by iicrosoft | Arthritis, Uncedo Lwezityalo
I-rheumatoid arthritis kuthiwa ichaphazela abantu abayi-1.5 yezigidi. Yaziwa njengemeko yokuzimela komzimba ebonisa iintlungu ezingapheliyo kumalungu omzimba. Ihlala ichaphazela amalungu asetyenziswa rhoqo njengamagxa, izandla neenyawo. Imeko ingaqala ukubonakaliswa ngabantu abakwi-30s yabo. Iinkxalabo eziza ne-rheumatoid arthritis diagnostic ziyimpembelelo yemeko kumalungu omzimba. La malungu anokuhlaselwa ngamasosha omzimba angasebenzi kakuhle, ukubashiya bathambekele kubuthathaka, ukudumba, kunye noxinzelelo lwe-nerve. Iingcali zonyango ziqonda ukubonakaliswa kwe-rheumatoid arthritis. Banokukhomba kumalungu e-facet asemngciphekweni kwaye babonelele ngoncedo olulungisiweyo ngaphambi kokuba iimpawu ezinobungozi ziqale ukubonakalisa.
Ukujongana nomngcipheko ngokudibeneyo
Kukho amalungu amabini e-facet adibanisa i-vertebra nganye ukuya ngasentla nangaphantsi. Injongo yabo kukuzinzisa umqolo, nokuba ungathathi hlangothi okanye ubandakanyeke ekuhambeni / ukwanda kwentshukumo. Xa zijolise kumasosha omzimba, amalungu aqala ukuba buthathaka. Umzimba uhlasela ulwelo lwe synovial oluthambisa amalunga. Oku kudala ukungqubana okuvelisa ukudumba. Ngokuhamba kwexesha amalungu adiliza ukukhokelela kuyo yonke into ukusuka ekulahlekelweni kokuhamba ukuya kwi-bone spurs. Xa ushiywe unganyangekiwe amalungu e-facet aqala ukonakala, ebangela uxinzelelo lwe-nerve olunokukhokelela kumonakalo osisigxina we-nerve. Xa amalungu engasebenzi kakuhle umqolo kufuneka usebenze kuwo.
- Izihlomelo
- Ukunikezelwa kwe-Disc
- Iidiski eziqhekekileyo
- I-Sciatica yonke inokwenzeka ngokudibana kokungasebenzi kakuhle.
impatho
Okwangoku, isifo samathambo asinakuphiliswa kodwa iimpawu zinokuxolelwa xa unyango luqala kwangoko. Chiropractic lunyango olusebenzayo lokuphazamisa iimpawu zokudodobala ngokudibeneyo okuthintela ukuqhubela phambili.
- Inesakhono sokwandisa kunye nokugcina uluhlu lomntu lokuhamba, ukusuka kwimeko ebangela ilahleko yokuhamba.
- Kuyanceda ukuzisa ukukhululeka kwentlungu ngokukhawuleza kwaye kunceda kuphuculo lwasemva.
- Igcina impilo entle yomqolo kunye ne-homeostasis.
- Ithintela iingxaki ngoxinzelelo kunye nokuthotyelwa.
- Ukolula kunye nokomeleza umthambo kufakiwe ukugcina ingqibelelo yomqolo yomntu.
- Ukutya kunye nesondlo ziyahlengahlengiswa ukunciphisa iziphumo, ukunceda kuthintelo lokudumba.
Ugxininiso lomqolo
Njengoko isifo samathambo sichaphazela amalungu omzimba, kubalulekile ukukhusela amalungu omzimba. La malungu anokufumana ukonakala okwenzekileyo kunokubangela iingxaki zexesha elide. Ukonzakala kweChiropractic yoNyango kunye neKlinikhi yoNyango eSebenzayo ibonelela abantu ngezixhobo Kuyimfuneko ukulwa nesifo samathambo ukuba amayeza ngokwawo akanakho.
UkuBumbiswa kweBhunga
Ukuqina kweMisipha yeMpilo yeXesha elide
isihlunu Ukwakha ayisiyonto eyakhiwayo yomzimba kunye neembaleki. Wonke umntu ufumana izibonelelo zokwakha umsipha kwimpilo yexesha elide. Ukubeka iliso kutshintsho kwiMisa yeLungu eliLungeleyo kunokufezekiswa ngokuba nomlinganiso womzimba. Uhlalutyo lomzimba lunokwahlula ubunzima bomntu ngokwamacandelo ahlukeneyo. Oku kubandakanya:
- IMat Mass
- Isidumbu somzimba
- Umgangatho osisiseko weMetabolic uza kunika umfanekiso ocacileyo wokuqina komzimba kunye nempilo.
Ukwakha umzimba weLean Mass kutyalo mali ukugcina impilo ixesha elide. Okukhona umzimba weLean Mass eyakhelweyo kokukhona iyagcinwa / igcinwe xa umzimba uyifuna ngokwenene. Ngaphambi kokongeza iiprotheyini zokugungqiswa kunye nokuxhathisa ukusebenza kwirejimeni yemihla ngemihla, kufuneka kwenziwe isicwangciso. Inyathelo lokuqala lokwakha inqanaba elisempilweni lobunzima bomzimba obulinganisiweyo kukulinganisa ukuba kungakanani na ngohlalutyo lomzimba.
isikhanyeli
Ulwazi olulapha alujoliswanga ukuba luthathe indawo yobudlelwane buqu kunye nomqeqeshi oqeqeshiweyo wezempilo, ugqirha onelayisensi, kwaye ayililo ingcebiso kwezonyango. Siyakukhuthaza ukuba wenze izigqibo zokhathalelo lwempilo ngokubhekisele kuphando lwakho kunye nentsebenziswano kunye noqeqesho kwezempilo. Umda wolwazi lwethu unqunyelwe kwi-chiropractic, musculoskeletal, amayeza aphathekayo, impilo, imiba yezempilo ebuthathaka, amanqaku amayeza asebenzayo, izihloko kunye neengxoxo. Sibonelela kwaye sinika intsebenziswano yeklinikhi neengcali ezivela kuluhlu olubanzi lwamacandelo. Ingcali nganye ilawulwa bubuchule bayo bokuziqhelanisa kunye nolawulo lwayo lwelayisensi. Sisebenzisa iinkqubo zempilo kunye nezempilo ukunyanga kunye nokuxhasa ukhathalelo lwenkqubo yokulimala okanye yokuphazamiseka kwenkqubo yemisipha. Iividiyo zethu, iiposti, izihloko, izifundo, kunye nokuqonda kugubungela imicimbi yeklinikhi, imiba, kunye nezihloko ezinxulumene nokuxhasa, ngokuthe ngqo okanye ngokungathanga ngqo, umda weklinikhi yokuziqhelanisa. isifundo esifanelekileyo sophando okanye izifundo ezixhasa iiposti zethu. Sinikezela ngeekopi zophando ezixhasayo ezifumanekayo kwiibhodi ezilawulayo nakuluntu xa kuceliwe. Siyaqonda ukuba sigubungela imicimbi efuna inkcazo eyongezelelweyo yokuba inganceda njani kwisicwangciso esithile sokhathalelo okanye inkqubo yonyango; Ke, ukuqhubeka nokuxoxa ngalo mbandela ungentla, nceda ukhululeke ukubuza uGqirha Alex Jimenez okanye unxibelelane nathi apha 915-850-0900.
UGqirha Alex Jimenez DC, MSACP, CCST, IFMCP, ICIFM, CTG *
email: qeqeshi@elpasofunctionalmedicine.com
Ifowuni: 915-850-0900
Ilayisenisi eTexas naseNew Mexico
Ucaphulo
UPopu JE, uCheng J. Facet (Zygapophyseal) Iinaliti eziDibeneyo zangaphakathi: Umlomo wesibeleko, iLumbar, kunye neThoracic. Inaliti zeNhlungu ezibuya. 129-135. KlinikhiKey.com. Kufunyenwe ngoJulayi 16, 2019.
UBrummett CM, uCohen SP. I-Pathogenesis, iDiagnosis, kunye nonyango lweZygapophyseal (Facet) yeNtlungu eHlanganayo. 816-844. KlinikhiKey.com. Kufunyenwe ngoJulayi 16, 2019.
by iicrosoft | Arthritis, I-Arthropathies, Chiropractic, Uvavanyo lweChiropractic, Ubuhlungu obungapheliyo, impilo, Ukunyamekela, Izifundo zoPhando, Uvavanyo lweSkrini, Ukulimala kwezemidlalo, Ukulimala kwezemidlalo, Unyango, Ukuphila
intlungu Knee yinto echaphazelekayo yempilo phakathi kwabadlali kunye nabemi ngokubanzi. Nangona iimpawu zeentlungu zamadolo zingadala kwaye ziphazamisekile, ubuhlungu beendolo kaninzi buyinkathazo enempilo kakhulu. Ibundu liyinkqubo eyinkimbinkimbi eyenziwe ngamathambo amathathu: icandelo elincinane lesithanga, ummandla ophezulu weshinqa, kunye ne-kneecap.
Amancuba athambileyo anamandla, afana neetoni kunye nemigqa yamadolo kunye ne-cartilage phantsi kwe-kneecap naphakathi kwamathambo, zibambe ezi zakhiwo ukuze zizinze kwaye zixhase idolo. Nangona kunjalo, iintlobo ezahlukeneyo zokulimala kunye / okanye iimeko ziya ekugqibeleni zikhokele ekubuhlungu kweendolo. Injongo yeli nqaku apha ngezantsi ukuhlola izigulane ngeentlungu.
Abstract
Oogqirha bosapho bahlala behlangana nezigulana ezineentlungu emadolweni. Ukuchongwa ngokuchanekileyo kufuna ulwazi lwe-anatomy yedolo, iipateni zentlungu eqhelekileyo kumanxeba edolo, kunye neempawu zokuhlangana rhoqo nezizathu zentlungu yamadolo, kunye nezakhono ezithile zovavanyo lomzimba. Imbali kufuneka ibandakanye iimpawu zentlungu yesigulana, iimpawu zoomatshini (ukutshixa, ukuphuma, ukunika indlela), ukudityaniswa ngokudibeneyo (ixesha, isixa, ukuphindaphinda) kunye nendlela yokwenzakala. Uvavanyo lomzimba kufuneka lubandakanye ukuhlolwa ngononophelo kwamadolo, ukubetheka kwithenda yenqaku, ukuvavanywa kokudityaniswa ngokudibeneyo, ukuvavanywa kokuhamba-hamba, ukuvavanywa kwemigqa yokulimala okanye ukungakhathali, kunye novavanyo lwe-menisci. IiRadiographs kufuneka zifunyanwe kwizigulana ezinesithambiso patellar okanye ukuthamba kwentloko ye-fibula, ukungakwazi ukuthwala ubunzima okanye ukuguqula idolo ukuya kuma-90 degrees, okanye ubudala obungaphezulu kweminyaka engama-55. (NdinguGqirha weNdawo u-2003; 68: 907-12. Ilungelo lokushicilela 2003 Isikolo saseMelika soGqirha boSapho.)
intshayelelo
Iintlungu zedolo zibalelwa malunga nesinye kwisithathu seengxaki ze-musculoskelet ezibonwa kwiindawo zokunakekelwa kweprayimari. Esi sikhalazo sixhaphake kakhulu kwizigulane ezisebenzayo ngokwasemzimbeni, kunye neepesenti ze-54 zabadlali abaneentlungu ezithile zedolo ngonyaka. .
