I-Achilles tendinitis

I-Achilles tendinitis yenzeka xa ithenda edibanisa umva womlenze wakho kwisithende sakho idumbile kwaye ibuhlungu kufutshane emazantsi onyawo. Le tendon ibizwa ngokuba yi-Achilles tendon. Ikuvumela ukuba utyhale unyawo lwakho ezantsi. Usebenzisa i-Achilles tendon yakho xa uhamba, ubaleka, kwaye utsibela.

Kukho izihlunu ezibini ezikhulu etholeni. Oku kudala amandla afunekayo okutyhala ngonyawo okanye ukunyuka ezinzwaneni. Ithenda enkulu ye-Achilles idibanisa ezi zihlunu kwisithende.

Intlungu yesithende ihlala ibangelwa kukusetyenziswa gwenxa konyawo. Rhoqo, kubangelwa kukwenzakala.

I-Tendinitis ngenxa yokusetyenziswa gwenxa ixhaphake kakhulu kubantu abancinci. Inokwenzeka kubantu abahambahambayo, iimbaleki, okanye abanye abadlali.

I-Achilles tendinitis inokwenzeka ngakumbi ukuba:

• Kukho ukonyuka ngesiquphe kwesixa okanye amandla omsebenzi.
• Izihlunu zakho zethole ziqinile kakhulu (azoluli).
• Ubaleka kwiindawo ezilukhuni, ezinjengekhonkrithi.
• Ubaleka rhoqo.
• Utsiba kakhulu (njengaxa udlala ibhola yomnyazi).
• Anizinxibi izihlangu ezixhasa iinyawo zakho ngokufanelekileyo.
• Unyawo lwakho luthi gqi ngesiquphe okanye luphume.

I-Tendinitis evela kwi-arthritis ixhaphake kakhulu kubantu abadala kunye nabadala. Ukukhula kwethambo okanye ukukhula kunokubakho ngasemva kwethambo lesithende. Oku kunokucaphukisa i-Achilles tendon kwaye kubangele iintlungu kunye nokudumba. Iinyawo ezithe tyaba ziya kubeka uxinzelelo ngakumbi kwi-tendon.

Iimpawu zibandakanya iintlungu kwisithende kunye nobude bethenda xa uhamba okanye ubaleka. Indawo ingaziva ibuhlungu kwaye iqine kusasa.

Ithenda inokuba buhlungu ukuchukumisa okanye ukuhamba. Indawo ingadumba kwaye ishushu. Unokuba nengxaki yokuma ngeenzwane zakho. Unokuba nengxaki yokufumana izihlangu ezifanelekileyo ngokufanelekileyo ngenxa yeentlungu ezisemva kwesithende sakho.

Umboneleli wezempilo uya kwenza uvavanyo lomzimba. Baya kujonga ubumnene kunye nethenda kunye neentlungu kwindawo yethenda xa ume kwiinzwane zakho.

IX-reyi inokunceda ekuchongeni iingxaki zethambo.

Iskena seMRI sonyawo sinokwenziwa ukuba ucinga ngokuhlinzwa okanye kukho ithuba lokuba uneenyembezi kwi-Achilles tendon.

Unyango oluphambili lwe-Achilles tendinitis ALUFAKI ukubandakanya utyando. Kubalulekile ukukhumbula ukuba kungathatha ubuncinci iinyanga ezi-2 ukuya kwezi-3 ukuze iintlungu ziphele.

Zama ukubeka umkhenkce kwindawo ye-Achilles tendon kangange-15 ukuya kwimizuzu engama-20, amaxesha ama-2 ukuya kwayi-3 ngosuku. Susa umkhenkce ukuba indawo iyabhabha.

Utshintsho kwimisebenzi lunokunceda ukulawula iimpawu:

• Ukunciphisa okanye ukuyeka nayiphi na into ebangela intlungu.
• Baleka okanye uhambe kwiindawo ezigudileyo nezithambileyo.
• Tshintshela ukuqhuba ibhayisekile, ukuqubha, okanye ezinye izinto ezibeka uxinzelelo oluncinci kwitoni ye-Achilles.

