Uma une- tendonitis yangemva kwe-tibial (noma i-posterior tibial tysal (PTT) ukungasebenzi , njengoba kuvame ukubizwa) ungase uzuze ekwelapheni ngokomzimba ukusiza ukunciphisa ubuhlungu nokuthuthukisa ukuhamba kwakho konke. Ngezinye izikhathi, ubuhlungu bakho noma ukuhamba okulinganiselwe kungaqhubeka ngisho nangemva kokuzama kwakho okuhle ku-PT, futhi ungadinga inqubo yokuhlinzwa ukulungisa inkinga yakho.
Uma udinga ukuhlinzekwa kwe-PTT ukungasebenzi, ungazuza ekwelapheni ngokomzimba ngemuva kokuhlinzwa ukusiza ukuthi ululame ngokugcwele.
Ukugxila kokwelapha ngokomzimba emva kokuhlinzwa kwe-tendon tacal posterior kukusiza ukuthi uphinde uthole ukunyakaza okujwayelekile nezikhwepha ezinqeni, amadolo, kanye nesikhumba. Ekugcineni, umgomo wakho we-PTT ukungasebenzi ngemuva kokubuyela emuva kuwukuba ubuyele ekuhambeni okuhle kokusebenza.
Kungani Kuhlinzekwe nge-PTT?
Isizathu esivame kakhulu sokuba nokuhlinzwa kwe-tendon posterior ukulungisa ubuhlungu kanye nokuhamba okulinganiselwe ikhono ngenxa yokutholwa kwe-flatfoot deformity. Ithenda yakho ye-posterior tibialis iyasiza ekusekeleni umcibisholo wemvelo unyawo lwakho. Uma le tendon iqala ukucindezeleka, ingaba buhlungu, iphule, futhi ekugcineni ibangele ukuqubuka komlenze wakho. Ukuhlinzwa kwenziwa ukuze kulungiswe le nkinga futhi kukusize ubuyele ezingeni lakho lomsebenzi ojwayelekile.
Phakathi nokuhlinzwa kwakho, udokotela wakho uzokwenza ukuchotshozwa ekhanda lakho futhi ithenda le-posterior tibialis elimele lizolungiswa.
Kungase kususwe ngokuphelele, futhi elinye ithoni elivela ezinyaweni lingahle lihlanganiswe endaweni. Ngemuva kwenqubo, ukukhishwa kuyovalwa, futhi unyawo lwakho luzoboshwa. Iningi lezintambo zeTTT zenziwa ngesiguli esiphelelwe yisikhathi; cishe uzobuyela ekhaya ngosuku lokuhlinzwa kwakho.
Izinyathelo Zokuqala Emva Kokuhlinzwa KwamaTernon eTigon Posterior
Ngemuva kokuhlinzwa kwe-PTT, cishe uzogqoke ukugqoka phezu kokufakwa kwakho kokuhlinzwa.
Ungase futhi ugqoke i-CAM boot-i-boot ekhethekile enezindwangu ze-velcro ezivikela unyawo lwakho nezinyawo uma izinto ziphulukisa.
Udokotela wakho cishe uzoba nawe uhamba ngezintonga . Ngokuvamile emva kokuhlinzwa kwe-PTT, iziguli zihamba ngephethini elingenayo isisindo se-gait pattern amasonto ambalwa. Njengoba izinto ziphulukisa, ungathuthuka kusuka ekungezona isisindo esithinta u-toe-touch nesisindo esincane, futhi ekugcineni ukuhamba ngephethini ephelele yokuphatha i-gait pattern. Udokotela wakho angakutshela ukuthi isisindo sakho esilandelayo esithwala isisindo emva kokuhlinzwa, futhi ochwepheshe wezinto ezingokwenyama angakusiza ukuba uthuthuke ngokuhamba kahle nokuhamba kahle.
Ukuhlolwa kwe-PT Ngemuva kokuhlinzwa kwe-PTT
Uma uqala ukwelapha ngokomzimba ngemuva kokuhlinzwa kwakho kwe-PTT, umhlinzeki wakho womzimba uzokwenza ukuhlolwa kokuqala. Phakathi nalesi sigaba, i-PT izokubuza imibuzo mayelana nomlando wesimo sakho nokuthi iholele kanjani ekuhlinzekeni. Yilungele ukuphendula imibuzo mayelana nomsebenzi wakho kanye nemisebenzi yokuzilibazisa kanye nanoma yikuphi ukulinganiselwa ongase ube nakho ngenxa yokulimala kwakho nokuhlinzwa kwakho. Le mibuzo isiza PT yakho ukucacisa izindlela isimo sakho esithinta ngayo umsebenzi wakho jikelele nendlela yokuphila.
Ngemuva kokuthatha umlando, i-PT yakho izokwenza ukuhlolwa.
Izingxenye ezihlukene zaloluhlolo zingabandakanya:
- Ukuhlolwa kwe-Gait : I-PT yakho izobuka futhi ihlaziye ukuthi uhamba kanjani. Uzohlola uma idivaysi yakho yokusiza isayizi ngendlela efanele futhi uma ubonisa noma yikuphi ukuhamba okungavikelekile noma ukunyakaza ngenkathi uhamba.
