Amathambo akho e-metatarsal ayizintana ezinde ezixhumanisa isikhumba sakho ezinzwaneni zakho. Phakathi kwezinhloko zamathambo we-metatarsal kanye namathanjeni e- phalanges (amaphuzu akho onozwane) kukhona ama-metatarsophalangeal joints .
Ngamanye amazwi, ama-metatarsophalangeal joints axhuma amathambo akho onyosi emathanjeni akho ezinyawo. La majoyini azungezwe i-capsule ehlangene futhi enemigqa ewasekelayo.
Kuhle ukukwazi ukuthi umhlanganiso wokuqala we-metatarsophalangeal uvame ukubizwa ngokuthi uhlangane obuningi ohlangene ngenkathi inhlanganisela encane eyaziwa ngokuthi i-joint metatarsophalangeal yesihlanu. I-metatarsal yokuqala (inzwane emikhulu) ibuye ihlanganise (noma ixhuma) namathambo amabili e-samoid on the surfacear of the foot (phansi kwezinyawo).
Izimo ezithinta ama-Metatarsophalangeal Joints
Kunezimo eziningi zempilo ezithinta ama-metatarsophalangeal joints, okubizwa nangokuthi amalunga we-MTP. Ezinye zalezi zimo zifaka:
I-Metatarsalgia
I-Metatarsalgia empeleni isetshenziselwa ukuchaza noma yibuphi ubuhlungu ebhokisini lonyawo-okuncane, okufakwe emanzini ephansi ezinyaweni zakho ezithinta ama-metatarsal. Noma kunjalo, umthombo ovame kakhulu wobuhlungu kule ndawo umhlanganisi we-metatarsophalangeal.
Bunion
I- bunion yi-bony bump eyenza ohlangothini lwangaphandle lohlangothini lokuqala lwe-MTP. Ngenxa yokwakheka kwe-bunion, isimo esibizwa ngokuthi i-hallux valgus singase sikhule lapho kungukuthi inzwane enkulu ihamba noma ibheke ezinye izinzwane.
Njengoba inzwane yokuqala iqhuma emlenzeni wesibili, izinyathelo zomunyo zingabangela. Isizathu esivamile sokubunjwa kwe-bunion ngesinyosi senyundo sigqoke izicathulo ezingalungile (isibonelo, izithende eziphakeme noma izicathulo ezihambisana kakhulu ngokuqinile).
Ngaphezu kwalokho, kungenzeka ukuthi uzwile igama elithi bunionette okuyinto lapho ama-bunion efaka khona emlwaneni oncane noma ohlangothini lwesihlanu we-metatarsophalangeal.
I-Toe ye-Turf
Inyosi ye-turf iyenzeka uma inzwane enkulu ixoshwa, njengalapho idlala ibhola. Ngokuqondile, nge-turf toe, i-MTP ehlangene nemigqa kanye nezicubu ezizungezile zalimala, futhi ukuhlanganiswa kungase kukhishwe ngisho.
I-arthritis
Ngesimiso sokuvuvukala, isifo samathambo esifubeni, ubuhlungu emhlangothini we-MTP kungenzeka uma kwenzeka ukuma noma ukuhamba. Ukuqina kosuku olusenyakatho lwe-MTP kungabuye kube uphawu lwe-arthritis ye-rhumum. Ukuvuvukala kokuhlanganiswa kule sifo kungabangela nokukhubazeka kwezinyosi.
I-osteoarthritis, uhlobo olungenalo ukuvuvukala kwe-arthritis, lungase lube khona emhlanganyeni omkhulu we-MTP. Ngonyawo lwe-osteoarthritis , u-cartilage we-joint uhla, futhi lokhu kungadala ubuhlungu nezinkinga ngokuhamba.
I-Gout enye indlela ye-arthritis engathinta unyawo, ikakhulukazi i-MTP yokuqala. Izimpawu zokuhlaselwa kwe-gout zihlanganisa ubuhlungu obusheshayo, obukhulu, ubomvu, nokufudumala kwezinzwane ezinkulu.
Okokugcina, i-arthritis ye-septic ye-joint MTP ingase ivele. Nakuba engavamile kakhulu kune-gout, i-arthritis ye-septic idinga ukukhishwa ngaphandle, njengoba ibonisa ukutheleleka kwebhaktheriya ekuhlanganyeleni. Inqubo ebizwa ngokuthi i- arthrocentesis , lapho kusetshenziselwa uketshezi oluhlangene futhi ihlolwe ngaphansi kwe-microscope ingahlukanisa phakathi kokubili.
I-Hammer Toe
Inyosi yezinyosi ukungahambisani kahle kwe-MTP okuhlangene, kaningi kwesigqoko sesibili. Kunezimbangela eziningi ezingabangela izinyosi zezintambo. Isibonelo, izinyosi zezintambo zingathuthuka emva kwamafomu we-bunion, okubangela ukuba inzwane enkulu iguqule noma i-angle ibe yinye inyawo.
Inyosi yesando ingaba nesifo se-rheumatoid arthritis lapho izicubu ezinamandla ebhola lonyawo ziqhutshwa phambili ngaphansi kwezinzwani. Ukulimala okudabukisayo kuzinyosi kungaphinda kubangele izinyosi, futhi abanye abantu bazalwa nje bezinzwane zomunwe, imbangela yezakhi, okushoyo.
