Neuroma na Morton - Alamomi, Sanadin, Bincike da Jiyya

Sakamakon cutar neuroma Morton cuta ce ta musculoskeletal wanda ke haifar da ciwo a saman ƙafar tsakanin yatsun kafa. Yanayin ya faru ne saboda tsagewar jijiyoyi tsakanin yatsun kafa.

Morton's neuroma galibi yana faruwa tsakanin yatsun kafa na biyu da na uku - ko tsakanin yatsun na uku da na huɗu. Ya fi daidai a faɗi cewa matsewar yana faruwa tsakanin kafafu na metatarsal a gaban ƙafar. Zafin yana iya zama mai kaifi lokaci-lokaci, mai kama da girgiza kuma ana iya samun rauni ko raguwar ji a yankin da abin ya shafa. Wani suna don ganewar asali shine ciwon mara. Morton's neuroma yana shafar jijiyoyin tsirrai na intermetatarsal - wanda kuma aka sani da jijiyar interdigital. Neuroma na iya zama tarin ƙwayoyin jijiyoyin jijiyoyi ko ƙwayar ƙwayar jijiya (bayanin kula: Morton's neuroma kusan koyaushe yana da kyau).

- Za a iya bi da ra'ayin mazan jiya

Wani muhimmin batu da za a yi shi ne cewa mafi yawan lokuta ana iya bi da su ba tare da tiyata ba. Nazarin ya nuna sakamako mai rubuce sosai, a cikin nau'in raguwar zafi mai mahimmanci, lokacin amfani da maganin matsin lamba (1). Wannan tasirin yana faruwa ne saboda gaskiyar cewa raƙuman matsin lamba suna rushe lalacewar nama, wanda ba shi da na roba da na hannu, kuma yana motsa mafi kyawun zagayar jini a yankin (angiogenesis). Ba kamar aikin tiyata ba, maganin matsin lamba ba zai haifar da kyallen nama da ciwon da zai iya yiwuwa ba saboda wannan tabon. Daidai saboda wannan dalili, muna ba da shawarar ku gwada hanyar magani na jiyya na matsin lamba 5-7 kafin yin la'akari da tiyata.

A wannan labarin, zamuyi nazari, tsakanin sauran abubuwa:

Sanadin neuroma na Morton

2. Alamomin Morton's neuroma

3. Yadda ake tantance cutar neuroma na Morton

4. Jiyya na neuroma na Morton

A) Maganin Mazan jiya

B) Jiyya Mai Ruwa

5. Matakan Kai da Ayyuka akan Mortons

Gungura ƙasa don don kalli bidiyo ta horo tare da bada wanda zai iya taimaka muku game da neuroma na Morton.

TAMBAYA: Mutane da yawa tare da ƙananan ƙwayoyin cuta na Morton suna son amfani da su yatsun kafa og musamman dace safa (hanyar haɗin yanar gizon tana buɗewa a cikin sabon taga) don haɓaka wurare dabam dabam da iyakance kaya a kan damuwar jijiya tsakanin yatsun kafa.

BATSA: Darasi 5 kan Morton's neuroma

Wannan bidiyon yana nuna maka darussan motsa jiki guda biyar waɗanda ke ba da gudummawa ga haɓaka wurare dabam dabam na jini a cikin ƙafafu, ƙara ƙarfi da kuma inganta ayyukan gabaɗaya. Shirin motsa jiki na iya dacewa da waɗanda ke da ƙwaƙwalwar Morton na Morton, amma koyaushe ku tuna don ɗaukar hoton hotonku da rayayyar rana.

Jin kyauta don biyan kuɗi a tasharmu ta Youtube - kuma bi shafin mu akan FB don nasihun lafiya na yau da kullun da shirye-shiryen motsa jiki.

