Basali ba Amehile ho Feta Batho
Ho na le lisosa tse ngata tsa bohloko ba maoto, empa haeba o na le bohloko bo hlabang bo hlabang ha u khaotsa ho tsamaea le ho silila leoto la hao, u ka ba le se tsejoang e le Morton's neuroma. Le hoja le na le lebitso le tšosang, boemo bona bo na le bobebe ebile ka lehlohonolo bo ka phekoleha haholo.
Ka mantsoe a tloaelehileng, neuroma ke ho atolosa kapa ho teteka ha methapo e maotong moo ho leng teng pakeng tsa menoana, hangata karolo ea boraro ho tloha pakeng tsa karolo ea boraro le ea bone, e lateloa ke karolo ea bobeli pakeng tsa bobeli le tsa bobeli.
Li-neuromas tsa Morton li ka ama khafetsa likarolo tsa bone le tsa pele.
Hape ka linako tse ling ho thoe ke neutoma ea intermetatarsal, neuroma e kopanetsoeng, metatarsalgia ea Morton (mahlaba ka metatarsal), perineural fibrosis (mahlaku a sehlōhō haufi le methapo ea methapo ea pelo) kapa meriana e sa tloaelehang (meriana e sa tloaelehang ka lebaka la khatello ea kelello).
Haeba u na le neuroma ea Morton, ho na le monyetla oa 15% o tla o hlahisa maotong ka bobeli. Li-neuromas tsa Morton li etsahala hangata ho basali ba pakeng tsa lilemo tse 30 ho isa ho tse 50, hangata ka lebaka la lieta tse sa lokelang .
Lisosa
Ho nahanoa hore lefu la Neuroma la Morton le bakoa ke ho lematsoa ke methapo, empa bo-rasaense ha ba tsebe hantle hore na sesosa se bakoang ke kotsi ke eng. Kotsi e ka bakoa ke ts'enyo ea lihlooho tsa metatarsal, li-ligamente tse tebileng tsa intermetatarsal (li tšoara lihlooho tsa metatarsal hammoho) kapa bursa e li-intermetatarsal (sac sac filled). Mehaho ena kaofela e ka etsa hore ho be le khatello ea maikutlo le ho lematsa methapo ea pelo, qalong e baka ho ruruha le ho senya methapo.
Ha nako e ntse e ea, haeba khatello ea kelello / kotsi e ntse e tsoela pele, methapo ea eona e itokiselitse ka lisele tse nang le mafura haholo tse lebisang tlhokomelong le ho matlafala ha methapo.
Lintho tse ling tse bakang kotsi ea meriana li ka kenyelletsa feela ho ba le mokhoa o fosahetseng oa ho tsamaea kapa ho se tsamaee maoto a sa tsitsang, joalo ka ho hatelloa ka maoto (maoto a maoto ka hare), ho tsamaea haholo ( lebelo le phahameng ) le ho robala ka maoto holimo (menoana ea menoana holimo) ea menoana.
Li-biomechanical tsena (kamoo leoto le tsamaeang kateng) lisosa li ka baka kotsi ho methapo ka mohato o mong le o mong. Haeba methapo e halefisoa mme e atolosoa, joale e nka sebaka se eketsehileng 'me e e-ba le ho feta tekano le ho halefisoa. E fetoha potoloho e sehlōhō.
Matšoao
Qalong, matšoao ana a ka etsahala hang ka nakoana, empa ha maemo a ntse a mpefala, matšoao a ka 'na a etsahala ka nako eohle. Hangata o ikutloa a le betere ka ho hlobola seeta sa hao le ho senya leoto la hao .
- Bohloko (bohale, ho hlaba, ho hema, ho thunya)
- Boitšoaro
- Ho kenyelletsa kapa "lipane le lisebelisoa"
- Ho chesa
- Ho senya
- Boikutlo ba hore u fetela ho hong kapa hore ntho e itseng e ka mokotleng oa hau
Tsejoa
Setsebi sa hau sa maiketsetso (ngaka ea maoto) se tla botsa lipotso tse ngata ka matšoao a hau 'me o tla etsa tlhahlobo ea' mele. Tse ling tsa litlhahlobo li ka kenyelletsa tlhahlobo ea compression ea sebaka. Sena se etsoa ka ho hatisa metatarsals (masapo a tlase ka tlas'a menoana) hammoho le letsoho le le leng le ho sebelisa letsoho le lesesaane la letsoho ka lehlakoreng le leng ho hatella sebaka se amehileng ho hlahisa bohloko / matšoao. Ho na le tobetsa e nang le mollo (Mochini oa Mulder) hangata o teng. Tlhahlobo ena e ka boela ea baka bohloko ho thunya menoaneng le e bitsoang letšoao la Tinel. Teko ea Gauthier e kenyelletsa ho hatisa metatarsals hammoho le ho e fetisetsa hodimo le ho theoha metsotsoana e 30.
