Ukulimala koluhlu
Iqela le-Chiropractic yasemva kokulimala kweKliniki. Ukwenzakala okuntsonkothileyo kwenzeka xa abantu befumana umonzakalo omandundu okanye oyintlekele, okanye iimeko zabo zintsonkothe ngakumbi ngenxa yokwenzakala okuphindaphindiweyo, iziphumo zengqondo, kunye neembali zonyango esele zikhona. Ukulimala okuyinkimbinkimbi kunokulimala kwe-serial yecala eliphezulu, ukuxhwaleka okukhulu kwezicubu ezithambileyo, kunye ne-concomitant (ehamba ngokwemvelo okanye ehambelanayo), ukulimala kwiinqanawa okanye kwi-nerve. Ezi nzakala zihamba ngaphaya kwe-sprain eqhelekileyo kunye noxinzelelo kwaye zifuna inqanaba elinzulu lovavanyo olunokuthi lungabonakali lula.
El Paso, i-TX's Injury specialist, i-chiropractor, uDkt Alexander Jimenez uxoxa ngeendlela zonyango, kunye nokuvuselelwa, ukuqeqeshwa kwemisipha / amandla, ukondla, kunye nokubuyela kwimisebenzi eqhelekileyo yomzimba. Iinkqubo zethu zezendalo kwaye zisebenzisa amandla omzimba ukufezekisa iinjongo ezithile ezilinganisiweyo, kunokwazisa imichiza eyingozi, ukutshintshwa kwehomoni ephikisanayo, utyando olungafunwayo, okanye iziyobisi ezikhobokisayo. Sifuna ukuba uphile ubomi obusebenzayo obuzalisekiswa ngamandla amaninzi, isimo sengqondo esifanelekileyo, ukulala okungcono, kunye neentlungu ezincinci. Injongo yethu kukuxhobisa izigulana zethu ekugqibeleni ukuba zigcine eyona ndlela isempilweni yokuphila.
by UGqr Alex Jimenez | Unyango lwe-Acupuncture, Ubuhlungu obungapheliyo, Ukulimala koluhlu, Unyango, I-Viscerosomatic Reflex
Ngaba abantu abajongene neentlungu zemisipha banokufumana isiqabu kunyango lwe-acupuncture ukuze babuyele kwimisebenzi yabo yemihla ngemihla kunye nokuba sempilweni?
intshayelelo
Abantu abaninzi kwihlabathi jikelele baye bajongana neentlungu kwinkqubo yabo ye-musculoskeletal eye yachaphazela imisebenzi yabo yemihla ngemihla. Ezinye zezona zinto zixhaphakileyo abantu baye bafumana iintlungu zokuqaqamba kwezihlunu ziquka indlela yokuphila yokungaphumli ukusuka ekusebenzeni emsebenzini wedesika okanye iimfuno zomzimba ezivela kwindlela yokuphila esebenzayo. Izihlunu, ii-tendon, ii-ligaments, kunye ne-soft tissues zinokolulwa kwaye zisebenze kakhulu, zibangele ukuba izihlunu zibe buthathaka. Ngexesha elifanayo, imiba ye-visceral ye-somatic entanyeni, emagxeni, nasemva inokuchaphazela iindawo eziphezulu kunye nezisezantsi, ezikhokelela kubomi bokukhubazeka. Izinto ezininzi ezinokuthi zibe negalelo ekuphuhlisweni kweentlungu ze-muscle zinokuchaphazela inkqubo yomntu kwaye zibangele ukuba bafumane iindlela ezahlukeneyo zokunciphisa intlungu yemisipha emizimbeni yabo. Kuba iintlungu zezihlunu zinokuba bukhali okanye zingapheli, abantu abaninzi abafuna unyango kwizigulo zabo banokujonga kunyango olungalulo utyando olufana ne-acupuncture ukuba lunganciphisi nje iintlungu zezihlunu kodwa bafumane isiqabu abalufunayo. Inqaku lanamhlanje ligxile kwindlela iintlungu zemisipha ezinokuchaphazela ngayo impilo-ntle yomntu, indlela undoqo we-acupuncture onokuba luncedo ngayo kwiintlungu zemisipha, kunye nendlela abantu abanokudibanisa ngayo unyango lwe-acupuncture njengenxalenye yendlela yokuphila kakuhle. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya indlela intlungu yemisipha inokuchaphazela ngayo impilo yomntu. Siyazisa kwaye sikhokela izigulane malunga nendlela unyango lwe-acupuncture olunokuthi luzuze ngayo umzimba ngokunciphisa iziphumo zentlungu yemisipha. Sikhuthaza abaguli bethu ukuba babuze ababoneleli bezonyango abanxulumene nabo imibuzo entsonkothileyo kunye nebalulekileyo malunga nokubandakanya unyango lwe-acupuncture kwi-wellness routine ukunciphisa intlungu ye-muscle kunye neempawu zayo ezithunyelwe. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli.
Indlela Intlungu Yemisipha Enokuchaphazela Ngayo Intlalontle Yomntu
Ngaba uziva imiphumo yokukhathala kunye nobuthathaka kwimisipha yakho ephezulu nangaphantsi? Ngaba ukhe weva ubuhlungu obuqhelekileyo okanye amahlaba entanyeni yakho, emagxeni, okanye emqolo? Okanye ngaba ukujija kunye nokuguqula umzimba wakho kubangela ukukhululeka okwethutyana emzimbeni wakho, kuphela ukuba ube mandundu imini yonke? Xa kuziwa kwintlungu ye-muscle ingaba yimeko yezinto ezininzi apho oko kunokubandakanya ukusebenzisana okuyinkimbinkimbi kwisakhiwo somntu, umzimba, intlalontle, indlela yokuphila, kunye nempilo ye-comorbid enokuthi idlale njengezinto ezibangela ukuba abantu bafumane intlungu yexesha elide. kunye nokukhubazeka. (Caneiro et al., 2021) Njengoko abantu abaninzi beqala ukwenza ukunyakaza okuphindaphindiweyo okanye ukuhlala kwiindawo zokulala, iintlungu zemisipha zinokukhula xa zisolula okanye zizama ukuhambisa izihlunu zabo ngelixa besenza imisebenzi yabo. Umthwalo weentlungu ze-muscle uhlala uhambelana nezinto zentlalo zoqoqosho ezinokubangela ukuba abantu abaninzi, abancinci nabadala, banciphise kakhulu ukuhamba kwabo kunye nokuzibandakanya kwindlela yabo yesiqhelo, ebeka phambili imingcipheko eyongeziweyo kwezinye iimeko ezingapheliyo abanokuba nazo. (Dzakpasu et al., 2021)
Xa abantu abaninzi bejongene neentlungu zemisipha ngendlela ebuhlungu okanye engapheliyo, abaninzi abaqondi ukuba xa izihlunu ezichaphazelekayo kwi-quadrants yomzimba ophezulu kunye nezantsi zijongene nentlungu, kukho intlungu ehambelanayo kunye nokuqina kwindlela esebenzayo okanye engasebenzi ngayo. Izihlunu zinokuchaphazela izicubu ezithambileyo ezibangela uxinzelelo oluphezulu lomatshini ukuya kuchaphazela amalunga amathambo. (UWilke & Behringer, ngo-2021) Xa oku kwenzeka, abantu abaninzi baya kuqala ukufumana intlungu echazwe kwi-muscle emizimbeni yabo, ebangela imiba ngokuhamba kwabo, ukuguquguquka, kunye nokuzinza. Ngokuzenzekelayo, intlungu ye-muscle ingaba ngumqondiso wabantu abaninzi abaneentlungu ezahlukeneyo emizimbeni yabo eye yachaphazela ubomi babo ngaphambili; ukufuna unyango kunokunciphisa imiphumo yeentlungu ze-muscle kwaye ubancede babuyisele indlela yabo yokuphila ubomi obunempilo.
