Chithandizo cha utaphulika Achilles tendon opaleshoni konzanso

Malinga ndi kafukufuku, utaphulika ambiri a Achilles tendon chikupezeka pakati pa anthu amene tikugwira masewera yogwira. choipa ichi, imene kwathunthu kapena pang'ono chinang'ambika tendon kuti zikugwirizana ng'ombe minofu ya kubwerera kwa fupa chidendene.

Pankhaniyi, kuwonongeka angamve ndi pitani kapena Pop, kenako pali amphamvu lakuthwa kupweteka kwa mwendo m'munsi ndi kumbuyo bondo lapansi. Ngozi nthawi zina ndi kuyenda bwinobwino, ndipo madokotala ambiri amalangiza opaleshoni monga njira yabwino kwambiri ya chithandizo cha chophukacho. Komabe, njira zambiri ndiwofatsa angakhale ogwira.

zizindikiro

Ngakhale Achilles tendinitis ndi chotupa ake wotsatira angakhale okhudza asymptomatic, anthu ambiri wamudabwapo chimodzi kapena zingapo kuwonongeka:

• ululu (zambiri kwambiri ndi limodzi ndi kutupa mu akakolo);
• kulephera kukhotetsa phazi kunsi kapena kukankha odwala phazi pansi poyenda;
• kulephera kuyima pa nsonga za zala pa mwendo anavulala;
• kuwonekera phokoso kapena mng'alu pa nthawi ya tendon chophukacho.

Ngakhale ululu si monga, m'pofunika pitani kuchipatala mwamsanga pamene munamva pitani kapena Pop chidendene, makamaka ngati, nthawi yomweyo pambuyo phokoso mwataya luso kuyenda bwinobwino.

zifukwa

Achilles tendon amathandiza kuchepetsa gawo yoyamikira phazi pansi, pansi pa zala ndi kukankhira kutali phazi kuchokera pansi kuyenda. Izo mwanjira losne nthawi muyenda phazi lanu.

kusiyana The ambiri amapezeka pa gawo ili pa masentimita asanu pamwamba ndi pawiri la tendon metatarsus. Kudera limeneli pangozi, kuyambira magazi lamangika. Pachifukwa ichi, tendon amachiza pang'onopang'ono pambuyo choipa.

Mumadziwika zitsanzo sizachilendo a Achilles tendon chophukacho, chifukwa cha kuchuluka lakuthwa mu magalimoto:

• kuonjezera mphamvu ya thupi, makamaka ngati zikukhudza kudumpha;
• kugwa kuchokera kumwamba ndi;
• mapazi anagunda dzenje.

Zina mwa zifukwa

Zina azitaya Achilles tendon chotupa:

• Age. Nthawi zambiri mtundu wa choipa anawona odwala pakati pa zaka sate ndi forte.
• Paulo. Malinga ndi kafukufuku, kuleza mtima ndi mkazi wina aliyense amuna asanu ndi tendon chophukacho.
• Sports. Nthawi zambiri, kuwononga thupi katundu, kuphatikizapo kuthamanga, kudumpha ndi kusinthana kayendedwe mwadzidzidzi mabasi. Zitsanzo ndi mpira, mpira, tenesi.
• Steroid jekeseni. Madokotala zina zotchulidwa jakisoni steroid mu bondo olowa kuchepetsa ululu ndi achire wa ndondomeko yotupa. Komabe, zinthu izi amawononga tendons ozungulira ndi kudzabadwira chophukacho.
• Kutenga zina mankhwala. Fluoroquinolones, monga "Ciprofloxacin" kapena "Levofloxacin" azitaya choipa zintchito.

Pamaso pa ulendo dokotala

Popeza kuti kusiyana (monga matenda a) wa Achilles tendon kungachititse kuti kulephera kuti kuyenda bwinobwino, ayenera kupempha chithandizo mwamsanga. Mwina zina kukaona dokotala okhazikika mankhwala masewera kapena maopaleshoni amafupa.

Kuti upo kunali kogwira mtima kwambiri, basi isanafike mbiri phwando pa pepala mfundo izi:

• nkhani ya zizindikiro ndi nkhani yapita choipa ake chinachitika;
• zokhudza mavuto m'mbuyomu thanzi;
• mndandanda wa zonse za mankhwala ndi zowonjezera zakudya;
• mafunso mukufuna kufunsa dokotala.

adzatero zomwe adokotala?

The katswiri zikuoneka kuti ndikufunseni inu mafunso otsatirawa:

• Kodi choipa tendon?
• Kodi munamva (kapena sanazimve, ndi kumverera) a pitani kapena tumphuka pamene kulandira zoopsa?
• Kodi inu mungaime pa nsonga zala pa mwendo wovulala?

diagnostics

Mu kuona chachikulu kuchipatala, adotolo zifotokoza atavalanso zoteteza kwa tilinazo ndi kutupa. Nthawi zambiri, katswiri akhoza pamanja ayese kulakwika mu tendon, ngati izo kwathunthu linathyoka.

dokotala angafunse inu kuyima pa mpando kapena kugona pansi pa mawondo ake pa mimba yake pa tebulo la kuyang'anira kuti mapazi dangled m'mphepete mwa gome. Ndi njira ya matenda dokotala compresses ng'ombe minofu ya wodwalayo onani phazi reflex ayenera basi kupinda. Ngati sayenda, mwina zinachitika kutupa kwa Achilles tendon. Kuti zinachititsa kuti zoipa.

