So wo nansoaa yɛ wo yaw wɔ akyi? Ebetumi ayɛ Sinus Tarsi Syndrome!

So woahu pɛn sɛ wo nansoaa akyi ahonhon ketewaa bi, a ɛba fam kakra, a ɛyaw wom? Ebia ɛyaw yi mu yɛ den kɛse bere a wonam anaa wodan wo nan wɔ ha ne ha no. Sɛ eyi ato wo a, ɛnde yɛrebɛka biribi a ebia ɛho hia wo ho asɛm. Yɛfrɛ saa tebea yi ``Sinus Tarsi Syndrome``. Mma ɛnhaw wo, momma yɛnka ho asɛm tiawa.

Dɛn ne Sinus Tarsi Yare no?

Sɛ yɛbɛka no tiawa a, Sinus Tarsi Syndrome yɛ wo nansoaa akyi a ɛyɛ yaw, wɔ n’ase pɛɛ. Sɛ yɛbɛka no pɛpɛɛpɛ a, efi subtalar nkwaa a ɛyɛ hyew, baabi a wo nansoaa dompe (Talus) ne wo nan ase dompe (Calcaneus) hyia no.

Saa `(Subtalar joint)` yi ne nea ɛboa wo ma wodan wo nan fi ɔfã biako kɔ ɔfã foforo. `(Sinus Tarsi)` no ne baabi ketewa a ɛda nnompe mmienu a mekaa ho asɛm no ntam. Fa no sɛ ɔkwan ketewaa bi a ɛfa bepɔw bi mu. Nanso sɛ́ anka eyi beyi abotan de ayɛ ɔkwan ama kar ahorow no, eyi yɛ ɔkwan ketewaa bi a wɔasen fi nnompe no mu. Fa saa kwan yi so tu mmirika `(ligaments)` (nnompe), ntini ne mogya ntini a ɛkɔ wo nan ne wo nansoaa afã afoforo.

Sinus Tarsi Syndrome ba bere a ntini a ɛwɔ sinus tarsi no mu no bo fuw esiane biribi nti. Ntini no ho ahonhon. Sɛ saa ahonhon yi ba baabi ketewaa yi a, nhyɛso a ɛwɔ mu no kɔ soro na ɛyaw ba. Ankle a ɛpaapae ne ade titiriw a ɛde eyi ba. Asiane yi yɛ kɛse titiriw sɛ woabɔ wo nansoaa koro no ara mpɛn pii a.

Sɛ wo nansoaa anaa wo nan ase yɛ wo yaw anaasɛ wohon, na sɛ ɛyɛ den ma wo sɛ wobɛkanyan wo nan ne wo nan ase yiye anaasɛ wode bedi dwuma yiye a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo anaa nan ho oduruyɛfo nkyɛn.

So eyi yɛ tebea a abu so?

Sɛnea abenfo kyerɛ no, Sinus Tarsi Syndrome yɛ tebea a ɛntaa nsi koraa. Nanso, ɛyɛ den sɛ yɛbɛka sɛnea abu so no pɛpɛɛpɛ. Nea enti a ɛte saa ne sɛ ebia wɔrentumi nhu nnipa pii a wɔwɔ saa tebea yi yiye. Afei nso, ne sɛnkyerɛnne ahorow no te sɛ anansoaa mu yare afoforo de no ara pɛ.

Dɛn ne Sinus Tarsi Syndrome ho sɛnkyerɛnne ahorow?

Saa tebea yi ho sɛnkyerɛnne atitiriw ne ɛyaw ne anansoa a ɛho ahonhon. Wɔtaa te ɛyaw ne ɔfe no nka wɔ nansoaa no akyi, wɔ ase ano. Nanso, ɛtɔ mmere bi a, ɛyaw yi betumi atrɛw akɔ nansoaa no afã afoforo nso.

