Plantar fasciitis

The plantar fascia ndi mnofu wandiweyani pansi pa phazi. Amalumikiza fupa la chidendene kumapazi ndikupanga phazi. Minofu imeneyi ikatupa kapena kutupa, imatchedwa plantar fasciitis.

Kutupa kumachitika pamene minofu yolimba pansi pa phazi (fascia) yatambasulidwa kapena kugwiritsidwa ntchito mopitirira muyeso. Izi zitha kukhala zopweteka ndikupangitsa kuyenda kukhala kovuta kwambiri.

Mutha kukhala ndi plantar fasciitis ngati:

• Khalani ndi zovuta zamiyendo yamiyendo (mapazi onse ataliatali ndi mabwalo akulu)
• Kuthamanga maulendo ataliatali, kutsikira pansi kapena malo osagwirizana
• Onenepa kapena onenepa mwadzidzidzi
• Khalani ndi tendon yolimba ya Achilles (tendon yolumikiza minofu ya ng'ombe ndi chidendene)
• Valani nsapato zosagwirizana ndi arch kapena zofewa
• Sinthani magwiridwe antchito anu

Plantar fasciitis amawoneka mwa amuna ndi akazi. Ndi imodzi mwamadandaulo ofala kwambiri a mafupa.

Plantar fasciitis amadziwika kuti amayamba chifukwa cha chidendene. Komabe, kafukufuku wapeza kuti sizili choncho. Pa x-ray, zidendene zimawoneka mwa anthu omwe alibe kapena plantar fasciitis.

Chizindikiro chofala kwambiri ndikumva kupweteka komanso kuuma pansi pa chidendene. Kupweteka kwa chidendene kumatha kukhala kosalala kapena kwakuthwa. Pansi pa phazi amathanso kupweteka kapena kuwotcha.

Ululu nthawi zambiri umakhala woipa:

• M'mawa mukamapita koyambirira
• Pambuyo poyimirira kapena kukhala kwakanthawi
• Mukakwera masitepe
• Pambuyo pa ntchito yayikulu
• Mukamayenda, kuthamanga, komanso kudumpha masewera

Ululu ukhoza kukula pang'onopang'ono pakapita nthawi, kapena kubwera modzidzimutsa mutatha kugwira ntchito mwamphamvu.

Wothandizira zaumoyo adzayesa. Izi zitha kuwonetsa:

• Ululu pansi pa phazi lanu.
• Ululu pamapazi okhaokha.
• Phazi lathyathyathya kapena mabwalo apamwamba.
• Kutupa kofewa kapena kufiyira.
• Kuuma kapena kulimba kwa chipilala pansi pa phazi lanu.
• Kuuma kapena kulimba ndi tendon yanu ya Achilles.

Ma X-ray atha kutengedwa kuti athetse mavuto ena.

Wothandizira anu nthawi zambiri amalimbikitsa izi:

• Acetaminophen (Tylenol) kapena ibuprofen (Advil, Motrin) kuchepetsa kupweteka ndi kutupa. Ntchito zolimbitsa chidendene ndi mapazi.
• Zovala zausiku zoti muvale mutagona kuti mutambasule phazi.
• Kupuma momwe mungathere kwa sabata limodzi.
• Kuvala nsapato mothandizidwa bwino ndi mapilo.

Muthanso kugwiritsa ntchito ayezi kumalo opweteka. Chitani izi osachepera kawiri patsiku kwa mphindi 10 mpaka 15, makamaka m'masiku angapo oyambilira.

Ngati mankhwalawa sakugwira ntchito, omwe akukuthandizani angakulimbikitseni:

• Kuvala zotayira, zomwe zimawoneka ngati nsapato zothamanga, kwa masabata 3 mpaka 6. Itha kuchotsedwa posamba.
• Kuyika nsapato mwadongosolo (ma orthotic).
• Steroid akatemera kapena jakisoni mu chidendene.

Nthawi zina, opaleshoni yamiyendo imafunika.

Mankhwala osagwira ntchito nthawi zambiri amathetsa ululu. Chithandizochi chimatha miyezi ingapo mpaka zaka ziwiri zizindikiro zisanakhale bwino. Anthu ambiri amamva bwino mkati mwa miyezi 6 mpaka 18. Nthawi zambiri, pamafunika opaleshoni kuti muchepetse ululu.

Lumikizanani ndi omwe amakupatsani ngati muli ndi zizindikiro za plantar fasciitis.

Kuonetsetsa kuti bondo lanu, Achilles tendon, ndi minofu ya ng'ombe zimasinthasintha zingathandize kupewa fasciitis. Tambasulani chomera chanu m'mawa musanadzuke. Kuchita zinthu mosapitirira malire kungathandizenso.

• Plantar fascia
• Plantar fasciitis

Mchere BJ. Zovuta zama tendon ndi fascia ndi achinyamata ndi akulu pes planus. Mu: Azar FM, Beaty JH, Canale ST, eds. Opaleshoni ya Campbell. Wolemba 13. Philadelphia, PA: Elsevier; 2017: mutu 82.

Kadakia AR, Aiyer AA. Kupweteka kwa chidendene ndi plantci fasciitis: zochitika zam'mbuyo. Mu: Miller MD, Thompson SR, olemba. DeLee, Drez, & Miller's Orthopedic Sports Medicine. 5th ed. Philadelphia, PA: Elsevier; 2020: chap 120.

McGee DL. Njira zopatsira ana. Mu: Roberts JR, Custalow CB, Thomsen TW, olemba., Eds. Ndondomeko Zachipatala za Roberts ndi Hedges mu Emergency Medicine ndi Acute Care. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2019: chap 51.

Silverstein JA, Moeller JL, Hutchinson MR. Nkhani zofala m'mafupa. Mu: Rakel RE, Rakel DP, olemba. Buku Lophunzitsira La Banja. 9th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 30.