Amayeza okunyakaza-Ividiyo
Undoqo we-acupuncture yeentlungu zemisipha
Xa abantu abaninzi bejongene neentlungu zemisipha, bafuna unyango olungafikelelekiyo kuphela kodwa lunokusebenza ekunciphiseni iiprofayili zomngcipheko ezigqithisayo ezichaphazela umzimba, ezibangela iintlungu zemisipha. Unyango oluninzi olufana nokhathalelo lwe-chiropractic, i-decompression, kunye nonyango lwe-massage alukho utyando kwaye lusebenza ngeeseshoni ezilandelelanayo. Olunye lolona nyango ludala nolusebenzayo olunokunceda ukunciphisa intlungu yemisipha emzimbeni lunyango lwe-acupuncture. I-acupuncture lunyango olupheleleyo oluphuma kwiTraditional Chinese Medicine esebenzisa iinaliti ezincinci, eziqinileyo, ezibhityileyo ezifakwe ngoochwephesha abachwepheshile kwii-acupoints ezahlukeneyo. Eyona filosofi iphambili yeyokuba i-acupuncture ibonelela ngesiqabu emzimbeni njengoko inceda ekuphuculeni ukuhamba kwamandla omzimba ngelixa igcina impilo yomntu wonke kunye namandla. (Zhang et al., 2022) Xa umntu ejongene nentlungu ye-muscle, i-muscle fibers inokuphuhlisa amaqhuqhuva amancinci aziwa ngokuba ngamanqaku okubangela angabangela intlungu kwi-quadrants ye-muscle echaphazelekayo. Ngenaliti ze-acupuncture ezibekwe kwindawo echaphazelekayo, iintlungu zengingqi kunye neentlungu ezigqithisiweyo ziyancitshiswa, ukuhamba kwegazi kwe-muscle kunye ne-oksijini ibuyiselwa emzimbeni, kwaye uluhlu lwe-muscle lwe-motion luphuculwe. (Pourahmadi et al., 2019) Ezinye zezibonelelo ezibonelelwa ngonyango lwe-acupuncture ziquka:
- Ukunyuka kokujikeleza
- Ukunciphisa ukudumba
- Ukukhutshwa kwe-Endorphin
- Ukukhululeka koxinzelelo lwemisipha
Ukudibanisa i-acupuncture njengenxalenye yeNkqubo yeMpilo
Abantu abaninzi abafuna unyango lwe-acupuncture njengenxalenye yohambo lwabo lokuphila kakuhle banokubona izibonelelo ezilungileyo ze-acupuncture kwaye banokuludibanisa nolunye unyango ukunciphisa amathuba okubuya kweentlungu zemisipha. Ngelixa i-acupuncture inokunceda ukuvuselela imithambo-luvo kunye nokubuyisela ukusebenza kwemoto, unyango olufana nokuhlanganiswa ngokubambisana lunokunceda ukolula izihlunu kunye namalungu achaphazelekayo ukuphucula uluhlu lokunyakaza komzimba. (ULee et al., 2023) Ngabantu abaninzi abafuna unyango lwe-acupuncture ukunciphisa intlungu ye-muscle, abaninzi banokwenza utshintsho oluncinci kwindlela yabo yokuthintela intlungu ekubangeleni iiprofayili ezinobungozi ezigqithisekileyo emizimbeni yabo. Xa ulungisa iingcambu zentlungu kunye nokukhuthaza amandla okuphilisa emzimbeni, i-acupuncture inokunceda ukubuyisela ibhalansi, ukunciphisa ukungonwabi, kunye nokuphucula impilo-ntle jikelele.
Ucaphulo
Caneiro, JP, Bunzli, S., & O'Sullivan, P. (2021). Iinkolelo malunga nomzimba kunye neentlungu: indima ebalulekileyo kulawulo lweentlungu ze-musculoskeletal. Braz J Phys Ther, 25(1), 17-29. doi.org/10.1016/j.bjpt.2020.06.003
Dzakpasu, FQS, Carver, A., Brakenridge, CJ, Cicuttini, F., Urquhart, DM, Owen, N., & Dunstan, DW (2021). Intlungu ye-musculoskelet kunye nokuziphatha kokuhlala kwindawo yokusebenza kunye neendawo ezingekho phantsi komsebenzi: ukuphononongwa ngokuchanekileyo kunye nohlalutyo lwe-meta. Int J Behav Nutr Phys Act, 18(1), 159. doi.org/10.1186/s12966-021-01191-y
Lee, JE, Akimoto, T., Chang, J., & Lee, HS (2023). Iziphumo zokuhlanganiswa ngokubambisana kunye ne-acupuncture kwiintlungu, umsebenzi womzimba, kunye nokudandatheka kwizigulane ze-stroke ezinentlungu engapheliyo ye-neuropathic: Ulingo olulawulwa ngokungahleliwe. I-PLOS ONE, 18(8), e0281968. doi.org/10.1371/journal.pone.0281968
Pourahmadi, M., Mohseni-Bandpei, MA, Keshtkar, A., Koes, BW, Fernandez-de-Las-Penas, C., Dommerholt, J., & Bahramian, M. (2019). Ukusebenza kwesidingo esomileyo sokuphucula intlungu kunye nokukhubazeka kubantu abadala abane-tension-type, i-cervicogenic, okanye i-headaches ye-migraine: iprotocol yokuhlaziywa okucwangcisiweyo. Unyango lweChiropr lomntu, 27, 43. doi.org/10.1186/s12998-019-0266-7
Wilke, J., & Behringer, M. (2021). Ngaba “Ukulibaziseka Ukuqala Ukuqaqamba Kwezihlunu” Ngumhlobo Wobuxoki? Impembelelo enokwenzeka yeFascial Connective Tissue kwi-Post-Exercise Discomfort. Int J Mol Sci, 22(17). doi.org/10.3390/ijms22179482
Zhang, B., Shi, H., Cao, S., Xie, L., Ren, P., Wang, J., & Shi, B. (2022). Ukutyhila umlingo we-acupuncture esekwe kwiindlela zebhayoloji: Uphononongo loncwadi. Iimpawu zeBiosci, 16(1), 73-90. doi.org/10.5582/bst.2022.01039
isikhanyeli
by UGqr Alex Jimenez | Ukulimala koluhlu, Sciatica
Ngaba iiprothokholi zonyango zonyango ezijolise ekuphuculeni uluhlu lwentshukumo kunye nokuguquguquka kwi-hip kunye nokunciphisa ukuvuvukala okujikeleze i-nerve ye-sciatic kunokunceda abantu abafumana intlungu enzulu ye-buttock okanye i-piriformis syndrome?
