Yonke into omele uyazi Nge-Morton's Neuroma

Umxholo

• Ziintoni iimpawu?
• Yintoni ebangela i-neuroma kaMorton?
• Ufanele umbone nini ugqirha?
• Inyangwa njani i-neuroma kaMorton?
• Unyango olulondolozayo nolwasekhaya
• Inaliti
• Ugqirha
• Ungalindela ntoni?
• Yintoni imbonakalo?
• Yintoni ongayenza ukuthintela ukuphindaphinda?

Ushwankathelo

I-neuroma kaMorton yimeko enobungozi kodwa ebuhlungu echaphazela ibhola yonyawo. Ikwabizwa ngokuba yi-intermetatarsal neuroma kuba ibekwe kwibhola yonyawo phakathi kwamathambo akho e-metatarsal.

Kwenzeka xa izicwili ezijikeleze imithambo-luvo ekhokelela kwinzwane iyaqina kukucaphuka okanye uxinzelelo. Ixhaphake kakhulu phakathi kweenzwane zesithathu nezesine, kodwa inokwenzeka nakwinzwane yesibini neyesithathu. Ngokuqhelekileyo kwenzeka kubantu abaneminyaka ephakathi, ngakumbi abafazi abaphakathi.

Ziintoni iimpawu?

Intlungu, ihlala iphakathi, luphawu oluphambili lwe-Morton's neuroma. Ingaziva ngathi iintlungu ezivuthayo ebholeni okanye elunyaweni lwakho okanye ngathi umile phezu kwemarble okanye ingqalutye kwisihlangu sakho okanye iikawusi ezihlanganisiweyo.

Iinzwane zakho zinokuziva zindindisholo okanye zitshitshise njengoko iintlungu ziphuma. Unokuba nobunzima bokuhamba ngesiqhelo ngenxa yeentlungu. Awuyi kuba nokudumba okubonakalayo kunyawo lwakho, nangona kunjalo.

Ngamanye amaxesha unokuba ne-Morton's neuroma ngaphandle kwempawu. Isifundo esincinci esivela ku-2000 siphonononge iirekhodi zonyango ezivela kubantu abangama-85 ababeneenyawo ezinemifanekiso ngemagneti yokubonisa ngemagneti (i-MRI). Uphononongo lufumanise ukuba iipesenti ezingama-33 zabathathi-nxaxheba bane-neuroma kaMorton kodwa akukho ntlungu.

Yintoni ebangela i-neuroma kaMorton?

I-neuroma kaMorton ihlala ibangelwa zizihlangu ezixineneyo okanye ezinezithende eziphakamileyo. Ezi zihlangu zinokubangela ukuba imithambo yeenyawo zakho icinezelwe okanye icaphuke. Iimbilini ezicatshukisayo ziyaqina kwaye ngokuthe ngcembe ziba buhlungu ngenxa yoxinzelelo kuyo.

Esinye isizathu esinokubangela kukungaqheleki kwenyawo okanye ukuhamba, okunokubangela ukungazinzi kwaye kunokubeka uxinzelelo kwimithambo-luvo elunyaweni lwakho.

I-neuroma kaMorton ihlala inxulunyaniswa:

• iinyawo ezicaba
• Iingqameko eziphakamileyo
• iibhanyoni
• iinzwane isando

Ikwanxulunyaniswa nemisebenzi efana nale:

• imisebenzi yezemidlalo ephindaphindayo, enjengokubaleka okanye imidlalo yomdyarho, eyonyusa uxinzelelo kwibhola yonyawo
• ezemidlalo ezifuna izihlangu eziqinileyo, ezifana nokuskiya okanye ibhaleyi

Ngamanye amaxesha, i-neuroma ibangelwa kukulimala elunyaweni.

Ufanele umbone nini ugqirha?

Ukuba unentlungu yonyawo engapheli nasemva kokutshintsha izihlangu okanye ukuyeka imisebenzi enokuthi inoxanduva, jonga ugqirha wakho. I-neuroma kaMorton iyanyangeka, kodwa ukuba ayinyangwa ngokukhawuleza ingakhokelela ekonakaleni okusisigxina kwentliziyo.

