{"id":5922,"date":"2022-09-04T21:47:00","date_gmt":"2022-09-04T21:47:00","guid":{"rendered":"https:\/\/tedxkarnavatiuniversity.com\/?p=5922"},"modified":"2022-09-13T21:06:35","modified_gmt":"2022-09-13T21:06:35","slug":"co-vedet-o-syndromu-tarsalniho-tunelu","status":"publish","type":"post","link":"https:\/\/tedxkarnavatiuniversity.com\/index.php\/2022\/09\/04\/co-vedet-o-syndromu-tarsalniho-tunelu\/","title":{"rendered":"Co v\u011bd\u011bt o syndromu tars\u00e1ln\u00edho tunelu"},"content":{"rendered":"<h1> Co v\u011bd\u011bt o syndromu tars\u00e1ln\u00edho tunelu <\/h1>\n<p> Tarsal Tunnel Syndrom (TTS) dojde, kdy\u017e se zadn\u00ed tibi\u00e1ln\u00ed nerv, kter\u00fd vede pod\u00e9l vnit\u0159n\u00edho kotn\u00edku a nohy, stla\u010d\u00ed a po\u0161kozuje z\u00e1n\u011bt. <\/p>\n<p> TTS se m\u016f\u017ee st\u00e1t kv\u016fli zran\u011bn\u00ed, jako je podvrtnut\u00ed kotn\u00edku, nebo m\u016f\u017ee b\u00fdt v\u00fdsledkem zdravotn\u00edho stavu, jako je artritida nebo diabetes. Kostn\u00ed ostruhy, ploch\u00e9 nohy nebo otekl\u00e1 \u0161lacha mohou zp\u016fsobit kompresi nerv\u016f a m\u00edt za n\u00e1sledek TTS. <\/p>\n<h3 id=\"Rychl\u00e1 fakta o TTS\" name=\"Rychl\u00e1 fakta o TTS\"> Rychl\u00e1 fakta o TTS <\/h3>\n<ul>\n<li> TTS je relativn\u011b vz\u00e1cn\u00fd stav. <\/li>\n<li> T\u011b\u017ek\u00e9 nebo neo\u0161et\u0159en\u00e9 p\u0159\u00edpady mohou zp\u016fsobit po\u0161kozen\u00ed nerv\u016f.<!--more--> L\u00e9\u010dba m\u016f\u017ee zahrnovat cvi\u010den\u00ed pro nata\u017een\u00ed posti\u017een\u00fdch tk\u00e1n\u00ed.<br \/>\n<h2 id=\"Jak\u00e9 jsou mo\u017enosti l\u00e9\u010dby?\" name=\"Jak\u00e9 jsou mo\u017enosti l\u00e9\u010dby?\"> Jak\u00e9 jsou mo\u017enosti l\u00e9\u010dby? <\/h2>\n<p> Je pro l\u00e9ka\u0159e nejlep\u0161\u00ed posoudit a l\u00e9\u010dit p\u0159\u00edznaky TTS brzy, proto\u017ee to m\u016f\u017ee v\u00e9st k lep\u0161\u00edm v\u00fdsledk\u016fm. <\/p>\n<p> Americk\u00e1 vysok\u00e1 \u0161kola chirurg\u016f nohou a kotn\u00edku doporu\u010duje n\u00e1sleduj\u00edc\u00ed zp\u016fsoby, jak l\u00e9\u010dit a spravovat TT: <\/p>\n<\/li>\n<\/ul>\n<ul>\n<li> Odpo\u010dinek: Lid\u00e9 se mohou vyh\u00fdbat a vyv\u00edjet tlak na posti\u017eenou oblast tolik jak je to mo\u017en\u00e9, aby se zabr\u00e1nilo dal\u0161\u00edmu po\u0161kozen\u00ed a podporovalo hojen\u00ed. Nechte led vypnout nejm\u00e9n\u011b 40 minut p\u0159ed opakov\u00e1n\u00edm podle pot\u0159eby.