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 Ukunyamekela , Umenzakalo owehle kwisiqu
Inkqubela phambili inokuba ngumceli mngeni kumntu ngamnye kuqhaqho lwe-ankle. Unyango lomzimba lunokunceda njani ekubuyiseleni nasekubuyiseleni umsebenzi womlenze?
Iyonke iAnkle yoTshintsho emva koTyando lwePhysical Therapy
Utyando lulonke lokutshintshwa kweqatha yinkqubo enkulu ethatha ixesha ukuchacha. Utyando olulonke lwe-ankle okanye i-arthroplasty lunokunceda abantu abane intlungu engapheliyo ye-ankle okanye ukukhubazeka . Le nkqubo inokuphucula kakhulu intlungu yomntu wonke kunye nokusebenza ngexesha. Unyango lomzimba luyimfuneko ekubuyiseleni ukunyakaza kwi-ankle kunye nokubuyisela ukuhamba ngokupheleleyo. Umgulana womzimba uya kusebenza nomntu ukulawula intlungu kunye nokuvuvukala, ukubuyisela ukuhamba kwe-ankle, ukuqeqesha ukuhamba kunye nokulinganisela, nokuvuselela amandla emlenzeni. Oku kuya kunceda ukwandisa amathuba okuba nesiphumo esiyimpumelelo emva kokuhlinzwa.
I-Ankle iyonke yoTshintsho
I-ankle joint licandelo lomlenze ongezantsi apho i-shinbone/tibia idibana nethambo le-talus phezu konyawo. Into enokwenzeka ngumgangatho omtyibilizi / intlala ethe yatyabeka eziphelweni zala mathambo iqala ukubhitya okanye ukuwohloka. Njengoko ukuwohloka kuqhubeka, kunokukhokelela kwiintlungu ezinkulu, ukukhubazeka, kunye nobunzima bokuhamba. (Iklinikhi yaseCleveland. 2021 ) Kulapho ingcali inokucebisa ukutshintshwa kwe-ankle ngokupheleleyo ngeziphumo ezilungileyo. Iimeko ezahlukeneyo zinokuncedwa yile nkqubo, kuquka:
Umonakalo odibeneyo owenziwe yigawuthi
I-post-traumatic arthritis
Irheumatoid arthritis
I-osteoarthritis ephezulu
Osteonecrosis
isifo samathambo (Cort D. Lawton et al., 2017 )
Ngethuba lenkqubo yokutshintshwa kwe-ankle, ugqirha wamathambo ususa iziphelo ezonakalisiweyo ze-tibia kunye ne-talus amathambo kwaye uwafake endaweni yokugubungela. Icandelo le-polyethylene likhuselekile phakathi kwezakhiwo ezibini ukuxhasa ukuhamba kakuhle kweziphelo ezidibeneyo. (Massachusetts General Hospital. ND ) Ukulandela inkqubo, abantu bahlala bebekwe kwi-boot yokukhusela okanye i-splint. Umboneleli wezempilo uya kuncoma ukuba ahlale emlenzeni we-4 kwiiveki ze-8 ukuvumela ukuphilisa.
Ulungiso lwenyama
Unyango lwangaphandle lwezigulana ludla ngokuqaliswa kwiiveki ezimbalwa emva kotyando lweqakala. (UW Health Orthopedics kunye noBuyiselo. 2018 ) Unyango lomzimba lunokuhlala iinyanga ezintlanu okanye ngaphezulu, kuxhomekeke kubunzima bemeko kunye nokulimala. Ugqirha womzimba uya kugxininisa kwiindawo ezahlukeneyo ukuze ufumane iziphumo ezilungileyo. (Cort D. Lawton et al., 2017 )
UkuLawula iintlungu kunye nokuDumba
Iintlungu ze-post-operative kunye nokuvuvukala ziqhelekileyo emva kokutshintshwa kwe-ankle ngokupheleleyo. Asinto ingaqhelekanga ukuba iqatha lidumbe kangangeenyanga ezintandathu ukuya kwezili-12 emva kotyando. (UW Health Orthopedics kunye noBuyiselo. 2018 ) Ugqirha wotyando ngokuqhelekileyo uya kumisela iyeza ukunceda ukulawula ukungonwabi kwangoko, kwaye unyango lomzimba ludlala indima ebalulekileyo ekujonganeni neempawu. Unyango olusetyenziswayo lungabandakanya:
Ukuvuselela kombane - ii-pulses zombane ezincinci ezifakwe kwiimisipha.
umkhenkce
Ukunyanzeliswa kweVasopneumatic, apho i-sleeve ye-inflatable isetyenziselwa ukudala uxinzelelo olujikeleze ummandla, isetyenziswa ngokuqhelekileyo ekuqaleni kwonyango lomzimba ukunciphisa intlungu okanye ukuvuvukala.
Ezinye iindlela, ezifana nokwelula kunye nokuzivocavoca okujoliswe kuyo, kudibaniswa nolunye unyango.
Uhlobo lokuhamba
Kwangoko emva kwenkqubo, i-ankle iya kuba nzima kakhulu kwaye iqinile. Oku kungenxa yezinto ezininzi, kubandakanywa ukudumba kunye nokudumba emva kotyando kunye nexesha elichithwe lingenakunyakaziswa ebhuthini.
Ugqirha womzimba uya kusebenzisa iindlela ezahlukeneyo zokuphucula uluhlu lwe-ankle yokunyakaza ukujikeleza kunye nokuguquguquka.
Umgulana womzimba unokusebenzisa ukolula okunyanzeliswayo okubangelwa ngamandla angaphandle njengonyango okanye ibhendi yokumelana) ukunceda ukuphucula ukuhamba.
Ubuchule bezandla obufana nokuthanjiswa kwezicubu ezithambileyo kunye nokuhlanganisana ngokudibeneyo kuyasetyenziswa. (Massachusetts General Hospital. ND )
Ugqirha uya kuphuhlisa inkqubo yokuvuselela ikhaya equka ubuchule bokuzolula kunye nokunyakaza okuthambileyo.
UQeqesho lokuHamba nokuLingana
Emva kweeveki zokuhlala kwi-ankle echaphazelekayo, ugqirha uya kucima isigulane ukuba siqale ukuqeqeshwa kokuhamba.
Ugqirha womzimba uya kusebenza ekuphuculeni ipateni ye-gait jikelele kunye nokunciphisa ukuqhwala.
Baya kunceda kwakhona utshintsho ekusebenziseni iintonga okanye umntu ohambahambayo ukuhamba ngokuzimeleyo. (UW Health Orthopedics kunye noBuyiselo. 2018 )
Emva kweeveki ezininzi zokunciphisa ukunyakaza kunye nokungabikho kokuthwala naluphi na ubunzima kwi-ankle, izihlunu ezijikeleze i-ankle zihlala zi-atrophied / buthathaka, ezinokuchaphazela ibhalansi.
Xa umntu engaqala ukubeka ubunzima emlenzeni, umgqirha uya kusebenzisa i-proprioceptive / ingqiqo yokuqeqeshwa kwesikhundla somzimba ukuphucula ukuzinza ngokubanzi. (UW Health Orthopedics kunye noBuyiselo. 2018 )
Imithambo yokulinganisa iya kongezwa kwiprogram yasekhaya kwaye iya kuqhubeka iveki neveki.
amandla
Izihlunu emlenzeni, i-ankle, kunye nonyawo ziba buthathaka kuqhaqho kunye nexesha elichithwe kwi-splint okanye i-boot. Ezi zakhiwo zinendima ebalulekileyo ekulinganiseni, ukukwazi ukuma, ukuhamba, kunye nokunyuka okanye ukuhla kwezitebhisi.
Ukubuyisela amandla kunye namandla ezi zihlunu kuyinjongo ebalulekileyo yokubuyisela.
Kwiiveki zokuqala, umgulana womzimba uya kugxininisa ekusebenziseni ukuqinisa ngokuthambileyo.
I-Isometrics isebenze kancinci izihlunu kodwa ugweme ukucaphukisa indawo yotyando.
Njengoko ixesha lihamba kwaye ukuthwala ubunzima kuvunyelwe, ezi ntshukumo zithambileyo zitshintshwa zibe ngumngeni ngakumbi, njengamabhendi okuxhathisa kunye nemithambo yokuma, ukukhawulezisa ukuzuza amandla.
