Ukulimala kwezemidlalo
I-Back Clinic Sports Inzame Iqela leChiropractic kunye nePhysical Therapy. Abadlali abavela kuyo yonke imidlalo banokuzuza kunyango lwe-chiropractic. Uhlengahlengiso lunokunceda ukunyanga ukwenzakala kwimidlalo enefuthe eliphezulu oko kukuthi iwrestling, ibhola ekhatywayo kunye nehoki. Abadlali abafumana uhlengahlengiso lwesiqhelo banokubona ukuphuculwa kwentsebenzo yezemidlalo, uluhlu oluphuculweyo lwentshukumo kunye nokuguquguquka, kunye nokunyuka kwegazi. Ngenxa yokuba uhlengahlengiso lomgogodla luya kunciphisa ukucaphuka kweengcambu ze-nerve phakathi kwe-vertebrae, ixesha lokuphulukiswa kokulimala okuncinci linokufinyezwa, okuphucula ukusebenza. Bobabini abadlali abanempembelelo ephezulu kunye nefuthe eliphantsi banokuzuza kwiinguqu zesiqhelo zomgudu.
Kubadlali abanempembelelo ephezulu, kwandisa ukusebenza kunye nokuguquguquka kunye nokunciphisa umngcipheko wokulimala kubadlali abanempembelelo ephantsi, oko kukuthi abadlali be-tennis, i-bowlers, kunye negalufa. I-Chiropractic yindlela yendalo yokunyanga nokukhusela ukulimala okuhlukeneyo kunye neemeko ezichaphazela abadlali. Ngokutsho kukaDkt Jimenez, uqeqesho olugqithiseleyo okanye izixhobo ezingafanelekanga, phakathi kwezinye izinto, zizinto eziqhelekileyo zokulimala. UDkt Jimenez ushwankathela izizathu ezahlukeneyo kunye nemiphumo yokulimala kwezemidlalo kumdlali kunye nokuchaza iintlobo zonyango kunye neendlela zokubuyisela ezinokunceda ukuphucula imeko yomdlali. Ngolwazi oluthe kratya, nceda ukhululeke ukunxibelelana nathi apha (915) 850-0900 okanye isicatshulwa ukubiza uGqirha Jimenez buqu (915) 540-8444.
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 | Abadlali, Ukulimala kwezemidlalo
Abantu abathatha inxaxheba kwimisebenzi yomzimba kunye nemidlalo banokuvalelwa yi-Achilles tendon tear. Ngaba ukuqonda iimpawu kunye neengozi kunceda kunyango kwaye ubuyisele umntu emsebenzini wakhe wezemidlalo ngokukhawuleza?
U-Achilles Tendon
Oku kukwenzakala okuqhelekileyo okwenzekayo xa ithenda edibanisa umsipha wethole kwisithende ikrazuka.
Malunga neTendon
- Ithenda ye-Achilles yeyona nto inkulu emzimbeni.
- Kwimidlalo kunye nemisebenzi yomzimba, iintshukumo eziqhumayo ezinjengokubaleka, ukutyibilika, izikhundla eziguqukayo ngokukhawuleza, kunye nokutsiba ziqhutywa kwii-Achilles.
- Amadoda kunokwenzeka ukuba akrazule i-Achilles kwaye agcine ukugqabhuka kwe-tendon. (G. Thevendran et al., 2013)
- Ukwenzakala kaninzi kwenzeka ngaphandle kokudibana okanye ukungqubana kodwa kunokubaleka, ukuqala, ukumisa, kunye nokutsalwa kwezenzo ezibekwe ezinyaweni.
- Ezinye ii-antibiotics kunye ne-cortisone shots zinokunyusa amathuba okulimala kwee-Achilles.
- I-antibiotic ethile, iifluoroquinolones, ibonakaliswe ukwandisa umngcipheko weengxaki ze-tendon ze-Achilles.
- I-Cortisone shots nayo idibene neenyembezi ze-Achilles, yingakho abaninzi ababoneleli bezempilo bengacebisi i-cortisone ye-Achilles tendonitis. (Anne L. Stephenson et al., 2013)
iimpawu
- Ukukrazuka kwe-tendon okanye ukuphuka kubangela intlungu ngokukhawuleza emva kwe-ankle.
- Abantu banokuva i-pop okanye i-snap kwaye bahlala bexela imvakalelo njengokukhatywa kwethole okanye isithende.
- Abantu ngabanye banobunzima bokukhomba iinzwane zabo ezantsi.
- Abantu ngabanye banokudumba kunye nokugruzuka kwi-tendon.
- Umboneleli wezempilo uya kuhlola i-ankle ngokuqhubekayo kwe-tendon.
- Ukucudisa umsipha wethole kufuneka kubangele ukuba unyawo lubhekise ezantsi, kodwa kubantu abakrazukileyo, unyawo aluyi kuhamba, okukhokelela kwiziphumo ezilungileyo Uvavanyo lukaThompson.
- Isiphene kwi-tendon sinokuvakala emva kokukrazula.
- I-X-rays ingasetyenziselwa ukulawula ezinye iimeko, kuquka i-ankle fracture okanye i-ankle arthritis.
Izinto zobungozi
- I-Achilles tendon ruptures ibonakala kakhulu kumadoda malunga ne-30 okanye i-40.UDavid Pedowitz, uGreg Kirwan. 2013)
- Abantu abaninzi baneempawu ze-tendonitis ngaphambi kokuba baqhube iinyembezi.
