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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.


Kutheni Ukugcina Imo echanekileyo kubalulekile kuNcedo lwentlungu

Kutheni Ukugcina Imo echanekileyo kubalulekile kuNcedo lwentlungu

Kubantu abaziva iintlungu zangasemva, iintlungu zentamo, okanye iintlungu zegxalaba, ngaba ukusebenzisa ubuchule be-postural kunceda ukunciphisa iintlungu kunye nokuphuhlisa izicwangciso zokugcina i-posture echanekileyo?

Kutheni Ukugcina Imo echanekileyo kubalulekile kuNcedo lwentlungu

Ukugcina Imo echanekileyo

Ukuzivocavoca kunye nokulungiswa kwe-postural zimbini zezona zicwangciso zibalulekileyo zokulawula intlungu. (URobin McKenzie, umqolo omkhulu we-PT, (May S. kunye noDonelson R. 2008) Nangona kunjalo, akulula ukugcina ukuma okuchanekileyo njengoko usuku luqhubeka. Ngelixa sisebenza okanye siqhuba, uninzi lwethu luyalibala kukukhumbula ukuma kwethu; sibuyela emva kwimikhwa engafanelekanga yokuhlala i-slouched, kwicala, phambili, njl njl, ehlala ikhokelela ekuqhubekeni kwentlungu kunye nokulinganiselwa kokunyakaza. Izifundo malunga nokulungiswa kwe-postural kunye nefuthe layo kumanqanaba eentlungu zemva okanye zentamo zilinganiselwe. (Lederman E. 2011) Nangona kunjalo, uphando oluthile lubonisa ukuba i-posture-head posture kwandisa uxinzelelo kunye nomthwalo entanyeni. (Hansraj KK 2014) Ukuba umntu uqaqanjelwa ngakumbi xa ehleli nkqo, mhlawumbi ukujonga ukuma njengoko imini iqhubeka kunokuba luncedo. Kukho iindlela zokuqalisa ukutshintsha isimo kunye nokugcina utshintsho. Okokuqala, tyelela i-physical therapist, ingcali yomgogodla, okanye i-chiropractor ukuze ufunde ukuhlala okanye ukuma ukulawula iingxaki ze-posture. Banokufundisa abantu ngabanye indlela yokufumana ukuma okunempilo kunye nokulawula imeko yabo. Ezi zicwangciso ke zinokusetyenziswa ukugcina ukuma okuchanekileyo.

Inkxaso yeLumbar

I-lumbar roll / inkxaso yenye yeendlela ezilula zokufikelela kunye nokugcina i-posture ephilileyo yokuhlala. Le miqamelo ikhethekileyo inokunceda ukugcina igophe langaphambili kumqolo ongezantsi. Ukugcina i-lumbar lordosis curve kubalulekile ukugcina uxinzelelo kwimisipha yangemva, amalunga kunye neediski. I-Lumbar support pillows inokufumaneka kwiivenkile ezahlukeneyo, iivenkile zeofisi, okanye zithengwe kwi-intanethi. I-PT ye-physical therapist inokunceda ukuqeqesha abantu ukuba basebenzise i-lumbar roll ngokufanelekileyo.

Sebenzisa i-Slouch Overcorrect Exercise

I-slouch overcorrect exercise yindlela elula yokuqeqesha umzimba ukuba ufumane kwaye ugcine indawo yawo engathathi hlangothi. Kubandakanya ukushukuma kancinane ukusuka kwindawo ethe tyaba ukuya kwindawo echaneke kakhulu. Emva kokuba i-posture ilungiswe ngokugqithiseleyo, ukuphumla okuncinci ukusuka kwisigxina esipheleleyo kuya kubuyela ekuhlaleni ngokufanelekileyo. Ukuziqhelanisa nalo mthambo mihla le kunokuncedisa umzimba ukuba uzive izihlunu, uphulaphule umzimba, kwaye ugcine ukuma ngendlela efanelekileyo. Izihlunu zinenkumbulo, kwaye okukhona umzimba ubekwa kwindawo efanelekileyo, izihlunu zikhumbula indawo yazo esempilweni, engenazintlungu.

