I-Myofascial Trigger Pain Echaphazela Imisipha Yobhontsi

intshayelelo

Abantu abaninzi basebenzisa izandla zabo xa besiya emsebenzini okanye besenza izinto eziqhelekileyo kubomi babo bemihla ngemihla. Izandla zinxibelelana namanani eminwe emihlanu anika amandla okubambelela xa ubambe izinto ezinobukhulu obahlukeneyo kunye nobunzima ezinokuphathwa zizihlunu zezandla. Izandla zinemisipha emininzi, imisipha, kunye neentambo ezihamba ngaphaya kwesandla kunye neengalo. La malungu mathathu kumzimba ongasentla anobudlelwane obuqhelekileyo kunye ne mahlombe ukubonelela uzinzo kunye nokuhlanganiswa kwiindawo eziphezulu. Xa izihlunu ezahlukeneyo, iintambo, kunye neeligaments zinikezela kumandla okwenzakala okanye ukwenzakala okubangela intlungu iingalo, iingalo, kunye nezandla, inokuphuhlisa i-myofascial pain syndrome okanye i-trigger points ukuvelisa iiprofayili ezinobungozi ezigqithisayo ezifihla ezinye iimpawu. Inqaku lanamhlanje lijonga izihlunu zesithupha, indlela i-myofascial trigger pain echaphazela ngayo ubhontsi, kunye nendlela yokuthintela nokulawula i-trigger thumb ukuba ingenzeki ngakumbi ezandleni. Sithumela izigulane kubaboneleli abaqinisekisiweyo abachwephesha kwiintlungu zesandla kunye nesandla sokunceda abantu abaninzi abaphethwe yi-trigger thumb kunye neminwe echaphazela izandla zabo. Sikwakhokela kwaye sazise izigulane zethu ngokuzithumela kubaboneleli bethu bezonyango abanxulumeneyo ngokusekelwe kuvavanyo lwabo xa kufanelekile. Siye safumanisa ukuba imfundo sisisombululo esikhulu ekubuzeni ababoneleli bethu imibuzo enzulu sisigulana esiyicelayo. UDkt Jimenez DC uthatha ingqalelo le ngcaciso njengenkonzo yemfundo kuphela. isikhanyeli

Ukujonga kwiMihlunu kabhontsi

Ngaba ufumene ukwehla okunamandla ekubambeni kwakho xa ubambe into ethile? Kuthekani ngokuva izandi eziphumayo okanye ezikrazukileyo xa uhambisa iminwe okanye ubhontsi wakho? Okanye ngaba uye waziva iintlungu kufutshane nesihlahla okanye entendeni yezandla zakho? Xa abantu beva intlungu kwiminwe yabo, ngakumbi izithupha, inokuphuhla ibe yintlungu ye-myofascial trigger ecaleni kwesithupha. Njengenxalenye yesandla, isithupha sinezihlunu ezibonelela ngentshukumo kunye nezakhono zemoto ukwenza isithupha sihambe. Izihlunu ezimbini: i-adductor pollicis kunye ne-opponens pollicis, vumela isithupha sihambe kwaye sithintele enye idijithi yomnwe. I i-adductor pollicis esandleni ineengqimba ezinzulu, ezintsonkothileyo, ezivele ngaphezulu kwezihlunu, imisipha, kunye neendawo ezisebenza kunye ukuze zikwazi ukuguquguquka kubhontsi. Esi sihlunu sinobunxantathu obunesakhiwo esineentloko ezimbini, kwaye umsebenzi walo ophambili kukungenisa isithupha. Oku kuthetha ukuba i-adductor pollicis ivumela ukuba isithupha sihambe, sithinte intende, kwaye sisondele kwisalathisi somunwe. Ukuza kuthi ga ngelo xesha, esi sihlunu sibonelela ngobhontsi bokucofa kunye neentshukumo zokubamba.

Esinye isihlunu saziwa ngokuba yi ngokuchasene ne-pollicis, kwaye le misipha inceda ibonelela ngeentshukumo ezincinci zesandla kwisithupha ngokuvumela ukuba ichukumise iingcebiso zedijithi nganye. I-opponens pollicis muscle isebenza kunye ne-adductor pollicis muscle njengoko ivumela isandla ukuba sibeke izinto zekomityi ngelixa sisenza ukuba i-pinching ibambe isandla. I-oppponens pollicis muscle iphinda isebenze kunye neentlobo ezahlukeneyo zemisipha, i-nerve, kunye namathambo ukuba abe sync ekuboneleleni ukunyakaza kwezandla kunye nokubonelela ngamandla okuhamba.

Indlela iMyofascial Trigger Pain echaphazela ngayo ubhontsi

I-adductor kunye ne-oppenens imisipha ye-pollicis inokubonelela ngokubamba kunye nokubethelwa kwezandla ezandleni ngaphandle kokubangela intlungu; nangona kunjalo, xa i-thumb muscle ligaments isetyenziswe ngokugqithiseleyo okanye i-trauma, inokukhula ibe yintlungu ye-myofascial trigger kunye nemisipha yesithupha, ebangela i-trigger thumb. Uphando lutyhila into ebangela ukuba ubhontsi wobhontsi wenzeke kukuphinda-phinda ukubamba iintshukumo kunye nokusebenzisa ngokugqithisileyo isihlunu sobhontsi. Oku kubangela ukuba i-flexor tendon sheath ibe mxinwa kunye nomgca wesithupha kwaye ibangele ukucofa okanye ukuvela kwemizwa xa isithupha sizama ukwandisa, ngaloo ndlela kukhokelela ekuphuhlisweni kwentlungu ye-myofascial trigger. Ngokutsho kwencwadi ethi, "Intlungu ye-Myofascial kunye nokungasebenzi kakuhle: I-Trigger Point Manual," ebhalwe nguDkt Janet G. Travell, MD, xa intlungu ye-myofascial iqala ukuchaphazela ukusebenza kwesandla, ingenza abantu abaninzi balahlekelwe yintshukumo ye-pinching yabo. izandla njengoko bengakwazi ukubamba into abayisebenzisayo. Nkqu nezenzo ezilula njengokutsala ukhula egadini kunokubangela uxinzelelo kubhontsi kwaye kubangele ukuthamba kwisihlunu esichaphazelekayo. 

Isishwankathelo seFinger Finger & Trigger Thumb-Video

Ngaba unobunzima bokubamba izinto ezandleni zakho? Ngaba uvakalelwa kukuba iminwe yakho ivaliwe rhoqo? Okanye ngaba kubuhlungu xa usolula ubhontsi okanye iminwe yakho? Ukuba ubukhe wafumana ezi mpawu zentlungu ezandleni nakwiminwe yakho, inokuba kungenxa yentlungu ye-myofascial trigger ehambelana nesithupha kunye neminwe ezandleni. Qalisa iminwe okanye ubambe oobhontsi sisifo esiqhelekileyo esichaphazela umsebenzi wokuhamba kwezandla kwaye sinokucela intlungu kumalungu achaphazelekayo abangela ukuba avale. Ividiyo engentla ichaza ukuba yintoni eyenza iminwe kwaye ibangele izithupha, iimpawu kunye nezizathu, kunye nendlela yokuphatha nokulawula intlungu. Xa iintlungu zinxulunyaniswa nezandla neminwe, nto leyo ebangela ukuba kubekho amanqaku e-trigger ecaleni kwesihlunu esichaphazelekayo, abantu abaninzi baqala ukuziva bengenathemba xa bengakwazi ukubamba izinto. Ngombulelo, kukho iindlela ezahlukeneyo zokulawula isithupha se-trigger kunye nokuthintela intlungu ekubangeleni umonakalo.

