Kusakanikirana koopsa kwapadera, kapena ESWT, kwasanduka njira yothetsera chithandizo kwa odwala omwe ali ndi vuto la matenda aakulu. ESWT imasokoneza kwambiri thupi ndipo yayigwiritsidwa ntchito pochiza zinthu zosiyanasiyana kuphatikizapo:
Pali njira zamagetsi zoopsa kwambiri, komanso mitundu yonse ya mankhwala ingagwiritsidwe ntchito pochiza zinthu.
Mankhwala opatsirana otsika kwambiri amaperekedwa monga mankhwala angapo kapena kuposa. Mavuto otsika kwambiri samapweteka, kapena amawawawitsa. Komano, opaleshoni yothamanga kwambiri imaperekedwa pa gawo limodzi. Mankhwala amphamvu kwambiri amawopsa kwambiri, ndipo nthawi zambiri mtundu wa anesthesia ukufunika. Mwina malo amtundu kapena anesthesia angaperekedwe kwa mankhwala apamwamba.
Kusokonezeka kwa mankhwalawa kumagwira ntchito pogwiritsa ntchito microtrauma ndi minofu yomwe imakhudzidwa ndi mavutowa. Ichi chimapangitsa kuti thupi liziyankhidwa. Yankho la machiritso limayambitsa zitsulo zamagazi komanso kuwonjezeka kwa zakudya zowonjezera kumadera okhudzidwa. Tizilombo toyambitsa matenda timalingalira kuti timakonza njira yothetsera ndi kuchepetsa zizindikiro za ululu.
Chiyambi
Poyamba, mu 1996, ofufuza ambiri adafalitsa zotsatira zabwino pogwiritsa ntchito mafunde oopsya kuti athetse mavutowa.
A FDA adavomereza kugwiritsa ntchito mafunde oopsya pochiza zomera za fasciitis m'chaka cha 2000. Kuyambira nthawi imeneyo, kafukufuku wochulukirapo adafufuzanso kugwiritsa ntchito mankhwala oopsya chifukwa cha mavutowa.
Pali mauthenga ambiri onena za kupambana kwa mankhwalawa. Kafukufuku wina amasonyeza zotsatira zabwino za chithandizo, makamaka ndi calcific tendonitis ndi fasciitis.
Komabe, palinso mauthenga ambiri omwe sakhala opambana ndipo samasonyeza kusiyana kwakukulu pamene kusokonezeka kwa mankhwalawa akufanizidwa ndi mankhwala ochiritsira a mavutowa.
Zotsatira
Mbali yokongola kwambiri ya mankhwala opweteka kwambiri ndikuti ndi njira yosasamala ya mavuto amene nthawi zina amakumana nawo. Chifukwa cha mavutowa, madokotala nthawi zonse amafuna chithandizo chabwino kwa odwala omwe samawoneka kuti akuwongolera ndi mankhwala osavuta.
Komanso, chimodzi mwa zinthu zokhudzana ndi chithandizo cha opaleshoni ya zinthu monga plantar fasciitis ndi chakuti pali mavuto aakulu. Pali mavuto ochepa omwe adanenedwa ndi kugwiritsa ntchito mantha oopsya. Odwala omwe akuchitidwa opaleshoni ali pangozi yopitilira kupweteka, mavuto a zilonda, ndi matenda. Vuto lalikulu la ESWT ndikuti si odwala onse amene amachiritsidwa ndi zizindikiro zawo.
Wotsutsa
Kusokonezeka kwa mankhwalawa ndi okwera mtengo, ndipo ngati ayi ndi mankhwala oyenera ndi otsutsana. Thandizo lililonse likhoza kuwononga ndalama zambiri, ndipo makampani a inshuwalansi sangathe kubisala ndalamazo. Choncho, odwala amene akufuna kukhala ndi mankhwalawa akhoza kumalipira mthumba.
Pomalizira, kupambana kwa mankhwala akufunsidwa. Ngati mankhwala oopsyawa akuthandiza, kusiyana kuli kochepa. Zomwe zili m'mabukuwa zimakhala zosiyana, koma ngakhale mu maphunziro omwe amasonyeza zotsatira zabwino za ESWT, mwina zimathandiza kagawo kakang'ono ka odwala. Choncho, odwala ochulukirapo adzalinso ndi ululu pambuyo pa mankhwala oopsya.
Kumene Kumayambira
Lamuloli likudandaulabe ngati ayi kapena ayi. Zomwe zikuperekedwa tsopano pa chithandizochi ndikuti ndi chithandizo choyenera kwa odwala omwe alepheretsa njira zowonongeka ndipo angafunike mankhwala oopsa kwambiri.
Ndikofunika kuti odwala ayese mankhwala ena achilendo kwa miyezi isanu ndi umodzi asanayambe kumwa mankhwala oopsya. Kwa odwala okhala ndi plantar fasciitis, njira zoyenera zothandizira odwala mankhwala, mapulogalamu a madzi oundana , masewera olimbitsa thupi komanso otambasula , ndipo kuika nsapato kumawathandiza kwambiri. Kuwonjezera apo, amadziwikanso kuti nthawi ya miyezi 6 kuti chaka chimodzi ikhale yofunikira kuti izi zithetse mavutowa.
Odwala omwe sapambana ndi mankhwalawa amatha kupindula ndi mantha oopsya. Ndi njira yabwino yoganizira ESWT musanalowetsedwe. Zotsatira zovulaza za ESWT ndizochepa. Choncho, kwa odwala omwe ali ndi plantaric fasciitis , omwe adalephera kukayikira miyezi isanu ndi umodzi ya mankhwala ochiritsira, mantha omwe amawotcha ndi mankhwala osayenera opaleshoni.
Zotsatira:
Rompe, JD, et al. "Kufufuza kwa mphamvu yowonjezera mphamvu yowonjezera mphamvu ya zamoyo zochizira matenda aakulu a fasciitis." Jour Bone Joint Surg. 2002; 84: 335-41.
Akuyang'ana A1, Dimeff R, Iannotti JP. "Kupititsa patsogolo njira zochiritsira zowonjezereka pochiza matenda opatsirana aakulu" J Am Acad Orthop Surg. 2006 Apr; 14 (4): 195-204.