I-Bursitis yesithende

I-Bursitis yesithende ukuvuvukala kwesikhwama esigcwele uketshezi (i-bursa) ngemuva kwethambo lesithende.

I-bursa isebenza njengomuthi wokuthambisa nokugcoba phakathi kwamathenda noma imisipha eshibilika phezu kwethambo. Kukhona ama-bursas azungeze amalunga amakhulu kakhulu emzimbeni, kufaka phakathi iqakala.

I-bursa retrocalcaneal itholakala ngemuva kweqakala esithendeni. Yilapho ithenda enkulu ye-Achilles ixhuma khona imisipha yethole ethanjeni lesithende.

Ukusetshenziswa okuphindaphindiwe noma okuningi kweqakala kungenza le bursa icasuke futhi ivuvuke. Kungabangelwa ukuhamba kakhulu, ukugijima, noma ukugxuma.

Lesi simo sivame ukuxhumaniswa ne-Achilles tendinitis. Kwesinye isikhathi i-retrocalcaneal bursitis ingahle iphanjaniswe ne-Achilles tendinitis.

Izingozi zalesi simo zifaka:

• Ukuqala isimiso sokuzivocavoca kakhulu
• Izinga lomsebenzi elandayo ngokungazelelwe ngaphandle kwesimo esifanele
• Izinguquko kuleveli yomsebenzi
• Umlando we-arthritis obangelwa ukuvuvukala

Izimpawu zifaka:

• Ubuhlungu ngemuva kwesithende, ikakhulukazi ngokuhamba, ukugijima, noma lapho kuthintwa indawo
• Ubuhlungu bungaba buhlungu kakhulu lapho umile phezu kwezipikili
• Isikhumba esibomvu, esifudumele ngemuva kwesithende

Umhlinzeki wakho wokunakekelwa kwezempilo uzothatha umlando ukuthola ukuthi unezimpawu ze-retrocalcaneal bursitis. Kuzohlolwa ukuze kutholakale ubuhlungu. Umhlinzeki uzophinde afune ubumnene nokubomvu ngemuva kwesithende.

Ubuhlungu bungaba bubi kakhulu lapho iqakala lakho ligobele phezulu (dorsiflex). Noma, ubuhlungu bungaba bukhulu uma uvuka ezinzwaneni zakho.

Isikhathi esiningi, ngeke uzidinge izifundo ze-imaging ezifana ne-x-ray ne-MRI ekuqaleni. Ungazidinga lezi zivivinyo ngokuhamba kwesikhathi uma ukwelashwa kokuqala kungaholeli ekwenzeni ngcono. Ukuvuvukala kungakhombisa kwi-MRI.

Umhlinzeki wakho angancoma ukuthi wenze okulandelayo:

• Gwema imisebenzi edala ubuhlungu.
• Beka iqhwa esithendeni izikhathi eziningana ngosuku.
• Thatha izidakamizwa ezingezona ukuvuvukala (ama-NSAID), njenge-ibuprofen.
• Zama ukusebenzisa i-over-the-counter noma i-wedges yangokwezifiso ezicathulweni ezicathulweni zakho ukusiza ukunciphisa ukucindezeleka esithendeni.
• Zama ukwelashwa kwe-ultrasound ngesikhathi sokwelashwa komzimba ukunciphisa ukuvuvukala.

Yiba nokwelashwa ngokomzimba ukuze uthuthukise ukuguquguquka kwamandla namandla azungeze iqakala. Ukugxila kuzobe kukwelula ithenda yakho ye-Achilles. Lokhu kungasiza i-bursitis ithuthukise futhi iyivimbele ekubuyeni.

Uma lezi zindlela zokwelapha zingasebenzi, umhlinzeki wakho angajova inani elincane lomuthi we-steroid ku-bursa. Ngemuva komjovo, kufanele ugweme ukweqa ithenda ngoba ingavuleka (kuqhekeke).

Uma isimo sixhunywe ku-Achilles tendinitis, kungadingeka ukuthi ugqoke isamente eqakaleni amasonto ambalwa. Kuyaqabukela kakhulu, kungadingeka ukuhlinzwa ukuze kususwe i-bursa evuvukele.

Lesi simo sivame ukuba ngcono emasontweni ambalwa ngokwelashwa okufanele.

Shayela umhlinzeki wakho uma unezinhlungu zesithende noma izimpawu ze-retrocalcaneal bursitis ezingathuthuki ngokuphumula.

Izinto ongazenza ukuvimbela inkinga zifaka:

• Gcina ukuguquguquka okuhle namandla azungeze iqakala ukusiza ukuvimbela lesi simo.
• Yelula ithenda le-Achilles ukusiza ukuvimbela ukulimala.
• Gqoka izicathulo ngokuxhaswa okwanele kwe-arch ukunciphisa inani lokucindezeleka kuthenda nokuvuvukala ku-bursa.
• Sebenzisa ifomu elifanele lapho uzivocavoca umzimba.

Ubuhlungu besithende sokufaka; I-bursitis ye-retrocalcaneal

• Ukuzivocavoca umzimba
• I-bursitis ye-retrocalcaneal

IKadakia AR, Aiyer AA. Ubuhlungu besithende kanye ne-plantar fasciitis: izimo ezingemuva. Ku: Miller MD, Thompson SR, ama-eds. UDeLee Drez & Miller's Orthopedic Sports Medicine. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2020: isahluko 120.

Umthengisi RH, Symons AB. Ubuhlungu onyaweni. Ku: Umthengisi RH, Symons AB, eds. Ukwahlukaniswa Kokuxilongwa Kwezikhalazo Ezijwayelekile. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2018: isahluko 23.

UWilkins AN. Unyawo neqakala bursitis. Ku: Frontera, WR, Silver JK, Rizzo TD Jr, ama-eds. Okubalulekile Kwemithi Yomzimba Nokuvuselelwa. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2019: isahluko 86.