Itheyiphu yeKinesiology

I-Kinesiology tape i-flexible cotton adhesive eyenza ukunyanzeliswa kwemisipha kunye nokuthintela imisipha kunye neentlungu. (Han JT et al., 2015) Ukusebenzisa i-tape yindlela elula yokunceda ukuququzelela imisipha yokuxhasa i-postural. I-tape ingasetyenziselwa kwi-trapezius ephakathi kunye nezihlunu ze-rhomboid ukunceda ukuxhasa amagxa kunye nomqolo. I-Kinesiology tape yolawulo lwe-postural nayo itsala ngobunono kwizihlunu xa i-slouching ukukhumbuza umntu ukuba ahlale okanye ame ngokuthe tye.

I-Scapular Stabilization Exercises

Ugqirha womzimba okanye i-chiropractor inokunceda ukuphucula i-posture ngokusebenzisa ukuzivocavoca okujoliswe kuyo. Ukomeleza izihlunu ezincanyathiselwe emagxeni kunokunceda abantu balawule ngcono ukuma kwabo. (Shiravi S. et al., 2019) Imithambo efana ne u-T, mna, okanye u-Y inokunceda ekuphuculeni imisipha ye-neuromuscular recruitment ukugcina i-posture echanekileyo.

Sebenzisa iAlam

Ukuseta i-alam ngelixa usebenza kunokunceda ukuqeqesha umzimba ukuba uhlale ulungile. Uninzi lwethu luhlala kwikhompyuter, kwidesika, okanye kwindawo yokusebenzela ngokuma okufanelekileyo, kodwa kuxhomekeke kwinto esisebenza kuyo, ekugqibeleni siye sityibilike, singqiyame ecaleni, okanye sibe nokuma kwentloko phambili. Kakuhle zonke iikhompyuter kunye neefowuni zinee-alam zokuseta okanye i-app. Sebenzisa i-alam okanye isibali-xesha ukucima rhoqo emva kwemizuzu engama-20 ukuya kwengama-30. Xa i-alam ikhala, jonga kwi-posture yakho ukuze uqonde into oyenzayo, phakama kwaye ujikeleze ukuze wolule umzimba, uhlale kwaye ulungise, setha kwakhona i-alamu, kwaye uqhubeke nokusebenza. Njengoko usiya usiba ngcono ekugcineni indlela efanelekileyo yokuma, awusayi kuphinda uyifune i-alam, kwaye ukulungiswa kwakhona kuya kuzenzekela.

Iqela leChiropractic

Ukuhlala kunye nokuma ngokuma okungenampilo kunokubangela kakhulu umqolo, intamo, kunye neentlungu zegxalaba. Ngokundwendwela i-chiropractic kunye neqela lonyango lomzimba kunye nokufunda ukufikelela kunye nokugcina i-posture echanekileyo, unokukhulula ngokukhawuleza iintlungu, usombulule imiba ye-musculoskelet, kunye nokuthintela iimpawu zentlungu ezizayo. I-Chiropractic yezoNyango zeChiropractic kunye ne-Functional Medicine Clinic isebenza kunye nababoneleli bezempilo bokuqala kunye neengcali ukuphuhlisa isicwangciso sokhathalelo lomntu kwisigulane ngasinye ngokusebenzisa indlela edibeneyo yokunyanga ukulimala kunye ne-syndromes ezibuhlungu ezingapheliyo, ukuphucula ukuguquguquka, ukuhamba, kunye neenkqubo ze-agility ukukhulula intlungu kunye nokunceda ukubuyela umsebenzi oqhelekileyo kunye nofanelekileyo. Ukuba ezinye iindlela zonyango zifunekayo, uDkt Jimenez uye wabambisana noogqirha abaphezulu, iingcali zeklinikhi, abaphandi bezonyango, kunye nababoneleli bokubuyisela ukubonelela ngonyango olusebenzayo.


