Xa uhamba, ingakumbi xa uzama ukuphakamisa unyawo lwakho emhlabeni uze ulubeke phambili, ngaba uziva intlungu ebukhali kwilungu lonyawo lwakho olukhulu? Okanye ingaba ilungu lonyawo lwakho livakala liqinile kwaye kunzima ukugoba? Ngamanye amaxesha lide libonakale ngathi kukudumba okuncinci kuloo ndawo? Nangona abantu abaninzi becinga ukuba oku kuqhelekile, mhlawumbi ngenxa yokuba kubambekile ezihlangwini zabo, oku kungaba sisiqalo semeko yezonyango ebizwa ngokuba yi -'Hallux Limitus' . Ungakhathazeki, siza kuthetha ngayo yonke into ngokulula.
Ngamafutshane, yintoni iHallux Limitus?
Eli gama lisenokuvakala ngathi yinto enkulu, kodwa intsingiselo yalo ilula kakhulu . Ngokwezonyango, igama elithi "Hallux" libhekisa kuzwane lwakho olukhulu. Igama elithi "Limitus" lithetha ukunciphisa. Ngoko ke, xa ezi zimbini zidityanisiwe, kuthetha ukuba ilungu apho uzwane olukhulu ludibene khona linentshukumo encinci kwaye ngenxa yoko libangela intlungu.
Khawucinge nje, xa sihamba, uzwane olukhulu luxhasa wonke umzimba wethu kwaye lusinceda siqhubeke phambili. Ngoko ke xa intshukumo yelo lungu ithintelwe, nokuhamba kuba buhlungu.
Ukuba le meko ayibonwa kwangethuba, ekuhambeni kwexesha ilungu liyaqina ngakumbi kwaye lingashukumi. Silibiza ngokuba yi -'Hallux Rigidus' . Igama elithi 'Rigidus' lithetha ukuqina, ukungashukumi. Lithetha ukuba ilungu liphantse liqine ngokupheleleyo.
Uyazi njani ukuba unale meko? Zithini iimpawu zayo?
Ezi mpawu zinokwenzeka kumlenze omnye okanye yomibini. Zisenokungabonakali ekuqaleni, kodwa ziyanda kancinci kancinci. Makhe sijonge iimpawu eziphambili.
| Uphawu | Inkcazo |
|---|---|
| Intlungu kunye nokuqina | Intlungu nokuqina, ingakumbi phezu kwelungu lonyawo olukhulu. Le ntlungu iyanda xa uxinzelelo lubekwa kwilungu, njengaxa uhamba okanye ubaleka. |
| Ubunzima bokugoba umnwe | Ubunzima okanye intlungu xa uzama ukugoba ubhontsi omkhulu phezulu okanye ezantsi. |
| Ukuba ndindisholo | Ngamanye amaxesha, uxinzelelo kwilungu lunokubangela ukuba umthambo ucinezeleke, nto leyo ebangela ukuba unyawo okanye unyawo lube ndindisholo. |
| Iqhubu/ukudumba | Ekuhambeni kwexesha, iqhuma elinamathambo (njengebhola) linokukhula phezu kwamalungu onyawo olukhulu. Oku kunokunamathela xa unxiba izihlangu, nto leyo eyenza intlungu ibe mandundu. |
| Iqhuma elisezantsi kwenyawo | Ngenxa yokuba ubhontsi omkhulu awusebenzi kakuhle, unokubeka uxinzelelo olukhulu kwintende yonyawo, nto leyo ebangela ukuba kubekho amaxolo aqinileyo. |
| I-Bone Spurs | Xa ilungu lonakele, njengoko umzimba uzama ukuziphilisa, kuvela amaqhuqhuva amatsha ethambo angaphezulu. La maqhuqhuva abizwa ngokuba ngamaqhuqhuva ethambo . La maqhuqhuva athintela ngakumbi intshukumo yelungu. |
Kutheni le meko isenzeka?
Akukho sizathu sinye sale nto. Zininzi izinto ezinokubangela oku.
