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 | 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
by UGqr Alex Jimenez | Arthritis, Ukulimala koluhlu
Njengoko umzimba uguga, abantu bafuna ukuhlala bekhuthele kwaye bagcine impilo esempilweni engenazintlungu. Ngaba iiseli zokuvuselela i-arthritis kunye nomonakalo we-cartilage ibe likamva leyeza le-neuromusculoskeletal kunye nokuphilisa ngokubambisana?
Iiseli ezihlaziyiweyo ze-Arthritis kunye nomonakalo weCartilage
Abantu bafuna ukuqhubeka nokwenza imisebenzi yomzimba abayithandayo, efuna amalungu aphilileyo. Izazinzulu zifunda ukusebenzisa ubuchule beeseli ezihlaziyayo ukuze ziphinde zikhule intlala eyonakeleyo neyonakeleyo. Unyango lwangoku lwe-stem cell yeengxaki ze-cartilage aluzange luboniswe ukuguqula imiphumo ye-arthritis kwaye ngelixa izifundo zibonisa ukuphuculwa kwekliniki, uphando olongezelelweyo luyimfuneko. (UBryan M. Saltzman, et al., 2016)
ICartilage kunye nendlela eyonakaliswa ngayo
ICartilage luhlobo lwethishu edibeneyo. Kumalungu, kukho iindidi ezimbalwa ze-cartilage. Eyona nto ixhaphakileyo kubhekiselwa kuyo yintambo egudileyo eyaziwa ngokuba yi-articular okanye i-hyaline cartilage. Olu hlobo lwenza umaleko ogudileyo womqamelo ekupheleni kwethambo kwindawo edibeneyo. (Rocky S. Tuan, et al., 2013)
- Ithishu yomelele kakhulu kwaye inamandla okucinezela nokufunxa amandla.
- Igudile kakhulu ivumela ilungu ukuba lityibilike ngaphandle komgudu kuluhlu lwentshukumo yelungu.
- Xa i-cartilage edibeneyo ibonakaliswe, i-cushioning ingaphelelwa.
- Kwiinzakalo ezibuhlungu, amandla ngokukhawuleza anokubangela ukuba i-cartilage iphule kunye / okanye ihlupheke umonakalo, obonisa ithambo elingaphantsi.
- Kwi-osteoarthritis - i-arthritis ephazamisayo okanye egugileyo, i-layer egudileyo inokuguga kwaye iyancipha kwaye ingalingani.
- Ekugqibeleni, i-cushion iyaphela, amalungu avutha kwaye adumbe kwaye iintshukumo ziba nzima kwaye zibuhlungu.
Kukho unyango lwe-arthritis kunye nomonakalo we-cartilage, kodwa olu nyango luhlala lujolise ekupheliseni iimpawu ngokulungisa i-cartilage eyonakeleyo okanye ukubuyisela indawo edibeneyo kunye nokufakelwa okwenziweyo, njengokutshintshwa kwedolo okanye utyando lokutshintshwa kwe-hip. (Robert F. LaPrade, et al., 2016)
Iiseli ezivuselelayo
Iiseli ze-stem ezivuselelayo ziiseli ezikhethekileyo ezikwaziyo ukuphindaphinda kunye nokuphuhlisa kwiintlobo ezahlukeneyo zezicubu. Kwisetingi yotyando lwamathambo kwiingxaki ezidibeneyo, iiseli ze-stem zifumaneka kwimithombo ephambili yeseli ye-stem eyi-bone umongo kunye nezicubu ezinamafutha. Ezi seli zinamandla okuphuhlisa iiseli ze-cartilage, ezibizwa ngokuba yi-chondrocytes. (Rocky S. Tuan, et al., 2013)
- Zikwanceda ngokuvuselela umzimba ukuba unciphise ukudumba, ukuvuselela ukulungiswa kweeseli, nokuphucula ukuhamba kwegazi.
- Le nkqubo ibangelwa izibonakaliso zeselula kunye nezinto zokukhula ukukhuthaza umzimba ukuba usebenze iinkqubo zokuphilisa.
