N'chifukwa chiyani opaleshoni angafunike
Hallux rigidus ndi dzina lachipatala la matenda a nyamakazi amene amapezeka pamunsi pa chala chachikulu. Mgwirizano m'munsi mwa chindunji chachikulu ukutchedwa mgwirizano woyamba wa metatarsophalangeal , kapena mgwirizano wa MTP. Uwu ndiwo mgwirizano wa fupa lalitali la kutsogolo ndi fupa laling'ono.
Chifukwa cha makina a mapazi athu, chophatikizirachi chimakhala chocheperachepera kukula kwa nyamakazi.
Ndipotu, hallux rigidus, kapena nyamakazi yaikulu ya nyamayi, ndiyo malo ambiri a nyamakazi pamtunda.
Zizindikiro za Hallux Rigidus
Chizindikiro chofala kwambiri komanso chifukwa chodziwika kwambiri chofuna kuchipatala ndi vutoli ndi ululu m'munsi mwa chindachi chachikulu. Kupweteka uku kumawonjezereka ndi ntchito, makamaka kuthamanga kapena kudumphira. Kuvala nsapato zolimba zouma zomwe zimapangitsa kuyenda pamunsi pa chindachi chachikulu kumathandiza kuthetsa zizindikiro. Zizindikiro zina zowonjezereka zimaphatikizapo kutupa pansi pa chala chachikulu, chotupa pafupi ndi chophatikizichi chifukwa cha mapangidwe a fupa , ndi zofuula kuchokera ku zozizwitsa zala.
Zizindikiro zowonekera anthu omwe ali ndi hallux rigidus chidziwitso ndi awa:
- Ululu m'munsi mwa chala chachikulu
- Kutupa kwa chala chala
- Zovuta ndi zochitika kuphatikizapo kuyendetsa, kudula mapiri
Zizindikiro zimakhala zoipitsa pamene chophimba chachikulu chiyenera kugwedezeka mmwamba, monga momwe ziliri pamene mukuyenda mofulumira kapena kuthamanga.
Pamene chalachi chikukakamizidwa kumtunda, fupa la fupa lomwe linapangidwa limaphatikizana palimodzi kupangitsa kupweteka ndi kutupa. Ichi ndi chifukwa chake nsapato ndi kusinthidwa kwa ntchito zingathandize kwambiri kuthetsa zizindikiro.
Kupezeka kwa hallux rigidus kumachitika poyesa kuyenda kwa mgwirizano wa MTP, kawirikawiri kuwuyerekezera ndi phazi losiyana kuti awone kuchuluka kwa kayendedwe kotayika palimodzi.
Ma X-rays amachitidwa kuti adziwe kuchuluka kwake kwa khalati kakang'ono kameneka katha ndipo ndikuwona ngati malo opangira mafupa apangidwa muderali. Kuzindikira kuchuluka kwa nyamakazi kungathandize kutsogolera chithandizo.
Kuchiza kwa Hallux Rigidus
- Kuvala Zovala Zosweka
Nsapato zowumitsa zofooka zimachepetsa kuyenda pamunsi pa chindachi chachikulu. Kuyika kungapangidwe nsapato zomwe zingathandize kuthandizira nsapato zanu. Mwinanso, pamene mukugula nsapato, yang'anani mitundu yomwe ili ndi zochepa zosasintha zomwe zingalepheretse kugwiritsira ntchito nyamakazi . - Kuwonjezera Mwala Womangira Maluwa
Phokoso la pansi ndilokha lokhazikika lomwe lingathe kuwonjezeredwa ku nsapato zanu. Dothi-pansi, mofanana ndi pansi pa mpando wokhotakhota, limathandiza phazi kusintha bwino kuchoka chidendene mpaka chala chala ndikuyenda. Kusinthidwa kumeneku kumapangitsanso kuchepetsa kayendetsedwe ka nyamakazi. - Mankhwala Oletsa Kupweteka
Mankhwalawa amathandiza kuchepetsa kupweteka ndi kutukumula m'madera otupa. Ngati mankhwala opezeka pakamwa sakukwanira, jekeseni wa cortisone ingathenso kuganiziridwa. Mankhwala a cortisone muzitole zazikulu zingakhale zopweteka, chifukwa palibe malo ambiri omwe mankhwalawa angapangidwe (poyerekeza ndi bondo kapena mapewa), koma mpumulo umakhala wofulumira ndipo ukhoza kukhala wautali.
Kodi Kupaleshoni N'kofunikira kwa Chithandizo cha Hallux Rigidus?
Nthawi zina opaleshoni ndi mankhwala abwino kwambiri a hallux rigidus, makamaka ngati njira zowonongeka sizikukuthandizani. Kuchita opaleshoni kawirikawiri ndi njira yoyamba yothandizira, ndipo kawirikawiri anthu ayenera kuyesa njira zosavuta musanayambe kupita kuchipatala choopsa. Njira ziwiri zochitiramo opaleshoni zimatchedwa cheilectomy kapena arthrodesis (fusion). Cheilectomy ndizochitidwa pofuna kuchotsa fupa la fupa. Cheilctomy nthawi zambiri imathandiza ngati fupa la fupa likulepheretsa kuyenda.
Chodetsa nkhaŵa pochita cheilectomy ndi chakuti ngakhale kuti fupa la fupa lichotsedwe, mcherewo ulibe nyamakazi, ndipo spurs akhoza kubwerera.
Ngakhale kuti ululu umene umakhalapo chifukwa cha kuchepa kwaching'ono kungakhale bwino, ululu umene umachokera ku kanyumba kakang'ono kamangokhalapo. Kuchita opaleshoni yowonjezereka yotchedwa joint fusion kungafunike odwala awa. Kusakaniza ndi njira yabwino kwambiri yothetsa ululu wambiri, koma izi zikhoza kupangitsa kuti zalazi zikhale zolimba.
Zotsatira:
> Deland JT, Williams BR. "Kusamalira opaleshoni ya hallux rigidus" J Am Acad Orthop Surg. 2012 Jun; 20 (6): 347-58.