Indlela yokuqaphela kunye nokuNyanga i-Groin Strain Injury

Xa ukwenzakala kwe-groin strain kwenzeka, ngaba ukwazi iimpawu kunceda ukuxilongwa, unyango kunye namaxesha okubuyisela?

IGroin Strain Ukwenzakala

I-groin strain kukwenzakala kwisihlunu sangaphakathi sethanga. A ukutsala igroin luhlobo lwe-muscle strain echaphazela iqela le-adductor muscle (imisipha inceda ukukhupha imilenze). (UParisa Sedaghati, et al., 2013) Ukulimala kubangelwa xa i-muscle isoluliwe ngaphaya koluhlu oluqhelekileyo lokunyakaza, ukudala iinyembezi ezingaphezulu. Iintlobo ezinzima zinokukrazula isihlunu kubini. (UParisa Sedaghati, et al., 2013)

• Ukutsalwa kwemisipha ye-groin kubangela intlungu kunye nokuthantamisa okuba nzima ngakumbi xa udibanisa imilenze kunye.
• Kusenokubakho ukudumba okanye ukugruzuka kwi-groin okanye ngaphakathi kwethanga.
• Ukutsalwa kwe-groin okungantsokothanga kuthatha iiveki ezine ukuya kwezintandathu ukuze kuphole ngonyango olululo. (UAndreas Serner, et al., 2020)

iimpawu

Ukutsalwa kwe-groin kunokuba buhlungu, ukuphazamisa ukuhamba, ukuhamba ngezitebhisi, kunye / okanye ukuqhuba imoto. Ukongeza kwintlungu, ezinye iimpawu ezijikeleze indawo yokulimala ziquka: (UParisa Sedaghati et al., 2013)

• Isandi esiphumayo okanye ukuvaleka xa ukwenzakala.
• Ukunyuka kweentlungu xa udonsa imilenze kunye.
• Ubomvu
• Ukuvuvukala
• Ukugruzuka kwegroin okanye ithanga langaphakathi.

Ukutsalwa kweGroin kudidiyelwe ngobungqongqo kunye nokuba kukuchaphazela kangakanani ukuhamba:

Bakala 1

• Ukungakhululeki okuphakathi kodwa akwanelanga ukunciphisa imisebenzi.

Bakala 2

• Ukungakhululeki okuphakathi kunye nokudumba okanye ukugruzuka okuthintela ukubaleka kunye/okanye ukutsiba.

Bakala 3

• Ukulimala okukhulu kunye nokudumba okubonakalayo kunye nokugruzuka kunokubangela intlungu ngelixa uhamba kunye ne-muscle spasms.

Iimpawu zobunzima obukhulu be-groin

• Ubunzima bokuhamba
• Ubuhlungu be-groin ngelixa uhleli okanye uphumle
• Iintlungu zegroin ebusuku
• Umboneleli wezempilo kufuneka abone ukutsalwa kwe-groin enzima ngenxa yokuba i-muscle inokuthi iqhume okanye ibe sekupheleni kokuqhawula.
• Kwiimeko ezinzima, utyando luyimfuneko ukuncamathisela iziphelo ezikrazukileyo.

Ukutsalwa kwe-groin ngamanye amaxesha ihamba kunye nokuphulwa koxinzelelo lwe-pubis / i-pelvic ejongene namathambo angaphambili, enokwandisa kakhulu ixesha lokuphilisa kunye nokubuyisela. (UParisa Sedaghati et al., 2013)

Izizathu

I-Groin pulls idla ngokufunyanwa ngabadlali kunye nabantu abadlala imidlalo apho kufuneka bayeke kwaye batshintshe izikhokelo ngokukhawuleza, bebeka uxinzelelo olugqithiseleyo kwimisipha ye-adductor. (UParisa Sedaghati et al., 2013) Umngcipheko uyanda kubantu abathi: (T. Sean Lynch et al., 2017)

• Yiba nezihlunu ze-hip abductor ezibuthathaka.
• Abekho kwimeko yomzimba ngokwaneleyo.
• Yiba nokulimala kwangaphambili kwe-groin okanye i-hip.
• Utsalo lunokuthi lwenzeke ngokuwa okanye kwimisebenzi egqithisileyo ngaphandle kokulungiswa okufanelekileyo.

Ukuqondwa

Umboneleli wezempilo uya kwenza uphando olucokisekileyo ukuqinisekisa ukuxilongwa kunye nokubonakalisa ubunzima. Oku kubandakanya: (Juan C. Suarez et al., 2013)

Uphononongo lweMbali yezoNyango

• Oku kubandakanya nakuphi na ukulimala kwangaphambili kunye neenkcukacha malunga nokuba iimpawu ziqale phi kwaye nini.

Uvavanyo lweMvelo

• Oku kubandakanya ukumbambazela - ukuchukumisa kancinci kunye nokucinezela ummandla we-groin kunye nokuxhaphaza umlenze ukuze uqonde ngcono apho kwaye kukhulu kangakanani ukwenzakala.

