Kodi zidendene zanu zimapweteka nthawi zonse? Vuto likhoza kukhala vuto la mafuta ochulukirapo omwe ali pachidendene chanu (Heel Fat Pad Syndrome)!

Kodi munamvapo kupweteka kwambiri pachidendene chanu mukuyenda kapena kuthamanga? Kungamveke ngati singano ikukubayani, kapena wina akukukanikizani mwamphamvu, kapena ngakhale kuvulala. Ululu wokhumudwitsawu ungapangitse kuti zikhale zovuta kwambiri kuchita ntchito zanu za tsiku ndi tsiku. Chimodzi mwa zifukwa zazikulu za izi ndi vuto lomwe limapezeka pakhungu la chidendene, lomwe tikambirana lero, vuto lotchedwa `(Heel Fat Pad Syndrome)`.

Kodi 'Heel Fat Pad Syndrome' ndi chiyani?

Mwachidule, kuchepa kwa mafuta m'chidendene chanu, kapena kutayika kwa kulimba kwake, ndi chomwe timachitcha ``Heel Fat Pad Syndrome''. Tangoganizirani, pansi pa zidendene zathu, pamwamba pa fupa, pali minofu yokhuthala yamafuta, ngati matiresi achilengedwe . Izi ndi zomwe zimateteza fupa lathu la chidendene (`chidendene fupa` kapena `calcaneus`) ku kugwedezeka kwa nthaka tikamayenda, kuthamanga, ndi kulumpha. Imagwira ntchito ngati ``shock absorber`` m'galimoto. Pakapita nthawi, chifukwa cha zifukwa zosiyanasiyana, mafuta awa amawonongeka ndipo mphamvu zake zotetezera zimachepa, zomwe zimapangitsa kuti ululu uyambe.

Mwina munamvapo vuto ili lotchedwa `fat pad atrophy`, `fat pad syndrome`, kapena `heel fat pad atrophy`.

Kodi vutoli ndi lofala bwanji?

Ndipotu, matenda a Heel Fat Pad Syndrome ndi matenda achiwiri omwe amayambitsa kupweteka kwa chidendene, pambuyo pa Plantar Fasciitis. Komabe, nthawi zambiri amasokonezedwa ndi Plantar Fasciitis, chifukwa zizindikiro zake zimatha kufanana kwambiri. Chifukwa chake, ndikofunikira kudziwa chomwe chimayambitsa.

Kodi zizindikiro za "Heel Fat Pad Syndrome" ndi ziti?

Onani ngati muli ndi zizindikiro izi:

• Ululu wakuthwa, wozama, wofanana ndi mabala omwe amachokera pakati pa chidendene poyenda, kuyimirira, kapena kuthamanga.
• Mukakanikiza mwamphamvu pakati pa chidendene chanu ndi chala chanu, ululu womwewo womwe ndatchula kale umabwereranso.
• Ululu umawonjezeka kwambiri mukayimirira kwa nthawi yayitali, mukamachita masewera olimbitsa thupi amphamvu (monga kulumpha, kuthamanga mofulumira, masewera olimbitsa thupi, basketball), kapena mukamayenda pamalo olimba (monga matabwa, konkire, matailosi a ceramic) opanda nsapato .

Ngati vutoli sili lalikulu kwambiri, simungamve zizindikiro zazikulu. Kapena mungamve kupweteka pang'ono nthawi zina mukamayenda opanda nsapato, kuthamanga, kapena kukankhira zala zanu pa chidendene chanu.

Kodi zifukwa zazikulu za izi ndi ziti?

