Ukulimala okuMsebenzi
I-Back Clinic Work-Related Injury Iqela leChiropractic kunye nePhysical Therapy. Ukulimala komsebenzi kunye neemeko zinokuthi zenzeke kwiimeko ezahlukeneyo, ukuguqula indlela yokuphila yomntu, nangona kunjalo, ezo zenzeke kwintsimi yomsebenzi zinokuthi zibe buthathaka kwaye ziphazamise, ezichaphazela ukusebenza komntu ngamnye. Ukulimala okunxulumene nomsebenzi kunokubandakanya ukuphuka kwamathambo kunye nokuxhatshazwa kwemisipha / ukuhlutha kwiimeko ezibangela ukuchithwa kwezakhiwo ezininzi zomzimba, ezifana nesifo samathambo.
Kwakhona kubhekiselwa kukulimala emsebenzini, ukuphindaphinda kunye nokuhamba rhoqo kwezandla, iingalo, amagxa, intamo kunye nomva, phakathi kwezinye, kunokuguga ngokuthe ngcembe izicubu, ukwandisa umngcipheko wokulimala onokuthi ekugqibeleni ubangele ezinye iingxaki. Iqoqo lamanqaku libonisa izizathu kunye nemiphumo yokulimala okuninzi okunxulumene nomsebenzi, ngokuchaza ngokucophelela iindidi ezahlukeneyo. Ngolwazi oluthe kratya, nceda ukhululeke ukunxibelelana nathi apha (915) 850-0900 okanye isicatshulwa ukubiza uGqirha Jimenez buqu (915) 540-8444.
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
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
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 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
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 | Ukulimala kwezemidlalo, Ukulimala okuMsebenzi
Kubantu abajongene nokulimala kweenzwane ze-turf, ngaba ukwazi iimpawu kunokunceda iimbaleki kunye nabangengabo abadlali ngonyango, ixesha lokubuyisela, kunye nokubuyela kwimisebenzi?
Ukwenzakala kweTurf Toe
Ukulimala kwenzwane ye-turf kuchaphazela i-ligaments ye-tissue ethambileyo kunye ne-tendon kwisiseko senzwane enkulu phantsi unyawo. Le meko ngokuqhelekileyo iyenzeka xa inzwane i-hyperextended / inyanzeliswa phezulu, njengokuba ibhola yeenyawo iphantsi kwaye isithende siphakanyiswa. (I-American Academy ye-Orthopedic Surgeons. 2021) Ukulimala kuqhelekileyo phakathi kwabadlali abadlala imidlalo kwi-turf yokwenziwa, yindlela yokulimala ebizwa ngayo. Nangona kunjalo, inokuchaphazela nabangengabo iimbaleki, njengabantu abasebenza ngeenyawo imini yonke.
- Ixesha lokubuyisela emva kokulimala kwe-turf toe kuxhomekeke kubunzima kunye nohlobo lwemisebenzi umntu aceba ukubuyela kuyo.
- Ukubuyela kwimisebenzi yezemidlalo ephezulu emva kokulimala kakhulu kunokuthatha iinyanga ezintandathu.
- Ezi nzakala ziyahluka ngobunzima kodwa ngokuqhelekileyo ziphucula ngonyango olulondolozayo. Kwiimeko ezimandundu, kunokufuneka utyando.
- Ubuhlungu ngumcimbi oyintloko oyeka imisebenzi yomzimba emva kokulimala kwebanga le-1, ngelixa amabakala 2 kunye ne-3 angathatha iiveki ukuya kwiinyanga ukuphilisa ngokupheleleyo.
meaning
Ukwenzakala kwinzwane yonyawo kubhekisa ku-a metatarsophalangeal yoxinzelelo ngokudibeneyo. Olu luhlu lubandakanya iigaments ezidibanisa ithambo kwinyawo lonyawo, ngaphantsi kwenzwane enkulu / i-phalanx esondeleyo, kumathambo adibanisa iinzwane kumathambo amakhulu ezinyaweni / i-metatarsals. Ukwenzakala ngokuqhelekileyo kubangelwa yi-hyperextension edla ngokuphuma kwintshukumo yokutyhala, njengokubaleka okanye ukutsiba.
UkuGcina
Ukulimala kweenzwane ze-turf kunokuqala ukusuka kumbi ukuya kobunzima kwaye kuhlelwe ngolu hlobo lulandelayo: (I-American Academy ye-Orthopedic Surgeons. 2021)
- Bakala 1 – Izicubu ezithambileyo zoluliwe, zibangela intlungu kunye nokudumba.
