Tangoganizirani kuti pamene mukusewera cricket, kuthamanga, kapena kukwera masitepe, mwadzidzidzi mukumva phokoso la 'tuck' kuchokera kumbuyo kwa mwendo wanu, pamwamba pa chidendene chanu, ndipo mumamva kupweteka kosapiririka. Kapena nthawi zonse mumamva kupweteka pamwamba pa chidendene chanu mukadzuka pabedi m'mawa? Chifukwa chachikulu cha izi chikhoza kukhala vuto la Achilles Tendon yanu. Ngakhale tonse tamva kuti kuvulala kumeneku kumachitika mwa othamanga, kwenikweni aliyense akhoza kukhala ndi vutoli. Chifukwa chake lero, tiyeni tikambirane za Achilles, yomwe ndi imodzi mwa minyewa yamphamvu komanso yofunika kwambiri m'thupi lathu.
Kodi Achilles Tendon iyi ndi chiyani?
Mwachidule, tendon ya Achilles ndi yolimba ngati mkanda kumbuyo kwa mwendo wanu, pamwamba pa chidendene chanu. Imagwirizanitsa minofu ya ng'ombe yanu ndi fupa la chidendene chanu (calcaneus). Imadziwikanso kuti ``Calcaneal tendon''.
Tsopano mwina mukudabwa kuti, "Kodi mtsempha ndi chiyani?" Mtsempha ndi gulu la minofu lolimba kwambiri komanso losinthasintha lomwe limalumikiza minofu ndi fupa m'thupi lathu. Lili ngati chingwe. Limapezeka m'thupi lathu lonse.
Dzina la mtsempha uwu linachokera ku nkhani yosangalatsa kwambiri. Mu nthano zachi Greek, pali ngwazi yotchedwa Achilles. Malo okhawo ofooka pa thupi lake anali gawo ili pamwamba pa chidendene chake. Anaphedwa ndi muvi womwe unagunda pamenepo pankhondo. Ndicho chifukwa chake mtsempha uwu unatchedwa dzina lake.
Kodi ntchito yaikulu ya tendon ya Achilles ndi yotani?
Mnofu wa Achilles ndi umene umathandiza minofu ya ng'ombe kusuntha phazi lanu ndi akakolo anu. Ganizirani zomwe zimachitika minofu ya ng'ombe yanu ikakokana. Kenako mnofu uwu wa Achilles umakoka ndikukweza chidendene chanu. Mwa kuyankhula kwina, umagwira ntchito ngati chowongolera. Minofu ikakokana, mnofu umakoka fupa, zomwe zimapangitsa kuti lisunthe.
Zinthu zambiri zomwe timachita tsiku lililonse ndizofunikira kwambiri pa tendon iyi ya Achilles.
- Pamene mukuyenda
- Mukuthamanga
- Mukadumpha
- Mukakwera masitepe
- Mukaima ndi zala zanu
Chigoba chanu cha Achilles ndicho chinthu chachikulu chomwe chimagwira ntchito pazinthu zonsezi. Tsopano mwamvetsa kufunika kwake, eti?
Kodi mtsempha uwu uli kuti? Ndi waukulu bwanji?
Mnofu wa Achilles umayambira pakati pa fupa lanu la fupa. Kuchokera pamenepo, umatsikira pansi pa mwendo wanu ndikumamatira ku chidendene chanu. Muli ndi minofu iwiri iyi mu mwendo uliwonse.
Mnofu wa Achilles mwa munthu wamkulu nthawi zambiri umakhala pakati pa masentimita 15 ndi 26 (mainchesi 6-10). Chofunika kwambiri, ndi mnofu wokhuthala komanso wamphamvu kwambiri m'thupi lathu. Ndi wamphamvu kwambiri moti umatha kupirira mphamvu yokwana pafupifupi kanayi kulemera kwa thupi lanu.
Kodi tendon ya Achilles imapangidwa ndi chiyani?
Mnofu wolimba uwu umapangidwa makamaka ndi mitundu iwiri ya mapuloteni.
1. Kolajeni: Iyi ndi puloteni yochuluka kwambiri m'thupi lathu. Kolajeni imapanga pafupifupi gawo limodzi mwa magawo atatu a puloteni yonse m'thupi. Imapereka mphamvu yofunikira pa minofu ya minofu.
2. Elastin: Ichi ndi chomwe chimapangitsa kuti tendon itambasuke. Ndi elastin iyi yomwe imathandiza tendon kutambasuka ndikubwerera ku mawonekedwe ake oyambirira tikamayenda.
