Ingabe uzwa ubuhlungu obungavamile ngaphakathi kwedolo lakho uma ugoba idolo lakho noma ukhuphuka izitebhisi? Ingabe buyaphela ngemva kwesikhashana, kodwa ingabe ubuhlungu buyakhula uma uhamba noma usebenza futhi? Abantu abaningi besaba ukuthi lobu buhlungu buyisifo esibi kakhulu sedolo, kodwa imbangela yalokhu kungaba yisimo esivamile esingakhulumi kakhulu ngaso, kodwa abantu abaningi bahlushwa yiso. Namuhla, ake sixoxe ngalesi simo esibizwa ngokuthi 'i-Pes Anserine Bursitis'.
Iyini i-Pes Anserine Bursitis?
Leli gama lizwakala lingavamile, akunjalo? Ake sikuqonde kalula lokhu. Cabanga ukuthi eduze kwamalunga omzimba wethu, okungukuthi, eduze kwamalunga, kunezikhwama ezincane ezifana namabhaluni agcwele amanzi. Kwezokwelapha, lezi sizibiza ngokuthi i-bursa . Lezi zifana ne-shock absorber emotweni, noma i-cushion. Umsebenzi oyinhloko waleli bursa ukunciphisa ingcindezi imisipha nemisipha yethu ethinta amathambo lapho ehamba.
Ngaphakathi kwedolo lethu, ngaphansi nje kwethambo lomlenze (`tibia`), kukhona i-bursa efana nalena lapho imisipha yemisipha emithathu ihlangana khona. Leli lunga libukeka njengomlenze wehansi, yingakho igama lesiLatini elithi 'pes anserinus', elisho 'unyawo lwehansi'.
Ngakho-ke, uma le bursa icindezelwa ngesizathu esithile futhi ivuvukala, uketshezi olungaphakathi luyanda futhi luvuvukale nakakhulu. Yilokho esikubiza ngokuthi i-bursitis . Lokhu kuvuvukala kule ndawo yedolo kubizwa ngokuthi i-'Pes Anserine Bursitis'.
Ziyini izimpawu? Wazi kanjani?
Umuntu onalesi simo akavamile ukuzwa ubuhlungu obungazelelwe nobunzima. Ubuhlungu buvame ukwanda kancane kancane. Mhlawumbe unezimpawu ezifanayo.
| Isici | Incazelo |
|---|---|
| Ubuhlungu buvelaphi | Ubuhlungu buzwakala ngaphakathi komlenze, cishe ngamasentimitha angu-2-3 ngaphansi kwedolo. |
| Uhlobo lobuhlungu | Ubuhlungu buyanda kancane kancane kunokuba bube ngokuzumayo. Buyancipha uma uphumula, kodwa buyanda futhi uma usebenza. |
| Izikhathi lapho ubuhlungu bukhula khona | Ubuhlungu buzwakala kakhulu uma kukhona ingcindezi edolweni, njengalapho ukhuphuka noma wehla izitebhisi, uguqa ngamadolo, noma uvuka esihlalweni. |
Kungani kwenzeka i-Pes Anserine Bursitis?
Kalula nje, imbangela eyinhloko ukucindezeleka okuqhubekayo edolweni. Okusho ukuthi, ukusetshenziswa ngokweqile kwedolo. Cabanga ngakho njengomshini oshisa futhi uguge uma usetshenziswa njalo.
| Izizathu eziyinhloko | Indlela okuthinta ngayo |
|---|---|
| Ezemidlalo ezihilela ukugoba amadolo njalo | Uma udlala imidlalo efana nebhola, ithenisi, nokugijima, idolo ligoba ngendlela efanayo ngaso sonke isikhathi, okungabeka ingcindezi ku-bursa. |
| Izintambo Eziqinile | Uma imisipha ye-hamstrings iqinile, ibeka ingcindezi engadingekile ku-bursa edolweni. |
| Izinguquko esimweni sedolo | Amadolo abanye abantu angase agobe ngaphakathi ngokwemvelo ('i-valgus'). Lokhu kubeka ingcindezi eyengeziwe ku-bursa. |
| Izindlela zokuqeqesha ezingalungile | Izinto ezifana nokungafudumali (ukuzelula) ngaphambi kokuzivocavoca zingalimaza imisipha, okungathinta i-bursa. |
| Izingozi ezindala | Lesi simo singabangelwa futhi ukulimala kwangaphambilini kwe-ligament ngaphakathi kwedolo (i-`MCL` - i-medial collateral ligament). |
Ubani osengozini enkulu yokuthola lesi simo?
Nakuba noma ubani engaba nalokhu, abanye abantu basengozini enkulu kancane.
- Kwabadlali, ikakhulukazi labo abadlala imidlalo yokugijima nokugxuma.
- Ngokuvamile kwabesifazane abaneminyaka ephakathi kuka-40 no-60 ubudala.
- Kulabo abanesifo sikashukela .
- Kulabo abanesifo sokuqaqamba kwamadolo.
- Kulabo abakhuluphele/abakhuluphele ngokweqile . Ngoba njengoba isisindo somzimba sikhula, ingcindezi emadolweni iyanda.
Ukuthola kanjani lokhu, Dokotela?
Uma uya kudokotela, uzoqala akubuze ngezimpawu zakho, ukuthi ubuhlungu buqala kanjani, nokuthi usunesikhathi esingakanani ubuzwa. Ngemuva kwalokho uzohlola idolo lakho bese ecindezela indawo ebuhlungu ngesandla sakhe.