Iintlungu eziNgqondo ezinzulu
- Isifo sePiriformis, ak. iintlungu ezinzulu zempundu, zichazwa njengokucaphuka kwe-nerve ye-sciatic ukusuka kwi-piriformis muscle.
- I-piriformis sisihlunu esincinci emva kwe-hip joint kwi-buttocks.
- Imalunga nesentimitha enye ububanzi kwaye isebenza kumjikelo wangaphandle we-hip joint okanye ukujikela ngaphandle.
- Imisipha ye-piriformis kunye ne-tendon isondele kwi-nerve ye-sciatic, enika iindawo ezisezantsi kunye nemisebenzi yemoto kunye neemvakalelo.
- Ngokuxhomekeke kukwahluka komntu kwi-anatomic ye-muscle kunye ne-tendon:
- Ezi zimbini ziwela, ngaphantsi, okanye enye kwenye emva kwe-hip joint kwi-buttock enzulu.
- Olu lwalamano lucatshangelwa ukuba luyacaphukisa i-nerve, ekhokelela kwiimpawu ze-sciatica.
Piriformis Syndrome
- Xa ufunyaniswa ukuba une-piriformis syndrome, kucingelwa ukuba i-muscle kunye ne-tendon ibophelela kunye / okanye i-spasm ejikeleze i-nerve, ebangela ukucaphuka kunye neempawu zentlungu.
- Ithiyori exhaswayo kukuba xa i-piriformis muscle kunye ne-tendon yayo iqina, i-nerve ye-sciatic iyaxinzelelwa okanye igxininiswe. Oku kunciphisa ukujikeleza kwegazi kwaye kucaphukisa i-nerve evela kuxinzelelo. (Shane P. Cass 2015)
iimpawu
Iimpawu eziqhelekileyo kunye neempawu ziquka: (Shane P. Cass 2015)
- Ubumnene ngoxinzelelo kwimisipha ye-piriformis.
- Ukungakhululeki emva kwethanga.
- Iintlungu ezinzulu zempundu emva kwesinqe.
- Ukuvakalelwa kombane, ukothuka, kunye neentlungu zihamba phantsi ngasemva kwendawo engezantsi.
- Ubundisholo kumda ongezantsi.
- Abanye abantu baba neempawu ngequbuliso, ngelixa abanye bekhula kancinci.
Ukuqondwa
- Oogqirha baya kuodola i-X-rays, i-MRIs, kunye nezifundo zokuqhuba i-nerve, okuqhelekileyo.
- Ngenxa yokuba i-piriformis syndrome ingaba ngumngeni ukuxilonga, abanye abantu abaneentlungu ezincinci ze-hip banokufumana ukuxilongwa kwe-piriformis syndrome nokuba abanayo imeko. (Shane P. Cass 2015)
- Ngamanye amaxesha kuthiwa yintlungu enzulu yempundu. Ezinye izizathu zolu hlobo lweentlungu ziquka umva kunye neengxaki zomqolo ezifana:
- Iidiski zeHerniated
- I stenosis
- I-Radiculopathy - i-sciatica
- I-Hip bursitis
- Ukuxilongwa kwe-piriformis syndrome ngokuqhelekileyo kunikwa xa ezi ezinye izizathu zipheliswa.
- Xa ukuxilongwa kungaqinisekanga, i-injection ilawulwa kwindawo ye-piriformis muscle. (UDanilo Jankovic et al., 2013)
- Amayeza ahlukeneyo angasetyenziswa, kodwa i-injection ngokwayo isetyenziselwa ukukunceda ukuchonga indawo ethile yokukhathazeka.
- Xa i-injection inikezelwa kwi-piriformis muscle okanye i-tendon, isoloko ilawulwa yi-ultrasound guided ukuqinisekisa ukuba inaliti ihambisa iyeza kwindawo echanekileyo. (Elizabeth A. Bardowski, JW Thomas Byrd 2019)
impatho
Unyango oluqhelekileyo lubandakanya oku kulandelayo. (UDanilo Jankovic et al., 2013)
Ukuphumla
- Ukuphepha imisebenzi ebangela iimpawu ubuncinane kwiiveki ezimbalwa.
Ulungiso lwenyama
- Gxininisa ukunweba kunye nokomeleza imisipha ye-hip rotator.
Ukuthotywa kwe-Non-Utyando
- Ukutsala ngobunono umqolo ukukhulula naluphi na uxinzelelo, ukuvumela ukubuyisela amanzi kunye nokujikeleza kunye nokuthatha uxinzelelo kwi-nerve ye-sciatic.
UbuChwephesha bokuMasa boNyango
- Ukuphumla kunye nokukhulula uxinzelelo lwemisipha kunye nokwandisa ukujikeleza.
Ukwenza i-Acupuncture
- Ukunceda ukuphumla i imisipha ye-piriformis, i-nerve ye-sciatic, kunye nommandla ojikelezileyo.
- Khulula iintlungu.
Ulungiso lweChiropractic
- Uhlengahlengiso lulungelelanisa umqolo kunye nenkqubo ye-musculoskeletal ukunciphisa intlungu.
Imithi echasayo
- Ukunciphisa ukuvuvukala kwi-tendon.
Izitofu zeCortisone
- Iinaliti zisetyenziselwa ukunciphisa ukudumba kunye nokudumba.
Isitofu seToxin yeBotulinum
- Izitofu zetyhefu ye-botulinum zikhubaza isihlunu ukuze kuthomalaliswe iintlungu.
Ukuhlinzwa
- Utyando lunokwenziwa kwiimeko ezinqabileyo ukukhulula i-piriformis tendon, eyaziwa ngokuba yi-piriformis release. (Shane P. Cass 2015)
- Utyando licebo lokugqibela xa unyango olulondolozayo luye lwazanywa ubuncinane iinyanga ezi-6 kungekho ncedo luncinci.
- Ukuchacha kunokuthatha iinyanga ezininzi.