Matendawa otchedwa ``Heel Fat Pad Syndrome'' sachitika mwadzidzidzi. Chifukwa chachikulu cha izi ndi ''kuwonongeka'' komwe kumachitika pakapita nthawi. Pali zinthu zingapo zomwe zimayambitsa izi:

• Kukalamba: Zinthu zambiri m'thupi lathu zimasintha ndi ukalamba. Mofananamo, mafuta omwe ali pa zidendene amachepa pang'onopang'ono, kuchuluka kwa mafuta omwe ali mmenemo kumachepa, ndipo kulimba kwake kumatha kuchepa.
• Kulemera: Pamene tikulemera, kupanikizika kwa mafuta m'zidendene zathu kumawonjezeka. Izi zimapangitsa kuti ziwonongeke mwachangu, zomwe zimataya kusinthasintha kwake komanso mphamvu zake zotetezera.
• Mbiri ya Banja: Ngati wina m'banja mwanu wakhalapo ndi vutoli, kapena ngati muli ndi matenda omwe amakhudza minofu yolumikizana ya thupi (monga lupus kapena rheumatoid arthritis), muli pachiwopsezo chachikulu chotenga vutoli.
• Kuvulala kwa chidendene: Ngati chidendene chanu chamenyedwa mwamphamvu, monga kulumpha mwadzidzidzi kuchokera pamwamba, chimenecho chingakhale chifukwa.
• Kusalinganika kwa Mayendedwe: Ngati pali kusalinganika kulikonse panjira yathu yoyendera (kuyenda) - kutanthauza momwe mapazi athu amagunda pansi, momwe kulemera kwa thupi lathu kumagawidwira pamapazi - pakapita nthawi, mafuta omwe ali pazidendene amatha kufooka mwachibadwa.
• Kapangidwe ka phazi: Anthu ena amakhala ndi kusintha kwa malo a phazi lawo (monga mapazi osalala kapena ma arches ataliatali) komanso mavuto oyenda, zomwe zingapangitse kuti chidendene chizigwira ntchito mopitirira muyeso.
• Nsapato zosayenera: Chifukwa chachikulu cha izi ndikugwiritsa ntchito nsapato kapena masandala nthawi zonse omwe sapereka chithandizo kapena kuyamwa kwa phazi . Kenako kupanikizika konse kumabwera ku chidendene, ndipo mafuta amawonongeka mwachangu.
• Kuyenda pa malo olimba: Kuyenda kapena kuthamanga pafupipafupi pa malo olimba monga simenti kapena matailosi opanda nsapato kumakhudza kwambiri mafuta a chidendene.
• Zochita zina zomwe mumachita pafupipafupi: Zochita zomwe nthawi zambiri zimapangitsa kuti zidendene zanu zigwe pansi (monga kuthamanga, basketball, tenisi, volleyball, masewera olimbitsa thupi) ndi kuyimirira kwa nthawi yayitali zingayambitse vutoli.
• Jakisoni Wakale wa Corticosteroid: Nthawi zina, jakisoni wa steroid wotchedwa corticosteroids, womwe umagwiritsidwa ntchito pochiza ululu wina wa mapazi ndi kutupa, ungapangitse kuti mafuta a chidendene achepe ndikuchepa ngati zotsatira zoyipa. Kujambulira pafupipafupi kwa steroid ku chidendene kungapangitse chiopsezochi.

Izi zitha kuchitikanso chifukwa cha matenda enaake.

• Plantar Fasciitis: Uku ndi kutupa kwa ligament yokhuthala yotchedwa plantar fascia yomwe imayambira pa chidendene chanu mpaka kumapazi anu. Izi zimayambitsanso kupweteka kwa chidendene.
• Kutupa kwa Chidendene: Pamene tinthu tating'onoting'ono tofanana ndi minga ('kutupa kwa chidendene') timapangika pa fupa la chidendene, timatha kukakamiza mitsempha ya phazi ndikuchepetsa kusinthasintha kwa mafuta a chidendene.
• Mapazi aatali: Anthu ena ali ndi chigoba chapamwamba kwambiri m'mapazi awo. Izi zitha kusintha kapangidwe ka phazi kwamuyaya ndikukhudza mitsempha ya phazi.
• (Anthu a Matenda a Shuga a Mtundu wa 2): Anthu omwe ali ndi matenda a Shuga a Mtundu wa 2 angakumane ndi kuwonongeka kwa mafuta ndi puloteni yofunika kwambiri yotchedwa collagen mu mafuta.
• Lupus ndi Matenda a Nyamakazi: Matendawa a autoimmune amakhudza minofu yolumikizana ya thupi, kuphatikizapo minofu yolumikizana m'mapazi.

