Ese imbere mu kuguru kwawe hari n'aho bibabaza? Reka twige ku bijyanye na (Posterior Tibial Tendonite) na (Posterior Tibial Tendon Dysfunction)!

Ibirenge byacu ni ibintu by'ingenzi cyane dukoresha umunsi wose, bishyigikira ibiro byacu byose, sibyo? Ariko rimwe na rimwe ibi birenge bishobora kubabara gato. Ese wigeze ubona ko ufite ububabare imbere mu kirenge cyawe, hafi y'akaguru kawe? Wenda ubu bubabare bwiyongera iyo ugenda, wiruka, cyangwa uzamuka ingazi. Abantu benshi bashobora kutita cyane kuri ibi, bakibwira bati "Bizaba byiza mu minsi mike." Ariko ibi nibikomeza, bishobora kuba bikomeye kurushaho. Uyu munsi tugiye kuvuga ku ndwara ishobora gutera ububabare nk'ubwo bw'amaguru.

Tendonite yo mu gice cyo hagati cy'ikirenge ni iki?

Mu magambo make, Posterior Tibial Tendonite ni ukubyimba cyangwa kubyimba kwa Posterior Tibial Tendon, bishyigikira uruhande rw'ikirenge cyawe kandi bikagufasha kunama ukuguru kwawe. Nanone byitwa Posterior Tibialis Tendon .

Noneho ushobora kuba wibaza icyo umutsi ari cyo. Umutsi ni ingingo ikomeye, isa n'umugozi ihuza imitsi yacu n'amagufwa yacu. Bityo, umutsi wo mu gice cy'inyuma cy'ikirenge uhuza imitsi yo mu kuguru kwacu n'amagufwa ari imbere mu kuguru kwacu.

Iyo uyu mutsi ubyimbye , ushobora kumva ububabare no gufungana ku ruhande rw'ikirenge cyawe, imbere mu kirenge cyawe, cyangwa mu kaguru kawe. Uku kubyimba k'umutsi mu buvuzi bwitwa tendinite . Bishobora kuba igihe gito (cyane) cyangwa kirekire (cyangwa kimara igihe kirekire).

Iyo tendon y'inyuma y'ikibuno ikomeje, ni ukuvuga iyo ikomeje igihe kirekire idakira, tendon iracika intege buhoro buhoro igatangira kwangirika. Iyi ndwara twita tendon y'inyuma y'ikibuno . Iyi tendon y'inyuma y'ikibuno niyo ituma umuntu agira ikibazo cyitwa Posterior Tibial Tendon Dysfunction (PTTD) .

None se ikibazo cyo kudakora neza kw'imitsi yo mu gice cy'inyuma cy'ikirenge (PTTD) ni iki?

Indwara yo kugabanya umutsi wo mu gice cy'inyuma cy'ikirenge (PTTD) ibaho iyo umutsi wo mu gice cy'inyuma cy'ikirenge wangiritse kandi ugacika intege bitewe n'indwara idakira y'umutsi wo mu gice cy'inyuma cy'ikirenge twavuze haruguru. Iyo umutsi wo mu gice cy'inyuma cy'ikirenge wacitse intege, ntuba ugishobora gushyigikira umugongo w'ikirenge cyawe.

Ese uzi icyo ibi bitera? Ibirenge byawe bitangira kuba birebire kandi utubuto twawe tugatangira kwihindukiza imbere. Ushobora kumva ko utubuto twawe n'utubuto twawe bidafite imbaraga cyane, cyane cyane iyo ugerageje guterura inkweto zawe. Iyo iki kibazo gikomeje, gishobora kwiyongera buhoro buhoro.

Abaganga kandi bayita Posterior Tibial Tendon Insufficiency (PTTI) . PTTD ni yo mpamvu nyamukuru itera ubumuga bw'ibirenge bukomeza kugwa (PCFD), indwara yari izwi mbere nka acquired adult flatfoot cyangwa "fallen arch ."

Tekereza, iyo umugongo w'ikirenge cyawe uguye, uburyo ikirenge cyawe gikubita hasi iyo ugenda, bityo n'uburyo gitwara uburemere, birahinduka. Ibi bishobora kwangiza ibindi bice by'ikirenge cyawe, nk'imitsi ndetse n'agatsinsino.

