Ingaba uneqhuma kubhontsi wakho omkhulu? Masithethe ngale bunion (Hallux Valgus)!

Ngaba wakha wayibona ithambo elincinci elifana neqhuma eliphuma kwisiseko sonyawo lwakho olukhulu? Mhlawumbi ukhe wayibona le nto, okanye ukhe wayibona umntu omaziyo. Le yinto esiyibiza ngokuba yi-'bunion'. Makhe sithethe ngayo ngokweenkcukacha namhlanje, kuba ichaphazela abantu abaninzi.

Yintoni i-bunion? Yintoni kanye kanye iHallux Valgus?

Ngamafutshane, i-bunion yi-bone spur ekhula kwisiseko sonyawo lwakho olukhulu, indawo apho unyawo ludibana khona nomlenze, eyaziwa ngokwezonyango njenge -metatarsophalangeal joint (MTP joint) . Ijongeka njengeqhubu elincinci elifana nebhola. Ihlala ikhula ngaphakathi konyawo olukhulu. Ngokwezonyango, oku sikubiza ngokuba yiHallux Valgus .

Khawucinge nje, ubhontsi wakho omkhulu utsalwa kancinci kancinci uye kwezinye iinzwane, uze emva koko loo joint iphume. Loo bhontsi ibizwa ngokuba yi-bunion.

Ukuba uziva ngathi uneqhubu elinje kuzwane lwakho olukhulu, ingakumbi ukuba libangela intlungu okanye ukungakhululeki kwiminwe yakho, ngokuqinisekileyo kuya kufuneka ubone ugqirha . Kuba kulula ukulinyanga ukuba lifunyenwe kwangethuba.

Ngaba kukho iintlobo ezahlukeneyo zeebunion?

Ewe, kukho iintlobo ezahlukeneyo zee-bunion. Uhlobo oluqhelekileyo esilubonayo lolo luvela ngenxa yoxinzelelo kubhontsi omkhulu. Nangona kunjalo, ii-bunion zinokuvela nakwezinye iinzwane nangenxa yezinye izizathu. Nazi ezinye zeentlobo:

• I-Congenital Hallux Valgus: Oku kusenokuvakala kungaqhelekanga, kodwa abanye abantwana bazalwa benama-bunion. Le yimeko ebakho ukususela ekuzalweni.
• I-Juvenile okanye i-Adolescent Hallux Valgus: Ezi ziintlobo zee-bunion ezifumaneka ebantwaneni nakubantu abadala abancinci abangaphantsi kweminyaka eli-18 ubudala. Le meko inokwenzeka nakule minyaka.
• I-Bunion yoMthungi okanye i-Bunionette: Oku kwenzeka ezantsi konyawo lwakho oluncinci. Musa ukumangaliswa ligama, libizwa ngokuba ngabathungi bezindlu babehlala kwindawo enye iiyure ezininzi ngexesha, nto leyo ebangela ukuba unyawo lwabo olukhulu lucinezelwe. Oku kudla ngokubangelwa kukunxiba izihlangu ezingalinganiyo okanye ukwenza imisebenzi etyhala unyawo lwakho olukhulu kwezinye iinzwane.

Ixhaphake kangakanani le meko ibizwa ngokuba yi-bunion?

Oku kuqheleke kakhulu kunokuba unokucinga. Uphando lubonisa ukuba kumazwe afana ne-United States, malunga nomntu omnye kwabathathu une-bunions. Le meko inokubonwa nakwilizwe lethu, ingakumbi phakathi kwabasetyhini kwaye inokubonwa ikhula ngokuhamba kweminyaka.

Zithini iimpawu ze-bunion?

