Kodi chotupa chimawonekera kumbuyo kwa chidendene chanu ndipo chimapweteka? Tiyeni tiphunzire za Haglund's Deformity!

Lero tikambirana za chinthu chomwe anthu ambiri mwina ali nacho, koma sakudziwa bwino lomwe kuti ndi chiyani. Kodi muli ndi chotupa chaching'ono kumbuyo kwa chidendene chanu, komwe mtsempha waukulu womwe umadutsa kumbuyo kwa mwendo wanu (timautcha kuti Achilles tendon ) umalumikizana ndi fupa la chidendene, ndipo umamva ngati ukupweteka, makamaka mukamavala nsapato? Ngati ndi choncho, nkhaniyi idzakhala yofunika kwambiri kwa inu.

Kodi Kulephera kwa Haglund ndi chiyani?

Mwachidule, kufooka kwa Haagland ndi kukula kwa fupa kumbuyo kwa fupa la chidendene chanu (lomwe limatchedwanso calcaneus ), komwe tendon ya Achilles yomwe ndatchula kale imagwirira. Kunena zoona, ili ngati chotupa chaching'ono chomwe chimapanga pamwamba pa fupa. Chotupa ichi nthawi zina chimamveka ndikuwoneka tikachikhudza kuchokera kunja.

Ichi ndiye chifukwa chachikulu cha ululu. Makamaka mukavalira nsapato zolimba kapena nsapato zotchinga chidendene, ululu umawonjezeka pamene nsapato ikukankhira pa malo olumikizirana mafupa. Pakapita nthawi, kupanikizika kumeneku kungayambitse mavuto ena m'chidendene ndi phazi. Mwachitsanzo, matenda monga Achilles tendinitis ( kutupa kwa tendon ya Achilles) ndi heel bursitis (kutupa kwa thumba laling'ono lotchedwa bursa m'chidendene) angachitike.

Kawirikawiri imachiritsidwa ndi makapu a chidendene, zoyikamo mano, kusintha mtundu wa nsapato zomwe mumavala, ndi mankhwala ochepetsa ululu. Nthawi zambiri, opaleshoni sikofunikira kuti muchotse bunion. Komabe, anthu ena angafunike opaleshoni ngati mankhwala ena sachepetsa ululu ndi zizindikiro zina.

Kodi vutoli ndi lofala bwanji?

Kupunduka kwa Haagland kwenikweni ndi vuto lofala kwambiri . Komabe, n'zovuta kunena kuti ndi anthu angati omwe ali ndi vutoli. Chifukwa anthu ambiri ali ndi zizindikiro zochepa kwambiri, kapena mwina alibe zizindikiro konse. Chifukwa chake sangapite kwa dokotala ndikupeza motsimikiza kuti, "Ichi ndi kupunduka kwa Haagland."

Kodi zizindikiro za chilema cha Haglund ndi ziti?

Ngati muli ndi vuto la Haglund, mungakumane ndi zizindikiro monga:

• Kupweteka kwa chidendene: Ichi ndiye chizindikiro chachikulu.
• Chotupa kumbuyo kwa chidendene: Mungathe kuchimva ndi dzanja lanu, nthawi zina chotupa chomwe chimawoneka.
• Kutupa: Pakhoza kukhala kutupa mozungulira chotupacho.
• Kusintha kwa mtundu wa khungu: Khungu lomwe lili pamwamba pa mphuno likhoza kufiira kapena kusintha mtundu.

Nthawi zambiri, vuto limeneli lotchedwa Haglund's deformity limachitika mbali zonse ziwiri . Izi zikutanthauza kuti nthawi zambiri limayamba m'zidendene za miyendo yonse iwiri, osati m'modzi wokha.

Kodi n’chiyani chimayambitsa izi?

Madokotala sakudziwabe chomwe chimayambitsa vuto la Haglund. Kafukufuku wina wapeza kutiIkhozanso kukhala yobadwa nayo m'majini. Izi zikutanthauza kuti ngati wina m'banja mwanu ali nayo, pali mwayi woti inunso mungakhale nayo.

