Isifo seTarsal tunnel syndrome

I-Tarsal tunnel syndrome yimeko apho uxinzelelo lwe-tibial luxinzelelo. Le yimithambo-luvo emaqatheni evumela imvakalelo kunye nentshukumo kwiindawo zonyawo. I-Tarsal tunnel syndrome inokukhokelela kubuchwephesha, ukurhawuzelela, ubuthathaka, okanye ukonakala kwemisipha ikakhulu emazantsi onyawo.

I-Tarsal tunnel syndrome luhlobo olungaqhelekanga lwe-peripheral neuropathy. Kwenzeka xa kukho umonakalo kwi-nerve ye-tibial.

Indawo elunyaweni apho inzwa ingena ngasemva kweqatha ibizwa ngokuba yi-tarsal tunnel. Eli tonela lidla ngokuxinana. Xa i-tibial nerve icinezelwe, ikhokelela kwiimpawu ze-tarsal tunnel syndrome.

Uxinzelelo kwi-tibial nerve lunokubangelwa yiyo nayiphi na kwezi zinto zilandelayo:

• Ukuvuvukala ngenxa yokulimala, njenge-ankle edibeneyo okanye i-tendon esondeleyo
• Ukukhula okungaqhelekanga, njengokuqaqanjelwa kwethambo, iqhuma kwilungu (i-ganglion cyst), ukudumba (varicose) vein
• Iinyawo ezicaba okanye i-arch ephezulu
• Izifo zomzimba ngokubanzi (zesystem), ezinje ngeswekile, ukusebenza kwe-thyroid ephantsi, isifo samathambo

Ngamanye amaxesha, akukho sizathu sinokufunyanwa.

Iimpawu zinokubandakanya nayiphi na kwezi zinto zilandelayo:

• Ukutshintsha kwemizwa emazantsi onyawo neenzwane, kubandakanya ukutsha, ubundindisholo, ukurhawuzelela, okanye olunye uvakalelo olungaqhelekanga.
• Intlungu emazantsi onyawo neenzwane
• Ubuthathaka bemisipha yeenyawo
• Ubuthathaka bezinzwane okanye amaqatha

Kwiimeko ezinzima, izihlunu zonyawo zibuthathaka kakhulu, kwaye unyawo lunokukhubazeka.

Umboneleli wakho wezempilo uya kuvavanya unyawo lwakho kwaye abuze malunga neempawu zakho.

Ngexesha loviwo, umboneleli wakho unokufumana ukuba unayo le miqondiso ilandelayo:

• Ukungakwazi ukugoba iinzwane, tyhala unyawo ezantsi, okanye ukujija i-ankle ngaphakathi
• Ubuthathaka emaqatheni, elunyaweni, okanye kwiinzwane

Uvavanyo olunokwenziwa lunokubandakanya:

• EMG (ukurekhodwa kwemisebenzi yombane kwimisipha)
• I-biopsy yamathambo
• Uvavanyo lokuqhutywa kwemithambo (ukurekhodwa kwemisebenzi yombane ecaleni kwentliziyo)

Olunye uvavanyo olunoku-odolwa lubandakanya uvavanyo lwegazi kunye novavanyo lwe-imaging, njenge-x-ray, i-ultrasound, okanye iMRI.

Unyango luxhomekeke kwisizathu seempawu.

• Umboneleli wakho uya kuphakamisa ukuphumla kokuqala, ukubeka iqhwa kwiqatha, kunye nokuphepha imisebenzi ebangela iimpawu.
• Amayeza eentlungu ezingaphezulu kwekhawuntari, ezinje ngee-NSAID, anokunceda ekuthomalaliseni iintlungu kunye nokudumba.
• Ukuba iimpawu zibangelwa yingxaki yeenyawo ezinje ngeenyawo ezisicaba, ii-orthotic zesiko okanye izihlangu zezilima ezidityaniswe ngentsinjana / ngeplangana kunokumiselwa.
• Unyango lomzimba lunokunceda ukomeleza imisipha yeenyawo kunye nokuphucula ukuguquguquka.
• Inaliti yeSteroid kwiqatha inokufuneka.
• Utyando lokwandisa i-tarsal tunnel okanye ukudlulisa i-nerve kunokunceda ukunciphisa uxinzelelo kwi-tibial nerve.

Ukuchacha ngokupheleleyo kunokwenzeka ukuba unobangela we-tarsal tunnel syndrome ufunyenwe kwaye wanyangwa ngempumelelo. Abanye abantu banokuphulukana nenxalenye okanye ngokupheleleyo ukulahleka kwentshukumo okanye imvakalelo. Iintlungu zemithambo-luvo zinokungonwabi kwaye zihlala ixesha elide.

Ukunganyangwa, i-tarsal tunnel syndrome inokukhokelela koku kulandelayo:

• Ukukhubazeka konyawo (kubunzulu ukuya kubukhali)
• Ukuphulukana nentshukumo kwiinzwane (ngokuyinxenye okanye ngokugqibeleleyo)
• Ukwenzakala okuphindiweyo okanye okungabonwanga emlenzeni
• Ukulahleka kwemvakalelo kwiinzwane okanye ezinyaweni (ngokuyinxalenye okanye ngokugqibeleleyo)

Tsalela umnxeba umboneleli wakho ukuba uneempawu zetarsal tunnel syndrome. Ukuchongwa kwangoko kunye nonyango kunyusa amathuba okuba zilawulwe.

Ukungasebenzi kwemithambo-luvo; I-posterior tibial neuralgia; I-Neuropathy - i-posterior tibial nerve; I-peripheral neuropathy - i-tibial nerve; Ukufakwa kwithambo le-Tibial

• Iimbilini zeTibial

Katirji B.Ukuphazamiseka kwemithambo yoluvo. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ii-eds. I-Neurology kaBradley kwiKlinikhi yokuziqhelanisa. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2016: isahluko 107.

Ndineentloni MNA. Imida ye-neuropathies. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Umhla wama-25. IPhiladelphia, PA: Elsevier Saunders; Ngo-2016: isahluko 420.