Ubuhlungu Bethole

Ubuhlungu bethole yisikhalazo esivamile esithinta abantu abaningi, okubangela ukungakhululeki nokunciphisa ukuhamba. Kungaba nzima kakhulu futhi kuvame ukwenzeka ngesikhathi sokusebenza ngokomzimba noma ebusuku. Ukuqonda imbangela yobuhlungu bethole nokwazi ukuthi ungabuqeda kanjani kungakusiza ukuthi ulawule lesi simo ngempumelelo futhi usivikele ekuphazamiseni impilo yakho yansuku zonke. Ake siqonde izimpawu zobuhlungu bethole, izimbangela zalo ezingase zibe khona, kanye nezindlela ezisebenzayo zokuyelapha. 

Buyini Ubuhlungu be-Calf Muscle?

Ubuhlungu bemisipha yethole busho ukungakhululeki ngemuva komlenze ongezansi, ikakhulukazi endaweni engemuva kwethambo lokukhanya. Lobu buhlungu bungabonakala njengobuhlungu obufiphele noma ukuzwa okubukhali, okuhluka kumuntu nomuntu. Ithole lihlanganisa imisipha emibili eyinhloko, i-gastrocnemius kanye ne-soleus, ehlangana ne-Achilles tendon futhi inamathele ethanjeni lesithende. Ubuhlungu bungasukela ebuhlungwini obuncane kuye ekubambeni kanzima futhi kungase kuhambisane nokuvuvukala noma ukuqina. 

Izimbangela Zobuhlungu Bethole

Ubuhlungu bethole bungavela emithonjeni ehlukahlukene, kusukela ezindabeni ezincane zemisipha kuya ezinkingeni ezinkulu zemithambo yegazi, njenge:

• Izimbangela ezihlobene nemisipha ngokuvamile zihlanganisa amajaqamba, izinhlungu, nokuquleka. Ama-cramps, noma "amahhashi ka-Charley," kwenzeka lapho imisipha ifinyela ngokuzumayo, okubangela ubuhlungu obufushane kodwa obukhulu. Lokhu kungabangelwa ukuphelelwa amanzi emzimbeni noma ukuzikhandla ngokweqile. Ukuhlukumezeka kwenzeka lapho imisipha yethole inwebeka ngokweqile, okungase kuholele ekuqhekekeni kwemisipha ezimeni ezinzima. Ukuqunjelwa, okubangelwa ukushaywa okuqondile emsipha, kungaholela ekulimazeni nasekubuhlungu.
• Izinkinga ze-Vascular nazo zingabangela ubuhlungu bethole. I-Claudication, isimo lapho imithambo yegazi emincane ikhawulela ukugeleza kwegazi emisipha, ingabangela ubuhlungu ngesikhathi sokuzivocavoca noma ukuhamba. Kuvame kakhulu kwababhemayo, abanesifo sikashukela, noma abane isifo se-artery se-artery (I-PAD). Ezimweni ezingavamile, i-deep vein thrombosis (DVT) ingase izenze njengobuhlungu bemisipha yethole. Lesi simo esibucayi sihilela ukwakheka kwehlule legazi emlenzeni ongezansi futhi kudinga ukunakekelwa kwezokwelapha ngokushesha.
• Ezinye izimbangela ezingase zibe khona zihlanganisa i-tendonitis, lapho ukuvuvukala kwemisipha exhumanisa imisipha yethole emathanjeni kubangela ingcindezi nobuhlungu. 
• Ukulimala kwe-tendon ye-Achilles, sciatica, kanye ne-diabetic peripheral neuropathy nakho kungaholela ebuhlungu bethole. 
• Kwezinye izimo, imithambo ye-varicose noma i-compartment syndrome ingaba nesibopho.

