Ukungasebenzi kahle kwe-Posterior Tibial Tendon (Ukungasebenzi Kwemizwa YaseTibial)

-Delile

• Kuyini ukungasebenzi kahle kwe-posterior tibial tendon?
• Ziyini izimbangela nezici zobungozi be-PTTD?
• Ziyini izimpawu ze-PTTD?
• Itholakala kanjani i-PTTD?
• Yiziphi izindlela zokwelapha ze-PTTD?
• Ukunciphisa ukuvuvukala nobuhlungu
• Ukwesekwa ngezinyawo
• Ukuhlinzwa

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

Kuyini ukungasebenzi kahle kwe-posterior tibial tendon?

Ukungasebenzi kahle kwe-tendon tibial tendon (PTTD) yisimo esiholela ekuvukeleni noma ekuqhekekeni kwethenda le-posterior tibial. Ithenda yangemuva ye-tibial ixhuma omunye wemisipha yethole namathambo asezinyaweni ezingaphakathi.

Ngenxa yalokho, i-PTTD ibangela i-flatfoot ngoba i-tendon ayikwazi ukusekela i-arch yonyawo. Ngokwe-American Academy of Orthopedic Surgeons, i-flatfoot ilapho unyawo luwile futhi unyawo lukhomba ngaphandle.

I-PTTD yaziwa nangokuthi i-flatfoot yabantu abadala. Odokotela bavame ukwelapha lesi simo ngaphandle kokuhlinzwa, kepha kwesinye isikhathi ukuhlinzwa kuyadingeka ukulungisa i-tendon.

Ziyini izimbangela nezici zobungozi be-PTTD?

Ithenda yangemuva ye-tibial ingalimala ngenxa yomthelela, njengokuwa noma oxhumana naye ngenkathi udlala imidlalo. Ukusetshenziswa ngokweqile kwethenda ngokuhamba kwesikhathi nakho kungadala ukulimala. Imisebenzi ejwayelekile edala ukulimala ngokweqile ifaka:

• ukuhamba
• egijima
• izintaba
• ukukhuphuka izitebhisi
• ezemidlalo ezinomthelela omkhulu

I-PTTD kungenzeka kakhulu ukuthi yenzeke ku:

• abesifazane
• abantu abaneminyaka engaphezu kwengu-40
• abantu abakhuluphele ngokweqile noma abakhuluphele ngokweqile
• abantu abanesifo sikashukela
• abantu abane-hypertension

Ziyini izimpawu ze-PTTD?

I-PTTD ivame ukuvela ngonyawo olulodwa, noma kwezinye izimo kungenzeka ezinyaweni zombili. Izimpawu ze-PTTD zifaka:

• ubuhlungu, imvamisa kuzungeza ingaphakathi lonyawo neqakala
• ukuvuvukala, ukufudumala, nokubomvu ngaphakathi konyawo neqakala
• ubuhlungu obukhula phakathi nomsebenzi
• ukuthamba konyawo
• ukugingqwa kwangaphakathi kweqakala
• ukuphuma ezinzwaneni nasezinyaweni

Njengoba i-PTTD iqhubeka, indawo yobuhlungu ingashintsha. Lokhu kungenxa yokuthi unyawo lwakho ekugcineni luthamba futhi ithambo lakho lesithende liyashintsha.

Ubuhlungu manje sebungazwakala ngaphandle kweqakala nezinyawo zakho. Izinguquko kwi-posterior tibial tendon zingadala i-arthritis onyaweni naseqakaleni lakho.

Itholakala kanjani i-PTTD?

Udokotela wakho uzoqala ngokuhlola unyawo lwakho. Bangabheka ukuvuvukala eduze kwethenda yangemuva ye-tibial. Udokotela wakho uzophinde avivinye ukunyakaza kwakho ngokuhambisa unyawo lwakho ohlangothini nangaphezulu naphezulu. I-PTTD ingadala izinkinga ngebanga lokuhamba lokuya ohlangothini nohlangothi, kanye nezinkinga ngokuhambisa izinzwane ziye kusinki.

Udokotela wakho uzophinde abheke ukuma konyawo lwakho. Bazobheka i-arch ewile kanye nesithende esidlulisele ngaphandle. Udokotela wakho futhi angahlola ukuthi zingaki izinzwane abazibonayo ngemuva kwesithende sakho lapho umile.