- Uninzi lwabantu abanalo imbali yeengxaki ze-tendon zangaphambili ze-Achilles.
- Uninzi lwee-tendon ze-Achilles iinyembezi zidibene nemidlalo yebhola. (Youichi Yasui et al., 2017)
Ezinye izinto ezinobungozi ziquka:
- Gout
- Inaliti yeCortisone kwi-Achilles tendon
- Ukusetyenziswa kwe-antibiotics ye-fluoroquinolone
Amayeza okubulala iintsholongwane eFluoroquinolone aqhele ukusetyenziswa kunyango losulelo lokuphefumla, usulelo lomgudu womchamo, kunye nosulelo lwebhaktiriya. Ezi antibiotics zidibene nokuphuka kwe-tendon ye-Achilles, kodwa uphando olongezelelweyo lufunekayo ukuze kunqume indlela echaphazela ngayo i-tendon ye-Achilles. Abantu abathatha la mayeza bayacetyiswa ukuba baqwalasele elinye iyeza ukuba iingxaki ze-tendon ze-Achilles ziqala ukukhula. (Anne L. Stephenson et al., 2013)
impatho
Ngokuxhomekeke kubukhulu bokulimala, unyango lunokubandakanya iindlela ezingezizo zokuhlinzwa okanye utyando.
- Inzuzo yotyando ngokuqhelekileyo kukho ukunyanzeliswa okuncinci.
- Abantu ngabanye banokubuyela kwimisebenzi yezemidlalo ngokukhawuleza, kwaye kukho amathuba amancinci okuphinda aphule i-tendon.
- Unyango olungasebenzisi utyando ugwema iingozi zotyando ezinokubakho, kwaye iziphumo zexesha elide zokusebenza ziyafana. (UDavid Pedowitz, uGreg Kirwan. 2013)
Ukunyanga i-Ankle Sprains
Ucaphulo
Thevendran, G., Sarraf, KM, Patel, NK, Sadri, A., & Rosenfeld, P. (2013). I-tendon ye-Achilles ephukile: inkcazo yangoku ukusuka kwi-biology yokuphuka ukuya kunyango. Utyando lwe-Musculoskeletal, i-97 (1), i-9-20. doi.org/10.1007/s12306-013-0251-6
Stephenson, AL, Wu, W., Cortes, D., & Rochon, PA (2013). Ukulimala kweTendon kunye nokusetyenziswa kweFluoroquinolone: Ukuphononongwa ngokuchanekileyo. Ukhuseleko lweziyobisi, 36 (9), 709-721. doi.org/10.1007/s40264-013-0089-8
Pedowitz, D., & Kirwan, G. (2013). I-Achilles tendon iyaphuka. Uphononongo lwangoku kwiyeza ze-musculoskeletal, 6 (4), 285-293. doi.org/10.1007/s12178-013-9185-8
Yasui, Y., Tonogai, I., Rosenbaum, AJ, Shimozono, Y., Kawano, H., & Kennedy, JG (2017). Ingozi ye-Achilles Tendon Ukuphuka kwizigulane ezine-Achilles Tendinopathy: Uhlalutyo lweDatha yezeMpilo e-United States. Uphando lweBioMed lwamazwe ngamazwe, 2017, 7021862. doi.org/10.1155/2017/7021862
by UGqr Alex Jimenez | Umenzakalo owehle kwisiqu, Ukulimala kwezemidlalo
Kubantu ngabanye kwimidlalo, abathanda ukomelela, kunye nabo benza imisebenzi yomzimba, ukwenzakala kwe-musculoskeletal kuqhelekile. Ngaba ukusebenzisa i-ice tape kunokunceda ngexesha lokuqala okanye elibukhali lokulimala kunciphisa ukuvuvukala kunye nokudumba ukukhawulezisa ukuchacha nokubuyela kwimisebenzi kwakamsinya?
ITape yomkhenkce
Emva kokwenzakala kwe-musculoskeletal, abantu ngabanye bayacetyiswa ukuba balandele i-R.I.C.E. indlela yokunceda ukunciphisa ukudumba nokuvuvukala. R.I.C.E. sisishunqulelo se-Rest, Umkhenkce, uKucinezeleka, kunye noKuphakama. (Michigan Medicine. IYunivesithi yaseMichigan. 2023) Ukubanda kunceda ukunciphisa iintlungu, ukunciphisa ubushushu bezicubu, kunye nokunciphisa ukudumba kwindawo yokwenzakala. Ngokulawula ukuvuvukala ngomkhenkce kunye nokunyanzeliswa kwangoko emva kokulimala, abantu ngabanye banokugcina uluhlu olufanelekileyo lokuhamba kunye nokuhamba malunga nenxalenye yomzimba owenzakeleyo. (Jon E. Block. 2010) Kukho iindlela ezahlukeneyo zokusebenzisa umkhenkce kwingozi.
- Iingxowa ze-ice ezithengiweyo kunye neepakethe ezibandayo.
- Ukumanzisa inxalenye yomzimba owenzakeleyo kwi-whirlpool ebandayo okanye ebhafini.
- Ukwenza iipakethi zomkhenkce ezinokuphinda zisetyenziswe.
- I-bandage yoxinzelelo ingasetyenziswa kunye nomkhenkce.