Sanadin neuroma na Morton

Mafi yawan abin da ke haifar da neuroma na Morton shi ne cewa an ɗora ƙafar gaban ko an ɗora shi ba da daɗewa ba. Tsantsun takalmin da ya danna ɓangaren ƙafar gaba ɗaya na iya zama mai ba da gudummawa mai ƙarfi. Ƙara nauyi na iya haifar daga aiki akan jimiri, ƙimar jikin mutum, takalmin matalau da kaya mara kyau. Load sama da ƙarfin nauyin jiki zai kai ga gina ɓarna mai ƙarfi a cikin ƙafar ƙafa. Bayan lokaci, wannan zai samar da ƙarancin sassauci da motsi a yankin. Rage motsi na gabobin ƙafar na iya haifar da haɓakar jijiyoyi tsakanin yatsun kafa.

Shuka jijiyar wuya - Photo Wikimedia

Hakanan karanta: 7 alamun farko na Gout

Alamomin Morton's neuroma

Wasu daga cikin alamomin cututtukan yau da kullun na Morton's neuroma sune raunin nauyi, sau da yawa bayan wani ɗan gajeren lokaci. Bayyanar jin zafi ya bambanta daga mutum zuwa mutum, duk da haka zafi na lantarki, kumburi, tafiya akan ruwan wukake ko Yi dutsen a cikin takalmanka, ana amfani dashi sau da yawa wajen bayani daga marasa lafiya. Daya kona abin mamaki ko numbness Har ila yau, alamun bayyanar gama gari ne. Ya kamata a lura cewa neuroma na Morton na iya zama asymptomatic, kamar yadda aka nuna a cikin wani binciken da Bencardino et al a 2000.

Alamu na yau da kullun na neuroma na Morton na iya haɗawa da:

• Jin ƙonewa a gaban ƙafafun wanda zai iya aika jinƙai gaba zuwa yatsun.

• Jin zafi ko sauri yayin yatsun da abin ya shafa - galibi tsakanin yatsun na ukun da na huɗu.

• Umbacin gwiwa da kuma rashin ji a cikin yatsun da abin ya shafa.

3. Bincike na neuroma na Morton

Likitan zai fara bincika alamun kumburi, kamuwa da cuta, nakasa, gwaje -gwajen jini ko binciken halittu. Sannan ana amfani da gwaji na musamman da ake kira Alamar Mulder, inda likitan ya danna ƙafar ƙafa tare don ganin ko wannan yana sake haifar da alamun. Idan ya sake dawo da ciwon a ƙafa, to wannan tabbatacciyar gwaji ce. Sauran abubuwan da ke iya haifar da alamun cutar neuroma kamar su capsulitis, danniya karaya, intermetatarsal bursitis ko Cutar Freiberg. Koyaya, saboda alamomin halayyar Morton da alamun asibiti, likita na zamani zai iya gane ganewar asali.

Wanene Zai Taimaka mini In Gano Neuroma na Morton?

A cikin shawarwarin mu, koyaushe za mu yi amfani da ayyukan da aka ba da izini a bainar jama'a - wannan saboda waɗannan fannoni ne da Helfo ke tsara su kuma wanda diyyar Raunin Marasa lafiya ta Norway (NPE) ta rufe. Sana'o'in da ba a ba su izini ba kuma ba su da kariyar take, kuma a ka'idar, saboda haka, kowa na iya kiran kansa naprapath ko acupuncturist - har sai an fata an tsara waɗannan ayyukan da izini. Wannan kuma zai tabbatar da cewa naprapaths, waɗanda ke kiran kansu kawai ba tare da ilimi ba, ba su da izinin kiran kansu haka. Amma don kimantawa da magance matsalolin ƙafa da ƙafar ƙafa, muna ba da shawarar ɗan chiropractor na zamani, mai ilimin hanyoyin kwantar da hankali ko mai ilimin hannu. Tabbatar kuna yin kyakkyawan bincike kafin ku duba cewa a zahiri suna aiki tare da Morton's neuroma. Idan ana so, Hakanan zaka iya gani game da wasu asibitin mu da abokan mu yana kusa da ku.

