Ngaba uziva iintlungu ngaphakathi komlenze wakho, ingakumbi iqatha lakho, xa uhamba umgama omfutshane okanye unyuka izinyuko? Mhlawumbi i-arch yakho iyayeka kancinci kancinci kwaye unyawo lwakho luya luba buthathaka? Ezi mpawu aziqhelekanga nje. Namhlanje sithetha ngemeko ebizwa ngokuba yi-Posterior Tibial Tendon Dysfunction enokubangela oku. Nangona eli ligama elibi kancinci, masiliqonde ngokulula.
Yintoni kanye kanye iPosterior Tibial Tendon Dysfunction (PTTD)?
Ngamafutshane, imisipha ziintambo eziqinileyo zezicubu ezidibanisa izihlunu namathambo. I-Posterior Tibial Tendon yenye yemisipha ekhethekileyo. Iqala kwisihlunu sethole, ibaleka ngaphakathi kweqakala, ize inamathele kwithambo eliphakathi kwenyawo.
Umsebenzi wayo ophambili kukuxhasa igophe leenyawo zethu . Kwakhona yiyo esinceda siphakamise iinzwane zethu xa sihamba, sibaleka, okanye sitsiba.
Ngoku, i-PTTD kuxa i-ligament ekhankanyiweyo idumba okanye ikrazukile. Xa oku kusenzeka, i-ligament ayisakwazi ukuxhasa i-curve yonyawo. Ngenxa yoko, i-curve yonyawo iyanyamalala kancinci kancinci, nto leyo ebangela imeko ebizwa ngokuba yi-'flat foot '. Le meko ingathathwa njengesona sizathu siphambili sokuba iinyawo zibe zithe tyaba kubantu abadala.
Esi sifo sidla ngokukhula ngamanqanaba amane aphambili.
| Iqonga | Iimpawu kunye nenkcazo |
|---|---|
| Inqanaba loku-1 | Imisipha iyatsalwa, kodwa ayikrazulwanga. Ibuhlungu xa uhamba. Kusenokubakho ukudumba. Kodwa usenako ukuma ngomlenze omnye ngeenzwane zakho. |
| Inqanaba lesi-2 | I-tendon ikrazukile kancinci. Intlungu nokudumba kukhulu kunangaphambili. Ubuthe tyaba be-sole bubonakala ngokucacileyo. Kunzima okanye akunakwenzeka ukuma ngomlenze omnye kwiincam zeenzwane. |
| Inqanaba lesi-3 | Imo yomlenze iphazamisekile kakhulu. Isithende silahlekelwa bububhetyebhetye baso kwaye umlenze uba lukhuni. |
| Inqanaba lesi-4 | Le yeyona meko inzima kakhulu. Zombini iqatha kunye nonyawo zikhubazekile. Le meko inokuqhubekela phambili ibe yi-arthritis yeqatha. |
Kutheni le meko isenzeka?
Khawuthelekelele usiwa ngequbuliso. Kwingozi enkulu efana naleyo, le ligament ingakrazuka okanye idumbe. Ukongeza, ukusetyenziswa kakhulu nako kuyimbangela enkulu. Le ngozi iphezulu kwabo badlala imidlalo exinezelekileyo efana netenisi, ibhola ekhatywayo, ibasketball, kunye nabagijimi ababaleka imigama emide. Xa i-ligament ikrazuka okanye idumba, igophe lomphantsi wonyawo liqala ukuwohloka kancinci kancinci.
Ukongeza, kukho nezinye izinto ezininzi ezinobungozi :
- Ukutyeba kakhulu: Ubunzima bomzimba obongezelelekileyo buyandisa uxinzelelo ezinyaweni.
- Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu)
- Isifo seswekile
- Ukusetyenziswa kweziyobisi ze-steroid
- Utyando lwangaphambili kuloo ndawo
- Iimeko ze-arthritis ezifana ne-Reiter's syndrome
- Imisebenzi ebeka amandla amaninzi emilenzeni, njengokubaleka ukunyuka intaba
- Olu hlobo lweenwele luba buthathaka ngokwendalo xa ukhula (ingakumbi kubasetyhini abangaphezu kweminyaka engama-40 ).
Ngaba nawe unazo ezi mpawu? Iimpawu ze-PTTD
Iimpawu eziphambili ziintlungu kunye nokudumba kwicala elingaphakathi lomlenze kunye neqakala. Le ntlungu iba mandundu ngakumbi xa ume okanye uhamba.
Ukongeza, ezi mpawu zinokubonakala:
- Igophe lonyawo liyalahleka kwaye libe tyaba.
- Ukungakwazi ukuma ngeenzwane.
- Ubunzima bokuhamba kwindawo engalinganiyo.
- Ubunzima bokunyuka nokuhla kwezitebhisi.
- Ukunxiba isihlangu kwelinye inyawo ngendlela eyahlukileyo kunelinye.
- Ukuqengqeleka kweqatha ngaphakathi.
- Iinyawo ezithe tyaba zinokubangela uxinzelelo nangaphandle kweqakala, nto leyo ebangela iintlungu apho.
- Unyawo neenzwane ziqala ukujika zibheke ngaphandle.
Ugqirha angaqinisekisa njani ukuba le yi-PTTD?
Xa usiya kugqirha, uza kuqala akubuze ngeempawu zakho aze ahlole unyawo lwakho kunye neqatha lakho ngononophelo. Ungathunyelwa kugqirha weenyawo kunye neqatha.
Ngokwesiqhelo kwenziwa iimvavanyo ezininzi ngolu hlobo:
- Uvavanyo Lokuphakamisa Isithende Somlenze Omnye: Apha, uza kucelwa ukuba ume umqolo wakho ubambelele eludongeni, uphakamise umlenze wakho olungileyo, kwaye uphakamise umlenze wakho ochaphazelekileyo phezulu ngeenzwane. Ngokwesiqhelo, isithende siya kujika singene ngaphakathi xa usenza oku. Ukuba asikwenzi oko, kunokuba luphawu lwe-PTTD. Kwinqanaba lesibini lesi sifo, usenokungakwazi ukwenza oku nakanye.
- "Iinzwane ezininzi kakhulu": Kulapho ugqirha emi khona emva kwakho aze ajonge iinyawo zakho. Ngokwesiqhelo, xa ujonga umntu ngasemva, ubona kuphela uzwane oluncinci kunye nenxalenye encinci yozwane ngaphaya kwalo. Nangona kunjalo, ngenxa yokuba iintende zomntu one-PTTD zithe tyaba kwaye iinzwane zijike zaya ngaphandle, iinzwane ezininzi zibonakala emva kwazo kunesiqhelo .
Ukongeza kwezi mvavanyo, ugqirha wakho unokucebisa iimvavanyo ezifana ne -X-ray, i-MRI, i-Ultrasound, okanye i-CT scan ukuqinisekisa imeko kunye nokuvavanya ubungakanani bomonakalo.
Zithini iindlela zonyango zoku?
Eyona nto ingcono kukufumanisa le meko kwangethuba . Emva koko kukho ithuba elikhulu lokuyinyanga ngaphandle kotyando. Ugqirha wakho uya kugqiba ngonyango oluya kuxhomekeke kubukhali beempawu zakho.
Unyango olungelulo utyando
| Indlela yonyango | Kwenzekani? |
|---|---|
| Ukungakwazi ukuhambahamba | Ndinxibe isamente okanye isihlangu esikhethekileyo sokuhamba emlenzeni wam kangangeenyanga ezimbini. Oku kunceda ekunciphiseni ukudumba kwaye kunceda ukuphola kwemisipha. |
| Iibraces (inkxaso ekhethekileyo) | Uza kunikwa isixhasi seqakala esenzelwe wena ukuze usinxibe ukuxhasa iqakala lakho nonyawo lwakho. |
| Amayeza | Ugqirha wakho unokukunika amayeza okuthomalalisa iintlungu afana namayeza angengo-steroidal anti-inflammatory (NSAIDs) (umz. ibuprofen) ngenxa yentlungu nokudumba. Kodwa khumbula, ungaqhubeki nokusebenzisa naliphi na iyeza ngaphandle kwengcebiso kagqirha wakho. |
| Ulungiso lwenyama | Ukuzilolonga nokuphumla ngokwaneleyo kuyabonelelwa ukuze kuqiniswe izihlunu kunye nemisipha ejikeleze indawo echaphazelekayo. |
| Amathambo | Ezi zizixhobo zonyango ezicetyiswa ngoogqirha. Izinto ezifana nee-insoles ezikhethekileyo (izihlangu ezifakwa ngaphakathi kwezihlangu). Ezi zibonelela ngenkxaso yokugoba kwentlaba kunye ne-arch yonyawo. |
Utyando
Ukuba intlungu ayiphucuki emva kweenyanga ezi-6 zonyango olungelulo utyando, ugqirha wakho unokuqwalasela utyando. Utyando olufanelekileyo luya kuxhomekeka kwindawo ekuyo intlungu kunye nobungakanani bomonakalo kwi-ligament. Ezinye zezi ziquka:
- I-Tenosynovectomy: Ukususwa nokucocwa kwezicubu ezivuvukileyo ezijikeleze i-tendon.
