Umhubhe weTarsal syndrome

I-Tarsal tunnel syndrome yisimo lapho kucindezelwa khona i-tibial nerve. Le yinzwa eseqakaleni evumela ukuzwa nokunyakaza ezingxenyeni zonyawo. I-Tarsal tunnel syndrome ingaholela ekubeni ndikindiki, ukuncinza, ubuthakathaka, noma ukulimala kwemisipha ikakhulu phansi konyawo.

I-Tarsal tunnel syndrome iyindlela engavamile ye-peripheral neuropathy. Kwenzeka lapho kukhona ukulimala kwe-tibial nerve.

Indawo enyaweni lapho inzwa ingena khona ngemuva kweqakala ibizwa ngokuthi umhubhe wetarsal. Lo mhubhe uvame ukuba mncane. Lapho i-tibial nerve icindezelwe, iba nezimpawu zesifo se-tarsal tunnel syndrome.

Ingcindezi kwi-tibial nerve kungenzeka ukuthi ingenxa yokunye kwalokhu okulandelayo:

• Ukuvuvukala ngenxa yokulimala, njenge-ankle evinjiwe noma i-tendon eseduze
• Ukukhula okungavamile, okufana ne-bone spur, iqhubu ku-joint (ganglion cyst), ukuvuvukala (varicose) vein
• Izinyawo eziphansi noma i-arch ephakeme
• Izifo zomzimba wonke (zesistimu), njengesifo sikashukela, ukusebenza kwe-thyroid ephansi, i-arthritis

Kwezinye izimo, asikho isizathu esingatholwa.

Izimpawu zingafaka noma yikuphi okulandelayo:

• Izwela lishintsha phansi konyawo nezinzwane, kufaka phakathi ukuzwa okuvuthayo, ukuba ndikindiki, ukuhayiza, noma okunye ukuzwa okungavamile
• Ubuhlungu phansi konyawo nezinzwani
• Ubuthakathaka bemisipha yonyawo
• Ubuthakathaka bezinzwane noma iqakala

Ezimweni ezinzima, imisipha yonyawo ibuthakathaka kakhulu, futhi unyawo lungakhubazeka.

Umhlinzeki wakho wokunakekelwa kwezempilo uzohlola unyawo lwakho abuze ngezimpawu zakho.

Ngesikhathi sokuhlolwa, umhlinzeki wakho angakuthola unalezi zimpawu ezilandelayo:

• Ukungakwazi ukusonga izinzwane, cindezela unyawo phansi, noma ukusonta iqakala ngaphakathi
• Ubuthakathaka emaqakaleni, ezinyaweni noma ezinzwaneni

Ukuhlolwa okungenziwa kufaka phakathi:

• I-EMG (ukuqoshwa komsebenzi kagesi emisipheni)
• I-biopsy yezinzwa
• Ukuhlolwa kokuqhutshwa kwemizwa (ukuqoshwa komsebenzi kagesi eceleni kwenzwa)

Ezinye izivivinyo ezinga-odwa zifaka phakathi ukuhlolwa kwegazi nokuhlolwa kwe-imaging, njenge-x-ray, i-ultrasound, noma iMRI.

Ukwelashwa kuya ngesizathu sezimpawu.

• Umhlinzeki wakho kungenzeka aphakamise ukuphumula kokuqala, ukubeka iqhwa eqakaleni, nokugwema imisebenzi edala izimpawu.
• Imithi yezinhlungu ezingaphezulu kwe-counter, njengama-NSAID, ingasiza ekunciphiseni ubuhlungu nokuvuvukala.
• Uma izimpawu zibangelwa inkinga yezinyawo ezinjengezinyawo eziyizicaba, ama-orthotic wangokwezifiso noma ama-brace angabekwa.
• Ukwelashwa ngokomzimba kungasiza ekuqiniseni imisipha yonyawo futhi kuthuthukise ukuguquguquka.
• Umjovo weSteroid eqakaleni ungadingeka.
• Ukuhlinzwa ukukhulisa umhubhe we-tarsal noma ukudlulisa imizwa kungasiza ekunciphiseni ingcindezi kwi-tibial nerve.

Ungalulama ngokugcwele uma kutholakala imbangela ye-tarsal tunnel syndrome futhi yelashwa ngempumelelo. Abanye abantu bangaba nokulahlekelwa okuyingxenye noma okuphelele kokuhamba noma ukuzwa. Ubuhlungu bemizwa bungase bungakhululeki futhi buhlale isikhathi eside.

Ukungalashwa, i-tarsal tunnel syndrome kungaholela kokulandelayo:

• Ukukhubazeka konyawo (kumnene kuya kokubi)
• Ukulahleka kokuhamba ezinzwaneni (ngokwengxenye noma okuphelele)
• Ukulimala okuphindiwe noma okungabonwa emlenzeni
• Ukulahleka kwemizwa ezinzwaneni noma ezinyaweni (okuyingxenye noma okuphelele)

Shayela umhlinzeki wakho uma unezimpawu ze-tarsal tunnel syndrome. Ukuxilongwa nokwelashwa kusenesikhathi kwandisa amathuba okuthi izimpawu zilawulwe.

Ukungasebenzi kwemizwa ye-Tibial; I-posterior tibial neuralgia; I-Neuropathy - i-posterior tibial nerve; I-peripheral neuropathy - i-tibial nerve; Ukuboshwa kwezinzwa ze-Tibial

• Imizwa ye-Tibial

I-Katirji B. Ukuphazamiseka kwemizwa yangaphakathi. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ama-eds. I-Neurology kaBradley ekwenziweni kwemitholampilo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahluko 107.

Nginamahloni ME. I-peripheral neuropathies. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 420.