Ingabe uzwane lwakho olukhulu seluqalile ukubuhlungu ngokuzumayo? Ake sifunde ngalo "uzwane lwe-Turf"!

Ungase ube ngumuntu othanda ukugijima nokugxuma, noma mhlawumbe ungumuntu wezemidlalo, akunjalo? Kuthiwani uma ngokuzumayo uba nobuhlungu obukhulu nokuvuvukala kozwane lwakho olukhulu? Noma kuthiwani uma ubuhlungu kozwane lwakho olukhulu bukhula kancane kancane kuze kube yilapho ungakwazi ngisho nokuhamba kahle? Ingabe into efana naleyo ikwehlele? Uma kunjalo, ungase ube nesifo esibizwa ngokuthi "i-Turf Toe." Ake sixoxe ngalokhu ngokuningiliziwe namuhla.

Kalula nje, kuyini "iTurf Toe"?

"Uzwane Olukhulu", uma sikhuluma iqiniso, ukulimala kwelungu eliyinhloko kuzwane lakho elikhulu, i-metatarsophalangeal joint noma i-MTP joint. Cabanga ngakho, uma ugijima, lapho uzwane lwakho olukhulu luphansi futhi isithende sakho siphakanyisiwe, uzwane olukhulu lugoba kakhulu emuva, noma ludlulele phezulu . Yilapho-ke le nkinga ivela khona. Lapho uzwane olukhulu lugoba kakhulu, izicubu ezithambile kanye nemisipha , okuyizibopho ezixhumanisa amathambo ndawonye, ​​​​ezizungeze lelo lungu zinganwebeka noma ziklebhuke. Yilokhu esikubiza ngokuthi "ukuklebhuka kwezwane."

Lesi simo sivame kakhulu kubadlali bebhola baseMelika. Isizathu ukuthi bavame ukudlala ezinkundleni zotshani zokwenziwa, ngakho-ke lapho beqala ukugijima ngokushesha (ngokushesha) noma lapho bephenduka ngokuzumayo ngenkathi begijima, kuba nokucindezela okukhulu esithupheni. Ngokungafani notshani obujwayelekile, lobu tshani bokwenziwa bulukhuni kancane, ngakho-ke ingozi yokulimala iphakeme.

Kodwa ungakhathazeki. Esikhathini esiningi, lesi simo sizothuthuka ngokuphumula, iqhwa, kanye nemithi yokunciphisa izinhlungu etholakala ngaphandle kwemithi kadokotela efana ne -ibuprofen noma i-acetaminophen . Kodwa-ke, ngezinye izikhathi, uma lezi zindlela zokwelapha ezilula zingasizi, kungase kudingeke ukuhlinzwa.

Lokhu kuthinta kuphi ngempela isithupha sethu?

Kunezihlanganisi ezimbili ozwaneni olukhulu. Elikhulu kunawo wonke lawa libizwa ngokuthi i-metatarsophalangeal joint (i-MTP joint) . Leli lunga yilapho isisekelo sozwane olukhulu, noma isisekelo, sixhuma khona nonyawo lonke.

Ukuze leli lunga lisebenze kahle, imisipha (exhumanisa imisipha namathambo), imisipha (exhumanisa amathambo), kanye nezinye izicubu ezixhumeneyo ezizungezile kumele zibe nempilo. Lokhu yikho okunikeza ukuqina kwesithupha futhi kusize ilunga lihambe kahle ngaphandle kokushelela. Endabeni "yokugoba uzwane," lezi zicubu zingasukela ekudonsweni okulula kuya ekuqhekekeni okuphelele kwelunga le-MTP.

Ingabe kukhona amazinga ahlukene e-"Turf Toe"?

Yebo, odokotela basebenzisa uhlelo olukhethekile ukuhlukanisa lezi zifo "zezinzwane ze-turf". Yilokho okunquma ukuthi yiluphi uhlobo lokwelashwa olufanele kakhulu. Kunezigaba ezintathu eziyinhloko:

• Ibanga 1: Lokhu kuwukwelula kancane kwezicubu ezithambile esithupheni, hhayi ukudabuka. Ungase uzwe ubuhlungu lapho usithinta, futhi kungase kube nokuvuvukala. Ungase uzizwe ungakhululekile lapho udlala imidlalo noma uvivinya umzimba, kodwa akukho mkhawulo omkhulu.

