Ingabe nawe udabukile i-Achilles Tendon yakho? Ake sifunde ngokuhlolwa kweThompson!

Ngezinye izikhathi, uma udlala noma ugijima, ungase uzwe umsindo othi 'click' usuka esithendeni sonyawo lwakho, kulandelwe ubuhlungu obungazelelwe, obukhulu. Kufana nokuthi i-tendon iqhumile. Ngezinye izikhathi ezinjengalezi, kukhona ukuhlolwa okulula odokotela abakusebenzisayo ukuthola ukuthi i-tendon yakho iqhumile yini, noma ukuthi i-tendon yakho ye-Achilles iqhumile yini. Yilokhu esikubiza ngokuthi 'ukuhlolwa kwe-Thompson.' Ingabe singakhuluma ngalokhu ngemininingwane eyengeziwe namuhla?

Iyini isivivinyo sikaThompson?

Kalula nje, ukuhlolwa kukaThompson kuwukuhlolwa lapho udokotela wakho ekubamba khona ungashukumi, ngaphandle kwemishini emikhulu, futhi ehlola umzimba wakho. Ngokuyisisekelo kuhlola ukuthi i-Achilles tendon yakho - imisipha yakho yethole - idabukile, noma njengoba odokotela bekubiza kanjalo, idabukile . Odokotela ngezinye izikhathi bakubiza ngokuthi ukuhlolwa kokucindezela ithole , ngoba kuhilela ukucindezela kancane imisipha yakho yethole. Kuzwakala kulula, akunjalo?

Udokotela ulwenza nini uvivinyo lukaThompson?

Uma udokotela wakho esola ukuthi umsipha wakho we-Achilles uqhumile, uzokwenza isivivinyo sikaThompson. Cabanga ukuthi ungumsubathi, futhi ngenkathi ugijima noma ugxuma, ngokuzumayo uzwa umsindo wokuqhuma ngemuva komlenze wakho, kulandele ubuhlungu obukhulu. Noma mhlawumbe uzizwa uvuvukele kuleyo ndawo. Lolu ukuhlolwa kokuqala udokotela wakho azolwenza.

Ingxenye engcono kakhulu ukuthi lokhu ukuhlolwa kwangaphakathi ehhovisi. Akudingi ukuvakashelwa okuhlukile kanye nemishini ebizayo. Kungenziwa njengengxenye yokuhlolwa okuyisisekelo, ngokushesha nje lapho ubika izimpawu zakho. Kodwa-ke, ngemva kwalokhu kuhlolwa, kuzodingeka ukuthi uphinde wenze okunye ukuhlolwa kwesithombe, njenge-ultrasound noma i-MRI (Magnetic Resonance Imaging) scan, ukuqinisekisa ukulimala. Sizoxoxa ngalokho kamuva.

Ungakwenza kanjani lokhu kuhlolwa? Kulula kakhulu!

Lokhu kuyindlela esheshayo nelula yokuhlola isimo se-Achilles tendon yakho. Nansi indlela udokotela akwenza ngayo lokhu:

• Uzobekwa endaweni eqondile etafuleni lokuhlolwa. Amaqakala nezinyawo zakho kufanele kube ngaphezu komphetho wetafula. Ngezinye izikhathi lokhu kwenziwa ngamadolo akho agobile afinyelela kuma-degree angu-90, okuzophumuza imisipha yethole.
• Udokotela uzocindezela kancane kodwa ngokuqinile imisipha yakho yethole, okuyimisipha engezansi komlenze wakho.
• Uma ucindezela, udokotela uzohlola ngokucophelela ukuze abone ukuthi isithende sakho nonyawo lwakho kugobile kancane phansi (plantarflexion), okungukuthi, uma kuhamba kancane noma kuphakama phezulu.
• Ngokuvamile, uma i-Achilles tendon yakho iphilile, isithende sakho kufanele sigobe phansi uma ucindezela i-tendon. Lokhu kungenxa yokuthi le tendon ixhuma imisipha yakho yethole nethambo lakho lesithende (i-calcaneus). Kufana nebhande lerabha elidonswa eceleni.
• Udokotela cishe uzokwenza into efanayo ngomunye umlenze wakho. Bazolinganisa ukuthi isithende somlenze ongalimalanga sihamba ibanga elingakanani bese besiqhathanisa nomlenze olimele. Umehluko uzoba sobala.

Ingabe kukhona engikudingayo ukulungiselela lokhu?

Cha! Awudingi ukwenza lutho olukhethekile ukuze ulungiselele lolu hlolo lwe-'Thompson'. Into ebaluleke kakhulu ukuthi uma ucabanga ukuthi udabukile i-'Achilles tendon' yakho, okusho ukuthi uma uzwa umsindo we-'click' emlenzeni wakho njengoba ngishilo ekuqaleni, noma uma uzwa ubuhlungu obukhulu, bona udokotela ngokushesha okukhulu. Ungalibali, ngoba uma wenza kanjalo, isimo singaba sibi kakhulu.

