Ukwelashwa kwethambo lomzimba we- tendonitis yangasemva (PTT) kunokukunceda ukuba uphinde uphinde uphumelele kunye neenyawo zeendwendwe (ROM) , amandla kunye nokuhamba. Oku kunokunceda ukuphelisa intlungu kunye neentlungu zesikhumba kwaye ubuyele emsebenzini wakho oqhelekileyo kunye nemisebenzi yokuzonwabisa.
I-posterior tibial tendonitis yimeko echaphazela unyawo lwakho kunye nengxenyana yangaphakathi yesangqa.
Le meko ibonakaliswe ngentlungu enyaweni nasezinqeni, kwaye kunokukukhusela ukuba uhambe kwaye usebenze ngokufanelekileyo. Iimpawu zingaphinde zinciphise imisebenzi yakho yemihla ngemihla.
Ngamanye amaxesha, i-PTT ibizwa ngokuba yi-posterior tbial tysonction okanye i-tendonopathy yangemva kwe-tibial. Kungakhathaliseki igama lemeko, umgulana wakho wenyama unokukunceda ukuba uphinde uhambe ngokungahambi kakuhle kwentlungu xa unayo.
Yiyiphi iTendon ye-Posterior Tibial?
Ithenda ye-posterior tibial isithoni esivela kwi-muscle ebizwa ngokuba yi-tibialis posterior. Lo msila uhlala kwindawo yangaphakathi yomlenze wakho ophantsi, ngaphantsi kweenyawo zakho. Izifundo zeetonon phantsi komlenze wakho kunye nendawo yangaphakathi yonyawo lwakho. Inamathela kwizantsi lonyawo lwakho.
Umsebenzi wethenda ye-posterior tibial isibini. I-muscle yenza ukuba unyawo lwakho lungene ngaphakathi, ngakumbi xa unyawo lwakho neenzwane zikhonjisiwe. Ithenda inceda kwakhona ukuxhasa unyawo lwakho lomlambo .
Izibonakaliso ze-Tibial Tendonitis
Ukuba une-tendonitis engaphantsi kwe-tibial, uya kuba neempawu ezahlukileyo. Ezi ziquka:
- Ubuhlungu kwindawo ephakathi kwesikhumba sakho
- Ubuhlungu kwintlambo yeenyawo zakho
- Ubunzima ngokuhamba okanye ukuqhuba
- Inyawo elisezantsi okanye i-arch fall
Ngokuqhelekileyo, iimpawu ziza kancane kancane kungekho sizathu esicacileyo kwaye ngaphandle kokulimala okanye ukuhlambalaza.
Ngenxa yeso sizathu, ukukhubazeka kwe-PTT kudlalwa njengento yokulimala ngokuphindaphindiweyo; Intlungu ivela ngenxa yokugqithisa ngokugqithiseleyo nokugqithiselela ngaphezu kwetonal post. Umngeni ekufumaneni kunye nokunyanga le mqathango kukubona izizathu ezibangela ukuba lo mthwalo uphinde ulungiswe. Umgulana wakho wenyama ngumqeqeshi ojongene nokunyanga kwezempilo ukuze enze oku.
Ukuxilongwa kwe-Posterior Tibial Tendonitis
Ukuxilongwa kwe-PTT ukungasebenzi kusenziwa ngokubanzi ngoviwo lweklinikhi. Ugqirha okanye i-PT iya kukhangela iimpawu ezithile. Ezi ziquka:
- Ukutshatyalaliswa okubuhlungu kwimbali yangaphakathi kwesikhumba sakho, kunye nethenda ye-posterior tibial
- Ubuhlungu xa ubhekisela unyawo lwakho neenzwane okanye ujikeleza inyawo lwakho ngaphakathi, ngakumbi xa uxhoxiswa ngokuchasene
- Ubukho beenyawo ezinqabileyo okanye i-arch fall
- Umzekelo wokuguqulwa nokuhamba
Ugqirha wakho unokujonga ukujonga izifundo zokuxilonga njenge-X-ray okanye i-MRI ukuqinisekisa ukuxilongwa nokulawula nayiphi na imeko. Ezi zifundo azibalulekanga okanye ziyimfuneko xa ufumene unyango. Baqinisekisa nje ukuxilongwa kwekliniki. Uninzi lwabantu luzuza ngokuqala ikhosi yeyeza unyango ngaphambi kokufumana nayiphi na izifundo zophando .
