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October 10, 2025
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Ukuphazamiseka kwe-Achilles tendon ukukhishwa okuphelele noma okungaphelele komugqa omkhulu wezicubu ehlanganisa umsipha wakho wethole ku-heel bone yakho. Leli lehlazo liyenzeka ngokushesha futhi kungaba sengathi othile ukukikile emuva kweleng yakho, ngisho noma kungekho muntu osekanye.
I-Achilles tendon yakho iyona tendon enkulu kunazo zonke futhi eqinile emzimbeni wakho, kodwa futhi ingenye yezinto ezilimazayo kakhulu. Uma iphazamiseka, cishe uzokuzwa umsindo oqondile we-“pop” futhi ube nobuhlungu obukhulu nobunzima bokuhamba. Izindaba ezinhle ukuthi ngokwelashwa okuqondile, abantu abaningi bayaphila futhi babuyele emisebenzini yabo evamile.
Isici esibaluleke kakhulu sokuphazamiseka kwe-Achilles tendon ubuhlungu obukhulu, obukhulu emuva kwenyawo lakho noma etholeni. Ungase uzizwe sengathi othile ukushayile ngebhola le-baseball noma ukukikile kakhulu elengeni.
Nazi izimpawu eziyinhloko ongazihlangabezana nazo:
Abanye abantu bachaza ukuzizwa sengathi umsipha wabo wethole “uqhubekele phezulu” kude neqolo labo. Ungase futhi uqaphele ukuthi uleng olulimazayo luzwakala lubuthakathaka kunokujwayelekile, okwenza kube nzima ukukhuphuka izitebhisi noma ukuhamba entabeni.
Ezimweni ezingavamile, ungase ube nokuqina noma ukukhahlela enyaweni yakho uma ukuphazamiseka kulimaza izicubu eziseduze. Lokhu akuvamile, kodwa kufanele ukukhulume nodokotela wakho uma kwenzeka.
Ukuphazamiseka okuningi kwe-Achilles tendon kwenzeka ngesikhathi semisebenzi yezemidlalo ebandakanya ukukhanya okusheshayo, ukuthoba, noma ukushintsha kwezinkomba ngokushesha. I-tendon ayikwazi ukubhekana namandla amakhulu, angalindelekile afakwa kuyo.
Imisebenzi evamile engabangela leliphutha ihlanganisa:
Ingozi yakho iyanda uma i-Achilles tendon yakho iye yabuthakathaka ngokuhamba kwesikhathi. Lokhu kubuthakathaka kuvame ukwenzeka kancane kancane ngezinsiza ezincane ezithuthukiswa ukucindezeleka okuphindaphindwayo, ukunikezwa kwegazi okungekuhle endaweni, noma ukuguqulwa okuhlobene nobudala e-tendon tissue.
Ngezinye izikhathi, ukuqhekeka kwenzeka ngesikhathi semisebenzi yansuku zonke njengokukhuphuka izitebhisi noma ukuwela esitebhisi. Lokhu kungenzeka kakhulu uma unezinkinga ze-tendon noma uthatha imithi ethile engabuthakathaka ama-tendons.
Kufanele ufuna ukunakekelwa kwezokwelapha ngokushesha uma uzwa umsindo ophazamisayo emathangeni akho noma endaweni yesihlalo okulandela ubuhlungu obukhulu. Ungalindi ukubona uma kuzoba ngcono ngokwalo, njengoba ukwelashwa kwasekuqaleni kuholela eziphumeleni ezingcono.
Hamba e-emergency room noma ekunakekelweni okusheshayo uma uhlangabezana nomsindo oqhekeka noma ophazamisayo ohlangene nobuhlungu obukhulu ngokushesha endaweni yesihlalo sakho. Kufanele futhi ufuna ukunakekelwa okusheshayo uma ungakwazi ukubheka unyawo lwakho phansi noma uqine ezithendeni zakho ohlangothini oluthintekayo.
Ngisho noma ubuhlungu bakho bungelona obukhulu, ukukhubazeka ukuhamba ngokujwayelekile noma imizwa yokuthi umsipha wakho we-calf “uhlanganiswe” ngasekhaleni lakho kudinga ukuhlolwa kwezokwelapha ngokushesha. Lezi zibonakaliso zikhomba ukuqhekeka okuphelele okudinga ukwelashwa kwezobuchwepheshe.
Uma ubona ukuqala kancane kokuphola kwesithende, ukukhula, noma ukukhuluphala ezinsukwini ezimbalwa, cisha isikhathi sokubona udokotela wakho phakathi nezinsuku ezimbalwa. Lezi zimpawu zingabonisa ukubhebhetheka okungaphelele noma i-tendonitis engase iholele ekubhebhethekeni okuphelele uma ingalashwa.
Izinto eziningi zingandisa amathuba akho okuhlupheka ngokubebhetheka kwe-Achilles tendon. Ukuqonda lezi zinto ezingaba yimbangela kungakusiza ukuthi uthathe izinyathelo zokuvikela futhi uhlale uqaphile ukuthi unesihlobo.
Ubudala budlala indima ebalulekile, ngokubebhetheka okuningi kwenzeka kubantu abaneminyaka engama-30 kuya kwengu-50. Phakathi nalesi sikhathi, ama-tendon akho aphulukana ngokwemvelo nokuthambile nokuqinile, kodwa ungase ube usasebenza kakhulu ezemidlalo noma emisebenzini yomzimba.
Izinga lakho lomsebenzi kanye nokuhlanganyela kwezemidlalo kubalulekile futhi:
Izimo ezithile zezokwelapha zingenza i-Achilles tendon yakho ibe buthakathaka ngokuhamba kwesikhathi. Lokhu kufaka i-diabetes, engathinta ukugcwala kwegazi ku-tendon, kanye nezimpawu ezivuvukalayo njenge-rheumatoid arthritis noma i-lupus engabangela ukuvuvukala kwe-tendon.
Imithi ethile, ikakhulukazi ama-antibiotic e-fluoroquinolone afana ne-ciprofloxacin, ingandisa ingozi yakho yokubebhetheka. Ukugonywa kwe-corticosteroid eduze kwe-Achilles tendon kungabuye kuqedele inyama, nakuba lokhu kungavamile.
Izinkinga zangaphambili ze-Achilles tendon, kufaka phakathi i-tendonitis noma ukubhebhetheka okuncane, kudala inyama eyenziwe ngamabala eyenza i-tendon ibe sengozini yokubebhetheka. Ngaphezu kwalokho, ukuba nezinyawo ezicacile noma ukweqisa kakhulu kungafaka uxinzelelo olukhulu ku-Achilles tendon yakho ngesikhathi semisebenzi.
Nakuba abantu abaningi bephulukana kahle ngokuqhekeka kwe-Achilles tendon, kukhona ezinye izinkinga ezingase zenzeke, ikakhulukazi uma kungekho ukwelashwa okufanele. Ukuqonda lezi zinto kukunceda uqonde ukuthi kungani ukunakekelwa kwemithi okusheshayo kubaluleke kangaka.
Inkinga evame kakhulu ukuphinda kuqhekeke i-tendon, okuyenzeka cishe ku-2-5% yezimo. Le ngozi iphakeme uma ubuyela emisebenzini ngokushesha kakhulu noma ungalandeli uhlelo lwakho lokuphulukiswa kahle.
Ezinye izinkinga ezingase zenzeke zihlanganisa:
Izinkinga zokucutshungulwa, nakuba zingevamile, zingabandakanya ukutheleleka, ukonakala kwama-nerve, noma izinkinga zokwelapha isifo. Abanye abantu bathuthukisa inyama ebukhali enokubangela ukungakhululeki okuqhubekayo noma ukulinganisela ukuhamba kwesinqe.
Ezimweni ezingavamile, abantu bahlangabezana ne-deep vein thrombosis (iziqubu zegazi) phakathi nesikhathi sokuvalelwa, ikakhulukazi uma benganyuki kakhulu. Kungakho udokotela wakho angase akukhuthaze ukuzivocavoca okuthile noma imithi yokunciphisa igazi ngesikhathi sokuphulukiswa.
