Ngaba nawe uneentlungu ngaphandle kweqakala lakho? Isenokuba yiPeroneal Tendon Tear!

Ngaba wakha waziva ngequbuliso iintlungu ngaphandle kweqakala lakho ngelixa uhamba, ubaleka, okanye udlala umdlalo? Okanye ngaba umphandle weqakala lakho ubuziva ungaqhelekanga kwaye ubuhlungu okwethutyana? Mhlawumbi uziva ngathi umlenze wakho awulawuleki, ngathi "uphelile amalungu" xa uhamba. Esinye isizathu soku kungonakalisa izicubu ezimbini ezikhethekileyo emlenzeni wakho. Makhe sithethe ngoku ngokweenkcukacha namhlanje.

Yintoni iPeroneal Tendon Tear?

Ngamafutshane, ukukrazuka kwe-tendon ye-peroneal kwenzeka xa enye okanye zombini i-tendon ye-peroneal ezinyaweni zakho yonakele. Kukho i-tendon ezimbini ezinyaweni zakho, ezibizwa ngokuba yi-peroneal brevis kunye ne-peroneal longus. Ezi zifana neebhanti eziqinileyo. Ezi zimisipha ezisemlenzeni wakho ongezantsi ezidibana namathambo ezinyaweni zakho. Zikwanceda ekuqiniseni unyawo lwakho kunye neqakala. Zifumaneka ngasemva kwethambo leqakala lakho nangasecaleni lonyawo lwakho.

Cinga ngale tendon njengebhanti yerabha. Ukuba yoluliwe kakhulu, okanye ukuba kusetyenziswa amandla ngequbuliso, ingakrazuka, akunjalo? Yiloo nto eyenzekayo nalapha.

Kutheni le nto kunzima ukuyiqonda le nto?

Amaxesha amaninzi, ukukrazuka kwe-peroneal tendon kwenzeka kunye nezinye iingozi zeqakala. Umzekelo, ukuba umlenze wakho ngequbuliso ujika ungene ngaphakathi (sikubiza oku ngokuba kukwenzakala kwe-inversion), ii-ligaments ezikwiqakala lakho zinokukrazuka, nto leyo ebangela ukuba iqakala likrazuke. Kuzo zombini iimeko, unokucinga ukuba intlungu ivela nje kwiqakala elikrazukileyo. Ke ngoko, ukukrazuka kwe-peroneal tendon kunokufihlwa emva kwezinye iingozi, yiyo loo nto ngamanye amaxesha kunokuba nzima ukuxilonga.

Yiyo loo nto, ukuba unentlungu engapheliyo eqatheni, kubaluleke kakhulu ukubona ugqirha oqeqeshwe ngokukodwa kwiingxaki zeenyawo kunye neqatheni.

Ungabonana nogqirha weenyawo, ugqirha wezemidlalo, okanye ugqirha wamathambo . Baza kuhlola unyawo lwakho kakuhle, bafumane ukuba yintoni engalunganga, baze bakunike unyango olufanelekileyo.

Iintlobo zeenyembezi ze-Peroneal Tendon

Ezi ntlungu zemisipha zingahlulwa zibe ziintlobo ezimbini eziphambili:

Iinyembezi Ezibukhali

Ezi zinto zenzeka ngequbuliso. Khawuthelekelele ukuba ubaleka, wehla ngezinyuko, okanye udlala imidlalo uze umlenze wakho ugobe ngaphakathi ngequbuliso. Ngelo xesha, iqatha lakho kufuneka lisebenzise amandla amaninzi kwezi `(Peroneal Tendons)` ukuze zilungelelaniswe. Xa oko kusenzeka, i-tendon inokolulwa kakhulu kwaye ikrazuke. Ngokwesiqhelo, kwimeko ye-`(Acute Tear)` efana nale, uyakhumbula kakuhle ukuba kwenzeke nini kwaye njani.

