Ingabe iqakala lakho libuhlungu ngaphandle? Kungaba yiSinus Tarsi Syndrome!

Wake waphawula ukuvuvukala okuncane ngaphandle kweqakala lakho, okuphansi kancane phansi, okubangela ubuhlungu? Mhlawumbe lobu buhlungu buba bubi nakakhulu uma uhamba noma ujika unyawo lwakho lapha nalaphaya. Uma lokhu kuye kwenzeka kuwe, sizoxoxa ngento engaba yinto ebalulekile kuwe. Lesi simo sibizwa ngokuthi "iSinus Tarsi Syndrome". Ungakhathazeki, ake sixoxe ngakho kalula.

Iyini i-Sinus Tarsi Syndrome?

Kalula nje, i-Sinus Tarsi Syndrome ukuvuvukala okubuhlungu ngaphandle kweqakala lakho, ngaphansi kwalo. Ngokuqondile, kubangelwa ukuvuvukala kwe-subtalar joint, lapho ithambo leqakala lakho (i-Talus) nethambo lesithende (i-Calcaneus) kuhlangana khona.

Lokhu `(I-Subtalar joint)` yikho okukusiza ukuthi uphendule unyawo lwakho lusuka kolunye uhlangothi luye kolunye. `(I-Sinus Tarsi)` yisikhala esincane phakathi kwamathambo amabili engiwashilo. Cabanga ngakho njengomhubhe omncane odlula entabeni. Kodwa esikhundleni sokususa amatshe ukuze wenze umgwaqo wezimoto, lo mgwaqo omncane oqoshwe emathanjeni. Ngale ndlela gijima `(ama-ligaments)` (amathambo), imizwa kanye nemithambo yegazi eya kwezinye izingxenye zonyawo lwakho kanye neqakala.

I-Sinus Tarsi Syndrome yenzeka lapho izicubu eziku-sinus tarsi zicasuka ngesizathu esithile. Izicubu ziyavuvukala. Uma lokhu kuvuvukala kwenzeka kule ndawo encane, ingcindezi ngaphakathi iyanda futhi ubuhlungu buyavela. Ukuqhekeka kweqakala kuyimbangela eyinhloko yalokhu. Le ngozi iphezulu kakhulu uma uke waqhekeka iqakala elifanayo izikhathi eziningana.

Uma unesihlungu noma ukuvuvukala eqakaleni noma esithendeni sakho, futhi uma unenkinga yokunyakaza noma ukusebenzisa unyawo lwakho neqakala ngendlela efanele, kufanele nakanjani ubone udokotela noma udokotela wezinyawo.

Ingabe lesi yisimo esivamile?

Ngokusho kochwepheshe, i-Sinus Tarsi Syndrome iyisimo esingavamile. Kodwa-ke, kunzima ukusho ukuthi sivame kangakanani. Lokhu kungenxa yokuthi abantu abaningi abanalesi simo bangase bangahlolwa kahle. Futhi, izimpawu zaso zifana kakhulu nezezinye izifo zamaqakala.

Ziyini izimpawu ze-Sinus Tarsi Syndrome?

Izimpawu eziyinhloko zalesi simo ubuhlungu nokuvuvukala eqakaleni. Ubuhlungu nokuvuvukala kuvame ukuzwakala ngaphandle kweqakala, onqenqemeni olungezansi. Kodwa-ke, ngezinye izikhathi lobu buhlungu bungasakazekela nakwezinye izingxenye zeqakala.

Cishe uzobona futhi uzizwe ukuvuvukala endaweni ephakathi kwethambo leqakala nethambo lesithende. Ngezinye izikhathi lokhu kuvuvukala kusobala kangangokuthi abanye abantu bacabanga ukuthi kubukeka njenge-cyst ngaphansi kwesikhumba.

Lolu hlobo luni lomuzwa olukunikeza lona?

Ubuhlungu be-Sinus Tarsi Syndrome buvame ukungaguquguquki futhi bumnene.Kuzwakala njengobuhlungu obuhlala njalo. Kodwa uma unyakaza noma usebenzisa umlenze wakho, ubuhlungu buba bukhali futhi bungazwakala njengommese ukugwaza. Ikakhulukazi ngalezi zikhathi:

• Uma unyawo lwakho luphuma phakathi komzimba wakho.
• Uma ubeka isisindo ezinyaweni zakho, njengalapho uhamba, ugijima, noma ukhuphuka izitebhisi.
• Uma uthinta futhi ucindezela leyo ngxenye ebizwa ngokuthi i-sinus tarsi.

Kungani kwenzeka i-Sinus Tarsi Syndrome?

Noma yikuphi ukulimala noma isimo esonakalisa i-subtalar joint yakho noma isikhala esibizwa ngokuthi i-sinus tarsi singabangela lokhu.

Ukuphuka kweqakala kuyimbangela evame kakhulu. Cishe abantu abangu-80% abane-sinus tarsi syndrome banalesi simo lapho iqakala labo liphendukezelwe ngaphandle lisuka enkabeni yomzimba. Ukushelela, ukuwa, kanye nokunye ukulimala okuhlobene nezemidlalo kuyimbangela evame kakhulu yokuphuka kweqakala. Isibonelo, uma ukhubeka ngokuzumayo ngenkathi udlala ikhilikithi, noma uma ukhubeka ngengozi bese ugingqa iqakala lakho ngenkathi uhamba emgodini. Lezi yizimbangela ezivame kakhulu zalesi simo.

Ukulimala kweqakala nakho kungabangela isimo esibizwa ngokuthi i-synovitis (ukuvuvukala kwe-synovial membrane) esihlanganyelweni sakho esingaphansi kwe-subtalar. Ukuvuvukala okubangelwa yilokhu kungaholela ku-sinus tarsi syndrome.

Izimbangela ezingezona ezokulimaza

Ngezinye izikhathi, indawo yemvelo yezinyawo zakho, indlela ohamba ngayo, kanye nezimo ezithile zempilo kungabangela ukuthi ama-sinus akho afake ingcindezi engadingekile ('ukucindezeleka') ngokuhamba kwesikhathi, okuholela kulesi sifo. Izimbangela ezingabandakanyi ukulimala zifaka:

• Ukuba nezinyawo ezisicaba.
• I-Overpronation (over-pronation) yilapho unyawo lugoqa kakhulu ngaphakathi ngenkathi uhamba noma ugijima.
• Izimo ze-arthritis zezinyawo namaqakala.
• Ukukhuluphala ngokweqile.

Ubani osengozini enkulu?

Ukuphuka kweqakala kuyizingozi ezivame kakhulu kangangokuthi noma ubani angaba ne-sinus tarsi syndrome. Kodwa-ke, abantu abalandelayo basengozini enkulu kancane:

• Abantu abadlala imidlalo edinga ushintsho olusheshayo lwendlela kanye nokuguquka (isib. ibhola, i-basketball, i-hockey).
• Abantu abama isikhathi eside futhi basebenze endaweni eqinile.
• Abesifazane abakhulelwe. Ukujikijela unyawo ngaphakathi kungenzeka kakhulu ngesikhathi sokukhulelwa.
• Abantu asebekhumule iqakala elifanayo izikhathi eziningi. Uma iqakala ebelimele ngaphambilini likhumule futhi, ingozi yokuba ne-sinus tarsi syndrome iphakeme kakhulu.

Odokotela bakuthola kanjani lokhu ngokunembile?

Udokotela uzoxilonga i-sinus tarsi syndrome ngokwenza ukuhlolwa ngokomzimba . Uzobheka iqakala lakho elilimele, ahlole ukuvuvukala, bese ethinta indawo ebizwa ngokuthi i-sinus tarsi. Ungase ucelwe ukuthi ume, uhambe, noma ushukumise iqakala lakho. Uma ubuhlungu buba bubi kakhulu noma buba bubi kakhulu uma uthinta, unyakaza, noma unyakaza iqakala lakho, kufanele utshele udokotela wakho.

Uma wazi ukuthi waqala nini ukuzizwa izimpawu, ikakhulukazi ukuthi ukulimala kwenzeke nini futhi kuphi, tshela udokotela wakho ngaleyo mininingwane.

Izimpawu ze-sinus tarsi syndrome zifana nezezinye izimo eziningana ezithinta iqakala nonyawo. Isibonelo:

• Isifo samathambo ezinyaweni naseqakaleni.
• Ukuqhekeka kokucindezeleka kwe-calcaneal.
• Ukuphuka kwe-Talus.
• I-Tarsal tunnel syndrome (`(i-Tarsal tunnel syndrome)`).

Ukuhlolwa kwe-sinusitis

Udokotela wakho angase futhi enze izivivinyo zokuthwebula izithombe ukuze athathe izithombe zeqakala nendawo ezungezile:

• I-X-ray yezinyawo.
• Ukuhlolwa kwe-MRI (Magnetic Resonance Imaging).
• I-CT scan (`(I-CT scan - I-Computed Tomography scan)`).

Iphathwa kanjani i-Sinus Tarsi Syndrome?

Udokotela wakho uzoncoma ukwelashwa ukunciphisa ukuvuvukala nobuhlungu ema-sinuses akho. Izindlela zokwelapha ezivame ukusetshenziswa yilezi:

• Iziqeda-buhlungu ezithengiswa ngaphandle kwemithi kadokotela (OTC): Ungasebenzisa imithi elwa nokuvuvukala engeyona eye-steroidal (ama-NSAID) noma i-acetaminophen (i-paracetamol) ukunciphisa ukuvuvukala nobuhlungu. Kodwa-ke, ungayithathi le mithi izinsuku ezingaphezu kweziyi-10 ngaphandle kweseluleko sikadokotela.
• Ama-Corticosteroids: Lena imithi enamandla yokulwa nokuvuvukala enqunywe udokotela. Udokotela wakho angase futhi afake i-cortisone ngqo esithweni sakho esingaphansi kwesikhumba.
• Ukungasebenzi: Kungase kudingeke ugqoke i-brace yeqakala noma ibhuzu lokuhamba elikhethekile ukuze ugcine iqakala lakho lingahambi futhi liphephile ngenkathi liphola. Udokotela wakho angase futhi asikisele ukuthi unamathisele iqakala lakho ukuze uthole ukwesekwa okwengeziwe. Bazokufundisa ukuthi ungakwenza kanjani lokhu ngokuphephile.
• Ukwelashwa ngokomzimba: Udokotela wezokwelapha ngokomzimba uzokufundisa ukuzivocavoca nokwelula imisipha ezungeze iqakala lakho. Bazokusiza ukuthi uphinde uthole ukunyakaza kweqakala lakho (ukuthi ungalishukumisa ibanga elingakanani iqakala lakho).
• Ama-Orthotics: Ama-Orthotics ayizinto ezikhethekile ezifakwa ngaphakathi kwezicathulo zakho. Ungazithenga ekhemisi, noma ungazithengela zona ngokwezifiso zakho. Udokotela wakho uzokutshela ukuthi hlobo luni oludingayo nokuthi udinga ukuzigqoka isikhathi esingakanani. Bangase batuse nezicathulo ezisekela izinyawo namaqakala akho (noma ukuthi kufanele ugweme ukugqoka izinhlobo ezithile zezicathulo).
• Ukuhlinzwa:Ukuhlinzwa akuvamile ukudingeka ngenxa ye-sinus tarsi syndrome. Udokotela uzocabangela ukuhlinzwa kuphela uma ezinye izindlela zokwelapha zingakasizi, noma uma unobuhlungu obukhulu obuqhubekayo noma ukuvuvukala. Uma kunjalo, bazochaza ukuthi hlobo luni lokuhlinzwa ozolwenza nokuthi yini ongayilindela ngemva kwalokho.

Ingabe i-Sinus Tarsi Syndrome ingelapheka ngokuphelele?

Yebo, isikhathi esiningi, i-sinusitis syndrome izophela uma usuthole ukwelashwa okungalawula izimpawu zakho. Njengoba ukuvuvukala kwama-sinuses kuncipha, ubuhlungu buzophela.

I-Sinus tarsi syndrome ebangelwa ukugoba kweqakala ivame ukuba ngcono kancane kancane njengoba ukugoba kuphola. Ngokuvamile kungathatha cishe inyanga ukuthi iqakala eligobekile liphole.

Kodwa-ke, uma i-sinusitis yakho ibangelwa ushintsho endaweni yemvelo yezinyawo zakho noma esinye isimo sempilo, kungathatha isikhathi eside ukuphulukiswa. Buza udokotela wakho noma udokotela wezinyawo ngalokhu.

Ungazivikela kanjani kulesi simo?

Kungase kungenzeki ukuzivikela ngokuphelele kwi-sinus tarsi syndrome, ikakhulukazi uma ungumsubathi. Kodwa kunezindlela zokunciphisa ingozi yakho.

Uma udlala imidlalo noma ngesikhathi sokuzilolonga:

• Gqoka izimpahla zokuphepha ezifanele (kufaka phakathi uhlobo olufanele lwezicathulo).
• Uma iqakala lakho libuhlungu ngesikhathi noma ngemva komsebenzi womzimba, ungadlali nje kuphela ubuhlungu.
• Nika amaqakala akho isikhathi sokuphumula nokululama ngemva komsebenzi onzima.
• Zifudumeze futhi welule umzimba ngaphambi kokudlala imidlalo noma ukuzivocavoca.
• Phola bese welula umzimba ngemva kokuzivocavoca umzimba.

Khumbula lezi zinto ukuze uzivikele ezingozini:

• Gcina ikhaya lakho nendawo yakho yokusebenza icocekile futhi ingenazo izinto eziningi ezididayo.
• Uma ufinyelela into ephezulu endlini , sebenzisa njalo imishini efanele (isib. iladi). Ungakhweli ezihlalweni, ematafuleni, noma emakhawunteni.
• Uma unenkinga yokuhamba noma usengozini enkulu yokuwa, sebenzisa induku noma i-walker.

Kufanele ngimbone nini udokotela?

Uma ulimele futhi ubhekene nezimpawu ze-sinusitis syndrome, bona udokotela. Uma izimpawu zakho zingathuthuki ngemva kwezinsuku ezimbalwa zokwelashwa (noma uma ziba zimbi kakhulu), tshela udokotela wakho.

Kufanele ngiye nini egumbini lezimo eziphuthumayo (ER)?

Uma unezinye zalezi zimpawu, iya ekamelweni eliphuthumayo ngokushesha:

• Ubuhlungu obukhulu kakhulu.
• Uma ukuvuvukala kuba kubi kakhulu.
• Ukushintsha kombala (isib. ukuphenduka kube luhlaza okwesibhakabhaka, ukuba mnyama).
• Uma ungakwazi nhlobo ukuhambisa unyawo noma iqakala lakho.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Ungabuza udokotela le mibuzo:

• Ingabe nginesifo se-sinus tarsi, noma ingabe nginenkinga ethile yeqakala?
• Ingabe ngikhumukile iqakala? Ingabe yilokho okubangele i-sinus tarsi syndrome?
• Ingabe kuzodingeka ngenze noma yiziphi izivivinyo?
• Yikuphi ukwelashwa okusikiselayo ukulawula ubuhlungu nokuvuvukala?
• Kufanele ngigweme isikhathi esingakanani ukwenza umsebenzi womzimba?

I-sinus tarsi yisikhala esincane eqakaleni lakho esingaba buhlungu kakhulu uma sicasukile. I-Sinus tarsi syndrome yenzeka lapho isikhala esincane phakathi kwethambo leqaka nethambo lesithende sivuvukala ngenxa yokulimala noma enye inkinga. Ukuqhekeka kweqaka kuvame ukuba yimbangela.

Umlayezo Wokuya Nawe Ekhaya

Uma unenkinga yokunyakaza eqakaleni noma usebenzisa unyawo noma iqakala lakho—ikakhulukazi uma wazi ukuthi ushelele, ugingqikile, noma uklwebhekile iqakala lakho—kubalulekile ukubona udokotela noma udokotela wezinyawo. Bangakusiza ukuthola imbangela yezimpawu zakho futhi bachaze ukuthi yini ongayenza ukusiza iqakala lakho. I-Sinus tarsi syndrome ingaba yisimo esingajabulisi kakhulu, kodwa ngokuvamile kuyinkinga yesikhashana. Uma iqakala lakho selipholile futhi ukuvuvukala kwehle, kufanele ukwazi ukubuyela emisebenzini yakho evamile. Ngakho-ke, into ebaluleke kakhulu ukungesabi futhi uthole ukwelashwa okufanele.

I- Sinus Tarsi Syndrome, Ubuhlungu beqakala, Ukuvuvukala kweqakala, Amalunga angaphansi kwe-Subtalar, Ukuqina kweqakala, Ubuhlungu bezinyawo, I-Sinus Tarsi Syndrome