Emva kweminyaka engama-40-45, abaninzi abafazi bafumana iintlungu ezinzima ezinyaweni, nangemithwalo emincinci kwimilenze okanye ekuhambeni. Iimvakalelo ezingavumelekanga zendawo zihlala kwindawo yendawo, zihlala zikhuliswa. Emva kwexesha, isifo sesifo siba namandla kakhulu, sithintela ukuhamba kwaye sikhokelela ekukhubazekeni.
Iyintoni isithende?
Kwiyeza, i-pathology ephantsi kwengqalelo ibizwa ngokuba yi-plantar fasciitis. Esi sifo kukukhula kwethambo kwisithende se-calcaneus. Inokufumaneka kwindawo ye-Achilles yecala lokunamathisela okanye kwi-sidear side. I-Scion ifom ye-spine okanye i-wedge, ngenxa yesi sifo esaziwa ngokuba yi-calcanal spur. Le ngxaki engapheliyo idinga unyango oluqhelekileyo. Ngaphandle koko, kuya kutshintsha ngokukhawuleza kwaye kubangele iingxaki.
Isithende siphumelele
Ukwakhiwa kokukhula kwethambo kukubonakaliswa okwesibini kwentsholongwane. Kukho amanyathelo athile apho i-fasciitis ye-plantar ikhula, izizathu zokukhula kwesithende zichazwe zilandelayo zilandelayo:
- Ukubethelwa kweempahla. Ukugcina i-longitudinal arch of foot is ligaments ekhethekileyo-fascia. Kwimeko yokuma yomzimba, baxhomekeke kwiingcinezelo ezinzulu, baqikelela malunga nesiqingatha sobunzima bomntu. Ngenxa yoko, ukuhlukana kwamancinci ezininzi kunokwenzeka.
- Ukuvutha. Ukuba ingqibelelo ye-fascia ayibuyiselwa, iindawo zokulimala ziye zavuvukala zaza zaphuma. Inkqubo ye-aseptic evuthayo iqala.
- Ixhefu. Umzimba uzama ukukhusela izakhiwo ezungeleleyo. Njengendlela yokusabela ukuvuvukala, kuqhutywe i-calcanal spur. Isebenza njengento yodwa phakathi kwe-fascia eyonakalisiweyo kunye nezicubu ezinempilo.
I-Plantar fasciitis-izizathu zokuvuvukala
Into ephambili eyenza indlela yokuphuhliswa kwesi sifo kukubunjwa kwezinto ezincinci kwiindawo zokugcina ezidibeneyo. I-fasciitis ye-plantar yeenyawo iqala ngezizathu ezilandelayo:
- isifo sikashukela;
- u bunzima;
- ukuxhwaleka kwesithende okanye inyawo;
- arthritis ;
- gout ;
- rhoqo ukugqoka izicathulo ezinezithende eziphezulu;
- periostitis;
- osteoarthritis;
- Isifo sikaBechterew ;
- longitudinal flatfoot;
- rheumatism;
- bursitis ;
- utshintsho olunexesha elidala emzimbeni, oludibaniswa nokucuthwa kwepilisi phantsi kwekhumba.
Isithende sezifo
Umfanekiso wekliniki wesi sifo ubizwa kwaye ufumaneke lula. Iimpawu ze-Plantar fasciitis zilandelayo:
- ubuhlungu obuvuthayo, obuvuthayo kwingingqi yamanzi kunye nokuzikhandla;
- utshintshe umda, inkxaso kwiphambili lonyawo;
- ukuqala kweentlungu zesifo emva kokuvuswa;
- i-flatfoot ehambayo;
- umda wokuhamba, imfuno yentonga yokuhamba okanye ezinye izixhobo zokuhamba;
- ukuqiniswa nokuphikelela intlungu, ukulahleka kwamandla okusebenza.
Njengoko isithende sivela, umntu unokuqwalasela kuphela kwi-x-ray. Akukho zibonakaliso zangaphandle ze-pathology echazwe. Kwiimeko ezinqabileyo kakhulu, ukuvuvukala okuncane kunye nekhanyane yesikhumba kubonakala kwi-calcaneus. Ukufumanisa i-spur yinto elula ngeendlela ezininzi:
- izikhalazo zabantu;
- indawo, ubukhulu kunye nexesha lokuvela kweentlungu;
- umda wokuhamba kweenyawo;
- intlungu kunye noxinzelelo kwisiseko sesithende kunye nemimandla yayo;
- Umfanekiso we-X (njengoqinisekiso).
Isithende siphucula unyango
Ulwaphulo lwe-fasciitis lwe-plantar lugcina kuphela ukunciphisa imeko yomntu, ukunciphisa okanye ukuphelisa intlungu yesifo nokubuyiselwa kokuhamba kweenyawo. Ukunyanga ngokugqithiseleyo kwesikhukhula, esivumela ukuba sikhuphe ngokupheleleyo, asikavelwanga. Ukukhula kwe-Bone akukwazi ukususwa, kodwa kukhululekile ukuhlala nayo xa usebenzisa ulwabiwo olusebenzayo.