Iinyembezi Ezingapheliyo

Ezi zezona ntlobo zixhaphakileyo zokwenzakala. Usenokungakhumbuli nokuba ukrunekile iqatha lakho okanye walilimaza. Ezi inyembezi zenzeka kancinci, ngokuhamba kwexesha, ngenxa yoxinzelelo oluqhubekayo kunye noxinzelelo kwimisipha (ukusetyenziswa kakhulu). Umzekelo, kweminye imidlalo (cinga ngokubaleka umgama omde okanye ukudanisa), oku kunokwenzeka xa uqhubeka nokwenza iintshukumo ezifanayo. Intlungu eqatha lakho isenokuphela okwethutyana, ize ibuye. Usenokungazi nokuba yintoni ebangele oko.

Uhlu ngokwendalo yenkxwaleko (Ubunzima)

Oogqirha bakwahlukanisa ezi ntlungu zemisipha ngokwendlela ezibuhlungu ngayo:

• Ibanga 1 (Eliphantsi): Kulapho i-tendon itsalwa kancinci kunesiqhelo, kodwa isakwazi ukubamba unyawo lwakho kunye neqatha lakho. Usenokuziva iintlungu kunye nokudumba.
• Ibanga lesi-2 - Eliphakathi: Oku kukukrazuka okuncinci kwemisipha. Kukho iintlungu kunye nokudumba. Kusenokubakho ukulahleka okuncinci ukuya kokuphakathi kokuzinza kweqatha.
• Ibanga lesi-3 - Elinzima: Kulapho i-tendon ikrazuke ngokupheleleyo. Oogqirha bakwabiza oku ngokuthi "yi-Rupture". Oku kuthetha ukuba i-tendon yahlulwe yaba ziingceba ezibini. Ukukrazuka okupheleleyo oku kudla ngokufuna utyando.

Ungayikrazula enye okanye zombini i-`(Peroneal Tendon)` yakho. Amaxesha amaninzi, abantu bayikrazula i-`(Peroneal Brevis Tendon)`.

Uziva njani xa ukrazukile umsipha we-peroneal? (Iimpawu)

Kule meko, unokufumana iimpawu ezifana nale:

• Intlungu engaphandle kweqakala. Kwimeko yokukrazuka kancinci kancinci (Chronic Tear), le ntlungu inokuhlala iintsuku ezimbalwa, ize iphele, ize ibuye kwakhona.
• Ukuziva ungazinzi okanye ubuthathaka eqakaleni. Iqakala lisenokuvakala ngathi "liyaqhuma" okanye "liyagoba" xa uhamba. Oku kubonakala ngakumbi xa uhamba kwindlela enamaqhubu.
• Ukudumba. Umva weqatha usenokudumba.
• Ngamanye amaxesha ungaziva iintlungu nokuba uchukumisa loo ndawo.
• Akuqhelekanga ukuba kubekho isandi esithi "cofa" phezu komsipha.

Yintoni ebangela oku? (Izizathu)

Kukho izizathu ezibini eziphambili zokukrazuka kwe-tendon ye-peroneal:

• Ukwenzakala ngequbuliso eqakaleni. Umzekelo, ukukruneka kweqakala elijikayo.
• Ukusebenzisa kakhulu: Oku kwenzeka xa uqhubeka nokwenza iintshukumo ezifanayo ngokuphindaphindiweyo, okanye xa ubeka uxinzelelo olukhulu kwaye ucinezela imisipha ixesha elide kakhulu .

Zithini izinto ezibangela umngcipheko?

Izinto ezithile zinokunyusa umngcipheko wolu hlobo lokukrazuka kwemisipha:

• Ukudlala imidlalo equka ukujikeleza ngokukhawuleza kweqatha ukusuka kwelinye icala ukuya kwelinye.Umzekelo, ibhola yomnyazi, ibhola yomnyazi, ibhola ekhatywayo, ithenisi.
• Kubantu abaneenyawo ezinde ezigobileyo, indlela ubunzima bonyawo obusasazeke ngayo inokubangela uxinzelelo olungakumbi kwimisipha.
• Izihlunu eziqinileyo kwindawo yempumlo kunye nemilenze engezantsi.
• Ukunxiba izihlangu ezingalinganiyo. Ezifana nezihlangu ezingenankxaso, eziqinileyo ezinyaweni, okanye ezingafanelekanga kumsebenzi owenziwayo.
• Uhlobo loQeqesho olubi: Ukungasebenzisi uhlobo oluchanekileyo xa uzilolonga okanye udlala imidlalo.
• Ukuncipha kwamandla emisipha ngokuhamba kweminyaka nako kunokuba nefuthe elithile.