Uma kungenakwelashwa, i-Achilles tendon yakho ingase iphulukise endaweni ende, inciphisa amandla akho okubheka unyawo lwakho phansi noma ukuqala lapho uhamba. Lokhu kungathinta kakhulu imisebenzi yakho yansuku zonke kanye nokusebenza kwezemidlalo.
Unganciphisa kakhulu ingozi yokuqhekeka kwe-Achilles tendon ngokunakekela imisipha yakho ne-tendons eqolo ngokwelula okuvamile nokuqinisa. Ukuvimbela kuhlale kungcono kunokubhekana naleliphutha ebuhlungu.
Qala ngokululamisa imisipha yemilenze njengengxenye yemikhuba yakho yansuku zonke. Gcina ukululamisa isikhathi esingamasekhondi angu-30 bese uphinda izikhathi ezingu-2-3, ikakhulukazi ngaphambi nangemva kwemisebenzi yomzimba. Gxila kokululamisa imilenze eqondile neyegqanyisiwe ukuze uqonde izingxenye ezahlukene zeqembu lemisipha yemilenze.
Qinisisa imisipha yemilenze ngemisebenzi efana nokuphakamisa imilenze, kokubili uhlala phansi noma umi. Ngendlela eyandeyelayo, yenza ukuphakamisa imilenze ngomlenze owodwa noma engeza ukomelela. Imisipha yemilenze eqinile, enenhlansi inikeza ukusekela kangcono i-Achilles tendon yakho.
Uma ukhuphula amazinga wakho wemisebenzi, yenza kancane kancane. Landela umthetho we-10% ngokwandisa ubukhulu bomsebenzi wakho, isikhathi, noma ubukhulu ngaphansi kuka-10% masonto onke. Lokhu kunika ama-tendons akho isikhathi sokujwayela izidingo ezikhulayo.
Khetha izicathulo ezifanele kwimisebenzi yakho. Izicathulo ezine-heel support enhle ne-cushioning zinganciphisa ukucindezela kwi-Achilles tendon yakho. Shintsha izicathulo zezemidlalo ezidiliziwe njalo, njengoba zilahlekela amandla azo okuthambisa isikhathi eside.
Phawula izimpawu zokuqala zokuqala njengokuhlunguluka kwesihlakala, ubuhlungu ekuseni, noma ubuhlungu e-Achilles tendon yakho. Bhekana nalezi zimpawu ngokushesha ngokuphumula, iqhwa, nokululamisa okuthambile ngaphambi kokuthi ziqhubekele ezinkingeni ezinzima kakhulu.
Udokotela wakho uhlale ekwazi ukuxilonga ukuphazamiseka kwe-Achilles tendon ngokuhlolwa komzimba kanye nencwadi yakho yokuthi ukulimala kwenzeke kanjani. Ukuhlanganiswa kwezimpawu zakho nemihlobiso yomzimba evamile kunikeza isithombe esicacile.
Phakathi kokuhlolwa, udokotela wakho uzobheka izimpawu ezibonakalayo njengokuvuvukala, ukweluka, noma isikhala kwi-tendon yakho. Bazozwa kancane e-Achilles tendon yakho ukuhlola izindawo ezibuhlungu noma ukucindezeleka lapho ukuphazamiseka kwenzeke khona.
Ivivinyo le-Thompson yithuluzi elithenjwa kakhulu lokuthola ukuphazamiseka okuphelele. Uzoqama ubuso phansi ngesikhathi udokotela wakho ecindezela umsipha wakho wethole. Uma i-Achilles tendon yakho iphelele, unyawo lwakho kufanele luqonde phansi ngokuzenzakalelayo. Uma lunganyuki, lokhu kubonisa ukuthi kukhona ukuphazamiseka okuphelele.
Udokotela wakho angase akucele ukuthi uzame ukuqina ngeminwe yakho ohlangothini olulimaziwe. Uma ungakwazi ukwenza lokhu noma kubangela ubuhlungu obukhulu, kuyisibonakaliso esinamandla sokuphazamiseka kwe-Achilles tendon.
