Ukulimala kwezemidlalo
Ithimba le-Back Clinic Sports Injuries Chiropractic kanye nePhysical Therapy. Abasubathi abavela kuyo yonke imidlalo bangazuza ekwelashweni kwe-chiropractic. Ukulungiswa kungasiza ekwelapheni ukulimala kwemidlalo enomthelela omkhulu okungukuthi i-wrestling, ibhola lezinyawo, nehokhi. Abasubathi abathola ukulungiswa okujwayelekile bangase baqaphele ukusebenza okuthuthukisiwe kwezemidlalo, ukunyakaza okuthuthukisiwe okuthuthukisiwe kanye nokuguquguquka, kanye nokugeleza kwegazi okwandisiwe. Ngenxa yokuthi ukulungiswa komgogodla kuzonciphisa ukucasuka kwezimpande zezinzwa phakathi kwama-vertebrae, isikhathi sokuphulukiswa kokulimala okuncane singafinyezwa, okuthuthukisa ukusebenza. Bobabili abagijimi abanomphumela ophezulu nabancane bangazuza ekulungiseni umgogodla okuvamile.
Kubadlali abanomthelela omkhulu, kwandisa ukusebenza kanye nokuguquguquka futhi kwehlisa ubungozi bokulimala kubasubathi abanomthelela omncane okungukuthi abadlali bethenisi, abaphowli, nabadlala igalofu. I-Chiropractic iyindlela engokwemvelo yokwelapha nokuvimbela ukulimala okuhlukene nezimo ezithinta abasubathi. NgokukaDkt Jimenez, ukuqeqeshwa ngokweqile noma igiya elingafanele, phakathi kwezinye izici, yizimbangela ezivamile zokulimala. UDkt Jimenez ufingqa izimbangela ezihlukahlukene kanye nemiphumela yokulimala kwezemidlalo kumdlali kanye nokuchaza izinhlobo zokwelapha nezindlela zokuvuselela ezingasiza ekuthuthukiseni isimo somdlali. Ukuze uthole ulwazi olwengeziwe, sicela ukhululeke ukuxhumana nathi ku-(915) 850-0900 noma umbhalo ukuze ushayele uDkt Jimenez mathupha ku-(915) 540-8444.
by UDkt Alex Jimenez | Abadlali, Ukulimala kwezemidlalo
Yiziphi izikhathi zokuphulukiswa kokulimala kwezemidlalo okuvamile kubasubathi kanye nabantu abahlanganyela emisebenzini yezemidlalo yokuzilibazisa?
Owesifazane osemusha, ojabule wezemidlalo uthola ukwelashwa kwe-tens-electrotherapy emtholampilo wezokwelapha.
Izikhathi Zokuphulukisa Zokulimala Kwezemidlalo
Isikhathi sokuphulukiswa ekulimaleni kwezemidlalo sincike ezintweni ezihlukahlukene, njengendawo kanye nezinga lokulimala kanye nempilo yesikhumba, amalunga, imisipha, imisipha, namathambo. Kubalulekile futhi ukuthatha isikhathi sokululama noma ukungajahi ukubuyela emisebenzini yemidlalo yomzimba ngaphambi kokuba amathambo noma izicubu zilulame ngokugcwele. Ukuze uvimbele ukulimala kabusha, qiniseka ukuthi udokotela uhlanza impilo ngaphambi kokubuyela kwezemidlalo noma umsebenzi onzima womzimba.
Ngokocwaningo lwe-CDC, isilinganiso sokulimala okuhlobene nezemidlalo nokungcebeleka okulinganiselwa ezigidini ezingu-8.6 kwenzeka minyaka yonke. (U-Sheu, Y., Chen, LH, no-Hedegaard, H. 2016) Kodwa-ke, ukulimala okuningi kwezemidlalo kukha phezulu noma kubangelwa izinhlungu zebanga eliphansi noma ama-sprains; okungenani u-20% wokulimala ubangelwa ukuphuka kwamathambo noma ukulimala okubi kakhulu. Ukuphuka kwamathambo kuthatha isikhathi eside kunokusprains noma izinhlungu, futhi ukuhlukana okuphelele kwe-tendon noma imisipha kungathatha izinyanga ngaphambi kokuthi umuntu abuyele ngokugcwele emisebenzini. Abantu abasesimweni esihle somzimba abangenakho ukugula okucashile noma ukukhubazeka, nakhu abangakulindela lapho belulama ekulimaleni okulandelayo kwezemidlalo:
Ukuqhekeka Kwamathambo
Ezemidlalo, izinga eliphakeme kakhulu lokuphuka kwamathambo lenzeka ngebhola kanye nemidlalo yokuxhumana. Iningi ligxile emaphethelweni aphansi kodwa lingabandakanya intamo namahlombe, izingalo, nezimbambo.
Ukuqhekeka Okulula
- Kuya ngeminyaka yomuntu, impilo, uhlobo, nendawo.
- Ngokuvamile, kuthatha okungenani amasonto ayisithupha ukuphulukisa.
Ukuqhekeka Okuhlanganisiwe
- Kulokhu, ithambo liphukile ezindaweni eziningana.
- Kungase kudinge ukuhlinzwa ukuze kuqiniswe ithambo.
- Isikhathi sokuphulukisa singathatha izinyanga eziyisishiyagalombili.
I-Clavicle/Collarbone Ephukile
- Kungase kudinge ukungasebenzi kwehlombe nengalo engenhla.
- Kungathatha amasonto amahlanu kuya kwayishumi ukuze ululame ngokugcwele.
- Iminwe noma izinzwane eziphukile zingaphola emasontweni amathathu kuya kwamahlanu.
Izimbambo Eziphukile
- Ingxenye yohlelo lokwelapha ihlanganisa ukuvivinya umzimba kokuphefumula.
- Ama-Painkillers angadingeka isikhathi esifushane.
- Ngokuvamile, kuthatha cishe amasonto ayisithupha ukuze ululame.
Ukuphuka Kwentamo
- Kungase kuhlanganise noma iyiphi i-vertebrae yentamo eyisikhombisa.
- I-brace yentamo noma idivayisi ye-halo efakwe okhakhayini ukuze izinze ingasetshenziswa.
- Kungathatha amasonto ayisithupha ukuze ululame.
Ama-sprains kanye ne-Sprains
Ngokombiko we-CDC, ama-sprains nama-sprains enza i-41.4% yakho konke ukulimala kwezemidlalo. (U-Sheu, Y., Chen, LH, no-Hedegaard, H. 2016)
- A hlala ukunwebeka noma ukudabuka kwemigqa noma izibopho eziqinile zezicubu ezinezintambo ezihlanganisa amathambo amabili endaweni ehlangene.
- A uhlobo ukunwebeka ngokweqile noma ukudabuka kwemisipha noma imisipha.
Amaqakala Aphihliziwe
- Ingaphola ezinsukwini ezinhlanu uma zingekho izinkinga.
- Ama-sprains amakhulu ahlanganisa imisipha edabukile noma ephukile kungathatha amasonto amathathu kuya kwayisithupha ukuphola.
Izihlunu Zenkonyane
- Kubhekwa njengebanga loku-1 - uhlobo oluncane lungaphola emasontweni amabili.
- Ibanga lesi-3 - uhlobo olunzima lungadinga izinyanga ezintathu noma ngaphezulu ukuze ululame ngokuphelele.
- Ukusetshenziswa kwemikhono yokucindezela ithole kungasheshisa ukutholakala kwezinkinga kanye nama-sprains emlenzeni ophansi.
I-Acute Neck Strain
- Ukubhekana, umthelela, ukuwa, ukuguquka okusheshayo, noma ukunyakaza kokushaywa kungabangela ukulimala kwe-whiplash.
- Isikhathi sokuphulukisa singathatha amasonto ambalwa kuya kwayisithupha.
Okunye Ukulimala
Izinyembezi ze-ACL
- Kubandakanya i-anterior cruciate ligament.
- Ngokuvamile, kudinga izinyanga zokululama nokuvuselelwa, kuye ngezici eziningana, kuhlanganise nohlobo lomsebenzi wezemidlalo.
- Ukululama ngokugcwele ekuhlinzweni kuthatha izinyanga eziyisithupha kuya kweziyi-12.
- Ngaphandle kokuhlinzwa, awukho umugqa wesikhathi othize wokuvuselela.
I-Achilles Tendon Ukuphuka
- Ukulimala kabi.
- Lokhu kwenzeka lapho ithenda iklebhukile ingxenye noma ngokuphelele.
- Abantu bazodinga ukuhlinzwa kakhulu.
- Isikhathi sokululama yizinyanga ezine kuya kweziyisithupha.
Ukusikwa kanye Neziqhumane
- Kuya ngokujula nendawo yokulimala.
- Kungathatha noma yikuphi ukusuka evikini kuya enyangeni ukuphola.
