Ingabe ingaphakathi lomlenze wakho liyabuhlungu? Ake sifunde nge-(Posterior Tibial Tendonitis) kanye ne-(Posterior Tibial Tendon Dysfunction)!

Izinyawo zethu ziyizinto ezibaluleke kakhulu esizisebenzisa usuku lonke, zisekela isisindo sethu sonke, akunjalo? Kodwa ngezinye izikhathi lezi zinyawo zingaba buhlungu kancane. Wake waphawula ukuthi unesihlungu ngaphakathi konyawo lwakho, eduze kweqakala lakho? Mhlawumbe lobu buhlungu buyanda uma uhamba, ugijima, noma ukhuphuka izitebhisi. Abantu abaningi bangase bangakunaki kakhulu lokhu, becabanga ukuthi, "Kuzolunga ezinsukwini ezimbalwa." Kodwa uma lokhu kuqhubeka, kungaba kubi kakhulu. Namuhla sizokhuluma ngesimo esingabangela ubuhlungu obunjalo emilenzeni.

Kuyini i-Posterior Tibial Tendonitis?

Kalula nje, i-Posterior Tibial Tendonitis ukuvuvukala noma ukuvuvukala kwe -Posterior Tibial Tendon, okusekela uhlaka lonyawo lwakho futhi kukusize ugobe umlenze wakho. Ibizwa nangokuthi i-Posterior Tibialis Tendon .

Manje cishe uyazibuza ukuthi iyini i-tendon . I-tendon iyisicubu esiqinile, esifana nentambo esixhumanisa imisipha yethu namathambo ethu. Ngakho-ke, i-tendon yangemuva ye-tibial ixhumanisa imisipha emlenzeni wethu ongezansi namathambo angaphakathi komlenze wethu.

Uma lo msipha uvuvukala , ungase uzwe ubuhlungu nokuqina entanyeni yonyawo lwakho, ngaphakathi konyawo lwakho, noma eqakaleni lakho. Lokhu kuvuvukala komsipha kubizwa ngokuthi i-tendinitis ngokwezokwelapha. Kungaba okwesikhashana (okubukhali) noma isikhathi eside (okungapheli).

Uma i-posterior tibial tendinitis iqhubeka, okungukuthi, uma iqhubeka isikhathi eside ngaphandle kokuphola, i-tendon iba buthaka kancane kancane bese iqala ukuphuka. Lesi simo sibizwa ngokuthi i-tendinosis . Le posterior tibial tendinosis yiyo eholela esimweni esibizwa ngokuthi i-Posterior Tibial Tendon Dysfunction (PTTD) .

Ngakho-ke kuyini ukungasebenzi kahle kwemisipha yangemuva kwe-tibial (PTTD)?

Ukungasebenzi kahle kwemisipha ye-tibial yangemuva (i-PTTD) kwenzeka lapho imisipha iphuka futhi iba buthaka ngenxa ye- tendinosis engapheli yemisipha ye-tibial yangemuva okukhulunywe ngayo ekuqaleni. Lapho imisipha ibuthaka, ayibe isakwazi ukusekela uhlaka lonyawo lwakho.

Uyazi ukuthi lokhu kubangelwa yini? Izinyawo zakho ziqala ukuba ziyisicaba futhi amaqakala akho aqala ukuphendukela ngaphakathi. Ungase uzizwe sengathi ama-arches namaqakala akho abuthaka kakhulu, ikakhulukazi uma uzama ukuphakamisa izithende zakho. Uma lesi simo siqhubeka, singaba sibi kancane kancane.

Odokotela babiza lesi simo ngokuthi i-Posterior Tibial Tendon Insufficiency (PTTI) . I-PTTD iyimbangela ehamba phambili yokukhubazeka kwezinyawo okuqhubekayo (PCFD), isimo esasaziwa ngaphambilini ngokuthi i-flatfoot yabantu abadala noma "i-fallen arch ."

Cabanga nje, lapho unyawo lwakho luwela phansi, indlela unyawo lwakho olushaya ngayo phansi lapho uhamba, kanye nendlela oluthwala ngayo isisindo, iyashintsha. Lokhu kungagcina kulimaze ezinye izingxenye zonyawo lwakho, njengemisipha kanye nomgogodla ekugcineni.

Yiziphi izigaba zalesi simo? (Izigaba ze-Posterior Tibial Tendinopathy)

Odokotela bahlukanisa lokhu ngezigaba eziningana kuye ngesimo sakho:

• Isigaba 1: Lokhu yi-tendonitis emnene kanye/noma i-tenosynovitis (ukuvuvukala kwesigxobo esizungeze i-tendon). Akukho shintsho oluphawulekayo ekwakhiweni komlenze wakho. Usengaphakamisa isithende sakho, kodwa ungase uzwe ubuhlungu lapho wenza kanjalo.
• Isigaba 2: Kulesi sigaba, awusakwazi ukuphakamisa isithende sakho. Ama-X-ray akhombisa ukuthi i-arch yakho iwile, kodwa isaguquguquka futhi ayiqinile. Izinzwane zakho zingase ziqale ukusabalala kancane. (Odokotela bakubiza lokhu ngokuthi uphawu "lwezinzwane eziningi kakhulu" . Lokhu kusho ukuthi uma ubheka unyawo lwakho ngemuva, ungabona izinzwane eziningi kunalokho obekujwayelekile.)
• Isigaba 3: Okwamanje i-arch yakho isiwile ngokuphelele futhi iqine. Zombili izinzwane zakho nezithende zakho zibheke ngaphandle. Ungase ubonise nezimpawu ze-arthritis engxenyeni engaphansi konyawo lwakho.
• Isigaba 4: Zonke izimpawu ezingenhla zikhona kulesi sigaba. Ama-X-ray abonisa nokuthi i-deltoid ligament kanye nethambo le-talus eqakaleni lakho sekushintshile. Ungase ube nezimpawu ze- arthritis eqakaleni lakho.

Ziyini izimpawu?

Uma une-Posterior Tibial Tendonitis, uzwa ubuhlungu endleleni egijima ngayo i-tendon, kusukela ngemuva kweqakala bese yehla ngaphakathi komlenze, kuze kufike ngemuva kwethambo eliphambi kwe-arch.

Lobuhlungu bungazwakala ikakhulukazi ngesikhathi noma ngemva kwemisebenzi efana nokuhamba, ukugijima, noma ukukhuphuka izitebhisi. Ekuqaleni, ubuhlungu bungase bube bufushane. Kodwa njengoba isimo siba sibi kakhulu, ubuhlungu bungase bube buvamile.

Ezinye izimpawu ze-posterior tibial tendinitis zingafaka:

• Ukuvuvukala eduze komsipha, ikakhulukazi ngaphakathi kweqakala.
• Ubuhlungu uma ucindezelwa ngesandla, ikakhulukazi uma ugoba umlenze.
• Ukuzizwa ubuthakathaka emlenzeni noma eqakaleni, ikakhulukazi uma "usunduza".

Uma i-tendonitis iphenduka i-tendinosis, ungase ukuthole kunzima kakhulu ukusebenzisa umlenze wakho, futhi ubuhlungu bungasakazeka. Ekugcineni, ungase ubone izinguquko zomzimba emlenzeni wakho ezifana nalezi:

• Ukuwa kwe-arch (unyawo oluyisicaba).
• Iqakala ligoqeka ngaphakathi.
• Isithende kanye/noma uzwane luphendukela ngaphandle.

Lezi izimpawu zokungasebenzi kahle kwemisipha ye-posterior tibial (PTTD).

Ziyini izimbangela zalokhu? (Izimbangela ze-Posterior Tibial Tendinitis)

Ukulimala ngokuvamile kuyimbangela eyinhloko ye-tendonitis . Uma kukhulunywa nge-tendonitis emilenzeni, ukulimala okuphindaphindiwe yikona okuvame kakhulu. Sonke, kungakhathaliseki ukuthi singabadlali noma cha, sisebenzisa imilenze yethu ngaso sonke isikhathi.

Uma noma yimuphi umsipha usetshenziswa ngokweqile, uba nokucindezeleka, okubangela ukudabuka okuncane emicu ethambile. Lokhu kuthatha isikhathi eside ukuphola. Ukuvuvukala kuyisibonakaliso sokuthi uzama ukuphola. Kodwa uma ungawuniki ithuba lokuphola, ngeke uphole.

Ngezinye izikhathi, i-posterior tibial tendon yakho ingadabuka (ukulimala okukhulu) ngenxa yokulimala okungazelelwe, njengengozi yezemidlalo noma iqakala elisontekile. Uma lokhu kudabuka kungapholi ngokuphelele, ukuvuvukala kwesikhashana (ukuvuvukala okukhulu) kungaba okungapheli.

Ngezinye izikhathi, uma uhamba ngendlela engavamile, kungabangela nokucindezeleka okuphindaphindiwe kumsipha. Isibonelo, uma unyawo lwakho luphendukela ngaphakathi noma ngaphandle, noma uma unezinyawo ezisicaba noma ama-arches aphezulu, ngisho nokuhamba ngokujwayelekile kungacindezela umsipha.

Yiziphi izinto ezibangela ingozi?

Kunezici eziningana ezingabangela ukucindezeleka nokuvuvukala kwe-tendon yakho:

• Ubuthakathaka emlenzeni noma eqakaleni ngenxa yokuhlinzwa noma ukulimala kwangaphambilini.
• Ukuzibandakanya kwezemidlalo ezithinta kakhulu ngaphandle kobuchwepheshe obuhle kubizwa ngokuthi ukuqeqeshwa ngokweqile.
• Ukuma isikhathi eside ngaphandle kwezicathulo ezinhle ezisekelayo. Cabanga ukuthi eminye imisebenzi idinga ukuma usuku lonke (isib. othisha, abasebenzi basezitolo). Abantu abanjengalaba basengozini enkulu uma bengazigqoki izicathulo ezifanele.
• Ukuthwala isisindo esiningi kakhulu ngenkathi uhamba. Okusho ukuthi, ukukhuluphala nakho kungathinta lokhu.
• Ukuba nokukhubazeka emilenzeni noma indlela abahamba ngayo kusukela ekuqaleni.
• Ukuba ne- osteoarthritis esevele ikhona emlenzeni.
• Ukuba nesifo sokuvuvukala kwezicubu ezixhumeneyo esibangela ukuvuvukala, njenge- rheumatoid arthritis .
• I-Tenosynovitis ukuvuvukala kwe-synovial membrane ezungeze i-tendon yakho.

I-tendinitis iba kanjani i-PTTD?

I-Tendonitis kanye ne-tendinosis kungaba njengomjikelezo omubi. Ukuvuvukala okungapheli kwenza i-tendon ibe buthaka, okwenza ibe sengozini yokulimala. Ukulimala okuphindaphindiwe kwenza i-tendon ibe buthaka kakhulu, futhi ukuvuvukala kuyaqhubeka.

Njengoba i-tendon ilahlekelwa ukusebenza kwayo, ezinye izakhiwo emlenzeni wakho nasemaqakaleni kufanele zigcwalise isikhala. Lokhu kucindezela okwengeziwe kubangela ukuthi lezo zakhiwo zihluleke kancane kancane, okubuyisela umthwalo ku-tendon.

Yiziphi izinkinga ezingaba khona kulesi simo?

I-acute posterior tibial tendonitis ingaphola ngokuphumula nesikhathi. Kodwa-ke, uma i-tendonitis iba yihlala injalo, ingaqala umjikelezo wokuwohloka kwezicubu. Ekugcineni, ingaholela ekungasebenzi kahle kwe-posterior tibial tendon (PTTD).

Ukungasebenzi kahle kwemisipha ye-tibial yangemuva kungabangela ukuthi i-arch yonyawo lwakho iwe kancane kancane ( ukukhubazeka kwezinyawo okuqhubekayo, i-PCFD , noma i-flatfoot etholakale kubantu abadala ). Lokhu kungaholela ezinkingeni ezengeziwe.

Uma uhamba ngezinyawo ezisicaba, imisipha kanye namathambo onyawo lwakho ayanyamalala endaweni yawo. Lokhu kubangela ukukhubazeka okwengeziwe kwezinyawo. Lokhu kukhubazeka kucindezela amalunga akho, okungaholela ekuqaqambeni kwamalunga ezinyaweni naseqakaleni.

Enye inkinga engaba khona ukuqhekeka komsipha ngokuphelele. Ngenxa yokuthi umsipha uba buthaka kancane kancane, kungenzeka kakhulu ukuthi uqhekeke ngokuphelele ngokulimala okungazelelwe. Umsipha odabukile ngokuphelele uzodinga ukuhlinzwa ukuze ulungiswe.

Odokotela bakuthola kanjani lokhu?

Izimo ezithinta i-posterior tibial tendon yakho (tendinopathy) zivame ukutholakala ngokuhlolwa ngokomzimba. Udokotela uzohlola unyawo lwakho neqakala ngenkathi umile futhi uhambisa unyawo lwakho ngezindlela ezahlukene.

Bazothinta eduze komsipha ukuze babone ukuthi uvuvukile yini, bawucindezele ukuze babone ukuthi kukhona yini ubuhlungu. Ngemuva kwalokho bangenza izivivinyo zezithombe, njenge -X-ray noma i-ultrasound, ukuze babheke isimo sakho ngokuningiliziwe.

Yiziphi izindlela zokwelapha?

Ezimweni zokuqala, i-posterior tibial tendonitis ingelashwa ngezindlela ezilula zokwelapha njengokuphumula, iqhwa, kanye nemithi etholakala ngaphandle kwemithi kadokotela. Ezimweni ezimbi kakhulu, kungadingeka i-cast noma i-boot amasonto ambalwa.

Ukwelashwa okulondolozayo kwe-PTTD kufaka phakathi ukwelashwa ngokomzimba kanye nokusetshenziswa kwe -orthotics ekhethekile - izinto zokufaka ozigqoka ezicathulweni zakho - ukunciphisa ingcindezi ku-tendon lapho uhamba. Ezimweni ezimbi kakhulu, ungadinga ukuhlinzwa ukuze kulungiswe unyawo lwakho.

Esigabeni ngasinye, odokotela bazoqala ngokwelashwa okulula (okungekona ukuhlinzwa). Bazocabangela ukwelashwa ngokuhlinzwa kuphela uma izimpawu zakho zingathuthuki ngemva kwezinyanga eziningana zalokhu kwelashwa.

Kuthatha isikhathi esingakanani ukululama? (Isikhathi Sokululama)

I-tendinitis ebukhali ingaphola emavikini ambalwa. Kodwa-ke, uma une-tendinosis kanye nokungasebenzi kahle kwemisipha, kuzothatha isikhathi eside. Ngokwelashwa okulula, kungathatha cishe izinyanga ezintathu kuya kwezine ukuphulukiswa ngokuphelele.

Uma ukwelashwa okulondolozayo kungasebenzi ngemva kwezinyanga ezimbalwa, udokotela wakho angase akuncome ukuhlinzwa. Ngemva kokuhlinzwa, kungathatha ezinye izinyanga ezimbili kuya kwezine ukuthi imisipha yakho ilulame.

Kwenzekani uma une-PTTD? (Isibikezelo)

Umbono we-PTTD uncike esigabeni sesimo sakho kanye nohlobo lokwelashwa oludingayo. Ezigabeni zokuqala zesifo, abantu abaningi bangalulama ngokugcwele ngokwelashwa okulula.

Uma uhlinzwa ukuze wakhe kabusha izingxenye zomlenze wakho, kunzima ukubikezela umphumela. Ukuhlinzwa kungaba nzima, futhi kungadingeka wenze izinqubo ezingaphezu kweyodwa. Ngisho nangemva kokuhlinzwa, eminye imiphumela emibi ingase ihlale isikhathi eside.

Ingabe lokhu kungavinjelwa? (Ukuvimbela)

Ukuqapha ukuthi ungacindezeli kakhulu imisipha yakho kungasiza ekuvimbeleni i-tendinitis kanye ne-tendinosis. Uma wazi ukuthi uzokwenza umsebenzi omningi ezinyaweni zakho, qiniseka ukuthi ugqoka izicathulo ezisekelayo , bese uthola ukuphumula okwanele.

Uma uqala ukuzwa ubuhlungu emsipha wakho, yinakekele , uyinike ukuphumula bese uyivumela iphole. Uma izimpawu ziqhubeka, bona udokotela. Uzokutshela uma une-tendinitis nokuthi wenzeni.

Uma kutholakala ukuthi une-tendinitis noma i-tendinosis, kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho. Ukunganiki i-tendon yakho ithuba lokuphulukisa kahle kuzokwandisa izimpawu zakho kanye nesikhathi sokululama.

Okokugcina, izinto okufanele uzikhumbule

Ukungasebenzi kahle kwemisipha ye-tibial (PTTD) kwenzeka lapho i-tendinitis kanye ne-tendinosis kuqhubeka isikhathi eside. Abanye abantu bangase bangaziboni izimpawu ekuqaleni. Kodwa uma usubona izimpawu, kubalulekile ukuthi zelashwe.

Sonke sithembele kakhulu ezinyaweni zethu kangangokuthi ngezinye izikhathi asicabangi ngazo. Uma unyawo lubuhlungu, ungase ucabange, "Nokho, lokho kuyinto ozobhekana nayo empilweni." Kodwa ungamangala ukuthi i-tendon encane onyaweni lwakho ibaluleke kangakanani.

Ama-tendon ayizinto eziqinile, kodwa ayashesha ukuphola uma elimele. Uma engapholi, angaguga ngenxa yokuvuvukala isikhathi eside. Uma i-tendon yakho yangemuva ye-tibialis yehluleka, sonke isakhiwo somlenze wakho singawa.

Iphuzu elibalulekile ukuthi, thatha ubuhlungu bakho ngokungathi sína . Uma uthola ukwelashwa okufanele ngokushesha kwe-posterior tibial tendinitis kanye nokungasebenzi kahle kwe-posterior tibial tendon, ukululama kwakho kuzoba lula.

Kungathatha isikhathi ukuphulukiswa, ikakhulukazi uma kufanele uhlinzwe. Kuyacasula ukuyeka yonke into ngenxa yomsipha omncane. Kodwa uma ungacabanga ngalo msipha omncane njengomsizi womsebenzi owenzela wena nsuku zonke, uzokusiza.

i- posterior tibial tendonitis, i-PTTD, ubuhlungu bomlenze, ubuhlungu beqakala, izinyawo ezisicaba, i-tendinitis, ukungasebenzi kahle kwemisipha