Uma une- tendonitis yangemva kwe-posterior , ngezinye izikhathi ebizwa ngokuthi i-posterior tibial tendon (PTT) ukungasebenzi, ungase uzuze ekusebenzeni nomhlinzeki wenyama ukuze usize ukuncipha ubuhlungu bakho futhi uthuthukise ukuhamba kwakho. Okunye ukwelashwa okungase kusetshenziswe yi-PT yakho ye-PTT ukungasebenzi kuyincoma izintuthwane noma ukufakwa kwezicathulo. Ukufakwa kwezicathulo ze-tendonitis yangemva kwe-posterior isetshenziswa ukuthuthukisa isikhundla sakho sezinyawo nokuphakamisa noma ukusekela umcibisholo wezinyawo zakho, ngaleyo ndlela ukhulule ukucindezeleka nokucindezeleka kusuka ethandeni yakho ye-tibialis posterior.
Kodwa ingabe ama-orthotic ayadingeka ngempela?
I-Foot Position kanye ne-PTT Dysfunction
Isazi sakho somzimba sizohlola isimo sakho sezinyawo phakathi nokuhlolwa kwakho kokuqala kwe-PTT ukungasebenzi. Kungani? Ngoba abantu abaningi abanezinkinga ze-PTT bane-arch ephakathi (noma ngaphakathi) ewela phansi. Lokhu kuvame ukubhekwa njengokukhula komuntu omdala okutholiwe noma pes planus. Njengoba i-arch yakho iwa futhi unyawo lwakho luyaqhubeka, ukucindezeleka nokucindezeleka kungabekwa phezu kwethenda yakho ye-tibialis posterior emlenzeni wakho ophansi, futhi lokhu kungaholela ebuhlungu kwisici sangaphakathi sezinyawo zakho nezinyawo.
Nakhu okuthakazelisayo: akuwona wonke umuntu onamahloni okuthola unyawo othole isithandwa se-posterior tibial, futhi akuwona wonke umuntu onokukhubazeka kwe-PTT onomgogodla owela phansi. Yingakho ukwelashwa kwakho kufanele kube ngabanye. Futhi udokotela ongokwenyama angasiza ekunqumeni ukwelashwa okungcono kwesimo sakho esithile. Ukusebenzisa ama-orthotics we-PTT ukungasebenzi kungaba ingxenye eyodwa yohlelo lwakho lokubuyisela kabusha.
Ukulungisa Isikhundla Sezinyawo Nge-Orthotics
Ngakho-ke ama-orthotics akwenzenjani ngezinyawo zakho? Mane nje, baqinisa umcibisholo ophakathi, osekela isici sangaphakathi senyawo lwakho. Lokhu-ezindaweni ezenzelwe izinyawo zakho kanye nesithoni sakho se-posterior tibial esimweni esihle sokusebenza kahle. I-tendon esebenzayo kahle ayilimazi, futhi ukuhamba kwakho nokugijima kungabuyela ekujwayelekile.
Kunezinhlobo ezahlukene zezitho zomzimba. Ukufakwa kwesicathulo se-off-the-shelf kungathengwa esitolo sakho sesikhwama sekhaya noma ikhemisi. Ziyizintandokazi ezijwayelekile ozibeka ezicathulweni zakho ukuze unikeze ukwesekwa okwengeziwe ezinyaweni zakho. Kubantu abathile abane-PTT ukungasebenzi, lokhu kungase kube ngokwanele.Lezi zindleko eziphansi, kepha aziklomelo ngokwezifiso zakho zonyawo.
Ama-orthotics akhunjelwe ngokwezifiso enye inketho yabantu abafuna ukusekela umcibisholo wabo ophakathi. Lezi zibunjwa ukuze zihambisane nezinyawo zakho yi-PT noma i-orthotist. Bathatha amasonto ambalwa ukwenza; ngokuvamile i-PT yakho noma i-orthotist izokhipha izinyawo zakho bese ithumela labo abaya kumkhiqizi womzimba. Izitho zomzimba zenziwa ngokusho kwezinyawo zakho. Inkinga enkulu ngama-orthotics angokweziko: angabiza. Eziningi zokufaka izicathulo zenkambiso zingadla u-$ 300 kuya ku-$ 500 (US). Izindleko eziphezulu zingenza ube isikhashana futhi ucabange kabili ngaphambi kokuthenga ukufakwa kwendabuko kokusebenza kwakho kwe-PTT. Kodwa uma besisiza isimo sakho, bangase bazuze.
Umbuzo omkhulu okumele uphendule uma ucabanga ngama-orthotics we-PTT ukungasebenzi: ingabe isebenza ngempela?
Uyini Ucwaningo Lokubonisa?
Enye indlela yokuhlola ukusebenza kwamathambo (noma yimuphi omunye ukwelashwa) we-PTT ukungasebenzi kahle ukuhlola ucwaningo lwesayensi olushicilelwe mayelana nesimo.
Izinto zokuqala kuqala: Ingabe ama-orthotics empeleni ashintsha isikhundla sezinyawo zakho ukuze unciphise ukulayishwa kwethenda le-posterior tibial?
