Plantar fasciitis wa phazi amapezeka mwa anthu ambiri, makamaka omwe amatenga nawo mbali kwambiri pamasewera. Matendawa amabweretsa mavuto ambiri, makamaka, munthu amamva kupweteka kwambiri akamayenda, nthawi zambiri kutupa kwa phazi komanso kuuma poyenda.
Kuchiza matendawa kumafunika nthawi yomweyo, ndipo koposa zonse, kugwiritsa ntchito njira yophatikizira izi. Kupanda kutero, padzakhala mavuto azaumoyo omwe amafunikira kuchitira opaleshoni yokhayo.
Kodi plantar fasciitis ya phazi ndi chiyani?
Plantar fasciitis wa phazi ndi matenda omwe mumakhala zotupa zotupa m'minyewa ya phazi.
Dzina lachiwiri la matendawa ndi plantar fasciitis.
Matendawa si achilendo, amapezeka mwa 43% ya anthu atatha zaka 40 - 45 ndipo amapezeka makamaka mwa othamanga - othamanga, okwera njinga, olumpha, olimbitsa thupi.
Madokotala amawona zofunikira kwambiri pa plantar fasciitis:
- Kugonjetsedwa kwa minofu yotanuka ya mapazi kumayamba mwadzidzidzi ndipo kumapita patsogolo mwachangu.
- Munthu amamva kuwawa kwambiri, kutupa kwakukulu, kuyenda movutikira, ndi zina zambiri.
- Ngati palibe chithandizo cha munthawi yake, ndiye kuti kufalikira kwake kumakhala kosavomerezeka, makamaka, kuphulika kwamiyendo yamiyendo, kupsinjika kosalekeza ndikumverera kolimba poyenda sikuchotsedwa.
- Pali kutupa kwanthawi yayitali zidendene.
Fasciitis modekha imatha kutha yokha ngati wodwalayo atsatira malingaliro a madotolo, makamaka, amabodza kwambiri, amathetsa kukakamiza kulikonse kuphazi ndipo avale bandeji yolimba.
Zizindikiro za matendawa
N'zovuta kuphonya kukula kwa plantar fasciitis, matendawa atulutsa zizindikiro.
Madokotala oyambira ndi awa:
- Kupweteka kwakuthwa poyenda.
Mwa mawonekedwe owopsa, munthu amamva kupweteka kumapazi nthawi zonse, ngakhale nthawi yopuma. M'milandu 96%, imapweteka m'chilengedwe, ndipo panthawi yolemetsa miyendo ndiyovuta.
- Kumva kupsinjika kosalekeza kumiyendo yakumunsi.
- Kulephera kuyimirira pamiyala.
Odwala 86% omwe ali ndi fasciitis amafotokoza kuti kupweteka komwe kumawombera kumachitika poyesera kuyimirira pa zala kapena zidendene.
- Pambuyo podzuka, munthu amafunika kumwazikana, njira zoyambirira zimakhala zovuta, nthawi zambiri anthu amadandaula kuti amamva ngati akumata zolemera zamphongo kumapazi awo.
- Kutupa kwa phazi.
- Kulira.
Kupunduka kumachitika chifukwa chakumva kupweteka kosalekeza poyenda komanso kulephera kuponda chidendene.
- Kufiira ndikuwotcha zidendene.
Pamene munthu amasuntha kwambiri, amaika kupanikizika kumiyendo yakumunsi, zizindikilozo zimakhala zowopsa kwambiri.
Zomwe zimachitika
Plantar fasciitis imayamba mwa anthu pazifukwa zambiri.
Mu 87% ya milandu, kudwala uku kumapezeka chifukwa cha:
Kupsinjika kwakukulu pamapazi.
Izi zadziwika chifukwa chake:
- kuyimilira pamapazi ake, makamaka ngati munthu akukakamizidwa kuyimirira kwa maola 7 - 8 osakhala pansi;
- kuchita maseŵera osapiririka, makamaka, kunyamula ndi katundu, kunyamula zolemera;
Anthu omwe amagwira ntchito ngati ma loader ali ndi mwayi wochulukirapo kawiri kuti azivutika ndi plantar fasciitis kuposa nzika zina.
- kukakamizidwa kuyimilira mopitilira ola limodzi patsiku;
- kuyenda ndi kulemera kosapiririka mmanja, mwachitsanzo, kunyamula zinthu zolemera kapena matumba.
Kuvala nsapato zofinya, kuphatikizapo nsapato zazitali.
Azimayi okonda nsapato, nsapato ndi nsapato zazitali, kudwala uku kumadziwika kawiri kawiri kuposa amuna.
- Mimba, koma pakati pa masabata 28 mpaka 40 okha.
Kukula kwa plantar fasciitis mchaka choyamba ndi chachiwiri cha mimba kumachepetsedwa. Izi ndichifukwa chosowa katundu wambiri pamiyendo chifukwa chochepa thupi la mwana wosabadwa.
- Mapazi apansi.
