Kei te mamae anō hoki te taha o roto o tō waewae? Me ako tātou mō te (Posterior Tibial Tendonitis) me te (Posterior Tibial Tendon Dysfunction)!

He mea tino nui ō tātou waewae e whakamahia ana e tātou i te rā roa, hei tautoko i tō tātou taumaha katoa, tika? Engari i ētahi wā ka mamae pea ēnei waewae. Kua kite koe i te mamae o roto o tō waewae, tata ki tō pona waewae? Tērā pea ka piki ake tēnei mamae ina hikoi koe, ina oma, ina piki arawhata rānei. He tokomaha te hunga kāore pea e aro nui ki tēnei, e whakaaro ana, "Ka pai i roto i ētahi rā." Engari ki te haere tonu tēnei, ka nui ake te kino. I tēnei rā ka kōrero tātou mō tētahi āhuatanga ka pā mai ai te mamae o te waewae.

He aha te mate pukupuku o te uaua tibial o muri?

He whakarāpopototanga noa iho, ko te Posterior Tibial Tendonitis he mumura, he pupuhi rānei o te Posterior Tibial Tendon, e tautoko ana i te āwhata o tō waewae, e āwhina ana hoki i a koe ki te piko i tō waewae. E kiia ana hoki ko te Posterior Tibialis Tendon .

Tērā pea kei te whakaaro koe he aha te uaua . He kiko kaha, he rite ki te taura te uaua e hono ana i ō tātou uaua ki ō tātou wheua. Nō reira, ko te uaua tibial o muri te mea e hono ana i te uaua o tō tātou waewae o raro ki ngā wheua kei roto o tō tātou waewae.

Ina mumura tēnei uaua, ka pāngia pea koe e te mamae me te kikī i te āwhata o tō waewae, i te taha o roto o tō waewae, i tō pona rānei. Ko te mumura o tēnei uaua e kiia ana i roto i te rongoā ko te tendinitis . Ka taea te wā poto (whakapeka) te wā roa rānei (mau tonu).

Ki te haere tonu te posterior tibial tendinitis, arā, ki te roa te wā e kore e ora, ka ngoikore haere te uaua, ka tīmata te pakaru. Ka kiia tēnei āhuatanga ko te tendinosis . Ko tēnei posterior tibial tendinosis te mea e arahi ana ki tētahi āhuatanga e kiia nei ko te Posterior Tibial Tendon Dysfunction (PTTD) .

Nā, he aha te ngoikore o te uaua tibial o muri (PTTD)?

Ka puta te ngoikore o te uaua tibial o muri (PTTD) ina pakaru te uaua, ā, ka ngoikore nā te mate pūmau o te uaua tibial o muri i whakahuatia i mua ake nei. Ina ngoikore te uaua, kāore e taea e ia te tautoko i te āwhata o tō waewae.

E mōhio ana koe ki te take o tēnei? Ka tīmata ō waewae ki te papatahi, ā, ka tīmata ō pona ki te huri ki roto. Tērā pea ka ngoikore rawa ō pewa me ō pona, inā koa ka ngana koe ki te hiki i ō rekereke. Ki te haere tonu tēnei āhuatanga, ka kino haere.

Ka tapaina hoki tēnei āhuatanga e ngā tākuta ko te Posterior Tibial Tendon Insufficiency (PTTI) . Ko te PTTD te tino take o te whanaketanga o te waewae ngoikore (PCFD), he āhuatanga i mōhiotia i mua ko te waewae papatahi kua riro mai i te pakeke, ko te "fallen arch " rānei.

Whakaarohia, ina hinga te āwhata o tō waewae, ka rerekē te āhua o te pa o tō waewae ki te whenua ina hikoi koe, ā, nō reira, ka rerekē te āhua o tana pikaunga taumaha. Ka taea e tēnei te kino i ētahi atu wāhanga o tō waewae, pērā i ngā hononga, ā, i te mutunga ko te kiriuhi.