- Bakala 2 – Ithishu ethambileyo ikrazuke kancinane. Ubuhlungu bubonakala ngakumbi, kunye nokudumba okubonakalayo kunye nokubetha, kwaye kunzima ukuhambisa inzwane.
- Bakala 3 – Izicubu ezithambileyo zikrazukile ngokupheleleyo, kwaye iimpawu zibukhali.
Ngaba Le nto Ibangela Iintlungu Zonyawo Lwam?
Inzwane yeTurf ingaba yi:
- Ukulimala ngokugqithisileyo - okubangelwa ukuphindaphinda ukunyakaza okufanayo ngokuphindaphindiweyo ixesha elide, elibangela ukuba iimpawu zibe nzima.
- Ukulimala okukrakra - okwenzeka ngokukhawuleza, kubangela intlungu ngokukhawuleza.
Iimpawu zingabandakanya oku kulandelayo: (IMisa Jikelele uBrigham. 2023)
- Uluhlu olulinganiselweyo lwentshukumo.
- Ubunono kuzwane omkhulu kunye nendawo ejikelezileyo.
- Ukudumba.
- Intlungu kwinzwane enkulu kunye nendawo ejikelezileyo.
- Ukuthuthuzela.
- Amalungu adibeneyo angabonisa ukuba kukho ukuchithwa.
Ukuqondwa
Ukuba ufumana iimpawu ze-turf toe, bona umboneleli wezempilo ukuze ufumane ukuxilongwa ngokufanelekileyo ukuze baphuhlise isicwangciso sonyango lomntu. Baza kwenza uvavanyo lomzimba ukuvavanya intlungu, ukudumba, kunye noluhlu lwentshukumo. (I-American Academy ye-Orthopedic Surgeons. 2021) Ukuba umboneleli wezempilo ukrokrela umonakalo wezicubu, unokuncoma umfanekiso kunye ne-X-rays kunye (i-MRI) ukulinganisa ukulimala kunye nokumisela indlela efanelekileyo yokwenza.
impatho
Umboneleli wezempilo uya kugqiba unyango olungcono olusekelwe kubunzima bokulimala. Konke ukulimala kweenzwane ze-turf kunokuzuza kwiprotocol ye-RICE: (IKholeji yaseMelika yeeNyawo kunye ne-Ankle Surgeons. Iinyaniso zempilo yonyawo. 2023)
- Ukuphumla - Yiphephe imisebenzi eyenza iimpawu zibe mandundu. Oku kunokubandakanya ukusebenzisa isixhobo sokuncedisa njengebhutsi yokuhamba okanye iintonga zokunciphisa uxinzelelo.
- Umkhenkce – Faka umkhenkce kangangemizuzu engama-20, emva koko ulinde imizuzu engama-40 ngaphambi kokuba uphinde ufake isicelo.
- Uxinzelelo - Gquba inzwane kunye nonyawo nge-bandage e-elastic ukuxhasa kunye nokunciphisa ukudumba.
- Ukuphakama -Faka unyawo ngaphezu kwinqanaba lentliziyo ukunceda ukunciphisa ukudumba.
Bakala 1
I-Toe ye-turf yeBanga loku-1 ihlelwa ngezicubu ezithambileyo ezoluliweyo, iintlungu, kunye nokudumba. Unyango lungabandakanya: (U-Ali-Asgar Najefi et al., 2018)
- Ukucofa ukuxhasa uzwane.
- Ukunxiba izihlangu ezine soli eqinileyo.
- Inkxaso ye-Orthotic, njenge-a ipleyiti ye-turf toe.
Amabanga 2 kunye 3
IBanga lesi-2 kunye nelesi-3 liza nokukrazula inxalenye okanye epheleleyo, iintlungu ezibuhlungu, kunye nokudumba. Unyango lwezinzwane ze-turf ezinzima zinokubandakanya: (U-Ali-Asgar Najefi et al., 2018)
- Ukuthwala ubunzima obulinganiselweyo
- Ukusebenzisa izixhobo zokuncedisa ezifana neentonga, ibhutsi yokuhamba, okanye isamente.
Olunye Unyango
- Ngaphantsi kwe-2% yokulimala kufuna utyando. Ngokuqhelekileyo kunconywa ukuba kukho ukungazinzi kwilungu okanye xa unyango olulondolozayo lungaphumeleli. (U-Ali-Asgar Najefi et al., 2018) (UZachariah W. Pinter et al., 2020)
- Unyango lomzimba lunenzuzo ekunciphiseni intlungu kunye nokuphucula uluhlu lwentshukumo kunye namandla emva kokulimala. (I-American Academy ye-Orthopedic Surgeons. 2021)
- Unyango lomzimba lukwabandakanya ukuziqhelanisa nokufaneleka kunye noqeqesho lobuchule, i-orthotics, kunye nokunxiba izihlangu ezicetyiswayo kwimisebenzi ethile yomzimba. (ULisa Chinn, uJay Hertel. 2010)
- Umgulana womzimba unokunceda ekuqinisekiseni ukuba umntu akabuyeli kwimisebenzi yenyama ngaphambi kokuba ukulimala kuphiliswe ngokupheleleyo kwaye kuthintele umngcipheko wokulimala kwakhona.
