Wakambonzwa kurwadziwa kwakanyanya muzvigunwe zvikuru paunenge uchifamba, kunyanya paunomuka mangwanani? Pamwe unonzwa sekunge kwakaoma paunopfeka shangu. Kunyangwe ungafunga kuti izvi zvakajairika, zvingave chirwere chinoda kurapwa. Nhasi tiri kutaura nezvedambudziko iri iro vanhu vazhinji vane asi vasingazive nezvaro, iro rinonzi Hallux Rigidus.
Zvichitaurwa zviri nyore, chii chinonzi Hallux Rigidus?
Hallux Rigidus rudzi rwearthritis runoitika muchigunwe chako chikuru. Zvikurukuru, runokanganisa majoini apo chigunwe chako chikuru chinosangana netsoka yako. Mukurapa, tinodana joini iyi kuti `metatarsophalangeal (MTP) joint`.
Zvino ungave uchishamisika kuti chirwere chearthritis chii. Arthritis izwi rinowanzo shandiswa kureva zvirwere zvinosvika zana zvinokonzera kuzvimba nekurwadziwa mumapfundo emuviri wedu. Ndosaka vanachiremba dzimwe nguva vachidana Hallux Rigidus se "arthritis yechigunwe chikuru chetsoka."
"Hallux Rigidus" izwi rechiLatin rinoreva "gumbo guru rakaomarara." Ichi ndicho chiratidzo chikuru chechirwere ichi. Chinokonzera kurwadziwa nekuomarara kwegumbo guru. Chaizvoizvo imhando ye osteoarthritis inoitika nekuda kwekusakara nekufamba kwenguva.
Kana uine zviratidzo zvakaita sekurwadziwa, kuomarara, kana kuzvimba kwechigunwe chako chikuru, zvakakosha kuti utaure nachiremba nezvazvo.
Dambudziko iri rakajairika zvakadii?
Ongororo yakawana kuti munhu mumwe chete pavanhu makumi mana vane makore anopfuura makumi mashanu anogona kunge aine chirwere cheHallux Rigidus. Ichi ndicho chirwere chearthritis chinowanzoonekwa mutsoka.
Ndiyo chirwere chechipiri chinowanzoitika chinokanganisa chigunwe chikuru chetsoka, mushure mechirwere chinozivikanwa zvikuru chinonzi bunion.
Ndezvipi zviratidzo zveHallux Rigidus?
Munhu ane chirwere ichi anogona kuratidza zviratidzo zvakasiyana-siyana. Asi pane zvimwe zviratidzo zvakajairika. Ngationei kuti chii.
| Chiratidzo | Tsananguro |
|---|---|
| Kurwadziwa kwechigunwe chikuru | Kurwadziwa uku kunogona kunzwikwa pamusoro pemunwe. Dzimwe nguva kunogona kutonzwa sekunge kuri kubva mukati-kati memunwe. |
| Kuomarara kwechigunwe chikuru | Zvinova zvakaoma kukotama nekufambisa chigunwe. Zvinonzwa sekunge chanamira. |
| Kuzvimba kwemajoini | Unogona kuona kuzvimba kwakatenderedza joini apo chigunwe chikuru chetsoka chinosangana netsoka. |
| Kurambidzwa kwekufamba | Rudzi rwekufamba runogona kufambiswa pasina kurwadziwa runodzikira zvishoma nezvishoma. |
| Chimwe chinhu chakaita sepfundo | Chibundu, chakafanana nebundu kana kuti callus, chinogona kuonekwa pamusoro pechigunwe chikuru chetsoka. |
Zvinhu zvinowedzera zviratidzo
Zvimwe zvinhu zvinogona kuwedzera kurwadziwa uku nekuoma.
- Paunenge wakamira kana kufamba: Marwadzo anogona kuwedzera kana huremu hukaiswa pajoini.
- Mamiriro ekunze anotonhora uye ane hunyoro: Kungofanana nekurwadziwa kwemajoini kunowedzera mumazuva anotonhora, mamiriro aya anogonawo kuipa.
- Kupfeka shangu dzakasimba: Kupfeka shangu dzakasimba dzisingabvumiri nzvimbo yakakwana yezvigunwe kunowedzera kumanikidzwa pajoini uye kunowedzera kurwadziwa.
Sei tichiwana Hallux Rigidus?
Hallux Rigidus inowanzo buda nekufamba kwenguva pasina chikonzero chakajeka. Sezvatinokura, tsinga dzakapfava dziri mumajoini edu dzinopera. Sekunge matai emota anopera, kupera uku ndiko kunonyanya kukonzera Hallux Rigidus nedzimwe mhando dze osteoarthritis.