Ni izihe ntambwe z'iyi ndwara? (Intambwe za Posterior Tibial Tendinopathy)

Abaganga bashyira ibi mu byiciro bitandukanye bitewe n'uko urwaye:

• Icyiciro cya 1: Iyi ni indwara yoroheje y’imitsi cyangwa tenosynovitis (kubyimba kw’agahu gakikije imitsi). Nta mpinduka nini ibaho mu miterere y’ukuguru kwawe. Urashobora kuzamura agatsinsino kawe, ariko ushobora kugira ububabare mu gihe ubikora.
• Icyiciro cya 2: Kuri iki cyiciro, ntuba ugishoboye guterura agatsinsino kawe. Imirasire ya X igaragaza ko umugongo wawe wacitse, ariko uracyari woroshye kandi ntukomeye. Amano yawe ashobora kuba atangiye kwaguka gato. (Abaganga babyita iki kimenyetso cy' "amano menshi cyane" . Ibi bivuze ko iyo urebye ikirenge cyawe inyuma, ubona amano menshi kuruta uko wari usanzwe ubona.)
• Icyiciro cya 3: Kugeza ubu umugongo wawe warasenyutse burundu kandi warakomeye. Amano yawe yombi n'agatsinsino byawe birareba hanze. Ushobora kandi kugaragaza ibimenyetso bya rubagimpande mu gice cyo munsi y'ikirenge cyawe.
• Icyiciro cya 4: Ibimenyetso byose byavuzwe haruguru biragaragara muri iki cyiciro. Imirasire ya X igaragaza kandi ko umugozi wa deltoid n'igufwa rya talus mu kaguru kawe byahindutse. Ushobora kandi kugira ibimenyetso bya rubagimpande mu kaguru kawe.

Ibimenyetso ni ibihe?

Iyo ufite Posterior Tibial Tendonite, wumva ububabare mu nzira umutsi unyuramo, uhereye inyuma y'akaguru ugana imbere mu kaguru, ukagera inyuma y'agace k'amagufwa kari imbere y'agace k'amagufwa.

Ubu bubabare bushobora kugaragara cyane cyane mu gihe cy'ibikorwa nko kugenda, kwiruka, cyangwa kuzamuka ingazi. Mu ntangiriro, ububabare bushobora kuba buri kanya. Ariko uko indwara igenda irushaho gukomera, ububabare bushobora kwiyongera.

Ibindi bimenyetso bya tendinite y'inyuma y'ikibuno bishobora kuba birimo:

• Kubyimba ku mutsi, cyane cyane imbere mu kaguru.
• Kubabara iyo ukandagiye ikiganza, cyane cyane iyo ugonze ukuguru.
• Kumva ufite intege nke mu kuguru cyangwa ku kaguru, cyane cyane iyo "usunika".

Iyo tendonite ihindutse tendinose, ushobora gusanga bigoye gukoresha ukuguru kwawe, kandi ububabare bushobora gukwirakwira. Amaherezo, ushobora kubona impinduka ku mubiri w'ukuguru kwawe nka:

• Gusenyuka k'umugongo (ikirenge gihagaze).
• Akaguru karinjira imbere.
• Agatsinsino n'ikirenge bihindukiye inyuma.

Ibi ni ibimenyetso by'imikorere mibi y'imitsi yo mu gice cy'inyuma cy'ikirenge (PTTD).

Ni izihe mpamvu zibitera? (Impamvu zo kurwara Tendinitis yo mu gice cyo hagati cy'ikirenge)

Ubusanzwe imvune ni zo zitera amaguru gukomereka . Ku bijyanye n'imitsi yo ku maguru, imvune zo gukomereka kenshi ni zo zikunze kugaragara. Twese, twaba turi abakinnyi cyangwa tutaba abakinnyi, dukoresha amaguru yacu igihe cyose.

Iyo imitsi iyo ari yo yose ikoreshejwe cyane, irahangayika, igatera uduce duto tw’imitsi yoroshye. Ibi bifata igihe kirekire kugira ngo bikire. Kubyimba ni ikimenyetso cy’uko irimo kugerageza gukira. Ariko iyo utayihaye amahirwe yo gukira, ntabwo izakira.

Hari igihe umutsi wo mu gice cy'inyuma cy'ikirenge cyawe ushobora gucika (gukomereka gukabije) bitewe n'imvune itunguranye, nko mu mpanuka ya siporo cyangwa ku kaguru gahindagurika. Iyo uku gucika kudakize neza, kubyimba by'agateganyo (gucika intege gukabije) bishobora kuba akarande.

Hari igihe, iyo ugenda utembera mu buryo budasanzwe, bishobora no gutera umuvuduko uhoraho ku mitsi. Urugero, niba ikirenge cyawe gihindukiye imbere cyangwa inyuma, cyangwa niba ufite ibirenge birambuye cyangwa ibirenge birebire, no kugenda mu buryo busanzwe bishobora gushyira umuvuduko ku mitsi.

Ni ibihe bintu bishobora gutera ibyago?

