Ntau zaus koj pom tias koj ko taw mob thaum koj hle koj nkawm khau nruj, tsis xis nyob? Tshwj xeeb yog mob hnyav ntawm tus ntiv tes thib peb thiab thib plaub. Tej zaum koj nyuam qhuav nkees ntawm ib hnub, lossis tej zaum koj tab tom tsim Morton's neuroma. Cov tsos mob ntawm tus kab mob no tsis tshwm sim tam sim ntawd, tab sis koj yuav tsum paub txog lawv.
Qhov no yog dab tsi?
Qhov teeb meem muaj ntau lub npe: Morton's syndrome, Morton's neuroma, Morton's disease, Morton's metatarsalgia, perineural fibrosis, Morton tus ntiv tes. Qhov no yog ib qho benign thickening ntawm ko taw, muaj cov ntaub so ntswg fibrous. Muaj ib qho thickening ntawm lub paj hlwb ntawm ko taw. Feem ntau, pathology yog unilateral, txawm hais tias qee zaus nws loj hlob ntawm ob txhais taw. Feem ntau, Morton's syndrome tshwm sim rau cov poj niam, vim lawv hnav khau nqaim nrog lub luj taws tsis xis nyob. Tab sis txiv neej kuj raug tus kab mob no.
Ua rau Morton's Perineural Fibrosis
Cov laj thawj hauv qab no ua rau muaj kev txhim kho tus kabmob:
- Ntau tshaj. Yog vim li cas yog ib qho ntawm feem ntau ntawm cov kab mob no. Ob txhais ceg yog nyob rau hauv hnyav load, raws li ib tug tshwm sim ntawm uas nws pibKev loj hlob ntawm cov ntaub so ntswg ntawm cov paj hlwb.
- Nco ntsoov hnav heels siab. Lub load ntawm ko taw nce, uas provokes ib tug inflammatory txheej txheem nyob rau hauv lub paj hlwb.
- Kev xaiv khau ntawm qhov loj thiab ntim. Ntev nias ntawm ko taw hauv khau nruj ua rau mob paj hlwb.
- Kev raug mob (pob txha, nqaij tawv, hematomas) raws cov hlab ntsha thiab cov kab mob ntev.
- Txoj kev tiaj tus.
- Obliterating atherosclerosis ntawm ob txhais ceg, provoking blockage ntawm cov hlab ntsha ntawm ob txhais ceg nrog cov cholesterol plaques.
- Tumour.
- kev ua si lub cev.
Symptoms of disease
Yog tias koj xav tias koj muaj Morton's neuroma, cov tsos mob yuav tshwm sim nyob ntawm qhov tsis saib xyuas tus kab mob. Cov txheej txheem no nyob ntawm qib ntawm kev khaus ntawm cov hlab ntsha los ntawm cov ntaub so ntswg nyob ze. Tau ntev, ko taw tsis xis nyob hauv cov txheej txheem ntawm kev taug kev, tab sis thaum tuav lub interdigital cheeb tsam, qhov mob me ntsis tshwm. Raws li cov ntaub so ntswg loj hlob, lub taub hau ntawm cov pob txha metatarsal nias ntawm cov hlab ntsha los ntawm ob sab, thiab cov ntaub so ntswg edematous thiab hematoma exacerbate cov nyhuv no. Thawj qhov kev tsis txaus siab feem ntau yog txuam nrog loog ntawm ko taw thiab tsis xis nyob thaum taug kev ntev. Morton tus kab mob yog qhov mob tshwj xeeb tshaj yog rau cov neeg nyiam khau siab heeled, raws li qhov siab ntawm neuroma nce.
Cov tsos mob tom ntej no yog qhov kub hnyiab ntawm cov ntaub so ntswg ntawm ko taw thiab ntiv tes. Noticeably nyob rau tib lub sij hawm, ib tug internal tingling koom. Muaj ib qho kev xav ntawm ib qho khoom txawv teb chaws hauvintertarsal chaw. Exacerbations tuaj nyob rau hauv nthwv dej: ib lub sij hawm so alternates nrog mob hnyav.
Morton's syndrome ua rau nws nyuaj rau nyob ntawm koj ko taw ntev. Qhov mob hnyav heev, tab sis yog tias koj tshem koj nkawm khau thiab zaws ko taw, ces nws txo qis los yog ploj mus.
Kev txhim kho ntawm tus kab mob ntxiv ua rau muaj kev mob hnyav ntxiv. Nws kis tau tus cwj pwm pulsating, thiab lub sijhawm ntawm kev tawm tsam tau txo qis. Sab laug tsis kho, Morton tus kab mob ua rau mob tas li, uas tsis yog nyob ntawm qhov zoo ntawm cov khau thiab qhov ntev ntawm kev taug kev. Tsis massage los yog so kom tag daws qhov mob.