- Indawo yethambo leenyawo: Abanye abantu bazalwa beneeyantlukwano ezithile kwindawo yamathambo eenyawo (ingakumbi ithambo elide eliqhagamshelana nobhontsi omkhulu). Oku kubangela ukuba kubekwe uxinzelelo olungeyomfuneko kwilungu leenyawo ezinkulu.
- Ukwenzakala: Le meko inokuvela ngokuhamba kwexesha ngenxa yezinto ezifana nokudumba okuqinileyo, ukukruneka, okanye ukwaphuka kobhontsi omkhulu, okunokonakalisa ilungu.
- I-Arthritis: Ukuba uneemeko ezifana ne-osteoarthritis ( ukudumba kwamalungu), i-rheumatoid arthritis , okanye i-gout , zinokuchaphazela nelungu leenyawo ezinkulu kwaye zibangele le meko.
- Ukusebenzisa kakhulu amalungu omzimba: Abantu abenza imisebenzi ebeka uxinzelelo olukhulu kwilungu elikhulu leenyawo, njengokubaleka rhoqo nokutsiba imidlalo (ibhola ekhatywayo, ibhola ekhatywayo), ukuphakamisa iintsimbi, nokudanisa (ingakumbi i-ballet), basengozini enkulu yokuhlaselwa yile meko.
- Izihlangu ezingafanelekanga: Le meko inokubangelwa kukunxiba izihlangu eziphakamileyo, izihlangu eziqinileyo, kunye nezihlangu ezimxinwa ngaphambili, ingakumbi ezinxitywa ngabasetyhini, ezibeka uxinzelelo olukhulu kwilungu leenyawo ezinkulu.
- Ilifa:Ukuba kukho umntu kusapho lwakho onayo le meko, kukho ithuba lokuba nawe uza kuba nayo.
Ugqirha uyibona njani le nto?
Ukuba unezi mpawu, eyona nto ingcono onokuyenza kukubona ugqirha ngokukhawuleza. Uza kukubuza ngeempawu zakho aze ahlole unyawo lwakho.
- Uvavanyo lomzimba: Ugqirha uza kuhlola unyawo lwakho aze ajonge ukuba ungalugoba kangakanani unyawo olukhulu, ukuba luphi na uqaqaqa, nokuba kukho ukudumba na.
- Ukujonga indlela ohamba ngayo: Ungayifumana ingcamango yale meko ngokujonga indlela ohamba ngayo, indlela iinyawo zakho eziphantsi ngayo, kunye nendlela iinzwane zakho ezihamba ngayo.
- Uvavanyo lwe-X-ray: Kuya kufuneka uvavanyo lwe-X-ray lujonge imeko yamathambo, ukuqinisekisa ukuba izihlunu zethambo ezongezelelweyo esizikhankanyileyo zenzeke na, nokuqinisekisa ukuba i-cartilage ephakathi kwamalungu iphelile na.
Imeko ekhethekileyo ebizwa ngokuba yiFunctional Hallux Limitus: Ngamanye amaxesha, unokugoba uzwane lwakho kakuhle xa umi, kodwa kuphela xa uhamba, oko kukuthi, xa ubeka ubunzima enyaweni yakho, apho uzwane luqina kwaye lube buhlungu. Oku kubizwa ngokuba yi-'Functional Hallux Limitus'. Ugqirha usebenzisa indlela ekhethekileyo ukuvavanya oku.
Zithini iindlela zonyango zoku?
Okokuqala, ugqirha uza kuzama ukunciphisa iintlungu zakho aze abuyisele ukusebenza kwelungu ngokusebenzisa unyango olulula, olungelulo utyando.
