Ukunyamekela
I-Back Clinic Injury Care Iqela leChiropractic kunye nePhysical Therapy Team. Kukho iindlela ezimbini zokunyamekela ukulimala. Basebenza kunye nonyango olusebenzayo. Ngelixa zombini zinokunceda ukufumana izigulane endleleni eya ekuchacheni, kuphela unyango olusebenzayo olunempembelelo yexesha elide kwaye lugcina izigulane zihamba.
Sigxininisa ekunyangeni ukulimala okugcinwe kwiingozi zemoto, ukulimala komntu, ukulimala komsebenzi, kunye nokulimala kwezemidlalo kunye nokubonelela ngeenkonzo ezipheleleyo zokulawula iintlungu kunye neenkqubo zonyango. Yonke into ukusuka kumaqhuma kunye nemikrwelo ukuya kwimithambo ekrazukileyo kunye neentlungu zomqolo.
Ukunyamekela Ukunyamekela
Ugqirha okanye igcisa lomzimba lidla ngokunika ukhathalelo lokwenzakala. Ibandakanya:
- Ukwenza i-Acupuncture
- Ukusebenzisa ukushisa / icebo ukuxhalabisa imisipha
- Amachiza enhlungu
Yilungileyo lokuqala lokuncedisa ukunciphisa intlungu, kodwa ukunakekelwa kwenzakaliso yenzalo ayilona unyango olungcono. Nangona inceda umntu omale ukuba azive engcono kumzuzwana, uncedo aluhlali. Isigulane asiyi kubuyiselwa ngokupheleleyo kwingozi ngaphandle kokuba basebenze ngenkuthalo ukubuyela kwimpilo yabo eqhelekileyo.
Ukunyamekela ngokuKhathazeka
Unyango olusebenzayo lukwabonelelwa ngugqirha okanye ingcali yezomzimba ixhomekeke ekuzibopheleleni komntu owenzakeleyo emsebenzini. Xa izigulane zithatha ubunini bempilo yazo, inkqubo yokunakekelwa kokulimala esebenzayo iba nentsingiselo kwaye ivelise. Isicwangciso somsebenzi olungisiweyo siya kunceda umntu owenzakeleyo atshintshele ekusebenzeni ngokupheleleyo kunye nokuphucula impilo yabo yonke yomzimba kunye neemvakalelo.
- Umqolo, intamo, kunye nomqolo
- Intloko
- Amadolo, amagxa, kunye nezihlahla
- Iintambo eziqhekekileyo
- Ukulimala kwamathambo amancinci (iintlobo zeemisipha kunye ne-sprains)
Ukhathalelo olusebenzayo lokulimala lubandakanya ntoni?
Isicwangciso sonyango esisebenzayo sigcina umzimba womelele kwaye ubhetyebhetye ngokusemandleni ngomsebenzi owenziwe ngumntu / isicwangciso senguqu, esithintela impembelelo yexesha elide kwaye sincede izigulane ezonzakeleyo zisebenzele ukuchacha ngokukhawuleza. Ngokomzekelo, kwingozi yokulimala kwe-Medical & Chiropractic ikliniki yokulimala, ugqirha uya kusebenza kunye nesigulane ukuqonda isizathu sokulimala, emva koko wenze isicwangciso sokubuyisela esigcina isigulane sisebenza kwaye sibabuyisele kwimpilo efanelekileyo ngokukhawuleza.
Ukufumana iimpendulo kuyo nayiphi na imibuzo, unokuba nayo, nceda ufowunele uDkt Jimenez kwi-915-850-0900
by UGqr Alex Jimenez | I-Hip Pain kunye nokuphazamiseka, Ukunyamekela
Ngaba ukwazi iindlela zonyango ze-hip ekhutshiweyo kunokunceda abantu bakhawulezise ukubuyisela kunye nokubuyisela?
I-Dilocated Hip
I-hip ekhutshiweyo yinzakalo engaqhelekanga kodwa ingenzeka ngenxa yokwenzakala okanye emva kotyando lokutshintshwa kwe-hip. Ngokuqhelekileyo kwenzeka emva kokwenzakala okukhulu, kuquka ukungqubana kwemoto, ukuwa, kwaye ngamanye amaxesha ukulimala kwezemidlalo. (UCaylyne Arnold et al., 2017) I-hip edibeneyo inokuthi yenzeke emva kokuhlinzwa kokutshintshwa kwe-hip. Okunye ukulimala okunje ngeenyembezi ze-ligament, umonakalo we-cartilage, kunye nokuphuka kwamathambo kunokwenzeka kunye nokuchithwa. Uninzi lwe-hip dislocations luphathwa ngenkqubo yokunciphisa edibeneyo ebuyisela ibhola kwi-socket. Ngokuqhelekileyo kwenziwa nge-sedation okanye i-anesthesia jikelele. Ukubuyisela kwisimo sangaphambili kuthatha ixesha kwaye kunokuba ziinyanga ezimbalwa ngaphambi kokuba uchache ngokupheleleyo. Unyango lomzimba lunokunceda ukubuyisela ukunyakaza kunye namandla kwi-hip.
Yintoni?
Ukuba i-hip isuswe ngokuyinxenye, ibizwa ngokuba yi-hip subluxation. Xa oku kwenzeka, intloko edibeneyo ye-hip iphuma kuphela kwi-socket. I-hip edibeneyo xa intloko okanye ibhola ye-joint shifts okanye iphuma kwi-socket. Ngenxa yokuba i-hip yokwenziwa ihluke kwi-joint hip eqhelekileyo, umngcipheko wokunyuka uyanda emva kokutshintshwa ngokubambisana. Uphononongo lufumanise ukuba malunga ne-2% yabantu abaye batshintsha i-hip endaweni yonke baya kuba ne-hip dislocation kwisithuba sonyaka, kunye nomngcipheko okhulayo malunga ne-1% kwiminyaka emihlanu. (UJens Dargel et al., 2014) Noko ke, ubuchwepheshe obutsha beprothetics kunye neendlela zotyando zenza ukuba oku kungaxhaphakanga.
Hip Anatomy
- I-hip ball-and-socket joint ibizwa ngokuba yi-femoroacetabular joint.
- Isokethi ibizwa ngokuba yi-acetabulum.
- Ibhola ibizwa ngokuba yintloko yowesifazane.
I-bony anatomy kunye nemigqa eyomeleleyo, izihlunu, kunye nee-tendon zinceda ukudala umdibaniso ozinzile. Amandla abalulekileyo kufuneka asetyenziswe kwi-joint ukuze ukukhutshwa kwe-hip kwenzeke. Abanye abantu baxela ukuba baziva beva ukuvaleka kwe-hip. Oku ngokuqhelekileyo akuyiyo i-hip dislocation kodwa ibonisa ingxaki eyahlukileyo eyaziwa ngokuba yi-snapping hip syndrome. (UPaul Walker et al., 2021)
Ukuchithwa kwe-Hip yangasemva
- Ngokumalunga ne-90% ye-hip dislocations ngasemva.
- Kolu hlobo, ibhola ityhalelwa ngasemva ukusuka kwisokethi.
- Ukukhutshwa ngasemva kunokubangela ukulimala okanye ukucaphuka kwi-nerve ye-sciatic. (R Cornwall, TE Radomisli 2000)
Ukuchithwa kwe-Anterior Hip
- Ukukhutshwa kwangaphambili akuxhaphakanga kangako.
- Kulo hlobo lokulimala, ibhola ikhutshwe kwi-socket.
I-Hip Subluxation
- I-hip subluxation iyenzeka xa ibhola edibeneyo ye-hip iqala ukuphuma kwi-socket ngokuyinxenye.
- Eyaziwa nangokuthi i-dislocation partial, inokujika ibe yinto edibeneyo ye-hip edibeneyo ukuba ayivunyelwe ukuphilisa ngokufanelekileyo.
iimpawu
Iimpawu zingabandakanya:
- Umlenze ukwindawo engaqhelekanga.
- Ubunzima bokuhambisa.
- Iintlungu ezibuhlungu ze-hip.
- Ukungakwazi ukuthwala ubunzima.
- Iintlungu ezisezantsi zoomatshini zinokudala ukudideka xa uxilonga ngokufanelekileyo.
- Ngokukhutshwa ngasemva, idolo kunye nonyawo luya kujikelezwa kumgca ophakathi womzimba.
- I-dislocation yangaphambili iya kujikeleza idolo kunye nonyawo ukusuka kumgca ophakathi. (I-American Academy ye-Orthopedic Surgeons. 2021)
Izizathu
Ukukhutshwa kunokubangela umonakalo kwizakhiwo ezibambe ibhola kwisokethi kwaye kunokubandakanya:
- Umonakalo weCartilage kwilungu -
- Iinyembezi kwi-labrum kunye nemigqa.
- Ukuqhekeka kwethambo kwindawo edibeneyo.
- Ukulimala kwiinqanawa ezinikezela ngegazi kamva kunokukhokelela kwi-avascular necrosis okanye i-osteonecrosis ye-hip. (UPatrick Kellam, uRobert F. Ostrum ngo-2016)
- Ukuchithwa kwe-hip kwandisa umngcipheko wokuphuhlisa i-arthritis edibeneyo emva kokulimala kwaye kunokunyusa umngcipheko wokufuna ukutshintshwa kwe-hip kamva ebomini. (Hsuan-Hsiao Ma et al., 2020)
Ukukhutshwa koPhuhliso lwe-Hip
- Abanye abantwana bazalwa bene-dislocation yophuhliso lwe-hip okanye i-DDH.
- Abantwana abane-DDH banamalungu e-hip angazange aqulunqwe ngokuchanekileyo ngexesha lophuhliso.
- Oku kubangela ukulingana okuxekethileyo kwisokethi.
- Kwezinye iimeko, i-hip joint is dislocated ngokupheleleyo.
- Kwamanye, ithambekele ekubeni igxothwe.
- Kwiimeko ezibuthathaka, umdibaniso ukhululekile kodwa awufuni ukuba ususwe. (I-American Academy ye-Orthopedic Surgeons. 2022)
impatho
Ukunciphisa ngokudibeneyo yindlela eqhelekileyo yokuphatha i-hip edibeneyo. Inkqubo ibeka kwakhona ibhola kwi-socket kwaye ngokuqhelekileyo yenziwa nge-sedation okanye phantsi kwe-anesthesia jikelele. Ukubuyisela i-hip kufuna amandla amakhulu. Ukuchithwa kwe-hip kuthathwa njengento engxamisekileyo, kwaye ukunciphisa kufuneka kwenziwe ngokukhawuleza emva kokutshatyalaliswa ukukhusela iingxaki ezisisigxina kunye nonyango olungenayo. (UCaylyne Arnold et al., 2017)
- Emva kokuba ibhola ibuyele kwi-socket, umboneleli wezempilo uya kukhangela ithambo, i-cartilage, kunye nokulimala kwe-ligament.
- Ngokuxhomekeke kwinto efunyenwe ngumboneleli wezempilo, unyango olongezelelweyo lunokuba yimfuneko.
