So woate ɛyaw a ano yɛ den wɔ wo nan ase bere a wonam anaa woretu mmirika no pɛn? Ebetumi ayɛ te sɛ nea ade bi rebɔ wo, anaasɛ obi repiapia wo denneennen, anaasɛ mpo woabɔ wo. Ɛyaw a ɛhyɛ abufuw yi betumi ama ayɛ den yiye sɛ wobɛyɛ wo da biara da dwumadi ahorow. Ade titiriw biako nti a eyi ba ne ɔhaw bi a ɛba wɔ srade a ɛwɔ asen no mu, a yɛrebɛka ho asɛm nnɛ, tebea bi a wɔfrɛ no `(Heel Fat Pad Syndrome)`.
Dɛn ne `Heel Fat Pad Syndrome`?
Sɛ yɛbɛka no tiawa a, srade a ɛwɔ wo nan ase no a ɛyɛ teateaa, anaasɛ ne ahoɔden a ɛyera no, ne nea yɛfrɛ no ``Heel Fat Pad Syndrome''. Fa no sɛ, wɔ yɛn nan ase, wɔ dompe no atifi, srade a ɛyɛ den te sɛ abɔde mu mattress . Eyi ne nea ɛbɔ yɛn nan ase dompe (`heel bone` anaa `calcaneus`) ho ban fi asase ho ahodwiriw ho bere a yɛnantew, tu mmirika, na yehuruw no. Ɛyɛ adwuma te sɛ ``shock absorber`` wɔ kar mu. Bere kɔ so no, esiane nneɛma ahorow nti, saa srade a wɔde hyɛ mu yi brɛ ase na nea ɛma ɛyɛ mmerɛw no so tew, na ɛno ne bere a ɛyaw fi ase ba.
Ebia woate saa tebea yi a wɔfrɛ no `fat pad atrophy`, `fat pad syndrome`, anaa `heel fat pad atrophy`.
Saa tebea yi abu so dɛn?
Nokwarem no, Heel Fat Pad Syndrome ne ade a ɛto so abien a ɛtaa de asen mu yaw ba, wɔ Plantar Fasciitis akyi. Nanso, wɔtaa de frafra Plantar Fasciitis, efisɛ sɛnkyerɛnne ahorow no betumi ayɛ pɛ koraa. Enti, ɛho hia sɛ wohu nea ɛde ba ankasa.
Dɛn ne ``Heel Fat Pad Syndrome'' ho sɛnkyerɛnne?
Hwɛ sɛ wowɔ saa sɛnkyerɛnne ahorow yi bi anaa:
- Ɛyaw a ano yɛ nnam, emu dɔ, a ɛte sɛ akuru a efi nan ase mfinimfini bere a obi nantew, ogyina hɔ, anaa ɔretu mmirika no.
- Sɛ wode wo nsateaa mia wo nan ase mfinimfini denneennen a, ɛyaw koro no ara a madi kan aka ho asɛm no san ba bio.
- Ɛda adi pefee sɛ ɛyaw no yɛ kɛse bere a wogyina hɔ bere tenten, bere a woreyɛ apɔw-mu-teɛteɛ a tumi kɛse (sɛ nhwɛso no, ahuruhuruw, mmirikatu, apɔw-mu-teɛteɛ, basketball), anaasɛ bere a wɔnantew nneɛma a ɛyɛ den (te sɛ nnua, kɔnkrit, dɔte a wɔde ayɛ nnua) so a wonni mpaboa .
Sɛ tebea no mu nyɛ den a, ebia worenhu sɛnkyerɛnne titiriw biara. Anaasɛ ebia bere ne bere mu nkutoo na wobɛte ɛyaw kakra bere a wonam mpaboa, woretu mmirika, anaa worepia wo nansoaa wɔ wo nan ase no.
Dɛn ne ade titiriw nti a ɛte saa?