Ukunyanga i-Ankle Sprains nge-Chiropractic Care
VIDEO
Ucaphulo
Iklinikhi yaseCleveland. (2021). Ukutshintshwa kweqatha ngokupheleleyo .
Lawton, C. D., Butler, B. A., Dekker, R. G., 2nd, Prescott, A., & Kadakia, A. R. (2017). Iyonke i-ankle arthroplasty ngokuchasene ne-ankle arthrodesis-uthelekiso lweziphumo kule minyaka ilishumi idlulileyo. Ijenali yotyando lwamathambo kunye nophando, i-12 (1), i-76. doi.org/10.1186/s13018-017-0576-1
Massachusetts General Hospital. (ND). Izikhokelo zonyango lwe-Physical arthroplasty epheleleyo ye-ankle .
UW Health Orthopedics kunye noBuyiselo. (2018). Izikhokelo zokubuyisela kwisimo sangaphambili ezilandela i-ankle arthroplasty epheleleyo .
by UGqr Alex Jimenez Ukunyamekela , ukuphulula umzimba womntu ngobunono
Kubantu abanobunzima bokunyakaza okanye ukusebenza ngokuqhelekileyo ngenxa yokwenzakala, utyando, okanye ukugula, ngaba i-chiropractic kunye neqela lonyango lomzimba linokunceda ukukhawulezisa ukuchacha?
I-Friction Massage
Abantu banokuhlakulela izicubu ezinqabileyo okanye ukunamathela kwezicubu ezithintela ukuhamba okuqhelekileyo emva kokulimala okanye utyando. Iqela lokulawula iintlungu lingasebenzisa unyango kunye neendlela ezahlukeneyo kwaye lingabandakanya i-massage ye-friction njengenxalenye yesicwangciso sonyango lokubuyisela. I-friction massage, eyaziwa ngokuba yi ukukhuhlana okunqamlezayo okanye ukukhuhlana i-massage, bubuchule obusetyenziselwa ukunceda ukuphucula izicubu ezibomvu kunye nokuhamba okunamathelayo ukuze uhambe ngcono kwaye unciphise iziphumo ezibi. Umnyangi usebenzisa iminwe yakhe ukuphulula isiva kwicala elikwi-engile ezichanekileyo kumgca wokuva. Bubuchwephesha obukhethekileyo obuqhekeza ukunamathela kwezicubu ezithintela intshukumo eqhelekileyo eluswini kunye nezicubu ezingaphantsi. (Haris Begovic, et al., 2016 )
I-Scar Tissue kunye ne-Adhesions
Kubantu abafuna utyando ngenxa yokwenzakala okanye imeko ye-orthopedic, ugqirha wabo uya kusika ulusu, imisipha kunye nezicubu zomzimba ngexesha lotyando. Nje ukuba i-sutured kunye nokuphiliswa kuqalile, iifom zezicubu ezibomvu. Izicubu eziphilileyo zenziwe nge-collagen equlethwe ziiseli ezicwangciswe ngokwepateni eqhelekileyo. I-collagen enempilo yomelele kwaye inokumelana namandla xa izicubu zitsalwa kwaye zoluliwe. (UPaula Chaves, et al., 2017 )
Ngethuba lenkqubo yokuphulukisa emva kokulimala, iiseli ze-collagen zibekwe phantsi kwipatheni engabonakaliyo kwaye zenze izicubu ezibomvu. Ukuqokelelwa ngokungacwangciswanga kweeseli kuba nzima kwaye akusebenzi kakuhle kuxinzelelo kunye namandla azolula. (Qing Chun, et al., 2016 Umzimba unokwenza izicubu ezibomvu emva kokulimala kwezicubu ezithambileyo, njengobunzima bemisipha okanye i-tendon. (Qing Chun, et al., 2016 )
Ukuba isihlunu okanye i-tendon iba nzima, umzimba uya kuvelisa i-collagen entsha ngexesha lokuphiliswa. I-collagen entsha ibekwe phantsi ngendlela engaqhelekanga, kwaye izicubu ezibomvu okanye ukunamathela kwezicubu kunokwenza okunokunciphisa uluhlu oluqhelekileyo lokuhamba. Izicubu ezisempilweni ziyolula kwaye zityibilika njengoko umzimba uhamba. Ithishu ekrwada iqinile. Kwindawo yesiva izicubu , kusenokubakho intshukumo ethile, kodwa iqinile, ayinakuphepheka, yaye inokuba buhlungu. Ukuba izicubu ezikralayo okanye ukuncamathela kunciphisa intshukumo, i-massage enqamlezayo inokuphucula ukutyibilika kwezicubu kunye nokutyibilika. Le nkqubo ibizwa ngokuba kukuhlengahlengiswa.
Iinjongo zokuphulula umzimba
Iinjongo kunye neenjongo ze-friction massage kwi-adhesions okanye izicubu ezibomvu zinokubandakanya:
Ukuvuselela i-nerve fibers ukunciphisa kunye nokunciphisa intlungu.
Ukwandisa ukujikeleza kwegazi kwiithishu.
Ukusebenza izicubu ezichaphazelekayo ukuqhawula amanxeba.
Ulungelelwaniso lweefibers zeCollagen.
Ukuphucula umsebenzi we-mechanoreceptor.
Ubuchwephesha bokuMasa
Unyango lwe-friction massage lulandela ubuchule obuthile: (UPaula Chaves, et al., 2017 )
Ummandla wonke wezicubu ezibomvu okanye ukunamathela kufuneka uphathwe.
Ukuba izicubu ezibomvu zikwimisipha, kufuneka zikhululeke.
Ukuba izicubu ezibomvu zikwi-tendon sheath, loo mthambo kufuneka yolulwe kancinane ngexesha lenkqubo.
Umnyangi ubeka iminwe emibini okanye emithathu phezu kwesiva okanye ukunamathela kwaye ihambisa iminwe yabo nge-perpendicular kwi-scar ukuze ilulaze i-collagen fibers phantsi.
Iminwe kunye nezicubu ezingaphantsi zihamba kunye.
I-massage kufuneka ivakale inzulu kwaye ingakhululeki kodwa ingabi buhlungu.
Kusenokubakho intlungu, kodwa kufuneka ihlale ngaphakathi kunyamezelo lomntu.
Ukuba i-massage ibuhlungu kakhulu, uxinzelelo oluncinci lunokusetyenziswa.
Emva kwemizuzu emininzi umgqirha uya kuvavanya ukuhamba kwezicubu.
Ukolulwa okuthe ngqo kunokwenziwa ukwandisa izicubu ezibomvu okanye ukuncamathela.
Ukuzivocavoca ekhaya kunye nokwelula kunokumiselwa ukugcina ukuguquguquka.
Ukungqinelana
Kukho iimeko apho i-massage ye-friction kufuneka ingasetyenziswa kwaye inokubandakanya: (UPaula Chaves, et al., 2017 )
Malunga nenxeba elivulekileyo elisebenzayo.
Ukuba kukho usulelo lwebhaktheriya.
Iindawo ezineemvakalelo ezincitshisiweyo.
Ukuba i-calcification ikhona kwi-muscle okanye kwi-tendon tissue.
Umgqirha uya kuchaza inkqubo kwaye axelele iinjongo kunye neengozi ezinxulumene nayo.
Ukuxilongwa Kunyangwa
Ukuxilongwa okunokunyangwa nge-massage ye-friction kunokubandakanya: (UPaula Chaves, et al., 2017 )
Iinyembezi zemisipha okanye ubunzima.
Kwi-tendonitis okanye i-tendinopathy.
Emva kokukrazuka komthambo.
I-adhesive capsulitis egxalabeni / egxalabeni elinomkhenkce.
Ikhontrakthi edibeneyo.
Iinyembezi zeLigament.
Ukwakhiwa kwezicubu ezibomvu emva kotyando okanye ukwenzakala.
