Ese akaguru kawe karababara inyuma? Bishobora kuba ari Sinus Tarsi Syndrome!

Ese wigeze ubona akabyimba gato inyuma y'akaguru kawe, hepfo gato, gatera ububabare? Wenda ubu bubabare burushaho kwiyongera iyo ugenda cyangwa uhindukiza ikirenge cyawe aha na hariya. Niba ibi byarakubayeho, noneho tugiye kuganira ku kintu gishobora kuba ingenzi kuri wewe. Iyi ndwara tuyita "Sinus Tarsi Syndrome". Ntugahangayike, reka tubiganireho mu buryo bworoshye.

Sindano ya Sinus Tarsi ni iki?

Muri make, Sinus Tarsi Syndrome ni ukubyimba kubabaza inyuma y'akaguru kawe, munsi yako gato. Mu by'ukuri, biterwa no kubyimba kw'ingingo iri munsi y'akaguru, aho igufwa ry'akaguru kawe (Talus) n'igufwa ry'agatsinsino (Calcaneus) bihurira.

Iyi `(Subtalar joint)` ni yo igufasha guhindukiza ikirenge cyawe uva ku ruhande ujya ku rundi. `(Sinus Tarsi)` ni umwanya muto uri hagati y'amagufwa abiri navuze. Tekereza nk'aho ari umuyoboro muto unyura mu musozi. Ariko aho gukuraho amabuye kugira ngo habeho umuhanda w'imodoka, iyi ni umuhanda muto waciwe mu magufwa. Unyuze muri uyu muhanda `(ligaments)` (amagufwa), imitsi n'imitsi y'amaraso ijya mu bindi bice by'ikirenge cyawe no ku kaguru.

Sinus Tarsi Syndrome ibaho iyo ingingo zo muri sinus tarsi zirakaye kubera impamvu runaka. Izi ngingo zirabyimba. Iyo uku kubyimba kubaye muri aka gace gato, umuvuduko imbere urazamuka kandi ububabare bukagaragara. Gukomereka ku kaguru ni yo mpamvu nyamukuru ibitera. Izi ngaruka ziba nyinshi cyane cyane niba warakomeretse ku kaguru kamwe inshuro nyinshi.

Niba ufite ububabare cyangwa kubyimba ku kaguru cyangwa agatsinsino, kandi niba ufite ikibazo cyo kugenda cyangwa gukoresha ikirenge n'akaguru neza, ugomba kujya kwa muganga cyangwa ku muganga w'amaguru.

Ese iki ni ikibazo gisanzwe?

Nk’uko abahanga babivuga, indwara ya Sinus Tarsi Syndrome ni indwara idakunze kugaragara. Ariko, biragoye kumenya neza uko ikunze kugaragara. Ibi biterwa nuko abantu benshi barwaye iyi ndwara bashobora kutayisuzuma neza. Nanone, ibimenyetso byayo bisa cyane n’iby’izindi ndwara zo mu kaguru.

Ni ibihe bimenyetso by'indwara ya Sinus Tarsi?

Ibimenyetso by'ingenzi by'iyi ndwara ni ububabare no kubyimba ku kaguru. Ububabare no kubyimba akenshi bikunze kugaragara inyuma ku kaguru, ku ruhande rwo hasi. Ariko, rimwe na rimwe ubu bubabare bushobora no kugera no ku bindi bice by'akaguru.

Ushobora kubona no kumva kubyimba mu gace kari hagati y'igufwa ry'akaguru n'igufwa ry'agatsinsino. Hari igihe uku kubyimba bigaragara cyane ku buryo hari abantu batekereza ko bisa n'ikibyimba kiri munsi y'uruhu.

Ni ubuhe bwoko bw'ibyiyumvo ibi biguha?

Ububabare bwa Sinus Tarsi Syndrome akenshi buba buhoraho kandi bworoheje.Bisa n'ububabare buhoraho. Ariko iyo wimutse cyangwa ukoresheje ukuguru kwawe, ububabare burakomera kandi bushobora kumvikana nk'aho icyuma kigukubita. Cyane cyane muri ibi bihe:

• Iyo ikirenge cyawe gishyizwe hagati mu mubiri wawe.
• Iyo ushyira ibiro ku birenge byawe, nko mu gihe ugenda, wiruka, cyangwa uzamuka ingazi.
• Iyo ukozeho kandi ugakanda kuri icyo gice cyitwa sinus tarsi.

