Unonzwawo kurwadziwa kumashure kwechitsitsinho chako mushure mekumira kwenguva yakareba, kumhanya, kana kutanga kamwe kamwe kurovedza muviri? Dzimwe nguva unonzwa wakazvimba here? Vanhu vazhinji vanofuratira kurwadziwa uku, vachifunga kuti, "Kuchapera kwega." Asi ichi chinogona kuva chiratidzo chechirwere chinonzi 'Heel Bursitis.' Saka nhasi, ngatitaurei nezvazvo zvakadzama, kuti chii, nei zvichiitika, uye kuti tingachirapa sei.
Chii chinonzi Heel Bursitis?
Zvichitaurwa zviri nyore, chitsitsinho cheBursitis kuzvimba kwebursa iri muchitsitsinho chako. Iye zvino ungangove uchishamisika kuti, "Chii chinonzi bursa?"
Fungidzira kuti kune nzvimbo mumuviri wedu uko mapfupa, tsandanyama, mitsipa, nezvimwewo zvinosangana, handiti? Kuti izvi zvisakwizane uye zvikonzere kukuvara, pane kabhegi kadiki, kane mvura yakaita sejeli pakati pako. Kufanana nekuisa mafuta pamuchina, izvi zvinoderedza kukweshana pakati pezvikamu zviviri izvozvo uye zvinozvibatsira kufamba zvakanaka. Kabhegi kadiki ikako kanonzi 'bursa'.
Kune bursae dzakawanda dziri pedyo nepfupa rechitsitsinho chako (Calcaneus). Kana imwe yebursae idzi ikabatwa nekumanikidzwa kana kumanikidzwa nechero chikonzero, inozvimba, inotsvuka, uye inorwadza. Izvi ndizvo zvatinodaidza kuti bursitis. Kana izvi zvikaitika pachitsitsinho, tinozvidaidza kuti Heel Bursitis.
Kune mhando mbiri huru dzechitsitsinho cheBursitis:
Kune mhando mbiri huru dzezvitsitsinho zvinoputika, zvichienderana nekuti zvinoitika kupi.
1. Retrocalcaneal bursitis: Iyi ndiyo mhando inonyanya kuitika. Inoitika kana bursa iri pakati pepfupa rechitsitsinho chako neAchilles tendon, tendon hombe iri kumashure kwegumbo rako, ikazvimba. Inonziwo Achilles tendon bursitis.
2. Subcutaneous calcaneal bursitis: Rudzi urwu runokonzerwa nekuzvimba kwebursa iri pakati peAchilles tendon neganda riri pamusoro payo.
Marwadzo nekusagadzikana kunokonzerwa nemarudzi ese ari maviri zvakafanana zvikuru.
Ndezvipi zviratidzo zvechirwere ichi?
Kana uine Heel Bursitis, unogona kusangana nechimwe chezviratidzo zvinotevera. Ngatizvitarisei mutafura.
| Chiratidzo | Tsananguro Iri Nyore |
|---|---|
| Marwadzo nekuzvimba | Kurwadziwa kwakanyanya uye kuzvimba mukati kana kumashure kwechitsitsinho. Kurwadziwa kunogona kuwedzera kana ukamuka mangwanani. |
| Unyoro | Nzvimbo inorwadza inorwadza kana ukaibata neruoko rwako kana kuidzvanya. Unogona kunzwa kurwadziwa kunyangwe shangu yako ikarova. |
| Kuoma kumira nezvigunwe | Marwadzo anowedzera kana wakamira netsoka dzako. |
| Kunzwa kudziya | Nzvimbo yakatenderedza chitsitsinho inogona kunzwa seyakadziya kupfuura dzimwe nzvimbo kana yabatwa. Ichi chiratidzo chekuzvimba. |
| Kuchinja ruvara rweganda | Dzimwe nguva ganda riri panzvimbo yakazvimba rinogona kutsvuka. |
Sei tichirwara neHeel Bursitis?
Pane zvikonzero zvakawanda zveizvi. Chikonzero chikuru ndechekumanikidzwa kwebursa pachitsitsinho nguva dzose.
| Chikonzero | Kukubatsira Kwazvinoita |
|---|---|
| Kushandisa zvakanyanya | Kumira kwenguva yakareba, kufamba daro refu, kumhanya, uye kusvetuka zvese zvinogona kuisa kumanikidzwa kwakasimba pazvitsitsinho. |
| Kuwedzera kamwe kamwe kwemabasa | Dambudziko iri rinogona kukonzerwa nezvinhu zvakaita sekutanga kumhanya kamwe kamwe mushure mekusaita maekisesaizi, kana kuwedzera maekisesaizi ako kamwe kamwe pajimu. |
| Shangu dzisina kukodzera | Kupfeka shangu dzakasimba dzinobaya chitsitsinho ndicho chikonzero chikuru. Izvi zvinogona kukonzera kuti bursa igare ichitsamwa uye ichizvimba. |
| Kusapisa zvakanaka | Izvi zvinogonawo kukonzerwa nekusadziisa muviri zvakanaka usati waita maekisesaizi kana mutambo. |
| Utachiona hwebhakitiriya | Izvi hazviwanzoitiki. Mabhakitiriya anogona kupinda mubursa kuburikidza nekukuvara kwechitsitsinho obva aitapurira chirwere ichi. |
Ndiani ari panjodzi huru yekuva nechirwere ichi?
