Opaleshoni ya Bunion: Kuchiza, Rehab, ndi Kuvuta Kwambiri
Mankhwala opangira opaleshoni angafunike ngati mankhwala ophweka sali okwanira kuthetsa zizindikiro zanu. Njira zoyenera zothandizira chithandizo nthawi zonse ziyenera kuyesedwa musanayambe kuchitidwa opaleshoni. Izi ndizowona pazifukwa zambiri, zofunikira kwambiri ndizo mankhwala ophwekawo nthawi zambiri amagwira ntchito, ndipo mankhwala osokoneza ntchito samagwira ntchito nthawi zonse. Pazifukwa izi, ziyeso zosavuta ziyenera kuyesedwa musanayambe kukambirana njira zowonjezera.
Ngati nthawi ikubwera kuti mankhwala osamalidwa asagwire ntchito, ndiye kuti opaleshoni ingaganizidwe. Chithandizo cha opaleshoni chiyenera kukwaniritsa zolinga ziwiri:
- Bwezeretsani kayendedwe kabwino ndi makina a phazi
- Kuchotsa zolemekezeka zopweteka ndikuletsa kubwereza kwawo
Chipatala cha Bunion
Kawirikawiri, bunion ikhoza kumeta ndekha. Izi kawirikawiri zimawoneka ngati chithandizo choyenera, chotsani bump yomwe imapanga m'munsi mwa chala chachikulu. Mwamwayi, mankhwalawa sakhala ogwira bwino kuti athetse vuto la bunion deformity. Pamene bomba lidzameta ndekha lidzangobwereranso patapita nthawi.
Opaleshoni ya Bunion kawirikawiri imaphatikizapo kuthyola fupa lamphongo (metatarsal) kukonza vuto lomwe linayambitsa bunion, gawo ili la njirayi amatchedwa osteotomy . Kuchita opaleshoni kumaphatikizapo kulimbitsa mitsempha kunja kwa chala, ndi kumasula mitsempha mkati mwake, kotero kupsinjika kwa mitsempha kumagwira zala zachitsulo.
Madokotala ena opaleshoni amasankha kugwiritsa ntchito mapepala, mbale, kapena zokopa kuti agwiritse fupa losweka pamene likuchiritsidwa. Ena amalola kuti fupa lichiritse popanda chitsulo.
Pambuyo pa opaleshoni, phazi liyenera kutetezedwa kuti lathyole fupa kuti lichiritse, ndi kutupa kuti zitha. Kugwiritsidwa ntchito kosasokonezeka ndi / kapena zikhomo kumadalira njira yomwe iyenera kuchitidwa.
Pali kusiyana kwa momwe angapatsidwire fupa komanso kugwiritsira ntchito pang'onopang'ono poyerekeza ndi opaleshoni komanso opaleshoni.
Zovuta za Opaleshoni
Zovuta zovuta za opaleshoni ndizo:
- Kubwereza kwa miyezi kapena zaka za mgwirizano pansi pa msewu. Izi ndizowona ngati pali kukonzedwa kokwanira kwa kuwonongeka koyamba. Monga tanenera poyamba, pamene bunion ameta ndevu, nthawi zambiri amabwerera. Pachifukwa ichi, opaleshoni yowonjezereka ikufunika kwambiri. Dokotala wochita maopaleshoni wodziŵa bwino ayenera kudziwa momwe angayendere opaleshoni.
- Kuwonongeka kwa kuwonongeka. Nthawi zina opaleshoni imakonza vutoli, koma kenako limayambitsa vuto latsopano ndi mawonekedwe a zala. Vuto lina limatchedwa hallux varus, chomwe chimachititsa kuti zala zazikuluzikulu zilowerere mkati.
- Kuvulala kwa mitsempha. Mitsempha imathamanga kumbali ya chala chapala ndipo imapereka zozizwitsa ku zala zakutsogolo. Kugwiritsidwa ntchito kwa opaleshoni kuli pafupi ndi kumene opangira opaleshoni ya bunion amapangidwa ndipo akhoza kutambasula kapena kuonongeka panthaŵi ya opaleshoni yomwe imapangitsa kuti zala zamphongo zifooka.
- Kutenga. Kutenga kumakhala kofala kwambiri kuposa momwe anthu ambiri amaganizira. Kuchita opaleshoni yamapazi kumakhala mavuto chifukwa machiritso pa phazi angakhale ovuta ndi nsapato, kulemetsa, ndi matenda.
- Nonunion ndi malunion. Nthendayi imachitika pamene mafupa samachiza pambuyo pa osteotomy ndi maonekedwe. Pofuna kupewa vutoli, madokotala ambiri amalephera kuchita opaleshoni, koma zifukwa zina zingayambitse chitukuko cha osunion kapena opaleshoni pambuyo pa opaleshoni.
Odwala ayeneranso kumvetsetsa kuti chiwerengero cha chithunzichi sichimasintha kwambiri pamene kukonzekera kwa bunion kumachitika. Kawirikawiri kukonzedwa kwa chigawo cha kutsogolo ndi gawo laling'ono la inchi. Choncho, ngati opaleshoni ya bunion ikuchitika chifukwa odwala amafuna kuvala nsapato zochepa, zotsatira zake nthawi zambiri sizikhala zabwino.
Rehab Pambuyo pa Opaleshoni ya Bunion
Pambuyo pa opaleshoni ya opaleshoni, odwala amavala nsapato yapadera yopititsa patsogolo pathupi kuti asakanikize mafupa ochiritsa. Anthu ambiri amagwiritsa ntchito zida, mpaka kupweteka koyamba kwatha. Opaleshoni ya Bunion ikhoza kukhala yosasangalatsa, ndipo ikhoza kufunsa pafupifupi miyezi itatu kapena kuposeratu.
Zotsatira:
Mann, R. "Kusokonezeka kwa mgwirizano woyamba wa Metatarsophalangeal" J. Amer Acad Orthop Surg; Vol 3, No 1 1995; p. 34-43.