Ngaba kunzima ukugoba ubhontsi wakho omkhulu? Ngaba kubuhlungu? Masifunde nge (Hallux Limitus)?

Ngaba ngamanye amaxesha uziva ngathi awukwazi ukugoba uzwane lwakho olukhulu kakuhle kwaye kubuhlungu xa uhamba? Ngaba le ntlungu iba mandundu, ingakumbi xa uhamba unxibe izihlangu, okanye xa wenza izinto ezifana nokubaleka okanye ukutsiba? Ngoko ke, siza kuthetha ngento enokuba ibalulekile kuwe. Le meko inokwenza kube nzima kuwe ukwenza imisebenzi yakho yemihla ngemihla . Makhe sibone ukuba yintoni ebangela oku kunye nento onokuyenza ukuze uyisuse.

Yintoni iHallux Limitus?

Kulungile, masiqale sibone ukuba yintoni le `(Hallux Limitus)`. Kalula nje, `(Hallux Limitus)` ithetha ukuba ilungu apho uzwane lwakho olukhulu luqhagamshelana khona nonyawo libuhlungu kwaye liqinile, oko kuthetha ukuba kunzima ukugoba okanye ukululula kakuhle. Ngokwezonyango, eli lungu libizwa ngokuba `(ilungu lokuqala le-metatarsophalangeal)`. `Hallux` ithetha uzwane olukhulu. `Limitus` ithetha umda, oko kuthetha ukuba intshukumo ilinganiselwe.

Ngoko ke, kumanqanaba okuqala ale meko `(Hallux Limitus)`, ungaziva ngathi awukwazi ukugoba kakuhle i-toe joint, ngokungathi iqinile kancinci. Kodwa oku kunokuba kubi ngakumbi nangakumbi. Njengoko kusiba mandundu, i-joint ayishukumi ngokupheleleyo, oko kukuthi, iba ``iqinile'`, kwaye nokuhamba kuba buhlungu kakhulu. Elo lelona nqanaba linzima kakhulu, elibizwa ngokuba yi`(Hallux Rigidus)` .

Ngoko ke yintoni `(I-Functional Hallux Limitus)`?

Ngoku kukho enye into ekhethekileyo, ibizwa ngokuba yi-"Functional Hallux Limitus". Kule meko, ukuqina kunye nokunyakaza okulinganiselweyo kwelungu lakho leenyawo ezinkulu kuvakala kuphela xa ubeka ubunzima enyaweni lakho. Oko kuthetha ukuba xa uhamba okanye umi.

Oku kunokuba nzima ukukufumanisa, ingakumbi ukuba ugqirha wakho akaqhelananga kakuhle nale meko. Uyazi ntoni? Xa uhleli phantsi nje, ungafaki bunzima emlenzeni wakho, uzwane lwakho olukhulu lunokuhamba ngokuqhelekileyo. Usenokucinga ukuba akukho nto imbi ngayo.

Ngubani ofumana le `(Hallux Limitus)`?

Le meko ixhaphake kakhulu kunokuba unokucinga. Kuqikelelwa ukuba le meko ichaphazela malunga nomntu omnye kubantu abadala abangama-40 abaneminyaka engaphezu kwama-50 ubudala. Nangona kunjalo, kucingelwa ukuba iqala kubantu abadala abancinci. Umzekelo, malunga ne-10% yabantu abaneminyaka engama-20 ukuya kwengama-34 ubudala bane-X-ray ebonisa utshintsho kumalungu abo. Oku kuthetha ukuba olu tshintsho lunokuqala nangaphambi kokuba kubonakale iimpawu.

Zithini iimpawu ze-`(Hallux Limitus)`?

Kulungile, zithini ke iimpawu zeHallux Limitus? Zingavela kwinyawo elinye okanye zombini. Ziqala kancinci kakhulu, mhlawumbi ungaqondanga, zize kancinci kancinci zibe mandundu.

