Ingabe uneqhubu ebhodweni lakho elikhulu? Ake sixoxe ngale mbungu (Hallux Valgus)!

Wake waphawula ithambo elincane elifana neqhubu liphuma phansi kozwane lwakho olukhulu? Cishe uke wakubona lokhu wena ngokwakho, noma uke wabona othile omaziyo ekwenza. Yilokhu esivame ukukubiza ngokuthi 'i-bunion'. Ake sixoxe ngalokhu ngemininingwane ethe xaxa namuhla, ngoba kuthinta abantu abaningi kakhulu.

Iyini i-bunion? Iyini ngempela i-Hallux Valgus?

Kalula nje, i-bunion iyisiphuphu sethambo esikhula phansi kozwane lwakho olukhulu, ilunga lapho uzwane luxhumana khona nomlenze, okwaziwa ngokwezokwelapha ngokuthi i-metatarsophalangeal joint (MTP joint) . Ibukeka njengeqhubu elincane elifana nebhola. Ivame ukukhula ngaphakathi kozwane olukhulu. Ngokwezokwelapha, lokhu sikubiza ngokuthi i -Hallux Valgus .

Cabanga nje, uzwane lwakho olukhulu ludonswa kancane kancane luye kwezinye izinzwane, bese kuthi lelo lunga liphume. Lokho kuphuma kubizwa ngokuthi i-bunion.

Uma uzizwa sengathi uneqhubu elinjengaleli ozwaneni lwakho olukhulu, ikakhulukazi uma libangela ubuhlungu noma ukungakhululeki eminweni yakho, kufanele nakanjani ubone udokotela . Ngoba kulula ukulilapha uma litholakale kusenesikhathi.

Ingabe kunezinhlobo ezahlukene zama-bunion?

Yebo, empeleni kunezinhlobo eziningana zama-bunion. Uhlobo oluvame kakhulu esilubonayo yilolo oluvela ngenxa yokucindezeleka kozwane olukhulu. Kodwa-ke, ama-bunion angakhula nakwezinye izinzwane nangezinye izizathu. Nazi ezinye zezinhlobo:

• I-Congenital Hallux Valgus: Lokhu kungase kuzwakale kungavamile, kodwa ezinye izingane zizalwa zine-bunion. Lesi yisimo esikhona kusukela ekuzalweni.
• I-Juvenile noma i-Adolescent Hallux Valgus: Lezi yizinhlobo zama-bunion ezenzeka ezinganeni nakubantu abadala abangaphansi kweminyaka engu-18. Lesi simo singavela nakule minyaka.
• I-Bunion Yomthungi noma i-Bunionette: Lokhu kwenzeka phansi kozwane lwakho oluncane. Ungamangali yileli gama, libizwa ngalo ngoba abathungi babevame ukuhlala endaweni efanayo amahora amaningi ngesikhathi, okwenza uzwane lwabo olukhulu lucindezelwe. Lokhu kuvame ukubangelwa ukugqoka izicathulo ezingakufaneli kahle noma ukwenza imisebenzi esunduza uzwane lwakho olukhulu kwezinye izinzwane.

Sivame kangakanani lesi simo esibizwa ngokuthi i-bunion?

Lokhu empeleni kuvame kakhulu kunalokho ongakucabanga. Ucwaningo lubonisa ukuthi emazweni afana ne-United States, cishe umuntu oyedwa kwabathathu une-bunion. Lesi simo singabonakala nasezweni lethu, ikakhulukazi kwabesifazane futhi singabonakala sikhula ngokuguga.

Ziyini izimpawu ze-bunion?

