Ngemuva kweminyaka engama-40-45, abesifazane abaningi bazwa ubuhlungu obukhulu ezinyaweni, ngisho nemithwalo encane emilenzeni noma ehamba. Izinzwa ezingathandeki zitholakala endaweni yangasese, zihlale zikhuliswa. Ngokuhamba kwesikhathi, ubuhlungu be-syndrome buba namandla kakhulu, kuvumela ukuhamba futhi kuholela ekukhubazekeni.
Iyiphi isithende esikhuphukayo?
Kuzokwelapha, ukugula okucatshangelwayo kubizwa ngokuthi i-plantar fasciitis. Lesi sifo ukukhula kwethambo esithendeni se-calcaneus. Kungatholakala endaweni yokunamathisela kwe-tendon ye-Achilles noma ohlangothini lwe-plantar. I-Scion isesimweni somgogodla noma umcengezi, ngenxa yokuthi lesi sifo sisaziwa ngokuthi i-calcaneal spur. Lena inkinga engapheli efuna ukwelashwa okuvamile. Uma kungenjalo, kuzothuthuka ngokushesha futhi kubangele izinkinga.
Isithende siphumelele - izimbangela
Ukwakhiwa kwamathambo ukubonakaliswa kokubili kwe-pathology. Kunezigaba eziningana lapho i-fasciitis plantar iqala khona, izizathu zokukhula kwesithende zichazwa yizinqubo ezilandelanayo ezilandelayo:
- I-Microrecording of fabrics. Ukugcina isigxathu se-longitudinal sezinyawo kukhona imithi ekhethekile - i-fascia. Esikhundleni sokuma komzimba, basuke bebhekene nezingcindezi ezibucayi, balandisa cishe ingxenye yesisindo somuntu ngamunye. Ngenxa yalokhu, ukuhlukana okuncane kakhulu kungenzeka.
- Ukuvuvukala. Uma ubuqotho be-fascia abuyabuyiselwa, izindawo zomonakalo wazo ziba nokuthukuthela futhi ziphuluke. Inqubo ye-aseptic yokuvuvukala iqala.
- I-Bone overgrowth. Umzimba uzama ukuvikela izakhiwo ezizungezile. Njengendlela yokusabela ukuvuvukala, i-spanmatic spur isakhiwe. Isebenza njengokuhlukaniswa phakathi kwezicubu ezinomonakalo nezinempilo.
Plantar fasciitis - izimbangela zokuvuvukala
Isici esiyinhloko esibangela indlela yokuthuthukiswa kwesifo yilona ukwakhiwa kwezinto ezincane ezigciniwe ezihlanganisweni zokulondoloza. I-fasciitis yezinyawo ezisezinyaweni iqala ngezizathu ezilandelayo:
- isifo sikashukela mellitus;
- ukukhuluphala;
- ukuhlukumeza isithende noma unyawo;
- i-arthritis ;
- i-gout ;
- ukugqoke njalo izicathulo ezinezithende eziphakeme;
- i-periostitis;
- i-osteoarthritis;
- Isifo sikaBechterew ;
- i-flatfoot ende;
- i-rheumatism;
- i-bursitis ;
- izinguquko ezihlobene neminyaka emzimbeni, ezihambisana nokunciphisa amanothi okugcoba ngaphansi kwesikhumba.
Isithende siphumelele - izimpawu
Isithombe sesitholampilo salesi sifo sisho futhi sitholakale kalula. Izimpawu ze-Plantar fasciitis kanje:
- ubuhlungu obunzima, obuvuthayo esifundeni se-calcaneal ngokuzikhandla ngokomzimba;
- shintsha ukukhishwa, ukusekelwa ngaphambili kwonyawo;
- ukuqala kwesifo sobuhlungu ngokushesha ngemva kokuvuswa;
- i-transverse flatfoot;
- umkhawulo wokuhamba, isidingo senduku yokuhamba noma ezinye izinsiza zokuhamba;
- ukuqinisa nokuphikelela ubuhlungu, ukulahlekelwa ikhono lokusebenza.
Njengoba isithende siphuma, umuntu angacabangela kuphela kwi-x ray. Azikho izimpawu zangaphandle ze-pathology echazwe. Ezimweni ezingavamile kakhulu, ukuvuvukala okuncane nokukhumba isikhumba kubonakala ku-calcaneus. Ukuthola ukuvota kulula ngama-criteria amaningi:
- izikhalo zabantu;
- indawo, ubukhulu kanye nesikhathi sokwenzeka kobuhlungu;
- umkhawulo wokuhamba ngezinyawo;
- ubuhlungu ngokucindezela phansi kwesithende kanye nezindawo zayo ezizungezile;
- Isithombe se-X-ray (njengokuqinisekisa).
Isithende siphakamise ukwelashwa
Ukwelapha kwe-fasciitis plantar kuthatha kuphela ukunciphisa isimo somuntu, ukunciphisa noma ukuqeda ubuhlungu be-syndrome nokubuyiselwa kokuhamba ngezinyawo. Ukwelashwa okunamandla kwe-span calal, okuvumela ukuyiqeda ngokuphelele, akukakhiwa. Ukukhula kwe-bone akukwazi ukususwa, kodwa kukhululekile ukuhlala nayo uma usebenzisa ukwelashwa okuphumelelayo.
