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Chiropractic

Iklinikhi yangasemva yeChiropractic. Olu luhlobo lonyango olulolunye olujolise ekuxilongweni nasekunyangelweni kweentlobo ezahlukeneyo zokulimala kwe-musculoskelet kunye neemeko, ngakumbi ezo zihambelana nomqolo. UDkt Alex Jimenez uxoxa ngendlela uhlengahlengiso lomqolo kunye nokuguqulwa kwesandla rhoqo kunokunceda kakhulu zombini ukuphucula nokuphelisa iimpawu ezininzi ezinokubangela ukungahambi kakuhle kumntu. I-Chiropractors ikholelwa phakathi kwezizathu eziphambili zentlungu kunye nezifo kukungahambi kakuhle kwe-vertebrae kwikholamu yomgogodla (oku kwaziwa ngokuba yi-subluxation ye-chiropractic).

Ngokusetyenziswa kokufumanisa ngesandla (okanye i-palpation), uxinzelelo olufakwe ngokucokisekileyo, i-massage, kunye nokunyangwa ngesandla kwe-vertebrae kunye namalungu (okubizwa ngokuba luhlengahlengiso), i-chiropractors inokunciphisa uxinzelelo kunye nokucaphuka kwimithambo-luvo, ukubuyisela ukuhamba ngokubambisana, kunye nokunceda ukubuyisela i-homeostasis yomzimba. . Ukusuka kwi-subluxation, okanye ukungahambi kakuhle komgogodla, ukuya kwi-sciatica, isethi yeempawu ecaleni kwe-nerve ye-sciatic ebangelwa yi-nerve impingement, ukhathalelo lwe-chiropractic lunokubuyisela ngokuthe ngcembe imeko yendalo yomntu. UDkt Jimenez uqulunqa iqela leengcamango kwi-chiropractic ukufundisa abantu ngokufanelekileyo kwiintlobo ezahlukeneyo zokulimala kunye neemeko ezichaphazela umzimba womntu.


Ukuthintela kunye nokuNyanga i-Plantar Fasciitis ngezolulo ezahlukeneyo

Ukuthintela kunye nokuNyanga i-Plantar Fasciitis ngezolulo ezahlukeneyo

Ngaba izolulo ezahlukeneyo zinokunceda abantu abane-plantar fasciitis ukunciphisa intlungu yonyawo kunye nokubuyisela ukusebenza kwe-gait?

intshayelelo

Njengabantu, sihlala sihamba, kwaye iinyawo zethu zezona zithatha umngcipheko emva kosuku olude. Iinyawo zinemisipha eyahlukeneyo, i-ligaments, i-tendon, kunye nezicubu ezithambileyo ezinceda ukukhusela amalungu kunye nokubonelela ukuzinza. Iinyawo ziyinxalenye yeendawo ezisezantsi ezincedisa ukuhamba kunye namandla omzimba ophezulu. Xa abantu abaninzi behlala bemi ngeenyawo, izihlunu kunye neeligaments zisebenza kakhulu kwaye zinokukhula zibe yimiba efana neentlungu. Amaxesha amaninzi iba kukuqaqanjelwa sisihlunu neentlungu; nangona kunjalo, xa ukunyakaza okuphindaphindiweyo kuqala kubangela iingxaki ezininzi ezinyaweni, kunokukhokelela kwiinyembezi ezincinci kwi-fascia yonyawo. Oku, kwakhona, kunokukhokelela ekuphuhlisweni kwe-plantar fasciitis, echaphazela amandla omntu wokuhamba. Inqaku lanamhlanje lijonga indlela i-fasciitis ye-plantar echaphazela ngayo ukusebenza kwe-gait kunye nendlela ezahlukeneyo ezolula ezinokunceda ngayo ukunciphisa i-fasciitis ye-plantar. Sixoxa nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya i-plantar fasciitis kunye ne-comorbidities ehambelana nayo. Sikwazisa kwaye sikhokela izigulana kwiindlela ezahlukeneyo ze-plantar fasciitis kwaye sibuze ababoneleli bezonyango abanxulumene nabo imibuzo entsonkothileyo ukudibanisa isicwangciso sonyango esilungiselelwe ukubandakanya ukunwebeka okuninzi ukunciphisa iimpawu ezinjengeentlungu ezihambelana nayo. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli.

 

I-Plantar Fasciitis ichaphazela njani ukusebenza kweGait

Ngaba uziva ngathi uhamba egoso ukusuka kwenye indawo ukuya kwenye? Ngaba uziva intlungu ehlabayo xa uthatha amanyathelo akho okuqala? Okanye ngaba uziva iintlungu eziqhubekayo ezinyaweni zakho ngelixa uphumle? Njengoko bekutshiwo ngaphambili, abantu abaninzi bahlala bemi ngeenyawo kwaye bajongana neentlungu ezinokuthi zichaphazele umgangatho wobomi babo. Ekubeni iinyawo ziyingxenye yesigxina somzimba ophantsi, umntu ofumana intlungu eninzi kwizithende zabo unokukhokelela kwimeko engapheliyo ye-musculoskeletal eyaziwa ngokuba yi-plantar fasciitis. I-fascia ye-plantar idlala indima enkulu kumzimba womntu njengoko inceda nge-biomechanics eqhelekileyo yonyawo, ixhasa i-arch, kwaye ibonelele ukufunxa ukothuka xa umntu enyathela. (Buchanan et al., 2024) Xa umntu esenza ukunyakaza okuphindaphindiweyo ezinyaweni zabo, kunokukhokelela ekuphuhlisweni kwe-plantar fasciitis. I-Plantar fasciitis sisifo esiqhelekileyo se-musculoskelet esibangela utshintsho olungapheliyo kwi-fascia plantar. Esi sifo se-musculoskelet sikwadibaniswa nezinto zemishini ezifana nokuphindaphinda uxinzelelo kunye nokuthwala ubunzima obunokukhokelela kwii-microtears kwi-muscle fibers. (Tseng et al., 2023) Loo ngongoma ibangela ukuba abantu abaninzi babe neengxaki zokuhamba kunye nezinye izifo.

 

 

Eminye imingcipheko enxulumene ne-plantar fasciitis iyancipha i-ROM kwi-plantarflexion kunye nokwanda komthwalo onzima, onokubangela ukuba abantu abaninzi babe nemiba yokuhamba xa behamba. (Hamstra-Wright et al., 2021) Ekubeni abantu abaninzi baxhomekeke ekuhambeni kwaye bafumana intlungu kwi-fasciitis plantar, kungekhona nje umsebenzi wabo we-gait ochaphazelekayo, kodwa Izihlunu ezijikelezileyo emilenzeni nazo ziyachaphazeleka. Iimpawu zentlungu ezifana nobuthakathaka bemisipha yangaphakathi, ukunciphisa amandla emisipha emilenzeni kunye ne-dorsiflexion, ukungafani kobude bomlenze, kunye nokukhubazeka kwe-arch kunokunyusa amathuba okuba i-plantar fasciitis ikhule. (Khammas et al., 2023) Oku kunokubangela ukuba abantu abaninzi babe ne-gait dysfunction kuba iintlungu azinyamezeleki. Ukongezelela, xa abantu bejongana ne-plantar fasciitis, batshintsha ubunzima babo kwelinye icala lemizimba yabo ukuze banciphise intlungu kwaye bavumele imisipha yabo yesibini ukuba ithathe umthwalo ongeyomfuneko. Ngethamsanqa, kukho iindlela zokunciphisa iintlungu ezinjengeentlungu ze-plantar fasciitis kunye nokunceda ukubuyisela umsebenzi wokuhamba komntu.

 


Yintoni i-Plantar Fasciitis?-Ividiyo


Ukolulwa okusebenzayo ukuthomalalisa i-Plantar Fasciitis

 

Xa kufikwa ekunciphiseni i-plantar fasciitis, abantu abaninzi bafuna unyango olwahlukeneyo ukunciphisa iimpawu ezinjengeentlungu ezibangela ukungasebenzi kakuhle kwe-gait. Abantu abaninzi bafuna unyango olungangoqhaqho kunye nonyango lokufumana isisombululo esifanelekileyo se-plantar fasciitis. Ngokuxhomekeke kubunzima beentlungu ezichaphazela iinyawo zabo, eyona njongo iphambili kukunciphisa umthwalo ocinezelayo wezicubu kunye nokubonelela ngesicwangciso sonyango lomntu siqu sokufundisa kunye nokunyanga i-plantar fasciitis. (Morrissey et al., 2021) Enye yezona ndlela zokunciphisa intlungu kwi-fasciitis ye-plantar kukubandakanya iintlobo ezahlukeneyo. Izahlulo ezahlukeneyo ze-plantar fasciitis zinokusebenza njengoko zinokunceda ukuthomalalisa iintlungu kunye nokuphucula amandla emisipha kwimisipha yangaphandle kunye neyonyawo lwangaphakathi. (Boonchum et al., 2020) Ngezantsi kukho ukunweba apho abantu abaninzi abajongene ne-plantar fasciitis bangayenza ekhaya ukuze banciphise intlungu.

 

Itawuli Yolula

Olu lulula olulula lufanelekile kusasa, ngakumbi ngaphambi kokuba uthathe amanyathelo akho okuqala.

Indlela yokwenza ngayo:

  • Hlala ecaleni kwebhedi kunye nemilenze yakho ngqo phambi kwakho.
  • Jika itawuli ujikeleze ibhola yeenyawo kwaye ubambe isiphelo ngasinye ngezandla zakho.
  • Tsala itawuli ijonge kuwe ngelixa uzama ukugcina amadolo athe nkqo ude uzive usolulekile emazantsi onyawo lwakho kunye nethole.
  • Bamba indawo ye-15 ukuya kwi-30 imizuzwana.
  • Phinda amaxesha angama-2-3 ngonyawo ngalunye.

 

Ithole Lizolula

Izihlunu eziqinileyo zethole zingenza ukuba i-plantar fasciitis ibe nzima. Ukolula amathole akho kunokunciphisa uxinzelelo kwi-fascia yakho ye-plantar.

Indlela yokwenza ngayo:

  • Yima kufuphi nodonga unyawo olunye umva kunye nolunye unyawo phambi kwakho.
  • Gcina isithende sakho singasemva emhlabeni kwaye ugobe idolo lakho langaphambili de uve ukolula kwisihlunu sethole somlenze wangasemva.
  • Bamba malunga nemizuzwana engama-30 kwaye utshintshe.
  • Phinda amaxesha angama-2-3 ngomlenze ngamnye.

 

Plantar Fascia Yolula

Ukwelula ngokuthe ngqo i-fascia plantar kunokunceda ukunciphisa intlungu kunye nokuphucula umsebenzi weenyawo.

Indlela yokwenza ngayo:

  • Hlala kunye nonyawo lwakho oluchaphazelekayo kwaye ulubeke ngaphaya kwelinye icala.
  • Sebenzisa isandla sakho ukutsala iinzwane zakho ngasemva ukuya kwi-shin de uzive ukolula ecaleni kwe-arch yonyawo lwakho.
  • Bamba ukolula ubuncinci imizuzwana eyi-15 kwaye uphinde ukolula kathathu.

 

Achilles Tendon Yolula

Olu luhlu lunceda zombini izihlunu zethole kunye ne-plantar fascia.

Indlela yokwenza ngayo:

  • Yima ngonyawo lwakho oluchaphazelekayo emva kwakho.
  • Gcina isithende sakho phantsi kwaye ugobe idolo lakho kancinci.
  • Bamba indawo ye-15-20 imizuzwana, uze uphumule.
  • Phinda amaxesha angama-2-3 ngomlenze ngamnye.

 

Ukuthatha iMarble

Ukomeleza imisipha ejikeleze unyawo lwakho kunokuxhasa inkqubo yokuphilisa.

Indlela yokwenza ngayo:

  • Hlala kwisitulo
  • Emva koko, pintambo yeebhastile ezingama-20 kunye nesitya phantsi phambi kweenyawo zakho.
  • Sebenzisa iinzwane zakho ukuchola ibhastile elinye kwaye ulibeke esityeni esinye ngexesha.
  • Phindaphinda ude ube nawo onke amabhastile esityeni.