Izimpawu Zobuhlungu Benkonyane

Okuhlangenwe nakho kuyehluka kumuntu ngamunye, kodwa izimpawu ezivamile zihlanganisa:

• Ubuhlungu obungazelelwe ngesikhathi sokusebenza ngokomzimba
• Ukuqina nobuthakathaka lapho uhamba
• Ubunzima bokukhuphukela ezinzwaneni
• Ukuvuvukala noma imihuzuko endaweni ethintekile

Ubukhulu bobuhlungu bethole bungahlukaniswa ngamabanga amathathu:

• Ubuncane: Ubuhlungu obubukhali ngesikhathi noma ngemva komsebenzi
• Okulingene: Ubuhlungu obuvimba umsebenzi ojwayelekile
• Obunzima: Ubuhlungu obukhulu phakathi kwe-Achilles tendon naphakathi kwemisipha

Sifo

Odokotela baxilonga ubuhlungu bethole ngokuhlolwa okuphelele ngokomzimba. Bahlola ukuthi ingabe umsipha odonsiwe noma ocindezelekile ubangela ukungakhululeki. 

Odokotela banga-oda a imisipha i-ultrasound uma inkinga ibonakala inzima kakhulu. Lesi skena singakwazi ukukhomba izimo ezihlukahlukene, okuhlanganisa i-arterial claudication, i-Achilles tendinitis, izinkinga ze-plantar fascia, kanye ne-deep vein thrombosis (DVT). I-ultrasound iphinde iqondise ukwelashwa komjovo uma kudingeka.

Ukwelashwa Kwezinhlungu Zenkonyane

Ukwelashwa kobuhlungu bethole kuncike kumbangela nobukhulu bawo. Amakhambi amaningana asekhaya kanye nezindlela zokuzinakekela zinganikeza ukukhululeka kobuhlungu bethole okuthambile kuya kokulinganisela.

• Indlela ye-RICE iyindlela evamile yokwelapha ubuhlungu bemisipha yethole:
  • Ukuphumula: Gwema imisebenzi ekhulisa ubuhlungu.
  • Iqhwa: Gcoba amaphakethe abandayo endaweni enezinhlungu imizuzu engama-20 njalo emahoreni amabili.
  • Ukucindezela: Sebenzisa ibhandishi ukuze unciphise ukuvuvukala.
  • Ukuphakama: Gcina umlenze uphakanyisiwe, okungcono ngaphezu kwezinga lenhliziyo.
  • Ukuze uthole amajaqamba emisipha, ukwelula kancane noma ukubhucunga inkonyane kungasiza. Uma amajaqamba ephikelela noma esenzeka kaningi, kuyatuseka ukubonana nodokotela.
  • Izidakamizwa ezidambisa izinhlungu ezingaphezu kwe-counter (OTC) zingasiza ukuphatha ubuhlungu nokuvuvukala.
• Ukuze uthole ukulimala okubi kakhulu, okufana nezinkinga noma i-Achilles tendonitis, odokotela bangase batuse:
  • Ukwelapha ngokomzimba
  • Abalingisi abathambile noma ibhuthi yokunganyakazi
  • Ukuzivocavoca okumnene njengokuphakamisa ithole (uma ubuhlungu sebuphelile)
• Ezimweni zezinkinga ze-vascular like claudication, ukwelashwa kungafaka:
  • Ukuguqulwa kokudla ukunciphisa ukudla kwe-sodium, i-cholesterol, noshukela
  • Izinhlelo zokuzivocavoca
  • Imithi yokulawula umfutho wegazi, i-cholesterol, nesifo sikashukela
  • Ukuyeka ukubhema
• Ezimweni ezimbi kakhulu ezifana ne-deep vein thrombosis noma i-compartment syndrome, ukungenelela kwezokwelapha, okuhlanganisa ukuhlinzwa noma imithi ethile, kungase kudingeke.

Kufanele Ngimbone Nini Udokotela Wami?

Nakuba ubuhlungu bethole ngokuvamile bungenabungozi, izimpawu ezithile zidinga ukunakekelwa kwezokwelapha ngokushesha. 

• Abantu kufanele baxhumane nodokotela wabo uma bebona ukushintsha kombala emilenzeni, ezinyaweni, noma ezinzwaneni, njengesikhumba esiphaphathekile noma esiluhlaza okwesibhakabhaka. 
• Izinkinga zokunyakaza noma ukuhamba nazo zidinga ukuhlolwa kwezokwelapha. 
• Uma othile ezwa ubuhlungu obukhulu noma obungazelelwe, ikakhulukazi ngaphandle kwesizathu esibonakalayo
• Ukuvuvukala enkonyaneni noma kuphi emlenzeni ongezansi 
• Imilenze evuvukele okuhambisana nobunzima bokuphefumula 
• Ngokungazelelwe ukungakwazi ukuma noma ukufaka ingcindezi emlenzeni
• Ubuhlungu bethole ngemva kokuhlala isikhathi eside, ikakhulukazi ngemva kohambo olude lwemoto noma ukugibela indiza

