So worete yaw wɔ wo nansoaa mu anaa wo nan ase? Ebetumi ayɛ Tarsal Tunnel Syndrome!

So ɛtɔ mmere bi a wote nka sɛ wo nan ase yɛ wo yaw, wo ho yɛ wo yaw, anaasɛ wo ho hyehye wo wɔ wo nan ase anaa wo nan ase ? Ebia wobɛte nka nso sɛ wo nan ho reyɛ wo yaw anaasɛ wo ntini ayɛ mmerɛw kakra. Mmu saa sɛnkyerɛnne ahorow yi kɛkɛ sɛ ɛyɛ nipadua mu yaw. Saa nsɛnkyerɛnne yi betumi ayɛ tebea bi a wɔfrɛ no `(Tarsal Tunnel Syndrome)`. Enti, momma yɛnka eyi ho asɛm nkɔ akyiri kakra nnɛ, ɛnte saa?

Dɛn ne Tarsal Tunnel Syndrome?

Sɛ yɛbɛka no tiawa a, Tarsal Tunnel Syndrome yɛ tebea a Tibial ntini a ɛwɔ wo nansoaa mu no sɛe anaasɛ ɛhyɛ so. Tibial ntini no wɔ wo nansoaa no mu, wɔ ɔkwan ketewaa bi a wɔde dompe ne ntini ayɛ mu. Wɔfrɛ eyi Tarsal Tunnel. Ɛte sɛ Carpal Tunnel Syndrome a ɛnam ntini bi a ɛfa wo nsateaa mu a wɔmia so ba no.

Susuw ho saa kwan yi so, te sɛ nea sɛ nsu paipu siw a, nsu no gyae sen no. Sɛ wɔkyekye saa ntini yi a, egyae nkrasɛm a ɛde mena yiye. Ɛno na wufi ase te ɛyaw ne akisikuru a madi kan aka ho asɛm no nka.

Saa tebea yi abu so dɛn?

Nokwarem no, akontaabu pɔtee biara nni hɔ a ɛkyerɛ nnipa dodow a wɔwɔ `(Tarsal Tunnel Syndrome)`. Nnipa pii ntumi nhu sɛ wɔwɔ saa tebea yi yiye. Ebia wobesusuw kɛkɛ sɛ ɛyɛ nan ho haw. Nanso, ɛho hia sɛ yɛkae sɛ eyi betumi ato obiara a wadi mfe biara.

Dɛn nti na eyi `(Tarsal Tunnel Syndrome)` ba? Dɛn na ɛde ba?

Sɛnea yɛadi kan aka no, saa tebea yi ba bere a `(Tibial nerve)` no asɛe anaasɛ wɔahyɛ no ɔkwan bi so no. Nneɛma pii nti na ebetumi aka eyi.

• Nan gyinabea: Ebia wɔbɛwo nnipa binom a wɔn nan yɛ tratraa anaasɛ wɔn nan a ɛkorɔn . Saa gyinabea ahorow yi betumi de nhyɛso a ɛho nhia aba ntini no so.
• Opira: Akwanhyia te sɛ nansoaa a ɛpaapae anaasɛ abubu betumi amia ntini no. Wɔtaa hu sɛ nnipa 5 biara mu bɛyɛ 2 a wɔwɔ Tarsal Tunnel Syndrome adi kan apira wɔn nansoaa.
• Nnyin a ɛnteɛ: Ɛtɔ mmere bi a, nneɛma te sɛ ganglion cysts (nsu ahyɛ mu ma), bone spurs (bone spurs), anaa varicose veins a ɛwɔ ankle area no betumi apia ntini no.
• Akuru anaa akisikuru: Akisikuru a ɛnyɛ nea epira te sɛ lipomas anaa akisikuru ahorow afoforo nso betumi ama nhyɛso aba ntini no ho.
• Ayaresa mu tebea afoforo: Eyi nso betumi afi aduruyɛ mu tebea horow bi a ɛwɔ hɔ nyinaa mu aba. Nhwɛsoɔ:
• `(hypothyroidism (thyroid ntini a ɛnyɛ adwuma) .
• `(Asikreyare)` (Asikreyare) .
• `(Ntini mu yare)` (Nkwaa a ɛyɛ hyew) .

Mpɛn pii no, ɛda adi sɛ nnipa a wɔde wɔn nan ne wɔn nansoaa di dwuma boro so no benya saa tebea yi. Sɛ nhwɛso no, sɛ wowɔ adwuma bi a ɛhwehwɛ sɛ wugyina hɔ da mũ nyinaa, anaasɛ woteɛteɛ w’apɔw mu anaa wutu mmirika pii da biara da a, asiane kɛse wom sɛ wobɛma wo ntini ayɛ wo yaw efisɛ wo nansoaa yɛ nhyɛso bere nyinaa.