 


Ucaphulo

Boonchum, H., Bovonsunthonchai, S., Sinsurin, K., & Kunanusornchai, W. (2020). Umphumo womsebenzi wokwelula owenziwe ekhaya kwi-multi-segmental foot motion kunye neziphumo zeklinikhi kwizigulane ezine-plantar fasciitis. J Musculoskelet Neuronal Interact, 20(3), 411-420. www.ncbi.nlm.nih.gov/pubmed/32877978

www.ncbi.nlm.nih.gov/pmc/articles/PMC7493445/pdf/JMNI-20-411.pdf

Buchanan, BK, Sina, RE, & Kushner, D. (2024). I-Plantar Fasciitis. Kwi StatPearls. www.ncbi.nlm.nih.gov/pubmed/28613727

Hamstra-Wright, KL, Huxel Bliven, KC, Bay, RC, & Aydemir, B. (2021). Imiba yoMngcipheko we-Plantar Fasciitis kubantu abaSebenza ngoMzimba: Ukuphononongwa okuCwangcisiweyo kunye nohlalutyo lweMeta. Impilo yezemidlalo, 13(3), 296-303. doi.org/10.1177/1941738120970976

Khammas, ASA, Mahmud, R., Hassan, HA, Ibrahim, I., & Mohammed, SS (2023). Uvavanyo lwe-plantar fascia kunye neziphumo ze-ultrasound kwizigulane ezine-plantar fasciitis: ukuphononongwa ngokuchanekileyo. J Ultrasound, 26(1), 13-38. doi.org/10.1007/s40477-022-00712-0

Morrissey, D., Cotchett, M., Wathi J'Bari, A., Ngaphambili, T., Griffiths, IB, Rathleff, MS, Gulle, H., Vicenzino, B., & Barton, CJ (2021). Ulawulo lweentlungu zesithende sesityalo: isikhokelo esihle kakhulu esichazwe ngokuphononongwa okucwangcisiweyo, ingcali yokuqiqa kwezonyango kunye nemilinganiselo yesigulane. Br J Midlalo yeMed, 55(19), 1106-1118. doi.org/10.1136/bjsports-2019-101970

Tseng, WC, Chen, YC, Lee, TM, & Chen, WS (2023). I-Plantar Fasciitis: Uphononongo oluhlaziyiweyo. J Med Ultrasound, 31(4), 268-274. doi.org/10.4103/jmu.jmu_2_23

isikhanyeli

I-Neuropathic Gait: Uhlalutyo lokuhamba ngokungaqhelekanga

I-Neuropathic Gait: Uhlalutyo lokuhamba ngokungaqhelekanga

Ngaba unyango lomzimba lunokunceda ukunyanga i-steppage gait ephezulu kukwenzakala okanye iimeko zonyango kunye nokubuyisela iipatheni eziqhelekileyo zokuhamba kwabantu abanayo okanye abaphuhlisayo?

I-Neuropathic Gait: Uhlalutyo lokuhamba ngokungaqhelekanga

Ukuhamba okanye ukuhamba uhlalutyo lwe-anthropometric kwi-treadmill

I-Neuropathic Gait

I-neuropathic gait, i-aka equine okanye i-high steppage gait, luhlobo lokuhamba okungaqhelekanga okubangela ukuba abantu baphakamise izinqe zabo ukuze baphakamise imilenze yabo phezulu kunesiqhelo. Kwenzeka xa abantu behla unyawo okanye i-ankle equinus ngenxa yokulahlekelwa yi-dorsiflexion. Ngenxa yoko, unyawo lujinga ngeenzwane ezijonge phantsi, nto leyo eyenza ukuba iinzwane zirhuqe xa uhamba. Unyawo lusenokubonakala luthambile xa luwa. Ukuhla kweenyawo kubangelwa ubuthathaka okanye ukukhubazeka kwe-tibialis muscle yangaphambili phambi kwethambo le-shin. I-anterior tibialis muscle contracts ukuze uncede ukuguqula unyawo kunye ne-ankle ngelixa uhamba, uqinisekisa ukuba unyawo luhlambulula umgangatho kwaye aluyi kudonsa. Abantu abanobuthakathaka be-tibialis yangaphambili okanye ukukhubazeka banokuba ne-neuropathic gait kwaye bagobe ngokugqithiseleyo i-hip kunye nedolo ngelixa beqhubela phambili, bephakamisa umlenze wabo phezulu phantsi ukuze basuse unyawo ukuze bagweme ukukhubeka. Iqela lonyango lomzimba linokunceda ngepatheni ephezulu ye-steppage gait emva kokugula okanye ukulimala.

Izizathu

Iimeko ezinokubangela ubuthathaka be-tibialis yangaphambili okanye ukukhubazeka kunye nephethini ephezulu ye-steppage gait ibandakanya:

Sciatica

  • Intlungu ebangelwa ukunyanzeliswa okanye ukucaphuka kwe-nerve ye-sciatic iqala kumqolo ophantsi kwaye ihambe phantsi komlenze. (McCabe, FJ, McCabe, JP 2016)

Injury Peroneal Nerve

  • Umonakalo kumasebe e-peroneal nerve avela kwi-nerve ye-sciatic enceda ukuhambisa umlenze ophantsi kunye nonyawo. (Johns Hopkins Medicine. 2024)

Isifo sokugubhuka

Stroke

Umboneleli wezempilo osisiseko unokuthumela iqela lonyango lomzimba ukunceda ukulungisa ipateni ye-neuropathic gait.

impatho

Unyango lunokubandakanya iindlela ezahlukeneyo zonyango ezijolise kwi-anterior tibialis muscle.

  • Ukuzivocavoca kwe-ankle ekujoliswe kuyo kunokunceda ukuqinisa izihlunu.
  • Ukuzolula ithole kunokunceda ukugcina uluhlu lokushukuma kweqatha.
  • Uqeqesho lwe-Gait ukuzilolonga.
  • Ukuzivocavoca ngokulinganisela kuya kunceda ekuphuculeni iproprioception iyonke, okanye ingqiqo yesikhundla somzimba kunye nokuhamba.
  • I-Neuromuscular electrical stimulation, okanye i-NMES, inokunceda ukuphucula umsebenzi we-muscle. (Hollis, S., McClure, P. 2017)
  • Ukukhuthazwa kombane kudibanisa ngokufanelekileyo i-muscle ukubuyisela umsebenzi ofanelekileyo.
  • Ngenxa yobuthathaka be-tibialis yangaphambili ebangelwa yi-sciatica, i-back decompression exercises ingamiselwa ukukhulula uxinzelelo kwi-nerve ye-sciatic.
  • Ukuzivocavoca kukhulula i-nerve ukubuyisela ukuhanjiswa kwesignali eqhelekileyo phezulu nasezantsi kwi-nerve kumqolo ongezantsi.
  • Ukukhuthazwa kombane we-Neuromuscular kungasetyenziselwa ukunceda ukuphucula ukusebenza kwemisipha.

Izixhobo zokuhamba ezincedisayo

Ugqirha usenokucebisa ukuba kusetyenziswe isixhobo sokuncedisa isigulana ukuze sihambe kakuhle. Oku kunokubandakanya umhambi onamavili okanye i-quad cane. Isisombululo sesikhashana sobuthakathaka be-tibialis yangaphambili kukuphakamisa unyawo ngelixa uhamba nge-band elastic. Bopha ibhanti emlenzeni ngaphantsi kwedolo kwaye uyikhusele kwibhola yonyawo. Xa uguqula umlenze phambili, ibhanti idonsa unyawo phezulu. Ukuyisebenzisa njengesisombululo sexeshana kunokunceda ukugcina ukuhamba okukhuselekileyo. Ngamanye amaxesha, ukukhubazeka kwe-anterior tibialis muscle kunokuba sisigxina. Kule meko, abantu ngabanye banokuzuza kwizibophelelo ezikhethekileyo ezibizwa ngokuba yi- i-anthosis ye-ankle-foot. Izihlangu zezilima ezidityaniswe ngentsinjana/ngeplangana zinceda ukuphakamisa unyawo neenzwane emhlabeni.

Kubantu abachaphazelekayo malunga nokulahlekelwa ukulinganisela kunye nokuwa, kukho iindlela zokuphucula iipatheni zokuhamba ukuze bahlale bekhuselekile. Umboneleli wezempilo unokuncoma unyango lomzimba ukulungisa ukuhamba, ukuqinisa i-anterior tibialis muscle, ukuphucula ukulinganisela, nokufundisa ngokuthintela ukulimala. Abantu ngabanye kufuneka baxoxe ngeempawu kunye neemeko kunye nogqirha oyintloko, umboneleli wezempilo, okanye ingcali ukuba ibakhokele kwicala elifanelekileyo kwaye inqume unyango olungcono.

I-Chiropractic yezoNyango zeChiropractic kunye ne-Functional Medicine Clinic isebenzisa indlela edibeneyo eyenzelwe umntu ngamnye egxile kwizinto ezisebenzelayo kunye nokuphatha ukulimala kunye ne-syndromes yentlungu engapheliyo ngezicwangciso zokunyamekela zomntu eziphucula amandla ngokusebenzisa ukuguquguquka, ukuhamba, kunye neenkqubo zokunciphisa intlungu. Ukuba olunye unyango luyadingeka, uDkt Jimenez uye wadibanisa kunye noogqirha abaphezulu, iingcali zeklinikhi, abaphandi bezonyango, kunye nababoneleli bokubuyisela ukubonelela ngonyango olusebenzayo.


Lawula ukunyakaza kweenyawo kunye nokuma


Ucaphulo

McCabe, FJ, & McCabe, JP (2016). Inkcazo engaqhelekanga ye-Sciatica ye-Right-Sided nge-Foot Drop. Iingxelo zeemeko kwi-orthopedics, i-2016, i-9024368. doi.org/10.1155/2016/9024368

Johns Hopkins Medicine. (2024). Ukulimala kwe-nerve peroneal. www.hopkinsmedicine.org/health/conditions-and-diseases/peroneal-nerve-injury

Kaykisiz, EK, & Unluer, EE (2017). Isizathu esingalindelekanga sokulahla unyawo olulodwa: I-Acute Stroke. Ijenali yasePakistan yezenzululwazi zonyango, 33 (5), 1288-1290. doi.org/10.12669/pjms.335.13593

Taylor, PN, Wilkinson Hart, IA, Khan, MS, & Slade-Sharman, DE (2016). Ukulungiswa kweFootdrop ngenxa ye-Multiple Sclerosis Ngokusebenzisa i-STIMuSTEP eFakelwe isivuseleli seenyawo eziwisiweyo. Ijenali yamazwe ngamazwe ye-MS care, i-18 (5), i-239-247. doi.org/10.7224/1537-2073.2015-038

Hollis, S., & McClure, P. (2017). I-Intramuscular Electrical Stimulation for Muscle Activation of the Tibialis Anterior Emva kokulungiswa koCwangciso: Ingxelo yeNgxelo. Ijenali yonyango lwamathambo kunye nezemidlalo, 47 (12), 965-969. doi.org/10.2519/jospt.2017.7368

Ukulawula i-TMJ kunye neMizilo eJolisiwe yokuZolula

Ukulawula i-TMJ kunye neMizilo eJolisiwe yokuZolula

Ngaba izahlulo ezahlukeneyo zinokubonelela ngeziphumo eziluncedo kubantu abafumana iintlungu zeTMJ ngokubonelela ngesiqabu emhlathini?

intshayelelo

Abantu abaninzi basebenzisa imihlathi ukuze banxibelelane, batye ukutya okumnandi, baze baveze iimvakalelo zabo. Umhlathi uyingxenye yemigangatho ephezulu njengoko inemisipha emihlanu evumela ukuba isebenze xa umlomo uvula okanye uvala, ukuhlafuna, kunye nokuhamba ukusuka kwelinye icala ukuya kwelinye. Xa iimoto eziqhelekileyo zisebenza njengokuzamla, ukuhlafuna, okanye ukuthetha kuvelisa iipopu ezikhwazayo okanye ucofa, kunokuba buhlungu kakhulu kwaye kaninzi kukhokelela kwi-temporomandibular joint dysfunction okanye i-TMJ. I-TMJ yingxaki edibeneyo enokuthi ichaphazele amandla omntu okusebenzisa imihlathi ngokufanelekileyo kwaye inokubangela ukuphazamiseka kwe-visceral-somatic enokuthi ichaphazele imilenze ephezulu, ibangele ukuba bahlupheke. Ngethamsanqa, abantu abaninzi banokubandakanya iindlela ezahlukeneyo zokunciphisa impembelelo ye-TMJ kwaye bancede ukukhulula imisipha eqinile ejikeleze umhlathi. Inqaku lanamhlanje lijonga imiphumo ye-TMJ, indlela iindlela ezahlukeneyo zokunciphisa i-TMJ, kunye nendlela unyango olongezelelweyo olungasebenzisi utyando olunokuyiphelisa ngayo intlungu ye-TMJ. Sixoxa nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya imiba efana neentlungu ezinxulumene ne-TMJ. Siyazisa kwaye sikhokela izigulane kwiindlela ezahlukeneyo ze-TMJ kwaye sibuze ababoneleli bezonyango abanxulumene nabo imibuzo enzima ukudibanisa isicwangciso sonyango esilungiselelwe ukunciphisa imiba efana nentlungu echaphazela imihlathi yabo. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli.

 

Iziphumo zeTMJ

Ngaba uziva uqina emhlathini wakho emva kokubamba ixesha elide? Ngaba uyeva ukucofa okugqithisileyo xa uvula okanye uvala imihlathi yakho? Okanye ngaba ucinga ukuba umhlathi wakho uhlala uvaliwe, nto leyo eyenza kube nzima ukuvula okanye ukuvala umlomo wakho? Xa abantu abaninzi beqala ukuva iintlungu emihlathini ngokugqithisileyo, abaninzi bahlala becinga ukuba inokuba ziintlungu zamazinyo, kodwa eneneni, lilungu le-temporomandibular elibangela imiba. I-Temporomandibular joint disorder, okanye i-TMJ, inokuphuhliswa ngezizathu ezahlukahlukeneyo ezinokuchaphazela umhlathi womntu kwaye zingakhokelela kwiintlungu kunye nokungahambi kakuhle. Imiba yomatshini efana nokulimala kwemihlathi, isifo samathambo, ukuqhina kwamazinyo, kunye nokusila kunokubangela ukulayisha ngokugqithisileyo okanye okungalungelelananga ngokudibeneyo emhlathini, okunokuqhubela phambili uphuhliso lwe-TMJ. (Cardoneanu et al., 2022) Xa usebenzisana ne-TMJ, intlungu ingakhokelela kwiimpawu zobubele malunga nommandla odibeneyo womhlathi, ubunzima bokuhlafuna, intlungu yendlebe, kunye nokuqina.