I-Scapular Winging Ubunzulu


Ucaphulo

May, S., & Donelson, R. (2008). Ukulawulwa kobungqina obunobungqina beentlungu ezingapheliyo ezisezantsi kunye nendlela kaMcKenzie. Ijenali yomqolo : ijenali esemthethweni yeNorth American Spine Society, i-8 (1), i-134-141. doi.org/10.1016/j.spinee.2007.10.017

Lederman E. (2011). Ukuwa kwemodeli ye-postural-structural-biomechanical kwi-manual kunye neyeza zonyango: kubonakaliswa yintlungu ephantsi. Ijenali yomsebenzi womzimba kunye nonyango lokunyakaza, i-15 (2), i-131-138. doi.org/10.1016/j.jbmt.2011.01.011

Hansraj KK (2014). Uvavanyo lweengcinezelo kumqolo wesibeleko obangelwa yi-posture kunye nesikhundla sentloko. Iteknoloji yotyando lwamazwe ngamazwe, 25, 277-279.

Han, JT, Lee, JH, & Yoon, CH (2015). Umphumo womatshini we-kinesiology tape kwi-posture yegxalaba elijikelezileyo kubasebenzi abangamadoda abahleliyo: isifundo esilawulwa ngokungahleliwe esilawulwa ngokungahleliwe. Ithiyori yePhysiotherapy kunye nokusebenza, 31 (2), 120-125. doi.org/10.3109/09593985.2014.960054

Shiravi, S., Letafatkar, A., Bertozzi, L., Pillastrini, P., & Khaleghi Tazji, M. (2019). Ukusebenza kweNgxelo yoLawulo lweSisu kunye ne-Scapula yokuzinzisa iMisebenzi kubathathi-nxaxheba abaneNtloko ePhambili, i-Round Shoulder Postures kunye nokuphazamiseka kokuhamba kweNtamo. Impilo yezemidlalo, 11(3), 272-279. doi.org/10.1177/1941738119835223

IiFractures eziQinisekisiweyo: uTyando, iiCasts, kunye noNyango loMzimba

IiFractures eziQinisekisiweyo: uTyando, iiCasts, kunye noNyango loMzimba

Ngaba ukufunda malunga neempawu zokwaphuka kunye nokulungiswa kunganceda abantu kunye nababoneleli ngezempilo baphuhlise unyango olusebenzayo kunye neenkqubo zokubuyisela kwisimo sangaphambili?

IiFractures eziQinisekisiweyo: uTyando, iiCasts, kunye noNyango loMzimba

Iifractures eziqhubekayo

Ukuqhekeka okukhawulezileyo kukuqhekeka okukhulu apho ithambo liqhekeka libe ngamaqhekeza amathathu ubuncinane. Ukuqhekeka okuphindaphindiweyo kwenzeka kumathambo amade njengalawo asezingalweni nasemilenzeni. Kodwa zinokwenzeka nakwezinye iindawo, kuquka iimbambo. (UCorinne Tarantino, ngo-2022Ngokuqhelekileyo zibangelwa yimpembelelo enkulu, njengokungqubana kwemoto/ingozi okanye ukuwa kakhulu. Ngokuxhomekeke kwindawo yokwaphuka, ukubuyiswa kokuqhekeka okwenyukayo kunokuthatha iinyanga kwaye kuhlala kubandakanya:

  • Utyando - Ugqirha wotyando uya kubeka izikrufu kunye neentonga zokubamba iziqwenga zethambo kwindawo. Ngamanye amaxesha, i-hardware ishiywe ngokusisigxina. (IAkhademi yaseMelika yooGqirha bamathambo, ngo-2021)
  • Ukunxiba isamente iinyanga ezininzi.
  • Ulungiso lwenyama.

iintlobo

Kwezi ntlobo zokuqhekeka, ithambo liphukile ngokupheleleyo, kungekhona nje ukuqhekeka. Ikhefu li Ukwaphuka okukhulu ukuba ithambo laphuka libe ziziqwenga ezine nangaphezulu. (UCorinne Tarantino, ngo-2022)

iimpawu

Iimpawu ziyafana nezo zamanye amathambo aphukileyo, kodwa zinokuba nzima ngakumbi ngenxa yokuba ithambo liphukile kwiindawo ezininzi, oku kuthetha ukuba kunokubakho ukulimala kwezicubu ezithambileyo kunokophuka okulula. Iimpawu zokwaphuka kwethambo ziquka: (I-MedlinePlus, ngo-2024)

  • Iintlungu ezingapheliyo
  • Ukuvuvukala
  • Ukunyakaza
  • Ukukhubazeka - ithambo likhangeleka ngaphandle kwendawo okanye likwi-angle engaqhelekanga.
  • Ukulinganisa
  • Ubungqina
  • Ubunzima bokuhambisa ilungu.

