Morton neuroma

Morton neuroma ke kotsi ho methapo pakeng tsa menoana ea maoto e bakang ho tenya le bohloko. Hangata e ama methapo e tsamaeang pakeng tsa menoana ea boraro le ea bone.

Ha ho tsejoe hore na sesosa sa 'nete ke sefe. Lingaka li lumela hore tse latelang li ka bapala karolo ho nts'etsopele ea boemo bona:

• Ho roala lieta tse thata le lieta tse phahameng
• Boemo bo sa tloaelehang ba menoana ea maoto
• Maoto a bataletseng
• Mathata a maoto a pele, ho kenyeletsoa li-bunion le menoana ea maoto
• Litšiea tse phahameng tsa maoto

Morton neuroma e atile haholo ho basali ho feta banna.

Matšoao a ka kenyelletsa:

• Ho theola sebaka pakeng tsa menoana ea boraro le ea bone
• Ho hatakela menoana ya maoto
• Bohloko bo bohale, ho thunya kapa ho chesa bolo ea leoto le ka linako tse ling menoana ea maoto
• Bohloko bo eketsehang ha o roetse lieta tse thata, lieta tse phahameng, kapa o tobetsa sebakeng seo
• Bohloko bo mpefalang ha nako e ntse e feta

Maemong a sa tloaelehang, bohloko ba methapo bo hlaha pakeng tsa menoana ea bobeli le ea boraro. Sena ha se mofuta o tloaelehileng oa Morton neuroma, empa matšoao le kalafo lia tšoana.

Mofani oa hao oa tlhokomelo ea bophelo hangata a ka hlahloba bothata bona ka ho hlahloba leoto la hau. Ho pepeta leoto la maoto kapa menoana ea hau hammoho ho tlisa matšoao.

Ho ka etsoa x-ray ea maoto ho felisa mathata a masapo. MRI kapa ultrasound li ka tseba boemo bona ka katleho.

Ho hlahlojoa ke methapo (electromyography) ho sitoa ho fumana lefu la Morton neuroma. Empa e kanna ea sebelisoa ho lahla maemo a bakang matšoao a tšoanang.

Ho ka etsoa liteko tsa mali ho lekola maemo a amanang le ho ruruha, ho kenyeletsoa mefuta e meng ea ramatiki.

Kalafo ea bongaka e sa lekoeng pele e lekoa. Mofani oa hau a ka khothaletsa efe kapa efe ea tse latelang:

• Ho padila le ho tlanya sebaka sa menoana
• Ho kenya lieta (orthotic)
• Liphetoho lieta, joalo ka ho roala lieta tse nang le mabokose a menoana a sephara kapa lirethe tse bataletseng
• Meriana e thibelang ho ruruha e nkiloeng ka molomo kapa e entoa sebakeng sa menoana
• Meriana e thibelang methapo e kenngoeng sebakeng sa menoana
• Lipilisi tse ling tsa bohloko
• Phekolo ea 'mele

Li-anti-inflammatories le lipilisi ha li khothalletsoe bakeng sa kalafo ea nako e telele.

Maemong a mang, ho hlokahala opereishene ho tlosa lisele tse teteaneng le methapo e ruruhileng. Sena se thusa ho imolla bohloko le ho ntlafatsa ts'ebetso ea maoto. Ho shoa boqhetseke ka mor'a ho buuoa ke ho sa feleng.

Kalafo e sa sebetseng ha se kamehla e ntlafatsang matšoao. Ho buoa ho tlosa lisele tse teteaneng hoa atleha maemong a mangata.

Mathata a ka kenyelletsa:

• Ho thata ho tsamaea
• Mathata le mesebetsi e hatellang leoto, joalo ka ho tobetsa peterole ha o ntse o khanna
• Ho thata ho apara mefuta e itseng ea lieta, joalo ka lieta tse phahameng

Bitsa mofani oa hau haeba u e-na le bohloko bo sa khaotseng kapa ho hlohlona sebakeng sa leoto kapa la menoana ea hau.

Qoba lieta tse sa u tšoaneleng hantle. Apara lieta tse nang le lebokose le leholo la menoana kapa lirethe tse bataletseng.

Morton neuralgia; Lefu la Morton toe; Ho ts'oaroa ha morton; Metatarsal neuralgia; Plantar neuralgia; Intermetatarsal neuralgia; Li-neuroma tsa li-interdigital; Li-interdigital plantar neuroma; Forefoot neuroma

McGee DL. Mekhoa ea bana. Ka: Roberts JR, Custalow CB, Thomsen TW, li-eds. Mekhoa ea Tleliniking ea Roberts & Hedges ea bongaka bo potlakileng le tlhokomelo e ntle. La 7th. Philadelphia, PA: Elsevier; 2019: khaolo ea 51.

MOSEBETSI OA MOSEBETSI: Shi GG. Lefu la pelo la Morton. Ka: Frontera WR, Silver JK, Rizzo TD Jr, bahlophisi. Bohlokoa ba Phekolo ea 'mele le Tlhabollo: Mathata a Musculoskeletal, Pain, le Rehabilitation. La 4 ed. Philadelphia, PA: Elsevier; 2019: khaolo ea 91.