Ingabe kuvela iqhubu ngemuva kwesithende sakho bese libuhlungu? Ake sifunde ngokukhubazeka kukaHaglund!

Namuhla sizokhuluma ngento abantu abaningi abangase babe nayo, kodwa abazi kahle ukuthi iyini. Ingabe uneqhubu elincane noma iqhubu ngemuva kwesithende sakho, lapho i-tendon enkulu egijima ngemuva komlenze wakho (esiyibiza ngokuthi i-Achilles tendon ) ixhumana khona nethambo lesithende, futhi kuzwakala sengathi kuyabuhlungu, ikakhulukazi uma ugqoka izicathulo? Uma kunjalo, le ndaba izobaluleka kakhulu kuwe.

Kuyini ukukhubazeka kukaHaglund?

Kalula nje, ukukhubazeka kweHaagland kuwukukhula kwethambo okwengeziwe ngemuva kwethambo lakho lesithende (elibizwa nangokuthi i-calcaneus ), lapho i-Achilles tendon engikhulume ngayo ekuqaleni inamathela khona. Ukuze kube sobala, kufana neqhubu elincane elakheka phezu kwethambo. Leli qhubu ngezinye izikhathi lingazwakala futhi libonakale lapho silithinta ngaphandle.

Lena imbangela eyinhloko yobuhlungu. Ikakhulukazi uma ugqoke izicathulo eziqinile noma izicathulo ezivimbela isithende, ubuhlungu buyanda njengoba isicathulo sicindezela leli lunga. Ngokuhamba kwesikhathi, lokhu kucindezela nokucindezeleka kungaholela kwezinye izinkinga esithendeni nasenyaweni. Isibonelo, izimo ezifana ne -Achilles tendinitis ( ukuvuvukala kwe-Achilles tendon) kanye ne-heel bursitis (ukuvuvukala kwesikhwama esincane esibizwa ngokuthi i-bursa esithendeni) zingavela.

Ngokuvamile iphathwa ngezinkomishi zesithende, izithasiselo zokufakelwa kwamathambo, ukushintsha uhlobo lwezicathulo ozigqokayo, kanye nemithi yokuqeda ubuhlungu. Ezimweni eziningi, ukuhlinzwa akudingekile ukuze kususwe i-bunion. Kodwa-ke, abanye abantu bangadinga ukuhlinzwa uma ezinye izindlela zokwelapha zingabuqedi ubuhlungu nezinye izimpawu.

Sivame kangakanani lesi simo?

Ukukhubazeka kweHaagland empeleni kuyisimo esivame kakhulu . Kodwa-ke, kunzima ukusho ukuthi bangaki abantu abanaso. Ngoba abantu abaningi banezimpawu ezincane kakhulu, noma mhlawumbe abanazo nhlobo izimpawu. Ngakho-ke bangase bangalokothi baye kudokotela futhi bathole ngokuqinisekile, "Lokhu ukukhubazeka kweHaagland."

Yiziphi izimpawu zokukhubazeka kukaHaglund?

Uma une-Haglund's deformity, ungase ube nezimpawu ezifana nalezi:

• Ubuhlungu besithende: Lolu uphawu oluyinhloko.
• Iqhubu ngemuva kwesithende: Ungalizwa ngesandla sakho, ngezinye izikhathi iqhubu elibonakalayo.
• Ukuvuvukala: Kungase kube nokuvuvukala okuzungeze iqhubu.
• Ukushintsha kombala wesikhumba: Isikhumba endaweni yeqhubu singase sibe bomvu noma sishintshe umbala.

Esikhathini esiningi, lesi simo esibizwa ngokuthi ukukhubazeka kukaHaglund senzeka ngezindlela ezimbili . Lokhu kusho ukuthi kungenzeka kakhulu ukuthi sikhule ezithendeni zemilenze yomibili, hhayi eyodwa kuphela.

Yini ebangela lokhu?

Odokotela abakakazi kahle ukuthi yini ebangela ukukhubazeka kukaHaglund. Ezinye izifundo zithole ukuthiKungaphinde kutholakale ngofuzo. Lokho kusho ukuthi uma othile emndenini wakho enayo, kungenzeka ukuthi nawe ungase ube nayo.

Ngaphandle kwalokho, kungaba nezinye izizathu eziningana:

• Ukucindezeleka kanye nokucasuka okuvela ezicathulweni: ikakhulukazi ngenxa yokusebenzisa izicathulo eziqinile, eziqinile, noma ezinesithende esingalingani kahle.
• Ukusebenzisa isithende ngokweqile: Abantu abafana nabagijimi bacindezela kakhulu izithende zabo. Isibonelo, abanye abantu bangase bazizwe benobuhlungu obunjalo lapho beqala umsebenzi omusha futhi bema usuku lonke, noma lapho beqala ukugijima okokuqala.
• Izinyawo eziphakeme: Ukuma kwezinyawo zabanye abantu nakho kungathinta lokhu.
• Imisipha ye-Achilles eqinile: Uma imisipha ye-Achilles ibuthakathaka.
• Izinkinga ezithile zokuhamba: Ezinye izinkinga endleleni esihamba ngayo nazo zingathinta lokhu.

Ubani osengozini enkulu yokuthuthukisa lokhu?

Nakuba noma ubani angaba nokukhubazeka kukaHaglund, abanye abantu banamathuba amaningi okuba nakho:

• Abantu abagqoka izicathulo eziqinile nezincane: ikakhulukazi lezo ezibamba izithende, njengezicathulo ezicijile.
• Abesifazane: Lesi simo sivame kakhulu kwabesifazane kunabesilisa, mhlawumbe ngenxa yohlobo lwezicathulo abazigqokayo.
• Abantu abaye baba nalesi simo emndenini wabo: Ngoba njengoba kushiwo ngaphambili, singadluliselwa ezizukulwaneni ngezizukulwane.

Udokotela uhlonza kanjani lokhu?

Uma uya kudokotela, uzoqala akubuze ngezimpawu zakho, bese ethinta isithende sakho bese ehlola noma yiziphi izigaxa. Lokhu kubizwa ngokuthi ukuhlolwa ngokomzimba .

Ngaphezu kwalokho, ama-X-ray angenziwa ukuze kubonakale ukuthi iqhubu likhulu kangakanani nokuthi ithambo lisendaweni efanele kangakanani. Ama-X-ray angasetshenziswa futhi ukuhlola ezinye izinkinga ngonyawo noma eqakaleni. Ngezinye izikhathi, uma kudingeka ukuhlinzwa, kungenziwa i-MRI (Magnetic Resonance Imaging) scan ngaphambi kokuhlinzwa.

Ukukhubazeka kukaHaglund kuphathwa kanjani?

Lapho elapha ukukhubazeka kukaHaglund, udokotela uvame ukugxila ekunciphiseni izimpawu zakho nokukunikeza impumuzo kunokususa ukukhubazeka. Lokhu kungafaka phakathi okukodwa noma ngaphezulu kwalokhu okulandelayo:

• Ama-NSAID atholakala ngaphandle kwemithi kadokotela: Imithi efana ne-paracetamol ne-ibuprofen ingasiza ekunciphiseni ubuhlungu nokuvuvukala.
• Iqhwa ezithendeni zakho: Ukuzigcoba izithende zakho imizuzu eyi-15-20 izikhathi eziningana ngosuku kungasiza ekunciphiseni ukuvuvukala nobuhlungu.
• Ukusebenzisa izicathulo ezahlukene, ezikhululekile: Kufanele ukhethe izicathulo ezingaqinile esithendeni futhi ezisekela kahle.
• Ama-Orthotics: Lawa ama-insoles akhethekile noma izinkomishi zesithende ezifakwa ngaphakathi kwezicathulo. Lawa angathengwa ekhemisi, noma angenziwa ngokwezifiso zezinyawo zakho uma kunconywa udokotela.
• Ukwelashwa ngokomzimba: Udokotela noma uchwepheshe wezokwelapha ngokomzimba uzokufundisa ukuzivocavoca kanye nokwelula ukuze kwandiswe ukuguquguquka kwezithende zakho nasemaqakaleni. Kubaluleke kakhulu ukukwenza lokhu ngendlela efanele.

Uma izimpawu zakho ziphela ngokwelashwa okulula okufana nalokhu, cishe ngeke udinge olunye ukwelashwa.

Ukuhlinzwa Kokukhubazeka KukaHaglund

Ukuhlinzwa akuvamile ukudingeka ngenxa yokukhubazeka kukaHaglund.