- Uma kungabikho ukulimala okuhambisanayo, izithungo zingasuswa phakathi kwamasonto amabili kuya kwamathathu.
- Uma ukusika okujulile kudinga ukuthungwa, isikhathi esengeziwe siyadingeka.
Izimilo Ezincane/Imihuzuko
- Zibangelwa ukuhlukumezeka esikhumbeni, okubangela ukuphuka kwemithambo yegazi.
- Ezimweni eziningi, ukuqunjelwa kuzothatha izinsuku ezinhlanu kuya kweziyisikhombisa ukuze kuphole.
Ukuhlukana Kwamahlombe
- Uma uphathwa ngendlela efanele, ngokuvamile kuthatha cishe amasonto amabili okuphumula nokululama ngaphambi kokuba isiguli sibuyele emsebenzini.
Ukwelashwa Kwemikhakha Ehlukahlukene
Ngemuva kokuthi ukuvuvukala nokuvuvukala kokuqala sekuphelile, udokotela uzoncoma uhlelo lokwelapha oluvame ukubandakanya ukwelapha ngokomzimba, ukuzivuselela ngokomzimba, noma ukugadwa ngumelaphi womzimba noma ithimba. Ngenhlanhla, abasubathi kanye nabantu abajwayele ukuzivocavoca bavame ukuba nesikhathi sokuphulukisa ngokushesha ngenxa yokuthi basesimweni esiphezulu somzimba, futhi isimiso sabo senhliziyo nemithambo yegazi sinikeza igazi elinamandla elisheshisa inqubo yokuphulukisa. E-El Paso's Chiropractic Rehabilitation Clinic & Integrated Medicine Center, sigxile ngentshiseko ekwelapheni ukulimala kweziguli kanye nezinhlungu ezingapheli. Sigxila ekuthuthukiseni ikhono ngokusebenzisa izinhlelo ezivumelana nezimo, ukuhambahamba, kanye nokuba bukhali okuklanyelwe umuntu ngamunye. Sisebenzisa ukuqeqeshwa komuntu siqu kanye ne-virtual health coaching kanye nezinhlelo zokunakekelwa okuphelele ukuze siqinisekise ukunakekelwa komuntu ngamunye kanye nemiphumela yokuphila kahle.
Abahlinzeki bethu basebenzisa indlela edidiyelwe ukuze benze izinhlelo zokunakekelwa komuntu siqu ezihlanganisa i-Functional Medicine, i-Acupuncture, i-Electro-Acupuncture, nezimiso ze-Sports Medicine. Umgomo wethu uwukukhulula ubuhlungu ngokwemvelo ngokubuyisela impilo nokusebenza emzimbeni.
Uma udokotela we-chiropractor ezwa ukuthi umuntu udinga okunye ukwelashwa, uzothunyelwa emtholampilo noma udokotela ofaneleka kakhulu kubo. UDkt. Jimenez uhlanganyele nodokotela abahlinzayo abaphezulu, ochwepheshe bemitholampilo, abacwaningi bezokwelapha, nabahlinzeki bokubuyisela esimeni esihle ukuze banikeze usizo lwezokwelapha oluphezulu emphakathini wethu. Ukunikeza izimiso eziyisisekelo ezingahlaseli kuyinto eza kuqala kithi, futhi ukuqonda kwethu komtholampilo okusekelwe esigulini komuntu siqu yilokho esikunikezayo.
Ukulimala Kwe-Lumbar Spine Ezemidlalo: Ukwelashwa Kwe-Chiropractic
Okubhekwayo
U-Sheu, Y., Chen, LH, & Hedegaard, H. (2016). Iziqephu Zokulimala Ezihlobene Nezemidlalo Nezokungcebeleka e-United States, 2011-2014. Imibiko yezibalo zezempilo zikazwelonke, (99), 1–12.
by UDkt Alex Jimenez | Ukunakekelwa kokulimala, Ukulimala kwezemidlalo
Kubantu abaphakamisa izinsimbi, ingabe zikhona izindlela zokuvikela izihlakala kanye nokuvimbela ukulimala lapho uphakamisa izinsimbi?
Ukuvikelwa Kwesihlakala
Izihlakala zingamalunga ayinkimbinkimbi. Izihlakala zifaka isandla kakhulu ekuzinzeni nasekunyakazeni lapho wenza imisebenzi noma uphakamisa izinsimbi. Bahlinzeka ngokunyakaza kokunyakaza kusetshenziswa izandla nokuzinza ukuze baphathe futhi baphakamise izinto ngokuphepha nangokuphepha (Ilabhulali Kazwelonke Yezokwelapha, 2024). Ukuphakamisa izinsimbi ngokuvamile kwenziwa ukuze kuqiniswe futhi kuqiniswe izihlakala; noma kunjalo, lokhu kunyakaza kungabangela ubuhlungu besandla futhi kuholele ekulimaleni uma kungenziwanga kahle. Ukuvikela isihlakala kungagcina izihlakala ziqinile futhi zinempilo futhi kuyisihluthulelo sokugwema izinkinga nokulimala.
Amandla Esihlakala
Amalunga esihlakala abekwe phakathi kwesandla namathambo engalo. Izihlakala ziqondaniswe emigqeni emibili yamathambo ayisishiyagalombili noma ayisishiyagalolunye esewonke amathambo amancane/i-carpal futhi axhunywe engalweni nasemathanjeni esandla ngemigqa, kuyilapho imisipha ixhuma imisipha ezungezile emathanjeni. Amalunga esihlakala ayi-condyloid noma amabhola aguquliwe kanye namajoyinti esokhethi asiza ngokuguquguquka, ukunwetshwa, ukuthumba, nokunyakaza kokudonsa. (Umtapo Wezincwadi Kazwelonke Wezokwelapha. 2024) Lokhu kusho ukuthi izihlakala zingahamba kuzo zonke izindiza ezinyakazayo:
- Side to side
- Phezulu naphansi
- Jikela
Lokhu kunikeza ububanzi obuningi bokunyakaza kodwa futhi kungabangela ukuguga nokukhala ngokweqile futhi kwandise ingozi yokucindezeleka nokulimala. Imisipha engalweni kanye nesandla sokulawula ukunyakaza komunwe okudingekayo ukuze ibambe. Le misipha kanye nemisipha kanye nemisipha ehilelekile igijima esihlakaleni. Ukuqinisa izihlakala kuzozigcina zihamba, kusiza ukuvimbela ukulimala, futhi kwandise futhi kugcine amandla okubambelela. Ekubuyekezweni kwama-weightlifters kanye nama-powerlifters ahlola izinhlobo zokulimala abakutholayo, ukulimala kwesandla kwakujwayelekile, ukulimala kwemisipha kanye ne-tendon yikona okuvame kakhulu phakathi kwama-weightlifters. (Ulrika Aasa et al., 2017)
Ukuvikela Izihlakala
Ukuvikela isihlakala kungasebenzisa izindlela eziningi, ezihlanganisa amandla akhulayo, ukuhamba, nokuguquguquka ukuze kuthuthukiswe impilo futhi kuvinjwe ukulimala. Ngaphambi kokuphakamisa noma ukuzibandakanya kunoma yikuphi ukuvivinya umzimba okusha, abantu kufanele bathintane nomhlinzeki wabo wezempilo oyinhloko, uchwepheshe womzimba, umqeqeshi, uchwepheshe wezokwelapha, noma i-chiropractor yezemidlalo ukuze babone ukuthi yiziphi izivivinyo eziphephile futhi zinikeze izinzuzo ezisekelwe emlandweni wokulimala kanye nezinga lamanje lezempilo..
Khulisa Ukuhamba
Ukuhamba kuvumela izihlakala ukuthi zibe nobubanzi obugcwele bokunyakaza kuyilapho zigcina ukuzinza okudingekayo ukuze zibe namandla nokuqina. Ukuntuleka kokuhamba esihlakaleni sesihlakala kungabangela ukuqina nobuhlungu. Ukuvumelana nezimo kuxhumene nokuhamba, kodwa ukuguquguquka ngokweqile nokuntuleka kokuzinza kungaholela ekulimaleni. Ukuze ukhulise ukuhamba kwezihlakala, yenza izivivinyo okungenani izikhathi ezimbili kuya kwezintathu ngeviki ukuze uthuthukise uhla lokunyakaza ngokulawula nokuzinza. Futhi, ukuthatha ikhefu elivamile usuku lonke ukuze ujikeleze futhi uzungele izihlakala futhi uhlehlise kancane iminwe ukuze uzelule kuzosiza ekudambiseni ukungezwani nokuqina okungabangela izinkinga zokuhamba.