Plantar fasciitis - nguwuphi ugqirha kufuneka ndidibanise naye?
Ukuseka ukuxilongwa ngokuchanekileyo ugqirha uya kunceda. Kwiimeko ezininzi, ugqirha ugqiba ukugula ngethuba loviwo. Kwiimeko ezinzima, okanye ukuba kuyimfuneko yokwahlula ukuxilongwa nge-arthritis, iinyawo ezintle kunye nezinye izifo ze-musculoskelet system, ukubonisana kweengcali eziseduze kunye nesithombe se-X-ray ziqeshwe. Indlela yokuphilisa isithende, kwaye uxele umlomo wamazinyo. Lo ugqirha uxhatha kuphela izifo ze-osteoarticular.
Plantar fasciitis - unyango ngamachiza
Ulwaphulo lwe-Conservative luyancitshiswa ekusebenziseni iziyobisi zendawo kunye nefuthe elichasayo kunye nesalathisi. Zifakwe kwi-5 ukuya kwiintsuku ezi-2-3. Okokuqala, ugqirha uqoka i-gel, i-cream okanye i-ointment evela kwisithendeleko:
- Ketorol;
- Voltaren;
- Indomethacin;
- Diclofenac;
- Butadione;
- Ibuprofen;
- Piroxicam;
- Dimexide;
- Olfen kunye neempawu.
Siyabulela kumayeza adweliswe ngesithende senza intlungu engaphantsi, kuphucula ukuhamba kunye nobutyebi bonyawo. Ukongezelela, i-pepper okanye imifuno yemifuno ingasetyenziswa. Zivelisa umonakalo othukuthezayo kwaye ophazamisayo, ukunciphisa ukukhukhuma nokuyeka i-syndrome. Ukuba unyango lwengingqi alunampembelelo olulindelekileyo, unyango lwe-injection ngendlela ye-blockckades isetyenziswe. I-classical variant - i-injection no-Novokaina kwintsimi ye-fascia, ayisenziwa ngokuphindaphindiweyo kwezihlandlo ezi-2 ngosuku kwaye kuphela ngexesha lokuxhatshazwa kwezilwanyana.
Ngokuqhaqha okukhulu, iiplockages ezine-hormone ze-glucocorticosteroid (1-3 iinkqubo) ziya kufuneka:
- Flosteron;
- Diprospan ;
- Kenalog.
Izigulane ezine-plantar fasciitis
Ukunyuselwa kwiphakethi ekhethekileyo ehambelana ngokukhawulelana kunye nekhumba lomntu, kunceda ukukhulula umthwalo ukusuka kwiimisipha zonyawo kunye nezigulane, uzibuyisela kwakhona, kuvimbela ukuvela kwe-micro-rupture emitsha, kwaye uyeke ukuvutha. Ukufumana iziphumo ezibonakalayo, iiveki ezi-4 (ubuncinci) kufuneka zenziwe kwi-kinesiotherapy, i-fasciitis ye-plantar yezinga eliphezulu lifuna unyango olude, ukuya kwiinyanga ezi-2. Izinketho zokusebenzisa ipakethi ziboniswa kwiifoto ezingezantsi.
I-Orthopedic insoles ye-fasciitis ye-plantar
Izixhobo ezicatshangelwayo ziindlela zokuncedisa unyango okanye ukulungiswa kwonyango, ukukhusela ukuphindaphinda kwesi sifo. I-Hindquarters enezithende zezithende zisebenza kuphela kwizigaba zokuqala zentsholongwane. Baphakamisa umqolo wonyawo, okunciphisa umthwalo onyawo. Ukongezelela, ezi zixhobo zikhonza njengento yokugubha ukuhamba, kwaye unyawo lulimaza ngaphantsi.
Ukuqhubela phambili kwesithende kukubandakanya ukusetyenziswa kwama-orthopedic insoles. Zinegalelo kwi-biomechanics echanekileyo, ibuyisele kwakhona umthwalo kwiinyawo kwaye igcine indawo efanelekileyo ye-fascias kwidibeneyo. Izibambiso zinciphisa ukukhathala xa zihamba, zithuthukisa ukujikeleza emilenzeni kwaye ziyeke iintlungu. Ezi zilungelelwaniso zikhethwe kuphela ngabanye, zenziwa ngumyalelo okhethekileyo.
Ukuzivocavoca nge-fasciitis plantar
Ukusetyenziswa kokunyanga kuyimfuneko ukwandisa ukunyaniseka kweefayili zeligament kunye nokuthintela ukuphuka kwamancinci. I-Gymnastics nge-fasciitis plantar ilula njengoko ikhona kwaye ingaqhutyelwa ekhaya. Ayikwazi ukuyenza xa isithende esiphezulu sisifo. Ukuzivocavoca kunqunywe kuphela emva kokuba ukukhululeka kukhululiwe:
- Sasaza phantsi kwezinto ezincinci kunye nemiphetho ephosakeleyo. Ukuqokelela ngeenzwane zakho kwisitya esikhulu okanye iplati.
