I ke kino o ke kanaka, ʻo ka Achilles tendon ka mea ikaika loa a aia ma ke kua o ka ami ami. Hoʻohui ia i nā iwi kuʻekuʻe i nā mākala a ʻae iā ʻoe e pelu i ka wāwae, hele wāwae ma nā manamana wāwae a i ʻole nā kuʻekuʻe wāwae, a hoʻokuke aku i ka wāwae ke lele a holo paha.
ʻO ia ka tendon Achilles e hāʻawi i kahi kanaka i ka hiki ke neʻe piha, no laila, weliweli loa kona haki a hāpai i nā pilikia olakino koʻikoʻi.
I ka hanana i puka ai kēlā āpau, pono ka poʻe i ke kōkua mua koke, a i ka wā e hiki mai ana, ua koho pololei ʻia ka lāʻau. Me ka ʻole o ka mālama kūpono ʻana, e maikaʻi ʻole nā hopena olakino a me ke kīnā ʻole hiki.
Haki ʻo Achilles tendon - kumu
Ke haki ka tendon Achilles, aia he mea hōʻino a hōʻino paha i ka pono o ka hanana fiber.
ʻO ke kumu, kaulana kēia no nā kumu aʻe:
Nā hōʻino mechanical, e laʻa me:
- he pā i nā liga;
- ua hōʻeha ʻia i ka wā o nā hana haʻuki a me nā hoʻokūkū;
- hāʻule hāʻule ʻole, keu hoʻi mai kahi kiʻekiʻe;
- nā ulia kaʻa a me nā mea hou aʻe.
ʻIke ʻia nā hahau weliweli loa ma nā ligament paʻa. Ma hope o ka hōʻino, ola ke kanaka no nā mahina he nui a ʻaʻole hoʻi i ke ola holoʻokoʻa.
Nā hana hoʻāla i ka tendon Achilles.
I ka poʻe makaʻu:
- ma hope o 45 mau makahiki, ke emi ka lahilahi o nā kaula i nā manawa 2, i ka hoʻohālikelike ʻana me ka poʻe ʻōpio. I kēia makahiki, huli ka hapanui o nā microtraumas i ka mumū o nā ligament a me nā ʻaʻa me ka wikiwiki uila.
- kaona kaumaha;
- ʻehaʻeha i ka maʻi ahulau a i ʻole arthrosis;
- ua loaʻa i kahi maʻi lele, i ka maʻi, ka ʻulaʻula ʻulaʻula;
- komo kamaa compression kāmaʻa i kēlā me kēia lā.
ʻO nā kāmaʻa me nā kuʻekuʻe wāwae kūlohelohe i ka wāwae a hoʻopaʻa i nā ligament, kahi e alakaʻi ai i ka waimaka a me ka huhū o nā Achilles.
Nā pilikia kaapuni ma ka kuʻekuʻe wāwae.
Mālama ʻia kēia i nā poʻe:
- hele i loko no nā haʻuki i kahi pae ʻoihana;
- ke alakaʻi nei i kahi nohona hana ʻole, i waena o nā kamaʻāina e noho ana no 8 - 11 mau hola i ka lā;
- paralyzed a hapa paha me ka neʻe palena ʻia o nā lālā o lalo;
- lawe i nā lāʻau lapaʻau ikaika e hoʻopili i ka holo o ke koko.
Inā loaʻa nā pilikia me ke kahe o ke koko ma ka ami kuʻekuʻe wāwae, aia kekahi hewa o ka pulupulu collagen i nā liga a me nā hoʻololi i hiki ʻole ke hoʻoliʻiliʻi i nā aʻa, hoʻonāukiuki i nā Achilles.
Hoʻopilikia ʻo Achilles i nā ʻōuli
Kahi kanaka i ʻike iā Achilles rupture, me ka nānā ʻole i ke kumu, ʻike i nā ʻōuli ʻano:
- ʻOi loa a ʻeha hoʻi ka ʻeha o ka ami ami.
Ke ulu nei ka maʻi ʻeha. I ka mua, loaʻa i kekahi kanaka ka ʻoluʻolu iki o ka wāwae o lalo, akā i ke kau ʻia ʻana o ke kaomi i ka wāwae, hoʻomāhuahua ka ʻeha, kahe pinepine i ka hiki ʻole ke hoʻomanawanui ʻia.
- Pākuʻi hikiwawe i ka shins.
Hiki ke lohe ʻia kahi crunch ʻoi loa i ka wā o ka haki koke o nā ligament.
- Puffiness. I 65% o ka poʻe, kū ka pehu mai ka wāwae a i ka laina o nā kneecaps.