Izizathu ze-Sciatica kunye noNyango
Ucaphulo
I-Cass SP (2015). I-Piriformis syndrome: imbangela ye-nondiscogenic sciatica. Iingxelo zangoku zamayeza ezemidlalo, 14(1), 41–44. doi.org/10.1249/JSR.0000000000000110
UJankovic, D., Peng, P., & van Zundert, A. (2013). Uphononongo olufutshane: i-piriformis syndrome: i-etiology, ukuxilongwa, kunye nokulawula. Ijenali yaseKhanada ye-anesthesia = Ijenali canadien d'anesthesie, 60(10), 1003–1012. doi.org/10.1007/s12630-013-0009-5
Bardowski, EA, & Byrd, JWT (2019). I-Piriformis Injection: I-Ultrasound-Guided Technique. Ubuchule be-arthroscopy, i-8 (12), e1457-e1461. doi.org/10.1016/j.eats.2019.07.033
by UGqr Alex Jimenez | Ukulimala koluhlu, Ukunyamekela
Ukulimala kwedolo kunokubonakala kubantu abakhutheleyo ngokomzimba abaphakamisa iintsimbi. Ngaba ukuqonda iintlobo zokulimala kwamadolo kunceda ekuthinteleni?
Ukunyuswa kweWeightlifting Ukwenzakala emadolweni
Ukuqeqeshwa kwesisindo kukhuselekile kakhulu emadolweni njengoko ukuqeqeshwa kwesisindo rhoqo kunokuphucula amandla emadolweni kwaye kuthintele ukulimala nje ngokuba kulandelwa ifom echanekileyo. Kubantu abonzakele ngamadolo kweminye imisebenzi, ukuzilolonga okungalunganga koqeqesho lobunzima kunokuwenza mandundu ukwenzakala. (Ulrika Aasa et al., 2017) Kwakhona, ukunyakaza okujija ngokukhawuleza, ukulungelelaniswa okungahambi kakuhle, kunye nokulimala kwangaphambili kunokunyusa umngcipheko wokunyuka okanye ukudala ukulimala okungaphezulu. (UHagen Hartmann et al, 2013) Umzimba kunye namadolo enzelwe ukuxhasa amandla amileyo kumalungu.
Ukulimala Okuqhelekileyo
Ukulimala kwamadolo okunciphisa ubunzima kwenzeka njengoko amadolo ahlangene anyamezela uluhlu olubanzi loxinzelelo kunye noxinzelelo. Ekuqeqesheni ubunzima, i-ligaments enamathele kwinkqubo yamathambo eyinkimbinkimbi yedolo edibeneyo ingonakaliswa ngokunyakaza okungalunganga, ukugqithisa ubunzima, kunye nokwandisa ubunzima ngokukhawuleza. Ezi nzakala zingabangela intlungu, ukuvuvukala, kunye nokungahambi kakuhle okunokuthi kuhambe ukusuka kumncinci ukuya kubunzima, ukusuka kwi-sprain okanye ukukrazula okuncinci ukuya kwiinyembezi ezipheleleyo kwiimeko ezinzulu.
I-Anterior Cruciate Ligament - i-ACL - Ukulimala
Le ligament ifaka ithambo le-femur yethanga kwi-shin bone / i-tibia yomlenze ongezantsi kwaye ilawula ukujikeleza ngokugqithiseleyo okanye ukwandiswa kwedolo elihlangeneyo. (IAkhademi yaseMelika yooGqirha beSapho. 2024)
- Umphambili uthetha ngaphambili.
- Ukulimala kwe-ACL kubonakala kakhulu kwiimbaleki kodwa kunokwenzeka nakubani na.
- Umonakalo omkhulu kwi-ACL ngokuqhelekileyo uthetha ukwakhiwa ngokutsha kotyando kunye ukuya kwiinyanga ezili-12 zokubuyisela.
- Xa uphakamisa ubunzima, zama ukuphepha ukuguqula ukunyakaza kwamadolo, ngenjongo okanye ngengozi, phantsi komthwalo ogqithisileyo.
I-Posterior Cruciate Ligament - PCL - Ukwenzakala
- I-PCL idibanisa i-femur kunye ne-tibia kwiindawo ezahlukeneyo kwi-ACL.
- Ilawula nayiphi na intshukumo engasemva ye-tibia kwindawo edibeneyo.
- Ukulimala kwenzeka kakhulu ngempembelelo ephezulu ngenxa yeengozi kwaye ngamanye amaxesha kwimisebenzi apho ukuxhatshazwa okunamandla emadolweni kwenzeka.
I-Meral Collateral Ligament - i-MCL - Ukwenzakala
- Le ligament igcina idolo ekugobeni kakhulu ukuya ngaphakathi / ngaphakathi.
- Ukulimala kakhulu kwenzeka kwimpembelelo ukuya ngaphandle kwedolo okanye ukusuka kumandla obunzima bomzimba ngengozi emlenzeni ogoba kwi-angle engaqhelekanga.
I-Lateral Collateral Ligament - LCL - Ukwenzakala
- Le ligament idibanisa ithambo elincinci lomlenze ophantsi / i-fibula kwi-femur.
- Ichasene ne-MCL.
- Igcina intshukumo yangaphandle egqithisileyo.
- Ukulimala kwe-LCL kwenzeka xa amandla etyhala idolo ngaphandle.
Ukwenzakala kweNqwela
- ICartilage ikhusela amathambo ukuba angakhuhlani kunye kwaye i-cushions ichaphazela amandla.
- I-Knee menisci yi-cartilage edibanisa amadolo ngaphakathi nangaphandle.
- Ezinye iintlobo ze-cartilage zikhusela ithanga kunye namathambo e-shin.
- Xa intlala ikrazuka okanye yonakele, kusenokufuneka utyando.
Tendonitis
- I-tendon ye-knee e-aggravated kunye ne-overuseed ingakhokelela ekulimazeni kwamadolo.
- Ukulimala okuhambelanayo okubizwa ngokuba yi-iliotibial band syndrome / i-ITB ibangela intlungu ngaphandle kwedolo, ngokuqhelekileyo kubagijimi, kodwa inokuthi yenzeke ngokugqithisileyo.
- Ukuphumla, ukolula, unyango lomzimba, kunye neyeza lokuchasa ukudumba sisicwangciso sonyango esiqhelekileyo.
- Umntu ngamnye kufuneka adibane nonyango lomzimba ngeentlungu ezihlala ixesha elide kuneeveki ezimbini. (USimeon Mellinger, uGrace Anne Neurohr 2019)
Osteoarthritis
- Njengoko umzimba uguga, ukunxiba okuqhelekileyo kunye nokukrazula kunokubangela uphuhliso osteoarthritis kwamalungu amadolo. (UJeffrey B. Driban et al., 2017)
- Le meko ibangela ukuba i-cartilage ibe nzima kwaye amathambo adibanise kunye, okubangela intlungu kunye nokuqina.
uthintelo
- Abantu ngabanye banokunciphisa umngcipheko wokulimala kwamadolo kunye neentlungu ngokulandela iingcebiso zogqirha kunye nabaqeqeshi bomntu.
