Ngaba nawe unentlungu kunye nokudumba okujikeleze isithende sakho? Ingaba yiyo loo nto (Achilles Paratenonitis)? Makhe sithethe ngale nto!

Ngaba wakha waziva iintlungu okanye ukungakhululeki kwindawo yesithende sakho okanye ithambo xa ubaleka, udansa, okanye uhamba nje? Ngamanye amaxesha, indawo inokuba bomvu kwaye idumbe. Oku kunokwenzeka nokuba unxiba izihlangu ezingakulingani kakuhle. Le meko inxulumene nemeko esiza kuthetha ngayo namhlanje ebizwa ngokuba yi-`(Achilles Paratenonitis)`. Ungakhathazeki, siza kuthetha ngayo ngokweenkcukacha.

Yintoni i-"Achilles Paratenonitis"? Masiyiqonde ngokulula!

Ngamafutshane, i-Achilles Paratenonitis kukudumba kwezicubu ezigquma i-Achilles tendon ngasemva kwesithende sethu.

Ngoku usenokuba uyazibuza ukuba yintoni i-Achilles tendon. Kukho i-band enamandla yezicubu edibanisa umva wemilenze yethu nethambo lesithende (ekwabizwa ngokuba yi-calcaneus). Ifana ne-band enkulu, eqinileyo yerabha. Yile nto isinceda ukubaleka, ukutsiba, ukunyuka, nokuhamba. Ngoko ke kukho umaleko omncinci wezicubu ezijikeleze le tendon ye-Achilles. Kwi-Achilles Paratenonitis, le maleko iyavuvukala kwaye ibe buhlungu.

Le meko ingavela ngequbuliso (`(acute)`), okanye ingakhula kancinci kancinci ize ihlale ixesha elide (`(chronic)`).

Kukho amanye amagama alo mbandela, kwaye ugqirha wakho angasebenzisa elinye lala magama:

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

Into ebalulekileyo kukuba ukuba oku akubonwa kwaye kunganyangwa kwangethuba, imeko inokuba mandundu kwaye yenze kube nzima ukuhamba okanye ukubaleka. Ingonakalisa "i-Achilles tendon". Kungoko ke, kubaluleke kakhulu ukuqaphela iimpawu kunye nokufuna unyango kwangethuba.

Ngubani onokuthi abe nethuba elikhulu lokufumana i-Achilles Paratenonitis?

Oku kuyinto eqhelekileyo kubadlali. Ingakumbi:

• Kwabagijimi: Oku kuqhelekile phakathi kwabagijimi be-marathon.
• Kwabadlali betenisi.
• Kubadanisi.

Ngenxa yokuba abantu abanjalo besenza iintshukumo ezibeka uxinzelelo kwi-tendon, izicubu ezijikeleze i-Achilles tendon zinokonakala.

Khawucinge nje, umnakwethu uSugat kwilali yethu uyabaleka rhoqo ngokuhlwa. Wanyusa umgama awayebaleka ngawo ngequbuliso, engakhange enze "ukufudumeza" okufanelekileyo. Emva kweentsuku ezimbalwa, isithende sakhe saqala ukuba buhlungu kwaye sadumba kancinci. Kuphela xa wasibonisa ugqirha apho wafumanisa ukuba yi-"Achilles Paratenonitis".

Kwakhona, le meko inokwenzeka nakubantu abanxiba izihlangu ezingalinganiyo kakuhle . Kukho ezinye izihlangu ezingalinganiyo kakuhle, okanye ezingenayo "inkxaso". Ukuzinxiba kunokubangela le ngxaki.

Zithini iimpawu zoku? Uzibona njani?

Iimpawu ze-Achilles Paratenonitis zifana kakhulu nezinye iimeko ezibuhlungu ze-ankle kunye ne-Achilles tendon, ngoko ke ngamanye amaxesha kunokuba nzima ukuxilonga.

Ezi ziimpawu eziqhelekileyo:

• Intlungu: Ingakumbi xa usenza umthambo okanye xa uvuka kusasa.
• Ukudumba: Umva wesithende, icala lasekunene.
• Ububomvu.
• Ukuthamba xa kuchukunyiswa.
• Injalo loo nto, imvakalelo efudumeleyo.
• Ubunzima bokuma nokuhamba.
• Ukuva okanye ukuva isandi "esiqhekekayo" okanye "esiqhambukayo" (`(Crepitus)`) xa ushukumisa iqatha. Oku kufana nesandi osivayo xa uhamba phezu kwekhephu.
• Ukuziva ukuqina kuloo ndawo, ingakumbi kusasa.

