Ingaba uneentlungu ezinyaweni zakho? Isenokuba yiTarsal Coalition!

Ngaba wena okanye umntwana wakho nineentlungu ezihlala zisenzeka ezinyaweni zenu, ingakumbi kwindawo yamaqatha? Ngaba kuvakala kungaqhelekanga kwaye kungakhululeki xa uhamba? Mhlawumbi ke kubaluleke kakhulu ukuba uqaphele le meko ibizwa ngokuba yi "tarsal coalition" esiza kuthetha ngayo namhlanje. Ungakhathazeki, oku akuqhelekanga kakhulu, kodwa kulungile ukukuqonda oku.

Yintoni le Tarsal Coalition? Masiyiqonde ngokulula.

Kulungile, masiqale sijonge ukuba la mathambo "e-tarsal" ayintoni. Amathambo e-tarsal liqela lamathambo akwindawo engasemva kwenyawo lakho, kwindawo apho isithende sakho sidibana khona neqakala lakho. Afana neengqalutye ezincinci ezidityanisiweyo. La mathambo adibene kwaye asebenza kunye ukunceda iinyawo zethu zisebenze kakuhle, ukuhamba, ukubaleka, nokutsiba.

Ngoku, yintoni "intsebenziswano"? Ngamafutshane, i-tarsal coalition iyenzeka xa amathambo amabini okanye ngaphezulu edibana ngendlela engaqhelekanga, enamathelana. Cinga ngayo, ngesiqhelo kufuneka kubekho amalungu amancinci phakathi kwala mathambo, ukuze akwazi ukuhamba ngokukhululekileyo. Kodwa kule meko, ithambo elitsha, i-cartilage, okanye i-fibrous tissue ikhula phakathi kwala mathambo, idibanisa amathambo amabini kunye. Kufana nokwakhiwa kwebhulorho.

Ingaba oku kubangelwa yimfuza? Okanye kukho ezinye izizathu?

Ixesha elininzi, le meko ibizwa ngokuba yi-tarsal coalition ibangelwa zizinto zemfuza**. Oko kukuthi, inokubangelwa kukungaqheleki okuncinci ekuphuhlisweni kwamathambo emilenze ngelixa umntwana esesesibelekweni. Oko kuthetha ukuba inokuba yimfuza.

Kodwa, akufuneki ukuba kube yimfuza rhoqo. Ngamanye amaxesha,

• Ngenxa yosulelo ,
• Ngenxa yokwenzakala okukhulu emlenzeni,
• Ukudibana kweTarsal kunokwenzeka nakubantu abadala ngenxa yesifo esifana nesifo samathambo .

Ngubani ochaphazeleka kakhulu yile meko?

I-Tarsal coalition ibonakala kakhulu kubantwana nakubantu abadala abancinci . Iimpawu zihlala ziqala ukubonakala phakathi kweminyaka eli-9 neli-16 ubudala, njengoko amathambo adibeneyo ngendlela engaqhelekanga eba makhulu, aqine, kwaye abe buhlungu ngakumbi.

Nangona kunjalo, abanye abantu abadala banokuba nale meko okokuqala, okanye kusenokwenzeka ukuba ibikho kwasebuntwaneni kwaye ingabonakalisi zimpawu, kodwa inokuvela kamva.

Kuthiwa ixhaphake kakhulu kangangokuba ichaphazela phakathi kwe-1% kunye ne-6% yabemi. Oko akuthethi ukuba ixhaphake kangako. Nangona kunjalo, malunga nesiqingatha sabantu abanale meko banokuba nale ngxaki kwiinyawo zombini (bilateral tarsal coalition).

Zithini iziphumo ezibangelwa yiTarsal Coalition emzimbeni? Zithini iimpawu zayo?

Ayingabo bonke abantu abane-tarsal coalition abaneempawu. Abanye abantu banokuphila ubomi babo bonke bengenazo iintlungu okanye ukungonwabi. Ngoko ke ngamanye amaxesha abantu abazi nokuba banazo.