- Amathambo aphukileyo okanye aphukileyo anokufuna ukulungiswa ukugcina ibhola ngaphakathi kwesokethi.
- Kusenokufuneka ukuba intlala eyonakeleyo isuswe.
Ukuhlinzwa
Utyando lunokuba yimfuneko ukubuyisela ilungu kwindawo yalo yesiqhelo. I-arthroscopy ye-Hip inokunciphisa ukuhlaselwa kweenkqubo ezithile. Ugqirha wotyando ufaka ikhamera ye-microscopic kwi-joint hip ukunceda ugqirha olungisa ukulimala usebenzisa izixhobo ezifakwe kwezinye izithintelo ezincinci.
Utyando lokutshintshwa kwe-Hip luthatha indawo yebhola kunye ne-socket, inkqubo eqhelekileyo kunye neyimpumelelo yotyando lwamathambo. Olu tyando lunokwenziwa ngezizathu ezahlukahlukeneyo, kubandakanywa ukuxhwaleka okanye i-arthritis, njengoko kuqhelekile ukuphuhlisa i-arthritis yokuqala ye-hip emva kolu hlobo lokuxhatshazwa. Kungenxa yoko le nto uninzi olune-dislocation ekugqibeleni lufuna utyando lokutshintshwa kwe-hip. Njengenkqubo enkulu yotyando, ayikho ngaphandle kweengozi. Iingxaki ezinokwenzeka ziquka:
- Sulelo
- Ukukhululeka kweAseptic (ukukhulula umdibaniso ngaphandle kosulelo)
- Ukukhutshwa kwe-Hip
ukuchacha
Ukubuyisela kwi-hip dislocation yinkqubo ende. Abantu ngabanye kuya kufuneka bahambe ngeentonga okanye ezinye izixhobo kwangethuba bechacha. Unyango lomzimba luya kuphucula uluhlu lokunyakaza kunye nokuqinisa imisipha ejikeleze i-hip. Ixesha lokubuyisela liya kuxhomekeka ekubeni kukho ezinye iingozi, ezifana nokuphuka okanye iinyembezi. Ukuba umdibaniso we-hip wawuncitshisiwe kwaye akukho okunye ukulimala, kunokuthatha iiveki ezintandathu ukuya kwezilishumi ukubuyisela kwindawo apho ubunzima bunokubekwa emlenzeni. Inokuba phakathi kweenyanga ezimbini ukuya kwezintathu ukuze umntu achache ngokupheleleyo. Ukugcina ubunzima emlenzeni kubalulekile kuze kube yilapho ugqirha okanye umgqirha wenyama unika yonke into ecacileyo. I-Chiropractic yezoNyango zeChiropractic kunye ne-Functional Medicine Clinic iya kusebenza kunye nomboneleli wezempilo osisiseko womntu kunye nabanye oogqirha botyando okanye iingcaphephe ukuphuhlisa isicwangciso sonyango lomntu.
Izisombululo zeChiropractic kwi-Osteoarthritis
Ucaphulo
UArnold, C., Fayos, Z., Bruner, D., Arnold, D., Gupta, N., & Nusbaum, J. (2017). Ukulawula ukuchithwa kwe-hip, idolo, kunye ne-ankle kwisebe likaxakeka [digest]. Ukuziqhelanisa namayeza angxamisekileyo, i-19(12 Amanqaku e-Suppl & Pearls), 1–2.
Dargel, J., Oppermann, J., Brüggemann, GP, & Eysel, P. (2014). Ukukhutshwa emva kokutshintshwa kwe-hip epheleleyo. Deutsches Arzteblatt ngamazwe, 111(51-52), 884-890. doi.org/10.3238/arztebl.2014.0884
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
Cornwall, R., & Radomisli, TE (2000). Ukulimala kwe-nerve kwi-traumatic dislocation ye-hip. I-orthopedics yeklinikhi kunye nophando oluhambelanayo, (377), 84-91. doi.org/10.1097/00003086-200008000-00012
I-American Academy ye-Orthopedic Surgeons. (2021). Ukukhutshwa kwe-Hip. orthoinfo.aaos.org/en/diseases-conditions/hip-dislocation
Kellam, P., & Ostrum, RF (2016). Ukuphononongwa okuCwangcisiweyo kunye nohlalutyo lwe-Meta ye-Avascular Necrosis kunye ne-Posttraumatic Arthritis Emva kokuchithwa kwe-Hip Traumatic. Ijenali ye-orthopedic trauma, i-30 (1), i-10-16. doi.org/10.1097/BOT.0000000000000419
Ma, HH, Huang, CC, Pai, FY, Chang, MC, Chen, WM, & Huang, TF (2020). Iziphumo zexesha elide kwizigulane ezine-hip-traumatic fracture-dislocation: izinto ezibalulekileyo ze-prognostic. Ijenali yoMbutho wezoNyango waseTshayina : JCMA, 83 (7), 686-689. doi.org/10.1097/JCMA.0000000000000366
I-American Academy ye-Orthopedic Surgeons. (2022). Ukuchithwa kophuhliso (dysplasia) ye-hip (DDH). orthoinfo.aaos.org/en/diseases-conditions/developmental-dislocation-dysplasia-of-the-hip-ddh/
by UGqr Alex Jimenez | Ukunyamekela, Ukulimala kwezemidlalo
Kubantu abaphakamisa iintsimbi, ngaba zikhona iindlela zokukhusela izihlahla nokuthintela ukwenzakala xa uphakamisa iintsimbi?
Ukukhuselwa Kwesandla
Izandla zidityanisiwe. Izandla zifaka isandla kakhulu kuzinzo kunye nokuhamba xa usenza imisebenzi okanye uphakamisa iintsimbi. Babonelela ngokushukumiseka kweentshukumo kusetyenziswa izandla kunye nokuzinza ukuthwala nokuphakamisa izinto ngokukhuselekileyo nangokukhuselekileyo (Ithala leencwadi leSizwe loNyango, ngo-2024). Ukuphakamisa iintsimbi ngokuqhelekileyo kwenziwa ukomeleza nokuzinzisa izihlahla; nangona kunjalo, ezi ntshukumo zinokubangela intlungu yesihlahla kwaye zikhokelela ekulimazeni ukuba akwenziwanga ngokuchanekileyo. Ukukhuselwa kwesandla kunokugcina izihlahla zomelele kwaye zisempilweni kwaye ngundoqo ekuphepheni iingxaki kunye nokwenzakala.
Ukomelela Kwesandla
Amalungu esihlahla abekwe phakathi kwesandla kunye namathambo omphambili. Izibonda zilungelelaniswe kwimiqolo emibini yesibhozo okanye elithoba lilonke lamathambo amancinci / amathambo e-carpal kwaye aqhagamshelwe kwingalo kunye namathambo esandla ngama-ligaments, ngelixa ii-tendon zidibanisa imisipha ejikelezayo emathanjeni. Amalungu e-Wrist yi-condyloid okanye ibhola eguquliweyo kunye ne-socket joints ezincedisa ukuguqa, ukongezwa, ukuxuthwa, kunye nokunyakaza kwe-adduction. (Ithala leencwadi leSizwe loNyango. 2024) Oku kuthetha ukuba izihlahla zinokuhamba kuzo zonke iinqwelomoya ezihambayo:
- Ecaleni ngecala
- Phezulu nasezantsi
- Jikela
Oku kunika uluhlu olubanzi lokunyakaza kodwa kunokubangela ukugqoka ngokugqithiseleyo kunye nokukrazula kunye nokwandisa umngcipheko woxinzelelo kunye nokulimala. Izihlunu kwi-forearm kunye nesandla sokulawula intshukumo yeminwe eyimfuneko yokubamba. Ezi zihlunu kunye nemisipha kunye neentambo ezibandakanyekayo zihamba ngesihlahla. Ukomeleza izihlahla kuya kuzigcina zihamba, kunceda ukuthintela ukulimala, kwaye kwandise kwaye kugcinwe amandla okubamba. Kuphononongo kwii-weightlifters kunye ne-powerlifters ezivavanye iintlobo zokulimala ezizigcinayo, ukulimala kwesandla kwakuqhelekileyo, kunye nokulimala kwemisipha kunye ne-tendon yeyona nto ixhaphake kakhulu phakathi kwee-weightlifters. (Ulrika Aasa et al., 2017)
Ukukhusela Izandla
Ukukhuselwa kwesandla kunokusebenzisa iindlela ezininzi, ezibandakanya ukwandisa ngokuqhubekayo amandla, ukuhamba, kunye nokuguquguquka ukuphucula impilo kunye nokukhusela ukulimala. Ngaphambi kokuphakamisa okanye ukubandakanya nawuphi na umthambo omtsha, abantu ngabanye kufuneka badibane nomboneleli wabo wezempilo oyintloko, umqeqeshi womzimba, umqeqeshi, ingcali yezonyango, okanye i-chiropractor yezemidlalo ukubona ukuba yeyiphi imithambo ekhuselekileyo kwaye ibonelele ngeenzuzo ezisekelwe kwimbali yokulimala kunye nenqanaba langoku lempilo..
Ukwandisa ukuhamba
Ukushukuma kuvumela izihlahla ukuba zibe noluhlu olupheleleyo lokunyakaza ngelixa zigcina uzinzo oluyimfuneko kumandla kunye nokuqina. Ukungabikho kokuhamba kwi-wrist joint kunokubangela ukuqina kunye nentlungu. Ukuguquguquka kudibene nokuhamba, kodwa ukuguquguquka ngokugqithiseleyo kunye nokungabikho kozinzo kunokubangela ukulimala. Ukwandisa ukuhamba kwesandla, yenza imithambo ubuncinane kabini ukuya kathathu ngeveki ukuphucula uluhlu lwentshukumo ngokulawula nokuzinza. Kwakhona, ukuthatha ikhefu rhoqo imini yonke ukujikeleza kunye nokujikeleza izihlahla kunye nokutsala ngobunono kwiminwe ukuze izolule kuya kunceda ukunciphisa uxinzelelo kunye nokuqina okunokubangela iingxaki zokuhamba.
Shushubeza
Ngaphambi kokuba usebenze, fudumeza izihlahla kunye nomzimba wonke ngaphambi kokuba usebenze. Qala ngokukhanya kwe-cardiovascular ukuze ufumane i-synovial fluid kumalungu ajikelezayo ukuthambisa amalungu, okuvumela ukuhamba kakuhle. Umzekelo, abantu ngabanye banokwenza amanqindi, bajikelezise izandla zabo, benze umthambo wokushukuma, banwebe kwaye bandise izihlahla, kwaye basebenzise isandla esinye ukutsala iminwe ngobunono. Malunga ne-25% yokulimala kwezemidlalo kubandakanya isandla okanye isandla. Ezi ziquka ukulimala kwe-hyperextension, iinyembezi ze-ligament, i-front-inside okanye i-thumb-side side intlungu ngenxa yokulimala ngokugqithiseleyo, ukulimala kwe-extensor, kunye nabanye. (UDaniel M. Avery 3rd et al., 2016)
Ukuqinisa imiSebenzi
Izandla ezomeleleyo zizinze ngakumbi, yaye ukuzomeleza kunokukhusela isihlahla. Imithambo ephucula amandla esihlahla ibandakanya ukutsalwa, ukunyuswa, ukunyathela, ukuthwala, kunye Zottman curls. Amandla okubamba abalulekile ekwenzeni imisebenzi yemihla ngemihla, ukuguga okunempilo, kunye nempumelelo eqhubekayo ngokuphakamisa iintsimbi. (Richard W. Bohannon 2019) Ngokomzekelo, abantu abanengxaki yokunyusa ubunzima kwiinqwelo-mafutha zabo ngenxa yokuba intsimbi ishenxile ezandleni zabo banokungabi namandla ngokwaneleyo okubamba isihlahla.
