Wakambonzwa kurwadziwa kana kuomarara pasi pechigunwe chako chikuru paunofamba here? Unoona zvichikuomera here kukotama chigunwe chako paunomuka mangwanani? Kana kuti chigunwe chako chikuru chinonzwa chakabatwa paunopfeka shangu dzako? Kana uine zviratidzo izvi, chikonzero chacho chingave chakajairika kupfuura zvaunofunga. Nhasi tiri kutaura nezvechirwere chinonzi 'Hallux Rigidus' chinobata vanhu vazhinji, asi hachinyanyo taurwa nezvacho.
Chii chinonzi Hallux Rigidus chaizvo?
Zvichitaurwa zviri nyore, Hallux Rigidus rudzi rwearthritis runoitika muchigunwe chako chikuru. Zvikurukuru, runokanganisa majoini apo chigunwe chako chikuru chinosangana netsoka yako. Mukurapa, tinodana joini iyi kuti metatarsophalangeal, kana kuti MTP, joini.
Paunonzwa izwi rekuti "arthritis," ungangove uchiziva kuti izwi rinowanzo shandiswa kureva boka rezvirwere zvinokonzera kuzvimba nekurwadziwa kwemajoini. Saka vanachiremba dzimwe nguva vanodana chirwere ichi, Hallux Rigidus, se "arthritis yechigunwe chikuru chetsoka."
Izwi rechiLatini rekuti 'Hallux Rigidus' rinoreva "kubatwa nechigunwe chikuru." Izvi zvinotsanangura chiratidzo chikuru chechirwere ichi. Chirwere ichi chinokonzera kurwadziwa nekuomarara kwejoini reMTP. Chaizvoizvo chinoonekwa serudzi rwearthritis runonzi osteoarthritis, runokonzerwa nekusakara nekufamba kwenguva .
Kana uine zviratidzo zvakaita sekurwadziwa, kuomarara, kana kuzvimba kwechigunwe chako chikuru, chinhu chakanakisa chekuita kuona chiremba nekukurumidza.
Dambudziko iri rakajairika zvakadii?
Ungashamisika kunzwa izvi. Sekureva kwenyanzvi, munhu mumwe chete pavanhu vakuru makumi mana vane makore anopfuura makumi mashanu ane chirwere cheHallux Rigidus. Ndiyo mhando yearthritis inonyanya kuwanikwa mutsoka.
Pakati pezvirwere zvinokanganisa chigunwe chikuru chetsoka, Hallux Rigidus ndiyo yechipiri inonyanya kuzivikanwa mushure mebunion inozivikanwa (Bunions kana Hallux Valgus).
Ndezvipi zviratidzo zveHallux Rigidus?
Zvakanaka, ngationei zviratidzo zvinoratidzwa nemunhu ane chirwere ichi. Kuti tinzwisise izvi zvakajeka, ngatizvitarisei nenzira iyi.
| Chiratidzo | Tsananguro |
|---|---|
| Marwadzo | Kurwadziwa mukati kana pedyo nechigunwe chikuru. Kazhinji, kurwadziwa kunonzwa pamusoro pechigunwe. Asi dzimwe nguva kunogona kunzwa sekurwadziwa kwakadzika kunobva mukati mechigunwe. |
| Kuoma/kurasikirwa nekuchinjika | Zvinova zvakaoma kukotama kana kutwasanudza chigunwe chikuru chetsoka. Zvinonzwa sekunge zvanamira. Izvi zvinogona kuonekwa zvakanyanya mangwanani. |
| Kuzvimba | Unogona kuona kuzvimba kwakatenderedza chigunwe chikuru chetsoka. |
| Kudzikira kwekukwanisa kufamba | Nekufamba kwenguva, huwandu hwemafambiro anogona kufambiswa kumusoro nekudzika kwechigunwe pasina kurwadziwa hunoderera zvishoma nezvishoma. |
| Chimwe chinhu chakaita sepfundo | Chibundu, chakafanana nebundu kana kuti callus, chinogona kuoneka pamusoro pechigunwe chikuru. Izvi zvinogona kukonzerwa nekubuda kwemapfupa. |
Zvinhu zvinovandudza hunhu uhwu
Zvimwe zvinhu nemamiriro ezvinhu zvinogona kuita kuti zviratidzo zvako zviwedzere kuipa.
