I-Hip Pain kunye nokuphazamiseka
Iqela leKlinikhi eNgemva leeNzululwazi zeHip kunye neZiphazamiso. Ezi ntlobo zokuphazamiseka zizikhalazo eziqhelekileyo ezinokubangelwa ziingxaki ezahlukeneyo. Indawo echanekileyo yentlungu yakho ye-hip inokunika ulwazi oluninzi malunga nesizathu esibangela. I-hip joint ngokwayo ithambekele ekubangeleni intlungu ngaphakathi kwe-hip okanye indawo ye-groin. Ubuhlungu obungaphandle, ithanga eliphezulu, okanye i-buttock yangaphandle ngokuqhelekileyo ibangelwa izifo / iingxaki kunye nemisipha, iigaments, i-tendon, kunye nezicubu ezithambileyo ezijikeleze i-hip joint. Iintlungu ze-Hip zinokubangelwa zizifo kunye neemeko kwezinye iindawo zomzimba wakho, oko kukuthi kumqolo ongezantsi. Into yokuqala kukuchonga apho intlungu ivela khona.
Eyona nto ibalulekileyo yokwahlula kukufumanisa ukuba i-hip yimbangela yentlungu. Xa iintlungu ze-hip zivela kwimisipha, i-tendon, okanye ukulimala kwe-ligament, ngokuqhelekileyo ivela ekusebenziseni ngokugqithiseleyo okanye Ukuphindaphinda Ukulimala (RSI) . Oku kuvela ekusebenziseni ngokugqithisileyo izihlunu zenyonga emzimbeni okt iliopsoas tendinitis. Oku kunokuvela kwi-tendon kunye ne-ligament irritations, edla ngokubandakanyeka kwi-snapping hip syndrome. Inokuvela ngaphakathi kwilungu elibonakalisa ngakumbi i-hip osteoarthritis. Nganye kwezi ntlobo zentlungu iziveza ngeendlela ezahlukileyo, nto leyo ke ngoko eyeyona nxalenye ibalulekileyo ekuxilongeni ukuba yintoni unobangela.
by UGqr Alex Jimenez I-Hip Pain kunye nokuphazamiseka , Ukulimala kwezemidlalo
Iimbaleki kunye nabantu abakhutheleyo ngokomzimba abathatha inxaxheba kwimisebenzi, ukuzivocavoca, kunye nemidlalo ebandakanya ukukhaba, ukujikeleza, kunye / okanye ukuguqula izikhombisi-ndlela banokuhlakulela ukulimala kwe-pelvis ngokugqithiseleyo kwe-pubic symphysis / i-joint phambi kwe-pelvis eyaziwa ngokuba yi-osteitis pubis. Ngaba ukuqaphela iimpawu kunye nezizathu uncedo kunyango kunye nokuthintela?
I-Osteitis Pubis Ukwenzakala
I-Osteitis pubis kukudumba kwelungu elidibanisa amathambo e-pelvic, okubizwa ngokuba yi-pelvic symphysis, kunye nezakhiwo ezijikelezayo. I-pubic symphysis lilungu eliphambi nangaphantsi kwesinyi. Ibamba amacala amabini e-pelvis kunye ngaphambili. I-pubis symphysis inentshukumo encinci kakhulu, kodwa xa uxinzelelo olungaqhelekanga okanye oluqhubekayo lubekwe kwindawo edibeneyo, i-groin kunye neentlungu ze-pelvic zinokubonakala. Ukulimala kwe-osteitis pubis kukulimala okuqhelekileyo okuxhaphakileyo kubantu abasebenzayo kunye nabadlali kodwa kunokwenzeka ngenxa yokwenzakala ngokomzimba, ukukhulelwa kunye / okanye ukuzala.
iimpawu
Olona phawu luxhaphakileyo ziintlungu kumphambili we-pelvis. Intlungu idla ngokuvakala embindini, kodwa elinye icala linokuba buhlungu ngakumbi kunelinye. Iintlungu zikholisa ukuphuma/zinwenwela ngaphandle. Ezinye iimpawu kunye neempawu ziquka: (UPatrick Gomella, uPatrick Mufarrij. 2017 )
Iintlungu ezisezantsi zesisu kumbindi we-pelvis
Ukukhawulela
Ubuthathaka be-Hip kunye / okanye umlenze
Unzima ukunyuka izitebhisi
Iintlungu xa uhamba, ubaleka, kunye/okanye utshintsha ulwalathiso
Ukucofa okanye ukuphuma kwezandi ngokushukuma okanye xa ushukuma umkhomba-ndlela
Iintlungu xa ulele phantsi ngecala
Iintlungu xa uthimla okanye ukhohlela
I-Osteitis pubis inokudideka kunye nezinye iingozi, kubandakanywa i-groin strain / groin pull, i-hernia inguinal ngqo, i-neuralgia ye-ilioinguinal, okanye i-pelvic stress fracture.
Izizathu
Ukulimala kwe-osteitis pubis ngokuqhelekileyo kwenzeka xa i-symphysis edibeneyo ibonakaliswe ngokugqithiseleyo, ukuqhubeka, ukunyanzeliswa kolwalathiso kunye nokusetyenziswa ngokugqithiseleyo kwemisipha ye-hip kunye nomlenze. Izizathu ziquka: (UPatrick Gomella, uPatrick Mufarrij. 2017 )
Imidlalo yemidlalo
Ukusebenzisa
Ukukhulelwa kunye nokuzalwa komntwana
Ukwenzakala kwePelvic njengokuwa kakhulu
Ukuqondwa
Ukulimala kufunyenwe ngokusekelwe kuvavanyo lomzimba kunye neemvavanyo zokucinga. Ezinye iimvavanyo zingasetyenziselwa ukulawula ezinye izizathu ezinokwenzeka.
Uvavanyo lomzimba luya kubandakanya ukuguqulwa kwe-hip ukubeka uxinzelelo kwi-rectus abdominis trunk muscle kunye namaqela e-adductor emathangeni.
Ubuhlungu ngexesha lokukhwabanisa luphawu oluqhelekileyo lwemeko.
Abantu ngabanye banokucelwa ukuba bahambe ukuze bajonge izitenxo kwiipatheni zokuhamba okanye babone ukuba iimpawu zenzeka ngeentshukumo ezithile.
Ii-X-reyi ziya kubonakalisa izitenxo ezidityanisiweyo kunye nesifo sokuqina kwemithambo-luvo/ukujiya kwe-pubic symphysis.
I-Magnetic resonance imaging - I-MRI inokubonakalisa ukuvutha kwamathambo okuhlangeneyo kunye nokujikelezayo.
Ezinye iimeko aziyi kubonisa zimpawu zokulimala kwi-X-ray okanye i-MRI.
impatho
Unyango olusebenzayo lunokuthatha iinyanga ezininzi okanye ngaphezulu. Ngenxa yokuba ukudumba kungoyena nobangela weempawu, unyango luya kubandakanya: (UTricia Beatty. 2012 )
Ukuphumla
Ivumela ukudumba okuqatha kuthobe.
Ngexesha lokubuyisela, ukulala phantsi ngasemva kunokucetyiswa ukunciphisa intlungu.
Izicelo zoMkhenkce kunye noBushushu
Iipaki zeqhwa zinceda ukunciphisa ukuvuvukala.
Ubushushu bunceda ukuthomalalisa iintlungu emva kokudumba kokuqala kwehlile.
Ulungiso lwenyama
Anti-ukudumba Amayeza
I-over-the-counter nonsteroidal anti-inflammatory medication - ii-NSAID ezifana ne-ibuprofen kunye ne-naproxen zinokunciphisa intlungu kunye nokuvutha.
Izixhobo zokuhamba ezincedisayo
Ukuba iimpawu zinzima, iintonga okanye intonga inokucetyiswa ukunciphisa uxinzelelo i-pelvis .
ICortisone
Kubekho iinzame zokunyanga imeko ngeenaliti ze-cortisone, kodwa ubungqina obuxhasa ukusetyenziswa kwayo bulinganiselwe kwaye bufuna uphando olongezelelweyo. (U-Alessio Giai Via, et al., 2019 )
Prognosis
Nje ukuba ufunyaniswe, i-prognosis yokuchacha ngokupheleleyo ilungile kodwa inokuthatha ixesha. Abanye abantu kunokuthatha iinyanga ezintandathu nangaphezulu ukubuyela kwinqanaba lokwenzakala kwangaphambili, kodwa uninzi lubuyela malunga neenyanga ezintathu. Ukuba unyango olulondolozayo luyasilela ukunika isiqabu emva kweenyanga ezintandathu, utyando lunokucetyiswa. (UMichael Dirkx, uChristopher Vitale. 2023 )
Ukulimala kwezemidlalo Ukubuyiswa
VIDEO
Ucaphulo
Gomella, P., & Mufarrij, P. (2017). I-Osteitis pubis: Unobangela onqabileyo weentlungu ze-suprapubic. Uphononongo kwi-urology, i-19 (3), i-156-163. doi.org/10.3909/riu0767
UBeatty T. (2012). I-Osteitis pubis kwiimbaleki. Iingxelo zangoku zamayeza ezemidlalo, i-11 (2), i-96-98. doi.org/10.1249/JSR.0b013e318249c32b
Via, AG, Frizziero, A., Finotti, P., Oliva, F., Randelli, F., & Maffulli, N. (2018). Ukulawulwa kwe-osteitis pubis kubadlali: ukuvuselelwa kunye nokubuyela kuqeqesho - ukuphononongwa kweencwadi zamva nje. Vula ukufikelela kwijenali yamayeza ezemidlalo, 10, 1–10. doi.org/10.2147/OAJSM.S155077
Dirkx M, Vitale C. Osteitis Pubis. [Ihlaziywe 2022 Dec 11]. Ku: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Ifumaneka kwi: www.ncbi.nlm.nih.gov/books/NBK556168/
by UGqr Alex Jimenez I-Hip Pain kunye nokuphazamiseka , Ubuhlungu Bokubuyisela , I-Viscerosomatic Reflex
Kwabasetyhini abafumana iintlungu ezisezantsi kunye neentlungu ze-pelvic, ngaba ukuqonda iimpawu kunokunceda kwinkqubo yokuxilonga, ukhetho lonyango kunye nokuthintela?
