Iyo yakanakisisa kurapwa kwekukuvadza kune Achilles tendon ndeyekuisa pfungwa pakudzivirira. Zviri pachena kuti zvakanakisisa kudzivisa kukuvadzwa zvachose, asi kunyange mukugadzirisa dambudziko neAchilles, chimwe chezvinhu zvinokosha pane zvekurapa ndechokudzivirira kufambira mberi nekudzoka kwekukuvara.
Kutambanudza tete Achilles mushure mokuvhiya, kunyange pakutanga kwezuva, ichabatsira kuchengetedza kushanduka mumakumbo emakumbo.
Matambudziko nemakumbo anofambisa anogonawo kurapwa nemashandi akaiswa muzvicheko. Mishonga yakadai seshembera, zvigaro zvekusimbisa, uye tsika dzechimiro zvinogona kushandiswa kugadzirisa kusakanganisika, zvakadai sekupererwa, uye kubatsira kudzivirira maAchilles kukuvara kwemaitiro.
Zorora
Kuzorodza zvinorwadza Achilles tendon inobvumira kubvumira kuderera uye kubvumira kuporesa. Nguva yekuzorora mushure mokutanga kwezviratidzo zvakakosha mukudzora kukuvara kwakanyanya kweAchilles tendon.
Immobilization
Mune varwere vane zviratidzo zvakanyanya kana zvimwe zvirwere zvisingaverengeki , nguva yekusimba inogona kubatsira. Zvichida boot removable removing or sometimes even cast cast can allow the tissue inflamed to cool down quickly. Nguva yakareba yekusagadzikana inofanira kuve yakagadzirirwa kudzivirira kusagadzikana kana musero atrophy , asi iyi inogona kuva nzira inobatsira yekukurumidza kugadzirisa kupisa.
Shoe Inserts
Chitsitsinho chinogona kuiswa muhomwe kuti kuderedze kushungurudzika kweAchilles tendon.
Izvi zvinogona kuiswa muzvigaro zvemutambo uye zveshangu. Nokusimudza chitsitsinho chetsoka, kunyange nechinguva chiduku, simba rakawanda rekumanikidzwa rakaderera pane Achilles tendon.
Ice Application
Kushandisa kwechando kunzvimbo yekuvhiringidza kunogona kubatsira kukurudzira ropa kuenda kune imwe nzvimbo uye kubvisa kurwadziwa kunosangana nekuputika.
Isa girazi shure kwekuvhima, pamwe chete nedzimwe nguva dzakawanda pamusoro pemakore ezuva. Mishonga inotarisirwa pakuchengeta kuputira inongobatsira chete mukurapa kwechirwere chinoputika Achilles tendonitis, kwete chisingagumi Achilles tendinosis .
Anti-Inflammatory Medication
Mishonga yeAnsteroidal anti-inflammatory inosanganisira rurefu rwezvimwe zviratidzo zvakadai seIbuprofen, Motrin, Naprosyn, Celebrex, nezvimwe zvizhinji. Iyi mishonga inobatsira kudzora kutukira mukati uye kumativi ose e tendon. Sezvakataurwa pamusoro apa, anti-inflammatories inobatsira zvikuru apo mukurapa Achilles tendonitis, pane kungogara kwenguva refu Achilles tendinosis.
Rudzi rutsva rwemishonga inopesana nekuvhiringidza iyo inoshandiswa pamusoro sezvinonzi gel inowanzoshandiswa mukurapa maAbrelles tendonitis. Mishonga inopesana neyokuputira mishonga inogonawo kubatsira mumamiriro ezvinhu apo kune kuvhiringidzika iko kunokonzera marwadzo.
Therapy Therapy
Chirwere chepanyama chinosanganisira kutarisa uye kujekesa maitiro anosimbisa ayo angangodaro mishonga inobatsira kune avo vane matambudziko Achilles tendon. Kuchengetedza kukwana kwakakwana kwemisungo yemhuru ndiyo imwe yekutanga. Kusimbiswa kwemisungo iyi, kunyanya kushandiswa kwekudzivirira kwekudzivirira, kwakaratidzwa kubatsira kune zvinetso zvisingaperi zvetendon.
Kudzidzira kusimbisa muviri kunowedzera mabasa uye humwe hunoita hunoita kuti mutsara unyatsoputika apo musuru huri kureba. Izvi zvingaita sezvisinganzwisisiki, kazhinji kana musungo unobvumirana, unopera. Zvisinei, kune zvimwe zviitiko zvinobvumira kuti musuru uwedzere paunenge uchibvumirana. Izvozvi maitiro ekurovedza ave akaratidzirwa kuti anokosha mune tendon kuporesa uye anogona kukurudzira tandon basa rakagadziridzwa. Chiremba wepanyama kana kurovedza mitambo kunogona kubatsira kukudzidzisa zvimwe zviitiko zvinogona kubatsira kuvandudza Achilles yako tendon basa.
PRP uye Cortisone Injections
Injection inogona kushandiswa mukurapa matambudziko echiAlexon matambudziko, asi izvi zvinowanzodzivirirwa nekuda kwekushaya kwekuita uye zvinogona kuoma.
Zvirwere zvePPP hazvina kuratidzwa kuti zvibatsire mukurapwa kweAlexlles zvinetso zvetendon, uye cortisone injections zvinogona kutungamirira kuti zvigone kupera kweAlexlles tendon . Nokudaro, zvipembenene zvinoshandiswa zvishoma mukurapa matambudziko echi Achilles.
Surgery
Kuvhiya kunowanzoonekwa sega mushure mokuedzwa kwenguva refu kwemishonga isingashandiswi. Vanhu vazhinji vanogona kuwana ruzivo nemishonga isingabatsiri. Zvisarudzo zvekuvhiya zvinosanganisira kubvisa chikamu chakakanganiswa chetendon (debridement), kurejera kwetendon, kana kutamisa tambo yakasungirirwa. Kunyange zvazvo kuvhiyiwa kunogona kubudirira, chokwadi ndechokuti vazhinji vevanhu vane maitiro anonzi Achilles kukuvadzwa vanogona kuwana zororo nemishonga isingaitiki. Kuvhiya kunowanzoongororwa kune vanhu vakaedza, uye vakakundikana, mishonga inotaurwa pamusoro pemwedzi mitanhatu, kana isiri nguva.
Sources:
Saltzman CL, Tearse DS. "Achilles kukuvara kwetendon" J. Am. Acad. Ortho. Surgery., Sep 1998; 6: 316 - 325.