Nangona kunjalo, kwabo banamava eempawu, zinokuqala kwintlungu engephi, engapheliyo ukuya kwintlungu enzima kakhulu kangangokuba awukwazi ukuhamba . Iimpawu eziphambili ezinokubonwa zezi:

• Intlungu okanye ukuqina ngaphantsi kweqatha, embindini womlenze, okanye ngasemva komlenze . Njengokungathi umlenze ubambekile.
• Iinyawo ezithe tyaba zenza kube nzima ukuhamba. Oku kwandisa umngcipheko wokuqhekeka kweqatha.
• Intlungu inokwanda xa uzilolonga, ubaleka, okanye utsiba. Isenokuphela emva kokuphumla okufutshane, ize ibuye xa uqala ukusebenza kwakhona.
• Ngamanye amaxesha, ezi mpawu zibonakala ngequbuliso emva kokwenzakala okuncinci emlenzeni .

Ixesha ezi mpawu zibonakala ngalo liyahluka ukusuka kumntu ukuya komnye. Kwabanye abantu, iintlungu ziqala besebancinci, malunga neminyaka eli-10-15 ubudala. Kwabanye, ezi mpawu zibonakala kuphela emva kokuba bekhulile.

Ngaba kukho iintlobo ze-tarsal coalition?

Ewe, kukho iintlobo ezahlukeneyo zezi. Oko kukuthi, iintlobo zahlukile kuxhomekeke apho ithambo elingaqhelekanga lidibana khona. Ezona zixhaphakileyo zezi:

• Unxibelelwano lwenzeka phakathi kwethambo eliphambili eliseqatheni lakho (ithambo le-talus) kunye nethambo lesithende (ithambo le-calcaneus) .
• Okanye, unxibelelwano lwenziwa phakathi kwethambo lesithende (ithambo le-calcaneus) kunye nethambo le-navicular eliphambi kwalo .

Ezi zezona ntlobo zibonwa kakhulu. Ukongeza, kukho ezinye iintlobo ezibonwa rhoqo.

Ugqirha uyixilonga njani le nto? (Uxilongo)

Ukuba uneentlungu zomlenze, into yokuqala ugqirha aza kuyenza kukuhlola umlenze wakho kunye neqakala ngononophelo. Baza kukubuza imibuzo malunga nokuba kubuhlungu phi, kubuhlungu njani, kwaye kubuhlungu nini.

Emva koko, ukuqinisekisa ukuxilongwa, baya ku-odola iimvavanyo ezikhethekileyo ezahlukeneyo zokuthatha imifanekiso . Ezi zezi:

• Ii-X-reyi: Ezi zinokukunika umbono ocacileyo ngamathambo asemlenzeni wakho. Ngamanye amaxesha olu nxibelelwano lungaqhelekanga lunokubonwa ngokucacileyo kwi-X-reyi.
• I-CT scan (i-computed tomography scans): Oku kunika umfanekiso oneenkcukacha ezingaphezulu kune-X-ray. I-CT scan idla ngokusetyenziswa ukuxilonga i-tarsal coalition. Ingabonisa ngokucacileyo ubudlelwane phakathi kwamathambo.
• I-MRI (Umfanekiso weMagnetic Resonance): Nangona ii-X-ray kunye nee-CT scans zibonisa ithambo ikakhulu, i-MRI inokubonelela ngomfanekiso olungileyo wezicubu ezithambileyo ezijikeleze ithambo. Ngamanye amaxesha olu vavanyo lunokufuneka.

Khumbula, ugqirha nguye ogqibayo ukuba loluphi uvavanyo olufunekayo.

Zithini iindlela zonyango zoku?

Eyona nto ingcono kukuba i-tarsal coalition ifuna unyango kuphela xa ibangela iimpawu . Ukuba akukho ntlungu okanye ukungonwabi, unyango alusoloko luyimfuneko.