Idolo liyindawo eyinkimbinkimbi (umfanekiso we-1), i-2 kunye nokuvavanya kwayo kungabangela umngeni kumgqirha weentsapho. Ukuxilongwa ngokuhlukana kweentlungu zamadolo kuninzi kodwa kunokunciphisa imbali enenkcazo, uvavanyo olubonakalayo olubonakalayo kwaye, xa kuboniswe, ukusetyenziswa ngokukhethekileyo kweengcamango ezifanelekileyo kunye nezifundo zelabhoratri. Icandelo I kweli nqaku leenxalenye ezimbini libonelela ngendlela echanekileyo yokuphonononga idolo, kwaye inxalenye ye-II3 ixoxa ngokuxilongwa ngokuhlukileyo kweentlungu.
imbali
Iimpawu zobunzima
Inkcazo yesigulana yeentlungu zedolo iluncedo ekugxininiseni ukuxilongwa okwahlukileyo.4 Kubalulekile ukucacisa iimpawu zentlungu, kubandakanywa nokuqala kwayo (ngokukhawuleza okanye ngokufihlakeleyo), indawo (yangaphambili, i-medial, i-lateral, okanye idolo elingasemva), ubude bexesha, ubukhali, kunye nomgangatho (umzekelo, buthuntu, bubukhali, bubuhlungu). Iimeko eziya ziba mandundu nezinciphisa nazo kufuneka zichongwe. Ukuba iintlungu zedolo zibangelwa yingozi enkulu, ugqirha kufuneka azi ukuba isigulane sakwazi ukuqhubeka nomsebenzi okanye sithwale ubunzima emva kokulimala okanye unyanzelekile ukuba ayeke imisebenzi ngokukhawuleza.
Iimpawu zoMatshini
Isigulane sifanele sibuzwe malunga neempawu zombane, njengokuvala, ukuphuma okanye ukunika indlela emadolweni. Imbali yokuvala iziqwenga ziphakamisa intlungu. Ivakalelo lokuphuma ngexesha lokulimala libonisa ukulimala okubi, mhlawumbi ukugqitywa kwe-ligament (i-tear-tear tear). Iziphasana zokunikezela zihambelana neqondo elithile lokungazinzi kwamadolo kwaye zingabonakalisa i-patellar sub-luxation okanye i-ligamentous break.
Ukususwa
Ixesha kunye nomlinganiselo wokuxuba okuhlangeneyo kubalulekile ukuba kuhlolwe. Ukuqala ngokukhawuleza (kwiiyure ezimbini) kweso sikhulu esikhulu, siphumelelo sikhombisa ukugqithwa kwegridi ye-anterior engxenyeni okanye i-fracture ye-plateau ye-tibial ene-hemarthrosis eyiphumela, kanti i-24 ukuya kwii-36 iiyure ezihamba ngokukhawuleza zihamba ngendlela ehambelanayo. ukulimala kwamadoda okanye i-ligamentous sprain. Ukutshatyalaliswa kwamadolo okuphindaphindiweyo emva komsebenzi kuhambelana nokulimala kwamadoda.
Indlela yoKhuseleko
Isigulane sifanele sibuze malunga neenkcukacha ezithile zengozi. Kubalulekile ukwazi ukuba isigulane sagxothwa ngqo emadolweni, ukuba unyawo lwahlwayelwa ngexesha lokulimala, ukuba isigulane sagxotha okanye siyeka ngokukhawuleza, ukuba isiguli sasingena kwi-jump, icandelo lokulimala, kwaye ukuba kwenzeka ingozi ye-hyperextension.
Ukubethelwa ngqo kumadolo kungabangela ukulimala kakhulu. Amandla angaphaya asetyenziswe kwi-tibia ehamba phambili kunye negulo ekuphambeni (umz., Xa idolo lishaya ideshibhodi kwimoto yengozi) kunokubangela ukulimala kwimeko engaphaya komzimba. I-ligament ye-collateral ligament ixhaphake kakhulu ngenxa yesigxina esisigxina esisisigxina emadolweni (umz., Ukutsalwa kwebhola); eli galelo lidala umthwalo wecala kwixolo kunye kwaye kunokubangela ukugqithwa kwe-collateral ligament. Ngapha koko, ukuqhuma komzimba okwenza umthwalo we-varus ungalimaza i-latal collateral ligament.
Amandla okungahambelani nawo ayibangela ebangela ukulimala kwamadolo. Ukuyeka okukhawulezileyo kunye nokucima okubukhali okanye ukujika kudala amandla amakhulu okunciphisa angakwazi ukuphazamisa okanye ukuphulukana nomgudu ongezantsi. I-Hyperextension inokubangela ukulimala kwi-ligament ephazamisayo yangaphambili okanye i-posterior cruciate ligament. Ukuphazamiseka ngokukhawuleza okanye ukuhamba ngokukhawuleza kwenza imikhosi ye-shear engalimaza i-meniscus. Inhlanganisela yemikhosi inokubakho kanyekanye, kubangela ukulimala kwizakhiwo ezininzi.
Imbali Yonyango
Imbali yokulimala kwamadolo okanye utyando lubalulekile. Isigulane kufuneka sibuzwe malunga nemizamo yangaphambili yokunyanga iintlungu zamadolo, kubandakanywa nokusetyenziswa kwamayeza, izixhobo ezixhasayo, kunye nonyango lomzimba. Ugqirha ukwafanele abuze ukuba ngaba umguli unembali yegout, ipseudogout, isifo samathambo, okanye ezinye izifo eziwohlokayo zamalungu.
Ubunzima bomzimba luyimpikiswano yempilo echaphazelekayo engabangelwa kukulimala kwezemidlalo, ukulimala kwengozi yemoto, okanye ngenxa yenkxalabo yempilo, njenge-arthritis. Iimpawu eziqhelekileyo zokulimala kwamadolo ziquka intlungu kunye nokungahambi kakuhle, ukuvuvukala, ukuvuvukala nokuqina. Ngenxa yokuba unyango lweentlungu zamadolo luyahlukahluka ngenxa yeso sizathu, kubalulekile ukuba umntu athole ukuxilongwa ngokufanelekileyo kwiimpawu zakhe. Ukunyamekela kwe-Chiropractic yindlela ekhuselekileyo neyenzayo, indlela yokwenza unyango engakunceda ukuphatha ubuhlungu beendolo, phakathi kwezinye izinto zempilo.
UDkt Alex Jimenez DC, i-CCST Insight
Uvavanyo lweMvelo
Uhlolo kunye nendawo
Ugqirha uqala ngokuthelekisa idolo elibuhlungu kunye nelolo elimnyama kunye nokuhlola idolo elimele ngenxa ye-erythema, ukuvuvukala, ukunyunyuza kunye nokuguqulwa. Inkundla kufuneka ilandelelanise ngokubanzi. Ngokukodwa, i-vastus medialis obliquus ye-quadriceps kufuneka ihlolwe ukuba ibone ukuba ibonakala iqhelekileyo okanye ibonisa iimpawu ze-atrophy.
Emva koko idolo liyacolwa lize lijongwe ukuba akukho ntlungu na, ubushushu kunye nokuphuma kwamanzi. Ithenda yenqaku kufuneka ifunwe, ngokukodwa kwi-patella, i-tubercle ye-tibial, i-tendon patellar, i-quadriceps tendon, i-anterolateral kunye ne-anteromedial joint line, i-medial joint line, kunye ne-lateral joint line. Ukuhambisa idolo lesigulana kwi-arc emfutshane yokunyakaza kunceda ukuchonga imigca edibeneyo. Uluhlu lwentshukumo kufuneka luhlolwe ngokwandisa kunye nokuguquguquka kwedolo kangangoko kunokwenzeka (uluhlu oluqhelekileyo lokunyakaza: ulwandiso, idigri zero; i-flex-ion, i-135 degrees).5
Uvavanyo lwePatellofemoral
Uvavanyo lokusasazeka kufuneka lwenziwe kunye nesigulane esiphezulu kunye negama elimazileyo. I-porapatellar pouch kufuneka ibanjwe ukuba ibone ukuba ikhona into ekhoyo.
Ukulandelwa kwePatellofemoral kuhlolwa ngokuqwalasela i-patella ngokunyakaza ngokukhawuleza ngelixa isigulane sivumelanisa i-quadriceps muscle. Ubungqina be-crepitus maziqatshelwa ngexesha lokutsalwa kwe patella.
I-angle ye-quadriceps (i-angle engama-Q) ichazwe ngokukraba umgca owodwa ukusuka kwinqanaba elingaphambili lomlenze we-aliac phakathi kwipatella kunye nomgca wesibini phakathi kwipatella ngokusebenzisa isifo sofuba (Umfanekiso 2) .6 AQ engaphezulu kwe-15 idigri yinto ebangela ukuba i-patellar subluxation (oko kukuthi, ukuba i-angle engama-Q iyanda, ukunyanzeliswa okunamandla kwemisipha ye-quadriceps kunokubangela ukuba i-patella ibe ne-sublux kamva).
Uvavanyo lokuxhalaba kwe patellar lwenziwa emva koko. Ngeminwe ebekwe kwicala eliphakathi le patella, ugqirha uzama ukuthoba i-patella kamva. Ukuba le ndlela iphinda ivelise iintlungu zesigulana okanye indlela yokupha, i-patellar subluxation ingoyena nobangela weempawu zesigulana. .
IziLigamente eziPhambili
ILigament yesiGaba esiPhakathi. Kuvavanyo lwangaphambili lwe-drawer, isigulana sithatha indawo yokuma kunye nedolo elonzakeleyo eliguquguqukayo laya kwiidigri ezingama-90. Ugqirha ulungisa unyawo lwesigulana ngokujikeleza kwangaphandle okuncinci (ngokuhlala ngenyawo) emva koko ubeke oobhontsi kwisifuba se-tibial kunye neminwe kumathole angasemva. Xa izihlunu zesigulana zikhululekile, ugqirha utsala ngaphakathi kwaye avavanye ukufuduswa kwangaphandle kwe-tibia (uphawu lwangaphandle lwedrowa).
Uvavanyo lweLachman lenye enye indlela yokuvavanya ingqibelelo yecala eliphambene nomzila (Umzobo we3) .7 Uvavanyo luyenziwa ngesigulane kwindawo ephakamileyo kwaye idolo elimazi liguqule kwii-30 degrees. Ugqirha ugxininisa i-distal femur ngesandla esinye, uqokelela i-tibia ehamba phambili ngakolunye uhlangothi, kwaye uzama ukuxhomekeka kwi-tibia kwangaphambili. Ukungabi nendawo ecacileyo yokugqibela kubonisa ukuhlolwa okulungileyo kweLachman.
IsiLigament esiPhambeneyo. Kuvavanyo lwedrowa yangasemva, isigulana sithatha indawo yokuma phezulu ngamadolo aguquguqukayo aya kuma-90 degrees. Ngelixa umi ecaleni kwetafile yoviwo, ugqirha ujonga ukushenxiswa kwasemva kwesithuba se-tibia (uphawu lwasemva lwe-sag) .7,8 Emva koko, ugqirha ulungisa unyawo lwesigulana ngokujikeleza ngokungathathi hlangothi (ngokuhlala ngonyawo), izikhundla oobhontsi kwi-tubercle ye-tibial, kwaye ubeka iminwe kumathole angasemva. Ugqirha emva koko utyhala ngasemva kwaye avavanye ukufuduka kwangaphambi kwexesha kwitibia.
