Zachidule za zizindikiro za Hallux Rigidus ndi Chithandizo
Ngati mwauzidwa kuti muli hallux rigidus muyenera kudziwa chiyani? Ndani amapanga mtundu uwu wa nyamakazi ndipo zizindikiro zake ndi ziti? Ndi mankhwala ati omwe si opaleshoni ndi opaleshoni omwe alipo?
Kodi Hallux Rigidus Ndi Chiyani?
Hallux rigidus ndi njira yowonongeka ya nyamakazi (osteoarthritis.) Hallux (amatanthauza chotupa chachikulu) rigidus (amatanthauza kuuma) nthawi zambiri amakhudza anthu akuluakulu pakati pa zaka 30 ndi 60, ndipo nthawi zambiri zimakhala zotsatira za kuvulaza masewera a kusekondale .
Matenda a chimphona chachikulu ndi malo omwe amagwiritsidwa ntchito kwambiri m'magazi, omwe amachititsa anthu awiri pa anthu 100 alionse oposa zaka 50.
Ndizowonjezera pansi pazitolikulu (metatarsophalangeal joint, kapena MTP joint) yomwe imakhudzidwa ndipo chikhalidwe chimakula pang'ono pang'onopang'ono. Osati ochita maseŵera onse ovulala amakhala ndi hallux rigidus yomwe imapempha funso lakuti: Chifukwa chiyani ena amakhala ndi hallux rigidus koma ena samatero?
Ndani Amakulira Hallux Rigidus?
Anthu omwe amachita nawo masewera omwe amatsitsa, kupsinjika, ndi kutambasula amayendetsa mapazi awo amatha kukhala ndi vuto laling'ono komanso kupopera pakati pa chanza chachikulu. "Nyenyezi yachitsulo," dzina lopwetekedwa ndi izi, ingayambitsenso kuti fupa la mafupa kapena osteophyte likhalepo. Maseŵera ndi mpira wotsegulira pazida zochititsa chidwi zimayambitsa zovulala zambiri m'maseŵera. Ngati simukuchiritsidwa bwino, chofufumitsa chingayambitse ku hallux rigidus.
Sizithamanga zokha zomwe zimakhazikitsa hallux rigidus ngakhale.
Anthu omwe agwa mitsempha kapena katchulidwe kambiri ka mavoti amatha kukhala ndi hallux rigidus. Ikhoza kuyenda m'mabanja monga mtundu wa mapazi amodzi omwe amatha kukhala ndi hallux rigidus kuposa ena. Hallux rigidus imayambanso chifukwa cha matenda enaake opweteka, monga matenda a nyamakazi kapena gout.
N'chifukwa Chiyani Kuganizira zachipatala n'kofunikira kwambiri ndi Hallux Rigidus?
Kupanda chithandizo choyenera cha kuvulala kwakukulu kwazumpha kukhoza kukhala ndi zotsatira zoopsa. Chithandizo n'chofunika kuti chikhalidwecho chisakhale chofooketsa. Zolemba zapamwamba hallux rigidus zingayambitse:
- Ululu, ngakhale panthawi yopumula
- Ululu umene umapweteka ndi kugwiritsa ntchito chala chachikulu, monga kulumpha
- Zovuta kuvala nsapato chifukwa cha fupa la fupa
- Zovuta kuvala nsapato zapamwamba
- Kumva kupweteka m'chiuno, bondo, kapena kumbuyo kumbuyo chifukwa cha kusintha kwa momwe wina amayendera
- Limping
Njira Zothandizira Odwala Hallux Rigidus
Pali zonse zomwe sizingapangidwe opaleshoni ndi opaleshoni zothandizira kulumikiza hallux rigidus. Momwemonso, hallux rigidus idzapezeka m'zaka zoyamba pamene zosankha zosagwiritsidwa ntchito zokha zingagwiritsidwe ntchito. Ngati vutoli likupweteka pampumulo kapena kupopera kwakukulu, opaleshoni angafunike.
Njira zopanda opaleshoni ndizo:
- Kusintha kwa nsapato (mwachitsanzo, nsapato za nsapato zogwiritsidwa ntchito kuti zisamayende mwatsatanetsatane wa nsanamira zazikulu, nsapato zouma zolimba zomwe zimachepetsanso kayendetsedwe kamodzi, kapena kuwonjezera pansi pamwala ku nsapato.)
- Kusintha kwa ntchito (mwachitsanzo, kuchita masewera olimbitsa thupi.)
- Mankhwala otsutsana ndi kutupa (monga Advil (ibuprofen) kapena majeremusi a steroid .
Njira zopangira opaleshoni ndizo:
- Cheilectomy , yomwe imadziwikanso kuti kumeta tsitsi lalikulu (kwa anthu kuyesera kusunga mgwirizano, kuyenda, koma kumapeto ndi kupweteka pang'ono). Ichi chimatengedwa kuti ndi "njira yodzigwirizanitsa" pamene kuyenda pa metatarsophalangeal mgwirizano kumasungidwa.
- Arthrodesis, yomwe imatchedwanso mgwirizano wothandizira (kwa anthu ofuna kupwetekedwa mtima mpaka kalekale ngakhale kuti mapepala osakanikirana sadzagwedezeka.) Arthrodesis imaonedwa kuti ndi "njira yodziphatikizira" monga kusakanikirana kwa mgwirizano kumachotsa kuyenda kulikonse pamodzi. Kwa anthu omwe ali ndi mapuloteni otchedwa hallux rigidus, komabe, arthrodesis amatha kuwonetsa ululu wa nthawi yaitali ndi zotsatira zabwino zothandiza.
- Njira zatsopano monga kupangira arthroplasty zimayesedwa koma palibe amene akudziŵa za momwe angathere kapena kutetezeka kwa nthawi yaitali.
Kodi muyenera kuchita chiyani ngati muli ndi zizindikiro za Hallux Rigidus?
Ngati muli ndi zizindikiro za hallux rigidus, pangani nthawi yoti muwone dokotalayo nthawi yomweyo. Kuchiza msanga ndi matenda oyambirira kumabweretsa zotsatira zabwino kwambiri. M'kupita kwa nthawi, hallux rigidus ingayambitse kupweteka kwa moyo, mavuto a kuyenda kwa phazi lanu, ndi kusokonezeka kwadzidzidzi. Poyambirira, njira zowonongeka monga nsapato zosinthidwa, kuchepetsa ntchito, mankhwala a steroid, ndi mankhwala otsutsa-kutupa angakhale okwanira kuchepetsa kupweteka kwanu ndi kuchepetsa kuyendayenda. Izi zikuti, ngati mukukumana ndi ululu ngakhale kupumula kapena ngati mkhalidwewu ukukhudzidwa, chithandizo cha opaleshoni chingakhale chofunikira kuti muthetse kupweteka.
> Zotsatira:
> Dulgeroglu, T., ndi H. Metineren. Kuchiza kwa Mapeto a Hallux Rigidus Kugwiritsira Ntchito Total Joint Arthroplasty: Kuphunzira Kwanthawi Yomwe Akuchipatala. Journal of Foot ndi Ankle Surgery . 2017. 56 (5): 1047-1051.
> Larn, A., Chan, J., Surace, M., ndi E. Vulcano. Hallux Rigidus: Kodi Ndiyandikira Bwanji? . World Journal of Orthopedics . 8 (5): 364-371.