Ebizwa nangokuthi i-calcaneal noma umgogodla we-Lenoir, i-calcaneal enthesophyte ukukhula kwethambo elitholakala engxenyeni engemuva ye-calcaneum, ithambo elitholakala esithendeni sezinyawo. Kubangelwa ukuvuvukala okungapheli kwe-plantar fascia ehlanganisa isithende ezinzwaneni futhi isekela unyawo lonke. Izincazelo.

Ukuqina kwe-plantar fascia (i-membrane ene-fibrous ehlanganisa yonke i-arch yonyawo), i-calcaneal enthesophyte yenzeka ngendlela yomgogodla wethambo osekupheleni kwe-calcaneus. Yithambo lengxenye engemuva yonyawo eyakha isithende.

Lo mgogodla wethambo wakhiwe ezingeni lokuvuvukala okungapheli kwalesi sitshalo se-aponeurosis, kulandela ama-microtraumas aphindaphindiwe njengalapho kwenziwa imidlalo ebeka imithwalo ephindaphindiwe esithendeni njengokugijima, ukugqoka izicathulo ezingafaneleki ezinyaweni noma ukuhamba ngezinyawo emhlabathini onamatshe. . Le fascia isekela yonke i-arch yonyawo nonyawo, kusukela esithendeni kuya ozwaneni, futhi idlulisela amandla adingekayo ukuze uqhube unyawo ukusuka emuva ukuya phambili. Idingeka kakhulu uma isebenza.

Ngakho-ke ukwakheka kwe-calcaneal enthesophyte kuwumphumela wokuphazamiseka kokusekela ngesikhathi sokunyakaza okuphindaphindiwe konyawo olulayishiwe.

Izimbangela ze-calcaneal enthesophyte ziningi:

• ukusetshenziswa ngokweqile kwesithende kanye ne-plantar fascia lapho uqhuba imidlalo efana nokugijima, ukuhamba ngezinyawo emhlabathini onamatshe, i-basketball, ukugijima njengokugijima, njll.
• izicathulo ezingavumelani kahle nezinyawo, izicathulo ezibanzi kakhulu, ezincane kakhulu, ezine-sole eqinile kakhulu noma ngokuphambene nalokho eziguquguqukayo kakhulu, ukusekelwa kwe-ankle okumpofu, isithende esiphezulu kakhulu noma esincane kakhulu, njll. Abantu abangu-40% kuphela ube nonyawo “oluvamile,” okusho ukuthi alusicaba kakhulu, alunambobo kakhulu, aluvulwanga kakhulu ngaphakathi (iphimbo), noma aluvuleki kakhulu ngaphandle (ukuphakanyiswa);
• Ukukhuluphala ngokweqile okubeka umthwalo owedlulele kuwo wonke amalunga athwala imithwalo afana nomhlane ophansi (i-lumbar spine), izinqe, amadolo namaqakala. Lokhu kugcwala ngokweqile kungaba yimbangela, ngokuhamba kwesikhathi, yokuwohloka kwe-arch yonyawo kanye nokungalingani kokusekela konyawo phansi.

Ekugcineni, kubantu asebekhulile, ukuba khona kwe-calcaneal enthesophyte esithendeni kuvame ukuvela ngenxa yokukhubazeka konyawo (i-osteoarthritis), isisindo esithile, izicathulo eziguquguqukayo ezingalungile kanye nokunciphisa amandla emisipha kanye nemigqa.

Ubuhlungu obubukhali esithendeni lapho isisindo ngenkathi uhamba yisibonakaliso esiyinhloko. Lobu buhlungu bungathatha isimo sokudabuka, ubuhlungu obusakazekile ekhothameni lonyawo kodwa buvelele esithendeni, ubuhlungu obuhlabayo obufana nozipho olubhajwe esithendeni.

Ingavela ngokuzumayo ekuseni ngemva kokuvuka embhedeni, kodwa hhayi njalo ekuseni, noma ngemva kokuhlala isikhathi eside esihlalweni noma esihlalweni. Ngemva kwezinyathelo ezimbalwa, ubuhlungu ngokuvamile buyadamba. Ukuvuvukala kwe-aponeurosis ye-arch yonyawo okunikeza lezi zinzwa ezibuhlungu ezingase zenziwe endaweni, noma zikhiphe kusukela ngemuva kuya phambili onyaweni.

Azikho izimpawu zokuvuvukala esikhumbeni sesithende ezingeni le-heel spur. Ngempela, yi-plantar aponeurosis evuvukalayo futhi izicubu zesithende ezingeni layo azikho. Kodwa ngezinye izikhathi ukuvuvukala okuncane kwendawo ethintekile kungabonwa.

Ukuhlolwa komzimba kuthola ubuhlungu obubukhali ngokucindezela kwesithende futhi ngezinye izikhathi ukuqina kwe-ankle. Kungenzeka ukwelula i-plantar fascia ngokubeka izinzwane ku-dorsiflexion (phezulu). I-palpation yakhe eqondile ibangela ubuhlungu obukhulu.

Kodwa i-X-ray yonyawo ezoqinisekisa ukuxilongwa ngokubonisa umgogodla omncane we-calcium esisekelweni se-calcaneum, esinobukhulu obuhlukahlukene. Ifakazela i-ossification yokufakwa kwemisipha ku-calcaneum. Nokho, ezinye iziguli ziba naleliva ngaphandle kwezimpawu ezibuhlungu. Akuwona njalo obangela ubuhlungu.

Ikakhulukazi ukuvuvukala kwe-plantar fascia emsuka wobuhlungu. I-Magnetic Resonance Imaging (MRI) ingenziwa ezoqinisekisa ukuqina kwayo okuxhumene nokuvuvukala kwayo. Kodwa isikhathi esiningi, akudingekile ukuxilongwa kwe-calcaneal enthesophyte.

Isinyathelo sokuqala sokwelashwa ukunciphisa imisebenzi yezemidlalo engase ibeke ukucindezeleka okukhulu ku-fascia kanye ne-arch yonyawo. Ngemuva kwalokho, ama-insoles amathambo kufanele enziwe ngemuva kokuhlolwa kwe-podiatry kudokotela wezinyawo. Umsebenzi wabo uzoba ukuphumula i-aponeurosis ye-plantar. Lezi zinyawo zizoba ne-dome encane noma i-pad yesithende esibamba ukushaqeka ezithendeni ukuze kuncishiswe ukwesekwa.

Uma ubuhlungu buqhubeka, kungenzeka ukwenza ukungena kwe-corticosteroid endaweni.

I-Physiotherapy ingasiza futhi ekwelapheni ngokwelula ngokuphindaphindiwe i-tendon-Achilles tendon kanye ne-plantar fascia. Ukuzihlinza kwe-arch yonyawo usebenzisa ibhola le-tennis kungenzeka ukwelula i-fascia nokukhulula ubuhlungu. Ukulahlekelwa kwesisindo phambi kokukhuluphala ngokweqile kunconywa kakhulu ukunciphisa umthwalo ezithendeni kanye ne-arch of foot.

Ekugcineni, ukuhlinzwa akuvamile ukuboniswa. Kuze kunqatshwe ngezinye izikhathi odokotela abahlinzayo ngaphandle uma kwenzeka ukwehluleka kwezinye izindlela zokwelapha kanye nobuhlungu obukhulu obunobunzima bokuhamba.