Ucwaningo lubonisa ukuthi imiphumela ingase ibe ngaphezu kwezinzuzo
I-Cortisone iyisidakamizwa esinamandla sokuvuvukala esetshenziselwa ukwelashwa kwezimo eziningi zomuthi wama-orthopedic. Uma kunikezwa umjovo esakhiweni sokulimala, kunganikeza ukuncipha nokunciphisa okunciphisa ukuhlunguphazwa nobuhlungu emagcekeni e-ankle, elbow, hip, knee, shoulder, spine, noma isibindi. Ngisho namajoyini amancane ezandla nezinyawo ngezinye izikhathi angazuza.
Ngakho-ke, kubonakala kunengqondo ukucabanga ukuthi ukudubula kwe-cortisone kungaba yisisombululo esihle sokuphulukisa ukulimala kwe-Achilles tendon, njenge- tendinitis (ithempthini ukuvuvukala) noma i- bursitis (ukuvuvukala kwesigxobo esigcwele amanzi esithinta isithende kanye ne-Achilles tendon) .
Kodwa ubufakazi, eqinisweni, bubonisile ukuthi lokhu akuyona into nokuthi imiphumela ye-cortisone edutshulwe ingadlula kakhulu izinzuzo.
Imiphumela kaCortisone Emzimbeni
Ama-shotton a-Cortisone ahloswe ukuphumula okwesikhashana okubuhlungu obuphikisanayo obukhulu. Kuncike ekusetshenzisweni kwayo, ukukhululeka kungadlulela kuphi kusukela emavikini ayisithupha kuya ezinyangeni eziyisithupha.
Inkinga yokusebenzisa isikhathi eside ukuthi imiphumela yomuthi ithambekele ekuhambeni kwesikhathi njengoba umzimba ujwayele kuwo. Futhi, uma umuntu eqhubeka esebenzisa i-cortisone njengendlela yodwa yokuphumula (ngokungafani nokwelapha ngokomzimba), izibhamu zingaqhubeka kancane-futhi ngezinye izikhathi ngokushesha-zibangele izigulane, izintambo, ne-cartilage ukuze unciphise.
Lokhu kukukhathazeka okuyinhloko esinakho ngokuqondene netithoni le-Achille. Njengoba le tendon idinga ukuguquguquka nokuguqula noma nini lapho sihamba, noma yikuphi ukunciphisa kungabangela ukuthi isakhiwo siphume , ngezinye izikhathi ngokuphelele. Akuyona nje ukulimala okungathí sina kodwa okuvame ukudinga ukuhlinzwa nokuvuselelwa isikhathi eside.
Ukuphikisana neCortisone esihlalweni se-Achilles
Nakuba iziphathimandla zezempilo eziningi zizokweluleka ekusetshenzisweni kwezidakamizwa ze-cortisone ukuphatha ukulimala kwe-Achilles, ucwaningo lwamuva lwamazinyo ohlinzayo lwamazinyo lathola ukuthi iningi lesithathu lizokwenza lokhu kule njongo. Ngokuphambene nokuvinjelwa okuqondile, abaningi balabo bahlinzayo bakholelwa ukuthi ukusetshenziswa kahle kwe-cortisone okujobekile kunokuba ibe ethandweni kunendawo yayo ekwelapheni.
Abanye bayavumelani, bakholelwa ukuthi akukho sibonakaliso esicacile sokuthi i-cortisone engakanani "iningi" noma ukuthi ukwelashwa kufanele kuhluka kanjani ngokuya kwezinga lokulimala. Kulaba odokotela, ukusetshenziswa kwe-cortisone kuhloniphekile kakhulu futhi kusetshenziswe iphutha.
Le nkolelo isekelwe kakhulu ngophenyo ekusetshenzisweni kwe-cortisone phakathi kwabagijimi, iqembu elikuyo engozini ephezulu yokulimala kwe-tendon ye-Achilles. Lokho abacwaningi abatholile ukuthi ukuthi izidakamizwa zazivame ukusebenza kangcono njenge-panacea kunokuba zilashwe.
