Inyembezi ye-Achilles izinyembezi ivela lapho ithoni ehlanganisa isifuba esiswini nesithende sigcwele ngokuphelele. Lokhu ukulimala okuvamile, okuvame ukubonwa emasontweni asemaqenjini abesilisa abaphakathi kwaminyaka yonke.
Izinto Ezinhlanu Ngama-Achilles
- Ithenda ye-Achille yi-tendon enkulu emzimbeni. Naphezu kokuba ithononi enkulu kunazo zonke emzimbeni, i-Achilles isakwazi ukulimala. Amandla amakhulu asetshenziselwa ama-Achille, ikakhulukazi ukunyakaza okungazelelwe, okuqhumayo kuboniswe ezemidlalo ezibandakanya ukugijima nokugxuma.
- Amadoda angaba ngu-7 amathuba okuphumula ama-Achilles abo. Amadoda angcono kakhulu ukusekela ukuhlukana kwethenda ye-Achilles. Ngokuvamile lokhu kulimala kubonakala kumdlali oneminyaka engu-20 kuya ku-40 ubudala, futhi ngokuvamile kwenzeka ngaphandle kokuxhumana noma ukungqubuzana.
- Amanye ama-antibiotic kanye nama-shooting e-cortisone angakwenza ube lula ukudiliza i-Achilles yakho. Uhlobo oluthile lwemithi elwa namagciwane, okuthiwa i-fluoroquinolones (njenge-Cipro noma i-Levaquin), iye yaboniswa ukwandisa amathuba okuba nezinkinga ze-tendon ze-Achilles. Ama-shooting e-Cortisone nawo ahlotshaniswa nezinyembezi ze-Achilles , isizathu sokuthi odokotela abaningi abacebisi cortisone ye-Achilles tendonitis.
Izimpawu ze-Achilles Tornon eboshiwe
I-Achilles izinyembezi zokukhala, noma ukuphuka, ukulimala okulimazayo okubangela ubuhlungu obungazelelwe ngemuva kwesikhumba. Iziguli zingase zizwe 'pop' noma 'snap,' futhi cishe njalo zithi zizwa sengathi zikhishwe esithende (nakuba kungekho muntu ozikhiphe).
Iziguli zinenkinga yokukhomba izinzwane zazo phansi, futhi zingase zibe nokuvuvukala nokuzilimaza eduze kwethenda.
Udokotela wakho uzohlola i-ankle ukuze aqhubekele phambili kwethenda. Isici esithandweni se-Achille singase sizwe ngemva kokukhala. Ngaphezu kwalokho, ukucindezela imfucuza yenkomo kumele kubangele ukuthi unyawo lube phansi, kodwa ezigulini ezine-tendon ephukile, izinyawo ngeke zihambise (lokhu kuzobangela imiphumela emihle ekuhlolweni kwe-Thompson ).
Ama-X-rays angenziwa ukuze ahlolwe kwezinye izimo ezifaka ukuhlukunyezwa kwe- ankle noma i- ankle arthritis .
Izingozi ezingahle zibangele i-Achilles Tendon ephukile
I-Achille ithon rupture ibonakala kakhulu emadodeni aneminyaka engaba ngu-30 noma 40. Iziguli ezingaba ngu-15 kuya kwezingu-20 zinezibonakaliso ze- Achilles tendonitis ngaphambi kokusila izinyembezi ze-Achilles, kodwa iningi leziguli azikho umlando wangaphambi Izinkinga ze-tendon ze-Achilles. Izinyembezi ezingaphezu kuka-75% ze-Achilles izinyembezi zihambisana nokudlala ibhola yezemidlalo (ngokuvamile ibhasikidi noma i-tennis).
Ezinye izici eziyingozi ezihlobene nokuhlukana kwethenda ye-Achilles zihlanganisa:
- I-Cortisone injection ngaphakathi kwe-Achilles tendon
- Gout
- Ukusetshenziswa kwamagciwane e-Fluoroquinolone
Ama-antibiotic e-Fluoroquinolone asetshenziselwa kakhulu imishanguzo yokwelashwa kwezifo zokuphefumula, izifo zokugoma kwamagciwane, nezinye izifo ezithathelwana ngamagciwane. Lawa ma-antibiotics, afana ne-Cipro, Levaquin, nabanye, ahlotshaniswa nokuhlukana kwethenda ye-Achilles . Ngokuqinisekile kungani lokhu kungabonakali, kodwa iziguli kulezi zidakamizwa kufanele zibheke imithi ehlukile uma ubuhlungu be-tendlles be-Achilles bukhula.
Ukwelashwa kwe-Achilles Tendon Izinyembezi
Ukwelashwa kwezinyembezi ze-Achilles izinyembezi kungabandakanya noma ukuhlinzwa noma amasu okungewona okuhlinzwa.
Inzuzo yokuhlinzeka yinto evame ukungabi nakancane. Abagijimi bangavame ukubuyela ezemidlalo ngokushesha, futhi mhlawumbe kunethuba elincanyana lokuphumula kabusha kwethenda le-Achilles. Inzuzo yokungelashwa okungeyona yokuhlinzwa yukuthi ukugwema izingozi ezingase kutholakale kugwenywe, futhi imiphumela yesikhathi eside esebenzayo ifana nalezi ziguli ezithola ukwelashwa.
Imithombo:
I-Chiodo CP, et al. "Ukuxilongwa Nokuphathwa Kwe-Acces Achilles Tendon". I-Acad. I-Ortho. Ngo-Agasti 2010; 18: 503 - 513.
van der Linden PD, et al. "Fluoroquinolones kanye nengozi yezinkinga ze-tendon ze-Achilles: ucwaningo lwe-case-control" BMJ 2002; 324: 1306.
I-Schepsis, i-AA, ne-al. "Ama-Achilles Tendon Disorders at Athletes" Am. J. Sports Med., Mashi 1, 2002; 30 (2): 287 - 305.