Morton neuroma

I-Morton neuroma ilimaza inzwa ephakathi kwezinzwane ebangela ukuqina nobuhlungu. Imvamisa kuthinta inzwa ehamba phakathi kwezinzwane ezi-3 nezine.

Imbangela ngqo ayikaziwa. Odokotela bakholelwa ukuthi okulandelayo kungadlala indima ekuthuthukisweni kwalesi simo:

• Ukugqoka izicathulo eziqinile nezithende eziphakeme
• Ukuma okungavamile kwezinzwane
• Izinyawo eziphansi
• Izinkinga ze-forefoot, kufaka phakathi ama-bunion nezinzwane zesando
• Amakhothamo ezinyawo eziphakeme

I-Morton neuroma ivame kakhulu kwabesifazane kunamadoda.

Izimpawu zingafaka:

• Ukulinganisa esikhaleni esiphakathi kwezinzwane ezi-3 nezine
• Ukugxusha uzwane
• Ukucija, ukudubula, noma ukuvutha kobuhlungu ebholeni lonyawo futhi kwesinye isikhathi izinzwane
• Ubuhlungu obukhulayo lapho ugqoke izicathulo eziqinile, izicathulo eziphakeme, noma ucindezela indawo
• Ubuhlungu obuya buba bubi ngokuhamba kwesikhathi

Ezimweni ezingavamile, ubuhlungu bezinzwa buvela esikhaleni esiphakathi kwezinzwane zesibili nezesithathu. Lokhu akulona uhlobo olujwayelekile lweMorton neuroma, kepha izimpawu nokwelashwa kuyafana.

Umhlinzeki wakho wezokunakekelwa kwempilo uvame ukuxilonga le nkinga ngokuhlola unyawo lwakho. Ukucindezela izinyawo noma izinzwane zakho ndawonye kuletha izimpawu.

I-x-ray yonyawo ingenziwa ukukhipha izinkinga zethambo. I-MRI noma i-ultrasound ingahlola ngempumelelo isimo.

Ukuhlolwa kwemizwa (i-electromyography) akukwazi ukuxilonga iMorton neuroma. Kepha ingasetshenziselwa ukukhipha ngaphandle kwezimo ezibangela izimpawu ezifanayo.

Ukuhlolwa kwegazi kungenziwa ukubheka izimo ezihlobene nokuvuvukala, kufaka phakathi izinhlobo ezithile ze-arthritis.

Ukwelashwa ngokuhlinzwa kungazanywa kuqala. Umhlinzeki wakho angancoma noma yikuphi okulandelayo:

• Ukupakisha nokuthinta indawo yezinzwane
• Ukufaka izicathulo (i-orthotic)
• Izinguquko ezicathulweni, njengokugqoka izicathulo ezinamabhokisi ezinzwane abanzi noma izithende ezicaba
• Imithi elwa nokuvuvukala ethathwe ngomlomo noma ejojowe endaweni yezinzwane
• Imithi evimba imizwa ejojowe endaweni yezinzwane
• Amanye amaphilisi ezinhlungu
• Ukwelashwa ngokomzimba

Ama-anti-inflammatories kanye namaphilisi ezinhlungu awanconyelwa ukwelashwa kwesikhathi eside.

Kwezinye izimo, kudingeka ukuhlinzwa ukuze kususwe izicubu ezijiyile nezinzwa ezivuvukele. Lokhu kusiza ekunciphiseni ubuhlungu nasekuthuthukiseni ukusebenza kwezinyawo. Ukuba ndikindiki ngemuva kokuhlinzwa kungunaphakade.

Ukwelashwa ngokuhlinzwa akuhlali kuthuthukisa izimpawu njalo. Ukuhlinzwa ukususa izicubu ezijiyile kuyaphumelela ezimweni eziningi.

Izinkinga zingafaka:

• Kunzima ukuhamba
• Inkinga ngemisebenzi ebeka ingcindezi ezinyaweni, njengokucindezela i-pedal gas ngenkathi ushayela
• Kunzima ukugqoka izinhlobo ezithile zezicathulo, njengezithende eziphakeme

Shayela umhlinzeki wakho uma uhlala unezinhlungu noma ukuhayiza onyaweni lwakho noma endaweni yezinzwane.

Gwema izicathulo ezingakulungeli. Gqoka izicathulo ezinebhokisi lezinzwane elibanzi noma izithende ezicaba.

I-Morton neuralgia; I-Morton toe syndrome; Ukubanjwa kukaMorton; IMetatarsal neuralgia; I-Plantar neuralgia; Intermetatarsal neuralgia; I-neuroma ye-interdigital; I-neuroma yezitshalo eziphakathi kwamakhemikhali; I-forefoot neuroma

UMcGee DL. Izinqubo zezingane. Ku: Roberts JR, Custalow CB, Thomsen TW, ama-eds. Izinqubo Zomtholampilo zikaRoberts & Hedges e-Emergency Medicine kanye ne-Acute Care. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2019: isahluko 51.

Shi GG. I-neuroma kaMorton. Ku: Frontera WR, iSilver JK, uRizzo TD Jr, ama-eds. Okubalulekile Kwezomzimba kanye Nokuvuselelwa: Ukukhubazeka Kwemisipha, Ubuhlungu, Nokuvuselelwa. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2019: isahluko 91.