ITape yomkhenkce libhandeji lokucinezela elibonelela ngonyango olubandayo ngaxeshanye. Emva kokulimala, ukuyifaka kunokunceda ukunciphisa intlungu kunye nokudumba ngexesha lokuvuvukala okukhulu kokuphilisa. (Matthew J. Kraeutler et al., 2015)
Isebenza njani iTape
I-tape i-bandage eguquguqukayo efakwe kwi-gel yokupholisa yonyango. Xa isetyenziswe kwindawo eyonzakeleyo kwaye ibonakaliswe emoyeni, ijeli iyasebenza, ivelise ukuvakalelwa okubandayo kwindawo yonke. Isiphumo sonyango lonyango sinokuhlala iiyure ezintlanu ukuya kwezintandathu. Idibaniswe ne-bandage eguquguqukayo, inika unyango lwe-ice kunye nokunyanzeliswa. Iteyiphu yomkhenkce ingasetyenziselwa ngqo ngaphandle kwepakethe kodwa ingagcinwa kwifriji ukunyusa umphumo obandayo. Ngokuxhomekeke kwimiyalelo yomenzi, iteyiphu ayimelanga igcinwe kwisikhenkcisi njengoko oku kunokwenza kube nzima kakhulu ukusonga indawo eyonzakeleyo.
eziluncedo
Izibonelelo ziquka oku kulandelayo:
Kulula ukuyisebenzisa
- Imveliso kulula ukuyisebenzisa.
- Khupha iteyiphu, kwaye uqale ukuyisonga kwilungu lomzimba elenzakeleyo.
IiFasteners aziyomfuneko
- Ukusonga kunamathele ngokwawo, ngoko i-tape ihlala kwindawo ngaphandle kokusebenzisa iziqeshana okanye izibophelelo.
Kulula ukuSika
- Uluhlu olusemgangathweni luyi-intshi ezingama-48 ubude kunye nee-intshi ezi-2 ububanzi.
- Uninzi lwamanxeba lufuna ngokwaneleyo ukugubungela indawo eyonzakeleyo.
- Izikere zisike elona nani lifunekayo, kwaye ezinye zigcine kwingxowa ephinda ivaleke.
Ukuhlaziywa
- Emva kwemizuzu eyi-15 ukuya kwe-20 yokusetyenziswa, imveliso inokususwa ngokulula, ihlanganiswe, igcinwe kwisikhwama, kwaye isetyenziswe kwakhona.
- Iteyiphu ingasetyenziselwa amaxesha amaninzi.
- I-tape iqala ukulahlekelwa umgangatho wayo wokupholisa emva kokusetyenziswa okuninzi.
Portable
- Iteyiphu ayifuni kufakwa kwindawo epholileyo xa uhamba.
- Iphathwa ngokulula kwaye igqibelele kwi-ice ekhawulezayo kunye nesicelo soxinzelelo ngokukhawuleza emva kokulimala.
- Inokunciphisa iintlungu kunye nokudumba kwaye igcinwe kwindawo yokusebenza.
nezingeloncedo
Ukungalungi okumbalwa kubandakanya oku kulandelayo:
Ivumba leMichiza
- Ijeli ekusongeni okuguquguqukayo ingaba nevumba leyeza.
- Ayilovumba elinamandla njengeekhilimu zeentlungu, kodwa ivumba lekhemikhali linokubakhathaza abanye abantu.
Isenokungabandi ngokwaneleyo
- Iteyiphu isebenzela ukuthomalalisa iintlungu kwangoko kunye nokudumba, kodwa isenokungabandi ngokwaneleyo kumsebenzisi xa isetyenziswe kanye kwipakethe kwiqondo lobushushu begumbi.
- Nangona kunjalo, inokubekwa efrijini ukwandisa ukubanda kwaye inokubonelela ngesiphumo sokupholisa ngonyango ngakumbi, ngakumbi kwabo bajongene ne-tendinitis okanye i-bursitis.
Ukuncamathela kusenokuphazamisa
- Iteyiphu inokuba ncangathi kwabanye.
- Lo mba uncangathi unokuba ngumsindo omncinci.
- Nangona kunjalo, ivakala nje incangathi xa isetyenziswa.
- Iiflekhi ezimbalwa zejeli zinokushiyeka ngasemva xa zisusiwe.
- Iteyiphu yomkhenkce inokubambelela kwiimpahla.
Kubantu abafuna unyango olukhawulezayo, oluhambayo lokupholisa amalungu omzimba awonzakeleyo okanye abuhlungu, umkhenkce tape inokuba lukhetho. Kungaba kuhle ukuba nesandla ukubonelela ngoxinzelelo lokupholisa ukuba ukwenzakala okuncinci kwenzeka ngelixa uthatha inxaxheba kwi-athletics okanye kwimisebenzi yomzimba kunye nokukhululeka kokusetyenziswa ngokugqithiseleyo okanye ukwenzakala okuphindaphindiweyo.
Ukunyanga i-Ankle Sprains
Ucaphulo
Michigan Medicine. IYunivesithi yaseMichigan. Ukuphumla, umkhenkce, uxinzelelo kunye nokuphakama (RICE).
