UPlantar fasciitis

I-plantar fascia izicubu ezijiyile ezansi nonyawo. Ixhuma ithambo lesithende ezinzwaneni futhi idale i-arch yonyawo. Lapho lesi sicubu siqala ukuvuvukala noma ukuvuvukala, sibizwa ngokuthi yi-plantar fasciitis.

Ukuvuvukala kwenzeka lapho ibhande elicinene lezicubu ngaphansi konyawo (fascia) seleluliwe noma lisetshenziswa ngokweqile. Lokhu kungaba buhlungu futhi kwenze ukuhamba kube nzima kakhulu.

Kungenzeka ukuthi uthole i-plantar fasciitis uma:

• Unezinkinga ze-foot arch (zombili izinyawo eziyizicaba kanye nemengamo ephakeme)
• Gijimisa amabanga amade, wehle umqansi noma izindawo ezingalingani
• Ukhuluphele noma ukhuluphele ngokungazelelwe
• Yiba nethenda eliqinile le-Achilles (ithenda elixhuma imisipha yethole esithendeni)
• Gqoka izicathulo ngosekelo olubi lwe-arch noma amathe athambile
• Shintsha ileveli yomsebenzi wakho

I-Plantar fasciitis ibonakala kwabesilisa nabesifazane. Ingesinye sezikhalazo ezivamile zezinyawo zamathambo.

UPlantar fasciitis wayevame ukucabanga ukuthi ubangelwa isithende spur. Kodwa-ke, ucwaningo luthole ukuthi lokhu akunjalo. Ku-x-ray, izithende zesithende ziyabonakala kubantu abane-fasciitis ye-plantar nangaphandle kwayo.

Uphawu oluvame kakhulu ubuhlungu nokuqina ngaphansi kwesithende. Ubuhlungu besithende bungaba buthuntu noma bubukhali. Ingaphansi yonyawo nayo ingaqaqamba noma ishe.

Ubuhlungu buba bubi kakhulu:

• Ekuseni lapho uthatha izinyathelo zakho zokuqala
• Ngemuva kokuma noma ukuhlala isikhashana
• Lapho ukhuphuka izitebhisi
• Ngemuva komsebenzi omkhulu
• Ngesikhathi sokuhamba, ukugijima, nokugxuma kwezemidlalo

Ubuhlungu bungakhula kancane ngokuhamba kwesikhathi, noma buvele ngokuzumayo ngemuva kokusebenza okukhulu.

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa komzimba. Lokhu kungakhombisa:

• Ubuhlungu phansi konyawo lwakho.
• Ubuhlungu eceleni kwamathe onyawo.
• Izinyawo eziphansi noma imengamo ephakeme.
• Ukuvuvukala kwezinyawo okuncane noma ubomvu.
• Ukuqina noma ukuqina kwe-arch ngaphansi konyawo lwakho.
• Ukuqina noma ukuqina nethenda yakho ye-Achilles.

Ama-X-ray angathathwa ukukhipha ezinye izinkinga.

Umhlinzeki wakho uzovame ukuncoma lezi zinyathelo kuqala:

• I-Acetaminophen (iTylenol) noma ibuprofen (Advil, Motrin) ukunciphisa izinhlungu nokuvuvukala. Ukuzivocavoca ngesithende nonyawo.
• Imichilo yasebusuku yokugqoka ngenkathi ulele ukwelula unyawo.
• Ukuphumula ngangokunokwenzeka okungenani isonto.
• Ukugqoka izicathulo ngokusekelwa okuhle namakhushini.

Ungafaka futhi iqhwa endaweni ebuhlungu. Yenza lokhu okungenani kabili ngosuku imizuzu eyi-10 kuye kwengu-15, kaningi ezinsukwini ezimbalwa zokuqala.

Uma lezi zindlela zokwelapha zingasebenzi, umhlinzeki wakho angancoma:

• Ukugqoka i-boot cast, ebukeka njenge-ski boot, amasonto amathathu kuya kwayisithupha. Ingasuswa ukugeza.
• Ukufakwa kwesihlangu okwenziwe ngokwezifiso (ama-orthotic).
• Ama-steroid shots noma imijovo esithendeni.

Kwesinye isikhathi, kudingeka ukuhlinzwa ngezinyawo.

Izindlela zokwelashwa ezingezona ezokwelapha ngokuvamile zithuthukisa ubuhlungu. Ukwelashwa kungahlala ezinyangeni ezimbalwa kuye eminyakeni emibili ngaphambi kokuba izimpawu zibe ngcono. Iningi labantu lizizwa lingcono ezinyangeni eziyisithupha kuya kwezi-18. Ngokuvamile, ukuhlinzwa kungadingeka ukukhulula ubuhlungu.

Xhumana nomhlinzeki wakho uma unezimpawu ze-plantar fasciitis.

Ukuqinisekisa ukuthi iqakala lakho, i-Achilles tendon, kanye nemisipha yethole kuyaguquguquka kungasiza ekuvimbeleni i-fasciitis ye-plantar. Nweba i-fascia yakho yezitshalo ekuseni ngaphambi kokuba uvuke embhedeni. Ukwenza imisebenzi ngokulinganisela nakho kungasiza.

• UPlantar fascia
• UPlantar fasciitis

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IKadakia AR, Aiyer AA. Ubuhlungu besithende kanye ne-plantar fasciitis: izimo ezingemuva. Ku: Miller MD, Thompson SR, ama-eds. UDeLee, uDrez, noMiller's Orthopedic Sports Medicine. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2020: isahluko 120.

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