<\/li>\n<li> pln\u00e1 imobilizace: Pro z\u00e1va\u017en\u00e9 p\u0159\u00edpady, zejm\u00e9na ty, kter\u00e9 zahrnuj\u00ed fyzick\u00e9 po\u0161kozen\u00ed nervu, m\u016f\u017ee b\u00fdt obsazen\u00ed nezbytn\u00e9 k \u00fapln\u00e9mu omezen\u00ed pohybu, co\u017e umo\u017e\u0148uje nervov\u00e9, kloubn\u00ed a okoln\u00ed tk\u00e1n\u011b \u0161anci na uzdraven\u00ed. <\/li>\n<li> Injekce Terapie: Pro velmi bolestiv\u00e9 nebo deaktivuj\u00edc\u00ed p\u0159\u00edznaky m\u016f\u017ee l\u00e9ka\u0159 vlo\u017eit protiz\u00e1n\u011btliv\u00e9 l\u00e9ky, jako jsou kortikosteroidy a m\u00edstn\u00ed anestetika, p\u0159\u00edmo do nervu. kter\u00e9 pom\u00e1haj\u00ed podporovat oblouky a omezuj\u00ed pohyby, kter\u00e9 d\u00e1le dr\u00e1\u017ed\u00ed zan\u00edcen\u00fd nerv a okoln\u00ed tk\u00e1n\u011b. Existuj\u00ed tak\u00e9 boty, kter\u00e9 pom\u00e1haj\u00ed zabr\u00e1nit pronaci nebo dovnit\u0159 v\u00e1lcov\u00e1n\u00ed nohy. Lid\u00e9 s ploch\u00fdmi nohama, z\u00e1va\u017en\u00fdmi p\u0159\u00edznaky nebo po\u0161kozen\u00edm nervu mohou vy\u017eadovat, aby se rostrace sn\u00ed\u017eila tlak na po\u0161kozenou nohu. Mobilizace tibi\u00e1ln\u00edho nervu a otev\u0159en\u00ed okoln\u00edho kloubn\u00edho prostoru ke sn\u00ed\u017een\u00ed komprese.<\/li>\n<li><\/li>\n<li> Manu\u00e1ln\u00ed terapie <\/li>\n<li> Nahr\u00e1v\u00e1n\u00ed nebo ztu\u017een\u00ed <\/li>\n<li> Cvi\u010den\u00ed k pos\u00edlen\u00ed zadn\u00edho svalu tibialis <\/li>\n<\/ul>\n<p> V z\u00e1va\u017en\u00fdch p\u0159\u00edpadech TT nebo p\u0159\u00edpad\u016f, kter\u00e9, \u017ee v p\u0159\u00edpad\u011b TTS nebo p\u0159\u00edpad\u016f, kter\u00e9 Nereagujte na jin\u00e9 terapie, lid\u00e9 mohou vy\u017eadovat chirurgick\u00fd z\u00e1krok. <\/p>\n<h3 id=\"Tarsal Tunnel Surgery\" name=\"Tarsal Tunnel Surgery\"> Tarsal Tunnel Surgery <\/h3>\n<p> V n\u011bkter\u00fdch z\u00e1va\u017en\u00fdch p\u0159\u00edpadech, nebo pokud jsou jin\u00e9 o\u0161et\u0159en\u00ed ne\u00fa\u010dinn\u00e9, mohou lid\u00e9 vy\u017eadovat chirurgick\u00fd z\u00e1krok k l\u00e9\u010db\u011b TTS. Jedn\u00edm postupem je uvoln\u011bn\u00ed tunelu Tarsal. <\/p>\n<p> B\u011bhem chirurgie uvol\u0148ov\u00e1n\u00ed tunelu tars\u00e1ln\u00edho tunelu se chirurg provedou otvor ze zadn\u00ed \u010d\u00e1sti kotn\u00edku k oblouku nohy. Chirurg pak provedou \u0159ez v vazb\u011b, aby zabr\u00e1nil stla\u010den\u00ed tibi\u00e1ln\u00edho