Ukuvuvukala kwe-Achilles Tendon: Izimpawu, Izimbangela, Nokwelashwa

Ukuvuvukala kwe-Achilles tendon kuyinkinga yokuvuvukala komthambo omkhulu oxhuma imisipha yemilenze yakho ngasehlombe lakho. Lokhu kubangela ubuhlungu nokuqina ngemuva kwenyawo lakho, ikakhulukazi uma uvuka ekuseni noma ngemva kokulala isikhathi eside.

I-Achilles tendon yakho isebenza kanzima usuku lonke, ikusiza ukuthi uhambe, ugijime, uqhude, futhi uphakamise uthi olukhulu. Uma isebenza kakhulu noma icindezelwe, kungase kube khona ukukhuluphala okuncane kuthambo, okubangela ukuvuvukala nobuhlungu okwenza ngisho nemisebenzi elula ibe nzima.

Ziyini izimpawu zokuvuvukala kwe-Achilles tendon?

Isici esivamile kakhulu yilobunhlungu obuthambile noma ubuhlungu ngemuva kwemilenze yakho noma ngaphezulu kwesihle. Lobu buhlungu buqala buthambile kodwa bungase bube sibi uma bungaphathwa.

Nawa amaphuzu abalulekile ongawabona, futhi kuyinto evamile ukuba namaphuzu amaningi noma wonke la:

• Ukuqina ekuseni okuthuthuka njengoba uqhubeka uhamba.
• Ubuhlungu obukhulu ngemva kokuzivocavoca noma emisebenzini.
• Ubuhlungu uma uthinta uthambo.
• Ukuvuvukala komthambo noma esihlelweni.
• Ilizwi lokuqhekeka noma lokuqhekeka uma uhambisa inyawo lakho.
• Ukuthamba komthambo ongakwazi ukuwuzwa.
• Ubunzima bokuqondisa uthi olukhulu noma ukushaya ngesikhathi sokuhamba.

Ezimeni ezingavamile, ungase ube nobuhlungu obukhulu, obuzuma ngokushesha uma uthambo luphazamiseka. Lokhu kuvame ukwenzeka ngesikhathi semisebenzi eqinile futhi kuzwakala sengathi othile ukukikize ngemuva kwemilenze. Nakuba kungavamile, lokhu kudinga ukunakekelwa kwezokwelapha ngokushesha.

Ziyini izinhlobo zokuvuvukala kwe-Achilles tendon?

Kunezinhlobo ezimbili eziyinhloko, futhi ukwazi ukuthi yiluphi olukuthinta kusiza ekutholeni indlela engcono yokwelapha. Indawo yobunhlungu bakho iyakuxoxela.

Ukuvuvukala kwe-Achilles tendon okungekho ekuhlanganiseni kuthinta ingxenye ephakathi komthambo. Lolu hlobo luvame kakhulu kubantu abasebasha, abasebenza ngamandla futhi luvela ngokusebenzisa kakhulu ngesikhathi sezemidlalo noma ukwanda okusheshayo kwezinga lomsebenzi.

Ukuvuvukala kwe-Achilles tendon okuhlanganisa kwenzeka lapho uthambo luxhuma ngasehlombe lakho. Lolu hlobo luvamise ukuthinta abantu bazo zonke izigaba zomsebenzi futhi lungase luvele kanye nezimbobo eziqine. Luvamise ukuba nzima ukuliphatha ngoba le ndawo ayinawo igazi elilandelayo.

Yini ebangela ukuvuvukala kwe-Achilles tendon?

Izimo eziningi zithuthuka kancane kancane ngokucindezela okuphindaphindayo kuthambo ngokuhamba kwesikhathi. I-Achilles tendon yakho ingakwazi ukubhekana nokuningi, kodwa uma izidingo zidlula ikhono layo lokuphulukisa, izinkinga ziqala.

Izizathu ezivamile zokwenzeka lokhu zihlanganisa:

• Ukwanda okusheshayo komthamo wokuzivocavoca noma isikhathi.
• Imisipha yemilenze eqinile ebeka ukucindezela okukhulu kuthambo.
• Ukuqhuba emagqumeni noma emaphethelweni angalingani njalo.
• Ukugqoka izicathulo ezidala noma ezingafanele.
• Ukuba nezinyawo ezicacile noma ama-arches aphezulu.
• Ukushintsha okuhlobene nobudala okwenza ama-tendons abe buthambile.