I-Friction massage yindlela ethandwayo esetyenziswa kunyango lomzimba, kodwa olunye uphando lubonisa ukuba ayisebenzi ngakumbi kunezinye iindlela zokubuyisela kwisimo sangaphambili. Olunye uphononongo lwafumanisa ukuba ukuzolula okuzinzileyo kunye nokuzivocavoca kwakusebenza ngakumbi kunokuthambisa ekuphuculeni ubude bezicubu kunye namandla kubadlali bebhola ekhatywayo abangonzakaliyo. Olunye uphando luye lwakuxhasa oku, kodwa abantu ngabanye banokufumanisa ukuba i-massage inceda ukuphucula intshukumo yezicubu ezonzakeleyo ngokunjalo. (U-Mohammed Ali Fakhro, et al. 2020 )
Eyona njongo iphambili yalo naluphi na unyango kunyango lomzimba kukunceda umntu aphinde afumane ukunyakaza kunye nokuguquguquka. I-Friction massage, edityaniswe neendawo ekujoliswe kuzo kunye nokuzilolonga, inokunceda abantu ukuba bakhawuleze ukuchacha kwaye babuyele esiqhelweni.
Ukunyamekela kweChiropractic Emva kweeNgozi kunye nokulimala
VIDEO
Ucaphulo
Begovic, H., Zhou, GQ, Schuster, S., & Zheng, YP (2016). Iziphumo ze-neuromotor ye-massage ye-friction enqamlezayo. Unyango lwezandla, 26, 70-76. doi.org/10.1016/j.math.2016.07.007
Chaves, P., Simões, D., Paço, M., Pinho, F., Duarte, JA, & Ribeiro, F. (2017). Iiparamitha ze-massage ye-massage ye-Cyriax enzulu: Ubungqina obuvela kwisifundo esinqamlezileyo kunye neengcali ze-physiotherapists. Inzululwazi ye-Musculoskeletal & practice, 32, 92-97. doi.org/10.1016/j.msksp.2017.09.005
Chun, Q., ZhiYong, W., Fei, S., & XiQiao, W. (2016). Utshintsho lwebhayoloji oluguqukayo kwi-fibroblasts ngexesha lokwakheka kwe-hypertrophic scar kunye nokuhlehla. Ijenali yenxeba yamazwe ngamazwe, 13(2), 257–262. doi.org/10.1111/iwj.12283
Fakhro, MA, Chahine, H., Srour, H., & Hijazi, K. (2020). Impembelelo ye-massage yefriction enqamlezileyo vs ukolula ekusebenzeni kwabadlali bebhola. Ijenali yehlabathi yezamathambo, 11(1), 47–56. doi.org/10.5312/wjo.v11.i1.47
by UGqr Alex Jimenez Ukunyamekela , Umenzakalo owehle kwisiqu
Xa ukwenzakala kwe-groin strain kwenzeka, ngaba ukwazi iimpawu kunceda ukuxilongwa, unyango kunye namaxesha okubuyisela?
IGroin Strain Ukwenzakala
I-groin strain kukwenzakala kwisihlunu sangaphakathi sethanga. A ukutsala igroin luhlobo lwe-muscle strain echaphazela iqela le-adductor muscle (imisipha inceda ukukhupha imilenze). (UParisa Sedaghati, et al., 2013 ) Ukulimala kubangelwa xa i-muscle isoluliwe ngaphaya koluhlu oluqhelekileyo lokunyakaza, ukudala iinyembezi ezingaphezulu. Iintlobo ezinzima zinokukrazula isihlunu kubini. (UParisa Sedaghati, et al., 2013 )
Ukutsalwa kwemisipha ye-groin kubangela intlungu kunye nokuthantamisa okuba nzima ngakumbi xa udibanisa imilenze kunye.
Kusenokubakho ukudumba okanye ukugruzuka kwi-groin okanye ngaphakathi kwethanga.
Ukutsalwa kwe-groin okungantsokothanga kuthatha iiveki ezine ukuya kwezintandathu ukuze kuphole ngonyango olululo. (UAndreas Serner, et al., 2020 )
iimpawu
Ukutsalwa kwe-groin kunokuba buhlungu, ukuphazamisa ukuhamba, ukuhamba ngezitebhisi, kunye / okanye ukuqhuba imoto. Ukongeza kwintlungu, ezinye iimpawu ezijikeleze indawo yokulimala ziquka: (UParisa Sedaghati et al., 2013 )
Isandi esiphumayo okanye ukuvaleka xa ukwenzakala.
Ukunyuka kweentlungu xa udonsa imilenze kunye.
Ubomvu
Ukuvuvukala
Ukugruzuka kwegroin okanye ithanga langaphakathi.
Ukutsalwa kweGroin kudidiyelwe ngobungqongqo kunye nokuba kukuchaphazela kangakanani ukuhamba:
Bakala 1
Ukungakhululeki okuphakathi kodwa akwanelanga ukunciphisa imisebenzi.
Bakala 2
Ukungakhululeki okuphakathi kunye nokudumba okanye ukugruzuka okuthintela ukubaleka kunye/okanye ukutsiba.
Bakala 3
Ukulimala okukhulu kunye nokudumba okubonakalayo kunye nokugruzuka kunokubangela intlungu ngelixa uhamba kunye ne-muscle spasms.
Iimpawu zobunzima obukhulu be-groin
Ubunzima bokuhamba
Ubuhlungu be-groin ngelixa uhleli okanye uphumle
Iintlungu zegroin ebusuku
Umboneleli wezempilo kufuneka abone ukutsalwa kwe-groin enzima ngenxa yokuba i-muscle inokuthi iqhume okanye ibe sekupheleni kokuqhawula.
Kwiimeko ezinzima, utyando luyimfuneko ukuncamathisela iziphelo ezikrazukileyo.
Ukutsalwa kwe-groin ngamanye amaxesha ihamba kunye nokuphulwa koxinzelelo lwe-pubis / i-pelvic ejongene namathambo angaphambili , enokwandisa kakhulu ixesha lokuphilisa kunye nokubuyisela. (UParisa Sedaghati et al., 2013 )
Izizathu
I-Groin pulls idla ngokufunyanwa ngabadlali kunye nabantu abadlala imidlalo apho kufuneka bayeke kwaye batshintshe izikhokelo ngokukhawuleza, bebeka uxinzelelo olugqithiseleyo kwimisipha ye-adductor. (UParisa Sedaghati et al., 2013 ) Umngcipheko uyanda kubantu abathi: (T. Sean Lynch et al., 2017 )
Yiba nezihlunu ze-hip abductor ezibuthathaka.
Abekho kwimeko yomzimba ngokwaneleyo.
Yiba nokulimala kwangaphambili kwe-groin okanye i-hip.
Utsalo lunokuthi lwenzeke ngokuwa okanye kwimisebenzi egqithisileyo ngaphandle kokulungiswa okufanelekileyo.
Ukuqondwa
Umboneleli wezempilo uya kwenza uphando olucokisekileyo ukuqinisekisa ukuxilongwa kunye nokubonakalisa ubunzima. Oku kubandakanya: (Juan C. Suarez et al., 2013 )
Uphononongo lweMbali yezoNyango
Oku kubandakanya nakuphi na ukulimala kwangaphambili kunye neenkcukacha malunga nokuba iimpawu ziqale phi kwaye nini.
Uvavanyo lweMvelo
Oku kubandakanya ukumbambazela - ukuchukumisa kancinci kunye nokucinezela ummandla we-groin kunye nokuxhaphaza umlenze ukuze uqonde ngcono apho kwaye kukhulu kangakanani ukwenzakala.
UkuCatshulwa
Ultrasound okanye X-reyi.
Ukuba i-muscle rupture okanye i-fracture ikrokrelwa, i-MRI scan inokuyalelwa ukuba ibone ukulimala kwezicubu ezithambileyo kunye nokuphulwa koxinzelelo olungcono.
Ukuxilongwa ngokungafani
Iimeko ezithile zinokuxelisa ukutsalwa kwe-groin kwaye zifuna unyango olwahlukileyo. Ezi ziquka: (Juan C. Suarez, et al., 2013 )
Ezemidlalo Hernia
Olu hlobo lwe inguinal i-hernia kwenzeka kunye nokulimala kwezemidlalo kunye nomsebenzi.
Ibangela ukuba inxalenye yamathumbu iphumele kwisihlunu esibuthathaka kwi-groin.
