Ubuhlungu besithende

Ubuhlungu bezithende yisikhalazo esivamile esithiya kakhulu impilo yomuntu yansuku zonke, esithinta ukuhamba, ukukhiqiza, kanye nenhlalakahle jikelele. Ngenxa yokungaphatheki kahle okuphikelelayo, ungase ungakwazi ukuhlanganyela emisebenzini owake wayijabulela, njengokuzivocavoca noma ukudlala imidlalo. Ungase futhi ube nenkinga yokusebenza kahle emsebenzini noma ukugxilisa ingqondo. Ukuqonda izimbangela, ukubonakaliswa, kanye nezinketho zokwelapha ubuhlungu besithende kubalulekile ekuphatheni okuphumelelayo nokululama. 

Buyini Ubuhlungu Besithende?

Ubuhlungu besithende busho ukungakhululeki noma ukuzwela endaweni yesithende, okuvame ukuvela ngenxa yokuvuvukala noma ukulimala ezakhiweni ezingaphakathi konyawo. Imele ubuhlungu obubukhali noma obuthuntu. Ngezinye izikhathi, ungase uzwe ubuhlungu bezithende lapho uhamba noma ugijima. Izifo ezivame kakhulu ezihlobene nobuhlungu bezithende zihlanganisa i-plantar fasciitis, i-Achilles tendinitis, i-bursitis, ne-heel spurs. Lezi zimo zingaba nomthelela omubi eqophelweni lempilo yomuntu, zenze ukuxilonga nokwelashwa okufanele kubaluleke kakhulu.

Ubuhlungu Besithende buvame kangakanani?

Ubuhlungu bezithende yisimo esivamile esithinta abantu abaningi emhlabeni jikelele. Ngokwezifundo ezihlukahlukene, cishe i-10% yabantu izwa ubuhlungu bezithende ngesikhathi esithile ekuphileni kwabo. Kuvame kakhulu phakathi kwabantu abaneminyaka ephakathi, abasubathi, nalabo abamele isikhathi eside. Nakuba ubuhlungu besithende bungenzeka kokubili kwabesilisa nabesifazane, abesifazane banamathuba amaningi okuthuthukisa izimo ezithile, njenge-plantar fasciitis, ngenxa yokuhluka kwe-biomechanical ezinyaweni zabo.

Yini Ebangela Ubuhlungu Ngemva Kwesithende?

Izimo ezihlukahlukene zingabangela ubuhlungu ngemuva kwesithende, njenge:

• I-Achilles tendinitis: I-Achilles tendinitis yilapho i-Achilles tendon (ukuxhumana phakathi kwemisipha yethole kanye nethambo lesithende) ivutha. Lesi simo sivame ukuvela kubantu abenza imisebenzi ephindaphindayo ecindezela ithoni, njengokugijima noma ukugxuma. 
• I-Retrocalcaneal bursitis: I-Retrocalcaneal bursitis ihilela ukuvuvukala kwe-bursa, isikhwama esigcwele uketshezi esitholakala ngemuva kwesithende. Lesi simo ngokuvamile siwumphumela wokucindezela okukhulu noma ukuxubha i-bursa, okuholela ubuhlungu nokuvuvukala.
• Ukufakwa ngemuva kwesithende: Ukucindezelwa kwezicubu ezithambile noma izakhiwo ngemuva kwesithende, ngokuvamile okubangelwa ukunyakaza kwe-ankle okuphindaphindiwe, njenge-ballet noma ukugijima, kungabangela ubuhlungu ngemuva kwesithende.

Yini Ebangela Ubuhlungu Ngaphansi Kwesithende?

Ubuhlungu obungaphansi kwesithende bubangelwa ikakhulukazi i-plantar fasciitis. Ukuvuvukala kwe-plantar fascia, ibhande lethishu eliwugqinsi elihlanganisa ithambo lesithende ezinzwaneni. I-Plantar fasciitis ivamise ukukhula ngenxa yobunzima obuphindaphindayo, njengokugijima ngokweqile noma ukuma isikhathi eside. 

