Kodi munamvapo ululu wachilendo kapena kupsinjika kumbuyo kwa bondo lanu? Kodi ululuwu ukuoneka kuti ukuwonjezeka, makamaka mukayesa kuyimirira ndi zala zanu, kapena mukamathamanga kapena kulumpha? Ngati ndi choncho, mutu womwe tikambirane lero udzakhala wofunika kwambiri kwa inu. Timautcha kuti `(Os Trigonum Syndrome)` . Ngakhale kuti dzinali ndi lachilendo pang'ono, uwu ndi mkhalidwe womwe ungachitike mwa anthu ena.
Kodi `(Os Trigonum Syndrome)` ndi chiyani? Tiyeni timvetse mosavuta!
Mwachidule, `(Os Trigonum Syndrome)` ndi ululu womwe umachitika kumbuyo kwa bondo lanu, kutanthauza, pa bondo. Chifukwa chachikulu cha izi ndi chidutswa chaching'ono cha fupa kumbuyo kwa bondo (`(talus bone)`). Fungo lowonjezerali limatchedwa `(os trigonum)` . Chifukwa chake, zizindikiro zomwe zimayambitsidwa ndi fupa ili ndi zomwe timatcha `(Os Trigonum Syndrome)`. Zosavuta kwambiri, eti?
Izi zimatchedwa china chake, mwina munamvapo za izi:
- `(Posterior ankle impingement syndrome)`: Izi zikutanthauza kuti pali kukanikiza kapena kukanikiza kumbuyo kwa kakolo. `(Posterior)` amatanthauza kumbuyo, `(impingement)` amatanthauza kukanikiza.
- Matenda a Hindfoot impingement: Izi zikutanthauzanso chinthu chofanana, kupanikizika kumbuyo kwa phazi.
- `Kupindika kwa mtundu wa Nutcracker`: Izi zingamveke ngati dzina loseketsa, koma zikutanthauza kuti fupa lowonjezera (`(os trigonum)`) limapindidwa mbali zonse ziwiri, monga momwe timaswera mphete, limapindidwa mbali zonse ziwiri. Ndicho chifukwa chake limatchedwa izi.
- `(Posterior tibiotalar impingement syndrome)`
- `(Talar compression syndrome)`
Chofunika kwambiri ndichakuti fupa lowonjezerali lotchedwa `(os trigonum)` ndi lobadwa nalo . Izi zikutanthauza kuti fupali likhoza kukhalapo munthu akabadwa. Likhoza kukhala mwendo umodzi wokha, kapena likhoza kukhala m'miyendo yonse iwiri. Fupa lowonjezerali limalumikizidwa ku fupa lalikulu la kakolo ndi minofu yokhuthala yotchedwa `(cartilage)`. Chifukwa chake, siliyenda mozungulira. Tangoganizirani, pafupifupi, pakati pa 15% ndi 30% ya anthu ali ndi fupa la `(os trigonum)` ili . Koma chodabwitsa ndichakuti, si aliyense amene ali ndi fupali amene amasonyeza zizindikiro. Anthu ambiri sadziwa ngakhale kuti ali ndi fupa lowonjezerali!
Ndani amene ali ndi mwayi waukulu wopeza "Os Trigonum Syndrome"?
Kuti fupa la `(os trigonum)` libweretse ululu, nthawi zambiri pamafunika kuvulala kwina (`(kuvulala)`) m'dera la akakolo. Izi zikutanthauza kuti, kugwa mwadzidzidzi kapena ngozi. Kapena, vutoli likhozanso kuchitika chifukwa cha `(kupsinjika mobwerezabwereza)`, komwe ndi kupanikizika mobwerezabwereza kumbuyo kwa akakolo .
Mwachitsanzo, taganizirani izi:
- Ovina a Ballet : Nthawi zambiri amaimirira ndi zala zawo zolunjika pansi, zomwe zimapangitsa kuti kumbuyo kwa bondo kukhale kovuta kwambiri.
- Osewera mpira : Akamenya mpira (kumenya masewera), mapazi awo nthawi zonse amakhala pansi.
- Othamanga/oyenda pansi: Amaikanso mphamvu zambiri kumbuyo kwa bondo mosadziwa.
Anthu omwe amachita zinthu zotere ali pachiwopsezo chachikulu chotenga "kutsekeka kwa bondo lakumbuyo" kapena "Os Trigonum Syndrome".
Nchifukwa chiyani kupweteka kwa bondo lakumbuyo kumachitika?
Monga tafotokozera kale, "Os Trigonum Syndrome" imachitika munthu amene ali ndi fupa lowonjezeralo akavulala pamalo pomwe fupalo lili. Mwachitsanzo, chinthu chonga bondo losweka .
Kuphatikiza apo, izi zitha kuchitikanso chifukwa cha kupanikizika kosalekeza pa bondo. Taganizirani izi:
- Pamene wovina nthawi zonse amaima ndi zala.
- Pamene wosewera mpira akupitiriza kukankha mpira.
- Pamene wothamanga akukankha ndi mwendo wake (`(akukankha kumbuyo kwa bondo)`).
Chifukwa cha kuvulala kapena kugwiritsidwa ntchito mopitirira muyeso, fupa lowonjezera limayamba kukankhira kapena kuchoka pamalo pomwe lalumikizidwa. Izi zingayambitse minofu yozungulira kutambasuka ndi kung'ambika. Apa ndi pamene zizindikiro monga kutupa, kutupa, ndi ululu zimachitika.
Kodi zizindikiro za `(Os Trigonum Syndrome)` ndi ziti?
Nthawi zambiri, anthu omwe ali ndi fupa la ``os trigonum`` sadziwa nkomwe za ilo, chifukwa silimayambitsa mavuto aliwonse.
Koma ngati muli ndi "Os Trigonum Syndrome", mungazindikire zizindikiro ngati izi kumbuyo kwa bondo lanu:
- Ululu : Ululu umamveka, makamaka mukakankhira chala chanu chachikulu cham'manja kapena mukaloza zala zanu pansi.
- Kuchepa kwa kayendedwe : Zimakhala zovuta kusuntha mwendo mmwamba ndi pansi bwino, kuchokera mbali imodzi kupita mbali ina.
- Kuuma : Chigongono chimamveka cholimba.
- Kutupa : Kumbuyo kwa bondo kungakhale kotupa.
- Kukhudza mofewa: Kumapweteka ngakhale mutakhudza .
Anthu ena amasintha momwe amayendera, kuthamanga, kukankha, kapena kuvina kuti apewe ululu umenewu. Nthawi zina amachita izi mwadala, nthawi zina amachita izi mosazindikira.
Komabe, pamene malo achilengedwe a mwendo asintha motere, kusasangalala ndi kupweteka kumatha kuchitika m'mbali zina za thupi . Mwachitsanzo, wovina ballet yemwe ali ndi ``Os Trigonum Syndrome`` angazungulire mwendo mkati kapena kunja akaima pa nsonga za zala. Komabe, pakapita nthawi, izi zingayambitse kupweteka m'zala zala, mapazi, mawondo, kapena m'chiuno.
Kodi madokotala amazindikira bwanji vuto la kutsekeka kwa bondo lakumbuyo?
Ngati muli ndi ululu wa bondo, dokotala adzatsatira njira zingapo kuti adziwe ngati muli ndi vutoli:
1. Mudzafunsidwa mafunso : Kodi zizindikiro zanu ndi ziti, zochita zomwe zimayambitsa ululu, ndi zina zotero?
2.Kulankhula za mbiri yanu yachipatala: kuvulala kwanu m'mbuyomu, matenda ena.
3. Unikani mwendo wanu ndi akakolo anu : Tambasulani, pindani, ndi kuzungulira mwendo wanu kuti muwone mtundu wa kayendedwe komwe kamayambitsa ululu.
Zizindikiro za Os Trigonum Syndrome zitha kufanana ndi matenda ena, monga kuvulala kwa tendon ya Achilles kapena kusweka kwa talus . Chifukwa chake, dokotala wanu nthawi zambiri amalamula kuti muyesedwe kuti mutsimikizire kupezeka kwa Os Trigonum ndikuchotsa zifukwa zina. Izi zitha kuphatikizapo:
- Kuyezetsa X-ray (`(X-ray)`)
- Kujambula kwa MRI (`(MRI)`)
- Kujambula kwa CT (`(CT scan)`)
- Kufufuza kwa Ultrasound (`(Ultrasound)`)
Mayeso amenewa amatha kuona bwino ngati fupa lowonjezeralo lilipo komanso ngati lawononga minofu yozungulira.
Kodi `(Kuponderezedwa kwa Akakolo Posterior)` kumachiritsidwa bwanji?
Chithandizo cha kuvulala kumeneku kumbuyo kwa bondo chimayamba ndi njira zosavuta komanso zosagwiritsa ntchito opaleshoni. Mankhwalawa amatha kuchitidwa mophatikizana:
- Pumulani kwa masiku angapo kuchokera ku zochita zomwe zimayambitsa ululu.
- Maseŵero olimbitsa thupi kunyumba kapena chithandizo cha thupi : Izi zingathandize kukonza malo a bondo ndi kulimbitsa minofu ya mwendo ndi phazi.
- Kupaka ayezi kangapo patsiku : Izi zingathandize kuchepetsa kutupa.
- Kuvala nsapato yapadera yoyendera kuti muchepetse kuyenda kwa akakolo : Izi zimathandiza kuti bala lipole.
- Mankhwala oletsa kutupa (NSAIDs) osagwiritsa ntchito steroidal : Amachepetsa ululu ndi kutupa.
- Jakisoni wa steroid : Nthawi zina, ngati ululu uli waukulu, madokotala amalimbikitsa jakisoni iyi.
Anthu ambiri amapeza mpumulo ndi mankhwala osavuta awa. Komabe, ngati zizindikiro sizikusintha patatha miyezi ingapo ya chithandizo, makamaka ngati ndinu wothamanga amene nthawi zonse mumachita masewera olimbitsa thupi, opaleshoni ingafunike.
Opaleshoni imaphatikizapo kuchotsa os trigonum ndi minofu yowonongeka yozungulira. Izi zitha kuchitika pogwiritsa ntchito arthroscopically (njira yomwe kamera ndi zida zimayikidwa kudzera m'mabala ochepa ang'onoang'ono) kapena ngati kudula kotseguka . Nthawi yochira imatenga pafupifupi mwezi umodzi kapena iwiri. Othamanga nthawi zambiri amatha kubwerera ku masewera onse mkati mwa miyezi isanu ndi umodzi.
Kodi tingapewe bwanji kuti `(Kupindika kwa Akakolo Posterior)` kumeneku kusachitike?
Kunena zoona, palibe njira yopewera kupangika kwa fupa lowonjezera lotchedwa ``os trigonum''. Ndi chinthu chomwe chimapezeka pobadwa. Koma ngati muli ndi chimodzi (kapena ziwiri!), kusamala ndi kuvulala kwa akakolo, komanso kupewa kuchita zinthu zomwe nthawi zonse zimakupangitsani kutsika , mutha kuchepetsa chiopsezo chanu chokhala ndi vutoli.
Kodi munthu amene ali ndi `(Os Trigonum Syndrome)` angayembekezere tsogolo lotani?
Palibe choopa! Anthu ambiri omwe ali ndi `(Os Trigonum Syndrome)` amachira bwino akapuma komanso popanda chithandizo cha opaleshoni . Koma chinthu chimodzi choyenera kukumbukira ndichakuti ngati mutayambiranso kuchita zomwe zidayambitsa zizindikirozo, zizindikirozo zitha kubwereranso. Chifukwa chake ndi bwino kusamala pang'ono.
Kodi ndingateteze bwanji akakolo anga?
Kumbukirani zinthu zingapo izi kuti muteteze bondo lanu ku kuvulala:
- Valani nsapato zomwe zikugwirizana bwino ndi ntchito yomwe mukuchita. Tayani nsapato zakale, zotha ntchito.
- Pewani malo otsetsereka kapena otsetsereka. Mwachitsanzo, malo otsetsereka otsetsereka pamene mukuthamanga, malo otsetsereka kapena otsetsereka pamene mukusewera mpira, kapena malo osweka m'ma studio ovinira.
- Ngati nthawi zambiri mumapindika kabowo, ganizirani kugwiritsa ntchito chogwirira chapadera kapena tepi kuti mukhazikitse kabowo kanu.
- Pang'onopang'ono onjezerani mphamvu ya masewera olimbitsa thupi anu. Mwachitsanzo, ngati simunasewerepo mpira, musayambe mwadzidzidzi kusewera kwa maola atatu patsiku. Yambani pang'onopang'ono ndipo pang'onopang'ono onjezerani nthawi ndi mphamvu.
- Phunzirani ndikuchita njira zoyenera, makamaka pothamanga, kumenya mpira, ndi kuvina.
- Mvetserani thupi lanu. Ngati chinachake chikupweteka, siyani kuchita zimenezo.
- Dzitenthetseni bwino musanayambe kuchita masewera olimbitsa thupi, ndipo tambasulani bwino mukamaliza.
Kodi pali kusiyana kotani pakati pa Kupindika kwa Anterior Ankle ndi Kupindika kwa Posterior Ankle?
Ngakhale zonsezi ndi zotupa za akakolo, zimachitika m'malo awiri.
- Matenda a posterior ankle impingement syndrome (omwe tawakambirana lero) amapezeka kumbuyo kwa kakolo . Mukaloza phazi lanu pansi, minofu yomwe ili m'derali imapindika ndipo imayambitsa kupweteka. Kukhala ndi fupa lowonjezera lotchedwa os trigonum kumawonjezera mwayi wokhala ndi zizindikiro izi.
- Matenda a Anterior Ankle Impingement Syndrome amapezeka kutsogolo kwa bondo lanu . Amayambitsidwa ndi ma fupa owonjezera (mafupa owonjezera) omwe amapangika kutsogolo kwa bondo, kapena kumapeto kwa fupa la shin.
Mwachidule, mu ``kupindika kwa akakolo`` ululu umachokera kumbuyo kwa akakolo, ndipo mu ``kupindika kwa akakolo`` ululu umachokera kutsogolo kwa akakolo.
Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)
``Os Trigonum Syndrome`` ndi matenda omwe amayambitsa kupweteka kumbuyo kwa bondo. Amayambitsidwa ndi fupa lina lomwe limapezeka pobadwa. Limapezeka kwambiri mwa othamanga, ovina, ndi omwe amasewera masewera monga mpira.
Ngati muli ndi ululu wa bondo wotere, onetsetsani kuti mwaonana ndi dokotala kuti akupatseni upangiri. Mukatero mutha kudziwa bwino mankhwala oyenera kwa inu komanso momwe mungasamalire vutoli. Kumbukirani, musanyalanyaze ngakhale ululu pang'ono!
Samalirani akakolo anu, khalani athanzi!
Kupweteka kwa akakolo , os trigonum, kutsekeka kwa akakolo kumbuyo, mafupa owonjezera, kuvulala pamasewera, kupweteka kwa mapazi, chithandizo cha thupi











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