Imvamisa, kuzwakala kuphela uzwane wesihlanu nengxenye yozwane lwesine kule angle. Ku-PTTD, bangabona ngaphezu kwezinzwane zesine nezesihlanu. Kwesinye isikhathi ngisho nazo zonke izinzwane ziyabonakala.

Kungase kudingeke nokuthi ume nasemlenzeni okukuhluphayo bese uzama ukusukuma kuzipho zakho. Imvamisa, umuntu one-PTTD ngeke akwazi ukwenza lokhu.

Odokotela abaningi bangakwazi ukuxilonga izinkinga nge-posterior tibial tendon ngokuhlola unyawo, kepha udokotela wakho angaphinde a-oda ezinye izivivinyo zokucabanga ukuze aqinisekise ukuxilongwa futhi akhiphe ezinye izimo.

Udokotela wakho angalawula ama-X-ray noma ama-CT scan uma ecabanga ukuthi une-arthritis onyaweni noma eqakaleni. Izikena ze-MRI ne-ultrasound zingaqinisekisa i-PTTD.

Yiziphi izindlela zokwelapha ze-PTTD?

Izimo eziningi ze-PTTD ziyelapheka ngaphandle kokuhlinzwa.

Ukunciphisa ukuvuvukala nobuhlungu

Ukwelashwa kokuqala kusiza ukunciphisa ubuhlungu nokuvuvukala futhi kuvumela ithenda yakho isithende. Ukufaka iqhwa endaweni ebuhlungu nokuthatha imishanguzo yokulwa nokuvuvukala (ama-NSAID) kungasiza ekunciphiseni ukuvuvukala nobuhlungu.

Udokotela wakho uzokweluleka nokuthi uphumule futhi uvikele imisebenzi ebangela ubuhlungu, njengokugijima neminye imisebenzi enomthelela omkhulu.

Ukwesekwa ngezinyawo

Ngokuya ngobukhulu be-PTTD yakho, udokotela wakho angaphakamisa uhlobo oluthile lokusekelwa konyawo neqakala lakho. Ukubopha iqakala kungasiza ukususa ukungezwani kuthenda futhi kukuvumele kuphole ngokushesha okukhulu. Lokhu kuyasiza kwi-PTTD emnene ukuya kokuphakathi noma i-PTTD eyenzeka ngesifo samathambo.

Thenga ama-brace brace.

Ama-orthotic wangokwezifiso asiza ukusekela unyawo futhi abuyisele indawo ejwayelekile yonyawo. Ama-Orthotic ayasiza ku-PTTD emnene kuya kokubi kakhulu.

Thenga ama-orthotic.

Uma ukulimala kwethenda yakho yangemuva ye-tibial kunzima, unyawo lwakho neqakala lakho kungadinga ukukhubazeka usebenzisa ibhuthi yokuhamba emfushane. Abantu bavame ukugqoka lokhu amasonto ayisithupha kuya kwayisishiyagalombili. Ivumela ithenda ukuthi ithole ukuphumula kwesinye isikhathi okudingekayo ekwelapheni.

Kodwa-ke, lokhu kungadala nokudleka kwemisipha noma ukuncipha kwemisipha, ngakho odokotela bancoma kuphela amacala abucayi.

Ukuhlinzwa

Ukuhlinzwa kungadingeka uma i-PTTD inzima futhi ezinye izindlela zokwelashwa zingaphumelelanga. Kunezinketho zokuhlinza ezahlukahlukene, kuya ngezimpawu zakho nobukhulu bokulimala kwakho.

Uma unenkinga yokuhambisa iqakala lakho, inqubo yokuhlinza esiza ukwandisa imisipha yethole ingaba inketho. Ezinye izinketho zifaka ukuhlinza okususa izindawo ezilimele kusuka kuthenda noma ukufaka esikhundleni sethenda le-posterior tibial ngolunye uhlobo lomthambo emzimbeni.

Ezimweni ezibucayi kakhulu ze-PTTD, ukuhlinzwa okusika futhi kushukumise amathambo abizwa ngokuthi i-osteotomy noma ukuhlinzwa okuhlanganisa amalunga ndawonye kungadingeka ukulungisa i-flatfoot.