Ingabe isithende sakho sibuhlungu naso? Ake sixoxe nge-Achilles Tendon!

Wake wezwa nge-'Achilles tendon'? Kungenzeka ukuthi wake wezwa ngabasubathi abalimele le ngxenye yomlenze wabo. Empeleni iyisitho esibaluleke kakhulu emzimbeni wethu. Namuhla, sizokhuluma ngayo ngendlela elula ongayiqonda.

Iyini i-Achilles Tendon?

Kalula nje, i-Achilles tendon iyibhande eliqinile lezicubu elitholakala ngemuva komlenze wakho, ngaphezu nje kweqakala lakho. Ngokuqondile, i-Achilles tendon ixhuma imisipha yethole nethambo lesithende sakho (elibizwa nangokuthi i-calcaneus). Elinye igama lezokwelapha lale tendon yi-calcaneal tendon.

Manje ungase uzibuze ukuthi iyini 'i-tendon'. Ama-tendon afana namabhande aqinile, anwebeka kancane emizimbeni yethu. Yilokhu okuxhumanisa imisipha yethu namathambo ethu. Uma sifinyeza imisipha, i-tendon exhunywe kuyo idonsa ithambo elihambisanayo, elibe selikwazi ukuhambisa lelo thambo.

Leli gama elithi 'Achilles' liyinqaba kancane, akunjalo? Kunesizathu salokho. Angazi ukuthi uke wezwa ngeqhawe elibizwa ngokuthi 'Achilles' elivela ezinganekwaneni zamaGreki. Wayengenakulimala ndawo, ngaphandle kwendawo eyodwa. Leso kwakuyisithende sakhe ngemuva. Yingakho le tendon yaqanjwa ngokuthi 'Achilles tendon' ngenxa yaleyo ndaba. Akumangalisi yini?

Kwenzekani nge-Achilles tendon? Kungani lokhu kubalulekile kithi?

I-Achilles tendon ibalulekile kithi. Ngoba, njengoba kushiwo ngaphambili, yilapho imisipha yethole ixhumana khona nethambo lesithende. Lokhu kuxhumana yikho okusivumela ukuthi sinyakazise unyawo lwethu kanye neqakala ngendlela efanele.

Cabanga ngale ndlela. Ucindezela imisipha yakho yethole. Kwenzekani-ke? I-Achilles tendon idonsa isithende phezulu. Isebenza njengesibambo. Le nqubo yiyo esivumela ukuthi:

• Ungahamba ngezinyawo .
• Ungagijima .
• Ungagxuma phezulu.
• Ungakhuphuka izitebhisi .
• Ungama ngezinzwane .

Usizo lwe-Achilles tendon lubalulekile kukho konke lokhu. Lokho kusho ukuthi luhlobene ngqo nemisebenzi yethu eminingi yansuku zonke.

Ikuphi ngempela i-Achilles tendon?

Lokhu kutholakala ngemuva komlenze wakho, kuqala cishe phakathi kwemilenze yakho bese kwehlela lapho kuhlangana khona nethambo lesithende sakho. Njengoba unemilenze emibili, unemisipha emibili ye-Achilles, eyodwa yomlenze ngamunye.

Kukhulu kangakanani lokhu?

I-Achilles tendon kumuntu omdala ivame ukuba ngamasentimitha angu-15 kuya kwangu-26 ubude (amasentimitha angu-6 kuya kwangu-10). Nakuba incane, iyi -tendon ejiyile futhi enamandla kakhulu emzimbeni wethu! Cabanga nje, le tendon encane ingasekela cishe isisindo somzimba wakho esiphindwe kane! Yileyo ndlela enamandla ngayo.

Yenziwe ngani i-Achilles tendon?

Lo msipha oqinile wakhiwe kakhulu ngezinhlobo ezimbili zamaprotheni: `i-Collagen` kanye ne-`i-Elastin`.