Iingxaki ezinokwenzeka ukuba azinyangwanga

Ukuba awuyinyangi kakuhle le nto, iingxaki ezinje ngezi zingavela:

• Ukuqhekeka kweqatha okuphindaphindwayo.
• Intlungu Eqhubekayo Yeqatha/Iinyawo.
• Ukungazinzi kweqakala okuqhubekayo.
• Ukuqhaqha okanye ukuxhuzula kwemisipha: Oku kuxa imisipha ityibilika phezu kwethambo elingaphandle kweqakala . Usenokuva okanye uve isandi "sokunqakraza".

Oogqirha bayixilonga njani le nto?

Ukuchonga le meko kuqala ngokuhlolwa ngokwasemzimbeni.

Uvavanyo lomzimba

Ugqirha uza kukubuza aze enze oku kulandelayo:

• Izinto ezifana neempawu zakho, ixesha ezikhona ngalo, kunye nendlela eziqhubeka ngayo.
• Unyawo lwakho kunye neqatha lakho ziya kuhlolwa ngononophelo kwaye zihlolwe iimpawu zokwenzakala (ukudumba, ukubomvu, intlungu xa zichukunyiswa).
• Unyawo lwakho kunye neqatha lakho ziya kujika zijike zijike kwiindlela ezahlukeneyo.
• Baza kubeka uxinzelelo kancinci enyaweni yakho baze bakucele ukuba usebenzise amandla nxamnye nalo (oku kubizwa ngokuba 'ziimvavanyo zokuxhathisa').
• Cinezela ngobunono kwiindawo ezahlukeneyo zeqakala ukuze ufumane apho kanye kanye intlungu ivela khona.

Ezi ndlela zinokunceda ugqirha wakho ukuba afumane umbono wokuba yintoni ebangela iimpawu zakho. Nangona kunjalo, ezinye iimvavanyo zomfanekiso zinokufuneka ukuqinisekisa ukuxilongwa kunye nokuthintela ezinye iingxaki.

Uvavanyo lokucinga olunokufuneka

Ugqirha wakho angayalela olunye okanye ngaphezulu kwezi mvavanyo:

• Ii-X-ray zeenyawo: Ukujonga ukuba akukho nawaphi na amanxeba aqhekekileyo.
• Ii-X-reyi zeqakala: Kwakhona bona iingxaki ezinxulumene namathambo.
• I-ultrasound scan: Oku kunokubonelela ngombono olungileyo wemeko yezicubu ezithambileyo ezifana nemisipha kunye nemisipha. Oku kunokunceda ekuqinisekiseni ukuba kukho ukukrazuka kwemisipha kunye nokuba inwebe kangakanani.
• I-MRI Scan (Umfanekiso weMagnetic Resonance - MRI): Le yeyona ndlela ilungileyo yokubona izinto ezifana nokukrazuka kwemisipha ngokucacileyo. Ingabonisa iinkcukacha ezininzi, ezifana nemeko yemisipha, ubungakanani bokrazuka, kunye nomonakalo kwizicubu ezingqongileyo.

Iphathwa njani le nto? (Unyango)

Ukukrazuka komsipha we-peroneal kunyangwa ngeendlela ezigcina isidima, utyando, okanye zombini ezi zinto. Ukuba ukukrazuka kwakho kuncinci, ugqirha wakho unokuzama unyango olungelulo utyando kangangeenyanga ezimbalwa ukuze abone ukuba luyanceda na. Nangona kunjalo, ukuba ukukrazuka kukhulu, okanye ukuba kukrazukile ngokupheleleyo, utyando lunokucetyiswa kuqala.

