Umenzakalo owehle kwisiqu
IQela leChiropractic yeKliniki yangasemva. Ukulimala kwingozi akunakubangela kuphela ukulimala ngokomzimba kuwe okanye kumntu othandekayo, ukubandakanyeka kwimeko yokulimala komntu kaninzi kunokuba yimeko enzima kunye noxinzelelo lokusingatha. Ezi ntlobo zeemeko ngelishwa zixhaphake ngokufanelekileyo kwaye xa umntu ejongene nentlungu kunye nokungahambi kakuhle ngenxa yokulimala kwingozi okanye imeko ephantsi eye yaqina ngenxa yokulimala, ukufumana unyango olufanelekileyo kwimiba yabo ethile kunokuba ngomnye umngeni. ngokwayo.
Ukuhlanganiswa kukaDkt Alex Jimenez kwamanqaku okulimala komntu kubonisa iintlobo ezahlukeneyo zeemeko zokulimala komntu, kubandakanywa neengozi zemoto ezibangelwa yi-whiplash, ngelixa lishwankathela unyango olusebenzayo, olufana nokunyamekela kwe-chiropractic. Ngolwazi oluthe kratya, nceda ukhululeke ukunxibelelana nathi apha (915) 850-0900 okanye isicatshulwa ukubiza uGqirha Jimenez buqu (915) 540-8444.
by UGqr Alex Jimenez Unyango lweentlungu , Whiplash
Abo bafumana iintlungu zentamo, ukuqina, intloko ebuhlungu, igxalaba kunye neentlungu zangasemva banokuhlupheka ngenxa yokulimala kwe-whiplash. Ngaba ukwazi iimpawu kunye neempawu ze-whiplash kunokunceda abantu babone ukwenzakala kwaye bancede ababoneleli bezempilo baphuhlise isicwangciso sonyango esisebenzayo?
Iimpawu zeWhiplash kunye neempawu
I-Whiplash yingozi yentamo eyenzeka ngokuqhelekileyo emva kokungqubuzana kwemoto okanye ingozi kodwa ingenzeka ngayo nayiphi na inzakalo ebetha ngokukhawuleza intamo phambili nasemva. Kukulimala kancinci ukuya phakathi kwemisipha yentamo. Iimpawu eziqhelekileyo ze-whiplash kunye neempawu ziquka:
intlungu entanyeni
Ukuqina kwentamo
intloko ebuhlungu
Utywala
intlungu Gxalaba
Umqolo obuhlungu
Ukubetha entanyeni okanye phantsi kweengalo. (Johns Hopkins Medicine. 2024 )
Abanye abantu banokuhlakulela iintlungu ezingapheliyo kunye neentloko.
Iimpawu kunye nonyango luxhomekeke kubukhulu bokulimala. Unyango lunokubandakanya amayeza eentlungu angaphaya kwe-counter, unyango lwe-ice kunye nobushushu, i-chiropractic, unyango lomzimba, kunye nokuzivocavoca.
Iimpawu kunye neempawu rhoqo
Ukunyakaza ngokukhawuleza kwentloko kunokuchaphazela izakhiwo ezininzi ngaphakathi kwentamo. Ezi zakhiwo ziquka:
izihlunu
Amathambo
Amalungu
Tendons
IiLigaments
Iidiski eziphakathi kwendawo
Ivazi yegazi
Imithambo-luvo.
Nayiphi na okanye zonke ezi zinto zinokuchaphazeleka ngokulimala kwe-whiplash. (I-MedlinePlus, ngo-2017 )
Statistics
I-Whiplash yi-neck sprain eyenzeka kwi-neck-neck-jerking motion. Ukulimala kwe-Whiplash akhawunti ngaphezu kwesiqingatha sokulimala kwezithuthi zezithuthi. (UMichele Sterling, ngo-2014 ) Nokuba kukwenzakala kancinci, ezona mpawu zixhaphakileyo ziquka: (Nobuhiro Tanaka et al., 2018 )
intlungu entanyeni
Ukuqina okulandelayo
Ububele bentamo
Uluhlu olulinganiselweyo lwentshukumo yentamo
Abantu ngabanye banokuhlakulela ukungahambi kakuhle kwentamo kunye nentlungu emva nje kokulimala; nangona kunjalo, iintlungu ezingakumbi kunye nokuqina akwenzeki kanye emva kokulimala. Iimpawu zidla ngokuba mandundu ngosuku olulandelayo okanye kwiiyure ezingama-24 kamva. (Nobuhiro Tanaka et al., 2018 )
Iimpawu zokuqala
Abaphandi baye bafumanisa ukuba malunga nesiqingatha sabantu abane-whiplash bahlakulela iimpawu kwiiyure ezintandathu zokulimala. Malunga ne-90% ivelisa iimpawu kwiiyure ezingama-24, kwaye i-100% ivelisa iimpawu kwiiyure ze-72. (Nobuhiro Tanaka et al., 2018 )
I-Whiplash vs. I-Traumatic Cervical Spine Injury
I-Whiplash ichaza ukulimala okuncinci ukuya kwimodareyitha yentamo ngaphandle kweempawu ezibalulekileyo ze-skeletal okanye ze-neurological. Ukulimala okuphawulekayo kwentamo kunokukhokelela ekuqhekekeni kunye nokuchithwa komqolo onokuthi uchaphazele iimbilini kunye nentambo yomgogodla. Emva kokuba umntu ehlakulela iingxaki ze-neurological ezinxulumene nokulimala kwentamo, ukuxilongwa kutshintsha ukusuka kwi-whiplash ukuya kwi-traumatic cervical spine. Le yantlukwano inokubhida njengoko ikwisipeyithi esinye. Ukuqonda ngakumbi ubunzima bentamo yentamo, inkqubo yokuhlelwa kweQuebec ihlukanisa ukulimala kwentamo kula mabanga alandelayo (Nobuhiro Tanaka et al., 2018 )
Bakala 0
Oku kuthetha ukuba akukho zimpawu zentamo okanye iimpawu zokuhlolwa komzimba.
Bakala 1
Kukho intlungu yentamo kunye nokuqina.
Zimbalwa kakhulu iziphumo zovavanyo lomzimba.
Bakala 2
Ibonisa intlungu yentamo kunye nokuqina
Ububele bentamo
Ukunciphisa ukuhamba okanye intamo yokunyakaza kwimvavanyo yomzimba.
Bakala 3
Ibandakanya intlungu yemisipha kunye nokuqina.
Iimpawu zeNeurological ziquka:
Ubungqina
Ukulinganisa
Ubuthathaka kwiingalo
Ukuncipha kwengqondo
Bakala 4
Ibandakanya ukuphuka okanye ukuchithwa kwamathambo omqolo womgogodla.
Ezinye Iimpawu
Ezinye iimpawu ze-whiplash kunye neempawu ezinokudibaniswa nokulimala kodwa aziqhelekanga okanye zenzeke kuphela ngokulimala okukhulu kubandakanya (Nobuhiro Tanaka et al., 2018 )
Intloko yesifo
Iintlungu zomhlathi
Iingxaki zokulala
Intloko ebuhlungu
Unzima ukugxila
Ubunzima bokufunda
Umbono ongezantsi
Utywala
Ukuqhuba ubunzima
Iimpawu ezinqabileyo
Abantu abanokulimala kakhulu banokuhlakulela iimpawu ezinqabileyo ezihlala zibonisa ukulimala komgudu womlomo wesibeleko kwaye ziquka: (Nobuhiro Tanaka et al., 2018 )
kunesifo
Ukugubha
Izwi litshintsha
I-Torticollis - i-spasms ebuhlungu yemisipha egcina intloko ijika kwicala elinye.
