Wake wazizwa sengathi kukhona itshe elincane ngaphakathi kwesicathulo sakho lapho uhamba? Noma mhlawumbe kwakuzwakala sengathi isokisi lakho libhajwe emgodini? Kodwa uma ukhumula isicathulo sakho, akukho lutho lapho. Uma uzwa lobu buhlungu obungavamile, umuzwa wokushisa, noma ukungakhululeki, kungaba yisimo esibizwa ngokuthi i-Morton's Neuroma. Ungakhathazeki, akukubi njengoba ucabanga. Ake sixoxe ngakho konke kalula nangokucacile.
Iyini i-Morton's Neuroma?
Kalula nje, i-Morton's Neuroma yisimo lapho inzwa ephakathi kwezinzwane zakho ivuvukala futhi iqine. Ngokukhethekile, inzwa ehamba phakathi kwamathambo axhumanisa izinzwane zakho (ebizwa ngokuthi amathambo e-metatarsal) ivuvukala futhi icindezelwe. Ngokuvamile kwenzeka phakathi kwezinzwane zakho zesithathu nezesine (izinzwane ezimbili eziphakathi eziseduze nomunwe wakho omncane).
Manje ungase uzibuze ukuthi lokhu kufana nomdlavuza. Kulungile ukucabanga kanjalo ngenxa yengxenye yegama elithi "Neuroma". Kodwa lokhu akusiwo nhlobo umdlavuza. I-Neuroma ivame ukubhekisela ezimila ezingewona umdlavuza (ezingemnandi) ezakheka ezinzwa. Kodwa i-Morton's Neuroma empeleni ayisona isimila esakha izicubu ezintsha. Okwenzekayo lapha ukuthi inzwa ngokwayo ingaphansi kwengcindezi, ivuvukele, futhi ijiyile. Ngakho ungakhathazeki ngokuthi ingumdlavuza.
Ziyini izimpawu zalesi simo?
Izimpawu ze-Morton's Neuroma zivame ukuba zimbi ngokuhamba kwesikhathi. Ekuqaleni, kungase kube nobuhlungu obuncane obungase buphele ngemva kokukhumula izicathulo zakho nokuhlikihla unyawo lwakho. Kodwa-ke, njengoba isimo siqhubeka, ubuhlungu bungaba bukhulu kakhulu. Ake sibheke izimpawu eziyinhloko.
| Isibonakaliso | Indlela ozizwa ngayo |
|---|---|
| Ubuhlungu ezinyaweni | Ubuhlungu phakathi kwezinzwane (ikakhulukazi izinzwane zesithathu nezesine) ezinyaweni lapho uhamba noma umi. Lokhu kuba kubi kakhulu uma ugqoke izithende eziphakeme. |
| Ukuzizwa sengathi uhamba edwaleni | Kuzwakala sengathi itshe elincane noma imabula lingene esicathulweni bese uhamba phezu kwaso. Kungase kuzwakale sengathi isokisi ligoqiwe. |
| Umuzwa wokushisa/wokubhoboza | Ubuhlungu obubukhali, obuvuthayo, nobuhlabayo. |
| Ukuba ndikindiki nokulahlekelwa umuzwa | Ngezinye izikhathi iminwe ingase izwakale indikindiki futhi ingezwa kahle endaweni yobuhlungu. |
| Ukuvuvukala | Ungase uqaphele ukuvuvukala okuncane phakathi kwezinzwane zakho, kodwa akubona bonke abantu abazokubona lokhu ngaphandle. |
Kungani sithola i-Morton's Neuroma?
