Ngati muli ndi matenda otchedwa posterior tibial tendonitis (kapena kuti posterior tibial tendon (PTT) yosavomerezeka , monga momwe amatchulidwira) mungapindule ndi mankhwala opatsirana kuti muthe kuchepetsa kupweteka ndikupangitsani kuyenda kwanu konse. Nthaŵi zina, kupweteka kwanu kapena kuyenda kochepa kungapitilire ngakhale mutayesetsa mwakhama ku PT, ndipo mungafunike njira yopaleshoni kuti musinthe vuto lanu.
Ngati mukufuna kuchitidwa opaleshoni ya PTT kukanika, mungapindule ndi chithandizo chamankhwala mutatha opaleshoni kuti muthandizidwe bwino.
Cholinga cha chithandizo chamankhwala pambuyo poti opaleshoni yapamwamba yothandizidwa ndi matendawa ndi kukuthandizani kuti muyambe kuyendayenda bwino ndi mphamvu mu chiuno, bondo, ndi chiuno. Potsirizira pake, cholinga cha PTT yanu yosachita ntchito posachedwa ndikubwezeretsa ndikubwerera kuntchito yabwino.
Chifukwa chiyani Opaleshoni ya PTT?
Chifukwa chofala kwambiri chochitira opaleshoni yapamwamba pamtunda ndichokongoletsa ululu ndi mphamvu zochepa zoyendayenda chifukwa cha kufooka kwa flatfoot. Thupi lanu la posterior tibialis limathandiza kuthandizira chingwe chachilengedwe cha phazi lanu. Pamene tendon iyi imadandaula kwambiri, imatha kupweteka, kugwetsa, ndipo pamapeto pake kumapangitsa kuti phazi lanu ligwe. Opaleshoni yachitidwa kuti athetse vuto ili ndikuthandizani kuti mubwerere kuntchito yanu yachibadwa.
Panthawi ya opaleshoni yanu, dokotala wanu adzakonzekera m'kamwa mwanu ndipo matenda a posterior tibialis omwe awonongeka adzakonzedwa.
Ikhoza kuchotsedwa kwathunthu, ndipo mtundu wina wa phazi lanu ukhoza kumtengedwera mmalo mwake. Pambuyo pa njirayi, incision idzatsekedwa, ndipo phazi lanu lidzamangidwa. Mitundu yambiri ya PTT imayendetsedwa pamtunda; mudzapita kunyumba tsiku la opaleshoni yanu.
Njira Zoyamba Pambuyo pa Kuchita Opaleshoni Yopangika Kwambiri ya Tibial
Pambuyo pa opaleshoni ya PTT, mwinamwake mukuvekedwa kuvala chifukwa cha kudulidwa kwanu.
Mwinanso mungakhale ovala CAM bootti-boot yapadera ndi nsalu za velcro zomwe zimateteza phazi lanu ndi minofu monga zinthu zikuchiritsa.
Dokotala wanu adzakhalanso akuyenda ndi ndodo . Kawirikawiri pambuyo pa opaleshoni ya PTT, odwala amayenda ndi kachitidwe kosakhala kolemera kwa masabata angapo. Pamene zinthu zikuchiza, mungapite patsogolo kuchokera ku zosalemetsa zala. Dokotala wanu angakuuzeni zomwe mwatsatanetsatane wazomwe mukuchita pochita opaleshoni, ndipo wodwalayo akhoza kukuthandizani kupita patsogolo ndi kuyenda bwino.
Kufufuza kwa PT Pambuyo pa Opaleshoni ya PTT
Mukayamba kupereka chithandizo pambuyo pa opaleshoni yanu ya PTT, wodwala wanu wa thupi adzayesa kafukufuku woyamba. Phunziroli, PT yanu idzafunsani mafunso okhudza mbiri ya chikhalidwe chanu komanso momwe zinapangitsira opaleshoni. Khalani okonzeka kuyankha mafunso okhudza ntchito yanu ndi zosangalatsa zanu komanso za zoperewera zomwe mungakhale nazo chifukwa cha kuvulala ndi opaleshoni yanu. Mafunso awa amathandiza PT yanu kudziwa momwe mkhalidwe wanu umakhudzidwira ntchito yanu yonse ndi moyo wanu.
Mutatenga mbiri, PT yanu idzafufuza.
Zida zosiyana pazomwezi zikuphatikizapo:
- Kufufuza : Pulogalamu yanu idzayang'ana ndikuyang'ana momwe mukuyendera. Awonetsetse ngati chipangizo chanu chothandizira chikulinganiza bwino komanso ngati mukuwonetsa zovuta kapena zosunthika zirizonse mukuyenda.