Gwajin gwajin hoto na neuroma na Morton (X-ray, MRI, CT ko duban dan tayi)

Anan yana da mahimmanci kuma mafi mahimmanci a ambaci cewa a mafi yawan lokuta mutum yana sarrafawa ba tare da hoto ba. Koyaya, idan an nuna shi a likitance, za a ɗauki X-ray a matakin farko. Wannan don kawar da canje -canje na degenerative a cikin gidajen abinci (arthrosis), ci gaban kashi mai rauni a cikin gida ko karaya mai ƙarfi shine sanadin ciwo. Cutar duban dan tayi (sonography) na iya samun kaurin jijiyoyin mahaifa, amma kuma yana buɗe ga kuskuren ɗan adam. Idan wannan kaurin ya wuce 3mm, to wannan ya dace da Morton's neuroma. Hoto na MR iya, kamar duban dan tayi, samar da kyakkyawan bayyani na duka kashi da nama mai taushi a cikin ƙafar, kuma ana ɗaukar mafi kyawun zaɓin hoto idan aka zo batun tantance cutar ta Morton.

Misali: Hoton MR na neuroma na Morton

Hoto na MR na neuroma tsakanin na uku zuwa na huɗu - Photo Wikimedia commons

4. Jiyya na neuroma na Morton

• A) Jiyya ta Mazan jiya na Neuroma na Morton

- Maganin matsi

- Jiyya ta Jiki (Ciki har da haɗin gwiwa tare da magudi)

- Daidaitawar takalmi da takalmi

- Matakan kai (Tallafin Hallux valgus da rigunan matsawa)

• B) Jiyya mai ɓarna na Neuroma na Morton (an ɗauka mafi haɗari)

- Allurar Cortisone

- Yin aikin tiyata (Neurotomy)

- Allurar barasa (Hanyar magani da ake amfani da ita sau da yawa kamar na yau)

Maganin Mazan jiya na Neuroma na Morton

Yawancin marasa lafiya suna sarrafawa ba tare da matakan jiyya ba. Magungunan mazan jiya ta haka ne hanyoyin magani waɗanda ke da kusan haɗari. Tsarin jiyya na mazan jiya na yau da kullun na iya haɗawa da haɗin gwiwa na ƙafa, da kuma maganin matsin lamba wanda aka mai da hankali ga neuroma kanta. Kamar yadda aka ambata a farkon labarin, maganin matsin lamba yana da tasirin da aka rubuta sosai akan zafi saboda Morton's neuroma (1). Anan kuma yana da matukar mahimmanci a ambaci cewa haɗin gwiwar haɗin gwiwa na chiropractic ko daidaita haɗin gwiwa yana da, a cikin meta-bincike, kusan yana da kyau kamar sakamako na cortisone idan yazo ga haɓaka aiki da rage zafi (2).

Daidai saboda wannan dalili, ya dace a haɗa haɗin gwiwa tare da maganin matsin lamba tare da maganin ra'ayin mazan jiya na Morton's neuroma. Idan kun haɗa wannan tare da matakan ku da motsa jiki, zaku iya samun sakamako mai kyau. Guji munanan takalman da ke sanya matsi mai yawa a kan gaba, yi shimfida da ƙarfin motsa jiki don ƙafa, da jin daɗin amfani yatsun kafa (duba misali anan - hanyar tana buɗewa a cikin sabon taga) ko safafan matsawa lokacin da kuka murmure. Biyu na ƙarshe na iya ba da gudummawa ga ingantaccen zagawar jini da kula da sarari tsakanin yatsun kafa. Kyakkyawan sarari tsakanin yatsun kafa na iya taimakawa rage radadin jijiya.

Matakan kai: Arfin yatsan kafa / hallux valgus

A hoton da ke sama kun ga abin da ake kira mai yatsan yatsa (hanyar haɗi tana buɗewa a cikin sabon taga), wanda ake kira lokaci-lokaci ana kiranta hallux valgus goyon baya. Dalilin waɗannan shine don hana babban yatsa daga faɗuwa da sauran yatsun - kuma don haka ya matse wurare tsakanin yatsun. Mutane da yawa tare da neuroma na Morton sun ba da rahoton cewa suna fuskantar sauƙin bayyanar cututtuka lokacin amfani da wannan ma'aunin. Kuna iya karanta ƙarin game da samfurin (da makamantan samfuran) ta latsa hoton ko mahaɗin da ke sama. Gwajin kai mai rahusa wanda ƙila zai iya gwadawa a gare ku waɗanda ke damun neuroma na Morton.