Amanyathelo oLondolozo

Oku kungokuka:

• Ukusela amayeza okulwa nokuvuvukala: La mayeza anokunceda ukunciphisa iintlungu kunye nokudumba (umz., izinto ezifana ne-`Ibuprofen`, `Naproxen`, kodwa zithathe njengoko ugqirha wakho ekuyalele).
• Phumza unyawo kwaye unciphise umsebenzi womzimba: I-tendon idinga ixesha ukuze iphole. Ke ngoko, kunokufuneka uyeke ukubaleka, ukutsiba, okanye ukudlala imidlalo okwethutyana.
• Ukumisa unyawo lungasebenzi: Oku kuquka ukufaka i-brace okanye i-boot. Oku kuyayithintela iqatha ukuba linganyakazi kwaye kunceda i-tendon ukuba iphile.
• Ukusebenza nogqirha wezonyango: Ugqirha wezonyango uza kukufundisa imithambo ethile eya kukunceda ufumane amandla, ukuguquguquka, kunye nomgama wokuhamba emilenzeni yakho.
• Unyango Lokuvuselela: Ngamanye amaxesha unyango olufana ne-`(Prolotherapy)`, `(PRP Injections)` (Plasma Ecebileyo NgePlasma), `(Dry Needling)` kunye ne-`(Deep Massage)` nazo zinokucetyiswa. Ezi zivuselela inkqubo yokuphiliswa kwezicubu.

Utyando

Ukuba olu nyango lungelulo utyando aluncedi, okanye ukuba ukukrazuka kwakho kukhulu, unokufuna utyando. Oogqirha botyando basebenzisa iindlela ezahlukeneyo zotyando ukubuyisela ukusebenza komsipha wakho we-peroneal. Eyona ndlela ilungileyo ixhomekeke kuhlobo lokukrazuka onalo (nokuba kukukrazuka okungaphelelanga okanye ukukrazuka okupheleleyo).

Nazi ezinye iindlela zotyando:

• Ukususa inxalenye eyonakeleyo ye-tendon nokulungisa inxalenye eseleyo ephilileyo.
• Ukususa inxalenye eyonakeleyo ye-peroneal tendon enye kunye nokuncamathisela inxalenye eseleyo kwenye i-peroneal tendon ephilileyo. Oogqirha bakwabiza le ``Side-to-side Tenodesis```.
• Ukudluliselwa kwemisipha kubandakanya ukuthatha imisipha ephilileyo kwenye indawo yonyawo lwakho uze uyifake kwenye indawo ukuze ithathe indawo yemisipha eyonakeleyo.
• Ukwakhiwa ngokutsha kwe-peroneal tendon kusetyenziswa izicubu ezifunyenwe kumnikeli wezicubu (allograft).

Iingxaki ezinokwenzeka emva kotyando

Njengakwezinye iintlobo zotyando, ezinye iingxaki zinokwenzeka, kodwa ezi aziqhelekanga.

• Intlungu yeqakala (inokwenzeka rhoqo).
• Ukudumba okungapheliyo.
• Ukungabi namandla kolusu kufutshane nendawo yokuhlinzwa (ngenxa yomonakalo wemithambo-luvo).
• Usulelo lokusikwa.
• I-Deep Vein Thrombosis (DVT) (oku kunqabile kakhulu).

Ugqirha wakho uza kukuxelela okungakumbi ngale mingcipheko.

Ngaba oku kuya kuphola ngaphandle kotyando?

Kuxhomekeke kubukhulu bokukrazuka. Iinyembezi ezincinci zinokuphola ngaphandle kotyando. Nangona kunjalo, iinyembezi ezinzima, ingakumbi ukuba umsipha uqhekeke ngokupheleleyo, zisenokufuna utyando.

Kuthatha ixesha elingakanani ukuchacha?

Oku kuyahluka kumntu nomntu. Zininzi izinto ezichaphazela oku: uhlobo lonyango olufumeneyo, ubunzima bokukrazuka kwakho, ubudala bakho, kunye nempilo yakho iyonke. Ngoko ke, kungcono ukubuza ugqirha wakho ukuba kuza kuthatha ixesha elingakanani ukuphiliswa ngokusekelwe kwimeko yakho.

Ukuthetha jikelele:

• Kungathatha malunga nenyanga enye ukuya kwezintathu ukuze umntu aphile emva konyango olungelulo utyando.
• Ukuba utyando, kungathatha iinyanga ezininzi ukubuyela kwimisebenzi yakho yesiqhelo (njengokuya emsebenzini okanye ukudlala imidlalo).

