Ngokuningiliziwe ngama-Hallux Rigidus Izimpawu Nezokwelapha
Uma utshelwe ukuthi unayo i-hallux rigidus yini okudingeka ukwazi? Ubani ohlakulela leli fomu le-arthritis futhi yiziphi izimpawu? Iziphi izindlela zokwelashwa ezingekho zokuhlinzwa nezokuhlinzwa ezitholakalayo?
Yini i-Hallux Rigidus?
I-Hallux rigidus uhlobo lwe- arthritis ekhubazayo (i-osteoarthritis.) I- Hallux (ibhekisela kuzinyosi ezinkulu) rigidus (ibhekisela ekukhuni) ngokuvamile ihlasela abantu abadala phakathi kweminyaka engu-30 no-60 ubudala, futhi kaningi kuba umphumela wokulimala kwezemidlalo ephakeme ngaphambi kwesikhathi .
I-arthritis yezinzwane ezinkulu iyisayithi esivame kakhulu isifo samathambo ezinyaweni, esithinta amaphesenti angu-2.5 abantu abangaphezu kweminyaka engu-50.
Kuhlanganiswe phansi kwesinqe esikhulu (ukuhlanganiswa kwe-metatarsophalangeal, noma ukujoyina kwe-MTP) okuthintekile futhi isimo siqhubeka kancane kancane ngokuhamba kwesikhathi. Akubona bonke abagijimi abalimazayo abakhulayo i-hallux rigidus ebuza umbuzo othi: Kungani abanye behlakulela i-hallux rigidus kodwa abanye abayitholi?
Ubani Othuthukisa Hallux Rigidus?
Abantu abathintekayo emidlalweni lapho ukulayisha, ukucindezela, nokukhulisa ukunyakaza kuyadingeka ukuthi izinyawo zabo zitholakale ezincane zokuhlukumezeka kanye neziphuzo ezihlangene phansi kwezinzwane ezinkulu. "I-toe ye-Turf," igama elinikezwe lalamele, lingabangela nokuba i-bone spurs noma i- osteophyte ithuthuke. Ibhola lebhola lebhola elidlalwa nge-turf yokufakelwa kubangelwa ukulimala okuningi kwezemidlalo. Uma kungenakekelwa kahle, i-turf uzothola ku-hallux rigidus.
Akukhona nje ukuthi abagijimi bakha i-hallux rigidus noma kunjalo.
Abantu abaye bawa phansi noma ama-pronation ngokweqile (ekungenikeni) kwezinsikazi bangakwazi ukuthuthukisa i-hallux rigidus. Ingakwazi ukugijima emindenini njengezinhlobo ezithile zemilenze ejwayele ukuthuthukisa i-hallux rigidus kunezinye. I-Hallux rigidus ingase ibangelwe nezifo ezithile ezivuthayo, njenge- arthritis ye-rheumatoid noma i-gout.
Kungani Ukuqaphela Ukwelashwa Kubaluleke Kakhulu NeHluxx Rigidus?
Ukuntula ukwelashwa okufanele ukulimala okukhulu kwezinzwane kungaba nemiphumela emibi. Ukwelashwa kuyadingeka ukuze isimo singaqhubeki. I-hallux ephakeme i-rigidus ingabangela:
- Ubuhlungu, ngisho nangesikhathi sokuphumula
- Ubuhlungu obunzima nokusetshenziswa kwezinzwane ezinkulu, njengokugxuma
- Kunzima ukugqoka izicathulo ngenxa ye-bone spurs
- Kunzima ukugqoka izicathulo eziphezulu
- Ubuhlungu obunzima emlenzeni, emadolweni, noma emuva ephansi kubangelwa izinguquko endleleni umuntu ahamba ngayo
- Ukulinganisa
Izinketho zokwelapha ze-Hallux Rigidus
Kukhona kokubili ongakhetha okungezona okuhlinzekwa nokuhlinzeka ngokuphatha i-hallux rigidus. Ngokufanelekile, i-hallux rigidus izotholakala ezinyathelweni zokuqala lapho kuphela ongakhetha okungeyona yokuhlinzwa okungasetshenziswa. Uma isimo sibangela ukuphumula ekuphumuleni noma ukugxeka okuphawulekayo, ukuhlinzwa kungadingeka.