Takalmin Takalma da Takalma

Misaligns a ƙafar da idon sawu na iya kasancewa kai tsaye yana da alaƙa da ɗaukar ƙafar da ba daidai ba - wanda kuma yana da alaƙa da haɓakar cutar neuroma na Morton. Musamman mahimmin juzu'i yana da alaƙa da duka Hallux valgus da Morton's neuroma. Muna ba da shawarar cewa ƙwararre ya bincika aikin ƙafar ku da idon sawun ku (misali chiropractor, physiotherapist ko manual manual) don ƙarin karbuwa ta jama'a kawai. Kafin biya cikin hukunce-hukunce masu tsada, muna bada shawara cewa kayi ƙoƙarin yin rubutu mai sauƙi, mara nauyi mai sauƙi kuma duba idan kuna tunanin wannan zai sami sakamako mai kyau cikin al'amuran makonni. Idan kuna ganin yana aiki, to yana iya zama taimako idan kuna hawa zuwa ƙwararrun masu sana'a.

Muna kuma nuna cewa wasu wuce gona da iri a ƙafa sun zama gama gari - kuma kayan taimako kamar sautin da aka saba da shi na iya nufin cewa maiyuwa ba zai iya magance babbar matsalar ba (alal misali, babban rauni a cikin tsokar ƙafa). A kwanakin nan, akwai kuma takalmi tare da matsi mai ƙarfi mara ƙarfi. Gaskiyar ita ce waɗannan takalman suna ɗauke ayyukan aikin daga ƙafafunku, wanda hakan yana ba da amsa ga zama mai rauni kuma yana da ƙarfin ɗaukar nauyi. A ƙarshe, kuna haɗarin zama dogaro gaba ɗaya akan takalman ku. Ana iya kwatanta wannan cikin sauƙi da corset na baya - taimakon da kusan kusan an watsar da shi, kamar yadda aka gani cewa wannan ya haifar da rauni da asarar tsoka a tsokar baya.

Kara karantawa: Tsarin Wave na Matsi - Wani abu don Neuroma na Morton

Jiyya Mai Ruwa na Morton's Neuroma

Abin baƙin cikin shine, ba duk marasa lafiya ke amsa maganin mazan jiya ba - sannan kuma ana buƙatar sau da yawa. Daga cikin hanyoyin da aka saba, mun sami allurar cortisone. Irin wannan allurar da aka gauraya da allurar rigakafi yakamata a ba ta tare da jagorar duban dan tayi. Idan likitan ku ya ce ba sa buƙatar jagorar duban dan tayi, muna ba da shawarar sosai cewa ku nemi wani mai ilimin hanyoyin kwantar da hankali. Anan muna magana kaɗan kaɗan game da allurar barasa, allurar cortisone da neurotomy (tiyata).

barasa Allura

Wannan shine madadin idan magani mai ra'ayin mazan jiya ya gaza. Cakuda mai barasa (4%) ana allura kai tsaye zuwa cikin neuroma, yana haifar da guba na ƙwayar jijiyar fibrous - sannan kuma yana iya haɓakawa a hankali ta hanyar rage alamun bayyanar cututtuka. Dole ne a maimaita magani sau 2-4 tare da makonni 1-3 tsakanin allura. Nazarin ya nuna a zahiri kusan kashi 60% na nasara ga irin wannan allurar, wanda yayi kama ko sama da cire tiyata na tiyata - amma tare da ƙarancin sakamako masu illa. An kuma gani a cikin binciken cewa idan allurar ta kasance tare da duban dan tayi to damar samun sakamako mai kyau ya fi girma.

Cortisone Allura

Cortisone injections (mafi yawanci ana haɗe shi da maganin tawaya) na iya a wasu yanayi na rage kumburi tare da bayar da taimako na alama. Abin takaici ba ya aiki kwata-kwata kuma a cikin waɗannan za ku iya ganin zafin da kumburi ya dawo bayan fewan makonni ko watanni. Kamar yadda aka sani sosai, cortisone za'a iya amfani da shi iyakataccen lokaci, kamar yadda aka sani cewa yana haifar da lalata lalata jijiyoyin da kyallen takarda mai taushi. Hanyar yakamata a yi tare da jagorar duban dan tayi.

