Raws li kev txheeb cais, feem ntau Achilles tendon ruptures raug kaw ntawm cov neeg koom nrog hauv kev ua kis las. Qhov no yog ib qho kev raug mob uas cov leeg uas txuas cov leeg ntawm sab nraub qaum ntawm txhais ceg mus rau pob txha pob txha yog tag nrho los yog ib nrab torn.
Nrog rau qhov kev puas tsuaj no, koj tuaj yeem hnov qhov nyem lossis tawg, tom qab ntawd muaj qhov mob hnyav ntawm sab ceg thiab nraub qaum ntawm pob taws. Kev raug mob yuav luag ib txwm tiv thaiv kev taug kev ib txwm, thiab ntau tus kws kho mob pom zoo kom phais yog kev kho mob zoo tshaj plaws rau lub kua muag. Txawm li cas los xij, ntau txoj hauv kev khaws cia tuaj yeem ua haujlwm.
Symptoms
Txawm hais tias Achilles tendonitis thiab tom qab rupture tej zaum yuav asymptomatic, feem ntau cov neeg pom ib los yog ntau yam cim ntawm kev puas tsuaj:
- mob (feem ntau hnyav thiab nrog los ntawm qhov o ntawm pob taws);
- tsis muaj peev xwm khoov ko taw nqes los yog thawb tawm hauv av nrog cov ceg cuam tshuam thaum taug kev;
- tsis tuaj yeem sawv ntawm qhov kawgntiv tes rau ntawm txhais ceg raug mob;
- nias lub suab lossis lub suab tawg thaum lub sijhawm sib tsoo.
Txawm tias tsis muaj qhov mob li ntawd, koj yuav tsum nrhiav kev kho mob tam sim ntawd tom qab koj hnov ib nyem lossis tawg hauv pob taws, tshwj xeeb tshaj yog tias koj poob peev xwm taug kev ib txwm tam sim tom qab lub suab no.
Yog vim li cas
Achilles tendon pab txo qis qhov txav ntawm ko taw nqis, nce tiptoe thiab thawb ko taw tawm hauv av thaum taug kev. Nws tau qhib rau hauv ib txoj kev lossis lwm qhov txhua zaus koj txav koj ko taw.
Tear feem ntau tshwm sim ntawm thaj tsam rau centimeters saum toj ntawm qhov sib txuas ntawm cov leeg nrog calcaneus. Cov cheeb tsam no tshwj xeeb tshaj yog muaj kev phom sij, vim cov ntshav ncig tsis yooj yim ntawm no. Vim tib yam, cov leeg kho tau qeeb heev tom qab raug mob.
Cov piv txwv ntau heev ntawm Achilles tendon ruptures tshwm sim los ntawm kev nce siab hauv kev thauj khoom yog paub:
- nce kev sib tw kis las, tshwj xeeb tshaj yog tias lawv suav nrog dhia;
- ntog ntawm qhov siab;
- ko taw poob rau hauv lub qhov.
Risk Factor
Qee qhov xwm txheej ua rau muaj kev pheej hmoo ntawm Achilles tendon ruptures:
- Hnub nyoog. Feem ntau, kev raug mob ntawm hom no tau pom nyob rau hauv cov neeg mob ntawm peb caug mus rau plaub caug xyoo.
- Gender. Raws li kev txheeb cais, rau txhua tus poj niam tus neeg mob, muaj tsib tus txiv neej uas muaj cov leeg pob txha.
- Sports. Feem ntaukev puas tsuaj yog tshwm sim los ntawm kev ua si lub cev, suav nrog kev khiav, dhia thiab hloov pauv tam sim ntawd thiab nres. Ncaws pob, ntaus pob, ntaus pob tesniv yog piv txwv.
- Kev txhaj tshuaj steroids. Cov kws kho mob qee zaum sau tshuaj steroid rau hauv pob qij txha txhawm rau txo qhov mob thiab txo qhov mob. Txawm li cas los xij, cov tshuaj no tuaj yeem ua rau cov leeg tsis muaj zog nyob ze thiab thaum kawg ua rau tawg.
