziphuphu, inunso muli ndi mwayi waukulu woti mudwale ziphuphuzo. Izi zimachokera ku majini.
• Kapangidwe ka mafupa kosazolowereka: Anthu ena amakhala ndi vuto la ma bunion chifukwa cha momwe mafupa awo alili m'miyendo yawo.
• Kusankha nsapato: Ichi ndiye chinthu chofunikira kwambiri komanso chomwe tingathe kuchilamulira. Makamaka kwa akazi, nsapato zazitali komanso mabokosi a zala zazing'ono zimakakamiza kwambiri chala chachikulu, ndikuchikankhira ku zala zina. Ngati izi zitachitika kwa nthawi yayitali, bunion imatha kupangika.
• Mmene mumayendera (Makina a mapazi): Makina a mapazi anu, ndiko kuti, momwe mumayikira phazi lanu pansi, angakhudzenso momwe mumaikira kulemera pa phazi lanu.
• Matenda ena otupa: Mwachitsanzo, anthu omwe ali ndi matenda a mafupa monga nyamakazi kapena lupus ali pachiwopsezo chachikulu chotenga ma bunions.
• Kuyimirira kwa nthawi yayitali kapena kugwira ntchito zomwe zimakupangitsani kulemera kwambiri.

Mwachidule, phazi lanu lalikulu la chala limapanikizika nthawi zonse kwa nthawi yayitali (mwina zaka). Chomwe chimachitika ndichakuti kupanikizika kumakankhira pang'onopang'ono phazi lanu patsogolo ndikulikoka kupita ku zala zina zala. Pamapeto pake, pamene chala chanu chikutambasuka choncho, chotupa chimapangika pa phazi la MTP pamene thupi lanu likuyesera kusintha.

Ndani ali pachiopsezo chachikulu chotenga matenda a bunion?

Aliyense akhoza kudwala matenda a bunion, koma magulu ena ali pachiwopsezo chachikulu:

• Kwa akazi: Akazi ndi omwe amakhala ndi vuto la kutopa kwambiri kuposa amuna. Nthawi zambiri, nsapato zolimba komanso zolunjika zomwe zimavalidwa m'mafashoni zimatha kukhala chifukwa, sichoncho?
• Mphamvu ya majini : Monga tanenera kale, ngati makolo ali ndi matenda a bunion kapena matenda ena a mapazi, ana awo nawonso akhoza kukhala nawo. Zapezeka kuti anthu opitilira 70% omwe ali ndi bunion ali ndi makolo omwe ali ndi vutoli.
• Kwa iwo omwe adavulala miyendo kale: Anthu omwe amavulala miyendo yawo nthawi zambiri, monga othamanga, nawonso ali pachiwopsezo chachikulu.

Kodi bunion ingayambitse mavuto ena?

Inde, kukhala ndi bunion kungapangitse kuti pakhale matenda ena monga:

• Bursitis: Apa ndi pamene matumba odzaza madzi ozungulira malo olumikizirana mafupa, otchedwa bursa, amatupa ndi kupweteka. Izi zikachitika pa bunion, ululu umakula kwambiri.
• Zala za Hammer: Chifukwa cha kukula kwa chala chachikulu cham'manja, zala zachiwiri ndi zachitatu zimathanso kutambasulidwa ndikupindika ngati nyundo.
• Matenda a nyamakazi: Izi zikutanthauza kuwonongeka ndi kung'ambika kwa mafupa. Bunion ingayambitse kufooka kwa mafupa a mafupa omwe ali mu MTP, zomwe zimapangitsa kuti mafupa agwire ntchito.

Kodi mungadziwe bwanji ngati muli ndi bunion?

Dokotala adzakuyezani kuti adziwe ngati muli ndi bunion. Iye adzayang'ana phazi lanu, adzakhudza chala chanu chachikulu cham'manja, ndikukufunsani za zizindikiro zanu. Muyenera kudziwa momveka bwino nthawi yomwe mwakhala ndi bunion, zochita zomwe zimapangitsa kuti ikhale yoipa, komanso ngati pali aliyense m'banja mwanu amene ali ndi vutoli.

Mungafunikenso kuonana ndi dokotala wa mapazi, dokotala amene amadziŵa bwino mavuto a mapazi.

Ndi mayeso ati omwe amachitidwa kuti adziwe matenda a bunion?

Nthawi zambiri, sipafunika mayeso akuluakulu kuti mupeze matenda a bunion. Komabe, dokotala wanu angakupatseni ma X-ray kuti aone malo a mafupa a phazi lanu, kutalika kwa chala chanu chachikulu cha phazi poyerekeza ndi zala zina zala, komanso momwe cholumikizira cha MTP chilili. Ma X-ray ndiyo njira yokhayo yodziwira bwino vutoli, makamaka ngati opaleshoni ikuganiziridwa.

