Ukunakekelwa kokulimala
Ukunakekelwa Kokulimala Kwasemuva Komtholampilo Ithimba Le-Chiropractic kanye Neqembu Lokwelapha Lomzimba. Kunezindlela ezimbili zokunakekelwa kokulimala. Ziyakwazi ukwelashwa okusebenzayo kanye nokwelashwa. Nakuba kokubili kungasiza ukuthola iziguli endleleni eya ekululameni, ukwelashwa okusebenzayo kuphela okunomthelela wesikhathi eside futhi kugcina iziguli zinyakaza.
Sigxila ekwelapheni ukulimala okubangelwa izingozi zezimoto, ukulimala komuntu siqu, ukulimala emsebenzini, nokulimala kwezemidlalo futhi sinikeza izinsizakalo eziphelele zokungenelela zokulawula izinhlungu nezinhlelo zokwelapha. Konke kusuka kumaqhubu kanye nemihuzuko kuya emisipha edabukile nobuhlungu beqolo.
I-Passive Injury Care
Udokotela noma umelaphi womzimba ngokuvamile unikeza ukunakekelwa kokulimala okungenzi lutho. Kuhlanganisa:
I-acupuncture Ukufaka ukushisa/iqhwa emisipha ebuhlungu Imithi yobuhlungu
Yisiqalo esihle sokusiza ekwehliseni izinhlungu, kodwa ukunakekelwa kokulimala okwenziwayo akukona ukwelashwa okusebenzayo. Nakuba kusiza umuntu olimele ukuba azizwe engcono okwamanje, ukukhululeka akuhlali. Isiguli ngeke silulame ngokugcwele ekulimaleni ngaphandle uma sisebenza kanzima ukuze sibuyele empilweni yaso evamile.
Ukunakekelwa Kokulimala Okusebenzayo
Ukwelashwa okusebenzayo nakho okunikezwa udokotela noma umelaphi womzimba kuncike ekuzibophezeleni komuntu olimele emsebenzini. Lapho iziguli zithatha ubunikazi bempilo yazo, inqubo yokunakekelwa kokulimala esebenzayo iba nenjongo futhi ikhiqize. Uhlelo olushintshiwe lomsebenzi luzosiza umuntu olimele ukuthi ashintshele ekusebenzeni okugcwele futhi athuthukise impilo yakhe yonke ngokomzimba nangokomzwelo.
Umgogodla, intamo, nomhlane Ukuphathwa yikhanda Amadolo, amahlombe, nezihlakala Imigqa ephukile Ukulimala kwezicubu ezithambile (imisipha yemisipha kanye nama-sprains)
Kubandakanyani ukunakekelwa kokulimala okusebenzayo?
Uhlelo lokwelapha olusebenzayo lugcina umzimba uqinile futhi uguquguquka ngangokunokwenzeka ngohlelo lomuntu siqu lomsebenzi/lwenguquko, olukhawulela umthelela wesikhathi eside futhi lusize iziguli ezilimele ukuthi zisebenzele ukululama ngokushesha. Isibonelo, ekulimaleni ukunakekelwa kokulimala komtholampilo we-Medical & Chiropractic, umtholampilo uzosebenza nesiguli ukuze aqonde imbangela yokulimala, bese enza uhlelo lokuvuselela olugcina isiguli sisebenza futhi sisibuyisele empilweni efanele ngokushesha.
Ukuze uthole izimpendulo zanoma imiphi imibuzo, ongase ube nayo, sicela ushayele uDkt. Jimenez ku-915-850-0900
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-Hip Pain & Ukuphazamiseka , Ukunakekelwa kokulimala
Ingabe ukwazi izinketho zokwelapha ze-hip ehlukanisiwe kungabasiza abantu ukuthi basheshise ukuhlunyeleliswa kanye nokululama?
I-Hip Ehlukanisiwe
I-hip ephukile ukulimala okungajwayelekile kodwa kungenzeka ngenxa yokulimala noma ukulandela ukuhlinzwa esikhundleni se-hip. Ngokuvamile kwenzeka ngemva kokuhlukumezeka okukhulu, okuhlanganisa ukushayisana kwezimoto , ukuwa, futhi ngezinye izikhathi ukulimala kwezemidlalo. (U-Caylyne Arnold et al., 2017 ) I-hip ephukile ingenzeka futhi ngemva kokuhlinzwa esikhundleni se-hip. Okunye ukulimala okufana nezinyembezi ze-ligament, ukulimala kwe-cartilage, nokuphuka kwamathambo kungenzeka eceleni kokukhishwa. Ukukhishwa okuningi kwe-hip kuphathwa ngenqubo yokunciphisa ngokuhlanganyela ebeka kabusha ibhola ku-socket. Ngokuvamile kwenziwa nge-sedation noma i-anesthesia ejwayelekile. Ukuvuselela kuthatha isikhathi futhi kungase kube izinyanga ezimbalwa ngaphambi kokululama ngokugcwele. Ukwelashwa ngokomzimba kungasiza ukubuyisela ukunyakaza namandla ku-hip.
Kwenzenjani?