IiLigamente eziBambeneyo
Ligament Ligamental Ligament. Uvavanyo loxinzelelo lwe-valgus lwenziwa ngomlenze wesigulana othathiweyo. Ugqirha ubeka isandla esinye kwicala lokuhlangana kwamadolo kunye nelinye icala kwicala le-distal tibia. Okulandelayo, uxinzelelo lwevalgus lusetyenziswa emadolweni kuzo zombini iidigri zero (ulwandiso olupheleleyo) kunye ne-30 degrees of flexion (Umzobo 4) 7. Ngamadolo kwiidridi ze-zero (oko kukuthi, ukwandiswa okupheleleyo), i-ligament yangasemva ye-cruciate kunye nokuchazwa kweendlela zobufazi kunye ne-tibial plateau kufuneka zizinzise idolo; ngedolo kwiidigri ezingama-30 zokujika, ukusetyenziswa koxinzelelo lwe-valgus kuvavanya ukungakhathali okanye ingqibelelo yento ebambekayo yangaphakathi.
Ligamentary Ligamental Ligament. Ukwenza uvavanyo loxinzelelo lwe-varus, ugqirha ubeka isandla esinye kwindawo ephakathi kwedolo lesigulana kunye nesinye isandla kwicala elisecaleni le-distal fibula. Emva koko, uxinzelelo lwe-varus lusetyenziswa emadolweni, okokuqala ngokwandiswa ngokupheleleyo (oko kukuthi, i-degrees zero), emva koko idolo liguquguquke kwii-30 degrees (Umfanekiso 4) .7 Isiphelo esiqinileyo sibonisa ukuba i-collateral ligament ilungile, kanti i-soft. okanye indawo yokuphela engekhoyo ibonisa ukuphuka okupheleleyo (i-third-degree tear) ye-ligament.
Menisci
Izigulane ezinobungozi kumadoda ngokuqhelekileyo zibonisa ukunyameka kumgca odibeneyo. Uvavanyo lweMcMurray lwenziwa kunye nesigulane esilala i-supine9 (Umfanekiso we-5). Uvavanyo luchazwe ngokuthe ngqo kwiincwadi, kodwa umbhali ubonisa indlela elandelayo.
Ugqirha ubamba isithende sesigulana ngesandla esinye kunye nedolo ngesinye isandla. Isithupha sikagqirha sikumgca ohlangeneyo osecaleni, kwaye iminwe ikumgca we-medial joint. Ugqirha ke uguqula idolo lesigulana kakhulu. Ukuvavanya i-meniscus yecala, i-tibia ijikeleziswa ngaphakathi, kwaye idolo liyandiswa ukusuka kwi-flexion ephezulu ukuya kwi-90 degrees; ukunyanzeliswa okongeziweyo kwi-meniscus esecaleni kunokuveliswa ngokufaka uxinzelelo lwe-valgus kwi-joint joint ngelixa idolo lindiswa. Ukuvavanya i-meniscus ephakathi, i-tibia ijikeleziswa ngaphandle, kwaye idolo liyandiswa ukusuka kwi-flexion ephezulu ukuya kwi-90 degrees; ukunyanzeliswa okongeziweyo kwi-meniscus ephakathi kunokuveliswa ngokubeka uxinzelelo lwe-varus ngaphesheya kwedolo elihlangeneyo ngelixa idolo liyi-degrees of flexion. Uvavanyo oluhle luvelisa i-thud okanye ukucofa, okanye kubangela intlungu kwinxalenye ephindaphindayo yoluhlu lokunyakaza.
Ngenxa yokuba ezininzi izigulane ezinamahlombe emadolo zinobungozi obunzima bokuzilimala, i-film-clear radiographs ngokuvamile ayibonakalwanga. Imithetho yamadolo ase-Ottawa iyisikhokelo esiluncedo sokwenza i-radiographs ye knee10,11.
Ukuba i-radiographs iyadingeka, iimbono ezintathu zihlala zanele: i-anteroposterior view, i-lateral view, kunye nembono yoMthengisi (kwi-patellofemoral joint) . Umbono we-posteroanterior kunye nedolo eliguquguqukayo ukuya kuma-7,12 ukuya kuma-40 degrees). Lo mbono uyimfuneko ekuboneni i-radiolucencies ye-femoral condyles (ikakhulu) i-condyle ye-femoral ephakathi), ebonisa ubukho be-osteochondritis dissecans.50
Ii-radiographs kufuneka zihlolwe ngokukhawuleza ngenxa yeempawu zokuphuka, ngokukodwa ezibandakanya i-patella, i-tibial plateau, i-tibial spines, i-fibula ehamba phambili, kunye ne-femoral condyles. Ukuba i-osteoarthritis icingelwa, kufuneka ifunyenwe i-radiographs yokunyuka kwesisindo.
Izifundo zeLebhu
Ubukho bemfudumalo, ububele obuhle, ukuxhamla ubuhlungu, kunye nentlungu ephawulweyo kunye nendawo encinci yokunyakaza kwamadolo ahambisanayo ne-septic arthritis okanye i-arthropathy enobuhlungu. Ukongezelela ekufumaneni inani elipheleleyo legazi ngokungafani kunye ne-erythrocytes sedimentation rate (ESR), kufuneka i-arthro-centesis ifakwe. Umthamo ohlangeneyo kufuneka uthunyelwe kwibhubhoratri ngenani leeseli ngokwahlukileyo, i-glucose kunye neeprotheni, imilinganiselo ye-bhakteria kunye novelwano, kunye ne-microscopy yokukhanya elula.
Ngenxa yokuba idolo, elibuhlungu, elithukutheleyo lingabonisa umfanekiso ocacileyo weklinikhi, i-arthrocentesis ingadingeka ukuba ihlukanise ukuhluthwa okulula ukusuka ku-hemarthrosis okanye i-osteochondral fracture ye-occult.4 I-effusion edibeneyo ivelisa i-fluid transudative color color, ukulimala kwamadoda. I-Hemarthrosis ibangelwa iinyembezi zengqungquthela yangaphambili, i-fracture okanye, ngokungaqhelekanga, iinyembezi ezinzulu zengxenyana yangaphandle ye-meniscus. I-osteochondral fracture ibangela i-hemarthrosis, kunye namafutha e-globules agqityiweyo kwi-aspirate.
I-rheumatoid arthritis ingabandakanya ixolo elihlangeneyo. Ngenxa yoko, i-serum ESR kunye novavanyo lwe-rheumatoid zibonakalisa kwizigulane ezikhethiweyo.
Ababhali babonisa ukuba abanalo iimbambano zomdla. Imithombo yenkxaso: ayikho ingxelo.
Ekugqibeleni, ubuhlungu beendolo ngumcimbi oqhelekileyo wempilo eyenzeka ngenxa yokwenyuka kweemeko kunye / okanye iimeko, ezifana nokulimala kwezemidlalo, izingozi zeemoto kunye ne-arthritis, phakathi kwezinye iingxaki. Unyango lweentlungu zamadolo luxhomeke kakhulu kwimvelaphi yeempawu. Ngoko ke, kubalulekile ukuba umntu afune unyango olusondeleyo ukuze athole ukuxilongwa.
Ukunyamekelwa kweChiropractic yindlela yonyango olulolunye olujolise kunyango lweentlobo ezahlukeneyo zokulimala kunye / okanye iimeko ezinxulumene ne-musculoskelet and nervous system. Ubungakanani bolwazi lwethu lukhawulelwe kwi-chiropractic kunye nemiba yempilo yomgogodla. Ukuxoxa ngalo mbandela, nceda uzive ukhululekile ukubuza uGqr. Jimenez okanye uqhagamshelane nathi apha915-850-0900 .
Ikhutshwe nguDkt. Alex Jimenez
Ingongoma eyongezelelweyo Ingxoxo: Ukuxoxisa ubuhlungu be-Knee Pain ngaphandle kokuPhenywa
Intlungu yedolo luphawu olwaziwayo olunokuthi lwenzeke ngenxa yeengozi zamadolo kunye / okanye iimeko, kubandakanya ukulimala kwezemidlalo. Amadolo ngenye yezona zinto ezinzima kakhulu emzimbeni womntu njengoko zenziwe yintlupheko yamathambo amane, iigamente ezine, iintlobo ezihlukahlukeneyo, i-menisci emibini, kunye ne-cartilage. Ngokwe-American Academy ye-Family Physicians, izizathu eziqhelekileyo zokubandezeleka kwamadolo zibandakanya i-patellar subluxation, i-patellar tendinitis okanye i-jumper, kunye ne-Osgood-Schlatter. Nangona ubuhlungu beentolo buya kwenzeka kubantu abantu abangaphezu kwe-60 ubudala, ubuhlungu beendolo buya kwenzeka kubantwana nakwishumi elivisayo. Iintlungu zesisu zingaphathwa ekhaya emva kweendlela ze-RICE, nangona kunjalo, ukulimala kwamadolo amakhulu kunokufuna ukunyangwa kwangoko kunyango, kubandakanya ukunakekelwa kwe-chiropractic.
Ucaphulo
1. URosenblatt RA, uCherkin DC, uSchneeweiss R, iHart LG. Umxholo wokunyamekela unyango kwi-United States. Ukuthelekiswa kokungena. N Engl J Med 1983; 309: 892-7.
2. I-Tandeter HB, uShvartzman P, uStevens MA. Ukuxhatshazwa kwamadolo ngokuchanekileyo: ukusebenzisa izigqibo zomthetho wokwenza i-radiograph ekhethiweyo. U-Fam Famician 1999; 60: 2599-608.
3. I-Calmbach WL, i-Hutchens M. Ukuvavanywa kwezigulana ezenza ubuhlungu beentolo: inxalenye II. Idiagosis ehlukeneyo. U-Fam Famician 2003; 68: 917-22
4. I-Bergfeld J, i-Ireland ML, i-Wojtys EM, i-Glaser V. Inkcazo ebangela imbandezelo yegolo. Ukunyamezela Umonde 1997; 31 (18): 100-7.
5. DJ Magee. Knee. Ku: Uvavanyo lwama-Orthopedic ngokomzimba. 4th ed. Philadelphia: Saunders, 2002: 661-763.
6. Juhn MS. Isifo se-Patellofemoral syndrome: ukuhlaziywa kunye nezikhokelo zonyango. U-Fam Famician 1999; 60: 2012-22.
7. Smith BW, iGreen GA. Ukulimala kwamadolo okuphambili: inxalenye I. Imbali kunye nokuhlolwa komzimba. I-Fam Fam I-1995; 51: 615-21.
8. UWalsh WM. Ukulimala kwamadolo. Ku: Imvukelo MB, iWalsh WM, uShelton GL, ii-eds. Incwadi yesandla yegqirha. 2 ed. I-St. Louis: Mosby, 1997: 554-78.
9. McMurray TP. I-carillage ye-semilunar. Br J Surg 1942; 29: 407-14.
10. I-Stiell IG, i-Wells GA, iHoag RH, i-Sivilotti ML, i-Cacciotti TF, i-Verbeek PR, kunye ne-al. Ukuphunyezwa komthetho we-knee wase-Ottawa ekusebenziseni i-radiografi ngokumala kwamadolo. JAMA 1997; 278: 2075-9.
11. I-Stiell IG, iGreenberg GH, i-Wells GA, iMcKnight RD, iCwinn AA, iCaciotti T, et al. Ukuchithwa komgaqo wesigqibo malunga nokusetyenziswa kwe-radiografi ngokulimala kwamadolo. U-Ann Emerg Med 1995; 26: 405-13.