Iqhwa le-Labral Tear
Oku kukukrazula kwindandatho ye-cartilage ye-labrum ngaphandle komphetho wesokhethi ye-hip joint.
I-O Oeohlo lwamathambo
Le yindlela yokunxiba kunye nokukrazula kwe-arthritis enokuthi ibonise iimpawu zentlungu ye-groin.
Osteitis Pubis
Oku kukuvuvukala kwe-pubic joint kunye nezakhiwo ezijikelezileyo, ngokuqhelekileyo kubangelwa ukusetyenziswa ngokugqithiseleyo kwemisipha ye-hip kunye nomlenze.
I-Groin Pain ebhekiswe
Le ntlungu yemithambo-luvo iqala kumqolo ongezantsi, rhoqo ngenxa yemithambo-luvo epinkiweyo, kodwa ivakala kwigroin.
impatho
Ukuqala unyango lulondoloza kwaye lubandakanya ukuphumla, ukusetyenziswa komkhenkce, unyango lomzimba, kunye nokuzolula okuthambileyo kunye nokuzivocavoca.
Abantu banokufuna iintonga okanye isixhobo sokuhamba ukuze banciphise iintlungu kunye nokuthintela ukulimala ngakumbi ukuba intlungu ibalulekile. (UAndreas Serner, et al., 2020 )
Unyango lomzimba luya kuba yinxalenye yesicwangciso sonyango.
Amayeza eentlungu ezingaphaya kwe-counter afana neTylenol/acetaminophen okanye i-Advil/ibuprofen inokunceda ekupheliseni iintlungu ixesha elifutshane.
Ukuba kukho intlungu ebuhlungu evela kwibanga lesi-3, imithi yonyango ingasetyenziselwa ixesha elifutshane ukunceda ukunciphisa intlungu. (UAndreas Serner, et al., 2020 )
Utyando aludli ngokuba yimfuneko. (UAndreas Serner, et al., 2020 )
ukuchacha
Amaxesha okubuyisela anokwahluka ngokusekelwe kubunzima bokulimala kunye nemeko yomzimba phambi kokulimala.
Uninzi lwamanxeba luya kuphilisa kwiiveki ezine ukuya kwezintandathu ngokuphumla kunye nonyango olufanelekileyo.
Iintlobo ezinzima ze-groin zinokuthatha ukuya kwiiveki ze-12 okanye ngaphezulu ukuba utyando luyabandakanyeka. (UAndreas Serner, et al., 2020 )
Ukubuyiselwa kwisimo sesiqhelo sokwenzakala
VIDEO
Ucaphulo
Sedaghati, P., Alizadeh, MH, Shirzad, E., & Ardjmand, A. (2013). Uphononongo lokwenzakala okubangelwa ngumdlalo. Ukwenzakala ngenyanga, 18(3), 107–112. doi.org/10.5812/traumamon.12666
Serner, A., Weir, A., Tol, JL, Thorborg, K., Lanzinger, S., Otten, R., & Hölmich, P. (2020). Buyela kwiMidlalo emva kokuBuyiselwa kwiSimo seSiqhelo esiSekwe kwiSimo seSimo seSimo seSimo seSimo seSimo seSimo seSimo seSimo seSimo seSimo seSimo seSimo seSimo soLonzakala ngokuBanzi kwi-Adductor kwiimbaleki zaMadoda: Uphononongo oluSiseko lweQela. Ijenali ye-Orthopedic yamayeza ezemidlalo, i-8 (1), i-2325967119897247. doi.org/10.1177/2325967119897247
Lynch, TS, Bedi, A., & Larson, CM (2017). Ukwenzakala kwe-Athletic Hip. Ijenali ye-American Academy ye-Orthopedic Surgeons, i-25 (4), i-269-279. doi.org/10.5435/JAAOS-D-16-00171
Suarez, JC, Ely, EE, Mutnal, AB, Figueroa, NM, Klika, AK, Patel, PD, & Barsoum, WK (2013). Indlela ebanzi yokuvavanya intlungu ye-groin. Umbhalo we-American Academy of Orthopedic Surgeons, i-21 (9), i-558-570. doi.org/10.5435/JAAOS-21-09-558
by UGqr Alex Jimenez Ukulimala koluhlu , Ukunyamekela
Iminwe yeminwe kunye nokukhutshwa kukulimala kwezandla eziqhelekileyo ezinokuthi zenzeke ngexesha lomsebenzi, imisebenzi yomzimba / yezemidlalo, okanye kwiingozi zemoto kunye neengozi. Ngaba ukuqaphela iimpawu kunceda ekuphuhliseni isicwangciso sonyango esisebenzayo?
I-Finger Sprains kunye nokukhutshwa
Iminwe yeminwe kunye nokuchithwa kukulimala okuqhelekileyo kwesandla okubangela intlungu kunye nokuvuvukala.
I-sprain yenzeka xa izicubu zomnwe ezixhasa umdibaniso zoluliwe ngaphaya kwemida yazo ngendlela egxininisa iigaments kunye neetendon.
Izicubu ze-ligament zinokukrazulwa ngokuyinxenye okanye ngokupheleleyo. Ukuba umonakalo umbi ngokwaneleyo, umdibaniso uyahlukana.
Oku kukukhutshwa - Ukuchithwa kwenzeka xa i-joint emnweni isuswa kwindawo yayo eqhelekileyo.
Zombini ukulimala kunokubangela intlungu kunye nokuqina kumnwe kunye nesandla.
Utywala
Ukubetha kweminwe kunokwenzeka naliphi na ixesha umnwe ugoba ngendlela engafanelekanga okanye engaqhelekanga. Oku kunokwenzeka ngokuwa ngesandla okanye ukwenzakaliswa xa usenza imisebenzi yomzimba efana nemidlalo okanye imisebenzi yasekhaya. I-sprains ingenzeka nakweyiphi na i-knuckle joints emnweni. Nangona kunjalo, ngokuqhelekileyo, ilungu eliphakathi komnwe liyahluthwa. Yaziwa ngokuba yi-proximal interphalangeal okanye i-PIP joint. (UJohn Elfar, uTobias Mann. 2013 ) Iimpawu zomnwe womnwe zinokubandakanya:
impatho
Abantu ngabanye bayakhuthazwa ukuba bangawususi umnwe owenzakeleyo ngelixa bechacha kwaye bephilisa. Kunokuba nzima ukwenza, kodwa ukunxiba i-splint kunokunceda.
Izikhonkwane zizixhaso ezihlala zenziwe nge-foam kunye nentsimbi ethambileyo.
Umnwe okrunekileyo unokuncanyathiselwa komnye weminwe ecaleni kwayo ngelixa ululama, owaziwa ngokuba yi-buddy-taping.
Ukuqhawula umnwe otyumkileyo ngelixa usenza imisebenzi kunokukhusela isandla ekubeni sibi kakhulu okanye senzekele ngakumbi.
Nangona kunjalo, ukuqhawula umnwe xa kungadingekiyo kunokubangela ukuba ilungu libe lukhuni. (OrthoInfo. I-American Academy ye-Orthopedic Surgeons. 2022 )
Ukwenzakala okwaziwa ngokuba “ngubhontsi womgcini-mdlalo” luhlobo olumandundu lwe-sprain.
Ukulimala kwi-ligaments kwi-joint joint kunokubangela ubunzima ekubambeni kunye nokubamba.
Le nzakala kufuneka ihlale igxininiswe okanye idityaniswe ixesha elininzi lokuchacha ngokupheleleyo kwaye inokufuna utyando. (UChen-Yu Hung, uMateyu Varacallo, uKe-Vin Chang. 2023 )
Olunye unyango ukunceda umnwe sprains ziquka:
Phakamisa isandla ukuba sidumbile kwaye sidumbile.
Ukuzivocavoca ngomnwe othambileyo / iintshukumo zokuthintela ukuqina.
Ukuqaba umnwe owenzakeleyo.
Thatha iyeza elichasayo.
Abantu abangazange baphuke amathambo okanye basuse ijoyinti mhlawumbi baya kukwazi ukuhambisa umnwe wabo malunga neveki. Ugqirha uya kumisela ixesha lokuba uqale nini ukusebenzisa umnwe ngokuqhelekileyo.
