Zvinyorwa zveAches muKutanga kwako Metatarsophalangeal Joint
Urombo muhudyu hwako hukuru huri pamwe hunogona kuita kuti iwe usuruvara. Mutambo wekutanga metatarsophalangeal musungo unobatanidza chigunwe chikuru kusvika kwekutanga metatarsal bone ye forefoot. Kunyangwe zvikamu zvezvigunwe zviduku zviduku, zvakakosha kune tsoka dzakanaka. Mafundo aya anotsungirira kuremera kwakakura-kutakura kushungurudzika. Pavanenge vachikuvadza, iwe uri muzuva rakaipa. Zvimwe zvezvinetso zvinowanzowanzoitika pajoyi iyi zvinosanganisira izvi zvishanu:
Bunion
Bunion ishizha guru, rinoputika pamusoro pezvigunwe zvigunwe zvigunwe zvinosanganiswa nehutano hwemutsoka unozivikanwa se hallux valgus deformity. Bunions inokonzerwa nechigunwe chakakura chakabatana pamwe chete uye hachisi kuwedzera kukura, izvo zvinowanzosaziva.
Kunze kwekumborera kuonekwa, hallux valgus inokonzera kuchinja kwechigunwe chikuru chechigunwe, zvichiita kuti ichinje kune zviduku zvishoma pane imwe nguva. Chigumisiro chenguva dzose ndicho chakawedzerwa mberi uye chinoputika, chinotsamwiswa, uye dzimwe nguva kuputika bump kune rumwe rutivi rwechigunwe chikuru. Kunyange zvazvo zvikwereti zvakawanda zvinokonzerwa nemakumbo asina kukodzera biomechanics, mamiriro akadai sehumhumatoid arthritis anogona kutungamirira ku bunion deformity.
Mashoko akanaka ndeokuti kune zvinhu zvaunogona kuita kuti kuderedza zviratidzo zvebunion kana une imwe (kana maviri). Heano maitiro mashomanana aungafunga:
- Kupfeka shangu, shangu dzakatambanudzwa nebhokisi rakakura-bhokisi kuti uwane nzvimbo yakawanda yakakomberedzana netsoka huru. Izvi zvinoderedza kushandiswa kwebunion.
- Isa padhi pane bunion kudzivisa kubvisa nekutsamwa.
- Ita kutarisa maitiro ekuvandudza kushamwaridzana kushamwaridzana.
- Mushure mokunge muchishandisa netsoka dzenyu, shandisa hodha yepamusoro pamusoro pebunion (iva nechokwadi chekuisa pepa repepa kana jira pakati pepakati uye ganda rako).
- Kurukura nachiremba wako kana iwe uchifanira kutora anti-inflammatory, kufanana ne ibuprofen, kana bunion yako inorwadza kana ichibhururuka.
Kana kushamwaridzana kwako kuchienderera mberi pasinei nezviyero izvi zvisinganzwisisiki, chiremba (chiremba anonyanya kugadzikana mumamiriro etsoka) anogona kukukwanisa iwe nehomwe yako yakapfeka shangu (orthotics) kutsigira gumbo rako guru. Mumiririri wako anogona kukupawo zvigunwe zvigunwe zvaunopfeka usiku kuti uenzanise netsoka huru iwe uchirara.
Kana zviyero izvi zvisingashande uye iwe uchiri kutsungirira kurwadziwa kana matambudziko nekufamba, mupurisa wako anogona kukutaurira kune chiremba chiremba. Kune michina yakasiyana-siyana yekuvhiya iyo inogona kuitwa kuisazve pfupa uye kubvisa bump.
Arthritis
Nzira yakakurumbira yeArthritis inokanganisa chigunwe chikuru chakanyanyobatanidzwa ndeye osteoarthritis, inokonzerwa nokuora kweiyo martilage. Osteoarthritis pachigunwe chikuru chekubatanidza inogona kukura kubva kune zvinetso netsoka dzakagadzikana uye kushanda, zvichiita kuwedzera kupfeka-uye-kusvimha. Kutambudza kwakadai sokuputsika kana kuparadzaniswa kwechigunwe chikuru kunogona kukonzerawo osteoarthritis. Zvimwe, zvishoma zvisingawanzozivikanwa zvearthritis zvinobata zvigunwe zvikuru zvinosanganisira rheumatoid arthritis uye psoriatic arthritis .
