Ingabe ingemuva lesithende sakho libuhlungu? Ingabe lokhu kungaba yi-Heel Bursitis?

Ingabe nawe uzwa ubuhlungu ngemuva kwesithende sakho ngemva kokuma isikhathi eside, ukugijima, noma ngokuzumayo uqala ukuzivocavoca? Ingabe ngezinye izikhathi kuzwakala sengathi kuvuvukile kancane? Abantu abaningi bayabushaya indiva lobu buhlungu, becabanga ukuthi, "Buzophela bodwa." Kodwa lokhu kungaba uphawu lwesimo esibizwa ngokuthi 'i-Heel Bursitis.' Ngakho-ke namuhla, ake sixoxe ngakho ngokuningiliziwe, ukuthi kuyini, kungani kwenzeka, nokuthi singakwelapha kanjani.

Iyini ngempela i-Heel Bursitis?

Kalula nje, i-Heel Bursitis ukuvuvukala kwe-bursa esithendeni sakho. Manje kungenzeka ukuthi uyazibuza, "Kuyini i-bursa?"

Cabanga ukuthi kunezindawo emzimbeni wethu lapho amathambo, imisipha, imisipha, njll. zihlangana khona, akunjalo? Ukuze kuvinjelwe lokhu ukuthi kungakhuhlani futhi kubangele umonakalo, kukhona isikhwama esincane, esifana nejeli esigcwele uketshezi phakathi kwazo. Njengokufaka amafutha emshinini, lokhu kunciphisa ukungqubuzana phakathi kwalezo zingxenye ezimbili futhi kuzisize zihambe kahle. Leso sikhwama esincane sibizwa ngokuthi 'i-bursa'.

Kunezinhlobo eziningana ze-bursae eduze kwethambo lesithende sakho (i-Calcaneus). Uma enye yalezi zi-bursae icindezelwa noma icindezelwa nganoma yisiphi isizathu, iyavuvukala, ibomvu, futhi ibe buhlungu. Yilokhu esikubiza ngokuthi i-bursitis. Uma lokhu kwenzeka esithendeni, sikubiza ngokuthi i-Heel Bursitis.

Kunezinhlobo ezimbili eziyinhloko ze-Heel Bursitis:

Kunezinhlobo ezimbili eziyinhloko zama-heel spurs, kuye ngokuthi avela kuphi.

1. I-Retrocalcaneal bursitis: Lolu uhlobo oluvame kakhulu. Luvela lapho i-bursa ephakathi kwethambo lesithende sakho kanye ne-Achilles tendon, i-tendon enkulu kunazo zonke ngemuva komlenze wakho, ivuvukala. Ibizwa nangokuthi i-Achilles tendon bursitis.

2. I-Subcutaneous calcaneal bursitis: Lolu hlobo lubangelwa ukuvuvukala kwe-bursa phakathi kwe-Achilles tendon kanye nesikhumba esiphezu kwayo.

Ubuhlungu nokungakhululeki okubangelwa yizo zombili izinhlobo kufana kakhulu.

Ziyini izimpawu zalesi simo?

Uma une-Heel Bursitis, ungase ube nesinye noma ngaphezulu sezimpawu ezilandelayo. Ake sibheke lezi zimpawu etafuleni.

Kungani sithola i-Heel Bursitis?

Kunezizathu eziningana zalokhu. Isizathu esiyinhloko ukucindezela okuqhubekayo kwe-bursa esithendeni.

Ubani osengozini enkulu yokuthola lesi simo?

Ngaphezu kwezizathu ezingenhla, abantu abanezimo ezithile zezokwelapha nabo basengozini enkulu yokuthola i-Heel Bursitis.

• Ukukhubazeka kukaHaglund: Lesi yisimo lapho kuvela khona ithambo elengeziwe ngemuva kwethambo lesithende. Le spur ingathinta isicathulo bese icindezela i-bursa.
• Isifo samathambo esibizwa ngokuthi i-rheumatoid arthritis
• I-Ankylosing spondylitis (AS)
• I-Psoriatic arthritis
• I-Gout

Uma unezifo ezihlobene namalunga ezinjengalezi, kuba nokuthambekela okukhulu kokuthi amalunga ahlukahlukene kanye ne-bursae emzimbeni zivuvuke.

Ukuthola kanjani lokhu, Dokotela?

Uma uya kudokotela ngenxa yobuhlungu besithende, uzoqala alalele ngokucophelela izimpawu zakho bese ekwenza ukuhlolwa ngokomzimba.

Imibuzo okufanele uyibuze kuqala

• Uyama isikhathi eside? Hlobo luni lomsebenzi owenzayo?
• Hlobo luni lokuzivocavoca kanye nemidlalo oyenzayo?
• Hlobo luni lwezicathulo ovame ukuzigqoka?
• Ingabe lobu buhlungu buke bakhona ngaphambili?

Ukuhlolwa okulandelayo ngokomzimba

• Ngibheka ukuthi kukhona yini ukuvuvukala esithendeni sakho.
• Bacindezela phansi izindawo eziqondile zobuhlungu ngezandla zabo.
• Kuhlolwa ububanzi bokunyakaza konyawo lwakho kanye neqakala.
• Ucelwa ukuthi ume ngezinzwane zakho bese ugoba unyawo lwakho phezulu naphansi ukuze ubone ukuthi ubuhlungu buyanda yini.

Uma usola ukuthi kukhona ukutheleleka ngebhaktheriya...