Ngokungavamile, imithi ethile ingenza ama-tendons abe buthambile. Ama-antibiotic e-fluoroquinolone, nakuba ewusizo ekwelapheni ukutheleleka, angenza ama-tendons abe sengozini yokulimaza. Ngaphezu kwalokho, abantu abanezimpawu ezifana ne-rheumatoid arthritis noma i-psoriasis bangase babe sengozini enkulu ngenxa yokuvuvukala komzimba wonke.

Nini kufanele ubheke udokotela ngokuvuvukala kwe-Achilles tendon?

Kufanele uxhumane nodokotela uma ubuhlungu besihle buhlala isikhathi esingaphezu kwamalanga ambalwa noma buphazamisa imisebenzi yakho yansuku zonke. Ukwelashwa kwasekuqaleni kuvame ukuletha imiphumela emihle nokubuyiselwa okusheshayo.

Funani ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nobuhlungu obukhulu, obuzuma ngokushesha esihlelweni sakho noma emilenzeni, ikakhulukazi uma uzwe umsindo "wokuqhekeka". Lokhu kungase kubonise ukuqhekeka komthambo, okudinga ukwelashwa okusheshayo ukuvimbela izinkinga.

Hlela i-aphoyintimenti futhi uma ubona ukuvuvukala okukhulu, awukwazi ukuphatha isisindo ngenyawo lakho, noma uma izimpawu zakho zibe sibi naphezu kokulala nokunakekelwa kwasekhaya.

Ziyini izinto ezingase zikwenze ube sengozini yokuvuvukala kwe-Achilles tendon?

Izinto eziningi zingakwenza ube sengozini enkulu yokuthuthukisa le meko, nakuba ukuba nezinto ezingase zikwenze ube sengozini akusho ukuthi uzoba nokuvuvukala kwe-tendon. Ukuqonda lokhu kungakusiza ukuthi uthathe izinyathelo zokuvikela.

Izinto eziphathelene nomzimba ezikwenza ube sengozini zihlanganisa:

• Ukuba phakathi kweminyaka engama-30-50 lapho ama-tendons eba buthambile ngokwemvelo.
• Ukuba nemisipha yemilenze eqinile noma ebuthakathaka.
• Izinkinga zokwakheka kwenyawo ezifana nezinyawo ezicacile noma ama-arches aphezulu.
• Ukulimala kwangaphambili kwenyawo noma isihlombe.
• Ukwahluka kobubanzi bemilenze okuthinta indlela ohamba ngayo.

Izingozi ezihlobene nomsebenzi zihlanganisa ukushintsha okusheshayo endleleni yakho noma amaphutha okuqeqeshwa. Abantu abasebenza ngamandla ngempelasonto abangenawo umsebenzi phakathi nesonto kodwa abasebenza kakhulu ngempelasonto baba sengozini enkulu.

Ezinye izimo zezokwelapha zingase futhi zifake isandla. I-Diabetes, ukucindezeleka kwegazi, nezimo zokuvuvukala komzimba njenge-rheumatoid arthritis zingathinta impilo ye-tendon. Imithi ethile, ikakhulukazi ama-antibiotic athile nama-corticosteroids, ingase futhi ikhulise ubuthakathaka.

Ziyini izinkinga ezingase zenzeke ngokuvuvukala kwe-Achilles tendon?

Abantu abaningi baphila ngokuphelele ngokwelashwa okufanele, kodwa ukungazinaki izimpawu kungase kube nezinkinga ezinkulu. Izindaba ezinhle ukuthi izinkinga zingavikeleka ngokunakekelwa okufanele.

Ukuvuvukala okuqhubekayo kwe-tendon kungase kuthuthuke uma izimpawu ezibukhali zingaphathwa. Lokhu kudala ubuhlungu obuqhubekayo nokuqina okuba nzima kakhulu ukuliphatha. Uthambo lungase luthambile futhi lube ne-scar tissue, okwenza lube buthambile futhi lube sengozini enkulu yezinkinga zesikhathi esizayo.

Ezimeni ezingavamile, ukuvuvukala kwe-tendon okungaphathwa kungase kuqhubekele ekuqhekekeni komthambo. Lokhu kwenzeka lapho uthambo olubuthakathaka luqhekeka ekugcineni, ngokuvamile ngesikhathi sokuhamba okusheshayo noma umsebenzi. Nakuba kungavamile, ukuqhekeka kuvame ukudinga ukulungiswa ngokusebenza nokuphulukisa isikhathi eside.