Ngokuvamile uphawu olukhulu kakhulu yiqhubu elisezansi kozwane olukhulu. Ungalibona futhi ulizwe. Ngaphezu kwalokho, kungase kube nezinye izimpawu ezifana nalezi:

• Ubuhlungu noma ukuqina kozwane olukhulu. Kungase kube buhlungu ngokuma noma ngisho nalapho uhamba.
• Kungase kube nokuvuvukala kanye nokubomvu okuzungeze iqhubu.
• Ngezinye izikhathi kuba noshintsho lombala noma ukubomvu .
• Ukungakwazi ukugoba noma ukuhambisa uzwane olukhulu kahle. Ngezinye izikhathi kungase kube nomuzwa wokushisa lapho ugoba uzwane.
• Ubunzima bokugqoka izinhlobo ezithile zezicathulo , noma ubuhlungu obukhulu ngenkathi ugqoka izicathulo. Lokhu kubonakala kakhulu uma ugqoka izicathulo ezincane ngaphambili.
• Ama-corn noma ama-callus yizimila zesikhumba ezijiyile. Lokhu kungakhula ku-bunion noma phakathi kwezinzwane.
• Izinzwane ze-hammer ziyisimo lapho amalunga nemisipha yezinzwane iqina futhi igobile, ifana ne-Achilles tendon. I-bunion ingabangela nokuthi ezinye izinzwane zishintshe isimo.
• Ukuba ndikindiki eduze kozwane olukhulu.

Kungani sithola ama-bunion?

Kunzima kakhulu ukusho ukuthi kunesizathu esisodwa nje esenza ama-bunion akhule. Kungaba yinhlanganisela yezizathu eziningana . Cabanga ngakho njengochungechunge lwezehlakalo ezixhumene.

Izinto eziyinhloko ezithintayo yilezi:

• Umlando womndeni: Uma othile emndenini wakho, njengomama wakho, ubaba, ugogo, noma umkhulu wakho, enezimpukane, nawe unamathuba amaningi okuzihlakulela. Lokhu kuyinto evela ezizakhini zofuzo.
• Ukwakheka kwamathambo okungajwayelekile: Abanye abantu bathambekele kakhulu ekukhuleni kwama-bunion ngenxa yendlela amathambo abo ahlelwe ngayo emilenzeni yabo.
• Ukukhetha izicathulo: Lesi yisici esibaluleke kakhulu futhi esingasilawula. Ikakhulukazi kwabesifazane, izithende eziphakeme namabhokisi ezinzwane ezincane kubeka ingcindezi enkulu kuzwane olukhulu, kulusunduzela kwezinye izinzwane. Uma lokhu kwenzeka isikhathi eside, i-bunion ingakhula.
• Indlela ohamba ngayo (Ukulungisa izinyawo): Ukulungisa izinyawo zakho, okungukuthi, indlela obeka ngayo unyawo lwakho phansi, kungathinta nendlela obeka ngayo isisindo onyaweni lwakho.
• Izimo ezithile zokuvuvukala: Isibonelo, abantu abanezifo zamalunga njenge- rheumatoid arthritis noma i-lupus basengozini enkulu yokuthola ama-bunion.
• Ukuma isikhathi eside noma ukwenza imisebenzi ebeka isisindo esikhulu emilenzeni yakho.

Kalula nje, ilunga lakho lezinzwane ezinkulu licindezelwa njalo isikhathi eside (mhlawumbe iminyaka). Okwenzekayo ukuthi ingcindezi isunduza kancane kancane ilunga lakho phambili bese ilidonsela kwezinye izinzwane. Ekugcineni, njengoba ilunga lakho leluliwe kanjalo, kwakheka iqhubu elunganeni le-MTP njengoba umzimba wakho uzama ukuzivumelanisa.

Ubani osengozini enkulu yokuthola ama-bunion?

Noma ubani angaba nama-bunion, kodwa amanye amaqembu asengozini enkulu:

• Kwabesifazane: Abesifazane banamathuba amaningi okukhula ama-bunion kunabesilisa. Ngokuvamile, izicathulo eziqinile neziqondile ezigqokwa emfashinini zingaba yimbangela, akunjalo?
• Ithonya lezakhi zofuzo : Njengoba kushiwo ngaphambili, uma abazali benamabhamuza noma ezinye izinkinga zezinyawo, nezingane zabo zingase zibe nazo. Kutholakale ukuthi abantu abangaphezu kuka-70% abanamabhamuza banabazali nabo abanalesi simo.
• Kulabo abake balimala emilenzeni: Abantu abavame ukulimaza imilenze yabo, njengabasubathi, nabo basengozini enkulu.

