Ukuhamba Nezimo
Ukuhamba Nokuguquguquka Komtholampilo Wasemuva: Umzimba womuntu ugcina izinga lemvelo ukuze uqinisekise ukuthi zonke izakhiwo zawo zisebenza kahle. Amathambo, imisipha, imigqa, ama-tendon, nezinye izicubu zisebenza ndawonye ukuze zivumele ukunyakaza okuhlukahlukene nokugcina ukuqina okufanele nokudla okunomsoco kungasiza ukugcina umzimba usebenza kahle. Ukuhamba okuhle kusho ukunyakaza okusebenzayo ngaphandle kwemikhawulo ebangeni lokunyakaza (ROM).
Khumbula ukuthi ukuguquguquka kuyingxenye yokuhamba, kodwa ukuguquguquka okwedlulele akudingeki ngempela ukuze wenze ukunyakaza okusebenzayo. Umuntu oguquguqukayo angaba namandla ayisisekelo, ibhalansi, noma ukusebenzisana kodwa akakwazi ukwenza ukunyakaza okusebenzayo okufanayo nomuntu ohamba kahle. NgokukaDkt. Alex Jimenez ehlanganisa izihloko ezimayelana nokuhamba nokuvumelana nezimo, abantu abangaweluli umzimba wabo ngokuvamile bangathola imisipha efinyeziwe noma eqinisiwe, okunciphisa ikhono labo lokunyakaza ngokuphumelelayo.
by UDkt Alex Jimenez I-Chiropractic , Ubuhlungu obungapheliyo , Ukulimala okunzima , Ukuhamba Nezimo , Ukuhlanzeka komgogodla , Care Spine , Ukwelashwa , I-Viscerosomatic Reflex
Ingabe abantu abane-Ehlers-Danlos syndrome bangathola ukukhululeka ngokwelashwa okuhlukahlukene okungahlinzeki ukuze banciphise ukuntengantenga kwamalunga?
Isingeniso
Amalunga kanye nemigqa ezungeze uhlelo lwe-musculoskeletal ivumela imikhawulo ephezulu nephansi ukuthi igxilise umzimba futhi ihambe. Imisipha ehlukahlukene kanye nezicubu ezithambile ezixhumeneyo ezizungeza amalunga zisiza ukuwavikela ekulimaleni. Lapho izici zemvelo noma iziyaluyalu ziqala ukuba nomthelela emzimbeni, abantu abaningi baba nezinkinga ezidala ukweqana kwamaphrofayili ezingozi, okuba nomthelela ekuzinzeni kwamalunga. Esinye sezifo ezithinta amalunga nezicubu ezixhumeneyo yi-EDS noma i-Ehlers-Danlos syndrome. Lokhu kuphazamiseka kwezicubu ezixhumene nakho kungabangela ukuthi amalunga omzimba abe yi-hypermobile. Kungabangela ukungazinzi kwamalunga emaphethelweni aphezulu naphansi, ngaleyo ndlela kushiye umuntu ebuhlungu njalo. Isihloko sanamuhla sigxile ku-Ehlers-Danlos syndrome kanye nezimpawu zayo nokuthi zikhona kanjani izindlela ezingezona ezokuhlinzwa zokulawula lesi sifo esixhumene nezicubu ezixhumeneyo. Sixoxa nabahlinzeki bezokwelapha abaqinisekisiwe abahlanganisa ulwazi lweziguli zethu ukuze sihlole ukuthi i-Ehlers-Danlos syndrome ingahlobana kanjani nezinye izifo zemisipha namathambo. Siphinde sazise futhi siqondise iziguli ukuthi ukwelapha okuhlukahlukene okungahlinzeki kungasiza kanjani ekunciphiseni izimpawu ezifana nobuhlungu nokulawula i-Ehlers-Danlos syndrome. Siphinde sikhuthaze iziguli zethu ukuthi zibuze abahlinzeki bazo bezokwelapha abahlobene nabo imibuzo eminingi eyinkimbinkimbi nebalulekile mayelana nokuhlanganisa izindlela zokwelapha ezingezona zokuhlinzwa njengengxenye yendlela yazo yansuku zonke yokuphatha imiphumela ye-Ehlers-Danlos syndrome. UDkt. Jimenez, DC, uhlanganisa lolu lwazi njengesevisi yezemfundo. Disclaimer .
Iyini i-Ehlers-Danlos Syndrome?
Ingabe uvame ukuzizwa ukhathele kakhulu usuku lonke, ngisho nangemva kokulala ubusuku bonke? Ingabe ulimaza kalula futhi uzibuze ukuthi le mihuzuko ivelaphi? Noma uke waqaphela ukuthi unobubanzi obunyukile emalungeni akho? Eziningi zalezi zinkinga zivame ukuhlotshaniswa nesifo esaziwa ngokuthi i-Ehlers-Danlos syndrome noma i-EDS esithinta amalunga nezicubu ezixhumeneyo. I-EDS ithinta izicubu ezixhumeneyo emzimbeni. Izicubu ezixhumeneyo emzimbeni zisiza ukunikeza amandla nokunwebeka kwesikhumba, amalunga, kanye nezindonga zemithambo yegazi, ngakho-ke lapho umuntu ebhekene ne-EDS, kungabangela ukuphazamiseka okukhulu ohlelweni lwe-musculoskeletal. I-EDS ixilongwa kakhulu emitholampilo, futhi odokotela abaningi baye baqaphela ukuthi ukufakwa kwekhodi yofuzo kwe-collagen namaprotheni asebenzisana emzimbeni kungasiza ekunqumeni ukuthi yiluphi uhlobo lwe-EDS oluthinta umuntu. ( U-Miklovic no-Sieg, 2024 )
Izimpawu
Lapho uqonda i-EDS, kubalulekile ukwazi izinto eziyinkimbinkimbi zalesi sifo sezicubu ezixhumeneyo. I-EDS ihlukaniswa yaba izinhlobo eziningi ezinezici ezihlukile nezinselele ezihlukahluka kuye ngobunzima. Enye yezinhlobo ezivame kakhulu ze-EDS i-hypermobile Ehlers-Danlos syndrome. Lolu hlobo lwe-EDS lubonakala nge-hypermobility evamile yamalunga, ukungazinzi kwamalunga, nobuhlungu. Ezinye zezimpawu ezihlotshaniswa ne-hypermobile EDS zihlanganisa i-subluxation, i-dislocation, nokulimala kwezicubu ezithambile ezivamile futhi ezingase zenzeke ngokuzenzakalelayo noma ngokuhlukumezeka okuncane. ( Hakim, 1993 ) Lokhu ngokuvamile kungabangela ubuhlungu obukhulu emalungeni angaphezulu nangaphansi. Ngohlu olubanzi lwezimpawu kanye nesimo somuntu siqu sesimo ngokwaso, abaningi ngokuvamile abaqapheli ukuthi i-hypermobility ehlangene ivamile kubantu abaningi futhi ingase ingabi nezinkinga ezibonisa ukuthi kuwukuphazamiseka kwezicubu ezixhumeneyo. ( Gensemer et al., 2021 ) Ukwengeza, i-hypermobile EDS ingaholela ekukhubazekeni komgogodla ngenxa yokunwebeka ngokweqile kwesikhumba, amalunga, nobuthaka obuhlukahlukene bezicubu. I-pathophysiology yokukhubazeka komgogodla ehlotshaniswa ne-hypermobile EDS ngokuyinhloko ngenxa ye-muscle hypotonia kanye ne-ligament laxity. ( Uehara et al., 2023 ) Lokhu kudala ukuthi abantu abaningi behlise izinga lempilo yabo kanye nemisebenzi yansuku zonke kakhulu. Kodwa-ke, kunezindlela zokuphatha i-EDS kanye nezimpawu zayo ezihambisanayo ukuze kuncishiswe ukungazinzi kwamalunga.
Umuthi Wokunyakaza: Ukunakekelwa Kwe-Chiropractic-Ividiyo
VIDEO
Izindlela Zokuphatha I-EDS
Uma kuziwa ekufuneni izindlela zokuphatha i-EDS ukuze kuncishiswe ubuhlungu nokungazinzi kwamalungu, ukwelapha okungezona ukuhlinzwa kungasiza ukubhekana nezici ezingokomzimba nezingokomzwelo zesimo. Ukwelashwa okungahlinzeki kwabantu abane-EDS kuvame ukugxila ekwandiseni ukusebenza komzimba komzimba kuyilapho kuthuthukisa amandla emisipha nokuzinza kwamalunga. ( U-Buryk-Iggers et al., 2022 ) Abantu abaningi abane-EDS bazozama ukuhlanganisa amasu okulawula ubuhlungu kanye nokwelapha ngokomzimba kanye sebenzisa izinsimbi nezinsimbi ezisizayo ukuze unciphise imiphumela ye-EDS futhi uthuthukise izinga lempilo yazo.
Ukwelashwa Okungekona Ukuhlinzwa Kwe-EDS
Ukwelashwa okuhlukahlukene okungahlinzeki njenge-MET (isu lamandla emisipha), i-electrotherapy, ukwelapha ngokomzimba okukhanyayo, ukunakekelwa kwe-chiropractic, nokumasaji. ingasiza ukuqinisa ngenkathi i-toning imisipha ezungezile azungeze amalunga, anikeze ukukhululeka okwanele kobuhlungu, futhi anciphise ukuncika isikhathi eside emithini. ( UBroida et al., 2021 ) Ukwengeza, abantu ababhekene ne-EDS bahlose ukuqinisa imisipha ethintekile, ukuzinzisa amalunga, nokuthuthukisa ukufaneleka. Izindlela zokwelapha ezingahlinzeki zivumela umuntu ukuba abe nohlelo lokwelapha oluqondene nobukhulu bezimpawu ze-EDS futhi lusize ekunciphiseni ubuhlungu obuhambisana nalesi simo. Abantu abaningi, lapho behlela uhlelo lwabo lokwelashwa ngokulandelana ukuze baphathe i-EDS yabo futhi banciphise izimpawu ezifana nobuhlungu, bazobona ukuthuthuka kokungakhululeki kwezimpawu. ( Khokhar et al., 2023 ) Lokhu kusho ukuthi ukwelapha okungezona ukuhlinzwa kuvumela abantu ukuba bacabangele imizimba yabo futhi banciphise imiphumela efana nezinhlungu ze-EDS, ngaleyo ndlela kuvumela abantu abaningi abane-EDS ukuba baphile ukuphila okugcwele, okunethezekile ngaphandle kokuzwa ubuhlungu nokungakhululeki.
Okubhekwayo
Broida, SE, Sweeney, AP, Gottschalk, MB, & Wagner, ER (2021). Ukuphathwa kokungazinzi kwehlombe ku-hypermobility-type Ehlers-Danlos syndrome. I-JSES Rev Rep Tech , 1 (3), i-155-164. doi.org/10.1016/j.xrrt.2021.03.002
Buryk-Iggers, S., Mittal, N., Santa Mina, D., Adams, SC, Englesakis, M., Rachinsky, M., Lopez-Hernandez, L., Hussey, L., McGillis, L., McLean , L., Laflamme, C., Rozenberg, D., & Clarke, H. (2022). Ukuzivocavoca Nokuvuselela Kubantu Abane-Ehlers-Danlos Syndrome: Ukubuyekezwa Okuhlelekile. I-Arch Rehabil Res Clin Transl , 4 (2), i-100189. doi.org/10.1016/j.arrct.2022.100189
Gensemer, C., Burks, R., Kautz, S., Judge, DP, Lavallee, M., & Norris, RA (2021). I-Hypermobile Ehlers-Danlos syndromes: I-phenotypes eyinkimbinkimbi, ukuxilonga okuyinselele, nezimbangela ezingaqondakali kahle. I-Dev Dyn , 250 (3), i-318-344. doi.org/10.1002/dvdy.220
Hakim, A. (1993). I-Hypermobile Ehlers-Danlos Syndrome. Ku-MP Adam, J. Feldman, GM Mirzaa, RA Pagon, SE Wallace, LJH Bean, KW Gripp, & A. Amemiya (Eds.), GeneReviews((R)) . www.ncbi.nlm.nih.gov/pubmed/20301456
Khokhar, D., Powers, B., Yamani, M., & Edwards, MA (2023). Izinzuzo Zokwelashwa Kwe-Osteopathic Manipulative Esigulini Esine-Ehlers-Danlos Syndrome. I-Cureus , 15 (5), i-e38698. doi.org/10.7759/cureus.38698
U-Miklovic, T., & Sieg, VC (2024). I-Ehlers-Danlos Syndrome. Ku StatPearls . www.ncbi.nlm.nih.gov/pubmed/31747221
Uehara, M., Takahashi, J., & Kosho, T. (2023). Ukukhubazeka Komgogodla ku-Ehlers-Danlos Syndrome: Gxila Ohlotsheni Lwe-Musculocontractural. Izakhi zofuzo (Basel) , 14 (6). doi.org/10.3390/genes14061173
Disclaimer
by UDkt Alex Jimenez Ukulimala okunzima , Ukuhamba Nezimo
Ingabe ukuqonda amalunga omzimba wehinge nendlela asebenza ngayo kungasiza ngezinkinga zokuhamba nokuvumelana nezimo futhi ulawule izimo zabantu abanenkinga yokugoba ngokugcwele noma ukwelula iminwe yabo, izinzwane, izindololwane, amaqakala, noma amadolo?
Hinge Amalunga
Inhlanganisela yakha lapho ithambo elilodwa lixhuma kwelinye, livumela ukunyakaza. Izinhlobo ezahlukene zamalunga ziyahlukahluka ngesakhiwo nokunyakaza kuye ngendawo yawo. Lokhu kufaka phakathi ihinge, ibhola nesokhethi, i-planar, i-pivot, isihlalo sehhashi, namalunga e-ellipsoid. (Akunamkhawulo. I-General Biology, ND ) Ama-hinge joints angama-synovial amalunga ahamba ngendiza eyodwa yokunyakaza: i-flexion nesandiso. Amalunga amahinge atholakala eminweni, ezindololwaneni, emadolweni, emaqakaleni nasezinzwaneni futhi alawule ukunyakaza kwemisebenzi ehlukahlukene. Ukulimala, i-osteoarthritis, nezimo ze-autoimmune zingathinta amalunga ama-hinge. Ukuphumula, imithi, iqhwa, nokwelashwa ngokomzimba kungasiza ekudambiseni ubuhlungu, kuthuthukise amandla nokunyakaza okuhlukahlukene, futhi kusize ukuphatha izimo.
Anatomy
Ilunga lakhiwa ngokuhlangana kwamathambo amabili noma ngaphezulu. Umzimba womuntu unezigaba ezintathu eziyinhloko zamalunga, ezihlukaniswa ngezinga angahamba ngalo. Lokhu kubandakanya: (Akunamkhawulo. I-General Biology, ND )
Ama-Synarthroses
Lawa angamalunga angaguquki, anganyakazi.
Yakhiwe ngamathambo amabili noma ngaphezulu.
Amphiarthrosis
Eyaziwa nangokuthi amalunga e-cartilaginous.
I-fibrocartilage disc ihlukanisa amathambo akha amalunga.
Lawa malungu anyakazayo avumela ukunyakaza okuncane.
Ama-Diarthrosis
Eyaziwa nangokuthi ama-synovial joints.
Lawa amajoyinti ahamba ngokukhululekile avumela ukunyakaza ngezindlela eziningi.
Amathambo akha amalunga ahlanganiswe ne-articular cartilage futhi afakwe ku-capsule ehlangene egcwele i-synovial fluid evumela ukunyakaza okubushelelezi.
Amalunga e-Synovial ahlukaniswa abe izinhlobo ezahlukene kuye ngokuhluka kwesakhiwo kanye nenani lezindiza ezinyakazayo ezivumelayo. I-hinge joint iyinhlangano ye-synovial evumela ukunyakaza endizeni eyodwa yokunyakaza, efana nehinge yomnyango eya phambili nangemuva. Ngaphakathi kwelunga, isiphetho sethambo elilodwa sivamise ukuba yi-convex/sikhombe ngaphandle, elinye libe yi-concave/liyindilinga ngaphakathi ukuze kuvunyelwe iziphetho ukuthi zilingane kahle. Ngenxa yokuthi ama-hinge joints ahamba ngendiza eyodwa kuphela, ajwayele ukuzinza kakhulu kunamanye amalunga e-synovial. (Akunamkhawulo. I-General Biology, ND ) Ama-hinge ahlanganisa:
Amalunga omunwe nezinzwane - vumela iminwe nezinzwane ukuthi zigobe futhi zinwebe.
I-elbow joint - ivumela indololwane ukuthi igobe futhi inwebe.
I-knee joint - ivumela idolo ukuthi ligobe futhi linwebe.
Ijoyinti ye-talocrural yeqakala - ivumela iqakala ukuthi liye phezulu/dorsiflexion futhi phansi/plantarflexion.
Amalunga amahinge avumela izitho, iminwe, nezinzwane ukuba zinwebe futhi zigobe zibheke emzimbeni. Lokhu kunyakaza kubalulekile emisebenzini yokuphila kwansuku zonke, njengokugeza, ukugqoka, ukudla, ukuhamba, ukuma, nokuhlala phansi.
Izimo
I-osteoarthritis kanye nezinhlobo ezivuthayo ze-arthritis zingathinta noma yiliphi ilunga (I-Arthritis Foundation. ND ) Izinhlobo zokuvuvukala kwe-autoimmune ze-arthritis, okuhlanganisa i-rheumatoid ne-psoriatic arthritis, zingabangela umzimba ukuba uhlasele amalunga awo. Lokhu kuvame ukuthinta amadolo neminwe, okuholela ekuvuvukeni, ukuqina, nobuhlungu. (Kamata, M., Tada, Y. 2020 ) I-Gout iwuhlobo oluvuvukalayo lwesifo sokuqaqamba kwamalunga oluvela emazingeni aphezulu e-uric acid egazini futhi ngokuvamile luhlasela ilunga lehinge lozwane olukhulu. Ezinye izimo ezithinta ama-hinge joints zihlanganisa:
Ukulimala kwe-cartilage ngaphakathi kwamalunga noma imigqa ezinza ngaphandle kwamalunga.
I-Ligament sprains noma izinyembezi zingabangelwa iminwe noma izinzwane eziminyene, amaqakala agoqekile, ukulimala okusontekile, nomthelela oqondile edolweni.
Lokhu kulimala kungase futhi kuthinte i-meniscus, uqwanga oluqinile ngaphakathi kwelunga ledolo elisiza ukugoba nokudonsa ukushaqeka.
Ukuvuselelwa
Izimo ezithinta ama-hinge joints ngokuvamile zibangela ukuvuvukala nokuvuvukala, okuholela ebuhlungu kanye nokuhamba okulinganiselwe.
Ngemuva kokulimala noma ngesikhathi sokuqubuka kwesimo sokuvuvukala, ukunciphisa ukunyakaza okusebenzayo nokuphumula ilunga elithintekile kunganciphisa ukucindezeleka okukhulu futhi ubuhlungu .
Ukusebenzisa iqhwa kunganciphisa ukuvuvukala nokuvuvukala.
Imithi edambisa izinhlungu njengama-NSAID nayo ingasiza ekunciphiseni ubuhlungu. (I-Arthritis Foundation. ND )
Uma ubuhlungu nokuvuvukala kuqala ukuncipha, ukwelashwa ngokomzimba kanye/noma emsebenzini kungasiza ukubuyisela izindawo ezithintekile.
Umelaphi uzonikeza ukwelula nokuzivocavoca ukusiza ukuthuthukisa uhla oluhlangene lokunyakaza nokuqinisa imisipha esekelayo.
Kubantu abazwa ubuhlungu obuhlangene obuhinge obuvela esimweni sokuzivikela komzimba, imishanguzo ye-biologic yokunciphisa umsebenzi wokuzivikela komzimba inikezwa ngokufakwa okulethwa njalo emavikini noma izinyanga ezimbalwa. (Kamata, M., Tada, Y. 2020 )
Imijovo ye-Cortisone ingase isetshenziselwe ukunciphisa ukuvuvukala.
E-Injury Medical Chiropractic kanye ne-Functional Medicine Clinic, sigxile ngentshiseko ekwelapheni ukulimala kweziguli kanye ne-syndromes yobuhlungu obungapheli kanye nokuthuthukisa ikhono ngokuguquguquka, ukuhamba, kanye nezinhlelo zokushelela eziklanyelwe umuntu ngamunye. Abahlinzeki bethu basebenzisa indlela edidiyelwe ukuze benze izinhlelo zokunakekelwa komuntu siqu ezihlanganisa i-Functional Medicine, i-Acupuncture, i-Electro-Acupuncture, ne-Sports Medicine protocol. Umgomo wethu uwukukhulula ubuhlungu ngokwemvelo ngokubuyisela impilo nokusebenza emzimbeni. Uma umuntu edinga okunye ukwelashwa, uzothunyelwa emtholampilo noma kudokotela omfanele kangcono. UDkt. Jimenez uhlanganyele nodokotela abahlinzayo abaphezulu, ochwepheshe bezokwelapha, abacwaningi bezokwelapha, nabahlinzeki bokubuyisela uNdunankulu ukuze banikeze ukwelashwa okuphumelelayo kakhulu kwemitholampilo.
Izixazululo zeChiropractic
VIDEO
Okubhekwayo
Akunamkhawulo. I-General Biology. (ND). 38.12: Amalunga kanye Nokunyakaza Kwamathambo - Izinhlobo zama-Synovial Joints. Ku. I-LibreTexts Biology. bio.libretexts.org/Bookshelves/Introductory_and_General_Biology/Book%3A_General_Biology_%28Boundless%29/38%3A_The_Musculoskeletal_System/38.12%3A_Joints_and_Skeletal_Movement_-_Types_of_Synovial_Joints
I-Arthritis Foundation. (ND). I-Osteoarthritis. I-Arthritis Foundation. www.arthritis.org/diseases/osteoarthritis
Kamata, M., & Tada, Y. (2020). Ukusebenza Nokuphepha Kwezinto Eziphilayo Ze-Psoriasis kanye Ne-Psoriatic Arthritis kanye Nomphumela Wazo Ku-Comorbidities: Ukubuyekezwa Kwezincwadi. Ijenali yamazwe ngamazwe yesayensi yamangqamuzana, 21(5), 1690. doi.org/10.3390/ijms21051690
by UDkt Alex Jimenez Ukuhlungu obusemhlane , Ukuhamba Nezimo
Kubantu abazwa ubuhlungu behlombe nangaphezulu, ingabe i-periscapular bursitis ingaba imbangela engenzeka?
I-Periscapular Bursitis
I-scapula/ihlombe ihlombe ithambo elishintsha indawo ngomzimba ongenhla nokunyakaza kwehlombe. Ukunyakaza kwe-scapula kubalulekile ekusebenzeni okuvamile kwehlombe nomgogodla. Uma ukunyakaza kwamahlombe okungavamile noma okungazelelwe kwenzeka, ukuvuvukala nezimpawu zobuhlungu zingakhula. (Augustine H. Conduah et al., 2010 )
Umsebenzi We-Scapula Ojwayelekile
I-scapula iyithambo elingunxantathu emhlane ongenhla ngaphandle kwekheji yezimbambo. Uhlangothi lwayo lwangaphandle noma olusemaceleni luqukethe isokhethi / i-glenoid ehlangene yehlombe, kuyilapho lonke ithambo lisebenza njengamaphuzu okunamathiselwe ehlombe ehlukene nemisipha yangemuva. I-scapula iyashintsha ezimbanjeni lapho ihambisa ingalo phambili nangemuva. Lo mnyakazo ubizwa ngokuthi ukunyakaza kwe-scapulothoracic futhi ibalulekile emsebenzini ovamile womkhawulo ongaphezulu kanye nokuhlangana kwehlombe. Lapho i-scapula ingashibiliki ekunyakazeni okuhlanganisiwe, umsebenzi we-torso namajoyinti ehlombe ungaba nzima futhi ube buhlungu. (JE Kuhn et al., 1998 )
I-Scapular Bursa
I-bursa yisaka eligcwele uketshezi elivumela ukunyakaza okushelelayo, okutshuzayo phakathi kwezakhiwo, izicubu zomzimba, amathambo, nemisipha. I-Bursae itholakala kuwo wonke umzimba, kuhlanganise nalawo angaphambi kwe-kneecap, ngaphandle kwe-hip, nasendaweni yehlombe. Lapho i-bursa ivuvukala futhi icasuka, ukunyakaza okuvamile kungase kube buhlungu. Kukhona ama-bursa azungeze i-scapula ngemuva. Amabili alawa masaka e-bursa aphakathi kwamathambo kanye nemisipha yangaphambili ye-serratus elawula ukunyakaza kwe-scapular odongeni lwesifuba. Isikhwama esisodwa se-bursa sitholakala ekhoneni elingenhla le-scapula, eduze nomgogodla phansi kwentamo, kanti enye isekhoneni elingezansi le-scapula, eduze ne-mid-back. Izikhwama ze-bursa noma zombili zingathinteka yi-periscapular bursitis. Kukhona amanye ama-bursa azungeze i-scapula kanye nezintambo ezizungezile, kodwa amasaka amabili ekhoneni avame ukuba yi-bursae eyinhloko eyenza i-periscapular bursitis.
Ukuvuvukala
Lapho la ma-bursae evuvukala futhi ecasuka, avuvukele, futhi ajiyile, kuba umphumela we-bursitis. Lapho i-bursitis ivela eduze kwe-scapula, ukunyakaza kwemisipha, kanye nehlombe kungaholela ekuphatheni kabi nobuhlungu. Izimpawu ezivame kakhulu ze-periscapular bursitis zihlanganisa:
Ukuqhafaza ngokunyakaza
Imizwa yokugaya noma i-crepitus
Ubuhlungu
Ubumnene ngqo phezu kwe-bursa (Augustine H. Conduah et al., 2010 )
Ukuzwa nokunyakaza kwe-scapular okungavamile
Ukuhlolwa kwe-scapula kungase kubonise ukunyakaza okungavamile kwehlombe lehlombe. Lokhu kungaholela ekujikeni, lapho ihlombe lehlombe lingabanjwanga ngendlela efanele ezimbanjeni futhi liphume ngendlela engavamile. Abantu abane-wingang ye-scapula ngokuvamile banomshini wokuhlanganisa wehlombe ongajwayelekile ngenxa yokuthi ukuma kwehlombe kushintshile.
Izimbangela
Izimbangela ze-periscapular bursitis zingahlukahluka. Okuvame kakhulu i-overuse syndrome, lapho umsebenzi othize ubangela ukucasuka ku-bursa. Lokhu kungafaka:
Imisebenzi ehlobene nezemidlalo ebangelwa ukusetshenziswa ngokuphindaphindiwe.
Imisebenzi ehlobene nomsebenzi ebangelwa ukusetshenziswa ngokuphindaphindiwe.
Ukulimala okubuhlungu okubangela ukuvuvukala noma ukucasuka ku-bursa.
Ezinye izimo zingabangela i-anatomy engavamile noma i-bone protuberances, ecasula i-bursa. Esinye sezimo ukukhula kwamathambo okunempilo eyaziwa ngokuthi i-osteochondroma. (U-Antônio Marcelo Gonçalves de Souza no-Rosalvo Zósimo Bispo Júnior 2014 ) Lezi zimila zingaphuma ku-scapula, okuholela ekucasukeni nasekuvuvukeni.
Ukwelashwa
Ukwelashwa kwe-periscapular bursitis kuqala nge-conservative ukwelapha . Ukwelashwa okuhlaselayo akuvamile ukuba kudingeke ukulungisa inkinga. Ukwelashwa kungabandakanya:
Ukuphumula
Isinyathelo sokuqala ukuphumula i-bursa ecasuliwe futhi uxazulule ukuvuvukala.
Lokhu kungathatha amasonto ambalwa futhi kungafezwa ngokushintsha imisebenzi yomzimba, yezemidlalo, noma ehlobene nomsebenzi.
Ice
Iqhwa liwusizo ekwehliseni ukuvuvukala nokulawula ubuhlungu.
Ukwazi ukuthi ungenza kanjani i-ice ukulimala ngendlela efanele kungasiza ekulawuleni ubuhlungu nokuvuvukala.
Ukwelashwa Kwemvelo
Ukwelashwa ngokomzimba kunganciphisa izimpawu zokuvuvukala ngokusebenzisa izivivinyo ezihlukahlukene nokwelula.
Ukwelashwa kungathuthukisa imishini ye-scapular ukuze ukulimala kungapheli futhi kuphindeke.
Ukunyakaza okungavamile kwe-scapula emgodleni wezimbambo akukwazi nje ukuholela ekuthuthukiseni i-bursitis, kodwa uma le mishini engavamile ingabhekwana nayo, inkinga ingase iphinde ibuyele.
Imithi Yokuvimbela Ukuvuvukala
Imithi engeyona i-steroidal eqeda ukuvuvukala isetshenziselwa ukulawula ukuvuvukala ngesikhathi esifushane. (Augustine H. Conduah et al., 2010 )
Imithi ingasiza ekuvimbeleni ukusabela kokuvuvukala.
Ngaphambi kokuthatha noma yimiphi imithi, abantu kufanele baqinisekise kumhlinzeki wabo wezempilo ukuthi iphephile.
Imijovo yeCortisone
Ukwelashwa okuphumelelayo ngokudutshulwa kwe-cortisone kuwuphawu lokuthi ukuhlinzwa kuzosebenza kangcono kubantu abangase badinge ukuhlinzwa.
Imijovo ye-Cortisone ingaba usizo kakhulu ekuletheni umthamo onamandla wokulwa nokuvuvukala ngqo endaweni yokuvuvukala. (Augustine H. Conduah et al., 2010 )
Imijovo ye-Cortisone kufanele ibe nomkhawulo mayelana nokuthi mingaki imijovo enikezwa umuntu ngamunye, kodwa ngemithamo elinganiselwe ingasiza kakhulu.
Kodwa-ke, ukudubula kwe-cortisone kufanele kwenziwe kuphela uma ukuxilongwa sekuqinisekisiwe.
Ukuhlinzwa
Ukuhlinzwa akuvamile ukuba kudingekile kodwa kungase kusebenze kubantu abangakwazi ukuthola impumuzo ngemithi yokwelapha elandelanayo.
Ukuhlinzwa kuvame ukusetshenziselwa abantu abane-scapular anatomy engajwayelekile, njengokukhula kwamathambo noma amathumba.
Ku-Injury Medical Chiropractic kanye ne-Functional Medicine Clinic, selapha ukulimala nama-syndromes ezinhlungu ezingapheli ngokuthuthukisa ikhono lomuntu ngokusebenzisa izinhlelo eziguquguqukayo, ukuhamba, kanye nokushesha ezenzelwe wonke amaqembu eminyaka yobudala nokukhubazeka. Izinhlelo zethu zokunakekelwa kwe-chiropractor kanye nezinsizakalo zomtholampilo zikhethekile futhi zigxile ekulimaleni kanye nenqubo yokutakula ephelele. Uma kudingeka okunye ukwelashwa, abantu bazothunyelwa emtholampilo noma kudokotela ofaneleka kakhulu ukulimala kwabo, isimo, kanye/noma ukugula kwabo.
I-Scapular Winging Ngokujulile
VIDEO
Okubhekwayo
I-Conduah, AH, Baker, CL, 3rd, & Baker, CL, Jr (2010). Ukuphathwa komtholampilo kwe-scapulothoracic bursitis kanye ne-snapping scapula. Impilo yezemidlalo, 2(2), 147–155. doi.org/10.1177/1941738109338359
Kuhn, JE, Plancher, KD, & Hawkins, RJ (1998). Izimpawu ze-scapulothoracic crepitus kanye ne-bursitis. I-Journal ye-American Academy of Orthopedic Surgeons, 6 (5), 267-273. doi.org/10.5435/00124635-199809000-00001
de Souza, AM, & Bispo Júnior, RZ (2014). I-Osteochondroma: ungayinaki noma uphenye? I-Revista brasileira de ortopedia, 49(6), 555–564. doi.org/10.1016/j.rboe.2013.10.002
by UDkt Alex Jimenez I-Chiropractic , Ubuhlungu obungapheliyo , Ukuhamba Nezimo , Ukuhlanzeka komgogodla , Care Spine , Ukwelashwa , I-Viscerosomatic Reflex
Ingabe abantu abane-hypermobility ehlangene bangathola impumuzo ngokwelashwa okungahlinzeki ekwehliseni izinhlungu nokubuyisela ukuhamba komzimba?
Isingeniso
Lapho umuntu enyakazisa umzimba wakhe, imisipha ezungezile, amalunga, nemigqa ihlanganiswa emisebenzini ehlukahlukene evumela ukuba ilula futhi iguquguquke ngaphandle kobuhlungu noma ukungakhululeki. Ukunyakaza okuningi okuphindaphindayo kwenza umuntu akwazi ukuqhubeka nesimiso sakhe. Nokho, lapho amalunga, imisipha, nemigqa yelulelwe kude kunokuvamile endaweni engenhla nangaphansi ngaphandle kobuhlungu, kwaziwa ngokuthi i-joint hypermobility. Lokhu kuphazamiseka kwezicubu ezixhumene nakho kungahlotshaniswa nezinye izimpawu ezithinta umzimba futhi kubangele abantu abaningi ukuba bafune ukwelashwa ukuze balawule izimpawu zokuxinana okuhlangene. Esihlokweni sanamuhla, sizobheka i-hypermobility ehlangene nokuthi izindlela zokwelapha ezihlukahlukene ezingahlinzeki zingasiza kanjani ekunciphiseni ubuhlungu obubangelwa ukuqina kwamalunga nokubuyisela ukuhamba komzimba. Sikhuluma nabahlinzeki bezokwelapha abaqinisekisiwe abahlanganisa ulwazi lweziguli zethu ukuze bahlole ukuthi ubuhlungu bazo bungahlotshaniswa kanjani ne-hypermobility ehlangene. Siphinde sazise futhi siqondise iziguli ukuthi ukuhlanganisa izindlela zokwelapha ezingezona zokuhlinzwa kungasiza kanjani ukuthuthukisa ukusebenza kwamalunga ngenkathi kulawulwa izimpawu ezihambisanayo. Sikhuthaza iziguli zethu ukuthi zibuze abahlinzeki bazo bezokwelapha abahlotshaniswa nabo imibuzo eyinkimbinkimbi neqondayo mayelana nokuhlanganisa izindlela zokwelapha ezingahlinzeki njengengxenye yendlela yazo yokunciphisa ubuhlungu nokungakhululeki ngenxa ye-hypermobility yamalunga. UDkt. Jimenez, DC, uhlanganisa lolu lwazi njengesevisi yezemfundo. Disclaimer .
Kuyini I-Joint Hypermobility?
Ingabe uvame ukuzwa amalunga akho evalelwe ezandleni, ezihlakaleni, emadolweni nasezindololwaneni? Ingabe uzwa ubuhlungu nokukhathala emalungeni akho lapho umzimba wakho uzizwa ukhathele njalo? Noma lapho welula izinqe zakho, ingabe zinwebeka kakhulu kunokuvamile ukuze uzizwe ukhululekile? Eziningi zalezi zimo ezihlukahlukene zivame ukuhlotshaniswa nabantu ababhekene ne-hypermobility ehlangene. I-Joint hypermobility yisifo esitholwa ngofuzo esinamaphethini aphezulu we-autosomal abonisa i-hyperlaxity ehlangene kanye nobuhlungu be-musculoskeletal ngaphakathi kwemikhawulo yomzimba. ( Carbonell-Bobadilla et al., 2020 ) Lesi simo sezicubu ezixhumene ngokuvamile sihlobene nokuguquguquka kwezicubu ezixhunyiwe njengemigqa nama-tendon emzimbeni. Isibonelo kungaba uma isithupha somuntu sithinta umphambili wabo wangaphakathi ngaphandle kokuzwa ubuhlungu noma ukungaphatheki kahle, unokuqina kwamalunga. Ukwengeza, abantu abaningi ababhekene ne-hypermobility ehlangene ngokuvamile bazoba nokuxilongwa okunzima njengoba bezoba buthakathaka besikhumba nezicubu ngokuhamba kwesikhathi, okubangela izinkinga ze-musculoskeletal. ( Tofts et al., 2023 )
Lapho abantu bebhekana ne-hypermobility ehlangene ngokuhamba kwesikhathi, abaningi bavame ukuba nezimpawu ze-hypermobility yamalunga. Bazoveza izimpawu ze-musculoskeletal and systemic eziholela ekuboniseni ukukhubazeka kwamathambo, ubuthakathaka bezicubu kanye nesikhumba, kanye nokwehluka kwesakhiwo ohlelweni lomzimba. ( U-Nicholson et al., 2022 ) Ezinye zezimpawu zokuthi i-hypermobility ehlangene ikhonjiswe ekuxilongweni zifaka:
Ubuhlungu bemisipha nokuqina kwamalunga Ukuchofoza amalunga Ukukhathala Izinkinga zokugaya Izinkinga zebhalansi
Ngenhlanhla, kunezinhlobo ezahlukene zokwelapha abantu abaningi abangazisebenzisa ukuze basize ukuqinisa imisipha ezungezile ezungeze amalunga futhi banciphise izimpawu ezihambisanayo ezibangelwa ukungahambi kahle kwamalunga.
Ukunyakaza Njengomuthi-Ividiyo
VIDEO
Ukwelashwa Okungahlinzeki Nge-Joint Hypermobility
Lapho ubhekene ne-hypermobility ehlangene, abantu abaningi badinga ukufuna ukwelashwa ukuze banciphise izimpawu ezihambisanayo ezifana nobuhlungu be-hypermobility yamalunga futhi basize ukukhulula amaphethelo omzimba ngenkathi bebuyisela ukuhamba. Ezinye zokwelapha ezinhle kakhulu ze-hypermobility ehlangene ziyizindlela zokwelapha ezingahlinzeki ezingahlaseli, zibe mnene emalungeni nasemisipha, futhi zingabizi. Ukwelashwa okuhlukahlukene okungahlinzeki kungenziwa ngendlela oyifisayo kumuntu kuye ngokuthi kubi kangakanani ukungezwani kwawo kwamalunga kanye nokugula okuhambisana nakho emzimbeni womuntu. Ukwelashwa okungahlinzeki kungakhulula umzimba ekungeneni ngokweqile kwamalunga ngokwelapha izimbangela zobuhlungu ngokunciphisa nokwandisa amandla okusebenza nokubuyisela izinga lokuphila lomuntu. ( U-Atwell et al., 2021 ) Izindlela zokwelapha ezintathu ezingezona zokuhlinzwa ezihamba phambili ekunciphiseni ubuhlungu obuvela ku-hypermobility yamalunga nokusiza ukuqinisa imisipha ezungezile zingezansi.
Ukunakekelwa kweChiropractic
Ukunakekelwa kwe-Chiropractic kusebenzisa ukuxhaphazwa komgogodla futhi kusiza ukubuyisela ukuhamba okuhlangene emzimbeni ukuze kuncishiswe imiphumela ye-hypermobility ehlangene ngokuzinzisa amalunga athintekile avela emikhawulweni ye-hypermobile. ( Boudreau et al., 2020 ) Ama-Chiropractors ahlanganisa ukuxhaphazwa komshini kanye nesandla kanye namasu ahlukahlukene ukusiza abantu abaningi ukuba bathuthukise ukuma kwabo ngokuqaphela imizimba yabo futhi basebenze nezinye izindlela zokwelapha eziningi ukuze bagcizelele ukunyakaza okulawulwayo. Ngokunye ukugula okuhambisana ne-hypermobility ehlangene, njengobuhlungu be-back and nentamo, ukunakekelwa kwe-chiropractic kunganciphisa lezi zimpawu ze-comorbidity futhi kuvumele umuntu ukuba aphinde athole izinga lakhe lokuphila.
I-acupuncture
Okunye ukwelashwa okungahlinzeki abantu abaningi abangakuhlanganisa ukuze kuncishiswe i-hypermobility yamalunga kanye ne-comorbidities yako ukutshopa. I-acupuncture isebenzisa izinaliti ezincane, ezincane, eziqinile ezisetshenziswa ama-acupuncture ukuze uvimbele ama-receptors ezinhlungu futhi ubuyisele ukugeleza kwamandla omzimba. Lapho abantu abaningi bebhekene ne-hypermobility ehlangene, iziphetho zabo emilenzeni, ezandleni nasezinyaweni ziba nobuhlungu ngokuhamba kwesikhathi, okungabangela umzimba ukuba ungagxili. Lokho okwenziwa yi-acupuncture kusiza ukunciphisa ubuhlungu obubangelwa yi-hypermobility ehlangene ehambisana nemikhawulo futhi ibuyisele ibhalansi nokusebenza komzimba ( U-Luan et al., 2023 ). Lokhu kusho ukuthi uma umuntu ebhekene nokuqina kanye nobuhlungu bemisipha obuvela ku-hypermobility yamalunga, i-acupuncture ingasiza ekubuyiseleni ubuhlungu ngokubeka izinaliti kuma-acupoints omzimba ukuze kuhlinzekwe impumuzo.
Ukwelashwa Kwemvelo
Ukwelapha ngokomzimba yindlela yokugcina yokwelapha engahlinzeki abantu abaningi abangayifaka esimisweni sabo sansuku zonke. Ukwelashwa ngokomzimba kungasiza ekulawuleni i-hypermobility ehlangene eyenzelwe ukusiza ukuqinisa imisipha ebuthakathaka ezungeze amalunga athintekile, ukuthuthukisa ukuzinza komuntu nokusiza ukunciphisa ingozi yokukhishwa. Ukwengeza, abantu abaningi bangasebenzisa ukuvivinya umzimba okunomthelela omncane ukuze baqinisekise ukulawulwa kwemoto okuphelele lapho benza izivivinyo ezijwayelekile ngaphandle kokubeka ubunzima obukhulu emalungeni. ( URussek et al., 2022 )
Ngokuhlanganisa lezi zindlela zokwelapha ezintathu ezingezona ukuhlinzwa njengengxenye yokwelashwa okwenziwe ngokwezifiso kwe-hypermobility yamalunga, abantu abaningi bazoqala ukuzwa umehluko kubhalansi yabo. Ngeke bezwe ubuhlungu obuhlangene ngokuwunaka kakhulu umzimba nokuhlanganisa izinguquko ezincane esimisweni sabo. Ngisho noma ukuphila ne-hypermobility ehlangene kungase kube inselele kubantu abaningi, ngokuhlanganisa nokusebenzisa inhlanganisela efanele yezindlela zokwelapha ezingahlinzeki, abaningi bangaqala ukuphila ukuphila okusebenzayo nokwanelisayo.
Okubhekwayo
Atwell, K., Michael, W., Dubey, J., James, S., Martonffy, A., Anderson, S., Rudin, N., & Schrager, S. (2021). Ukuxilongwa Nokuphathwa Kwe-Hypermobility Spectrum Disorders Ekunakekelweni Okuyisisekelo. J Am Board Fam Med , 34 (4), i-838-848. doi.org/10.3122/jabfm.2021.04.200374
Boudreau, PA, Steiman, I., & Mior, S. (2020). Ukuphathwa komtholampilo kwe-benign joint hypermobility syndrome: uchungechunge lwamacala. J Can Chiropr Assoc , 64 (1), i-43-54. www.ncbi.nlm.nih.gov/pubmed/32476667
www.ncbi.nlm.nih.gov/pmc/articles/PMC7250515/pdf/jcca-64-43.pdf
Carbonell-Bobadilla, N., Rodriguez-Alvarez, AA, Rojas-Garcia, G., Barragan-Garfias, JA, Orrantia-Vertiz, M., & Rodriguez-Romo, R. (2020). [I-Joint hypermobility syndrome]. I-Acta Ortop Mex , 34 (6), i-441-449. www.ncbi.nlm.nih.gov/pubmed/34020527 (Sindrome de hipermovilidad articular.)
Luan, L., Zhu, M., Adams, R., Witchalls, J., Pranata, A., & Han, J. (2023). Imiphumela ye-acupuncture noma i-needling therapy efanayo ebuhlungu, i-proprioception, ibhalansi, kanye nomsebenzi wokuzibika kubantu abanokukhubazeka okungapheli kwama-ankle: Ukubuyekezwa okuhlelekile nokuhlaziywa kwe-meta. Umphelelisi Ther Med , 77 , 102983. doi.org/10.1016/j.ctim.2023.102983
Nicholson, LL, Simmonds, J., Pacey, V., De Wandele, I., Rombaut, L., Williams, CM, & Chan, C. (2022). Imibono Yamazwe Ngamazwe Nge-Joint Hypermobility: Ukuhlanganiswa Kwesayensi Yamanje Yokuqondisa Iziqondiso Zemitholampilo Nocwaningo. J Clin Rheumatol , 28 (6), i-314-320. doi.org/10.1097/RHU.0000000000001864
Russek, LN, Block, NP, Byrne, E., Chalela, S., Chan, C., Comerford, M., Frost, N., Hennessey, S., McCarthy, A., Nicholson, LL, Parry, J ., Simmonds, J., Stott, PJ, Thomas, L., Treleaven, J., Wagner, W., & Hakim, A. (2022). Ukwethulwa kanye nokuphathwa kokwelashwa ngokomzimba kokungazinzi komlomo wesibeletho esiphezulu ezigulini ezine-symptomatic generalized joint hypermobility: Izincomo zokuvumelana kochwepheshe bamazwe ngamazwe. Front Med (Lausanne) , 9 , 1072764. doi.org/10.3389/fmed.2022.1072764
Tofts, LJ, Simmonds, J., Schwartz, SB, Richheimer, RM, O'Connor, C., Elias, E., Engelbert, R., Cleary, K., Tinkle, BT, Kline, AD, Hakim, AJ , van Rossum, MAJ, & Pacey, V. (2023). I-hypermobility ehlangene yezingane: uhlaka lokuxilonga kanye nokubuyekezwa okulandisayo. Orphanet J Rare Dis , 18 (1), i-104. doi.org/10.1186/s13023-023-02717-2
Disclaimer
by UDkt Alex Jimenez I-Chiropractic , Ubuhlungu obungapheliyo , I-Disc Herniated , Ukuhamba Nezimo , Ukwelashwa Kokucindezeleka Komgogodla , Care Spine , Ukwelashwa , I-Viscerosomatic Reflex
Ingabe abantu abanobuhlungu bomgogodla ezintanyeni zabo nangemuva bangasebenzisa i-decompression therapy ukuze babuyisele ukuphakama kwe-spinal disc futhi bathole ukukhululeka?
Isingeniso
Abantu abaningi abaqapheli ukuthi njengoba umzimba ukhula, kanjalo nomgogodla. Umgogodla uyingxenye yesistimu ye-musculoskeletal ehlinzeka ngokusekela kwesakhiwo emzimbeni ngokuwugcina uqondile. Imisipha ezungezile, imigqa, kanye nezicubu ezizungezile umgogodla zisiza ngokuzinza nokuhamba, kuyilapho i-spinal disc kanye namalunga ehlinzeka ngokushaqeka kwesisindo esiqondile esiqondile. Lapho umuntu ehamba nemisebenzi yakhe yansuku zonke, umgogodla ungavumela umuntu ukuba ahambe ngaphandle kobuhlungu noma ukungakhululeki. Kodwa-ke, njengoba isikhathi sihamba, umgogodla udlula izinguquko eziwohlokayo ezingabangela ubuhlungu nokungahambi kahle emzimbeni, ngaleyo ndlela ushiye umuntu ukuthi abhekane namaphrofayili engozi adlulele angathinta intamo yabo nangemuva. Kuze kube yileso sikhathi, abantu abaningi bafuna ukwelashwa ukuze banciphise ubuhlungu obuthinta umgogodla wabo futhi babuyisele ukuphakama kwe-disc emizimbeni yabo. Isihloko sanamuhla sibheka ukuthi ubuhlungu bomgogodla buthinta kanjani intamo yomuntu kanye nomhlane nokuthi ukwelashwa okufana nokuwohloka komgogodla kunganciphisa kanjani ubuhlungu bomgogodla futhi kubuyisele ukuphakama kwe-disc. Sikhuluma nabahlinzeki bezokwelapha abaqinisekisiwe abahlanganisa ulwazi lweziguli zethu ukuze bahlole ukuthi ubuhlungu bomgogodla bungathinta kanjani ngokuphawulekayo inhlalakahle yomuntu kanye nezinga lempilo emizimbeni yabo. Siphinde sazise futhi siqondise iziguli ukuthi ukuhlanganisa ukuchithwa komgogodla kungasiza kanjani ukunciphisa ubuhlungu bomgogodla nokubuyisela ukuphakama kwe-spinal disc. Sikhuthaza iziguli zethu ukuthi zibuze abahlinzeki bazo bezokwelapha abahlobene nabo imibuzo eyinkimbinkimbi nebalulekile mayelana nokuhlanganisa ukwelapha okungahlinzeki ohlelweni lwezempilo nokuphila kahle ukuze kudambise izinhlungu zomgogodla futhi bathole izinga lempilo yabo. UDkt. Jimenez, DC, uhlanganisa lolu lwazi njengesevisi yezemfundo. Disclaimer .
Izinhlungu Zomgogodla Zilithinta Kanjani Igolo Nomhlane Womuntu
Ingabe uzwa ubuhlungu obungapheli bemisipha entanyeni nasemhlane? Ingabe uke wabhekana nokuqina kanye nokuhamba okulinganiselwe lapho uphenduka futhi uphenduka? Noma ingabe izinto ezisindayo zibangela ubunzima bemisipha lapho usuka endaweni ethile uya kwenye? Abantu abaningi bazobe behamba futhi babe sesikhundleni esiyinqaba ngaphandle kokuzwa ubuhlungu nokungakhululeki uma kukhulunywa ngomgogodla. Lokhu kubangelwa imisipha ezungezile kanye nezicubu ezinwetshiwe futhi ama-spinal discs athatha ukucindezela okuqondile emgogodleni. Kodwa-ke, lapho izici zemvelo, ukulimala okubuhlungu, noma ukuguga kwemvelo kuqala ukuthinta umgogodla, kungaholela ekuthuthukiseni ubuhlungu bomgogodla. Lokhu kungenxa yokuthi ingxenye yangaphandle yediski yomgogodla iqinile, futhi ingxenye yangaphakathi yediski iyathinteka. Lapho ukucindezeleka okungavamile kuqala ukunciphisa ukungena kwamanzi ngaphakathi kwe-disc, kungashukumisa ngaphakathi ama-receptors obuhlungu ngaphandle kwezimpawu zezimpande ze-nerve ngaphakathi kwe-disc. ( Zhang et al., 2009 ) Lokhu kudala ukuthi abantu abaningi babhekane nobuhlungu bentamo nomhlane emizimbeni yabo futhi kwehlisa izinga lempilo yabo.
Ubuhlungu bomgogodla bungaholela kumaphrofayili engcuphe agqagqene abangela abantu abaningi ukuthi babhekane nobuhlungu obukhulu obuphansi emuva kanye nobuhlungu bentamo, okubangela ukuthi imisipha ezungezile ibe buthakathaka, iqine, futhi yeluleke ngokweqile. Ngesikhathi esifanayo, izimpande ze-nerve ezizungezile nazo ziyathinteka njengoba izintambo ze-nerve zizungeza izingxenye zangaphandle nezingaphakathi ze-spinal disc, okubangela izakhiwo zobuhlungu be-nociceptive entanyeni nasesifundeni sangemuva futhi kuholela ebuhlungu be-discogenic. ( Coppes et al., 1997 ) Lapho abantu abaningi bebhekene nobuhlungu bemisipha obuhambisana nama-spinal discs, kubangela umjikelezo we-pain-spasm-pain ongathinta imizimba yabo ngenxa yokunganyakazi ngokwanele futhi ubangele imisebenzi ye-muscular ebuhlungu lapho uzama ukuhamba. ( URoland, ngo-1986 ) Uma umuntu enomkhawulo wokuhamba ngenxa yokuthi ubhekene nobuhlungu bomgogodla, ukuphakama kwe-disc yabo yemvelo kuncipha kancane, okubangela izinkinga eziningi emizimbeni yabo kanye nemithwalo yenhlalo-mnotho. Ngenhlanhla, lapho abantu abaningi bebhekene nobuhlungu bomgogodla, ukwelashwa okuningi kunganciphisa ubuhlungu bomgogodla futhi kubuyisele ukuphakama kwe-disc yabo.
Umuthi Wokunyakaza- Ividiyo
VIDEO
Ukuwohloka Komgogodla Kwehlisa Kanjani Ubuhlungu Bomgogodla
Lapho abantu befuna imithi yokwelapha ubuhlungu bomgogodla, abaningi bazofuna ukwelashwa ukuze banciphise ubuhlungu babo, kodwa kuzoba nenani elincane. Kodwa-ke, abantu abaningi bazokhetha izindlela zokwelapha ezingahlinzeki ngenxa yokufinyeleleka kwazo. Ukwelashwa okungahlinzeki akubizi futhi kwenziwa ngendlela oyifisayo kubuhlungu bomuntu nokungaphatheki kahle. Kusukela ekunakekelweni kwe-chiropractic kuya ekushoniseni, kuye ngobunzima bobuhlungu bomuntu, abaningi bazothola impumuzo abayifunayo. Enye yezindlela zokwelapha ezintsha kakhulu zokunciphisa ubuhlungu bomgogodla ukuwohloka komgogodla. Ukuwohloka komgogodla kuvumela umuntu ukuthi aboshelwe etafuleni lokudonsa. Lokhu kungenxa yokuthi idonsa kahle umgogodla ukuze iqondise kabusha i-spinal disc ngokunciphisa ingcindezi emgogodleni ukuze icele inqubo yokuphulukisa yemvelo yomzimba ukukhulula ubuhlungu. ( URamos noMartin, ngo-1994 ) Ukwengeza, lapho abantu abaningi besebenzisa ukuchithwa komgogodla, ukudonsa okumnene kunikeza ukuphazamiseka okuhamba ngemoto emgogodleni ongase ubangele izinguquko zomzimba ku-spinal disc futhi usize ukubuyisela uhla lomuntu lokuhamba, ukuguquguquka, nokuhamba. ( U-Amjad et al., 2022 )
Ukuwohloka Komgogodla Ukubuyisela Ukuphakama Kwe-Spinal Disc
Uma umuntu eboshelwe emshinini wokunciphisa umgogodla, ukudonsa okumnene kusiza i-spinal disc ibuyele emgogodleni, okuvumela uketshezi kanye nezakhi zokuvuselela umgogodla, okwandisa ukuphakama kwediski yomgogodla. Lokhu kungenxa yokuthi ukuwohloka komgogodla kudala ingcindezi embi emgogodleni, okuvumela i-spinal disc ukuthi ibuyele ekuphakameni kwayo kwasekuqaleni futhi inikeze ukukhululeka. Ngaphezu kwalokho, into emangalisayo eyenziwa yi-spinal decompression ukuthi ingahlanganiswa nokwelashwa ngokomzimba ukusiza ukwelula nokuqinisa imisipha ezungezile eduze nomgogodla ukuze kunikeze ukuzinza nokuguquguquka okwengeziwe. ( I-Vanti et al., 2023 ) Lokhu kuvumela umuntu ukuba aqaphele kakhulu imizimba yakhe futhi aqale ukufaka izinguquko ezincane zemikhuba ukunciphisa ubuhlungu bokubuya. Lapho abantu abaningi beqala ukucabanga ngempilo nempilo yabo ngokuya ekwelashweni, bazophinda bathole ikhwalithi yempilo yabo futhi babuyele esimisweni sabo sansuku zonke ngaphandle kwezinkinga ezithinta umgogodla wabo.
Okubhekwayo
Amjad, F., Mohseni-Bandpei, MA, Gilani, SA, Ahmad, A., & Hanif, A. (2022). Imiphumela ye-non-surgical decompression therapy ngaphezu kokwelashwa ngokomzimba okujwayelekile ebuhlungu, ububanzi bokunyakaza, ukukhuthazela, ukukhubazeka okusebenzayo kanye nekhwalithi yokuphila ngokumelene nokwelashwa ngokomzimba okujwayelekile yedwa ezigulini ezine-lumbar radiculopathy; isilingo esilawulwa ngokungahleliwe. I-BMC Musculoskelet Disord , 23 (1), i-255. doi.org/10.1186/s12891-022-05196-x
Coppes, MH, Marani, E., Thomeer, RT, & Groen, GJ (1997). I-Innervation yama-lumbar discs "abuhlungu". I-Spine (Phila Pa 1976) , 22 (20), 2342-2349; ingxoxo 2349-2350. doi.org/10.1097/00007632-199710150-00005
Ramos, G., & Martin, W. (1994). Imiphumela ye-vertebral axial decompression ku-intradiscal pressure. J Neurosurgery , 81 (3), i-350-353. doi.org/10.3171/jns.1994.81.3.0350
U-Roland, MO (1986). Ukubuyekezwa okubalulekile kobufakazi bomjikelezo we-pain-spasm-pain ezinkingeni zomgogodla. UClin Biomech (Bristol, Avon) , 1 (2), i-102-109. doi.org/10.1016/0268-0033(86)90085-9
Vanti, C., Saccardo, K., Panizzolo, A., Turone, L., Guccione, AA, & Pillastrini, P. (2023). Imiphumela yokwengezwa kwe-traction mechanical ekwelapheni ngokomzimba ebuhlungu obuphansi emuva? Isibuyekezo esihlelekile esinokuhlaziywa kwe-meta. I-Acta Orthop Traumatol Turc , 57 (1), i-3-16. doi.org/10.5152/j.aott.2023.21323
U-Zhang, YG, Guo, TM, Guo, X., & Wu, SX (2009). Ukuxilongwa komtholampilo kwe-discogenic low back pain. I-Int J Biol Sci , 5 (7), i-647-658. doi.org/10.7150/ijbs.5.647
Disclaimer
by UDkt Alex Jimenez I-Acupuncture Therapy , Ubuhlungu obungapheliyo , Ukuhamba Nezimo , Ukwelashwa , I-Viscerosomatic Reflex
Ingabe abantu ababhekene nobuhlungu obuhlangene bangahlanganisa ukwelashwa kwe-acupuncture ukuze balawule izimpawu ze-lupus futhi babuyisele ukuhamba komzimba?
Isingeniso
Amasosha omzimba abaluleke kakhulu emzimbeni njengoba umsebenzi wawo oyinhloko uwukuvikela izakhiwo ezibalulekile kubahlaseli bangaphandle abangabangela izinkinga ezifana nobuhlungu kanye nokungakhululeki. Amasosha omzimba anobudlelwane obunempilo nezinhlelo zomzimba ezahlukene, okuhlanganisa nesistimu ye-musculoskeletal, njengoba ama-cytokines avuthayo asiza ukuphulukisa ukulimala kwemisipha nezicubu lapho umzimba ulimele. Nokho, ngokuhamba kwesikhathi, lapho izici ezivamile zendawo ezungezile kanye nezakhi zofuzo ziqala ukukhula emzimbeni, isimiso somzimba sokuzivikela ezifweni sizoqala ukuthumela la ma-cytokine kumaseli anempilo, avamile. Kulelo qophelo, umzimba uqala engcupheni yokuthuthukisa izifo ze-autoimmune. Manje, izifo ze-autoimmune emzimbeni zingadala isiphithiphithi ngokuhamba kwesikhathi lapho zingalawulwa, okuholela ekuphazamisekeni okungamahlalakhona okungabangela izimpawu ezinqwabelene ohlelweni lwe-musculoskeletal. Esinye sezifo ezivame kakhulu zokuzivikela komzimba i-systemic lupus erythematosus noma i-lupus, futhi singabangela umuntu ukuba abe nobuhlungu obungaguquki kanye nokungaphatheki kahle kuyilapho kuhlotshaniswa nobuhlungu bemisipha namalunga. Isihloko sanamuhla sibheka izici nemiphumela ye-lupus, umthwalo wobuhlungu obuhlangene ku-lupus, nokuthi izindlela eziphelele ezifana ne-acupuncture zingasiza kanjani ukuphatha i-lupus ngenkathi ibuyisela ukuhamba komzimba. Sikhuluma nabahlinzeki bezokwelapha abaqinisekisiwe abahlanganisa imininingwane yeziguli zethu ukuze sihlole ukuthi singayinciphisa kanjani imiphumela yobuhlungu ebangelwa i-lupus emalungeni. Siphinde sazise futhi siqondise iziguli ukuthi ukutshopa kungasiza kanjani ukuphatha i-lupus nokuhlanganisa ezinye izindlela zokwelapha ukuze kuncishiswe izimpawu zayo ezinjengobuhlungu ezithinta isimiso semisipha. Sikhuthaza iziguli zethu ukuthi zibuze abahlinzeki bazo bezokwelapha abahlobene nabo imibuzo eyinkimbinkimbi nebalulekile mayelana nokuhlanganisa ukwelashwa kwe-acupuncture ukuze kukhululeke imiphumela yokuvuvukala ye-lupus kuyilapho kuthola izindlela ezingokwemvelo zokubuyisela ukuhamba. UDkt. Jimenez, DC, uhlanganisa lolu lwazi njengesevisi yezemfundo. Disclaimer .
Izici Nemiphumela Ye-Lupus
Ingabe ubulokhu uzwa ubuhlungu obuhlangene emaphethelweni akho angaphezulu noma aphansi, okwenza kube nzima ukusebenza usuku lonke? Ingabe ubulokhu uzwa imiphumela eqhubekayo yokukhathala? Abantu abaningi abahlangabezana nalezi zinkinga ezifana nobuhlungu bangase babe sengozini yokuthola i-systemic lupus erythematosus. Kulesi sifo esizimele, amasosha omzimba aqala ngephutha ukuhlasela izicubu zawo, ngaleyo ndlela aholele ekuvuvukeni kanye nohlu lwezimpawu ezinjengobuhlungu. I-Lupis inobuqili ukuyixilonga ngenxa ye-immune dysregulation eyinkimbinkimbi engaholela ekukhiqizeni ngokweqile kwama-cytokines angathinta umzimba. ( U-Lazar & Kahlenberg, 2023 ) Ngesikhathi esifanayo, i-lupus ingathinta abantu abahlukahlukene, izimpawu nokuqina kuyahlukahluka kuye ngokuthi izici ezithinta umzimba zithambile noma zinzima kangakanani. I-Lupus ingaba nomthelela ezingxenyeni ezihlukahlukene zomzimba, okuhlanganisa amalunga, isikhumba, izinso, amangqamuzana egazi, nezinye izingxenye zomzimba ezibalulekile nezitho, njengoba izici zemvelo kanye nama-hormone zingathonya ukukhula kwayo. ( I-Tsang & Bultink, 2021 ) Ukwengeza, i-lupus ingahlotshaniswa eduze namanye ama-comorbidities abangela amaphrofayli ezingozi ezeqile ngokuvuvukala okungathinta amalunga ohlelweni lwe-musculoskeletal.
Umthwalo Wezinhlungu Ezihlangene Ku-Lupus
I-Lupus inobuqili ukuyixilonga njengoba ivamise ukulingisa ezinye izifo; uphawu oluvame kakhulu lobuhlungu oluthinta i-lupus amalunga. Abantu abane-lupus bazwa ubuhlungu obuhlangene, obungabangela imiphumela yokuvuvukala kanye nokulimala kwesakhiwo kumalunga, imisipha, imisipha, namathambo, okubangela ukungahambi kahle kwe-pathological. ( U-Di Matteo et al., 2021 ) Njengoba i-lupus ibangela imiphumela yokuvuvukala emalungeni, abantu abaningi bazocabanga ukuthi babhekene ne-arthritis evuthayo, futhi ingabangela amaphrofayli engozi adlulele njengoba ihambisana ne-lupus, ngaleyo ndlela ibangele ubuhlungu bendawo emalungeni kungakhathaliseki ukuthi imvelaphi yayo. ( Senthelal et al., 2024 ) Ubuhlungu obuhlangene kubantu be-lupus bungavimbela kakhulu imisebenzi yansuku zonke, ukunciphisa ukuhamba kanye nekhwalithi yokuphila iyonke njengoba bezama ukuthola impumuzo.
Ukuvula Izimfihlo Zokuvuvukala-Ividiyo
VIDEO
Indlela Ephelele Yokuphatha I-Lupus
Nakuba ukwelashwa okujwayelekile kwe-lupus kuhilela imithi kanye nama-immunosuppressants ukunciphisa ukuvuvukala okubangelwa i-lupus, abantu abaningi bafuna izindlela eziphelele zokuphatha i-lupus nokunciphisa imiphumela yokuvuvukala ekuthinteni amalunga abo ngokwenza izinguquko ezincane ekuphileni kwabo. Abantu abaningi bahlanganisa ukudla okulwa nokuvuvukala okucebile kuma-antioxidants ukuze kudambise imiphumela yokuvuvukala. Izithako ezihlukahlukene, njengovithamini D, i-calcium, i-zinc, njll., zingasiza ekunciphiseni ukuvuvukala okubangelwa i-lupus futhi kuqinise impilo yamathambo. Ukwengeza, ukwelapha okungezona ukuhlinzwa kungathuthukisa ngisho namandla okuphefumula kwenhliziyo futhi kunciphise ukukhathala kuyilapho kuthuthukisa ukusebenza kwengqondo, okungasiza ukuthuthukisa izinga lempilo yomuntu ngokulawula izimpawu ezibangelwa i-lupus. ( Fangtham et al., 2019 )
I-acupuncture Ingayisiza Kanjani I-Lupus futhi Ibuyisele Ukuhamba
Enye yezindlela ezindala kakhulu zezindlela ezingahlinzeki neziphelele zokunciphisa ukuvuvukala nokulawula i-lupus i-acupuncture. I-acupuncture ihilela izinaliti eziqinile, ezincanyana ezisetshenziswa ochwepheshe abaqeqeshwe kakhulu ukuze bafakwe emaphuzwini athile omzimba ukuze kulinganisele i-qi (amandla) omzimba ngokushukumisa isimiso sezinzwa nokukhulula amakhemikhali anenzuzo emisipha ethintekile, umgogodla, nobuchopho. Ukwengeza, i-acupuncture, enemiphumela emibi emincane kanye nendlela ephelele, ingasiza ukuphatha i-lupus. Lokhu kungenxa yokuthi lapho izinaliti ze-acupuncture zifakwa kuma-acupoints omzimba, zingaphazamisa izimpawu zobuhlungu ezibangela ubuhlungu endaweni ethintekile futhi zilawule ama-cytokines avuthayo avela ku-lupus ukuze anikeze ukukhululeka. ( U-Wang et al., I-2023 ) Lokhu kungenxa yefilosofi yayo yokungabheki nje ubuhlungu bomzimba kuphela kodwa nezimpawu ezingokomzwelo nezingokwengqondo zokuphila nesifo esingelapheki njenge-lupus.
Ukwengeza, i-acupuncture ingasiza ukubuyisela ukuhamba okuhlangene ngenkathi ilawula i-lupus ngokusebenzisa ukwelashwa okulandelanayo, njengoba abantu abaningi beqaphela ukuthi ukuhamba kwabo ngokuhlanganyela kuyathuthukiswa futhi ubuhlungu babo buyancipha. Lokhu kungenxa yokuthi ukufakwa nokuguqulwa kwezinaliti kuma-acupoints omzimba kubangela ukuguqulwa kokungena kwezinzwa okuhlukile ohlelweni lwezinzwa olumaphakathi, okwandisa ukuthakasela kwe-alpha motoneuron futhi kunciphisa ukuvuvukala. ( Kim et al., 2020 ) Lapho abantu bebhekene ne-lupus futhi bezama ukuthola ezinye izindlela eziphelele zokuqeda ukuvuvukala nobuhlungu bamalunga obubangelwa i-lupus, i-acupuncture, nokwelashwa okungahlinzeki kunganikeza inhlansi yethemba ekulawuleni izinselele zansuku zonke ze-lupus.
Okubhekwayo
U-Di Matteo, A., Smerilli, G., Cipolletta, E., Salaffi, F., De Angelis, R., Di Carlo, M., Filippucci, E., & Grassi, W. (2021). Ukufanekisa Ukubandakanywa Kwezicubu Ezihlangene Nezithambile ku-Systemic Lupus Erythematosus. I-Curr Rheumatol Rep , 23 (9), i-73. doi.org/10.1007/s11926-021-01040-8
U-Fangtham, M., Kasturi, S., Bannuru, RR, Nash, JL, & Wang, C. (2019). Izindlela zokwelapha ezingezona eze-pharmacologic ze-systemic lupus erythematosus. Lupus , 28 (6), i-703-712. doi.org/10.1177/0961203319841435
UKim, D., Jang, S., & Park, J. (2020). I-Electroacupuncture kanye ne-Manual Acupuncture Yandisa Ukuguquguquka Okuhlangene Kodwa Yehlisa Amandla Emisipha. Ukunakekelwa kwezempilo (Basel) , 8 (4). doi.org/10.3390/healthcare8040414
Lazar, S., & Kahlenberg, JM (2023). I-Systemic Lupus Erythematosus: Izindlela Ezintsha Zokuxilonga Nezokwelapha. Annu Rev Med , 74 , I-339-352. doi.org/10.1146/annurev-med-043021-032611
Senthelal, S., Li, J., Ardeshirzadeh, S., & Thomas, MA (2024). Isifo samathambo. Ku StatPearls . www.ncbi.nlm.nih.gov/pubmed/30085534
I-Tsang, ASMWP, & Bultink, IEM (2021). Intuthuko entsha ku-systemic lupus erythematosus. I-Rheumatology (Oxford) , 60 (Suppl 6), vi21-vi28. doi.org/10.1093/rheumatology/keab498
Wang, H., Wang, B., Huang, J., Yang, Z., Song, Z., Zhu, Q., Xie, Z., Sun, Q., & Zhao, T. (2023). Ukusebenza nokuphepha kwe-acupuncture therapy kuhlanganiswe ne-pharmacotherapy evamile ekwelapheni i-systemic lupus erythematosus: Ukubuyekezwa okuhlelekile nokuhlaziywa kwe-meta. Imithi (Baltimore) , 102 (40), i-e35418. doi.org/10.1097/MD.0000000000035418
Disclaimer
by UDkt Alex Jimenez Ukuhamba Nezimo , Ukulala Uhlanzekile
Abantu abalulama ngemva kokuhlinzwa noma ababhekene nokugula noma ukulimala bangathola imisipha ebuthaka nokukhuthazela okungabangela ukulahlekelwa okwesikhashana kokuhamba kokulala nokungakwazi ukuhambahamba ngendlela evamile ngenxa yobuthakathaka, ukwehla kobubanzi bokunyakaza, noma ubuhlungu. Ingabe bangazuza ekwelapheni ngokomzimba ukuze basize babuyele ekuhambeni okujwayelekile kokusebenza?
Ukulala Ukuhamba
Kubantu abalaliswe esibhedlela noma abavaleleke ekhaya ngenxa yokulimala, ukugula, noma ukululama ngokuhlinzwa, uchwepheshe womzimba uzohlola izindawo ezihlukahlukene zokuhamba komsebenzi. Lokhu kufaka phakathi ukudluliselwa - ukusuka endaweni yokuhlala ukuya ezindaweni zokuma, ukuhamba, nokuhamba kokulala. Ukuhamba kokulala yikhono lokwenza ukunyakaza okuthile ngenkathi ulele. Umelaphi angahlola ukulala noma ukuhamba kombhede futhi atuse amasu nokuzivocavoca ukuze athuthukise ukunyakaza. (O'Sullivan, SB, Schmitz, TJ 2016 ) Umelaphi angase asebenzise umuntu ngamunye izinto ezithile, njenge-trapeze embhedeni noma ibhodi elishelelayo, ukuze asize ukuhambahamba.
Ukuhamba Kombhede Nokulala
Lapho umelaphi womzimba ehlola ukuhamba, uzohlola ukunyakaza okuhlukahlukene okuhlanganisa: (O'Sullivan, SB, Schmitz, TJ 2016 )
Esuka ehlezi elala phansi.
Esuka ekulaleni eyohlala phezulu.
Ukugingqika.
Ukushwibeka noma ukushelela phezulu noma phansi.
Ukushwila noma ukushelela emaceleni.
Ukusonta.
Ukufinyelela.
Enyusa amahips.
Konke lokhu kunyakaza kudinga amandla emaqenjini emisipha ahlukene. Ngokuhlola ukunyakaza komuntu ngamunye ekuhambeni kokulala, uchwepheshe angakwazi ukwenza amaqembu athile emisipha angase abe buthakathaka futhi adinga ukuzivocavoca okuhlosiwe kanye nokwelula ukuze abuyisele ukuhamba kokujwayelekile. (O'Sullivan, S. B., Schmitz, T. J. 2016 ) Abantu abavakashela umelaphi emtholampilo ongalaliswanga noma endaweni yokuhlunyeleliswa bangase babe nomsebenzi ngamunye wokunyakaza kokulala etafuleni lokwelapha. Ukunyakaza okufanayo etafuleni lokwelapha kungenziwa embhedeni.
Ukubaluleka
Umzimba uhloselwe ukunyakaza.
Kubantu abangakwazi ukunyakaza kahle embhedeni wabo, umzimba ungase ube ne-atrophy engasasebenzi noma ukuphelelwa amandla emisipha, okungaholela ekwandeni kobunzima. Ukungakwazi ukunyakaza kungase futhi kubangele izilonda zengcindezi, ikakhulukazi kubantu abakhathele kakhulu futhi/noma abahlala endaweni eyodwa isikhathi eside. Impilo yesikhumba ingase iqale ukuwohloka, okuholela ezilonda ezibuhlungu ezidinga ukunakekelwa okukhethekile. Ukukwazi ukuhambahamba embhedeni kungasiza ekuvimbeleni izilonda zengcindezi. (Surajit Bhattacharya, RK Mishra. 2015 )
Ngcono
Umelaphi womzimba angakwazi ukunikeza izivivinyo ezithile zokuqinisa amaqembu emisipha nokuthuthukisa ukuhamba kokulala. Imisipha ihlanganisa:
Imisipha ye-shoulder cuff ne-rotator.
I-Triceps nama-biceps ezingalweni.
Imisipha ye-Gluteus yama-hips.
hamstrings
Ama-Quadriceps
Imisipha yethole
Amahlombe, izingalo, izinqulu, nemilenze kuyasebenzisana lapho kunyakazisa umzimba embhedeni.
Ukuzivocavoca Okuhlukahlukene
Ukuthuthukisa ukunyakaza kombhede, izivivinyo zokwelapha ngokomzimba zingabandakanya:
Ukuzivocavoca komkhawulo ongaphezulu
Ukujikeleza kwe-trunk ephansi
Ukuzivocavoca kwe-Glute
Bridges
Umlenze uyaphakama
Ama-arc quads amafushane Amaphampu eqakala
Abelaphi bomzimba baqeqeshelwe ukuhlola lokhu kunyakaza nemisebenzi futhi banqume zokwelapha ukuthuthukisa ukunyakaza komzimba . (O'Sullivan, SB, Schmitz, TJ 2016 ) Ukugcina ubungqabavu obufanele bomzimba kungasiza umzimba uhlale usebenza futhi uhamba. Ukwenza izivivinyo zokuhamba ezinqunywe udokotela womzimba kungagcina amaqembu emisipha elungile esebenza kahle, futhi ukusebenza nomhlinzeki womzimba kungaqinisekisa ukuthi izivivinyo zilungile esimweni futhi zenziwa ngendlela efanele.
Ukuthuthukisa Impilo Yakho
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Okubhekwayo
O'Sullivan, S. B., Schmitz, T. J. (2016). Ukuthuthukisa Imiphumela Esebenzayo Ekuvuseleleni Umzimba . I-United States: Inkampani ye-FA Davis.
I-Bhattacharya, S., & Mishra, RK (2015). Izilonda zokucindezela: Ukuqonda kwamanje kanye nezindlela ezintsha zokwelapha. Ijenali yaseNdiya yokuhlinzwa kwepulasitiki : ukushicilelwa okusemthethweni kwe-Association of Plastic Surgeons of India, 48(1), 4–16. doi.org/10.4103/0970-0358.155260