Kulungele
Ngaphambi kokusebenza, fudumeza izihlakala nomzimba wonke ngaphambi kokuthi usebenze. Qala nge-cardiovascular light ukuze uthole uketshezi lwe-synovial emalungeni ajikelezayo ukuze ugcobe amalunga, okuvumela ukunyakaza okushelelayo. Ngokwesibonelo, abantu bangakwazi ukwenza izibhakela, bajikelezise izihlakala, benze izivivinyo zokuhamba, banwebe futhi balule izihlakala, futhi basebenzise isandla esisodwa ukuze babuyisele emuva iminwe kahle. Cishe u-25% wokulimala kwezemidlalo uhilela isandla noma isihlakala. Lokhu kufaka phakathi ukulimala kwe-hyperextension, izinyembezi ze-ligament, ubuhlungu besihlakala sangaphambili-ngaphakathi noma sesithupha esivela ekulimaleni ngokweqile, ukulimala kwe-extensor, nokunye. (U-Daniel M. Avery wesi-3 et al., 2016)
Ukuqinisa Ukuzivocavoca
Izihlakala eziqinile zizinzile, futhi ukuziqinisa kunganikeza isivikelo sesihlakala. Ukuzivocavoca okuthuthukisa amandla esihlakala kufaka phakathi ukudonsa, ukuphakamisa ama-deadlift, izithwala ezilayishiwe, kanye U-Zottman curls. Amandla okubamba abalulekile ekwenzeni imisebenzi yansuku zonke, ukuguga okunempilo, kanye nempumelelo eqhubekayo ngokuphakamisa izinsimbi. (U-Richard W. Bohannon 2019) Isibonelo, abantu abanobunzima bokukhulisa isisindo kumishini yabo yokuphakamisa izinto ngenxa yokuthi insimbi ishelela ezandleni zabo ingaba namandla anele okubamba isihlakala.
Wraps
Ukugoqa isihlakala noma imikhiqizo esiza ukubamba kufanelekile ukucatshangelwa kulabo abanezinkinga zesihlakala noma izinto ezibakhathazayo. Bangakwazi ukunikeza ukuzinza kwangaphandle okwengeziwe ngenkathi bephakamisa, benciphisa ukukhathala nokubamba kanye nokucindezeleka kwemigqa namathenda. Kodwa-ke, kuyanconywa ukuthi unganciki ekugoqweni njengekhambi-konke ukulinganisa futhi ugxile ekuthuthukiseni amandla omuntu ngamunye, ukuhamba, nokuzinza. Ucwaningo lwabasubathi abalimele esihlakaleni luveze ukuthi ukulimala kusenzeka naphezu kokuthi ama-wraps ayegqokwe u-34% wesikhathi ngaphambi kokulimala. Ngenxa yokuthi abadlali abaningi abalimele abazange basebenzise ama-wraps, lokhu kukhomba izinyathelo zokuvimbela ezingase zibe khona, kodwa ochwepheshe bavumile ukuthi ucwaningo olwengeziwe luyadingeka. (U-Amr Tawfik et al., 2021)
Ukuvimbela Ukulimala Ngokusebenzisa Kakhulu
Lapho indawo yomzimba inyakaza kaningi kakhulu ngaphandle kokuphumula okufanele, iyaguga, iqine, noma ivuvuke ngokushesha, kubangele ukulimala ngokweqile. Izizathu zokulimala ngokweqile ziyahlukahluka kodwa zihlanganisa ukungaguquki kokuzivocavoca okwanele ukuze kuphumuze imisipha futhi kuvinjwe ubunzima. Ukubuyekezwa kocwaningo mayelana nokusabalala kokulimala kuma-weightlifters athola ukuthi i-25% yayingenxa yokulimala kwe-tendon ngokweqile. (Ulrika Aasa et al., 2017) Ukuvimbela ukusebenzisa ngokweqile kungasiza ekugwemeni izinkinga ezingase zibe khona ezihlakaleni.
Ifomu Elifanele
Ukwazi ukwenza ukunyakaza ngendlela efanele kanye nokusebenzisa ifomu elifanele phakathi neseshini ngayinye yokuzivivinya/yokuqeqesha kubalulekile ekuvimbeleni ukulimala. Umqeqeshi womuntu siqu, i-physiotherapist yezemidlalo, noma i-physiotherapist ingafundisa ukulungisa ukubamba noma ukugcina ifomu elilungile.
Qiniseka ukuthi ubona umhlinzeki wakho ukuze uthole imvume ngaphambi kokuphakamisa noma ukuqala uhlelo lokuzivocavoca. Ukulimala Kwezokwelapha I-Chiropractic kanye ne-Functional Medicine Clinic bangeluleka ngokuqeqeshwa kanye nempilo yangaphambili noma benze ukudluliselwa uma kudingeka.
Impilo Yokuqina
Okubhekwayo
U-Erwin, J., no-Varacallo, M. (2024). I-Anatomy, Ihlombe kanye Nesitho Esingenhla, Ukuhlangana Kwesihlakala. Ku-StatPearls. www.ncbi.nlm.nih.gov/pubmed/30521200
U-Aasa, U., Svartholm, I., Andersson, F., & Berglund, L. (2017). Ukulimala phakathi kwama-weightlifters kanye nama-powerlifters: ukubuyekezwa okuhlelekile. Iphephabhuku laseBrithani lemithi yezemidlalo, 51 (4), 211-219. doi.org/10.1136/bjsports-2016-096037
U-Avery, DM, 3rd, Rodner, CM, & Edgar, CM (2016). Ukulimala kwesandla nesandla okuhlobene nezemidlalo: isibuyekezo. Ijenali yokuhlinzwa kwamathambo nocwaningo, 11(1), 99. doi.org/10.1186/s13018-016-0432-8
I-Bohannon RW (2019). Amandla Okubamba: I-Biomarker Ebalulekile Yabantu Abadala. Ukungenelela komtholampilo ekugugeni, i-14, 1681-1691. doi.org/10.2147/CIA.S194543
Tawfik, A., Katt, BM, Sirch, F., Simon, ME, Padua, F., Fletcher, D., Beredjiklian, P., & Nakashian, M. (2021). Ucwaningo Ngezehlakalo Zokulimala Kwesandla noma Isandla Kubadlali Be-CrossFit. Cureus, 13(3), e13818. doi.org/10.7759/cureus.13818
by UDkt Alex Jimenez | Ukunakekelwa kokulimala, Ukulimala kwezemidlalo
Kubadlali nabathandi bezemidlalo, i-triceps edabukile ingaba yingozi enkulu. Ingabe ukwazi izimpawu zabo, izimbangela, izici zobungozi, kanye nezinkinga ezingaba khona kungabasiza abahlinzeki bokunakekelwa kwezempilo ukuthi bakhe uhlelo lokwelapha olusebenzayo?
I-Triceps Ephukile Ukulimala
I-triceps isisipha esingemuva kwengalo engenhla esivumela indololwane ukuthi iqonde. Ngenhlanhla, izinyembezi ze-triceps azivamile, kodwa zingase zibe sína. Ukulimala kuthinta amadoda kaningi kunabesifazane futhi ngokuvamile kwenzeka ngenxa yokulimala, ezemidlalo, kanye/noma imisebenzi yokuzivocavoca. Kuye ngezinga nobukhulu bokulimala, ukulimala kwe-triceps okudabukile kungadinga ukuhlukaniswa, ukwelapha ngokomzimba, futhi mhlawumbe nokuhlinzwa ukuze kuphinde kutholakale ukunyakaza namandla. Ukululama ngemva kokudabuka kwe-triceps ngokuvamile kuthatha cishe izinyanga eziyisithupha. (I-Ohio State University Wexner Medical Center. 2021)
Anatomy
I-triceps brachii muscle, noma i-triceps, igijima ngemuva kwengalo engenhla. Iqanjwe kathathu ngoba inamakhanda amathathu - elide, eliphakathi nendawo, nekhanda elingemuva. (Sendic G. 2023) I-triceps iqala ehlombe futhi inamathele ehlombe/scapula kanye nethambo lengalo engenhla/i-humerus. Ngezansi, inamathela endaweni yendololwane. Leli yithambo elisohlangothini oluphinki lwengalo, elaziwa ngokuthi i-ulna. I-triceps ibangela ukunyakaza ehlombe kanye nendololwane. Ehlombe, yenza ukunwetshwa noma ukunyakaza kwengalo emuva nokuhlehlisa noma ukuhambisa ingalo emzimbeni. Umsebenzi oyinhloko walo msipha usendolo, lapho wenza khona ukunwetshwa noma ukuqondisa indololwane. I-triceps isebenza ngokuphambene nemisipha ye-biceps ngaphambili kwengalo engenhla, eqhuba ukugoba noma ukugoba kwendololwane.