Ukopha ebuchotsheni
Iingxaki
Uninzi lwabantu ngokubanzi luyaphola kwiimpawu zabo kwiiveki ezimbalwa ukuya kwiinyanga ezimbalwa. (UMichele Sterling, ngo-2014 ) Nangona kunjalo, iingxaki ze-whiplash zinokuthi zenzeke, ngakumbi ngebanga elibi kakhulu le-3 okanye ibakala lesi-4. Iingxaki eziqhelekileyo zokulimala kwe-whiplash ziquka intlungu engapheliyo / ixesha elide kunye neentloko. (UMichele Sterling, ngo-2014 ) Ukulimala komgogodla womlomo wesibeleko kunokuchaphazela intambo yomgogodla kwaye idibaniswe neengxaki ezingapheliyo ze-neurological, kubandakanywa ukuphazamiseka, ubuthathaka, kunye nobunzima bokuhamba. (ULuc van Den Hauwe et al., 2020 )
impatho
Iintlungu ziqheleke kakhulu ngosuku olulandelayo kunasemva kokwenzakala. Unyango lokulimala kwe-Whiplash musculoskeletal kuxhomekeke ekubeni ingaba yingozi kakhulu okanye umntu uye waphuhlisa intlungu engapheliyo entanyeni kunye nokuqina.
Iintlungu ezibuhlungu zinokunyangwa ngamayeza angaphaya kwekhawuntara afana neTylenol kunye ne-Advil, ezinyanga iintlungu ngempumelelo.
I-Advil i-nonsteroidal anti-inflammatory enokuthi ithathwe kunye ne-Tylenol yokunciphisa intlungu, esebenza ngeendlela ezahlukeneyo.
Isiseko sonyango sikhuthaza umsebenzi oqhelekileyo kunye nokwelula kunye nokuzivocavoca. (UMichele Sterling, ngo-2014 )
Unyango lomzimba lusebenzisa uluhlu oluhlukeneyo lweendlela zokuzivocavoca ukuqinisa imisipha yentamo kunye nokunciphisa intlungu.
Uhlengahlengiso lwe-Chiropractic kunye nokunciphisa ukungabikho kokuhlinzwa kunokunceda ukulungelelanisa kunye nokondla umqolo.
Ukwenza i-Acupuncture kunokubangela ukuba umzimba ukhulule amahomoni endalo anika isiqabu kwiintlungu, ukunceda ukukhulula izicubu ezithambileyo, ukwandisa ukujikeleza, kunye nokunciphisa ukuvuvukala. Umqolo womlomo wesibeleko unokubuyela ekulungelelaniseni xa izicubu ezithambileyo zingasadumbanga kwaye zixhaphaze. (Tae-Woong Moon et al., 2014 )
Ukulimala Kweentambo
VIDEO
Ucaphulo
Amayeza, JH (2024). Ukulimala kweWhiplash. www.hopkinsmedicine.org/health/conditions-and-diseases/whiplash-injury
MedlinePlus. (2017). Ukwenzakala Entanyeni kunye nokuphazamiseka. Ifunyenwe kwi medlineplus.gov/neckinjuriesanddisorders.html#cat_95
Sterling M. (2014). Ukulawulwa kwePhysiotherapy yeengxaki ezinxulumene ne-whiplash (WAD). Ijenali ye-physiotherapy, i-60 (1), i-5-12. doi.org/10.1016/j.jphys.2013.12.004
Tanaka, N., Atesok, K., Nakanishi, K., Kamei, N., Nakamae, T., Kotaka, S., & Adachi, N. (2018). I-Pathology kunye noNyango lwe-Traumatic Cervical Spine Syndrome: I-Whiplash Injury. Ukuqhubela phambili kwi-orthopedics, i-2018, i-4765050. doi.org/10.1155/2018/4765050
van Den Hauwe L, Sundgren PC, Flanders AE. (2020). I-Spinal Trauma kunye ne-Spinal Cord Injury (SCI). Ku: Hodler J, Kubik-Huch RA, von Schulthess GK, abahleli. Izifo zengqondo, iNtloko kunye neNtamo, i-Spine 2020-2023: i-Diagnostic Imaging [i-Intanethi]. Cham (CH): Springer; 2020. Isahluko 19. Ifumaneka ku: www.ncbi.nlm.nih.gov/books/NBK554330/ doi: 10.1007/978-3-030-38490-6_19
Inyanga, TW, Posadzki, P., Choi, TY, Park, TY, Kim, HJ, Lee, MS, & Ernst, E. (2014). I-acupuncture yokunyanga i-whiplash ehambelana ne-disorder: ukuphononongwa okucwangcisiweyo kwezilingo zeklinikhi ezingahleliwe. Ubungqina obusekelwe kubungqina obuxhasayo kunye nolunye unyango : eCAM, 2014, 870271. doi.org/10.1155/2014/870271
by UGqr Alex Jimenez Ubuhlungu Bokubuyisela , Umenzakalo owehle kwisiqu
Kubantu abafumana iintlungu ezisezantsi banokuqonda i-anatomy kunye nomsebenzi we-multifidus muscle uncedo ekuthinteleni ukulimala kunye nophuhliso lwesicwangciso sonyango esisebenza kakhulu?
Imisipha ye-Multifidus
Izihlunu ze-multifidus zide kwaye zincinci ngapha nangapha kwekholamu yomgogodla, enceda ukuzinzisa ummandla ophantsi womqolo okanye i-lumbar spine. (UMaryse Fortin, uLuciana Gazzi Macedo 2013 ) Ukuhlala kakhulu, ukwenza i-postures engafanelekanga, kunye nokungabikho kokunyakaza kunokuqhubela phambili kwi-multifidus muscle buthathaka okanye i-atrophy, enokubangela ukungazinzi komgogodla, ukunyanzeliswa kwe-vertebral kunye nentlungu emva. (UPaul W. Hodges, uLieven Danneels 2019 )
Anatomy
Eyaziwa ngokuba ngumaleko onzulu, ngumaleko ongaphakathi wemisipha emithathu yomqolo kwaye ilawula ukuhamba komqolo. Eminye imigangatho emibini, eyaziwa ngokuba yi-intrinsic kunye ne-superficial, inoxanduva lwe-thoracic cage / i-rib cage kunye nokunyakaza kwamagxa. (U-Anouk Agten et al., 2020 ) I-multifidus ineendawo zokuncamathela apha:
Umqolo wethoracic womqolo ophakathi.
I-lumbar spine yomqolo osezantsi.
Umqolo we-iliac - isiseko sethambo le-pelvis enephiko.
I-Sacrum - uchungechunge lwamathambo kwisiseko somqolo oxhunywe kwi-tailbone.