12. I-Sartoris DJ, i-Resnick D. Plain ifilimu ye-rayography: i-roumine kunye nobuchule obukhethekileyo kunye nezicwangciso. Ku: Ukuhlenga u-D, u-ed. Ukuxilongwa kwethambo kunye neentlungu ezihlangeneyo. 3d ed. Philadelphia: Saunders: 1-40.
13. Schenck RC Jr, Goodnight JM. I-Osteochondritis. I-Bone Joint Surg [Am] 1996; 78: 439-56.
by iicrosoft | Chiropractic, Uvavanyo lweChiropractic, Ubuhlungu obungapheliyo, impilo, Ukunyamekela, Uvavanyo lweSkrini, Ukulimala kwezemidlalo, Ukulimala kwezemidlalo, Unyango, Ukuphila
Iithoni zithintela izicubu ezinotsholongwane ezidibanisa imisipha emathanjeni. Enye yale mikhonkqo, i-tendon-quadriceps ithoni, isebenza kunye nezihlunu ezifunyenwe ngaphambili kwethanga ukuze kulungiswe umlenze. A i-quadriceps breakon rupture inokuchaphazela umgangatho wobomi bomntu.
Ukuphuka kwetonriceps kwe-tendon kungabangela ukulimala kwaye kudla ukufuna ukulungiswa kunye nokungenelela kokulungisa ukubuyisela ukusebenza komzimba. Olu hlobo lengozi alunqabile. I-quadriceps i-tendon rupture ngokuvamile ivela kubadlali ababethelela imidlalo okanye bezemidlalo.
I-Quadriceps Tendon Ukupapashwa Inkcazelo
Iimisipha ezine ze-quadriceps zihlangene ngaphaya kwe-kneecap, okanye i-patella, ukwenza ifonta ye-quadriceps. I-tadriceps tendon ijoyina imisipha ye-quadriceps kwi patella. I-patella ixhunyiwe kwi-shinbone, okanye i-tibia, yi-tendon patellar. Ukusebenza ngokubambisanayo, izihlunu ze-quadriceps, i-tendonpad tendon, kunye ne-tendellar tonyon, lijike ngamadolo.
Ukuqhekeka kwe-tendon ye-quadriceps kunokuba yingxenye okanye epheleleyo. Iinyembezi ezininzi aziphazamisi ngokupheleleyo izicubu ezithambileyo. Nangona kunjalo, ukukrazula okupheleleyo kuya kwahlula izihlunu ezithambileyo zibe ngamacandelo amabini. Ukuba i-tendon ye-quadriceps igqabhuka ngokupheleleyo, i-muscle ayisekho kwi-kneecap okanye kwi-patella. Ngenxa yoko, idolo alikwazi ukulungelelanisa xa imisipha ye-quadriceps iyancipha.
I-Quadriceps Tendon Ukukhupha Iingxaki
Ukuqhekeka kwetonriceps kwe-tendon kubangelwa rhoqo ngenxa yomthwalo okwandisiweyo emlenzeni apho unyawo linyalwe khona kwaye idolo liye litshintsha. Ngokomzekelo, xa usuka kwi-jumping inzima, amandla amaninzi kumathishini athambileyo athwala, okubangela ukukhawuleza okukhawuleza. Iinyembezi nazo zibangelwa ukuwa, iimpembelelo ngqo kumadolo, kunye nokuqhawula okanye ukusika.
Ithenda ye-quadriceps ebuthathaka iyakwazi ukugqabhuka. Izinto ezininzi zinokubangela ubuthathaka be-tendon, kuquka i-quadriceps tendinitis, ukuvuvukala kwe-quadriceps tendon, ebizwa ngokuba yi-quadriceps tendinitis. I-Quadriceps tendinitis yenye yezona nzakala zixhaphakileyo kwezemidlalo kwiimbaleki ezithatha inxaxheba kwimidlalo okanye kwimisebenzi yomzimba ebandakanya ukutsiba.
Amathishu amancinci angancinci angaseniswa nezifo eziphazamisa ukuhamba kwegazi ukuya emadolweni okanye kwi patella. Ukusebenzisa i-corticosteroids kunye nezinye iziza-antibiotics ziye zadibaniswa nobuthathaka obuhambisana ne-quadriceps tonson rupture. Ukuchithwa kwemali kwithuba elongezelelweyo lexesha kunokunciphisa amandla kumathambo e-quadriceps. Ekugqibeleni, i-quadriceps i-tendon rupture iyakwenzeka ngenxa yokungena kunye / okanye ukuhlinzwa.
I-Quadriceps Tendon Ukukhupha iimpawu
Ukuvela okanye ukukrazula ukuvakalelwa ngenye yeempawu eziqhelekileyo ezinxulumene nokuqhambuka kwe-quadriceps tendon. Ubuhlungu obulandelwa kukudumba kunye nokudumba kwedolo-kunokwenza umntu angakwazi ukolula idolo. Ezinye iimpawu zokuqhekeka kwe-tendon ye-quadriceps ziquka:
- I-indentation phezulu kwe-kneecap okanye i-patella yesayithi elichaphazelekayo
- Ukunyakaza
- ukuthantamisa
- Ukuqhawula
- Ukuguqulwa okanye ukuguqula i-kneecap okanye i-patella apho ithenda ithatha khona
- Ubunzima ukuhamba ngenxa yokuba idolo likhawuleza okanye linike
I-Quadriceps Tendon Ukuvandlakanyo
Ugqirha wezempilo uya kwenza uvavanyo lokuxilonga i-quadriceps tendon rupture ngokuqala ngokuxoxa ngeempawu zesigulane kunye nembali yonyango.
Ukuze aqinisekise oyena nobangela weempawu zesigulana, ingcali yezempilo iya kuhlola ukuba kunokwenzeka kangakanani ukolula, okanye ukolula, ‘idolo. Nangona le ndawo yovavanyo inokuphazamisa, kubalulekile ukuxilonga i-quadriceps tendon rupture.
Ukuqinisekisa ukuxilongwa kwetayriceps tape diagnostic, ugqirha unokuyalela ezinye iimvavanyo zokucinga, njenge-x-ray okanye i-IMM, okanye i-MRI. I-kneecap ihamba ukusuka kwendawo apho i-quadriceps itheon rupture. Oku kungabonakala ngokucacileyo kwimiba yecala ye-x-ray yedolo.
Iinyembezi ezipheleleyo zihlala zichongwa nge x-ray kuphela. I-MRI iyakubonisa ukuba ubuninzi beeton echithwe kunye nokubeka iimbozi. Ngexesha elide, i-MRI iya kulawula enye inzakalo kunye neempawu ezifanayo. Ukucatshulwa kokuxilonga kunceda ekuphononongweni kwemazi ezemidlalo.
I-quadriceps tendon yi-tendon enkulu efumaneka nje ngaphezulu kwedolo, okanye i-patella, esivumela ukuba sithe nkqo ngqo edolweni. Ngelixa i-quadriceps tendon ingumtya owomeleleyo, oqinileyo onokuthi unyamezele amandla amakhulu, ukulimala kwezemidlalo okanye eminye imiba yezempilo inokukhokelela ekuqhekekeni kwe-quadriceps tendon. Ukuqhekeka kwe-tendon ye-Quadriceps ziingxaki ezibuthathaka ezinokuthi zichaphazele umgangatho wobomi besigulana.
UDkt Alex Jimenez DC, i-CCST Insight
I-Quadriceps Tendon Ukuphulukiswa Kwonyango
Unyango Ongafunywanga
Uninzi lweenyembezi ezingaphelelanga zisabela kakuhle kwiindlela zonyango ezingezizo utyando. Ugqirha unokucebisa isigulane ukuba sisebenzise i-knee immobilizer okanye i-brace ukuvumela i-tendon ye-quadriceps ukuba iphilise. Iinduku ziya kunceda ukuphepha ukubeka ubunzima emlenzeni. Isixhobo sokuthintela idolo okanye iplanga lokudityaniswa kwentsinjana isetyenziswa kangangeenyanga ezi-3 ukuya kwezi-6.
Nje ukuba iintlungu zokuqala, ukudumba, kunye nokudumba kwehlile, ezinye iindlela zonyango, ezinje ngokhathalelo lwe-chiropractic kunye nonyango lomzimba, zinokusetyenziswa. Ugqirha we-chiropractic, okanye i-chiropractor, usebenzisa uhlengahlengiso lomgudu kunye nokunyanzeliswa kwezandla ukulungisa ngokucokisekileyo nakuphi na ukungahambi kakuhle komgudu, okanye ukuxutywa, okunokubangela iingxaki.
Ukongeza, ukhathalelo lwe-chiropractic kunye nonyango lomzimba lunokubonelela ngeendlela zokutshintshwa kwendlela yokuphila, kubandakanya imisebenzi yomzimba kunye neenkqubo zokuzilolonga ukunceda ukukhawulezisa inkqubo yokubuyisela kwimeko yesiqhelo. Isigulana sinokucetyiswa ngeendlela zokuzolula kunye nokuzivocavoca ukuphucula amandla, ukuguquguquka kunye nokuhamba. Ingcali yezempilo iya kuthi ichonge xa kukhuselekile ukubuyela kumdlalo.
Utyando loPhando
Uninzi lwabantu abaneenyembezi ezigqibeleleyo zifuna ukuba kwenziwe utyando ukulungisa i-quadriceps tendon rupture. Ungenelelo lokuhlinzwa luxhomekeke kubudala besigulana, isenzo, kunye nenqanaba langaphambili lomsebenzi. Uqhaqho lokuqengqeleka kwe-quadriceps tendon kubandakanya ukuphinda unamathisele i-tendon kwi-kneecap okanye patella. Utyando lwenziwa nge-anesthetic yendawo yomzimba okanye i-anesthetic ngokubanzi.
Ukuphinda unamathisele i-tendon, i-sutures ifakwe kwi-tendon kwaye emva koko ifakwe kwimingxuma yokubhobhoza kwi-kneecap. Izibonda zifakwe kwisiseko se-kneecap. Ugqirha uya kubopha i-sutures ukufumana ukuxinezeleka okufanelekileyo kwi-kneecap okanye kwipatella. Oku kuya kuqinisekisa ukuba indawo ye-kneecap ihambelana ngokusondeleyo ne-patella engabonakaliyo okanye i-kneecap.
I-knee immobilizer, i-brace okanye umlenze omde ungasetyenziswa emva kokuhlinzwa. Isigulane singavunyelwa ukubeka isisindo emlenzeni wabo ngeentonga. Ukubeka kunye nokuzivocavoca kwongezwa kwiprogram yokubuyisela isifo se-chiropractor okanye umphathiswa wezonyango emva kokungenelela okutyathwayo.
Umhla ochanekileyo wokukhathalelwa kwe-chiropractic kunye nokunyangwa komzimba kulandela utyando olufumana abaguli oluyifunayo luya kwenziwa ngokukodwa. Inkqubo yokuhlaziya isigulana iya kuxhomekeka kuhlobo lweenyembezi, utyando lwabo, imeko yonyango, kunye nezinye iimfuno.
isiphelo
Uninzi lwezigulana zinokubuyela kwiinkqubo zazo zangaphambili emva kokuphola kwi-quadriceps tendon rupture. Ukubuya komntu ngamnye kuya kuqwalaselwa ngononophelo olukhulu ngumsebenzi wezempilo.�Ububanzi bolwazi lwethu bukhawulelwe kwi-chiropractic kunye nemiba yempilo yomgogodla. Ukuxoxa ngalo mbandela, nceda uzive ukhululekile ukubuza uGqr. Jimenez okanye uqhagamshelane nathi apha915-850-0900 .