- Kulumikizana: Kuphatikizana kumaphatikizapo wodwala wanu akukhudza mbali zosiyanasiyana za phazi lanu ndi minofu kuti muwone zizindikiro za kutupa, kutupa, kapena mavuto ena.
- Zotsatira za kayendetsedwe ka kayendedwe kake (ROM) : Wodwala wanu wamagetsi adzagwiritsa ntchito goniometer kuti azindikire kutalika kwa bondo lanu m'njira zosiyanasiyana.
- Miyeso yamphamvu : Njira zamphamvu zingatengedwe pa magulu ochepa a minofu kuzungulira mchiuno mwanu .
- Ndondomeko Yotheka: PT yanu ikhoza kufufuza zovuta zanu kuti muonetsetse kuti zinthu zachiritsidwa bwino. Kusuntha pang'ono kungayesedwe kuti ayang'ane zizindikiro za kumangiriza kapena kuchepa kochepa.
- Mapuloteni a phazi lanu ndi bulu: PT yanu idzafufuza kuti muwone ngati pali kutupa pambali pa mimba ndi mapazi.
Pamene wothandizira wanu akusonkhanitsa deta za momwe mulili panopo, iye angagwire ntchito ndi inu kuti akule zolinga za positi yanu yobwerera. Zolinga zimaphatikizapo:
- Bwezeretsani kumapeto kwa ROM
- Bweretsani mphamvu ku chiuno chanu, bondo, ndi chiuno
- Sakanizani kuyenda
- Sungani bwino
- Thandizani kuti mupeze ntchito yowonjezereka kuphatikizapo kubwerera kuntchito yeniyeni ndi zosangalatsa
Zolinga izi zimapanga maziko a pulogalamu yanu ya PTT thupi. Zimayenera kuchitidwa nthawi zonse, ndipo ziyenera kusinthidwa malinga ndi momwe mukupitira patsogolo ndi mankhwala anu.
Pambuyo poyesa kafukufukuyu, wodwala wanu angayambe chithandizo cha opaleshoni yanu yapamwamba.
Chithandizo cha Mankhwala Pambuyo Opaleshoni ya PTT
Kuchiza pambuyo pa opaleshoni ya PTT kungasinthe malinga ndi chikhalidwe chanu, PT, ndi zosowa zanu zonse monga wodwala. Pulogalamu yanu ya rehab iyenera kukhala yeniyeni ndipo ikulingalira zofunikira zanu.
Thandizo la thupi pambuyo pochita opaleshoni ya matenda anu apamwamba angaphatikizepo mankhwala osiyanasiyana. Chithandizo chilichonse ndi chizoloŵezi chiyenera kugwiritsidwa ntchito kuonjezera kukonzanso kwanu ndikuthandizani kukwaniritsa zolinga zanu za PT. Mankhwala angaphatikizepo:
- Kuchita masewera olimbitsa thupi . Kuchita masewera olimbitsa thupi kumafunika kukhala chithandizo chanu chachikulu ku PT mutatha opaleshoni yapamwamba . Zochita ziyenera kukhala zenizeni pa chikhalidwe chanu ndipo poyamba mukhoza kuganizira zowonjezera ROM ndi mphamvu. Pulogalamu ya masewera olimbitsa thupi ingapite patsogolo mpaka kuyendera bwino kwambiri ndi ntchito zogwira ntchito pamene mupitiriza ndi rehab. Pulogalamu ya kunyumba ikhoza kuyambitsidwa, choncho khalani okonzeka kuchita ntchito zina zapakhomo kuti mutenge manja anu ndi mapazi anu mwachizolowezi.
- Njira zamanja . Nthawi zina, PT yanu imayenera kugwiritsa ntchito manja ake kuti ikuthandizeni kusintha njira yomwe mimba yanu imayendera pambuyo pa opaleshoni ya PTT. Pambuyo pake, ziwalo za mchimako ndi zala zingakhale zolimba, ndipo zowonjezereka zingakhale zofunikira kuti muthe kuyenda bwino. Kutambasula kwa minofu ya m'munsi mwendo wanu kungakhale kofunikanso. Wothandizira wanu angathenso kulimbikitsa minofu yanu ya mitsempha pogwiritsira ntchito zolimbitsa thupi.
- Sakanikita minofu . Ngati PT yanu ikulingalira kuti chilonda chako chagwiritsira ntchito minofu yeniyeni, minofu yofiira ikhoza kuchitidwa. Njirazi zimagwiritsidwa ntchito pofuna kuthandizira njira yomwe ululu wanu umagwirira ntchito ndi zinthu zomwe zimapezeka pansi pa khungu lanu.
