Cabanga udlala ikhilikithi, ibhola noma i-rugby. Kuthiwani uma ngokuzumayo uzama ukugijima ngokushesha, uzwane lwakho olukhulu lubambeke phansi, futhi lapho uphakamisa isithende sakho bese ugxuma phambili, uzwa ubuhlungu obukhulu phansi kozwane lwakho olukhulu ngomsindo othi "tuck"? Noma ubulokhu uhamba kancane izinsuku eziningana ubuhlungu nokuvuvukala okuvela esithweni esikhulu sozwane lwakho olukhulu? Uma uke waba nalokhu, kuvame ukubangelwa yisimo esaziwa kwezesayensi yezokwelapha ngokuthi "Turf Toe".
Kalula nje, iyini iTurf Toe?
Uma uzwa leli gama, abanye abantu bangase bacabange ukuthi lesi yisifo esisha. Kodwa akunjalo. Kalula nje, i-Turf Toe iwukukhumuka kozwane olukhulu, ilunga elikhulu kunawo wonke elixhumanisa unyawo. Njengokukhumuka kweqakala, kuwukukhumuka kwezicubu ezithambile kanye nemisipha ezungeze ilunga lozwane olukhulu.
Yathola igama layo, iTurf Toe, ngoba yaba yinto evamile ngemva kokuba abadlali bebhola baseMelika beqale ukudlala ezinkundleni zotshani zokwenziwa. Njengoba lolu tshani lokwenziwa lunzima kancane kunotshani obujwayelekile, ukugijima kulo, ukuma ngokuzumayo, nokushintsha indlela kubeka ingcindezi enkulu esixukwini esikhulu sozwane. Kodwa lokhu akuyona nje into eyenzeka kubadlali; kungenzeka kunoma ubani.
Kuphi ngqo lapho lesi sifo sithinta khona umunwe?
Ake sikuqonde lokhu ngokucacile. Uzwane lwethu olukhulu lunamalunga amabili. Ilunga elikhulu kunawo wonke phansi kozwane olukhulu, elixhumanisa namanye amathambo onyawo, yilokho esikubiza ngokwezokwelapha ngokuthi ilunga le-Metatarsophalangeal (ilunga le-MTP) .
Ukuze leli lunga lihlale lisebenza kahle, lidinga ukwesekwa okukhulu okuvela kuma-ligaments, imisipha, kanye nezicubu ezixhumeneyo ezizungezile. Njengentambo, lokhu kusiza ukugcina ilunga lizinzile. Uzwane olune-turf lwenzeka lapho uzwane olukhulu lunwetshiwe kakhulu, okubangela umonakalo kulezi zicubu ezisekelayo.
Yiziphi izinhlobo eziyinhloko zeTurf Toe?
Udokotela uzohlukanisa ubucayi besimo sibe amazinga amathathu ayinhloko (amamaki). Lokhu kuhlukaniswa kubaluleke kakhulu ekunqumeni ukuthi yiluphi ukwelashwa okudingayo nokuthi kuzothatha isikhathi esingakanani ukululama.
| Ibanga | Uhlobo lomonakalo | Izimpawu ezivamile |
|---|---|---|
| Ibanga 1 | Izicubu ezithambile ezisohlwini lozwane olukhulu zidonswa kuphela ngaphandle kokudabula. | Ubuhlungu obuncane uma uthintwa. Ukuvuvukala okuncane. Ungase uzizwe ungakhululekile uma udlala imidlalo, kodwa ungaqhubeka nokwenza kanjalo. |
| Ibanga lesi-2 | Kuvela ukudabuka okuyingxenye kwezicubu ezithambile. | Ubuhlungu obukhulu. Ubuhlungu lapho uthinta ilunga. Kusobala ukuthi kukhona ukuvuvukala nokuklwebheka. Ubunzima bokudlala imidlalo nokuzivocavoca. |
| Ibanga lesi-3 | Ukudabuka okuphelele kwezicubu ezithambile. Mhlawumbe ukuhlukana kwelunga le-MTP. | Kubuhlungu kakhulu futhi kuvuvukele. Kubi kakhulu kangangokuthi angikwazi ngisho nokuhambisa umunwe wami. Angikwazi ngisho nokucabanga ngokudlala imidlalo. |
Ziyini izimpawu zeTurf Toe?
Izimpawu zozwane lwe-turf ziyahlukahluka kuye ngokuthi ukulimala kungakanani. Uma ukulimala kwenzeka ngokuzumayo, ungase uzwe "ukuchofoza" noma uzwe okuthile kuphuka ngaphakathi kozwane. Ubuhlungu bungase buqale ngokushesha.
Kodwa-ke, uma lesi simo sibangelwa ukunyakaza okuphindaphindiwe isikhathi eside, izimpawu zingase zivele kancane kancane futhi zibe zimbi kakhulu ngokuhamba kwesikhathi.
