Ingabe kunzima ukugoba uzwane lwakho olukhulu? Ingabe kuyabuhlungu? Ake sifunde nge (Hallux Limitus)?

Ingabe ngezinye izikhathi uzizwa sengathi awukwazi ukugoba kahle uzwane lwakho olukhulu futhi kubuhlungu uma uhamba? Ingabe lobu buhlungu buba bubi nakakhulu, ikakhulukazi uma uhamba ugqoke izicathulo, noma uma wenza izinto ezifana nokugijima noma ukugxuma? Ngakho-ke, sizoxoxa ngento engaba yinto ebalulekile kuwe. Lesi simo singenza kube nzima ngawe ukwenza imisebenzi yakho yansuku zonke . Ake sibone ukuthi yini ebangela lokhu nokuthi yini ongayenza ukuze ukuqede.

Kuyini i-Hallux Limitus?

Kulungile, ake siqale sibone ukuthi iyini le `(Hallux Limitus)`. Kalula nje, `(Hallux Limitus)` isho ukuthi ilunga lapho uzwane lwakho olukhulu luxhumana khona nonyawo libuhlungu futhi liqinile, okusho ukuthi kunzima ukugoba noma ukuqondisa kahle. Ngokwezokwelapha, leli lunga libizwa ngokuthi `(ilunga lokuqala le-metatarsophalangeal)`. `Hallux` isho uzwane olukhulu. `Limitus` isho umkhawulo, okusho ukuthi ukunyakaza kunqunyelwe.

Ngakho-ke, ezigabeni zokuqala zalesi simo esithi `(Hallux Limitus)`, ungase uzizwe sengathi awukwazi ukugoba kahle ijoyinti lozwane olukhulu, njengokungathi liqinile kancane. Kodwa lokhu kungaba kubi kakhulu. Njengoba kuba kubi kakhulu, ijoyinti liyayeka ukuhamba, okungukuthi, liba ``liqinile'', futhi ngisho nokuhamba kuba buhlungu kakhulu. Leso yisigaba esinzima kakhulu, esibizwa ngokuthi `(Hallux Rigidus)` .

Ngakho-ke kuyini `(I-Functional Hallux Limitus)`?

Manje kukhona okunye okukhethekile, kubizwa ngokuthi "i-Functional Hallux Limitus". Kulesi simo, ukuqina nokunyakaza okulinganiselwe kwesihlanganisi sakho sezinzwane ezinkulu kuzwakala kuphela uma ubeka isisindo onyaweni lwakho. Lokho kusho ukuthi uma uhamba noma umi.

Lokhu kungaba nzima kancane ukukuxilonga, ikakhulukazi uma udokotela wakho engajwayelene kahle nalesi simo. Uyazini? Uma uhleli phansi nje, ngaphandle kokubeka isisindo emlenzeni wakho, uzwane lwakho olukhulu lungase lunyakaze ngendlela evamile. Ungase ucabange ukuthi akukho lutho olungalungile ngakho.

Ubani othola le `(Hallux Limitus)`?

Lesi simo empeleni sivame kakhulu kunalokho ongakucabanga. Kulinganiselwa ukuthi lesi simo sithinta cishe umuntu oyedwa kubantu abadala abangu-40 abaneminyaka engaphezu kwengu-50. Kodwa-ke, kucatshangwa ukuthi siqala ebudaleni obusha. Isibonelo, cishe abantu abayi-10% abaneminyaka ephakathi kuka-20 no-34 banama-X-ray abonisa izinguquko emalungeni abo. Lokhu kusho ukuthi lezi zinguquko zingaqala ngisho nangaphambi kokuba kuvele izimpawu.

Ziyini izimpawu ze-`(Hallux Limitus)`?

Kulungile, ziyini izimpawu zeHallux Limitus? Zingavela onyaweni olulodwa noma zombili. Ziqala kancane kancane, mhlawumbe ungaqapheli, bese kancane kancane ziba zimbi kakhulu.