Saa tebea yi a wɔfrɛ no ``Heel Fat Pad Syndrome'' no ntumi nkɔ so anadwo biako. Nea ɛde eyi ba titiriw ne ``wear and tear'' a ɛba bere a bere kɔ so no. Nneɛma pii na ɛma ɛba:
- Mpanyinyɛ: Yɛn nipadua mu nneɛma pii sesa bere a obi nyin no. Saa ara nso na srade a ɛwɔ asen no so no brɛ ase nkakrankakra, srade dodow a ɛwɔ mu no so tew, na ebia nea ɛyɛ den no so bɛtew.
- Mu duru a ɛkɔ soro: Bere a yɛyɛ kɛse no, nhyɛso a ɛba yɛn nan ase srade a ɛwɔ yɛn nan ase no so no yɛ kɛse. Eyi ma ɛbrɛ ntɛmntɛm, na ɛhwere sɛnea ɛyɛ mmerɛw na ɛma ɛyɛ mmerɛw.
- Abusua abakɔsɛm: Sɛ obi a ɔwɔ w’abusua mu anya saa tebea yi, anaasɛ wowɔ yare bi a ɛka nipadua no ntini a ɛka bom (te sɛ lupus anaa ntini mu yare) a, asiane kɛse wom sɛ wubenya saa tebea yi.
- Apirakuru a ɛba ne nan ase: Ɔhwe a ano yɛ nnam a ɛba ne nan ase, te sɛ ahuruhuruw a efi soro mpofirim nso betumi ayɛ nea ɛde eyi ba.
- Nantew a ɛnkari pɛ: Sɛ ɛnkari pɛ bi wɔ ɔkwan a yɛfa so nantew (nantew) mu – kyerɛ sɛ, ɔkwan a yɛn nan fa so bɔ fam, ɔkwan a yɛn nipadua mu duru kyekyɛ fa anan no so – bere kɔ so no, srade a ɛwɔ asen no so no betumi asɛe wɔ ɔkwan a ɛnyɛ awosu so.
- Nan nhyehyɛe: Nnipa binom wɔ nsakrae wɔ wɔn nan no anim gyinabea mu (e.g. nan a ɛyɛ tratraa anaa ahinanan a ɛkorɔn) ne nantew ho haw ahorow, a ebetumi de nhyɛso kɛse aba wɔn nan ase.
- Mpaboa a ɛmfata: Ade titiriw nti a ɛte saa ne mpaboa anaa mpaboa a wɔkɔ so de di dwuma a ɛmma nan no ntumi nnyina anaasɛ ɛmma ne ho nnye . Afei nhyɛso no nyinaa ba nan ase, na srade a ɛwɔ so no brɛ ntɛmntɛm.
- Nneɛma a ɛyɛ den a wobɛnantew: Sɛ wotaa nantew anaa wutu mmirika wɔ nneɛma a ɛyɛ den te sɛ kɔnkrit anaa nnua a wɔmfa mpaboa nhyɛ mu so a, enya srade a ɛwɔ nan ase no so nkɛntɛnso kɛse.
- Dwumadi ahorow bi a wotaa yɛ: Dwumadi ahorow a ɛtaa ma wo nan ase bɔ fam (e.g. mmirikatu, basketball, tennis, volleyball, apɔw-mu-teɛteɛ) ne gyinabea a wogyina bere tenten betumi de tebea yi aba.
- Corticosteroid Injections a Wɔadi Kan: Ɛtɔ mmere bi a, steroid injections a wɔfrɛ no corticosteroids a wɔde sa nan mu yaw ne ɔfe afoforo no betumi ama asen mu srade a ɛwɔ akyi no ayɛ ketewaa na ayɛ ketewaa sɛ nea efi mu ba. Steroid a wɔde twitwiw ne nan ase mpɛn pii no betumi ama asiane yi ayɛ kɛse.
Eyi nso betumi afi aduruyɛ mu tebea horow bi mu aba.
- Plantar Fasciitis: This is an inflammation of the thick ligament called the plantar fascia that runs from your heel to your toes. Eyi nso ma nan ase yɛ yaw.
- Heel Spurs: Sɛ nsensanee nketenkete a ɛte sɛ nsɔe (`heel spurs`) ba asen dompe no so a, ebetumi de nhyɛso aba nan no ntini no so na ama asen no mu srade a ɛyɛ mmerɛw no so atew.
