Ukususela kwisithende ukuya kwi-instep, intlungu ingenzeka naphi na unyawo. Kodwa xa unyawo lwakho lubuhlungu, lunokuba buhlungu ngakumbi. Iintlungu zeenyawo ezisecaleni, ezihamba ecaleni komda wonyawo kunye ne-ankle, zinokwenza ukuba neentshukumo ezilula (ezifana nokuma nokuhamba) zibe ngumngeni.
I-instep yenye yamalungu omzimba axhasa bonke ubunzima bethu imini yonke, ngoko akumangalisi ukuba intlungu yonyawo ixhaphake.
Izizathu
Ubuhlungu obuphezulu bonyawo bunokubangelwa yinani leemeko ezahlukeneyo, ezona zixhaphakileyo ngenxa yokusetyenziswa ngokugqithiseleyo kwimisebenzi efana nokugijima, ukuxhuma okanye ukukhaba.
Isifo samathambo
Ukuba unyawo lwakho oluphezulu lubuhlungu luhlala lubi kakhulu ekuseni kwaye luphucula ngokuhamba imini yonke, unokuba ne-arthritis, isifo esidibeneyo. Ngokukodwa, i-arthritis kwi-ankle joint ingabangela intlungu kwicala le-p
Xa intlungu isecaleni le-ankle, ngokuqhelekileyo ithetha ukuba i-post-traumatic arthritis, okanye isifo esidibeneyo esenzeka emva kokulimala kwi-ankle okanye i-ankle ligaments. Iintlungu zangaphakathi zinokubangelwa sisifo sokuqaqamba kwamalungu elungu le-subtalar joint. Kunokwenzeka ukuphuhlisa i-arthritis kwi-subtalar joint (ilungu elingaphantsi kwe-ankle joint) ukuba kukho ukukhubazeka okuhambelana ne-flatfoot. Oku kungenxa yokuba unyawo oluthe tye olusicaba lubonisa ukungcungcutheka okungaqhelekanga kwethambo lesithende, nto leyo enokukhokelela ekungeneni ngasecaleni komdibaniso we-subtalar.
ukwaphuka koxinzelelo
Ukuqhekeka koxinzelelo, okanye ukuqhekeka okuncinci, kwithambo lesihlanu le-metatarsal (ithambo elide elingaphantsi kwenzwane encinci) kunokubangela intlungu kwi-instep. Ngokungafaniyo neentlungu ze-arthritic, iintlungu zonyawo ezivela kwi-stress fracture zihlala ziqala ngokukhawuleza eziba nzima imini yonke.
Oku kuqhelekile kubantu abame ngeenyawo ixesha elide okanye abenza umthambo onempembelelo ephezulu ebandakanya ukutsiba okanye ukubaleka. Kwakhona kuxhaphake kakhulu kwiinyawo eziphakamileyo.
Peroneal tendonitis
Intlungu kwi-instep inokuhambelana ne-peroneal tendinitis, oko kukuthi, ukuvuvukala kwi-tendon ye-peroneal. Le tendon ibaleka ukusuka ngaphandle komlenze ukuya kwithambo elisezantsi kweenyawo, kwaye intlungu ingenzeka naphi na kwi-tendon. Nangona kunjalo, iintlungu zihlala zivela emva kwethambo le-ankle elingaphandle kunye nenxalenye yangaphandle yonyawo.
I-tendonitis ye-Peroneal ithambekele ekuphuhliseni abagijimi, ngakumbi abo bangatshintshi izicathulo zabo ngokuphindaphindiweyo ngokwaneleyo okanye abonyusa i-mileage okanye isantya ngokukhawuleza.
Bursitis
I-Bursitis inokuba ngumthombo wentlungu yakho. Oku kwenzeka xa i-bursa, ingxowa yolwelo ebekwe kwindawo engqonge ukuqaqamba kwamathambo (okt, iindawo apho amathambo akufuphi kumphezulu wolusu), idumba. I-Bursitis ingenzeka phezu konyawo, malunga nesiseko senzwane encinci.
Abanye abantu banokwenza i-bursa evuthayo kule ndawo ukusuka kwizihlangu ezingathandekiyo ezixubha unyawo kwaye zicaphukise ukugqama kwamathambo.
imithambo-luvo
Ukuba iintlungu ze-instep zikhatshwa kukuntlithwa okanye ukuba ndindisholo, sinokuba ne-pinched nerve. Ukunyanzeliswa kwe-nerve ye-sural, ehamba phantsi ngaphandle komlenze ukuya ezinzwaneni, kunokubangela intlungu kwicala lonyawo, ukuxubha, okanye nokuba ndindisholo okwethutyana phantsi kwecala lomlenze nonyawo, ebizwa ngokuba yi-neuropraxia. Uxinzelelo lwe-sural nerve lunokuba ngenxa yokwenzakala ngokuthe ngqo okanye ukunxiba isamente ukuba isamente iqinile kwindawo yethole.