I-Triceps izinyembezi
Izinyembezi zingenzeka noma yikuphi ubude bomsipha noma i-tendon, okuyisakhiwo esinamathisela umsipha emathanjeni. Izinyembezi ze-triceps zivame ukwenzeka ku-tendon exhuma i-triceps ngemuva kwendololwane. Izinyembezi zemisipha kanye ne-tendon zihlukaniswa kusuka ku-1 kuya ku-3 ngokusekelwe kobukhulu. (U-Alberto Grassi et al., 2016)
Ibanga loku-1 Limnene
- Lezi zinyembezi ezincane zidala ubuhlungu obunzima ngokuhamba.
- Kukhona ukuvuvukala, imihuzuko, nokulahlekelwa okuncane kokusebenza.
Ibanga lesi-2 Elilingene
- Lezi zinyembezi zikhudlwana futhi zinokuvuvuka okumaphakathi kanye nemihuzuko.
- Imicu iklebhukile ingxenye futhi yeluliwe.
- Kufika ku-50% ukulahleka komsebenzi.
Ibanga lesi-3 Elinzima
- Lolu uhlobo olubi kakhulu lwezinyembezi, lapho umsipha noma i-tendon iklebhukile ngokuphelele.
- Lokhu kulimala kubangela ubuhlungu obukhulu nokukhubazeka.
Izimpawu
Izinyembezi ze-triceps zidala ubuhlungu obusheshayo ngemuva kwendololwane kanye nengalo engenhla obuba bubi nakakhulu lapho uzama ukuhambisa indololwane. Abantu ngabanye bangase futhi bezwe futhi/noma bezwe ukuzwa okuvelayo noma ukukhala. Kuyoba khona ukuvuvukala, futhi isikhumba cishe sizoba bomvu kanye/noma silimele. Ngokukhala ingxenye, ingalo izozizwa ibuthakathaka. Uma kukhona ukudabuka okuphelele, kuzoba nobuthakathaka obuphawulekayo lapho uqondisa indololwane. Abantu bangaphinde babone isigaxa esingemuva kwengalo lapho imisipha ifinyelene futhi ihlanganiswe ndawonye.
Izimbangela
Izinyembezi ze-triceps zivame ukwenzeka ngesikhathi sokuhlukumezeka, lapho umsipha unqanyuliwe futhi amandla angaphandle ephusha indololwane endaweni egobile. (UKyle Casadei et al., 2020) Enye yezimbangela ezivame kakhulu ukuwa ngengalo eyeluliwe. Izinyembezi ze-Triceps nazo zenzeka ngesikhathi semidlalo efana nale:
- Ukuphonsa i-baseball
- Ukuvimba emdlalweni webhola
- Ukuvocavoca
- Ibhokisi
- Uma umdlali ewa futhi ehlala engalweni yakhe.
- Izinyembezi zingenzeka futhi uma usebenzisa izinsimbi ezisindayo ngesikhathi sokuzivocavoca okuqondiswe ku-triceps, njengomshini wokucindezela ibhentshi.
- Izinyembezi zingase futhi zenzeke ngokuhlukumezeka okuqondile kuya emsipha, njengengozi yemoto, kodwa azivamile kangako.
Isikhati eside
Izinyembezi ze-Triceps zingakhula ngokuhamba kwesikhathi ngenxa ye-tendonitis. Lesi simo ngokuvamile sivela ekusetshenzisweni okuphindaphindiwe kwemisipha ye-triceps phakathi nemisebenzi efana nomsebenzi wezandla noma ukuvivinya umzimba. I-Triceps tendonitis ngezinye izikhathi ibizwa ngokuthi i-elbow ye-weightlifter. (Isikhungo se-Orthopedic & Spine. ND) Ukuqina kwemisipha kubangela izinyembezi ezincane ezilapheka umzimba ngokuvamile. Kodwa-ke, uma i-tendon ithwala kanzima kunalokho engakwazi ukuhambisana nayo, izinyembezi ezincane zingaqala ukukhula.
Izingozi Zezingozi
Izinto eziyingozi zingandisa ingozi yokudabuka kwe-triceps. Izimo zezokwelapha eziyisisekelo zinganciphisa imisipha, zandise ingozi yokulimala, futhi zingabandakanya: (Tony Mangano et al., 2015)
- Diabetes
- rheumatoid arthritis
- I-Hyperparathyroidism
- Lupus
- I-Xanthoma - ama-fatty deposits e-cholesterol ngaphansi kwesikhumba.
- I-hemangioendothelioma - izimila ezinomdlavuza noma ezingenawo umdlavuza ezibangelwa ukukhula okungavamile kwamangqamuzana emithambo yegazi.
- Ukuhluleka kwezinso okungapheli
- I-tendonitis engapheli noma i-bursitis endololwaneni.
- Abantu abaye badutshulwa i-cortisone ku-tendon.
- Abantu abasebenzisa i-anabolic steroids.
Izinyembezi ze-triceps zivame ukwenzeka kakhulu kwabesilisa phakathi kuka-30 no-50.Ortho Bullets. 2022) Lokhu kuvela ekubambeni iqhaza emisebenzini efana nebhola, ukuphakamisa izinsimbi, ukwakha umzimba, nokusebenza ngezandla, okwandisa ingozi yokulimala.
Ukwelashwa
Ukwelashwa kuncike ekutheni iyiphi ingxenye ye-triceps ethintekile kanye nezinga lomonakalo. Kungase kudingeke kuphela ukuphumula amasonto ambalwa, ukwelashwa ngokomzimba, noma kudinga ukuhlinzwa.
Ukungahlinzeki
Izinyembezi eziyingxenye ku-triceps ezibandakanya ngaphansi kuka-50% we-tendon ngokuvamile zingelashwa ngaphandle kokuhlinzwa. (UMehmet Demirhan, u-Ali Ersen 2016) Ukwelashwa kokuqala kuhlanganisa:
- Ukuhlukanisa indololwane ngokugoba kancane amasonto amane kuya kwayisithupha kuvumela izicubu ezilimele ukuba ziphole. (Ortho Bullets. 2022)
- Ngalesi sikhathi, iqhwa lingasetshenziswa endaweni imizuzu engu-15 kuya kwezingu-20 izikhathi eziningana nsuku zonke ukuze kusize ukunciphisa ubuhlungu nokuvuvukala.
- Imithi engeyona i-steroidal anti-inflammatory/NSAIDs - I-Aleve, i-Advil, ne-Bayer ingasiza ekunciphiseni ukuvuvukala.
- Eminye imithi ye-over-the-counter efana ne-Tylenol ingasiza ekunciphiseni ubuhlungu.
- Uma i-splint isusiwe, ukwelashwa ngokomzimba kuzosiza ukubuyisela ukunyakaza namandla endololwaneni.
- Ukunyakaza okugcwele kulindeleke ukuthi kubuyele emasontweni angu-12, kodwa amandla aphelele ngeke abuyele kuze kube yizinyanga eziyisithupha kuya kweziyisishiyagalolunye ngemuva kokulimala. (UMehmet Demirhan, u-Ali Ersen 2016)
Ukuhlinzwa
Izinyembezi ze-Triceps tendon ezibandakanya ngaphezu kwe-50% ye-tendon zidinga ukuhlinzwa. Kwezinye izimo, nokho, ukuhlinzwa kusenganconywa ngezinyembezi ezingaphansi kuka-50% uma umuntu enomsebenzi onzima ngokomzimba noma ehlela ukuphinda adlale imidlalo ezingeni eliphezulu. Izinyembezi ezisesiswini semisipha noma endaweni lapho umsipha kanye ne-tendon zihlangana khona zivame ukuthungwa zibuyele ndawonye. Uma i-tendon ingasaxhunywanga ethanjeni, iphinde iboshwe. Ukululama kanye nokwelashwa ngokomzimba ngemva kokuhlinzwa kuncike kumigomo ethile kadokotela ohlinzayo. Ngokuvamile, abantu bazochitha amasonto ambalwa bebambene ngezandla. Cishe amasonto amane ngemva kokuhlinzwa, abantu bazokwazi ukuqala ukuhambisa indololwane futhi. Kodwa-ke, ngeke bakwazi ukuqala ukuphakamisa izinto ezinzima izinyanga ezine kuya kweziyisithupha. (Ortho Bullets. 2022) (UMehmet Demirhan, u-Ali Ersen 2016)
Izinkinga
Izinkinga zingenzeka ngemva kokulungiswa kwe-triceps, kungakhathaliseki ukuthi kube nokuhlinzwa noma cha. Ngokwesibonelo, abantu bangase babe nezinkinga zokuphinda basuthi elbow isandiso noma ukuqondisa. Baphinde babe sengozini enkulu yokuphinda baqhamuke uma bezama ukusebenzisa ingalo ngaphambi kokuba iphole ngokugcwele. (UMehmet Demirhan, u-Ali Ersen 2016)
Ukunakekelwa Kwe-Chiropractic Ukuphulukisa Ngemva Kokulimala
Okubhekwayo
I-Ohio State University Wexner Medical Center. (2021). Ukulungiswa kwe-Distal triceps: isiqondiso sokunakekelwa komtholampilo. (Umuthi, Issue. medicine.osu.edu/-/media/files/medicine/departments/sports-medicine/medical-professionals/shoulder-and-elbow/distaltricepsrepair.pdf?