Prevention

Ukuvimbela ubuhlungu bethole kuhilela ukwamukela amasu amaningana okugcina impilo yemisipha nokunciphisa ingozi yokulimala, okuhlanganisa: 

• Ukuhamba njalo kusiza ukugcina imisipha yeqakala neyethole iguquguquka. Lokhu kuhlanganisa ukuvivinya umzimba nokunyakaza kwamalunga ngokusebenzisa uhla lwawo olugcwele lokunyakaza. 
• Ukuphumula phakathi kokujima kuvumela imisipha ukuthi ilungise futhi ikhule, kunciphisa amathuba okuba nzima.
• Ukuzifudumeza okufanele ngaphambi kokuzivocavoca kanye nokupholisa ngemva kwalokho kukhulula imisipha futhi kuvimbele ukulimala kwesikhathi esizayo. 
• Ukugqoka izicathulo ezifanele ngesikhathi sokusebenza ngokomzimba, ikakhulukazi ukugijima noma ukugijima, kunikeza ukusekelwa okudingekayo ezinyaweni nasematholeni.
• Ukuphelelwa amanzi emzimbeni ngokuvamile kuholela ekuqineni kwemisipha, ngakho ukuphuza amanzi amaningi ngesikhathi nangemva kokusebenza komzimba kubalulekile. 
• Indlela ehamba kancane iyanconywa kulabo abasha ukuze bazivocavoce noma bakhuphule umfutho wokujima. Ukwenyuka okungazelelwe kwamazinga omsebenzi kungabangela ukulimala, ngakho ukulandela uhlelo lokuzivocavoca oluhlelekile noma ukusebenza nomqeqeshi kungaba yinzuzo.

Amakhambi Asekhaya Obuhlungu Bemisipha Yenkonyane

Amakhambi amaningana asebenzayo obuhlungu bethole angasiza ekudambiseni ubuhlungu bethole. Indlela ye-RICE iyindlela evamile yokusiza ngokushesha. Amanye amakhambi asekhaya afaka:

• Ukugeza usawoti we-Epsom kungaba yinzuzo. Ukwengeza usawoti we-Epsom emanzini okugeza afudumele kudala isisombululo esicebile nge-magnesium sulphate, esebenza njenge-electrolyte. Ukucwilisa imilenze kule ngxube kusiza ukulawula izimpawu zezinzwa, ukunciphisa ukuvuvukala nokuvuvukala.
• Ukufaka i-pad yokushisa emsipha wethole izikhathi eziningana ngosuku kungakhuphula ukugeleza kwegazi, kusize ukukhipha izinto ezibangela ukuvuvukala. Le ndlela isiza ukuphumula imisipha eqinile futhi ikhuthaze ukuphulukiswa.
• Ukwelula kalula kanye nokuginqika kwegwebu nakho kunganikeza impumuzo. Ukwelula imisipha yethole kancane kancane kusiza ukunweba imicu yemisipha futhi kunciphise ubuhlungu. Ukuginqika kwegwebu cishe imizuzu engama-20 kungathuthukisa ukuphulukiswa kwezicubu futhi kunciphise ukuvuvukala kwemisipha.
• Ukudla okunomsoco kudlala indima ebalulekile ekululameni. Ukudla ukudla okunamaprotheni okucebile njengenkukhu noma inhlanzi kanye nezinketho ezicebile nge-antioxidant njengamahalananda kanye ne-kale kungasiza ekubuyiseleni ukusebenza kwemisipha. 
• Ijusi ye-cherry enethalethi, eyaziwa emhlabeni wonke ngezici zayo zokulwa nokuvuvukala, ingasiza ekunciphiseni ubuhlungu bemisipha.
• Ukulala ngokwanele kubalulekile ukuze ululame, njengoba ukungalali kungase kubhebhethekise ukuvuvukala.