- Anamɔn a ɛkorɔn: Nnipa binom wɔ wɔn nan a ɛkorɔn a ɛnyɛ ne kwan so. Eyi betumi asesa nan no nhyehyɛe koraa na aka ntini a ɛwɔ nan no mu no.
- (Asikreyare a Ɛto so Abien): Nnipa a wɔwɔ Asikreyare a Ɛto so Abien no betumi anya srade ne protein bi a ɛho hia a wɔfrɛ no collagen a ɛwɔ srade no mu no abubu.
- Lupus ne Rheumatoid Arthritis: Saa nyarewa a nipadua no tumi ko tia nyarewa yi ka nipadua no ntini a ɛka bom, a ntini a ɛka bom a ɛwɔ anan mu no ka ho.
Ɔkwan bɛn so na nnuruyɛfo hu saa tebea yi?
Sɛ wokɔ oduruyɛfo nkyɛn a ne nan ase yɛ no yaw a, obedi kan abisa wo w’ayaresa ho abakɔsɛm ne mprempren sɛnkyerɛnne ahorow ho asɛm.
Ebia wobɛte nsɛm a ɛte sɛɛ, titiriw fa wo nan ase yaw ho:
- Ɛyaw no te dɛn? (e.g., so ɛyɛ den, ɛyɛ sekan, anaasɛ ɛbɔ?)
- Da no mu bere bɛn na wote ɛyaw no nka?
- Nneɛma bɛn na ɛma ɛyaw no mu yɛ den?
- Ɛyaw yi adi bere tenten ahe?
- So ɛyaw no so tew bere a wogye w’ahome no?
Afei, oduruyɛfo no bɛyɛ wo nan ho nipadua mu nhwehwɛmu. Wɔbɛhwehwɛ ɔhaw biara a ɛwɔ nan no nhyehyɛe mu ne sɛ ebia wote ɛyaw nka bere a womia wo nan ase mfinimfini no. Ebia wɔde srade a ɛwɔ asen mu no mu duru nso atoto ho bere a wugyina hɔ ne bere a wunnyina hɔ no. Ɛsɛ sɛ srade a ɛwɔ asen mu a ɛyɛ papa no mu duru yɛ sɛntimita 1 kosi 2 (nsateakwaa 0.4 kosi 0.8). Sɛ wote nka sɛ srade a ɛwɔ asen no mu no yɛ den anaasɛ ɛyɛ den sɛ wobɛka a, ɛkyerɛ sɛ ɛnyɛ nea ɛyɛ mmerɛw kɛse. Eyi nso betumi ayɛ saa yare yi ho sɛnkyerɛnne.
Ɛtɔ mmere bi a, sɛnea ɛbɛyɛ a wobesi tebea no pɔtee so dua na wɔayi nneɛma afoforo a ɛde asen mu yaw ba (sɛ nhwɛso no, akisikuru, nan ase a ɛyɛ mmerɛw) a, wobetumi akamfo akyerɛ sɛ wɔnyɛ X-ray, ultrasound scan, anaa ebia MRI (Magnetic Resonance Imaging).
Dɛn ne ayaresa ahorow a wɔde sa eyi?
Asɛmpa no ne sɛ mpɛn pii no wobetumi de ayaresa a ɛnyɛ den, a wɔde di dwuma wɔ fie (`aduru a wɔde di dwuma wɔ ɔkwan a ɛyɛ katee so`) adi tebea yi ho dwuma. Botae atitiriw a ɛwɔ saa ayaresa ahorow yi mu ne:
- Ɛyaw ne ɔfe a wɔtew so.
- Sɛnea ɛbɛyɛ a wɔbɛbɔ srade a ɛwɔ hɔ dedaw no ho ban.
- Sɛ́ wobesiw srade a ɛwɔ so no sɛe bio no ano.
Wɔ tebea horow bi a emu yɛ den mu no, ebia ayaresa a ɛyɛ den kɛse (`akwan a ɛkɔ akyiri`) ho behia. Eyinom hwehwɛ sɛ wɔde nneɛma foforo ka ho na ama srade a ɛwɔ asen no mu no ayɛ kɛse.