Ugqirha wakho uya kukubuza ukuba iintlungu ziqale njani kwaye uvavanye umzimba wakho unyawo. Baza kubeka uxinzelelo kwibhola yeenyawo zakho kwaye bahambise iinzwane zakho ukuze babone apho uneentlungu khona. Ugqirha uya kuba nakho ukuxilonga i-Morton's neuroma ukusuka kuvavanyo lomzimba nangokuxoxa ngeempawu zakho.

Ukulawula ezinye izizathu ezinokubangela iintlungu zakho, ezinje ngesifo samathambo okanye ukuphuka koxinzelelo, ugqirha wakho ngamanye amaxesha angayalela iimvavanyo zokucinga. Oku kunokubandakanya:

• I-X-ray yokulawula i-arthritis okanye i-fractures
• Imifanekiso ye-ultrasound ichonga ukungaqheleki kwezihlunu ezithambileyo
• I-MRI ichonga ukungaqheleki kwezicubu ezithambileyo

Ukuba ugqirha wakho ukrokrela enye imeko ye-nerve, banokwenza i-electromyography. Olu vavanyo luthatha amanyathelo ombane aveliswa yimisipha yakho, enokunceda ugqirha wakho aqonde ngcono ukuba isebenza njani imithambo-luvo yakho.

Inyangwa njani i-neuroma kaMorton?

Unyango luxhomekeke kubukhali beempawu zakho. Ugqirha wakho uhlala esebenzisa isicwangciso esiphumeleleyo. Oko kuthetha ukuba uyakuqala ngonyango olulondolozayo kwaye uqhubekele kunyango olunobundlongondlongo ukuba intlungu yakho iyaqhubeka.

Unyango olulondolozayo nolwasekhaya

Unyango olulondolozayo luqala ngokusebenzisa izixhasi zearch okanye iiphedi zenyawo zezihlangu zakho. Ezi zinceda ukukhulula uxinzelelo kwi-nerve echaphazelekayo. Banokufaka ngaphezulu kwe-counter-counter (i-OTC) okanye isiko elenziwe ngugqirha ukuze ulingane nonyawo lwakho. Ugqirha wakho unokucebisa ababulali beentlungu ze-OTC okanye iziyobisi ezingezizo ezokulwa nokudumba, ezinje nge-ibuprofen (Advil, Motrin) okanye i-aspirin.

Olunye unyango olulondolozayo lubandakanya:

• ulungiso lwenyama
• ukuzolula imithambo ukukhulula imisipha kunye nemisipha
• ukuphulula ibhola yonyawo lwakho
• ukuzilolonga ukomeleza amaqatha neenzwane zakho
• uphumle unyawo lwakho
• ukufaka umkhenkce kwiindawo ezibuhlungu

Inaliti

Ukuba iintlungu zakho ziyaqhubeka, ugqirha wakho unokuzama inaliti ye-corticosteroids okanye iziyobisi ezichasayo kwindawo yentlungu. Inaliti ye-anesthetic yendawo inokusetyenziselwa ukunciphisa inzwa echaphazelekayo. Oko kunokunceda ukukhulula iintlungu zakho okwethutyana.

Utywala olunika inaliti lelinye iyeza elinokubonelela ngesiqabu sexesha elifutshane. Uphononongo lwexesha elide lufumanise ukuba kuphela iipesenti ezingama-29 zabantu ababenenaliti yotywala abahlala bengenazo iimpawu, nangona kunjalo.

Ugqirha

Xa ezinye iindlela zonyango ziye zasilela ukubonelela ngoncedo, ugqirha unokucebisa ukuba utyandwe. Izinketho zokuhlinzwa zingabandakanya:

• i-neurectomy, apho inxenye yeethambo zemithambo-luvo isuswe khona
• utyando lwe-cryogenic, ekwabizwa ngokuba yi-cryogenic neuroablation, apho imithambo-luvo kunye nesheath ye-myelin ebagubungelayo babulawa kusetyenziswa amaqondo obushushu abanda kakhulu
• Utyando lokunyanzeliswa, apho uxinzelelo kwi-nerve lukhululekile ngokusika iigaments kunye nezinye izakhiwo ezijikeleze i-nerve

Ungalindela ntoni?