Xa umile okanye uhamba, i-multifidus muscle isebenza kunye ne-transversus abdominus kunye nemisipha ye-pelvic floor ukuzinzisa i-lumbar spine. (UChristine Lynders 2019 )
Umsebenzi Wezihlunu
Umsebenzi oyintloko kukuzinzisa umqolo ongaphantsi, kodwa unceda ukwandisa umqolo ophantsi xa ufikelela okanye ukolula. (UJennifer Padwal et al., 2020 ) Ngenxa yokuba i-muscle inamanqaku amaninzi okunamathisela kwaye isetyenziswa lisebe elithile leentsholongwane ezibizwa ngokuba yi-ramior yangasemva, ivumela i-vertebra nganye ukuba isebenze ngokuzimeleyo nangaphezulu.
Oku kukhusela ukuwohloka komgogodla kunye nokuphuhliswa kwe-arthritis. (UJeffrey J Hebert et al., 2015 )
Imisipha ye-multifidus isebenza kunye namanye amaqela amabini e-muscle anzulu ukuzinza kunye nokuhambisa umqolo. (UJeffrey J Hebert et al., 2015 )
Imisipha ye-rotatores yenza ukujikeleza kwe-unilateral, ukujika ukusuka kwelinye icala ukuya kwelinye, kunye nokwandiswa kwamacala amabini okanye ukugoba ngasemva naphambili.
Imisipha ye-semispinalis ngaphezu kwe-multifidus ivumela ukwandiswa kunye nokujikeleza kwentloko, intamo, kunye nomva ongaphezulu.
I-multifidus muscle iqinisekisa amandla omgogodla ngenxa yokuba inamanqaku amaninzi okunamathisela kumqolo kunezinye iindawo, ezinciphisa ukuguquguquka komgogodla kunye nokujikeleza kodwa kwandisa amandla kunye nokuzinza. (U-Anouk Agten et al., 2020 )
Ubuhlungu Bokubuyisela
I-multifidus muscle ebuthakathaka iphazamisa umqolo kwaye inika inkxaso encinci kwi-vertebra. Oku kongeza uxinzelelo kwiimisipha kunye nezicubu ezixhamlayo phakathi kunye nakufuphi nekholamu yomgogodla, ukwandisa umngcipheko weempawu zentlungu ephantsi. (UPaul W. Hodges, uLieven Danneels 2019 ) Ukulahlekelwa kwamandla emisipha kunye nokuzinza kunokubangela i-atrophy okanye ilahleko. Oku kunokubangela uxinzelelo kunye nezinye iingxaki zomqolo. (UPaul W. Hodges et al., 2015 Iingxaki zangasemva ezinxulumene nokuwohloka kwemisipha ye-multifidus zibandakanya (UPaul W. Hodges, uLieven Danneels 2019 )
Iidiski zeHerniated - nazo ziqhuma okanye zityibilikile iidiski.
I-nerve entrapment okanye i-compression pinched nerve.
Sciatica
Intlungu ekubhekiselwa kuyo - iintlungu zemithambo-luvo ezivela kumqolo ovakala kwezinye iindawo.
I-Osteoarthritis - i-arthritis yokunxiba kunye nokukrazula
I-Spinal osteophytes - i-bone spurs
Izihlunu ezibuthathaka zesisu okanye ze-pelvic zingaphazamisa undoqo, ukwandisa umngcipheko weentlungu ezingapheliyo ezisezantsi kunye nokulimala.
Abantu ngabanye banconywa ukuba badibane nonyango lomzimba kunye ne-chiropractor onokukunceda ukuphuhlisa ezifanelekileyo impatho , isicwangciso sokubuyisela, kunye nokomeleza ngokusekelwe kwiminyaka yobudala, ukulimala, iimeko eziphantsi, kunye nobuchule bomzimba.
Ngaba i-Core Exercises iNceda ngeeNhlungu zoBumva?
VIDEO
Ucaphulo
Fortin, M., & Macedo, LG (2013). I-Multifidus kunye neqela le-muscle ye-paraspinal ye-cross-sectional areas yezigulane ezineentlungu ezisezantsi kunye nokulawula izigulane: ukuphononongwa okucwangcisiweyo okugxininise ekungabonini. Unyango lomzimba, 93 (7), 873-888. doi.org/10.2522/ptj.20120457
Hodges, PW, & Danneels, L. (2019). Utshintsho kwiSakhiwo kunye noMsebenzi weMihlunu yangasemva kwintlungu esezantsi: Amanqaku ahlukeneyo exesha, ukuqwalaselwa, kunye neendlela. Ijenali yonyango lwamathambo kunye nezemidlalo, 49 (6), 464-476. doi.org/10.2519/jospt.2019.8827
Agten, A., Stevens, S., Verbrughe, J., Eijnde, BO, Timmermans, A., & Vandenabeele, F. (2020). I-lumbar multifidus ibonakala ngohlobo olukhulu lwe-I muscle fibers xa kuthelekiswa ne-erector spinae. I-Anatomy & cell biology, 53 (2), 143-150. doi.org/10.5115/acb.20.009
Lynders C. (2019). Indima ebalulekileyo yoPhuhliso lwe-Transversus Abdominis ekuThintelweni kunye noNyango lwe-Low Back Pain. Ijenali ye-HSS : ijenali ye-musculoskeletal yeSibhedlele soTyando oluKhethekileyo, 15(3), 214–220. doi.org/10.1007/s11420-019-09717-8
Padwal, J., Berry, DB, Hubbard, JC, Zlomislic, V., Allen, RT, Garfin, SR, Ward, SR, & Shahidi, B. (2020). Umahluko wengingqi phakathi kwe-surficial and deep lumbar multifidus kwizigulane ezine-chronic lumbar spine pathology. I-BMC ye-musculoskeletal disorders, i-21 (1), i-764. doi.org/10.1186/s12891-020-03791-4
Hebert, JJ, Koppenhaver, SL, Teyhen, DS, Walker, BF, & Fritz, JM (2015). Uvavanyo lomsebenzi we-lumbar multifidus muscle nge-palpation: ukuthembeka kunye nokunyaniseka kovavanyo olutsha lweklinikhi. Ijenali yomqolo : ijenali esemthethweni yeNorth American Spine Society, 15 (6), 1196-1202. doi.org/10.1016/j.spinee.2013.08.056
Hodges, PW, James, G., Blomster, L., Hall, L., Schmid, A., Shu, C., Little, C., & Melrose, J. (2015). Utshintsho lwe-Muscle ye-Multifidus Emva kokulimala kwe-Back ibonakaliswe ngokuHlaziywa kweSakhiwo se-Muscle, i-Adipose kunye ne-Connective Tissue, kodwa kungekhona i-Muscle Atrophy: Ubungqina be-Molecular and Morphological. Umqolo, 40 (14), 1057-1071. doi.org/10.1097/BRS.0000000000000972
by UGqr Alex Jimenez Umenzakalo owehle kwisiqu , Ukulimala okuMsebenzi
Ngexesha lokuwa abantu bakholisa ukuzolula izandla zabo ngokuzenzekelayo ukunceda ukuphuka, okunokuthi kubetheke emhlabeni kubangele ukuwa kwisandla esoluliweyo okanye ukwenzakala kwe-FOOSH. Ngaba abantu kufuneka bahlolwe ngumboneleli wezempilo ukuba bakholelwa ukuba akukho kwenzakala?
