Ðe wòle veve sem le wò afɔkpodzi ƒe akpa si le eme alo wò afɔ ƒe gɔmea? Ate ŋu anye Tarsal Tunnel Syndrome!

Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be yeƒe afɔkpodzi ƒe akpa si le eme alo yeƒe afɔkpodzi le ƒoƒom, ƒoƒo, alo dzobibia ? Àte ŋu ase le ɖokuiwò me hã be yeƒe afɔ le ʋuʋum alo yeƒe lãmekawo gbɔdzɔ vie. Mègabu dzesi siawo be wonye ŋutilã me vevesese ko o. Dzesi siawo ateŋu anye nɔnɔme si woyɔna be `(Tarsal Tunnel Syndrome)`. Eyata, mina míaƒo nu tso esia ŋu tsitotsito vie egbea, alo?

Nukae nye Tarsal Tunnel Syndrome ƒe Dɔléle?

Kpuie ko la, Tarsal Tunnel Syndrome nye dɔléle si tso Tibial nerve si le wò afɔkpodzi ƒe gbegblẽ alo eƒe nutete gbɔ. Tibial nerve la le wò afɔkpodzi ƒe eme, le mɔ sue aɖe si wotsɔ ƒu kple lãkusiwo wɔ me. Woyɔa esia be Tarsal Mɔdodo. Eɖi Carpal Tunnel Syndrome si tsoa lãmeka aɖe si toa wò asibidɛ me ƒe nutete me.

Bu eŋu ale, abe alesi ne tsi ƒe pɔmpi xe la, tsia dzudzɔa sisi ene. Ne woƒo lãmeka sia la, edzudzɔa gbedasiwo ɖoɖo ɖe amewo nyuie. Ɣemaɣie nèdzea vevesese kple lãmetutudɔ si megblɔ va yi la sese gɔme.

Aleke gbegbee nɔnɔme sia bɔe?

Le nyateƒe me la, akɔntabubu aɖeke meli si tututu ku ɖe ame agbɔsɔsɔme si ŋu `(Tarsal Tunnel Syndrome)` le ŋu o. Ame geɖe mekpɔa dɔléle sia ƒe dzesi nyuie o. Ðewohĩ ɖeko woabui be afɔ ƒe kuxie. Ke hã, ele vevie be míaɖo ŋku edzi be esia ate ŋu adzɔ ɖe ame sia ame si xɔ ƒe ɖesiaɖe dzi.

Nukatae `(Tarsal Tunnel Syndrome)` sia dzɔna? Nukawoe gbɔ wòtsona?

Abe alesi míegblɔe va yi ene la, nɔnɔme sia dzɔna ne `(Tibial nerve)` gblẽ alo ƒoe ɖe enu le mɔ aɖe nu. Susu geɖewo li siwo ate ŋu akpɔ ŋusẽ ɖe esia dzi.

• Afɔ ƒe nɔnɔme: Woate ŋu adzi ame aɖewo kple afɔ gbadzawo alo aɖaka kɔkɔwo . Nɔnɔme siawo ate ŋu ana lãmekaa nate ŋu aƒoe ɖe enu madzemadzee.
• Nuveviwɔame: Afɔku abe afɔkpodzi ƒe ŋeŋe alo eƒe gbagbã ene ate ŋu aƒo lãmekaa nu ƒu. Wokpɔnɛ zi geɖe be amesiwo ade 2 le 5 ɖesiaɖe me siwo ŋu Tarsal Tunnel Syndrome le la xɔ abi le afɔkpodzi va yi.
• Tsitsi si mesɔ o: Ɣeaɖewoɣi la, nuwo abe ganglion cysts (cysts siwo me tsi yɔ fũu), bone spurs (ƒu ƒe spurs), alo varicose veins le afɔkpodzi ƒe akpa dzi ate ŋu aƒo lãmekaa.
• Dɔdzẽ alo tsitsi: Dɔdzẽ siwo megblẽa nu le ame ŋu o abe lipomas alo dɔdzẽ ƒomevi bubuwo hã ate ŋu ahe nyaƒoɖeamenu vɛ le lãmekaa gbɔ.
• Atikewɔwɔ ƒe nɔnɔme bubuwo: Esia ate ŋu atso atikewɔwɔ me nɔnɔme aɖewo siwo bɔ hã gbɔ. Le kpɔɖeŋu me:
• `(hypothyroidism (ʋumenugbagbeviɣidɔ si mewɔa dɔ nyuie o) .
• `(Suklidɔ)` (Suklidɔ) .
• `(Aƒunukpeƒetetedɔ)` (Ƒuƒuwo ƒe dɔléle) .