- I-Osteotomy: Ukutshintsha ithambo lesithende.
- Ukudluliselwa kwemisipha: Ukuthatha inxenye yemisipha ephilileyo kwenye inxalenye yomzimba uze uyifake kwimisipha eyonakeleyo.
- I-Arthrodesis: Ukudibana kwamathambo amabini okanye ngaphezulu ukuze kumiswe intshukumo kwilungu elichaphazelekayo.
Kuza kuthatha ixesha elingakanani ukuphiliswa?
I-PTTD yimeko ebuhlungu. Kungathatha iinyanga ezininzi ukuba iphiliswe ngokupheleleyo. Ngeli xesha lokuphiliswa, kuya kufuneka wenze utshintsho kwimisebenzi yakho yemihla ngemihla kwaye uqaphele kakhulu ngaphambi kokuba ubuyele kubomi bakho besiqhelo. Kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho ngokuchanekileyo.
Umyalezo Wokuya Ekhaya
- Iintlungu ngaphakathi komlenze, ezijikeleze iqatha, kunye neenyawo ezithe tyaba zezona mpawu ziphambili ze-PTTD. Ezi akufuneki zityeshelwe.
- Ukuba unale mpawu, bonana nogqirha ngokukhawuleza . Ukuba ifunyenwe kwangethuba, inganyangeka ngaphandle kotyando.
- Lo mngcipheko uphezulu kubantu abanezifo ezifana nesifo seswekile, uxinzelelo lwegazi oluphezulu, kunye nokutyeba kakhulu. Ngoko ke, kubalulekile ukulawula ezi zifo.
- Landela unyango (ukuphumla, umthambo, amayeza) oluchazwe ngugqirha wakho ngokuchanekileyo. Kuphephe ukuzithathela amayeza wedwa.
- Yiba nomonde ngexesha lokuphiliswa. Kubaluleke kakhulu ukunika umzimba wakho ixesha olidingayo ukuze uphiliswe.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 🦵 Yintoni le 'Tibia' bone? Iphi?
I-tibia lithambo eliphambili elingaphambili lomlenze wethu, ngaphantsi kwedolo. NgesiSinhala, sikwalibiza ngokuba yithambo lesifuba. Ngaphakathi kweli thambo, kukho i-tendon enkulu (i-Posterior Tibial Tendon) ehlayo, nto leyo enceda ukugcina i-arch yonyawo lwethu ithe tye.
💬 🦶 Kutheni ndineentlungu eziqala kwithambo lam lesifuba (ithambo le-tibia) ukuya kuthi ga kwithambo lam?
Oku kudla ngokubangelwa yingxaki ye-Posterior Tibial Tendon (PTTD). Le tendon ikwindawo engaphakathi kwithambo le-tibia. Xa le tendon ibuthathaka okanye yenzakele, umphetho wonyawo unokulahleka kwaye unyawo lunokuba tyaba. Yiyo loo nto uziva iintlungu ezivela kwithambo le-shin ukuya kuthi ga kwi-entende yonyawo.
💬 👟 Yintoni enokwenziwa ngentlungu evela kwithambo le-tibia kunye neenyawo ezithe tyaba?
Okokuqala, ungaphumza umlenze uze ufake umkhenkce. Kwiimeko ezininzi, kuya kufuneka usebenzise izihlangu ezikhethekileyo (i-orthotics) ukuxhasa umphetho wonyawo. Ukuba intlungu iyaqhubeka, ngokuqinisekileyo kuya kufuneka ubone ugqirha ukuze afumanise ukuba yingxaki ye-PTTD.
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