Unewo chigunwe chikuru chakaoma uye chinorwadza here? Ngatidzidzei nezvekuvhiyiwa kweCheilectomy

Wakambonzwa kurwadziwa kusingatsungiririki muchigunwe chako chikuru chetsoka paunofamba, kunyanya kana wakapfeka shangu dzakasimba here? Unonzwa sekunge haugone kukotamisa chigunwe chako zvakanaka, chinonzwa chakaoma, chakasimba... chinonzwa sekunge chakanamira padombo. Kunyangwe ungafunga kuti izvi zvakajairika, zvinogona kunge zvichikonzerwa nechirwere chiri mujoini rako guru retsoka. Nhasi, tiri kutaura nezvekuvhiyiwa kunonzi `Cheilectomy`, iyo inoshandiswa pasi rese semhinduro yakanaka yedambudziko iri.

Zvichitaurwa zviri nyore, chii chinonzi Cheilectomy?

Zvakanaka, ngatizvitaure zviri nyore. Cheilectomy (inonzi 'kee-lek-to-mee') inzira yekuvhiya inosanganisira kubvisa mapfupa ekuwedzera (anonzi 'bone spurs' ) anokura pamusoro pegumbo guru. Funga nezvazvo sedanda remusuwo rinodzivirira chigunwe chako chikuru kukotama kana kufamba zvakanaka. Saka, nekubvisa mapfupa, chigunwe chako chikuru chinogona kukotama uye kufamba zvakasununguka zvakare.

Cheilectomy inoitirwa chirwere cherudzii?

Kuvhiyiwa uku kunonyanya kuitwa pachirwere chinonzi `Hallux Rigidus` . Izvi zvinoreva ``kuoma kwechigunwe chikuru`` . ``Hallux`` zvinoreva chigunwe chikuru, ``Rigidus`` zvinoreva kuomarara. Uku ndiko kuzvimba kwemajoini kunoitika mujoini guru rechigunwe chako chikuru (chinonzi ``metatarsophalangeal (MTP) joint```). Kutaura chokwadi, iyi imhando ye``osteoarthritis`` inokanganisawo majoini akaita semabvi nehudyu.

Kana uine chirwere ichi chinonzi `Hallux Rigidus`, mabone spurs anorwadza (osteophytes) anotanga kuumbwa pamusoro pejointi. Maspurs aya ndiwo anokonzera kuti ganda ribude pamusoro pejointi. Saka paunopfeka shangu dzako, maspurs aya anonamira pamusoro peshangu, zvichikonzera kurwadziwa kusingatsungiririki. Mushure mechinguva, kurwadziwa uku kunogona kuita kuti kufamba kuve kwakaoma uye kunorwadza.

Munhu wese anofanira kuvhiyiwa here?

Kwete. Chiremba haazokurumbidze kuvhiyiwa nekukurumidza kana vangoziva kuti une chirwere ichi. Vanotanga vaedza kudzora marwadzo vachishandisa dzimwe nzira pasina kuvhiyiwa uye vanokupa zororo. Kuvhiyiwa inzira yekupedzisira kana zvimwe zvese zvikatadza.

Aya ndiwo marapirwo anowanzo kurudzirwa usati wavhiyiwa:

Kana marwadzo ako asingaderere pasinei nekurapwa uku, uye uchiramba uchinetseka nekuita mabasa ezuva nezuva, chiremba wako achataura newe nezvekuvhiyiwa kwe 'Cheilectomy'.

Kuvhiyiwa kweCheilectomy neBunion Zvinhu zviviri zvakasiyana here?

Ehe, pane musiyano wakajeka pakati pezviviri izvi. Vanhu vazhinji vanovhiringidza zviviri izvi. Zvese zvinosanganisira kubvisa mapfupa akawandisa, asi musiyano mukuru uri panzvimbo yemapfupa anoputika.

Fungidzira kuti panosangana chigunwe chako chikuru chetsoka ikamuri.

• Cheilectomy kuvhiyiwa kunoitwa pabundu riri padenga re hallux. Izvi zvinosanganisira kubvisa mapfupa anobuda pamusoro pejoini. Dambudziko iri rinonzi Hallux Rigidus.
• Kuvhiyiwa kweBunion `(Bunionectomy)` kunoitwa pabundu riri pamadziro eparutivi pe hallux valgus. Kureva kuti, bundu remapfupa `(bunion)` rinoumbwa padivi (mukati) pejoinhi rinobviswa. Tinodana mamiriro aya kuti `Hallux Valgus`.

Zvichitaurwa zviri nyore, rudzi rwekuvhiyiwa kunoitwa zvinoenderana nekuti pfupa riri pamusoro here kana kuti riri padivi pejoinhi.

Chii chinoitika kuvhiyiwa kusati kwaitwa?

Chiremba wako achakunyatsoongorora usati wasarudza zuva rekuvhiyiwa.

• Kuongorora muviri: Kutanga, vachanyatsoongorora kuti unogona kukotamisa chigunwe chako chikuru kumusoro nekudzika kusvika papi, kuti chinorwadza sei paunochikotamisa, uye kana paine kuzvimba.
• Kuongororwa kweX-ray: Zvadaro X-ray inotorwa kuti ione kuti mamiriro acho akaita sei mukati mejoini, kuti shwashwa yapera zvakadini, uye kuti mapfupa emapfupa akura sei. Ruzivo urwu runoshandiswa kuona kana kuvhiyiwa kwakakunakira.

Ngatitaurei zvishoma nezvekuti kuvhiyiwa uku kunoitwa sei.