• Ibanga lesi-2: Yilapho ingxenye yezicubu ezithambile esithupheni idabukile khona. Indawo ibuhlungu, ivuvukele kakhulu, futhi ingase ibe luhlaza okwesibhakabhaka/nsomi, njengenxeba. Ukudlala imidlalo nokuzivocavoca umzimba kulinganiselwe kakhulu.

• Ibanga lesi-3: Lesi yisimo esibi kakhulu. Izicubu ezithambile esithupheni ziklebhukile ngokuphelele. Ilunga le-MTP lingase likhumuke. Kukhona ubuhlungu obukhulu nokuvuvukala esithupheni. Kubi kakhulu kangangokuthi awukwazi ngisho nokunyakaza isithupha sakho, ngakho awukwazi ngisho nokucabanga ngokudlala imidlalo.

Sivame kangakanani lesi simo esibizwa ngokuthi "i-Turf Toe"?

Igama elithi "turf toe" livame ukufika engqondweni uma sicabanga ngabadlali abadlala ezinkundleni zotshani zokwenziwa, kodwa empeleni kungenzeka kunoma ubani. Lingenzeka emidlalweni eyahlukahlukene, kungaba otshanini bokwenziwa noma ezindaweni eziqinile ezivamile. Lingabangelwa nokuthi izicathulo ozigqokayo ziyaguquguquka noma ziqinile.

Ukulimala kwezinzwane ze-turf kwaqala ukubikwa kaningi ngawo-1970. Lokhu kungenxa yokuthi abadlali bebhola baqala ukudlala ezinkundleni ze-turf zokwenziwa esikhundleni sotshani obujwayelekile. I-turf yokwenziwa iyindawo eqinile kakhulu kunotshani obujwayelekile. Kucatshangwa futhi ukuthi izicathulo ezilula neziguquguqukayo ezazisetshenziswa ngaleso sikhathi kungenzeka ukuthi zaba nomthelela kulokhu, njengoba indlela isicathulo nomhlabathi okuhlangana ngayo ihlukile.

Ziyini izimpawu ze-"Turf Toe"?

Izimpawu ze-"Turf Toe" nazo ziyahlukahluka kancane kuye ngokuthi isimo sibucayi kangakanani. Uma kwenzeke ngokuzumayo, njengasengozini, ungase uzwe noma uzwe umsindo othi "click". Uma lokho kwenzeka, ubuhlungu ozwaneni olukhulu bungavela ngokushesha.

Kodwa-ke, uma kwenzeka kancane kancane, ngenxa yokunyakaza okuphindaphindiwe (ukulimala okuphindaphindiwe), izimpawu zizovela kancane kancane, zanda kancane kancane ngokuhamba kwesikhathi. Nazi izimpawu ezingabonakala ngokuvamile:

• Ubuhlungu nobuhlungu: Ubuhlungu kuzwane olukhulu bungaba njalo, noma bungaba buhlungu kuphela uma ulucindezela . Ngezinye izikhathi ubuhlungu kuzwane olukhulu buba bukhulu kangangokuthi awukwazi ngisho nokubeka unyawo lwakho phansi.
• Ukuvuvukala nokuklwebheka: Isisekelo sozwane olukhulu singavuvukala. Lokhu kuvuvukala kungakhula kube umugqa wokuklwebheka onganwebeka kuze kufike emlenzeni.
• Ububanzi obulinganiselwe bokunyakaza:Ungase ungakwazi ukunyakazisa izinzwane zakho, ukuzigoba phezulu naphansi, noma imilenze yakho ingase izwakale indikindiki, noma ungase ungakwazi ukusunduza njengoba wawuvame ukwenza.
• Ukuzizwa ukhululekile: Ijoyinti le-metatarsophalangeal (ijoyinti le-MTP) lingase lizizwe likhululekile futhi lingazinzile. Ngezinye izikhathi ijoyinti lingase lizizwe liqinile.

