Trendelenburg Gait

Ukuhamba kweTendelenburg kukuhamba okungaqhelekanga okubangelwa sisiphene okanye ubuthathaka umqweqwedisi hip. I-gluteal musculature yi-musculature ephambili equka i-gluteus medius kunye ne-gluteus minimus muscles. Ubuthathaka kule misipha kubangela ukugoba / ukuwa kwe-pelvis kwelinye icala ngelixa uhamba. Kuya kubakho ukunyakaza okubonakalayo kwicala ukuya kwicala ukuba i-glutes ibuthathaka kakhulu ukuxhasa ubunzima bomzimba xa uhamba. Kusenokubonakala ngathi umntu lowo uyaqhwalela okanye uphosa inyathelo. Abantu banokunciphisa imiphumo nge-orthotics yeenyawo, ukomelezwa okungundoqo, i-chiropractic, kunye nonyango lomzimba.

Iimbangela zeTrendelenburg Gait

Le ntshukumo idla ngokuphumela ekucinezeleni izihlunu ze-hip abductor ngexesha lomsebenzi womzimba. Ukuzivocavoca ngokukodwa kwi-glutes eyenziwe ngokungafanelekanga yimbangela eqhelekileyo. Xa ifom yokuzivocavoca engafanelekanga iyimbangela, ukuhamba okungaqhelekanga ngokuqhelekileyo kuhamba njengoko ukudumba kwemisipha kuphelelwa. I-gait inokuphinda ibonise emva kokuhlinzwa okupheleleyo kokutshintshwa kwe-hip, njengoko inkqubo idinga ukuchongwa kwi-gluteus medius muscle. Oku kunokuwenza buthathaka umsipha obangela ukuba uhambe ngendlela engaqhelekanga. Ubuthathaka kwezi zihlunu bunokubangelwa:

• Umonakalo we-nerve okanye ukungasebenzi kwimithambo-luvo ehamba nge-gluteal minimus kunye nezihlunu ze-medius.
• Osteoarthritis luhlobo lwe-arthritis eyenzeka xa i-cartilage edibeneyo iqala ukuguga.
• I-muscular dystrophy yimeko ebangela ukuba izihlunu kunye namathambo abe buthathaka ngokuhamba kwexesha.
• Poliomyelitis yimeko eyayanyaniswa nepoliyo eyenza buthathaka izihlunu.
• I-Cleidocranial dysostosis yimeko ekhoyo ukususela ekuzalweni enokubangela ukuba amathambo akho akhule ngendlela engafanelekanga.

iimpawu

Ukuhamba ngeenyawo kwenziwa ngamanqanaba amabini:

• Ukuguquka – Xa umlenze omnye usiya phambili.
• Isimo – Omnye umlenze uhlala uhleli kwaye ugcina ibhalansi.

Uphawu oluphambili lwe-Tendelenburg gait lubonakala xa umlenze omnye ujikela phambili kwaye i-hip yehla kwaye ihambela ngaphandle. Oku kungenxa yokuba i-hip abductor yomnye umlenze ibuthathaka kakhulu ukuxhasa ubunzima. Abantu ngabanye banokuncika ngasemva okanye kwicala kancinane xa behamba ukugcina ibhalansi, okanye banokuphakamisa unyawo phezulu emhlabeni ngesinyathelo ngasinye ukuphepha ukulahlekelwa yibhalansi okanye ukukhubeka njengoko i-pelvis iguquka ngokungafaniyo.

Ukuqondwa

Ukunyakaza okungaqhelekanga kwe-hip ngexesha lokujikeleza komlenze omnye okanye yomibini kunokunika ugqirha ubungqina obaneleyo bokuxilonga i-Tendelenburg gait. Ugqirha uya kujonga ukuhamba komntu ngaphambili nangasemva ukuze abone kakuhle. Ugqirha uya kusebenzisa kwakhona Uvavanyo lweTendelenburg ukuxilonga imeko. Ugqirha uya kuyalela umntu ukuba aphakamise umlenze omnye imizuzwana engama-30. Ukuba umntu akakwazi ukugcina ama-hips ahambelana nomhlaba ngelixa ephakamisa, oko kunokubonisa ukuhamba kweTendelenburg. I-X-rays ye-hip iya kusetyenziselwa ukuchonga naziphi na izizathu zobuthathaka kwi-gluteus minimus okanye i-medius..

Izinyango Zonyango

Iinketho zonyango ziya kuxhomekeka kubunzima kunye nesizathu sokuhamba.

Amachiza

• Ukuba i-gait ibangela intlungu, i-over-the-counter nonsteroidal anti-inflammatory NSAIDs, njenge-ibuprofen okanye i-acetaminophen, iya kunceda ukunciphisa iimpawu.
• Kwiimeko ezinzima, ugqirha unokumisela inaliti ye-cortisone ukunceda ukunciphisa intlungu.

IiOthotics zeenyawo

• Ugqirha unokuncoma ukusebenzisa i-orthotic yonyawo kwesinye okanye zombini izihlangu ukuhlawula ubuthathaka bemisipha ye-hip abductor.

IChiropractic, uNyango loMzimba, kunye noMthambo

I-Chiropractic kunye nonyango lomzimba lunokunceda ukulungelelanisa, ukulungelelanisa, kunye nokomeleza imisipha ukuze uphinde ulawule i-Tendelenburg gait. I-chiropractor okanye i-physical therapist iya kuhambisa imilenze kwiindlela ezahlukeneyo ukunceda amalunga ukuba ajwayele ukuhamba ngeendlela ezithile kunye nokwandisa amandla emisipha kunye nokuchasana. Ukuzivocavoca okunokuqinisa imisipha ye-hip abductor ibandakanya:

• Lala ngecala kwaye wandise umlenze ngqo ngaphandle.
• Lala phantsi kwaye uhambise umlenze omnye phezulu, phezu komnye, kwaye ubuyele kwelinye icala.
• Nyathela emacaleni uze ufike kwindawo ephakamileyo, uze ubuyele ezantsi kwakhona.