Sendic G. Kenhub. (2023). I-Triceps brachii muscle Kenhub. www.kenhub.com/en/library/anatomy/triceps-brachii-muscle
Grassi, A., Quaglia, A., Canata, GL, & Zaffagnini, S. (2016). Isibuyekezo sokugredwa kokulimala kwemisipha: ukubuyekezwa okulandisayo kusuka kumasistimu omtholampilo kuya kumasistimu aphelele. Amalunga, 4(1), 39–46. doi.org/10.11138/jts/2016.4.1.039
Casadei, K., Kiel, J., & Freidl, M. (2020). I-Triceps Tendon Ukulimala. Imibiko yamanje yemithi yezemidlalo, 19(9), 367–372. doi.org/10.1249/JSR.0000000000000749
Isikhungo se-Orthopedic & Spine. (ND). I-Triceps tendonitis noma indololwane ye-weightlifter. Isikhungo Sezinsiza. www.osc-ortho.com/resources/elbow-pain/triceps-tendonitis-or-weightlifters-elbow/
Mangano, T., Cerruti, P., Repetto, I., Trentini, R., Giovale, M., & Franchin, F. (2015). I-Chronic Tendonopathy Njengembangela Eyingqayizivele Ye-Triceps Engahlukumezeki I-Tendon Ukuphuka ku-(Izici Eziyingozi Ezimahhala) Umakhi Womzimba: Umbiko Wecala. Ijenali yemibiko yecala lamathambo, 5(1), 58–61. doi.org/10.13107/jocr.2250-0685.257
Ortho Bullets. (2022). I-Triceps iphuka www.orthobullets.com/shoulder-and-elbow/3071/triceps-rupture
U-Demirhan, M., & Ersen, A. (2017). I-Distal triceps iphuka. Ukubuyekezwa okuvuliwe kwe-EFORT, 1(6), 255–259. doi.org/10.1302/2058-5241.1.000038
by UDkt Alex Jimenez | Abadlali, Ukulimala kwezemidlalo
Abantu ababamba iqhaza emisebenzini engokomzimba nezemidlalo bangahle badabuke i-Achilles tendon. Ingabe ukuqonda izimpawu nezingozi kusiza ekwelashweni futhi kubuyisele umuntu emsebenzini wakhe wezemidlalo ngokushesha?
U-Achilles Tendon
Lokhu ukulimala okuvamile okwenzeka lapho i-tendon enamathisela umsipha wethole esithendeni iklebhuka.
Mayelana ne-Tendon
- I-Achilles tendon iyi-tendon enkulu kunazo zonke emzimbeni.
- Ezemidlalo kanye nemisebenzi yomzimba, ukunyakaza okunamandla okuqhuma njengokugijima, ukugijima, ukugudluka ngokushesha, nokugxuma kwenziwa kuma-Achilles.
- Abesilisa banamathuba amaningi okuklebhula ama-Achilles abo futhi baqhubeke nokugqabuka kwe-tendon. (G. Thevendran et al., 2013)
- Ukulimala kuvame ukwenzeka ngaphandle kokuthintana noma ukushayisana kodwa kunalokho ukugijima, ukuqala, ukuma, nokudonsa izenzo ezibekwe ezinyaweni.
- Amanye ama-antibiotics kanye nesibhamu se-cortisone kungandisa amathuba okulimala kwezinyembezi ze-Achilles.
- I-antibiotic ethile, ama-fluoroquinolones, kuboniswe ukwandisa ingozi yezinkinga ze-tendon ye-Achilles.
- Amashothi e-Cortisone nawo ahlotshaniswa nezinyembezi ze-Achilles, yingakho abahlinzeki bezempilo abaningi bengayincomi i-cortisone ye-Achilles tendonitis. (U-Anne L. Stephenson et al., 2013)
Izimpawu
- Ukudabuka noma ukuphuka kwe-tendon kubangela ubuhlungu obungazelelwe ngemuva kweqakala.
- Abantu bangase bezwe i-pop noma i-snap futhi ngokuvamile babike umuzwa njengokukhahlelwa etholeni noma esithendeni.
- Abantu ngabanye banobunzima bokukhomba izinzwani zabo phansi.
- Umuntu ngamunye angase abe nokuvuvukala kanye nemihuzuko ezungeze i-tendon.
- Umhlinzeki wokunakekelwa kwezempilo uzohlola iqakala ukuze i-tendon iqhubeke.
- Ukukhama imisipha yethole kufanele kubangele ukuthi unyawo lubheke phansi, kodwa kubantu abanezinyembezi, unyawo ngeke lunyakaze, okuholela emiphumeleni emihle Thompson test.
- Ukukhubazeka kwe-tendon ngokuvamile kungazwakala ngemva kokudabuka.
- I-X-ray ingase isetshenziselwe ukulawula ezinye izimo, kuhlanganise nokuphuka kwe-ankle noma i-ankle arthritis.
Izingozi Zezingozi
- Ukuphuka kwe-tendon ye-Achille kubonakala kakhulu emadodeni aneminyaka engama-30 noma engu-40.UDavid Pedowitz, uGreg Kirwan. 2013)
- Abantu abaningi banezimpawu ze-tendonitis ngaphambi kokukhala izinyembezi.
- Iningi labantu alinawo umlando wezinkinga zangaphambilini ze-Achilles tendon.
- Iningi lezinyembezi ze-Achilles tendon lihlotshaniswa nemidlalo yebhola. (U-Youichi Yasui et al., 2017)
Ezinye izici zobungozi zihlanganisa:
- sifo
- I-Cortisone imijovo ku-Achilles tendon
- Ukusetshenziswa kwama-antibiotic e-fluoroquinolone
Ama-antibiotic e-fluoroquinolone avame ukusetshenziswa ekwelapheni izifo zokuphefumula, izifo zomgudu womchamo, kanye nezifo ezibangelwa amagciwane. Lawa ma-antibiotic ahlotshaniswa nokuphuka kwe-tendon ye-Achilles, kodwa ucwaningo olwengeziwe luyadingeka ukuze kutholakale ukuthi luyithinta kanjani i-tendon ye-Achilles. Abantu abathatha le mithi bayelulekwa ukuthi bacabangele enye imithi uma izinkinga ze-tendon ye-Achilles ziqala ukukhula. (U-Anne L. Stephenson et al., 2013)
Ukwelashwa
Ngokuya ngobunzima bokulimala, ukwelashwa kungabandakanya amasu okungewona okuhlinzwa noma ukuhlinzwa.
- Inzuzo yokuhlinzwa imvamisa ukungakwazi ukuhamba kancane.
- Abantu bangavame ukubuyela emisebenzini yezemidlalo ngokushesha, futhi mancane amathuba okuphinda agqabuke i-tendon.
- Ukwelashwa okungahlinzeki igwema izingozi ezingenzeka zokuhlinzwa, futhi imiphumela yokusebenza yesikhathi eside iyafana. (UDavid Pedowitz, uGreg Kirwan. 2013)
Ukwelapha I-Ankle Sprains
Okubhekwayo
Thevendran, G., Sarraf, KM, Patel, NK, Sadri, A., & Rosenfeld, P. (2013). Ithenda ye-Achilles ephukile: ukubuka konke kwamanje kusuka ku-biology yokuphuka kuya ekwelapheni. Ukuhlinzwa kwe-Musculoskeletal, 97 (1), 9-20. doi.org/10.1007/s12306-013-0251-6
Stephenson, AL, Wu, W., Cortes, D., & Rochon, PA (2013). Ukulimala Kwe-Tendon kanye Nokusetshenziswa Kwe-Fluoroquinolone: Ukubuyekezwa Okuhlelekile. Ukuphepha kwezidakamizwa, 36(9), 709–721. doi.org/10.1007/s40264-013-0089-8
Pedowitz, D., & Kirwan, G. (2013). I-Achilles tendon iyaphuka. Ukubuyekezwa kwamanje emithini ye-musculoskeletal, 6(4), 285-293. doi.org/10.1007/s12178-013-9185-8
Yasui, Y., Tonogai, I., Rosenbaum, AJ, Shimozono, Y., Kawano, H., & Kennedy, JG (2017). Ingozi ye-Achilles Tendon Ukuphuka Ezigulini ezine-Achilles Tendinopathy: Ukuhlaziywa Kwedatha Yezempilo Yezempilo e-United States. Ucwaningo lwamazwe ngamazwe lwe-BioMed, 2017, 7021862. doi.org/10.1155/2017/7021862
by UDkt Alex Jimenez | Ukulimala Komuntu, Ukulimala kwezemidlalo
Kubantu abangenela ezemidlalo, abathanda ukuqina, nalabo abenza imisebenzi yomzimba, ukulimala kwemisipha namathambo kuvamile. Ingabe ukusebenzisa i-ice tape kungasiza ngesikhathi sesigaba sokuqala noma esibi kakhulu sokulimala kunciphisa ukuvuvukala nokuvuvukala ukuze kusheshiswe ukululama nokubuyela emisebenzini ngokushesha?