- Ukulinganisa: Ukuhlukanisa kuhilela umuthi wakho othinta izingxenyana ezihlukahlukene ezinyaweni zakho nasezinyaweni ukuze ubheke izibonakaliso zokuvuvukala, ukuvuvukala, noma ezinye izinkinga.
- Izinyathelo zokuhamba okuhamba phambili (ROM) : Udokotela wakho womzimba uzosebenzisa i- goniometer ukukala ukuthi uhlangothi lwakho luhamba kangakanani ezinkomba ezihlukahlukene.
- Izilinganiso zamandla : Izindlela zamandla zingathathwa ezinhlangothini ezithile zezinsizane ezizungezile .
- Ukuhlolwa kobucayi: I-PT yakho ingase ihlole ubuhlungu bakho bokuhlinzwa ukuqinisekisa ukuthi izinto ziphulukisiwe kahle. Ukuhamba okungahle kuhlolwe kungabuye kuhlolwe ukuze kubheke izibonakaliso zokunamathela noma ukukhishwa okulinganiselwe.
- Izinyathelo ze-Volumetric ezinyaweni nasezinyaweni zakho: I-PT izohlola ukuze ubone ukuthi kukhona ukuvuvukala eduze kwezinyawo zakho nezinyawo.
Uma umelaphi wakho eqoqa idatha mayelana nesimo sakho samanje, angasebenza nawe ukuthuthukisa imigomo yokuvuselela kwakho kokuthunyelwe. Imigomo ngokuvamile ihlanganisa:
- Buyisa kabusha i-ROM ephansi ephansi
- Buyisela amandla ezinyaweni zakho, emadolweni nasezintweni
- Yenza njalo ukuhamba
- Thuthukisa ibhalansi
- Siza ukuthi uphinde uphinde uthole umsebenzi omkhulu wokufaka umsebenzi ojwayelekile nokuzijabulisa
Lezi zinhloso zakha uhlelo oluyisisekelo lwe-PTT yakho yokwelashwa ngokomzimba. Kufanele zibhekiswe ngezikhathi ezijwayelekile, futhi kufanele zilungiswe ngokusekelwe endleleni oqhubeka ngayo nokwelapha kwakho.
Ngemuva kokuhlola kokuqala, uchwepheshe wakho wezokwelapha angase aqale ukwelashwa kokuhlinzwa kwakho kwetendon post.
Ukwelashwa Kwemithi Ngemzimba Ngemva kokuhlinzwa kwe-PTT
Ukwelashwa emva kokuhlinzwa kwe-PTT kungahlukahluka ngokususelwa esimweni sakho, PT yakho, nezidingo zakho jikelele njengesiguli. Uhlelo lwakho lokuvuselela kufanele lube ngumuntu ngamunye futhi luhloselwe ngokukhethekile izidingo zakho.
Ukwelashwa ngokwemvelo ngemuva kokuhlinzwa kwethenda lakho le-posterior kungabandakanya izindlela zokwelapha ezihlukahlukene. Ukwelashwa ngamunye kanye nokuziphatha kufanele kusetshenziselwe ukwandisa ukuvuselela kwakho futhi kukusize ufinyelele imigomo yakho ye-PT. Ukwelapha kungafaka:
- Ukuzivocavoca . Ukuzivocavoca kufanele kube ukwelashwa kwakho okuyinhloko ku-PT emva kokuhlinzwa kwamathambo we-posterior . Ukuzivocavoca kufanele kube okucacile esimweni sakho futhi ekuqaleni ungagxila ekuphinde uphinde uthole iROM evamile kanye namandla. Uhlelo lokuzivocavoca lungaqhubekela phambili kubhalansi obuphambili kakhulu nokuzivocavoca kokusebenza njengoba uqhubeka ne-rehab. Uhlelo lwezokuzivocavoca lwasekhaya lungase luqaliswe, ngakho-ke lungela ukwenza umsebenzi wesikole ukuze uthole izinyawo zakho nezinyawo zihambe ngokujwayelekile futhi.
- Amasu ngesandla . Ngezinye izikhathi, i-PT yakho idinga ukusebenzisa izandla zakhe ukusiza ukuthuthukisa indlela uhambo lwakho oluhamba ngayo emva kokuhlinzwa kwe-PTT. Ngemuva kwesikhathi sokungasebenzi, izingxube zezinyosi zakho nezinzwane zingase zibe nzima, futhi ukuhlanganiswa okuhlangene kungadingeka ukuthuthukisa ukuhamba jikelele. Ukwehlukaniswa kwamagama emisipha yomlenze wakho ophansi kungase kudingeke futhi. Udokotela wakho angase futhi adinge ukuqinisa imisipha yakho ye-ankle usebenzisa ukuvivinya umzimba.