He aha ngā wāhanga o tēnei mate? (Ngā Wāhanga o te Posterior Tibial Tendinopathy)

Ka whakarōpūhia tēnei e ngā tākuta ki ētahi wāhanga i runga i tō āhua:

• Wāhanga 1: He tendonitis ngawari tēnei, he tenosynovitis rānei (he pupuhi o te anga e karapoti ana i te uaua). Kāore he huringa nui i roto i te hanganga o tō waewae. Ka taea tonu e koe te hiki i tō rekereke, engari tera pea ka pāngia koe e te mamae i te wā e mahi ana koe i tēnā.
• Wāhanga 2: I tēnei wā, kāore e taea e koe te hiki i tō rekereke. E whakaatu ana ngā hihi-X kua hinga tō āwhata, engari kei te ngāwari tonu, kāore hoki i te pakari. Tērā pea kua tīmata te horapa haere o ō matimati . (E kiia ana tēnei e ngā tākuta ko te tohu "he maha rawa ngā matimati" . Ko te tikanga tēnei, ina titiro koe ki tō waewae mai i muri, ka kitea e koe he maha atu ngā matimati i tō tikanga.)
• Wāhanga 3: Kua tino hinga tō āwhata, kua pakari hoki. Kei te anga whakaroto ō matimati me ō rekereke. Tērā pea kei te whakaatu koe i ngā tohu o te mate rumatiki i te hononga subtalar i muri o tō waewae.
• Wāhanga 4: Kei te kitea katoatia ngā tohu i runga ake nei i tēnei wā. E whakaatu ana hoki ngā hihi-X kua nekehia te hononga deltoid me te wheua talus i roto i tō pona waewae. Tērā pea he tohu o te rumatiki i roto i tō hononga pona waewae.

He aha ngā tohu?

Ina pāngia koe e te Posterior Tibial Tendonitis, ka mamae koe i te ara e rere ana te uaua, mai i te tuara o te pona ka rere ki raro i te taha o roto o te waewae, tae noa ki te tuara o te koiwi e tū mai ana i mua o te āwhata.

Ka pāngia pea tēnei mamae i te wā e hikoi ana, e oma ana, e piki arawhata ana rānei, inā koa i muri i ngā mahi pēnei i te hikoi, te oma, te piki arawhata rānei. I te tīmatanga, ka noho pōturi pea te mamae. Engari i te kino haere o te āhua, ka nui haere te mamae.

Ko ētahi atu tohu o te tendinitis tibial posterior ka uru atu ki:

• Te pupuhi i te taha o te uaua, inā koa i te taha o roto o te pona waewae.
• Te mamae ina pēhia ki te ringa, ina koa i te piko o te waewae.
• Te ngoikore o te waewae, o te pona rānei, ina koa i te wā e "peke atu ana".

Ina huri te mumura o te uaua ki te mate uaua, ka uaua ake pea te whakamahi i tō waewae, ā, ka horapa pea te mamae. Ā tōna wā, ka kite pea koe i ngā huringa ā-tinana o tō waewae pēnei i:

• Te hinganga o te āwhata (waewae papatahi).
• Te hurihuri o te pona waewae ki roto.
• Te rekereke me te/ranei te mātiti e anga whakaroto ana.

Koinei ngā tohu o te ngoikore o te uaua tibial posterior (PTTD).

He aha ngā take o tēnei? (Ngā Take o te Posterior Tibial Tendinitis)

Ko ngā whara te tino take o te mate pūkahukahu . Mō te mate pūkahukahu o ngā waewae, ko ngā whara e pāngia ana e te taumahatanga auau te mea tino kitea. Ahakoa he kaitākaro tātou, he kaitākaro rānei, ka whakamahia tonutia ō tātou waewae.

Ina nui rawa te whakamahinga o tētahi uaua, ka pēhia, ka pakaru ngā muka ngawari. Ka roa te wā e ora ai ēnei. Ko te pupuhi he tohu kei te ngana ia ki te ora. Engari ki te kore koe e tuku i te wā ki te ora, e kore e ora.

I ētahi wā, ka pakaru pea tō uaua tibial o muri (whara tere) nā te whara ohorere, pērā i te aituā hākinakina, te pona rānei kua piko. Ki te kore tēnei pakaru e ora katoa, ka noho te mumura rangitahi (mumura tere) hei mate mau tonu.

I ētahi wā, ki te mea he rerekē tō hikoi haere, ka pāngia pea te uaua e te taumahatanga auau. Hei tauira, ki te huri tō waewae ki roto, ki waho rānei, ki te mea he papatahi ō waewae, he teitei rānei ō pewa, ahakoa te hikoi noa, ka pēhia pea te uaua.

He aha ngā āhuatanga mōrearea?

