Ukulimala okunzima
Ithimba le-Back Clinic Complex Injuries Chiropractic. Ukulimala okuyinkimbinkimbi kwenzeka lapho abantu bethola ukulimala okubi kakhulu noma okuyinhlekelele, noma izimo zabo eziyinkimbinkimbi kakhulu ngenxa yokulimala okuningi, imiphumela yengqondo, kanye nemilando yezokwelapha evele ikhona. Ukulimala okuyinkimbinkimbi kungaba ukulimala kwe-serial komkhawulo ongaphezulu, ukuhlukumezeka okukhulu kwezicubu ezithambile, kanye nokuhambisana (okuhambisana ngokwemvelo noma okuhlotshaniswayo), ukulimala kwemikhumbi noma izinzwa. Lokhu kulimala kudlula i-sprain evamile kanye nokucindezeleka futhi kudinga izinga elijulile lokuhlola okungenzeka lingabonakali kalula.
U-El Paso, uchwepheshe we-TX's Injury, isazi se-chiropractor, uDkt Alexander Jimenez uxoxa ngezinketho zokwelapha, kanye nokuvuselelwa, ukuqeqeshwa kwemisipha / amandla, ukudla okunomsoco, nokubuyela emisebenzini evamile yomzimba. Izinhlelo zethu zingokwemvelo futhi zisebenzisa ikhono lomzimba lokufinyelela imigomo ethile elinganiselwe, kunokwethula amakhemikhali ayingozi, ukushintshwa kwama-hormone okuyimpikiswano, ukuhlinzwa okungafunwa, noma izidakamizwa eziluthayo. Sifuna uphile impilo yokusebenza egcwaliswa ngamandla engeziwe, isimo sengqondo esihle, ukulala okungcono, nobuhlungu obuncane. Umgomo wethu uwukuba ekugcineni sinikeze amandla iziguli zethu ukuze zigcine indlela enempilo kunazo zonke yokuphila.
by UDkt Alex Jimenez Ukulimala okunzima , Ukunakekelwa kokulimala
Abantu abaphethwe umunwe ominyene: Ingabe ukwazi izimpawu nezimpawu zomunwe ongaphukile noma ongagudluki kungavumela ukwelashwa ekhaya nokuthi umbona nini umhlinzeki wezempilo?
Ukulimala Kweminwe Eminyene
Umunwe ominyene, owaziwa nangokuthi umunwe ophihlizekile, ukulimala okuvamile lapho ichopho lomunwe liphushelwa ngesandla ngamandla, okwenza ilunga licindezelwe. Lokhu kungabangela ubuhlungu nokuvuvukala emunweni owodwa noma ngaphezulu noma emalungeni omunwe futhi kubangele ukuba imigqa ilula, ihlehle, noma idabuke. (I-American Society for Surgery of the Hand. 2015 ) Umunwe ominyene ngokuvamile ungaphola ngokuqhwaza, ukuphumula, nokuthinta. Lokhu kuvame ukwanele ukuyivumela ukuthi ilulame evikini elilodwa noma amabili uma kungekho ukuphuka noma ukugudluka okukhona. (Carruthers, KH et al., 2016 ) Nakuba ibuhlungu, kufanele ikwazi ukunyakaza. Kodwa-ke, uma umunwe ungakwazi ukunyakazisa, ungase uphuke noma uhlakazeke futhi udinge ama-X-ray, njengoba umunwe ophukile noma ukususwa kwamalunga kungase kuthathe izinyanga ukuze kuphole.
Ukwelashwa
Ukwelashwa kuhlanganisa uqweqwe lukaqhwa, ukuhlola, ukutepha, ukuphumula, ukubona udokotela wezifo zamathambo noma i-osteopath, kanye nokusetshenziswa okuvamile okuqhubekayo ukuze uthole amandla nekhono.
Ice
Isinyathelo sokuqala ukucwilisa ukulimala nokukugcina kuphakeme.
Sebenzisa iphakethe leqhwa noma isikhwama semifino efriziwe esongwe ngethawula.
Faka eqhweni umunwe ngezikhathi zemizuzu engu-15.
Susa iqhwa bese ulinda kuze kube yilapho umunwe ubuyela ekushiseni kwawo okujwayelekile ngaphambi kokufaka kabusha uqweqwe.
Ungawufaki eqhweni umunwe ominyene ngaphezu kwezikhawu zemizuzu engu-15 ehoreni elilodwa.
Zama Ukuhambisa Umunwe Othintekile
Uma umunwe ominyene unganyakazi kalula noma ubuhlungu buya buba bubi nakakhulu uma uzama ukuwususa, udinga ukubona umhlinzeki wezempilo futhi ube ne-X-ray ukuze uhlole ukuphuka kwethambo noma ukuhlukana. (I-American Society for Surgery of the Hand. 2015 )
Zama ukuhambisa umunwe kancane ngemva kokuvuvukala, futhi ubuhlungu buyancipha.
Uma ukulimala kuncane, umunwe kufanele uhambe ngokungakhululeki okuncane isikhathi esifushane.
Tape futhi Uphumule
Uma umunwe ominyene ungaphukile noma ungahlukani, unganamathiselwa emunweni oseduze nawo ukuze unganyakazi, okwaziwa ngokuthi i-buddy taping. (Uphumelele u-SH et al., 2014 )
I-tape yezinga lezokwelapha kanye ne-gauze phakathi kweminwe kufanele isetshenziselwe ukuvimbela amabhamuza kanye nomswakama ngenkathi uphulukisa.
Umhlinzeki wezempilo angase asikisele ukuphonswa komunwe ukugcina umunwe ominyene uhambisana neminye iminwe.
I-splint ingasiza futhi ukuvimbela umunwe ominyanisiwe ukuthi ungalimali kabusha.
