Yini Ongayilindela Ngokuhlinzwa Ukuze Uhlabe I-Achilles Tendon
I- Achilles izinyembezi izinyembezi ukulimala okulimazayo okubangela ubuhlungu obuzelelwe ngemuva kwesikhumba. Iziguli zingase zizwe i-pop noma i-snap, futhi cishe zizosho njalo zizwa sengathi zikhishwe esithende (nakuba kungekho muntu ozikhiphe). Iziguli zinenkinga yokukhomba izinzwane zazo phansi, futhi ngokuvamile zivame ukuvuvukala nokulimala okusheshayo okuqhubekayo eduze kwethemoni.
Izinyembezi ze-Achilles izinyembezi zivame ukuvela ezincane kuya kubadlali bezempi abaphakathi. Nakuba ngezinye izikhathi kwenzeka kubadlali abasha, noma abantu asebekhulile, lezi zivame kakhulu emadodeni ama-30 no-40. Ngokuvamile lokhu kwenzeka ngesikhathi sokudlala ibhola basketball noma umdlalo webhola lezinyawo, futhi ngokuvamile kwakungekho izimpawu zezinkinga ze-Achilles ngaphambi kokulimala. Lapho izinyembezi zenzeka, ubuhlungu buvele kungazelelwe futhi bukhulu. Ukuhamba kungase kube nzima, futhi ukubuyela emuva kuma-athletics akuphelelwe umbuzo.
Izinketho zokwelapha ze-Achilles Tornon eboshiwe
Kunezinketho eziningana zokwelashwa kwethenda ye-Achilles ephukile . Akukhona ngempela ukwelashwa okungcono kakhulu, okuyiyona ndlela engcono kakhulu kumuntu ngamunye. Ngakho-ke, kufanele uxoxe ngezinzuzo nezingozi zokukhethwa okuhlukile kokwelashwa kwethenda le-Achilles elidwenguliwe nodokotela wakho. Ukwelashwa kuvela kusuka kokungasebenzi okuhlinzekwa ngokushesha. Kuye ngezici eziningana, udokotela ohlinzayo wamazinyo angakusiza ukuthi unqume ukwelashwa okufanele kakhulu.
Ezinye zezinto ohlinzayo udokotela angasebenzisa ukunquma ukwelashwa okhethiwe kufaka:
- Isiguli sesineke
- Izinga lomsebenzi
- Umlando wokubhema (ukubhema kunethuba eliphakeme lezinkinga zokuhlinzwa)
- Izimo zezokwelapha (izifo zesifo sikashukela zingaba nezinkinga zokuphulukisa zokuhlinzwa)
- Udokotela ohlinzayo
Ukuhlinzwa kwe-Acces Acute Tendon Izinyembezi
Ukwelashwa kwe-Achilles tendon izinyembezi ezinzima zibonakala ziqondile.
Imikhawulo ye-tendon ephukile ivuliwe ngokugcizelela futhi i-sutures isetshenziselwa ukubopha imiphetho ndawonye. Ama-sutures asetshenziselwa ukubopha ndawonye i-tendon eboshiwe iphela ayigxilile futhi eqinile, futhi iboshwe kuma-Achilles ngenhla nangaphansi kwezinyembezi.
Ngenkathi imiqondo yokuhlinzeka ngokuqondile, ukubulawa kuyinkimbinkimbi kakhulu. Ukunakekelwa kufanele kuthathwe ukuqinisekisa ukuthi ithenda lilungiswa ngokushayisana okufanele - hhayi okuqinile noma okukhululekile kakhulu. Isikhumba kumele sithathwe, njengoba ukuphathwa ngokweqile kwezicubu ezithambile kungabangela izinkinga ezinkulu kuhlanganise nokutheleleka kanye ne- necrosis yesikhumba . Izindebe zitholakala eduze kwethenda, futhi kufanele zivikelwe ukuvimbela ukulimala kwenzwa.
Uma kunqunywa ukuhlinzwa, ngokuvamile kwenziwa ezinsukwini noma emasontweni okulimala. Umqondo wukulungisa lokhu ngaphambi kokuba kutholakale izicubu ezinzima, okwakungenza kube nzima ukulungisa. Abanye odokotela abahlinzayo bangase batusa ukubambezeleka kokuhlinzwa ukuphela kwezinsuku ezimbalwa kusukela kokulimala kokuqala ukuvumela ukuvuvukala ukuze uhlasele ngaphambi kokuqhubeka nokulungisa.
Ukuhlinzwa Kwalabo Ababhekene Nama-Chronicle Tendon Izinyembezi
Izinyembezi ze-Achilles ezingapheli zingase zibe nzima ukulungisa. Ithenda ekhishwe futhi ihoxisiwe (ibuyele emuva) emlenzeni iyokwephulwa isikhundla esifushane ngokuhamba kwesikhathi.
Ukubuyisela ubude be-tendon ubude ngokuvamile akuyona inkinga lapho ukuhlinzwa kwenziwa emasontweni ambalwa okulimala. Kodwa-ke, uma kube khona ukulibaziseka kwezinyanga noma ngaphezulu, ukwelashwa kungaba nzima nakakhulu.
