Tarsal tunnel chirwere

Tarsal tunnel syndrome mamiriro mune iyo tibial nerve iri kumanikidzwa. Iyi ndiyo tsinga iri mumakumbo inobvumira kunzwa uye kufamba kune zvikamu zvetsoka. Tarsal tunnel syndrome inogona kutungamira mukuvava, kurira, kushaya simba, kana kukuvara kwemhasuru kunyanya pasi petsoka.

Tarsal tunnel syndrome inzira isina kujairika yehunopomba neuropathy. Izvo zvinoitika kana paine kukanganisa kune tibial nerve.

Nzvimbo iri mutsoka umo tsinga inopinda kumashure kwechidzitiro inonzi tarsal tunnel. Uyu mugero unowanzo kuve wakamanikana. Kana iyo tibial nerve yakamanikidzwa, inoguma nezviratidzo zve tarsal tunnel syndrome.

Kushushikana pane tibial nerve kunogona kunge kuri nekuda kwechero ipi inotevera:

• Kuzvimba kubva mukukuvara, senge yakamonerwa ankle kana padyo tendon
• Kukura kusingaenzanisike, senge bone spur, bundu mumubatanidzwa (ganglion cyst), kuzvimba (varicose) vein
• Flat tsoka kana yakakwirira arch
• Muviri-wakapamhama (systemic) hosha, senge chirwere cheshuga, yakaderera utachiona basa, arthritis

Mune zvimwe zviitiko, hapana chikonzero chinogona kuwanikwa.

Zviratidzo zvinogona kusanganisira chero zvinotevera:

• Kunzwa kunoshanduka pazasi petsoka nezvigunwe, kusanganisira kupisa kwekunzwa, chiveve, kurira, kana kumwe kusanzwisisika kwekunzwa
• Marwadzo muzasi kwetsoka nezvigunwe
• Kushaya simba kwetsoka dzetsoka
• Kushaya simba kwezvigunwe kana gumbo

Muzviitiko zvakakomba, mhasuru dzetsoka dzakanyanya kusimba, uye tsoka inogona kuremara.

Anopa hutano hwako anoongorora tsoka yako uye obvunza nezve zviratidzo zvako.

Munguva yebvunzo, mupi wako anogona kukuwana uine zvinotevera zviratidzo:

• Kusakwanisa kupeta zvigunwe, pusha tsoka pasi, kana kumonyanisa gumbo mukati
• Kushaya simba mumakumbo, tsoka, kana zvigunwe

Miedzo inogona kuitwa inosanganisira:

• EMG (kurekodha kwechiitiko chemagetsi mumhasuru)
• Tsinga biopsy
• Nerve conduction bvunzo (kurekodha kwechiitiko chemagetsi padhuze nehutano)

Mimwe bvunzo inogona kurairwa inosanganisira kuongororwa kweropa uye kuongororwa kwemifananidzo, senge x-ray, ultrasound, kana MRI.

Kurapa kunoenderana nechikonzero chezviratidzo.

• Wako mupi angangodaro atange kuratidza kuzorora, kuisa chando pamakumbo, uye kudzivirira zviitiko zvinokonzeresa zviratidzo.
• Kupfuura-the-counter kurwadziwa mishonga, senge NSAIDs, inogona kubatsira kudzikamisa kurwadziwa nekuzvimba.
• Kana zviratidzo zvichikonzerwa nedambudziko rerutsoka senge dzakatsetseka tsoka, tsika orthotic kana chibooreso chinganyorerwe.
• Kurapa kwepanyama kunogona kubatsira kusimbisa mhasuru dzetsoka uye kugadzirisa shanduko.
• Steroid jekiseni mumakumbo inogona kudikanwa.
• Kuvhiya kuwedzera tarsal tunnel kana kuendesa tsinga kunogona kubatsira kudzikisa kumanikidza kune tibial nerve.

Kudzoreredza kuzere kunogona kuitika kana chikonzero chetarsal tunnel syndrome chikawanikwa uye chikabudirira kurapwa. Vamwe vanhu vanogona kurasikirwa zvishoma kana kuzere kufamba kana kunzwa. Kutambudzika kwepfungwa kunogona kusagadzikana uye kunogara kwenguva yakareba.

Kusarapwa, tarsal tunnel syndrome inogona kutungamira kune inotevera.

• Kuremara kwetsoka (nyoro kusvika pakukutu)
• Kufambisa kurasikirwa muzvigunwe (zvishoma kana zvakakwana)
• Kudzokororwa kana kusaonekwa kukuvara pagumbo
• Kunzwa kurasikirwa mune zvigunwe kana tsoka (zvishoma kana zvakakwana)

Fonera mupiki wako kana iwe uine zviratidzo zve tarsal tunnel syndrome. Kutanga kuongororwa uye kurapwa kunowedzera mukana wekuti zviratidzo zvinogona kudzorwa.

Kusagadzikana kwetibial nerve; Posterior tibial neuralgia; Neuropathy - posterior tibial tsinga; Peripheral neuropathy - tibial tsinga; Tibial tsinga inosungwa

• Tsinga dzeTibial

Katirji B. Kukanganisika kwemitsipa yekunze. Mune: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology muClinical Dzidzira. 7th ed. Philadelphia, PA: Elsevier; 2016: chits. 107.

Kunyara INI. Peripheral neuropathies. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 420.