Izizathu

Amandla anamandla abangela ukuphuka kwe-comminuted, ngokuqhelekileyo ingozi yemoto okanye ukuwa kanzima, kodwa kunokubangelwa ukulimala kwezemidlalo. (UCorinne Tarantino, ngo-2022)

Ukuqondwa

Ukwaphuka okungapheliyo kufunyanwa ngeX-reyi, ebonisa ukuba ithambo laphuke phi kwaye mangaphi amaqhekeza elicandekileyo (I-MedlinePlus, ngo-2024). Ababoneleli bezempilo baya kuxilonga nawaphi na amathambo aphukileyo kodwa bajonge nolunye ukonzakala.

impatho

Ngokuqhelekileyo, amathambo aphukileyo angaphathwa nge-casts, i-braces, okanye i-boot ukuze bahlale bengenakunyakaziswa. (I-MedlinePlus, ngo-2024) Ngenxa yokuba iifracture ziba qatha ngakumbi, zidla ngokufuna olunye unyango, kuquka utyando. Ngamanye amaxesha, ithambo linokubuyiselwa endaweni yotyando usebenzisa i ubuchule bokunciphisa obuvaliweyo, apho umboneleli wezempilo usetha kwakhona ithambo ngesandla. Utyando lunokucetyiswa ukuba oko akunakwenzeka okanye akusebenzi.

Iintlobo zoTyando

Utyando luvumela umboneleli wezempilo ukuba abeke ngokuchanekileyo zonke iziqwenga zethambo ukuze aphilise ngendlela eyomeleleyo, ezinzileyo. Ezi ntlobo zimbini ziqhele ukusetyenziswa ukunyanga iifractures ezidibeneyo zezi: (IAkhademi yaseMelika yooGqirha bamathambo, ngo-2021)

Ukulungiswa kwangaphandle

  • Olu tyando lusebenzisa iintonga kunye nezikrufu ngaphandle komzimba ukuzinzisa ithambo.
  • Esi sikhokelo sangaphandle sibekwe ngexesha lotyando kwaye kamva sisuswe.

Vula Ukunciphisa Ukulungiswa Kwangaphakathi - ORIF

  • Ngeli xesha lotyando, ithambo lizinziswe ngamacwecwe esinyithi, izikrufu, iintonga, kunye/okanye iingcingo ezibekwe ngaphakathi emzimbeni wakho.
  • Ngamanye amaxesha, ezi zisisigxina, kodwa kwezinye iimeko, zisuswa kamva.
  • Ugqirha wamathambo owenza olu tyando.

Ukugxotha

Emva kokuhlinzwa, i-cast idla ngokuyimfuneko ukukhusela ithambo ukuba lingahambi kwaye livumele ukuphilisa. Ngokuqhelekileyo, isamente inxitywa iiveki ezintandathu ukuya kwezisibhozo, kodwa inokufuna ukunxitywa ixesha elide kunye nokuqhekeka okudibeneyo. Abanye bafuna isamente iinyanga ezininzi (IAkhademi yaseMelika yooGqirha bamathambo, ngo-2021). Ngamanye amaxesha, abo banokulungiswa kwangaphandle kufuneka baqhubeke benxibe intsimbi emva kokususa izikhonkwane kunye neentonga, ukunika ithambo ixesha elingakumbi lokuzinza. Umboneleli wezempilo uya kwazisa isigulana ukuba isaliti iya kufuna ukunxitywa ixesha elingakanani kwaye yeyiphi imisebenzi yezemidlalo ekufuneka iphetshwe nasemva kokuba i-cast iphumile.