Ukuphumula Nokuphulukisa
Umunwe ominyene kufanele ugcinwe unganyakazi ukuze ululame ekuqaleni, kodwa ekugcineni, udinga ukunyakaza futhi ugobe ukuze wakhe amandla nokuvumelana nezimo.
Ukuzivocavoca okuhlosiwe kokwelapha ngokomzimba kungaba usizo ekululameni.
Umhlinzeki wokunakekelwa oyinhloko angase akwazi ukubhekisela kumelaphi womzimba ukuze aqinisekise ukuthi umunwe unobubanzi bokunyakaza nokujikeleza okunempilo njengoba ululama.
I-chiropractor noma i-osteopath ingaphinde inikeze izincomo zokusiza ukubuyisela umunwe, isandla, nengalo ekusebenzeni okuvamile.
Ukunciphisa Umunwe Ubuyele Kokuvamile
Kuye ngezinga lokulimala, umunwe nesandla singaba buhlungu futhi sivuvuke izinsuku ezimbalwa noma amasonto.
Kungathatha isikhathi ukuqala ukuzizwa ujwayelekile.
Lapho inqubo yokuphulukisa iqala, abantu bazofuna ukubuyela ekuyisebenziseni ngendlela evamile.
Ukugwema ukusebenzisa i-jammed umunwe kuzoyibangela ukuba ilahlekelwe amandla, okungase, ngokuhamba kwesikhathi, iyenze buthaka futhi yandise ingozi yokulimala kabusha.
Uma ubuhlungu nokuvuvukala kuqhubeka, bonana nomhlinzeki wezempilo ukuze ahlole ukuthi kungenzeka yini ukuphuka, ukugudluka, noma enye inkinga ngokushesha ngangokunokwenzeka, njengoba lokhu kulimala kuba nzima ukukwelapha uma umuntu elinda isikhathi eside kakhulu. (I-University of Utah Health, 2021 )
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.
Ukwelashwa kwe-Carpal Tunnel Syndrome
VIDEO
Okubhekwayo
I-American Society for Surgery of the Hand. (2015). Umunwe omakiwe. www.assh.org/handcare/condition/jammed-finger
Carruthers, KH, Skie, M., & Jain, M. (2016). Ukulimala Kwe-Jam Yomunwe: Ukuxilongwa Nokuphathwa Kokulimala Kumajoyinti E-Interphalangeal Kuwo wonke Imidlalo Eminingi kanye Namazinga Okuhlangenwe nakho. Impilo yezemidlalo, 8(5), 469–478. doi.org/10.1177/1941738116658643
Won, SH, Lee, S., Chung, CY, Lee, KM, Sung, KH, Kim, TG, Choi, Y., Lee, SH, Kwon, DG, Ha, JH, Lee, SY, & Park, MS (2014). I-Buddy taping: ingabe kuyindlela ephephile yokwelapha ukulimala kweminwe nezinzwane? Imitholampilo yokuhlinzwa kwamathambo, 6(1), 26–31. doi.org/10.4055/cios.2014.6.1.26
I-University of Utah Health. (2021). I-University of Utah Health. Ingabe kufanele ngikhathazeke ngomunwe ominyene? I-University of Utah Health. healthcare.utah.edu/the-scope/all/2021/03/should-i-i-worry about-jammed-finger
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 I-Acupuncture Therapy , Ubuhlungu obungapheliyo , Ukulimala okunzima , Ukwelashwa , I-Viscerosomatic Reflex
Ingabe abantu ababhekene nobuhlungu bemisipha bangakuthola ukukhululeka ekwelashweni kwe-acupuncture ukuze babuyele emisebenzini yabo yansuku zonke kanye nokuphila kahle?
Isingeniso
Abantu abaningi emhlabeni wonke baye babhekana nobuhlungu ohlelweni lwabo lwe-musculoskeletal oluye lwathinta isimiso sabo sansuku zonke. Ezinye zezinto ezivame kakhulu abantu abaye babhekana nazo ubuhlungu bemisipha zihlanganisa indlela yokuphila yokungenzi lutho kusukela ekusebenzeni emsebenzini wedeski noma izidingo zomzimba ezivela endleleni yokuphila esebenzayo. Imisipha, imisipha, imisipha, nezicubu ezithambile zinganwetshwa futhi zisebenze ngokweqile, okubangela ukuba imisipha ibe buthakathaka. Ngesikhathi esifanayo, izinkinga ze-visceral somatic entanyeni, emahlombe, nangemuva zingathinta imikhawulo ephezulu naphansi, okuholela ekuphileni kokukhubazeka. Izici eziningi ezingaba nomthelela ekuthuthukiseni ubuhlungu bemisipha zingathinta isimiso somuntu futhi zibangele ukuba bathole amasu ahlukahlukene okunciphisa ubuhlungu bemisipha emizimbeni yabo. Njengoba ubuhlungu bemisipha bungaba ngendlela ebuhlungu noma engapheli, abantu abaningi abafuna ukwelashwa ngezifo zabo bangabheka izindlela zokwelapha ezingahlinzeki njenge-acupuncture ukuze bangagcini nje ngokunciphisa ubuhlungu bemisipha kodwa futhi bathole ukukhululeka abakufunayo. Isihloko sanamuhla sigxile endleleni ubuhlungu bemisipha obungayithinta ngayo inhlalakahle yomuntu, ukuthi ingqikithi yokutshopa ingaba yinzuzo kanjani ebuhlungu bemisipha, nokuthi abantu bangahlanganisa kanjani ukwelashwa kwe-acupuncture njengengxenye yendlela yokuphila kahle. Sikhuluma nabahlinzeki bezokwelapha abaqinisekisiwe abahlanganisa imininingwane yeziguli zethu ukuze sihlole ukuthi ubuhlungu bemisipha bungayithinta kanjani inhlalakahle yomuntu. Siphinde sazise futhi siqondise iziguli ukuthi ukwelashwa kwe-acupuncture kungawuzuzisa kanjani umzimba ngokunciphisa imiphumela yobuhlungu bemisipha. Sikhuthaza iziguli zethu ukuthi zibuze abahlinzeki bazo bezokwelapha abahlobene nabo imibuzo eyinkimbinkimbi nebalulekile mayelana nokuhlanganisa ukwelashwa kwe-acupuncture ohlelweni lwezempilo ukuze kuncishiswe ubuhlungu bemisipha kanye nezimpawu zakho ezidlulisiwe. UDkt. Jimenez, DC, uhlanganisa lolu lwazi njengesevisi yezemfundo. Disclaimer .