Umqolo osezantsi kunye neentlungu zePelvic kubasetyhini
Kwabasetyhini, iintlungu ezisezantsi kunye ne-hip eziphuma kwindawo ye-pelvis yangaphambili zinokuba nezizathu ezahlukeneyo. Intlungu inokuba buthathaka, ibukhali, okanye iyatshisa. Izizathu eziphambili zentlungu ephantsi kunye neentlungu ze-pelvic kubasetyhini ziwela kwiindidi ezimbini. (UWilliam S. Richardson, et al., 2009 )
Inkqubo ye-musculoskeletal kunye ne-nervous system
Izizathu ezinxulumeneyo zentlungu zichaphazela indlela izihlunu, imithambo-luvo, iiligaments, amalungu kunye namathambo ahamba ngayo.
Imizekelo ibandakanya i-sciatica, i-arthritis, kunye nokulimala.
Enye i-organ system-based
Izizathu zinokuvela koku kulandelayo:
Iimeko ezibukhali/ezingapheliyo okanye usulelo
Izintso - amatye, usulelo, kunye nezinye izifo okanye iimeko.
Inkqubo yokuzala - njengama-ovari.
Inkqubo yesisu - i-inguinal hernias okanye i-appendix.
I-Musculoskeletal kunye neNervous System yeMbangela
Izizathu ezinxulumene ne-musculoskeletal kunye ne-nervous system-neva zinokuba kukwenzakala okufana nokuwa okanye ukuziqhelanisa nokuma okungenampilo.
Ukusetyenziswa Ngokugqithisileyo Ukwenzakala kunye Nokwenzakala
Ukusetyenziswa rhoqo kunye nokunyakaza okuphindaphindiweyo kunokukhokelela ekulimazeni ngokugqithiseleyo kwimisipha, iigaments, kunye namalungu. :
Ukuzivocavoca, imidlalo, kunye nemisebenzi yomzimba efuna ukuphindaphinda nokugoba.
Ukuphakamisa, ukuthwala, kunye nokubeka izinto ezifuna iintshukumo eziphindaphindiweyo rhoqo.
Ukwenzakala ngenxa yokungqubana kwemoto, iingozi, ukuwa, okanye iingozi zemidlalo zinokubangela ukwenzakala okuqatha nokungapheliyo emzimbeni, okufana nemisipha ekrunekileyo okanye amathambo aphukileyo.
Ngokuxhomekeke kuhlobo lwentlungu, ukuphilisa kunye nexesha lokubuyisela kunye nonyango luyahluka.
Zombini iintlobo zokulimala zingakhokelela ekuxubeni, ukubetha, intlungu, ukuqina, ukuvakala, kunye / okanye ubuthathaka emilenzeni.
Iingxaki zokuhamba
Ngokuhamba kwexesha, uluhlu oluncitshisiweyo lokunyakaza kunye nokuhamba kwimisipha kunye namalungu kunokubangela ukungahambi kakuhle kunye nentlungu. Oonobangela ziquka:
Ixesha elide elichithwe kwindawo efanayo.
Ukuhlala ixesha elide.
Intlungu isoloko ivakala ithambile, ibuhlungu kwaye iqinile.
Kwakhona kunokukhokelela kwi-spasms ye-muscle ebonakaliswe ngokukhawuleza kweentlungu ezibukhali kunye nezibuhlungu.
Iimpawu
Ukuma ngelixa uhleli, umile, kwaye uhamba uchaphazela uluhlu lokunyakaza komzimba.
Inokuchaphazela imithambo-luvo kunye nokujikeleza kwegazi kumqolo kunye nommandla we-pelvic.
Ukuma okungahambi kakuhle ixesha elide kunokufaka isandla kwiintlungu ezisezantsi kunye noxinzelelo lwemisipha.
Iimpawu ezinxulumene ne-posture zinokuziva zibuhlungu kwaye zinzima kwaye zikhokelela kwiintlungu ezikhawulezayo zentlungu enzima okanye enzima, kuxhomekeke kwindawo.
Sciatica kunye neNerve Compression
I-disc ye-vertebral bulging okanye i-herniating idla ngokubangela i-sciatica kunye ne-pinched or compressed nerves.
Ukuziva kunokuba bukhali, ukutshisa, umbane, kunye / okanye iintlungu ezikhuphayo ecaleni kwendlela yemithambo-luvo.
Arthritis
Ukuvuvukala kweArthritis kubangela ukudumba, ukuqina, iintlungu, kunye nokuqhekeka kwe-cartilage ekhusela amalungu.
I-arthritis ye-Hip ibangela intlungu ye-groin enokuthi ikhuphe ngasemva kwaye ibe qatha ngakumbi xa umile okanye uhamba.
I-Thoracic kunye ne-lumbar spine arthritis, okanye isifo se-disc degenerative, zezinye izizathu eziqhelekileyo zentlungu emva.
I-Sacroiliac Joint Dysfunction
Amalungu e-sacroiliac adibanisa umqolo ophantsi kunye ne-pelvis.Daisuke Kurosawa, Eiichi Murakami, Toshimi Aizawa. 2017 )
Izintso kunye ne-Urinary Iimbangela
Iintsimbi zeeNtliziyo
Amatye ezintso kukudityaniswa kweeminerali kunye neetyuwa, ezithi zibe ngamatye aqinileyo ezintso.
Xa ilitye leentso liqala ukuhamba kwi-bladder, iimpawu zentlungu ziya kubakho.
Inokubangela iintlungu ezibuhlungu zomqolo kunye necala eliphuma kwindawo ye-pelvic.
Ezinye iimpawu ziquka - ukutshintsha kombala womchamo, intlungu xa uchama, isicaphucaphu, kunye nokuhlanza.
Usulelo lwezintso kunye nezifo ze-Urinary Tract
Usulelo lwe-Urinary kunye nosulelo lwezintso zikwangunobangela wentlungu esezantsi kunye ne-pelvic kubasetyhini.
Babangela umkhuhlane, umnqweno oqhubekayo wokuchama, kunye nokuchama okubuhlungu.
Iimbangela zeGynecological
Isifo sePelvic Inflammatory
Usulelo, olwaziwa ngokuba sisifo sokudumba kwe-pelvic, kwenzeka xa iibhaktheriya ezosulela ngesondo zisasazeka kwilungu lobufazi, isibeleko, iityhubhu ze-fallopian, okanye ii-ovari. Iimpawu ziquka:
Iintlungu ngexesha lokwabelana ngesondo.
Ukopha phakathi kwexesha.
Ukuphuma kwilungu lobufazi.
Intlungu ezantsi kwesisu okanye kwi-groin.
Ifiva.
Ama-Ovarian Cysts
I-cyst ingaba yingxowa eqinileyo okanye ezaliswe ngamanzi phezu komhlaba okanye ngaphakathi kwe-ovary.
Ama-ovarian cysts amancinci akunakwenzeka ukuba abangele intlungu.
Amaqhakuva amakhulu okanye ezo zigqabhukileyo zinokubangela iintlungu ezisezantsi ukuya kweziqatha.
Intlungu ingenzeka ngexesha lokuya esikhathini okanye ukulala ngesondo kwaye ibonakale ngokukhawuleza kumqolo, i-pelvis, okanye isisu esisezantsi.
Ngexesha lokukhulelwa
Ubuhlungu obungasemva kunye nokukhathazeka kwindawo ye-pelvis ziqhelekileyo.
Njengoko umzimba ulungelelanisa, amathambo kunye neentambo ezijikelezayo kwi-pelvis zihamba kwaye zolule, ezinokubangela ukungahambi kakuhle.
Iimpawu zesiqhelo ziqhelekile kodwa kufuneka kuxoxwe ngazo nomboneleli wezempilo ngexesha lovavanyo.
Ubuhlungu kwi-back back and groin ingaba ngumqondiso wokuphuphuma kwesisu okanye ukuzala - kubandakanywa nokusebenza kwangaphambili.
Ukosuleleka ngokwabelana ngesondo
Izifo ezosulela ngokwabelana ngesondo, njenge-chlamydia okanye i-gonorrhea, zinokubangela iintlungu ezisezantsi kunye ne-groin.
Ezinye iimpawu zinokubandakanya - ukuchama okubuhlungu, ukukhutshwa kwelungu lobufazi, iintlungu zokwabelana ngesondo, kunye nokopha phakathi kwexesha.
Isifo segwele
Usulelo lwegwele - ukugqithiswa kwefungus candidiasis.
Usulelo oluqhelekileyo kwilungu lobufazi elineempawu eziquka - ukurhawuzelelwa, ukudumba, ukucaphuka, kunye neentlungu ze-pelvic.
Ezinye izizathu
I-Appendicitis
Xa i-appendix ivalekile, yosuleleka, kwaye idumbe.
Kwiimeko ezininzi, uphawu oluphambili yintlungu eqala kufutshane okanye ejikeleze iqhosha lesisu.
Kwezinye iimeko, inokuqala kumqolo osezantsi kwaye ikhanyise kwicala lasekunene lendawo ye-pelvic. (Johns Hopkins Medicine. 2023 )
Iintlungu ezinxulunyaniswayo zinokuba mandundu ngokuhamba kwexesha okanye xa ukhohlela, ushukuma, okanye uphefumla kakhulu.