Ikhutshwe nguDkt. Alex Jimenez
Ingongoma eyongezelelweyo Ingxoxo: Ukuxoxisa ubuhlungu be-Knee Pain ngaphandle kokuPhenywa
Intlungu yedolo luphawu olwaziwayo olunokuthi lwenzeke ngenxa yeengozi zamadolo kunye / okanye iimeko, kubandakanya ukulimala kwezemidlalo. Amadolo ngenye yezona zinto ezinzima kakhulu emzimbeni womntu njengoko zenziwe yintlupheko yamathambo amane, iigamente ezine, iintlobo ezihlukahlukeneyo, i-menisci emibini, kunye ne-cartilage. Ngokwe-American Academy ye-Family Physicians, izizathu eziqhelekileyo zokubandezeleka kwamadolo zibandakanya i-patellar subluxation, i-patellar tendinitis okanye i-jumper, kunye ne-Osgood-Schlatter. Nangona ubuhlungu beentolo buya kwenzeka kubantu abantu abangaphezu kwe-60 ubudala, ubuhlungu beendolo buya kwenzeka kubantwana nakwishumi elivisayo. Iintlungu zesisu zingaphathwa ekhaya emva kweendlela ze-RICE, nangona kunjalo, ukulimala kwamadolo amakhulu kunokufuna ukunyangwa kwangoko kunyango, kubandakanya ukunakekelwa kwe-chiropractic.
by iicrosoft | Chiropractic, Uvavanyo lweChiropractic, Ubuhlungu obungapheliyo, impilo, Uvavanyo lweSkrini, Ukulimala kwezemidlalo, Ukulimala kwezemidlalo, Unyango, Ukuphila
Idolo lenziwe ngezihlunu ezahlukeneyo ezithambileyo. Ukudibanisa idolo ngokudibanisa sisongelo kwilungu laso elibizwa ngokuba yi-plica. Idolo lihlanganiswe ngohlobo oluzaliswe ngamanzi olubizwa ngokuba yi-synovial membrane. Ezi zintathu zezi pilisi, ezaziwa njenge synovial plicae, zikhula zijikeleze idolo ngokuhlangeneyo kwinqanaba lokuzala kwaye zifunxwe ngaphambi kokuzalwa.
Nangona kunjalo, ngexesha lophando olwenziwe ngo-2006, abaphandi bafumanisa ukuba iipesenti ezingama-95 zezigulane ezenziwa utyando lwe-arthroscopic zineentsalela ze-synovial plicae yazo. I-Knee plica syndrome yenzeka xa iplica idumbile, ikakhulu ngenxa yokwenzakala kwezemidlalo. Oku kuhlala kwenzeka embindini wedolo, eyaziwa njenge i-patellar plica syndrome.
Ziziphi iimpawu ze-Knee Plica Syndrome?
Olona phawu luxhaphakileyo lwedolo plica syndrome yintlungu edolweni, nangona imiba eyahlukeneyo yezempilo inokubangela ezi mpawu. Iintlungu zedolo ezinxulunyaniswa nedolo plica syndrome ngokubanzi: achy, endaweni yokubukhali okanye ukudubula; kwaye kubi xa usebenzisa izinyuko, ukuhlaxa, okanye ukugoba. Ezinye iimpawu zedolo plica syndrome zinokubandakanya oku kulandelayo:
- ukubamba okanye ukuvalela imvalo kwi-knee ngelixa uphakama esihlalweni emva kokuhlala ixesha elide,
- ubunzima bokuhlala ixesha elide,
- ukukhahlela okanye ukucofa ingxolo xa uguqa okanye ululaza idolo,
- uvakalelwa kukuba idolo liyakhupha,
- ingqiqo yokungazinzi kwimimatha kunye nezitebhisi,
- kwaye unokuziva ugugule xa uqhubekile kwi-cap.
Ziziphi iimeko ezibangela i-Knee Plica Syndrome?
I-Knee plica syndrome ihlala ibangelwa sisiphumo soxinzelelo olugqithisileyo okanye uxinzelelo olubekwe edolweni okanye ngenxa yokusetyenziswa gwenxa. Oku kunokuziswa yimisebenzi yomzimba kunye nokuzilolonga okufuna ukuba umntu agobe kwaye andise idolo njengokubaleka, ukuhamba ngebhayisikile, okanye ukusebenzisa umatshini onyuka izitepsi. Ukonzakala kwengozi yemoto okanye i-a a slip-kunye-nokuwa kwengozi kunokubangela idolo plica syndrome.
I-knee plica syndrome, ebizwa ngokuba yi-medial patellar plica syndrome, yinkinga yempilo eyenzeka xa i-plica, isakhiwo esijikeleze i-capnole ye-synovial yegolo, iyacaphuka kwaye ivuke. I-knee plica syndrome ingenzeka ngenxa yokulimala kwezemidlalo, ukulimala kwengozi yemoto, kunye neengozi ze-slip-and-falling, phakathi kwezinye iintlobo zempilo. Iimpawu zamadolo e-plica syndrome zisenokungahambi kakuhle nge-chondromalacia patella. Ukucinga ngeengcinga kunokunceda ukuxilonga ingxaki ukuqhubeka unyango.
UDkt Alex Jimenez DC, i-CCST Insight
I-Knee Plica Syndrome ichongwa njani?
Ukuze uhlolisise i-patellar plica syndrome ye-patellar, uchwepheshe wezempilo uza kuqala uvavanyo lwangaphakathi. Baya kusebenzisa uvavanyo lokulawula ngaphandle kwezinye izizathu ezibangelwa ubuhlungu beendolo, ezifana ne-meniscus ehlanjulweyo, i-tendonitis, kunye namathambo aphukileyo okanye amaqhekeza. Qiniseka ukuba uthethe ugqirha wakho malunga nayiphi na imisebenzi eyenziwa yinto oyithatha inxaxheba kunye nayo nayiphi na imicimbi yempilo yakutshanje. Umqeqeshi wezezempilo unokusebenzisa kwakhona i-X-ray okanye i-MRI ukuba ubukeke bhetele kwidolo.
Luthini unyango lweDolo Plica Syndrome?
Uninzi lweziganeko ze-patellar plica syndrome ziphendule kakuhle kwezinye iindlela zokunonyango, ezifana nokunyamekela kwe-chiropractic, unyango lomzimba okanye nokuba ngumsebenzi okanye ukucwangcisa umzimba. Ukunyamekela kwe-Chiropractic isebenzisa ukulungiswa kwemigudu kunye nokunyanzeliswa kwendlela yokusebenza ngokukhuselekileyo nangokuchanekileyo kwimiba eyahlukeneyo yempilo enxulumene ne-musculoskelet and nervous system. Ngaphezu koko, ukunakekelwa kwe-chiropractic kunye neyeza zonyango zingabandakanya uchungechunge lwezandla kunye nokuzivocavoca ukunceda ukubuyisela amandla, ukuhamba, kunye nokuguquguquka kwiintambo ze-hamstrings kunye ne-quadriceps. Ezi zileyo kunye nokuzivocavoca zichazwe ngezantsi.
Quadriceps Ukuqinisa
I-plica edibeneyo ifakwe kwi-quadriceps, i-muscle enkulu emathangeni. Umntu onobuthakathaka we-quadriceps unethuba eliphezulu lokuphuhlisa i-knee plica syndrome. Unokomeleza i-quadriceps yakho ngokwenza ilula kwaye usebenzise okulandelayo:
- i-quadriceps isetyenzisiwe okanye i-muscle iqinisa
- umlenze ochanekileyo uphakamisa
- imilenze yokunyathela
- i-squats mini
- ukuhamba, ukuhamba, ukuhamba, okanye ukusebenzisa umatshini we-elliptical.
I-Hamstring Isalathisa
I-hamstrings iyimisipha ehamba ngaphaya kwamathanga, ukusuka kwi-pelvis ukuya kwisifuba shin. Ezi ncedisa ziguqule idolo. Iintsimbi ezinamandla zibeka uxinzelelo olungakumbi kunye noxinzelelo phambi kwamadolo, okanye i-plica. I-chiropractor okanye umphathiswa wezonyango uya kukhokela isigulane ngeendlela ezininzi kunye nokuzivocavoca okunokukunceda ukukhupha amaninzi. Ngokukhawuleza ukuba isigulane sifunde oku kuhamba, banokukwenza amaxesha ambalwa ngalunye ukuze bahlale bekhululekile.
Ii-injection ze-Corticosteroid
Abanye abaqeqeshi bezempilo banganika iijoli ze-corticosteroid ngamadolo ukuba intlungu kunye nokuvuvukala kubangela ukuthintela emsebenzini. Ii-injection ze-Corticosteroid zingancedisa okwethutyana iimpawu ezibuhlungu, nangona kunjalo, kubalulekile ukuba isiguli siqhubeke unyango ukuze siphulukise idolo le-plica syndrome. Iimpawu ezibuhlungu zingabuya xa i-corticosteroid ishisa xa ingaphathwa.
Ukuhlinzwa
Ukuba unyango lwe-chiropractic, unyango lomzimba, okanye unyango oluchazwe ngasentla aluncedo ukuphilisa i-knee plica syndrome, inkqubo eyaziwa ngokuba yi-arthroscopic resection ingadinga. Ukwenza le nkqubo, ugqirha uya kufaka ikhamera encinci, ebizwa ngokuba yi-arthroscope, nge-cut cut little side of the knee. Izixhobo ezincinci zogqirha zifakwe kwi-second cut cut to take out plica okanye zilungise isikhundla sayo.
Emva kotyando, ugqirha wakho uya kudibana ne-chiropractor okanye i-physical therapist kwinkqubo yokubuyisela kwisimo sangaphambili.�Ukuchacha kuqhaqho kwi-knee plica syndrome kuxhomekeke kwizinto ezininzi, kubandakanywa impilo kunye nokuphila kakuhle kwesigulana. Isigulana sinokululama kwiintsuku ezimbalwa xa idolo litshintshile. Khumbula ukujija iiveki ezimbalwa ngaphambi kokuba ubuyele kumanqanaba esiqhelo wokuzilolonga kunye nomsebenzi womzimba.
Ukuphila ne-Knee Plica Syndrome
I-Plica syndrome ngokubanzi kulula ukuyinyanga ngononophelo lwe-chiropractic, unyango lomzimba, kunye nezinye iindlela zonyango, njengoko kuchaziwe apha ngasentla. Ukuba ufuna utyando, indlela iyangenelela kwaye ifuna ukubuyiswa kancinci xa kuthelekiswa nenani leendidi ezahlukeneyo zoqhaqho lwedolo.
Thetha nengcali yezempilo ukuze ukhethe olona khetho lonyango olufanelekileyo kwi-knee plica syndrome yakho. Ubungakanani bolwazi lwethu bunqunyelwe kwi-chiropractic kunye nemicimbi yezempilo yomqolo. Ukuxoxa ngomxholo, nceda ukhululeke ukubuza uGqirha Jimenez okanye unxibelelane nathi ku915-850-0900 .