Isizathu esiyinhloko salokhu ukuthi i-nerve esikhulume ngayo ekuqaleni ihlala ingaphansi kwengcindezi. Leyo nzwa iyacasuka futhi ivuvuke. Kunezizathu eziningana ezenza lokhu kucindezeleka kwenzeke.
| Izimbangela Eziyinhloko Ze-Morton's Neuroma | |
|---|---|
| Izimbangela ezihlobene nendlela yokuphila kanye nomsebenzi | |
| Izithende eziphakeme | Ukugqoka izithende eziphakeme kubeka isisindo somzimba wonke ngaphambili konyawo, okucindezela imizwa ephakathi kwezinzwane. |
| Izicathulo ezivaliwe | Ngisho nokugqoka izicathulo ezincane ngaphambili nezicindezela izinzwane zakho kungabangela imizwa. |
| Imidlalo ecindezela kakhulu | Ukudlala imidlalo ebeka ingcindezi engapheli ezithendeni zezinyawo, njengokugijima, ithenisi, kanye ne-badminton. |
| Umsebenzi | Ukusebenza emisebenzini edinga ukuma usuku lonke. |
| Ezinye izimo zempilo ezinyaweni | |
| Ukuma kwezinyawo | Le ngozi iphakeme kubantu abanezinyawo ezisicaba noma izinyawo eziphakeme ezigobile. |
| Ezinye izimo | Izimo ezifana nama-bunion (ukuvuvukala kwejoyinti lezinyawo ezinkulu) kanye nezinzwane ze-hammer (izinzwane ezigobile). |
Kwenzekani uma ingelashwa?
Lokhu kubaluleke kakhulu. Uma i-Morton's Neuroma ingelashwa, umonakalo we-nerve unganda kakhulu futhi uholele ekulimaleni kwe-nerve unomphela . Ubuhlungu bungabuye bube obungapheli .
Lokhu kusho ukuthi ubuhlungu bungavela kamuva, ngisho noma umile nje. Yingakho kubaluleke kakhulu ukubona udokotela wakho ngokushesha nje lapho uqala ukuzwa izimpawu zokuqala. Uma uqala ukwelashwa ngokushesha, amathuba akho okululama ngokugcwele ayanda.
Ukuthola kanjani lokhu, Dokotela?
Uma uya kudokotela, into yokuqala azoyenza ukukubuza ngezimpawu zakho. Uzokubuza izinto ezifana nokuthi ubuhlungu buqala nini, uhlobo luni lwezicathulo ozigqokayo, nokuthi wenzani okwenza ubuhlungu bube bubi kakhulu.
Unyawo lwakho luzohlolwa ngokucophelela, ikakhulukazi phakathi kwezinzwane, ukuze kubonakale ukuthi kukhona yini ubuhlungu. Lesi simo singatholakala ngokuhlolwa ngokomzimba.
Kodwa-ke, ngezinye izikhathi i-X-ray ingayalwa ukuze kukhishwe ezinye izimo (njengokuphuka kokucindezeleka noma isifo samathambo). I-X-ray ayikwazi ukukhombisa i-Morton's Neuroma , kodwa ingasiza ekususeni ezinye izimbangela.
Ngezinye izikhathi, uma ukuxilongwa kungacacile, udokotela wakho angakuthumela ukuthi uyohlolwa nge-ultrasound, okuzobona kahle imizwa nezicubu ezizungezile. Akuvamile kakhulu, bangakuthumela nokuthi uyohlolwa okubizwa ngokuthi i-``Electromyography (EMG)``, okukala ukusebenza kwemizwa.
Yiziphi izindlela zokwelapha i-Morton's Neuroma?
Izindaba ezinhle ukuthi abantu abaningi bangalulama kulesi simo ngaphandle kokuhlinzwa. Umgomo oyinhloko wokwelashwa ukunciphisa ingcindezi emsipheni, nokuqeda ukuvuvukala nobuhlungu.
Izinto ezingenziwa ngaphandle kokuhlinzwa
- Shintsha izicathulo: Lena yinto ebaluleke kakhulu futhi yokuqala okufanele uyenze. Shintshela ezicathulweni ezibanzi ngaphambili, ezinebhokisi lezinzwane elibanzi, futhi ezingaphakeme kakhulu . Kukhona namadivayisi okwelula angakusiza ukwelula izicathulo zakho zamanje kancane.
- Ama-Shoe pad kanye namadivayisi okulungisa izinyawo: Ama-Pad noma ama-insert akhethekile afakwa ngaphakathi kwezicathulo zakho angasiza ekunciphiseni ingcindezi ezithendeni zezinyawo zakho. Ungase udinge nama-orthotics enziwe ngokwezifiso. Udokotela wakho uzokweluleka ngalokhu.
