Kodi mulinso ndi chala chachikulu cham'manja cholimba komanso chopweteka? Tiyeni tiphunzire za opaleshoni ya Cheilectomy

Kodi munayamba mwamvapo ululu wosapiririka pa chala chanu chachikulu cham'mapazi mukamayenda, makamaka mukamavala nsapato zolimba? Mumamva ngati simungathe kupindika chala chanu bwino, chimamveka cholimba, cholimba ... chimamveka ngati chakodwa mumwala. Ngakhale mungaganize kuti izi ndi zachilendo, zitha kukhala chifukwa cha vuto lomwe lili m'malo olumikizirana chala chanu chachikulu cham'mapazi. Lero, tikulankhula za opaleshoni yotchedwa `Cheilectomy`, yomwe imagwiritsidwa ntchito padziko lonse lapansi ngati yankho labwino pa vutoli.

Mwachidule, kodi Cheilectomy ndi chiyani?

Chabwino, tiyeni tifotokoze mwachidule. Cheilectomy (yomwe imatchedwa 'kee-lek-to-mee') ndi opaleshoni yomwe imaphatikizapo kuchotsa mafupa owonjezera (otchedwa 'bone spurs' ) omwe amakula pamwamba pa chala chachikulu. Taganizirani izi ngati chotchinga cha chitseko chomwe chimalepheretsa chala chanu chachikulu kupindika kapena kusuntha bwino. Chifukwa chake, pochotsa mafupa opindika, chala chanu chachikulu chimatha kupindika ndikusunthanso momasuka.

Kodi Cheilectomy imachitidwa pa matenda otani?

Opaleshoni iyi imachitika makamaka pa vuto lotchedwa `Hallux Rigidus` . Izi zikutanthauza ``chala chachikulu cholimba`` . ``Hallux`` amatanthauza chala chachikulu, ``Rigidus`` amatanthauza kuuma. Iyi ndi matenda otupa a mafupa omwe amapezeka m'malo olumikizirana mafupa a chala chanu chachikulu (monga ``metatarsophalangeal (MTP) joint``). Kunena zoona, uwu ndi mtundu wa ``osteoarthritis`` womwe umakhudzanso mafupa monga mawondo ndi chiuno.

Mukakhala ndi vuto lotchedwa `Hallux Rigidus`, mafupa opweteka (osteophytes) amayamba kupangika pamwamba pa malo olumikizirana mafupa. Mafupa amenewa ndi omwe amachititsa kuti khungu lituluke pamwamba pa malo olumikizirana mafupa. Choncho mukavala nsapato zanu, mafupawa amamatira pamwamba pa nsapato, zomwe zimapangitsa ululu wosapiririka. Patapita kanthawi, ululuwu ukhoza kupangitsa kuyenda kukhala kovuta komanso kopweteka.

Kodi aliyense ayenera kuchitidwa opaleshoni?

Ayi. Dokotala sangakulimbikitseni opaleshoni nthawi yomweyo akangodziwa kuti muli ndi vutoli. Choyamba adzayesa kuchepetsa ululu pogwiritsa ntchito njira zina popanda opaleshoni ndikukupatsani mpumulo. Opaleshoni ndi njira yomaliza ngati zina zonse zalephera.

Mankhwala omwe nthawi zambiri amalangizidwa musanachite opaleshoni ndi awa:

Ngati ululu wanu sunathe ngakhale mutalandira chithandizochi, ndipo mukupitirizabe kukhala ndi vuto lochita zinthu za tsiku ndi tsiku, ndiye kuti dokotala wanu adzakulankhulani za opaleshoni ya `Cheilectomy`.

Kodi Opaleshoni ya Cheilectomy ndi Bunion ndi Zinthu Zosiyana?

Inde, pali kusiyana koonekeratu pakati pa ziwirizi. Anthu ambiri amasokoneza ziwirizi. Zonse ziwiri zimafuna kuchotsa fupa lochulukirapo, koma kusiyana kwakukulu kuli pa malo a fupa.

Tangoganizani kuti cholumikizira cha chala chanu chachikulu cha phazi ndi chipinda.

• Cheilectomy ndi opaleshoni yomwe imachitidwa pa chotupa chomwe chili padenga la hallux. Izi zimaphatikizapo kuchotsa mafupa omwe amapangika pamwamba pa cholumikizira. Vutoli limatchedwa Hallux Rigidus.
• Opaleshoni ya bunion `(Bunionectomy)` imachitidwa pa chotupa chomwe chili pakhoma la mbali ya hallux valgus. Izi zikutanthauza kuti chotupa cha fupa `(bunion)` chomwe chimapangidwa mbali (mbali yamkati) ya cholumikizira chimachotsedwa. Tikutcha vutoli `Hallux Valgus`.

Mwachidule, mtundu wa opaleshoni yomwe imachitika imadalira ngati fupa lili pamwamba kapena m'mbali mwa cholumikizira.

Kodi chimachitika ndi chiyani opaleshoni isanachitike?

Musanasankhe tsiku loti muchite opaleshoni, dokotala wanu adzakuyang'anirani mosamala.

• Kuwunika thupi: Choyamba, adzafufuza mosamala momwe mungapindire chala chanu chachikulu cha chala mmwamba ndi pansi, momwe chimapwetekera mukachipinda, komanso ngati pali kutupa kulikonse.
• Kuyezetsa X-ray: Kenako X-ray imatengedwa kuti ione momwe vuto lilili mkati mwa cholumikizira, kuchuluka kwa cartilage yomwe yatha, komanso kukula kwa mafupa. Chidziwitsochi chimagwiritsidwa ntchito kudziwa ngati opaleshoni ndi yoyenera kwa inu.