Amaxesha amaninzi uphawu olukhulu luqhuma olusezantsi kobhontsi omkhulu. Ungalubona kwaye uluve. Ukongeza koko, kunokubakho nezinye iimpawu ezifana nezi:

• Intlungu okanye ukuqina konyawo olukhulu. Inokuba buhlungu ngokuma nje okanye xa uhamba.
• Kusenokubakho ukudumba kunye nokubomvu okujikeleze iqhuma.
• Ngamanye amaxesha kukho utshintsho kumbala okanye ububomvu .
• Ukungakwazi ukugoba okanye ukuhambisa ubhontsi omkhulu ngokufanelekileyo. Ngamanye amaxesha kunokubakho imvakalelo yokutsha xa ubhontsisa ubhontsi.
• Ubunzima bokunxiba iintlobo ezithile zezihlangu , okanye intlungu engakumbi xa unxibe izihlangu. Oku kubonakala ngakumbi xa unxibe izihlangu ezimxinwa ngaphambili.
• Iinkozo okanye iingqukuva zikhula ulusu olujiyileyo. Ezi zinokukhula kwi-bunion okanye phakathi kweenzwane.
• Iinzwane zeHammer ziimeko apho amalungu kunye nemisipha yeenyawo iqinile kwaye igobile, ifana ne-Achilles tendon. I-bunion inokubangela ukuba ezinye iinzwane zitshintshe imo.
• Ukungaziva ngqindilili kubhontsi omkhulu.

Kutheni sifumana iibunions?

Kunzima kakhulu ukutsho ukuba kukho isizathu esinye kuphela esenza ukuba ii-bunion zikhule. Kungaba yindibaniselwano yezizathu ezahlukeneyo . Cinga ngayo njengothotho lweziganeko ezidibeneyo.

Izinto eziphambili ezichaphazelayo zezi:

• Imbali yosapho: Ukuba umntu kusapho lwakho, njengomama wakho, utata wakho, umakhulu, okanye utatomkhulu wakho, une-bunions, nawe unokuba nazo. Oku kuvela kwi-genes.
• Ulwakhiwo lwamathambo olungaqhelekanga: Abanye abantu bathambekele ekubeni neebunion ngenxa yendlela amathambo abo ahlelwe ngayo emilenzeni yabo.
• Ukukhetha izihlangu: Le yeyona nto ibalulekileyo kwaye sinokuyilawula. Ingakumbi kubasetyhini, izithende eziphakamileyo kunye neebhokisi zeenzwane ezimxinwa zibeka uxinzelelo olukhulu kunyawo olukhulu, zilutyhalela kwezinye iinzwane. Ukuba oku kwenzeka ixesha elide, i-bunion inokukhula.
• Indlela ohamba ngayo (Ubuchule beenyawo): Ubuchule beenyawo zakho, oko kukuthi, indlela obeka ngayo unyawo lwakho emhlabeni, bunokuchaphazela nendlela obeka ngayo ubunzima enyaweni yakho.
• Iimeko ezithile zokudumba: Umzekelo, abantu abanezifo zamalungu ezifana ne -rheumatoid arthritis okanye i-lupus basengozini enkulu yokuba nee-bunions.
• Ukuma ixesha elide okanye ukwenza imisebenzi ebeka ubunzima obukhulu emilenzeni yakho.

Ngamafutshane, ilungu lakho leenyawo ezinkulu liphantsi koxinzelelo oluqhubekayo ixesha elide (mhlawumbi iminyaka). Okwenzekayo kukuba uxinzelelo lutyhala ilungu lakho phambili kancinci kancinci lize lilitsalele kwezinye iinzwane. Ekugqibeleni, njengoko uzwane lwakho lunwebeka ngolo hlobo, kuvela iqhuma kwilungu le-MTP njengoko umzimba wakho uzama ukuziqhelanisa.

Ngubani osengozini enkulu yokufumana ii-bunions?

Nabani na angafumana iibunioni, kodwa amanye amaqela asengozini enkulu:

• Kwabasetyhini: Abafazi banamathuba amaninzi okuba neebhulukhwe kunamadoda. Ngokuqhelekileyo, izihlangu eziqinileyo nezithe nkqo ezinxitywa kwifashoni zinokuba yimbangela, akunjalo?
• Impembelelo yemfuza : Njengoko bekutshiwo ngaphambili, ukuba abazali baneengxaki zeempundu okanye ezinye iingxaki zeenyawo, nabantwana babo banokuba nazo. Kufunyenwe ukuba abantu abangaphezu kwama-70% abaneempundu banabazali abanale ngxaki.
• Kwabo babenokulimala emilenzeni ngaphambili: Abantu abasoloko besenzakalisa imilenze yabo, njengabagijimi, nabo basengozini enkulu.