Plantar fasciitis - ngumuphi udokotela okufanele ngithinte?
Ukwakheka ukuhlonza okufanele udokotela ohlinzayo uzosiza. Ezikhathini eziningi, udokotela unquma ukugula ngisho nangesikhathi sokuhlolwa. Ezimweni eziyinkimbinkimbi, noma uma kunesidingo sokuhlukanisa ukuxilongwa nge-arthritis, izinyawo eziphansi kanye nezinye izifo ze-musculoskelet system, ukubonisana kwabachwepheshe abaseduze kanye nesithombe se-X-ray baqokwa. Indlela yokuphulukisa isithende, bese utshela umuthi wamazinyo. Lo dokotela usebenzelana kuphela nezifo ze-osteoarticular.
Plantar fasciitis - ukwelashwa ngemithi
Ukwelashwa kokunciphisa umzimba kuncishiswe ekusetshenzisweni kwemithi yendawo ene-anti-inflammatory and analgesic effect. Zisetshenziswa izikhathi eziyisihlanu ngosuku ngamasonto angu-2-3. Okokuqala, udokotela ukhetha i-gel, ukhilimu noma amafutha avela esithendeni.
- Ketorol;
- I-Voltaren;
- Indomethacin;
- Diclofenac;
- I-Butadione;
- Ibuprofen;
- I-Piroxicam;
- I-Dimexide;
- Olfen nokufana.
Ngenxa yemithi ehlongozwayo isithende esithendezelayo ibangela ubuhlungu obuncane, ithuthukisa ukuhamba nokuzwela kwezinyawo. Ukwengeza, i-pepper noma imifino yemifino ingasetshenziswa. Zenza umphumela ocasulayo futhi ophazamisayo, ukunciphisa ukukhukhumeza nokuyeka isifo sobuhlungu. Uma ukwelashwa kwendawo kungenayo umthelela olindelekile, ukujova ukwelashwa ngendlela ye-blockckades isetshenziswa. I-classical variant - imijovo ye-Novokaina emkhakheni we-fascia, ayenzwanga kaningi ngaphezu kwezikhathi ezingu-2 ngosuku futhi kuphela ngesikhathi sokucindezeleka kwe-pathology.
Nge-inflammation ejulile, ama-blockages ane-hormone ye-glucocorticosteroid (izinqubo 1-3) kuyodingeka:
- I-Flosteron;
- I-Diprospan ;
- I-Kenalog.
Iziguli ezine-fasciitis plantar
Ukwakhiwa kwesiphakamiso esikhethekile esivumelana ngokuhambisana nesikhumba somuntu, kusiza ukukhulula umthwalo osuka emisipha yonyawo kanye nemigqa, kuyenqabela, kuvimbele ukuvela kwamasha amancane, futhi kume ukuvuvukala. Ukuze uthole imiphumela ebonakalayo, amaviki angu-4 (ubuncane) kufanele kwenziwe nge-kinesiotherapy, i-fasciitis ye-plantar yezinga elibi idinga ukwelashwa okude, kuze kube yizinyanga ezimbili. Izinketho zokusebenzisa i-patch ziboniswa ezithombeni ngezansi.
Izinsimbi ze-Orthopedic ze-fasciitis ezitshaliwe
Amadivayisi acatshangwayo yindlela yokusiza yokwelapha noma yokwelashwa kwesondlo, ukuvimbela ukuphindaphinda kwesifo. I-Hindquarters nge-spurs isithende iphumelela kuphela ezinyathelweni zokuqala ze-pathology. Baphakamisa inyawo, okunciphisa umthwalo ngezinyawo. Ngaphezu kwalokho, lezi zesekeli zikhonza njengama-absorck absorbers wokuhamba, futhi unyawo lulimaza kancane.
Ukuqhuma kwesithende okuqhubekayo kuhilela ukusetshenziswa kwama-insoles okugcwele. Zenza i-biomechanics efanele, ibuyisele kabusha umthwalo ezinyaweni futhi igcine indawo efanele ye-fascias kuhlangene. Ama-insoles anciphisa ukukhathala uma ehamba, ngcono ukujikeleza emilenzeni bese uyeka ubuhlungu. Ukuzivumelanisa okunjalo kukhethwe kuphela ngabanye, kwenziwa nge-oda elikhethekile.
Ukuzivocavoca nge-fasciitis plantar
Ukuvivinya umzimba kuyadingeka ukwandisa ukuqina kwezinto ezisetshenziswa yi-ligament nokuvimbela ukuhlukana okuncane. Ukuvocavoca nge-fasciitis plantar kulula kakhulu futhi kungenziwa ekhaya. Ngeke yenziwe uma isithende esivuthayo sitholakala. Ukuzivocavoca kunqunywe ngemuva kokuba ukukhululeka kukhululiwe:
- Spread phansi kwezinto ezincane ngemiphetho emibi. Ukuqoqa ngezinzwani zakho ezitsheni elibanzi noma epulangwe.