UkuCatshulwa

• Ultrasound okanye X-reyi.
• Ukuba i-muscle rupture okanye i-fracture ikrokrelwa, i-MRI scan inokuyalelwa ukuba ibone ukulimala kwezicubu ezithambileyo kunye nokuphulwa koxinzelelo olungcono.

Ukuxilongwa ngokungafani

Iimeko ezithile zinokuxelisa ukutsalwa kwe-groin kwaye zifuna unyango olwahlukileyo. Ezi ziquka: (Juan C. Suarez, et al., 2013)

Ezemidlalo Hernia

• Olu hlobo lwe inguinal i-hernia kwenzeka kunye nokulimala kwezemidlalo kunye nomsebenzi.
• Ibangela ukuba inxalenye yamathumbu iphumele kwisihlunu esibuthathaka kwi-groin.

Iqhwa le-Labral Tear

• Oku kukukrazula kwindandatho ye-cartilage ye-labrum ngaphandle komphetho wesokhethi ye-hip joint.

I-O Oeohlo lwamathambo

• Le yindlela yokunxiba kunye nokukrazula kwe-arthritis enokuthi ibonise iimpawu zentlungu ye-groin.

Osteitis Pubis

• Oku kukuvuvukala kwe-pubic joint kunye nezakhiwo ezijikelezileyo, ngokuqhelekileyo kubangelwa ukusetyenziswa ngokugqithiseleyo kwemisipha ye-hip kunye nomlenze.

I-Groin Pain ebhekiswe

• Le ntlungu yemithambo-luvo iqala kumqolo ongezantsi, rhoqo ngenxa yemithambo-luvo epinkiweyo, kodwa ivakala kwigroin.

impatho

Ukuqala unyango lulondoloza kwaye lubandakanya ukuphumla, ukusetyenziswa komkhenkce, unyango lomzimba, kunye nokuzolula okuthambileyo kunye nokuzivocavoca.

• Abantu banokufuna iintonga okanye isixhobo sokuhamba ukuze banciphise iintlungu kunye nokuthintela ukulimala ngakumbi ukuba intlungu ibalulekile. (UAndreas Serner, et al., 2020)
• Unyango lomzimba luya kuba yinxalenye yesicwangciso sonyango.
• Amayeza eentlungu ezingaphaya kwe-counter afana neTylenol/acetaminophen okanye i-Advil/ibuprofen inokunceda ekupheliseni iintlungu ixesha elifutshane.
• Ukuba kukho intlungu ebuhlungu evela kwibanga lesi-3, imithi yonyango ingasetyenziselwa ixesha elifutshane ukunceda ukunciphisa intlungu. (UAndreas Serner, et al., 2020)
• Utyando aludli ngokuba yimfuneko. (UAndreas Serner, et al., 2020)

ukuchacha

Amaxesha okubuyisela anokwahluka ngokusekelwe kubunzima bokulimala kunye nemeko yomzimba phambi kokulimala.

• Uninzi lwamanxeba luya kuphilisa kwiiveki ezine ukuya kwezintandathu ngokuphumla kunye nonyango olufanelekileyo.
• Iintlobo ezinzima ze-groin zinokuthatha ukuya kwiiveki ze-12 okanye ngaphezulu ukuba utyando luyabandakanyeka. (UAndreas Serner, et al., 2020)

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Ukubuyiselwa kwisimo sesiqhelo sokwenzakala

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Ucaphulo

Sedaghati, P., Alizadeh, MH, Shirzad, E., & Ardjmand, A. (2013). Uphononongo lokwenzakala okubangelwa ngumdlalo. Ukwenzakala ngenyanga, 18(3), 107–112. doi.org/10.5812/traumamon.12666

Serner, A., Weir, A., Tol, JL, Thorborg, K., Lanzinger, S., Otten, R., & Hölmich, P. (2020). Buyela kwiMidlalo emva kokuBuyiselwa kwiSimo seSiqhelo esiSekwe kwiSimo seSimo seSimo seSimo seSimo seSimo seSimo seSimo seSimo seSimo seSimo seSimo seSimo seSimo soLonzakala ngokuBanzi kwi-Adductor kwiimbaleki zaMadoda: Uphononongo oluSiseko lweQela. Ijenali ye-Orthopedic yamayeza ezemidlalo, i-8 (1), i-2325967119897247. doi.org/10.1177/2325967119897247

Lynch, TS, Bedi, A., & Larson, CM (2017). Ukwenzakala kwe-Athletic Hip. Ijenali ye-American Academy ye-Orthopedic Surgeons, i-25 (4), i-269-279. doi.org/10.5435/JAAOS-D-16-00171

Suarez, JC, Ely, EE, Mutnal, AB, Figueroa, NM, Klika, AK, Patel, PD, & Barsoum, WK (2013). Indlela ebanzi yokuvavanya intlungu ye-groin. Umbhalo we-American Academy of Orthopedic Surgeons, i-21 (9), i-558-570. doi.org/10.5435/JAAOS-21-09-558