Intlungu yeThanga kunye neNgxaki eBangwa Ngamanqaku e-Trigger

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Icandelo elingasemva lesiqingatha esisezantsi somzimba liqukethe i ikhefu, ephantsi, i-pelvis, imilenze kunye neenyawo, ezibonelela ngokuzinza emzimbeni ngelixa zixhasa ubunzima bomzimba ongasentla. Izihlunu ezahlukeneyo zijikeleze iziphelo ezisezantsi kwaye zenze iintshukumo ezahlukeneyo zokushukuma kunye nokusebenza ngokunikezela kunye nokurhoxa xa imilenze nezinqe ziyashukuma. Izihlunu ezahlukahlukeneyo ezibonelela ngokuzinza ezinqeni kunye nemilenze yimisipha ye-iliopsoas. Xa ubudala obuqhelekileyo okanye iziganeko zichaphazela iziphelo zomzimba ezisezantsi, zinokuhambelana nokuphuhliswa kweentlungu ze-trigger point. Inqaku lanamhlanje lihlola izihlunu ze-iliopsoas, indlela ekubhekiselwa ngayo iintlungu ze-trigger ezichaphazela amathanga kunye nomqolo ophantsi, kunye nokunyanga iintlungu ze-trigger point kumathanga kunye nomqolo ophantsi. Sithumela izigulane kubaboneleli abaqinisekisiweyo ababandakanya iindlela ezininzi zonyango kwiintlungu ezisezantsi kunye neentlungu zethanga ezinxulumene ne-trigger points ukunceda abantu abajongene neempawu zentlungu kunye ne-iliopsoas muscle kumqolo ophantsi, ethangeni, nakufuphi ne-pelvis. Siyazikhuthaza kwaye siyazixabisa izigulana ngokuzithumela kubaboneleli bethu bezonyango abanxulumeneyo ngokusekelwe kuxilongo lwabo, ngakumbi xa kufanelekile. Siyaqonda ukuba imfundo sisisombululo esihle kakhulu sokubuza ababoneleli bethu imibuzo entsonkothileyo ngokwesicelo sesigulana. UDkt Jimenez, DC, usebenzisa olu lwazi njengenkonzo yemfundo kuphela. isikhanyeli

Yintoni i-Iliopsoas Muscle?

Ngaba ukhe wajongana ne-cramps ye-muscle emathangeni akho? Kuthekani ngokuziva ukuqina kwezihlunu kumqolo wakho ongezantsi xa uzolula? Okanye ngaba uziva ukuba izihlunu zakho zethanga ziba nzima emva kokuzilolonga? Ininzi yale miba ihambelana ne-iliopsoas muscle esetyenziswa ngokugqithiseleyo kwaye iphuhlisa amanqaku e-trigger, ngaloo ndlela ichaphazela amathanga kunye nomqolo ophantsi. Kwiindawo ezisezantsi zomzimba, izihlunu ezinceda ukubonelela ngokuzinza kwi-hips yimisipha ye-iliopsoas. Izihlunu ze iliopsoas zibandakanya izihlunu ezintathu: i-iliacus, i-psoas enkulu, kunye ne-psoas minor, enokusebenza ngokuzimeleyo okanye njengeyunithi. Xa usebenza ngabanye, i-iliacus muscle inikeza ukuzinza kwi-pelvis, i-psoas enkulu ye-muscle inceda ukuzinzisa i-lumbar spine xa umntu ehleli, kwaye i-psoas minor inceda ngokujikeleza kwe-trunk kunye nokwelula i-fascia ye-iliac. Njengeyunithi, nangona kunjalo, ezi zihlunu zisebenza kunye ukuze zibe yi-flexible ephambili yamathanga kwaye ivumele i-hip flexion. 

Uphando lutyhila ukuba i-iliopsoas liqela lezihlunu ezinzulu ezidibanisa i-anatomically umqolo kumalungu asezantsi omzimba. Izihlunu ze-iliopsoas zinomsebenzi obalulekileyo kumalungu omzimba asezantsi njenge-hip flexors eziphambili kwimisebenzi yemihla ngemihla, ngakumbi abo bakwimidlalo. Nangona kunjalo, ukukhubazeka okuninzi kunye ne-pathologies echaphazela i-iliopsoas, ebangela ukulinganiselwa okukhulu kunye nemingeni kuba iimpawu zifihla intlungu, ezibangela ukuba abantu bacinge ukuba bajongene neentlungu ezisezantsi kunye ne-hip. 

