Morton kuti neuroma: nechirwere, Treatment

Morton kwakaita neuroma - nevakawanda chirwere, izvo pamwe nezve benign thickening pamusoro plantar etsinga rutsoka. Kureva chirwere, mazwi akawanda anoshandiswa mukurapa ano, kusanganisira "mortonovskogo munwe chirwere", "perineural fibrosis" uye "neuroma norutsoka."

Kuwanda fibrous zvinyama muchikamu chino rutsoka aine compression yacho etsinga. The chirwere anogona kuva pamusoro pamakore, pasina anokonzera kunyanya hanya. Asi, pasinei usimbe aibuda, varwere vanoda kutarisirwa. Saka chii chinonzi Morton neuroma (feet)? Sei ngozi kunogona chirwere? Ndezvipi zviratidzo vanofanira kuteerera? Anoita mushonga ano inopa vanobudirira kurapa? Mhinduro dzemibvunzo iyi vari ichifarirwa nevanhu vakawanda.

Chii chirwere Morton raMwari?

Morton kwakaita neuroma chinhu benign thickening inoumbwa yokuwedzera fibrous tishu. Neuroma iri munzvimbo pakati rwechitatu norwechina nezvigunwe. Maererano nenhamba kubva chirwere kazhinji chinobata vakadzi. Izvi Muitiro Rinobatanidzwa navanachiremba zvechigarire akapfeka yakamanikana shangu dziri dzamira pazvitsitsinho. Ukuwo, chirwere kunoitika uye vamiririri hono vemo.

In kwokutanga nzendo bundu kazhinji kunokonzera chakakomba kuzvuzvungudza kuti murume. Asi asingasviki kukura Morton neuroma anotanga dzvinya digitaalinen tsinga chokuita zvakanaka murwere uye functionality norutsoka. Kazhinji kukuvara ndiyo yaitsigira divi - neapo neuroma Kunochinja mapazi panguva kamwe.

The kukonzera chirwere

Sei kuva neuroma Morton? Zvinosuruvarisa chaiwo zvinokonzera chirwere vasingazivikanwi kuti zvevakomana. Tinogona chete kutaura kuti hosha hwapedyo apo tsinga fibers tichiiswa kusvinwa mapfupa nemarunda. Masayendisiti vakakwanisa kuziva zvinoverengeka njodzi kuti mune mamwe mamiriro ezvinhu kungamutsawo chimiro zvisimbiso munharaunda pakati phalanges. Izvi pasi vari:

• Kufuta ndomumwe vakawanda zvinokonzera chirwere, nekuti tsoka vane kukurira inorema, hunobata basa pamwe uye mapfupa gadziriro.
• Zvikonzero zvinosanganisira rakamanikana uye kugara akapfeka zvakanaka shangu, kunyanya kana totaura soro-heeled shangu. Izvi zvinotungamirira deformation norutsoka, kudzvinya zvinhu connective uye tsinga harinzwi.
• Dzimwe nguva neuroma hwapedyo tikafunga wokunzwa kurovedza muviri, zvachose kugara netsoka dzake pasina achizorora.
• Flatfoot rinotaurawo kuti zvinokonzera njodzi, nekuti etsinga iri compressed nokuda mberi deformation nhengo dzake.
• Zvinhu Risk zvinosanganisirawo kukuvara nemakakuvara norutsoka, zvirwere, zviri chisingaperi.

Ndizvo zvinokonzera chiropa anogona kutungamirira kukudziri- zvokurwara ichi, kufanana Morton kuti neuroma. Chirwere hako zvinosanganisira nzira kuwana chii akaparirwa paumbwe anomera.

Ndezvipi zviratidzo zviri pamwe zvakawanda zvive?

Sezvambotaurwa, Morton neuroma (rutsoka) kunoratidzwa usimbe kukura. In kwokutanga nzendo chaiwo zviratidzo uye anogona kusava zvachose. Vanhu chete kutaura zvishoma marwadzo uye inopisa manzwiro kana compressed zvigunwe. Sezvo chirwere rinowanika kusanzwa kana kufamba. In kwokutanga nzendo varwere kunzwa marwadzo chete apo akapfeka yakamanikana shangu kana shangu dzakakwirira. Gare gare, kurwadziwa rava kugara shamwari womunhu.

Compression of etsinga angaperekedzwa tingling uye yokunotsva nezvigunwe. Dzimwe nguva varwere vanotsutsumwa kuti chiveve rutsoka. Kwakaderedza aikanganiswa ganda munharaunda pakati rwechitatu norwechina nezvigunwe. Kuoneka kuchinja chimiro uye mamiriro maoko nemakumbo vari kushaikwa, nokuti neuroma haisi bundu. Zviratidzo kuitika nguva nenguva uye anogona kunyangarika kwemakore akawanda. Ndokusaka vanhu vakawanda ndangobvapo.

In akazotevera nzendo murwere ezvinhu kuipa. Soreness rinooneka kwete chete vakamira kana kufamba. Kunyange mumamiriro zororo nguva nenguva pane unopinza, kupfura kurwadziwa rutsoka.