Ezi mpawu zihlala ziqala kancinci kancinci kwaye zibe mandundu xa uzilolonga. Ukuba unazo ezi mpawu, ukuba ziyaqhubeka, okanye ukuba ziya zisiba mandundu, ngokuqinisekileyo kuya kufuneka ubone ugqirha ngoko nangoko. Kuba ukuba le meko iqhubeka ixesha elide, i-Achilles tendon inokuqhekeka (i-ruptured tendon). Kwimeko enjalo, imeko iba mandundu ngakumbi.

Kutheni sifumana le `(Achilles Paratenonitis)`? Zithini izizathu?

Isizathu esiphambili kuxinzelelo olugqithisileyo kwi-Achilles tendon kunye nezicubu ezingqongileyo (i-membrane), okanye ukusetyenziswa ngokugqithisileyo.

Kukho ezinye izizathu ezininzi:

• Ukunxiba izihlangu ezingalinganiyo kakuhle.
• Ukwanda ngequbuliso kobunzima bomthambo okanye ixesha elide. Umzekelo, ngequbuliso uqala ukubaleka imigama emide.
• Ukungazifudumezi kakuhle ngaphambi kokuzilolonga nokungazipholisi kakuhle emva kokuzilolonga.
• Ukuzilolonga okanye ukudlala kwiindawo eziqinileyo okanye ezingalinganiyo.
• Ukuba nengxaki yokukhubazeka okanye ukwakheka kweenyawo. Umzekelo, ukuba iinyawo zithe tyaba kakhulu (`(iinyawo ezithe tyaba)`) okanye ukuba iingcango zeenyawo ziphezulu kakhulu (`(ingcango)`).
• Ukungoluli ngokwaneleyo.

Oku kuthathwa njengokwenzakala okuqhelekileyo kwezemidlalo .

Ugqirha ufumanisa njani ngokuchanekileyo oku njenge-"Achilles Paratenonitis"?

I-Achilles Paratenonitis ngamanye amaxesha inokuba nzima ukuyifumanisa kuba, njengoko benditshilo ngaphambili, iimpawu zayo ziyafana nezinye iimeko, njengokukruneka kweqakala.

Xa usiya kugqirha, uza kuqala akubuze ngeempawu zakho. Emva koko baza kwenza uvavanyo lomzimba . Baza kuhlola indawo yakho yamathumbu kunye nesithende, bayishukumise, baze bajonge ukuba akukho ntlungu okanye ukudumba.

Ngamanye amaxesha ungathunyelwa kwingcali yezonyango zemidlalo okanye kugqirha weenyawo namaqatha.

Zeziphi iimvavanyo ezenziwayo koku?

Ugqirha unokwenza uvavanyo oluthile lwemifanekiso ukuqinisekisa ukuxilongwa, ukuvavanya ubungakanani bomonakalo, kunye nokufumanisa unyango olungcono.

Bazi:

• I-MRI (Magnetic Resonance Imaging) Scan: Oku kukuvumela ukuba ubone ngokucacileyo i-Achilles tendon kunye nezicubu ezijikelezileyo. Oku kunceda kakhulu ekuqinisekiseni ubungakanani bomonakalo.
• I-ultrasound scan: Olu luvavanyo oluhle lokujonga imeko yezicubu.
• I-X-reyi: Oku kunokujonga naziphi na iingxaki ngamathambo. Ngamanye amaxesha unobangela wentlungu unokuba yinto enxulumene namathambo.

Inyangwa njani le `(Achilles Paratenonitis)`?

Ixesha elininzi, le meko inokunyangeka ngonyango olulula. Olona luphambili lunyango lwe-`(RICE)`. Ungakwenza oku ekhaya.

`(IRICE)` ithetha:

• R - Ukuphumla: Kubaluleke kakhulu ukuphumza umlenze obuhlungu. Kuya kufuneka uyeke ukwenza izinto ezifana nokubaleka nokutsiba okwethutyana.
• I - Umkhenkce: Faka umkhenkce kwindawo ebuhlungu imizuzu eli-15-20 izihlandlo ezininzi ngemini. Oku kuya kunciphisa ukudumba kunye nentlungu. Musa ukufaka umkhenkce ngqo eluswini, wusonge ngelaphu.
• C - Uxinzelelo: Ukuze unciphise ukudumba, faka inani elincinci loxinzelelo ngebhandishi elastiki okanye iteyiphu yezemidlalo. Kodwa ungafaki kakhulu kangangokuba kuya kuthintela ukuhamba kwegazi.
• E - Ukuphakama: Gcina umlenze obuhlungu uphakanyisiwe ngaphezu kwentliziyo nanini na xa kunokwenzeka. Ungagcina umqamelo phezulu. Oku kuya kunciphisa ukudumba.

