Ummbila Ezinyaweni

Ummbila yizindawo ezihlukile zesikhumba esijiyile ezikhula ngokuyinhloko ezinyaweni ngokuphendula ingcindezi eqhubekayo noma ukungqubuzana. Lezi zilonda zesikhumba eziqinile, ngokwezokwelapha ezaziwa ngokuthi "clavus" noma "heloma," zakha izithiyo zokuzivikela kodwa ngokuvamile ziba buhlungu ngokuhamba kwesikhathi.

Izinhlobo ezintathu eziyinhloko zommbila zithinta izindawo ezahlukene zezinyawo:

• Ama-Hard Corns (Heloma Durum): Lezi zindawo ezincane, eziminyene ngokuvamile zakha phezulu noma emaceleni ezinzwani, ikakhulukazi lapho ukucindezela kwethambo kuhlangana nesikhumba. Imimbila eqinile ibonakala iyindilinga, amaqhubu aphakanyisiwe azungezwe isikhumba esilumelayo.
• Ama-Soft Corns (Heloma Molle): Lezi zilonda ezimpunga ezimhlophe zikhula phakathi kwezinzwane, ikakhulukazi endaweni yesine yozwane. Ama-corns athambile anokwakheka kwerabha futhi angafana nezilonda ezivulekile. Indawo enomswakama phakathi kwezinzwane yenza lawa ma-corns athambekele ekungenweni izifo ezibangelwa amagciwane noma fungal.
• Ummbila Wembewu: Lawa ma-corns amancane abonakala njengamapulagi e-keratotic amaningi ngaphakathi kwama-plantar calluses, avame ukuvela ezindaweni ezingathwali ingcindezi ematheni.

Nakuba amabele esebenza njengezindlela zokuzivikela, kufanele abhekwe njengezimpawu esikhundleni sezifo, ngokuvamile abonisa izinkinga eziyisisekelo ze-biomechanical noma ukukhetha kwezicathulo ezingafanele.

Izimpawu Zommbila

Uphawu oluphawuleka kakhulu lubonakala njengeqhubu elincane, eliyindilinga, eliphakanyisiwe lesikhumba esiqinile esizungezwe izicubu ezicasuliwe. Lawa maqhubu avamise ukuba nomgogodla ominyene, ocindezela izinzwa ezingaphansi kwesikhumba.

Amaphethini obuhlungu ahlobene nama-corns afaka:

• Ukungakhululeki lapho ugqoke izicathulo
• Ukwenyuka kwesisa phezu kwengcindezi eqondile
• Ubuhlungu obubukhali obusuka enkabeni emaphakathi ucindezela izinzwa
• Ukuzwela okuphakeme endaweni yesikhumba ezungezile

Umehluko phakathi kwama-corns nama-calluses ubonakala ngezimpawu zawo. Ama-Callus avela njengamapeshi amakhulu, ayisicaba esikhumba esijiyile esinokuzwela okuncishisiwe uma kuqhathaniswa nezicubu ezizungezile. Ngakolunye uhlangothi, ama-corns ahlala emincane, ejulile, futhi ngokuvamile ebuhlungu kakhulu ngenxa yomgogodla wawo ogxilile.

Yini Ebangela Ummbila Onyaweni?

Isizathu esiyinhloko sisukela ekuhlukumezekeni okuphindaphindiwe kwemishini kuya ezindaweni ezithile zesikhumba. Lokhu kucindezela okuqhubekayo kubangela ukusabela komzimba okuvikelayo, ukukhiqiza ungqimba lwe-epithelial olunezimpondo ukuvimbela izilonda zesikhumba.

Izicathulo ezingalingani kahle zibalwa njengembangela evame kakhulu ekuthuthukisweni kommbila. Izicathulo ezimpintsha izinzwane noma ezidala ukungqubuzana okudlulele ezindaweni ezithile zonyawo kanye nezicathulo ezinezithende eziphakeme zibeka ingcindezi enkulu eya phansi ezinyaweni. 