Abantu abahlutha umnwe wabo oziva udumbile kwaye uqinile ixesha elide kuneeveki ezimbalwa bayacetyiswa ukuba badibane nogqirha okanye ingcali.
Kuya kufuneka bajonge isandla ukuqinisekisa ukuba akukho nakuphi na ukuphuka okanye ukwaphuka. (OrthoInfo. I-American Academy ye-Orthopedic Surgeons. 2022 )
Ukubetha koobhontsi kunye nokukruneka kweminwe ebantwaneni kusenokufuneka ukuba kucandeke okanye kufakwe iteyiphu ixesha elide, njengoko iligament ingaphuhliswanga ngokupheleleyo okanye yomelele, nto leyo enokubangela ukukrazuka.
Ukususwa
Ukuchithwa komnwe kukulimala kakhulu okubandakanya i-ligament, i-capsule edibeneyo, i-cartilage, kunye nezinye izicubu ezibangela ukungahambi kakuhle komnwe. Iiligaments kunye ne-joint capsule ziyakrazuka xa umdibaniso ukhutshwa. Umdibaniso kufuneka uhlaziywe, onokuthi ube yinkqubo elula, okanye kwiimeko ezinzima, izigulane zingadinga ukuba zifakwe phantsi kwe-anesthesia okanye ziqhutywe utyando ukuze ziphinde zidibanise ngokufanelekileyo.
Kwezi meko, ii-tendon okanye ezinye izicubu zinokuthintela umdibaniso ukuba ungangeni kwindawo.
Ukubuyisela umnwe kwindawo elungileyo kwaziwa “njengokuncitshiswa.” Emva kokuncitshiswa, umnwe kufuneka udibaniswe.
Abantu nabo bafuna i-X-ray ukuqinisekisa ukuba i-joint ifakwe ngokuchanekileyo kwaye nawaphi na amathambo awazange aphuke okanye aphuke xa egcina ukulimala. (James R. Borchers, Thomas M. Best. 2012 )
Emva kokuba usethe ngokutsha, ukukhathalela umnwe okhutshiweyo ngokusisiseko kufana nomnwe ohluthiweyo. Ukusebenzisa umkhenkce emnweni, ukugcina i ngesandla inyuswe ukunciphisa ukudumba.
Abantu kufuneka bajonge ugqirha wabo ukuze bafumanise ukuba bangaqala nini ukuhambisa umnwe. (James R. Borchers, Thomas M. Best. 2012 )
Indlela yeChiropractic yokuphucula iMpilo
VIDEO
Ucaphulo
Elfar, J., & Mann, T. (2013). I-fracture-dislocations of the proximal interphalangeal joint. Ijenali ye-American Academy ye-Orthopedic Surgeons, i-21 (2), i-88-98. doi.org/10.5435/JAAOS-21-02-88
I-OrthoInfo evela kwi-American Academy of Orthopedic Surgeons. (2022) Ukwaphuka kwezandla .
Hung, CY, Varacallo, M., & Chang, KV (2023). Ubhontsi womgcini-midlalo. KwiStatPearls. StatPearls Publishing.
I-OrthoInfo evela kwi-American Academy of Orthopedic Surgeons. (2022) Ukwaphuka kweminwe .
Borchers, JR, & Best, TM (2012). Ukuqhekeka kweminwe eqhelekileyo kunye nokuchithwa. Ugqirha wosapho waseMelika, 85 (8), 805-810.
by UGqr Alex Jimenez impilo , Ukunyamekela
Njengoko umzimba ukhula ukukwazi ukuphila ubomi ngokupheleleyo kunokuba nzima. Ngaba ukusebenzisa ibhayoloji yendalo kunokunceda ukomeleza amandla endalo omzimba okuphilisa?
Ibhayoloji yendalo
Nangona ngamanye amaxesha ukhetho oluyimfuneko lonyango, iinkqubo zotyando zingaba ngumgca wokuqala wonyango oluziswa kwizigulane. Ibhayoloji yendalo yeyona ndlela incinci enokuthi isuse ukulaliswa esibhedlele kwaye ikhawuleze ukuchacha. (URiham Mohamed Aly, ngo-2020 )
Bazintoni?
Umzimba uzalwa unamacandelo okuqalisa ukuphilisa nokuchacha. La malungu aquka:
Iiseli
IiCytokines
Iiprotheni
ICollagens
Elastin
IHyaluronic acid
Ngexesha lokuzalwa, la malungu aba maninzi kodwa ayancipha njengoko umzimba uhamba. Yiloo nto abantwana bechacha ngokukhawuleza kukwenzakala kunabantu abadala. Ukubuyiselwa kwabantu abadala kunokucotha ukusuka ekunciphiseni kwezi nxalenye zokuphilisa zendalo. Injongo yonyango lwendalo yebhayoloji kukwandisa amacandelo okuphilisa ngokwazisa kwakhona amalungu omzimba - ngokuzenzekela -okanye ngokuzisa amacandelo amatsha - i-allogeneic – ukusuka kumnikeli. (AmaZiko eSizwe ezeMpilo ngo-2016 ) Ukukhetha phakathi kwezi ndlela zimbini kuxhomekeke kwiminyaka nempilo yomntu, njengoko abo badala okanye abanempilo enkenenkene banokuba neengxaki ngenxa yemilinganiselo ephantsi yezinto.
Amacandelo okuphilisa asuka kwimithombo yabanikeli angabonisa isithembiso esingakumbi, njengoko unyango ludla ngokufunyanwa kwiithishu zokuzalwa ezilahliweyo ekuzalweni.
Izicubu zokuzalwa zizityebi kumacandelo okuphilisa, aqulethe iqoqo elininzi kakhulu lezinto zokuphilisa zendalo.
Kubalulekile ukuqaphela ukuba akukho bungozi kumama okanye kusana olufunyenwe kwiimveliso zethishu.
Autologous Treatment
Ithathwe kumntu ofumana unyango lweseli. (Yun Qian, et al., 2017 )
I-Platelet-Rich Plasma-PRP
I-Platelet-rich plasma ihlakulwa ngokutsalwa kwegazi lomntu kwaye ilijikelezwe kwi-centrifuge ukwahlula i-plasma.
Ulwelo olubangelwayo lubuyiselwa kwindawo eyonzakeleyo ukuvelisa indawo yokuphilisa.
Olu hlobo lwebhayoloji yendalo lusebenza kubantu abanokwenzakala okungephi okunokulungiswa lula.
Le nkqubo ayisebenzi kangako kubantu abadala abasele benokunciphisa amacandelo okuphilisa kwendalo.
Izinto zokuphila ezinjengokutshaya, ukutya okungenampilo, kunye nokusetyenziswa kakubi kotywala/iziyobisi kunokunciphisa ukusebenza konyango lwe-PRP.
Bone Marrow Aspirate
Le yinkqubo ephazamisayo, ebuhlungu eqala ngokubeka isigulane phantsi kwe-anesthesia kunye nokugrumba kwithambo ukuze kukhishwe umongo. (Umbutho womhlaza waseMelika, ngo-2023 )
Njenge-PRP, impumelelo ixhomekeke kwiminyaka yomntu, impilo kunye nendlela yokuphila.
Iinkqubo ezihlaselayo ezifana nezi zinethuba eliphezulu lokusuleleka kwaye zifuna ixesha elide lokubuyisela.
Iiseli ze-Adipose-Derived Stem
Izicubu ze-Adipose / unyango lwamafutha luqokelelwa ngenkqubo efana nenkqubo ye-liposuction.
Inkqubo yenziwa phantsi kwe-anesthesia jikelele kwaye yinkqubo ehlaselayo.
Emva kokuba izicubu ziqokelelwe, iiseli ziyahlukana kwaye zibuyiselwe. (Loubna Mazini, et al. 2020 )
Impumelelo yonyango ixhomekeke kwimpilo yomntu, kwiminyaka yakhe nakwindlela aphila ngayo.
Kukho umngcipheko wokusuleleka xa ukhetha le nkqubo kunye nexesha elide lokubuyisela.
Unyango lwe-Allogeneic
Iiseli ezivuselelayo ezisekelwe kumnikeli.