Ixesha lokubuyisela
Ukuchacha kuxhomekeke kubunzima bokwenzakala. (U-Ali-Asgar Najefi et al., 2018)
- IBanga loku-1 - Isifundo njengoko sihluka ngokuxhomekeke kukunyamezela iintlungu zomntu.
- IBanga lesi-2 – iiveki ezine ukuya kwezintandathu zokungashukumi.
- IBanga lesi-3 ukuya kwiiveki ezisibhozo ubuncinane bokungashukumi.
- Kungathatha ukuya kwiinyanga ezintandathu ukubuyela ekusebenzeni kwesiqhelo.
Ukubuyela kwiMisebenzi eqhelekileyo
Emva kokulimala kweenzwane zebanga loku-1, abantu banokubuyela kwimisebenzi eqhelekileyo xa iintlungu ziphantsi kolawulo. IBanga lesi-2 nelesi-3 lithatha ixesha elide ukuchacha. Ukubuyela kwimisebenzi yezemidlalo emva kokulimala kwebanga lesi-2 kunokuthatha malunga neenyanga ezimbini okanye ezintathu, ngelixa ukulimala kwebanga lesi-3 kunye namatyala afuna ukuhlinzwa angathatha ukuya kwiinyanga ezintandathu. (U-Ali-Asgar Najefi et al., 2018)
Ezemidlalo Unyango lweChiropractic
Ucaphulo
I-American Academy ye-Orthopedic Surgeons. (2021). Inyosi yeTurf.
IMisa Jikelele uBrigham. (2023). Inyosi yeTurf.
IKholeji yaseMelika yeeNyawo kunye ne-Ankle Surgeons. Iinyaniso zempilo yonyawo. (2023). Iprothokholi yeRICE.
Najefi, AA, Jeyaseelan, L., & Welck, M. (2018). Inzwane yeTurf: Uhlaziyo lweklinikhi. EFORT vula uphononongo, 3(9), 501–506. doi.org/10.1302/2058-5241.3.180012
Pinter, ZW, Farnell, CG, Huntley, S., Patel, HA, Peng, J., McMurtrie, J., Ray, JL, Naranje, S., & Shah, AB (2020). Iziphumo zokulungiswa kweenzwane ezingapheliyo kwi-Turf Toe kwi-Non-athlete Population: i-Retrospective Study. Ijenali yaseIndiya yonyango lwamathambo, 54 (1), 43–48. doi.org/10.1007/s43465-019-00010-8
Chinn, L., & Hertel, J. (2010). Ukuvuselelwa kwe-ankle kunye nokulimala kweenyawo kubadlali. Iiklinikhi kumayeza ezemidlalo, i-29 (1), i-157-167. doi.org/10.1016/j.csm.2009.09.006
by UGqr Alex Jimenez | ukuphulula umzimba womntu ngobunono, Ukulimala okuMsebenzi
Imipu yokuphulula inokunceda ukuthomalalisa izihlunu ezibuhlungu kwaye ithintele ukuba buhlungu xa isetyenziswa ngaphambi nasemva kokwenza umthambo, umsebenzi, isikolo kunye nokuzilolonga. Banikezela ngeenzuzo zonyango lwe-massage ngokujolisa izihlunu kunye neepulses eziqhuma ngokukhawuleza. Imipu yokuphulula ingaba ukubetha okanye ukungcangcazela-esekelwe. Unyango lwe-Percussive lunceda ukwandisa ukuhamba kwegazi kwindawo ekujoliswe kuyo, okunciphisa ukuvuvukala kunye nokunyanzeliswa kwemisipha, kunye nokuqhawula amaqhina / amanqaku okuqalisa anokuthi aqulunqwe kwizicubu ezivela kuxinzelelo olongezelelweyo okanye umsebenzi onzima womzimba. Enye yeenzuzo kukuba beza kunye ne-massage gun i-attachments yentloko enokuthi ijolise kumaqela ahlukeneyo emisipha kwaye ibonelele ngeentlobo ezahlukeneyo zokusilalisa. Kukho iintlobo ezininzi zeentloko ze-massage ezinokutshintshana, sihamba phezu kwezona ziqhelekileyo ukunika uluvo oluqhelekileyo lwendlela abasebenza ngayo. Ukuba ufumana intlungu edibeneyo, ukwenzakala, intlungu ebuhlungu yemisipha, okanye ezinye iingxaki ze-musculoskeletal disorders, qiniseka ukuba ufumane imvume kugqirha ngaphambi kokusebenzisa umpu wokuphulula.
