Ingabe nawe uzwa ubuhlungu ngaphandle kweqakala lakho? Kungaba yi-Peroneal Tendon Tear!

Wake wazizwa ubuhlungu ngaphandle kweqakala lakho ngokuzumayo ngenkathi uhamba, ugijima, noma udlala umdlalo? Noma ingabe ingaphandle leqakala lakho lizizwa lingavamile futhi libuhlungu isikhathi esithile? Mhlawumbe uzizwa sengathi umlenze wakho awusalawuleki, sengathi "uphumile" lapho uhamba. Esinye isizathu salokhu kungaba ukulimala kwezicubu ezimbili ezikhethekile emlenzeni wakho. Ake sixoxe ngalokhu ngokuningiliziwe namuhla.

Kuyini Ukwenyuka Kwemisipha Ye-Peroneal?

Kalula nje, ukudabuka komsipha we-peroneal kwenzeka lapho omunye noma womabili ama-tendon e-peroneal onyaweni lwakho elimele. Kunemisipha emibili onyaweni lwakho, ebizwa ngokuthi i-peroneal brevis kanye ne-peroneal longus. Lezi zifana nezibopho eziqinile. Lezi yimisipha emlenzeni wakho ongezansi exhuma emathanjeni onyaweni lwakho. Zisiza futhi ekuqiniseni unyawo lwakho kanye neqakala. Zitholakala ngemuva kwethambo leqakala lakho kanye nohlangothi lonyawo lwakho.

Cabanga ngalo msipha njengebhande lerabha. Uma weluliwe kakhulu, noma uma kusetshenziswa amandla angazelelwe, ungadabuka, akunjalo? Yilokho okwenzekayo nalapha.

Kungani lokhu kunzima ukukubona?

Ngokuvamile, ukudabuka komsipha we-peroneal kwenzeka kanye nokunye ukulimala kweqakala. Isibonelo, uma umlenze wakho uphendukela ngaphakathi ngokuzumayo (sikubiza ngokuthi ukulimala kokuguqulwa), imisipha eqakaleni lakho ingadabuka, okuholela eqakaleni eliqhekekile. Kuzo zombili izimo, ungase ucabange ukuthi ubuhlungu buvela nje eqakaleni eliqhekekile. Ngakho-ke, ukudabuka komsipha we-peroneal kungafihlwa ngemuva kwezinye izingozi, yingakho ngezinye izikhathi kungaba nzima ukukuthola.

Yingakho, uma unesihlungu esiqhubekayo eqakaleni, kubaluleke kakhulu ukubona udokotela oqeqeshwe ngokukhethekile ngezinkinga zezinyawo neqakala.

Ungabonana nodokotela wezinyawo, udokotela wezemidlalo, noma udokotela wamathambo . Bazohlola unyawo lwakho kahle, bathole ukuthi yini engalungile, bese bekunikeza ukwelashwa okufanele.

Izinhlobo Zezinyembezi Ze-Peroneal Tendon

Lezi zinkinga zemisipha zingahlukaniswa zibe izinhlobo ezimbili eziyinhloko:

Izinyembezi Ezibuhlungu

Lokhu kwenzeka ngokuzumayo. Zicabange ugijima, wehla izitebhisi, noma udlala imidlalo bese umlenze wakho ugoba ngokuzumayo ungene ngaphakathi. Ngaleso sikhathi, iqakala lakho kufanele lisebenzise amandla amaningi kulawa '(Peroneal Tendons)' ukuze liziqondise. Uma lokho kwenzeka, i-tendon inganwebeka kakhulu futhi idabuke. Ngokuvamile, uma kwenzeka '(Acute Tear)' kanje, ukhumbula kahle ukuthi kwenzeke nini nokuthi kwenzeka kanjani.

Izinyembezi Ezingapheli

Lezi yizinhlobo ezivame kakhulu zokulimala. Ungase ungakhumbuli nokuthi uklwebhe iqakala lakho noma ulilimazile. Lokhu kudabuka kwenzeka kancane, ngokuhamba kwesikhathi, ngenxa yokucindezeleka okuqhubekayo kanye nokucindezeleka emsipha (ukusetshenziswa ngokweqile). Isibonelo, kweminye imidlalo (cabanga ngokugijima ibanga elide noma ukudansa), lokhu kungenzeka uma uqhubeka nokwenza ukunyakaza okufanayo. Ubuhlungu eqakaleni lakho bungaphela isikhashana, bese bubuya. Ungase ungazi nokuthi yini ebangele lokho.