nervu. <\/p>\n<p> Podle jednoho zdroje z roku 2021 je chirurgick\u00fd z\u00e1krok \u00fasp\u011b\u0161n\u00fd ve 44\u201396% p\u0159\u00edpad\u016f. Lid\u00e9 bez p\u0159edchoz\u00edch probl\u00e9m\u016f s kotn\u00edkem, mlad\u0161\u00ed lid\u00e9 a lid\u00e9, kte\u0159\u00ed dost\u00e1vaj\u00ed v\u010dasnou diagn\u00f3zu, mohou m\u00edt s chirurgick\u00fdm z\u00e1krokem lep\u0161\u00ed v\u00fdsledek. <\/p>\n<p> V jin\u00fdch p\u0159\u00edpadech mohou lid\u00e9 m\u00edt endoskopickou chirurgii, co\u017e je m\u00e9n\u011b invazivn\u00ed postup. Budou m\u00edt lok\u00e1ln\u00ed anestetikum a chirurg provede mal\u00fd \u0159ez asi 1 centimetr ve vnit\u0159n\u00edm kotn\u00edku. <\/p>\n<p> Pomoc\u00ed tla\u010dn\u00e9ho no\u017ee uvoln\u00ed chirurg Flexor retinaculum, pruh tk\u00e1n\u00ed v noze, z \u010d\u00e1sti svalu zvan\u00e9ho Abductor Hallucis. Cvi\u010den\u00ed <\/p>\n<h2 id=\"Cvi\u010den\u00ed\" name=\"Cvi\u010den\u00ed\"> Cvi\u010den\u00ed <\/h2>\n<p> Cvi\u010den\u00ed, jako je protahov\u00e1n\u00ed l\u00fdtek a nervov\u00e9 klouz\u00e1n\u00ed, mohou pomoci zm\u00edrnit p\u0159\u00edznaky a pos\u00edlit zadn\u00ed sval tibialis. <\/p>\n<p> Lid\u00e9 mohou sledovat radu l\u00e9ka\u0159e nebo pracovat s fyzioterapeutem, aby na\u0161li cvi\u010den\u00ed, kter\u00e1 jsou pro n\u011b bezpe\u010dn\u00e1 v ka\u017ed\u00e9 f\u00e1zi jejich zotaven\u00ed. Cvi\u010den\u00ed pro l\u00e9\u010dbu TTS mohou zahrnovat: <\/p>\n<ul>\n<li> Vyva\u017eovac\u00ed cvi\u010den\u00ed <\/li>\n<li> Pata na \u0161pi\u010dku ch\u016fze <\/li>\n<li> Postoje na jedn\u00e9 noze na r\u016fzn\u00fdch povr\u0161\u00edch <\/li>\n<li> Zvy\u0161ov\u00e1n\u00ed paty na pat\u011b <\/li>\n<\/ul>\n<p> N\u00e1sleduj\u00edc\u00ed jsou popisy toho, jak prov\u00e9st n\u011bkolik cvi\u010den\u00ed k pos\u00edlen\u00ed zadn\u00ed \u010d\u00e1sti Tibialis: <\/p>\n<h3 id=\"Heel-Toe Raises\" name=\"Heel-Toe Raises\"> Heel-Toe Raises <\/h3>\n<ol>\n<li> Pomoc\u00ed z\u00e1da \u017eidle nebo pultu pro podporu zvedn\u011bte paty z podlahy, aby se postavili na prsty na nohou. \/li&gt;<\/li>\n<li> Opakujte cvi\u010den\u00ed 15kr\u00e1t. Pouze zran\u011bn\u00e1 noha. \/li&gt;<\/li>\n<li> Postavte se na zran\u011bnou nohu a m\u00edrn\u011b ohn\u011bte koleno. 5kr\u00e1t pro dv\u011b sady.