Uma i-hip ihlukanisiwe kancane, ibizwa ngokuthi i-hip subluxation. Uma lokhu kwenzeka, ikhanda elihlangene le-hip liphuma kancane kancane kusokhethi. I-hip ehlukanisiwe yilapho ikhanda noma ibhola le-joint shifts noma liphuma kusokhethi. Ngenxa yokuthi i-hip yokwenziwa ihluke ekuhlanganyeleni kwe-hip evamile, ingozi yokukhishwa iyanda ngemva kokushintshwa okuhlangene. Ucwaningo luthole ukuthi cishe u-2% wabantu abashintshwa inqulu bazothola ukuguquguquka kwenyonga phakathi nonyaka, kanti ubungozi obukhulayo bukhula cishe ngo-1% eminyakeni emihlanu. (UJens Dargel et al., 2014 ) Nokho, ubuchwepheshe obusha bezinto zokwenziwa kanye nezindlela zokuhlinza zenza lokhu kungavamile.
I-Hip Anatomy
I-hip ball-and-socket joint ibizwa ngokuthi i-femoroacetabular joint.
Isokhethi ibizwa ngokuthi i-acetabulum.
Ibhola libizwa ngekhanda lesifazane.
I-bony anatomy kanye nemigqa eqinile, imisipha, nama-tendon kusiza ukwakha ilunga elizinzile. Amandla abalulekile kufanele asetshenziswe ekuhlanganyeleni ukuze kwenzeke ukukhishwa kwe-hip. Abanye abantu babika ukuthi bazwa umuzwa we-hip. Lokhu ngokuvamile akukhona ukukhishwa kwe-hip kodwa kubonisa ukuphazamiseka okuhlukile okwaziwa ngokuthi i-snapping hip syndrome. (U-Paul Walker et al., 2021 )
I-Posterior Hip Dislocation
Cishe u-90% wokususwa kwe-hip kungemuva.
Kulolu hlobo, ibhola lidudulwa emuva lisuka kusokhethi.
Ukukhishwa kwangemuva kungabangela ukulimala noma ukucasula ku-nerve ye-sciatic. (R Cornwall, TE Radomisli 2000 )
I-Anterior Hip Dislocation
Ukugudluka kwangaphambili akuvamile.
Kulolu hlobo lokulimala, ibhola liphushwa ngaphandle kwesokhethi.
I-Hip Subluxation
I-hip subluxation kwenzeka lapho ibhola elihlangene le-hip liqala ukuphuma esokhethini ngokwengxenye.
Eyaziwa nangokuthi i-dislocation ingxenye, ingaphenduka ibe inhlanganisela ye-hip ehlakazekile ngokugcwele uma ingavunyelwe ukuphulukisa kahle.
Izimpawu
Izimpawu zingabandakanya:
Umlenze usesimweni esingavamile.
Ubunzima bokuhamba.
Ubuhlungu obukhulu be-hip.
Ukungakwazi ukuthwala isisindo.
Ubuhlungu obuphansi bemishini bungabangela ukudideka lapho kwenziwa ukuxilongwa okufanele.
Ngokugudluka kwangemuva, idolo nonyawo kuzozungeziswa kuye emgqeni omaphakathi womzimba.
Ukususwa kwangaphambili kuzozungeza idolo nonyawo kude nomugqa omaphakathi. (I-American Academy of Orthopedic Surgeons. 2021 )
Izimbangela
Ukususwa kungabangela umonakalo ezakhiweni ezibambe ibhola esokhethi futhi kungafaka:
Ukulimala kwe-cartilage ehlangene -
Izinyembezi ku-labrum kanye nemigqa.
Ukuphuka kwethambo endaweni ehlangene.
Ukulimala emithanjeni ehlinzeka ngegazi kamuva kungaholela ku-avascular necrosis noma i-osteonecrosis ye-hip. (U-Patrick Kellam, u-Robert F. Ostrum 2016 )
Ukususwa kwe-hip kwandisa ingozi yokuthuthukisa i-arthritis ehlangene ngemva kokulimala futhi kungaphakamisa ingozi yokudinga ukushintshwa kwe-hip kamuva ekuphileni. (Hsuan-Hsiao Ma et al., 2020 )
Ukugudluka Okuthuthukile Kwe-Hip
Ezinye izingane zizalwa ngokukhula kwe-hip noma i-DDH.
Izingane ezine-DDH zinamajoyinti e-hip angazange akheke ngendlela efanele ngesikhathi sokukhula.
Lokhu kubangela ukulingana okuxekethile kusokhethi.
Kwezinye izimo, i-hip joint isuswe ngokuphelele.
Kwamanye, ithambekele ekubeni ihlakazeke.
Ezimweni ezimbi kakhulu, ilunga liyaxega kodwa alijwayele ukugudluka. (I-American Academy of Orthopedic Surgeons. 2022 )
Ukwelashwa
Ukunciphisa ngokuhlanganyela kuyindlela evamile yokwelapha i-hip ephukile. Inqubo ibeka kabusha ibhola emuva esokhethi futhi ngokuvamile yenziwa ngokuthulisa noma ngaphansi kwe-anesthesia jikelele. Ukubeka kabusha inqulu kudinga amandla abalulekile. Ukukhishwa kwe-hip kubhekwa njengesimo esiphuthumayo, futhi ukunciphisa kufanele kwenziwe ngokushesha ngemva kokukhishwa ukuze kuvinjelwe izinkinga ezihlala njalo kanye nokwelashwa okuhlaselayo. (U-Caylyne Arnold et al., 2017 )
Uma ibhola selibuyele esokhethini, umhlinzeki wezempilo uzobheka ukulimala kwamathambo, uqwanga, kanye nemisipha.