 

 

Ngexesha elifanayo, iimpembelelo zentlungu ye-TMJ zihlala zibonakaliswa ngokungahambi kakuhle kwendawo, njengoko i-TMJ i-multifactorial musculoskeletal and neuromuscular disorder enokuba nzima ukuyifumanisa. (UAlolayan et al., 2022) Oku kungenxa yokuba bangaphi abantu abahlafuna ukutya kwabo kwelinye icala, nto leyo enokukhokelela ekukhuleni kwako. Xa izihlunu ze-masseter zomhlathi ziqala ukugqithiswa kwi-TMJ, inokuqalisa ukulungiswa kwakhona kwicala elingasebenziyo lomhlathi kwaye ibangele ukuba intlungu iphumelele ngokuhamba kwesikhathi. (Santana-Mora et al., 2013) Nangona kunjalo, xa ujongene nentlungu ye-TMJ, abantu abaninzi banokufuna iindlela ezahlukeneyo zonyango ezinokunciphisa ukukhubazeka kwemisipha kunye nokukhutshwa kwe-disc emhlathini kunye nokunceda ukuphucula uluhlu lwe-mandibular ye-motion. (UBrighenti et al., ngo-2023

 


INzululwazi yeVidiyo eshukumayo


Kutheni Ukolula Kunceda Nge-TMJ

 

Xa kufikwa ekunciphiseni iintlungu ze-TMJ, abantu abaninzi banokufuna unyango olungasebenzisi utyando ukunciphisa iimpawu zentlungu ezigqithileyo kunye nokubuyisela ukusebenza kwemihlathi. Ezinye zeenjongo eziphambili ezinokuthi iingcali ezininzi zeentlungu zithathelwe ingqalelo xa zijongene nentlungu ye-TMJ zinciphisa intlungu ye-reflex masticatory muscle kunye nokunceda ukwandisa umsebenzi we-TMJ ngokusebenzisa unyango oluhlukeneyo olunokuba nefuthe elihle emhlathini. (UFerrillo et al., ngo-2022) Olunye unyango olungelulo utyando lubandakanya ukolula okuninzi ukunceda ukukhulula izihlunu ezijikelezileyo kunye nomhlathi kunye nokunciphisa uxinzelelo kunye nokungahambi kakuhle okuhambelana ne-TMJ. 

 

Ukolulwa okusebenzayo koNcedo lweTMJ

Ukolula kunokuba yinxalenye yesicwangciso sonyango lomntu siqu sokunciphisa intlungu ye-TMJ kunye ne-comorbidities ezinxulumene nayo. Ukolula kunye nokuqinisa ukuzivocavoca kunokuchaphazela kakuhle intlungu ngelixa uphucula uluhlu lwentshukumo ye-TMJ kunye nokunceda abantu abaninzi babuyisele umsebenzi wabo womhlathi (Byra et al., 2020). Ngezantsi ezinye zezolula ezinokukunceda ukunciphisa intlungu ye-TMJ kwaye ukhulule imisipha yomhlathi. 

 

Ukuzilolonga kwemihlathi ekhululekile

  • Indlela yokwenza: Beka ulwimi ngobunono eluphahleni lomlomo emva kwamazinyo angaphezulu angaphambili. Oku kuvumela amazinyo ukuba ahlukane ngelixa ukhulula izihlunu zemihlathi.
  • benefits: Lo mthambo unceda ukukhulula umhlathi kunye nokunciphisa ukuxinezeleka kwemisipha.

 

Inxalenye yeGoldfish Yokuzilolonga

  • Indlela yokwenza: Beka ulwimi ngobunono eluphahleni lomlomo kunye nomnwe omnye phambi kwendlebe apho i-TMJ ikhona. Beka umnwe wakho ophakathi esilevini sakho. Beka umhlathi wakho ongezantsi phakathi kwaye uvale. Yenza lo msebenzi izihlandlo ezithandathu kwiseti enye.
  • benefits: Olu luhlu lunceda ukujolisa kwimihlathi yokunyakaza kunye nokunciphisa ukuqina kwamalungu.

 

Imithambo yeGoldfish epheleleyo

  • Indlela yokwenza: Kufana nokuvula ngokuyinxenye, kodwa vula umlomo wakho ngokupheleleyo ngeli xesha.
  • benefits: Olu luhlu lunceda ukunyusa uluhlu olupheleleyo lokunyakaza kunye nokunciphisa ukuqina kwamalungu.

 

I-Chin Tucks

  • Indlela yokwenza: Ukuhlala nkqo esitulweni, utsala isilevu sakho ngasemva, usenza "i-chin ephindwe kabini." Bamba imizuzwana emithathu, uze ukhulule.
  • benefits: Lo msebenzi unceda ukuqinisa imisipha yentamo, ukuphucula ukuma, kunye nokunciphisa ubunzima emhlathini.

 

Iingcebiso ezongezelelweyo zokunciphisa i-TMJ

Ngoku kunye nolu luhlu, iingcebiso ezongezelelweyo zokulawula kunye nokunciphisa i-TMJ ngokuphepha ukunyakaza okugqithisileyo kwemihlathi kunye nokusebenzisa iipakethi ezishushu / ezibandayo ukunciphisa nakuphi na ukudumba okushiyekileyo okuhambelana ne-TMJ. Xa abantu abane-TMJ beqala ukubandakanya unyango olungasebenzisi utyando kunye nokwelula ukuthomalalisa iintlungu, kunokunceda ukwandisa uluhlu lwe-mandibular olusebenzayo kunye nokubonelela ngesiqabu esiluncedo. (Urbanski et al., 2021) Oku, kwakhona, kuvumela abantu abaninzi abaneentlungu ze-TMJ ukuba bacinge ngakumbi ngomzimba kwaye benze utshintsho oluncinci kwimpilo yabo kunye nokuphila kakuhle.

 


Ucaphulo

Alolayan, A., Alsayed, SS, Salamah, RM, Ali, KM, Alsousi, M., & Elsayed, S. (2022). I-Temporomandibular joint (TMJ) ukuphazamiseka kokuxhaphaka kunye nokwazisa ngezenzo ezifanelekileyo zonyango, phakathi koluntu lwase-Al-Madinah eSaudi Arabia. F1000Res, 11, 395. doi.org/10.12688/f1000research.104272.2

Brighenti, N., Battaglino, A., Sinatti, P., Abuin-Porras, V., Sanchez Romero, EA, Pedersini, P., & Villafane, JH (2023). Iimpembelelo zeNdlela yeNtsebenziswano phakathi kweCandelo loLawulo lwe-Temporomandibular Disorders: uPhononongo lwe-Scoping. Int J Environ Res Impilo yoLuntu, 20(4). doi.org/10.3390/ijerph20042777

Byra, J., Kulesa-Mrowiecka, M., & Pihut, M. (2020). I-Physiotherapy kwi-hypomobility yamalungu e-temporomandibular. UFolia Med Cracov, 60(2), 123-134. www.ncbi.nlm.nih.gov/pubmed/33252600

Cardoneanu, A., Macovei, LA, Burlui, AM, Mihai, IR, Bratoiu, I., Rezus, II, Richter, P., Tamba, BI, & Rezus, E. (2022). I-Temporomandibular Joint Osteoarthritis: Iindlela ze-Pathogenic ezibandakanya i-Cartilage kunye ne-Subchondral Bone, kunye neZicwangciso eziNgcono zonyango zokuHlaziya ngokuHlanganyela. Int J Mol Sci, 24(1). doi.org/10.3390/ijms24010171

Ferrillo, M., Giudice, A., Marotta, N., Fortunato, F., Di Venere, D., Ammendolia, A., Fiore, P., & de Sire, A. (2022). Ulawulo lweentlungu kunye noBuyiselo kwi-Central Sensitization kwi-Temporomandibular Disorders: Ukuphononongwa okuBanzi. Int J Mol Sci, 23(20). doi.org/10.3390/ijms232012164

I-Santana-Mora, U., Lopez-Cedrun, J., Mora, MJ, Otero, XL, & Santana-Penin, U. (2013). Iziphazamiso zeTemporomandibular: Isiqhelo sokuhlafuna side syndrome. I-PLOS ONE, 8(4), e59980. doi.org/10.1371/journal.pone.0059980

Urbanski, P., Trybulec, B., & Pihut, M. (2021). Ukusetyenziswa koBuchule boBuchule kwi-Masticatory Muscle Relaxation njenge-Adjunctive Therapy kuNyango lwe-Temporomandibular Joint Disorders. Int J Environ Res Impilo yoLuntu, 18(24). doi.org/10.3390/ijerph182412970

isikhanyeli

Unyango oluQalayo oluNgelulo utyando lwaManqaku e-Musculoskeletal Trigger Points

Unyango oluQalayo oluNgelulo utyando lwaManqaku e-Musculoskeletal Trigger Points

Ngaba abantu abajongene ne-musculoskeletal trigger points bafuna unyango olungasebenzisi utyando ukuze banciphise iintlungu kwiindawo zabo?

intshayelelo

Inkqubo ye-musculoskeletal inemisipha eyahlukeneyo, i-tendon, i-ligaments, kunye nezicubu ezithambileyo ezivumela ukuba iindawo ezisezantsi neziphezulu zisebenze kwimisebenzi emininzi eyenziwa ngumntu. Ukusuka kwimisebenzi yomzimba ukuya ekuphumleni okanye ukwenza nje uhambo, inkqubo ye-musculoskeletal inobudlelwane obumangalisayo kunye nazo zonke iinkqubo ezahlukeneyo zomzimba. Inceda ukukhusela amalungu abalulekileyo kwizinto ezisingqongileyo kunye nokulimala. Nangona kunjalo, xa iimeko zokusingqongileyo okanye ukulimala kuchaphazela umzimba, iiprofayili ezininzi ezigqithiseneyo zomngcipheko zichaphazela i-quadrants ephezulu nasezantsi, ngaloo ndlela ichaphazela imisipha kunye nezicubu ezithambileyo. Xa inkqubo ye-musculoskeletal iqala ukuva iimpawu zentlungu kunye nokungahambi kakuhle, kunokubangela intlungu ye-visceral-somatic ebhekiselwe kwiindawo ezahlukeneyo zomzimba kwaye ibangele ukuphuhliswa kwamanqaku e-trigger kwizicubu zomzimba. Oku kubangela ukuba umntu abe neentlungu ezibuhlungu kunye nokungonwabi kwaye ufuna unyango lokunciphisa iimpawu ezinjengeentlungu. Inqaku lanamhlanje lisinika ukuqonda ngamanqaku okubangela i-musculoskeletal trigger kunye nendlela ezahlukeneyo zonyango ezingasebenzisi utyando ezinokunciphisa amanqaku e-musculoskeletal triggers emzimbeni. Sixoxa nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya imiba efana nentlungu echaphazela inkqubo yabo ye-musculoskeletal ehambelana nokuqalisa intlungu. Siyazisa kwaye sikhokela izigulana kwiindlela ezahlukeneyo zonyango ezingezizo utyando kwaye sibuze ababoneleli bezonyango abanxulumene nabo imibuzo entsonkothileyo ukudibanisa isicwangciso sonyango esilungiselelwe ukunciphisa iintlungu ze-musculoskeletal trigger point. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli.