Block J. E. (2010). Ukubanda kunye nokunyanzeliswa kolawulo lokulimala kwe-musculoskelet kunye neenkqubo zokusebenza kwamathambo: ukuphononongwa kwengxelo. Vula ukufikelela kwijenali yezamayeza ezemidlalo, 1, 105–113. doi.org/10.2147/oajsm.s11102
UKraeutler, M. J., Reynolds, K. A., Long, C., & McCarty, E. C. (2015). I-cryotherapy exinzelelekileyo ngokuchasene nomkhenkce-isifundo esilindelekileyo, esingahleliweyo kwiintlungu zangasemva kokuhlinzwa kwizigulane ezenza ukulungiswa kwe-arthroscopic rotator cuff okanye i-subacromial decompression. Ijenali yotyando lwamagxa kunye nengqiniba, 24 (6), 854-859. doi.org/10.1016/j.jse.2015.02.004
by UGqr Alex Jimenez | Ukulimala kwezemidlalo, Ukulimala okuMsebenzi
Kubantu abajongene nokulimala kweenzwane ze-turf, ngaba ukwazi iimpawu kunokunceda iimbaleki kunye nabangengabo abadlali ngonyango, ixesha lokubuyisela, kunye nokubuyela kwimisebenzi?
Ukwenzakala kweTurf Toe
Ukulimala kwenzwane ye-turf kuchaphazela i-ligaments ye-tissue ethambileyo kunye ne-tendon kwisiseko senzwane enkulu phantsi unyawo. Le meko ngokuqhelekileyo iyenzeka xa inzwane i-hyperextended / inyanzeliswa phezulu, njengokuba ibhola yeenyawo iphantsi kwaye isithende siphakanyiswa. (I-American Academy ye-Orthopedic Surgeons. 2021) Ukulimala kuqhelekileyo phakathi kwabadlali abadlala imidlalo kwi-turf yokwenziwa, yindlela yokulimala ebizwa ngayo. Nangona kunjalo, inokuchaphazela nabangengabo iimbaleki, njengabantu abasebenza ngeenyawo imini yonke.
- Ixesha lokubuyisela emva kokulimala kwe-turf toe kuxhomekeke kubunzima kunye nohlobo lwemisebenzi umntu aceba ukubuyela kuyo.
- Ukubuyela kwimisebenzi yezemidlalo ephezulu emva kokulimala kakhulu kunokuthatha iinyanga ezintandathu.
- Ezi nzakala ziyahluka ngobunzima kodwa ngokuqhelekileyo ziphucula ngonyango olulondolozayo. Kwiimeko ezimandundu, kunokufuneka utyando.
- Ubuhlungu ngumcimbi oyintloko oyeka imisebenzi yomzimba emva kokulimala kwebanga le-1, ngelixa amabakala 2 kunye ne-3 angathatha iiveki ukuya kwiinyanga ukuphilisa ngokupheleleyo.
meaning
Ukwenzakala kwinzwane yonyawo kubhekisa ku-a metatarsophalangeal yoxinzelelo ngokudibeneyo. Olu luhlu lubandakanya iigaments ezidibanisa ithambo kwinyawo lonyawo, ngaphantsi kwenzwane enkulu / i-phalanx esondeleyo, kumathambo adibanisa iinzwane kumathambo amakhulu ezinyaweni / i-metatarsals. Ukwenzakala ngokuqhelekileyo kubangelwa yi-hyperextension edla ngokuphuma kwintshukumo yokutyhala, njengokubaleka okanye ukutsiba.
UkuGcina
Ukulimala kweenzwane ze-turf kunokuqala ukusuka kumbi ukuya kobunzima kwaye kuhlelwe ngolu hlobo lulandelayo: (I-American Academy ye-Orthopedic Surgeons. 2021)
- Bakala 1 – Izicubu ezithambileyo zoluliwe, zibangela intlungu kunye nokudumba.
- Bakala 2 – Ithishu ethambileyo ikrazuke kancinane. Ubuhlungu bubonakala ngakumbi, kunye nokudumba okubonakalayo kunye nokubetha, kwaye kunzima ukuhambisa inzwane.
- Bakala 3 – Izicubu ezithambileyo zikrazukile ngokupheleleyo, kwaye iimpawu zibukhali.
Ngaba Le nto Ibangela Iintlungu Zonyawo Lwam?
Inzwane yeTurf ingaba yi:
- Ukulimala ngokugqithisileyo - okubangelwa ukuphindaphinda ukunyakaza okufanayo ngokuphindaphindiweyo ixesha elide, elibangela ukuba iimpawu zibe nzima.
- Ukulimala okukrakra - okwenzeka ngokukhawuleza, kubangela intlungu ngokukhawuleza.
Iimpawu zingabandakanya oku kulandelayo: (IMisa Jikelele uBrigham. 2023)
- Uluhlu olulinganiselweyo lwentshukumo.
- Ubunono kuzwane omkhulu kunye nendawo ejikelezileyo.
- Ukudumba.
- Intlungu kwinzwane enkulu kunye nendawo ejikelezileyo.
- Ukuthuthuzela.
- Amalungu adibeneyo angabonisa ukuba kukho ukuchithwa.