<br \/>\n<h3 id=\"Stretch l\u00fdtek\" name=\"Stretch l\u00fdtek\"> Stretch l\u00fdtek <\/h3>\n<p> <l><\/l><\/li>\n<li> Postavte se a \u010delte ze\u010f s rukama um\u00edst\u011bn\u00fdmi na zdi na \u00farovni o\u010d\u00ed. P\u016f byt na zemi a druh\u00e1 noha m\u00edrn\u011b vp\u0159ed s ohnut\u00fdm kolenem. <\/li>\n<li> Oto\u010dte zadn\u00ed nohu dovnit\u0159 m\u00edrn\u011b. Zp\u011bt tele. <\/li>\n<li> Dr\u017ete se v t\u00e9to pozici po dobu 15\u201330 sekund. Den. To m\u016f\u017ee zahrnovat:\n<ul><\/ul>\n<\/li>\n<li> Maj\u00edc\u00ed ploch\u00e9 nohy nebo padl\u00e9 oblouky, kdy\u017e je oblouk nohy ni\u017e\u0161\u00ed na podlahu ne\u017e obvykle <\/li>\n<li> otoky z podvrtnut\u00e9ho kotn\u00edku <\/li>\n<li> Podm\u00ednky, jako je artritida nebo diabetes, kter\u00e9 mohou v\u00e9st k otoku a kompresi nerv\u016f <\/li>\n<li> Varik\u00e1za <\/li>\n<li> Ganglion Cyst <\/li>\n<li> otekl\u00e1 \u0161lacha <\/li>\n<li> Bone Spur <\/li>\n<\/ul>\n<h2 id=\"Jak je diagnostikov\u00e1na TTS?\" name=\"Jak je diagnostikov\u00e1na TTS?\"> Jak je diagnostikov\u00e1na TTS? <\/h2>\n<p> L\u00e9ka\u0159 obvykle diagnostikuje a posoud\u00ed TTS proveden\u00edm fyzick\u00e9 zkou\u0161ky cel\u00e9 oblasti nohou a doln\u00edch nohou a <a href=\"https:\/\/recenzeproduktu.top\/cardio-active\/\">tablety cardio active<\/a> dotazem ot\u00e1zky o p\u0159\u00edznac\u00edch. <\/p>\n<p> Diagnostick\u00e9 testy, kter\u00e9 m\u016f\u017ee l\u00e9ka\u0159 pou\u017e\u00edt k potvrzen\u00ed a vyhodnocen\u00ed TTS, zahrnuj\u00ed: <\/p>\n<ul>\n<li> Studie nervov\u00e9ho veden\u00ed <\/li>\n<\/ul>\n<h2 id=\"rizikov\u00e9 faktory\" name=\"rizikov\u00e9 faktory\"> rizikov\u00e9 faktory <\/h2>\n<p> N\u011bkter\u00e9 faktory mohou zv\u00fd\u0161it riziko vzniku stavu. Mezi rizikov\u00e9 faktory pro TT pat\u0159\u00ed: <\/p>\n<ul>\n<li> Diabetes <\/li>\n<li> mukopolysacharid\u00f3za, co\u017e je stav, kdy t\u011blo nen\u00ed schopno rozkl\u00e1dat ur\u010dit\u00e9 molekuly cukru <\/li>\n<li> Hyperlipid\u00e9mie, ve kter\u00e9m, ve kter\u00e9m V krvi jsou vysok\u00e9 hladiny tuk\u016f <\/li>\n<li> ploch\u00e9 nohy nebo padl\u00e9 oblouky <\/li>\n<li> Artritida <\/li>\n<li> Poran\u011bn\u00ed kotn\u00edku nebo nohou <\/li>\n<li> Nervov\u00e9 onemocn\u011bn\u00ed <\/li>\n<li> Ganglion Cyst <\/li>\n<li> Knojovn\u00ed \u017e\u00edly <\/li>\n<li> Bone Spur <\/li>\n<\/ul>\n<h2 id=\"Komplikace\" name=\"Komplikace\"> Komplikace <\/h2>\n<p> Bez l\u00e9\u010dby, TTS m\u016f\u017ee TTS Vedete ke komplikac\u00edm, jako jsou: <\/p>\n<ul>\n<li> Po\u0161kozen\u00ed nerv\u016f