Morton kwakaita neuroma (feet): kuongorora chirwere

Kazhinji, panguva mukuru kuongororwa, chiremba anogona chifungidziro pamberi neuroma. A maitiro ndiwo mufananidzo zvekuchipatara. On palpation wevarwere vanotsutsumwa marwadzo. Sick munhu uyewo akakumbira kupedza remibvunzo - saka nyanzvi anogona kuunganidza mashoko sezvo zvakawanda pamusoro mamiriro eutano murwere, kuvapo zvinokuvadza, kusimba zviratidzo, etc.

Kuzosimbisa chirwere radiography. Mumufananidzo unogona kuona pamberi thickening ari interphalangeal nzvimbo. Chinodzidzisa uye Ultrasound kuongororwa kuti aida neuroma. Magnetic resonance kuri rinoitwa chete kana nechirwere ari kupokana. Izvi tsvakurudzo chete inomuda varwere vakaratidza kuvhiyiwa.

zvinodhaka kurapa

Chii kuita varwere vakawana Morton kuti neuroma? Treatment zvinoenderana pachikuva nekuomarara chirwere zviratidzo. Drug kurapa rinoshandiswa nokurwadziwa kuzorodzwa uye kuzvimba.

muri zvinodhaka zvikuru inobudirira akadai "Codelac", "Nimesulide", "diclofenac", "Solpadein", "ibuprofen". Drugs rakashandiswa muchimiro mahwendefa nezvizoro. In wakakura zvikuru zviitiko, rufimbi chinotarisirwa zvakananga lesion tishu.

Other non-zvomusejari kurapa

Action zvinodhaka kuendeswa chete kuderedza marwadzo uye kuzvimba. Asi varwere vanofanira kutevera vamwe mitemo. The rokutanga kurega akapfeka zvakasimba shangu. Zvinokurudzirwa kupfeka sandara shangu pamwe navanopinda chigunwe chivharo uye anokosha vachibatsira insoles. Kuti vawane minwe yako vakarumanisa uye asingauyi deform panguva vachifamba varwere urumbidze kushandisa dzinokosha separators.

Uyewo munokosha kuderedza rutsoka kunetseka, kusiya kurovedza muviri kuti kunosanganisira refu vakamira, vachifamba kana kumhanya. Periodic kosi rutsoka masaja. Kuderedza kuzvimba uye anononoka deformation uye physiotherapeutic nzira inoshandiswa, kusanganisira kurapa kuvhunduka-wave, jekiseni, iontophoresis nokushandiswa runoenzanirana medicaments, magnetotherapy.

Zvayakanakira nezvayakaipira kuti kuchinja mabatiro

Nokuti kutanga zvinokosha kuziva kuti kuchinja kurapa unoshanda chete kana hosha iri chirwere mukutanga nezvishoma. kurapwa kwakadaro ine zvayakanakira ayo nezvayakaipira. Mishonga uye utano kurapa kunogona kudzivisa kuvhiyiwa uye ngozi chokuita nacho, kusanganisira zvinyama scarring, utachiona, etc. Uyezve, hapana chikonzero vapore - panguva kurapwa nguva munhu anenge asina kunodiwa kuputsa vanongogara mutinhimira upenyu.

Kana nezvayakaipira, zvinofanira kunzwisiswa kuti kuchinja kurapwa kunotora mwedzi, uye dzimwe nguva kwemakore, uye kubudirira haagoni nguva dzose. Inoshandiswa navanachiremba, havana diki saka, uye kushandiswa kwawo kwenguva refu hwakazara kukura nemishonga.

Morton kwakaita neuroma (feet): utsinye kuvhiyiwa

Nzira iri nyore kurapwa kuri kuvhiya excision pamusoro neuroma, izvo, chaizvoizvo, ndiyo chikamu etsinga. The nzira rinoitwa pasi zvomunharaunda yokutindivadza. The fungidziro musoro pakati yechitatu uye chechina metatarsal mapfupa ishoma incision (anenge 2 cm pakureba). Doctor immobilizes uye anobvisa zvakawandisa rinenge ipapo ronda sutured mu akaturikidzana.

izvozvo chaizvo akabvisa Morton neuroma. Operation Conjugate pamwe excision wenyika etsinga, saka pashure nzira, varwere vanorasikirwa utetsa aoma munzvimbo pakati mapfupa metatarsal. Zvisinei, kuti functionality norutsoka asingadi kutambura.

Pane zvishoma okunyanyisa maitirwo ezvinhu - akacheka kubatana pakati mapfupa metatarsal. nzira iyi hakubvisi compression ari etsinga, vachibvumira tiine aikanganiswa wemimwe yenyu. Pakadaro, kana anoita asina kwakatungamirira kutsvakwa mugumisiro kubviswa chiitwe neuromas.

Ndoda akaita metatarsal chechina osteotomy. Munguva nzira, iyo rinoitwa kushandisa chaiyo midziyo kuburikidza punctures diki paganda, chiremba kunoita musoro metatarsal mapfupa kubudikidza artificially kutsemuka.

