Wake wazizwa ubuhlungu noma ukuqina phansi kozwane lwakho olukhulu lapho uhamba? Ingabe ukuthola kunzima ukugoba uzwane lwakho lapho uvuka ekuseni? Noma ingabe uzwane lwakho olukhulu lubambekile lapho ugqoka izicathulo zakho? Uma unalezi zimpawu, imbangela ingase ibe yinto evamile kakhulu kunalokho ocabanga. Namuhla sikhuluma ngesimo esibizwa ngokuthi 'iHallux Rigidus' esithinta abantu abaningi, kodwa akukhulunywa kakhulu ngaso.
Iyini ngempela i-Hallux Rigidus?
Kalula nje, i-Hallux Rigidus uhlobo lwe-arthritis oluvela ozwaneni lwakho olukhulu. Ngokukhethekile, luthinta ilunga lapho uzwane lwakho olukhulu luxhumana khona nonyawo lwakho. Ngokwezokwelapha, leli lunga silibiza ngokuthi ilunga le-metatarsophalangeal, noma i-MTP.
Uma uzwa igama elithi "arthritis," cishe uyazi ukuthi liyigama elijwayelekile leqembu lezifo ezibangela ukuvuvukala nobuhlungu bamalunga. Ngakho-ke odokotela ngezinye izikhathi babiza lesi simo, i-Hallux Rigidus, ngokuthi "arthritis yozwane olukhulu."
Igama lesiLatini elithi 'Hallux Rigidus' lisho ukuthi "uzwane olukhulu olunamathele." Lokhu kuchaza uphawu oluyinhloko lwalesi simo. Lesi simo sibangela ubuhlungu nokuqina kwejoyinti le-MTP. Empeleni sibhekwa njengohlobo lwe-arthritis olubizwa ngokuthi i-osteoarthritis, olubangelwa ukuguguleka ngokuhamba kwesikhathi .
Uma ubhekene nezimpawu ezifana nobuhlungu, ukuqina, noma ukuvuvukala kozwane lwakho olukhulu, into engcono kakhulu ongayenza ukubonana nodokotela ngokushesha okukhulu.
Sivame kangakanani lesi simo?
Ungase umangale ukuzwa lokhu. Ngokusho kochwepheshe, cishe oyedwa kubantu abadala abangu-40 abaneminyaka engaphezu kwengu-50 une-Hallux Rigidus. Futhi uhlobo oluvame kakhulu lwe-arthritis ezinyaweni.
Phakathi kwezimo ezithinta ijoyinti elikhulu lezinzwane, iHallux Rigidus yisimo sesibili esivame kakhulu ngemuva kwe-bunion eyaziwayo (i-Bunions noma i-Hallux Valgus).
Ziyini izimpawu zeHallux Rigidus?
Kulungile, manje ake sibone ukuthi yiziphi izimpawu eziboniswa umuntu onalesi simo. Ukuze sikuqonde kahle lokhu, ake sikubheke ngale ndlela.
| Isibonakaliso | Incazelo |
|---|---|
| Ubuhlungu | Ubuhlungu ozwaneni olukhulu noma eduze kwalo. Ngokuvamile, ubuhlungu buzwakala phezulu kozwane. Kodwa ngezinye izikhathi bungase buzwe njengobuhlungu obujulile obuvela ngaphakathi kozwane. |
| Ukuqina/ukulahlekelwa ukuguquguquka | Kuba nzima ukugoba noma ukuqondisa uzwane olukhulu. Kuzwakala sengathi lubambekile. Lokhu kungabonakala kakhulu ekuseni. |
| Ukuvuvukala | Ungase uqaphele ukuvuvukala eduze kwamalunga ozwane olukhulu. |
| Ukuncipha kwekhono lokunyakaza | Ngokuhamba kwesikhathi, ububanzi bokunyakaza okungashukunyiswa phezulu naphansi ngomunwe ngaphandle kobuhlungu buyancipha kancane kancane. |
| Into efana nefindo | Iqhubu, elifana ne-bunion noma i-callus, lingavela phezulu kozwane olukhulu. Lokhu empeleni kungabangelwa ukuqhekeka kwamathambo. |
Izinto ezithuthukisa lezi zici
Ezinye izinto nezimo zingenza izimpawu zakho zibe zimbi kakhulu.
