Chala chopiringidwa chiyenera kusungidwa kuti chichiritse poyamba, koma pamapeto pake, chiyenera kusuntha ndi kusinthasintha kuti chikhale ndi mphamvu ndi kusinthasintha.
Ku Injury Medical Chiropractic ndi Functional Medicine Clinic, timayang'ana kwambiri pochiza kuvulala kwa odwala ndi ma syndromes opweteka kwambiri komanso kuwongolera luso kudzera mu kusinthasintha, kuyenda, ndi kulimba mtima zomwe zimayenderana ndi munthu. Othandizira athu amagwiritsa ntchito njira yophatikizirapo kupanga mapulani osamalira anthu omwe amaphatikizapo Functional Medicine, Acupuncture, Electro-Acupuncture, ndi Sports Medicine protocol. Cholinga chathu ndi kuthetsa ululu mwachibadwa mwa kubwezeretsa thanzi ndi ntchito ku thupi. Ngati munthuyo akufunika chithandizo china, adzatumizidwa ku chipatala kapena dokotala yemwe angamuyenerere. Dr. Jimenez adagwirizana ndi madokotala ochita opaleshoni, akatswiri a zachipatala, ofufuza zachipatala, ndi opereka chithandizo chamankhwala kuti apereke chithandizo chamankhwala chothandiza kwambiri.
Carruthers, KH, Skie, M., & Jain, M. (2016). Kuvulala kwa Jam kwa Chala: Kuzindikira ndi Kuwongolera Zovulala Zogwirizana ndi Interphalangeal Pakati pa Masewera Angapo ndi Miyeso Yachidziwitso. Umoyo wamasewera, 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). Buddy taping: kodi ndi njira yabwino yothandizira kuvulala kwachala ndi chala? Zipatala za opaleshoni ya mafupa, 6 (1), 26-31. doi.org/10.4055/cios.2014.6.1.26
Kutuluka m'chiuno ndi kuvulala kwachilendo koma kumatha kuchitika chifukwa cha kuvulala kapena kutsatira opareshoni ya m'chiuno. Nthawi zambiri zimachitika pambuyo povulala kwambiri, kuphatikizapo kugunda kwa magalimoto, kugwa, ndipo nthawi zina kuvulala pamasewera. (Caylyne Arnold et al., 2017) Kusokonezeka kwa chiuno kumatha kuchitikanso pambuyo pa opaleshoni ya m'chiuno. Kuvulala kwina monga misozi ya ligament, kuwonongeka kwa cartilage, ndi fractures za mafupa zimatha kuchitika pamodzi ndi kusokonezeka. Kusokonezeka kwa ntchafu zambiri kumathandizidwa ndi njira yochepetsera yomwe imabwezeretsa mpirawo muzitsulo. Kawirikawiri amachitidwa ndi sedation kapena anesthesia. Kukonzanso kumatenga nthawi ndipo kumatha miyezi ingapo kuti munthu ayambe kuchira. Thandizo la thupi lingathandize kubwezeretsa kuyenda ndi mphamvu mu chiuno.
Ndi chiyani?
Ngati ntchafuyo yang'ambika pang'ono, imatchedwa hip subluxation. Izi zikachitika, mutu wa m'chiuno umangotuluka pang'ono kuchokera pazitsulo. Chiuno chosokonekera ndi pamene mutu kapena mpira wa mgwirizano umasintha kapena kutuluka muzitsulo. Chifukwa chiuno chochita kupanga chimasiyana ndi cholumikizira wamba, chiwopsezo cha kusweka chimawonjezeka pambuyo polowa m'malo. Kafukufuku wina adawonetsa kuti pafupifupi 2% ya anthu omwe alowa m'malo mwa chiuno chonse amatha kusuntha m'chiuno mkati mwa chaka chimodzi, ndipo chiopsezo chowonjezereka chikuwonjezeka ndi pafupifupi 1% pazaka zisanu. (Jens Dargel et al., 2014) Komabe, njira zatsopano zaumisiri zopangira opaleshoni ndi maopaleshoni zikupangitsa kuti izi zichepe.
Hip Anatomy
Mgwirizano wa chiuno-ndi-socket umatchedwa mgwirizano wa femoroacetabular.
Soketiyo imatchedwa acetabulum.
Mpirawo umatchedwa mutu wa chikazi.
