So woatetew wo Achilles Tendon nso mu? Momma yensua Thompson Sɔhwɛ no ho ade!

Ɛtɔ mmere bi a, sɛ woredi agoru anaa woretu mmirika a, ebia wobɛte ‘klik’ nnyigyei bi afi wo nan ase, na ɛyaw a emu yɛ den mpofirim adi akyi. Ɛte sɛ nea ntini bi apae. Wɔ mmere a ɛte sɛ eyinom mu no, sɔhwɛ tiawa bi wɔ hɔ a nnuruyɛfo de hu sɛ ebia wo ntini no mu apaapae, anaasɛ wo Achilles ntini no mu apaapae. Eyi ne nea yɛfrɛ no ‘Thompson sɔhwɛ.’ So yɛbɛka eyi ho asɛm akɔ akyiri kakra nnɛ?

Dɛn ne Thompson sɔhwɛ no?

Sɛ yɛbɛka no tiawa a, Thompson sɔhwɛ no yɛ sɔhwɛ a wo duruyɛfo kura wo mu, a mfiri akɛse biara nni mu, na ɔhwehwɛ wo nipadua mu. Ne titiriw no, ɛhwɛ sɛ ebia wo Achilles ntini – wo nantwi ba ntini – atetew, anaasɛ sɛnea nnuruyɛfo frɛ no no, apaapae anaa . Ɛtɔ mmere bi a nnuruyɛfo frɛ no nantwi ba squeeze test , efisɛ nea ɛka ho ne sɛ wobɛpiapia wo nantwi ba ntini no brɛoo. Ɛte sɛ nea ɛyɛ mmerɛw, ɛnte saa?

Bere bɛn na oduruyɛfo yɛ Thompson nhwehwɛmu no?

Sɛ wo duruyɛfo susuw sɛ wo Achilles ntini no mu apaapae a, wɔbɛyɛ Thompson nhwehwɛmu no. Fa no sɛ woyɛ ogumadifo, na bere a woretu mmirika anaa worehuruw no, mpofirim ara wote nnyigyei bi a ɛrebɔ wo nan akyi, na ɛyaw a emu yɛ den di akyi. Anaasɛ ebia wote nka sɛ wo ho ahonhon wɔ saa beae no. Eyi ne sɔhwɛ a edi kan a wo duruyɛfo bɛyɛ.

Nea eye sen biara ne sɛ eyi yɛ sɔhwɛ a wɔyɛ wɔ adwumayɛbea hɔ. Ɛho nhia sɛ obi kɔsra obi foforo ne nnwinnade a ne bo yɛ den. Wobetumi ayɛ no sɛ sɔhwɛ titiriw bi fã, bere a woabɔ wo sɛnkyerɛnne ahorow ho amanneɛ ara pɛ. Nanso, wɔ sɔhwɛ yi akyi no, mpɛn pii no, ebehia sɛ woyɛ mfoninitwa nhwehwɛmu foforo te sɛ ultrasound anaa MRI (Magnetic Resonance Imaging) scan de si opira no so dua. Yɛbɛka saa asɛm no ho asɛm akyiri yi.

Ɔkwan bɛn so na wɔyɛ sɔhwɛ yi? Ɛyɛ mmerɛw yiye!

Eyi yɛ sɔhwɛ a ɛyɛ ntɛm na ɛnyɛ den a wode bɛhwɛ sɛnea wo Achilles ntini no te. Sɛnea oduruyɛfo no yɛ no ni:

• Wɔde wo bɛto baabi a wobɛda fam wɔ sɔhwɛ pon no so. Ɛsɛ sɛ wo nansoaa ne wo nan si pon no ano. Ɛtɔ mmere bi a, wɔde wo nkotodwe kotow kɔ digrii 90 na ɛyɛ eyi, na ɛno bɛma nantwi ba ntini no adwo.
• Afei oduruyɛfo no bɛpiapia wo nantwi ba ntini a ɛyɛ ntini a ɛwɔ wo nan ase no brɛoo nanso denneennen.
• Sɛ worepiapia a, oduruyɛfo no bɛhwɛ yiye ahwɛ sɛ wo nan ase ne wo nan no kotow kɔ fam kakra (plantarflexion), kyerɛ sɛ, sɛ ɛkɔ kakra anaasɛ ɛforo kɔ soro anaa.
• Mpɛn pii no, sɛ wo Achilles ntini no te apɔw a, ɛsɛ sɛ wo nan ase kotow kɔ fam bere a worepiapia ntini no. Nea enti a ɛte saa ne sɛ saa ntini yi na ɛka wo nantwi ba ntini no ne wo nan ase dompe (calcaneus) bom. Ɛte sɛ nea wɔretwe rɔba bi akɔ nkyɛnkyɛn.
• Ebia oduruyɛfo no bɛyɛ ade koro no ara wɔ wo nan foforo no ho. Wɔbɛsusu baabi a nan a enpira no nantin kɔ akyirikyiri na wɔde atoto nan a apira no ho. Nsonsonoe no bɛda adi.

