Izimbangela ezivamile zezinhlungu zonyawo nokuthi uzelapha kanjani

Imfundo Yezempilo

Ukuhlangabezana nanoma yiluphi uhlobo lobuhlungu bezinyawo kungenza impilo yansuku zonke ingakhululeki. Izinyawo zithambekele ekucindezelekeni ngoba zithola umthelela oqondile kusuka emisebenzini efana nokuhamba, ukugijima, ukuzivocavoca, nokuma nje umile. Ngaphansi kwesikhumba, kunamathambo amaningi, amalunga, imisipha, izinzwa nemisipha okungaba buhlungu uma kukhona okungahambi kahle. Lezi ngezinye zezimbangela nezinhlobo ezivame kakhulu zobuhlungu bonyawo — nokuthi uzelapha kanjani.

Izimbangela ezivamile zobuhlungu bonyawo

Ubuhlungu bezinyawo buvame kakhulu. Abanye abacwaningi balinganisela ukuthi ama-25% wabantu ahlangabezana nobuhlungu bezinyawo nganoma yisiphi isikhathi. Ubuhlungu benyawo bungavela phezulu, ohlangothini, isithende, i-arch, noma ibhola lonyawo. Yize kunezimbangela eziningi zobuhlungu ezinyaweni, eziningi zazo ziwela ezigabeni ezilandelayo:

1. Izinkinga zezinyawo zomzimba
2. Ukusetshenziswa ngokweqile
3. Ukulimala nokuhlukumezeka ezinyaweni
4. Izicathulo ezingakulungele
5. Izimo ezingaphansi
6. Imithi

Abanye abantu banamathuba amaningi okuzwa ubuhlungu bezinyawo ezimpilweni zabo zonke kunabanye. Kunezici ezimbalwa zobungozi okufanele wazi ngazo kubandakanya iminyaka, ubulili, ubungozi emsebenzini, futhi-ke, ezemidlalo, kusho uKen Redcross, MD, umsunguli we I-Redcross Concierge . Izingane kanye nabantu asebekhulile banamathuba amaningi okuzwa ubuhlungu bezinyawo-izingane ngenxa yemisebenzi ephezulu yomthelela ocasulayo amapuleti okukhula esithendeni. Ngokukhula, ukugoqa onyaweni kuyaphela. Ngaphezu kwalokho, abantu asebekhulile bathola ukunikezwa kwegazi okuncane, ukungahambi kahle kwegazi, isifo samathambo nesikhumba esomile. Lokhu konke kungaba nomthelela ezinhlungwini zonyawo. Abesifazane nabo basengozini enkulu yobuhlungu bezinyawo kunabesilisa. Lokhu kungabangelwa ukugqoka izicathulo eziphakeme noma ezinye izicathulo ezincanyana kakhulu.

1. Izinkinga zezinyawo zomzimba

Nazi ezinye izingqinamba zesakhiwo ezingadala izinhlungu ezinyaweni:

• Ikhothamo eliphakeme kubeka ingcindezi eyengeziwe emathanjeni ebholeni lonyawo. Le ngcindezi eyengeziwe ingagcina iholele ebuhlungwini noma ekuvukeleni.
• AmaBunion , noma i-hallux valgus, iyiqhuqhuva lamathambo elitholakala esihlangwini sezinzwane ezinkulu.
• Izinyawo eziphansiukukhubazeka lapho intambo yonyawo iwa noma ingakhuli ngokuphelele. 20% -30% yabantu abaningi bazalwa ngezinyawo eziyizicaba.
• IHammertoe kulapho inzwane yesibili, yesithathu, noma yesine igobeka noma igobe phansi esikhundleni sokuthi iqonde. Uma lokhu kwenzeka, amanye amathambo, imisipha, nemisipha ekushintsheni kwezinyawo, okubangela ubuhlungu.
• Uzwane lwesibili olukhulu kunozwane lokuqala kungadala ukuthi isisindo somzimba sigudluke kancane, singeze ingcindezi ebholeni lonyawo, elingaba buhlungu ngokuhamba kwesikhathi.
• Ukuphakamisa nokuphimisela bhekisa ekusatshalalisweni kwesisindo somzimba. Ukuphakanyiswa kusho ukuhamba ngesisindo esiningi ngaphandle kwezinyawo, kanti ukuphinyiselwa kusho ukuhamba ngesisindo esiningi endaweni yangaphakathi ye-arch. Abantu abane-supination noma i-pronation basengozini yokuthuthukisa isimo esivele sijwayelekile esibizwa plantar fasciitis . I-Plantar fasciitis yenzeka lapho ibhande elingezansi konyawo elibizwa ngokuthi yi-plantar fascia liyavuvukala livuvuke. Kubonakala ikakhulukazi njengobuhlungu be-arch nesithende, kepha ezimweni ezinzima, kungadala ubuhlungu ebholeni lonyawo.