- Noj tshuaj tua kab mob. Fluoroquinolones xws li Ciprofloxacin lossis Levofloxacin ua rau muaj kev pheej hmoo ntawm kev raug mob hauv kev ua ub no txhua hnub.
Ua ntej mus ntsib kws kho mob
Tau qhov kua muag (nrog rau qhov mob) ntawm cov leeg Achilles tuaj yeem ua rau tsis muaj peev xwm taug kev ib txwm, koj yuav tsum nrhiav kev pab kho mob tam sim. Yuav tsum tau mus ntsib kws kho mob kis las ntxiv lossis kws kho mob orthopedic.
Yuav kom kev sab laj ua tau zoo li qhov ua tau, ua ntej lub sijhawm teem tseg, sau cov ntaub ntawv hauv qab no rau ntawm daim ntawv:
- piav qhia ntxaws txog cov tsos mob thiab cov xwm txheej ntxhov siab dhau los;
- xov xwm txog teeb meem kev noj qab haus huv yav dhau los;
- npe ntawm txhua yam tshuaj thiab tshuaj noj;
- cov lus nug koj xav nug koj tus kws kho mob.
tus kws kho mob yuav hais li cas?
Tus kws tshaj lij yuav nug koj cov lus nug hauv qab no:
- Yuav raug mob li cas?
- Koj puas hnov (lossis tej zaum tsis hnov, tab sis hnov) nyem lossis tawg thaum koj raug mob?
- Koj puas tuaj yeem sawv ntawm koj cov ntiv taw ntawm koj txhais ceg raug mob?
Diagnosis
Thaum kuaj thawj zaug, tus kws kho mob yuav tshuaj xyuas ob txhais ceg kom rhiab thiab o. Feem ntau, tus kws kho mob tuaj yeem hnov txog qhov sib tsoo ntawm cov leeg yog tias nws tau tawg tag.
Koj tus kws kho mob tuaj yeem hais kom koj txhos caug ntawm lub rooj zaum lossis pw ntawm koj lub plab ntawm lub rooj tshuaj ntsuam nrog koj txhais ko taw dai ntawm ntug ntawm lub rooj. Nrog rau txoj kev kuaj mob no, tus kws kho mob nyem tus neeg mob cov leeg nqaij calf kom kuaj xyuas qhov reflex: ko taw yuav tsum tau khoov. Yog tias nws nyob twj ywm tsis muaj zog, nws zoo li tias Achilles leeg tau ua rau mob. Qhov no yog qhov kawg ua rau raug mob.
Yog tias muaj lus nug txog qhov kev puas tsuaj (uas yog, txawm tias cov leeg puas tag nrho los yog tsuas yog ib feem), tus kws kho mob yuav sau ib qho ultrasound lossis magnetic resonance imaging. Ua tsaug rau cov txheej txheem tsis mob no, cov duab ntxaws ntxaws ntawm cov ntaub so ntswg thiab cov kabmob hauv lub cev tuaj yeem nqa tau.
Kev kho mob
Ntau tus neeg mob lawv cov leeg Achilles rau qee qhov. Kev kho mob feem ntau yog nyob ntawm hnub nyoog, theem ntawm lub cev ua si, thiab qhov hnyav ntawm qhov raug mob. Feem ntau, cov neeg mob hluas thiab cov neeg mob lub cev feem ntau xaiv kev phais, qhov no yog txoj hauv kev zoo tshaj plaws. Cov neeg mob ntawm cov hnub nyoog laus feem ntau nyiam kev kho mob ntau dua. Raws li kev tshawb fawb tsis ntev los no, nws yog qhov tseebCov kws kho mob sau tseg yuav ua tau zoo li kev phais.
Kev kho mob yam tsis muaj kev phais
Nyob rau hauv txoj kev no, cov neeg mob feem ntau hnav khau tshwj xeeb orthopedic nrog lub platform hauv qab pob taws - qhov no tso cai rau cov leeg torn kho nws tus kheej. Txoj kev no tshem tawm ntau yam kev pheej hmoo ua haujlwm, xws li kev kis kab mob. Txawm li cas los xij, kev rov qab los thaum hnav khau orthopedic yuav siv sij hawm ntev dua li kev kho mob nrog kev phais, thiab muaj kev pheej hmoo siab rov ua dua. Nyob rau hauv rooj plaub tom kawg, koj tseem yuav tau mus rau kev phais, tab sis muaj qhov tshwm sim siab uas tam sim no yuav nyuaj dua rau tus kws phais kom kho qhov Achilles leeg rupture.