Ngati muli ndi funso za mmene kuwonongeka (kutanthauza kuti ngati kwathunthu chinang'ambika tendon kapena pang'ono okha), dotolo mankhwala ultrasound kapena chapamwamba kwambiri. Zikomo njirayi sabweretsa chisoni akhoza kupanga zithunzi mwatsatanetsatane zimakhala onse ndi ziwalo m'thupi.

chithandizo

Anthu ambiri amawasonyeza mosiyanasiyana kuwonongeka Achilles tendon. Chithandizo zambiri zimadalira m'badwo, masewera olimbitsa thupi, komanso kusalekerera zoipa. Ambiri, odwala wamng'ono ndi anthu zolimbitsa thupi amasankha opaleshoni ndi njira yabwino kwambiri. Odwala magulu zaka achikulire, nthaŵi zambiri chithandizo ndiwofatsa. Malinga ndi kafukufuku wa posachedwapa, molondola yoikidwiratu mankhwala ndiwofatsa pasakhale sakhala ogwira kuposa opaleshoni.

Chithandizo popanda opaleshoni

Ndi njira imeneyi, odwala zambiri kuvala wapadera nsapato za mafupa ndi nsanja pansi chidendene - timatha inu kuswa tendon kuchiritsa nokha. Njira kumatha ambiri kuopsa ntchito, monga matenda. Komabe, n'kubadwanso, pamene atavala nsapato mafupa imatenga nthawi yaitali kwambiri kuposa mankhwala a choipa kupyolera opaleshoni ndipo pali chiopsezo kukonzanso chophukacho. Zikatero nawobe amachita opaleshoni, koma pali imabwera amphamvu kuti dokotala tsopano ovuta kwambiri kuti akonze Achilles tendon chophukacho.

opareshoni

Kawirikawiri opaleshoni motere. dokotala wopanga ang'ambe thupilo kumbuyo kwa mwendo ndi stitches chinang'ambika tendon. The welds kulimbitsa kungafune tendons zina malinga ndi mmene minofu zowonongeka. Mwa mavuto n'zotheka pambuyo matenda opaleshoni ndiponso kuwonongeka ubongo. Kusatetezeka yafupika kwambiri, ngati pa nthawi ya opaleshoni, dokotalayo zimapangitsa amacheka yaing'ono.

contraindications

Mankhwala a Achilles tendon anawononga njira ntchito ndi contraindicated kwa anthu amene anapezeka ndi matenda siteji yogwira matenda kapena khungu m'munda wa zoopsa. mankhwala ndiwofatsa amadziwikanso kutumikiridwa odwala osasamalika ambiri matenda, matenda a shuga, kusuta kusiya. Iwo contraindications ndi zinthu monga moyo wongokhala, kugwiritsa ntchito mankhwala alephera kutsatira malangizo positi-kugwira ntchito ya opaleshoni ya. mafunso okhudza ukupeza ayambe kukambirana ndi dokotala.

konzanso

Mosadzasintha kuchiritsa Achilles tendon chotupa (pambuyo opaleshoni kapena mankhwala ndiwofatsa - zilibe kanthu), udzakhala ndi kukhazikitsa pulogalamu monga Zochita kuphunzitsa minofu mwendo ndipo Achilles tendon. odwala ambiri kubwerera ku ntchito zawo mu miyezi inayi mpaka isanu ndi umodzi pambuyo pa mapeto a mankhwala kapena opaleshoni.

Zochita

Pambuyo ndiwofatsa chithandizo konzanso Zochita akhoza anayamba nthawi yomweyo pambuyo mofulumira ululu pambuyo opaleshoni - mwamsanga pamene bala amachiritsa ntchito. zolimbitsa thupi - chinsinsi choti kuchira bwino asavulale (makamaka ngati choipa - Achilles tendon chophukacho). Konzanso akuyamba ndi kutikita ndi kusintha sayenda chonse bondo la - kumverera kwa choletsa ayenera kutha. Patapita masabata awiri a mankhwala wofatsa mankhwala zolimbitsa yogwira, zotsatira zabwino chingapezeke ngati kuwala ndi chofunikira thupi kwa masabata 12 mpaka 16. Katundu kuyamba ndi anatambasula, pite ku ntchito mphamvu, kuphatikizapo kupinda ndi kuwongola bondo.

Ngati ululu anali kwathunthu, izo zikhoza chikugwirizana kuphunzitsa masewera olaula kwambiri katundu. Othamanga, ndi zofunika kupita kuthamanga ndi kuchita kudumpha kwambiri. Kobwereza tendinitis wa Achilles tendon ndi wotsatira kukonzanso kuswa zidzakhala zambiri zokayikitsa ngati wodwalayo mosamala kutsatira miyezo anatumizidwa konzanso.