Isiphetho

Isihluthulelo sokubhekana nobuhlungu bethole sisekuvimbeleni nasekuthatheni isinyathelo ngokushesha. Ngokulandela amathiphu namakhambi okuxoxwe ngawo, njengokufudumala okufanele, ukuhlala uhlanzekile, nokusebenzisa amakhambi emvelo ezinhlungu zamathole njengendlela ye-RICE, unganciphisa ingozi yobuhlungu bethole futhi ukuphathe kangcono uma kwenzeka. Khumbula, nakuba izimo eziningi zobuhlungu bethole zingenabungozi, udokotela kufanele ahlale ehlola ubuhlungu obuqhubekayo noma obunzima ukuze aqinisekise ukunakekelwa okufanele futhi avimbele izinkinga ezinkulu.

FAQ sika

1. Yikuphi ukuntula okubangela ubuhlungu bethole?

Ukushoda kwe- i-potassiumi-sodium, i-magnesium, i-vitamin D, kanye namavithamini B athile angase andise amathuba okuba namajaqamba emisipha. Ukushoda kwe-calcium, eyaziwa ngokuthi i-hypocalcaemia, ingaholela ezinkingeni zemisipha. 

2. Kungani amathole ami ebuhlungu ebusuku?

Ubuhlungu bethole ebusuku bunezimbangela eziningana, njenge:

• Ukuphelelwa amanzi emzimbeni kanye nokuntuleka kukasawoti oketshezini lomzimba yizona zimbangela ezivame kakhulu zobuhlungu bethole ebusuku
• Ukungahambi kahle kwegazi
• I-Varicose veins
• ukukhulelwa  
• Ukucindezelwa kwemizwa 

3. Ubususa kanjani ubuhlungu bethole?

Ukuze unciphise ubuhlungu bethole, zama indlela ye-RICE: Ukuphumula, Iqhwa, Ukucindezela, kanye Nokuphakama. Ukunweba kancane noma ukuphulula inkonyane kungasiza ngamajaqamba emisipha. Izidakamizwa ezidambisa izinhlungu ezingaphezu kwe-counter zingalawula ubuhlungu nokuvuvukala. Amanzi kakhukhunathi noma ama-smoothies angaba wusizo ekugcwaliseni i-hydration kanye nokugcwaliswa kwe-electrolyte. Ukufaka ukushisa noma ukubanda endaweni ethintekile nakho kungase kunikeze impumuzo. Ngezinye izikhathi, ukwelapha ngokomzimba noma ukuvivinya umzimba okuthile njengokuphakanyiswa kwenkonyane kungase kunconywe uma ubuhlungu sebuphelile.

4. Kufanele ngikhathazeke nini ngobuhlungu bethole?

Thola usizo lwezempilo uma ushintsha umbala emlenzeni wakho, ezinyaweni, noma ezinzwaneni, njengesikhumba esiphaphathekile kakhulu noma esiluhlaza okwesibhakabhaka. Izinkinga zokunyakaza noma ukuhamba, ubuhlungu obunzima noma obungazelelwe, nokuvuvukala kwethole noma umlenze ophansi yizizathu zokubonisana nodokotela. Uma unayo i-vein thrombosis ejulile (DVT) izimpawu ngemva kokuhlala isikhathi eside, njengenkonyane elivuvukele, elibuhlungu, noma elibomvu, funa usizo lwezokwelapha ngokushesha. Ukwengeza, ukubona udokotela kuhle uma ubuhlungu bethole buqhubeka noma buba bubi naphezu kokwelashwa ekhaya.

5. Ingabe ubuhlungu bethole bukhulu?

Nakuba ubuhlungu bethole buvame ukungabi nangozi futhi bubangelwa izinkinga ezincane ezifana nemisipha yemisipha noma Nakuba ubuhlungu bethole buvame ukungabi nangozi futhi bubangelwa izinkinga ezincane ezifana nokuhlukumezeka kwemisipha noma ama-cramps, ngezinye izikhathi kungase kubonise izimo ezimbi kakhulu ezifana ne-claudication, i-deep vein thrombosis (DVT), i-chronic compartment syndrome kanye i-pulmonary embolism.

UDkt. Prashanth Chandra NY

MBBS, DNB, PGDHSC
CARE Hospitals Outpatient Centre, Banjara Hills, Hyderabad

Ukuze Ubhukhe Isikhathi, shayela:

+ 91 40-68106529

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