Kev ua haujlwm
Feem ntau, kev phais yog raws li hauv qab no. Tus kws kho mob ua ib qho kev phais nyob rau sab nraum qab ntawm txhais ceg thiab stitches lub torn seem ntawm cov leeg ua ke. Nyob ntawm seb qhov mob ntawm cov ntaub so ntswg puas, nws yuav tsum tau ntxiv cov sutures nrog lwm cov leeg. Cov teeb meem tshwm sim tom qab kev phais muaj xws li kab mob thiab cov hlab ntsha puas. Qhov kev pheej hmoo ntawm kev kis kab mob yuav txo qis heev yog tias tus kws phais ua qhov phais me me thaum lub sijhawm ua haujlwm.
YContraindications
Kev kho mob ntawm Achilles tendon ruptures yog contraindicated nyob rau hauv cov neeg uas kuaj pom tias muaj ib tug nquag kis kab mob los yog kab mob ntawm daim tawv nqaij nyob rau hauv lub cheeb tsam ntawm qhov raug mob. Kev saib xyuas kev kho mob kuj tau sau tseg rau cov neeg mob uas muaj kev noj qab haus huv tsis zoo, ntshav qab zib, kev haus luam yeeb. yog contraindications thiabCov xwm txheej xws li kev ua neej nyob tsis muaj zog, siv steroid, thiab tsis muaj peev xwm ua raws li tus kws phais mob cov lus qhia tom qab phais. Txhua yam kev txhawj xeeb txog kev noj qab haus huv yuav tsum tau tham nrog koj tus kws kho mob ua ntej.
Rehab
Txhawm rau kho qhov mob ntawm Achilles tendon mus tas li (tom qab kev phais lossis kev kho kom zoo - nws tsis muaj teeb meem), koj yuav raug xaiv ib qho kev kho mob uas suav nrog kev tawm dag zog lub cev los cob qhia cov leeg ntawm ob txhais ceg thiab Achilles leeg. Cov neeg mob feem ntau rov qab mus rau lawv txoj kev ua neej li qub plaub mus rau rau lub hlis tom qab qhov kawg ntawm kev kho lossis kev phais.
Kev tawm dag zog
Tom qab kev kho kom zoo, kev kho kom rov zoo tuaj yeem pib tam sim tom qab kev ploj ntawm qhov mob, tom qab kev phais - sai li sai tau qhov phais qhov txhab zoo. Kev ua si lub cev yog tus yuam sij rau kev rov qab los ntawm kev raug mob (tshwj xeeb yog tias qhov raug mob yog Achilles leeg rupture). Rehabilitation pib nrog zaws thiab ua kom lub zuag qhia tag nrho ntawm lub pob taws - qhov kev xav ntawm nruj yuav tsum ploj mus. Tom qab ob lub lis piam ntawm kev kho mob maj mam, kev tawm dag zog ua haujlwm tau sau tseg, thiab cov txiaj ntsig zoo tshaj plaws tuaj yeem ua tiav yog tias koj ci lub cev xav tau ntau ntawm 12 txog 16 lub lis piam. Lub load pib nrog ncab, ces lawv txav mus rau lub zog ce, nrog rau khoov thiab straightening lub hauv caug.
Yog tias qhov mob tshwm sim tag nrho, koj tuaj yeem txuas cov kis las ntau dua rau kev cob qhia. Nws yog ntshaw rau cov neeg ncaws pob mus jogging thiab ua ntau dhia. Kev rov tshwm sim ntawm Achilles tendinitis thiab tom qab rupture yuav dhau los ua tsawg dua yog tias tus neeg mob ua tib zoo ua tib zoo saib xyuas cov kev kho mob kho mob.
