Misozi yambiri ya Achille imachitika pamene thambo likugwedeza mwana wang'ombe chidendene chimang'ambika kwathunthu. Ichi ndi chovulaza chodziwika, kawirikawiri chikuwoneka pakati pa anyamata achimuna a zaka zapakati pa sabata.
Zinthu Zitatu Zokhudza Achilles
- Matenda Achilles ndi teteyinji yaikulu m'thupi. Ngakhale kuti ndi teteyinji yaikulu m'thupi, Achilles akadali ovulazidwa. Magulu akuluakulu amagwiritsidwa ntchito pa Achilles, makamaka ndi masewera omwe amabwera mwadzidzidzi m'maseŵera omwe amafunika kuthamanga ndi kudumphira.
- Amuna ali pafupi nthawi zisanu ndi ziwiri kuti amwetse Achilles awo. Amuna ali otheka kwambiri kuti athandizidwe ndi matenda a Achilles. Kaŵirikaŵiri kuvulala uku kumawoneka mumsewera wazaka 20 mpaka 40, ndipo nthawi zambiri kumachitika popanda kukhudzana kapena kugunda.
- Ma antibayotiki ena ndi ma fotoni a cortisone angakupangitseni kuti muwononge Achilles anu. Mtundu wina wa antibiotic, wotchedwa fluoroquinolones (monga Cipro kapena Levaquin), wasonyezedwa kuti uwonjezere mwayi wa mavuto Achilles tendon. Nkhonya za Cortisone zimagwirizananso ndi Achilles misonzi , chifukwa madokotala ambiri samalimbikitsa cortisone kwa Achilles tendonitis.
Zizindikiro za Tornon Torn
Chigwa cha Achille, kapena kupweteka, ndi kuvulaza koopsa kumene kumayambitsa kupweteka kwadzidzidzi kumbuyo kwa bondo. Odwala amatha kumva 'pop' kapena 'kuseka,' ndipo nthawi zambiri amanena kuti amamverera ngati kuti adakankhidwa chidendene (ngakhale kuti palibe amene adawakwapula).
Odwala ali ndi vuto loloza zala zawo pansi, ndipo akhoza kukhala ndi kutupa ndi kuvulaza pafupi ndi tendon.
Dokotala wanu adzayang'ana khungu kuti apite patsogolo. Chilema mu tendon Achilles kawirikawiri chimamveka pambuyo polira. Kuwonjezera apo, kufinya mwana wa ng'ombe kumapangitsa kuti phazi lifike pansi, koma kwa odwala omwe ali ndi tchire lachilendo lachilendo, phazi silidzasuntha (izi zidzetsa zotsatira zabwino pa mayeso a Thompson ).
X-rays akhoza kuchitidwa kuti azindikire pazinthu zina monga kuphwanyika kwa bulu kapena nyamakazi ya nyamakazi .
Ngozi Zomwe Zingayambitse Achilles Tendon
Mapuloteni amtunduwu amapezeka kwambiri mwa amuna omwe ali ndi zaka zoposa 30 kapena 40. Pafupifupi 15 mpaka 20% a odwala ali ndi zizindikiro za Achilles tendonitis musanayambe kudula misozi ya Achilles, koma ambiri odwala alibe mbiri yakale Matenda a matope achilles. Misozi yoposa 75% ya Achilles tendon imakonda kusewera masewera a mpira (kawirikawiri basketball kapena tenisi).
Zina mwazidzidzidzi zomwe zimayambitsidwa ndi Achilles tendon kupasuka ndi:
- Katemera wa Cortisone mu tendon Achilles
- Gout
- Ntchito ya ma antibiotic ya Fluoroquinolone
Ma antibayotiki a Fluoroquinolone amagwiritsidwa ntchito kwambiri pa mankhwala ochizira matenda opatsirana, matenda opangira mkodzo, ndi matenda ena a bakiteriya. Maantibayotiki awa, monga Cipro, Levaquin, ndi ena, amagwirizana ndi Achilles tendon kupasuka . Zolondola chifukwa chake izi ndizosawoneka bwino, koma odwala pa mankhwalawa ayenera kuganizira mankhwala ena ngati mavutowo Achilles tendon akukula.
Kuchiza kwa Kulira kwa Achilles Tendon
Kuchiza kwa misozi ya Achilles kumalira kungakhale opaleshoni kapena njira zopanda opaleshoni.
Phindu la opaleshoni nthawi zambiri limakhala lochepa. Othawa masewera amatha kubwerera ku masewera mofulumira, ndipo mwinamwake pali mwayi wawung'ono wa kubwezeretsedwa kwa tendon Achilles. Ubwino wa chithandizo chopanda opaleshoni ndi chakuti opaleshoni yokha opaleshoni ikhoza kupeŵa, ndipo zotsatira za nthawi yaitali zimakhala zofanana ndi odwala amene amachiritsidwa.
Zotsatira:
Chiodo CP, et al. "Kuzindikira ndi Chithandizo cha Achille Achille Tendon Kukwera" J. Am. Acad. Ortho. Kukula, August 2010; 18: 503 - 513.
van der Linden PD, ndi al. "Fluoroquinolones ndi chiopsezo cha vuto la Achille tendon: kuphunzira kovuta" BMJ 2002; 324: 1306.
Schepsis, AA, et al. "Achilles Tendon Disorders At Athletics" Am. J. Sports Med., March 1, 2002; 30 (2): 287 - 305.