Abanye abantu bathuthukisa ukuvuvukala kwe-tendon okuhlanganisa ngezimbobo eziqine, ezingukukhula kwamabhayolo lapho uthambo luhlangana khona ngasehlombe. Lezi zingase zibangele ubuhlungu obuqhubekayo futhi zingase zidinga izindlela zokwelapha ezikhethekile.

Ukuvuvukala kwe-Achilles tendon kungavikeleka kanjani?

Ukuvikela kugxile ekugcineni i-Achilles tendon yakho iqine, ibe buthambile, futhi ingasebenzi kakhulu. Imikhuba yansuku zonke elula inganciphisa kakhulu ingozi yakho yokuthuthukisa izinkinga.

Qala noma iyiphi inkambo entsha yokuzivocavoca kancane kancane. Ama-tendons akho adinga isikhathi sokujwayela izidingo ezikhulayo, ngakho-ke khulisa izinga lomsebenzi wakho nge-10% ngesonto. Lokhu kunika umzimba wakho isikhathi sokuqina ngaphandle kokuphazamiseka.

Gcina imisipha yemilenze yakho ibe buthambile ngokwelula njalo. Imisipha yemilenze eqinile ibeka ukucindezela okukhulu kuthambo lakho le-Achilles, ngakho-ke ukwelula okuthambile ngaphambi nangemva komsebenzi kusiza ekugcineni ubude nokuthambile okuhle.

Khetha izicathulo ezifanele imisebenzi yakho. Shintsha izicathulo ezidala ngaphambi kokuba ziphuze ukusekela kwazo, futhi cabanga ngezicathulo ezenzelwe uhlobo lwenyawo lakho uma unezinyawo ezicacile noma ama-arches aphezulu.

Ukuqeqeshwa okuhlukahlukene kusiza ukuvimbela ukusebenzisa kakhulu ngokushintsha ukucindezela kuma-tendons akho. Hlanganisa imisebenzi efana nokuqubha, ukuhamba ngebhayisikili, noma ukuqina komzimba nendlela yakho ejwayelekile ukuze unike i-Achilles tendon yakho isikhathi sokuphumula ekucindezeleni okuphindaphindayo.

Ukuvuvukala kwe-Achilles tendon kunqunywa kanjani?

Udokotela wakho uzoqala ngokuhlola komzimba nokuxoxa ngezimpawu zakho nemisebenzi. Le ngxoxo ikusiza ukuthi ubone ukuthi yini engase ibe yimbangela yalesi simo futhi iholele ekubhekeni.

Ngesikhathi sokuxilongwa komzimba, udokotela wakho uzoba uthambile uthinte uthambo ukuze athole izindawo zobuhlungu, ukuvuvukala, noma ukuthamba. Bazophinde bahlole ukunyakaza kwenyawo lakho namandla ukuqonda ukuthi lesi simo sithinta kanjani umsebenzi wakho.

Izivivinyo zokwenza izithombe azivamile ukudingeka kodwa zingase zinikeze ulwazi oluwusizo ezimweni ezithile. I-Ultrasound ingabonisa ubukhulu bomthambo nokuthola ukuqhekeka, kuyilapho i-MRI inikeza izithombe ezinemininingwane yomthambo nemithambo ezungezile.

Ama-X-rays angase ayalwe ukuhlola izimbobo eziqine noma ukugcwala kwe-calcium, ikakhulukazi uma une-insertional tendinitis. Lezi zivivinyo zisiza udokotela wakho ukuthi aqonde isithombe esiphelele futhi ahlele ukwelashwa okuphumelelayo.

Yikuphi ukwelashwa kokuvuvukala kwe-Achilles tendon?

Ukwelashwa kugxile ekunciphiseni ubuhlungu nokuvuvukala ngenkathi kusiza uthambo lwakho ukuthi luphile kahle. Abantu abaningi bathuthuka kakhulu ngokwelashwa okuqondene okuqala ekhaya.

Ukuphumula yisisekelo sokwelashwa, kodwa lokhu akusho ukuthi ungenzi lutho nhlobo. Kuzodingeka ugweme imisebenzi eyenza ubuhlungu bakho bube sibi ngenkathi ugcina ukuhamba okuthambile ukuvimbela ukuqina. Ukuqubha noma ukuzivocavoca komzimba ophezulu kungakusiza ukuthi uhlale usebenza ngaphandle kokucindezela uthambo lwakho.

