Morton neuroma
I-Morton neuroma kukulimala kwimithambo-luvo phakathi kweenzwane ezibangela ukuqina nentlungu. Ihlala ichaphazela imithambo-luvo ehamba phakathi kweenzwane ze-3 neye-4.
Oyena nobangela awaziwa. Oogqirha bakholelwa ukuba oku kulandelayo kungadlala indima kuphuhliso lwale meko:
- Ukunxiba izihlangu eziright kunye nezihlangu eziphakamileyo
- Ukubekwa ngendlela engaqhelekanga kweenzwane
- Iinyawo ezisicaba
- Iingxaki zangaphambili, kubandakanya iibunion kunye neenzwane zesando
- Iingqameko eziphezulu zeenyawo
I-Morton neuroma ixhaphake kakhulu kubafazi kunamadoda.
Iimpawu zingabandakanya:
- Ukulinganisa kwisithuba esiphakathi kwe-3 kunye ne-4 iinzwane
- Ukunyathela kweenzwane
- Ubukhali, ukudubula, okanye iintlungu ezivuthayo kwibhola yonyawo kwaye ngamanye amaxesha iinzwane
- Ubuhlungu obonyukayo xa unxiba izihlangu eziqinileyo, izithende eziphakamileyo, okanye ucinezela kule ndawo
- Intlungu eba mandundu ngokuhamba kwexesha
Kwiimeko ezinqabileyo, iintlungu zemithambo-luvo zenzeka kwisithuba esiphakathi kweenzwane ze-2 neye-3. Le ayisiyondlela iqhelekileyo yeMorton neuroma, kodwa iimpawu kunye nonyango ziyafana.
Umboneleli wakho wezempilo unokuchonga le ngxaki ngokuvavanya unyawo lwakho. Ukucwina inyawo lakho langaphambili okanye iinzwane ndawonye kuzisa iimpawu.
I-x-ray yonyawo inokwenziwa ukulawula iingxaki zethambo. I-MRI okanye i-ultrasound inokuchonga ngempumelelo imeko.
Uvavanyo lwemithambo (i-electromyography) alunakufumanisa i-Morton neuroma. Kodwa inokusetyenziselwa ukulawula iimeko ezibangela iimpawu ezifanayo.
Uvavanyo lwegazi lunokwenziwa ukukhangela iimeko ezinxulumene nokudumba, kubandakanya iindlela ezithile zesifo samathambo.
Unyango lwe-Nonsurgical luvavanywa kuqala. Umboneleli wakho unokucebisa nakuphi na oku kulandelayo:
- Ukupakisha kunye nokucinezela indawo yeenzwane
- Ukufaka izihlangu (ii-orthotic)
- Utshintsho kwizihlangu, ezinje ngokunxiba izihlangu ezineebhokisi zeenzwane ezibanzi okanye izithende ezicaba
- Amayeza alwa nokudumba athathwe ngomlomo okanye atofelwe kwindawo yeenzwane
- Amayeza okuthintela imithambo afakwe kwindawo yeenzwane
- Ezinye iipilisi zentlungu
- Ulungiso lwenyama
Amachiza okuthomalalisa ukudumba kunye neentlungu zetyhefu azikhuthazwa kunyango lwexesha elide.
Kwezinye iimeko, utyando luyafuneka ukuze kususwe izicwili ezixineneyo kunye ne-neram etshayo. Oku kunceda ukunciphisa iintlungu kunye nokuphucula ukusebenza kweenyawo. Ukuba ndindisholo emva kotyando kusisigxina.
Unyango lwe-Nonsurgical alusoloko luphucula iimpawu. Utyando lokususa izicwili ezixineneyo luyaphumelela kwiimeko ezininzi.
Iingxaki zinokubandakanya:
- Kunzima ukuhamba
- Ingxaki ngemisebenzi ebeka uxinzelelo enyaweni, njengokucinezela i-petal xa uqhuba
- Kunzima ukunxiba iintlobo ezithile zezihlangu, ezinje ngezithende eziphakamileyo
Fowunela umnikezeli wakho ukuba unentlungu engapheliyo okanye ubetha kunyawo lwakho okanye kwindawo yeenzwane.
Ziphephe izihlangu ezingakulungelanga. Nxiba izihlangu ezinebhokisi ebanzi yeminwe okanye izithende ezicaba.
I-Morton neuralgia; Morton toe syndrome; Ukubanjwa kukaMorton; Imetatarsal neuralgia; I-Plantar neuralgia; Intermetatarsal neuralgia; I-neuroma yangaphakathi; I-neuroma yezityalo ezahlukileyo; I-forefoot neuroma
UMcGee DL. Iinkqubo zezilwanyana. Ku: Roberts JR, Custalow CB, Thomsen TW, ii-eds. Iinkqubo zeklinikhi zaseRoberts naseHedges kunyango olukhawulezileyo kunye noKhathalelo oluQatha. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2019: isahluko 51.
Shi GG. I-neuroma kaMorton. Ku: UFrontera WR, iSilver JK, uRizzo TD Jr, ii-eds. Izinto ezibaluleke kakhulu kwiNyango yePhysical and Rehabilitation: Musculoskeletal Disways, Pain and Rehabilitation. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2019: isahluko 91.