Wonke umuntu uyayazi umlando wesiGreki we-Achilles 'isithende, mhlawumbe, futhi wanikeza igama lethenda, esezansi kwesiguli se-gastrocnemius. Ixhuma imisipha yonyawo ngezinyawo (ikakhulukazi ngethambo lesithende) futhi likhulu kakhulu emzimbeni wonke, ngakho kulula ukulimaza.
Ukuphuka kwethenda ye-Achilles kwenzeka kaningi ku:
- abagijimi - ngenxa yokuzikhandla ngokweqile ngokomzimba, kungenzeka ukulimala kanye nokuhlala njalo kwemilenze engaphansi kokucindezeleka;
- abantu asebekhulile - empeleni ngesikhathi sokwehla kwemvelo.
Ukulimala kungaba izinhlobo ezimbili:
- Vula-kwenzeka lapho into ebukhali ilimala;
- ivaliwe (ngaphansi) - i-tendon ingaqhuma ngenxa yokulimala okuqondile noma okungaqondile.
Izimpawu zokuphulwa kwethenda ye-Achilles
Uma ngabe ushaywe kuwo ngesikhathi lapho kuphelile futhi kuphelile, uzobona ukuqhuma ngokushesha, kodwa uma kukhona ukulimala okungaqondile (uma usuqa, lapho uqala ukuhamba noma uhlezi ezitebhisini), kungenzeka ukuthi unqume ukuthi ukukhubazeka kwe-Achilles kuye kwenzeka ngokuvumelana nezibonakaliso ezinjalo:
- ukuchoboza noma ukuphazamiseka, okuzwakalayo ngalesi sikhathi;
- ubuhlungu obukhulu ngokuzumayo;
- ukungakwazi ukuma phezu kwezinzwane futhi nje ukudonsa inyawo phambili;
- I-palpation yendawo ingenakwenzeka;
- ukubukeka nokuvuvukala, okuyinto ekugcineni kuyokwanda usayizi;
- ukwephulwa kwemali, okungukuthi, umuntu uhlambalaza kakhulu, futhi ngezinye izikhathi akakwazi ngisho nokuhamba.
Imiphumela yokuphulwa kwethenda ye-Achilles
Njengoba indlela yokuxhumana phakathi kwe-gastrocnemius muscle nezinyawo ziphazamiseka, kuyoholela ekutheni lowo muntu ngeke akwazi ukuhamba, ngisho noma engazange azwe ubuhlungu, futhi unyawo luzoqhubeka luhamba, kodwa ngomthwalo omncane noma ukunyakaza okungalungile yonke into ingahlahloka kakhulu.
Ngakho-ke, uma kunoma yikuphi ukusola kokuqhekeka noma ukuqothula (ukuphuka okuncane) kwethenda ye-Achilles, kubalulekile ukubonisana nodokotela wezinambuzane noma udokotela ohlinzayo. Ukuze uthole ukuxilongwa, ukuhlolwa okuthile kuvame ukuqhutshwa:
- ukucindezela komlenze ophansi;
- inaliti-like;
- i-flexion ehlangene emadolweni;
- nge-sphygmomanometer.
Kwezinye izimo, bazokwenza i-x ray, i-ultrasound noma i-MRI.
Ngokusekelwe emiphumeleni yokuhlolwa kwethemoni elimele, udokotela ubeka ukwelashwa okudingekayo.
Ukwelashwa kokuphuka kwethenda ye-Achilles
Inhloso yokwelapha ukuxhuma ukuphela kwethenda bese ubuyisa ubude nokucindezeleka okudingekayo ukuze kusebenze okujwayelekile kwezinyawo. Lokhu kungenziwa ngendlela engavamile noma yokuhlinzwa.
Indlela yokwelapha evikelayo ihlanganisa ukufaka isikhathi seminyaka engama-6 ukuya kweyisishiyagalombili emlenzeni olimale wesakhiwo esingenakulinganiswa. Kungaba:
- i-longeta - i-plaster noma eyenziwe ngamapulitiki (ipulasitiki);
- I-Orthoses noma i-braces - ikuvumela ukuba ulungise ngesikhathi sokugqoka i-hood noma ukuvimbela kancane ukuhamba kwenyawo.
Ukukhetha indlela yokulungisa unyawo kuncike kudokotela, cishe akunakwenzeka ukucacisa ukuthi yikuphi ukulungiswa okudingekayo kuwe.
Indlela enokwethenjelwa kakhulu yokwelapha ukuphuka kwethenda ye-Achilles yinto efakazela ukugxilisa imiphetho ndawonye. Ukwelashwa okunjalo okuhlinzekwa kwenziwa ngaphansi kwe-anesthesia yendawo noma ejwayelekile nge-sutures ehlukahlukene, okukhethwa kukho kuxhomeke esimweni sethenda ngokwayo, isikhathi sokuphuka kanye nokuvela kwamacala aphindaphindiwe.
Uma ufuna ukuphulukisa ukuguga komdala we-tendon yama-Achille noma uqhubeke ukudlala imidlalo, bese kuphumelela kakhulu
Kungakhathaliseki ukuthi iyiphi indlela esetshenziselwa ukwelashwa kwe-tendon ye-Achille, kufanele kulandelwe ukuvuselelwa, okuhlanganisa:
- nciphisa umthwalo emlenzeni ngenkathi uhamba ngezinsimbi;
- ukuqhuba izinqubo zomzimba;
- Yenza imithi yokwelashwa ngokunyuka kancane komthwalo.
Kuphumelela kakhulu ukuqhuba inkambo yokuvuselela ezindaweni ezikhethekile, lapho yonke inqubo iqondiswa ochwepheshe.