Kungani ukuhlinzwa kungadingeka
I-Hallux rigidus yigama lezokwelapha le-arthritis eyenzeka phansi kwesinqe esikhulu. Isihlanganisi esisekelweni sezinzwane ezinkulu sibizwa ngokuhlanganiswa kokuqala kwe- metatarsophalangeal , noma ukuhlanganiswa kwe-MTP. Lona ukuhlanganiswa kwethambo elide le-forefoot kanye nethambo elincane lezinzwane ezinkulu.
Ngenxa yemishini yezinyawo zethu, lokhu kuhlangene kusetshenziselwa ukukhula kwamathambo.
Eqinisweni, i- hallux rigidus, noma i-big arthritis yezinzwane, iyindawo ejwayelekile kakhulu yokuphefumula kwamathambo ezinyaweni.
Izimpawu zeHallux Rigidus
Uphawu oluvame kakhulu kanye nesizathu esivame kakhulu sokufuna usizo lwezokwelapha kule nkinga ubuhlungu obuzungeze phansi kwezinzwane ezinkulu. Lobu buhlungu bukhulu kakhulu ngomsebenzi, ikakhulukazi ukugijima noma ukuqhuma. Ukugqoke izicathulo eziqinile eziqinile ezivimbela ukuhamba phansi kwesinqe esikhulu kuzosiza ukukhulula izimpawu. Ezinye izimpawu ezivamile zifaka ukuvuvukala phansi kwesinxeba esikhulu, isikhumba esilandelayo kulokhu ngenxa yokwakheka kwe-bones spur , kanye namakholi we-callus kusukela kwesimo esingavamile sozinzwane.
Izimpawu ezivamile abantu abanolwazi lwe-hallux rigidus zihlanganisa:
- Ubuhlungu phansi kwesinqe esikhulu
- Ukuvuvukala kwezwane
- Kunzima ngemisebenzi ehlanganisa ukugijima, ukuguqula amagquma
Izimpawu zivame kakhulu uma inzwane enkulu iguqa phezulu, njengoba kunjalo uma uhamba ngokunyuka noma ukugijima.
Uma izinzwane ziphoqelelwa phezulu, ama-spurs amathambo awakhiwe aphikisana ndawonye abangela ubuhlungu nokuvuvukala. Yingakho izicathulo nokuguqulwa komsebenzi kungasiza kakhulu ukukhulula izimpawu.
Ukuxilongwa kwe-hallux rigidus kwenziwa ngokuhlola ukuhamba komunye we-MTP, ngokuvamile ukuwuqhathanisa nonyawo oluhlukile ukuze ubone ukuthi ukunyakaza okuningi kulahleka kanjani ngokuhlanganyela.
Ama-X ayenziwa ukuze anqume ukuthi ingakanani ye-cartilage ehlangene igugile futhi ibone ukuthi i-bone spurs yenziwe yini kule ndawo. Ukunquma izinga le-arthritis kuzosiza ukuqondisa ukwelashwa.
Ukwelashwa kweHallux Rigidus
- Ukugqoka izicathulo ezinamathele
Izicathulo ezinamathele zikhawulela ukuhamba phansi kwesinzwane esikhulu. Ukufaka kungenziwa izicathulo ezingasiza ukusekela izicathulo zakho ezikhona. Ngaphandle kwalokho, uma uthenga izicathulo, bheka izinhlobo ezinomuntu ongenazimo ezincane ezizovimbela ukuhlanganyela kwe-arthritic ukuguqa. - Ukungeza i-rocker ngezansi ezicathulweni
I-rocker-bottom iyinhlawulo egobile engangezwa ezicathulweni zakho. Idwala-phansi, kufana nesisekelo sokusihlalo, kusiza unyawo luguqulwe kahle kusukela esithende kuya kuzinyosi ngenkathi uhamba. Lokhu kuguqulwa kunciphisa ukuhamba komzimba wezinyosi ezihlangene. - Imithi Yokulwa Nezivunguvungu
Le mithi izosiza ukunciphisa ubuhlungu nokuvuvukala ezindaweni zokuvuvukala. Uma imithi yomlomo inganele, umjovo we-cortisone ungabuye ucatshangelwe. Ukufelwa kwe-cortisone emunwe omkhulu kungaba buhlungu, ngoba akusikho isikhala semithi okufanele ijowe (uma kuqhathaniswa namadolo noma ihlombe), kodwa ukukhululeka kuvame ukushesha futhi kungase kube isikhathi eside.
Ingabe Ukuhlinzwa Kuyadingeka I-Hallux Rigidus Treatment?
Ngezinye izikhathi ukwelashwa kungcono ukwelashwa okungcono kakhulu kwe-hallux rigidus, ikakhulukazi uma izinyathelo ezingavamile zokusebenza zingasebenzi kuwe. Ukuhlinzwa akuvamile ukuqala ukwelashwa, futhi ngokuvamile abantu kufanele bazame izinyathelo ezilula ngaphambi kokuba bathuthele ekwelapheni okungavamile. Izinqubo ezimbili ezivame kakhulu zokuhlinzwa zibizwa ngokuthi i- cheilectomy noma i-arthrodesis (i-fusion). I-cheilectomy inqubo eyenziwe ukususa i-spurs bone. I-cheilectomy ivame ukusiza uma i-spurs ye-bone isinciphisa ukuhambelana okuhlangene.
Ukukhathazeka ngokwenza i-cheilectomy yukuthi ngenkathi kususwe ama-spurs esitokisini, ukujoyina kusekhona i-arthritic, futhi ama-spurs angabuya.
Nakuba ubuhlungu obangelwa ukunyakaza okulinganiselwe kungathuthukiswa, ubuhlungu obusuka ku-cartilage obude bungase buhlale. Ukuhlinzwa okubanzi okubizwa ngokuthi i-fusion ehlangene kungadingeka kulaba baguli. I-fusion iyindlela enhle kakhulu ekuqedeni ubuhlungu obuningi, kodwa kuzokwenza ukuthi izinzwane zihlale zinzima.
Imithombo:
> Deland JT, Williams BR. "Ukuphathwa kokuhlinzwa kwe-hallux rigidus" J Am Acad Orthop Surg. 2012 Jun; 20 (6): 347-58.