- Abantu abanokulimala edolweni ekhoyo kufuneka balandele iingcebiso zabo zogqirha okanye i-physical therapist.
- Umkhono wamadolo unokugcina izihlunu kunye namalungu ekhuselekile, ukubonelela ngokhuseleko kunye nenkxaso.
- Ukolula umlenze kunye nemisipha yamadolo kunokugcina ukuguquguquka okuhlangeneyo.
- Ziphephe iintshukumo ezisecaleni ngesiquphe.
- Iingcebiso ezinokuthi zibandakanye:
Ukuphepha Imithambo ethile
- Ukuzivocavoca okuzimeleyo njengama-curls emilenze, ukuma, okanye kwibhentshi, kunye nokusebenzisa umatshini wokwandisa umlenze, unokugxininisa idolo.
Uqeqesho lwe-Squat olunzulu
Uphando lubonisa ukuba i-squat enzulu inokukhusela ukulimala komlenze ophantsi ukuba idolo liphilile. Nangona kunjalo, oku kwenzeka xa kusenziwa ngobuchule obufanelekileyo, phantsi kweliso leengcali, kunye nomthwalo oqhubekayo ngokuthe ngcembe. (UHagen Hartmann et al, 2013)
Abantu ngabanye kufuneka bathethe nogqirha wabo ngaphambi kokuba baqalise indlela entsha yokwenza umthambo. Umqeqeshi wobuqu unokubonelela ngoqeqesho ekufundeni ubuchule obufanelekileyo kunye nefom yokunyusa ubunzima.
Ndikrazule njani i-ACL yam iCandelo 2
Ucaphulo
Aasa, U., Svartholm, I., Andersson, F., & Berglund, L. (2017). Ukulimala phakathi kwee-weightlifters kunye ne-powerlifters: ukuphononongwa okucwangcisiweyo. Ijenali yaseBrithani yonyango lwezemidlalo, 51 (4), 211-219. doi.org/10.1136/bjsports-2016-096037
Hartmann, H., Wirth, K., & Klusemann, M. (2013). Uhlalutyo lomthwalo emadolweni adibeneyo kunye nekholomu ye-vertebral kunye neenguqu kwi-squatting deep and weight load. Iyeza lezemidlalo (Auckland, NZ), 43 (10), 993-1008. doi.org/10.1007/s40279-013-0073-6
IAkhademi yaseMelika yooGqirha beSapho. Ukulimala kwe-ACL. (2024). Ukulimala kwe-ACL (Izifo kunye neMiqathango, Umba. familydoctor.org/condition/acl-injuries/
Mellinger, S., & Neurohr, GA (2019). Iinketho zonyango ezisekelwe kubungqina bokulimala kwamadolo aqhelekileyo kubagijimi. I-Annals yeyeza lokuguqulela, 7 (Suppl 7), S249. doi.org/10.21037/atm.2019.04.08
Driban, JB, Hootman, JM, Sitler, MR, Harris, KP, & Cattano, NM (2017). Ngaba iNtatho-nxaxheba kwiMidlalo ethile eNxulunyaniswe ne-Knee Osteoarthritis? Uphononongo olucwangcisiweyo. Ijenali yoqeqesho lweembaleki, i-52 (6), i-497-506. doi.org/10.4085/1062-6050-50.2.08
by UGqr Alex Jimenez | Ukulimala koluhlu, Iimeko eziPhathwayo
Abantu abenza umthambo onzima banokuphuhlisa ubushushu obuvela ekuzibhokoxeni. Ngaba ukwazi oonobangela kunye neempawu kunokunceda ukukhusela iziqendu ezizayo ukuba zenzeke?
Ukutshisa iiCramps
Ubushushu bobushushu bunokukhula ngexesha lokuzilolonga ngokugqithisileyo okanye ukuvezwa ixesha elide kumaqondo obushushu aphezulu. I-cramps ye-muscle, i-spasms, kunye neentlungu zinokusuka kwi-mild to serious.
IiCramps ze-Muscle kunye nokuphelelwa ngamanzi emzimbeni
Ubushushu buhlala bukhula ngenxa yokuphelelwa ngamanzi emzimbeni kunye nokulahleka kwe-electrolyte. (Robert Gauer, Bryce K. Meyers 2019) Iimpawu ziquka:
I-electrolytes efana ne-sodium, i-calcium, kunye ne-magnesium zibalulekile ekusebenzeni ngokufanelekileyo kwemisipha, kuquka intliziyo. Indima ephambili yokubila kukulawula ubushushu bomzimba. (MedlinePlus. 2015) Ukubila kakhulu ngamanzi, i-electrolytes, kunye nesodium. Ukujuluka okugqithisileyo kokusebenza ngokomzimba kunye nokuzibhokoxa okanye indawo eshushu kunokubangela ukungalingani kwe-electrolyte ekhokelela kwi-cramps, i-spasms kunye nezinye iimpawu.
Iimbangela kunye neMisebenzi
Ubushushu bobushushu budla ngokuchaphazela abantu ababila kakhulu ngexesha lomsebenzi onzima okanye bachanabeke kumaqondo obushushu ixesha elide. Umzimba kunye namalungu kufuneka uphole, nto leyo ebangela ukuveliswa kokubila. Nangona kunjalo, ukubila kakhulu kunokukhokelela ekuphelelweni kwamanzi kunye nokuncipha kwe-electrolyte. (Amaziko oLawulo noThintelo lweZifo. 2022)
Izinto zobungozi
Izinto ezinokonyusa umngcipheko wokukhula kobushushu zibandakanya: (Robert Gauer, Bryce K. Meyers 2019)
- Ubudala - Abantwana kunye nabantu abadala abaneminyaka engama-65 nangaphezulu banomngcipheko omkhulu.
- Ukufunga kakhulu.
- Ukutya okuphantsi kwesodium.
- Iimeko zonyango ezikhoyo - isifo senhliziyo, isifo seswekile, kunye nokukhuluphala ziimeko ezinokunyusa umngcipheko wokunyuka kwemisipha.
- Amayeza - uxinzelelo lwegazi, i-diuretics, kunye ne-antidepressants inokuchaphazela ibhalansi ye-electrolyte kunye ne-hydration.
- Ukusela utywala.