Ezinye iimpawu ziquka:
Isisu esimoshakele
I sizathu
Ukuvutha
Ukuphelelwa kwesidlo
Fever
IChills
Ukuhamba kwamathumbu okungaqhelekanga - ukuqhina kunye/okanye urhudo. (Johns Hopkins Medicine. 2023 )
I-Inguinal Hernia
I-groin hernia ibhekiswa kwi-inguinal hernia.
Ibandakanya izicubu ezithambileyo kunye nenxalenye yamathumbu, ukutyhala ngezihlunu ezibuthathaka ze-groin.
Intlungu ibonakala kwisisu, ezantsi, okanye kwi-pelvis, ngakumbi xa ugoba okanye uphakamisa izinto.
Pancreatitis
Ukuvuvukala kwi-pancreas.
Usulelo, amatye enyongo, okanye utywala bunokubangela.
Olunye uphawu ziintlungu zesisu eziphuma ngasemva.
Iintlungu ziba mbi kakhulu ngexesha nasemva kokutya.
Ezinye iimpawu ziquka isicaphucaphu, ukuhlanza, nomkhuhlane.
Ukwandiswa kwee-lymph nodes
I-lymph nodes ilala kwimimandla yangaphakathi nangaphandle ye-iliac artery kwi-pelvis.
Ezi zinokwandiswa lusulelo, ukwenzakala, kwaye, kwiimeko ezinqabileyo, nomhlaza.
Iimpawu ziquka intlungu, ukudumba, ukubabomvu, ukucaphuka kwesikhumba kunye nomkhuhlane.
Udakada olwandisiweyo
Udakada lubekwe emva kwecala lasekhohlo leembambo.
Ihluza igazi kwaye ixhase ukudalwa kweeseli zegazi ezintsha.
Usulelo kunye nezifo zinokubangela ukwanda kwe-spleen.
I-spleen eyandisiweyo - imeko eyaziwa ngokuba yi-splenomegaly - ibangela intlungu kwindawo ephezulu ekhohlo yesisu kwaye ngamanye amaxesha ihlombe lasekhohlo kunye nomqolo ongaphezulu.
Nangona kunjalo, abanye abantu abane-spleen eyandisiweyo bafumana iimpawu zesisu-ukungakwazi ukutya ngaphandle kokuphatheka kakubi. (iNtaba yeSinayi. 2023 )
Ukuqondwa
Ngokuxhomekeke kwisizathu sentlungu yakho, umboneleli wezempilo unokukwazi ukuxilonga ngokuhlolwa komzimba kunye nokubuza imibuzo malunga nemeko yakho.
Ezinye iimvavanyo zinokufuneka ukufumana unobangela, ngakumbi umsebenzi wegazi kunye nokwenziwa kwemifanekiso (i-X-reyi okanye i-magnetic resonance imaging).
impatho
Unyango lweempawu luxhomekeke kunobangela.
Nje ukuba uxilongo lwenziwe, isicwangciso sonyango esisebenzayo siya kuphuhliswa kwaye siqulathe indibaniselwano yonyango:
Uhlengahlengiso kwindlela yokuphila
Ngomonzakalo obangelwa zizihlunu zemisipha, i-sprains edibeneyo, ukusetyenziswa ngokugqithisileyo, kunye neentlungu ezincinci, iintlungu zinokusonjululwa:
Ukuphumla
Unyango lomkhenkce
I-over-the-counter relievers yeentlungu - i-acetaminophen okanye ibuprofen.
Iibraces okanye i-compress wraps inokunceda ukuxhasa umzimba kunye nokunciphisa iimpawu ngexesha lokuphilisa kunye nokubuyisela.
Imithambo yokuphucula ukuma
Ukunikela ingqalelo kwifom xa uphakamisa izinto
Ukuzolula kunokunceda ukuthomalalisa iintlungu.
Amachiza
Amayeza angasetyenziswa ngeendlela ezahlukeneyo zokunceda kunyango lweentlungu ezisezantsi kunye ne-pelvic. Ukuba usulelo ngunobangela, amayeza aya kumiselwa ukususa usulelo kunye nokusombulula iimpawu, ezinokubandakanya:
Antibiotics
Antifungals
Izinto zokulwa neentsholongwane
Amayeza anokumiselwa ukunceda ukulawula iimpawu zentlungu kwaye angabandakanya:
Amayeza okuphelisa iintlungu zemithambo-luvo
Ukuzihlaziya kwemizimba
Steroids
Ulungiso lwenyama
Ugqirha womzimba unokunceda ukulungisa iingxaki:
Iimpawu
Ukuhamba kunciphile
Ukuhambahamba
Ukuqiniswa
Umgulana womzimba uya kubonelela ngokuzivocavoca ukunceda ukwandisa nokugcina amandla, uluhlu lokunyakaza, kunye nokuguquguquka.
Unyango loMgangatho wePelvic
Olu lunyango lomzimba olujolise kwiimisipha, iigaments, kunye nezicubu ezidibeneyo kwi-pelvis.
Inceda ngeentlungu, ubuthathaka, kunye nokungasebenzi kakuhle kwindawo ye-pelvic.
Isicwangciso sonyango siya kuphuhliswa ukunceda ngamandla kunye noluhlu lwentshukumo kwi izihlunu zangasese .
Ukhathalelo lweChiropractic
Ukuhlinzwa
Ezinye iimeko ezinzima ngakumbi zinokufuna utyando.
I-Ovarian cysts, hernias, kunye nezinye izifo ngamanye amaxesha zifuna utyando ukuze kususwe izicubu ezosulelekileyo okanye ezingenampilo - i-cysts ovarian cysts okanye i-appendicitis.
Utyando olucetyiswayo lunokubandakanya:
Ukulungiswa kwe-hernia.
Ukutshintshwa kwe-Hip.
Ukususwa kwe-gallbladder ukukhusela i-pancreatitis ephindaphindiweyo.
uthintelo
Ayizizo zonke iimeko kunye nezifo ezibangela iintlungu ezisezantsi kunye ne-pelvic. Iimpawu zinokuthintelwa kwaye zincitshiswe ngokwamkela utshintsho kwindlela yokuphila. Izindululo zothintelo zinokubandakanya:
Ukuhlala hydrated.
Ukusebenzisa iindlela ezifanelekileyo zokugoba kunye nokuphakamisa.
Ukutya ukutya okunempilo.
Ukuzibandakanya rhoqo kuhlobo oluthile lomsebenzi womzimba - ukuhamba, ukuqubha, i-yoga, ukukhwela ibhayisekile, okanye ukuqeqeshwa kwamandla.
Ukugcina ubunzima obusempilweni.
Ukukhulelwa kunye ne-Sciatica
VIDEO
Ucaphulo
Richardson, WS, Jones, DG, Winters, JC, & McQueen, MA (2009). Unyango lweentlungu ze-inguinal. Ijenali ye-Ochsner, 9(1), 11–13.
Kurosawa, D., Murakami, E., & Aizawa, T. (2017). Iintlungu ze-groin ezinxulumene nokungasebenzi kakuhle kwe-sacroiliac kunye nokuphazamiseka kwe-lumbar. I-neurology yeklinikhi kunye ne-neurosurgery, i-161, i-104-109. doi.org/10.1016/j.clineuro.2017.08.018
Johns Hopkins Medicine. I-Appendicitis .
INtaba yeSinayi. I-Splenomegaly .
Santilli, V., Beghi, E., & Finucci, S. (2006). Ukuguqulwa kweChiropractic kunyango lweentlungu ezibuhlungu ezibuhlungu kunye ne-sciatica kunye ne-disc protrusion: uvavanyo lwekliniki olungabonakaliyo oluphindwe kabini olusebenzayo kunye nokulinganisa ukunyanzeliswa komgudu. Ijenali yomqolo : ijenali esemthethweni yeNorth American Spine Society, 6 (2), 131-137. doi.org/10.1016/j.spinee.2005.08.001
by UGqr Alex Jimenez Ukulimala koluhlu , I-Hip Pain kunye nokuphazamiseka
Abantu abakhathazwa yinyonga, ithanga, kunye/okanye iintlungu zethanga banokuba nengxaki ye-iliopsoas syndrome. Ngaba ukwazi iimpawu noonobangela kunokunceda ekuxinweni nasekunyangweni?
I-Iliopsoas Syndrome
I-Iliopsoas syndrome ibandakanya iimeko ezininzi ezichaphazela i-hip muscle yangaphakathi kwaye ingabangela intlungu ye-hip kunye nethanga. Isihlunu sinceda ukugobela umlenze ukuya emzimbeni.
Imeko idla ngokubangelwa kukulimala ngokugqithisileyo kwaye ichaphazela ngokuqhelekileyo abantu abenza ukunyakaza kwe-hip ngokuphindaphindiweyo, njengabahamba ngebhayisikili, abavocavoca, abadanisi, abagijimi kunye nabadlali bebhola. (ULiran Lifshitz, et al., 2020 )
Eli gama lihlala lisetyenziswa ngokungafaniyo kunye ne-psoas syndrome, iliopsoas tendonitis, i-snapping hip syndrome, kunye ne-iliopsoas bursitis. Nangona kunjalo, kukho ukungafani kweklinikhi.
iimpawu
Iimpawu ziquka: (Umbutho waseMelika wooGqirha beHip kunye neKnee . 2020)
Ubumnene kwindawo ye-hip kunye ne-groin.
I-Hip okanye i-groin yokucofa okanye i-snapping enokuthi iviwe kunye / okanye ivakalelwe ngexesha lokunyakaza.
Ubuhlungu kunye / okanye ukuqina kwindawo ye-hip kunye nethanga.