ULawula njani kwaye uthintele njani iThupha ye-Trigger

Xa ubhontsi we-trigger uqalisa ukuchaphazela amandla omntu okubamba izinto, oko kunokubangela ukuba azive elusizi kwaye kunokuchaphazela kakhulu umgangatho wobomi bakhe. Konke akulahlekanga, njengoko kukho iindlela ezahlukeneyo zokulawula izithupha ze-trigger kunye nokukhusela iimpawu zentlungu ezizayo ngokuqhubekayo zichaphazela ukuhamba komntu ezandleni zabo. Izifundo zibonisa ukuba unyango oluninzi olufana nokuqhekeka lunokunceda ukufumana ukushukuma ukubuyela kubhontsi kwaye kuthintele umdibaniso ekutshixekeni, ubangele intlungu. Olunye unyango olunjengokolulwa kwesandla kunye nesandla lunokunceda ukukhulula imisipha eqinile kunye nezihlunu kwaye zibuyisele amandla okushukuma ezandleni. Oogqirha abaninzi bacebisa izigulana zabo ukuba ziqale ukusebenzisa iindlela ezahlukeneyo zokuzilolonga ngesandla kunye nesandla ukuze uphumle izihlunu ezibuhlungu kwaye ujikeleze emva kwezandla. Enye indlela yokuthintela i-trigger thumb ekuchaphazeni izandla kukwenza i-extra exercises ye-adductor kunye ne-opponens pollicis izihlunu ezinobushushu ukuze uphumle kwaye ukhulule imisipha eqinile ngelixa ubuyisela i-flexion kunye nokwandiswa kwisithupha.

isiphelo

Izithupha zibonelela ngokusebenza kwezandla ngokuvumela ukubamba kunye nokucofa iintshukumo xa abantu bethatha izinto. Izihlunu ezibini ezibonelela ngesi sishukumo yi-adductor kunye ne-oppnens pollicis muscles. Xa imikhosi ephazamisayo iqala ukuchaphazela ezi zihlunu zombini kwisithupha, inokuphuhlisa i-trigger thumb ehambelana neentlungu. Oku kubangela ukuba ubhontsi utshixe kwaye wenze iintlungu xa umntu ezama ukolula oobhontsi bakhe. Izithupha ze-trigger zenzeka xa abantu besebenzisa ngokugqithisileyo izihlunu zesithupha kwaye kubangela ukuba amandla okubamba abe buthathaka. Ngethamsanqa, unyango olukhoyo lunokunceda ukubuyisela ukuhamba kwisithupha kwaye luthintele ekutshixeleni.

isingqiniso

Acosta, Jonathan R, et al. "I-Anatomy, iGxala kunye neLungu eliPhezulu, i-Hand Adductor Pollicis." Ku: StatPearls [Internet]. Isiqithi saseTreasure (FL), StatPearls Publishing, 11 Aug. 2021, www.ncbi.nlm.nih.gov/books/NBK526059/.

UAkhtar, uSohail, et al. "Ulawulo kunye noThunyelo lwe-Trigger Finger / Thumb." I-BMJ (uPhando lwezonyango u-Ed.), BMJ Publishing Group Ltd., 2 July 2005, www.ncbi.nlm.nih.gov/pmc/articles/PMC558536/.

Nguyen, uJohn D, kunye noHieu Duong. "I-Anatomy, iGxala kunye neLungu eliPhezulu, iSihlunu esichasene nesandla sePollicis." Ku: StatPearls [Internet]. Isiqithi saseTreasure (FL), StatPearls Publishing, 11 Aug. 2021, www.ncbi.nlm.nih.gov/books/NBK546603/.

UPencle, uFabio J, kunye no-al. "Qalisa ubhontsi." Ku: StatPearls [Internet]. Isiqithi saseTreasure (FL), iStatPearls Publishing, 20 July 2022, www.ncbi.nlm.nih.gov/books/NBK441854/.

Travell, JG, et al. Iintlungu ze-Myofascial kunye nokungasebenzi kakuhle: I-Trigger Point Manual: Vol. 1:Isiqingatha esiPhezulu soMzimba. Williams & Wilkins, ngo-1999.

isikhanyeli