Konke Okufanele Ukwazi Nge-Neuroma kaMorton

-Delile

• Ziyini izimpawu?
• Yini ebangela i-neuroma kaMorton?
• Kufanele ubone nini udokotela?
• Yelashwa kanjani i-neuroma kaMorton?
• Ukwelashwa okulondolozayo nokwasekhaya
• Imijovo
• Ukuhlinzwa
• Yini ongayilindela?
• Uyini umbono?
• Yini ongayenza ukuvimbela ukuphindaphinda?

Ukubuka konke

I-neuroma kaMorton yisimo esibi kodwa esibuhlungu esithinta ibhola lonyawo. Ibizwa nangokuthi i-intermetatarsal neuroma ngoba itholakala ebholeni lonyawo phakathi kwamathambo akho e-metatarsal.

Kwenzeka lapho izicubu ezizungeze inzwa eholela kuzwane ziqina ngokucasuka noma kokucindezelwa. Imvamisa kwenzeka phakathi kwezinzwane zesithathu nezesine, kepha futhi ingenzeka phakathi kwezinzwane zesibili nezesithathu. Ngokuvamile kwenzeka kubantu abaneminyaka ephakathi, ikakhulukazi abesifazane abaneminyaka ephakathi.

Ziyini izimpawu?

Ubuhlungu, obuvame ukungena ngezikhathi ezithile, uphawu oluyinhloko lwe-Morton's neuroma. Kungazwakala njengobuhlungu obuvuthayo ebholeni noma enyaweni yakho noma sengathi umile kumabula noma itshe esicathulweni sakho noma isokisi elihlanganisiwe.

Izinzwani zakho zingase zizwe zikindiki noma zishaye njengoba ubuhlungu buphuma. Ungaba nobunzima bokuhamba ngokujwayelekile ngenxa yobuhlungu. Ngeke ube nokuvuvukala okubonakalayo onyaweni lwakho, noma kunjalo.

Kwesinye isikhathi ungaba ne-neuroma kaMorton ngaphandle kwezimpawu. Isifundo esincane esivela ku-2000 sibuyekeze amarekhodi ezokwelapha avela kubantu abangama-85 ababenezinyawo zabo ezifanekiselwe nge-magnetic resonance imaging (MRI). Ucwaningo luthole ukuthi amaphesenti angama-33 ababambe iqhaza bane-neuroma kaMorton kodwa abukho ubuhlungu.

Yini ebangela i-neuroma kaMorton?

I-neuroma kaMorton ivame ukubangelwa izicathulo eziqinile noma ezinezithende eziphakeme. Lezi zicathulo zingadala ukuthi izinzwa ezinyaweni zakho zicindezeleke noma zicasuke. Inzwa ecasukile iyajiya futhi kancane kancane iba buhlungu kakhulu ngenxa yengcindezi ekuyo.

Enye imbangela engaba khona ukungahambi kahle konyawo noma lokuhamba, okungaholela ekungazinzini futhi kungabeka ingcindezi emsipheni onyaweni lwakho.

I-neuroma kaMorton ivame ukuhlotshaniswa ne:

• izinyawo eziyisicaba
• imengamo ephakeme
• amabuniyoni
• izinzwane zesando

Iphinde ihlotshaniswe nemisebenzi efana nale:

• imisebenzi yezemidlalo ephindaphindwayo, njengokugijima noma i-racquet yezemidlalo, ekhulisa ingcindezi ebholeni lonyawo
• ezemidlalo ezidinga izicathulo eziqinile, ezifana nokushushuluza noma i-ballet

Kwesinye isikhathi, i-neuroma ibangelwa ukulimala onyaweni.

Kufanele ubone nini udokotela?

Uma unezinhlungu ezinyaweni ezingapheli ngisho nangemva kokushintsha izicathulo zakho noma ukumisa imisebenzi engase ibe nesibopho, bheka udokotela wakho. I-neuroma kaMorton iyelapheka, kodwa uma ingelashwa ngokushesha ingaholela ekulimaleni unomphela kwezinzwa.

Udokotela wakho uzokubuza ukuthi ubuhlungu buqale kanjani futhi ahlole ngokomzimba unyawo lwakho. Bazofaka ingcindezi ebholeni lonyawo lwakho bese behambisa izinzwane zakho ukubona lapho unezinhlungu khona. Ngokuvamile udokotela uzokwazi ukuxilonga i-neuroma kaMorton kusukela nje ekuhlolweni ngokomzimba nangokuxoxa ngezimpawu zakho.