Ikhutshwe nguDkt. Alex Jimenez
Ingongoma eyongezelelweyo Ingxoxo: Ukuxoxisa ubuhlungu be-Knee Pain ngaphandle kokuPhenywa
Intlungu yedolo luphawu olwaziwayo olunokuthi lwenzeke ngenxa yeengozi zamadolo kunye / okanye iimeko, kubandakanya ukulimala kwezemidlalo. Amadolo ngenye yezona zinto ezinzima kakhulu emzimbeni womntu njengoko zenziwe yintlupheko yamathambo amane, iigamente ezine, iintlobo ezihlukahlukeneyo, i-menisci emibini, kunye ne-cartilage. Ngokwe-American Academy ye-Family Physicians, izizathu eziqhelekileyo zokubandezeleka kwamadolo zibandakanya i-patellar subluxation, i-patellar tendinitis okanye i-jumper, kunye ne-Osgood-Schlatter. Nangona ubuhlungu beentolo buya kwenzeka kubantu abantu abangaphezu kwe-60 ubudala, ubuhlungu beendolo buya kwenzeka kubantwana nakwishumi elivisayo. Iintlungu zesisu zingaphathwa ekhaya emva kweendlela ze-RICE, nangona kunjalo, ukulimala kwamadolo amakhulu kunokufuna ukunyangwa kwangoko kunyango, kubandakanya ukunakekelwa kwe-chiropractic.
I-EXTRA EXTRA | INGXELO EBALULEKILEYO: El Paso, TX I-Chiropractor Kunconywe
by iicrosoft | Chiropractic, Uvavanyo lweChiropractic, Ubuhlungu obungapheliyo, impilo, Ukunyamekela, Uvavanyo lweSkrini, Ukulimala kwezemidlalo, Ukulimala kwezemidlalo, Unyango, Ukuphila
I-Chondromalacia patellae, ekwabizwa ngokuba yidolo lembaleki, ngumba wezempilo apho i-cartilage engaphantsi kwe-patella, okanye i-kneecap, ithambile - kwaye ekugqibeleni iyancipha. Le ngxaki ixhaphakile kubadlali abancinci, nangona kunjalo, inokuthi ikhule nakubantu abadala abaphethwe sisifo samathambo.
Ukulimala kwezemidlalo ezifana ne-chondromalacia patellae kudlalwa njengengozi yokusetyenziswa ngokweqile. Ukuthatha ixesha lokuthatha inxaxheba kwimisebenzi yenyama kunye nokuzilolonga kunokuvelisa iziphumo eziphezulu. Kwimeko yokuba imicimbi yempilo yomntu ingenxa yokulungelelaniswa kwamadolo okungafanelekanga, ukuphumla akunakho ukunika uncedo lwentlungu. Iimpawu zedolo lomgijimi ziquka ubuhlungu beedolo kunye nokuva.
Yintoni eyenza iCondromalacia Patellae?
I-kneecap, okanye i-patella, ifunyanwa ngokubanzi ngaphambili kwexolo elihlangeneyo. Ukuba ugoba idolo, umva ongasemva wedolo lakho utyibilika phezu kwentlala yomfazi wakho, okanye ithambo lethanga, emadolweni. Izicubu ezithambileyo ezintsonkothileyo, ezinje ngeethoni kunye nemisipha, qhagamshela i-kneecap kwi-shinbone kunye nethambo lemisipha. I-Chondromalacia patellae inokwenzeka rhoqo xa naliphi na kwezi zakhiwo lisilela ukuhamba ngokufanelekileyo, nto leyo ibangela ukuba i-kneecap igubungele ithambo le-thgh. Ukunyakaza okungalunganga kwamadolo kunokubangelwa:
- Ukuphulwa kakubi ngenxa yokugula komntwana
- Iintambo ezinqongqo kunye ne-quadriceps, okanye izihlunu zamathanga
- Ukungalingani kwemisipha phakathi kwabaxhasi kunye nabaphangi, izihlunu ngaphakathi nangaphandle kwamathanga
- Uxinzelelo oluqhubekayo ukuya kumadolo emadolo evela kwimisebenzi ethile yomzimba kunye nokuzivocavoca okunjengo kugijima, ukunqumla, okanye ukuxuma
- ukubetha ngqo okanye ukulimala nge-kneecap
Ngubani osemngciphekweni weCondromalacia Patellae?
Ngezantsi i-assortment yezinto ezinokunyusa ithuba lomntu wokuphuhlisa i-chondromalacia patellae.
ubudala
Iintsholongwane kunye nabantu abadala abasemngciphekweni omkhulu kulo mcimbi wezempilo. Ngethuba lokukhula, amathambo kunye nezihlunu zinokukhula ngokukhawuleza ngokukhawuleza, kubangela ukungalingani kwexesha elifutshane kunye nokungalingani kwamathambo emzimbeni womntu.
Gender
Abafazi banamathuba amaninzi kunamadoda ukuphucula idolo lomgijimi, kuba ngokuqhelekileyo abafazi banesistim esincinci kunabantu. Oku kunokubangela ukufakwa kwamagolo okungavamile, kunye noxinzelelo oluninzi lwe-lateral kwi-kneecap.
Amagqabi aMabala
Abantu abanoozinyawo ezinamaqatha bangabangela ukuxhamla amaninzi emadolweni xa kuthelekiswa nabantu ngabanye abanemigodi ephezulu.
Ukulimala kwangaphambili
Ukulimala kwangaphambili kwi-kneecap, kuquka ukuchithwa, kunokuphakamisa ithuba lokuphuhlisa i-chondromalacia patellae.
Ukwandisa umsebenzi wePhysical
Amanqanaba okwandiswa kwemisebenzi yomzimba kunye nokuzivocavoca kunokubeka uxinzelelo kumalungu okuguqa, angabangela ingozi kwimibandela yamadolo.
Arthritis
Idolo lomgijimi lingabonakalisa isifo se-arthritis, ingxaki eyaziwayo eyenza intlungu kunye nokuvuvukala kwimizimba kunye nokudibanisa. Ukukhupha kunokuthintela umsebenzi ofanelekileyo wamadolo kunye nezakhiwo zayo eziyinkimbinkimbi.
Ziziphi iimpawu zeCondromalacia Patellae?
I-Chondromalacia patellae iya kubakho njengentlungu emadolweni, ebizwa ngokuba intlungu ye-patellofemoral, ihamba kunye nokuvalelwa okanye ukugaya xa ikhula okanye iguqa ngamadolo. Ubunzima bubuhlungu emva kokuhlala ixesha elide okanye ngemisebenzi yemisebenzi kunye nokuzilolonga okusebenzisa uxinzelelo olunzulu ngamadolo akho, njengokuma. Kubalulekile ukuba umntu afune unyango lwangokoxakeko lwezonyango ukuba iimpawu ze-chondromalacia patellae, okanye idolo lomgijimi, azisombululi ngokwazo.
Ukuxilongwa kunye neCondromalacia Patellae Grading
Umqeqeshi wezempilo uya kufuna uphando lweentlungu kunye nokuvuvukala emadolweni. Basenokukhangela nendlela i-kneecap ehambelana ngayo nethambo lethanga. Ukuchithwa kakubi kungabonisa ukuba khona kwe-chondromalacia patellae. Ugqirha unokukwenza kwakhona uchungechunge lokuvavanya ukuqinisekisa ukuba kukho le ngxaki yempilo.
Ingcali yokhathalelo lwempilo isenokucela naluphi na olu vavanyo lulandelayo ukunceda ukuxilonga i-chondromalacia patellae, kubandakanya: x-ray ukubonisa ukonakala kwethambo okanye ukungalungelelani kakuhle okanye isifo samathambo; imaging yamagnetic resonance, okanye iMRI, ukubona ukuwohloka kwe-cartilage; kunye novavanyo lwearthroscopic, inkqubo encinci yokuhlasela ebandakanya ukufaka i-endoscope kunye nekhamera ngaphakathi kwedolo elihlangeneyo.
UkuGcina
Amanqanaba amane e-chondromalacia patellae, ukusukela kwibanga loku-1 ukuya kwelesi-4, ebonisa inqanaba ledolo lomguli. IBanga loku-1 lithathwa njengonobulali ngelixa u-grade4 uthathwa njengobunzima.
- IBakala 1 ibonisa ukuthambisa kwe-cartilage kummandla weedolo.
- IBakala 2 ibonisa ukuthambisa kwe-cartilage elandelwa yimpawu ezingavamile, ukuqala kokuguga.
- IBanga 3 libonisa ukutyutywa kwe-cartilage kunye nokuchithwa okusebenzayo kwezicubu ezincinci zedolo.
- Ibanga le-4, okanye ibakala elibi kakhulu, libonisa ukuvezwa kwethambo ngengxenye enkulu ye-cartilage I-Bone exposure ithetha ukuba ukuxubha amathambo okuthambo kunokuba kwenzeke emadolweni.
Iyintoni iNyango yeCondromalacia Patellae?
Injongo yonyango ye-chondromalacia patellae kukuqala ukunciphisa ubunzima obubekwa kwi-kneecap, okanye i-patella, ne-femur, okanye ithambo lesithambo. Ukuphumla kunye nokusetyenziswa kwamanzi kunye nokufudumala kweentshaba ezihlangeneyo ezithintekayo ngamadolo ngokuqhelekileyo ngumgca wokuqala wonyango. Umonakalo we-cartilage ohambelana nomdolo womgijimi unokuhlala uzilungisa ngokwezi zixhobo.
Ngapha koko, ingcali yezempilo inokuyalela iziyobisi ezichasayo kunye / okanye amayeza, afana ne-ibuprofen, ukunciphisa iintlungu kunye nokudumba okujikeleze idolo. Xa ukuthamba, ukudumba, kunye nentlungu kuyaqhubeka, kunokukhethwa kwezi ndlela zonyango zilandelayo. Njengoko kukhankanyiwe apha ngasentla, abantu kufuneka bafune unyango kwangoko ukuba iimpawu ziyaqhubeka
Ukhathalelo lweChiropractic
Ukhathalelo lweChiropractic lukhuselekile kwaye lusebenzayo, olunye unyango olugxile ekuchongeni, unyango, kunye nokuthintela ukonzakala okuninzi kunye / okanye iimeko ezinxulumene nenkqubo yemisipha kunye neyovalo, kubandakanya i-chondromalacia patellae. Ngamaxesha athile, iintlungu ze-neknee zinokuvela ngenxa yokungalungelelani kakuhle komnqonqo okanye ukuthotywa. Ugqirha we-chiropractic, okanye i-chiropractor, uya kusebenzisa uhlengahlengiso lomqolo kunye neendlela zokwenza ngesandla ukubuyisela ngononophelo ingqibelelo yendalo yomqolo.
Ngaphezu koko, i-chiropractor inokuphinda ikhuthaze uluhlu lweendlela zokuphila, kubandakanywa iingcebiso zesondlo kunye nomsebenzi womzimba okanye isikhokelo sokuzivocavoca ukunceda ukunciphisa iimpawu ezinxulumene ne-chondromalacia patellae. Ukubuyisela kwimeko yesiqhelo kunokugxila ekomelezeni i-quadriceps, i-hamstrings, i-adductors, kunye nabaxumi ukuphucula amandla emisipha, ukuguquguquka, kunye nokuhamba. Iinjongo zokulinganisela kwe-muscle kukuncedisa ekuthinteleni ukungahambi kakuhle kwamadolo, phakathi kwezinye iingxaki.
Ukuhlinzwa
Utyando lwe-Arthroscopic lunokufuneka ukuba kuhlolwe idibeneyo kwaye uqiniseke ukuba ngaba kukho ukungalunganga kwedolo. Lo msebenzi ubandakanya ukufaka ikhamera edolweni ngendlela encinci kakhulu. Inkqubo yotyando inokuwulungisa umba. Inkqubo ye-One common kukukhululwa mva. Olu tyando lubandakanya ukusika inani leemisipha ukukhupha uxinzelelo kunye nemvume yokuhamba okungaphezulu. Utyando olongezelelweyo lunokubandakanya ukufakwa ngasemva kwe-kneecap, ukufaka i-cartilage graft, okanye ukuhambisa umsipha wethanga.
