Chilichonse Chimene Muyenera Kudziwa Zokhudza Morton's Neuroma

Zamkati

• Zizindikiro zake ndi ziti?
• Nchiyani chimayambitsa neuroma ya Morton?
• Kodi muyenera kuwona liti dokotala?
• Kodi Morton's neuroma amachiza bwanji?
• Chithandizo chosamala komanso chanyumba
• Majekeseni
• Opaleshoni
• Kodi mungayembekezere chiyani?
• Maganizo ake ndi otani?
• Kodi mungatani kuti mupewe kubwereza?

Chidule

Matenda a Morton ndi oopsa koma opweteka omwe amakhudza mpira wa phazi. Amatchedwanso intermetatarsal neuroma chifukwa amapezeka mu mpira wa phazi pakati pamafupa anu a metatarsal.

Zimachitika pamene minofu yozungulira mitsempha yomwe imabweretsa chala chimayamba kukwiya kapena kupsinjika. Nthawi zambiri zimachitika pakati pa chala chachitatu ndi chachinayi, komanso zimatha kuchitika pakati pa chala chachiwiri ndi chachitatu. Amakonda kupezeka mwa anthu azaka zapakati, makamaka azaka zapakati.

Zizindikiro zake ndi ziti?

Ululu, womwe nthawi zambiri umakhala pakatikati, ndiye chizindikiro chachikulu cha Morton's neuroma. Zitha kumveka ngati kupweteka kwamoto mu mpira kapena phazi lanu kapena ngati mukuyimirira pamiyala kapena mwala mu nsapato zanu kapena sock yokokedwa.

Zala zanu zimatha kumva dzanzi kapena kumva kuwawa pamene ululu ukutuluka. Mwina mumavutika kuyenda bwinobwino chifukwa cha ululu. Simudzakhala ndi kutupa kulikonse pamapazi anu, komabe.

Nthawi zina mumatha kukhala ndi neuroma ya Morton popanda zisonyezo. Kafukufuku wocheperako kuchokera ku 2000 adawunikiranso zolemba zamankhwala kuchokera kwa anthu 85 omwe anali ndi mapazi awo akujambulidwa ndi kujambula kwa maginito (MRI). Kafukufukuyu anapeza kuti 33 peresenti ya omwe anali nawo anali ndi Morton's neuroma koma samva kupweteka.

Nchiyani chimayambitsa neuroma ya Morton?

Matenda a Morton nthawi zambiri amayamba chifukwa cha nsapato zolimba kwambiri kapena zomwe zili ndi nsapato zazitali. Nsapato izi zimatha kupangitsa kuti mitsempha ya kumapazi anu ikhale yothinana kapena kukwiya. Mitsempha yokwiya imakula ndipo pang'onopang'ono imayamba kupweteka chifukwa cha kukakamizidwa kwake.

China chomwe chingayambitse vuto la kuyenda kwa phazi kapena mayendedwe, komwe kumatha kubweretsa kusakhazikika komanso kumathanso kukakamiza mitsempha kumapazi anu.

Matenda a Morton nthawi zambiri amagwirizanitsidwa ndi:

• phazi lathyathyathya
• zipilala zazitali
• magulu
• nyundo zala

Zimakhudzidwanso ndi zochitika monga:

• zochitika zobwerezabwereza zamasewera, monga kuthamanga kapena masewera othamanga, zomwe zimakulitsa kuthamanga kwa mpira wa phazi
• masewera omwe amafuna nsapato zolimba, monga kutsetsereka kapena kuvina

Nthawi zina, neuroma imayamba chifukwa chovulala phazi.

Kodi muyenera kuwona liti dokotala?

Ngati muli ndi kupweteka kwa phazi komwe sikumatha ngakhale mutasintha nsapato zanu kapena kuimitsa zinthu zomwe zingakhale ndiudindo, onani dokotala wanu. Matenda a Morton amachiritsidwa, koma ngati sakuchiritsidwa mwachangu atha kuwononga mitsempha nthawi zonse.

