Mafupa ako ematafu ndiwo mapfupa marefu akabatanidza chiuno chako kumakumbo ako. Pakati pemisoro yemapfupa e-metatarsal uye mabhodomu ezvinyorwa zvephalanges (mapfupa ako emakumbo ako) ndiwo masangano e metatarsophalangeal.
Mune mamwe mazwi, metatarsophalangeal joints ubatanidza mapfupa ako emakumbo kusvika pamakumbo ako etsoka. Majoini aya akakomberedzwa nekatetepa akabatanidzwa capsule uye ane magirasi anovatsigira.
Zvakanaka kuziva, zvakare, kuti yekutanga metatarsophalangeal joint inowanzozivikanwa segunwe guru rakabatanidzwa apo zvigunwe zviduku zvakabatana zvinonzi sechishanu metatarsophalangeal joint. Iti metatarsal yekutanga (huru inotetepa) inotaurawo ne (kana kuti inobatanidza ne) mapepa maviri echiSamoid pamusana wechiso chetsoka (pasi petsoka).
Mamiriro Ekubatsira Ma Metatarsophalangeal Joints
Pane huwandu hwehutano hwemamiriro ezvinhu hunochinja metatarsophalangeal joints, anonziwo seMATP joints. Mimwe yemamiriro aya anosanganisira:
Metatarsalgia
Metatarsalgia inoshandiswa kurondedzera marwadzo mubhokisi retsoka-iyo yakanyorova, yakasungirirwa pamucheto wetsoka dzako iyo inopfurikidza nemasatarsal mafupa. Kunyange zvakadaro, iyo inowanzokonzera marwadzo munharaunda iyi inonzi metatarsophalangeal joint.
Bunion
Bunion ndeye bony bump iyo inomira pamucheto wekunze wekutanga kweMTP. Somugumisiro wekugadzirwa kwebunion, chirwere chinonzi hallux valgus chinogona kukura iyo iyo apo chinetso chikuru chinotsauka kana chinongedzera kune zvimwe zvigunwe.
Sezvo netsoka yekutanga inodonha pachigunwe chechipiri, nenyuchi inogona kuguma. Chimwe chikonzero chinowanzoitwa bunion nekugadzira nenyuchi chinopfeka shangu dzisina kukodzera (somuenzaniso, zvitsitsinho zvepamusoro kana shangu dzinokodzera zvakare zvakasimba).
Mukuwedzera, iwe ungangodaro wakanzwa shoko rokuti bunionette iyo iyo apo bunion inowanikwa pachingwe chiduku kana chechishanu metatarsophalangeal joint.
Turf Toe
Nyeredzi inowanikwa apo rukuto rwerwe rwuri kutengesa, sekuda kutamba bhora. Kunyanya zvakanyanyisa, nehututi, hutachiona hweMTP uye hwepakati pemagetsi nematukisi zvinokuvadzwa, uye kubatana kunogona kubviswa.
Arthritis
Nechokuvhiringidzika, rheumatoid arthritis, kurwadziwa mubatanidzwa weMTP kunogona kuitika kana imire kana kufamba. Kushungurudzika kweMangwanani mubatanidzwa weMTP kunogonawo kuva chiratidzo chekutanga cherhumatori arthritis. Kuvhiringidza kwekubatana muchirwere ichi kunogonawo kutungamirira kumaronda echinhu chinokanganisa.
Osteoarthritis, maitiro asina kuvhiringidza arthritis, inogonawo kuitika mubatanidzwa hukuru hweMTP. Netsoka osteoarthritis , ruvara rwekubatana runovhara pasi, uye izvi zvinogona kuunza marwadzo uye matambudziko nekufamba.
Gout chimwe chimiro cheArthritis chinogona kukanganisa rutsoka, kunyanya yekutanga MTP. Zviratidzo zvekurwisa gout dzinosanganisira kurwadziwa nekukurumidza, kurwadza, nekudziya kwechigunwe chikuru.
Pakupedzisira, septic arthritis yemubatanidzwa weMTP inogona kuitika. Kunyange zvazvo zvisinganyanyozivikanwi kupfuura gout, septic arthritis inofanira kubudiswa kunze, sezvo ichiratidza hutachiona hwebhakitiriya mubato. Nzira inonzi arthrocentesis , iyo yakasanganiswa mvura yakasimbiswa uye inoongororwa pasi microscope inogona kusiyanisa pakati pezviviri.
Hammer Toe
Nyundo inonyanya kushandiswa kwechibvumirano cheMATP joint, kazhinji chechipiri chechishanu. Kune zvakawanda zvingaita zvinokonzera nyundo nyuchi. Semuenzaniso, nenyuchi inogona kukura mushure memafomu eBunion, izvo zvinokonzera kuti chinetso chikuru chiende kana kuti chinogumira kune chechipiri.
Nyundo inonzi nyundo inogona kuitikawo muurumatoid arthritis kana mafuta ane mafuta mubhora retsoka ari kumhanya mberi kwezvigunwe. Kukuvadza kunorwadza kune zvigunwe kunogona kukonzera nenyuchi, uye vamwe vanhu vanongoberekwa nenyuchi, chinokonzera maitiro.
