Ese ikirenge cyawe kinini cyatangiye kubabara mu buryo butunguranye? Reka twige kuri iki "Toe y'ikirenge"!

Ushobora kuba ukunda kwiruka no gusimbuka, cyangwa wenda uri umukinnyi w’imikino ngororamubiri, sibyo? Bite ho niba ugize ububabare bukabije no kubyimba ikirenge cyawe kinini? Cyangwa se bite ho niba ububabare mu ikirenge cyawe kinini bugenda bwiyongera kugeza aho utabasha no kugenda neza? Ese hari ikintu nk'icyo cyakubayeho? Niba ari uko bimeze, ushobora kuba ufite indwara yitwa "Ikirenge cy’ikirenge." Reka tubiganireho birambuye uyu munsi.

Mu magambo make, "Turf Toe" ni iki?

"Ikirenge cy'urubura" mu buryo bw'ukuri ni ugukomereka ku ngingo nkuru y'ikirenge cyawe kinini, metatarsophalangeal cyangwa MTP . Tekereza kuri ibi, iyo uri kwiruka, iyo ikirenge cyawe kinini kiri hasi kandi agatsinsino kawe kazamuwe, ikirenge kinini gikubita inyuma cyane, cyangwa gitera hejuru cyane . Ni bwo iki kibazo kibaho. Iyo ikirenge kinini gikubita kure cyane, ingingo zoroshye n'imitsi , ari byo bihuza amagufwa, hafi y'iyo ngingo bishobora kurambura cyangwa gucika. Ibi ni byo twita "gucika kw'ikirenge."

Iyi ndwara ikunze kugaragara cyane mu bakinnyi b'umupira w'amaguru bo muri Amerika. Impamvu ni uko bakunze gukinira ku bibuga by'ubwatsi bw'ubukorano, bityo iyo batangiye kwiruka vuba (kwiruka) cyangwa iyo bahindukiye biruka, hari igitutu kinini ku gikumwe. Bitandukanye n'ubwatsi busanzwe, ubu bwatsi bw'ubukorano buragoye gato, bityo ibyago byo gukomereka biba byinshi.

Ariko ntugahangayike. Akenshi, iyi ndwara izagenda neza iyo ugiye kuruhuka, ugiye kuruhuka, ugiye kuruhuka, ndetse n'imiti igabanya ububabare itangwa na muganga nka ibuprofen cyangwa acetaminophen . Ariko, rimwe na rimwe, iyo ubu buryo bworoshye budafashije, kubagwa bishobora kuba ngombwa.

Ibi bigira ingaruka he ku gikumwe cyacu?

Hari ingingo ebyiri mu ijosi rinini. Irinini muri izi ngingo ryitwa metatarsophalangeal joint (MTP joint) . Iri josi niho ishingiro ry'ikirenge kinini, cyangwa ishingiro, rihurira n'ikirenge cyose.

Kugira ngo uru rugingo rukore neza, imitsi (ihuza imitsi n'amagufwa), imitsi (ihuza amagufwa), n'izindi ngingo zirukikije zigomba kuba zifite ubuzima bwiza. Ibi nibyo bitanga ituze ku gikumwe no gufasha ingingo kugenda neza idatemba. Mu gihe cy' "urutoki rworoshye," izi ngingo zishobora kuva ku gukururwa gusa kugeza ku gucika burundu k'urugingo rwa MTP.

Ese hari urwego rutandukanye rwa "Turf Toe"?

Yego, abaganga bakoresha uburyo bwihariye bwo gushyira mu byiciro izi ndwara za "turf toe". Ni byo bigena ubwoko bw'ubuvuzi bukwiye kurusha ubundi. Hari ibyiciro bitatu by'ingenzi:

• Icyiciro cya 1: Ni ukurambura gato k'urugingo rworoshye mu gikumwe, ntabwo ari ugucika. Ushobora kumva ububabare igihe ubikozeho, kandi hashobora kubyimba. Ushobora kumva utameze neza igihe ukina siporo cyangwa imyitozo ngororamubiri, ariko nta mbogamizi ikomeye ihari.

• Icyiciro cya 2: Aha niho igice cy'umubiri woroshye mu gikumwe gicika. Ahantu harababaza, harabyimbye cyane, ndetse hashobora no kuba ubururu/umuhengeri, nk'igisebe. Gukora siporo no gukora siporo ni bike cyane.

• Icyiciro cya 3: Iki ni cyo kibazo gikomeye cyane. Uduce tworoshye two mu gikumwe turacitse burundu. Ingingo ya MTP ishobora no kuva mu mwanya wayo. Hari ububabare bukomeye no kubyimba mu gikumwe. Ni bibi cyane ku buryo udashobora no kwimura igikumwe cyawe, ku buryo udashobora no gutekereza gukina siporo.

