Hallux Valgus. Valgus deformity ukuthi uzwane lokuqala

Izilonda izinyawo beba more and kwande. Omunye lwezinhlobo ezivame kakhulu zokugula ngisho namalungu unyawo kuyinto deformity valgus noma Hallux Valgus.

Uyini deformity valgus?

Ngaphansi valgus deformity ngokuvamile zihilela ukuphazamiseka isakhiwo joint wokuqala metatarsophalangeal ngenxa displacement we ikhanda wokuqala metatarsal singatsheki (kwangaphandle nonyawo) kanye emthambekeni ndlela yokuhlasela yokuhlanganisa izihlangu proximal we isithupha ngaphakathi.

Izinyawo izinyawo isifo eba avame ngenxa egqoke Friend, izicathulo emincane. Ngenxa yalokho, ngaphansi kwethonya kokucindezelwa senzeka "amandla" displacement we proximal ndlela yokuhlasela yokuhlanganisa izihlangu. In parallel nalokhu ivela elula nemisipha futhi imisipha isithupha, okuyinto kwandzisa isimo. Enye imbangela ukusonteka kuyinto nezici ezithile azalwa naso ukuthuthukisa lesi sifo.

Ngenxa izici zangaphandle kwenzeka aba amakhothamo angu ngezinyawo, ngemva kwalokho eba transversely longitudinal flat, futhi lokhu kuholela ekuphelelweni ukuhlanekezela uzwane enkulu.

Vuma ikakhulukazi abesifazane, kungakhathaliseki ukuthi umuntu mdala (ngokuvamile isifo eba ukuphila phakathi futhi kamuva).

kobukhulu

Ukuthuthukela, ugobile kungenzeka zaba zimbi, okuholela nakakhulu uhlobo isithupha. Umonakalo obangelwa kunqunywa obuhlukahlukene eziguquguqukayo ezimbili ezinkulu - ndlela yokuhlasela yokuhlanganisa izihlangu kanye metatarsal-intertarsal (phakathi kuka-1 no-2 metatarsals) engeli.

Esimeni ithambo, ngokulandelana 12 no-25 degrees eba kobukhulu lokuqala hallux valgus.

Uma inqubo iqhubeka, kanye kwehlukana kuyinto degrees 18 (metatarsal-phalangeal node) futhi ezingaphezu kuka-25 degrees phakathi metatarsals, e sitholakele wadalula besigaba sesibili yentuthuko isifo.

Uma engeli bayanda phezu 18 no 35 degrees, ngokulandelana, kungembula degree wesithathu isifo zaba namandla kakhulu.

Ngezinye izikhathi kuphakama umbuzo - lokho ngezinga elithile kobukhulu wobulawa, uma ushintsho ye-engeli nobuntu, isibonelo, izinga lokuqala, futhi omunye engela luyanda kakhulu kubantu kunokuba kufanele. Kulesi simo, kufanele ugxile izinguquko joint metatarsal-ndlela yokuhlasela yokuhlanganisa izihlangu, ngakho lokho ushintsho kuba ovelele kule pathogenesis lesi sifo.

umtholampilo

Ngesikhathi sokuqala isifo ukubonakaliswa eyinhloko lesi sifo ukuba esintamo ngesikhathi ehamba, umuzwa ukungakhululeki. Nge ukuqhubeka inqubo ebonwe ukuthuthukiswa ukuvuvukala egobolondweni lelunga (bursitis), okuyinto sibhebhetheka lesi sifo. ubuhlungu Kungezwe emalungeni, ukucasulwa ukuhamba, ukungakwazi imisebenzi kwentengo. Nge inchubekelembili, lesi sifo kungaba nzima ukuthuthukiswa esiwohlozayo disc isifo, i-osteoarthritis (ngenxa aba we disc intervertebral). Azisekho olunzulu, ezidabukile ubuhlungu yomgogodla, umuzwa-gravity kanye nokuphenyisisa egeleza ngemva kwesikhathi ukuphumula, kanye ubuhlungu obukhulu emva sivivinyo.