- Emva kokuba iiseli ze-stem zifunyenwe, kufuneka zihanjiswe kwindawo yomonakalo we-cartilage.
I-Cartilage yi-tissue eyinkimbinkimbi echazwa njengesakhiwo se-scaffold esiqulunqwe yi-collagen, i-proteoglycans, amanzi kunye neeseli. (Rocky S. Tuan, et al., 2013)
- Ukuvuselela i-cartilage, izicubu eziyinkimbinkimbi kufuneka kwakhona zakhiwe kwakhona.
- Kukho izifundo kwiintlobo ze-scaffolds zezicubu ezenzelwe ukubuyisela uhlobo olufanayo lwesakhiwo se-cartilage.
- Iiseli ze-stem zinokuthi zifakwe kwi-scaffold, ngethemba lokubuyisela uhlobo oluqhelekileyo lwe-cartilage.
Unyango lwe-Arthritis olungelulo Utyando
umgangatho unyango ezifana ne-cortisone shots okanye unyango lomzimba lusebenza ngokunjalo kwaye lubonelela ngeenzuzo ezinokuthi zisetyenziswe ngokudibanisa neeseli ezivuselelayo ze-arthritis kunye nomonakalo we-cartilage kwixesha elizayo elikufutshane. Idatha ithatha ixesha kwaye ngoko ke oku kuchaphazela njani impilo yexesha elide leemfuno ezidibeneyo eziqhubekayo uphando malunga nobunjineli bezicubu kunye nokuhanjiswa kweeseli ukumisela eyona ndlela yokunceda abantu.
Arthritis
Ucaphulo
LaPrade, RF, Dragoo, JL, Koh, JL, Murray, IR, Geeslin, AG, & Chu, CR (2016). I-AAOS yoPhando lwe-Symposium Updates and Consensus: Unyango lwe-Biologic ye-Orthopedic Injuries. Umbhalo we-American Academy of Orthopedic Surgeons, 24 (7), e62-e78. doi.org/10.5435/JAAOS-D-16-00086
Saltzman, BM, Kuhns, BD, Weber, AE, Yanke, A., & Nho, SJ (2016). Iiseli zeStem kwi-Orthopedics: IsiKhokelo esiBanzi seGqirha ye-Orthopedist. Ijenali yaseMelika yamathambo (Belle Mead, NJ), 45 (5), 280-326.
Tuan, RS, Chen, AF, & Klatt, BA (2013). Ukuhlaziywa kweCartilage. Ijenali ye-American Academy ye-Orthopedic Surgeons, i-21 (5), i-303-311. doi.org/10.5435/JAAOS-21-05-303
by UGqr Alex Jimenez | Ukulimala koluhlu, Sciatica
Ngaba ukudibanisa unyango lwe-chiropractic kunye nonyango oluqhelekileyo lwamayeza, umthambo, kunye / okanye unyango lomzimba lunokunceda ukukhulula iimpawu zentlungu ye-sciatic endometriosis?
I-Endometriosis yeSciatic
I-endometriosis ye-Sciatic yimeko apho iiseli ze-endometrial (izicubu ezifana ne-lining ye-uterus) zikhula ngaphandle kwe-uterine lining kwaye zicinezele i-nerve ye-sciatic. Oku kubeka uxinzelelo kunye noxinzelelo kwi-nerve ebangela umva, i-pelvic, i-hip, kunye nentlungu yomlenze, ngakumbi ngaphambi nangexesha lokuya esikhathini. Isenokubangela iintlungu, amaxesha angaqhelekanga, kunye nokungafumani bantwana. (IKholeji yaseMelika yeeObstetricians kunye neGynecologists. 2021)
- Ezi ndawo zokukhula kwezicubu ze-endometrial zikwabizwa ngokuba yizilonda okanye ukufakelwa.
- Abasetyhini abane-endometriosis ye-sciatic bahlala beva iintlungu zomlenze kunye nobuthathaka malunga nexesha lokuya kwabo exesheni. (ULena Marie Seegers, et al., 2023)
- I-Sciatic endometriosis inokubangela iintlungu xa uchama, ngexesha lokuhamba kwamathumbu, ngexesha lokwabelana ngesondo, kunye nokudinwa, kunye nokopha okungaqhelekanga kwilungu lobufazi.