Tiyeni tikambirane pang'ono za momwe opaleshoniyi imachitikira.

Pa opaleshoni, kudula pang'ono kumapangidwa pamwamba pa phazi lanu, pamwamba pa phazi lalikulu la chala. Kenako, kudzera mu kudulako, amachotsa mosamala zidutswa za mafupa zomwe zimakulepheretsani kupinda chala chanu cha chala.

Opaleshoni iyi ingachitike m'njira ziwiri zazikulu:

1. Kutsegula Cheilectomy

Pachifukwa ichi, kudula kwakukulu pang'ono kumapangidwa, cholumikiziracho chimatsegulidwa kuti chiwonekere bwino, ndipo mafupa amachotsedwa.

2. Kuchotsa Cheilectomy Kosavulaza Kwambiri

Mu njira iyi, m'malo mocheka kwambiri, mabowo ang'onoang'ono angapo amapangidwa pakhungu. Kenako, chipangizo chapadera chotchedwa 'burr' chimayikidwa kudzera m'mabowo amenewo kuti chiphwanye ndikuchotsa mafupa. Ubwino wa njira iyi ndikuti pali zipsera zochepa ndipo mwina nthawi yochira imachepa pang'ono.

Dokotala wanu adzasankha njira yoyenera kwa inu.

Kodi chimachitika ndi chiyani pambuyo pa opaleshoni?

Iyi nthawi zambiri si opaleshoni yaikulu yomwe imafuna kukhala m'chipatala kwa masiku angapo, kotero mutha kupita kunyumba madzulo omwewo ( opaleshoni yakunja ).

• Nsapato yapadera: Mukapita kunyumba, muyenera kuvala nsapato yapadera kwa milungu ingapo pamene phazi lanu likuchira. Izi zidzakuthandizani kuchepetsa kulemera pamalo ochitira opaleshoni.
• Kuchepetsa ululu: Pofuna kuchepetsa ululu, dokotala angakulangizeni mankhwala ochepetsa ululu monga ibuprofen kapena acetaminophen.
• Kutupa: Mwendo wanu ukhoza kutupa pang'ono. Ndi bwino kusunga mwendo wanu mmwamba momwe mungathere.

Kodi ubwino wa opaleshoniyi ndi wotani?

Ubwino waukulu wa opaleshoni ya `cheilectomy` ndi mpumulo.

Kodi palibe zoopsa kapena zovuta?

Monga momwe zimakhalira ndi opaleshoni iliyonse, pali zoopsa zina zomwe zimachitika. Komabe, izi sizichitika kawirikawiri, ndipo madokotala amachita zonse zomwe angathe kuti achepetse.

• Ululu wopitirira: Anthu ena angakhalebe ndi ululu akamapinda chala chawo atachitidwa opaleshoni.
• Kufunika kwa opaleshoni yowonjezera: Nthawi zina, ngati vuto la `Hallux Rigidus` likuipiraipira, mungafunike kuchitidwa opaleshoni yowonjezera kuti muchiritse. Mwachitsanzo:
• Njira yochizira matenda a arthrodesis ndi opaleshoni yomwe imagwirizanitsa mafupa a chiwalo chimodzi.
• Opaleshoni yochepetsera kupanikizika pa khosi lovulala la cholumikizira (Moberg osteotomy surgery) .
• Mavuto ena: Monga momwe zimakhalira ndi opaleshoni iliyonse, pali mwayi wochepa woti munthu atenge matenda ndi zipsera. Muthanso kumva kupweteka pansi pa phazi lanu.

Musadandaule ndi izi. Dokotala wanu adzakambirana nanu momveka bwino nkhaniyi musanachite opaleshoni.

Kodi zitenga nthawi yayitali bwanji kuti ndichire? Kodi ndingabwerere liti kuntchito?

Nthawi yochira imasiyana malinga ndi munthu.

• Kutupa: Mwendo wanu ukhoza kutupa pang'ono kwa milungu ingapo, kapena miyezi ingapo, mutachita opaleshoni. Izi ndi zachilendo.
• Nsapato: Nsapato zapadera zimenezo ziyenera kuvalidwa kwa milungu iwiri kapena kuposerapo , mpaka dokotala atakuuzani kuti muzivale.
• Kubwerera kuntchito: Anthu ambiri amatha kubwerera kuntchito mkati mwa mwezi umodzi kapena iwiri . Komabe, ngati ntchito yanu imafuna kuyenda kwambiri kapena kuyimirira, kapena ngati ululu wanu ndi kutupa kwanu kwakula kwambiri, zingatenge nthawi yayitali kuti mubwerere kuntchito. Ndi bwino kukambirana izi ndi dokotala wanu.

Mukafunika kuonana ndi dokotala mwachangu

Mukapita kunyumba mutachita opaleshoni, samalani ndi zizindikiro izi. Ngati muli ndi chimodzi mwa izi, imbani dokotala wanu nthawi yomweyo.

• Ngati khungu lozungulira chotupacho ndi lofiira kwambiri .
• Ngati malo amenewo atupa kwambiri .
• Ngati madzi achikasu ngati mafinya atuluka m'chidutswacho.
• Ngati muli ndi ululu wosapiririka ngakhale mukumwa mankhwala ochepetsa ululu kapena ngati ululuwo ukukulirakulira tsiku ndi tsiku.
• Ngati muli ndi malungo .

Izi zitha kukhala zizindikiro za matenda, choncho ndikofunikira kupeza chithandizo mwachangu.