Unyango lwe-Amniotic Fluid
I-Amniotic fluid iqulethe izinto ezahlukeneyo zokukhula, ii-cytokines, kunye neeprotheni ezichasayo ezinokukhuthaza ukulungiswa kwezicubu, ukunciphisa ukuvuvukala, kunye nokuvuselela ukuvuselelwa kweselula. (Petra Klemmt. 2012 )
Iqokelelwe ngexesha lokuzalwa, olu nyango lolona nyango lufanelekileyo kubantu abaye bafumana ukulimala okuchaphazela ukusebenza kwemihla ngemihla.
Oogqirha kunye noogqirha basebenzisa unyango lwe-amniotic fluid ukunyanga iimeko ezininzi, ukusuka kunyango lwamathambo ukuya kukhathalelo lwenxeba.
I-Amniotic fluid iqokelelwa ngexesha lokuzalwa kwaye ininzi ngokunyuka kwamacandelo okuphilisa xa kuthelekiswa nemithombo ye-autologous.
Ulwelo lwe-amniotic i-immune-privileged (inciphisa okanye icinezela impendulo yomzimba yokuzikhusela) kwaye ingozi yokwaliwa inqabile.
Olu nyango luhlala lwenziwa kwiofisi kagqirha kunye nexesha elincinci lokunciphisa emva konyango.
Ijeli kaWharton
Ijeli ye-Wharton ivela kwintambo ye-umbilical ngexesha lokuzalwa kwaye ngokuyinhloko iqulunqwe yinto ye-gel eyenziwe nge-hyaluronic acid kunye nenethiwekhi ye-collagen fibers.
Iimpawu zayo ezikhethekileyo zenza ukuba zilungele ukukhusela nokuxhasa intambo ye-umbilical. (Vikram Sabapathy, et al., 2014 )
Kukholelwa ukuba iqulathe inani labemi beeseli ze-mesenchymal stem ezinamandla okwahlula kwiintlobo ezahlukeneyo zeeseli, kunye nezinye izinto ezifihlakeleyo zokukhula kunye neecytokines. (F. Gao, et al., 2016 )
Ithathwa njengowona mthombo uxabisekileyo wokuphucula ukuphiliswa kwezicubu ezahlukeneyo, kubandakanya ithambo, intlala, ulusu, kunye nezicubu zemithambo-luvo.
I-immune-ilungelo kunye nomngcipheko omncinci wokulahlwa kunye nokuncinci ukuba kukho, ixesha lokubuyisela emva konyango oluse-ofisini.
Ii-Exosomes
Ii-exosomes zincinci, i-membrane-bound bound vesicles edlala indima ekunxibelelaneni kwe-intercellular ngaphakathi komzimba. (UCarl Randall Harrell, et al., 2019 )
Ziqulethe iintlobo zeamolekyu ze-bioactive, kuquka iiprotheni, i-lipids, i-nucleic acids (njenge-RNA), kunye neemolekyuli zokubonisa.
Zisebenza njengezithuthi zokudlulisa iimolekyuli zomqondiso ukusuka kwiseli enye ukuya kwenye, zivumela iiseli ukuba ziphembelele indlela yokuziphatha kunye nomsebenzi weeseli ezingabamelwane okanye ezikude.
Zinokuqokelelwa okanye zohlulwe kulwelo olwahlukeneyo lwebhayoloji kunye neenkcubeko zeeseli ngobuchule obukhethekileyo kodwa zomelele xa ziqokelelwa ekuzalweni.
I-exosomes ngaphakathi kwentambo ye-umbilical isetyenziselwa ukulungiswa kwezicubu kunye nokuvuselelwa, ukubonisa iiseli ukuba zikhuthaze: Ukwandisa - ukwanda kwenani leeseli ngokuhlukana kweeseli.
Ukwahlula - ukuguqulwa kweeseli ezingabonakaliyo kwiiseli ezikhethekileyo.
Ukuphiliswa kwezicubu kwiindawo ezonakeleyo okanye ezilimeleyo.
Ii-exosomes ezivela kwintambo ye-umbilical zinelungelo lokuzikhusela kunye nomngcipheko omncinci wokulahlwa.
Unyango lufanelekile ekwandiseni unxibelelwano lweeseli kunye nokuqalisa ukulungiswa xa ludityaniswe nomnye umthombo wonyango lwe-allogeneic njenge-amniotic fluid okanye i-Wharton's Jelly.
Ukukhetha ukuba yeyiphi Unyango lwendalo lwebhayoloji yeyona ilungileyo yahlukile kumntu wonke. Xa ukhetha unyango, kubalulekile ukuba umntu ngamnye adibane nomboneleli wabo wezempilo ukuze aqinisekise ukuba loluphi na usetyenziso oluya kuba neziphumo ezizezona zilungileyo.
Ngaba iMotion iSitshixo sokuPhilisa?
VIDEO
Ucaphulo
U-Aly RM (2020). Imeko yangoku yonyango olusekwe kwi-stem cell: isishwankathelo. Uphando lweseli yesiqu, 7, 8. doi.org/10.21037/sci-2020-001
Amaziko eSizwe ezeMpilo. (2016). Iziseko zeStem Cell .
Qian, Y., Han, Q., Chen, W., Ingoma, J., Zhao, X., Ouyang, Y., Yuan, W., & Fan, C. (2017). I-Platelet-Rich Plasma Derived Growth Factors Igalelo kwi-Stem Cell Differintiation kwi-Musculoskeletal Regeneration. Imida kwikhemistri, 5, 89. doi.org/10.3389/fchem.2017.00089
Umbutho womhlaza waseMelika. (2023). Iindidi zeStem Cell kunye neBone Morrow Transplants .
Mazini, L., Rochette, L., Admou, B., Amal, S., & Malka, G. (2020). Amathemba kunye neMida yeeSeli ze-Adipose-Derived Stem (ADSCs) kunye neeMesenchymal Stem Cells (MSCs) ekuPhileni amanxeba. Ijenali yamazwe ngamazwe yenzululwazi yeemolekyuli, 21(4), 1306. doi.org/10.3390/ijms21041306
Klemmt P. (2012). Ukusetyenziswa kweeseli ze-amniotic fluid kwisayensi esisiseko kunye nokuvuselelwa kwezicubu. I-Organogenesis, i-8 (3), i-76. doi.org/10.4161/org.23023
Sabapathy, V., Sundaram, B., VM, S., Mankuzhy, P., & Kumar, S. (2014). I-Human Wharton's Jelly Mesenchymal Stem Cells iPlasitiki yongeza ukuphiliswa kwamanxeba olusu angenaziva ngokukhula kweenwele. PloS enye, 9(4), e93726. doi.org/10.1371/journal.pone.0093726
Gao, F., Chiu, SM, Motan, DA, Zhang, Z., Chen, L., Ji, HL, Tse, HF, Fu, QL, & Lian, Q. (2016). Iiseli ze-Mesenchymal stem kunye ne-immunomodulation: imeko yangoku kunye nethemba elizayo. Ukufa kweeseli kunye nesifo, 7(1), e2062. doi.org/10.1038/cddis.2015.327
Harrell, CR, Jovicic, N., Djonov, V., Arsenijevic, N., & Volarevic, V. (2019). I-Mesenchymal Stem-Derived Cell-Derived Exosomes kunye nezinye i-Extracellular Vesicles njengeZilungiso eziNtsha kwi-Therapy of Inflammatory Diseases. Iiseli, 8(12), 1605. doi.org/10.3390/cells8121605
by UGqr Alex Jimenez Ukunyamekela
Xa abantu befumana ubunzima bokulimala kwe-neuromusculoskeletal, ngaba ukulandela isiseko sonyango lwezihlunu kunokunceda ekuphiliseni nasekuphileni ngokupheleleyo?
