Ingabe nawe unobuhlungu nokuvuvukala eduze kwesithende sakho? Ingabe lokho kuyi-'(Achilles Paratenonitis)'? Ake sixoxe ngalokhu!

Wake wazizwa ubuhlungu noma ukungakhululeki endaweni yesithende sakho noma yethambo lapho ugijima, udansa, noma uhamba nje? Ngezinye izikhathi, indawo ingaba bomvu futhi ivuvuke. Lokhu kungenzeka futhi uma ugqoka izicathulo ezingakufaneli kahle. Lesi simo sihlobene nesimo esizokhuluma ngaso namuhla esibizwa ngokuthi `(Achilles Paratenonitis)`. Ungakhathazeki, sizoxoxa ngalokhu ngokuningiliziwe.

Kuyini "i-Achilles Paratenonitis"? Masiyiqonde kalula!

Kalula nje, i-Achilles Paratenonitis ukuvuvukala kwezicubu ezimboze i-Achilles tendon ngemuva kwesithende sethu.

Manje ungase uzibuze ukuthi iyini i-Achilles tendon. Kukhona ibhande eliqinile lezicubu elixhumanisa umhlane wemilenze yethu nethambo lesithende (elibizwa nangokuthi i-calcaneus). Lifana nebhande lerabha elikhulu neliqinile. Yilokhu okusisiza sigijime, sigxume, sikhuphuke, futhi sihambe. Ngakho-ke kukhona ungqimba oluncane lwezicubu oluzungeze le-Achilles tendon. Ku-Achilles Paratenonitis, lolu ngqimba luyavuvukala futhi lube buhlungu.

Lesi simo singavela ngokuzumayo (`(acute)`), noma singakhula kancane kancane futhi siqhubeke isikhathi eside (`(chronic)`).

Kunezinye amagama alokhu, futhi udokotela wakho angase asebenzise elinye lala magama:

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

Into ebalulekile ukuthi uma lokhu kungabonwa futhi kungelashwa kusenesikhathi, isimo singaba sibi kakhulu futhi kwenze kube nzima ukuhamba noma ukugijima. Kungalimaza futhi "i-Achilles tendon". Ngakho-ke, kubaluleke kakhulu ukuqaphela izimpawu nokufuna ukwelashwa ngokushesha.

Ubani onamathuba amaningi okuthola i-Achilles Paratenonitis?

Lokhu empeleni kuyinto evamile kubadlali. Ikakhulukazi:

• Kwabagijimi: Lokhu kuvamile phakathi kwabagijimi be-marathon.
• Kwabadlali bethenisi.
• Kubadansi.

Ngenxa yokuthi abantu abanjalo bahlala benza ukunyakaza okucindezela i-tendon, izicubu ezizungeze i-Achilles tendon zingalimala.

Cabanga nje, umfowethu uSugat edolobhaneni lakithi uyagijima njalo kusihlwa. Wandisa ibanga ayegijima ngalo ngokuzumayo, ngaphandle kokwenza ngisho "ukufudumeza" okufanele. Ngemva kwezinsuku ezimbalwa, isithende sakhe saqala ukuba buhlungu futhi savuvukala kancane. Kwaba yilapho esibonisa udokotela kuphela lapho athola khona ukuthi kwakuyi-"Achilles Paratenonitis".

Futhi, lesi simo singavela kubantu abagqoka izicathulo ezingalingani kahle . Kunezinye izicathulo ezingalingani kahle, noma ezingenayo "i-support". Ukuzigqoka nakho kungabangela le nkinga.

Ziyini izimpawu zalokhu? Ukubona kanjani?

Izimpawu ze-Achilles Paratenonitis empeleni zifana kakhulu nezinye izimo ezibuhlungu zeqakala kanye ne-Achilles tendon, ngakho-ke ngezinye izikhathi kungaba nzima ukuzixilonga.

Lezi yizimpawu ezivamile:

• Ubuhlungu: Ikakhulukazi lapho uzivocavoca noma lapho uvuka ekuseni.
• Ukuvuvukala: Ngemuva kwesithende, ohlangothini lwesokudla.
• Ububomvu.
• Ububele uma buthintwa.
• Kulungile, umuzwa ofudumele.
• Ubunzima bokuma nokunyakaza.
• Ukuzwa noma ukuzwa umsindo "wokuqhekeka" noma "wokuqhuma" (`(Crepitus)`) lapho ushukumisa iqakala. Lokhu kufana nomsindo owuzwayo lapho uhamba eqhweni.
• Ukuzwa ukuqina kuleyo ndawo, ikakhulukazi ekuseni.

