Xa uhamba, ingakumbi xa unxibe izihlangu eziqinileyo, ngaba uziva iqhuma okanye iqhuma ezantsi kwenyawo lakho? Ngaba ngamanye amaxesha uziva uvakalelwa ngendlela engaqhelekanga ngathi ikawusi ityunyuzwe kwindawo enye? Ukuba le ntlungu iya isiba mandundu, kwaye iinzwane zakho zivakala zibuhlungu kancinci, usenokuba unesifo esibizwa ngokuba yiMorton's Neuroma. Musa ukoyika eli gama. Asilonto imbi kangako. Masithethe ngayo yonke into ngokulula nangokucacileyo.
Yintoni i-Morton's Neuroma?
Ngamafutshane, oku kukudumba okanye ukuqina kwemithambo-luvo ehamba phakathi kweenzwane zakho. Imithambo-luvo ephakathi kwedijithali ihamba phakathi kwamathambo eenyawo zethu. Xa le mithambo-luvo iphantsi koxinzelelo oluqhubekayo, ukwenzakala, okanye uhlobo oluthile lokucinezelwa, izicubu zemithambo-luvo ziqala ukuqina kwaye zidumbe.
Cinga ngayo njengombhobho wamanzi onyathelwa ngokuphindaphindiweyo, nto leyo ebangela ukuba uthambe kwaye udumbe. Le meko idla ngokuvela kumthambo ophakathi kweminwe yakho yesithathu neyesine (iinzwane ezimbini ezikufutshane nonyawo lwakho oluncinci).
Into ebalulekileyo kukuba, nangona igama elithi "neuroma" lithetha ukuba eli asilothumba lomhlaza . Ngoko ke akukho mfuneko yokukhathazeka ngalo konke konke. Okwenzekayo apha asikokukhula kwezicubu ezintsha, kodwa umthambo okhoyo uyacinezelwa kwaye uvuvukala.
Le mithambo-luvo idumbileyo ingabangela iintlungu eziqatha xa umi okanye uhamba, nto leyo ebangela uxinzelelo kuyo.
Zithini iimpawu zale meko?
Iimpawu zeMorton's Neuroma zihlala zikhula kancinci kancinci ngokuhamba kwexesha. Ekuqaleni, kunokubakho iintlungu ezincinci, ezinokuthi ziphele ngokukhumula izihlangu zakho nokuhlikihla unyawo lwakho. Nangona kunjalo, njengoko umthambo uvuvuka ngakumbi, iimpawu ziya zibonakala ngakumbi.
Makhe sijonge iimpawu eziphambili ezinje.
| Uphawu | Ivakalelwa njani loo nto? |
|---|---|
| Intlungu ezintendeni zeenyawo | Intlungu ebukhali netshisayo ezantsi konyawo phakathi kweenzwane xa umi okanye uhamba. Kuvakala ngathi kukho into efana nelitye okanye imabula enyathelwa ngaphakathi kwesihlangu. |
| Intlungu iba mandundu ngenxa yezihlangu | Intlungu iba nkulu ngakumbi xa unxibe izihlangu eziphakamileyo okanye izihlangu ezimxinwa ezicinezela iinzwane. Intlungu iyaphela kancinci emva kokukhulula izihlangu. |
| Ubungqindilili kunye nokulahlekelwa yimvakalelo | Kusenokubakho ukurhawuzelela (iiphini kunye neenaliti) kwiminwe echaphazelekayo okanye ngamanye amaxesha kube ndindisholo kuloo ndawo. |
| Ukudumba | Nokuba akukho ukudumba okubonakalayo okubonakalayo ngaphandle phakathi kweenzwane, ungaziva ungakhululekanga ngenxa yokudumba kwemithambo-luvo ngaphakathi. |
Kutheni kusenzeka into efana nale? Zithini izizathu?
Njengoko besitshilo ngaphambili, imbangela ephambili yoku kuxinzelelo olude okanye ukucinezelwa kwemithambo-luvo ephakathi kweenyawo zakho. Kukho izinto ezininzi ezonyusa le ngozi.
1. Izihlangu ezingafanelekanga
Le yeyona sizathu siphambili nesixhaphakileyo .
