Kodi muli ndi ululu ndi kutupa kuzungulira chidendene chanu? Kodi ndi (Achilles Paratenonitis)? Tiyeni tikambirane za izi!

Kodi mudamvapo ululu kapena kusasangalala m'dera la chidendene chanu kapena fupa la mwendo wanu mukamathamanga, kuvina, kapena kungoyenda? Nthawi zina, derali limatha kufiira ndi kutupa. Izi zitha kuchitikanso ngati muvala nsapato zomwe sizikukwanira bwino. Vutoli likugwirizana ndi vuto lomwe tikambirane lero lotchedwa `(Achilles Paratenonitis)`. Musadandaule, tikambirana izi mwatsatanetsatane.

Kodi ``Achilles Paratenonitis'' ndi chiyani? Tiyeni timvetse mosavuta!

Mwachidule, Achilles Paratenonitis ndi kutupa kwa minofu yomwe imaphimba tendon ya Achilles kumbuyo kwa chidendene chathu.

Tsopano mwina mukudabwa kuti tendon ya Achilles ndi chiyani. Pali gulu lamphamvu la minofu lomwe limalumikiza kumbuyo kwa miyendo yathu ndi fupa la chidendene (lomwe limatchedwanso calcaneus). Lili ngati gulu lalikulu la rabara lolimba. Ichi ndi chomwe chimatithandiza kuthamanga, kulumpha, kukwera, ndi kuyenda. Kotero pali gawo lochepa la minofu kuzungulira tendon iyi ya Achilles. Mu Achilles Paratenonitis, gawoli limakhala lotupa komanso lopweteka.

Vutoli likhoza kuchitika mwadzidzidzi (`(acute)`), kapena likhoza kukula pang'onopang'ono ndikukhalapo kwa nthawi yayitali (`(chronic)`).

Pali mayina ena a izi, ndipo dokotala wanu angagwiritse ntchito limodzi mwa mayina awa:

• `(Achilles paratendonitis)`
• `(Achilles peritendinitis)`
• `(Achilles tenosynovitis)`
• `(Achilles tenovaginitis)`

Chofunika kwambiri ndichakuti ngati izi sizikudziwika ndi kuchiritsidwa msanga, vutoli likhoza kuipiraipira ndikupangitsa kuti kuyenda kapena kuthamanga kukhale kovuta. Likhozanso kuwononga ``Achilles tendon''. Chifukwa chake, ndikofunikira kwambiri kuzindikira zizindikiro ndikupeza chithandizo posachedwa.

Ndani amene ali ndi mwayi waukulu wopeza Achilles Paratenonitis?

Izi zimachitika kawirikawiri kwa osewera. Makamaka:

• Kwa othamanga: Izi zimachitika kawirikawiri pakati pa othamanga marathon.
• Kwa osewera tenisi.
• Kwa ovina.

Popeza anthu ngati amenewa nthawi zonse amachita mayendedwe omwe amaika mphamvu pa tendon, minofu yozungulira tendon ya Achilles ikhoza kuwonongeka.

Tangoganizirani, mchimwene wanga Sugat m'mudzi mwathu amapita kokathamanga madzulo aliwonse. Mwadzidzidzi anawonjezera mtunda umene ankathamanga, osachita ngakhale "kutenthetsa" koyenera. Patatha masiku angapo, chidendene chake chinayamba kupweteka ndipo chinali chotupa pang'ono. Koma atachionetsa kwa dokotala, anapeza kuti chinali "Achilles Paratenonitis".

Komanso, vutoli lingachitike mwa anthu omwe amavala nsapato zomwe sizikukwanira bwino . Pali nsapato zina zomwe sizikukwanira bwino, kapena zomwe zilibe "chithandizo". Kuvala kungayambitsenso vutoli.

Kodi zizindikiro za izi ndi ziti? Kodi mumazindikira bwanji?

Zizindikiro za Achilles Paratenonitis kwenikweni zimafanana ndi matenda ena opweteka a bondo ndi Achilles tendon, kotero nthawi zina zimakhala zovuta kuzizindikira.

Zizindikiro zodziwika bwino ndi izi:

• Ululu: Makamaka pochita masewera olimbitsa thupi kapena podzuka m'mawa.
• Kutupa: Kumbuyo kwa chidendene, mbali yakumanja.
• Kufiira.
• Kukoma mtima kukakhudzidwa.
• Ndi zoona, kumverera kofunda.
• Kuvuta kuyimirira ndi kuyenda.
• Kumva kapena kumva phokoso la "kugwedezeka" kapena "kutuluka" (`(Crepitus)`) mukasuntha bondo. Izi zikufanana ndi phokoso lomwe mumamva mukamayenda pa chipale chofewa.
• Kumva kuuma m'dera limenelo, makamaka m'mawa.

Zizindikiro zimenezi nthawi zambiri zimayamba pang'onopang'ono ndipo zimakula kwambiri mukamachita masewera olimbitsa thupi. Ngati muli ndi zizindikirozi, ngati zikupitirira, kapena ngati zikuipiraipira, muyenera kuonana ndi dokotala nthawi yomweyo. Chifukwa ngati vutoli lipitirira kwa nthawi yayitali, tendon ya Achilles imatha kuphulika (ruptured tendon). Zikatero, vutoli limakhala lalikulu pang'ono.

N’chifukwa chiyani timapeza `(Achilles Paratenonitis)`? Kodi zimayambitsa chiyani?

Chifukwa chachikulu ndi kupanikizika kwambiri kwa tendon ya Achilles ndi minofu yozungulira (membrane), kapena kugwiritsa ntchito mopitirira muyeso.

Pali zifukwa zina zingapo:

• Kuvala nsapato zomwe sizikukwanira bwino.
• Kuwonjezeka mwadzidzidzi kwa mphamvu kapena nthawi yochita masewera olimbitsa thupi. Mwachitsanzo, kuyamba kuthamanga mtunda wautali mwadzidzidzi.
• Kusatenthetsa bwino musanachite masewera olimbitsa thupi komanso kusazizira bwino mukamaliza kuchita masewera olimbitsa thupi.
• Kuchita masewera olimbitsa thupi kapena kusewera pamalo olimba kwambiri kapena osafanana.
• Kukhala ndi vuto la chilema kapena kapangidwe ka mapazi. Mwachitsanzo, ngati mapazi ali osalala kwambiri (`(mapazi osalala)`) kapena ngati ma arc a mapazi ali okwera kwambiri (`(arch)`).
• Kusatambasula mokwanira.

Izi zimaonedwa kuti ndi kuvulala kofala pamasewera .

Kodi dokotala amazindikira bwanji izi molondola ngati ``Achilles Paratenonitis''?

Nthawi zina matenda a Achilles Paratenonitis amakhala ovuta kuwazindikira chifukwa, monga ndanenera kale, zizindikiro zake zimafanana ndi matenda ena, monga kuvulala kwa bondo.

Mukapita kwa dokotala, iye adzakufunsani kaye za zizindikiro zanu. Kenako adzakuyesani thupi . Adzayang'ana malo anu a m'chiuno ndi chidendene, adzasuntha, ndikuwona ngati pali ululu ndi kutupa.

Nthawi zina mungatumizidwe kwa katswiri wa zamankhwala amasewera kapena dokotala wa opaleshoni ya mapazi ndi akakolo.

Ndi mayeso ati omwe akuchitidwa pa izi?

Dokotala angachite mayeso ena kuti atsimikizire matendawo, kuwunika kuchuluka kwa kuwonongeka, ndikupeza chithandizo chabwino kwambiri.

Ali:

• Kujambula kwa MRI (Magnetic Resonance Imaging): Izi zimakupatsani mwayi wowona bwino kwambiri tendon ya Achilles ndi minofu yozungulira. Izi zimathandiza kwambiri kudziwa kuchuluka kwa kuwonongeka.
• Kujambula kwa Ultrasound: Iyi ndi njira yabwino yodziwira momwe minofu ilili.
• X-ray: Izi zitha kuwona ngati pali vuto lililonse ndi mafupa. Nthawi zina chomwe chimayambitsa ululu chingakhale chinthu chokhudzana ndi mafupa.

Kodi `(Achilles Paratenonitis)` imeneyi imachiritsidwa bwanji?

Nthawi zambiri, vutoli limatha kuchiritsidwa ndi mankhwala osavuta. Chithandizo chachikulu ndi `(RICE)`. Mutha kuchita izi kunyumba.