Dokotala wanu adzakufunsani momwe ululu unayambira ndikuyesa mwendo wanu mwakuthupi. Adzakakamiza mpira wa phazi lanu ndikusuntha zala zanu kuti muwone komwe mukumva kuwawa. Dokotala nthawi zambiri amatha kudziwa kuti Morton ndi neuroma kuchokera pakuwunika thupi ndikukambirana za zomwe mukudziwa.

Pofuna kudziwa zina mwazomwe zimayambitsa zowawa zanu, monga nyamakazi kapena kusweka kwa nkhawa, dokotala wanu nthawi zina amatha kuyitanitsa mayeso azithunzi. Izi zingaphatikizepo:

• X-ray kuti athetse nyamakazi kapena mafupa
• Zithunzi za ultrasound kuti zizindikire zovuta m'matumba ofewa
• MRI yodziwitsa zovuta zofewa

Ngati dokotala akukayikira vuto lina la mitsempha, amathanso kupanga electromyography. Kuyesaku kumayesa zochitika zamagetsi zopangidwa ndi minofu yanu, zomwe zingathandize dokotala kumvetsetsa momwe mitsempha yanu imagwirira ntchito.

Kodi Morton's neuroma amachiza bwanji?

Chithandizo chimadalira kuopsa kwa zizindikiro zanu. Dokotala wanu nthawi zambiri amagwiritsa ntchito dongosolo lomaliza maphunziro. Izi zikutanthauza kuti mudzayamba ndi chithandizo chamankhwala osunthika ndikupitilira mankhwala owopsa ngati ululu wanu ukupitilira.

Chithandizo chosamala komanso chanyumba

Chithandizo chodziletsa chimayamba ndikugwiritsa ntchito zotchingira kapena zikwangwani zamiyendo pamapazi anu. Izi zimathandiza kuchepetsa kupanikizika kwa mitsempha yomwe yakhudzidwa. Zitha kukhala zowonjezerapo (OTC) kapena mwambo wopangidwa ndi mankhwala kuti mugwirizane ndi phazi lanu. Dokotala wanu angathenso kupereka malingaliro opha opweteka a OTC kapena mankhwala osagwiritsa ntchito anti-inflammatory, monga ibuprofen (Advil, Motrin) kapena aspirin.

Mankhwala ena osasamala ndi awa:

• chithandizo chamankhwala
• Zochita zolimbitsa thupi kumasula ma tendon ndi ligaments
• kusisita mpira wamiyendo yanu
• zolimbitsa bondo ndi zala zanu
• kupumula phazi lako
• kuyika ayezi kumadera owawa

Majekeseni

Ngati kupweteka kwanu kukupitirira, dokotala wanu akhoza kuyesa jakisoni wa corticosteroids kapena mankhwala oletsa kutupa m'dera lowawa. Jekeseni wamankhwala am'deralo amathanso kugwiritsidwa ntchito kufafaniza mitsempha yomwe yakhudzidwa. Izi zitha kukuthandizani kuti muchepetse ululu kwakanthawi.

Majakisoni oledzera ndi mankhwala ena omwe angapereke mpumulo kwakanthawi kochepa. Kafukufuku wa nthawi yayitali adapeza kuti 29 peresenti yokha ya anthu omwe anali ndi jakisoni woledzeretsa amakhala opanda zisonyezo, komabe.

Opaleshoni

Ngati mankhwala ena alephera kupereka mpumulo, dokotala wanu atha kunena kuti achite opaleshoni. Zosankha zopangira opaleshoni zingaphatikizepo:

• neurectomy, komwe gawo lina la minyewa imachotsedwa
• opaleshoni ya cryogenic, yomwe imadziwikanso kuti cryogenic neuroablation, pomwe mitsempha ndi mchira wa myelin womwe umawaphimba amaphedwa pogwiritsa ntchito kuzizira kwambiri
• Kuchita opaleshoni mwachisawawa, komwe kupanikizika kwa mitsempha kumasulidwa ndikudula mitsempha ndi zinthu zina mozungulira mitsempha

Kodi mungayembekezere chiyani?