• Ubuhlungu nokuqina:Ubuhlungu, ukungakhululeki, kanye nokuqina komzimba kuzwakala kakhulu phezulu kwelungu elikhulu lonyawo. Lobuhlungu buba bubi nakakhulu uma wenza imisebenzi ebeka ingcindezi elunganeni, njengokuhamba, ukugijima, noma ukugxuma. Isibonelo, uma ungumdlali webhola lomnqakiswano, uzozizwa lobu buhlungu kakhulu uma ugijima futhi uyeka ngokuzumayo noma ugxuma.
• Ubunzima bokugoba uzwane olukhulu: Ungase ungakwazi ukugoba uzwane phezulu noma phansi kahle. Ungase uzizwe lokhu ngisho nalapho ugqoka isicathulo.
• Ukuba ndikindiki : Ngezinye izikhathi, inzwa ecindezelwe ingabangela ukuba ndikindiki noma umuzwa wokuthuthumela phezulu kozwane olukhulu noma unyawo.
• I-Callus: Ukucindezela ngokweqile ngaphansi kozwane olukhulu kungabangela isikhumba ukuba sibe lukhuni futhi sibe lukhuni, sakhe ukukhula okufana ne-callus.
• Iqhubu lamathambo: Iqhubu elincane lamathambo lingakhula ngaphezu kweqhubu elikhulu. Lokhu ngezinye izikhathi kungabhajwa esicathulweni futhi kwandise ubuhlungu.
• Ukuqhumisa amathambo : Uma uzwane olukhulu lulumele futhi luzama ukuphola, kungakheka amaqhumisa amathambo amasha (abizwa ngokuthi amaqhumisa amathambo) ejoyintini. Lokhu kungabangela ubuhlungu lapho kususwa ijoyinti.

Kungani lokhu `(Hallux Limitus)` kwenzeka?

Ngakho-ke kungani lokhu `(Hallux Limitus)` kuvela? Kungaba nezizathu eziningana. Ake sibone ukuthi yiziphi eziyinhloko:

• Ukuma konyawo okungajwayelekile: Lesi simo singase senzeke uma ithambo lakho lokuqala le-metatarsal (ithambo elide onyaweni lwakho elixhumene nozwane lwakho olukhulu) lide kakhulu, liphakeme kakhulu, noma uma esinye isakhiwo esingavamile onyaweni lwakho sibeka ingcindezi enkulu esixukwini sakho sozwane olukhulu.
• Ukulimala kozwane olukhulu: Cabanga ukuthi ngenkathi uhamba, uvele ushaye uzwane lwakho olukhulu ndawana thize, uluklwebhe, noma uphuke ithambo. Izingozi ezinjalo zingabangela i-"Bone Spurs" eshiwo ngenhla. Ezinye izingozi ngenkathi udlala imidlalo nazo zingathinta lokhu.
• I-Arthritis: Uma unezifo zamalunga ezifana ne-Osteoarthritis, i-Rheumatoid Arthritis, noma i-Gout , zingathinta amalunga ezinqeni zakho, amadolo, nezinyawo, futhi ekugcineni zithinte indlela ohamba ngayo, okubangela i-Hallux Limitus.
• Ukusebenzisa kakhulu izinzwane: Ukuzibandakanya emisebenzini ethinta kakhulu ebeka ingcindezi eqhubekayo ezinzwaneni. Isibonelo, ukuquleka, ukugijima, ukugxuma, ibhola likanobhutshuzwayo, i-basketball, ithenisi, i-gymnastics, ukudansa, ikakhulukazi i-ballet, konke kubeka ingcindezi enkulu kuzwane olukhulu.
• Izicathulo ezingafanele: Ukungazigqoki izicathulo ezikhululekile nezilingana kahle, ikakhulukazi izithende eziphakeme .Ingcindezi engadingekile iyengezwa esixukwini esikhulu sozwane.
• Umlando womndeni: Uma othile emndenini wakho eke waba nesifo `(Hallux Limitus)`, kungenzeka kakhulu ukuthi nawe ube naso. Lokhu kungaba yithonya lofuzo.

Sitholakala kanjani lesi simo `(Hallux Limitus)`?

Kulungile, uma unezimpawu ezinjengalezi, udokotela uzibona kanjani njenge-`(Hallux Limitus)`?

Uma uya kudokotela wakho, uzoqala ngokukubuza ngezimpawu zakho. Bazokubuza imibuzo efana nokuthi, "Sekuyisikhathi esingakanani lobu buhlungu buqhubeka?", "Bubuhlungu kakhulu nini?", nokuthi ngabe wake waba nokulimala onyaweni noma ozwaneni olukhulu.