I-Referred Trigger Pain Emathanga kunye ne-Low Back

Ekubeni izihlunu ze-iliopsoas zibonelela ngokuguquguquka kwe-hip kunye nethanga kumzimba ophantsi, ukukhubazeka okuninzi kunye ne-pathologies inokuchaphazela eli qela le-muscle, libangele imiba emathangeni, emathangeni, kunye nakwi-back back. Oku kuphazamiseka kunokubangela ukuba izihlunu ze-iliopsoas zisetyenziswe ngokugqithiseleyo kwaye zolule kakhulu, ngaloo ndlela zinokuthi ziphuhlise i-trigger points ecaleni kwemisipha ye-iliopsoas, ebangela ukuba iintlungu ezibhekisiweyo emathangeni kunye nomqolo ophantsi. Uphando lutyhila ukuba xa i-iliopsoas muscle iba nokusetyenziswa ngokugqithiseleyo okanye imiba ephazamisayo iyayichaphazela, inokukhokelela kwiingxaki kwi-hip flexion kunye nokukhubazeka kwiindawo ezisezantsi. Kwi-"Myofascial Pain and Disorders: The Trigger Point Manual," ebhalwe nguDkt. Janet G. Travell, MD, xa iinqununu ze-trigger ziqala ukuchaphazela imisipha ye-iliopsoas, yaziwa ngokuba yi "Hidden Prankster" njengezinto eziqhelekileyo ezifana nokungahambi kakuhle. ukulayisha ngokugqithiseleyo umqolo obangela ukuba amanqaku aqalise ukuba ayenze kuphela kwimisipha ye-iliopsoas kodwa i-hamstrings, i-gluteal, i-thoracolumbar paraspinal, kunye nemisipha yomlomo wesibeleko yangasemva. Amanqaku e-Trigger anokulinganisa ezinye iimeko ezingapheliyo ezibangela intlungu ebhekisiweyo kwiindawo ezahlukeneyo zomzimba. I-Trigger point pain kwi iziopsoas umsipha kunokukhokelela kwintlungu yomqolo, intlungu ye-groin, i-hips enqakrazayo, kunye nokuma kunzima kumntu ukuba ayiphathwa ngokukhawuleza.

Trigger Point Therapy: Iliopsoas Muscle-Ividiyo

Ekubeni izihlunu ze-iliopsoas zibonelela ngokuguquguquka kwe-hip kunye nethanga kumzimba ophantsi, ukukhubazeka okuninzi kunye ne-pathologies inokuchaphazela eli qela le-muscle, libangele imiba emathangeni, emathangeni, kunye nakwi-back back. Oku kuphazamiseka kunokubangela ukuba izihlunu ze-iliopsoas zisetyenziswe ngokugqithiseleyo kwaye zolule kakhulu, ngaloo ndlela zinokuthi ziphuhlise i-trigger points ecaleni kwemisipha ye-iliopsoas, ebangela ukuba iintlungu ezibhekisiweyo emathangeni nasemqolo. Uphando lutyhila ukuba xa i-iliopsoas muscle iba nokusetyenziswa ngokugqithiseleyo okanye imiba ephazamisayo iyayichaphazela, inokukhokelela kwiingxaki kwi-hip flexion kunye nokukhubazeka kwiindawo ezisezantsi. Kwi-"Myofascial Pain and Disorders: The Trigger Point Manual," ebhalwe nguDkt. Janet G. Travell, MD, xa iinqununu ze-trigger ziqala ukuchaphazela imisipha ye-iliopsoas, yaziwa ngokuba yi "Hidden Prankster" njengezinto eziqhelekileyo ezifana nokungahambi kakuhle. ukulayisha ngokugqithiseleyo umqolo obangela ukuba amanqaku aqalise ukuba ayenze kuphela kwimisipha ye-iliopsoas kodwa i-hamstrings, i-gluteal, i-thoracolumbar paraspinal, kunye nemisipha yomlomo wesibeleko yangasemva. Amanqaku e-Trigger anokulinganisa ezinye iimeko ezingapheliyo ezibangela intlungu ebhekisiweyo kwiindawo ezahlukeneyo zomzimba. I-Trigger point pain kwi iziopsoas umsipha kunokukhokelela kwintlungu yomqolo, intlungu ye-groin, i-hips enqakrazayo, kunye nokuma kunzima kumntu ukuba ayiphathwa ngokukhawuleza.