Unyango lwe-Muscle olutsaliweyo
I-muscle etsaliweyo okanye i-muscle strain iyenzeka xa i-muscle isoluliwe ngaphaya kwamandla ayo okubangela iimpawu ezingathandekiyo kunye nemiba yokuhamba. Iinyembezi zeMicroscopic zinokuthi zenzeke ngaphakathi kwimicu yemisipha enokuthi ibe mandundu ukwenzakala. Olu hlobo lokulimala ludla ngokubangela intlungu ephantsi ukuya kwintlungu enzima, ukugruzuka, kunye nokungahambi, kunye nokulimala kwe-nerve kunokukhula ngokunjalo. Iintlobo eziqhelekileyo zezihlunu ziquka:
I-hamstrings etsaliwe
Iintlobo zegroin
Ukutsalwa kwemisipha yesisu
Iintlobo zethole
Unyango lwe-muscle olutsalweyo lufuna umonde ukukhuthaza ukuphilisa okufanelekileyo kunye nokubuyiselwa komsebenzi ofanelekileyo.
Abantu ngabanye kufuneka bagxininise kumanqanaba ahlukeneyo okuphilisa.
Kancinci ukwandisa amanqanaba omsebenzi njengoko umzimba uvumela ukuthintela ukuqina kunye ne-atrophy enokubangela iingxaki.
iimpawu
Iimpawu eziqhelekileyo zolu hlobo lokulimala ziquka:
Ubuhlungu
Ukuhamba okulinganiselweyo
Iimfucu zamathambo
Ukuvuvukala
Ukunyakaza
Amaxesha amaninzi abantu baya kuziva ukubamba okanye ukukrazuka ngesiquphe baze bangakwazi ukuqhubeka nomsebenzi.
UkuGcina
Ukulimala kwemisipha kuhlelwe ngokobunzima: (Isibhedlele soTyando oluKhethekileyo. 2019 )
IBakala I
Ukungakhululeki okuphakathi.
Amaxesha amaninzi akukho siphene.
Ngokuqhelekileyo ayithinteli umsebenzi.
IBakala II
Ukungakhululeki okuphakathi
Inokunciphisa amandla okwenza imisebenzi ethile.
Isenokuba nokudumba okuphakathi kunye nokugruzuka.
IBakala III
Ukulimala okukhulu okunokubangela intlungu ebalulekileyo.
Ukudumba kwezihlunu.
Ukudumba.
Ukugruzuka okubalulekileyo.
IiProthokholi zonyango eziSisiseko
Uninzi lwezihlunu ezitsaliweyo zokulimala ziphilisa ngonyango olulula. Ukulandela amanyathelo afanelekileyo kunokuqinisekisa ukuchacha okukhawulezayo. Kwiinqanaba zokuqala emva kokulimala, kukho ukulingana phakathi kokwenza kakhulu okanye akwanele. Ubungakanani bomsebenzi umntu uya kukwazi ukwenza, kwaye ixesha elifunekayo lokubuyisela lixhomekeke kubunzima bokulimala. Nazi ezinye izikhokelo kwicala elifanelekileyo.
Ukuphumla
Ukuphumla kunconywa kwisigaba sokuqala sokubuyisela.
Ngokuxhomekeke kubuzaza bomonzakalo oku kunokuthatha usuku ukuya kwentlanu.
I-immobilization ayisoloko iyimfuneko, kwaye ukungahambi konke kunokukhokelela ekuqineni kwemisipha kunye nokudibanisa.
Oku kunokuba yingozi kwaye kuphazamise ukuhamba. (UJoel M. Kary. 2010 )
Ukuba i-immobilization iyimfuneko, njengokusebenzisa i-splint okanye isamente, iliso elibukhali kufuneka libekwe esweni ngu- umboneleli wezempilo .
Unyango olubandayo
Unyango olubandayo kufuneka luqale ngokukhawuleza emva kokugcina umsipha otsaliweyo.
Unyango / umkhenkce unceda ukunciphisa ukudumba, ukopha, kunye neentlungu. (UGerard A Malanga, uNing Yan, uJill Stark. 2015 )
Izicelo zonyango ezibandayo zingenziwa rhoqo, kodwa akufanele zidlule imizuzu eyi-15 ngexesha.
Ukunxibelelana
Ukolula kubalulekile ukukhulula izihlunu kunye ne-pre-mobilization.
Izihlunu ezigcina ukuguquguquka zinceda ukukhusela ukulimala okuqhubekayo.
Ukuqiniswa
Ukwenzakala kunye nexesha lokuphumla kunokunciphisa amandla emisipha.
Kubalulekile ukuvuselela amandla ngaphambi kokuba ubuyele kwimisebenzi yomzimba.
Imisipha eyomeleziweyo inceda ukukhusela ukwenzakala kwakhona.
Umsebenzi owandisiweyo wokuthintela ukudinwa kwemisipha
Izihlunu ezidiniweyo ziyakwazi ukugcina ukwenzakala. (SD Mair, AV Seaber, RR Glisson, WE Garrett Omnci. 1996 )
Ukuze ugweme ukulimala qinisekisa ukuba izihlunu azigqithisi kakhulu.
Ukwandisa ngokuthe ngcembe amanqanaba omsebenzi xa uqala inkqubo yokuzivocavoca ukwakha ukunyamezela.
Ukuzifudumeza Ngokufanelekileyo
Ukufudumala ngaphambi kokuthatha imisebenzi yomzimba kuya kunceda ukukhulula imisipha kunye nokukhusela ukulimala.
Ukuqala umsebenzi okanye umthambo onezihlunu eziqinileyo kunokukhokelela ekwandeni kwamathuba obunzima.
Uphononongo lubonise ukuba ubushushu bunokuchaphazela ukuqina kwemisipha. (KW Ranatunga. 2018 )
Ukugcina ukufudumala komzimba kunye nemisipha kunceda ukukhusela ukulimala kunye nokulimala kwakhona.
Ukulimala kunye neChiropractic: Indlela yokuBuyisa
VIDEO
Ucaphulo
Isibhedlele soTyando oluKhethekileyo, Uxinzelelo lwemisipha: Yintoni ekufuneka uyazi malunga nezihlunu ezitsaliweyo.
UKary JM (2010). Ukuxilongwa kunye nokulawulwa kwee-quadriceps strains kunye ne-contusions. Uphononongo lwangoku kwiyeza le-musculoskeletal, i-3 (1-4), i-26-31. doi.org/10.1007/s12178-010-9064-5
Malanga, GA, Yan, N., & Stark, J. (2015). Iinkqubo kunye nokusebenza kakuhle kobushushu kunye nonyango olubandayo lokulimala kwe-musculoskeletal. Iyeza le-postgraduate, i-127 (1), i-57-65. doi.org/10.1080/00325481.2015.992719
Mair, SD, Seaber, AV, Glisson, RR, & Garrett, WE, Jr (1996). Indima yokudinwa ekufikeleleni kwingozi yokulimala kwemisipha. Ijenali yaseMelika yamayeza ezemidlalo, 24 (2), 137-143. doi.org/10.1177/036354659602400203
Ranatunga KW (2018). Iziphumo zobushushu kuMmandla kunye ne-Actin⁻Intsebenziswano yeMyosin kwi-Muscle: UkuJonga ngasemva kwezinye iziphumo zoMfuniselo. Ijenali yamazwe ngamazwe yenzululwazi yeemolekyuli, 19(5), 1538. doi.org/10.3390/ijms19051538
by UGqr Alex Jimenez Ukunyamekela , Ukuhamba kunye nokuguquguquka
Kubantu abane-collarbone eyaphukileyo, ngaba unyango olulondolozayo lunokunceda kwinkqubo yokubuyisela?
I-Collarbone eyaphukileyo
I-collarbones ephukileyo ixhaphake kakhulu ukulimala kwamathambo okunokuthi kwenzeke kuyo nayiphi na iminyaka yobudala. Eyaziwa nangokuthi i-clavicle, lithambo elingaphezulu kwesifuba, phakathi kwe-breastbone / sternum kunye ne-shoulder blade / scapula. I-clavicle inokubonwa ngokulula kuba kuphela ulusu lugubungela inxalenye enkulu yethambo. Iifractures zeClavicle zixhaphake kakhulu, kwaye zibalelwa kwi-2% - 5% yazo zonke iifractures. (IRadiopaedia. 2023 ) I-collarbones eyaphukileyo iyenzeka:
Iintsana - ngokuqhelekileyo ngexesha lokuzalwa.