Isongelwa
Ukusonga isihlahla okanye iimveliso ezincedisa ukubamba zifanelekile ukuba ziqwalaselwe abo banemiba yesihlahla okanye iinkxalabo. Bangakwazi ukubonelela ngokuzinza kwangaphandle okongeziweyo ngelixa bephakamisa, ukunciphisa ukubamba ukukhathala kunye noxinzelelo kwiigaments kunye neetendon. Nangona kunjalo, kucetyiswa ukuba ungathembeli kwii-wraps njengonyango-konke umlinganiselo kwaye ugxininise ekuphuculeni amandla omntu ngamnye, ukuhamba, kunye nokuzinza. Uphononongo kubadlali abanokulimala kwesandla lubonise ukuba ukulimala kwenzeka nangona i-wraps igqoke i-34% yexesha ngaphambi kokulimala. Ngenxa yokuba abadlali abaninzi abalimele abazange basebenzise i-wraps, oku kubhekiselele kumanyathelo okukhusela anokuthi athintele, kodwa iingcali zivumile ukuba uphando olungakumbi luyafuneka. (U-Amr Tawfik et al., 2021)
Ukuthintela Ukwenzakala Ngokugqithisileyo
Xa ummandla womzimba uphinda uphindaphindeka ngokuphindaphindiweyo ngaphandle kokuphumla okufanelekileyo, uyaguga, uxinezeleke, okanye udumbe ngokukhawuleza, nto leyo ebangela ukulimala ngokugqithisileyo. Izizathu zokulimala ngokugqithisileyo ziyahluka kodwa zibandakanya ukungaguquki ukusebenza ngokwaneleyo ukuphumla izihlunu kunye nokuthintela ubunzima. Uphononongo lophando malunga nokuxhaphaka kokulimala kwi-weightlifters yafumanisa ukuba i-25% yayingenxa yokulimala kwe-tendon. (Ulrika Aasa et al., 2017) Ukuthintela ukusetyenziswa ngokugqithiseleyo kunokunceda ukuphepha iingxaki zesihlahla ezinokubakho.
Ifomu efanelekileyo
Ukwazi ukwenza iintshukumo ngokuchanekileyo kunye nokusebenzisa ifom efanelekileyo ngexesha ngalinye lokuzilolonga / iseshoni yoqeqesho kubalulekile ekukhuseleni ukulimala. Umqeqeshi womntu, i-physiotherapist yezemidlalo, okanye i-physiotherapist ye-physiotherapist inokufundisa indlela yokulungisa ukubamba okanye ukugcina ifom echanekileyo.
Qinisekisa ukubona umboneleli wakho ukuze afumane imvume ngaphambi kokuba uphakamise okanye uqalise inkqubo yokuzivocavoca. Unyango Lokwenzakala Chiropractic kunye ne-Functional Medicine Clinic inokucebisa ngoqeqesho kunye ne-prehabilitation okanye yenza ukuthunyelwa ukuba kukho imfuneko.
Ukufaneleka kweMpilo
Ucaphulo
U-Erwin, J., kunye noVaracallo, M. (2024). I-Anatomy, iGxala kunye neLungu eliPhezulu, iNdlela yeSihlalo. KwiStatPearls. www.ncbi.nlm.nih.gov/pubmed/30521200
Aasa, U., Svartholm, I., Andersson, F., & Berglund, L. (2017). Ukulimala phakathi kwee-weightlifters kunye ne-powerlifters: ukuphononongwa okucwangcisiweyo. Ijenali yaseBrithani yonyango lwezemidlalo, 51 (4), 211-219. doi.org/10.1136/bjsports-2016-096037
Avery, DM, 3rd, Rodner, CM, & Edgar, CM (2016). Isandla esinxulumene nezemidlalo kunye nokulimala kwesandla: uphononongo. Ijenali yotyando lwamathambo kunye nophando, i-11 (1), i-99. doi.org/10.1186/s13018-016-0432-8
Bohannon RW (2019). Amandla okubamba: I-Biomarker eyimfuneko kubantu abadala. Ukungenelela kwezonyango ekugugeni, i-14, i-1681-1691. doi.org/10.2147/CIA.S194543
Tawfik, A., Katt, BM, Sirch, F., Simon, ME, Padua, F., Fletcher, D., Beredjiklian, P., & Nakashian, M. (2021). Uphononongo malunga nesiganeko sokulimala kwesandla okanye iWrist kubadlali be-CrossFit. Cureus, 13(3), e13818. doi.org/10.7759/cureus.13818
by UGqr Alex Jimenez | Ukunyamekela, Ukulimala kwezemidlalo
Kubadlali kunye nabathandi bezemidlalo, i-triceps ekrazukileyo inokuba yingozi enkulu. Ngaba ukwazi iimpawu zabo, izizathu, izinto ezinobungozi, kunye neengxaki ezinokuthi zincede ababoneleli bezempilo baphuhlise isicwangciso sonyango esisebenzayo?
Ukwenzakala kweTriceps eziqwengiweyo
I-triceps sisihlunu esingasemva kwengalo engaphezulu esivumela ingqiniba ukuba ime nkqo. Ngethamsanqa, iinyembezi ze-triceps aziqhelekanga, kodwa zinokuba zinzulu. Ukulimala kuchaphazela amadoda ngokuphindaphindiweyo kunabasetyhini kwaye ngokuqhelekileyo kuvela kwintlungu, imidlalo, kunye / okanye imisebenzi yokuzivocavoca. Ngokuxhomekeke kubungakanani kunye nobukhulu bomonzakalo, ukwenzakala kwe-triceps ekrazukileyo kunokufuna ukuqhekeka, unyango lomzimba, kwaye mhlawumbi utyando ukuze uphinde ushukume kunye namandla. Ukuchacha emva kokukrazula i-triceps ngokuqhelekileyo kuthatha malunga neenyanga ezintandathu. (Iziko lezoNyango leYunivesithi yaseOhio State Wexner. 2021)
Anatomy
I-triceps brachii muscle, okanye i-triceps, ihamba ngasemva kwengalo engaphezulu. Ibizwa ngokuba kathathu kuba ineentloko ezintathu-intloko ende, ephakathi, kunye nesecaleni. (Sendic G. 2023) I-triceps iqala egxalabeni kwaye inamathele kwi-shoulder blade / scapula kunye nethambo lengalo ephezulu / i-humerus. Ezantsi, incamathela kwindawo yengqiniba. Eli lithambo kwicala le-pinky le-forearm, eyaziwa ngokuba yi-ulna. I-triceps ibangela intshukumo egxalabeni nakwi-elbow joint. Egxalabeni, lenza ulwandiso okanye intshukumo ngasemva yengalo kunye ne-adduction okanye ihambisa ingalo isiya emzimbeni. Umsebenzi oyintloko walo msipha ukwi-elbow, apho yenza ukwandiswa okanye ukulungiswa kwe-elbow. I-triceps isebenza ngokuchasene ne-biceps muscle ngaphambili kwengalo engaphezulu, eyenza i-flexion okanye ukugoba kwe-elbow.
Triceps Iinyembezi
Iinyembezi zinokuthi zenzeke naphi na ubude besihlunu okanye i-tendon, esi sisakhiwo esinamathelisa isihlunu emathanjeni. Iinyembezi ze-Triceps zivame ukuvela kwi-tendon edibanisa i-triceps ngasemva kwe-elbow. Iinyembezi ze-muscle kunye ne-tendon zifakwe kwi-1 ukuya kwi-3 ngokusekelwe kubunzima. (Alberto Grassi et al., 2016)
IBanga loku-1 liPhakathi
- Ezi nyembezi zincinci zibangela intlungu ebuhlungu ngokuhamba.
- Kukho ukudumba, ukugruzuka, kunye nokulahleka okuncinci komsebenzi.
IBanga lesi-2 ePhakathi
- Ezi nyembezi zinkulu kwaye zinokudumba okuphakathi kunye namanxeba.
- Iintsinga zikrazukile ngokuyinxenye kwaye zoluliwe.
- Ukuya kuthi ga kwi-50% ilahleko yomsebenzi.
IBanga lesi-3 elinzima
- Olu lolona hlobo lubi kakhulu lokukrazula, apho i-muscle okanye i-tendon ikrazuke ngokupheleleyo.
- Olu konzakala lubangela iintlungu ezinzima kunye nokukhubazeka.
iimpawu
Iinyembezi ze-Triceps zibangela intlungu ekhawulezileyo emva kwengqiniba kunye nengalo engaphezulu eyanda xa uzama ukuhambisa i-elbow. Abantu ngabanye banokuziva kunye/okanye beve ukuvela okanye ukukrazuka. Kuya kubakho ukudumba, kwaye ulusu luya kuba bomvu kunye/okanye lugruzuke. Ngokukrazula inxalenye, ingalo iya kuziva ibuthathaka. Ukuba kukho ukukrazula okupheleleyo, kuya kubakho ubuthathaka obukhulu xa ulungisa i-elbow. Abantu ngabanye banokuqaphela iqhuma elingasemva kwengalo apho izihlunu ziye zadibana kwaye zaqhina kunye.
Izizathu
Iinyembezi ze-Triceps zivame ukuvela ngexesha lokuxhatshazwa, xa i-muscle ibanjwe kwaye amandla angaphandle atyhala i-elbow kwindawo egobileyo. (UKyle Casadei et al., 2020) Omnye woonobangela abaqhelekileyo kukuwela ngengalo eyoluliweyo. Iinyembezi ze-Triceps ziyenzeka ngexesha lemidlalo efana nale:
- Ukuphosa i-baseball
- Ukuvala kumdlalo webhola
- imithambo yomzimba
- Ibhokisi
- Xa umdlali esiwa aze ahlale engalweni yakhe.
- Iinyembezi zinokuthi zenzeke xa usebenzisa izisindo ezinzima ngexesha lokuzilolonga okujoliswe kuko kwi-triceps, njenge-bench press.
- Iinyembezi zinokuthi zenzeke ngenxa yokwenzakala ngokuthe ngqo kwisihlunu, njengengozi yemoto, kodwa aziqhelekanga.