- Phunzirani . Cholinga chimodzi cha rehab pambuyo pa opaleshoni ya PTT ndi kubwezeretsa kuyenda koyenera, kotero kuphunzitsidwa bwino kungapangidwe panthawi yamaphunziro anu. Wothandizira wanu akhoza kuchita masewera olimbitsa thupi kuti athandize njira yomwe mukuyendera. Angaperekenso malingaliro okhudza mtundu wa chipangizo chothandizira chomwe muyenera kugwiritsa ntchito panthawi yopititsa patsogolo kuti mupite patsogolo komanso mosamala kuyenda.
- Mankhwala oletsa kutupa ngati ultrasound kapena magetsi . Wothandizira wanu angasankhe kugwiritsa ntchito njira zochiritsira zosiyanasiyana kuti akuwonjezereni kukonzanso kwanu. Ultrasound nthawi zina amagwiritsidwa ntchito kuwonjezereka kufalikira pamapazi anu ndi minofu, ngakhale kuti kafukufuku wogwiritsira ntchito akuwonetsa kuti sikusintha zotsatira za mankhwala. Kukonzekera kwa magetsi kwa kupweteka ndi kutupa kwa kutupa kungagwiritsidwe ntchito, ndipo kuyambitsa mphamvu ya magetsi kungasankhidwe kuti zikhale bwino momwe minofu yanu ikuzungulira mapazi anu ndi mgwirizano wamagulu.
- Kutentha ndi ayezi . Mapuloteni otentha kapena ayezi angagwiritsidwe ntchito panthawi ya mankhwala anu kuti muthe kuyendetsa bwino ndi kuyendetsa kutupa kuzungulira malo opaleshoni.
Dziwani kuti kugwiritsa ntchito njira zosawerengera monga ultrasound kapena e-stimulus pambuyo pa opaleshoni ya PTT sichikugwirizana ndi zolemba za sayansi. Chithandizo chabwino kwambiri cha opaleshoni yanu pambuyo pa opaleshoni ya PTT ndi kuchita masewera olimbitsa thupi komanso kuyenda.
Ubale umene uli nawo ndi PT uyenera kukhala wapafupi; Kugwira ntchito ndi PT yanu iyenera kukhala ngati mgwirizano wothandizira pamene mukugwirira ntchito pamodzi kukwaniritsa zolinga zanu. Ngati muli ndi mafunso okhudza chisamaliro chanu, ingopemphani. Ngati zinthu sizikukonzekera kapena ngati muli ndi nkhawa, funsani PT kuti muthe kugwirira ntchito pamodzi kuti muwonjeze mwayi wanu wochira.
Kodi Ndizitali Ziti Zomwe Mungabwerere Zomwe Zidzatha?
Maphunziro ambiri a rehab pambuyo pa opaleshoni ya PTT atenga masabata pafupifupi 4 mpaka asanu ndi atatu. Kodi izi zikutanthauza kuti mudzakhala ochiritsidwa panthawiyo? Mwinamwake, koma mwinamwake ayi. Odwala ena amasiya PT kuti azigwira ntchito mwachindunji kuti athetseretu ntchitoyi. Njira yanu yokha ya rehab ikhoza kukhala yayitali kapena yofulumira. Khalani osinthasintha, ndipo onetsetsani kuti mugwirizane ndi dokotala wanu kuti mudziwe zomwe muyenera kuyembekezera opaleshoni ya PTT.
Mawu Ochokera
Ngati mwachitidwa opaleshoni ya matenda otchedwa posterior tibial tendonitis, mukhoza kupindula ndi chithandizo chamankhwala kuti muthandizidwe bwino ndikubwerera kuntchito yanu yapitayi. Wodwala wanu wathanzi angakhale mtsogoleri wanu kuti akuthandizeni kuti muyambe kuyenda moyenera ndi mphamvu ndikubwezereni kuntchito yanu yachibadwa. Pogwira ntchito mwakhama, mukhoza kutsimikiza mwamsanga kuti mubwerere kuntchito zanu zapitazo.
> Zotsatira:
> Coster, MC, etal. Kuchita opaleshoni kwa munthu wamkulu yemwe amapeza flatfoot chifukwa cha kupweteka kwa matenda kumapeto kwake kumachepetsa kupweteka, kumapangitsa ntchito ndi umoyo wokhudzana ndi umoyo. 21 (4); 2015: 286-9.
> Louw, A, etal. Chiyeso chosagwiritsidwa ntchito mosasinthika cha 'ultrasound' yotchedwa ultrasound chifukwa cha ululu wochepa wa m'mbuyo.South African Journal of Physiotherapy. 72 (1); 2016: 1-7.