- Izithende eziphakamileyo: Xa unxiba izithende eziphakamileyo, ubunzima bomzimba wakho bonke bujoliswa ngaphambili kweenyawo zakho, nto leyo ebeka uxinzelelo olukhulu kwimithambo-luvo.
- Izihlangu ezimxinwa neziqinileyo: Xa unxiba izihlangu eziqinileyo nezisondeleleneyo, amathambo aphakathi kweenzwane ayacinezelwa kunye, nto leyo ecinezela imithambo-luvo ehamba kuzo.
2. Eminye imidlalo nemisebenzi
Le meko inokubangelwa zizenzo ezibangela uxinzelelo oluqhubekayo kunye nokulimala ezantsi konyawo.
- Ukubaleka: Iintende zeenyawo, ingakumbi abo babaleka imigama emide, zihlala ziphazamisekile.
- Imidlalo efana netenisi kunye ne-badminton: Kwezi ntlobo zemidlalo, kufuneka ubeke uxinzelelo emhlabeni ngenxalenye engaphambili yonyawo lwakho.
- Ukudanisa: Ukudanisa , ingakumbi i-ballet, kubeka uxinzelelo olukhulu ezinyaweni zeenyawo.
3. Ezinye iingxaki zokuma kweenyawo
Ukuba kukho naziphi na iingxaki ngesimo okanye indawo yonyawo lwakho, oku kunokunyusa uxinzelelo kwimithambo-luvo.
- Iinyawo ezithe tyaba: Xa i-arch yonyawo ingekho kwaye intende yenyawo ithe tyaba, indlela ohamba ngayo inokutshintsha kwaye uxinzelelo lunokubekwa kwimithambo-luvo.
- Iinyawo ezinde ezigobileyo: Oku kunokubangela ukungazinzi kweenyawo kwaye konyuse uxinzelelo.
- IiBunions: Le meko ibangela ukudumba kwelungu elikhulu leenyawo, nto leyo enokubangela ukuba iinzwane zinamathele kunye.
- Iinzwane zeHammer: Imeko apho iinzwane zigoba embindini. Oku kukwabangela ukungalingani koxinzelelo.
Uyifumana njani le nto, Gqirha?
Xa usiya kugqirha, uza kuqala akubuze ngeempawu zakho. Uza kukubuza izinto ezininzi, njengokuthi intlungu ibikho ixesha elingakanani, ukuba iba mandundu nini, ukuba zeziphi izihlangu ezingathandekiyo ukuzinxiba, nokuba kukho na ukungakhululeki.
Emva koko, ugqirha uza kuhlola unyawo lwakho ngononophelo. Uza kucinezela unyawo lwakho kwindawo ephakathi kweenzwane zakho, ejonga ukuba akukho ntlungu okanye "ukuklikha" okuthile. Olu vavanyo lomzimba lunokuxilonga imeko.
Uvavanyo olunokufuneka
- I-X-reyi: I-X-reyi ayinakubonisa ukudumba kwemithambo-luvo. Nangona kunjalo, i-X-reyi ingayalelwa ukuba ikhuphe ezinye izizathu zentlungu yeenyawo, ezinje ngokwaphuka koxinzelelo okanye isifo samathambo.
- I-Ultrasound: Olu vavanyo lunokujonga izicwili ezithambileyo, ezifana nemithambo-luvo. Lunokubonisa ngokucacileyo imithambo-luvo evuvukileyo netyebileyo.
- I-MRI scan: Kwezinye iimeko, ukuba ukuxilongwa akucaci, i-MRI scan inokubonelela ngomfanekiso ocacileyo.
Zithini iindlela zonyango zoku?
Iindaba ezimnandi zezokuba uninzi lwabantu aludingi ukuya kutyando. Le ntlungu inokulawulwa ngonyango olulula kunye notshintsho kwindlela yokuphila. Injongo ephambili yonyango kukunciphisa uxinzelelo kwimithambo-luvo nokulawula ukudumba.
Unyango olungelulo utyando
1. Ukutshintsha izihlangu: Eli lelona nyathelo libalulekileyo nelokuqala .
- Nxiba izihlangu ezinebhokisi ebanzi yeenzwane.
- Yeka ukunxiba izihlangu eziphakamileyo ngokupheleleyo okanye uzibeke kwiziganeko ezikhethekileyo.