Ixesha elide
Iinyembezi ze-Triceps zinokukhula ngokuhamba kwexesha ngenxa ye-tendonitis. Le meko idla ngokuvela ngenxa yokusetyenziswa ngokuphindaphindiweyo kwemisipha ye-triceps ngexesha lemisebenzi efana nomsebenzi wezandla okanye umthambo. I-Triceps tendonitis ngamanye amaxesha ibizwa ngokuba yi-elbow ye-weightlifter. (Iziko le-Orthopedic & Spine. ND) Ukuxinezeleka kwemisipha kubangela iinyembezi ezincinci ezidla ngokuphiliswa ngumzimba. Nangona kunjalo, ukuba ubunzima obuninzi bubekwe kwi-tendon kunokuba bukwazi ukuqhubeka, iinyembezi ezincinci zinokuqala ukukhula.
Izinto zobungozi
Izinto ezinobungozi zinokunyusa umngcipheko wokukrazuka kwe-triceps. Iimeko zonyango eziphantsi zingenza buthathaka imisipha, ukwandisa umngcipheko wokulimala, kwaye kunokubandakanya: (Tony Mangano et al., 2015)
- Diabetes
- Irheumatoid arthritis
- Hyperparathyroidism
- Lupus
- Xanthoma - iidiphozithi ezinamafutha e-cholesterol phantsi kwesikhumba.
- I-hemangioendothelioma - izicubu ezinomhlaza okanye ezingenayo i-cancer ezibangelwa ukukhula okungaqhelekanga kweeseli zemithambo yegazi.
- Ukungaphumeleli kwezintso okungapheliyo
- I-tendonitis engapheliyo okanye i-bursitis kwi-elbow.
- Abantu abaye bafumana i-cortisone shots kwi-tendon.
- Abantu abasebenzisa i-anabolic steroids.
Iinyembezi ze-triceps zivame ukwenzeka rhoqo kumadoda phakathi kwama-30 kunye nama-50.Iimbumbulu zeOrtho. 2022) Oku kuvela ekuthatheni inxaxheba kwimisebenzi efana nebhola, ukuphakamisa ubunzima, ukwakha umzimba, kunye nomsebenzi wezandla, okwandisa umngcipheko wokulimala.
impatho
Unyango luxhomekeke kwiyiphi inxalenye ye-triceps echaphazelekayo kunye nobukhulu bomonakalo. Isenokufuna ukuphumla iiveki ezimbalwa kuphela, unyango lomzimba, okanye lufune utyando.
I-Nonsological
Iinyembezi eziyingxenye kwi-triceps ezibandakanya ngaphantsi kwe-50% ye-tendon zihlala ziphathwa ngaphandle kokuhlinzwa. (UMehmet Demirhan, u-Ali Ersen ngo-2016) Unyango lokuqala lubandakanya:
- Ukuqhawula ingqiniba ngokugoba kancinane kangangeeveki ezine ukuya kwezintandathu kuvumela izicubu ezonzakeleyo ukuba ziphole. (Iimbumbulu zeOrtho. 2022)
- Ngeli xesha, umkhenkce ungasetyenziswa kwindawo ye-15 ukuya kwi-20 imizuzu ngamaxesha amaninzi imihla ngemihla ukunceda ukunciphisa intlungu kunye nokuvuvukala.
- Amachiza angenayo i-steroidal anti-inflammatory / NSAIDs - i-Aleve, i-Advil, kunye ne-Bayer inokunceda ukunciphisa ukuvuvukala.
- Amanye amayeza angaphezu kwe-counter-counter afana neTylenol anokunceda ukunciphisa intlungu.
- Emva kokuba i-splint isusiwe, unyango lomzimba luya kunceda ukubuyisela ukunyakaza kunye namandla kwi-elbow.
- Ukunyakaza okupheleleyo kulindeleke ukuba kubuyele kwiiveki ze-12, kodwa amandla apheleleyo akayi kubuya kude kube ziinyanga ezintandathu ukuya kwezilithoba emva kokulimala. (UMehmet Demirhan, u-Ali Ersen ngo-2016)
Ukuhlinzwa
Iinyembezi ze-Triceps tendon ezibandakanya ngaphezu kwe-50% ye-tendon idinga ukuhlinzwa. Kwezinye iimeko, nangona kunjalo, utyando lusenokucetyiswa ngeenyembezi ezincinci kune-50% ukuba umntu unomsebenzi onzima ngokomzimba okanye uceba ukuphinda adlale imidlalo kwinqanaba eliphezulu. Iinyembezi kwisisu se-muscle okanye indawo apho isihlunu kunye ne-tendon zijoyina ziqhele ukuthungwa kunye. Ukuba ithenda ayisabotshelelwanga kwithambo, iphinde yajijwa. Ukubuyisela kunye nonyango lomzimba emva kokuhlinzwa kuxhomekeke kwiiprothokholi zogqirha othile. Ngokubanzi, umntu ngamnye uya kuchitha iiveki ezimbalwa kwizihlangu zezilima ezidityaniswe ngentsinjana/ngeplangana. Malunga neeveki ezine emva kotyando, abantu baya kukwazi ukuqalisa ukuhambisa ingqiniba kwakhona. Nangona kunjalo, abayi kukwazi ukuqalisa ukwenza umsebenzi wokuphakamisa ubunzima kangangeenyanga ezine ukuya kwezintandathu. (Iimbumbulu zeOrtho. 2022) (UMehmet Demirhan, u-Ali Ersen ngo-2016)
Iingxaki
Iingxaki zingenzeka emva kokulungiswa kwe-triceps, nokuba kukho utyando okanye cha. Ngokomzekelo, abantu basenokuba neengxaki zokuphinda bahluthe ibhokhwe ukwandiswa okanye ukolula. Bakwasemngciphekweni omkhulu wokuqhambuka kwakhona ukuba ngaba bazama ukusebenzisa ingalo phambi kokuba iphole ngokupheleleyo. (UMehmet Demirhan, u-Ali Ersen ngo-2016)
Ukhathalelo lweChiropractic lokuPhila emva kokwenzakala
Ucaphulo
Iziko lezoNyango leYunivesithi yaseOhio State Wexner. (2021). Ukulungiswa kwe-Distal triceps: isikhokelo sokhathalelo lweklinikhi. (Amayeza, umba. iyeza.osu.edu/-/media/files/medicine/departments/sports-medicine/medical-professionals/shoulder-and-elbow/distaltricepsrepair.pdf?
Sendic G. Kenhub. (2023). I-Triceps brachii muscle Kenhub. www.kenhub.com/en/library/anatomy/triceps-brachii-muscle
Grassi, A., Quaglia, A., Canata, GL, & Zaffagnini, S. (2016). Uhlaziyo malunga nokuhlelwa kokulimala kwemisipha: uphononongo olubalisayo olusuka kwiklinikhi ukuya kwiinkqubo ezibanzi. Amalungu, 4(1), 39–46. doi.org/10.11138/jts/2016.4.1.039
Casadei, K., Kiel, J., & Freidl, M. (2020). Triceps Tendon Ukwenzakala. Iingxelo zangoku zonyango lwezemidlalo, i-19 (9), i-367-372. doi.org/10.1249/JSR.0000000000000749
Iziko le-Orthopedic & Spine. (ND). I-Triceps tendonitis okanye i-elbow ye-weightlifter. Iziko lovimba. www.osc-ortho.com/resources/elbow-pain/triceps-tendonitis-or-weightlifters-elbow/
Mangano, T., Cerruti, P., Repetto, I., Trentini, R., Giovale, M., & Franchin, F. (2015). I-Tendonopathy engapheliyo njengeMbangela eyahlukileyo ye-Triceps engabonakaliyo yokuqhaqha iTendon kwi-(Risk Factors Free) Umakhi womzimba: Ingxelo yeNgxelo. Ijenali yeengxelo zetyala lamathambo, i-5 (1), i-58-61. doi.org/10.13107/jocr.2250-0685.257
Iimbumbulu zeOrtho. (2022). I-Triceps igqabhuka www.orthobullets.com/shoulder-and-elbow/3071/triceps-rupture
Demirhan, M., & Ersen, A. (2017). I-Distal triceps igqabhuka. EFORT vula uphononongo, 1(6), 255–259. doi.org/10.1302/2058-5241.1.000038
by UGqr Alex Jimenez | Ukunyamekela, ukuphulula umzimba womntu ngobunono
Ngaba unyango lomzimba oluncediswa sisixhobo sokuhlanganisa izicubu ezithambileyo okanye i-IASTM kuphucula ukuhamba, ukuguquguquka, kunye nempilo yabantu abonzakele kwi-musculoskeletal okanye izigulo?
Isixhobo esiNcedayo ukuHaywa kweTissue ethambileyo
Ukuhlanganiswa kwezicubu ezithambileyo ezincediswa sisixhobo okanye i-IASTM ikwabizwa ngokuba bubuchule beGraston. Kukukhutshwa kwe-myofascial kunye ne-massage ye-massage esetyenziswa kunyango lomzimba apho umnyangi esebenzisa isinyithi okanye izixhobo zeplastiki ukuphucula ukuhamba kwezicubu ezithambileyo emzimbeni. Isixhobo esimile ngokwe-ergonomically sikhuhlwa ngobunono okanye ngamandla kwaye sikhuhlwe kwindawo eyonzakeleyo okanye ebuhlungu. I-rubbing isetyenziselwa ukufumana kunye nokukhulula ukuqina kwi-fascia / i-collagen egubungela izihlunu kunye neetoni. Oku kunceda ukunciphisa intlungu kunye nokuphucula ukunyakaza.
I-massage kunye nokukhutshwa kweMyofascial
Ukuvuselelwa kwezicubu ezithambileyo ezincediswa sisixhobo kunceda:
- Ukuphucula ukuhamba kwezicubu ezithambileyo.
- Ukukhutshwa kwezithintelo kwi-fascia eqinile.
- Nciphisa ukuqhawuka kwezihlunu.
- Ukuphucula ukuguquguquka.
- Ukunyuka kokujikeleza kwizicubu.
- Ukuphelisa iintlungu. (UFahimeh Kamali et al., 2014)
Abantu bahlala behlakulela ukuqina kwezicubu okanye izithintelo kwimisipha kunye ne-fascia emva kokulimala. Ezi zithintelo zezicubu ezithambileyo zinokukhawulela uluhlu lwentshukumo - iROM kwaye inokubangela iimpawu zentlungu. (Kim J, Sung DJ, Lee J. 2017)
imbali
Ubuchwephesha beGraston bokuhlanganisa izicubu ezithambileyo ezincediswa zizixhobo zaphuhliswa ngumdlali odale izixhobo zabo zokunyanga ukwenzakala kwezicubu ezithambileyo. Umkhuba ukhule ngegalelo elivela kwiingcali zonyango, abaqeqeshi, abaphandi, kunye neekliniki.
- Iingcali zonyango zisebenzisa iintlobo ezahlukeneyo zezixhobo zokwenza i-IASTM.
- ezi izixhobo zokuphulula zibandakanya iintlobo ezahlukeneyo zokusilalisa kunye nokukhululwa.
