Izizathu eziqhelekileyo zentlungu yonyawo kunye nendlela yokuphatha

Imfundo yezeMpilo

Ukufumana naluphi na uhlobo lweentlungu zonyawo kunokwenza ubomi bemihla ngemihla bungonwabi. Iinyawo zixhaphake ngakumbi kuxinzelelo kuba zinempembelelo ethe ngqo kwimisebenzi efana nokuhamba, ukubaleka, ukuzilolonga, nokuma nkqo. Ngaphantsi kwesikhumba, kukho amathambo amaninzi, amalungu, izihlunu, imithambo-luvo kunye nemisipha enokuba buhlungu xa kukho into engahambi kakuhle. Ezi zezinye zezona zinto zixhaphakileyo kunye neentlobo zentlungu yeenyawo-kunye nendlela yokuphatha.

Izizathu eziqhelekileyo zentlungu yonyawo

Intlungu yeenyawo ixhaphake kakhulu. Abanye abaphandi Uqikelelo lokuba iipesenti ezingama-25 zabantu bafumana iintlungu zonyawo nangaliphi na ixesha. Intlungu yonyawo inokwenzeka ngaphezulu, ecaleni, isithende, i-arch, okanye ibhola yonyawo. Nangona zininzi izizathu zentlungu yeenyawo, uninzi lwazo luwela kula macandelo alandelayo:

1. Iingxaki zeenyawo zomzimba
2. Ukusetyenziswa gwenxa
3. Ukonzakala nokwenzakala kweenyawo
4. Izihlangu ezingakulungelanga
5. Iimeko eziphantsi
6. Amayeza

Abanye abantu kunokwenzeka ukuba bafumane iintlungu zonyawo ebomini babo kunabanye. Kukho izinto ezimbalwa zomngcipheko ekufuneka uzibone kubandakanya ubudala, isini, umngcipheko emsebenzini, kwaye kunjalo, ezemidlalo, utshilo uKen Redcross, MD, umsunguli I-Concierge yeRedcross . Abantwana kunye nabantu abadala kunokwenzeka ngakumbi ukuba bafumane iintlungu zonyawo-abantwana ngenxa yemisebenzi enefuthe eliphezulu ecaphukisa amacwecwe okukhula esithendeni. Ngobudala, i-padding yonyawo kuphela iyaphela. Ukongeza, abantu abadala abafumani manzi maninzi, ukungahambi kakuhle kwegazi, isifo samathambo kunye nolusu olomileyo. Zonke ezi zinto zinokubangela iintlungu kwiinyawo. Abasetyhini bakwumngcipheko ophezulu weentlungu zonyawo kunamadoda. Oku kunokuba ngenxa yokunxiba izithende eziphakamileyo okanye ezinye izihlangu ezimxinwa kakhulu.

1. Iingxaki zeenyawo zomzimba

Nayi imiba yolwakhiwo enokubangela iintlungu ezinyaweni:

• I-arch ephezulu ubeka uxinzelelo olongezelelekileyo emathanjeni kwibhola yonyawo. Olu xinzelelo longezelelekileyo lungakhokelela kwintlungu okanye ukudumba.
• Iibhokhwe , okanye i-hallux valgus, yibump bump ekhula kwilungu elikhulu lezwane.
• Iinyawo ezisicabakukukhubazeka xa i-arch yonyawo iwe okanye ingakhuli kwaphela. 20% -30% yoluntu ngokubanzi luzelwe luneenyawo ezisicaba.
• Isando kuxa iinzwane zesibini, zesithathu, okanye zesine zigobe okanye zigobe ezantsi endaweni yokuba zithi nkqo. Xa oku kusenzeka, amanye amathambo, izihlunu, kunye nemisipha kutshintsho lweenyawo, ezibangela iintlungu.
• Ubhontsi wesibini omkhulu kunenzwane yokuqala kunokubangela ukuba ubunzima bomzimba butshintshe kancinci, kongeza uxinzelelo kwibhola yonyawo, enokuba buhlungu ngokuhamba kwexesha.
• Ukuphakamisa kunye nokubiza bhekisa kunikezelo lobunzima bomzimba. Ukuphakamisa kuthetha ukuhamba ngobunzima obungaphezulu ngaphandle kweenyawo, ngelixa ukubiza kuthetha ukuhamba ngobunzima obuninzi kwindawo yangaphakathi ye-arch. Abantu abane-supination okanye i-pronation basengozini yokuphuhlisa imeko esele ixhaphakile ebizwa isityalo fasciitis . I-Plantar fasciitis yenzeka xa ibhendi emazantsi onyawo ebizwa ngokuba yi-plantar fascia iyavutha kwaye idumbe. Ngokuyintloko ibonakalisa njenge-arch kunye nentlungu yesithende, kodwa kwiimeko ezinzima, inokubangela iintlungu kwibhola yonyawo.

2. Ukusetyenziswa ngokugqithisileyo

Ukuchitha ixesha elininzi ngeenyawo, ngakumbi kwizihlangu ezingasekeliyo ezinje ngezithende eziphakamileyo, kunokubeka uxinzelelo olugqithisileyo kwibhola yonyawo. Intlungu kwibhola yonyawo (ekwabizwa ngokuba yi-metatarsalgia) inokubonakalisa njengokutsha, okubukhali, okanye ukuqaqanjelwa. Ibhola leenyawo liyinxalenye yento esecaleni nje kweenzwane. Iintlungu zihlala zisiba mandundu xa uguqula unyawo.

Iinyawo zisasaza ubunzima bomzimba ngokulinganayo, kwaye umsebenzi omninzi kakhulu (okt, ukuhamba ngezithende eziphakamileyo) ubangela ukuba unyawo luthathe ubunzima bomzimba ngakumbi kunesiqhelo. Oku kunokubangela ukuba iigaments, amathambo, kunye nezihlunu zivuthe kwaye zibe buhlungu. Ukuma, ukuhamba, okanye ukwenza umthambo kakhulu kunokubangela ukuba imisipha kunye nemisipha ephezulu enyaweni idumbe, enokuthi ekugqibeleni ibe buhlungu. Ezinye iimeko zonyawo ezibangelwa kukusetyenziswa gwenxa kubandakanya i-bursitis, i-heel spurs (efanayo ne-plantar fasciitis), i-Morton's neuroma, i-tendinitis, kunye noxinzelelo loxinzelelo.

3. Ukonzakala nokwenzakala kweenyawo

Iinyawo zithambekele ekonzakaleni ngenxa yoxinzelelo abalunyamezelayo kwimisebenzi yemihla ngemihla. Kuyenzeka ukuba uxinzeleleke, uthambise, okanye uqhekeze amathambo e-metatarsal ngaphezulu konyawo. Ibhola yonyawo ikwayilo noxinzelelo lokophuka kwimisebenzi eneempembelelo eziphezulu njengokubaleka nokutsiba. Ukuqhekeka koxinzelelo kunokubangela iintlungu ezibukhali, ezibuthathaka, okanye ezibuhlungu kwaye kufuneka kufunyaniswe kwaye kunyangwe yingcali yezonyango. Nangona iimpawu zentlungu egqithisileyo, ukugruzuka, kunye nokushenxiswa kokuhamba kungumqondiso wokuqhekeka, ithambo elaphukileyo liya kufuna iX-reyi ukuze ifumanise kwaye iya kuthi inyangwe nge-splints okanye nge-cast ukuze unyawo luphilise ngokufanelekileyo. Ngamanye amaxesha, utyando lunokuba yimfuneko.

4. Izicathulo ezingakulungelanga

Ukunxiba izihlangu ezingaxhaswayo sesona sizathu siqhelekileyo seentlungu zonyawo. Inokubangela iinzipho ezingene ngaphakathi, iifowuni, umbona,I-neuroma kaMorton, kunye ne-tendinitis. I-tendinitis inokubakho nasemagxeni, iingqiniba, izandla, kunye nezihlakala. Ezi zintathu iintlobo eziqhelekileyo ze-tendinitis ezinyaweni:

• I-Achilles tendinitis ihlala ibangelwa kukwenzakala kwezemidlalo, izihlangu ezingalunganga okanye ezingancedisiyo, okanye isifo samathambo. Ukulimala kwethenda ye-Achilles zihlala zibonakaliswa kukuthantamisa phakathi kwesithende kunye nemisipha yethole.
• I-tendinitis eyandisiweyo kwenzeka xa imisipha ebaleka ngaphezulu kunyawo idumbile. Ukudumba kwemisipha kunokubangela iintlungu nokudumba. Olu hlobo lwe-tendinitis luqhelekile ebantwini abanxiba izihlangu ezingakulungelanga, ngakumbi xa usenza umthambo.
• Sesamoiditis Olunye uhlobo lwe-tendinitis oluqhele ukubangelwa kukusetyenziswa gwenxa. Ukudumba okuvuthayo kunokuba buhlungu kakhulu kwaye kukhokelele kubuhlungu kwibhola yeenyawo.