FOOSH Ukwenzakala
Ukuwa phantsi kudla ngokukhokelela kumonzakalo omncinci. Ukulimala kweFOOSH kwenzeka xa uwela phantsi kwaye uzama ukuqhekeza ukuwa ngokufikelela ngesandla / ngezandla. Oku kunokubangela ukulimala kwinqanaba eliphezulu njenge-sprain okanye i-fracture. Kodwa ngamanye amaxesha, ukuwa ezandleni zomntu kunokukhokelela kumonzakalo omkhulu kunye / okanye ukudala imiba ye-musculoskelet yexesha elizayo. Abantu abaye bawa okanye bafumana ukulimala kwe-FOOSH kufuneka badibane nomboneleli wabo wezempilo kwaye emva koko ugqirha wenyama okanye i-chiropractor ukuphuhlisa ngokukhuselekileyo isicwangciso sonyango lokubuyisela, ukomeleza, kunye nokukhawuleza ukubuyiswa.
Emva Kokwenzakala
Kubantu abaye bawa phantsi baze bawela esandleni, esihlahleni, okanye engalweni, nazi izinto ezimbalwa zokuqinisekisa ukhathalelo olufanelekileyo lokwenzakala, kuquka:
Landela iprothokholi ye-RICE yokonzakala okuqatha
Ndwendwela umboneleli wezempilo okanye iklinikhi yendawo kaxakeka
Qhagamshelana nonyango lomzimba
Ukulimala kweFOOSH kunokuba yingozi okanye kubi kakhulu, ukuze ugweme ukuvumela imiba encinci ibe yingxaki enkulu, vavanywa yingcali ye-musculoskeletal. Umboneleli wezempilo uya kufumana iskena somfanekiso weendawo ezonzakeleyo kunye neendawo ezingqongileyo. Baya kwenza uviwo lomzimba ukuze banqume uhlobo lokulimala, njenge-sprain okanye i-muscle strain. Ukungafumani unyango olufanelekileyo emva kokuwa kunokubangela intlungu engapheliyo kunye nokulahlekelwa ngumsebenzi. (J. Chiu, SN Robinovitch. 1998 )
Ukulimala Okuqhelekileyo
Ukulimala kweFOOSH kunokulimaza iindawo ezahlukeneyo. Ezi zidla ngokubandakanya isihlahla kunye nesandla, kodwa ingqiniba okanye igxalaba nalo linokwenzakala. Ukwenzakala okuqhelekileyo kubandakanya:
Ukuqhekeka kweColles
Ukwaphuka kwesihlahla apho isiphelo sethambo lengalo sishenxiswa ngasemva.
Ukwaphuka kukaSmith
Ukwaphuka esihlahleni, okufana nokwaphuka kweColles, kulapho isiphelo sethambo lengalo sishenxiswa sibheke phambili esihlahleni.
Ukwaphuka kwebhokisi
Ukuqhekeka kwamathambo amancinci esandleni.
Ngokuqhelekileyo, kwenzeka emva kokubetha into ethile, kodwa ingenzeka ngokuwa kwinqindi eloluliweyo.
Ukukhutshwa kwe-elbow okanye ukwaphuka
Ingqiniba inokuphuma kwindawo edibeneyo okanye inokwaphula ithambo kwingqiniba.
Ukuqhekeka kweCollarbone
Amandla avela ekuweni kunye nezandla kunye neengalo zoluliwe zinokuhamba ukuya kwi-collarbone, kubangela ukuphuka.
Ukwaphuka kwe-humeral ekufutshane
Ukuwela kwingozi yesandla esoluliweyo kunokubangela ukuba ithambo lengalo lixinzelele egxalabeni, kubangele ukuphuka kwe-humeral ekufutshane.
Ukuhlulwa kwamagxa
Igxalaba linokuphuma kwilungu.
Oku kunokubangela ukukrazula kwe-rotator cuff okanye ukulimala kwe-labrum.
Kungakhathaliseki ukuba kwenzakalani, abantu ngabanye kufuneka batyelele umboneleli wezempilo ukuvavanya umonakalo. Ukuba ukulimala kunzulu, ugqirha unokwenza ukuxilongwa ngokuchanekileyo okanye ukwahlula kwaye aphuhlise isicwangciso sonyango. (UWilliam R. VanWye et al., 2016 )
Ulungiso lwenyama
Abantu ngabanye banokuzuza kunyango lomzimba ukuze bancede babuyele kwaye babuyele kwinqanaba labo langaphambili lomsebenzi. Unyango lomzimba luyahluka ngokuxhomekeka kumonzakalo othile, kodwa ngokuqhelekileyo, ugqirha womzimba unokunceda abantu ukuba babuyele emsebenzini emva kokuwa kwisandla esoluliweyo. (UWilliam R. VanWye et al., 2016 ) Unyango oluqhelekileyo lungabandakanya:
Unyango kunye neendlela zokunciphisa intlungu, ukuvuvukala, kunye nokudumba.
Umyalelo wendlela yokunxiba isilingi sengalo ngokufanelekileyo.
Ukuzivocavoca kunye nokwelula ukuphucula uluhlu lwentshukumo, amandla, kunye nokuhamba okusebenzayo.
Imithambo yokulinganisela.
Ulawulo lwezicubu ezibomvu ukuba utyando lwaluyimfuneko.
Iqela lonyango liya kuqinisekisa unyango olufanelekileyo isetyenziselwa ukubuyela ngokukhawuleza nangokukhuselekileyo kwimisebenzi yesiqhelo.
Ukhathalelo lweChiropractic lokuPhila emva kokwenzakala
VIDEO
Ucaphulo
Chiu, J., kunye noRobinovitch, SN (1998). Uqikelelo lwamandla empembelelo yomda ophezulu ngexesha lokuwa kwisandla esoluliweyo. Ijenali ye-biomechanics, i-31 (12), i-1169-1176. doi.org/10.1016/s0021-9290(98)00137-7
VanWye, WR, Hoover, DL, & Willgruber, S. (2016). Ukuhlolwa kwe-Physical therapist kunye nokuxilongwa okungafaniyo kwintlungu ye-elbow ebuhlungu: ingxelo yecala. Ithiyori yePhysiotherapy kunye nokusebenza, 32 (7), 556-565. doi.org/10.1080/09593985.2016.1219798
by UGqr Alex Jimenez Kokulimala Kwenzakalo , Umenzakalo owehle kwisiqu , Ukulimala okuMsebenzi
Abantu banokungaqondi ukuba unobambo oluqhekekileyo de iimpawu ezinjengeentlungu xa uphefumlela phezulu ziqala ukubonakala. Ngaba ukwazi iimpawu kunye noonobangela bokuqhekeka kweimbambo okanye okwaphukileyo kunokunceda ekuxilongeni nasekunyangweni?
Ubambo oluqhekekileyo
Imbambo eyaphukileyo / eyaphukileyo ichaza nakuphi na ukuphuka kwethambo. Ubambo oluqhekekileyo luhlobo lokwaphuka kwembambo kwaye luyinkcazelo engaphezulu kunoxilongo lwezonyango lwembambo ethe yaphuka inxenye. Nayiphi na impembelelo engacacanga esifubeni okanye ngasemva inokubangela ubambo oluqhekekileyo, kuquka:
Ukuwa
Ukungqubana kwemoto
Ukulimala kwezemidlalo
Ukukhohlela okunobundlobongela
Uphawu oluphambili lubuhlungu xa uphefumla.