Ngemuva kwalokho bazohlola umlenze wakho noma imilenze yomibili. Bazohlola ukuguquguquka kwezinzwane zakho, okungukuthi, ukuthi ungagoba ibanga elingakanani . Bazophinde babheke ngokucophelela indlela ohamba ngayo. Ngoba indlela ohamba ngayo ingaveza okuningi.

Ngaphezu kwalokho, bazophinde ba-ode i-X-ray ukuhlola amathambo onyaweni lwakho bese benquma ukuthi kukhona yini ama-bone spurs noma ukuthi i-cartilage emalungeni akho (izicubu ezithambile lapho amathambo amabili ahlangana khona) inciphile.

Ukuhlolwa okukhethekile kokuxilonga `(I-Functional Hallux Limitus)`

Kukhona ukuhlolwa okulula ukuthola ukuthi unesifo esithi "Functional Hallux Limitus" esishiwo ngaphambilini. Cabanga uhleli esihlalweni ukhumule izicathulo zakho namasokisi, izinyawo zakho ziphansi, nezinzwane zakho ziphakeme.

Udokotela uzobeka umunwe wakhe wokukhomba ngaphansi kozwane lwakho olukhulu bese esunduza uzwane lwakho olukhulu phezulu (ngasemlenzeni). Uzwane lwakho kufanele lushelele emuva kalula.

Bese bephinda bakwenze ngendlela efanayo, kodwa kulokhu udokotela ubeka isandla esisodwa ngaphansi konyawo lwakho bese esebenzisa isithupha sesinye isandla ukuze abambe ngokuqinile ilunga lonyawo lwakho olukhulu. Manje bazama ukusunduza unyawo lwakho olukhulu futhi. Uma unyawo lwakho lungakhuphuki kakhulu, ungase ube ne-`(Functional Hallux Limitus)`.

Lokhu kuhlola – ukubeka isandla sakho ngaphansi kwezinyawo zakho bese ucindezela ilunga ngosithupha sakho – kulingisa ukufaka isisindo njengoba uhamba. Uma uzwane luvinjelwe lapho wenza lokhu, kukhombisa ukuthi ukunyakaza kuvinjelwe nakakhulu uma ubeka isisindo sakho esiphelele emlenzeni bese uhamba.

Yiziphi izindlela zokwelapha `(Hallux Limitus)`?

Kulungile, manje ake sibone ukuthi yiziphi izindlela zokwelapha ezitholakalayo zalesi simo `(Hallux Limitus)`. Okokuqala, udokotela uzozama izindlela zokwelapha ezilula, ezingadingi ukuhlinzwa ukuze anciphise ubuhlungu nokungakhululeki kwakho.

• Gqoka izicathulo ezilingana kahle: Gqoka izicathulo ezine-top ebanzi, okusho ukuthi kunendawo eyanele yokuthwala uzwane lwakho olukhulu, futhi ezingakucindezeli uzwane lwakho. Gwema izicathulo ezingaphezu kwe-intshi ukuphakama. Izicathulo ezisicaba, ezine-sole eqinile, noma ezine-sole ethambile (lokhu kunciphisa ukugoba kozwane olukhulu) ziyizinketho ezinhle kakhulu.
• Gwema ukuzikhandla ngokweqile ezinyaweni zakho:Phumula njalo futhi unike imilenze yakho ikhefu. Gwema imisebenzi ethinta kakhulu njengokugijima, i-gymnastics, kanye nokugxuma kuze kube yilapho ijoyinti lakho elikhulu selipholile, ikakhulukazi ngemva kwengozi emlenzeni wakho.
• Sebenzisa ama-orthotics ukusekela izinyawo zakho: Ama-orthotics (izinto zokufaka izicathulo) atholakala emakhemisi noma ama-orthotics enziwe ngokwezifiso anikezwe udokotela angasetshenziswa ukusekela izinyawo zakho nokulungisa noma yikuphi ukungalingani ongase ube nakho lapho uhamba. Cela udokotela wakho isincomo sama-orthotics enziwe ngokwezifiso.
• Thola ukwelashwa ngokomzimba: Izindlela zokwelapha ngokomzimba zifaka phakathi ukubamba, ukugudluza, ukwelashwa ngamanzi, kanye ne-ultrasound. Lokhu kungasiza ekunciphiseni ubuhlungu nokwandisa ukuhamba kwamalunga.
• Thatha imithi yokunciphisa ubuhlungu ethengiswa ngaphandle kwemithi kadokotela (OTC) kanye nemithi yokulwa nokuvuvukala: Isibonelo, imithi ethengiswa ngaphandle kwemithi kadokotela efana ne-ibuprofen (Advil®, Motrin®), i-aspirin (Bayer®), noma i-naproxen (Aleve®). Kungcono ukubuza udokotela wakho noma usokhemisi ngaphambi kokuthatha le mithi.
• Faka iqhwa: Faka iphakethe leqhwa esithweni sakho esikhulu sezinzwane cishe imizuzu engama-20 kanye noma kabili ngosuku. Lokhu kuzonciphisa ukuvuvukala nobuhlungu.
• Imijovo ye-Corticosteroid: Uma ezinye izindlela zokwelapha ezilula zingabuqedi ubuhlungu bakho, udokotela wakho angase akuncome imijovo ye-corticosteroid. Le yimijovo enikezwa ngqo emalungeni ukuze kuncishiswe ubuhlungu nokuvuvukala ngokushesha.