• I-Collagen iyiprotheni evame kakhulu emizimbeni yethu. Eqinisweni, cishe ingxenye eyodwa kwezintathu yeprotheni iyonke emizimbeni yethu yi-collagen! Le collagen yiyo enika imisipha amandla ayo.
• Iphrotheni ethi "Elastin" iyanwebeka kancane. Yilokhu okuvumela i-tendon ukuthi yeluleke bese ifinyela esimweni sayo sokuqala. Lokhu kubaluleke kakhulu uma sihambahamba.

Lo msipha uthola igazi lawo elivela emithanjeni yegazi emibili emlenzeni ongezansi. Uphinde uxhunywe nemizwa emibili ('i-sural nerve' kanye 'ne-tibial nerve') ukulawula nokunikeza umuzwa.

Yiziphi ukulimala okuvame kakhulu ku-Achilles tendon?

Sivame ukuzwa ngokulimala kwemisipha ye-Achilles uma kwenzeka kubasubathi, akunjalo? Kodwa empeleni, noma ubani angathola lokhu kulimala. Nazi ezinye zezingozi ezivame kakhulu:

• I-Tendinitis: Lokhu ukuvuvukala komsipha, noma ukuvuvukala nje. Ngokuvamile kubangelwa ukusetshenziswa ngokweqile.
• Ukuqhekeka noma ukudabuka komsipha we-Achilles: Lesi yisimo esibi kakhulu. Umsipha ungadabuka ngokuphelele noma kancane. Ungabangelwa ukuzikhandla okungazelelwe noma ukugxuma okungalungile.
• I-bursitis yesithende: I-Bursitis yenzeka lapho isikhwama esincane esigcwele uketshezi esibizwa ngokuthi i-bursa sitholakala phakathi kwethambo lesithende kanye ne-Achilles tendon.
• Ukukhubazeka kukaHaglund: Lokhu kuyiqhubu elincane ngemuva kwethambo lesithende. Lokhu kuqhubu kungabangela ubuhlungu nokucasuka kwe-Achilles tendon.

Cabanga ukuthi ngokuzumayo uqale ukugijima, noma ngokuzumayo wagxumela phambili ngenkathi udlala i-badminton, wabe usuzwa umsindo othi 'click' ovela emlenzeni wakho futhi uzwa ubuhlungu obukhulu. Ngaleso sikhathi, kunethuba elikhulu lokudabuka (ukuqhekeka) kwe-Achilles tendon.

Udokotela uluthola kanjani lolu hlobo lwesifo?

Uma unobuhlungu noma ukuvuvukala ngemuva komlenze wakho, isithende, noma isithende, kufanele nakanjani ubone udokotela. Udokotela uzolandela izinyathelo eziningana ukuze axilonge lesi simo:

1. Ukukuhlola: Udokotela uzokuthinta ngokucophelela unyawo lwakho, iqakala, kanye nesithende. Bazokuhlola ukuvuvukala nanoma yiziphi izindawo ezibuhlungu.

2. Ukubuza ngezimpawu: Uzobuzwa imibuzo eminingi, njengokuthi hlobo luni lobuhlungu onalo, ukuthi seluhlale isikhathi esingakanani, ukuthi lunzima kangakanani ngosuku, nokuthi ngabe uye yini ukuyokwenza noma yini ukusiza. Kubaluleke kakhulu ukuthi usho ngqo ukuthi kwenzekeni.

3. Ukuhlolwa okukhethekile: Ngezinye izikhathi udokotela angenza ukuhlolwa okukhethekile, njengokuhlolwa "kweThompson," uma kukhona ukungabaza ngokuthi i-Achilles tendon iqhumile yini.

4. Ukuhlolwa kwezithombe:Ukuze kutholakale uhlobo oluqondile lokulimala, kungenziwa izivivinyo ezilandelayo:

• I-X-ray: Hlola izinkinga zamathambo.
• Ukuskena nge-ultrasound: Lokhu kuwusizo kakhulu ekuhloleni isimo se-tendon nokuthi ngabe kukhona yini ukudabuka.
• `I-M.R.I. Scan` (`I-Magnetic Resonance Imaging - I-MRI scan`): Lokhu kungathatha isithombe esicacile se-tendon kanye nezicubu ezizungezile.
• `I-CT Scan` (`I-Computed Tomography - I-CT scan`): Ngezinye izikhathi lokhu kungadingeka.