Umonzakalo uphola kwiiveki ezintandathu.
iimpawu
Iimbambo eziqhekekileyo zidla ngokubangelwa kukuwa, ukwenzakala esifubeni, okanye ukukhohlela okunobundlobongela. Iimpawu ziquka:
Ukudumba okanye ukuthamba kwindawo eyonzakeleyo.
Intlungu yesifuba xa uphefumla/uphefumla, uthimla, uhleka, okanye ukhohlela.
Intlungu yesifuba ngokunyakaza okanye xa ulele phantsi kwiindawo ezithile.
Ukugruzuka okunokwenzeka.
Nangona kunqabile, ubambo oluqhekekileyo lunokubangela iingxaki ezifana nenyumoniya.
Bonana nomboneleli wezempilo ngokukhawuleza ukuba ufumana ubunzima bokuphefumla, iintlungu ezibuhlungu zesifuba, okanye ukhohlokhohlo oluzingileyo olunemifinya, umkhuhlane ophezulu, kunye/okanye nengqele.
iintlobo
Kwiimeko ezininzi, ubambo ludla ngokuphuka kwindawo enye, lubangele ukwaphuka okungaphelelanga, okuthetha ukuqhekeka okanye ukuqhekeka okungahambi ngethambo. Ezinye iintlobo zokwaphuka kwembambo ziquka:
Abagxothiweyo kunye nokwaphuka kweNondisplaced
Iimbambo ezaphuke ngokupheleleyo zinokushenxiswa okanye zingasuki endaweni.
Ukuba ubambo luyashukuma, oku kwaziwa njenge a ukwaphuka kweembambo kwaye kunokwenzeka ukuba agqobhoze imiphunga okanye wonakalise ezinye izihlunu kunye namalungu. (Yale Medicine. 2024 )
Ubambo oluhlala endaweni luthetha ukuba ubambo alwaphuki ngokupheleleyo phakathi kwaye lwaziwa ngokuba yi-a Ukwaphuka kwembambo ngaphandle kwendawo .
Isifuba seFlail
Inxalenye ye-ribcage inokwaphuka kwithambo elijikelezileyo kunye nesihlunu, nangona oku kunqabile.
Ukuba oku kwenzeka, i-ribcage iya kulahlekelwa ukuzinza, kwaye ithambo liya kuhamba ngokukhululekile njengoko umntu ekhupha okanye ekhupha.
Eli candelo leembambo ezaphukileyo libizwa ngokuba yi-flail segment.
Oku kuyingozi njengoko kunokugqobhoza imiphunga kwaye kubangele ezinye iingxaki ezimandundu, njengenyumoniya.
Izizathu
Izizathu eziqhelekileyo zokuqhekeka kweimbambo ziquka:
Ukungqubana kwemoto
Iingozi zabahambi ngeenyawo
Falls
Ukwenzakala kwempembelelo kwimidlalo
Ukusetyenziswa ngokugqithiseleyo / ukuphindaphinda uxinzelelo oluziswa ngumsebenzi okanye imidlalo
Ukukhohlela kakhulu
Abantu abadala banokufumana ukuphuka ngenxa yokulimala okuncinci ngenxa yokulahleka okuqhubekayo kweeminerali zethambo. (UChristian Liebsch et al., 2019 )
Ukuqheleka Kokwaphuka Iimbambo
Ukuqhekeka kweembambo lolona hlobo luqhelekileyo lokuqhekeka kwamathambo.
Zibalelwa kwi-10% ukuya kwi-20% yazo zonke iingozi ezibuhlungu ezibonwa kumagumbi angxamisekileyo.
Kwiimeko apho umntu efuna ukunyamekelwa ngokwenzakala okungafihlisiyo esifubeni, i-60% ukuya kwi-80% ibandakanya ubambo olwaphukileyo. (UChristian Liebsch et al., 2019 )
Ukuqondwa
Ubambo oluqhekekileyo lufunyaniswa ngovavanyo lomzimba kunye novavanyo lwemifanekiso. Ngexesha lovavanyo, umboneleli wezempilo uya kumamela imiphunga, acinezele ngobunono ezimbanjeni, kwaye abukele njengoko iimbambo zihamba. Iinketho zovavanyo lomfanekiso ziquka: (USarah Majercik, uFredric M. Pieracci ngo-2017 )
X-ray – Ezi zezokubona iimbambo ezisandul’ ukuqhekeka okanye ezaphukileyo.CT Scan – Olu vavanyo lomfanekiso lubandakanya ii-X-reyi ezininzi kwaye luyakwazi ukubona iintanda ezincinci.MRI – Olu vavanyo lomfanekiso lwenzelwe izicubu ezithambileyo kwaye ziyakwazi ukubona ikhefu elincinci okanye umonakalo we-cartilage.IBone Scan - Olu vavanyo lokucinga lusebenzisa i-tracer ye-radioactive ukuze ibone isakhiwo samathambo kwaye ingabonisa ukuphulwa koxinzelelo oluncinci.
impatho
Ngaphambili, unyango lwalubandakanya ukusonga isifuba ngebhanti eyaziwa ngokuba yibhanti yembambo. Ezi azifane zisetyenziswe namhlanje njengoko zinokunqanda ukuphefumla, zinyusa umngcipheko wenyumoniya okanye ukuwohloka kwenxalenye yemiphunga. (L. May, C. Hillermann, S. Patil 2016 ). Imbambo eqhekekileyo kukuqhekeka okulula okudinga oku kulandelayo:
Ukuphumla
I-over-the-counter okanye amayeza amiselweyo anokunceda ukulawula iimpawu zentlungu.
Amachiza achasene nokudumba kwe-nonsteroidal - ii-NSAID ezifana ne-ibuprofen okanye i-naproxen ziyacetyiswa.
Ukuba ikhefu libanzi, abantu banokumiselwa amayeza eentlungu ezinamandla ngokuxhomekeke kubunzima kunye neemeko eziphantsi.
Unyango lomzimba lunokukhawuleza inkqubo yokuphulukisa kunye nokunceda ukugcina uluhlu lwentshukumo yodonga lwesifuba.
Kwizigulana ezibuthathaka kunye nabantu abadala, unyango lomzimba lunokunceda isigulana sihambe kwaye senze imisebenzi ethile ibe yesiqhelo.
Umgulana womzimba unokuqeqesha umntu ukuba atshintshe phakathi kwebhedi kunye nezihlalo ngokukhuselekileyo ngelixa egcina ulwazi lwazo naziphi na iintshukumo okanye indawo eyenza intlungu ibe nzima.
I-physical therapist iya kumisela ukuzivocavoca ukugcina umzimba womelele kwaye ube lilungu kangangoko kunokwenzeka.
Ngokomzekelo, i-lateral twists inokunceda ukuphucula uluhlu lwentshukumo kwi-thoracic spine.
Ngexesha lokuqala lokubuyisela, kucetyiswa ukuba ulale kwindawo ethe tye.
Ukulala phantsi kunokongeza uxinzelelo, kubangele intlungu kwaye mhlawumbi kubangele ukulimala.
Sebenzisa imiqamelo kunye neebolsters ukunceda ukuxhasa ukuhlala ebhedini.
Enye indlela kukulala kwisitulo sokulala.
