Har ila yau ana kiransa calcaneal ko Lenoir's spine, calcaneal enthesophyte shine girma na kashi wanda yake a gefen baya na calcaneum, kashi wanda yake a diddige na ƙafafu. Yana faruwa ne ta hanyar kumburin kumburin ciyayi mai ɗorewa wanda ke haɗa diddige zuwa yatsu kuma yana goyan bayan ƙafa duka. Bayani.

Kauri na plantar fascia (maɓalli mai fibrous wanda ke layin gabaɗayan baka na ƙafa), ƙwayar enthesophyte na calcaneal yana faruwa a cikin sigar kashin kashin baya wanda yake a ƙarshen ƙarshen calcaneus. Kashin bayan kafa ne ya zama diddige.

Wannan kashin kashin baya yana samuwa ne a matakin ciwon kumburi na wannan tsire-tsire na aponeurosis, yana biye da microtraumas mai maimaitawa irin su yayin aikin wasanni wanda ke sanya nauyin maimaitawa a kan diddige kamar tsere, sa takalma mara kyau ga ƙafafu ko hikes a kan ƙasa mai dutse. . Wannan fascia yana tallafawa duka baka na ƙafa da ƙafa, daga diddige zuwa yatsan hannu, kuma yana watsa ƙarfin da ake buƙata don motsa ƙafar daga baya zuwa gaba. Yana cikin babban buƙata lokacin gudu.

Samuwar enthesophyte na calcaneal shine sakamakon rashin tallafi yayin maimaita motsi na ƙafar da aka ɗora.

Abubuwan da ke haifar da enthesophyte calcaneal suna da yawa:

• wuce gona da iri na diddige da fascia na shuke-shuke lokacin gudanar da wasanni kamar tsere, tafiya a kan dutse, ƙwallon kwando, gudu irin su sprinting, da dai sauransu.
• takalman da ba su dace da ƙafafu ba, takalma masu fadi da yawa, kunkuntar, tare da tafin kafa mai tsayi ko akasin haka ma mai sauƙi, rashin goyon bayan idon ƙafa, diddige mai tsayi ko kuma bakin ciki, da dai sauransu 40% kawai na mutane. suna da ƙafar “al’ada”, wato ba maɗaukaki ba ne, kuma ba faɗuwa ba, kuma ba ma jujjuyawar ciki ba (pronation), ko kuma a waje (supination);
• Kiba mai kiba wanda ke sanya nauyin da ya wuce kima akan duk gidajen da ke dauke da kaya kamar na baya (kashin lumbar), hips, gwiwoyi da idon sawu. Wannan nauyi na iya zama sanadi, a cikin dogon lokaci, na zubewar baka na ƙafa da kuma rashin daidaituwar tallafin ƙafar a ƙasa.

A ƙarshe, a cikin tsofaffi, kasancewar ƙwayar enthesophyte na calcaneal a cikin diddige yana da yawa saboda nakasar ƙafa (osteoarthritis), wani nau'in kiba, takalma mara kyau da kuma rage ƙarfin tsoka da haɗin gwiwa.

Ciwo mai kaifi a cikin diddige lokacin yin nauyi yayin tafiya shine babban alama. Wannan ciwon yana iya ɗaukar nau'in jin zafi, zafi mai yaduwa a cikin baka na ƙafa amma ya fi girma a cikin diddige, zafi mai zafi kamar ƙusa da aka makale a diddige.

Yana iya bayyana ba zato ba tsammani da safe bayan tashi daga gado, amma ba kowace safiya ba, ko bayan zama na dogon lokaci a kujera ko kujera. Bayan 'yan matakai, ciwon yakan ragu. Kumburi na aponeurosis na baka na ƙafa ne ke ba da waɗannan raɗaɗi masu raɗaɗi waɗanda za a iya gano su, ko kuma suna haskakawa daga baya zuwa gaban kafa.

Babu alamun kumburi akan fata na diddige a matakin hawan diddige. Lalle ne, shi ne shuke-shuke aponeurosis wanda yake da kumburi da kyallen takarda na diddige a matakinsa ba. Amma wani lokacin ana iya ganin ɗan kumburin yankin da abin ya shafa.

Binciken na jiki yana gano ciwo mai tsanani tare da matsa lamba na diddige da kuma wani lokacin taurin idon. Zai yiwu a shimfiɗa farjin shuka ta hanyar sanya yatsun kafa a cikin dorsiflexion (a sama). Fassarar sa kai tsaye yana haifar da ciwo mai tsanani.

Amma X-ray na ƙafar zai tabbatar da ganewar asali ta hanyar nuna ƙaramin kashin calcium a gindin calcaneum, mai girma dabam. Yana ba da shaida ga ossification na shigar da tsoka a kan calcaneum. Koyaya, wasu marasa lafiya suna gabatar da wannan ƙaya ba tare da wata alama mai zafi ba. Ba koyaushe ke da alhakin zafi ba.

Musamman kumburin ciyayi na ciyayi wanda yake a asalin ciwon. Ana iya yin Hoto na Maganar Magnetic (MRI) wanda zai tabbatar da kauri mai alaƙa da kumburinsa. Amma mafi yawan lokuta, ba lallai ba ne don ganewar asali na enthesophyte calcaneal.

Mataki na farko a cikin jiyya shine rage ayyukan wasanni wanda zai iya sanya damuwa da yawa akan fascia da baka na ƙafa. Sa'an nan kuma, dole ne a yi insoles na orthopedic bayan an duba lafiyar ƙafar ƙafa a wurin likitan podiatrist. Ayyukan su zai kasance don shakatawa aponeurosis na shuka. Wadannan sandunan za su sami ƙaramin dome ko kushin diddige mai girgiza a diddige don rage tallafi.

Idan ciwon ya ci gaba, yana yiwuwa a aiwatar da infiltration na corticosteroid a gida.

Physiotherapy kuma na iya taimakawa wajen jiyya ta hanyar maimaita jijiyar maraƙi-Achilles da fascia na shuka. Massage kai na baka na ƙafa ta amfani da ƙwallon tennis yana yiwuwa ya shimfiɗa fascia da kuma rage zafi. Rage nauyi a gaban kiba kuma ana ba da shawarar sosai don rage nauyin da ke kan diddige da baka na ƙafa.

A ƙarshe, ba a cika yin aikin tiyata ba. Har ma wasu lokuta likitoci sun ki yarda da shi sai dai idan rashin nasarar wasu jiyya da ciwo mai tsanani tare da wahalar tafiya.