Izimpawu eziyinhloko yilezi:
- Ubuhlungu nokuthamba: Ubuhlungu bungaba njalo, noma bungaba buhlungu kuphela uma ucindezela indawo. Ngezinye izikhathi ubuhlungu buba bukhulu kangangokuthi awukwazi ngisho nokubeka unyawo lwakho phansi.
- Ukuvuvukala nokulunywa: Isisekelo sozwane olukhulu singase sivuvuke futhi sibe bomvu. Ngezinye izikhathi ukulunywa kungaba luhlaza okwesibhakabhaka/nsomi, futhi umbala ungasakazeka onyaweni.
- Ubunzima bokugoba uzwane olukhulu: Kuba nzima ukugoba uzwane olukhulu phezulu naphansi. Ungase uzizwe sengathi awukwazi ukusunduza phansi lapho ugijima noma ugxuma, futhi umlenze wakho ungase uzizwe ubuthakathaka.
- Indawo evulekile:Ilunga le-MTP lingase lizizwe lingazinzile, njengokungathi liyagxuma. Ilunga lingase lizizwe liqinile futhi liqinile.
Kungani kwenzeka i-Turf Toe?
Isizathu esiyinhloko salokhu ukuthi uzwane olukhulu lucindezelwa phansi, isithende sibheke phezulu kanti uzwane lugobile kakhulu emuva. Lokhu kufana nesimo sokuqala somgijimi. Uma kusetshenziswa amandla amaningi ozwane kuleli qophelo, lungadlula ibanga lalo lemvelo lokunyakaza, okubangela ukuthi imisipha nezicubu ezithambile ezizungeze ilunga zidabuke noma zeluleke.
Lokhu kungenzeka ngezindlela ezimbili:
1. Ngenxa yokunyakaza okuphindaphindiwe: Isibonelo, lapho abantu abafana nabadansi be-ballet kanye nabadlali be-gymnast begxumagxuma njalo, lo monakalo ungenzeka kancane kancane ngokuhamba kwesikhathi.
2. Ingozi: Lokhu kulimala kungenzeka ngokuzumayo, njengalapho umlenze womdlali webhola noma we-rugby ubhajwe phansi bese kufika omunye umdlali amshaye.
Okubaluleke kakhulu, izicathulo zethu nazo zidlala indima. Ikakhulukazi uma siqhubeka nokugqoka izimbadada zerabha ezikhululekile nezingenasisekelo (ama-flip-flops), imisipha yezinyawo zethu kufanele isebenze kanzima. Lokhu kungaholela ezinkingeni zezinyawo ezifana nozwane lwe-turf ngokuhamba kwesikhathi.
Yiziphi izinkinga ezingaba khona uma zingelashwa?
Ukulimala kwezinzwane ze-Turf kuvame ukuxazululeka ngokuphelele ngokwelashwa okufanele, kodwa uma kungelashwa, kungase kube nezinkinga ezithile.
- Ubuhlungu obuqhubekayo kanye nokuqina kwamalunga.
- Ukulahlekelwa amandla okusunduza okudingekayo ukuze ugijime futhi ugxume.
- Ukukhubazeka kwelunga lozwane olukhulu. Yilokhu esikubiza ngokuthi ama-bunion .
- I-arthritis yamalunga. Lokhu kubizwa ngokuthi i-hallux rigidus .
- Uzwane olukhulu luphakanyiswa unomphela.
Ngakho-ke, uma uzwa ubuhlungu beminwe, ungabushayi indiva. Kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha.
Udokotela uhlonza kanjani lokhu?
Uma uya kudokotela, uzoqala ahlole umunwe wakho. Uzocindezela endaweni lapho kukhona khona ubuhlungu nokuvuvukala. Uzophinde akucele ukuthi ugobe umunwe wakho phezulu naphansi ukuze uhlole ukuthi ushukuma kangakanani.
Uzocelwa ukuthi uchaze ukuthi ukulimala kwenzeke kanjani. Ukukwazi ukuchaza ngokucacile konke okukhumbulayo ngaleso sikhathi, njengokuthi umunwe wakho wawubekwe kanjani nokuthi uzwe ubuhlungu kuphi, kuzosiza kakhulu ekwenzeni ukuxilongwa okunembile.
Ngemuva kwalokho, kuzokwenziwa i-X-ray ukuhlola umonakalo wamathambo, futhi uma kudingeka, kuhlolwe i-MRI (Magnetic Resonance Imaging) ukuze kubonwe ukuthi yimuphi umonakalo owenzekile ezicutshini ezithambile njengemisipha kanye nemisipha.Ngingancoma futhi ukuthi ukwenze.
Yiziphi izindlela zokwelapha uzwane lwe-turf?
