Ingabe uyinsizwa ethanda ukudlala ezemidlalo futhi enekhono lokugijima nokugxuma? Kodwa ngemva kokuqala ukugijima, ingabe uzwa ubuhlungu obungajwayelekile, ukusinda, noma ukungakhululeki emlenzeni ongezansi (indawo yethole) ngemva kwebanga elifushane? Buyaphela ngemva kokuphumula isikhashana, kodwa ubuhlungu obufanayo buyabuya uma uqala ukugijima futhi? Lokhu kungase kungabi nje ukucindezeleka kwemisipha. Namuhla sikhuluma ngesimo esingavamile abantu abaningi abangasazi, kodwa esingathinta ikakhulukazi intsha edlala ezemidlalo.
Kalula nje, iyini i-Popliteal Artery Entrapment Syndrome (PAES)?
Kungase kuzwakale kuyinkimbinkimbi kancane, kodwa inqubo empeleni ilula kakhulu. I-PAES yisimo esingavamile esithinta imithambo yegazi emilenzeni yethu. Kwenzeka lapho umthambo oyinhloko ogijima ngemuva kwamadolo ethu, umthambo we-popliteal, uvinjelwa umsipha oseduze (umsipha we-gastrocnemius).
Njengoba nje umuntu enyathela ipayipi lamanzi, ukugeleza kwamanzi kuyehla. Uma sigijima noma sigxuma, lo msipha uqinisa imithambo yegazi yethu. Bese, ukugeleza kwegazi kuya emlenzeni ongezansi kwehla okwesikhashana. Ngenxa yalokhu kwehla kokugeleza kwegazi, imisipha ayitholi umoya-mpilo eyidingayo, futhi izinto ezifana ne-lactic acid ziyaqoqana, okubangela izimpawu ezifana nobuhlungu, ukusinda, ukukhathala, kanye nokungabi namandla emlenzeni.
Ingxenye engcono kakhulu ukuthi lezi zimpawu ziyanyamalala zingakapheli imizuzu emithathu kuya kwemihlanu yokuyeka ukuvivinya umzimba. Kodwa-ke, uma zingelashwa, lesi simo singaba sibi kakhulu ngokuhamba kwesikhathi. Ubuhlungu bungavuka ngemva kokugijima isikhashana nje, futhi kungathatha isikhathi eside ukuthi buphele.
Ubani othinteka kakhulu yilesi simo?
I-PAES ivame kakhulu kubadlali abasebasha abaneminyaka ephakathi kwengu-15 no-25. Abantu abadlala imidlalo ehilela ukugijima basengozini enkulu. Isibonelo:
- Ezemidlalo (Umkhondo Nenkundla)
- Ukugijima e-Cross Country
- Ibhola (Ibhola)
- I-Lacrosse
- I-hockey yasensimini
Lesi simo asivamile kakhulu. Kulinganiselwa ukuthi sithinta abantu abangaphansi kuka-1%. Ngakho-ke isikhathi esiningi, uma sizwa lolu hlobo lobuhlungu, sicabanga ukuthi kumane nje kuwukucindezeleka kwemisipha.
Ingabe kukhona esinye isimo esizwakala njenge-PAES?
Yebo. Kukhona isimo esinezimpawu ezifana kakhulu nalesi, kodwa sivame kakhulu kune-PAES. Sibizwa ngokuthi i-Chronic Exertional Compartment Syndrome (CECS) . Lokhu futhi ubuhlungu obubangelwa ukwanda okungavamile kokucindezeleka emisipheni yemilenze ngesikhathi sokuzivocavoca. Ngezinye izikhathi umuntu angaba ne-PAES kanye ne-CECS ngesikhathi esisodwa.
Udokotela angahlukanisa phakathi kwalokhu kokubili ngokwenza izivivinyo. Ku-PAES, babheka ukuthi umfutho wegazi emlenzeni uyehla yini ngokuzivocavoca. Ku-CECS, balinganisa umfutho ngaphakathi kwemisipha yemilenze ngaphambi nangemva kokuzivocavoca.
Ziyini izimpawu ze-PAES?