Ixesha lakho lokubuyisela kwimeko yesiqhelo liya kuxhomekeka kubukhali be-neuroma yakho kaMorton kunye nohlobo lonyango olufumanayo. Kwabanye abantu, ukutshintshela kwizihlangu ezibanzi okanye ukufakwa kwezihlangu kunika isiqabu esikhawulezileyo. Abanye banokufuna inaliti kunye neepilisi zeentlungu ukuze bafumane ukukhululeka ngokuhamba kwexesha.

Ixesha lokuphucula utyando liyahluka. Ukubuyiselwa kwimeko yoqhaqho lwe-nerve decompression kuyakhawuleza. Uyakwazi ukuthwala ubunzima elunyaweni kwaye usebenzise isihlangu esitshixwayo kanye emva koqhaqho.

Ukubuyiselwa kwakhona kukude kwi-neurectomy, ukusukela kwi-1 ukuya kwiiveki ezi-6, kuxhomekeka kwindawo ekusikiwe kuyo. Ukuba ubushushu busezantsi konyawo lwakho, kungafuneka ube kwizintonga iiveki ezintathu kwaye ube nexesha lokubuyisa ixesha elide. Ukuba ukusikwa kuphezulu kunyawo, ungabeka ubunzima elunyaweni lwakho kwangoko ngelixa unxibe ibhutsi ekhethekileyo.

Kuzo zombini iimeko, kuya kufuneka unqande imisebenzi yakho kwaye uhlale unyawo lwakho luphakanyisiwe ngaphezulu kwenqanaba lentliziyo rhoqo kangangoko unako. Kuya kufuneka ugcine unyawo lude lomile lude luphole. Ugqirha wakho uya kutshintsha ukugqoka okugqithisileyo kwiintsuku ezili-10 ukuya kwezi-14. Kungekudala emva koko ungabuyela emsebenzini kuya kuxhomekeka ekubeni umsebenzi wakho ufuna ukuba ube njani ngeenyawo zakho.

Kwiimeko ezithile, i-neuroma kaMorton inokuphinda ibuye emva konyango lokuqala.

Yintoni imbonakalo?

Unyango olulondolozayo luzisa abantu ngesiqabu sikaMorton se-neuroma iipesenti ezingama-80 zexesha. Kukho izifundo ezimbalwa zexesha elide zeziphumo zonyango, kodwa iCleveland Clinic inika ingxelo yokuba utyando luyanceda okanye linciphise iimpawu kuma-75 ukuya kuma-85 eepesenti zamatyala.

Izibalo ezithelekisa iziphumo zonyango olulinganiselweyo zilinganiselwe. Uphononongo oluncinci luka-2011 lufumanise ukuba iipesenti ezingama-41 zabantu abatshintshe izihlangu zabo abafuni kuqhubeka nokunyangwa. Kubantu abafumene inaliti, iipesenti ezingama-47 zibone ukuphucuka kwaye azidingi unyango olungaphaya. Kubantu abafuna utyando, iipesenti ezingama-96 ziphuculwe.

Yintoni ongayenza ukuthintela ukuphindaphinda?

Enye yeendlela ezilula zokuthintela ukuphindaphinda kwe-neuroma kaMorton kukunxiba uhlobo olulungileyo lwezihlangu.

• Kuphephe ukunxiba izihlangu ezomeleleyo okanye izihlangu ezinezithende eziphakamileyo ixesha elide.
• Khetha izihlangu ezinebhokisi ebanzi yeminwe enegumbi elininzi lokujija iinzwane zakho.
• Ukuba ugqirha uyayincoma, nxiba i-orthotic insert ukuze uthathe uxinzelelo kwibhola yonyawo lwakho.
• Nxiba iikawusi ezinophahla, ezinokukunceda ukhusele iinyawo zakho ukuba umile okanye uhamba kakhulu.
• Ukuba uthatha inxaxheba kwimidlalo yeembaleki, nxiba izihlangu ezibotshiweyo ukukhusela iinyawo zakho.
• Ukuba ume ixesha elide ekhitshini, kwirejista yemali, okanye kwidesika emileyo, fumana ukhuko lokulwa nokudinwa. Ezi mathi zidibeneyo zinokunceda ukubonelela ngesiqabu ezinyaweni zakho.

Unokufuna kwakhona ukubona ugqirha womzimba rhoqo kunye nokuzilolonga ukomeleza imilenze kunye namaqatha.