Endleleni, endaweni edema ngokuhlanganyela: ukhula ngobukhulu, articular eshelelayo emphethweni. Nge Ukuwohloka ithambo we articular uqwanga ebusweni ziqala ukuba uwuhlikihle emelene nomunye, okuholela nemihuzuko we evele articular kanye nokuthuthukiswa okwalandela osteophyte.

ukuhlola

Ngokuvamile, sitholakele valgus ugobile isithupha lesiguli kuyinto izikhalazo ngokwanele umlando eqoqwe futhi kuhlolwe ngamehlo. Flat-valgus deformity bayayeka kutholakala ukuthi uphethwe yini usebenzisa i-X-ray of the joint ethintekile ukucacisa engeli ukuphambuka phakathi amathambo nobukhali. Ngezinye izikhathi asetshenziswa-magnetic resonance imaging futhi scintigraphy.

izindlela Njengoba ezengeziwe asetshenziselwa uphethwe umehluko, isicelo ephelele kakhulu segazi, kwamakhemikhali igazi ukuhlaziywa, wokubhoboza zokuxilonga zokucwaninga ngokubambisana lwamalunga uketshezi nge inoculation okwalandela kwi medium izakhi (ngenxa yokuzimisela microorganism). izinkomba ekhethwayo okuyizinto nenqubo ezinkulu zokuxilonga kukhona isinqumo revmofaktora (sitholakele isifo samathambo onaso sibe), uric acid (sifo), kanye nokunye sokuqaqamba kwamalunga Amagciwane ethize.

Ukwelashwa valgus

Hallux Valgus ukwelashwa kufanele siqale ukuzinza zokuphila. Ephambi kwezinduna isisindo okweqile Kunconywa ukuba ayibulale (flat futhi osteochondrosis lesi sifo futhi ukukhuthaza inchubekelembili yayo). Kulokhu, uma kwenzeka namanje Hallux Valgus, akukho msebenzi ukuphathwa kungaba nomphumela eziphawulekayo.

Shoes, mhlawumbe kwaholela ekubeni ukusonteka ngangokunokwenzeka kufanele uyeke ukusebenzisa.

Lokunye lokubaluleke kakhulu ukwenqaba imikhuba emibi.

Njengoba ekuvimbeleni valgus ugobile kumele kusetshenziswe Izicathulo ne ematheni ezithambile ngaphandle izithende. Ezinye ukusetshenziswa futhi azoqhuba unyawo zokugeza kanye unyawo massage ngemva osindayo static phezu imilenze. Phakathi kweminwe zingafakwa pads ekhethekile wamathambo, ukuvimbela displacement we ndlela yokuhlasela yokuhlanganisa izihlangu we isithupha.

Uma lezi zinyathelo olandelanayo behluleka, koSanta ukuba ukusetshenziswa eyengeziwe imithi lingaze, okuhloswe ngazo ukuthuthukisa umthelela endleleni posindromnogo.

ukwelashwa

Ukuze kwenziwe ngcono ekwelapheni Hallux Valgus ngokuvamile imithi ehlukile.

Amaqembu main izidakamizwa kukhona non-steroidal izidakamizwa eqeda ukuvuvukala (ama-NSAID) - izidakamizwa "nimesulide" "meloxicam". Le mishanguzo neqhaza kwamaphaphu ukuvuvukala by ekuvimbeni cyclooxygenase-2 - main umlamuleli pro ukuvuvukala. Izidakamizwa kunganciphisa ukuvuvukala, ukunciphisa ukuvuvukala zendawo ekunciphiseni izinhlungu. Kungasetshenziswa for abaphathi temlomo, futhi esebenzisa izicelo (yezihlanganisi) endaweni ethintekile.

Ngaphezu kwalokho ama-NSAID, kabanzi electrolyte izixazululo nezidakamizwa eqeda ukuvuvukala, okuyinto ezisetshenziswa electrophoresis. Le ndlela ikuvumela ukuba wenze izidakamizwa ngqo kusayithi ukuvuvukala, ngokudlula pheshana emathunjini. Lokhu kungabi sengxenyeni imiphumela emibi ama-NSAID phezu mucosa esiswini lapho uzithatha ngaphakathi.

ukwelashwa kuhlinzwa

Nge ukwehluleka ukwelashwa ngoludala iphendukele ukuhlinzwa. It wenziwa kaningi Yiqiniso eziphambili lesi sifo ngezigaba zawo kamuva, kanye ukusonteka kabi iminwe.

