Ukuba Neentlungu zeKnee ezingathandabuzekiyo? Inokuba ngamanqaku okuqalisa

intshayelelo

Njengomnye we-stabilizers yomzimba, amadolo abekwe phakathi kwamathanga kunye imilenze, ukuvumela ukuguquka kunye nokwandiswa. Amadolo anceda isinqe ngokuxhasa ubunzima bomzimba ongasentla kunye nokuvumela imilenze ukuba ihambe ukusuka kwenye indawo ukuya kwenye ngaphandle kokuziva zintlungu. Idolo linemisipha eyahlukeneyo kunye nemigqa ejikeleze ngamadolo, ukuvumela umlenze ukuba ugobe xa usebenza. Enye yemisipha ifumaneka emva kwedolo, eyaziwa ngokuba yi-popliteus, kwaye isekela imilenze. Nangona kunjalo, ukulimala okuncinci okanye izenzo zinokuchaphazela amadolo abangela ukuba umdibaniso ube "kwindawo yokukhiya" kwaye uphuhlise i-myofascial trigger points ezinokubangela izihlunu zesistim emadolweni. Inqaku lanamhlanje ligxile kwi-popliteus muscle, indlela iintlungu zedolo ezihambelana ngayo namanqaku e-trigger, kunye nendlela yokulawula intlungu yamadolo ngokusebenzisa unyango oluhlukeneyo. Sithumela izigulane kubaboneleli abaqinisekisiweyo ababandakanya iindlela ezininzi kwiindawo ezisezantsi zomzimba, ezifana nonyango lweentlungu zedolo ezihambelana ne-myofascial trigger points, ukunceda abantu abaninzi abajongene neempawu zentlungu kunye nemisipha ye-popliteus. Sikhuthaza kwaye siyasixabisa isigulana ngasinye ngokusithumela kubaboneleli bezonyango abanxulumeneyo ngokusekelwe kuxilongo lwaso, ngakumbi xa kufanelekile. Siyaqonda ukuba imfundo ngowona mthombo ubalaseleyo wokubuza ababoneleli bethu imibuzo entsonkothileyo ngokwesicelo sesigulana. UDkt Alex Jimenez, DC, usebenzisa le ngcaciso kuphela njengenkonzo yemfundo. isikhanyeli

Yintoni i-Popliteus Muscle?

Ngaba ujongene neentlungu emva kwamadolo akho? Ngaba unemiba yokugoba amadolo akho xa unyuka okanye uhla kwizinyuko? Okanye ngaba izihlunu zakho zamadolo angasemva ziqala ukushukuma ngokungalawulekiyo, nto leyo ebangela ukuqhawuka kwezihlunu? Imiba emininzi yamadolo ihambelana nezinto ezahlukahlukeneyo ezinokuchaphazela i-popliteus muscle kunye nokuphuhlisa amaphuzu. I popliteus sisihlunu esincinci esinomsebenzi obaluleke kakhulu njengoko sisihlunu esikhulu sokuzinzisa emadolweni. I-popliteus muscle ivela kwicala elisecaleni le-femur kwaye lizifaka kwi-posterior surface ye-tibia. Ezinye iziqhotyoshelo ziphakathi kwe-popliteus kunye ne-lateral meniscus, evumela ukuba amadolo aqhube kwaye anike i-flexion ngaphandle kwentlungu kunye nokubanjwa. Izifundo ezongezelelweyo zityhila ukuba xa umntu esebenzisa, umsebenzi osisiseko we-popliteus unceda ukuzisa nokugcina ukujikeleza kwangaphakathi kwe-tibia kwi-femur. I popliteus ikwanceda ukuthintela unyawo ekujikelezeni kwangaphandle kwaye ivumela umntu ukuba eme ngokuchanekileyo. Nangona kunjalo, ukulimala emadolweni kunokugqithisa i-popliteus muscle kwaye kubangele imiba yokuhamba kwi-knee flexion.