`(Mpunga)` amatanthauza:

• R - Kupuma: Ndikofunikira kwambiri kupumitsa mwendo wopweteka. Muyenera kusiya kuchita zinthu monga kuthamanga ndi kulumpha kwakanthawi.
• I - Ice: Pakani ayezi pamalo opweteka kwa mphindi 15-20 kangapo patsiku. Izi zichepetsa kutupa ndi ululu. Musamayike ayezi mwachindunji pakhungu, muikulunge ndi nsalu.
• C - Kupsinjika: Kuti muchepetse kutupa, ikani kupsinjika pang'ono ndi bandeji yolimba kapena tepi yamasewera. Koma musapake kwambiri moti kungachepetse kuyenda kwa magazi.
• E - Kukwezedwa: Sungani mwendo wopweteka pamwamba pa mtima nthawi iliyonse yomwe zingatheke. Mutha kusunga pilo pamwamba. Izi zimachepetsanso kutupa.

Chofunika: Majekeseni a steroid nthawi zambiri salimbikitsidwa pamavuto a tendon, chifukwa amatha kufooketsa tendon ndikuwonjezera chiopsezo cha kuphulika.

Kuwonjezera pa chithandizo cha `(RICE)`, palinso njira zina zosagwiritsa ntchito opaleshoni:

• Mankhwala oletsa ululu ndi oletsa kutupa: Mankhwala oletsa kutupa omwe si a steroidal (NSAIDs), monga ibuprofen, ayenera kumwedwa monga momwe dokotala wanu wanenera.
• Kuchiza thupi: Izi ndizofunikira kwambiri. Katswiri wa zamaganizo adzakuphunzitsani kuchita masewera olimbitsa thupi otambasula ndi kulimbitsa minofu kuti mulimbikitse ndikulimbitsa minofu yanu ya Achilles.
• Kusintha nsapato zapadera kapena nsapato: Valani nsapato zomwe zikugwirizana bwino ndi phazi lanu komanso zomwe zimathandizira kupingasa.
• Zipangizo zothandizira:Nthawi zina "kukweza chidendene" (chophimba chomwe chimakweza chidendene), nsapato yapadera, "choyikapo" (cast), kapena "chothandizira" (brace) chingagwiritsidwe ntchito kuti malowo asasunthike (``immobilization'').
• Kusamba kosiyana: Ikani mapazi anu mosinthasintha m'mbale ya madzi otentha ndi m'mbale ya madzi ozizira.
• Kutambasula ndi kusisita.
• Chithandizo cha `(Brisement)`: Pachifukwa ichi, mankhwala oletsa ululu a saline ndi am'deralo amabayidwa kangapo kuti athetse minofu yowonongeka. Komabe, izi sizinthu zomwe zimachitika kwa aliyense.

Kodi mukufunikiradi opaleshoni?

Anthu ambiri safunika opaleshoni. Komabe, ngati zizindikiro zanu zili zazikulu, sizinasinthe kwa nthawi yayitali, kapena ngati mankhwala ena sanathandize, dokotala wanu angakulangizeni opaleshoni kuti akonze tendon yanu ya Achilles.

Pambuyo pa opaleshoni, mtsempha umatenga nthawi kuti uchire, kotero simungathe kuchita masewera olimbitsa thupi kwa miyezi ingapo. Dokotala wanu adzakuuzani nthawi yomwe mungabwerere ku zochita zanu zachizolowezi.

Kodi `(Achilles Paratenonitis)` iyi ikhoza kuchiritsidwa kwathunthu?

Inde, nthawi zambiri, vutoli limatha kuchiritsidwa kwathunthu. Chofunika kwambiri ndikutsatira malangizo a dokotala wanu molondola. Mukatero mutha kuchira mwachangu ndikupewa zovuta.

Ndani angakuthandizeni ndi chithandizochi?

Ngati muli ndi Achilles Paratenonitis, pali gulu la akatswiri omwe angakuthandizeni:

• Dokotala wa mapazi
• Dokotala wa mafupa a mapazi ndi akakolo (`(Dokotala wa mafupa)`)
• Katswiri wa zamaganizo pantchito
• Katswiri wa zamaganizo

Kodi zitenga nthawi yayitali bwanji kuti munthu achire? Kodi chiyembekezo chili bwanji?

Nthawi yochira imadalira thanzi lanu lonse, zaka zanu, kuopsa kwa kuvulala kwanu, ndi chithandizo chomwe mumalandira. Nthawi zambiri, zimatenga miyezi ingapo kuti muchiritse bwino.

Ngati mwachitidwa opaleshoni, zingatenge nthawi yayitali kuti muchire. Tsatirani malangizo a dokotala wanu molondola. Lankhulani ndi dokotala wanu mosamala za matenda anu ndi njira zina zothandizira.

Kodi mungachepetse bwanji kufalikira kwa `(Achilles Paratenonitis)`? Kodi mungapewe bwanji?