Kuye ngokuthi umhlinzeki wezempilo uthola ini, ukwelashwa okwengeziwe kungase kudingeke.
Amathambo aphukile noma aphukile angase adinge ukulungiswa ukuze kugcinwe ibhola ngaphakathi kwesokhethi.
Uqwanga olonakele kungase kudingeke lususwe.
Ukuhlinzwa
Kungase kudingeke ukuhlinzwa ukuze kubuyiselwe ilunga endaweni yalo evamile. I-Hip arthroscopy inganciphisa ukuhlasela kwezinqubo ezithile. Udokotela ohlinzayo ufaka ikhamera encane endaweni ehlangene yenyonga ukuze asize udokotela ohlinzayo alungise ukulimala esebenzisa izinsimbi ezifakwe ngezinye izimboko ezincane.
Ukuhlinzwa kwe-Hip esikhundleni sebhola nesokhethi, inqubo evamile nephumelelayo yokuhlinzwa yamathambo. Lokhu kuhlinzwa kungenziwa ngezizathu ezihlukahlukene, okuhlanganisa ukuhlukumezeka noma isifo samathambo, njengoba kuvamile ukuthuthukisa isifo samathambo sangaphambi kwe-hip ngemva kwalolu hlobo lokuhlukumezeka. Yingakho abaningi abane-dislocation ekugcineni bedinga ukuhlinzwa esikhundleni se-hip. Njengenqubo enkulu yokuhlinzwa, ayinazo izingozi. Izinkinga ezingaba khona zihlanganisa:
Ukutheleleka
I-Aseptic loosening (ukuxegiswa kwelunga ngaphandle kokutheleleka)
Ukususwa kwe-hip
Lokubuyisela
Ukuthola ukususwa kwe-hip kuyinqubo ende. Abantu bazodinga ukuhamba ngezinduku noma ezinye izisetshenziswa ngaphambi kokululama. Ukwelashwa ngokomzimba kuzothuthukisa ububanzi bokunyakaza futhi kuqinise imisipha ezungeze i-hip. Isikhathi sokululama sizoncika ekutheni kukhona yini okunye ukulimala, njengokuphuka noma izinyembezi. Uma i-hip joint incishisiwe futhi kungekho okunye ukulimala, kungase kuthathe amasonto ayisithupha kuya kwayishumi ukululama kuze kufike lapho isisindo singabekwa khona emlenzeni. Kungaba phakathi kwezinyanga ezimbili kuya kwezintathu ukuze umuntu alulame ngokugcwele. Ukugcina isisindo emlenzeni kubalulekile kuze kube yilapho udokotela ohlinzayo noma umhlinzeki wenyama enikeza konke okucacile. I-Injury Medical Chiropractic kanye ne-Functional Medicine Clinic izosebenzisana nomhlinzeki wezempilo oyinhloko kanye nabanye odokotela abahlinzayo noma ochwepheshe ukuze bakhe uhlelo lokwelapha lomuntu siqu oluphelele.
Izixazululo zeChiropractic ze-Osteoarthritis
VIDEO
Okubhekwayo
Arnold, C., Fayos, Z., Bruner, D., Arnold, D., Gupta, N., & Nusbaum, J. (2017). Ukulawula ukugudluka kwenyonga, idolo, neqakala emnyangweni wezimo eziphuthumayo [digest]. Umkhuba wokwelapha izimo eziphuthumayo, 19(12 Suppl Points & Pearls), 1–2.
Dargel, J., Oppermann, J., Brüggemann, GP, & Eysel, P. (2014). Ukususwa ngemva kokushintshwa kwenyonga ngokuphelele. Deutsches Arzteblatt international, 111(51-52), 884–890. doi.org/10.3238/arztebl.2014.0884
Walker, P., Ellis, E., Scofield, J., Kongchum, T., Sherman, WF, & Kaye, AD (2021). I-Snapping Hip Syndrome: Isibuyekezo Esiphelele. Izibuyekezo ze-Orthopedic, 13(2), 25088. doi.org/10.52965/001c.25088
Cornwall, R., & Radomisli, TE (2000). Ukulimala kwenzwa ekuhlukanisekeni okubuhlungu kwe-hip. Amathambo omtholampilo kanye nocwaningo oluhlobene, (377), 84-91. doi.org/10.1097/00003086-200008000-00012
I-American Academy of Orthopedic Surgeons. (2021). Ukususwa kwe-hip. orthoinfo.aaos.org/zu/diseases-conditions/hip-dislocation
Kellam, P., & Ostrum, RF (2016). Ukubuyekezwa Okuhlelekile kanye Nokuhlaziywa Kwe-Meta kwe-Avascular Necrosis kanye ne-Posttraumatic Arthritis Ngemva Kokuhlukaniswa Kwe-Hip Ebuhlungu. Ijenali yokuhlukumezeka kwamathambo, 30(1), 10–16. doi.org/10.1097/BOT.0000000000000419
Ma, HH, Huang, CC, Pai, FY, Chang, MC, Chen, WM, & Huang, TF (2020). Imiphumela yesikhathi eside ezigulini ezine-hip fracture-dislocation ehlukumezayo: izici ezibalulekile zokubikezela. Ijenali ye-Chinese Medical Association : JCMA, 83(7), 686-689. doi.org/10.1097/JCMA.0000000000000366
I-American Academy of Orthopedic Surgeons. (2022). Ukukhishwa kwentuthuko (i-dysplasia) ye-hip (DDH). orthoinfo.aaos.org/zu/diseases-conditions/developmental-dislocation-dysplasia-of-the-hip-ddh/
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
VIDEO
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
VIDEO
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 Ukunakekelwa kokulimala , Massage
Ingabe ukwelapha ngokomzimba ngokuhlanganisa izicubu ezithambile okusizwa yinsimbi noma i-IASTM kungathuthukisa ukuhamba, ukuguquguquka, nempilo yabantu abanokulimala noma ukugula kwemisipha nokuqina?