Zvakanakira nekuipira kuvhiyiwa

Kuvhiya excision pamusoro neuromas ine mikana. Zvikurukuru, zvinokwanisika ndeyokubvisa chirwere nokukurumidza. The kurapa iri kubudirira, asi dzokororo chakanyorwa chaizvo kashoma. Mari remapazi anewo haana kukwirira.

Ukuwo, kubudirira kurapwa hunoenderana unyanzvi chiremba, saka unofanira kubhadhara kunyatsomuteerera kuti kusarudza chiremba. Ichi chinhu rakashama kuvhiyiwa, saka hapana nguva dzose ane mukana wokutapukirwa kuti munyama. Varwere ushandiswe prophylactic inorwisa mabhakitiriya. Kuvhiya kupindira Rinobatanidzwa ne yakareba vapore. Kunyange zvakadaro, muna wakakura zvikuru kacho, ndiyo chete zvinoita nzira kurapwa.

Rehabilitation pashure pokuvhiyiwa

Kungofanana kuvhiyiwa, kubviswa neuroma Morton kunoda vapore. Murwere anogona kuenda kumba pashure pemazuva mashoma pashure nzira. Kunyange zvakadaro, mumakore okutanga mavhiki mashoma zvinoda kuramba kuchinja dressings. Sutures kazhinji akabvisa mazuva 10-12 mushure kuvhiyiwa.

Zvichienderana kunzwisisa nzira kwakakwana kudzorerwa mufambo zvinotora 3 vhiki kusvika 2 months. Varwere vakawanda vanotsutsumwa kuti kusagadzikana kuti kunoitika munguva achitevera pakuvhiya. Izvi zvinoitika chakajairika kuti inobatsira kutarisira kwokupfeka yakakodzera shangu, nguva kukwizwa uye physiotherapy.

Traditional nzira pakurapa chirwere

Ndingaramba pamba kubvisa zvirwere zvakadai Morton neuroma (feet)? Mabatirwo chevarwere mishonga zvinobvira. Somuenzaniso, vamwe varapi chevarwere yemutemberi kushandisa muto gavakava. Achigadzirira mishonga vanofanira tora manyoro miriwo gavakava, dimura nokugedagedesa nayo mumamiriro pulp, uye ipapo kuisa Munzvimbo iyi, asunga mucheka.

Batsirai kutsungirira marwadzo uye dzemauto nyama yenguruve mafuta. Kuti aite izvi, 100 g mafuta Nyatsosanganisai pamwe zvavo tafura munyu (imwe spoon). The zvichiguma mafuta zvakafanira varikwizire kupinda paganda rutsoka nokuisa pamusoro bhandeji.

Zvinokosha kucherechedza kuti mari idzi hadzisi kukwanisa kubvisa zvirwere. Ekuzora anogona chete zinyekenyeke marwadzo uye zvimwe zviratidzo, iyo inosvitsa chitarisiko Morton neuroma. Mabatirwo chevarwere mishonga runobvira chete pashure risati kubvunza mumwe chiremba. Dzimwe nguva nziyo agadzirira kumba, muri mukwanisi yakanaka zvinodhaka mishonga.

The fungidziro varwere

Zvinonzi kunzwisisa kuti riro vanhu vane chirwere chakadai zvakananga kuvimba chaiyo apo mishonga yakanga zvakagoverwa. In kwokutanga nzendo kuzvimba uye akashatirwa ari etsinga harinzwi zvakanaka anogona kugadziriswa tichibatsirwa mishonga uye kurapwa.

Kushaya kurapa hwakazara nemigumisiro ngozi. Munzvimbo iyi chete rwuchiwanzwa, uye marwadzo kunoramba kukura, zvikuru kuderedza mararamiro evanhu. In akazotevera matanho chete nzira pakurwisa chirwere ane kuvhiya.

matanho

Zvinosuruvarisa kuti kudzivirira zvakakwana pachavo pamusoro kukura chirwere ichi hazvigoni kuva. Zvisinei, vachitevera vamwe kunenge zvinogona seizvi zvichida kutanga neuromas ari mashoma.

Zvinokurudzirwa kupa kupfuura vakasununguka shangu, kunyanya pamwe vachibatsira inotsika. Kana zvakafanira kuti kupfeka shangu pamwe zvebhiza, ipapo unofanira kugara kudziya, vakazorora rutsoka kugeza. Usakanganwa pamusoro rutsoka masaja, izvo zvinogona kuitwa tisingatungamirirwi.

Zvakakosha kuongorora uye uremu. Extra uremu kukanganisa mamiriro muviri uye chokuita vazhinji nengozi zvose zvemarudzi zvirwere, kusanganisira zvishoma nezvishoma deformation norutsoka mapfupa. In pamberi flatfoot uyewo aifanira zvakakodzera kurapa.

Kana muri boka panjodzi, zvakakodzera nguva nenguva chaidzo dzokurapa bvunzo. Neuroma, uyewo mamwe chirwere, zviri nyore zvikuru kuti vabate ari mangwanani zvokuongorora uye nenguva kurapwa.