Ngaba wakha waziva iintlungu okanye ukuqina ezantsi konyawo lwakho olukhulu xa uhamba? Ngaba ukufumanisa kunzima ukugoba unyawo lwakho xa uvuka kusasa? Okanye ngaba unyawo lwakho olukhulu luziva lubambekile xa unxiba izihlangu zakho? Ukuba unale mpawu, unobangela usenokuba uqhelekile kunokuba ucinga. Namhlanje sithetha ngemeko ebizwa ngokuba yi-'Hallux Rigidus' echaphazela abantu abaninzi, kodwa akuthethwa kakhulu ngayo.
Yintoni kanye kanye iHallux Rigidus?
Ngamafutshane, iHallux Rigidus luhlobo lwesifo samathambo esibakho kubhontsi wakho omkhulu. Ngokukodwa, sichaphazela ilungu apho ubhontsi wakho omkhulu udibana khona nonyawo lwakho. Ngokwezonyango, eli lungu silibiza ngokuba yi-metatarsophalangeal, okanye i-MTP, joint.
Xa usiva igama elithi "arthritis," mhlawumbi uyazi ukuba ligama eliqhelekileyo leqela lezifo ezibangela ukudumba kunye nentlungu yamalungu. Ngoko ke oogqirha ngamanye amaxesha babiza le meko, iHallux Rigidus, ngokuthi "arthritis yonyawo olukhulu."
Igama lesiLatini elithi 'Hallux Rigidus' lithetha "unyawo olukhulu olunamatheleyo." Oku kuchaza uphawu oluphambili lwale meko. Le meko ibangela iintlungu kunye nokuqina kwelungu le-MTP. Enyanisweni ithathwa njengohlobo lwe-arthritis olubizwa ngokuba yi-osteoarthritis, olubangelwa kukuguguleka ngokuhamba kwexesha .
Ukuba ufumana iimpawu ezifana neentlungu, ukuqina, okanye ukudumba kubhontsi wakho omkhulu, eyona nto ingcono onokuyenza kukubona ugqirha ngokukhawuleza.
Ixhaphake kangakanani le meko?
Usenokumangaliswa kukuva oku. Ngokutsho kweengcali, malunga nomntu omnye kubantu abadala abangama-40 abaneminyaka engaphezu kwama-50 ubudala uneHallux Rigidus. Kwakhona lolona hlobo luqhelekileyo lwe-arthritis ezinyaweni.
Phakathi kweemeko ezichaphazela ilungu elikhulu leenyawo, iHallux Rigidus yimeko yesibini exhaphakileyo emva kwe-bunion eyaziwayo (iiBunions okanye iHallux Valgus).
Zithini iimpawu zeHallux Rigidus?
Kulungile, ngoku makhe sibone ukuba zeziphi iimpawu ezibonakaliswa ngumntu onesi sifo. Ukuze sikuqonde kakuhle oku, masijonge ngale ndlela.
| Uphawu | Inkcazo |
|---|---|
| Intlungu | Intlungu ngaphakathi okanye ecaleni konyawo olukhulu. Intlungu idla ngokuvakala phezulu konyawo. Kodwa ngamanye amaxesha ingavakala ngathi yintlungu enzulu evela ngaphakathi konyawo. |
| Ukuqina/ukulahlekelwa kukuguquguquka | Kuba nzima ukugoba okanye ukolula ubhontsi omkhulu. Kuvakala ngathi ubambekile. Oku kunokubonakala ngakumbi kusasa. |
| Ukudumba | Ungaphawula ukudumba okujikeleze ilungu lonyawo olukhulu. |
| Ukuncipha kwamandla okuhamba | Ngokuhamba kwexesha, uluhlu lwentshukumo olunokushukunyiswa phezulu nasezantsi ngomnwe ngaphandle kwentlungu luyehla kancinci kancinci. |
| Into efana neqhina | Iqhuma, elifana ne-bunion okanye i-callus, linokuvela phezulu kubhontsi omkhulu. Oku kunokubangelwa kukuqhekeka kwamathambo. |
Izinto eziphucula ezi mpawu
Ezinye izinto kunye neemeko zinokwenza iimpawu zakho zibe zimbi ngakumbi.