- Xa ukhetha izihlangu, khetha izihlangu ezine-cushion entle ngaphakathi kwaye zilungele ukuhlalisa izithende.
2. Iiphedi zezihlangu kunye nee-orthotics:
- Kukho ii-pads ezikhethekileyo (ii-metatarsal pads) ezinokwandisa kancinci isithuba phakathi kwamathambo eenyawo kwaye zinciphise uxinzelelo kwi-nerve.
- Ngamanye amaxesha ugqirha wakho angacebisa ii-orthotics ezenziwe ngokwezifiso, ezenzelwe ngokukodwa ukulingana nonyawo lwakho. Ezi zibonelela ngenkxaso elungileyo kwaye zisasaza uxinzelelo ngokulinganayo.
3. Izibulali-ntlungu:
- Ukuze unciphise iintlungu nokudumba, ungathatha amayeza anjengeparacetamol okanye iiNSAID (iziyobisi ezichasene nokuvuvukala) ixesha elifutshane, njengoko kuyalelwe ngugqirha wakho. Nangona kunjalo, musa ukuwathatha la mayeza rhoqo kangangeentsuku ezingaphezu kwe-10 ngaphandle kokubonisana nogqirha wakho .
4. Ukubekwa komkhenkce:
- Xa kukho intlungu nokudumba, ukufaka umkhenkce kuloo ndawo imizuzu eli-15-20 kunokubonelela ngoncedo oluhle. Musa ukufaka umkhenkce ngqo eluswini, wusonge ngelaphu elincinci.
5. Iinaliti zeCortisone:
- Ukuba la manyathelo angasentla awayithomalalisi intlungu, ugqirha wakho unokugqiba ekubeni akunike inaliti ye-corticosteroid kwindawo enye ukuze anciphise ngokukhawuleza ukudumba kunye nentlungu.
Utyando
Ugqirha uza kuqwalasela utyando kuphela ukuba intlungu ayikapheli nangona kukho ezinye iindlela zonyango kwaye ukuba intlungu inzima kangangokuba awukwazi ukwenza imisebenzi yakho yemihla ngemihla.
- Utyando lwemithambo-luvo: Oku kuquka ukusika nokususa inxalenye yomthambo eyonakeleyo okanye evuvukileyo. Le yeyona nkqubo yotyando ixhaphakileyo.
- Ezinye iindlela: Ngamanye amaxesha kukho unyango lwanamhlanje olusebenzisa umkhuhlane omkhulu (i-cryogenic neuroablation) okanye amaza ombane (i-radiofrequency ablation) ukuthintela imithambo-luvo ekuthumeleni imiqondiso yentlungu.
Leliphi ixesha elifanelekileyo lokubona ugqirha?
Njengakwesiphi na isifo, kubalulekile ukuqala unyango kwangethuba, kuba ukuba alunyangwa, lunokubangela umonakalo ongapheliyo kwimithambo-luvo kunye nentlungu engapheliyo.
Ukuba iintlungu zeenyawo zakho aziphucuki kwiiveki ezimbini usebenzisa amayeza alula asekhaya (umz., ukutshintsha izihlangu, ukuphumla), ukuba iintlungu ziya zisiba mandundu, ukuba kwenza kube nzima ukwenza imisebenzi yemihla ngemihla, okanye ukuba uziva ungenazimvakalelo, bona ugqirha ngokukhawuleza.
Umyalezo Wokuya Ekhaya
- I-Morton's Neuroma kukudumba okanye ukuqina komthambo ophakathi kweenzwane. Ayingomhlaza.
- Uphawu oluphambili yintlungu ebukhali efana nokunyathela ilitye okanye imabula phantsi kweenyawo xa uhamba.
- Isizathu esiphambili soku kukunxiba izihlangu ezinezithende eziphakamileyo, eziqinileyo, nezimxinwa ixesha elide.
- Amaxesha amaninzi, le meko inokunyangeka ngokupheleleyo ngokukhetha izihlangu ezifanelekileyo, ukuphumla, kunye nonyango olulula oluvela kugqirha.
- Ukuba unentlungu engapheliyo yeenyawo, musa ukuyityeshela kwaye funa ingcebiso kagqirha. Iinyawo zakho zikusa naphi na, ngoko ke kubalulekile ukuzinyamekela kakuhle.
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