Ulungiso lwenyama

Umboneleli wezempilo unokucebisa unyango lomzimba ukunceda ukunyanga ukwaphuka. Ngokuqhelekileyo, xa i-cast isusiwe, unyango lomzimba luyasebenza ukunceda ukuvuselela amandla kunye noluhlu lwentshukumo. (UCorinne Tarantino, ngo-2022)

Prognosis

Nangona ezi fracture zibukhali, ziyanyangeka. I-prognosis ilungile kubantu abalandela isicwangciso sonyango somboneleli wabo wezempilo. Uninzi alunayo iintlungu ezingapheliyo emva kokulimala kokuqala kwaye ekugqibeleni banokubuyela kwimisebenzi eqhelekileyo. (IAkhademi yaseMelika yooGqirha bamathambo, ngo-2021)

ukuchacha

Ukunyanga ukwaphuka okungapheliyo kunokuthatha iinyanga. Ngelo xesha, kuyanceda ukugxila kwimisebenzi enokuthi iphunyezwe, njengezinto ezintsha zokuzilibazisa ezingabandakanyi ukulimala emzimbeni. Thetha nomboneleli wezempilo malunga naziphi na iingxaki nge-cast okanye intlungu eqhubekayo kunye nokuba ulindele ntoni ngexesha lokubuyisela.

I-Chiropractic yezoNyango zeChiropractic kunye ne-Functional Medicine Clinic isebenza nababoneleli bezempilo bokuqala kunye neengcali ukuphuhlisa isisombululo sezempilo kunye nokuphila kakuhle ngokusebenzisa indlela edibeneyo yokunyanga ukulimala kunye neentlungu ezingapheliyo, ukuphucula ukuguquguquka, ukuhamba, kunye neenkqubo ze-agility ukukhulula intlungu kunye nokunceda abantu babuyele eqhelekileyo. Ababoneleli bethu benza izicwangciso zokhathalelo lomntu kwisigulane ngasinye. Ukuba ezinye iindlela zonyango zifunekayo, uDkt Jimenez uye wabambisana noogqirha abaphezulu, iingcali zeklinikhi, abaphandi bezonyango, kunye nababoneleli bokubuyisela ukubonelela ngonyango olusebenzayo.


Indlela yokuPhilisa ukwenzakala komntu


Ucaphulo

Corinne Tarantino, MPH. I-Osmosis. (2022). Ukuqhekeka okuNgqongileyo: Yintoni, iMizekelo kunye nokunye. www.osmosis.org/answers/comminuted-fracture

Throckmorton TW American Academy of Orthopedic Surgeons. (2021). Ukuqhekeka (amathambo aphukileyo). orthoinfo.aaos.org/en/diseases-conditions/fractures-broken-bones/

MedlinePlus. Ithala leencwadi leSizwe loNyango. (2024). Ukwaphuka Kwakhona kuthiwa: Ithambo elaphukileyo. Ifunyenwe kwi medlineplus.gov/fractures.html

Musa ukungayinaki imiqondiso ye-Whiplash kunye neempawu: Funa unyango

Musa ukungayinaki imiqondiso ye-Whiplash kunye neempawu: Funa unyango

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?

Musa ukungayinaki imiqondiso ye-Whiplash kunye neempawu: Funa unyango

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


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

Isikhokelo esigqibeleleyo sokuqinisa imisipha ye-Multifidus

Isikhokelo esigqibeleleyo sokuqinisa imisipha ye-Multifidus

Kubantu abafumana iintlungu ezisezantsi banokuqonda i-anatomy kunye nomsebenzi we-multifidus muscle uncedo ekuthinteleni ukulimala kunye nophuhliso lwesicwangciso sonyango esisebenza kakhulu?

Isikhokelo esigqibeleleyo sokuqinisa imisipha ye-Multifidus

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., 2015Iingxaki 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?


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

FOOSH Unyango Lokulimala: Yintoni Omayazi

FOOSH Unyango Lokulimala: Yintoni Omayazi

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 Unyango Lokulimala: Yintoni Omayazi

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


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

Ubambo oluqhekekileyo: Isikhokelo esiGqibeleleyo kwiZisusa kunye nendlela yokuyiNyanga

Ubambo oluqhekekileyo: Isikhokelo esiGqibeleleyo kwiZisusa kunye nendlela yokuyiNyanga

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: Isikhokelo esiGqibeleleyo kwiZisusa kunye nendlela yokuyiNyanga