Iintlungu ezibuhlungu xa ugoba i-hip - ukuhamba, ukunyuka izitebhisi, ukukhwela, ukuhlala.
Iintshukumo ezibandakanya ukuzisa idolo ngasesifubeni zingenza intlungu ibe mandundu.
Izizathu
Izihlunu ze-iliopsoas zizihlunu ze-hip phambi kwe-hip. Zenziwe nge i-psoas enkulu, i-psoas minor, kunye ne-iliacus . Iingxowa ezincinci, ezizaliswe ngamanzi / ii-bursae zingaphakathi kwe-hip joint phakathi kwamathambo kunye nezicubu ezithambileyo. I-bursae inciphisa ukungqubuzana kwaye inike i-cushioning ukunceda i-tendon, izihlunu kunye nezinye izakhiwo zihamba kakuhle phezu kwamathambo.
Iliopsoas bursitis kwenzeka xa i i-bursa, ephakathi kwe-iliopsoas tendon kunye nengaphakathi le-hip joint, iyavutha kwaye icaphuke.
Iliopsoas tendonitis/hip tendonitis yenzeka xa intambo encamathisela ithambo lethanga kwisihlunu iliopsoas uyadumba kwaye uyacaphuka.
I-Iliopsoas bursitis kunye ne-tendonitis zikholisa ukubangelwa kukwenzakala ngokugqithisileyo kunye nemisebenzi eqatha efana nokukhwela ibhayisekile, ukubaleka, ukubheqa, okanye uqeqesho lwamandla.
Ukuqondwa
Ababoneleli bezempilo banokufumanisa i-iliopsoas syndrome esekelwe kwimbali yeempawu kunye nokuhlolwa kwe-hip.
Iimvavanyo zokucinga - i-MRI kunye ne-X-rays ingasetyenziselwa ukulawula ezinye iingozi okanye iimeko ezinjengeenyembezi zemisipha. (UPaul Walker, et al., 2021 )
impatho
Uninzi lweemeko ezincinci ze-hip bursitis kunye ne-hip tendonitis zingalawulwa ngokusebenzisa indlela ye-RICE (Umbutho waseMelika wooGqirha bamathambo. 2020 )
Ukuphumla
Gwema ukubeka ubunzima kwi-hip iintsuku ezimbalwa emva kokulimala.
umkhenkce
Faka umkhenkce ngokukhawuleza emva kokulimala ukuzisa ukudumba.
Sebenzisa ipakethe ebandayo imizuzu engama-20 ngexesha, amaxesha amaninzi ngosuku.
Musa ukusebenzisa umkhenkce ngokuthe ngqo esikhumbeni.
Ukunyanzeliswa
Yisonge indawo ngebhandeji elithambileyo okanye usebenzise iibhulukhwe ezimfutshane zokucinezela ukuthintela ukudumba okungaphezulu.
Ukuphakama
Ukuphumla rhoqo kangangoko kunokwenzeka ngomlenze ophakanyiswe phezulu kunentliziyo.
Unyango loNyango
Amachiza angeyo-steroidal achasene nokudumba njenge-ibuprofen kunye ne-naproxen sodium anokuphelisa iintlungu kwaye anciphise ukudumba. (UPaul Walker, et al., 2021 )
Iinaliti zeSteroid zingasetyenziswa ukuba iimpawu ziyaqhubeka okanye zibuye nenaliti ezongezelelweyo zifakwe njengoko kuyimfuneko. (UPaul Walker, et al., 2021 )
Emva kokuba intlungu kunye nokudumba kuphelile, ulungiso lwenyama kunokucetyiswa, kunye nokuzivocavoca kancinci ukuphucula amandla e-hip kunye nokuguquguquka. (UPaul Walker, et al., 2021 )
Umboneleli wezempilo unokuncoma utyando kwiimeko ezinzima apho iintlungu ziqhubeka, kwaye unyango olugcinayo aluboneleli ngokwaneleyo.
Nangona kunjalo, oku kunqabile ngenxa yobuthathaka bezihlunu kunye nemingcipheko yokulimala kwemithambo-luvo. (UPaul Walker, et al., 2021 )
Iinyembezi zeHip Labral - Unyango lweChiropractic
VIDEO
Ucaphulo
Lifshitz, L., Bar Sela, S., Gal, N., Martin, R., & Fleitman Klar, M. (2020). I-Iliopsoas i-Muscle efihliweyo: i-Anatomy, i-Diagnostic, kunye noNyango. Iingxelo zangoku zonyango lwezemidlalo, i-19 (6), i-235-243. doi.org/10.1249/JSR.0000000000000723
Umbutho waseMelika wooGqirha beHip kunye neKnee. Iliopsoas tendonitis/bursitis .
Walker, P., Ellis, E., Scofield, J., Kongchum, T., Sherman, WF, & Kaye, AD (2021). Snapping Hip Syndrome: Uhlaziyo oluBanzi. Uphononongo lwe-Orthopedic, i-13 (2), i-25088. doi.org/10.52965/001c.25088
Umbutho waseMelika wooGqirha bamathambo. OrthoInfo. Iintlobo ze-Hip .
by UGqr Alex Jimenez Chiropractic , Ubuhlungu obungapheliyo , I-Hip Pain kunye nokuphazamiseka , Unyango lokuthotywa koMnqonqo , Unyango , I-Viscerosomatic Reflex
Kubantu abaneentlungu ze-pelvic, iindlela zonyango ze-MET zinciphisa njani ubuthathaka bemisipha kummandla we-hip?
intshayelelo
Umsebenzi oyintloko we-pelvis kukuqinisekisa ukuba ubunzima bomzimba womntu busasazwa ngokulinganayo kwintshukumo yemihla ngemihla ngaphakathi komzimba ophezulu nangaphantsi. Ngelo xesha, izihlunu ezingundoqo, iigaments, kunye namalungu ajikeleze i-skeletal structure ye-pelvis, enika umsebenzi oqhelekileyo ngelixa ikhusela iinkqubo zelungu elibalulekileyo ngaphakathi kwingingqi ye-pelvic. Xa izinto eziqhelekileyo okanye ezothusayo ziqala ukuchaphazela indawo ye-pelvic yomzimba, abantu abaninzi bahlala bephosisa iintlungu ngenxa yeentlungu ezisezantsi, kwaye izihlunu eziphambili ezijikeleze ithambo le-pelvic zinokubuthathaka kwaye zikhokelele kwiintlungu ze-pelvic. Kwangaxeshanye, izinto eziqhelekileyo ezifana nokuma okungafanelekanga kunokubangela ukuthambeka kwe-pelvic yangaphambili kwaye kuphuhlisele kwezinye iziphazamiso ze-musculoskeletal ezineprofayili ezibalekayo zomngcipheko. Xa intlungu ye-pelvic ichaphazela iziphelo ezisezantsi, inokukhokelela kwimiba yokuzala enokubangela uxinzelelo olungakumbi kumntu. Ngethamsanqa, abantu abaninzi bakhetha unyango olungelulo utyando lokunciphisa iintlungu ze-pelvic kunye nemeko ye-musculoskelet ehambelana nayo ngokomeleza izihlunu eziphambili ezibuthathaka kunye nokunciphisa ubuthathaka bemisipha. Inqaku lanamhlanje livavanya ukuba iimpawu zentlungu ezibhekiswayo zichaphazela njani i-pelvis kunye nendlela unyango olungasebenzisi utyando olufana nonyango lwe-MET lunokunciphisa ubuthathaka bemisipha obuhambelana neentlungu ze-pelvic. Ukongezelela, sinxibelelana nababoneleli bezonyango abaqinisekisiweyo ababandakanya ulwazi lwesigulane sethu ukunciphisa ubuthathaka bemisipha ehambelana neentlungu ze-pelvic. Siyabazisa kwakhona ukuba unyango lwe-MET lunokunceda ukunciphisa iimpawu ezifana neentlungu ezibhekiselele kwiintlungu ze-pelvic. Sikhuthaza abaguli bethu ukuba babuze imibuzo emangalisayo yemfundo kubaboneleli bethu bezonyango ezinxulumeneyo malunga neentlungu zabo ze-pelvic. UDkt Jimenez, DC, udibanisa le ngcaciso njengenkonzo yemfundo. isikhanyeli
Iimpawu zePain eziQinisekileyo ezichaphazela iPelvis
Ngaba uye waqaphela ukuba uthatha uhambo oluthe gqolo ukuya kwigumbi lokuhlambela kwaye isinyi sakho sisaziva sigcwele? Ngaba ufumana ukuqina kwemisipha ngaphakathi komqolo wakho osezantsi okanye ummandla we-pelvic ukusuka ekuhlaleni ngokugqithisileyo kwidesika yakho ngexesha lomsebenzi? Okanye ngaba uyaqaphela ukuba ufumana izihlunu ezibuthathaka ezichaphazela indlela yakho yokuzilolonga? Ezi ziganeko zihambelana neentlungu ze-pelvic kwaye zingabangela imiba ngaphakathi kwemilenze ephantsi, echaphazela ukusebenza komntu xa esenza imisebenzi eqhelekileyo. Intlungu ye-pelvic yi-multifactorial musculoskeletal disorder enokuthi ichaphazele iinkqubo zomzimba ezihambelanayo ukuze zenze intlungu ethunyelwe. (Grinberg, Sela, & Nissanholtz-Gannot, 2020 ) Iintlungu ze-pelvic zingabangela intlungu echazwe kwi-gastrointestinal, i-pelvic musculoskeletal, kunye neenkqubo ze-nervous, ezibangela ukungasebenzi kakuhle kwe-anatomic kwimisipha yomgangatho we-pelvic. Iintlungu ze-pelvic zinokuphazanywa ngokulula ngenxa yeentlungu ezisezantsi kuba i-lumbar spine idala uxinzelelo lwemisipha ejikeleze i-pelvis.