Ukuhlukaniswa ngokwesimo sokudabuka (Ubunzima)

Odokotela bahlukanisa lezi zinkinga zomsipha ngokwezinga lazo:

• Ibanga 1 (Elincane): Lokhu kwenzeka lapho i-tendon inwebeka kancane kunokujwayelekile, kodwa isakwazi ukubamba unyawo lwakho neqakala endaweni yalo. Ungase uzwe ubuhlungu nokuvuvukala okuthile.
• Ibanga 2 - Eliphakathi: Lokhu kuwukudabuka okuyingxenye komsipha. Kukhona ubuhlungu nokuvuvukala okuthile. Kungase kube nokulahlekelwa ukuqina kweqakala kancane kancane kuya kancane.
• Ibanga lesi-3 - Okukhulu: Yilapho i-tendon idabuke ngokuphelele. Odokotela babiza lokhu nangokuthi "ukuqhekeka". Lokhu kusho ukuthi i-tendon ihlukaniswe yaba yizicucu ezimbili. Ukudabuka okuphelele okunje ngokuvamile kudinga ukuhlinzwa.

Ungadabula eyodwa noma zombili ze-`(Peroneal Tendon)` yakho. Ngokuvamile, abantu badabula i-`(Peroneal Brevis Tendon)`.

Uzizwa kanjani uma uzwa ukudabuka komsipha we-peroneal? (Izimpawu)

Kulesi simo, ungase ube nezimpawu ezifana nalezi:

• Ubuhlungu ngaphandle kweqakala. Uma kwenzeka ukudabuka kancane kancane (i-Chronic Tear), lobu buhlungu bungase buhlale izinsuku ezimbalwa, bese buphela, bese buphinde bubuye.
• Umuzwa wokungazinzi noma ubuthakathaka eqakaleni. Iqakala lingase lizwakale sengathi "liyaqhuma" noma "liyagoba" lapho uhamba. Lokhu kubonakala kakhulu uma uhamba emgwaqweni onamaqhubu.
• Ukuvuvukala. Ingemuva leqakala lingase livuvuke.
• Ngezinye izikhathi ungazizwa ubuhlungu ngisho noma uthinta leyo ndawo.
• Akuvamile ukuthi kuzwakale umsindo "wokuchofoza" phezu komsipha.

Yini ebangela lokhu? (Izimbangela)

Kunezimbangela ezimbili eziyinhloko zokudabuka kwe-tendon peroneal:

• Ukulimala okungazelelwe eqakaleni. Isibonelo, ukuklwebheka kweqakala okuguquliwe.
• Ukusebenzisa ngokweqile: Lokhu kwenzeka uma uqhubeka nokwenza ukunyakaza okufanayo ngokuphindaphindiwe, noma uma ucindezela kakhulu futhi ucindezela imisipha isikhathi eside kakhulu .

Yiziphi izinto ezibangela ingozi?

Izici ezithile zingandisa ingozi yalolu hlobo lokudabuka kwemisipha:

• Ukudlala imidlalo ehilela ukujikeleza okusheshayo kweqakala kusuka kolunye uhlangothi kuya kolunye.Isibonelo, i-basketball, i-netball, ibhola likanobhutshuzwayo, ithenisi.
• Kubantu abanezinyawo eziphakeme, indlela isisindo sonyawo esisakazwa ngayo ingafaka ingcindezi enkulu emisipha.
• Imisipha eqinile endaweni yezimbotshana kanye nemilenze engezansi.
• Ukugqoka izicathulo ezingakufaneli kahle. Njengezicathulo ezingenaso isekelo, eziqinile ezinyaweni, noma ezingafanele umsebenzi owenziwayo.
• Ifomu Lokuqeqesha Elibi: Ukungasebenzisi ifomu elifanele lapho uzivocavoca noma udlala imidlalo.
• Ukwehla kwamandla emisipha njengoba iminyaka ikhula nakho kungaba nomthelela othile.

