Ankle's Ankle kana Ankle
Anterior chengeted impingement syndrome ndiyo mamiriro ezvinhu anoitika apo pfupa rinoputika pamberi pegumbo remakumbo. Mafupa emapfupa anogona kuumba pamagumo echin bone (the tibia), pamusoro pemakumbo emakumbo (talus), kana pane zvose zviri zviviri. Apo rutsoka runokwidzwa kumusoro, chipfupa chemapfupa, chinokonzera marwadzo mberi kwechidzitiro chechidzitiro.
Ndiani ari pangozi yeAnterior Ankle Impingement Syndrome?
Anterior ankle impingement syndrome yaiwanzoidzwa se "chikwata chemitambo" kana kuti "chikwata chebhora." Anterior chengetani kupinza inofungidzirwa kuti ndeye mugumisiro wekudzokororazve microtrauma ( overuse kukuvara ) kumakumbo, kunyange kune zvimwe zvinokonzera mamiriro acho, kusanganisira majoka emakumbo.
Izvo zvinowanzoitika kune vanotambira uye vanyengeri vane mishonga inoda kudzokorora makumbo dorsiflexion - kusimudza rutsoka kumusoro kumakumbo. Izvi zvinosanganisira vatambi vematambo, avo vanotsigirawo mhirizhonga yakawanda kubva mubhola uye vamwe vatambi vari pamakumbo, vatambi vematambo, vatambi vemabhoti, vanomhanya, uye vanoita zvemajimini. Bhubu rinoputika uye maosteophyte anoonekwa pa-X-ray kwehafu yevamwe vatambi mumitambo iyi, asi vazhinji havana zviratidzo.
Zviratidzo uye Kuongororwa kweAnterior Ankle Impingement
Izvo zvinoratidza chiratidzo chekunze kwepakisi kupinza kunorwadza pamusoro pechipfuva chekubatana kwechidzitiro, kunyanya kana rutsoka ruchikwira kumusoro zvichienda kune shin mukudenga. Iyi nharaunda inowanzova yenyoro, uye dzimwe nguva pfupa rinogona kunzwika pamusoro pepamberi pechidzitiro. Zvinorwadza zvinowanzobviswa apo gumbo rinobvumirwa kuti rive mbeu. Kudzoka kwechikwata chepakisi chimwe chiratidzo. Iwe unogona kuona kuti chiuno chako chinoputika mushure mekuita basa.
Kuongororwa kwepfungwa yemakumbo yepakisi kunowanzoitwa ne-X-ray, kunyange zvazvo dzimwe mimwe miedzo, yakadai seMRI, ultrasound kana CT scan ingashandiswa kusimbisa kuongororwa uye kuratidza kuti hakuna zvimwe zvinetso mumakumbo echikwata zvinogona kukonzera kurwadziwa.
Kurapa kweAnterior Ankle Impingement
Iyo inowanzopwa mushonga we anterior makumbo impingement syndrome inotarirwa kuderedza kuvhiringidza panzvimbo yekusimudzirwa. Izvi zvinogona kuitwa nekuzorora, muromo unopesana nekuputira , mazai echando , zvitsitsinho zvemberi muhombodo, zvingara bracing, uye zvichida chirwere chinonzi cortisone .
Kuputika kwekarukwa kunogona kuongororwa kunyanya kana iwe wakanga uchingodzokorora mazhenje. Orthotics inogona kugadzirirwa kururamisa tsoka.
Kana zvirwere izvi zvisingabudiriri, chirongwa chinoporesa chinogona kufungidzirwa kubvisa mapfupa emapfupa. Ankle arthroscopy inowanzoshandiswa mukurapa anterior chengwena impingement syndrome. Kuvhiyiwa kunobvisa bone spurs (osteophytes) iyo inokonzera kupindira.
Pamusoro pemakumbo makuru, chirwere chekuvhima chinogona kubudiswa. Iko kurapwa kunoitwa zvakanyatsogadziriswa kuvimbisa kuti hakuna kuipa kwetari kana kuti yakadzika yeropa reone munharaunda iyi yechidzitiro.
Arthroscopic kukanganiswa kwebony uye zvigadziriswe zvinyorwa zvinyorwa zvakave nokubudirira kwakanaka kwehuwandu. Kune nguva shoma yekudzorera uye kudzokera kune zvemitambo mabasa kana achienzaniswa nekuvhiyiwa kwechikwata. Vazhinji varwere vaiva nekununurwa kwakanaka kwehutano asi anenge chechina chavo vaigona kudzokera kumutambo wavo wekare wemitambo.
Mushure mekuvhiyiwa, iwe uchapfeka chikwata chekufamba kwemavhiki maviri, uchiteverwa nehutano hwepanyama kuti udzorere huwandu hwekufamba uye kuvaka simba nekutsungirira. Iwe uchabvumidzwa kudzokera kumitambo mushure mevhiki masere kusvika masere.
Sources:
Niek van Dijk C uye van Bergen CJ "Kufambira mberi muAnkle Arthroscopy" J. Am. Acad. Ortho. Surgery., November 2008; 16: 635 - 646.
Tanawat Vaseenon naAannunziato Amendola. "Kuvandudza pane imwe yepakisi yemakumbo." Curr Rev Musculoskelet Med. 2012 Jun; 5 (2): 145-150.