Xa i-pelvis ichaphazeleka ngoxinzelelo lwemishini ehambelana ne-lumbar spine, inokubangela ukungasebenzi kakuhle kwe-pelvic kwaye ibangele ukuba umntu angalingani xa ehamba. Ngelo xesha, izakhiwo zemisipha ye-pelvic ziya kusetyenziswa ngokugqithiseleyo, ezikhokelela kwi-hip kunye ne-joint destabilization, ezibangela ukuba zibe buthathaka. (ULee et al., 2016 ) Xa izakhiwo zemisipha ye-pelvic ziqala ukutshatyalaliswa, kunokukhokelela ekubanjweni kwe-nerve ye-sciatic kwiindawo ezisezantsi, ezikhokelela ekugqithiseni kweeprofayili ezinobungozi kwi-musculoskeletal disorders. Xa izihlunu ze-pelvic ezijikelezileyo ziqala ukubambisa iingcambu ze-pelvic ze-pelvic ezibangela intlungu ekhuphayo phantsi kwemilenze. (Kale et al., 2021 ) Nangona kunjalo, kukho iindlela zokunciphisa iintlungu ezigqithisiweyo ezichaphazela ummandla we-pelvic kunye nokubuyisela amandla emisipha.
I-Sciatica, izizathu, iimpawu, kunye neengcebiso-Ividiyo
VIDEO
Ekubeni intlungu ye-pelvic i-multifactorial musculoskeletal disorder engakhokelela ekuphuhlisweni kweentlungu ezibhekiselele kwimida yomzimba ephantsi, abantu abaninzi bahlala becinga ukuba yintlungu ephantsi okanye i-sciatica. Intlungu ekubhekiselwa kuyo kuxa intlungu ichaphazela indawo yomzimba endaweni yokuba umthombo uvela phi. Ukunganyangwa ngokukhawuleza kubangela ukuvaleka kwemithambo-luvo, ubuthathaka bemisipha, kunye neentlungu ezingapheliyo ngaphakathi kwamalungu okuzala kunye nomchamo. Abantu abaninzi bafuna unyango olungalulo utyando lokuthomalalisa iintlungu kunye nokubuyisela amandla emisipha kwingingqi ye-pelvic yomzimba. Unyango olungasebenzisi utyando olunje nge-MET(izindlela zamandla emisipha) zinokunceda ukubuyisela amandla emisipha kwi-pelvis ngokusebenzisa ukolula kwezicubu ezithambileyo. Iingcali zeentlungu ezisebenza ngonyango lwe-MET, njengee-chiropractors kunye nee-massage therapists, zisebenzisa izandla-kwi-maniuvers ukuze ziphumle, zolule, zolule, kwaye zithambise izihlunu ezichaphazelekayo kunye nokunciphisa nawaphi na amanqaku ethenda anokuthi aphuhliswe ekuhambeni kwexesha. (Grinberg et al., ngo-2019 ) Unyango lwe-MET lunokunceda ukwelula imisipha yokuzinza kwe-pelvic. Inokudibaniswa nonyango lomzimba kunye nokunyamekela kwe-chiropractic ukulungelelanisa umzimba kunye nokunciphisa i-nerve entrapment ebangelwa yintlungu ye-pelvic. Jonga le vidiyo ingentla ukuze ufunde kabanzi malunga nezizathu ze-sciatica kunye nendlela unyango olungenalo utyando lunokuba yimpendulo yokunciphisa intlungu.
I-MET yoNyango lwezicwangciso ze-Pelvic Pain
Unyango lwe-MET lunokunciphisa imiphumo yeentlungu ze-pelvic ngokubandakanya iindlela zokuguqulwa kwezicubu ezithambileyo ukusebenzisa i-isometric elawulwayo kunye ne-isotonic contraction ukuze kuphuculwe umsebenzi oqhelekileyo we-physiologic wemisipha ye-pelvic ejikelezayo kunye nokunciphisa intlungu kunye nokunceda ukuzinzisa izakhiwo eziguqukayo ngaphakathi kwendawo ye-pelvic. (USarkar, uGoyal, kunye noSamuel, ngo-2021 ) Unyango lwe-MET lunokukhuthaza iimpembelelo ezizilawulayo zokunciphisa intlungu ngaphakathi kwendawo ye-pelvic, okubangelwa uluhlu olukhulu lokunyakaza. (Chaitow, 2009 )
I-MET Unyango lokunciphisa ubuthathaka bemisipha
Unyango lwe-MET lunokuba yinxalenye yesicwangciso sezempilo somntu esinokunceda ukubuyisela amandla e-muscle kumbindi kunye nokuzinzisa imisipha ngaphakathi kwe-pelvis. Imiphumo emihle yokudibanisa unyango lwe-MET kunye nokuzivocavoca, kunokusebenza ngakumbi ekunciphiseni intlungu ngelixa kuphuculwe umsebenzi womzimba. (Hu et al., 2020 ) Oku kuvumela i-pelvis ukuba ilungelelanise kwaye incede ukunweba izihlunu ezimfutshane. Unyango lwe-MET lunokunceda ukubuyisela umsebenzi ophantsi kunye nokuphucula umgangatho wobomi bomntu. (Danazumi et al., 2021 ) Unyango lwe-MET yindlela ebalaseleyo yokwelula izihlunu ezidiniweyo kunye nokubuyisela umsebenzi we-pelvic, njengoko kunokwenza abantu bacinge ngakumbi ngemizimba yabo ngelixa benciphisa amathuba okuba neentlungu ze-pelvic ezinxulumene nokuphazamiseka kwe-musculoskeletal kuphinda kuphinde kuvele kwakhona kwiindawo ezisezantsi.
Ucaphulo
Chaitow, L. (2009). I-Ligaments kunye neendlela zokukhupha isikhundla? UJ Bodyw Mov Ther , 13 (2), 115-116. doi.org/10.1016/j.jbmt.2009.01.001
Danazumi, MS, Yakasai, AM, Ibrahim, AA, Shehu, UT, & Ibrahim, SU (2021). Umphumo wendlela ehlanganisiweyo ye-neuromuscular inhibition xa kuthelekiswa ne-positional release technique kulawulo lwe-piriformis syndrome. J Osteopath Med , 121 (8), 693-703. doi.org/10.1515/jom-2020-0327
Grinberg, K., Sela, Y., & Nissanholtz-Gannot, R. (2020). Ulwazi olutsha malunga ne-Chronic Pelvic Pain Syndrome (CPPS). Int J Environ Res Impilo yoLuntu , 17 (9). doi.org/10.3390/ijerph17093005
Grinberg, K., Weissman-Fogel, I., Lowenstein, L., Abramov, L., & Granot, M. (2019). I-Myofascial Physical Therapy inciphisa njani iintlungu kwi-Chronic Pelvic Pain Syndrome? Ulawulo lwePain Res , 2019 , 6091257. doi.org/10.1155/2019/6091257
Hu, X., Ma, M., Zhao, X., Sun, W., Liu, Y., Zheng, Z., & Xu, L. (2020). Iziphumo zonyango lokuzivocavoca kwintlungu ephantsi yokukhulelwa kunye neentlungu ze-pelvic: iprotocol yokuhlolwa okucwangcisiweyo kunye nohlalutyo lwe-meta. Iyeza (Baltimore) , 99 (3), e17318. doi.org/10.1097/MD.0000000000017318
Kale, A., Basol, G., Topcu, AC, Gundogdu, EC, Usta, T., & Demirhan, R. (2021). I-Intrapelvic Nerve Entrapment Syndrome Ebangelwa Ukwahluka kwe-Intrapelvic Piriformis Muscle kunye ne-Airnormal Varicose Vessels: Ingxelo yeNgxelo. I-Neurourol J , 25 (2), 177-180. doi.org/10.5213/inj.2040232.116
U-Lee, DW, Lim, CH, Han, JY, & Kim, WM (2016). Iintlungu ezingapheliyo ze-pelvic ezivela kwimisipha engasebenziyo yokuzinzisa ye-hip joint kunye ne-pelvis. Ijenali yaseKorea yeentlungu , 29 (4), 274-276. doi.org/10.3344/kjp.2016.29.4.274
USarkar, M., Goyal, M., & Samuel, AJ (2021). Ukuthelekisa ukusebenza kwe-Muscle Energy Technique kunye ne-Kinesiotaping kwi-Mechanical Sacroiliac Joint Dysfunction: I-Non-blinded, i-Two-Group, i-Pretest-Posttest Randomized Clinical Trial Protocol. Ijenali yoMnqonqo waseAsia , 15 (1), 54-63. doi.org/10.31616/asj.2019.0300
isikhanyeli
by UGqr Alex Jimenez Chiropractic , Ubuhlungu obungapheliyo , I-Hip Pain kunye nokuphazamiseka , Unyango lokuthotywa koMnqonqo , Unyango , I-Viscerosomatic Reflex
intshayelelo
Unyango olungasebenzisi utyando luthelekisa njani nonyango lotyando lwesintu ukuphucula ukushukumiseka kwabantu abanokulimala komsipha? I-hamstrings yimisipha kwiindawo ezisezantsi ezinikezela ukuhamba emilenzeni kunye nokuzinzisa i-pelvis. Iimbaleki ezininzi zixhomekeke kwimisipha yazo ukuze zenze izinto ezinzima ezifana nokubaleka, ukutsiba, ukugquma, ukukhaba ngexesha lemidlalo. Nangona kunjalo, i-hamstrings nayo isengozini kakhulu yokulimala. Iimbaleki ezithe ngokuphindaphindiweyo zigqithise i-hamstrings zinokufumana ubunzima bemisipha kuze kube yifom ye-microscopic iinyembezi, eziqhelekileyo. Ngokufanayo, abantu abahlala ixesha elide banokufumana iingxaki ze-hamstring. Xa abantu bengasebenzi ngokwasemzimbeni, i-hamstrings yabo inokuba buthathaka kwaye ibe mfutshane, ikhokelela kwiimpawu ezinjengeentlungu zemisipha, iingongoma ezibangelayo, kunye noxinzelelo kwimisipha yokufikelela. Ukulimala kwe-Hamstring kunokubangela neminye imiba echaphazela iziphelo zomzimba ezisezantsi. Eli nqaku liza kuphonononga indlela ukulimala kwe-hamstring kuchaphazela ngayo ukuhamba kunye nendlela unyango olungenalo utyando lunceda ngayo abantu ukuba baphinde bahambe. Sisebenza kunye nababoneleli bezonyango abaqinisekisiweyo abasebenzisa ulwazi oluxabisekileyo lwezigulane zethu ukunyanga abantu abonzakeleyo kwaye sibazise malunga nonyango olungalulo utyando ukuze baphinde bahambe. Sikhuthaza izigulana ukuba zibuze imibuzo ebalulekileyo kwaye zifune imfundo kubaboneleli bethu bezonyango abanxulumene nemeko yabo. UDkt Jimenez, DC, unikezela ngolu lwazi njengenkonzo yemfundo. isikhanyeli
Hamstring Ukwenzakala Ukuphumeza Eminye Imiba
Ngaba ufumana ukuqina emva kwamathanga akho xa ufudumala ngaphambi kokuba wenze umthambo? Ngaba uziva iintlungu eziphuma ecaleni kwesinqe sakho kunye ne-glutes ngenxa yokuhlala ixesha elide? Okanye ngaba udla ngokuqhwalela, okuchaphazela ukuhamba kwakho nokuhamba? Abantu abaninzi abaqapheli ukuba bagqithisa ngokugqithiseleyo i-hamstrings, enokubangela intlungu. Abo babandakanyeka kwimidlalo okanye basebenze imisebenzi yokulala banokudlula okanye basebenzise i-hamstrings, echaphazela ukuguquguquka kwabo kunye nokuhamba ukuya kwiindawo ezisezantsi. Ngoku ka zophando zophando , Ukulimala kwe-hamstring yeyona nto ixhaphakileyo yokulimala kwemisipha engabonakaliyo ebangelwa iindlela ezimbini zokulimala: uhlobo olulula kunye nohlobo lwe-sprint. Ukulimala kohlobo lwe-Sprint oluhambelana ne-hamstrings lwenzeka xa izihlunu zigqithisekile ngenxa yesenzo esiphezulu okanye esisondeleyo, esibangela ukukhathala kwemisipha. Ukuza kuthi ga ngoku, ukulimala kwe-hamstring kunokuchaphazela ukuhamba komntu.