Izinkinga ezingase zenzeke uma zingelashwa

Uma ungakuphathi kahle lokhu, izinkinga ezinjengalezi zingavela:

• Ukuqhekeka Kweqakala Okuphindaphindiwe.
• Ubuhlungu Obuqhubekayo Beqakala/Izinyawo.
• Ukungazinzi okuqhubekayo kweqakala.
• Ukuqhekeka Kwemisipha noma Ukuxhuzula: Lokhu kwenzeka lapho imisipha ishelela phezu kwethambo ngaphandle kweqakala . Ungase uzwe noma uzwe umsindo "wokuchofoza".

Odokotela bakuthola kanjani lokhu?

Ukuthola lesi simo kuqala ngokuhlolwa ngokomzimba.

Ukuhlolwa komzimba

Udokotela uzokubuza bese enza okulandelayo:

• Izinto ezifana nezimpawu zakho, ukuthi sezinesikhathi esingakanani zikhona, nokuthi zithuthuka kanjani.
• Unyawo lwakho neqakala lakho kuzohlolwa ngokucophelela futhi kuhlolwe izimpawu zokulimala (ukuvuvukala, ukubomvu, ubuhlungu uma kuthintwa).
• Unyawo lwakho neqakala lakho kuzophendulwa futhi kugobeke ngezindlela ezahlukene.
• Bazocindezela unyawo lwakho ngobumnene bese bekucela ukuthi usebenzise amandla ngokumelene nalo (lokhu kubizwa ngokuthi 'izivivinyo zokumelana').
• Cindezela kancane ezindaweni ezahlukene zeqakala ukuze uthole ukuthi ubuhlungu buvelaphi ngempela.

Lezi zindlela zingasiza udokotela wakho ukuthi athole umbono wokuthi yini ebangela izimpawu zakho. Kodwa-ke, kungase kudingeke ukuhlolwa kwezithombe ezithile ukuze kuqinisekiswe ukuxilongwa nokukhipha ezinye izinkinga.

Ukuhlolwa kwezithombe okungadingeka

Udokotela wakho angase akucele ukuhlolwa okukodwa noma ngaphezulu kwalokhu:

• Ama-X-ray ezinyawo: Ukuhlola ukuthi azikho yini izimpaphe eziphukile.
• Ama-X-ray eqakaleni: Futhi bona izinkinga ezihlobene namathambo.
• Ukuskena nge-Ultrasound: Lokhu kunganikeza umbono omuhle ngesimo sezicubu ezithambile njengemisipha nemisipha. Lokhu kungasiza ekunqumeni ukuthi kukhona yini ukudabuka kwemisipha nokuthi inwebe kangakanani.
• I-MRI Scan (I-Magnetic Resonance Imaging - I-MRI): Lena yindlela engcono kakhulu yokubona izinto ezifana nokudabuka kwemisipha ngokucacile. Ingabonisa imininingwane eminingi, njengesimo semisipha, ubukhulu bokudabuka, kanye nomonakalo ezicutshini ezizungezile.

Kuphathwa kanjani lokhu? (Ukwelashwa)

Ukwephuka komsipha we-peroneal kuphathwa ngezindlela zokuqapha, ukuhlinzwa, noma inhlanganisela yakho kokubili. Uma ukuklebhuka kwakho kuncane, udokotela wakho angazama ukwelashwa ngaphandle kokuhlinzwa izinyanga ezimbalwa ukuze abone ukuthi kuyasiza yini. Kodwa-ke, uma ukuklebhuka kukhulu, noma uma kuklebhukile ngokuphelele, cishe kungcono ukuthi kunconywe ukuhlinzwa kuqala.