Ukongezelela, i-nerve edibeneyo ngasemva evela kwiidiski ze-herniated (ngokukodwa ezibandakanya i-L5) nazo zingabangela intlungu phezu konyawo. Kule meko, intlungu idla ngokuqala kwi-back back kwaye ikhuphe umlenze ophantsi.
I-ankle sprain
Ngamanye amaxesha i-ankle sprain elula eqala intlungu ye-instep. Uninzi lwexesha, ukulimala kubangela intlungu phezulu kweenyawo ngenxa yokuba i-ankle ijika ngaphakathi kwaye i-ligaments iyancipha.
Kwiimeko ezininzi, i-ankle sprains ibandakanya i-talofibular ligament yangaphambili, eyona mfutshane (kwaye ixhaphake kakhulu) i-lateral ligament. I-ankle sprains ephindaphindiweyo inokubangela ukungazinzi kwe-ankle engapheliyo, enokuchaphazela ukulinganisela.
i-cuboid syndrome
Ingxaki ngecuboid, ithambo elincinci elingaphandle konyawo, linokubangela intlungu kwiinzwane zakho. I-Cuboid syndrome yi-party dislocation ye-cuboid bone ezinyaweni, ebangelwa kukwenzakala kwi-ligaments ejikelezileyo. Xa kukho ukukrazuka kwezi ligaments, i-cuboid inokunyuka inyuke, ibangele intlungu ngaphandle konyawo.
Le yimeko enzima ukuyixilonga kwaye ihlala iqondwa kakubi njenge-ankle sprain okanye i-peroneal tendinitis.
i-bunion yomthungi
Nangona iibhuni ezininzi zibekwe ecaleni kwenzwane enkulu, i-bunion yomthungi, eyaziwa ngokuba yi-bunion, inokukhula ngaphandle konyawo kwaye ibangele intlungu. Oku kwenzeka xa umntu enokukhubazeka kweenyawo zemfuza, okubangela ukuba i-bunion yenze kufuphi nebhola lonyawo.
Iintlungu ze-Tailor's bunion zisuka kwiintlungu ezingapheliyo ukuya kwiintlungu ezibukhali, kwaye kuhlala kukho ukudumba kunye nobubomvu kwindawo ngokunjalo.
Uxilongo
Ukuba intlungu ye-instep iyaqhubeka kwaye ihlala ngaphezu kweveki nangona unyango ngalunye, ukutyelela ugqirha kufuneka kwenziwe. Kufuneka kwakhona sibize ugqirha ukuba intlungu inzima ngokwaneleyo ukuba isithintele ukuba singahambi, okanye ukuba sinokutshisa, ukuphazamiseka, okanye ukubetha kunyawo oluchaphazelekayo.
Ugqirha uya kusibuza malunga nazo naziphi na ezinye iimpawu kunye neendlela ezinokwenzeka ukuba unyawo lwenzakele. Sinokubuzwa malunga nomsebenzi womzimba kunye naluphi na unyawo lwangaphambili okanye ukulimala kwe-ankle. Ugqirha uya kuhlola unyawo. Basenokucinezela kwiindawo ezahlukeneyo zonyawo lwakho ukuze babone apho uziva khona iintlungu. Basenokusicela ukuba sijikeleze kwaye senze imithambo efana nokujika unyawo ukuvavanya uluhlu lwentshukumo.
Ukuvavanya i-tendinitis ye-extensor, ugqirha uya kusicela ukuba siguqule unyawo phantsi kwaye sizame ukuphakamisa iinzwane ngelixa sichasa. Ukuba siva intlungu, kusenokwenzeka ukuba unobangela yi-extensor tendinitis. Ukuba ugqirha ukrokrela ukuba siphuke ithambo, i-fracture, okanye i-bone spur, uya kuyalela i-X-reyi yonyawo.
Unyango
Ekubeni iinyawo zethu zinobunzima obupheleleyo bomzimba wethu, ukwenzakala okungephi kunokujika kube kukhulu ukuba akunyangwa. Funa unyango olukhawulezileyo ukuba sikrokrela ukuba ukwenzakala kubalulekile. Uninzi lwezizathu zeentlungu zonyawo oluphezulu ziyanyangeka kakhulu, kodwa kufuneka zinyangwe phambi kokuba intlungu kunye nokwenzakala kube mandundu.