Ukunyanga iintlungu ze-Trigger Point Emathangeni kunye ne-Low Back

Xa i-trigger point pain iqala ukubangela imiba emathangeni kunye nomqolo ophantsi, izihlunu ze-iliopsoas ziya kubandezeleka ngenxa ye-muscle spasms, ukuqina, kunye nobunzima bokuma. Oku kubangelwa kukungena kwemithambo-luvo evela kwizihlunu ze-iliopsoas ezimbi ezibangelwa ngamanqaku e-trigger. Nangona kunjalo, unyango olwahlukeneyo lunokulawula iintlungu ze-trigger point emathangeni, kunye nomqolo ophantsi ngokusebenzisa iindlela ezininzi ezisetyenziswa ziingcali zeentlungu zinokunceda ukukhulula iimpawu zentlungu kwi-iliopsoas muscle kunye nokulawula iintlungu ze-trigger point. Uphando lutyhila ukuba unyango oludityanisiweyo olufana nokuguqulwa kwezicubu ezithambileyo kunye ne-trigger point therapy lunokunceda ukukhulula amaqhuqhuva amancinane kwisihlunu esichaphazelekayo kunye nokunciphisa iimpawu zokuphinda zenzeke emzimbeni. Olunye unyango, njengokulungisa ukuma komntu, ukwenza umthambo, kunye nokuzolula, kunokunceda ukwandisa izihlunu ze-iliopsoas, zolule kwaye zomeleze izihlunu ezijikelezileyo, kwaye zithintele iimpawu ezinjengeentlungu ezichaphazela ithanga kunye nezihlunu ezisezantsi kwakhona. Ezi zonyango ezahlukeneyo zinokuphucula ukuhamba kwe-hip kwiindawo ezisezantsi zomzimba. 

isiphelo

Kwiindawo ezisezantsi zomzimba, i-iliopsoas liqela lezihlunu ezinzulu ezibonelela ngokuzinza kwi-lumbar spine kunye nokuvumela ukuguqa kwe-hip kunye nethanga. La maqela emisipha enzulu anokusebenza ngokuzimeleyo okanye kunye ukuze umntu ahlale, ame kwaye ajikeleze ngemisebenzi yomzimba; nangona kunjalo, xa izihlunu ze-iliopsoas zisetyenziswe ngokugqithiseleyo okanye zihlupheke kwisiganeko esibuhlungu, ziyakwazi ukuphuhlisa amanqaku abangela ukuba kubangele imiba yokuhamba emathangeni, ezinqeni, kunye nomqolo ophantsi. Nangona iindawo ze-trigger kunzima ukuzixilonga, ziyanyangeka ngeendlela ezahlukeneyo zonyango. Unyango olwahlukeneyo, olufana ne-massage ye-tissue ethambileyo, unyango lwe-trigger point, ukusebenzisa amandla, okanye ukunweba imisipha ye-iliopsoas, inokukhulula amanqaku e-trigger ukusuka kwindawo echaphazelekayo yomzimba kwaye incede ukubuyisela umsebenzi wokuhamba kwi-hips, amathanga, kunye nomqolo ophantsi.

Ucaphulo

Bordoni, Bruno, kunye noMateyu Varacallo. "I-Anatomy, iBony Pelvis kunye neLungu elisezantsi, i-Iliopsoas Muscle." Ku: StatPearls [Internet]. Isiqithi saseTreasure (FL), iStatPearls Publishing, 2 Epreli 2022, www.ncbi.nlm.nih.gov/books/NBK531508/.

Dydyk, Alexander M, kunye no-Amit Sapra. "Psoas Syndrome." Ku: StatPearls [Internet]. Isiqithi saseTreasure (FL), iStatPearls Publishing, 12 June 2022, www.ncbi.nlm.nih.gov/books/NBK551701/.

Kameda, Masahiro, kunye Hideyuki Tanimae. "Ukusebenza kokukhutshwa kweTissue eSebenzayo kunye ne-Trigger Point Block yokuxilongwa kunye noNyango lwe-Low Back and Leg Pain ye-Gluteus Medius Imvelaphi: Ingxelo yeemeko ezili-115." Ijenali yoNyango lwezeMpilo, Umbutho weNzululwazi yoNyango lwePhysical, ngoFebruwari 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6382483/.

ULifshitz, uLiran, et al. "I-Iliopsoas i-Muscle efihliweyo: i-Anatomy, i-Diagnostic, kunye noNyango." IiNgxelo zeMithi zeMidlalo zangoku, ILayibrari yeSizwe yezeMithi yase-US, ngoJuni 2020, yentshutshiso.ncbi.nlm.nih.gov/32516195/.

Travell, JG, et al. Iintlungu ze-Myofascial kunye nokungasebenzi kakuhle: I-Trigger Point Manual: Vol. 2:Iindawo ezisezantsi. Williams & Wilkins, ngo-1999.

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