Kuki indwara ya Sinus Tarsi ibaho?

Ibi bishobora gutera imvune iyo ari yo yose cyangwa ikibazo cyangiza ingingo yawe cyangwa umwanya witwa sinus tarsi.

Kuvunika k'akaguru ni byo bikunze kugaragara. Abantu bagera kuri 80% barwaye sinus tarsi syndrome bagira iyi ndwara iyo akaguru kabo kazungurutse kava hagati mu mubiri. Kunyerera, kugwa, n'izindi mvune ziterwa na siporo ni byo bikunze kugaragara mu gutera kuguru. Urugero, niba uguye mu buryo butunguranye urimo gukina cricket, cyangwa niba uguye ku gaguru kawe ugenda mu mwobo. Izi ni zo mpamvu zikunze kugaragara mu gutera iyi ndwara.

Gukomereka ku kaguru bishobora gutera indwara yitwa synovitis (kubyimba k'urukiramende rwa synovial) mu ngingo yawe ya subtalar. Kubyimba gukomoka kuri iyo ngingo bishobora no gutera sinus tarsi syndrome.

Impamvu zitari iz'imvune

Hari igihe, imiterere isanzwe y'ibirenge byawe, uburyo ugenda, n'indwara zimwe na zimwe bishobora gutuma sinuses zawe zishyiramo umuvuduko ukabije ('stress') uko igihe kigenda, bigatera iyi ndwara. Impamvu zidatera imvune zirimo:

• Kugira ibirenge birambuye.
• Kurenza urugero (over-pronation) ni igihe ikirenge cyinjira imbere cyane mu gihe ugenda cyangwa wiruka.
• Indwara ya rubagimpande yo mu birenge no mu tuguru.
• Umubyibuho ukabije.

Ni nde uri mu kaga gakomeye?

Gukomereka ku kaguru ni imvune zikunze kugaragara ku buryo umuntu wese ashobora kurwara sinus tarsi syndrome. Ariko, abantu bakurikira bafite ibyago byinshi byo kurwara:

• Abantu bakina siporo zisaba impinduka zitunguranye mu cyerekezo no guhinduka (urugero: umupira w'amaguru, basketball, hockey).
• Abantu bahagarara igihe kirekire kandi bagakora ku butaka bukomeye.
• Abagore batwite. Gutembera cyane kw'ikirenge (gutembera imbere mu kirenge) bikunze kubaho cyane mu gihe cyo gutwita.
• Abantu bamaze kuvunika akaguru kamwe inshuro nyinshi. Iyo akaguru kari kakomeretse kongeye kuvunika, ibyago byo kurwara sinus tarsi syndrome biri hejuru cyane.

Ni gute abaganga basuzuma ibi neza?

Umuganga azasuzuma indwara ya sinus tarsi syndrome akoresheje isuzuma ry’umubiri . Azareba ku kaguru kawe kakomeretse, arebe ko kabyimbye, kandi akore ku gahanga ahantu hitwa sinus tarsi. Ushobora gusabwa guhagarara, kugenda, cyangwa kunyeganyeza akaguru kawe. Niba ububabare burushijeho kwiyongera cyangwa bukarushaho kwiyongera iyo ukozeho, wimuka, cyangwa wimuka, ugomba kubimenyesha muganga wawe.

Niba uzi igihe watangiye kumva ibimenyetso, cyane cyane igihe n'aho byabereye, bwira muganga wawe ibyo bisobanuro.

Ibimenyetso bya sinus tarsi syndrome bisa n'iby'izindi ndwara nyinshi zigira ingaruka ku kaguru no ku kirenge. Urugero:

• Indwara ya rubagimpande y'ibirenge n'akaguru.
• Kuvunika kw'imitsi yo mu bwoko bwa Calcaneal.
• Kuvunika kw'agatsinsino k'inyuma.
• Indwara ya Tarsal tunnel syndrome (`(Tarsal tunnel syndrome)`).