 

Ukuqonda amanqaku e-Musculoskeletal Trigger Points

Ngaba uhlala uziva iintlungu emilenzeni, ezingalweni, ezandleni nasezinyaweni imini yonke? Kukangaphi ufumana iimpawu zokuqina kunye nokungahambi kakuhle entanyeni yakho, ehlombe, okanye ngasemva? Okanye ngaba uziva ushukuma kwaye uziva ndindisholo ezandleni nasezinyaweni zakho? Ngokuphindaphindiweyo kunokuba kunjalo, abantu abaninzi abafumana le miba yeentlungu ezigqumayo kwinkqubo yabo ye-musculoskelet system banokuba namanqaku okuqalisa kwi-muscle fibers. Amanqaku e-Trigger ayinxalenye yemeko ebuhlungu ye-musculoskeletal eyaziwa ngokuba yi-myofascial pain syndrome. Le meko ye-musculoskelet ebuhlungu yenza indawo e-hyperirritable ngaphakathi kwebhendi ye-taut ye-musculoskeletal system, ebangela intlungu xa ixinzelelwe. (Lavelle et al., 2007) Xa umntu ejongene namanqaku e-musculoskeletal trigger points, baya kuhlala befumana intlungu ethunyelwe kunye nokuphazamiseka, ukungasebenzi kweemoto, kunye nemiba yokuzimela. Oku kungenxa yokuba xa abantu abaninzi beva intlungu kwi-quadrants ye-muscle ephezulu okanye esezantsi, bajongana neentlungu ezigqithisiweyo ezivela kwizihlunu ezichaphazelekayo. Xa izihlunu ezichaphazelekayo zinemimandla engaqhelekanga yezihlunu zethenda, kunokukhokelela ekuhambeni okungahambi kakuhle okuhambelana nezihlunu ezichaphazelekayo kuyo nayiphi na indawo edibeneyo. (Macdonald, ngo-1980)

 

 

Ukongezelela, amanqaku e-musculoskeletal trigger points angachongwa njenge-latent okanye esebenzayo ngokusekelwe ekuphuhliseni apho intlungu ivela khona ngaphakathi kwenkqubo ye-musculoskeletal system. Ukuza kuthi ga ngelo xesha, xa iimeko zokusingqongileyo okanye ukulimala ziphuhlisa iingongoma ezibangela iintlungu, iimpawu ezinjengeentlungu ezifana nokuqina kwemisipha, ukungasebenzi kakuhle, kunye noluhlu oluthintelweyo lokunyakaza lubonisa xa ingcali yeentlungu ivavanya umntu. (Shah et al., 2015) Ngethamsanqa, amanqaku e-musculoskeletal trigger points akunzima ukunyanga xa umthombo wentlungu ufumaneka kwi-musculoskeletal system. Oku kungenxa yokuba unyango olungenalo utyando lunceda ukulawula iimpawu ezinjengeentlungu ngokuvala iingongoma ze-trigger kunye nokubuyisela izihlunu ezichasayo ezichaphazelekayo kuluhlu lwazo olupheleleyo lokunyakaza. (Irubin, 1981)

 


Indlela engeyiyo Utyando kwiVidiyo yeMpilo-ntle


Unyango olungaSebenziyo lotyando kwiiNqaku zeMusculoskeletal Trigger

Xa kufikwa kunyango lwe-musculoskeletal trigger points, abantu abaninzi bafuna unyango olwahlukeneyo ukunciphisa iimpawu ezifana neentlungu. Ekubeni amanqaku e-musculoskeletal trigger points anokuvela kwintlungu encinci ukuya kwintlungu enzima, inokuchaphazela imisebenzi yemihla ngemihla yomntu kwaye ibangele ukuba bahlupheke. Ngethamsanqa, amanqaku e-musculoskeletal trigger points angancitshiswa ngonyango olungasebenzisi utyando. Unyango olungasebenzisi utyando lunokwahluka ngokuxhomekeke kubunzima bentlungu amanqaku abangela kwi-musculoskeletal system. Kwangaxeshanye, abantu abaninzi banokuba nonyango oluninzi olungazenziyo utyando njengoko lunokwenziwa ngokwezifiso, lungabizi kakhulu, kwaye lube lolwamntu kunyango lomntu. Ngezantsi kukho unyango olungasebenzisi utyando olunokunceda ukunciphisa amanqaku e-musculoskeletal trigger points.

 

Ukhathalelo lweChiropractic

 

Ukhathalelo lweChiropractic lusebenzisa ukuguqulwa komatshini kunye nencwadana yenkqubo ye-musculoskelet kwaye inokunceda ukunciphisa imiphumo ehambelanayo yamanqaku e-musculoskeletal trigger points. IiChiropractors zibandakanya iindlela ezahlukeneyo zobugcisa kunye noxinzelelo lwe-ischemic ukukhulula intlungu kunye nokubonelela ngokukhululeka. (UVernon kunye noSchneider, ngo-2009) Ukongezelela, ii-chiropractors ziyakwazi ukufumana amanqaku e-trigger ngokucinezela izicubu ze-muscle okanye ukuxhaphaza i-muscle fibers. I-Chiropractors inokudibanisa unyango lwe-massage ukukhulula amanqaku e-trigger kunye neempawu zentlungu ezinxulumene nokubuyisela umzimba ekusebenzeni kakuhle. Thyindibaniselwano yetoti zibandakanya iindlela ezahlukeneyo zokwandisa ukujikeleza kwegazi kwi-muscle echaphazelekayo, ukunceda ukudiliza izicubu ezinqabileyo ezingenakuguquka, kunye nokunceda ukubuyisela umsebenzi we-muscle kwimida. 

 

Ukwenza i-Acupuncture

Olunye uhlobo lonyango olungenalo utyando lokunciphisa amanqaku e-musculoskeletal trigger points yi-acupuncture. I-acupuncture idibanisa iinaliti eziqinileyo, ezibhityileyo ezibekwe kwii-acupoints ezahlukeneyo emzimbeni yingcali. Yintoni eyenziwa yi-acupuncture kukuba xa iinaliti zifakwe kwi-acupoints ye-muscle echaphazelekayo, inokunceda ukuvuselela inkqubo ye-nervous kunye nokunceda ukuququzelela iikhemikhali zendalo zokunciphisa iintlungu zendalo ukukhaba-ukuqala inkqubo yokuphilisa. Ukongezelela, xa abantu bebandakanya i-acupuncture yokunciphisa amanqaku e-musculoskeletal trigger points, igalelo le-sensory ebangela ukuba intlungu iyancipha kwaye inokubonelela ngokukhululeka kwexesha elide. (UMelzack, ngo-1981)

 

Uhlengahlengiso kwindlela yokuphila

Xa kufikwa ekunciphiseni amanqaku e-trigger kunye nokudibanisa unyango olungasebenzisi utyando, abantu abaninzi abajongana neeprofayili zeentlungu ezigqithisiweyo ukusuka kumanqaku e-musculoskeletal trigger points banokwenza uhlengahlengiso lwendlela yokuphila ukuthintela ukukhula kwayo. Ukwenza uhlengahlengiso oluncinci kumsebenzi womntu kunye neendawo zokuhlala kunokunciphisa uxinzelelo ekubeni yi-co-factor ekuphuhliseni amanqaku e-trigger kwi-fiber muscle. Okunye okuncinci Uhlengahlengiso olunjengokuphucula ukuma kunye nokusebenzisa iindlela zokuphumla ezifana neyoga, ukucamngca, okanye umthambo wokuphefumla nzulu kunokuncedisa ukunciphisa uxinzelelo lwemisipha kunye noxinzelelo kubomi bemihla ngemihla. Ukubandakanya unyango olungenalo utyando ukunciphisa nokulawula i-musculoskeletal triggers kunokubonelela ngesiphumo esihle, esiluncedo ekuphuculeni ukusebenza kwemisipha kunye nokuvumela abantu ukuba baphile ubomi obuphilileyo. 

 


Ucaphulo

Lavelle, ED, Lavelle, W., & Smith, HS (2007). Amanqaku e-Myofascial trigger. I-Anesthesiol Clin, 25(4), 841-851, vii-iii. doi.org/10.1016/j.anclin.2007.07.003

Macdonald, AJR (1980). Izihlunu ezithambileyo ezingaqhelekanga kunye neentshukumo ezibuhlungu ezinxulumeneyo. Ubuhlungu, 8(2), 197-205. doi.org/10.1016/0304-3959(88)90007-3

UMelzack, R. (1981). I-Myofascial trigger points: inxulumene ne-acupuncture kunye neendlela zentlungu. IiNqoloba zoLwazi lweMpilo kunye nokuHlaziya, 62(3), 114-117. www.ncbi.nlm.nih.gov/pubmed/6972204

Rubin, D. (1981). I-Myofascial trigger point syndromes: indlela yokulawula. IiNqoloba zoLwazi lweMpilo kunye nokuHlaziya, 62(3), 107-110. www.ncbi.nlm.nih.gov/pubmed/6453568

Shah, JP, Thaker, N., Heimur, J., Aredo, JV, Sikdar, S., & Gerber, L. (2015). Amanqaku e-Myofascial Trigger emva koko kwaye ngoku: Umbono weMbali kunye neNzululwazi. PM R, 7(7), 746-761. doi.org/10.1016/j.pmrj.2015.01.024

Vernon, H., & Schneider, M. (2009). Ukulawulwa kwe-Chiropractic ye-myofascial trigger points kunye ne-myofascial pain syndrome: ukuphononongwa ngokuchanekileyo kweencwadi. J Uluhlu lwePhysiol Ther, 32(1), 14-24. doi.org/10.1016/j.jmpt.2008.06.012

isikhanyeli

Amaqhinga okuQophela ukukhubazeka kwiKliniki yeChiropractic

Amaqhinga okuQophela ukukhubazeka kwiKliniki yeChiropractic

Ngaba abaqeqeshi bezempilo kwiklinikhi ye-chiropractic babonelela njani ngendlela yeklinikhi yokuqaphela ukukhubazeka kwabantu abaneentlungu?

intshayelelo

 

Naliphi na inqaku olifundayo malunga nokusetyenziswa kakubi kweziyobisi phakathi kwabongikazi ngokuqinisekileyo liya kuphinda amabango enziwe yi-American Nurses Association, ethi, ngokuhambelana noluntu ngokubanzi, i-10% yabongikazi, okanye omnye kwabalishumi okanye malunga nama-300,000 abongikazi ababhalisiweyo eUnited States. States, zixhomekeke kwiziyobisi zohlobo oluthile. Ukonakala kwalo naluphi na uhlobo emsebenzini, ngakumbi ukuba lusuka kusetyenziso gwenxa lweziyobisi okanye kusetyenziso, lunokuba neziphumo ezibi kumongikazi nakumsebenzi wokonga ngenxa yezizathu ezininzi. Ukuchaneka, ukuchaneka, amandla okucinga nzulu, kunye noqwalaselo kubalulekile kumsebenzi wokonga. Ngenxa yokuba iimpazamo okanye iingozi zinokuthi zenzeke, nakuphi na ukungakwazi ukuhambisa ezi zakhono kubeka izigulane, abantu osebenza nabo kunye nomongikazi emngciphekweni. Ukongezelela, abantu bajonga abongikazi njengabathembekileyo, abathembekileyo nabanyanisekileyo. Ukonakala kunokuyonakalisa loo mbono, ngakumbi ukuba iziswa butywala okanye iziyobisi. Kula macandelo alandelayo, siza kuphonononga ukonakaliswa, izizathu zako, kunye nezibophelelo zakho ezisesikweni nezomthetho ukuba ukholelwa ukuba umntu osebenza naye wonakele. Inqaku lanamhlanje lijolise kwindlela yeklinikhi yokuqaphela ukukhubazeka kwimeko yeklinikhi. Sixoxa nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya imiba efana neentlungu ezijongene nazo. Siyazisa kwaye sikhokela izigulana kunyango olwahlukeneyo kwaye sibuze imibuzo entsonkothileyo kwabo banxulumene nabo ababoneleli bezonyango ukudibanisa isicwangciso sonyango esilungiselelweyo. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli.

 

Inkcazo yokonakala

Inkcazo esisiseko yokwenzakala ithi “Imeko yokuncipha, ukuba buthathaka okanye yokwenzakala, ngakumbi ngokwasengqondweni okanye ngokwasemzimbeni” (“Ukonakala,” nd”) Uya kubona ukuba le yinkcazelo nje yobume kwaye akukho sizathu sinikiweyo. Esi sisiphumo sobuninzi bezizathu ezinokwenzeka. Ngelixa ezinye izizathu zinokuba lula ukubonisa ubungqina, ezinye zisenokungabi njalo. Ngenxa yoko, kubalulekile ukuchonga nokuqwalasela umxholo kunye nonobangela, ukuba uyaziwa, ngelixa uthetha ngomonakalo. Uluntu olukhubazekileyo olusingqongileyo njengabongikazi lu: Bazizigulana zethu. Bakwimeko encitshisiweyo, ebuthathaka, okanye eyonakeleyo, nangona inokuba sengozini ngenxa yesifo okanye ukwenzakala. Ngokufanayo, usengozini yokugula ukuba uye wasebenza iishifti enomkhuhlane ombi. Iimpawu zokuziva ucotha, ukucinga ngokuphazamiseka, kunye ukuphonononga umsebenzi wakho rhoqo yimizekelo yothintelo kwimeko yeklinikhi.

 

Isifo okanye ukwenzakala kunokuba neziphumo ezahlukeneyo kwaye kuchaphazele indlela owenza kakuhle ngayo umsebenzi wakho ukuya kumaqondo ahlukeneyo, kodwa njengoko iqondo lokukhubazeka lisanda, liya kuba njalo nethuba lokuba wenze impazamo. Ukhuseleko lwakho nobabini kunye nabo bakungqongileyo, kubandakanywa izigulana zakho kunye nabantu osebenza nabo, lunxulunyaniswa nenqanaba lokwenzakala kwakho. Wena, izigulana zakho, kunye nabantu osebenza nabo anikhuselekanga kangako njengoko ukusebenza kwenu kuchaphazeleka kakubi. Nangona abongikazi besazi ukuba izigulana zisesichengeni ngenxa yokuba zisengozini ngandlel’ ithile. Siyazi kwakhona ukuba izithintelo zinokukwenza ukuba wenze iimpazamo. Ungumntu onoxanduva kwaye awunakuze usebenze ukuba ukukhubazeka kwakho bekuqatha ngokwaneleyo ukubeka izigulana zakho emngciphekweni. Noko ke, kuthekani ukuba umntu osebenza naye unesiphene? Okubi nangakumbi, kuthekani ukuba ucinga ukuba ngandlel’ ithile wazenza ngokwakhe? Uqhuba njani? Ngaba uyathetha nabo? Ngaba uyamchazela omnye umntu ngayo? Ngaba unethemba lokuba akukho nto imbi yenzekayo kwaye ungayihoyi?