Nthawi yanu yochira idzadalira kuopsa kwa matenda anu am'mimba a Morton ndi mtundu wa chithandizo chomwe mumalandira. Kwa anthu ena, kusintha kwa nsapato zazikulu kapena kulowetsa nsapato kumapereka mpumulo mwachangu. Ena angafunike jakisoni ndi mankhwala opha ululu kuti apumule pakapita nthawi.

Nthawi yochira opaleshoni imasiyanasiyana. Kuchira kuchokera ku opaleshoni ya mitsempha yachangu kumafulumira. Mutha kulemera phazi ndikugwiritsa ntchito nsapato yokhotakhota mutangochitidwa opaleshoni.

Kubwezeretsa kumatalika kwa neurectomy, kuyambira 1 mpaka 6 milungu, kutengera komwe kudulidwa kwa opaleshoni kumapangidwira. Ngati chekecho chili pansi pa phazi lanu, mungafunikire kukhala ndodo kwa milungu itatu ndikukhala ndi nthawi yochulukirapo. Ngati chembacho chili pamwamba pa phazi, mutha kuyika phazi lanu pomwepo mutavala nsapato yapadera.

Pazochitika zonsezi, muyenera kuchepetsa zochitika zanu ndikukhala phazi lanu litakwezedwa pamwamba pamtima wanu nthawi zonse momwe mungathere. Muyeneranso kusunga phazi louma mpaka chekeyo itachira. Dokotala wanu asintha mavalidwe opangira opaleshoni m'masiku 10 mpaka 14. Posachedwa pomwe mutha kubwerera kuntchito zimadalira momwe ntchito yanu ikufunira kuti muyime.

Nthawi zina, neuroma ya Morton imatha kubwereranso pambuyo pa chithandizo choyambirira.

Maganizo ake ndi otani?

Chithandizo chodziletsa chimabweretsa anthu omwe ali ndi mpumulo wa Morton wa 80% nthawiyo. Pali zochepa zophunzira za nthawi yaitali za zotsatira za chithandizo cha opaleshoni, koma Cleveland Clinic inanena kuti opaleshoni imathandiza kapena kuchepetsa zizindikiro mu 75 mpaka 85 peresenti ya milandu.

Ziwerengero zoyerekeza zotsatira zamankhwala osiyanasiyana ndizochepa. Kafukufuku wocheperako wa 2011 adapeza kuti 41 peresenti ya anthu omwe adasintha nsapato sakusowa chithandizo china. Mwa anthu omwe adalandira jakisoni, 47 peresenti adawona kusintha ndipo sanafunikire chithandizo china. Kwa anthu omwe amafunikira opaleshoni, 96 peresenti idasintha.

Kodi mungatani kuti mupewe kubwereza?

Njira imodzi yosavuta yoletsa kubwereranso kwa neuroma ya Morton ndikuvala nsapato zoyenera.

• Pewani kuvala nsapato zolimba kapena nsapato zokhala ndi zidendene zazitali kwa nthawi yayitali.
• Sankhani nsapato zomwe zili ndi chala chachikulu chakumanja chomwe chili ndi malo ambiri ogwedezera zala zanu.
• Ngati dokotala akuvomereza, valani cholozera kuti muchotse mpira phazi lanu.
• Valani masokosi okhala ndi zikuluzikulu, omwe angakuthandizeni kuteteza mapazi anu ngati mukuyimirira kapena kuyenda kwambiri.
• Ngati mumachita nawo masewera othamanga, valani nsapato zomwe zimakutidwa kuti muteteze mapazi anu.
• Ngati mungayime nthawi yayitali kukhitchini, pamalo olembetsera ndalama, kapena padesiki yoimirira, pezani mphasa yolimbana ndi kutopa. Mateti otchingidwawa amatha kukuthandizani kumapazi anu.

Mwinanso mungafune kuwona wochita zamankhwala kuti azolowere kuchita zolimbitsa thupi kuti mulimbitse miyendo yanu ndi akakolo.