- Beka unyawo lwakho kwinqanaba eliphakanyisiweyo (incwadi enzima, inyathelo) ukwenzela ukuba inkxaso iwele kwizwane, kwaye isithende sihlala phantsi. Ukuphakamisa nokunciphisa unyawo, ukuwuguqa emagqabeni, kude kube nokubonakala kwentlungu.
- Hlala esihlalweni. Beka nayiphi na into ejikelezayo kwi-bolt (ibhotile, i-pin pin). Ukutshatyalaliswa yedwa kunye neenyawo zakhe.
Unyango lwe-calcaneal uvuselela ngonyango olushukumisayo
Le ndlela ithathwa njengeyona ndlela efanelekileyo kunye neyamanje yokulwa nesifo. Inceda kwi-90% yamatyala ukuququzelela i-fasciitis plantar, unyango lunempembelelo elandelayo:
- ukuhla kweentlupheko zentlungu yamkeli;
- ukuphelisa ubuqhophololo;
- ukukhutshwa kwezibalo (ukukhula kwebony);
- ukukhawuleza kweenkqubo zokuxilisa;
- ukwandisa ukunyaniseka kwesoxhobo yeligament;
- ngokuqhelekileyo ukuhamba ngokubambisana.
Utyando olushukumisayo lwe-shock of the calcanal spur liqukethe inkqubo yokuxhaphaza. Iyonke iyimfuneko yeenkqubo 5-8. Iseshoni nganye inemizuzu eyi-10-30. Ukutshitshiswa kwamagagasi omsindo kunokubangela ukuvezwa okubuhlungu, kodwa uhambo oluya kulunye ulandelayo ugqirha ugqirha. Ukwahlukana phakathi kweendlela ezifunekayo kufuneka zivela kwiintsuku ezi-3 ukuya kwi-20, kuxhomekeke kubukhulu be-pathology.
Isithende siphucula - unyango kunye nezilwanyana zabantu
Ezinye iindlela zonyango alisebenzisiyo ukulwa ne-plantar fasciitis. Ezi ndlela ezifana nokuphatha isithende sithende zingasetyenziswa njengeziphumo ezincedisayo, kodwa zidibene kunye neyeza elondolozayo. Ngaphambi kokusebenzisa iincwadi zokupheka, kubalulekile ukudibana nodokotela ogqirha okanye ugqirha wamazinyo, ugqirha kufuneka avume iindlela ezikhethiweyo.
Isithende siphucula - unyango ekhaya kunye ne-tincture
Izithako :
- iingcambu ze-burdock - 2 tbsp. iipuni;
- utshani lwe-celandine - 2 tbsp. iipuni;
- vodka - 0,5 ilitha.
Ukulungiselela, isicelo
- Hlanganisa iimveliso zemifuno eyomileyo.
- Beka imifuno kwindawo ehlambulukileyo yelitha.
- Zithulule nge-vodka kwi-brim.
- Vala imbiza, uyibeke endaweni epholileyo.
- Ukugxininisa kuthetha iintsuku ezingama-6-7.
- Nciphisa isisombululo.
- Geza isigulane ngesithende ngokukhawuleza ngokuhlwa, ngaphambi kokulala.
- Emva kwenkqubo, faka i-sock efudumele.
Ukunyanga i-calcaneal spur ekhaya ngokukhawuleza ngeoli
Izithako :
- ibhotela ye-fat content content - 200 g;
- ipolisi yemvelo - 25 g.
Ukulungiselela, isicelo
- I-bee glue.
- Yilungise kwindawo yokuhlambela ngamanzi.
- Hlanganisa neoli elula.
- Dlulisa ioli ecocekileyo kwi-container.
- Ngaphambi kokuba ixesha lokulala lihlaziye indawo echaphazelekayo ngale mveliso.
Ukususwa kwe-calcanal spur
Ingenelelo yokuphanda iyaphakanyiswa kwiimeko ezizodwa (ngaphantsi kwe-5%). Le yindlela ephumelelayo kodwa eyingozi yokukhupha isithende. Ngethuba lokusebenza, i-fascia ye-plantar iyakunqunyulwa okanye inqunywe kwisithambo. Ukongezelela, ugqirha unako ukususa ngokukhawuleza okanye ukususa ngokupheleleyo umsizi we-adductor wesithupha unyawo, ulungelelanise isithende. Ingenelelo yokuphanda iyenziwa phantsi kwe-anesthesia yendawo, ubugcisa beklastiki okanye i-laparoscopic. Ukunyamezeleka, kodwa ngezinye iimeko kubangela iingxaki:
- neuroma;
- i-tarsal syndrome;
- intlungu ephindaphindiweyo kwindawo ye-calcaneus;
- usulelo lwesilonda;
- ukunyuka kweempawu.