Ukuzikhathalela
Ukuba ubushushu buqala, khawuyeke ngokukhawuleza umsebenzi kwaye ujonge indawo epholileyo. Hlaziya kwakhona umzimba ukuze uzalise ulwelo olulahlekileyo. Ukuhlala u-hydrated kunye nokusela ulwelo rhoqo ngexesha lomsebenzi onzima okanye kwindawo eshushu kunokunceda ukukhusela umzimba ukuba ungagxili. imizekelo yeziselo ezonyusa i-electrolytes ibandakanya:
Ukusebenzisa ngokucokisekileyo uxinzelelo kunye nokuphulula izihlunu ezichaphazelekayo kunokunceda ukunciphisa iintlungu kunye ne-spasms. Njengoko iimpawu ziphela, kuyacetyiswa ukuba ungabuyeli kumsebenzi onzima kwakamsinyane kuba ukwenza umthambo okongezelelekileyo kunokukhokelela kwistroke okanye ukudinwa bubushushu. (Amaziko oLawulo noThintelo lweZifo. 2021) Ubushushu kunye nokudinwa kobushushu zizifo ezibini ezinxulumene nobushushu. (Amaziko oLawulo noThintelo lweZifo. 2022)
- Ukubethwa bubushushu kuxa umzimba uphulukene namandla okulawula ubushushu kwaye kunokubangela ubushushu obuphezulu obuyingozi.
- Ukudinwa kobushushu yimpendulo yomzimba kulwelo olugqithisileyo kunye nokulahleka kwe-electrolyte.
Iimpawu zexesha
Ixesha kunye nobude bokutshisa ukushisa kunokugqiba ukuba ngaba unyango luyimfuneko. (Amaziko oLawulo noThintelo lweZifo. 2022)
Ngexesha okanye emva kweMisebenzi
- Uninzi lweekhrampu zobushushu zikhula ngexesha lemisebenzi ngenxa yomgudu kunye nokubila, nto leyo ebangela ukuba kulahleke ii-electrolyte ezininzi kwaye umzimba uphelelwe ngamanzi.
- Iimpawu zinokukhula imizuzu ukuya kwiiyure emva kokuba umsebenzi uphelile.
ubude bexesha
- Uninzi lwee-cramps ezinxulumene nobushushu ziya kusombulula ngokuphumla kunye ne-hydration ngaphakathi kwe-30-60 imizuzu.
- Ukuba ukuqaqanjelwa kwezihlunu okanye ukukruneka akupheli kwiyure enye, funa uncedo lukagqirha.
- Kubantu abaneemeko zentliziyo okanye kwi-low-sodium diet abahlakulela ukutshisa ukushisa, kungakhathaliseki ukuba ixesha elide, uncedo lwezonyango luyimfuneko ukuze kuqinisekiswe ukuba akukho zingxaki.
uthintelo
Iingcebiso zokuthintela ubushushu zincinci zibandakanya: (Amaziko oLawulo noThintelo lweZifo. 2022)
- Sela iziselo ezininzi phambi naxa usenza umsebenzi womzimba.
- Kuphephe utywala kunye neziselo ezinecaffeine.
- Kuphephe ukwenza imithambo okanye ukuchanabeka kubushushu obugqithisileyo ngexesha lokukhanya kwelanga.
- Ziphephe iimpahla eziqinileyo nezinombala omnyama.
Ukuvavanya izigulane kwiSetting Chiropractic
Ucaphulo
Gauer, R., & Meyers, BK (2019). Izigulo ezinxulumene nobushushu. Ugqirha wosapho waseMelika, 99 (8), 482-489.
Amaziko oLawulo noThintelo lweZifo. (2022). Uxinzelelo lobushushu - ukugula okuhambelana nobushushu. Iziko leSizwe loKhuseleko lwezeMisebenzi kunye neMpilo (NIOSH) lifunyenwe www.cdc.gov/niosh/topics/heattress/heatrelillness.html#cramps
MedlinePlus. (2015). Ukubila. Ifunyenwe kwi medlineplus.gov/sweat.html#cat_47
FoodData Central. (2019). Amandongomane, amanzi ekhokhonathi (ulwelo olusuka kwikhokhonathi). Ifunyenwe kwi fdc.nal.usda.gov/fdc-app.html#/food-details/170174/nutrients
FoodData Central. (2019). Ubisi, i-nonfat, i-fluid, kunye ne-vitamin A eyongeziweyo kunye ne-vitamin D (amafutha okanye i-skim). Ifunyenwe kwi fdc.nal.usda.gov/fdc-app.html#/food-details/746776/nutrients
Amaziko oLawulo noThintelo lweZifo. (2012). Imibuzo ebuzwa rhoqo (FAQ) malunga nobushushu obugqithisileyo. Ifunyenwe kwi www.cdc.gov/disasters/extremeheat/faq.html
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
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 | Ukulimala koluhlu, I-Hip Pain kunye nokuphazamiseka
Abantu abakhathazwa yinyonga, ithanga, kunye/okanye iintlungu zethanga banokuba nengxaki ye-iliopsoas syndrome. Ngaba ukwazi iimpawu noonobangela kunokunceda ekuxinweni nasekunyangweni?
I-Iliopsoas Syndrome
I-Iliopsoas syndrome ibandakanya iimeko ezininzi ezichaphazela i-hip muscle yangaphakathi kwaye ingabangela intlungu ye-hip kunye nethanga. Isihlunu sinceda ukugobela umlenze ukuya emzimbeni.
- Imeko idla ngokubangelwa kukulimala ngokugqithisileyo kwaye ichaphazela ngokuqhelekileyo abantu abenza ukunyakaza kwe-hip ngokuphindaphindiweyo, njengabahamba ngebhayisikili, abavocavoca, abadanisi, abagijimi kunye nabadlali bebhola. (ULiran Lifshitz, et al., 2020)
- Eli gama lihlala lisetyenziswa ngokungafaniyo kunye ne-psoas syndrome, iliopsoas tendonitis, i-snapping hip syndrome, kunye ne-iliopsoas bursitis. Nangona kunjalo, kukho ukungafani kweklinikhi.
iimpawu
Iimpawu ziquka: (Umbutho waseMelika wooGqirha beHip kunye neKnee. 2020)
- Ubumnene kwindawo ye-hip kunye ne-groin.
- I-Hip okanye i-groin yokucofa okanye i-snapping enokuthi iviwe kunye / okanye ivakalelwe ngexesha lokunyakaza.
- Ubuhlungu kunye / okanye ukuqina kwindawo ye-hip kunye nethanga.
- Iintlungu ezibuhlungu xa ugoba i-hip - ukuhamba, ukunyuka izitebhisi, ukukhwela, ukuhlala.
- Iintshukumo ezibandakanya ukuzisa idolo ngasesifubeni zingenza intlungu ibe mandundu.
Izizathu
Izihlunu ze-iliopsoas zizihlunu ze-hip phambi kwe-hip. Zenziwe nge i-psoas enkulu, i-psoas minor, kunye ne-iliacus. Iingxowa ezincinci, ezizaliswe ngamanzi / ii-bursae zingaphakathi kwe-hip joint phakathi kwamathambo kunye nezicubu ezithambileyo. I-bursae inciphisa ukungqubuzana kwaye inike i-cushioning ukunceda i-tendon, izihlunu kunye nezinye izakhiwo zihamba kakuhle phezu kwamathambo.
