I-Fascia ubuhlungu obubangelwa ukuhlukumezeka kuya kulwelwesi oluwugqinsi lwe-fibrous olubizwa ngokuthi i-plantar aponeurosis: etholakala ngaphansi konyawo, lusuka esithendeni luye phansi ezinzwaneni. I-Fascia ivame ukubathinta kakhulu abasubathi nasebekhulile. Ezimweni ezingu-95%, ingelashwa ngaphandle kokuhlinzwa.

Incazelo ye-fasciitis

I-Fascia ubuhlungu obubangelwa ukuhlukumezeka kuya kulwelwesi oluwugqinsi lwe-fibrous olubizwa ngokuthi i-plantar aponeurosis: etholakala ngaphansi konyawo, lusuka esithendeni luye phansi ezinzwaneni. Ngenxa yokuqina kwayo, i-plantar fascia idlala indima yokusekela unyawo. Imunca ukushaqeka lapho uphumule phansi bese kuthi lapho unyawo luhlehla. Ngakolunye uhlangothi, lokhu kuntuleka kwe-elasticity kwenza kungamelani kakhulu nokucindezeleka okuphindaphindiwe noma okungavamile.

I-Fascia iveza ngokuyinhloko njengokunwebeka okubukhali noma okungapheli kwe-plantar fascia futhi akuvamile ukudabuka. Akufanele kudidaniswe ne-plantar fasciitis ebangelwa ukuvuvukala kwe-plantar fascia.

Izinhlobo ze-fasciitis

Izinhlobo ezintathu ze-fasciitis zingahlukaniswa:

• I-Fascia ehlobene nokubandakanyeka ngemuva kwe-fascia plantar, okubangela ubuhlungu ngaphansi kwethambo lesithende;
• I-Fascia ehlobene nokubandakanyeka komzimba we-plantar fascia, okubangela ubuhlungu ngaphansi konyawo;
• Ukuqhuma kwe-plantar aponeurosis, okungenzeka kungazelelwe kulandela umzamo onobudlova (ukuqala, ukusunduza, ukuthola ukugxuma) ku-aponeurosis ye-plantar enempilo noma ebuthaka.

Izinkinga ze-fascia

Isizathu esivame kakhulu se-fasciitis ukufinyezwa noma ukuhlehla kwemisipha yethole, okubangela ukucindezeleka ngokweqile kwemishini ku-plantar fascia.

Ukuxilongwa kwe-fascia

Udokotela ohambelayo angenza ukuxilongwa kokuqala kwe-fasciitis lapho ehlola unyawo. Kuqinisekiswa lapho ubuhlungu bubangelwa ukucindezela okunamandla kwesithupha ngaphansi kwesithende ngemuva konyawo, uma ku-hyperextension. Ubuhlungu bungase futhi bube semaphethelweni angaphakathi onyawo.

I-x-ray, engeyona impoqo, ingase iveze ukuba khona komgogodla we-calcaneal noma umgogodla we-Lenoir, ihlumela elibaliwe ngaphansi kwethambo lesithende. Uma ngokuphambene nombono owamukelwayo ovamile, akuyena obangela ubuhlungu, ufakazela ngakolunye uhlangothi ekusebenzeni okungapheli kwesifunda sokufakwa kwe-plantar aponeurosis.

Okunye ukuhlolwa, okufana ne-magnetic resonance imaging (MRI), kungase kudingeke uma kusolwa ukuphuka kwe-plantar fascia.

Abantu abathintekayo yi-fascia

I-Fascia imelela cishe i-11 ku-15% yezizathu zokubonisana ngobuhlungu bezinyawo. Abasubathi nabadala yibona abathintekayo kuqala.

Izinto ezithanda i-fascia

Izici eziningi eziyingozi zibhekene ne-fasciitis. Phakathi kwezinto ezivame kakhulu yilezi:

• Ukungalingani kwemishini yonyawo njengezinyawo ezingenalutho noma eziyisicaba;
• Imisipha yethole elizacile;
• I-Achilles tendon, ehlanganisa imisipha yethole nethambo lesithende, iqinile;
• Ukugqoka izicathulo ezingenakho ukusekela okuhle, njengama-flip-flops, noma izithende eziphakeme;
• Ukuzuza kwesisindo kungazelelwe, isibonelo ngesikhathi sokukhulelwa, noma ukukhuluphala ngokweqile;
• Ukwanda okungazelelwe kwenani lezinyathelo ezihanjiwe noma ezigijimayo;
• Ukuma okungalungile kwezinyawo kubagijimi noma abadansi abavamile;
• Isisindo esiningi onyaweni ngenxa yokuma okude nokuphindaphindayo.