Yini ebangela "i-Turf Toe"?

"Uzwane Olukhulu" lwenzeka lapho uzwane lwakho olukhulu lugobile futhi lucindezelwa phansi. Ngokuvamile, isithende sakho siphakanyiswa phansi, njengendawo yokuqala yomgijimi. Uma ucindezela kakhulu uzwane lwakho olukhulu, lunganwebeka kakhulu. Lapho uzwane lwakho olukhulu lugoba ngaphezu kwebanga elijwayelekile, lunganweba noma ludabule imisipha , imisipha, nezicubu ezithambile emalungeni.

Lokhu kungakhula kancane kancane ngokuhamba kwesikhathi, ngenxa yokunyakaza okuphindaphindiwe (isibonelo, lapho abadansi be-ballet begxuma). Noma kungabangelwa ukulimala okungazelelwe. Isibonelo, umdlali webhola oshaya omunye umdlali ngozwane lwakhe phansi. Abadlali abenza ukunyakaza okungazelelwe kanye nokushintsha indlela ngemilenze yabo banamathuba amaningi okuthola lolu hlobo lokulimala.

Ingabe ama-flip-flops abangela "uzwane lwe-turf"?

Nakuba ukulimala okuningi "kwezinzwane ze-turf" kuhlobene nezemidlalo, kungabangelwa nohlobo lwezicathulo ozigqokayo. Ama-flip-flop amaningi awasekeli kangako. Awalingani kahle, ngakho-ke izinyawo zethu kufanele zisebenze kanzima ukuze zigcine isicathulo sigqokile. Ungase ungaziboni izimpawu ngokushesha, kodwa ukugqoka ama-flip-flop ngaso sonke isikhathi kungaholela ezinkingeni ezahlukahlukene zezinyawo, okuhlanganisa "nezinzwane ze-turf."

Yiziphi izinkinga ezingaba khona nge-"Turf Toe"?

Nakuba ukulimala okuningi "kwezinzwane ze-turf" kuphola kahle, ngezinye izikhathi kungaba nezinkinga. Ezinye zalezi zinkinga zifaka:

• Ubuhlungu obuqhubekayo kanye nokuqina kwamalunga.
• Amandla okucindezela anciphile.
• Ama-Bunion ( isimo lapho ilunga lozwane olukhulu libonakala livuvukele futhi lidonsekile).
• I-Hallux rigidus (isimo lapho ilunga lozwane olukhulu liqina futhi libuhlungu).
• Leyo enesithupha esiphakanyisiwe unomphela.

Wazi kanjani ukuthi une-"Turf Toe"?

Uma uya kudokotela, bazoqala bahlole isithupha sakho. Bazocindezela indawo bese bebheka ukuthi ithambile yini. Bazocela ukuthi uhambise isithupha sakho bese uhlola ukuthi sihamba kangakanani. Uma lokhu kwenzeke engozini, udokotela uzokubuza ukuthi kwenzeke kanjani. Batshele yonke imininingwane ongayikhumbula, ikakhulukazi ukuthi isithupha sakho sasinjani nokuthi uzizwe kuphi ubuhlungu.

Ngemuva kwalokho, ukuze abone kahle ukuthi kukhona yini umonakalo emathanjeni nasezicutshini ezithambile, udokotela uzoyala i-X-ray , futhi uma kudingeka, i -MRI (magnetic resonance imaging) . Lokhu kuhlolwa kungaveza izithombe ezicacile zamathambo, imisipha , imisipha, kanye nezicubu ezithambile.

Iphathwa kanjani i-"Turf Toe"?