Kulashwa kanjani ukulimala komsipha we-Achilles?

Izinketho zokwelapha zincike ezintweni eziningi, okuhlanganisa uhlobo lokulimala onalo, imbangela yako, kanye nezinga lakho lomsebenzi ojwayelekile. Udokotela wakho uzonquma ukwelashwa okungcono kakhulu kuwe. Nazi ezinye izindlela zokwelapha ezisetshenziswa kakhulu:

• Indlela ethi `IRAYISI`: Abantu abaningi sebezwile ngalokhu.
• R - Ukuphumula: Into yokuqala okufanele uyenze ukuphumula umlenze olimele. Ungagijimi noma ugxume kakhulu.
• I - Iqhwa: Faka iqhwa imizuzu eyi-15-20 izikhathi eziningana ngosuku ukuze unciphise ubuhlungu nokuvuvukala. Ungafaki iqhwa ngqo esikhumbeni, ligoqe ngendwangu.
• C - Ukucindezela: Faka inani elincane lokucindezela ngebhandeji elinwebekayo ukulawula ukuvuvukala. Kodwa ungalifaki liqine kakhulu kangangokuthi linqamule ukugeleza kwegazi.
• E - Ukuphakama: Gcina umlenze wakho ungaphezu kwezinga lenhliziyo yakho ngangokunokwenzeka. Ungabeka umcamelo phezulu.

• Imithi:
• Ukuze unciphise ubuhlungu nokuvuvukala, udokotela wakho angase akunike imithi yokunciphisa ubuhlungu efana nama-NSAID (isib. ibuprofen, i-diclofenac) noma i-acetaminophen (isib. i-paracetamol).
• Ngezinye izikhathi, uma ukuvuvukala kukhulu, udokotela angase akunikeze umuthi obizwa ngokuthi "ama-corticosteroids" (mhlawumbe njengomjovo). Kodwa-ke, akuwona umqondo omuhle ukuwasebenzisa njalo.

• Ukungasebenzi: Udokotela wakho angase akuncome ukufaka i-brace noma i-walking cast (okufana ne-boot) ukuze ugcine umlenze wakho neqakala lakho kungashukumi kuze kube yilapho i-tendon iphola.

• Ukwelashwa ngokomzimba: Lokhu kubaluleke kakhulu. Uchwepheshe wezokwelapha ngokomzimba uzokufundisa ukuzivocavoca okukhethekile ukuqinisa imisipha ezungeze i-Achilles tendon yakho nokwandisa ukuguquguquka kwe-tendon.

• Ama-Orthotics: Abanye abantu bangase banikezwe ama-insert akhethekile okufanele afakwe ezicathulweni zabo. Lokhu kunikeza impumuzo onyaweni nasemaqakaleni.

• Ukuhlinzwa: Iningi labantu alidingi ukuhlinzwa. Kodwa-ke, uma umsipha udabuke ngokuphelele, noma uma ezinye izindlela zokwelapha zingasizi, kungase kudingeke ukuhlinzwa ukuze ulungiswe.

Into ebaluleke kakhulu ukuthi,Ungazami noma yiluphi uhlobo lokwelashwa ozizwa sengathi ulwenza ngaphandle kokubonisana nodokotela. Ukwenza kanjalo kungenza isimo sibe sibi kakhulu.

Ingabe zikhona izindlela zokuvimbela ukulimala kwemisipha ye-Achilles kanje?