Ibizamini bya sinusiti

Muganga wawe ashobora kandi gukora ibizamini bimwe na bimwe byo gufata amafoto y'ikirenge n'ibikikije:

• Imirasire ya X-ray y'ibirenge.
• Ikizamini cya MRI (Magnetic Resonance Imaging).
• Isuzuma rya CT (`(Isuzuma rya CT - Isuzuma rya Computed Tomography)`).

Indwara ya Sinus Tarsi ivurwa ite?

Muganga wawe azagusaba uburyo bwo kugabanya kubyimba no kubabara mu ruhu rwawe. Uburyo bukunze gukoreshwa ni ubu:

• Imiti igabanya ububabare itangwa na muganga (OTC): Ushobora gukoresha imiti igabanya ububabare itari iya steroide (NSAIDs) cyangwa acetaminophen (paracetamol) kugira ngo ugabanye kubyimba no kubabara. Ariko, ntugafate iyi miti mu gihe kirenze iminsi 10 utabanje kugisha inama muganga.
• Corticosteroids: Iyi ni imiti ikomeye igabanya ubushyuhe yandikiwe na muganga. Muganga wawe ashobora kandi gutera cortisone mu ngingo yawe ya subtalar.
• Kudakora: Ushobora kuba ukeneye kwambara icyuma gikingira akaguru cyangwa inkweto zidasanzwe zo kugenda kugira ngo ikirenge cyawe kigume kimeze neza kandi gitekanye mu gihe gikira. Muganga wawe ashobora kandi kukugira inama yo gukanda akaguru kawe kugira ngo ubone ubufasha bwiyongereye. Bazakwigisha uburyo bwo kubikora mu mutekano.
• Ubuvuzi bw'umubiri: Umuganga w'umubiri azakwigisha imyitozo ngororamubiri no kunanura imitsi kugira ngo akomeze imitsi ikikije akaguru kawe. Bazagufasha kugarura urwego rw'imikorere y'akaguru kawe (urugero ushobora kwimura akaguru kawe).
• Imiti yo mu bwoko bwa Orthotics: Imiti yo mu bwoko bwa Orthotics ni inkweto zihariye zishyirwa mu nkweto zawe. Ushobora kuzigura muri farumasi, cyangwa ushobora kuzikorera ku giti cyawe. Muganga wawe azakubwira ubwoko ukeneye n'igihe ugomba kwambara. Ashobora kandi kukugira inama yo gufata ibirenge byawe n'ibirenge (cyangwa ko ugomba kwirinda kwambara ubwoko bumwe na bumwe bw'inkweto).
• Kubaga:Kubagwa ntibikunze kuba ngombwa kuri sinus tarsi syndrome. Muganga azasuzuma kubagwa gusa iyo ubundi buryo bwo kuvura butagufashije, cyangwa niba ufite ububabare bukabije cyangwa kubyimba bihoraho. Niba ari uko bimeze, bazagusobanurira ubwoko bw'ukubagwa uzakora n'icyo wakwitega nyuma yaho.

Ese indwara ya Sinus Tarsi Syndrome ishobora gukira burundu?

Yego, akenshi, sinusitine irakira iyo ubonye umuti ushobora kugenzura ibimenyetso byawe. Uko kubyimba mu nsinusi bigabanuka, ububabare nabwo burashira.

Indwara ya Sinus tarsi iterwa no gukomereka k'akaguru akenshi igenda irushaho kwiyongera uko gukomereka gukira. Ubusanzwe bishobora gufata ukwezi kugira ngo agaguru kavunitse gakire.

Ariko, niba sinusiti yawe iterwa n'impinduka mu buryo busanzwe bw'ibirenge byawe cyangwa indi ndwara, bishobora gufata igihe kirekire kugira ngo kire. Baza muganga wawe cyangwa umuganga w'amaguru ibi.

Ni gute wakwirinda iki kibazo?

Bishobora kudashoboka kwirinda burundu indwara ya sinus tarsi syndrome, cyane cyane niba uri umukinnyi w’imikino ngororamubiri. Ariko hari uburyo bwo kugabanya ibyago byo kurwara indwara.