Zviratidzo zveArthritis zvechigunwe chikuru zvinogona kusanganisira kurwadziwa, kunzwa kwekukuya, kuoma, uye kuzvimba. Marwadzo e-osteoarthritis emakona makuru anowanzoonekwa zvikuru kana amire uye achifamba. Vamwe vanhu vane osteoarthritis yejoka huru yakabatana vanokura mamiriro ezvinhu anonzi hallux rigidus, umo kune kusagadzikana kusingawanzoshandi kwekubatanidza, zvichiita kuti zvive zvakanyanya kushandiswa kwezvigunwe.
Kana arthritis ichifambira mberi, knobby kukura kunonzi bone spurs inogona kukura iyo yakafanana neBunion. Misiyano kunyange ndeyekuti apo bunions inokura mukati memakumbo, bony inotsika kubva mberi arthritis inowanzogadzirwa pamusoro pezvigunwe zvikuru zvakabatana. Kufanana nemabunioni, izvi zvinokurudzirwa zvinogona kuumba hallux valgus kuparara umo iyo huru yezvigunwe inotarisa kune yechipiri cheto.
Miitiro yakareruka yekurapa arthritis yezvigunwe zvikuru zvigunwe zvinosanganisira kutora mishonga inorwisa-kupisa zvinorwadza seNSAID, pasi pezano rechiremba wako. Iwe unogona kukurudzirwa kupfeka shangu nemusungo wakaoma kana kuti kukotama pamakona makuru akabatanidzwa.
Kurapa kwepanyama kunogona kubatsira uye dzimwe nguva steroid inopinda mujoini inodiwa kuti kuderedzwa marwadzo uye kuvhiringidzika pamwe. Zvishoma nezvishoma, chirwere chinodiwa, kubvisa bone spurs (inonzi cheilectomy ) kana bone fusion yejoka.
Gout
Gout ndiyo mamiriro ekugadzirisa zvinogona kukanganisa huruku. Gout inowanikwa apo uric acid inovaka muropa romunhu, ichigadzira makristasi ayo anowedzera kuiswa mubatanidzwa, kazhinji kako kakawanda kakabatana. Izwi rezvokurapa rinotsanangura gout muzvigunwe zvikuru zvakabatanidzwa ndiro podagra.
Zviratidzo zve gouty arthritis zvinosanganisira tsvuku, inopisa, uye inorwadza zvikuru. Kana gout kushungurudzwa kusingateereri uye kuitika kakawanda kwemazana emakore, kubatana pamwe chete kunogona kuitika. Mukuwedzera, gout tophi inogona kuumba, izvo zvinooneka kana kuti zvinokonzerwa nemarate zvinyorwa zvinowanikwa pazvigunwe.
Dzimwe nguva, zvinogona kuva zvakaoma kune chiremba kuti aparadzanise pakati pe gouty arthritis muzvigunwe zvikuru zvakabatanidzwa uye nehutachiwana hutachiwana. Munyaya iyi, chiremba wako anogona kuraira kuongorora ropa kuti uone uric acid mazinga muropa rako. Kana yakasimudzirwa, izvi zvinogona kuva chiziviso chinonzi gout kusangana-kunyange, iyi haisi mitemo yakaoma uye inokurumidza, kungoziva. Kakawanda kacho chiremba achada kutora sampu yemvura inenge iri pamwe chete kuti iedze iyo yeric acid crystals uye iite tsanangudzo yekujekesa.
Kurapa kwegout muzvigunwe zvikuru zvakagadzikana zvakapetwa kaviri, kurapa zvose zvigunwe uye zvakakwirira zveuric acid muropa. Pamusoro pezvigunwe, chirwere chinokonzera gout chinogona kurapwa nemishonga yemishonga inonzi colchicine, an anti-inflammatory (kufanana neNSAID), kana steroids.
Kuti udzikise gout uye kudzivirira kusangana kwemazuva anotevera, chiremba wako angangokurudzira kupererwa kana uine uwandu hwepamusoro kana uwandu uye uchiita kuchinja kwekudya se:
- Kudzvora pamusoro pezvitsvuku, nyama yegungwa, nedoro
- Kudzivisa kudya uye zvinwiwa nehura yakakura ye-corn-fructose
- Kuwedzera mafuta anochera-mafuta, miriwo, uye zviyo zvakakwana zvezviyo muzvokudya zvako
Kana iwe uine maitiro akawanda ekurwisa, chiremba wako anogona kukurudzira mishonga yemishonga yekuderedza uric acid mazinga muropa.