Ukuthi Ubuhlungu Bemisipha Bungayithinta Kanjani Inhlalakahle Yomuntu
Ingabe uzizwa imiphumela yokukhathala nobuthakathaka emisipha yakho engenhla nangaphansi? Ingabe uke wabhekana nobuhlungu obuvamile noma izinhlungu entanyeni yakho, emahlombe, noma emhlane? Noma ingabe ukusonta nokuguqula umzimba wakho kubangela ukukhululeka kwesikhashana emzimbeni wakho, kuphela ngenxa yokuba kubi usuku lonke? Uma kuziwa ebuhlungu bemisipha kungaba yizimo eziningi lapho lokho kungabandakanya ukusebenzisana okuyinkimbinkimbi esakhiweni somuntu, ngokomzimba, ezenhlalakahle, indlela yokuphila, kanye nezici zempilo ezihlangene ezingase zibe yizici ezibangela ukuba abantu bezwe ubuhlungu besikhathi eside. kanye nokukhubazeka. ( Caneiro et al., 2021 ) Njengoba abantu abaningi beqala ukwenza ukunyakaza okuphindaphindayo noma ukuhlala bengenzi lutho, ubuhlungu bemisipha bungakhula lapho belula noma bezama ukuhambisa imisipha yabo ngenkathi benza isimiso sabo. Umthwalo wobuhlungu bemisipha uvame ukuhlotshaniswa nezici zenhlalo-mnotho ezingabangela abantu abaningi, abancane nabadala, ukuba banciphise kakhulu ukuhamba kwabo nokuzibandakanya esimisweni sabo, okuyinto ebeka phambili izici eziyingozi ezikhulayo kwezinye izimo ezingapheli okungenzeka babe nazo. ( Dzakpasu et al., 2021 )
Lapho abantu abaningi bebhekene nobuhlungu bemisipha ngendlela ebuhlungu noma engapheli, abaningi ngokuvamile abaqapheli ukuthi lapho imisipha ethintekile ezingxenyeni ezingaphezulu nangaphansi zomzimba ibhekana nobuhlungu, kukhona ubuhlungu obuhambisanayo nokuqina okubangelwa ukusebenza noma ukungasebenzi. imisipha ingathinta izicubu ezithambile ezibangela ukucindezeleka okuphezulu kwemishini ekuthinteni amalunga amathambo. ( U-Wilke no-Behringer, 2021 ) Uma lokhu kwenzeka, abantu abaningi bazoqala ukuzwa ubuhlungu bemisipha emizimbeni yabo, okubangela izinkinga ngokuhamba kwabo, ukuguquguquka, nokuzinza. Ngokuzenzakalelayo, ubuhlungu bemisipha bungase bube uphawu lwabantu abaningi abanezinhlungu ezihlukahlukene emizimbeni yabo ezibe nomthelela empilweni yabo ngaphambili; ukufuna ukwelashwa kunganciphisa imiphumela yobuhlungu bemisipha futhi kubasize babuyisele isimiso sabo ukuze baphile impilo enempilo.
Umuthi Wokunyakaza- Ividiyo
VIDEO
Ingqikithi Ye-acupuncture Yobuhlungu Bemisipha
Lapho abantu abaningi bebhekene nobuhlungu bemisipha, bafuna izindlela zokwelapha ezingafinyeleleki kuphela kodwa futhi ezingasebenza ngempumelelo ekwehliseni amaphrofayili engcuphe agqagqene athinta umzimba, okubangela ubuhlungu bemisipha. Izindlela eziningi zokwelapha ezinjengokunakekelwa kwe-chiropractic, ukuwohloka komqondo, nokwelapha nge-massage akuzona ezokuhlinzwa futhi zisebenza kahle ngezikhathi ezilandelanayo. Enye yezindlela zokwelapha ezindala kakhulu futhi ezisebenza kahle kakhulu ezingasiza ekunciphiseni ubuhlungu bemisipha emzimbeni i-acupuncture therapy. I-acupuncture iwukwelapha okuphelele okutholakala ku-Traditional Chinese Medicine esebenzisa izinaliti ezincane, eziqinile, ezincanyana ezifakwe ama-acupuncture ochwepheshe kuma-acupoints ahlukahlukene. Ifilosofi eyinhloko iwukuthi i-acupuncture inikeza impumuzo emzimbeni njengoba isiza ukuthuthukisa ukugeleza kwamandla omzimba kuyilapho igcina impilo yomuntu iyonke kanye nobungqabavu. ( Zhang et al., 2022 ) Uma umuntu ebhekene nobuhlungu bemisipha, izintambo ze-muscle zingakha ama-nodule amancane aziwa ngokuthi ama-trigger points angabangela ubuhlungu kuma-quadrants emisipha ethintekile. Ngezinaliti ze-acupuncture ezibekwe endaweni ethintekile, ubuhlungu bendawo kanye nokushiwo buyancishiswa, ukugeleza kwegazi lemisipha kanye ne-oksijini kubuyiselwa emzimbeni, futhi ububanzi bokunyakaza kwemisipha buthuthukisiwe. ( U-Pourahmadi et al., 2019 ) Ezinye zezinzuzo ezihlinzekwa ngokwelashwa kwe-acupuncture zihlanganisa:
Ukwanda kokujikeleza kwegazi Ukunciphisa ukuvuvukala Ukukhishwa kwe-Endorphin Ukunciphisa ukungezwani kwemisipha
Ukuhlanganisa I-acupuncture Njengengxenye Yomjikelezo Wokuphila kahle
Abantu abaningi abafuna ukwelashwa kwe-acupuncture njengengxenye yohambo lwabo lwempilo bangabona izinzuzo ezinhle zokutshopa futhi bangakuhlanganisa nezinye izindlela zokwelapha ukuze kuncishiswe amathuba okuba ubuhlungu bemisipha bubuye. Nakuba i-acupuncture ingasiza ukuvuselela imizwa nokubuyisela ukusebenza kwemisipha, ukwelashwa okufana nokuhlanganisa amalunga kungasiza ukwelula imisipha ethintekile namalunga ukuze kuthuthukiswe uchungechunge lokunyakaza komzimba. ( U-Lee et al., 2023 ) Njengoba abantu abaningi befuna ukwelashwa kwe-acupuncture ukuze banciphise ubuhlungu bemisipha, abaningi bangenza izinguquko ezincane esimisweni sabo ukuze bavimbele ubuhlungu bungabangeli amaphrofayili engcuphe agqagqene emizimbeni yabo. Lapho kubhekwana nezimbangela eziyinhloko zobuhlungu futhi kukhuthazwa amandla okwelapha angokwemvelo omzimba, i-acupuncture ingasiza ukubuyisela ibhalansi, inciphise ukungaphatheki kahle, futhi ithuthukise inhlalakahle yonke.
Okubhekwayo
I-Caneiro, JP, Bunzli, S., & O'Sullivan, P. (2021). Izinkolelo mayelana nomzimba nobuhlungu: indima ebalulekile ekulawuleni ubuhlungu be-musculoskeletal. Braz J Phys Ther , 25 (1), i-17-29. doi.org/10.1016/j.bjpt.2020.06.003
Dzakpasu, FQS, Carver, A., Brakenridge, CJ, Cicuttini, F., Urquhart, DM, Owen, N., & Dunstan, DW (2021). Ubuhlungu be-Musculoskeletal kanye nokuziphatha kokuhlala phansi kuzilungiselelo zomsebenzi nezingezona ezomsebenzi: ukubuyekezwa okuhlelekile nokuhlaziywa kwe-meta. Int J Behav Nutr Phys Act , 18 (1), i-159. doi.org/10.1186/s12966-021-01191-y
U-Lee, JE, Akimoto, T., Chang, J., & Lee, HS (2023). Imiphumela yokuhlanganiswa okuhlangene okuhlangene nokukhishwa kwe-acupuncture ebuhlungu, ukusebenza ngokomzimba, nokucindezeleka ezigulini ze-stroke ezinezinhlungu ezingapheli ze-neuropathic: Isivivinyo esilawulwa ngokungahleliwe. I-PLOS ONE , 18 (8), i-e0281968. doi.org/10.1371/journal.pone.0281968
Pourahmadi, M., Mohseni-Bandpei, MA, Keshtkar, A., Koes, BW, Fernandez-de-Las-Penas, C., Dommerholt, J., & Bahramian, M. (2019). Ukuphumelela kwesidingo esomile sokuthuthukisa ubuhlungu nokukhubazeka kubantu abadala abane-tension-type, i-cervicogenic, noma i-migraine ikhanda: i-protocol yokubuyekezwa okuhlelekile. I-Chiropr Man Therap , 27 , 43. doi.org/10.1186/s12998-019-0266-7
U-Wilke, J., & Behringer, M. (2021). Ingabe “Ukubambezeleka Kokuqala Kwemisipha” Kungumngane Wamanga? Umthelela Ongase Ube nawo we-Fascial Connective Tissue ku-Post-Exercise Discomfort. Int J Mol Sci , 22 (17). doi.org/10.3390/ijms22179482
U-Zhang, B., Shi, H., Cao, S., Xie, L., Ren, P., Wang, J., & Shi, B. (2022). Ukwembula umlingo we-acupuncture ngokusekelwe kuzinqubo zebhayoloji: Ukubuyekezwa kwezincwadi. Amathrendi e-Biosci , 16 (1), i-73-90. doi.org/10.5582/bst.2022.01039
Disclaimer
by UDkt Alex Jimenez Ukulimala okunzima , Sciatica
Ingabe izimiso zokwelapha zokwelapha ngokomzimba ezihloselwe ukuthuthukisa ububanzi bokunyakaza nokuguquguquka eduze kwe-hip kanye nokukhulula ukuvuvukala okuzungeze inzwa ye-sciatic zingasiza abantu abazwa ubuhlungu obujulile bezinqe noma i-piriformis syndrome?
Ubuhlungu Bezinqe Ezijulile
I-Piriformis syndrome, ak .a. ubuhlungu be-buttock obujulile, buchazwa njengokucasuka kwe-nerve sciatic kusuka emsipha we-piriformis.
I-piriformis ingumsipha omncane ngemuva kwe-hip joint ezinqeni.
Cishe isentimitha elilodwa ububanzi futhi isebenza ekujikelezeni kwangaphandle kwelunga le-hip noma ukujikela ngaphandle.