Ngaba i-bunion ingabangela ezinye iingxaki?

Ewe, ukuba ne-bunion kunokunyusa umngcipheko wezinye izifo ezifana nezi:

• I-Bursitis: Oku kuxa iingxowa ezizaliswe lulwelo ezijikeleze amalungu, ezibizwa ngokuba yi-bursa, zivuvukala kwaye zibe buhlungu. Xa oku kwenzeka phezu kwe-bunion, intlungu iba mandundu ngakumbi.
• Iinzwane zeHammer: Ngenxa yokwandiswa konyawo olukhulu, unyawo lwesibini nolwesithathu lunokwandiswa kwaye lugotywe njengehamile.
• I-Osteoarthritis: Oku kuthetha ukuguguleka kwamalungu. I-bunion inokubangela ukuba i-cartilage ekwi-MTP joint iguguleke, nto leyo ekhokelela kwi-arthritis.

Ungazi njani ngokuqinisekileyo ukuba une-bunion?

Ugqirha uza kukwenza uvavanyo lomzimba ukuze abone ukuba unayo na i-bunion. Uza kujonga unyawo lwakho, azive ubhontsi wakho omkhulu, aze akubuze ngeempawu zakho. Kuya kufuneka ucacise ukuba unexesha elingakanani une-bunion, zeziphi izinto ezenza ukuba ibe mandundu, kunye nokuba kukho nabani na kusapho lwakho onayo le meko.

Kusenokufuneka ubonane nogqirha weenyawo, ugqirha ochwephesha kwiingxaki zeenyawo.

Zeziphi iimvavanyo ezenziwayo ukuze kufunyaniswe i-bunion?

Uninzi lwexesha, akukho mfuneko yovavanyo olukhulu ukuze kufunyanwe i-bunion. Nangona kunjalo, ugqirha wakho unokuyalela ii-X-rays ukuba zijonge indawo yamathambo enyaweni lakho, ukuba unyawo lwakho olukhulu lukude kangakanani xa luthelekiswa nezinye iinzwane, kunye nemeko yelungu le-MTP. Ii-X-rays zezona ndlela zokuvavanya ngokuchanekileyo imeko, ingakumbi ukuba kucingelwa utyando.

Ziziphi iindlela zonyango lwe-bunions?

Unyango lwe-bunion luxhomekeke kwinqanaba lentlungu onayo, ubungakanani be-bunion, kunye nokuba ichaphazela kangakanani ubomi bakho bemihla ngemihla. Khangela, kukho izinto esinokuzenza ngokwethu.