Ukwelashwa kwe-`(I-Hallux Limitus Esebenzayo)`

Nansi indlela yokwelapha isimo esithi ``Functional Hallux Limitus``:

• Ukuphumula, iqhwa kanye nokuphakama (okufana nendlela ye-RICE).
• Ukusebenzisa ama-orthotics enziwe ngokwezifiso noma i-insole ye-carbon fiber.
• Ukwelashwa Komzimba.

Udokotela wakho uzoxoxa nawe ngokuthi yiziphi izindlela zokwelapha ezikulungele kangcono.

Kufanele ucabange nini ngokuhlinzwa?

Ukuhlinzwa kuvame ukucatshangelwa lapho isimo `(Hallux Limitus)` sesithuthukele ku `(Hallux Rigidus)`, noma lapho ubuhlungu bungaqedwa yizindlela zokwelapha ezilula okukhulunywe ngazo ngenhla. Kodwa-ke, uma isimo sakho `(Hallux Limitus)` siba sibi kakhulu ngenxa yokukhubazeka kwezinyawo, noma uma unezimpawu ezinzima, wena nodokotela wakho nizoxoxa ngokuthi nizohlinza noma cha.

Yiziphi izinketho zokuhlinzwa?

Kunezinketho eziningana zokuhlinzwa. Ake sibheke ukuthi ziyini:

• Ukususwa kwe-scute (i-Cheilectomy):Lokhu kuhlinzwa kuhilela ukushefa ama-bone spurs kanye nengxenye encane yethambo phezu kwekhanda lakho le-metatarsal (ikhanda lethambo elixhumene nozwane olukhulu). Lokhu kushefa ithambo kuvumela uzwane olukhulu ukuba luhambe ngokukhululeka, kwandisa ikhono lokugoba uzwane, futhi kunciphisa ubuhlungu.
• I-Osteotomy: Kulokhu kuhlinzwa, ithambo le-metatarsal onyaweni lwakho liyanqunywa futhi lihlelwe kabusha ukuze kulungiswe ukukhubazeka konyawo.
• I-Fusion/Arthrodesis: Kulokhu kuhlinzwa, i-cartilage eyonakele isuswa emathanjeni amabili akha i-thumb joint yakho bese amathambo amabili ehlanganiswa ndawonye. Lapho amathambo amabili ehlanganiswa ndawonye, ​​i-joint ebhodweni lakho elikhulu iyayeka ukunyakaza.
• Ukufakelwa kwamalunga/i-Arthroplasty: Kulokhu kuhlinzwa, iziphetho ezilimele zamathambo e-metatarsophalangeal joint ziyasuswa bese kuthathelwa indawo i-joint yokwenziwa eyenziwe nge-ceramic noma i-titanium. Lokhu kungagcina ukunyakaza okuthile ejoyini.
• Ukulungiswa kabusha kwethambo/i-Interpositional arthroplasty: Kulokhu kuhlinzwa, elinye lamathambo alimele liyasuswa bese kufakwa i-spacer, noma into ethile ephakathi, phakathi kwamathambo ethambo elikhulu. Lokhu kunciphisa inani lokungqubuzana phakathi kwamathambo.