 

Iintlungu zeKnee eziNxulunyaniswe namanqaku e-Trigger

Xa ujongene neentlungu zamadolo, kunokubakho ukuphazamiseka okudibeneyo okufana ne-osteoarthritis okanye imeko ye-musculoskeletal njengentlungu ye-sciatica ehambelana nedolo. Le miba inokuthi ibe ngenxa yezinto eziqhelekileyo ezifana nokuhlala phantsi okanye ukugoba ukuphakamisa izinto ezinzima ezibangela ukuba amadolo adibanise. Nangona kunjalo, xa i-popliteus muscle sele isetyenziswe ngokuqhubekayo ukusuka ekugobeni, inokwenza ama-nodules amancinci aziwa ngokuba ngamanqaku okubangela ukuba abangele ubuhlungu bedolo. Uphando lutyhila ezo zibangela amanqaku kwiimisipha ezijikeleze idolo zihlala zinganakwa ngexesha lokuxilongwa kweklinikhi. Amanqaku e-Trigger abangela intlungu ebhekiselele kwimisipha ejikelezileyo, ehamba kunye neemvakalelo ezahlukeneyo ezinjengobunzima, ukubetha, kunye ne-hypersensitivity kwi-popliteus muscle. Kwi-"Myofascial Pain and Dysfunction," ebhalwe nguDkt Travell, MD yathi enye yezikhalazo eziphambili ukuba izigulane ezininzi zihlala zithetha noogqirha bazo ngeentlungu ezizivayo emva kwamadolo xa zihleli. Le ncwadi iphinda ichaze xa izenzo eziqhelekileyo ezifana nokugijima okanye ukujija zigqithise i-popliteus muscle, inokubangela ukuxhwaleka okanye ukunyanzeliswa kwe-popliteus muscle kunye nokukrazula i-posterior cruciate ligament emadolweni.

 

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Ungawafumana njani amanqaku e-Trigger kwiPopliteus-Ividiyo

Ngaba ukhe waba nemiba yamadolo eyenza ukuhamba kube nzima ixesha elide? Ngaba uziva ngathi amadolo akho avaleleke rhoqo? Kuthekani ngokuziva ungazinzi xa umile okanye uphethe izinto? Le miba echaphazela amadolo idibaniswa namanqaku e-trigger kunye nemisipha ye-popliteus. I-popliteus muscle incinci, ibekwe ngasemva kwamadolo, kwaye incedisa ukuguqa ngamadolo. Xa i-popliteus muscle isetyenziswe ngokugqithiseleyo, inokubangela ukuba amanqaku aqalise kwaye abangele imiba yamadolo. Uphando lutyhila ukuba imiba eyahlukeneyo, njengokulimala kwe-tendon, inxulunyaniswa noxinzelelo oluphindaphindiweyo lomatshini olunokubangela izilonda eziguqayo zamadolo. Naluphi na ukuxhatshazwa okanye ukunyanzeliswa kwemisipha kunokuchaphazela umsebenzi wamadolo wokuguqa kunye nokuguqa ngaphandle kweentlungu zamanqaku okubangela ukuba enze kunye nemisipha ye-popliteus. Ividiyo engentla igxininise kwi-popliteus muscle, apho iinqununu ze-trigger zikhoyo, kwaye apho iipatheni zentlungu ezibhekiswayo zifumaneka emadolweni. Kwicala eliqaqambileyo, yonke into ayilahlekanga, njengoko unyango oluhlukeneyo lunika iindlela zokulawula iintlungu zedolo ezinxulumene namanqaku okubangela.

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Ukulawula iintlungu zedolo ngokuNyango ezahlukeneyo

 