Ukuhlanganisa Izicubu Ezithambile Ezisizwa Ngensimbi
Ukuhlanganisa izicubu ezithambile ezisizwa ngensimbi noma i-IASTM yaziwa nangokuthi inqubo ye-Graston. Kuyindlela yokukhululwa kwe-myofascial kanye nenqubo yokubhucunga umzimba esetshenziswa ekwelapheni ngokomzimba lapho owelapha esebenzisa amathuluzi ensimbi noma epulasitiki ukuze athuthukise ukuhamba kwezicubu ezithambile emzimbeni. Ithuluzi elimise okwe-ergonomically likhujwa ngobumnene noma ngamandla futhi lihlikihlwe endaweni elimele noma ebuhlungu. Ukuhlikihla kusetshenziselwa ukuthola nokukhulula ukuqina ku-fascia/collagen emboza imisipha namathenda. Lokhu kusiza ukunciphisa ubuhlungu nokuthuthukisa ukunyakaza.
I-Massage kanye nokukhishwa kwe-Myofascial
Ukuvuselela ukuhlanganisa izicubu ezithambile okusizwa ngamathuluzi kuyasiza:
Thuthukisa ukuhamba kwezicubu ezithambile.
Ukukhishwa kwemikhawulo ku-tight fascia.
Nciphisa ama-muscle spasms.
Thuthukisa ukuguquguquka.
Ukwanda kokujikeleza kwezicubu.
Dambisa ubuhlungu. (Fahimeh Kamali et al., 2014 )
Abantu bavame ukuthuthukisa ukuqina kwezicubu noma imingcele emisipha kanye ne-fascia ngemva kokulimala. Le mikhawulo yezicubu ezithambile ingakhawulela ububanzi bokunyakaza - i-ROM futhi ingabangela izimpawu zobuhlungu. (UKim J, u-Sung DJ, u-Lee J. 2017 )
Umlando
Indlela ye-Graston yokuhlanganisa izicubu ezithambile ezisizwa ngensimbi yathuthukiswa umsubathi owadala amathuluzi akhe ukwelapha ukulimala kwezicubu ezithambile. Umkhuba ukhule ngemibono evela kochwepheshe bezokwelapha, abaqeqeshi, abacwaningi, nodokotela.
Abelaphi bomzimba basebenzisa izinhlobo ezahlukene zamathuluzi ukwenza i-IASTM.
Lezi izinsimbi zokubhucunga zihlanganisa izinhlobo ezahlukene zokubhucungwa kanye nokukhululwa.
Inkampani yakwaGraston iklama amanye amathuluzi.
Ezinye izinkampani zinenguqulo yazo yensimbi noma yepulasitiki yokukhuhla kanye namathuluzi okuhlikihla.
Inhloso ukusiza ukukhulula izicubu ezithambile kanye nemikhawulo ye-myofascial ukuthuthukisa ukunyakaza komzimba. (UKim J, u-Sung DJ, u-Lee J. 2017 )
Indlela Esebenza
Ithiyori iwukuthi ukukhuhla izicubu kubangela i-microtrauma endaweni ethintekile, kusebenze impendulo yemvelo yokuvuvukala komzimba. (UKim J, u-Sung DJ, u-Lee J. 2017 )
Umzimba usebenza ukuze ubambe kabusha izicubu eziqinile noma ezibaziweyo, okubangela umkhawulo.
Umelaphi angakwazi ke ukwelula ukunamathela ukuze anciphise ubuhlungu futhi athuthukise ukuhamba.