Ukuqondwa
Ukuba ufumana iimpawu ze-turf toe, bona umboneleli wezempilo ukuze ufumane ukuxilongwa ngokufanelekileyo ukuze baphuhlise isicwangciso sonyango lomntu. Baza kwenza uvavanyo lomzimba ukuvavanya intlungu, ukudumba, kunye noluhlu lwentshukumo. (I-American Academy ye-Orthopedic Surgeons. 2021) Ukuba umboneleli wezempilo ukrokrela umonakalo wezicubu, unokuncoma umfanekiso kunye ne-X-rays kunye (i-MRI) ukulinganisa ukulimala kunye nokumisela indlela efanelekileyo yokwenza.
impatho
Umboneleli wezempilo uya kugqiba unyango olungcono olusekelwe kubunzima bokulimala. Konke ukulimala kweenzwane ze-turf kunokuzuza kwiprotocol ye-RICE: (IKholeji yaseMelika yeeNyawo kunye ne-Ankle Surgeons. Iinyaniso zempilo yonyawo. 2023)
- Ukuphumla - Yiphephe imisebenzi eyenza iimpawu zibe mandundu. Oku kunokubandakanya ukusebenzisa isixhobo sokuncedisa njengebhutsi yokuhamba okanye iintonga zokunciphisa uxinzelelo.
- Umkhenkce – Faka umkhenkce kangangemizuzu engama-20, emva koko ulinde imizuzu engama-40 ngaphambi kokuba uphinde ufake isicelo.
- Uxinzelelo - Gquba inzwane kunye nonyawo nge-bandage e-elastic ukuxhasa kunye nokunciphisa ukudumba.
- Ukuphakama -Faka unyawo ngaphezu kwinqanaba lentliziyo ukunceda ukunciphisa ukudumba.
Bakala 1
I-Toe ye-turf yeBanga loku-1 ihlelwa ngezicubu ezithambileyo ezoluliweyo, iintlungu, kunye nokudumba. Unyango lungabandakanya: (U-Ali-Asgar Najefi et al., 2018)
- Ukucofa ukuxhasa uzwane.
- Ukunxiba izihlangu ezine soli eqinileyo.
- Inkxaso ye-Orthotic, njenge-a ipleyiti ye-turf toe.
Amabanga 2 kunye 3
IBanga lesi-2 kunye nelesi-3 liza nokukrazula inxalenye okanye epheleleyo, iintlungu ezibuhlungu, kunye nokudumba. Unyango lwezinzwane ze-turf ezinzima zinokubandakanya: (U-Ali-Asgar Najefi et al., 2018)
- Ukuthwala ubunzima obulinganiselweyo
- Ukusebenzisa izixhobo zokuncedisa ezifana neentonga, ibhutsi yokuhamba, okanye isamente.
Olunye Unyango
- Ngaphantsi kwe-2% yokulimala kufuna utyando. Ngokuqhelekileyo kunconywa ukuba kukho ukungazinzi kwilungu okanye xa unyango olulondolozayo lungaphumeleli. (U-Ali-Asgar Najefi et al., 2018) (UZachariah W. Pinter et al., 2020)
- Unyango lomzimba lunenzuzo ekunciphiseni intlungu kunye nokuphucula uluhlu lwentshukumo kunye namandla emva kokulimala. (I-American Academy ye-Orthopedic Surgeons. 2021)
- Unyango lomzimba lukwabandakanya ukuziqhelanisa nokufaneleka kunye noqeqesho lobuchule, i-orthotics, kunye nokunxiba izihlangu ezicetyiswayo kwimisebenzi ethile yomzimba. (ULisa Chinn, uJay Hertel. 2010)
- Umgulana womzimba unokunceda ekuqinisekiseni ukuba umntu akabuyeli kwimisebenzi yenyama ngaphambi kokuba ukulimala kuphiliswe ngokupheleleyo kwaye kuthintele umngcipheko wokulimala kwakhona.
Ixesha lokubuyisela
Ukuchacha kuxhomekeke kubunzima bokwenzakala. (U-Ali-Asgar Najefi et al., 2018)
- IBanga loku-1 - Isifundo njengoko sihluka ngokuxhomekeke kukunyamezela iintlungu zomntu.
- IBanga lesi-2 – iiveki ezine ukuya kwezintandathu zokungashukumi.
- IBanga lesi-3 ukuya kwiiveki ezisibhozo ubuncinane bokungashukumi.
- Kungathatha ukuya kwiinyanga ezintandathu ukubuyela ekusebenzeni kwesiqhelo.
Ukubuyela kwiMisebenzi eqhelekileyo
Emva kokulimala kweenzwane zebanga loku-1, abantu banokubuyela kwimisebenzi eqhelekileyo xa iintlungu ziphantsi kolawulo. IBanga lesi-2 nelesi-3 lithatha ixesha elide ukuchacha. Ukubuyela kwimisebenzi yezemidlalo emva kokulimala kwebanga lesi-2 kunokuthatha malunga neenyanga ezimbini okanye ezintathu, ngelixa ukulimala kwebanga lesi-3 kunye namatyala afuna ukuhlinzwa angathatha ukuya kwiinyanga ezintandathu. (U-Ali-Asgar Najefi et al., 2018)
Ezemidlalo Unyango lweChiropractic
Ucaphulo
I-American Academy ye-Orthopedic Surgeons. (2021). Inyosi yeTurf.
IMisa Jikelele uBrigham. (2023). Inyosi yeTurf.
IKholeji yaseMelika yeeNyawo kunye ne-Ankle Surgeons. Iinyaniso zempilo yonyawo. (2023). Iprothokholi yeRICE.