Udokotela wakho angase futhi acabangele ezinye izinqubo ezithile zokuhlinzwa. Wena nodokotela wakho nizoxoxa ngokuthi ukuhlinzwa kuyafaneleka yini kuzwane lwakho olukhulu, futhi uma kunjalo, iyiphi inqubo ezokunikeza imiphumela emihle kakhulu.

Hlobo luni lomphumela umuntu one-`(Hallux Limitus)` angalulindela?

Uma ubona udokotela ngokushesha nje lapho uzwa ubuhlungu noma ukungakhululeki ozwaneni lwakho olukhulu, ungandisa amathuba akho okuvimbela ukulimala okwengeziwe ozwaneni lwakho olukhulu. Uma usheshe uqaphele lesi simo (Hallux Limitus), kulapho ungaqala khona ukwelashwa ngokushesha. Yingakho kubalulekile ukungazinaki ngisho nezimpawu ezincane kakhulu.

Ingabe lesi simo singalapheka ngokuphelele?

Kuncike embangela kanye nokwelashwa okukhethiwe. Isimo esibizwa ngokuthi `(Hallux Limitus)` esibangelwe ingozi singase selapheke. Ngakolunye uhlangothi, isimo esibizwa ngokuthi `(Hallux Limitus)` esibangelwa yisimo esifana nesifo samathambo singase singapheli ngokuphelele futhi singase sibe sibi kakhulu sibe `(Hallux Rigidus)`.

Ukwelashwa okungadingi ukuhlinzwa kunganciphisa izimpawu zakho, kodwa ubuhlungu bungabuya noma bube bubi kakhulu. Uma une-Hallux Rigidus, ukuhlinzwa kungakunikeza ikhambi elihlala njalo lobuhlungu nokuqina.

Kuthatha isikhathi esingakanani ukuphulukiswa?

Kuncike futhi kumbangela kanye nendlela yokwelapha `(Hallux Limitus)`.

Uma imbangela kuwumsebenzi othinta kakhulu noma ingozi, phumula umlenze wakho njalo futhi ugweme lowo msebenzi kuze kube yilapho ilunga noma unyawo lwakho selupholile. Udokotela wakho uzoncoma ukuthi kufanele uphumuze umlenze wakho kangaki nokuthi kufanele ugweme isikhathi esingakanani imisebenzi ethile.

Uma uke wahlinzwa, kungathatha amasonto ukululama, futhi kungathatha izinyanga eziningana ukubuyela emisebenzini evamile. Udokotela wakho uzokutshela ukuthi kuzokuthatha isikhathi esingakanani ukululama, kuye ngohlobo lokuhlinzwa olwenzile kanye nesimo selungu lakho elikhulu lonyawo. Isihluthulelo ukuba nesineke.

Izinto ezibaluleke kakhulu esifuna ukuzithatha ekhaya kule ndaba yilezi:

Ngakho-ke, `(Hallux Limitus)` yisimo esenza kube nzima ukugoba uzwane lwakho olukhulu futhi senze ukuhamba kube buhlungu. Lokhu kungaba kubi kancane kancane ngokuhamba kwesikhathi, futhi ekugcineni kuholele esimweni lapho ilunga lozwane olukhulu lingakwazi ukushukunyiswa nhlobo (elibizwa ngokuthi `(Hallux Rigidus)`).

Into ebaluleke kakhulu ukuzama ukuvimba lesi simo ukuthi singabi sibi kakhulu.

Nazi ezinye izinto ongazenza:

• Gqoka izicathulo ezikhululekile ezifanelana kahle nezinyawo zakho. Gwema izithende eziphakeme ngangokunokwenzeka.
• Sebenzisa ama-orthotics uma kunconywa udokotela wakho.
• Phuza imithi yokubulala izinzwa kanye nemithi yokulwa nokuvuvukala (isib. i-ibuprofen) uma kukhona ubuhlungu noma ukuvuvukala. Kodwa xhumana nodokotela.
• Phumuza imilenze yakho. Gwema umsebenzi onzima.

Uma usenobuhlungu ngemva kokwenza lezi zinto, noma uma unenkinga yokuhamba, ungesabi ukukhuluma nodokotela wakho mayelana nemijovo ye-corticosteroid noma izinketho zokuhlinzwa.

Uma ukunakekela lokhu kusenesikhathi, uzokwazi ukulawula lesi simo ngezinga elikhulu futhi uphile ngokunethezeka!

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