- Uma umi noma uhamba: Ubuhlungu bungase bukhule njengoba isisindo sibekwa esilungwini.
- Isimo sezulu esibandayo nesinomswakama: Ubuhlungu bamalunga bungase bube bubi kakhulu ezinsukwini ezibandayo.
- Ukugqoka izicathulo eziqinile: Ukugqoka izicathulo ezivimba izinzwane zakho futhi ezingalingani kahle nonyawo lwakho kwandisa ingcindezi emalungeni futhi kwandisa ubuhlungu.
Kungani kwenzeka i-Hallux Rigidus?
Ngokuvamile, kunzima ukuthola imbangela ecacile yalesi simo. Isizathu esiyinhloko ukuguguleka okwenzeka emalungeni ethu ngokuhamba kwesikhathi. Njengoba siguga, i-cartilage evikela amalunga ethu iyaguguleka. Lokhu kuguguleka kuyimbangela eyinhloko yeHallux Rigidus nezinye izimo ze-osteoarthritis.
Cabanga nje, ngesinyathelo ngasinye esisithathayo, amandla esisindo somzimba wethu aphindwe kabili asetshenziswa kuleli lunga elincane le-MTP. Ngakho-ke, uma ubekezelela lolu hlobo lokucindezeleka impilo yakho yonke, kuvamile ukuthi ilunga liguge.
Ngaphezu kwalesi sizathu esiyinhloko, ezinye izizathu eziningana zingathinta lokhu:
- Ukusetshenziswa ngokweqile kwejoyinti le-MTP: Uma kufakwa ingcindezi enkulu ejoyintini elikhulu ngesikhathi semidlalo, izinto zokuzilibazisa, noma umsebenzi.
- Iqhubu lezwane: Uma uzwane olukhulu luqhubukile ndawana thize.
- Uzwane olujiyile: Isimo esifana nokuklwebheka esibangelwa ukugoba ilunga lozwane phezulu ngamandla ngesikhathi sokudlala.
- Indawo amathambo kuyo onyaweni: Abanye abantu banamathambo ezinyaweni nasezinzwaneni zabo amade kunokuvamile. Abantu abanjalo nabo basengozini yokuthola lesi simo.
Ubani osengozini enkulu yokuthola lesi simo?
Nakuba noma ubani angaba ne-Hallux Rigidus, abanye abantu basengozini enkulu kancane.
- Abantu abangaphezu kweminyaka engama-50 ubudala
- Abesifazane
- Abadlali
- Kulabo abama usuku lonke ngenxa yomsebenzi
Futhi, izimo ezithile zezokwelapha zingandisa ingozi yokuthola i-Hallux Rigidus.
- Isifo Samathambo Esibangelwa Yi-Rheumatoid
- I-Gout
- Izinkinga zokuzivikela komzimba ezibangela ukuvuvukala
- I-Osteochondritis Dissecans
Udokotela uhlonza kanjani lokhu?
Uma uya kudokotela, into yokuqala azoyenza ukuhlola unyawo lwakho. Udokotela uzogoba uzwane lwakho olukhulu phezulu naphansi bese ehlola ukuthi luhamba kangakanani. Uzohlola ukuthi ungagoba uzwane lwakho kude kangakanani ngaphandle kobuhlungu. Ungathunyelwa futhi kudokotela wezinyawo, uchwepheshe wezinyawo.
Ngaphezu kwalokho, ungase futhi uthathwe i-X-ray yonyawo lwakho ukuze uhlole isimo samalunga futhi ubone ukuthi kukhona yini ama-bone spurs.
Ingabe zikhona izigaba ze-Hallux Rigidus?