Dɛn ne Tarsal Tunnel Syndrome ho sɛnkyerɛnne ahorow?

Wɔ tebea yi mu no, sɛnkyerɛnne atitiriw no fa ntini mu yaw ho. Mpɛn pii no, wɔte ɛyaw no nka kɛse wɔ nansoaa no mu ne nan ase. Wubetumi nso ahu sɛnkyerɛnne ahorow te sɛ:

• Nkate a ɛyɛ hyew
• Nnipa a wɔyɛ mmerɛw
• Tingling anaa “pins and needles” nkate ahorow
• Wo nan ntini mu mmerɛwyɛ

Mpɛn pii no, saa sɛnkyerɛnne ahorow yi betumi asɛe bere a wɔreyɛ apɔw-mu-teɛteɛ anaa bere a wɔawie no. Wɔ nnipa binom fam no, ɛyaw no betumi ayɛ kɛse mpo anadwo bere a wɔada no. Sɛ tebea no mu yɛ den anaasɛ atra hɔ akyɛ a, saa sɛnkyerɛnne ahorow yi betumi atra hɔ bere nyinaa. Fa no sɛ, sɛ wugyina hɔ ara mpo a, wo nan te nka, na sɛ wonam a, ɛyɛ wo yaw. Afei ɛbɛyɛ den sɛ wobɛyɛ da biara da nnwuma, ɛnte saa?

Ɔkwan bɛn so na wohu eyi?

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, ade a edi kan a ɛsɛ sɛ woyɛ ne sɛ wobɛkɔ oduruyɛfo nkyɛn. Oduruyɛfo no bebisa wo wo yare no ho sɛnkyerɛnne ahorow ho asɛm na afei wahwɛ wo nansoaa mu ahwɛ sɛ ebia ɛho ahonhon anaasɛ akuru bi wɔ hɔ anaa.

Nea ɛka ho no, oduruyɛfo no betumi ayɛ nhwehwɛmu ahorow pii nso, te sɛ:

• Tinel sɔhwɛ: Wɔ sɔhwɛ yi mu no, oduruyɛfo no bɔ wo tibial nerve no brɛoo. Sɛ wote ɛyaw anaa wo ho yɛ wo yaw biara bere a wobɔ so a, ebetumi ayɛ tarsal tunnel syndrome ho sɛnkyerɛnne.
• Electromyogram (EMG): Eyi yɛ sɔhwɛ a ɛwɔ afã abien. Ɛde anyinam ahoɔden di dwuma de susuw sɛnea wo ntini ne wo ntini ahorow reyɛ adwuma yiye no. Ebetumi aboa ma wɔahu sɛ ebia ntini bi asɛe anaasɛ ɛhyɛ abufuw.
• MRI scan: MRI de magnetic field ne radio asorɔkye yɛ ntini a ɛyɛ mmerɛw ne nnompe a ɛwɔ wo nipadua mu no ho mfonini a ɛkɔ akyiri. Eyi betumi aboa ma wɔahu sɛ ebia ntini no asɛe anaa biribi a ɛhyɛ ntini no so te sɛ akisikuru.

Ɔkwan bɛn so na wɔsa Tarsal Tunnel Syndrome?

Asɛmpa no ne sɛ nnipa dodow no ara betumi adi saa sɛnkyerɛnne ahorow yi so denam ayaresa a ɛnyɛ den a wobetumi ayɛ wɔ fie anaa ayaresa a ɛnyɛ nea wɔde hyɛ nipadua mu a oduruyɛfo akyerɛw ama wɔn no so.

Nneɛma a wubetumi ayɛ wɔ fie:

• Gye w’ahome: Sɛ wode wo nan home nna anaa adapɛn kakraa bi a, ebetumi aboa ma woasa opira no na asiw ɔsɛe foforo ano. Eyi kyerɛ sɛ wobɛtew mmirikatu ne ahuruhuruw so na woama wo nan ahome.
• Nsukyenee: Fa nsukyenee gu baabi a woapira no bɛyɛ simma 20 mpɛn pii da biara. Eyi betumi aboa ma ɔfe ne ɛyaw no so atew.
• Compression ne elevation: Wubetumi de elastic aduru anaa brace ahyɛ wo nan ase na ama woanya mmoa atwa wo nansoaa no ho ahyia. Afei nso, sɛ woma nan no kɔ soro sen koma no bere biara a ɛbɛyɛ yiye a, ebetumi aboa ma ɔfe no so atew.
• Nnuru a wɔde kum ɛyaw (NSAID): Nnuru a wɔde kum ɛyaw (NSAID) a wɔtɔn te sɛ ibuprofen betumi aboa ma ɛyaw ne ɔfe so atew. Nanso, ɛbɛyɛ papa sɛ wubebisa oduruyɛfo anaa nnuruyɛfo ansa na wode eyinom adi dwuma.

