Matenda a Tarsal

Matenda a Tarsal tunnel ndimomwe mitsempha ya tibial imapanikizidwira. Uwu ndiye minyewa ya mchiuno yomwe imalola kumverera ndikuyenda mbali zina za phazi. Matenda a Tarsal angayambitse kufooka, kumva kulira, kufooka, kapena kuwonongeka kwa minofu makamaka pansi pa phazi.

Matenda a Tarsal ndi njira yachilendo yokhudzana ndi ubongo. Zimachitika pakakhala kuwonongeka kwa mitsempha ya tibial.

Dera lomwe lili m'mapazi pomwe minyewa imalowa kumbuyo kwa bulu amatchedwa mumphangayo wa tarsal. Ngalandeyi nthawi zambiri imakhala yopapatiza. Mitsempha ya tibial ikapanikizika, imabweretsa zizindikilo za tarsal tunnel syndrome.

Kupsyinjika kwa mitsempha ya tibial kumatha kukhala chifukwa cha izi:

• Kutupa chifukwa chovulala, monga chotupa chopindika kapena tendon yapafupi
• Kukula kosazolowereka, monga fupa la fupa, chotupa palimodzi (ganglion cyst), kutupa (varicose) vein
• Lathyathyathya phazi kapena pamwamba
• Matenda amthupi (systemic), monga matenda ashuga, chithokomiro chotsika, nyamakazi

Nthawi zina, palibe chifukwa chomwe chingapezeke.

Zizindikiro zimatha kuphatikizira izi:

• Kutengeka kumasintha pansi pa phazi ndi zala zakumiyendo, kuphatikiza kuyaka, dzanzi, kumva kulira, kapena kumva kwina kosazolowereka
• Kupweteka pansi pa phazi ndi zala
• Kufooka kwa minofu ya phazi
• Kufooka kwa zala kapena kumapazi

Zikakhala zovuta, minofu ya phazi ndiyofooka kwambiri, ndipo phazi limatha kupunduka.

Wothandizira zaumoyo wanu adzawona phazi lanu ndikufunsani za zomwe mukudwala.

Mukamayesa mayeso, omwe amakupatsani mwayi akhoza kukumana ndi izi:

• Kulephera kupindika zala, kanikizani phazi, kapena kupotoza bondo mkati
• Kufooka kwa akakolo, phazi, kapena zala

Mayeso omwe angachitike ndi awa:

• EMG (kujambula kwamagetsi muminyewa)
• Mitsempha yamitsempha
• Kuyesa kwamitsempha kwamitsempha (kujambula zamagetsi pamitsempha)

Mayesero ena omwe angayitanidwe akuphatikizapo kuyezetsa magazi ndi kuyesa kulingalira, monga x-ray, ultrasound, kapena MRI.

Chithandizo chimadalira chifukwa cha zizindikiro.

• Wopezayo angakuuzeni kuti mupumule kaye, kuyika ayezi pachikopa, ndikupewa zinthu zomwe zimayambitsa matenda.
• Mankhwala opweteka kwambiri, monga NSAID, angathandize kuthetsa ululu ndi kutupa.
• Ngati zizindikilo zimayambitsidwa ndi vuto la phazi monga phazi lathyathyathya, ma orthotic achikhalidwe kapena kulumikizana atha kulembedwa.
• Thandizo lakuthupi lingathandize kulimbitsa minofu ya phazi ndikuwongolera kusinthasintha.
• Steroid jekeseni mu akakolo angafunike.
• Kuchita opaleshoni kukulitsa ngalande ya tarsal kapena kusamutsa mitsempha kumathandizira kuchepetsa kupanikizika kwa mitsempha ya tibial.

Kuchira kwathunthu ndikotheka ngati chifukwa cha tarsal tunnel syndrome chikupezeka ndikuchiritsidwa bwino. Anthu ena amatha kuchepa pang'ono kapena kutayika kwathunthu kapena kutengeka. Kupweteka kwamitsempha kumatha kukhala kovuta ndipo kumakhala kwa nthawi yayitali.

Matenda osachiritsika, tarsal tunnel syndrome atha kubweretsa izi:

• Kupunduka kwa phazi (pang'ono mpaka okhwima)
• Kutayika kwa mayendedwe kumapazi (pang'ono kapena kwathunthu)
• Kuvulala mobwerezabwereza kapena mosazindikira mwendo
• Kutayika kwakumaso kuphazi kapena phazi (pang'ono kapena kwathunthu)

Itanani omwe akukuthandizani ngati muli ndi zizindikiro za tarsal tunnel syndrome. Kuzindikira koyambirira ndi chithandizo kumawonjezera mwayi woti zizindikilo zizitha kuwongoleredwa.

Kusokonezeka kwa mitsempha ya Tibial; Zithunzi zaposachedwa tibial neuralgia; Neuropathy - mitsempha yam'mbuyo yam'mimba; Zotumphukira neuropathy - tibial mitsempha; Kutsekeka kwa mitsempha ya Tibial

• Mitsempha ya Tibial

Katirji B. Kusokonezeka kwamitsempha yotumphukira. Mu: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, olemba. Neurology ya Bradley mu Kuchita Zachipatala. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2016: mutu 107.

Manyazi INE. Ozungulira neuropathies. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: chap 420.