Kukho amanyathelo amane kwi-PTT ukungasebenzi, ngasinye sinempawu.
Isiteti ndisoloko ndicaphukisa i-PTT ngokungabi naluphi na ukukhubazeka kweenyawo. Kwinqanaba lesi-II, i-PTT iyahlanjululwa okanye ixilwe, kwaye unyawo lucwecwe kodwa luhlala luguquguqukayo. Isigaba III senzeke xa i-PTT yakho ibonakalisiwe okanye iphukile kwaye unyawo lwakho luqinile, ngokuqinisekileyo lubambelele kwisimo sayo esicacisiweyo. Inkcazo enzima kakhulu ye-PTT ukungasebenzi yiSigaba IV, apho i-PTT yakho yaphuka kwaye iigilane zakho ze-ankle zinyanzeliswa kwinqanaba apho kukho ukukhubazeka kwexesha elide.
Ulwaphulo lweMpilo Uvavanyo lweeMpawu
Xa uqala ukuya kwiyeza, uya kuhlolwa. Ngethuba lo vavanyo, i-PT iya kuqokelela ulwazi malunga nemeko yakho.
Naye uza kwenza iimvavanyo ezithile ezibandakanya:
- Uhlobo (ukuhlolwa ngokomzimba ngokuthinta izakhiwo ze-anatomiki)
- Inani lezindululo zesindululo
- Imilinganiselo yamandla e-ankle, amadolo, kunye nezihlunu
- Uhlalutyo lwabelo
- Uhlalutyo lwesikhundla seenyawo kunye nokuhlola izihlangu
- Ukulinganisa kunye nokuhlolwa kwempahla
Emva kokuba zonke ezi mvavanyo zenziwe, i-PT kufuneka ikwazi ukucacisa isizathu esicwangcisiweyo sokusetyenziswa kweTTT, kwaye unyango luyaqala. Qiniseka ukuba ubuze imibuzo yakho ye-PT malunga nesimo sakho ukuba unayo. Ubudlelwane obunayo kunye nomgulisi wakho kufuneka uzive njengentsebenziswano yokwelapha; Bobabili nifanele nisebenzisane ukuze nilungele kakuhle i-tendon yakho ye-tonial post-dysfunction.
Unyango Lonyango Lonyango lwe-Tibial Tendonitis
Unyango lwe-PTT lunokubandakanya izixhobo ezininzi ezihlukeneyo, kwaye ezi zinokuhluka ngokusekelwe kwiimeko zakho kunye nezidingo. Unokulindela unyango olulandelayo oluvela kumthandi wakho wezonyama kwi-tendonitis yangemva kwe-tibial.
Ukuzivocavoca makube sisixhobo sakho esiyintloko ekuphatheni ukungasebenzi kweTTT. Ngoba? Kungenxa yokuba uphando lubonisa ukuba ukwenza okufanelekileyo-ngexesha elifanelekileyo-kunokukunceda ukuba uthathe ulawulo lweempawu zakho kwaye ufunde ukuzigcina.
Umgulana wakho womzimba kufuneka anike umyalelo othile kwiimeko zakho kunye neemfuno zakho. Unokuthi usebenze eklinikhi, kwaye uya ku-oya kucelwa inkqubo yohambo lwasekhaya ukwenza ngokuzimela. Ukuzivocavoca kwe-tendon tilal ukungasebenzi kakubi kungabandakanya:
- I-Ankle ilula : I-PT yakho inokuthi wenze imisebenzi eyahlukeneyo ukuphucula i-ROM yakho. Oku kunokukunceda ukubuyisela ukuhamba ngokuqhelekileyo kwinqanaba lakho kwaye kuncedise ukunciphisa uxinzelelo kwi-tendon yakho ye-tibial.
- Izenzo zokuqiniswa kwee-Ankle: Ukusetyenziswa kwe-Ankle yokuqinisa kunokusetyenziswa ekuncedeni ukuphucula amandla emisipha eyahlukeneyo exhasa unyawo lwakho kunye neenyawo. Oku kungenza ukulinganisela kwe-muscular kwinqanaba lakho, ukuqinisekisa ukuba i-tendon yakho ye-posterior tibial ayiyixinzelelo.
- Ukuzivocavoca nge-Hip kunye nokuziqinisa ngamadolo : Ngamanye amaxesha, ubuthathaka kwi-hip yakho okanye emadundeni akho emadolweni kunokubangela ukuba unyawo lwakho luphendule, ubeke uxinzelelo kwi-tendon yakho yangaphambili. I-PT yakho inokuthi uyenze uqiniseke emacaleni akho namadolo ukuze uncede ukugcina loo malungu (kwaye unyawo lwakho kunye neenyawo) ngokulungelelaniso olufanelekileyo. Oku kunokunciphisa uxinzelelo kwi-tendon yakho yangaphambili.
- Ukulinganisela kunye nokuzilolonga: Ukuphucula ukulinganisela kunye nokuqwashisa imizimba kungasiza ekuphuculeni indlela osebenza ngayo inyawo kunye neenyawo. Oku kunokunciphisa uxinzelelo kwi-tendon yakho ye-tibial.
- Uqeqesho lokuzuza: Ukuba unenkinga enzima ukuhamba okanye ukuqhuba ngenxa ye-PTT ukungasebenzi, i-PT yakho inokumisela ukusetyenziswa okuthe ngqo ukuphucula umgangatho wakho.
- Ukusetyenziswa kwe-Plyometric (ngexesha lokugqibela le-rehab yakho): Emva kokuba izinto ziphilise, i-PT yakho inokuqalisa ukuxhuma nokuhlahlela ukunyamezela umthwalo wokunyamezela umthwalo wakho we-toni. Uqeqesho lwe-Plyometric lubaluleke kakhulu xa uceba ukubuyela kwizinga eliphezulu lezemidlalo.
Olunye uqeqesho lunokuba lunzima ukukwenza kwaye abanye banokuba lula. Ukuba unemibuzo malunga nokuzivocavoca kwakho, qiniseka ukuba ubuze umphathiswa wakho wenyama.
Nangona ukusetyenziswa kufuneka kube yinkalo ephambili yenkqubela ye-PT ye-PTT yokungasebenzi, unokuhlangabezana nezinye iindlela zonyango ngexesha lonyango. Olunye unyango kunye nemimiselo ye-tendonitis yangemva kwe-tibial ingabandakanya:
- Ukufakwa kwesibhedlele okanye isiluleko se-orthotic: I-orthotic okanye ingenise inokukunceda ukugcina unyawo lwakho ngokulungelelwaniso olufanelekileyo, ukuxininisa uxinzelelo kunye nokunciphisa isithoni sakho se-posterior tibial.
- I-ultrasound : I-Ultrasound yindlela yokufudumala ejulile ecinga ukuba iyakuphucula ukujikelezwa kwendawo kunye nokuhamba kwegazi kwiintlobo zakho.
- Ukukhuthazwa kombane : Olu unyango lungasetyenziselwa ukuphucula ukuhamba kwegazi kwendawo okanye ukunciphisa intlungu ovakalelwa ngayo.
- I-Kinesiology ichukumisa : Lo unyango olutsha luquka ukubeka iteksi emzimbeni wakho okanye kufuphi nenyawo lwakho kunye neenyawo. Itheyipu ingasetyenziselwa ukuphucula izithintelo ze-muscular okanye ukuvimbela imisipha ukuba ingayisebenzisanga ngokungafanelekanga. Ingasetyenziselwa ukunceda ukunciphisa intlungu.
- Ukuqhekeza : Ukuba unyawo lwakho kunye neenyawo ziphendukile kakhulu, unokuzuza ngokusebenzisa i-brace brace ukugcina ulungelelaniso oluphantsi.
- Iontophoresis : Eli hlobo lokuvuselela umbane lisetyenziselwa ukulawula imishanguzo echasayo ekutheni i-tendon yakho yesikhumba.
- Ukufumba: I-PT ingasebenzisa iindlela ezahlukeneyo zokusilalisa ukunciphisa intlungu, ukuphucula ukuhamba kwegazi, nokukhuthaza ukuguqulwa kokuguquguquka kwemisipha kunye nezicubu ezinyawo lwakho kunye neenyawo.
Khumbula, ezininzi zezo zonyango zihambelana nemvelo; akenzi nto ngelixa ugqirha ukwenza unyango kuwe. Uphando lubonisa ukuba ukuthatha indima ebalulekileyo ekunyamekeleni i-PTT ukungasebenzi kuyona ndlela efanelekileyo yokuthatha. Ukunyanga okunyanga kunokuziva kulungile, kodwa umphumo wabo wonke udlalwa njengento engenakulinganiswa.