Ukuba kukho iimpawu, unyango olungasebenzisi utyando okanye unyango lotyando lunokucetyiswa, kuxhomekeke kubukhulu bemeko.

Unyango olungelulo utyando

Inyathelo lokuqala kukuzama ukulawula le ntlungu ngaphandle kotyando.

• Ukuphumla: Ukumisa okwethutyana imisebenzi eyonyusa iintlungu (njengokubaleka, ukutsiba) kunokunciphisa uxinzelelo emathanjeni kwaye kunciphise iintlungu. Ngokwesiqhelo, uya kuxelelwa ukuba uphumle malunga neeveki ezi-3 ukuya kwezi-6.
• Iinaliti: Ngamanye amaxesha iinaliti ze-steroid zinokunikwa ukunciphisa iintlungu. Ezi zifakwa ngqo kwilungu elibuhlungu.
• Ii-Orthotics: Izihlangu ezifakwayo kunye nezixhasi ze-arch zinokunceda ukuzinzisa iinyawo zakho kwaye zinciphise iintlungu. Ezi zenzelwe wena ukuze zilingane neenyawo zakho.
• Ukungashukumi kwebhuthi okanye i-cast: I-boot yexeshana okanye i-plaster ye-Paris (POP) cast ingasetyenziselwa ukuthintela umlenze nokunciphisa uxinzelelo olongezelelweyo kumathambo e-tarsal.
• Ukunciphisa umzimba: Ukuba iintlungu zakho ziyanda njengoko ubunzima bomzimba wakho busanda, thetha nogqirha uze wenze isicwangciso sokunciphisa umzimba esikusebenzelayo.

Unyango lotyando

Ukuba unyango olungelulo utyando alukwazi ukulawula iintlungu, okanye ukuba imeko inzima, ugqirha unokucebisa utyando.

• Utyando lokususa ithambo: Olu lolona tyando luqhelekileyo kwi-tarsal coalition. Lubandakanya ukususa ithambo elidibeneyo ngokungaqhelekanga (i-coalition) uze ulifake endaweni yalo izicubu okanye izihlunu ezithathwe kwenye indawo yomzimba wakho. Uninzi lwabantu lunokuphinda lusebenze kakuhle emlenzeni emva kolu tyando.
• Ukudibana: Ukuba imeko imbi kakhulu, okanye ukuba ilungu lonakele ngenxa yezinto ezifana ne-arthritis, utyando olubizwa ngokuba yi-fusion lunokwenziwa. Oku kubandakanya ukudibanisa amathambo achaphazelekileyo kunye ngokusisigxina, ukunciphisa intshukumo. Oku kunokubandakanya ukusebenzisa izikrufu, ii-staples, okanye iipleyiti zesinyithi . Oku kunceda ukugcina amathambo ekwindawo engcono kwaye kunciphisa iintlungu.

Kuza kwenzeka ntoni ukuba ayinyangwa?

Kwabanye abantu, iintlungu kunye nokungonwabi kunokuba nzima kangangokuba kunokubathintela ekwenzeni imisebenzi abayithandayo (njengokudlala okanye ukuhamba). Ukuba ayinyangwa, ngokuhamba kwexesha, unyawo lunokuba lukhuni kwaye kube nzima ukuhamba.Ngoko ke, ukuba uneempawu, kungcono ukubona ugqirha.

Ngaba iingxaki zinokwenzeka emva kotyando?

Njengakwezinye iintlobo zotyando, kukho iingozi ezibandakanyekileyo. Ezinye zeengxaki ezinokwenzeka emva kotyando lwe-tarsal coalition ziquka:

• Usulelo
• Ihlwili legazi (iHematoma)
• Ukuphola kakubi kwamanxeba
• Ukungapholi kakuhle kwamathambo
• Ukulimala kwemithambo-luvo
• Ukuqhekeka kwegazi kwimithambo yegazi
• Ukutshintsha kwimo yeenzwane (iinzwane zeFlail okanye iinzwane zehammer)
• Ukuqina okanye ubuthathaka ezinzwaneni zakho

Kodwa ungakhathazeki, oogqirha benza konke okusemandleni abo ukunciphisa ezi ngozi.

