Ingaba le yimbangela yentlungu engasemva kweqakala lakho? Masifunde nge (Os Trigonum Syndrome)!

Ngaba wakha waziva iintlungu ezingaqhelekanga okanye ukuxinana ngasemva kweqakala lakho? Ngaba ezi ntlungu zibonakala zisanda, ingakumbi xa uzama ukuma ngeenzwane zakho, okanye xa ubaleka okanye utsiba? Ukuba kunjalo, umxholo esiza kuthetha ngawo namhlanje uza kuba ngobaluleke kakhulu kuwe. Le meko siyibiza ngokuba yi -`(Os Trigonum Syndrome)` . Nangona eli gama lingaqhelekanga, le yimeko enokwenzeka kwabanye abantu.

Yintoni i-`(Os Trigonum Syndrome)`? Masiyiqonde ngokulula!

Ngamafutshane, `(Os Trigonum Syndrome)` yintlungu eyenzeka ngasemva kweqakala lakho, oko kukuthi, kwilungu leqakala. Isizathu esiphambili soku yingcezu encinci yethambo elongezelelweyo emva kwethambo leqakala (`(talus bone)`). Eli thambo longezelelweyo libizwa ngokuba yi`(os trigonum)` . Ngoko ke, uluhlu lweempawu ezibangelwa leli thambo yiloo nto siyibiza ngokuba yi`(Os Trigonum Syndrome)`. Kulula kakhulu, akunjalo?

Oku kubizwa ngokuba yinto eyahlukileyo, mhlawumbi ukhe weva ngayo:

• `(Isifo sokuxinwa kweqatha elingasemva)`: Oku kuthetha ukuba kukho ukuxinwa okanye ukuxinwa ngasemva kweqatha. `(Isifo sokuxinwa kweqatha elingasemva)` kuthetha ngasemva, `(isifo sokuxinwa)` kuthetha ukuxinwa.
• Isifo sokunganyamezelani kweHindfoot: Oku kuthetha into efanayo, uxinzelelo ngasemva kweenyawo.
• `Ukufakwa kohlobo lweNutcracker`: Oku kunokuvakala njengegama elihlekisayo, kodwa kuthetha ukuba ithambo elongezelelweyo (`(os trigonum)`) licinezelwe kumacala omabini, njengokuba xa siphula isangqa, licinezelwe kumacala omabini. Yiyo loo nto libizwa ngolu hlobo.
• `(Isifo sokunganyamezelani kwe-tibiotalar)`
• `(Talar compression syndrome)`

Eyona nto ibalulekileyo kukuba eli thambo lingaphezulu elibizwa ngokuba yi-`(os trigonum)` lizalwa likhona . Oko kuthetha ukuba eli thambo linokubakho xa umntu ezalwa. Lisenokuba semlenzeni omnye kuphela, okanye linokuba semilenzeni yomibini. Eli thambo lingaphezulu liqhagamshelwe kwithambo eliphambili leqakala sisicwili esityebileyo esibizwa ngokuba yi-`(cartilage)`. Ke ngoko, alishukumi. Khawuthelekelele, ngokomyinge, phakathi kwe-15% kunye ne-30% yabantu banethambo le-`(os trigonum)` . Kodwa into emangalisayo kukuba, ayinguye wonke umntu onaleli thambo obonisa iimpawu. Abantu abaninzi abazi nokuba banalo eli thambo lingaphezulu!

Ngubani onokuba nethuba elikhulu lokufumana i-"Os Trigonum Syndrome"?

Ukuze eli thambo `(os trigonum)` libangele intlungu, kudla ngokubakho uhlobo oluthile lokulimala (`(trauma)`) kwindawo yeqakala. Oko kukuthi, into efana nokuwa ngequbuliso okanye ingozi. Okanye, le meko inokubangelwa `(uxinzelelo oluphindaphindayo)`, oluyingcinezelo ephindaphindayo ngasemva kweqakala .