Inzululwazi yeNzululwazi
- Ngokuqhelekileyo, izilonda ze-endometrial ziyakhula kwaye zincamathele kwii-ovari, iityhubhu ze-fallopian, isinyi, amathumbu, amathumbu, i-rectum, okanye i-peritoneum / i-abdominal cavity. (IKholeji yaseMelika yeeObstetricians kunye neGynecologists. 2021)
- Ukukhula okungaqhelekanga kunokubangelwa ngamanqanaba aphezulu e-estrogen kunesiqhelo.
- Abaphandi bakholelwa ukuba i-endometriosis inxulumene nokubuyela emva kokuya esikhathini, okubangela ukuba igazi lokuya exesheni libuyele kwi-pelvis endaweni yokuphuma kwilungu lobufazi. (I-World Health Organization. 2023)
- Ngamanye amaxesha, iiseli zikhula kwindawo ye-pelvis kanye ngaphezu kwe-nerve ye-sciatic. (UAdaya Yahaya, et al., 2021)
- I-nerve ye-sciatic yeyona nerve inde kakhulu emzimbeni kwaye ihamba ihla ngasemva komlenze ngamnye. (Johns Hopkins Medicine. 2023)
- Xa izilonda ze-endometrial zibeka uxinzelelo kwi-nerve ye-sciatic, zinokubangela ukucaphuka kunye nokuvuvukala okukhokelela kwiintlungu ezibuhlungu ze-pelvic, okwenza kube nzima ukukhulelwa. (U-Liang Yanchun, et al., 2019)
iimpawu
Abanye abafazi abane-endometriosis abafumani zimpawu okanye batolike ngendlela engeyiyo iimpawu njengeempawu ze-premenstrual / PMS. Iimpawu eziqhelekileyo kunye neempawu ze-sciatic endometriosis ziquka:
- Ubunzima bokuhamba okanye ukuma.
- Ukulahlekelwa yimvakalelo, ubuthathaka bemisipha, kunye nokuguqulwa kwe-reflex.
- Ukuqhwalela.
- Iingxaki zokulinganisela.
- Ukuqunjelwa kunye nesicaphucaphu.
- Ukuqunjelwa okanye urhudo ngaphambi okanye emva kwexesha.
- Iintlungu, ubunzima, kunye / okanye amaxesha angaqhelekanga.
- Ukopha phakathi kwexesha.
- Iintlungu ngexesha lokwabelana ngesondo, ukuchama, kunye nokuhamba kwamathumbu.
- Iintlungu esiswini, i-pelvis, i-back back, i-hips, kunye neempundu. (MedlinePlus. 2022)
- Ubuthathaka, ukuba ndindisholo, ukuntyiloza, ukutshisa, okanye ukuva okubuhlungu okubuhlungu kumqolo womlenze omnye okanye yomibini.
- Ukuwa kweenyawo okanye ingxaki yokuphakamisa umphambili wonyawo. (Iziko le-Endometriosis Care. 2023)
- Ubudlolo.
- Ukukhathala.
- Uxinzelelo kunye nexhala.
Ukuqondwa
I-Endometriosis, kubandakanya i-sciatic endometriosis, ayinakufunyanwa ukuba inovavanyo lwe-pelvic okanye i-ultrasound ngokwayo. Umboneleli wezempilo unokufuna ukwenza i-biopsy esebenzisa i-laparoscopy kwaye axoxe ngemijikelo yokuya exesheni, iimpawu, kunye nembali yonyango.