Akwan a ɛnyɛ den (a ɛyɛ nea wɔkora so) a wɔfa so sa yare:
- Rest: Rest your legs as much as possible. Tow dwumadi ahorow a ɛwɔ nkɛntɛnso kɛse (te sɛ ahuruhuruw ne mmirikatu a emu yɛ den) a ebetumi ama wo nan ase ayɛ wo yaw no ano hye.
- Fa nsukyenee gu so: Sɛ woyɛ dwumadi bi a ɛma wote yaw wie a, fa nsukyenee bi gu wo nan ase bɛyɛ simma 20. Wubetumi ayɛ eyi mpɛn pii da biara.
- Nnuru: Wobetumi de nnuru a wɔtɔn wɔ aduruyɛdan mu adi dwuma de atew ɛyaw ne ɔfe so. Nhwɛso ahorow bi ne ibuprofen (Advil®, Motrin®) ne naproxen (Aleve®). Nanso, ɛyɛ papa bere nyinaa sɛ wobɛkɔ oduruyɛfo nkyɛn ansa na woanom aduru biara.
- Nnompe mpaboa: Hyɛ nnompe mpaboa a ɛma wotumi gyina nnompe so yiye na ɛma wo ho yɛ den, titiriw ma wo nan ase. Wubetumi anya afotu afi nan ho oduruyɛfo anaa sotɔɔ titiriw bi a wɔtɔn mpaboa a ɛtete saa hɔ.
- Wo nan ase dompe a wode bɛbɔ wo nan ase: Eyi yɛ ɔkwan a wɔfa so de nan ase dompe no to nan ase dompe no ase na wɔde teyp soronko gu asen no so na ama woanya mmoa na ama ayɛ mmerɛw. Wo duruyɛfo anaa apɔw-mu-teɛteɛ ho ɔyaresafo bɛkyerɛ wo ɔkwan pɔtee a wobɛfa so ayɛ eyi.
- Heel nkuruwa, mpaboa a wɔde hyɛ mu ne sɔks a wɔde ntama ahyɛ mu: Heel nkuruwa, mpaboa a wɔde hyɛ mu ne sɔks a wɔde ntama ayɛ, a wobetumi anya wɔ nnurutɔnbea anaa intanɛt so no, ma wo nan ase nkuruwa foforo na ɛboa.
- Apɔw-mu-teɛteɛ nhyehyɛe: Wɔ wo duruyɛfo anaa apɔw-mu-teɛteɛ ho ɔyaresafo akwankyerɛ ase no, wubetumi asua ntrɛwmu a ɛtrɛw wo nantwi ba ntini mu ne apɔw-mu-teɛteɛ a wode siesie wo ho a ebetumi aboa wo ma woakura wo nan ne kotodwe ne asen a ɛne ne ho hyia yiye na woasiesie sɛnea ɛnkari pɛ no.
Akwan a ɛkɔ akyiri (a ɛyɛ den) a wɔfa so sa yare:
- Injectables: In this method, various natural or synthetic or liquid filler materials are injected into the fat layer of the heel to increase its thickness. Sɛ nhwɛso no, nnuru bi wɔ hɔ a wɔde hyɛ honam ani a nneɛma te sɛ Poly-L-lactic acid ne Hyaluronic acid wom. Ɛtɔ mmere bi a wɔde silicone nso di dwuma, nanso akyinnyegye wɔ sɛnea wɔde di dwuma no ho efisɛ etumi tu kwan kɔ nipadua no afã afoforo na ebetumi ama obi ayɛ biribi a ɛnyɛ den kosi nea emu yɛ den. Mpɛn pii no, nneɛma a wɔde hyɛ honam ani aduru yi mu ba no di bɛyɛ asram 6 kosi 12. Egyina nneɛma te sɛ w’asetra kwan, dwumadi dodow, wo nipadua mu duru, ne mfe a woadi so.
- Fat grafting (anaasɛ autologous fat transplantation): Eyi hwehwɛ sɛ wugye srade kakraa bi fi wo nipadua no fã foforo (te sɛ w’asen anaa w’asen mu), tew ho, na wode gu srade a ɛwɔ wo nan ase no mu (transplantation). Mpɛn pii no, eyi yɛ ayaresa a wɔde kɔ ayaresabea. Nea efi mu ba no kyɛ sen nnuru a wɔde hyɛ honam ani.
- Allografting: Saa kwan yi de srade ntini a wogye fii obi foforo (obi a ɔde ma) hɔ na edi dwuma. Esiane sɛ srade nkwammoaa nkutoo na wɔde di dwuma nti, hokwan kakraa bi pɛ na ɛwɔ hɔ sɛ nipadua no bɛpow. Eyi nso yɛ oprehyɛn a wɔyɛ. Egye bere tenten kakra ansa na ayɛ yiye sen akwan afoforo (ebetumi agye bɛyɛ adapɛn 6-8 ansa na ntini foforo no ne ntini a ɛwɔ hɔ dedaw no ayɛ biako). Wɔbɔ amanneɛ sɛ saa ayaresa yi betumi ama ɛyaw no ano abrɛ ase bɛyɛ mfe 5.
Ɛtɔ mmere bi a, sɛ wo nansoaa, wo nan, wo nan ase, wo nan, wo nkotodwe, anaa w’asen mu dɛmdi a awo wo anaasɛ wunya no sesa ɔkwan a wo nipadua no fa so kyekyɛ mu duru bere a wonam no, na sɛ eyi ka w’asetra kɛse, na ɛmma wuntumi nyɛ da biara da dwumadi ahorow a, nnuruyɛfo betumi asusuw ho sɛ wɔbɛyɛ oprehyɛn de asiesie dɛmdi no.
Sɛ wɔansa wɔn yare a, dɛn na ɛba?
Sɛ wubu w'ani gu tebea ``Heel Fat Pad Syndrome'' so a wonsa a, ebetumi de ɔhaw ahorow te sɛ:
- Ɛyaw no bɛkɔ so. Ebetumi atew w’asetra pa so.
- Ɛbɛyɛ den sɛ wobɛnantew, adi agumadi, na woayɛ da biara da nnwuma.
- Ebia wobɛsesa ɔkwan a wofa so nantew a wunnim na ama ɛyaw no so atew, na ebetumi de nhyɛso a ɛho nhia aba nipadua no nkwaa afoforo so, na ama asiane a ɛwɔ hɔ sɛ wobɛhwe ase na woapirapira afoforo no ayɛ kɛse.
Ɔkwan bɛn so na wobetumi asiw tebea yi ano?
Ɛwom sɛ yentumi nsiw nneɛma a ɛkɔ so wɔ mfe a obi adi anaa awosu mu su horow a ɛkɔ so wɔ mmusua mu no ano koraa de, nanso yebetumi atew asiane a ɛwɔ hɔ sɛ yebenya saa tebea yi (Heel Fat Pad Syndrome) no so denam asetra mu su ahorow bi a yɛbɛsakra ne akwan horow a yɛbɛfa so asiw ano no so:
- Hyɛ mpaboa a ɛfata wo nan yiye, a ɛboa wo nan ase yiye, na ɛhyɛ wo nan ase yiye bere nyinaa. Hyɛ agumadi mpaboa a ɛfata bere a woreyɛ dwumadi ahorow a ɛkanyan kɛse no.
- Kwati sɛ wobɛhyɛ mpaboa a ɛwɔ asen a ɛkorɔn mpɛn pii. Wɔnkyekyɛ wo nipadua mu duru pɛpɛɛpɛ wɔ wo nan so, na mmom wɔde nhyɛso kɛse ba wo nan no fã pɔtee biako (mpɛn pii no anim).
- To dwumadi ahorow a ɛde nhyɛso kɛse ba nan ase, te sɛ mmirikatu, basketball, ne apɔw-mu-teɛteɛ ano hye. Ma heel fat pad no bere na ama ne ho atɔ no wɔ dwumadi ahorow a ɛtete saa akyi.