Hangata sena se baka bohloko kapa se tla tlisa matšoao a hao a mang. Pontšo ea Sullivan e ntle ha u eme 'me menoana e amehileng e arohane.
Hangata lefu la Morton le fumanoa le thehiloe historing le lipatlisiso tsa 'mele, empa ka linako tse ling liteko tse ling tse kang x-ray, ultrasound kapa MRI li hlokahala.
Litlhare
- Apara lieta tse tebileng le tse tebileng lebokoseng la menoana e le hore ba se ke ba beha khatello ho menoana ea hau le metatarsal. Qoba ho roala lieta tse phahameng hobane li baka khatello e eketsehileng holim'a leoto la maoto a hau (forefoot).
- Methapo ea metatarsal: Thuso ena ho phahamisa le ho arola lihlooho tsa metatarsal ho nka khatello ea methapo. Li behiloe morao moo u utloang bohloko, eseng ka holim'a sebaka se bohloko.
- Phetoho ea mosebetsi: Ka mohlala, u ka 'na ua leka ho sesa ho e-na le ho matha ho fihlela matšoao a hao a fela.
- Tlanya ka theipi ea lipapali
- Ho qobella
- Li-SASA (meriana e khahlanong le ho ruruha): Aleve, ibuprofen, joalo-joalo.
- Arch e tšehetsa kapa metsoako: Thuso ena ea ho laola tse ling tsa tsamaiso e sa tloaelehang maotong a hao. Ho tsamaea ka tsela e sa tloaelehang ho ka lebisa torque e eketsehileng le khatello ea methapo.
- Phekolo ea 'mele
- Kotsi ea Cortisone: E thusa ho fokotsa boholo ba mongobo o halefileng, o atolositsoeng.
- Joala ea joala: E thusa ho senya methapo ea meriana.
- Ho buuoa: Haeba ho phekoloa kalafo ha ho thuse ho buuoa. Ho buuoa ho ka 'na ha akarelletsa ho khaola methapo kapa ho khaola li-ligamente tsa intermetatarsal. Liphuputso li bontšitse hore ho buuoa ho na le tekanyo ea 80-85% ea katleho.
Thibelo
- Qoba ho apara lieta tse nyenyane tse tobileng
- Qoba ho roala lieta tse phahameng tsa serethe
Lisebelisoa:
> Hughes RJ, Ali K, Jones H, Kendall S, DA Connell. Phekolo ea Morton's neuroma e nang le lisebelisoa tsa joala tlas'a tataiso ea bana: ho latela linyeoe tse 101. AJR Am J Roentgenol . 2007 Jun; 188 (6): 1535-9.
> Kim JY, Choi JH, Park J, Wang J, Lee. Tlhahlobo ea lipatlisiso tsa neuro-mali ea Morton ea ho kopanela liphate: kamano pakeng tsa sebaka se hlahang le methapo ea methapo ea methapo (DTML) e tebileng. Foot Ankle Int . 2007 Sep; 28 (9): 1007-10.
> Morscher E, Ulrich J, Dick W. Morton's intermetatarsal neuroma: morphology le > hertological > substrate. Foot Ankle Int . 2000 Jul; 21 (7): 558-62.
> Jena Mozena, Clifford JT. Tlhahlobo ea lik'hemik'hale tsa meriana ea phekolo ea meriana bakeng sa phekolo ea khatello ea methapo ea pelo ea leoto: ho ithuta ka nako e khutšoanyane. J Am Podiatr Med Assoc . 2007 ka May-Jun; 97 (3): 203-6.
> Spina R, Cameron M, Alexander R. Tšusumetso ea ts'ebetso e sebetsang e tšoereng Morton's neuroma. Australas Chiropr Osteopathy . 2002 Jul; 10 (1): 45-50.
> Wu KK. Morton's interurgital neuroma: ho hlahlojoa kalafo ea bongata ba eona, phekolo le liphello. J Foot Ankle Surg . 1996 Mar-Apr; 35 (2): 112-9; puisano 187-8.