Ɛda adi sɛ wubehu na woate nka sɛ ɛho ahonhon wɔ baabi a ɛda nansoaa dompe ne nan ase dompe ntam no. Ɛtɔ mmere bi a, saa ɔfe yi da adi araa ma nnipa binom susuw sɛ ɛte sɛ akisikuru a ɛwɔ honam ani.

Nkate bɛn na eyi ma wunya?

Ɛyaw a ɛwɔ Sinus Tarsi Syndrome mu no taa yɛ nea ɛkɔ so daa na ɛnyɛ den.Ɛte sɛ nea ɛyɛ yaw bere nyinaa. Nanso sɛ wokeka wo nan anaa wode di dwuma a, ɛyaw no yɛ nnam na ebetumi ayɛ te sɛ sekan rebɔ wo. Titiriw wɔ saa mmere yi mu:

• Bere a wo nan adan akɔ wo nipadua mfinimfini no.
• Bere a wode adesoa to wo nan so, te sɛ bere a wonam, retu mmirika, anaa woreforo antweri no.
• Sɛ wode wo nsa ka na womia saa ɔfã a wɔfrɛ no sinus tarsi no so a.

Dɛn nti na Sinus Tarsi Syndrome ba?

Opira anaa tebea biara a ɛsɛe wo subtalar nkwaa anaa baabi a wɔfrɛ no sinus tarsi no betumi de eyi aba.

Ankle a ɛyɛ mmerɛw na ɛtaa de ba. Nnipa a wɔwɔ sinus tarsi syndrome no mu bɛyɛ 80% na wɔwɔ saa tebea yi bere a wɔakyinkyim wɔn nansoaa akɔ akyi afi nipadua no mfinimfini no. Ahwease, asehwe, ne apirakuru afoforo a efi agumadi mu ne nneɛma a ɛtaa ma obi nan ase twitwiw. Sɛ nhwɛso no, sɛ wohintiw mpofirim bere a woredi kriket, anaasɛ sɛ wohintiw na wobɔ wo nansoaa bere a wonam tokuru mu wɔ akwanhyia mu a. Eyinom ne nneɛma a ɛtaa de tebea yi ba.

Ankle opira nso betumi ama tebea bi a wɔfrɛ no synovitis (synovial membrane a ɛho ahonhon) aba wo subtalar nkwaa no mu. Ɔhonhon a efi mu ba no nso betumi ama obi anya sinus tarsi syndrome.

Nneɛma a ɛnyɛ opira

Ɛtɔ da bi a, sɛnea wo nan te wɔ abɔde mu, ɔkwan a wofa so nantew, ne akwahosan tebea horow bi betumi ama wo sinus ahorow no de nhyɛso a ɛnsɛ (`adwennwen`) aba bere tenten mu, na ɛde saa yare yi aba. Nneɛma a ɛde ba a ɛnyɛ opira ho ne:

• Nan a ɛyɛ tratraa a wowɔ.
• Overpronation yɛ nan no a ɛbɔ kɔ mu dodo bere a wonam anaa ɔretu mmirika no.
• Ntini mu yare tebea horow a ɛwɔ nan ne nansoaa mu.
• Obolo.

Henanom na wɔwɔ asiane kɛse mu?

Ankle a ɛpaapae yɛ opira a ɛtaa ba araa ma obiara betumi anya sinus tarsi syndrome. Nanso, nnipa a wodi so yi wɔ asiane a ɛkɔ soro kakra mu:

• Nnipa a wɔbɔ agumadi a ɛhwehwɛ sɛ wɔsesa wɔn kwankyerɛ mpofirim na wɔkyinkyim (e.g., bɔɔlbɔ, basketball, hockey).
• Nnipa a wogyina hɔ bere tenten na wɔyɛ adwuma wɔ asase a ɛyɛ den so.
• Mmea a wɔyem. Ɛda adi sɛ obi a ɔde ne ho bɛto fam dodo (nan no a ɛbɔ kɔ mu) no taa ba bere a nyinsɛn no.
• Nnipa a wɔn nansoaa koro no ara abubu mpɛn pii. Sɛ wɔsan twitwa nansoaa a na wadi kan apira no a, asiane a ɛwɔ hɔ sɛ obenya sinus tarsi syndrome no yɛ kɛse koraa.