Ukugijima ngaphandle kokufudumala ngokufanelekileyo i-hamstring muscle kunokubangela ukukhathala kwemisipha. Ukulimala kohlobo lwe-Stretch oluhambelana nemisipha ye-hamstring kubandakanya ukunyakaza okudibeneyo okubandakanya ukunyanzeliswa kwe-hip ngokugqithiseleyo kunye nokwandiswa kwamadolo. Olu konzakala lunokulinganisa i-sciatica, ekhokelela abantu ukuba bakholelwe ukuba i-nerve yabo ye-sciatic iyasebenza. Nangona kunjalo, unyango olukhoyo lunokunceda ukunciphisa intlungu ehambelana nokulimala kwe-hamstring kunye nokwandisa umsipha omfutshane ukunciphisa intlungu.
Okona Kukolulwa koMzimba okuPhantsi Ukonyusa ukuguquguquka-Ividiyo
VIDEO
Ukuba ufuna ukunciphisa intlungu ehambelana nokulimala kwe-hamstring, ukubandakanya i-RICE kunokunceda ukukhusela ukuba ibe yinto engapheliyo. Oku kubandakanya ukunweba ngobumnene imisipha echaphazelekayo ukuphepha iintlungu kunye neentlungu ngelixa ukwandisa ukuguquguquka. Ukulimala kwe-Hamstring kunokudibaniswa neminye imiba engapheliyo, enokubangela ukuvuvukala kwimisipha ejikelezayo. Izifundo zibonisa ukuba iimeko ezifana ne-piriformis syndrome zingabangela ukuba i-nerve entrapment in the hamstrings, okubangelwa ukukhupha intlungu phantsi komlenze olinganisa intlungu ephantsi kunye ne-sciatica. Njengoko kukhankanywe ngaphambili, ukulimala kwe-hamstring kunokunciphisa ukuhamba kwaye kudibaniswe nezimo ezingapheliyo. Ngombulelo, unyango olungasebenzisi utyando lunokunceda ukunciphisa intlungu kwaye lunike isiqabu. Jonga le vidiyo ingentla ukuze ufunde izahlulo ezahlukeneyo ezinokunceda ukunciphisa intlungu kumzimba ophantsi kunye nokwandisa ukuguquguquka.
Unyango Ukubuyisela Ukuhamba
Ukuba ukuphumla, umkhenkce, ukunyanzeliswa, kunye nokwelula ngokuthambileyo akuboneleli ngokukhululeka, ukubandakanya unyango lokulimala kwe-hamstring ukubuyisela ukuhamba kunokunceda abantu abaninzi. Ukufuna uncedo lweengcali zentlungu, njenge-massage therapist okanye i-chiropractor, ukwenza isicwangciso esilungiselelweyo / inkqubo iyacetyiswa. Kukho iindlela ezahlukeneyo zokusebenzisa iingcali zentlungu ukuze ziphinde zihambe kwaye zinyange ukulimala kwe-hamstring.
I-MET Therapy
Uninzi lwee-chiropractors kunye nee-massage therapists zibandakanya i-MET (ubuchule be-muscle energy) unyango ukuze lunwebe ngobumnene i-hamstring muscle efutshane kunye nokunceda ukubuyisela ukuhamba ngokubambisana kwiindawo ezisezantsi. Kwi-"Clinical Applications of Neuromuscular Techniques," ebhalwe nguLeon Chaitow, ND, DO, kunye noJudith Walker DeLany, LMT, wathi i-MET ibalulekile ekwandiseni nasekuqiniseni imisipha ye-hamstring ngokusebenzisa i-contraction ye-isometric. Ngaxeshanye, uphando olongezelelweyo lubonisa ukuba ubuchule be-MET buvumela ukuba i-hamstrings ibe nokunyuka okukhulu kwimida ye-hip flexion. Unyango lwe-MET lunceda nokuqinisa imisipha ye-accessory ejikeleze i-hamstrings ukubuyisela ukuhamba.
Ukunciphisa Umzimba
Ukuba ukulimala kwe-hamstring kubangelwa i-nerve entrapment, ngoko ukuzama ukuchithwa kwe-spinal decompression kunokunceda ukubuyisela ukuhamba kwi-hips kunye neendawo ezisezantsi. Ngokutsho kwe "Ultimate Spinal Decompression," ebhalwe nguDkt. Eric Kaplan, DC, FIAMA, kunye noDkt Perry Bard, DC, bathi ukuchithwa kwe-spinal decompression kukhuselekile kwaye kuthambile kumqolo njengoko kunika ukunyathela ngobumnene kwi-spinal disc ukunciphisa. intlungu kunye nokunyusa ukuphakama kwediski. Xa ukulimala kwe-hamstring kudibaniswa ne-nerve entrapment, kunokubangelwa kwi-disc ye-herniated eyenza ingcambu ye-nerve ibe nzima kwaye ibangele intlungu echazwe kwi-hamstrings. Ukusebenzisa i-traction ethambileyo kumqolo kunokunceda ukunciphisa intlungu ebangelwa yi-nerve enzima kunye nokunciphisa intlungu kwi-hamstrings. Abantu abaninzi banokubandakanya olu nyango ukunciphisa ukulimala kwe-hamstring kwaye baphinde babuyele emilenzeni yabo.
Ucaphulo
Chaitow, L., & Delany, J. (2002). Ukusetyenziswa kweklinikhi yobuchule be-neuromuscular. Umqulu. 2, Umzimba ongezantsi . Churchill Livingstone.
UGunn, LJ, Stewart, JC, Morgan, B., Metts, ST, Magnuson, JM, Iglowski, NJ, Fritz, SL, & Arnot, C. (2018). Isixhobo sokuncedisa izicubu ezithambileyo kunye neendlela zokuququzelela i-neuromuscular proprioceptive ziphucula ukuguquguquka kwe-hamstring engcono kunokwelula okusisigxina kuphela: uvavanyo lweklinikhi olungahleliwe. Ijenali yoNyango lweManuwali kunye noNyango oluLawulayo , 27 (1), 15–23. doi.org/10.1080/10669817.2018.1475693
Huygaerts, S., Cos, F., Cohen, DD, Calleja-González, J., Guitart, M., Blazevich, AJ, & Alcaraz, PE (2020). Iindlela ze-Hamstring Strain Injury: Ukusebenzisana phakathi kokukhathala, ukuSebenza kwe-Muscle kunye noMsebenzi. Ezemidlalo (iBasel, Swizalend) , 8 (5), 65. doi.org/10.3390/sports8050065
Kaplan, E., & Bard, P. (2023). I-Ulitimate Spinal Decompression . JETLAUNCH.