Zi geɖe la, amesiwo zãa woƒe afɔwo kple afɔkpodziwo fũu akpa la ate ŋu axɔ nɔnɔme sia. Le kpɔɖeŋu me, ne dɔ aɖe le asiwò si bia be nàtsi tre ŋkeke bliboa, alo ne èdea kame alo ƒua du geɖe gbesiagbe la, ke èle afɔku gã aɖe me be lãmeka aɖe naƒo wò elabena wò afɔkpodziwo le nyaƒoɖeamenu me ɣesiaɣi.

Nukae nye Tarsal Tunnel Syndrome ƒe dzesiwo?

Le nɔnɔme sia me la, dzesi vevitɔwo do ƒome kple lãmekawo ƒe vevesese. Zi geɖe la, afɔkpodzia ƒe akpa si le eme kple afɔkpodzia dzie wosea vevea le wu. Àte ŋu akpɔ dzesiwo hã abe:

• Dzobibi ƒe seselelãmewo
• Gbɔdzɔgbɔdzɔ
• Tingling alo “pins and needles” ƒe seselelãmewo
• Gbɔdzɔgbɔdzɔ le wò afɔ ƒe lãmekawo me

Zi geɖe la, dzesi siawo ate ŋu agblẽ ɖe edzi le kamedede me alo le kamedede vɔ megbe. Le ame aɖewo gome la, vevesesea ate ŋu asẽ ɖe edzi le zã me ne womlɔ anyi. Ne nɔnɔmea nu sẽ alo enɔ anyi ɣeyiɣi didi aɖe la, dzesi siawo ate ŋu anɔ anyi ɣesiaɣi. Bu eŋu kpɔ, wò afɔwo sena le wo ɖokui me be ne ètsi tre ko gɔ̃ hã, eye wòvea wò ne èle zɔzɔm. Emegbe gbesiagbedɔwo wɔwɔ va sesẽna, alo?

Aleke wokpɔa dɔléle sia dzea sii?

Ne dzesi siawo le ŋuwò la, nu gbãtɔ si wòle be nàwɔe nye be nàyi ɖɔkta gbɔ. Ðɔktaa abia nya wò tso wò dzesiwo ŋu eye emegbe wòado wò afɔkpodzi akpɔe ɖa be vuvu alo abi aɖe le eŋu hã.

Tsɔ kpe ɖe eŋu la, ɖɔkta ate ŋu awɔ dodokpɔ geɖe hã, abe:

• Tinel ƒe dodokpɔ: Le dodokpɔ sia me la, ɖɔktaa ƒoa wò afɔkpodzi ƒe lãmeka blewuu. Ne èse veve alo lãmetutudɔ aɖe ne èƒoe la, ate ŋu anye tarsal tunnel syndrome ƒe dzesi.
• Electromyogram (EMG): Esia nye dodokpɔ si me akpa eve le. Ezãa elektrikŋusẽ tsɔ dzidzea alesi wò lãmekawo kple lãmekawo le dɔ wɔm nyuie. Ate ŋu akpe ɖe ŋuwò nànya ne lãmeka aɖe gblẽ alo do dziku.
• MRI scan: MRI zãa magnet-ŋusẽ kple radio ƒutsotsoewo tsɔ wɔa lãkusi falɛfalɛ kple ƒu siwo le wò ŋutilã me ƒe nɔnɔmetata tsitotsito. Esia ate ŋu akpe ɖe mía ŋu míanya ne nu gblẽ le lãmekawo ŋu alo ne nane le tetem ɖe lãmekaawo ŋu, abe dɔdzẽ ene.

Aleke wodaa Tarsal Tunnel Syndromee?

Nya nyuiae nye be ame akpa gãtɔ ate ŋu aɖu dzesi siawo dzi to atike bɔbɔe siwo woate ŋu awɔ le aƒeme alo atike siwo ɖɔkta ŋlɔ na ame siwo mexɔa ame ƒe lãme o dzi.

Nusiwo nàte ŋu awɔ le aƒeme:

• Gbɔɖeme: Ne ègbɔ ɖe eme na wò afɔ ŋkeke ʋɛ aɖewo alo kwasiɖa ʋɛ aɖewo la, ate ŋu akpe ɖe ŋuwò nàda abi la eye wòagagblẽ nu le eŋu o. Esia fia be nàɖe duƒuƒu kple titri dzi akpɔtɔ eye nàna wò afɔ nagbɔ ɖe eme.
• Tsikpe: Tsɔ tsikpe sisi ɖe teƒe si nèxɔ abi la abe miniti 20 ene zi geɖe gbesiagbe. Esia ate ŋu akpe ɖe ame ŋu be wòaɖe abi kple vevesese dzi akpɔtɔ.
• Nutete kple kɔkɔme: Àte ŋu ado aŋetu alo akɔtaɖonu si te ŋu léa afɔkpodzia ɖe te. Azɔ hã, ne èna afɔa le dzia tame ɣesiaɣi si wòanya wɔ la, ate ŋu akpe ɖe ame ŋu be wòaɖe abi dzi akpɔtɔ.
• Vevesesenutsitikewo (NSAID): Vevesesenutsitike siwo womeƒlena le atikedzraƒe o, abe ibuprofen ene, ate ŋu akpe ɖe ame ŋu be vevesese kple dɔdzẽ dzi naɖe akpɔtɔ. Gake anyo wu be nàbia ɖɔkta alo atikewɔla hafi azã nusiawo.

