Ukukhanda okungahambisani nokuhlinzwa kungase kube nezinkinga ezimbalwa kodwa ingozi enkulu yokuphumula kabusha
Ingabe ukwelashwa ngokuzenzekelayo kwe-Achilles ithethon ukuhlukana okunye okuhle ukulungiswa ukuhlinzwa? Lokhu kwahlaziywa ngokuqhubekayo kusukela isifundo eshicilelwe enkulumweni ye-Journal of Bone and Joint Surgery esatusa ukwelashwa okulindelekile kwe-Achilles ithon rupture kunokuba ukulungiswa ukuhlinzeka iziguli eziningi.
Kusukela kushicilelwe lolo cwaningo, ezinye izifundo ziye zaqhathanisa lezi ezimbili futhi eziningi ziphetha ngokuthi ukuhlinzwa kunesilinganiso esingaphansi sokuphuka kabusha, kodwa izinga eliphakeme lezinkinga zezifo ezijulile, izikhalazo ezingenaso izimonyo, kanye nezidakamizwa ze-sural nerve.
Imithi yokwelapha ingase ibe ngcono kakhulu ezigulini ezisemsebenzini we-rehab ohlelweni lwezokwelapha zokwelashwa zakuqala futhi abakudala. Lokhu kuzoqhubeka kube yisihloko sempikiswano. Nansi imininingwane yezifundo ukuze ukwazi ukuxoxa ngalokhu nodokotela wakho uma une-Achilles ukuhlukana kwethenda.
Ukwelapha Okungasebenzi Okusebenzayo kwe-Achilles Tendon
Ucwaningo luka-2004 lwalandela umphumela weminyaka emithathu yeziguli ezinokuphuka okuphelele kwethenda ye-Achille eyayiphathwa ngezindlela ezingezona zokuhlinzwa. Amaphesenti angamashumi ayisishiyagalolunye nesithupha kubo abike "imiphumela emihle" noma "emihle". Le miphumela yayingcono kuneqembu elifanayo lalinokulungiswa kokuhlinzwa.
Ukwelashwa okungewona ukwelashwa kwakuneziguli ezigqoke isikhashana esinzima isikhathi esifushane, bese ushintshela ekukhanyeni okukhanyayo futhi ekugcineni kube nokusebenza okusebenzayo, okukhishwayo okukhishwe inyanga eyodwa. Ukwelashwa kwendabuko ye-Achilles egcwele izinyembezi bekulokhu kuhlinzekwa ukuvimba iminyango nge-cast ngesikhathi sokuphulukiswa.
Esicwaningweni, iziguli zazingenakunyakaziswa isikhathi esifushane bese zikwazi ukukhipha isisindo futhi zivuselele umzimba.
Abacwaningi bathole ukuthi cishe wonke (amaphesenti angu-91) alawo maguli ahlanganyela emidlalweni ngaphambi kokulimala akwazi ukubuyela ezemidlalo. Babuye babika izinga eliphansi lezinkinga kunokuba kulungiswe ukuhlinzwa.
Isiphetho sabo ukuthi le nqubo entsha engelapheki kufanele ibe ukwelashwa okhethweni lapho odokotela nabahlengikazi beqeqeshiwe futhi behlangenwe nakho kule protocol.
Yikuphi Okungcono - Ukulungiswa Kokuhlinzekwa Noma Okungasebenzi Okuthandwa Ngu-Achilles Tendon?
Ukuhlaziywa kwemeta yezilingo eziyi-10 ezilawulwe ngokungahleliwe kusukela ngo-1980-2011 kutholwe ukuthi ukwelashwa okusebenzayo kungcono kunokwelapha okungasebenzi okuvimbela ukuphinda kuphume nokubuyela emsebenzini ekuqaleni, kodwa kunengozi enkulu yezinkinga. Kodwa iziguli zombili ezisebenzayo nezingasebenziyo zinezinga elifanayo lokubuyela emidlalweni abayithokozile ngaphambi kokulimala.
Okunye ukuhlaziywa kwemeta kwezilingo eziyisishiyagalombili kutholwe imiphumela efanayo. Baphetha ngokuthi ukwelashwa kokusebenza kuzoba ngcono ezingeni leziguli ezisesimweni esihle ngokomzimba kanti ukwelashwa okungelapheki kuyindlela ehlukile yeziguli ezindala.
Ukuvuselelwa Kwemisebenzi Kungenza Umehluko Wokukhetha Ukwelashwa Okuqaphayo
Uma unesifo sakho se-Achilles ukuphulukiswa esibhedlela esiphathelene nokuvuselelwa okusebenzayo, ukungenelela okungekho okuhlinzekwayo okungapheli kungase kube ukukhetha okuhle. Ukuhlolwa kwe-meta kwezingu-10 kutholakale ukuthi uma kunakekelwa ngokuhambisana nezinqubo zokuqala zokuhamba ngezinyawo, ukusabalalisa kabusha kwakufana neziguli ezihlinzayo, ngaphandle kwengozi enkulu yezinkinga ezitholakala ekwelapheni ukwelashwa.
Uma uhlelo lwe-rehab functional lungatholakali, khona-ke ukuhlinzeka cishe kuyisinqumo esingcono.
Imithombo:
> Jiang N, Wang B, Chen A, Dong F, Yu B. "Ukusebenza Ngokumelene Nokungasebenzi Okungasebenzi Kwe-Acces Acond Tendon Ukukhuphuka: I-Meta-Analysis Isekelwe Ubufakazi Banje." I-Orthopedics yamazwe ngamazwe ka-2012; 36 (4): 765-773.
> Soroceanu A, Sidhwa F, Aarabi S, Kaufman A, Glazebrook M. Ukuhlinzekwa Okuhlinzekwa Ngokwelashwa Okungavunyelwe Kakhulu A > chilles > I-Tendon Ukuphakama: I-Meta-Ukuhlaziywa Kwezinguquko Ezihleliwe. I-Journal ye-Bone and Joint Surgery. Ivolumu yaseMelika 2012; 94 (23): 2136-2143
Wallace RG, et. al. "Ukudidiyelwa kokuQinisekisa nokuHlanganisa kwama-Orthotic of Ruptures Acute ye-Achilles Tendon." J Bone Joint Surg Am. 2004 Jun; 86-A (6): 1198-202.
UWilkins R, uBisson LJ. Ukusebenza Okubambisana Nokuphathwa Okungasebenzi Okusebenza Kwama-Achilles Aphakeme Ama-Tendon Ruptures: Ukubukezwa Kwemvelo Okulinganiselwe Kwezinguquko Ezilawulwa Ngama-Random. I-American Journal of Sports Medicine 2012; 40 (9): 2154-2160.
> Zhao HM, Yu GR, Yang YF, Zhou JQ, Imiphumela ye-Aubeeluck A. Imiphumela kanye Nezinkinga Zokusebenza Okungahambisani Nokusebenza Kwe-Acces Acond Tendon Kuphakanyisiwe: I-Meta-Analysis. I-Chinese Medical Journal 2011; 124 (23): 4050-4055.