Izinyathelo Zokulondoloza

Lokhu kungokwalokhu:

• Ukuthatha imithi yokulwa nokuvuvukala: Lokhu kungasiza ekunciphiseni ubuhlungu nokuvuvukala (isib., izinto ezifana ne-'Ibuprofen', 'Naproxen', kodwa zithathe njengoba kuqondiswe udokotela wakho).
• Phumuza unyawo futhi unciphise umsebenzi womzimba: I-tendon idinga isikhathi ukuze ilulame. Ngakho-ke, kungadingeka uyeke ukugijima, ukugxuma, noma ukudlala imidlalo isikhashana.
• Ukuvimbela unyawo ukuhamba: Lokhu kuhilela ukufaka i-brace noma i-boot. Lokhu kuvimbela iqakala ukuthi linganyakazi futhi kusiza imisipha ukuba iphole.
• Ukusebenza nodokotela wezokwelapha ngokomzimba: Udokotela wezokwelapha ngokomzimba uzokufundisa izivivinyo ezithile ezizokusiza ukuthi uthole amandla, ukuguquguquka, kanye nobubanzi bokunyakaza emilenzeni yakho.
• Ukwelashwa Kokuvuselela: Ngezinye izikhathi ukwelashwa okufana `(Prolotherapy)`, `(PRP Injections)` (Plasma Ecebile Ngeplatelet), `(Dry Needling)` kanye `(Deep Massage)` nakho kungaphakanyiswa. Lokhu kuvuselela inqubo yokuphulukisa izicubu.

Ukuhlinzwa

Uma lezi zindlela zokwelapha ezingadingi ukuhlinzwa zingasizi, noma uma ukudabuka kwakho kunzima, ungase udinge ukuhlinzwa. Odokotela abahlinzayo basebenzisa izindlela ezahlukene zokuhlinzwa ukuze babuyisele ukusebenza komsipha wakho we-peroneal. Indlela engcono kakhulu incike ohlotsheni lokudabuka onalo (kungakhathaliseki ukuthi ukudabuka okungaphelele noma ukudabuka okuphelele).

Nazi ezinye izindlela zokuhlinzwa:

• Ukususa ingxenye ye-tendon eyonakele nokulungisa ingxenye esele enempilo.
• Ukususa ingxenye eyonakele yomsipha owodwa we-peroneal bese unamathisela ingxenye esele komunye umsipha we-peroneal onempilo. Odokotela babiza lokhu ngokuthi "i-Side-to-side Tenodesis".
• Ukudluliselwa kwemisipha kuhilela ukuthatha imisipha enempilo kwenye ingxenye yonyawo lwakho bese uyitshala ukuze ithathe indawo yemisipha eyonakele ye-peroneal.
• Ukwakhiwa kabusha kwe-tendon ye-peroneal kusetshenziswa izicubu ezitholwe kumnikeli wezicubu (i-allograft).

Izinkinga ezingase zenzeke ngemva kokuhlinzwa

Njenganoma yikuphi ukuhlinzwa, ezinye izinkinga zingavela, kodwa lezi azivamile.

• Ubuhlungu eqakaleni (bungase buvele njalo).
• Ukuvuvukala okuqhubekayo.
• Ukungabi namandla kwesikhumba eduze nendawo yokuhlinzwa (ngenxa yokulimala kwemizwa).
• Ukutheleleka Kwesilonda.
• I-Deep Vein Thrombosis (DVT) (lokhu akuvamile kakhulu).

Udokotela wakho uzokutshela okwengeziwe ngalezi zingozi.

Ingabe lokhu kuzophola ngaphandle kokuhlinzwa?

Kuncike ebunzimeni bokudabuka. Ukukhala okuncane kungaphola ngaphandle kokuhlinzwa. Kodwa-ke, ukukhala okukhulu, ikakhulukazi uma umsipha uqhumile ngokuphelele, kungadinga ukuhlinzwa.

Kuthatha isikhathi esingakanani ukululama?

Lokhu kuyahlukahluka kuye ngomuntu nomuntu. Kunezici eziningi ezikuthintayo: uhlobo lokwelashwa olutholile, ubukhali bokudabuka kwakho, ubudala bakho, kanye nempilo yakho iyonke. Ngakho-ke, kungcono ukubuza udokotela wakho ukuthi kuzothatha isikhathi esingakanani ukuphulukiswa kuye ngesimo sakho.