2. Ukusetshenziswa ngokweqile

Ukuchitha isikhathi esiningi ngonyawo, ikakhulukazi ezicathulweni ezingasekeli njengezithende eziphakeme, kungabeka ingcindezi eyeqile ebholeni lonyawo. Ubuhlungu ebholeni lonyawo (obizwa nangokuthi i-metatarsalgia) bungabonakalisa njengokushisa, okubukhali noma okubuhlungu. Ibhola lonyawo liyingxenye yodwa engemuva nje kwezinzwani. Ubuhlungu buvame ukuba nzima lapho uguqula unyawo.

Izinyawo zisabalalisa isisindo somzimba ngokulinganayo, futhi umsebenzi omningi kakhulu (okungukuthi, ukuhamba ngezithende eziphakeme) kubangela ukuthi ibhola lonyawo lithwale isisindo somzimba esengeziwe kunalokho elivame ukukwenza. Lokhu kungadala ukuthi imisipha, amathambo, nemisipha kuvuthe futhi kube buhlungu. Ukuma, ukuhamba, noma ukuzivocavoca ngokweqile nakho kungadala ukuthi imisipha nemisipha engaphezulu konyawo kuvuthe, okungagcina sekubuhlungu. Ezinye izimo zezinyawo ezibangelwa ukusetshenziswa ngokweqile zifaka i-bursitis, i-heel spurs (efana ne-plantar fasciitis), i-Morton's neuroma, i-tendinitis, kanye ne-fractures ye-stress.

3. Ukulimala nokuhlukumezeka ezinyaweni

Izinyawo zithambekele ekulimaleni ngenxa yengcindezi abazibekezelela emisebenzini yansuku zonke. Kungenzeka ucindezele, uhlunge, noma uqhekeke ngisho namathambo e-metatarsal ngaphezulu konyawo. Ibhola lonyawo libuye lithambekele ekuqhekekeni kwengcindezi evela emisebenzini yomthelela omkhulu njengokugijima nokugxuma. Ukwephuka kwengcindezi kungadala ubuhlungu obubukhali, obufiphele noma obubuhlungu futhi kufanele kutholakale ukuthi kulashwa ngudokotela. Yize izimpawu zobuhlungu obedlulele, ukulimaza, kanye nokuhamba okulinganiselwe kuyizimpawu zokubonisa ukwephuka, ithambo eliphukile lizodinga i-X-ray ukuxilonga futhi kungenzeka liphathwe ngama-splints noma ukhonkolo ukuze unyawo luphole kahle. Kwesinye isikhathi, ukuhlinzwa kungadingeka.

4. Izicathulo ezingakulungele ukugula

Ukugqoka izicathulo ezingasekelwa kuyimbangela ejwayelekile kakhulu yezinhlungu zonyawo. Kungadala izinzipho zezinzipho ezigxilileI-neuroma kaMorton, ne-tendinitis. I-tendinitis nayo ingavela emahlombe, izindololwane, izandla, nezihlakala. Lezi yizinhlobo ezintathu ezivamile ze-tendinitis ezinyaweni:

• I-Achilles tendinitis imvamisa kubangelwa ukulimala kwezemidlalo, izicathulo ezingafaneleki kahle noma ezingasekeli, noma isifo samathambo. Ukulimala kwethenda le-Achilles kuvame ukubonakala ngesisa phakathi kwesithende nemisipha yethole.
• I-tendinitis eyandayo kwenzeka lapho imisipha egijima ngaphezulu konyawo ivutha. Imisipha evuthayo ingadala ubuhlungu nokuvuvukala. Lolu hlobo lwe-tendinitis luvamile kubantu abagqoka izicathulo ezingakulingene kahle, ikakhulukazi ngenkathi bezivocavoca umzimba.
• Sesamoiditis Olunye uhlobo lwe-tendinitis oluvame ukubangelwa ukusetshenziswa ngokweqile. Imisipha evuthayo ingaba buhlungu kakhulu futhi iholele ekuqaqeni kwebhola onyaweni.