Umzekelo, cinga ngoku:

• Abadanisi beBallet : Bahlala bema iinzwane zabo zijonge phantsi, nto leyo ebeka uxinzelelo olukhulu ngasemva kweqakala.
• Abadlali bebhola ekhatywayo : Xa bekhaba ibhola (bekhaba imidlalo), iinyawo zabo zihlala zijonge ezantsi.
• Abagijimi/abahambahambayo behla emathambekeni: Bakwabeka uxinzelelo olungakumbi ngasemva kweqakala bengazi.

Abantu abenza ezo zinto basengozini enkulu yokuba ``ne-posterior ankle i-impingement'' okanye ``Os Trigonum Syndrome''.

Kutheni kukho ukuxinwa kweqakala elingasemva?

Njengoko besitshilo ngaphambili, i-"Os Trigonum Syndrome" yenzeka xa umntu onethambo elongezelelweyo efumana ukwenzakala kwindawo apho elo thambo linamathele khona. Umzekelo, into efana neqakala elityumkileyo .

Ukongeza, oku kunokubangelwa kukucinezelwa rhoqo kweqakala.

• Xa umdanisi ehlala emi ngeenzwane.
• Xa umdlali webhola ekhatywayo eqhubeka ekhaba ibhola.
• Xa umgijimi etyhala ngomlenze wakhe (`(etyhala umva weqakala)`).

Ngenxa yokwenzakala okanye ukusetyenziswa kakhulu, ithambo elongezelelweyo liqala ukutyhala okanye ukutsaleka apho linamathele khona. Oku kunokubangela ukuba izicwili ezijikelezileyo zoluleke kwaye zikrazuke. Kulapho kuvela khona iimpawu ezifana nokudumba, ukudumba, kunye nentlungu .

Zithini iimpawu ze-`(Os Trigonum Syndrome)`?

Amaxesha amaninzi, abantu abanethambo elithi ``os trigonum`` abazi nokuba lilo, kuba alibangeli ngxaki.

Kodwa ukuba une-"Os Trigonum Syndrome", ungazibona iimpawu ezifana nezi ngasemva kweqakala lakho:

• Intlungu : Intlungu ivakala, ingakumbi xa utyhala ubhontsi wakho omkhulu okanye ukhomba iinzwane zakho ezantsi.
• Ukuncipha komgama wokunyakaza : Kuba nzima ukuhambisa umlenze phezulu nasezantsi ngokufanelekileyo, ukusuka kwelinye icala ukuya kwelinye.
• Ukuqina : Iqatha livakala liqinile.
• Ukudumba : Umqolo weqatha usenokuba uvuvukile.
• Ukuthamba xa uchukumisa: Kubuhlungu nokuba uchukumisa .

Abanye abantu bayayitshintsha indlela abahamba ngayo, ababaleka ngayo, abakhaba ngayo, okanye abadanisa ngayo ukuze baphephe le ntlungu. Ngamanye amaxesha bakwenza oku ngabom, ngamanye amaxesha bakwenza bengaqondanga.

Nangona kunjalo, xa indawo yendalo yomlenze itshintshile ngale ndlela, ukungonwabi kunye nentlungu zinokwenzeka kwezinye iindawo zomzimba . Umzekelo, umdanisi we-ballet one-"Os Trigonum Syndrome" unokujikeleza umlenze ngaphakathi okanye ngaphandle xa emi eziphelweni zeenzwane. Nangona kunjalo, ngokuhamba kwexesha, oku kunokubangela intlungu ezinzwaneni, ezinyaweni, emadolweni, okanye ezinqeni.

Oogqirha bayixilonga njani i-Posterior Ankle Impingement?

Xa uneentlungu zeqakala, ugqirha uya kulandela amanyathelo aliqela ukuze abone ukuba unale meko:

1. Uza kubuzwa imibuzo : Zithini iimpawu zakho, zeziphi izinto ezibangela intlungu, njl.njl.

2.Ukuthetha ngembali yakho yezonyango: ukwenzakala kwangaphambili, ezinye izifo.