Ukwelashwa
Izimo ezithile zisabela kahle ekuhlanganisweni kwezicubu ezithambile ezisizwa yinsimbi, okuhlanganisa (UKim J, u-Sung DJ, u-Lee J. 2017 )
Ukuhamba okulinganiselwe
Ukuncipha kokuqashwa kwemisipha
Ukulahlekelwa ububanzi bokunyakaza - i-ROM
Ubuhlungu ngokunyakaza
Ukwakheka kwezicubu zezibazi ngokweqile
Ukugqugquzelwa kwezicubu ezithambile okungeziwe noma i-ASTM amasu angakwazi ukwelapha ukulimala okuthile nezimo zezokwelapha ezihlanganisa:
Ukungalingani kwemisipha namathambo
I-Ligament sprains
Plantar fasciitis
Ubuhlungu be-Myofascial
I-Tendonitis ne-tendinopathy
Izicubu ezibomvu zokuhlinzwa noma ukuhlukumezeka (UMorad Chughtai et al., 2019 )
Izinzuzo kanye Nemiphumela Emibi
Izinzuzo zihlanganisa: (UKim J, u-Sung DJ, u-Lee J. 2017 )
Ibanga elithuthukisiwe lokunyakaza
Ukwanda kokuguquguquka kwezicubu
Umsebenzi weseli othuthukisiwe endaweni yokulimala
Ubuhlungu obunciphile
Ukwakheka kwezicubu zezibazi ezincishisiwe
Imiphumela engemihle ingase ihlanganise:
Ucwaningo
Isibuyekezo siqhathanise ukukhululwa kwezandla ekukhishweni kwe-myofascial ekukhululweni kwensimbi ye-myofascial yobuhlungu obungapheli obuphansi beqolo. (Williams M. 2017 )
Umehluko omncane watholakala phakathi kwamasu amabili okunciphisa ubuhlungu.
Okunye ukubuyekezwa kuqhathanise i-IASTM nezinye izindlela zokwelapha ubuhlungu nokulahlekelwa umsebenzi. (Matthew Lambert et al., 2017 )
Abacwaningi baphetha ngokuthi i-IASM ingathinta kahle ukujikeleza kwegazi nokuguquguquka kwezicubu futhi inciphise ubuhlungu.
Olunye ucwaningo lwahlola ukusetshenziswa kwe-IASTM, i-pseudo-fake ultrasound therapy, kanye nokuxhaphazwa komgogodla ezigulini ezinezinhlungu ze-thoracic/ngenhla. (U-Amy L. Crothers et al., 2016 )
Wonke amaqembu aba ngcono ngokuhamba kwesikhathi ngaphandle kwezehlakalo ezimbi ezibalulekile.
Abacwaningi baphetha ngokuthi ukuhlanganisa izicubu ezithambile ezisizwa yizinsimbi akusebenzi noma kungaphansi kokusebenza komgogodla noma ukwelashwa kwe-pseudo-ultrasound yobuhlungu be-thoracic back.
Zonke izimo zihlukile, futhi izimo ze-musculoskeletal zisabela ngendlela ehlukile ezinhlobonhlobo zokwelapha . Kunoma imiphi imibuzo noma okukukhathazayo, xhumana nomhlinzeki wakho wokunakekelwa kwezempilo oyinhloko ukuze uthole ukuthi i-IASTM iwukwelashwa okufanele yini okungasiza.
Ukusuka Ekulimaleni Kuya Ekululameni
VIDEO
Okubhekwayo
Kamali, F., Panahi, F., Ebrahimi, S., & Abbasi, L. (2014). Ukuqhathanisa phakathi kwe-massage kanye nokwelashwa ngokomzimba okujwayelekile kwabesifazane abanezinhlungu eziphansi eziphansi nezingapheli ezingacacisiwe. Ijenali ye-back and musculoskeletal rehabilitation, 27 (4), 475-480. doi.org/10.3233/BMR-140468
UKim, J., Sung, DJ, & Lee, J. (2017). Ukusebenza kahle kokwelashwa kokuhlanganisa izicubu ezithambile ezisizwa ngensimbi zokulimala kwezicubu ezithambile: izindlela kanye nokusetshenziswa okusebenzayo. Ijenali yokuvuselelwa kokuzivocavoca, i-13 (1), i-12-22. doi.org/10.12965/jer.1732824.412
U-Cughtai, M., Newman, JM, Sultan, AA, Samuel, LT, Rabin, J., Khlopas, A., Bhave, A., & Mont, MA (2019). Ukwelashwa kwe-Astym®: ukubuyekezwa okuhlelekile. Izibalo zomuthi wokuhumusha, 7(4), 70. doi.org/10.21037/atm.2018.11.49
Williams M. (2017). Ukuqhathanisa ubuhlungu nokukhubazeka kwemiphumela ye-instrumental ngokumelene nezandla-on-myofascial release kubantu abanobuhlungu obungapheli obuphansi emuva: ukuhlaziywa kwe-meta. I-Doctoral dissertation, eCalifornia State University, eFresno. repository.library.fresnostate.edu/bitstream/handle/10211.3/192491/Williams_csu_6050D_10390.pdf?sequence=1
UMatthew Lambert, uRebecca Hitchcock, uKelly Lavallee, u-Eric Hayford, uRuss Morazzini, u-Amber Wallace, uDakota Conroy noJosh Cleland (2017) Imiphumela yokuhlanganisa izicubu ezithambile ezisizwa yizinsimbi uma kuqhathaniswa nokunye ukungenelela ebuhlungu kanye nomsebenzi: ukubuyekezwa okuhlelekile, Ukwelapha Ngomzimba Izibuyekezo, 22:1-2, 76-85, DOI: 10.1080/10833196.2017.1304184
I-Crothers, AL, French, SD, Hebert, JJ, & Walker, BF (2016). Ukwelapha okukhohlisayo komgogodla, i-Graston technique® kanye ne-placebo yobuhlungu obungaqondile bomgogodla we-thoracic: isilingo esilawulwa ngokungahleliwe. Ukwelashwa kweChiropractic & manual, 24, 16. doi.org/10.1186/s12998-016-0096-9
by UDkt Alex Jimenez I-Acupuncture Therapy , Electroacupuncture Therapy , Ukunakekelwa kokulimala
Kubantu ababhekene nezimpawu zobuhlungu bamadolo ngenxa yokulimala kanye/noma isifo sokuqaqamba kwamalunga, ingabe uhlelo lokwelapha i-acupuncture kanye/noma i-electroacupuncture lungasiza ekudambiseni izinhlungu nasekulawuleni?