Yebo, kuye ngokuthi lesi simo sibucayi kangakanani, udokotela wakho angase asihlukanise ngezigaba eziningana, noma amamaki, kuye ngokuthi ukunyakaza kozwane lwakho olukhulu kulinganiselwe kangakanani.
| Ibanga | Isimo |
|---|---|
| Ibanga 0 | Ukunyakaza komunwe othintekile kungaphansi ngo-10% - 20% kunomunwe ophilile. |
| Ibanga 1 | Ukunyakaza kuncishiswe ngo-20% - 50%. |
| Ibanga lesi-2 | Ukunyakaza kuncishiswe ngo-50% - 75%. |
| Ibanga lesi-3 | Ukunyakaza kuncishiswe ngo-75% - 100% (cishe kuqandisiwe ngokuphelele). |
| Ibanga lesi-4 | Ukunyakaza kunciphisa ngo-75% - 100%, futhi kuba nobuhlungu obukhulu lapho uhambisa umunwe. |
Yiziphi izindlela zokwelapha ezingcono kakhulu zeHallux Rigidus?
Ukwelashwa okudingayo kuzoncika ebunzimeni bezimpawu zakho kanye nembangela yesimo sakho. Udokotela wakho angase asikisele okulandelayo: Lokhu ukwelashwa okungekona ukuhlinzwa.
- Ukushintsha izicathulo zakho: Ukugqoka izicathulo ezikhululekile nezivumela isikhala esanele sezinzwane zakho kungasiza ekunciphiseni ingcindezi ejoyintini le-MTP. Ukugqoka izicathulo ezinezinyawo eziqinile neziqinile kungasiza ekunciphiseni ubuhlungu. Gwema izithende eziphakeme nezicathulo ezinezimbotshana ezincane.
- Ukunciphisa ukunyakaza kozwane: Udokotela wakho angase ancome ukusebenzisa ama-pad angafakwa ngaphakathi kwesicathulo, asekele uzwane olukhulu, futhi anciphise ukunyakaza kwalo. Angase futhi ancome ukugwema imisebenzi ebeka ingcindezi emalungeni, njengokugijima nokugxuma, isikhashana.
- Izibulali-zinhlungu: Udokotela wakho angase akunike imithi engeyona eye-steroidal elwa nokuvuvukala (ama-NSAID) ukuze unciphise ukuvuvukala nobuhlungu.
- Iqhwa: Ukufaka iphakethe leqhwa kungasiza ekunciphiseni ubuhlungu nokuvuvukala. Khumbula ukugoqa iphakethe leqhwa ngethawula elincane. Ungalifaki iqhwa ngqo esikhumbeni. Buza udokotela wakho ukuthi zingaki ngosuku futhi isikhathi esingakanani.
- Ama-Corticosteroids: Lawa uhlobo lomuthi olunamandla olunciphisa ukuvuvukala. Kungase kudingeke futhi ukuthi uthole umjovo we-cortisone ngqo esihlanganisini sozwane lwakho olukhulu.
- Ukucwilisa izinyawo emanzini ashisayo/abandayo:Ukuze unciphise ukuvuvukala, udokotela wakho angase ancome "ukugeza okuhlukile", ukwelashwa okushintshanisa phakathi kwamanzi ashisayo nabandayo. Lokhu kusho ukufaka unyawo lwakho emanzini ashisayo imizuzwana engama-30, kulandele amanzi abandayo imizuzwana engama-30 elandelayo.
- Ukuhlinzwa kwe-Cheilectomy kanye ne-Arthropathy: Kuzodingeka ugqoke isicathulo esikhethekile cishe amasonto amabili. Ngemva kwalokho, ungagqoka izicathulo ezivamile. Ukuvuvukala kungahlala izinyanga eziningana.
- Ukususwa Kwamathambo: Kuthatha cishe amasonto ayi-6-8 ukuthi ukuvuvukala kwehle. Kungathatha cishe izinyanga ezi-3 ukuze kuphulukiswe ngokuphelele.
- Ukuhlanganiswa Kwamalunga: Kuzodingeka ugqoke i-cast noma ibhuzu elikhethekile cishe amasonto amathathu kuya kwayisithupha. Ngemva kwalokho, kuzodingeka usebenzise izinduku zokusibekela. Ukuvuvukala nokuqina kungase kuhlale izinyanga eziningana.
- Ukuzivocavoca: Yenza izivivinyo ezilula ezingagcina ilunga elikhulu ligobeka kalula.
- Phumuza ilunga: Phumuza ilunga ngemva komsebenzi onzima. Ungalokothi uzivocavoce ngenxa yobuhlungu.