- Kura wo nipadua mu duru a ɛfata mu. Sɛ woyɛ kɛse dodo a, ɛma nhyɛso a ɛwɔ wo nan ase no yɛ kɛse.
- Kwati sɛ wobɛnantew wo nan ase sɛnea wubetumi biara, titiriw wɔ mmeae a ɛnyɛ pɛpɛɛpɛ na ɛyɛ den (te sɛ tile, nnua, semɛnte).
- Hwɛ wo mpaboa nyinaa mu daa. Sɛ wo mpaboa no ase asɛe wɔ ɔkwan bi so anaa ɔkwan foforo so (te sɛ nea ɔfã biako asɛe kɛse), anaasɛ sɛ mpaboa no mu ntama a wɔde hyɛ mu no nte nka sɛ ɛboa bio a, sesa mpaboa no.
So wobetumi asa `(Heel Fat Pad Syndrome)` yi koraa?
Sɛ yɛbɛka nokware a, biribiara nni hɔ a wɔfrɛ no "aduru a ɛtra hɔ kyɛ koraa" ma ``Heel Fat Pad Syndrome''. Efisɛ, bere a yɛrenyin, ne bere a yɛnantew, tu mmirika, na yehuruw sɛnea ɛsɛ (``abɔde mu asɛe``) no, srade a ɛwɔ asen no mu no twetwe na ɛyɛ teateaa kodu baabi. Nanso, sɛnea yɛadi kan aka no, sɛ woyɛ nneɛma a ɛho hia na ama wo nan ase ɛyaw, wo ho a ɛhoa, na woasiw srade a wɔde hyɛ mu no sɛe bio a, akyinnye biara nni ho sɛ wubetumi ama w’asetra atu mpɔn na woakɔ so de wo ho ahyɛ dwumadi ahorow a w’ani gye ho no mu.
Nsonsonoe bɛn na ɛwɔ `(Heel Fat Pad Syndrome)` ne `(Plantar Fasciitis)` ntam?
Eyi yɛ beae a nnipa pii adwene tu fra, enti ɛho hia sɛ wuhu nsonsonoe atitiriw bi a ɛda tebea abien yi ntam.
Susuw ho hwɛ, ``Plantar Fasciitis`` yɛ mmerɛwyɛ, ɛho ahonhon, anaa ɔfe a ɛba ``plantar fascia``, ntini a ɛka bom a ɛyɛ den a ɛkɔ wo nan ase, fi wo nan ase kosi wo nansoaa so. Saa ``plantar fascia`` yi ne nea ɛma mmoa ma wo nan ``arch``.
- Asen mu yare ho sɛnkyerɛnne titiriw ne ɛyaw a ɛbɔ wɔ nan ase. Mpɛn pii no, ɛyaw yi wɔ asen no mu, bɛn nan ase. Ɛtɔ mmere bi a ɛyaw no nso tumi trɛw fa nan no anim.
- Sɛ wotrɛw wo nan mu a, wote nka sɛ wo nan ase ayɛ den na woretwe wo nan ase.
- Nea ɛho hia sen biara ne sɛ ɛyaw no mu yɛ den sen biara bere a wudi kan sɔre fi mpa so anɔpa na wotu anammɔn kakraa bi a edi kan no. Ɛwom mpo sɛ ɛte sɛ nea ɛyaw no ano brɛ ase bere a woanantew kakra akyi de, nanso sɛ wokɔ so de mu duru to nan no so a, ɛyaw no san kɔ soro bio wɔ da no awiei.
- Wɔ aduruyɛ mu nhwehwɛmu mu no, sɛ wɔmia `plantar fascia` no a, ɛyaw a ano yɛ nnam na ɛyɛ sekan ba, te sɛ nea wɔde ade rebɔ no.
Nanso, wɔ `(Heel Fat Pad Syndrome)` mu no:
- Ɛyaw no wɔ nan ase mfinimfini, te sɛ akuru a emu dɔ a ɛbɛn.
- Ɛyaw no taa ba bere a obi nantew, ogyina hɔ, anaa ɔreyɛ nneɛma a ɛkanyan adwene kɛse bere tenten no. Ɛyaw no mu yɛ den kɛse mpo bere a wonam nneɛma a ɛyɛ den so a onni mpaboa no.
