Hallux rigidus nthawi zambiri imatchedwa osteoarthritis ya chala chachikulu. Cholowa cha chala chachikulu chakuphazi chimakhala chopunduka ndi kuuma chifukwa cha kuwonongeka kwa chichereŵechereŵe. Mankhwala angapo angaganizidwe.

Tanthauzo la hallux rigidus

Mu anatomy, hallux imafanana ndi chala chachikulu. Izi zitha kukumana ndi zovuta zosiyanasiyana kuphatikiza hallux rigidus yodziwika ndi kupindika komanso kuuma kwa kulumikizana kwa metatarsophalangeal chala chachikulu chala. Mgwirizanowu umagwirizanitsa phalanges ndi metatarsus (fupa lomwe lili pakati pa phazi).

Pamaso pa hallux rigidus, nthawi zambiri pamakhala hallux linus yomwe imadziwika ndi kuchepa kwa mgwirizano wa metatarsophalangeal wa chala chachikulu chakuphazi.

Chifukwa cha hallux rigidus

Nthawi zambiri timatanthauzira hallux rigidus ngati osteoarthritis ya chala chachikulu chifukwa amayamba chifukwa cha kuwonongeka kwa cartilage. Kuwonongeka ndi kung'ambika kwa cartilage kumayambitsa kukangana pakati pa mafupa ndi mapangidwe a mafupa otchedwa osteophytes kapena "milomo ya parrot". Zokula izi zidzasokoneza mgwirizano ndikupangitsa kusapeza bwino ndi kuwawa.

Diagnostic ndi tow yolimba

Hallux rigidus, kapena nyamakazi ya chala chachikulu chakuphazi, amaganiziridwa ndi kuwunika kwachipatala. Dokotala amawona mapindikidwe, kuuma komanso kuchepa kwa mgwirizano wa metatarsophalangeal chala chachikulu chala. Kuti atsimikizire kuti ali ndi matendawa, dokotala akhoza kuyitanitsa mayeso oyerekeza achipatala monga x-ray, MRI (magnetic resonance imaging), CT scan, kapena scintigraphy.

Zowopsa za hallux rigidus

Mofanana ndi mitundu ina ya osteoarthritis, chala chachikulu chala chala chakuphazi chimakondedwa ndi zinthu zambiri. Mwachitsanzo, pali zinthu zingapo zamakina zomwe zingayambitse kukula kwa hallux rigidus:

• zovuta zazing'ono zomwe zimatha makamaka chifukwa chamasewera ena monga mpira kapena kuvina;
• kupsyinjika kobwera chifukwa cha chala chachikulu chachitali, monga momwe zimakhalira ndi phazi la Aigupto;
• kuvala nsapato zopapatiza kapena nsapato zazitali.

Kupunduka kolumikizana

Hallux rigidus imabweretsa kusinthika kwa mgwirizano wa metatarsophalangeal wa chala chachikulu chakuphazi chifukwa cha mapangidwe a mafupa. Pali maonekedwe a chotupa pa chala chachikulu, pa mlingo wa metatarsophalangeal olowa.

Kuuma pamodzi

Kupunduka kwa mgwirizano kumatsagana ndi kuuma kwa mgwirizano. Kuuma kumawonjezeka pakapita nthawi ndikuwonongeka kwakukulu kapena kutayika kwathunthu kwa mgwirizano. 

Ululu waukulu wa chala

The mapindikidwe olowa kumapangitsanso maonekedwe a ululu chala chachikulu. Izi zitha kukhala zochulukirachulukira ndikuyambitsa kusapeza bwino.

Pakakhala hallux rigidus, ma analgesics kapena anti-yotupa amatha kuperekedwa. Jekeseni wa intra-articular angagwiritsidwenso ntchito.

Zingakhalenso zomveka ngati hallux rigidus isintha nsapato zanu ndikuchepetsa zochitika zina zomwe zingapangitse kusinthika kwa mgwirizano (mwachitsanzo, mpira, kuvina, ndi zina).

Mankhwala opangira opaleshoni

Ngati chithandizo cham'mbuyomu sichikugwira ntchito, opaleshoni ikhoza kuperekedwa. Njira zingapo zitha kuganiziridwa:

• metatarsophalangeal arthrodesis yomwe imaphatikizapo kutsekereza olowa;
• kukhazikitsidwa kwa metatarsophalangeal prosthesis;
• osteotomy kapena arthrosis, maopareshoni omwe amapangidwa ndi kukonza mafupa ndi mafupa.

Kupewa kwa hallux rigidus kumaphatikizapo kuchepetsa momwe kungathekere kupanikizika ndi ma micro-traumas a chala chachikulu. Pachifukwa ichi, tikulimbikitsidwa kwambiri kukhala ndi nsapato zokwanira ndikuzisintha kuti zigwirizane ndi ntchito yanu.