Najefi, AA, Jeyaseelan, L., & Welck, M. (2018). Inzwane yeTurf: Uhlaziyo lweklinikhi. EFORT vula uphononongo, 3(9), 501–506. doi.org/10.1302/2058-5241.3.180012
Pinter, ZW, Farnell, CG, Huntley, S., Patel, HA, Peng, J., McMurtrie, J., Ray, JL, Naranje, S., & Shah, AB (2020). Iziphumo zokulungiswa kweenzwane ezingapheliyo kwi-Turf Toe kwi-Non-athlete Population: i-Retrospective Study. Ijenali yaseIndiya yonyango lwamathambo, 54 (1), 43–48. doi.org/10.1007/s43465-019-00010-8
Chinn, L., & Hertel, J. (2010). Ukuvuselelwa kwe-ankle kunye nokulimala kweenyawo kubadlali. Iiklinikhi kumayeza ezemidlalo, i-29 (1), i-157-167. doi.org/10.1016/j.csm.2009.09.006
by UGqr Alex Jimenez | I-Hip Pain kunye nokuphazamiseka, Ukulimala kwezemidlalo
Iimbaleki kunye nabantu abakhutheleyo ngokomzimba abathatha inxaxheba kwimisebenzi, ukuzivocavoca, kunye nemidlalo ebandakanya ukukhaba, ukujikeleza, kunye / okanye ukuguqula izikhombisi-ndlela banokuhlakulela ukulimala kwe-pelvis ngokugqithiseleyo kwe-pubic symphysis / i-joint phambi kwe-pelvis eyaziwa ngokuba yi-osteitis pubis. Ngaba ukuqaphela iimpawu kunye nezizathu uncedo kunyango kunye nokuthintela?
I-Osteitis Pubis Ukwenzakala
I-Osteitis pubis kukudumba kwelungu elidibanisa amathambo e-pelvic, okubizwa ngokuba yi-pelvic symphysis, kunye nezakhiwo ezijikelezayo. I-pubic symphysis lilungu eliphambi nangaphantsi kwesinyi. Ibamba amacala amabini e-pelvis kunye ngaphambili. I-pubis symphysis inentshukumo encinci kakhulu, kodwa xa uxinzelelo olungaqhelekanga okanye oluqhubekayo lubekwe kwindawo edibeneyo, i-groin kunye neentlungu ze-pelvic zinokubonakala. Ukulimala kwe-osteitis pubis kukulimala okuqhelekileyo okuxhaphakileyo kubantu abasebenzayo kunye nabadlali kodwa kunokwenzeka ngenxa yokwenzakala ngokomzimba, ukukhulelwa kunye / okanye ukuzala.
iimpawu
Olona phawu luxhaphakileyo ziintlungu kumphambili we-pelvis. Intlungu idla ngokuvakala embindini, kodwa elinye icala linokuba buhlungu ngakumbi kunelinye. Iintlungu zikholisa ukuphuma/zinwenwela ngaphandle. Ezinye iimpawu kunye neempawu ziquka: (UPatrick Gomella, uPatrick Mufarrij. 2017)
- Iintlungu ezisezantsi zesisu kumbindi we-pelvis
- Ukukhawulela
- Ubuthathaka be-Hip kunye / okanye umlenze
- Unzima ukunyuka izitebhisi
- Iintlungu xa uhamba, ubaleka, kunye/okanye utshintsha ulwalathiso
- Ukucofa okanye ukuphuma kwezandi ngokushukuma okanye xa ushukuma umkhomba-ndlela
- Iintlungu xa ulele phantsi ngecala
- Iintlungu xa uthimla okanye ukhohlela
I-Osteitis pubis inokudideka kunye nezinye iingozi, kubandakanywa i-groin strain / groin pull, i-hernia inguinal ngqo, i-neuralgia ye-ilioinguinal, okanye i-pelvic stress fracture.
Izizathu
Ukulimala kwe-osteitis pubis ngokuqhelekileyo kwenzeka xa i-symphysis edibeneyo ibonakaliswe ngokugqithiseleyo, ukuqhubeka, ukunyanzeliswa kolwalathiso kunye nokusetyenziswa ngokugqithiseleyo kwemisipha ye-hip kunye nomlenze. Izizathu ziquka: (UPatrick Gomella, uPatrick Mufarrij. 2017)
- Imidlalo yemidlalo
- Ukusebenzisa
- Ukukhulelwa kunye nokuzalwa komntwana
- Ukwenzakala kwePelvic njengokuwa kakhulu
Ukuqondwa
Ukulimala kufunyenwe ngokusekelwe kuvavanyo lomzimba kunye neemvavanyo zokucinga. Ezinye iimvavanyo zingasetyenziselwa ukulawula ezinye izizathu ezinokwenzeka.
- Uvavanyo lomzimba luya kubandakanya ukuguqulwa kwe-hip ukubeka uxinzelelo kwi-rectus abdominis trunk muscle kunye namaqela e-adductor emathangeni.
- Ubuhlungu ngexesha lokukhwabanisa luphawu oluqhelekileyo lwemeko.
- Abantu ngabanye banokucelwa ukuba bahambe ukuze bajonge izitenxo kwiipatheni zokuhamba okanye babone ukuba iimpawu zenzeka ngeentshukumo ezithile.
- Ii-X-reyi ziya kubonakalisa izitenxo ezidityanisiweyo kunye nesifo sokuqina kwemithambo-luvo/ukujiya kwe-pubic symphysis.