- Paunenge wakamira kana kufamba: Marwadzo anogona kuwedzera kana huremu hukaiswa pajoini.
- Kutonhora, kunyorova: Kurwadziwa kwemajoini kunogona kurwadza zvakanyanya mumazuva ekutonhora.
- Kupfeka shangu dzakasimba: Kupfeka shangu dzinovhara zvigunwe zvako uye dzisingakwane zvakanaka netsoka yako kunowedzera kumanikidzwa pajoini uye kunowedzera marwadzo.
Nei Hallux Rigidus ichiitika?
Kazhinji, zvakaoma kuwana chikonzero chakajeka chechirwere ichi. Chikonzero chikuru ndechekusakara kunoitika mumajoini edu nekufamba kwenguva. Sezvatinokura, mapfupa anodzivirira majoini edu anosakara. Kusakara uku ndiko kunonyanya kukonzera Hallux Rigidus nedzimwe hosha dze osteoarthritis.
Chimbofungai, nedanho rega rega ratinotora, simba remuviri wedu rinowedzerwa kaviri pajoini diki reMTP iri. Saka, kana ukatsungirira rudzi urwu rwekumanikidzwa muhupenyu hwako hwese, zvakajairika kuti joini ripere.
Kuwedzera kune chikonzero chikuru ichi, zvimwe zvikonzero zvakawanda zvinogona kukanganisa izvi:
- Kushandisa zvakanyanya joini yeMTP: Kana kumanikidzwa kwakanyanya kuiswa pajoini huru yechigunwe panguva yemitambo, zvinhu zvekuzvifadza, kana basa.
- Kugumburwa kwechigunwe: Kana chigunwe chikuru chetsoka chakagumburwa pane imwe nzvimbo.
- Chigunwe chakatetepa: Kuoma kwakaita sekunge kugomara kunokonzerwa nekukombamisa chigunwe chetsoka mudenga nesimba panguva yekutamba.
- Nzvimbo yemapfupa mutsoka: Vamwe vanhu vane mapfupa mutsoka dzavo nezvigunwe zvakareba kupfuura zvakajairika. Vanhu vakadaro vari panjodzi yekubatwa nechirwere ichi.
Ndiani ari panjodzi huru yekuva nechirwere ichi?
Kunyange zvazvo chero munhu achigona kuva neHallux Rigidus, vamwe vanhu vari panjodzi yakakura zvishoma.
- Vanhu vane makore anopfuura makumi mashanu
- Vakadzi
- Vatambi
- Kune avo vanomira zuva rese nekuda kwebasa
Uyewo, mamwe matambudziko ehutano anogona kuwedzera njodzi yekubatwa neHallux Rigidus.
- Rheumatoid Arthritis
- Gout
- Zvirwere zve autoimmune zvinokonzera kuzvimba
- Osteochondritis Dissecans
Chiremba anoongorora sei izvi?
Paunoenda kunoona chiremba, chinhu chekutanga chaachaita ndechekuongorora tsoka yako. Chiremba achakotamisa chigunwe chako chikuru kumusoro nekudzika otarisa mafambiro acho. Iye achatarisa kuti unogona kukotamisa chigunwe chako kusvika papi usingarwadziwe. Unogona zvakare kutumirwa kuna chiremba wetsoka, nyanzvi yetsoka.
Pamusoro pezvo, unogona zvakare kutorwa X-ray yetsoka yako kuti uone mamiriro ejoini uye kuti uone kana paine mapfupa anokonzera mapfupa.
Pane here matanho eHallux Rigidus?
