Tekereza ko mu gihe ukina cricket, wiruka cyangwa uzamuka ingazi, uhita wumva urusaku rw'inyuma y'ukuguru kwawe, hejuru gato y'agatsinsino kawe, maze ukumva ububabare bukabije. Cyangwa uhora wumva ububabare bukabije hejuru y'agatsinsino kawe iyo uvuye mu buriri mu gitondo? Impamvu nyamukuru ibi bishobora kuba ikibazo cy'umutsi wawe wa Achilles. Nubwo twese twumvise ko iyi mvune ibaho ku bakinnyi, mu by'ukuri umuntu uwo ari we wese ashobora kugira iyi ndwara. None rero uyu munsi, reka tuvuge kuri Achilles, imwe mu mitsi ikomeye kandi y'ingenzi mu mubiri wacu.
Iyi mitsi yo mu bwonko ya Achilles ni iki?
Mu magambo make, umutsi w'ikirenge wa Achilles ni imiterere ikomeye isa n'umukandara inyuma y'ukuguru kwawe, hejuru gato y'agatsinsino kawe. Uhuza imitsi y'inyana yawe n'igufwa ry'agatsinsino kawe (calcaneus). Mu buvuzi izwi kandi nka "tendon ya Calcaneal".
Noneho ushobora kwibaza uti "Umutsi w'imitsi ni iki?" Umutsi w'imitsi ni umugozi ukomeye cyane kandi woroshye uhuza imitsi n'igufwa mu mubiri wacu. Ni nk'umugozi. Uboneka mu mibiri yacu yose.
Uyu mutsi w’amaraso wakuwe mu nkuru ishimishije cyane. Mu migani y’Abagereki, hari intwari yitwa Achilles. Ahantu honyine hagize intege nke ku mubiri we ni iki gice cyari hejuru y’agatsinsino ke. Yishwe n’umwambi wakubiswe aho ngaho mu ntambara. Niyo mpamvu uyu mutsi w’amaraso wahawe izina ryawo.
Ni iyihe nshingano nyamukuru y'umutsi w'amaraso wa Achilles?
Umutsi w'ikirenge (Achilles tendon) ni wo ufasha imitsi y'ikirenge kunyeganyega ikirenge n'akaguru. Tekereza uko bigenda iyo imitsi y'ikirenge cyawe ikoze. Hanyuma uyu mutsi w'ikirenge (Achilles tendon) urahaguruka ugaterura agatsinsino kawe. Mu yandi magambo, ukora nk'icyuma gifata. Iyo imitsi ikoze, umutsi ukurura igufwa, bigatuma rigenda.
Ibintu byinshi dukora buri munsi ni ingenzi kuri uyu mutsi w'ikibuno witwa Achilles.
- Mu gihe ugenda n'amaguru
- Mu gihe cyo kwiruka
- Iyo usimbutse
- Iyo uzamuka ingazi
- Iyo uhagaze ku maguru yawe
Umutsima wawe wa Achilles ni wo ukoreshwa muri ibi bikorwa byose. Noneho ubu usobanukiwe akamaro kawo, sibyo?
Uyu mutsi uherereye he? Ungana iki?
Umutsi w'ikibuno utangirira hagati mu igufwa ryawe ry'uruti rw'umugongo. Kuva aho, umanuka ukajya ku kaguru kawe ugafata ku gatsinsino kawe. Ufite imitsi ibiri muri buri kuguru.
Umutsi w'ikibuno (Achilles tendon) ku muntu mukuru ubusanzwe uba ufite uburebure buri hagati ya santimetero 15 na 26 (santimetero 6-10). Icy'ingenzi kurushaho, ni wo mutsi ukomeye kandi ukomeye mu mubiri wacu. Urakomeye cyane ku buryo ushobora kwihanganira imbaraga zikubye hafi inshuro enye z'uburemere bw'umubiri wawe.
Umutsi w'ikibuno wa Achilles ukozwe mu ki?
Uyu mutsi ukomeye ugizwe ahanini n'ubwoko bubiri bwa poroteyine.
1. Kolajeni: Iyi niyo poroteyine iboneka cyane mu mubiri wacu. Kolajeni igize kimwe cya gatatu cya poroteyine yose mu mubiri. Itanga imbaraga zikenewe ku mitsi.
2. Elastini: Iyi ni yo ituma umutsi urambara. Ni yo elastini ifasha umutsi kugorama no kugaruka ku ishusho yawo ya mbere iyo tugenda.