- I-Magnetic resonance imaging - I-MRI inokubonakalisa ukuvutha kwamathambo okuhlangeneyo kunye nokujikelezayo.
- Ezinye iimeko aziyi kubonisa zimpawu zokulimala kwi-X-ray okanye i-MRI.
impatho
Unyango olusebenzayo lunokuthatha iinyanga ezininzi okanye ngaphezulu. Ngenxa yokuba ukudumba kungoyena nobangela weempawu, unyango luya kubandakanya: (UTricia Beatty. 2012)
Ukuphumla
- Ivumela ukudumba okuqatha kuthobe.
- Ngexesha lokubuyisela, ukulala phantsi ngasemva kunokucetyiswa ukunciphisa intlungu.
Izicelo zoMkhenkce kunye noBushushu
- Iipaki zeqhwa zinceda ukunciphisa ukuvuvukala.
- Ubushushu bunceda ukuthomalalisa iintlungu emva kokudumba kokuqala kwehlile.
Ulungiso lwenyama
Anti-ukudumba Amayeza
- I-over-the-counter nonsteroidal anti-inflammatory medication - ii-NSAID ezifana ne-ibuprofen kunye ne-naproxen zinokunciphisa intlungu kunye nokuvutha.
Izixhobo zokuhamba ezincedisayo
- Ukuba iimpawu zinzima, iintonga okanye intonga inokucetyiswa ukunciphisa uxinzelelo i-pelvis.
ICortisone
- Kubekho iinzame zokunyanga imeko ngeenaliti ze-cortisone, kodwa ubungqina obuxhasa ukusetyenziswa kwayo bulinganiselwe kwaye bufuna uphando olongezelelweyo. (U-Alessio Giai Via, et al., 2019)
Prognosis
Nje ukuba ufunyaniswe, i-prognosis yokuchacha ngokupheleleyo ilungile kodwa inokuthatha ixesha. Abanye abantu kunokuthatha iinyanga ezintandathu nangaphezulu ukubuyela kwinqanaba lokwenzakala kwangaphambili, kodwa uninzi lubuyela malunga neenyanga ezintathu. Ukuba unyango olulondolozayo luyasilela ukunika isiqabu emva kweenyanga ezintandathu, utyando lunokucetyiswa. (UMichael Dirkx, uChristopher Vitale. 2023)
Ukulimala kwezemidlalo Ukubuyiswa
Ucaphulo
Gomella, P., & Mufarrij, P. (2017). I-Osteitis pubis: Unobangela onqabileyo weentlungu ze-suprapubic. Uphononongo kwi-urology, i-19 (3), i-156-163. doi.org/10.3909/riu0767
UBeatty T. (2012). I-Osteitis pubis kwiimbaleki. Iingxelo zangoku zamayeza ezemidlalo, i-11 (2), i-96-98. doi.org/10.1249/JSR.0b013e318249c32b
Via, AG, Frizziero, A., Finotti, P., Oliva, F., Randelli, F., & Maffulli, N. (2018). Ukulawulwa kwe-osteitis pubis kubadlali: ukuvuselelwa kunye nokubuyela kuqeqesho - ukuphononongwa kweencwadi zamva nje. Vula ukufikelela kwijenali yamayeza ezemidlalo, 10, 1–10. doi.org/10.2147/OAJSM.S155077
Dirkx M, Vitale C. Osteitis Pubis. [Ihlaziywe 2022 Dec 11]. Ku: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Ifumaneka kwi: www.ncbi.nlm.nih.gov/books/NBK556168/
by UGqr Alex Jimenez | Ukubuyiswa kwabadlali, Ukulimala kwezemidlalo
I-Q okanye i-quadriceps angle yimilinganiselo yobubanzi be-pelvic ekukholelwa ukuba igalelo kumngcipheko wokulimala kwezemidlalo kubadlali basetyhini. Ngaba unyango olungasebenzisi utyando kunye nokuzivocavoca kunceda ukubuyisela ukwenzakala?
I-Quadriceps Q - Ukulimala kwe-Angle
The I-angle ye-Q yi-engile apho i-femur / ithambo lomlenze ophezulu lidibana ne-tibia / ithambo lomlenze ongezantsi. Ilinganiswa ngemigca emibini engenelayo:
- Enye ukusuka kumbindi wepatella / idolo ukuya kumqolo we-iliac ongaphezulu we-pelvis.
- Enye isuka kwi-patella ukuya kwi-tubercle ye-tibial.
- Kwi-avareji i-engile izidanga ezintathu eziphezulu kwabasetyhini kunamadoda.
- Umyinge we-17 degrees kubasetyhini kunye ne-14 degrees yamadoda. (URamada R Khasawneh, et al., 2019)
- Iingcali zonyango lwezemidlalo zidibanise i-pelvis ebanzi kwi-Q-angle enkulu. (URamada R Khasawneh, et al., 2019)
Abasetyhini banomahluko we-biomechanical oquka i-pelvis ebanzi, okwenza kube lula ukuzala. Nangona kunjalo, lo mahluko unokubangela ukulimala kwamadolo xa udlala imidlalo, njengoko i-angle ye-Q eyandisiweyo ivelisa uxinzelelo olungakumbi kwi-joint joint, kunye nokukhokelela ekunyusweni kweenyawo.