Atikewɔwɔ bubu siwo ɖɔkta ate ŋu akafu:

• Akɔtaɖonu, Aŋenu, alo Aŋenu: Ne ètsɔ aŋenu alo aŋe si wotsɔ blaa wò afɔa la, ate ŋu akpe ɖe lãmekaa ŋu wòahaya. Ne wò afɔwo le gbadzaa alo ne wò dzesiwo nu sẽ la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàzã akɔtaɖonu be wòaɖe wò afɔ ƒe nyaƒoɖeamenu dzi akpɔtɔ.
• Atsyɔ̃ɖonuwo: Àte ŋu ado afɔkpa siwo wowɔ ɖe ɖoɖo nu (orthotics) ɖe wò afɔkpa me be wòakpe ɖe ŋuwò nàna wò afɔ ƒe akɔta nanɔ teƒea. Esia ate ŋu akpe ɖe ame ŋu be wòaɖe ʋuʋu si ate ŋu aƒo lãmekaa nu la dzi akpɔtɔ. Afɔkpa siwo ɖea afɔdzidede dzi kpɔtɔna eye wònana wòli ke nyuie dodo hã ate ŋu akpe ɖe ame ŋu be wòaɖe lãmekaa ƒe nyaƒoɖeamenu dzi akpɔtɔ.
• Lãmesẽnyawo gbɔ kpɔkpɔ: Lãmesẽdɔwɔla afia kamedede kple kekeɖenudɔwɔwɔ siwo ate ŋu akpe ɖe ŋuwò nàna wò afɔ ƒe ŋusẽ nanyo ɖe edzi eye wòate ŋu aʋuʋu nyuie wu.
• Steroid-tikewo dodo: Be nàɖe vevesese kple abi dzi akpɔtɔ la, wò ɖɔkta ate ŋu aŋlɔ steroid-tikewo na wò be nàno alo steroid-tikewo na wò ɖe wò afɔkpodzi tẽ.

Ðe wòhiã be woawɔ dɔ nam le Tarsal Tunnel Syndrome ta?

Zi geɖe la, ne dɔdamɔnu bubuwo do kpo nu ko hafi ɖɔkta abu amekoko ŋu. Amekoko aɖewo li be woaɖe asi le tibial nerve ŋu alo be woakeke tarsal tunnel la ɖe enu. Ne nane si le abe dɔdzẽ ene le lãmekaa tem la, amekolaa aɖee ɖa.

Gake ɖo ŋku edzi be menye amesiamee hiã be woawɔ dɔ na o. Le go geɖe me la, dɔdamɔnu siwo menye amekoko o ate ŋu ana gbɔdzɔe nyui nasu ame si.

Aleke nàwɔ axe mɔ ɖe Tarsal Tunnel Syndrome nu?

Mɔ aɖeke meli si dzi woato axe mɔ ɖe esia nu 100% o. Gake nu ʋɛ aɖewo li nàte ŋu awɔ atsɔ aɖe wò afɔkua dzi akpɔtɔ:

• Gbɔ ɖe eme nyuie ne èle kame dem: Ƒo asa na abi siwo nàzã fũu akpa to wò afɔwo tete ɖe edzi ɣesiaɣi me.
• Keke wò afɔwo kple afɔkpodziwo edziedzi: Esia kpena ɖe ŋuwò be wò lãmekawo kple wò lãkusiwo nate ŋu atrɔ.
• Do dzo nyuie hafi nàde kame: Dzra wò ŋutilã ɖo vivivi, tsɔ wu be nàdze kamedede sesẽ gɔme zi ɖeka.
• Do afɔkpa siwo asɔ na wò afɔwo eye woalé wo ɖe te: Ƒo asa na afɔkpa siwo me mekɔ o alo esiwo mesɔ nyuie o dodo.

Ɣeyiɣi didi kae Tarsal Tunnel Syndrome ate ŋu anɔ anyi?

