Akazi Amakhudzidwa Kwambiri Kuposa Amuna
Pali zifukwa zambiri zomwe zimayambitsa kupweteka kwamapazi, koma ngati mukukumana ndi ululu wakuthwa, umene umamva bwino mukasiya kuyenda ndikupaka phazi lanu, mukhoza kukhala ndi dzina la Morton's neuroma. Ngakhale kuti ili ndi dzina lowopsya, zizindikirozi ndi zabwino komanso zothandizira kwambiri.
Mwachidule, neuroma ndikutambasula kapena kukulitsa kwa mitsempha kumapazi pakati pa zala zakumwa zazing'ono, kawirikawiri chachitatu pakati pa chachitatu ndi chala chachinayi, kenako chimakhala chachiwiri pakati pachiwiri ndi chala chachitatu.
Neuromas ya Morton silingakhudze kawirikawiri malo oyamba ndi oyamba.
Nthawi zina imatchedwa intermetatarsal neuroma, interurgital neuroma , metatarsalgia ya Morton (ululu m'matawuni a metatarsal), perineural fibrosis (minofu yofiira pamphepete mwa mitsempha) kapena matenda opatsirana m'mimba (nthenda yachibadwa chifukwa cha kuponderezedwa).
Ngati muli ndi neuroma ya Morton, muli ndi mwayi wokwana 15% kuti mukhale nawo m'mapazi onse awiri. Neuromas ya Morton imachitika makamaka mwa amayi omwe ali pakati pa zaka 30 mpaka 50, nthawi zambiri chifukwa cha nsapato zosafunika .
Zimayambitsa
Neuroma ya Morton imayesedwa kuti imayambitsidwa ndi kuvulala kwa mitsempha, koma asayansi sadziwa kwenikweni chifukwa chenicheni cha chovulalacho. Kuvulala kungayambidwe chifukwa cha kuwonongeka kwa mitu ya metatarsal, mitsempha yothamanga ya intermetatarsal (imagwira mitsempha ya metatarsal pamodzi) kapena intermetatarsal bursa (sac pack filled fluid). Zonsezi zimayambitsa kupanikizika ndi kuvulaza mitsempha, poyamba kuchititsa kutupa ndi kuwononga mitsempha.
Pakapita nthawi, ngati kupweteka / kupweteka kumapitirira, mitsempha imadzikonzekera ndi minofu yambiri yomwe imayambitsa kukulitsa ndi kukulitsa kwa mitsempha.
Zina zomwe zimavulaza mitsempha zimaphatikizapo kungokhala ndi machitidwe osayenerera kapena mapazi osakondwera, monga kuponderezedwa (kupondaponda mkati), kuthamanga (kuthamanga kwambiri), cavo varus ( mkulu wapamwamba phazi ) ndi kutupa kwakukulu (zala zamphongo pamwamba) zala zala.
Zomwe zimapangitsa kuti phazi liyende) zifukwa zingayambe kuvulaza mitsempha ndi sitepe iliyonse. Ngati mitsempha imakwiyitsa ndi kukulitsidwa, ndiye kuti imatenga malo ambiri ndipo imakhala yowonjezereka kwambiri komanso yokwiya. Zimakhala zovuta kwambiri.
Zizindikiro
Poyamba, zizindikirozi zikhoza kuchitika kamodzi kokha, koma ngati matendawa akuipiraipira, zizindikiro zikhoza kuchitika nthawi zonse. Nthawi zambiri zimakhala bwino ngati mutachotsa nsapato yanu ndi kupalasa phazi lanu .
- Ululu (lakuthwa, kugwa, kupweteka, kuwombera)
- Numbness
- Kujambula kapena "mapini ndi singano"
- Kupsa
- Kuponda
- Kumverera kuti mukuyenda pa chinachake kapena kuti chinachake chiri mu nsapato zanu
Kudziwa
Katswiri wanu wamagulu (dokotala wapansi) adzafunsa mafunso ambiri zokhudzana ndi zizindikiro zanu ndipo adzachita mayeso. Zina mwa mayesero angaphatikizepo kuyesa kwapakati pazenera. Izi zimachitika pofikira metatarsals (mafupa omwe ali pansi pala zala) pamodzi ndi dzanja limodzi ndikugwiritsa ntchito chala chachikulu ndi chala chachindunji kuti muteteze dera lomwe likukhudzidwa kuti mubweretse ululu / zizindikiro. Chojambulira chokhazikika (Mulder's click) nthawi zambiri amakhalapo. Mayesowa angapangitsenso ululu kuwombera m'manja ndipo kumatchedwa chizindikiro cha Tinel. Mayeso a Gauthier akuphatikizira masitarsals pamodzi ndi kuwasuntha iwo kwa mphindi makumi atatu.