• Intlungu nokuqina:Intlungu, ukungakhululeki, kunye nokuqina komzimba kuvakala ngakumbi phezulu kwelungu elikhulu leenyawo. Le ntlungu iba mandundu xa usenza imisebenzi ebeka uxinzelelo kwilungu, njengokuhamba, ukubaleka, okanye ukutsiba. Umzekelo, ukuba ungumdlali webhola yomnyazi, uya kuyiva le ntlungu kakhulu xa ubaleka kwaye uyeka ngequbuliso okanye utsiba.
• Ubunzima bokugoba ubhontsi omkhulu: Usenokungakwazi ukugoba ubhontsi phezulu okanye ezantsi ngokufanelekileyo. Usenokuziva oku xa unxiba izihlangu.
• Ukuba ndindisholo : Ngamanye amaxesha, umthambo oxineneyo unokubangela ukuba ndindisholo okanye ukurhawuzelela phezulu kunyawo olukhulu okanye unyawo.
• I-Callus: Uxinzelelo olugqithisileyo phantsi kobhontsi omkhulu lunokubangela ukuba ulusu lube rhabaxa kwaye lube rhabaxa, nto leyo eyenza ukukhula okufana ne-callus.
• Iqhuma elinamathambo: Iqhuma elincinci elinamathambo linokuvela ngaphezulu kweqhuma elikhulu leenyawo. Oku ngamanye amaxesha kunokunamathela esicathulweni kwaye konyuse intlungu.
• Ukuqhawuka kwamathambo : Xa uzwane olukhulu lonzakele kwaye luzama ukuphola, kunokubakho ukuqhawuka kwamathambo amatsha (okubizwa ngokuba yi-bone spurs) kwilungu. Oku kunokubangela intlungu xa kushukunyiswa ilungu.

Kutheni le nto `(Hallux Limitus)` isenzeka?

Kutheni ke le `(Hallux Limitus)` iphuhliswa? Kunokubakho izizathu ezininzi. Makhe sibone ukuba zeziphi ezona ziphambili:

• Ukuma okungaqhelekanga kweenyawo: Le meko inokwenzeka ukuba ithambo lakho lokuqala le-metatarsal (ithambo elide elisezinyaweni zakho eliqhagamshelwe kubhontsi wakho omkhulu) lide kakhulu, liphezulu kakhulu, okanye ukuba esinye isakhiwo esingaqhelekanga enyaweni yakho sibeka uxinzelelo olukhulu kwilungu lakho lebhontsi.
• Ukwenzakala kobhontsi omkhulu: Khawuthelekelele ukuba ngelixa uhamba, ngequbuliso ubethe ubhontsi wakho omkhulu ndaweni ithile, uwukrune, okanye waphuka ithambo. Iingozi ezinjalo zinokubangela i-"Bone Spurs" ekhankanyiweyo apha ngasentla. Ezinye iingozi ngelixa udlala imidlalo nazo zinokuchaphazela oku.
• I-Arthritis: Ukuba unezifo zamalungu ezifana ne-Osteoarthritis, i-Rheumatoid Arthritis, okanye i-Gout , zinokuchaphazela amalungu esinqe sakho, amadolo, kunye neenyawo, kwaye ekugqibeleni zichaphazele indlela ohamba ngayo, nto leyo ebangela i-Hallux Limitus.
• Ukusebenzisa kakhulu iinzwane: Ukuzibandakanya kwimisebenzi echaphazela kakhulu iinzwane. Umzekelo, ukuqubha, ukubaleka, ukutsiba, ibhola ekhatywayo, ibhola yomnyazi, ithenisi, ijimnastiki, ukudanisa, ingakumbi i-ballet, konke oku kubeka uxinzelelo olukhulu kuzwane olukhulu.
• Izihlangu ezingafanelekanga: Ukunganxibi izihlangu ezikhululekileyo nezilingana kakuhle, ingakumbi izihlangu eziphakamileyo .Uxinzelelo olungeyomfuneko longezwa kwilungu elikhulu leenyawo.
• Imbali yosapho: Ukuba kukho umntu kusapho lwakho oye waba nale meko `(Hallux Limitus)`, nawe unokuba nayo. Oku kusenokuba yimpembelelo yemfuza.

Ifunyanwa njani le meko `(Hallux Limitus)`?

Kulungile, ukuba uneempawu ezinje, ugqirha uyifumanisa njani njenge-`(Hallux Limitus)`?

Xa usiya kugqirha wakho, uza kuqala akubuze ngeempawu zakho. Baza kubuza imibuzo efana nale, "Ixesha elingakanani le ntlungu iqhubeka?", "Ibuhlungu nini kakhulu?", kunye nokuba wakha wenzakala na enyaweni okanye kunyawo olukhulu.

