Ingabe ngezinye izikhathi uzizwa umuzwa oshisayo noma obuhlungu phansi konyawo lwakho, lapho izinzwane zakho ziqala khona, njengokungathi kubanjwe itshe elincane? Ingabe lobu buhlungu bubonakala bukhula uma ume usuku lonke, ugijima, noma ugxuma? Abantu abaningi banalokhu okuhlangenwe nakho. Namuhla sikhuluma ngalobu buhlungu obungaphambili konyawo, noma igama lezokwelapha elithi 'Metatarsalgia'.
Kalula nje, iyini i-Metatarsalgia?
I-Metatarsalgia (ebizwa ngokuthi "meta-ta-sal-jia") ubuhlungu nokuvuvukala ngaphambili konyawo lwakho, ibhola lonyawo lwakho. Kunamathambo amade amahlanu onyawo axhumene nezinzwane zakho, abizwa ngokuthi amathambo e-metatarsal. Ubuhlungu buvame ukwenzeka ekugcineni kwelinye noma ngaphezulu kwalawa mathambo, lapho izinzwane zihlangana khona.
Kungaba nezizathu eziningana zalokhu. Isibonelo:
- Ukukhubazeka kwezinyawo.
- Ezinye izimo zezokwelapha ezithinta umlenze noma iqakala.
- Imidlalo nemisebenzi ehilela ukugijima nokugxuma.
- Ukugqoka izicathulo ezimpintsha kakhulu noma ezinkulu kakhulu.
Into engcono kakhulu ukuthi ukwelapha lesi simo kuvame ukuba lula kakhulu. Ungaqala ngezinto ezifana nokuphumula, ukuvivinya umzimba (ukuzelula), kanye nemithi yobuhlungu.
Yiziphi izimpawu eziyinhloko zalesi simo?
Uphawu oluyinhloko lwe-metatarsalgia ubuhlungu obungaphambili konyawo. Ngezinye izikhathi lobu buhlungu bungafika nokuvuvukala noma ngaphandle kokuvuvukala. Lezi zimpawu zingaqala ngokuzumayo, noma zingakhula kancane kancane ngokuhamba kwesikhathi. Ake sibheke izimpawu eziyinhloko.
| Isibonakaliso | Indlela okuzizwa ngayo |
|---|---|
| Ubuhlungu ngaphambili kwesisekelo sonyawo | Lobuhlungu bungafika ngezindlela eziningi. Kwabanye, buzwakala njengobuhlungu obubukhali, kwabanye buzwakala njengobuhlungu bokudubula, kanti kwabanye, buzwakala njengomuzwa nje obuhlungu noma oshisayo. Lobuhlungu bungakhula kakhulu lapho ume, ugijima, noma uhamba. |
| Ukuba ndikindiki kweminwe | Izinzwane zingase zizwe zingabandi noma sengathi izintuthwane ziyahambahamba (ziyaluma). |
| Itshe ngaphakathi kwesicathulo | Abantu abaningi banomuzwa wokuthi kukhona into efana netshe elincane ngaphakathi kwesicathulo sabo. Lona umuzwa ocasulayo kakhulu. |
Kungani sithola i-Metatarsalgia? Ziyini izimbangela?
Uma ungumuntu ovame ukwenza imisebenzi efana nokugijima nokugxuma, cishe uzoba nalesi simo. Futhi, izinguquko ezithile onyaweni kanye nohlobo lwezicathulo ozigqokayo kungathinta kakhulu lokhu. Odokotela bahlukanisa izimbangela zalokhu ngezigaba ezintathu eziyinhloko.
1. Izinkinga ngesakhiwo sonyawo ngokwalo (i-Primary Metatarsalgia)
Lokhu kungukushintsha kwengcindezi ematheni onyawo lwakho ngenxa yezinguquko ezithile endaweni yamathambo onyawo lwakho. Kalula nje, izinkinga ngesimo sonyawo lwakho.
- Ama-Bunion (Hallux Valgus): Isimo lapho isisekelo sozwane olukhulu sivela phambili ngenxa yokuthi uzwane olukhulu lugoba ngaphakathi. Lokhu kushintsha indlela isisindo esisatshalaliswa ngayo ngenkathi uhamba, okubeka ingcindezi enkulu ematheni onyawo.
- Izinzwane ze-Hammer: Izinzwane zigobile phezulu njengesando . Lokhu kushintsha nokucindezela ematheni onyawo.
- Ama-Callus: Uma kufakwa ingcindezi endaweni efanayo ematheni onyawo, isikhumba siyaqina bese kwakheka ama-callus.
- Ama-Arches Aphakeme: Abanye abantu bane-archs ephakeme kunejwayelekile, okubeka isisindo esikhulu ngaphambili kwezinyawo zabo.
- Uzwane lwesibili olude: Abanye abantu banozwane lwesibili olude kunozwane lwabo olukhulu. Lokhu kungashintsha nokucindezeleka ematheni onyawo.
