Achilles tendinitis

Hana ʻia ka tendinitis Achilles ke hoʻopili ka tendon e hoʻopili i ka hope o kou wāwae i kou kuʻekuʻe wāwae a ʻeha hoʻi ma ka lalo o ka wāwae. Kapa ʻia kēia tendon ʻo ka tend Achilles. Hāʻawi iā ʻoe e hoʻokū i kou wāwae i lalo. Hoʻohana ʻoe i kāu tendon Achilles ke hele, holo, a lele.

Aia nā mākala nui ʻelua i ka bipi keiki. Hoʻokumu kēia mau mea i ka mana e pono ai e pahu aku me ka wāwae a piʻi i nā manamana wāwae. Hoʻohui ka tendon Achilles nui i kēia mau mākala i ka kuʻekuʻe.

ʻO kaʻeha kuʻekuʻe wāwae ka mea pinepine ma muli o ka nui o ka wāwae. Kākaʻikahi wale, kumu ʻia e ka ʻeha.

ʻO ka tendenditis ma muli o ka overuse ka mea maʻamau i ka poʻe ʻōpio. Hiki iā ia ke hana i nā mea hele wāwae, kūkini, a i ʻole nā ​​mea haʻuki ʻē aʻe.

Kūpono paha ʻo Achilles tendinitis inā:

• Hoʻonui piʻi ka nui a i ʻole ka ikaika o kahi hana.
• Pīkī loa nā mākala bipi (ʻaʻole i kī ʻia).
• Holo ʻoe i nā papa paʻakikī, e like me ka pōhaku paʻa.
• Holo pinepine ʻoe.
• Lele nui ʻoe (e like me ke pāʻani kinipōpō hīnaʻi).
• ʻAʻole ʻoe e komo i nā kāmaʻa e kākoʻo i kou mau wāwae.
• Huli huli paha kou wāwae i loko a i waho.

ʻO ka tendenditis mai ka maʻi rumati ka mea maʻamau i waena o nā makahiki a me nā mākua makua. Hoʻokumu paha kahi iwi iwi i ka hope o ka iwi kuʻekuʻe. Hoʻonāukiuki paha kēia i ka tendon Achilles a hana i ka ʻeha a me ka pehu. E hoʻonui nā wāwae pālahalaha i ke kahena.

Pākuʻi ʻia nā ʻōuli me ka ʻeha ma ka kuʻekuʻe a ma ka lōʻihi o ke kuhi ke hele a holo paha. ʻIke paha ka wahi i ka ʻeha a ʻoʻoleʻa i ke kakahiaka.

He ʻeha paha ke kuhi ke hoʻopā a neʻe paha. Pehu paha ka wahi a mehana. Hiki paha iā ʻoe ke loaʻa ka pilikia i ke kū ʻana i kou manamana wāwae. Hiki paha iā ʻoe ke loaʻa ka pilikia i ka ʻimi ʻana i nā kāmaʻa e ʻoluʻolu kūpono ma muli o ka ʻeha ma ka hope o kou kuʻekuʻe wāwae.

E hana ka mea mālama ola i kahi hoʻokolohua kino. E nānā lākou no ka palupalu ma ke kaona a me ka ʻeha ma kahi o ke kaʻe ke kū ʻoe ma kou manamana wāwae.

Hiki i nā kukuna X ke kōkua i ke kuhi ʻana i nā pilikia iwi.

Hiki ke hana ʻia kahi māka MRI o ka wāwae inā ʻoe e noʻonoʻo ana i ke kaha ʻana a i ʻole he manawa e loaʻa ai kahi waimaka i ka tendon Achilles.

ʻO nā kuʻuna nui no Achilles tendinitis MAI pili i ke ʻoki. He mea nui e hoʻomanaʻo he 2 a 3 mau mahina paha ka lōʻihi o ka hala ʻana o ka ʻeha.

E hoʻāʻo e kau i ka hau ma ka ʻāpana tendon Achilles no 15 a 20 mau minuke, 2 a 3 mau manawa i kēlā me kēia lā. Wehe i ka hau inā numb ka wahi.

Hiki i nā hoʻololi i ka hana ke kōkua i ka mālama ʻana i nā ʻōuli:

• Hoʻoemi a hōʻoki paha i kekahi hana e hōʻeha i ka ʻeha.
• Holo a hele wāwae paha ma luna o ka ʻili a maʻalahi hoʻi.
• E kuapo i ka paikikala, ʻauʻau ʻana, a i ʻole nā ​​hana ʻē aʻe e hōʻemi i ke koʻikoʻi ma ka tendon Achilles.

Hiki i kāu mea hāʻawi a mea hoʻomalu kino paha ke hōʻike iā ʻoe i nā hoʻolālā hoʻolālā no ka tendon Achilles.

Pono paha ʻoe e hana i nā hoʻololi i kou kāmaʻa, e like me:

• Ke hoʻohana nei i kahi paʻa, ʻūlū a i ʻole hoʻolei e mālama mau i ka kuʻekuʻe a me ka ʻāʻī a ʻae i ka iho e iho
• Ke kau nei i nā kuʻekuʻe wāwae i ka kāmaʻa ma lalo o ka kuʻekuʻe wāwae
• ʻO nā kāmaʻa komo palupalu i nā wahi ma luna a ma lalo o ka kuʻekuʻe wāwae

ʻO nā lāʻau anti-inflammatory Nonsteroidal (NSAIDs), e like me aspirin a me ibuprofen, hiki ke kōkua i ka hōʻoluʻolu i ka ʻeha a i ʻole ka pehu.

Inā ʻaʻole hoʻomaikaʻi kēia mau hōʻailona i nā ʻōuli, pono paha ʻoe i ke ʻoki e wehe i nā mea i hoʻāhu ʻia a me nā wahi ʻino o ka tendon. Inā he spur iwi e hoʻonāukiuki ana i ka tendon, hiki ke hoʻohana i ke ʻoki e wehe i ka spur.

Hiki i kahi Extracorporeal shock wave therapy (ESWT) ke hoʻololi i ka ʻoki ʻana no ka poʻe i pane ʻole i nā ʻano lāʻau ʻē aʻe. Hoʻohana kēia lapaʻau i nā nalu kani haʻahaʻa.

I ka hapanui o nā hihia, kōkua nā loli nohona i ka hoʻomaikaʻi ʻana i nā ʻōuli. E noʻonoʻo e hoʻi paha nā hōʻailona inā ʻaʻole ʻoe e kaupalena i nā hana e hōʻeha ai i ka ʻeha, a i ʻole ʻoe e mālama i ka ikaika a me ka maʻalahi o ka tendon.

Hiki paha iā Achilles tendinitis ke hana iā ʻoe i ka hopena o Achilles. Hoʻokumu pinepine kēia kūlana i kahi ʻeha ʻoi loa e like me ke kuʻi ʻia i ka hope o ka kuʻekuʻe me kahi lāʻau. Pono ka hana ʻoki kino. Eia nō naʻe, ʻaʻole kūleʻa ke kahakaha e like me ka maʻa mau no ka mea aia ka ʻino i ke tendon.

Kāhea i kāu mea hāʻawi inā:

• He ʻeha kou ma ka kuʻekuʻe a puni ka tendon Achilles ʻoi aku ka maikaʻi o ka hana.
• He ʻeha ʻeha kou a ʻaʻole hiki ke hele a pale i waho me ka ʻole o ka ʻeha a nāwaliwali paha.

ʻO nā hoʻoikaika e mālama i kou mauʻiʻo keiki ikaika a maʻalahi hoʻi e kōkua i ka hōʻemi ʻana i ka pilikia no ka tendinitis. ʻO ka hoʻohana ʻana i kahi tendon Achilles nāwaliwali a paʻa paha e hoʻonui ai iā ʻoe i ka tendinitis.

Tendinitis o ka kuʻekuʻe; ʻEha kuʻekuʻe wāwae - Achilles

• ʻO ke kuni Achilles i hōʻino ʻia

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ʻO Brotzman SB. Achilles tendinopathy. I: Giangarra CE, Manske RC, eds. Hoʻoponopono Orthopedic Clinical: He Hoʻokele Kime. ʻEhā ed. Piladelapia, PA: Elsevier; 2018: chap 44.

ʻO Hogrefe C, Jones EM. ʻO Tendinopathy a me bursitis. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 107.

Waldman SD. Achilles tendinitis. I: Waldman SD, hoʻoponopono. Nā Atlas o nā Syndrome Pain maʻamau. ʻEhā ed. Piladelapia, PA: Elsevier; 2019: chap 126.