Ukuphilisa kuthatha ubuncinane iiveki ezintandathu. (L. May, C. Hillermann, S. Patil 2016 )
Ezinye iimeko
Oko kunokuvakala ngathi ubambo oluqhekekileyo lunokuba yimeko efanayo, yiyo loo nto kubalulekile ukuba uhlolwe. Ezinye iimpawu ezinokuba ngunobangela zinokubandakanya:
Emergency
Eyona ngxaki ixhaphakileyo kukungakwazi ukuphefumla kakhulu ngenxa yeentlungu. Xa imiphunga ingakwazi ukuphefumla nzulu ngokwaneleyo, imifinya kunye nokufuma kunokwakhelana kwaye kukhokelela kusulelo olufana nenyumoniya. (L. May, C. Hillermann, S. Patil 2016 ). Ukuqhekeka kweembambo ezifudukayo kunokonakalisa ezinye izicubu okanye amalungu, kwandisa umngcipheko wokuwa kwe-lung / pneumothorax okanye ukopha kwangaphakathi. Kuyacetyiswa ukuba ufune unyango olukhawulezileyo ukuba iimpawu zivela ngolu hlobo:
Ukuqhawukelwa ngumphefumlo
Ukuphefumula okunzima
Umbala oluhlaza wolusu obangelwa kukungabikho kweoksijini
Ukhohlokhohlo oluzingileyo olunemifinya
Intlungu yesifuba xa uphefumla ngaphakathi nangaphandle
Umkhuhlane, ukubila, kunye nokugodola
Iqondo lentliziyo ekhawulezayo
Amandla oNyango lweChiropractic ekuBuyiselweni kokulimala
VIDEO
Ucaphulo
Yale Medicine. (2024). Ukwaphuka kwembambo (ubambo olwaphukileyo) .
Liebsch, C., Seiffert, T., Vlcek, M., Beer, M., Huber-Lang, M., & Wilke, H. J. (2019). Iipateni ze-serial rib fractures emva kokwenzakala kwesifuba: Uhlalutyo lwamatyala angama-380. PloS enye, 14(12), e0224105. doi.org/10.1371/journal.pone.0224105
May L, Hillermann C, Patil S. (2016). Ulawulo lokwaphuka kwembambo. Imfundo ye-BJA. Umqulu 16, ushicilelo 1. Amaphepha 26-32, ISSN 2058-5349. doi:10.1093/bjaceaccp/mkv011
Majercik, S., & Pieracci, F. M. (2017). I-Chest Wall Trauma. Iiklinikhi zotyando lweThoracic, i-27 (2), i-113-121. doi.org/10.1016/j.thorsurg.2017.01.004
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?
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
VIDEO
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 Umenzakalo owehle kwisiqu , Ukulimala okuMsebenzi
Ingqiniba ekhutshiweyo kukwenzakala okuxhaphakileyo kubantu abadala nasebantwaneni kwaye kaninzi kwenzeka ngokuhambelana nokuqhekeka kwamathambo kunye nomonakalo wemithambo-luvo kunye nezicubu. Ngaba unyango lomzimba lunokunceda ukuxhasa ukubuyiswa kunye nokuqinisekisa uluhlu lokuhamba?
Ukonzakala kweElbow esusiweyo
Ukuchithwa kwe-elbow ngokuqhelekileyo kubangelwa yi-trauma xa amathambo engqiniba engasaxhumani. Abantu abawela kwisandla esoluliweyo ngoyena nobangela uqhelekileyo wokwenzakala. (UJames Layson, uBen J. Ogqibelele ngo-2023 ) Ababoneleli bezempilo baya kuzama ukuhambisa i-elbow ngokusebenzisa ukunciphisa okuvaliweyo. Abantu banokufuna utyando ukuba abanako ukuhambisa i-elbow besebenzisa ukunciphisa okuvaliweyo.
Ukusetha kwakhona i-Elbow
Ingqiniba yenziwe ngehenjisi kunye nebhola kunye ne-socket joint, eyenza iintshukumo ezizodwa: (Umbutho waseMelika woTyando lweSandla. 2021 )
Ihinge edibeneyo
Umsebenzi wehinge uvumela ukugoba kunye nokulungiswa kwengalo.
Ibhola kunye nesokethi edibeneyo
Umsebenzi webhola kunye ne-socket ikuvumela ukuba ujikeleze intende yesandla sakho ujonge phezulu okanye ujonge phantsi.
Ukulimala kwe-elbow ekhutshweyo kungonakalisa amathambo, izihlunu, iigaments kunye nezicubu. (I-American Academy ye-Orthopedic Surgeons. 2021 ) Ukuba ingqiniba ihlala ixesha elide ngaphandle komdibaniso, kokukhona umonakalo unokwenzeka. Ukukhutshwa kwe-elbow kunqabile ukusetwa kwakhona kumalungu abo ngokwawo kwaye kucetyiswa ukuba kuhlolwe ngumboneleli wezempilo oqeqeshiweyo ukukhusela umonakalo osisigxina kwimithambo-luvo okanye umsebenzi.
Akukhuthazwa ukuba uzame ukusetha kwakhona i-elbow ngokwakho.
Umboneleli wezempilo uya kusebenza ukubuyisela ukudibanisa kunye nokuqinisekisa ukulungelelaniswa okufanelekileyo.
Ngaphambi kokusetha kwakhona, baya kwenza uviwo lomzimba ukuvavanya ukujikeleza kwegazi kunye naluphi na umonakalo we-nerve.
Ababoneleli baya kuyalela ukuskena kwemifanekiso ukujonga ukuchithwa kunye nokuchonga amathambo aphukileyo. (I-American Academy ye-Orthopedic Surgeons. 2021 )
Uhlobo lokuTyulwa
Ezi ntlobo zimbini zokususwa kwengqiniba zezi: (UJames Layson, uBen J. Ogqibelele ngo-2023 )
Ukususwa Kwangemva
Yenzeka xa kukho amandla abalulekileyo entendeni anwenwela engqinibeni.
Ukuwa wolule izandla ukuze uzibambe, kwaye i-elbow joint ityhala ngasemva/ngasemva.
Ukukhutshwa Kwangaphambili
Oku akuqhelekanga kwaye kubangelwa kukusetyenziswa kwamandla kwingqiniba egobileyo.
Ukuwa phantsi xa isandla siphezulu kufuphi negxalaba.
Kule meko, i-elbow joint iqhubela phambili / ngaphambili.
Ii-X-reyi zisetyenziselwa ukumisela uhlobo lwe ukususwa kunye nokuchonga nawaphi na amathambo aphukileyo. (Umbutho waseMelika woTyando lweSandla. 2021 )
Ngokuxhomekeke kwingozi, umboneleli unokuyalela i-CT scan okanye i-MRI ukuqinisekisa ukuba akukho monakalo owenzekileyo kwiimbilini okanye kwiigaments. (IRadiopaedia. 2023 )
Izimpawu kunye neMpawu
Ukwenzakala kwengqiniba okuxekileyo kudla ngokubangelwa kukwenzakala. (I-American Academy ye-Orthopedic Surgeons. 2021 ) Iimpawu eziqhelekileyo kunye neempawu ziquka: (Umbutho waseMelika woTyando lweSandla. 2021 )
Ukungakwazi ukuhambisa ingqiniba.
Ukugruzuka kunye nokudumba okujikeleze indawo.
Intlungu ebuhlungu kwi-elbow kunye nendawo ejikelezileyo.
Ukukhubazeka okujikeleze i-elbow joint.