- Iliopsoas bursitis kwenzeka xa i i-bursa, ephakathi kwe-iliopsoas tendon kunye nengaphakathi le-hip joint, iyavutha kwaye icaphuke.
- Iliopsoas tendonitis/hip tendonitis yenzeka xa intambo encamathisela ithambo lethanga kwisihlunu iliopsoas uyadumba kwaye uyacaphuka.
- I-Iliopsoas bursitis kunye ne-tendonitis zikholisa ukubangelwa kukwenzakala ngokugqithisileyo kunye nemisebenzi eqatha efana nokukhwela ibhayisekile, ukubaleka, ukubheqa, okanye uqeqesho lwamandla.
Ukuqondwa
- Ababoneleli bezempilo banokufumanisa i-iliopsoas syndrome esekelwe kwimbali yeempawu kunye nokuhlolwa kwe-hip.
- Iimvavanyo zokucinga - i-MRI kunye ne-X-rays ingasetyenziselwa ukulawula ezinye iingozi okanye iimeko ezinjengeenyembezi zemisipha. (UPaul Walker, et al., 2021)
impatho
Uninzi lweemeko ezincinci ze-hip bursitis kunye ne-hip tendonitis zingalawulwa ngokusebenzisa indlela ye-RICE (Umbutho waseMelika wooGqirha bamathambo. 2020)
Ukuphumla
- Gwema ukubeka ubunzima kwi-hip iintsuku ezimbalwa emva kokulimala.
umkhenkce
- Faka umkhenkce ngokukhawuleza emva kokulimala ukuzisa ukudumba.
- Sebenzisa ipakethe ebandayo imizuzu engama-20 ngexesha, amaxesha amaninzi ngosuku.
- Musa ukusebenzisa umkhenkce ngokuthe ngqo esikhumbeni.
Ukunyanzeliswa
- Yisonge indawo ngebhandeji elithambileyo okanye usebenzise iibhulukhwe ezimfutshane zokucinezela ukuthintela ukudumba okungaphezulu.
Ukuphakama
- Ukuphumla rhoqo kangangoko kunokwenzeka ngomlenze ophakanyiswe phezulu kunentliziyo.
Unyango loNyango
- Amachiza angeyo-steroidal achasene nokudumba njenge-ibuprofen kunye ne-naproxen sodium anokuphelisa iintlungu kwaye anciphise ukudumba. (UPaul Walker, et al., 2021)
- Iinaliti zeSteroid zingasetyenziswa ukuba iimpawu ziyaqhubeka okanye zibuye nenaliti ezongezelelweyo zifakwe njengoko kuyimfuneko. (UPaul Walker, et al., 2021)
- Emva kokuba intlungu kunye nokudumba kuphelile, ulungiso lwenyama kunokucetyiswa, kunye nokuzivocavoca kancinci ukuphucula amandla e-hip kunye nokuguquguquka. (UPaul Walker, et al., 2021)
- Umboneleli wezempilo unokuncoma utyando kwiimeko ezinzima apho iintlungu ziqhubeka, kwaye unyango olugcinayo aluboneleli ngokwaneleyo.
- Nangona kunjalo, oku kunqabile ngenxa yobuthathaka bezihlunu kunye nemingcipheko yokulimala kwemithambo-luvo. (UPaul Walker, et al., 2021)
Iinyembezi zeHip Labral - Unyango lweChiropractic
Ucaphulo
Lifshitz, L., Bar Sela, S., Gal, N., Martin, R., & Fleitman Klar, M. (2020). I-Iliopsoas i-Muscle efihliweyo: i-Anatomy, i-Diagnostic, kunye noNyango. Iingxelo zangoku zonyango lwezemidlalo, i-19 (6), i-235-243. doi.org/10.1249/JSR.0000000000000723
Umbutho waseMelika wooGqirha beHip kunye neKnee. Iliopsoas tendonitis/bursitis.
Walker, P., Ellis, E., Scofield, J., Kongchum, T., Sherman, WF, & Kaye, AD (2021). Snapping Hip Syndrome: Uhlaziyo oluBanzi. Uphononongo lwe-Orthopedic, i-13 (2), i-25088. doi.org/10.52965/001c.25088
Umbutho waseMelika wooGqirha bamathambo. OrthoInfo. Iintlobo ze-Hip.
by UGqr Alex Jimenez | Ukulimala koluhlu, Sciatica Nerve Pain
Ukulimala kwemisipha ye-Hamstring kuqhelekileyo, ngakumbi kwiimbaleki nakubantu abanemisebenzi enzima ngokomzimba. Ngaba kukho ithuba elingcono lokuchacha ngokupheleleyo ngokulungiswa kotyando kunye nokuvuselelwa kwe-post-op?
Ukunyakaza kweMisipha yokuHlala
Ngokuqhelekileyo, ukulimala kwemisipha ye-hamstring ziinyembezi eziyingxenye yesihlunu. Ezi ntlobo zokulimala zizihlunu ze-muscle ezenzeka xa iintambo ze-muscle zolulelwe ngaphaya kwemida yazo eqhelekileyo. Iinyembezi ezipheleleyo ze-hamstring muscle aziqhelekanga, kodwa zenzeke kubadlali bezemidlalo kunye nabangewona abadlali. Ukumisela isicwangciso sonyango esisiso sixhomekeke koku:
- Ubuqatha bokukrazuka komthambo
- Izinto ezilindelekileyo kumntu owenzakeleyo.
- Iinyembezi ezingaphelelanga kuxa i-hamstring muscle yoluliwe kakhulu, kodwa ayicalulwanga ngokupheleleyo.
- Ukuba ukukrazula kugqityiwe, ukulimala kubaluleke ngakumbi, njengoko iziphelo zingasadibanisi. (I-American Academy ye-Orthopedic Surgeons. 2021)
- Gqibezela iinyembezi ngokuqhelekileyo kwenzeka phezulu kwesihlunu apho i-tendon ikrazula kude ne-pelvis.
- Ukukrazula okupheleleyo ngokuqhelekileyo kwenzeka xa kukho ukunyanzeliswa ngokukhawuleza kwe-hip kunye nokwandiswa kwamadolo - xa i-muscle inkontileka kule ndawo, iyancipha ngaphaya kwemida yayo.
- Iinyembezi ezipheleleyo zibonwa njengokwenzakala okwahlukileyo kwaye kunokufuna unyango olungenelelayo. (I-American Academy ye-Orthopedic Surgeons. 2021)
- Abantu abagcina olu hlobo lokulimala bachaza ukuhlatywa okubukhali emva kwethanga.