Anthu omwe amapezeka kuti ali ndi mapazi athyathyathya amakhala ndi mwayi wochulukirapo katatu kutukuka m'malo ndi ziwalo zam'munsi. Izi zimachitika chifukwa cha phazi lolakwika poyenda, komanso kuchepa kwachilengedwe pamapazi.
- Kunenepa kwambiri. Chifukwa cha kulemera kwambiri, pali katundu wambiri pamiyendo ya mapazi, zomwe zimabweretsa mavuto ambiri ndi miyendo, makamaka, fasciitis.
- Zovulala zam'mbuyomu zam'munsi, mwachitsanzo, kupindika kwa minofu, kuphwanya ndi kusokonezeka.
- Matenda ena aakulu, mwachitsanzo:
- matenda ashuga;
- gout;
- nyamakazi;
- nyamakazi.
Matenda oterewa amapangitsa kukula kwa zotupa m'matumbo ndi m'mapazi.
Zomwe zimayambitsa plantar fasciitis
Plantar fasciitis amapezeka makamaka mwa akatswiri ochita masewera olimbitsa thupi, komanso anthu omwe amakonda masewera othamanga komanso othamanga.
Zomwe zimayambitsa matendawa ndi monga:
1. Katundu wambiri pamapazi pa mpikisano.
2. Kupha kolakwika kwanyengo isanayambe.
Ndikofunikira kwambiri kuti onse othamanga ndi othamanga ena azichita masewera olimbitsa thupi kuti atenthe minofu ya ng'ombe.
3. Kukwera kopanda mwendo mwakuthamanga kapena kuthamanga.
4. Kuthamanga kumapiri.
Kuphunzitsa nsapato zosasangalatsa, makamaka masitayilo:
- Finyani phazi mwamphamvu;
- osakhala ndi zidendene zopindika;
- zazing'ono kapena zazikulu;
- zopangidwa ndi zinthu zotsika mtengo komanso zotsika mtengo;
- pakani mapazi awo.
5. Mipikisano yothamanga, makamaka ndi chopinga.
6. Phazi losayikidwa bwino likuthamanga.
7. Maphunziro ataliatali pamsewu wa asphalt.
Kuthamangira pakhonde kwa nthawi yayitali kumatambasula ma tendon ndikuvulaza phazi lonse.
Chithandizo cha kutupa kwa plantar fascia
Mankhwala osokoneza bongo, physiotherapy
N'zotheka kuthetsa kutupa kwa plantar fascia m'njira yovuta kwambiri, kuphatikizapo:
Kulandila mosamalitsa malinga ndi zomwe dokotala adalemba, makamaka:
- mapiritsi opweteka;
- mankhwala kapena mapiritsi omwe ali ndi zotsatira zotsutsa-zotupa;
- jakisoni kapena zojambulira kuti zithandizire kuchira kwa tendon ndi ligaments.
Njira ya jakisoni ndi zochotsera zimaperekedwa chifukwa cha matendawa, komanso pomwe matendawa adadutsa.
- Kugwiritsa ntchito mafuta otentha ndi anti-yotupa kumapazi.
- Ma compresses osiyanasiyana ndi malo osambira, osankhidwa kutengera kukula kwa matendawa, komanso mawonekedwe amthupi. Makamaka amalangiza:
- kupaka mafuta ofunikira chidendene;
Pakani mafuta mu kuchuluka kwa mamililita 3 - 5, ndikukulunga mwendo ndi chopukutira osachotsa kwa mphindi 10. Ndiye ndikofunikira kusamba ndikugona.
- kukulunga madzi oundana mu chopukutira choyera ndikuukulunga mozungulira phazi lamavuto;
Phukusi la ayisi silingasungidwe kwa mphindi zopitilira 25.
- onjezerani mamililita 200 a chamomile msuzi (wamphamvu) ku mbale yamadzi ofunda. Kenako tsitsani mapazi anu mu bafa lokonzekera kwa mphindi 10 - 15.
Njira zonse zimayenera kuchitika tsiku lililonse, pamavuto akulu 2 - 3 patsiku, mpaka pomwe ululu umadutsa ndipo mpumulo waukulu umapezeka.
- sambani madzi ofunda ndikuwonjezera supuni 2 - 3 zamchere. Pambuyo pake, mugone m'madzi kwa mphindi 15, kenako pakani phazi losokoneza ndi mchere wothira.
Pogaya, onjezerani magalamu 15 amchere pamalita awiri amadzi. Ndiye moisten yopyapyala oyera mu njira yothetsera ndikuyiyika m'deralo kwa mphindi 15. Kenako mwendo umafunika kutsukidwa ndi madzi.
- Mwachitsanzo, physiotherapy, shock wave therapy. Munthawi imeneyi, adotolo amagwiritsira ntchito masensa apadera paphazi lomwe limatulutsa mafunde apadera. Zotsatira zake, mafunde ngati awa amafulumizitsa njira yochira, komanso amatsogolera kuchiritso kwa minyewa ndi mitsempha katatu katatu.
- Kuvala orthosis yothandizira. Mafupa amafanana ndi nsapato zofewa zomwe munthu amavala asanagone ngati chida chokonzekera. Chifukwa cha iwo, phazi siligwada, lili pamalo oyenera pang'ono ndipo silikuvulala.
