Ingaba ingaphakathi lomlenze wakho liyabuhlungu? Masifunde nge (Posterior Tibial Tendonitis) kunye (Posterior Tibial Tendon Dysfunction)!

Iinyawo zethu zizinto ezibaluleke kakhulu esizisebenzisa imini yonke, zixhasa ubunzima bethu bonke, akunjalo? Kodwa ngamanye amaxesha ezi nyawo zinokuba buhlungu kancinci. Ngaba wakha waphawula ukuba unentlungu ngaphakathi kwenyawo lakho, kufutshane neqakala lakho? Mhlawumbi le ntlungu iyanda xa uhamba, ubaleka, okanye unyuka izinyuko. Abantu abaninzi basenokungayinaki kakhulu le nto, becinga, "Kuza kulunga kwiintsuku ezimbalwa." Kodwa ukuba oku kuyaqhubeka, kunokuba nzima ngakumbi. Namhlanje siza kuthetha ngemeko enokubangela intlungu enjalo emilenzeni.

Yintoni i-Posterior Tibial Tendonitis?

Ngamafutshane, i-Posterior Tibial Tendonitis kukudumba okanye ukudumba kwe -Posterior Tibial Tendon, exhasa i-arch yonyawo lwakho kwaye ikuncede ugobe umlenze wakho. Ikwabizwa ngokuba yi-Posterior Tibialis Tendon .

Ngoku mhlawumbi uyazibuza ukuba yintoni i-tendon . I-tendon sisicwili esomeleleyo, esifana nentambo esidibanisa izihlunu zethu namathambo ethu. Ngoko ke, i-tendon yangasemva ye-tibial idibanisa izihlunu ezisemlenzeni wethu ongezantsi namathambo angaphakathi emlenzeni wethu.

Xa le tendon ivuvukala , ungaziva iintlungu kunye nokuqina ecaleni kweenyawo zakho, ngaphakathi kweenyawo zakho, okanye eqatheni lakho. Oku kuvutha kwetendon ngokwezonyango kubizwa ngokuba yi-tendinitis . Inokuba lixesha elifutshane (elibukhali) okanye elide (elingapheliyo).

Ukuba i-posterior tibial tendinitis iyaqhubeka, oko kukuthi, ukuba iqhubeka ixesha elide ngaphandle kokuphola, i-tendon iyancipha kancinci kancinci ize iqale ukuqhekeka. Le meko siyibiza ngokuba yi-tendinosis . Le posterior tibial tendinosis yiyo ekhokelela kwimeko ebizwa ngokuba yi -Posterior Tibial Tendon Dysfunction (PTTD) .

Ngoko ke yintoni i-posterior tibial tendon dysfunction (PTTD)?

Ukungasebenzi kakuhle kwe-tendon ye-posterior tibial (PTTD) kwenzeka xa i-tendon iphuka kwaye ibuthathaka ngenxa ye- tendinosis engapheliyo ye-posterior tibial tendon ekhankanyiweyo ngaphambili. Xa i-tendon ibuthathaka, ayisakwazi ukuxhasa i-arch yonyawo lwakho.

Uyazi ukuba oku kubangelwa yintoni? Iinyawo zakho ziqala ukuba zithe tyaba kwaye amaqatha akho aqala ukujika angene ngaphakathi. Usenokuziva ukuba ii-arches kunye namaqatha akho abuthathaka kakhulu, ingakumbi xa uzama ukuphakamisa izithende zakho. Ukuba le meko iyaqhubeka, inokuba mandundu kancinci kancinci.

Oogqirha bakwabiza le meko ngokuthi yi-Posterior Tibial Tendon Insufficiency (PTTI) . I-PTTD yeyona nto iphambili ebangela ukukhubazeka kweenyawo okuqhubekekayo (PCFD), imeko eyayisaziwa ngaphambili njenge -adolescence flatfoot yabantu abadala okanye "i-fallen arch ."

Khawuthelekelele, xa igophe lonyawo lwakho liwela phantsi, indlela unyawo lwakho olubetha ngayo emhlabeni xa uhamba, kwaye ngenxa yoko indlela oluthwala ngayo ubunzima, iyatshintsha. Oku ekugqibeleni kungonakalisa ezinye iindawo zonyawo lwakho, njengee-ligaments kunye ne-cartilage.