Emva koko baza kuhlola umlenze wakho okanye imilenze yomibini. Baza kujonga ukuguquguquka kweenzwane zakho, oko kukuthi, ukuba ungazigoba kangakanani . Baza kujonga ngononophelo indlela ohamba ngayo. Kuba indlela ohamba ngayo ingatyhila lukhulu.

Ukongeza, baya kuyalela i-X-ray ukujonga amathambo enyaweni lakho baze bafumanise ukuba kukho na i-bone spurs okanye ukuba i-cartilage esemalungeni akho (izicubu ezithambileyo apho amathambo amabini adibana khona) inciphile.

Uvavanyo olukhethekileyo lokuxilonga `(I-Functional Hallux Limitus)`

Kukho uvavanyo olulula lokufumanisa ukuba unayo na imeko ekhankanyiweyo ngaphambili ethi "Functional Hallux Limitus". Khawuthelekelele uhleli esitulweni izihlangu zakho kunye neekawusi zikhutshiwe, iinyawo zakho ziphakanyiswe phantsi, neenzwane zakho ziphakanyisiwe.

Ugqirha uza kubeka umnwe wakhe wokukhomba phantsi kobhontsi wakho omkhulu aze atyhale ubhontsi wakho omkhulu phezulu (ukuya ngasemlenzeni). Ubhontsi wakho kufuneka utyibilike umva ngokulula.

Emva koko, bakwenza kwakhona ngendlela efanayo, kodwa ngeli xesha ugqirha ubeka isandla esinye phantsi konyawo lwakho aze asebenzise ubhontsi wesinye isandla ukubamba ngokuqinileyo ilungu lobhontsi wakho omkhulu. Ngoku bazama ukutyhala ubhontsi wakho omkhulu kwakhona. Ukuba ubhontsi wakho awunyuki kangako, usenokuba ne-`(Functional Hallux Limitus)`.

Olu vavanyo – ukubeka isandla sakho phantsi kweenyawo zakho uze ucinezele ilungu ngobhontsi wakho – lulinganisa ukusebenzisa ubunzima xa uhamba. Ukuba uzwane luthintelwe xa usenza oku, kubonisa ukuba intshukumo ithintelwe ngakumbi xa ubeka ubunzima bakho bonke emlenzeni uze uhambe.

Ziziphi iindlela zonyango ze-`(Hallux Limitus)`?

Kulungile, ngoku makhe sibone ukuba loluphi unyango olufumanekayo kwesi sifo `(Hallux Limitus)`. Okokuqala, ugqirha uza kuzama unyango olulula, olungelulo utyando ukunciphisa iintlungu kunye nokungonwabi kwakho.

• Nxiba izihlangu ezilingana kakuhle: Nxiba izihlangu ezinentloko ebanzi, oko kuthetha ukuba kukho indawo eyaneleyo yokuthwala uzwane lwakho olukhulu, kwaye ezingazicinezeliyo iinzwane zakho. Ziphephe izihlangu ezinde ngaphezu kwe-intshi enye. Izihlangu ezithe tyaba, ezine-sole eqinileyo, okanye ezine-sole ethe tyaba (oku kunciphisa ukugoba kozwane olukhulu) zezona zikhetho zilungileyo.
• Kuphephe ukuzibhokoxa kakhulu iinyawo zakho:Phumla rhoqo kwaye uphumze imilenze yakho. Ziphephe izinto ezichaphazela kakhulu ezifana nokubaleka, ijimnastiki, kunye nokutsiba de ilungu lakho elikhulu lonyawo liphole, ingakumbi emva kwengozi yomlenze wakho.
• Sebenzisa ii-orthotics ukuxhasa iinyawo zakho: Ii-Orthotics (izihlangu ezifakwayo) ezifumaneka kwiikhemesti okanye ii-orthotics ezenziwe ngokwezifiso ezichazwe ngugqirha zingasetyenziselwa ukuxhasa iinyawo zakho nokulungisa naluphi na ukungalingani onokuba nakho xa uhamba. Cela ugqirha wakho akunike ingcebiso ngee-orthotics ezenziwe ngokwezifiso.
• Fumana unyango lomzimba: Iindlela zonyango lomzimba ziquka ukutsalwa, ukuguqulwa, unyango ngamanzi, kunye ne-ultrasound. Ezi zinokunceda ukunciphisa iintlungu kunye nokwandisa ukuhamba kwamalungu.
• Sela amayeza okunciphisa iintlungu athengiswa ngaphandle kwe-odolo (OTC) kunye namayeza okulwa nokudumba: Umzekelo, amayeza athengiswa ngaphandle kwe-odolo afana ne-ibuprofen (Advil®, Motrin®), i-aspirin (Bayer®), okanye i-naproxen (Aleve®). Kungcono ubuze ugqirha wakho okanye ikhemisti ngaphambi kokuba uwasebenzise.
• Faka umkhenkce: Faka ipakethe yomkhenkce kwilungu lakho elikhulu leenyawo malunga nemizuzu engama-20 kanye okanye kabini ngemini. Oku kuya kunciphisa ukudumba kunye nentlungu.
• Iinaliti zeCorticosteroid: Ukuba ezinye iindlela zonyango ezilula aziyithomalalisi intlungu yakho, ugqirha wakho unokucebisa iinaliti zecorticosteroid. Ezi ziinaliti ezifakwa ngqo kwilungu ukuze kuncitshiswe iintlungu nokudumba ngokukhawuleza.