- Ukugqoka izicathulo ezifanele: Gqoka izicathulo ezifanela kahle izinyawo zakho futhi ezinesikhala esanele sezinzwane zakho.
- I-Hallux Rigidus yisifo esivamile samathambo esithinta ilunga lonyawo lwakho olukhulu futhi sibangelwa ukusetshenziswa ngokweqile.
- Izimpawu eziyinhloko ubuhlungu, ukuqina, kanye nokuvuvukala.
- Ezimweni eziningi, izimpawu zingalawulwa kahle ngokwelashwa okungadingi ukuhlinzwa (izicathulo ezifanele, ukuvivinya umzimba, imithi).
- Uma uzwa ubuhlungu ozwaneni lwakho olukhulu, kubaluleke kakhulu ukubona udokotela ngokushesha okukhulu.
- Uma izimpawu zinkulu futhi ziphazamisa impilo yansuku zonke, ukuhlinzwa kunganikeza izixazululo ezihlala njalo.
Okubalulekile: Ungazisebenzisi njalo izinsuku ezingaphezu kweziyi-10 ngaphandle kokukhuluma nodokotela wakho.
Ingabe kuzodingeka ngihlinzwe?
Iningi labantu alidingi ukuhlinzwa ngenxa ye-Hallux Rigidus. Uma ukwelashwa okungenhla kungazilawuli izimpawu zakho, noma uma ubuhlungu buphazamisa imisebenzi yakho yansuku zonke, udokotela wakho angase akuncome ukuhlinzwa.
| Igama Lenqubo | Yini nje oyenzayo? |
|---|---|
| Ukuhlinzwa kwe-Cheilectomy | Lapha, udokotela ohlinzayo ususa ama-bone spurs esihlanganisi se-MTP. Lokhu kuvumela umunwe ukuthi ugobe kalula, kunciphisa ubuhlungu, futhi kubuyisele ukunyakaza okuthile esihlanganisini. |
| Ukuhlinzwa kwe-Osteotomy | Amathambo ozwane olukhulu ayasikwa futhi ahlelwe kabusha ukuze kushintshwe indawo yelunga. Lokhu kunciphisa ingcindezi elunganeni. |
| I-Arthroplasty | Lokhu ukuhlinzwa kokufaka esikhundleni samalunga. Ithambo elonakele liyasuswa bese lifakwa ingxenye yokwenziwa noma esinye izicubu ukuze kwakhiwe kabusha ilunga. |
| I-Arthrodesis | Lokhu ukuhlinzwa kokuhlanganiswa kwamalunga. I-cartilage eyonakele isuswa ngokuphelele futhi amathambo amabili elunga ahlanganiswa ndawonye kusetshenziswa izikhonkwane noma amapuleti. Lesi yisisombululo esihlala njalo, kodwa ngemva kokuhlinzwa, ngeke ukwazi ukugoba uzwane lwakho olukhulu. |
Kuthatha isikhathi esingakanani ukuphulukiswa?
Isikhathi sokululama sincike ekwelashweni okutholile kanye nobunzima besimo. Uma izimpawu zakho zilawulwa ngezinto ezilula njengokushintsha izicathulo nokusebenzisa ama-pad, ungabuyela emisebenzini evamile ngokushesha nje lapho udokotela wakho ekunika imvume.
Uma uhlinzwa, isikhathi sokululama sizohluka kuye ngohlobo lokuhlinzwa:
Into ebalulekile ukuthi kunezixazululo eziningi ezingakusiza ukuthi uphathe izimpawu zakho, unciphise ubuhlungu, futhi uphile impilo evamile.
Ingabe lokhu akunakuvinjelwa ukuthi kwenzeke?
Kunzima ukuvimbela ngokuphelele i-Hallux Rigidus, njengoba ithonywa ubudala kanye nezici zofuzo. Kodwa-ke, okulandelayo kungasiza ekulawuleni ukuqhubeka kwalesi simo:
Kufanele ngimbone nini udokotela?
Impendulo ilula. Uma unobuhlungu obusha, ukuvuvukala, noma ukuqina kwelungu lakho elikhulu lezinzwane, bona udokotela ngokushesha nje lapho liqala. Uma usheshe uxilonge lesi simo bese uqala ukwelashwa, umphumela uba ngcono.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho