Ngati muli ndi matenda otchedwa posterior tibial tendonitis , omwe nthawi zina amatchedwa kuti posterior tibial tendon (PTT), simungapindule ndi kugwira ntchito ndi wodwalayo kuti athandize kuchepetsa ululu wanu ndikuwongolera kuyenda kwanu. Chithandizo chimodzi chimene PT yanu ingagwiritse ntchito pa PTT cholephera kugwira ntchito ndi kupatsa mankhwala kapena nsapato. Kuika nsapato pamatenda oterewa kumagwiritsidwa ntchito pofuna kukweza phazi lanu ndi kukweza kapena kuthandizira phazi lanu lamkati, motero kuthetsa nkhawa ndi mavuto kuchokera ku tibialis posterior tendon yanu.
Koma kodi ma orthoti amafunika kwenikweni?
Malo Otsatira ndi Kutayika kwa PTT
Wodwala wanu wamaphunziro adzayang'ana malo anu amodzi pamene mukuyesa kufufuza kwa PTT kutayika. Chifukwa chiyani? Chifukwa chakuti anthu ambiri omwe ali ndi vuto la PTT ali ndi chigwirizano chamkati (kapena mkati) chopondapo mapazi awo. Izi nthawi zambiri zimatchulidwa ngati munthu wamkulu wopeza mapazi kapena pes planus. Pamene chigoba chako chikugwa ndipo phazi lako likutha, nkhawa ndi mavuto akhoza kuikidwa pa tibialis posterior tendon wanu m'munsi mwendo, ndipo izi zingapangitse ululu mkati mwa minofu ndi phazi lanu.
Pano pali chinthu chochititsa chidwi: Sikuti aliyense amene ali ndi vuto lopunduka amapeza katemera wotsika kwambiri, ndipo si onse omwe ali ndi PTT omwe amagwira ntchito. Ndichifukwa chake mankhwala anu ayenera kukhala payekha. Ndipo wodwala zakuthupi angathandizire kupeza chithandizo chabwino kwambiri cha chikhalidwe chanu. Kugwiritsira ntchito ziwalo za PTT zosayenerera kungakhale gawo limodzi la pulogalamu yanu ya rehab.
Kukonza Mapazi Pogwiritsa Ntchito Orthotics
Kotero, kodi orthotics amachita chiyani pa mapazi anu? Mwachidule, iwo amatsitsimutsa chingwe chamkati, kutsimikizira mkati mwa phazi lanu. Malowa-malo amodzi ndi phazi lanu ndi thambo lanu la posterior tibial mu malo opambana kuti azigwira bwino. Mtumiki wothandizira bwino samapweteka, ndipo kuyenda kwanu ndi kuthamanga kungabwererenso mwachibadwa.
Pali mitundu yambiri ya mankhwala. Kuyika nsapato za nsapato zingathe kugulitsidwa ku sitolo yanu ya nsapato kapena pharmacy. Ndiwo maonekedwe achibadwa omwe mumapereka mu nsapato zanu kuti mupereke chithandizo china kumapazi anu. Kwa anthu ena okhala ndi PTT osagwira ntchito, izi zikhoza kukhala zokwanira.Izi ndizochepa mtengo wotsika, koma sizinasinthidwe ku malo enieni a phazi lanu.
Mankhwala opangidwa ndi mawonekedwe opangidwa ndi mawonekedwe ndi njira ina yomwe anthu akuyang'ana kuti athandizire chingwe chawo chamkati. Izi zimapangidwa kuti zigwirizane ndi mapazi anu ndi PT kapena orthotist. Iwo amatenga masabata angapo kuti apange; Nthawi zambiri PT kapena orthotist yanu idzayendetsa mapazi anu ndiyeno kutumiza iwo kumalo opanga mankhwala. Mafupa amapangidwa malinga ndi phazi lanu. Vuto lalikulu ndi mayendedwe amtundu: akhoza kukhala okwera mtengo. Ambiri omwe amavala nsapato akhoza kutenga $ 300 mpaka $ 500 (US). Mtengo wamtengo wapatali ukhoza kukupangitsani kuti muime kaye ndikuganiza kawiri musanagule mwambo wodalirika kuti mutha kugwira ntchito ya PTT. Koma ngati athandiza matenda anu, angakhale oyenera.
Funso lalikulu lomwe tiyenera kuyankha tikamaganizira za matupi a PTT: Kodi amagwiradi ntchito?
Kodi Kafukufuku Amawonetsa Chiyani?
Njira imodzi yodziŵira kupambana kwa mankhwala (kapena mankhwala ena) a PTT osayenerera ndiyo kufufuza kafukufuku wa sayansi wotchulidwa za chikhalidwe.
Zoyamba zoyamba: kodi orthotics kwenikweni amasintha malo a phazi lanu kuti achepetse kutsegula kwa teteal posterior tibial?