So ɛsɛ sɛ misiesie biribi ma eyi?

Oh dabi! Ɛho nhia sɛ woyɛ biribi titiriw biara de siesie wo ho ma saa `Thompson sɔhwɛ` yi. Adeɛ a ɛho hia paa ne sɛ, sɛ wosusu sɛ woatetew wo `Achilles tendon` mu, a ɛkyerɛ sɛ wote `click` nnyigyei bi wɔ wo nan mu sɛdeɛ madi kan aka no, anaasɛ sɛ wote ɛyaw kɛseɛ a, kɔ oduruyɛfoɔ nkyɛn ntɛm ara sɛdeɛ ɛbɛyɛ yie. Mma nntwentwɛn wo nan ase, efisɛ sɛ woyɛ saa a, tebea no betumi asɛe kɛse.

Mɛte nka dɛn wɔ sɔhwɛ no mu? So ɛbɛyɛ yaw?

Bɔ mmɔden sɛ wubegye w’ahome sɛnea wubetumi biara wɔ sɔhwɛ yi mu. Sɛ wohyɛ wo ntini mu den a, ebia ɛbɛyɛ den ama oduruyɛfo no sɛ obehu baabi pɔtee a wogyina, na ebia nea ebefi mu aba no nyɛ nokware.

Mpɛn pii no, Thompson sɔhwɛ no remma wo yaw anaa sɛnkyerɛnne afoforo a ɛkyerɛ sɛ Achilles ntini a atetew no nkɔ soro. Ebia oduruyɛfo no bɛte nka sɛ ne ho ayɛ den kakra bere a ɔpiapia wo ntini no, nanso ɛnyɛ nea ɛbɛyɛ yiye sɛ ɛbɛma woate ɛyaw kɛse biara. Nanso, sɛ wote nka sɛ wo ho yeraw wo soronko anaa ɛyaw a wuntumi nnyina ano bere a oduruyɛfo no pia wo ntini no a, ka kyerɛ wo duruyɛfo no ntɛm ara. Wɔbɛtie wo.

Dɛn na ɛba wɔ Thompson sɔhwɛ no akyi?

Okay, afei deɛ oduruyɛfoɔ no ayɛ Thompson nhwehwɛmu no. Sɛ oduruyɛfo no susuw sɛ ebia wowɔ Achilles ntini a atetew (kyerɛ sɛ, nhwehwɛmu a ɛkyerɛ sɛ wowɔ nhwehwɛmu a ɛkyerɛ sɛ wowɔ wo yiye) a, ɛnyɛ ɛno ne asɛm no awiei. Ebia ɛho behia sɛ woyɛ mfoninitwa sɔhwɛ foforo nso. Eyi yɛ sɔhwɛ a ɛtwa mfonini de hu sɛnea opira no te pɛpɛɛpɛ, baabi a atetew, sɛ ebia atetew koraa, anaasɛ atetew kakra kɛkɛ.

Eyi ho nhwɛso ne:

• Ultrasound sɔhwɛ: Eyi de nnyigyei asorɔkye di dwuma de twa awotwaa no mfonini.
• MRI (Magnetic Resonance Imaging) scan: Eyi de magnetic field ne radio asorɔkye twa amemene no ne ntini a atwa ho ahyia no ho mfonini kɔ akyiri. Eyi yɛ nea ɛkɔ akyiri sen ultrasound.

Dɛn ne nea efi mu ba a minya? Dɛn na wɔkyerɛ?