I-Chondromalacia patellae ibonakaliswa njenge-inflammation yangaphantsi kwe-patella, okanye i-kneecap, ebangelwa ukuthambisa i-cartilage ezungeze izicubu ezithambileyo zamadolo. Lo mbandela wonyango owaziwayo ngokuqhelekileyo kubangelwe ngenxa yokulimala kwezemidlalo kumathamli amancinci, nangona i-chondromalacia patellae ingenzeka nakwabantu abadala abadala abane-arthritis emadolweni. Ukunyamekela kwe-Chiropractic kunokunceda ukubuyisela amandla kunye nokulinganisela emadolweni kunye nezicubu ezithandayo.
UDkt Alex Jimenez DC, i-CCST Insight
Indlela yokukhusela iCondromalacia Patellae
Isigulana sinokulinciphisa ithuba lokuphuhlisa idolo lembaleki, okanye i-chondromalacia patellae, ngo:
- Ukuphepha uxinzelelo oluphindaphindiweyo emadolweni. Ukuba umntu ufuna ukuchitha ixesha emadolweni, banokugqoka iidolo.
- Ukuvelisa ibhalansi ye-muscle ngokuqinisa i-quadriceps, i-hamstrings, i-abductors, kunye nabaxhasi.
- Gqoka ukufakwa kwezihlangu ezichanekileyo. Oku kunokunciphisa inani loxinzelelo olubekwe emadolweni ukuze uguqule i-kneecap, okanye i-patella.
Ukugcina ubunzima bomzimba obunempilo kunokunceda ukukhusela i-chondromalacia patellae. Ukulandela ingcebiso ngezondlo kunye nesikhokelo esivela kwingcali yokhathalelo lwempilo kunokunceda ukukhuthaza ubunzima bomzimba obunempilo. Ubungakanani bolwazi lwethu lukhawulelwe kwi-chiropractic kunye nemiba yempilo yomgogodla. Ukuxoxa ngalo mbandela, nceda uzive ukhululekile ukubuza uGqr. Jimenez okanye uqhagamshelane nathi apha915-850-0900 .
Ikhutshwe nguDkt. Alex Jimenez
Ingongoma eyongezelelweyo Ingxoxo: Ukuxoxisa ubuhlungu be-Knee Pain ngaphandle kokuPhenywa
Intlungu yedolo luphawu olwaziwayo olunokuthi lwenzeke ngenxa yeengozi zamadolo kunye / okanye iimeko, kubandakanya ukulimala kwezemidlalo. Amadolo ngenye yezona zinto ezinzima kakhulu emzimbeni womntu njengoko zenziwe yintlupheko yamathambo amane, iigamente ezine, iintlobo ezihlukahlukeneyo, i-menisci emibini, kunye ne-cartilage. Ngokwe-American Academy ye-Family Physicians, izizathu eziqhelekileyo zokubandezeleka kwamadolo zibandakanya i-patellar subluxation, i-patellar tendinitis okanye i-jumper, kunye ne-Osgood-Schlatter. Nangona ubuhlungu beentolo buya kwenzeka kubantu abantu abangaphezu kwe-60 ubudala, ubuhlungu beendolo buya kwenzeka kubantwana nakwishumi elivisayo. Iintlungu zesisu zingaphathwa ekhaya emva kweendlela ze-RICE, nangona kunjalo, ukulimala kwamadolo amakhulu kunokufuna ukunyangwa kwangoko kunyango, kubandakanya ukunakekelwa kwe-chiropractic.
by iicrosoft | Uvavanyo lweChiropractic, Ubuhlungu obungapheliyo, impilo, Uvavanyo lweSkrini, Ukulimala kwezemidlalo, Unyango, Ukuphila
Isifo se-Osgood-Schlatter ngunobangela oqhelekileyo weentlungu zedolo ekukhuleni kolutsha. Iphawulwa kukudumba kwesiza esingezantsi kwedolo apho ithenda evela kwi-kneecap, okanye i-patellar tendon, incamathele kwi-shinbone, okanye i-tibia. Isifo sika-Osgood-Schlatter senzeka ngexesha lokukhula xa izihlunu, amathambo, imisipha kunye nezinye izicubu zihamba ngokukhawuleza.
Imisebenzi yenyama ingabangela uxinzelelo oluthe xaxa kumathambo, imisipha, iintambo kunye nezinye izakhiwo ezinzima zabathathi-mdla. Abantwana kunye nabaselula ababandakanyekayo ekusebenzeni nasekuqhubeni imidlalo banethuba eliphezulu lokuphuhlisa le meko. Nangona kunjalo, abantwana abangaphantsi kancinci kunye nabantwana abaselula banokufumana le ngxaki yempilo eyaziwayo.
Kwiimeko ezininzi, isifo se-Osgood-Schlatter siya kuzisombulula ngokwaso kwaye intlungu inokulawulwa ngamachiza angaphezu kwe-counter kunye / okanye amayeza. Ukolula kunye nokuzivocavoca kunokunceda ukuphucula amandla, ukuguquguquka kunye nokuhamba. Olunye unyango olulolunye, olunjengokhathalelo lwe-chiropractic, lunokunceda kwakhona ukuthomalalisa iintlungu kunye nokubuyisela impilo-ntle yesigulana.
I-Osgood-Schlatter Izifo ezichazwe
Amathambo abantwana kunye nabaselula banendawo ekhethekileyo apho ithambo likhula, eyaziwa ngokuba yi-plate plate. Amacwecwe okukhula ayenziwe nge-cartilage, eyanzima ukuba ithambo eliqinileyo, xa umntwana okanye umntwana ekhulile ekhulile.
Amanye amacwecwe okukhula asebenza njengezixhobo ezinamathenda ezithintekayo, ama-tissue aqinileyo anxulumene nezihlunu namathambo. I-bump, eyaziwa njenge-tubercle, ihlanganisa iplate yokukhula ekupheleni kwe-tibia. Iisethi zeemisipha phambi kwethanga, okanye i-quadriceps, kwaye idibanisa kwi-tubercle ye-tibial.
Xa umntwana okanye intsha ethatha inxaxheba kwimisebenzi yomzimba, izihlunu ze-quadriceps zidonsa iteton ye patellar ekhupha i-tubercle ye-tibial. Kwamanye abantwana kunye nabantwana abaselula, lo mzila kwi-tubercle ingabangela intlungu kunye nokuvuvukala kwiplani yokukhula. Ukugqwesa, okanye umbane, we-tubercle ingabizwa ngokuba ngumphumo wale ngxaki.
Izibonakaliso ze-Osgood-Schlatter Disease Symptoms
Iimpawu ezibuhlungu ezinxulumene nezifo ze-Osgood-Schlatter zivame ukuziswa ngokuqhuma, ukuxumla, kunye nezinye izinto ezihambelana nemidlalo. Kwezinye iimeko, amabini anamabonakaliso, nangona idolo elinye libi kakhulu. Izimpawu eziqhelekileyo zezifo ze-Osgood-Schlatter ziquka:
- Iintlungu zesisu kunye nobubele kwi-tubercle ye-tibial
- Ukuvuvukala kwi-tubercle ye-tibial
- Iimisipha ezinzima ngaphambili okanye ngasemva kwethanga
Isifo se-Osgood-Schlatter ukuvuvukala kwethambo, i-cartilage kunye / okanye i-tendon phezulu kwe-shinbone, okanye i-tibia, apho i-tendon ifakwa kwi-kneecap, okanye i-patella. Isifo se-Osgood-Schlatter kuthathwa njengengozi yokusebenzisa ingozi ngaphezu kwesifo okanye imeko. Isifo se-Osgood-Schlatter yenye yezona zinto zixhaphake kakhulu kwiintlungu zamadolo kubantwana nakwishumi elivisayo. Nangona kunokuba bubuhlungu kakhulu, umba wezempilo uhamba ngokwawo ngaphakathi kwe12 kwiinyanga ze-24.
UDkt Alex Jimenez DC, i-CCST Insight
I-Osgood-Schlatter Izifo zeNtsholongwane
Kulo lonke uthethwano, umqeqeshi wezempilo uya kuxubusha abantwana okanye impawu zeemvepha malunga nempilo yabo kunye nokuphila kakuhle. Baya kuqhuba uvavanyo olubanzi lweedolo. Oku kuya kuba nokufaka uxinzelelo kwi-tubercle ye-tibial, okumele ibe buhlungu ngesigulane nesifo se-Osgood-Schlatter. Ukongeza, ugqirha unokucela umntwana okanye umntwana ukuba ahambe, agijime, agxume, okanye aguqe ukuze abone ukuba impawu ziziswa ngokuhamba. Ukongezelela, umqeqeshi wezezempilo unokuyilungisa i-ray ye-kneenet knee ukuxhasa ukuxhaswa kwabo okanye ukulawula nayiphi na imicimbi yezempilo.
Unyango lwe-Osgood-Schlatter
Unyango lwe-Osgood-Schlatter isifo sigxininise ekunciphiseni ubuhlungu nokuvutha. Oku ngokubanzi kufuneke ukuba imithwalo yemisebenzi yemida ibe yinto ephuculweyo. Ngamanye amaxesha, ukuphumla kunokuba kuyimfuneko kwiinyanga ezininzi, kulandelwa yonyango kunye neprogram yokuvuselela. Nangona kunjalo, inxaxheba inokukhuseleka ukuqhubeka ukuba isiguli singenayo impawu ezibuhlungu. Ugqirha unokuncoma unyango olongezelelweyo, kuquka:
- Stretchex kunye nokuzilolonga. Ukuzolula kunye nokuzivocavoca umphambili nomva wethanga, okanye i-quadriceps kunye nezihlunu zemisipha, kunokunceda ukunciphisa iintlungu kunye nokuthintela isifo ukuba singabuyi.
- Iziyobisi ezingezange-inflammatory. Amachiza afana ne-ibuprofen kunye ne-naproxen anokukunceda ukunciphisa intlungu nokuvuvukala.
Uninzi lweempawu ziya kuthi shwaka ngokupheleleyo xa umntwana egqiba ukukhula kwinqanaba lokufikisa, malunga neminyaka eli-14 yamantombazana kunye neminyaka eli-16 yamakhwenkwe. Ngenxa yoku, utyando aluhlali lucetyiswa, nangona ubukhulu be-tubercle buza kuhlala.Ubungakanani bolwazi lwethu bunqunyelwe kwi-chiropractic kunye nemicimbi yezempilo yomqolo. Ukuxoxa ngomxholo, nceda ukhululeke ukubuza uGqirha Jimenez okanye unxibelelane nathi ku915-850-0900 .