Neurotomy (cirewa daga jijiyar nama)

Matsayi na karshe idan duk sauran al'amuran basuyi nasara ba. A wannan aikin, ana yin ƙoƙari don cire ƙwayar jijiyar da ta shafi. Wannan yana haifar da ƙwayar fata kuma a cikin 20-30% na tiyata zaka ga sake komawa saboda ƙwayar lalacewa a yankin. Lokacin aiki a ƙafafu, akwai magana koyaushe na tsawon lokacin dawo da babban dama na samun canje-canje na dindindin a ƙafa.

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5. Matakan kai da Ayyuka akan neuroma na Morton

Bincike ya nuna cewa, ban da magani mai ra'ayin mazan jiya, ƙarfafa tsokar ƙafa na iya taimakawa ƙara ƙarfin kayan aikin neurons na Morton (3). A cikin bidiyon da aka nuna a farkon labarin, kun ga shawara don shirin motsa jiki wanda zai iya ba ku mafi kyawun aikin ƙafa. In ba haka ba, muna kuma ba da shawarar wannan shirin motsa jiki wanda ke ƙarfafa ƙafa da ƙafa (mahadar tana buɗewa a cikin sabuwar taga).

Shin Kuna Bukatar Shawara ko Kuna da Tambayoyi?

Jin kyauta don tuntube mu a YouTube ko Facebook idan kuna da tambayoyi ko makamantansu dangane da motsa jiki ko matsalolin tsoka da haɗin gwiwa. Hakanan zaka iya ganin bayyani na asibitocinmu ta hanyar mahada anan idan kana son yin ajiyar shawara. Wasu daga cikin sassan mu na Clinics Clinics sun haɗa da Cibiyar Kula da lafiyar chiropractor ta Eidsvoll da Jiki (Viken) da Lambertseter Chiropractor Cibiyar da Physiotherapy (Oslo). Duk asibitocin mu suna sanye da na'urorin jiyya na zamani-gami da injin matsin lamba da na’urorin laser. Tare da mu, ƙwarewar ƙwararru da mai haƙuri koyaushe suna da mahimmanci.

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Shafi na gaba: Ciwon Ciki (Babbar Jagora)

Danna hoton da ke sama don matsawa zuwa shafi na gaba.

Sources da Bincike:

1. Seok et al, 2016. J Am Podiatr Med Assoc. 2016 Mar; 106 (2): 93-9. Doi: 10.7547 / 14-131. Extracorporeal Shockwave Therapy a cikin Marasa lafiya tare da Morton's Neuroma A Randomized, Placebo-Controlled Trial.

2. Matthews et al, 2019. Ingancin ayyukan da ba na tiyata ba don ƙwayoyin cuta na yau da kullun na dindindin na dijital (Morton's neuroma): bita na yau da kullun da meta-bincike.

3. Yoo et al, 2014. Illar Ƙarfin Ƙaƙƙarfan Ƙafar Ƙafar Haɗaɗɗen Haɗa tare da Ƙaƙƙarfan Rikicin Ƙaƙama a kan Metatarsalgia tare da Morton's Toe. J Phys Ther Sci. 2014 Disamba; 26 (12),

Bencardino J, Rosenberg ZS, Beltran J, Liu X, Marty-Delfaut E (Satumba 2000). "Morton's neuroma: koyaushe alama ce?". AJR Am J Roentgenol 175 (3): 649–53. doi:10.2214/ajr.175.3.1750649.

Tambayoyi akai -akai game da neuroma na Morton:

Shin morton ta neuroma wani nau'i ne na rheumatism?

A'a, neuroma na Morton ba wani nau'i bane na rheumatism. Kamar yadda aka ambata a cikin labarin: "Morton's neuroma yana shafar jijiyoyin mahaifa."

Bi Vondt.net akan Youtube

Bi da sharhi idan kuna son mu yi bidiyo tare da takamaiman motsa jiki ko shimfiɗa don matsalar ku.

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