Nea afi Thompson sɔhwɛ no mu aba no nte sɛ nea ebia wuhu wɔ aduruyɛ mu nhwehwɛmu afoforo mu no. Ɛne sɛ, ɛmma dodow pɔtee anaa baabi a ɛbɛkɔ. Ɛte sɛ asɛmmisa a ɛne ‘yiw’ anaa ‘dabi’ kɛse, anaa ‘nokware’ anaa ‘atoro’. Oduruyɛfo no rehwɛ sɛ ebia wo Achilles ntini no atetew anaa.

• Nea eye a efi mu ba no kyerɛ sɛ: Sɛ wo nan ase ankotow nkɔ fam koraa (ɛnyɛ plantarflexion) bere a oduruyɛfo no piapia ntini no a, ɛkyerɛ sɛ ɛda adi kɛse sɛ wo Achilles ntini no atetew.
• Nea efi mu ba ne negative (`Negative`) a ɛkyerɛ sɛ:Sɛ wo nan ase kotow kɔ fam sɛnea ɛsɛ bere a oduruyɛfo no piapia ntini no (plantarflexion wɔ hɔ) a, ɛkyerɛ sɛ Achilles ntini no mu ntew, anaasɛ wontumi mfa sɔhwɛ yi nkutoo nsi so dua, na ebia ne fã bi mpo atetew.

Nea ebefi sɔhwɛ yi ne mfoninitwa nhwehwɛmu afoforo mu aba no bɛboa wo duruyɛfo ma wasi ayaresa a wuhia ho gyinae. Mpɛn pii no, sɛ Achilles ntini no mu tetew koraa a, ebehia sɛ wɔyɛ oprehyɛn na ama wɔasiesie. Ɛtɔ mmere bi a, wobetumi de cast anaa boot adi dwuma sen sɛ wɔbɛyɛ oprehyɛn. Ɛyɛ papa sɛ wo ne wo duruyɛfo bɛkasa afa eyi ho.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn ampa?

Sɛ wususuw sɛ ebia wowɔ Achilles ntini a atetew, anaasɛ wowɔ saa sɛnkyerɛnne ahorow yi bi a, kɔ oduruyɛfo nkyɛn ntɛm.

• Sɛ wote ‘click’ anaa ‘snap’ nnyigyei bi wɔ wo nansoaa akyi, titiriw bere a woreyɛ apɔw-mu-teɛteɛ denneennen (e.g., mmirikatu, ahuruhuruw, badmintonbɔ).
• Mpofirim ara, wote ɛyaw bi a ano yɛ den a wuntumi nnyina ano wɔ wo nansoaa akyi. Ebia ɛbɛyɛ te sɛ nea obi abɔ wo nan.
• Sɛ ɛyɛ den ma wo sɛ wobɛnantew wɔ opira no akyi, sɛ wote nka sɛ wuntumi mfa wo nan nsi fam, titiriw sɛ wuntumi nnyina wo nan ase a.
• Sɛ ɛho ahonhon na akuru wɔ nansoaa no akyi a.

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, ntra fie. Mma nsusuw sɛ, "Ɛbɛyɛ yiye wɔ n'ankasa so." Ade a eye sen biara a wubetumi ayɛ ne sɛ wobɛhwehwɛ aduruyɛfo afotu ntɛm ara.

So sɔhwɛ afoforo bi wɔ hɔ a wɔde hwɛ sɛ Achilles ntini no mu atetew anaa?

Yiw, Thompson sɔhwɛ no yɛ nipadua mu nhwehwɛmu atitiriw pii a nnuruyɛfo de hu sɛ Achilles ntini a apaapae no mu biako pɛ. Afoforo no ne:

• Matles Sɔhwɛ: Eyi te sɛ Thompson sɔhwɛ no. Wɔbɛka akyerɛ wo sɛ da wo yafunu so na trɛw wo nan mu nkɔ mpa no nkyɛn anaasɛ wokotow wo nkotodwe nkɔ digrii 90. Mpɛn pii no, sɛ wo Achilles ntini no te apɔw a, wo nan no bɛkɔ anim kakra, a ɛkyerɛ sɛ ɛbɛkotow kakra akɔ fam (plantarflexion kakra). Nanso, sɛ ntini no mu tetew a, wo nan no bɛyɛ tratraa anaasɛ ɛbɛkɔ baabiara, anaasɛ ɛbɛkɔ akyi.
• Achilles tendon palpation: Palpation yɛ bere a oduruyɛfo no de ne nsateaa te biribi nka na ɔpiapia no. Oduruyɛfo no taa yɛ eyi ka nhwehwɛmu afoforo ho. Achilles ntini yɛ ntini kɛse a ɛyɛ den a wotumi te nka wɔ honam ani. Enti sɛ atetew koraa anaa ne fã bi a, ebia oduruyɛfo no betumi ate baabi a atetew (anaasɛ sintɔ) bi wɔ baabi a atetew no.

