Yintoni enokuyilindela ngoBucholo be-Achilles Tendon Ukukhawula
I- chelles ye- Achille isilizi sinokulimala okuphazamisayo okubangelwa intlungu ngokukhawuleza. Abagulayo banokuva i-pop okanye i-snap, yaye baya kuthi bathetha rhoqo ukuba bahlelwe esithende (nangona kungekho mntu ubenyuse). Izigulane zinobunzima ukukhomba iinzwane zabo ezantsi, kwaye ngokuqhelekileyo ukuvuvukala kunye nokuqhaqhaza okukhawuleza kukhula nge-tendon.
Iindlebe ze-tendon zezinye iinyembezi zivame ukuvela kumncinci ukuya kuma-week-end. Ngethuba ngezinye iimeko zenzeka kumatsha abancinci, okanye abantu asebekhulile, ezi zixhaphakileyo kumadoda kuma-30s no-40. Ngokuqhelekileyo oku kwenzeka ngexesha lokuthabatha ibhola yebhoksi okanye umdlalo webhola lebhola, kwaye kaninzi kwakungenayo impawu yeengxaki ze-Achilles ngaphambi kokulimala. Xa iinyembezi zenzeka, intlungu iphawuleze kwaye ikhulu. Ukuhamba kunokuba nzima, kwaye ukubuyela kwii-athletics kungaphandle kombuzo.
Izinketho zokwelapha kwi-Achill Tendon ekhethiweyo
Kukho ukhetho oluninzi lwezonyango ze-Achilles . Akukho ndlela yonyango olungcono, eyona nto ingcono kakhulu kumntu ngamnye. Ngoko ke, kufuneka uxoxe ngeengxaki kunye neengxaki zonyango olukhethiweyo lwethenda ye-Achilles ekhethiweyo kunye nodokotela wakho. Unyango olusuka kwi-non-opticular to immediate surgery. Ngokuxhomekeke kwizinto ezininzi, ugqirha wakho wamazinyo unokukunceda ukuba ufumane unyango olufanelekileyo.
Ezinye zezinto ogqirha wakho angasebenzisa ukuchonga unyango olukhethiweyo luquka:
- Ubudala bomonde
- Izinga lomsebenzi
- Imbali yokubhema (ukutshaya inethuba eliphezulu leengxaki zokugqithisa)
- Izimo zonyango (i-diabetics ingaba neengxaki zokuphulukisa zokuphulukana)
- Ngonyango
Uphando lwe-Acces Achilles Tendon Iinyembezi
Uphando lwe-Achilles tendon izinyembezi zibonakala zichanekile.
Iziphelo zeetononi eziqwengileyo zivuliwe kwaye i-sutures isetyenziselwa ukubopha iziphelo ndawonye. I-sutures esetyenziselwa ukubopha kunye ne-tendon eqhekekileyo iphelile iyanqambile kwaye isomelele, kwaye iboshwe kwi-Achilles zombini ngasentla nangaphantsi kweengqungquthela.
Ngoxa iingcamango zokuhlinzwa zithe ngqo, ukuphunyezwa kuyinkimbinkimbi. Ukunyamekela kufuneka kuthathwe ukuze kuqinisekiswe ukuba ithenda ilungiswa ngokuxhatshazwa kakuhle - kungekho nzima okanye ayikhululekile. Ulusu kufuneka lunyamekele, njengokuba ukuphathwa ngokugqithiseleyo kwezicubu ezinotsholongwane kunokubangela iingxaki ezinzima kuquka ukusuleleka kunye ne- necrosis yesikhumba . Amagulane atholakala eduze kwetoni, kwaye kufuneka akhuselwe ukukhusela ukulimala kwenzwa.
Ukuba utyando lugqityiweyo, luvame ukuqhutywa kwiintsuku okanye kwiiveki zokulimala. Ingcamango yenzeke ukulungiswa phambi kokuba i- tissue ecocekileyo yenziwe, eyayiza kwenza ukulungiswa kube nzima. Abanye oogqirha banokuncoma ukulibazisa ukutyunjwa iintsuku ezimbalwa ukusuka kwenzakalo yokuqala ukuvumela ukuvuvukala ukuhlalisa ngaphambi kokuqhubeka nokulungiswa.
Uphando lwee-Achilles ezingapheliyo Tendon Iinyembezi
Iinyembezi ze-Achilles ezingapheliyo zinokuba nzima ukulungisa. Ithenda enqabile kwaye ihoxiswe (yabuyisela) emlenzeni iya kulwa nesikhundla esifutshane ngokuhamba kwesikhathi.
Ukubuyiselwa ubude beetonthoni eziqhelekileyo akusoloko kuyinkinga xa utyando lwenziwa kwiiveki ezimbalwa zokulimala. Nangona kunjalo, xa kukho ukulibaziseka kweenyanga okanye ixesha elide, unyango lunokuba lunzima.