 

Ukugcina ukhuseleko lwesigulane yeyona nto iphambili kubongikazi kuluhlu lwabo lomsebenzi. Luxanduva lwakho ukwazi into omawuyenze kunye nendlela ongayenza ngayo ukuba umntu osebenza naye ubonakala echaphazeleka. Kodwa ukufezekisa oko, kufuneka ukwazi ukubona ukonakala okunokwenzeka kuwe nakwabanye abantu. Iimfuno zolawulo nezifunekayo zokunika ingxelo kufuneka zaziwe kuwe. Kwakhona kufuneka uqaphele iziphumo ezinokubakho kuwe ukuba awenzi nto.

 

Iimbangela zoKuthomalalisa

Unokucinga ukuba sixoxa ngokusetyenziswa kweziyobisi ngeli xesha usivayo okanye ufunda ibinzana elithi ukonakala emsebenzini. Noko ke, kukho abanye oonobangela ngaphandle kokusetyenziswa kakubi kotywala neziyobisi, yaye ukwenza izigqibo eziphosakeleyo ngokufuthi kunokuba nemiphumo engalindelekanga. Akunyanzelekanga ukuba ujonge okanye ufumanise ukuba yintoni ebangela umntu osebenza naye abonakale ekhubazekile. Lowo ngumsebenzi wabanye. Kufuneka uchonge izalathisi zomonakalo kwaye uthathe amanyathelo afanelekileyo. Enye yezinto omawuziqwalasele phambi kokuba uxele umntu osebenza naye ngokukhotyokiswa ziziyobisi kukuba ubona okanye awuboni ukonakala kwenyani. Wonke umntu ukhe abe neemvakalelo zokugula, ukucaphuka, okanye uxinezeleko. Nokuba sisenokungasebenzi njengesiqhelo, akukho nto malunga nokusebenza kwethu ebeka nabani na emngciphekweni, kwaye ayenzeki rhoqo. "Ukuphazamiseka kwinkqubo yokunakekelwa kwempilo kuchazwa njengokungakwazi okanye ukungabikho kokungakwazi ukwenza, okwahlulahlulwe ngamacandelo amabini anokuchaphazela zombini ingcali kunye nesigulane" (Baldisseri, 2007). Le ngxelo iyayichitha imeko yangaphambili apho unokuhamba kancinane kunesiqhelo ngenxa yengqele eqhaqhazelisa amazinyo.

 


Impembelelo yoNyango oluSebenzayo ngaphandle kwaMajoyinti-Ividiyo


Umahluko phakathi koKuthomalalisa kunye nosuku olubi

"Uthintelo luphawulwa kukungakwazi ukwenza imisebenzi yobungcali kunye noxanduva oluhambelana ngokufanelekileyo nemigangatho yokonga." Ukuba nosuku olubi kunokuchaphazela imo yomntu kunye nokuhamba komsebenzi. Ngamanye amaxesha, uluvo olutyhafileyo lokuba umntu akanguye uqobo lukhokelela koku kufunyanwa. Abo basebenza nabo basenokunganeliseki okanye bazive besoyika. Abaphathi banokubona ukunyuka kwenani lezikhalazo ezifakwe kumqeshwa okanye ngoogxa babo ngakuloo mntu. Iipateni zokuziphatha zibonisa imiba ekhoyo kwaye inokukhokelela ekuphuhlisweni kokubangela iimpazamo zonyango. Iimpazamo zonyango kwimibutho yokhathalelo lwempilo zinokudala ingxaki enkulu yempilo enokubeka emngciphekweni ukhuseleko lwesigulana. (Rodziewicz et al., 2024). Phambi kokuphonononga ezi patheni, masithathele ingqalelo ezinye zezizathu ezinokuthi zibekho ngaphandle kokusetyenziswa gwenxa kweziyobisi okanye iziyobisi ezinokuba negalelo ekwehleni kweendlela ezinobungozi kwimisebenzi yobunesi.

 

Iintsilelo zoQeqesho neMfundo

Imisebenzi eyingozi yomntu osebenza naye inokubangelwa kukungaqeqeshwa ngokwaneleyo, ulwazi, okanye ukuqhelaniswa nomsebenzi wangoku. Oku kusebenza ngokukodwa kwabongikazi abasandula ukufumana iimpepha-mvume kunye nabongikazi abatshintshayo ukusuka kwindawo yokuziqhelanisa ukuya kwenye. Abongikazi abakuqeqesho lokuhlaziya banokufuna ukuzithemba ngakumbi kwindlela izinto ebezisenziwa ngayo ngokwesiko okanye kufuneka bafundiswe uhlengahlengiso olucetyiswayo kumgaqo-nkqubo okanye iinkqubo. Uqeqesho oluhlaziyiweyo lusenokudibana nenkcaso okanye utshintsho kwaye lufuna ukuphumelela. Ukuba umongikazi akafuni kuvuma ukuba ulwazi okanye izakhono zabo azifikeleli kwinqanaba, ezi ntsilelo kwimfundo zinokubonakala njengomonakalo. Basenokuthatha ixesha elide kunabanye abongikazi ukwenza imisebenzi, phakathi kwezinye izalathisi. Iintelekelelo ezigwenxa malunga nokuba yeyiphi eyona ndlela ifanelekileyo okanye echanekileyo yokugqiba umsebenzi kunokukhokelela kwiimpazamo kwicala likamongikazi. Kungenjalo, basenokuba novakalelo olugqithisileyo xa begxekwa baze bazame ukuzigcina bezolile ngokugxininisa ukuba banobuchule.

 

Isigulo soMzimba

Sele siwuxoxile umcimbi wokuzama ukusebenza xa unomkhuhlane ombi. Kwabaninzi bethu, amava okuba nesigulo esincinci okanye usulelo olusibambeleyo luyaziwa. Nangona kunjalo, ukwanda kweemeko ezinganyangekiyo kunokukhokelela ekuthotyweni kweentsuku zokusebenza. Njengezinye izifo ezininzi, isifo seswekile, kunye nesifo samathambo sinokubangela ukuba umntu azive engaphantsi kwe-100% yakhe ngeentsuku ezithile. Kubalulekile ukukhumbula ukuba usenokungazi nokuba umntu osebenza naye unazo ezi zigulo. Ngokufuna isihloko esingcono okanye esifanelekileyo sokubeka oku phantsi, qiniseka ukuba umntu oza kumtyhola ngokusebenzisa kakubi iziyobisi akakhulelwanga phambi kokuba uqhubele phambili. Ngokwemvelo, olu luhlu oluyinxenye lwazo zonke iinkcazo ezibonakalayo ezibonakalayo. Sisikhumbuzo sobuhlobo nje ukuba sicinge nethuba lokuba umongikazi ongakwaziyo ukuphilwa ngokwasemzimbeni.

 

Ukwenzakala Emzimbeni

Njengeemeko zonyango, ukonzakala kusenokubangela ubani angakwazi ukwenza umsebenzi wakhe. Nangona kunokwenzeka ukuba kubekho iimpawu ezicacileyo zokwenzakala-ezifana nokuqhwalela okanye enye intshukumo engaqhelekanga, imimandla ebotshiweyo, okanye ukusebenzisa intonga yokuhamba okanye enye i-mechanical aid-oku akusoloko kunjalo. Umntu onomqolo okanye uhlobo oluthile lwemithambo-luvo unokuzama ukufihla ukungakhululeki kunye nemida yabo.

 

Uxinzelelo kunye nokudinwa

Ekubeni kuqhelekile ukuba ezi zizathu zenzeke kunye okanye ukuba enye ibonakale njengophawu lomnye, inokubonwa njengesizathu esihlangeneyo. Zisenokuba ziziphumo zeziganeko ezingaphandle kwendawo yokusebenza, ngaphakathi emsebenzini, okanye zombini. Umntu osandul’ ukuqhawula umtshato okanye umntu ongoyena mntu unyamekela isalamane esigula kakhulu ekhaya yimizekelo emibini. Zombini ezi meko azikho mnandi, kodwa kuthekani ukuba ezi zinto bezingeyonxalenye yeengxaki zemali? Bobabini ukuba nexhala malunga noku kunye nokuzama ukusebenza iishifti ezininzi ngenxa yemiceli mngeni yezoqoqosho kunokwenzakalisa ukukwazi kwabo ukulala. Umntu kwezi meko unokudinwa ngokukhawuleza ngokwasengqondweni nasemzimbeni. Kuxhomekeka kubuntu babo, bekungayi kuvakala nokuba oogxa babo bangabikho zingqondweni kobu bunzima. Kungenjalo, unobangela usenokuba ngokuthe ngqo njengoxinezeleko emsebenzini, okukhokelela ekudinweni nokuncipha kwenkuthazo. Ukudinwa nokunganeliseki emsebenzini, enyanisweni, “kuyinto eqhelekileyo kumsebenzi wokonga” (Van Bogaert et al., 2017)

 

Isigulo sengqondo

Nangona abongikazi bethanda ukuzicingela njengabomelele kwaye bengachatshazelwa ziimeko abanye abanokuthi bazibone njengobuthathaka, inyani yeyokuba sisengozini kwimiba yempilo yengqondo efana nokuxhalaba kunye nokudakumba, kunye nokuphazamiseka kokusetyenziswa kweziyobisi, ngenxa yezizathu ezininzi ezifanayo. . Kwiinkalo ezithile zokonga, sisebenza nezigulana ezisifa ngalo lonke ixesha-mhlawumbi nokufa kweentsana-okanye sibona iziphumo ezihlasimlisayo ngenxa yeziganeko zobundlobongela okanye ngengozi. Iimeko ezifana nezi zinokusebenza njengezandulela kwizigulo ezifana nePost Traumatic Stress Disorder (PTSD). Abongikazi abangobafazi abakhulu okanye amadoda amakhulu—kwakhona, le yimizekelo nje embalwa. Iingcali zezempilo zinokuchaphazeleka ukuba zichaphazela uluntu ngokubanzi.

 

Ukusetyenziswa kweziyobisi

Ukukhotyokiswa ziziyobisi mhlawumbi yeyona nto ingapheliyo kwaye iyonakalisa umntu, indawo, kunye nomsebenzi, nokuba ayiqhelekanga ngakumbi kunezizathu ezichazwe ngaphambili zomonakalo. Ukusetyenziswa kakubi kweziyobisi akunakwenzeka ukuba kuhambe ngokwalo ngokuhamba kwexesha ngaphandle koncedo oluvela kubasebenzi osebenza nabo kunye nabaphathi, ngokungafaniyo neemeko zonyango okanye ukulimala. Oku akuthethi ukuba ungenelelo lwezinye izizathu zomonakalo aluyomfuneko okanye kufuneka luphetshwe. Ukuba awukwenzi xa into efana neentlungu ezisezantsi zingunobangela wokuphazamiseka, unokuphela ukhoboke kwiipilisi zeentlungu kwasekuqaleni. Ibandakanyiwe kwingqokelela phantsi kwesi sifundo ukukhubazeka okuziswa kukusetyenziswa kakubi okanye ukusetyenziswa kakubi kwamayeza amiselweyo kubo okanye abanye. Ukuphazamiseka rhoqo kuhambelana nemiphumo emibi yokusetyenziswa ngokugqithiseleyo okanye ukugqithisa okukhulu. Kwangaxeshanye, inokuvela ngamaxesha athile kwiziganeko ezimbi ezinxulumene needosi eziqhelekileyo, ezifana nesicaphucaphu, ukozela, okanye isiyezi. Ukusetyenziswa okanye ukusetyenziswa kakubi "kweziyobisi zasesitalatweni" okanye izinto ezingachazwanga njenge-methamphetamine, ecstasy, okanye i-cannabis. Ukusetyenziswa kakubi ngokugqithisileyo okanye okungapheliyo okanye ukusetyenziswa kakubi kotywala. Umongikazi usenokunxila kakhulu okanye abe ne-hangover enzima, kodwa zombini ezi meko zinokuphazamisa izakhono zakhe. Ukusetyenziswa okungapheliyo kunokukhokelela kwizigulo zomzimba okanye ukuphazamiseka kwengqondo okwenza kube nzima ukuba umongikazi enze kwinqanaba eliphezulu ngokwaneleyo. Kuba indlela umongikazi azichaza ngayo igxile emsebenzini wakhe njengomongikazi, ukungena kokuphathwa gadalala okanye ukuba likhoboka labo kwindawo yempangelo kudla ngokuba luphawu lokuba isigulo sabo sikhule kangakanani na.

 

Ngenxa yokuba abasebenzi bezempilo bachonga umgca wabo womsebenzi, ubungqina besifo ngamanye amaxesha bukhomba kwinqanaba lokugula. Imiba yendawo yokusebenza idla ngokuba linqanaba lokugqibela lokuhla, kwaye xa isifo sifunyenwe, abantu osebenza nabo bahlala bemangalisiwe “(Washington State Department of Health, 2016, p.6). Xa umonakalo ubonakala ekuqaleni emsebenzini, abantu osebenza nabo kunye nabaphathi banokuwukhanyela okanye bawunciphise umcimbi, banike izizathu okanye baphephe ukuphikisana ngethemba lokuba umcimbi uya kunyamalala.

