Ukungasebenzi kakuhle kwangemva kweTibial Tendon (ukungasebenzi kakuhle kwemithambo)

Umxholo

• Yintoni ukungasebenzi kakuhle kwetibial tendon dysfunction?
• Zintoni izizathu kunye nemingcipheko ye-PTTD?
• Zithini iimpawu ze-PTTD?
• Ichongwa njani i-PTTD?
• Luthini unyango lwe-PTTD?
• Ukunciphisa ukudumba kunye neentlungu
• Inkxaso yonyawo
• Ugqirha

Sibandakanya iimveliso esicinga ukuba ziluncedo kubafundi bethu. Ukuba uthenga amakhonkco kweli phepha, sinokufumana ikhomishini encinci. Nantsi inkqubo yethu.

Yintoni ukungasebenzi kakuhle kwetibial tendon dysfunction?

I-posterior tibial tendon dysfunction (PTTD) yimeko ekhokelela kukudumba okanye ukukrazula ithenda yasemva kwexesha. I-tendon yangemva kwe-tibial idibanisa esinye sezihlunu zethole kumathambo abekwe kunyawo lwangaphakathi.

Ngenxa yoko, i-PTTD ibangela i-flatfoot kuba i-tendon ayikwazi ukuxhasa i-arch yonyawo. Ngokwe-American Academy of Orthopedic Surgeons, i-flatfoot kuxa i-arch yonyawo iwe kwaye unyawo lukhomba ngaphandle.

I-PTTD ikwabizwa ngokuba ngumntu omdala ofumene i-flatfoot. Oogqirha banakho ukunyanga le meko ngaphandle kotyando, kodwa ngamanye amaxesha utyando luyimfuneko ukulungisa ithenda.

Zintoni izizathu kunye nemingcipheko ye-PTTD?

Ithenda yasemva kwexesha ye-tibial inokwenzakala ngenxa yesiphumo, njengokuwa okanye ukunxibelelana ngelixa udlala imidlalo. Ukusetyenziswa gwenxa kwethenda ngokuhamba kwexesha kunokubangela nokwenzakala. Imisebenzi eqhelekileyo ebangela ukwenzakala okugwenxa kubandakanya:

• ukuhamba
• ukubaleka
• ukunyuka intaba
• ukunyuka kwezinyuko
• ezemidlalo ezinefuthe eliphezulu

I-PTTD kunokwenzeka ukuba yenzeke kwi:

• abantu ababhinqileyo
• abantu abangaphezu kweminyaka engama-40
• abantu abatyebe kakhulu okanye batyebe kakhulu
• abantu abanesifo seswekile
• abantu abanexinzelelo lwegazi

Zithini iimpawu ze-PTTD?

I-PTTD ihlala yenzeka kuphela ngonyawo olunye, nangona kwezinye iimeko inokubakho ezinyaweni zombini. Iimpawu ze-PTTD zibandakanya:

• iintlungu, zihlala zijikeleze ngaphakathi kweenyawo kunye neqatha
• ukudumba, ukufudumala, kunye nobomvu ngaphakathi kunyawo kunye neqatha
• iintlungu eziba mandundu ngexesha lomsebenzi
• Ukutyibilika konyawo
• Ukuqengqeleka kwangaphakathi kweqatha
• ukujika kweenzwane neenyawo

Njengoko i-PTTD iqhubeka, indawo yeentlungu inokutshintsha. Kungenxa yokuba unyawo lwakho ekugqibeleni lubhabha kwaye isithende samathambo sitshintsha.

Ubuhlungu ngoku buza kuvalelwa ngaphandle kweqatha lakho kunye nonyawo. Utshintsho kwi-posterior tibial tendon inokubangela isifo samathambo elunyaweni naseqatheni.

Ichongwa njani i-PTTD?

Ugqirha wakho uya kuqala ngokuvavanya unyawo lwakho. Banokujonga ukudumba ecaleni kwetonial yangemva kwetibial tendon. Ugqirha wakho uya kuvavanya kwakhona uluhlu lwakho lokuhamba ngokuhambisa unyawo lwakho kwicala ukuya phezulu nasezantsi. I-PTTD inokubangela iingxaki kuluhlu lwecala lokuhamba, kunye nemicimbi yokuhambisa iinzwane kwi-shinbone.

