Kafukufuku amasonyeza kuti zotsatira zingapindule kwambiri
Cortisone ndi mankhwala odana ndi zotupa omwe amagwiritsidwa ntchito pochiza matenda ambiri a mitsempha. Mukaperekedwa ndi jekeseni ku malo a chovulala, zimapereka kuchepa kutupa ndi ululu m'magulu a bulu, chiuno, chiuno, bondo, mapewa, msana, kapena dzanja. Ngakhale ziwalo zing'onozing'ono za manja ndi mapazi nthawi zina zimapindula.
Choncho, zingakhale zomveka kuganiza kuti cortisone ikuwombera ndiyo njira yothetsera kuvulazidwa kwa tendyle Achilles, monga tendinitis (tendon kutupa) kapena bursitis (kutupa kwa sachesi yodzaza madzi yomwe imayendetsa chidendene ndi Achilles tendon) .
Koma umboniwo wasonyeza kuti izi siziri choncho komanso kuti zotsatira za cortisone zikhoza kupambana kwambiri.
Mmene Cortisone Amakhudzira Thupi
Kuwombera kwa Cortisone kumaphatikizapo mpumulo wa nthawi yayifupi wa ululu umene umakhala wolimba komanso wolimba. Malingana ndi ntchito yake, mpumulo ukhoza kukhalapo kuyambira milungu isanu ndi umodzi mpaka miyezi isanu ndi umodzi.
Vuto lomwe limagwiritsidwa ntchito kwa nthawi yaitali ndilo kuti zotsatira za mankhwalawa zimakhala zowonjezereka nthawi yomwe thupi lizolowereka. Ndipo, ngati munthu akupitiriza kugwiritsa ntchito cortisone ngati njira yokhayo yothandizira (mosiyana ndi mankhwala opatsirana), mphukirayo ikhoza pang'onopang'ono-ndipo nthawi zina mofulumira imayambitsa mitsempha, tendon, ndi cartilage kuti isinthe.
Ichi ndi chofunikira kwambiri chomwe tili nacho pokhudzana ndi tendon Achilles. Popeza tendon iyi imafunika kusinthasintha ndi kubwezeretsa pamene tikuyenda, kuchepetsa kulikonse kungayambitse dongosolo, nthawi zina kwathunthu. Sikuti kuvulaza kwakukulu kokha koma kamene kawirikawiri kumafuna opaleshoni komanso kukonzanso nthawi yaitali.
Kuthana ndi Cortisone mu Chilles Heel
Ngakhale akuluakulu azaumoyo ambiri akulangiza kuti asagwiritse ntchito ma shoti a cortisone kuti awononge Achilles kuvulala, kafukufuku waposachedwapa wa opaleshoni ya mafupa anapeza kuti ambiri mwa magawo atatu a iwo adzawathandiza. Mosiyana ndi kuletsedwa kwachindunji, ambiri mwa opaleshoniwa amakhulupirira kuti cortisone yogwiritsidwa ntchito mwanzeru mozungulira m'malo mwa tendon ili ndi malo ake ochizira.
Ena amatsutsana, akukhulupirira kuti palibe chitsimikizo chosonyeza kuti cortisone ndi "yochuluka" kapena momwe chithandizo chiyenera kusiyanasiyana malinga ndi kuchuluka kwa kuvulala. Kwa madotolo awa, kugwiritsa ntchito cortisone kumakhala kovomerezeka kwambiri ndipo kumakhala kolakwika.
Chikhulupiriro ichi chagwiridwa kwambiri ndi kafukufuku wogwiritsa ntchito cortisone pakati pa othamanga, gulu lomwe liri pachiopsezo chachikulu cha Achille tendon kuvulala. Chimene ofufuza apeza chinali chakuti mankhwalawa nthawi zambiri ankagwira ntchito kwambiri ngati mankhwala osokoneza bongo osati mankhwala.
Mmene Cortisone Imakhudzira Achilles Tendon
Ndi kuvulaza kwabwino, kutupa ndi mbali ya machiritso momwe mitsempha ya magazi imakula kuti maselo a chitetezo cha mthupi ndi maselo otsekemera awonjezere malo owonongeka. Pochita zimenezo, collagen yatsopano idzaikidwa pansi, minofu yowonongeka idzabwezeretsedwanso, ndipo chovulalacho chidzakonzedweratu
Nthawi iliyonse cortisone imayikidwa, njirayi imayimitsidwa. Mwa kulepheretsa kuyankhidwa kotupa, ndondomeko ya kukonza makompyuta imayimiranso. Zotsatira zake, zimakhala zofooketsa kwa nthawi yaitali, kuwonetsa munthuyo kuti abwerere mobwerezabwereza ndipo nthawi zambiri amavulaza. Ndi chiphuphu cha Achille tendon, chiwonongeko chingathe kukhala chosatha.
Kupanga Kusankha Koyenera
Kawirikawiri, majekisoni a cortisone ayenera kupeŵa kuti awononge kuvulaza kwa Achilles.
Pali zosiyana, ndithudi. Akhoza kulangizidwa ngati zosankha zina zonse zathandizira zalephera ndipo moyo waumwini wakhala wosakhudzidwa kwambiri.
Pamapeto pake, mphuno za cortisone ziyenera kuganiziridwa ngati munthu alephera kuyankha zokhudzana ndi mankhwala ochizira pambuyo poyesera miyezi isanu ndi umodzi. Izi zikuphatikizapo kugwiritsa ntchito mankhwala odana ndi kutupa, kusintha kwa ntchito, kusintha nsapato, kukwera kwa chidendene, kutambasula, ndi mankhwala.
Ngakhale zili choncho, chisankho choyenera kuchichita chiyenera kusamalidwa, kuyeza phindu la mankhwala pamodzi ndi zotsatira zake.
Ngati mukumudziwa wina yemwe adachitidwa opaleshoni kuti akonze kukomoka kwa Achilles, mudzamvetsa chifukwa chake izi ndi zofunika kwambiri. Kukonzekera kuchokera ku opaleshoniyi ndi yowonjezereka, ndipo muyenera kukhala mu boot kapena kuthamanga kwa milungu kapena miyezi, mutatha mankhwala omwe mukufunikira kuti mubwezeretsedwe. Zonse zanenedwa, zingatenge miyezi isanu ndi umodzi kuti mubwerere kuntchito zonse ndi chaka chimodzi musanabwezeretse.
> Zotsatira:
> Brinks, A .; Koes, B ;; Volkers, C. et al. "Zotsatira zoipa za injini za corticosteroid zowonjezera: ndondomeko yowonongeka." Matenda a BMC Musculoskeletal. 2010; 11: 206.
> Kuwada, G. "Kufufuza mwachidwi zomwe zimachitika pamtunda wotsatizana ndi kortisone." Foot and Ankle Online Magazini. 2016: 9 (1): 9.
> Madanagopal, S .; Kovaleski, J ;; ndi Pearsall, A. "Kafukufuku wa mankhwala ochepa a oral corticosteroid ndi madokotala a mafupa ku koleji ndi othamanga masukulu apamwamba." Journal of Sports Science Medicine. 2009; 8 (1): 37-44.
> Nepple, J. ndi Matava, M. "Zowonongeka Zowonongeka M'maseŵera." Masewera a Masewera. 2009; 1 (5): 396-404.