Uma uhamba, ikakhulukazi uma uzama ukuphakamisa unyawo lwakho phansi bese ulubeka phambili, ingabe uzwa ubuhlungu obukhulu esilungwini sozwane lwakho olukhulu? Noma ingabe isilungwini salolozwane sizwakala siqinile futhi kunzima ukugoba? Ngezinye izikhathi sibukeka njengokuvuvukala okuncane kuleyo ndawo? Nakuba abantu abaningi becabanga ukuthi lokhu kuyinto evamile, mhlawumbe ngoba kubhajwe ezicathulweni zabo, lokhu kungaba ukuqala kwesimo sezokwelapha esibizwa ngokuthi 'iHallux Limitus' . Ungakhathazeki, sizoxoxa ngakho konke ngamagama alula.
Kalula nje, iyini i-Hallux Limitus?
Leli gama lingase lizwakale njengento enkulu, kodwa incazelo yalo ilula kakhulu . Ngokwezokwelapha, elithi "Hallux" libhekisela kuzwane lwakho olukhulu. elithi "Limitus" lisho ukukhawulela. Ngakho-ke, uma lokhu kokubili kuhlanganiswa, kusho ukuthi ilunga lapho uzwane olukhulu luxhumene khona linokunyakaza okulinganiselwe ngakho-ke libangela ubuhlungu.
Cabanga nje, lapho sihamba, ilunga elikhulu lezinyawo lisekela sonke isisindo somzimba wethu futhi lisisiza ukuba siqhubekele phambili. Ngakho-ke lapho ukunyakaza kwalelo lunga kuvinjelwe, ngisho nokuhamba kuba buhlungu.
Uma lesi simo singabonwa kusenesikhathi, ngokuhamba kwesikhathi ilunga liyaqina futhi lingashukumi. Sibe sesilibiza ngokuthi 'Hallux Rigidus' . 'Rigidus' kusho ukuqina, ukungasebenzi. Kusho ukuthi ilunga cishe liqine ngokuphelele.
Wazi kanjani ukuthi unalesi simo? Ziyini izimpawu?
Lezi zimpawu zingavela emlenzeni owodwa noma yomibili. Zingase zingabonakali ekuqaleni, kodwa ziyanda kancane kancane. Ake sibheke izimpawu eziyinhloko.
| Isibonakaliso | Incazelo |
|---|---|
| Ubuhlungu nokuqina | Ubuhlungu nokuqina, ikakhulukazi phezu kwelunga lonyawo olukhulu. Lobuhlungu buyanda uma kufakwa ingcindezi elunganeni, njengalapho uhamba noma ugijima. |
| Ubunzima bokugoba umunwe | Ubunzima noma ubuhlungu lapho uzama ukugoba uzwane olukhulu phezulu noma phansi. |
| Ukuba ndikindiki | Ngezinye izikhathi, ukucindezeleka emalungeni kungabangela ukuba inzwa icindezeleke, okubangela ukungazweli phezulu kozwane olukhulu noma unyawo. |
| Iqhubu/ukuvuvukala | Ngokuhamba kwesikhathi, iqhubu elinamathambo (njengebhola) lingakhula phezu kwamalunga ozwane olukhulu. Lokhu kungabhajwa uma ugqoka izicathulo, okwenza ubuhlungu bube bubi kakhulu. |
| Iqhubu phansi konyawo | Ngenxa yokuthi uzwane olukhulu alusebenzi kahle, lungacindezela kakhulu iphansi lonyawo, okubangela ukwakheka kwamaqhubu. |
| Ama-Bone Spurs | Uma ilunga lonakele, njengoba umzimba uzama ukuzelapha, kwakheka ama-bone spurs amasha, engeziwe. Lawa abizwa ngokuthi ama-bone spurs . Lawa anciphisa kakhulu ukunyakaza kwelunga. |
Kungani lesi simo senzeka?
Akukho sizathu esisodwa salokhu. Kunezici eziningana ezingaba nomthelela.
- Indawo yethambo lonyawo: Abanye abantu bazalwa benomehluko othile endaweni yamathambo onyawo (ikakhulukazi ithambo elide elixhumene nobhozo olukhulu). Lokhu kubangela ukucindezeleka okungadingekile okufakwayo esigxotsheni sobhozo olukhulu.