- Inkqubo ye-laparoscopy ibandakanya ukwenza amanxeba amancinane kunye nokuthatha isampulu yethishu ngezixhobo ezincanyathiselwe kumbhobho obhityileyo ngekhamera. (MedlinePlus. 2022)
- Iimvavanyo zokucinga, ezifana ne-magnetic resonance imaging / MRI, kunye ne-computed tomography / i-CT scans, inokunceda ukunika ulwazi olubalulekileyo malunga nendawo kunye nobukhulu baso nasiphi na izilonda ze-endometrial. (IKholeji yaseMelika yeeObstetricians kunye neGynecologists. 2021)
impatho
Iimpawu ngamanye amaxesha zinokukhululeka okwexeshana nge-over-the-counter/OTC yokuthomalalisa iintlungu. Ngokuxhomekeke kwimeko kunye nobukhulu umboneleli wezempilo unokumisela unyango lwehomoni ukuthintela ukufakelwa kwe-endometrial entsha ekukhuleni. Oku kunokubandakanya:
- Ukulawulwa kokuzalwa kweHormonal.
- Iprogestin - ifom yokwenziwa kweprogesterone.
- I-Gonadotropin-ikhulula ihomoni - iGnRH agonists.
- Ukuba iintlungu ziyaqhubeka okanye ziba mandundu, abantu banokufuna utyando ukuze kususwe izicubu.
- Kwiimeko ezinzima, i-hysterectomy okanye ukususwa ngotyando lwesibeleko kunokucetyiswa. (IKholeji yaseMelika yeeObstetricians kunye neGynecologists. 2021)
- Ulungiso lwenyama, imithambo ejoliswe kakuhle, kunye nokusebenzisa ubushushu okanye ingqele kwindawo echaphazelekayo nako kusenokunceda. (Johns Hopkins Medicine. 2023)
Sciatica Ubunzulu
Ucaphulo
IKholeji yaseMelika yeeObstetricians kunye neGynecologists. Endometriosis.
Ababoni, LM, DeFaria Yeh, D., Yonetsu, T., Sugiyama, T., Minami, Y., Soeda, T., Araki, M., Nakajima, A., Yuki, H., Kinoshita, D., Suzuki, K., Niida, T., Lee, H., McNulty, I., Nakamura, S., Kakuta, T., Fuster, V., & Jang, IK (2023). Umahluko ngesondo kwi-Coronary Atherosclerotic Phenotype kunye nePattern yokuPhilisa kwi-Optical Coherence Tomography Imaging. Ukujikeleza. Umfanekiso we-cardiovascular, 16 (8), e015227. doi.org/10.1161/CIRCIMAGING.123.015227
I-World Health Organization. Endometriosis.
Yahaya, A., Chauhan, G., Idowu, A., Sumathi, V., Botchu, R., & Evans, S. (2021). ICarcinoma evela ngaphakathi kwe-sciatic nerve endometriosis: ingxelo yetyala. Ijenali yeengxelo zetyala lotyando, 2021(12), rjab512. doi.org/10.1093/jscr/rjab512
Johns Hopkins Medicine. Sciatica.
Yanchun, L., Yunhe, Z., Meng, X., Shuqin, C., Qingtang, Z., & Shuzhong, Y. (2019). Ukususwa kwe-endometrioma edlula ngasekhohlo enkulu ye-sciatic foramen usebenzisa i-laparoscopic kunye ne-transgluteal approach: ingxelo yecala. BMC impilo yabasetyhini, 19(1), 95. doi.org/10.1186/s12905-019-0796-0
MedlinePlus. Endometriosis.
Iziko le-Endometriosis Care. I-endometriosis ye-sciatic.
Chen, S., Xie, W., Strong, JA, Jiang, J., & Zhang, JM (2016). I-endometriosis ye-Sciatic ibangela uvakalelo lwe-mechanical hypersensitivity, umonakalo we-nerve ye-segmental, kunye nokudumba okuqinileyo kwendawo kwiimpuku. Ijenali yaseYurophu yeentlungu (eLondon, eNgilani), i-20 (7), i-1044-1057. doi.org/10.1002/ejp.827
Siquara de Sousa, AC, Capek, S., Howe, BM, Jentoft, ME, Amrami, KK, & Spinner, RJ (2015). Ubungqina bomfanekiso wemagnethi wokusasazeka kwe-perineural ye-endometriosis ukuya kwi-lumbosacral plexus: ingxelo yeemeko ezi-2. Ugxininiso lwe-Neurosurgical, i-39 (3), i-E15. doi.org/10.3171/2015.6.FOCUS15208