Mafupa a mafupa ndi mitsempha yamphamvu, minofu, ndi tendon zimathandiza kupanga mgwirizano wolimba. Mphamvu yofunikira iyenera kugwiritsidwa ntchito pa mgwirizano kuti chiuno chiwonongeke. Anthu ena amati akumva kugunda kwa m'chiuno. Izi nthawi zambiri sizowonongeka kwa chiuno koma zimasonyeza vuto lina lotchedwa snapping hip syndrome. (Paul Walker et al., 2021)
Kusuntha kwa Hip Pambuyo
Pafupifupi 90% ya kusuntha kwa ntchafu kumakhala kumbuyo.
Mwa mtundu uwu, mpira umakankhidwira kumbuyo kuchokera pazitsulo.
Kusokonezeka kwapambuyo kungayambitse kuvulala kapena kukwiyitsa kwa mitsempha ya sciatic. (R Cornwall, TE Radomisli 2000)
Anterior Hip Dislocation
Kusuntha kwapatsogolo sikofala kwambiri.
Pakuvulala kwamtunduwu, mpira umakankhidwira kunja kwa socket.
Hip Subluxation
Kuthamanga kwa chiuno kumachitika pamene mpira wolumikizana ndi chiuno umayamba kutuluka pang'onopang'ono.
Walker, P., Ellis, E., Scofield, J., Kongchum, T., Sherman, WF, & Kaye, AD (2021). Snapping Hip Syndrome: Kusintha Kwambiri. Ndemanga zamafupa, 13(2), 25088. doi.org/10.52965/001c.25088
Cornwall, R., & Radomisli, TE (2000). Kuvulala kwa mitsempha mu kusokonezeka koopsa kwa chiuno. Matenda a mafupa ndi kafukufuku wokhudzana, (377), 84-91. doi.org/10.1097/00003086-200008000-00012
Kellam, P., & Ostrum, RF (2016). Kubwereza Mwadongosolo ndi Meta-Analysis of Avascular Necrosis ndi Posttraumatic Arthritis Pambuyo pa Kusokonezeka kwa Hip. Journal of orthopedic trauma, 30 (1), 10-16. doi.org/10.1097/BOT.0000000000000419
Ma, HH, Huang, CC, Pai, FY, Chang, MC, Chen, WM, & Huang, TF (2020). Zotsatira za nthawi yayitali kwa odwala omwe ali ndi vuto lopweteka la m'chiuno-dislocation: zinthu zofunika kwambiri zomwe zimapangidwira. Journal of the Chinese Medical Association : JCMA, 83 (7), 686-689. doi.org/10.1097/JCMA.0000000000000366
Zamanja ndi zolumikizana zovuta. Mawondo amathandizira kwambiri kuti azikhala okhazikika komanso oyenda pogwira ntchito kapena kukweza zolemetsa. Amapereka kusuntha kwa mayendedwe pogwiritsa ntchito manja ndi kukhazikika kunyamula ndi kukweza zinthu mosamala komanso motetezeka (National Library of Medicine, 2024). Kukweza zolemera kumachitidwa kaŵirikaŵiri kulimbitsa ndi kukhazikika kwa manja; komabe, kusunthaku kungayambitse kupweteka kwa dzanja ndikupangitsa kuvulala ngati sikunachitike bwino. Kuteteza dzanja kumapangitsa kuti manja akhale olimba komanso athanzi ndipo ndizofunikira kwambiri kuti mupewe zovuta komanso kuvulala.
Wrist Mphamvu
Zolumikizana zapamanja zimayikidwa pakati pa dzanja ndi mafupa am'manja. Mawondo amalumikizana m'mizere iwiri ya mafupa asanu ndi atatu kapena asanu ndi anayi ang'onoang'ono / mafupa a carpal ndipo amalumikizana ndi mafupa a mkono ndi manja ndi mitsempha, pamene minyewa imagwirizanitsa minofu yozungulira ndi mafupa. Malumikizidwe am'manja ndi ma condyloid kapena osinthidwa mpira ndi ma socket joints omwe amathandizira kupindika, kukulitsa, kuba, ndi kusuntha. (National Library of Medicine. 2024) Izi zikutanthauza kuti manja amatha kuyenda mundege zonse zoyenda:
Mbali ndi mbali
Mmwamba ndi pansi
Sinthasintha
Izi zimapereka maulendo osiyanasiyana koma zingayambitsenso kuvala ndi kung'ambika kwambiri ndikuwonjezera chiopsezo cha kupsinjika ndi kuvulala. Minofu pa mkono ndi dzanja kulamulira chala kuyenda zofunika kugwira. Minofu iyi ndi minyewa ndi minyewa yomwe imakhudzidwa imadutsa pamkono. Kulimbitsa mawondo kumawathandiza kuti azitha kuyenda, kumathandizira kupewa kuvulala, ndikuwonjezera komanso kusunga mphamvu zogwira. Mu ndemanga pa zolemera zolemera ndi zowonjezera mphamvu zomwe zinayang'ana mitundu ya kuvulala komwe amapeza, kuvulala kwa dzanja kunali kofala, ndi kuvulala kwa minofu ndi tendon kumakhala kofala kwambiri pakati pa olemera. (Ulrika Aasa et al., 2017)
Kuteteza Zida
Chitetezo cha dzanja chingagwiritse ntchito njira zambiri, zomwe zimaphatikizapo kuwonjezereka mphamvu, kuyenda, ndi kusinthasintha kuti mukhale ndi thanzi labwino komanso kupewa kuvulala. Asananyamule kapena kuchita masewera olimbitsa thupi atsopano, anthu ayenera kufunsana ndi wothandizira zaumoyo wawo wamkulu, wothandizila thupi, mphunzitsi, katswiri wa zachipatala, kapena katswiri wa masewera olimbitsa thupi kuti awone masewera olimbitsa thupi omwe ali otetezeka ndikupereka zopindulitsa malinga ndi mbiri ya kuvulala ndi msinkhu wa thanzi..