I-Ice Tape
Ngemva kokulimala kwe-musculoskeletal, abantu ngabanye batuswa ukuba balandele i-R.I.C.E. indlela yokusiza ukunciphisa ukuvuvukala nokuvuvukala. R.I.C.E. isifinyezo se-Rest, Ice, Compression, and Elevation. (I-Michigan Medicine. Inyuvesi yaseMichigan. 2023) Amakhaza asiza ekwehliseni izinhlungu, ehlise izinga lokushisa kwezicubu, futhi ehlise ukuvuvukala endaweni yokulimala. Ngokulawula ukuvuvukala ngeqhwa nokucindezelwa kusenesikhathi ngemuva kokulimala, abantu bangagcina uhla olufanele lokunyakaza nokuhamba eduze kwengxenye yomzimba elimele. (Jon E. Block. 2010) Kunezindlela ezahlukene zokusebenzisa iqhwa ekulimaleni.
- Izikhwama zeqhwa ezithengwa esitolo namaphakethe abandayo.
- Ukucwilisa ingxenye yomzimba elimele ku-whirlpool ebandayo noma kubhavu.
- Ukwenza amaphakethe eqhwa angasebenziseka kabusha.
- Ibhande lokucindezela lingasetshenziswa kanye neqhwa.
I-Ice Tape iyibhandeshi elicindezelayo elinikeza ukwelashwa okubandayo ngesikhathi esisodwa. Ngemuva kokulimala, ukukusebenzisa kungasiza ukunciphisa ubuhlungu nokuvuvukala ngesikhathi sokuvuvukala okunamandla kokuphulukisa. (Matthew J. Kraeutler et al., 2015)
Indlela I-Tape Esebenza Ngayo
I-tape iyi-bandage eguquguqukayo efakwe ngejeli yokupholisa yokwelapha. Uma isetshenziswa esithweni somzimba esilimele futhi ichayeke emoyeni, ijeli iyasebenza, ikhiqize ukuzwa okubandayo endaweni. Umphumela wokwelapha ungathatha amahora amahlanu kuya kwayisithupha. Ihlanganiswe ne-bandage eguquguqukayo, inikeza ukwelashwa kweqhwa nokucindezelwa. I-ice tape ingasetshenziswa ngokuqondile ngaphandle kwephakheji kodwa ingabuye igcinwe esiqandisini ukwandisa umphumela obandayo. Kuye ngeziqondiso zomenzi, itheyiphu akufanele igcinwe efrijini ngoba lokhu kungenza kube nzima kakhulu ukugoqa indawo elimele.
Izinzuzo
Izinzuzo zihlanganisa okulandelayo:
Kulula Sebenzisa
- Umkhiqizo kulula ukuyisebenzisa.
- Khipha itheyiphu, bese uqala ukuyisonga engxenyeni yomzimba elimele.
Ama-Fasteners Akudingekile
- Ukugoqa kunamathela ngokwayo, ngakho-ke itheyiphu ihlala endaweni ngaphandle kokusebenzisa iziqeshana noma izixhumi.
Kulula Ukusika
- Iroli elijwayelekile lingamayintshi angu-48 ubude namayintshi angu-2 ububanzi.
- Ukulimala okuningi kudinga ngokwanele ukugoqa indawo elimele.
- Isikelo sisika inani eliqondile elidingekayo, bese sigcina esisele esikhwameni esivalekayo.
Kuyenzeka futhi
- Ngemuva kwemizuzu eyi-15 kuya kwengama-20 yokusetshenziswa, umkhiqizo ungasuswa kalula, usongwe, ugcinwe esikhwameni, bese usetshenziswa futhi.
- I-tape ingasetshenziswa izikhathi eziningi.
- I-tape iqala ukulahlekelwa ikhwalithi yayo yokupholisa ngemva kokusetshenziswa okuningi.
Portable
- I-tape ayidingi ukufakwa endaweni epholile uma uhamba.
- Iphatheka kalula futhi ilungele iqhwa elisheshayo kanye nesicelo sokucindezela ngokushesha ngemva kokulimala.
- Kunganciphisa ubuhlungu nokuvuvukala futhi kugcinwe endaweni yokusebenza.
Okumbi
Okumbalwa okungalungile kuhlanganisa okulandelayo:
Iphunga lamakhemikhali
- Ijeli ekugoqweni okuguquguqukayo ingaba nephunga lomuthi.
- Ayinaphunga elinamandla njengamakhilimu ezinhlungu, kodwa iphunga lamakhemikhali lingabakhathaza abanye abantu.
Kungase Kungabandi Ngokwanele
- Itheyiphu isebenzela ukudambisa izinhlungu ngokushesha kanye nokuvuvukala, kodwa ingase ingabandi ngokwanele kumsebenzisi uma isetshenziswa kusukela kuphakeji ekamelweni lokushisa.
- Kodwa-ke, ingafakwa esiqandisini ukuze kwandiswe ukubanda futhi ingase inikeze umphumela wokupholisa okwelaphayo, ikakhulukazi kulabo ababhekene ne-tendinitis noma i-bursitis.
Ukunamathela Kungase Kuphazamise
- Itheyiphu ingase inamathele kancane kwabanye.
- Lokhu okunamathelayo kungase kube ukucasula okuncane.
- Kodwa-ke, kuzwakala kunamathela uma isetshenziswa.
- Ama-fleck ambalwa ejeli angase asale ngemuva lapho esuswa.
- I-ice tape nayo inganamathela ezingutsheni.
Kubantu abafuna ukwelashwa okupholisa ngokushesha, osendleleni kwezingxenye zomzimba ezilimele noma ezibuhlungu, iqhwa tape kungaba inketho. Kungaba kuhle ukuba khona ukuze unikeze ukucindezelwa kokupholisa uma kwenzeka ukulimala okuncane ngenkathi ubamba iqhaza ku-athletics noma imisebenzi yomzimba kanye nokukhululeka ekusebenziseni ngokweqile noma ukulimala okuphindaphindayo.
Ukwelapha I-Ankle Sprains
Okubhekwayo
I-Michigan Medicine. Inyuvesi yaseMichigan. Ukuphumula, Ice, Ukuminyanisa, nokuphakama (RICE).
Vimbela J. E. (2010). Ukubanda nokucindezelwa ekuphathweni kokulimala kwe-musculoskeletal kanye nezinqubo ze-orthopedic operative: ukubuyekezwa okulandisayo. Vula ijenali yemithi yezemidlalo, 1, 105–113. doi.org/10.2147/oajsm.s11102
UKraeutler, M. J., Reynolds, K. A., Long, C., & McCarty, E. C. (2015). I-Cryotherapy ecindezelayo ngokumelene neqhwa-isifundo esilindelekile, esingahleliwe mayelana nobuhlungu be-postoperative ezigulini ezibhekene nokulungiswa kwe-arthroscopic rotator cuff noma ukuchithwa kwe-subacromial. Ijenali yokuhlinzwa kwehlombe nendololwane, 24(6), 854–859. doi.org/10.1016/j.jse.2015.02.004
by UDkt Alex Jimenez | Ukulimala kwezemidlalo, Ukulimala Okuhlobene Nasemsebenzini
Kubantu ababhekene nokulimala kozwane lwe-turf, ukwazi izimpawu kungabasiza abasubathi nabangewona abasubathi ngokwelashwa, isikhathi sokululama, kanye nokubuyela emisebenzini?
I-Turf Toe Ukulimala
Ukulimala kozwane lwe-turf kuthinta imigqa yezicubu ezithambile kanye nemisipha phansi kozwane olukhulu ngaphansi unyawo. Lesi simo sivame ukwenzeka lapho uzwane lunwetshwa ngokweqile / luphoqelelwa phezulu, njengalapho ibhola lonyawo liphansi futhi isithende siphakanyiswa. (I-American Academy of Orthopedic Surgeons. 2021) Ukulimala kuvamile kubasubathi abadlala ezemidlalo endaweni yokwenziwa, okuyindlela ukulimala okuqanjwe ngayo. Kodwa-ke, kungathinta nabangewona abasubathi, njengabantu abasebenza ngezinyawo usuku lonke.
- Isikhathi sokutakula ngemva kokulimala kozwane lwe-turf sincike ebucayi kanye nohlobo lwemisebenzi umuntu ahlela ukubuyela kuyo.