Iyi ndi gawo lofunika kwambiri. Pali zinthu zomwe tingachite kuti tichepetse chiopsezo chotenga `(Achilles Paratenonitis)`. Izi ndizofunikira makamaka kwa iwo omwe amachita masewera olimbitsa thupi.

• Tambasulani bwino: Musanayambe kuchita masewera olimbitsa thupi, tenthetsani ndi kutambasula minofu yanu ya Achilles tendon ndi ya ng'ombe. Izi zichepetsa chiopsezo chovulala.
• Sinthani zochita zanu zolimbitsa thupi:Pewani kuchita masewera olimbitsa thupi amphamvu omwe amaika mphamvu zambiri pa tendon ya Achilles, komanso kuchita masewera olimbitsa thupi ochepa mphamvu (monga kusambira ndi kuthamanga, kukwera njinga).
• Wonjezerani mphamvu ya masewera olimbitsa thupi pang'onopang'ono: Musadzikakamize kwambiri nthawi imodzi. Pang'onopang'ono onjezerani nthawi, mtunda, ndi mphamvu ya masewera olimbitsa thupi anu.
• Valani nsapato zathanzi: Sankhani nsapato zomwe zili ndi chithandizo chabwino cha arch komanso kuchepetsa kupanikizika pa zidendene zanu.
• Pezani maphunziro oyenera: Ngati mumasewera masewera, tsatirani njira zoyenera zophunzitsira.

Mnofu wa Achilles ndi umodzi mwa minofu yamphamvu kwambiri m'thupi lathu. Komabe, mwa anthu ochita masewera olimbitsa thupi, minofu yozungulira imatha kutupa chifukwa chogwiritsa ntchito mopitirira muyeso. Kuvala nsapato zomwe zimakukwanira bwino kungathandize. Komabe, zingakhale zokhumudwitsa kwambiri ngati mwachita bwino ndipo mukuyesera kuchita chilichonse bwino koma mukuvutikabe chonchi.

Kodi ndiyenera kupita kwa dokotala liti?

Ndikofunikira kwambiri kuzindikira ndikuchiza matenda a `(Achilles Paratenonitis)` akadali aang'ono. Izi zingapangitse kuti kuyenda, kuthamanga, ndi kulumpha kukhale kovuta. Komanso, `(Achilles tendon)` ikhoza kung'ambika (`(kuphulika)`). Ngati zimenezo zitachitika, opaleshoni idzafunika.

Ngati muli ndi ululu, kutupa, kuuma, kapena zizindikiro zilizonse zomwe ndatchula kale pachidendene chanu, kumbuyo kwa bondo lanu, kapena zizindikiro zilizonse zomwe ndatchula kale, onani dokotala nthawi yomweyo. Iye adzakuyang'anirani ndikukupatsani dongosolo la chithandizo lomwe likugwirizana ndi inu. Ndi chithandizo chachangu komanso choyenera, mutha kubwerera ku moyo wanu watsiku ndi tsiku komanso wotanganidwa.

Uthenga Wopita Nawo Kunyumba

• Achilles Paratenonitis ndi kutupa kwa minofu yozungulira tendon ya Achilles.
• Izi zimachitika kawirikawiri mwa anthu omwe amathamanga, kuvina, kapena kuvala nsapato zawo moyenera.
• Kupweteka kwa chidendene, kutupa, kufiira, kuuma, ndi phokoso la "kudina" ndi zizindikiro zazikulu.
• Kupumula, ayezi, kupsinjika, ndi kukweza (RICE therapy) ndi njira yoyamba yothandizira.
• Kuchiza thupi, mankhwala ochepetsa ululu, ndi nsapato zoyenera ndizofunikira.
• Nthawi zambiri, opaleshoni sikofunikira, koma imaganiziridwa pazochitika zazikulu.
• Izi zitha kupewedwa potenthetsa thupi bwino musanachite masewera olimbitsa thupi, kuvala nsapato zoyenera, ndikuwonjezera pang'onopang'ono mphamvu ya masewera olimbitsa thupi anu.
• Ngati muli ndi zizindikiro, pitani kwa dokotala mwamsanga. Mukazindikira msanga, mumatha kuchira msanga!

Ndikukhulupirira kuti izi zikuthandizani. Khalani ndi thanzi labwino!

Achilles Paratenonitis, Kupweteka kwa Chidendene, Kupweteka kwa Shin, Kuvulala kwa Masewera, Chithandizo cha RICE, Kuchiza Thupi, Tendonitis