Thandizo la thupi la matenda otchedwa posterior tibial tendonitis (PTT) amatha kukuthandizani kuti muyambe kuyenda bwino komanso kuyenda mozungulira (ROM) , mphamvu, ndi kuyenda. Izi zingathandize kuthetsa ululu ndi kupweteka kwa minofu ndikubwezereni kuntchito yanu yachizolowezi komanso zosangalatsa.
Matenda otsika oterewa ndi omwe amakhudza phazi lanu ndi gawo la mkati mwanu.
Matendawa amadziwika ndi ululu mu phazi lanu ndi minofu, ndipo zingakulepheretseni kuyenda ndi kuyendetsa bwino. Zizindikiro zikhoza kuchepetsanso ntchito zanu zachizolowezi za tsiku ndi tsiku.
Nthaŵi zina, PTT imatchedwa posterior tibial tendon yolephera kugwira ntchito kapena kutsika kwachangu. Mosasamala dzina la chikhalidwecho, wodwala wanu wathanzi akhoza kukuthandizani kuti mubwezeretsenso kupweteka kwabwinobwino ngati muli nacho.
Kodi Posterior Tibial Tendon Ndi Chiyani?
Mtundu wa posterior tibial ndi tendon imene imachokera ku minofu yotchedwa tibialis posterior. Minofu imeneyi imakhala mkatikati mwa mwendo wanu, pansi pa mwana wanu wamphongo . Maphunziro a tendon m'munsi mwa phazi lanu komanso mkati mwa phazi lanu. Zimagwira pansi pa phazi lanu.
Ntchito ya posterior tibial tendon ndi ziwiri. Minofu imasunthira phazi lanu mkati, makamaka pamene phazi lanu ndi zala zakutsogolo zimatchulidwa pansi. Mtedzawu umathandizanso kuthandizira phazi lanu.
Zizindikiro za Posterior Tibial Tendonitis
Ngati muli ndi matenda otchedwa posterior tibial tendonitis, mumakhala ndi zizindikiro zosiyana. Izi ziphatikizapo:
- Ululu wa mkati mwa chiuno chanu
- Ululu pa phazi lanu
- Zovuta ndi kuyenda kapena kuthamanga
- Phazi lakuthwa kapena kugwa pansi
Kawirikawiri, zizindikiro zimadza pang'onopang'ono popanda chifukwa chomveka komanso popanda kuvulazidwa kapena kunyozedwa.
Pachifukwa ichi, kutayika kwa PTT kawirikawiri kumaganizidwa ngati kuvulazidwa mobwerezabwereza; ululu umabwera chifukwa chowonjezereka ndi kupanikizika kwambiri pamtundu wa posterior tibial. Chovuta ndi kupeza ndi kuthana ndi vutoli ndi kudziwa zomwe zimayambitsa vutoli ndikuzikonza. Wodwala wanu wathanzi ndi dokotala wabwino wathanzi kuti achite izi.
Kuzindikira kwa Posterior Tibial Tendonitis
Kudziwa kwa PTT kusayenerera kumapangidwa makamaka ndi kufufuza kwachipatala. Dokotala wanu kapena PT adzayang'ana zizindikiro zinazake. Izi ziphatikizapo:
- Kupweteka kwakukulu kwa mbali ya m'kati mwanu, pambali pa thambo lokhazikika
- Kupweteka pamene akuloza phazi lanu ndi zala zakutsogolo kapena kusuntha phazi lanu, makamaka pamene mukukankhira kutsutsa
- Kukhalapo kwa phazi lakuthwa kapena kugwa pansi
- Chizoloŵezi chosinthika ndi kuyenda
Dokotala wanu angalingalire kuyang'ana maphunziro opatsirana ngati X-ray kapena MRI kuti atsimikizireni kuti ali ndi matenda otani ndikuthetsa vuto lina lililonse. Maphunzirowa si ofunikira kapena oyenera pamene mukuyamba kupeza. Amangotsimikizira kuti matendawa ndi otani. Anthu ambiri amapindula poyambitsa njira yothetsera thupi asanayambe maphunziro aliwonse opatsirana .