Massage Gun Head Attachments
Ukwahluka kweziqhotyoshelo / iintloko zenzelwe kwaye zenziwe ngokungafaniyo ukuze kusetyenziswe ngokufanelekileyo umlinganiselo ofanelekileyo woxinzelelo lokuvuselela iindawo zoxinzelelo lomzimba, ukuthoba izicubu, kunye nokukhulula izihlunu eziqinileyo kunye nezibuhlungu. Iintloko ezahlukeneyo zenzelwe injongo eyahlukileyo ngokusekelwe kumaqela emisipha ekujoliswe kuyo. Oku kwandisa ukusebenza kakuhle kwaye kuqinisekisa induduzo ephezulu kunye nokhuseleko.
Intloko yeBhola
- I-attachment yebhola yeyokubuyisela yonke imisipha.
- Inika indawo ebanzi kunye nokulinganisa izandla zengcali ye-massage ye-massage, ihambisa imvakalelo epholileyo yokuxova.
- Yenziwe ngezinto ezihlala ixesha elide, intloko ye-massage yebhola inokufikelela ngokunzulu kwiimisipha.
- Ubume bayo obujikelezileyo bukwenza kube lula ukusebenzisa naphi na, ngakumbi amaqela amakhulu emisipha efana ne-quads kunye ne-glutes.
Intloko emile okwe-U/Fork
- Iplastiki, intloko ephindwe kabini eyaziwa ngokuba yintloko yefolokhwe.
- I-attachment ibonelela ngokukhululeka kwiindawo ezinjengamagxa, umqolo, intamo, amathole, kunye ne-Achilles tendon.
Inqaku lembumbulu
- Intloko yeplastiki ithiywe ngolo hlobo ngenxa yobume bayo obutsolileyo.
- Oku kunconywa ngokuxinwa kunye nokungahambi kakuhle kumalungu, izicubu ezinzulu, amanqaku e-trigger, kunye / okanye iindawo ezincinci zemisipha njengeenyawo kunye nesandla.
Intloko yeflethi
- Iinjongo ezininzi zentloko ecaba yeyokuphulula umzimba jikelele.
- Inceda ukuthomalalisa ukuqina kunye neentlungu zokuphumla ngokupheleleyo kwezihlunu zomzimba, kubandakanywa amaqela emisipha asondele kumalungu amathambo.
Intloko Emilise Ngomhlakulo
- Intloko emise okwefotsholo yenzelwe izihlunu zesisu kunye nomqolo ongezantsi.
- I-attachment inika ukuvuselela ukukhulula izihlunu eziqinileyo.
Ukusebenzisa Intloko Ekunene
Yeyiphi intloko emayisetyenziswe ixhomekeke kwiimfuno zomntu kunye nezinto azikhethayo. Qwalasela le miba ilandelayo xa ukhetha intloko ye-massage gun:
Iindawo ekujoliswe kuzo
- Chonga iindawo zomzimba ezifuna ingqalelo enkulu.
- Ukuba ukunyanzeliswa kwemisipha okanye ukuxhatshazwa kwenzeka kumaqela amakhulu emisipha, njengomva okanye imilenze, ukudibanisa ibhola kuyacetyiswa.
- Kwiindawo ezichane ngakumbi njengeendawo zokuvusa, intloko yembumbulu iyacetyiswa.
- Iintloko zingasetyenziselwa ngokubambisana - umzekelo, intloko yendawo enkulu isetyenziselwa ukuphumla kunye nokukhulula kunye nokuphumla kwendawo eqhelekileyo, emva koko intloko echanekileyo isetyenziselwa ukugxininisa i-massage kwindawo yokwenene okanye i-trigger point.
Ukuphululwa kobunzima
- Amanqanaba okuxinana kwe-massage anokwahluka ukusuka kwi-massage elula ukuya kumandla apheleleyo.
- Ukuchukumisa okuthambileyo kwizihlunu ezibuthathaka, intloko ecaba okanye i-forkhead attachments iyacetyiswa.
- Ukungena kwe-muscle enzulu kunye noxinzelelo oluhambelanayo, intloko ye-bullet okanye izihlomelo zentloko yefosholo ziyacetyiswa.
Imiqathango ethile
- Qwalasela naziphi na iimeko ezithile okanye ukulimala kwangaphambili kunye nangoku.