- Iziqeda-zinhlungu: Udokotela wakho angase ancome imithi elwa nokuvuvukala engeyona eye-steroidal (ama-NSAID) (isib. i-ibuprofen) ukunciphisa ukuvuvukala nobuhlungu. Kodwa khumbula, ungayithathi le mithi njalo izinsuku ezingaphezu kweziyi-10 ngaphandle kokubonisana nodokotela wakho.
- Iqhwa: Faka iqhwa endaweni ebuhlungu nokuvuvukala imizuzu eyi-15-20 izikhathi eziningana ngosuku. Ungalifaki ngqo esikhumbeni, kodwa ligoqe ngendwangu encane.
- Imijovo ye-Corticosteroid: Uma ukwelashwa okungenhla kungabuqedi ubuhlungu, udokotela wakho angase afake umuthi onamandla (umjovo we-cortisone) ngqo endaweni ebuhlungu. Lokhu kunikeza impumuzo esheshayo kubantu abaningi.
Kuthiwani uma kudingeka ukuhlinzwa?
Udokotela wakho angase akuncome ukuhlinzwa kuphela uma lezi zindlela zokwelapha ezingenhla zingasizi futhi ubuhlungu bukhulu kangangokuthi awukwazi ngisho nokuhamba. Kunezindlela eziningana zokwenza lokhu.
- Ukuhlinzwa Kwezinzwa: Lokhu kuyindlela yokuhlinzwa evame kakhulu. Kulokhu, ingxenye yenzwa eyonakele isuswa ngokuhlinzwa.
- I-Cryogenic neuroablation: Yehlisa ubuhlungu nokuvuvukala ngokubhubhisa amangqamuzana ezinzwa ngokusebenzisa umkhuhlane omkhulu.
- Ukususwa kwe-Radiofrequency: Kusetshenziswa ugesi kanye nokushisa, ingxenye encane yenzwa iyabhujiswa. Lokhu kuvimbela izimpawu zobuhlungu ukuthi zingathunyelwa ebuchosheni.
Ingabe i-Morton's Neuroma ingavinjelwa?
Yebo, kunjalo impela. Uma senza izinguquko ezimbalwa emikhubeni yethu, singayinciphisa kakhulu le ngozi.
- Khetha izicathulo ezifanele: Lena yinto ebaluleke kakhulu. Gwema ukugqoka izicathulo ezinezithende eziphakeme nezivaliwe isikhathi eside. Kungakhathaliseki ukuthi uya ehhovisi noma emcimbini, shintsha ufake izicathulo ezizofanela izinyawo zakho kaningi ngangokunokwenzeka.
- Vumela izinzwane zakho zivuleke: Uma uthenga izicathulo, khetha izicathulo ezibanzi ezinesikhala esanele sezinzwane zakho.
- Qaphela lapho uzivocavoca: Lapho uzivocavoca, njengokugijima, gqoka izicathulo zemidlalo ezisezingeni eliphezulu ezine-cushion enhle ngaphansi kwezinyawo.
- Gcina isisindo esinempilo: Njengoba isisindo somzimba sikhula, ingcindezi emilenzeni nayo iyanda. Ngakho-ke, ukugcina isisindo esinempilo nakho kubalulekile.
Umlayezo Wokuya Nawe Ekhaya
- I-Morton's Neuroma iwukuvuvukala nokuqina kwemizwa phakathi kwezinzwane ezinyaweni. Akuyona umdlavuza.
- Uphawu oluyinhloko ubuhlungu, ukusha, kanye nokuba ndikindiki okuzwakala njengetshe esicathulweni .
- Lokhu kuvame ukubangelwa ukugqoka izicathulo eziqinile nezinezithende eziphakeme.
- Abantu abaningi bangalulama ngokwelashwa okulula njengokushintsha izicathulo, ukusebenzisa ama-pad, kanye nokusebenzisa iqhwa.
- Uma ubuhlungu bomlenze wakho buqhubeka, ungabunaki bese ubona udokotela wakho. Ukwelashwa okusheshayo kungavimbela ukulimala kwemizwa unomphela.
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