Mu gihe ukina siporo cyangwa mu gihe cy'imyitozo ngororamubiri:

• Ambara ibikoresho by'umutekano bikwiye (harimo n'ubwoko bw'inkweto bukwiye).
• Niba ikirenge cyawe kikubabaza mu gihe cy'imyitozo ngororamubiri cyangwa nyuma yayo, ntukigane gusa mu gihe cy'ububabare.
• Ha umwanya wo kuruhuka no gukira nyuma yo gukora imyitozo ngororamubiri igoye.
• Shyushya kandi ugorore imitsi mbere yo gukina siporo cyangwa imyitozo ngororamubiri.
• Komeza kandi ugorore umubiri nyuma yo gukora imyitozo ngororamubiri.

Ibuka ibi bintu kugira ngo wirinde impanuka:

• Komeza urugo rwawe n'aho ukorera hasukuye kandi hatarimo akajagari.
• Mu gihe ugera ku kintu kiri hejuru mu nzu , buri gihe koresha ibikoresho bikwiye (urugero: urwego). Ntugatere ku ntebe, ameza, cyangwa ku meza.
• Niba ugorwa no kugenda cyangwa ufite ibyago byinshi byo kugwa, koresha inkoni cyangwa icyuma gikuyobora.

Ni ryari ngomba kujya kwa muganga?

Niba ufite imvune kandi ukaba ufite ibimenyetso bya sinusitis syndrome, gana muganga. Niba ibimenyetso byawe bitaragabanuka nyuma y'iminsi mike umaze kuvurwa (cyangwa birushijeho kuba bibi), bwira muganga wawe.

Ni ryari nkwiye kujya mu cyumba cy’ubutabazi bw’ibanze (ER)?

Niba ufite kimwe muri ibi bimenyetso, jya mu cyumba cy’ubutabazi bwihuse:

• Ububabare bukabije cyane.
• Niba kubyimba birushaho kwiyongera.
• Ihinduka ry'ibara (urugero: guhinduka ubururu, guhinduka umukara).
• Niba udashobora kwimura ikirenge cyawe cyangwa akaguru kawe na gato.

Ni ibihe bibazo ngomba kubaza muganga wanjye?

Ushobora kubaza muganga ibi bibazo:

• Ese mfite sinus tarsi syndrome, cyangwa ni ikindi kibazo cy'akaguru?
• Ese navunitse akaguru? Ni byo byateye indwara ya sinus tarsi syndrome?
• Ese nzakora ibizamini ibyo ari byo byose?
• Ni ubuhe buryo bwo kuvura watanga kugira ngo ugabanye ububabare n'ibibyimba?
• Nkwiye kwirinda gukora imyitozo ngororamubiri igihe kingana iki?

Sinus tarsi ni umwanya muto mu kaguru kawe ushobora kubabaza cyane iyo urakaye. Sinus tarsi syndrome ibaho iyo umwanya muto uri hagati y'igufwa ry'akaguru n'igufwa ry'agatsinsino ubyimbye bitewe n'imvune cyangwa ikindi kibazo. Akenshi gukomereka kw'akaguru ni byo bikunze kuba impamvu.

Ubutumwa bwo kujyana mu rugo

Niba ufite ububabare ku kaguru kandi ukagorwa no kwimuka cyangwa gukoresha ikirenge cyawe cyangwa akaguru kawe—cyane cyane niba uzi ko wanyerera, wazungurutse, cyangwa wavunitse akaguru kawe—ni ngombwa kubonana na muganga cyangwa umuganga w’amaguru. Bashobora kugufasha kumenya impamvu y’ibimenyetso byawe no gusobanura icyo wakora kugira ngo ufashe akaguru kawe. Sinus tarsi syndrome ishobora kuba ikibazo kidashimishije cyane, ariko akenshi ni ikibazo cy’igihe gito. Iyo akaguru kawe gakize kandi kubyimba kukagabanuka, ugomba gusubira mu mirimo yawe isanzwe. Rero, icy’ingenzi ni ukudatinya no kuvurwa neza.

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