Ezinye izici ezinomthelela kulesi simo zihlanganisa ukukhuluphala, izicathulo ezingafanele, nemisebenzi enomthelela omkhulu. 

Ama-Heel spurs, ama-bony outgrowth avela ngaphansi kwethambo lesithende, angabangela ubuhlungu ngaphansi kwesithende.

Izimpawu Zobuhlungu Besithende

Ubuhlungu besithende bubonakala ngendlela ehlukile kuye ngokuthi isimo sinjani. Nokho, izimpawu ezivamile zobuhlungu besithende zihlanganisa:

• Ubuhlungu obunzima ngemisebenzi yokuthwala isisindo. Ungase uzwe ubuhlungu bezithende lapho uhamba noma ugijima.
• Ubumnene noma ubuhlungu ukuzwa esithendeni
• Ukugubha nokuhamba okulinganiselwe onyaweni
• Ukuvuvukala noma ububomvu esithendeni esithintekile
• Ubuhlungu obubukhali noma bokudutshulwa, ikakhulukazi ekuseni noma ngemva kwezikhathi zokungasebenzi
• Ubuhlungu besithende lapho umile noma ubeka isisindo onyaweni oluthintekile

Izingozi Zokubuhlungu Kwezithende

Izici eziningana zandisa ingozi yokuthuthukisa ubuhlungu besithende. Lokhu kubandakanya:

• Ubudala: Ubuhlungu bezithende buvame kakhulu kubantu abaneminyaka ephakathi ngenxa yokuguga kwemvelo kwezakhiwo zezinyawo.
• Umsebenzi womzimba: Abasubathi kanye nabantu abenza imisebenzi enomthelela omkhulu bathambekele ebuhlungwini besithende.
• Ukukhuluphala ngokweqile: Isisindo somzimba esiningi ngokweqile singase sibangele ukucindezela okwengeziwe ezinyaweni zakho, okwandisa ingozi yokuthuthukisa ubuhlungu besithende.
• Izicathulo ezingafaneleki kahle: Ukugqoka izicathulo ezingasekelwa ngokwanele noma ukulingana okungalungile kungaba nomthelela ebuhlungu besithende.
• Ukwakheka kwezinyawo: Izimo ezithile ze-anatomical ezinyaweni, njengama-arches aphakeme noma izinyawo eziyisicaba, zingabeka abantu phambili ubuhlungu bezithende.
• Umsebenzi: Imisebenzi edinga ukuma isikhathi eside noma ukuhamba ezindaweni eziqinile ingaba nomthelela ebuhlungu besithende.

Belashwa Kanjani Ubuhlungu Besithende?

Ukwelashwa kobuhlungu besithende kuncike kumbangela kanye nobukhulu besimo. Ezimweni eziningi, izindlela ezilondolozayo ziyasebenza ekulawuleni ubuhlungu bezithende. Lokhu kubandakanya:

• Ukuphumula: Gwema imisebenzi ekhulisa ubuhlungu futhi unikeze ukuphumula okwanele onyaweni oluthintekile.
• Ukwelashwa kweqhwa: Ukusebenzisa ama-compress abandayo noma amaphakethe eqhwa esithendeni kungasiza ekudambiseni ukuvuvukala nobuhlungu.
• Ukuzivocavoca umzimba: Izindlela zokwelula eziqondile zingathuthukisa ukuguquguquka, ziqinise imisipha yonyawo, futhi aqede ubuhlungu besithende.
• Imishini ye-Orthotic: Ukugqoka izinto ezifakwa ngokwezifiso zezicathulo noma izinsimbi ze-orthotic zinganikeza ukusekela nokugoba, kunciphise ukucindezelwa esithendeni.
• Imithi: Izidakamizwa ezingezona ukuvuvukala (ama-NSAID) zingasiza ekudambiseni ubuhlungu futhi kunciphise ukuvuvukala.
• Ukwelapha ngokomzimba: Ezimweni ezimbi kakhulu noma lapho izinyathelo zokulondoloza zihluleka, odokotela bangase batuse ukwelashwa ngokomzimba ukuze kuthuthukiswe ukuphulukiswa nokubuyisela ukusebenza kwezinyawo.