Ubundisholo, ukubetha, okanye ubuthathaka engalweni okanye esandleni kunokubonisa umonakalo wemithambo-luvo.
Unyango Ngaphandle Kotyando
Ababoneleli ngezempilo baqala bazama ukunyanga ingqiniba eshukumayo besebenzisa indlela yokunciphisa evaliweyo. (Umbutho waseMelika woTyando lweSandla. 2021 )
Ukunciphisa okuvaliweyo kuthetha ukuba i-elbow ingafuduswa ngaphandle kokuhlinzwa.
Ngaphambi kokunciphisa okuvaliweyo, umboneleli wezempilo uya kulawula amayeza ukunceda ukukhulula umntu kunye nokujongana neentlungu. (Medline Plus. 2022 )
Emva kokuba uhanjiswe kwindawo echanekileyo, umboneleli wezempilo usebenzisa i-splint (ngokuqhelekileyo kwi-angle ye-90-degree of flexion) ukugcina i-elbow endaweni. (UJames Layson, uBen J. Ogqibelele ngo-2023 )
Injongo kukuthintela ukwandiswa kwengqiniba, nto leyo enokubangela ukushukuma kwakhona.
Iqhina lihlala likhona iveki enye ukuya kwezintathu. (I-American Academy ye-Orthopedic Surgeons. 2021 )
Ugqirha womzimba uya kuvavanya ukunyakaza kwaye amisele ukuzivocavoca ukukhusela i-elbow range of motion loss.
Unyango ngoTyando
Ingqiniba ihlala ingazinzanga kunye nokwandiswa okuncinci.
Amathambo awahambelani ngokuchanekileyo.
I-ligaments idinga ukulungiswa ngakumbi emva kokunciphisa okuvaliweyo.
I-complex elbow dislocations inokwenza kube nzima ukugcina ulungelelwaniso oluhlangeneyo.
Isixhobo esincedisayo, njengehenjisi yangaphandle, sinokucetyiswa ukuba sincede ukuthintela ukuphinda ukhuphe ingqiniba.
Ugqirha wotyando uya kuncoma unyango lomzimba emva kokuhlinzwa ukuze ancede ngeendlela zokuzivocavoca ukuze kulungiswe kwaye kukhawuleze ukubuyiswa.
ukuchacha
Amaxesha okubuyisela anokwahluka njengoko yonke inzakalo yahlukile. (Umbutho waseMelika woTyando lweSandla. 2021 )
Ixesha lokubuyisela lixhomekeke ekuzinzeni kwe-elbow emva kokunciphisa okuvaliweyo okanye utyando.
Ababoneleli ngezempilo baya kuqalisa umthambo wokushukuma osebenzayo. (Umbutho waseMelika woTyando lweSandla. 2021 )
Ukunciphisa ixesha elingakanani i-joint immobilised iya kuthintela ukuqina, ukukhwabanisa, kunye nokunyakaza okuvinjelwe.
Ababoneleli bezempilo abacebisi ukukhutshwa ngaphezu kweeveki ezimbalwa.
Ukuqalisa kwakhona Imisebenzi eqhelekileyo
Ukuqalisa kwakhona umsebenzi oqhelekileyo kaninzi kuxhomekeke kuhlobo lonyango lokususwa kwengqiniba: (Iimbumbulu zeOrtho. 2023 )
UkuNcitshiswa okuvaliweyo
Ingqiniba iqhawuke iintsuku ezintlanu ukuya kwezilishumi.
Abantu banokubandakanyeka kunyango lomzimba umsebenzi wokunyakaza kwangoko ukunceda ukuthintela ukulahleka koluhlu lwentshukumo.
Abantu ngabanye bayacetyiswa ukuba benze imithambo elula kwiiveki ezimbini emva kokwenzakala.
Ukunciphisa utyando
Ingqiniba inokufakwa kwiplace evumela ukunyuka kancinci kancinci kwentshukumo.
Kubalulekile ukugcina intshukumo elawulwayo ukuthintela ukulahleka kwentshukumo.
Ingqiniba ingakhula ngokupheleleyo kwisithuba seeveki ezintandathu ukuya kwezisibhozo, nangona ingathatha ukuya kwiinyanga ezintlanu ukubuyisela ngokupheleleyo.
Umboneleli wezempilo uya kugqiba xa kukhuselekile ukuphinda aqalise umsebenzi oqhelekileyo.
Indlela yokuPhilisa ukwenzakala komntu
VIDEO
Ucaphulo
ULayson J, oyena BJ. Ukususwa kweElbow. [Ihlaziywe 2023 Jul 4]. Ku: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Ifumaneka kwi: www.ncbi.nlm.nih.gov/books/NBK549817/
Umbutho waseMelika woTyando lweSandla. (2021). Ukukhutshwa kwengqiniba .
I-American Academy ye-Orthopedic Surgeons. (2023). Ukukhutshwa kwengqiniba .
Jones J, Carroll D, El-Feky M, et al. (2023). Ukukhutshwa kwengqiniba . Inqaku lereferensi, Radiopaedia.org doi.org/10.53347/rID-10501
I-Medline kunye. (Ngo-2022). Ukucuthwa okuvaliweyo kwethambo eliqhekekileyo .
Iimbumbulu zeOrtho. (2023). Ukukhutshwa kwengqiniba .
by UGqr Alex Jimenez Ukunyamekela , Umenzakalo owehle kwisiqu
Inkqubela phambili inokuba ngumceli mngeni kumntu ngamnye kuqhaqho lwe-ankle. Unyango lomzimba lunokunceda njani ekubuyiseleni nasekubuyiseleni umsebenzi womlenze?
Iyonke iAnkle yoTshintsho emva koTyando lwePhysical Therapy
Utyando lulonke lokutshintshwa kweqatha yinkqubo enkulu ethatha ixesha ukuchacha. Utyando olulonke lwe-ankle okanye i-arthroplasty lunokunceda abantu abane intlungu engapheliyo ye-ankle okanye ukukhubazeka . Le nkqubo inokuphucula kakhulu intlungu yomntu wonke kunye nokusebenza ngexesha. Unyango lomzimba luyimfuneko ekubuyiseleni ukunyakaza kwi-ankle kunye nokubuyisela ukuhamba ngokupheleleyo. Umgulana womzimba uya kusebenza nomntu ukulawula intlungu kunye nokuvuvukala, ukubuyisela ukuhamba kwe-ankle, ukuqeqesha ukuhamba kunye nokulinganisela, nokuvuselela amandla emlenzeni. Oku kuya kunceda ukwandisa amathuba okuba nesiphumo esiyimpumelelo emva kokuhlinzwa.
