Ese inkweto zawe zihora zibabaza? Impamvu ishobora kuba ikibazo cy'ibinure biri mu gatsinsino kawe (Heel Fat Pad Syndrome)!

Ese wigeze wumva ububabare bukabije mu gatsinsino kawe mu gihe ugenda cyangwa wiruka? Bushobora kumva nk'aho urushinge rugukubise, cyangwa umuntu ugukanda cyane, cyangwa ndetse n'igisebe. Ubu bubabare bubabaza bushobora gutuma bigorana cyane gukora imirimo yawe ya buri munsi. Imwe mu mpamvu nyamukuru zibitera ni ikibazo kiba mu gice cy'ibinure cy'agatsinsino, tugiye kuvugaho uyu munsi, indwara yitwa `(Heel Fat Pad Syndrome)`.

"Heel Fat Pad Syndrome" ni iki?

Mu magambo make, kugabanuka kw'ibinure mu gatsinsino kawe, cyangwa kubura ubushobozi bwo kubyimba, ni byo twita "Heel Fat Pad Syndrome". Tekereza, munsi y'agatsinsino kacu, hejuru y'igufwa, hari urwego runini rw'ibinure, nk'umufariso karemano . Ibi nibyo birinda igufwa ryacu ry'agatsinsino ('agatsinsino' cyangwa 'calcaneus') guhungabana kw'ubutaka iyo tugenda, twiruka, kandi dusimbuka. Bikora nk'ikintu "gifata shock" mu modoka. Uko igihe kigenda, bitewe n'impamvu zitandukanye, iyi pad y'ibinure irashaza kandi ubushobozi bwayo bwo kuyitera bugabanuka, ari nabwo ububabare butangira kubaho.

Ushobora kuba warumvise iyi ndwara yitwa 'fat pad atrophy', 'fat pad syndrome', cyangwa 'heel fat pad atrophy'.

Iyi ndwara ikunze kugaragara gute?

Mu by’ukuri, indwara ya Heel Fat Pad Syndrome ni yo mpamvu ya kabiri ikunze gutera ububabare bw’agatsinsino, nyuma ya Plantar Fasciitis. Ariko, ikunze kwitiranywa na Plantar Fasciitis, kuko ibimenyetso bishobora gusa. Kubwibyo, ni ngombwa kumenya impamvu nyayo.

Ni ibihe bimenyetso bya "Heel Fat Pad Syndrome"?

Reba niba ufite kimwe muri ibi bimenyetso:

• Ububabare bukabije, bwimbitse, bumeze nk'ibikomere bituruka hagati mu gatsinsino iyo ugenda, uhagaze, cyangwa wiruka.
• Iyo ukandagiye cyane hagati y'agatsinsino kawe n'urutoki rwawe, ububabare nk'ubwo navuze mbere burongera kugaragara.
• Ububabare burushaho kwiyongera iyo umuntu ahagaze igihe kirekire, iyo akora imyitozo ngororamubiri ikomeye (urugero, gusimbuka, kwiruka vuba, siporo, basketball), cyangwa iyo agenda ku bintu bikomeye (nk'imbaho, sima, amatafari ya ceramic) nta nkweto .

Iyo indwara idakomeye cyane, ushobora kutabona ibimenyetso bikomeye. Cyangwa ushobora kumva ububabare gato rimwe na rimwe iyo ugenda umbaye inkweto ndende, wiruka, cyangwa ukanda ibirenge byawe ku gatsinsino.

Impamvu nyamukuru zibitera ni izihe?