Thetha nogqirha okanye i-chiropractor ngaphambi kokuba uqalise nayiphi na inkqubo entsha yokuzivocavoca ukuze bancome ukuzivocavoca okuthe ngqo kunye nokufundisa kwifomu efanelekileyo.

Iingxaki

Ukuba ayiphathwanga, iimeko eziphakathi ukuya-mandundu ze-Trendelenburg gait zinokuba buthathaka, zikhokelela kwiingxaki ezinzima. Ezi ziquka:

• Pinched imithambo-luvo.
• ISciatica.
• Iintlungu, ukuqina, okanye ukugaya ezinqeni.
• Ukulahleka koluhlu lokuhamba kwi-hips kunye nokuhamba.
• Ukulahlekelwa kukukwazi ukuhamba, okunokufuna ukusetyenziswa kwe-walker okanye isitulo esinamavili.
• Ukukhubazeka komzimba ongezantsi.
• Osteonecrosis okanye ukufa kwethambo lethambo.

I-Tendelenburg gait iyanyangeka ngezihlangu ezikhethekileyo, i-orthotics, kunye nemithambo eyilelwe ukomeleza izihlunu ze-hip abductor. I-Chiropractic kunye nonyango lomzimba inokunceda ukunciphisa impembelelo yemeko kwimpilo yomzimba, ukukwazi ukuhamba, kunye nokunciphisa umngcipheko weengxaki.

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UkuBumbiswa kweBhunga

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Ukutya okusempilweni kwentliziyo

Citrus

• Iziqhamo eziqaqambileyo kunye ne-tangy zigcwele iivithamini kunye neekhompawundi zezityalo ezizodwa ezibizwa ngokuba yi-polyphenols ezinokunceda ukunciphisa uxinzelelo lwegazi ngokwemvelo.
• Nangona kunjalo, kubalulekile ukuba uqaphele ukuba i-grapefruit kunye nejusi ye-grapefruit inokusebenzisana namayeza athile amiselweyo.

Iimbotyi kunye neelentile

• Ukutya okuphezulu kwi-magnesium, i-potassium, kunye ne-fiber kunokunceda ukugcina uxinzelelo lwegazi olunempilo.
• Kulapho iimbotyi kunye neembotyi zingena khona, njengoko zinjalo iphezulu kwi-fiber, i-potassium, kunye ne-magnesium.
• Abantu abatshintshe iimbotyi kunye neelentile baqaphele uxinzelelo lwegazi olusezantsi, nokuba bafunyenwe benoxinzelelo lwegazi okanye hayi.

Imbewu yethanga

• Le mbewu igcwele potassium, magnesium, kunye arginine.
• I-Arginine yi-amino acid esetyenziselwa ukwenza i-nitric oxide, enceda imithambo yegazi ukuba iphumle kwaye ivuleke, ivumela uxinzelelo lwegazi oluphantsi.
• A isifundo bafumanisa ukuba abafazi be-postmenopausal abathatha i-3 grams yeoli yembewu yethanga imihla ngemihla kwiiveki ezintandathu babona ukwehla okukhulu kwi-systolic blood pressure.

Garlic

• Igalikhi iqulethe i-nitric oxide, ebonakaliswe ukukhulula imithambo yegazi.
• Ikonofile yeKyolic, ngokukodwa, ibonakaliswe ukunceda ukuqina kwe-arterial kwaye inokuphucula amanqanaba e-cholesterol.

Ucaphulo

Feyh, uAndrew et al. "Indima yeZiqendu zokuTya ekuModareyitheni uxinzelelo lwegazi." Ijenali yoNyango kunye novavanyo lwentliziyo vol. 7,4 (2016): 433. doi:10.4172/2155-9880.1000433

Ukuhamba ngokungaqhelekanga. (nd).stanfordmedicine25.stanford.edu/the25/gait.html

Gandbhir, Viraj N., et al. "Ukuhamba kweTrendelenburg." I-StatPearls, i-StatPearls yoPapasho, nge-19 ka-Agasti ka-2021.

Giangarra CE, et al. (2018). Ukuvuselelwa kwamathambo eklinikhi: Indlela yeqela.sciencedirect.com/science/book/9780323393706

Gilliss AC, et al. (2010). Ukusetyenziswa konyango lwe-osteopathic manipulative ukulawula i-Tendelenburg gait ebuyisiweyo ebangelwa kukungasebenzi kakuhle kwe-sacroiliac somatic.
jaoa.org/article.aspx?articleid=2093879

UMaricelli JW, et al. (2016). I-Trendelenburg-like gait, ukungazinzi kunye neepatheni zamanyathelo ezitshintshiweyo kwimodeli yemouse ye-lemb-girdle muscular dystrophy 2i. DOI:
10.1371 / journal.pone.0161984

Abasebenzi beKliniki yaseMayo. (2017). Osteoarthritis.mayoclinic.org/diseases-conditions/osteoarthritis/home/ovc-20198248

Michalopolous N, et al. (2016). Ujongo olulolwakho kunye nesikhokelo seengcebiso malunga nokungasebenzi kakuhle kwe-kinetic: I-Tendelenburg gait. I-DOI: 10.1145/3003733.3003786