He maha ngā āhuatanga mōrearea ka whai wāhi ki te taumahatanga me te pupuhi o tō uaua:

• Te ngoikore o te waewae, o te pona rānei nā ngā pokanga, ngā whara rānei o mua.
• Ko te whai wāhi atu ki ngā hākinakina kaha te pānga, engari kāore he tikanga pai, ka kiia ko te whakangungu nui rawa.
• Te tū mō te wā roa, kāore he hu tautoko pai. Whakaarohia ko ētahi mahi me tū mō te rā katoa (hei tauira, ngā kaiako, ngā kaimahi toa). He nui ake te mōrearea o ēnei tāngata mēnā kāore e tika ā rātou hu.
• Te kawe i te taumaha nui rawa i a koe e hikoi ana. Arā, ka pāngia hoki tēnei e te momonatanga .
• He rerekē ngā waewae, te āhua rānei o tā rātou hikoi mai i te tīmatanga.
• Kei te pāngia te waewae e te osteoarthritis o mua.
• Kei a koe tētahi mate mumura o ngā hononga honohono e pupuhi ai ngā hononga, pērā i te mate rumatiki .
• Ko te Tenosynovitis he mumura o te kiriuhi synovial e karapoti ana i tō uaua.

Me pēhea te hurihanga o te tendinitis hei PTTD?

He rite tonu te mumura o te uaua ki te mate pukupuku me te mate pukupuku o te uaua ki tētahi porowhita kino. Ka ngoikore te uaua i te mumura mau tonu, ka ngawari ake te whara. Ka ngoikore haere te uaua i ngā whara maha, ā, ka haere tonu te mumura.

I te ngaronga o te whai huatanga o te uaua, me whakakī e ētahi atu hanganga o tō waewae me tō pona te āputa. Mā tēnei pēhanga tāpiri ka ngoikore haere aua hanganga, ka whakahokia te taumahatanga ki runga i te uaua.

He aha ngā raruraru ka puta i roto i tēnei āhuatanga?

Ka taea e te mate pūkahukahu tibial posterior te whakaora mā te okioki me te wā. Heoi, ki te roa te mate pūkahukahu, ka tīmata pea he huringa o te pirau kiko. I te mutunga, ka arahi pea ki te ngoikore o te uaua tibial posterior (PTTD).

Ka taea e te ngoikore o te uaua tibial o muri te whakapōturi haere i te āwhata o tō waewae ( te takahi haere o te waewae, te PCFD , te waewae papatahi rānei kua riro i te pakeke ). Ka taea e tēnei te arahi atu ki ētahi atu raruraru.

Ina hikoi koe i runga i ngā waewae papatahi, ka neke ngā hononga, ā, ka mutu, ka neke ngā wheua o tō waewae i te wāhi tika. Ka puta ake ngā hapa o te waewae. Ka pēhia ō hononga e ēnei hapa, ka arahi pea ki te mate rumatiki o te waewae me te pona.

Ko tētahi atu raruraru pea ko te pakaru katoa o te uaua. Nā te ngoikore haere o te uaua, he nui ake te tūponotanga ka pakaru katoa me te whara ohorere. Me pokanga te uaua kua pakaru katoa hei whakatika.

Me pēhea te tautuhi a ngā tākuta i tēnei?

Ka kitea pea ngā āhuatanga e pā ana ki tō uaua tibial posterior (tendinopathy) mā te whakamātautau tinana. Ka tirohia e te tākuta tō waewae me tō pona i a koe e tū ana, e neke ana hoki i tō waewae i ngā huarahi rerekē.

Ka whāwhā rātou i te uaua kia kite ai mēnā kei te pupuhi, ka pēhi atu kia kite ai mēnā kei te mamae. Kātahi ka mahi pea rātou i ngā whakamātautau whakaahua, pērā i te hihi-X , te ultrasound rānei, kia tirohia ai tō āhua.

He aha ngā maimoatanga?

I ngā wā tōmua, ka taea te rongoā i te posterior tibial tendonitis mā te whakamahi i ngā maimoatanga māmā pēnei i te okioki, te hukapapa, me ngā rongoā ka taea te hoko kore utu. I ngā wā tino kino, ka hiahiatia pea he maka, he pūtu rānei mō ētahi wiki.

Ko ngā maimoatanga pūmau mō te PTTD ko te whakaora tinana me te whakamahi i ngā orthotics motuhake — ngā whakaurunga ka mau koe i roto i ō hu — hei whakaiti i te pēhanga ki te uaua ina hikoi koe. I ngā wā tino kino, me pokanga pea koe hei whakatika i tō waewae.

