Ngati muli ndi matenda otchedwa posterior tibial tendonitis , omwe amadziwikanso kuti PTT sagwira ntchito, mungapindule ndi machitidwe opatsirana opaleshoni kuti muthandize matenda anu. Zochita zamankhwala za PTT zosavomerezeka zimapangidwa kuti zithandize kusintha maulendo anu (ROM) , kusinthasintha, ndi mphamvu zonse ndi kulingalira. Izi zikhoza kukuthandizani kuti mubwererenso kuntchito yanu yachibadwa, yopweteka.
Matenda osokoneza bongo ndi omwe amachititsa ululu mkati mwa phazi lanu. Kupweteka kungakulepheretseni kuyenda kwanu kapena kuthamanga mwachizolowezi. Kugwira ntchito ndi wodwala wanu wathanzi kungakhale njira yothandiza kuthetsa ululu wanu ndi kubwerera kuntchito zanu zachizolowezi.
Zolinga za mankhwala opatsirana pa PTT ndi awa:
- Kuthetsa ululu wanu
- Kuwonjezera phazi ndi khungu ROM
- Limbikitsani mphamvu ndi phazi mphamvu
- Kupititsa patsogolo malo a phazi ntchito yogwiritsira ntchito kapena mankhwala
- Kukuthandizani kuti mubwerere kuntchito yachizolowezi ndikugwira ntchito
Wodwala wanu wamagetsi angagwiritse ntchito njira zosiyanasiyana zochizira kuti akuthandizeni PTT kukanika. Izi zikhoza kuphatikizapo njira zothandizira, njira zothandizira , kugwiritsira ntchito kanyama , ndi kuchita masewera olimbitsa thupi.
Machitidwe opatsirana opaleshoni a PTT osagwira ntchito ayenera kukhala gawo lalikulu la pulogalamu yanu ya mankhwala. Chifukwa chiyani? Chifukwa kafukufuku amasonyeza kuti maseŵera olimbitsa thupi angakhale njira yothetsera vuto. Chinyengo ndi kudziwa zomwe mukuyenera kuzichita-ndi nthawi yoti muzichita-mwachindunji chanu. PT yanu ingakuthandizeni kuzindikira izi.
Musanayambe pulogalamu iliyonse yogwira ntchito ya PTT, onani dokotala kuti awonetsetse kuti masewero olimbitsa thupi ndi abwino.
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Chiwerengero cha KuthamangaNgati muli ndi vuto la PTT, PT yanu idzalembetsa zochitika za ROM. Zochitazo zapangidwa kuti zitsimikizire kuti phazi lanu ndi minofu zimatha kusuntha kwathunthu ndi zopweteka kumbali zonse.
Zochita za Anomle ROM zingakhale zogwira ntchito kapena zosasamala. Zochita zosavuta za ROM zimatanthauza kuti wodwala wanu akuyendetsa phazi lanu ndi minofu kwa inu. Inu simukuchita kalikonse pamene mukuchita zovuta za ROM.
Zochita masewera olimbitsa thupi a ROM zimaphatikizapo machitidwe 4 a kuyenda. Izi ndi:
- Kutsekedwa (kukoka zala zanu ndi zala za mmwamba)
- Kuwombera (kukuwonetsa zala zanu ndi zala za pansi)
- Kusuntha (kusuntha phazi lanu ndi mchira mkati)
- Eversion (kusuntha phazi lanu ndi minofu pambuyo pake ndi kutalika pakati pa thupi lanu)
Zochita za Anomle ROM za PTT zosayenerera ziyenera kuchitidwa mu ululu wopanda pake. Ngati kuwonjezeka kulikonse kumapwetekedwa, yesani ntchitoyi ndikuyang'ana ndi PT yanu.
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ImatambasulaWodwala wanu wathanzi angapereke mankhwala otambasula kwa phazi lanu ndi minofu ngati muli ndi matenda otchedwa posterior tibial tendonitis. Kutsegula kungaphatikizepo:
- Woyendetsa wothamanga
- Chovala cha thaulo chimatambasula
- Mphindi
- Anterior tibialis akuyenda
Kutambasula kumachitika kwa masekondi 20 mpaka 30, ndipo akhoza kubwerezedwa kangapo tsiku lililonse.
Zochita zolimbitsa thupi za PTT zosayenerera zingathandize kuthetsa kuyenda kwa magulu onse a minofu kuzungulira m'munsi mwako, kuonetsetsa kuti kuyenda molondola kumayenda ndikuyenda.
Musalole kuchita maseŵera olimbitsa thupi omwe amachititsa ululu wambiri m'mapazi anu kapena minofu.
