Plantar aponeurosis ndi matenda omwe amapezeka mdendene. Ali ndi zowawa zamunthu wamphamvu. Ndi chimodzimodzi phazi, tikulimbikitsidwa kuti nthawi yomweyo kukaonana ndi dokotala.
Kuzindikira kwakanthawi kwa plantar aponeurosis kumabweretsa chithandizo chamankhwala. Komanso, matendawa ndi osavuta kudziwa. Matendawa omwe adayambitsidwa amafunika kuchitidwa opaleshoni.
Plantar aponeurosis - ndichiyani?
Plantar aponeurosis, kapena monga amatchedwanso fasciitis, imayambira phazi. Chidwi chomwe chimachokera m'mafupa a metatarsal mpaka kumapeto kwa phazi chimatupa. Kutupa kumayambitsa misozi yaying'ono mu fascia.
Kusintha kwa dystrophic kumawoneka ngati kukula kwa chifuwa chachikulu. Kusintha ndi kutupa kumawonetseredwa ndikumva kuwawa kwamphamvu, komwe kumayambitsa kusapeza bwino ndikuchepetsa moyo.
Zimayambitsa matenda
Plantar aponeurosis nthawi zambiri imakhudza azimayi chifukwa chovala nsapato zazitali. Madokotala amachititsa matendawa makamaka kwa amayi omwe adutsa zaka 50. Komanso, kugonana koyenera nthawi zambiri kumachita masewera olimbitsa thupi.
Plantar aponeurosis mwa amuna amayamba chifukwa chakuchulukitsitsa panthawi yophunzitsidwa, atha kukhala zotsatira zakugwira ntchito molimbika ndipo amadziwika kuti ndi matenda akuntchito, monga masewera.
Zomwe zimayambitsa plantar aponeurosis:
- Kuvala nsapato zokhala ndi zidendene zazitali, zidendene.
- Kulemera kopitilira muyeso.
- Kuchulukitsitsa thupi, kugwira ntchito molimbika.
- Masewera olimba, makamaka kuthamanga.
- Zaka zoposa 45.
- Ntchito yomwe imaphatikizapo kuyenda tsiku lonse.
- Pansi panu, nsapato zosavomerezeka
- Kuvala nsapato zomwezo kwazaka zopitilira zisanu.
Zizindikiro za matendawa
Chionetsero chachikulu cha plantar aponeurosis ndi kupweteka kwa chidendene ndi phazi. Ululuwu umakhala wamphamvu kwambiri poyenda komanso m'mawa. Pambuyo pake, matendawa amapita patsogolo mpaka kukula kwa mafupa.
Phazi ndi lopunduka. Chiwalo chakumunsi chimasiya kuyenda, kulemala kumawonekera. Plantar aponeurosis - kutha kwa ntchito yamasewera. Ndipo wodwalayo sangathe kuchita zolimbitsa thupi.
Zizindikiro za matendawa:
- kuphipha kowawa, kulephera kuponda chiwalo chowawa;
- kung'ambika kapena kusweka poyenda;
- maonekedwe a edema;
- khungu lofiira;
- kukhudza, kumva kupweteka;
- kutentha thupi.
Kuzindikira matenda
Plantar aponeurosis imapezeka mwachangu komanso mosavuta.
Pachifukwa ichi, adotolo amachita izi:
- Kuwona kwamiyendo yamiyendo yodwala.
- Palpation ya dera lomwe lakhudzidwa.
- Kutolera kwa Anamnesis (kafukufuku wodwala, mafotokozedwe azizindikiro, deta).
- Matenda apakompyuta.
- X-ray.
Mayeso awiri omaliza amachitika kuti afotokozere momwe matendawo alili komanso momwe matendawo adalili. Muthanso kusankha MRI kuti mutsimikizire komaliza za matendawa.
Njira zoterezi zithandizira kuzindikira chomwe chimayambitsa kutupa: mitsempha yotsinidwa kapena kuvulala chidendene. Cheke imagwiridwa kuti igwirizane ndi kuyenda, kusinthasintha kwa kamvekedwe ka minofu, komanso kuyankha pakumvera.
Makhalidwe a chithandizo cha plantar aponeurosis
Chithandizo choyamba ndi kusunga miyendo mpumulo (kupumula pakama). Chiwalo chiyenera kukhala chopanda mphamvu. Ndiye muyenera kusiya ululu. Kenako yambitsani chithandizo chofunidwa ndi dokotala. Mitundu ya mankhwala: mankhwala, kugwiritsa ntchito mankhwala azitsamba.
Ndondomeko monga:
- physiotherapy - njira yothetsera phazi;
- mankhwala a laser, kukhudzana ndi ultrasound;
- shock wave therapy - amagwiritsidwa ntchito mankhwalawa atalephera. Wofuna kuchotsa chidendene.
Pakakhala kusagwira ntchito kwamankhwala amtundu uliwonse, dokotalayo amafunsira kuchitapo kanthu pakuchita opaleshoni, yomwe siyankho losowa chotero ku plantar aponeurosis.
Mankhwala osokoneza bongo
Mankhwalawa ndiye chithandizo chachikulu pagawo loyamba la plantar aponeurosis.