• Tshintsha izihlangu zakho: Le yinto yokuqala ekufuneka uyenze. Ukutshintshela kwizihlangu ezineebhokisi ezibanzi nezinzulu zeenyawo kunokunciphisa uxinzelelo kwiinzwane zakho. Ziphephe izihlangu ezitsolo neziqinileyo. Kukwakho nezixhobo zokuzolula ezinokukunceda wandise izihlangu osele uzinxibile.
• Ii-Bunion pads kunye ne-taping: Ii-Bunion pads, ezifumaneka kwiikhemesti, zingabekwa zijikeleze i-bunion ukunciphisa uxinzelelo kunye nokungqubana kwesihlangu. Ugqirha wakho unokucebisa ukuba usebenzise i-medical tape ukuze ubambe iinzwane zakho endaweni yazo.
• Izixhobo zokubopha imilenze: Ii-orthotics zizixhobo ezifakwa ngaphakathi kwezihlangu zakho ukuze zixhase unyawo lwakho. Ezi zinokuba zii-orthotics ezithengiswa ngaphandle kwekhawuntara okanye izinto ezenziwe ngokwezifiso. Ugqirha wakho angacebisa ukuba ubeke isithuba esincinci phakathi konyawo lwakho olukhulu nonyawo lwakho lwesibini. Kusenokufuneka usebenzise i-splint ukugcina unyawo lwakho olukhulu luthe tye xa unganxibanga zihlangu (ingakumbi ebusuku).
• Izithomalalisi zentlungu : Amayeza angengowe-steroidal anti-inflammatory (NSAIDs) , afana ne -ibuprofen , anokunceda ukunciphisa iintlungu kunye nokudumba. La mayeza anokuthatyathwa njengeepilisi okanye njenge-NSAIDs ezisetyenziswa ekhaya. Kodwa khumbula, musa ukuthatha ii-NSAIDs ngaphezu kweentsuku ezili-10 ngexesha ngaphandle kwengcebiso kagqirha.
• Umkhenkce: Ukufaka ipakethe yomkhenkce kumnwe obuhlungu imizuzu eli-15-20 izihlandlo ezininzi ngemini nako kunokubonelela ngoncedo. Nangona kunjalo, musa ukubeka ipakethe yomkhenkce ngqo eluswini, kodwa yisongele ngelaphu elincinci.
• Iinaliti zeCorticosteroid: Ukuba ukudumba kunye nentlungu zinzima, ugqirha wakho angakunika inaliti yecorticosteroid kwi-bunion. La ngamayeza kagqirha anciphisa ukudumba ngokukhawuleza.
• Unyango lomzimba : Ungasebenzisana nogqirha wengqondo ukuqinisa izihlunu zemilenze yakho, ukwandisa ukuhamba kwamalungu, kunye nokunciphisa iintlungu. Banokukufundisa imithambo kunye nokuzolula ukuze bancede ukugcina iinzwane zakho zisendaweni yazo.
• Utyando :Ukuba ezinye iindlela zonyango azincedanga kangangeenyanga, okanye ukuba intlungu inzima kangangokuba awukwazi ukuhamba okanye ukwenza imisebenzi yakho yemihla ngemihla ngenxa ye-bunion, ugqirha wakho unokucebisa utyando lokulungisa i-bunion . Kukho iintlobo ezahlukeneyo zotyando. Ugqirha wakho okanye ugqirha wakho uza kukuxelela uhlobo lotyando olufunayo kunye neenkcukacha.

Ngaba ii-bunions ziyaphucuka xa zodwa?

Hayi, ii-bunion aziphili zodwa, kwaye awunakuzinyanga wedwa. I-bunion lutshintsho kwindlela amathambo akhiwe ngayo. Ukuze uyilungise, udinga uncedo lwezonyango. Ukuba une-bunion, qiniseka ukuba ubona ugqirha okanye ingcali yeenyawo. Kulapho kuphela apho unokuxilongwa ngokufanelekileyo kwaye uqale unyango oluya kunciphisa iimpawu zakho.

Ngaba i-bunion ingathintelwa?

Ngenxa yokuba ii-bunion zinokukhula ngezizathu ezahlukeneyo (ingakumbi izinto ezibangela ufuzo), kunzima ukuzithintela ngokupheleleyo. Nangona kunjalo, ukunxiba izihlangu ezilingana kakuhle kunye nendlela yokuphila efanelekileyo ezinyaweni zakho kunokunceda ukucothisa uphuhliso lwee-bunion okanye ukuthintela ukuba zingabi mbi. Ngokubanzi, landela la macebiso ukuze ukhethe izihlangu ezifanelana neenyawo zakho kwaye zikhululekile:

• Kuphephe ukunxiba izihlangu ezimxinwa kakhulu, ezitsolo, nezinde – ingakumbi ukuba ziyakucinezela iinzwane. Ezi zezona ntshaba zakho zinkulu!
• Nokuba uyazi ubungakanani bezihlangu zakho, zama izihlangu ezininzi ukuze ufumane esifanelana kakuhle . Kuba ayizizo zonke izihlangu ezilingana ngobukhulu, ukusuka kolunye uphawu ukuya kolunye.
• Ngaphambi kokuba uthenge izihlangu ezintsha , zivavanye ngokuhlala phantsi, ukuma, nokuhambahamba kancinci . Jonga ukuba iinzwane zakho ziyabuhlungu, ziyaxinwa, okanye ziyaxinwa nangayiphi na indlela. Kufuneka kubekho isithuba esincinci phakathi kwesihlangu nonyawo lwakho olude.
• Ungafumana i-fit echanekileyo ngokuthenga izihlangu ekupheleni kosuku , njengoko iinyawo zakho zidumba kancinci emini kwaye zinkulu kancinci ngokuhlwa kunasekuseni.