Izinto ekufuneka uzikhumbule xa uhlala neTarsal Coalition

Ukuba unale meko, xa uphawula iimpawu zokuqala, yeka nayiphi na into enokubangela ezo mpawu. Uninzi lwexesha, ukuphumla kwanele. Kodwa ukuba intlungu iyaqhubeka, bona ugqirha. Angacebisa ukuba afakelwe inaliti okanye amathambo ukunceda ukulawula ukungakhululeki kwakho.

Kuthatha ixesha elingakanani ukuchacha emva kotyando?

Ixesha lokuchacha liyahluka kumntu nomntu. Ngokwesiqhelo, kuthatha phakathi kweenyanga ezi-6 ukuya kwezili-12 ukuchacha ngokupheleleyo kutyando lwe-tarsal coalition. Nangona kunjalo, eli xesha linokuba lide ngokuxhomekeke kwiminyaka yakho, ubukhali bemeko, kunye nokuba unezinye iimeko, ezifana ne-arthritis. Eyona ndlela ilungileyo yokuchacha ngokukhawuleza kukulandela imiyalelo kagqirha wakho ngokuchanekileyo.

Ngaba ikho indlela yokuthintela oku?

Ukudibana kweTarsal kudla ngokuba yimfuza, ngoko ke akunakuthintelwa ngokupheleleyo . Nangona kunjalo, ukuba iimpawu ziyenzeka, zinokulawulwa ngokufanelekileyo. Ukuxilongwa kwangoko kunye nonyango olufanelekileyo kunokunceda ukuthintela imeko ukuba ibe mandundu.

Yintoni esifanele siyilindele ukuba kukho umanyano lwe-tarsal?

Nangona abantu abaninzi benale meko, iimpawu ziyabonakala ebuntwaneni okanye ebusheni. Abanye abantu basenokungabi nazo iimpawu. Ngenxa yoko, ayinguye wonke umntu onayo le meko ofanayo.

Ndingakwazi ukudlala imidlalo?

Ukudlala imidlalo kunokuba nzima kancinci kubantu abane-tarsal coalition. Nangona kunjalo, akunakwenzeka ukudlala imidlalo . Ukuba ugqirha uqinisekisile ukuba unale meko, buza ugqirha wakho malunga nemidlalo onokuyenza nengenako ukuyenza, kunye nemiqathango ekufuneka ube nayo. Usenokukwazi ukwenza imidlalo engenampembelelo ingako (njengokudada).

Eyona nto ibalulekileyo ekufuneka uyithethe

Intlungu ebangelwa yi-tarsal coalition inokuba yinto ecaphukisayo kakhulu, ngamanye amaxesha ide ifikelele kwinqanaba apho inokuchaphazela imisebenzi yakho yemihla ngemihla. Ngamanye amaxesha kuthatha ixesha ukuyiqaphela. Kodwa, ngethamsanqa, kukho iindlela ezilungileyo zokuyiqonda nokuyinyanga. Olu nyango lunokunceda ukulawula iimpawu zakho kwaye luphucule umgangatho wobomi bakho.

Ukuba wena okanye umntwana wakho unentlungu engapheliyo okanye ukuqina kwemilenze yakhe, musani ukuyityeshela, bonana nogqirha ngokukhawuleza ukuze ufumane icebiso. Emva koko, kunokwenziwa isicwangciso sonyango esifanelekileyo kuwe. Ungakhathazeki, ngengcebiso efanelekileyo yezonyango, le meko inokulawulwa kakuhle!

Ukungqubana kweTarsal , Iintlungu zeenyawo, Intlungu yeqakala, Iinyawo ezithe tyaba, Izifo zeenyawo zabantwana, Ukudibana kwamathambo, Utyando