Ukuqina Kwezihlunu zethole kunye nokwenzakala

Intlungu yethole ixhaphakile kubantu abachitha ixesha elininzi bemi ngeenyawo, nokuba bemi emsebenzini, esikolweni, okanye kwiimbaleki zoqeqesho. Isihlunu sethole sithatha umthamo omkhulu womthwalo imini yonke. Ukunyuka izinyuko, ukubaleka, ukubaleka, kunye nokunyuka intaba kwandisa ubunzima kwizihlunu. Kwiimeko ezininzi, iintlungu zethole zibangelwa kukwenzakala ngokugqithisileyo kwezihlunu zethole. Izihlangu ezingalunganga inokufaka isandla kwimiba ejikeleze unyawo kunye ne-ankle ebandakanya:

• Ukuqina
• Ukuphulukana namandla onyawo
• Ukuhamba kunciphile

Amathole amafutshane okanye aqinile angakhokelela ekuhambeni okungahambi kakuhle, iimpawu eziqhekezayo, intlungu engapheliyo, kunye nokuqina. Ukudibanisa unyango olusebenzayo lwe-chiropractic kunye nonyango lomzimba lunokunceda ukuphelisa intlungu yethole ngokukhawuleza.

Anatomy

Amathole aquka izihlunu ezimbini, i-gastrocnemius, kunye ne-soleus.

• I-gastroc iqala ngaphezu kwedolo.
• I-soleus ingaphantsi kwedolo.

Bobabini bafaka ngasemva kweqakala njengoko bedibanisa ukwenza i- I-Achilles tendon. I-gastrocnemius sisihlunu samandla esisetyenziselwa iintshukumo ezidubulayo njengokutsiba. Isihlunu sokuphela sisihlunu esihamba kancinci. Oku kuthetha ukuba isebenza kakhulu ngexesha lemisetyenzana eyandisiweyo, njengokuma, ukuhamba, ukwenza imithambo, kunye nokubaleka. Xa ujongene nemiba yethole kunye ne-ankle, ezinye izihlunu zinokuba negalelo. Ezi ziquka:

• I-posterior tibialis ilele ngokunzulu kwinxalenye yangaphakathi yethole kwaye idlala indima yonyawo kunye nomsebenzi we-ankle.
• I-posterior tibialis ibandakanyeka kakhulu I-Medial Tibial Stress Syndrome okanye i-MTSS, ekwabizwa ngokuba yi-shin splints.

Intlungu yezihlunu zethole

Ngokuqhelekileyo, intlungu yethole ibangelwa ukusetyenziswa ngokugqithiseleyo kwemisipha yethole. Oku kudla ngokuba ngumphumo wokubetheka okungaguquguqukiyo kweenyawo kunye nemilenze engezantsi ukusuka ekumeni, ekuhambeni, nasekusebenzeni. Ngokuhamba kwexesha, ukubetha ngokuphindaphindiweyo kunokubangela iinyembezi ezincinci kwimisipha yemilenze engezantsi kunye namathole. Ukuba ifunyenwe, ukuphumla kwangaphambili kunye nokuchacha kuyacetyiswa ukuvumela izihlunu ukuba ziphumle, zikhulule kwaye ziphilise. Nangona kunjalo, ukusetyenziswa ngokuphindaphindiweyo kunokukhokelela ekulimazeni okukhulu ngaphandle konyango olufanelekileyo, njengaye isifo gumbi. Iintlobo ezithile zeentlungu zethole zingabonisa a Unyango olungxamisekileyo oko kufuna unyango olukhawulezileyo.

Isifo seCandelo

Isigqubuthelo esiqinileyo nesirhangqe ithole elibizwa ngokuba yifascia. Ngethuba lokusebenza komzimba okanye ukuzivocavoca, igazi ligeleza kule misipha, ebangela ukuba banyuke ngobukhulu. Ukuba i-fascia ayikwazi ukolula ngokwaneleyo xa ezi zihlunu zikhula, intlungu kunye nokuqina kunokukhula. Oku kwaziwa ngokuba isifo esinganyangekiyo se-posterior compartment syndrome. Ukungonwabi kudla ngokuphela xa umsebenzi uyekile kodwa kusenokwenzeka ukuba ubuye ngaphandle konyango olululo.

