Zicabange udlala ikhilikithi noma i-badminton nabangani bakho. Ngokungazelelwe, njengoba uzama ukugijima, uzwa umsindo 'wokugoba' ngemuva, ngaphezu nje kwesithende somlenze wakho, njengokungathi othile ukushaye ngetshe. Uma ubheka emuva, akekho, kodwa ngesikhathi esifanayo kuba nobuhlungu obukhulu. Esikhathini esiningi, lokhu okuhlangenwe nakho kuyisimo esikhuluma ngaso namuhla, 'i-Achilles Tendon Rupture'. Lokhu akulula njengoba kubonakala, ngakho-ke masiqonde kahle lokhu.
Iyini le-Achilles Tendon?
Kalula nje, lena i-tendon eqinile exhumanisa imisipha yethole yomlenze wethu nethambo lesithende. Eqinisweni, iyi-tendon enkulu futhi enamandla kunazo zonke emzimbeni wethu. Le tendon isiza ekuhlinzekeni amandla umlenze wethu owadingayo lapho sihamba, sigijima, futhi sigxuma.
'Ukuqhekeka kwe-Achilles Tendon' kuwukuqhekeka okuphelele noma okuyingxenye, noma ukudabuka, kwale tendon eqinile. Lokhu ukulimala okukhulu okwenzeka ngokuzumayo. Kwenzeka lapho i-tendon icindezelwa kakhulu.
Ubani onamathuba amaningi okuthuthukisa lokhu? Yiziphi izimbangela?
Lokhu kuvame ukubonakala phakathi kwabadlali, ikakhulukazi labo abaneminyaka ephakathi kuka-30 no-40, kanti abesilisa basengozini enkulu kunabesifazane.
Cabanga ukuthi kukhona abanye abantu abasebenza ehhovisi izinsuku ezinhlanu ngesonto, futhi ngezimpelasonto kuphela abaphuma bayodlala ikhilikithi noma omunye umdlalo. Siphinde sibabize ngokuthi “amaqhawe empelasonto”. Ngenxa yokuthi bacindezela kakhulu imizimba yabo ngesikhathi esisodwa ngaphandle kokuqeqeshwa okufanele, abantu abanjalo basengozini enkulu yokuphuka kwe-Achilles tendon yabo kunomdlali osemusha oqeqeshwe kahle.
Izizathu eziyinhloko yizinto ezinjengalezi:
- Izenzo ezisheshayo: Le ngozi ingenzeka uma udlala imidlalo ehilela ukugijima ngokuzumayo, ukuma, nokushintsha izinhlangothi (isibonelo, ibhola, i-basketball, ithenisi, ikhilikithi).
- Ezinye izingozi: Lokhu akuyona ingozi yezemidlalo njalo. Ungadabula lo mthambo uma ushelela futhi uwe ngenkathi uhamba, uphuthelwa isinyathelo ngenkathi wehla izitebhisi, noma ujikijela umlenze wakho emgodini.
- Imithi ethile: Amanye ama-antibiotic kanye nokujova ngama-steroid endaweni kungenza buthaka lo mthambo futhi kwandise ingozi yokuqhekeka.
Ziyini ngempela izimpawu zalokhu?
Uphawu oluyinhloko nolusobala kakhulu lwalesi simo ukuzwa nomuzwa wokuthi umsindo 'wokugoba' noma 'wokugxuma' uvela ngemuva komlenze, ngaphezu kwesithende. Abantu abaningi bacabanga ukuthi othile ubashaye ngemuva, kodwa okuzwakala ngempela ukuthi kuqhume imizwa.
Ithebula elingezansi libonisa ezinye izici ezingasiza ekuboneni lokhu.
| Isibonakaliso | Incazelo |
|---|---|
| Ubuhlungu obungazelelwe, obukhulu | Ubuhlungu obubukhali, obungabekezeleleki endaweni yesisu, ngaphezu kwesithende. |
| Ukuvuvukala kanye nokushintsha kombala okuluhlaza okwesibhakabhaka/okunsomi | Indawo yengozi ingase ivuvuke, mhlawumbe iphume igazi ngaphansi kwesikhumba futhi ibe luhlaza okwesibhakabhaka. |
| Ubunzima bokuhamba | Awukwazi ukuhamba ngendlela evamile. Ubuhlungu bubuhlungu kakhulu uma ukhuphuka izitebhisi noma amagquma. |
| Ubuhlungu uma uthinta | Uma uthinta umthambo ophukile ngomunwe wakho, ubuhlungu kakhulu. |
Udokotela ukuthola kanjani lokhu?
Uma uya kudokotela, uzoqala ngokuhlolisisa unyawo lwakho neqakala lakho.
- Bona ukuthi ungakwazi yini ukujika imilenze yakho ngezindlela ezahlukene.
