Ingabe uzwa ubuhlungu ngaphakathi komlenze wakho, ikakhulukazi iqakala lakho, uma uhamba ibanga elifushane noma ukhuphuka izitebhisi? Mhlawumbe i-arch yakho ilahlekelwa ukuma kwayo kancane kancane futhi unyawo lwakho luba yisicaba? Lezi zimpawu azivamile nje. Namuhla sikhuluma ngesimo esibizwa ngokuthi i-Posterior Tibial Tendon Dysfunction esingaba yisisusa salokhu. Nakuba leli igama elingathi sína, masiliqonde kalula.
Kuyini ngempela ukungasebenzi kahle kwemisipha ye-posterior tibial (PTTD)?
Kalula nje, imisipha iyizicucu eziqinile ezixhumanisa imisipha namathambo. I-Posterior Tibial Tendon ingenye yemisipha ekhethekile. Iqala emsipheni wethole, igijime ngaphakathi kweqakala, bese inamathela ethanjeni eliphakathi nonyawo.
Umsebenzi wayo oyinhloko ukusekela umugqa wonyawo lwethu . Yilokho futhi okusisiza ukuphakamisa izinzwane zethu lapho sihamba, sigijima, noma sigxuma.
Manje, i-PTTD yilapho i-ligament eshiwo ngenhla ivuvukala noma idabuke. Uma lokhu kwenzeka, i-ligament ayisakwazi ukusekela i-curve yonyawo. Ngenxa yalokho, i-curve yonyawo iyanyamalala kancane kancane, okuholela esimweni esibizwa ngokuthi ' i-flat foot '. Lesi simo singabhekwa njengesizathu esiyinhloko esenza izinyawo zibe zi-flat kubantu abadala.
Lesi sifo sivame ukuvela ngezigaba ezine eziyinhloko.
| Isiteji | Izici kanye nencazelo |
|---|---|
| Isigaba 1 | Umsipha uyadonseka, kodwa awudabukile. Ubuhlungu uma uhamba. Kungase kube nokuvuvukala okuthile. Kodwa usengama ngomlenze owodwa ngezinzwane zakho. |
| Isigaba sesi-2 | I-tendon idabukile kancane. Ubuhlungu nokuvuvukala sekudlulele kunangaphambili. Ukuthamba kwe-sole kubonakala kahle. Kunzima noma akunakwenzeka ukuma ngomlenze owodwa eziqongweni zezinzwane. |
| Isigaba 3 | Isimo somlenze siphazamiseke kakhulu. Isithende silahlekelwa ukuguquguquka kwaso futhi umlenze uba lukhuni. |
| Isigaba 4 | Lesi yisimo esibi kakhulu. Kokubili iqakala nonyawo kukhubazekile. Lesi simo singaqhubekela ekubeni yisifo samathambo eqakaleni. |
Kungani lesi simo senzeka?
Cabanga nje uwela ngokuzumayo. Engozini enkulu efana naleyo, le ligament ingadabuka noma ivuvuke. Ngaphezu kwalokho, ukusetshenziswa ngokweqile nakho kuyimbangela enkulu. Le ngozi iphezulu kulabo abadlala imidlalo ecindezelayo njenge-tennis, ibhola likanobhutshuzwayo, i-basketball, kanye nabagijimi bamabanga amade. Lapho i-ligament idabuka noma ivuvukala, ukugoba kwephansi lonyawo kuqala ukuwohloka kancane kancane.
Ngaphezu kwalokho, kunezinye izici eziningana eziyingozi :
- Ukukhuluphala ngokweqile: Ukwanda kwesisindo somzimba kwandisa ingcindezi ezinyaweni.
- Umfutho wegazi ophezulu (i-Hypertension)
- Isifo sikashukela
- Ukusetshenziswa kwezidakamizwa ze-steroid
- Ukuhlinzwa kwangaphambilini kuleyo ndawo
- Izimo ze-arthritis ezifana ne-Reiter's syndrome
- Imisebenzi efaka amandla amaningi emilenzeni, njengokugijima ukhuphuke intaba
- Lolu hlobo lwezinwele luyancipha ngokwemvelo ngokuguga (ikakhulukazi kwabesifazane abangaphezu kweminyaka engama-40 ).
Ingabe nawe unalezi zimpawu? Izimpawu ze-PTTD
Izimpawu eziyinhloko ubuhlungu nokuvuvukala engxenyeni engaphakathi yomlenze neqakala. Lobuhlungu buba bubi kakhulu uma umi noma uhamba.
Ngaphezu kwalokho, lezi zimpawu zingase zivele:
- Igoqo lonyawo liyalahleka bese liba yisicaba.
- Ukungakwazi ukuma ngezinzwane.
- Ubunzima bokuhamba endaweni engalingani.
- Ubunzima bokukhuphuka nokwehla izitebhisi.
- Ukugqoka isicathulo ngonyawo olulodwa ngendlela ehlukile kolunye.
- Ukugoqa iqakala ngaphakathi.
- Izinyawo ezisicaba zingacindezela ingaphandle leqakala, okubangela ubuhlungu lapho.
- Unyawo nezinzwane ziqala ukuphendukela ngaphandle.
Udokotela angaqinisekisa kanjani ukuthi lokhu kuyi-PTTD?
Uma uya kudokotela, uzoqala ngokukubuza ngezimpawu zakho bese ehlola unyawo lwakho neqakala ngokucophelela. Ungathunyelwa futhi kudokotela ohlinzayo wezinyawo neqakala.
Ngokuvamile kwenziwa izivivinyo eziningana kanje:
- Ukuhlolwa Kokuphakamisa Isithende Somlenze Owodwa: Lapha, uzocelwa ukuba ume umhlane wakho ubheke odongeni, uphakamise umlenze wakho omuhle, bese uphakamisa umlenze wakho othintekile phezulu ngezinzwane. Ngokuvamile, isithende sizogoqa ngaphakathi uma wenza lokhu. Uma kungenjalo, kungaba uphawu lwe-PTTD. Esigabeni sesibili salesi sifo, ungase ungakwazi ukwenza lokhu ngisho nakanye.
- "Izimpawu zezinzwane eziningi kakhulu": Yilapho udokotela emi khona ngemuva kwakho abheke izinyawo zakho. Ngokuvamile, uma ubheka umuntu ngemuva, ubona kuphela uzwane oluncane kanye nengxenye encane yozwane ngale kwalo. Kodwa-ke, ngenxa yokuthi amathe omuntu one-PTTD ayizicaba futhi izinzwane zibheke ngaphandle, izinzwane eziningi zibonakala ngemuva kwazo.
Ngaphezu kwalezi zivivinyo, udokotela wakho angase futhi ancome izivivinyo ezifana ne -X-ray, i-MRI, i-Ultrasound, noma i-CT scan ukuqinisekisa isimo nokuhlola ubukhulu bomonakalo.
Yiziphi izindlela zokwelapha lokhu?
Into engcono kakhulu ukuyibona lesi simo kusenesikhathi . Bese kuba nethuba elikhulu lokuyelapha ngaphandle kokuhlinzwa. Udokotela wakho uzonquma ukwelashwa ngokusekelwe ebunzimeni bezimpawu zakho.
Ukwelashwa okungekona ukuhlinzwa
| Indlela yokwelapha | Kwenzekani? |
|---|---|
| Ukungasebenzi kahle | Bengilokhu ngigqoke i-cast noma ibhuzu lokuhamba elikhethekile emlenzeni wami cishe izinyanga ezimbili. Lokhu kusiza ekunciphiseni ukuvuvukala futhi kusiza ukuphola kwemisipha. |
| Ama-braces (izisekeli ezikhethekile) | Uzonikezwa i-brace yeqakala eyenzelwe wena ukuze uyigqoke ukuze isekele iqakala lakho nonyawo. |
| Imithi | Udokotela wakho angase akunike imithi yokunciphisa ubuhlungu njengemithi engeyona i-steroidal anti-inflammatory (NSAIDs) (isb. i-ibuprofen) yobuhlungu nokuvuvukala. Kodwa khumbula, ungaqhubeki nokusebenzisa noma yimuphi umuthi ngaphandle kweseluleko sikadokotela wakho. |
| Ukwelashwa ngokomzimba | Ukuzivocavoca nokuphumula okwanele kunikezwa ukuze kuqiniswe imisipha nemisipha ezungeze indawo ethintekile. |
| Ama-Orthotics | Lezi yizinto zokwelapha ezinconywa odokotela. Izinto ezifana nama-insoles akhethekile (izicathulo zezicathulo) ezifakwa ngaphakathi kwezicathulo. Lezi zinikeza ukusekelwa kokugoba kwe-sole kanye ne-arch yonyawo. |
Ukuhlinzwa
Uma ubuhlungu bungathuthuki ngemva kwezinyanga ezingaba yi-6 zokwelashwa okungadingi ukuhlinzwa, udokotela wakho angase acabangele ukuhlinzwa. Ukuhlinzwa okufanele kakhulu kuzoncika endaweni yobuhlungu kanye nobukhulu bomonakalo we-ligament. Ezinye zalezi zifo zifaka:
- I-Tenosynovectomy: Ukususwa nokuhlanzwa kwezicubu ezivuvukele ezizungeze i-tendon.
- I-Osteotomy: Ukushintsha ithambo lesithende.
- Ukudluliselwa kwemisipha: Ukuthatha ingxenye yemisipha enempilo kwenye ingxenye yomzimba bese uyifakela kumisipha eyonakele.
- I-Arthrodesis: Ukuhlanganiswa kwamathambo amabili noma ngaphezulu ukuze kumiswe ukunyakaza kwelungu elithintekile.
Kuzothatha isikhathi esingakanani ukuphulukiswa?
I-PTTD iyisimo esibuhlungu. Kungathatha izinyanga eziningana ukuthi ilulame ngokuphelele. Phakathi nalesi sikhathi sokuphulukiswa, kuzodingeka wenze izinguquko endleleni yakho yansuku zonke futhi uqaphele kakhulu ngaphambi kokuba ubuyele empilweni yakho evamile. Kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo.
Umlayezo Wokuya Nawe Ekhaya
- Ubuhlungu ngaphakathi komlenze, eduze kweqakala, kanye nezinyawo ezisicaba yizimpawu eziyinhloko ze-PTTD. Lokhu akufanele neze kunganakwa.
- Uma unalezi zimpawu, bona udokotela ngokushesha . Uma zitholakale kusenesikhathi, zingelapheka ngaphandle kokuhlinzwa.
- Le ngozi iphezulu kubantu abanezimo ezifana nesifo sikashukela, umfutho wegazi ophakeme, kanye nokukhuluphala ngokweqile. Ngakho-ke, kubalulekile ukulawula lezi zifo futhi.
- Landela ukwelashwa (ukuphumula, ukuvivinya umzimba, imithi) okunqunywe udokotela wakho ngqo. Gwema ukuthatha imithi ngokwakho.
- Yiba nesineke ngesikhathi senqubo yokuphulukiswa. Kubaluleke kakhulu ukunikeza umzimba wakho isikhathi osidingayo ukuze ululame.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 🦵 Iyini le 'Tibia' bone? Likuphi?
I-tibia yithambo eliyinhloko elingaphambili komlenze wethu, ngaphansi kwedolo. NgesiSinhala, silibiza nangokuthi ithambo lomlenze. Ngaphakathi kwaleli thambo, kune-tendon enkulu (i-Posterior Tibial Tendon) eyehlayo, okusiza ukugcina unyawo lwethu luqondile.
💬 🦶 Kungani ngiba nobuhlungu kusukela ethanjeni lami lomlenze (ithambo le-tibia) kuze kufike emathangeni ami?
Lokhu kuvame ukubangelwa inkinga nge-Posterior Tibial Tendon (PTTD). Le tendon itholakala ngaphakathi kwethambo le-tibia. Uma le tendon ibuthakathaka noma ilimele, i-arche yonyawo ingalahleka futhi unyawo lungaba yisicaba. Yingakho uzwa ubuhlungu obuvela ethanjeni lomlenze kuze kufike ematheni onyawo.
💬 👟 Yini engenziwa ngobuhlungu obuvela ethanjeni le-tibia kanye nezinyawo ezisicaba?
Okokuqala, ungaphumuza umlenze bese ufaka iqhwa. Ezimweni eziningi, kuzodingeka usebenzise izicathulo ezikhethekile (ama-orthotic) ukusekela umugqa wonyawo. Uma ubuhlungu buqhubeka, kufanele nakanjani ubone udokotela ukuze anqume ukuthi ngabe kuyisimo se-PTTD.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho