Wake wazizwa ubuhlungu obukhulu endaweni yezinzwane ezinkulu uma uhamba, ikakhulukazi uma uvuka ekuseni? Mhlawumbe uzizwa sengathi kuqinile uma ugqoka isicathulo. Nakuba ungase ucabange ukuthi lokhu kuyinto evamile, kungaba yisimo esidinga ukunakekelwa kwezokwelapha. Namuhla sikhuluma ngale nkinga abantu abaningi abanayo kodwa abangazi ngayo, okuyiHallux Rigidus.
Kalula nje, iyini i-Hallux Rigidus?
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 (MTP)`.
Manje ungase uzibuze ukuthi iyini i-arthritis. I-arthritis igama elivamile lezifo ezingaba yikhulu ezibangela ukuvuvukala nobuhlungu emalungeni omzimba wethu. Yingakho odokotela ngezinye izikhathi bebiza i-Hallux Rigidus ngokuthi “i-arthritis yozwane olukhulu.”
Igama elithi "Hallux Rigidus" livela olimini lwesiLatini elisho "uzwane olukhulu oluqinile." Lolu uphawu oluyinhloko lwalesi simo. Lubangela ubuhlungu nokuqina kwejoyinti lezinzwane ezinkulu. Empeleni uhlobo lwe-osteoarthritis oluvela ngenxa yokuguga nokudabuka ngokuhamba kwesikhathi.
Uma ubhekene nezimpawu ezifana nobuhlungu, ukuqina, noma ukuvuvukala kozwane lwakho olukhulu, kubaluleke kakhulu ukukhuluma nodokotela ngakho.
Sivame kangakanani lesi simo?
Ucwaningo luthole ukuthi cishe umuntu oyedwa kwabangu-40 abaneminyaka engaphezu kwengu-50 angase abe ne-Hallux Rigidus. Lolu uhlobo oluvame kakhulu lwe-arthritis ezinyaweni.
Futhi kuyisimo sesibili esivame kakhulu esithinta ijoyinti elikhulu lezinzwane, ngemva kwesimo esaziwa kakhulu ngokuthi i-bunion.
Ziyini izimpawu zeHallux Rigidus?
Umuntu onalesi simo angabonisa izimpawu ezahlukahlukene. Kodwa kunezimpawu ezivamile. Ake sibheke ukuthi ziyini.
| Isibonakaliso | Incazelo |
|---|---|
| Ubuhlungu ozwaneni olukhulu | Lobuhlungu bungazwakala phezulu komunwe. Ngezinye izikhathi bungazwakala sengathi buvela ngaphakathi komunwe. |
| Ukuqina kozwane olukhulu | Kuba nzima ukugoba nokuhambisa umunwe. Kuzwakala sengathi unamathele. |
| Ukuvuvukala kwamalunga | Ungase uqaphele ukuvuvukala eduze kwelunga lapho uzwane olukhulu luxhumeka khona onyaweni. |
| Ukuvinjelwa kokunyakaza | Ububanzi bokunyakaza okungashukunyiswa ngaphandle kobuhlungu buyancipha kancane kancane. |
| Into efana nefindo | Iqhubu, njenge-bunion noma i-callus, lingavela phezulu kozwane olukhulu. |
Izinto ezandisa izimpawu
Ezinye izinto zingenza lobu buhlungu nobunzima bube bubi nakakhulu.
- Uma umi noma uhamba: Ubuhlungu bungase bukhule njengoba isisindo sibekwa esilungwini.
- Isimo sezulu esibandayo nesinomswakama: Njengoba nje ubuhlungu bamalunga bukhula ngezinsuku ezibandayo, lesi simo singaba sibi kakhulu.
- Ukugqoka izicathulo eziqinile: Ukugqoka izicathulo eziqinile ezingavumeli isikhala esanele sezinzwane kwandisa ingcindezi emalungeni futhi kwandisa ubuhlungu.
Kungani sithola i-Hallux Rigidus?
I-Hallux Rigidus ivame ukukhula ngokuhamba kwesikhathi ngaphandle kwesizathu esibonakalayo. Njengoba siguga, i-cartilage ethambile emalungeni ethu iyawohloka. Njengoba nje amathayi emotweni ewohloka, lokhu kuwohloka nokudabuka kuyimbangela eyinhloko ye-Hallux Rigidus nezinye izinhlobo ze-osteoarthritis.
Cabanga nje, ngesinyathelo ngasinye esisithathayo, isisindo somzimba wethu sidlula kabili leli lunga elincane le-'MTP'. Ngakho-ke akumangazi ukuthi ilunga lingaguga ngemva kokubekezelela lolu hlobo lokucindezeleka impilo yonke.