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Nkhosa ndi Mapazi KulimbitsaWodwala wanu wathanzi angapereke machitidwe olimbitsa manja amtundu wanu wa PTT wosayenerera. Zochita izi zapangidwa kuti ziwonjezere kukhazikika kwa phazi lanu ndi minofu, motero mukumva kupanikizika ndi kupweteka pachitsipa chanu cha posterior tibialis.
Imodzi mwa njira zosavuta zowonjezera makutu anu ndi gulu lokaniza. Mapulogalamu awa a reba amatha kuzungulira phazi lanu kuti muonjezere kukana pamene mukuyenda. Kukaniza mawotchi a bulu pamatumbo anu kungaphatikizepo:
- Kutembenuka kwa ankle
- Ankle eversion
- Anke kuwombera
- Ankle plantarflexion
Kuchita masewera olimbitsa thupi sikuyenera kupweteka, ndipo ayenera kupangitsa kuti mphuno ndi mapazi anu azivutika. Ngati ndi zophweka, mukhoza kuwatsutsa kwambiri mwa kusintha gulu lokaniza; gulu lamphamvu limatanthauza kukana kwambiri. (Kukayikira kumbuyo gulu kungakwititsenso mavuto.)
Kuchita masewera olimbikitsa mapazi anu (inde, pali minofu yaing'ono yomwe imayendetsa malo awo) angapangidwe ndi PT kuti muthandizire phazi lanu. Izi zikhoza kukuthandizani kukhala ndi chigoba chachilengedwe pamapazi anu, ndikupanikizika pamtunda wanu wamtundu wa posterior tibial.
Kuchita masewero kungaphatikizepo kuwombera chopukutira ndi zala zakutsogolo, kulunjika minofu ndi zala zakutsogolo, kapena kukoka zala zakutsogolo motsutsana ndi magetsi otsutsa.
Zochita zonse za phazi ndi minofu zikhoza kuchitika kawiri kapena kawiri, mobwerezabwereza pa sabata.
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Kulimbikitsidwa kwa Hip ndi KneeMusadabwe ngati wodwala wodwalayo akulembetsa machitidwe olimbitsa thupi ndi mawondo a PTT. Ndichifukwa chakuti mchiuno ndi bondo lanu zimathandiza kulamulira malo anu onse otsika , kuphatikizapo phazi lanu ndi minofu. Kulimbitsa minofu yozungulira mchiuno mwako ndi mawondo kungathandize kutsimikiza kuti phazi lanu liri pamalo abwino pamene mukuyenda ndi kuthamanga.
Zochita zolimbikitsa Hip zingaphatikizepo:
- Mlathowu
- Mlatho umodzi wamlendo
- Theraband hip kulimbikitsa
- Kuyenda maulendo
- Mgugu wangwiro ukukwera m'njira zosiyanasiyana
Zochita za minofu kuzungulira maondo anu ziganizire pa quadriceps yanu ndi hamstrings ndipo zingaphatikizepo:
- Zithunzi zochepa za arc quads
- Magulu
- Maungulo
- Lendo lolowera limadzuka
Pansi pamapeto ntchito zolimbikitsana ziyenera kuchitidwa kwa 8-15 kubwereza, ndipo chisamaliro chiyenera kutengedwa kuti chiziyenda pang'onopang'ono kudutsa. Ngati zolimbitsa thupi zilizonse zimayambitsa kupweteka, lekani ndiyang'ane ndi PT yanu.
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Kusamalirana ndi KupatsaKuchita zinthu mosamalitsa komanso kudziwonetsera nokha kungakhale chinthu chofunikira pa pulogalamu yanu ya RET rehab. Chifukwa chiyani? Chifukwa chakuti mwatsatanetsatane mukudziŵa bwino za phazi ndi minofu malo amasonyezedwa kuti achepetse kupanikizika kupyolera mu chisala chanu cha posterior tibial. Izi zingathandize kuchepetsa kupweteka ndikukulitsa luso lanu lobwerera kubwalo labwino, kuyenda mopanda ululu ndikuyenda.
Kuchita masewera olimbitsa thupi kungakhale kosavuta, monga momwe mwendo umodzi umayendera. Kuchita masewero olimbitsa thupi kungaphatikizepo kuima pa piritsi lamoto ndi phazi limodzi pamene mukukhala ndi mpira kapena pang'onopang'ono.
Zida mu chipatala cha PT zingathenso kugwiritsidwa ntchito kuti muyambe kukonza bwino ndi kudziwika kwanu. Izi ziphatikizapo:
- BAPS bolodi
- Pogwiritsa ntchito mpira wa BOSU
- Kuimirira pa bolodi lakuda kapena ROCK board
Kuchita kwanu moyenerera kumachitidwa pang'onopang'ono komanso ndi kulamulira. Osadandaula ngati ali ovuta poyamba; Zitha kutenga masabata angapo kuti muwone kusintha kwanu.