Ikhutshwe nguDkt. Alex Jimenez
Ingongoma eyongezelelweyo Ingxoxo: Ukuxoxisa ubuhlungu be-Knee Pain ngaphandle kokuPhenywa
Iintlungu zesisu ziyimpawu eyaziwayo enokuthi ibangelwe ngenxa yokulimala kweendolo kunye / okanye iimeko, kubandakanywa ukulimala kwezemidlalo. Amadolo ngenye yezona zinto ezinzima kakhulu emzimbeni womntu njengoko zenziwe yintlupheko yamathambo amane, iigamente ezine, iintlobo ezihlukahlukeneyo, i-menisci emibini, kunye ne-cartilage. Ngokwe-American Academy ye-Family Physicians, izizathu eziqhelekileyo zokubandezeleka kwamadolo zibandakanya i-patellar subluxation, i-patellar tendinitis okanye i-jumper, kunye ne-Osgood-Schlatter. Nangona ubuhlungu beentolo buya kwenzeka kubantu abantu abangaphezu kwe-60 ubudala, ubuhlungu beendolo buya kwenzeka kubantwana nakwishumi elivisayo. Iintlungu zesisu zingaphathwa ekhaya emva kweendlela ze-RICE, nangona kunjalo, ukulimala kwamadolo amakhulu kunokufuna ukunyangwa kwangoko kunyango, kubandakanya ukunakekelwa kwe-chiropractic.
by iicrosoft | Chiropractic, Uvavanyo lweChiropractic, Ubuhlungu obungapheliyo, impilo, Uvavanyo lweSkrini, Ukulimala kwezemidlalo, Unyango, Ukuphila
Sinding-Larsen-Johansson, okanye i-SLJ, isifo yimeko eguqayo yamadolo kangangokuthi ininzi ixhaphaza intsha ngexesha lokukhula ngokukhawuleza. I-kneecap, okanye i-patella, iqhotyoshelwe kwi-shinbone, okanye i-tibia, kwi-tendon patellar. I-tendon ixhuma kwi-plate plate yokwandisa phantsi kwe-kneecap kulo lonke ukukhula.
Uxinzelelo oluphindaphindiweyo kwithenda ye-patellar lungenza ukuba iplani yokukhula ngaphakathi kwamadolo ivuke kwaye ithukuthele. I-SLJ ikhula ngokubanzi kubantwana nakwi-adolescents phakathi kwe-10 kunye ne-15 ngenxa yokuba abantu abaninzi bafumana ukukhula. I-SLJ ixhaphake kakhulu kwiimbaleki ezincinane ngenxa yobunzima obuphindaphindiweyo okanye obuphindaphindiweyo emadolweni.
Izizathu zeS SLJ Syndrome
Iqela elikhulu lemisipha eliphambi komlenze ophezulu lwaziwa njenge-quadriceps. Xa ulungisa umlenze, i-quadriceps idonsa ukuhambisa umlenze phambili. Oku kubeka uxinzelelo kwiqonga lokukhula phantsi kwe-kneecap. Ngexesha lokukhula ngokukhawuleza, amathambo kunye nezihlunu azihlali zikhula ngokuthe ngqo kwizinga elifanayo.
Ekubeni amathambo akhula, iintambo kunye nezihlunu zinokuqina kwaye zolule. Oku kwandisa umxube we-patellar tendon kunye nakwicala lokukhula eliqhotyoshelwe kuyo. Ukuphindaphinda okanye uxinzelelo olongezelelweyo kunye noxinzelelo kule ndawo kunokubangela ukuba iplani yokukhula ithukutheke kwaye ibuhlungu. Imiba enokubangela ukukhula kwe-SLJ syndrome iquka:
- Iimidlalo ezibandakanya ukuqhuba nokugxuma okuninzi, njengentsimi kunye nomdlalo okanye ezinye imidlalo ezifana nebhola, i-gymnastics, basketball, i-lacrosse kunye ne-hockey yentsimi, kunokubeka uxinzelelo emadolweni.
- Ukwenziwa komzimba okwenyukayo okanye okungalunganga kunokongeza uxolo emadolweni. Ifomu engalunganga ngelixa uqeqesho, izicathulo ezingayixhasi izwane okanye indlela engaqhelekanga yokugijima zingandisa amathuba okugula kwe-SLJ.
- Izisipha ezinzima okanye ezizinzileyo ze-quadriceps zingakhokelela kwi-SLJ syndrome. Izisipha ezinamandla kunamandla kunye nokuxhuma ngakumbi kuya kusebenza kangcono, kuncitshiswe ingxaki kwi-patellar ne-tendec kneapap.
- Imisebenzi eyenza uxinzelelo emadolweni okanye kwimisebenzi enzima ngamadolo, njengokuphakamisa izinto ezinzima, ukuhamba ngezantsi nokunyuka kwezitebhisi, kunye nokuqhekeka kungabangela i-SLJ syndrome. Ukuba sele sele ibuhlungu emadolweni, ezi ntshukumo zingenza kube nzima.
Iimpawu zeSLJ Syndrome
Iimpawu ezibonisa ubukho be Sinding-Larsen-Johansson, okanye i-SLJ, isifo sibandakanya: iintlungu ngaphambili emadolweni okanye kufutshane nasezantsi kwedolo, njengoko le iluphawu oluphambili lweSLJ; ukudumba kunye nokuthantamisa ujikeleze i-kneecap; iintlungu ezonyukayo ngemisebenzi yomzimba njengokubaleka, ukunyuka izitepsi, okanye ukutsiba; iintlungu eziba buhlungu ngakumbi xa uguqa okanye uguqa; kunye nedumba okanye ibump bump emazantsi e-kneecap.
I-Sinding-Larsen-Johansson, okanye i-SLJ, i-syndrome ibizwa ngokuba yi-osteochondrosis yintsana echaphazela i-tendon ye-patella kwi-kneecap ehambelana nesigxina esingaphantsi kwe patella kwisiqhwa. Ngokuqhelekileyo ibonakala ngeentlungu zokuguqa kunye nokuvuvukala, i-SLJ ithathwa njengeyingozi yokuguqa ngamadolo kunokuba yingozi. Isifo se-Sinding-Larsen-Johansson sifana ne-Osgood-Schlatter syndrome.
UDkt Alex Jimenez DC, i-CCST Insight
Ukuxilongwa kwe-SLJ
Ukuba ubona uphando lwezempilo malunga neengxaki zamadolo, ngokubanzi baya kubuza imibuzo malunga nokuba buhlungu bunjani isigulane kwaye ukuba benza nayiphi na imidlalo okanye eminye imisebenzi yemvelo kunye nokuzivocavoca. Ingaba isigqirha siza kuhlola isiguli sesigulane ngokukhukhumeza kunye nesisa.
Kwiimeko ezinqabileyo kakhulu, uchwepheshe wezempilo unokucela izigulane ukuba zifumane i-X ray okanye ezinye izifo zengqondo, ezifana nokufaneka kwe-imagination magnetic, okanye i-MRI, ukulawula ezinye iinkalo zempilo ezinjenge-fracture okanye izifo.
Ukuthintela i-SLJ
Indlela ebaluleke kakhulu yokuba izigulane zinokuthintela ukufumana i-SLJ kukuyeka ukwenza imisebenzi yemvelo eyenza intlungu emadolweni. Isigulane sifanele sithintele ngaphambi kokuba intlungu ihambe.
Kubalulekile ukufudumala kakuhle kunye nokwelula ngaphambi kokusebenzisa, ukudlala imidlalo okanye ukubandakanya nayiphi na imisebenzi emzimbeni. Ingqungquthela ejikeleze umzila kwimizuzu emibini kunye nokwelula okunamandla kwanele ukufudumala umzimba.
Ukuba iimisipha ze-quadriceps zinzima, ngoko unokufuna ukwenza umsebenzi othethekileyo kunye nemisebenzi yokuzilolonga. Thetha kwiprofayili yakho yezempilo, njengokwicrotractor okanye umphathiswa wenyama, ukuxoxa ngezinto ezilungileyo kuwe. Ukwenza amanyathelo ambalwa kunye nokufudumala kokuzivocavoca emva kwemidlalo okanye imisebenzi yemvelo kunokunceda ukukhusela i-SLJ syndrome ekuphuhliseni.
Unyango lwe-SLJ
Indlela yokuqala kunye neyona ndlela ibaluleke kakhulu yokuphatha i-SLJ kukumisa nayiphi na isenzo esibangela ukucasuka emadolweni. Kubalulekile ukuba isiguli singabuyi kuphinda senze imisebenzi emzimbeni ngaphandle kokususwa kuqala ngumsebenzi wezonyango.
I-SLJ ingaba nzima ukuyiphatha kuba ingasombululi ngokupheleleyo phambi kokuba amathambo ahluthwe ngokupheleleyo kwaye amacwecwe okukhula avalwa. Ngexesha lemisebenzi yomzimba, ubuhlungu beentolo buya kwaye buya kwangoku. Ezinye iindlela zokunceda ukuphucula i-SLJ syndrome ziquka:
- Ukuphumla. Nciphisa imisebenzi engokwenyama kangangoko kunokwenzeka kwaye ubeke umthwalo emadolweni. Ukuhamba kufuneka kugcinwe ubuncinci.
- Icebo. Faka isicelo seqhwa okanye inkcenkceshe ebandayo kwindawo echaphazelekayo ye-15 ukuya kwi-20 imizuzu nganye kwiiyure ezimbalwa. Phinda oku ku-2 kwiintsuku ze-3 okanye kude kube lula ukuba iimpawu ezibuhlungu.
- Uxinzelelo. Nika idolo inkxaso eyongezelelweyo ngentambo, ibhanti, okanye iribhoni. Oku kuyakunceda ukulawula iimpawu.
- Ukuphakamisa. Gcina emadolo phezulu kunentliziyo yokunciphisa ukuvuvukala.
- Thatha iziyobisi ezichasayo okanye ezithintekayo. Ama-Painkillers afana ne-acetaminophen kunye ne-ibuprofen inokukunceda ukukhulula ubuhlungu nokunciphisa ukuvuvukala.
- Qalisa inkqubo elula kunye noqinisayo. Emva kokuba intlungu kunye nobubele begodini sele behambe, thintana nodokotela wakho okanye uphuculo lwezemidlalo malunga neprogram yokuvuselela ngokomzimba ukuqinisa imisipha yomlenze wakho nokwandisa ukuguquguquka kwazo kunye nohlobo lokuhamba.
Kulula ukuphelelwa ngumonde xa ubekelwa ecaleni kukonzakala, kodwa unyango olululo lunokunceda ekwakheni amandla afunekayo kwimisebenzi yomzimba yexesha elizayo. Ubungakanani bolwazi lwethu bunqunyelwe kwi-chiropractic kunye nakulimala komqolo kunye neemeko. Ukuxoxa ngomxholo, nceda ukhululeke ukubuza uGqirha Jimenez okanye unxibelelane nathi ku915-850-0900 .
Ikhutshwe nguDkt. Alex Jimenez
Ingongoma eyongezelelweyo Ingxoxo: Ukuxoxisa ubuhlungu be-Knee Pain ngaphandle kokuPhenywa
Iintlungu zesisu ziyimpawu eyaziwayo enokuthi ivele ngenxa yokulimala kwamadolo kunye / okanye iimeko, kuquka ukulimala kwezemidlalo. Amadolo ngenye yezona zinto ezinzima kakhulu emzimbeni womntu njengoko zenziwe yintlupheko yamathambo amane, iigamente ezine, iintlobo ezihlukahlukeneyo, i-menisci emibini, kunye ne-cartilage. Ngokwe-American Academy ye-Family Physicians, izizathu eziqhelekileyo zokubandezeleka kwamadolo zibandakanya i-patellar subluxation, i-patellar tendinitis okanye i-jumper, kunye ne-Osgood-Schlatter. Nangona ubuhlungu beentolo buya kwenzeka kubantu abantu abangaphezu kwe-60 ubudala, ubuhlungu beendolo buya kwenzeka kubantwana nakwishumi elivisayo. Iintlungu zesisu zingaphathwa ekhaya zilandela iindlela ze-RICE, nangona kunjalo, ukulimala kwamadolo amakhulu kunokufuna ukunyangwa kwangoko kunyango, kubandakanya ukunakekelwa kwe-chiropractic.