 

Imiba yoMngcipheko eyodwa kooMongikazi

Ithuba lokuba nengxaki yokusetyenziswa kweziyobisi kuphenjelelwa zizinto ezahlukeneyo, ezibandakanya imfuzo, indlela akhuliswe ngayo, uxinzelelo lwabazali noontanga, njalo njalo. Nangona kunjalo, ukusebenza njengomongikazi kubonisa izinto ezimbalwa ezinobungozi ezingekhoyo kweminye imisebenzi. Ezona meko ziphambili zomngcipheko weyure abongikazi abajongana nazo kwiziko lezempilo zezi:

  • Ukufikelela
  • Isimo sengqondo
  • istres
  • Ukungabikho kwemfundo (Hakim, ngo-2023)

 

Ukufikelela kunye nesimo sengqondo

Amachiza asemthethweni ukuba afunyanwe ngomyalelo kagqirha kusenokwenzeka ukuba asetyenziswe ngabongikazi kunoluntu ngokubanzi, nangona ukuphazamiseka kokusetyenziswa kweziyobisi akuchaphazeli abongikazi rhoqo kunabantu ngokubanzi. Ingcaciso yeyokuba abongikazi baphatha la mayeza mihla le, nangaphandle kwencwadi kagqirha. Koku, songeza ulwazi lwethu lolawulo lwamayeza, ukusetyenziswa, kunye nedosi kwaye sisebenza kwindawo apho izibonelelo zokusetyenziswa kwamayeza zibonakala. Oku kubonisa ukuba siqinisekile ngesakhono sethu sokuzixilonga nokuzinyangela kunye nokukwazi kwethu ukuphatha la mayeza.

 

istres

Ezinye zezinto ezibonisa ukuba bonke abongikazi ngamanye amaxesha bayinxalenye yoxinzelelo olubangele ukuba baphazamiseke ziquka:

  • Iinguqu ezongeziweyo
  • Umsebenzi onzima
  • Ukungabikho kwabasebenzi
  • Izigulana ezingxamiseke kakhulu ngelixa zizolile phantsi kweemeko ezibuhlungu kakhulu. 

Oku kuqikelelwa ukuba kwaziwa kubo bonke abongikazi kwaye ngamanye amaxesha kunokubalelwa kuxinzelelo lwendima. Zonke ziyinxalenye eyimfuneko yomgca onzima womsebenzi. Iishedyuli zomsebenzi zizodwa zibonise unxulumano oluyinzuzo nokusetyenziswa kweziyobisi. Iintlungu okanye ukuphuthelwa emva kokutshintsha okufunwayo zixhaphakile kwaye zihlala zisebenza njengesona sizathu sokuthatha amayeza ukunceda ngeentlungu kunye neentlungu, ukukhuthaza ukuphumla, okanye ukulala.

 

Ukunqongophala kweMfundo

Apha, igama elithi “ukunqongophala kwemfundo” alithethi ukungazi nto ngeziyobisi. Njengoko besesitshilo, akukho kunqongophala kwemfundo apho. Hayi. Kulo mongo, ukungazi ngeengxaki zokusetyenziswa kweziyobisi kunye neempawu ezilumkiso ezinxulumeneyo kunye neempawu kuthethwa. Amaxesha amaninzi, abaqeqeshi bezempilo abakwazi ukuchonga ezi mpawu kunye nezikhombisi kubo bobabini nakwabanye abantu. Nokuba bathe bazichonga, ukubekwa amabala kuphuma kukungabikho kolwazi malunga nezi ngxaki-ingakumbi ukuba umntu ogulayo ngumsebenzi wezempilo osebenza naye-kuba sikholisa ukubamba abaqeqeshi bezempilo-kubandakanywa nathi-kwimigangatho ephezulu kunokuba sisenza abasebenzi abangabakhathaleli bezempilo.

 

Ukuqonda Iimpawu

Xa umongikazi ebanjwe esebenzisa iziyobisi okanye utywala emsebenzini, eyona ndlela ifanelekileyo yokwenza kwezi ntsuku luncedo kunye nonyango kunokupheliswa kwangoko. Umbono kukuba umongikazi ekugqibeleni uya kukwazi ukubuyela emsebenzini emva konyango kunye nokubuyisela kwimeko yesiqhelo. Nangona kunjalo, ukungenelela kwangethuba yinxalenye ephambili yesi sicwangciso. Njengoko besesitshilo, ukusetyenziswa kweziyobisi kunokufuna ukuqhubeka ixeshana ngaphambi kokuba iimpawu zothintelo emsebenzini zibonakale. Ngoko ke, ekulandeleni umphumo ophumelelayo, ixesha ngokwalo liba yingozi. Kufanelekile ukuba sizikhumbuze ukuba ukusetyenziswa gwenxa kweziyobisi kusenokungabi kuphela kwengcaciso yothintelo njengoko sivavanya ezinye zezalathi ezinokuthi zibangelwe nokusetyenziswa kweziyobisi. Ngenxa yokhuseleko lwezigulane kunye nabasebenzi, kufuneka ungenelelo ngoncedo nokuba siyintoni na isizathu. Ukukhangela utshintsho lokuziphatha okanye utshintsho olusuka kwisiseko kunemisebenzi ethile mhlawumbi kunenzuzo ngakumbi. Emva kwayo yonke loo nto, sonke siyazi ukuba umongikazi ongakwaziyo ukusebenza kodwa ebesoloko ebonakala emdaka okanye ehamba kancinci kancinci kunabanye xa egqibezela imisebenzi. Mhlawumbi lukhetho lobuqu, kodwa ukuba umongikazi owayebonakala eqeqesheke kakuhle kwaye enemveliso ngequbuliso uqalisa ukwenza ubuvila nokungakhathali, kusenokubakho umba onzulu okhoyo.

 

Kwelinye icala, kuyaphawuleka ukuba umongikazi, obesoloko esonqena kwaye esonqena kodwa ebesoloko ehleli ngaphakathi kwiparamitha ezamkelekileyo, ngequbuliso akamkelekanga okanye wacotha kakhulu kwaye wonakele. Nangona kunjalo, utshintsho olubonakalayo lunokuba ngaphandle kwemeko yesinxibo sabo. Kwanomntu odla ngokuziphatha kakuhle unokubonakala edandathekile, esoyika, okanye esoyika. Umntu oqhele ukuzola unokubonakala edlamkile, ethetha kwaye enobubele. Kusenokwenzeka ukuba umntu oneentloni azimele yedwa ngaphezu kwesiqhelo, okanye umntu oqhele ukuthetha kwaye odlamkileyo uye athethe kakhulu kwaye asebenze ngakumbi kunesiqhelo. Khumbula ukuba ukuziphatha akubalulekanga kangako kwiimeko ezininzi kunokutshintsha ekuboniseni ingxaki. Kuyafana nokujonga ukutenxa kuxinzelelo lwegazi oluqhelekileyo okanye ubushushu njengophawu lomcimbi. Iimpawu ezongezelelweyo zotshintsho ekufuneka uzilumkele ziquka: 

  • Ukuhamba kweemvakalelo 
  • Ukutshatyalaliswa
  • Ukulala
  • Ukukhala okanye ukuhleka okungafanelekanga
  • Ukurhanela okanye ukuba novelwano ngokugqithisileyo ekugxekeni.
  • Ukungaguquguquki okanye ukubambelela ngokugqithisileyo kwiinkqubo xa zingafunwa.
  • Ukudideka, okanye inkumbulo embi

Xa kuziwa ekusebenzeni komsebenzi, unokujonga oku kulandelayo:

  • Ukunyuka kokulibazisa kunye nokungabikho, ngakumbi xa kulandelwa ipateni.
  • Iingcaciso ezingaqhelekanga zokungabikho
  • Unqumamo olude okanye ngaphezulu oluqhelekileyo 
  • Ukungabikho okungaqhelekanga emsebenzini, 
  • Ngaphambili, imisebenzi eqhelekileyo yayifuna ixesha elingakumbi.
  • "Iindlela ezimfutshane" ezingaqhelekanga okanye ezithandabuzekayo ezisetyenziswa kwimisebenzi aziyibambi inqanaba elilindelekileyo lokhathalelo. 
  • Xa umgangatho okanye umxholo we-charting uba yi-shoddy okanye uyingqayizivele, kukho ukungachaneki okukhulu kunye nokungakhathali. 
  • Ukunyuka kwezikhalazo okanye izikhalazo zomongikazi. 

Ngamnye kubo walatha kwinto enokwenzeka. Zisenokubonakala ngokucacileyo okanye zingaqhelekanga ngokwaneleyo ukuze zikunike ingcamango yokuba kukho into ecinyiweyo. Usenokuphawula ukuba basebenzisa izinto zokuphefumla, iminti, okanye itshungama ngokuphindaphindiweyo kunokuba bebesenza ngaphambili. Basenokumbombozela ngaphezu kwesiqhelo okanye babonise intetho emisiweyo ngokuchuliweyo nangokuthula ixesha elide ngelixa beqwalasela impendulo yabo. "Ngaba abafundi babo babecinezelekile (okanye bahlanjululwe)?" okanye “Ibibutywala obu ndabunuka?” yeminye imibuzo omawuzibuze yona xa uhamba. Njengabongikazi, sinokufumana i-hunches okanye intuition. Ukukwazi kwethu ukukwazi ukubona iziphumo zoqeqesho lwethu olubanzi kwaye olu lwazi luhlala lusekwe kuqwalaselo esilwenza singekho zingqondweni. Ngoko ke, nceda ungabahoyi. Ngelixa awufanelanga ukubahoya, akufanele ubamkele njengevangeli.

 

Ukuphambuka kweziyobisi

Ukufikelela kwichiza elikhethiweyo kunokuthintelwa umongikazi onengxaki yokusebenzisa iziyobisi xa engasebenzi. Oku kusenokuba ngenxa yezizathu ezahlukahlukeneyo, ezinje ngokuba usapho lwabo alusayi kunikwa elo chiza lithile, ugqirha wabo okanye usokhemisti uyakrokra, okanye ezinye izizathu. Bahlala bezama ukongeza olo fikelelo emsebenzini ngolu hlobo lwemeko. Kwaye umongikazi kuya kufuneka abe nobuchule bokufihla le ndlela yokuziphatha ngenxa yamanyathelo okhuseleko akhoyo, ngakumbi xa kuziwa kwizinto ezithintelweyo.

Phakathi kwezalathi ezilumkisayo ekufuneka uziqwalasele zezi:

  • Rhoqo okanye ngokuzimisela ukunikezela ukuba ngumongikazi kumachiza. 
  • Izigulane ziyaqhubeka zikhalaza malunga nokungonwabi nasemva kokufumana i-painkillers.
  • Amaxwebhu atyhila ukuba isigulana sanikwa amayeza okudambisa iintlungu ngakumbi kunokuba kuyimfuneko kwimeko yawo. 
  • Ziyanda iingxelo zokuchitheka kweziyobisi kunye nenkcitho. 
  • Xa lo mongikazi esenza imijikelo yamayeza ngokunxulumene nabanye abongikazi, inani eliphezulu ngokungaqhelekanga lamachiza alawulwayo asetyenziswayo. 

Ubalo lweziyobisi aluchanekanga; Ukuba awukayiboni ichiza elinikiweyo okanye elikhutshwayo, umongikazi unokukucela ukuba ulisayinele. Olu luhlu oluyinxenye, njengabanye. Njengolunye uluhlu, abongikazi balumke kakhulu ngenxa yemfundo yethu, uqeqesho, kunye namava, ngoko ngamanye amaxesha lithuku nje lethuku elikulumkisa ngomba onokwenzeka. Nangona kunjalo, njengesikhokelo esiqhelekileyo, nayiphi na into evakalelwa kukuba kufuneka ijongwe ngakumbi. Izibophelelo zakho kwizigulane zakho kunye nabo osebenza nabo zifuna oku. 

 

Ngoncedo

Umthetho wokuziqhelanisa noMongikazi waseFlorida waphulwa xa umongikazi eziqhelanisa ngoxa enxilile. Zombini izigulo kunye nokusetyenziswa kweziyobisi zidweliswe njengezinto ezinokuthi zibe ngunobangela wolu thintelo kumhlathi ochaza oku njengolwaphulo-mthetho kwaye kunokukhokelela kwisenzo soluleko. Kuya kuba semthethweni kwakhona ukusilela ukuxela ukonakaliswa kukamongikazi okanye ukubeka ukhuseleko lwesigulane emngciphekweni ngokusivumela ukuba sisebenze ngelixa sonakele. Kukhethwa wonke umntu ukuba akukho nzame yokugubungela umongikazi okanye ukuba umcimbi awuhoywa ngethemba lokuba uza kudlula. Njengomsebenzi, kuya kufuneka unxibelelane ngokupheleleyo nemimiselo kunye neenkqubo indawo nganye ekusenokwenzeka ukuba iyilelwe ezi meko. Ezi ziya kuba zidalwe ukuqinisekisa ukuthotyelwa kwazo zonke izibophelelo ezisemthethweni nezolawulo. Ayifanelekanga into yokuba uye kumntu osebenza naye oneziphene. Ngalo lonke ixesha ucela uncedo kumphathi okanye umongikazi. Umphathi okanye umphathi uya kuqhagamshelana nomongikazi okhubazekileyo kuqala; nangona kunjalo, ukuba nabantu abaninzi abakhoyo ngexesha longenelelo kuya:

  • Nika ubungqina obunikwe umongikazi ubunzima obuninzi kuba kunokwenzeka ukuba aphikisane nokwenzakala. 
  • Yiza namangqina eziganeko ezinokufuneka kwiingxoxo zetyala okanye iintlanganiso kamva.
  • Nika amandla kumyalezo, inkxaso yeemvakalelo, kwaye ugcine ukhuseleko ukuba umongikazi ubonisa ukuphazamiseka okanye ubundlongondlongo xa kuqhagamshelwana naye. 
  • Ungaze ungenelelo lokuqala lube sisityholo okanye lubandakanye ukuzama ukuchonga umba womongikazi. 