Pali magawo anai a PTT osagwira ntchito, aliyense ali ndi zida zake.
Gawo I ndikumangokhalira kukhumudwa ndi PTT popanda kuwonetsa mapazi. Pulogalamu yachiwiri, PTT imatulutsidwa kapena kupangidwira, ndipo phazi likulongosoledwa koma limasintha. Gawo lachitatu likupezeka pamene PTT yanu yawonongeka kapena ikuphwanyidwa ndipo phazi lanu liri lolimba, motsogoleredwa mu malo ake opanikizika. Kulankhulidwa kwakukulu kwa PTT kukanika ndi gawo la IV, pomwe PTT yanu imaphwanyidwa ndipo mitsempha yanu ya mitsempha imatambasulidwa mpaka pomwe pali kuwonongeka kwa mapazi kwa nthawi yaitali.
Zochitika Zophatikiza Thupi Zofunikira
Mukayamba kupita kuchipatala, mudzayesedwa. Panthawiyi, PT yanu idzakusonkhanitsa zokhudzana ndi chikhalidwe chanu.
Iye adzachitanso mayesero ena omwe angaphatikizepo:
- Kuphatikizidwa (kuyang'ana pang'onopang'ono pokhudzana ndi zinyama)
- Njira zambiri zoyendera
- Makhalidwe anu amphamvu, mabondo, ndi minofu
- Fufuzani
- Kufufuza mapazi ndi nsapato
- Kuyesa ndi kuyesa kokwanira
Pamene mayesero onsewa athandizidwa, PT yanu iyenera kudziwa momwe zingagwiritsire ntchito mankhwala a PTT, ndipo mankhwala angayambe. Onetsetsani kuti mufunse mafunso anu a PT pamutu wanu ngati muli nawo. Ubale umene uli nawo ndi wothandizira wanu uyenera kukhala ngati mgwirizano wothandizira; nonse muyenera kugwirira ntchito pamodzi kuti muyang'ane bwino vuto lanu la posterior tibial tendon.
Kuchiza Mankhwala Opatsirana Kwa Tibial Tendonitis
Chithandizo cha PTT chikhoza kukhala ndi zigawo zambiri, ndipo izi zingasinthe malinga ndi chikhalidwe chanu ndi zosowa zanu. Mukhoza kuyembekezera mankhwala ena ochiritsira kuchokera kuchipatala chanu cha posterior tibial tendonitis.
Kuchita masewera olimbitsa thupi kumafunika kukhala chida chanu chachikulu kuti muchepetse vuto lanu la PTT. Chifukwa chiyani? Chifukwa kafukufuku amasonyeza kuti kuchita masewero olimbitsa thupi-pa nthawi yoyenera-kungakuthandizeni kulamulira zizindikiro zanu ndi kuphunzira kuwasunga.
Wodwala wanu akuyenera kulamula kuti azichita zofuna zanu. Akhoza kukhala ndi masewera olimbitsa thupi kuchipatala, ndipo mwinamwake mudzauzidwa kuti pulogalamu ya kunyumba ikhale yopindula. Zochita za posterior tibial tendon zolephera zimaphatikizapo:
- Ankle akutambasula : Anu PT mungakhale mukuchita zozizwitsa zosiyanasiyana kuti musinthe ROM. Izi zingathandize kubwezeretsa kuyenda kwa phazi lanu ndikuthandizira kuchepetsa kuthamanga kwa tibial tendon.
- Zochita zolimbitsa mitsempha: Kugwiritsa ntchito zolimbitsa thupi kumagwiritsidwa ntchito kuthandiza kuthandizira mphamvu ya minofu yosiyanasiyana yomwe imathandiza phazi lanu ndi minofu. Izi zingathe kupanga minofu muyendo wanu, kutsimikizira kuti posterior tibial tendon yanu isadetsedwe.