Kupatula apo, pakhoza kukhala zifukwa zina zingapo:

• Kupsinjika ndi kukwiya chifukwa cha nsapato: makamaka chifukwa chogwiritsa ntchito nsapato zolimba, zolimba, kapena zomwe zili ndi chidendene chosakwanira bwino.
• Kugwiritsa ntchito chidendene mopitirira muyeso: Anthu ngati othamanga amaika mphamvu zambiri pa zidendene zawo. Mwachitsanzo, anthu ena angamve ululu wamtunduwu akayamba ntchito yatsopano ndipo ayenera kuyimirira tsiku lonse, kapena akayamba kuthamanga koyamba.
• Mapazi ataliatali: Kapangidwe ka mapazi a anthu ena kangakhudzenso izi.
• Minofu yolimba ya Achilles: Ngati minofu ya Achilles ndi yofooka.
• Matenda ena oyenda: Mavuto ena okhudza momwe timayendera angakhudzenso izi.

Ndani ali pachiwopsezo chachikulu chotenga izi?

Ngakhale kuti aliyense akhoza kukhala ndi vuto la Haglund, anthu ena ali ndi mwayi waukulu wolipeza:

• Anthu omwe amavala nsapato zolimba komanso zopapatiza: makamaka zomwe zimakoka zidendene, monga nsapato zopingasa.
• Akazi: Matendawa amapezeka kwambiri mwa akazi kuposa amuna, mwina chifukwa cha mtundu wa nsapato zomwe amavala.
• Anthu omwe ali ndi vutoli m'banja mwawo: Chifukwa monga tanenera kale, likhoza kufalikira m'mibadwomibadwo.

Kodi dokotala amazindikira bwanji izi?

Mukapita kwa dokotala, iye adzakufunsani kaye za zizindikiro zanu, kenako adzakhudza chidendene chanu ndikuyang'ana ngati pali zotupa zilizonse. Izi zimatchedwa mayeso a thupi .

Kuphatikiza apo, ma X-ray angachitike kuti aone kukula kwa chotupacho komanso momwe fupa lilili bwino. Ma X-ray angagwiritsidwenso ntchito pofufuza mavuto ena a phazi kapena akakolo. Nthawi zina, ngati pakufunika opaleshoni, scan ya MRI (Magnetic Resonance Imaging) ingachitike opaleshoni isanachitike.

Kodi vuto la Haglund limachiritsidwa bwanji?

Pochiza chilema cha Haglund, dokotala nthawi zambiri amaganizira kwambiri kuchepetsa zizindikiro zanu ndikukupatsani mpumulo m'malo mochotsa chilemacho. Izi zitha kuphatikizapo chimodzi kapena zingapo mwa izi:

• Mankhwala Oletsa Kupweteka (NSAIDs) Omwe Amapezeka Pogula Mankhwala: Mankhwala monga paracetamol ndi ibuprofen angathandize kuchepetsa ululu ndi kutupa.
• Kuvala zidendene zanu mu chisanu: Kuvala zidendene zanu mu chisanu kwa mphindi 15-20 kangapo patsiku kungathandize kuchepetsa kutupa ndi ululu.
• Kugwiritsa ntchito nsapato zosiyanasiyana komanso zomasuka: Muyenera kusankha nsapato zomwe sizili zolimba pachidendene ndipo zili ndi chithandizo chabwino.
• Ma Orthotics: Izi ndi zophimba nkhope zapadera kapena makapu a chidendene omwe amaikidwa mkati mwa nsapato. Izi zitha kugulidwa ku pharmacy, kapena zitha kupangidwira mapazi anu ngati dokotala akulangiza.
• Kuchiza ndi thupi: Dokotala kapena katswiri wa zamaganizo adzakuphunzitsani masewera olimbitsa thupi ndi kutambasula kuti muwonjezere kusinthasintha kwa zidendene ndi akakolo anu. Ndikofunikira kwambiri kuchita izi molondola.

Ngati zizindikiro zanu zimatha ndi mankhwala osavuta ngati awa, mwina simungafunikire chithandizo china chilichonse.

Opaleshoni ya Haglund's Deformity

Opaleshoni siifunikira kawirikawiri chifukwa cha chilema cha Haglund.

Dokotala angalimbikitse opaleshoni pokhapokha ngati zizindikiro zazikulu zikupitirirabe ngakhale pali njira zina zonse zochiritsira. Opaleshoni imaphatikizapo kuchotsa mafupa owonjezera ndi minofu yotupa pachidendene. Anthu ambiri amatenga miyezi ingapo kuti achire bwino pambuyo pa opaleshoniyi.

Kodi ndingathe bwanji kuthana ndi zizindikiro zanga?

Chofunika kwambiri kuti muchepetse zizindikiro zanu ndikupewa momwe mungathere mitundu ya nsapato kapena zochita zomwe zimawonjezera ululu wanu.

Kufooka kwa Haagland nthawi zina kumatchedwa "pump bump." Izi zili choncho chifukwa chotupacho chimapanikizika komanso chimapweteka chikavalidwa mu nsapato zazitali, monga ma pump. Ngati mukudziwa nsapato zomwe zimakupangitsani kupweteka, pewani kuzivala momwe mungathere. Anthu ena sangavale mitundu ina ya nsapato, ngakhale zizindikiro zawo zitachepa kapena atachitidwa opaleshoni kuti achotse chotupacho.

Chofunika: Ngati dokotala wanu kapena katswiri wa masewera olimbitsa thupi akupatsani masewera olimbitsa thupi kapena kutambasula kuti muwonjezere kusinthasintha, yesani kuchita monga momwe akunenera, komanso kangapo kamene akunenera.

Kodi ndidzamva bwino msanga bwanji nditalandira chithandizo?

Anthu ambiri amachira pang'onopang'ono pakapita nthawi pothana ndi zizindikiro zawo ndikuchepetsa nsapato kapena kugwiritsa ntchito mopitirira muyeso zomwe zimayambitsa ululu.

Ngati muyenera kuchitidwa opaleshoni kuti muchotse chotupa, ululuwo udzachepa pang'onopang'ono pamene mukuchira pang'onopang'ono, mukuchira mphamvu, komanso mukutha kuyenda bwino. Izi nthawi zambiri zimatenga milungu ingapo mpaka miyezi ingapo.

Kodi chingachitike n’chiyani ngati ndili ndi vuto la Haglund?

Ngakhale mutakhala ndi vuto la Haglund, simuyenera kukhala ndi mavuto aakulu kwa nthawi yayitali . Mukaphunzira kuthana ndi zizindikiro zanu ndikusintha pang'ono pa moyo wanu watsiku ndi tsiku kuti mupewe ululu, vuto la Haglund silidzakhudza kwambiri thanzi lanu.

Kodi chilema cha Haglund chimatenga nthawi yayitali bwanji?

Pokhapokha mutachitidwa opaleshoni yochotsa fupa, vuto la Haagland's deformity ndi vuto lomwe limakhalapo kwa moyo wonse. Komabe, ngati mungathe kuthana ndi zizindikirozo (monga kupweteka kapena kutupa nthawi zina), sizingakhudze moyo wanu kapena thanzi lanu.

Kodi sindingathe kupita kuntchito kapena kusukulu chifukwa cha izi?

Ngakhale mukamalandira chithandizo cha chilema cha Haagland, simuyenera kulephera kupita kuntchito kapena kusukulu.

Komabe, ngati mwachitidwa opaleshoni yochotsa chotupacho, mungafunike kupewa kuchita zinthu zina mpaka mutachira. Lankhulani ndi dokotala wanu kapena dokotala wanu za nthawi yomwe mudzachira komanso musanapitirize kuchita masewera olimbitsa thupi mutachita opaleshoni.

Kodi ndingatani kuti chilema cha Haglund chisakule?

Madokotala sakudziwa bwino chomwe chimayambitsa vuto la Haglund, kotero mwina sipangakhale njira yopewera vutoli kwathunthu. Amaonedwa kuti ndi vuto losazolowereka .