- Faka unyawo lwakho endizeni ephakanyisiwe (ibhuku elikhuni, isinyathelo) ukuze ukusekela kuwele emlenzeni, futhi isithende sihlala phansi. Phakamisa futhi unciphise unyawo, uwubophe emagqumeni, kuze kuvele ubuhlungu obubekezelelekile.
- Hlala esihlalweni. Beka noma yikuphi into e-cylindrical ebhodini (ibhodlela, iphini yokugcoba). Ukuze alahlekelwe yedwa ngezinyawo zakhe.
Ukwelashwa kwe-calcaneal spur nge-threaked wave treatment
Le ndlela ibhekwa njengendlela ephumelela kakhulu futhi yesimanje yokulwa nalesi sifo. Isiza ngamacala angu-90% ukusiza i-fasciitis plantar, ukwelashwa kunemiphumela elandelayo:
- ukwehla kobuzwe bezinkinga zokuthola ubuhlungu;
- ukuqeda ukukhukhumeza;
- ukukhululeka kwezibalo (ukukhula kwe-bony);
- ukusheshisa kwezinqubo zemethamo;
- ukwandisa ukuqina kwezinto zokusebenza ze-ligament;
- ukujwayelekile kokuhamba okuhlangene.
Ukwehliswa kwe-shock-wave of the spank calvals kunezinkambiso zokuxhaphaza. Ingqikithi iyadingeka izinqubo ezingu-5-8. Isikhathi ngasinye sithatha imizuzu engu-10-30. Ukusakaza amagagasi omsindo kungabangela izinzwa ezibuhlungu, kepha ukuvakashelwa okulandelayo kudokotela ukuqina kwazo kunciphisa. Ikhefu phakathi kwama-manipulations kufanele libe ngezinsuku ezingu-3 ukuya kwezingu-20, kuye ngokuthi ubunzima be-pathology.
Isithende siphuza - ukwelashwa ngamakhambi abantu
Ezinye izindlela zokwelashwa okunye azikwazi ukusebenza ngokumelene ne-fasciitis plantar. Izindlela ezinjengezokwelapha isithende zingasetshenziswa njengemiphumela ehambisanayo, kodwa zihlanganisa kuphela ukwelashwa okuzimele. Ngaphambi kokusebenzisa izinhlobo zokupheka, kubalulekile ukubonana nodokotela ohlinzayo noma odokotela bamazinyo, udokotela kumele avumele izindlela ezikhethiwe.
Isithende sihluma - ukwelashwa ekhaya nge-tincture
Izithako :
- izimpande ze-burdock - 2 tbsp. izinkezo;
- utshani lwe-celandine - 2 tbsp. izinkezo;
- i-vodka - 0.5 amalitha.
Ukulungiselela, uhlelo lokusebenza
- Hlanganisa izinto zokusetshenziswa zemifino ezomile.
- Beka amakhambi emkhakheni ohlanzekile wemizuzu engu-litre.
- Ziphule nge-vodka emgqeni.
- Vala imbiza, uyibeke endaweni epholile.
- Ukuphikelela kusho izinsuku ezingu-6-7.
- Nciphisa isisombululo.
- Geza isiguli ngesithende nge-spur njalo kusihlwa, ngaphambi kokulala.
- Ngemuva kwenkambiso, gqoka ukufudumala okufudumeleko.
Ukuphatha i-calcaneal spur ekhaya ngokushesha ngamafutha
Izithako :
- ibhotela lokuqukethwe okukhulu kunamafutha - 200 g;
- propolis yemvelo - 25 g.
Ukulungiselela, uhlelo lokusebenza
- Gaya i-bee glue.
- Hlanganisa ngamanzi okugeza.
- Hlanganisa namafutha athambile.
- Dlulisa amafutha e-container ehlanzekile, eyomile.
- Ngaphambi kokulala ugaxe indawo ethintekile nalo mkhiqizo.
Ukususwa kwe-spank calveal
Ukungenelela kokuhlinzwa kunconywa ezimweni ezihlukile (ngaphansi kuka-5%). Lena indlela ephumelelayo kodwa eyingozi yokukhipha isithende. Ngesikhathi sokusebenza, i-plantar fascia iyakunqunyulwa noma isuke ithambo. Ngaphezu kwalokho, udokotela angasusa noma asuse ngokuphelele isisindo se-adductor esilenzeni sezinyawo, uhambisane nesithende. Ukungenelela kokuhlinzwa kwenziwa ngaphansi kwe-anesthesia yendawo, inqubo yobuciko noma ye-laparoscopic. Kubekezelelwe kahle, kodwa ngezinye izikhathi kubangela izinkinga:
- i-neuroma;
- i-tarsal tunnel syndrome;
- ubuhlungu obuvamile emkhakheni we-calcaneus;
- ukutheleleka kwesilonda;
- ukubhebhethekisa izibonakaliso ze-spur.