Uyu mutsi uhabwa amaraso uturutse mu mitsi ibiri y'amaraso iri mu kaguru ko hasi. Uburyo ubyumva n'imikorere yawo bigenzurwa n'imitsi ibiri, umutsi wo mu gice cy'inyuma n'umutsi wo mu gice cy'inyuma cy'inyuma.
Ni izihe mvune zikunze kugaragara ku mutsi w'ikibuno (Achilles tendon)?
Umutsi w'amaguru witwa Achilles ni imvune ikunze kugaragara, cyane cyane mu bakinnyi b'imikino ngororamubiri. Ariko, ikunze no kugaragara mu baturage muri rusange. Dore zimwe muri zo.
| Izina ry'imvune | Mu magambo make ... |
|---|---|
| Tendinite | Kubyimba, gutukura, no kubabara biterwa no gukoresha imitsi cyane cyangwa guhangayika. Iyi ni indwara yo kubyimba. |
| Kuvunika/gucika kw'imitsi yo mu kibuno cya Achilles | Gucika burundu cyangwa igice cy'umutsi. Ibi bishobora kubaho mu mpanuka cyangwa iyo hakoreshejwe imbaraga nyinshi. Bijyana n'ububabare bukabije hamwe n'ijwi rya "pop". |
| Bursitis y'agatsinsino | Kubyimba k'agasakoshi kuzuye amazi kitwa bursa hagati y'imitsi n'igufwa ry'agatsinsino. Ibi bitera ububabare inyuma y'agatsinsino. |
| Ubusembwa bwa Haglund | Hari ikindi kintu gitera igufwa inyuma y'agatsinsino, aho umutsi w'agatsinsino ufata. Ibi bishobora gushyira igitutu ku mutsi w'agatsinsino no gutera ububabare. |
Ni gute umuganga asuzuma iyi ndwara?
Iyo ugiye kwa muganga ufite ubu bubabare nk'ubu, ikintu cya mbere azakora ni ugusuzuma witonze ukuguru kwawe ko hasi, ikirenge, n'akaguru k'ikirenge. Azakubaza ibimenyetso by'indwara yawe.
- Ububabare bwatangiye ryari?
- Wari ukora iki mbere yuko ububabare butangira?
- Ububabare bwiyongera ryari?
Ibisubizo byawe ku bibazo nk'ibi bishobora gufasha umuganga gusobanukirwa neza indwara.
Byongeye kandi, ibizamini byihariye by’umubiri, nk’ikizamini cya Thompson, bishobora gukorwa kugira ngo harebwe niba umutsi wacitse. Kugira ngo byemezwe ko indwara yagaragaye, kimwe cyangwa byinshi muri ibi bikurikira nabyo bishobora gukorwa.
- Imirasire ya X
- Gupima hakoreshejwe ikoranabuhanga rya Ultrasound
- Gupima MRI (Ishusho ya Magnetic Resonance - MRI)
- Isuzuma rya CT (Computed Tomography - CT)
Izi scan zishobora kwerekana neza imiterere y'imitsi n'ingingo ziyikikije.
Igikomere cyo mu bwonko cya Achilles kivurwa gute?
Ubwoko bw'ubuvuzi ukeneye buzaterwa n'ibintu nk'ubwoko bw'ubumuga ufite, icyabuteye, n'urwego rw'imikorere yawe isanzwe. Muganga wawe azaguha uburyo bwiza bwo kuvura.
Wibuke ko atari buri wese ukeneye kubagwa. Kenshi na kenshi, iyi ndwara ishobora gukemurwa no kuvurwa byoroshye.
Dore bumwe mu buryo busanzwe bwo kuvura izi ndwara.
| Uburyo bwo Kuvura | Bigenda bite kuri byo? |
|---|---|
| Uburyo bwa RICE | Ubu ni bwo buryo bw'ibanze bwo kuvura. Kuruhuka , Urubura , Gukanda , Kuzamuka . Ibi bizagabanya ububabare no kubyimba. |
| Umuti | Kugira ngo ugabanye ububabare no kubyimba, muganga wawe ashobora kukwandikira imiti igabanya ububabare nka NSAIDs. Hari n'igihe ashobora no kukwandikira imiti igabanya ububabare nka corticosteroids. |
| Kubuza kugenda | Uzahabwa icyuma cyihariye cyo gukingira amaguru cyangwa icyuma cyo kugenda kugira ngo ukuguru kwawe kugume kumeze neza kugeza igihe imitsi ikize. |
| Ubuvuzi bw'umubiri | Uyobowe n'umuvuzi w'umubiri, kora imyitozo yihariye ikomeza imitsi ikikije imitsi kandi ikongera ubushobozi bwo koroherwa. |
| Amagufwa y'amagufwa | Gukoresha inkweto zihariye zijya imbere mu nkweto kandi zigashyigikira ikirenge n'akaguru. Izi inkweto zishobora gukorwa kugira ngo zijyane n'ikirenge cyawe. |
| Kubaga | Abantu benshi ntibakeneye kubagwa. Ariko, mu bihe bikomeye, nko gucika burundu, kubagwa bishobora kuba ngombwa kugira ngo umutsi wongere ufatanye. |
Ese ubwo bwoko bw'indwara bushobora kwirindwa?