Ehe, zvichienderana nekuoma kwechirwere ichi, chiremba wako anogona kuchiisa muzvikamu zvakasiyana-siyana, kana kuti mamakisi, zvichienderana nekuti kufamba kwechigunwe chako chikuru kwakaderera sei.
| Giredhi | Chinzvimbo |
|---|---|
| Giredhi 0 | Kufamba kwemunwe wakabatwa kwakaderera ne10% - 20% pane munwe une hutano. |
| Giredhi 1 | Kufamba kunoderedzwa ne20% - 50%. |
| Giredhi 2 | Kufamba kunoderedzwa ne50% - 75%. |
| Giredhi 3 | Kufamba kunoderedzwa ne75% - 100% (kunenge kwaoma zvachose). |
| Giredhi rechina | Kufamba kunoderedzwa ne75% - 100%, uye kune kurwadziwa kwakanyanya kana uchifambisa chigunwe. |
Ndeapi marapirwo akanakisa eHallux Rigidus?
Kurapwa kwaunoda kunoenderana nekuoma kwezviratidzo zvako uye chikonzero chechirwere chako. Chiremba wako anogona kukupa mazano anotevera: Aya haasi marapirwo ekuvhiya.
- Kuchinja shangu dzako: Kupfeka shangu dzakasununguka uye dzinopa nzvimbo yakakwana yezvigunwe zvako kunogona kubatsira kuderedza kumanikidzwa pajoini reMTP. Kupfeka shangu dzine tsoka dzakakora uye dzakasimba kunogona kubatsira kuderedza marwadzo. Dzivisa shangu dzakakwirira neshangu dzine mabhokisi madiki ezvigunwe.
- Kuderedza kufamba kwechigunwe: Chiremba wako anogona kukurudzira kushandisa mapedhi anogona kuiswa mukati meshangu, kutsigira chigunwe chikuru, uye kuderedza kufamba kwacho. Vanogonawo kukurudzira kudzivisa mabasa anomanikidza majoini, akadai sekumhanya nekusvetuka, kwenguva yakati.
- Mishonga Inoderedza Kurwadziwa: Chiremba wako anogona kukupa mishonga isingashandisi steroidal anti-inflammatory (NSAIDs) kuderedza kuzvimba nekurwadziwa.
- Aizi: Kuisa aizi pack kunogona kubatsira kuderedza marwadzo nekuzvimba. Yeuka kuputira aizi pack netauro rakatetepa. Usaise aizi zvakananga paganda. Bvunza chiremba wako kuti kangani pazuva uye kwenguva yakareba sei.
- Corticosteroids: Iyi imhando yemishonga ine simba inoderedza kuzvimba. Ungangodawo kubayiwa jekiseni recortisone zvakananga pajoini rechigunwe chako chikuru.
- Kunyika tsoka mumvura inopisa/inotonhora:Kuti uderedze kuzvimba, chiremba wako anogona kukurudzira "kugeza mvura inopisa" (contrast bath), mushonga unochinjana pakati pemvura inopisa neinotonhora. Izvi zvinoreva kuisa tsoka yako mumvura inopisa kwemasekondi makumi matatu, wozotevera nemvura inotonhora kwemasekondi makumi matatu anotevera.
- Kuvhiyiwa kwemapfupa neKuvhiyiwa Kwemapfupa: Uchafanira kupfeka shangu dzakakosha kwemavhiki maviri. Mushure meizvozvo, unogona kupfeka shangu dzemazuva ese. Kuzvimba kunogona kugara kwemwedzi yakati wandei.
- Kuvhiyiwa kwemapfupa: Zvinotora mavhiki matanhatu kusvika masere kuti kuzvimba kupere. Zvinogona kutora mwedzi mitatu kuti kuporeswe zvizere.
- Kubatanidza Majoini: Uchafanira kupfeka chipfeko chakaiswa jira kana bhutsu yakakosha kwemavhiki angangoita matatu kusvika matanhatu. Mushure meizvozvo, uchafanira kushandisa madondoro. Kuzvimba nekuomarara kunogona kugara kwemwedzi yakati wandei.
- Kurovedza muviri: Ita maekisesaizi ari nyore anogona kuchengetedza chigunwe chikuru chetsoka chichichinjika.
- Zorora pfundo: Zorora pfundo mushure mekuita basa rakaoma. Usambofa wakarovedza pfundo mushure mekurwadziwa.
