Mayelana ne-Ankle Bursitis: Kuyini nokuthi Yini Okufanele Uyenze

-Delile

• I-Ankle bursa
• Izimbangela ze-bursitis eqakaleni
• Amanye ama-bursae
• Izimpawu ze-ankle bursitis
• Itholakala kanjani i-ankle bursitis?
• Ukwelapha i-ankle bursitis
• Ukuvimbela i-ankle bursitis
• Ukuthatha

Amathambo amaqakala

Iqakala lakho lakheka ngokuhlangana ndawonye kwamathambo amane ahlukene. Ithambo leqakala ngokwalo libizwa ngokuthi yi-talus.

Cabanga ukuthi ugqoke amateki. I-talus izotholakala eduze kwesihloko solimi lwe-sneaker.

I-talus ingena kwamanye amathambo amathathu: i-tibia, i-fibula ne-calcaneus. Amathambo amabili omlenze wakho ongezansi (i-tibia ne-fibula) akha amasokhethi lawa afaka inkomishi engxenyeni engenhla ye-talus. Ingxenye engezansi ye-talus ingena ethanjeni lesithende (calcaneus).

I-Ankle bursa

I-bursa yisikhwama esincane esigcwele uketshezi esivikela futhi sigcobise amathambo lapho zihamba.

Kukhona i-bursa etholakala ngemuva konyawo lwakho, phakathi kwethambo lakho lesithende (i-calcaneus) ne-Achilles tendon yakho. Le bursa iyaqinisa futhi igcobe ukuhlangana kweqakala. Ibizwa ngokuthi i-bursa retrocalcaneal bursa.

Lapho i-bursa retrocalcaneal ivutha, isimo sibizwa ngokuthi yi-retrocalcaneal bursitis noma i-anterior Achilles tendon bursitis.

Izimbangela ze-bursitis eqakaleni

I-Ankle bursitis yenzeka lapho i-bursae ivutha. Lokhu kungenzeka ngaphansi kwengcindezi yokuhamba noma yokulimala komthelela, noma ngisho nengcindezi ezindaweni ezithile ezivela ezicathulweni ezingakulungeli kahle.

Nazi ezinye zezinto ezingadala i-bursae evuthayo:

• ukusebenzisa ngokweqile noma ukucindezela iqakala ekwenzeni umsebenzi ophindaphindiwe womzimba, kufaka phakathi ukuhamba, ukugxuma, noma ukugijima
• ukugibela umqansa ngaphandle kokuzelula noma ukuqeqeshwa okufanele
• izicathulo ezingalingani kahle
• ukulimala kwangaphambilini
• iqakala samathambo
• ukuvuvukala
• ukutheleleka noma i-septic bursitis
• isifo samathambo
• ukukhuliswa kwethambo lesithende, okwaziwa ngokuthi ukukhubazeka kukaHaglund
• hit ngqo endaweni

Amanye ama-bursae

Kwesinye isikhathi ukucindezelwa eqakaleni kungadala ukuthi i-bursa entsha yakheke ngaphansi kwesikhumba esizungeze ezinye izingxenye zenhlanganisela yeqakala. Lawa ma-bursae nawo angavuvukala, abangele i-ankle bursitis.

Amagama nezindawo ezivamile zalezi bursae ezingeziwe yilezi:

• I-bursa ekhethiwe engaphansi. Lokhu kwakha ngemuva kwesithende, ngaphansi kwe-bursa retrocalcaneal bursa. Ukuvuvukala kwale bursa kwenzeka ikakhulukazi kwabesifazane abasebancane abagqoke izicathulo eziphakeme. Kubizwa nangokuthi ngemuva kwe-Achilles tendon bursitis.
• I-bursa engaphansi kwe-malleolus yangaphakathi. Le bursa yakha ukuphuma kwesikhumba ngaphakathi lapho iqatha le-shin (tibia) liphela khona.

Izimpawu ze-ankle bursitis

Izimpawu zingakhula kancane. Cishe uzobuzwa ubuhlungu obuzungeze isithende. Ezinye izinto okufanele uzibheke yilezi:

• ukuvuvukala kwezicubu ezithambile phezulu kwethambo lesithende
• ubuhlungu lapho ingcindezi isetshenziswa ngemuva kwesithende noma lapho uguqula unyawo lwakho
• ubuhlungu lapho umi phezu kokushona noma lapho uncike ezithendeni zakho
• ukuxhuga lapho uhamba ukugwema izinhlungu zokubeka isisindo esigcwele eqakaleni lakho
• ububomvu (nge-posterior Achilles tendon bursitis)
• umkhuhlane noma amakhaza, okungaba yizimpawu zokutheleleka

Itholakala kanjani i-ankle bursitis?