Zithini izigaba zale meko? (Amanqanaba e-Posterior Tibial Tendinopathy)

Oogqirha bahlula oku kube ngamanqanaba ahlukeneyo ngokuxhomekeke kwimeko yakho:

• Inqanaba loku-1: Le yi-tendonitis ethambileyo kunye/okanye i-tenosynovitis (ukudumba kwesingxobo esijikeleze i-tendon). Akukho tshintsho lubalulekileyo kwisakhiwo somlenze wakho. Usenako ukuphakamisa isithende sakho, kodwa usenokuba neentlungu ezithile xa usenza njalo.
• Inqanaba lesi-2: Kweli nqanaba, awusakwazi ukuphakamisa isithende sakho. Ii-X-reyi zibonisa ukuba igophe lakho liwile, kodwa lisaguquguquka kwaye aliqinanga. Iinzwane zakho zisenokuba ziqala ukusasazeka kancinci. (Oogqirha bakubiza oku ngokuthi "ziinzwane ezininzi kakhulu" . Oku kuthetha ukuba xa ujonga unyawo lwakho ngasemva, ungabona iinzwane ezininzi kunokuba ubuqhele ukwenza.)
• Inqanaba lesi-3: Okwangoku i-arch yakho iwile ngokupheleleyo kwaye iqinile. Zombini iinzwane zakho kunye nezithende zakho zijonge ngaphandle. Usenokuba ubonakalisa iimpawu ze-arthritis kwi-subtalar joint ngasemva konyawo lwakho.
• Inqanaba lesi-4: Zonke ezi mpawu zingasentla zikhona kweli nqanaba. Ii-X-ray zibonisa nokuba i-deltoid ligament kunye ne-talus bone eqakaleni lakho zitshintshile. Usenokuba neempawu ze- arthritis kwi-ankle joint yakho.

Zithini iimpawu?

Xa une-Posterior Tibial Tendonitis, uziva iintlungu endleleni ebaleka ngayo i-tendon, iqala ngasemva kweqakala iye kwehla ngaphakathi komlenze, ukuya kufikelela ngasemva kwethambo eliphambi kwe-arch.

Le ntlungu inokuvakala ngakumbi ngexesha okanye emva kwemisebenzi efana nokuhamba, ukubaleka, okanye ukunyuka izinyuko. Ekuqaleni, intlungu isenokuba yesikhashana. Kodwa njengoko imeko isiba mandundu, intlungu inokuba yexhaphakileyo.

Ezinye iimpawu ze-tendinitis yangasemva kwe-tibial zingabandakanya:

• Ukudumba ecaleni kwemisipha, ingakumbi ngaphakathi kweqakala.
• Intlungu xa icinezelwa ngesandla, ingakumbi xa ugoba umlenze.
• Ukuziva ubuthathaka emlenzeni okanye eqatheni, ingakumbi xa "utyhala".

Xa i-tendonitis ijika ibe yi-tendinosis, ungafumanisa kunzima ngakumbi ukusebenzisa umlenze wakho, kwaye intlungu ingasasazeka. Ekugqibeleni, unokubona utshintsho emzimbeni emlenzeni wakho olufana nolu:

• Ukuwa kwe-arch (unyawo oluthe tyaba).
• Iqatha liqengqeleka ngaphakathi.
• Isithende kunye/okanye uzwane lujika lubheke ngaphandle.

Ezi ziimpawu zokungasebenzi kakuhle kwemisipha ye-posterior tibial (PTTD).

Zithini izizathu zoku? (Izizathu zePosterior Tibial Tendinitis)

Ukwenzakala kudla ngokuba yeyona nto ibangela i-tendonitis . Xa kufikwa kwi-tendonitis emilenzeni, ukwenzakala okuphindaphindwayo kokona kuxhaphakileyo. Sonke, nokuba singabadlali okanye asingobadlali, sisebenzisa imilenze yethu ngalo lonke ixesha.

Xa imisipha isetyenziswa kakhulu, iba noxinzelelo, nto leyo ebangela ukukrazuka okuncinci kwimicu ethambileyo. Oku kuthatha ixesha elide ukuphola. Ukudumba luphawu lokuba izama ukuphola. Kodwa ukuba awuyiniki ithuba lokuphola, ayizukuphola.

Ngamanye amaxesha, umsipha wakho we-posterior tibial unokukrazuka (ukwenzakala okukhulu) ngenxa yokwenzakala ngequbuliso, njengengozi yezemidlalo okanye iqatha elijijekileyo. Ukuba oku kukrazuka akuphili ngokupheleleyo, ukukrazuka okwethutyana (ukuvuvukala okukhulu) kunokuba yinto engapheliyo.

Ngamanye amaxesha, ukuba uhamba ngendlela engaqhelekanga, kunokubangela uxinzelelo oluphindaphindeneyo kwi-tendon. Umzekelo, ukuba unyawo lwakho lujika lungene ngaphakathi okanye ngaphandle, okanye ukuba uneenyawo ezisicaba okanye ii-arches eziphakamileyo, nokuhamba ngokuqhelekileyo kunokubangela uxinzelelo kwi-tendon.

Zithini izinto ezibangela umngcipheko?