3. Hlola umlenze wakho kunye neqakala lakho : Yolula, goba, kwaye ujikeleze umlenze wakho ukuze ubone ukuba loluphi uhlobo lwentshukumo olubangela intlungu.

Iimpawu ze-Os Trigonum Syndrome zinokufana nezinye iimeko, njengokulimala kwe-Achilles' tendon okanye ukwaphuka kwe-talus . Ke ngoko, ugqirha wakho uhlala eyalela iimvavanyo zomfanekiso ukuqinisekisa ukuba ikhona i-Os Trigonum kwaye aqinisekise ezinye izizathu. Ezi zinokubandakanya:

• Uvavanyo lwe-X-reyi (`(X-reyi)`)
• Iskeni ye-MRI (`(MRI)`)
• Iskeni ye-CT (`(iskeni ye-CT)`)
• Uvavanyo lwe-ultrasound (`(Ultrasound)`)

Olu vavanyo lunokubona ngokucacileyo ukuba kukho ithambo elongezelelweyo na nokuba lonakalise na izicwili ezijikelezileyo.

Inyangwa njani `(Ingxaki Yokuxinwa Kwamaqatha Angasemva)`?

Unyango lwale ngxaki yokukruneka ngasemva kweqakala luqala ngeendlela ezilula kakhulu, ezingezizo ezotyando. Olu nyango lungenziwa ngokudibanisa:

• Phumla iintsuku ezimbalwa kwimisebenzi ebangela intlungu.
• Ukuzilolonga ekhaya okanye unyango lomzimba : Oku kunokunceda ukulungisa indawo yeqatha nokuqinisa izihlunu zomlenze nonyawo.
• Ukufaka umkhenkce izihlandlo ezininzi ngemini : Oku kunokunciphisa ukudumba.
• Ukunxiba isihlangu esikhethekileyo sokuhamba ukuze kuthintelwe intshukumo yeqakala : Oku kunceda ukuba inxeba liphole.
• Amayeza angengowe-steroidal anti-inflammatory (NSAIDs) : Yehlisa iintlungu kunye nokudumba.
• Iinaliti zeSteroid : Ngamanye amaxesha, ukuba iintlungu zinzima, oogqirha bacebisa ezi naliti.

Abantu abaninzi bafumana isiqabu ngolu hlobo lonyango lulula. Nangona kunjalo, ukuba iimpawu aziphucuki emva kweenyanga ezininzi zonyango, ingakumbi ukuba ungumdlali wezemidlalo ohlala esenza umsebenzi othile, utyando lunokufuneka.

Utyando lubandakanya ukususa i-os trigonum kunye nezicubu ezonakeleyo ezijikeleze yona. Oku kungenziwa nge-arthroscopically (inkqubo apho ikhamera kunye nezixhobo zifakwa khona ngokusebenzisa imingxunya embalwa emincinci) okanye njengomngxunya ovulekileyo . Ixesha lokuchacha limalunga nenyanga okanye ezimbini. Abadlali banokubuyela kwimisebenzi yezemidlalo epheleleyo kwiinyanga ezintandathu.

Singayithintela njani le `(Ukufakwa kweqatha elingasemva)` ukuba ingenzeki?

Inyaniso kukuba, akukho ndlela yokuthintela ukwakheka kwethambo elongezelelweyo elibizwa ngokuba yi-"os trigonum". Yinto ekhoyo xa uzalwa. Kodwa ukuba unelinye (okanye amabini!), uqaphele ukwenzakala kweqakala, kwaye uhlale kude nemisebenzi ehlala ijonge iinzwane zakho ezantsi , unganciphisa umngcipheko wakho wokuba nesi sifo.

Luhlobo luni lwekamva umntu one-`(Os Trigonum Syndrome)` anokulilindela?

