Yuav kho Morton's neuroma thiab nws yog dab tsi

2024 Tus sau: James Gerald | [email protected]. Kawg hloov kho: 2023-12-17 14:08

Kev loj hlob ntawm cov leeg nqaij nyob ntawm ib sab ntawm ko taw, ntawm tus ntiv taw thib peb thiab thib 4, hu ua Morton's neuroma. Nws yog dab tsi? Qhov fibrous benign neoplasm feem ntau cuam tshuam rau ib ceg, tsis tshua muaj ob qho tib si.

Daim duab kho mob

Kev loj hlob ntawm cov kab mob hauv Morton's neuroma muab qhov mob hnyav - nws yog dab tsi thiab yuav kho nws li cas, cov kws kho paj hlwb, kws kho pob txha, kws phais neeg paub.

Nrog rau tus kab mob no, kev ua haujlwm ntawm cov hlab ntsha cuam tshuam, kev xav ploj mus. Morton's neuroma raws li ICD 10 tau teev nyob rau hauv txoj cai M 20.1, thaum cov kab mob khoov tus ntiv tes xoo, lossis nyob rau hauv txoj cai M 77.4, yog tias metatarsalgia ntawm ko taw tsim. Ntau hom kev qhia ntawm Morton's neuroma xav tau kev kho mob sib txawv.

Nthuav! Khoom noj kom txo cov ntshav qab zib

Kev tshwm sim sab nraud ntawm Morton's neuroma

Tus kab mob no tshwm sim nws tus kheej hauv daim ntawv tuab ntawm cov hlab ntsha ntawm ib leeg, qhov no yog nrog qhov mob hnyav, txwv tsis pub ib tus neeg txav mus los. Thaum cov kws kho mob xav tias kev txhim kho ntawm Morton's metatarsalgia, qhov no qhia tau tias yog neoplastic neoplasm ntawm cov leeg nqaij uas ua rau mob hnyav hauv pob qij txha metatarsal.

Daim ntawv no ntawm neuroma raug kho los ntawm kws kho mob qog noj ntshav, txawm tias qhov tseeb tias neoplasm raug suav tias yog qhov zoo.

Nrog kev swb ntawm cov hlab ntsha paj hlwb, uas yog lub luag haujlwm rau cov hlab ntsha hauv cov ntiv tes, cov kws kho paj hlwb paub qhov txawv ntawm qee hom kab mob:

• Morton tus taw, ua rau tsis muaj kev txhim kho ntawm cov nqaij pob txha metatarsal, vim yog tus ntiv taw thib ob siv tus rauj;
• interdigital neuroma ntawm ib leeg yog kab mob hauv nws daim ntawv dawb huv, "phau ntawv".

Yuav kho Morton's neuroma li cas, koj yuav tsum paub thaum teem sijhawm nrog kws kho paj hlwb. Nws tau sau tseg tias feem ntau cov neuroma cuam tshuam ob txhais ceg ntawm cov ntxhais hluas. Tus kws kho mob neuropathologist txiav txim siab txog kab mob pathology hauv qhov chaw sib txuam ntawm tus ntiv taw thib peb. Ntawm no cov nqaij ua tuab tuab nrog mob hnyav.

Raws li lub cev, hauv ntu ntawm ko taw, cov hlab ntsha tau muab faib ua ceg mus rau sab nraub qaum ntawm cov ntiv tes, qhov mob sib txawv hauv cov lus qhia no. Raws li kev tshuaj xyuas ntawm cov neeg mob uas tau ntsib nrog Morton's neuroma, lawv twb paub lawm tias nws yog dab tsi thiab yuav kho tus kab mob li cas thiaj li tsis coj tus kab mob mus rau kev phais.

Tus kab mob no tsis hem ib tus neeg lub neej, tab sis ua rau nws tsis xis nyob, mob hnyav, txwv tsis pub txav mus los. Nws yog qhov yuav tsum tau sab laj nrog kws kho mob kom raws sijhawm, ua qhov kev kuaj mob tsim nyog, kho tus mob neuroma kom tsis txhob cuam tshuam kev phais.