5. Izimo ezingaphansi

Ukuze welaphe izinyawo, ukuhlinzekwa kwezempilo kungadinga ukuhlolela nokwelapha izimo zempilo ezingaphansi. Lezi zifo ezilandelayo ezingamahlalakhona zingadala izinhlungu ezinyaweni.

• Isifo samathambo kungadala ubuhlungu beqakala nobuhlungu ngaphezulu konyawo. Isifundo esisodwa bathole ukuthi abantu abane-arthritis ye-rheumatoid banamathuba aphindwe kathathu okuzwa ubuhlungu bezinyawo. I-arthritis ivame ukuthinta ukuhlangana kokuqala kwe-metatarsophalangeal (MTP), okuxhuma isisekelo senzwane enkulu kulo lonke unyawo. Uma lelijoyinti livutha, lingathinta indlela izinyawo ezisebenza ngayo futhi liholele ebuhlungwini nasekuvuvukeni. Ubuhlungu obuhlangene, ukuqina okuhlangene, noma ukuhamba kanzima kungakhombisa isifo samathambo ezinyaweni.
• Gout yisifo esidala isifo samathambo ngenxa yokwakheka kwe-uric acid ecasula amalunga bese ibangela ubuhlungu. I-gout ivame ukushaya phansi kozwane olukhulu.
• Isifo sikashukela ubuhlungu bezinyawo (i-peripheral neuropathy) kubangelwa ukulimala kwemithambo yegazi nanjengomphumela kashukela ophezulu wegazi. Lokhu kulimala kwezinzwa kungadala ukuba ndikindiki ezinzwaneni, ezinyaweni nasemilenzeni. Uma ukuzwa kunciphile, ukusikeka okungatheni nokuklwebheka kungadala izilonda ezijulile noma izilonda. Kungalashwa, ukutheleleka kungadlulela ethanjeni kubulale izicubu. Kwesinye isikhathi, ukunqunywa kuyadingeka.
• I-osteoarthritis (uhlobo oluvame kakhulu lwe-arthritis) lwehlisa uqwanga ejoyintini. Njengoba umzimba uzama ukulungisa uqwanga, uyakha amathambo aqubuka eduze kwendawo eyonakele.
• Isifo semithambo eseceleni ( IPAD ) kunciphisa ukugeleza kwegazi kuya emilenzeni kusuka ekuvalelweni kwe-cholesterol, okuholela ebuhlungwini lapho uhamba. Kungabangelwa ukubhema, ukukhuluphala ngokweqile, umfutho wegazi ophakeme, i-cholesterol ephezulu, nobudala (obudala kunama-50).
• I-papillomavirus yomuntu ( I-HPV ) yigciwane elingadala ama-plantar warts phansi kwezinyawo.
• Isimo sikaRaynaud kubangela ukuba ndikindiki noma ukubanda ngenxa yokushintsha kwezinga lokushisa nokucindezeleka. Ngaphezu kokuncinza noma ukuba ndikindiki ezinzwaneni, ukushintsha kombala nakho kungenzeka. Izinzwani zingashintsha zibe mhlophe lapho zihlaselwa, bese ziba luhlaza okwesibhakabhaka ngesikhathi sendikindiki, bese zibomvu njengoba izinyawo zifudumala noma kukhululeka ukucindezeleka.
• I-Vasculitis kubangela izinkinga zemizwa nezinhlungu ezivamile nezinhlungu. I-Vasculitis ibangela ukuvuvukala emithanjeni yegazi futhi ingabangelwa izifo, umdlavuza, izifo ezizimele, nemithi ethile.