Iyi ndwara yitwa "Turf Toe" ikunze kugaragara gute?

Ijambo "turf toe" rikunze kuza mu mutwe iyo tutekereje ku bakinnyi bakina ku bibuga by'ubwatsi bw'ubukorano, ariko mu by'ukuri rishobora kuba kuri buri wese. Rishobora kubaho mu mikino itandukanye, haba ku bwatsi bw'ubukorano cyangwa ku buso busanzwe bukomeye. Rishobora kandi guterwa n'uko inkweto wambara zoroshye cyangwa zikomeye.

Imvune z'amano y'ikirenge zatangiye kugaragara kenshi mu myaka ya 1970. Ibi biterwa nuko abakinnyi b'umupira w'amaguru batangiye gukinira ku bibuga by'ubwatsi bw'ubukorano aho gukinira ku byatsi bisanzwe. Ubwatsi bw'ubukorano ni ubuso bukomeye cyane kuruta ubwatsi busanzwe. Bitekerezwa kandi ko inkweto zoroshye kandi zoroshye zakoreshwaga icyo gihe zishobora kuba zaragize uruhare muri ibi, kuko uburyo inkweto n'ubutaka bikorana bitandukanye.

Ni ibihe bimenyetso by'indwara ya "Turf Toe"?

Ibimenyetso bya "Turf Toe" nabyo biratandukanye gato bitewe n'uburemere bw'indwara. Iyo bibaye mu buryo butunguranye, nko mu mpanuka, ushobora kumva cyangwa kumva ijwi rya "click". Iyo bibaye, ububabare mu ijosi rinini bushobora guhita buvaho.

Ariko, iyo ikomeje kwiyongera buhoro buhoro, bitewe no kugenda buhoro buhoro (imvune zisubira), ibimenyetso bizagenda bigaragara buhoro buhoro, bikiyongera buhoro buhoro uko igihe kigenda. Ibi bikurikira ni ibimenyetso bisanzwe biboneka:

• Ububabare n'ububabare: Ububabare mu iguru rinini bushobora kuba buhoraho, cyangwa bushobora kubabaza gusa iyo ubyikanzeho . Hari igihe ububabare mu iguru rinini buba bukomeye cyane ku buryo udashobora no gushyira ikirenge hasi.
• Kubyimba no gukomeretsa: Igice cyo hasi cy'ikirenge kinini gishobora kubyimba. Uku kubyimba gushobora kuvamo umurongo w'ibikomere bishobora kwaguka kugeza ku kaguru.
• Ingano nto y'ingendo:Ushobora kudashobora kunyeganyeza ibirenge byawe, kubinamisha hejuru no hasi, cyangwa amaguru yawe ashobora kumva atameze neza, cyangwa se ushobora kunanirwa kwisunika nkuko wabikoraga mbere.
• Kumva ingingo zirekuye: Ihuriro rya metatarsophalangeal (MTP) rishobora kumva rirekuye kandi ridafite aho rihagaze. Hari igihe ihuriro naryo rishobora kumva rikomereye.

Ni iki gitera "Turf Toe"?

"Ikirenge cy'urubura" kibaho iyo ikirenge cyawe kinini gipfukamye kandi gikandagiwe hasi. Akenshi, agatsinsino kawe kazamuwe hasi, nk'aho umuntu utangira ku gasiganwa. Iyo ushyize imbaraga nyinshi ku ikirenge cyawe kinini, gishobora kwaguka cyane. Iyo ikirenge kinini kirenze aho gisanzwe, gishobora kwagura cyangwa gukata imitsi , imitsi, n'ingingo zoroshye mu ngingo.

Ibi bishobora kugenda buhoro buhoro uko igihe kigenda gihita, bitewe n'ingendo zisubiramo (urugero, iyo ababyinnyi ba ballet basimbuka). Cyangwa bishobora guterwa n'ihungabana ritunguranye. Urugero, umukinnyi w'umupira w'amaguru ukubita undi mukinnyi uri gukanda ikirenge cye hasi. Abakinnyi bakora ingendo zitunguranye kandi bagahindura icyerekezo cy'amaguru yabo bashobora kugira ubwo bwoko bw'imvune.

Ese udupira two ku maguru dutera "turf toe"?

Nubwo imvune nyinshi za "turf toe" zifitanye isano na siporo, zishobora no guterwa n'ubwoko bw'inkweto wambara. Flip-flops nyinshi ntizifasha cyane. Ntizikwira neza, bityo ibirenge byacu bigomba gukora cyane kugira ngo inkweto zigume zambaye. Ushobora kutabona ibimenyetso ako kanya, ariko kwambara flip-flops igihe cyose bishobora gutera ibibazo bitandukanye by'ibirenge, harimo na "turf toe".