- Ukubuyela emisebenzini yezemidlalo yezinga eliphezulu ngemva kokulimala kanzima kungathatha izinyanga eziyisithupha.
- Lokhu kulimala kuyahlukahluka ngobukhulu kodwa ngokuvamile kuyathuthuka ngokwelashwa okuvamile. Ezimweni ezimbi kakhulu, kungase kudingeke ukuhlinzwa.
- Ubuhlungu yinkinga eyinhloko emisa imisebenzi yomzimba ngemva kokulimala kwebanga loku-1, kuyilapho amabanga 2 no-3 angathatha amasonto kuya ezinyangeni ukuze alulame ngokuphelele.
Okusho
Ukulimala kozwane lwe-turf kubhekise ku-a i-metatarsophalangeal joint strain. Leli lunga lihlanganisa imisipha ehlanganisa ithambo ematheni onyawo, ngaphansi kozwane/i-proximal phalanx, emathanjeni axhuma izinzwane emathanjeni amakhulu ezinyaweni/ama-metatarsals. Ukulimala kuvame ukubangelwa i-hyperextension evamise ukuphumela ekunyakazeni okuphushayo, njengokugijima noma ukugxuma.
Ukubamba
Ukulimala kwezinzwane ze-turf kungasukela kokuncane kuye kokuqina futhi kuhlelwe kanje: (I-American Academy of Orthopedic Surgeons. 2021)
- Ibanga 1 – Ithishu elithambile liyanwebeka, libangele ubuhlungu nokuvuvukala.
- Ibanga 2 – Ithishu elithambile lidabuke kancane. Ubuhlungu bubonakala kakhulu, ngokuvuvukala okuphawulekayo nokulimaza, futhi kunzima ukuhambisa uzwane.
- Ibanga 3 - Izicubu ezithambile ziklebhukile ngokuphelele, futhi izimpawu zinzima.
Ingabe Yilokhu Okubangela Ubuhlungu Bami Bonyawo?
I-Turf toe ingaba:
- Ukusebenzisa ngokweqile ukulimala - okubangelwa ukuphindaphinda ukunyakaza okufanayo ngokuphindaphindiwe isikhathi eside, okwenza izimpawu zibe zimbi nakakhulu.
- Ukulimala okubuhlungu - okwenzeka ngokuzumayo, okubangela ubuhlungu ngokushesha.
Izimpawu zingabandakanya lokhu okulandelayo: (IMisa General Brigham. 2023)
- Ibanga lokunyakaza elinomkhawulo.
- Ubumnene kuzwane omkhulu kanye nendawo ezungezile.
- Ukuvuvukala.
- Ubuhlungu kuzwane omkhulu kanye nendawo ezungezile.
- Ukulimaza.
- Amalunga axegayo angakhombisa ukuthi kukhona ukuhlakazeka.
Sifo
Uma uhlangabezana nezimpawu ze-turf toe, bona umhlinzeki wezokunakekelwa kwempilo ukuze uthole ukuxilongwa okufanele ukuze bakhe uhlelo lokwelapha lomuntu siqu. Bazokwenza ukuhlolwa ngokomzimba ukuze bahlole ubuhlungu, ukuvuvukala, nobubanzi bokunyakaza. (I-American Academy of Orthopedic Surgeons. 2021) Uma umhlinzeki wezempilo esola ukulimala kwezicubu, angase atuse ukuthwebula izithombe nge-X ray kanye (MRI) ukuze alinganise ukulimala futhi anqume inkambo efanele yesenzo.
Ukwelashwa
Umhlinzeki wokunakekelwa kwezempilo uzonquma ukwelashwa okungcono kakhulu okusekelwe ebukhulu bokulimala. Konke ukulimala kwezinzwane ze-turf kungazuza ku-protocol ye-RICE: (I-American College of Foot and Ankle Surgeons. Unyawo Health Facts. 2023)
- Ukuphumula - Gwema imisebenzi eyenza izimpawu zibe zimbi kakhulu. Lokhu kungabandakanya ukusebenzisa isisetshenziswa esiwusizo njengebhuthi yokuhamba noma izinduku ukuze unciphise ingcindezi.
- Iqhwa - Faka iqhwa imizuzu engama-20, bese ulinda imizuzu engama-40 ngaphambi kokufaka kabusha isicelo.
- Ukucindezela - Goqa uzwane nonyawo ngebhandeshi elinwebekayo ukuze usekele futhi unciphise ukuvuvukala.
- Ukuphakama - Beka unyawo ngaphezu kwezinga lenhliziyo ukusiza ukwehlisa ukuvuvukala.
Ibanga 1
Ibanga loku-1 le-turf toe lihlukaniswa ngezicubu ezithambile ezinwetshiwe, ubuhlungu, nokuvuvukala. Ukwelashwa kungabandakanya: (U-Ali-Asgar Najefi et al., 2018)
- Ukuthepha ukuze usekele uzwane.
- Ukugqoka izicathulo ezinesoli eqinile.
- Ukwesekwa kwe-Orthotic, njenge-a ipuleti le-turf uzwane.
Amabanga 2 no-3
IBanga lesi-2 nelesi-3 liza nokuklebhuka kwezicubu eziyingxenye noma eziphelele, ubuhlungu obukhulu, nokuvuvukala. Ukwelashwa kwe-turf toe enamandla kakhulu kungabandakanya: (U-Ali-Asgar Najefi et al., 2018)
- Isisindo esilinganiselwe
- Ukusebenzisa izinto ezisizayo njengezinduku, ibhuthi yokuhamba, noma ukhonkolo.
Okunye Ukwelashwa
- Ngaphansi kuka-2% walokhu kulimala kudinga ukuhlinzwa. Kuvame ukutuswa uma kukhona ukungazinzi ejoyintini noma lapho ukwelashwa okulondolozayo kungaphumeleli. (U-Ali-Asgar Najefi et al., 2018) (U-Zachariah W. Pinter et al., 2020)
- Ukwelapha ngokomzimba kunenzuzo ekwehliseni izinhlungu kanye nokwenza ngcono ububanzi bokunyakaza namandla ngemva kokulimala. (I-American Academy of Orthopedic Surgeons. 2021)
- Ukwelapha ngokomzimba kuphinde kufaka phakathi ukuzivivinya kokufaneleka nokushesha, ama-orthotics, nokugqoka izicathulo ezinconyiwe zemisebenzi ethile yomzimba. (Lisa Chinn, Jay Hertel. 2010)
- Umhlinzeki womzimba angasiza futhi ukuqinisekisa ukuthi umuntu akabuyeli emisebenzini yomzimba ngaphambi kokuba ukulimala kuphulukiswe ngokugcwele futhi kuvimbele ingozi yokulimala kabusha.
Isikhathi sokubuyisela
Ukululama kuncike ekuqineni kokulimala. (U-Ali-Asgar Najefi et al., 2018)
- IBanga loku-1 - Isifundo njengoba sihluka kuye ngokuthi umuntu uyabekezelela izinhlungu.
- IBanga lesi-2 - amasonto amane kuya kwayisithupha okungasebenzi.
- IBanga lesi-3 - Amasonto ayisishiyagalombili ubuncane bokungakwazi ukuhamba.
- Kungathatha izinyanga eziyisithupha ukubuyela emsebenzini ojwayelekile.
Ukubuyela Emisebenzini Ejwayelekile
Ngemuva kokulimala kwezinzwane zebanga loku-1, abantu bangabuyela emisebenzini evamile uma ubuhlungu sebulawulwa. Ibanga lesi-2 nelesi-3 lithatha isikhathi eside ukuphola. Ukubuyela emisebenzini yezemidlalo ngemva kokulimala kwebanga lesi-2 kungathatha izinyanga ezimbili noma ezintathu, kuyilapho ukulimala kwebanga lesi-3 kanye nezimo ezidinga ukuhlinzwa kungathatha izinyanga eziyisithupha. (U-Ali-Asgar Najefi et al., 2018)
Ukwelashwa kweChiropractic yezemidlalo
Okubhekwayo
I-American Academy of Orthopedic Surgeons. (2021). Uzwane lwe-Turf.
IMisa General Brigham. (2023). Uzwane lwe-Turf.
I-American College of Foot and Ankle Surgeons. Unyawo Health Facts. (2023). Iphrothokholi ye-RICE.
