Kuwonongeka kwa nyundo kumachitika pamene mgwirizano wa PIP uli wokhazikika. Izi zimapezeka kawirikawiri, ndipo kawirikawiri zimakhala zotsatira za chimphona chachikulu chaching'ono chokankhira pamphwanjo wachiwiri. Nthaŵi zambiri zopweteketsa mtima zimapanga pamwamba pa choyamba chala.
Mgwirizano wa PIP ndi umodzi mwa zitatu zitatu zazing'ono (zala zala zina osati zala zazikulu zala).
Mgwirizano wa MTP uli pamunsi pa chala chake, kenako pIP pamodzi, ndipo mgwirizano wa DIP uli pamwamba pa zala. Mgwirizano wa PIP ndi wosavomerezeka kwambiri, wopangitsa pamwamba pa mgwirizanowu kuti ukhale wolemekezeka kwambiri.
Mu chithunzi patsamba lino, chala chachikulu chimakhala ndi bunion deformity, ndipo chala chachiwiri chimakhala ndi chilema cha nyundo. Odwala okhala ndi nyundo ya nyundo nthawi zambiri amakhala ndi mawonekedwe oopsa kwambiri pamwamba pa PIP pamodzi. Kuphatikizana kwa bunion ya chala chachikulu ndi chala chachiwiri chachisawawa chimakhala chofala kwambiri. Bunion kuwonongeka kumapangitsa kuti chingwe cha nyundo chikhalepo chifukwa cha kukakamizidwa kukakamiza malo osalimba a chala chachiwiri.
Hammer Toe Treatment
Chithandizo cha chingwe cha nyundo chiyenera kukhala ndi njira zosavuta kuyamba. Ngakhale kuti mankhwala ovuta kwambiri angakhale ofunika, mankhwala osayenera amayesedwa poyamba. Njira zoyamba zothandizira ziyenera kukhala ndi pulasitiki yosavuta yapamwamba pa chala, komanso kugula nsapato zoyenera.
Nsapato zabwino kwambiri kwa odwala ndi nyundo ya nyundo zidzakhala ndi bokosi lalikulu, osasunthira kumapeto kwa chala, ndipo sichidzapangitse bunion (zomwe zingayambitse kuwonjezeka kwa nyundo ya nyundo).
Kuyika kwapadera kungagwiritsidwe ntchito kuthandizira kuchepetsa ululu wochokera kumapazi a nyundo kuphatikizapo matchitsulo a donut ndi manja a gelisi. Izi zimapangitsa kuchepetsa kupanikizika payitanidwe yomwe yapangidwa.
Ngati mankhwalawa sali okwanira kuwongolera chingwe cha nyundo, opaleshoni yoyendetsa chophimba kumakhala yofunikira. Izi kawirikawiri zimachitika mogwirizana ndi opaleshoni ya bunion deformity . Chithandizo cha opaleshoni chala cha nyundo chikhoza kukhala ndi kudula matope kuti athetse vutoli, kapena kusakaniza chala kuti liwononge molunjika kwamuyaya. Kawirikawiri opaleshoniyo imadalira ngati kuwonongeka kwa nyundo kumakhala kosavuta (kungathe kuwongoledwa) kapena kukhazikika (kumangokhala pamalo osalongosoka).
Zotsatira za chithandizo cha opaleshoni nthawi zambiri zimakhala zabwino, malinga ngati kufooka kumayendetsedwa mokwanira, kuphatikizapo kuwonongeka kwazitsamba zina (monga mabunioni). Zovuta zowonjezera za opaleshoni zimaphatikizapo matenda, kupweteka kosalekeza, ndi kubwereza kwa ubongo.
Zotsatira:
Mizel, MS, Yodlowski ML; "Kusokonezeka kwa Zophatikizana za Metatarsophalangeal." J. Am. Acad. Ortho. Kukula, May 1995; 3: 166 - 173.
Shirzad K, et al. "Zofooka Zang'ono Zochepa" J Am Acad Orthop Surgery August 2011; 19: 505-514.