Kubalulekile: Iinaliti ze-steroid azikhuthazwa ngokubanzi kwiingxaki ze-tendon, kuba zinokwenza buthathaka i-tendon kwaye zonyuse umngcipheko wokuqhekeka.

Ukongeza kunyango lwe-`(RICE)`, kukho nezinye iindlela zonyango ezingezizo ezotyando:

• Amayeza okubulala iintlungu kunye namayeza okulwa nokuvuvukala: Amayeza angengowe-steroidal anti-inflammatory (NSAIDs), afana ne-ibuprofen, kufuneka athathwe njengoko ugqirha wakho eyalele.
• Unyango lomzimba: Oku kubaluleke kakhulu. Ingcali yonyango lomzimba iya kukufundisa ukuzolula nokuqinisa umthambo ukuze uqinise kwaye ugobe imisipha yakho ye-Achilles.
• Ukulungiswa kwezihlangu ezikhethekileyo okanye izihlangu: Nxiba izihlangu ezilingana kakuhle nonyawo lwakho kwaye zixhaswe yi-arch.
• Izixhobo ezincedisayo:Ngamanye amaxesha "isithende esiphakanyiswayo" (iphedi ephakamisa isithende), isihlangu esikhethekileyo, "i-cast", okanye "i-brace" zingasetyenziswa ukugcina indawo ingashukumi (''immobilization'').
• Ukuhlamba okuchaseneyo: Beka iinyawo zakho ngokutshintshana kwisitya samanzi ashushu kunye nesitya samanzi abandayo.
• Ukuzolula kunye nokuphulula.
• Unyango lwe-`(Brisement)`: Kule meko, i-saline kunye ne-local anesthetic zifakwa izihlandlo ezininzi ukuze kukhululwe izicubu ezonakeleyo. Nangona kunjalo, oku akwenziwa ngumntu wonke.

Ngaba ngokwenene uyaludinga utyando?

Uninzi lwabantu aludingi utyando. Nangona kunjalo, ukuba iimpawu zakho zinzima, aziphucukanga ixesha elide, okanye ukuba ezinye iindlela zonyango azincedanga, ugqirha wakho unokucebisa utyando lokulungisa i-Achilles tendon yakho.

Emva kotyando, umsipha uza kuthatha ixesha ukuphola, ngoko ke usenokungakwazi ukwenza naluphi na uhlobo lomthambo onzima kangangeenyanga eziliqela. Ugqirha wakho uza kukuxelela ukuba ungabuyela nini kwimisebenzi yakho yesiqhelo.

Ngaba le `(Achilles Paratenonitis)` inganyangeka ngokupheleleyo?

Ewe, kwiimeko ezininzi, le meko inokunyangeka ngokupheleleyo. Eyona nto ibalulekileyo kukulandela imiyalelo kagqirha wakho ngokuchanekileyo. Emva koko ungaphila ngokukhawuleza kwaye uphephe iingxaki.

Ngubani oza kukunceda ngolu nyango?

Xa une-Achilles Paratenonitis, kukho iqela leengcali ezinokukunceda:

• Ugqirha weenyawo
• Ugqirha wamathambo eenyawo neqakala (`(ugqirha wamathambo)`)
• Ugqirha wezonyango emsebenzini
• Ingcali yonyango lomzimba

Kuza kuthatha ixesha elingakanani ukuba umntu alulame? Injani imeko?

Ixesha lokuchacha lixhomekeke kwimpilo yakho iyonke, ubudala, ubukhali benxeba, kunye nonyango olufumanayo. Kwiimeko ezininzi, kunokuthatha iinyanga ezininzi ukuba uphile ngokupheleleyo.

Ukuba utyando, kungathatha ixesha elide ukuba uphile. Landela imiyalelo kagqirha wakho ngokuchanekileyo. Thetha nogqirha wakho ngononophelo malunga nemeko yakho kunye neendlela zonyango onokukhetha kuzo.

Ungayinciphisa njani into yokuba le `(Achilles Paratenonitis)` ingenzeka? Ungayithintela njani?

