Morton neuroma

Morton neuroma ndi kuvulala kwa mitsempha pakati pa zala zakumaso zomwe zimayambitsa kukhuthala ndi kupweteka. Zimakhudza kwambiri mitsempha yomwe imayenda pakati pa chala chachitatu ndi chachinayi.

Zomwe zimayambitsa sizikudziwika. Madokotala amakhulupirira kuti zotsatirazi zitha kutengapo gawo pokhazikitsa izi:

• Kuvala nsapato zolimba ndi nsapato zazitali
• Kuyika zachilendo zakumapazi
• Mapazi apansi
• Mavuto amtsogolo, kuphatikizapo bunions ndi zala zazing'ono
• Mapazi apamwamba

Morton neuroma imafala kwambiri mwa azimayi kuposa amuna.

Zizindikiro zimaphatikizapo:

• Kuyika pakati pakati pa zala zachitatu ndi zinayi
• Kupondereza chala
• Kupweteka kwakuthwa, kuwombera, kapena kuwotcha mu mpira wa phazi ndipo nthawi zina zala zazala
• Ululu womwe umakula mukamavala nsapato zolimba, nsapato zazitali, kapena kukanikiza pamalopo
• Ululu womwe umakulirakulira pakapita nthawi

Nthawi zina, kupweteka kwa mitsempha kumachitika pakati pa zala zachiwiri ndi zachitatu. Izi si njira wamba ya Morton neuroma, koma zizindikilo ndi chithandizo chake ndizofanana.

Wothandizira zaumoyo wanu amatha kudziwa vutoli pofufuza phazi lanu. Kutsina phazi lanu lakumapazi kapena zala zanu pamodzi zimabweretsa zizindikiro.

X-ray ya phazi ikhoza kuchitidwa kuti ithetse mavuto am'mafupa. MRI kapena ultrasound ikhoza kuzindikira bwinobwino vutoli.

Kuyesa kwamitsempha (electromyography) sikungadziwitse Morton neuroma. Koma itha kugwiritsidwa ntchito kuthana ndi zomwe zimayambitsa zofananira.

Mayeso amwazi amatha kuchitidwa kuti muwone ngati pali zovuta zina zotupa, kuphatikiza mitundu ina ya nyamakazi.

Mankhwala osagwira ntchito amayesedwa kaye. Wopezayo angakulimbikitseni izi:

• Kuyika ndikusindikiza chala chakuphazi
• Kuyika nsapato (mafupa)
• Kusintha kwa nsapato, monga kuvala nsapato zokhala ndi mabokosi azala zazitali kapena zidendene
• Mankhwala odana ndi zotupa omwe amatengedwa pakamwa kapena kubayidwa m'manja
• Mitsempha yotsekemera yamitsempha yolowetsedwa m'dera lakumapazi
• Mankhwala ena othetsa ululu
• Thandizo lakuthupi

Ma anti-inflammatories ndi mankhwala opha ululu sakulimbikitsidwa kuti athe kuchiritsidwa kwanthawi yayitali.

Nthawi zina, opaleshoni imafunika kuchotsa minofu yolimba komanso yotupa. Izi zimathandiza kuthetsa ululu ndikusintha magwiridwe antchito. Dzanzi pambuyo pa opaleshoni ndilokhazikika.

Chithandizo chamankhwala sichimathandizira kusintha zizindikiritso. Opaleshoni yochotsa minofu yolimba imayenda bwino nthawi zambiri.

Zovuta zingaphatikizepo:

• Kuvuta kuyenda
• Vuto ndi zochitika zomwe zimakakamiza phazi, monga kukanikiza mafuta mukamayendetsa
• Zovuta kuvala mitundu ina ya nsapato, monga nsapato zazitali

Itanani omwe akukuthandizani ngati mukumva kupweteka kosalekeza kapena kumenyedwa m'miyendo kapena kumapazi.

Pewani nsapato zosakwanira. Valani nsapato zokhala ndi bokosi lakumapazi kapena zidendene.

Morton neuralgia; Matenda a Morton; Kutsekedwa kwa Morton; Metatarsal neuralgia; Plantar neuralgia; Intermetatarsal neuralgia; Interdigital neuroma; Interdigital chomera neuroma; Forefoot neuroma

McGee DL. Njira zopatsira ana. Mu: Roberts JR, Custalow CB, Thomsen TW, olemba., Eds. Ndondomeko Zachipatala za Roberts & Hedges mu Emergency Medicine ndi Acute Care. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2019: chap 51.

Shi GG. Matenda a Morton. Mu: Frontera WR, Silver JK, Rizzo TD Jr, olemba. Zofunikira za Thupi Lathupi ndi Kukonzanso: Matenda a Musculoskeletal, Ululu, ndi Kukonzanso. Wolemba 4. Philadelphia, PA: Elsevier; 2019: chap 91.