na zadn\u00edch tibi\u00e1ln\u00edch nervech a okoln\u00edch nervov\u00fdch v\u011btv\u00edch <\/li>\n<li> Trval\u00e1 bolest <\/li>\n<li> Slabost motoru a atrofie <\/li>\n<\/ul>\n<p> V n\u011bkter\u00fdch p\u0159\u00edpadech nemus\u00ed b\u00fdt chirurgick\u00fd z\u00e1krok \u00fasp\u011b\u0161n\u00fd p\u0159i l\u00e9\u010db\u011b bolesti nebo jin\u00fdch p\u0159\u00edznak\u016f a m\u016f\u017ee m\u00edt za n\u00e1sledek komplikace, jako nap\u0159\u00edklad: <\/p>\n<ul>\n<li> \u0160patn\u00e9 hojen\u00ed ran <\/li>\n<li> Zjizven\u00ed <\/li>\n<\/ul>\n<h2 id=\"Shrnut\u00ed\" name=\"Shrnut\u00ed\"> Shrnut\u00ed <\/h2>\n<p> tts je vz\u00e1cn\u00fd stav, kdy\u017e doch\u00e1z\u00ed ke kompresi zadn\u00edho tibi\u00e1ln\u00edho nervu v noze. TTS se m\u016f\u017ee vyskytnout p\u0159i zran\u011bn\u00ed, ploch\u00fdch nohou nebo zdravotn\u00edch stavech, jako je diabetes. <\/p>\n<p> Odpo\u010dinek, nan\u00e1\u0161en\u00ed ledu a fyzik\u00e1ln\u00ed terapie mohou pomoci l\u00e9\u010dit TTS. V z\u00e1va\u017en\u00fdch p\u0159\u00edpadech mohou lid\u00e9 vy\u017eadovat chirurgick\u00fd z\u00e1krok, aby zm\u00edrnili kompresi nerv\u016f. <\/p>\n<p> Hled\u00e1n\u00ed spr\u00e1vn\u00e9 l\u00e9\u010dby je d\u016fle\u017eit\u00e9, aby se zabr\u00e1nilo komplikac\u00edm, jako je po\u0161kozen\u00ed nerv\u016f. Lid\u00e9 mohou kontaktovat l\u00e9ka\u0159e, pokud maj\u00ed podez\u0159en\u00ed, \u017ee maj\u00ed TTS. <\/p>\n<ul>\n<li> Body Boles <\/li>\n<li> Bones\/Orthopedics <\/li>\n<li> Sports Medicine\/Fitness <\/li>\n<\/ul>\n<p> L\u00e9ka\u0159sk\u00e9 zpr\u00e1vy dnes maj\u00ed p\u0159\u00edsn\u00e9 pokyny pro sourcing a rem\u00edzy Pouze z recenzovan\u00fdch studi\u00ed, akademick\u00fdch v\u00fdzkumn\u00fdch instituc\u00ed a l\u00e9ka\u0159sk\u00fdch \u010dasopis\u016f a asociac\u00ed. Vyh\u00fdb\u00e1me se pou\u017e\u00edv\u00e1n\u00ed terci\u00e1rn\u00edch odkaz\u016f. V ka\u017ed\u00e9m \u010dl\u00e1nku propojujeme prim\u00e1rn\u00ed zdroje &#8211; v\u010detn\u011b studi\u00ed, v\u011bdeck\u00fdch odkaz\u016f a statistik &#8211; a tak\u00e9 je uve\u010fte v sekci zdroj\u016f v doln\u00ed \u010d\u00e1sti na\u0161ich \u010dl\u00e1nk\u016f. Dal\u0161\u00ed informace o tom, jak zajist\u00edme, \u017ee n\u00e1\u0161 obsah je p\u0159esn\u00fd a aktu\u00e1ln\u00ed, se m\u016f\u017eete dozv\u011bd\u011bt \u010dten\u00edm na\u0161\u00ed redak\u010dn\u00ed z\u00e1sady <!->.