Le yeyona nxalenye ibalulekileyo. Kukho izinto esinokuzenza ukunciphisa umngcipheko wokufumana `(Achilles Paratenonitis)`. Oku kubaluleke kakhulu kwabo badlala imidlalo kunye nokuzilolonga.

• Zolula kakuhle: Ngaphambi kokuba uzilolonge, fudumeza uze wolule izihlunu zakho ze-Achilles tendon kunye ne-calf. Oku kuya kunciphisa umngcipheko wokwenzakala.
• Tshintsha indlela yakho yokuzilolonga:Ziphephe imithambo ebangela uxinzelelo olukhulu kwi-Achilles tendon, kodwa yenza nemithambo ebangela uxinzelelo oluncinci (umz., ukudada ngokubaleka, ukukhwela ibhayisekile).
• Yandisa amandla omthambo kancinci kancinci: Musa ukuzinyanzela kakhulu ngaxeshanye. Yandisa kancinci kancinci ixesha, umgama, kunye namandla omthambo wakho.
• Nxiba izihlangu ezisempilweni: Khetha izihlangu ezixhasa kakuhle ii-arch kwaye zinciphise uxinzelelo kwizithende zakho.
• Fumana uqeqesho olufanelekileyo: Ukuba udlala umdlalo, landela iindlela ezifanelekileyo zoqeqesho lwawo.

I-Achilles tendon yenye yezona tendon zinamandla emzimbeni wethu. Nangona kunjalo, kubantu abasebenzayo, izicubu ezijikeleze yona zinokudumba ngenxa yokusetyenziswa kakhulu. Ukunxiba izihlangu ezilingana kakuhle kunokunceda. Nangona kunjalo, kunokuba yinto ecaphukisayo xa uzilolonge kakuhle kwaye uzama ukwenza yonke into ngokuchanekileyo kodwa usenentlungu enje.

Ndifanele ndimbone nini ugqirha?

Kubaluleke kakhulu ukuqaphela nokunyanga imeko ethi `(Achilles Paratenonitis)` kwasekuqaleni. Oku kunokwenza kube nzima ukuhamba, ukubaleka, nokutsiba. Kwakhona, `(Achilles tendon)` inokukrazuka (`(ukuqhekeka)`). Ukuba oko kuyenzeka, kuya kufuneka utyando.

Ukuba unentlungu, ukudumba, ukuqina, okanye naziphi na iimpawu endizikhankanyileyo ngaphambili esithendeni sakho, ngasemva kwedolo lakho, okanye naziphi na iimpawu endizikhankanyileyo ngaphambili, bona ugqirha ngaphandle kokulibazisa. Uza kuhlola imeko yakho aze akunike isicwangciso sonyango esifanelekileyo kuwe. Ngonyango olukhawulezileyo nolufanelekileyo, ungabuyela kubomi bakho obuqhelekileyo, obusebenzayo.

Umyalezo Wokuya Ekhaya

• I-Achilles Paratenonitis kukudumba kwezicubu ezijikeleze i-Achilles tendon.
• Oku kwenzeka rhoqo kubantu ababalekayo, abadanisayo, okanye abangazinxibi kakuhle izihlangu zabo.
• Intlungu yesithende, ukudumba, ukuba bomvu, ukuqina, kunye nesandi "sokuklikha" zezona mpawu ziphambili.
• Ukuphumla, umkhenkce, ukucinezelwa, kunye nokuphakama (RICE therapy) zezona ndlela zokuqala zonyango.
• Unyango lomzimba, amayeza okudambisa iintlungu, kunye nezihlangu ezifanelekileyo zibalulekile.
• Uninzi lwexesha, utyando alufuneki, kodwa luqwalaselwa kwiimeko ezinzima.
• Oku kungathintelwa ngokuzifudumeza kakuhle ngaphambi kokuba uzilolonge, unxibe izihlangu ezifanelekileyo, kwaye kancinci kancinci wonyuse amandla omthambo wakho.
• Ukuba uneempawu, bonana nogqirha ngokukhawuleza. Okukhona uziqonda kwangethuba, kokukhona ungaphila ngokukhawuleza!

Ndiyathemba ukuba olu lwazi uza kulufumana luluncedo. Hlala usempilweni!

I- Achilles Paratenonitis, Intlungu yesithende, Intlungu yesifuba, Ukulimala kwezemidlalo, Unyango lweRICE, Unyango lomzimba, I-Tendonitis