- Xa umi okanye uhamba: Intlungu inganda njengoko ubunzima bubekwa kwilungu.
- Imozulu ebandayo nefumileyo: Intlungu yamalungu isenokuvakala ngathi imbi kakhulu ngeentsuku ezibandayo.
- Ukunxiba izihlangu eziqinileyo: Ukunxiba izihlangu ezithintela iinzwane zakho kwaye ezingalingani kakuhle nonyawo lwakho kwandisa uxinzelelo kwilungu kwaye kwandisa intlungu.
Kutheni kwenzeka iHallux Rigidus?
Kudla ngokuba nzima ukufumana unobangela ocacileyo wale meko. Esona sizathu siphambili kukuguguleka kwamalungu ethu ngokuhamba kwexesha. Njengoko sikhula, i-cartilage ekhusela amalungu ethu iyaguguleka. Oku kuguguleka kwamalungu yeyona nto iphambili ebangela iHallux Rigidus kunye nezinye izifo ze-osteoarthritis.
Khawucinge nje, ngalo lonke inyathelo esilithathayo, amandla obunzima bomzimba wethu aphindwe kabini kweli joyini lincinci le-MTP. Ngoko ke, xa unyamezela olu hlobo loxinzelelo ubomi bakho bonke, kuyinto eqhelekileyo ukuba ilungu liguge.
Ukongeza kwesi sizathu siphambili, ezinye izizathu ezininzi zinokuchaphazela oku:
- Ukusetyenziswa ngokugqithisileyo kwe-MTP joint: Ukuba uxinzelelo olugqithisileyo lubekwa kwi-big toe joint ngexesha lemidlalo, izinto ozithandayo, okanye umsebenzi.
- Iqhuma lenzwane: Ukuba uzwane olukhulu luqhuma ndaweni ithile.
- Uzwane olune-Turf: Imeko efana nokukruneka okubangelwa kukugoba umdibaniso wozwane phezulu ngamandla ngexesha lokudlala.
- Indawo amathambo kuyo unyawo: Abanye abantu banethambo ezinyaweni nasezinzwaneni ezinde kunesiqhelo. Abantu abanjalo nabo basengozini yokuba nale meko.
Ngubani osengozini enkulu yokuhlaselwa yile meko?
Nangona nabani na enokuba neHallux Rigidus, abanye abantu basengozini enkulu kancinci.
- Abantu abangaphezu kweminyaka engama-50 ubudala
- Abafazi
- Abadlali
- Kwabo bame imini yonke ngenxa yomsebenzi
Kwakhona, ezinye iimeko zonyango zinokunyusa umngcipheko wokuba neHallux Rigidus.
- Irheumatoid arthritis
- Igawuthi
- Izifo ezizenzekelayo ezibangela ukuvuvukala
- IiDissecans zeOsteochondritis
Ugqirha uyixilonga njani le nto?
Xa usiya kugqirha, into yokuqala aza kuyenza kukuhlola unyawo lwakho. Ugqirha uza kugoba unyawo lwakho olukhulu phezulu nasezantsi aze ajonge ukuba luhamba kangakanani. Uza kujonga ukuba ungalugoba kangakanani unyawo lwakho ngaphandle kwentlungu. Ungathunyelwa kwingcali yeenyawo, ingcali yeenyawo.
Ukongeza, ungaphinda wenze i-X-ray yonyawo lwakho ukujonga imeko yelungu kunye nokujonga ukuba akukho na i-bone spurs.
Ngaba kukho amanqanaba eHallux Rigidus?