Izinzwane eziningi ezikhumukile ziyaphola ngokuhamba kwesikhathi ngokuphumula okwanele. Ukulimala kwebanga loku-1 nelesi-2 "kwezinzwane ze-turf" kuvame ukuthuthuka ngokwelashwa okulula kwasekhaya. Udokotela wakho angase ancome ukwelashwa okufana nalokhu:

• Ukuphumula: Buza udokotela wakho ukuthi kufanele uphumule umlenze wakho isikhathi esingakanani. Kuye ngobukhulu bokulimala, kungadingeka uhlale kude nemidlalo neminye imisebenzi izinsuku ezimbalwa noma amasonto. Unganikezwa ibhuzu lokuhamba noma izinduku zokubambelela ukuze uzisebenzise kuze kube yilapho uzwane lwakho olukhulu selupholile.
• Iqhwa nokuphakama: Njalo emahoreni ambalwa, phumula umlenze wakho ngokuwuphakamisa ngaphezu kwenhliziyo yakho. Beka iphakethe leqhwa ozwaneni lwakho olukhulu cishe imizuzu engama-20. Iqhwa lizonciphisa ukuvuvukala nobuhlungu. Ukuphakamisa umlenze wakho kuzonciphisa ukuvuvukala.
• Imithi yobuhlungu ethengiswa ngaphandle kwemithi kadokotela (OTC): Khuluma nodokotela wakho mayelana nokuthatha imithi efana nama-NSAID (imithi yokulwa nokuvuvukala engeyona eye-steroidal) . Le mithi ingathengwa ekhemisi futhi isize ekunciphiseni ubuhlungu nokuvuvukala.
• Ukwelashwa ngokomzimba (PT): Uchwepheshe wezokwelapha ngokomzimba onolwazi uzokufundisa ukuzivocavoca kanye nokwelula isithupha sakho ukuze kusizwe ukuthi siphole. Uhlelo lwe-PT oluhlelwe ngokwezifiso lungasiza ekunciphiseni ukuqina kwesithupha sakho, lwandise ukuguquguquka, futhi luqinise imisipha esekela ijoyinti le-MTP .
• Ukuzinza: Cela udokotela wakho akubonise ukuthi ungabopha kanjani uzwane lwakho olukhulu kwezinye izinzwane. Le ndlela "yokubopha uzwane olune-turf" inciphisa ukunyakaza kozwane lwakho olukhulu kuze kube yilapho luphola. Uma ubuyela emsebenzini, qiniseka ukuthi ugqoka izicathulo eziqinile futhi ezisekela unyawo lwakho.
• Ama-Orthotics:Udokotela wakho angase akuncomele izicathulo ezikhethekile, izicathulo ezinezithende eziqinile, noma izicathulo ezingezansi ze-rocker. Lezi zicathulo ze-orthotics zisiza ekuqiniseni nasekusekeleni ijoyinti elikhulu njengoba ugijima, ugxuma, futhi udlala.
• Ukuhlinzwa: Ukuhlinzwa akudingeki kakhulu ezinzwaneni zotshani. Ukuhlinzwa kuvame ukwenziwa ukuze kulungiswe ukudabuka okukhulu, ukwaphuka, noma ukulimala kwamalunga. Uhlobo lokuhlinzwa olwenziwayo luncike endaweni yokulimala kanye nobukhulu bomonakalo emathanjeni nasezicutshini ezithambile.

Kuthatha isikhathi esingakanani ukuthi "iTurf Toe" iphole?

Isikhathi esithathwayo ukuze kuphulukiswe ekulimaleni "kozwane olune-turf" singahluka kumuntu nomuntu. Kunezici eziningana ezingakuthinta:

• Izinga noma ubunzima bokukhubazeka kwakho.
• Ubudala bakho nokuthi usebenza kangakanani.
• Ezinye izimo zempilo onazo.

Uma uphumule kahle, ukulimala kwe-"Turf Toe" yebanga loku-1 kungaphola phakathi nesonto. Ukulimala kwe-"Turf Toe" yebanga lesi-2 kungaphola emavikini amabili kuya kwamathathu. Ukulimala kwe-"Grade 3" kungathatha izinyanga ezimbili kuya kweziyisithupha ukuphola. Uma uke wahlinzwa, isikhathi sokululama sizoba side nakakhulu.