Ɔkwan bɛn so na nnuruyɛfo hu eyi pɛpɛɛpɛ?

Oduruyɛfo bi behu sinus tarsi syndrome denam nipadua mu nhwehwɛmu a ɔbɛyɛ so . Ɔbɛhwɛ wo nansoaa a apira no, ahwɛ sɛ ɛho ahonhon anaa, na ɔde ne nsa abɔ baabi a wɔfrɛ no sinus tarsi no. Ebia wɔbɛka akyerɛ wo sɛ gyina hɔ, nantew, anaa wosow wo nansoaa. Sɛ ɛyaw no mu yɛ den anaasɛ ɛyɛ kɛse bere a wode wo nsa ka wo nansoaa, woka wo ho, anaa wotutu a, ɛsɛ sɛ woka kyerɛ wo duruyɛfo.

Sɛ wunim bere a edi kan a wotee yare no ho sɛnkyerɛnne no nka, titiriw bere ne baabi a opira no bae a, ka saa nsɛm no kyerɛ wo duruyɛfo.

Sinus tarsi syndrome ho sɛnkyerɛnne te sɛ tebea afoforo pii a ɛka nansoaa ne nan no de. Nhwɛsoɔ:

• Nan ne nansoaa mu ntini mu yare.
• Calcaneal stress a ɛpaapae.
• Talus a ɛpaapae.
• Tarsal tunnel syndrome (`(Tarsal tunnel yare)`).

Nhwehwɛmu a wɔyɛ de kyerɛ sɛ obi anya sinusitis

Ebia wo duruyɛfo nso bɛyɛ mfoninitwa nhwehwɛmu ahorow bi de atwa nansoaa ne mmeae a atwa ho ahyia no mfonini:

• Nan ho X-ray a wɔde yɛ.
• MRI (Magnetic Resonance Imaging) nhwehwɛmu.
• CT scan (`(CT scan - Kɔmputa so Tomography scan)`).

Ɔkwan bɛn so na wɔsa Sinus Tarsi Syndrome?

Wo duruyɛfo bɛkamfo ayaresa ahorow a ɛbɛma wo ntini a ɛho ahonhon ne ɛyaw a ɛba wo ntini mu no so atew. Ayaresa a wɔtaa de di dwuma ne:

• Nnuru a ɛma ɛyaw ano brɛ ase a wɔtɔn (OTC): Wubetumi de nnuru a ɛnyɛ steroid a ɛko tia ɔyare mmoawa (NSAIDs) anaa acetaminophen (paracetamol) adi dwuma de atew ɔfe ne ɛyaw so. Nanso, nnom nnuru yi bɛboro nnafua 10 a wunni aduruyɛ mu afotu.
• Corticosteroids: Eyinom yɛ nnuru a ano yɛ den a ɛko tia ɔyare mmoawa a oduruyɛfo kyerɛw ma. Ebia wo duruyɛfo nso de cortisone bɛhyɛ wo subtalar nkwaa no mu tẽẽ.
• Sɛnea Womma Wo nan ase: Ebia ɛho behia sɛ wohyɛ ade a wɔde hyɛ wo nansoaa mu anaasɛ wohyɛ mpaboa soronko a wode nantew na ama wo nansoaa no antumi ankɔ baabiara na ayɛ nea ahobammɔ wom bere a ɛresa no. Ebia wo duruyɛfo nso bɛkyerɛ sɛ fa teyp to wo nansoaa so na ama woanya mmoa foforo. Wɔbɛkyerɛ wo sɛnea wobɛyɛ eyi dwoodwoo.
• Apɔw-mu-teɛteɛ: Apɔw-mu-teɛteɛ ho ɔbenfo bɛkyerɛ wo apɔw-mu-teɛteɛ ne sɛnea wobɛtrɛw wo mu de ahyɛ ntini a atwa wo nansoaa ho ahyia no den. Wɔbɛboa wo ma woasan anya baabi a wo nansoaa tumi keka (baabi a wubetumi de wo nansoaa akɔ akyirikyiri).
• Orthotics: Orthotics yɛ nneɛma titiriw a wɔde hyɛ wo mpaboa mu. Wubetumi atɔ afi nnurutɔnbea, anaasɛ wubetumi ama wɔayɛ ama wo sɛnea wopɛ. Wo duruyɛfo bɛkyerɛ wo nea wuhia ne bere tenten a ɛsɛ sɛ wohyɛ. Ebia wɔbɛkamfo mpaboa a ɛboa wo nan ne wo nansoaa nso (anaasɛ ɛsɛ sɛ wokwati sɛ wobɛhyɛ mpaboa ahorow bi).
• Sɛɛgyiri:Ɛntaa mma sɛ wɔyɛ oprehyɛn wɔ sinus tarsi syndrome ho. Sɛ ayaresa afoforo ammoa wo nkutoo, anaasɛ sɛ wote ɛyaw a emu yɛ den anaasɛ wo ho wosow bere nyinaa nkutoo a, oduruyɛfo besusuw oprehyɛn ho. Sɛ saa a, wɔbɛkyerɛkyerɛ oprehyɛn ko a wɔbɛyɛ wo ne nea wobɛhwɛ kwan wɔ ɛno akyi no mu akyerɛ wo.

So wobetumi asa Sinus Tarsi Syndrome no koraa?

Yiw, mpɛn pii no, sinusitis syndrome no befi hɔ bere a woanya ayaresa a ebetumi adi wo sɛnkyerɛnne ahorow so no. Bere a ahurututu no so tew no, ɛyaw no nso befi hɔ.

Sinus tarsi syndrome a ɛnam nansoaa a ɛyɛ mmerɛw so de ba no taa tu mpɔn nkakrankakra bere a akisikuru no sa no. Mpɛn pii no, ebetumi adi bɛyɛ ɔsram biako ansa na nansoaa a abubu no ayɛ yiye.

Nanso, sɛ nsakrae a ɛba wo nan so wɔ awosu mu anaa akwahosan tebea foforo bi na ɛde wo sinusitis no ba a, ebetumi agye bere tenten ansa na ayɛ yiye. Bisa wo duruyɛfo anaa nan ho oduruyɛfo bi fa eyi ho.

Wobɛyɛ dɛn atumi abɔ wo ho ban afi tebea yi ho?

Ebia ɛrentumi nyɛ yiye sɛ wobɛbɔ wo ho ban koraa afi sinus tarsi syndrome ho, titiriw sɛ woyɛ ogumadifo a. Nanso akwan bi wɔ hɔ a wobɛfa so atew asiane a ɛwɔ hɔ no so.

Sɛ woredi agumadi anaa bere a woreyɛ apɔw-mu-teɛteɛ a:

• Hyɛ ahobammɔ ho nneɛma a ɛfata (a mpaboa a ɛfata ka ho).
• Sɛ wo nansoaa yɛ wo yaw bere a woreyɛ apɔw-mu-teɛteɛ anaasɛ bere a woayɛ apɔw-mu-teɛteɛ awie a, nnyɛ "di agoru wɔ ɛyaw no mu" kɛkɛ.
• Ma wo nansoaa bere mfa nnye n’ahome na wɔn ho ntɔ mu bere a woayɛ adwuma denneennen awie no.
• Ma wo ho yɛ hyew na teɛteɛ wo ho ansa na woadi agoru anaa woateɛteɛ w’apɔw mu.
• Fa wo ho dwo na teɛteɛ w’apɔw mu bere a woayɛ apɔw-mu-teɛteɛ awie no.

