Ukucindezelwa Kwezinzwa Kubangela Isithende, Imilenze Noma I-Ankle Pain
Sibutsetelo
Umhubhe we-tarsal uyindawo enyathelweni phakathi kwamathambo kanye nama-fibrous tissue. Ngaphakathi komhubhe we-tarsal unesibindi esibizwa ngokuthi i-posterior tibial nererve, kanye nemithambo yegazi, imithanjeni, namathenda. Umhubhe we-tarsal uvalwe ngakolunye uhlangothi ngamathambo aqinile, futhi ngakolunye uhlangothi ngamathambo amaqabunga omzimba we-flexor retinaculum ligament. Lo mhubhe unendawo okukhawulelwe, futhi izindawo ezikhuni azivumelaniseki ukuvumela ngaphezulu.
Umhubhe we-Tarsal syndrome uholela lapho umuthi we- posterior tibial ucindezeleke ngaphakathi komugudu we-tarsal. Lesi simo sifana kakhulu, ngendlela, kuya kwe- carpal tunnel syndrome esihlakaleni. Zombili lezi zimo ziphumela lapho inzwa ekhonjiwe ngaphakathi kwesikhala esivinjelwe. Umhubhe we-tarsal, njengoba kukhulunywe ngaye ngaphambili, unendawo yokunikeza. Uma isikhala sibe siqinile, inzwa ye-tibial ikhonjiwe.
Izimpawu
Lapho umuthi we-posterior tibial ucindezelekile emhubheni we-tarsal, iziguli zivame ukukhononda ngokungena ngaphansi kwezinyawo, kanye nezikhalazo zobuhlungu, ukushisa nokugubha phezu kwesisekelo nonyawo nesithende. Abanye abantu bakhononda ubuhlungu bokudubula. Ubuhlungu bungaba endaweni eyodwa, noma kungenzeka endaweni enkulu kunawo wonke, izinyawo kanye nethole. Ngezinye izikhathi, i-tarsal tunnel syndrome ididekile ne- plantar fasciitis noma i- spel spurs .
Isizathu
Isizathu se-tarsal tunnel syndrome asiziwa ezimweni eziningi, kodwa singabangela umphumela wezinsalela, i-arthritic bone spurs, iziqhumane nezinye izicubu ezinobungozi , ukungena kwemisipha, noma ukuguquka kwezinyawo.Uma uwile phansi futhi isithende sakho siphume ngaphandle, okungenzeka ubangele ubunzima emhubheni we-tarsal.
Uma une-ukuvuvukala noma ukuvuvukala emagqatsheni avela ku-ankle ehlongoziwe, isifo sikashukela noma i-arthritis, kunganciphisa umhubhe. I-varicose vein noma ithethon evuvukile ingase ibe yimbangela.
Ukuxilongwa
Ngenxa yezimpawu ze-tarsal tunnel syndrome, iziguli eziningi zichaza umlando ofanayo wezimpawu. Nokho, njengoba kushiwo ngaphambili, ukuxilongwa kwe-tarsal tunnel syndrome kungase kudideke.
Ukushaya emanzini njengoba kudlula emhubheni we-tarsal, okuthiwa "i-Tinel's Test," kungadala izimpawu futhi kubonise ukuthi i-tarsal tunnel syndrome iyimbangela yenkinga. Ucwaningo lwe-electrodiagnostic oluthola ukuthi ukushisa kagesi okuqhutshwa kanjani ngamanzini nakho kungasiza ekuxilongweni uma kunesizathu sokudideka.
Ukwelapha
Ukwelashwa kuqala ngemithi elwa nokuvuvukala , futhi mhlawumbe umjovo we-cortisone endaweni ejikeleze isisindo. I-Orthotics kanye nezinguquko ezicathulweni zingasiza ekunciphiseni izimpawu.
Uma engekho kulezi zinyathelo ezisiza, khona-ke inqubo ebizwa ngokuthi ukukhululwa komugudu we-tarsal ingadingeka. Lena inqubo yokuhlinzwa eyenziwa ekamelweni lokusebenza, futhi lihlala cishe imizuzu engama-30 kuya ku-45. Uma kukhululwa umhubhe we-tarsal, kukhishwa ukuvula umhubhe we-tarsal futhi unciphise ukucindezela emndenini we-posterior tibial. Lokhu kuhlinzwa kubuye kufane nokukhululwa komhubhe we- carpal esihlakaleni.
Umthombo:
I-Tarsal Tunnel Syndrome, i-American College of Foot ne-Ankle Surgeons, ifinyelelwe ngomhla ka-3/25/26.