Kodi madokotala amazindikira bwanji vutoli?

Mukapita kwa dokotala amene ali ndi ululu wa chidendene, choyamba adzakufunsani za mbiri yanu ya matenda komanso zizindikiro zomwe muli nazo panopa.

Mungamve zinthu ngati izi, makamaka zokhudza kupweteka kwa chidendene chanu:

• Kodi ululuwo umamveka bwanji? (monga, kodi ndi wolimba, wobaya, kapena wopweteka?)
• Kodi mumamva ululu nthawi yanji patsiku?
• Ndi zinthu ziti zomwe zimapangitsa kuti ululuwo ukhale woipa kwambiri?
• Kodi ululu uwu wakhalapo kwa nthawi yayitali bwanji?
• Kodi ululu umachepa mukapuma?

Kenako, dokotala adzakuyezani phazi lanu. Adzafufuza mavuto aliwonse omwe ali pa phazi komanso ngati mukumva kupweteka mukakanikiza pakati pa chidendene. Angayerekezenso makulidwe a chidendene pamene mukuimirira komanso pamene simukuyimirira. Chidendene chabwino chiyenera kukhala ndi makulidwe a pakati pa 1 ndi 2 cm (0.4 ndi 0.8 inches). Ngati chidendene chikumva cholimba kapena cholimba mukachikhudza, zikutanthauza kuti sichisinthasintha kwambiri. Ichi chingakhalenso chizindikiro cha matenda awa.

Nthawi zina, kuti atsimikizire vuto lenileni ndikupeza zifukwa zina zomwe zimayambitsa kupweteka kwa chidendene (monga kusweka kwa chidendene, kuphulika kwa chidendene), X-ray, ultrasound scan, kapena MRI (Magnetic Resonance Imaging) ingalimbikitsidwe.

Kodi mankhwala ochizira izi ndi otani?

Nkhani yabwino ndi yakuti vutoli nthawi zambiri limatha kuthetsedwa ndi mankhwala osavuta, kunyumba ('mankhwala osasintha'). Zolinga zazikulu za mankhwala awa ndi:

• Kuchepetsa ululu ndi kutupa.
• Kuteteza mafuta omwe alipo kale.
• Kupewa kuwonongeka kwina kwa mafuta.

Pa milandu ina yovuta kwambiri, mankhwala ovuta kwambiri ('njira zamakono') angafunike. Izi zimaphatikizapo kuwonjezera zinthu zina kuti mafuta a chidendene achuluke.

Njira zosavuta (zosungira) zochizira:

• Mpumulo: Pumitsani miyendo yanu momwe mungathere. Chepetsani zochita zomwe zingakukhudzeni kwambiri (monga kulumpha ndi kuthamanga mwamphamvu) zomwe zingayambitse kupweteka kwa chidendene.
• Pakani ayezi: Mukachita zinthu zomwe zimabweretsa ululu, ikani paketi ya ayezi pachidendene chanu kwa mphindi pafupifupi 20. Mutha kuchita izi kangapo patsiku.
• Mankhwala: Mankhwala ogulitsidwa kunja kwa chipatala angagwiritsidwe ntchito kuchepetsa ululu ndi kutupa. Zitsanzo ndi ibuprofen (Advil®, Motrin®) ndi naproxen (Aleve®). Komabe, nthawi zonse ndi bwino kuonana ndi dokotala musanamwe mankhwala aliwonse.
• Nsapato za mafupa: Valani nsapato za mafupa zomwe zimathandiza komanso zimateteza chidendene, makamaka chidendene. Mutha kupeza upangiri kuchokera kwa dokotala wa mapazi kapena sitolo yapadera yomwe imagulitsa nsapato zotere.
• Kujambula chidendene chanu: Iyi ndi njira yoyika fupa la chidendene pansi pa fupa la chidendene ndikugwiritsa ntchito tepi yapadera pachidendene kuti chithandizire ndi kutetezera. Dokotala wanu kapena katswiri wa zamaganizo adzakuwonetsani momwe mungachitire izi.
• Makapu a zidendene, zoyika nsapato ndi masokosi okhala ndi ma cushion: Makapu a zidendene, zoyika nsapato ndi masokosi okhala ndi ma cushion, zomwe zimapezeka m'masitolo ogulitsa mankhwala kapena pa intaneti, zimapereka chithandizo chowonjezera cha zidendene zanu.
• Pulogalamu yochita masewera olimbitsa thupi: Motsogozedwa ndi dokotala wanu kapena katswiri wa masewera olimbitsa thupi, mutha kuphunzira kutambasula minofu ya m'chiuno mwanu ndi masewera olimbitsa thupi omwe angakuthandizeni kukhalabe ndi malo oyenera pakati pa phazi ndi bondo ndi chiuno komanso kukonza kusalinganika.