- Saa ɛyaw yi betumi aba awia bere biara, anadwo, anaa bere a wɔregye wɔn ahome mpo.
- Heel Fat Pad Syndrome taa ba anan abien no nyinaa so bere koro mu sen Plantar Fasciitis.
Nea ɛho hia: Ɛtɔ mmere bi a, tebea abien yi nyinaa tumi bom ba. Afei nso, obi a ɔwɔ `(Plantar Fasciitis)` no betumi akyiri yi anya `(Heel Fat Pad Syndrome)`. Wunim sɛnea ɛba saa? Sɛ ``Plantar fascia`` no sɛe a, nan no mu duru nkyekyɛ yiye bere a woretu mmirika anaa wɔretu mmirika no. Afei, wɔde nhyɛso kɛse ba srade a ɛwɔ nan ase no so, na ɛbɔ mmɔden sɛ ɛbɛma ne ho atɔ no ntɛmntɛm.
Momma yensua kakra fa calcaneal stress fracture ho.
Ade biako bio a ɛsɛ sɛ wuhu. Wɔfrɛ dompe a ɛwɔ wo nan ase no calcaneus. Sɛ obi keka ne ho mpɛn pii te sɛ mmirikatu a, ebetumi ama akyi berɛmo no mu apaapae ketewaa anaasɛ abubu. Wɔfrɛ eyi sɛ adwennwen mu akisikuru. Sɛ wowɔ calcaneal stress fracture a, wobɛte ɛyaw nka wɔ wo nan ase ne wo nan ase akyi. Saa asen mu yaw yi bɛkɔ soro nkakrankakra bere a bere kɔ so no. Mfiase no, ɛbɛba hɔ bere a woreyɛ adwuma nkutoo, nanso akyiri yi ebefi ase ayɛ wo yaw bere mpo a wo nan agye n’ahome no. Ebia ɛho behia sɛ woyɛ nnompe mu nhwehwɛmu, CT mfonini, anaa MRI mfonini de hu sɛ ebia adwennwen a abubu wo nan ase yaw no.
Awiei koraa no, nea ɛsɛ sɛ wokae (Take-Home Message) .
Enti, sɛ yɛbɛka no tiawa a, heel fat pad syndrome yɛ srade a ɛyɛ den a ɛte sɛ cushion a ɛwɔ yɛn nan ase fã a ɛboa ma yɛboa yɛn nipadua mu duru na ɛbɔ yɛn ho ban fi ahodwiriw ho no a ɛyera. Eyi betumi afi nneɛma pii mu aba, a nea ɛka ho ne mfe a obi adi, dwumadi ahorow a ɛde nhyɛso ba ne nan ase, mu duru a ɛkɔ soro, ne mu duru a ɛnkyɛ bere a wɔnantew no. Nsɛnkyerɛnne titiriw ne ɛyaw a ano yɛ den na emu dɔ wɔ nan ase mfinimfini.
Nea eye sen biara ne sɛ mpɛn pii no ayaresa a ɛnyɛ den te sɛ ahomegye, nnuru a wɔde kum ɛyaw, nsukyenee, mpaboa a ɛfata, ne apɔw-mu-teɛteɛ sɛnea wo duruyɛfo kyerɛ no betumi aboa ma woadi tebea yi ho dwuma. Wɔ tebea horow bi a emu yɛ den mu no, wobetumi anya ayaresa a ɛkɔ akyiri.
Sɛ wo nan ase yɛ wo yaw bere nyinaa a, mmu w’ani ngu so. Akyinnye biara nni ho sɛ kɔ oduruyɛfo nkyɛn kɔhwehwɛ afotu. Dodow a wuhu nea ɔhaw no yɛ ntɛm no, dodow no ara na wubetumi afi ayaresa a ɛfata ase ntɛm. Afei wubetumi asiw tebea no ano na ansɛe, wo ho atɔ wo ntɛm, na wode anigye ayɛ wo da biara da dwumadi ahorow!
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