Panguva yekuvhiyiwa, kucheka kudiki kunochekwa pamusoro petsoka yako, pamusoro pegumbo guru. Zvadaro, kuburikidza nekucheka ikoko, vanobvisa nokungwarira zvidimbu zvemapfupa zvinorwadza zviri kukutadzisa kukotamisa chigunwe chako.

Kuvhiyiwa uku kunogona kuitwa nenzira mbiri huru:

1. Kuvhiyiwa kweCheilectomy Yakavhurika

Mukuita izvi, kucheka kwakakura zvishoma kunogadzirwa, pfundo rinovhurwa kuti rionekwe zviri nani, uye mapfupa anobviswa.

2. Kuvhiyiwa kweCheil Kusingakuvadzi Zvishoma

Munzira iyi, panzvimbo pekucheka kukuru, maburi madiki mashoma anogadzirwa paganda. Zvadaro, chinhu chakakosha chinonzi 'burr' chinopinzwa nepamaburi iwayo kuti chipwanye uye chibvise mapfupa emapfupa. Chakanakira nzira iyi ndechekuti mavanga mashoma uye pamwe nguva yekupora inokurumidza.

Chiremba wako ndiye achasarudza kuti ndeipi nzira yakakunakira.

Chii chinoitika mushure mekuvhiyiwa?

Uku hakusi kuvhiyiwa kukuru kunoda kugara muchipatara kwemazuva akati wandei, saka unogona kuenda kumba manheru iwayo ( kuvhiyiwa kwekunze ).

• Shangu yakakosha: Kana waenda kumba, uchafanira kupfeka shangu yakakosha kwemavhiki mashoma tsoka yako ichipora. Izvi zvichabatsira kuderedza huremu panzvimbo yekuvhiyiwa.
• Kudzora marwadzo: Kuti vadzore marwadzo, chiremba anogona kukurudzira mushonga unoderedza marwadzo wakaita se ibuprofen kana acetaminophen.
• Kuzvimba: Gumbo rako rinogona kunge rakazvimba zvishoma. Zvakanaka kuchengetedza gumbo rako rakasimudzwa zvakanyanya sezvinobvira.

Ndezvipi zvakanakira kuvhiyiwa uku?

Chinhu chikuru chakanakira kuvhiyiwa kwe "cheilectomy" nderekubatsirwa.

Hapana njodzi kana matambudziko here?

Sekunge kune chero kuvhiyiwa kupi zvako, kune dzimwe njodzi dzinobatanidzwa. Zvisinei, idzi hadziwanzoitika, uye vanachiremba vanoita zvese zvavanogona kuti vadzideredze.

• Kurwadziwa kuripo: Vamwe vanhu vanogona kunge vachiri kurwadziwa pavanenge vachikotamisa chigunwe chavo mushure mekuvhiyiwa.
• Kuda kuvhiyiwa zvakare: Kashoma, kana mamiriro e'Hallux Rigidus' akawedzera kuipa, ungangoda kuvhiyiwa zvakare kuti urapwe. Semuenzaniso:
• Nzira yekurapa arthrodesis inzira yekuvhiya inobatanidza mapfupa ejoini pamwe chete.
• Kuvhiyiwa kwekuderedza kumanikidzwa kwegwara rakakuvara rejoini (Moberg osteotomy surgery) .
• Mamwe matambudziko: Sekunge kune chero kuvhiyiwa, pane mukana mudiki wekutapukirwa nehutachiona uye mavanga. Unogonawo kunzwa kurwadziwa pasi petsoka yako.

Usazvidya mwoyo nezvazvo. Chiremba wako achakurukura newe zvinhu izvi zvakajeka usati wavhiyiwa.

Zvinotora nguva yakareba sei kuti ndipore? Ndingadzokera kubasa riini?

Nguva yekupora inosiyana kubva pamunhu kusvika pamunhu.

• Kuzvimba: Gumbo rako rinogona kuzvimba zvishoma kwemavhiki mashoma, kana kutoti mwedzi, mushure mekuvhiyiwa. Izvi zvakajairika.
• Shangu: Shangu idzodzo dzakakosha dzinofanira kupfekwa kwemavhiki maviri , kusvika chiremba akuudza kuti uzvipfeke.
• Kudzokera kubasa: Vanhu vazhinji vanogona kudzokera kubasa mukati memwedzi mumwe chete kana miviri . Zvisinei, kana basa rako richida kufamba zvakanyanya kana kumira, kana kana kurwadziwa kwako nekuzvimba kwakanyanya, zvinogona kutora nguva yakati rebei kuti udzokere kubasa. Zvakanaka kukurukura izvi nachiremba wako.

Kana uchida kuona chiremba nekukurumidza

Kana waenda kumba mushure mekuvhiyiwa, chenjerera zviratidzo izvi. Kana uine chimwe chezviratidzo izvi, fonera chiremba wako nekukasika.

• Kana ganda rakatenderedza ganda rakachekwa rakatsvuka zvikuru .
• Kana nzvimbo iyoyo yakazvimba zvakanyanya .
• Kana mvura yero yakaita semapundu ichibuda padanda.
• Kana uine kurwadziwa kusingatsungiririki pasinei nekunwa mishonga inoderedza marwadzo kana kuti kurwadziwa kuri kuramba kuchikura zuva nezuva.
• Kana uine fivha .

Izvi zvinogona kuva zviratidzo zvehutachiona, saka zvakakosha kutsvaga kurapwa nekukurumidza.