Zomwe zimayambitsa kupweteka kwa phazi komanso momwe mungawathandizire

Maphunziro a Zaumoyo

Kukumana ndi vuto lililonse lamapazi kumatha kukhala kosasangalatsa pamoyo watsiku ndi tsiku. Mapazi amakonda kupsinjika chifukwa amakhudzidwa ndi zochitika monga kuyenda, kuthamanga, kuchita masewera olimbitsa thupi, ngakhale kungoyimirira. Pansi pa khungu pali mafupa ambiri, mafupa, minofu, minyewa, ndi minyewa yomwe imatha kupweteka ngati china chake chalakwika. Izi ndi zina mwazomwe zimayambitsa kupweteka kwamapazi komanso njira zochizira.

Zomwe zimayambitsa kupweteka kwa phazi

Kupweteka pamapazi kumakhala kofala kwambiri. Ofufuza ena akuganiza kuti 25% ya anthu akumva kupweteka phazi nthawi iliyonse. Kupweteka kwa phazi kumatha kuchitika pamwamba, mbali, chidendene, chipilala, kapena mpira wa phazi. Ngakhale pali zifukwa zambiri zopweteketsa phazi, ambiri mwa iwo amagwera m'magulu otsatirawa:

1. Mavuto amiyendo
2. Kugwiritsa ntchito mopitirira muyeso
3. Kuvulala ndi kuvulala kwamapazi
4. Nsapato zosakwanira
5. Zochitika
6. Mankhwala

Anthu ena amatha kumva kupweteka kumapazi m'miyoyo yawo yonse kuposa ena. Pali zifukwa zoopsa zomwe muyenera kuzidziwa kuphatikiza zaka, jenda, zoopsa pantchito, komanso masewera, atero a Ken Redcross, MD, omwe adayambitsa Redcross Concierge . Ana ndi okalamba nthawi zambiri amakhala ndi ululu wamapazi-ana chifukwa cha zochitika zazikulu zomwe zimakwiyitsa mbale zokula chidendene. Ndili ndi msinkhu, phazi lokhazikika pamapazi limatha. Kuphatikiza apo, okalamba amakhala ndi magazi ochepa, magazi sayenda bwino, nyamakazi, komanso khungu louma. Izi zonse zimatha kupweteketsa phazi. Amayi nawonso ali pachiwopsezo chachikulu chowawa phazi kuposa amuna. Izi zikhoza kukhala chifukwa chovala nsapato zazitali kapena nsapato zina zomwe ndizocheperako.

1. Mavuto amiyendo

Nazi zovuta zina zomwe zingayambitse kupweteka kwa phazi:

• Chipilala chapamwamba Imaika kupanikizika kowonjezera pamafupa mu mpira wa phazi. Kupanikizika kwina kumeneku kumatha kubweretsa ululu kapena kutupa.
• Mabungwe , kapena hallux valgus, ndi bump bump yomwe imamera pachala chachikulu chakuphazi.
• Mapazi apansindi chilema pomwe phazi likugwa kapena silikula kwathunthu. 20% -30% mwa anthu wamba amabadwa ndi mapazi athyathyathya.
• Hammertoe ndipamene chala chachiwiri, chachitatu, kapena chachinayi chimapindika kapena kupindika pansi m'malo molunjika. Izi zikachitika, mafupa ena, minofu, ndi minyewa yomwe imasunthira phazi, yomwe imapweteka.
• Chala chachiwiri chomwe ndi chachikulu kuposa chala choyamba zimatha kupangitsa kuti thupi lisinthe pang'ono, ndikuwonjezera kukakamira kwa phazi, komwe kumatha kukhala kopweteka pakapita nthawi.
• Kukweza ndi kutchula onetsani kufalitsa kwa thupi. Kuyika kumatanthauza kuyenda movutikira kunja kwa phazi, pomwe kutchulidwa kumatanthauza kuyenda ndikulemera kwambiri mkati mwa chipilala chamkati. Anthu omwe ali ndi chidwi kapena kutchulidwa ali pachiwopsezo chokhala ndi vuto lomwe ladziwika kale chomera fasciitis . Plantar fasciitis imachitika pomwe gulu lomwe lili pansi pa phazi lotchedwa plantar fascia limatupa ndikutupa. Amawonekera makamaka ngati kupweteka kwa chidendene ndi chidendene, koma pamavuto akulu, amatha kupweteketsa mpira wa phazi.