Ua rau cov hlab ntsha puas tsuaj los ntawm Morton's neuroma

Kev nyuab siab ntau dhau ntawm taw yog qhov tseem ceeb ua rau kev txhim kho ntawm Morton's neuroma ntawm cov paj ntoo.

Qhov laj thawj tseem ceeb rau kev txhim kho pathology:

• tus cwj pwm ntawm kev taug kev hauv qhov siab;
• lub cev hnyav dhau, ua rau muaj kev ntxhov siab tas li ntawm taw;
• ua txhaum ntawm lub cev;
• kis kab mob mus sij hawm ntev;
• qhov xav tau kom sawv ntsug ntev lossis taug kev ntev, cuam tshuam nrog kev tsim khoom xav tau;
• kev ua kis las, lub hauv paus ntawm qhov uas yog taw rau taw.

Nthuav! Koj tuaj yeem haus kas fes ntau npaum li cas hauv ib hnub

Kev mus ntsib kws kho mob lig ua rau muaj kev txhim kho teeb meem loj. Kev tsis xis nyob thiab mob hauv ob txhais ceg ua rau muaj kev tsis txaus ntseeg ntau, thiab koj tsis tas yuav ua siab ntev rau lawv, koj yuav tsum mus ntsib tus kws kho paj hlwb lossis kws phais neeg raws sijhawm.

Nws ntseeg tias kev kuaj mob raws sijhawm Morton's neuroma, thaum kws kho mob ntseeg tias nws yog, tuaj yeem kho tau tom tsev. Tus kab mob no tshwm sim ntau heev; kev kho mob, mob paj hlwb thiab phais kev kho mob tau tsim los.

Pawg neeg pheej hmoo muaj cov neeg mob kuaj mob:

• ko taw tiaj;
• deformation ntawm ko taw;
• mob caj dab;
• bursitis;
• qog neoplasms.

Cov kab mob no ua rau kev ua txhaum ntawm cov hlab ntsha kawg, vim qhov ua rau edema tau tsim, kev loj hlob ntawm cov hlab ntsha ntawm cov hlab ntsha tshwm sim. Nws dhau los ua nyuaj rau lawv kom haum nruab nrab ntawm cov taw.

Morton's neuroma cov tsos mob

Qhov pib ntawm tus kab mob no tau tshwm sim los ntawm kev tsis muaj zog ntawm kev nyem hauv thaj tsam ntawm tus ntiv tes thib 3 thiab 4. Twb tau xws li cov tsos mob yuav tsum ceeb toom rau tus neeg, qhia nws tias kev ua tsis tiav tau tshwm sim hauv kev ua haujlwm ntawm txhais ceg. Nrog rau kev txhim kho kab mob ntxiv, cov tsos mob maj mam nce.

Cov tsos mob tseem ceeb yog:

• mob, kub hnyiab, poob qhov rhiab nyob rau thaj tsam ntawm tus ntiv tes thib 3 thiab 4;
• mob hnyav hauv ko taw, hauv txhua tus ntiv tes;
• kev hloov pauv mus;
• loog ntawm ob txhais ceg;
• nws nyuaj rau taug kev hauv cov luj taws, thaum hloov khau, qhov tsis xis nyob ploj mus.

Tus kab mob tsis saib xyuas yog tus mob txawm tias so. Raws li cov neeg mob tshuaj xyuas, lawv sib piv kev taug kev hauv cov khau tsis zoo ib yam li taug kev ntawm ntug pob zeb.

Kev kuaj mob thiab kev kho mob ntawm Morton's neuroma

Thawj kauj ruam ntawm tus neeg mob yog mus rau tus kws kho mob, nws tshuaj xyuas qhov mob ntawm txhais ceg, txiav txim siab kuaj mob. Xav tias muaj kab mob pathology, tus kws kho mob xa mus rau kev sab laj rau tus kws kho paj hlwb, kws kho pob txha, kws kho mob rheumatologist, kws phais plawv.