Kutalika kwa kuvala orthoses kumatsimikiziridwa ndi omwe amapezeka pamwambowu.
Kupaleshoni
Madokotala amatha kukupatsani opaleshoni pokhapokha ngati:
- ululu wosapiririka usana ndi usiku;
- kulephera kuponda phazi;
- njira yotupa kwambiri yamatenda ndi minyewa;
- pomwe njira zina zamankhwala, mwachitsanzo, mankhwala ndi physiotherapy, sizinapereke mphamvu zowonjezera.
Madokotala amachita opaleshoniyo mwanjira imodzi mwanjira ziwirizi. Odwala ena amatenga kutalika kwa minofu ya ng'ombe, ndipo ena amatenga fascia m'mafupa.
Ndi njira iti yopangira opaleshoni yomwe iyenera kuchitidwa yomwe imasankhidwa ndi madokotala atangomaliza mayeso, ultrasound ndi zotsatira za kusanthula kwa wodwalayo.
Pambuyo pa opaleshoniyi, anthu 82% amachotsa glider fasciitis ndipo sanakumanenso ndi matendawa m'moyo wawo.
Zolimbitsa thupi za plantar fasciitis
Anthu onse omwe amapezeka ndi plantar fasciitis amapindula pochita masewera olimbitsa thupi.
Chifukwa cha iwo, zimachitika:
- mpumulo ku zowawa, kuphatikizapo poyenda;
- kuchotsedwa kwa kudzikuza ndi kufiira;
- kufulumizitsa kuchira kwa mitsempha ndi minofu.
Monga ananenera akatswiri a mafupa, anthu omwe amachita masewera olimbitsa thupi amachotsa fasciitis ya plantar kawiri kawiri mwachangu.
Zina mwazothandiza kwambiri komanso zopindulitsa ndi izi:
- Kuyenda tsiku ndi tsiku mu nsapato zapadera. Munthu amene ali ndi matendawa amafunika kugula nsapato za mafupa ndikuyenda okha.
Ngati fasciitis ndiyofatsa, akatswiri a mafupa amatha kunena kuti muziyenda mu nsapato za mafupa kwa maola awiri kapena atatu patsiku.
- Kuyenda pamphasa yapadera. Kalipeti ili ndi malo apadera komanso mabulogu. Kuyenda pa iyo kumawonjezera kuthamanga kwa magazi kuzidendene ndikuchepetsa kutupa.
- Kuyenda koyamba pa zidendene, kenako pamapazi. Chofunika:
- vulani nsapato ndi masokosi;
- kuyala bulangeti lofewa;
Ngati pali makapeti pansi, bulangeti silofunika.
- opanda mapazi, tengani pang'onopang'ono komanso pang'onopang'ono, poyamba pamadendene, kenako pamapazi.
Muyenera kusinthana poyenda, tengani masitepe asanu, ndipo mutatha masitepe asanu pazala zanu.
- Kupukuta pini kapena botolo ndi mapazi anu.
Pazochita izi muyenera:
- tengani galasi kapena botolo la pulasitiki, makamaka botolo la 1.5 litre (ngati palibe botolo, pini yolumikizira matabwa ingachite);
- khalani pampando;
- ikani pini (botolo) patsogolo panu;
- ikani mapazi onse pa botolo (pini wokugubuduza);
- falitsani chinthucho ndi mapazi anu kwa mphindi zitatu kapena zinayi.
Kuchita masewera olimbitsa thupi kuyenera kuchitidwa opanda mapazi komanso tsiku lililonse.
Zochita zonse zimaperekedwa ndi sing'anga, ndipo koposa zonse, amalamulira ndikuwunika mphamvu zakubwezeretsa pochita maphunziro akuthupi.
Plantar fasciitis ndi njira yodziwika bwino, motsutsana ndi komwe kuli zotupa m'minyewa ya phazi. Kwenikweni, matendawa amakhudza anthu omwe amayenera kuyimirira kwa nthawi yayitali, komanso othamanga, makamaka othamanga ndi opepuka.
Amayenera kuchiza fasciitis madotolo akangomupeza, ndipo ngati mankhwala, amayamba kugwiritsa ntchito mankhwala, physiotherapy ndi masewera olimbitsa thupi.
Blitz - malangizo:
- muyenera kuyendera katswiri wa mafupa akangoyamba kumva ululu kumiyendo ndikutupa kumayamba kuwonekera;
- musayese kuthana ndi matendawa panokha, apo ayi mutha kukulitsa matendawo;
- ndikofunikira kuchita zolimbitsa thupi zonse moyang'aniridwa ndi dokotala wa mafupa, kuti musavulaze phazi osatambasula mitsempha;
- chinthu chachikulu musaiwale kutentha ndi kutikita minofu ya ng'ombe ndi manja anu musanaphunzitse kapena kuthamanga;
- chinthu chachikulu ndikuti nthawi zonse pewani kupitirira muyeso komanso kupsinjika kwakukulu pamapazi.