Ni izihe ngorane zishobora guterwa na "Turf Toe"?

Nubwo imvune nyinshi zo mu "turf toe" zikira neza, rimwe na rimwe zishobora kubaho ingorane. Zimwe muri zo zirimo:

• Ububabare buhoraho no gukomera mu ngingo.
• Kugabanuka kw'imbaraga zo gusunika.
• Ibibyimba ( indwara aho ingingo y'ikirenge kinini isa n'aho yabyimbye kandi irakururwa).
• Hallux rigidus (indwara aho ingingo y'ikirenge kinini ikomera kandi ikagira ububabare).
• Ufite igikumwe gihoraho kizamurwa.

Wamenya ute ko ufite "Turf Toe"?

Iyo ugiye kwa muganga, babanza gusuzuma igikumwe cyawe. Bazakanda aho hantu barebe niba hari ububabare. Hanyuma bazagusaba ko wahindura igikumwe cyawe ukareba aho kigenda. Niba ibi wagize impanuka, muganga azakubaza uko byagenze. Babwire amakuru yose ushobora kwibuka, cyane cyane uko igikumwe cyawe cyari kiri n'aho wumvise ububabare.

Hanyuma, kugira ngo arebe neza niba hari ibyangiritse ku magufwa no ku ngingo zoroshye, muganga azategeka ko bamufata X-ray , ndetse nibiba ngombwa, bakamupima MRI (magnetic resonance imaging) . Ibi bizamini bishobora gutanga amashusho asobanutse y’amagufwa, imitsi , imitsi n’ingingo zoroshye.

"Turf Toe" ivurwa ite?

Amano menshi afite imitsi akira uko igihe kigenda gihita iyo umuntu aruhutse bihagije. Imvune zo mu cyiciro cya 1 n'icya 2 "turf toe" akenshi zirakira iyo umuntu avuwe mu rugo. Muganga wawe ashobora kukugira inama yo kuvura nk'ibi bikurikira:

• Kuruhuka: Baza muganga wawe igihe ugomba kuruhuka ukuguru kwawe. Bitewe n'uburemere bw'imvune, ushobora gukenera kwirinda siporo n'ibindi bikorwa mu gihe cy'iminsi mike cyangwa ibyumweru. Ushobora guhabwa inkweto zo kugenda cyangwa inkoni zo gukoresha kugeza ikirenge cyawe kinini gikize.
• Urubura n'uburebure: Buri masaha make, shyira ukuguru kwawe hejuru y'umutima wawe. Shyira agapaki k'urubura ku mano yawe manini mu gihe cy'iminota 20. Urubura ruzagabanya kubyimba no kubabara. Kuzamura ukuguru kwawe bizagabanya ububyimbirwe.
• Imiti igabanya ububabare itangwa na muganga (OTC): Vugana na muganga wawe ku bijyanye no gufata imiti nka NSAIDs (imiti igabanya ububabare idakoresha steroide) . Iyi miti irashobora kugurwa muri farumasi ikagabanya ububabare no kubyimba.
• Ubuvuzi bw'umubiri (PT): Umuvuzi w'inararibonye mu by'umubiri azakwigisha imyitozo ngororamubiri no kunanura imitsi kugira ngo afashe igikumwe cyawe gukira. Gahunda yihariye ya PT ishobora kugufasha kugabanya gukomera kw'igikumwe cyawe, kongera ubushobozi bwo koroherwa no gukomeza imitsi ishyigikira ingingo ya MTP .
• Gutuza: Saba muganga wawe kukwereka uburyo bwo gufunga ikirenge cyawe kinini ku kindi. Ubu buryo bwo "gufata ikirenge cy'uruti rw ...ndi. Nusubira ku kazi, menya neza ko wambaye inkweto zikomeye kandi zishyigikira ikirenge cyawe.
• Amagufwa y'amagufwa:Muganga wawe ashobora kukugira inama yo kwambara inkweto zidasanzwe, inkweto zifite amaguru akomeye, cyangwa inkweto zo hasi zikozwe mu mashyi. Izi ngingo zifasha mu gutuza no gushyigikira ingingo nini y'ikirenge mu gihe wiruka, usimbuka, kandi ukina.
• Kubaga: Kubaga ntibikunze kuba ngombwa ku mano y'uruti. Ubusanzwe kubaga bikorwa kugira ngo hakorwe ibyacitse bikomeye, imvune, cyangwa ibyangiritse mu ngingo. Ubwoko bw'ubuganga buterwa n'aho imvune yakomeretse n'urugero rw'ibyangiritse ku magufwa n'ingingo zoroshye.