I-acupuncture Yobuhlungu Bedolo
I-acupuncture ihilela ukufaka izinaliti ezincane kakhulu esikhumbeni kuma-acupoints athile emzimbeni. Kusekelwe esimisweni sokuthi izinaliti zibuyisela ukugeleza kwamandla omzimba ukuze kusebenze futhi kukhuthaze ukuphulukiswa, ukukhulula ubuhlungu, nokusiza umzimba uphumule.
I-acupuncture ingasiza ukubhekana nezimo ezihlukahlukene zempilo, kuhlanganise nobuhlungu bamadolo obubangelwa isifo samathambo noma ukulimala.
Kuye ngohlobo nobukhulu bobuhlungu, ukwelashwa kungasiza ekunciphiseni ubuhlungu izinsuku noma amasonto.
I-acupuncture ivame ukusetshenziswa njengokwelapha okuhambisanayo - ukwelashwa ngaphezu kwamanye amasu okwelapha noma okwelapha afana nokubhucungwa kanye ne-chiropractic.
Izinzuzo ze-Acupuncture
Ubuhlungu bedolo obubangelwa i-osteoarthritis noma ukulimala bunganciphisa ukuguquguquka, ukuhamba, kanye nezinga lempilo. I-acupuncture ingasiza ekunikezeni impumuzo.
Lapho izinaliti zokutshopa zifakwa emzimbeni, isignali ithunyelwa ngomgogodla ukuya ebuchosheni, okubangela ukukhululwa kwama-endorphin/amahomoni obuhlungu. Abacwaningi bezokwelapha bakholelwa ukuthi lokhu kusiza ukunciphisa ubuhlungu. (U-Qian-Qian Li et al., 2013 ) I-acupuncture iphinde isize ekunciphiseni ukukhiqizwa kwe-cortisol, i-hormone esiza ekulawuleni ukuvuvukala. (U-Qian-Qian Li et al., 2013 ) Ngokuzwa ubuhlungu obuncishisiwe kanye nokuvuvukala okuncane ngemva kokwelashwa kwe-acupuncture, ukusebenza kwamadolo nokuhamba kungathuthukiswa.
Izici ezihlukahlukene zidlala indima ekuqedeni ubuhlungu obutholakala ku-acupuncture. Obunye ubufakazi buphakamisa ukuthi okulindelwe umuntu kungase kube nomthelela emiphumeleni yokwelashwa kwe-acupuncture. (UStephanie L. Prady et al., 2015 )
Abacwaningi njengamanje bahlola ukuthi ingabe ukulindela ukuthi ukutshopa kunenzuzo kunomthelela kumphumela ongcono ngemva kokwelashwa. (U-Zuoqin Yang et al., 2021 )
Ngo-2019, i-acupuncture yanconywa ekwelapheni i-knee osteoarthritis ku-American College of Rheumatology/Arthritis Foundation imihlahlandlela yokulawulwa kobuhlungu besandla, inqulu, kanye ne-knee osteoarthritis. (U-Sharon L. Kolasinski et al., 2020 )
Ucwaningo
Izifundo zomtholampilo ezehlukene zisekela ikhono le-acupuncture lokusiza ekudambiseni ubuhlungu bamadolo nokulawula.
Olunye ucwaningo lwathola ukuthi i-acupuncture isiza ukuphatha izimo ezihlukahlukene ezibangela ubuhlungu obungapheli. (U-Andrew J. Vickers et al., 2012 )
Ukubuyekezwa kwesayensi kuhlaziye izifundo zangaphambilini mayelana nokungenelela kokuphathwa kobuhlungu ngemva kokuhlinzwa kwamadolo futhi kwathola ubufakazi obusekelayo bokuthi ukwelapha kubambezelekile futhi kunciphise ukusetshenziswa kwemithi yokukhulula ubuhlungu ngemva kokuhlinzwa. (U-Dario Tedesco et al., 2017 )
I-osteoarthritis
Ukubuyekezwa okuhlelekile kuhlaziye izifundo zokulawula okungahleliwe ukuze kutholwe ukuthi ngabe ukutshopa kwehlise izinhlungu kanye nokusebenza okuhlangene okuthuthukisiwe kubantu abanobuhlungu obungapheli be-osteoarthritis emadolweni. (U-Xianfeng Lin et al., 2016 )
Abantu bathola izikhathi eziyisithupha kuya kwezingamashumi amabili nantathu zokutshopa amaviki amathathu kuya kwangama-36.
Ukuhlaziywa kunqume ukuthi i-acupuncture ingathuthukisa ukusebenza komzimba okufushane nesikhathi eside kanye nokuhamba futhi inikeze amasonto angu-13 okukhululeka kobuhlungu kubantu abanobuhlungu obungapheli bamadolo obubangelwa i-osteoarthritis.
rheumatoid arthritis
I-Rheumatoid arthritis yisifo esingelapheki esithinta amalunga, okuhlanganisa amadolo, okubangela ubuhlungu nokuqina.