Ngokuvamile:

• Kungathatha cishe inyanga eyodwa kuya kwezintathu ukululama ngemva kokwelashwa okungadingi ukuhlinzwa.
• Uma uhlinzwa, kungathatha izinyanga eziningana ukubuyela emisebenzini evamile (njengokuya emsebenzini noma ukudlala imidlalo).

Ngesikhathi sokululama kwakho ngemva kokuhlinzwa, ungalindela okulandelayo:

• Uzokwazi ukuqala kancane kancane ukuthwala isisindo emlenzeni wakho. Mhlawumbe ngemva kwamasonto amane, uzokwazi ukuthwala isisindo kancane emlenzeni wakho.
• Ukwelashwa ngokomzimba kungaqala ngemva kwamasonto ayisithupha. Uzosebenzisana nodokotela wezokwelapha ngokomzimba ukuze wakhe kabusha amandla kanye nobubanzi bokunyakaza emlenzeni wakho. Lezi zikhathi zizokusiza ukuthi ubuyele emisebenzini yakho evamile ngokuphephile.

Buza udokotela wakho ngokululama kwakho kwesikhathi eside nokuthi yini ongayenza ukuze ugweme ukulimala okufanayo esikhathini esizayo.

Ungazivimbela kanjani izinkinga ezinjalo? (Ukuvimbela)

Nakuba ukudabuka kwemisipha ye-peroneal kungenakuvinjelwa njalo, kunezinto eziningana ongazenza ukusiza ukuvimbela lolu hlobo lokulimala kwezicubu ezithambile ezinyaweni kanye nokunye ukulimala emzimbeni wonke:

• Gqoka izicathulo ezifanele: Khetha izicathulo ezifanela ukuma kwezinyawo zakho (isibonelo, uma unezinyawo eziphakeme), ezikhululekile, futhi ezinikeza ukwesekwa okuhle. Uma izicathulo zakho ziguga noma unyawo lwakho luba nzima, zishintshe. Futhi, gqoka izicathulo ezifanele umsebenzi owenzayo. Cabanga ukuthi kuyingozi kangakanani ukudlala imidlalo efana ne-tennis, i-badminton, ne-netball ezidinga ukuthi ugijime usuka kolunye uhlangothi uye kolunye ngenkathi ugqoke ama-sneakers.
• Gcina isimiso sokuzivocavoca esilinganiselayo: Sonke sifundiswe ukudla ukudla okulinganiselayo. Kodwa siyakhohlwa ukuthi isimiso sokuzivocavoca esilinganiselayo sibaluleke ngendlela efanayo. Kusiza ekuvimbeleni ukulimala. Dala uhlelo oluhlanganisa ama-aerobics njengokuhamba, ukuzivocavoca okuguquguqukayo njenge-yoga, kanye nokuqeqeshwa kwamandla njengokusebenzisa amabhande okumelana.Ngaphambi kokuqala isimiso esisha sokuzivocavoca, kungumqondo omuhle ukukhuluma nodokotela ukuqinisekisa ukuthi kuphephile kuwe.
• Zifudumeze ngaphambi kokuba uqale ukuzivocavoca: Ungagxumi, ugxume, noma uphakamise izinsimbi ngokushesha. Yenza okuthile okufana nokugijima endaweni imizuzu embalwa noma ukuhambahamba imizuzwana embalwa. Lokhu "kuzifudumeza" kulungiselela izingxenye ezinyakazayo zemilenze yakho (nezinye izingxenye zomzimba wakho) ukuze wenze umsebenzi onzima olandelayo.
• Phola ngemva kokuzivocavoca: Ungayeki ukuzivocavoca ngokushesha. Uma ugijima, shintshela ekugijimeni bese uhamba ngezinyawo. Phola okungenani imizuzu eyi-10 ngokunyakaza okuphansi nokunyakaza okuhamba kancane.
• Hlala Uguquguquka: Ukuzelula kungenye yezinto ezibaluleke kakhulu ongazenza ukuze uvimbele ukulimala. Funda ukuthi welula kanjani kahle futhi ukwenze kube umkhuba wansuku zonke.

Kufanele ubonane nini nodokotela?