Hari ibintu byinshi bishobora gutera imitsi ku buryo umutsi wawe urushaho kugorana no kubyimba:

• Intege nke mu kuguru cyangwa ku kaguru bitewe n'uko habayeho kubagwa cyangwa gukomereka mbere.
• Gukora siporo ifite ingaruka zikomeye nta buhanga bwiza byitwa imyitozo irenze urugero.
• Guhagarara igihe kirekire nta nkweto nziza zigufasha. Tekereza ko hari akazi gasaba guhagarara umunsi wose (urugero: abarimu, abakozi bo mu maduka). Abantu nk'aba baba bafite ibyago byinshi iyo batambaye inkweto zikwiye.
• Gutwara ibiro byinshi mu gihe ugenda n'amaguru. Ni ukuvuga ko umubyibuho ukabije na wo ushobora kugira ingaruka kuri ibi.
• Kuba yaragize ibibazo mu maguru cyangwa uburyo agenda kuva mu ntangiriro.
• Kugira indwara ya osteoarthritis yari isanzweho mu kuguru.
• Kugira indwara yo kubyimba kw'ingingo zihuza umubiri itera kubyimba, nka rubagimpande .
• Tenosynovitis ni ububyimbirwe bw'urukiramende rwa synovial rukikije umutsi wawe.

Ni gute indwara ya tendinite ihinduka PTTD?

Tendonite na tendinose bishobora kumera nk'uruziga rubi. Uburibwe budakira butuma umutsi ucika intege, bigatuma woroha gukomereka. Gukomereka kenshi bituma umutsi urushaho kugabanuka, kandi uburibwe bugakomeza.

Uko imitsi itakaza ubushobozi bwayo, izindi ngingo zo ku kuguru no ku kaguru zigomba kuzuza icyuho. Iki gitutu cyiyongereye gituma izo ngingo zinanirwa buhoro buhoro, bigasubiza umutwaro ku mitsi.

Ni izihe ngorane zishobora kubaho muri iki kibazo?

Indwara y’imitsi yo mu gice cy’inyuma cy’umugongo ishobora gukira iyo umuntu aruhutse kandi akaruhuka. Ariko, iyo itsi iba idakira, ishobora gutangira kwangirika kw’imitsi. Amaherezo, ishobora gutera imikorere mibi y’imitsi yo mu gice cy’inyuma cy’umugongo (PTTD).

Kudakora neza kw'imitsi yo mu gice cy'inyuma cy'ikirenge bishobora gutuma ikirenge cyawe gicika buhoro buhoro ( kugenda kigwa buhoro buhoro, PCFD , cyangwa ikirenge cyuzuye amaguru ). Ibi bishobora guteza izindi ngorane.

Iyo ugenda ku birenge birebire, imitsi ndetse n'amagufwa yo mu kirenge cyawe biva mu mwanya wabyo. Ibi bitera ubumuga bw'ibirenge. Ubu busembwa bushyira igitutu ku ngingo zawe, bishobora gutera indwara ya rubagimpande y'ibirenge n'akaguru.

Indi ngorane ishoboka ni ugucika burundu kw'imitsi. Kubera ko imitsi igenda icika intege buhoro buhoro, ishobora gucika burundu bitewe n'imvune itunguranye. Imitsi yacitse burundu izakenera kubagwa kugira ngo ivugururwe.

Abaganga bapima iki kibazo gute?

Indwara zigira ingaruka ku mutsi wo mu gice cy'inyuma cy'ikirenge (tendinopathy) zishobora kumenyekana hakoreshejwe isuzuma ry'umubiri. Muganga azasuzuma ikirenge cyawe n'akaguru mu gihe uhagaze kandi ugendagenda mu kirenge cyawe mu buryo butandukanye.

Bazakora ku mutsi kugira ngo barebe niba wabyimbye, bawukandaho kugira ngo barebe niba hari ububabare. Hanyuma bashobora gukora ibizamini byo gufata amashusho, nka X-ray cyangwa ultrasound, kugira ngo barebe uko umeze mu buryo burambuye.

Ni ubuhe buryo bwo kuvura?

Mu ntangiriro, indwara y’imitsi yo mu gice cy’inyuma cy’ikirenge ishobora kuvurwa hakoreshejwe uburyo bworoshye bwo kuvura nko kuruhuka, barafu, n’imiti itangwa na muganga. Mu bihe bikomeye cyane, gusigwa icyuma cyangwa inkweto bishobora gukenerwa mu byumweru bike.

Uburyo bwo kuvura PTTD burimo ubuvuzi bw’umubiri no gukoresha imiti yihariye yo kuvura amaguru n’amaboko -- imitsi ukoresha mu nkweto zawe -- kugira ngo ugabanye umuvuduko ku mitsi iyo ugenda. Mu bihe bikomeye cyane, ushobora gukenera kubagwa kugira ngo ukosore ikirenge cyawe.