Odokotela bangase bacebise ukungenelela kokuhlinzwa ezimweni ezingavamile, ikakhulukazi uma ukwelapha okuvamile okungahlinzeki kungavezi imiphumela efiselekayo.

Indlela Yokuvimbela Ubuhlungu Besithende?

Ukuvimbela ubuhlungu bezithende kuqala ngokuthatha imikhuba enempilo nokuthatha izinyathelo ezisebenzayo. Nawa amanye amathiphu okunciphisa ingozi yokuthuthukisa ubuhlungu besithende:

• Gqoka izicathulo ezisekelayo: Khetha izicathulo ezinikeza ukusekela okwanele kwe-arch, i-cushioning, nokulingana okufanele.
• Khulisa kancane kancane umsebenzi womzimba: Gwema izinguquko ezingazelelwe kumfutho noma isikhathi sokuzivocavoca ukunikeza izinyawo zakho isikhathi sokuzivumelanisa nezimo.
• Gcina isisindo esinempilo: Isisindo esiningi sibeka ingcindezi eyengeziwe ezinyaweni, okwandisa amathuba okuba nobuhlungu besithende.
• Ukufudumala nokupholisa: Beka kuqala izivivinyo zokuzelula ngaphambi nangemuva kwemisebenzi yomzimba ukuze ulungise izinyawo zakho futhi uvimbele ubunzima.
• Gwema izindawo eziqinile: Ukuhamba noma ukuzivocavoca ezindaweni ezithambile ukuze unciphise umthelela ezinyaweni zakho.
• Shintsha izicathulo ezigugile: Hlola njalo izicathulo zakho futhi uzishintshe uma zingasakunikezeli ukusekela okwanele.

Amakhambi Asekhaya Ezinhlungu Zesithende

Amakhambi athile asekhaya angasiza ekudambiseni ubuhlungu besithende. Lokhu kubandakanya:

• I-Epsom salt foots imanzisa: Ukuncibilikisa usawoti we-Epsom emanzini afudumele nokucwilisa izinyawo zakho kungadambisa ukuvuvukala okwesikhashana futhi kudambise imisipha.
• Ukwelashwa kwe-massage: Ukubhucunga unyawo oluthintekile kungasiza ukuthuthukisa ukujikeleza kwegazi, ukukhulula ukungezwani, nokunciphisa ubuhlungu.
• Izintambo zasebusuku: Ukugqoka i-splint ngobusuku bonke kunganweba i-plantar fascia kanye ne-Achilles tendon. Lo mgoqo usiza ekwelapheni futhi unciphisa ubuhlungu basekuseni.
• Ukufakwa kwezicathulo: Amaphedi esithende angaphezu kwe-counter noma ama-insoles ahlinzeka nge-cushioning eyengeziwe nokusekelwa ukuze kuncishiswe ukungakhululeki.
• Ukwelula kwethole: Ukwelula imisipha yethole kusiza ukunciphisa ubunzima esithendeni futhi kuthuthukise ukuguquguquka.
• Ukuguqulwa kwezicathulo: Ukusebenzisa izinkomishi zesithende noma izicathulo ezinesithende esiphakeme kancane kungasiza ukusabalalisa ingcindezi ngokulinganayo.

Amakhambi asekhaya anganikeza ukukhululeka kobuhlungu besithende, kodwa awakwazi ukuthobisa ukubaluleka kweseluleko sezokwelapha sochwepheshe kanye nokwelashwa okufanele kobuhlungu besithende.

Kufanele Ngimshayele Nini Udokotela?

Nakuba izinyathelo zokulondoloza zinganikeza ukukhululeka kobuhlungu bezithende ezimweni eziningi, ukufuna usizo lwezokwelapha ezimweni ezithile kubalulekile. Bonana nodokotela uma uhlangabezana:

• Ukuqala kobuhlungu besithende obunzima noma kungazelelwe ngaphandle kokulimala noma imbangela.
• Ukungakwazi ukuthwala isisindo onyaweni oluthintekile.
• Ubuhlungu obuqhubekayo, obungancishiswa ngokuphumula kanye nokwelashwa okuvamile.
• Izimpawu zokutheleleka, njengokubomvu, ukufudumala, noma ukuphuma endaweni ethintekile.
• Ukuthuthukiswa kwezimpawu ezengeziwe, njengemfiva noma ukugodola.