Ngexesha lokuchacha kwakho emva kotyando, ungalindela oku kulandelayo:

• Uza kukwazi ukuqalisa kancinci kancinci ukuthwala ubunzima emlenzeni wakho. Mhlawumbi emva kweeveki ezine, uza kukwazi ukuthwala ubunzima obuncinci emlenzeni wakho.
• Unyango lomzimba lungaqala emva kweeveki ezintandathu. Uza kusebenza nogqirha wengqondo ukuze wakhe kwakhona amandla kunye nobubanzi bokushukuma emlenzeni wakho. Ezi seshoni ziya kukunceda ubuyele kwimisebenzi yakho yesiqhelo ngokukhuselekileyo.

Buza ugqirha wakho malunga nokuchacha kwakho ixesha elide kunye nento onokuyenza ukuze uphephe ukwenzakala okufanayo kwixesha elizayo.

Ungazithintela njani ezi ngxaki? (Ukuthintela)

Nangona ukukrazuka kwemisipha ye-peroneal tendon kungasoloko kuthintelwa, kukho izinto ezininzi onokuzenza ukunceda ukuthintela olu hlobo lokulimala kwezicubu ezithambileyo ezinyaweni kunye neminye imiphumo emibi emzimbeni wonke:

• Nxiba izihlangu ezifanelekileyo: Khetha izihlangu ezifanelana nomzimba weenyawo zakho (umzekelo, ukuba uneenyawo ezinde ezigobileyo), ezikhululekileyo, kwaye zibonelela ngenkxaso elungileyo. Xa izihlangu zakho zigugile okanye unyawo lwakho lungaba lusizi, zitshintshe. Kwakhona, nxiba izihlangu ezifanelekileyo kumsebenzi owenzayo. Cinga ngendlela ekuyingozi ngayo ukudlala imidlalo efana netenisi, i-badminton, kunye ne-netball ezifuna ukuba ubaleke ukusuka kwelinye icala ukuya kwelinye ngelixa unxibe izihlangu.
• Gcina umthambo olinganiselayo: Sonke sifundiswe ukutya ukutya okulinganiselayo. Kodwa siyalibala ukuba umthambo olinganiselayo ubaluleke ngokufanayo. Unceda ekuthinteleni ukwenzakala. Yenza isicwangciso esiquka ii-aerobics ezifana nokuhamba, umthambo wokuguquguquka njengeyoga, kunye noqeqesho lokuqina njengokusebenzisa iibhendi zokumelana.Ngaphambi kokuba uqale umthambo omtsha, kungcono ukuthetha nogqirha ukuqinisekisa ukuba ukhuselekile kuwe.
• Zifudumeze ngaphambi kokuba uqale ukuzilolonga: Musa ukutsiba ukubaleka, ukutsiba, okanye ukuphakamisa iintsimbi ngoko nangoko. Yenza into efana nokubaleka endaweni yakho imizuzu embalwa okanye ukuhambahamba ujikeleze imijikelo embalwa. Ezi "warmups" zilungiselela iindawo ezishukumayo zemilenze yakho (nezinye iindawo zomzimba wakho) ukuze wenze umsebenzi onzima olandelayo.
• Zipholise emva kokuzilolonga: Musa ukuyeka ukuzilolonga ngoko nangoko. Ukuba ubaleka, tshintshela ekubalekeni uze uhambe. Zipholise ubuncinane imizuzu eli-10 ngeentshukumo eziphantsi nezicothayo.
• Hlala Uguquguqukayo: Ukuzolula yenye yezona zinto zibalulekileyo onokuzenza ukuthintela ukwenzakala. Funda indlela yokuzolula ngokufanelekileyo kwaye ukwenze kube ngumkhwa wemihla ngemihla.

Ufanele uye nini kugqirha?