Ukuzwa “kwezinzipho esithendeni”

Iziguli zichaza ubuhlungu phansi kwesithende, ikakhulukazi lapho uvuka ekuseni, lapho usukuma. Echazwa ngokuthi umuzwa “wozipho esithendeni,” ngokuvamile ayadamba ngemva kwemizuzu emihlanu kuya kweyishumi bese ebuya kamuva emini. Ezinye iziguli zingase zizwe ubuhlungu ohlangothini lonyawo lapho zihamba.

Ubuhlungu obungapheli

Ubuhlungu bungakhula ngezinye izikhathi. Izimpawu ziba zimbi ikakhulukazi lapho uhamba, phakathi nokuma isikhathi eside noma ngemva kwezikhathi zokuphumula.

Ubuhlungu besithende esibuhlungu

Ubuhlungu besithende obubukhali, ngezinye izikhathi buhambisana nokuvuvukala okuncane kwendawo, kungase kubonise ukukhala.

Okokuqala, kumayelana nokuphumuza izinyawo zakho futhi uzinakekele:

• Thatha izinyathelo ezimfushane;
• Nciphisa imisebenzi, ikakhulukazi leyo ebangela ubuhlungu;
• Gwema ukuhamba ungafake zicathulo;
• Yenza ama-massage;
• Gcoba iqhwa endaweni ebuhlungu, imizuzu eyishumi njalo ngehora;
• Yelula izinyawo ngethawula;
• Gingqa ibhola ngaphansi kwezinyawo ngaphandle kokudala ubuhlungu;
• Beka iduku phansi bese uzama ukulibamba ngezinzwane zakho.
• Ngasikhathi sinye, ukwelashwa kwe-fasciitis kungabandakanya:
• Sebenzisa izintambo zokunamathisela noma amabhandeshi asekela i-arch yonyawo;
• Sebenzisa ama-cushioning izithende ezishelelezi ezicathulweni;
• Yenza izivivinyo zokwelula ithole ezingase zihlotshaniswe nezinsimbi ezinomphumela ofanayo okufanele zigqokwe ebusuku;
• Gqoka ama-orthotic onyawo angadambisa ukungezwani kwe-fascia nezimpawu.

Izidakamizwa ezingezona ukuvuvukala zinganikeza ukukhululeka kobuhlungu okungaguquki futhi kwesikhashana. Amagagasi okwethuka okwedlulele avame ukushiwo, kodwa imiphumela iyehluka. Ukungena (ama-steroids) kuvame ukusebenza kahle uma nje imisebenzi yomzimba enesibopho iyancipha ngokuhamba kwesikhathi.

Uma kwenzeka ukuphuka okukhulu, ukukhishwa kwe-plaster isikhathi esingamaviki ama-3 kuya kwangu-4 kuhlongozwa.

Uma lezi zinyathelo zingasebenzi, kungase kudingeke ukuhlinzwa ukuze kuncishiswe kancane ingcindezi ku-fascia futhi kususwe imigqa yesithende lapho kubonakala sengathi ibangela ubuhlungu.

Ukuze uvimbele i-plantar fasciitis noma ugweme ukuphinda, amanye amathiphu mahle ukuwalandela:

• Misa imisebenzi eyandisa ubuhlungu;
• Ukululama phakathi kwemisebenzi ehlukene yomzimba eyenziwa;
• Yelula futhi uthole okokusebenza okufanele kwemisebenzi emisha;
• Gcina umugqa wakho;
• Qala ukuhamba noma ukugijima futhi kancane kancane;
• Yenza izivivinyo zokuguquguquka ngemva kwemisebenzi;
• Shintsha izicathulo zezemidlalo njalo futhi uqiniseke ukuthi uvumelanisa ikhwalithi yazo ngokuvumelana nomsebenzi owenziwe.