Kodi mankhwala a bunions ndi otani?

Chithandizo cha ma bunion chimadalira kuchuluka kwa ululu womwe muli nawo, kukula kwa bunion, komanso momwe zimakhudzira moyo wanu watsiku ndi tsiku. Onani, pali zinthu zina zomwe tingachite tokha.

• Sinthani nsapato zanu: Ichi ndi chinthu choyamba kuchita. Kusintha nsapato zokhala ndi mabokosi akuluakulu komanso akuya a zala kungathandize kuchepetsa kupanikizika kwa zala zanu. Pewani nsapato zopingasa komanso zolimba. Palinso zipangizo zotambasula zomwe zingakuthandizeni kukulitsa nsapato zomwe mwavala kale.
• Ma Bunion pads ndi tepi: Ma Bunion pads, omwe amapezeka m'masitolo ogulitsa mankhwala, amatha kuyikidwa mozungulira bunion kuti achepetse kupsinjika ndi kukangana kwa nsapato. Dokotala wanu angakulangizeni kugwiritsa ntchito tepi yachipatala kuti mugwire zala zanu m'malo mwake.
• Zipangizo Zothandizira Kusamalira Mapazi: Zothandizira Mapazi ndi zipangizo zomwe zimayikidwa mkati mwa nsapato zanu kuti zithandizire phazi lanu. Izi zitha kukhala zothandizidwa ndi dokotala kapena zopangidwira mwapadera. Dokotala wanu angakulangizeninso kuti muyike kamphindi kakang'ono pakati pa chala chanu chachikulu ndi chala chanu chachiwiri. Mungafunikenso kugwiritsa ntchito chopachika kuti chala chanu chachikulu chikhale chowongoka pamene simukuvala nsapato (makamaka usiku).
• Mankhwala ochepetsa ululu : Mankhwala oletsa kutupa omwe si a steroidal (NSAIDs) , monga ibuprofen , angathandize kuchepetsa ululu ndi kutupa. Mankhwalawa angatengedwe ngati mapiritsi kapena ngati NSAIDs. Koma kumbukirani, musamwe NSAID kwa masiku opitilira 10 popanda upangiri wa dokotala.
• Aisi: Kupaka paketi ya ayezi pa chala chopweteka kwa mphindi 15-20 kangapo patsiku kungathandizenso kuchepetsa ululu. Komabe, musaike paketi ya ayeziyo pakhungu mwachindunji, koma ikulungeni mu nsalu yopyapyala.
• Jakisoni wa Corticosteroid: Ngati kutupa ndi ululu zili zazikulu, dokotala wanu angakupatseni jakisoni wa corticosteroid mu bunion. Awa ndi mankhwala olembedwa ndi dokotala omwe amachepetsa kutupa mwachangu.
• Kuchiza ndi thupi : Mutha kugwira ntchito ndi katswiri wothandiza thupi kuti mulimbitse minofu ya miyendo yanu, kuwonjezera kuyenda kwa mafupa, komanso kuchepetsa ululu. Angakuphunzitseni masewera olimbitsa thupi ndi kutambasula zala zanu kuti zikuthandizeni kusunga zala zanu pamalo oyenera.
• Opaleshoni :Ngati mankhwala ena sanathandize kwa miyezi ingapo, kapena ngati ululu uli waukulu kwambiri moti simungathe kuyenda kapena kuchita zinthu zanu za tsiku ndi tsiku chifukwa cha bunion, dokotala wanu angakulangizeni opaleshoni yokonza bunion . Pali mitundu ingapo ya opaleshoni. Dokotala wanu kapena dokotala wanu adzakuuzani mtundu wa opaleshoni yomwe mukufuna komanso tsatanetsatane wake.

Kodi ma bunion amachira okha?

Ayi, ma bunion sachira okha, ndipo simungathe kuwachiza nokha. Bunion ndi kusintha kwa kapangidwe ka mafupa. Kuti musinthe, muyenera thandizo lachipatala. Ngati muli ndi bunion, onetsetsani kuti mwaonana ndi dokotala kapena dokotala wa mapazi. Pokhapokha mutapezeka ndi matenda oyenera ndikuyamba chithandizo chomwe chingachepetse zizindikiro zanu.

Kodi bunion ingapewedwe?