Chimbofungai, nedanho rega rega ratinotora, huremu hwemuviri wedu hunopfuura kaviri pamusoro pejoini diki iri re'MTP'. Saka hazvishamisi kuti joini rinopera mushure mekutsungirira rudzi urwu rwekumanikidzwa kwehupenyu hwese.
Zvimwe zvikonzero zvinogona kukanganisawo izvi:
- Kushandisa zvakanyanya joini: Kana joini yegunwe guru ichiwanzo manikidzwa panguva yemitambo, kubasa, kana mabasa ekuvaraidza.
- Kukuvara kwemunwe: Kubaya chigunwe chikuru.
- Kukwenya chigunwe: Matambudziko akadai se'Turf chigunwe', kunyanya mumitambo.
- Hunhu hwemapfupa ari mutsoka: Mapfupa evamwe vanhu ari mutsoka nezvigunwe anogona kunge akareba kupfuura zvakajairika. Izvozvo zvinogonawo kuva chikonzero cheizvi.
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
Uyezve, mamwe matambudziko ehutano anogona kuwedzera njodzi yekurwara neHallux Rigidus.
- Arthritis ine rheumatoid
- Gout
- Zvimwe zvirwere zve autoimmune zvinokonzera kuzvimba
- Osteochondritis dissecans
Chiremba anoongorora sei izvi?
Paunoenda kunoona chiremba, chinhu chekutanga chaachaita ndechekukuongorora. Iye achakotamisa chigunwe chako chikuru kumusoro nekudzika ochifambisa kuti aone kuti unogona kuchifambisa kusvika papi. Unogona zvakare kutumirwa kuna chiremba wetsoka (podiatrist).
Uyezve, X-ray yetsoka inogona kuitwa kuti ione kana paine mapfupa asina kusimba.
Matanho eHallux Rigidus
Zvichienderana nekuti kugona kwako kufambisa chigunwe chako chikuru kwaderera zvakadii, chiremba wako anogona kuisa chirwere ichi muzvikamu. Izvi zvinonziwo zvikamu, sezvo zviratidzo zvichiwedzera nekufamba kwenguva.
| Giredhi | Kufamba kwakaganhurirwa kusvika papi |
|---|---|
| Giredhi 0 | Ine kufamba kushoma ne10% - 20% pane chimwe chigunwe chikuru. |
| Giredhi 1 | Kufamba kunoderedzwa nepakati pe20% - 50%. |
| Giredhi 2 | Kufamba kunoderedzwa nepakati pe50% - 75%. |
| Giredhi 3 | Kufamba kunoderedzwa nepakati pe75% - 100%. |
| Giredhi rechina | Kufamba kwemunwe kunodzikira ne75% kusvika 100%, uye kurwadziwa kwakanyanya kunoitika kana munhu achifambisa chigunwe. |
Ndeapi marapirwo akanakisisa?
Rudzi rwekurapwa kwaunoda runoenderana nekuoma kwezviratidzo zvako uye chikonzero chechirwere chacho. Kazhinji, kurapwa kusingashandisi kuvhiyiwa kunotanga.
| Nzira yekurapa | Uri kuitei? |
|---|---|
| Kuchinja shangu | Kupfeka shangu dzine makumbo akaomarara uye nzvimbo yakanaka yezvigunwe kunogona kuderedza kumanikidzwa pajoini. Dzivisa shangu refu neshangu dzinobata zvigunwe zvako. |
| Kuganhurirwa kwekufamba kwemunwe | Kune mapedhi akakosha anoiswa mukati meshangu. Aya anogona kutsigira chigunwe uye kuderedza kufamba kusingakoshi. Anogonawo kuderedza kushushikana pajoini panguva yemabasa akadai sekumhanya. |
| Mishonga yekurwadziwa | Mishonga yeNSAID inotengeswa pasina kunyorerwa inogona kubatsira kuderedza marwadzo nekuzvimba. Zvisinei, usatore mishonga iyi kwemazuva anopfuura gumi usina kutaura nachiremba wako. |
| Kunyunguduka kwechando | Kuputira aizi pack netauro rakatetepa wozoiisa panzvimbo inorwadza kunogona kubatsira kuderedza zviratidzo. Usambofa wakaisa aizi zvakananga paganda. Bvunza chiremba wako kuti unofanira kuiisa kwenguva yakareba sei uye kangani pazuva. |
| Corticosteroids | Iyi mishonga yakasimba inonyorerwa nachiremba, dzimwe nguva inobayiwa zvakananga mujoini. |
| Kunyika tsoka mumvura inopisa/inotonhora | Dzimwe nguva vanachiremba vanokurudzira nzira iyi. Unofanira kuchengeta tsoka yako mumvura inopisa kwemasekonzi makumi matatu, wozoiisa mumvura inotonhora kwemasekonzi makumi matatu anotevera. Kuita izvi nenzira yekuchinjana kunogona kuderedza kuzvimba. |
Ndichazofanira kuvhiyiwa here?
