Chitsulo chimapweteka, monga dzina limatanthawuzira, ndizopuma zomwe zimapezeka kumbuyo ndi / kapena pansi pa chidendene fupa - zonsezi zimayambitsa kupweteka kwa chidendene. Kaŵirikaŵiri amapangidwa pa mawonekedwe omwe amatha kukhala ndi tendon kapena ligament chidendene cha chidendene. Chitsulo chimayambira kumbuyo kwa chachitsulo chimagwirizanitsidwa ndi Achilles Tendon ndipo amafotokozedwa bwino ngati Achilles insertional bone spurs.
Zomwe zili pansi pazi zimatchulidwa bwino monga plantar fasciitis bone spurs. Ngakhale Achilles ndi plantar bone mafupa onse amatha kukhala ngati chitsulo chamatsenga, anthu ambiri amaganiza zakumapeto pamene amagwiritsa ntchito chidendene chake.
1. Achilles Insertional Bone Spur
Matenda Achilles ndi tete yaikulu kwambiri komanso yamphamvu kwambiri m'thupi. Amapangidwa kuchokera ku miyendo iwiri ya mimba (gastrocnemius ndi soleus) kuphatikiza pamodzi, kupanga ma Achilles tendon, ndikuphatikizira kumbuyo kwa chidendene. Ndilo tendon yaikulu yomwe imayambitsa kusuntha phazi pansi ndikudzikweza pamutu pawo.
Achilles bone spurs amapezeka mwachindunji pamalo otsekemera a tendon pa chidendene fupa, pomwe pomwe nsapato ya nsapato imakomana ndi chidendene. Pali zifukwa zosiyanasiyana zomwe Achilles amagwiritsa ntchito mawonekedwe osokoneza bongo, koma zifukwa zitatu zomwe zimagwiritsidwa ntchito zimagwiritsidwa ntchito mopitirira muyeso, kuvulaza ndi majini. Phunyu limakhala laling'ono kapena lalikulu.
Amatha kukhala makamaka mkati mwa tendon. Kukula kwa fupa la fupa sikutanthauza kugwirizana ndi ululu. Matenda akuluakulu a fupa akhoza kukhala ochepa kwambiri pamene ang'onoting'ono angakhale opweteka kwambiri.
Chithandizo cha Achilles bone spurs choyamba chimayamba ndi kuchepa kwa nsapato chitende.
Izi zikhoza kuchitika ndi nsapato zotambasula, ndikuyika mapepala a gelisi kumalo ndi / kapena kuvala nsapato. Nthaŵi zina, chidendene chimakwera kungakhale kothandiza kukweza chidendene fupa kuti chidutswa cha chidendene chikhale chapamwamba pamwamba pa nsapato. Mankhwala opweteka, makamaka anti-inflammatories, angakhale othandiza kwambiri ngati derali lili ndi bursae (kutupa madzi komwe kumakhala pakati pa khungu ndi fupa). Thandizo la thupi lingakhale lothandiza kutambasula ndi kugwiritsa ntchito ultrasound kuti achepetse kutupa.
Achilles bone opere opaleshoni ikhoza kuchitidwa kuchotsa chidendene bone spurs, komabe malinga ndi kukula kwake kwa opaleshoniyi, njirayi ingakhale yogwirizana. Mfupa yosavuta imatuluka mosavuta. Mafupa omwe amatsekedwa mkati mwa tendon nthawi zambiri amafunika kugwira ntchito yopanga opaleshoni. Nthaŵi zina, kutengerako tonde kumafunika kuchitidwa kuti kuwonjezere kukonzanso. Kuchulukanso kumaphatikizapo kumapanga ndi zibonga kwa masabata asanu ndi limodzi ndi asanu ndi asanu ndi atatu, kenako kumatsitsimutsa thupi.
2. Plantar Fasciitis Bone Spur
Thupi limatuluka pansi pa chidendene fupa limayambira pakhomo lolowera la plantar fascia, gulu lakuda lolimba lomwe limagwirizira chingwecho. Kutupa kwa ligamentyi kumadziwika ndi chikhalidwe chofala chotchedwa plantar fasciitis.
Chitsulo chitsamba sizimachitika nthawi zonse mogwirizana ndi chomera fasciitis koma chimakhala chachilendo kwa odwala ndi planturi fasciitis. Chitsulo chosakanikirana cha fasciitis chomera sichimatsikira pansi, koma chimayang'ana kutsogolo, chakumapazi - kotero ululu chitende chake sichimachokera ku fupa la fupa. Ndi plantar fasciitis (+/- heel spur), ululu umagwirizanitsidwa ndi kutupa pazilembo izi, ndipo nthawi zina microtears ya ligament.
Chithandizo cha plantar fasciitis kapena osapuma mafupa chimaphatikizapo mpumulo, kumangirira kumathandiza kuti zikhale zolimba, mankhwala oletsa kupweteka, icing ndi pulogalamu yowonjezera.
Thandizo la thupi limathandiza odwala okhala ndi fasciitis. Majekesiti a Steroid amagwiritsidwa ntchito kuchepa kutentha. Mavuto ena angaphatikizepo kuponyedwa ndi ndodo.
Chomera kwambiri fasciitis chidzathetsa mkati mwa miyezi yambiri ya chithandizo. Plantar fasciitis yomwe imapitilira chaka chimodzi kapena chaka chingaperekedwe ndi opaleshoni ya fasciitis. Chofunika kwambiri cha chithandizo cha opaleshoni chinali kudula chidutswa chokhazikika cha plantar fascia ligament pofuna kulola kutalika kwa opaleshoni. Chilonda chitadutsa, chidendene chimachotsedwa nthawi yomweyo. Kuchulukanso kumaphatikizapo zikhomo ndi makoswe kwa milungu ingapo, motsogozedwa ndi kukonzanso mankhwala.