Hallux Valgus. Valgus ukukhubazeka le toe yokuqala

Izilonda iinyawo iya ngokuya eqhelekileyo ngakumbi. Enye yeyona ixhaphakileyo ngezifo namalungu yonyawo iintlobo na ukukhubazeka valgus okanye Hallux Valgus.

Yintoni ukukhubazeka valgus?

Phantsi valgus ukukhubazeka idla zibandakanya ukuphazamiseka ubume entlanganweni yokuqala metatarsophalangeal ngenxa ukubana yentloko yokuqala amadeo yokuxazulula (ngaphandle ukusuka elunyaweni) kunye kwithambeka yokuhlasela proximal ze ubhontsi izibilini.

Iinyawo sifo iinyawo iphuhlise amaninzi ngenxa enxibe tight, izihlangu emxinwa. Ngenxa yoko, phantsi kwempembelelo ucinezelo lwenzeka "amandla" ukubana le proximal yokuhlasela. Ngaxeshanye kunye nale ephuhlisa nemisipha ukuzolula kunye imisipha ubhontsi, okwenza kukhule ngakumbi le meko. Enye imbangela deformation yi ukuthambekela naso ukuphuhlisa sifo.

Ngenxa yeemeko zangaphandle kwenzeka flattening Iingqameko ze yonyawo, emva koko iphuhlise transversely longitudinal tyaba, yaye oku kukhokhelela ekufuneni uhlaba nakubhontsi.

Bayekeni kakhulu abafazi, kungakhathaliseki ubudala (idla ngokuba esi sifo senzeka ebomini oluphakathi kunye kamva).

elihlabayo

Phambili, ugobile ukuze mandundu, ekhokelela nangakumbi uhlobo ubhontsi. Le obubungqongo kumiselwa angafaniyo yezahlukileyo ezimbini ezinkulu - yokuhlasela kunye amadeo-intertarsal engile (phakathi kwe-1 kunye metatarsals 2).

Kwimeko ithambo, ngokulandelelana 12 no-25 degrees iphuhlise aqine yokuqala hallux valgus.

Ukuba le nkqubo iqhuba, kwaye divergence yi 18 degrees (amadeo-phalangeal esiludumbo) kwaye ngaphezu kwama-25 degrees phakathi metatarsals, xa lokufunyaniswa ubuze ngokuzalana yophuhliso sifo.

Ukuba engile bukhulile, baba phezu-18 no-35 degrees, ngokulandelelana, inokuveza degree sesithathu ubungnqongqo sifo.

Ngamanye amaxesha umbuzo umbuzo - ilingene ubucaka kufuneka abulawe, ukuba kutshintshwe angle uphawu, umzekelo, inqanaba lokuqala, kunye nezinye i-engile inyuswe ngaphezu kuyimfuneko. Kule meko, kufuneka sinikele ingqalelo utshintsho kwi joint amadeo-yokuhlasela, ngoko ke kukho utshintsho oko lwiimi ziveleleyo Pathogenesis kwesi sifo.

ikliniki

Xa lokuqala inqanaba lesi sifo nokubonakaliswa ephambili sifo ukuba ntamo ngexesha nokuhamba, imvo uqeqeshwa. Kunye ukuqhubela phambili le nkqubo iqatshelwe kuphuhliso ukudumba capsule ezidityanelweyo (bursitis), nto leyo mandundu esi sifo. ubuhlungu Ifakwe kwi joint, mandundu ukuhamba, ukungakwazi imisebenzi ukuphelwa lixabiso. Nge ukuqhubela phambili, esi sifo nzima kuphuhliso isifo disc sisiba mandundu, osteoarthritis (ngenxa flattening le intervertebral disc). Akukho olunzulu, iqaqamba intlungu emqolo, imvo womxhuzulane elibaleka emva kwexesha ukuphumla, kwakunye neentlungu obukhulu emva msebenzi.

