I-Achilles tendinitis

I-Achilles tendinitis yenzeka lapho i-tendon exhuma ngemuva komlenze wakho esithendeni sakho ivuvukala futhi ibuhlungu eduze kwangaphansi konyawo. Le tendon ibizwa ngokuthi i-Achilles tendon. Ikuvumela ukuthi ucindezele unyawo lwakho phansi. Usebenzisa i-Achilles tendon yakho lapho uhamba, ugijima, futhi weqa.

Kunemisipha emibili emikhulu enkonyane. Lokhu kudala amandla adingekayo ukusunduza ngonyawo noma ukukhuphuka ngezinzwane. Ithenda enkulu yama-Achilles ixhuma le misipha esithendeni.

Ubuhlungu besithende kuvame kakhulu ngenxa yokusetshenziswa ngokweqile konyawo. Akuvamile, kubangelwa ukulimala.

I-tendinitis ngenxa yokusebenzisa ngokweqile ivame kakhulu kubantu abasha. Kungenzeka kubantu abahambahambayo, abagijimi, noma abanye abadlali.

I-Achilles tendinitis kungenzeka ukuthi yenzeke uma:

• Kukhona ukwanda okungazelelwe kwenani noma ukuqina komsebenzi.
• Imisipha yakho yethole iminyene kakhulu (ayeluliwe).
• Ugijima ezindaweni ezinzima, njengokhonkolo.
• Ugijima kaningi kakhulu.
• Ugxuma kakhulu (njengalapho udlala i-basketball).
• Awuzigqoki izicathulo ezinikeza izinyawo zakho ukwesekwa okufanele.
• Unyawo lwakho luphenduka ngokungazelelwe noma luphume.

I-tendinitis evela ku-arthritis ivame kakhulu kubantu abadala abaneminyaka yobudala nangaphezulu. Ukuqhuma kwethambo noma ukukhula kungahle kwenziwe ngemuva kwethambo lesithende. Lokhu kungacasula ithenda le-Achilles futhi kubangele ubuhlungu nokuvuvukala. Izinyawo eziphansi zizobeka ukungezwani okuningi kuthenda.

Izimpawu zifaka phakathi ubuhlungu esithendeni kanye nobude bethoni lapho uhamba noma ugijima. Indawo ingazizwa ibuhlungu futhi iqine ekuseni.

Ithenda ingaba buhlungu ukuyithinta noma ukuyihambisa. Indawo kungenzeka ivuvukele futhi ifudumele. Ungaba nenkinga yokuma ezinzwaneni zakho. Ungaba nenkinga yokuthola izicathulo ezilingana kahle ngenxa yobuhlungu ngemuva kwesithende sakho.

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa komzimba. Bazobheka ubumnene eceleni kwethenda nobuhlungu endaweni yethenda lapho ume ezinzwaneni zakho.

Ama-X-ray angasiza ekutholeni izinkinga zamathambo.

Ukuhlolwa ngonyawo kwe-MRI kungenziwa uma ucabanga ukuhlinzwa noma kunethuba lokuthi unenyembezi kuthenda le-Achilles.

Ukwelashwa okuyinhloko kwe-Achilles tendinitis AKUFAKI ukubandakanya ukuhlinzwa. Kubalulekile ukukhumbula ukuthi kungathatha okungenani izinyanga ezimbili kuya kwezi-3 ukuthi ubuhlungu buphele.

Zama ukubeka iqhwa endaweni yethenda le-Achilles imizuzu eyi-15 kuye kwengama-20, ama-2 kuye kathathu ngosuku. Susa iqhwa uma indawo iba ndikindiki.

Izinguquko emsebenzini zingasiza ukuphatha izimpawu:

• Nciphisa noma umise noma imuphi umsebenzi obangela ubuhlungu.
• Qalisa noma uhambe ezindaweni ezibushelelezi nezithambile.
• Shintshela ekuhambeni ngebhayisikili, ukubhukuda, noma eminye imisebenzi ebeka ukucindezeleka okuncane kuthenda ye-Achilles.

Umhlinzeki wakho noma owelapha ngokomzimba angakukhombisa ukuzivocavoca okwelula ithenda le-Achilles.

Kungadingeka futhi ukuthi wenze izinguquko ezicathulweni zakho, njenge:

• Usebenzisa i-brace, boot noma i-cast ukugcina isithende nethenda kunganyakazi futhi kuvumele ukuvuvukala kwehle
• Ukubeka izitebhisi zesithende esicathulweni ngaphansi kwesithende
• Ukugqoka izicathulo ezithambile ezindaweni ezingaphezulu nangaphansi komcamelo wesithende

Izidakamizwa ezingezona ukuvuvukala (ama-NSAID), njenge-aspirin ne-ibuprofen, angasiza ekunciphiseni ubuhlungu noma ukuvuvukala.

Uma lezi zindlela zokwelapha zingazenzi ngcono izimpawu, ungadinga ukuhlinzwa ukuze ususe izicubu ezivuthayo nezindawo ezingavamile zethenda. Uma kune-bone spur ecasula i-tendon, ukuhlinzwa kungasetshenziswa ukususa i-spur.

I-Extracorporeal shock wave therapy (ESWT) ingaba yindlela ehlukile yokuhlinzwa kubantu abangaphendulanga kwezinye izindlela zokwelashwa. Le ndlela yokwelashwa isebenzisa amagagasi omsindo ophansi.

Ezimweni eziningi, izinguquko zendlela yokuphila zisiza ukuthuthukisa izimpawu. Hlala wazi ukuthi izimpawu zingabuya uma UNGAYIKHULU imisebenzi ebangela ubuhlungu, noma uma UNGALOKOTHI ugcine amandla nokuguquguquka kwethenda.

I-Achilles tendinitis ingakwenza ube sethubeni lokuphuka kwe-Achilles. Lesi simo sivame ukudala ubuhlungu obucijile obuzwa sengathi ushaywe ngemuva esithendeni ngenduku. Ukulungiswa kokuhlinzwa kuyadingeka. Kodwa-ke, ukuhlinzwa kungenzeka kungaphumeleli njengokujwayelekile ngoba sekuvele kukhona ukulimala kwethenda.

Shayela umhlinzeki wakho uma:

• Unobuhlungu esithendeni esiseduze kwethenda le-Achilles elibi kakhulu ngomsebenzi.
• Unobuhlungu obukhali futhi awukwazi ukuhamba noma ukusunduza ngaphandle kobuhlungu obukhulu noma ubuthakathaka.

Ukuzivocavoca ukugcina imisipha yakho yethole iqinile futhi iguquguqukayo kuzosiza ukunciphisa ubungozi be-tendinitis. Ukusebenzisa ngokweqile ithenda le-Achilles elibuthakathaka noma eliqinile likwenza ube sethubeni lokuthuthukisa i-tendinitis.

I-tendinitis yesithende; Ubuhlungu besithende - Achilles

• Ukuvuvukala kwe-Achilles tendon

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I-Brotzman SB. I-Achilles tendinopathy. Ku: Giangarra CE, Manske RC, abahleli. Ukuvuselelwa Kwe-Orthopedic Clinical: Indlela Yethimba. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2018: isahluko 44.

UHogrefe C, uJones EM. I-tendinopathy kanye ne-bursitis. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 107.

I-Waldman SD. I-Achilles tendinitis. Ku: Waldman SD, ed. I-Atlas yama-Syndromes obuhlungu obujwayelekile. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2019: isahluko 126.