Ezinye izizathu zingathinta nalokhu:
- Ukusetshenziswa ngokweqile kwelunga: Uma ilunga elikhulu lonyawo livame ukucindezelwa ngesikhathi semidlalo, umsebenzi, noma izinto zokuzilibazisa.
- Ukulimala komunwe: Ukugwazwa uzwane olukhulu.
- Ukukhubeka kwezinyawo: Izimo ezifana 'ne-Turf toe', ikakhulukazi kwezemidlalo.
- Uhlobo lwamathambo onyaweni: Amathambo abanye abantu onyaweni nasezinzwaneni angase abe made kunokujwayelekile. Lokho kungaba yisizathu salokhu.
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
Ngaphezu kwalokho, izimo ezithile zezokwelapha zingandisa ingozi yokuthola i-Hallux Rigidus.
- Isifo samathambo esibizwa ngokuthi i-rheumatoid arthritis
- I-Gout
- Ezinye izifo ezibangelwa ukuvuvukala komzimba
- Izifo ze-Osteochondritis
Udokotela uhlonza kanjani lokhu?
Uma uya kudokotela, into yokuqala azokwenza ukukuhlola. Uzogoba uzwane lwakho olukhulu phezulu naphansi bese eluhambisa ukuze abone ukuthi ungaluhambisa kude kangakanani. Ungathunyelwa futhi kuchwepheshe wezinyawo (udokotela wezinyawo).
Ngaphezu kwalokho, kungenziwa i-X-ray yonyawo ukuze kuhlolwe ama-bone spurs.
Izigaba zeHallux Rigidus
Kuye ngokuthi ikhono lakho lokuhambisa uzwane lwakho olukhulu lehle kangakanani, udokotela wakho angase ahlukanise lesi simo ngokwamabanga. Lokhu kubizwa nangokuthi izigaba, njengoba izimpawu ziba zimbi kakhulu ngokuhamba kwesikhathi.
| Ibanga | Izinga lokunyakaza okuvinjelwe ngalo |
|---|---|
| Ibanga 0 | Inokunyakaza okungaphansi ngo-10% - 20% kunolunye uzwane olukhulu. |
| Ibanga 1 | Ukunyakaza kuncishiswe phakathi kuka-20% - 50%. |
| Ibanga lesi-2 | Ukunyakaza kuncishiswe phakathi kuka-50% - 75%. |
| Ibanga lesi-3 | Ukunyakaza kuncishiswe phakathi kuka-75% - 100%. |
| Ibanga lesi-4 | Kunokwehla kokunyakaza okuphakathi kuka-75% no-100%, futhi kuba nobuhlungu obukhulu lapho uhambisa umunwe. |
Yiziphi izindlela zokwelapha ezingcono kakhulu?
Uhlobo lokwelashwa oludingayo luzoncika ebunzimeni bezimpawu zakho kanye nembangela yalesi simo. Ngokuvamile, ukwelashwa okungewona ukuhlinzwa kuzoqala.
| Indlela yokwelapha | Wenzani? |
|---|---|
| Ukushintsha izicathulo | Ukugqoka izicathulo ezinezithende eziqinile nezinonyawo oluhle kunganciphisa ingcindezi emalungeni. Gwema izithende eziphakeme nezicathulo ezibamba izinzwane zakho. |
| Ukulinganiselwa kokunyakaza kweminwe | Kukhona ama-pad akhethekile afakwa ngaphakathi kwesicathulo. Lawa angasekela uzwane futhi anciphise ukunyakaza okungadingekile. Anganciphisa nokucindezeleka emalungeni ngesikhathi semisebenzi efana nokugijima. |
| Ama-Painkiller | Ama-NSAID atholakala ngaphandle kwemithi kadokotela angasiza ekunciphiseni ubuhlungu nokuvuvukala. Kodwa-ke, ungayithathi le mithi izinsuku ezingaphezu kweziyi-10 ngaphandle kokukhuluma nodokotela wakho. |
| Ukuncibilika kweqhwa | Ukusonga iphakethe leqhwa ngethawula elincane bese ulifaka endaweni ebuhlungu kungasiza ekunciphiseni izimpawu. Ungalokothi ubeke iqhwa ngqo esikhumbeni. Buza udokotela wakho ukuthi kufanele ulifake isikhathi esingakanani futhi kangaki ngosuku. |
| Ama-Corticosteroids | Lena imithi enamandla enikezwa udokotela, ngezinye izikhathi inikezwa njengomjovo ngqo emalungeni. |
| Ukucwilisa izinyawo emanzini ashisayo/abandayo | Ngezinye izikhathi odokotela batusa le ndlela. Kufanele ugcine unyawo lwakho emanzini ashisayo imizuzwana engama-30, bese ulufaka emanzini abandayo imizuzwana engama-30 elandelayo. Ukwenza lokhu ngokushintshana kunganciphisa ukuvuvukala. |
Ingabe kuzodingeka ngihlinzwe?