- Ukulimala kunokwenzeka kwiimbaleki okanye kubantu abaneminyaka ephakathi. (I-American Academy ye-Orthopedic Surgeons. 2021)
Iintlobo ze-hamstring ezisisiseko zinokuphathwa ngamanyathelo alula - ukuphumla, iqhwa, amayeza achasene nokuvuvukala, kunye nonyango olulondolozayo.
iimpawu
Iimpawu ze-hamstring muscle strain zingabandakanya intlungu, ukubetha, ukuvuvukala, kunye nobunzima bokunyakaza. (I-American Academy ye-Orthopedic Surgeons. 2021) Abantu abagcina le nzakala badla ngokuba neentlungu ezibukhali ngesiquphe. Iimpawu zokukrazula zingabandakanya:
- Iintlungu ezibukhali apho impundu nethanga zidibana khona.
- Kunzima ukuhamba.
- Ukuhlala kunokuba nzima njengoko umda wesitulo unokubeka uxinzelelo ngokuthe ngqo kwingozi.
- I-Spasms kunye ne-cramping sensations emva kwethanga.
- Ubuthathaka emlenzeni, ngokukodwa xa uguqa idolo okanye uphakamisa umlenze emva komzimba.
- Ukuba ndindisholo okanye ukutshisa ngenxa ye ukucaphuka kwe-nerve sciatic.
- Ukudumba kunye nokugruzuka emva kwethanga - ekuhambeni kwexesha kunokuhamba ukuya kumqolo wedolo kunye nethole kwaye mhlawumbi ukuya ezinyaweni.
- Ngokukrazula okupheleleyo kwe-hamstring, ngokuqhelekileyo kukho ukudumba okuphawulekayo kunye nokulimala okwenzeka emva kwethanga.
Ukuqondwa
Iimpawu kunokuba nzima ukuzibona kumanqanaba okuqala yiyo loo nto i-X-reyi ye-hip okanye ithanga idla ngokufunyanwa.
Kwezinye iimeko, iqhekeza lethambo linokutsalwa kwi-pelvis kunye ne-hamstring muscle attachment. Uvavanyo lwe-MRI lunokwenziwa ukuvavanya isinamathiselo kwaye lunokuchaza iimpawu ezibalulekileyo zokukrazula kwemisipha ye-hamstring epheleleyo, kuquka: (I-American Academy ye-Orthopedic Surgeons. 2021)
- Inani lemisipha echaphazelekayo.
- Gqibezela ngokuchasene nokukrazulwa okungaphelelanga.
- Ubungakanani bokurhoxa - inani leetendon eziye zarhoxa.
- Oku kuya kukhokela uphuhliso lonyango.
impatho
Ukunyangwa kwenyembezi epheleleyo kuya kuxhomekeka kwizinto ezahlukeneyo. Enye into eguquguqukayo sisigulana kunye nezinto abazilindeleyo.
- Unyango lu ndlongondlongo ngakumbi kubantu abancinci njengabadlali abakwinqanaba eliphezulu.
- Unyango lu abanamandla kakhulu kubantu abakubudala obuphakathi.
- Ngokuqhelekileyo ukukrazuka komthambo omnye kunokunyangwa ngaphandle kotyando.
- Xa i-tendon enye ibandakanyeka, ayiqhelekanga ukutsalwa kude kakhulu kwi-attachment yayo eqhelekileyo kwaye iya kuphuhlisa izicubu ezibomvu kwindawo efanelekileyo.
- Ngokuchasene noko, xa imisipha emithathu ikrazukile, idla ngokutsala ngaphezu kweesentimitha ezimbalwa ukusuka ethanjeni. Ezi meko zineziphumo ezingcono ngokulungiswa kotyando. (UW Health. 2017)
- Oogqirha botyando baya kusebenzisa iimpawu zesigulana- iimbaleki ezikwinqanaba eliphezulu okanye abantu abangasebenziyo ngokwasemzimbeni - ukukhokela iingcebiso zonyango.
kwimo
- Ukubuyisela kwisimo sangaphambili emva kotyando kunokuthatha iinyanga ezi-3-6 okanye ngaphezulu.
- Iiveki ezintandathu zokuqala zinciphisa ubunzima ngokusetyenziswa kweentonga.
- Izigulane zinokucetyiswa ukuba zinxibe i-brace ukunciphisa uxinzelelo kwii-tendon ze-hamstring ezilungisiweyo.
- Ukomeleza akuqali de kube ziinyanga ezintathu emva kokuphuma, kwaye nemisebenzi elula idla ngokulibaziseka. (UW Health. 2017)
- Ngenxa yokuba le nzakala inokuba nexesha elide lokubuyisela, abanye abantu banokukhetha unyango ngaphandle kotyando.
- Ngamanye amaxesha aba bantu bafumana iimpawu zokungakhululeki ngokuhlala kwaye banokubonisa ubuthathaka bexesha elide le-hamstring muscle.
Ukuchacha ngokupheleleyo kwi-hamstring ye-muscle yokulimala kuthatha ixesha. Izifundo zibonise abadlali bezinga eliphezulu bayakwazi ukuqalisa kwakhona imidlalo ekhuphisanayo emva kokulungiswa kunye nokuvuselelwa kokulimala kwe-hamstring muscle. (USamuel K. Chu, uMonica E. Rho. 2016)
- Ukulibazisa unyango lotyando kusenokungasoloko kukhokelela kwiziphumo ezigqwesileyo.
- Xa i-tendon ikrazulwa kude ne-attachment yayo eqhelekileyo, iqala ukukrala malunga nezicubu ezithambileyo ezijikelezayo.
- Xa kukho ukulibaziseka kweeveki ezimbalwa emva kokulimala kokuqala, ukuphinda ufumane ubude obupheleleyo be-tendon kunye ne-muscle kunokuba ngumngeni.
- Oku kunokulibazisa inkqubo yokubuyisela kwisimo sangaphambili kwaye kunokunciphisa amandla okubuyisela ngokupheleleyo. (Ho Yoon Kwak, et al., 2011)
Ngomonzakalo onzima, kukho ithuba elingcono lokuchacha ngokupheleleyo ngokulungiswa kotyando kodwa kunokubandakanya ukubuyisela ixesha elide kunye nokuzibophelela kwisicwangciso sokubuyisela emva kwe-op.
Ucaphulo
I-American Academy ye-Orthopedic Surgeons. (2021) Ukulimala komsipha.
UW Health. (2017) Izikhokelo zokubuyisela kwisimo sangaphambili emva kokulungiswa okuphambili kwe-hamstring.
Chu, SK, & Rho, ME (2016). Ukulimala kwe-Hamstring kuMgijimi: Ukuxilongwa, Unyango, kunye nokuBuyela kuMdlalo. Iingxelo zangoku zonyango lwezemidlalo, i-15 (3), i-184-190. doi.org/10.1249/JSR.0000000000000264
Kwak, HY, Bae, SW, Choi, YS, & Jang, MS (2011). Ukulungiswa kwangoko kotyando lokuqhekeka okupheleleyo kwe-proximal hamstring tendons. Iiklinikhi kuqhaqho lwamathambo, i-3 (3), i-249-253. doi.org/10.4055/cios.2011.3.3.249