2. Kugwiritsa ntchito mopitirira muyeso

Kutaya nthawi yochulukirapo pamapazi, makamaka mu nsapato zosathandizira monga zidendene zazitali, kumatha kuyika kwambiri mpira pa phazi. Kupweteka kwa mpira wa phazi (komwe kumatchedwanso metatarsalgia) kumatha kuwonetsa ngati zotentha, zakuthwa, kapena zopweteka. Mpira wa phazi ndi gawo lokhalo lomwe lili kuseri kwa zala zakumapazi. Kupweteka kumawonjezeka mukamasintha phazi.

Mapazi amagawa kulemera kwake mofanana, ndipo zochuluka kwambiri (monga kuyenda m'miyendo yayitali) zimapangitsa kuti phazi likhale lolimba kuposa momwe limakhalira. Izi zitha kupangitsa kuti mitsempha, mafupa, ndi minofu zizitupa ndikumva kuwawa. Kuyimirira, kuyenda, kapena kuchita masewera olimbitsa thupi mopitilira muyeso kumathanso kupangitsa kuti minyewa ndi minofu yomwe ili pamwamba pa phazi ipsere, zomwe zimatha kukhala zopweteka. Mapazi ena omwe amabwera chifukwa chogwiritsa ntchito mopitilira muyeso amaphatikizapo bursitis, chidendene spurs (chofanana ndi plantar fasciitis), Morton's neuroma, tendinitis, ndi kupsinjika kwa nkhawa.

3. Kuvulala ndi kuvulala kwamiyendo

Mapazi amakonda kuvulala chifukwa cha kupsinjika komwe amakhala ndi zochitika zatsiku ndi tsiku. N'zotheka kupukuta, kupukuta, kapena ngakhale mafupa a metatarsal pamwamba pa phazi. Mpira wa phazi nawonso umakhala ndi nkhawa yophulika chifukwa chazovuta zazikulu monga kuthamanga ndi kudumpha. Kuphulika kwa nkhawa kumatha kupweteketsa, kukhumudwitsa, kapena kupweteka ndipo kuyenera kupezedwa ndikuchiritsidwa ndi dokotala. Ngakhale zizindikiro zakumva kuwawa kwambiri, mikwingwirima, ndi kuchepa kwa mayendedwe ake ndizizindikiro zakumaphuka, fupa lophwanyika lidzafuna X-ray kuti ipeze ndipo mwina imathandizidwa ndi ma splints kapena kuponyedwa kuti phazi lichiritse bwino. Nthawi zina, opaleshoni ingakhale yofunikira.

4. Nsapato zosakwanira

Kuvala nsapato zosathandizira ndikofala kwamapazi. Zimatha kuyambitsa zikhadabo zamkati, ma callus, chimanga,Matenda a Morton, ndi tendinitis. Tendinitis imatha kupezeka m'mapewa, zigongono, manja, ndi manja. Izi ndi mitundu itatu yodziwika bwino ya tendinitis m'mapazi:

• Achilles tendinitis Nthawi zambiri amayamba chifukwa chovulala pamasewera, nsapato zosakwanira kapena zosagwirizana, kapena nyamakazi. Kuvulala kwamatenda a Achilles nthawi zambiri kumadziwika mwachikondi pakati pa chidendene ndi minofu ya ng'ombe.
• Kutulutsa tendinitis zimachitika pamene tendon yomwe imayenda pamwamba pa phazi yatupa. Matenda otupa amatha kupweteka komanso kutupa. Mtundu wa tendinitis ndiofala kwa anthu omwe amavala nsapato zosavala bwino, makamaka akamachita masewera olimbitsa thupi.
• Sesamoiditis ndi mtundu wina wa tendinitis womwe umayamba chifukwa chogwiritsa ntchito mopitirira muyeso. Matenda otupa amatha kukhala opweteka kwambiri ndikupangitsa kupweteka mu mpira wa phazi.

