Tarsal tunnel syndrome

ʻO kahi maʻi Tarsal tunnel Syndrome kahi i kaomi ʻia ai ka nerve tibial. ʻO kēia ke aʻalolo i ka kuʻekuʻe e ʻae ai i ka naʻau a me ka neʻe ʻana i nā ʻāpana o ka wāwae. Hiki i ka Tarsal tunnel Syndrome ke alakaʻi i ka numbness, tingling, nāwaliwali, a i ʻole nā ​​ʻino i hōʻino ʻia ma ka lalo o ka wāwae.

ʻO Tarsal tunnel syndrome kahi ʻano ʻē o ka neuropathy ākea. Kū ʻia ia ke loaʻa ka hōʻino i ka nerve tibial.

ʻO ka ʻāpana o ka wāwae e komo ai ke aʻalolo ma ke kua o ka kuʻekuʻe wāwae ua kapa ʻia ʻo ka tunnel tarsal. He haiki nō kēia tunnel. Ke kaomi ʻia ka nerve tibial, hopena ia i nā ʻōuli o ka maʻi tunnel tarsal.

ʻO ke kaomi ma ka nerve tibial ma muli o kekahi o kēia mau mea:

• ʻO ka pehu ʻana mai kahi ʻeha, e like me ka kuʻekuʻe wāwae i kuʻi ʻia a i ʻole ke olonā kokoke
• ʻO kahi ulu ulu ʻole, e like me ka spur iwi, puʻupuʻu ma ka ami (ganglion cyst), pehu (varicose) aa koko
• Nā kapuaʻi pālahalaha a i ʻole ke ākea kiʻekiʻe
• ʻO nā maʻi ākea (ʻōnaehana), e like me ka maʻi diabetes, hoʻohaʻahaʻa thyroid, arthritis

I kekahi mau hihia, ʻaʻole hiki ke loaʻa kahi kumu.

Pākuʻi ʻia paha nā ʻōuli i kekahi o kēia mau mea:

• Hoʻololi ka manaʻo i ka lalo o ka wāwae a me nā manamana wāwae, e like me ka wela ʻana o ka naʻau, ka helu ʻana, ka ʻūlū ʻana, a i ʻole nā ​​ʻano ʻano ʻē aʻe ʻē aʻe.
• ʻEha ma lalo o ka wāwae a me nā manamana wāwae
• Nāwaliwali o nā mākala wāwae
• Ka nāwaliwali o nā manamana wāwae a me nā kuʻekuʻe wāwae

I nā hihia koʻikoʻi, nāwaliwali loa nā mākala o ka wāwae, a hiki ke hoʻololi ʻia ka wāwae.

E nānā kāu mea olakino i kou wāwae a nīnau e pili ana i kāu mau hōʻailona.

I ka wā o ka hoʻokolohua, ʻike paha kāu mea hāʻawi iā ʻoe i kēia mau hōʻailona:

• ʻAʻole hiki ke wili i nā manamana wāwae, kaomi i ka wāwae i lalo, a wili paha ka kuʻekuʻe i loko
• Ka nāwaliwali i ka kuʻekuʻe wāwae, ka wāwae, a me nā manamana wāwae

ʻO nā hoʻāʻo e hana ʻia ana paha:

• EMG (kahi hoʻopaʻa leo o ka hana uila i nā mākala)
• ʻO ka biopsy nerve
• Nā ho'āʻo conduction nerve (hoʻopaʻa i nā hana uila ma ke aʻalolo)

ʻO nā hoʻokolohua ʻē aʻe i kauoha ʻia e komo pū me nā hoʻokolohua koko a me nā hoʻokolohua kiʻi, e like me x-ray, ultrasound, a i ʻole MRI.

Pili ka mālama ʻana i ke kumu o nā ʻōuli.

• E ʻōlelo paha kāu mea hāʻawi i ka hoʻomaha mua, kau ʻana i ka hau i ka kuʻekuʻe wāwae, a pale i nā hana i kumu ai nā ʻōuli.
• ʻO ka lāʻau ʻeha ma over-the-counter, e like me NSAID, hiki ke kōkua i ke kōkua i ka ʻeha a me ka pehu.
• Inā loaʻa nā ʻōuli e kahi pilikia o ka wāwae e like me nā wāwae pālahalaha, e kuhikuhi ʻia nā orthotics kuʻuna a i ʻole ke kūpeʻe.
• Hiki i ke olakino kino ke kōkua i ka hoʻoikaika ʻana i nā mākala o ka wāwae a hoʻomaikaʻi i ka maʻalahi.
• Pono pono ka injection Steroid i ka kuʻekuʻe wāwae.
• ʻO ke kaha ʻana e hoʻonui ai i ke ana o ke kolo a hoʻololi paha i ke aʻalolo hiki ke kōkua i ka hōʻemi ʻana i ke kaomi ma ke aʻa tibia.

Hiki ke ola hou inā loaʻa ke kumu o ka tarsal tunnel syndrome a mālama maikaʻi ʻia. Loaʻa i kekahi poʻe i ka hapa a i ʻole ka nalowale o ka neʻe a i ʻole ka manaʻo. ʻOluʻolu ʻole paha ke ʻāʻī nerve a hala no ka manawa lōʻihi.

ʻAʻole mālama ʻia, hiki i ke syndrome tunnel tarsal ke alakaʻi i ka mea aʻe:

• Deformity o ka wāwae (ʻoluʻolu a paʻakikī)
• Holo ka neʻe ʻana i nā manamana wāwae (hapa a i ʻole piha)
• ʻO ka hōʻeha hou a ʻike ʻole ʻia paha i ka wāwae
• Lilo ka manaʻo i nā manamana wāwae a wāwae paha (hapa a i ʻole piha)

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe nā ʻōuli o ka maʻi tunnel tarsal. Hoʻonui ka hōʻoia mua a me ka lāʻau i ka manawa hiki ke kaohi ʻia nā hōʻailona.

ʻO ke kīnā ʻole o Tibial nerve; Posterior tibial neuralgia; Neuropathy - nerve tibial hope; Peripheral neuropathy - tibial nerve; ʻO ka paʻa o ka nerve Tibial

• ʻAoʻao nerve Tibial

Katirji B. Nā maʻi o nā aʻa ākea. I: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. ʻO Bradley's Neurology i ka hana lapaʻau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2016: chap 107.

Hilahila iaʻu. Nā neuropathy ākea. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 420.