- Indawo ihlolwa ngesandla ukuze kubonakale ukuthi kukhona yini isikhala lapho umthambo unqunywe khona.
- Kunganconywa futhi ukuthi kwenziwe i-ultrasound noma i-MRI scan ukuze kubonwe ukuthi umonakalo owenziwe emthanjeni ungakanani.
Into ebaluleke kakhulu ukuthi ukushiya ingozi efana nale ingelashwa kungadala umonakalo omkhulu. Uma ingelashwa, umthambo ngeke uphole kahle. Ngakho-ke, ingozi yokuthi umthambo ofanayo uphinde uqhume esikhathini esizayo iphakeme kakhulu.
Yiziphi izindlela zokwelapha lokhu?
Ngaphambi kokuba uye kudokotela, kukhona ongakwenza ekhaya ukunciphisa ubuhlungu nokuvuvukala. Sikubiza ngokuthi indlela ye-RICE.
- R - Phumula: Ungabeki noma yisiphi isisindo emlenzeni olimele. Phumula.
- I - Iqhwa: Faka iphakethe leqhwa endaweni yobuhlungu nokuvuvukala.
- C - Ukucindezela:Ukuze ulawule ukuvuvukala, songa indawo ngokuqinile ngebhandeji.
- E - Ukuphakama: Noma nini lapho kungenzeka, gcina umlenze wakho uphakeme ngaphezu kwezinga lenhliziyo yakho, njengomcamelo.
Kunezinhlobo ezimbili eziyinhloko zokwelapha. Udokotela wakho uzonquma uhlobo lokwelashwa ngokusekelwe eminyakeni yakho, izinga lomsebenzi, kanye nohlobo lokulimala.
| Indlela yokwelapha | Kalula nje... |
|---|---|
| Ukwelashwa okungekona ukuhlinzwa | Kufakwa insimbi ekhethekile noma i-brace emlenzeni ukuze ihlale ingashukumi. Lokhu kuvumela umthambo ukuthi uziphilise wodwa. Lokhu kwenziwa ngomlenze ugobile phansi. |
| Ukuhlinzwa | Lokhu kunconywa kakhulu kubantu abasha abakhuthele. Udokotela ohlinzayo uthunga iziphetho ezimbili zomthambo odabukile ndawonye. Ngemva kokuhlinzwa, kuzodingeka ufake i-cast kuze kube yilapho iphola. |
| Ukwelashwa Komzimba | Lokhu kuyimfuneko. Kungakhathaliseki ukuthi uhlinzwa noma cha, ngemva kokuba umthambo usupholile, kufanele uzivocavoce ngaphansi kwesiqondiso sochwepheshe wezokwelapha ukuze uthole amandla nokuguquguquka emlenzeni wakho nasemithanjeni. |
Ngokuvamile kuthatha izinyanga ezi-4 kuya kwezi-6 ukuthi lokhu kulimala kuphole ngokuphelele.
Ingabe ingozi efana nale ingavinjelwa?
Nakuba izingozi zingenakuvinjelwa ngokuphelele, kunezinto esingazenza ukuze sinciphise ingozi:
- Fudumeza kahle ngaphambi kokuzivocavoca noma ukudlala.
- Ungakhulisi ngokuzumayo ukuqina kokujima kwakho. Khulisa kancane kancane.
- Zijwayeze njalo ukuvivinya umzimba wemisipha ye-hamstring kanye ne-Achilles tendon.
Kufanele uye nini kudokotela?
Uma kwenzeka into efana nalena kuwe, ungalibali.
- Uma uzwa umsindo 'wokuchofoza' uvela ngemuva komlenze wakho ngenkathi udlala umdlalo noma omunye umsebenzi.
- Uma kukhona ubuhlungu obungazelelwe, obubukhali ngesikhathi esisodwa.
- Uma kunzima ukuhamba ngemva kwengozi.
Uma unezinye zalezi zimpawu, bona udokotela ngokushesha. Uma kudingeka, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Umlayezo Wokuya Nawe Ekhaya
- Ukuphuka kwe-Achilles Tendon akuyona into elula njengomlenze okhumukile, kuyisimo esibi kakhulu.
- Izimpawu eziyinhloko umsindo wokuqhuma kanye nobuhlungu obungazelelwe ngemuva komlenze.
- Uma kwenzeka into efana nale, kubalulekile ukufuna iseluleko sezokwelapha ngokushesha. Ungalibali.
- Kungakhathaliseki ukuthi ukuhlinzwa kwenziwa noma cha, ukwelashwa ngokomzimba kubalulekile ukuze umuntu alulame ngokuphelele.
- Le ngozi ingancishiswa ngokuzifudumeza kahle ngaphambi kokudlala imidlalo nokwenza izivivinyo ezifanele.
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