- Inkampani yaseGraston iyila ezinye zezixhobo.
- Ezinye iinkampani zinenguqulelo yazo yentsimbi okanye iplastiki yokukhuhla kunye nezixhobo zokuhlikihla.
- Injongo kukunceda ukukhulula izicubu ezithambileyo kunye nezithintelo ze-myofascial ukuphucula intshukumo yomzimba. (Kim J, Sung DJ, Lee J. 2017)
Ingaba isebenza kanjani
- Ithiyori kukuba ukukrazula izicubu kubangela i-microtrauma kwindawo echaphazelekayo, kusebenze impendulo yokuvuvukala yendalo yomzimba. (Kim J, Sung DJ, Lee J. 2017)
- Umzimba uyasebenza ukuze uphinde ubambe izicubu eziqinileyo okanye ezibomvu, ezibangela umda.
- Emva koko umgqirha unokwelula i-adhesions ukunciphisa intlungu kunye nokuphucula ukuhamba.
impatho
Iimeko ezithile ziphendula kakuhle ekuhlanganisweni kwezicubu ezithambileyo ezincediswa sisixhobo, kubandakanya (Kim J, Sung DJ, Lee J. 2017)
- Ukuhamba okulinganiselweyo
- Ukunciphisa ukuqeshwa kwemisipha
- Ukulahleka koluhlu lwesindululo-i-ROM
- Iintlungu zokuhamba
- Ukwenziwa kwezicubu ezibomvu ngokugqithisileyo
I-Augmented soft tissue mobilization okanye i-ASTM ubuchule bunokunyanga ukwenzakala okuthile kunye neemeko zonyango ezibandakanya:
- Ukungalingani kwemisipha
- I-Ligament sprains
- Plantar fasciitis
- Intlungu yendalo
- I-Tendonitis kunye ne-tendinopathy
- Isihlunu sotyando okanye ukwenzakala (UMorad Chughtai et al., 2019)
Iingenelo kunye neziphumo ezisecaleni
Izibonelelo ziquka: (Kim J, Sung DJ, Lee J. 2017)
- Uluhlu oluthile lwenkqubela
- Ukunyuka kokuguquguquka kwezicubu
- Ukuphuculwa komsebenzi weseli kwindawo yokulimala
- Iintlungu ezincitshisiweyo
- Ukwakhiwa kwezicubu ezibomvu ezincitshisiweyo
Iziphumo ebezingalindelekanga zinokubandakanya:
Research
- Uphononongo luthelekisa izandla-kwi-myofascial release to instrument myofascial release for chronic low back pain. (Williams M. 2017)
- Umahluko omncinci wafunyanwa phakathi kweendlela ezimbini zokunciphisa intlungu.
- Olunye uphononongo luthelekisa i-IASTM nezinye iindlela zokunyanga iintlungu kunye nokulahleka komsebenzi. (UMateyu Lambert et al., 2017)
- Abaphandi baphetha ngokuthi i-IASTM inokuchaphazela kakuhle ukujikeleza kwegazi kunye nokuguquguquka kwezicubu kunye nokunciphisa intlungu.
- Olunye uphononongo luvavanye ukusetyenziswa kwe-IASTM, unyango lwe-ultrasound oluyinkohliso, kunye nokunyanzelwa komgogodla kwizigulana ezinentlungu ye-thoracic / ephezulu. (Amy L. Crothers et al., 2016)
- Onke amaqela aye aphucuka ngokuhamba kwexesha kungekho ziganeko zibi zibalulekileyo.
- Abaphandi baqukumbela ukuba ukuxutywa kwezicubu ezithambileyo ezincediswa ngesixhobo akukho ngaphezulu okanye ngaphantsi kunokusebenza komgogodla okanye unyango lwe-pseudo-ultrasound yeentlungu ze-thoracic.
Yonke imeko yahlukile, kwaye iimeko ze-musculoskelet ziphendula ngokwahlukileyo kwizinto ezahlukeneyo unyango. Kuyo nayiphi na imibuzo okanye iinkxalabo, qhakamshelana nomboneleli wakho wezempilo ukuze aqinisekise ukuba i-IASTM lunyango olufanelekileyo olunokunceda.
Ukusuka ekwenzakaleni ukuya ekuBuyiseni
Ucaphulo
Kamali, F., Panahi, F., Ebrahimi, S., & Abbasi, L. (2014). Ukuthelekisa phakathi kwe-massage kunye nonyango oluqhelekileyo lomzimba kubasetyhini abaneentlungu ezisezantsi kunye nezingapheliyo ezingachazwanga ezisezantsi. Umbhalo we-back and musculoskeletal rehabilitation, 27 (4), 475-480. doi.org/10.3233/BMR-140468
UKim, J., Sung, DJ, & Lee, J. (2017). Ukusebenza konyango lwesixhobo-ukuncedisa izicubu ezithambileyo zokuhlanganisa ukulimala kwezicubu ezithambileyo: iindlela kunye nokusetyenziswa okusebenzayo. Ijenali yokuvuselela umthambo, i-13 (1), i-12-22. doi.org/10.12965/jer.1732824.412
Chughtai, M., Newman, JM, Sultan, AA, Samuel, LT, Rabin, J., Khlopas, A., Bhave, A., & Mont, MA (2019). Unyango lwe-Astym®: uphononongo olucwangcisiweyo. I-Annals yeyeza lokuguqulela, i-7 (4), i-70. doi.org/10.21037/atm.2018.11.49
Williams M. (2017). Ukuthelekisa intlungu kunye neziphumo zokukhubazeka kwezixhobo ezichasene nezandla-kukukhululwa kwe-myofascial kubantu abaneentlungu ezingapheliyo ezisezantsi: uhlalutyo lwe-meta. Dissertation yobuGqirha, kwiYunivesithi yaseCalifornia State, eFresno. repository.library.fresnostate.edu/bitstream/handle/10211.3/192491/Williams_csu_6050D_10390.pdf?sequence=1
UMateyu Lambert, uRebecca Hitchcock, uKelly Lavallee, u-Eric Hayford, uRuss Morazzini, u-Amber Wallace, uDakota Conroy kunye noJosh Cleland (2017) Imiphumo yesixhobo esincedisiweyo sokuhlanganiswa kwezicubu ezithambileyo xa kuthelekiswa nezinye iindlela zokungenelela kwiintlungu kunye nomsebenzi: ukuphononongwa ngokuchanekileyo, unyango lwePhysical Therapy. Uphononongo, 22: 1-2, 76-85, DOI: 10.1080/10833196.2017.1304184
Crothers, AL, French, SD, Hebert, JJ, & Walker, BF (2016). Unyango lwe-Spinal manipulative, i-Graston technique® kunye ne-placebo yentlungu engacacanga ye-thoracic spine: isilingo esilawulwa ngokungahleliwe. IChiropractic & manual therapies, 24, 16. doi.org/10.1186/s12998-016-0096-9
by UGqr Alex Jimenez | Unyango lwe-Acupuncture, Electroacupuncture Therapy, Ukunyamekela
Kubantu abajongene neempawu zeentlungu zedolo kwingozi kunye / okanye isifo samathambo, ngaba ukubandakanya i-acupuncture kunye / okanye isicwangciso sonyango lwe-electroacupuncture uncedo ekupheliseni intlungu kunye nokulawula?
I-acupuncture yeentlungu zedolo
I-acupuncture ibandakanya ukufakwa kweenaliti ezincinci kakhulu eluswini kwii-acupoints ezithile emzimbeni. Isekelwe kwisiseko sokuba iinaliti zibuyisela ukuhamba kwamandla omzimba ukuze kusebenze kwaye kukhuthaze ukuphilisa, ukukhulula intlungu, kunye nokunceda umzimba uphumle.
- I-acupuncture inokunceda ukujongana neemeko ezahlukeneyo zempilo, kuquka iintlungu zedolo ezibangelwa yi-arthritis okanye ukulimala.
- Ngokuxhomekeke kuhlobo kunye nobukhulu bentlungu, unyango lunokunceda ukunciphisa intlungu yeentsuku okanye iiveki.
- I-acupuncture isoloko isetyenziswa njengonyango olongezelelweyo - unyango ukongeza kwezinye iindlela zonyango okanye unyango olufana ne-massage kunye ne-chiropractic.
IiNzuzo zeAcupuncture
Iintlungu zedolo ezibangelwa yi-osteoarthritis okanye ukulimala kunokunciphisa ukuguquguquka, ukuhamba, kunye nomgangatho wobomi. I-acupuncture inokunceda ukunika isiqabu.
Xa iinaliti ze-acupuncture zifakwe emzimbeni, isibonakaliso sithunyelwa kunye nentambo yomgogodla ukuya kwingqondo, ebangela ukukhululwa kwee-endorphins / iihomoni zentlungu. Abaphandi bezonyango bakholelwa ukuba oku kunceda ukunciphisa intlungu. (Qian-Qian Li et al., 2013) I-acupuncture ikwanceda ekunciphiseni ukuveliswa kwe-cortisol, ihomoni enceda ukulawula ukudumba. (Qian-Qian Li et al., 2013) Ngokunciphisa iintlungu zentlungu kunye nokuvuvukala okuncinci emva konyango lwe-acupuncture, umsebenzi wamadolo kunye nokuhamba kunokuphuculwa.
- Izinto ezahlukeneyo zidlala indima ekupheliseni iintlungu ezivela kwi-acupuncture. Obunye ubungqina bubonisa ukuba oko umntu akulindeleyo kunokuchaphazela iziphumo zonyango lwe-acupuncture. (UStephanie L. Prady et al., 2015)
- Abaphandi ngoku bavavanya ukuba ulindelo lokuba i-acupuncture inenzuzo inegalelo kwisiphumo esingcono emva konyango. (Zuoqin Yang et al., 2021)
- Ngo-2019, i-acupuncture yacetyiswa ekunyangeni i-knee osteoarthritis kwiKholeji yaseMelika yeRheumatology/Arthritis Foundation izikhokelo zolawulo lwentlungu yesandla, ihip, kunye nedolo. (USharon L. Kolasinski et al., 2020)
Research
- Izifundo ezahlukeneyo zeklinikhi zixhasa ukukwazi kwe-acupuncture ukunceda ukuthomalalisa iintlungu zedolo kunye nolawulo.
- Olunye uphando lufumene ukuba i-acupuncture inceda ukulawula iimeko ezahlukeneyo ezibangela intlungu engapheliyo. (Andrew J. Vickers et al., 2012)
- Uphononongo lwezenzululwazi luhlalutye izifundo zangaphambili kungenelelo lolawulo lweentlungu emva kokuhlinzwa kwamadolo kwaye lufumene ubungqina obuxhasayo bokuthi unyango lulibazisekile kwaye lunciphisa ukusetyenziswa kwamachiza okunciphisa intlungu emva kokuhlinzwa. (UDario Tedesco et al., 2017)
Osteoarthritis
- Uphononongo olucwangcisiweyo luhlalutye izifundo zolawulo olungenamkhethe ukufumanisa ukuba ngaba i-acupuncture iyanciphisa iintlungu kunye nokuphuculwa komsebenzi odibeneyo kubantu abaneentlungu ezingapheliyo ze-osteoarthritis. (Xianfeng Lin et al., 2016)
- Abantu ngabanye bafumana iiseshini ze-acupuncture ezintandathu ukuya kumashumi amabini anesithathu ngeveki kwiiveki ezintathu ukuya kwezingama-36.