Kuwedzera kune zvikonzero zvataurwa pamusoro apa, vanhu vane mamwe matambudziko ehutano vari panjodzi huru yekubatwa neHeel Bursitis.
- Kuremara kwaHaglund: Ichi chirwere apo pfupa rekuwedzera rinokura kumashure kwepfupa rechitsitsinho. Kuremara uku kunogona kukwesha shangu uye kudzvanya bursa.
- Arthritis ine rheumatoid
- Ankylosing spondylitis (AS)
- Arthritis yePsoriatic
- Gout
Kana uine zvirwere zvemajoini zvakaita seizvi, pane katsika kekuti majoini akasiyana-siyana nebursae mumuviri azvimbe.
Unoona sei izvi, Chiremba?
Paunoenda kunoona chiremba nekuda kwekurwadziwa kwechitsitsinho, anotanga anyatsoteerera zviratidzo zvako uye ozoongorora muviri wako.
Mibvunzo yekutanga yekukubvunza
- Unomira kwenguva yakareba here? Unoita basa rerudzii?
- Ndedzipi mhando dzekurovedza muviri nemitambo yaunoita?
- Unowanzo pfeka shangu dzerudzii?
- Kurwadziwa uku kwakamboitika here?
Ongororo yemuviri inotevera
- Ndiri kutarisa kana paine kuzvimba pachitsitsinho chako.
- Vanodzvanya pasi nzvimbo chaidzo dzekurwadziwa nemaoko avo.
- Kufamba kwetsoka netsoka dzako kunoongororwa kuti kufamba kwacho kwakamira sei.
- Unokumbirwa kumira netsoka dzako wokotamisa tsoka yako kumusoro nekudzika kuti uone kana kurwadziwa kwacho kuri kuwedzera.
Chinhu chinonyanya kukosha ndechekuudza chiremba wako nezvekurwadziwa kwako, kuti kwakatanga sei, uye kuti kunowedzera kangani, usingavanzi chero chinhu. Ruzivo irworwo ruchabatsira zvikuru pakuongorora chirwere chako nemazvo.
Kana uchifungidzira kuti une hutachiona hwebhakitiriya...
Kana uchirwadziwa nechitsitsinho pamwe chete nezviratidzo zvakaita sefivha nechando, chiremba wako anogona kufungidzira kuti une hutachiona hwebhakitiriya. Kana zvakadaro,
- Tembiricha yemuviri wako iri kuongororwa.
- Dzimwe nguva, mvura shoma inogona kutorwa kubva mubursa yakazvimba netsono diki (syringe) (bursal aspiration) yoendeswa kunoongororwa mabhakitiriya.
Ndedzipi bvunzo dzinoitwa kusimbisa?
Kazhinji, chirwere ichi chinogona kuonekwa nekuongororwa kwemuviri. Zvisinei, mune dzimwe nguva, chiremba wako anogona kukurudzira bvunzo dzinoverengeka kuti aone kana paine chimwe chikonzero chekurwadziwa.
- X-ray: Izvi zvinogona kutarisa shanduko muchimiro chepfupa rechitsitsinho, mamiriro ezvinhu akadai sekurema kwaHaglund, kana kutyoka.
- Kuongororwa kweMRI: Izvi zvinogona kuratidza kuzvimba kwebursa, chero kukuvara kweAchilles tendon (Achilles tendinitis), uye mamiriro enyama dzakapfava dziri pedyo.
- Ultrasound scan: Izvi zvinogonawo kubatsira kuongorora zviri nani mamiriro e bursa nematendoni akapoteredza.
Ndeipi mishonga yekurapa chitsitsinho chebursitis?
Chinhu chakanakisa ndechekuti chirwere ichi chinogona kurapwa pasina kuvhiyiwa. Nzira dzekurapa dzinogona kukamurwa kuita mapoka maviri.
Zvinhu zvaunogona kuita kumba (nzira yeRICE)
- Zorora: Rega chero chiito chinokonzera kana kuwedzera marwadzo. Rega kufamba, kumhanya, kana kusvetuka kwechinguva uye ipa gumbo rako zororo. Izvi zvinopa bursa yakazvimba nguva yekupora.