Ngezinye izikhathi imbangela yalobu buhlungu ingaba ukuqhekeka okuncane ethanjeni ('ukuqhekeka kokucindezeleka'), ngakho-ke ungase ucelwe ukuthi uthathe i-X-ray ukuqinisekisa ukuthi ayikho.
Ngaphezu kwalokho, kunganconywa ukuthi kuhlolwe i-ultrasound noma i-MRI ukuze kuhlolwe ngokunembile ubukhulu bokuvuvukala nokuqinisekisa ukuthi azikho ezinye izinkinga.
Nokho, yiziphi izindlela zokwelapha lokhu manje?
Kunezindlela eziningana zokwelapha lokhu. Kuye ngokuthi isimo sakho sibucayi kangakanani, udokotela wakho uzokhetha ukwelashwa okufanele kakhulu kuwe.
| Indlela yokwelapha | Wenzani? |
|---|---|
| Imithi | Imithi yokunciphisa ubuhlungu nokuvuvukala. Isibonelo, ungaphuza imithi yobuhlungu (ama-NSAID) enqunywe udokotela wakho. |
| Ukuphumula | Lokhu kubaluleke kakhulu.Kufanele uhlale kude nemisebenzi ekhulisa ubuhlungu isikhashana. Izinto ezifana nokugijima nokukhwela izitebhisi kufanele ziyekwe. |
| Ukusebenzisa iqhwa (Amaphakethe abandayo) | Ukufaka iqhwa endaweni ebuhlungu imizuzu eyi-15-20, kathathu kuya kane ngosuku, kuzonciphisa kakhulu ukuvuvukala nobuhlungu. |
| Ukwelashwa Komzimba | Kubaluleke kakhulu ukwenza izivivinyo zokwelula eziqinisa futhi zandise ukuguquguquka kwemisipha ezungeze idolo, njengoba kwelulekwa ngudokotela wezokwelapha ngokomzimba. |
| Imijovo | Akuvamile kakhulu, uma ubuhlungu bungalawulwa, udokotela angase afake i-steroid ngqo ku-bursa. Kukhona nokwelashwa okusha okubizwa ngokuthi i-PRP (Platelet-rich plasma injections). |
| Ukuhlinzwa | Lena inqubo engavamile kakhulu. Ukuhlinzwa kwenziwa kuphela ukuze kususwe i-bursa uma kungekho okunye ukwelashwa okusebenzayo. |
Kufanele ngimbone nini udokotela?
Uma ubuhlungu bedolo buqhubeka njalo, ungabunaki. Qiniseka ukuthi ubona udokotela. Uma ubuhlungu bakho bungathuthuki ngemva kwezinyanga ezimbalwa zokwelashwa ekhaya (njengeqhwa nokuphumula), noma uma ubuhlungu buba bubi kakhulu, bona udokotela wakho futhi ukuze nixoxe ngezinye izindlela zokwelapha.
Kuzothatha isikhathi esingakanani ukuphulukiswa?
Ezimweni eziningi, ngokwelashwa okufanele nokuphumula okwanele, ukululama kuzokwenzeka phakathi kwamasonto ayi-6 kuya kwayi-8 . Kodwa-ke, uma isimo sibi kakhulu, kungathatha isikhathi eside. Uma umsebenzi wakho unzima ngokomzimba, kungadingeka uphumule amasonto ambalwa. Buza udokotela wakho ngesikhathi esingcono kakhulu sokubuyela emsebenzini.
Singakuvimbela kanjani lesi simo ukuthi singaphinde senzeke?
Kubalulekile futhi ukuvimba le nkinga ukuthi ingaphinde ivele ngemva kokululama.
- Ukuzivocavoca okulungile:Buza udokotela wakho noma uchwepheshe wezokwelapha ngokuzivocavoca okuqinisa futhi kwandise ukuguquguquka kwemisipha yakho yamadolo, ithanga kanye nesisu. Ukwenza lokhu ngendlela efanele kungasiza kakhulu ekuvimbeleni lesi simo ukuthi singaphinde sibuye.
- Ukulawula isisindo: Uma ukhuluphele ngokweqile, kubeka ingcindezi enkulu emadolweni akho. Khuluma nodokotela wakho mayelana nendlela yokugcina isisindo sakho siphilile. Ukwehlisa isisindo kunganciphisa kakhulu ingcindezi emadolweni akho.
I-Pes Anserine Bursitis yisimo esibuhlungu, kodwa singelapheka ngokushesha uma sitholakale kusenesikhathi futhi selashwa kahle. Ngakho-ke, esikhundleni sokuhlushwa ubuhlungu edolweni, bona udokotela namuhla bese uthola iseluleko.
Umlayezo Wokuya Nawe Ekhaya
- I-Pes Anserine Bursitis ukuvuvukala okubuhlungu okwenzeka ngaphakathi kwedolo, ngaphansi nje kwejoyinti.
- Imbangela eyinhloko ukucindezeleka okuqhubekayo kanye nokusetshenziswa ngokweqile edolweni.
- Ukuphumula, iqhwa, kanye nemithi yokubulala izinhlungu enqunywe udokotela yizona zindlela zokwelapha eziyinhloko.
- Uma unesihlungu esingapheli edolweni, ungasinaki futhi ufune iseluleko sezokwelapha.
- Ukuzivocavoca okufanele nokugcina isisindo esinempilo kungavimbela lesi simo ukuthi singaphinde sibuye.
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