Ucwaningo olwanyatheliswa ngo-2016 luhlolisise izinguquko zesimo sezinyawo nezinyawo ezenzeka ngokusebenzisa izinhlobo ezimbili zezintambo kanye nesihlangu esivamile. Izifundo eziyishumi nanhlanu nge-PTT ukungasebenzi kwadingeka ukuhlaziya kwabo ngenkathi begqoka izinhlobo ezahlukene zezicathulo nama-orthotics. Abacwaningi bathola ukuthi ukusebenzisa isici esiyinkimbinkimbi nesandiso esikhethekile esisodwa sasiza ukulungisa ukuma kwesinyawo kangcono kunokusebenzisa isicathulo sokuhamba esijwayelekile. Omunye angase athole ukuthi i-orthotic ingakwazi ukulungisa isikhundla sezinyawo ngenkathi ihamba.
Kuthiwa ukuthi lokhu kulungiswa kungasiza ekunciphiseni ukunyuka kwethendonini yakho yangemva kwe-tibial.
Olunye ucwaningo lwahlola amazinga nobuhlungu nokukhubazeka ezigulini ezingu-25 (amadoda angu-10 nabesifazane abangu-15) abane-tendonitis e-posterior tibial. Idatha ekuqaleni yayiqoqwe mayelana nezinga lobuhlungu labaguli kanye nokulahlekelwa ukusebenza, bese isihloko ngasinye sinezintambo zokugcina amaviki ayisithupha. Abacwaningi bathola ukuthi kunciphisa amazinga nobuhlungu nokukhubazeka ngaphezu kwesikhathi sesonto lesithupha ngenkathi usebenzisa ama-orthotics.
Inkinga eyodwa ngokucwaninga: kwakungekho iqembu lokulawula. Zonke izifundo zinezintuthwane, ngakho-ke aziwa ukuthi ukuthuthukiswa okubonwayo kungenxa yezinzwa noma nje ukuhamba kwesikhathi. Mhlawumbe ezinye izilinganiso ezingalindelekile zenze ngcono ukubonakala kuleso sifundo.
Ngezansi: ama-orthotics angalungisa isikhundla sezinyawo zakho, futhi angasiza ukunciphisa ubuhlungu nokulahlekelwa ukusebenza ngenxa ye-PTT ukungasebenzi. Kodwa, ucwaningo oluphathelene nokusetshenziswa kwabo lubi, futhi luhlala luyimfihlakalo uma luzosebenza ngesimo sakho esithile.
Indlela Ukwelashwa Kwemvelo Kungasiza Ngayo
Uma une-PTT ukungasebenzi, ungase uzuze ekusebenzeni nomhlinzeki wenyama ukuze usize ukuthuthukisa izimpawu zakho bese ubuyela ezingeni lakho langaphambilini lomsebenzi. I-PT yakho ingahlola isimo sakho esithile futhi ikunikeze ukwelashwa okungcono kakhulu kuwe. I-rehab ye-tendonitis yangemva kwe-posterior ingase ihlanganise:
- Izindlela zokulawula ukuvuvukala nobuhlungu
- Ukuzivocavoca ukuthuthukisa uhla lwakho oluphansi lokuhamba namandla
- Ukuzilinganisa nokuzivocavoca
- Ama-Orthotics ukulungisa isikhundla sezinyawo
- Iseluleko sesikhathi sokubuyela emisebenzini yakho yangaphambilini
Uma i-PT yakho izwa ukuthi unyawo lwakho nesikhumba sezinyawo kubangela ukucindezeleka ngokweqile kumathenda wakho we-tibialis posterior, angase ancoma ama-orthotics. Ucwaningo lubonisa ukuthi ama-orthotics angashintsha isikhundla sakho sezinyawo futhi angasiza ukunciphisa ubuhlungu nokuthuthukisa umsebenzi, ngakho lokhu kuyindlela efanele. Ukuqonda ukuthi kungani ugqoke ama-orthotic nokuthi yini okudingeka bakhonze kungakusiza wenze ukhetho oluhle ngesimo sakho esithile.
Izwi elivela
I-Orthotics iyindlela ethandwa kakhulu yokwelapha kubantu abanezinkinga ze-tenderior tibial tendon. Uma uhlupheka ngalesi simo, ungazuza ngokuwasebenzisa ukunciphisa ubuhlungu bakho futhi uthuthukise ukuhamba kwakho. Ukwelashwa kwakho kwe-PTT ukungasebenzi kudingeke ukuba kube ngabanye ngesimo sakho esithile. Ngokusebenza eduze nomhlinzeki wakho womzimba, unganquma ukuthi izitho zomzimba zilungile yini kuwe, futhi ungakwazi ukubuyela ngokushesha futhi ngokuphepha ezingeni lakho langaphambilini lomsebenzi.
> Imithombo:
> Bek, N. et al. Umphumela wokwelashwa ngokwemithi ye-posterior tibial ithonal insufficiency on ubuhlungu nokukhubazeka. Umtholampilo Wezinhlungu; 15 (3). Ishicilelwe ku-intanethi 2013: 345-50.
> Neville, C. et al. I-orthosis yezinyawo ezinamazinyo ezinwetshwayo ngokunciphisa kamuva iyanciphisa ukuthunjwa kwangaphambili kwezihloko ezinezigaba ze-stage II posterior tibial ukungasebenzi. JOSPT; 46 (1) 2016: 26.-33.