- Zochita za Hip ndi maondo olimbikitsa : Nthawi zina, kufooka m'chuuno mwako kapena minofu ya mawondo kungachititse kuti phazi lanu lilowetse, ndikuyika nkhawa pa posterior tibial tendon. Phukusi lanu la PT mungakhale mukulimbikitsanso m'chiuno mwanu ndi mawondo kuti muteteze ziwalozo (ndi phazi lanu ndi minofu) mu mgwirizano woyenera. Izi zikhoza kuthetsa nkhawa pamtunda wanu wa posterior tibial.
- Zochita zolimbitsa thupi komanso zoyenera kuchita: Kupititsa patsogolo kayendetsedwe ka thupi ndi kudziwitsidwa kwa thupi kungakuthandizeni kusintha momwe phazi lanu limagwirira ntchito. Izi zikhoza kuthetsa nkhawa m'matumbo anu a tibial.
- Gawani maphunziro: Ngati mukukhala ndi nthawi yovuta kuyenda chifukwa cha kutayika kwa PTT, PT yanu ingapereke zochitika zina zomwe zingakuthandizeni kuti musinthe.
- Zochita zozizira (panthawiyi kumapeto kwa rehab): Ngati zinthu zachiritsidwa, PT yanu ingayambe kuyamba kudumphira ndi kubwera kuti ikwaniritse kulekerera kwa mtolo wa posterior tibial. Maphunziro a plingometric ndi ofunika kwambiri ngati mukukonzekera kubwerera ku masewera apamwamba.
Zochita zina zingakhale zopweteka kuchita ndipo zina zingakhale zophweka. Ngati muli ndi mafunso okhudza machitidwe anu a rehab, onetsetsani kuti mufunse odwala wanu.
Pamene zochitika ziyenera kukhala zigawo zazikulu zapenti yanu ya PT kubwerera kwa PTT, mungakumane ndi mankhwala ena panthawi ya mankhwala. Njira zina zothandizira matenda a posterior tibial tendonitis ndi monga:
- Zowonjezera nsapato kapena ndondomeko zamatenda: Anthandizi kapena oikapo angathandize kuti phazi lanu likhale lolumikizika bwino, kuthetseratu kupanikizika ndi kupweteka pa posterior tibial tendon yanu.
- Ultrasound : Ultrasound ndi kutentha kwakukulu koyendetsa bwino komwe kumalingalira kuti kusinthidwa kwa m'dera lanu ndi kuthamanga kwa magazi kuntchito zanu.
- Kukonzekera kwa magetsi : Mankhwalawa angagwiritsidwe ntchito poonjezera magazi amderali kapena kuchepetsa ululu umene mumamva.
- Kupanga Kinesiology Kugwiritsira ntchito mankhwalawa kumaphatikizapo kuika tepi pa thupi lanu pafupi kapena pafupi ndi phazi lanu. Tepi ikhoza kugwiritsidwa ntchito kupititsa patsogolo mitsempha ya minofu kapena kulepheretsa minofu kuti isagwirizane molakwika. Angagwiritsidwenso ntchito kuthandiza kuchepetsa ululu.
- Kupweteka : Ngati phazi lanu ndi minofu zatembenuzidwa kwambiri, mungapindule pogwiritsira ntchito kachipangizo kakang'ono kuti mukhale ndi mgwirizano wotsika kwambiri.
- Iontophoresis : Mtundu uwu wotsitsimutsa magetsi umagwiritsidwa ntchito popereka mankhwala otsutsa-kutupa ku tendon yanu kudzera pakhungu lanu.
- Kuchulukitsa: PP yanu ingagwiritse ntchito njira zosiyanasiyana zochepetsa minofu kuti zithandize kuchepetsa ululu, kuchepetsa kuthamanga kwa magazi, ndikulimbikitsanso kusintha kwa minofu ndi minofu kuzungulira phazi lanu.
Kumbukirani kuti zambiri mwa mankhwalawa ndizochilengedwe; simukuchita kanthu pamene wodwalayo akuchiritsirani. Kafukufuku akusonyeza kuti kugwira ntchito mwakhama ku PTT kukanika ntchito ndi njira yabwino kwambiri yochitira. Mankhwala osasangalatsa angamve bwino, koma zotsatira zake zonse zimaonedwa kuti ndi zosayenera.