Ziningana izici eziyingozi zandisa amathuba okukhula kommbila wezinyawo:

• Ukwakheka Kwezinyawo Nezimo Zezokwelapha:
  • Ukukhubazeka kwamathambo kusukela ekuzalweni
  • Amabhani namasando
  • Isifo samathambo esithinta ukuqondanisa unyawo
  • I-fat pad atrophy, ikakhulukazi kubantu asebekhulile
• Indlela Yokuphila Nezinqumo Zezicathulo:
  • Ukuhamba ngezicathulo njalo
  • Ukungawagqoki amasokisi nezicathulo
  • Ukuma noma ukuhamba isikhathi eside
  • Ukuma okungalungile kokuhamba, ikakhulukazi ukuthanda imiphetho yezinyawo
  • Imigqa yesokisi exegayo enqwabelana ngaphansi kwezinyawo
• Abantu abadala babhekana nezingozi eziphakeme
• Abantu abanebala elimnyama lesikhumba babonisa ukuthambekela okukhulayo 
• Imisebenzi yezemidlalo, umsebenzi wezandla, nanoma yikuphi ukuphishekela okudala ukungqubuzana okuphindaphindiwe ezindaweni ezithile ezinyaweni 
• Ukuba khona kwama-bunion kuvame ukuholela ekuthuthukisweni kommbila

Izinkinga Zommbila

Izinkinga ezinkulu eziningana zingavela kusuka kuma-corns anganakiwe:

• I-Bursitis: Ukuvuvukala kuyaqala emasakeni agcwele uketshezi phakathi kwesikhumba nethambo, okudinga ukwelashwa ngama-antibiotic. Kwezinye izimo, odokotela kufanele bakhiphe uketshezi futhi banikeze imijovo ye-steroid.
• I-Septic Arthritis: Uma ummbila utheleleka, amagciwane angahamba egazini, athinte ilunga elilodwa noma ngaphezulu. Lesi simo sibonakala ngobuhlungu obukhulu obuhlangene, ububomvu, ukuvuvukala, nokunyakaza okuvinjelwe.
• Osteomyelitis: Ukusabalala kwebhaktheriya kusuka kummbila onegciwane kungathinta izicubu zamathambo kanye nemisipha eseduze. Lesi simo sithinta kakhulu ababhemayo kanye nabantu abanesifo sikashukela, ikakhulukazi ngenxa yokungahambi kahle kwezinyawo.

Ukuxilongwa Kommbila

Ukuhlolwa kwezokwelapha ngokuvamile kuhilela izinyathelo ezimbalwa ezibalulekile:

• Ukuhlola Umzimba: Odokotela bahlola indlela isikhumba esisabela ngayo ekuhlukumezekeni ngokomzimba futhi bahlole ukuthungwa ngokusebenzisa i-palpation. Ukuhlola kuhlanganisa ukuhlola ama-papule anombala wenyama, omile, aqinile phezu kwamathambo.
• Ukuhlola Ukuhamba: Odokotela babheka amaphethini okuhamba kweziguli ukuze babone izinsimbi ezingajwayelekile ezingase zibe nomthelela ekwakhekeni kommbila. Lokhu kuhlola kusiza ukunquma izinkinga eziwumsuka ze-biomechanical ezibangela amaphuzu okucindezela.
• Ukuhlaziywa Kwezicathulo: Odokotela bahlola izicathulo zeziguli futhi baxoxe ngemisebenzi yabo yansuku zonke, ehlanganisa ukuma nokuhamba. Lolu lwazi lusiza ukuhlonza izimbangela ezingase lube khona futhi luqondise izincomo zokwelapha.

Kuyini Ukwelashwa Kommbila Onyaweni?