Ungase ube nalezi zimpawu embotsheni yakho kanye/noma emilenzeni ngenkathi uzivocavoca. Lezi zimpawu zivame ukuphela phakathi nemizuzu embalwa ngemva kokuyeka ukuzivocavoca.
| Isibonakaliso | Indlela okuzwakala ngayo |
|---|---|
| Ubuhlungu nobuhlungu | Kungase kuzwakale njengobuhlungu obukhulu obuvela ngaphakathi. |
| Ukukhathala | Imilenze yami izizwa ikhathele kakhulu futhi ingenampilo. |
| Ubunzima | Umlenze wami uzwakala usinda kakhulu ukuba ngingawuphakamisa. |
| Ukugingqa imisipha | Kungazelelwe, imilenze yami izizwa iqinile futhi iboshwe. |
| Ukuba ndikindiki | Kungase kube nokuthuthumela emilenzeni nasezinyaweni. |
| Ukuvuvukala | Abanye abantu bazizwa bevutha sengathi umlenze wabo uvutha ngaphakathi. |
Yiziphi izimbangela ze-PAES?
Kunezizathu ezimbili eziyinhloko ezenza ukuthi lo mthambo wegazi uvaleke.
1. Ukucindezelwa kwe-anatomic
Lolu uhlobo olubucayi kakhulu. Luzalwa nalo .Umthambo wegazi uyavaleka ngenxa yokushintsha kwendlela umsipha noma imisipha ebekwe ngayo ngemuva kwedolo lakho. Lokhu kuvame kakhulu kwabesilisa. Kungenzeka emlenzeni owodwa kuphela. Uma umthambo wegazi uvalekile ngale ndlela isikhathi eside, ungonakala.
- Isilonda singakheka ngaphakathi emthanjeni wegazi.
- Ihlule legazi lingakheka bese linamathela.
- Ngokuhamba kwesikhathi, umthambo wegazi ungavaleka ngokuphelele (uvalwe).
2. Ukucindezelwa okusebenzayo noma kwe-physiologic
Kulesi simo, konke kusukela emisipheni yakho kuya emithanjeni yakho yegazi kusesimweni esijwayelekile kusukela ekuzalweni. Kodwa ngenxa yendlela imisipha yakho esebenza ngayo, ikakhulukazi uma ucindezela unyawo lwakho phansi (`i-plantar flexion`), imisipha icindezela imithambo yegazi. Lolu hlobo luvame kakhulu kwabesifazane, futhi lungenzeka emilenzeni yomibili ngesikhathi esisodwa. Kulolu hlobo, ngokuvamile akukho monakalo ohlala njalo emithanjeni yegazi.
Ungasibona kanjani lesi sifo ngokunembile?
Uma unalezi zimpawu, into engcono kakhulu ongayenza ukubonana nochwepheshe wemithambo yegazi . Uzokuhlola.
- Okokuqala, bahlola ukuthi ukushaya kwenhliziyo yakho kuyehla yini uma uphumule.
- Bese, bahlola ukuthi kukhona yini ushintsho esilinganisweni sokushaya kwenhliziyo lapho unyawo lwakho lucindezelwa phezulu naphansi ngokumelene nokumelana okuthile.
Umuntu one-PAES angase azizwe kahle lapho ephumule, kodwa ukushaya kwenhliziyo yakhe kungase kwehle noma kuphele lapho ezivocavoca noma ebeka ingcindezi ezinyaweni zakhe.
Yiziphi izivivinyo ezenziwayo ukuqinisekisa lesi sifo?
Ngemva kokuhlolwa ngokomzimba, udokotela wakho angase ancome ukuhlolwa okuningana ukuqinisekisa ukuxilongwa. Lokhu kungakunikeza isithombe esicacile sokugeleza kwegazi emilenzeni yakho.
| Ukuhlolwa | Kwenzekani nje |
|---|---|
| Inkomba ye-ankle-brachial enokuzivocavoca umzimba | Umfutho wegazi lakho ezingalweni nasemilenzeni yakho uzolinganiswa ngaphambi nangemva kokuzivocavoca. Uma une-PAES, umfutho wegazi lakho emilenzeni yakho uzoba phansi kakhulu kunomfutho wegazi lakho ngemuva kokuzivocavoca. |
| I-Duplex ultrasound | Lokhu ukuskena okusebenzisa amaza omsindo. Kungabona ukuthi umthambo wegazi uvaliwe yini nokuthi kwenzekani ekugelezeni kwegazi uma umlenze wakho ubanjwe phansi futhi ubanjwe ngendlela evamile. |
| I-angiography ye-computed tomographic (CTA) | I-CT scan yenziwa ngokufaka into ekhethekile (`udayi`) emzimbeni. Lokhu kukuvumela futhi ukuthi ubone indawo eqondile yokuvaleka kwemithambo yegazi njengesithombe se-3D. |
| I-Magnetic resonance angiography (MRA) | I-MRI scan isebenzisa insimu yamagnetic. Lokhu kungabona kahle isimo semithambo yegazi nemisipha. |
Yiziphi izindlela zokwelapha lokhu?