Ukulimala
Izinto ezahlukeneyo zinokunyusa umngcipheko wokulimala, kodwa i-angle ye-Q ebanzi idibaniswe nezi meko zilandelayo.
I-Patellofemoral Pain Syndrome
- I-angle ye-Q eyongeziweyo inokubangela ukuba i-quadriceps itsale kwi-kneecap, ukuyisusa kwindawo kwaye ibangele ukulandelwa kwe-patellar engasebenziyo.
- Ngokuhamba kwexesha, oku kunokubangela intlungu emadolweni (ngaphantsi kunye ne-kneecap), kunye nokungalingani kwemisipha.
- I-orthotics yeenyawo kunye nenkxaso ye-arch inokucetyiswa.
- Abanye abaphandi baye bafumana ikhonkco, ngelixa abanye bengayifumananga intlangano efanayo. (Wolf Petersen, et al., 2014)
IChondromalacia yedolo
- Oku kukunxitywa kwe-cartilage ngaphantsi kwe-kneecap.
- Oku kukhokelela ekuhlaziyweni kweendawo ze-articular zamadolo. (Enrico Vaienti, et al., 2017)
- Uphawu oluqhelekileyo lubuhlungu phantsi kunye nokujikeleza i-kneecap.
ACL Ukwenzakala
- Abasetyhini banamazinga aphezulu okulimala kwe-ACL kunamadoda. (Yasuhiro Mtani. 2017)
- I-angle ye-Q eyandisiweyo ingaba yinto eyandisa uxinzelelo kwaye ibangele ukuba idolo lilahlekelwe ukuzinza.
- Nangona kunjalo, oku kuhlala kuyingxabano, njengoko ezinye izifundo zifumene ukuba akukho nxulumano phakathi kwe-Q angle kunye nokulimala kwamadolo.
Unyango lweChiropractic
Ukuqinisa imiSebenzi
- Iiprogram zokuthintela ukulimala kwe-ACL ezenzelwe abafazi ziye zaphumela ekunciphiseni ukulimala. (UTrent Nessler, et al., 2017)
- The vastus medialis obliquus okanye VMO sisihlunu se-teardrop esinceda ukuhambisa idolo kunye nokuzinzisa i-kneecap.
- Ukomeleza i-muscle kunokunyusa ukuzinza kwamadolo.
- Ukuqiniswa kunokufuna ugxininiso oluthile kwi-muscle contraction time.
- Imithambo evaliweyo efana nee-squats eludongeni iyacetyiswa.
- Ukuqiniswa kweGlute kuya kuphucula ukuzinza.
Ukuthoba imithambo
- Ukolula imisipha eqinile kuya kunceda ukukhulula indawo eyonzakeleyo, ukwandisa ukujikeleza, kunye nokubuyisela uluhlu lwentshukumo kunye nomsebenzi.
- Izihlunu ezifunyanwe ziqinile ziquka I-quadriceps, i-hamstrings, i-iliotibial band, kunye ne-gastrocnemius.
IiOthotics zeenyawo
- I-orthotics eyenziwe ngokwezifiso, i-flexible orthotics inciphisa i-angle ye-Q kwaye inciphisa ukubizwa, ukukhulula uxinzelelo olongezelelweyo emadolweni.
- I-orthotic yesiko iqinisekisa ukuba unyawo kunye nomlenze we-dynamics zibalwa kwaye zilungiswe.
- Izihlangu zokulawula ukuhamba zinokunceda ukulungisa ukugqithisa.
Ukuvuselela idolo
Ucaphulo
Khasawneh, RR, Allouh, MZ, & Abu-El-Rub, E. (2019). Umlinganiselo we-quadriceps (Q) i-angle ngokumalunga nemilinganiselo eyahlukeneyo yomzimba kubantu abancinci base-Arab. PloS enye, 14(6), e0218387. doi.org/10.1371/journal.pone.0218387
Petersen, W., Ellermann, A., Gösele-Koppenburg, A., Best, R., Rembitzki, IV, Brüggemann, GP, & Liebau, C. (2014). I-Patellofemoral syndrome yentlungu. Utyando lwamadolo, i-traumatology yezemidlalo, i-arthroscopy: Ijenali esemthethweni ye-ESSKA, i-22 (10), i-2264-2274. doi.org/10.1007/s00167-013-2759-6
Vaienti, E., Scita, G., Ceccarelli, F., & Pogliacomi, F. (2017). Ukuqonda idolo lomntu kunye nobudlelwane bayo nokutshintshwa kwedolo elipheleleyo. I-Acta bio-medica : Atenei Parmensis, 88 (2S), 6-16. doi.org/10.23750/abm.v88i2-S.6507
UMitani Y. (2017). Ukwahluka okunxulumene nesini kukulungelelaniswa kwemilenze engaphantsi, uluhlu lwentshukumo edibeneyo, kunye nesiganeko sokulimala kwezemidlalo kwiimbaleki zaseyunivesithi zaseJapan. Ijenali yeNzululwazi yoNyango lwePhysical, 29 (1), 12-15. doi.org/10.1589/jpts.29.12
Nessler, T., Denney, L., & Sampley, J. (2017). UThintelo lokwenzakala kwe-ACL: UPhando lusixelela ntoni? Uphononongo lwangoku kwiyeza le-musculoskeletal, i-10 (3), i-281-288. doi.org/10.1007/s12178-017-9416-5