Iyi ndwara yitwa "Heel Fat Pad Syndrome" ntihita ikura mu ijoro rimwe. Impamvu nyamukuru ibitera ni "gushira no kwangirika" bibaho uko igihe kigenda gihita. Hari ibintu byinshi bituma igira uruhare muri ibi:

• Gusaza: Ibintu byinshi mu mubiri wacu bihinduka uko imyaka igenda ishira. Mu buryo nk'ubwo, ibinure biri ku gatsinsino bigenda bigabanuka buhoro buhoro, ibinure biri muri byo bikagabanuka, kandi ubushobozi bwabyo bwo gukomera bushobora kugabanuka.
• Kongera ibiro: Uko turushaho kwiyongera ibiro, ni ko igitutu ku gice cy'ibinure mu gatsinsino kacu kirushaho kwiyongera. Ibi bituma gishira vuba, kigatakaza ubushobozi bwacyo bwo korohera no kugitera imbaraga.
• Amateka y'umuryango: Niba hari umuntu wo mu muryango wawe wagize iyi ndwara, cyangwa niba ufite indwara ifata ingingo z'umubiri (nka lupus cyangwa rheumatoid arthritis), uri mu kaga gakomeye ko kurwara iyi ndwara.
• Ihungabana ku gatsinsino: Iyo ukubiswe bikomeye ku gatsinsino, nko gusimbuka uturutse ahantu hirengeye, ibyo nabyo bishobora kuba impamvu.
• Kutagenda neza: Iyo hari ubusumbane mu buryo tugenda (kugenda) - ni ukuvuga uburyo ibirenge byacu bikubita hasi, uburyo ibiro by'umubiri wacu bikwirakwira mu birenge - uko igihe kigenda, ibinure biri ku gatsinsino bishobora kwangirika mu buryo budasanzwe.
• Imiterere y'ikirenge: Hari abantu bagira impinduka mu mwanya w'ikirenge cyabo (urugero: ibirenge birebire cyangwa ibirenge birebire) ndetse n'ibibazo byo kugenda, bishobora gushyira igitutu cyinshi ku gatsinsino.
• Inkweto zidakwiye: Impamvu ikomeye ibi ni ugukoresha inkweto cyangwa inkweto zidatanga ubufasha cyangwa ubushobozi bwo gukurura ikirenge . Hanyuma igitutu cyose kigera ku gatsinsino, maze urwego rw'ibinure rugashira vuba.
• Kugenda ku bintu bikomeye: Kugenda cyangwa kwiruka kenshi ku bintu bikomeye nka sima cyangwa amatafari adafite inkweto bigira ingaruka zikomeye ku gice cy'agatsinsino gifite ibinure.
• Ibikorwa bimwe na bimwe ukunda gukora: Ibikorwa bikunze gutuma amaguru yawe agwa hasi (urugero: kwiruka, basketball, tenisi, volleyball, gymnastics) no guhagarara igihe kirekire bishobora gutera iyi ndwara.
• Inshinge za Corticosteroid zabanje: Hari igihe inshinge za steroid zitwa corticosteroids, zikoreshwa mu kuvura ubundi bubabare bw'ibirenge no kubyimba, zishobora gutuma urwego rw'ibinure by'agatsinsino rugabanuka ndetse rugagabanuka nk'ingaruka mbi. Gutera steroid kenshi agatsinsino bishobora kongera ibi byago.

Ibi bishobora guterwa n'indwara zimwe na zimwe.

• Plantar Fasciitis: Iyi ni indwara yo kubyimba kw'imitsi minini yitwa plantar fascia iva ku gatsinsino kawe ikagera ku mano. Ibi kandi bitera ububabare ku gatsinsino.
• Udusimba tw'agatsinsino: Iyo udusimba duto, tumeze nk'amahwa ('agatsinsino') twinjiye ku igufwa ry'agatsinsino, dushobora gushyira igitutu ku mitsi y'ikirenge no kugabanya ubushobozi bwo koroha bw'agatsinsino.
• Ibirenge birebire: Hari abantu bafite umugongo muremure udasanzwe mu birenge byabo. Ibi bishobora guhindura burundu imiterere y'ikirenge no kugira ingaruka ku mitsi yo mu kirenge.
• (Diyabete yo mu bwoko bwa 2): Abantu barwaye Diyabete yo mu bwoko bwa 2 bashobora kugira ikibazo cyo gucika kw'ibinure na poroteyine y'ingenzi yitwa kolajeni mu gice cy'ibinure.
• Lupus na Rumatizime: Izi ndwara zifata ubudahangarwa bw'umubiri zigira ingaruka ku ngingo zihuza umubiri, harimo n'ingingo zihuza ibirenge.

Ni gute abaganga bamenya iyi ndwara?

Iyo ugiye kwa muganga ufite ububabare bw'agatsinsino, abanza kukubaza amateka y'uburwayi bwawe n'ibimenyetso by'ubu.

Ushobora kumva ibintu nk'ibi, cyane cyane ku bubabare bw'agatsinsino kawe:

• Ububabare bumeze bute? (urugero, buracyari butose, buteye icyuma, cyangwa butera amenyo?)
• Ni ryari wumva ububabare?
• Ni ibihe bintu bituma ububabare burushaho kwiyongera?
• Ubu bubabare bumaze igihe kingana iki?
• Ese ububabare bugabanuka iyo umuntu aruhutse?

Hanyuma, muganga azagusuzuma ikirenge cyawe. Azareba niba hari ibibazo by’imiterere y’ikirenge cyawe ndetse niba wumva ububabare iyo ukandagiye hagati y’agatsinsino. Bashobora kandi kugereranya ubunini bw’agatsinsino gafite amavuta iyo uhagaze n’igihe udahagaze. Agatsinsino gafite amavuta meza gakwiye kuba gafite ubugari buri hagati ya santimetero 1 na 2 (santimetero 0.4 na 0.8). Niba agatsinsino gafite amavuta akomeye cyangwa gakomeye iyo kakozeho, bivuze ko kadakomeye cyane. Ibi bishobora no kuba ikimenyetso cy’iyi ndwara.

Hari igihe, kugira ngo hemezwe neza ikibazo no kugira ngo hatabaho izindi mpamvu zitera ububabare bw'agatsinsino (urugero: kuvunika, gucika kw'agatsinsino), X-ray, scan ya ultrasound, cyangwa se MRI (Magnetic Resonance Imaging) ishobora kuba isabwa.

Ni ubuhe buryo bwo kuvura ibi?

Inkuru nziza ni uko iyi ndwara ishobora gukemurwa n'uburyo bworoshye bwo kuvura mu rugo (`ubuvuzi busanzwe`). Intego nyamukuru z'ubu buryo bwo kuvura ni:

• Kugabanya ububabare no kubyimba.
• Kugira ngo urinde urwego rw'ibinure ruriho.
• Kurinda kwangirika kw'ibinure.

Mu bihe bimwe na bimwe bikomeye, ubuvuzi bugoye cyane (`ubuhanga buhanitse`) bushobora kuba ngombwa. Ibi bisaba kongeramo ibindi bikoresho kugira ngo wongere ubunini bw'urushinge rw'ibinure mu gatsinsino.

Uburyo bworoshye bwo kuvura (bukoresha uburyo bwa kera):

• Kuruhuka: Ruhuka amaguru yawe uko bishoboka kose. Gabanya ibikorwa bishobora gutera ububabare ku gatsinsino (nk'ugusimbuka cyane no kwiruka).
• Shyira urubura: Nyuma y'igikorwa gitera ububabare, shyira agapaki k'urubura ku gatsinsino kawe mu gihe cy'iminota 20. Ushobora kubikora inshuro nyinshi ku munsi.
• Imiti: Imiti itangwa mu iduka ishobora gukoreshwa mu kugabanya ububabare no kubyimba. Urugero, harimo ibuprofen (Advil®, Motrin®) na naproxen (Aleve®). Ariko, ni byiza kujya kwa muganga mbere yo gufata umuti uwo ari wo wose.
• Inkweto z'amagufwa: Ambara inkweto z'amagufwa zitanga ubufasha bwiza kandi zifasha mu gupfuka amaguru, cyane cyane ku gatsinsino. Ushobora kubona inama ku muganga w'amaguru cyangwa iduka ryihariye rigurisha inkweto nk'izo.
• Gukanda agatsinsino kawe: Ubu ni uburyo bwo gushyira agatsinsino munsi y'agatsinsino no gushyira kaseti yihariye ku gatsinsino kugira ngo gatange ubufasha n'ubufasha. Muganga wawe cyangwa umuvuzi w'umubiri azakwereka neza uko wabikora.
• Ibikombe by'inkweto, amasogisi yo mu bwoko bwa "cushion" , amasogisi yo mu bwoko bwa "cushion", amasogisi yo mu bwoko bwa "cushion", aboneka muri farumasi cyangwa kuri interineti, atanga uburyo bwo kongera ubwiza n'ubufasha ku gatsinsino kawe.
• Gahunda y'imyitozo ngororamubiri: Uyobowe na muganga wawe cyangwa umuvuzi w'umubiri, ushobora kwiga kunanura imitsi y'inyuma n'imyitozo yo kuvura indwara ishobora kugufasha kugumana imiterere myiza hagati y'ikirenge n'ikibuno no gukosora ubusumbane.

Uburyo buhanitse bwo kuvura (bugoye):

• Inshinge: Muri ubu buryo, ibikoresho bitandukanye by’umwimerere cyangwa by’ubukorikori cyangwa by’amazi bishyirwa mu gitereko cy’agatsinsino kugira ngo byongere ubunini bwacyo. Urugero, hari ibikoresho by’uruhu birimo ibintu nka aside Poly-L-lactic na aside Hyaluronic. Hari n’igihe bikoreshwa na Silicone, ariko hari impaka ku ikoreshwa ryayo kuko ishobora kugera no mu bindi bice by’umubiri kandi ishobora gutera ingaruka zoroshye kugeza ku zikomeye. Ingaruka z’ibi bikoresho by’uruhu akenshi zimara amezi agera kuri 6 kugeza kuri 12. Biterwa n’ibintu nk’imibereho yawe, urwego rw’ibikorwa, ibiro by’umubiri, n’imyaka yawe.
• Gutera ibinure (cyangwa guterwa ibinure mu mubiri): Ibi bikubiyemo gufata ibinure bike mu kindi gice cy'umubiri wawe (nk'ikibero cyangwa inda yawe), kubisukura, no kubitera mu gice cy'ibinure kiri mu gatsinsino kawe (gutera). Ubusanzwe ubu ni uburyo bukorerwa hanze y'ivuriro. Ibisubizo biramara igihe kirekire kuruta ibyo gushyiramo ibinure mu ruhu.
• Guteranya: Ubu buryo bukoresha ibinure byakuwe ku wundi muntu (uwatanze). Kubera ko ari byo bikoreshwa gusa, hari amahirwe make cyane yo kwangwa n'umubiri. Ubu buryo kandi ni ukubagwa. Bifata igihe gito kugira ngo bikire kurusha ubundi buryo (bishobora gufata ibyumweru 6-8 kugira ngo ibinure bishya bihuze n'ibisanzwe). Bivugwa ko ubu buryo bushobora kugabanya ububabare mu gihe cy'imyaka igera kuri 5.

Hari igihe, iyo ubumuga bw'umubiri wavukanye cyangwa warabubonye mu mano, ibirenge, uturenge, amaguru, amavi, cyangwa ikibuno bihinduye uburyo umubiri wawe ukwirakwiza ibiro iyo ugenda, kandi niba ibi bigira ingaruka zikomeye ku buzima bwawe, bigatuma bidashoboka gukora imirimo ya buri munsi, abaganga bashobora gutekereza kubagwa kugira ngo bakosore ubwo bumuga.

Bigenda bite iyo idavuwe?

Iyo wirengagije indwara ya "Heel Fat Pad Syndrome" utayivuje, ishobora gutera ibibazo nk'ibi:

• Ububabare buzakomeza. Bushobora kugabanya ubuzima bwawe.
• Biba bigoye kugenda, gukina siporo, no gukora imirimo ya buri munsi.
• Ushobora guhindura uburyo ugenda utabizi kugira ngo ugabanye ububabare, ibyo bikaba byashyira igitutu kidakenewe ku zindi ngingo zo mu mubiri, bikongera ibyago byo kugwa no gukomereka.

Ni gute iki kibazo cyakwirindwa?

Nubwo tudashobora guhagarika burundu ibintu bibaho bitewe n'imyaka cyangwa imiterere y'uturemangingo igaragara mu miryango, dushobora kugabanya ibyago byo kurwara iyi ndwara (Heel Fat Pad Syndrome) duhinduye imwe mu mico no gufata ingamba zo kwirinda:

• Ambara inkweto zijyanye neza n'ibirenge byawe, zifite ubwishingizi bwiza bw'agatsinsino, kandi zirinda amaguru gusiganwa. Ambara inkweto zikwiye mu mikino ngororamubiri mu gihe ukora ibikorwa bikomeye.
• Irinde kwambara inkweto ndende kenshi. Ntabwo zikwirakwiza ibiro by'umubiri wawe ku birenge byawe, ahubwo zishyira igitutu kinini ku gace kamwe k'ikirenge cyawe (akenshi imbere).
• Gabanya ibikorwa bishyira umutwaro mwinshi ku gatsinsino, nko kwiruka, basketball, na siporo. Ha umwanya wo gukira nyuma y'ibikorwa nk'ibyo.
• Komeza kugira ibiro byiza by'umubiri. Kugira ibiro byinshi byongera umuvuduko ku gatsinsino kawe.
• Irinde kugenda udafite inkweto uko bishoboka kose, cyane cyane ahantu hatangana kandi hakomeye (nk'amatafari, imbaho, sima).
• Reba inkweto zawe zose buri gihe. Niba igice cy'inkweto zawe cyashaje mu buryo bumwe cyangwa ubundi (nk'aho uruhande rumwe rwashaje cyane), cyangwa niba umusego uri imbere mu nkweto utagifite akamaro, simbura inkweto.

Ese iyi `(Heel Fat Pad Syndrome)` ishobora gukira burundu?

Mu by’ukuri, nta kintu kitwa "umuti w’igihe kirekire" ubaho kuri "Heel Fat Pad Syndrome". Kubera ko, uko tugenda, tugenda, twiruka, kandi tugasimbuka bisanzwe ("kwangirika bisanzwe"), ibinure biri mu gatsinsino biragabanuka kandi bigacika buhoro buhoro. Ariko, nk'uko byavuzwe mbere, niba ufashe ingamba zikenewe kugira ngo ugabanye ububabare bw'agatsinsino, kubyimba, no gukumira kwangirika kw'agatsinsino, ushobora kongera ubuzima bwawe no gukomeza gukora ibikorwa ukunda.

Ni irihe tandukaniro riri hagati ya `(Heel Fat Pad Syndrome)` na `(Plantar Fasciitis)`?

Aha niho abantu benshi bahurira mu rujijo, bityo rero ni ngombwa kumenya itandukaniro ry'ingenzi riri hagati y'ibi bintu bibiri.

Tekereza kuri ibi, "Plantar Fasciitis" ni indwara igabanya ubukana, kubyimba, cyangwa kubyimba kwa "plantar fascia" (ikibyimba cy'uruhu), igice kinini cy'ingingo zihuza amaguru kigenda munsi y'ikirenge cyawe, kuva ku gatsinsino kugeza ku mano. Iyi "plantar fascia" ni yo ishyigikira "arch" y'ikirenge cyawe.

• Ikimenyetso cy'ingenzi cya plantar fasciitis ni ububabare bukabije mu gatsinsino. Ubu bubabare bukunze kuba imbere mu gatsinsino, hafi y'aho ikirenge giherereye. Hari igihe ububabare bushobora no gukwirakwira mu gice cy'ikirenge.
• Iyo urambura ukuguru kwawe, wumva gufungana no gukurura mu gice cy'ikirenge cyawe.
• Igikuru ni uko ububabare buba bukomeye cyane iyo ubyutse mu buriri bwa mbere mu gitondo ugatera intambwe za mbere. Nubwo ububabare busa n'aho bugabanuka nyuma yo kugenda gato, iyo ukomeje gushyira ibiro ku kaguru, ububabare bwongera kwiyongera mu mpera z'umunsi.
• Mu gihe cyo gusuzuma kwa muganga, iyo `plantar fascia` ikandagiwe, ububabare bukabije kandi buteye icyuma bugaragara, nk'aho ari guterwa urushinge.

Ariko, muri `(Heel Fat Pad Syndrome)`:

• Ububabare buri hagati mu gatsinsino, nk'igisebe cyimbitse kandi gitekanye.
• Ububabare bukunze kugaragara iyo umuntu agenda, ahagaze, cyangwa akora ibikorwa bikomeye igihe kirekire. Ububabare burushaho kwiyongera iyo agenda ahantu hakomeye nta sandali.
• Ubu bubabare bushobora kubaho igihe icyo ari cyo cyose cy'umunsi, nijoro, cyangwa se mu gihe umuntu aruhutse.
• Indwara y'ibinure ku kirenge ikunze kugaragara cyane mu birenge byombi icyarimwe kurusha Plantar Fasciitis.

Icy'ingenzi: Hari igihe ibi byombi bishobora kubaho hamwe. Nanone, umuntu urwaye `(Plantar Fasciitis)` ashobora kurwara `(Heel Fat Pad Syndrome)`. Uzi uko bigenda? Iyo `Plantar fascia` yangiritse, uburemere bw'ikirenge ntibukwirakwira neza iyo agenda cyangwa yiruka. Hanyuma, igitutu kinini gishyirwa ku gitsinsino, kigerageza kugikiza vuba.

Reka twige bike ku bijyanye no kuvunika k'umugongo mu gice cy'umubiri (calcaneal stress breakage).

Ikindi kintu ugomba kumenya. Igufwa riri mu gatsinsino kawe ryitwa calcaneus. Gukora ingendo zisubiramo nko kwiruka bishobora gutera akavuyo gato cyangwa kuvunika kwa calcaneus. Ibi byitwa stress fracture. Niba ufite calcaneal stress fracture, uzumva ububabare mu gatsinsino no mu gatsinsino. Ubu bubabare bw'agatsinsino buzagenda bwiyongera uko igihe kigenda gihita. Mbere na mbere, buzaba buriho gusa mu gihe cy'imyitozo, ariko nyuma buzatangira kubabara ndetse n'igihe ukuguru kwawe kuruhutse. Ushobora gukenera gupimwa amagufwa, gupimwa CT, cyangwa gupimwa MRI kugira ngo umenye niba ububabare bw'agatsinsino kawe buterwa no kuvunika kwa stress.

Amaherezo, icyo ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Mu magambo make rero, indwara y’ibinure ku kirenge ni ukubura ibinure byinshi bisa n’umusego mu gice cy’agatsinsino k’ibirenge byacu bidufasha gushyigikira ibiro byacu no kuturinda guhungabana. Ibi bishobora guterwa n’ibintu byinshi, birimo imyaka, ibikorwa bishyira igitutu ku gatsinsino, kwiyongera ibiro, no kugabanuka kw’ibiro mu gihe umuntu agenda. Ikimenyetso nyamukuru ni ububabare bukomeye hagati mu gatsinsino.

Igice cyiza ni uko uburyo bwo kuvura bworoshye nko kuruhuka, kugabanya ububabare, urubura, inkweto zikwiye, no gukora imyitozo ngororamubiri nk'uko muganga yabigutegetse akenshi bishobora gufasha mu guhangana n'iki kibazo. Mu bihe bimwe na bimwe bikomeye, hari uburyo bugezweho bwo kuvura.

Niba urwaye agatsinsino gakomeje, ntukabirengagize. Shaka muganga inama. Uko umenya ikibazo vuba, ni ko utangira kuvurwa neza vuba. Icyo gihe ushobora kwirinda ko indwara irushaho kuba mbi, ugakira vuba, kandi ugakomeza imirimo yawe ya buri munsi wishimye!

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