Ngezinye izikhathi, ukuhlolwa kwezithombe kusiza ukuqinisekisa ukuxilongwa noma ukuhlola ubukhulu bokulimala. I-ultrasound ingabonisa indawo nobukhulu bokuphazamiseka, kuyilapho i-MRI inikeza izithombe ezinemininingwane yethendon nezinsimbi ezizungezile.
Lezi zihloko zezithombe ziwusizo ikakhulukazi uma udokotela wakho enesizathu sokuthi kukhona ukuphazamiseka okungaphelele noma ufuna ukuhlela ukwelashwa ngokuthunga. Zingabuye zikhiphe ezinye izimo ezingase zibangele izimpawu ezifanayo, njengokucindezeleka komsipha wethole noma ukuphazamiseka kwamathambo esithende.
Ukwelashwa kokuphazamiseka kwe-Achilles tendon kuncike ezintweni eziningi, kufaka phakathi ukuphelela kokuphazamiseka, iminyaka yakho, amazinga wemisebenzi, nokuphila kwakho jikelele. Kokubili ukwelashwa ngokuthunga nokungenayo ukwelashwa ngokuthunga kungase kube nemiphumela emihle uma kukhethwe ngokufanele.
Ngokuphazamiseka okuphelele, ukulungiswa ngokuthunga kuvame ukunconywa, ikakhulukazi kubantu abasebasha, abasebenza kanzima. Udokotela uhlanganisa kabusha iziphetho ze-tendon eziqhekekile, okuholela emandleni angcono kakhulu nasezingeni eliphansi lokuphazamiseka kabusha uma kuqhathaniswa nokwelashwa okungenayo ukwelashwa ngokuthunga.
Ukwelashwa okungenayo ukwelashwa ngokuthunga kuhilela ukugqoka i-cast noma i-boot ekhethekile egcina unyawo lwakho luqonde phansi, kuvumela iziphetho ze-tendon zilungise ngokwemvelo. Le ndlela isebenza kahle ngokuphazamiseka okungaphelele noma kubantu abangabakhethi abafanele ukwelashwa ngokuthunga ngenxa yeminyaka noma izimo zempilo.
Inkqubo evamile yokwelashwa okungenayo ukwelashwa ngokuthunga ihlanganisa:
Isikhathi sokuphulukisa sihlukahlukene kodwa ngokuvamile sithatha izinyanga ezingu-4-6 kungakhathaliseki indlela yokwelapha. Ngalesi sikhathi, uzosebenza nodokotela wezokwelapha ukuze ubuyisele kancane kancane ukunyakaza kwe-ankle yakho, amandla e-calf, kanye nomsebenzi jikelele.
Udokotela wakho uzokusiza ukukhetha indlela yokwelapha engcono kakhulu ngokuya ngesimo sakho. Izinto ezifana nezidingo zomsebenzi wakho, imigomo yokubamba iqhaza kwezemidlalo, kanye nezifiso zakho siqu konke kudlala indima kulesi sinqumo.
Nakuba ukwelashwa kwezokwelapha okuqeqeshwe kubalulekile ekuphazamisekeni kwe-Achilles tendon, kunezinto eziningi ongenza ekhaya ukuze usekele ukwelapha kwakho futhi uphathe ubuhlungu phakathi kokwelapha.
Ezinsukwini ezimbalwa zokuqala ngemuva kokulimaza, landela i-RICE protocol: Rest, Ice, Compression, and Elevation. Faka iqhwa imizuzu engu-15-20 njalo ngemizuzu engu-2-3 ukuze unciphise ukukhuluphala nobuhlungu. Phakamisa umlenze wakho ngaphezu kwezinga lenhliziyo uma uhleli noma ulele ukuze unciphise ukukhuluphala.
Thatha imithi yokunciphisa ubuhlungu ethengekayo njenge-ibuprofen noma i-acetaminophen njengoba kuqondiswe ukuze uphathe ubuhlungu nokutheleleka. Noma kunjalo, hlola nodokotela wakho kuqala, ikakhulukazi uma uthatha eminye imithi noma unezimo zempilo ezingase zihlangane nezinciphise ubuhlungu.
