I-Hernia yezemidlalo: Ukwenzakala kwe-Muscle Core

I-hernia yezemidlalo kukwenzakala kwezicubu ezithambileyo ezenzeka ngaphakathi nakwindawo ejikeleze igroin. Luxinzelelo okanye ukukrazula naziphi na izihlunu ezithambileyo, iintambo, okanye iiligaments kumazantsi esisu okanye kwindawo yegroin. Ngokuqhelekileyo kwenzeka ngexesha lemidlalo yemidlalo efuna ukukhawuleza, ngokukhawuleza, utshintsho olukhawulezayo lwesikhokelo kunye / okanye ukunyakaza okukhulu. Ngaphandle kwegama layo, i-hernia yezemidlalo ayikho i-hernia ngendlela eqhelekileyo. Ixesha elifanelekileyo lemeko ngu i-pubalgia yezemidlalo. Nangona kunjalo, i-hernia yezemidlalo inokukhokelela kwi- i-hernia yesisu. Le meko inokwenzeka kumadoda nakwabasetyhini.

Anatomy

Izicubu ezithambileyo ezichaphazelekayo yi-hernias yezemidlalo ziyi-oblique muscles ezisezantsi kwesisu, kunye ne-tendon ezifaka i-oblique muscles kwi-pubic bone, zisengozini kakhulu.. Kwiimeko ezininzi, i-tendon ezifaka imisipha yethanga kwi-pubic bone okanye i-adductors nazo zoluliwe okanye zikrazukile.

Ukwenzakala Kwezihlunu Ezingundoqo

Ukwenzakala kwemisipha engundoqo kuxa iileya ezinzulu zodonga lwesisu zibuthathaka okanye zikrazuka. Oku kunokubangela ukucaphuka kwe-nerve kwaye kube negalelo kwiimpawu ezingathandekiyo ze-numbness okanye ukubetha. Ezona zizathu zixhaphakileyo ziquka:

• Ukutyala iinyawo kunye nokujika okanye ukujija ngamandla amakhulu.
• I-hip ephindaphindiweyo kunye ne-pelvic twisting movements.
• Ukungalingani phakathi kwe-hip kunye nezihlunu zesisu nako, ekuhambeni kwexesha, kubangela ukwenzakala ngokugqithisileyo.
• Ubuthathaka kwizisu kunye nokungalunganga okanye ukungabikho kwemeko kunokufaka isandla kukulimala.
• Imithambo yesisu esiqatha kunokubangela kunye / okanye kubangele ukulimala kwemisipha engundoqo.

iimpawu

• Iintlungu ezingapheliyo ze-groin luphawu oluphambili lokulimala kwemisipha engundoqo.
• Iintlungu ezibukhali ze-groin ngokuzibhokoxa.
• Ukushukuma okusisiseko njengokuhlala phantsi okanye ukuphuma ebhedini nako kunokubonisa iintlungu okanye ukungakhululeki.
• Intlungu kwelinye icala le-groin.
• Iintlungu okanye ubundindisholo obuphuma ngaphakathi kwethanga.
• Iintlungu xa ukhohlela okanye uthimla.
• Ubumnene okanye uxinzelelo kwindawo esezantsi yesisu.
• Iintlungu ziyancipha ngokuphumla.

Ukuqondwa

Ugqirha uya kuxubusha iimpawu kunye nendlela ukwenzakala okwenzeka ngayo. Baya kuqhuba uluhlu lweemvavanyo zamandla njenge-sit-up okanye i-trunk flex ngokuchasene nokumelana. Ukuba i-hernia yezemidlalo, kuya kubakho ukuthamba kwi-groin okanye ngaphezulu kwe-pubis, kunye nokungonwabi kunye neentlungu. Uvavanyo olongezelelweyo luya kubandakanya i-MRI, i-ultrasound, okanye i-X-rays ukulawula i-hip, i-back back, okanye ukulimala kwe-pelvis. ukuqinisekisa ukwenzakala kwemisipha engundoqo.

Unyango Ongafunywanga

Ukuphumla

• Kwii-7 zokuqala ukuya kwiintsuku ze-10 emva kokuphumla kokulimala kunye ne-icing indawo iyacetyiswa.
• Ukuba kukho i-bulge kwi-groin, ukunyanzeliswa okanye ukugoqa kunokunceda ukukhulula iimpawu.

Unyango lweChiropractic kunye noPhysical

• Kwiiveki ezimbini emva kokulimala, chiropractic uhlengahlengiso kunye nokuzivocavoca zonyango lomzimba kuyacetyiswa ukuba kuphuculwe amandla kunye nokuguquguquka kwimisipha yesisu nangaphakathi kwethanga.
• Kwiimeko ezininzi, i-4 kwiiveki ze-6 ze-chiropractic kunye nonyango lomzimba luya kusombulula nayiphi na intlungu kwaye ivumele umntu ukuba abuyele kumsebenzi wakhe okanye umsebenzi wezemidlalo.

Imithi echasayo

• Ugqirha unokucebisa amayeza achasene nokudumba angeyo-steroidal ukunciphisa ukudumba kunye neentlungu.
• Ukuba iimpawu ziyaqhubeka ixesha elide, ugqirha unokucebisa inaliti ye-cortisone.

Ukuba iintlungu ziyabuya xa kuphinda kuqaliswe imisebenzi yomzimba, utyando lunokufuneka ukulungisa izicubu ezikrazukileyo.

Utyando loPhando

Ukulungiswa kwezicubu ezikrazukileyo kunokwenziwa ngenkqubo evulekileyo yendabuko ebandakanya ukucholwa kwexesha elide okanye inkqubo ye-endoscopic encinci. Kwi-endoscope, ugqirha wenza izithintelo ezincinci kwaye usebenzisa ikhamera encinci, ebizwa ngokuba yi-endoscope, ukubona ngaphakathi kwesisu. Iziphumo zeenkqubo zemveli kunye ne-endoscopic ziyafana. Uninzi lwabantu banokubuyela kwimidlalo kunye nemisebenzi yomzimba kwi-6 ukuya kwiiveki ze-12 emva kokuhlinzwa.

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UkuBumbiswa kweBhunga

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I-Muscle Gain

Umntu ngamnye akanakulahlekelwa ngamanqatha ngonaphakade. Ngexesha elithile, kufuneka basebenze ekuphuhliseni izihlunu okanye basebenze ukugcina imisipha esele ikhona. Oku kufuna ukutya okwahlukileyo kunye nesicwangciso sokuzilolonga kunesinye esilungiselelwe ukulahleka kwamafutha. Endaweni yokufumana umzimba kwi-a imeko catabolic, umzimba kufuneka ube kwindawo urhulumente we-anabolic apho umzimba wakha izicubu endaweni yokuyiqhekeza. Ukwakha izihlunu, umzimba udinga izibonelelo ezithetha ukutya okufanelekileyo kunye neprotheyini eyaneleyo yokwandisa ubunzima bemisipha. Ukugcina intsalela yamandla emalunga ne-15% ifanelekile ekuphuhliseni izihlunu, okuthetha ukuba umntu osebenzayo one-BMR ye-1,600 yeekhalori angafuna ukutya kwakhe malunga ne-2,852 yeekhalori ngosuku.

Ucaphulo

Hoffman, Jay R et al. "Impembelelo yeprotheyini ethatha amandla, ukubunjwa komzimba kunye nokutshintsha kwe-endocrine kumandla / iimbaleki zamandla." Ijenali yoMbutho waMazwe ngaMazwe weSondlo seMidlalo vol. 3,2 12-8. 13 Dec. 2006, doi:10.1186/1550-2783-3-2-12

Larson, uChristopher M. "I-sports hernia/athletic pubalgia: uvavanyo kunye nolawulo." Ezemidlalo impilo vol. 6,2 (2014): 139-44. doi:10.1177/1941738114523557

Ubuhlwempu, uAlexander Et al. "Ukwenzakala okuPhambili kwezihlunu kwiimbaleki." Iingxelo zangoku zamayeza ezemidlalo vol. 17,2 (2018): 54-58. doi:10.1249/JSR.0000000000000453

Thorborg, uKristian et al. "Uvavanyo lweKlinikhi, i-Diagnostic Imaging, kunye noVavanyo lweembaleki ezineentlungu ze-Groin: Indlela esekelwe kubungqina boLawulo olusebenzayo." Ijenali yonyango lwamathambo kunye nonyango lomzimba vol. 48,4 (2018): 239-249. doi:10.2519/jospt.2018.7850

UTyler, uTimoti F et al. "Ukulimala kwe-groin kumayeza ezemidlalo." Ezemidlalo impilo vol. 2,3 (2010): 231-6. doi:10.1177/1941738110366820