Uma unezinhlungu esithendeni kanye nezimpawu ezifana nomkhuhlane kanye nokubanda, udokotela wakho angase asole ukuthi unegciwane. Uma kunjalo,

• Izinga lokushisa lomzimba wakho liyahlolwa.
• Ngezinye izikhathi, inani elincane loketshezi lungathathwa ku-bursa evuvukele ngenaliti encane (isirinji) (i-bursal aspiration) bese ithunyelwa ukuze ihlolwe amagciwane.

Yiziphi izivivinyo ezenziwayo ukuqinisekisa?

Esikhathini esiningi, lesi simo singatholakala ngokuhlolwa ngokomzimba. Kodwa-ke, kwezinye izimo, udokotela wakho angase ancome ukuhlolwa okuningana ukuze anqume ukuthi kukhona yini esinye isizathu sobuhlungu.

• I-X-ray: Lokhu kungahlola izinguquko esimweni sethambo lesithende, izimo ezifana nokukhubazeka kukaHaglund, noma ukwaphuka kwamathambo.
• I-MRI scan: Lokhu kungabonisa ngokusobala ukuvuvukala kwe-bursa, noma yimuphi umonakalo ku-Achilles tendon (i-Achilles tendinitis), kanye nesimo sezicubu ezithambile ezizungezile.
• Ukuskena nge-ultrasound: Lokhu kungasiza futhi ekuhloleni kangcono isimo se-bursa kanye nemisipha ezungezile.

Yiziphi izindlela zokwelapha i-Heel Bursitis?

Ingxenye engcono kakhulu ukuthi lesi simo singelashwa ngaphandle kokuhlinzwa. Izindlela zokwelapha zingahlukaniswa ngezigaba ezimbili.

Izinto ongazenza ekhaya (indlela ye-RICE)

• Ukuphumula: Misa noma yimuphi umsebenzi obangela noma owandisa ubuhlungu. Yeka ukuhamba, ukugijima, noma ukugxuma isikhashana bese unikeza umlenze wakho ukuphumula. Lokhu kuzonikeza i-bursa evuvukele isikhathi sokuphola.
• Iqhwa: Beka ama-ice cubes esikhwameni sepulasitiki, ugoqe ngethawula elincane, bese ulifaka endaweni ebuhlungu cishe imizuzu eyi-15-20 kathathu kuya kane ngosuku. Lokhu kuzonciphisa kakhulu ubuhlungu nokuvuvukala.
• Izicathulo Ezifanele: Gwema ukugqoka izicathulo eziqinile neziqinile. Gqoka izicathulo ezithambile nezilingana kahle ezingabambi ngemuva kwesithende.
• Imithi: Imithi engeyona i-steroidal elwa nokuvuvukala (ama-NSAID) njenge-ibuprofen ne-naproxen ingasiza ekunciphiseni ubuhlungu nokuvuvukala. Kodwa-ke, khumbula, kufanele uhlale uthintana nodokotela wakho ngaphambi kokusebenzisa noma yimuphi umuthi.

Ukwelashwa okunconywe udokotela

Uma ukwelashwa ekhaya kungasizi, udokotela wakho angase akuncome ukwelashwa okufana nalokhu.

• Ama-Orthotics:Lezi yizinto ezikhethekile ezifakwa ngaphakathi kwesicathulo. Uma ufaka into efana nezingcezu zesithende, indlela unyawo lwakho olushaya ngayo phansi iyalungiswa futhi ingcindezi esithendeni sakho iyancishiswa.
• Ukwelashwa ngokomzimba: Lokhu kubaluleke kakhulu. Uchwepheshe wezokwelapha ngokomzimba uzokufundisa ukuvivinya umzimba we-Achilles tendon yakho kanye nemisipha esekela idolo lakho. Lokhu kuzivocavoca kuzonciphisa ingcindezi ku-bursa futhi kusize ekunciphiseni ubuhlungu.
• Ama-antibiotic: Uma i-bursitis yakho ibangelwa ukutheleleka ngamagciwane, udokotela wakho uzokunikeza ama-antibiotic omlomo.
• Imijovo ye-Bursa: Lena inqubo engavamile kakhulu. Uma ubuhlungu nokuvuvukala kunganciphi, udokotela wakho angase afake i-steroid ku-bursa.
• Ukuhlinzwa: Lena yindlela yokugcina. Uma kungekho ngcono ngemva kwezinyanga ezingu-6-12 zokwelashwa, inqubo yokuhlinzwa ebizwa ngokuthi i-bursectomy ingadingeka ukuze kususwe i-bursa eyonakele.

Kuzothatha isikhathi esingakanani ukuthi lesi simo siphole?

Uma ukuxilongwa nokwelashwa okufanele, lesi simo asifanele sesabe. Iningi labantu liyalulama zingakapheli amasonto amabili kuya kwamathathu ngokwelashwa ekhaya. Kulabo abanesifo esibi kakhulu, kungathatha izinyanga eziningana ukululama ngokuphelele. Into ebaluleke kakhulu ukubekezela nokulandela imiyalelo kadokotela wakho.

Ungakuvimbela kanjani ukuphinda kwenzeke?

• Qiniseka ukuthi ufudumala kahle ngaphambi kokuzivocavoca.
• Gqoka izicathulo ezifanele umsebenzi wakho. Gwema izicathulo eziqinile neziqinile.
• Uma ugijima noma uhamba, gwema izindawo eziqinile (ukhonkolo) ngangokunokwenzeka bese uzivocavoca ezindaweni ezithambile njengotshani .
• Yenza izivivinyo zokunweba imisipha ye-hamstring kanye ne-Achilles tendon nsuku zonke.

I-Heel Bursitis iyisimo esivamile phakathi kwabadlali, abantu abakhuthele, nalabo abama isikhathi eside. Nakuba kungaba buhlungu kancane, ngokwelashwa okufanele, ungabuyela empilweni yakho evamile ngokushesha.