Ukukhipha ezinye izimbangela zobuhlungu bakho, njenge-arthritis noma ukuphuka kwengcindezi, udokotela wakho kwesinye isikhathi anga-oda ukuhlolwa kwezithombe. Lokhu kungafaka:

• Ama-X ray ukukhipha i-arthritis noma ukuqhekeka
• izithombe ze-ultrasound ukukhomba okungajwayelekile kuzicubu ezithambile
• i-MRI ukukhomba ukuthambekela kwezicubu ezithambile

Uma udokotela wakho esola esinye isimo sezinzwa, bangase futhi benze i-electromyography. Lokhu kuhlolwa kukala umsebenzi kagesi okhiqizwa yimisipha yakho, engasiza udokotela wakho ukuthi aqonde kangcono ukuthi izinzwa zakho zisebenza kahle kangakanani.

Yelashwa kanjani i-neuroma kaMorton?

Ukwelashwa kuya ngobukhulu bezimpawu zakho. Udokotela wakho uvame ukusebenzisa uhlelo oluthweswe iziqu. Lokho kusho ukuthi uzoqala ngokwelashwa okulondolozayo futhi uqhubekele ekwelashweni okunamandla uma ubuhlungu bakho buqhubeka.

Ukwelashwa okulondolozayo nokwasekhaya

Ukwelashwa okulondolozayo kuqala ngokusebenzisa izesekeli ze-arch noma amaphakethe ezinyawo ezicathulweni zakho. Lokhu kusiza ekunciphiseni ukucindezelwa kwezinzwa ezithintekile. Zingafakwa ngaphezulu kwe-the-counter (OTC) noma inkambiso eyenziwe ngomuthi ukuze ilingane unyawo lwakho. Udokotela wakho futhi angaphakamisa ababulali bezinhlungu be-OTC noma izidakamizwa ezingezona ukuvuvukala, ezifana ne-ibuprofen (Advil, Motrin) noma i-aspirin.

Ezinye izindlela zokwelapha zifaka:

• ukwelashwa ngokomzimba
• ukwelula umzimba ukukhulula imisipha nemisipha
• ukubhucunga ibhola lonyawo lwakho
• ukuzivocavoca ukuqinisa amaqakala nezinzwane zakho
• ukuphumuza unyawo lwakho
• ukufaka iqhwa ezindaweni ezibuhlungu

Imijovo

Uma ubuhlungu bakho buqhubeka, udokotela wakho angazama imijovo ye-corticosteroids noma izidakamizwa ezilwa nokuvuvukala endaweni yobuhlungu. Umjovo wendawo wokubulala izinzwa ungasetshenziswa futhi ukunciphisa izinzwa ezithintekile. Lokho kungasiza ekudambiseni ubuhlungu bakho okwesikhashana.

Imijovo yokuhlwaya utshwala ngelinye ikhambi elinganikeza ukukhululeka kobuhlungu besikhashana. Ucwaningo lwesikhathi eside luthole ukuthi amaphesenti angama-29 kuphela abantu ababenemijovo yotshwala abahlala bengenazo izimpawu, noma kunjalo.

Ukuhlinzwa

Lapho ezinye izindlela zokwelapha zehlulekile ukunikeza usizo, udokotela wakho angase asikisele ukuhlinzwa. Izinketho zokuhlinzwa zingafaka:

• i-neurectomy, lapho kukhishwa khona ingxenye yezicubu zemizwa
• ukuhlinzwa kwe-cryogenic, okwaziwa nangokuthi i-cryogenic neuroablation, lapho izinzwa kanye nomgogodla we-myelin ozimbozayo ubulawa kusetshenziswa amazinga okushisa abandayo kakhulu
• ukuhlinzwa ngokweqile, lapho ingcindezi emsipheni isuswa ngokusika imisipha nezinye izakhiwo ezungeze inzwa

Yini ongayilindela?