Dokotala amasankha mankhwala awa:
- Mankhwala odana ndi zotupa ochokera ku gulu la NSAID. Wotchulidwa ngati jakisoni, mapiritsi kapena mafuta odzola. Monga Diclofenac, Voltaren, Ibuprofen. Kawirikawiri amatengedwa pasanathe masiku asanu, amawonjezedwa ndi dokotala ngati kuli kofunikira. Zodzola zimachitika kwanuko, mapiritsi ndi jakisoni zimakhala ndi zovuta, chifukwa chake zimachitika moyang'aniridwa ndi dokotala. Mankhwala onsewa ali ndi anti-inflammatory, analgesic, antipyretic effects. Komanso, pamene ntchito ntchito kudzikuza, kuchotsa microcirculation magazi m'dera bwanji.
- Ngati mankhwala ochokera ku gulu la NSAID alibe zomwe akufuna, adokotala amalamula Hydrocortisone kapena mankhwala ochokera pagulu la glucocorticosteroids.
Njira zachikhalidwe
Folk azitsamba ndi othandiza pa chiyambi cha matenda. Zimathandiza makamaka kuphatikiza mankhwala. Njira imodzi ndi compress. Muyenera kupanga decoction imodzi kapena zingapo zitsamba zamankhwala, moisten gauze ndikuyiyika pamalo owawa. Chochitikacho chikuwoneka tsiku lonse.
Kuponderezana kumagwiritsidwa ntchito osachepera sabata. Njira zoterezi zimatha kuthana ndi zotupa, kuchotsa kukula. Kutentha ndi kupweteka kumatha.
Pali maphikidwe angapo opangira ma compress:
- Mafuta a adyo amapangidwa ndikuphwanya mwamphamvu ma clove a adyo ndi mafuta anyama. Compress imavala usiku. Ndikofunikira kukulunga malo owawa ndi polyethylene kuti zitheke. Kenako valani sock;
- chisakanizo cha mbatata (peel) ndi mbewu za fulakesi, kutsanulira 200 ml ya madzi. Wiritsani mpaka misa yonga odzola. Kufalitsa gruel ya machiritso chidendene, kusiya kwa theka la ora. Chotsani compress, sambani phazi lanu ndikupanga kutikita minofu pang'ono.
Zovuta za matendawa
Ngati mukufuna thandizo lachipatala mwadzidzidzi, plantone aponeurosis imabweretsa zovuta:
- Chiwonetsero cha chidendene. Chithandizo cha panthawi yake chitha kuchotsa. Wodwala akuwonetseredwa ndi ululu waukulu. Kuchepetsa ululu sikumathetsa kuphulika nthawi zonse.
- Pakapita kanthawi, wodwalayo amayamba kukhala ndi zovuta zamalumikizidwe am'munsi mwake. Muthanso kuzindikira njira zoyambira zamatenda mumsana.
- Vuto lalikulu ndi kuwerengera kwa mitsempha. Matendawa amapita pamalo omwe amaikapo ma Achilles tendon.
- Ukalamba ndi chimodzi mwa zifukwa zochitira chithandizo mwachangu komanso mwachangu. Kenako matenda angapo amatha kupewedwa. Mwachitsanzo, kupweteka kwakanthawi poyenda, kupunduka, kukula kwa chinzonono, ndi rheumatism.
Zovuta kwambiri:
- nyamakazi yomwe imayamba mu chiuno, komanso bondo;
- kuphipha kwa nthawi yayitali, kumawonjezereka nthawi ndi nthawi pambuyo poyenda kwakanthawi ndi kuyesetsa;
- kulemala kwa moyo wonse;
- chinzonono.
Zoneneratu komanso zodzitetezera
Ngati mankhwalawa ayamba munthawi yake ndipo mankhwalawa amachitika moyenera, kupweteka kumatha. Ngakhale chidendene chowonekera chimatha.
Ngati vutoli lanyalanyazidwa, madokotala nthawi zambiri amalosera za opaleshoni yomwe ingofunika kuchiritsa. Kupanda kutero, wodwalayo ali pachiwopsezo chopeza zovuta zamtundu wosachiritsika ndi matenda.
Njira zodzitetezera:
- Ndikofunikira kuwunika momwe khungu la phazi lilili, kupewa kuwuma, kusamalira mapazi munthawi yake.
- Chitani kutikita minofu kumapeto kwenikweni. Mutha kugwiritsa ntchito mafuta apadera, kusambira.
- Sankhani nsapato zapamwamba zamasokosi zomwe zimafuna kusintha. Musamagwiritse ntchito nsapato zofooka.
- Pewani kuyenda kwa nthawi yayitali ndipo nthawi zambiri mumadwala, nsanja, kapena nsapato zomwe zimakhala zochepa kwambiri kapena zokhazokha.
- Pumulani nthawi ndi nthawi ngati ntchito ikuphatikizapo kuyenda nthawi zonse.
- Osasokoneza kwambiri m'munsi mukamathamanga, kusewera masewera kapena ntchito yaukadaulo. Pumulani miyendo yanu.
- Yesetsani kupewa kuvulala, kugwa. Sankhani msewu wosanja mukamayendetsa.
- Ngati mukulemera kwambiri, yambani kulimbana ndi mapaundi owonjezerawo.
Plantar aponeurosis amadziwika kuti ndi matenda othamanga pantchito othamanga. Koma anthu enanso amatenga matendawa. Ngati zizindikiro zafotokozedwa, muyenera kukaonana ndi dokotala nthawi yomweyo. Kupatula apo, chithandizo choyambira munthawi yake chimachiritsa chomera cha aponeurosis kwathunthu.
Komanso, sipadzakhala zoopsa zamavuto ndi opaleshoni, kulumala ndi mavuto ena. Koposa zonse, muyenera kusamalira thanzi lanu, kupewa kuchuluka kwambiri komanso njira zodzitetezera kuti mupewe matenda osasangalatsa.