Muri buri cyiciro, abaganga bazabanza kuvura byoroshye (bitarimo kubaga). Bazasuzuma uburyo bwo kubaga gusa iyo ibimenyetso byawe bitagabanutse nyuma y'amezi menshi ukoresheje ubwo buryo bwo kuvura.

Bifata igihe kingana iki kugira ngo umuntu akire? (Igihe cyo gukira)

Indwara yo mu bwoko bwa tendinite ishobora gukira mu byumweru bike. Ariko, niba ufite ubumuga bwo mu bwoko bwa tendinite n'imitsi idakora neza, bizatwara igihe kirekire. Iyo uvuwe byoroshye, bishobora gufata amezi atatu kugeza kuri ane kugira ngo ukire neza.

Iyo uburyo bwo kuvura busanzwe budakora nyuma y'amezi make, muganga wawe ashobora kukugira inama yo kubagwa. Nyuma yo kubagwa, bishobora gufata andi mezi abiri cyangwa ane kugira ngo imitsi yawe isubire kumera neza.

Bigenda bite iyo ufite PTTD? (Ibibazo)

Uko indwara ya PTTD ihagaze biterwa n'urwego rw'uburwayi bwawe n'ubwoko bw'ubuvuzi ukeneye. Mu ntangiriro z'indwara, abantu benshi bashobora gukira burundu bakoresheje uburyo bworoshye bwo kuvura.

Niba ugiye kubagwa kugira ngo wongere ibice by'ukuguru kwawe, biragoye kumenya neza uko bizagenda. Kubagwa bishobora kugorana, kandi ushobora gukenera gukora ibikorwa birenze kimwe. Ndetse na nyuma yo kubagwa, zimwe mu ngaruka zishobora kumara igihe.

Ese ibi bishobora kwirindwa? (Kwirinda)

Kwitonda kugira ngo imitsi yawe idakora cyane bishobora gufasha kwirinda indwara ya tendinite na tendinose. Niba uzi ko ugiye gukora akazi kenshi ku birenge byawe, menya neza ko wambaye inkweto zigufasha , hanyuma ukaruhuka bihagije.

Niba utangiye kumva ububabare mu mitsi yawe, yiteho , uyiruhukire kandi uyireke ikire. Niba ibimenyetso bikomeje, gana muganga. Azakubwira niba ufite indwara ya tendinite n'icyo wakora.

Niba urwaye indwara ya tendinite cyangwa tendinose, ni ngombwa cyane gukurikiza amabwiriza ya muganga wawe. Kudaha umutsi wawe amahirwe yo gukira neza bizagutera igihe kinini cy’ibimenyetso no gukira.

Amaherezo, ibintu byo kwibuka

Indwara yo kugabanya imitsi yo mu gice cy'inyuma cy'umugongo (PTTD) ibaho iyo imitsi yo mu kibuno na mitsi bikomeje igihe kirekire. Hari abantu bashobora kutabona ibimenyetso bwa mbere. Ariko iyo umaze kubona ibimenyetso, ni ngombwa kubivurwa.

Twese twishingikiriza cyane ku birenge byacu ku buryo rimwe na rimwe tutanabitekerezaho. Iyo ikirenge kikubabaje, ushobora gutekereza uti "Nibyo, icyo ni ikintu uzahura na cyo mu buzima." Ariko watangazwa n'akamaro k'umutsi muto mu kirenge cyawe.

Imitsi ni ibintu bikomeye, ariko itinda gukira iyo yakomeretse. Iyo idakize, ishobora kwangirika bitewe no kubyimba igihe kirekire. Iyo imitsi yawe y'inyuma ya tibialis inaniwe, imiterere yose y'ukuguru kwawe ishobora gusenyuka.

Ingingo y'ingenzi ni uko, fata ububabare bwawe nk'ikintu gikomeye . Uko uvurwa vuba neza indwara y'imitsi yo mu gice cy'inyuma cy'ikirenge n'imikorere mibi y'imitsi yo mu gice cy'inyuma cy'ikirenge, ni ko urushaho gukira neza.

Bishobora gufata igihe kugira ngo ukire, cyane cyane niba ugomba kubagwa. Birababaje guhagarika byose kubera umutsi muto. Ariko niba ushobora gutekereza ko uyu mutsi muto ari umufasha w'akazi ukora buri munsi, bizagufasha.

` posterior tibial tendonitis, PTTD, kubabara amaguru, kubabara akaguru, ibirenge birambuye, tendinitis, imikorere mibi y'imitsi