- Uhlalutyo lunqume ukuba i-acupuncture inokuphucula umsebenzi omfutshane kunye nexesha elide lomzimba kunye nokuhamba kunye nokubonelela ngeeveki ze-13 zokunciphisa intlungu kubantu abaneentlungu ezingapheliyo zedolo ezibangelwa yi-osteoarthritis.
Irheumatoid arthritis
- I-arthritis ye-Rheumatoid sisifo esingapheliyo esichaphazela amalunga, kubandakanywa idolo, ebangela intlungu kunye nokuqina.
- I-acupuncture iluncedo ekunyangeni i-rheumatoid arthritis/RA.
- Uphononongo lufumanise ukuba iacupuncture iyodwa kwaye idityaniswe nezinye iindlela zonyango zinceda abantu abaneRA. (Pei-Chi, Chou Heng-Yi Chu 2018)
- I-acupuncture ikholelwa ukuba ineempembelelo ezichasayo kunye ne-antioxidant yokunceda ukulawula ukusebenza kwe-immune system.
Iintlungu zedolo ezingapheliyo
- Iimeko ezahlukeneyo kunye nokulimala kunokubangela intlungu engapheliyo yamadolo, okwenza kube nzima ukuhamba.
- Abantu abaneentlungu ezidibeneyo badla ngokuguqukela kunyango olongezelelweyo lolawulo loncedo lweentlungu, kunye ne-acupuncture yenye yeendlela ezithandwayo. (UMichael Frass et al., 2012)
- Uphononongo lubonise ukuphuculwa okuthobekileyo kwiintlungu kwiiveki ze-12. (Rana S. Hinman et al., 2014)
- I-acupuncture ibangele ukuphuculwa okuthobekileyo kokuhamba kunye nokusebenza kwiiveki ze-12.
Safety
Imiphumela
- Iziphumo ebezingalindelekanga zinokubandakanya ukuqaqamba, ukugruzuka, okanye ukopha kwindawo yokufakwa inaliti kunye nesiyezi.
- Iziphumo ebezingalindelekanga zixhaphake kakhulu ziquka ukuphelelwa ngamandla, iintlungu ezongeziweyo, kunye nesicaphucaphu. (Isikolo sezonyango saseHarvard. 2023)
- Ukusebenza kunye nelayisenisi, ingcali ye-acupuncture inokunciphisa umngcipheko weziphumo ebezingalindelekanga ezingafunekiyo kunye neengxaki.
iintlobo
Olunye ukhetho lwe-acupuncture olunokubonelelwa lubandakanya:
I-Electroacupuncture
- Ifom elungisiweyo ye-acupuncture apho umbane omncinci udlula kwiinaliti, ukubonelela ngokuvuselela okongeziweyo kwii-acupoints.
- Kolunye uphononongo lophando, abantu abane-knee osteoarthritis bachaze ukuphuculwa okubalulekileyo kwiintlungu zabo, ukuqina, kunye nokusebenza komzimba emva konyango lwe-electroacupuncture. (Ziyong Ju et al., 2015)
Ukubanjwa ngesandla
- I-auricular okanye i-ear acupuncture isebenza kwii-acupoints endlebeni ehambelana namalungu ahlukeneyo omzimba.
- Uphononongo lophando luhlalutye izifundo ezininzi malunga ne-auricular acupuncture yokunciphisa intlungu kwaye yafumanisa ukuba inokubonelela ngesiqabu kwiiyure ze-48 zentlungu. (M. Murakami et al., 2017)
Battlefield Acupuncture
- Amaziko omkhosi kunye namagqala ezempilo asebenzisa uhlobo olulodwa lwe-auricular acupuncture yokulawula iintlungu.
- Uphononongo lubonisa ukuba lusebenza kakuhle ekuboneleleni ngokukhawuleza intlungu, kodwa uphando olongezelelweyo luyimfuneko ukugqiba ukusebenza kwexesha elide lokunciphisa intlungu. (Anna Denee Montgomery, Ronovan Ottenbacher 2020)
Ngaphambi kokuzama i-acupuncture, qhagamshelana nochwepheshe bezempilo ukuze ufumane isikhokelo, njengoko inokudityaniswa nolunye unyango kunye nohlengahlengiso lwendlela yokuphila.
Ukoyisa i-ACL Injury
Ucaphulo
Li, QQ, Shi, GX, Xu, Q., Wang, J., Liu, CZ, & Wang, LP (2013). Isiphumo se-acupuncture kunye nokulawulwa kwe-autonomic ephakathi. Ubungqina obusekelwe kubungqina obuxhasayo kunye nolunye unyango : eCAM, 2013, 267959. doi.org/10.1155/2013/267959
Prady, SL, Burch, J., Vanderbloemen, L., Crouch, S., & MacPherson, H. (2015). Ukulinganisa okulindelweyo kwinzuzo kunyango kwizilingo ze-acupuncture: uphononongo olucwangcisiweyo. Unyango olongezelelweyo kwiyeza, i-23 (2), i-185-199. doi.org/10.1016/j.ctim.2015.01.007
Yang, Z., Li, Y., Zou, Z., Zhao, Y., Zhang, W., Jiang, H., Hou, Y., Li, Y., & Zheng, Q. (2021). Ngaba ulindelo lwesigulane lunceda unyango lwe-acupuncture? Amayeza, 100 (1), e24178. doi.org/10.1097/MD.0000000000024178
Kolasinski, SL, Neogi, T., Hochberg, MC, Oatis, C., Guyatt, G., Block, J., Callahan, L., Copenhaver, C., Dodge, C., Felson, D., Gellar, K., Harvey, WF, Hawker, G., Herzig, E., Kwoh, CK, Nelson, AE, Samuels, J., Scanzello, C., White, D., Wise, B., … Reston, J. (2020). I-2019 yeKholeji yaseMelika ye-Rheumatology / iSikhokelo seSiseko seArthritis soLawulo lwe-Osteoarthritis yesandla, i-Hip, ne-Knee. Ukunyamekela kunye nophando lwe-arthritis, i-72 (2), i-149-162. doi.org/10.1002/acr.24131
Vickers, AJ, Cronin, AM, Maschino, AC, Lewith, G., MacPherson, H., Foster, NE, Sherman, KJ, Witt, CM, Linde, K., kunye ne-Acupuncture Trialists' Collaboration (2012). I-acupuncture yeentlungu ezingapheliyo: uhlalutyo lwedatha yesigulane ngasinye. Ii-Archives zamayeza angaphakathi, i-172 (19), i-1444-1453. doi.org/10.1001/archinternmed.2012.3654
Tedesco, D., Gori, D., Desai, KR, Asch, S., Carroll, IR, Curtin, C., McDonald, KM, Fantini, MP, & Hernandez-Boussard, T. (2017). Ungenelelo olungenazo izidakamizwa lokunciphisa iintlungu okanye ukusetyenziswa kwe-Opioid emva kwe-Knee Arthroplasty epheleleyo: ukuphononongwa ngokuchanekileyo kunye nohlalutyo lwe-Meta. Utyando lwe-JAMA, 152(10), e172872. doi.org/10.1001/jamasurg.2017.2872
Lin, X., Huang, K., Zhu, G., Huang, Z., Qin, A., & Fan, S. (2016). Iimpembelelo ze-Acupuncture kwi-Chronic Knee Pain ngenxa ye-Osteoarthritis: Uhlalutyo lwe-Meta. Ijenali yethambo kunye notyando oludibeneyo. Umqulu waseMelika, 98 (18), 1578-1585. doi.org/10.2106/JBJS.15.00620
Chou, PC, & Chu, HY (2018). Ukusebenza kweKlinikhi ye-Acupuncture kwi-Rheumatoid Arthritis kunye neendlela eziManyeneyo: Ukuphononongwa kweNkqubo. Ubungqina obusekelwe kubungqina obuxhasayo kunye nolunye unyango : eCAM, 2018, 8596918. doi.org/10.1155/2018/8596918
Frass, M., Strassl, RP, Friehs, H., Müllner, M., Kundi, M., & Kaye, AD (2012). Ukusetyenziswa kunye nokwamkelwa kweyeza elongezelelweyo kunye nelinye phakathi kwabemi ngokubanzi kunye nabasebenzi bezonyango: uphononongo olucwangcisiweyo. Ijenali ye-Ochsner, 12(1), 45–56.
Hinman, RS, McCrory, P., Pirotta, M., Relf, I., Forbes, A., Crossley, KM, Williamson, E., Kyriakides, M., Novy, K., Metcalf, BR, Harris, A ., Reddy, P., Conaghan, PG, & Bennell, KL (2014). I-acupuncture yentlungu engapheliyo yamadolo: uvavanyo lweklinikhi olungahleliwe. JAMA, 312 (13), 1313-1322. doi.org/10.1001/jama.2014.12660
Iziko leSizwe leMpilo eFanayo kunye neDityanisiweyo. (2022). I-acupuncture ngobunzulu. Iziko leSizwe leMpilo eFanayo kunye neDityanisiweyo. www.nccih.nih.gov/health/acupuncture-what-you-need-to-know
Isikolo sezonyango saseHarvard. (2023). I-acupuncture: yintoni na? I-Harvard Health yokuPapasha iblogi yeSikolo sezoNyango saseHarvard. www.health.harvard.edu/a_to_z/acupuncture-a-to-z#:~:text=The%20most%20common%20side%20effects,injury%20to%20an%20internal%20organ.
Ju, Z., Guo, X., Jiang, X., Wang, X., Liu, S., He, J., Cui, H., & Wang, K. (2015). I-Electroacupuncture eneentsika ezahlukeneyo zangoku ukunyanga i-knee osteoarthritis: isifundo esilawulwayo esisodwa. Ijenali yamazwe ngamazwe yezonyango kunye novavanyo lweyeza, 8 (10), 18981-18989.
Murakami, M., Fox, L., & Dijkers, MP (2017). I-Ear Acupuncture yokuNceda iintlungu ngokukhawuleza-Ukuphononongwa okuCwangcisiweyo kunye noHlalutyo lweMeta yoLwango oluLawulwayo olungenamkhethe. Iyeza lentlungu (Malden, Mass.), 18 (3), 551-564. doi.org/10.1093/pm/pnw215
Montgomery, AD, & Ottenbacher, R. (2020). I-Battlefield Acupuncture yoLawulo lweentlungu ezingapheliyo kwizigulane kwi-Long-Term Opioid Therapy. I-acupuncture yonyango, 32 (1), 38-44. doi.org/10.1089/acu.2019.1382
by UGqr Alex Jimenez | Ukulimala koluhlu, Ukunyamekela
Ukulimala kwedolo kunokubonakala kubantu abakhutheleyo ngokomzimba abaphakamisa iintsimbi. Ngaba ukuqonda iintlobo zokulimala kwamadolo kunceda ekuthinteleni?