Imisipha ye-piriformis kanye ne-tendon iseduze ne-sciatic nerve, ehlinzeka ngamaphethelo aphansi ngemisebenzi ye-motor kanye nezinzwa.
Kuye ngokuhlukahluka komuntu ngamunye kwe-anatomic ye-muscle ne-tendon:
Laba bobabili bayawela, ngaphansi, noma badabulane ngemuva kwelunga le-hip esinqeni esijulile.
Lobu buhlobo kucatshangwa ukuthi bucasula inzwa, okuholela ezimpawu ze-sciatica.
I-Piriformis Syndrome
Uma kutholakala ukuthi une-piriformis syndrome, kucatshangwa ukuthi i-muscle ne-tendon ibopha kanye / noma i-spasm ezungeze inzwa, okubangela ukucasuka kanye nezimpawu zobuhlungu.
Ithiyori esekelwayo iwukuthi lapho imisipha ye-piriformis kanye ne-tendon yayo iqina, i-nerve ye-sciatic iyacindezelwa noma incinwe. Lokhu kunciphisa ukujikeleza kwegazi futhi kucasula inzwa ekucindezelweni. (U-Shane P. Cass 2015 )
Izimpawu
Izimpawu nezimpawu ezijwayelekile zihlanganisa: (U-Shane P. Cass 2015 )
Ubumnene obunokucindezela kumisipha ye-piriformis.
Ukungakhululeki ngemuva kwethanga.
Ubuhlungu bezinqe ezijulile ngemuva kwenqulu.
Izinzwa zikagesi, ukushaqeka, nezinhlungu kuhamba phansi ngemuva komkhawulo ongezansi.
Ukuba ndikindiki emkhawulweni ongezansi.
Abanye abantu baba nezimpawu kungazelelwe, kuyilapho abanye bekhula kancane kancane.
Sifo
Odokotela bazo-oda ama-X-ray, ama-MRIs, nezifundo zokuqhuba izinzwa, okuyinto evamile.
Ngenxa yokuthi i-piriformis syndrome ingaba inselele ukuyixilonga, abanye abantu abanobuhlungu obuncane be-hip bangathola ukuxilongwa kwe-piriformis syndrome ngisho noma bengenaso isimo. (U-Shane P. Cass 2015 )
Ngezinye izikhathi kuthiwa ubuhlungu bezinqe obujulile. Ezinye izimbangela zalolu hlobo lobuhlungu zihlanganisa izinkinga zomgogodla nomgogodla njenge:
Ama-discs we-Herniated
I-stenosis yomgogodla
I-Radiculopathy - i-sciatica
I-Hip bursitis
Ukuxilongwa kwe-piriformis syndrome kuvame ukunikezwa lapho lezi ezinye izimbangela ziqedwa.
Uma ukuxilongwa kungaqiniseki, umjovo ulawulwa endaweni ye-piriformis muscle. (U-Danilo Jankovic et al., 2013 )
Imithi ehlukene ingasetshenziswa, kodwa umjovo ngokwawo usetshenziselwa ukusiza ukucacisa indawo ethile yokungakhululeki.
Uma umjovo unikezwa emsipha we-piriformis noma i-tendon, ngokuvamile ulawulwa yisiqondiso se-ultrasound ukuqinisekisa ukuthi inaliti ihambisa imithi endaweni efanele. (Elizabeth A. Bardowski, JW Thomas Byrd 2019 )
Ukwelashwa
Ukwelashwa okuvamile kuhlanganisa okulandelayo. (U-Danilo Jankovic et al., 2013 )
Ukuphumula
Ukugwema imisebenzi edala izimpawu okungenani amasonto ambalwa.
Ukwelashwa Kwemvelo
Gcizelela ukwelula nokuqinisa imisipha ye-hip rotator.
I-Non-Surgical Decompression
Idonsa ngomusa umgogodla ukuze ikhulule noma yikuphi ukucindezelwa, okuvumela ukubuyisela amanzi emzimbeni okulungile nokujikeleza futhi kuthathe ingcindezi ku-nerve ye-sciatic.
Izindlela Zokubhucunga Zokwelapha
Ukuze uphumule futhi ukhulule ukungezwani kwemisipha nokwandisa ukujikeleza.
I-acupuncture
Ukulungiswa kwe-Chiropractic
Ukuqondisa kabusha kulinganisa umgogodla kanye nesistimu ye-musculoskeletal ukuze kudambise ubuhlungu.
Imithi Yokuvimbela Ukuvuvukala
Ukunciphisa ukuvuvukala eduze kwe-tendon.
Imijovo yeCortisone
Imijovo isetshenziselwa ukunciphisa ukuvuvukala nokuvuvukala.
I-Botulinum Toxin Injection
Imijovo ye-botulinum toxin ikhubaza imisipha ukuze iqede ubuhlungu.
Ukuhlinzwa
Ukuhlinzwa kungenziwa ezimweni ezingavamile ukukhulula ithenda ye-piriformis, eyaziwa ngokuthi ukukhululwa kwe-piriformis. (U-Shane P. Cass 2015 )
Ukuhlinza kuyisinyathelo sokugcina lapho kuzanywe izindlela zokwelapha ezilandelanayo okungenani izinyanga eziyi-6 ngaphandle kokukhululeka okuncane.
Ukuthola kabusha kungathatha izinyanga ezimbalwa.