Mnofu uwu umalandira magazi kuchokera ku mitsempha iwiri yamagazi yomwe ili m'munsi mwa mwendo. Kumva kwake ndi ntchito yake zimayendetsedwa ndi mitsempha iwiri, mitsempha ya m'munsi ndi mitsempha ya tibial.
Kodi ndi kuvulala kotani komwe kumachitika kawirikawiri pa tendon ya Achilles?
Mnofu wa Achilles ndi kuvulala kofala, makamaka pakati pa othamanga. Komabe, ndi wofala pakati pa anthu onse. Nazi zina mwa izo.
| Dzina la Ovulala | Mwachidule... |
|---|---|
| Matenda a Tendinitis | Kutupa, kufiira, ndi ululu zimachitika chifukwa cha kugwiritsidwa ntchito mopitirira muyeso kapena kupsinjika kwa mtsempha. Imeneyi ndi vuto lotupa. |
| Kuphulika/misozi ya Achilles tendon | Kung'ambika kwathunthu kapena pang'ono kwa mtsempha. Izi zitha kuchitika pangozi kapena pamene mphamvu yochulukirapo yagwiritsidwa ntchito. Zimayendera limodzi ndi ululu waukulu wokhala ndi phokoso la "pop". |
| Bursitis ya chidendene | Kutupa kwa thumba lodzaza madzi lotchedwa bursa pakati pa tendon ndi fupa la chidendene. Izi zimayambitsa kupweteka kumbuyo kwa chidendene. |
| Kufooka kwa Haglund | Kutupa kwa fupa kowonjezera kumachitika kumbuyo kwa fupa la chidendene, komwe tendon ya Achilles imagwirira. Izi zimatha kukakamiza tendon ndikupangitsa kupweteka. |
Kodi dokotala amazindikira bwanji vutoli?
Mukapita kwa dokotala ndi ululu wamtunduwu, chinthu choyamba chomwe angachite ndikuwunika mosamala mwendo wanu wapansi, phazi lanu, ndi akakolo anu. Iye adzakufunsani za zizindikiro zanu.
- Kodi ululu unayamba liti?
- Munkachita chiyani ululu usanabwere?
- Kodi ululu umawonjezeka liti?
Mayankho anu pa mafunso ngati awa angathandize dokotala kudziwa bwino matendawa.
Kuphatikiza apo, mayeso apadera akuthupi, monga mayeso a Thompson, atha kuchitidwa kuti aone ngati mtsempha wang'ambika. Kuti atsimikizire matendawa, mayeso amodzi kapena angapo otsatirawa atha kuchitidwanso.
- X-ray
- Kujambula kwa Ultrasound
- Kujambula kwa MRI (Kujambula kwa Magnetic Resonance - MRI)
- Kujambula kwa CT (Computed Tomography - CT)
Kujambula kumeneku kumatha kuona bwino momwe tendon ndi minofu yozungulira zilili.
Kodi kuvulala kwa Achilles kumachiritsidwa bwanji?
Mtundu wa chithandizo chomwe mukufuna chidzadalira zinthu monga mtundu wa chilema chomwe muli nacho, chomwe chimayambitsa, komanso kuchuluka kwa zochita zanu. Dokotala wanu adzakupatsani chithandizo chomwe chili choyenera kwa inu.
Kumbukirani kuti si aliyense amene amafunika opaleshoni. Nthawi zambiri, vutoli lingathe kuthetsedwa ndi mankhwala osavuta.
Nazi njira zina zochiritsira zomwe zimagwiritsidwa ntchito pa matenda awa.
| Njira Yothandizira | Kodi chimachitika ndi chiyani? |
|---|---|
| Njira ya RICE | Uwu ndiye mankhwala ofunikira kwambiri. Kupumula , Kuzizira , Kupsinjika , Kukweza . Izi zimachepetsa ululu ndi kutupa. |
| Mankhwala | Kuti achepetse ululu ndi kutupa, dokotala wanu angakulembeni mankhwala ochepetsa ululu monga NSAIDs. Nthawi zina, angakulembeninso mankhwala ochepetsa kutupa monga corticosteroids. |
| Kusayenda bwino | Mudzapatsidwa chogwirira chapadera kapena chopondera kuti mwendo wanu usasunthe mpaka tendon itachira. |
| Kuchiza thupi | Motsogozedwa ndi katswiri wa zamaganizo, chitani masewera olimbitsa thupi apadera omwe amalimbitsa minofu yozungulira tendon ndikuwonjezera kusinthasintha. |
| Mafupa a mafupa | Pogwiritsa ntchito zinthu zapadera zoyika nsapato zomwe zimalowa mkati mwa nsapatoyo komanso zimathandiza phazi ndi akakolo. Izi zitha kupangidwa kuti zigwirizane ndi phazi lanu. |
| Opaleshoni | Anthu ambiri safunika opaleshoni. Komabe, pakakhala vuto lalikulu, monga kusweka kwathunthu, opaleshoni ingafunike kuti igwirizanenso ndi mtsempha. |
Kodi mtundu uwu wa vuto ungapewedwe?
