Đau bàn chân kẻ thù tiềm ẩn

Dau ban chan

ke thu tiem an

Ban chdn ciia chung ta gdnh ehiu sflc nang

cua todn bp ctf the khi dflng, di lai, chay

nhay. Cfl moi dam (khoang 1,6km) chung

ta di thi moi bdn chan chju sflc nang tflong dfldng 60

tk^n. Bdn chan chung ta cd the chiu dfldc sflc nang

rat ldn nhflng neu qud mflc cd the gay tdn thfltfng

bdn ehan ma bieu hien thfldng gap la dau chan.

Ban ehan eung ed the bi tdn thfltfng khi chung ta

di lai tren be mdt cflng ma khong cd bao ve (mang

giay, dep), giay dep khong phu hpp cung se gay ton

thfldng ban chan.

Tdn thfldng bdn chdn cd nhilu mflc do, benh cd the

diln tid'n ndng dd'n tdn phe ne'u khong dfldc didu tn

dung cdch. Cd nhieu phflong phap dilu tri tdn thfltfng

bdn chdn tuy thupc vao nguyen nhan va mflc dp eua

bdnh. May mdn thay ede ton thflong nay ed the dieu

tri khdi hodn todn ne'u phdt hien sdm, vd ede bien

phdp eung khflng qud phflc tap.

Ban chan cua chung ta cd'u tao nhif thd' nao?

Ban chan nhin ben ngodi rd't dtfn gian, kich thfldc

nhd 80 vdi toan ctf the nhflng la mot trong nhflng bp

ph|n cdu tao phflc tap nhd't ciia he xfldng khdp: bdn

chdn gdm cd 26 xfltfng, 33 khdp va mgt mang Ifldi

phflc tap vdi hdn 100 cdn, cd va ddy chdng,

Bkt ed ton thfltfng nao trong he thd'ng phflc tap

niy ciing eb the Id nguyen nhan gay ton thflong ban

•0- BS. THIEU LE DUY Hinh knh gai gdt chan tren phim X quang

chdn ma thfldng bieu hidn bkng dau ban chdn cd the

phia trflde, phia sau hay gdt chan.

Cac nguyen nhan gay dau ban chan thif&ng gap

- Gai got chdn: mpt manh xfldng phdt trien bdn dfldi

xfltfng gdt, Gai xfltfng gdt dflpc nhin thay trdn phim X

quang la mpt phan nhd ra ve phia trflde, cb the 1 - 2cm.

Ne'u khdng nkm trong benh cknh phi dai xflong, tinh

trang nay dfldc ggi la "hpi chCfng gai xfldng got". Gai

xflong got la ket qua keo cang cua CO va day chkng cua

ban ehan, keo nhiing mo lien ke't ndi xfltfng gdt va eae

xfltfng bdn chdn phia trflde, va sfl xe rach lap di ldp Iai

cua ldp lot hodc mang ehe phu xfltfng gbt. Nhfltig tinh

trang nay cd the la ke't quk cua sfl mat cdn bkng cd sinh

hpc, ehay, nhay, gidy khflng thich htfp hay beo phi.

- Viem cdn bdn chdn: Dau ban chan va gai gdt

chan thfldng lien quan den trinh trang viem cua cdn

ban chan, tinh trang viem cua mpt dai mfl lien ke't

sdi ehay dgc mdt gan chdn tfl gdt chan cho den cdc

ngdn chdn. Benh ly nay thfldng gdp tf nhifng van dflng

vien phai chay, nhay nhieu. Nguyen nhan la do edn

ban ehan bi keo dan mbt thdi gian dai bdi nhflng boat

dpng hdng ngay, sfl keo ddn thfldng xuyen se ldm mfl

mem cua can ban chan bj rach hay keo dan mgt vdi

diem nao dd, la nguyen nhan dfla de'n viem, dau, vd

ed the tao ra gai xfltfng gdt. Tinh trang benh ed the

toi td htfn ne'u chung ta sfl dung gidy dep khflng phu

hgp, ddc biet la cac loai giay dep thieu sfl nang dd K

Ckn thid't khdm tdng qudt de loai

trfl ede b^nh ly khde, nhd't Id cac

trfldng hop khfl'i u d than bode sau

phuc mac ldm tdng dp Ifle tinh

maeh thdn (qua dd trao ngfldc mdu

ve tmh mach tinh gdy gian)

Nhilu trfldng hdp nghi ngd,

bdnh nhdn dfltfc chi dinh ldm sieu

dm biu de xde dinh dfldng kinh

tinh mach tinh, sidu dm doppler

giup khao sdt cic thflng ndi va sfl

trdo ngfltfc mdu. Cd the ehup edt

Idp dign todn (CT Scan) vd ehup

cdng hfldng tfl nhdn (MRI) de chkn

dodn gidn tlnh mach tinh thfl phit

do khd'i u sau phuc m^e.

Dieu tn gidn tinh mach tinh

thfldng khdng can thid't ne'u khdng

c6 tridu chflng. Tuy nhidn. nd'u

gikn tinh mach tinh gdy dau, teo

tinh hoan hodc vb sinh thi ckn

thid't phki can thidp de sfla chfla

tinh maeh gidn. Trong trfldng htfp

dau hoae ckm giac khb ehiu d biu

cd the dung cac thude gikm dau

thong thfldng nhfl paracetamol

hodc khang viem non-steroid.

O tudi thanh thieu nien, ne'u co

tinh trang teo tinh hoan hode bat

thfldng tinh dich dd thi cb chi dinh

xem xet phau thuat sfla chda tinh

maeh tinh bj gidn. Phau thudt dilu

tri gian tinh mach tinh cd the gdy

ra mgt vdi bie'n chflng: tran djch

mang tinh hodn (thfldng gdp nhat),

tdn thflflng dgng mach tmh hoan va

tii phat tinh trang gidn tinh mach,

Hign tai ed ba cdch thflc dilu tn

ddi vdl tinh trang gian tinh maeh

tinh hodn:

- Phdu thudt hd: thfldng dfltfc

thflc hidn dfldi gay te vung hodc

md todn thdn, dfldng mo tfl biu, ben

hodc ehdu. Thfldng phfldng phdp

nay it gay bie'n chdng sau md, ed thi

sd dung vi phau va sidu dm doppler

de giup sfla chfla tinh maeh gian,

- Phdu thudt ngi soi: vdi mot

dfldng rach nhd d bung se dfla thiet

hi vao ndi can chinh sfla, hdnh

nhan doi hoi phai md toan than

- Tdt mgch qua da: tien hanh

chup mach dd, sfl dung flng thflng

xuyen tinh maeh hkng, C6 the tien

hanh d bgnh nhan ngoai tru, Lim

tdt tinh mach gian bkng bdng,

cupn vonfam hodc chiit gay xtf hda

linh mach. Chi ckn gay te viing va

phfldng phdp nay khdng dp dung

rflng rai nhfl phau thuat :^

THU'" ' * *•'''""'-'