Ukunyanzeliswa Kwemisipha Kubangela Isithende, Iinyawo okanye i-Ankle Pain
Sibanzi
I-tarsal tunnel yindawo enyantwini phakathi kwamathambo kunye neengxube ze-fibrous tissue. Ngaphakathi komtya we-tarsal unomdla obizwa ngokuba yi-posterior tibial nerve, kunye neetriyiti, imivini kunye neeton. I-tarsal tunnel ibhalwa ngapha nangamathambo agxilile, kwaye kwelinye ngeengxube ezinzima ze-flexor retinaculum ligament. Le ngxowa inendawo enqongophe, kwaye iindawo ezinzima aziguquguquki ukuvumela ngaphezulu.
I-Tarsal tunnel syndrome ifumaneka xa i- posterior tibial nerve ixinyiwe kwi-tunnel ye-tarsal. Le meko ifana kakhulu, ngendlela, kwi- carpal tunnel syndrome kwisikristsi. Zomibini zezi ziphumo xa i-neriti ikhonkxwe ngaphakathi kwendawo efihliweyo. Ikhonkco le-tarsal, njengoko kukhankanywe ngaphambili, linalo igumbi elincinane lokunika. Xa isikhala siqina, i-nervous tibial pinched.
Iimpawu
Xa i-nervous tibial post ixinyiwe kwi-tunnel ye-tarsal, izigulane zihlala zikhalaza ngenxa yokugubungela phantsi kweenyawo, kunye nezikhalazo zentlungu, ukutshisa kunye nokubetha phezu kweenyawo kunye nesithende. Abanye abantu bayakhalaza ngeentlungu zokudubula. Intlungu ingaba kwindawo enye, okanye inokwenzeka ngaphezu kwendawo enkulu inyawo, i-ankle kunye nethole. Ngamanye amaxesha, i-tarsal tunnel syndrome ididekile kunye ne- plantar fasciitis okanye i- heel spurs .
Isizathu
Isizathu se-tarsal syndrome siyaziwa ngamaxesha amaninzi, kodwa sinokubangelwa yimiphunga, i-arthritic bone spurs, izigulane kunye nezinye izilonda ezinobunzima , ukuxubusha kwe-muscle, okanye ukunyuka kweenyawo. Ukuba uwele phantsi kunye nesithende sakho siphume ngaphandle, kubangele ubunzima kwindawo yendawo yokudonsa.
Ukuba unokuvuvukala okanye ukuvuvukala e-ankleni ukusuka kwintloko ye-ankle, isifo sikashukela okanye i-arthritis, kunokunciphisa umgca. I-varicose vein okanye ithethon evulekileyo isenokubangela nokuba.
Ukuxilongwa
Ngenxa yeempawu zesifo se-tarsal syndrome, ezininzi izigulane zichaza imbali efanayo yempawu. Nangona kunjalo, njengoko kushiwo ngaphambili, ukuxilongwa kwe-tarsal tunnel syndrome kunokudideka.
Ukubetha kwimbilini njengoko idlula kwi-tarsal tunnel, okubizwa ngokuba yi "Test Tile," kunokudala iimpawu kwaye zibonise i-tarsal tunnel syndrome njengobangela wengxaki. Ucwaningo lwe-Electrodiagnostic olufumanisa ukuba i-pulse kagesi eqhuba ngentsholongwane inokunceda njani ukuxilongwa ukuba kukho nasiphi isizathu sokudideka.
Unyango
Unyango luqala ngamachiza anxamnye nokutshaya , kwaye mhlawumbi ijokelelo le-cortisone kwindawo ejikeleze imbilini. I-Orthotics kunye noshintsho kwizambatho zinokukunceda ekunciphiseni iimpawu.
Ukuba akukho nanye yale nyathelo inceda, ke inqubo ebizwa ngokuba yi-tarsal tunnel release mayingadingekile. Le nkqubo yonyango eyenziwa kwigumbi lokusebenza, kwaye ihlala malunga nemizuzu engama-30 ukuya kwe-45. Xa kukhululwa i-tarsal tunnel, kukholwa ukuvula i-tarsal tunnel kunye nokunciphisa uxinzelelo kwi-posterior tibial nerve. Olu hlobo lonyango lufana nokukhululeka kwe- carpal tunnel kwisikristsi.
Umthombo:
I-Tarsal Tunnel Syndrome, i-American College of Foot kunye ne-Ankle Surgeons, ifumaneka ngomhla wesi-3/25/6.