Kukho izinto ezininzi ezinokubangela uxinezeleko kunye nokudumba kwi-tendon yakho:

• Ubuthathaka emlenzeni okanye eqatheni ngenxa yotyando okanye ukwenzakala kwangaphambili.
• Ukuzibandakanya kwimidlalo echaphazela kakhulu ngaphandle kobuchule obuhle kubizwa ngokuba kukuqeqesha kakhulu.
• Ukuma ixesha elide ngaphandle kwezihlangu ezifanelekileyo. Cinga ukuba eminye imisebenzi ifuna ukuma imini yonke (umz., ootitshala, abasebenzi basevenkileni). Abantu abanjalo basengozini enkulu ukuba abanxibi zihlangu ezifanelekileyo.
• Ukuthwala ubunzima obugqithisileyo xa uhamba. Oko kukuthi, ukutyeba kakhulu nako kunokuchaphazela oku.
• Ukuba babeneengxaki emilenzeni okanye indlela abahamba ngayo kwasekuqaleni.
• Ukuba ne- osteoarthritis esele ikhona emlenzeni.
• Ukuba nesifo sokudumba kwezicubu ezidityanisiweyo esibangela ukudumba, njenge- rheumatoid arthritis .
• I-Tenosynovitis kukudumba kwe-synovial membrane ejikeleze i-tendon yakho.

I-tendinitis iba njani yi-PTTD?

I-Tendonitis kunye ne-tendinosis zinokuba ngumjikelo ombi. Ukudumba okungapheliyo kwenza i-tendon ibe buthathaka, okwenza kube lula ukwenzakala. Ukulimala okuphindaphindiweyo kwenza i-tendon ibe buthathaka ngakumbi, kwaye ukudumba kuyaqhubeka.

Njengoko i-tendon iphelelwa ngamandla, ezinye izakhiwo emlenzeni nasemaqakaleni kufuneka zizalise isithuba. Olu xinzelelo longezelelweyo lubangela ukuba ezo zakhiwo zingasebenzi kancinci kancinci, nto leyo ebuyisela umthwalo kwi-tendon.

Zeziphi iingxaki ezinokwenzeka kule meko?

I-acute posterior tibial tendonitis inokuphola ngokuphumla nangexesha. Nangona kunjalo, ukuba i-tendonitis iba yingxaki engapheliyo, inokuqala umjikelo wokuwohloka kwezicubu. Ekugqibeleni, inokukhokelela ekungasebenzi kakuhle kwe-posterior tibial tendon (PTTD).

Ukungasebenzi kakuhle kwemisipha ye-tibial yangasemva kunokubangela ukuba i-arch yonyawo lwakho iwe kancinci kancinci ( ukukhubazeka kweenyawo okuqhubeka nokuwa, i-PCFD , okanye i-flatfoot efunyenwe ngumntu omdala ). Oku kunokukhokelela kwiingxaki ezongezelelweyo.

Xa uhamba ngeenyawo ezithe tyaba, imisipha kunye namathambo onyawo lwakho ayanyamalala. Oku kubangela ukukhubazeka okungakumbi kweenyawo. Ezi kukhubazeka kubeka uxinzelelo kumalungu akho, nto leyo enokubangela isifo samathambo eenyawo kunye namaqatha.

Enye ingxaki enokubakho kukuqhekeka ngokupheleleyo kwe-tendon. Ngenxa yokuba i-tendon iyancipha kancinci kancinci, kunokwenzeka ukuba iqhekeke ngokupheleleyo xa yenzekile ngequbuliso. I-tendon ekrazukileyo ngokupheleleyo iya kufuna utyando ukuze ilungiswe.

Oogqirha bayixilonga njani le nto?

Iimeko ezichaphazela i-posterior tibial tendon yakho (tendinopathy) zihlala zibonwa ngokuhlolwa komzimba. Ugqirha uza kuhlola unyawo lwakho kunye neqakala ngelixa umile kwaye ushukumisa unyawo lwakho ngeendlela ezahlukeneyo.

Baza kuyichukumisa imisipha ukuze babone ukuba idumbile na, bayicinezele ukuze babone ukuba kukho na intlungu. Emva koko banokwenza uvavanyo lomfanekiso, olufana ne -X-ray okanye i-ultrasound, ukuze bajonge imeko yakho ngokweenkcukacha.

Zithini iindlela zonyango?

Kwiimeko zokuqala, i-posterior tibial tendonitis inokunyangeka ngonyango olulula olufana nokuphumla, umkhenkce, kunye namayeza athengiswa ngaphandle kwemvume kagqirha. Kwiimeko ezinzima ngakumbi, i-cast okanye i-boot ingafuneka iiveki ezimbalwa.

Unyango oluzinzileyo lwe-PTTD lubandakanya unyango lomzimba kunye nokusetyenziswa kwe -orthotics ekhethekileyo - izinto ozinxiba ngaphakathi kwezihlangu zakho - ukunciphisa uxinzelelo kwi-tendon xa uhamba. Kwiimeko ezinzima kakhulu, unokufuna utyando lokulungisa unyawo lwakho.