Kafukufuku wofalitsidwa mu 2016 anafufuzira kusintha kwa mavoti ndi mapazi kumbali zomwe zimachitika pogwiritsa ntchito mitundu iwiri ya maonekedwe ndi nsapato yofanana. Ophunzira khumi ndi asanu ndi awiri okhala ndi PTT osagwira ntchito amayenda bwino povala zovala ndi nsapato zosiyanasiyana. Ofufuzawa anapeza kuti kugwiritsa ntchito chikhalidwe chodziwika ndi kupititsa patsogolo kwapadera kunathandiza kukonza mapazi apamwamba kusiyana ndi kugwiritsa ntchito nsapato yoyenda. Wina angaganize kuti chikhalidwe chokha chimatha kusintha malo amapazi ndikuyenda.
Zimaphunzitsidwa kuti kukonzekera uku kungathandize kuchepetsa vuto lanu pamtunda wanu wamtundu wa posterior tibial.
Kafukufuku wina anafufuza odwala ndi olemala odwala 25 (amuna khumi ndi akazi khumi ndi asanu ndi anai) omwe ali ndi matenda otchedwa posterior tibial tendonitis. Deta inayamba kusonkhanitsidwa pokhudzana ndi ululu wa odwala komanso kuperewera kwa ntchito, ndipo phunziro lirilonse lidavala masabata asanu ndi limodzi. Ofufuzawa adapeza kuti kupweteka ndi kufooka kwapakati pa masabata asanu ndi limodzi (6) akugwiritsidwa ntchito.
Vuto limodzi ndi phunziro: panalibe gulu lolamulira. Ophunzira onse amavala zovuta, choncho sadziwika ngati kusintha kumeneku kunawoneka chifukwa cha maonekedwe kapena kungopita kwa nthawi. Mwinamwake zochitika zina zosayembekezereka zinayambitsa kusintha komwe kumawoneka mu phunziroli.
Pansi: ma orthotics amatha kukonza malo a phazi lanu, ndipo angathandize kuchepetsa ululu ndi kutaya ntchito chifukwa cha kukanika kwa PTT. Koma, kafukufuku wokhudzana ndi ntchito yawo ndi osauka, ndipo imakhalabe chinsinsi ngati angagwire ntchito yanu.
Mmene Thanzi Labwino Lingathandizire
Ngati muli ndi vuto la PTT, mungapindule pogwira ntchito ndi wodwalayo kuti muthe kusintha zizindikiro zanu ndi kubwerera kuntchito yanu yapitayi. PT yanu ikhoza kufufuza momwe mungakhalire ndikupatsani mankhwala abwino kwambiri. Rehab chifukwa cha matenda otchedwa posterior tibial tendonitis angaphatikizepo:
- Njira zoyenera kutupa kutupa ndi ululu
- Kuchita masewera olimbitsa thupi lanu kumapeto kumayenda ndi mphamvu
- Zochita zolimbitsa thupi ndi zofunikira
- Orthotics kukonza malo a mapazi
- Malangizo pa nthawi yoti mubwerere kuntchito zanu zapitazo
Ngati PT yanu ikuona kuti phazi lanu ndi minofu yanu ikuyambitsa kupanikizika kwambiri pa tibialis posterior tendon, iye angapangitse kuti azidziwika bwino. Kafukufuku amasonyeza kuti orthotics ingasinthe mapazi anu ndipo ingakuthandizeni kuchepetsa kupweteka ndi kupititsa patsogolo ntchito, kotero ichi ndi chithandizo choyenera. Kumvetsetsa chifukwa chake mukuvekedwa ndi ziwalo zomwenso ndizofunikira zomwe zingathenso zingakuthandizeni kupanga chisankho chabwino pa mkhalidwe wanu.
Mawu Ochokera
Ma Orthotics ndi otchuka kusankha mankhwala kwa anthu okhala ndi vuto la posterior tibial tendon. Ngati mukuvutika ndi matendawa, mungapindule powagwiritsa ntchito kuti achepetse ululu wanu ndikupangitsani kuyenda kwanu. Chithandizo chanu cha kutayika kwa PTT chiyenera kukhala payekhapayekha chifukwa cha chikhalidwe chanu. Pogwira ntchito limodzi ndi wodwalayo, mungathe kusankha ngati mankhwalawa akuyenera, ndipo mutha kubwerera mwamsanga kuntchito yanu yam'mbuyomu.
> Zotsatira:
> Bek, N. et al. Zotsatira za mankhwala ovomerezeka a posterior tibial tendon kusakwanira pa ululu ndi kulemala. Chipatala Chowawa; 15 (3). Lofalitsidwa pa Intaneti 2013: 345-50.
> Neville, C. ndi al. Mphuno ya phazi lachitsulo yokhala ndi chingwe chotsitsimutsa imachepetsanso kugwidwa koyambirira kwa mitu yomwe ili ndi gawo lachiwiri la posterior tibial tendon. JOSPT; 46 (1) 2016: 26.-33.