Vanhu vazhinji havadi kuvhiyiwa. Chiremba wako anogona kungofunga nezvekuvhiyiwa chete kana mamwe marapirwo asingaderedzi marwadzo ako, kana kana marwadzo acho akakomba zvekuti ari kukutadzisa kuita mabasa ako ezuva nezuva.
Kune mhando dzakasiyana-siyana dzekuvhiya:
- Kuvhiyiwa kwemapfupa: Izvi zvinosanganisira kubvisa mapfupa asina basa pamusoro pejoini, zvichiita kuti pave nenzvimbo yakakura yekuti chigunwe chikotame.
- Osteotomy: Pano, chiremba anocheka nekurongazve mapfupa emunwe kuti achinje nzvimbo yejoini.
- Arthroplasty: Uku kuvhiyiwa kwemapfupa kunotsiva majoini. Pfupa rakakuvara rinobviswa rozoiswa "spacer" yakagadzirwa nedzimwe nyama.
- Arthrodesis: Uku kuvhiyiwa kwekubatanidza majoini. Katsi yakakuvara inobviswa uye mapfupa maviri anobatana. Kunyangwe iyi iri mhinduro inogara iripo, kufamba kwechigunwe chikuru chetsoka kunogona kuganhurirwa mushure mekuvhiyiwa.
Zvinotora nguva yakareba sei kuti munhu apore mushure mekuvhiyiwa?
Nguva yekupora inoenderana nekuvhiyiwa kwawakaitwa.
- Mushure mekuvhiyiwa kwe`Cheilectomy` ne`Arthroplasty`, muchafanira kupfeka shangu dzakakosha kwemavhiki maviri. Kuzvimba kunogona kuramba kuripo kwemwedzi yakati wandei.
- Mushure mekuvhiyiwa kwemapfupa, kuzvimba kunodzikira mukati memavhiki matanhatu kusvika masere. Zvinogona kutora mwedzi mitatu kuti murwere apore zvizere.
- Mushure mekusanganiswa kwemajoini, uchafanirwa kupfeka jira rakaiswa chisimbiso kana bhutsu yakakosha kwemavhiki angangoita matatu kusvika matanhatu. Mushure meizvozvo, uchafanirwa kushandisa madondoro. Kuzvimba nekuomarara zvinogona kuramba zviripo kwemwedzi yakati wandei.
Mamiriro ezvinhu aya haagone kudzivirirwa here?
Zvingave zvakaoma kudzivirira zvachose Hallux Rigidus, asi pane zvinhu zvishoma zvaunogona kuita kuti ubatsire kudzora chirwere ichi:
- Kurovedza muviri: Bvunza chiremba wako kana nyanzvi yezvekurovedza muviri nezvemaekisesaizi ari nyore anogona kubatsira kuchengetedza chigunwe chako chikuru chichichinjika.
- Zorora pfundo: Zorora pfundo mushure mekuita basa rakaoma. Usambofa wakarovedza pfundo mushure mekurwadziwa.
- Pfeka shangu dzakakodzera: Sarudza shangu dzinokwana tsoka dzako zvakanaka uye dzine nzvimbo yekuisa zvigunwe zvako.
Yeuka, kana uchirwadziwa nechigunwe chako chikuru, usazviregeredza. Kana ukakurumidza kuona chiremba wobva waongororwa, ndipo panogona kunge paine mukana wekuti kurapwa kubudirire.
Mharidzo Yekuenda Nayo Kumba
- Marwadzo, kuomarara, uye kuzvimba kwechigunwe chako chikuru zvinogona kuva zviratidzo zvechirwere chearthritis chinonzi Hallux Rigidus.
- Kunyange hazvo chikonzero chikuru cheizvi chiri kupera kwemapfupa nekufamba kwenguva, kukuvara, mamwe mamiriro ehutano, uye majini zvinogonawo kuita basa racho.
- Kazhinji, chirwere ichi chinogona kudzorwa nekurapwa kuri nyore kwakadai sekupfeka shangu dzakakodzera, mishonga inoderedza marwadzo, uye kuzorora.
- Usaregeredza kurwadziwa. Kutsvaga rubatsiro rwechiremba nekukurumidza kunogona kudzivirira chirwere kuti chisanyanya kuipa uye kunogona kukubatsira kuti uwane kurapwa kunobudirira.
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