Neuroma ta Morton: Dalili na Maganin Raunin Agaji

Mata sun fi rinjaye fiye da maza

Akwai dalilai masu yawa na ciwo na ƙafar ƙafa, amma idan kun fuskanci kaifi, jin zafi da zai ji daɗi idan kun daina tafiya da kuma wanke ƙafafunku, kuna iya samun abin da aka sani da neuroma na Morton. Duk da yake yana da mummunan sunan sauti, wannan yanayin yana da kyau kuma yana da kyau sosai.

A cikin mahimman bayanai, wani neuroma yana fadada ko karar da ciwon daji a cikin kafa a cikin yankin tsakanin yatsun kafa, yawanci na uku a tsakiya tsakanin ta uku da na hudu, kuma ta biyo baya na biyu tsakanin na biyu da na uku.

Mudun neuromas na Morton zai iya shafar ƙananan interspaces na huɗu da na farko.

Ana kuma maimaita shi a matsayin mai kwakwalwa ta tsakiya, kwakwalwa neuroma, Morton ta maganin (ciwo a cikin karamin metatarsal), perineural fibrosis (tsohuwar jikin da ke cikin jijiya) ko nakasa neuropathy (jijiyar hauka saboda matsawa).

Idan kana da neuroma na Morton, akwai 15% damar da za ku ci gaba da shi a ƙafafunku biyu. Mukan neuromas na Morton sun fi yawa a cikin mata waɗanda ke da shekaru 30 zuwa 50, sau da yawa saboda takalma marasa kyau .

Dalilin

Anyi zaton cewa cutar ta jiki ne ta cutar da Morton, amma masana kimiyya ba su da tabbacin ainihin dalilin cutar. Raunin zai iya lalacewa ta hanyar lalacewar shugabannin masaratai, da haɗuwa mai zurfi ta tsakiya (yana riƙe da shugabannin kuɗaɗɗa tare) ko bursa na tsakiya (jakar ruwa). Duk waɗannan sifofi na iya haifar da matsin zuciya da rauni ga jijiyar, da farko ya haifar da kumburi da lalata ciwon daji.

Bayan lokaci, idan damuwa ta ci gaba, ciwon yana gyara kanta da nama mai laushi wanda zai haifar da fadadawa da kuma karar daji.

Sauran cututtuka na ciwon daji zai iya haɗawa da ciwon hanyar tafiya mara kyau ko tsarin ƙafa mara kyau, irin su farfadowa (ƙafafun ciki), hypermobility (daɗaɗaɗa motsi), caus varus ( babban hawan kafa ) da kuma dorsiflexion caca ( ƙwanƙwasa ƙwanƙwasa sama) na yatsun kafa.

Wadannan abubuwa na halitta (yadda ƙafafun yake motsi) abubuwan zasu iya haifar da rauni ga jijiyar tare da kowane mataki. Idan jiji ya zama fushi da kuma kara girma, to, yana daukan ƙarin sararin samaniya kuma yana kara matsawa da fushi. Ya zama mummunar zagayowar.

Cutar cututtuka

Da farko, waɗannan bayyanar cututtuka na iya faruwa sau ɗaya a wani lokaci, amma yayin da yanayin ya kara muni, bayyanar cututtuka na iya faruwa a duk lokacin. Yawanci yakan ji daɗi ta hanyar cire takalminka da kuma cinye ƙafafunka .

Sanin asali

Your podiatrist (likitan likita) zai tambayi tambayoyi da yawa game da alamunku da bayyanar cututtuka kuma za su yi jarrabawar jiki. Wasu daga cikin jarrabawa na iya haɗawa da jarrabawar jigilar yanar gizo. Ana yin wannan ta hanyar squeezing ƙananan ƙwayoyin (kasusuwa a ƙarƙashin kafa yatsun kafa) tare da hannu ɗaya da yin amfani da yatsa da yatsa na hannu don damfara wurin da ya shafa don haifar da ciwo / bayyanar cututtuka. Dama mai sauƙi (Maɓallin Mulder) yana yawanci. Wannan gwaji na iya haifar da ciwo don harba a cikin yatsun kafa kuma ana kiran shi alamar Tinel. Gwajin gwajin Gauthier ya ƙunshi ƙaddamar da ƙwayar matattun kafa tare da motsa su sama da ƙasa don 30 seconds.

Wannan zai haifar da ciwo ko zai haifar da wasu cututtuka. Alamar Sullivan tabbatacce ne lokacin da kake tsaye kuma yatsun da aka yaduwa ya yadu.

Kwayar cutar ta Morton yawanci ana bincikarsa bisa ga tarihin tarihin binciken binciken jiki, amma wani lokaci wasu gwaje-gwaje irin su x-ray, duban dan tayi ko MRI ake bukata.

Jiyya

Rigakafin

Sources:

> Hughes RJ, Ali K, Jones H, Kendall S, Connell DA. Jiyya na neuroma na Morton tare da shan giya a karkashin jagorancin jagoranci: biye da sharuɗɗa 101. AJR Am J Roentgenol . 2007 Yuni; 188 (6): 1535-9.

> Kim JY, Choi JH, Park J, Wang J, Lee. Nazarin nazarin ilmin lissafi na Morton: Labaran dake tsakanin siginar yanayi da zurfin haɗin gwiwar ƙaddamarwa (DTML). Ƙunƙwasa Wuta Int . 2007 Satumba 28 (9): 1007-10.

> Morscher E, Ulrich J, Dick W. Morton na neuroma na tsakiya: ilimin halittar jiki da kuma tarihin tarihi . Ƙunƙwasa Wuta Int . 2000 Yuli; 21 (7): 558-62.

> Mozena JD, Clifford JT. Amfani da sinadaran neurolysis don maganin rikice-rikice na jijiyoyin kafa na kafa: nazarin nazari. J Am Podiatr Mad Assoc . 2007 Mayu-Jun; 97 (3): 203-6.

> Spina R, Cameron M, Alexander R. Hanyar aikin gyare-gyare na aikin aiki a kan neuroma na Morton. Australas Chiropr Osteopathy . 2002 Jul, 10 (1): 45-50.

> Wu KK. Morton yayi nazarin neuroma: nazari na asibiti na ilimin halitta, magani, da sakamakon. J Foot Ankle Surg . 1996 Mar-Apr, 35 (2): 112-9; tattaunawa 187-8.