Najefi, AA, Jeyaseelan, L., & Welck, M. (2018). I-Turf toe: Isibuyekezo somtholampilo. Ukubuyekezwa okuvuliwe kwe-EFORT, 3(9), 501–506. doi.org/10.1302/2058-5241.3.180012
Pinter, ZW, Farnell, CG, Huntley, S., Patel, HA, Peng, J., McMurtrie, J., Ray, JL, Naranje, S., & Shah, AB (2020). Imiphumela Yokulungiswa Kwezinzwane Ezingama-Turf Ezingamahlalakhona Kubantu Abangewona Abadlali: Ucwaningo Olubukeziwe. Ijenali yaseNdiya ye-orthopaedics, 54(1), 43–48. doi.org/10.1007/s43465-019-00010-8
Chinn, L., & Hertel, J. (2010). Ukuvuselelwa kokulimala kweqakala nezinyawo kubasubathi. Imitholampilo yemithi yezemidlalo, 29(1), 157-167. doi.org/10.1016/j.csm.2009.09.006
by UDkt Alex Jimenez | I-Hip Pain & Ukuphazamiseka, Ukulimala kwezemidlalo
Abasubathi kanye nabantu abakhuthele ngokomzimba ababamba iqhaza emisebenzini, ukuvivinya umzimba, kanye nemidlalo ehlanganisa ukukhahlela, ukuzulazula, kanye/noma ukugudluza izikhombisi-ndlela bangase bathuthukise ukulimala kwe-pelvis ngokweqile kwe-pubic symphysis/ijoyinti elingaphambili kwe-pelvis elaziwa ngokuthi i-osteitis pubis. Ingabe ukuqaphela izimpawu nezimbangela kusiza ekwelapheni nasekuvimbeleni?
Ukulimala kwe-Osteitis Pubis
I-Osteitis pubis ukuvuvukala kwelunga elixhumanisa amathambo e-pelvic, okubizwa ngokuthi i-pelvic symphysis, kanye nezakhiwo ezizungezile. I-pubic symphysis iyilunga elingaphambi nangaphansi kwesinye esinyeni. Ibamba izinhlangothi zombili ze-pelvis ndawonye ngaphambili. I-pubis symphysis inokunyakaza okuncane kakhulu, kodwa uma ukucindezeleka okungavamile noma okuqhubekayo kufakwa esilinganisweni, ubuhlungu be-groin kanye ne-pelvic bungabonakala. Ukulimala kwe-osteitis pubis kuwukulimala okuvamile ukusetshenziswa ngokweqile kubantu abakhuthele ngokomzimba nabasubathi kodwa kungase kwenzeke njengomphumela wokuhlukumezeka ngokomzimba, ukukhulelwa, kanye/noma ukubeletha.
Izimpawu
Uphawu oluvame kakhulu ubuhlungu obungaphezulu kwe-pelvis. Ubuhlungu buvame ukuzwakala phakathi nendawo, kodwa uhlangothi olulodwa lungase lube buhlungu kakhulu kunolunye. Ubuhlungu ngokuvamile buyaphuma/busakazekela ngaphandle. Ezinye izimpawu nezimpawu zihlanganisa: (Patrick Gomella, Patrick Mufarrij. 2017)
- Ubuhlungu obuphansi besisu phakathi nendawo ye-pelvis
- Ukulinganisa
- Ubuthakathaka be-hip kanye/noma umlenze
- Ubunzima bokukhuphuka izitebhisi
- Ubuhlungu lapho uhamba, ugijima, kanye/noma ushintsha izikhombisi-ndlela
- Ukuchofoza noma ukuphuma kwemisindo ngokunyakaza noma lapho ushintsha izikhombisi-ndlela
- Ubuhlungu uma ulele ngecele
- Ubuhlungu lapho uthimula noma ukhwehlela
I-Osteitis pubis ingadideka nokunye ukulimala, okuhlanganisa ukudonsa kwe-groin / groin, i-hernia ye-inguinal eqondile, i-neuralgia ye-ilioinguinal, noma ukuphuka kokucindezeleka kwe-pelvic.
Izimbangela
Ukulimala kwe-osteitis pubis ngokuvamile kwenzeka lapho i-symphysis joint ivezwa ekucindezelekeni ngokweqile, okuqhubekayo, okuqondiswayo kanye nokusetshenziswa ngokweqile kwemisipha ye-hip nemilenze. Izimbangela zihlanganisa: (Patrick Gomella, Patrick Mufarrij. 2017)
- Imisebenzi yemidlalo
- Ukusebenzisa
- Ukukhulelwa nokubeletha
- Ukulimala kwe-pelvic njengokuwa okukhulu
Sifo
Ukulimala kutholwa ngokusekelwe ekuhlolweni komzimba kanye nokuhlolwa kwezithombe. Okunye ukuhlola kungase kusetshenziselwe ukukhipha ezinye izimbangela ezingase zibe khona.
- Ukuhlolwa ngokomzimba kuzobandakanya ukuxhaphazwa kwe-hip ukubeka ukungezwani ku-rectus abdominis trunk muscle kanye namaqembu e-adductor emathangeni.
- Ubuhlungu ngesikhathi sokuxhaphazwa kuwuphawu oluvamile lwesimo.
- Abantu bangacelwa ukuthi bahambe ngezinyawo ukuze babheke okungahambi kahle kumaphethini wokuhamba noma ukubona ukuthi izimpawu zenzeka yini ngokunyakaza okuthile.
- Ama-X-ray ngokuvamile azoveza ukungalungi kahle kwamalunga kanye nokuqina kwe-sclerosis/ukuqina kwe-pubic symphysis.
- I-imaging resonance magnetic - I-MRI ingase iveze ukuvuvukala kwamathambo okuhlangene nokuzungezile.
- Ezinye izimo ngeke zibonise izimpawu zokulimala ku-X-ray noma i-MRI.
Ukwelashwa
Ukwelashwa okusebenzayo kungathatha izinyanga ezimbalwa noma ngaphezulu. Ngenxa yokuthi ukuvuvukala kuyimbangela eyinhloko yezimpawu, ukwelashwa ngokuvamile kuzobandakanya: (UTricia Beatty. 2012)
Ukuphumula
- Ivumela ukuvuvukala okunamandla ukuthi kwehle.
- Ngesikhathi sokululama, ukulala phansi ngemuva kungase kunconywe ukunciphisa ubuhlungu.
Iqhwa Nokushisa Izicelo
- Amaphakethe eqhwa asiza ukunciphisa ukuvuvukala.
- Ukushisa kusiza ekudambiseni ubuhlungu ngemva kokwehla kokuvuvukala kokuqala.
Ukwelashwa Kwemvelo
Umuthi Wokulwa Ukuvuvukala
- Imithi elwa nokuvuvukala etholakala ngaphandle kwe-steroidal - ama-NSAID afana ne-ibuprofen ne-naproxen anganciphisa ubuhlungu nokuvuvukala.
Amadivayisi Ahambayo Asizayo
- Uma izimpawu zinzima, kungase kunconywe izinduku noma umoba ukuze kuncishiswe ukucindezeleka isikhumba.
ICortisone
- Kube nemizamo yokwelapha lesi simo ngemijovo ye-cortisone, kodwa ubufakazi obusekela ukusetshenziswa kwayo bulinganiselwe futhi budinga ucwaningo olwengeziwe. (U-Alessio Giai Via, et al., 2019)
Isibikezelo
Uma sekutholakele, ukubikezela kokululama okuphelele kulungile kodwa kungathatha isikhathi. Kungathatha abanye abantu izinyanga eziyisithupha noma ngaphezulu ukuthi babuyele ezingeni lokusebenza kokulimala kwangaphambi kokulimala, kodwa iningi libuya cishe ezinyangeni ezintathu. Uma ukwelashwa okuvamile kwehluleka ukunikeza ukukhululeka ngemva kwezinyanga eziyisithupha, ukuhlinzwa kungase kunconywe. (UMichael Dirkx, uChristopher Vitale. 2023)
Ukuvuselelwa Kokulimala Kwezemidlalo
Okubhekwayo
Gomella, P., & Mufarrij, P. (2017). I-Osteitis pubis: Imbangela engavamile yobuhlungu be-suprapubic. Ukubuyekezwa ku-urology, i-19 (3), i-156-163. doi.org/10.3909/riu0767
U-Beatty T. (2012). I-Osteitis pubis kubadlali. Imibiko yamanje yemithi yezemidlalo, 11(2), 96–98. doi.org/10.1249/JSR.0b013e318249c32b
Via, AG, Frizziero, A., Finotti, P., Oliva, F., Randelli, F., & Maffulli, N. (2018). Ukuphathwa kwe-osteitis pubis kubadlali: ukuvuselelwa nokubuyela ekuqeqesheni - ukubuyekezwa kwezincwadi zakamuva. Vula ijenali yemithi yezemidlalo, 10, 1–10. doi.org/10.2147/OAJSM.S155077
Dirkx M, Vitale C. Osteitis Pubis. [Kubuyekezwe 2022 Dec 11]. Ku: StatPearls [I-inthanethi]. I-Treasure Island (FL): I-StatPearls Publishing; 2023 Jan-. Itholakala ku: www.ncbi.nlm.nih.gov/books/NBK556168/