Vij, N., Kiernan, H., Bisht, R., Singleton, I., Cornett, EM, Kaye, AD, Imani, F., Varrassi, G., Pourbahri, M., Viswanath, O., & Urits , I. (2021). UKhetho loNyango loTyando kunye noluNgelulo utyando lwePiriformis Syndrome: Uphononongo loNcwadi. I-Anesthesiology kunye nePain Medicine , 11 (1). doi.org/10.5812/aapm.112825
isikhanyeli
by UGqr Alex Jimenez Kokulimala Kwenzakalo , I-Hip Pain kunye nokuphazamiseka
Njengenye yezona ndawo zithwele umthwalo emzimbeni, izinqe ziphantse zichaphazele yonke intshukumo. Ukuba umdibaniso we-hip ubandakanyeka kwingozi yemoto, indawo kwi-joint / hip capsule inokuzalisa ngamanzi, okubangela ukuxutywa kwe-joint effusion okanye ukuvuvukala, ukuvuvukala, intlungu ebuhlungu, kunye nokuqina. Intlungu ye-Hip yimpawu eziqhelekileyo zokulimala ezichazwe emva kokuphazamiseka kwesithuthi. Le ntlungu inokusuka kwi-mild to serious kwaye ingaba yethutyana okanye iqhubeke iinyanga. Kungakhathaliseki ukuba inqanaba lentlungu ekhoyo, kufuneka kuthathwe isenzo ngokukhawuleza ukuphepha umonakalo wexesha elide. Abantu ngabanye bafuna ukhathalelo olukumgangatho ophezulu, olujolise kwisigulane kwiingcali ezinamava ngokukhawuleza ukuze bangene endleleni eya ekuchacheni.
Ukwenzakala kwiNgxaki yeSithuthi
Amalungu e-hip kufuneka abe nempilo kwaye asebenze ngokufanelekileyo ukuze ahlale esebenza. I-arthritis, i-hip fractures, i-bursitis, i-tendonitis, ukulimala ngenxa yokuwa, kunye nokungqubana kweemoto zezona zizathu eziqhelekileyo zentlungu engapheliyo ye-hip. Ngokuxhomekeke kuhlobo lokulimala, abantu ngabanye banokufumana iimpawu zentlungu ethangeni, kwi-groin, ngaphakathi kwe-joint hip, okanye kwii-buttocks.
Ukulimala okuManyeneyo
Ukulimala okuqhelekileyo okubangela intlungu kwi-hip emva kokungqubana kubandakanya:
I-Hip Ligament Sprains okanye i-Strains
I-hip ligament sprain okanye i-strain ibangelwa ukugqithiswa okanye ukukrazuka kwemigqa.
Ezi zicubu zidibanisa amathambo kwamanye amathambo kwaye zibonelela ngokuzinza kumalungu.
Ezi nzakala zinokufuna kuphela ukuphumla kunye nomkhenkce ukuze uphilise, kuxhomekeke kubunzima.
I-Chiropractic, i-decompression, kunye nonyango lwe-massage ye-massage lunokuba luyimfuneko ukuze ulungelelaniso kunye nokugcina izihlunu ziguquguquke kwaye zikhululekile.
Bursitis
I-Bursitis kukudumba kwe-bursa, okanye ingxowa ezaliswe lulwelo ebonelela nge-cushioning/impahla phakathi kwamathambo nezihlunu.
Ngenye yezona zinto zibangela iintlungu ze-hip emva kokungqubana kwemoto kwaye ifuna unyango olukhawulezileyo.
Tendonitis
I-Tendonitis luhlobo lokulimala oluchaphazela izicubu ezithambileyo njengee-tendon kunye ne-ligaments, ngokuchasene nethambo kunye nemisipha.
I-Tendonitis inokubangela intlungu engapheliyo kunye neempawu ezahlukahlukeneyo ezingathandekiyo kunye nommandla we-hip ukuba awuzange uphathwe.
Iqhwa le-Labral Tear
Ukukrazuka kwe-hip labral luhlobo lomonakalo odibeneyo apho i-tissue ethambileyo / i-labrum egqume i-socket ye-hip ikrazuka.
I-tissue iqinisekisa ukuba intloko yethanga lihamba kakuhle ngaphakathi kwendawo edibeneyo.
Ukulimala kwi-labrum kunokukhokelela kwiimpawu ezibuhlungu ezibuhlungu kunye nokuchaphazela ukuhamba.
Ukuchithwa kweHip
Ukukhutshwa kwe-hip kuthetha ukuba ibhola ye-femur iye yaphuma kwi-socket, ibangela ukuba ithambo lomlenze ongaphezulu likhuphe ngaphandle kwendawo.
Ukuchithwa kwe-Hip kunokubangela i-avascular necrosis , okukukufa kwethambo lethambo ngenxa yokuvaleka kwegazi.
I-Hip Fractures
Amathambo e-hip anokwahlulwa abe ngamacandelo amathathu:
Unyawo
Umzi
Ischium
Ukuqhekeka kwe-hip, okanye i-hip ephukile, kwenzeka nanini na xa ikhefu, i-crack, okanye i-crush yenzeke kuyo nayiphi na enye yale nxalenye ye-hip.
I-Acetabular Fracture
Ukuqhekeka kwe-acetabular kukuphuka okanye ukuqhekeka ngaphandle kwe-socket ye-hip ebambe amathambo e-hip kunye nethanga kunye.
Ukuqhekeka kweli lungu lomzimba akuqhelekanga ngenxa yendawo.
Amandla abalulekileyo kunye neempembelelo zihlala ziyimfuneko ukubangela olu hlobo lokuphuka.
iimpawu
Ukuba kukho naziphi na iimpawu ezilandelayo emva kokuphazamiseka kwesithuthi, kunokuba yingozi ye-hip kwaye kufuneka ihlolwe ngugqirha wezonyango. Ezi ziquka:
Ubuhlungu okanye ububele kwindawo yokwenzakala.
Ukuthuthuzela.
Ukudumba.
Ubunzima bokuhambisa i-hip / s.
Ubuhlungu obukhulu xa uhamba.
Ukuqhwalela.
Ukuphelelwa ngamandla kwezihlunu.
Intlungu zesisu.
Iintlungu zamadolo.
Iintlungu zegroin.
Unyango kunye nokuBuyiselwa kwisimo sesiqhelo
Ugqirha okanye ingcali kufuneka ihlale ivavanya iingxaki ze-hip kunye neempawu zentlungu. Ngoncedo lovavanyo lomzimba kunye nokuxilongwa njenge-X-reyi, i-CT Scans, okanye i-MRI, ugqirha unokuxilonga kwaye acebise iindlela zonyango. Unyango emva kwengozi yemoto ixhomekeke kubukhulu bomonakalo. Umzekelo , Ukuqhekeka kwe-hip ngokuqhelekileyo kufuna utyando olukhawulezileyo, ngelixa ezinye iingozi zifuna kuphela amayeza, ukuphumla kunye nokuvuselelwa. Izicwangciso zonyango ezinokwenzeka ziquka:
Ukuphumla
Iintlungu, iziphumlisi zemisipha, kunye neyeza lokuchasa ukudumba.
Ulungiso lwenyama
Ukunyanga kwamayeza
Uhlengahlengiso lweChiropractic
Ukunyibilika komgogodla
Ukusebenzisa unyango
Iinaliti zesteroid Utyando - emva kokuhlinzwa, umgulana womzimba unokunceda ukwelula kunye nokusebenza kwiimisipha ezijikeleze i-hip ukuze ufumane ukuhamba kunye nokuguquguquka kokubuyisela ngokupheleleyo.
Ukutshintshwa kwe-hip ngokupheleleyo
Iqela lethu lisebenzisana neengcali eziyimfuneko ukubonelela ngononophelo olupheleleyo olufunekayo ukuze ufumane ukuchacha ngokupheleleyo kunye nokuphiliswa koncedo lwexesha elide. Iqela liza kusebenza kunye ukwenza isicwangciso sonyango esibanzi sokuqinisa imisipha ye-hip ukuze ufumane inkxaso engcono kunye nokwandiswa koluhlu lokunyakaza.
Intshukumo njengeyeza
VIDEO
Ucaphulo
Cooper, uJoseph, et al. "I-hip dislocation kunye nokulimala kwangaxeshanye kwiingozi zemoto." Ukwenzakala vol. 49,7 (2018): 1297-1301. doi:10.1016/j.injury.2018.04.023
UFadl, uShaimaa A, kunye noClaire K Sandstrom. "IiPattern Recognition: Indlela eSekwe kwiNdlela yokuFumana ukwenzakala emva kokuNgqwidiza kweeMoto." Radiographics: upapasho lophononongo lweRadiological Society of North America, Inc vol. 39,3 (2019): 857-876. doi:10.1148/rg.2019180063
UFrank, uCJ et al. "Ii-acetabular fractures." Ijenali yezonyango yaseNebraska vol. 80,5 (1995): 118-23.
UMasiewicz, uSpencer, et al. "I-Posterior Hip Dislocation." I-StatPearls, i-StatPearls iPapasha, ngomhla wama-22 kuTshazimpuzi ka-2023.
