Ukukhubazeka kwezinyosi zenyundo kwenzeka lapho ukujoyina kwe-PIP kungavamile. Lokhu kuvame ukuvela emlenzeni wesibili , futhi kuvame ukuwumphumela wezinyosi ezinkulu ezihlangene eziqhunywe emlenzeni wesibili. Isiqhwaga esibuhlungu sivame ukufakela phezulu kokujoyina kokuqala kuzinzwane.
Ukuhlanganiswa kwe-PIP kungenye yezinto ezintathu ezihlangene kuzo zonke izinzwane ezincane (izinzwane ezine ngaphandle kwezinzwane ezinkulu).
Umhlanganiso we-MTP usezansi kwezwane, khona-ke ukuhlanganiswa kwe-PIP, nokuhlanganiswa kwe-DIP kusekugcineni kwezwane. Ukuhlanganiswa kwe-PIP kuvamile ngokweqile, okwenza ukuba phezulu kwalokhu kuhlangene kubonakale ekufweni kwezinyosi zezinyosi.
Esithombeni kuleli khasi, inzwane enkulu inokukhubazeka kwe-bunion, futhi isithupha sesibili sinokukhubazeka kwesinyosi senyundo. Iziguli ezinezinyosi zezinyosi zivame ukuba nefomu elibi kakhulu phezu kwe-PIP ngokuhlanganyela. Le nhlanganisela ye-bunion yezinzwane ezinkulu kanye nesimo sesibili sobunzima bezinyosi sinokujwayelekile kakhulu. Ukukhubazeka kwe-bunion kubangela ukuthi izinzwane zenyundo zifake njengomphumela wokucindezela ukuphoqa isimo esingavamile sesezinyathelo ezimbili.
Ukunakekelwa Kwamathambo Okungenayo
Ukwelashwa kwesinyosi somunwe kufanele kuvame ukufaka izinyathelo ezilula ukuqala. Ngenkathi ukwelashwa okungavamile okwengeziwe kungahle kudingekile, ukwelashwa okungenasidingo kufanele kuzame ukuqala. Izinyathelo zokuqala zokwelapha kufanele zibe nezindwangu ezilula zabangenangqondo phezulu kwezwane, kanye nokuthenga izicathulo ezifanele.
Izicathulo ezinhle kunazo zonke iziguli ezinezinyosi ezinomunwe zizoba nebhokisi elikhulu lezinyosi, akukho ukucindezela ekupheleni kwezwane, futhi ngeke ziphoqe i-bunion (okungabangela ukuwohloka komunwe wezintambo).
Ukufakwa okukhethekile kungasetshenziselwa ukusiza ukunciphisa ubuhlungu obuvela emlonyeni wezinyosi kubandakanya ama-cushion ne-gel. Lokhu kufaka kuzokwehlisa ukucindezela kwi-callus eyenziwe.
Uma lezi zindlela zokwelapha zingenele ekulungiseni izinyosi zokunyathela, ukuhlinzwa okumele kulungiswe khona kungakudingeka. Lokhu kuvame ukuqhutshwa ngokubambisana nokuhlinzekwa kwe- bunion deformity . Ukwelapha ukwelashwa kwezinyosi kungasetshenziswa noma ukusika izintambo ukuze kunciphise ukucindezela okubangela ukukhubazeka, noma ukuxuba inzwane ukuze iqonde ngqo. Ngokujwayelekile ukuhlinzekwa kuxhomeke uma ukukhubazeka kwezinyosi kunamathele (kungenziwa kuqondiswe) noma kulungiswe (kunamathele esimweni esingavamile).
Imiphumela yokwelapha okuhlinzayo ivame kakhulu, uma nje ukukhubazeka kuqondiswa ngokufanele, kubandakanya ukukhubazeka okuhlobene kwamanye onyosi (njengamabhononi). Izinkinga ezingase zibe khona zokuhlinzwa zihlanganisa izifo, ubuhlungu obuqhubekayo, nokuphindaphinda kokukhubazeka.
Imithombo:
Mizel, MS, Yodlowski ML; "Ukuphazamiseka kwama-Metatarsophalangeal Joints." J. Am. I-Acad. I-Ortho. Ukuhlinzwa, ngoMeyi 1995; 3: 166 - 173.
I-Shirzad K, et al. "Ukukhubazeka Kancane Okuncane" J Am Acad Orthop Surg Agasti 2011; 19: 505-514.