Ewe, kuxhomekeke kubunzima bale meko, ugqirha wakho unokuyihlela ngokwamanqanaba ahlukeneyo, okanye amanqanaba, kuxhomekeke ekubeni intshukumo yonyawo lwakho olukhulu ilinganiselwe kangakanani.
| Ibanga | Imeko |
|---|---|
| Ibanga 0 | Intshukumo yomnwe ochaphazelekileyo ingaphantsi nge-10% - 20% kunomnwe ophilileyo. |
| Ibanga loku-1 | Intshukumo incitshiswa ngama-20% - 50%. |
| Ibanga lesi-2 | Intshukumo incitshiswa ngama-50% - 75%. |
| Ibanga lesi-3 | Intshukumo incitshiswa yi-75% - 100% (phantse iqandiswe ngokupheleleyo). |
| Ibanga lesi-4 | Intshukumo incitshiswa ngama-75% - 100%, kwaye kukho iintlungu eziqatha xa ushukumisa umnwe. |
Zeziphi iindlela zonyango ezilungileyo zeHallux Rigidus?
Unyango olufunayo luya kuxhomekeka kubukhali beempawu zakho kunye nesizathu semeko yakho. Ugqirha wakho angacebisa oku kulandelayo: Olu lunyango olungelulo utyando.
- Ukutshintsha izihlangu zakho: Ukunxiba izihlangu ezikhululekileyo nezivumela indawo eninzi yeenzwane zakho kunokunceda ukunciphisa uxinzelelo kwilungu le-MTP. Ukunxiba izihlangu ezineenyawo eziqinileyo neziqinileyo kunokunceda ekunciphiseni iintlungu. Ziphephe izithende eziphakamileyo kunye nezihlangu ezineebhokisi ezincinci zeenzwane.
- Ukunciphisa intshukumo yonyawo: Ugqirha wakho unokucebisa ukusebenzisa ii-pads ezinokufakwa ngaphakathi kwesihlangu, zixhase unyawo olukhulu, kwaye zinciphise intshukumo yalo. Banokucebisa nokuba uphephe imisebenzi ebeka uxinzelelo kwilungu, njengokubaleka nokutsiba, okwethutyana.
- Iintlungu: Ugqirha wakho unokukunika amayeza angengo-steroidal anti-inflammatory (NSAIDs) ukunciphisa ukudumba kunye nentlungu.
- Umkhenkce: Ukufaka ipakethe yomkhenkce kunokunceda ekunciphiseni iintlungu nokudumba. Khumbula ukusonga ipakethe yomkhenkce ngetawuli ebhityileyo. Musa ukufaka umkhenkce ngqo eluswini. Buza ugqirha wakho ukuba kangaphi ngemini kwaye ixesha elingakanani.
- IiCorticosteroids: Ezi luhlobo olunamandla lwamayeza anciphisa ukudumba. Kusenokufuneka ufumane inaliti ye-cortisone ngqo kwilungu lonyawo lwakho olukhulu.
- Ukuntywilisela iinyawo emanzini ashushu/abandayo:Ukunciphisa ukudumba, ugqirha wakho unokucebisa "ukuhlamba okuchaseneyo", unyango olutshintshana phakathi kwamanzi ashushu nabandayo. Oku kuthetha ukubeka unyawo lwakho emanzini ashushu imizuzwana engama-30, kulandele amanzi abandayo imizuzwana engama-30 elandelayo.
- I-Cheilectomy kunye ne-Arthropathy: Kuya kufuneka unxibe isihlangu esikhethekileyo kangangeeveki ezimbini. Emva koko, unganxiba izihlangu eziqhelekileyo. Ukudumba kunokuhlala iinyanga ezininzi.
- Utyando lwe-Osteotomy: Kuthatha malunga neeveki ezi-6-8 ukuba ukudumba kuphele. Kungathatha malunga neenyanga ezi-3 ukuze kuphiliswe ngokupheleleyo.
- Ukudibanisa amalungu omzimba: Kuya kufuneka unxibe isamente okanye isihlangu esikhethekileyo kangangeeveki ezi-3-6. Emva koko, kuya kufuneka usebenzise iintonga. Ukudumba nokuqina kunokuhlala iinyanga ezininzi.
- Ukuzilolonga: Yenza umthambo olula onokugcina ilungu elikhulu leenyawo lithambile.
- Phumza ilungu: Phumza ilungu emva komsebenzi onzima. Ungaze uzilolonge ngenxa yentlungu.
- Ukunxiba izihlangu ezifanelekileyo: Nxiba izihlangu ezilingana kakuhle neenyawo zakho kwaye zinendawo eyaneleyo yokubeka iinzwane zakho.