Ezimweni ezithambile, ukucwilisa izinyawo emanzini afudumele kuthambisa isikhumba esiqinile, okwenza kube lula ukususa. Ngemuva kokucwiliswa kwemizuzu engu-10, ukufaka ummbila ngobumnene ngetshe le-pumice kusiza ukuqeda izingqimba zesikhumba ezifile. Ngemva kwale nqubo, ukugcoba okokugcoba okune-salicylic acid kusiza ekuthambiseni kancane kancane ummbila onenkani.

• Ukwelashwa:
  • Ukususwa Mathupha: Odokotela benza ukuhlanganisa ngobumnene ngaphandle kokudonsa igazi, besebenzisa ama-scalpel ngaphansi kwezinzwa zendawo lapho kudingeka.
  • Ukwelashwa Kwezihloko: Imithi ye-Keratolytic, kuhlanganise ne-salicylic acid, i-urea, ne-nitrate yesiliva, ithambisa kahle ummbila.
  • I-Laser Therapy: I-laser inikeza ukulimala okuncane kwezicubu ezishisayo ngesikhathi sokususwa kommbila
• Ukuhlinzwa: Ukungenelela kokuhlinzwa kuyadingeka ngaphansi kwezimo ezithile:
  • Ukwelashwa okulandelanayo kwehlulekile
  • Ukukhubazeka kwezinyawo zesakhiwo kubangela ama-corns aphindaphindiwe
  • Izilonda ezibuhlungu kakhulu
  • Ukutheleleka okuphindaphindiwe
• Ukuvikela kudlala indima ebalulekile empumelelweni yokwelashwa: 
  • Amaphedi anamathelayo amise okwedonathi avikela ama-corns ekucindezelweni kwezicathulo
  • Izicathulo ezifanele ezinobubanzi obuningi bezinzwane zivimbela ukungqubuzana. 
  • Ukugcina izinzwane zisikwe kahle kunciphisa ukucindezela ezinzwaneni.
  • Isifo sikashukela noma ukujikeleza kwegazi ebucayini kwandisa izingozi zokutheleleka, okwenza ukuzelapha kube yingozi. 
  • Ngokufanayo, labo abanezimpawu zokutheleleka, okuhlanganisa ubuhlungu obandayo, ubomvu, noma ukuvuvukala, kufanele bafune usizo lwezokwelapha ngokushesha.

Uzoyibona Nini Udokotela

Ukuhlolwa kukadokotela kubalulekile ngaphansi kwalezi zimo:

• Ubuhlungu obuqhubekayo naphezu kokwelashwa kwasekhaya
• Izimpawu zokutheleleka, kuhlanganise:
  • Ubomvu endaweni ethintekile
  • Ukuvuvukala noma ukuvuvukala
  • Ukukhipha noma ukwakheka kobovu
  • Ukungakhululeki okukhulu ngenkathi uhamba

Ukubonisana nodokotela kubaluleka kubantu abanalokhu:

• Izifo eziyisisekelo - ukwanda kwezingozi zokutheleleka
• Izimo zesikhumba ezithambile
• Imizamo yokwelashwa ekhaya yehlulekile
• Isakhiwo samathambo esingavamile noma izinkinga zokuqondanisa

Isiphetho

Imimbila ingase ibonakale njengezinkinga ezincane zezinyawo, nakuba ingaba nomthelela omkhulu empilweni yansuku zonke uma ishiywe ingalashwa. Lokhu kwakheka kwesikhumba esiqinile kusebenza njengezimpawu eziyisixwayiso zezinkinga zezinyawo ezidinga ukunakwa. Ukunakekelwa kwezokwelapha kukadokotela kubaluleka, ikakhulukazi kubantu abanesifo sikashukela noma izinkinga zokujikeleza kwegazi.

Indlela yokwelashwa efanele incike ezimweni zomuntu ngamunye kanye nokuqina kommbila. Izimo ezilula zivame ukuphendula kahle ekunakekelweni okufanele kwezinyawo kanye nezinguquko ezifanele zezicathulo. Kodwa-ke, izimo ezinzima zingadinga ukungenelela kwezokwelapha, okuhlanganisa nezinqubo zokuhlinzwa ezibonisa amazinga empumelelo aphezulu.