- Ukulimala: Lesi simo singakhula ngokuhamba kwesikhathi ngenxa yezinto ezifana nokuqunjelwa okuqinile, ukuklwebheka, noma ukuphuka kozwane olukhulu, okungalimaza ilunga.
- I-Arthritis: Uma unezimo ezifana ne -osteoarthritis ( ukuvuvukala kwamalunga), i-rheumatoid arthritis , noma i-gout , zingathinta nejoyinti lezinzwane ezinkulu futhi zibangele lesi simo.
- Ukusebenzisa kakhulu ijoyinti: Abantu abenza imisebenzi ebeka ingcindezi enkulu ejoyintini elikhulu, njengokugijima nokugxuma njalo (ibhola, ibhola likanobhutshuzwayo), ukuphakamisa izinsimbi, nokudansa (ikakhulukazi i-ballet), basengozini enkulu yokuthola lesi simo.
- Izicathulo ezingafanele: Lesi simo singabangelwa ukugqoka izithende eziphakeme, izicathulo eziqinile, kanye nezicathulo ezincane ngaphambili, ikakhulukazi ezigqokwa ngabesifazane, okufaka ingcindezi enkulu esithweni esikhulu sezinzwane.
- Ifa:Uma othile emndenini wakho enalesi simo, kungenzeka ukuthi nawe uzoba naso.
Udokotela ukubona kanjani lokhu?
Uma unalezi zimpawu, into engcono kakhulu ongayenza ukubonana nodokotela ngokushesha okukhulu. Uzokubuza ngezimpawu zakho bese ehlola unyawo lwakho.
- Ukuhlolwa komzimba: Udokotela uzohlola unyawo lwakho futhi ahlole ukuthi ungalugoba kangakanani unyawo olukhulu, ukuthi lubuhlungu kuphi, nokuthi kukhona yini ukuvuvukala.
- Ukuhlola indlela ohamba ngayo: Ungathola umbono walesi simo ngokubuka indlela ohamba ngayo, indlela izinyawo zakho eziphansi ngayo, kanye nendlela izinzwane zakho ezihamba ngayo.
- Ukuhlolwa kwe-X-ray: Kuzokwenziwa ukuhlolwa kwe-X-ray ukuze kuhlolwe isimo samathambo, ukuqinisekisa ukuthi izinhlayiya zethambo ezengeziwe esizishilo sezivele zakhekile, nokuqinisekisa ukuthi i-cartilage ephakathi kwamalunga isiphelile yini.
Isimo esikhethekile esibizwa ngokuthi i-Functional Hallux Limitus: Ngezinye izikhathi, ungagoba uzwane lwakho kahle uma umi, kodwa kuphela uma uhamba, okungukuthi, uma ubeka isisindo onyaweni lwakho, lapho uzwane luba lukhuni futhi lube buhlungu. Lokhu kubizwa ngokuthi 'i-Functional Hallux Limitus'. Udokotela usebenzisa indlela ekhethekile ukuhlola lokhu.
Yiziphi izindlela zokwelapha lokhu?
Okokuqala, udokotela uzozama ukunciphisa ubuhlungu bakho futhi abuyisele ukusebenza kwejoyinti ngokusebenzisa izindlela zokwelapha ezilula, ezingadingi ukuhlinzwa.