Iinkqubo eziliqela zingasetyenziselwa ukongeza ubude kwiintlungu ze-Achilles. Inkqubo yokuthutha isebenzisa izicubu ezicatshulwa phantsi kwenyama ukuba zenze ubude kwi-tendon ye-Achilles. Ukudluliselwa kweTendon ukusuka kwamanye ama-tendon we-ankle kunokwenziwa kwakhona ukukunceda ukubuyisela umsebenzi we-Achilles. Iziphumo zonyango kwiimeko ezingapheliyo zivame ukuba zilungele ukulungiswa ngokukhawuleza. Nangona kunjalo, kwezinye izigulane, ezi nkqubo ziyakunceda ukubuyisela umsebenzi we-Achilles engapheliyo.
Iingxaki zoPhando
Kukho iingxaki ezininzi ezibonwayo kunye nokuhlinzwa okwenziwa ngokuphathelele:
- Ukuxhatshazwa kwezilonda: Iingxaki eziqhelekileyo zinengxaki yokuphilisa isikhumba. Ezi ngxaki zinokuthi zenzeke nabani na, kodwa zixhaphake ngokukhethekileyo kwaye zinengxaki kubantu abanesifo sikashukela nababhemayo.
- Usulelo: Izifo nazo ziyingxaki, kwaye ngokuqhelekileyo zibangelwa izifo zokuphilisa izilonda.
- Injury: Inambuzane ebalulekileyo enika inzwa kwinqanaba lonyawo lilandelayo kwi-tendon ye-Achilles. Ukulimala kule nzwa kungabangela ukuphazamiseka kwinyawo.
- Ukuqhawula kwakhona: Ukuphulukiswa kwetoni akuyiyo isiqinisekiso, kwaye isithoni esilungisiweyo sinokuphangwa kwakhona.
Ukuthintelwa kwezi ngxaki kungenzeka ngokulawulwa ngokucophelela kokuphulukiswa emva kokusebenza. Ugqirha wakho uya kukunika imiyalelo ethile malunga nokukhusela nokulawula isilonda sakho sokuhlinzwa. Ngokulandela le miyalelo ngokucokisekileyo, unokunceda ukunciphisa amathuba okuphuhlisa ezinye zezi ngxaki ezinokuthi zenzeke.
Rehab Emva kokuPiliswa:
Kukho iinkqubo ezininzi zokuvuselela emva kokuhlinzwa ngenxa yeendlebe ze-Achilles. Uninzi lwagqirha lisebenzisa ukhuseleko oluquka ukuhamba ngeebhotile okanye iziqwenga, kodwa kwakhona qalisa ukunyuswa kwangethuba. Ucwaningo luye lwabonisa ukuba ukunyakaza kungaqaliswa ngokukhawuleza emva kokuhlinzwa, kodwa ukukhuselwa kuyadingeka xa uhamba. Kwizigulane ezinobungozi obuphezulu beengxaki, ukuchithwa kwempahla kunye nokuphosa kungaqhutyelwa kwiiveki okanye ngaphezulu.
Ngokuqhelekileyo, ezininzi izigulane zibuyela ekuhambeni kwiiveki ezi-4-6, ukuqiniswa emva kweeveki eziyi-8, nokusebenzisa kwiinyanga ezi-3. Uninzi lwezigulane ezibagijimi ababuyiselanga kwimidlalo yabo malunga neenyanga ezintandathu, kwaye abaninzi banokuthatha ixesha elide ukuba bafumane ngokugcwele ukuvela kwi- Achilles .
ILizwi
Ugqirha yindlela yokwenza unyango lwe-Achilles. Nangona unyango olungapheliyo luye lwabonisa iziphumo ezilungileyo, abantu abaninzi abakhutheleyo baya kukhetha ukunyangwa ngonyango lwe-Achilles. Unyango olwenziwe ngonyango lucacile, kodwa inkqubo yokubuyisela ithatha ubuncinane ubuncinane beenyanga ezi-6 ukuze abantu babuyele kwimisebenzi epheleleyo, kwaye akuqhelekanga ukubuyela ngokuphindaphindiweyo kwinqanaba le-preinjury lomsebenzi ukuthatha unyaka. Iingxaki zonyango olubandakanya ukusuleleka kunye neengxaki zokuphilisa ezinokuthi zenzeke, kodwa ngokuqwalasela ngenyameko ukulawulwa kwangaphambili kwezi nxeba, ithuba leengxaki luncinci.
Imithombo:
Reddy SS, et al. "Unyango loPhezulu lweZifo ezingapheliyo kunye neengxaki ze-Achilles Tendon" J Am Acad Orthop Surgwari ngoJanuwari 2009; 17: 3-14.
Chiodo CP, et al. "Ukuxilongwa kunye nokunyangwa kwe-Acces Achilles Tendon Ukuphakama" J Am Acad Orthop Surg Agasti 2010; 18: 503-513.