Ukuba une- tendonitis yangaphantsi kwe-tibial (okanye i-ttal-tibial tendon (PTT) yokungasebenzi , njengokuba kuthiwa ngokuqhelekileyo) unokufumana inzuzo yonyango ukuze unciphise intlungu kwaye uphucule ukuhamba kwakho konke. Ngamanye amaxesha, intlungu yakho okanye ukuhamba ngokukhawuleza kunokuqhubeka nangemva kokuzama kwakho kwi-PT, kwaye unokufuna inkqubo yokupasa ukulungisa ingxaki yakho.
Ukuba ufuna utyando lwe-PTT ukungasebenzi, unokufumana inzuzo yonyango emva kokuhlinzwa ukuze uncede ufumane ngokupheleleyo.
Ingqwalaselo yonyango lomzimba emva kokuhlinzwa okwexeshana lwe-tilal intsebenziswano kukukunceda ukuba uphinde uphinde uqhube umgangatho wesinyameko kunye namandla enqeni lakho, idolo, kunye ne-hip. Ekugqibeleni, injongo ye-PTT yokusebenza kakubi kwe-post-op rehab ukubuyela ekuhambeni kokusebenza okusemgangathweni.
Kutheni Intsholongwane yeTTT?
Isizathu esivamekileyo sokuhlinzwa ngethambo lwe-poston ukulungisa intlungu kunye nobuchule obuncinane bokuhamba ngenxa yokufumana ukukhubazeka kwe-flatfoot. I-tendon yakho ye-posterior tibialis iyasinceda ukuxhasa isalathiso sendawo yendalo. Xa le tendon ixinezelekile, inokuba yintlungu, ikhwebu, kwaye ekugqibeleni yenza ukuba isithintelo seenyawo zakho siwele. Ugqirha lwenziwe ukulungisa le ngxaki kwaye kukunceda ubuyele kumgangatho wakho wokusebenza.
Ngexesha lotyando lwakho, ugqirha wakho uya kwenza ukukhangela kwinqanawa lakho kunye ne-tendon posterior tibialis eyonakalisiweyo iya kulungiswa.
Inokuthi isuswe ngokupheleleyo, kwaye enye ithoni ephuma enyawo lwakho inokuthi ihlanganiswe endaweni. Emva kwenkqubo, i-incision iya kuvalwa, kwaye unyawo lwakho luya kubanjwa. Uninzi lweenkqubo zeethenda ze-PTT zenziwa kwithuba lesiphene; uya kubuyela ekhaya ngosuku lokuhlinzwa kwakho.
Amanyathelo okuQala emva koTyroal Tendon Surgery Posterior
Emva kokuhlinzwa okwenziwa yi-PTT, mhlawumbi uza kugqoka ukugqoka ngokukhangela kwakho.
Unokuba unxibe i-CAM boot-i-boot ekhethiweyo kunye neengcambu ze-velcro ezikhusela unyawo lwakho kunye ne-ankle njengoko izinto ziphilisa.
Ugqirha wakho uya kuba nawe uhamba ngeentonga . Ngokuqhelekileyo emva kokuhlinzwa okwenziwa yi-PTT, izigulane zihamba kunye ne-non-weight bearing bearing gait iiveki ezimbalwa. Njengoko izinto ziphilisa, unokwenza inkqubela ukusuka ekungenabunzima bokuthwala isisindo somnxeba kunye nesisindo esincinci, kwaye ekugqibeleni uhamba ngesisindo esipheleleyo esithwala i-gait pattern. Ugqirha wakho unokukuxelela ukuba umyalelo wakho wokuthwala ubunzima kangakanani emva kokuhlinzwa, kwaye ugqirha ongokwenyama unokukunceda ukuba uqhubele phambili kunye nokuhamba kakuhle.
Uvavanyo lwe-PT Emva kokuphelelwa kwe-PTT
Xa usuqala ukonyango lwangokwenyama emva kokuhlinzwa kwakho kwe-PTT, ugqirha wakho wenyama uza kwenza uvavanyo lokuqala. Ngexesha le seshoni, i-PT iya kukubuza imibuzo malunga nembali yengxaki yakho kunye nendlela eyakhokelela ekusebenzeni ngayo. Yilungele ukuphendula imibuzo malunga nomsebenzi wakho kunye nemisebenzi yokuzonwabisa kunye naluphi na umda onokuba nakho ngenxa yokulimala kwakho kunye nokuhlinzwa. Le mibuzo iyakusiza i-PT icacise indlela iindlela zakho ezichaphazela ngayo umsebenzi wakho kunye nendlela yokuphila.
Emva kokuthatha imbali, i-PT iya kwenza uviwo.
Izixhobo ezahlukeneyo zoviwo zingabandakanya:
- Uvavanyo lwentlawulo : I-PT iya kujonga kwaye ihlalutye indlela ohamba ngayo. Uya kukhangela ukuba isixhobo sakho sokuncedisa sisisiseko esifanelekileyo kwaye ukuba ubonisa nayiphi na indlela yokuphepha okanye ukunyakaza xa uhamba.
- Igalelo: Inxalenye ibandakanya i-yourrapist ekuthintela iinxalenye ezahlukeneyo zonyawo lwakho kunye neenyawo ukujonga iimpawu zokuvuvukala, ukuvuvukala okanye ezinye iingxaki.
- Imilinganiselo yeendlela zokuhamba (ROM) : Umphathiswa wakho wenyama uya kusebenzisa i- goniometer ukulinganisa ukuba i-ankle yakho ihamba kangakanani kwiindlela ezahlukeneyo.
- Imilinganiselo yamandla : Amanyathelo enamandla angathathwa malunga namaqela athile ama-muscle ecaleni lakho .
- Uvavanyo lwe-Scar: I-PT yakho inokujonga ukutshabalalisa kwakho ukuqinisekisa ukuba izinto ziphilise kakuhle. Ukuhamba ngokukhawuleza kunokuvavanywa ukujonga iimpawu zokunamathela okanye ukunyuka kwebala.
- Amanyathelo ezinyawo zakho kunye neenyawo: I-PT iya kujonga ukujonga ukuba kukho na ukuvuvukala ecaleni lakho.
Xa umgqirha wakho eqokelela idatha malunga neemeko zakho zangoku, unokusebenza kunye nawe ukuphuhlisa iinjongo ze-post rehabative rehab. Iinjongo ziquka:
- Buyisela kwakhona i-ROM ephantsi
- Buyisela amandla kwi-ankle yakho, idolo, kunye ne-hip
- Ukuhamba ngokuqhelekileyo ukuhamba
- Ukuphucula ukulinganisela
- Kukunceda ukuba uphinde uphinde usebenze ngokubanzi kuquka ukubuyela emsebenzini oqhelekileyo kunye nomsebenzi wokuzonwabisa
Ezi njongo zenza isikhokelo esisisiseko kwinkqubo yakho yokwelapha ye-PTT. Zifanele zibhekiswe kwixesha eliqhelekileyo, kwaye zifanele zihlengahlengiswe ngokusekelwe kwindlela oqhuba ngayo kunye neyeza lakho.
Emva kokuvavanywa kokuqala, umphathiswa wakho wezobubele angase aqale unyango lwe-poston surgery yakho yokuhlinzwa.
Unyango lweZonyango emva kwePTT
Utyando emva kokuba utyando lwe-PTT luyahlukahluka ngokusekelwe kwimeko yakho, i-PT yakho, kunye neemfuno zakho jikelele njengegulane. Iprogram yakho yokuhlaziya kufuneka ibe ngabanye kwaye ijoliswe ngqo kwiimfuno zakho.
Ulwaphulo lomzimba emva kokutyunjwa kwetoni yakho yangasemva kungabandakanya unyango oluthile. Unyango olunye kunye neendlela zokuziphatha kufuneka zisetyenziswe ukunyusa i-rehab yakho kwaye kukuncede ufezekise iinjongo zakho ze-PT. Unyango luquka:
- Ukuzivocavoca . Ukuzivocavoca kufuneka kube yonyango lwakho oluphambili kwi-PT emva kokuhlinzwa kwetoni . Ukuzivocavoca kufuneka kube yinto ethile kwiimeko zakho kwaye ekuqaleni ungagxininisa ekuphinda ufumane iROM evamile kunye namandla. Inkqubo yokusetyenziswa ingaqhubela phambili ukuya kwibhalansi ephezulu kunye nokusebenza ngokuqhubekayo njengoko uqhubeka ne-rehab. Inkqubo yokusetyenziswa ekhaya ingaqaliswa, ngoko ulungele ukuba nomsebenzi wesikolo ukuze wenze i-ankle kunye neenyawo zihambe ngokuqhelekileyo kwakhona.
- Amanqaku eencwadi . Ngamanye amaxesha, i-PT ifuna ukusebenzisa izandla zayo ukunceda indlela yokuhamba ngayo i-ankle emva kokuhlinzwa kwe-PTT. Emva kwexesha lokungafihli, amaqhosha ezinyawo zakho kunye neenzwane zingabinzima, kunye nokuhlanganiswa okudibeneyo kunokuba kuyimfuneko ukuphucula ukuhamba ngokubanzi. Ukunwebisa kwimiqulu yemisipha yomlenze wakho osezantsi kunokufuneka kwakhona. Umgqirha wakho unokufuna kwakhona ukuqinisa imisipha yakho ye-ankle usebenzisa ukunyanzelisa ukunyanzelisa.
- Ukucoca umzimba . Ukuba i-PT yakho inqume ukuba ulwaphulo lwakho lugxile kwiimpawu eziphantsi, i-massage tissue massage isenziwa. Ezi tyenziswa zisetyenziselwa ukuphucula indlela inqabana yakho ihamba ngayo kunye neeslayidi phezu kwe-fascia kunye nezicubu ezisezantsi nje kwesikhumba sakho.
- Uqeqesho lokuzuza . Injongo enye yokuvuselela emva kokuhlinzwa okwenziwa yi-PTT kukubuyisela ukuhamba ngokuqhelekileyo, ngoko uqeqesho luya kwenziwa ngexesha leeseshoni zonyango. Umgqirha wakho angenza iimvavanyo ezithile zokuncedisa indlela ohamba ngayo. Kwakhona unokunika iingcebiso malunga nohlobo lwesibonelelo esisisetyenziswayo ekufuneka sisebenzise ngexesha lokuhamba emva kokusebenza ukuqinisekisa ukuba uphumelela ngokufanelekileyo kwaye ukhuselekile ngokuhamba.
- Iipilisi ezichasayo ezinjenge- ultrasound okanye ukuvuselela ugesi . Ingcali yakho inokukhetha ukusebenzisa iindlela ezahlukeneyo zokwelapha ukunyusa i-rehab yakho. I-Ultrasound isetyenziswa ngamanye amaxesha ukwandisa ukujikeleza phakathi kweenyawo zakho kunye neenyawo, nangona uphando ekusebenziseni kwayo lubonisa ukuba aluphuculanga umphumo jikelele weyeza. Ukuvuselela umbane ngeentlungu kunye nokulawula ukuvuvukala kungasetyenziswa, kwaye ukunyuswa kwamandla kagesi kungenziwa kukhethwe ukuba kuphuculwe indlela ezihamba ngayo ezinyaweni zakho kunye nekhontrakthi.
- Ukushisa kunye neqhwa . Iipakethi ezishisayo okanye i-ice ingasetyenziswa ngexesha lonyango lwakho ukuphucula ukujikeleza nokulawula ukuvuvukala kwiindawo zokuhlinzwa.
Qaphela ukuba ukusetyenziswa kwemilinganiselo engapheliyo njenge-ultrasound okanye i-e-stim emva kokuhlinzwa okwenziwa yi-PTT ayixhaswanga yiincwadi zenzululwazi. Unyango olungcono kunyango lakho emva kokuhlinzwa kwe-PTT kusebenze ngokunyanzela nokunyakaza.
Ulwalamano onalo kunye ne-PT kufuneka lube luhlobo olufutshane; Ukusebenza kunye ne-PT kufuneka uzive njengentsebenziswano yokwelapha apho usebenza ngokubambisana ukuze ufezekise iinjongo zakho zokubuyisela. Ukuba unemibuzo malunga nokunyamekela kwakho, cela nje. Ukuba izinto aziyi kucwangcisa okanye ukuba unenkxalabo, xelela i-PT ukuze usebenze kunye kunye nokwandisa amathuba akho okubuyisela ngokupheleleyo.
Kude Kangakanani Ukubuyela Kwesiqhelo?
Uninzi lwezifundo ze-rehab emva kokuhlinzwa kwe-PTT zithatha iiveki ezine ukuya kwezi-ezisibhozo. Ngaba oku kuthetha ukuba uza kuphiliswa ngokupheleleyo ngeli xesha? Mhlawumbi, kodwa mhlawumbi akunjalo. Ezinye izigulane ziyeke uP PT ukuba zisebenze ngokwazimeleyo ukuze zibuyiswe ngokupheleleyo kule nkqubo yokugocwa. Inkqubo yakho ye-rehab ingaba yinto encinane okanye ihamba ngokukhawuleza. Yiba nezimo, kwaye qiniseka ukuba usebenze ngokusondeleyo kunye nogqirha wakho ukuba wazi ngokuqinisekileyo ukuba ulindele ntoni emva kokuhlinzwa kwe-PTT.
ILizwi
Ukuba utyunjelwe kwi-tendonitis yangasemva kwe-tibial, unokufumana inzuzo yonyango ekuncedeni ukuba uphinde ufumane kwakhona kwaye ubuyele kumgangatho wakho wangaphambili. Umgulana wakho wenyama unokusikhokelo sakho sokukunceda ukuba uphinde ukhuthaze kwaye uqiniseke ukuba ubuyele kumgangatho wakho wokusebenza. Ngokusebenza kanzima kwipilisi yomzimba, unokuqiniseka ngokukhawuleza ukubuyela kwimisebenzi yakho yangaphambili ngokukhuselekileyo.
> Imithombo:
> Coster, MC, etal. Ugqirha lomntu omdala ofumene i-flatfoot ngenxa ye-tendon-tilal disy functional iyanciphisa intlungu, kuphucula umgangatho kunye nempilo ehambelana nomgangatho wobomi. 21 (4); 2015: 286-9.
> Louw, A, etal. Iilingo elilawulwa ngokungalindelekanga 'lokusasa kweso' i-ultrasound ngenxa yentlungu ephantsi. I-South African Journal ye-Physiotherapy. 72 (1); 2016: 1-7.