Hallux Valgus. Valgus hira o te koromatua tuatahi

Kei te nui noa atu te noa hoko pāpaka waewae. Ko tētahi o nga momo tino noa o te māuiuitanga o te hononga iho waewae ko te hira valgus Hallux Valgus ranei.

He aha te mea he hira valgus?

I raro i valgus hira te nuinga o ngā te tauwhatinga o te hanganga o te tahi metatarsophalangeal tuatahi e tika ana ki te displacement o te matenga o te tuatahi metatarsal rerekë (waho i te waewae) me te taha o te phalanx proximal o te koromatua whekau.

Ko te waewae mate waewae whakawhanake tino maha rite ki te hua o te mau raru, hu kuiti. Ka rite ki te hua, i raro i te mana o te kōpeketanga e wahi "kaha" te displacement o te proximal phalanx. I roto i te whakarara ki tenei tipu tuhonohono totoro me tendons koromatua, e atu kē te āhuatanga. Ko tētahi atu take o te deformation he predisposition congenital ki te whakawhanake i te mate.

Ka rite ki te hua o ngā āhuatanga o waho e tupu flattening haurangi o te waewae, i muri i nei whakawhanake transversely roa flat, ka arata'i tenei ki distortion o te koromatua.

Tukua te nuinga wahine, ahakoa o tau (te tikanga whakawhanake te mate i roto i te ora waenganui, me te muri).

pakeke

Ahu, kia kia kino ake ngaa te curvature, ārahi ki atu ara koromatua riaka. takoto ana te pakeke e rerekē te taurangi matua e rua - phalanx me metatarsal-intertarsal (i waenganui i te 1 me te 2 metatarsals) koki.

I roto i te kaupapa o te wheua, aua 12 me 25 nekehanga whakawhanake pakeke tuatahi o te hallux valgus.

Ki te kauneke te tukanga, me te hahiraa ko 18 nga nekehanga (metatarsal-phalangeal kōpuku) me te neke atu i te 25 nga nekehanga i waenganui i nga metatarsals, i roto i te tātaritanga o kitea tohu tuarua o te whanaketanga o te mate.

Ki te koki e nui haere ki runga 18 me 35 nga nekehanga, aua, ka taea e maka atu toru tohu o te mate pakeke.

I te tahi taime whakatika te pātai - he aha te tohu o te pakeke me whakamate, ki te nui haere te huringa o te huru koki o, mo te tauira, te tohu tuatahi, me te tahi atu koki e neke atu i te tika. I roto i tenei āhuatanga, kia arotahi ki runga i ngā rerekētanga i roto i te tahi metatarsal-phalanx, na e te he huringa ko reira tino i roto i te pathogenesis o te mate.

whare hauora

I te wāhanga tuatahi o te mate ki te whakakitenga matua o te mate e kaki i roto i haere ana, he tikanga o te hūhi. Ki te kitea te ahunga whakamua o te tukanga i roto i te whanaketanga o te mumura capsule tahi (bursitis), e worsens te mate. mamae apititia i roto i te tahi, hë e haere, te ngoikore o te mahi hekenga. Ki te haereraa, e taea te faingataa te mate i te whanaketanga o te mate kōpae degenerative, osteoarthritis (e tika ana ki te flattening o te kōpae intervertebral). e kore e kaha i reira, ka maru ai te mamae i roto i te tuarā, he tikanga o te mahara, me te e rerengia ana i muri i te wā o te okiokinga, me te mamae kaha i muri i te mahi.

Te taha te ara, i roto i te edema hononga: faarahi te reira i roto i te rahi, nga taiepa articular mānia. Ki te kēkeno o wheua o te mata wheua ngohe articular timata ki te mirimiri ki tahi i te tahi, e arata'i ki abrasion o nga papa articular me te whanaketanga o osteophytes muri.

tātaringa

Ko te tikanga, ko te tātaritanga o te valgus curvature o koromatua o te manawanui ko amuamu nui hītori kohia me te tirohanga ataata. Flat-valgus hira Kati pāngia te whakamahi i te X-ray o te tahi i pangia ki te whakatau i te koki ine i waenganui i nga wheua me te pakeke. I te tahi taime whakamahia reira atahanga te kōwarotanga autō, me te scintigraphy.

Ka rite ki atu tikanga e kua whakamahia mo te tātaritanga pārōnaki, te tono i te tatau toto oti, tātari toto matüora, poka tātaritanga rangahau tahi inu synovial ki Typhoid muri i runga i te reo matūkai (mo faaotiraa o microorganisms). tohu meinga e ko te paearu tātaritanga nui he faaotiraa revmofaktora (tātaritanga o kaikōiwi), waikawa uric (kauti), me te tahi mau tukumate rumati motuhake.

valgus Treatment

kia timata Hallux Valgus maimoatanga ki te māori o te ora. I roto i tūtohutia te aroaro o te taimaha te taikaha te ki te pehea e o reira (papatahi, me te osteochondrosis kē te mate, me te whakatairanga i tona haereraa). I roto i tenei take, ki te puta tonu Hallux Valgus, Ka taea e kore mahi maimoatanga i te pānga nui.

kia mutu Hu, hai arahina ki te deformation rite taea te whakamahi i.

nui hoki ko te makanga o peu kino.

Ka rite ki te ārai o te valgus curvature kia whakamahia hu whakamarie ki kapu ngohengohe kahore rekereke. Ka ētahi whakamahi, me te kia whakahaere pati waewae me te mirimiri waewae i muri i te kawenga pateko taimaha i runga i te waewae. I waenganui i nga maihao taea te whakanohoia Pads orthopedic motuhake, te ārai i te displacement o te phalanx o te koromatua.

Ki te kore enei mehua momo, e puritia ana ki te whakamahi atu o rongoā symptomatic, e hāngai ana ki te whakapai ake i te pānga ara posindromnogo.

therapy tarukino

I roto i te tikanga ki te whakapai ake i te maimoatanga o Hallux Valgus maha tango rongoa rerekē.

Ko nga rōpū matua o taero kore-steroidal taero anti-inflammatory (NSAIDs) - taero "nimesulide" "meloxicam". whai wāhi ēnei rongoa ki te tauturu o te tukanga inflammatory i ārai i te cyclooxygenase-2 - matua takawaenga pro-inflammatory. Ka taea e Drugs whakaiti mumura, whakaiti tetere rohe, me te whakaiti i te mamae. Ka taea te te whakamahi mō te whakahaere ā-waha, me na tikanga o tono (lubricating) te wāhi kua pā.

I tua atu NSAIDs, e whakamahia whānuitia rongoā kawehiko me taero anti-inflammatory, e kua whakamahia e electrophoresis. taea tēnei aratuka ki a koe kia tika te tarukino ki te pae o te mumura, bypassing te wahi gastrointestinal. Faaore i te pānga kino o NSAIDs i runga i te mucosa pekitīlia ka tango ratou roto.

maimoatanga hāparapara

Ki te memeha noa o te maimoatanga momo huihui ki te pokanga. Kei te kawea te reira i roto i te nuinga o maha i roto i te akoranga matatau o te mate i roto i ona wāhanga i muri mai, me te rite i roto i te deformation nui o nga maihao.

Ko te wawe whakamana te mahi kei te, te atu pai te waitohunga.

I roto i te wāhanga tuatahi o te mahi tino nui whakamahia ki te hamani i tēnei mate. to'o Hallux Valgus ki te awhina o resection nui o nga upoko tahi. Nā ki tenei, kua nui whara reira, hua i roto i maumaui o te mahi mamao. I reira, hoatu matua te ki sustavosohranyayuschim ngā mahi nei whakaaro - wawaotanga iti i runga i te wheua i te pānga mōrahi i runga i nga uaua me tuhonohono. Kāmeta whānui whakamahia Heperona mahi (osteotomy fakatonutonu). Ki te haere ratou koretake ki te hanganga o te arthrodesis. Flat-valgus waewae hira i roto i ngā take kino kia rapua e tahi pā prosthetic.

E whakahaeretia Operations i roto i ono rerekētanga (ahakoa inaianei kua hanga e ratou neke atu i te 130, engari kihai i ratou i whakamatauria ki te kia whai hua).

I tua atu ki te excision o upoko wheua puritia me te ako papatahi kikorangi o te waewae.

Waitohunga i muri i te pokanga

I roto i te wā postoperative e tūtohu ana ki te karo i te mahi tinana nui (e taea whai wāhi ki te faaho'iraa mai tano ore o te tahi). e kore e whakawaha a koutou waewae, me te hawhe ranei e rua marama (tui tahi iti i muri i te pokanga). tenei wa katoa, kia kakahu tatou pūtu orthopedic motuhake. Kaupapa ki enei tikanga te waitohunga tino pai.

Ki te i pāngia te mutunga te huru, a fakalakalaka te tukanga, ka arahina ki huringa tina heke, te matapae āta riro te rōpū herenga kino. Ko te waewae mate waewae whakatairanga hauātanga, tauwhatinga haere. I roto i tenei take, ara te wawaotanga o tākuta riro hua no te reira anake pōturi te ahunga whakamua o te tukanga, engari e kore e faaore i te take.

Ahakoa ki te hamani tenei huru?

E ai ki te pātai ahau pinepine ui ahau e te iwi maha. Hoki etahi, te whanaketanga o te matatu taua - te ati, ka rite ki tenei rōpū o te iwi i mau ai pono tona ahua, me te kore e taea e tukua pahuatia te koha kino ratou ahua. E māhorahora ana ki te huringa wheua etahi me he i roto i kahore hohoro ki te rere ki te fariiraa ki te tākuta. Me pēhea te ki te kia - ki te hamani e kore ranei ki te hamani? Me te tono ahau ki tākuta mo tokoni i te whanaketanga o Hallux Valgus? He rerekē, me te motuhake arotake e pā ana ki tenei mate.

I runga i te ringa kotahi, he reira pai i te huringa iti i roto i te wā e te wāhitau tahi ki te orthopedist me traumatologist. tātaritanga wā o tenei mate e taea te pehea o taua mea, kahore tetahi paanga kino. Ka kia kitea te muri tenei huru, te hopearaa atu kino mo te pūnaha musculoskeletal taea tahuri reira. Ko Ko te aha te mea pono takitahi te pātai o te maimoatanga o te koromatua valgus hallux. Tangata katoa whakatau hoki ano ranei ki "haere i raro i te maripi", ranei pai waiho reira i taua.