Morton's neuroma chirwere umo maitiro ekugadzirisa ma myelin sheath of nerve fiber (a shell rine protein-lipid complex) inoumbwa, inowanikwa pakati pemisoro ye metatarsal mapfupa echitatu uye kane zvigunwe. Kutaura zvazviri, kuumbwa uku ndiko kukura kwechirwere chetachiona-chetano chetsoka chetsoka yezvokuvhiringidza.
Kazhinji kacho, chirwere ichi chinowanikwa pakati pevakadzi vane makore. Hapana zvikonzero zvakananga zvechirwere ichi, asi zvinofungidzirwa kuti chimwe chikamu mubasa rayo chinotambidzwa nekuwedzera mitoro pamakumbo, kupfeka shangu dzisina kunaka, zvinotyisa zvinokonzera. Histology yeNoton's neuroma inoratidza kuti kazhinji chiremara ichi chikonzero chekukuvara kwehutano. Chimbofunga kuti zviratidzo zve Morton's neuroma ndezvipi, uye rudzi rwechiremba runofanira kuonana kana ruchionekwa.
Zviratidzo zve Morton's Neuroma
Chirwere chacho hachiwanzobata maziso ose kamwechete, kazhinji kacho chikamu chimwe chetachiona chinowanikwa. Pazvikamu zvokutanga zvekuratidzwa kwechirwere ndezvinyoro, zvinosanganisira zviratidzo zvinotevera:
- marwadzo paanenge achivhara rutsoka pakati pechitatu neyine minwe muchitenderera chepakati;
- kusagadzikana paanenge achifamba, manzwiro e "shongwe" muzvishongo munzvimbo yeminwe;
- kunonoka kuuya kuuya kwetsoka.
Izvi zviratidzo zvinowanzorambwa, nokuti havasi nguva dzose varipo pakutanga kwechirwere chetachiona, uye vanogona kubuda nguva nenguva pavanenge vakapfeka shangu, kupfeka-heeled shangu, mitoro yakawandisa pamakumbo (nguva refu vachifamba, vakamira.) Pashure pokubvisa zvinokonzera zvinhu, nyore kushambadza kwetsoka uye zororo, zvinonyangarika.
Nekuwedzera kwehutano hwehutachiona, huwandu hwechirwere hunowanikwa kakawanda, uye munguva pfupi urombo hunorwadza hunova hwakasimba, huripo kunyange mune imwe nguva yekugara dormancy. Mukuwedzera, vanowana unhu hwakanyanya, uye vanowanzotsanangurwa nevarwere sekutsva, kupfura, kuputa, kupa kune minwe. Dzimwe zviratidzo zvinogona kusanganisira:
- kurira kwekunzwa mu forefoot;
- kupera, kurasikirwa kwekunzwa mutsoka;
- Inzwa yekuwana mutumbi wekunze pakati pechitatu neyechina zvigunwe.
Zviratidzo zvekunze, sekutonga, Morton's neuroma haina chitsiko, i.e. Hakuna kuoneka kuchinja. Zvisinei, mune zvimwe zviitiko, varwere vane kukudzwa kwetsoka rakagadzikana, kuvhara munzvimbo yakakanganiswa.
Kuongororwa kwe Morton's Neuroma
Kana zviratidzo zvepamusoro zvechirwere zvinowanikwa
Chokutanga pane zvose, chiremba anofanira kutungamira kunyatsorwara kuti asarudze zvimwe zvirwere zvine zviratidzo zvakafanana. Semuenzaniso, imwe kliniki yemifananidzo inowanikwa neArthritis, bursitis , epithelial cyst, fractures kana kuputsika kwemapfupa etsoka. Kujekesa uye kutsanangura kuongororwa kwe "Morton's neuroma" kunogoneka kuburikidza naMMT wezvitsiga (magnetic resonance imaging), radiography, ultrasound. Nzira yakanakisisa, inogamuchirwa uye inodzidzisa ndiyo ultrasound kuongororwa. Inobvumira kuzarura nzvimbo chaiyo yekuwana tumarara, yakakura. Kurongeka kwakarurama kunokubvumira kuti uone nzira yakanakisisa yekurapa chirwere. Zvakakosha kuziva kuti mumatambudziko asina hanya, unogona kurarama nechirwere chete kuburikidza nekupindira kwekuvhiya.