Hari igihe bigorana kwirinda impanuka nko kugwa cyangwa gusimbuka. Ariko muri rusange, ushobora gukurikiza izi ntambwe kugira ngo ugabanye ibyago byawe.
- Ambara ibikoresho byo kwirinda bikwiye: Ambara inkweto zikwiye zirinda ibirenge byawe, bitewe n'umukino cyangwa akazi ukora.
- "Ntukine ububabare": Niba wumva ububabare mu gihe cy'imyitozo ngororamubiri cyangwa nyuma yayo, ntubyirengagize ahubwo ukomeze kubikora. Ha umubiri wawe ikiruhuko.
- Kuruhuka no gukira: Nyuma yo gukora imyitozo ngororamubiri igoye, ha umubiri wawe umwanya ukeneye wo gukira.
- Mbere na nyuma y'imyitozo ngororamubiri: Shyushya neza mbere yo gukora imyitozo ngororamubiri.Kurambura imitsi, cyane cyane umutsi wo mu bwoko bwa Achilles, bishobora kugabanya cyane ibyago byo gukomereka. Nanone, gabanya umuvuduko nyuma yo gukora imyitozo ngororamubiri.
Ese ushobora kugenda nubwo waba warangiritse umutsi?
Iki ni ikibazo abantu benshi bibaza. Yego, ushobora kugenda no kwimura akaguru kawe nubwo umutsi waba waracitse cyangwa wangiritse. Ariko bishobora kubabaza cyane kandi bikakubabaza.
Igikuru ni uko, nubwo waba ushobora kugenda no gushyira ibiro ku kuguru kwawe, niba ufite amakenga make ko ufite imvune ku mutsi wo mu kibuno, hita ugana muganga.
Iyo ukomeje gukoresha ukuguru kwawe no kugashyiramo uburemere, imvune ishobora kwiyongera. Kugeza igihe ugiye kwa muganga, ni byiza gukoresha icyuma gishyigikira nk'imbago niba bishoboka.
Ese umutsi w'amaraso wa Achilles wikiza wonyine?
Hari abantu bashobora gusanga ububabare buto bushobora kugabanuka iyo bahinduye ubwoko bw'inkweto bambara kandi bakirinda gukora ibintu runaka igihe runaka. Ariko, ntugatekereze ko iyo ndwara izashira ubwayo idahawe umuti.
Niba utangiye kumva ububabare hejuru y'agatsinsino kawe, cyane cyane niba ububabare bukomeye kandi buherekejwe n'urusaku rwo gukubita, gana muganga vuba.
Umutsi w'amagufwa witwa Achilles umeze nk'intwari ikorera umubiri wacu neza cyane. Kubwibyo, ni inshingano zacu kuwufata neza. Niba ubabara, ntukabirengagize ahubwo ushake inama z'abaganga zikwiye. Hanyuma ushobora gukira vuba ugasubira mu mirimo yawe isanzwe.
Ubutumwa bwo kujyana mu rugo
- Umutsi w'amaguru witwa Achilles Tendon ni wo mutsi ukomeye mu mubiri, ni ingenzi mu ngendo zawe zose, nko kugenda, kwiruka no gusimbuka.
- Niba ufite ububabare, kunanuka, cyangwa kubyimba inyuma y'ukuguru kwawe, hejuru y'agatsinsino kawe, bishobora kuba ikibazo cya Achilles.
- Niba ugize ububabare butunguranye kandi bukomeye hamwe n'urusaku rwo gukubita, bishobora kuba ari ukuvunika kw'imitsi. Muri ibyo bihe, shaka abaganga vuba.
- Ntukirengagize ububabare. Ntugatekereze gusa ngo "Ibi bizashira nyuma y'igihe gito," ahubwo reba muganga wawe kandi umugire inama ikwiye.
- Gushyushya no kunanura imitsi mbere yo gukora imyitozo ngororamubiri bishobora kugabanya cyane ibyago byo gukomereka nk'ibi.
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