Kodi ndinu munthu amene mumagwira ntchito yoyenda pansi, kuthamanga, kulumpha, kapena kuvina kwambiri? Ndiye mwina mukudziwa ululu wosasangalatsa komanso wopweteka womwe mumamva m'mapazi anu, makamaka pansi pa chala chanu chachikulu chala. Koma bwanji ngati ululuwu ukuwonjezeka pang'onopang'ono ndipo pamapeto pake umakhala woopsa kwambiri moti simungathe kuyenda? Choyambitsa chake chingakhale matenda otchedwa sesamoiditis, omwe amayamba chifukwa cha kupsinjika kwambiri pamapazi anu. Tiyeni tikambirane za izi mwatsatanetsatane lero.
Kodi matenda a Sesamoiditis ndi chiyani?
Mwachidule, mafupa ambiri m'thupi lathu amalumikizana. Koma pali mtundu wapadera wa fupa wotchedwa "sesamoid", womwe sulumikizana ndi mafupa ena. M'malo mwake, amalumikizidwa ku minofu kapena amalowa m'minofu. Mutha kuwona mafupa awa a sesamoid m'manja mwathu, mawondo ndi mapazi.
Matenda a Sesamoiditis kwenikweni ndi mtundu wa tendonitis. Matenda a Tendonitis ndi pamene tendonitis imatupa, imavulala, komanso imapweteka. Matenda a Sesamoiditis amapezeka pamene tendonitis yozungulira mafupa awiri a sesamoid omwe ali pansi pa mapazi athu, pansi pa phazi lalikulu, imatupa. Matendawa ndi omwe amachititsa ululu.
N’chifukwa chiyani vutoli limachitika?
Matenda a Sesamoiditis si matenda odzidzimutsa. Nthawi zambiri amapezeka chifukwa chogwiritsa ntchito kwambiri minofu ya phazi kwa nthawi yayitali. Ichi ndichifukwa chake matendawa amapezeka kwambiri pakati pa ovina, othamanga, ndi othamanga ena. Izi zili choncho chifukwa zochita zimenezi zimaika mphamvu nthawi zonse pansi pa phazi ndi malo omwe ali pansi pa chala chachikulu chala.
Kuphatikiza apo, matenda ena ndi zizolowezi zina zingawonjezere chiopsezo chotenga matendawa.
- Kukhala ndi mapazi osalala: Popeza palibe chigongono pa phazi, kupanikizika kumamveka mwachindunji pansi pa phazi.
- Kukhala ndi ma arches okwera: Izi zimaikanso mphamvu zambiri pa mafupa a sesamoid.
- Phazi likutembenukira mkati poyenda.
- Kuvala nsapato zazitali nthawi zonse: Izi zimapangitsa kuti kulemera kwa thupi kukhale patsogolo pa chidendene.
- Matenda a nyamakazi monga Gout: Gout ndi mtundu wa nyamakazi womwe umayamba chifukwa cha kuyika kwa makristalo a uric acid m'malo olumikizirana mafupa chifukwa cha kuchuluka kwa uric acid m'thupi. Izi nthawi zambiri zimakhudza phazi lalikulu la zala, ndipo zimathanso kukhala zotsatira zoyipa za sesamoiditis.
Kodi zizindikiro za izi ndi ziti?
Chizindikiro chachikulu komanso chodziwikiratu kwambiri ndi kupweteka pansi pa phazi, makamaka pansi pa phazi lalikulu.Ululu uwu ukhoza kuwonjezeka pang'onopang'ono ndipo pamapeto pake umakhala woopsa kwambiri moti kuyenda n'kosatheka. Komabe, ngati kutupa kwa tendon uku kukugwirizana ndi kusweka kwa fupa la sesamoid, ululu ukhoza kuchitika mwadzidzidzi.
Ululu uwu nthawi zambiri umamveka poyenda, kuthamanga, kapena kuwerama. Ululuwu ukhoza kuchepa mukapuma.
Zizindikiro zina zodziwika bwino zalembedwa mu tebulo ili m'munsimu.
| Chizindikiro | Kufotokozera |
|---|---|
| Kutupa ndi Kufiira | Malo opweteka akhoza kutupa ndipo mwina kufiira. |
| Kutupa | Nthawi zina, mabala abuluu-akuda amatha kuwoneka m'dera limenelo. |
| Kuvuta kupinda chala chachikulu cha chala | Ululu ndi kutupa zingapangitse kuti zikhale zovuta kupindika chala chachikulu cha chala mmwamba ndi pansi. |
| Kuvuta kuyika kulemera pansi pa phazi | Mukayenda, mungamve kupweteka kwambiri kotero kuti simungathe kukweza katundu kutsogolo kwa phazi lanu. |
Kodi mwapeza bwanji izi, Dokotala?
Mukapita kwa dokotala yemwe ali ndi zizindikiro izi, chinthu choyamba chomwe angachite ndikuwunika phazi lanu. Iye adzafufuza ngati pali ululu, kutupa, ndi zina zotero. Iye angasunthe cholumikizira cha chala chanu chachikulu kuti aone ngati ululuwo ukuwonjezeka.
Popeza pali matenda ena omwe angayambitse zizindikiro zomwezi (monga chala cha m'chiuno kapena mitundu ina ya nyamakazi), dokotala wanu angakupatseni mayeso ena kuti akuthandizeni kusiyanitsa pakati pawo. Mayesowa angathandizenso kudziwa ngati pali kusweka kwa mafupa a sesamoid.
| Mayeso | Mukuona chiyani pamenepa? |
|---|---|
| X-ray | Yang'anani ngati mafupa a sesamoid athyoka. |
| Kujambula kwa CT | Ngakhale kusweka pang'ono komwe sikuonekera pa X-ray kumatha kudziwika. |
| Kujambula kwa MRI | Izi zimakupatsani mwayi wowona bwino kutupa ndi kuvulala osati m'mafupa okha, komanso m'misempha ndi minofu ina yofewa. |
| Kujambula kwa Ultrasound | Izi zimathandiza kuona momwe tendon ndi cholumikizira zimagwirira ntchito pamene cholumikizira chikuyenda. |
| Kujambula Mafupa | Amagwiritsidwa ntchito kuzindikira matenda osawoneka bwino a mafupa kapena matenda omwe sangadziwike ndi X-ray. Musaope dzinalo, kuchuluka kwa kuwala komwe thupi limalandira ndi kochepa kuposa CT scan. |
Kodi mankhwala ochizira izi ndi otani?
Njira yochiritsira imadalira chifukwa cha vuto lanu, kuopsa kwake, komanso ngati muli ndi matenda ena, monga kusweka kwa mafupa.
- Kupuma: Ichi ndiye chinthu chofunikira kwambiri. Kaya chifukwa chake ndi chiyani, dokotala wanu mwina angakuuzeni kuti mupumule phazi lanu lovulala kwa kanthawi, popanda kulikakamiza. Ngati mwakhala mukuchita zinthu monga kuvina kapena kuthamanga zomwe zayambitsa vutoli, mungafunike kupuma nthawi yayitali pa ntchitoyo.
- Mankhwala Ochepetsa Ululu (NSAIDs):Kuti muchepetse ululu ndi kutupa, dokotala wanu angakupatseni mankhwala oletsa kutupa (NSAIDs) monga ibuprofen.
- Madzi Oundana ndi Kukwezedwa: Kukweza mwendo wanu ndikugwiritsa ntchito madzi oundana kungathandize kuchepetsa kutupa. Koma kumbukirani, musaike madzi oundana mwachindunji pakhungu. Gwiritsani ntchito paketi ya madzi oundana kapena kukulunga ndi thaulo.
- Kuletsa kuyenda: Kuti muchepetse kuyenda kwa chala chachikulu ndikupumitsa minofu, dokotala wanu angakulangizeni kuti mugwiritse ntchito tepi ya chala chachikulu. Ngati vutoli ndi lalikulu, mungafunike kuvala chogwirira chachifupi chochotsera mwendo kwa milungu 4-6.
- Jakisoni wa steroid: Pa milandu yoopsa, dokotala wanu angakupatseni jakisoni wa steroid mwachindunji mu minofu yovulala kuti muchepetse ululu ndi kutupa mwachangu.
- Kuchiza thupi: Pa nthawi yochira, chithandizo cha thupi chobwezeretsa kuyenda kwa mwendo ndi chithandizo cha minofu yofewa chobwezeretsa ntchito ya minofu yofewa chingalimbikitsidwe.
- Opaleshoni: Opaleshoni imachitika kokha ngati pali matenda aakulu omwe palibe chithandizo china chomwe chathandiza. Izi zimaphatikizapo kuchotsa limodzi mwa mafupa awiri a sesamoid pansi pa phazi kuti muchepetse ululu.
Zimatenga nthawi yayitali bwanji kuti munthu achire?
Nthawi yomwe imatenga kuti izi zichitike imasiyana kwambiri malinga ndi munthu ndi munthu. Zimatengera zinthu monga kuopsa kwa vutoli, chomwe chimayambitsa, ndi zina zotero. Ngakhale vuto laling'ono lingathetsedwe m'masiku ochepa, vuto lalikulu lingatenge miyezi ingapo kuti lithetsedwe.
Chofunika kwambiri ndi kupumitsa phazi lanu mokwanira. Kuchita zimenezi nthawi zambiri kumathandiza kuti lichire msanga.
Koma kumbukirani, ngati muyamba ntchito zanu zakale msanga musanachiritsidwe mokwanira, mutha kuvulala kosatha. Choncho mverani dokotala wanu, mverani thupi lanu, ndipo dzipatseni nthawi yokwanira kuti muchire bwino.
Uthenga Wopita Nawo Kunyumba
- Sesamoiditis ndi kutupa kwa minofu yozungulira mafupa a sesamoid pansi pa phazi, pansi pa chala chachikulu chala.
- Matendawa amapezeka kwambiri kwa othamanga, ovina, ndi anthu omwe ali ndi mapazi osalala kapena omwe amavala nsapato zazitali pafupipafupi.
- Chizindikiro chachikulu ndi kupweteka komwe kumawonjezeka pang'onopang'ono pansi pa phazi, pansi pa chala chachikulu chala.
- Kupuma n'kofunika kwambiri panthawi ya chithandizo. Pewani kuthamangira kuchita zinthu.
- Ngati muli ndi zizindikiro izi, musapange zisankho nokha, koma pitani kwa dokotala woyenerera kuti akupatseni chithandizo choyenera.
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