"Ngezinye izikhathi asikwazi ukuvimbela izingozi. Lokhu kulimala kungabangelwa izinto ezifana nokuwa noma ukugxuma ngokuzumayo. Kodwa-ke, kunezinto esingazenza ukuze sinciphise ingozi:

• Gqoka izimpahla zokuphepha ezifanele kanye nezicathulo ezifanele uma udlala imidlalo, uvivinya umzimba, noma wenza umsebenzi onzima.
• Ungalokothi "udlale ngobuhlungu." Ubuhlungu buwuphawu lokuthi kukhona okungahambi kahle. Ngaleso sikhathi, yima uphumule.
• Ngemva kokuzivocavoca noma imidlalo enzima, nikeza umzimba wakho ukuphumula okwanele nesikhathi sokululama.
• Ngaphambi kokuqala noma yimuphi umdlalo noma ukuzivocavoca, qiniseka ukuthi "uyafudumala" futhi "uyalula" kahle. Ukuzilula, ikakhulukazi imisipha ye-Achilles tendon kanye ne-calf, kunciphisa ingcindezi eqakaleni. Lena yindlela engcono kakhulu yokuvimbela ukulimala.
• " Ngemva kokudlala imidlalo noma ukuzivocavoca, yenza "ukuphola" bese welula futhi. Lokhu kuzosiza imisipha yakho ukuthi ilulame ngokushesha."

Ungakwazi yini ukuhamba uma i-Achilles tendon yakho yonakele?

"Abantu abaningi bangakwazi ukuhamba nokuhambisa iqakala labo ngezinga elithile ngisho noma i-Achilles tendon idabukile noma ilimele. Kodwa-ke, kungaba buhlungu kakhulu futhi kube nzima."

Into ebaluleke kakhulu ukuthi, uma ucabanga ukuthi ulimele emsipha we-Achilles, noma ngabe ungahamba noma ubeke unyawo lwakho phansi, bona udokotela ngokushesha.

"Lapho usebenzisa umlenze wakho olimele kakhulu futhi uwubeka isisindo, ukulimala kungaba kubi kakhulu. Ngakho-ke, kuze kube yilapho ubona udokotela, kungcono ukusebenzisa into efana nezinduku zokusikeka noma i-walker uma kungenzeka."

Ingabe i-Achilles tendon iyaziphulukisa ngokwayo?

"Ezinye izingozi ezincane, njengokuvuvukala okuncane, zingadambisa ngokushintsha uhlobo lwezicathulo ozigqokayo, ukugwema imisebenzi izinsuku ezimbalwa, nokuphumula. Kodwa-ke, ungacabangi ukuthi ukulimala ngakunye kuzophola ngokwako."

"Uma uzwa ubuhlungu, ikakhulukazi endaweni lapho kukhona khona i-Achilles tendon yakho, noma uma uzwa umsindo othi 'pop' bese uzwa ubuhlungu ngokuzumayo, noma uma wazi ukuthi ngandlela-thile ilimele, ungachithi isikhathi bese ubona udokotela ngokushesha. "

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

"I-Achilles tendon ifana naleyo qhawe laseGrisi, iqhawe elisiza kakhulu emizimbeni yethu, lisisiza ukuthi sihambe usuku lonke. Nakuba abantu abaningi becabanga ukuthi ukulimala kwe-Achilles kwenzeka kubasubathi kuphela, empeleni noma ubani angaba nezinkinga ngalo msipha."

Ngakho-ke, uma uzwa ubuhlungu noma ukungakhululeki emlenzeni wakho ongezansi, eqakaleni, noma esithendeni, ungakushayi indiva. Bona udokotela ukuze uthole ukuthi yini ngempela ebangela lokhu nokuthi yini okufanele uyenze ngakho. Khona-ke i-'hero' Achilles tendon yakho ingaphola ngokushesha futhi ungabuyela emisebenzini yakho evamile.

Khumbula, ukwelashwa kusenesikhathi kusho ukululama kusenesikhathi!

I- Achilles tendon, i-Calcaneal tendon, Ukulimala kwe-tendon, Ubuhlungu besithende, Ubuhlungu besithende, Ukulimala kwezemidlalo, i-Tendinitis