Udokotela uzoncoma ukuhlinzwa kuphela uma izimpawu ezinzima ziqhubeka naphezu kwazo zonke ezinye izindlela zokwelapha. Ukuhlinzwa kuhilela ukususa izinhlayiya zethambo ezengeziwe kanye nezicubu ezivuvukele esithendeni. Iningi labantu lithatha izinyanga eziningana ukuze lilulame ngokugcwele kulokhu kuhlinzwa.

Ngingazilawula kanjani izimpawu zami?

Into ebaluleke kakhulu okufanele uyenze ukuze ulawule izimpawu zakho ukugwema ngangokunokwenzeka izinhlobo zezicathulo noma imisebenzi ekhulisa ubuhlungu bakho.

Ukukhubazeka kweHaagland ngezinye izikhathi kubizwa ngokuthi "i-pump bump." Lokhu kungenxa yokuthi i-bump iyacindezelwa futhi ibuhlungu uma igqokwa izicathulo ezinezithende eziphakeme, njengezimpompi. Uma wazi ukuthi yiziphi izicathulo ezikubangela ubuhlungu, gwema ukuzigqoka ngangokunokwenzeka. Abanye abantu bangase bangakwazi ukugqoka izinhlobo ezithile zezicathulo, ngisho nangemva kokuba izimpawu zabo zithuthukile noma ngemva kokuhlinzwa ukuze kususwe i-bump.

Okubalulekile: Uma udokotela wakho noma uchwepheshe wezokwelapha umzimba ekunikeza izivivinyo noma ukwelula umzimba ukuze wandise ukuguquguquka, zama ukukwenza njengoba besho, futhi ngokwenani lezikhathi abakushoyo.

Ngizozizwa ngingcono ngokushesha kangakanani ngemva kokwelashwa?

Abantu abaningi bathuthuka kancane kancane ngokuhamba kwesikhathi ngokulawula izimpawu zabo nokunciphisa izicathulo noma ukusebenzisa ngokweqile okwakubangela ubuhlungu.

Uma kudingeka uhlinzwe ukuze kususwe isimila, ubuhlungu buzoncipha kancane kancane njengoba ululama kancane kancane, uthola amandla futhi ukwazi ukuhamba ngendlela evamile. Lokhu ngokuvamile kungathatha amasonto ambalwa kuya ezinyangeni ezimbalwa.

Kwenzekani uma nginokukhubazeka kukaHaglund?

Ngisho noma unesifo sikaHaglund, akudingeki ube nezinkinga ezinkulu zesikhathi eside . Uma usufunde ukuphatha izimpawu zakho futhi wenze izinguquko ezincane empilweni yakho yansuku zonke ukuze ugweme ubuhlungu, ukukhubazeka kukaHaglund ngeke kube nomthelela omkhulu empilweni yakho.

Ukukhubazeka kukaHaglund kuhlala isikhathi esingakanani?

Ngaphandle kokuthi uhlinzwe ukuze kususwe i-bone spur, ukukhubazeka kwe-Haagland kuyisimo esihlala isikhathi eside. Kodwa-ke, uma ungakwazi ukulawula izimpawu (njengobuhlungu noma ukuvuvukala ngezikhathi ezithile), ngeke kuthinte impilo yakho noma impilo yakho.

Ingabe ngeke ngikwazi ukuya emsebenzini noma esikoleni ngenxa yalokhu?

Ngisho noma uselashwa ukukhubazeka kweHaagland, akufanele ukwazi ukuya emsebenzini noma esikoleni.

Kodwa-ke, uma uhlinzwa ukuze kususwe isimila, kungadingeka ugweme imisebenzi ethile uze ululame. Khuluma nodokotela wakho noma udokotela ohlinzayo ngesikhathi sakho sokululama nangaphambi kokuba uqalise kabusha umsebenzi womzimba ngemva kokuhlinzwa.

Ngingakuvimbela kanjani ukukhubazeka kukaHaglund ukuthi kukhule?

Odokotela abazi kahle ukuthi yini ebangela ukukhubazeka kukaHaglund, ngakho-ke kungenzeka kungabi khona indlela yokukuvimbela ngokuphelele. Kubhekwa njengesimo esingajwayelekile .