- Aizi: Isa macubes echando muhomwe yepurasitiki, woiputira netauro rakatetepa, woiisa panzvimbo inorwadza kwemaminitsi angangoita 15-20 katatu kusvika kana kana pazuva. Izvi zvinoderedza zvikuru marwadzo nekuzvimba.
- Shangu Dzakakodzera: Dzivisa kupfeka shangu dzakasimba, dzakasimba zvachose. Pfeka shangu dzakapfava, dzinokwana zvakanaka dzisingabati chitsitsinho.
- Mishonga: Mishonga isiri yesteroidal inorwisa kuzvimba (NSAIDs) yakaita se ibuprofen ne naproxen inogona kubatsira kuderedza marwadzo nekuzvimba. Zvisinei, yeuka, unofanira kugara uchibvunza chiremba wako usati washandisa chero mushonga.
Kurapwa kunokurudzirwa nachiremba
Kana kurapwa kumba kusingabatsire, chiremba wako anogona kukurudzira kurapwa kwakadai.
- Mashandiro eMabvi:Izvi zvinhu zvakakosha zvinoiswa mukati meshangu. Kana ukaisa chimwe chinhu chakaita sechitsitsinho, nzira iyo tsoka yako inorova pasi inogadziriswa paunenge uchifamba, zvichideredza kumanikidzwa kwechitsitsinho chako.
- Kurapa muviri: Izvi zvakakosha zvikuru. Nyanzvi yekurovedza muviri ichakudzidzisa maekisesaizi ekutambanudza tendon yako yeAchilles netsandanyama dzinotsigira ibvi rako. Maekisesaizi aya anoderedza kumanikidzwa kwebursa uye anobatsira kuderedza marwadzo.
- Mishonga inorwisa mabhakitiriya: Kana bursitis yako inokonzerwa nehutachiona hwebhakitiriya, chiremba wako achakupa mishonga inorwisa mabhakitiriya inonwiwa nemuromo.
- Majekiseni eBursa: Iyi inzira isingawanzoitiki. Kana marwadzo nekuzvimba zvikasapera, chiremba wako anogona kubaya mushonga westeroid mubursa.
- Kuvhiyiwa: Iyi ndiyo nzira yekupedzisira. Kana pasina kuvandudzika mushure memwedzi 6-12 yekurapwa, nzira yekuvhiya inonzi bursectomy inogona kudiwa kubvisa bursa yakakuvara.
Zvinotora nguva yakareba sei kuti chirwere ichi chipore?
Kana chirwere ichi chikaonekwa zvakanaka uye chikarapwa, hapana chekutya nacho. Vanhu vazhinji vanopora mukati memavhiki maviri kusvika matatu nekurapwa kumba. Kune avo vane chirwere chakanyanya kuoma, zvinogona kutora mwedzi yakati wandei kuti vapore zvizere. Chinhu chakakosha ndechekushivirira uye kutevedzera mirairo yachiremba wako.
Nzira yekudzivirira kudzokazve kwechirwere ichi?
- Iva nechokwadi chekudziya muviri zvakanaka usati waita maekisesaizi.
- Pfeka shangu dzakakodzera pabasa rako. Dzivisa shangu dzakasimba, dzakasimba.
- Kana uchimhanya kana kufamba, dzivisa nzvimbo dzakaoma (kongiri) zvakanyanya sezvinobvira uye rovedza muviri panzvimbo dzakapfava dzakadai seuswa .
- Ita maekisesaizi ekutambanudza hamstrings uye Achilles tendon zuva nezuva.
Chitsitsinho cheBursitis chirwere chinowanzoitika pakati pevatambi, vanhu vanoshingaira, uye avo vanomira kwenguva yakareba. Kunyangwe zvichigona kurwadza zvishoma, nekurapwa kwakakodzera, unogona kudzokera kuhupenyu hwako hwemazuva ese nekukurumidza.
Mharidzo Yekuenda Nayo Kumba
- Usaregeredza kurwadziwa nekuzvimba kweshure kwechitsitsinho chako, uchifunga kuti "zvichapera munguva pfupi."
- Zvikonzero zvikuru zveizvi kushandisa zvakanyanya, kupfeka shangu dzisingakwane, kana kuwedzera kamwe kamwe nguva yekurovedza muviri.
- Pakutanga, kuzorora, kuisa chando, uye kupfeka shangu dzakakodzera zvinogona kupa zororo guru.
- Kana kurwadziwa kukasapera mumazuva mashoma, kana kuti kukanyanya kuipa, taura nachiremba.
- Dambudziko iri rinogona kurapwa zvizere nekurapwa kwakakodzera uye maekisesaizi ekurovedza muviri.
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