Harshen peroneal sune tendons da ke haɗa da tsokoki na waje na maraƙin zuwa ƙafa. Babban tsohuwar manyan tsokoki na peroneal (peroneus longus da peroneus brevis) sun kasance a waje na kafa, kawai kusa da tsokoki na ƙuƙwalwa. Yatsun suna haɗuwa da kashi ta hanyar tendon , wanda yake tafiya tare da gefen ƙafar idon kuma ya haɗa zuwa kafa.
Jigun peroneal yana da muhimmanci a ci gaba da kafa kafa - motsi na tayar da ƙafafun daga ƙafafun. A cikin al'ada na al'ada, motsi na tsokoki na peroneal suna daidaita da tsokoki wanda ke juya ƙafar (dutsen daga ƙasa daga idon safar).
Wadannan tendon peroneal guda biyu suna da alaƙa da gaske-a gaskiya, suna zama ɗaya a saman wani gefen dama bayan fibula. Wannan dangantaka ta kusa tana tunanin taimakawa ga wasu matsalolin da ke faruwa a cikin tendon peroneal, yayin da suke tare da juna a bayan takalma.
Tendonitis na Peroneal
Matsalolin mafi yawan da ke faruwa tare da tendon peroneal shine kumburi ko tendonitis . Kwancen suna yawan ƙusarwa a bayan kullun ƙashin ƙafar kafar takalma. Wannan ɓangare na fibula shine ƙuƙwalwa a waje na idon (wanda ake kira a matsayin malleolus na gefe ), kuma tendon peroneal suna tsaye ne bayan wannan sananne.
Hanyoyin maganin fata na iya zama sakamakon sakamako mai maimaitawa ko rauni marar kyau .
Halin bayyanar cututtuka na peroneal sun hada da ciwo a baya da idon kafa, kumburi a kan tendon peroneal, da taushi na tendons. Yawanci yawanci yana shan wahala idan an rusa ƙafa kuma a ciki, yana shimfiɗa tendon peroneal. Harkokin hawan X-hawan sune al'ada al'ada, kuma MRI na iya nuna kumburi da ruwa kewaye da tendons.
Anyi amfani da maganin gargajiya na peroneal tare da wasu matakai mai sauƙi, ciki har da:
- Aikace-aikacen Ice
Yin amfani da kankara a yankin zai iya taimakawa wajen rage kumburi da kuma taimaka wajen magance ciwo. - Sauran
Sauran shi ne maɓalli kuma sau da yawa taimakawa tare da yin amfani da ɓacin hanyoyi ko ɗaki . - Anti-inflammatory Magunguna
Magunguna, irin su Motrin ko Aleve, suna da ƙananan ciwon kumburi kuma zasu iya rage kumburi a kusa da tendon. - Jiki na jiki
Jiki na jiki zai iya zama da amfani wajen taimakawa wajen gyara gashin haɗin gwiwa. - Walken takalma / Ankle Brace
Braces da takalma wata hanya ce ta rage damuwa a kan tendons kuma suna ba da izinin hutawa da kuma ƙonewa don ragewa. - Cortisone Injections
Ana amfani da injections na cortisone da yawa, saboda suna iya haifar da lalacewa. Duk da haka, a cikin lokuta na yau da kullum wanda ba zai inganta ba, ana iya la'akari da harbin cortisone.
Peroneal Tendon Tears
Rashin kuka na tendon peroneal abu ne mai ban mamaki, kuma kusan kowane lokaci yakan faru ne ga tendon peroneus brevis. An yi tunanin cewa hawaye suna haifar da al'amura biyu tare da tendon. Wata fitowar ita ce samar da jini. Yunkuri na alarinus brevis kusan lokuta yakan faru a cikin ruwa mai tsafta inda zubar da jini, kuma ta haka abincin da ke cike da jiji, shi ne mafi talauci. Na biyu, ita ce dangantakar zumunci tsakanin ƙafafun biyu, da haifar da fataccen peroneus da za a yi aure a tsakanin tendon hawan peroneus da kashi.
Yawancin likitoci sunyi kokarin hawaye da hawaye na peroneus tare da irin wannan jiyya don tendonitis da aka jera a sama. Abin baƙin ciki shine, yawancin marasa lafiya ba su sami taimako na wariyar launin fata, sabili da haka aikin tiyata zai zama dole. Akwai sauƙi biyu na zaɓin peroneus brevis hawaye:
- Tsarin Gyara da gyare-gyaren Tendon
A lokacin da aka yi amfani da dindindin gyaran kafa, za a iya cire layin da aka lalata da kuma ƙwayoyin ƙwayar cuta. Tashin yatsun yana iya gyara, kuma yatsun yana "tabularized" don sake dawo da yanayin al'ada. Yin gyare-gyare da gyare-gyare na yaudara ya fi tasiri a lokacin da kasa da 50% na tendon ya tsage. - Tsaro
Hanyoyin wanzuwar hanya ce inda aka lalata tarkon da aka saba da shi. A wannan yanayin, an cire sashin launi na peroneus (yawanci 'yan santimita kaɗan), kuma iyakar da aka bari a baya an sanya su zuwa ga tendon hagu na peroneus. Ana bayar da shawarar don hawaye da ya ƙunshi fiye da 50% na tendon.
Saukewa bayan tiyata ya ƙunshi makonni masu yawa na ƙuntataccen nauyin nauyi da tsararraki, dangane da irin aikin tiyata. Bayan biyan kuɗi, farfadowa zai fara. Yawan lokaci don dawowa shine yawan makonni 6-12, dangane da irin aikin tiyata. Risks na tiyata sun hada da kamuwa da cuta, haushi, da ciwo na ci gaba . Wannan ya ce, tiyata yana da matukar nasara, tare da marasa lafiya suna bayar da rahoton kashi 85-95%.
Sources:
Philbin TM, et al. "Raunin Jirgin Lafiya na Fatar" J Am Acad Orthop Surg Mayu 2009; 17: 306-317.