I-Bursitis yesithende

I-Bursitis yesithende kukudumba kwengxowa egcwele ulwelo (bursa) ngasemva kwethambo lesithende.

I-bursa isebenza njengomqamelo kunye ne-lubricant phakathi kweetoni okanye izihlunu ezishenxayo ngaphezulu kwethambo. Kukho i-bursas ejikeleze uninzi lwamajoyina amakhulu emzimbeni, kubandakanya iqatha.

I-bursa ye-retrocalcaneal ibekwe ngasemva kweqatha isithende. Kulapho ithenda enkulu ye-Achilles idibanisa khona izihlunu zethole kwithambo lesithende.

Ukuphindaphinda okanye ukusetyenziswa kakhulu kweqatha kunokubangela ukuba le bursa icaphuke kwaye idume. Ingabangelwa kukuhamba kakhulu, ukubaleka, okanye ukutsiba.

Le meko ihlala inxulunyaniswa ne-Achilles tendinitis. Ngamanye amaxesha i-retrocalcaneal bursitis inokuphosakela ngenxa ye-Achilles tendinitis.

Iingozi zale meko zibandakanya:

• Ukuqala ishedyuli yokuzilolonga kakhulu
• Ngequbuliso ukwandisa inqanaba lomsebenzi ngaphandle kwemeko efanelekileyo
• Utshintsho kwinqanaba lomsebenzi
• Imbali yesifo samathambo esibangelwa kukudumba

Iimpawu zibandakanya:

• Ubuhlungu ngasemva kwesithende, ngakumbi ukuhamba, ukubaleka, okanye xa indawo ichukumisekile
• Ubuhlungu buya buba mandundu xa umi phezu kwezinti
• Olubomvu, ulusu olufudumeleyo ngasemva kwesithende

Umboneleli wakho wokhathalelo lwempilo uyakuthatha imbali yokufumanisa ukuba ngaba uneempawu ze-retrocalcaneal bursitis. Uvavanyo luya kwenziwa ukufumana indawo yeentlungu. Umboneleli uya kujonga kwakhona ukuthamba kunye nobomvu ngasemva kwesithende.

Intlungu inokuba mandundu xa iqatha lakho ligobele phezulu (dorsiflex). Okanye, intlungu inokuba mandundu xa uvuka kwiinzwane zakho.

Uninzi lwexesha, awuyi kufuna izifundo zokucinga ezifana ne-x-ray kunye neMRI ekuqaleni. Unokufuna ezi mvavanyo kamva ukuba unyango lokuqala alukhokeleli kuphuculo. Ukudumba kunokubonisa kwi-MRI.

Umboneleli wakho unokucebisa ukuba wenze oku kulandelayo:

• Gwema imisebenzi ebangela intlungu.
• Beka umkhenkce kwisithende amaxesha ngamaxesha ngemini.
• Thatha i-nonsteroidal anti-inflammatory drugs (i-NSAIDs), ezinje nge-ibuprofen.
• Zama ukusebenzisa i-counter-counter okanye i-wedges yesithende yesihlangu kwisihlangu sakho ukunceda ukunciphisa uxinzelelo kwisithende.
• Zama unyango lwe-ultrasound ngexesha lonyango lomzimba ukunciphisa ukudumba.

Yiba nonyango lomzimba ukuphucula ubhetyebhetye kunye namandla ajikeleze iqatha. Ujoliso luya kuba kukolula i-Achilles tendon yakho. Oku kunokunceda i-bursitis iphucule kwaye ithintele ukuba ingabuyi.

Ukuba ezi zonyango azisebenzi, umboneleli wakho unokufaka inaliti encinci yonyango lwe-steroid kwi-bursa. Emva kwenaliti, kuya kufuneka uphephe ukolula i-tendon kuba inokuqhekeka (uqhekeko).

Ukuba imeko idityaniswe ne-Achilles tendinitis, unokufuna ukunxiba isamente kwiqatha iiveki ezininzi. Kunqabile kakhulu, kunokufuneka kwenziwe utyando ukuze kususwe ibrassa etshisayo.

Le meko ihlala ibangcono kwiiveki ezininzi ngonyango olululo.

Shayela umnikezeli wakho ukuba unentlungu yesithende okanye iimpawu ze-bursitis ye-retrocalcaneal engaphuculanga ngokuphumla.

Izinto onokuzenza ukuthintela ingxaki zibandakanya:

• Gcina njengokuguquguquka okuhle kunye namandla ajikeleze iqatha ukunceda ukuthintela le meko.
• Yolula i-Achilles tendon ukunceda ukuthintela ukwenzakala.
• Nxiba izihlangu ngenkxaso ye-arch eyaneleyo ukunciphisa inani loxinzelelo kwithenda kunye nokudumba kwi-bursa.
• Sebenzisa ifom efanelekileyo xa usenza umthambo.

Intlungu yesithende esingaphakathi; Ukubuyela umva bursitis

• Ukuzilolonga
• Ukubuyela umva bursitis

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UWilkins AN. Unyawo kunye neqatha bursitis. Ku: Frontera, WR, Isilivere JK, Rizzo TD Jr, ii-eds. Iimfuno zoNyango loMzimba kunye noVuselelo. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2019: isahluko 86.