Morton's neuroma tau kuaj pom los ntawm kev kuaj mob:

• palpation;
• duab hluav taws xob;
• CT, MRI;
• Ultrasound.

Raws li cov txiaj ntsig ntawm kev tshuaj xyuas, cov kws kho mob hais qhia kev kho mob kom txo tau qhov siab ntawm cov leeg nqaij. Txog qhov no, tus neeg mob hloov pauv nws cov khau, xaiv cov qauv nrog ncua qhov ntswg, pob taws me me.

Kev saib xyuas mob suav nrog cov tshuaj mob hauv zos. Qhov mob hnyav ntawm txhais ceg yuav tsum tau txhaj tshuaj nrog tshuaj hormonal. Kev kho mob Morton tus kab mob nrog kev siv tshuaj kho mob tsuas yog 3 lub hlis tom qab kho tas.

Neuroma raug kho nrog kho lub cev:

• hlau nplaum;
• electrophoresis;
• UHT;
• zaws;
• acupuncture.

Yog tias tus kab mob no nyob hauv lub xeev zoo, nws txoj kev vam meej tsuas yog raug phais. Cov kws phais hais qhia kom qhib lub metatarsal kwj dej, txiav tawm lossis tshem tawm cov neuroma. Txhua txoj haujlwm tau ua nyob rau hauv tshuaj loog dav.

Nthuav! Cov Khoom Uas Poob Zoo Tshaj Plaws

Txoj kev phais:

1. Kev tshem tawm ntawm neuroma.
2. Ligament dissection; yuav rov zoo li cas tom qab txoj haujlwm no.
3. Tshem tawm ntawm Morton's neuroma nrog lub laser.
4. Ablation ntawm Morton's neuroma los ntawm kev siv xov tooj cua.

Cov xwm txheej tsis tshua muaj tshwm sim ntawm cov kab mob yuav tsum tau txhawm rau txhawm rau txhawm rau txhawm rau tshem tawm nws thiab tso cov ntaub so ntswg sib txuas. Qhov kev ua haujlwm no tau ua tiav yam tsis muaj kev phais, nrog X-ray tswj.

Neuroma thiab neuroma

Neurinoma loj hlob ntawm cov hlwb ntawm cov hlab ntsha hauv cov cheeb tsam ib puag ncig, ntawm lawv cov kwj deg, cov hauv paus hniav. Hauv kev coj ua ntawm cov kws kho paj hlwb thiab kws phais neeg, muaj cov qog ib leeg lossis ntau qhov tuab ntawm cov leeg. Cov kev tsim no zoo li tig mus rau hauv daim ntawv ntawm mob qog noj ntshav sarcoma, uas yog li cas lawv txawv ntawm neuroma.

Lawv xyaum tsis txawv ntawm cov tsos mob, qhov sib txawv hauv kev tsim tawm tsuas yog pom ntawm kev kuaj mob CT, MRI, ultrasound. Tom qab ntawd oncologists coj los kho tus kab mob. Neurinomas tshwm raws li ntom ntom ntawm cov hlab ntsha me me. Qhov kov me ntsis yog teb nrog qhov mob hnyav. Lawv txoj kev txhim kho qeeb, nrog los ntawm paresthesia thiab, qee zaum, tuag tes tuag taw. Nws yog dab tsi - Morton's neuroma, thiab yuav kho nws li cas, cov neeg mob kawm los ntawm kws kho mob qog noj ntshav.

Nyob rau theem pib ntawm kev tsim cov neuroma, nws tau kho zoo, siv tib lub tswv yim ib yam li hauv kev kho mob neuroma, nrog tib yam tshuaj. Txoj hauv kev tshem tawm cov neoplasm tau siv thaum siv tshuaj tsis muaj txiaj ntsig.

Tam sim no koj paub tias nws yog tus kab mob zoo li cas thiab yuav kho nws li cas - qhov tseem ceeb yog tham nrog kws kho mob kom raws sijhawm!