Ingabe izithende zakho zihlala zibuhlungu? Imbangela ingaba yinkinga nge-fat pad esithendeni sakho (Isithende Esinamafutha Esithendeni)!

Wake wazizwa ubuhlungu obukhulu esithendeni sakho ngenkathi uhamba noma ugijima? Kungazwakala sengathi inaliti ikuhlaba, noma othile ekucindezela kanzima, noma ngisho nokuphuka. Lobuhlungu obucasulayo bungenza kube nzima kakhulu ukwenza imisebenzi yakho yansuku zonke. Esinye sezizathu eziyinhloko zalokhu inkinga eyenzeka endaweni yamafutha esithendeni, esizokhuluma ngayo namuhla, isimo esibizwa ngokuthi `(Heel Fat Pad Syndrome)`.

Iyini i-'Heel Fat Pad Syndrome'?

Kalula nje, ukuncipha kwe-fat pad esithendeni sakho, noma ukulahlekelwa ukuqina kwayo, yilokho esikubiza ngokuthi ``Heel Fat Pad Syndrome''. Cabanga nje, ngaphansi kwezithende zethu, phezu kwethambo, kukhona ungqimba olujiyile lwezicubu ezinamafutha, njengomatilasi wemvelo . Yilokhu okuvikela ithambo lethu lesithende (`ithambo lesithende` noma `i-calcaneus`) ekushaqekeni komhlabathi lapho sihamba, sigijima, futhi sigxuma. Isebenza njenge-``shock absorber`` emotweni. Ngokuhamba kwesikhathi, ngenxa yezizathu ezahlukahlukene, le-fat pad iyaguga futhi izakhiwo zayo zokubopha ziyancipha, okuyilapho ubuhlungu buqala khona.

Kungenzeka ukuthi uke wezwa lesi simo esibizwa ngokuthi 'i-fat pad atrophy', 'i-fat pad syndrome', noma 'i-heel fat pad atrophy'.

Sivame kangakanani lesi simo?

Eqinisweni, i-Heel Fat Pad Syndrome iyimbangela yesibili evame kakhulu yobuhlungu besithende, ngemuva kwe-Plantar Fasciitis. Kodwa-ke, ivame ukudidaniswa ne-Plantar Fasciitis, njengoba izimpawu zingafana kakhulu. Ngakho-ke, kubalulekile ukuthola imbangela eqondile.

Ziyini izimpawu ze-"Heel Fat Pad Syndrome"?

Bheka ukuthi unanoma yiziphi zalezi zimpawu:

• Ubuhlungu obubukhali, obujulile, obufana nokulimala obuvela phakathi kwesithende lapho uhamba, umi, noma ugijima.
• Uma ucindezela kakhulu phakathi kwesithende sakho ngomunwe wakho, ubuhlungu obufanayo engikhulume ngabo ekuqaleni buyavela futhi.
• Ubuhlungu buyanda ngokusobala uma ume isikhathi eside, lapho wenza izivivinyo ezinamandla (isibonelo, ukugxuma, ukusheshisa, i-gymnastics, i-basketball), noma lapho uhamba ezindaweni eziqinile (njengokhuni, ukhonkolo, amathayili e-ceramic) ngaphandle kwezicathulo .

Uma isimo singesibi kakhulu, ungase ungabi nazo izimpawu ezinkulu. Noma ungase uzizwe ubuhlungu obuncane ngezikhathi ezithile uma uhamba ungafake zicathulo, ugijima, noma ucindezela izinzwane zakho esithendeni sakho.

Yiziphi izizathu eziyinhloko zalokhu?

Lesi simo esibizwa ngokuthi "i-Heel Fat Pad Syndrome" asiveli ngokushesha. Imbangela eyinhloko yalokhu "ukuguguleka" okwenzeka ngokuhamba kwesikhathi. Kunezici eziningana ezibangela lokhu:

• Ukuguga: Izinto eziningi emzimbeni wethu ziyashintsha ngokuhamba kweminyaka. Ngokufanayo, ungqimba lwamafutha ezithendeni luyancipha kancane kancane, inani lamafutha kulo liyancipha, futhi ukuqina kwalo kungase kwehle.
• Ukwanda kwesisindo: Njengoba sikhula, ingcindezi engqimbeni yamafutha ezithendeni zethu iyanda. Lokhu kubangela ukuthi iguge ngokushesha, ilahlekelwe ukuguquguquka kwayo kanye nezakhiwo zayo zokusekela.
• Umlando womndeni: Uma othile emndenini wakho eke waba nalesi simo, noma uma unesifo esithinta izicubu zomzimba (njenge-lupus noma i-rheumatoid arthritis), usengozini enkulu yokuthola lesi simo.
• Ukulimala esithendeni: Uma uthola ukushaywa kanzima esithendeni, njengokugxuma ngokuzumayo usuka endaweni ephakeme, lokho kungaba yimbangela.
• Ukungalingani Kokuhamba: Uma kukhona ukungalingani endleleni esihamba ngayo (ukuhamba) – okungukuthi, indlela izinyawo zethu ezishaya ngayo phansi, indlela isisindo somzimba wethu esisakazwa ngayo ezinyaweni – ngokuhamba kwesikhathi, ungqimba lwamafutha ezithendeni lungaguga ngendlela engavamile.
• Ukwakheka kwezinyawo: Abanye abantu banezinguquko endaweni ye-arch yezinyawo zabo (isib. izinyawo ezisicaba noma ama-arches aphezulu) kanye nezinkinga zokuhamba, okungabeka ingcindezi eyengeziwe esithendeni.
• Izicathulo ezingafanele: Isizathu esikhulu salokhu ukusetshenziswa okuqhubekayo kwezicathulo noma izimbadada ezinganikeli ukwesekwa noma ukumuncwa kokushaqeka konyawo . Bese konke ukucindezela kufika esithendeni, bese ungqimba lwamafutha luphela ngokushesha.
• Ukuhamba ezindaweni eziqinile: Ukuhamba noma ukugijima njalo ezindaweni eziqinile njengokhonkolo noma amathayili angenazo izimbadada kunomthelela omkhulu engqimbeni enamafutha yesithende.
• Imisebenzi ethile oyenza njalo: Imisebenzi evame ukubangela ukuthi izithende zakho zishayeke phansi (isib. ukugijima, i-basketball, ithenisi, i-volleyball, i-gymnastics) kanye nokuma isikhathi eside kungabangela lesi simo.
• Imijovo Yangaphambilini Ye-Corticosteroid: Ngezinye izikhathi, imijovo ye-steroid ebizwa ngokuthi ama-corticosteroids, asetshenziselwa ukwelapha ubuhlungu bezinyawo nokuvuvukala, ingabangela ukuthi ungqimba lwamafutha esithendeni lube luncane futhi lunciphe njengomphumela ongemuhle. Ukujova njalo kwe-steroid esithendeni kungandisa le ngozi.

Lokhu kungabangelwa nayizimo ezithile zezokwelapha.

• I-Plantar Fasciitis: Lokhu ukuvuvukala kwe-ligament ejiyile ebizwa ngokuthi i-plantar fascia eqala esithendeni sakho iye ezinzwaneni zakho. Lokhu futhi kubangela ubuhlungu besithende.
• Izinsingo Zokuhlikihla: Uma kuvela izinsingo ezincane ezifana nameva ('izinsingo zokuhlikihla') ethanjeni lesithende, zingacindezela imisipha yonyawo futhi zinciphise ukuguquguquka kwengqimba yamafutha esithende.
• Izinyawo eziphakeme: Abanye abantu bane-arch ephakeme ngendlela engavamile ezinyaweni zabo. Lokhu kungashintsha unomphela isakhiwo sonyawo futhi kuthinte imisipha onyaweni.
• (Isifo Sikashukela Sohlobo 2): Abantu abanesifo Sikashukela Sohlobo 2 bangase babhekane nokwehla kwamafutha kanye neprotheni ebalulekile ebizwa ngokuthi i-collagen ongqimbeni lwamafutha.
• I-Lupus kanye ne-Rheumatoid Arthritis: Lezi zifo ezihlasela amasosha omzimba zithinta izicubu zomzimba ezixhumeneyo, okuhlanganisa nezicubu ezixhumeneyo ezinyaweni.

Odokotela basibona kanjani lesi simo?

Uma uya kudokotela onesifo sesithende, uzoqala ngokukubuza ngomlando wakho wezokwelapha kanye nezimpawu zamanje.

Ungase uzwe izinto ezinjengalezi, ikakhulukazi ngobuhlungu besithende sakho:

• Ubuhlungu buzwakala kanjani? (isib., ingabe buqinile, buhlaba, noma bushaya?)
• Uzizwa nini ubuhlungu ngosuku?
• Yiziphi izinto ezenza ubuhlungu bube bubi nakakhulu?
• Sekuyisikhathi esingakanani lobu buhlungu bukhona?
• Ingabe ubuhlungu buyancipha ngokuphumula?

Okulandelayo, udokotela uzokwenza ukuhlolwa ngokomzimba konyawo lwakho. Bazobheka noma yiziphi izinkinga zesakhiwo onyaweni nokuthi uzizwa ubuhlungu yini uma ucindezela phakathi kwesithende. Bangaqhathanisa nobukhulu bephedi yamafutha esithendeni uma umi nalapho ungami. Iphedi yamafutha esithendeni enempilo kufanele ibe phakathi kwamasentimitha angu-1 no-2 (0.4 no-0.8 inches) ubukhulu. Uma iphedi yamafutha esithendeni izwakala iqinile noma iqinile uma uyithinta, kusho ukuthi ayiguquguquki kakhulu. Lokhu kungaba uphawu lwalesi sifo.

Ngezinye izikhathi, ukuqinisekisa isimo esiqondile nokususa ezinye izimbangela zobuhlungu besithende (isib. ukuphuka, ukubhoboka kwesithende), i-X-ray, i-ultrasound scan, noma mhlawumbe i-MRI (Magnetic Resonance Imaging) inganconywa.

Yiziphi izindlela zokwelapha lokhu?

Izindaba ezinhle ukuthi lesi simo singaphathwa ngokwelashwa okulula, ekhaya ('ukwelashwa okulondolozayo'). Izinhloso eziyinhloko zalokhu kwelashwa yilezi:

• Ukunciphisa ubuhlungu nokuvuvukala.
• Ukuvikela ungqimba lwamafutha olukhona.
• Ukuvimbela umonakalo owengeziwe kungqimba lwamafutha.

Kwezinye izimo ezinzima, ukwelashwa okuyinkimbinkimbi kakhulu ('amasu athuthukisiwe') kungadingeka. Lokhu kuhilela ukwengeza izinto ezengeziwe ukuze kwandiswe ukujiya kwengqimba yamafutha esithendeni.

Izindlela zokwelapha ezilula (ezilondolozayo):

• Phumula: Phumula imilenze yakho ngangokunokwenzeka. Nciphisa imisebenzi ethinta kakhulu (njengokugxuma ngamandla nokugijima) engabangela ubuhlungu esithendeni.
• Faka iqhwa: Ngemva komsebenzi obangela ubuhlungu, faka iphakethe leqhwa esithendeni sakho cishe imizuzu engama-20. Ungakwenza lokhu izikhathi eziningana ngosuku.
• Imithi: Imithi etholakala ngaphandle kwemithi kadokotela ingasetshenziswa ukunciphisa ubuhlungu nokuvuvukala. Izibonelo zifaka phakathi i-ibuprofen (Advil®, Motrin®) kanye ne-naproxen (Aleve®). Kodwa-ke, kungcono ngaso sonke isikhathi ukubonana nodokotela ngaphambi kokuthatha noma yimuphi umuthi.
• Izicathulo zamathambo: Gqoka izicathulo zamathambo ezinikeza ukwesekwa okuhle kanye nokuvikela isithende, ikakhulukazi esithendeni. Ungathola iseluleko kudokotela wezinyawo noma esitolo esikhethekile esithengisa izicathulo ezinjalo.
• Ukuthepha isithende sakho: Lena indlela yokubeka ithambo lesithende ngaphansi kwethambo lesithende bese ufaka i-tape ekhethekile esithendeni ukuze unikeze ukwesekwa kanye nokusekelwa. Udokotela wakho noma uchwepheshe wezokwelapha uzokukhombisa ngqo ukuthi ungakwenza kanjani lokhu.
• Izinkomishi zesithende, izifakelo zezicathulo kanye namasokisi anemicamelo: Izinkomishi zesithende, izifakelo zezicathulo kanye namasokisi anemicamelo, ezitholakala emakhemisi noma ku-inthanethi, zinikeza imicamelo eyengeziwe kanye nokusekelwa kwezithende zakho.
• Uhlelo lokuzivocavoca: Ngaphansi kwesiqondiso sikadokotela wakho noma uchwepheshe wezokwelapha ngokomzimba, ungafunda ukwelula imisipha yakho yethole kanye nokuzivocavoca kokuvuselela okungakusiza ukuthi ugcine ukulingana okufanele phakathi konyawo nedolo nomlenze kanye nokulungisa ukungalingani.

Izindlela zokwelapha ezithuthukisiwe (eziyinkimbinkimbi):

• Izinto Zokufaka Inaliti: Kule ndlela, izinto zokugcwalisa zemvelo noma zokwenziwa noma eziwuketshezi zifakwa engqimbeni yamafutha esithendeni ukuze kwandiswe ukujiya kwaso. Isibonelo, kunezigcwalisi zesikhumba eziqukethe izinto ezifana ne-Poly-L-lactic acid kanye ne-Hyaluronic acid. I-Silicone nayo isetshenziswa ngezinye izikhathi, kodwa kukhona impikiswano ngokusetshenziswa kwayo ngoba ingahamba iye kwezinye izingxenye zomzimba futhi ingabangela ukusabela okuncane kuya kokubi kakhulu. Imiphumela yalezi zigcwalisi zesikhumba ivame ukuhlala cishe izinyanga eziyi-6 kuya kweziyi-12. Kuncike ezintweni ezifana nendlela yakho yokuphila, izinga lomsebenzi, isisindo somzimba, kanye nobudala.
• Ukufakelwa kwamafutha (noma ukufakelwa kwamafutha e-autologous): Lokhu kuhilela ukuthatha inani elincane lamafutha kwenye ingxenye yomzimba wakho (njengethanga lakho noma isisu), ukuwahlanza, bese uwafaka endaweni yamafutha esithendeni sakho (ukufakelwa). Lokhu kuvame ukuba inqubo yokulaliswa esibhedlela. Imiphumela ihlala isikhathi eside kunezigcwalisi zesikhumba.
• Ukufakelwa kwezicubu: Le ndlela isebenzisa izicubu zamafutha ezithathwe komunye umuntu (umnikeli). Njengoba kusetshenziswa amaseli amafutha kuphela, mancane kakhulu amathuba okuthi umzimba ungawamukeli. Lena futhi inqubo yokuhlinzwa. Kuthatha isikhathi eside ukuphulukiswa kunezinye izindlela (kungathatha cishe amasonto ayi-6-8 ukuthi izicubu ezintsha zihlangane nezicubu ezikhona). Kubikwa ukuthi lokhu kwelashwa kunganikeza ukukhululeka ebuhlungwini iminyaka engaba mi-5.

Ngezinye izikhathi, uma ukukhubazeka komzimba okuzalwa nakho noma okutholakale ezinzwaneni zakho, ezinyaweni, emaqakaleni, emilenzeni, emadolweni, noma ezinqeni zakho kushintsha indlela umzimba wakho osabalalisa ngayo isisindo uma uhamba, futhi uma lokhu kuthinta kakhulu impilo yakho futhi kwenza kube nzima ukwenza imisebenzi yansuku zonke, odokotela bangase bacabangele ukuhlinzwa ukuze balungise ukukhubazeka.

Kwenzekani uma ingelashwa?

Uma ungayinaki inkinga ethi "Heel Fat Pad Syndrome" ngaphandle kokuyelapha, ingadala izinkinga ezifana nalezi:

• Ubuhlungu buzoqhubeka. Bunganciphisa izinga lempilo yakho.
• Kuba nzima ukuhamba, ukudlala imidlalo, nokwenza imisebenzi yansuku zonke.
• Ungase ushintshe indlela ohamba ngayo ngokungazi ukuze unciphise ubuhlungu, okungabeka ingcindezi engadingekile kwamanye amalunga emzimbeni, okwandisa ingozi yokuwa nokunye ukulimala.

Lesi simo singavinjelwa kanjani?

Nakuba singeke sikwazi ukuvimba ngokuphelele izinto ezenzekayo ngokweminyaka noma ngokwezakhi zofuzo ezenzeka emindenini, singanciphisa ingozi yokuthola lesi simo (i-Heel Fat Pad Syndrome) ngokushintsha eminye imikhuba yokuphila nokuthatha izinyathelo zokuvimbela:

• Gqoka njalo izicathulo ezifanelana kahle nezinyawo zakho, ezinezithende ezinhle, kanye nezicathulo ezivikelayo. Gqoka izicathulo zemidlalo ezifanele uma wenza imisebenzi ethinta kakhulu.
• Gwema ukugqoka izicathulo ezinezithende eziphakeme njalo. Azisabalalisi isisindo somzimba wakho ngokulinganayo ezinyaweni zakho, kunalokho zibeka ingcindezi eyengeziwe endaweni eyodwa ethile yonyawo lwakho (ngokuvamile ngaphambili).
• Nciphisa imisebenzi ebeka ingcindezi enkulu ezithendeni, njengokugijima, i-basketball, kanye ne-gymnastics. Nikeza i-heel fat pad isikhathi sokululama ngemva kwemisebenzi enjalo.
• Gcina isisindo somzimba siphilile. Ukukhuluphala ngokweqile kwandisa ingcindezi ezithendeni zakho.
• Gwema ukuhamba ngezinyawo ungenazicathulo ngangokunokwenzeka, ikakhulukazi ezindaweni ezingalingani neziqinile (njengethayela, ukhuni, usimende).
• Hlola zonke izicathulo zakho njalo. Uma iphansi lesicathulo sakho seligugile ngandlela thile (njengokungathi olunye uhlangothi selugugile kakhulu), noma uma i-cushion engaphakathi kwesicathulo ingasasizi, shintsha izicathulo.

Ingabe le `(Heel Fat Pad Syndrome)` ingelapheka ngokuphelele?

Uma ngikhuluma iqiniso, ayikho into ebizwa ngokuthi "ukwelapha isikhathi eside ngokuphelele" kwe-"Heel Fat Pad Syndrome". Ngoba, njengoba siguga, futhi njengoba sihamba, sigijima, futhi sigxuma ngokujwayelekile ('ukuguga kwemvelo'), i-fat pad esithendeni iyancipha futhi inciphe ngezinga elithile. Kodwa-ke, njengoba kushiwo ngaphambili, uma uthatha izinyathelo ezidingekayo zokunciphisa ubuhlungu besithende, ukuvuvukala, nokuvimbela umonakalo owengeziwe ku-fat pad, ungathuthukisa ikhwalithi yempilo yakho futhi uqhubeke nokwenza imisebenzi oyithandayo.

Uyini umehluko phakathi kwe-`(Heel Fat Pad Syndrome)` kanye ne-`(Plantar Fasciitis)`?

Leli yiphuzu lapho abantu abaningi bedideka khona, ngakho-ke kubalulekile ukwazi umehluko omkhulu phakathi kwalezi zimo ezimbili.

Cabanga ngakho, i-"Plantar Fasciitis" iwukuvuvukala, ukuvuvukala, noma ukuvuvukala kwe-"plantar fascia"`, ibhande elijiyile lezicubu ezixhumanisayo eligijima phansi konyawo lwakho, kusukela esithendeni sakho kuya ezinzwaneni zakho. Le "plantar fascia"` yiyo enikeza ukusekelwa kwe-"arch"` yonyawo lwakho.

• Uphawu oluyinhloko lwe-plantar fasciitis ubuhlungu obuhlabayo esithendeni. Lobuhlungu buvame ukutholakala ngaphakathi kwesithende, eduze kwephansi lonyawo. Ngezinye izikhathi ubuhlungu bungasakazeka nasengxenyeni yonyawo.
• Uma welula umlenze wakho, uzizwa uqinile futhi udonseka ematheni onyawo lwakho.
• Into ebaluleke kakhulu ukuthi ubuhlungu bube bukhulu kakhulu uma uqala ukuvuka embhedeni ekuseni bese uthatha izinyathelo ezimbalwa zokuqala. Ngisho noma ubuhlungu bubonakala buphela ngemva kokuhamba kancane, uma uqhubeka nokufaka isisindo emlenzeni, ubuhlungu buyanda futhi ekupheleni kosuku.
• Ngesikhathi sokuhlolwa kwezokwelapha, uma i-'plantar fascia' icindezelwa, kuvela ubuhlungu obubukhali nobuhlabayo, njengokungathi igwazwa ngenaliti.

Kodwa-ke, ku-`(Heel Fat Pad Syndrome)`:

• Ubuhlungu buphakathi kwesithende, njengokulimala okujulile, okuseduze.
• Ubuhlungu buvame kakhulu uma uhamba, ume, noma wenza imisebenzi ethinta kakhulu isikhathi eside. Ubuhlungu buba bubi nakakhulu uma uhamba ezindaweni eziqinile ngaphandle kwezimbadada.
• Lobuhlungu bungenzeka nganoma yisiphi isikhathi sosuku, ebusuku, noma ngisho nalapho uphumule.
• I-Heel Fat Pad Syndrome ivame ukwenzeka kuzo zombili izinyawo ngesikhathi esisodwa kune-Plantar Fasciitis.

Okubalulekile: Ngezinye izikhathi zombili lezi zimo zingenzeka ndawonye. Futhi, umuntu one-`(Plantar Fasciitis)` angase abe ne-`(Heel Fat Pad Syndrome)` kamuva. Uyazi ukuthi lokho kwenzeka kanjani? Lapho i-`Plantar fascia`` yonakele, isisindo sonyawo asisatshalaliswa kahle lapho uhamba noma ugijima. Ngemuva kwalokho, kufakwa ingcindezi eyengeziwe phezu kwe-fat pad yesithende, ezama ukuyiqeda ngokushesha.

Ake sifunde kancane ngokuqhekeka kokucindezeleka kwe-calcaneal.

Okunye okufanele ukwazi. Ithambo esithendeni sakho libizwa ngokuthi i-calcaneus. Ukunyakaza okuphindaphindiwe njengokugijima kungabangela ukuqhekeka okuncane noma ukuphuka kwe-calcaneus. Lokhu kubizwa ngokuthi ukuqhekeka kokucindezeleka. Uma une-calcaneal stress fracture, uzozwa ubuhlungu esithendeni nangemuva kwesithende. Lobuhlungu besithende buzokhula kancane kancane ngokuhamba kwesikhathi. Ekuqaleni, buzoba khona kuphela ngesikhathi somsebenzi, kodwa kamuva buzoqala ubuhlungu ngisho nalapho umlenze wakho uphumule. Kungadingeka ukuthi uhlolwe amathambo, i-CT scan, noma i-MRI scan ukuze kutholakale ukuthi ubuhlungu besithende sakho bubangelwa ukuqhekeka kokucindezeleka.

Ekugcineni, yini okufanele uyikhumbule (Umyalezo Wokuya Ekhaya)

Ngakho-ke, kafushane nje, i-heel fat pad syndrome ukulahleka kongqimba lwamafutha olujiyile, olufana nomcamelo endaweni yesithende sezinyawo zethu olusiza ekusekeleni isisindo somzimba wethu futhi lusivikele ekushaqekeni. Lokhu kungabangelwa yizici eziningi, okuhlanganisa ubudala, imisebenzi ebeka ingcindezi esithendeni, ukukhuluphala, kanye nokusatshalaliswa kwesisindo okungalingani ngenkathi uhamba. Uphawu oluyinhloko ubuhlungu obukhulu, obujulile phakathi kwesithende.

Ingxenye engcono kakhulu ukuthi ukwelashwa okulula njengokuphumula, izinhlungu zobuhlungu, iqhwa, izicathulo ezifanele, kanye nokuzivocavoca njengoba kuqondiswe udokotela wakho kungasiza ekuphatheni lesi simo. Kwezinye izimo ezinzima, kunezindlela zokwelapha ezithuthukisiwe kakhulu.

Uma unesihlungu esithendeni esingapheli, ungasinaki. Bheka udokotela ngokushesha ukuze akunike iseluleko. Uma usheshe uqonde ukuthi inkinga iyini, kulapho ungaqala khona ukwelashwa okufanele. Khona-ke ungavimbela lesi simo ukuba sibe sibi kakhulu, ululame ngokushesha, futhi uqhubeke nemisebenzi yakho yansuku zonke ngenjabulo!

Ubuhlungu besithende , isifo samafutha esithendeni, i-plantar fasciitis, i-heel fat pad, ubuhlungu bezinyawo, izinkinga zesithende, umcamelo wesithende