Lezi zimpawu zivame ukuqala kancane kancane futhi zibe zimbi kakhulu ngokuzivocavoca umzimba. Uma unalezi zimpawu, uma ziqhubeka, noma uma ziba zimbi kakhulu, kufanele nakanjani ubone udokotela ngokushesha. Ngoba uma lesi simo siqhubeka isikhathi eside, i-Achilles tendon ingaqhuma (i-ruptured tendon). Uma kunjalo, isimo siba sibi kakhulu.

Kungani sithola lokhu `(Achilles Paratenonitis)`? Ziyini izimbangela?

Imbangela eyinhloko ukucindezela ngokweqile ku-Achilles tendon kanye nezicubu ezizungezile (ulwelwesi), noma ukusetshenziswa ngokweqile.

Kunezinye izizathu eziningana:

• Ukugqoka izicathulo ezingakufaneli kahle.
• Ukwanda okungazelelwe kokuqina noma ubude bokuzivocavoca. Isibonelo, ngokuzumayo uqala ukugijima amabanga amade.
• Ukungafudumali kahle ngaphambi kokuzivocavoca futhi ukungapholi kahle ngemva kokuzivocavoca.
• Ukuzivocavoca noma ukudlala ezindaweni eziqinile kakhulu noma ezingalingani.
• Ukuba nokukhubazeka noma inkinga yesakhiwo ezinyaweni. Isibonelo, uma izinyawo ziyisicaba kakhulu (`(izinyawo ezisicaba)`) noma uma ama-arches ezinyawo ephakeme kakhulu (`(arch)`).
• Ukungaweluli ngokwanele.

Lokhu empeleni kubhekwa njengokulimala okuvamile kwezemidlalo .

Udokotela ukuhlonza kanjani ngokunembile lokhu ngokuthi "i-Achilles Paratenonitis"?

I-Achilles Paratenonitis ngezinye izikhathi ingaba nzima ukuyixilonga ngoba, njengoba ngishilo ngaphambili, izimpawu zayo zifana nezinye izimo, njengokukhubeka kweqakala.

Uma uya kudokotela, uzoqala ngokukubuza ngezimpawu zakho. Bese bezokwenza ukuhlolwa ngokomzimba . Bazohlola indawo yakho yesinqe kanye nendawo yesithende, bayihambise, bese behlola ubuhlungu nokuvuvukala.

Ngezinye izikhathi ungathunyelwa kuchwepheshe wezokwelapha ezemidlalo noma kudokotela ohlinzayo wezinyawo namaqakala.

Yiziphi izivivinyo ezenziwayo ngalokhu?

Udokotela angenza izivivinyo ezithile zezithombe ukuze aqinisekise ukuxilongwa, ahlole ubukhulu bomonakalo, futhi anqume ukwelashwa okungcono kakhulu.

Kunjalo:

• I-MRI (Magnetic Resonance Imaging) Scan: Lokhu kukuvumela ukuthi ubone kahle i-Achilles tendon kanye nezicubu ezizungezile. Lokhu kusiza kakhulu ekunqumeni izinga eliqondile lomonakalo.
• Ukuskena nge-ultrasound: Lokhu futhi kuyindlela enhle yokuhlola isimo sezicubu.
• I-X-ray: Lokhu kungahlola noma yiziphi izinkinga ngamathambo. Ngezinye izikhathi imbangela yobuhlungu ingaba yinto ehlobene namathambo.

Ilashwa kanjani le `(Achilles Paratenonitis)`?

Esikhathini esiningi, lesi simo singelapheka ngokwelashwa okulula. Okuyinhloko ukwelashwa kwe-`(RICE)`. Ungakwenza lokhu ekhaya.

`(ILAYISI)` kusho:

• R - Ukuphumula: Kubaluleke kakhulu ukuphumula umlenze obuhlungu. Kuzodingeka uyeke ukwenza izinto ezifana nokugijima nokugxuma isikhashana.
• I - Iqhwa: Faka iqhwa endaweni ebuhlungu imizuzu eyi-15-20 izikhathi eziningana ngosuku. Lokhu kuzonciphisa ukuvuvukala nobuhlungu. Ungafaki iqhwa ngqo esikhumbeni, lisonge ngendwangu.
• C - Ukucindezela: Ukuze unciphise ukuvuvukala, faka inani elincane lokucindezela ngebhandeji elinwebekayo noma i-sports tape. Kodwa ungafaki kakhulu kangangokuthi kunqamule ukuhamba kwegazi.
• E - Ukuphakama: Gcina umlenze obuhlungu uphakeme ngaphezu kwenhliziyo noma nini lapho kungenzeka. Ungabeka umcamelo phezulu. Lokhu kuzonciphisa nokuvuvukala.