Ukwenzakala Ngokugqithisileyo Kwethole

Ubuhlungu, ukuqina, kunye neentlungu zihlala zivakala ngasemva okanye ngaphakathi komlenze ongezantsi. Izihlunu zethole azibi buhlungu ukuzibamba kodwa mhlawumbi zithambile xa kufakwa uxinzelelo olunzulu. Iintlungu zethole kunye nokuxinana kudla ngokuza kunye nomthambo owandisiweyo, umthambo kwaye unyamalale xa umsebenzi uyekile. Ukuba ukwenzakala kuba okungapheliyo, ukuqina kwethole kunokubonisa nangona kungasebenzi, kunye nokuba ndindisholo kunye/okanye ukuntyiloza kumlenze ongezantsi okanye unyawo.

impatho

Kunconywa ukuba ungayihoyi nayiphi na inkathazo, intlungu, kunye nokuqina kwamathole. Ukusetyenziswa ngokugqithiseleyo kunokukhokelela ekwakhiweni kwezicubu ezibomvu kunye neentlungu ezingapheliyo ngaphandle kokunakekelwa okufanelekileyo. Ukukhutshwa okuSebenzayo – ART, kunye ne-chiropractic iphatha ngokufanelekileyo olu hlobo lokulimala. I-ART yophula izihlunu ezizivayo, ibuyisele ukusebenza kwesiqhelo kwizihlunu zethole. Yaye i-chiropractic ikhulula amalungu aqinileyo esinqeni, emaqatheni nasezinyaweni ezisenokuba negalelo ekugugeni nasekukrazukeni kwamathole. Ngokudibeneyo banokukhawuleza kwaye baphelise intlungu yethole. Inxalenye yesicwangciso sonyango ibandakanya:

• Ukusetyenziswa ngokudibeneyo okanye ukuhlanganisa
• Ukuhlanganiswa kwezicubu ezithambileyo
• Iingcebiso ngesondlo
• Ukuzivocavoca okusekelwe kwi-Rehab kunye elula

UkuBumbiswa kweBhunga

Uhlengahlengiso lweMetabolic

Ukuzilolonga ngeAerobic kuchaphazela kakhulu inkqubo yokuvelisa amandla kwizihlunu zomzimba kunye ukulungelelaniswa kwentliziyo. Igazi lihambisa ioksijini kwiiseli zezihlunu ukuvelisa amandla anika amandla wonke umthambo owenziwayo. Ukuzivocavoca kweAerobic kuxhomekeke ikakhulu imveliso yamandla e-oxidative, eyenzeka ngaphakathi kweeseli ezibizwa ngokuba yi-mitochondria. Umthambo we-Aerobic ukwaphula iimolekyuli zamafutha zamandla, ezinokuthi zenzeke kuphela kwi-mitochondria.

• Uqeqesho lwe-Aerobic lomthambo luphucula ukukwazi kweeseli zezihlunu ukutshisa amanqatha ngokuvelisa i-mitochondria eninzi kunye nokuphucula ukusebenza kwazo. Ngokukodwa, umzimba utshisa amanqatha amaninzi kunesiqhelo kwiiyure ezilandela iseshoni yoqeqesho nganye.
• Ngomgangatho ochaneke ngakumbi kunye nobuninzi boomatshini bokutshisa amanqatha, uqeqesho lwe-aerobic lunokunyusa ukuphumla kwesantya sokutya kwemetabolism, okukhokelela ekutshisweni kweekhalori ezininzi.
• Ukuzivocavoca okuphezulu kwe-aerobic kwandisa ukusetyenziswa kweoksijini emva kokuzilolonga - i-EPOC, okukhokelela ekutshisweni kwekhalori eyongeziweyo ngaphezu kwezinto ezitshisiweyo ngexesha lokuzilolonga.

Ucaphulo

Alfredson, H et al. "Umthwalo onzima wokuqeqeshwa kwemisipha yethole kunyango lwe-Achilles tendinosis engapheliyo." Ijenali yaseMelika yamayeza ezemidlalo vol. 26,3 (1998): 360-6. doi:10.1177/03635465980260030301

Bright, uYakobi uMichael et al. "Ukuxilongwa kwe-Ultrasound yokwenzakala kwethole." Ezemidlalo impilo vol. 9,4 (2017): 352-355. doi:10.1177/1941738117696019

Campbell, uJohn T. “Ukulimala kwethole ngasemva.” Iikliniki zeenyawo kunye neqakala vol. 14,4 (2009): 761-71. doi:10.1016/j.fcl.2009.07.005

Uhlaza, uBrady, kunye noTania Pizzari. "Ukulimala kwemisipha yethole kwezemidlalo: uphononongo olucwangcisiweyo lwezinto ezinobungozi bokulimala." Ijenali yaseBritane yamayeza ezemidlalo vol. 51,16 (2017): 1189-1194. doi:10.1136/bjsports-2016-097177