- Kubantu abachacha kumonzakalo okanye kwiindawo ezibuthathaka, kubalulekile ukukhetha intloko ye-massage gun ebonelela ngesiqabu esiyimfuneko ngaphandle kokubangela ukungonwabi okanye ukonyusa ukwenzakala.
Zama Iintloko ezahlukeneyo kunye neSetingi
- Linga nge-attachment yentloko ye-massage eyahlukeneyo kunye nezantya zokufumana eyona isebenza kakuhle kwinjongo ekujoliswe kuyo.
- Jonga nganye ukuze ufumane izinto ozikhethayo.
- Qala ngeyona ndawo iphantsi kwaye unyuke ngokuthe ngcembe, ngokusekelwe kwinqanaba lokuthuthuzela.
- Soloko udibana nomboneleli wezempilo oqeqeshiweyo malunga naziphi na iinkxalabo zonyango phambi kokuba usebenzise a umpu wokuthambisa.
Ukukhetha Ukuqhotyoshelwa kweNtloko yeMasaji eLungileyo
Ucaphulo
Bergh, uAnna, et al. "Uphononongo olucwangcisiweyo loNyango oluFanelweyo kunye nolunye lweZilwanyana kwiMidlalo kunye neZilwanyana eziQhelekileyo: ukuHlanganisa iiTishu ezithambileyo." Izilwanyana: ijenali yofikelelo oluvulelekileyo evela kwi-MDPI vol. 12,11 1440. 2 Jun. 2022, doi:10.3390/ani12111440
Imtiyaz, Shagufta, et al. "Ukuthelekisa isiphumo soNyango lweVibration kunye neMassage ekuthinteleni ukulibaziseka kweMuscle Soreness (DOMS)." Ijenali yoPhando lweKlinikhi kunye noxilongo: JCDR vol. 8,1 (2014): 133-6. doi:10.7860/JCDR/2014/7294.3971
Konrad, Andreas, et al. "Iziphumo ezimandundu zoNyango lwe-Percussive Massage kunye nesixhobo se-Hypervolt kwi-Plantar Flexor Muscles' Range of Motion and Performance." Ijenali yesayensi yezemidlalo kunye neyeza vol. 19,4 690-694. 19 Nov. 2020
Leabeater, Alana et al. "Ngaphantsi koMpu: Impembelelo yonyango lwe-massage ye-percussive ekubuyiseleni umzimba kunye nokuqonda kubantu abadala abasebenzayo." Ijenali yoqeqesho lweembaleki, 10.4085/1062-6050-0041.23. 26 Meyi. 2023, doi:10.4085/1062-6050-0041.23
Lupowitz, Lewis. "Unyango lokungcangcazela-Uluvo lwezonyango." Ijenali yamazwe ngamazwe yonyango lomzimba vol. 17,6 984-987. 1 Agasti 2022, doi:10.26603/001c.36964
Yin, Yikun, et al. "Impembelelo yoqeqesho lokungcangcazela ekubambezelekeni kobuhlungu bemisipha: Uhlalutyo lwe-meta." Amayeza vol. 101,42 (2022): e31259. doi:10.1097/MD.0000000000031259
by UGqr Alex Jimenez | Umenzakalo owehle kwisiqu, Ukulimala okuMsebenzi
Ukugqithisa kunye nokulimala okuphindaphindiweyo koxinzelelo kwenza isine sazo zonke ukulimala komsebenzi. Ukutsala okuphindaphindiweyo, ukuphakamisa, ukubetha amanani, ukuchwetheza, ukutyhala, ukubamba, ukuthwala, kunye nokuskena zezona zizathu zixhaphakileyo zokonzakala okunxulumene nomsebenzi. Ezi ntlobo zokonzakala zezona zixhaphakileyo ezibangela ukuba uphoswe ziintsuku emsebenzini. Ukuzibhokoxa ngokugqithiseleyo kunokukhokelela kwiimeko ezingapheliyo zomzimba ezingapheliyo, ukusuka kwiintlungu ezingapheliyo zomqolo ukuya kwiintlungu ezidibeneyo ezibangelwa kukugqoka okuphezulu kunye nokukrazula kwezicubu ezahlukeneyo ze-musculoskeletal. Iyeza leChiropractic lithatha ngokupheleleyo kwaye liphelele-umzimba indlela yokunyanga ukulimala kwe-neuromusculoskeletal. I-Chiropractic ikhulula izihlunu eziqinileyo okanye ezonakalisiweyo, yandisa ukuhamba kwamandla e-nerve, kwaye ilungelelanise ngokufanelekileyo amalunga ngohlengahlengiso, ukunyathela komgudu, ukunyanzeliswa, kunye neendlela ezahlukeneyo zokuxhaphaza ngesandla.
