Uva Intlungu Yesisu? Inokuba ngamanqaku okuqalisa

intshayelelo

Xa kuziwa kwi-torso ijikelezwe yimisipha eyahlukeneyo enceda ukukhusela izitho ezibalulekileyo ezibizwa ngokuba yinkqubo yamathumbu kunye nokunceda ngokuzinzisa umqolo womgogodla emzimbeni. Izihlunu zesisu zibalulekile ukugcina ukuma okuhle kunye nenkxaso engundoqo kubantu abaninzi. Xa imisebenzi eqhelekileyo okanye imiba engapheliyo iqala ukuchaphazela umzimba, izihlunu zesisu nazo zinokuchaphazeleka kwaye zingabangela intlungu ethunyelwe kuyo yonke indawo ye-torso. Xa izihlunu zesisu zijongene neentlungu ezigqithisiweyo, zinokukhula zibe ngamanqaku abangela ukuba afihle ezinye iimeko ezingapheliyo ezichaphazela i-torso kunye nommandla we-thoracolumbar. Inqaku lanamhlanje lijonga izihlunu zesisu kunye nomsebenzi wazo, ukuba iingongoma ze-trigger zichaphazela njani isisu, kunye nendlela unyango olwahlukeneyo lunceda ngayo ukulawula amanqaku e-trigger ahambelana neentlungu zesisu. Sithumela izigulane kubaboneleli abaqinisekisiweyo ababonelela ngeendlela ezahlukeneyo zonyango lweentlungu zesisu ezinxulumene ne-trigger points ukunceda abaninzi abahluphekayo kwiimpawu ezinjengeentlungu kunye nezihlunu zesisu kunye ne-torso. Sikhuthaza izigulane ngokuzithumela kubaboneleli bethu bezonyango abanxulumeneyo ngokusekelwe kuvavanyo lwabo xa kufanelekile. Sichaza ukuba imfundo sisisombululo esihle sokubuza ababoneleli bethu imibuzo enzulu nentsokothileyo ngokwesicelo sesigulana. UDkt Alex Jimenez, DC, uphawula olu lwazi njengenkonzo yemfundo kuphela. isikhanyeli

Izihlunu zesisu kunye nomsebenzi wazo

 

Ngaba unengxaki yokuhambahamba? Ngaba ukhe wajongana ne-spasms yemisipha ecaleni kwesisu sakho? Ngaba kuba buhlungu xa uthimla, uhleka, okanye ukhohlela rhoqo? Zonke ezi zenzo ezichaphazela izihlunu zesisu sakho zinokuthi zihambelane kunye namanqaku e-trigger kunye nemisipha kunye nokuphazamisa indawo ye-torso. I esiswini emzimbeni unezihlunu ezahlukeneyo, ilungu elintsonkothileyo elinemisebenzi emininzi enegalelo kumgangatho wobomi bomntu. Izihlunu zesisu zineenxalenye ezininzi ezibalulekileyo, ukusuka ekuxhaseni i-trunk, ukuvumela ukunyakaza okufana nokujika kunye nokujika, kunye nokubamba izitho kwi-gut system ngokulawula uxinzelelo lwangaphakathi lwesisu. Izihlunu zesisu zinezihlunu ezihlanu eziphambili ezisebenza kunye nemisipha yangasemva ukugcina ukuzinza komzimba. Bazi:

• IPyramidalis
• I-Rectus Abdominus
• Ii-Oblique zangaphandle
• Ii-Oblique zangaphakathi
• Transversus Abdominis

Uphando lutyhila ukuba izihlunu zesisu zinokunceda ukwandisa ukuzinza kwendawo ye-lumbar yomzimba ukusuka kwiikholomu ze-vertebral ngokunyamekela i-thoracolumbar fascia kunye nokuphakamisa uxinzelelo lwe-intra-abdominal. Oku kuvumela umsipha wesisu ukuba ugobe kwaye uguquke kwiindawo ezahlukeneyo ngaphandle kokuva intlungu. Nangona kunjalo, ukusetyenziswa ngokugqithiseleyo kwemisipha yesisu kunokukhokelela kwimibandela engeyomfuneko enokuchaphazela kuphela i-torso kodwa imisipha ejikelezayo ejikeleze i-torso.

 

Indlela Amanqaku e-Trigger achaphazela ngayo isisu

 

Incwadi ethi "Myofascial Pain and Dysfunction," nguDkt Janet Travell, MD, wathi iimpawu zesisu ziqhelekileyo kwaye zingabangela ukudideka kokuxilongwa kubantu abaninzi. Ekubeni izihlunu zesisu zingabonelela ngokuzinza kwisiqu somzimba xa umntu esebenzisa ngokugqithiseleyo izihlunu zesisu ngokusebenzisa imisebenzi eyahlukeneyo efana nokujija ngokukhawuleza kunye nobudlova kwinqanaba eliphakathi, ukuphakamisa izinto ezinzima kunye nombindi endaweni yemilenze, ukugqithisa iinkqubo zokuzilolonga, okanye ukuba ne ukukhwehlela okuqhubekayo, le misebenzi eyahlukeneyo inokukhokelela ekuphuhlisweni kwamanqaku e-trigger kwimisipha yesisu ebangela intlungu kwisisu kwaye ibangele intlungu echazwe kwi-back back. Uphando lutyhila into ebangela ukuba amanqaku apha ecaleni kwezihlunu zesisu aphuhliswe ngenxa yezinto eziya ziba mandundu njengokuhlala ixesha elide okanye ukuma kunokubangela ukuba izihlunu zesisu zibe zithambe kakhulu kwaye zibene-hyperirritable ecaleni kweebhendi zezihlunu zetaut. Xa amanqaku e-trigger achaphazela izihlunu zesisu, anokuvelisa intlungu echazwe kwisisu kunye ukuphazamiseka kwe-visceral (iziphumo ze-somato-visceral) ezisebenzisana ngokusondeleyo ukulinganisa izifo ze-visceral. Oku kubhekiselele kubantu abaninzi abacinga ukuba kukho into engalunganga kwinkqubo yabo yamathumbu, kodwa izihlunu zabo zesisu zibangela imiba emizimbeni yabo.

 

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Ukukhulula amanqaku e-Trigger kwiZihlunu zesisu-Ividiyo

Ngaba ukhe waneengxaki zesisu kwi-torso yakho? Ngaba kuba buhlungu xa uhleka, ukhohlela, okanye uthimla? Ngaba uziva ukuqina kwemisipha okanye ukuthamba ecaleni kwesisu sakho? Ukuba ubujongana nezi mpawu kubo bonke ubomi bakho, unokuba ufumana iintlungu zesisu ezinxulumene namanqaku okuqalisa kwi-torso yakho. Iintlungu zesisu ziqhelekile kubantu abaninzi kwaye zinokwahluka kwimiba yamathumbu okanye imiba yemisipha enokubangela izinto ezahlukeneyo kwi-torso. Imiba yesisu inokubangela ukudideka koogqirha xa befumanisa imiba echaphazela izigulane zabo. Xa izenzo ezahlukahlukeneyo zibangela intlungu kwizibilini, zinokuhlakulela intlungu ebhekisiweyo ehambelana namanqaku e-trigger. Amanqaku e-trigger akhula xa i-muscle isetyenziswe ngokugqithiseleyo, ukudala amaqhuqhuva amancinci kwi-taut band. Amanqaku e-trigger anokuba nzima ukuwakhomba kodwa ayanyangeka. Le vidiyo ingentla ibonisa apho iinqununu ze-trigger zifumaneka kwimisipha yesisu kunye nendlela yokuyikhulula kwizihlunu zesisu ezichaphazelekayo ukubonelela ngokukhululeka kunye nokunciphisa imiphumo yokulingisa yentlungu ye-visceral-somatic.