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
  1. Uphawu oluphambili lubuhlungu xa uphefumla.
  2. 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.
  1. Ngexesha lokuqala lokubuyisela, kucetyiswa ukuba ulale kwindawo ethe tye.
  2. Ukulala phantsi kunokongeza uxinzelelo, kubangele intlungu kwaye mhlawumbi kubangele ukulimala.
  3. Sebenzisa imiqamelo kunye neebolsters ukunceda ukuxhasa ukuhlala ebhedini.
  4. Enye indlela kukulala kwisitulo sokulala.
  5. 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


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

Unyango olubandayo nge-Ice Tape yokulimala kwe-Musculoskeletal

Unyango olubandayo nge-Ice Tape yokulimala kwe-Musculoskeletal

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?

Unyango olubandayo nge-Ice Tape yokulimala kwe-MusculoskeletalITape yomkhenkce

Emva kokwenzakala kwe-musculoskeletal, abantu ngabanye bayacetyiswa ukuba balandele i-R.I.C.E. indlela yokunceda ukunciphisa ukudumba nokuvuvukala. R.I.C.E. sisishunqulelo se-Rest, Umkhenkce, uKucinezeleka, kunye noKuphakama. (Michigan Medicine. IYunivesithi yaseMichigan. 2023) Ukubanda kunceda ukunciphisa iintlungu, ukunciphisa ubushushu bezicubu, kunye nokunciphisa ukudumba kwindawo yokwenzakala. Ngokulawula ukuvuvukala ngomkhenkce kunye nokunyanzeliswa kwangoko emva kokulimala, abantu ngabanye banokugcina uluhlu olufanelekileyo lokuhamba kunye nokuhamba malunga nenxalenye yomzimba owenzakeleyo. (Jon E. Block. 2010) Kukho iindlela ezahlukeneyo zokusebenzisa umkhenkce kwingozi.

  • Iingxowa ze-ice ezithengiweyo kunye neepakethe ezibandayo.
  • Ukumanzisa inxalenye yomzimba owenzakeleyo kwi-whirlpool ebandayo okanye ebhafini.
  • Ukwenza iipakethi zomkhenkce ezinokuphinda zisetyenziswe.
  • I-bandage yoxinzelelo ingasetyenziswa kunye nomkhenkce.

ITape yomkhenkce libhandeji lokucinezela elibonelela ngonyango olubandayo ngaxeshanye. Emva kokulimala, ukuyifaka kunokunceda ukunciphisa intlungu kunye nokudumba ngexesha lokuvuvukala okukhulu kokuphilisa. (Matthew J. Kraeutler et al., 2015)

Isebenza njani iTape

I-tape i-bandage eguquguqukayo efakwe kwi-gel yokupholisa yonyango. Xa isetyenziswe kwindawo eyonzakeleyo kwaye ibonakaliswe emoyeni, ijeli iyasebenza, ivelise ukuvakalelwa okubandayo kwindawo yonke. Isiphumo sonyango lonyango sinokuhlala iiyure ezintlanu ukuya kwezintandathu. Idibaniswe ne-bandage eguquguqukayo, inika unyango lwe-ice kunye nokunyanzeliswa. Iteyiphu yomkhenkce ingasetyenziselwa ngqo ngaphandle kwepakethe kodwa ingagcinwa kwifriji ukunyusa umphumo obandayo. Ngokuxhomekeke kwimiyalelo yomenzi, iteyiphu ayimelanga igcinwe kwisikhenkcisi njengoko oku kunokwenza kube nzima kakhulu ukusonga indawo eyonzakeleyo.

eziluncedo

Izibonelelo ziquka oku kulandelayo:

Kulula ukuyisebenzisa

  • Imveliso kulula ukuyisebenzisa.
  • Khupha iteyiphu, kwaye uqale ukuyisonga kwilungu lomzimba elenzakeleyo.

IiFasteners aziyomfuneko

  • Ukusonga kunamathele ngokwawo, ngoko i-tape ihlala kwindawo ngaphandle kokusebenzisa iziqeshana okanye izibophelelo.