Ukunyuswa kweWeightlifting Ukwenzakala emadolweni
Ukuqeqeshwa kwesisindo kukhuselekile kakhulu emadolweni njengoko ukuqeqeshwa kwesisindo rhoqo kunokuphucula amandla emadolweni kwaye kuthintele ukulimala nje ngokuba kulandelwa ifom echanekileyo. Kubantu abonzakele ngamadolo kweminye imisebenzi, ukuzilolonga okungalunganga koqeqesho lobunzima kunokuwenza mandundu ukwenzakala. (Ulrika Aasa et al., 2017) Kwakhona, ukunyakaza okujija ngokukhawuleza, ukulungelelaniswa okungahambi kakuhle, kunye nokulimala kwangaphambili kunokunyusa umngcipheko wokunyuka okanye ukudala ukulimala okungaphezulu. (UHagen Hartmann et al, 2013) Umzimba kunye namadolo enzelwe ukuxhasa amandla amileyo kumalungu.
Ukulimala Okuqhelekileyo
Ukulimala kwamadolo okunciphisa ubunzima kwenzeka njengoko amadolo ahlangene anyamezela uluhlu olubanzi loxinzelelo kunye noxinzelelo. Ekuqeqesheni ubunzima, i-ligaments enamathele kwinkqubo yamathambo eyinkimbinkimbi yedolo edibeneyo ingonakaliswa ngokunyakaza okungalunganga, ukugqithisa ubunzima, kunye nokwandisa ubunzima ngokukhawuleza. Ezi nzakala zingabangela intlungu, ukuvuvukala, kunye nokungahambi kakuhle okunokuthi kuhambe ukusuka kumncinci ukuya kubunzima, ukusuka kwi-sprain okanye ukukrazula okuncinci ukuya kwiinyembezi ezipheleleyo kwiimeko ezinzulu.
I-Anterior Cruciate Ligament - i-ACL - Ukulimala
Le ligament ifaka ithambo le-femur yethanga kwi-shin bone / i-tibia yomlenze ongezantsi kwaye ilawula ukujikeleza ngokugqithiseleyo okanye ukwandiswa kwedolo elihlangeneyo. (IAkhademi yaseMelika yooGqirha beSapho. 2024)
- Umphambili uthetha ngaphambili.
- Ukulimala kwe-ACL kubonakala kakhulu kwiimbaleki kodwa kunokwenzeka nakubani na.
- Umonakalo omkhulu kwi-ACL ngokuqhelekileyo uthetha ukwakhiwa ngokutsha kotyando kunye ukuya kwiinyanga ezili-12 zokubuyisela.
- Xa uphakamisa ubunzima, zama ukuphepha ukuguqula ukunyakaza kwamadolo, ngenjongo okanye ngengozi, phantsi komthwalo ogqithisileyo.
I-Posterior Cruciate Ligament - PCL - Ukwenzakala
- I-PCL idibanisa i-femur kunye ne-tibia kwiindawo ezahlukeneyo kwi-ACL.
- Ilawula nayiphi na intshukumo engasemva ye-tibia kwindawo edibeneyo.
- Ukulimala kwenzeka kakhulu ngempembelelo ephezulu ngenxa yeengozi kwaye ngamanye amaxesha kwimisebenzi apho ukuxhatshazwa okunamandla emadolweni kwenzeka.
I-Meral Collateral Ligament - i-MCL - Ukwenzakala
- Le ligament igcina idolo ekugobeni kakhulu ukuya ngaphakathi / ngaphakathi.
- Ukulimala kakhulu kwenzeka kwimpembelelo ukuya ngaphandle kwedolo okanye ukusuka kumandla obunzima bomzimba ngengozi emlenzeni ogoba kwi-angle engaqhelekanga.
I-Lateral Collateral Ligament - LCL - Ukwenzakala
- Le ligament idibanisa ithambo elincinci lomlenze ophantsi / i-fibula kwi-femur.
- Ichasene ne-MCL.
- Igcina intshukumo yangaphandle egqithisileyo.
- Ukulimala kwe-LCL kwenzeka xa amandla etyhala idolo ngaphandle.
Ukwenzakala kweNqwela
- ICartilage ikhusela amathambo ukuba angakhuhlani kunye kwaye i-cushions ichaphazela amandla.
- I-Knee menisci yi-cartilage edibanisa amadolo ngaphakathi nangaphandle.
- Ezinye iintlobo ze-cartilage zikhusela ithanga kunye namathambo e-shin.
- Xa intlala ikrazuka okanye yonakele, kusenokufuneka utyando.
Tendonitis
- I-tendon ye-knee e-aggravated kunye ne-overuseed ingakhokelela ekulimazeni kwamadolo.
- Ukulimala okuhambelanayo okubizwa ngokuba yi-iliotibial band syndrome / i-ITB ibangela intlungu ngaphandle kwedolo, ngokuqhelekileyo kubagijimi, kodwa inokuthi yenzeke ngokugqithisileyo.
- Ukuphumla, ukolula, unyango lomzimba, kunye neyeza lokuchasa ukudumba sisicwangciso sonyango esiqhelekileyo.
- Umntu ngamnye kufuneka adibane nonyango lomzimba ngeentlungu ezihlala ixesha elide kuneeveki ezimbini. (USimeon Mellinger, uGrace Anne Neurohr 2019)
Osteoarthritis
- Njengoko umzimba uguga, ukunxiba okuqhelekileyo kunye nokukrazula kunokubangela uphuhliso osteoarthritis kwamalungu amadolo. (UJeffrey B. Driban et al., 2017)
- Le meko ibangela ukuba i-cartilage ibe nzima kwaye amathambo adibanise kunye, okubangela intlungu kunye nokuqina.
uthintelo
- Abantu ngabanye banokunciphisa umngcipheko wokulimala kwamadolo kunye neentlungu ngokulandela iingcebiso zogqirha kunye nabaqeqeshi bomntu.
- Abantu abanokulimala edolweni ekhoyo kufuneka balandele iingcebiso zabo zogqirha okanye i-physical therapist.
- Umkhono wamadolo unokugcina izihlunu kunye namalungu ekhuselekile, ukubonelela ngokhuseleko kunye nenkxaso.
- Ukolula umlenze kunye nemisipha yamadolo kunokugcina ukuguquguquka okuhlangeneyo.
- Ziphephe iintshukumo ezisecaleni ngesiquphe.
- Iingcebiso ezinokuthi zibandakanye:
Ukuphepha Imithambo ethile
- Ukuzivocavoca okuzimeleyo njengama-curls emilenze, ukuma, okanye kwibhentshi, kunye nokusebenzisa umatshini wokwandisa umlenze, unokugxininisa idolo.
Uqeqesho lwe-Squat olunzulu
Uphando lubonisa ukuba i-squat enzulu inokukhusela ukulimala komlenze ophantsi ukuba idolo liphilile. Nangona kunjalo, oku kwenzeka xa kusenziwa ngobuchule obufanelekileyo, phantsi kweliso leengcali, kunye nomthwalo oqhubekayo ngokuthe ngcembe. (UHagen Hartmann et al, 2013)
Abantu ngabanye kufuneka bathethe nogqirha wabo ngaphambi kokuba baqalise indlela entsha yokwenza umthambo. Umqeqeshi wobuqu unokubonelela ngoqeqesho ekufundeni ubuchule obufanelekileyo kunye nefom yokunyusa ubunzima.
Ndikrazule njani i-ACL yam iCandelo 2
Ucaphulo
Aasa, U., Svartholm, I., Andersson, F., & Berglund, L. (2017). Ukulimala phakathi kwee-weightlifters kunye ne-powerlifters: ukuphononongwa okucwangcisiweyo. Ijenali yaseBrithani yonyango lwezemidlalo, 51 (4), 211-219. doi.org/10.1136/bjsports-2016-096037
Hartmann, H., Wirth, K., & Klusemann, M. (2013). Uhlalutyo lomthwalo emadolweni adibeneyo kunye nekholomu ye-vertebral kunye neenguqu kwi-squatting deep and weight load. Iyeza lezemidlalo (Auckland, NZ), 43 (10), 993-1008. doi.org/10.1007/s40279-013-0073-6
IAkhademi yaseMelika yooGqirha beSapho. Ukulimala kwe-ACL. (2024). Ukulimala kwe-ACL (Izifo kunye neMiqathango, Umba. familydoctor.org/condition/acl-injuries/
Mellinger, S., & Neurohr, GA (2019). Iinketho zonyango ezisekelwe kubungqina bokulimala kwamadolo aqhelekileyo kubagijimi. I-Annals yeyeza lokuguqulela, 7 (Suppl 7), S249. doi.org/10.21037/atm.2019.04.08
Driban, JB, Hootman, JM, Sitler, MR, Harris, KP, & Cattano, NM (2017). Ngaba iNtatho-nxaxheba kwiMidlalo ethile eNxulunyaniswe ne-Knee Osteoarthritis? Uphononongo olucwangcisiweyo. Ijenali yoqeqesho lweembaleki, i-52 (6), i-497-506. doi.org/10.4085/1062-6050-50.2.08
by UGqr Alex Jimenez | Unyango lwe-Acupuncture, Ukunyamekela
Kubantu abajongene nokulimala kunye neemeko zentlungu, ngaba ukubandakanya i-acupuncture kwisicwangciso sonyango kunceda ukunciphisa nokulawula intlungu?
Ulawulo lweentlungu ze-Acupuncture
Iindlela zokulawula iintlungu ziquka unyango lomzimba, amayeza, unyango olubandayo, i-chiropractic, kunye ne-massage. Enye indlela ekhulayo yi-acupuncture. (I-World Health Organization. 2021) Ngokutsho kwengxelo yeWorld Health Organization, iacupuncture yeyona ndlela ixhaphakileyo yamayeza esintu ehlabathini lonke. (I-World Health Organization. 2021) Ngaphezu kwe-10 lezigidi zonyango lwe-acupuncture lwenziwa ngonyaka eU.S.UJason Jishun Hao, uMichele Mittelman. 2014)
Yintoni?
I-acupuncture yindlela yonyango ebandakanya ukubeka iinaliti eziqinileyo kodwa ezinqabileyo kakhulu kwiindawo ezithile emzimbeni ukunyanga imiba ethile yezempilo. Zingasetyenziswa ngokwazo okanye zivuselelwe ngemisinga yombane, ebizwa ngokuba yi-electroacupuncture. I-acupuncture yaqala e-China malunga neminyaka engama-3,000 eyadlulayo kwaye yaziwa njengeyeza lemveli laseTshayina okanye i-TCM. Kwiminyaka yakutshanje, lo msebenzi uye wamkelwa kwaye wafunwa kwihlabathi liphela. (UJason Jishun Hao, uMichele Mittelman. 2014)
Ingaba isebenza kanjani?