Nanso kae sɛ, ɛmfa ho nipadua mu nhwehwɛmu biara a oduruyɛfo no bɛyɛ no, awiei koraa no, anyɛ yiye koraa no, ebehia sɛ wɔyɛ mfoninitwa nhwehwɛmu biako (a mpɛn pii no wɔyɛ ultrasound anaa MRI) na ama wɔahu opira no ho mfonini pefee.

So ɛnyɛ hwee sɛ wobɛnantew a Achilles ntini a atetew?

Nnipa pii tumi nantew na wɔkeka wɔn nansoaa kodu baabi mpo sɛ wɔn Achilles ntini no mu paapae a. Nanso, ebetumi ayɛ yaw na ayɛ den. Sɛ wususuw sɛ wowɔ ɔhaw bi wɔ wo Achilles ntini no ho, sɛ wubetumi anantew anaasɛ wobɛsoa wo nan mu duru mpo a, kɔ oduruyɛfo nkyɛn ntɛm ara.

Efisɛ sɛ wode wo nansoaa di dwuma na wode wo nan mu duru nyinaa to wo nan so a, opira a ɛwɔ hɔ dedaw (a Achilles ntini a apaapae ka ho) betumi asɛe kɛse. Ntini a atetew kakra mpo betumi atetew koraa.

Enkosi sɛ oduruyɛfo betumi ahu wo pira no, sɛ wowɔ poma, obi a ɔde nantew, anaa nneɛma foforo a ɛboa ma wotumi nantew a, ɛbɛyɛ papa sɛ wode bedi dwuma. Wo nan a wobɛhome no ho hia yiye.

Enti, nneɛma bɛn na ɛsɛ sɛ yɛkae fi eyinom nyinaa mu? (Nkrasɛm a Wɔde Kɔ Fie)

Achilles ntini a ɛtetew no yɛ opira a ɛtaa ba, titiriw ma agumadifo anaa wɔn a wɔyɛ nneɛma mpofirim te sɛ mmirikatu anaa ahuruhuruw. Ebetumi ayɛ hu, nanso sɛ wunya ayaresa a ɛfata a, wobetumi asa na wɔasa.

Thompson sɔhwɛ no yɛ sɔhwɛ a ɛnyɛ den, ahobammɔ wom, na etu mpɔn kɛse a oduruyɛfo betumi de ahwehwɛ tebea yi mu. Ebetumi aboa ma wɔahu ɔhaw bi ntɛm.

Nanso, sɔhwɛ yi nkutoo ntumi nkyerɛ biribiara. Ebia ɛho behia sɛ woyɛ nhwehwɛmu foforo te sɛ ultrasound anaa MRI na ama woahu sɛnea wɔasɛe ntini no pɛpɛɛpɛ.

Achilles ntini a ɛtetew betumi agye bere kakra ansa na ayɛ yiye, na ebetumi ayɛ den yiye (titiriw wɔ nipadua mu ayaresa mu). Ebia worenkae Thompson sɔhwɛ no mpo bere a wufi ase tu mmirika na wuhuruw bio no. Nanso, sɔhwɛ a ɛnyɛ den yi yɛ anammɔn a edi kan a ɛyɛ ntɛm wɔ w’akwantu a wode bɛsan atɔ wo ho no mu.

Enti, sɛ wote sɛ ‘klik’ nnyigyei bi fi wo nan akyi reba na wote ɛyaw nka a, mma wo werɛ mmfi sɛ wobɛkɔ oduruyɛfo nkyɛn. Afei, sɛ woyɛ nhwehwɛmu te sɛ eyi a, wubetumi afi ayaresa a ɛho hia no ase ntɛm. Ɛrenkyɛ na wo ho atɔ wo na woatumi asan akɔ w’adwuma mu!

` Heel spur, Thompson sɔhwɛ, Achilles ntini a ɛpaapae, ankle opira, agumadi mu opira, asen mu yaw, nantwi ba squeeze sɔhwɛ