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Ukulawula Amanqaku e-Trigger aNxulunyaniswe neeNqaqambo zeSisu ngoNyango olwahlukeneyo

 

Xa iintlungu zesisu zichaphazela izihlunu, iimpawu zinokuvelisa amanqaku okubangela. Xa oku kusenzeka, kunokukhokelela ekubhidekeni kwaye kaninzi kuqondwe kakubi. Yonke into ayilahlekanga; kukho iindlela zokulawula amanqaku e-trigger ahambelana nentlungu yesisu ngokusebenzisa unyango oluhlukeneyo. Uphando lutyhila ukuba iindlela ezahlukeneyo zonyango ezifana nenaliti eyomileyo edityaniswe ne-palpations inokunciphisa amanqaku e-trigger ekubangeleni imiba yeentlungu ezigqithisiweyo kwisisu. Ezinye iindlela zokuthintela amanqaku e-trigger ekuphuhliseni kwixesha elizayo ngokuzivocavoca okunokunceda ukuqinisa izihlunu zesisu. Imithambo efana nokuphefumla kwesisu, ukuthambeka kwepelvic, ukuhlala phantsi, kunye nokuhleka kunokunceda ukomeleza izihlunu zesisu ezibuthathaka kwaye kuchaphazele umzimba ngokufanelekileyo. 

 

isiphelo

I-torso inemisipha eyahlukeneyo, eyaziwa ngokuba yimisipha yesisu, enceda ukukhusela amalungu abalulekileyo kwinkqubo yamathumbu, inceda ukuzinzisa ikholamu yomgogodla, kunye nokugcina ukuma kakuhle kwabantu abaninzi. Izinto ezahlukeneyo ezichaphazela izihlunu zesisu zingakhokelela ekuxilongeni okudidayo, njengoko kunokuba ngumba wangaphakathi okanye wangaphandle. Xa izihlunu zesisu zichaphazeleka ngokusetyenziswa ngokugqithiseleyo ngemisebenzi eyahlukeneyo, inokukhula ibe ngamanqaku okuqalisa kwimisipha, ebangela intlungu echazwe kwi-visceral kwi-torso kwaye ibangele ubuthathaka bemisipha. Ngethamsanqa unyango oluninzi lunokunceda ukunciphisa imiphumo yamanqaku e-trigger ahambelana nentlungu yesisu kwaye inokunceda ukuqinisa undoqo womzimba. Oku kuvumela umntu ukuba azive ngcono kwaye acinge ngento angayenziyo kwizisu zakhe.

 

Ucaphulo

Balyan, Rohit, et al. "I-Abdominal Wall ye-Myofascial Pain: Iseyinto engaziwayo yonyango." Ijenali yaseKorea yeentlungu, I-Korean Pain Society, Oct. 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5665744/.

eRajkannan, ePandurangan, naseRajagopalan Vijayaraghavan. "Inaliti eyomileyo kwintlungu engapheliyo yodonga lwesisu ekungaqinisekanga ngayo ngemvelaphi." Umbhalo we-Bodywork and Movement Therapies, ILayibrari yeSizwe yezeMithi yase-US, uJanuwari 2019, yentshutshiso.ncbi.nlm.nih.gov/30691770/.

Seeras, Kevin, et al. "I-Anatomy, isisu kunye ne-Pelvis, i-Anterolateral Abdominal Wall." Ku: StatPearls [Internet]. Isiqithi saseTreasure (FL), iStatPearls Publishing, 25 July 2022, www.ncbi.nlm.nih.gov/books/NBK525975/.

Tesh, KM, et al. "Izihlunu zesisu kunye nokuzinza kwe-Vertebral." Isihlwele, ILayibrari yeSizwe yezeMithi yase-US, ngoJuni 1987, yentshutshiso.ncbi.nlm.nih.gov/2957802/.

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

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