Kodwa-ke, yize ungenakukuvimbela ngokuphelele ukukhubazeka kweHaagland, ukugcina impilo enhle yezinyawo neqakala kungasiza ekuvimbeleni ubuhlungu nezinye izinkinga:

• Gqoka izicathulo ezikhululekile nezisekelayo: Gwema izicathulo ezingakuphathi kahle noma ezilimaza izinyawo namaqakala. Gwema izicathulo eziqinile ezithendeni noma ezinde ngemuva.
• Qinisa eminye imisipha: Ngokugcina imisipha yakho iqinile, amaqakala nezithende zakho zizothola ukwesekwa okuhle, futhi ingozi yokulimala izoncishiswa.
• Yeka uma uzwa ubuhlungu: Ungabunaki ubuhlungu. Uma ukunyakaza noma umsebenzi othile ungakhululekile, thatha ikhefu. Uma ubuhlungu bungapheli, bona udokotela. Ukuzivocavoca ngobuhlungu kungenza ngisho nokulimala okuncane kube kubi kakhulu.
• Fudumeza kahle: Fudumeza futhi welule ngaphambi kokuzivocavoca. Uma imisipha, imisipha, kanye nemisipha kufudumala ngaphambi kokuqala umsebenzi womzimba, mancane amathuba okulimala.

Kufanele ngimbone nini udokotela?

Khuluma nodokotela uma uhlangabezana nanoma yikuphi kwalokhu okulandelayo:

• Uma ubuhlungu obusha bungapheli ngemva kwamasonto ambalwa noma buba bubi kakhulu.
• Uma unenkinga yokuma, ukuhamba, noma ukusebenzisa imilenze yakho ngendlela evamile.
• Uma kukhona ukuvuvukala.

Kufanele ngiye nini e-Emergency Treatment Unit (ETU) ?

Uma ulahlekelwa amandla okusebenzisa noma ukuhambisa umlenze wakho ngokuzumayo, noma uma uzwa ubuhlungu obukhulu obungabekezeleleki, iya egumbini lezimo eziphuthumayo. Uma unesithukuthezi noma ucabanga ukuthi unethambo eliphukile, iya ku-ER ngokushesha.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

• Ingabe ukukhubazeka kukaHaglund kuyimbangela yalobu buhlungu?
• Hlobo luni lokwelashwa engiludingayo?
• Ingabe ngizodinga ukuhlinzwa?
• Ingabe ngizodinga ukwelashwa ngokomzimba?
• Ingabe ngidinga ama-orthotics noma ama-insert ezicathulo?

Uyini umehluko phakathi kwe-Haglund's Deformity kanye ne-Heel Spur?

Kokubili ukukhubazeka kukaHaglund kanye ne-heel spur kuyizinto ezikhula emathanjeni ezengeziwe ezikhula esithendeni.

Ama-heel spurs ayizinhlayiya ezakheka ngaphansi kwesithende sakho , lapho ithambo lesithende linamathela khona olwelwesini olungaphansi konyawo lwakho (olubizwa ngokuthi i-plantar fascia) .

Ukukhubazeka kweHaagland kuhlala kwenzeka ngemuva kwesithende , lapho i-Achilles tendon yakho inamathela khona.

Ngenhlanhla, ukwelashwa kokukhubazeka kukaHaglund kanye nokulimala kwesithende kufana kakhulu. Kungakhathaliseki ukuthi yini imbangela yobuhlungu besithende sakho, kungcono ukukhuluma nodokotela.

Okokugcina, izinto okufanele uzikhumbule

Ukukhubazeka kweHaagland – ukukhula kwamathambo lapho ithambo lesithende sakho kanye ne-Achilles tendon kuhlangana khona – kuyisimo esingalawulwa. Ungase ungazi nokuthi unaso. Ngisho noma ubuhlungu bakho buncane noma bufika budlule, khuluma nodokotela wakho nganoma yiziphi izimpawu ezintsha. Ngezinye izikhathi into elula njengezicathulo ezintsha ingenza umehluko omkhulu. Ngakho-ke, ungashayi indiva ngisho nento encane kakhulu, ngoba induduzo yakho ibalulekile kuwe.

Ukukhubazeka kukaHaglund , Ubuhlungu besithende, i-Achilles Tendon, izicathulo, ama-Heel Spurs, Ubuhlungu bezinyawo, Ukukhubazeka kukaHaglund