Uma udokotela wakho evuma, ukuzivocavoca okuthambile kokunyakaza kungasiza ukuvimbela ubunzima nokukhuthaza ukwelapha. Qala ngokupompa okuthambile kwe-ankle kanye nezingqimba, kodwa kuphela ngaphakathi kwendawo yakho yokududuzeka futhi njengoba kuqondiswe yiqembu lakho lokuphatha impilo.
Vivikele i-tendon yakho elilimaziwe ngokuqeda imisebenzi eyiqinisayo. Ungazami "ukuhamba ngokusebenzisa" ubuhlungu noma uvivinye amandla akho ngokushesha, njengoba lokhu kungenza kube kubi kakhulu ukwenzakala noma kulibambezele ukwelapha.
Qaphela ukudla kwakho ngesikhathi sokuphulukisa. Amaprotheni asiza ekulungiseni izicubu, kuyilapho i-vitamin C isekela ukwakheka kwe-collagen. Hlala uthambile futhi udle ukudla okuhlanzekile okunezithelo, imifino, namaprotheni amancane ukuze usekele inqubo yokwelapha yomzimba wakho.
Qaphela izimpawu zezinkinga ezinjengokwanda kokubuhlungu, ubomvu, ukushisa, noma uthango, okungase kubonise ukutheleleka noma ezinye izinkinga. Xhumana nodokotela wakho ngokushesha uma ubona noma yiziphi izinguquko ezikhathazayo ezimpawu zakho.
Ukulungiselela ukubona udokotela wakho kungasiza ukuqinisekisa ukuthi uthola ukunakekelwa okubanzi kakhulu nezimpendulo zemibuzo yakho mayelana nokuqhekeka kwe-Achilles tendon yakho. Ukuzilungiselela kancane kuhamba ibanga elide ekwenzeni ukuvakasha kwakho kube nomphumela.
Bhala ngokuqondile ukuthi ukulimala kwakho kwenzeke kanjani, kufaka phakathi umsebenzi obukwenza, noma yimiphi imisindo oyizwile, kanye nezimpawu zakho zesikhathi esifushane. Lolu lwazi lusiza udokotela wakho ukuthi aqonde indlela yokulimaza futhi ahlole amazinga okonakala.
Yenza uhlu lwezimpawu zakho zamanje, kufaka phakathi ukuthi zaqala nini nokuthi yini eyenza zibe ngcono noma zimbi. Qaphela noma yiziphi izinguquko ekukwenzeni kwakho ukuhamba, ukuqina ngeminwe, noma ukwenza imisebenzi yansuku zonke kusukela lapho ukulimala kwenzeka.
Letha uhlu oluphelele lwemithi yakho, kufaka phakathi imithi yokwelapha, imithi yokuthengwa ngaphandle kwelayisensi, kanye nezinye izinto. Eminye imithi ingathinta ukuphulukisa kwe-tendon noma ihlangane nezinye izindlela zokwelapha udokotela wakho angase azincoma.
Lungiselela imibuzo okumele uyibuze udokotela wakho, efana nale:
Letha ilungu lomndeni noma umngani lakho ekuhlanganyeleni kwakho uma kungenzeka. Bangakusiza ukuba ukhumbule ulwazi olubalulekile futhi banikeze ukwesekwa ngesikhathi esingase sibe yisikhathi esicindeclayo.
Gqoka ibhulukwe elikhululekile noma ama-shorts angaphakanyiswa kalula ukuze udokotela wakho akwazi ukuhlola umlenze wakho ngokuphelele. Gwema izingubo eziqinile ezingase zibe nzima ukuzisusa ekuhlolweni komzimba.
Ukuqhekeka kwe-Achilles tendon kuyilitha elibuhlungu kodwa elingaphatheka elidinga ukunakekelwa ngokushesha kwezokwelapha ukuze kuzuzwe imiphumela emihle. Nakuba kungase kube ukwesaba ukuzwa ukuqhuma nobuhlungu obuzumayo, ukuqonda ukuthi kukhona ukwelashwa okuphumelelayo okutholakalayo kungase kunikeze ukududuza ngesikhathi sohambo lwakho lokuphulukisa.
Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukuxilongwa kwasekuqaleni nokuphathwa okuqondile kuholela emiphumeleni emihle yesikhathi eside. Kungakhathaliseki ukuthi ukhetha ukwelashwa okuhlinzwayo noma okungelona okuhlinzwayo, ukulandela izincomo zeqembu lakho lokunakekelwa kwezempilo nokuba nesineke ngenqubo yokuphulukisa kubalulekile ukuphulukisa ngokuphelele.
Abantu abaningi ababhekana nokuqhekeka kwe-Achilles tendon babuyela emazingeni abo wangaphambili wemisebenzi phakathi nezinyanga eziyi-6-12. Ngokuvuselelwa okuqondile nokubuyela kancane kancane emisebenzini, ungalindela ukubuyisela umsebenzi ophelele namandla emilenzeni yakho ethintekile.
Ukuvimbela ngokwelula njalo, ukuqhubeka kancane kwemisebenzi, nokunakekelwa izimpawu zokuqala zokuqala kungakusiza ukuzivikela ekulimaleni kwesikhathi esizayo. Khumbula ukuthi i-Achilles tendon yakho inamandla kakhulu futhi, ngokunakekelwa okuqondile, ingaphulile ngokuphelele ngisho nokuqhekeka okuphelele.
Ungase ukwazi ukuhamba une-Achilles tendon ephukile, kodwa kuzoba nzima futhi kubuze. Abantu abaningi basaqhubeka bekhona ukuhamba ngokusebenzisa imisipha yabo eminye ukuze bahlanganise, kodwa cishe uzoba ne-limp ebonakalayo nobunzima bokuqhuma ngenyawo lakho elithintekayo. Ukuhamba nge-Achilles tendon ephukile ngokuphelele akusikholisi njengoba kungenza ukwenzakala kube kubi futhi kulibambe ukuphulukisa.
Ukuphulukisa kuvame ukuthatha izinyanga ezingu-4-6, kungakhathaliseki ukuthi ukhetha ukwelashwa ngokusebenza noma okungekho ngokusebenza. Izinyanga zokuqala eziyi-6-8 zihilela ukungabi namandla ekhasini noma ebuthongweni, okulandela izinyanga eziningana zokwelashwa komzimba. Ukubuyela emidlalweni noma emisebenzini ephakeme yokuthinta kuvame ukuvela cishe ngezinyanga eziyi-6-12 ngemuva kokwenzakala, kuye ngokuthuthuka kokwelashwa kwakho nemigomo yomsebenzi.
Yebo, abantu abaningi bangabuyela ekugijimeni ngemuva kokuphazamiseka kwe-Achilles tendon ngokwelashwa okuqondile nokwenza kabusha. Kodwa-ke, kuvame ukuthatha izinyanga eziyi-6-12 ngaphambi kokuba ukwazi ukubuyela ekugijimeni ngokuphephile, futhi kuzodingeka uqale kancane kancane. Abanye abantu baphawula ukwehla okuncane ezingeni labo eliphezulu lokusebenza, kodwa abaningi babuyela emakhono abo okuqala kokugijima.
Ukusebenza akudingeki njalo, kodwa kuvame ukunconywa ngokuphazamiseka okuphelele, ikakhulukazi kubantu abasebasha, abasebenza. Ukwelashwa okungekho ngokusebenza kungasebenza ngokuphazamiseka okungaphelele noma kubantu abangabantu abafanelekile ukusebenza. Udokotela wakho uzokusiza unqume indlela engcono kakhulu ngokuya ngesimo sakho, iminyaka, izinga lomsebenzi, nezifiso zakho siqu.
Abantu abaningi bayichaza njengokuzwa sengathi othile ubabethe ngamandla emhlane wezinyawo noma wabethe ngebhola. Cishe uzokuzwa umsindo omkhulu ophaphamayo noma oqhumayo, oqondene nobuhlungu obukhulu obukhulu esihlekweni sakho noma endaweni yebende. Ubuhlungu bungase buthuthuke ngokushesha, kodwa uzobona ubuthakathaka obukhulu nobunzima ekuhambeni noma ekuyimenyenzeni ngeminwe yokuqala emilenzeni ethintekile.
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