- Hematoma i ka wāwae haʻahaʻa.
Ma 80% o nā hihia, ulu ka hematoma i mua o kā mākou maka. Me nā hōʻeha koʻikoʻi, hiki ke ʻike ʻia mai ka wāwae a i ke kuli.
- ʻAʻole hiki ke kū ma nā manamana wāwae a i ʻole hele wāwae ma nā kuʻekuʻe wāwae.
- ʻEha ma kahi ma luna aʻe o ka kuʻekuʻe.
Kū wale ia ʻeha i ka hiamoe, a ke moe wale ke kanaka me nā wāwae ʻole i kūlou ma nā kuli.
ʻO ke kōkua mua no ka tendon Achilles ruptured
ʻO ka poʻe me ka hōʻino ʻia ʻo Achilles e koi i ke kōkua mua koke.
Inā ʻole, ʻike paha ʻoe:
- Hoʻopōʻino i ke aʻalolo sural a laila hele a lahilahi no ke ola.
- Maʻi kīnā.
Kūpono ka makaʻu o ka maʻi me ka nui o ka hōʻino a hoʻolōʻihi ʻia e hāʻawi ʻole i ke kōkua mua.
- Ka make ʻana i nā pūnaewele.
- ʻEha mau i ka ami kuʻekuʻe wāwae.
- ʻAʻole hiki ke neʻe i ka wāwae ʻeha i ka maʻamau.
Eia nō naʻe, me ka ʻole o ke kōkua mua, hiki i ka mea maʻi ke ola lōʻihi, ʻaʻole e hoʻōla pono kāna tendon a pāpā paha nā kauka i nā haʻuki i ka wā e hiki mai ana.
Inā hōʻino ʻia ka tendon Achilles, paipai nā kauka e hāʻawi kekahi i ke kōkua mua e hiki mai ana:
- Kōkua i ka mea maʻi e lawe i kahi kūlana papamoe.
ʻO ke kūpono, pono e hoʻokau i ka mea maʻi ma kahi moe, akā inā ʻaʻole hiki kēia, ʻae ʻia ke kanaka e moe ma luna o kahi pae a lepo ʻole paha.
- Wehe i nā kāmaʻa a me nā kākini mai ka wāwae i hōʻino ʻia, ʻolokaʻa i kou lole wāwae.
- Immobilize ka wāwae. E hana ai i kēia, hiki iā ʻoe ke hoʻopili i kahi kaula paʻa e hoʻohana ana i nā bandage sterile.
Inā ʻaʻohe mea e ʻike pehea e hoʻopili ai i nā bandages a i ʻole ʻaʻohe bandage sterile, a laila ʻoe e kaohi wale i ka neʻe ʻole o ka mea i hōʻeha i kona wāwae.
- Kāhea i kahi kaʻa kaʻahua.
ʻAe ʻia, inā ʻōhumu ka mea i hōʻeha ʻia no ka ʻeha hiki ʻole ke hāʻawi ʻia, e hāʻawi iā ia i kahi lāʻau anesthetic. Eia naʻe, pono e hāʻawi i ka lāʻau, ma hope o ke kūkākūkā ʻana me ke kauka. ʻO kahi laʻana, ke kāhea ʻana i kahi kaʻa kaʻahua, wehewehe ma ke kelepona i ka lāʻau i kēia hihia e hōʻeha ʻole i kou olakino.
Ma mua o ka hōʻea ʻana mai o kahi ambulance, pono i kahi kanaka e moe i lalo, ʻaʻole neʻe i ka wāwae ʻeha, a ʻaʻole hoʻi e hoʻāʻo e hana i kahi mea ma o lākou iho, no ka mea, hoʻopili i ka hamo i ka wahi i hōʻino ʻia.
Nānā ʻia ʻo Achilles rupture
ʻIke ʻia ʻo Achilles rupture e nā orthopedists a me nā kaukipō ma hope o ke kaʻina o nā hoʻokolokolo a me nā loiloi
ʻO nā kauka no kēlā me kēia mea maʻi me nā ʻōuli ʻano e lawe:
Palpation o ka kuʻekuʻe wāwae.
Me ia ʻano hōʻoia, loaʻa ʻole i ka mea maʻi ka maʻi palupalu i ka kuʻekuʻe wāwae. ʻIke maʻalahi ʻia e ke kauka ʻike inā moe ka mea maʻi ma kāna ʻōpū.
ʻO nā hoʻāʻo kūikawā me:
- loli o nā kuli. I nā mea maʻi me ka haki ʻana o ka tend Achilles, e pelu ka wāwae ʻeha ma mua o ka mea olakino.