Komanso, mankhwala ena opatsirana a PTT monga kukakamiza magetsi, kugwiritsira ntchito magetsi, ndi ultrasound sagwirizana ndi kufufuza kovuta kwa sayansi. Mankhwalawa sangakuvulazeni, koma kafukufuku amasonyeza kuti sangakhale chithandizo chothandizira pa rehab yanu. Ngati PT yanu ikupatsani chithandizo china cha matenda anu, onetsetsani kuti mumvetsetsa cholinga cha chithandizo ndipo ngati chiri chofunikira pa pulogalamu yanu.
Njira Zoyamba Zothandizira Kutha Kwambiri Kwambiri kwa Tibial
Ngati mukuganiza kuti muli ndi matenda otsika a posterior tibial kapena kutayika, pali zinthu zingapo zomwe muyenera kuchita nthawi yomweyo. Choyamba, funsani dokotala wanu, kuti mutsimikizire kuti ululu si chinthu chovuta kwambiri. Mutha kuitananso PT pomwepo; Ambiri ku US amakulolani kuti muwone wodwala popanda mankhwala adokotala kudzera mwachindunji. Mwamsanga mungayambe kuchipatala, mofulumira ululu ukhoza kuthetsedwa.
Poyang'anira ntchito ya PTT, ndibwino kuti musamachite zinthu zowonjezereka. Ngati ndinu wothamanga, mwinamwake kupeŵa kuthamanga kwa kanthawi ndi lingaliro labwino. Kuphunzitsa pamtunda pa njinga kapena mu dziwe losambira kungakuthandizeni kukhalabe ndi thupi labwino.
Kodi Kutha kwa PTT Kwatha Kutalika Motani?
Mipingo yambiri yamatenda amatuluka pafupi masabata 4 mpaka 6. Masabata angapo oyambirira amadziwika ndi ululu waukulu, ndipo ululuwo umachepa pang'onopang'ono mwezi umodzi kapena kuposerapo. Zigawo zina ndizofupikitsa, ndipo zina ndizitali. Aliyense amachiza pamitengo yosiyana, ndipo chikhalidwe cha munthu ndi chosiyana, kotero onetsetsani kuti mukulankhula ndi PT anu za momwe mukudziwiratu ndi matenda a posterior tibial tendonitis.
Ngati zizindikiro zanu zikupitirira patatha masabata asanu ndi atatu, mungafunikire kulingalira zina mwa njira zothandizira. Izi zimaphatikizapo jekeseni wa cortisone kuti ikhale ndi zotupa pa tendon kapena njira yopaleshoni yomwe tendon imasunthira kumalo osiyana, ndikupanikizika pa tendon pamene mukuthandizira phazi la phazi lanu.
Ngati mwachitidwa opaleshoni yoperewera kwa posterior tibial tendon, mutha kupindula ndi PT mutatha njira zomwe zingakuthandizeninso kuti mupeze bwino.
Mawu Ochokera
Ngati muli ndi vuto la posterior tibial malonction kapena tendonitis, ndibwino kuti muthe kuyamba kuchipatala nthawi yomweyo. Musalole kuti mavuto ang'onoang'ono akhale ovuta omwe angakhale ovuta kuchiza. Nthawi zambiri zimagwiritsidwa ntchito mosavuta ndi odziwa ntchito za wodwalayo. Pochita zinthu zabwino pamkhalidwe wanu, mutha kubwerera mwamsanga ndikubwerera kuntchito zanu zachizolowezi.
> Zotsatira:
> Espinoza, N, ndi Maurer, M. Stage I ndi II Posterior Tibial Tendon Dysfunction: Kubwerera ku Running? Makliniki ku Medi Med. October 2015, 34 (4): 761-768.
> Guelfi, M. etal. Anatomy, pathophysiology, ndi mtundu wa posterior tibial tendon yolephera. Eur Rev Med Pharmocol Sci. 2017; 21: 13-19.