Ingabe i-bunion ingabangela ezinye izinkinga?

Yebo, ukuba ne-bunion kungandisa ingozi yezinye izimo ezifana nalezi:

• I-Bursitis: Lokhu kwenzeka lapho izikhwama ezigcwele uketshezi ezizungeze amalunga, ezibizwa ngokuthi i-bursa, zivuvukala futhi zibe buhlungu. Uma lokhu kwenzeka phezu kwe-bunion, ubuhlungu buba bubi nakakhulu.
• Izinzwane ze-Hammer: Ngenxa yokwelulwa kozwane olukhulu, izinzwane zesibili nezesithathu nazo zinganwetshwa futhi zigobe njengesando.
• I-Osteoarthritis: Lokhu kusho ukuguguleka kwamalunga. I-bunion ingabangela ukuthi i-cartilage ejoyintini le-MTP iguguleke, okuholela ekugugulekeni kwamalunga.

Wazi kanjani ngokuqinisekile ukuthi une-bunion?

Udokotela uzokwenza ukuhlolwa ngokomzimba ukuze anqume ukuthi une-bunion. Uzobheka unyawo lwakho, azwe uzwane lwakho olukhulu, bese ekubuza ngezimpawu zakho. Kuzodingeka ucacise ukuthi usune-bunion isikhathi esingakanani, ukuthi yimiphi imisebenzi eyenza ibe yimbi kakhulu, nokuthi ngabe kukhona yini emndenini wakho onalesi simo.

Kungase kudingeke futhi ukuthi ubonane nodokotela wezinyawo, udokotela ochwepheshe bezinkinga zezinyawo.

Yiziphi izivivinyo ezenziwayo ukuze kutholakale i-bunion?

Esikhathini esiningi, akudingeki ukuhlolwa okukhulu ukuze kutholakale i-bunion. Kodwa-ke, udokotela wakho angayala ama-X-ray ukuthi abheke indawo yamathambo onyaweni lwakho, ukuthi uzwane lwakho olukhulu lukude kangakanani uma luqhathaniswa nezinye izinzwane, kanye nesimo sejoyinti le-MTP. Ama-X-ray ayindlela kuphela yokuhlola ngokunembile isimo, ikakhulukazi uma kucatshangelwa ukuhlinzwa.

Yiziphi izindlela zokwelapha ama-bunion?

Ukwelashwa kwama-bunion kuncike ezingeni lobuhlungu onabo, ubukhulu be-bunion, nokuthi buthinta kangakanani impilo yakho yansuku zonke. Bheka, kunezinto ezithile esingazenza thina ngokwethu.

