I ke kephah pawh na i nei em? Hei hi PTTD (Posterior Tibial Tendon Dysfunction) vang a ni thei.

I ke chhungril lam, a bik takin i ke ruh, hla vak lo i kal emaw, stairs i chhoh emaw hian na i nei em? I arch chu a pianzia a bo zauh zauh a, i ke chu a flat deuh mai thei em? Heng symptoms te hi thil pangngai mai a ni lo. Vawiin hian hei hi a hnuaia awm thei Posterior Tibial Tendon Dysfunction tih condition kan sawi dawn a ni. Hei hi thumal pawi deuh mahse, awlsam takin i hrethiam ang u.

Posterior Tibial Tendon Dysfunction (PTTD) hi eng nge ni tak tak?

A awlsam zawngin, tendon hi tissue band chak tak, ruh leh ruh inzawmkhawmtu a ni. Chutiang tendon bik pakhat chu Posterior Tibial Tendon hi a ni. Calf muscle atanga tan a ni a, ke ruh chhungah a tlan a, ke lai takah ruh pakhatah a inzawm a ni.

A hna ber chu kan ke arch thlawp hi a ni . Kan kal emaw, kan tlan emaw, kan zuang emaw hian kan ke ruhte chawi sang tura min puitu pawh a ni.

Tunah chuan PTTD chu a chunga kan sawi tak ligament a lo hring emaw, a lo hring emaw a nih chuan a ni. Chutiang a nih chuan ligament hian ke curve chu a support thei tawh lo. Chuvang chuan ke curve chu a bo zauh zauh a, chu chuan ' flat foot ' tih dinhmun a siam ta a ni. Hetiang dinhmun hi puitlingah chuan ke a flat chhan ber nia ngaih theih a ni.

He natna hi a tlangpuiin stage lian paliah a lo awm thin.

Engvangin nge hetiang dinhmun hi a lo awm?

I tlu nghal mai ang tih han ngaihtuah teh. Chutiang accident lian takah chuan he ligament hi a chhe thei a, a hring thei bawk. Chu bakah, hman tam lutuk pawh hi a chhan lian tak a ni. He risk hi high-pressure sports, tennis, football, basketball, leh long-distance runner te tan a sang zawk a ni. Ligament a hrual emaw, a hring emaw chuan ke ruh curve chu zawi zawiin a tlakbuak tan thin.

Chu bakah, risk factor dang engemaw zat a awm bawk :

• Thau lutuk: Taksa rihna sang chuan kea pressure a tisang a.
• Thisen sang (Hypertension) 1.1.
• Zunthlum
• Steroid damdawi hman dan
• Chumi hmuna surgery hmasa berte
• Arthritis natna Reiter’s syndrome ang chi te
• Kea chakna nasa tak pe thei thiltih, tlang chunga tlan chhoh ang chi te
• He sam hi kum upat deuh deuh hian a pianphungah a chak lo (a bik takin hmeichhia kum 40 chunglam ah ).

Nang pawhin heng symptoms te hi i nei ve em? PTTD natna lan chhuah dan

Chu bakah, heng symptoms te hi a lang thei bawk:

• Ke arch chu a bo a, a flat ta a ni.
• Kekawr bul chunga ding thei lo.
• Lei inthlau takah kal harsa.
• Stairs chho leh chhuk harsa.
• Ke pakhatah pheikhawk bun dan a danglam.
• Ankle chhung lam hawia rolling.
• Ke flat hian ke ruh pawn lam pressure a siam thei bawk a, chutah pawh chuan natna a thlen thei bawk.
• Ke leh ke ruhte chu pawn lam hawiin a inher tan ta.

Engtin nge doctor chuan hei hi PTTD a nih leh nih loh a finfiah theih ang?

Doctor i pan hunah i natna lan chhuah dan a zawt hmasa ang che a, i ke leh ke ruh uluk takin a enfiah ang. Ke leh ke ruh surgeon hnenah pawh refer i ni thei bawk.

A tlangpuiin test engemaw zat chu hetiang hian an ti thin:

• Single-Leg Heel Raise Test: Hetah hian i hnungzang chu bang chungah nghatin ding turin an ti ang che a, i ke tha tak chu chawi sang la, i ke natna chu ke ruhte nen chawi sang turin an ti ang che. A tlangpuiin hetiang i tih hian heel hi chhung lam hawiin a roll ang. A nih loh chuan PTTD chhinchhiahna a ni thei. Natna stage hnihnaah chuan vawi khat pawh hetiang hi i ti thei lo mai thei.
• "Too many toes sign": Hei hi doctor in i hnungah a ding a, i ke a en thinna hmun a ni. A tlangpuiin hnunglam atanga mi i en hian a ke ruh te tak te leh a piah lam ke ruh hmun tlemte chauh i hmu thei. Mahse, PTTD vei pakhat kephah chu a flat a, a ke ruh chu pawn lam a hawi avangin a hnungah chuan a ke ruh chu a pangngai aia tam a lang.

Heng test bakah hian i doctor chuan X-ray, MRI, Ultrasound, emaw CT scan ang chi test te pawh a rawt thei a, chu chuan a natna chu a finfiah thei a, a chhiatna a thlen nasat dan a zirchiang thei bawk.

Hei hi eng enkawlna nge ni?

A tha ber chu he natna hi hriat hmasak hi a ni . Tichuan non-surgical hmanga enkawl theihna chance a sang zawk. I doctor chuan i symptoms nasat dan a zirin enkawl dan tur a rel ang.

Surgery hmanga enkawlna ni lo

Inzai

Thla 6 vel non-surgical treatment hnua natna a reh loh chuan i doctor chuan surgery a ngaihtuah thei ang. Surgery dik ber chu natna awmna hmun leh ligament chhiatna zau zawngah a innghat ang. Chung zinga ṭhenkhat chu:

• Tenosynovectomy: Tendon chhehvela tissue inflamed te lakchhuah leh tihfai.
• Osteotomy: Heel ruh siam thar leh.
• Tendon transfer: Taksa peng dang atanga tendon hrisel section pakhat lak a, tendon chhiaah dah luh .
• Arthrodesis: Ruh pahnih emaw a aia tam emaw inzawmkhawmin ruh natna hmuna chetna tihtawp a ni.

Eng chen nge a dam theih ang?

PTTD hi natna hrehawm tak a ni. A dam kim theih nan thla engemaw zat a ngai thei. He damna hun chhung hian i nitin nunphung i tihdanglam a ngai ang a, i nun pangngaia i kir leh hmain i fimkhur hle ang . Doctor thupek dik taka zawm a pawimawh hle.