Ithenda ye-Achille ikhembe ivela xa i-tendon isondeza isilwane esiswini kwisithende sigqityiwe. Oku kwenzakala ukulimala okuqhelekileyo, okuqhelekileyo kubonwe kwinqanaba elinobudoda beminyaka eliphakathi.
Izinto Ezintathu Ngama-Achilles
- Ithenda ye-Achilles yi-tendon enkulu emzimbeni. Nangona i-tendon enkulu emzimbeni, i-Achilles isenokuba yingozi. Imikhosi emikhulu isetyenziswa kwi-Achilles, ngokukodwa ngokuhamba ngokukhawuleza, ukuxhaphaza kubonwa kwimidlalo equka ukuhamba nokuxhuma.
- Amadoda angama-7 aphindaphinda ama-Achilles. Amadoda amaninzi akwazi ukugcina i-Achilles ukuhlukana kwetoni. Ngokuqhelekileyo le nzakalo ibonakala kumdlali oneminyaka engama-20 ukuya kuma-40 ubudala, kwaye idlalwa ngaphandle kokudibanisa okanye ukudibana.
- Ezinye iziza-antibiotics kunye ne-cortisone shots zingenza ube lula ukudiliza i-Achilles yakho. Uhlobo oluthile lwe-antibiotic, olubizwa ngokuba yi-fluoroquinolones (njenge-Cipro okanye i-Levaquin), luboniswe ukwandisa ubunzima beengxaki ze-tendon. Iifotshane zeCortisone nazo zidibaniswa ne-Achillesmbezi , isizathu sokuba oogqirha abaninzi abacebisi cortisone kwi-Achilles tendonitis.
Iimpawu zeCape Achilles Tendon
Intlungu ye-Achilles ukulila, okanye ukuphazamiseka, yingozi eyingozi ebangela intlungu ngokukhawuleza emveni kweenyawo. Abagulayo banokuva i-'pop 'okanye' i-snap, 'kwaye baya kuthi bathe baziva beziva ngathi baye baxutywa kwisithende (nangona kungekho mntu ubenyuse).
Izigulane zinobunzima ukukhomba iinzwane zabo ezantsi, kwaye ziyakwazi ukuvuvukala kunye nokutyhawula i-tendon.
Ugqirha wakho uya kuhlola i-ankle ukuze aqhubeke phambili kwetoni. Isiphene kwi-tendon ye-Achilles sinokuthi ivalelwe emva kokulila. Ukongezelela, ukucima isilwanyana sinokubangela ukuba unyawo lube phaya phezulu, kodwa kwizigulane ezine-tendon eziqhekekileyo ze-Achilles, unyawo aluyi kuhamba (oku kuya kubangela iziphumo ezintle kwi- Thompson test ).
I-X-ray ingenziwa ukuba ihlolwe ngezinye iimeko kuquka ukuhlukunyezwa kwesikhumba okanye isifo samathambo .
Izingozi ezinokuthi zibangele i-Achilles Tendon
I-Achille i-tendon rupture ibonakala ngokuqhelekileyo kumadoda aneminyaka engama-30 okanye-40. Ngama-15 ukuya kuma-20% kwezigulane zinempawu ze- Achilles tendonitis ngaphambi kokulondoloza i-Achilles intlungu yokulila, kodwa ininzi yezigulane azikho imbali yangaphambili Iingxaki zeetonon. Iintsimbi ze-Achilles ezingaphezu kwama-75% zidibene nokudlala imidlalo yebhola (ngokuqhelekileyo ibhola lebhola okanye i-tennis).
Ezinye izinto ezinobungozi ezidibeneyo nokuphuka kwetoni ziquka:
- I-Cortisone injections kwi-tendon yaseAlles
- Gout
- Ukusetyenziswa kwamayeza aseFluoroquinolone
I-fluoroquinolone antibiotics isetyenziswe ngokuqhelekileyo kumachiza unyango lwezonyango zokuphefumula, izifo zokugonywa kwamanzi kunye nezinye izifo ezithintekayo. Ezi antibiotics, ezifana ne-Cipro, Levaquin, kunye nabanye, zidibaniswa nokuphuka kwetonyon . Ngokuqinisekileyo ukuba kutheni le nto ingacacile, kodwa izigulane kula mayeza kufuneka ziqwalasele omnye unyango xa i-Achille intlungu yesithwele ikhula.
Unyango lwe-Achilles Tendon Inyembezi
Unyango lwe-Achilles intlanzi yezinyembezi inokubandakanya ukuhlinzwa okanye iindlela zokungaboni.
Inzuzo yokuhlinzwa kudla ngokuthe tye. Abadlali bavame ukubuyela kwimidlalo ngokukhawuleza, kwaye mhlawumbi ithuba elincinci lokuphuka kwakhona kwethenda ye-Achilles. Ubuncedo bonyango olungaphantsi kobungqina bokuba unyango olukhuselekileyo lunokuphephelwa, kwaye iziphumo zokusebenza ezide zangexesha elide zifana nezi gulane ezonyango.
Imithombo:
Chiodo CP, et al. "Ukuxilongwa kunye nokunyangwa kwe-Acces Achilles Tendon Ukuphakama" J. Am. Acad. IOrn. Ugqirha, Agasti 2010; 18: 503 - 513.
van der Linden PD, et al. "I-Fluoroquinolones kunye nomngcipheko weengxaki ze-tendon ze-Achilles: uhlolo lwe-case-control" BMJ 2002; 324: 1306.
Schepsis, AA, et al. "I-Achilles Tendon Disorders ku-Athletes". J. Sports Med., Matshi 1, 2002; 30 (2): 287 - 305.