| Indlela yokwelapha | Okufanele ngikwenze |
|---|---|
| Ukukhetha izicathulo ezifanele | Gqoka izicathulo ezibanzi ngaphambili futhi ezinesikhala esanele sezinzwane zakho. Gwema izicathulo ezingaphezu kwe-intshi elilodwa ukuphakama. Izicathulo ezinezinyawo eziqinile noma eziqinile zingcono kakhulu. |
| Ukuphumula unyawo | Gwema imisebenzi eminingi ekhulisa ubuhlungu (ukuvivinya umzimba okunzima, ukugijima) isikhashana. Phumula njalo. |
| Ukusebenzisa ama-orthotics | Lezi yizinsika ezikhethekile ezifakwa ngaphakathi kwezicathulo. Zisekela umugqa wonyawo futhi zinciphisa ingcindezi kuzwane olukhulu lapho uhamba. Lezi zingenziwa ukuze zilingane nonyawo lwakho ngokuya ngeseluleko sikadokotela wakho. |
| Ukwelashwa Komzimba | Ukwelashwa okufana nokuzivocavoca okukhethekile kanye nokubambelela, njengoba kuqondiswe ngudokotela wezokwelapha ngokomzimba, kunganciphisa ubuhlungu futhi kuthuthukise ukuhamba kwamalunga. |
| Ama-Painkiller | Imithi engeyona eye-steroidal elwa nokuvuvukala (ama-NSAID) njenge-ibuprofen ne-naproxen ingasetshenziswa njengoba kuqondiswe udokotela wakho. Lokhu kungasiza ekunciphiseni ubuhlungu nokuvuvukala. |
| Ukuncibilika kweqhwa | Beka iphakethe leqhwa esilungwini esibuhlungu imizuzu eyi-15-20 kanye noma kabili ngosuku. Lokhu kuzosiza ekunciphiseni ubuhlungu nokuvuvukala. |
| Imijovo ye-Corticosteroid | Uma ezinye izindlela zokwelapha zingabuqedi ubuhlungu, udokotela wakho angakunika umjovo we-steroid ngqo emalungeni. Lokhu kunganciphisa ubuhlungu nokuvuvukala ngokushesha. |
Kunini lapho kudingeka khona ukuhlinzwa?
Ukuhlinzwa kuvame ukucatshangelwa kuphela uma ukwelashwa okulula okukhulunywe ngakho ngenhla kungasizi, ubuhlungu abubekezeleleki, noma isimo sesiqhubekele ku- Hallux Rigidus (ukuqina okuphelele kwejoyinti). Kunezinhlobo eziningana zokuhlinzwa.
- Ukuhlinzwa kwe-Cheilectomy: Lokhu kuhilela ukususa ngokuhlinzwa ama-bone spurs engeziwe avimbela ukunyakaza kwejoyinti, okuvumela ijoyinti ukuthi lihambe ngokukhululeka.
- Ukuhlinzwa Kwamathambo: Lokhu kuhilela ukusika ithambo elide emlenzeni, ukushintsha indawo yalo, kanye nokunciphisa ingcindezi emalungeni.
- Ukuhlanganiswa (i-Arthrodesis):Uma ilunga lonakele kakhulu, i-cartilage egugile iyasuswa bese amathambo amabili ehlanganiswa unomphela. Lokhu kuzoqeda ngokuphelele ukunyakaza kwelunga, kodwa ubuhlungu buzophela ngokuphelele.
- Ukufakwa kwejoyinti (i-Arthroplasty): Njengokufakwa kwedolo, ijoyinti elonakele liyasuswa bese lifakwa ijoyinti lokwenziwa lensimbi noma le-ceramic.
Udokotela wakho uzoxoxa nawe ngokuthi yikuphi ukuhlinzwa okukulungele futhi athathe isinqumo esingcono kakhulu ngokusekelwe esimweni sakho.
Umlayezo Wokuya Nawe Ekhaya
- Ungabunaki ubuhlungu nokuqina kozwane lwakho olukhulu, kuyinto evamile. Kungaba ukuqala kwesimo esibizwa ngokuthi iHallux Limitus.
- Ngokubona udokotela ngokushesha okukhulu, ungavimbela lesi simo ukuthi singabi sibi kakhulu futhi ululame ngokwelashwa okulula.
- Kubaluleke kakhulu ukugqoka izicathulo ezikhululekile ezifanela izinyawo zakho, ikakhulukazi ukugwema izithende eziphakeme.
- Ukwelashwa okulula (ukuphumula, iqhwa, ukuvivinya umzimba) njengoba kunqunywe udokotela kungasiza ekulawuleni ubuhlungu ngezinga elikhulu.
- Uma ubuhlungu bukhulu noma ukwelashwa okulula kungasizi, ukuhlinzwa kungaba yisisombululo esihlala njalo. Khuluma nodokotela wakho ngakho.
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