Achilles tendon rupture - kamora tlhokomelo

Tendon Achilles e hokahanya namane ea hau ea namane le lesapo la serethe. Hammoho, li u thusa ho sutumelletsa serethe sa hau fatše ebe u nyoloha ka menoana ea hau. U sebelisa mesifa ena le tendon ea hau ea Achilles ha u tsamaea, u matha u bile u qhoma.

Haeba tendon ea hau ea Achilles e ea hole haholo, e ka tabola kapa ea robeha. Haeba sena se etsahala, o kanna oa:

• Utloa ho lla, ho petsoha, kapa ho utloahala molumo 'me u utloe bohloko bo bohloko ka morao leotong kapa maqaqailaneng
• E-ba le bothata ba ho tsamaisa leoto ho tsamaea kapa ho nyoloha litepisi
• E-ba le bothata ba ho ema ka menoana ea hau ea maoto
• E-ba le likotlo kapa ho ruruha leotong kapa leotong
• Ikutloe eka mokokotlo oa leqaqailana la hao o otliloe ka 'mankhane

Mohlomong kotsi ea hau e etsahetse ha u:

• Ka tšohanyetso sutumetsa leoto la hau fatše, ho tloha ho tsamaea ho ea ho matha, kapa ho matha ho hloa thaba
• Ho qhekelloa le ho oa, kapa ho ba le kotsi e 'ngoe
• O bapetse papali e kang tenese kapa basketball, ka ho emisa haholo le ho chenchana ka bohale

Likotsi tse ngata li ka fumanoa nakong ea tlhahlobo ea 'mele. U kanna ua hloka skena sa MRI ho bona hore na u na le mofuta ofe oa mesifa ea Achilles. MRI ke mofuta oa tlhahlobo ea litšoantšo.

• Ho lla ka leeme ho bolela hore bonyane tse ling tsa tendon li ntse li le hantle.
• Ho lla ka botlalo ho bolela hore tendon ea hau e tabohile ka botlalo mme mahlakore a 2 ha a hokahane.

Haeba u lla ka ho felletseng, o kanna oa hloka ho buuoa ho lokisa tendon ea hau. Ngaka ea hau e tla buisana le uena ka melemo le mathata a ho buuoa. Pele o etsoa opereishene, o tla roala boot bo khethehileng bo u sitisang ho tsamaisa leoto le leoto le tlase.

Bakeng sa ho taboha hanyane:

• U kanna ua hloka ho buuoa.
• Sebakeng sa ho buuoa, o kanna oa hloka ho roala sekotoana kapa boot ka libeke tse ka bang 6. Nakong ena, tendon ea hau e hola hape.

Haeba u e-na le brace ea leoto, splint, kapa boot, e tla u thibela ho tsamaisa leoto. Sena se tla thibela kotsi e tsoelang pele. U ka tsamaea hang ha ngaka ea hau e re ho lokile.

Ho fokotsa ho ruruha:

• Beha pakete ea leqhoa sebakeng seo hang ka mor'a hore u e lematse.
• Sebelisa mesamo ho phahamisa leoto la hau kaholimo ho pelo ea hau ha u robetse.
• Boloka leoto la hau le phahame ha u lutse.

O ka nka ibuprofen (joalo ka Advil kapa Motrin), naproxen (joalo ka Aleve kapa Naprosyn), kapa acetaminophen (joalo ka Tylenol) bakeng sa bohloko.

Hopola ho:

• Bua le mofani oa tlhokomelo ea bophelo haeba u na le lefu la pelo, lefu la sebete, khatello e phahameng ea mali, lefu la liphio, kapa u na le liso tsa ka mpeng kapa u tsoa mali.
• Nahana ka ho khaotsa ho tsuba (ho tsuba ho ka ama pholiso kamora ho buuoa).
• Se fane ka aspirin ho bana ba ka tlase ho lilemo tse 12.
• Se ke oa nka 'molai oa bohloko ho feta tekanyetso e khothalelitsoeng ka botlolong kapa ke mofani oa hau.

Ka nako e 'ngoe ha u hlaphoheloa, mofani oa hau o tla u kopa hore u qale ho tsamaisa serethe. Sena se ka etsahala hang ha libeke tse 2 ho isa ho tse 3 kapa libeke tse 6 tse telele kamora ho tsoa kotsi.

Ka thuso ea kalafo ea 'mele, batho ba bangata ba ka khutlela mesebetsing e tloaelehileng likhoeling tse 4 ho isa ho tse 6. Ka kalafo ea 'mele, o tla ithuta ho ikoetlisa ho matlafatsa namane ea hau le matla a hau a Achilles.

Ha o otlolla mesifa ea namane ea hau, e etse butle butle. Hape, u se ke ua bounce kapa ua sebelisa matla a mangata haholo ha u sebelisa leoto la hau.

Kamora hore o fole, o kotsing e kholo ea ho lematsa tendon ea hau ea Achilles hape. O tla hloka ho:

• Lula u phetse hantle 'me u ikotlolle pele u ikoetlisa
• Qoba lieta tse phahameng
• Botsa mofani oa hau hore na ho nepahetse hore u bapale tenese, racquetball, basketball le lipapali tse ling moo u emang le ho qala teng
• Etsa mofuthu o lekaneng le ho otlolla pele ho nako

Bitsa mofani oa hau haeba u na le matšoao ana:

• Ho ruruha kapa bohloko maotong a hao, maqaqailaneng kapa leotong ho mpefala
• Mmala o pherese leotong kapa leotong
• Feberu
• Ho ruruha namaneng le leotong la hao
• Ho hema nakoana kapa ho hema ka thata

Bitsa mofani oa hau haeba u na le lipotso kapa lintho tse u tšoenyang tse ke keng tsa emela ho fihlela u etela hape.

Mohala oa serethe o taboha; Ho phatloha ha tendon ea calcaneal

Rose NGW, TJ e Tala. Leqaqailaneng le leotong. Ka: Marako RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Likhopolo le Tloaelo ea Kliniki. La 9th. Philadelphia, PA: Elsevier; 2018: khaolo ea 51.

Sokolove PE, Barnes DK. Likotsi tsa tendon tsa extensor le flexor letsohong, letsohong le leotong. Ka: Roberts JR, Custalow CB, Thomsen TW, li-eds. Mekhoa ea Tleliniking ea Roberts le Hedges ho Meriana ea Tšohanyetso le Tlhokomelo e Ntle. La 7th. Philadelphia, PA: Elsevier; 2019: khaolo ea 48.

• Likotsi le Mathata a Serethe