Endleleni, xa nokudumba kwelinye oku kwandisa ubukhulu, articular Walungisa nezibaya zemihlambi. Ngenxa kwamanani ithambo le articular intlala kumphezulu kuqala pakani nxamnye enye kwenye, nto leyo ekhokelela lingonakali ngayo imiphezulu articular kunye nophuhliso koko osteophytes.

ekuxilongweni

Ngokuqhelekileyo, lokufunyaniswa valgus ugobile nobhontsi yomguli na izikhalazo ngokwaneleyo imbali eqokelelweyo kunye nokuhlolwa olubonakalayo. Flat-valgus ukukhubazeka Musa kwafunyaniswa usebenzisa X-ray welungu ochaphazelekayo ukumisela engile kuphambuka phakathi amathambo kunye nobukhulu. Maxa wambi wasebenzisa livakale umfanekiso Imagnethi yomhlaba kunye scintigraphy.

iindlela Njengoko ezongezelelweyo ezisetyenziswa moshilongo umahluko, sebenzisa ngokupheleleyo segazi, uhlalutyo igazi ezinto eziphilayo, zokuhlatywa diagnostic uphando synovia fluid kunye Ukuchumisa esilandelayo kwi ovumisa zizondlo (ngokuzimisela ezincinane). Iimpawu ekhethwayo ezo neenqobo eziphambili diagnostic na ukuzimisela revmofaktora (une isifo samathambo), uric acid (sifo), kwakunye ezinye kwamagciwane samathambo ethile.

valgus Treatment

Hallux Valgus unyango kufuneka uqale kuqheleke ebomini. ubukho ubunzima kwemfuneko Kucetyiswa ukuba siyitshabalalise (ezimcaba kunye osteochondrosis mandundu isifo nokukhuthaza ukuqhubela phambili yayo). Kulo mzekelo, ukuba kusekho kwenzeka Hallux Valgus, akukho umsebenzi unyango kunokuba nemiphumo ebalulekileyo.

Shoes, wavele kwakhokelela deformation kangangoko kufuneka uyeke ukusebenzisa.

Enye into ebalulekileyo ukwaliwa nemikhwa emibi.

Njengoko kuthintelo valgus ugobile, kufuneka isetyenziswe izicathulo kweentende ethambileyo ngaphandle izithende. Abanye ukusetyenziswa kwaye iya kuqhuba, neebhate ngeenyawo kunye yokuthanjiswa ngeenyawo emva kokuba umthwalo onzima ezingashukumiyo apha emilenzeni. Phakathi kweminwe zinokufakwa pads ezikhethekileyo wamathambo, nokuthintela ukubana le ndlela yokuhlasela ze ubhontsi.

Ukuba la manyathelo angqingqwa kungatshitshi, abanaluncedo kwi ukusetyenziswa olongezelelweyo amayeza kwangumqondiso, ijolise ekuphuculeni ifuthe ngendlela posindromnogo.

unyango ngamachiza

Ukuze kuphuculwe indlela unyango lwe Hallux Valgus kaninzi kuthatha amayeza ezahlukeneyo.

Amaqela eziphambili amachiza non-steroidal amachiza-ukudumba (NSAIDs) - iziyobisi "nimesulide" "meloxicam". La mayeza negalelo isiqabu yenkqubo yokukrala ngokubhloka le cyclooxygenase-2 - engundoqo umlamli pro-arhabaxa. Machiza ukunciphisa nangokurhala, ukunciphisa iindumbisa zasekuhlaleni kunye nokunciphisa iintlungu. Ingasetyenziselwa zolawulo yomlomo, kwaye esebenzisa kwizicelo (yokuqaba) kummandla ochaphazelekayo.

Ngaphezulu NSAIDs, ezisetyenziswa izisombululo electrolyte kunye neziyobisi anti-ukudumba, ezisetyenziswa yi electrophoresis. Le ndlela ivumela wena ukuba wenze ichiza ngqo nesiza ukudumba, ngokudlulisela iphecana zesisu. Oku kushenxisa neziphumo elibi NSAIDs kwi isifo esiswini xa uthatha kubo ngaphakathi.

unyango ngotyando

Ngenxa kwawo unyango endala ukubhenela uqhaqho. Kuliwa ngokufuthi advanced course zesi sifo sasikwisigaba saso kamva, ngokunjalo deformation kakhulu neminwe.