Ngizozizwa kanjani ngesikhathi sokuhlolwa? Ingabe kuzongizwisa ubuhlungu?

Zama ukuphumula ngangokunokwenzeka phakathi nalolu vivinyo. Uma uqinisa imisipha yakho, kungaba nzima ngodokotela ukubona indawo eqondile, futhi imiphumela ingase inganembile.

Ngokuvamile, ukuhlolwa kukaThompson ngeke kwandise ubuhlungu bakho noma ezinye izimpawu zokudabuka kwe-Achilles tendon. Udokotela angase azizwe eqine kancane lapho ecindezela i-tendon yakho, kodwa akunakwenzeka ukuthi kubangele ubuhlungu obukhulu. Kodwa-ke, uma uzwa ukungakhululeki okungavamile noma ubuhlungu obungabekezeleleki lapho udokotela ecindezela i-tendon yakho, tshela udokotela wakho ngokushesha. Bazokulalela.

Kwenzekani ngemva kokuhlolwa kukaThompson?

Kulungile, manje udokotela usekwenzile ukuhlolwa kukaThompson. Uma udokotela ecabanga ukuthi kungenzeka ukuthi une-Achilles tendon edabukile (okungukuthi, ukuhlolwa okuhle), lokho akupheleli endabeni. Cishe kuzodingeka wenze okunye ukuhlolwa kwezithombe. Lokhu ukuhlolwa okuthatha izithombe ukuze kubonakale kahle ukuthi ukulimala kubukeka kanjani, ukuthi kudabukile kangakanani, ukuthi kudabukile ngokuphelele, noma ukuthi kudabukile kancane.

Izibonelo zalokhu yilezi:

• Ukuhlolwa kwe-Ultrasound: Lokhu kusebenzisa amaza omsindo ukuthatha izithombe zomlomo wesibeletho.
• Iskeni se-MRI (Magnetic Resonance Imaging): Lokhu kusebenzisa amasimu kazibuthe namagagasi omsakazo ukuthatha izithombe ezinemininingwane yobuchopho nezicubu ezizungezile. Lokhu kunemininingwane eminingi kune-ultrasound.

Zithini imiphumela engiyitholayo? Isho ukuthini?

Imiphumela yokuhlolwa kukaThompson ayifani naleyo okungenzeka ukuthi uyibonile kwezinye izivivinyo zezokwelapha. Okusho ukuthi, ayinikezi inani eliqondile noma ububanzi. Kufana kakhulu nombuzo othi 'yebo' noma 'cha', noma 'iqiniso' noma 'amanga'. Udokotela uhlola kuphela ukuthi umsipha wakho we-Achilles udabukile yini.

• Umphumela omuhle usho ukuthi: Uma isithende sakho singagobi phansi nhlobo (akukho plantarflexion) lapho udokotela ecindezela i-tendon, kusho ukuthi i-Achilles tendon yakho cishe idabukile.
• Umphumela uba yincazelo engemihle (`Engemihle`):Uma isithende sakho sigoba phansi ngokujwayelekile lapho udokotela ecindezela i-tendon (i-plantarflexion ikhona), kusho ukuthi i-Achilles tendon ayidabukile, noma ukuthi ayinakuqinisekiswa yilolu vivinyo lodwa, futhi ingase idabuke kancane.

Imiphumela yalolu vivinyo kanye nezinye izivivinyo zezithombe izosiza udokotela wakho ukuthi anqume ukuthi yikuphi ukwelashwa okudingayo. Ezimweni eziningi, ukudabuka okuphelele kwe-Achilles tendon kuzodinga ukuhlinzwa ukuze kulungiswe. Ngezinye izikhathi, i-cast noma i-boot ingasetshenziswa esikhundleni sokuhlinzwa. Kungcono ukukhuluma nodokotela wakho ngalokhu.

Kunini lapho kufanele ngibone khona udokotela?

Uma ucabanga ukuthi kungenzeka ukuthi une-Achilles tendon edabukile, noma uma unezinye zalezi zimpawu, bona udokotela ngokushesha.

• Uma uzwa umsindo othi 'click' noma 'snap' ngemuva kweqakala lakho, ikakhulukazi ngesikhathi sokuzilolonga ngamandla (isib. ukugijima, ukugxuma, ukudlala i-badminton).
• Kungazelelwe, uzwa ubuhlungu obukhulu obungabekezeleleki ngemuva kweqakala lakho. Kungase kuzwakale sengathi othile ukukhahlele.
• Uma unenkinga yokuhamba ngemva kokulimala, uma uzizwa sengathi awukwazi ukubeka unyawo lwakho phansi, ikakhulukazi uma ungakwazi ukuma ngezinzwane.
• Uma kukhona ukuvuvukala kanye nokuphuka ngemuva kweqakala.

Uma unalezi zimpawu, ungahlali ekhaya. Ungacabangi ukuthi, "Kuzolulama ngokwakho." Into engcono kakhulu ongayenza ukufuna iseluleko sezokwelapha ngokushesha.

Ingabe kukhona okunye ukuhlolwa kokuhlola ukuthi i-Achilles tendon idabukile?

Yebo, ukuhlolwa kukaThompson kungenye nje yezivivinyo eziningana zomzimba eziyinhloko odokotela abazisebenzisayo ukuthola ukuqhekeka komsipha we-Achilles. Ezinye yilezi:

• Ukuhlolwa kweMatles: Lokhu kufana nokuhlolwa kweThompson. Uzocelwa ukuba ulale ngesisu sakho bese welula imilenze yakho iye eceleni kombhede noma ugobe amadolo akho kufike kuma-degree angu-90. Ngokuvamile, uma i-Achilles tendon yakho iphilile, unyawo lwakho luzoba se-engeli encane, okusho ukuthi luzogoba kancane phansi (i-plantarflexion encane). Kodwa-ke, uma i-tendon idabukile, unyawo lwakho luzoba sesimweni esiyisicaba noma esingathathi hlangothi, noma luzogoba.
• Ukuhlikihla imisipha ye-Achilles: Ukuhlikihla imisipha yilapho udokotela ezwa okuthile ngeminwe yakhe bese ekucindezela. Udokotela uvame ukwenza lokhu kanye nezinye izivivinyo. Imisipha ye-Achilles iyimisipha emikhulu, ejiyile engazwakala ngaphansi kwesikhumba. Ngakho-ke uma idabukile ngokuphelele noma ingxenye yayo, udokotela angase akwazi ukuzwa isikhala (noma iphutha) endaweni edabukile.

Kodwa khumbula, kungakhathaliseki ukuthi udokotela wenza luphi uvivinyo lomzimba, ekugcineni, kuzodingeka enze okungenani ukuhlolwa okukodwa kwesithombe (ngokuvamile i-ultrasound noma i-MRI) ukuze athole isithombe esicacile sokulimala.

Kulungile yini ukuhamba nomsipha we-Achilles odabukile?

Abantu abaningi bangahamba futhi bashukumise amaqakala abo ngezinga elithile noma ngabe i-Achilles tendon yabo iyaphuka. Kodwa-ke, kungaba buhlungu futhi kube nzima. Uma ucabanga ukuthi unenkinga nge-Achilles tendon yakho, noma ngabe ungakwazi ukuhamba noma ukuthwala isisindo emlenzeni wakho, bona udokotela ngokushesha.

Ngoba uma usebenzisa iqakala lakho futhi ubeka isisindo esigcwele emlenzeni wakho, ukulimala okukhona (kufaka phakathi ukuqhekeka kwe-Achilles tendon) kungaba kubi kakhulu. I-tendon edabukile kancane ingadabula ngokuphelele.

Kuze kube yilapho udokotela ekwazi ukuxilonga ukulimala kwakho, uma unezinduku zokusibekela, i-walker, noma olunye usizo lokuhamba, kungcono ukuzisebenzisa. Ukuphumula umlenze wakho kubaluleke kakhulu.

Ngakho-ke, yiziphi izinto okudingeka sizikhumbule kukho konke lokhu? (Umyalezo Wokuya Ekhaya)

Ukudabuka kwe-Achilles tendon kuyisifo esivamile, ikakhulukazi kubasubathi noma labo abenza ukunyakaza okungazelelwe njengokugijima noma ukugxuma. Kungaba yinto eyesabekayo, kodwa kungelashwa futhi kwelapheke uma uthola ukwelashwa okufanele.

Ukuhlolwa kukaThompson kuyindlela elula, ephephile, futhi ephumelela kakhulu udokotela angayisebenzisa ukuhlola lesi simo. Kungasiza ekuboneni inkinga ngokushesha.

Kodwa-ke, lokhu kuhlolwa kukodwa akukwazi ukusho konke. Cishe kuzodingeka wenze okunye ukuhlolwa, njenge-ultrasound noma i-MRI, ukuze ubone ukuthi umonakalo owenziwe umsipha ungakanani.

Ukudabuka komsipha we-Achilles kungathatha isikhathi ukuphola, futhi kungaba nzima kakhulu (ikakhulukazi nge-physiotherapy). Ungase ungakhumbuli ngisho nokuhlolwa kukaThompson lapho uqala ukugijima nokugxuma futhi. Kodwa-ke, lokhu kuhlolwa okulula kuyisinyathelo sokuqala esisheshayo ohambweni lwakho lokululama.

Ngakho-ke, uma uzwa umsindo othi 'click' uvela ngemuva komlenze wakho futhi uzwa ubuhlungu, ungakhohlwa ukubona udokotela. Ngemuva kwalokho, ngokuhlolwa okufana nalokhu, ungaqala ukwelashwa okudingekayo ngokushesha. Uzoba ngcono maduze futhi ukwazi ukubuyela emsebenzini wakho!

Ukubhoboza kwesithende , ukuhlolwa kukaThompson, ukuqhekeka komsipha we-Achilles, ukulimala kweqakala, ukulimala kwezemidlalo, ubuhlungu besithende, ukuhlolwa kokucindezelwa kwethole