5. Iimeko ezisisiseko

Ukuze unyange iintlungu ezinyaweni, ukhathalelo lwempilo yakho lunokufuna ukuvavanya nokunyanga iimeko zempilo ezingaphantsi. Ezi zigulo zingapheliyo zilandelayo zinokubangela iintlungu ezinyaweni.

• Isifo samathambo kunokubangela iintlungu zamaqatha kunye neentlungu ngaphezulu konyawo. Isifundo esinye bafumanise ukuba abantu abane-rheumatoid arthritis banamathuba aphindwe kathathu okufumana iintlungu zonyawo. Isifo samathambo sihlala sichaphazela indibaniselwano yokuqala ye-metatarsophalangeal (MTP), edibanisa isiseko senzwane enkulu kunyawo lonke. Ukuba eli lungu liyadumba, linokuchaphazela indlela iinyawo ezisebenza ngayo kwaye zikhokelele kwintlungu kunye nokudumba. Intlungu edibeneyo, ukuqina ngokudibeneyo, okanye ukuhamba nzima kunokubonisa isifo samathambo ezinyaweni.
• Igawuthi sisifo esibangela isifo samathambo ngenxa yokwanda kweuric acid ekucaphukisa amalungu kunye nokubangela iintlungu. Igawuthi idla ngokubetha emazantsi enzwane enkulu.
• Seswekile intlungu yonyawo (peripheral neuropathy) kubangelwa yimithambo-luvo kunye nokonakala kwenqanawa yegazi ngenxa yeswekile ephezulu yegazi. Umonakalo wemithambo-luvo unokubangela ukuba ndindisholo ezinzwaneni, ezinyaweni nasemilenzeni. Ukuba uvakalelo luyancipha, nokuba ukusikwa okuncinci kunye nokukrwela kungakhokelela kwizilonda ezinzulu okanye izilonda. Ukunganyangwa, usulelo lunokusasazeka emathanjeni lubulale izicwili. Ngamanye amaxesha, ukunqunyulwa komzimba kuyimfuneko.
• Osteoarthritis (olona hlobo luqhelekileyo lwe-arthritis) lunxiba intlala kwilungu. Njengoko umzimba uzama ukulungisa intlala, uyila amathambo kufutshane nendawo eyonakeleyo.
• Isifo semithambo yegazi IPAD ) kunciphisa ukuhamba kwegazi emilenzeni ukusuka ekucinyweni kwecholesterol, okukhokelela kwintlungu xa uhamba. Ingabangelwa kukutshaya, ukutyeba kakhulu, uxinzelelo lwegazi oluphezulu, i-cholesterol ephezulu kunye nobudala (ngaphezulu kwe-50).
• Iipilisi zentsholongwane papilloma ( I-HPV ) yintsholongwane enokubangela iintsumpa ezityaliweyo emazantsi eenyawo.
• Into kaRaynaud kubangela ukuba ndindisholo okanye ukubanda ngenxa yotshintsho lobushushu kunye noxinzelelo. Ukongeza ukurhawuzelela okanye ukuba ndindisholo kwiinzwane, utshintsho lombala lunokwenzeka. Iinzwane zinokujika zibe mhlophe kuhlaselo, kwaye luhlaza okwesibhakabhaka ngexesha lobundindisholo, kwaye zibomvu njengeenyawo ezifudumeleyo okanye uxinzelelo.
• I-Vasculitis kubangela iingxaki zemithambo-luvo kunye neentlungu jikelele. I-Vasculitis ibangela ukuvuvukala kwimithambo yegazi kwaye inokubangelwa zizifo, umhlaza, izifo ezizimele kunye namanye amayeza.

Ezinxulumene: Unyango lwe-Neuropathy kunye namayeza

6. Amayeza

Amayeza anokubangela iintlungu ezinyaweni. Uninzi lwezigulana zihlala zinyangwa i-HIV / AIDS okanye amava omhlaza kwi-peripheral neuropathy. Nangona kunjalo, nolu uluhlu ukusuka Isiseko sePeripheral Neuropathy Ezinye iziyobisi ezinokubangela iintlungu ezinyaweni:

• Iziyobisi ezichasene notywala ( Idisulfiram )
• IiAnticonvulsants ( Dilantin )
• Iyeza lomhlaza ( ICisplatin , UVincristine )
• Intliziyo okanye uxinzelelo lwegazi amayeza ( Amiodarone , IHydralazine )
• Usulelo ukulwa neziyobisi ( I-Metronidazole , Iiflegi , Sayiprasi , Levaquin , INitrofurantoin , Isoniazid )
• Amayeza onyango kwimeko yesikhumba ( Dapsone )

Unyango lwentlungu yonyawo

Unyango olululo luya kuxhomekeka kwinto ebangela oko. Nangona kunjalo, nazi iindlela eziqhelekileyo zokunciphisa iintlungu ezinyaweni:

• Phatha iintlungu ezincinci nge I-anti-anti-anti-inflammatory drug s (NSAIDs) njenge ibuprofen okanye Iasprini . Ewe, ukuba iintlungu aziphucuki kwezi ndlela zokuthenga, jonga ugqirha wakho ukufumana isikhokelo esongezelelweyo okanye ukuvavanywa, utshilo uGqirha Redcross.
• Unyango lwe-Homeopathic njenge-arnica inokupholisa iintlungu ezinyaweni kunye nokudumba ngenxa yokusebenzisa kakhulu kunye nokwenzakala.
• Ukuhla ukusinda inokukunceda ukunciphisa iintlobo ezithile zentlungu yeenyawo. Nangona, kubalulekile ukuba uzilolonge nezihlangu ezifanelekileyo.
• Ukuphumla kunye nokubeka icing ukwenzakala kweenyawo kunokuhamba umgama omde ukunceda ukunciphisa ukudumba.
• Ulungiso lwenyama Unokunceda ukunyanga iintlungu ezinyaweni emva kokonzakala, kodwa uninzi lweempawu zonyango zifuna ukuthunyelwa kumboneleli wezempilo kuqala.
• Kwakhona kubalulekile ukuba gcina ukuma okuchanekileyo kangangoko kunokwenzeka ukuthintela iintlungu eziqhubekekayo zinyusa umlenze ukuya emadolweni nasinqeni ngenxa ukungalungelelanisi .
• Abanye ababoneleli ngezempilo bayakucebisa ukufakwa kwezihlangu , i-orthotic yesiko, okanye iipads zemetatarsal zenkxaso ye-arch ukunceda ngokulinganayo ukusasaza ubunzima bomzimba ecaleni kwenyawo.
• Ukuqobeka okukhulu kunye nokuqhekeka kufuna ingcebiso yezonyango kwangoko ingqalelo. Ingcali yezonyango, enje ngonyango lweenyawo, inokumisela ukuba yintoni kanye kanye ebangela iintlungu ezinyaweni kwaye iyile nesicwangciso sonyango esisebenza kakuhle kwisigulana.
• Kwiintlungu ezibuhlungu, ababoneleli ngezempilo banokuthi banikezele nge Inaliti corticosteroids okanye iibhloko zemithambo-luvo.

Ixesha lokubuyisela kwimeko yesiqhelo liya kuxhomekeka kubudala nakwimpilo yonke yesigulana kunye nengxaki esisiseko. Umzekelo, iintlungu ngenxa yokusetyenziswa gwenxa zingathatha iintsuku ezimbalwa ukuphola ngokuphumla kunye nonyango olufanelekileyo, kodwa iintlungu ezibangelwa kukophuka koxinzelelo okanye ibunion kuya kuthatha iiveki okanye iinyanga ukuphola.

Iinyawo zomntu wonke zahlukile, kwaye akukho bungakanani bunye obulingana nesicwangciso sonyango esiza kusebenza kakuhle kuwo wonke umntu. Umboneleli wezempilo, onjenge-podiatrist, unokunceda abaguli ukuba babone ukuba yintoni ebangela iintlungu zeenyawo zabo kwaye banokucebisa ukuba benze ntoni ngokulandelayo.