2. Ezinye izimo zezokwelapha noma imisebenzi (i-Secondary Metatarsalgia)
Lokhu kusho ukuthi esinye isimo sezokwelapha, indlela yakho yokuphila, noma imisebenzi yakho ibeka ingcindezi enkulu kakhulu ngaphambili konyawo lwakho.
- Izimo zokuvuvukala: Lobuhlungu bungabangelwa izifo zokuvuvukala kwamalunga, njenge-rheumatoid arthritis, i-gout , i-sesamoiditis, kanye ne-Morton's neuroma.
- Izinkinga ze-neurological: Lesi simo singabangelwa nezifo ezithinta uhlelo lwezinzwa, njengesifo se-Charcot-Marie-Tooth.
- Izifo ze-Metabolic: Ukukhuluphala ngokweqile kanye nesifo sikashukela kungabangela ukukhuluphala kanye nomonakalo ezinzwa, okungabeka ingcindezi enkulu ezithendeni zezinyawo.
- Ezinye izinkinga zempilo: izinto ezifana nemisipha edabukile kanye nezinhlungu zezitshalo.
- Ukulimala:Imisebenzi ejwayelekile njengokugijima nokugqoka izicathulo ezigugile nezingafaneleki kahle kungabangela ukulimala okuqhubekayo ezithendeni zezinyawo.
3. Njengomphumela ongemuhle wokuhlinzwa (i-Iatrogenic Metatarsalgia)
Lokhu akuvamile. Okusho ukuthi, lobu buhlungu bungaba yinkinga yokuhlinzwa ngaphambili konyawo. Isibonelo, lobu buhlungu bungaba ngenxa yezinguquko kuzwane olukhulu ngemva kokuhlinzwa kwe-bunion.
Ubani osengozini enkulu yokuthola lesi simo?
I-Metatarsalgia ingathinta noma ubani, kodwa abanye abantu basengozini enkulu.
Lesi simo sivame kakhulu kulabo abadlala imidlalo enamandla njengokugijima nokugxuma, kanye nalabo ababeka isisindo esiningi ngaphambili konyawo.
Futhi, abantu abagqoka izicathulo ezingabalingani basengozini enkulu. Ikakhulukazi abesifazane abagqoka izicathulo ezinezithende eziphakeme babeka isisindo somzimba wonke ngaphambili konyawo kanye nesithende. Lokhu kuyimbangela enkulu ye-Metatarsalgia.
Ngaphezu kwalokho, njengoba kushiwo ngaphambili, abantu abanokukhubazeka kwemilenze kanye nezimo zokuvuvukala banamathuba amaningi okuzwa lobu buhlungu.
Kwenzekani uma ingelashwa?
Uma uqhubeka nokuba nalezi zimpawu, kufanele nakanjani ubone udokotela. Uma ungelashwa, lobu buhlungu bungashintsha indlela ohamba ngayo. Uma uqala ukuhamba uxhuga, bungabangela ubuhlungu kwezinye izingxenye zomzimba wakho, ikakhulukazi umhlane wakho ongezansi kanye nezinqe .
Ukuthola kanjani lokhu, Dokotela?
Uma uya kudokotela, uzoqala ngokubuza ngezimpawu zakho. Ngemuva kwalokho uzohlola umlenze wakho. Uzobheka ubuhlungu, ukuvuvukala, nanoma yiziphi izinguquko esimweni somlenze wakho.
- Ngezinye izikhathi ungase ucelwe ukuthi uthathe i-X-ray ukuze uhlole ukuthi uke waphuka yini ngenxa yokucindezeleka.
- Ukuhlolwa kwe-ultrasound noma i-MRI (magnetic resonance imaging) kunganconywa futhi ukuhlola izinkinga ngezicubu ezithambile, okungukuthi, imisipha nemisipha.
Yiziphi izindlela zokwelapha?
Ukwelashwa kwe-Metatarsalgia kuqala ngezindlela ezilula kakhulu, ezingangenisi umdlavuza. Lokho kusho ukuthi udokotela akafuni ngokushesha izinto ezifana nokuhlinzwa. Uzama lezi zinto kuqala.
- Indlela ye-RAICE: Lena yindlela ethandwa kakhulu.
- R (Ukuphumula): Phumula. Hlala kude nemisebenzi ocabanga ukuthi ibangele ubuhlungu isikhashana.
- I (Iqhwa):Faka iqhwa. Faka iqhwa endaweni enobuhlungu nokuvuvukala imizuzu eyi-15-20 izikhathi eziningana ngosuku.
- C (Ukucindezela): Songa indawo ngokuqinile ngebhandishi. Lokhu kungasiza ekunciphiseni ukuvuvukala.
- E (Ukuphakama): Gcina imilenze yakho iphakeme. Uma uhleli esihlalweni, gcina imilenze yakho iphakeme kwesinye isihlalo.