Okokugcina, kubalulekile ukuthi uqaphele ukuthi izinkinga ezengeziwe zingathuthuka, ngenxa yezinyosi zezinyosi, kubandakanya ama-corns kanye nezikhwama ezigcwaliswa ngamabhasas-fluid egcwele ama-bhisikidi asebenzayo lapho amafutha amanoni enyaweni evezwa yinkinga ephezulu noma ukuqhuma.
Ukwelapha Izinkinga zamathambo we-MTP
Ukuze uphathe izimo ze-MTP ngokuhlanganyela, udokotela wakho (isibonelo, udokotela ohlinzayo wezinyosi ogxile ekwelapheni unyawo noma isazi samaphoyisa) uzocabangela noma ukuhlinzwa noma amasu angewona okuhlinzwa.
Izindlela Zokusebenzisa Amandla
Iningi lezinkinga ezihlobene ne-MTP zilawulwa ngokungenasisekelo. Isibonelo, esimweni se-bunion (inkinga ejwayelekile ye-MTP), udokotela uzovame ukuphakamisa ukuthi umuntu ugqoke izicathulo ezifanele, ngisho nezindlela zomzimba (ukufakwa kwezicathulo ezikhethekile ezenzelwe izinyawo zakho). Ngamabhononi, isicathulo esinobhokisi obukhulu obuningi, nesinye esithambile futhi esilula singasiza. I-Bunion ipads ingavikela futhi i-bunion kusukela ekuxubeni.
Ama-Orthotics angasiza ukuphatha ezinye izinkinga ze-MTP njenge-metatarsalgia. Kulesi simo, izicathulo noma amaphuzu aphansi ngaphansi kwamathambo angaphambili anganciphisa.
Ezinye izindlela ezingezona zokuhlinzwa zibandakanya ukusebenzisa i-ice noma ukuthatha imithi elwa nokuvuvukala (isibonelo, ibuprofen) ukunciphisa ubuhlungu nokunciphisa ukuvuvukala.
Amasu okuhlinza
Kukhona izinqubo ezahlukene zokuhlinzeka ngezinkinga zokubhekana ne-MTP yakho. Noma kunjalo, ukuhlinzwa kuvame ukubhekwa kuphela uma amasu angasebenzi angasebenzi.
Ngokwesibonelo, enye inqubo ibizwa ngokuthi ukuhlanganiswa kokuqala kwe-MTP futhi ihlanganisa ukuxuba amathambo wezinzwane ezinkulu kanye ne-metatarsal yokuqala ndawonye ngokugcwele. Kungenziwa lapho kwenzeka isifo samathambo lapho i-cartilage ehlangene igugile futhi ubuhlungu obumphumela abukhululwa yizindlela ezingavamile noma ezingenasidingo.
Ukuhlanganiswa kokuqala kwe-MTP okuvame ukuqhutshwa njengokuhlinzwa kwansuku, kepha ukutakula kungadlulela izinyanga eziyisithupha. Izikhonkwane zensimbi futhi, ngokuvamile, ipuleti yensimbi isetshenziselwa ukuzinzisa ukujoyina.
Enye inqubo ebizwa ngokuthi i-MTP yokuqala yokujoyina ngokuhlanganyela iyenziwa uma kwenzeka i-arthritis yokunciphisa ubuhlungu obungasombululanga nge ukwelashwa okulindelekile. Ukuhlanganiswa kwezinzwane ezinkulu kukhishwa futhi iziflebhe zisetshenziselwa ukuyibeka esikhundleni. Lezi zingenziwa ngensimbi noma eplastiki. Ihluke ekuhlanganyeleni ukuthi ukufakelwa kulingisa ukulinganisa kokuqala.
Izwi elivela
Unyawo luyingxenye eyinkimbinkimbi kodwa eguquguqukayo yomzimba, futhi amalunga enyawo ahlose ngokukhethekile ukuvumela ukunyakaza. Uma unesihlungu se-MTP, esizobangela ubuhlungu ngokuhamba, qiniseka ukuthi uzobona udokotela wakho ukuze ahlole kahle.
Ngisho nangaphezulu, uma ubhekene nokubomvu, ukufudumala, noma ukuvuvukala okungazelelwe komhlanganiso we-MTP (okuvame ukuhlangana kokuqala kwe-MTP), sicela ufune usizo lwezokwelapha ngokuphuthumayo, ukulawula ukutheleleka.
> Imithombo:
> I-American Orthopedic Foot & Ankle Society. (2017). Ukuqala kwe-MTP Joint Fusion.
> I-American Orthopedic Foot & Ankle Society. (2017). Ukuqala kokujoyina okuqala kwe-MTP.
> Hul EV, Vanhoenacker F, Dyck PV, De Schepper A, Parizel PM. Izilonda ezinoshukela ezithintekayo ezinyaweni nasezinyaweni: ukubuyekezwa komfanekiso. Ukuqonda Ukuqonda . 2011 Aug; 2 (4): 439-52.
> Shirzad K, CD yamaKesau, DeOrio JK, uParekh SG. Ukukhubazeka okuncane kwezintwana. J Am Acad Orthop Surg. 2011 Aug; 19 (8): 505-14.
> Whitney KA. (2016). I-Merck Manual Professional Version. I-Metatarsophalangeal Joint Pain.