Kwinqanaba ngalinye, oogqirha baza kuqala ngonyango olulula (olungatyandiyo). Baza kuqwalasela unyango lotyando kuphela ukuba iimpawu zakho aziphucuki emva kweenyanga ezininzi zolu nyango.

Kuthatha ixesha elingakanani ukuchacha? (Ixesha lokuchacha)

I-tendinitis ebukhali ingaphola kwiiveki ezimbalwa. Nangona kunjalo, ukuba une-tendinosis kunye nokungasebenzi kakuhle kwemisipha, kuya kuthatha ixesha elide. Ngonyango olulula, kunokuthatha malunga neenyanga ezintathu ukuya kwezine ukuphola ngokupheleleyo.

Ukuba unyango olusebenzisa i-conservative alusebenzi emva kweenyanga ezimbalwa, ugqirha wakho unokucebisa utyando. Emva kotyando, kungathatha ezinye iinyanga ezimbini ukuya kwezine ukuba i-tendon yakho ibuyele esiqhelweni.

Kwenzeka ntoni ukuba une-PTTD? (Isifo sokuqikelela)

Imbonakalo ye-PTTD ixhomekeke kwinqanaba lemeko yakho kunye nohlobo lonyango olufunekayo. Kwinqanaba lokuqala lesi sifo, uninzi lwabantu lunokuphila ngokupheleleyo ngonyango olulula.

Ukuba utyando lokwakha kwakhona iindawo zomlenze wakho, kunzima ukuqikelela isiphumo. Utyando lunokuba nzima, kwaye unokufuna ukwenza iinkqubo ezingaphezu kwesinye. Kwanasemva kotyando, ezinye iziphumo ebezingalindelekanga zinokuhlala ixesha elide.

Ngaba oku kungathintelwa? (Ukuthintela)

Ukulumka ungaxinzeleli kakhulu imisipha yakho kunokunceda ekuthinteleni i-tendinitis kunye ne-tendinosis. Ukuba uyazi ukuba uza kwenza umsebenzi omninzi ezinyaweni zakho, qiniseka ukuba unxiba izihlangu ezixhasayo , uze uphumle ngokwaneleyo.

Ukuba uqala ukuziva iintlungu kwi-tendon yakho, yinyamekele , uyiphumze kwaye uyivumele iphole. Ukuba iimpawu ziyaqhubeka, bona ugqirha. Uza kukuxelela ukuba une-tendinitis kwaye wenze ntoni.

Ukuba ufunyaniswe une-tendinitis okanye i-tendinosis, kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho. Ukunganiki i-tendon yakho ithuba lokuphiliswa ngokufanelekileyo kuya kwandisa iimpawu zakho kunye nexesha lokuchacha.

Okokugqibela, izinto ekufuneka uzikhumbule

Ukungasebenzi kakuhle kwemisipha ye-tibial (PTTD) kwenzeka xa i-tendinitis kunye ne-tendinosis ziqhubeka ixesha elide. Abanye abantu basenokungaziboni iimpawu ekuqaleni. Kodwa wakuba ufumene iimpawu, kubalulekile ukuba uzinyange.

Sonke sixhomekeke kakhulu kwiinyawo zethu kangangokuba ngamanye amaxesha asicingi ngazo. Xa unyawo lubuhlungu, usenokucinga, "Ewe, yinto oza kuhlangabezana nayo ebomini." Kodwa ungamangaliswa kukuba ibaluleke kangakanani i-tendon encinci enyaweni yakho.

Imisipha inamandla, kodwa iphola kancinci xa yenzakele. Ukuba ayipholi, inokuguguleka ngenxa yokudumba ixesha elide. Ukuba imisipha yakho yangasemva ye-tibialis ayisebenzi, lonke ulwakhiwo lomlenze wakho lunokudilika.

Eyona nto ibalulekileyo kukuba, thatha intlungu yakho nzulu . Okukhona ufumana unyango olufanelekileyo ngokukhawuleza lwe-posterior tibial tendinitis kunye nokungasebenzi kakuhle kwe-posterior tibial tendon, kokukhona uya kuphola ngokulula.

Kungathatha ixesha ukuphiliswa, ingakumbi ukuba kufuneka wenze utyando. Kuyacaphukisa ukuyeka yonke into ngenxa yomsipha omncinci. Kodwa ukuba ungacinga ngale msipha incinci njengomncedisi womsebenzi ewenzayo kuwe yonke imihla, iya kukunceda.

i- posterior tibial tendonitis, i-PTTD, iintlungu zomlenze, iintlungu zeqatha, iinyawo ezisicaba, i-tendinitis, ukungasebenzi kakuhle kwemisipha