I-Sciatica Izimbangela Nokwelashwa
VIDEO
Okubhekwayo
I-Cass SP (2015). I-Piriformis syndrome: imbangela ye-nondiscogenic sciatica. Imibiko yamanje yemithi yezemidlalo, 14(1), 41–44. doi.org/10.1249/JSR.0000000000000110
U-Jankovic, D., Peng, P., & van Zundert, A. (2013). Ukubuyekezwa okufushane: i-piriformis syndrome: i-etiology, ukuxilongwa, nokuphathwa. Ijenali yaseCanada ye-anesthesia = Ijenali canadien d'anesthesie, 60(10), 1003–1012. doi.org/10.1007/s12630-013-0009-5
I-Bardowski, EA, & Byrd, JWT (2019). Umjovo we-Piriformis: I-Ultrasound-Guided Technique. Amasu we-Arthroscopic, 8(12), e1457–e1461. doi.org/10.1016/j.eats.2019.07.033
by UDkt Alex Jimenez Ukulimala okunzima , Ukunakekelwa kokulimala
Ukulimala kwamadolo kungabonakala kubantu abakhuthele ngokomzimba abaphakamisa izinsimbi. Ingabe ukuqonda izinhlobo zokulimala kwamadolo okuphakamisa isisindo kungasiza ekuvimbeleni?
Ukulimala Kwamadolo Okuphakamisa Isisindo
Ukuqeqeshwa kwesisindo kuphephe kakhulu emadolweni njengoba ukuqeqeshwa kwesisindo esivamile kungathuthukisa amandla amadolo futhi kuvimbele ukulimala inqobo nje uma kulandelwa ifomu elilungile. Kubantu abalimele edolweni ngenxa yeminye imisebenzi, ukuvivinya umzimba okungalungile kungase kubangele ukulimala. (Ulrika Aasa et al., 2017 ) Futhi, ukunyakaza okuzumayo, ukungaqondi kahle, kanye nokulimala okukhona ngaphambili kungandisa ingozi yokuba yimbi kakhulu noma ukudala ukulimala okwengeziwe. (UHagen Hartmann et al, 2013 ) Umzimba namadolo kuklanyelwe ukusekela amandla amile emalungeni.
Ukulimala Okuvamile
Ukulimala kwamadolo okuphakamisa isisindo kwenzeka njengoba amalunga amadolo ebekezelela ukucindezeleka okuhlukahlukene kanye nezinkinga. Ekuqeqesheni isisindo, imigqa enamathele ohlelweni lwethambo oluyinkimbinkimbi yejoyinti yamadolo ingalimala ukunyakaza okungalungile, ukulayisha ngokweqile isisindo, nokwandisa isisindo ngokushesha kakhulu. Lokhu kulimala kungabangela ubuhlungu, ukuvuvukala, nokungakwazi ukuhamba okungasukela kokuncane kuya kokubi kakhulu, kusukela ku-sprain noma ukuklebhula okuncane kuze kube yizinyembezi eziphelele ezimweni ezimbi kakhulu.
I-Anterior Cruciate Ligament - ACL - Ukulimala
Le ligament inamathisela ithambo lesifazane lethanga ethanjeni/i-tibia yomlenze ongezansi futhi ilawula ukuzungeza ngokweqile noma ukunwetshwa kwejoyinti lamadolo. (I-American Academy of Family Physicians. 2024 )
Ingaphambili lisho phambili.
Ukulimala kwe-ACL kubonakala ikakhulukazi kubasubathi kodwa kungenzeka kunoma ubani.
Ukulimala okukhulu ku-ACL ngokuvamile kusho ukwakhiwa kabusha kokuhlinzwa kanye nezinyanga ezingu-12 zokuvuselelwa.
Lapho uphakamisa izinsimbi, zama ukugwema ukusonteka kwamadolo, ngamabomu noma ngephutha, ngaphansi komthwalo oweqile.
I-Posterior Cruciate Ligament - PCL - Ukulimala
I-PCL ixhuma i-femur ne-tibia ezindaweni ezahlukene ku-ACL.
Ilawula noma yikuphi ukunyakaza okubuyela emuva kwe-tibia ekuhlanganyeleni.
Ukulimala kwenzeka kakhulu ngamandla aphezulu ngenxa yezingozi futhi ngezinye izikhathi emisebenzini lapho ukuhlukunyezwa okunamandla emadolweni kwenzeka.
I-Meral Collateral Ligament - i-MCL - Ukulimala
Le ligament igcina idolo ekugobeni kude kakhulu ukuya ngaphakathi/ngaphakathi.
Ukulimala ngokuvamile kwenzeka kusukela ekuthintekeni kuya ngaphandle kwedolo noma amandla esisindo somzimba ngengozi emlenzeni egoba nge-engeli engavamile.
I-Lateral Collateral Ligament - LCL - Ukulimala
Le ligament ixhuma ithambo elincane lomlenze ophansi/i-fibula ku-femur.
Iphambene neMCL.
Igcina ukunyakaza kwangaphandle ngokweqile.
Ukulimala kwe-LCL kwenzeka lapho amandla ephusha idolo ngaphandle.
Ukulimala Kwe-Cartilage
I-cartilage ivimbela amathambo ukuthi angahlangani futhi ama-cushions anomthelela.
I-Knee menisci iwuqwanga oluhlanganisa amadolo ngaphakathi nangaphandle.
Ezinye izinhlobo ze-cartilage zivikela ithanga namathambo e-shin.
Lapho uqwanga ludabuka noma lonakaliswa, kungase kudingeke ukuhlinzwa.
I-Tendonitis
Imisipha yamadolo ethuthukisiwe futhi esetshenziswe ngokweqile ingaholela ekulimaleni kwamadolo okuphakamisa isisindo.
Ukulimala okuhlobene okwaziwa ngokuthi i-iliotibial band syndrome/ITB kubangela ubuhlungu ngaphandle kwedolo, ngokuvamile kubagijimi, kodwa kungenzeka ngenxa yokusebenzisa ngokweqile.
Ukuphumula, ukwelula, ukwelapha ngokomzimba, kanye nemithi elwa nokuvuvukala kuwuhlelo lokwelapha oluvamile.