I-Ankle iyonke yoTshintsho
I-ankle joint licandelo lomlenze ongezantsi apho i-shinbone/tibia idibana nethambo le-talus phezu konyawo. Into enokwenzeka ngumgangatho omtyibilizi / intlala ethe yatyabeka eziphelweni zala mathambo iqala ukubhitya okanye ukuwohloka. Njengoko ukuwohloka kuqhubeka, kunokukhokelela kwiintlungu ezinkulu, ukukhubazeka, kunye nobunzima bokuhamba. (Iklinikhi yaseCleveland. 2021 ) Kulapho ingcali inokucebisa ukutshintshwa kwe-ankle ngokupheleleyo ngeziphumo ezilungileyo. Iimeko ezahlukeneyo zinokuncedwa yile nkqubo, kuquka:
Umonakalo odibeneyo owenziwe yigawuthi
I-post-traumatic arthritis
Irheumatoid arthritis
I-osteoarthritis ephezulu
Osteonecrosis
isifo samathambo (Cort D. Lawton et al., 2017 )
Ngethuba lenkqubo yokutshintshwa kwe-ankle, ugqirha wamathambo ususa iziphelo ezonakalisiweyo ze-tibia kunye ne-talus amathambo kwaye uwafake endaweni yokugubungela. Icandelo le-polyethylene likhuselekile phakathi kwezakhiwo ezibini ukuxhasa ukuhamba kakuhle kweziphelo ezidibeneyo. (Massachusetts General Hospital. ND ) Ukulandela inkqubo, abantu bahlala bebekwe kwi-boot yokukhusela okanye i-splint. Umboneleli wezempilo uya kuncoma ukuba ahlale emlenzeni we-4 kwiiveki ze-8 ukuvumela ukuphilisa.
Ulungiso lwenyama
Unyango lwangaphandle lwezigulana ludla ngokuqaliswa kwiiveki ezimbalwa emva kotyando lweqakala. (UW Health Orthopedics kunye noBuyiselo. 2018 ) Unyango lomzimba lunokuhlala iinyanga ezintlanu okanye ngaphezulu, kuxhomekeke kubunzima bemeko kunye nokulimala. Ugqirha womzimba uya kugxininisa kwiindawo ezahlukeneyo ukuze ufumane iziphumo ezilungileyo. (Cort D. Lawton et al., 2017 )
UkuLawula iintlungu kunye nokuDumba
Iintlungu ze-post-operative kunye nokuvuvukala ziqhelekileyo emva kokutshintshwa kwe-ankle ngokupheleleyo. Asinto ingaqhelekanga ukuba iqatha lidumbe kangangeenyanga ezintandathu ukuya kwezili-12 emva kotyando. (UW Health Orthopedics kunye noBuyiselo. 2018 ) Ugqirha wotyando ngokuqhelekileyo uya kumisela iyeza ukunceda ukulawula ukungonwabi kwangoko, kwaye unyango lomzimba ludlala indima ebalulekileyo ekujonganeni neempawu. Unyango olusetyenziswayo lungabandakanya:
Ukuvuselela kombane - ii-pulses zombane ezincinci ezifakwe kwiimisipha.
umkhenkce
Ukunyanzeliswa kweVasopneumatic, apho i-sleeve ye-inflatable isetyenziselwa ukudala uxinzelelo olujikeleze ummandla, isetyenziswa ngokuqhelekileyo ekuqaleni kwonyango lomzimba ukunciphisa intlungu okanye ukuvuvukala.
Ezinye iindlela, ezifana nokwelula kunye nokuzivocavoca okujoliswe kuyo, kudibaniswa nolunye unyango.
Uhlobo lokuhamba
Kwangoko emva kwenkqubo, i-ankle iya kuba nzima kakhulu kwaye iqinile. Oku kungenxa yezinto ezininzi, kubandakanywa ukudumba kunye nokudumba emva kotyando kunye nexesha elichithwe lingenakunyakaziswa ebhuthini.
Ugqirha womzimba uya kusebenzisa iindlela ezahlukeneyo zokuphucula uluhlu lwe-ankle yokunyakaza ukujikeleza kunye nokuguquguquka.
Umgulana womzimba unokusebenzisa ukolula okunyanzeliswayo okubangelwa ngamandla angaphandle njengonyango okanye ibhendi yokumelana) ukunceda ukuphucula ukuhamba.
Ubuchule bezandla obufana nokuthanjiswa kwezicubu ezithambileyo kunye nokuhlanganisana ngokudibeneyo kuyasetyenziswa. (Massachusetts General Hospital. ND )
Ugqirha uya kuphuhlisa inkqubo yokuvuselela ikhaya equka ubuchule bokuzolula kunye nokunyakaza okuthambileyo.
UQeqesho lokuHamba nokuLingana
Emva kweeveki zokuhlala kwi-ankle echaphazelekayo, ugqirha uya kucima isigulane ukuba siqale ukuqeqeshwa kokuhamba.
Ugqirha womzimba uya kusebenza ekuphuculeni ipateni ye-gait jikelele kunye nokunciphisa ukuqhwala.
Baya kunceda kwakhona utshintsho ekusebenziseni iintonga okanye umntu ohambahambayo ukuhamba ngokuzimeleyo. (UW Health Orthopedics kunye noBuyiselo. 2018 )
Emva kweeveki ezininzi zokunciphisa ukunyakaza kunye nokungabikho kokuthwala naluphi na ubunzima kwi-ankle, izihlunu ezijikeleze i-ankle zihlala zi-atrophied / buthathaka, ezinokuchaphazela ibhalansi.
Xa umntu engaqala ukubeka ubunzima emlenzeni, umgqirha uya kusebenzisa i-proprioceptive / ingqiqo yokuqeqeshwa kwesikhundla somzimba ukuphucula ukuzinza ngokubanzi. (UW Health Orthopedics kunye noBuyiselo. 2018 )
Imithambo yokulinganisa iya kongezwa kwiprogram yasekhaya kwaye iya kuqhubeka iveki neveki.
amandla
Izihlunu emlenzeni, i-ankle, kunye nonyawo ziba buthathaka kuqhaqho kunye nexesha elichithwe kwi-splint okanye i-boot. Ezi zakhiwo zinendima ebalulekileyo ekulinganiseni, ukukwazi ukuma, ukuhamba, kunye nokunyuka okanye ukuhla kwezitebhisi.
Ukubuyisela amandla kunye namandla ezi zihlunu kuyinjongo ebalulekileyo yokubuyisela.
Kwiiveki zokuqala, umgulana womzimba uya kugxininisa ekusebenziseni ukuqinisa ngokuthambileyo.
I-Isometrics isebenze kancinci izihlunu kodwa ugweme ukucaphukisa indawo yotyando.
Njengoko ixesha lihamba kwaye ukuthwala ubunzima kuvunyelwe, ezi ntshukumo zithambileyo zitshintshwa zibe ngumngeni ngakumbi, njengamabhendi okuxhathisa kunye nemithambo yokuma, ukukhawulezisa ukuzuza amandla.
Ukunyanga i-Ankle Sprains nge-Chiropractic Care
VIDEO
Ucaphulo
Iklinikhi yaseCleveland. (2021). Ukutshintshwa kweqatha ngokupheleleyo .
Lawton, C. D., Butler, B. A., Dekker, R. G., 2nd, Prescott, A., & Kadakia, A. R. (2017). Iyonke i-ankle arthroplasty ngokuchasene ne-ankle arthrodesis-uthelekiso lweziphumo kule minyaka ilishumi idlulileyo. Ijenali yotyando lwamathambo kunye nophando, i-12 (1), i-76. doi.org/10.1186/s13018-017-0576-1
Massachusetts General Hospital. (ND). Izikhokelo zonyango lwe-Physical arthroplasty epheleleyo ye-ankle .
UW Health Orthopedics kunye noBuyiselo. (2018). Izikhokelo zokubuyisela kwisimo sangaphambili ezilandela i-ankle arthroplasty epheleleyo .