Ukwelashwa okungcono kakhulu nokuphumelelayo kwe-PAES ukuhlinzwa .
Ungakhathazeki, lokhu ukuhlinzwa okuvame ukuthatha cishe ihora futhi kwenziwa ngaphansi kwe-anesthesia ejwayelekile. Udokotela ohlinzayo ususa ingxenye encane yomsipha evimba umthambo wegazi. Lokhu kuvumela umthambo wegazi ukuthi usebenze ngokukhululeka, futhi ukugeleza kwegazi emlenzeni kubuyela esimweni esijwayelekile.
Uma umthambo wegazi wonakele futhi uvalekile ngenxa yohlobo oluthile lokuvaleka, udokotela ohlinzayo angadinga ukususa ukuvaleka noma enze ukuhlinzwa kwe-bypass esebenzisa ucezu olusha lomthambo wegazi ngawo.
Azikho yini ezinye izindlela zokwelapha ngaphandle kokuhlinzwa?
Kukhona ukwelashwa okungadingi ukuhlinzwa kwabantu abane-sciatica esebenzayo. Lokhu kuyi -Botulinum toxin A (Botox®) injections. Kulokhu, ngosizo lwe-scan, lo muthi ufakwa emisipheni evimba imithambo yegazi. Lokhu kukhubaza imisipha okwesikhashana futhi kubangele ukuthi inciphe. Kodwa-ke, umphumela uhlala cishe izinyanga ezi-3-6. Ngezinye izikhathi, uma imisipha inciphe unomphela, izimpawu azibuyi. Kodwa-ke, izinga lempumelelo yalokhu kwelashwa lingaphansi kwelokuhlinzwa.
Ngenxa yokuthi ukuhlinzwa kunikeza imiphumela ephumelelayo ezimweni ezingaphezu kuka-90%, yilokho odokotela abavame ukukuncoma.
Kuthatha isikhathi esingakanani ukululama ngemva kokwelashwa?
Kungathatha cishe izinyanga ezine kuya kweziyisithupha ukululama ngokuphelele ngemva kokuhlinzwa bese uqala ukudlala imidlalo futhi.
- Ngemva kokuhlinzwa, ngokuvamile kuzodingeka uhlale esibhedlela ubusuku obubodwa.
- Phakathi namasonto amabili okuqala, ukwelashwa nge-physiotherapy kufanele kufake phakathi ukwelula imilenze kanye nokuzivocavoca okuguquguqukayo.
- Ngemva kwamasonto amabili, ungaqala ukuzivocavoca okuthuthukisa amandla emilenze.
Kubaluleke kakhulu ukuze ululame ngokushesha ukuthi ulandele imiyalelo enikezwe udokotela wakho kanye nochwepheshe wezokwelapha ngokomzimba ngqo.
Yimiphi imibuzo okufanele ngiyibuze udokotela wami?
Uma ubona udokotela wakho, ungakhohlwa ukubuza le mibuzo.
- Ingabe ngine-PAES yokwakheka komzimba noma esebenzayo?
- Ingabe ungincoma ukuhlinzwa ngenxa yesimo sami? Kungani?
- Ngizokwazi yini ukudlala umdlalo wami futhi ngendlela efanayo ngemva kokuhlinzwa?
Uma ungumdlali osemusha, ungamane nje ungakunaki ubuhlungu bomlenze. Kungaba nezimbangela eziningi. Ukuthola ukuxilongwa okunembile ngokushesha kungakusiza ukuthi uthole ukwelashwa ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- Uma ungumdlali osemusha futhi uzwa ubuhlungu obuqhubekayo emilenzeni, isisindo, noma ukuba ndikindiki ngesikhathi uzivocavoca, ungakushayi indiva lokho.
- I-Popliteal Artery Entrapment Syndrome (PAES) iyisimo esingavamile, kodwa esingelapheka.
- Kubaluleke kakhulu ukubona uchwepheshe wemithambo yegazi ukuze uthole ukuxilongwa okunembile.
- Ezimweni eziningi, ukuhlinzwa kungayelapha ngokuphelele le nkinga, okuvumela abasubathi ukuthi babuyele ngempumelelo emisebenzini yabo yezemidlalo.
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