Bursitis chidendene

Bursitis chidendene ndikutupa kwa thumba lodzaza madzi (bursa) kumbuyo kwa fupa la chidendene.

Bursa imagwira ntchito ngati khushoni ndi mafuta pakati pa tendon kapena minofu yomwe ikudutsa fupa. Pali ma bursas mozungulira malo akulu kwambiri mthupi, kuphatikiza bondo.

Bursa ya retrocalcaneal yomwe ili kumbuyo kwa bondo chidendene. Ndipamene thambo lalikulu la Achilles limalumikiza minofu ya ng'ombe ndi fupa la chidendene.

Kugwiritsiridwa ntchito mobwerezabwereza kwa mwendo kumatha kuyambitsa bursa iyi kukwiya ndikutupa. Zitha kuyambitsidwa ndi kuyenda kwambiri, kuthamanga, kapena kudumpha.

Matendawa nthawi zambiri amalumikizidwa ndi Achilles tendinitis. Nthawi zina retrocalcaneal bursitis imatha kulakwitsa chifukwa cha Achilles tendinitis.

Zowopsa za izi ndi monga:

• Kuyambira nthawi yolimbitsa thupi kwambiri
• Kukula mwadzidzidzi kwa milingo yopanda zofunikira
• Zosintha pamachitidwe
• Mbiri ya nyamakazi yomwe imayambitsidwa ndi kutupa

Zizindikiro zake ndi izi:

• Ululu kumbuyo kwa chidendene, makamaka poyenda, kuthamanga, kapena pomwe malowa akhudzidwa
• Ululu umatha kukulirakulira mukaimirira
• Khungu lofiira, lotentha kumbuyo kwa chidendene

Wothandizira zaumoyo wanu adzatenga mbiri kuti adziwe ngati muli ndi zizindikilo za retrocalcaneal bursitis. Kuyesedwa kudzachitika kuti mupeze komwe kuli ululu. Woperekayo ayang'ananso kukoma ndi kufiira kumbuyo kwa chidendene.

Kupweteka kumatha kukulira pamene bondo lanu likukwera mmwamba (dorsiflex). Kapena, kuwawa kumatha kukulira mukadzuka zala zanu.

Nthawi zambiri, simusowa maphunziro azithunzi monga x-ray ndi MRI poyamba. Mungafunike kuyesedwaku pambuyo pake ngati chithandizo choyamba sichikupangitsani kusintha. Kutupa kumatha kuwonetsa pa MRI.

Wothandizira anu akhoza kukulangizani kuti muchite izi:

• Pewani zinthu zomwe zimapweteka.
• Ikani ayezi chidendene kangapo patsiku.
• Tengani mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs), monga ibuprofen.
• Yesetsani kugwiritsira ntchito pa-kauntala kapena zidendene zachizolowezi mu nsapato zanu kuti muchepetse nkhawa pachidendene.
• Yesani chithandizo cha ultrasound panthawi ya mankhwala kuti muchepetse kutupa.

Khalani ndi chithandizo chamankhwala kuti musinthe kusinthasintha komanso mphamvu kuzungulira bondo. Cholinga chathu chizikhala kutambasula tendon yanu ya Achilles. Izi zitha kuthandiza bursitis kusintha ndikuletsa kuti isabwerere.

Ngati mankhwalawa sakugwira ntchito, omwe amakupatsani mankhwala akhoza kulowetsa pang'ono steroid mankhwala mu bursa. Pambuyo pa jakisoni, muyenera kupewa kutambasula tendon chifukwa imatha kutseguka.

Ngati vutoli limalumikizidwa ndi Achilles tendinitis, mungafunike kuvala chindapusa kwa bondo kwamasabata angapo. Kawirikawiri, opaleshoni angafunike kuchotsa bursa yotentha.

Matendawa nthawi zambiri amakhala bwino milungu ingapo atalandira chithandizo choyenera.

Itanani yemwe akukuthandizani ngati mukumva chidendene kapena zizindikiro za retrocalcaneal bursitis zomwe sizikupita patsogolo ndikapuma.

Zinthu zomwe mungachite kuti muthetse vutoli ndi monga:

• Khalani osinthasintha komanso olimba kuzungulira bondo kuti muteteze vutoli.
• Tambasulani tendon ya Achilles kuti muteteze kuvulala.
• Valani nsapato zokhala ndi chithandizo chokwanira kuti muchepetse kuchuluka kwa kupsinjika kwa tendon ndi kutupa mu bursa.
• Gwiritsani ntchito mawonekedwe oyenera mukamachita masewera olimbitsa thupi.

Kupweteka kwa chidendene; Retrocalcaneal bursitis

• Kuchita masewera olimbitsa thupi
• Retrocalcaneal bursitis

Kadakia AR, Aiyer AA. Kupweteka kwa chidendene ndi plantci fasciitis: zochitika zam'mbuyo. Mu: Miller MD, Thompson SR, olemba. DeLee Drez & Miller's Orthopedic Sports Medicine. 5th ed. Philadelphia, PA: Elsevier; 2020: chap 120.

Wogulitsa RH, Symons AB. Kupweteka phazi. Mu: Wogulitsa RH, Symons AB, eds. Kusiyanitsa Kusiyanitsa kwa Madandaulo Omwe Amakonda. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2018: chap 23.

Wilkins AN. Phazi ndi ankolo bursitis. Mu: Frontera, WR, Silver JK, Rizzo TD Jr, olemba. Zofunikira pa Thupi Lathupi ndi Kukonzanso. Wolemba 4. Philadelphia, PA: Elsevier; 2019: mutu 86.