Iningi labantu alidingi ukuhlinzwa. Udokotela wakho angase acabangele ukuhlinzwa kuphela uma ezinye izindlela zokwelapha zingabuqedi ubuhlungu bakho, noma uma ubuhlungu bukhulu kangangokuthi bukuvimbela ekwenzeni imisebenzi yakho yansuku zonke.
Kunezinhlobo eziningana eziyinhloko zokuhlinzwa:
- I-Cheilectomy: Lokhu kuhilela ukususa izimbotshana zamathambo ezingadingekile ngaphezu kwejoyinti, okudala isikhala esengeziwe sokuba umunwe ugobe.
- Ukuhlinzwa Kwamathambo: Lapha, udokotela ohlinzayo usika futhi ahlele kabusha amathambo omunwe ukuze ashintshe indawo yelunga.
- I-Arthroplasty: Lokhu ukuhlinzwa kokufaka amalunga esikhundleni sawo. Ithambo elonakele liyasuswa bese kufakwa "i-spacer" eyenziwe ngezinye izicubu.
- I-Arthrodesis: Lokhu ukuhlinzwa kokuhlanganiswa kwamalunga. I-cartilage eyonakele iyasuswa bese amathambo amabili ehlanganiswa ndawonye. Nakuba lokhu kuyisisombululo esihlala njalo, ukunyakaza kozwane olukhulu kungase kuncishiswe ngemva kokuhlinzwa.
Kuthatha isikhathi esingakanani ukululama ngemva kokuhlinzwa?
Isikhathi sokululama sincike ekutheni uhlinzwe kanjani.
- Ngemva kokuhlinzwa kwe-`Cheilectomy` kanye ne-`Arthroplasty`, kuzodingeka ugqoke isicathulo esikhethekile cishe amasonto amabili. Ukuvuvukala kungaqhubeka izinyanga eziningana.
- Ngemva kokuhlinzwa kwe-osteotomy, ukuvuvukala kuzophela zingakapheli amasonto ayi-6-8. Kungathatha cishe izinyanga ezintathu ukuphulukiswa ngokuphelele.
- Ngemva kokuhlanganiswa kwamalunga, kuzodingeka ugqoke i-cast noma ibhuzu elikhethekile cishe amasonto amathathu kuya kwayisithupha. Ngemva kwalokho, kuzodingeka usebenzise izinduku zokusibekela. Ukuvuvukala nokuqina kungase kuqhubeke izinyanga eziningana.
Ingabe lesi simo asinakuvinjelwa?
Kungaba nzima ukuvimbela ngokuphelele i-Hallux Rigidus, kodwa kunezinto ezimbalwa ongazenza ukusiza ukulawula lesi simo:
- Ukuzivocavoca: Buza udokotela wakho noma uchwepheshe wezokwelapha ngokuzivocavoca okulula okungasiza ukugcina ilunga lakho lonyawo olukhulu liguquguquka.
- Phumuza ilunga: Phumuza ilunga ngemva komsebenzi onzima. Ungalokothi uzivocavoce ngenxa yobuhlungu.
- Gqoka izicathulo ezifanele: Khetha izicathulo ezifanela kahle izinyawo zakho futhi ezinendawo yokubeka izinzwane zakho.
Khumbula, uma uzwa ubuhlungu ozwaneni lwakho olukhulu, ungabunaki. Uma usheshe ubonane nodokotela futhi uthola ukuxilongwa, kulapho kungenzeka khona ukuthi ukwelashwa kuzophumelela.
Umlayezo Wokuya Nawe Ekhaya
- Ubuhlungu, ukuqina, kanye nokuvuvukala kozwane lwakho olukhulu kungaba izimpawu zesifo samathambo esibizwa ngokuthi iHallux Rigidus.
- Nakuba imbangela eyinhloko yalokhu kungukuguguleka kwamalunga ngokuhamba kwesikhathi, ukulimala, izimo ezithile zezokwelapha, kanye nezici zofuzo nakho kungadlala indima.
- Ezimweni eziningi, lesi simo singalawulwa ngokwelashwa okulula njengokugqoka izicathulo ezifanele, imithi yokwelapha izinhlungu, kanye nokuphumula.
- Ungabunaki ubuhlungu. Ukufuna iseluleko sezokwelapha kusenesikhathi kungavimbela lesi sifo ukuba singabi sibi futhi kungakusiza ukuthi uthole ukwelashwa okuphumelelayo.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment