Ingabe uzwa ubuhlungu onyaweni lwakho? Kungaba yi-Tarsal Coalition!

Ingabe wena noma ingane yakho nizwa ubuhlungu obuvamile ezinyaweni zenu, ikakhulukazi endaweni yamaqakala? Ingabe kuzwakala kungavamile futhi kungakhululekile uma uhamba? Mhlawumbe kubaluleke kakhulu ukuthi uqaphele lesi simo esibizwa ngokuthi "i-tarsal coalition" esizokhuluma ngaso namuhla. Ungakhathazeki, lokhu akuvamile kakhulu, kodwa kuhle ukuqaphela lokhu.

Iyini le Tarsal Coalition? Masiyiqonde kalula.

Kulungile, ake siqale sibheke ukuthi la mathambo "e-tarsal" ayini. Amathambo e-tarsal ayiqembu lamathambo atholakala ngemuva konyawo lwakho, endaweni lapho isithende sakho sihlangana khona neqakala lakho. Afana namatshe amancane ahlanganiswe ndawonye. La mathambo axhumene futhi asebenza ndawonye ukusiza izinyawo zethu zisebenze kahle, ukuhamba, ukugijima, nokugxuma.

Manje, kuyini "ubumbano"? Kalula nje, ubumbano lwe-tarsal luba lapho amathambo amabili noma ngaphezulu e-tarsal ehlangana ngendlela engavamile, enamathelana. Cabanga ngakho, ngokuvamile kufanele kube namalunga amancane phakathi kwala mathambo, ukuze akwazi ukuhamba ngokukhululeka. Kodwa kulokhu, ithambo elisha, i-cartilage, noma izicubu ezine-fibrous zikhula phakathi kwalawo mathambo, zixhumanisa amathambo amabili ndawonye. Kunjengokungathi kwakhiwa ibhuloho.

Ingabe lokhu kuyizakhi zofuzo? Noma ingabe kunezinye izizathu?

Esikhathini esiningi, lesi simo esibizwa ngokuthi i-tarsal coalition sibangelwa izici zofuzo**. Okusho ukuthi, singabangelwa ukungalingani okuncane ekukhuleni kwamathambo emilenze ngenkathi umntwana esesesibelethweni. Lokho kusho ukuthi singaba yifa.

Kodwa, akudingeki ukuthi kube njalo ngenxa yofuzo. Ngezinye izikhathi,

• Ngenxa yokutheleleka ,
• Ngenxa yokulimala okukhulu emlenzeni,
• Ukuhlangana kwe-tarsal nakho kungenzeka lapho umuntu esekhulile ngenxa yesimo sezokwelapha esifana ne -arthritis .

Ubani othinteka kakhulu yilesi simo?

Ukuhlangana kwe-tarsal kuvame ukubonakala ezinganeni nakubantu abadala abasebasha . Izimpawu zivame ukuqala ukuvela phakathi kweminyaka engu-9 nengu-16, njengoba amathambo ahlangene ngendlela engavamile eba makhulu, aqine, futhi abe buhlungu kakhulu.

Kodwa-ke, abanye abantu abadala bangase babe nalesi simo okokuqala, noma kungenzeka ukuthi besikhona kusukela ebuntwaneni futhi singabonisi izimpawu, kodwa singase sivele kamuva.

Kuthiwa kuvame kakhulu kangangokuthi kuthinta phakathi kuka-1% no-6% wabantu. Lokho akusho ukuthi kuvame kangako. Kodwa-ke, cishe ingxenye yabantu abanalesi simo ingaba nale nkinga ezinyaweni zombili (i-bilateral tarsal coalition).

Yimiphi imiphumela eba khona emzimbeni we-Tarsal Coalition? Ziyini izimpawu?

Akuwona wonke umuntu one-tarsal coalition onezimpawu. Abanye abantu bangaphila impilo yabo yonke ngaphandle kobuhlungu noma ukungakhululeki. Ngakho-ke ngezinye izikhathi abantu abazi nokuthi banayo.

Kodwa-ke, kulabo ababhekana nezimpawu, zingasukela ebuhlungwini obuncane, obuhlala bukhona kuya ebuhlungwini obukhulu obunzima kangangokuthi awukwazi ukuhamba . Izimpawu eziyinhloko ezingabonakala yilezi:

• Ubuhlungu noma ukuqina ngaphansi kweqakala, phakathi komlenze, noma ngemuva komlenze . Njengokungathi umlenze ubambekile.
• Izinyawo ezisicaba zenza kube nzima ukuhamba. Lokhu kwandisa nengozi yokukhubeka kweqakala.
• Ubuhlungu bungase bukhule lapho uzivocavoca, ugijima, noma ugxumagxuma. Bungase buphele ngemva kokuphumula isikhashana, bese bubuya uma usuqala ukusebenza futhi.
• Ngezinye izikhathi, lezi zimpawu zivela ngokuzumayo ngemva kokulimala okuncane emlenzeni .

Isikhathi lapho lezi zimpawu zivela khona siyahlukahluka kuye ngomuntu nomuntu. Kwabanye abantu, ubuhlungu buqala besebancane, cishe beneminyaka eyi-10-15 ubudala. Kwabanye, lezi zimpawu zivela kuphela ngemva kokuba sebekhulile.

Ingabe kukhona izinhlobo zobumbano lwe-tarsal?

Yebo, kunezinhlobo ezahlukene zalokhu. Okusho ukuthi, izinhlobo ziyahlukahluka kuye ngokuthi ithambo elingavamile lihlangana kuphi. Ezivame kakhulu yilezi:

• Kukhiwa ukuxhumana phakathi kwethambo eliyinhloko eqakaleni lakho (ithambo le-talus) kanye nethambo lesithende (ithambo le-calcaneus) .
• Noma, kwakheka ukuxhumana phakathi kwethambo lesithende (ithambo le-calcaneus) kanye nethambo le-navicular eliphambi kwalo .

Lezi yizinhlobo ezivame ukubonakala. Ngaphezu kwalokho, kunezinye izinhlobo ezingabonakali kakhulu.

Udokotela ukuxilonga kanjani lokhu? (Ukuxilongwa)

Uma uzwa ubuhlungu emlenzeni, into yokuqala udokotela angayenza ukuhlola umlenze wakho neqakala ngokucophelela. Bazokubuza imibuzo mayelana nokuthi ubuhlungu kuphi, bubuhlungu kanjani, nokuthi bubuhlungu nini.

Bese, ukuze baqinisekise ukuxilongwa, bazo-oda izivivinyo eziningana ezikhethekile zesithombe . Lezi yizi:

• Ama-X-ray: Lokhu kungakunikeza umbono oqondile ngamathambo emlenzeni wakho. Ngezinye izikhathi lokhu kuxhumana okungavamile kungabonakala ngokucacile ku-X-ray.
• I-CT scan (i-computed tomography scans): Lokhu kunikeza isithombe esinemininingwane eminingi kune-X-ray. I-CT scan ivame ukusetshenziselwa ukuxilonga i-tarsal coalition. Ingabonisa ubudlelwano phakathi kwamathambo ngokucacile.
• I-MRI (Umfanekiso Wokuqagela Okune-Magnetic): Nakuba ama-X-ray nama-CT scan ekhombisa kakhulu ithambo, i-MRI inganikeza isithombe esihle sezicubu ezithambile ezizungeze ithambo. Ngezinye izikhathi lokhu kuhlolwa kungadingeka futhi.

Khumbula, udokotela nguye onquma ukuthi yikuphi ukuhlolwa okudingayo.

Yiziphi izindlela zokwelapha lokhu?

Into engcono kakhulu ukuthi i-tarsal coalition idinga ukwelashwa kuphela uma ibangela izimpawu . Uma kungekho ubuhlungu noma ukungakhululeki, ukwelashwa ngokuvamile akudingeki.

Uma kunezimpawu, kunganconywa ukwelashwa okungadingi ukuhlinzwa noma ukuhlinzwa, kuye ngokuthi isimo sibucayi kangakanani.

Ukwelashwa okungekona ukuhlinzwa

Isinyathelo sokuqala ukuzama ukulawula lobu buhlungu ngaphandle kokuhlinzwa.

• Ukuphumula: Ukumisa okwesikhashana imisebenzi eyandisa ubuhlungu (njengokugijima, ukugxuma) kunganciphisa ingcindezi emathanjeni futhi kunciphise ubuhlungu. Ngokuvamile, uzotshelwa ukuthi uphumule cishe amasonto amathathu kuya kwayisithupha.
• Imijovo: Ngezinye izikhathi imijovo ye-steroid inganikezwa ukunciphisa ubuhlungu. Le mijovo ifakwa ngqo esilungwini esibuhlungu.
• Ama-Orthotics: Izisekelo zezicathulo kanye nezisekelo zama-arch zingasiza ekuqiniseni izinyawo zakho futhi zinciphise ubuhlungu. Lokhu kwenzelwe ngokwezifiso ukuze kulingane nezinyawo zakho.
• Ukumiswa kwebhuthi noma i-cast: I-boot yesikhashana noma i-plaster ye-Paris (POP) cast ingasetshenziswa ukuvimbela umlenze nokunciphisa ingcindezi eyengeziwe emathanjeni e-tarsal.
• Ukwehlisa isisindo: Uma ubuhlungu bakho bukhula njengoba isisindo somzimba wakho sikhula, khuluma nodokotela bese usungula uhlelo lokunciphisa isisindo olukusebenzelayo.

Ukwelashwa ngokuhlinzwa

Uma ukwelashwa okungewona ukuhlinzwa kwehluleka ukulawula ubuhlungu, noma uma isimo sibi kakhulu, udokotela angase atuse ukuhlinzwa.

• Ukuhlinzwa kabusha: Lokhu kuyindlela yokuhlinzwa evame kakhulu yokuhlanganisa i-tarsal. Kuhilela ukususa ithambo elihlangene ngendlela engajwayelekile (i-coalition) bese ulifaka esikhundleni salo izicubu noma imisipha ethathwe kwenye ingxenye yomzimba wakho. Abantu abaningi bangaphinde basebenze kahle emlenzeni wabo ngemva kwalokhu kuhlinzwa.
• Ukuhlanganiswa: Uma isimo sibi kakhulu, noma uma ilunga lonakele ngenxa yezinto ezifana ne-arthritis, ukuhlinzwa okubizwa ngokuthi i-fusion kungenziwa. Lokhu kuhilela ukuxhumanisa amathambo athintekile unomphela, kuncishiswe ukunyakaza. Lokhu kungafaka ukusebenzisa izikulufo, ama-staple, noma amapuleti ensimbi . Lokhu kusiza ukugcina amathambo esesimweni esingcono futhi kunciphisa ubuhlungu.

Kwenzekani uma ingelashwa?

Kwabanye abantu, ubuhlungu nokungakhululeki kungaba nzima kakhulu kangangokuthi kungabavimbela ekwenzeni imisebenzi abayithandayo (njengokudlala noma ukuhamba). Uma ingelashwa, ngokuhamba kwesikhathi, unyawo lungaba luqinile futhi kube nzima ukuhamba.Ngakho-ke, uma unezimpawu, kungcono ukubona udokotela.

Ingabe izinkinga zingaba khona ngemva kokuhlinzwa?

Njenganoma yikuphi ukuhlinzwa, kunezingozi ezihilelekile. Ezinye zezinkinga ezingase zenzeke ngemva kokuhlinzwa kwe-tarsal coalition zifaka:

• Ukutheleleka
• I-Hematoma (igazi eliqhekekile)
• Ukuphola okubi kwenxeba
• Ukuphulukiswa kahle kwamathambo
• Ukulimala kwemizwa
• Ukuqhekeka kwegazi emithanjeni yegazi
• Ukushintsha kwesimo sezinzwane (izinzwane ezithambile noma izinzwane ze-hammer)
• Ukuqina noma ubuthakathaka ezinzwaneni zakho

Kodwa ungakhathazeki, odokotela benza konke okusemandleni abo ukunciphisa lezi zingozi.

Izinto okufanele uzikhumbule uma uhlala ne-Tarsal Coalition

Uma unalesi simo, lapho kuqala izimpawu, yeka noma yimuphi umsebenzi ongase ubangele lezi zimpawu. Isikhathi esiningi, ukuphumula kwanele. Kodwa uma ubuhlungu buqhubeka, bona udokotela. Angase akuncomele imijovo noma ama-orthotics ukusiza ukulawula ukungakhululeki kwakho.

Kuthatha isikhathi esingakanani ukululama ngemva kokuhlinzwa?

Isikhathi sokululama siyahlukahluka kuye ngomuntu nomuntu. Ngokuvamile, kuthatha izinyanga ezingu-6 kuya kwezingu-12 ukululama ngokuphelele ekuhlinzweni kwe-tarsal coalition. Kodwa-ke, lesi sikhathi singase sibe side kuye ngobudala bakho, ubukhali besimo, nokuthi unezinye izimo, njenge-arthritis. Indlela engcono kakhulu yokululama ngokushesha ukulandela imiyalelo kadokotela wakho ngqo.

Ingabe ikhona indlela yokuvimbela lokhu?

Ukuhlangana kwe-tarsal kuvame ukuba nofuzo, ngakho-ke akunakuvinjelwa ngokuphelele . Kodwa-ke, uma kuvela izimpawu, zingaphathwa kahle. Ukuxilongwa kusenesikhathi kanye nokwelashwa okufanele kungasiza ekuvimbeleni isimo ukuba singabi sibi kakhulu.

Yini okufanele siyilindele uma kukhona ubumbano lwe-tarsal?

Nakuba abantu abaningi benalesi simo, izimpawu zivela ebuntwaneni noma ebusheni. Abanye abantu bangase bangabi nazo izimpawu. Ngakho-ke, akubona bonke abanalesi simo abafanayo.

Ngingadlala imidlalo?

Ukudlala imidlalo kungaba yinselele kancane kubantu abane-tarsal coalition. Kodwa-ke, akunakwenzeka ukudlala imidlalo . Uma udokotela eseqinisekisile ukuthi unalesi simo, buza udokotela wakho ukuthi yimiphi imidlalo ongayenza nengayenzi, nokuthi yimiphi imikhawulo okufanele ube nayo. Ungase ukwazi ukwenza imidlalo engenamthelela omkhulu (njengokubhukuda).

Into ebaluleke kakhulu okufanele uyisho

Ubuhlungu obubangelwa ukuhlangana kwe-tarsal bungacasula kakhulu, ngezinye izikhathi kuze kufike ezingeni lapho bungathinta khona imisebenzi yakho yansuku zonke. Ngezinye izikhathi kuthatha isikhathi ukububona. Kodwa, ngenhlanhla, kunezindlela ezinhle zokububona nokubuphatha. Lokhu kwelashwa kungasiza ekulawuleni izimpawu zakho futhi kuthuthukise ikhwalithi yokuphila kwakho.

Uma wena noma ingane yakho ninobuhlungu obungapheli noma ukuqina kwemilenze yayo, ningakushayi indiva, bonana nodokotela ngokushesha ukuze uthole iseluleko. Ngemuva kwalokho, kungakhiwa uhlelo lokwelapha olufanele wena. Ungakhathazeki, ngeseluleko esifanele sezokwelapha, lesi simo singaphathwa kahle!

Ukushayisana Kwe - Tarsal, Ubuhlungu Bezinyawo, Ubuhlungu Beqakala, Izinyawo Ezisicaba, Izifo Zezinyawo Zezingane, Ukuxhumana Kwamathambo, Ukuhlinzwa