Izinketho zokwelashwa ezingezona ukwelashwa zihlanganisa:
- Ukuguqulwa kwezicathulo (isibonelo, izigqoko zezigqoko zenzelwe ukuyeka ukuhamba ngaphansi kokuhlangene kwezinzwane ezinkulu, izicathulo eziqinile ezinamathele futhi ezinciphisa ukunyakaza okuhlangene, noma ukufaka phansi phansi kwezingodo ezicathulweni.)
- Ukuguqulwa komsebenzi (isibonelo, ukuvivinya umzimba okuphansi).
- Imithi elwa nokuvuvukala (njenge-Advil (ibuprofen) noma ama-steroid .
Izinketho zokwelapha zokuhlinzwa zihlanganisa:
- I-Cheilectomy , eyaziwa nangokuthi ugoba uhlangane obuningi (kubantu abazama ukulondoloza ukuhlangana, ukuhamba, kepha baqede ubuhlungu obuncane.) Lokhu kubhekwa njengendlela "yokuhlanganyela ngokuhlanganyela" njengoba ukuhamba emhlanganyeni we-metatarsophalangeal kugcinwa.
- I-Arthrodesis, eyaziwa nangokuthi i- fusion ehlangene (kubantu abafuna ukukhululwa ubuhlungu obuhlala njalo ngisho noma amalunga ahlanganisiwe ngeke aguqe.) I-Arthrodesis ibhekwa ngokuthi "inqubo yokuhlanganela" njengoba ukuhlanganiswa kokuhlanganiswa kususa noma yikuphi ukuhamba okunye okuhambayo ekuhlanganyeleni. Kubantu abanokugcina i-hallux rigidus, noma kunjalo, i-arthrodesis ingaholela ekulawuleni isikhathi eside ubuhlungu nemiphumela emihle yokusebenza.
- Izinqubo ezintsha zanjengokuhlolwa kwe-arthroplasty ezihlolwayo kodwa akekho owaziyo ngokusebenza kwesikhathi eside noma ukuphepha.
Yini Okufanele Uyenze Uma Unayo Izimpawu ZakwaHluxx Rigidus?
Uma unezimpawu ze-hallux rigidus, yenza isikhathi sokubonana nodokotela wakho ngaso leso sikhathi. Ukwelashwa kwasekuseni kanye nokuxilongwa kwangaphambili kuveza imiphumela emihle kakhulu. Ngokuhamba kwesikhathi, i-hallux rigidus ingaholela ebuhlungu bokuphila, izinkinga ezinezinyathelo zokuhamba kwezinyawo zakho, nokuphazanyiswa kwe-gait. Ekuqaleni, izinyathelo zokuqapha ezifana nokuguqulwa kwezicathulo, ukulinganiselwa komsebenzi, ukujola kwe-steroid, kanye nemithi elwa nokuvuvukala kungase kube ngokwanele ukunciphisa ubuhlungu bakho kanye nokunyakaza kokuhamba ngokuhlanganyela. Lokho kusho ukuthi, uma uzwa ubuhlungu ngisho nokuphumula noma uma isimo sithinta umthwalo wakho, ukwelashwa okudingekayo kuyadingeka ukuze unciphise ubuhlungu.
> Imithombo:
> Dulgeroglu, T., no H. Metineren. Ukwelashwa Kwesigaba Sokuphela I-Hallux Rigidus Ukusebenzisa Isisindo Esiphezulu Sama-Arthroplasty: Isifundo Esiyinkimbinkimbi Esikhathini Esifushane. I-Journal of Foot and Ankle Surgery . 2017. 56 (5): 1047-1051.
> Larn, A., Chan, J., Surace, M., no E. Vulcano. I-Hallux Rigidus: Ngiyifinyelela Kanjani? . World Journal of Orthopedics . 8 (5): 364-371.