Nthawi zina zimakhala zovuta kupewa kuvulala chifukwa cha ngozi monga kugwa kapena kudumpha. Koma kawirikawiri, mutha kutsatira njira izi kuti muchepetse chiopsezo chanu.
- Valani zida zoyenera zodzitetezera: Valani nsapato zoyenera zoteteza mapazi anu, kutengera masewera kapena ntchito yomwe mukuchita.
- "Osasewera ndi ululu": Ngati mukumva kupweteka panthawi yochita masewera olimbitsa thupi kapena mutatha kuchita masewera olimbitsa thupi, musanyalanyaze ndipo pitirizani kuchita. Patsani thupi lanu mpumulo.
- Kupuma ndi kuchira: Mukachita zinthu zolimbitsa thupi, patsani thupi lanu nthawi yokwanira kuti lichire.
- Musanayambe komanso mutatha kuchita masewera olimbitsa thupi: Dzitenthetseni bwino musanayambe kuchita masewera olimbitsa thupi.Kutambasula thupi, makamaka la Achilles tendon, kungachepetse kwambiri chiopsezo chovulala. Komanso, chepetsani kutentha thupi mukatha kuchita masewera olimbitsa thupi.
Kodi mungayende ngakhale mutavulala mtsempha?
Funso limene anthu ambiri amafunsa ndi ili. Inde, mungathe kuyenda ndikusuntha bondo lanu ngakhale mtsempha wathyoka kapena wawonongeka. Koma zingakhale zopweteka kwambiri komanso zosasangalatsa.
Chofunika kwambiri n’chakuti, ngakhale mutakhala kuti mungathe kuyenda ndikulemera mwendo wanu, ngati mukukayikira kuti muli ndi vuto la Achilles tendon, pitani kwa dokotala nthawi yomweyo.
Ngati mupitiliza kugwiritsa ntchito mwendo wanu ndikuulemera, kuvulalako kungakule kwambiri. Mpaka mutapita kwa dokotala, ndi bwino kugwiritsa ntchito chothandizira monga ndodo ngati n'kotheka.
Kodi tendon ya Achilles imadzichiritsa yokha?
Anthu ena angaone kuti ululu wochepa ungachepe ngati atasintha mtundu wa nsapato zomwe amavala ndikupewa kuchita zinthu zina kwa kanthawi. Komabe, musaganize kuti vutoli lidzatha lokha popanda chithandizo.
Ngati mwayamba kumva ululu pamwamba pa chidendene chanu, makamaka ngati ululuwo ndi waukulu komanso wotsagana ndi phokoso lophulika, pitani kwa dokotala nthawi yomweyo.
Mnofu wa Achilles uli ngati ngwazi yomwe imatumikira thupi lathu bwino kwambiri. Chifukwa chake, ndi udindo wathu kuusamalira bwino. Ngati mukumva ululu, musaunyalanyaze ndipo funsani upangiri woyenera kwa dokotala. Kenako mutha kuchira mwachangu ndikubwerera ku zochita zanu zachizolowezi.
Uthenga Wopita Nawo Kunyumba
- Chigoba cha Achilles ndi cholimba kwambiri m'thupi, chofunikira pa mayendedwe anu onse, monga kuyenda, kuthamanga, ndi kulumpha.
- Ngati muli ndi ululu, kuuma, kapena kutupa kumbuyo kwa mwendo wanu, pamwamba pa chidendene chanu, kungakhale vuto la Achilles.
- Ngati mukumva kupweteka kwakukulu mwadzidzidzi komanso komveka ngati phokoso lophulika, kungakhale kuphulika kwa tendon. Zikatero, pitani kuchipatala nthawi yomweyo.
- Musanyalanyaze ululu. Musangoganiza kuti, "Izi zitha pakapita kanthawi," koma onetsetsani kuti mwaonana ndi dokotala wanu kuti akalandire upangiri woyenera.
- Kutenthetsa thupi ndi kutambasula thupi musanayambe kuchita masewera olimbitsa thupi kungachepetse kwambiri chiopsezo cha kuvulala kwamtunduwu.
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