Izi nthawi zambiri zimapweteka kapena zimabweretsa zizindikiro zina. Chizindikiro cha Sullivan chimakhala cholimbikitsa pamene iwe umayima ndi zala zakukhudzidwa.
A Morton's neuroma kawirikawiri amapezeka kuti ndi ofanana ndi mbiri komanso zofufuza za thupi, koma nthawi zina mayesero ena monga x-ray, ultrasound kapena MRI amafunikira.
Kuchiza
- Valani nsapato zomwe zili zazikulu komanso zozama mu bokosi lazing'ono kuti musayikane ndi zala zazing'ono. PeĊµani kuvala zidendene zapamwamba chifukwa zimayambitsa kupanikizika ku mpira wa phazi lanu (kutsogolo).
- Mapiritsi a Metatarsal: Thandizo limeneli kukweza ndi kulekanitsa mitu ya metatarsal kuti ipewe mphamvu ya mitsempha. Amaikidwa kumbuyo komwe mumamva kupweteka, osati pamwamba pa malo opweteka.
- Kusintha kwa ntchito: Mwachitsanzo, mukhoza kuyesa kusambira mmalo mwakuthamanga mpaka zizindikiro zanu zitatha.
- Kujambula ndi tepi ya masewera
- Kulimbana
- NSAIDs (mankhwala odana ndi kutupa): Aleve, ibuprofen, ndi zina zotero.
- Arch imathandizira kapena matupi: Zothandizira izi kuti zithetse kuyenda kosazolowereka kumapazi anu. Kuyenda kosazolowereka kungachititse kuti muzitha kuwonjezereka ndi kukanikizika pa mitsempha.
- Kuchiza thupi
- Katemera wa Cortisone: Amathandiza kuchepetsa kukula kwa mitsempha yowopsya, yofutukuka.
- Jekeseni wa mowa: Amathandiza kuwononga mitsempha ya mankhwala.
- Kuchita opaleshoni: Ngati mankhwala osamalidwa bwino sathandiza opaleshoni. Opaleshoni ingaphatikizepo kudula mitsempha kapena kudula mitsempha yotchedwa intermetatarsal. Kafukufuku wasonyeza opaleshoni ali ndi 80-85%.
Kupewa
- Pewani kuvala nsapato zazing'ono
- Pewani kuvala nsapato zazitali
Zotsatira:
> Hughes RJ, Ali K, Jones H, Kendall S, Connell DA. Kuchiza kwa Morton's neuroma ndi jekeseni wa mowa potsatira malangizo ake: kutsatiridwa kwa milandu 101. AJR Am J Roentgenol . 2007 Jun; 188 (6): 1535-9.
> Kim JY, Choi JH, Park J, Wang J, Lee. Kafukufuku wamaphunziro a Morton's interdigital neuroma: mgwirizano pakati pa malo omwe amapezeka ndi mzere wozama kwambiri wa mitsempha (DTML). Foot Ankle Int . 2007 Sep; 28 (9): 1007-10.
> Morscher E, Ulrich J, Dick W. Morton's intermetatarsal neuroma: morphology ndi > histological > gawo lapansi. Foot Ankle Int . 2000 Jul; 21 (7): 558-62.
> Mozena JD, Clifford JT. Kugwiritsa ntchito mankhwala opatsirana pogwiritsa ntchito mankhwala opatsirana pogwiritsa ntchito mankhwala opatsirana pogwiritsa ntchito mankhwala opatsirana pogwiritsa ntchito mankhwala opatsirana pogwiritsa ntchito mankhwala osokoneza bongo. J Am Podiatr Med Assoc . 2007 May-Jun; 97 (3): 203-6.
> Spina R, Cameron M, Alexander R. Zotsatira za ntchito yogwira ntchito yomwe ikugwiritsira ntchito Morton's neuroma. Australas Chiropr Osteopathy . 2002 Jul; 10 (1): 45-50.
> Wu KK. Morton's interdigital neuroma: kuyezetsa kachipatala kayendedwe kabwino kake, mankhwala, ndi zotsatira. J Foot Ankle Surgery . 1996 Mar-Apr; 35 (2): 112-9; kukambirana 187-8.