I ia wāhanga, ka tīmata ngā tākuta ki ngā maimoatanga māmā (kore pokanga) i te tuatahi. Ka whakaarohia e rātou ngā maimoatanga pokanga mēnā kāore ō tohumate e pai ake i muri i ētahi marama o ēnei maimoatanga.

Kia pēhea te roa o te wā e ora ai? (Te Wā Whakaora)

Ka taea e te mate tendinitis whakapeka te ora i roto i ētahi wiki. Heoi, ki te mea he mate tendinitis tōu me te ngoikore o te uaua, ka roa ake te wā. Mēnā he maimoatanga māmā noa iho, ka toru ki te whā marama pea te roa ki te ora katoa.

Ki te kore e whai hua te rongoā ā-pūmau i muri i ētahi marama, ka tūtohu pea tō tākuta i te pokanga. I muri i te pokanga, ka roa pea kia rua ki te whā marama anō kia ora ai tō uaua.

He aha te mea ka tupu mēnā kei a koe te PTTD? (Te Matapae)

Ko te tirohanga mō te PTTD e whakawhirinaki ana ki te taumata o tō mate me te momo maimoatanga e hiahiatia ana e koe. I ngā wāhanga tōmua o te mate, ka taea e te nuinga o te tangata te ora katoa mā te whakamahi i ngā maimoatanga māmā noa iho.

Mena ka pokangahia koe hei hanga anō i ngā wāhanga o tō waewae, he uaua ki te matapae i te putanga. He uaua pea te pokanga, ā, me mahi pea e koe neke atu i te kotahi te tikanga. Ahakoa i muri i te pokanga, ka roa pea ētahi pānga taha.

Ka taea te ārai i tēnei? (Te ārai)

Mā te āta tiaki kia kaua e tino pēhia ō uaua ka āwhina i te ārai i te mate pukupuku me te mate pukupuku. Ki te mōhio koe ka nui te mahi a ō waewae, kia mau hu tautoko , kātahi ka nui te okiokinga.

Ki te tīmata koe ki te mamae i tō uaua, me tiaki , me whakangāwari, ā, me tuku kia ora. Ki te mau tonu ngā tohu, me toro atu ki te tākuta. Māna koe e kī atu mēnā he mate uaua tōu, me te aha hoki te mahi.

Mena kua tāpaetia koe he mate tendinitis, he mate tendinosis rānei, he mea tino nui kia whai i ngā tohutohu a tō tākuta. Ki te kore e hoatu he wā ki tō uaua kia ora tika, ka roa noa iho ō tohu me te wā whakaora.

Hei whakamutunga, ngā mea hei maumahara

Ka puta te ngoikore o te uaua tibial o muri (PTTD) ina roa te mau o te tendinitis me te tendinosis. Tērā pea ētahi tāngata kāore e kite i ngā tohu i te tīmatanga. Engari ina pāngia koe e ngā tohu, he mea nui kia rongoātia.

He nui rawa te whakawhirinaki o tātou katoa ki ō tātou waewae, ā, i ētahi wā kāore tātou e whakaaro ki a rātou. Ina mamae te waewae, tera pea koe e whakaaro, "Āe, he mea noa iho tēnā ka pā ki a koe i te ao." Engari ka miharo koe ki te hiranga o te uaua iti o tō waewae.

He mea kaha ngā uaua, engari he puhoi te whakaora ina whara. Ki te kore e ora, ka memeha haere nā te pupuhi roa. Ki te kore e angitu tō uaua tibialis o muri, ka taea te hinga te hanganga katoa o tō waewae.

Ko te tino take, kia tino aro atu ki tō mamae . Mā te tere o te whiwhi i te maimoatanga tika mō te posterior tibial tendinitis me te posterior tibial tendon dysfunction, ka maeneene ake tō whakaoranga.

Ka roa pea te wā e ora ai, inā koa mēnā me pokanga koe. He mea whakarihariha te whakamutu i ngā mahi katoa nā te mea he uaua iti. Engari ki te taea e koe te whakaaro ki tēnei uaua iti hei āwhina i te mahi e mahia ana e ia māu i ia rā, ka āwhina i a koe.

` te mamae o te uaua tibial o muri, PTTD, mamae waewae, mamae pona, waewae papatahi, te mamae o te uaua, te ngoikore o te mahi a te uaua