Bifata igihe kingana iki kugira ngo "Turf Toe" ikire?

Igihe bifata kugira ngo umuntu akire igikomere cya "turf toe" gishobora gutandukana bitewe n'umuntu ku giti cye. Hari ibintu byinshi bishobora kubigiraho ingaruka:

• Urugero cyangwa uburemere bw'ubumuga bwawe.
• Imyaka yawe n'uburyo ukora cyane.
• Izindi ndwara z'ubuzima ufite.

Iyo uruhutse neza, imvune yo mu cyiciro cya mbere "Turf Toe" ishobora gukira mu cyumweru kimwe. imvune yo mu cyiciro cya kabiri ishobora gukira mu byumweru bibiri cyangwa bitatu. imvune yo mu cyiciro cya gatatu ishobora gukira mu mezi abiri kugeza kuri atandatu. Niba warabazwe, igihe cyo gukira kizaba kirekire kurushaho.

Ese dushobora gukumira "Turf Toe"?

Hari igihe, cyane cyane nyuma y’impanuka, bigorana kwirinda "urutoki rwo mu bwoko bwa turf." Ariko, hari ibintu ushobora gukora kugira ngo ugabanye ibyago byawe. Ambara inkweto zijyanye n’igikorwa ukora kandi zigatuma ibirenge byawe bikomera. Abantu bakina siporo nk'umupira w'amaguru cyangwa umupira w'amaguru bagomba kwirinda inkweto zoroshye cyane, cyane cyane hafi y'urutoki.

Mbere yo gutangira igikorwa cyangwa umukino, kora imyitozo ngororamubiri ishyushye kandi ugorore. Iyo imitsi n'ingingo zoroshye bishyushye, ntabwo ushobora gukomereka cyane. Niba ukina siporo igushyira mu kaga ko kurwara "urutoki rwo hejuru" (urugero: umupira w'amaguru, siporo, ballet), vugana na muganga wawe. Umuganga w'umubiri ashobora kugufasha kugabanya ibyago byo gukomereka.

Ejo hazaza h'abantu bafite "Turf Toe" ni iki? Bigenda bite iyo idavuwe?

Abantu benshi bakira "urutoki rwo hejuru" nta kibazo cy'igihe kirekire. Ariko, hari abantu bashobora gukomeza kugira ingorane mu ngingo, intege nke, no kubabara mu rutoki runini (hallux rigidus ). Ni gake cyane, urutoki rwawe runini rushobora kuzamurwa hejuru y'andi mano kandi rushobora kudashobora kuruguma hasi iyo uhagaze.

Icy'ingenzi ni uko iyo utavuje "Turf Toe," ishobora gutera ububabare bukomeye no gukomera kw'ingingo igihe kirekire. Si ibyo gusa, ahubwo ushobora no gutakaza ubushobozi bwo gusimbuka cyangwa kwiruka. Mu bihe bikomeye, rubagimpande n'amagufwa bishobora kuvuka hirya no hino ku ngingo, cyangwa ingingo igacika.

Ni ryari ngomba kujya kwa muganga?

Niba ufite ububabare, kubyimba, cyangwa gukomereka mu gikumwe cyangwa ikirenge, gana muganga. Nubwo ububabare bwaba buke, ntubwirengagize. Ni ngombwa kubonana na muganga no gukurikiza gahunda yo kuvura agutegeka. Niba ububabare bukabije, niba udashobora gushyira ikirenge hasi, cyangwa niba ingingo y'igikumwe cyawe isa n'aho yacitse, gana muganga ako kanya.

Amaherezo, ikintu cy'ingenzi cyo kwibuka! (Ubutumwa bwo kujyana mu rugo)

Urutoki rushobora gutuma utajya mu mikino iminsi myinshi, ndetse n'ibyumweru. Ariko, iyo witabwaho neza kandi ukavurwa neza, imvune zo mu rutoki akenshi zikemuka nta bibazo by'igihe kirekire. Icy'ingenzi ni ugukurikiza amabwiriza y'umuganga wawe w'umubiri neza kandi ugaha umubiri wawe umwanya uhagije wo gukira. Niba wumva ububabare mu rutoki rwawe mu gihe ukina siporo cyangwa urimo gukora indi mirimo, fata ikiruhuko ako kanya. Ntukigere ushyira ububabare mu kanwa. Kubikora bishobora gutuma imvune irushaho kwiyongera. Shaka muganga ako kanya hanyuma wisuzumwe kugira ngo usubire mu mirimo yawe isanzwe vuba bishoboka.

Ikirenge cy'ikirenge, indwara z'igikumwe, imvune mu mikino, ububabare bw'ibirenge, ingingo ya MTP, gukomereka kw'ingingo, gukomereka kw'ikirenge