Kwakhona, ezinye zonyango ze-PTT ukungasebenzi ngokufana nokuvuselela ugesi, i-kinesiology taping, kunye ne-ultrasound ayixhaswa ngophando olunzulu lwesayensi. Ezi zonyango zingenakukulimaza, kodwa uphando lubonisa ukuba ayingabi nxalenye ebalulekileyo ye-rehab yakho. Ukuba i-PT icetyisa unyango oluneemeko zakho, qiniseka ukuba uyaziqonda injongo yonyango kwaye ukuba yinxalenye ebalulekileyo yesicwangciso sakho sokubuyisela.
Amanyathelo okuQala okuPhatha i-Posterior Tibial Dysfunction
Ukuba uyakrokrela ukuba une-tendonitis yangaphantsi kwe-tibial okanye ukungasebenzi, kukho izinto ezimbalwa omele uyenze ngokukhawuleza. Okokuqala, qhagamshelana nogqirha wakho, ukuze uqiniseke ukuba intlungu ayiyona into ebaluleke kakhulu. Ungakwazi kwakhona ukubiza iP PT yakho kanye; Ininzi emazweni ase-US akuvumela ukuba ubone umgqirha ngaphandle komyalelo wonyango ngokufikelela ngqo. Ukukhawuleza unokuqalisa ukonyango, ukukhawuleza intlungu inokupheliswa.
Xa ukulawula i-PTT ukungasebenzi, yinto efanelekileyo yokukhusela imisebenzi ephuculisayo. Ukuba ungumgijimi, mhlawumbi ugweme ukuqhuba ixesha elifanelekileyo. Ukuqeqeshwa koMnqamlezo kwibhayisiki okanye kwi-pool yokubhukuda kunokukunceda ugcine izinga lakho lokuphila.
Ixesha le-PTT lisebenza njani ixesha elide?
Uninzi lweengqungquthela ze-tendonitis zangemva kwe-tibial ziphelile malunga neeveki ezi-4 ukuya kwe-6. Iiveki ezimbalwa zokuqala zibonakalisa iintlungu ezibukhali, kwaye intlungu iyancipha kancane kwinyanga okanye njalo. Ezinye iipasiti zifutshane, kwaye ezinye zide. Wonke umntu uphulukisa amaxabiso ahlukeneyo, kwaye imeko yomntu wonke iyahluke, ngoko qi ni sekise ukuthetha ne-PT malunga nesigxina sakho esithile kunye ne-tendonitis yangemva kwe-tibial.
Ukuba iimpawu zakho ziqhubeka emva kweiveki ezi-8, unokufuna ukuqwalasela ezinye iindlela zokwenza unyango. Ezi zibandakanya iinjenisi ze-cortisone ukulawula inkqubo yokuvuvukala kwi-tendon okanye inkqubo yokuhlinzwa apho isithoni sidluliselwa kwindawo ephakamileyo kwinqanaba lakho, uxinzeleleke kwi-tendon ngelixa uxhasa isantya seenyawo zakho.
Ukuba unesiqhelo sokusebenza kwetonon post post, ungasenelwa kwi-PT emva kwenkqubo yokukunceda ufumane ngokugcwele.
ILizwi
Ukuba unesifo se-tendonitis esingasemva kwe-tibial okanye i-tendonitis, yinto efanelekileyo yokuqalisa unyango ngokukhawuleza. Musa ukuvumela iingxaki ezincinane zibe zizimo ezingapheliyo ezinokuba nzima ukunyanga. Uninzi lweziganeko zilawulwa kalula yiinkonzo ezinezakhono zesifo somzimba. Ngokwenza izinto ezifanelekileyo kwimeko yakho, unokukhawuleza ufike ngokuphepha kwiinyawo zakho uze ubuyele kwimisebenzi yakho eqhelekileyo.
> Imithombo:
> I-Espinoza, N, ne-Maurer, uMgangatho we-I kunye no-II Posterior Tibial Tendon Ukungasebenzi: Buyela ku-Running? Iikliniki kwiMidlalo yeMidlalo. Oktobha 2015, 34 (4): 761-768.
> Guelfi, M. etal. I-anatomy, i-pathophysiology, kunye nokwahlula kwe-tendon ye-tonial dysfunction. Eur Rev Med Pharcocol Sci. 2017; 21: 13-19.