I msinyane umsebenzi lwenziwa, evumayo ngakumbi abane.

Kumanqanaba okuqala usebenze entle kakhulu asetyenziswa ukunyanga esi sifo. Hallux Valgus nya ngoncedo resection omkhulu yeentloko ezidibeneyo. Ngenxa oku, yaphuka kakhulu, nto leyo ukunyhashwa umsebenzi ekude. Okwangoku, ephambili inikwa sustavosohranyayuschim imisebenzi esinenjongo - ungenelelo lincinane kakhulu amathambo kwi nefuthe elikhulu phezu imisipha kunye nemisipha. esisetyenziswa ngokubanzi Chevron operation isikhafu (osteotomy yokulungisa). Ukuba kakuhle yabo wabhenela kwendalo arthrodesis. Flat-valgus iinyawo ukukhubazeka kwiimeko kakhulu angafuna joint angoozenzele achaphazelekayo.

Operations ziqhutywe kwiiyantlukwano ezintandathu (nangona ngoku angaphezu kwama-130, kodwa azizange ukuba iyasebenza).

Ukongeza Ukusikwa iintloko bone zabanjwa kunye nokulungiswa atshabalalisa INqaba unyawo.

Abane emva kotyando

Kweli xesha postoperative kucetyiswa ukuba baphephe imisebenzi yomzimba kakhulu (leyo negalelo ngokubuyiselwa ngokungafanelekanga welungu). akufuneki ukulayisha unyawo lwakho enesiqingatha okanye iinyanga ezimbini (ingenamthungo ubuncinane edityanelweyo emva kotyando). Lonke eli xesha, sifanele sinxibe izihlangu ezizodwa wamathambo. Phantsi kwezi meko i ALS kuFeliks.

Ukuba imeko waxilongwa emva kwexesha kwaye inkqubo inkqubela kwaye kwakhokelela utshintsho vuhlayiseki, uqikelelo ngokuthe ngcembe uba iqela ngoku nezinzima. Iinyawo sifo iinyawo ikhuthaza ukukhubazeka, ukuphazamiseka hamba. Kulo mzekelo, nkqu songenelelo oogqirha iba angabi kuba ukucola kuphela ukuqhubela phambili le nkqubo, kodwa hayi ukuphelisa unobangela.

Nokuba yokuphatha le meko?

Ngokutsho umbuzo mna edla ngokubuzwa ngabantu abaninzi. Kuba abathile, uphuhliso olo nzima - ngesihelegu, njengoko eli qela labantu, walimisa ngokuthembeka inkangeleko yayo kwaye avumele obubangela embi uyalibhuqa imbonakalo yazo. Abanye bakholisekile amathambo utshintsho kwaye akukho ezikhawulezayo ukubalekela yokwamkela ukuya kwagqirha. Indlela ukuba - ukuba aphathe okanye ukunyanga? Ukuba isicelo ukuba oogqirha uncedo kuphuhliso Hallux Valgus? Reviews ngale sifo ezininzi ethile.

Kwelinye icala, kungcono xa utshintsho incinane ngendlela ngexesha yi idilesi elidityanelweyo kwi zamathambo kunye traumatologist. uxilongo ngexesha esi sifo siyitshabalalise kungekho naziphi na iziphumo ezibi. I kamva le meko iya elibhaqiweyo, imiphumo ebuhlungu ngakumbi inkqubo musculoskeletal unakho ukudala. Kungenxa yoko le nto umbuzo unyango hallux valgus thumb nje ngabanye. Wonke isigqibo ngokwayo ukuba "yiya phantsi imela", okanye kungcono uliyeke linjalo ngelo.