Komabe, ngakhale simungathe kuletsa kwathunthu kupunduka kwa Haagland, kukhala ndi thanzi labwino la mapazi ndi akakolo kungathandize kupewa ululu ndi mavuto ena:

• Valani nsapato zomasuka komanso zothandizira: Pewani nsapato zomwe sizikupweteka kapena zopweteka mapazi ndi akakolo anu. Pewani nsapato zothina pa zidendene kapena zapamwamba kumbuyo.
• Limbitsani minofu ina: Mwa kusunga minofu yanu yolimba, akakolo ndi zidendene zanu zidzalandira chithandizo chabwino, ndipo chiopsezo chovulala chidzachepa.
• Siyani ngati mukumva kupweteka: Musanyalanyaze ululu. Ngati kuyenda kapena kuchita zinthu zina sikukusangalatsani, pumulani pang'ono. Ngati ululu sutha, pitani kwa dokotala. Kuchita masewera olimbitsa thupi ngakhale mukumva kupweteka kungapangitse kuvulala pang'ono kukhala koopsa.
• Dzitenthetseni bwino: Dzitenthetseni ndi kutambasula thupi lanu musanayambe kuchita masewera olimbitsa thupi. Minofu, mitsempha, ndi minyewa ikatenthedwa musanayambe kuchita masewera olimbitsa thupi, mwayi woti munthu avulale umakhala wochepa.

Kodi ndiyenera kupita kwa dokotala liti?

Lankhulani ndi dokotala ngati mukukumana ndi chilichonse mwa izi:

• Ngati ululu watsopano sutha patatha milungu ingapo kapena ukukulirakulira.
• Ngati mukuvutika kuyimirira, kuyenda, kapena kugwiritsa ntchito miyendo yanu mwachizolowezi.
• Ngati pali kutupa.

Kodi ndiyenera kupita ku Chipinda Chothandizira Anthu Odwala Mwadzidzidzi (ETU) liti?

Ngati mwadzidzidzi mwataya mphamvu yogwiritsira ntchito kapena kusuntha mwendo wanu, kapena ngati muli ndi ululu waukulu womwe sungapiririke, pitani ku chipinda chadzidzidzi. Ngati mwavulala kapena mukuganiza kuti mwasweka fupa, pitani ku ER nthawi yomweyo.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

• Kodi kupunduka kwa Haglund ndiko komwe kumayambitsa ululuwu?
• Kodi ndi chithandizo chamtundu wanji chomwe ndikufunika?
• Kodi ndikufunika opaleshoni?
• Kodi ndifunika chithandizo cha thupi?
• Kodi ndikufunika zodzoladzola za orthotics kapena nsapato?

Kodi kusiyana pakati pa Haglund's Deformity ndi Heel Spur ndi kotani?

Kufooka kwa Haglund ndi kufooka kwa chidendene ndi mafupa owonjezera omwe amamera pachidendene.

Ma spurs a chidendene ndi ma puloteni omwe amapangika pansi pa chidendene chanu , pomwe fupa la chidendene limalumikizana ndi nembanemba yomwe ili pansi pa phazi lanu (yotchedwa plantar fascia) .

Kupunduka kwa Haagland nthawi zonse kumachitika kumbuyo kwa chidendene , komwe tendon yanu ya Achilles imagwirira.

Mwamwayi, chithandizo cha chilema cha Haglund ndi chidendene spurs n'chofanana kwambiri. Kaya chifukwa cha kupweteka kwa chidendene chanu ndi chiyani, ndi bwino kulankhula ndi dokotala.

Pomaliza, zinthu zoti muzikumbukira

Kufooka kwa Haagland - kukula kwa mafupa komwe fupa lanu la chidendene ndi tendon ya Achilles zimakumana - ndi vuto lomwe lingathe kuthetsedwa. Mwina simungadziwe kuti muli nalo. Ngakhale ululu wanu utakhala wochepa kapena ukubwera ndi kutha, lankhulani ndi dokotala wanu za zizindikiro zilizonse zatsopano. Nthawi zina chinthu chosavuta monga nsapato zatsopano chingapangitse kusiyana kwakukulu. Chifukwa chake, musanyalanyaze ngakhale chinthu chaching'ono kwambiri, chifukwa chitonthozo chanu ndi chofunikira kwa inu.

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