OKUSHIWO: Ukwelashwa kwe-Neuropathy nemithi

6. Imithi

Imithi ingadala nobuhlungu ezinyaweni. Iziguli eziningi ezijwayele ukwelashwa i-HIV / AIDS noma umdlavuza ziba nomuzwa wokuzizwa nguropathy. Kodwa-ke, nalu uhlu kusuka Isisekelo se-Peripheral Neuropathy kweminye imithi engadala izinhlungu ezinyaweni:

• Izidakamizwa ezilwa notshwala ( I-Disulfiram )
• Ama-anticonvulsants ( UDilantin )
• Imithi yomdlavuza ( I-Cisplatin , UVincristine )
• Imithi yenhliziyo noma yegazi ( Amiodarone , I-Hydralazine )
• Izidakamizwa zokulwa nokutheleleka ( I-Metronidazole , I-Flagyl , ECyprus , I-Levaquin , I-Nitrofurantoin , Isoniazid )
• Izidakamizwa zokwelashwa kwesikhumba ( UDapsone )

Ukwelashwa kobuhlungu bonyawo

Ukwelashwa okulungile kuzoya ngokuthi kubangelwa yini. Kodwa-ke, nazi ezinye izindlela ezijwayelekile zokuqeda izinyawo:

• Phatha ubuhlungu obuncane nge izidakamizwa ezingekho emthethweni zokulwa nokuvuvukala s (ama-NSAID) afana ibuprofen noma i-aspirin . Vele, uma ubuhlungu bungathuthuki ngalezi zinketho zokuthenga, bona udokotela wakho ukuthola isiqondiso noma ukuhlolwa okwengeziwe, kusho uDkt. Redcross.
• Amakhambi we-homeopathic njenge-arnica nayo ingadambisa izinhlungu ezinyaweni nokuvuvukala ekusebenziseni ngokweqile nasekulimaleni.
• Ukwehla kwesisindo kungasiza ekunciphiseni izinhlobo ezithile zobuhlungu benyawo. Noma kunjalo, kubalulekile ukuzivocavoca ngezicathulo ezifanele kahle.
• Ukuphumula nokufaka uqweqwe lukashukela ukulimala ezinyaweni kungahamba ibanga elide ukusiza ukunciphisa ukuvuvukala.
• Ukwelashwa ngokomzimba kungasiza ekwelapheni izinyawo ngemuva kokulimala, kepha abelaphi abaningi bomzimba badinga ukuthunyelwa kumhlinzeki wezokunakekelwa kwempilo kuqala.
• Kubalulekile futhi gcina ukuma okufanele ngangokunokwenzeka ukugwema izinhlungu eziqhubeka zikhuphukele emlenzeni wedolo kanye ne-hip ngenxa ye- ukungalungi kahle .
• Abanye abahlinzeki bezempilo bazoncoma ukufaka izicathulo , ama-orthotic wesiko, noma ama-metatarsal pads wokusekelwa kwe-arch ukusiza ngokulinganayo ukusabalalisa isisindo somzimba ngonyawo.
• Ukudinwa okunzima nokuqhekeka kudinga iseluleko sezokwelapha ngokushesha nokunakwa. Uchwepheshe wezokwelapha, njengodokotela wezinyawo, anganquma ukuthi yini ngempela ebangela izinyawo futhi ahlele uhlelo lokwelashwa olusebenza kangcono esigulini.
• Ngobuhlungu obunzima, abahlinzeki bezokunakekelwa kwempilo bangaphatha i- umjovo we-corticosteroids noma izinzwa zemizwa.

Isikhathi sokutakula sizoncika eminyakeni yobudala nangempilo yonke yesiguli kanye nenkinga eyisisekelo. Isibonelo, ubuhlungu ngenxa yokusebenzisa ngokweqile kungathatha izinsuku ezimbalwa ukuphola ngokuphumula nokwelashwa okufanele, kepha ubuhlungu obubangelwa ukuqhekeka kwengcindezi noma i-bunion mhlawumbe kuzothatha amasonto noma izinyanga ukuphola.

Izinyawo zawo wonke umuntu zehlukile, futhi abukho ubukhulu obulingana nalo lonke uhlelo lokwelashwa oluzosebenza kangcono kuwo wonke umuntu. Umhlinzeki wezokunakekelwa kwempilo, njengodokotela wezinyawo, angasiza iziguli ukuthi zibone ukuthi yini ebanga izinyawo zazo futhi ingancoma ukuthi zenzeni ngokulandelayo.