Ankle wa Anthle kapena Ankle
Matenda a m'mimba am'kati amatha kukhala ndi matenda omwe amapezeka pamphuno pamphuno. Mphuno ya fupa ikhoza kukhala pamapeto a fupa la fupa (tibia), pamwamba pa fupa la fupa (talus), kapena pa zonsezi. Pamene phazi limakankhira mmwamba, kupweteka kwa mafupa kumapweteka kutsogolo kwa bondo.
Ndani ali pangozi ya Anterior Ankle Impingement Syndrome?
Nthawi zambiri ankatchedwa "mpikisano wothamanga" kapena "bondo la mpira wa mpira." Nthenda yamakono yopanga impingaliro imalingalira kuti ndiyo zotsatira za kubwezeretsa mankhwala otchedwa microtrauma ( kuvulaza mopitirira muyeso ) ku bondo, ngakhale pali zina zomwe zingayambitse vutoli, kuphatikizapo mitsempha.
Zimakhala zachilendo kwa othamanga ndi akatswiri ojambula omwe ntchito zawo zimafuna kubwerezabwereza makutu - kukweza phazi kumtunda. Izi zimaphatikizapo osewera mpira, omwe amawombera kwambiri mpira ndi ena osewera pamatumbo, osewera mpira, othamanga, othamanga, ndi masewera olimbitsa thupi. Fupa ndi osteophyte zimawoneka pa X-ray kwa pafupifupi theka la othamanga m'maseŵera awa, komabe ambiri alibe zizindikiro.
Zizindikiro ndi Kuzindikiritsidwa kwa Kuponyedwa kwa Ankatha Ankle Kumangirira
Chizindikiro cha kapangidwe kameneka kameneka ndikumva kupweteka kumaso kwa mbali ya mchiuno, makamaka pamene phazi limakankhira mmwamba kupita kumalo otsekemera. Nthaŵi zambiri malowa amakhala ofewa, ndipo nthawi zina mafupa amatha kuoneka pamwamba pa bwalo. Nthawi zambiri ululu umamasulidwa pamene mimba imaloledwa kupanga plantarflex. Zitsulo zamatsenga zobwereza ndizo chizindikiro china. Mutha kuzindikira kuti chikopa chanu chimakhala kutupa pambuyo pa ntchito.
Zomwe zimapezeka kuti zimakhala zovuta kumagwiritsidwa ntchito ndi X-ray, ngakhale kuti mayesero ena, monga MRI, ultrasound kapena CT scan angagwiritsidwe ntchito kuti atsimikizidwe kuti ali ndi vutoli komanso kuti palibenso mavuto ena omwe angakhale nawo pamagulu a bondo ululu.
Kuchiza kwa Kutentha kwa Ankatha Ankle
Chizoloŵezi chochiritsira cha matenda amtundu wamkati wamatumbo ndi cholinga chochepetsera kutentha pa tsamba la tsambalo. Izi zikhoza kuchitika ndi kupumula, mankhwala oletsa kupweteka, kumwa mazira , zidutswa zazitsulo, nsapato za bulu, komanso mwina jekeseni ya cortisone .
Kuphulika kwa mchenga kumatha kuganiziridwa makamaka ngati mwavulala mobwerezabwereza. Othandizira angapangidwe kuti akonze kayendedwe ka mapazi.
Ngati mankhwalawa sali opambana, opaleshoni ingaganizidwe kuchotsa fupa la fupa. Kafukufuku wamatenda amatsenga amagwiritsidwa ntchito pochiza matenda a anthenda impingement syndrome. Opaleshoni imachotsa mafupa a mafupa (osteophytes) omwe akuyambitsa kukopa.
Kwa osteophytes akuluakulu, opaleshoni yotseguka yotsegulidwa ikhoza kutonthozedwa. Kuchita opaleshoniyi kumachitidwa mwatcheru kuti zisawonongeke ndi mitsempha kapena mitsempha yowonongeka yomwe ili pamtunda.
Kukanganitsa kwa nyenyezi zamakono ndi zofewa zakuthupi zakhala ndi zotsatira zabwino kwambiri. Pali nthawi yayitali yochizira ndikubwerera ku masewera poyerekeza ndi opaleshoni yotseguka. Odwala ambiri anali ndi ululu wabwino koma pafupifupi kotala la iwo akhoza kubwerera ku masewera awo apitalo.
Pambuyo pa opaleshoni, mudzavala boot yoyenda kwa milungu iŵiri, mutatengedwa ndi mankhwala kuti mubwezeretse kayendetsedwe kake ndi kumanga mphamvu ndi chipiriro. Muloledwa kubwerera ku masewera masabata asanu ndi limodzi kapena asanu ndi atatu.
Zotsatira:
Niek van Dijk C ndi van Bergen CJ "Mapologalamu a Ankle Arthroscopy" J. Am. Acad. Ortho. Opaleshoni., November 2008; 16: 635 - 646.
Tanawat Vaseenon ndi Annunziato Amendola. "Zisinthirani kumangidwe kosalekeza kwa khungu." Curr Rev Musculoskelet Med. 2012 Jun; 5 (2): 145-150.