I-Tendinosis Yenza Ubunzima beTendon obungapheliyo, Ukungabikho ngokukhawuleza
I-tendular ye-Achilles yinto eqhelekileyo ye-tendon ye-Achilles. Ngelishwa, izigulane ezininzi kunye noogqirha ngokufanayo zidibanisa i- Achilles tendonitis nge-Achilles tendinosis. I-tendular ye-Achilles yinkinga engapheliyo ebonakalayo ngezinyembezi ezincinci ze- tendon ye- Achilles . Ngakolunye uhlangothi, i-Achilles itheonitisiti ivela xa kunzima (ngokukhawuleza ukuqala) ukuvuvukala kwetoni.
Ukwahlula le miqathango kubalulekile ukuqinisekisa unyango olufanelekileyo.
Ukuqhaqhaqhayisa ngokuchasana
Ithenda ye-Achilles tendonitis ifanele isetyenziswe ekubhekiseleleni kwi-tendon ye-Achilles. Ukuvutha kukudla ngokutshintsha kakhulu (umphumo wokulimala ngokukhawuleza). Le ngxaki ibonakala ngokuvuvukala, ubomvu, ukufudumala, nentlungu. Esinye uphawu oluqhelekileyo lwe-Achilles tendonitis lubizwa ngokuba yi-crepitus. I-Crepitus yintswelo yokugaya ekwazi ukuvakalelwa ngokubeka isandla sakho phezu kwetoni ehambayo. Ukuvuvukala nokuvuvukala kwethenda kubangela ukuvakala okunokuthi kuvezwe ngesandla sakho. Xa kubonwa phantsi kwe-microscope, iimeko ezivuthayo zineeseli ezithile ezithwele umzimba kummandla womzimba ukunceda ukulawula ukuvuvukala nokuphulukisa itonta elimazileyo.
I-tendlles ye-tendin yimeko ehlukileyo engabonakali ngokuvuvukala. Kunoko, ezi zi gulane zinyuka kwi-tendon.
Ngokuqhelekileyo akukho kubomvu okanye ukufudumala kwezicubu ezithambileyo , nangona indawo ingaba yintlungu yokuthintela. I-tendular ye-Achilles yinkinga engapheliyo, ithetha ukuba ikhula kancane kwaye ihlala ixesha elide. Xa ibonwa phantsi kwe-microscope, iiseli ezivuthayo azikho, nangona umonakalo ongapheliyo kunye neinyembezi ezincinci zethenda zingabonakala.
Iimpawu ze-Achilles tendinosis yindlela efanelekileyo yokwenza ukuxilongwa kwalo mqathango. Ngokuqhelekileyo i-x-ray yomxhasi we-ankle iya kuba yinto eqhelekileyo, nangona kunokwenzeka ukubona i-calcific encinci okanye i-bone spurs ecaleni kwetoni, ezi zibonakaliso zokuvuvuka okungapheliyo. Uvavanyo lwe-MRI lunokwenziwa kwakhona olungabonakalisa ukukrazula okanye ukutshabalalisa kweethambo zesiton, kunye nokwanda kwenxalenye ewonakaliswe yethoni.
Kubalulekile ukuhlukanisa phakathi kwe-tendonitis kunye ne-tendinosis, njengoko unyango lwalo mqathango luyahluka. Ngokomzekelo, unyango lwe-Achilles tendinosis ngeendlela ezijoliswe ekunciphiseni ukuvutha (i-ice, i-anti-inflammatory medication) kuya kukwenza okuncinci ukukunceda ukulungisa iimpawu zalo mqathango. Ngendlela efanayo, unyango lwe-tendinosis xa ingxaki yimeko evuthayo iya kuba yinto engafanelekanga.
Unyango lwe-Achilles Tendinosis
Nangona unyango lwe-Achilles tendonitis kunye ne-Achilles tendinosis zifana, azifani. Kubalulekile ukuba uqaphele ukuba ngenxa yokuba i-Achilles itheinosis ayifuni ukuvuvukala, unyango olujoliswe ekulawuleni ukuvuvukala akunakwenzeka ukuba luncedo. Ngoko ke, ngelixa i- anti-inflammatory medication kunye ne-ice application ingasetyenziselwa ukunyanga iimpawu zokungahambi kakuhle ezihambisana ne-Achilles tendinosis, abaxhatshazi ukukhuza kule meko.
Uphuhliso olusebenzayo ngakumbi lwe-Achilles tendinosis ludla ukufaka izihlangu, ukunyanga , kunye nokwelula.
Ngokuchanekileyo, ukusetyenziswa okugxila ekutyunzeni okwakusenyakatho kwethenda ye-Achilles kuye kwaboniswa ukuba yindlela efanelekileyo kakhulu yokukhuthaza ukuphulukiswa kwengxenye ebonakele yethoni. Iintlukwano zentlukwano zenziwa ngetyunithi yeyunithi yeetonon ye-muscle, ngelixa libonelela ngamandla. Ngokomzekelo, ukwenza i- toe dips , kunye nokunyuka ngokukhawuleza kukusebenza okusebenzayo kwi-tendon ye-Achilles.
Kwezinye iimeko ezinqabileyo, ugqirha wakho unokuncoma unyango otyunjisiweyo lwetoni ewonakele.
Kule meko, ngokuqhelekileyo isabelo esonakele sethoni siyasuswa. Emva kokuba ithethoni engavumelekanga isuswe, i-tendon ejikelezayo ingalungiswa malunga nesiphene. Kukhona ingxabano malunga nendlela le mpilisi ephulukisayo yokuphilisa i-Achilles tendinosis. Abanye oogqirha bakholelwa ukuba ukuphumelela kolu unyango kubangelwa yimbuyekezo eyenziweyo xa kwenziwe utyando.
Imithombo:
I-Saltzman CL, i-Tearse DS. "Ukulimala kwetonyoni" J. Am. Acad. IOrn. Ugqirha., Septemba 1998; 6: 316 - 325.