Ukuhlolwa okusheshayo kwezokwelapha kungasiza ekuhlonzeni izimo ezidinga ukwelashwa okukhethekile noma ukungenelela.

Isiphetho

Ubuhlungu bezithende bungathinta kakhulu impilo yomuntu yansuku zonke, kodwa ngokuqonda nokwelashwa okufanele, ukuthola impumuzo nokubuyisela umsebenzi wezinyawo kungenzeka. Ngokuqaphela izimbangela zobuhlungu besithende, izimpawu, kanye nezici eziyingozi ezihlobene nobuhlungu bezithende, abantu ngabanye bangathatha izinyathelo zokuvimbela futhi bafune ukungenelela kwezokwelapha ngesikhathi esifanele uma kunesidingo. Zizwe ukhululekile ukubonana nodokotela ukuze uthole ukuxilongwa okunembile kanye nohlelo lokwelapha lomuntu siqu. Ungakwazi ukuphulukisa ebuhlungu besithende futhi uphinde uthole ukuhamba nokunethezeka ngendlela efanele.

Imibuzo Evame Ukubuzwa

1. Ingabe ubuhlungu besithende ngenxa ye-uric acid?

Ubuhlungu besithende ngokuvamile abubangelwa ngokuqondile i-uric acid. Kodwa-ke, izimo ezifana ne-gout zingabangelwa amazinga aphezulu e-uric acid emzimbeni. I-uric acid ephezulu ingabangela ukuvuvukala nobuhlungu emalungeni, kuhlanganise nesithende. Uma usola izinkinga ezihlobene ne-uric acid, thintana nodokotela ukuze uthole ukuxilongwa ngesikhathi kanye nokwelashwa okufanele.

2. Yikuphi ukuntula okubangela ubuhlungu besithende?

Ukushoda okukhethekile kwezakhi akubangeli ngokuyinhloko ubuhlungu besithende. Nokho, ukuntuleka kwezakhi ezithile zomsoco, njenge-calcium, uvithamini D, noma i-magnesium, kungathinta bone impilo futhi okungenzeka kube nomthelela ezimweni ezibangela ubuhlungu besithende. Ukugcina ukudla okulinganiselayo nokubhekana nokushoda kwezakhi kungasekela impilo yonke yezinyawo.

3. Ingabe ukuntuleka kwe-calcium kungabangela ubuhlungu esithendeni?

Ukuntuleka kwe-calcium kukodwa akunakwenzeka ukuthi kubangele ubuhlungu besithende ngokuqondile. Kodwa-ke, ukungena kwe-calcium eyanele kungenza amathambo abe buthaka, okwenza kube lula ukuphuka kwengcindezi noma izimo ezifana ne-plantar fasciitis, engabangela ubuhlungu besithende. Ukugcina ukudla okuphelele okubandakanya ukudla okunothe nge-calcium kanye nokubonisana a udokotela noma udokotela wezokudla iseluleko esiqondene nawe sibalulekile.

4. Ingabe ukuhamba kuhle kubuhlungu besithende?

Ukuhamba kungazuzisa ubuhlungu besithende, kodwa kufanele usondele kubo ngokucophelela. Imisebenzi enomthelela omncane njengokuhamba ingasiza ukuthuthukisa ukujikeleza kwegazi, ukugcina amandla emisipha, nokukhuthaza ukuphulukiswa. Nokho, ukugqoka izicathulo ezisekelayo, ukugwema ukuzikhandla ngokweqile, nokulalela izimpawu zomzimba wakho kubalulekile. Uma ukuhamba kukhulisa ubuhlungu besithende sakho, thintana nodokotela ukuze uthole isiqondiso mayelana nokuzivocavoca okufanele nokuguqulwa.

CARE Medical Team

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