- Isifo samathambo. I-Ankle kunye ne-subtalar arthritis inokunyangwa ngamachiza achasene nokuvuvukala (NSAIDs), immobilization kunye ne-bandages, kunye ne-injection ye-steroid yendawo. I-Orthotics nayo inokunika isiqabu. I-orthotics yesiko inceda ukugcina indawo efanelekileyo yethambo lesithende kwaye ngoko ke impembelelo ye-subtalar kunye nokulungelelaniswa kwe-ankle. Ubungakanani benkxaso ye-arch kunye nokulungiswa kwi-orthoses kuchongwa ngumgcini we-podiatrist usebenzisa i-X-ray imaging kunye nohlalutyo lwe-gait.
- ukwaphuka koxinzelelo. Ukunyanga iifractures zoxinzelelo, kubalulekile ukuguqula umsebenzi ngexesha lokuphulukisa amathambo, iiveki ezintandathu ukuya kwezisibhozo. Kucetyiswa ukuba ugcine unyawo lungenakunyakaziswa kwi-CAM (i-ankle elawulwayo) ehambayo okanye i-boot ehambayo malunga neeveki ezintathu. Ukongeza, iibrayisi zesiko ezinohlengahlengiso oluthile olubizwa ngokuba yi-distal metatarsal pad zinokuba luncedo ekuthinteleni ukwaphuka koxinzelelo ukuba kuphinde kwenzeke. I-metatarsal pad ikhulula ithambo le-metatarsal ukukhupha uxinzelelo olusuka kwintloko ye-metatarsal kunye nentamo ye-metatarsal.
- Tendinitis. Ixesha lokuphumla, ukusetyenziswa komkhenkce, ukunyanzeliswa, kunye nokuphakama kucetyiswa iveki enye. Emva koko sinokufuna ukugqoka i-brace okanye ukusebenzisa i-kinesiology tape ukuxhasa ngokuqhubekayo. Emva kokuba ukuvuvukala kuncitshisiwe (ngokuqhelekileyo iiveki ezimbini), kubalulekile ukunweba kunye nokuqinisa i-tendon kwakhona. Ukuqiniswa kwe-Instep kunokwenziwa ekhaya kunye nokuzivocavoca okubandakanya i-theraband (yokuchasana) okanye kunyango lomzimba ukuba intlungu iyaqhubeka.
- Bursitis. I-Bursitis iphathwa ngokususa i-irritant eyenza ukuba i-bursa yenze. Ngokomzekelo, isisombululo sinokuba lula njengokutshintsha izihlangu zakho. Ngamanye amaxesha, i-bursa inokwenziwa incinci kwaye ingabi nantlungu kunye nenaliti ye-steroid yendawo kunye ne-padding ejikeleze i-bursa. Ii-NSAID nazo zinokunceda ngeentlungu kunye nokudumba.
- imithambo-luvo. Uxinzelelo lwe-nerve ye-sural kufuneka luzisombulule ngokwalo ngokuhamba kwexesha. Unyango lweLaser, uhlobo lonyango lokukhanya olunamandla aphezulu, lunokunceda uxinezeleko lwemithambo-luvo lusombulule ngokukhawuleza. Ukuba iintlungu zeenyawo zecala zivela kwi-pinched nerves ngasemva, kufuneka ziphathwe kwindawo yendawo njengoko iyindawo apho umqondiso we-nerve uphazamiseka.
- Ukuhluza. Ukuba sine-sprain, siya kusebenzisa ukuphumla, iqhwa, ukunyanzeliswa kunye nokuphakama kwiiyure zokuqala ze-48 zokulimala. Oku kufuneka kunciphise kakhulu iimpawu zokungakhululeki. Ukuba intlungu iyaqhubeka, kunokubakho ukukrazula okanye ukulimala okubalulekileyo.
- i-cuboid syndrome. Ngokuxhomekeke kubukhulu bokulimala, unyango lunokubandakanya ixesha lokunyanzeliswa kwe-immobilization kwi-boot ehambayo. Kwiimeko ezinzima kakhulu, kunokuba yimfuneko ukubuyisela i-cuboid kwindawo phantsi kwe-anesthesia yendawo.
- Bunion. Unyango olulondolozayo lubandakanya ukuguqulwa kwezihlangu (ngokukodwa, ukuguqula izihlangu ezibanzi), amayeza omlomo kunye nomlomo ochasene nokuvuvukala, unyango lomzimba, kunye neenaliti ze-steroid zendawo. Xa unyango olulondolozayo luhluleka, ukulungiswa kokuhlinzwa kwe-bunion kufuneka kuthathelwe ingqalelo, okubandakanya ukusika ithambo kunye nokulihambisa kwindawo efanelekileyo.