Ngaba wakha waziva iintlungu ezibukhali kwindawo enkulu yonyawo xa uhamba, ingakumbi xa uvuka kusasa? Mhlawumbi uziva ngathi ziqinile xa unxiba izihlangu. Nangona unokucinga ukuba oku kuqhelekile, kusenokuba yimeko efuna unyango. Namhlanje sithetha ngale ngxaki abantu abaninzi abanayo kodwa abayaziyo, ebizwa ngokuba yiHallux Rigidus.
Ngamafutshane, yintoni iHallux Rigidus?
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 (MTP) joint'.
Ngoku usenokuba uyazibuza ukuba yintoni isifo samathambo. Isifo samathambo ligama eliqhelekileyo elithetha izifo ezimalunga nekhulu ezibangela ukudumba kunye nentlungu emalungeni omzimba wethu. Yiyo loo nto oogqirha ngamanye amaxesha bebiza iHallux Rigidus ngokuthi "isifo samathambo sonyawo olukhulu."
Igama elithi "Hallux Rigidus" ligama lesiLatini elithetha "unyawo olukhulu oluqinileyo." Olu luphawu oluphambili lwale meko. Lubangela iintlungu nokuqina kwelungu leenyawo ezinkulu. Ngokwenene luhlobo lwe-osteoarthritis oluvela ngenxa yokuguguleka nokuhamba kwexesha.
Ukuba ufumana iimpawu ezifana nentlungu, ukuqina, okanye ukudumba kubhontsi wakho omkhulu, kubaluleke kakhulu ukuthetha nogqirha ngayo.
Ixhaphake kangakanani le meko?
Uphando lufumanise ukuba malunga nomntu omnye kwabangama-40 abaneminyaka engaphezu kwama-50 ubudala usenokuba neHallux Rigidus. Olu lolona hlobo luqhelekileyo lwe-arthritis ezinyaweni.
Ikwayeyesibini imeko eqhelekileyo echaphazela ilungu elikhulu leenyawo, emva kwemeko eyaziwa kakhulu ngokuba yi-bunion.
Zithini iimpawu zeHallux Rigidus?
Umntu onesi sifo unokubonakalisa iimpawu ezahlukeneyo. Kodwa kukho iimpawu eziqhelekileyo. Makhe sijonge ukuba zeziphi.
| Uphawu | Inkcazo |
|---|---|
| Intlungu kubhontsi omkhulu | Le ntlungu inokuvakala phezulu komnwe. Ngamanye amaxesha isenokuvakala ngathi ivela ngaphakathi emnweni. |
| Ukuqina kobhontsi omkhulu | Kuba nzima ukugoba nokushukumisa umnwe. Kuvakala ngathi ubambekile. |
| Ukudumba kwamalungu | Ungaphawula ukudumba okujikeleze ilungu apho ubhontsi omkhulu uqhagamshela khona nonyawo. |
| Uthintelo lokuhamba | Uluhlu lwentshukumo olunokushukunyiswa ngaphandle kwentlungu luyehla kancinci kancinci. |
| Into efana neqhina | Iqhuma, elifana ne-bunion okanye i-callus, linokuvela phezulu kubhontsi omkhulu. |
Izinto ezonyusa iimpawu
Ezinye izinto zingenza le ntlungu nobunzima bube mandundu.
- Xa umi okanye uhamba: Intlungu inokwanda njengoko ubunzima bubekwa kwilungu.
- Imozulu ebandayo nefumileyo: Njengoko iintlungu zamalungu zisanda ngeentsuku ezibandayo, le meko inokuba mandundu.
- Ukunxiba izihlangu eziqinileyo: Ukunxiba izihlangu eziqinileyo ezingavumeli sithuba saneleyo seenzwane kwandisa uxinzelelo kwilungu kwaye kwandisa intlungu.
Kutheni sifumana iHallux Rigidus?
IHallux Rigidus idla ngokukhula ngokuhamba kwexesha ngaphandle kwesizathu esibonakalayo. Njengoko sikhula, i-cartilage ethambileyo emalungeni ethu iyawohloka. Njengokuba amatayara emotweni ewohloka, oku kuwohloka yeyona nto iphambili ebangela iHallux Rigidus kunye nezinye iintlobo ze-osteoarthritis.
Khawucinge nje, ngalo lonke inyathelo esilithathayo, ubunzima bomzimba wethu budlula kabini phezu kwale lungu lincinci le-'MTP'. Ngoko ke akumangalisi ukuba eli lungu liya kuguga emva kokunyamezela olu hlobo loxinzelelo ubomi bonke.