I-acupuncture inenzuzo ekwelapheni i-rheumatoid arthritis/RA.
Ukubuyekeza kutholwe ukuthi ukutshopa kukodwa futhi kuhlanganiswe nezinye izindlela zokwelapha kuzuzisa abantu abane-RA. (Pei-Chi, Chou Heng-Yi Chu 2018 )
I-acupuncture kukholakala ukuthi inemiphumela elwa nokuvuvukala kanye ne-antioxidant ukusiza ukulawula ukusebenza kwamasosha omzimba.
Ubuhlungu bedolo obungapheli
Izimo nokulimala okuhlukahlukene kungabangela ubuhlungu obungapheli emadolweni, okwenza ukuhamba kube nzima.
Abantu abanobuhlungu obuhlangene ngokuvamile baphendukela ezindleleni zokwelashwa ezihambisanayo zokulawula ubuhlungu, kanti ukutshopa kungenye yezindlela ezithandwayo. (UMichael Frass et al., 2012 )
Ucwaningo lubonise ukuthuthukiswa okuthobekile ekunciphiseni ubuhlungu emavikini angu-12. (U-Rana S. Hinman et al., 2014 )
I-acupuncture iholele ekuthuthukisweni okuthobekile kokuhamba nokusebenza emavikini angu-12.
Ukuphepha
Okuqhamuka uma udla imishanguzo
Imiphumela engemihle ingase ihlanganise ubuhlungu, imihuzuko, noma ukopha endaweni yokufakwa inaliti kanye nesiyezi.
Imiphumela emibi engajwayelekile kakhulu ihlanganisa ukuquleka, ukwanda kobuhlungu, kanye nesicanucanu. (Isikole Sezokwelapha saseHarvard. 2023 )
Ukusebenza nomuntu onelayisensi, udokotela wokutshopa ochwepheshe kunganciphisa ingozi yemiphumela emibi engadingeki kanye nezinkinga.
izinhlobo
Ezinye izinketho ze-acupuncture ezinganikezwa zifaka:
I-electroacupuncture
Ifomu eliguquliwe le-acupuncture lapho amandla kagesi amancane edlula ezinalitini, enikeza ukukhuthazwa okwengeziwe kuma-acupoints.
Kolunye ucwaningo, abantu abane-knee osteoarthritis babike ukuthuthuka okuphawulekayo ebuhlungu babo, ukuqina, nokusebenza ngokomzimba ngemva kokwelashwa kwe-electroacupuncture. (Ziyong Ju et al., 2015 )
I-Auricular
I-auricular noma i-ear acupuncture isebenza kuma-acupoints endlebeni ahambisana nezingxenye ezihlukene zomzimba.
Ukubuyekezwa kocwaningo kuhlaziye izifundo ezimbalwa nge-auricular acupuncture ukuze kukhishwe ubuhlungu futhi kwathola ukuthi kunganikeza ukukhululeka phakathi kwamahora angu-48 okuqala ubuhlungu. (M. Murakami et al., 2017 )
I-Battlefield Acupuncture
Izikhungo zokunakekelwa kwempilo zamasosha kanye nomakadebona zisebenzisa uhlobo oluhlukile lwe-auricular acupuncture ekulawuleni ubuhlungu.
Ucwaningo lubonisa ukuthi lusebenza kahle ekunikezeni ukukhululeka kobuhlungu ngokushesha, kodwa ucwaningo olwengeziwe luyadingeka ukuze kutholakale ukuphumelela kokukhulula ubuhlungu besikhathi eside. (U-Anna Denee Montgomery, u-Ronovan Ottenbacher 2020 )
Ngaphambi kokuzama ukutshopa , thintana nochwepheshe bezempilo ukuze uthole isiqondiso, njengoba kungase kuhlanganiswe nezinye izindlela zokwelapha kanye nokulungiswa kwendlela yokuphila.