Ngakho-ke, noma ubani ohlangabezana nokungaphatheki kahle okuhlobene nommbila kufanele abeke phambili ukunakekelwa okufanele kwezinyawo futhi afune usizo lwezokwelapha lapho kudingeka.

Imibuzo Evame Ukubuzwa

1. Uwukhipha kanjani ummbila onyaweni?

Ukukhipha ummbila kuhilela indlela ehlelekile ehlanganisa izindlela zokuzinakekela kanye nokwelashwa kochwepheshe. Okokuqala, cwilisa izinyawo zakho emanzini afudumele imizuzu engu-5-10 kuze kube yilapho isikhumba sithambile. Ngemva kokucwiliswa emanzini, sebenzisa itshe le-pumice elinyakazayo eliyindilinga ukuze ususe isikhumba esifile. Gcoba ukhilimu othambisayo oqukethe i-salicylic acid, i-ammonium lactate, noma i-urea ukuze uthambise izindawo eziqinile kancane kancane.

2. Iyini imbangela ehamba phambili yombila ezinyaweni?

Isizathu esiyinhloko sisukela ekungqubuzaneni okuphindaphindiwe nokucindezela ezindaweni ezithile ezinyaweni. Izicathulo ezingalingani kahle zibalwa njengembangela eyinhloko, okwenza kube nengcindezi eqhubekayo lapho ama-corns ekhula khona. Ukukhubazeka kwamathambo, isifo sokuqaqamba kwamalunga, namaphethini okuhamba angafanele kwandisa ingozi yokwakheka kommbila.

3. Kuyokwenzekani uma ummbila uyekwa ungelashwa?

Ummbila ongalashiwe ungadala izinkinga ezinzima. Indawo ethintekile ingase ibe nezifo ezibangelwa amagciwane, okungenzeka zisakazekele emalungeni (isifo samathambo) noma izicubu zamathambo eziseduze (i-osteomyelitis). Abantu bangase baguqule ngokungazi lutho iphethini yabo yokuhamba ukuze bagweme ubuhlungu, okuholela ezindabeni zokuma nokuqondanisa ezithinta iqolo nasemadolweni.

4. Ngabe umbila uzozihambela wodwa?

Ummbila omningi uyanyamalala kancane kancane uma umthombo wokucindezela noma ukungqubuzana kuyeka. Noma kunjalo, ama-corns ngokuvamile abuya ngaphandle kokuxazulula imbangela eyinhloko, njengezicathulo ezingafakwanga kahle. Ukuhlanganisa izicathulo ezifanele nezindlela zokwelashwa ezifanele kuqinisekisa ukuphathwa kahle kommbila ukuze kube nemiphumela emihle.

5. Ingabe ummbila uyisifo esiyingozi?

Nakuba ama-corns akuzona izifo, angabonisa izinkinga ezingaphansi kwezinyawo ezidinga ukunakwa. Kubantu abane sikashukela, ummbila uveza izingozi ezinkulu. Iziguli ezinesifo sikashukela zingase zingakuboni ukusikeka okuncane noma amabele amancane ngokushesha ngenxa yokuncipha kokuzwa ezinyaweni zazo, okungase kuholele ezinkingeni ezinzima, okuhlanganisa nokufa kwezicubu (i-gangrene). Ngaphezu kwalokho, ama-corns angelashiwe angasakazeka esikhumbeni esizungezile, ekugcineni aqhekeke futhi adale izindawo zokungena ezifweni.

UDkt. Chaitanya Challa

I-MBBS, MD (Imithi Yangaphakathi), PDCC (Ukunakekelwa Okubalulekile), i-FCCS (Ukunakekelwa Okubalulekile), iDiploma ku-Endocrinology kanye nesifo sikashukela
CARE Hospitals Outpatient Centre, Banjara Hills, Hyderabad

Ukuze Ubhukhe Isikhathi, shayela:

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