Popeza ma bunion amatha kukula pazifukwa zosiyanasiyana (makamaka majini), n'zovuta kuwaletsa kwathunthu. Komabe, kuvala nsapato zoyenera bwino ndikukhala ndi moyo wabwino pamapazi anu kungathandize kuchepetsa kukula kwa ma bunion kapena kuwaletsa kuti asakule kwambiri. Kawirikawiri, tsatirani malangizo awa kuti musankhe nsapato zoyenera komanso zomasuka pamapazi anu:

• Pewani kuvala nsapato zopapatiza kwambiri, zopingasa, komanso zazitali - makamaka ngati zikukukanikizani zala. Awa ndi adani anu akuluakulu!
• Ngakhale mutadziwa kukula kwa nsapato zanu, yesani nsapato zingapo kuti mupeze yomwe ikukwanirani bwino . Chifukwa si nsapato zonse zomwe zimakhala ndi kukula kofanana, kuchokera ku mtundu wina kupita ku wina.
• Musanagule nsapato zatsopano , yesani kuzivala mwa kukhala pansi, kuyimirira, ndi kuyenda pang'ono . Yang'anani ngati zala zanu zapweteka, zapindika, kapena zapindika mwanjira iliyonse. Payenera kukhala malo ochepa pakati pa nsapato ndi chala chanu chachitali kwambiri.
• Mungapeze nsapato yoyenera bwino pogula nsapato kumapeto kwa tsiku , chifukwa mapazi anu amatupa pang'ono tsiku lonse ndipo amakula pang'ono madzulo kuposa m'mawa.

Dokotala wanu kapena dokotala wa mapazi angakulangizeni mtundu wabwino kwambiri wa nsapato kapena mtundu wa mapazi anu. Ngati muli ndi mavuto ena a kapangidwe ka mapazi anu, monga mapazi osalala kapena ma arches ataliatali , funsani dokotala wanu ngati mukufuna ma orthotics kuti mupewe ma bunion.

Kodi munthu amene ali ndi matenda a bunion angayembekezere chiyani?

Anthu ambiri omwe ali ndi matenda a bunion amatha kuthana ndi zizindikiro zawo ndipo amakhala osakhudzidwa kwambiri ndi zochita zawo za tsiku ndi tsiku. Dokotala wanu adzagwira nanu ntchito kuti apeze njira zosiyanasiyana zochizira zomwe zingathandize kuchepetsa zizindikiro zanu ndikuthandiza mapazi ndi zala zanu kukhala athanzi komanso olimba.

Chofunika kwambiri ndichakuti, ngati muli ndi zizindikiro za bunions, musachedwe kupita kwa dokotala.Mukayamba chithandizo mwachangu, mwayi wanu wowongolera zizindikiro zanu popanda kufunikira opaleshoni umakhala wabwino.

Anthu omwe adachitidwa opaleshoni ya bunion nthawi zambiri amatha kuyambiranso ntchito zawo zonse mkati mwa miyezi iwiri kapena itatu , koma zingatenge nthawi yayitali kuti achire mokwanira.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati muwona chimodzi mwa zizindikiro izi, pitani kwa dokotala kapena dokotala wa mapazi mwamsanga :

• Kupweteka pafupipafupi m'miyendo kapena zala zanu.
• N'zovuta kuyenda kapena kugwedeza zala zanu .
• Chotupa chooneka pansi pa chala chachikulu cha chala (kaya chikupweteka kapena ayi).
• Kutupa, kufiira, kapena kutentha mkati kapena mozungulira zala.
• Kusamva bwino kapena kutayika kwa kumva m'zala.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Mukakumana ndi dokotala, mutha kufunsa mafunso ngati awa kuti mumvetse bwino zomwe zikuchitika:

• N’chifukwa chiyani ndinapeza bunion iyi? Kodi ndi vuto ndi mawonekedwe a phazi langa?
• Kodi ndi chithandizo chamtundu wanji chomwe chili chabwino kwa ine? Kodi ndiyenera kuchitidwa opaleshoni?
• Kodi tingayembekezere mpumulo kwa nthawi yayitali bwanji kuchokera ku mankhwala awa?
• Kodi ndingatani kuti ndipewe kukula kwa bunion pa mwendo wanga wina?
• Kodi ndiyenera kupewa kuvala nsapato zamtundu wina uliwonse?
• Ndi masewera olimbitsa thupi ati omwe ndingachite kunyumba?

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Matenda a bunion, kapena hallux valgus, ndi vuto lofala kwambiri la phazi. Amachitika pamene chala chanu chachikulu cha phazi chachotsedwa pamalo ake achilengedwe, kupita ku zala zina za phazi. Pamapeto pake, chotupa cha mafupa chingapangidwe pamalo olumikizirana pomwe chala chanu chachikulu cha phazi chimalumikizana ndi phazi lanu.

Ngati bunion ikukupwetekani kapena ikusokoneza zochita zanu za tsiku ndi tsiku, ndikofunikira kupeza chithandizo . Zingakhale zosavuta monga kusintha mtundu wa nsapato zomwe mumavala, koma kuti mupeze bunion, muyenera kuwona dokotala kapena dokotala wa mapazi. Dokotala wanu akhoza kukupatsani chithandizo chomwe chingakuthandizeni kuchepetsa zizindikiro zanu ndikukuthandizani kubwerera ku zochita zomwe mumakonda. Ndi bwino kufunsa upangiri mwachangu momwe mungathere, osazengereza!