Hallux rigidus inowanzotsanangurwa seosteoarthritis yechigunwe chikuru. Nhengo yechigunwe chikuru chinoremara uye kuoma nekuda kwekuipa kweshwashwa. Mishonga yakawanda inogona kufungwa.

Tsanangudzo ye hallux rigidus

Mune anatomy, hallux inoenderana nechigunwe chikuru. Izvi zvinogona kusangana nekukanganisika kwakasiyana kunosanganisira hallux rigidus inoratidzwa ne deformation uye kuomarara kwemetatarsophalangeal joint yechigunwe chikuru. Iyi ijoini inobatanidza phalanges kune metatarsus (bhonzo chimiro chiri pakati petsoka).

Pamberi pehallux rigidus, kazhinji pane hallux linus inoratidzwa nekuderedzwa kwekufamba kwemetatarsophalangeal joint yechigunwe chikuru.

Chikonzero che hallux rigidus

Isu tinowanzo kutsanangura hallux rigidus seosteoarthritis yechigunwe chikuru nekuti inokonzeresa nekuipa kwearticular cartilage. Kusakara nekubvaruka kwecartilage kunokonzera kupokana pakati pemapfupa uye kuumbwa kwekukura kwemapfupa kunonzi osteophytes kana kuti "parrot beaks". Kukura uku kunokanganisa mubatanidzwa uye kukonzera kusagadzikana uye kurwadziwa.

Diagnostic del'rigid tow

Hallux rigidus, kana arthritis yechigunwe chikuru, inofungidzirwa nekuongororwa kwekiriniki. Chiremba anocherekedza deformation, kuoma uye kuderera kwekufamba kwemetatarsophalangeal joint yechigunwe chikuru. Kuti asimbise kuongororwa, chiremba anogona kuraira kuongororwa kwekurapa kwekufungidzira senge x-ray, MRI (magnetic resonance imaging), CT scan, kana scintigraphy.

Zvinhu zvine njodzi yehallux rigidus

Kufanana nemamwe marudzi eosteoarthritis, iyo yechigunwe chikuru inogona kufarirwa nezvinhu zvakawanda. Semuenzaniso, akati wandei emuchina zvinhu zvakaonekwa izvo zvinogona kutungamira mukuvandudzwa kwehallux rigidus:

• micro-traumas iyo inogona kunyanya kukonzerwa nekuita kweimwe mitambo yakaita senhabvu kana kutamba;
• kudzvinyirirwa kunokonzerwa nechigunwe chikuru chetsoka refu, sezvinoitwa netsoka yeEgipita;
• kupfeka shangu nhete kana zvitsitsinho zvakakwirira.

Join kuremara

Hallux rigidus inokonzeresa deformation yemetatarsophalangeal joint yechigunwe chikuru chinokonzerwa nekuumbwa kwekukura kwebhonzo. Pane kutaridzika kwebundu pachigunwe chikuru, pamwero we metatarsophalangeal joint.

Kuomarara kwakabatana

Joint deformity inoperekedzwa nekuoma kwejoini. Iko kuoma kunowedzera kuwedzera nekufamba kwenguva nekukosha kana kunyange kurasikirwa kwese kwekufamba kwejoini. 

Kurwadza kwezvigunwe zvikuru

Iyo deformation yejojo ​​inokonzerawo kuonekwa kwemarwadzo muchigunwe chikuru. Izvi zvinogona kuwedzera uye zvakanyanya uye kukonzera kusagadzikana kukuru.

Muchiitiko che hallux rigidus, analgesics kana anti-inflammatory drugs zvinogona kurongerwa. Intra-articular jekiseni inogona kushandiswa zvakare.

Zvinogona zvakare kuve zvine hunyanzvi muchiitiko chehallux rigidus kuchinjisa shangu dzako uye kudzikisira zvimwe zviitiko zvinogona kusimbisa deformation yejoint (semuenzaniso nhabvu, kutamba, nezvimwewo).

Kurapa kwekuvhiya

Kana mishonga yapfuura isingashande, kuvhiyiwa kunogona kupihwa. Matekiniki akati wandei anogona kutariswa:

• metatarsophalangeal arthrodesis iyo inosanganisira kuvhara majoini;
• kuiswa kwe metatarsophalangeal prosthesis;
• osteotomy kana arthrolysis, maoparesheni anosanganisira kugadzirisa mapfupa uye majoini kuremara.

Kudzivirirwa kwehallux rigidus kunosanganisira kudzikisira zvakanyanya sezvinobvira kudzvanywa uye micro-traumas muchigunwe chikuru. Nokuda kweizvi, zvinonyanya kukurudzirwa kuva neshangu dzakakwana uye kuti uzvigadzirise kune basa rako.