Ukwelashwa nge-ice kusiza ekulawuleni ubuhlungu nokuvuvukala, ikakhulukazi ezinsukwini ezimbalwa zokuqala. Faka i-ice imizuzu engama-15-20 izikhathi eziningi ngosuku, kodwa uvikele njalo isikhumba sakho ngetawuli noma isembatho elincane.

Ukwelashwa komzimba kudlala indima ebalulekile ekuphulukiseni. Uchwepheshe wokwelashwa komzimba uzokufundisa imizamo ekhethekile yokwelula imisipha eqinile nokuqina kwabuthakathaka. Imizamo ye-eccentric, lapho uthoba kancane isihlombe sakho ngenkathi imisipha yemilenze yakho ihlala ihlala, iwusizo kakhulu ekuphulukiseni uthambo.

Udokotela wakho angase akukhuthaze imithi yokulwa nokuvuvukala ukuze usize ubuhlungu nokuvuvukala. Lokhu kusebenza kangcono uma kuhlanganiswe nezinye izindlela zokwelapha kunokusetshenziswa zodwa.

Ezimeni eziqhubekayo, ukwelashwa okwengeziwe kungase kuhlanganise ukugxilwa kwe-corticosteroid, nakuba lokhu kusetshenziswa ngokucophelela ezingxenyeni zama-tendons. Ukwelashwa okusha njengokugxilwa kwe-platelet-rich plasma (PRP) kubonisa ithemba ezimweni eziqhubekayo, nakuba ucwaningo olwengeziwe luqhubeka.

Ungaphatha kanjani ukuvuvukala kwe-Achilles tendon ekhaya?

Ukwelashwa kwasekhaya kuyisisekelo sokubuyiselwa kwabantu abaningi abane-Achilles tendinitis. Lezi zindlela zingasheshisa kakhulu ukuphulukisa kwakho uma zenziwa ngokuqhubekayo nangokufanele.

Indlela ye-RICE inikeza isiqalo esihle. Ukuphumula kusho ukugwema imisebenzi eyandisa ubuhlungu bakho, nakuba ukuhamba okuthambile kusabalulekile. I-Ice iyasiza ebuhlungwini obukhulu nokuvuvukala. Ukucindezela ngebhendi ye-elastic kungase kunikeze ukusekela, futhi ukuphakamisa kusiza ekuthuthukiseni ukuvuvukala uma ukhona.

Ukwelula okuthambile kuba kubaluleke kakhulu njengoba ubuhlungu bakho buthuthuka. Ukwelula imilenze ngedonga noma ukusebenzisa i-tawu ngenkathi uhleli kungasiza ekugcineni ukuthambile. Qala kancane bese ukhulisa ukwelula njengoba kukhuthazwa.

Cabanga ngokuphakamisa isihlombe noma izicathulo ezisekelayo ukuze unciphise ukucindezela kuthambo lwakho ngesikhathi semisebenzi yansuku zonke. Ukuphakamisa isihlombe esincane kuzo zombili izicathulo kunganciphisa ukudonsa kuthambo lakho le-Achilles ngenkathi liphulukisa.

Qaphela izimpawu zomzimba wakho. Ubuhlungu obuthambile ngesikhathi somsebenzi okuthambile kuyinto evamile, kodwa ubuhlungu obukhulu noma obukhulu kusho ukuthi kufanele ubuyele emuva uphumule kakhulu.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho yodokotela?

Ukuba ulungile kusiza udokotela wakho ukuthi aqonde kahle isimo sakho futhi enze uhlelo lokwelapha oluphumelelayo. Ukulungiselela okuncane kungenza ukuvakasha kwakho kube nomphumela omkhulu.

Bhala izimpawu zakho, kufaka phakathi ukuthi zaqala nini, yini eyenza zibe ngcono noma zibe sibi, nokuthi zikuthinta kanjani emisebenzini yakho yansuku zonke. Qaphela noma yikuphi ukushintsha kwamuva endleleni yakho yokuzivocavoca noma imisebenzi engase ibe yimbangela yale nkinga.

Letha uhlu lwemithi yonke nezinye izinto ozithathayo. Imithi ethile ingathinta impilo ye-tendon, ngakho-ke lolu lwazi lusiza udokotela wakho ukuthi aqonde isithombe esiphelele.

Lungiselela imibuzo mayelana nesimo sakho. Ungase ufune ukubuza ngesikhathi esilindelekile sokubuyiselwa, imisebenzi ephephile ukuqhubeka nayo, nezibonakaliso zezexwayiso ezingase zibonise izinkinga.

Cabanga ngokuletha izicathulo ozigqoka kakhulu, ikakhulu izicathulo zezemidlalo. Udokotela wakho angahlola ukuthi izicathulo zakho zingase zifake isandla enkingeni yakho.

Iyini into ebalulekile mayelana nokuvuvukala kwe-Achilles tendon?

Ukuvuvukala kwe-Achilles tendon kuyinkinga evamile, ephulukiswayo ephendula kahle ekungeneni kwasekuqaleni nokunakekelwa okuqhubekayo. Nakuba kungase kube nzima futhi kube buhlungu, abantu abaningi baphila ngokuphelele ngokwelashwa okufanele.

Ukuphulukisa okuphumelelayo kusekelwe ekwelapheni le meko kwasekuqaleni, ukulandela izikhuthazo zokwelapha, nokubuyela kancane kancane emisebenzini. Ukubekezela ngesikhathi sokuphulukisa kusiza ukuvimbela ukubuyela emuva futhi kuqinisekisa impumelelo yesikhathi eside.

Khumbula ukuthi ukuphulukisa kudinga isikhathi, futhi isikhathi sokubuyiselwa sawo wonke umuntu sihlukile. Ngokunakekelwa okufanele nokukhathalela, ungalindela ukubuyela emisebenzini yakho evamile nokunciphisa ingozi yezinkinga zesikhathi esizayo.

Imibuzo evamile mayelana nokuvuvukala kwe-Achilles tendon

Kuthatha isikhathi esingakanani ukuphulukisa ukuvuvukala kwe-Achilles tendon?

Isikhathi sokubuyiselwa sihluka kuye ngokukhulu nokuthi ube nezimpawu isikhathi esingakanani. Izimo ezilula zivame ukuthuthuka phakathi kwamasonto angu-2-6 ngokwelashwa okufanele, kuyilapho izimo eziqhubekayo zingase zithathe izinyanga eziningi. Ukuhambisana okuqhubekayo nezikhuthazo zokwelapha kuchaphazela kakhulu isivinini sokuphulukisa.

Ngingaqhubeka yini ngokuzivocavoca ngokuvuvukala kwe-Achilles tendon?

Ungaqhubeka ngezinye izinhlobo zokuzivocavoca, kodwa kuzodingeka ushintshe indlela yakho. Imisebenzi ephansi yokuthinta njengokuqubha, ukuhamba ngebhayisikili, noma ukuzivocavoca komzimba ophezulu kuvame ukuphephile. Gwema imisebenzi ebangela ubuhlungu noma ebeka ukucindezela kuthambo lakho le-Achilles kuze kube yilapho izimpawu zakho ziqala ukuthuthuka.

Ukuvuvukala kwe-Achilles tendon kuyobusuka yini ngemva kokwelashwa?

Ukubuyela emuva kungenzeka, ikakhulukazi uma ubuyela emisebenzini ngokushesha noma ungayilungi ingozi ebangela. Ukulandela uhlelo lokubuyela emisebenzini kancane kancane, ukugcina ukuthambile kwemilenze, nokusebenzisa izicathulo ezifanele kunciphisa kakhulu ingozi yezimo zesikhathi esizayo.

Ingabe ukusebenza ngokusebenza kudingeka ngokuvuvukala kwe-Achilles tendon?

Ukusebenza ngokusebenza akudingeki futhi kuvame ukugcinelwa izimo eziqhubekayo ezingaphenduli ekwelapheni okuqondene izinyanga ezingama-6-12. Abantu abaningi baphila kahle ngaphandle kokusebenza ngokusebenza uma belandela izinhlelo zokwelapha ezifanele futhi banike uthambo lwabo isikhathi esanele sokuphulukisa.

Uyini umehluko phakathi kokuvuvukala kwe-Achilles tendon nokuqhekeka komthambo we-Achilles?

Ukuvuvukala kwe-tendon kuhilela ukuvuvukala nokuqhekeka okuncane kuthambo, okubangela ubuhlungu obuqala kancane nokuqina. Ukuqhekeka kuyiqhekeka eliphelele noma elingaphelele elivamise ukubangela ubuhlungu obukhulu, obuzuma ngokushesha, ngokuvamile ngomsindo "wokuqhekeka". Ukuqhekeka kudinga ukunakekelwa kwezokwelapha ngokushesha futhi ngokuvamile ukulungiswa ngokusebenza.