I-ankle bursitis itholakala ngokuhlolwa komzimba. Udokotela wakho uzobheka ukuvuvukala okubonakalayo futhi ezwe iqakala ngokuzwela ukunyakaza.

I-X-ray ingasetshenziselwa ukukhipha ukuphuma noma ukususwa kwejoyinti leqakala. Izicubu ezithambile ze-bursa aziveli kwi-X-ray.

Udokotela wakho angalawula ukuskena kwe-MRI ukubona ukuthi i-bursa ivuvukele yini.

Uma udokotela wakho esola ukutheleleka, kungadingeka ukuthi basebenzise isirinji ukuqoqa uketshezi oluvela kwi-bursa. Lokhu kwenziwa nge-anesthetic, futhi kungaqondiswa ukuskena kwe-CAT, i-X-ray, noma i-imaging ye-ultrasound.

I-Ankle bursitis ne-Achilles tendinopathy banezimpawu ezigqagqene, futhi kungenzeka ukuthi babe nakho bobabili ngasikhathi sinye. Kubalulekile ukubona umhlinzeki wezokunakekelwa kwempilo ukukhomba umthombo wezimpawu zakho.

Ukwelapha i-ankle bursitis

Ukwelashwa kuqala ngezinyathelo zokugcina:

• Ice bese uphumuza iqakala lakho ezinsukwini ezimbalwa zokuqala ngemuva kokuqala kwezimpawu zokunciphisa ukuvuvukala.
• Thatha ama-NSAID afana ne-ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), noma ukudambisa izinhlungu kadokotela.
• Gqoka izicathulo ezivulekile, ezikahle.
• Cabanga ukusebenzisa ukufaka izicathulo ukuvimbela ukungqubuzana ezindaweni ezivuthayo.

Funda ngokwenza nokwenza i-compress ebandayo.

Udokotela wakho angakunikeza ukwelashwa ngokomzimba ukusiza ukunciphisa izinhlungu ezigabeni zokuqala zokwelashwa futhi kamuva ukusiza ukululama.

Uma iqakala lingaphenduli kulezi zinyathelo, udokotela wakho angancoma umjovo we-bursa nge-corticosteroid ukusiza ukudambisa ukuvuvukala. Le nqubo kungenzeka ukuthi yenziwe nge-anesthetic yendawo.

Abanye odokotela babike impumelelo ekuphuculeni ukunemba komjovo we-corticosteroid ngokusebenzisa i-ultrasound imaging ukuqondisa ukubekwa kwenaliti.

Uma ukuhlolwa kubonisa ukuthi ukutheleleka kukhona (i-septic bursitis), udokotela wakho uzokunika ama-antibiotic afanele.

Ukuvimbela i-ankle bursitis

Lezi yizinto ezibaluleke kakhulu ongazenza ukuvimbela i-ankle bursitis:

• Njalo welula futhi ufudumale ngaphambi kokuzivocavoca, noma yiluphi uhlobo lwezemidlalo, noma umsebenzi onzima.
• Gqoka izicathulo ezifanele ezikunikeza ukwesekwa futhi ezingakuqinisi kakhulu noma ezikhululeke kakhulu.
• Gwema ukunyakaza okungazelelwe kokunyuka nokwenyuka okungazelelwe kwezisindo ngenkathi usebenza.

Lezi zixwayiso zibalulekile uma ukwandisa izinga lomsebenzi wakho nesikhathi osichitha ezinyaweni zakho. Babaluleke kakhulu uma udlala umdlalo ohilela umthelela ophezulu ezinyaweni zakho, njengebhasikidi, ibhola likanobhutshuzwayo, ithenisi, nokugijima. Zisebenza nasekuqeqesheni isisindo semilenze.

Ukuthatha

Uma uhlakulela i-ankle bursitis, yinakekele. Ungabunaki ubuhlungu - buhloniphe. Kukutshela ukuthi kukhona okungahambi kahle. Ukwelapha kusenesikhathi kuzokubuyisela ezinyaweni zakho futhi ubuyele emsebenzini wakho owuthandayo ngokushesha okukhulu kunokukuziba. Ukwelashwa okulondolozayo njengokuphumula kanye nama-anti-inflammatories kungenzeka kakhulu ukuthi asebenze uma wenza khona manjalo.