Okubalulekile: Imijovo ye-steroid ayinconywa kakhulu ngezinkinga ze-tendon, njengoba ingenza buthaka i-tendon futhi yandise ingozi yokuqhekeka.

Ngaphezu kokwelashwa kwe-`(RICE)`, kunezinye izindlela zokwelapha ezingezona ezokuhlinzwa:

• Imithi yokubulala izinhlungu kanye nemithi yokuvimbela ukuvuvukala: Imithi engeyona eye-steroidal yokulwa nokuvuvukala (ama-NSAID), njenge-ibuprofen, kufanele ithathwe njengoba udokotela wakho ekuyalele.
• Ukwelashwa ngokomzimba: Lokhu kubaluleke kakhulu. Uchwepheshe wezokwelapha ngokomzimba uzokufundisa ukulula nokuqinisa umzimba ukuze uqinise futhi ugobe imisipha yakho ye-Achilles.
• Izicathulo ezikhethekile noma ukuguqulwa kwezicathulo: Gqoka izicathulo ezifanela kahle unyawo lwakho futhi ezinesisekelo se-arch.
• Amadivayisi awusizo:Ngezinye izikhathi "ukuphakanyiswa kwesithende" (iphedi eliphakamisa isithende), ibhuzu elikhethekile, "i-cast", noma "i-brace" kungasetshenziswa ukugcina indawo ingashukumi (''ukungasebenzi'').
• Ukugeza okuhlukile: Beka izinyawo zakho ngokushintshana esitsheni samanzi ashisayo kanye nesitsha samanzi abandayo.
• Ukuzilula nokuhlikihla.
• Ukwelashwa kwe-`(Brisement)`: Kulokhu, i-saline kanye ne-local anesthetic kufakwa kaningana ukuze kukhululeke izicubu ezonakele. Kodwa-ke, lokhu akuyona into eyenziwa yiwo wonke umuntu.

Ingabe udinga ngempela ukuhlinzwa?

Iningi labantu alidingi ukuhlinzwa. Kodwa-ke, uma izimpawu zakho zinzima, zingakathuthuki isikhathi eside, noma uma ezinye izindlela zokwelapha zingazange zisize, udokotela wakho angase akuncome ukuhlinzwa ukuze kulungiswe i-Achilles tendon yakho.

Ngemva kokuhlinzwa, umsipha uzothatha isikhathi ukuphola, ngakho-ke ungase ungakwazi ukwenza noma yikuphi ukuvivinya umzimba okunzima izinyanga eziningana. Udokotela wakho ohlinzayo uzokutshela ukuthi ungabuyela nini emisebenzini evamile.

Ingabe lokhu `(Achilles Paratenonitis)` kungelapheka ngokuphelele?

Yebo, ezimweni eziningi, lesi simo singalapheka ngokuphelele. Into ebaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo. Ngemuva kwalokho ungalulama ngokushesha futhi ugweme izinkinga.

Ubani ozokusiza ngalokhu kwelashwa?

Uma une-Achilles Paratenonitis, kunethimba lochwepheshe abangakusiza:

• Udokotela Wezinyawo
• Udokotela wamathambo ezinyaweni naseqakaleni (`(udokotela wamathambo)`)
• Umeluleki wezokwelapha emsebenzini
• Udokotela wezokwelapha ngokomzimba

Kuzothatha isikhathi esingakanani ukululama? Uyini umbono?

Isikhathi sokululama sincike empilweni yakho iyonke, ubudala, ubucayi bokulimala, kanye nokwelashwa okutholayo. Ezimweni eziningi, kungathatha izinyanga eziningana ukululama ngokuphelele.

Uma uhlinzwa, kungathatha isikhathi eside ukuphulukiswa. Landela imiyalelo kadokotela wakho ngqo. Khuluma nodokotela wakho ngokucophelela ngesimo sakho kanye nezinketho zokwelashwa.

Ungakunciphisa kanjani ukwenzeka kwalokhu `(Achilles Paratenonitis)`? Ungakuvimbela kanjani?

