Ukukhubazeka Kwezinyawo Ze-Rheumatoid Kuyinto Engavamile
Kuvamile ukuba abantu abane- arthritis ye-rheumatoid bahlakulele ukukhubazeka kwamaphethelo aphezulu naphansi. Ngokusho kwe-AAOS (i-American Association of Orthopedic Surgeons), amaphesenti angaphezu kuka-90 abantu abane-arthritis ye-rheumatoid athuthukisa izinyawo nezinyathelo zamagqabha phakathi nesifo. Naphezu kokusakazeka okukhulu, izinkinga zonyawo zivame ukunganakwa noma ukunganakiwe.
Ukusebenza okujwayelekile nokungavamile kwamaSondo
Inyawo ngalinye linamathambo angu-26, ahlukaniswe izifunda ezintathu: i- hindfoot (i-talus ne-calcaneus), i- midfoot (i-navicular, i-cuneiforms, ne-cuboid), kanye ne- forefoot (i-metatarsals namathambo amadijithi ahambisana nawo noma ama-phalanges). Ngokusebenza okujwayelekile (isb., Ukuhamba nokugijima), izifunda zonyawo ziyaxhasana. Njengoba uhamba noma ugijimela, unyawo lwakho luhamba nomjikelezo wokumemezela (ukuhamba ngezinyawo ngaphakathi) nokuphakanyiswa (izinyawo zihamba ngaphandle) okuvumela inyawo ukuba ivumelane nezindawo ezingalingani futhi ithathe ukuthuthumela, ilandelwe ukuqhubekela phambili phambili. Kodwa, kwezinye izifo nezimo ezithinta izinyawo (isb. Isifo samathambo), umjikelezo wokumemezela / ukuphazamiseka ungathinteka, okuholela ekuhambeni kwezinyawo ezingavamile unyawo) noma ukuphakama ngaphezulu (ngaphandle kwezinyawo).
Lokhu okungajwayelekile kungashintsha ukusatshalaliswa kwesisindo futhi kubangele ubuhlungu obuhlangene, izinkinga ezithintekayo zezicubu (izintambo zamathenda, ama-bursae, noma ama-entheses), noma ukukhubazeka kwesikhumba (ama corn and calluses). Izinkinga ezithintekayo zezicubu zivame ukuzungeze i-hindfoot, njenge-fastaitis plantar, i-tendinitis ye-peroneal, noma i- bursitis . Ama- nodules ama- rheumatoid angakha kwi-Achilles 'tendon.
I-rheumatoid Arthritis kanye ne-Foot Okungajwayelekile
Nge-arthritis ye-rheumatoid, ukungajwayelekile okuvamile kuhilela ukuhamba phambili, ikakhulukazi ukuhlukaniswa kwamalungu e-metatarsophalangeal (MTP), ukuhlunga kwezinzwane (ama-hammertoes), ne- bunion (i-hallux valgus). Ukukhubazeka okuvamile kuvame ukuhlangana ndawonye, ikakhulukazi ku-arthritis ephakeme, okubangela ubuhlungu nezinye izimpawu ezingase zihlobene kakhulu nokukhubazeka komshini kunesi sifo ngokwaso. Ukubandakanya ukujoyina kwe-ankle (ukuhlanganiswa kwe-talotibial) kungavamile, kuthinta amaphesenti angu-10-20 abantu abane-arthritis ye-rheumatoid. Ukuhlanganiswa kwe-subtalar kuhileleke kakhulu ku-arthritis ye-rheumatoid, okuthinta amaphesenti angu-33-75 abantu abanesifo.
Ukuhlukaniswa kwezinzwane, ngokuvumelanisa kwe-tendens extensor kubangela ukuhlunga, kugqugquzela ama-metatarsal ekhanda phansi endaweni yokutshala, okwenza kube lula ukuqeda umdwebo we-metatarsal. Ngokukhululekile, izingcingo ezibuhlungu zingakha njengoba amakhanda e-metatarsal ephoqeleka phansi phansi kwonyawo.
Ukuhlola Ukungahambi Kwezinyawo
Udokotela angabona ukukhubazeka kwe-valgus kwe-ankle kanye ne-hindfoot (unyawo unamathele ngaphandle) ngemuva lapho isiguli simile. Ukuhlukanisa ukuvuvukala nokuzwela ezandleni zezinyosi kubonisa ukuthi i- synovitis .
I-ankle ne-hindfoot kufanele ihlolwe futhi ngezinyathelo zokuhamba . Isiguli singabuye sihlolwe ngothando ngethenda le-Achille nesithende.
Ukungajwayelekile kwe-arch kanye ne-forefoot kungatholakala futhi ngokubheka isiguli esimweni sokuma. Kuyoba khona ubufakazi be-pes planus (i-arch ewile noma inyawo eliphansi) noma i-pes cavus (ukuphakama okuphezulu) uma ikhona.
Ukuvuvukala kwama-metatarsophalangeal amalunga kubangela ukusabalalisa kwezinzwani ezibonakalayo, okubizwa ngokuthi isibonakaliso sosuku. Ukusebenzisa ingcindezi eqondile kumalungu e-metatarsophalangeal kuzoveza ukwethembeka uma kukhona.
Izinketho zokwelapha
Ama-foot orthotics angasiza ukunciphisa ubuhlungu nokuthuthukisa umsebenzi kubantu abane-arthritis ye-rheumatoid foot deformity.
Ukubaluleka kwezicathulo ezifanele akunakwenzeka. Nakuba izicathulo zokwelapha zinganciphisa ubuhlungu futhi zithuthukise ukusebenza, ngokuvamile kuvumelana kabi ngenxa yokunganeliseki ngokulingana nesitayela.
Ezimweni ezinzima, lapho izindlela eziqaphele ezigxila ezicathulweni noma ezithombeni ezihlulekayo, ukuhlinzwa kungase kube okukhethwa kukho. Ukuthengiswa kwe-Forefoot nokuhlanganiswa kubhekwa njengokukhethwa okukhethwayo okukhethisayo.
Imithombo:
I-Foot ne-Ankle ku-Rheumatology. UFiliphu Helliwell et al. I-Arthritis Research UK. Issue 8. Spring 2011.
http://www.arthritisresearchuk.org/health-professionals-and-students/reports/topical-reviews/topical-reviews-spring-2011.aspx
Ukuguqulwa kwe-Rheumatoid ye-Foot. ULeonard Marmor. I-arthritis ne-Rheumatism. I-Vol. 6. Cha. NgoDisemba 1963. (Okushicilelwe okokuqala ngo-November 21, 2005.)
http://onlinelibrary.wiley.com/doi/10.1002/art.1780060610/pdf
I-rheumatoid Arthritis Yezinyawo Ne-Ankle. I-OrthoInfo. I-AAOS. Disemba 2011.
http://orthoinfo.aaos.org/topic.cfm?topic=a00163
I-Primer kuma-Rheumatic Diseases. I-Arthritis Foundation. Umagazini weshumi nantathu. Isahluko 2. Ukuhlolwa kwesiguli. P.13-14.