Izindaba ezinhle ukuthi amacala amaningi ozwane lwe-turf (ikakhulukazi ibanga 1 nelesi-2) angelashwa ngokuphumula kanye nokwelashwa okulula. Udokotela wakho angase ancome ukwelashwa okufana nalokhu:
1. Ukuphumula: Kuye ngobukhulu bokulimala, ungase welulekwe ukuthi ugweme ukufaka isisindo emlenzeni wakho izinsuku ezimbalwa kuya emavikini ambalwa. Phakathi naleso sikhathi, kungadingeka usebenzise ibhuzu lokuhamba noma izinduku zokusizwa ukuze ukwazi ukuhamba.
2. Iqhwa Nokuphakama: Faka iqhwa endaweni ebuhlungu nevuvukele cishe imizuzu engama-20 njalo emahoreni ambalwa. Futhi, gcina umlenze uphakeme ngaphezu kwenhliziyo yakho. Lokhu kuzonciphisa kakhulu ubuhlungu nokuvuvukala.
3. Iziqeda-zinhlungu: Udokotela wakho angase akunike imithi efana nemithi elwa nokuvuvukala engeyona eye-steroidal (ama-NSAID) ukunciphisa ukuvuvukala nobuhlungu. Kodwa-ke, phuza imithi kuphela njengoba uqondiswe udokotela wakho.
4. Ukwelashwa Komzimba (PT): Uchwepheshe wezokwelapha ngokomzimba onolwazi uzokufundisa ukuzivocavoca okuthile kanye nokwelula ukuze kuncishiswe ukuqina kwamalunga, kwandiswe ukuguquguquka, futhi kuqiniswe imisipha esekela ilunga le-MTP.
5. Ukuqina: Nciphisa ukunyakaza kwelunga kuze kube yilapho liphola. Udokotela wakho noma uchwepheshe wezokwelapha uzokukhombisa ukuthi ungalibopha kanjani uzwane olukhulu kanye nezinye izinzwane. Uma uqala ukudlala futhi, gqoka izicathulo eziqinile nezisekelwe kahle.
6. Ama-Orthotics: Ungase welulekwe ukuthi usebenzise ama-insert akhethekile noma izicathulo ezinezithende eziqinile. Lokhu kwandisa ukwesekwa okunikezwayo esibayeni lapho ugijima noma ugxuma.
7. Ukuhlinzwa: Lokhu akuvamile ukwenzeka. Ezimweni lapho kukhona ukudabuka okukhulu kwezicubu, ukuphuka kwamathambo, noma umonakalo omkhulu wamalunga (ukulimala kwezinga lesi-3), kungadingeka ukuhlinzwa ukuze kulungiswe ukulimala.
Kuzothatha isikhathi esingakanani ukuthi lesi simo siphole?
Isikhathi sokululama siyahlukahluka kumuntu nomuntu. Kuya ngokuthi ukulimala kwakho kubucayi kangakanani, ubudala, izinga lomsebenzi, kanye nezinye izimo zempilo. Ngokuvamile:
- Ukulimala kwesigaba 1 kungaphola cishe ngesonto.
- Ukulimala kwesigaba sesi-2 kungahlala amasonto amabili kuya kwamathathu.
- Ukulimala kwesigaba sesi-3 kungathatha noma yikuphi kusukela ezinyangeni ezimbili kuya kweziyisithupha ukuze kuphole. Uma kudingeka ukuhlinzwa, isikhathi sokululama siba side nakakhulu.
Kufanele ngimbone nini udokotela?
Uma unobuhlungu, ukuvuvukala, noma ukuphuka kozwane lwakho olukhulu noma unyawo, bona udokotela, noma ubuhlungu buncane.Kubalulekile ukwazi kahle ukuthi kwenzekani ukuze uqale uhlelo lokwelashwa olukufanele.
Ikakhulukazi, bona udokotela noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) ngokushesha uma:
- Uma ubuhlungu bubuhlungu kakhulu.
- Uma ungakwazi ukubeka unyawo lwakho phansi bese ulubeka isisindo.
- Uma ilunga lozwane olukhulu libonakala lingajwayelekile, sengathi liphumile.
Umlayezo Wokuya Nawe Ekhaya
- Uzwane olune-Turf luwukukhubeka kwejoyinti eliyinhloko lozwane olukhulu, elixhumanisa nesisekelo. Kuyinxeba elivamile, ikakhulukazi kubadlali.
- Izimpawu eziyinhloko zifaka phakathi ubuhlungu phansi kozwane olukhulu, ukuvuvukala, ukuphuka, kanye nobunzima bokugoba uzwane.
- Ukwelashwa okulula njengokuphumula kanye neqhwa ngokuvamile kungayelapha ngokuphelele lesi simo.
- Ungalokothi ungazinaki izinhlungu zeminwe. Bona udokotela wakho ngokushesha ngangokunokwenzeka ukuze uthole iseluleko esifanele kanye nokwelashwa.
- Ungakuvimbela lokhu kulimala ngokugqoka izicathulo ezifanele umdlalo noma umsebenzi owudlalayo, ube nokusekelwa okuhle, futhi uzifudumeze kahle ngaphambi kokuzivocavoca.
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