Abantu kufanele babonane nomelaphi womzimba ukuze bathole ubuhlungu obuhlala isikhathi esingaphezu kwamasonto amabili. (Simeon Mellinger, Grace Anne Neurohr 2019 )
I-osteoarthritis
Njengoba umzimba uguga, ukuguga okuvamile kungabangela ukuthuthukiswa osteoarthritis kwamalunga amadolo. (UJeffrey B. Driban et al., 2017 )
Lesi simo senza ukuthi uqwanga lube buthakathaka futhi amathambo ahlangane, okubangela ubuhlungu nokuqina.
Prevention
Abantu ngabanye banganciphisa ubungozi bokulimala kwamadolo nobuhlungu ngokuphakamisa izinsimbi ngokulandela izincomo zikadokotela kanye nabaqeqeshi bomuntu siqu.
Abantu abanokulimala kwamadolo okukhona kufanele balandele izincomo zikadokotela wabo noma owelapha ngokomzimba.
Umkhono wedolo ungagcina imisipha namalunga evikelekile, unikeze isivikelo nokusekelwa.
Ukwelula imisipha yomlenze nedolo kungagcina ukuguquguquka kwamalunga.
Gwema ukunyakaza okungazelelwe kwezinhlangothi.
Izincomo ezingaba khona zingafaka:
Ukugwema Ukuvivinya Okuthile
Izivivinyo zokuzihlukanisa njengama-curls emilenzeni, ukuma, noma ebhentshini, kanye nokusebenzisa umshini wokunweba umlenze, kungagcizelela idolo.
Ukuqeqeshwa Kwe-Deep Squat
Ucwaningo lubonisa ukuthi i-squat ejulile ingavikela ukulimala komlenze ophansi uma idolo liphilile. Nokho, lokhu kwenzeka uma kwenziwa ngendlela efanele, ngaphansi kokuqondisa kochwepheshe, futhi kunomthwalo oqhubekayo kancane kancane. (UHagen Hartmann et al, 2013 )
Abantu kufanele bakhulume nodokotela wabo ngaphambi kokuqala inqubo entsha yokuzivocavoca. Umqeqeshi womuntu siqu anganikeza ukuqeqeshwa ekufundeni indlela efanele kanye nefomu lokuphakamisa isisindo.
Ngiyidabule kanjani i-ACL yami Ingxenye 2
VIDEO
Okubhekwayo
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-Hartmann, H., Wirth, K., & Klusemann, M. (2013). Ukuhlaziywa komthwalo emadolweni ahlangene kanye nekholomu ye-vertebral enezinguquko ekujuleni kwe-squatting nomthwalo wesisindo. Imithi yezemidlalo (Auckland, NZ), 43(10), 993–1008. doi.org/10.1007/s40279-013-0073-6
I-American Academy of Family Physicians. Ukulimala kwe-ACL. (2024). Ukulimala kwe-ACL (Izifo Nezimo, Indaba. familydoctor.org/condition/acl-injuries/
Mellinger, S., & Neurohr, GA (2019). Izinketho zokwelapha ezisekelwe ebufakazini bokulimala kwamadolo okuvamile kubagijimi. Izibalo zemithi yokuhumusha, 7(Suppl 7), S249. doi.org/10.21037/atm.2019.04.08
U-Driban, JB, Hootman, JM, Sitler, MR, Harris, KP, & Cattano, NM (2017). Ingabe Ukubamba Iqhaza Kwezemidlalo Ethile Ehlobene Ne-Knee Osteoarthritis? Ukubuyekeza Okuhlelekile. Ijenali yokuqeqeshwa kwezokusubatha, 52(6), 497–506. doi.org/10.4085/1062-6050-50.2.08
by UDkt Alex Jimenez Ukulimala okunzima , Izimo zenziwe
Abantu abazibandakanya ekuzilolongeni okukhulu bangaba namajaqamba okushisa ngenxa yokuzikhandla ngokweqile. Ingabe ukwazi izimbangela nezimpawu kungavimbela iziqephu ezizayo ukuthi zenzeke?
Ama-Cramps Okushisa
Amajaqamba okushisa angakhula ngesikhathi sokuzivocavoca kusukela ekuzikhandleni ngokweqile noma ukuchayeka isikhathi eside emazingeni okushisa aphezulu. Amajaqamba emisipha, ama-spasms, nobuhlungu kungasukela kokuncane kuye kokuqina.
Ama-Muscle Cramps kanye Nokuphelelwa amanzi emzimbeni
Amajaqamba okushisa avame ukukhula ngenxa yokuphelelwa amanzi emzimbeni kanye nokulahleka kwe-electrolyte. (U-Robert Gauer, u-Bryce K. Meyers 2019 ) Izimpawu zihlanganisa:
Ama-electrolyte afana ne-sodium, i-calcium, ne-magnesium abalulekile ekusebenzeni kahle kwemisipha, okuhlanganisa nenhliziyo. Indima eyinhloko yokujuluka iwukulawula izinga lokushisa lomzimba. (I-MedlinePlus. 2015 ) Umjuluko ngokuvamile amanzi, electrolyte, sodium. Ukujuluka ngokweqile ngenxa yokuzivocavoca umzimba nokuzikhandla noma indawo eshisayo kungabangela ukungalingani kwe-electrolyte okuholela emajameni, ama-spasms, nezinye izimpawu.