Ayaresa afoforo a oduruyɛfo betumi akamfo akyerɛ:

• Braces, Casts, anaa Splints: Sɛ wode cast anaa splint wo nan no ntumi nkɔ baabiara a, ebetumi aboa ma ntini no ayɛ yiye. Sɛ wo nan a ɛyɛ tratraa anaasɛ wo yare no ho sɛnkyerɛnne no mu yɛ den a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ fa aduru a wɔde hyɛ wo nan so na ama nhyɛso a ɛwɔ wo nan so no so atew.
• Orthotics: Wobetumi de mpaboa a wɔde hyɛ mu (orthotics) a wɔayɛ no sɛnea wɔpɛ ahyɛ wo mpaboa mu na aboa ma wo nan no anim akɔ so atra nea ɛwɔ hɔ. Eyi betumi aboa ma wɔatew kankyee dodow a ebetumi atwitwa ntini no so. Mpaboa a wɔhyɛ a ɛmma obi nkɔ fam na ɛma obi gyina pintinn yiye nso betumi aboa ma nhyɛso a ɛba ntini no so no so atew.
• Apɔw-mu-teɛteɛ: Apɔw-mu-teɛteɛ ho ɔyaresafo bɛkyerɛ wo apɔw-mu-teɛteɛ ne sɛnea wobɛtrɛw wo nan mu a ebetumi aboa ma wo nan ahoɔden ne baabi a wubetumi akanyan no atu mpɔn.
• Steroid a wɔde twitwiw wo mu: Nea ɛbɛyɛ na ɛyaw ne ɔfe so atew no, wo duruyɛfo betumi akyerɛw wo steroid nnuru a wɔde bɛhyɛ wo nansoaa mu tẽẽ.

So ɛsɛ sɛ wɔyɛ me oprehyɛn wɔ Tarsal Tunnel Syndrome ho?

Mpɛn pii no, sɛ ayaresa afoforo anyɛ yiye nkutoo a oduruyɛfo besusuw oprehyɛn ho. Oprehyɛn ahorow wɔ hɔ a wɔde gyae tibial nerve no anaasɛ wɔde trɛw tarsal tunnel no mu. Sɛ biribi te sɛ akisikuru remia ntini no a, oduruyɛfo a ɔyɛ oprehyɛn no beyi afi hɔ.

Nanso kae sɛ ɛnyɛ obiara na ɛsɛ sɛ wɔyɛ no oprehyɛn. Mpɛn pii no, ayaresa a wɔnyɛ oprehyɛn betumi ama ahotɔ pa.

Wobɛyɛ dɛn asiw Tarsal Tunnel Syndrome ano?

Ɔkwan biara nni hɔ a wɔbɛfa so asiw eyi ano 100%. Nanso, nneɛma kakraa bi wɔ hɔ a wubetumi ayɛ de atew asiane a ɛwɔ hɔ no so:

• Gye w’ahome sɛnea ɛsɛ bere a woreteɛteɛ w’apɔw mu no: Kwati opira a wode di dwuma boro so denam nhyɛso a wode bɛhyɛ wo nan so bere nyinaa no so.
• Teɛ wo nan ne wo nansoaa mu daa: Eyi boa ma wo ntini ne wo ntini ahorow no yɛ mmerɛw.
• Ma wo ho yɛ hyew yiye ansa na woateɛteɛ w’apɔw mu: Siesie wo nipadua no nkakrankakra, sen sɛ wubefi apɔw-mu-teɛteɛ a emu yɛ den ase prɛko pɛ.
• Hyɛ mpaboa a ɛfata wo nan na ɛwɔ mmoa: Kwati sɛ wobɛhyɛ mpaboa a ɛyɛ den anaasɛ ɛnyɛ den.

Tarsal Tunnel Syndrome betumi atra hɔ bere tenten ahe?

Ɛtɔ mmere bi a, sɛnkyerɛnne ahorow no betumi afi hɔ koraa bere a wɔasa nea ɛde ba no. Sɛ nhwɛso no, sɛ ɛyɛ ``Bone spur`` anaa ``Lipoma`` na ɛde ba a, saa ayaresa no betumi aboa ma sɛnkyerɛnne no akɔ.