- Kupfeka shangu dzakakodzera: Pfeka shangu dzinokwana tsoka dzako zvakanaka uye dzine nzvimbo yakakwana yekuisa zvigunwe zvako.
- Hallux Rigidus chirwere chinowanzoitika chearthritis chinokanganisa mapfundo echigunwe chako chikuru uye chinokonzerwa nekushandisa zvakanyanya.
- Zviratidzo zvikuru kurwadziwa, kuomarara, uye kuzvimba.
- Kazhinji, zviratidzo zvinogona kudzorwa zvakanaka nekurapwa pasina kuvhiyiwa (shangu dzakakodzera, maekisesaizi, mishonga).
- Kana uchirwadziwa nechigunwe chako chikuru, zvakakosha kuti uone chiremba nekukurumidza.
- Kana zviratidzo zvakakomba uye zvichikanganisa hupenyu hwezuva nezuva, kuvhiyiwa kunogona kupa mhinduro dzechigarire.
Zvakakosha: Usashandise izvi nguva dzose kwemazuva anopfuura gumi usina kutaura nachiremba wako.
Ndichazofanira kuvhiyiwa here?
Vanhu vazhinji havadi kuvhiyiwa kweHallux Rigidus. Kana marapirwo ari pamusoro apa asingadzore zviratidzo zvako, kana kuti kana marwadzo ari kukanganisa mabasa ako ezuva nezuva, chiremba wako anogona kukurudzira kuvhiyiwa.
| Zita reMaitiro | Unongoita sei? |
|---|---|
| Kuvhiyiwa kweCheilectomy | Pano, chiremba anobvisa mapfupa ari mujoini reMTP. Izvi zvinoita kuti munwe ugone kukotama zviri nyore, unoderedza marwadzo, uye unodzorera mafambiro akasiyana-siyana mujoini. |
| Osteotomy | Mapfupa echigunwe chikuru anochekwa uye anogadziriswa kuti achinje nzvimbo yejoini. Izvi zvinoderedza kumanikidzwa kwejoini. |
| Kuvhiyiwa kweArthroplasty | Uku kuvhiyiwa kwejoini rinotsiva majoini. Pfupa rakakuvara rinobviswa rozotsiviwa nechikamu chekugadzira kana imwe nyama kuti pavezve joini. |
| Arthrosis | Uku kuvhiyiwa kwekubatanidza majoini. Cartilage yakakuvara inobviswa zvachose uye mapfupa maviri ejoini anosungirirwa pamwe chete uchishandisa mapini kana maplate. Iyi imhinduro inogara iripo, asi mushure mekuvhiyiwa, hauzokwanisi kukotamisa chigunwe chako chikuru. |
Zvinotora nguva yakareba sei kuti upore?
Nguva yekupora inoenderana nekurapwa kwawakaitwa uye kuoma kwechirwere chacho. Kana zviratidzo zvako zvikadzorwa nezvinhu zviri nyore zvakaita sekuchinja shangu uye kushandisa mapedhi, unogona kudzokera kumabasa ako enguva dzose kana chiremba wako angokupa mvumo.
Kana uchivhiyiwa, nguva yekupora inosiyana zvichienderana nerudzi rwekuvhiyiwa:
Chinhu chakakosha ndechekuti kune nzira dzakawanda dzinogona kukubatsira kudzora zviratidzo zvako, kuderedza marwadzo, uye kurarama hupenyu hwakajairika.
Izvi hazvigone kudzivirirwa kuti zvisaitike here?
Zvakaoma kudzivirira zvachose chirwere cheHallux Rigidus, sezvo chichikanganiswa nezera uye majini. Zvisinei, zvinotevera zvinogona kubatsira kudzora kufambira mberi kwechirwere ichi:
Ndinofanira kuona chiremba rini?
Mhinduro yacho iri nyore. Kana uine kurwadziwa kutsva, kuzvimba, kana kuomarara kwechigunwe chako chikuru, enda kuna chiremba nekukurumidza panotanga. Kana ukangoziva chirwere chacho wotanga kurapwa, mhedzisiro yacho inova nani.
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