Ukuzibhokoxa ngokugqithisileyo kunye noKuphindaphinda ukuNxinzezeleka ngokwenzakala
Ukugqithisa kunye nokulimala okuphindaphindiweyo koxinzelelo ngokuqhelekileyo kwenzeka ngexesha / iminyaka yokubandakanya umsebenzi ofanayo onzima rhoqo. Nangona kunjalo, ukulimala ngokugqithiseleyo kunokuthi kwenzeke ngentshukumo enye ngokukhawuleza okanye ngokugqithiseleyo. Umsebenzi ungonakalisa izihlunu, imisipha, amalungu, kunye nemigqa. Ukuzibhokoxa kakhulu kunokukhokelela kwingxaki ye-musculoskeletal eneempawu ezibandakanya:
- Ukuvutha
- Ukuvuvukala
- Ubungqina
- Ubunzima
- Ubuhlungu obungapheliyo
- Ukunciphisa okanye ukulahlekelwa okupheleleyo kokuhamba kwimisipha, i-tendon, ligaments, kunye namalungu.
iintlobo
Imizekelo embalwa eqhelekileyo yokulimala ngokugqithisileyo ibandakanya:
I-Soft-Tissue
- Ukulimala kwimisipha, iigaments, i-tendon, kunye namalungu.
umva
- Itsaliwe, ikrunekile izihlunu zangasemva.
- Iidiski zeHerniated.
- Iingcambu zemithambo-luvo ezicinezelekileyo.
- Umqolo oqhekekileyo.
Ukuphelelwa ngamanzi emzimbeni kunye ne-Heat Stroke
- Eyona nto ixhaphakileyo kubasebenzi abenza umsebenzi wezandla wangaphandle.
Ukuphindaphinda kunye nokuBasebenzisa Ngokugqithisileyo
- Ukulimala kuvela kwi-carpal tunnel syndrome ukuya kwiifractures zoxinzelelo.
- Ngokuqhelekileyo umphumo weeveki, iinyanga, okanye iminyaka yeentshukumo eziphindaphindiweyo
- Kwiimeko ezininzi, ukonzakala kabini okanye ngaphezulu kunokwenzeka ngaxeshanye.
- Umzekelo, umsebenzi kunokwenzeka ukuba agcine ukwenzakala ukuba uphelelwe ngamanzi okanye wenza imisebenzi emibini.
Izizathu
Iintshukumo ezithile kunye nemisebenzi inokuthi ibangele ukulimala ngokugqithiseleyo. Ezinye zezona zixhaphakileyo ziquka:
- Ukuphakanyiswa kwemihla ngemihla kwezinto, zilula kwaye zinzima.
- Ukwenza iintshukumo ezingaqhelekanga ezibangela ukuba umzimba ube kwindawo engafanelekanga.
- Ukuma kunye/okanye ukuhlala okanye ixesha elide.
- Ukusebenzisa amandla agqithisileyo ukwenza imisebenzi.
- Ukusebenza koomatshini abanzima.
- Ukusebenza kwiimeko ezishushu kunye / okanye ezifumileyo.
Imizi-mveliso Eyonzakalayo ekwinqanaba eliphezulu
Amashishini apho ukulimala kakhulu kuxhaphake kakhulu kubandakanya:
- LeMfundo.
- Iinkonzo zempilo.
- UkuPhuhlisa.
- Ulwakhiwo.
- Umsebenzi we-warehouse.
- Ezothutho.
- Urhwebo lwehoyilesi.
- Iivenkile ezithengisayo.
Unyango lweChiropractic
Oku kwenzakala kunokukhokelela ekubeni uphoswe ngumsebenzi, iintlungu ezidambisayo, kunye namatyala ezonyango. Ngokuxhomekeke kubukhulu bokulimala, ukhathalelo lwe-chiropractic luya kusebenzisa iindlela zokusilalisa, ukunyanzeliswa komgogodla, ukutsala, kunye Uxinzelelo unyango, ukwandisa ukuguquguquka kunye nokuhamba ukunciphisa amathuba okulimala okuphindaphindiweyo. Izibonelelo ze-chiropractic ziquka:
- Ikhusela umngcipheko wokuba mandundu okanye ukwenzakala kwixesha elizayo.
- Ikhawulezisa ukuchacha ukunceda abantu ukuba bahlaziye kwaye babuyele emsebenzini kwakamsinya.
- Ukuphucula impilo yomzimba kunye nengqondo.
- Nika iingcebiso malunga nendlela yokwelula ngokufanelekileyo kunye nokomeleza izihlunu.
- Iingcebiso zokuchasana nezondlo.
