Hallux Valgus. Valgus wakarebesa wokutanga chigunwe

Maronda tsoka dziri kuva uye zvakafanana zvikuru. Chimwe ndicho mhando zvokurwara norutsoka mapfundo ari valgus wakarebesa kana Hallux Valgus.

Chii chinonzi valgus wakarebesa?

Under valgus wakarebesa kazhinji inosanganisira nokuvhiringidzirwa sechivako wokutanga metatarsophalangeal vadyi nokuda misha romusoro rokutanga metatarsal laterally (chokunze kubva parutsoka) uye yakatenuka proximal phalanx yacho thumbs ura.

The chirwere tsoka netsoka anovandudza kakawanda pamusana akapfeka zvakasimba, yakatetepa shangu. Somugumisiro, achifuridzirwa compression kunoitika "simba" ari misha yacho proximal phalanx. In zvakafanana neizvi Virtual tatamuka nemarunda nemarunda thumbs, mamwe exacerbates zvinhu. Chimwe chinokonzera deformation ndiko vachiberekwa kubatwa kukudziridza chirwere.

Somugumisiro zvimwewo zvinoitika rikauya flattening Maberere norutsoka, pashure iyo anovandudza transversely longitudinal sandara, uye izvi zvinotungamirira kukanganisa guru toe.

Tenderai kunyanya vakadzi, pasinei nezera (kazhinji hosha ikabuda pakati uye pava paya muupenyu).

nekuomarara

Mberi, kuti curvature anogona yakawedzera, zvichitungamirira kunyanya kuoma thumbs. The nekuomarara vagara vandifungira kusiyanisa mbiri variables makuru - phalanx uye metatarsal-intertarsal (pakati 1 ne2 metatarsals) pamakona.

Mune chiitiko remafupa ukuwo 12 uye 25 madhigirii anovandudza kwokuomerwa hallux valgus rokutanga.

Kana muitiro mberi, uye siyana ndiyo madhigirii 18 (metatarsal-phalangeal raiva pedyo nebundu) uye vanopfuura 25 madhigirii pakati metatarsals, iri nechirwere pakati pachena dhigirii okukura ari chirwere chechipiri.

Kana pamakona zvadarika 18 uye 35 madhigirii ukuwo, anogona pachena dhigirii kwezvirwere nekuomarara rechitatu.

Dzimwe nguva mubvunzo unomuka - chii mwero nekuomarara anofanira kuisa, kana kuchinja rekona hunhu Somuenzaniso, wokutanga dhigirii, uye mumwe angled ichiwedzerwa kupfuura zvakafanira. Pakadaro, unofanira kufunga kuchinja metatarsal-phalanx vadyi, saka ndicho kuchinja zviri kuzivikanwa muna pathogenesis chirwere.

kiriniki

Panguva kutanga pavaipfuura chirwere chikuru nokuratidzwa chirwere kuva nemitsipa panguva nokufamba, pfungwa kusanzwa. With kuchiita kwacho ari kuchengetwa kukura kuzvimba kwemajoini Kamudzira (bursitis), izvo Zvinoipisisa hosha. Added marwadzo ari muhudyu, kuwedzerwa vachifamba nekusagona yacho depreciation mashandiro. With kunoita, chirwere chinogona kuoma kubudikidza kukura chinopedza Disc chirwere, osteoarthritis (nokuda flattening ari intervertebral Disc). Havasi nyanyisa, vachirwadziwa marwadzo ari nomuzongoza, pfungwa regiravhiti uye ruchiyerera pashure zororo, uyewo kurwadziwa kwazvo mushure chiitwa.

Munzira, ari pamwe edema: nayo kunowedzera kukura, ndokudzora articular matanga. Tiine Kuparadzwa pfupa rimwe articular shwashwa pamusoro kutanga varikwizire imwe, iyo inotungamirira abrasion pamusoro articular hukawanika uye haizopereri kukura osteophytes.

Diagnostics

Kazhinji, nechirwere pakati valgus curvature murwere wacho thumbs ndiyo zvichemo zvakakwana anounganidzwa nhoroondo uye kutarisana kuongorora. Flat-valgus wakarebesa rega chirwere kushandisa X-ray ine njodzi muhudyu yokuziva kutsaudzira pamakona pakati mapfupa nekuomarara. Dzimwe nguva akashandisa simba rinonzi magnetic resonance kuri uye scintigraphy.

Sezvo mamwe nzira inoshandiswa differential nechirwere, kushandisa zvakakwana kuverenga ropa, nokukanganisika ropa pachisara chirwere ponji kwemajoini tsvakurudzo synovial Urume pamwe unozotevera inoculation on inotonhorera svikiro (nokuti kutsunga zvigare). Vaifarira zviratidzi ndiyo makuru chirwere nzira dziri kutsunga revmofaktora (chirwere okuremadzwa chearthritis), uric asidhi (gout), uyewo vamwe dzakananga chearthritis utachiona.

Treatment valgus

Hallux Valgus kurapwa vanofanira kutanga normalization upenyu. In pamberi yokufutisa inokurudzirwa kuti kuchiparadza (sandara uye osteochondrosis achiipa chirwere uye pave kunoita kwayo). Muchiitiko chino, kana achiri kunoitika Hallux Valgus, hapana kurapwa oparesheni anogona kuchikosha nomugumisiro.

Shoes, anofungidzirwa kwakatungamirira deformation sezvinobvira vanofanira kurega kushandisa.

Uyewo chinokosha Kurambwa tsika dzakaipa.