Xa kufikwa kwiintlungu zamadolo, abantu abaninzi baya kusebenzisa i-ice okanye i-compress yobushushu ukuvumela izihlunu ezijikelezileyo ukuba ziphumle ngelixa behlisa iintlungu kunye nokudumba. Abanye abantu basebenzisa amayeza afumaneka ngaphandle kwekhawuntara ukuphelisa iintlungu kangangeeyure ezimbalwa. Ngelixa ezi zisebenza ekulawuleni iintlungu zamadolo, unyango olwahlukeneyo lujolise kumanqaku e-trigger kwaye lunokunceda ukuphucula ukuhamba kwe-flexion ubuyele emadolweni. Uphando lutyhila eso sihlunu solulela kwi-popliteus muscle negalelo kwingqondo yesikhundla sokubambisana ukuya kuzinza kunye nokusebenza kwamadolo. Ukolula izihlunu ze-popliteus kunokunciphisa intlungu ngasemva kwedolo ngelixa ukhulisa imicu ye-muscle ukulawula iingongoma ezibangela ukuvela kwakhona. Olunye unyango abantu abanokuthi balwenze ukuphepha amanqaku okubangela ukuba abuyele kukuphepha ukuhamba okanye ukubaleka kwindawo ethambekileyo esecaleni ukuthintela amadolo ukuba angatshixa. Ukubandakanya ezi zonyango ukukhusela imiba yamadolo kunye nokuvumela idolo ukuba lisebenze ngokufanelekileyo. 

 

isiphelo

Amadolo angenye ye-stabilizers emzimbeni okhoyo phakathi kwamathanga kunye nemilenze, evumela ukuguquka kunye nokwandiswa. Njengoko i-muscle encinci ehlala ngasemva kwamadolo, i-popliteus iqinisa amadolo kwaye ibenze bakwazi ukuhamba ngaphandle kwentlungu. Nangona kunjalo, xa i-popliteus muscle iba yinto egqithisiweyo kwaye isetyenziswe ngokugqithiseleyo, inokuphuhlisa amanqaku e-trigger kwi-popliteus ebiza intlungu ebhekiswe kwiimisipha ezijikelezayo kwaye ibangele ukuba amadolo avale. Ukuza kuthi ga ngoku, kubangela ukuba umzimba ungazinzi kwaye ulingise imiba yeentlungu zedolo. Ngethamsanqa, amanqaku e-trigger ayanyangeka ngonyango olwahlukeneyo olunceda ukuthomalalisa iintlungu kunye nokunciphisa amanqaku okuqalisa ukubuya. Xa ezi zonyango zisetyenziselwa emadolweni, izihlunu ezijikelezileyo ziphinda ziphinde zihambe ngokuguquguqukayo kumzimba ophantsi.

 

Ucaphulo

IsiNgesi, S, kunye noD Perret. “Intlungu Ngasemva Kwedolo.” Uphononongo lwangoku kwiMusculoskeletal Medicine, iThala leencwadi leSizwe laseMelika, nge-12 kaJuni 2010, www.ncbi.nlm.nih.gov/pmc/articles/PMC2941578/.

Ghaffrinejad, Farahnaz, et al. "Impembelelo yokuTyulwa okuNgqongileyo kweZihlunu ezijikeleze idolo kwiSense yeNdawo edibeneyo yedolo." IBritish Journal of Medicine yeMidlalo, Ilayibrari yeSizwe yaseMelika yoNyango, Okthobha 2007, www.ncbi.nlm.nih.gov/pmc/articles/PMC2465159/.

UHyland, uScott, kunye noMateyu Varacallo. "I-Anatomy, iBony Pelvis kunye neLungu elisezantsi, i-Popliteus Muscle." Ku: StatPearls [Internet]. Isiqithi saseTreasure (FL), iStatPearls Publishing, 6 June 2022, www.ncbi.nlm.nih.gov/books/NBK526084/.

UMann, RA, kunye noJL Hagy. "Imisipha yePopliteus." Ijenali yoTyando lwamathambo kunye noManyano. Umqulu waseMelika, Ilayibrari yeSizwe yaseMelika yoNyango, Okthobha 1977, yentshutshiso.ncbi.nlm.nih.gov/908724/.

Sánchez Romero, Eleuterio A, et al. "Ukuxhaphaka kwamanqaku e-Myofascial Trigger Points kwizigulane ezine-Osteoarthritis ye-Knee Ebuhlungu: Uhlalutyo Lwesibini." Ijenali yamayeza onyango, Ilayibrari yeSizwe yezeMithi yase-US, nge-7 ka-Agasti 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7464556/.

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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