<\/ol>\n<h3>Contents<\/h3>\n<ul>\n<li><a href=\"#Rychl\u00e1 fakta o TTS\">Rychl\u00e1 fakta o TTS<\/a><\/li>\n<li><a href=\"#Jak\u00e9 jsou mo\u017enosti l\u00e9\u010dby?\">Jak\u00e9 jsou mo\u017enosti l\u00e9\u010dby?<\/a>\n<ul>\n<li><a href=\"#Tarsal Tunnel Surgery\">Tarsal Tunnel Surgery<\/a><\/li>\n<\/ul>\n<\/li>\n<li><a href=\"#Cvi\u010den\u00ed\">Cvi\u010den\u00ed<\/a>\n<ul>\n<li><a href=\"#Heel-Toe Raises\">Heel-Toe Raises<\/a><\/li>\n<li><a href=\"#Stretch l\u00fdtek\">Stretch l\u00fdtek<\/a><\/li>\n<\/ul>\n<\/li>\n<li><a href=\"#Jak je diagnostikov\u00e1na TTS?\">Jak je diagnostikov\u00e1na TTS?<\/a><\/li>\n<li><a href=\"#rizikov\u00e9 faktory\">rizikov\u00e9 faktory<\/a><\/li>\n<li><a href=\"#Komplikace\">Komplikace<\/a><\/li>\n<li><a href=\"#Shrnut\u00ed\">Shrnut\u00ed<\/a><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Co v\u011bd\u011bt o syndromu tars\u00e1ln\u00edho tunelu Tarsal Tunnel Syndrom (TTS) dojde, kdy\u017e se zadn\u00ed tibi\u00e1ln\u00ed nerv, kter\u00fd vede pod\u00e9l vnit\u0159n\u00edho kotn\u00edku a nohy, stla\u010d\u00ed a po\u0161kozuje z\u00e1n\u011bt. TTS se m\u016f\u017ee st\u00e1t kv\u016fli zran\u011bn\u00ed, jako je podvrtnut\u00ed kotn\u00edku, nebo m\u016f\u017ee b\u00fdt [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[36],"tags":[],"_links":{"self":[{"href":"https:\/\/tedxkarnavatiuniversity.com\/index.php\/wp-json\/wp\/v2\/posts\/5922"}],"collection":[{"href":"https:\/\/tedxkarnavatiuniversity.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/tedxkarnavatiuniversity.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/tedxkarnavatiuniversity.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/tedxkarnavatiuniversity.com\/index.php\/wp-json\/wp\/v2\/comments?post=5922"}],"version-history":[{"count":1,"href":"https:\/\/tedxkarnavatiuniversity.com\/index.php\/wp-json\/wp\/v2\/posts\/5922\/revisions"}],"predecessor-version":[{"id":5923,"href":"https:\/\/tedxkarnavatiuniversity.com\/index.php\/wp-json\/wp\/v2\/posts\/5922\/revisions\/5923"}],"wp:attachment":[{"href":"https:\/\/tedxkarnavatiuniversity.com\/index.php\/wp-json\/wp\/v2\/media?parent=5922"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/tedxkarnavatiuniversity.com\/index.php\/wp-json\/wp\/v2\/categories?post=5922"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/tedxkarnavatiuniversity.com\/index.php\/wp-json\/wp\/v2\/tags?post=5922"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}