Sezvo kudzivirira valgus curvature rinofanira kushandiswa akasununguka shangu munyoro inotsikwa pasina pazvitsitsinho. Vamwe kushandiswa uye achange vachiitisa rutsoka dzokugezera uye tsoka masaja pashure rinorema kunofambira mberi mutoro pamusoro makumbo. Between minwe anogona kuiswa chaiwo vachibatsira Mapedhi kutadzisa misha yacho phalanx yacho thumbs.

Kana nezviyero izvi kuchinja vanokundikana, mukana wokuzvidzivirira kune mamwe kushandisa mishonga symptomatic, zvainanga kuvandudza nzira posindromnogo rova.

zvinodhaka kurapa

Kuti uvandudze pakurapa Hallux Valgus kakawanda kutora mishonga yakasiyana.

The chikuru mapoka zvinodhaka ndivo vasiri steroidal Anti-anogumbura zvinodhaka (NSAIDs) - zvinodhaka "nimesulide" "meloxicam". mishonga iyi inobatsira kuti chivezwa kushoma kuburikidza rakavhara cyclooxygenase-2 - huru aifarira-anogumbura murevereri. Zvinodhaka anogona kuderedza kuzvimba, kuderedza dzomunharaunda kuzvimba uye kuderedza marwadzo. Inogona kushandiswa nemumuromo kutarisira uye achishandisa mafomu (lubricating) Munzvimbo iyi.

Uyezve NSAIDs, zvinonzi nevakawanda kushandiswa electrolyte mhinduro uye Anti-anogumbura zvinodhaka, ayo anoshandiswa electrophoresis. Nzira iyi inobvumira kuti kuita mushonga zvakananga nzvimbo kuzvimba, pavaigona kutora chikepe chaienda yacho nemudumbu. Izvi hakubvisi Migumisiro yakaipa NSAIDs pamusoro gastric mucosa kana achitora kwavari mukati.

kuvhiya kurapwa

Tiine ineffectiveness kuti kuchinja mabatiro kushandisa kuvhiyiwa. Voitakura kunze kazhinji iri yemhando weboka chirwere zvayo mumatanho akazotevera, uyewo chakakomba deformation pakati minwe.

Nokukurumidza pokuvhiyiwa rinoitwa, zvikuru zvakanaka yacho fungidziro.

In kwokutanga nzendo rakanaka kuvhiyiwa yaishandiswa kurapa chirwere ichi. Hallux Valgus yaipotsa uchibatsirwa hombe resection ari pamwe misoro. Nokuda kwaizvozvo, chakuvara zvikuru, zvichiita kutyorwa kuri kure basa. Parizvino, pakutanga rakapiwa sustavosohranyayuschim akavhiyiwa vane chinangwa - shoma Kupindira mapfupa panguva kunonyanyisa nezvainoita nemarunda nemarunda. Zvinowanzoshandiswa paHebhuroni kushanda Scarf (kwokururamisa osteotomy). Kana inefficiency dzavo, vakaungana pakusikwa arthrodesis. Flat-valgus tsoka wakarebesa mu Muzviitiko zvakaipisisa kungada prosthetic zvakakanganisa rwakashodoka.

Operations zvinoitiswa zvakasiyana nhanhatu (kunyange zvino zvakasikwa anopfuura 130, asi havana kuva kunobudirira).

Kuwedzera excision misoro pfupa yakaitwa uye kururamiswa flattened yokufeva norutsoka.

Fungidziro pashure pokuvhiyiwa

Munguva postoperative nguva Zvinokurudzirwa kuti vadzivise yakawanda mumuviri mabasa (izvo zvinogona kukonzera kuti kudzorerwa emunhu pejoinhi). hazvifaniri Takudzai rutsoka rwako nehafu kana mwedzi miviri (Minimum kwemajoini musono pashure kuvhiyiwa). nguva yose iyi, tinofanira kupfeka chinokosha vachibatsira majombo. Subject kuti izvi zvinhu zvikuru zvakanaka fungidziro.

Kana mamiriro akaonekwa kusviba uye muitiro mberi uye kwakaita kuti kusingarapiki kuchinja, asi anozivisa zvishoma nezvishoma inova conditionally zvisingafadzi. boka. The chirwere tsoka tsoka kunoita urema, Kuvhiringidza ufambe. Panyaya iyi, kunyange kupindira vanovhiya zvava basa nokuti chete DZEMUNHU DZINODZORA kuchiita acho, asi asingaiti kubvisa chikonzero.

Kana kurapa ichi?

Maererano mubvunzo ndiri inowanzobvunzwa nevanhu vakawanda. Nokuti vamwe, kukura kwakakanganisa yakadaro - idambudziko, sezvo boka iri revanhu nokutendeka hunochengetedza rwayo uye haagoni kubvumira kusarurama kwemafungiro akaipa unoparadza chitarisiko chavo. Vamwe vanogona mapfupa shanduko uye hapana kumhanyira mabiko kuna chiremba. Sei kuva - kurapa kana kwete kurapa? Ndinofanira kushanda kuna vanachiremba vanovhiya rubatsiro kukura Hallux Valgus? Reviews nezvechirwere ichi vari akasiyana-siyana uye yakananga.

Kudivi rimwe, zvakanaka kuchangotanga shanduko nenguva nokutevera Joint kero kuna orthopedist uye traumatologist. Panguva Chaiyo chirwere chirwere ichi chinogona kuchiparadza pasina nemigumisiro. The Papera Mamiriro ichi kuonekwa, zvikuru kwazvo nemigumisiro nokuti zvetsandanyama nemapfupa hurongwa zvinogona kutendeukira. Ndokusaka nyaya pakurapa hallux valgus thumbs chinokuvadzwa nomumwe. Munhu wose afunga woga kana kuti "enda pasi banga", kana nani kuusiya kuti.