Lena yingxenye ebaluleke kakhulu. Kunezinto esingazenza ukunciphisa ingozi yokuthola `(Achilles Paratenonitis)`. Lokhu kubaluleke kakhulu kulabo abadlala ezemidlalo nokuzivocavoca.

• Yelula kahle: Ngaphambi kokuzivocavoca, fudumeza futhi welule imisipha yakho ye-Achilles tendon kanye neyethole. Lokhu kuzonciphisa ingozi yokulimala.
• Shintsha indlela yakho yokuzivocavoca:Gwema ukuvivinya umzimba okunamandla okucindezela kakhulu i-Achilles tendon, kodwa futhi yenza ukuvivinya umzimba okunamandla okunciphisa (isib. ukubhukuda nokugijima, ukugibela ibhayisikili).
• Khulisa ukuqina kokuzivocavoca kancane kancane: Ungazicindezeli kakhulu ngesikhathi esisodwa. Khulisa kancane kancane isikhathi, ibanga, kanye nokuqina kokuzivocavoca kwakho.
• Gqoka izicathulo ezinempilo: Khetha izicathulo ezinesisekelo esihle se-arch futhi ezinciphisa ukucindezeleka ezithendeni zakho.
• Thola ukuqeqeshwa okufanele: Uma udlala umdlalo, landela izindlela ezifanele zokuwuqeqesha.

I-Achilles tendon ingenye yemisipha enamandla kakhulu emzimbeni wethu. Kodwa-ke, kubantu abakhuthele, izicubu ezizungezile zingavuvukala ngenxa yokusetshenziswa ngokweqile. Ukugqoka izicathulo ezilingana kahle kungasiza. Kodwa-ke, kungaba yinto ekhungathekisayo kakhulu uma uziqeqeshe kahle futhi uzama ukwenza konke kahle kodwa usenobuhlungu obunje.

Kufanele ngimbone nini udokotela?

Kubaluleke kakhulu ukuqaphela nokwelapha isimo `(Achilles Paratenonitis)` esiteji sokuqala. Lokhu kungenza kube nzima ukuhamba, ukugijima, nokugxuma. Futhi, `(Achilles tendon)` ingadabula (`(ukuqhekeka)`). Uma lokho kwenzeka, kuzodingeka ukuhlinzwa.

Uma unobuhlungu, ukuvuvukala, ukuqina, noma yiziphi izimpawu engizikhulumile ekuqaleni esithendeni sakho, ngemuva kwedolo lakho, noma yiziphi izimpawu engizikhulumile ekuqaleni, bona udokotela ngokushesha. Uzohlola isimo sakho futhi akunikeze uhlelo lokwelashwa olukufanele kakhulu. Ngokwelashwa okusheshayo nokufanelekile, ungabuyela empilweni yakho evamile, esebenzayo.

Umlayezo Wokuya Nawe Ekhaya

• I-Achilles Paratenonitis ukuvuvukala kwezicubu ezimboze i-Achilles tendon.
• Lokhu kuvame ukwenzeka kubantu abagijima, abadansa, noma abangazigqoki kahle izicathulo zabo.
• Ubuhlungu besithende, ukuvuvukala, ukubomvu, ukuqina, kanye nomsindo "wokuchofoza" yizimpawu eziyinhloko.
• Ukuphumula, iqhwa, ukucindezela, kanye nokuphakama (ukwelashwa nge-RICE) kuyindlela yokuqala yokwelashwa.
• Ukwelashwa ngokomzimba, imithi yokubulala izinhlungu, kanye nezicathulo ezifanele kubalulekile.
• Esikhathini esiningi, ukuhlinzwa akudingekile, kodwa kuyacatshangelwa ezimweni ezinzima kakhulu.
• Lokhu kungavinjelwa ngokuzifudumeza kahle ngaphambi kokuzivocavoca, ukugqoka izicathulo ezifanele, nokukhulisa kancane kancane ukuqina kokuzivocavoca kwakho.
• Uma unezimpawu, bona udokotela ngokushesha okukhulu. Uma uzibona ngokushesha, kulapho ungalulama khona ngokushesha!

Ngithemba ukuthi lolu lwazi luwusizo. Hlala uphilile!

I- Achilles Paratenonitis, Ubuhlungu Besithende, Ubuhlungu Besinqe, Ukulimala Kwezemidlalo, Ukwelashwa Nge-RICE, Ukwelashwa Komzimba, I-Tendonitis