Abantwana kunye nabaselula - kuba i-clavicle ayiphuhli ngokupheleleyo kude kube sekupheleni kweshumi elivisayo.
Iimbaleki - ngenxa yeengozi zokubethwa okanye ukuwa.
Ngeentlobo ezahlukeneyo zeengozi kunye nokuwa.
Uninzi lwee-collarbones eziphukileyo zinokunyangwa ngonyango olungenalo utyando, ngokuqhelekileyo, kunye ne-sling ukuvumela ukuba ithambo liphilise kunye nonyango lomzimba kunye nokubuyisela.
Ngamanye amaxesha, xa i-clavicle fractures iguqulwa kakhulu ngaphandle kokulungelelaniswa, unyango lotyando lunokucetyiswa.
Kukho iindlela zonyango ezimele zixoxwe kunye nogqirha wamathambo, i-physical therapist, kunye / okanye i-chiropractor.
I-collarbone eyaphukileyo ayibi kakhulu kunamanye amathambo aphukileyo.
Emva kokuba ithambo eliphukile liphilisa, abaninzi abantu banoluhlu olupheleleyo lokunyakaza kwaye banokubuyela kwimisebenzi ngaphambi kokuphuka. (Johns Hopkins Medicine. 2023 )
iintlobo
Ukulimala kwe-clavicle ephukileyo kuhlukaniswe kwiintlobo ezintathu kuxhomekeke kwindawo yokuphuka. (IRadiopaedia. 2023 )
Ukuqhekeka kwe-Mid-Shaft Clavicle
Ezi zenzeke kwindawo esembindini enokuba kukuqhekeka okulula, ukwahlula, kunye/okanye ukuqhekeka kwiziqwenga ezininzi.
Iikhefu ezininzi - iifractures zecandelo.Ukufuduswa okubalulekileyo – ukwahlukana.Ubude obufutshane bethambo .
I-Distal Clavicle Fractures
Oku kwenzeka kufutshane nesiphelo sekhola kwindawo yegxalaba.
Le nxalenye yegxalaba ibizwa ngokuba yi-acromioclavicular/AC joint.
I-Distal clavicle fractures ingaba neendlela ezifanayo zonyango njengokulimala ngokubambisana kwe-AC.
Ukuqhekeka kweClavicle ephakathi
Ezi zinto aziqhelekanga kwaye zihlala zihambelana nokulimala kwi-sternoclavicular joint.
Ilungu le-sternoclavicular lixhasa igxalaba kwaye lilo lodwa ilungu elidibanisa ingalo nomzimba.
Ukukhula kweplati yokuphuka kwe-clavicle kunokubonwa ekupheleni kwentsha kunye ne-20 yokuqala.
iimpawu
Iimpawu eziqhelekileyo zekhola ephukileyo ziquka: (Ithala leencwadi leSizwe loNyango: MedlinePlus. 2022 )
Intlungu phezu kwekhola.
intlungu Gxalaba .Ubunzima bokuhambisa ingalo.
Ubunzima bokuphakamisa ingalo ukusuka kwicala.
Ukudumba nokugruzuka egxalabeni.
Ukugruzuka kunokuphumela ezantsi esifubeni nasekhwapheni.
Ukuba ndindisholo nokutshotshozela phantsi kwengalo.
Ukukhubazeka kwekhola.
Ukongeza ekudumbeni, abanye abantu banokuba neqhuma kwindawo apho kwaphuka khona.
Kungathatha iinyanga ezininzi ukuze eli qhuma liphole ngokupheleleyo, kodwa oku kuqhelekile.
Ukuba iqhuma libonakala lidumbile okanye licaphukile, yazisa umboneleli wezempilo.
UkuDumba kweClavicular
Xa i-sternoclavicular joint ikhula okanye ikhula, ibizwa ngokuba yi-clavicular swelling.
Ngokuqhelekileyo kubangelwa kukwenzakala, isifo, okanye usulelo oluchaphazela ulwelo olufumaneka kumalungu. (UJohn Edwin, et al., 2018 )
Ukuqondwa
Kwikliniki yezempilo okanye kwigumbi likaxakeka, iX-reyi iya kufunyanwa ukuhlola uhlobo oluthile lokwaphuka.
Baya kwenza uviwo ukuqinisekisa ukuba imithambo-luvo kunye nemithambo yegazi ejikeleze i-collarbone eyaphukileyo ayinqunyulwanga.
Imithambo-luvo kunye neenqanawa azifane zilimale, kodwa kwiimeko ezinzima, ezi nzakala zingenzeka.
impatho
Unyango lufezwa ngokuvumela ithambo ukuba liphilise okanye ngotyando ukubuyisela ulungelelwaniso olufanelekileyo. Olunye unyango oluqhelekileyo lwamathambo aphukileyo alusetyenziswanga kwi-clavicle fractures.
Umzekelo, ukuphosa i-collarbone ephukileyo ayenziwa.
Ukongezelela, ukusetha kwakhona ithambo okanye ukunciphisa okuvaliweyo akukwenziwanga ngenxa yokuba akukho ndlela yokubamba ithambo eliphukileyo ngolungelelwaniso olufanelekileyo ngaphandle kokuhlinzwa.
Ukuba utyando lukhetho, umboneleli wezempilo ujonga le miba ilandelayo: (Isemgangathweno. 2023 )
Indawo yoLwahlulo kunye neDinga lokufuduswa
Iifractures ezingenandawo okanye ezincinci zokufuduswa zihlala zilawulwa ngaphandle kotyando.
ubudala
Abantu abancinci banamandla okwandisiweyo okuphinda bachache kukwaphuka ngaphandle kotyando.
Ukucuthwa kweqhekeza leqhekeza
Ukuqhekeka okufudukayo kunokuphilisa, kodwa xa kukho ukucutha okucacileyo kwekhola, utyando luyimfuneko.
Okunye Ukwenzakala
Abantu abanokulimala kwentloko okanye iifractures ezininzi banokunyangwa ngaphandle kokuhlinzwa.
Ulindelo Lwesigulane
Xa ukwenzakala kubandakanya imbaleki, umsebenzi onzima, okanye ingalo yeyona nto iphambili, kunokubakho isizathu esingakumbi sotyando.
Ingalo eyongameleyo
Xa iifractures zenzeka kwingalo elawulayo, iziphumo zibonakala zibonakala.
Uninzi lwezi fractures zinokulawulwa ngaphandle kokuhlinzwa, kodwa kukho iimeko apho utyando lunokuvelisa iziphumo ezingcono.
Ixhasa uNyango oluNgelulo utyando
Isilingi okanye i-figure-8 clavicle brace.
Umzobo we-8 awukabonakali uchaphazela ulungelelwaniso lokwaphuka, kwaye abantu abaninzi bahlala befumana isilingi sikhululeke ngakumbi. (Isemgangathweno. 2023 )
I-collarbones ephukile kufuneka iphilise kwiiveki ezi-6-12 kubantu abadala
Iiveki ezi-3-6 kubantwana
Izigulane ezincinci zihlala zibuyela kwimisebenzi epheleleyo phambi kweeveki ze-12.
Iintlungu zidla ngokudamba kwiiveki ezimbalwa. (Isemgangathweno. 2023 )
I-immobilization ayifane ifuneke ngaphaya kweeveki ezimbalwa, kwaye kunye nomsebenzi wokukhanya ocacileyo kagqirha kunye nokubuyisela intshukumo ethambileyo ngokuqhelekileyo kuqala.
Ukwenzakala Ixesha Elide
VIDEO
Ucaphulo
IRadiopaedia. Ukwaphuka kweClavicular .
Johns Hopkins Medicine. Ukwaphuka kweClavicle .
Ithala leencwadi leSizwe loNyango: MedlinePlus. I-collarbone eyaphukileyo - i-aftercare .
Isemgangathweno. Ukwaphuka kweClavicle .
Edwin, J., Ahmed, S., Verma, S., Tytherleigh-Strong, G., Karuppaiah, K., & Sinha, J. (2018). Ukudumba komdibaniso we-sternoclavicular: ukuphononongwa kwe-pathologies ephazamisayo kunye ne-non-traumatic. EFORT vula uphononongo, 3(8), 471–484. doi.org/10.1302/2058-5241.3.170078