Pakupedzisira, zvakakosha kuziva kuti zvimwe zvinetso zvinogona kukura, sechikonzero chechigunwe chenyundo, kusanganisira chibage uye kushandiswa kwemazimbe e-bursas-fluid-filled filled sacs iyo inoumba kana mafuta mavara mumakumbo anowanikwa mukukwirira kwepamusoro kana kupesana.
Kurapa Zvinetso zveMATP Joints
Kuti uchengetedze mamiriro ekubatana kweMTP, chiremba wako (somuenzaniso, chiremba wemapfupa anonyanya kugadzirisa rutsoka kana chiremba) achafunga kana kuvhiyiwa kana maitiro asingashanduri.
Nonsurgical Strategies
Mazhinji matambudziko anokonzerwa neTTP anotungamirirwa nehurumende. Semuenzaniso, munyaya ye bunion (chinetso cheMATP chinowanikwa), chiremba anowanzokurudzira kuti munhu afuke shangu dzakakodzera, kunyange tsika dzakaita (shangu dzakapinza dzakagadzirirwa tsoka dzako). Pamabuniyoni, shangu rine bhokisi rakawanda bhokisi, uye rimwe rakanaka uye rakanyatsogona kunogona kubatsira. Bunion pads inogonawo kuchengetedza bunion kubva pakutsvaira.
Orthotics inogona kubatsira kugadzirisa mamwe matambudziko eMTP akadai semetatarsalgia. Muchiitiko ichi, shangu dzakawanda kana pads pasi pemapfupa e forefoot zvinogona kudzikisa kusagadzikana.
Zvimwe nzira dzisiri dzekuvhiya dzinosanganisira kushandisa ice kana kutora mishonga inopesana nekuputira (semuenzaniso, ibuprofen) kunoderedza marwadzo nekuderedza kuzvimba.
Surgical Strategies
Kune hutano hwakasiyana-siyana hwekuvhiya huchagadzirisa matsi yako chaiwo. Kunyangwe zvakadaro, kuvhiyiwa kunowanzotorwa chete kana nzira dzisingabatsiri dzisingashande.
Semuenzaniso, imwe nzira inonzi inotanga kuumbwa kweMTP pamwe chete uye inosanganisira kufungidzira mapfupa ezvigunwe zvikuru uye yekutanga metatarsal pamwe chete nekusingaperi. Inogona kuitwa munyaya dzeArthritis uko goroti yakagadzikana yakave yakasakara uye marwadzo anoguma haasunungurwi nemaitiro anochengetedza kana asingashandisi.
Kutanga mutambo weMTP pamwe chete unowanzoitwa sekuvhiyiwa kwezuva, asi kugona kunogona kupedza mwedzi mitanhatu. Simba remagetsi uye, kazhinji, dende resimbi rinoshandiswa kugadzirisa kubatana.
Imwe nzira inonzi inotanga kubatanidzwa pamwe chete neMATP yakaitwa mumamiriro ezvinhu eArthritis kubvisa marwadzo asingagadziriswi nekuchengetedza kurapa. Chigunwe chikuru chibatanidza chakabviswa uye zvinoshandiswa zvinoshandiswa kuti zvitsive. Izvi zvingave zvakagadzirwa nesimbi kana plastiki. Icho chinopesana nekukanganiswa mune kuti iyo inogadzirwa inofananidza chiito chekubatana kwepakutanga.
Shoko Rinobva
Rutsoka rwakaoma asi rwunogadzirisa chikamu chemuviri, uye mafundo etsoka anonyanya kukosha kubvumira kufamba. Kana uine kurwadziwa kweMTP, izvo zvinokonzera marwadzo nekufamba, iva nechokwadi chekuona chiremba wako kuti aongorore.
Kunyanya kuwedzera, kana iwe uine ruvara rwehute, shungu, kana kukurumidza kwekudzivirirwa kweMATP joint (inowanzowanikwa mumutambo wekutanga weMTP), tapota tsvaka rubatsiro rwekukurumidza, kuti uchengetedze hutachiona.
> Sources:
> American Orthopedic Foot & Ankle Society. (2017). Kutanga MTP Joint Fusion.
> American Orthopedic Foot & Ankle Society. (2017). Kutanga MTP Joint Replacement.
> Hul EV, Vanhoenacker F, Dyck PV, De Schepper A, Parizel PM. Pseudotumoural zvinyorwa zvinyoro zvinyorwa zvetsoka uye kanyori: kuongorora kwemufananidzo. Insights Imaging . 2011 Aug; 2 (4): 439-52.
> Shirzad K, Kiesau CD, DeOrio JK, Parekh SG. Zvigunwe zvishoma zviduku. J Am Acad Orthop Surg. 2011 Aug; 19 (8): 505-14.
> Whitney KA. (2016). Merck Manual Professional Version. Metatarsophalangeal Joint Pain.