Achilles tendon rupture - pambuyo pa chithandizo

Matenda a Achilles amalumikiza minofu yanu ya ng'ombe ndi fupa lanu la chidendene. Pamodzi, zimakuthandizani kukankhira chidendene chanu pansi ndikukwera pazala zanu. Mumagwiritsa ntchito minofu imeneyi ndi tendon yanu ya Achilles mukamayenda, kuthamanga, ndi kudumpha.

Ngati tendin yako ya Achilles ikutambalala kwambiri, imatha kung'ambika kapena kuphulika. Izi zikachitika, mutha:

• Imvani kumenyedwa, kung'ambika, kapena kutulutsa mawu ndikumva kupweteka kumbuyo kwa mwendo kapena mwendo
• Zikukuvutani kusuntha phazi lanu poyenda kapena kukwera masitepe
• Khalani ndi zovuta kuyimirira pazala zanu
• Khalani ndi zipsera kapena kutupa mwendo kapena phazi lanu
• Mumve ngati kumbuyo kwa bondo lanu kumenyedwa ndi mleme

Mwinamwake kuvulala kwanu kunachitika pamene:

• Mwadzidzidzi munakankhira phazi lanu pansi, kuchoka pakuyenda mpaka kuthamanga, kapena kuthamanga kukwera phiri
• Atatcheredwa ndikugwa, kapena adachitanso ngozi ina
• Adasewera masewera ngati tenisi kapena basketball, ndimayimidwe ambiri ndikutembenuka kowongoka

Zovulala zambiri zimapezeka mukamayesedwa. Mungafunike scan ya MRI kuti muwone mtundu wa Achilles tendon womwe muli nawo. MRI ndi mtundu wamayeso ojambula.

• Kung'ambika pang'ono kumatanthauza kuti ena mwa tendon akadali bwino.
• Kuthira misozi kumatanthauza kuti tendon yanu idang'ambika kwathunthu ndipo mbali ziwirizi sizilumikizana.

Ngati muli ndi misozi yonse, mungafunike kuchitidwa opaleshoni kuti mukonze tendon yanu. Dokotala wanu adzakambirana za ubwino ndi kuipa kwa opaleshoni ndi inu. Musanachite opareshoni, muvala nsapato yapadera yomwe imakulepheretsani kusuntha mwendo ndi phazi lanu lakumunsi.

Kung'amba pang'ono:

• Mungafunike kuchitidwa opaleshoni.
• M'malo mochita opareshoni, mungafunike kuvala ziboda kapena nsapato kwa milungu 6. Munthawi imeneyi, tendon yanu imakulira limodzi.

Ngati muli ndi cholumikizira mwendo, chopindika, kapena nsapato, zimakulepheretsani kusuntha phazi lanu. Izi zipewa kuvulala kwina. Mutha kuyenda pomwe dokotala wanena kuti zili bwino.

Kuchepetsa kutupa:

• Ikani phukusi lachisanu m'deralo mutangovulaza.
• Gwiritsani ntchito mapilo kukweza mwendo wanu pamwamba pa mtima wanu mukamagona.
• Khalani ndi phazi lokwera mukakhala pansi.

Mutha kutenga ibuprofen (monga Advil kapena Motrin), naproxen (monga Aleve kapena Naprosyn), kapena acetaminophen (monga Tylenol) chifukwa cha ululu.

Kumbukirani kuti:

• Lankhulani ndi omwe amakuthandizani ngati muli ndi matenda a mtima, matenda a chiwindi, kuthamanga kwa magazi, matenda a impso, kapena muli ndi zilonda zam'mimba kapena magazi.
• Ganizirani zosiya kusuta (kusuta kumatha kukhudza kuchiritsa pambuyo pa opaleshoni).
• Osapereka aspirin kwa ana ochepera zaka 12.
• Osamatenga zakupha zopitilira muyeso kuposa zomwe zimaperekedwa pa botolo kapena ndi omwe amakupatsani.

Nthawi ina mukamachira, omwe amakupatsani adzakufunsani kuti muyambe kusuntha chidendene. Izi zitha kukhala milungu iwiri kapena itatu kapena milungu 6 mutavulala.

Mothandizidwa ndi chithandizo chamankhwala, anthu ambiri amatha kubwerera kuntchito zawo m'miyezi 4 mpaka 6. Pakulimbitsa thupi, muphunzira zolimbitsa thupi kuti minofu yanu ya ng'ombe ikhale yolimba komanso matenda anu Achilles azitha kusintha.

Mukatambasula minofu yanu ya ng'ombe, chitani pang'onopang'ono. Komanso, osabweza kapena kugwiritsa ntchito mphamvu yochulukirapo mukamagwiritsa ntchito mwendo wanu.

Mukachira, muli pachiwopsezo chachikulu chovulazanso tendon yanu ya Achilles. Muyenera:

• Khalani ndi mawonekedwe abwino ndikutambasula musanachite masewera olimbitsa thupi
• Pewani nsapato zazitali
• Funsani omwe akukuthandizani ngati zili bwino kuti muzisewera tenisi, racquetball, basketball, ndi masewera ena komwe mumayambira ndikuyamba
• Chitani kutentha kokwanira ndikutambasula nthawi isanakwane

Itanani omwe akukuthandizani ngati muli ndi izi:

• Kutupa kapena kupweteka kumiyendo, kumapazi, kapena phazi kumakulirakulira
• Utoto wofiirira mwendo kapena phazi
• Malungo
• Kutupa mu ng'ombe ndi phazi lanu
• Kupuma pang'ono kapena kupuma movutikira

Komanso itanani omwe akukuthandizani ngati muli ndi mafunso kapena nkhawa zomwe sizingadikire kuti mudzayendere ulendo wina.

Chingwe cha chidendene chimang'ambika; Kuphulika kwa tendon

Rose NGW, Green TJ. Ankolo ndi phazi. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chap 51.

Sokolove PE, Barnes DK. Zowonjezera komanso zowononga ma tendon mdzanja, dzanja, ndi phazi. Mu: Roberts JR, Custalow CB, Thomsen TW, olemba., Eds. Ndondomeko Zachipatala za Roberts ndi Hedges mu Emergency Medicine ndi Acute Care. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2019: chap 48.

• Kuvulala Kwazitsulo ndi Matenda