Tendinosis Zimayambitsa Kachilombo ka Tendon Yosatha, Osati Mwadzidzidzi Kutupa
Achilles tendinosis ndi vuto lalikulu la tendon Achilles. Mwamwayi, odwala ambiri ndi madokotala amatsutsana ndi mawu akuti Achilles tendonitis ndi Achilles tendinosis. Achilles tendinosis ndi vuto lalikulu lomwe limakhala ndi misonzi yaying'ono ya tendyle Achilles . Kumbali inayi, matenda otchedwa Achilles amatuluka pakakhala zovuta (kutuluka mwadzidzidzi) kutupa kwa tendon.
Kusiyanitsa izi ndizofunika kuonetsetsa kuti mukuchiritsidwa.
Kutupa vs. Kusinthika
Mawu akuti Achilles tendonitis ayenera kugwiritsidwa ntchito kutanthauza kutupa kwa tendlles Achilles. Kutupa nthawi zambiri kumakhala kusintha kwakukulu (zotsatira za kuvulala mwadzidzidzi). Vutoli limakhala ndi kutupa, kufiira, kutentha, ndi ululu. Chizindikiro chimodzi chofala cha Achilles tendonitis chimatchedwa crepitus. Chombo chotchedwa Crepitus ndikumverera kwagaya kumene kumakhoza kumverera mwa kuyika dzanja lanu pa tchuthi loyendayenda. Kutupa ndi kutupa kwa tendon kumapangitsa kugunda komwe kungamveke ndi dzanja lanu. Mukawona pansi pa microscope, zinthu zotupa zimakhala ndi maselo enieni amene thupi limabweretsa kumalo amtunduwu kuti athetse kutupa ndikuchiritsa tchupi lovulala.
Achilles tendinosis ndi chikhalidwe chosiyana chomwe sichidziwika ndi kutupa. M'malo mwake, odwalawa ali ndi mphamvu zowonjezera.
Kaŵirikaŵiri palibe kufiira kapena kutentha kwa tizilombo tomwe timayandikana nawo , ngakhale kuti dera lanu likhoza kukhala lopweteka kuti likhudze. Achilles tendinosis ndi vuto lalikulu, kutanthauza kuti limapangika pang'onopang'ono ndipo limatenga nthawi yaitali. Mukawona pansi pa microscope, maselo otupa sangapezeke, ngakhale kuwonongeka kwakukulu ndi misonzi yaying'ono ya tchutchu.
Zizindikiro za Achilles tendinosis ndi njira yabwino kwambiri yothetsera matendawa. Kawirikawiri x-ray ya mavoti azikhala yachilendo, ngakhale kuti n'kotheka kuwona ma calcific ang'onoang'ono kapena osakaniza mafupa pafupi ndi tendon, izi ndi zizindikiro za kutupa kosatha. Mayeso a MRI akhoza kuchitanso zomwe zingasonyeze kuvulaza kapena kuchepa kwa minofu ya tendon, komanso kuwonjezeka kwa gawo lowonongeka la tendon.
Ndikofunika kusiyanitsa pakati pa tendonitis ndi tendinosis, monga momwe mankhwalawa angaperekere. Mwachitsanzo, pochiza Achilles tendinosis ndi njira zochepetsera kutupa (mankhwala oundana, anti-inflammatory) akhoza kuchita pang'ono kuti akuthandizeni kuthetsa zizindikiro za matendawa. Mofananamo, chithandizo cha tendinosis pamene vuto ndi kutupa kwa thupi likhoza kukhala lopanda ntchito.
Kuchiza kwa Achilles Tendinosis
Pamene chithandizo cha Achilles tendonitis ndi Achilles tendinosis ndi chimodzimodzi, siziri zofanana. Ndikofunika kudziwa kuti chifukwa Achilles tendinosis ilibe kutupa, mankhwala omwe amayenera kuwongolera kutupa sangawathandize. Choncho, ngakhale mankhwala opatsirana ndi otentha ndi mazira angagwiritsidwe ntchito pochiritsa zizindikiro za Achilles tendinosis, sakulimbana ndi vutoli.
Mankhwala othandiza kwambiri a Achilles tendinosis amapezeka kukhala nsapato, zochizira , komanso kutambasula.
Mwachindunji, zochitika zomwe zimagwiritsidwa ntchito pa kuvomereza kwapadera kwa tendyle Achilles zasonyezedwa kuti ndi njira yabwino kwambiri yothandizira machiritso a gawo lowonongeka la tendon. Kusemphana kwapadera kumachitidwa pochita mgwirizano wa tendon unit, komanso kupereka mphamvu yowonjezera. Mwachitsanzo, kupanga zokolola zazingwezi , ndikutsika pang'onopang'ono ndizochita zozizwitsa zogwira ntchito za Achilles tendon.
Nthawi zina, dokotala wanu angakulimbikitseni kuchiritsa opaleshoni ya tendon yowonongeka.
Pazochitikazi, nthawi zambiri gawo lowonongeka la tendon limachitidwa opaleshoni. Nthendayi ikangowonongeka, thambo lozungulira likhoza kukonzedwa pafupi ndi vutoli. Pali kutsutsana za momwe mankhwalawa amathandizira kuchiritsa Achilles tendinosis. Ochita opaleshoni ena amakhulupirira kuti kupambana kwa chithandizochi ndicho chifukwa cha rehab yomwe yachitika pokhapokha opaleshoni yachitidwa.
Zotsatira:
Saltzman CL, Kutsegula DS. "Kuvulala kwamatope" J. Am. Acad. Ortho. Opaleshoni., Sep 1998; 6: 316 - 325.