Umboneleli wakho okanye ugqirha wezinto ezibonakalayo angakubonisa ukuzolula imithambo yeetafile ze-Achilles.

Kuya kufuneka ukuba wenze utshintsho kwizihlangu zakho, ezinje:

• Sebenzisa i-brace, i-boot okanye i-cast ukugcina isithende kunye ne-tendon zihleli kwaye zivumela ukudumba ukuba kwehle
• Ukubeka izithende zesithende kwisihlangu phantsi kwesithende
• Ukunxiba izihlangu ezithambileyo kwiindawo ezingaphezulu nangaphantsi komqamelo wesithende

Izidakamizwa ezichasayo ezichasayo (i-NSAID), ezifana ne-aspirin kunye ne-ibuprofen, kunokunceda ukunciphisa intlungu okanye ukuvuvukala.

Ukuba ezi ndlela zonyango aziziphuculi iimpawu, unokufuna utyando ukuze ususe izicwili ezitshisiweyo kunye neendawo ezingaqhelekanga zethenda. Ukuba kukho ithambo elicaphukisa i-tendon, utyando lunokusetyenziselwa ukususa i-spur.

Unyango lwe-wave eyothusayo ye-Extracorporeal (ESWT) inokuba lolunye unyango kubantu abangaphendulanga kolunye unyango. Olu nyango lusebenzisa amaza esandi sedosi esezantsi.

Kwiimeko ezininzi, utshintsho kwindlela yokuphila lunceda ukuphucula iimpawu. Gcina ukhumbula ukuba iimpawu zinokubuya ukuba awukhawuleli kwimisebenzi ebangela iintlungu, okanye ukuba AKUKHO kugcina amandla kunye nokuguquguquka kwethenda.

I-Achilles tendinitis inokukwenza ukuba ube nokuqhekeka kwe-Achilles. Le meko ihlala ibangela iintlungu ezibukhali ngokungathi ubethwe ngasemva esithendeni ngentonga. Ukulungiswa kotyando kubalulekile. Nangona kunjalo, utyando alunakuphumelela njengesiqhelo kuba sele kukho umonakalo kwithenda.

Fowunela umnikezeli wakho ukuba:

• Unentlungu kwisithende esingqonge i-Achilles tendon ebi kakhulu ngomsebenzi.
• Unentlungu ebukhali kwaye awukwazi ukuhamba okanye ukushenxisa ngaphandle kwentlungu egqithisileyo okanye ubuthathaka.

Ukuzivocavoca ukugcina imisipha yakho yethole yomelele kwaye iguquguquke iya kunceda ukunciphisa umngcipheko we-tendinitis. Ukusetyenziswa gwenxa kwethonon ebuthathaka okanye eqinileyo ye-Achilles kukwenza ukuba ube nakho ukukhula i-tendinitis.

Itendinitis yesithende; Intlungu yesithende-iAchilles

• Ukuvuvukala kwethenda ye-Achilles

Biundo JJ. I-Bursitis, i-tendinitis, kunye nezinye iingxaki zangoku kunye namayeza ezemidlalo. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 247.

Brotzman SB. I-Achilles tendinopathy. Ku: Giangarra CE, Manske RC, ii-eds. Clinical Ugqirha wamathambo: Indlela yeQela. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2018: isahluko 44.

IHogrefe C, uJones EM. I-tendinopathy kunye ne-bursitis. Ku: Iindonga RM, iHockberger RS, iGausche-Hill M, ii-eds. Unyango lukaRosen oluNgxamisekileyo: iikhonsepthi kunye nokuziqhelanisa neklinikhi. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2018: isahluko 107.

Waldman SD. I-Achilles tendinitis. Ku: Waldman SD, ed. IiAtlas zeSyndromes zobuhlungu obuqhelekileyo. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2019: isahluko 126.