Ngokufunda indlela yokuphepha ukwenzakala ngokugqithiseleyo, abasebenzi banokuba nemveliso ngakumbi, bawuthande umsebenzi baze baphucule ubomi babo.
Ukusuka ekwenzakaleni ukuya ekuBuyiseni
Ucaphulo
Anderson, Vern Putz, et al. "Ukubulawa kwabantu emsebenzini, ukwenzakala, izigulo, kunye nelahleko enxulumene noqoqosho kwicandelo lentengiso kunye nentengiso." Ijenali yaseMelika yamayeza oshishino vol. 53,7 (2010): 673-85. doi:10.1002/ajim.20813
Choi, Hyun-Woo, et al. "Iimpawu zokuphazamiseka kwe-musculoskeletal emsebenzini kumacandelo amahlanu kwishishini lenkonzo phakathi kwe-2004 kunye ne-2013." Annals of Occupational kunye neyeza lokusingqongileyo vol. 29 41. 19 Septemba 2017, doi: 10.1186 / s40557-017-0198-4
Friedenberg, Rivi, et al. "Iziphazamiso ze-musculoskeletal ezinxulumene nomsebenzi kunye nokwenzakala phakathi kweengcali zonyango ezingxamisekileyo kunye nee-paramedics: Uphononongo olubanzi olubalisayo." Oovimba beNdalo kunye nempilo yomsebenzi vol. 77,1 (2022): 9-17. doi:10.1080/19338244.2020.1832038
UGalinsky, uT et al. "Ukulimala ngokugqithisileyo kubasebenzi bezempilo basekhaya kunye nesidingo se-ergonomics." Iinkonzo zempilo yasekhaya ngekota vol. 20,3 (2001): 57-73. doi:10.1300/J027v20n03_04
UGonzález Fuentes, uAroa, et al. "Ukulimala okugqithisileyo okunxulumene nomsebenzi ekucoceni imisebenzi: ukuphononongwa kwezinto zokuqikelela iintsuku zokungabikho ngeendlela zokufunda koomatshini." I-ergonomics esetyenziswayo, vol. 105 103847. 30 Jul. 2022, doi:10.1016/j.apergo.2022.103847
Schoenfisch, uAshley L et al. "Ukunciphisa amaxabiso okulimala okubangelwa ngumsebenzi onxulumene nomsebenzi phakathi kwabafakeli be-drywall e-Washington State, ngo-1989-2008: Ukuphuculwa kokhuseleko lomsebenzi okanye ukutshintshwa kokhathalelo?." Ijenali yaseMelika yamayeza oshishino vol. 57,2 (2014): 184-94. doi:10.1002/ajim.22240
Williams, JM et al. "Ukulimala okunxulumene nomsebenzi kwindawo engxamisekileyo yasemaphandleni." Iyeza lezemfundo likaxakeka: ijenali esemthethweni yoMbutho wezoNyango oluNgxamisekileyo lwezemfundo vol. 4,4 (1997): 277-81. doi:10.1111/j.1553-2712.1997.tb03548.x
by UGqr Alex Jimenez | Umenzakalo owehle kwisiqu, Ukulimala okuMsebenzi
Iingozi zokutyibilika nokuwa ziphakathi kwezona zizathu zixhaphakileyo zokonzakala emsebenzini/zinokwenzeka naphi na. Iindawo ekusetyenzwa kuzo zinokuba nazo zonke iintlobo zokutyibilika okanye iingozi zokukhubeka, kubandakanywa imigangatho engalinganiyo okanye eqhekekileyo, izixhobo, ifenitshala, iintambo, imigangatho emanzi, kunye nobumdaka obuvela kwinkunkuma. Abantu ababandakanyeka kwingozi yokutyibilika nokuwa banokugcina ukwenzakala okwahluka ngokobuqatha. Isitshixo kukubona ugqirha okanye i-chiropractor ngokukhawuleza ukuba abhale ukulimala kunye nokuwa kunye nokuphuhlisa unyango lomntu kunye nesicwangciso sokubuyisela. Ukulimala kweChiropractic yezoNyango kunye neKliniki yeNyango eSebenzayo inokunceda.
Ukutyibilika kunye Nokulimala Okuwayo
Umntu unokufumana oku kulandelayo:
- Ukulimala kwemisipha
- Umva kunye / okanye ukulimala kwentambo yomgogodla
- Ukulimala kwe-Hip, idolo, kunye ne-ankle
- Ukwenzakala kwemithambo-luvo
- Amathambo aphukileyo okanye aphukile
- Ukuqhekeka kobuso
- Ukulimala kweBrain
- ukukhubazeka
- Ukukhubazeka okusisigxina
Izinto ezifaka isandla
Uhlobo lokulimala kunye neqondo lobunzima buxhomekeke kwizinto eziphathekayo kunye nebhayoloji ekhoyo ngexesha lokutyibilika kunye nokuwa. Ezi ziquka:
Imeko Yomzimba
- Ubudala bomntu, ubungakanani, isini, kunye nempilo inokuchaphazela uhlobo lomonzakalo oluqhubekayo.
