Kodi mumamva kupweteka m'dera lomwe chala chanu chachikulu chakuphazi chimayambira mukamayenda, kuthamanga, kapena kuvina? Makamaka, dera lozungulira mpira wa phazi lanu? Mwina munadzifunsapo kuti n'chiyani chimayambitsa ululuwu. "N'chifukwa chiyani zimapweteka kwambiri ndikamayenda?" mwina mukudabwa. Nthawi zambiri, chifukwa cha ululuwu ndi vuto lomwe sitilankhula kwambiri, koma anthu ambiri amadwala, lotchedwa 'sesamoiditis.' Musadandaule, ngakhale kuti dzinalo lingamveke lachilendo pang'ono, tiyeni tikambirane mwachidule.
Kodi matenda a Sesamoiditis ndi chiyani?
Mwachidule, iyi ndi vuto lopweteka lomwe limapezeka m'miyendo yathu yapansi. Tsopano tiyeni tiwone chomwe kwenikweni chili.
Tangoganizirani kuti pansi pa phazi lathu, pansi pa phazi lalikulu la chala, pali mafupa awiri ang'onoang'ono. Awa ndi ang'onoang'ono kwambiri, ngati mbewu ziwiri za sesame. Mafupa awa salumikizidwa mwachindunji ndi mafupa ena aliwonse m'thupi lathu. Amalowa m'mitsempha. Timatcha mafupa awiri ang'onoang'ono awa kuti 'mafupa a sesamoid' .
Kotero ntchito yaikulu ya mafupa awiri ang'onoang'ono awa ndi kuyamwa mphamvu (monga choyamwa magazi) ndikuteteza minofu ya thupi lathu ikafika pansi pa mapazi athu tikamayenda, kuthamanga, kapena kulumpha.
Matenda a Sesamoiditis ndi pamene mafupa awiri ang'onoang'ono ndi minyewa yozungulira mafupawo zimadwala ndi kutupa chifukwa cha kupanikizika kwambiri. Izi ndi zofanana ndi matenda a tendonitis, pomwe minyewa ndi fupa mkati mwa minyewa zimatupa.
Kodi ndili ndi matenda a sesamoiditis? Kodi zizindikiro zake ndi ziti?
Vutoli nthawi zambiri silibwera mwadzidzidzi. Ululu umawonjezeka pang'onopang'ono. Poyamba mungamve kupweteka kosasangalatsa pansi pa chala chanu chachikulu chala, koma pakapita nthawi kumatha kukhala kupweteka kwakukulu. Ululu umakula kwambiri mukamagwiritsa ntchito mwendo wanu, monga poyenda kapena kuthamanga, ndipo umachepa mukapuma.
Tiyeni tiwone zizindikiro zazikulu monga izi.
| Chizindikiro | Kufotokozera |
|---|---|
| Ululu m'mapazi | Ululu umene umachitika pansi pa chala chachikulu cha chala, m'dera la mpira wa phazi. Izi zingayambe pang'onopang'ono, kupweteka kofooka kenako n'kukhala koopsa. |
| Kuvuta kupinda chala chachikulu cha chala | Zimapweteka kwambiri mukapinda chala chanu chachikulu mmwamba ndi pansi. Anthu ena amamva ngati sangathe kupinda chala chawo bwino. |
| Kuvuta kunenepa | Ululu umamveka kutsogolo kwa phazi ukalemera, ukuyenda, kapena kuthamanga. |
| Kutupa ndi kupweteka mukakanikizidwa | Ngati mukanikiza malo opweteka ndi dzanja lanu, adzapweteka. Nthawi zina pangakhale kutupa pang'ono. |
N’chifukwa chiyani zinthu ngati zimenezi zimachitika? Kodi zifukwa zake ndi ziti?
Chifukwa chachikulu cha izi ndichakuti pali kupanikizika kosalekeza kutsogolo kwa phazi. Monga momwe minofu m'dzanja imapwetekera mukachita zomwezo mobwerezabwereza, mafupa awiri ang'onoang'ono awa amatha kutenga matenda ngati pali kupanikizika kosalekeza.
Pali zifukwa zingapo zazikulu zomwe izi zimachitikira:
- Othamanga: Mukathamanga mtunda wautali, kuvina (makamaka ballet), kapena kusewera masewera monga cricket, mpira wamiyendo, kapena netball, mumaika mphamvu zambiri pa mapazi anu. Matendawa amathanso kuchitika mwa ana omwe akuchita masewera a kusukulu.
- Zidendene zazitali: Azimayi omwe amavala zidendene zazitali kwa nthawi yayitali amakhala ndi vutoli. Izi zili choncho chifukwa kulemera kwa thupi lonse kumasamutsidwira kutsogolo kwa phazi. Mwina mukudziwa ululu womwe umabwera mukavala zidendene zazitali tsiku lonse, monga paukwati kapena paphwando.
- Kapangidwe ka mapazi: Anthu ena ali ndi mapazi ataliatali. Ena angakhalenso ndi ma bunion. Mawonekedwe a mapazi awa amaika mphamvu yowonjezera pa mafupa a sesamoid akamayenda.
- Matenda ena: Nthawi zina izi zingayambitsidwe ndi matenda ena. Mwachitsanzo:
- Matenda a m'mimba
- Matenda a nyamakazi
- Matenda a mafupa
- Ngozi ina ya chala chachikulu chala
Kodi mwapeza bwanji izi, Dokotala?
Ngati muli ndi ululu wamtunduwu, chinthu chabwino kuchita ndikupita kwa dokotala. Iye adzakufunsani kaye za zizindikiro zanu. Adzakufunsani kuti mwakhala ndi ululu kwa nthawi yayitali bwanji, nthawi ziti zomwe zikuipiraipira, komanso zochita zomwe mumachita.
Kenako adzayang'ana mwendo wanu mosamala.
- Amakankhira manja awo pamalo opweteka.
- Adzasuntha pang'onopang'ono chala chanu chachikulu cha phazi mmwamba ndi pansi kuti aone ngati pali kupweteka kulikonse.
- Nthawi zina mayeso apadera (passive axial compression test) amatha kuchitika, omwe amaphatikizapo kukanikiza malo olumikizirana mafupa, monga poyenda.
Ngati mukuganiza kuti mwasweka maganizo, dokotala wanu angafune kuyesa zithunzi, kuphatikizapo:
- Kuwunika mwendo pogwiritsa ntchito X-ray
- Kujambula mafupa
- Kujambula kwa CT kapena MRI
Zingalimbikitsidwe kuchita mayeso monga.
Chabwino, tsopano nchiyani chingachitike kuti tithetse vutoli?
Chithandizo cha vutoli nthawi zambiri chimayamba ndi zinthu zosavuta zomwe tingathe kuchita kunyumba, koma pazochitika zazikulu, chithandizo chamankhwala chimafunika.
| Njira yochizira | Mukutani? |
|---|---|
| Mpumulo | Mankhwala abwino komanso oyamba a izi ndi kupuma. Muyenera kusiya kusenza mwendo wanu, kuthamanga, ndi kulumpha. Dokotala angakuuzeninso kuti mugwiritse ntchito ndodo kwa kanthawi. |
| Kuletsa | Kuti chala chachikulu cha chala chisasunthe, cholumikiziracho chikhoza kuchepetsedwa ndi tepi kapena chogwirira chapadera. |
| Chipale chofewa ndi kukwera kwake | Pakani ayezi kwa mphindi 15-20 kangapo patsiku kuti muchepetse kutupa ndi kupweteka. Ikani miyendo yanu pamwamba pa pilo mukagona kapena mutakhala. |
| Mankhwala ochepetsa ululu | Potsatira malangizo a dokotala wanu, mutha kumwa mankhwala monga mankhwala oletsa kutupa (NSAIDs) omwe si a steroidal kuti muchepetse kutupa. |
| Jakisoni wa steroid | Ngati ululu ndi kutupa zili zazikulu kwambiri, dokotala angasankhe kupereka jakisoni wa steroid pamalo opwetekawo. |
| Nsapato zapadera (Orthotics) | Mukachira, mudzalangizidwa kugwiritsa ntchito mapepala apadera kapena nsapato zodulira zomwe zimachepetsa kupanikizika kwa mafupa a sesamoid kuti vutoli lisabwererenso. |
| Kuchiza thupi | Pambuyo popuma kwakanthawi, masewera olimbitsa thupi angakulimbikitseni kuti mupezenso kusinthasintha ndi mphamvu m'malo olumikizirana miyendo. |
| Opaleshoni | Izi zimachitika kawirikawiri. Opaleshoni imachitika pokhapokha ngati palibe chithandizo china chomwe chikugwira ntchito, kuti fupa la sesamoid lomwe lili ndi kachilomboka lichotsedwe. |
Kodi chimachitika ndi chiyani nditalandira chithandizo? Kodi ndingatani kuti ndipewe kubwereranso kwa matendawa?
Nthawi zambiri, ululu umayamba kuchepa mukangoyamba kupumula mwendo wanu. Kupuma ndi njira yoti thupi lathu likonzere minofu yowonongeka. Matenda ang'onoang'ono nthawi zambiri amatha pakatha masiku ochepa. Matenda owopsa kwambiri angatenge miyezi kuti achire bwino.
Chofunika kwambiri ndikukhala osamala kwambiri mukayambiranso ntchito zomwe zidayambitsa ululu. Ndikofunikira kutsatira malangizo a dokotala wanu ndikumvera zizindikiro zomwe thupi lanu likukupatsani.
Vutoli likhoza kubwereranso. Chifukwa chake, tiyenera kuchita izi kuti tisabwerezenso:
- Valani nsapato zomasuka: Makamaka ngati mukuyenda kwambiri, valani nsapato zomwe zimathandizira mapazi anu, zomwe sizikukanikiza zala zanu, komanso zomwe zili ndi mapazi ofewa. Pewani kuvala nsapato zazitali. Chotsani nsapato zakale, zotha ntchito ndipo gulani zatsopano.
- Ganizirani za ma orthotics apadera: Ngati muli ndi chilema m'mapazi anu, kugwiritsa ntchito ma orthotics apadera kungathandize kuchepetsa kupanikizika kwa mafupa anu a sesamoid.
- Samalani ndi ululu: Ngati ndinu wothamanga, mwina mwazolowera kunyalanyaza ululu wochepa panthawi yochita masewera olimbitsa thupi. Koma muyenera kusamala ndi ululu uliwonse womwe umakhalapo nthawi zonse womwe sumatha.
- Pewani ululu usanachitike:Pa tsiku limene miyendo yanu yatopa, bwererani kunyumba mukapumule kwakanthawi, ikani ayezi, ndipo sungani miyendo yanu mmwamba. Zinthu zimenezi zingathandize kupewa kuwonongeka kusanachitike.
Thupi lathu limatipatsa zizindikiro zochepa, koma tikanyalanyaza, limatilankhula mokweza. Ndiye kuti zingakhale mochedwa kwambiri. Choncho ngati muli ndi ululu wa mwendo, musanyalanyaze, pitani kuchipatala nthawi yomweyo.
Uthenga Wopita Nawo Kunyumba
- Sesamoiditis ndi matenda a mafupa awiri ang'onoang'ono ndi minyewa yozungulira yomwe ili pansi pa chala chachikulu cha phazi.
- Chifukwa chachikulu cha izi ndi kupanikizika kosalekeza kwa mapazi. Anthu omwe amathamanga, kuvina, ndi kuvala nsapato zazitali ndi omwe ali pachiwopsezo chachikulu.
- Zizindikiro zazikulu ndi kupweteka pansi pa phazi, kutupa, komanso kuvutika kupinda chala chachikulu cha phazi.
- Kupuma ndiye mankhwala abwino kwambiri. Madzi oundana, mankhwala ochepetsa ululu, ndi nsapato zabwino ndizofunikira kwambiri.
- Ngati ululu ukupitirira kapena uli woopsa, onetsetsani kuti mwaonana ndi dokotala wanu kuti akupatseni upangiri.
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