Akukho nto yokoyika! Uninzi lwabantu abane-`(Os Trigonum Syndrome)` bayaphila kakuhle ngokuphumla nangonyango olungelulo utyando . Kodwa into enye ekufuneka uyikhumbule kukuba ukuba uyaqhubeka nomsebenzi obangele ezi mpawu, iimpawu zinokuvela kwakhona. Ngoko ke kungcono ukuba uqaphele kancinci.

Ndingazikhusela njani iiqatha zam?

Khumbula ezi zinto zimbalwa ukuze ukhusele iqatha lakho ekulimaleni:

• Nxiba izihlangu ezifanelana kakuhle nomsebenzi owenzayo. Lahla izihlangu ezindala nezigugileyo.
• Ziphephe iindawo ezingalinganiyo okanye ezinemingxuma. Umzekelo, iindawo ezisezantsi xa ubaleka, amabala angalinganiyo okanye anemingxuma xa udlala ibhola ekhatywayo, okanye imigangatho ephukileyo kwiindawo zokudanisa.
• Ukuba uhlala ukruneka iqatha lakho, cinga ngokusebenzisa i-brace ekhethekileyo okanye iteyiphu ukuze uzinzise iqatha lakho.
• Kancinci kancinci yonyusa ubukhali bomthambo wakho. Umzekelo, ukuba awukaze udlale ibhola ekhatywayo ngaphambili, ungaqali ngequbuliso ukudlala iiyure ezintathu ngosuku. Qala kancinci kancinci uze wongeze ixesha nobukhali kancinci kancinci.
• Funda kwaye uziqhelise ubuchule obufanelekileyo, ingakumbi xa ubaleka, ukhaba ibhola, kwaye udanisa.
• Mamela umzimba wakho. Ukuba kukho into ebuhlungu, yeka ukuyenza.
• Zifudumeze kakuhle ngaphambi kokuba wenze nawuphi na umsebenzi womzimba, uze uzolule kakuhle emva koko.

Yintoni umahluko phakathi kokubethelwa kweqakala elingaphambili kunye nokubethelwa kweqakala elingasemva?

Nangona zombini ezi zinto zibangelwa kukukruneka kweqatha, zenzeka kwiindawo ezimbini.

• Isifo sokunganyamezelani kwamadolo (esithetha ngaso namhlanje) senzeka ngasemva kweqatha lakho . Xa ujolisa unyawo lwakho ezantsi, izicubu ezikule ndawo ziyaxinwa kwaye zibangele iintlungu. Ukuba nethambo elongezelelweyo elibizwa ngokuba yi-os trigonum kwandisa amathuba okuba nezi mpawu zibekho.
• I-Anterior ankle impingement syndrome yenzeka ngaphambili kweqakala lakho . Ibangelwa zii-extra bone spurs (ii-bone spurs) ezikhula ngaphambili kweqakala, okanye kwisiphelo esisezantsi sethambo le-shin.

Ngamafutshane, kwi-"Postterior ankle i-impingement" intlungu ivela ngasemva kweqakala, kwaye kwi-"Anterior ankle i-impingement" intlungu ivela ngaphambili kweqakala.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

I-"Os Trigonum Syndrome" yimeko ebangela iintlungu ngasemva kweqakala. Ibangelwa sisiqwenga sethambo esongezelelweyo esikhoyo ekuzalweni. Ixhaphake kakhulu kubagijimi, abadanisi, kunye nabo badlala imidlalo efana nebhola ekhatywayo.

Ukuba uneentlungu zeqakala ezinje, qiniseka ukuba ubona ugqirha ukuze akunike ingcebiso. Emva koko unokwazi ukuba loluphi unyango olufanelekileyo kuwe kunye nendlela yokunyamekela le meko. Khumbula, ungaze uyityeshele nentlungu encinci!

Zinyamekele amaqatha akho, uhlale usempilweni!

Intlungu yeqakala , i-os trigonum, ukuxinwa kweqakala ngasemva, ithambo elongezelelweyo, ukwenzakala kwezemidlalo, iintlungu zeenyawo, unyango lomzimba