Ukunqoba Ukulimala Kwe-ACL
VIDEO
Okubhekwayo
U-Li, QQ, Shi, GX, Xu, Q., Wang, J., Liu, CZ, & Wang, LP (2013). Umphumela we-acupuncture kanye nokulawulwa kwe-autonomic okumaphakathi. Umuthi ohambisanayo osuselwe ebufakazini nohlukile : eCAM, 2013, 267959. doi.org/10.1155/2013/267959
Prady, SL, Burch, J., Vanderbloemen, L., Crouch, S., & MacPherson, H. (2015). Ukulinganisa okulindelwe kwenzuzo yokwelashwa ezivivinyweni ze-acupuncture: ukubuyekezwa okuhlelekile. Izindlela zokwelapha ezihambisanayo kwezokwelapha, 23(2), 185-199. doi.org/10.1016/j.ctim.2015.01.007
Yang, Z., Li, Y., Zou, Z., Zhao, Y., Zhang, W., Jiang, H., Hou, Y., Li, Y., & Zheng, Q. (2021). Ingabe ukulindela kwesiguli kuyazuzisa ukwelashwa kwe-acupuncture?: Iphrothokholi yokubuyekezwa okuhlelekile nokuhlaziywa kwe-meta. Umuthi, 100(1), e24178. doi.org/10.1097/MD.0000000000024178
Kolasinski, SL, Neogi, T., Hochberg, MC, Oatis, C., Guyatt, G., Block, J., Callahan, L., Copenhaver, C., Dodge, C., Felson, D., Gellar, K., Harvey, WF, Hawker, G., Herzig, E., Kwoh, CK, Nelson, AE, Samuels, J., Scanzello, C., White, D., Wise, B., … Reston, J. (2020). 2019 American College of Rheumatology/Arthritis Foundation Guide for the Management of Osteoarthritis of the Hand, Hip, and Knee. Ukunakekelwa kwe-arthritis nocwaningo, 72(2), 149-162. doi.org/10.1002/acr.24131
Vickers, AJ, Cronin, AM, Maschino, AC, Lewith, G., MacPherson, H., Foster, NE, Sherman, KJ, Witt, CM, Linde, K., & Acupuncture Trialists' Collaboration (2012). I-acupuncture yobuhlungu obungapheli: ukuhlaziywa kwedatha yesiguli ngasinye. Izingobo zomlando zemithi yangaphakathi, 172(19), 1444-1453. doi.org/10.1001/archinternmed.2012.3654
Tedesco, D., Gori, D., Desai, KR, Asch, S., Carroll, IR, Curtin, C., McDonald, KM, Fantini, MP, & Hernandez-Boussard, T. (2017). Ukungenelela Okungenazo Izidakamizwa Zokunciphisa Ubuhlungu noma Ukusetshenziswa Kwe-Opioid Ngemva Kwe-Total Knee Arthroplasty: Ukubuyekezwa Okuhlelekile kanye nokuhlaziywa kwe-Meta. Ukuhlinzwa kwe-JAMA, 152(10), e172872. doi.org/10.1001/jamasurg.2017.2872
Lin, X., Huang, K., Zhu, G., Huang, Z., Qin, A., & Fan, S. (2016). Imiphumela Ye-acupuncture Ezinhlungwini Ezingapheli Zamadolo Ngenxa Ye-Osteoarthritis: Ukuhlaziywa Kwe-Meta. Ijenali yokuhlinzwa kwamathambo namalunga. Umqulu waseMelika, 98(18), 1578-1585. doi.org/10.2106/JBJS.15.00620
I-Chou, i-PC, ne-Chu, HY (2018). Ukusebenza Komtholampilo Kwe-acupuncture ku-Rheumatoid Arthritis kanye Nezinqubo Ezihlangene: Ukubuyekezwa Okuhlelekile. Imithi ehambisanayo esekelwe ebufakazini nehlukile : eCAM, 2018, 8596918. doi.org/10.1155/2018/8596918
Frass, M., Strassl, RP, Friehs, H., Müllner, M., Kundi, M., & Kaye, AD (2012). Ukusetshenziswa nokwamukelwa kwemithi ehambisanayo nehlukile phakathi komphakathi jikelele kanye nabasebenzi bezokwelapha: ukubuyekezwa okuhlelekile. Ijenali ye-Ochsner, 12(1), 45–56.
Hinman, RS, McCrory, P., Pirotta, M., Relf, I., Forbes, A., Crossley, KM, Williamson, E., Kyriakides, M., Novy, K., Metcalf, BR, Harris, A ., Reddy, P., Conaghan, PG, & Bennell, KL (2014). I-acupuncture yobuhlungu obungapheli bamadolo: isilingo somtholampilo esingahleliwe. JAMA, 312(13), 1313-1322. doi.org/10.1001/jama.2014.12660
Isikhungo Sikazwelonke Sezempilo Ezihambisanayo Nedidiyelwe. (2022). I-acupuncture ekujuleni. Isikhungo Sikazwelonke Sezempilo Ezihambisanayo Nedidiyelwe. www.nccih.nih.gov/health/acupuncture-what-you-need-to-know
Isikole Sezokwelapha saseHarvard. (2023). I-acupuncture: kuyini? I-Harvard Health Publishing Harvard Medical School Blog. www.health.harvard.edu/a_to_z/acupuncture-a-to-z#:~:text=The%20most%20common%20side%20effects,injury%20to%20an%20internal%20organ .
Ju, Z., Guo, X., Jiang, X., Wang, X., Liu, S., He, J., Cui, H., & Wang, K. (2015). I-Electroacupuncture enamandla ahlukene amanje yokwelapha i-knee osteoarthritis: isifundo esilawulwayo esisodwa. Ijenali yamazwe ngamazwe yemithi yomtholampilo neyokuhlola, 8(10), 18981-18989.
Murakami, M., Fox, L., & Dijkers, MP (2017). I-Ear Acupuncture for Immediate Pain Relief-Ukubuyekezwa Okuhlelekile kanye Nokuhlaziywa Kwe-Meta Kwezilingo Ezilawulwa Ngokungahleliwe. Imithi yobuhlungu (Malden, Mass.), 18(3), 551-564. doi.org/10.1093/pm/pnw215
I-Montgomery, AD, & Ottenbacher, R. (2020). I-Battlefield Acupuncture for Chronic Pain Management in Patients on Long-Term Opioid Therapy. I-acupuncture yezokwelapha, 32(1), 38–44. doi.org/10.1089/acu.2019.1382
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