5. Zomwe zikuchitika

Pofuna kuthana ndi ululu wamapazi, chithandizo chamankhwala chanu chimafunikira kuti muyesedwe ndikuchiza matenda omwe akukumana nawo. Matenda osatha otsatirawa amatha kupweteka phazi.

• Nyamakazi zingayambitse kupweteka kwa akakolo ndi kupweteka pamwamba pa phazi. Phunziro limodzi adapeza kuti anthu omwe ali ndi nyamakazi anali ndi mwayi wopwetekedwa katatu. Matenda a nyamakazi amakhudza kwambiri mgwirizano woyamba wa metatarsophalangeal (MTP), womwe umalumikiza pansi pa chala chachikulu chakumapazi mpaka phazi lonse. Mgwirizanowu ukatupa, umatha kukhudza momwe phazi limagwirira ntchito ndikubweretsa ululu ndi kutupa. Kupweteka pamodzi, kuuma kolumikizana, kapena kuyenda movutikira kungasonyeze nyamakazi m'mapazi.
• Gout ndi matenda omwe amayambitsa nyamakazi chifukwa cha uric acid wambiri womwe umasokoneza mafupa ndikupweteka. Gout nthawi zambiri imamenyera pansi pa chala chachikulu chakuphazi.
• Matenda a shuga kupweteka phazi (zotumphukira za m'mitsempha) zimayambitsidwa ndi kuwonongeka kwa mitsempha ndi mitsempha yamagazi chifukwa cha shuga wambiri wamagazi. Kuwonongeka kwa mitsempha kumeneku kumatha kupangitsa dzanzi kumapazi, kumapazi, ndi miyendo. Kutengeka kukachepa, ngakhale mabala ang'onoang'ono ndi zokopa zimatha kubweretsa zilonda zakuya kapena zilonda. Popanda kuchiritsidwa, matenda amatha kufalikira mpaka fupa ndikupha minofu. Nthawi zina, kudulidwa kumafunika.
• Nyamakazi (mtundu wofala kwambiri wamatenda am'mimba) umatsitsa chichereŵechereŵe palimodzi. Thupi likamayesa kukonza khungwa, limapanga mafupa amatuluka pafupi ndi malo owonongeka.
• Matenda a mtsempha wamagazi ( PAD ) amachepetsa magazi kuthamangira ku miyendo kuchokera kutsekemera kwa cholesterol, zomwe zimabweretsa ululu poyenda. Zitha kuyambitsidwa ndi kusuta, kunenepa kwambiri, kuthamanga kwa magazi, cholesterol, komanso zaka (zopitilira 50).
• Vuto la papillomaoma ( HPV ) ndi kachilombo kamene kangayambitse ziphuphu pansi pa mapazi.
• Chodabwitsa cha Raynaud zimayambitsa dzanzi kapena kuzizira chifukwa cha kusintha kwa kutentha ndi kupsinjika. Kuphatikiza pa kumenyedwa kapena kusowa zala zakumiyendo, kusintha kwamitundu kumatha kuchitika. Zala zitha kukhala zoyera pa chiwembu, kenako buluu mkati mwa dzanzi, kenako zofiira ngati mapazi akufunda kapena kupsinjika.
• Vasculitis imayambitsa mavuto amitsempha ndi zowawa zambiri. Vasculitis imayambitsa kutupa m'mitsempha yamagazi ndipo imatha kuyambitsidwa ndi matenda, khansa, matenda am'thupi, ndi mankhwala ena.

