Iyo inonziwo calcaneal kana Lenoir's spine, iyo calcaneal enthesophyte kukura kwebhonzo kunowanikwa kumashure kwecalcaneum, bhonzo riri pachitsitsinho chetsoka. Inokonzerwa nekuputika kusingaperi kwe plantar fascia iyo inobatanidza chitsitsinho kune zvigunwe uye inotsigira rutsoka rwose. Tsanangudzo.

Kukobvura kweplantar fascia (fibrous membrane iyo inotenderera iyo yese arch yetsoka), iyo calcaneal enthesophyte inoitika muchimiro chepfupa musana uri kumucheto kumashure kwecalcaneus. Ipfupa rechikamu cheshure chetsoka chinoumba chitsitsinho.

Iyi pfupa yemuzongoza inoumbwa pamwero wekuzvimba kusingaperi kweiyi plantar aponeurosis, ichitevera kudzokorora microtraumas senge panguva yemitambo yemitambo inoisa mitoro inodzokororwa pachitsitsinho sekumhanya, kupfeka shangu dzisina kujaira kutsoka kana kukwira paivhu rine matombo. . Iyi fascia inotsigira arch yese yetsoka netsoka, kubva kune chitsitsinho kusvika kutsoka, uye inotumira simba rinodiwa kufambisa tsoka kubva kumashure kuenda kumberi. Iri kudiwa zvikuru paunenge uchimhanya.

Kuumbwa kwe calcaneal enthesophyte naizvozvo mhedzisiro yehutano hwekutsigira panguva inodzokororwa kufamba kwetsoka yakatakura.

Zvikonzero zve calcaneal enthesophyte zvakawanda:

• kunyanya kushandiswa kwechitsitsinho uye plantar fascia paunenge uchiita mitambo yakadai sejogging, kufamba-famba pamatombo, basketball, kumhanya zvakadai sekumhanya, nezvimwewo.
• shangu dzisina kunyatsoenderana netsoka, shangu dzakakura zvakanyanya, dzakatetepa, ine sote yakanyanya kusimba kana zvinopesana inochinjika, yakashata ankle tsigiro, chitsitsinho chakanyanya kana kutetepa, etc. 40% chete yevanhu kuva netsoka “yenguva dzose,” ndiko kuti haina kunyanyoti sandara, kana kuti isina mhango, kana kuti yakanyanyisa kutendeudzira mukati (kududzwa), kana kuti kunyandura kunze (supination);
• Overweight inoisa mutoro wakawandisa pamajoini ese anotakura mutoro akadai sechepazasi kumashure (lumbar spine), mahudyu, mabvi uye zviziso. Kuremerwa uku kunogona kuva chikonzero, munguva refu, yekudonha kwechitsiko chetsoka uye kusaenzana kwekutsigirwa kwetsoka pasi.

Pakupedzisira, kune vakwegura, kuvapo kwecalcaneal enthesophyte muchitsitsinho kunowanzoitika nekuda kwekuremara kwetsoka (osteoarthritis), imwe yakawandisa, shangu dzisina kunyatsogadziriswa uye kuderedzwa kwesimba remasumbu nemarunda.

Kurwadza kunorwadza muchitsitsinho kana kurema pakufamba ndicho chiratidzo chikuru. Marwadzo aya anogona kutora chimiro chekunzwa kubvaruka, marwadzo akapararira mukati metsoka asi akanyanya muchitsitsinho, kurwadziwa kwakanyanya sembambo yakaroverwa chitsitsinho.

Inogona kuoneka kamwe kamwe mangwanani mushure mekumuka pamubhedha, asi kwete mangwanani oga oga, kana mushure mekugara kwenguva refu pachigaro kana chigaro. Pashure pematanho mashomanana, kurwadziwa kunowanzopera. Ndiko kuzvimba kweaponeurosis yegumbo retsoka rinopa manzwiro aya anorwadza anogona kuiswa munzvimbo, kana kupenya kubva kumashure kusvika kumberi kwetsoka.

Iko hakuna zviratidzo zvinoputika paganda rechitsitsinho pamwero wechitsitsinho chinoputika. Zvechokwadi, ndiyo plantar aponeurosis iyo inoputika uye mishonga yechitsitsinho pachiyero chayo haisi. Asi dzimwe nguva kuzvimba kudiki kwenzvimbo yakakanganiswa kunogona kucherechedzwa.

Kuongororwa kwepanyama kunowana kurwadziwa kwakanyanya nekumanikidzwa kwechitsitsinho uye dzimwe nguva kuoma kwechitsiko. Zvinokwanisika kutambanudza plantar fascia nekuisa zvigunwe mu dorsiflexion (kumusoro). Palpation yake yakananga inokonzera kurwadziwa kwakanyanya.

Asi i-X-ray yetsoka ichasimbisa kuongororwa nekuratidza karusiyamu kadiki panheyo ye calcaneum, yehukuru hwakasiyana. Inopupura kune ossification yekuiswa kwemhasuru pane calcaneum. Zvisinei, vamwe varwere vanouya nemunzwa uyu pasina zviratidzo zvinorwadza. Haisi nguva dzose inokonzera marwadzo.

Kunyanya kuzvimba kwe plantar fascia iri pamavambo ekurwadziwa. Magnetic Resonance Imaging (MRI) inogona kuitwa iyo inosimbisa kukora kwayo kwakabatana nekuzvimba kwayo. Asi kazhinji, hazvidiwi kuti kuongororwa kwecalcaneal enthesophyte.

Nhanho yekutanga mukurapa ndeyekuderedza mitambo yemitambo inogona kuisa zvakanyanya kushushikana pane fascia uye arch yetsoka. Zvadaro, orthopedic insoles inofanira kuitwa mushure mekuongororwa kwepodiatry kune podiatrist. Basa ravo richave rekuzorodza plantar aponeurosis. Idzi soles dzinenge dziine dome diki kana chinokatyamadza chitsitsinho padhi pazvitsitsinho kuderedza rutsigiro.

Kana kurwadziwa kwakaramba kuchienderera mberi, zvinokwanisika kuita corticosteroid infiltrations munharaunda.

Physiotherapy inogonawo kubatsira mukurapa nekudzokorora kutambanudza kwemhuru-Achilles tendon uye plantar fascia. Self-massage ye arch yetsoka uchishandisa tennis bhora zvinokwanisika kutambanudza fascia uye kubvisa marwadzo. Kurasikirwa kwehuremu muhupo hwekurema kunokurudzirwawo zvakasimba kuderedza mutoro pazvitsitsinho uye arch yetsoka.

Pakupedzisira, kuvhiyiwa hakuwanzoratidzwa. Iko kunyange dzimwe nguva inorambwa nevanovhiya kunze kwechiitiko chekukundikana kwemamwe marapirwo uye kurwadziwa kukuru nekuoma kwekufamba.