Kufuneka isekelwe kwinyani kwaye inike ubungqina obubhaliweyo bemigqaliselo kunye neenkxalabo ukwenza umongikazi aqonde ukuba kutheni umcela ukuba ayeke ukusebenza ngoku. Uthomalaliso kunye nalo naluphi na ungenelelo olulandelayo lunokuxelwa ngenye yeendlela ezimbini. IFlorida State Board of Nursing yeyokuqala kubo. Ngokuchanekileyo, iSebe lezeMpilo liya kufumana ingxelo, liphande ngezikhalazo, kwaye lithathe amanyathelo afanelekileyo. Inyathelo lesibini liya kuba kukuthumela ingxelo kwiProjekthi yokuNgenelela kwabongikazi (IPN). IPN yaqulunqwa ngo-1983 ngesenzo sowiso-mthetho ukukhusela impilo nokhuseleko loluntu (Chan et al., 2019). Ikwenza oku ngokubeka iliso elibukhali kubongikazi ababonwa bengakhuselekanga ekusebenzeni ngenxa yothintelo oluziswe kukusetyenziswa gwenxa kweziyobisi okanye utywala, ukusetyenziswa kakubi, okanye zombini, okanye ngenxa yesigulo somzimba okanye sengqondo esinokuphazamisa amandla omntu onephepha-mvume lokuziqhelanisa ngokukhuselekileyo nangobuchule. . 

 

Ezi nkqubo ezichasene nokuziphatha ziye zaphuhliswa kulo lonke ilizwe, kwaye eFlorida, ziyinxalenye yeNethiwekhi yeSigulana esiHlangeneyo (IPN) ngenxa yokuqaphela ukuba umongikazi onengxaki yokusetyenziswa kweziyobisi kufuneka afumane ukhathalelo kunye nonyango njengaye nabani na. enye into. Ngeenkqubo zayo, abongikazi banokufumana unyango olungenasohlwayo kunye nokubuyisela kwisimo sangaphambili. I-IPN iya kunceda ukuba umongikazi abuyele ngempumelelo emsebenzini ukuba uyavuma ukushiya umsebenzi kwaye agqibe inkqubo ngelixa egcina imfihlo-nkqu nakwiBhodi yoMongikazi. I-IPN iya kuyithumela ifayile kwiSebe lezeMpilo ukuba umongikazi uyayamkela le migaqo kodwa emva koko atshintshe iingqondo zakhe. Amatyala athile anokuxelwa kwiSebe lezeMpilo kunye ne-IPN, apho unyango KUNYE namanyathelo oluleko anokuqaliswa. Ukuthatha inxaxheba kweSebe lezeMpilo kunokukhokelela ekubeni iphepha-mvume likamongikazi linqunyanyiswe okanye lirhoxiswe, nto leyo eyenza kube nzima kakhulu ukuba abuyele emsebenzini. Kucingelwa ukuba ngokunikezela ngeendlela ezingezizo ezohlwayo, abongikazi baya kukhuthazwa ukuba bafune uncedo phambi kokuba bajongane nesohlwayo kwaye banokuthi ekugqibeleni bakwazi ukubuyela emsebenzini.

 

isiphelo

Ngenxa yeemeko ezizodwa ezingqonge imfundo noqeqesho lwethu, indlela esijongwa ngayo, kunye nenyaniso yokuba sizibona sinamandla ngandlel’ ithile kunabanye, umba wokukhubazeka emsebenzini wabongikazi unzima kakhulu. Kwixa elidlulileyo, ukuba umqeshwa wayeneziphene emsebenzini, kwakusenokuthatyathwa amanyathelo oluleko ngenxa yokonakaliswa kwakhe okanye ngenxa yeempazamo ezenziweyo. Oku kwakufanelekile ngokukodwa kwiimeko apho kwafunyaniswa ukuba umongikazi wayenxilile okanye wonakaliswe yenye into. Ubuphume ngomnyango zange ubuye emva koko. Kwakhona uya kuphulukana nelayisensi yakho, nto leyo ekuthintela ukuba ungaphinde ubuyele emsebenzini njengomongikazi. Okuvuyisayo kukuba, amanyathelo angenaluqeqesho aye abangelwa kukuqonda ukuba asikhuselekanga kuxinzelelo olufanayo njengabanye. Umbono ongemva kwala manyathelo kukuchonga iingxaki, kubandakanywa ukuphazamiseka kokusetyenziswa kweziyobisi, kwangethuba ukuze esona siphumo silungileyo sibe nokuphunyezwa kuwo onke amaqela.

 


Ucaphulo

Baldisseri, MR (2007). Ingcali yezempilo ebuthathaka. Crit Care Med, 35(2 Suppl), S106-116. doi.org/10.1097/01.CCM.0000252918.87746.96

Chan, CWH, Ng, NHY, Chan, HYL, Wong, MMH, & Chow, KM (2019). Uphononongo olucwangcisiweyo lweziphumo zeenkqubo zoqeqesho zabaququzeleli bocwangciso lokhathalelo. BMC Health Service Res, 19(1), 362. doi.org/10.1186/s12913-019-4192-0

Hakim, A. (2023). Ukuphanda imingeni yemfundo yeklinikhi ngokwembono yabafundisi bobuhlengikazi kunye nabafundi: Isifundo esinqamlezileyo. SAGE Vula i-Med, 11, 20503121221143578. doi.org/10.1177/20503121221143578

Ukonakala. (nd). KwiDictionary.com engafinyezwanga. Ifunyenwe kwi www.dictionary.com/browse/impairment

Rodziewicz, TL, Houseman, B., & Hipskind, JE (2024). UkuNcitshiswa kwempazamo yezoNyango kunye noThintelo. Kwi StatPearls. www.ncbi.nlm.nih.gov/pubmed/29763131

Van Bogaert, P., Peremans, L., Van Heusden, D., Verspuy, M., Kureckova, V., Van de Cruys, Z., & Franck, E. (2017). Abaqikeleli bokudinwa, ukubandakanyeka emsebenzini kunye nomongikazi baxela iziphumo zomsebenzi kunye nomgangatho wokhathalelo: isifundo sendlela edibeneyo. BMC Nurs, 16, 5. doi.org/10.1186/s12912-016-0200-4

Washington State Department of Health. (2016). Isikhokelo sokunceda oogxa babo ababonakalisa ukonakala emsebenzini. Ifunyenwe kwi www.doh.wa.gov/portals/1/Documents/Pubs/600006.pdf

 

isikhanyeli

Imisipha ye-Rhomboid: Imisebenzi kunye nokubaluleka kweMpilo yokuGcina

Imisipha ye-Rhomboid: Imisebenzi kunye nokubaluleka kweMpilo yokuGcina

Kubantu abahlala rhoqo emsebenzini kwaye behla ukuya phambili, ngaba ukomeleza izihlunu ze-rhomboid kunceda ukukhusela iingxaki zokuma kunye nokunciphisa intlungu?

Imisipha ye-Rhomboid: Imisebenzi kunye nokubaluleka kweMpilo yokuGcina

Izihlunu zeRhomboid

I-rhomboids liqela lezihlunu kumqolo ongaphezulu. I-rhomboid enkulu kunye ne-muscle encinci kwicala ngalinye lomqolo ophezulu yenza i-shoulder girdle, leyo, kunye nezinye izihlunu, inceda ukugcina ukuzinza kwegxala kunye nehlombe. Ukulawula izihlunu zerhomboid:

  • Ukutyhala
  • Ukuphakamisa
  • Ukujikeleza i-blade blade.
  • Ezi zihlunu zikwanegalelo ekushukumeni kwengalo kwaye zenze ukuba ziphakamise iingalo ngaphezulu kwentloko.
  • Izihlunu zerhomboid zixhasa ukuma okunempilo kunye nomqolo ongaphezulu. (Yoo WG 2017)

Ukuhlala ixesha elide, ukugoba phambili, ukugqithisa ingalo ngaphezu komzimba, ukulala kwelinye icala, ukuphosa ngokuphindaphindiweyo, kunye nemidlalo efana ne-volleyball inokuchaphazela imisipha ye-rhomboid kwaye ibangele iimpawu zentlungu.

Anatomy

Kukho izihlunu ezimbini zerhomboid. Eyona nto iphambili isuka kwi-thoracic spine ukusuka kwisibini ukuya kwi-vertebrae yesihlanu kwaye ifake kwicala lehlombe elijongene nomqolo. Incinci iphakamileyo kuneyona nto ibalulekileyo kwaye ifaka kwi-C7 kunye ne-T1 vertebrae. Izihlunu zidibanisa phakathi komqolo kunye necala ngalinye lamagxa. Xa zidibene, zitsala iincakuba zamagxa kunye. Iintsinga zemisipha zihamba ngediagonally. Bafaka i-scapula ngokuchasene ne-torso, evumela isiseko esizinzile apho iingalo zinokuhamba.

iimpawu

Xa imisipha ye-rhomboid isetyenziswe ngokugqithiseleyo okanye igxininisekile, iimpawu zingabandakanya oku kulandelayo:

  • Ububele obujikeleze intshinga yegxalaba.
  • Uluhlu olulinganiselweyo lwentshukumo egxalabeni.
  • Intlungu ejikeleze igxalaba.
  • Umqolo obuhlungu.
  • Intlungu yomqala.
  • Ukudinwa kwengalo xa usenza iintshukumo eziphindaphindayo.
  • Isandi esiqhekezayo xa uhambisa igxalaba.
  • Ubuthathaka engalweni.
  • Iintlungu zesifuba.

Ukwakha iMisipha

Isenzo se-rhomboid kukuzisa amagxa ehlombe kunye, ukuwaphakamisa okanye ukuwaphakamisa, njengaxa uguqa, kwaye ujikeleze ukuze ajonge phantsi, kude nentloko. Ukuzisa amagxa amagxa kunye okanye ukurhoxa kwe-scapular yakha i-rhomboids ukuxhasa umqolo ongaphezulu.

Ukuphucula okanye ukuthintela iingxaki ze-posture okanye i-mild, i-muscle enxulumene ne-back-back kunye / okanye intlungu yentamo, i-10 ukuya kwi-15 ukuphindaphinda ukuphindaphinda kwe-scapular eyenziwa kabini ukuya kathathu imihla ngemihla yimisebenzi ejoliswe kuyo enokucetyiswa ukunceda ukuqinisa imisipha. Nangona kunjalo, jongana nomboneleli wokhathalelo oluphambili, ugqirha womzimba, okanye i-chiropractor kwiimeko ezinzulu zonyango ezichaphazela i-posture ukuphuhlisa inkqubo yokuzivocavoca yomntu ngokukodwa kwimeko yomntu okanye ukulimala. Wonke umntu wahlukile, kwaye akukho nto ilinganayo xa ubandakanya umthambo wokulawula iintlungu zangasemva. Iqela lonyango lomzimba linokucebisa ezinye izivivinyo ukunceda ukulawula okanye ukuguqula nayiphi na imiba yasemva. (UKim, D. et al., 2015)

Imisipha Eyolule kakhulu

Umzimba womntu unobudlelwane obukhethekileyo kunye nomngeni kunye nomxhuzulane, obangela ukutsalwa kwezakhiwo zawo, kuquka umqolo, intloko kunye namagxa. Njengoko umxhuzulane utsala, amagxa aqengqelekela phambili, yaye isifuba sinokutshona.Impilo yaseHarvard, ngo-2022). Izihlunu ze-rhomboid zinokugqithiswa, okanye izihlunu ze-pectoral kunye nezicubu ezithambileyo ngaphambili zingaqinisa kwaye zidibanise. Ukomeleza i-rhomboids kunokunceda ukukhulula imisipha ye-pectoral.

Ukuma kwentloko phambili

Ukuma okungahambi kakuhle kunokukhokelela kwiintlungu ezingapheliyo kunye neengxaki zomqolo. (UKripa, S. et al., 2021) Ngokuhamba kwexesha, ukuma okungahambi kakuhle kunokubangela ukuba intloko ibe phambili. (IThala leeNcwadi leLizwe leLizwe leLizwe leeMvavanyo zeKlinikhi yase-US, ngo-2020) Ukuhamba kwentloko phambili kunokukhokelela ekuxinzeni kwezicubu ezithambileyo, i-kink entanyeni, kunye nokukhathala kwimisipha ebambe intloko, enokubangela intlungu engapheliyo entanyeni. Ukugcina izihlunu ezomeleleyo ze-extensor kwi-lumbar kunye thotho inokunceda ukukhusela umva kunye neengxaki zentamo njengoko umzimba uguga.

