I-Vitamin B12 kunye nokulimala kwamagxa

I-Vitamin B12 kunye nokulimala kwamagxa. Uninzi lokulimala kwamagxa kubandakanya imisipha, iigaments, kunye neetendon. Abantu abenza ukunyakaza kwengalo okuphindaphindiweyo / ukunyakaza, ukuphakamisa rhoqo izinto njengenxalenye yomsebenzi wabo, kunye nabadlali abasebenzisa iingalo zabo ngokuphindaphindiweyo banokwanda ekuphuhliseni / ukufumana ukulimala kwamagxa kunye neengxaki. Ukwenzakala kwamagxa kudla ngokubangelwa yimisebenzi yomzimba ebandakanya:

• Iintshukumo ezigqithisileyo
• Ukuphindaphinda
• Iintshukumo ezingaphezulu
• Imidlalo efana nokuqubha, intenetya, ukuphosa, kunye nokuphakamisa iintsimbi zibandakanya ezi ntshukumo ziphindaphindayo zengalo / zamagxa ezinegalelo kumonzakalo wamagxa.
• Ukwenzakala kusenokuziswa kwimisebenzi yemihla ngemihla efana nokuhlamba/ukupeyinta iindonga, ukuxhoma ikhethini/izityalo, kunye nokulima.

 

Iimpawu zokulimala kwamagxa

Ukuba kukho ukungonwabi kunye / okanye intlungu kunye kunye nehlombe apha kukho iindlela ezimbalwa zokuhlalutya imeko.

1. Ngaba kukho ukuqina ngaphakathi okanye egxalabeni?
2. Ngaba ujikeleze ingalo nge uluhlu oluqhelekileyo lwentshukumo esebenzayo?
3. Ngaba igxalaba livakala ngathi lingaphuma okanye lityibilike liphume kwisokethi yalo?
4. Ngaba kukho ukungabikho kwamandla ehlombe kwimisebenzi yesiqhelo yemihla ngemihla?

Ukuba ewe ibiyimpendulo kuwo nawuphi na kule mibuzo, abantu kufuneka badibane nogqirha wamathambo kunye/okanye chiropractor uncedo ekufumaniseni ingxaki nobunzulu bayo.

Iindidi zokwenzakala

Abantu bahlala bejongela phantsi ubungakanani bomonzakalo kwaye bahlala betyhala / badlale ngokungonwabi kunye neentlungu. Yile ndlela inamandla ngayo ingqondo njengoko ingayihoyi intlungu eqhubekayo, ubuthathaka, okanye ukunciphisa ukunyakaza kwamalungu. Ukulimala kwamagxa kunye neengxaki zibekwe ngokwamaqela alandelayo.

Ukukhubazeka

Oku kuxa igxalaba lishukuma/litshintsha okanye linyanzelwa ukuba liphume kwindawo yalo eqhelekileyo. Oku kubizwa ngokuba kukungazinzi kwaye kunokubangela ukuchithwa kwamalungu ehlombe. Abantu ngabanye baya kuva iintlungu xa bephakamisa iingalo zabo. Ingaziva ngathi igxalaba liyatyibilika.

Ukumisa

Ukunyanzeliswa kubangelwa kukukhuhla okugqithisileyo / ukukhuhlana kwemisipha kwindawo ephezulu yegxalaba, eyaziwa ngokuba yi-acromion. Ukunyanzeliswa kuyenzeka ngexesha lemisebenzi yomzimba efuna intshukumo yengalo engaphezulu. Uvavanyo lwezonyango kunye nokhathalelo luyacetyiswa ukuvuvukala, njengoko ekugqibeleni kunokukhokelela kwingozi enkulu.

Ukulimala

Bursitis

I-bursa ziingxowa ezizaliswe lulwelo ezigcina amalungu. Ezi zinokudumba kwaye zicatshukiswe kukuphinda-phinda, ukuwa, okanye okunye ukwenzakala. Abantu baya kuqaphela intlungu kakhulu xa behambisa / bejikeleza igxalaba.

I-Cartilage iinyembezi

I-cartilage - i-rubbery padding ehamba ngeenxa zonke kwi-rim yegxalaba inokonakala ukusuka kwiintshukumo eziphindaphindiweyo, ukugqithisa, ukuwa, okanye ukusuka kumandla amakhulu ukuya ehlombe. Ngolu hlobo lokulimala abantu baziva iintlungu xa befikelela phezulu, ubuthathaka, kunye / okanye ukubamba, ukutshixa, kunye nokusila iimvakalelo.

Ikhafu yerotator ikrazukile

I-Rotator cuff iqukethe iqela lemisipha kunye neetoni ezibambe ingalo endaweni kwaye zivumele ukuphakamisa ingalo phezulu nangaphezulu. Ingonakaliswa ngokusetyenziswa ngokugqithiseleyo, ukuwa, kunye nokuguga rhoqo kunye nokukrala. Iintlungu zihlala zibonakala ebusuku, xa uphakamisa izinto, kwaye kunokubakho isandi esiqhekezayo xa uzama ukushukuma okanye ukujikeleza.