Ulawulo lweentlungu ze-acupuncture lusebenza ngokulinganisa ukuhamba kwe-qi / chi / amandla, ehamba ngeemeridians, okanye iziteshi emzimbeni. Ngokufaka iinaliti kumanqaku athile kunye nale mijelo, ibhalansi iphinda ibuyiselwe kwimpilo yonke kunye nokuphila kakuhle. Xa amandla engalinganiyo ngenxa yoxinzelelo lwangaphakathi nangaphandle olungabandakanya ukulimala, iimeko eziphantsi, ukutya okungenamsoco, kunye noxinzelelo, abantu ngabanye banokubonisa iimpawu kunye nokugula. Ukusebenzisa iindlela zokuxilonga kunye nodliwano-ndlebe olubanzi, abaqeqeshi banokumisela ukuba zeziphi iinkqubo zamalungu kunye neziteshi ze-meridian ezifuna ukujongana nokubuyisela umsebenzi. Kukho ngaphezu kwe-2,000 acupoints emzimbeni. (Johns Hopkins Medicine. 2024) Inqaku ngalinye linenjongo yalo kunye nomsebenzi: ezinye zandisa amandla, ezinye ziyanciphisa, zinceda ukulungelelanisa umzimba ukuxhasa ukuphilisa nokubuyisela. Ulawulo lweentlungu ze-acupuncture luhamba ngaphaya kokuphiliswa kwamandla kwaye lunokunceda ukunciphisa intlungu ngokuvuselela imithambo-luvo, izihlunu, kunye ne-fascia / izicubu ezixhumeneyo, ukulawula ukuphendula komzimba, ukuphendula kwenkqubo ye-nervous, ukuhamba kwe-lymphatic, kunye nokwandisa ukuphumla kwemisipha.
iintlobo
Iindidi ezahlukeneyo ze-acupuncture zitshintshiwe kuqeqesho kunye nezitayile, kodwa zonke zibandakanya ukudinga amanqaku athile kwaye zibandakanya:
I-Orthopedic / iNeedling eyomileyo
- Obu buchule budibanisa iNyanga yesiNtu yaseTshayina kunye nokuguqulwa kwesakhiwo ukunyanga iintlungu, ukwenzakala kwezicubu, ukungalingani emzimbeni, kunye nolunye ukuphazamiseka kwenkqubo jikelele.
Isimbo seziNto eziHlanu
- Le yindlela yomoya kunye neemvakalelo ezisebenzisa izinto ezintlanu zendalo, kubandakanywa iinkuni, umlilo, umhlaba, isinyithi, kunye namanzi, ukuhambisa amandla, ukudala ibhalansi emzimbeni.
Uhlobo lwaseJapan
- isebenzisa ubuchule obufanayo kwi-TCM kodwa isebenzisa indlela echuliweyo, njengokusebenzisa iinaliti ezimbalwa okanye ukuzifaka kubunzulu obusezantsi emzimbeni.
Korean
- Obu buchule busebenzisa iindlela zombini ezivela kwiTshayina kunye neJapan acupuncture.
- Abasebenzi banokusebenzisa iinaliti ezininzi kunye neentlobo ezahlukeneyo zeenaliti, njengeentlobo zobhedu, endaweni yohlobo oluqhelekileyo lwensimbi engenasici.
- Olu hlobo lwe-acupuncture lusebenzisa kuphela i-acupoints esandleni ukunyanga iindawo ezahlukeneyo zomzimba.
Ukubanjwa ngesandla
- Oku kufana ne-Korean acupuncture kodwa ixhomekeke kumanqaku athile endlebeni ukunyanga ezinye iindawo zomzimba.
- Injongo kukoyisa ukungalingani kunye nokungavisisani.
Ephakathi
- Obu buchule buphatha iintlungu ngokungangqalanga.
- Amagcisa abeka iinaliti kwezinye iindawo ngaphandle kwendawo yokungakhululeki.
- Ngokomzekelo, oogqirha banokubeka iinaliti ezijikeleze i-elbows ngenxa yeentlungu zedolo okanye imilenze ephantsi yeentlungu zegxalaba.
Acupressure
- Olu hlobo lonyango luvuselela ii-acupoints ezahlukeneyo ngaphandle kokusebenzisa iinaliti.
- Iingcali zisebenzisa iminwe echanekileyo yokubeka iminwe, izandla, okanye ezinye izixhobo kunye neeoyile eziyimfuneko ukufaka uxinzelelo kumanqaku athile ukunyusa ukuhamba kwamandla.
Ababoneleli banokudibanisa kwaye basebenzise iifom ezahlukeneyo ngokusekelwe kwiimfuno zomntu ngamnye.
Conditions
Olunye uhlalutyo olungaphezulu kwe-2,000 yokuhlolwa kwenzululwazi ye-acupuncture therapies ifumene ukuba iyasebenza kwi-post-stroke aphasia, intamo, igxalaba, iintlungu ezisezantsi, iintlungu zemisipha, iintlungu ze-fibromyalgia, imiba yokuncancisa emva kokunikezelwa, iimpawu ze-vascular dementia, kunye neempawu zokungahambi kakuhle. (Liming Lu et al., 2022) Uphononongo kwiimpuku olwenziwa zii-neuroscientists lufumanise ukuba i-electroacupuncture inokunciphisa ukudumba. (UShenbin Liu et al., 2020) Iziko leSizwe leMpilo eyoNgezelelweyo kunye neNtsebenziswano yafumanisa ukuba i-acupuncture inokuba luncedo: (Iziko leSizwe leMpilo eFanayo kunye neDityanisiweyo. 2022)
- I-Carpal tunnel syndrome
- Intlungu nentloko
- Sciatica
- Isifo se-Myofascial pain syndrome
- I-syndrome ye-pelvic engapheliyo
- Fibromyalgia
- Osteoarthritis
- Ukuphucula ukulala
- istres
- Intloko
- Migraines
- Ubushushu bokuya exesheni
- Iintlungu zasemva kotyando
- Intlungu yomhlaza
- Isicaphucaphu kunye nokugabha kwizigulana ezinomhlaza eziphantsi konyango
- Iprostatitis engapheliyo
- Ukugonywa
- I-irritable bowel syndrome
- Izinto ezenzelwa ixesha elingalunganga
- Ukungabikho kwamanzi e-Urinary
- Ukungenzi lutho
- Isifuba
- Ukuyeka ukutshaya
- ukudakumba
Safety
Xa unyango lwenziwa yi-acupuncturist eqeqeshwe kakhulu, enelayisensi, kunye ne-certified acupuncturist, ikhuselekile kakhulu. Ezona ziganeko zibi zixhaphake kakhulu zaziyi-pneumothorax/imiphunga ewileyo, iingxaki ze-cardiovascular, kunye nokuquleka, okuthe kwezinye iimeko kubangele ukwenzakala, njengokuqhekeka. (UPetra Bäumler et al., 2021) Kukho imingcipheko yexesha elifutshane enxulumene ne-acupuncture, kuquka:
- Ubuhlungu
- Ukuhlamba
- Ukunyakaza
- Ukulala
- Isiyezi kubantu abangakhange batye okanye boyike iinaliti.
Iziphumo ebezingalindelekanga ezimandundu ezayanyaniswa ne-acupuncture, njengokugqojozwa kwemiphunga okanye usulelo, zinqabile kakhulu. Kubantu abane-allergies yesinyithi, usulelo, okanye inxeba elivulekileyo kwindawo apho iinaliti ziya kufakwa khona, kuyacetyiswa ukuba uphephe i-acupuncture. Abantu abanengxaki yokopha, abathatha nawaphi na amayeza afana ne-anticoagulant, okanye abakhulelweyo, kufuneka bathethe ne-acupuncturist ngaphambi kokuba baqalise isicwangciso sonyango.
Yintoni ongayilindela
Utyelelo lomntu wonke luya kulungelelaniswa neemfuno zabo ezithile, yaye utyelelo lokuqala lunokuthabatha iyure okanye ezimbini. Uvavanyo lokuqala luya kubandakanya imbali epheleleyo yezonyango / yezempilo. Umntu uya kuchitha imizuzu embalwa exoxa ngeenkxalabo kunye neenjongo zempilo kunye ne-acupuncturist. Abantu ngabanye baya kucelwa ukuba balale kwitafile yonyango ukuze ugqirha akwazi ukufikelela kumalungu abo, umva, kunye nesisu. Emva kokufaka iinaliti, ziya kuhlala kwindawo malunga nemizuzu engama-20 ukuya kwengama-30. Ngeli xesha, abantu ngabanye banokuphumla, bacamngce, balale, baphulaphule umculo, njl. Emva kokuba iinaliti zisusiwe, ugqirha uya kugqiba indlela yonyango. Ngokuxhomekeke kwindlela engapheliyo okanye enzima ngayo imeko, banokucebisa unyango oluninzi lwe-acupuncture lolawulo lweentlungu kwiiveki ezininzi.
Ukhathalelo lweChiropractic lokuPhila emva kokwenzakala
Ucaphulo
I-World Health Organization. (2021). Imilinganiselo ye-WHO yokwenziwa kwe-acupuncture.
Hao, J. J., & Mittelman, M. (2014). I-acupuncture: kwixesha elidlulileyo, langoku kunye nekamva. Inkqubela phambili yehlabathi kwezempilo namayeza, 3(4), 6–8. doi.org/10.7453/gahmj.2014.042
Johns Hopkins Medicine. (2024). I-acupuncture.
Lu, L., Zhang, Y., Tang, X., Ge, S., Wen, H., Zeng, J., Wang, L., Zeng, Z., Rada, G., Ávila, C., Vergara, C., Tang, Y., Zhang, P., Chen, R., Dong, Y., Wei, X., Luo, W., Wang, L., Guyatt, G., Tang, C., … Xu, N. (2022). Ubungqina bonyango lwe-acupuncture busetyenziswa ngaphantsi kwenkqubo yekliniki kunye nomgaqo-nkqubo wezempilo. I-BMJ (uphando lweKlinikhi ed.), 376, e067475. doi.org/10.1136/bmj-2021-067475
Liu, S., Wang, Z. F., Su, Y. S., Ray, R. S., Jing, X. H., Wang, Y. Q., & Ma, Q. (2020). Umbutho weSomatotopic kunye nokuXhomekeka koBunzulu ekuqhubeni Okucacileyo kwe-NPY-Ukubonakalisa iiNdlela ezinovelwano nge-Electroacupuncture. I-Neuron, i-108 (3), 436-450.e7. doi.org/10.1016/j.neuron.2020.07.015
Iziko leSizwe leMpilo eFanayo kunye neDityanisiweyo. (2022). I-acupuncture: yintoni ekufuneka uyazi.
Bäumler, P., Zhang, W., Stübinger, T., & Irnich, D. (2021). Iziganeko ezimbi ezinxulumene ne-acupuncture: uphononongo olucwangcisiweyo kunye nohlalutyo lwemeta lwezifundo ezilindelekileyo zeklinikhi. BMJ vula, 11(9), e045961. doi.org/10.1136/bmjopen-2020-045961