Kulula ukuSika

  • Uluhlu olusemgangathweni luyi-intshi ezingama-48 ubude kunye nee-intshi ezi-2 ububanzi.
  • Uninzi lwamanxeba lufuna ngokwaneleyo ukugubungela indawo eyonzakeleyo.
  • Izikere zisike elona nani lifunekayo, kwaye ezinye zigcine kwingxowa ephinda ivaleke.

Ukuhlaziywa

  • Emva kwemizuzu eyi-15 ukuya kwe-20 yokusetyenziswa, imveliso inokususwa ngokulula, ihlanganiswe, igcinwe kwisikhwama, kwaye isetyenziswe kwakhona.
  • Iteyiphu ingasetyenziselwa amaxesha amaninzi.
  • I-tape iqala ukulahlekelwa umgangatho wayo wokupholisa emva kokusetyenziswa okuninzi.

Portable

  • Iteyiphu ayifuni kufakwa kwindawo epholileyo xa uhamba.
  • Iphathwa ngokulula kwaye igqibelele kwi-ice ekhawulezayo kunye nesicelo soxinzelelo ngokukhawuleza emva kokulimala.
  • Inokunciphisa iintlungu kunye nokudumba kwaye igcinwe kwindawo yokusebenza.

nezingeloncedo

Ukungalungi okumbalwa kubandakanya oku kulandelayo:

Ivumba leMichiza

  • Ijeli ekusongeni okuguquguqukayo ingaba nevumba leyeza.
  • Ayilovumba elinamandla njengeekhilimu zeentlungu, kodwa ivumba lekhemikhali linokubakhathaza abanye abantu.

Isenokungabandi ngokwaneleyo

  • Iteyiphu isebenzela ukuthomalalisa iintlungu kwangoko kunye nokudumba, kodwa isenokungabandi ngokwaneleyo kumsebenzisi xa isetyenziswe kanye kwipakethe kwiqondo lobushushu begumbi.
  • Nangona kunjalo, inokubekwa efrijini ukwandisa ukubanda kwaye inokubonelela ngesiphumo sokupholisa ngonyango ngakumbi, ngakumbi kwabo bajongene ne-tendinitis okanye i-bursitis.

Ukuncamathela kusenokuphazamisa

  • Iteyiphu inokuba ncangathi kwabanye.
  • Lo mba uncangathi unokuba ngumsindo omncinci.
  • Nangona kunjalo, ivakala nje incangathi xa isetyenziswa.
  • Iiflekhi ezimbalwa zejeli zinokushiyeka ngasemva xa zisusiwe.
  • Iteyiphu yomkhenkce inokubambelela kwiimpahla.

Kubantu abafuna unyango olukhawulezayo, oluhambayo lokupholisa amalungu omzimba awonzakeleyo okanye abuhlungu, umkhenkce tape inokuba lukhetho. Kungaba kuhle ukuba nesandla ukubonelela ngoxinzelelo lokupholisa ukuba ukwenzakala okuncinci kwenzeka ngelixa uthatha inxaxheba kwi-athletics okanye kwimisebenzi yomzimba kunye nokukhululeka kokusetyenziswa ngokugqithiseleyo okanye ukwenzakala okuphindaphindiweyo.


Ukunyanga i-Ankle Sprains


Ucaphulo

Michigan Medicine. IYunivesithi yaseMichigan. Ukuphumla, umkhenkce, uxinzelelo kunye nokuphakama (RICE).

Block J. E. (2010). Ukubanda kunye nokunyanzeliswa kolawulo lokulimala kwe-musculoskelet kunye neenkqubo zokusebenza kwamathambo: ukuphononongwa kwengxelo. Vula ukufikelela kwijenali yezamayeza ezemidlalo, 1, 105–113. doi.org/10.2147/oajsm.s11102

UKraeutler, M. J., Reynolds, K. A., Long, C., & McCarty, E. C. (2015). I-cryotherapy exinzelelekileyo ngokuchasene nomkhenkce-isifundo esilindelekileyo, esingahleliweyo kwiintlungu zangasemva kokuhlinzwa kwizigulane ezenza ukulungiswa kwe-arthroscopic rotator cuff okanye i-subacromial decompression. Ijenali yotyando lwamagxa kunye nengqiniba, 24 (6), 854-859. doi.org/10.1016/j.jse.2015.02.004