Unyango lwe-`(I-Hallux Limitus Esebenzayo)`

Nantsi indlela yokunyanga imeko ethi `(Functional Hallux Limitus)`:

• Ukuphumla, umkhenkce kunye nokuphakama (ngokufana nendlela ye-RICE).
• Ukusebenzisa i-orthotics eyenziwe ngokwezifiso okanye i-insole ye-carbon fiber.
• Ulungiso lwenyama.

Ugqirha wakho uza kuxoxa nawe ngeendlela zonyango ezilungele wena.

Ufanele ucinge nini ngotyando?

Utyando ludla ngokuqwalaselwa xa imeko ethi `(Hallux Limitus)` ifikelele kwi `(Hallux Rigidus)`, okanye xa intlungu ingasuswanga ziindlela ezilula zonyango ezikhankanyiweyo apha ngasentla. Nangona kunjalo, ukuba imeko yakho ethi `(Hallux Limitus)` iya isiba mandundu ngenxa yokukhubazeka kweenyawo, okanye ukuba uneempawu eziqatha, wena kunye nogqirha wakho niza kuxoxa ngokuba niza kwenza utyando okanye hayi.

Ziziphi iindlela zotyando?

Kukho iindlela ezahlukeneyo zotyando. Makhe sijonge ukuba zeziphi:

• Ukususwa kwe-scute (i-Cheilectomy):Olu tyando lubandakanya ukucheba amathambo kunye neqhekeza elincinci lethambo phezu kwentloko yakho ye-metatarsal (intloko yethambo edibene nobhontsi omkhulu). Olu bhontsi lwethambo luvumela ubhontsi omkhulu ukuba uhambe ngokukhululekileyo, lukhulisa amandla okugoba ubhontsi, kwaye lunciphisa iintlungu.
• I-Osteotomy: Kolu tyando, ithambo le-metatarsal elisezinyaweni zakho liyanqunyulwa kwaye lihlengahlengiswe ukuze kulungiswe ukukhubazeka kweenyawo.
• I-Fusion/Arthrodesis: Kolu tyando, i-cartilage eyonakeleyo isuswa kumathambo amabini enza i-thumb joint yakho kwaye amathambo amabini adityaniswe. Xa amathambo amabini edityaniswe, i-joint kubhontsi wakho omkhulu iyayeka ukuhamba.
• Ukutshintshwa kwamalungu/i-Arthroplasty: Kolu tyando, iziphelo ezonakeleyo zamathambo e-metatarsophalangeal joint ziyasuswa kwaye zitshintshwe ngejoint yokwenziwa eyenziwe nge-ceramic okanye i-titanium. Oku kunokugcina umgama othile kwijoint.
• Ukulungiswa kwakhona kwethambo/i-Interpositional arthroplasty: Kolu tyando, elinye lamathambo awonakeleyo liyasuswa kwaye kufakwa i-spacer, okanye into ephakathi, phakathi kwamathambo elungu leenyawo ezinkulu. Oku kunciphisa ukungqubana phakathi kwamathambo.

Ugqirha wakho angacinga nangezinye iindlela zotyando ezithile. Wena nogqirha wakho niza kuxoxa ngokuba utyando lufanelekile na kunyawo lwakho olukhulu, kwaye ukuba kunjalo, loluphi unyango oluza kukunika iziphumo ezilungileyo.