Sesamoiditis
Mapfupa easamoid etsoka ndiwo mapfupa mashoma maduku akawanikwa pasi pesati rekutanga remetatarsal, pedyo nejoko huru (pamwe chete) (metatarsophalangeal joint joint). Vanogara mukati mechitsiko chinoshandura chigunwe chikuru.
Mafupa echiSamoid anowirwa pasi nekurwadziwa nekuputika kubva pachiremera kana chirwere chisingaperi. Sesamoiditis inowanzobatana nemabasa anosanganisa kuenzanidza pamakona kana kuruka, zvakadai se ballet dancing kana basketball. Kuputsika kwethambo reSamoid kunogona kukonzera zviratidzo zvakafanana, kazhinji nekurwadziwa kukuru pasi pebhokisi retsoka uye munharaunda pasi pegunwe guru.
Sesamoiditis inogona kuva yakamanikidzwa mamiriro ekurapa nekuda kwehuwandu hwekutakura-kutakurwa kwebhora retsoka panguva yekufamba. Mune dzimwe nguva, zviitiko zvakanyanya zvakanyanya zveSamoididitis kana kuputsika kwethambo reSamoid zvinogona kureva kusakosha kwekutakura nemakwenzi kana kuti kukandwa. Sesamoid fractures inogona kuvhiyiwa.
Sesamoiditis iyo isingabatanidzwi nekuputsika kana kuti zvinyoronyoro zvisikwa zvinogona kubatwa nezororo kubva pane basa, kupoteredza bhora retsoka, uye shoe orthotics (mabhesi anobatsira) kubvisa pasi pasi kubva bhora retsoka. Zvikwereti zvehombodo zvinogona kupiwa, zvakadai seshangu yakasimba-yakagadzirwa kana shangu-yepasi-pasi. Chifukidziro chepasi-chakadzika chakafanana neshangu yekutinhira, pakuti zvose zviri zviviri zvinoputika izvo zvinoderedza kusvitsa pasi pezvigunwe.
Turf Toe
Nyoka inowanzova kukuvadza kunowanzoitwa nemitambo, uye seSamoamoiditis inoratidzirwa nekurwadziwa pasi pegumbo guru. Marwadzo anowanzobva kune imwe nzvimbo, iyo inokuvadza kana misodzi kusvika kune gumbo muzodzi.
Zita rokuti turf rinouya kubva pakabatana pakati pekukuvara uku uye mitambo yakabatanidzwa pane zvigadzirwa zvemaoko, zvakadai sebhola nebhokisi. Kukuvara kunowanikwa apo chiso chako chinotsungirira simba rakawandisa paunenge uchinyatsogadzirisa, zvakadai sokuti mutambi anokwira kubva pachigunwe chikuru kana achicheka uye achimhanya. Mamiriro ezvinhu ematambudziko akaoma, shangu dzemitambo , uye kushungurudzika pamusoro pezvigunwe kubva kumhanya zvinogona kuita zvose kune izvi kukuvara.
Zvichienderana nehuwandu hwekukuvara, zviratidzo zvinowanzosanganisira imwe nzira yekuzvimba, kubvongodza, nekurwadziwa. Kurapa kwehutachiwana kwakafanana nesamoiditis, inotarisa kuderedza kushungurudzika pamakona makuru ekubatana kuitira kuti zvibvumire kuporesa. Nokuda kwemaitiro akaoma, ice, kukwirira, kudzivirirwa kwetsoka, uye dzimwe nguva mapfundo anodiwa. Kukuvadzwa kwakanyanya kunogona kudikanwa kutumirwa kune chiremba chiremba.
> Sources:
> American Academy of Orthopedic Surgeons. Arthritis of the Foot and Ankle.
> American Academy of Orthopedic Surgeons. Chirwere Chinyanya Chete (Hallux Rigidus).
> Becker MA. Dzidzo yevarwere: Gout (Beyond the Basics). Mu: UpToDate, Dalbeth N (Ed), UpToDate, Waltham, MA.
> Doherty M, Abhishek A. Clinical zviratidzo uye kuongororwa kweasteoarthritis. Mu: UpToDate, Hunter D (Ed), UpToDate, Waltham, MA.
> Fields KB. Kuongorora uye kuongororwa kwezvikonzero zvinokonzerwa nekurwadziwa kwetsoka kune vanhu vakuru. Mu: UpToDate, Eiff P (Ed), UpToDate, Waltham, MA.