Ɣeaɖewoɣi la, dzesiawo nu yina keŋkeŋ ne woda nusi gbɔ wòtso. Le kpɔɖeŋu me, ne ``Bone spur`` alo ``Lipoma`` gbɔe wòtso la, ema dada ateŋu akpeɖe dzesiawo ŋu be woadzo.

Gake ele be ame akpa gãtɔ nanɔ agbe kple dzesi siawo ɣeyiɣi didi, si fia be ele be woakpɔ dzesiawo gbɔ. Vevietɔ ne dɔléle aɖe si nɔa anyi didi abe `(Arthritis)` le ŋuwò la, `(Tarsal Tunnel Syndrome)` la, anɔ bɔbɔe vie be woadae keŋkeŋ.

Ðe Tarsal Tunnel Syndrome ate ŋu agblẽ nu le ame ŋu ɣeyiɣi didia?

Ẽ, ne womewɔ atike na tarsal tunnel syndrome o la, ate ŋu agblẽ nu le lãmekawo ŋu tegbee. Ne lãmekawo nya gblẽ ko la, ɖewohĩ womate ŋu atrɔe o. Ate ŋu ana azɔlizɔzɔ, kamedede, kple gbesiagbedɔwo wɔwɔ gɔ̃ hã nasesẽ na wò.

Dzɔgbenyuietɔe la, ne woda dɔ nyuie la, woate ŋu aɖu `(Tarsal Tunnel Syndrome)` ƒe dzesiwo dzi nyuie. Be nu nyuitɔ nado tso eme la, ele vevie be nàdi atike ne dzesiawo dze egɔme ko. Ɣeaɖewoɣi la, le nusi gbɔ `(Tarsal Tunnel Syndrome) tso nu,` atikewɔwɔ ate ŋu ada nɔnɔmea keŋkeŋ gɔ̃ hã.

Nukae wòle be magabia nye ɖɔkta?

Ne èyi ɖɔkta gbɔ la, anyo be nàbia nya aɖewo abe esiawo ene:

• Nukae nye nu vevitɔ kekeake si na Tarsal Tunnel Syndrome va dze dzinye?
• Ðe kamedede le aƒeme ate ŋu aɖe afɔ ƒe vevesese dzi akpɔtɔa?
• Atikewɔwɔmɔnu kawoe le asinye?
• Ɣekaɣie wòle be nàbu amekoko na Tarsal Tunnel Syndrome ŋu?
• Nukae wòle be mawɔ be dzesi siawo nagagadzɔ le atikewɔwɔ vɔ megbe o?

Nɔnɔme bubu kawoe ƒe dzesiwo sɔ kple `(Tarsal Tunnel Syndrome)`?

Afɔ ƒe nɔnɔme bubu aɖewo ate ŋu akpɔ dzesi siwo sɔ kple Tarsal Tunnel Syndrome tɔ. Eyata ele vevie be woayi ɖɔkta gbɔ be woakpɔ dɔlélea nyuie ahadae. Nɔnɔme aɖewo siwo ƒe dzesiwo sɔ kple wo nɔewoe nye esi:

• Bursitis ƒe dɔléle
• `(Aƒeme ƒe dɔléle)`
• `(Plantar fasciitis)` (dɔdzẽ si le lãkusi aɖe si le afɔkpodzi ŋu) .
• `(Aɖuɖɔtoedɔ)` (Aɖuɖɔtoedɔ) .

Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Tarsal Tunnel Syndrome nye dɔléle si gblẽa nu le wò afɔ kple afɔkpodzi ŋu. Edzɔna ne tibial nerve la gblẽ. Zi geɖe la, abi siwo woxɔna le eŋudɔwɔwɔ fũu akpa gbɔe wòtsona.

Gake mègatsi dzi o! Ame geɖe ate ŋu akpɔ gbɔdzɔe tso Tarsal Tunnel Syndrome ƒe dzesiwo me ne wozã atike siwo menye amekoko o. Wò ɖɔkta ate ŋu aŋlɔ atike, steroid-tike, alo ɖɔɖɔɖotike siwo sɔ na wò. Ðewohĩ ahiã be woawɔ dɔ na ame le dɔléle sesẽwo me.

Nu vevitɔe nye be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo ne dɔlélea ƒe dzesiwo dze egɔme ko. To mɔ sia dzi la, àte ŋu adze atikewɔwɔ nyuitɔ gɔme kaba eye nàxe mɔ na nɔnɔmea be wòagagblẽ ɖe edzi o. Lé be na wò afɔwo!

` Tarsal tunnel syndrome, afɔkpodzi ƒe vevesese, afɔ ƒe vevesese, lãmekawo ƒe tete, tibial nerve, afɔ ƒe ʋuʋu, afɔkpodzi ƒe dɔléle