Kuchita masewera olimbitsa thupi kumodzi kungaperekedwe ngati gawo la pulogalamu yanu yochitira kunyumba.
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PlyometricsPlyometrics imatanthawuza kuti thupi lanu limatha kulumphira ndi kutsika ndi mphamvu yakuphulika. Zimakupatsani inu kuthamanga mwamsanga, kusintha njira, ndi kuvomereza mphamvu zomwe thupi lanu zingakumane nazo pamene zikuyenda ndi kudumphira.
Wothandizira wanu wa thupi angakhale kuti mukuchita zolimbitsa thupi monga gawo la posterior tibial tendonitis rehab. Maphunzirowa ndi ofunikira kwambiri ngati ndinu wothamanga wofuna kubwereranso kupweteka kuchitetezo chanu choyambirira cha masewera.
Ngati muli ndi PTT, simungathe kudikirira mpaka kumapeto kwa rehab yanu musanayambe maphunziro a plyometric - mphamvu zomwe zimaperekedwa m'thupi lanu zimakhala ndi mphamvu, zowonongeka, ndi zovomerezeka.
Kuchita masewera olimbitsa thupi kungaphatikizepo kudumpha, kugwedeza mwendo , ndi kudumphira kapena kulumpha mu ndege zosiyanasiyana zoyendetsa ndi kulondolera.
Chisamaliro chiyenera kutengedwa pamene mukuchita maphunziro a plyometric; muyenera kuonetsetsa kuti thupi lanu lili bwino pamene mukuyesera kuti muvulaze. P PT yanu ingathandize kutsimikiza kuti mukuchita bwino plyometric anu PTT rehab.
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Kubwerera ku NtchitoPambuyo pa masabata angapo opanga zochitika za PT za kutayika kwa PTT, wodwala wanu wathanzi akhoza kupititsa patsogolo kubwezeretsa kwanu kuphatikizapo kuchita masewera olimbitsa thupi monga kuyendetsa kapena kulumpha. Kusunthika kumeneku kuyenera kukhala kovuta pazochitika zanu; Ngati matenda anu a PTT amakulepheretsani kuthamanga kapena kuchita nawo masewera anuake, ndiye PT yanu iyenera kuyendetsa masewerawa.
Kubwereranso kuntchito zanu zowonjezera kungapangitse kuwonjezereka pang'ono kapena kubwerera kwa zizindikiro zanu, kotero muyenera kusamalidwa pang'onopang'ono ndipo pang'onopang'ono mubwerere kuntchito yanu yachizolowezi. PT yanu ikhoza kukuthandizani pamene mukubwerera kuntchito zanu zachizolowezi. Zochuluka kwambiri, posachedwa zingasinthe zinthu zabwino zomwe mwapeza panthawi ya rehab, kotero muyenera kusamalidwa kuti mubwezeretse kuntchito zanu zachizolowezi.
Nthawi zambiri matenda a PTT amawoneka bwino masabata asanu ndi limodzi kapena asanu ndi limodzi. Ngati zizindikiro zanu ndi kuwonongeka kwanu zikupitirira pambuyo pake, mukhoza kupindula ndi dokotala wa opaleshoni kuti mukambirane zomwe mungachite. Odwala ena amapindula ndi jekeseni ya cortisone chifukwa cha tendonitis, ndipo ena ochepa angafunikirepo opaleshoni kuti athetse vutoli.
Mawu Ochokera
Kupweteka kwa mapazi ndi minofu kumatenda otchedwa posterior tibial tendonitis kapena kusagwira ntchito kungakulepheretseni kuchita ntchito zanu zachizolowezi. Musadandaule; Nthawi zambiri matenda a PTT amatha kuchiritsidwa ndi njira zowonongeka monga mankhwala opatsirana. Zochita zowonjezera momwe minofu ndi phazi lanu likuyendera ndi ntchito ndi gawo lofunika la PTT rehab.
Ngati muli ndi ululu wamapazi ndi minofu, pitani kuchipatala kuti mudziwe bwinobwino, ndiyeno mugwirizane ndi PT yanu kukonza vuto lanu ndi kubwerera kuntchito yanu yapitayi.
> Chitsime: Guelfi, M. etal. Anatomy, Pathophysiology, ndi Chikhalidwe cha Posterior Tibial Tendon Dysfunction . Eur Rev Med Pharmacol Sci.2017; 21: 13-19