Indlela i-Cortisone ithinta ngayo i-Achilles Tendon
Ngokulimala okuvamile, ukuvuvukala kuyingxenye yenqubo yokuphulukisa lapho imithwalo yegazi izokwanda ukuze ivumele amangqamuzana omzimba namasosha amancane ukuba akhuphule indawo yomonakalo. Ngokwenza kanjalo, i-collagen entsha izobekwa, izicubu ezilimaziwe zizolungiswa, futhi ukulimala kuzolungiswa
Noma nini lapho i-cortisone ifakwe, le nqubo ivaliwe. Ngokuvimbela impendulo yokuvuvukala, inqubo yokulungisa amaselula nayo ivaliwe. Ngenxa yalokho, izicubu ezinobuthakathaka zihlala zisengozini isikhathi eside, ziveza ukuthi lowo muntu uphindaphindiwe futhi uvame ukwandisa ukulimala. Ngokwehluleka kwe-tendon ye-Achille, umonakalo ungahlala unomphela.
Ukwenza Ukukhetha Okufanele
Ngokuvamile, ama-cortisone injection kufanele agwenywe ukuze aphathe ukulimala kwe-Achilles.
Kukhona okuhlukile, okwamanje. Bangase babeluleke uma zonke ezinye izinketho zokwelashwa ziye zahluleka futhi izinga lomuntu lomuntu liye laphazamiseka kakhulu.
Ekugcineni, ukudubula kwe-cortisone kufanele kucatshangelwe uma umuntu ehluleka ukuphendula ebangeni eliphelele lemithi ejwayelekile ngemuva kokuzama izinyanga ezingaphansi kwezinyanga eziyisithupha. Lokhu kuhlanganisa ukusetshenziswa kwezidakamizwa ezilwa nokuvuvukala, ukuguqulwa komsebenzi, ukuguqulwa kwezicathulo, ukukhishwa kwezithende, ukwelula, nokwelapha ngokomzimba.
Noma kunjalo, isinqumo sokwelapha kufanele senziwe ngokucophelela, sinciphise izinzuzo zokwelapha kanye nemiphumela emibi.
Uma wazi umuntu oye wahlinzwa ukuze avuse ukuhlukana kwe-Achilles, uzoqonda ukuthi kungani lokhu kubaluleke kangaka. Ukuvuselelwa okuvela kulokhu kuhlinzeka kuyinkimbinkimbi, futhi kuzodingeka ube esitokisini sokuhamba noma sokuhamba amasonto noma izinyanga, emva kwalokho ukuthi ukwelashwa okungokwenyama kuyodingeka ukuze ubuyekeze ngokugcwele ukuhamba kwakho. Konke okushiwo, kungathatha izinyanga eziyisithupha ukubuyela emsebenzini ogcwele nangaphezulu konyaka ngaphambi kokuba uphinde utholakale.
> Imithombo:
> Ama-Brinks, A .; Ama-Koes, B .; Ama-volkers, uC. Et al. "Imiphumela emibi ye-injection corticosteroid eyengeziwe: ukubuyekezwa okuhlelekile." Ukuhlukunyezwa kwe-BMC Musculoskeletal. 2010; 11: 206.
> Kuwada, G. "Ukutadisha ngokucophelela ukuthi kwenzeke kanjani ukuqhuma kwezinhlanzi ezithandwayo ngokulandela umjovo we-cortisone." I-Foot ne-Ankle Online Journal. 2016: 9 (1): 9.
> Madanagopal, S .; I-Kovaleski, J .; kanye ne-Pearsall, A. "Ucwaningo lwesikhashana sokuphathwa komlomo we-corticosteroid odokotela bamazinyo ekolishi nakubathile bezemidlalo." I-Journal of Sports Science Medicine. 2009; 8 (1): 37-44.
> Nepple, J. noTavava, M. "Izifo eziNobumba ezitholakala ku-Athlete." Ezempilo zezemidlalo. 2009; 1 (5): 396-404.