Izinqubo eziningana zingasetshenziswa ukwengeza ubude be-Achilles izinyembezi. Inqubo yokudoba isebenzisa izicubu eziphonswe phansi phezulu kwethole ukufaka ubude kumathenda we-Achilles. Ukudluliselwa kwe-Tendon kusuka kwamanye ama-tendon we-ankle nakho kungenziwa ukuze kusize ukubuyisela umsebenzi we-Achilles. Imiphumela yokuhlinzwa esimweni esingavamile akuvamile ukuba kuhle ukulungisa kahle. Kodwa-ke, kwezinye iziguli, lezi zinqubo zingasiza ukubuyisela umsebenzi we-Achilles engonakalisiwe.
Izinkinga Zokuhlinzwa
Kunezinkinga eziningana ezibonwayo ngokuhlinzwa okusebenzayo okuphathelene noku:
- Izinkinga ezilimazayo: Izinkinga ezivame kakhulu ziyinkinga yokuphulukisa isikhumba. Lezi zinkinga zingenzeka nanoma ubani, kodwa zivame kakhulu futhi zinenkinga kubantu abanesifo sikashukela nababhemayo.
- Ukwelashwa: Izifo nazo ziyinkimbinkimbi, futhi ngokuvamile zibangelwa izinkinga zokuphulukisa isilonda.
- Ukulimala Kwemvelo: I-nerve ebalulekile ehlinzeka ukuzwa kwenye inyawo eduze kwethenda ye-Achilles. Ukulimala kule nzwa kungabangela ukuphazamiseka ezinyaweni.
- Ukuphumula kabusha: Ukuphulukiswa kwe-tendon ye-Achilles akuyona isiqinisekiso, futhi ithenda elilungisiwe lingabuyiselwa kabusha.
Ukuvimbela lezi zinkinga kungenziwa ngokuphathwa ngokucophelela kokuphulukiswa kwe-postoperative. Udokotela wakho ohlinzayo uzokunikeza iziyalezo eziqondile mayelana nokuvikela nokuphatha isilonda sakho sokuhlinzwa. Ngokulandela le miyalo ngokucophelela, ungasiza ekunciphiseni amathuba okuthuthukisa ezinye zalezi zinkinga ezinkulu.
Rehab Ngemuva kokuhlinzwa:
Kunezinhlelo eziningi zokuvuselelwa ngemuva kokuhlinzwa ngenxa yezinyembezi ze-Achilles izinyembezi. Odokotela abaningi abahlinzayo basebenzisa ezinye izivikelo ezibandakanya amabhuzu okuhamba noma ubucwebe, kodwa futhi baqale ukuhamba ngokushesha. Ucwaningo luye lwabonisa ukuthi ukunyakaza kungaqaliswa ngokushesha ngemuva kokuhlinzwa, kepha ukuvikelwa kuyadingeka ngenkathi uhamba. Ezigulini ezinengozini ephakeme yokubhekana nezinkinga, ukungaqedi ukuxoshwa kungaqhutshwa amasonto ambalwa noma ngaphezulu.
Ngokuvamile, iziguli eziningi zibuyela ekuhambeni emavikini angu-4-6, ziqinisa ngemuva kwamasonto angu-8, futhi zisebenzise ezinyangeni ezingu-3. Iningi leziguli ezigijimi azibuyiselanga emdlalweni wazo izinyanga ezingaba ngu-6, futhi abaningi bangathatha isikhathi eside ukuze babuyiselwe ngokugcwele ku- Achilles ukuhlinzwa .
Izwi elivela
Ukuhlinzwa kuyindlela yokwelapha izinyembezi ze-Achilles izinyembezi. Nakuba ukwelashwa okungenasidingo kuye kwabonisa imiphumela eminye emihle, abantu abaningi abakhuthele bazozikhethela ukuhlinzeka ukwelashwa kwethenda ye-Achilles ediliziwe. Ukwelapha ukwelashwa ngokwayo kuqondana ncamashi, kodwa inqubo yokutakula ithatha ubuncane bezinyanga ezingu-6 ukuze abantu babuyele emsebenzini ogcwele, futhi kuyinto engavamile ukubuyela ngokugcwele ezingeni le-preinjury lomsebenzi ukuthatha unyaka. Izinkinga zokuhlinzekwa okubandakanya ukutheleleka nezinkinga zokuphulukisa ezilimazayo zingenzeka, kodwa ngokucophelela ukuphathwa kwe-postoperative yale ngozi, ithuba lalezi zinkinga lincane.
Imithombo:
I-Reddy SS, et al. "Ukwelapha Okuhlinzekwa Izifo Eziphuthumayo Nezinkinga Zakwa-Achilles Tendon" J Am Acad Orthop Surg NgoJanuwari 2009; 17: 3-14.
I-Chiodo CP, et al. "Ukuxilongwa Nokuphathwa Kwe-Acces Acond Tendon" "J Am Acad Orthop Surg Agasti 2010; 18: 503-513.