- Iziqeda-zinhlungu: Ungathatha umuthi wokuqeda-zinhlungu onconywe udokotela wakho, njenge-acetaminophen noma i-ibuprofen.
- Ukuzilula: Yenza izivivinyo zokulula ezilula imilenze namaqakala akho ngobumnene.
- Ukushintsha izicathulo: Gqoka izicathulo ezinhle, ezikhululekile, nezifanela kahle.
- Izicucu zezicathulo: Kunezinsika ezithambile noma ama-'metatarsal pads' aklanyelwe ngqo lesi simo. Lokhu kungasiza ekunciphiseni ingcindezi ematheni onyawo.
Uma lezi zindlela zokwelapha ezilula zingabuqedi ubuhlungu, udokotela wakho angase akuncomele umjovo noma ukuhlinzwa ukuze kwelashwe imbangela eyinhloko yobuhlungu.
Ingabe i-Metatarsalgia ingavinjelwa?
Nakuba ezinye izimbangela zingenakuvinjelwa, kunezinto eziningana esingazenza ukuze sinciphise ingozi yalesi simo.
- Khetha izicathulo ezifanele: Gqoka izicathulo ezine-sole enhle newugqinsi, ibhokisi lezinzwane ezibanzi, kanye nesithende esiphansi.
- Ama-insoles akhululekile: Faka ama-insoles akhululekile ezicathulweni zakho.
- Ungahambi ungafake zicathulo: Gwema ukuhamba ungafake zicathulo isikhathi eside, ngisho nangaphakathi endlini, ikakhulukazi ezindaweni eziqinile.
- Susa ama-callus: Cwilisa izinyawo zakho kahle bese ususa ama-callus ngobumnene usebenzisa itshe le-pumice. Lokhu kuzonciphisa ukucindezeleka.
- Gcina isisindo esinempilo: Uma unesisindo esiningi, ubeka ingcindezi eningi emilenzeni yakho. Ngakho-ke, ukugcina isisindo esinempilo kubaluleke kakhulu.
Kunini lapho kufanele nakanjani ufune khona iseluleko sezokwelapha?
Esikhathini esiningi, lesi simo singelashwa ekhaya. Kodwa-ke, uma unezinye zezimo ezilandelayo, kufanele nakanjani ubonane nodokotela.
| Ithuba | Incazelo |
|---|---|
| Bona udokotela wakho... | |
| Uma kungekho ngcono ngokwelashwa | Uma ubuhlungu bungakapheli ngemva kwamasonto amabili okwelashwa ekhaya. |
| Uma kuphazamisa umsebenzi wansuku zonke | Uma ungakwazi ukwenza imisebenzi yakho evamile ngenxa yobuhlungu. |
| Uma ubuhlungu bukhula | Uma ubuhlungu buqhubeka nokuba bubi noma buphinde buvele. |
| Uma kukhona ukungakhululeki | Uma unesithukuthezi noma umuzwa wokuba nesithukuthezi emilenzeni yakho. |
| Uma unesifo sikashukela | Uma unesifo sikashukela, kufanele uqaphele noma yikuphi ubuhlungu ezinyaweni zakho, njengoba kungaba uphawu lwesimo esibucayi kakhulu. |
| Yiya e-ETU (i-Emergency Treatment Unit) ngokushesha... | |
| Uma kukhona ubuhlungu obukhulu | Uma unezinhlungu ezingabekezeleleki emhlane wakho ongezansi. Uma ubuhlungu bukwenza uzizwe uphelelwe amandla, unesizungu, noma unesicanucanu. |
| Uma ungakwazi ukuhamba | Uma ungakwazi ukuhamba ngenxa yobuhlungu. |
| Uma isimo somlenze sishintshile | Uma ubona ushintsho olucacile esimweni somlenze wakho. |
| Uma kukhona ukulimala futhi kuzwakala umsindo | Uma uke waba nengozi wezwa umsindo othi "pop" noma umsindo othi "pop" uvela emlenzeni wakho, lokhu kungaba yithambo eliphukile. |
Umlayezo Wokuya Nawe Ekhaya
- I-Metatarsalgia ubuhlungu obuvamile ngaphambili kwebhola lonyawo. Akuyona ingozi, kodwa kungaba yinto ecasulayo kakhulu.
- Ngokuvamile, lokhu kubangelwa ukucindezela okukhulu, izicathulo ezingalingani kahle, noma izinguquko ezithile esakhiweni sonyawo.
- Lokhu kungelapheka kaningi ngokwelashwa okulula kwasekhaya njengokuphumula, iqhwa, nokugqoka izicathulo ezikhululekile.
- Uma ubuhlungu buqhubeka, buba bubi kakhulu, noma unesifo sikashukela, ungachithi isikhathi uye kudokotela.
- Ukukhetha izicathulo ezifanele nokugcina isisindo esinempilo kuyizindlela ezinhle kakhulu zokuvimbela lesi simo.
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