Isikhathi sakho sokutakula sizoncika ebucayi be-neuroma kaMorton yakho kanye nohlobo lokwelashwa olutholayo. Kwabanye abantu, ukushintshela ezicathulweni ezibanzi noma ukufaka izicathulo kunikeza ukukhululeka okusheshayo. Abanye bangadinga imijovo namaphilisi ezinhlungu ukuze bathole ukukhululeka ngokuhamba kwesikhathi.

Isikhathi sokuhlinzwa sokuhlinzwa siyahlukahluka. Ukululama ekuhlinzeni kokucindezelwa kwemizwa kuyashesha. Uzokwazi ukuthwala isisindo onyaweni futhi usebenzise isicathulo esigwedliwe ngemuva nje kokuhlinzwa.

Ukubuyiselwa isikhathi eside kune-neurectomy, kusuka kumaviki awu-1 kuye kwayi-6, kuya ngokuthi ukusikwa kokuhlinzwa kwenziwa kuphi. Uma imbobo isingezansi konyawo lwakho, kungadingeka ukuthi ube ngezinduku amasonto amathathu futhi ube nesikhathi esinde sokululama. Uma imbobo iphezulu onyaweni, ungabeka isisindo onyaweni lwakho ngaso leso sikhathi ngenkathi ugqoke ibhuthi ekhethekile.

Ezimweni zombili, kuzodingeka ubeke umkhawulo emisebenzini yakho futhi uhlale unyawo lwakho luphakanyiselwe ngaphezu kwezinga lenhliziyo yakho kaningi ngangokunokwenzeka. Kuzofanele futhi ugcine unyawo lome kuze kube yilapho imbobo iphola. Udokotela wakho uzoshintsha ukugqoka kokuhlinzwa ezinsukwini eziyi-10 kuye kwezingu-14. Ukusheshe ubuyele emsebenzini kungekudala kuzoncika ekutheni umsebenzi wakho udinga kangakanani ukuthi ume ngezinyawo.

Ezimweni ezithile, i-neuroma kaMorton ingahle ibuye ngemuva kokwelashwa kokuqala.

Uyini umbono?

Ukwelashwa okulondolozayo kuletha abantu nge-Morton's neuroma impumuzo yama-80 amaphesenti wesikhathi. Kunezifundo ezimbalwa zesikhathi eside zemiphumela yokwelashwa okuhlinzekwayo, kepha iCleveland Clinic ibika ukuthi ukuhlinzekwa kukhulula ngempumelelo noma kwehlise izimpawu kumaphesenti angama-75 kuya kwangama-85 wamacala.

Izibalo eziqhathanisa imiphumela yezindlela zokwelashwa ezahlukahlukene zikhawulelwe. Ucwaningo oluncane lwango-2011 luthole ukuthi abantu abangamaphesenti angama-41 abashintshe izicathulo zabo abadingi ukuqhubeka nokwelashwa. Kubantu abathole imijovo, amaphesenti angama-47 abone ukuthuthuka futhi awadingi ukwelashwa okuqhubekayo. Kubantu ababedinga ukuhlinzwa, amaphesenti angama-96 athuthukile.

Yini ongayenza ukuvimbela ukuphindaphinda?

Enye yezindlela ezilula zokuvimbela ukuphindaphinda kwe-neuroma kaMorton ukugqoka uhlobo olufanele lwezicathulo.

• Gwema ukugqoka izicathulo noma izicathulo eziqinile ezinezithende eziphakeme isikhathi eside.
• Khetha izicathulo ezinebhokisi lezinzwane elibanzi elinendawo eningi yokunyakazisa izinzwane zakho.
• Uma udokotela ekuncoma, gqoka okufakwayo okubhaliwe ukuze uthathe ingcindezi ebholeni lonyawo lwakho.
• Gqoka amasokisi agwedlisiwe, angasiza ukuvikela izinyawo zakho uma ume noma uhamba kakhulu.
• Uma ubamba iqhaza kwezokusubatha, gqoka izicathulo ezifakwayo ukuze uvikele izinyawo zakho.
• Uma ume isikhathi eside ekhishini, lapho kubhaliswa khona imali, noma etafuleni elimile, thola umata wokulwa nokukhathala. Lawa mathi ahlanganisiwe angasiza ekuhlinzekeni ukukhululeka ezinyaweni zakho.

Ungase futhi ufune ukubona owelapha ngokomzimba ngenqubo yokwelula nokwelula ukuqinisa imilenze yakho namaqakala.