- ana kaomi;
ʻO ke kaomi ma ka wāwae ʻeha ma lalo o 140 mm Hg. ʻO ke kaomi ma lalo o 100 mm i manaʻo ʻia he koʻikoʻi. Hg Me kēlā māka, pono ka mea maʻi i ka haukapila pilikia a, a ʻoi paha, ʻoki kino wikiwiki.
- hoʻolauna o kahi nila kuʻuna.
Inā loaʻa ka haki o ka mea maʻi, a laila paʻakikī ka paʻakikī a hiki ʻole ʻole ke hoʻokomo ʻana i kahi nila kele i loko o ka tendon.
- X-ray o ka kuʻekuʻe wāwae.
- Ultrasound a me MRI o nā uaua.
ʻO kahi hoʻokolokolo piha wale nō e hiki ai ke hōʻoia i ka haki ʻana o kahi tend Achilles me 100% sure.
ʻO Achilles Tendon Rupture lapaʻau
Mālama wale ʻia ʻo Achilles tendon rupture e nā orthopedists i hui pū ʻia me nā mea hoʻoponopono.
Koho lākou i ka regiment therapy maikaʻi loa, e pili ana i:
- ke ʻano o ka poino;
- ke ʻano o ka maʻi ʻeha;
- ʻoʻoleʻa;
- ke kiʻekiʻe o ka hoʻomohala ʻana i ke kaʻina hana hoʻomeamea i nā ligament a me nā tendon.
I ka noʻonoʻo ʻana i nā kumu āpau, kēnā nā kauka i ka lāʻau conservative a i ʻole ke kōkua lāʻau wikiwiki.
Pono ʻia ka hana ʻoki ʻana inā loaʻa nā maʻi ʻeha i ka mea maʻi, ʻeha hiki ʻole ke hoʻomanawanui ʻia, a me ka hiki ʻole ke hoʻoneʻe hapa i ka wāwae.
Lapaʻau mālama
Inā ʻike ʻia kahi haki Achilles tendon, pono ka mea hoʻomanawanui e hoʻoponopono i ka ami kuʻekuʻe wāwae.
Hana ʻia kēia i nā ʻano ʻokoʻa:
- Hoʻopili ʻia ka plaster.
- Hoʻokomo ʻia ia i ka māwae ma ka wāwae i hoʻopili ʻia.
- Hoʻokomo ʻia ka orthosis.
Kau ʻia kahi orthosis a me nā splints e kuhikuhi ʻia no nā haʻihaʻi haʻahaʻa. I nā kūlana paʻakikī a paʻakikī hoʻi, noi nā kauka i kahi mea hana keaka.
Ma 95% o nā hihia, kauoha ʻia ka mea maʻi ʻaʻole e hemo i ka plaster cast, splint a i ʻole orthosis no 6 a 8 mau pule.
Hoʻohui ʻia, hoʻokuʻu ʻia nā mea maʻi:
- nā lāʻau ʻeha a i ʻole nā injection;
Kau ʻia nā papa a me nā hoʻopili ʻana no ka maʻi maʻi maʻi mau.
- nā lāʻau e hōʻeleu ai i ka hoʻōla hou ʻana o nā olonā;
- lāʻau kūpale.
ʻO ke ʻano o ka mālama ʻana me nā lāʻau i kuhikuhi ʻia e ke kauka, ma ka awelika, hala he 7-10 mau lā.
- nā kaʻina hana physiotherapy, no ka laʻana, electrophoresis a i ʻole nā paina paraffin;
- papa lomilomi.
Lawe ʻia nā lomilomi ma hope o ka papa o ka lapaʻau a ke lawe ʻia ka maʻi ʻeha. Ma 95% o nā hihia, hoʻouna ʻia ka mea maʻi no 10 mau kau lomilomi, hana ʻia i kēlā me kēia lā a i hoʻokahi manawa i kēlā me kēia 2 lā.
Hoʻomaopopo nā kauka ʻaʻole mālama ʻia ka mālama conservative ma 25% o nā hihia i ka hoʻopau hou ʻana a i ʻole ʻike pinepine ʻia nā haʻihaʻi pinepine.
Hoʻopuka ʻoki kino
Hele nā kauka i ke ʻoki kino ke loaʻa ka mea maʻi:
- makahiki ma luna o 55;
I ka wā ʻelemakule, ʻo ka fusion o nā aʻa a me nā liga he 2 - 3 mau manawa ma lalo o ka poʻe ʻōpio.
- hematomas nui ma ka ami kuʻekuʻe wāwae;
- ʻaʻole hiki i nā kauka ke pani paʻa i nā ligament me ka plaster;
- mau maha a hohonu.
Hoʻohana ʻia ka hana ʻoki lāʻau i nā hihia koʻikoʻi, a ke hiki ʻole i ka mālama conservative ke hāʻawi i kahi hopena maikaʻi.
Ke hoʻoholo nā kauka e hana i kahi hana, ka mea maʻi:
- Halemai ma kahi haukapila.
- Hana ʻia kahi ultrasound ankle ma luna ona.
- Lawe ʻia nā hōʻoia koko a me ka mimi.
A laila, i kahi lā kikoʻī, hana ʻia ke kanaka.
Hāʻawi ʻia ka mea maʻi i kahi anesthesia kūloko a i ʻole spinal, a ma hope o ka mea ʻoki.
- hana i kahi lū ma ka wāwae lalo (7 - 9 centimetera);
- sutures ke olonā;
- humuhumu i nā kukuna.
Ma hope o ka hana, loaʻa i kahi kanaka kahi ʻeha.
Hiki ke hana ʻoki lāʻau inā ua hala ma lalo o 20 mau lā mai ka haki ʻana o nā Achilles. I ka hihia ke ʻoi aku ka ʻeha ma mua o 20 mau lā i hala, a laila ʻaʻole hiki ke humuhumu i nā wēlau o ke olonā. Hele nā kauka iā Achilloplasty.
Nā hana hoʻoikaika kino ma mua o ka holo ʻana e pale aku i ka haki ʻana o Achilles
Hiki ke pale kūleʻa ʻia kekahi waimaka Achilles e ka hana ʻana i kekahi mau hoʻomaʻamaʻa ma mua o ka holo ʻana.
Kūkā ʻia nā mea haʻuki a me nā kauka e hana:
1. Ke kū nei ma nā nīkini.
Pono kahi kanaka:
- kū pololei i luna;
- kau i kou mau lima ma kou pūhaka;
- no 40 kekona, ala mālie i nā manamana wāwae a hoʻihoʻi i hope.
2. Ke holo nei i kahi me ka wikiwiki loa.
3. Kūlou ke kino.
Pono ia:
- e hoʻopili i kou mau wāwae;
- kuli mālie i ke kino i mua, e hoʻāʻo nei e kiʻi i ka laina kuli me kou poʻo.
4. Swing i mua - i hope.
Pono ka mea haʻuki:
- kau i kou mau lima ma kou pūhaka;
- kowali mua me ka wāwae ʻākau i mua - i hope;
- a laila hoʻololi i ka wāwae i ka hema, a hana i ka hoʻoikaika like.
Pono ʻoe e hana i nā swings 15 - 20 ma kēlā me kēia wāwae.
5. Ke huki ʻana i ka wāwae, kūlou ma ke kuli, i ka umauma.
Koi ʻia:
- kū pololei i luna;
- pelu i kou wāwae ʻākau ma ke kuli;
- huki i kou wāwae me kou mau lima i kou umauma.
Ma hope o kēlā, pono ʻoe e huki i kou wāwae hema i ke ala like.
Ma ke ʻano he ana pale, maikaʻi loa ia e hana i kahi lomilomi kūʻokoʻa o nā mākua bipi.
ʻO Achilles tendon ruptures i waena o nā hōʻeha koʻikoʻi loa kahi e pono ai i kahi kanaka ke kōkua mua koke a me ka lapaʻau koke. I ka hihia o nā pōʻino liʻiliʻi, a ʻo ka mea maʻi a hiki i ka 50 mau makahiki, kuhikuhi nā kauka i ka conservative therapy.
I nā ʻano paʻakikī hou aku, koi ʻia ka hana ʻoki. Eia nō naʻe, hiki i kekahi ke hōʻemi i nā makaʻala o kēlā mau ʻeha inā hoʻomaka lākou e hana i nā hana kūikawā ma mua o ka hoʻomaʻamaʻa ʻana i nā haʻuki a mai hōʻalo i nā ligament.
Blitz - ʻōlelo aʻoaʻo:
- ma hope o ka hemo ʻana i ka plaster a i ʻole ka splint, pono ia e lawe i kahi papa o nā lomilomi kūikawā e hoʻomaikaʻi ai i ka lahilahi o nā kaula;
- he mea nui e hoʻomanaʻo i ka hihia o ka ʻeha ma ka kuʻekuʻe wāwae, pono ʻoe e moe koke i lalo, immobilize i kou wāwae a kāhea i ke kauka.