Ugqirha wakho okanye ingcali yeenyawo ingacebisa uhlobo lwezihlangu okanye uphawu olungcono lweenyawo zakho. Ukuba unezinye iingxaki zesakhiwo seenyawo, njengeenyawo ezisicaba okanye ii-arches eziphakamileyo , buza ugqirha wakho ukuba ufuna i-orthotics ukuthintela ii-bunions.

Yintoni enokulindelwa ngumntu one-bunions?

Uninzi lwabantu abane-bunions bayakwazi ukulawula iimpawu zabo baze baphile ubomi obuqhelekileyo ngaphandle kokuchaphazela imisebenzi yabo yemihla ngemihla. Ugqirha wakho uza kusebenza nawe ukufumana indibaniselwano yonyango oluya kunciphisa iimpawu zakho kwaye luncede ukugcina iinyawo zakho neenzwane zakho ziphilile kwaye zomelele.

Eyona nto ibalulekileyo kukuba, ukuba uneempawu ze-bunions, musa ukulibazisa ukuya kugqirha.Okukhona uqala unyango ngokukhawuleza, kokukhona amathuba akho okulawula iimpawu zakho ngaphandle kwesidingo sotyando ayanda.

Abantu abaye benza utyando lwe-bunion badla ngokuqhubeka nemisebenzi yabo yesiqhelo kwiinyanga ezimbini ukuya kwezintathu , kodwa kungathatha ixesha elide ukuba baphile ngokupheleleyo.

Ndifanele ndimbone nini ugqirha?

Ukuba ubona naziphi na kwezi mpawu, bona ugqirha okanye ingcali yeenyawo ngokukhawuleza :

• Intlungu ehlala ihleli emilenzeni okanye eminweni yakho.
• Kunzima ukuhamba okanye ukushukumisa iminwe yakho .
• Iqhuma elibonakalayo ezantsi kobhontsi omkhulu (nokuba libuhlungu okanye alibuhlungu).
• Ukudumba, ukuba bomvu, okanye ukufudumala kwiminwe okanye kufutshane nayo.
• Ukuba ndindisholo okanye ukuphelelwa yimvakalelo kwiminwe.

Ndingayibuza yiphi imibuzo ugqirha wam?

Xa udibana nogqirha, ungabuza imibuzo efana nale ukuze uqonde ngcono imeko:

• Kutheni ndifumene le bunion? Ngaba yingxaki ngokuma konyawo lwam?
• Loluphi uhlobo lonyango olulungele mna? Ngaba ndiza kufuna utyando?
• Singalindela ixesha elingakanani ukuba sifumane uncedo kwezi ndlela zonyango?
• Ndingenza ntoni ukuthintela ukuba i-bunion ingakhuli komnye umlenze wam?
• Ngaba ndifanele ndiphephe ukunxiba iintlobo ezithile zezihlangu kwaphela?
• Zeziphi iindlela zokuzilolonga endinokuzenza ekhaya?

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

IiBunions, okanye i-hallux valgus, yingxaki eqhelekileyo yonyawo. Ziyenzeka xa uzwane lwakho olukhulu lutyhalelwa ngaphandle kwendawo yalo yendalo, luye kwezinye iinzwane. Ekugqibeleni, iqhubu elinamathambo linokukhula kwindawo apho uzwane lwakho olukhulu luqhagamshelana khona nonyawo lwakho.

Ukuba i-bunion ikubangela iintlungu okanye iphazamisana nemisebenzi yakho yemihla ngemihla, kubalulekile ukufuna unyango . Kunokuba lula njengokutshintsha uhlobo lwezihlangu ozinxibayo, kodwa ukuze ufumanise i-bunion, kufuneka ubone ugqirha okanye ingcali yeenyawo. Ugqirha wakho unokucebisa unyango oluya kunceda ekunciphiseni iimpawu zakho kwaye lukuncede ubuyele kwimisebenzi oyithandayo. Kungcono ukufuna iingcebiso ngokukhawuleza, ngaphandle kokulibazisa!