Ugqirha wakho uya kujonga kwakhona ukuma konyawo lwakho. Baza kujonga i-arch edilikileyo kunye nesithende esigudukele ngaphandle. Ugqirha wakho unokujonga ukuba zingaphi iinzwane abanokuzibona ngasemva kwesithende sakho xa umile.

Ngokwesiqhelo, kuphela ubhontsi wesihlanu kunye nesiqingatha senzwane yesine ebonakalayo kule engile. Kwi-PTTD, banokubona ngaphezulu kweenzwane zesine nezesihlanu. Ngamanye amaxesha nazo zonke iinzwane ziyabonakala.

Kusenokufuneka ume emlenzeni okukuhluphayo kwaye uzame ukuma kwizithupha zakho. Ngokwesiqhelo, umntu one-PTTD akazukukwazi ukwenza oku.

Uninzi loogqirha banokuchonga iingxaki zetonial posterior tibial tendon ngokuvavanya unyawo, kodwa ugqirha wakho unokuyalela iimvavanyo zokucinga ukuze aqinisekise ukuxilongwa kunye nokulawula ezinye iimeko.

Ugqirha wakho angayalela i-X-ray okanye i-CT scans ukuba bacinga ukuba une-arthritis elunyaweni okanye emaqatheni. I-MRI kunye ne-ultrasound scans inokuqinisekisa i-PTTD.

Luthini unyango lwe-PTTD?

Uninzi lwamatyala e-PTTD ayanyangeka ngaphandle kotyando.

Ukunciphisa ukudumba kunye neentlungu

Unyango lokuqala luyanceda ukunciphisa iintlungu kunye nokudumba kwaye luvumela ithoni yakho isithende. Ukufaka isicelo somkhenkce kwindawo ebuhlungu kunye nokuthatha amayeza angasebenziyo (anti-inflammatory) (NSAIDs) anokunceda ukunciphisa ukudumba kunye nentlungu.

Ugqirha wakho uya kukucebisa ukuba uphumle kwaye uphephe imisebenzi ebangela iintlungu, ezinje ngokusebenza kunye neminye imisebenzi enefuthe eliphezulu.

Inkxaso yonyawo

Kuxhomekeke kubukrakra be-PTTD yakho, ugqirha wakho unokucebisa ngolunye uhlobo lwenkxaso yonyawo lwakho kunye neqatha. I-brace ankle inokukunceda ukuthatha uxinzelelo kwi-tendon kwaye uyivumele ukuba iphilise ngokukhawuleza. Oku kuluncedo kwi-PTTD emnene ukuya kumodareyitha okanye i-PTTD eyenzeka nge-arthritis.

Thenga i-ankle brace.

I-orthotic yesiqhelo inceda ukuxhasa unyawo kwaye ibuyisele indawo eqhelekileyo yonyawo. I-Orthotic iluncedo kwi-PTTD ethambileyo.

Ivenkile yeethambo.

Ukuba ukwenzakala kwitonial yangasemva ye-tibial tendon inzima, unyawo lwakho kunye neqatha linokufuna ukuba ungasebenzi usebenzisa i-boot yokuhamba emfutshane. Abantu bahlala benxiba oku iiveki ezintandathu ukuya kwezisibhozo. Ivumela ithenda ukuba ifumane ukuphumla ngamanye amaxesha okuyimfuneko ekuphiliseni.

Nangona kunjalo, oku kunokubangela ukuba i-atrophy yemisipha okanye buthathaka izihlunu, ke oogqirha bayayincoma kuphela kwiimeko ezinzima.

Ugqirha

Utyando lunokuba yimfuneko ukuba i-PTTD inzima kwaye olunye unyango aluphumelelanga. Kukho iindlela ezahlukeneyo zotyando, kuxhomekeka kwiimpawu zakho kunye nobungakanani bokwenzakala kwakho.

Ukuba unenkathazo yokuhambisa i-ankle yakho, inkqubo yokuhlinzwa eyanceda ukwandisa umhlathana wethole kunokuba yinto onokukhetha kuyo. Olunye ukhetho lubandakanya utyando olususa iindawo ezonakalisiweyo kwithenda okanye endaweni yethoni yethimbhu yangemva kunye nenye ithenda evela emzimbeni.

Kwiimeko ezibi kakhulu ze-PTTD, utyando olusika kwaye lushukumise amathambo abizwa ngokuba yi-osteotomy okanye utyando oludibanisa amalungu ngokudibeneyo kunokuba yimfuneko ukulungisa i-flatfoot.