Ezinye izizathu zinokuchaphazela oku:
- Ukusetyenziswa kakhulu kwelungu: Ukuba ilungu elikhulu leenyawo lihlala liphantsi koxinzelelo ngexesha lemidlalo, emsebenzini, okanye kwizinto ezithandwayo.
- Ukwenzakala komunwe: Ukugwazwa kobhontsi omkhulu.
- Ukukruneka kwenzwane: Iimeko ezifana ne-'Turf toe', ingakumbi kwezemidlalo.
- Uhlobo lwamathambo ezinyaweni: Amathambo abanye abantu ezinyaweni nasezinzwaneni anokuba made kunesiqhelo. Oko kusenokuba sisizathu sale nto.
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 bezemidlalo
- Kwabo bame imini yonke ngenxa yomsebenzi
Ukongeza, ezinye iimeko zonyango zinokunyusa umngcipheko wokuba neHallux Rigidus.
- Irheumatoid arthritis
- Igawuthi
- Ezinye izifo ezibangelwa kukuzimela komzimba ezibangela ukuvuvukala
- Ii-dissecans ze-Osteochondritis
Ugqirha uyixilonga njani le nto?
Xa usiya kugqirha, into yokuqala aza kuyenza kukuxilonga. Uza kugoba ubhontsi wakho omkhulu phezulu nasezantsi aze awushukumise ukuze abone ukuba ungawushukumisa kangakanani. Ungathunyelwa kwingcali yeenyawo (podiatrist).
Ukongeza, i-X-ray yonyawo inokwenziwa ukujonga ukuba akukho mathambo aqhekekileyo na.
Amanqanaba eHallux Rigidus
Ngokuxhomekeke ekubeni amandla akho okushukumisa ubhontsi wakho omkhulu anciphile kangakanani, ugqirha wakho angahlulahlula imeko ngokwezigaba. Ezi zikwabizwa ngokuba zizigaba, njengoko iimpawu zisiba mandundu ngokuhamba kwexesha.
| Ibanga | Ubungakanani bokunqunyelwa kwentshukumo |
|---|---|
| Ibanga 0 | Inentshukumo engaphantsi nge-10% ukuya kuma-20% kunezinye iinzwane ezinkulu. |
| Ibanga loku-1 | Intshukumo incitshiswa phakathi kwe-20% - 50%. |
| Ibanga lesi-2 | Intshukumo incitshiswa phakathi kwe-50% - 75%. |
| Ibanga lesi-3 | Intshukumo incitshiswa phakathi kwe-75% - 100%. |
| Ibanga lesi-4 | Kukho ukwehla kwentshukumo phakathi kwe-75% kunye ne-100%, kwaye kukho iintlungu eziqatha xa ushukumisa umnwe. |
Zeziphi iindlela zonyango ezilungileyo?
Uhlobo lonyango olufunekayo luya kuxhomekeka kubukhali beempawu zakho kunye nesizathu semeko. Amaxesha amaninzi, unyango olungelulo utyando luya kuqala.
| Indlela yonyango | Wenza ntoni? |
|---|---|
| Ukutshintsha izihlangu | Ukunxiba izihlangu ezinezithende eziqinileyo nezinendawo efanelekileyo yeenyawo kunokunciphisa uxinzelelo kwilungu. Ziphephe izithende eziphakamileyo nezihlangu ezibamba iinzwane zakho. |
| Ukuthintelwa kokunyakaza kweminwe | Kukho ii-pads ezikhethekileyo ezifakwa ngaphakathi kwesihlangu. Ezi zinokuxhasa uzwane kwaye zinciphise intshukumo engeyomfuneko. Zinganciphisa noxinzelelo kwilungu ngexesha lemisebenzi efana nokubaleka. |
| Izibulali-ntlungu | Ii-NSAID ezithengiswa ngaphandle kwemvume kagqirha zinokunceda ukunciphisa iintlungu kunye nokudumba. Nangona kunjalo, musa ukuthatha la mayeza kangangeentsuku ezingaphezu kwe-10 ngaphandle kokuthetha nogqirha wakho. |
| Ukunyibilika komkhenkce | Ukusonga ipakethe yomkhenkce ngetawuli ebhityileyo uze uyifake kwindawo ebuhlungu kunokunceda ekunciphiseni iimpawu. Ungaze ubeke umkhenkce ngqo eluswini. Buza ugqirha wakho ukuba kufuneka uwufake ixesha elingakanani kwaye kangaphi ngemini. |
| Ii-Corticosteroids | La ngamayeza anamandla anikwa ngugqirha, ngamanye amaxesha anikwa njengenaliti ngqo kwilungu. |
| Ukuntywilisela iinyawo emanzini ashushu/abandayo | Ngamanye amaxesha oogqirha bacebisa le ndlela. Kufuneka ugcine unyawo lwakho emanzini ashushu imizuzwana engama-30, uze ulufake emanzini abandayo imizuzwana engama-30 elandelayo. Ukwenza le ndlela yokutshintshana kunokunciphisa ukudumba. |
Ngaba kuya kufuneka ndityandwe?
