Wake wazizwa ubuhlungu obungavamile noma ukuqina ngemuva kweqakala lakho? Ingabe lobu buhlungu bubonakala bukhula, ikakhulukazi uma uzama ukuma ngezinzwane zakho, noma uma ugijima noma ugxuma? Uma kunjalo, isihloko esizokhuluma ngaso namuhla sizoba sibaluleke kakhulu kuwe. Lesi simo sisibiza ngokuthi `(Os Trigonum Syndrome)` . Nakuba leli gama lingavamile kancane, lesi yisimo esingaba khona kwabanye abantu.
Kuyini `(Os Trigonum Syndrome)`? Ake sikuqonde kalula!
Kalula nje, `(Os Trigonum Syndrome)` ubuhlungu obuvela ngemuva kweqakala lakho, okungukuthi, esihlanganyelweni seqakala. Imbangela eyinhloko yalokhu ingxenye encane yethambo ngemuva kwethambo leqakala (`(talus bone)`). Leli thambo elingeziwe libizwa ngokuthi `(os trigonum)` . Ngakho-ke, isethi yezimpawu ezibangelwa yileli thambo yilokho esikubiza ngokuthi `(Os Trigonum Syndrome)`. Kulula kakhulu, akunjalo?
Lokhu kubizwa ngokuthi okunye, kungenzeka ukuthi uke wezwa ngakho:
- `(Isifo sokuvimba iqakala ngemuva)`: Lokhu kusho ukuthi kukhona ukucinana noma ukucinana ngemuva kweqakala. `(Isifo sokuvimba iqakala ngemuva)` kusho ngemuva, `(isifo sokuvimba)` kusho ukucinana.
- I-Hindfoot impingement syndrome: Lokhu kusho nokuthile okufanayo, ukucindezela ngemuva kwephansi lonyawo.
- `Ukufakwa kohlobo lwe-Nutcracker`: Lokhu kungase kuzwakale njengegama elihlekisayo, kodwa kusho ukuthi ithambo elengeziwe (`(os trigonum)`) licindezelwa nhlangothi zombili, njengoba nje lapho siphula indandatho, licindezelwa nhlangothi zombili. Yingakho libizwa kanje.
- `(Isifo sokungazweli kwe-tibiotalar)`
- `(I-Talar compression syndrome)`
Into ebaluleke kakhulu ukuthi leli thambo elengeziwe elibizwa ngokuthi `(os trigonum)` lizalwa nalo . Lokho kusho ukuthi leli thambo lingaba khona lapho umuntu ezalwa. Lingaba semlenzeni owodwa kuphela, noma lingaba semilenzeni yomibili. Leli thambo elengeziwe lixhunywe ethanjeni eliyinhloko leqakala ngezicubu ezijiyile ezibizwa ngokuthi `(cartilage)`. Ngakho-ke, alihambi. Cabanga, ngokwesilinganiso, phakathi kuka-15% no-30% wabantu banaleli thambo `(os trigonum)` . Kodwa into emangalisayo ukuthi, akubona bonke abanaleli thambo ababonisa izimpawu. Abantu abaningi abazi nokuthi banaleli thambo elengeziwe!
Ubani onamathuba amaningi okuthola i-"Os Trigonum Syndrome"?
Ukuze leli thambo elithi `(os trigonum)` libangele ubuhlungu, ngokuvamile kufanele kube nohlobo oluthile lokulimala (`(trauma)`) endaweni yeqakala. Okusho ukuthi, into efana nokuwa noma ingozi ngokuzumayo. Noma, lesi simo singabangelwa futhi `(ukucindezeleka okuphindaphindiwe)`, okuwukucindezela okuphindaphindiwe ngemuva kweqakala .
Isibonelo, cabanga ngalokhu:
- Abadansi be-Ballet : Bavame ukuma izinzwane zabo zibheke phansi, okubeka ingcindezi enkulu ngemuva kweqakala.
- Abadlali bebhola : Uma bekhahlela ibhola (ezemidlalo zokukhahlela), izinyawo zabo zihlala zibheke phansi.
- Abagijimi/abahamba ngezinyawo behla: Baphinde babeke ingcindezi eyengeziwe ngemuva kweqakala ngokungazi.
Abantu abenza imisebenzi enjalo basengozini enkulu yokuthola "ukuvinjwa kweqakala ngemuva" noma "i-Os Trigonum Syndrome".
Kungani kwenzeka ukucindezelwa kweqakala ngemuva?
Njengoba sesixoxile ngaphambili, i-"Os Trigonum Syndrome" yenzeka lapho umuntu onalelo thambo elingaphezulu elithola ukulimala endaweni lapho lelo thambo linamathele khona. Isibonelo, into efana neqakala elikhumukile .
Ngaphezu kwalokho, lokhu kungabangelwa ukucindezeleka okuqhubekayo eqakaleni. Cabanga ngalokhu:
- Uma umdansi ehlala emi ngezinyawo.
- Uma umdlali webhola eqhubeka nokukhahlela ibhola.
- Lapho umgijimi esunduza ngomlenze wakhe (`(esunduza ngemuva kweqakala)`).
Ngenxa yokulimala noma ukusetshenziswa ngokweqile, ithambo elengeziwe liqala ukusunduza noma ukudonseka lapho linamathele khona. Lokhu kungabangela ukuthi izicubu ezizungezile zeluleke futhi zidabuke. Yilapho kuvela khona izimpawu ezifana nokuvuvukala, ukuvuvukala, nobuhlungu .
Ziyini izimpawu ze-`(Os Trigonum Syndrome)`?
Esikhathini esiningi, abantu abanethambo elithi "os trigonum" abazi ngisho nokuthi likhona, ngoba alibangeli zinkinga.
Kodwa uma une-"Os Trigonum Syndrome", ungase uqaphele izimpawu ezinjengalezi ngemuva kweqakala lakho:
- Ubuhlungu : Ubuhlungu buyazwakala, ikakhulukazi uma ucindezela uzwane lwakho olukhulu noma ukhomba izinzwane zakho phansi.
- Ukwehla kwezinga lokunyakaza : Kuba nzima ukuhambisa umlenze phezulu naphansi kahle, kusukela kolunye uhlangothi kuya kolunye.
- Ukuqina : Iqakala lizwakala liqinile.
- Ukuvuvukala : Ingemuva leqakala lingase livuvukele.
- Ububele ekuthintweni: Kubuhlungu ngisho noma kuthintwa .
Abanye abantu bashintsha indlela abahamba ngayo, abagijima ngayo, abakhahlela ngayo, noma abadansa ngayo ukuze bagweme lobu buhlungu. Ngezinye izikhathi bakwenza lokhu ngamabomu, ngezinye izikhathi bakwenza ngokungazi.
Kodwa-ke, uma isimo semvelo somlenze sishintsha ngale ndlela, ukungakhululeki nobuhlungu kungavela kwezinye izingxenye zomzimba . Isibonelo, umdansi we-ballet one-"Os Trigonum Syndrome" angase ajikelezise umlenze ngaphakathi noma ngaphandle lapho emi ezithendeni zezinzwane. Kodwa-ke, ngokuhamba kwesikhathi, lokhu kungabangela ubuhlungu ezinzwaneni, ezinyaweni, emadolweni, noma ezinqeni.
Odokotela bakuthola kanjani ukuboshwa kweqakala ngemuva?
Uma unesihlungu eqakaleni, udokotela uzolandela izinyathelo eziningana ukuze anqume ukuthi unalesi simo:
1. Uzobuzwa imibuzo : Yiziphi izimpawu zakho, yimiphi imisebenzi ebangela ubuhlungu, njll.
2.Ukukhuluma ngomlando wakho wezokwelapha: ukulimala kwangaphambilini, ezinye izifo.
3. Hlola umlenze wakho neqakala : Yelula, goba, bese uphendula umlenze wakho ukuze ubone ukuthi hlobo luni lokunyakaza olubangela ubuhlungu.
Izimpawu ze-Os Trigonum Syndrome zingafana nezinye izimo, njengokulimala kwe-Achilles' tendon noma ukuphuka kwe-talus . Ngakho-ke, udokotela wakho uvame uku-oda ukuhlolwa kwezithombe ukuqinisekisa ukuba khona kwe-Os Trigonum nokukhipha ezinye izimbangela. Lokhu kungafaka:
- Ukuhlolwa kwe-X-ray (`(X-ray)`)
- Ukuskena kwe-MRI (`(MRI)`)
- Ukuskena kwe-CT (`(ukuskena kwe-CT)`)
- Ukuhlolwa kwe-Ultrasound (`(Ultrasound)`)
Lezi zivivinyo zingabona ngokucacile ukuthi ithambo elengeziwe likhona yini nokuthi lilimaze yini izicubu ezizungezile.
Iphathwa kanjani i-`(Ukufakwa Kweqakala Kwangemuva)`?
Ukwelashwa kwalokhu kuklwebheka ngemuva kweqakala kuqala ngezindlela ezilula kakhulu, ezingezona ezokuhlinzwa. Lokhu kwelashwa kungenziwa njengenhlanganisela:
- Phumula izinsuku ezimbalwa emisebenzini ebangela ubuhlungu.
- Ukuzivocavoca ekhaya noma ukwelashwa ngokomzimba : Lokhu kungasiza ekulungiseni indawo yeqakala nokuqinisa imisipha yomlenze nonyawo.
- Ukusebenzisa iqhwa izikhathi eziningana ngosuku : Lokhu kunganciphisa ukuvuvukala.
- Ukugqoka ibhuzu lokuhamba elikhethekile ukuze kuncishiswe ukunyakaza kweqakala : Lokhu kusiza inxeba ukuthi liphole.
- Imithi elwa nokuvuvukala engeyona eye-steroidal (ama-NSAID) : Yehlisa ubuhlungu nokuvuvukala.
- Imijovo ye-steroid : Ngezinye izikhathi, uma ubuhlungu bukhulu, odokotela batusa le mijovo.
Abantu abaningi bathola impumuzo ngalezi zindlela zokwelapha ezilula. Kodwa-ke, uma izimpawu zingathuthuki ngemva kwezinyanga eziningana zokwelashwa, ikakhulukazi uma ungumsubathi ohlala ehilelekile emsebenzini othile, kungase kudingeke ukuhlinzwa.
Ukuhlinzwa kuhilela ukususa i-os trigonum kanye nezicubu ezonakele ezizungezile. Lokhu kungenziwa nge-arthroscopically (inqubo lapho kufakwa khona ikhamera nezinsimbi ngokusebenzisa imicu embalwa emincane) noma njengokusika okuvulekile . Isikhathi sokululama cishe inyanga eyodwa noma ezimbili. Abasubathi ngokuvamile bangabuyela emisebenzini yezemidlalo ephelele zingakapheli izinyanga eziyisithupha.
Singakuvimbela kanjani lokhu `(Ukucindezelwa Kweqakala Langemuva)` ukuthi kungenzeki?
Eqinisweni, ayikho indlela yokuvimbela ukwakheka kwalelo thambo elengeziwe elibizwa ngokuthi i-"os trigonum". Kuyinto ekhona lapho uzalwa. Kodwa uma unelinye (noma amabili!), uqaphele ukulimala kweqakala, futhi ugweme imisebenzi ehlala ikhomba izinzwane zakho phansi , unganciphisa ingozi yakho yokuthola lesi sifo.
Hlobo luni lwekusasa umuntu one-`(Os Trigonum Syndrome)` angalulindela?
Akukho okufanele ukwesabe! Iningi labantu abane-`(Os Trigonum Syndrome)` bayalulama kahle ngokuphumula kanye nokwelashwa ngaphandle kokuhlinzwa . Kodwa into eyodwa okufanele uyikhumbule ukuthi uma uqhubeka nomsebenzi obangele izimpawu, izimpawu zingase ziphinde zivele. Ngakho-ke kungcono ukuqaphela kancane.
Ngingazivikela kanjani amaqakala ami?
Khumbula lezi zinto ezimbalwa ukuze uvikele iqakala lakho ekulimaleni:
- Gqoka izicathulo ezifanelana kahle nomsebenzi owenzayo. Lahla izicathulo ezindala, ezigugile.
- Gwema izindawo ezingalingani noma ezinemigodi. Isibonelo, izintaba ezikhuphukayo lapho ugijima, amasimu angalingani noma anemigodi lapho udlala ibhola, noma izitezi eziphukile ezitudiyo zokudansa.
- Uma uvame ukukhuhla iqakala lakho, cabanga ngokusebenzisa i-brace ekhethekile noma i-tape ukuze uzinzise iqakala lakho.
- Khulisa kancane kancane ukuqina kokuzivocavoca kwakho. Isibonelo, uma ungakaze udlale ibhola ngaphambili, ungaqali ngokuzumayo ukudlala amahora amathathu ngosuku. Qala kancane kancane bese wandisa isikhathi nokuqina kancane kancane.
- Funda futhi uzijwayeze amasu afanele, ikakhulukazi lapho ugijima, ukhahlela ibhola, futhi udansa.
- Lalela umzimba wakho. Uma kukhona okubuhlungu, yeka ukukwenza.
- Fudumala kahle ngaphambi kwanoma yimuphi umsebenzi womzimba, bese welula kahle ngemva kwalokho.
Uyini umehluko phakathi kokubethelwa kweqakala kwangaphambili kanye nokubethelwa kweqakala ngemuva?
Nakuba kokubili lokhu kuyisilonda esinamaqakala, kwenzeka ezindaweni ezimbili.
- I-posterior ankle impingement syndrome (esikhulume ngayo namuhla) yenzeka ngemuva kweqakala lakho . Uma ukhomba unyawo lwakho phansi, izicubu ezikule ndawo ziyancinza futhi zibangele ubuhlungu. Ukuba nalelo thambo elengeziwe elibizwa ngokuthi i-os trigonum kwandisa amathuba okuba nalezi zimpawu.
- I-Anterior ankle impingement syndrome yenzeka ngaphambili kweqakala lakho . Ibangelwa ama-bone spurs engeziwe (ama-bone spurs) avela ngaphambili kweqakala, noma ekugcineni kwethambo lomlenze.
Kalula nje, ku-"ukufakwa kweqakala ngemuva" ubuhlungu buvela ngemuva kweqakala, kanti ku-"ukufakwa kweqakala ngaphambili" ubuhlungu buvela ngaphambili kweqakala.
Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)
I-"Os Trigonum Syndrome" yisimo esibangela ubuhlungu ngemuva kweqakala. Sibangelwa ingxenye eyengeziwe yethambo ekhona lapho umuntu ezalwa. Sivame kakhulu kubagijimi, abadansi, kanye nalabo abadlala imidlalo efana nebhola.
Uma unalolu hlobo lobuhlungu eqakaleni, qiniseka ukuthi ubona udokotela ukuze akunike iseluleko. Khona-ke ungazi kahle ukuthi yiziphi izindlela zokwelapha ezifanele wena nokuthi ungasinakekela kanjani lesi simo. Khumbula, ungawushayi indiva ngisho nobuhlungu obuncane!
Nakekela amaqakala akho, hlala uphilile!
Ubuhlungu beqakala , i-os trigonum, ukucindezelwa kweqakala ngemuva, ithambo elengeziwe, ukulimala kwezemidlalo, ubuhlungu bezinyawo, ukwelashwa ngokomzimba











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