• Shintsha izicathulo zakho: Lena yinto yokuqala okufanele uyenze. Ukushintshela ezicathulweni ezinamabhokisi amakhulu nezijulile ezinzwaneni kunganciphisa ingcindezi ezinzwaneni zakho. Gwema izicathulo ezicijile neziqinile. Kukhona namadivayisi okwelula angakusiza ukwandisa izicathulo osuvele uzigqokile.
• Ama-Bunion pads kanye ne-tape: Ama-Bunion pads, atholakala emakhemisi, angabekwa azungeze i-bunion ukuze kuncishiswe ingcindezi kanye nokungqubuzana kwesicathulo. Udokotela wakho angase ancome ukusebenzisa i-medical tape ukuze abambe izinzwane zakho endaweni yazo.
• Amadivayisi e-Orthotic: Ama-Orthotics amadivayisi afakwa ngaphakathi kwezicathulo zakho ukuze asekele unyawo lwakho. Lawa angaba ama-orthotics athengiswa ngaphandle kwe-counter noma ama-inserts enziwe ngokwezifiso. Udokotela wakho angase futhi ancome ukuthi ubeke isikhala esincane phakathi kozwane lwakho olukhulu nozwane lwakho lwesibili. Kungase kudingeke futhi usebenzise i-splint ukuze ugcine uzwane lwakho olukhulu luqondile uma ungagqokile izicathulo (ikakhulukazi ebusuku).
• Imithi yokuqeda ubuhlungu : Imithi engeyona eye-steroidal yokulwa nokuvuvukala (ama-NSAID) , njenge -ibuprofen , ingasiza ekunciphiseni ubuhlungu nokuvuvukala. Le mithi ingathathwa njengamaphilisi noma njenge-NSAID esetshenziswa endaweni yokwelapha. Kodwa khumbula, ungawasebenzisi ama-NSAID izinsuku ezingaphezu kweziyi-10 ngesikhathi ngaphandle kweseluleko sikadokotela.
• Iqhwa: Ukufaka iphakethe leqhwa emunweni obuhlungu imizuzu eyi-15-20 izikhathi eziningana ngosuku nakho kunganikeza impumuzo. Kodwa-ke, ungalibeki iphakethe leqhwa ngqo esikhumbeni, kodwa ligoqe ngendwangu encane.
• Imijovo ye-Corticosteroid: Uma ukuvuvukala nobuhlungu kukhulu, udokotela wakho angakunika umjovo we-corticosteroid ku-bunion. Lena imithi kadokotela enciphisa ukuvuvukala ngokushesha.
• Ukwelashwa ngokomzimba : Ungasebenzisana nodokotela wezokwelapha ngokomzimba ukuqinisa imisipha yemilenze yakho, ukwandisa ukuhamba kwamalunga, nokunciphisa ubuhlungu. Bangakufundisa ukuzivocavoca kanye nokwelula ukuze kusize ukugcina izinzwane zakho zisendaweni yazo.
• Ukuhlinzwa :Uma ezinye izindlela zokwelapha zingakasizi izinyanga, noma uma ubuhlungu bukhulu kangangokuthi awukwazi ukuhamba noma ukwenza imisebenzi yakho yansuku zonke ngenxa ye-bunion, udokotela wakho angase akuncome ukuhlinzwa kokulungisa i-bunion . Kunezinhlobo eziningana zokuhlinzwa. Udokotela wakho noma udokotela ohlinzayo uzokutshela uhlobo lokuhlinzwa oludingayo kanye nemininingwane.

Ingabe ama-bunion alulama ngokwawo?

Cha, ama-bunion awapholi ngokwawo, futhi awukwazi ukuzelapha wedwa. I-bunion iwushintsho ekwakhekeni kwamathambo. Ukuze ulungise lokhu, udinga usizo lwezokwelapha. Uma une-bunion, qiniseka ukuthi ubona udokotela noma udokotela wezinyawo. Kulapho-ke kuphela lapho ungahlolwa khona kahle bese uqala ukwelashwa okuzoqeda izimpawu zakho.

Ingabe i-bunion ingavinjelwa?

Ngenxa yokuthi ama-bunion angakhula ngezizathu ezahlukahlukene (ikakhulukazi izici zofuzo), kunzima ukuwavimbela ngokuphelele. Kodwa-ke, ukugqoka izicathulo ezifanela kahle nokulandela indlela yokuphila enhle ezinyaweni zakho kungasiza ekunciphiseni ukukhula kwama-bunion noma ukuwavimbela ekubeni abe mabi kakhulu. Ngokuvamile, landela lawa macebiso ukuze ukhethe izicathulo ezifanela futhi ezikhululekile ezinyaweni zakho:

• Gwema ukugqoka izicathulo ezincane kakhulu, ezicijile, nezinde – ikakhulukazi uma zikucindezela izinzwane zakho. Lezi yizitha zakho ezinkulu!
• Ngisho noma wazi usayizi wezicathulo zakho, zama izicathulo eziningana ukuze uthole esifanelana kahle . Ngoba akuzona zonke izicathulo ezifika ngobukhulu obufanayo, kusukela kolunye uhlobo kuya kolunye.
• Ngaphambi kokuthenga izicathulo ezintsha , zizame ngokuhlala, ukuma, nokuhambahamba kancane . Hlola ukuthi izinzwane zakho ziyabuhlungu, ziyacindezelwa, noma ziyacindezelwa nganoma iyiphi indlela. Kufanele kube nesikhala esincane phakathi kwesicathulo nozwane lwakho olude kakhulu.
• Ungathola okulingana kahle ngokuthenga izicathulo ekupheleni kosuku , njengoba izinyawo zakho zivuvukala kancane phakathi nosuku futhi zikhudlwana kancane kusihlwa kunasekuseni.