Izimbangela Nemisebenzi
Amajaqamba okushisa ngokuvamile athinta abantu abajuluka ngokweqile phakathi nomsebenzi onzima noma abachayeka emazingeni okushisa ashisayo isikhathi eside. Umzimba nezitho kudingeka kuphole, okubangela ukukhiqizwa komjuluko. Kodwa-ke, ukujuluka kakhulu kungaholela ekuphelelweni kwamanzi emzimbeni kanye nokuncipha kwe-electrolyte. (Centers for Disease Control and Prevention. 2022 )
Izingozi Zezingozi
Izinto ezinganyusa ubungozi bokuthola amajaqamba okushisa zihlanganisa: (U-Robert Gauer, u-Bryce K. Meyers 2019 )
Ubudala - Izingane kanye nabantu abadala abaneminyaka engama-65 nangaphezulu basengozini enkulu kakhulu.
Ukujuluka ngokweqile.
Ukudla okuphansi kwe-sodium.
Izimo Zezokwelapha Ezikhona Ngaphambili - isifo senhliziyo, isifo sikashukela, kanye nokukhuluphala ngokweqile yizimo ezingandisa ingozi yokuqina kwemisipha.
Imithi - umfutho wegazi, ama-diuretics, nama-antidepressants angathinta ibhalansi ye-electrolyte kanye ne-hydration.
Ukuphuza utshwala.
Ukuzinakekela
Uma amajaqamba okushisa eqala, yeka ngokushesha umsebenzi bese ubheka indawo epholile. Faka kabusha amanzi emzimbeni ukuze ugcwalise uketshezi olulahlekile. Ukuhlala unamanzi futhi uphuze uketshezi njalo ngesikhathi sokusebenza kanzima noma endaweni eshisayo kungasiza ekuvimbeleni umzimba ukuthi ungaminyanisi. izibonelo zeziphuzo ezandisa i-electrolyte zihlanganisa:
Ukusebenzisa ngobumnene ingcindezi kanye nokuphulula imisipha ethintekile kungasiza ekunciphiseni ubuhlungu nama-spasms. Njengoba izimpawu ziphela, kunconywa ukuthi ungabuyeli emsebenzini onzima maduzane ngoba ukuzikhandla okwengeziwe kungaholela kancane kancane ku-heatstroke noma ekuphelelweni ukushisa. (Centers for Disease Control and Prevention. 2021 ) Ukushisa nokushisa yizifo ezimbili ezihlobene nokushisa. (Centers for Disease Control and Prevention. 2022 )
I-Heatstroke yilapho umzimba ulahlekelwa amandla okulawula izinga lokushisa futhi ungabangela amazinga okushisa ayingozi kakhulu.Ukuphelelwa ukushisa ukusabela komzimba ekulahlekelweni koketshezi oluningi kanye ne-electrolyte.
Isikhathi Sezimpawu
Isikhathi nobude bamajaqamba okushisa kunganquma ukuthi ukunakekelwa kwezokwelapha kuyadingeka yini. (Centers for Disease Control and Prevention. 2022 )
Ngesikhathi noma Ngemva Kwemisebenzi
Iningi lamajaqamba okushisa liyakhula phakathi nomsebenzi ngenxa yokuzikhandla nokujuluka, okwenza kulahleke ama-electrolyte amaningi futhi umzimba uphelelwe amanzi kakhulu.
Izimpawu zingase futhi zikhule emaminithini kuya emahoreni ngemva kokuba umsebenzi uphelile.
Ubude besikhathi
Iningi lamajaqamba emisipha ahlobene nokushisa azoxazululeka ngokuphumula kanye nokugeleza kwamanzi kungakapheli imizuzu engama-30-60.
Uma ukuqina kwemisipha noma ukuqaqamba kwemisipha kunganciphi phakathi nehora elilodwa, funa usizo lwezokwelapha oluchwepheshile.
Kubantu abanezimo zenhliziyo noma abadla ukudla okune-sodium ephansi ababa namajaqamba okushisa, kungakhathaliseki ubude besikhathi, usizo lwezokwelapha luyadingeka ukuze kuqinisekiswe ukuthi azikho izinkinga.
Prevention
Amathiphu okuvimbela ukushisa ama-cramps zihlanganisa: (Centers for Disease Control and Prevention. 2022 )
Phuza uketshezi oluningi ngaphambi nangesikhathi sokuzivocavoca.
Gwema utshwala neziphuzo ezine-caffeine.
Gwema ukuzivocavoca noma ukuchayeka ekushiseni kakhulu ngesikhathi sokukhanya kwelanga.
Gwema izingubo ezimpintshayo nezinombala omnyama.
Ukuhlola Iziguli Esimisweni Se-Chiropractic
VIDEO
Okubhekwayo
I-Gauer, R., & Meyers, BK (2019). Izifo Ezihlobene Nokushisa. Udokotela womndeni waseMelika, 99(8), 482-489.
Centers for Disease Control and Prevention. (2022). Ukucindezeleka kokushisa - ukugula okuhlobene nokushisa. I-National Institute for Occupational Safety and Health (NIOSH) itholwe kusukela www.cdc.gov/niosh/topics/heattress/heatrelillness.html#cramps
I-MedlinePlus. (2015). Ajuluke. Kubuyiswe kusuka medlineplus.gov/sweat.html#cat_47
I-FoodData Central. (2019). Amantongomane, amanzi kakhukhunathi (uketshezi oluvela kukhukhunathi). Kubuyiswe kusuka fdc.nal.usda.gov/fdc-app.html#/food-details/170174/nutrients
I-FoodData Central. (2019). Ubisi, ama-nonfat, uketshezi, okunevithamini A eyengeziwe kanye novithamini D (okungamafutha noma ukushefa). Kubuyiswe kusuka fdc.nal.usda.gov/fdc-app.html#/food-details/746776/nutrients
Centers for Disease Control and Prevention. (2012). Imibuzo evamise ukubuzwa (FAQ) mayelana nokushisa okukhulu. Kubuyiswe kusuka www.cdc.gov/disasters/extremeheat/faq.html