Ib yam ntawm tus kab mob yog tias tus neeg mob cov tsos mob yuav ploj mus thiab tsis rov zoo li ob peb xyoos. Tab sis tus kab mob tsis ploj mus, tab sis, raws li nws tau, khov. Nyob rau hauv dab tsi taw tes nws yuav manifest nws tus kheej yog tsis yooj yim sua los twv. Tsis tas li ntawd, nws yuav tsum raug sau tseg tias tsis muaj qhov tshwm sim sab nraud ntawm ko taw nrog qhov neuroma.
YKev kuaj mob ntawm pathology
Cov lus nug zoo ntawm tus neeg mob Morton's syndrome yog tus kws kho mob twg kho tus kab mob no? Nrog rau cov tsos mob ntawm tus kab mob no, koj tuaj yeem tiv tauj ib tus kws kho mob hlwb, kws phais lossis orthopedist. Ua ntej tshaj plaws, kws kho mob xam phaj tus neeg mob thiab tshuaj xyuas qhov teeb meem ko taw. Qee zaum qhov no txaus los kuaj xyuas.
Rau kom paub meej, tus kws tshaj lij tuaj yeem xa tus neeg mob mus rau x-ray, MRI lossis ultrasound. Cov kev ntsuam xyuas no tso cai rau koj los txiav txim qhov tseeb qhov chaw ntawm neuroma thiab qhia nws qhov loj me.
txoj kev kho
Yog tias tus kab mob tsis mob hnyav, ces tus neeg mob muaj kev xaiv ntawm Morton's neuroma yuav kho li cas: kev kho mob hauv tsev (kev saib xyuas) lossis kev phais. Txawm li cas los xij, yuav tsum tau txiav txim siab raws li kev xav ntawm tus kws tshaj lij. Raws li koj tuaj yeem xav, txhua txoj kev kho mob muaj nws qhov zoo thiab qhov tsis zoo.
Txoj kev sib raug zoo
Yog tus neeg mob tsis pom zoo tias qhov kev phais yog qhov tsim nyog, tus kws kho mob yuav xaiv txoj kev kho kom zoo:
- Txawm kom txo qhov hnyav ntawm ko taw, nws yuav raug pom zoo kom taug kev tsawg dua thiab tsis txhob sawv hauv ib qho chaw ntev.
- Txhawm rau tiv thaiv compression, tus neeg mob yuav tsum rov xav txog lawv cov khau nyiam. Nkawm khau thiab khau boots yuav tsum yog luv-heeled thiab dav ntiv taw.
- Orthopedic insoles nrog inserts yuav tsum tau muab tso rau hauv khau. Qee zaum, Morton's syndrome yuav tsum hnav cov ntiv tes sib cais.
- Yuav tsum ua txhua hnub ko taw zaws ntawm pob taws mus rau cov ntiv taw.
- Tus kws kho mob tau sau tshuaj tsis yog tshuaj steroidal los tiv thaiv kab mob (cov ntsiav tshuaj lossis tshuaj pleev). Nws tuaj yeem yog Ibuprofen, Nimesulite, Diclofenac.
- Corticosteroids muab raws li xav tau.
Yog tias cov lus pom zoo no tau ua raws, Morton's syndrome, uas tau kho hauv tsev, yuav tsum txo qis hauv 3 lub hlis. Yog tias qhov mob tsis poob qis, ces cov tshuaj tua kab mob ntxiv.
Pros and cons of the conservative methodNyob zoo
Qhov txiaj ntsig tseem ceeb ntawm txoj kev kho no yog qhov tsis tuajpostoperative mob thiab lub sij hawm ntev rehabilitation. Kev saib xyuas kev kho mob tuaj yeem ua tiav yam tsis muaj kev mob nkeeg. Tus neeg mob nyob hauv lub cev ib txwm muaj, tsuas yog ntxiv ob peb yam uas yuav tsum tau ua rau txhua hnub.
Qhov tsis zoo ntawm txoj kev no yog lub sijhawm kawm (raws li tau hais dhau los, nrog kev kuaj mob ntawm "Morton's neuroma", kev kho mob hauv tsev tuaj yeem kav ntev txog peb lub hlis). Feem ntau, cov neeg mob tsuas tsis muaj lub siab ntev los ua kom tiav cov chav kawm. Tsis tas li ntawd, cov tshuaj tau sau tseg tuaj yeem ua rau muaj kev phiv thiab cuam tshuam rau kev ua haujlwm ntawm lwm yam kabmob thiab lub cev. Tsis tas li, txoj kev tsis tas yuav ua haujlwm.
kev kho mob phais
Ib hom kev kho mob yog muab rau cov neeg mob uas muaj theem siab ntawm neuroma lossis tsis muaj txiaj ntsig ntawm kev kho mob. Kev ua haujlwm tuaj yeem ua tau ntau txoj hauv kev:
- Tshem tawm ntawm neoplasm los ntawm kev phais. Qhov no yog txoj haujlwm yooj yim tshaj plaws uas tshem tawm Morton's syndrome. Cov ntaub so ntswg fibrous raug tshem tawm nrog rau ib feem me me ntawm cov hlab ntsha. Postoperative sutures raug tshem tawm nyob rau hnub kaum plaub. Xws li kev cuam tshuam yog suav tias yog qhov cuam tshuam tsawg. Hnub tom qab, tus neeg mob tau tso cai maj mam nqa ob txhais ceg.