- IHallux Rigidus sisifo esiqhelekileyo samathambo esichaphazela amalungu onyawo lwakho olukhulu kwaye sibangelwa kukusetyenziswa kakhulu.
- Iimpawu eziphambili ziintlungu, ukuqina, kunye nokudumba.
- Kwiimeko ezininzi, iimpawu zinokulawulwa kakuhle ngonyango olungenalo utyando (izihlangu ezifanelekileyo, umthambo, amayeza).
- Ukuba uneentlungu kubhontsi wakho omkhulu, kubaluleke kakhulu ukubona ugqirha ngokukhawuleza.
- Ukuba iimpawu zinzima kwaye ziphazamisana nobomi bemihla ngemihla, utyando lunokubonelela ngezisombululo ezihlala zihleli.
Kubalulekile: Musa ukuzisebenzisa rhoqo ezi zinto kangangeentsuku ezingaphezu kwe-10 ngaphandle kokuthetha nogqirha wakho.
Ngaba kuya kufuneka ndityandwe?
Uninzi lwabantu aludingi utyando lweHallux Rigidus. Ukuba olu nyango lungentla aluzilawuli iimpawu zakho, okanye ukuba iintlungu ziphazamisana nemisebenzi yakho yemihla ngemihla, ugqirha wakho unokucebisa utyando.
| Igama leNkqubo | Wenza ntoni nje? |
|---|---|
| I-Cheilectomy | Apha, ugqirha otyandayo ususa izihlunu zamathambo kwijoyinti ye-MTP. Oku kuvumela umnwe ukuba ugobe lula, kunciphisa iintlungu, kwaye kubuyisele umgama othile wokunyakaza kwijoyinti. |
| I-Osteotomy | Amathambo obhontsi omkhulu ayasikwa aze alungelelaniswe ukuze kutshintshe indawo yejoyinti. Oku kunciphisa uxinzelelo kwijoyinti. |
| I-Arthroplasty | Olu lutyando lokutshintshwa kwamalungu. Ithambo elonakeleyo liyasuswa lize litshintshwe yinxalenye yokwenziwa okanye enye izicubu ukuze kwakhiwe kwakhona amalungu. |
| I-Arthrodesis | Olu lutyando lokudibanisa amalungu. I-cartilage eyonakeleyo isusiwe ngokupheleleyo kwaye amathambo amabini elungu adityaniswa kunye kusetyenziswa iiphini okanye iipleyiti. Esi sisisombululo esihlala sihleli, kodwa emva kotyando, awuyi kukwazi ukugoba uzwane lwakho olukhulu. |
Kuthatha ixesha elingakanani ukuphiliswa?
Ixesha lokuchacha lixhomekeke kunyango olufumeneyo kunye nobunzima bemeko. Ukuba iimpawu zakho zilawulwa ngezinto ezilula ezifana nokutshintsha izihlangu nokusebenzisa ii-pad, ungabuyela kwimisebenzi yakho yesiqhelo kwangoko nje ukuba ugqirha wakho akunike imvume.
Ukuba utyando, ixesha lokuchacha liya kwahluka ngokuxhomekeke kuhlobo lotyando:
Into ebalulekileyo kukuba kukho izisombululo ezininzi ezinokukunceda ukulawula iimpawu zakho, ukunciphisa iintlungu, nokuphila ubomi obuqhelekileyo.
Ngaba oku akunakuthintelwa ukuba kwenzeke?
Kunzima ukuyithintela ngokupheleleyo iHallux Rigidus, njengoko ichaphazeleka bubudala kunye nezinto ezibangela imfuza. Nangona kunjalo, oku kulandelayo kunokunceda ukulawula ukuqhubela phambili kwesi sifo:
Ndifanele ndimbone nini ugqirha?
Impendulo ilula. Ukuba unentlungu entsha, ukudumba, okanye ukuqina kwilungu lakho elikhulu leenyawo, bona ugqirha kwangoko nje ukuba liqale. Okukhona ufumanisa imeko ngokukhawuleza kwaye uqala unyango, kokukhona iziphumo zingcono.
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