Singakwazi yini ukuvimbela "i-Turf Toe"?

Ngezinye izikhathi, ikakhulukazi ngemva kwengozi, kunzima ukuvimbela "uzwane olune-turf." Kodwa-ke, kunezinto ongazenza ukuze unciphise ingozi yakho. Gqoka izicathulo ezifanele umsebenzi owenzayo futhi zinikeze ukuqina okuhle kwezinyawo. Abantu abadlala imidlalo efana nebhola noma ibhola kufanele bagweme izicathulo eziguquguqukayo kakhulu, ikakhulukazi eduze kozwane.

Ngaphambi kokuqala umsebenzi noma umdlalo, yenza ukufudumeza nokwelula okuhle. Uma imisipha nezicubu ezithambile zifudumele, mancane amathuba okuthi ulimale. Uma udlala umdlalo okubeka engcupheni enkulu yokuba "ne-turf toe" (isb., ibhola, i-gymnastics, i-ballet), khuluma nodokotela wakho. Uchwepheshe wezokwelapha ngokomzimba angakusiza ukunciphisa ingozi yokulimala.

Liyini ikusasa labantu abane-"Turf Toe"? Kwenzekani uma ingelashwa?

Iningi labantu liyalulama "ekuzweni okunezinzwane" ngaphandle kwezinkinga zesikhathi eside. Kodwa-ke, abanye abantu bangase babe nokuqina kwamalunga okuqhubekayo, ubuthakathaka, kanye nobuhlungu ozwaneni olukhulu (hallux rigidus ). Akuvamile ukuthi uzwane lwakho olukhulu luphakanyiswe ngaphezu kwezinye izinzwane futhi lungakwazi ukulugcina luthe njo phansi uma umi.

Into ebalulekile ukuthi uma ungelaphi "i-Turf Toe," ingabangela ubuhlungu obukhulu kanye nokuqina kwesikhathi eside kwamalunga. Akukhona lokho kuphela, kodwa ungase ulahlekelwe nekhono lakho lokugxuma noma ukugijima. Ezimweni ezimbi kakhulu, i-arthritis kanye ne-bone spurs kungakhula eduze kwamalunga, noma ilunga lingaphuma.

Kufanele ngimbone nini udokotela?

Uma unobuhlungu, ukuvuvukala, noma ukuphuka esithupheni noma onyaweni lwakho, bona udokotela. Ngisho noma ubuhlungu buncane, ungabunaki. Kubalulekile ukubona udokotela bese ulandela uhlelo lokwelashwa abalunikezayo. Uma ubuhlungu bukhulu, uma ungakwazi ukubeka unyawo lwakho phansi, noma uma ilunga lesithuphe sakho libonakala sengathi liphumile, bona udokotela ngokushesha.

Okokugcina, into ebaluleke kakhulu okufanele uyikhumbule! (Umyalezo Wokuya Ekhaya)

Uzwane lwe-Turf lungakuvimbela ukuthi ungadlali izinsuku eziningi, ngisho namasonto. Kodwa-ke, ngokunakekelwa okufanele kanye nokwelashwa, ukulimala kozwane lwe-turf kuvame ukuxazululeka ngaphandle kwezinkinga zesikhathi eside. Into ebaluleke kakhulu ukulandela imiyalelo yomelaphi wakho womzimba ngqo futhi unikeze umzimba wakho isikhathi esanele sokululama. Uma uzwa ubuhlungu ozwaneni lwakho ngenkathi udlala imidlalo noma wenza eminye imisebenzi, thatha ikhefu ngokushesha. Ungalokothi ucindezele ubuhlungu. Ukwenza kanjalo kungenza ukulimala kube kubi kakhulu. Bona udokotela ngokushesha bese uhlolwa ukuze ubuyele emisebenzini yakho evamile ngokushesha okukhulu.

Uzwane olugobile , izinkinga zesithupha, ukulimala kwezemidlalo, ubuhlungu bezinyawo, ilunga le-MTP, ukuklwebheka kwamalunga, ukuklwebheka kwamalunga