- Qee zaum tus neeg mob yuav tsum tau excise qhov mob ntawm ko taw. Txoj kev radical no ua rau tsis hnov ntxhiab ntawm cov ntiv tes, thaum tsis hnov mob yav tom ntej.
- Nyob tsis tshua muaj, siv cov txheej txheem ntawm pob txha pob txha. Kev kho kom rov zoo tom qab muaj kev cuam tshuam tau qeeb rau ib hlis lossis ntau dua.
Qhov zoo thiab qhov tsis zoo ntawm kev ua haujlwm
Qhov txiaj ntsig tseem ceeb yog kev tshem tawm tag nrho cov teeb meem hauv lub sijhawm luv luv. Kev ua haujlwm yooj yim yog nyiaj txiag tsawg dua li kev siv tshuaj ntev.
Qhov tsis zoo ntawm kev phais mob yog kev kho mob ntev. Tsis tas li ntawd, tej zaum yuav muaj kev tsis xis nyob me ntsis thaum taug kev tom qab.
Morton's syndrome: kho nrog pej xeem tshuaj
Nws yog ib qho tseem ceeb heev kom nkag siab tias nrog Morton's neuroma, tshuaj tsoos tshuaj tsis muaj peev xwm tshem tawm qhov teeb meem. Txawm li cas los xij, nws txo qhov mob thiab txo qhov mob.
Cov kws kho mob ib txwm muaj ntau yam zaub mov txawv uas tau siv ua ke nrog cov tshuaj kho mob:
- Tshuaj los ntawm iab iab. Cov nroj tsuag yog rinsed thiab rubbed rau hauv gruel, uas yog siv rau qhov chaw mob ntawm ko taw thiab tsau nrog ib daim ntaub qhwv. Nws yog qhov yooj yim tshaj los ua ua ntej yuav mus pw thiab khaws cov tshuaj pleev kom txog thaum sawv ntxov.
- S alted nqaij npuas lossis goose rog. Ib tablespoon ntawm ntsev yog tov nyob rau hauv ib puas grams ntawm nqaij npuas los yog goose rog. Qhov loj yog ua tib zoo rubbed rau hauv qhov chaw mob, ib daim ntaub sov so rau saum.
- "Kub" rubb. Qhov kev kho kom sov no muaj ob tablespoons qhuav mustard, ob lub kua txob kub thiab ob tablespoons ntsev. Tag nrho cov no yog tov thiab insisted rau ib khob ntawm vodka. Rubbing txhim kho cov ntshav ncig thiab ua kom sov ko taw zoo. Cov txheej txheem yog ua ua ntej mus pw, tom qab uas sov so thom khwm.
- Tshuaj pleev los ntawm nplooj nplooj thiab ntoo thuv koob. Cov nplooj qhuav qhuav yog hauv avgrinder. Pine koob yog crushed nrog ib rab riam. Tom ntej no, 2 tablespoons ntawm thawj cov khoom xyaw thiab 1 tablespoon ntawm ob yog tov nrog softened butter. Taw yog lubricated thiab insulated. Cov txheej txheem yog ua ua ntej yuav mus pw, qhov tsawg kawg nkaus chav kawm yog 1 lub lis piam. Tus neeg sawv cev muab khaws cia rau hauv qhov chaw txias.
Tsis tas li ntawd, koj tuaj yeem da dej sov nrog chamomile, lavender lossis calendula, uas koj tuaj yeem ntxiv hiav txwv npauj. Lub da dej kub yuav tsum tsis txhob siab tshaj 38 ° C. Tshuaj ntsuab yog boiled rau 3-5 feeb ua ntej siv thiab infused li ib teev.
Thiab ib zaug ntxiv txog insoles
Xaiv cov khau zoo, xis nyob nrog lub cev orthopedic insole zoo tuaj yeem tiv thaiv forefoot overload thiab tiv thaiv kev loj hlob ntawm tus kab mob. Txhua tus kws kho mob yuav lees paub tias orthopedic insoles rau Morton's neuroma yog ib qho tseem ceeb ntawm kev kho mob. Qhov kev xaiv zoo tshaj plaws yog kev tsim cov insoles tus kheej raws li kev ntsuas ntawm tus neeg mob ko taw. Yog li, ko taw hauv cov khau yog tsau nyob rau hauv txoj hauj lwm kom raug, lub load yog faib thiab tsim ib qho kev poob siab-absorbing nyhuv. Kev hnav ib leeg insoles raug pom zoo tsis yog rau kev kho mob nkaus xwb, tab sis kuj tom qab phais kom tshem tawm Morton tus kab mob.