Njira zamakono (zovuta) zochizira:

• Jakisoni: Mu njira iyi, zinthu zosiyanasiyana zachilengedwe kapena zopangidwa kapena zamadzimadzi zimalowetsedwa mu mafuta a chidendene kuti chikhale cholimba. Mwachitsanzo, pali zinthu zodzaza khungu zomwe zimakhala ndi zinthu monga Poly-L-lactic acid ndi Hyaluronic acid. Silicone imagwiritsidwanso ntchito nthawi zina, koma pali mkangano wokhudza kugwiritsidwa ntchito kwake chifukwa imatha kupita ku ziwalo zina za thupi ndipo ingayambitse zotsatira zochepa mpaka zoopsa. Zotsatira za zodzaza khungu izi nthawi zambiri zimakhala pafupifupi miyezi 6 mpaka 12. Zimatengera zinthu monga moyo wanu, kuchuluka kwa zochita zanu, kulemera kwa thupi, ndi zaka.
• Kuika mafuta m'thupi (kapena kuika mafuta m'thupi): Izi zimaphatikizapo kutenga mafuta pang'ono kuchokera ku mbali ina ya thupi lanu (monga ntchafu kapena mimba yanu), kuwayeretsa, ndikuyika m'malo osungira mafuta m'chidendene chanu (kuika mafuta m'thupi). Nthawi zambiri iyi ndi njira yopitira kuchipatala. Zotsatira zake zimakhala zokhalitsa kuposa zodzaza khungu.
• Kupachika minofu: Njirayi imagwiritsa ntchito minofu yamafuta yotengedwa kuchokera kwa munthu wina (wopereka). Popeza maselo amafuta okha ndi omwe amagwiritsidwa ntchito, pali mwayi wochepa kwambiri wokana thupi. Iyi ndi njira yochitira opaleshoni. Zimatenga nthawi yayitali kuti zichiritsidwe kuposa njira zina (zingatenge milungu 6-8 kuti minofu yatsopanoyo igwirizane ndi minofu yomwe ilipo). Akuti chithandizochi chingathandize kuchepetsa ululu kwa zaka pafupifupi 5.

Nthawi zina, ngati zofooka zobadwa nazo kapena zomwe zimapezeka m'zala zanu zamanja, mapazi, akakolo, miyendo, mawondo, kapena chiuno zisintha momwe thupi lanu limagawira kulemera kwanu mukamayenda, ndipo ngati izi zakhudza kwambiri moyo wanu, zomwe zimapangitsa kuti zikhale zovuta kuchita ntchito za tsiku ndi tsiku, madokotala angaganizire za opaleshoni kuti akonze zofookazo.

Kodi chimachitika ndi chiyani ngati sichikuchiritsidwa?

Ngati munyalanyaza vuto la ``Heel Fat Pad Syndrome'' popanda kulichiza, lingayambitse mavuto monga:

• Ululuwo upitirira. Ukhoza kuchepetsa moyo wanu.
• Zimakhala zovuta kuyenda, kusewera masewera, komanso kuchita ntchito za tsiku ndi tsiku.
• Mungasinthe mosadziwika momwe mumayendera kuti muchepetse ululu, zomwe zingayambitse kupanikizika kosafunikira pa mafupa ena m'thupi, zomwe zingawonjezere chiopsezo cha kugwa ndi kuvulala kwina.

Kodi vutoli lingapewedwe bwanji?

Ngakhale sitingathe kuletsa kwathunthu zinthu zomwe zimachitika chifukwa cha ukalamba kapena majini omwe amapezeka m'mabanja, tingachepetse chiopsezo chotenga matendawa (Heel Fat Pad Syndrome) mwa kusintha zizolowezi zina za moyo ndi kutenga njira zodzitetezera:

• Valani nsapato zoyenera mapazi anu nthawi zonse, zochirikiza chidendene chanu bwino, komanso zoteteza mapazi anu. Valani nsapato zoyenera zamasewera mukamachita zinthu zolimbitsa thupi.
• Pewani kuvala nsapato zazitali zazitali pafupipafupi. Sizigawa kulemera kwa thupi lanu mofanana pamapazi anu, m'malo mwake zimaika mphamvu zambiri pamalo amodzi a phazi lanu (nthawi zambiri kutsogolo).
• Chepetsani zochita zomwe zimaika mphamvu zambiri pa zidendene, monga kuthamanga, basketball, ndi masewera olimbitsa thupi. Perekani nthawi yopumula pambuyo pa zochita zotere.
• Khalani ndi thupi labwino. Kunenepa kwambiri kumawonjezera kupsinjika kwa zidendene zanu.
• Pewani kuyenda opanda nsapato momwe mungathere, makamaka pamalo olimba komanso osalinganika (monga matailosi, matabwa, simenti).
• Yang'anani nsapato zanu zonse nthawi zonse. Ngati chidendene cha nsapato yanu chatha m'njira ina (monga mbali imodzi yatha), kapena ngati tsinde lomwe lili mkati mwa nsapato silikuonekanso lothandiza, sinthani nsapatoyo.

Kodi `(Heel Fat Pad Syndrome)` iyi ingachiritsidwe kwathunthu?

Kunena zoona, palibe chinthu chotchedwa "mankhwala a nthawi yayitali" a "Heel Fat Pad Syndrome". Chifukwa, pamene tikukalamba, komanso pamene tikuyenda, kuthamanga, ndi kulumpha mwachibadwa (''kuwonongeka kwachilengedwe''), mafuta otsala m'chidendene amachepa ndikuchepa pang'ono. Komabe, monga tanenera kale, ngati mutachitapo kanthu kofunikira kuti muchepetse kupweteka kwa chidendene, kutupa, komanso kupewa kuwonongeka kwina kwa mafuta otsala, mutha kusintha moyo wanu ndikupitiliza kuchita zinthu zomwe mumakonda.

Kodi kusiyana pakati pa `(Heel Fat Pad Syndrome)` ndi `(Plantar Fasciitis)` ndi kotani?

Apa ndi pamene anthu ambiri amasokonezeka, choncho ndikofunikira kudziwa kusiyana kwakukulu pakati pa zinthu ziwirizi.

Taganizirani izi, ``Plantar Fasciitis`` ndi kutupa, kufooka, kapena kutupa kwa ``plantar fascia``, gulu lokhuthala la minofu yolumikizana yomwe imayenda pansi pa phazi lanu, kuyambira chidendene chanu mpaka kumapazi anu. ``plantar fascia`` iyi ndi yomwe imapereka chithandizo cha ``arch``` ya phazi lanu.

• Chizindikiro chachikulu cha plantar fasciitis ndi kupweteka kwambiri pachidendene. Ululuwu nthawi zambiri umapezeka mkati mwa chidendene, pafupi ndi phazi. Nthawi zina ululuwu ukhoza kufalikiranso m'mbali mwa phazi.
• Mukatambasula mwendo wanu, mumamva kupsinjika ndi kukoka pansi pa phazi lanu.
• Chofunika kwambiri ndichakuti ululu umakhala woopsa kwambiri mukangodzuka pabedi m'mawa ndikuyamba kuyenda pang'ono. Ngakhale kuti ululuwo umaoneka ngati ukuchepa mutayenda pang'ono, ngati mupitiriza kulemera mwendo, ululuwo umawonjezekanso kumapeto kwa tsiku.
• Pa nthawi yoyezetsa dokotala, ngati `plantar fascia` yakanidwa, ululu wakuthwa komanso wobaya umachitika, ngati kuti ukubayidwa ndi singano.

Komabe, mu `(Heel Fat Pad Syndrome)`:

• Ululu uli pakati pa chidendene, ngati bala lakuya, lapafupi.
• Ululuwu umapezeka kwambiri munthu akamayenda, akaima, kapena akamachita zinthu zolimbitsa thupi kwa nthawi yayitali. Ululuwu umakula kwambiri munthu akayenda pamalo olimba opanda nsapato.
• Ululu uwu ukhoza kuchitika nthawi iliyonse ya tsiku, usiku, kapena ngakhale pamene mukupuma.
• Matenda a Heel Fat Pad Syndrome amapezeka kwambiri m'mapazi onse awiri nthawi imodzi kuposa Plantar Fasciitis.

Chofunika: Nthawi zina zonsezi zimatha kuchitika limodzi. Komanso, munthu amene ali ndi `(Plantar Fasciitis)` amatha kudwala `(Heel Fat Pad Syndrome)`. Kodi mukudziwa momwe zimachitikira? `Plantar fascia` ikawonongeka, kulemera kwa phazi sikugawidwa bwino poyenda kapena kuthamanga. Kenako, kupanikizika kwambiri kumayikidwa pa mafuta a chidendene, omwe amayesa kuchira mwachangu.

Tiyeni tiphunzire pang'ono za kusweka kwa calcaneal stress.

Chinthu china chomwe muyenera kudziwa. Fupa la chidendene chanu limatchedwa calcaneus. Kuyenda mobwerezabwereza monga kuthamanga kungayambitse mng'alu pang'ono kapena kusweka kwa calcaneus. Izi zimatchedwa kusweka kwa nkhawa. Ngati muli ndi kusweka kwa nkhawa kwa calcaneal, mudzamva kupweteka kwa chidendene ndi kumbuyo kwa chidendene. Kupweteka kwa chidendene kumeneku kudzawonjezeka pang'onopang'ono pakapita nthawi. Poyamba, kudzakhalapo kokha panthawi yochita masewera olimbitsa thupi, koma pambuyo pake kudzayamba kupweteka ngakhale mwendo wanu utapuma. Mungafunike kuyesedwa fupa, CT scan, kapena MRI scan kuti mudziwe ngati kupweteka kwa chidendene chanu ndi chifukwa cha kusweka kwa nkhawa.

Pomaliza, zomwe muyenera kukumbukira (Uthenga Wopita Nawo Kunyumba)

Mwachidule, matenda a heel fat pad ndi kutayika kwa mafuta okhuthala, ofanana ndi cushion m'dera la chidendene cha mapazi athu omwe amathandiza kuthandizira kulemera kwa thupi lathu ndikutiteteza ku mantha. Izi zitha kuchitika chifukwa cha zinthu zambiri, kuphatikizapo ukalamba, zochita zomwe zimakakamiza chidendene, kuwonjezeka kwa thupi, komanso kugawika kosagwirizana kwa kulemera mukuyenda. Chizindikiro chachikulu ndi kupweteka kwambiri pakati pa chidendene.

Gawo labwino kwambiri ndilakuti mankhwala osavuta monga kupuma, mankhwala ochepetsa ululu, ayezi, nsapato zoyenera, ndi kuchita masewera olimbitsa thupi monga momwe dokotala wanu walangizira nthawi zambiri zingathandize kuthana ndi vutoli. Nthawi zina, mankhwala apamwamba kwambiri amapezeka.

Ngati mukumva kupweteka kwa chidendene kosalekeza, musanyalanyaze. Pitani kwa dokotala kuti akupatseni upangiri. Mukazindikira vuto mwachangu, mumayamba kulandira chithandizo choyenera mwachangu. Mukatero mutha kupewa vutoli kuti lisakule kwambiri, kuchira msanga, ndikupitiriza ntchito zanu za tsiku ndi tsiku mosangalala!

Kupweteka kwa chidendene, matenda a mafuta pachidendene, plantar fasciitis, mafuta pachidendene, kupweteka kwa mapazi, matenda a chidendene, khushoni pachidendene