ZOKHUDZA: Chithandizo cha Neuropathy ndi mankhwala

6. Mankhwala

Mankhwala amathanso kupweteketsa phazi. Odwala ambiri amathandizidwa ndi kachilombo ka HIV / Edzi kapena khansa amakhala ndi zotumphukira za m'mitsempha. Komabe, nayi mndandanda kuchokera Maziko a Peripheral Neuropathy mankhwala ena omwe angayambitse kupweteka kwa phazi:

• Mankhwala oletsa kumwa mowa ( Disulfiram )
• Ma anticonvulsants ( Zamgululi )
• Mankhwala a khansa ( Cisplatin , Dzina Vincristine )
• Mankhwala a mtima kapena kuthamanga kwa magazi ( Amiodarone , Hydralazine )
• Matenda olimbana ndi matenda ( Metronidazole , Chizindikiro , Kupro , Levaquin , Nitrofurantoin , Isoniazid )
• Mankhwala othandizira khungu ( Dapsone )

Chithandizo cha kupweteka kwa phazi

Chithandizo choyenera chimadalira zomwe zimayambitsa. Komabe, Nazi njira zina zodziwika zochepetsera kupweteka kwa phazi:

• Chitani ululu wofatsa ndi anti-anti-steroidal anti-kutupa mankhwala s (NSAIDs) monga ibuprofen kapena aspirin . Zachidziwikire, ngati kupweteka sikukuyenda bwino ndi njira zomwe mungasankhe, onani dokotala wanu kuti akuwongolereni kapena kukuyesani, atero Dr. Redcross.
• Zithandizo za homeopathic monga arnica amathanso kuthana ndi kupweteka kwamapazi ndi kutupa chifukwa chogwiritsa ntchito mopitirira muyeso komanso kuvulala.
• Kuchepetsa thupi ingathandizenso kuchepetsa mitundu ina ya kupweteka kwa phazi. Ngakhale, ndikofunikira kuchita masewera olimbitsa thupi ndi nsapato zoyenera.
• Kupumula ndi icing kuvulala pamapazi kumatha kupita kutali kuti zithandizire kuchepetsa kutupa.
• Thandizo lakuthupi itha kuthandizira kuthana ndi phazi pambuyo povulala, koma othandizira ambiri amafunikira kutumizidwa kuchokera kwa wothandizira zaumoyo poyamba.
• Ndikofunikanso kutero khalani ndi mawonekedwe oyenera momwe zingathere kuti muchepetse zowawa zomwe zikupitilira mwendo mpaka m'maondo ndi mchiuno chifukwa cha kusalongosoka .
• Ena othandizira zaumoyo amalimbikitsa oyika nsapato , ma orthotic achizolowezi, kapena matayala a metatarsal othandizira arch kuti athandizire kugawira kulemera kwa phazi.
• Kupindika kwakukulu ndikuphwanya kumafunikira upangiri wamankhwala mwachangu ndi chidwi. Katswiri wazachipatala, monga wodwalayo, amatha kudziwa chomwe chikuyambitsa kupweteka kwa phazi ndikupanga njira yothandizirana yomwe ingathandize bwino wodwalayo.
• Kuti mupeze zowawa zazikulu, othandizira azaumoyo atha kupereka jakisoni wa corticosteroids kapena zotchinga mitsempha.

Nthawi yobwezeretsa idzadalira zaka komanso thanzi la wodwala komanso vuto lomwe limayambitsa. Mwachitsanzo, kupweteka chifukwa chogwiritsa ntchito mopitirira muyeso kumatha kutenga masiku ochepa kuti mupole ndi kupumula koyenera komanso chithandizo, koma ululu womwe umayambitsidwa chifukwa chophwanya nkhawa kapena bunion mwina ungatenge milungu kapena miyezi kuti uchiritse.

Mapazi a aliyense ndi osiyana, ndipo palibe kukula kwake komwe kumagwirizana ndi njira zonse zamankhwala zomwe zithandizira aliyense. Wopereka chithandizo chamankhwala, monga wodwalayo, amatha kuthandiza odwala kudziwa zomwe zikuwapweteka phazi ndipo atha kulangiza zomwe angachite pambuyo pake.