Izimbangela ezivamile kanye nokwelapha
Kunezimbangela eziningi zokuhlunguphazwa kwezinyawo, kepha lapho abantu abaningi bekhuluma ngezinhlungu zonyawo bachaza izimpawu ezibangela ubuhlungu ngaphansi kwebhola lonyawo. Lapho ubuhlungu bonyawo buvela ngaphansi kwebhola lonyawo, igama lezokwelapha liwu-metatarsalgia. I-Metatarsalgia ivela kaningi ngokuhambisana nokukhubazeka kwezinyawo, nakuba kungase kwenzeke ngaphandle kwesimo esingavamile sohlelo.
Izimbangela Zezinyawo Zezinyawo
I-Metatarsalgia ivela esifundeni phakathi kwe-arch nezinzwane. Ithimba lezokwelapha ngezinhlungu zonyawo, i-metatarsalgia, livela egameni lamathambo okule nxenye yonyawo: i-metatarsals. I-metatarsals yimizimba ende emlenzeni ngamunye. Ngezinye izikhathi ukucindezela emaphethelweni emathambo e-metatarsal kubangela izimpawu ebhola onyawo.
Kunezinye izimbangela eziningi zenhlanzi kwezinyawo kwezinye izingxenye zonyawo. Ezinye izingxenye zonyawo ezingaba imithombo yobuhlungu zifaka:
- Ubuhlungu bezinyosi namabhononi
- Ubuhlungu be-Arch
- Ubuhlungu besithende (ngaphansi kwesithende)
- Ubuhlungu obungemva kwesithende (ngemuva kwesithende)
I-Metatarsalgia ingabangelwa ukucindezela okwandayo kumakhanda we-metatarsal. Isizathu sokucindezela okwedlulele kule ngxenye yonyawo kungaba ngenxa yokukhubazeka kwezinyawo noma ukucindezelwa kusuka emithonjeni engaphandle kwezinyawo, njengezicathulo. Izingqinamba zesakhiwo ngokuvamile zihlobene nethambo le-metatarsal, kanti ukuhluka okuvamile kubantu abanomunyu wonyawo kuyimetatarsal yesibili ende.
Okunye ukuhluka kufaka ukuhlanganiswa okungavamile okuhlangene (isandiso esandisiwe) sokuhlanganiswa kwe-metatarsal enezinyosi (okuthiwa yi-joint metacarpophalangeal).
Kunezimo eziningi ezingabangela ukwandiswa kwekhanda le-metatarsal, futhi livame ukuhlotshaniswa nobuhlungu bonyawo. Lezi zimo zihlanganisa izinhlobo ezahlukene ze-arthritis , i- osteonecrosis , i- neuromas , izicubu, noma izifo.
Okokugcina, ukulimala okubuhlungu, kufaka phakathi ama-fractures kanye ne-ligament izinyembezi, kungabangela lolu hlobo lobuhlungu bezinyawo.
Izivivinywa ezazisetshenziselwa ukuxilongwa nge-metatarsalgia ngokuvamile zihlanganisa x-ray, ngokuvamile etholakalayo ngenkathi zimi ukuhlola isisindo somzimba ngenkathi isekela isisindo somzimba. Ukuhlolwa kwe-MRI kungasiza futhi, ikakhulukazi uma isakhiwo sonyawo sitholakala njengesivamile.
Ukwelashwa Kwezinyawo Zezinyawo
Ukwelashwa kwezinyawo ngezinyawo ngokuvamile kuqukethe imithi yokulwa nokuvuvukala , izicathulo zokuguqulwa, nokufaka izicathulo zakho.
Uma uthenga izicathulo, bheka izicathulo ngebhokisi lezinyosi eziningi, ukwesekwa okuhle, futhi ugweme izithende eziphakeme . Ukufakwa okulula kungasiza ngezinhlobo eziningi zenhliziyo. Ama-metatarsal ipads angcono kakhulu ekwelapheni kwe-metatarsalgia. Lezi zindwangu zisiza ukucindezela ibhola lonyawo. Uma ezinye izinyathelo ezilula zinganciphisi izimpawu zakho, kufanele ubone udokotela wakho ukuqinisekisa ukuthi uthola ukwelashwa okwanele.
Izimo ezibangela ukuvuvukala kwe-forefoot nazo zingazuza emjoqweni we- cortisone . I-Cortisone iyi-anti-inflammatory imithi enamandla, futhi umjovo uvumela ukuxilongwa okuphezulu kwale mithi ukuthi ihanjiswe ngqo endaweni yenkinga.
Kwezinye izimo ezingavamile, iziguli azitholi usizo ngokuguqulwa kwezicathulo, futhi zingadinga inqubo yokuhlinzwa.
Inqubo evamile yokuhlinzekwa ibizwa ngokuthi i- metatarsal osteotomy ukulungisa ukungavamile kwethambo le-metatarsal. I-osteotomy iyindlela yokuhlinza ngamabomu amathambo ukushintsha ubude kanye / noma ukuvumelanisa ithambo. Lokhu kungashintsha amandla esisindo esibonakala phambili ukuze kunqunywe izimpawu zentlungu yonyawo.
Imithombo
I-Espinosa N, et al. "I-Metatarsalgia" J Am Acad Orthop Surg ngo-Agasti 2010; 18: 474-485.