- Ukusikhipha kwe-Scar . Uma i-PT yakho inquma ukuthi ubuhlungu bakho bunamathele ezicubu ezingaphansi, kungenziwa isisindo se-mass tissue massage . Lezi zindlela zisetshenziselwa ukuthuthukisa indlela ulwazo lwakho oluneziphuzo kanye nama-slide phezu kwezinto eziphathekayo nezicubu ezisezansi kwesikhumba sakho.
- Thola ukuqeqeshwa . Umgomo owodwa we-rehab emva kokuhlinzwa kwe-PTT ukubuyisela ukuhamba okuvamile, ngakho-ke ukuqeqeshwa kokuqapha kungenziwa ngesikhathi sesilashwa. Udokotela wakho angenza izivivinyo eziqondile ukusiza ukuthuthukisa indlela ohamba ngayo. Ungase futhi enze izincomo mayelana nohlobo lwedivaysi yokusiza okufanele uyenze ngesikhathi sokuhamba kwesikhathi ukuqinisekisa ukuthi uqhubeka kahle futhi uhamba ngokuphepha.
- Imithi elwa nokuvuvukala njenge- ultrasound noma i- stimulation kagesi . Udokotela wakho angakhetha ukusebenzisa izindlela ezahlukene zokwelapha ukwandisa i-rehab yakho. I-Ultrasound isetshenziswa ngezikhathi ezithile ukwandisa ukujikeleza ezungeze unyawo lwakho nesikhumba, nakuba ukucwaninga ekusetshenzisweni kwayo kubonisa ukuthi akuphuculisi umphumela jikelele wezokwelapha. Ukuvuselela kagesi ngenxa yobuhlungu nokulawula ukuvuvukala kungasetshenziswa, futhi ukuvuselelwa kwamagesi we-neuromuscular kungenziwa kukhethwe ukuthuthukisa indlela imisipha yakho ehamba ngayo inyawo lakho nekhontrakthi yezinyawo.
- Ukushisa nokuqhwa . Amaphakethe ashisayo noma i-ice angasetshenziswa ngesikhathi ukwelapha kwakho ukuthuthukisa ukujikeleza nokulawula ukuvuvukala ezungeze isayithi lokuhlinzwa.
Qaphela ukuthi ukusetshenziswa kwemigomo efana ne-ultrasound noma e-stim emva kokuhlinzwa kwe-PTT akusekelwa yizincwadi zesayensi. Ukwelashwa okungcono kakhulu kwesikhumba sakho emva kokuhlinzwa kwe-PTT kusebenza ngokuzikhandla nokunyakaza.
Ubuhlobo obunakho ne-PT yakho kufanele bube sesiseduze; ukusebenzisana ne-PT kufanele uzizwe njengobudlelwane bokusebenza lapho usebenza ndawonye ukuze ufeze imigomo yakho yokubuyisa. Uma unemibuzo mayelana nokunakekelwa kwakho, vele ubuze. Uma izinto zingeke zihlele noma uma unenkinga, tshela i-PT ukuze nisebenze ndawonye ukuze nikhulise amathuba okuthola ngokugcwele.
Kude Kanjani Ukubuyela Ejwayelekile?
Iziningi zezifundo ze-rehab ngemuva kokuhlinzwa kwe-PTT kuthatha amasonto amane kuya kwangu-8. Ingabe lokhu kusho ukuthi uzophulukiswa ngokugcwele ngaleso sikhathi? Mhlawumbe, kodwa mhlawumbe hhayi. Ezinye iziguli zishiya i-PT ukuze zisebenze ngokuzimela ukuze zibuyiswe ngokugcwele kule nqubo yokuhlinzwa. Inkambo yakho ngayinye ye-rehab ingase ibe yisikhathi esincane noma esheshayo kancane. Zivumelanise nezimo, futhi qiniseka ukuthi usebenza eduze nodokotela wakho ukwazi kahle ukuthi yini ongayilindela ngemuva kokuhlinzwa kwe-PTT.
Izwi elivela
Uma uye wahlinzeka nge-tenderioritis posterior tibial, ungase uzuze ekwelapheni okungokwenyama ukukusiza ukuba ululame ngokugcwele futhi ubuyele ezingeni lakho langaphambilini lomsebenzi. Umhlinzeki wakho wezinto ezingokwenyama angaba umhlahlandlela wakho wokukusiza ukuthi uphinde uthole ukunyakaza okuvamile nezikhwepha futhi ukubuyisela ezingeni lakho lomsebenzi ojwayelekile. Ngokusebenza kanzima ekwelapheni ngokomzimba, ungaqiniseka ukuthi ubuyela ngokushesha futhi ngokuphepha emisebenzini yakho yangaphambilini.
> Imithombo:
> Coster, MC, etal. Ukwelashwa komuntu omdala owuthola flatfoot ngenxa ye-posterior tibial ukungasebenzi kwamathambo kunciphisa ubuhlungu, kuthuthukisa umsebenzi kanye nekhwalithi ehlobene nempilo. 21 (4); 2015: 286-9.
> Louw, A, etal. Isivivinyo esilawulwa ngokungahleliwe sokuthi 'i-ultrasound' ye-clockwise 'yezinhlungu zokubuya emuva.South African Journal of Physiotherapy. 72 (1); 2016: 1-7.