UMonma, H, kunye noT Sugita. "Ngaba indlela yokutshatyalaliswa kwe-hip emva kokulimala kwe-brake pedal endaweni yokulimala kwedashboard?" Ukwenzakala vol. 32,3 (2001): 221-2. doi:10.1016/s0020-1383(00)00183-2
UPatel, uVijal, et al. "Ubudlelwane phakathi kokuthunyelwa kwe-airbag yamadolo kunye nomngcipheko wokulimala kwedolo-ethangeni-hip kwiingozi zemoto: isifundo esihambelanayo." Ingozi; Uhlalutyo kunye noThintelo vol. 50 (2013): 964-7. doi:10.1016/j.aap.2012.07.023
by UGqr Alex Jimenez Chiropractic , Ubuhlungu obungapheliyo , impilo , I-Hip Pain kunye nokuphazamiseka , Ukuhamba kunye nokuguquguquka , Unyango , I-Viscerosomatic Reflex , Ukuphila
intshayelelo
The ikhefu idlala indima ebalulekileyo ekugcineni uzinzo kunye nokuhamba emzimbeni. Nangona kunjalo, izenzo ezingalunganga zingakhokelela ekungalungelelaniseni kunye nentlungu kwi izihlunu zenyonga , kubangela ukungakhululeki kunye nokuchaphazela abanye imisipha kunye namalungu . Eli nqaku ligxininisa kwimisipha ye-hip flexor kunye nendlela yokuvavanya ngayo unyango lwe-MET kunokunciphisa intlungu kunye nokubuyisela ukuhamba kwe-hip. Sisebenzisa kwaye sifaka ulwazi oluxabisekileyo malunga nezigulana zethu kubaboneleli bezonyango abaqinisekisiweyo abasebenzisa unyango lwe-MET ukukhulula ubuhlungu obungapheliyo bemisipha ehambelana nemisipha ye-hip flexor. Sikhuthaza kwaye sithumele izigulana kubaboneleli bezonyango abanxulumeneyo ngokusekelwe kwiziphumo zabo ngelixa sixhasa ukuba imfundo yindlela ephawulekayo nemangalisayo yokubuza ababoneleli bethu imibuzo ebalulekileyo xa isigulana sivuma. UDkt Alex Jimenez, DC, uquka olu lwazi njengenkonzo yemfundo. isikhanyeli
Yintoni i-Hip Flexor Muscles?
Ngaba unazo naziphi na iintlungu esinqeni sakho? Ngaba ukutshintsha ubunzima bakho ukusuka kwelinye icala ukuya kwelinye kunceda ukukhulula intlungu? Ngaba uziva iintlungu zidubula ukusuka esinqeni ukuya emilenzeni yakho? Ezi zimpawu zinokuthi zibangelwa yintlungu kwimisipha yakho ye-hip flexor. Uphando lophando lutyhila ukuba ezi zihlunu zixhasa amanye amaqela emisipha efana ne-trunk kunye nemilenze, evumela umsebenzi ofanelekileyo we-muscle xa uphakamisa imilenze yakho ngokuthe tye ngexesha leemvavanyo zokusebenza kwi-hips kunye ne-pelvis. Izihlunu ze-hip ezinqeni zakho zinemisipha emithandathu enceda ukuzinza kunye nokuhamba:
I-Psoas Major Iliacus I-Rectus femoris ISartorius Adductor Longus I-Tensor Fasciae Latae
Uphononongo olongezelelweyo luye lwatyhila ukuba imisipha ye-hip flexor ibalulekile ekuxhaseni umva ophantsi kunye nokugcina uzinzo. Ezi zihlunu zintandathu zincedisa ukunyakaza kwe-hip njenge-flexion enzulu, i-adduction, kunye nokujikeleza kwangaphandle, phakathi kweminye imisebenzi. Ubudlelwane phakathi kwe-hip flexors kunye ne-lumbar spine yomelele ngakumbi. Nangona kunjalo, ukuba ezi zihlunu ziba nzima, zinokuchaphazela kakubi ukusebenza kwaye zikhokelela kweminye imiba.
Iintlungu ze-Hip ezinxulumene ne-Musculoskeletal System
Iintlungu ze-Hip zinokubangelwa yi-tight hip flexor muscles, enokuthi ichaphazeleke ngezinto ezahlukeneyo ezifana nemicimbi yezempilo, ukulimala, okanye iimeko zokusingqongileyo. Izifundo zophando zibonisile ukuba ukulimala okungaphantsi kunokunciphisa ukusebenza kwaye kubangele iimpawu ezinjengeentlungu ezinxulumene ne-musculoskeletal system. I-flexible hip flexors ingabangelwa ukuhlala ixesha elide, ukunyuswa okungalunganga, okanye izenzo eziphindaphindiweyo, ezikhokelela kwimisipha eyoluliweyo okanye efutshane kunye nokuphuhliswa kwamaqhuqhuva. Oku kunokubangela ukuphazamiseka kwe-musculoskeletal kunye nezinqe ezingalinganiyo. Iintlobo ezahlukeneyo zonyango zikhoyo ukuze zilungelelanise umzimba kunye nokuqinisa imisipha ye-hip flexor.
Isisombululo esingenalo Utyando: Ukhathalelo lweChiropractic-Ividiyo
VIDEO
Ngaba ulwa nokungazinzi ngelixa uhamba okanye uzifumana uxhomekeke ngakumbi kumlenze omnye kunomnye? Mhlawumbi ufumana iintlungu zenyonga rhoqo. Ukungahambi kakuhle ezinqeni ezibangelwa yimiba yokusingqongileyo kunokukhokelela ekungazinzini kunye neempawu ezinjengeentlungu ezinxulumene nemisipha ye-hip flexor. Le miba inokubangela ukuphazamiseka kwe-musculoskelet edibanisayo kwaye ibangele ukuguqulwa komgogodla. Uphononongo lophando lukhankanyiwe ukuba kunokuba nzima ukuxilonga intlungu ye-hip ngenxa yokuba ihlala ibonisa intlungu echazwe kwi-lumbar spine okanye idolo elihlangeneyo. Oku kuthetha ukuba izinqe ezingalinganiyo okanye eziqinileyo zinokubangela iintlungu ezisezantsi okanye edolweni. Unyango lukhona ukunciphisa intlungu ye-hip kunye nokwelula ngobumnene imisipha ye-flexor. Ividiyo engentla ibonisa indlela ukunakekelwa kwe-chiropractic kunokunika ngayo izisombululo ezingezizo zokuhlinzwa ukuze zilungelelanise umzimba kunye nokunciphisa uxinzelelo kwimisipha ejikelezayo.
Ukuvavanya i-Hip Flexors ngoNyango lwe-MET
Ukuba ufumana ubunzima okanye intlungu ezinqeni zakho ngenxa ye-hip flexors, unokuphucula ukuhamba kwakho kwaye uthintele imiba yexesha elizayo ngeendlela ezininzi. Uphando luye lwabonisa ukuba unyango lomzimba olubandakanya i-RICE (ukuphumla, iqhwa, ukunyanzeliswa, kunye nokuphakama) kunokunceda ukubuyisela amandla emisipha kunye noluhlu lokunyakaza. Unyango oluthambileyo oludityaniswe nonyango lomzimba lunokusebenza kwakhona ekubuyiseleni ukuhamba kwe-hip. Kwincwadi yabo ethi "I-Clinical Application of Neuromuscular Techniques," uDkt Judith Walker DeLany, LMT, kunye noDkt Leon Chaitow, ND, DO bachaza ukuba i-Muscle Energy Techniques (MET) inokwelula ngobumnene imisipha ye-hip flexor kunye nokubuyisela ukuhamba kunye noluhlu lokuhamba. kwindawo ye-hip joint. Unyango lwe-MET lunokwandisa imisipha ye-hip flexor, ukunciphisa iintlungu ezigqithisiweyo, kunye nokuphucula umsebenzi we-hip.
isiphelo
Xa ama-hips kunye nezihlunu ezijikelezayo ziqala ukubangela intlungu esasazeka kuwo wonke umzimba, kunokukhokelela kwiimpawu ezingathandekiyo ezibangela ukuba abantu batshintshe ubunzima babo ukuze bahlawule intlungu. Oku kunokwenzeka ngenxa yezinto ezisingqongileyo ezifana nokuhlala ixesha elide okanye ukugqithisa imisipha, okwenza ukuba i-hip flexors ibe nzima kwaye inokukhokelela kwiintlungu ezinqeni kunye nomqolo ophantsi. Nangona kunjalo, unyango lomzimba oludityaniswe neendlela zamandla emisipha (MET) lunokunceda ukukhulula iintlungu kunye nokulungelelanisa isinqe kunye nomzimba. Olu nyango luvumela umzimba ukuba uphilise izihlunu ezichaphazelekayo ukuze abantu bangabi nantlungu.
Ucaphulo
Ahuja, Vanita, et al. "Intlungu engapheliyo ye-Hip kubantu abadala: ulwazi lwangoku kunye nekamva elilindelekileyo." Ijenali ye-Anaesthesiology, iClinical Pharmacology , 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC8022067/.
UChaitow, uLeon, kunye noJudith Walker uDeLany. Izicelo zeklinikhi zeTechnique zeNeuromuscular . UChurchill Livingstone, ngo-2003.
Konrad, Andreas, et al. “Impembelelo yokolula i-Hip Flexor Muscles kwi-Performance Parameters. Uphononongo olucwangcisiweyo kunye nohlalutyo lwe-Meta. " Ijenali yehlabathi yoPhando lwezeNdalo kunye neMpilo yoLuntu , 17 Feb. 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC7922112/.
Mills, uMateyu, et al. "Impembelelo yoBubude be-Hip Flexor eSikelwe umda kwi-Hip Extensor Muscle Activity kunye ne-Lower Extremity Biomechanics kubadlali bebhola ekhatywayo abakwiKholeji." Ijenali yeHlabathi yezeMidlalo yoNyango loMzimba , Dec. 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4675195/.
UTyler, uTimothy F, et al. "Ukubuyiselwa kwimeko yokwenzakala kwe-Soft Tissue ye-Hip kunye ne-Pelvis." Ijenali yeHlabathi yezeMidlalo yoNyango loMzimba , Nov. 2014, www.ncbi.nlm.nih.gov/pmc/articles/PMC4223288/.
Yamane, Masahiro, et al. "Ukuqonda iPatheni yoMsebenzi we-Muscle we-Hip Flexors ngexesha lokuKhulisa umlenze oLungileyo kwiZifundo eziphilileyo." Inkqubela phambili kwiyeza lokuBuyiselwa kwisimo sesiqhelo , 16 Feb. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC7365227.
isikhanyeli
