Kana uine posterior tibial tendonitis , dzimwe nguva inonzi posterior tibial tendon (PTT) kusagadzikana, unogona kubatsirwa nekushanda nemutano wepanyama kuti ubatsire kuderedza marwadzo ako nekuvandudza kufamba kwako. Imwe mishonga iyo PT yako inogona kushandisa ye PTT kudzvinyirira ndeyekukurudzira mazita kana shangu dzinoiswa. Zvipfeko zvehombodo zve posterior tibial tendonitis zvinoshandiswa kuvandudza netsoka yako nzvimbo uye kusimudzira kana kutsigira netsoka yako yemaoko, zvichiita kuti usiye kushungurudzika uye kunetseka kubva kune yako tibialis posterior tendon.
Asi mazoro anodikanwa zvechokwadi here?
Foot Position uye PTT Dysfunction
Muongorori wako wepanyama achaongorora nzvimbo yako yepamusoro panguva yako yekuongorora kukosha kweTTT dysfunction. Sei? Nokuti vanhu vazhinji vane matambudziko eTTT vane chirwere chechimiro (kana mukati) mumakumbo avo. Izvi zvinowanzotaurwa sekunge munhu mukuru akawana tsoka dzakashata kana pes planus. Sezvo arch yako ichiwa uye rutsoka rwako ruchibuda, kushungurudzika uye kushungurudzika zvinogona kuiswa pane yako tibialis posterior tendon mujinga rako rezasi, uye izvi zvinogona kutungamirira kurwadziwa mukati memakumbo ako uye netsoka.
Heino chinhu chinonakidza: havasi vose vanoita tsoka dzakapera vanoita posterior tibial tendonitis, uye havasi vose vane PTT dysfunction vane chirwere chepakati chakawira. Ndicho chikonzero kurapa kwako kunofanira kuenzaniswa. Uye chiremba wepanyama anogona kubatsira kubvisa mushonga wakanakisisa wehutano hwako. Kushandisa zvinyorwa zveTTT kudzvinyirira kunogona kuva chimwe chikamu chepurogiramu yako ye rehab.
Kururamisa Makumbo Maitiro NeOrthotics
Saka chii chinonyanya kuitwa nemakumbo? Zvichinyorwa, vanosimudzira nharo yepakati, vachitsigira mukati memakumbo ako. Izvi-munzvimbo-dzinotsigira tsoka yako uye yako posterior tibial tendon munzvimbo yakanakisisa yekushanda zvakanaka. Kushanda zvakanaka kwetendon haina kukuvadza, uye kufamba kwako uye kumhanya kunogona kudzokera kune yakasarudzika.
Kune marudzi akasiyana ezvinyorwa. Off-the-shelf shoe inowanika inogona kutengwa pachitoro chedu cheshuga kana pharmacy. Ndiwo maitiro anowanzopinza muzvishongo zvako kuti upe humwe hutsigiro kumakumbo ako. Kune vamwe vanhu vane PTT dysfunction, izvi zvinogona kunge zvakakwana.Zvino zvinowanzobhadhara mari, asi hazvifananidzi kune nzvimbo yako chaiyo yetsoka.
Chimiro chetsika dzakanyatsogadzirwa ndechimwe sarudzo yevanhu vanotarisa kuti vatsigire vhesi yavo. Izvi zvakaumbwa kuti zvikwanise tsoka dzako nePP kana orthotist. Vanotora vhiki shomanana kuti vaite; kazhinji PT yako kana orthotist inotora chituko chetsoka dzako uye inotumira avo vanoenda kune imwe nyanzvi yekugadzira. Nzira idzi dzinogadzirwa maererano neshoko rako rakananga. Dambudziko guru nemaitiro orthotics: zvinogona kudhura. Nzira dzakawanda dzekuisa shangu dzinogona kudhura $ 300 kusvika $ 500 (US). Iko mari yakakwirira inogona kukuita iwe kumbomira uye funga kaviri usati wazvitenga tsika yaunowedzera kuitira PTT yako kushanda. Asi kana vakabatsira mamiriro ako ezvinhu, vangave vakakodzera.
Mubvunzo mukuru wekupindura paunofunga nezvenhengo dzePTT kusagadzikana: zvinoshanda zvechokwadi here?
Kutsvakurudza Kunoratidzei?
Imwe nzira yekuongororisa kubudirira kwezvinyorwa (kana chero imwe mishonga) yePTT kusakosha ndeyokuongorora tsvakurudzo yakabudiswa nesayenzi pamusoro pemamiriro acho.
Zvinhu zvekutanga kutanga: vanoita mapoka anonyatsoshandura chinzvimbo chetsoka dzako kuti kuderedze kutakurwa kwe post post tibial tendon here?