Kae saa nneɛma yi na ama woabɔ wo ho ban afi akwanhyia ho:

• Ma wo fie ne w’adwumam nyɛ fɛ na nneɛma a ɛyɛ basabasa biara nni mu.
• Sɛ worekɔfa biribi a ɛkorɔn wɔ fie hɔ a , fa nnwinnade a ɛfata di dwuma bere nyinaa (e.g., antweri). Mforo nkongua, apon, anaa counter so.
• Sɛ ɛyɛ den ma wo sɛ wobɛnantew anaasɛ asiane kɛse wom sɛ wobɛhwe ase a, fa poma anaa nea wɔde nantew di dwuma.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ woapira na worehu sinusitis syndrome ho sɛnkyerɛnne a, kɔ oduruyɛfo nkyɛn. Sɛ wo yare no ho sɛnkyerɛnne no ankɔ yiye wɔ nna kakraa bi a wɔde sa wo yare akyi (anaasɛ sɛ ɛyɛ kɛse) a, ka kyerɛ wo duruyɛfo.

Bere bɛn na ɛsɛ sɛ mekɔ baabi a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ (ER)?

Sɛ wowɔ saa sɛnkyerɛnne yi bi a, kɔ baabi a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ mu ntɛm ara:

• Ɛyaw a emu yɛ den yiye.
• Sɛ ɔfe no reyɛ kɛse a.
• Kɔla nsakrae (e.g. dan bruu, dan tuntum).
• Sɛ wuntumi ntutu wo nan anaa wo nansoaa koraa a.

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

Wubetumi abisa oduruyɛfo no nsɛm yi:

• So mewɔ sinus tarsi syndrome, anaasɛ ɛyɛ nansoaa ho haw foforo bi?
• So me nansoaa mu paapaee? So ɛno na ɛde sinus tarsi syndrome no bae?
• So ɛsɛ sɛ meyɛ sɔhwɛ biara?
• Ayaresa bɛn na wohyɛ nyansa sɛ wɔmfa nni ɛyaw ne ɔfe no so?
• Bere tenten ahe na ɛsɛ sɛ mekwati apɔw-mu-teɛteɛ?

Sinus tarsi yɛ baabi ketewaa bi wɔ wo nansoaa mu a sɛ ɛhyɛ wo abufuw a, ebetumi ayɛ wo yaw kɛse. Sinus tarsi syndrome ba bere a baabi ketewaa a ɛda nansoaa dompe ne nan ase dompe no ntam no hohoro esiane opira anaa ɔhaw foforo bi nti. Mpɛn pii no, nansoaa a ɛyɛ mmerɛw na ɛde ba.

Nkrasɛm a Wɔde Kɔ Fie

Sɛ wo nansoaa mu yɛ wo yaw na ɛyɛ den sɛ wobɛkeka wo ho anaasɛ wode wo nan anaa wo nan ase bedi dwuma—titiriw sɛ wunim sɛ wo nan ase ahwe ase, woabobɔw, anaasɛ woabɔ wo nan ase a—ɛho hia sɛ wokɔ oduruyɛfo anaa nan ho oduruyɛfo nkyɛn. Wobetumi aboa wo ma woahu nea ɛde wo sɛnkyerɛnne ahorow no ba na wɔakyerɛkyerɛ nea wubetumi ayɛ de aboa wo nansoaa mu. Sinus tarsi syndrome betumi ayɛ tebea a ɛnyɛ dɛ koraa, nanso mpɛn pii no ɛyɛ bere tiaa mu ɔhaw. Sɛ wo nansoaa no sa na ɔfe no so tew wie a, ɛsɛ sɛ wutumi san kɔ wo dwumadi ahorow a wotaa yɛ no so. Enti, ade a ɛho hia sen biara ne sɛ woremmɔ hu na woanya ayaresa a ɛfata.

` Sinus Tarsi Syndrome, Ankle Ɛyaw, Ankle Swelling, Subtalar Joint, Ankle Sprain, Nan mu Ɛyaw, Sinus Tarsi Syndrome