Ubude kunye nendawo yokuwa
- Ukutyibilika, ukukhubeka, ukukhubeka, okanye ukukhubeka ukwenzakala kunokuba kuncinci ukuya kubunzima, kuxhomekeke kumandla, ukuphakama kunye nendawo.
Impembelelo yomphezulu
- Ukukhawuleza ngexesha lokuwa kunye nendlela umzimba ochaphazela ngayo umphezulu udlala indima ebalulekileyo kubunzima bokulimala.
Indawo yokuma komzimba
- I-reflexes ezikhuselayo, ezifana neengalo ezoluliweyo, ukuphula ukuwa okanye ukuba umzimba ubethe umhlaba ngokuthe ngqo unquma ukwenzakala kunye nokuba kungakanani na.
iimpawu
- Iintlungu zemisipha kunye noxinzelelo zezona mpawu zixhaphakileyo emva kokutyibilika nokuwa.
- I-fibers ye-muscle iyagqithisa, ibangela ukuvuvukala kunye nokudumba.
- Intlungu inokuthi iqale ngokukhawuleza emva okanye emva kweentsuku ezimbalwa, eyaziwa ngokuba ziimpawu zokulimala okulibaziseka.
- Ukuba iimbilini zigcina ukulimala okanye ukucaphuka, ziqala ukuvuvukala, kwaye umzimba uphendule ukukhusela iindawo ezonakalisiweyo.
- Ukuvutha koqhagamshelwano kunye nokucaphuka kunokubangela ukuqina kunye ne-spasms.
- Ukuqhubeka nokungahambi kakuhle kunye neentlungu.
- Ukukhathazeka kwesisu kunye neentlungu.
- Ukugruzuka okubalulekileyo.
- Ukulinganiselwa kwintshukumo.
Unyango lweChiropractic
I-Chiropractors ziingcali kwi ukutyibilika nokuwa ukonzakala kwaye uya kusebenzisa uhlengahlengiso kunye neeprothokholi ezahlukeneyo zonyango ukulungelelanisa umzimba kunye nokubuyisela umsebenzi. Injongo kukuthomalalisa iimpawu, ukubuyisela kwisimo sangaphambili indawo/indawo ezonzakeleyo, kunye nokubuyisela ukuhamba. Unyango lomzimba kunye nokuzivocavoca ukwakha amandla phantsi kolawulo lweengcali kunye nasekhaya kuphunyezwa ukubuyisela ukusetyenziswa kwenxalenye yomzimba owenzakeleyo.
Ukuvutha
Ucaphulo
Li, Jie, et al. "Izehlo zokutyibilika nokuwa emsebenzini: Uhlalutyo olubonakalayo lweNdawo yoPhando." Ijenali yamazwe ngamazwe yophando lokusingqongileyo kunye nempilo yoluntu vol. 16,24 4972. 6 Dec. 2019, doi:10.3390/ijerph16244972
Pant, Puspa Raj et al. "Ukwenzakala okunxulumene nekhaya kunye nomsebenzi kwisithili saseMakwanpur, eNepal: uvavanyo lwasekhaya." Ukuthintela ukwenzakala: ijenali ye-International Society for Child and Adolescent Injury Prevention vol. 27,5 (2021): 450-455. doi:10.1136/injuryprev-2020-043986
Shigemura, Tomonori, et al. "Iimpawu zokulimala kwe-stepladder kuwa: isifundo esibuyela emva." Ijenali yaseYurophu yokwenzakala kunye notyando olungxamisekileyo: upapasho olusemthethweni lweEuropean Trauma Society vol. 47,6 (2021): 1867-1871. doi:10.1007/s00068-020-01339-8
Smith, uCaroline K, kunye noJena Williams. "Ukonzakala okunxulumene nomsebenzi kwishishini lelori laseWashington State, ngokwecandelo leshishini kunye nomsebenzi." Ingozi; uhlalutyo kunye nothintelo vol. 65 (2014): 63-71. doi:10.1016/j.aap.2013.12.012
Unyana, uHyung Min, et al. "Ukulimala kokuwa emsebenzini okuzisa kwisebe likaxakeka." Iyeza likaxakeka iAustralasia: EMA vol. 26,2 (2014): 188-93. doi: 10.1111/1742-6723.12166