Uma unezimpawu zokudabuka komsipha we-peroneal, bona udokotela ngokushesha okukhulu. Uma uthola ukwelashwa ngokushesha, ungaqala ukululama ngokushesha. Uma kungenzeka, bona udokotela ochwepheshe bokulimala kwezinyawo namaqakala (njengochwepheshe wezokwelapha ezemidlalo, udokotela ohlinzayo wamathambo, noma udokotela wezinyawo).

Udokotela wakho uzokutshela ukuthi kufanele ubuye kangaki ukuze uthole ukulandelwa.

Imibuzo okufanele uyibuze udokotela wakho

Le mibuzo izokusiza ukuthi ufunde kabanzi ngesimo sakho:

• Uhlobo luni lokulimala konyawo/iqakala enginalo?
• Zingakanani lezi zinkinga?
• Yini engingayenza ekhaya ukuze nginciphise izimpawu?
• Yiziphi izinguquko okufanele ngizenze ezingeni lomsebenzi wami?
• Ngilinde isikhathi esingakanani ukuze ngibuyele emisebenzini yami evamile?
• Hlobo luni lokwelashwa olunconywayo?
• Yiziphi izinzuzo kanye nokungalungi/izingozi zalokho kwelashwa?
• Kuzothatha isikhathi engingakanani ukuphola?
• Ungangincoma yini izicathulo noma izinto zokufaka ezizonginika induduzo nokusekela izinyawo zami?
• Ngingaqala nini ukudlala imidlalo noma ukuzivocavoca futhi?

Uyini umehluko phakathi "kokudabuka" komsipha kanye "nokuqhekeka"?

Abantu abaningi basebenzisa la magama amabili ngokushintshana. Kodwa-ke, odokotela basebenzisa igama elithi ``Rupture`` uma i-tendon idatshukile ngokuphelele futhi yahlukaniswa yaba yizicucu ezimbili (okungukuthi, ukudabuka kwe-``Grade 3``). Lesi yisimo esibi kakhulu sokudabuka kwe-tendon.

Amagama anjengokuthi “izinyembezi” noma “ukuqhekeka” angase esabise. Kodwa khumbula, odokotela bayaqaphela futhi belapha ukulimala njengokudabuka kwemisipha ye-peroneal ngaso sonke isikhathi. Bakulungele ukukusiza ukuthi ubuyele esimweni sakho futhi bakubuyisele esimweni sakho.

Into ebaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngokucophelela ngesikhathi sokululama kwakho. Kungakhathaliseki ukuthi uhlinzwe noma cha, unyawo lwakho ludinga isikhathi sokululama futhi luqine futhi. Ungasheshi ukubuyela esimweni esijwayelekile ngesikhathi esisodwa. Isineke siyisihluthulelo lapha. Udokotela wakho uzokutshela ukuthi kunini lapho kuphephile khona ukuthi uqalise imisebenzi yakho evamile, ukuzivocavoca, kanye nemidlalo.

Okokugcina, khumbula (Umyalezo Wokuya Ekhaya)

Ubuhlungu ngaphandle kweqakala akuyona into elula. Kungaba "Ukudabuka Kwemisipha Yomuntu Ngamunye". Ezimweni ezinjalo:

• Funa iseluleko sezokwelapha ngokushesha. Uma usheshe usibone, ukwelashwa kushesha futhi ukululama kushesha.
• Landela imiyalelo kadokotela wakho ngqo. Qiniseka ukuthi ulandela imiyalelo ephathelene nokuphumula, ukuvivinya umzimba, kanye nemithi.
• Ungasheshi. Zinike isikhathi sokuphulukiswa.
• Cabanga nangokuvikela. Izinto ezifana nokugqoka izicathulo ezifanele, ukuzifudumeza nokuzipholisa ngaphambi nangemva kokuzivocavoca, kanye nokugcina ukuguquguquka kungasiza ekuvikeleni ekulimaleni kwesikhathi esizayo.

Impilo yakho isezandleni zakho!

Ukuqhekeka komsipha we - peroneone, ubuhlungu beqakala, ukuphazamiseka kwezinyawo, ukuphazamiseka komsipha, ukulimala kwezemidlalo, ukuklwebheka kweqakala, ukuhlinzwa kwezinyawo