Ukonzakala kweChiropractic yezoNyango kunye neKlinikhi yokuSebenza yamayeza

Sigxile kakhulu ekuphatheni ukulimala kwezigulana kunye nee-syndromes ezibuhlungu ezingapheliyo kunye nokuphuhlisa izicwangciso zokhathalelo lomntu eziphucula amandla ngokusebenzisa ukuguquguquka, ukuhamba, kunye neenkqubo zobuchule ezilungiselelwe umntu. Ukusebenzisa indlela edibeneyo, iindawo zethu ze-chiropractic practice ziquka i-Wellness & Nutrition, Ubuhlungu obungapheliyo, Ukulimala komntu, Ukunyamekelwa kweNgozi ye-Auto, Ukulimala komsebenzi, uBumva, uBuhlungu obuphantsi, uBuhlungu beNtanye, i-Migraine Headaches, Ukulimala kweMidlalo, i-Sciatica Enzima, i-Scoliosis, i-Complex. Iidiski ze-Herniated, i-Fibromyalgia, iintlungu ezingapheliyo, iintlungu ezixinzelelekileyo, uLawulo loxinzelelo, uNyango lwezoNyango oluSebenzayo, kunye neeprothokholi zokunyamekela iintlungu ngokwemvelo ngokubuyisela impilo kunye nomsebenzi emzimbeni ngokusebenzisa i-Functional Medicine, i-Acupuncture, i-Electro-Acupuncture, kunye ne-Sports Medicine protocol. . Ukuba umntu ufuna olunye unyango, baya kuthunyelwa kwiklinikhi okanye ugqirha ofaneleke kakhulu kubo, njengoko uDkt Jimenez ehlangene kunye noogqirha abaphezulu, iingcali zeklinikhi, abaphandi bezonyango, kunye nabanikezeli bokubuyisela i-premier rehabilitation ukubonelela ngezona zonyango zisebenzayo. . Sijolisa koko kukusebenzelayo kwaye sizame ukwenza ngcono umzimba ngokusebenzisa iindlela zophando kunye neenkqubo zempilo epheleleyo.


UkuPhilisa okuSebenzayo


Ucaphulo

Yoo WG (2017). Iimpembelelo zokutsala ulwalathiso kwi-trapezius ephezulu kunye nomsebenzi we-rhomboid muscle. Ijenali yenzululwazi yonyango lomzimba, 29(6), 1043–1044. doi.org/10.1589/jpts.29.1043

UKim, D., Cho, M., Park, Y., & Yang, Y. (2015). Umphumo wenkqubo yokuzivocavoca yokulungiswa kwesimo kwiintlungu ze-musculoskelet. Ijenali yesayensi yonyango lomzimba, 27 (6), 1791-1794. doi.org/10.1589/jpts.27.1791

Impilo yeHarvard. (2022). Ngaba sele kusemva kwexesha ukuba ungagcina ukuma kwakho? Ukuzilolonga kunye Nokufaneleka. www.health.harvard.edu/exercise-and-fitness/is-it-too-late-to-save-your-posture

Kripa, S., Kaur, H. (2021). Ukuchonga ubudlelwane phakathi kokuma kunye neentlungu kwizigulane ezibuhlungu ezisezantsi: uphononongo olubalisayo. Ibhulethini yeFaculty yoNyango loMzimba, 26. doi.org/https://doi.org/10.1186/s43161-021-00052-w

IThala leeNcwadi leLizwe lase-US leeMvavanyo zeklinikhi. (2020). Ukomeleza kunye nokwelula umthambo wokuphucula ukuma kwentloko phambili kunye namagxa ajikelezayo. Ifunyenwe kwi clinicaltrials.gov/study/NCT04216862

Ukunciphisa i-Adductor Muscle Strain kunye nokuBandakanywa kwe-MET Therapy

Ukunciphisa i-Adductor Muscle Strain kunye nokuBandakanywa kwe-MET Therapy

Ngaba abantu bezemidlalo banokubandakanya i-MET (ubuchule be-muscle energy) unyango lokunciphisa iintlungu ezinjengeentlungu ze-adductor strain?

intshayelelo

Iziphelo ezisezantsi zomzimba zinendima ebalulekileyo njengoko zibonelela ngokuzinza kunye nokuhamba kumntu ngamnye. Iimbaleki ezininzi zisebenzisa imida yazo engezantsi ngokongeza amandla amaninzi okusebenzisa amandla okuphumelela imidlalo okanye ukhuphiswano. Izihlunu ezahlukeneyo, izicubu ezithambileyo, iiligaments, kunye namalungu anceda ukuxhasa ukwakheka kwamathambo omzimba kwaye anokoyiswa kumonzakalo wokuphindaphinda okanye iimeko zokusingqongileyo. Esinye sezihlunu ezinokuthi zichaphazeleke ngokuphindaphindiweyo ngokuphindaphindiweyo kunye nezinto ezisingqongileyo yimisipha ye-adductor, enokubangela ukuba abaninzi abagijimi babe neentlungu eziqhubekayo kwaye bachaphazele ukusebenza kwabo ngexesha lokhuphiswano. Ngethamsanqa, kukho ubuchule ukuba unyango oluninzi lunikezela ukunciphisa ubunzima be-muscle kwi-adductors kunye nokubonelela ngokukhululeka kwiindawo ezisezantsi. Inqaku lanamhlanje lijonga indlela i-adductor strain enokuthi ichaphazele ngayo abantu abaninzi, ukuba unyango lwe-MET lunokunceda njani ngoxinzelelo lwe-adductor, kunye nefuthe labo elihle kubantu bezemidlalo. Sixoxa nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya iintlungu ezinjengeentlungu ze-adductor strain kwimida ephantsi. Siyazisa kwaye sikhokela izigulane malunga nendlela unyango lwe-MET lunokunceda ngayo ukunweba kunye nokuqinisa imisipha eqinile ye-adductor ukunciphisa uxinzelelo kunye nokubonelela ngokukhululeka. Sikwakhuthaza izigulana zethu ukuba zibuze ababoneleli bezonyango abanxulumene nabo imibuzo emininzi entsonkothileyo kunye nebalulekileyo malunga nokubandakanya i-MET kunye nolunye unyango olungelulo utyando kwisicwangciso sabo sonyango lomntu ngamnye ukuze baphile impilo esempilweni. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli.

 

Ngaba I-Adductor Strain ibachaphazela njani abantu ngabanye?

Ngaba uziva uxinene emathangeni nasemilenzeni yakho emva kosuku olude emsebenzini? Ngaba ufumana ukungazinzi xa uhamba ukusuka kwenye indawo ukuya kwenye? Okanye ngaba uziva intlungu xa wolula amathanga akho abangela isiqabu sokwexeshana? Abantu abaninzi abafumana iintlungu kumazantsi abo baya kuhlala becinga ukuba ziintlungu zenyonga, kodwa izihlunu zabo ze-adductor zinentlungu. Izihlunu ze-adductor ziquka izihlunu ezintathu ezinika i-torque kwiindawo ezisezantsi ngokuzivumela ukuba zihambe ngaphakathi xa umntu ehamba kwaye uncede ukugcina imisipha ye-trunk iqinile. Ke, xa iimbaleki ezininzi ziqala ukwenza iintshukumo eziphinda-phindayo ngelixa ziqhuba, kunokubangela imiba kubadibanisi. Njengokulimala okuqhelekileyo kubadlali abaninzi, ukunyanzeliswa kwe-adductor kunokubeka uxinzelelo olugqithisileyo kwi-tendon yangempela, ekhokelela kwizinto ezingaqhelekanga ze-biomechanical ezichaphazela inkqubo ye-musculoskeletal. (Kiel & Kaiser, 2024a) Kwakhona, xa abagijimi beqala ukusebenzisa ukunyakaza okuphindaphindiweyo ngexesha lokunyuka kwevolumu okanye ubuninzi bomsebenzi woqeqesho, kunokubangela uxinzelelo kwiindawo ezisezantsi. (Kiel & Kaiser, 2024b) Oku, kunokubangela ukuba abantu abaninzi bazive ngathi bafumana iintlungu zenyonga kunye ne-groin xa, inyaniso, Ukuqhekeka koxinzelelo kwimisipha ye-adductor ebangela intlungu ye-myofascial. 

 

 

Ngoko ke, kubantu bezemidlalo abajongene noxinzelelo lwe-adductor, oogqirha abaphambili kufuneka bahlule phakathi kwe-adductor strain kunye ne-muscle strain rhoqo kwiindawo ezisezantsi, njengoko iimpawu zentlungu ngamanye amaxesha zineeprofayili ezinobungozi ezigqithisiweyo kunye neempawu zentlungu ezibuhlungu ezinxulumene neendlela ezihlukeneyo zokulimala. (McHugh et al., 2023) Oku kungenxa yokuba xa abagijimi besebenzisa ngokugqithiseleyo imisipha yabo ye-adductor, kubangela intlungu, njengoko ukulimala okuninzi ngaphakathi kwee-adductors kuhambelana nomlenze kunye nommandla we-groin. (Koscso et al., 2022) Nangona kunjalo, kukho iindlela zembaleki zokufumana isiqabu abafuna ukunciphisa i-adductor strain kwaye babuyele kwindlela yabo yesiqhelo. 

 


Amayeza okunyakaza-Ividiyo


Indlela i-MET Therapy inceda ngayo ngoxinzelelo lwe-Adductor

Kubadlali kunye nabantu abenza umsebenzi womzimba, unyango lwe-MET lunokuba yinxalenye ebalulekileyo yenkqubo yokubuyisela i-adductor strain. I-MET (ubuchule be-muscle energy) unyango, uhlobo lonyango lwe-osteopathic manipulative, lusetyenziswa ziingcali zentlungu ezifana ne-chiropractors, i-massage therapists, kunye noogqirha bezemidlalo ukunciphisa iimpawu zentlungu kwi-musculoskeletal system. Ngokusebenzisa i-musculoskelet contractions ethambileyo, elawulwayo, ezi ngcali zinokuphucula umsebenzi we-musculoskelet ngokuhlanganisa amalunga, ukunweba imisipha eqinile kunye ne-fascia, kunye nokuphucula ukujikeleza kunye nokuhamba kwe-lymphatic. (Waxenbaum et al., 2024) Iingcali ezininzi zentlungu, ezibandakanya i-chiropractors kunye nee-massage therapists, zibandakanya unyango lwe-MET kwimisebenzi yabo ngenxa yokuphumelela kwayo ekujonganeni nokungalingani kwemisipha kunye nemiba yokulungelelanisa eyenza intlungu kunye nokuhamba okulinganiselwe kwiindawo ezisezantsi. 

 

Isiphumo esihle soNyango lwe-MET

Enye yemiphumo emihle yonyango lwe-MET ye-adductor strain kukuba xa abadlali kunye nabantu ngabanye beqala ukuyisebenzisa njengenxalenye yokubuyisela kwabo, intlungu yabo iyancitshiswa, kwaye ukuhamba kwemisipha kwanda kuba kukho utshintsho kwiipropati ze-viscoelastic kwizicubu ezithambileyo. (Thomas et al., 2019) Kwimisipha ye-adductor, unyango lwe-MET lunceda:

  • Ukwandisa ubude bezihlunu kunye nokuguquguquka
  • Ukunciphisa uxinzelelo kwimisipha
  • Ukuphucula ukuhamba kwegazi kunye nokukhuthaza ukuphilisa
  • Ukuphucula umsebenzi odibeneyo

Unyango lwe-MET, xa lufakwe kwintlungu yokunciphisa i-adductor strain, lunokubeka abantu abaninzi lula njengoko lugxininisa ngokuqhubekayo ekuphumleni kwemisipha, ukwandisa, kunye nokomeleza imisipha echaphazelekayo. Unyango lwe-MET lunokudityaniswa kunye nolunye unyango kwisicwangciso sonyango lomntu siqu sokuphucula ukuhamba, khumbula oko kubangela intlungu kunye nokungahambi kakuhle emizimbeni yabo, kwaye baphile ubomi obunempilo. 

 


Ucaphulo

Kiel, J., & Kaiser, K. (2024a). Uxinzelelo lweAdductor. Kwi StatPearls. www.ncbi.nlm.nih.gov/pubmed/29630218

Kiel, J., & Kaiser, K. (2024b). Ukusabela koxinzelelo kunye nokuqhekeka. Kwi StatPearls. www.ncbi.nlm.nih.gov/pubmed/29939612

Koscso, JM, McElheny, K., Carr, JB, 2nd, & Hippensteel, KJ (2022). Ukulimala kwezihlunu ezisezantsi kwi-Athlete ye-Overhead. Curr Rev Musculoskelet Med, 15(6), 500-512. doi.org/10.1007/s12178-022-09786-z

McHugh, MP, Nicholas, SJ, & Tyler, TF (2023). Uxinzelelo lweAdductor kwiimbaleki. I-Int J yezeMidlalo yoNyango, 18(2), 288-292. doi.org/10.26603/001c.72626

Thomas, E., Cavallaro, AR, Mani, D., Bianco, A., & Palma, A. (2019). Ukusebenza kweendlela zamandla e-muscle kwizifundo ezinempawu kunye ne-asymptomatic: ukuphononongwa ngokuchanekileyo. Unyango lweChiropr lomntu, 27, 35. doi.org/10.1186/s12998-019-0258-7

Waxenbaum, JA, Woo, MJ, & Lu, M. (2024). IPhysiology, Amandla eZihlunu. Kwi StatPearls. www.ncbi.nlm.nih.gov/pubmed/32644455

 

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