Ukushesha ukusebenza wenziwa, inani elihle ngaphezulu onalesi sifo.

Ezigabeni kuqala ukusebenza kuhle sina esetshenziswa ukwelapha lesi sifo. Hallux Valgus iqedwe ngosizo resection omkhulu we amakhanda ngokuhlanganyela. Ngenxa yalokhu, it is kakhulu abalimele, okuholela ukwephula umsebenzi akude. Njengamanje, igunya kunikezwa sustavosohranyayuschim imisebenzi ogama njongo - kokungenela ubuncane phezu amathambo ngesikhathi umthelela esiphezulu kwi imisipha kanye nemisipha. Kabanzi esetshenziswa Chevron operation isikhafu (osteotomy zokulungisa). Uma nokungasebenzi ngendlela yabo yakhetha ekudalweni kwendoda nowesifazane arthrodesis. Flat-valgus izinyawo deformity ezimweni ezinzima kungadinga wokufakelwa ngokuhlanganyela ethintekile.

Imisebenzi iqhutshwe ukuhlukahluka eziyisithupha (nakuba manje ziye wadala angaphezu kuka-130, kodwa abazange waphumelela).

Ngaphezu excision ithambo amakhanda labetibambile nokulungisa isicaba igobela le unyawo.

Izibikezelo emva kokuhlinzwa

Esikhathini esiyiminyaka nasezinkingeni ezilandela ngemva kokuhlinzwa kunconywa ukugwema imisebenzi ngokomzimba eside (okungaba nomthelela sokubuyiselwa engafanele ngokuhlanganyela). akufanele ukulayisha nonyawo lwakho nengxenye noma izinyanga ezimbili (okungenani umphetho ngokuhlanganyela ngemva kokuhlinzwa). Sonke lesi sikhathi, kufanele bagqoke amabhuzu ekhethekile wamathambo. Ingaphansi kwale mibandela onalesi sifo ukuzenza athandeke.

Uma isimo kwatholakala sekwephuzile futhi inqubo sasiqhubeka kwaholela ezinguqukweni engelapheki, isibikezelo kancane kancane iba iqembu kunemibandela okungekuhle. Izinyawo izinyawo isifo ikhuthaza ukukhubazeka, ukuphazamiseka uhambo. Kulokhu, ngisho kokungenela nodokotela iba ayizwakali ngoba kuphela siyehla ukuqhubeka inqubo, kodwa akusho imbangela.

Kungakhathaliseki ukuba aphathe lesi simo?

Ngokusho umbuzo ngokuvamile engikuyala wabuzwa abantu abaningi. Kwabanye, ukuthuthukiswa uhlobo enjalo - enhlekeleleni, njengoba leli qembu labantu kulondoloza ngokwethembeka ukubukeka kwayo futhi awukwazi uvumele iphutha okubi spoilt kakhulu ngokubukeka kwabo. Abanye banelekisiwe amathambo ushintsho futhi abekho ezisheshayo ukugijimela yokwamukela kudokotela. Kanjani ukuba - ukwelapha noma okungafanele ubaphathe? Akufanele yini ngenze kusebenza odokotela abahlinzayo usizo ekuthuthukiseni Hallux Valgus? Izibuyekezo ngalesi sifo zihlukene futhi eziqondile.

Ngakolunye uhlangothi, kungcono at the ushintsho kancane ngendlela esifike ngesikhathi ngumuntu ikheli ngokuhlanganyela kuya wezifo zamathambo futhi traumatologist. Imiphumela yaloku kuhlola okungenhla Esifike Ngesikhathi lesi sifo kungaba ayibulale ngaphandle imiphumela emibi. I ngasekupheleni kwalo mbandela angeke itholiwe, imiphumela ezinzima esengeziwe uhlelo zemisipha kungaba vula. Yingakho umbuzo ekwelapheni hallux valgus thumb luyingxenye ngabanye. Wonke umuntu unquma uqobo ukuthi "hamba ngaphansi ummese", noma kangcono sihlukana.