Ukuba uneempawu zokukrazuka komsipha we-peroneal, bona ugqirha ngokukhawuleza. Okukhona ufumana unyango ngokukhawuleza, kokukhona ungaqala ukuchacha ngokukhawuleza. Ukuba kunokwenzeka, bona ugqirha ogxile ekwenzenikala kweenyawo nasemaqakaleni (njengogqirha wezonyango lwezemidlalo, ugqirha wamathambo, okanye ugqirha weenyawo).

Ugqirha wakho uza kukuxelela ukuba kufuneka ubuye kangaphi ukuze kulandelwe unyango lwakho.

Imibuzo omele uyibuze ugqirha wakho

Le mibuzo iza kukunceda ufunde okungakumbi ngemeko yakho:

• Luhlobo luni lokulimala enyaweni/eqatheni endinalo?
• Zinzulu kangakanani ezi ngxaki?
• Ndingenza ntoni ekhaya ukunciphisa iimpawu?
• Zeziphi iinguqu ekufuneka ndizenze kwinqanaba lomsebenzi wam?
• Ndingalinda ixesha elingakanani ukuze ndibuyele kwimisebenzi yam yesiqhelo?
• Luhlobo luni lonyango olucetyiswayo?
• Ziziphi iingenelo kunye neengxaki/iingozi zolo nyango?
• Iza kuthatha ixesha elingakanani ukuphila?
• Ungandicebisa izihlangu okanye izinto ezifakwayo eziza kundithuthuzela kwaye zindixhase iinyawo zam?
• Ndingaqala nini ukudlala imidlalo okanye ukuzilolonga kwakhona?

Yintoni umahluko phakathi kwe-"tendream" kunye ne-"rupture" ye-tendon?

Abantu abaninzi basebenzisa la magama mabini ngokutshintshana. Nangona kunjalo, oogqirha basebenzisa igama elithi ``Rupture`` xa i-tendon ikrazukile ngokupheleleyo yaza yahlulwahlulwa yaba ziingceba ezimbini (oko kukuthi, i-``Grade 3``` krazukile). Le yeyona meko inzima yokukrazuka kwe-tendon.

Amagama anjengelithi "tear" okanye "rupture" anokoyikisa. Kodwa khumbula, oogqirha bayazazi kwaye banyanga ukwenzakala okufana nokukrazuka kwemisipha ye-peroneal ngalo lonke ixesha. Bakulungele ukukunceda ubuyele kwimo yakho kwaye bakubuyisele kwimo yakho.

Eyona nto ibalulekileyo kukulandela imiyalelo kagqirha wakho ngononophelo ngexesha lokuchacha kwakho. Nokuba utyando okanye akunjalo, unyawo lwakho ludinga ixesha lokuphola nokuqina kwakhona. Musa ukungxama ukubuyela esiqhelweni ngaxeshanye. Umonde yeyona nto ibalulekileyo apha. Ugqirha wakho uza kukuxelela xa kukhuselekile ukuba uqalise imisebenzi yakho yesiqhelo, umthambo, kunye nemidlalo.

Okokugqibela, khumbula (Umyalezo Wokuya Ekhaya)

Intlungu engaphandle kweqakala ayilula. Isenokuba yi-"Peroneal Tendon Tear". Kwiimeko ezinjalo:

• Funa ingcebiso kagqirha ngoko nangoko. Okukhona uyiqaphela ngokukhawuleza, kokukhona unyango nokuchacha ngokukhawuleza.
• Landela imiyalelo kagqirha wakho ngokuchanekileyo. Yenza yonke into ayithethayo malunga nokuphumla, ukuzilolonga, kunye namayeza.
• Musa ukuyingxama. Mnike ixesha lokuphola.
• Cinga nangokuthintela. Izinto ezinje ngokunxiba izihlangu ezifanelekileyo, ukuzifudumeza nokuzipholisa ngaphambi nasemva kokuzilolonga, kunye nokugcina ukuguquguquka kunokunceda ekukhuseleni ekwenzakaleni kwixesha elizayo.

Impilo yakho isezandleni zakho!

Ukuqhambuka kwemisipha ye- peroneal , iintlungu zeqakala, iingxaki zeenyawo, iingxaki zemisipha ye-tendon, ukwenzakala kwezemidlalo, ukukruneka kweqakala, utyando lweenyawo