Uninzi lwabantu aludingi tyando. Ugqirha wakho angacinga ngotyando kuphela ukuba ezinye iindlela zonyango aziyithomalalisi intlungu yakho, okanye ukuba intlungu inzima kangangokuba ikuthintela ekwenzeni imisebenzi yakho yemihla ngemihla.
Kukho iintlobo ezininzi eziphambili zotyando:
- I-Cheilectomy: Oku kuquka ukususa izihlunu zamathambo ezingafunekiyo ngaphezu kwelungu, nto leyo edala indawo engakumbi yokuba umnwe ugobe.
- I-Osteotomy: Apha, ugqirha otyandayo usika aze ahlele amathambo omnwe ukuze atshintshe indawo yelungu.
- I-Arthroplasty: Olu lutyando lokutshintshwa kwamalungu. Ithambo elonakeleyo liyasuswa lize litshintshwe nge-"spacer" eyenziwe ngezinye izicwili.
- I-Arthrodesis: Olu lutyando lokudibanisa amalungu. I-cartilage eyonakeleyo iyasuswa kwaye amathambo amabini adityaniswe. Nangona esi sisisombululo esihlala sihleli, intshukumo yonyawo olukhulu inokuthintelwa emva kotyando.
Kuthatha ixesha elingakanani ukuchacha emva kotyando?
Ixesha lokuchacha lixhomekeke ekubeni loluphi utyando olwenzileyo.
- Emva kotyando lwe-`Cheilectomy` kunye ne-`Arthroplasty`, kuya kufuneka unxibe isihlangu esikhethekileyo kangangeeveki ezimbini. Ukudumba kunokuhlala iinyanga ezininzi.
- Emva kokuhlinzwa kwe-osteotomy, ukudumba kuya kuphela kwiiveki ezi-6-8. Kungathatha malunga neenyanga ezi-3 ukuphola ngokupheleleyo.
- Emva kokuhlanganiswa kwamalungu, kuya kufuneka unxibe isamente okanye isihlangu esikhethekileyo kangangeeveki ezi-3-6. Emva koko, kuya kufuneka usebenzise iintonga. Ukudumba nokuqina kunokuhlala iinyanga ezininzi.
Ngaba le meko ayinakuthintelwa?
Kunokuba nzima ukuthintela ngokupheleleyo iHallux Rigidus, kodwa kukho izinto ezimbalwa onokuzenza ukunceda ukulawula le meko:
- Ukuzilolonga: Buza ugqirha wakho okanye ingcali yezonyango malunga nokuzilolonga okulula okunokukunceda ukugcina ilungu lakho elikhulu liguquguquka.
- Phumza ilungu: Phumza ilungu emva komsebenzi onzima. Ungaze uzilolonge ngenxa yentlungu.
- Nxiba izihlangu ezifanelekileyo: Khetha izihlangu ezifanela kakuhle iinyawo zakho kwaye zibe nendawo efanelekileyo kwiinzwane zakho.
Khumbula, ukuba unentlungu kubhontsi wakho omkhulu, musa ukuyityeshela. Okukhona ubona ugqirha ngokukhawuleza kwaye uxilongwe, kokukhona kunokwenzeka ukuba unyango luphumelele.
Umyalezo Wokuya Ekhaya
- Intlungu, ukuqina, kunye nokudumba konyawo lwakho olukhulu kunokuba ziimpawu zesifo samathambo esibizwa ngokuba yiHallux Rigidus.
- Nangona unobangela oyintloko woku kukuguguleka kwamalungu ngokuhamba kwexesha, ukwenzakala, iimeko ezithile zempilo, kunye nezinto zemfuza nazo zinokudlala indima.
- Kwiimeko ezininzi, le meko inokulawulwa ngonyango olulula olufana nokunxiba izihlangu ezifanelekileyo, amayeza okudambisa iintlungu, kunye nokuphumla.
- Musa ukuyityeshela intlungu. Ukufuna ingcebiso kagqirha kwangethuba kunokuthintela isifo ukuba singabi mandundu kwaye kunokukunceda ufumane unyango oluphumelelayo.
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