| Indlela yonyango | Kwenziwe ntoni |
|---|---|
| Ukukhetha izihlangu ezifanelekileyo | Nxiba izihlangu ezibanzi ngaphambili nezinendawo eyaneleyo yokungena ezinzwaneni zakho. Ziphephe izihlangu eziphakame ngaphezu kwe-intshi enye. Izihlangu ezineentlango eziqinileyo neziqinileyo zezona zilungileyo. |
| Ukuphumza unyawo | Ziphephe izinto ezigqithisileyo eziyandisa iintlungu (ukuzilolonga okunzima, ukubaleka) okwethutyana. Phumla rhoqo. |
| Ukusebenzisa i-orthotics | Ezi ziinsole ezikhethekileyo ezifakwa ngaphakathi kwezihlangu. Zixhasa umphetho wonyawo kwaye zinciphisa uxinzelelo kubhontsi omkhulu xa uhamba. Ezi zingenziwa ukuba zilingane nonyawo lwakho ngokwengcebiso kagqirha wakho. |
| Ulungiso lwenyama | Unyango olufana nokuzilolonga okukhethekileyo kunye nokutsala, njengoko kuyalelwe yingcali yezonyango, lunokunciphisa iintlungu kwaye luphucule ukuhamba kwamalungu. |
| Izibulali-ntlungu | Amayeza angengowe-steroidal anti-inflammatory (NSAIDs) afana ne-ibuprofen kunye ne-naproxen angasetyenziswa njengoko ugqirha wakho eyalela. La mayeza anokunceda ukunciphisa iintlungu kunye nokudumba. |
| Ukunyibilika komkhenkce | Beka ipakethe yomkhenkce kwilungu elibuhlungu imizuzu eli-15-20 kanye okanye kabini ngemini. Oku kuya kunceda ukunciphisa iintlungu nokudumba. |
| Iinaliti zeCorticosteroid | Ukuba ezinye iindlela zonyango aziyithobeli intlungu, ugqirha wakho unokukunika inaliti ye-steroid ngqo kwilungu. Oku kunokunciphisa iintlungu nokudumba ngokukhawuleza. |
Kunini apho kufuneka khona utyando?
Utyando ludla ngokuqwalaselwa kuphela ukuba unyango olulula olukhankanyiweyo apha ngasentla aluncedi, iintlungu azinyamezeleki, okanye imeko ifikelele kwiHallux Rigidus (ukuqina ngokupheleleyo kwelungu). Kukho iintlobo ezahlukeneyo zotyando.
- I-Cheilectomy: Oku kubandakanya ukususa ngotyando izihlunu zethambo ezongezelelweyo ezithintela intshukumo yelungu, nto leyo evumela ilungu ukuba lihambe ngokukhululekileyo.
- I-Osteotomy: Oku kuquka ukusika ithambo elide emlenzeni, ukutshintsha indawo yalo, kunye nokunciphisa uxinzelelo kwilungu.
- Ukuhlanganiswa (i-Arthrodesis):Ukuba ilungu lonakele kakhulu, i-cartilage egugileyo iyasuswa kwaye amathambo amabini ahlanganiswe ngokusisigxina. Oku kuya kuyiphelisa ngokupheleleyo intshukumo yelungu, kodwa intlungu iya kuphela ngokupheleleyo.
- Ukutshintshwa kwamalungu (i-Arthroplasty): Njengokutshintshwa kwamadolo, ilungu elonakeleyo liyasuswa lize litshintshwe ngelungu elenziwe ngesinyithi okanye ngeseramikhi.
Ugqirha wakho uza kuxoxa nawe ngotyando olulungele wena aze enze isigqibo esifanelekileyo ngokwemeko yakho.
Umyalezo Wokuya Ekhaya
- Musa ukuyityeshela intlungu nokuqina konyawo lwakho olukhulu, kuyinto eqhelekileyo. Isenokuba sisiqalo semeko ebizwa ngokuba yiHallux Limitus.
- Ngokubona ugqirha kwangoko, ungayithintela imeko ukuba ibe mandundu kwaye uphile ngonyango olulula.
- Kubaluleke kakhulu ukunxiba izihlangu ezikhululekileyo ezifanela iinyawo zakho, ingakumbi ukuphepha izithende eziphakamileyo.
- Unyango olulula (ukuphumla, umkhenkce, umthambo) njengoko ugqirha emyalele lunokunceda ukulawula iintlungu kakhulu.
- Ukuba iintlungu zinzima okanye unyango olulula aluncedi, utyando lunokuba sisisombululo esihlala sihleli. Thetha nogqirha wakho ngayo.
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