Igxalaba elihlaziweyo

Lo mqathango unciphisa ukunyakaza komdibaniso. Kwenzeka ntoni iibhanti ezingaqhelekanga zethishu ezibizwa ngokuba zii-adhesions Yakha kwindawo edibeneyo kwaye ithintele intshukumo. Igxalaba linokukhenkceka ekubeni ungalisebenzisi. Oku kungenxa yokuba iintlungu okanye utyando lubangela ukuba umntu alusebenzise kancinci. Oku kuxa i-adhesions iqala ukwakha.

Ukwahlula

Le nzakala ichaphazela umdibaniso apho i-collarbone kunye ne-shoulder blade ijoyina. Yaziwa ngokuba yi-acromioclavicular okanye i-AC joint. Ukuwa okanye impembelelo enzima inokukrazula i-ligaments eyibambe kunye. Ukuba icollarbone iyatyhalwa iphume kwindawo iqhuma livela/likhule phezu kwegxalaba.

ukwaphuka

Ithambo linokuphuka okanye liqhekeke kwingozi yemoto, ukuwa, okanye ukubetha kanzima. Iifractures eziqhelekileyo ziyi-clavicle - i-collarbone kunye ne-humerus - ithambo lengalo elikufutshane negxalaba. Olu hlobo lokulimala lubangela intlungu enkulu kunye nokulimala. Ukuba i-collarbone iphukile, ihlombe liyakwazi ukugoba ngokungakwazi ukuphakamisa ingalo.

Vitamin B12

Ukulimala kwe-Rotator cuff kubandakanya ukungasebenzi kunye / okanye ukonakala kwezicubu ezixhumeneyo. Oku kunokuba kuvela ukonakala kwe-collagen synthesis I-Vitamin B12 inceda ukulwa nokuvuvukala kwaye idlala indima ebalulekileyo ekwenzeni i-collagen. Ubume be-vitamin B12 obuphantsi bunokudityaniswa ngokuthe ngqo kwi-cytokines e-pro-inflammatory. Oku kuthetha ukuba ukungabikho kwe-vitamin B12 kwandisa ukuvuvukala.

Abaphandi balandela iqela labantu ukuba banqume ukuba amanqanaba abo e-vitamin B12 ahambelana nomngcipheko okhulayo wokukrazula kwe-rotator cuff. Ukuqala isifundo, amanqanaba e-vitamin B12 alinganiswa kunye nezinye izondlo ezibandakanya:

• Vitamin D
• Izinki
• ikhalsiyam
• Magnesium
• Ifayile

Homocysteine kunye ne-biomarkers yeswekile yegazi, zombini ezinxulumene ne-B12 metabolism nazo zalinganiswa. I-Homocysteine ​​​​i-metabolite eyakha egazini xa izondlo ezithile, njenge-B12, i-folate, okanye i-B6 iyancipha. Amanqanaba aphakamileyo e-homocysteine ​​​​anokuba yingozi kwaye abangele umonakalo kwimithambo yegazi kunye nezicubu zengqondo xa zingakhutshwa ngokufanelekileyo. Kwisifundo, amanqanaba e-homocysteine ​​​​ayengafani phakathi kwamaqela, kodwa amanqanaba e-vitamin B12 ahluke kakhulu.

• Izigulane ezibandakanyiweyo zaziyiqela eliphilileyo elingenalo naluphi na ukulimala kwe-rotator cuff ngexesha lokufunda.
• Iqela lesibini lonke lafumana i-rotator cuff tear efuna utyando ngexesha lokufunda.
• Ngezondlo ezahlukeneyo ezilinganisiweyo, kuphela i-vitamin B12 kunye ne-vitamin D ebonisa ukungafani. Nge-B12 kunye ne-D ephantsi kwiqela elinokulimala kwegxalaba.
• Ngokukodwa, amanqanaba e-B12 kwiqela eliphilileyo lalikho 627 pg/mL xa kuthelekiswa 528 pg/mL kwiqela elenzakeleyo. Oku kube kukwehla nge-16%.

Ezi subclinical Ukusilela kuqhele ukuphoswa kuvavanyo lweserum yesintu yiyo loo nto uvavanyo lwezondlo olusebenzayo kucetyiswa ngokweklinikhi.

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Uvavanyo loBume boMzimba

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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 *, CIFM *, CTG *
email: qeqeshi@elpasofunctionalmedicine.com
Ifowuni: 915-850-0900
Ilayisenisi eTexas naseNew Mexico

Ucaphulo

Umbutho waseMelika woTyando lweSandla: Iintlungu zamagxa.

I-Academy yaseMelika yeeGqirha zeNtsapho: Iintlungu zamagxa.

I-BMC Musculoskeletal Disorders, ngo-Epreli 2021

Iklinikhi yaseCleveland: I-Rotator Cuff Tendonitis yamagxa eTendinitis.

UMonica, uJames et al. Ukwenzakala Kabukhali Kwamagxa Kubantu Abadala. Ugqirha wosapho waseMelika vol. 94,2 (2016): 119-27.

I-OrthoInfo: Iintlungu zeNgxaki kunye neeNgxaki eziQhelekileyo zamagxa, i-Rotator Cuff kunye neNkqubo yokuLungiswa kwamagxa.