Nanso, ɛsɛ sɛ nnipa dodow no ara de saa sɛnkyerɛnne ahorow yi tra ase kyɛ, na ɛno kyerɛ sɛ ɛsɛ sɛ wodi sɛnkyerɛnne ahorow no ho dwuma. Titiriw sɛ wowɔ tebea bi a enni sabea te sɛ `(Arthritis)` a, `(Tarsal Tunnel Syndrome)` yɛ nea ɛnyɛ den koraa sɛ wɔbɛsa koraa.

So Tarsal Tunnel Syndrome betumi anya nkɛntɛnso a ɛtra hɔ kyɛ?

Yiw, sɛ wɔansa a, tarsal tunnel syndrome betumi asɛe ntini no daa. Sɛ ntini no sɛe pɛ a, ebia wɔrentumi nsan. Ebetumi ama ayɛ den ama wo sɛ wobɛnantew, ateɛteɛ w’apɔw mu, na woayɛ da biara da nnwuma mpo.

Nea eye ne sɛ, sɛ wɔsa no yiye a, wobetumi adi `(Tarsal Tunnel Syndrome)` ho sɛnkyerɛnne ahorow no so yiye. Sɛnea ɛbɛyɛ a nea eye sen biara afi mu aba no, ɛho hia sɛ wohwehwɛ ayaresa bere a yare no ho sɛnkyerɛnne afi ase ara pɛ. Ɛtɔ da bi a, egyina nea ɛde `(Tarsal Tunnel Syndrome) ba so,` ayaresa betumi asa tebea no koraa mpo.

Dɛn bio na ɛsɛ sɛ mibisa me duruyɛfo?

Sɛ wokɔ oduruyɛfo nkyɛn a, ɛbɛyɛ papa sɛ wubebisa nsɛm bi te sɛ eyinom:

• Dɛn ne ade titiriw a ɛmaa minyaa Tarsal Tunnel Syndrome?
• So apɔw-mu-teɛteɛ a wɔyɛ wɔ fie betumi atew nan mu yaw so?
• Ayaresa ahorow bɛn na mewɔ?
• Bere bɛn na ɛsɛ sɛ wususuw oprehyɛn a wɔbɛyɛ ama Tarsal Tunnel Syndrome ho?
• Dɛn na ɛsɛ sɛ meyɛ na amma saa sɛnkyerɛnne ahorow yi ansan amma bio bere a wɔasa me yare no?

Tebea afoforo bɛn na ɛwɔ sɛnkyerɛnne a ɛte sɛ `(Tarsal Tunnel Syndrome)`?

Nan mu tebea afoforo bi betumi anya sɛnkyerɛnne ahorow a ɛte sɛ Tarsal Tunnel Syndrome de no. Enti, ɛho hia sɛ wokɔ oduruyɛfo nkyɛn na ama wɔahu yare no yiye na wɔasa no yare. Tebea horow bi a ɛwɔ sɛnkyerɛnne a ɛte saa ara ni:

• Bursitis a ɛma obi nya ɔyare
• `(Compartment syndrome)`
• `(Plantar fasciitis)` (ntini bi a ɛwɔ nan ase a ɛyɛ hyew) .
• `(Ntini mu yare)` (Ntini mu yare) .

Nea etwa to no, nneɛma a ɛsɛ sɛ wokae (Take-Home Message) .

Tarsal Tunnel Syndrome yɛ tebea a ɛka wo nan ne wo nansoaa. Ɛba bere a tibial nerve no asɛe no. Mpɛn pii no, opira a wɔde di dwuma boro so na ɛde ba.

Nanso mma ɛnhaw wo! Nnipa pii betumi anya ahotɔ afi Tarsal Tunnel Syndrome ho sɛnkyerɛnne ahorow no mu denam ayaresa a ɛnyɛ oprehyɛn so. Ebia wo duruyɛfo bɛkyerɛw nnuru, steroid injections, anaa orthotics a ɛfata wo. Ebia ɛho behia sɛ wɔyɛ oprehyɛn wɔ nsɛm a emu yɛ den mu.

Ade a ɛho hia sen biara ne sɛ wobɛhwehwɛ aduruyɛ mu afotu bere a yare no ho sɛnkyerɛnne afi ase ara pɛ. Saa kwan no so no, wubetumi afi ayaresa a ɛfata ase ntɛm na woasiw tebea no ano. Hwɛ wo nan so yiye!

` Tarsal tunnel syndrome, nansoaa mu yaw, nan mu yaw, ntini mu nhyɛso, tibial ntini, nan a ɛyɛ mmerɛw, nansoaa mu yare