Chimwe chidzidzo chakabudiswa muna 2016 chakaongorora kushanduka kwemakumbo uye tsoka kune dzimwe nguva zvinowanikwa nekushandisa maviri emhando dzakasiyana-siyana dzemhemberero uye shangu yakazara. Zvikamu gumi neshanu zvakanyatsotarisana neTTT zvakange zvisina kufambisa kufamba kwavo pavanenge vakapfekedza marudzi akasiyana ehombodo nemitambo. Vatsvakurudzi vakawana kuti kushandisa tsika dzechimiro nehutano hwakakosha huripo hwakabatsira kururamisa nzvimbo yakagadzikana zviri nani pane kushandisa shanho yekufamba. Mumwe angatora pfungwa yokuti maitiro anokwanisa kugadzirisa nzvimbo yegumbo paanenge achifamba.
Inotarisirwa kuti kururamiswa uku kunogona kubatsira kuderedza dambudziko pa posterior tibial tendon yako.
Chimwe chidzidzo chakaongorora marwadzo nekuremara kwevashanu muvarwere (varume gumi nevakadzi gumi nemashanu) vane posterior tibial tendonitis. Dhiyabhorosi yakatanga kuunganidzwa pamusoro pehutano hwevarwere uye kurasikirwa kwebasa, uye ipapo nyaya imwe neimwe yaipfeka zvinyorwa kwemavhiki matanhatu. Vatsvakurudzi vakaona kuti kuve nekuderera kwehutambudzo uye hutano hwehurema pamusoro pemavhiki matanhatu kwemaawa achishandisa mazita.
Dambudziko rimwe chete nekudzidza: kwakanga kusina boka rekutonga. Vose vese vanopfeka zvinyorwa, naizvozvo hazvizivikanwe kana kuvandudzwa kunoonekwa kwaive nekuda kwemapfupa kana kungoenda nguva. Zvichida chimwe chiitiko chisingafanoonekwi chakaita kuti kuve nekuvandudzwa kwakaonekwa mukudzidza.
Pasi pepamusoro: mazita anokwanisa kugadzirisa chinzvimbo chetsoka dzako, uye anogona kubatsira kuderedza marwadzo nekushanda kwebasa nekuda kwekushanda kweTTT. Asi, kutsvakurudza pamusoro pekushandisa kwavo kwakashata, uye kunoramba kusingazikanwi kana vachizoshanda nokuda kwemamiriro ako chaiwo.
Kurapa Kwepanyama Kunogona Kubatsira Sei?
Kana iwe uine PTT kudzvinyirira, unogona kubatsirwa nekushanda nemutapi wepanyama kuti ubatsire kuvandudza zviratidzo zvako uye kudzokera kune yako yekare yehutano. Your PT inogona kuongorora mamiriro ako ezvinhu uye inopa zvirongwa zvakanakisisa kwauri. Rehab ye posterior tibial tendonitis inogona kusanganisira:
- Mamiriro ekudzivirira kutuka uye kurwadziwa
- Kudzidzira kunatsiridza nzvimbo yako yakadzika kumativi ekufamba uye simba
- Kuenzanisa uye kudzidzira maitiro
- Orthotics kururamisa nzvimbo yetsoka
- Mazano paunodzokera kumabasa ako apfuura
Kana PT yako inonzwa kuti rutsoka rwako nechikwama chenzvimbo zvinokonzera kudzvinyirira zvakanyanya pane yako tibialis posterior tendon, iye anogona kukurudzira orthotics. Tsvakurudzo inoratidza kuti minyoro inogona kushandura netsoka dzako uye inogona kubatsira kuderedza marwadzo nekuvandudza basa, saka iyi inoratidzira mushonga. Kunzwisisa kuti sei iwe uri kupfeka mazoro uye izvo zvinoda kuti vashumire zvinogona kukubatsira kuita sarudzo yakanakisisa yemamiriro ako chaiwo.
Shoko Rinobva
Orthotics iyi inoshandiswa kurapwa kwevanhu vane matambudziko anonzi posterior tibial tendon. Kana iwe uchitambura nemamiriro ezvinhu aya, unogona kubatsirwa nokuvashandisa kuderedza marwadzo ako nekuvandudza kufamba kwako. Mishonga yako yekutapudza kwePTT inofanira kuve yakasanangurwa nokuda kwehutano hwako. Nokushanda pamwe chete nemushandi wako wepanyama, unokwanisa kusarudza kana maitiro ezvakanaka kwauri, uye iwe unogona kukurumidza kudzoka kune imwe nzvimbo yekare yebasa.
> Sources:
> Bek, N. et al. Mhedzisiro yehutano hwemashure ehutsika hwechirwere husina kukwana mukurwadziwa nekuremara. The Pain Clinic; 15 (3). Yakabudiswa paIndaneti 2013: 345-50.
> Neville, C. et al. Tsanangudzo yegumbo remakumbo nechekuwedzera kunowedzera kushandiswa kwepamberi mberi mune zvidzidzo nechitambo II posterior tibial tendon kusagadzikana. JOSPT; 46 (1) 2016: 26.-33.