Luhlobo luni lwesiphumo umntu one-`(Hallux Limitus)` anokulindela?

Ukuba ubona ugqirha kwangoko nje ukuba uzive iintlungu okanye ukungakhululeki kubhontsi wakho omkhulu, unokwandisa amathuba akho okuthintela umonakalo ongakumbi kubhontsi wakho omkhulu. Okukhona uqaphela imeko ngokukhawuleza (Hallux Limitus), kokukhona unokuqala unyango ngokukhawuleza. Yiyo loo nto kubalulekile ukuba ungawutyesheli nowona mpawu uncinci.

Ngaba le meko inganyangeka ngokupheleleyo?

Kuxhomekeke kwisizathu kunye nonyango olukhethiweyo. Imeko ebizwa ngokuba yi-`(Hallux Limitus)` ebangelwe yingozi inokunyangeka. Kwelinye icala, imeko ebizwa ngokuba yi-`(Hallux Limitus)` ebangelwa yimeko efana ne-arthritis isenokungapheli ngokupheleleyo kwaye inokuba mandundu ngakumbi ibe yi-`(Hallux Rigidus)`.

Unyango olungelulo utyando lunokunciphisa iimpawu zakho, kodwa iintlungu zinokubuya okanye zibe mandundu. Ukuba uneHallux Rigidus, utyando lunokubonelela ngesisombululo esihlala sihleli kwiintlungu nokuqina kwazo.

Kuthatha ixesha elingakanani ukuphiliswa?

Kukwaxhomekeke kwisizathu kunye nendlela yokunyanga `(Hallux Limitus)`.

Ukuba unobangela ngumsebenzi ochaphazela kakhulu okanye ingozi, phumza umlenze wakho rhoqo kwaye uphephe loo msebenzi de ilungu okanye unyawo lwakho luphole. Ugqirha wakho uya kucebisa ukuba uphumze umlenze wakho kangaphi kwaye uphephe ixesha elingakanani imisebenzi ethile.

Ukuba ukhe watyandwa, kungathatha iiveki ukuba uphile, kwaye kungathatha iinyanga ezininzi ukubuyela kwimisebenzi yakho yesiqhelo. Ugqirha wakho uza kukuxelela ukuba kuza kuthatha ixesha elingakanani ukuba uphile, kuxhomekeke kuhlobo lotyando olwenzileyo kunye nemeko yelungu lakho elikhulu lonyawo. Isitshixo kukuba nomonde.

Ezona zinto zibalulekileyo esifuna ukuzithatha kweli bali zezi

Ngoko ke, `(Hallux Limitus)` yimeko eyenza kube nzima ukugoba uzwane lwakho olukhulu kwaye yenze ukuhamba kube buhlungu. Oku kunokuba mandundu kancinci kancinci ngokuhamba kwexesha, kwaye ekugqibeleni kukhokelele kwimeko apho ilungu lozwane olukhulu lingenakushukunyiswa kwaphela (elibizwa ngokuba `(Hallux Rigidus)`).

Eyona nto ibalulekileyo kukuzama ukuyithintela le meko ukuba ingabi mbi kakhulu.

Nazi ezinye izinto onokuzenza:

• Nxiba izihlangu ezikhululekileyo ezifanelana kakuhle neenyawo zakho. Ziphephe izithende eziphakamileyo kangangoko unako.
• Sebenzisa i-orthotics ukuba ugqirha wakho ucebisa.
• Sela amayeza okuthomalalisa iintlungu kunye namayeza okulwa nokuvuvukala (umz., ibuprofen) xa kukho intlungu okanye ukudumba. Kodwa qhagamshelana nogqirha.
• Phumla imilenze yakho. Zigcine kude nomsebenzi onzima.

Ukuba usenentlungu emva kokwenza ezi zinto, okanye ukuba unengxaki yokuhamba, ungoyiki ukuthetha nogqirha wakho malunga neenaliti ze-corticosteroid okanye iindlela zotyando.

Ukuba uyinyamekela kwangethuba le meko, uya kukwazi ukuyilawula kakhulu le meko kwaye uphile kamnandi!

` Hallux Limitus, Hallux Limitus, Intlungu yeenzwane ezinkulu, iintlungu zonyawo, iintlungu ezidibeneyo, iHallux Rigidus, iHallux Rigidus, iMpilo yonyawo