Udokotela wakho noma udokotela wezinyawo angancoma uhlobo lwezicathulo noma uhlobo lwezicathulo olungcono kakhulu lwezinyawo zakho. Uma unezinye izinkinga zesakhiwo sezinyawo, njengezinyawo ezisicaba noma ama-arches aphezulu , buza udokotela wakho uma udinga ama-orthotics ukuvimbela ama-bunion.

Yini umuntu one-bunion angayilindela?

Iningi labantu abane-bunion bangakwazi ukulawula izimpawu zabo futhi baphile ngaphandle kokuthinta kakhulu imisebenzi yabo yansuku zonke. Udokotela wakho uzosebenza nawe ukuthola inhlanganisela yezindlela zokwelapha ezizoqeda izimpawu zakho futhi zisize ukugcina izinyawo nezinzwane zakho ziphilile futhi ziqinile.

Into ebaluleke kakhulu ukuthi, uma unezimpawu ze-bunion, ungalibali ukuya kudokotela.Uma uqala ukwelashwa ngokushesha, amathuba akho okulawula izimpawu zakho ngaphandle kwesidingo sokuhlinzwa ayanda.

Abantu abake bahlinzwa i-bunion bavame ukuqhubeka nemisebenzi yabo evamile zingakapheli izinyanga ezimbili kuya kwezintathu , kodwa kungathatha isikhathi eside ukululama ngokuphelele.

Kufanele ngimbone nini udokotela?

Uma ubona noma yiziphi zalezi zimpawu, bheka udokotela noma udokotela wezinyawo ngokushesha okukhulu :

• Ubuhlungu obuvamile emilenzeni noma eminweni yakho.
• Kunzima ukuhamba noma ukunyakazisa iminwe yakho .
• Isigaxa esibonakalayo phansi kozwane olukhulu (kungakhathaliseki ukuthi sibuhlungu noma cha).
• Ukuvuvukala, ukubomvu, noma ukufudumala eminweni noma eduze kwayo.
• Ukuba ndikindiki noma ukulahlekelwa umuzwa eminweni.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma uhlangana nodokotela, ungabuza imibuzo efana nale ukuze uthole ukuqonda kangcono isimo:

• Kungani ngithole le mbunion? Ingabe inkinga ngesimo sonyawo lwami?
• Uhlobo luni lokwelashwa olungcono kakhulu kimi? Ingabe ngizodinga ukuhlinzwa?
• Singalindela isikhathi esingakanani impumuzo kulezi zindlela zokwelapha?
• Yini engingayenza ukuze ngivimbele i-bunion ukuthi ingakhuli komunye umlenze wami?
• Ingabe kufanele ngigweme ngokuphelele ukugqoka izinhlobo ezithile zezicathulo?
• Yimiphi imithambo engingayenza ekhaya?

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Ama-bunion, noma i-hallux valgus, ayinkinga evamile yonyawo. Avela lapho uzwane lwakho olukhulu lususwa endaweni yalo yemvelo, luye kwezinye izinzwane. Ekugcineni, kungavela iqhubu elinamathambo lapho uzwane lwakho olukhulu luxhumana khona nonyawo lwakho.

Uma i-bunion ikubangela ubuhlungu noma iphazamisa imisebenzi yakho yansuku zonke, kubalulekile ukufuna ukwelashwa . Kungaba lula njengokushintsha uhlobo lwezicathulo ozigqokayo, kodwa ukuze uxilonge i-bunion, kufanele ubonane nodokotela noma udokotela wezinyawo. Udokotela wakho angabe esencoma ukwelashwa okuzosiza ekunciphiseni izimpawu zakho futhi kukusize ubuyele emisebenzini oyithandayo. Kungcono ukufuna iseluleko ngokushesha okukhulu, ngaphandle kokulibala!