Wonjezerani Kuyenda
Kusuntha kumapangitsa kuti ziwongola dzanja ziziyenda mosiyanasiyana ndikusunga bata kofunikira kuti likhale lamphamvu komanso lolimba. Kupanda kuyenda pa dzanja limodzi kungayambitse kuuma ndi kupweteka. Kusinthasintha kumalumikizidwa ndi kuyenda, koma kukhala wosinthasintha kwambiri komanso kusakhazikika kungayambitse kuvulala. Kuti muwonjeze kuyenda kwa dzanja, chitani masewera olimbitsa thupi kawiri kapena katatu pa sabata kuti muwongolere kayendetsedwe kake koyenera komanso kokhazikika. Komanso, kupuma nthawi zonse tsiku lonse kuti mutembenuzire ndi kuzungulira ziwongola dzanja ndikubweza pang'onopang'ono zala kuti ziwongolere kumathandizira kuthetsa kupsinjika ndi kuuma komwe kungayambitse vuto la kuyenda.
Konzekera
Musanayambe kugwira ntchito, tenthetsani manja ndi thupi lonse musanagwire ntchito. Yambani ndi mtima wopepuka kuti mutenge madzi a synovial m'magulu omwe amazungulira kuti azipaka mafupa, kuti azitha kuyenda bwino. Mwachitsanzo, anthu amatha kupanga nkhonya, kuzungulira manja awo, kuchita masewera olimbitsa thupi, kusinthasintha ndi kutambasula manja, ndi kugwiritsa ntchito dzanja limodzi kubweza zala mofatsa. Pafupifupi 25% ya kuvulala kwamasewera kumakhudza dzanja kapena dzanja. Izi zikuphatikizapo kuvulala kwa hyperextension, misozi ya ligament, kupweteka kutsogolo-mkati kapena chala chala-pamanja chifukwa chovulala mopitirira muyeso, kuvulala kwa extensor, ndi zina. (Daniel M. Avery 3rd et al., 2016)
Aasa, U., Svartholm, I., Andersson, F., & Berglund, L. (2017). Kuvulala pakati pa weightlifters ndi powerlifters: kubwereza mwadongosolo. Magazini yaku Britain yamankhwala azamasewera, 51 (4), 211-219. doi.org/10.1136/bjsports-2016-096037
Avery, DM, 3rd, Rodner, CM, & Edgar, CM (2016). Kuvulala kokhudzana ndi masewera pamanja ndi manja: ndemanga. Journal ya opaleshoni ya mafupa ndi kafukufuku, 11 (1), 99. doi.org/10.1186/s13018-016-0432-8
Kwa othamanga ndi okonda masewera, triceps yong'ambika ikhoza kuvulaza kwambiri. Kodi kudziwa zizindikiro zawo, zomwe zimayambitsa, zoopsa, ndi zovuta zomwe zingachitike kungathandize othandizira azaumoyo kupanga dongosolo lothandizira lamankhwala?
Kuvulala kwa Triceps
Triceps ndi minofu yomwe ili kumbuyo kwa mkono wakumtunda yomwe imalola kuti chigongono chiwongole. Mwamwayi, misozi ya triceps si yachilendo, koma ikhoza kukhala yaikulu. Kuvulala kumakhudza amuna nthawi zambiri kuposa akazi ndipo kawirikawiri kumachitika chifukwa cha zoopsa, masewera, ndi / kapena zochitika zolimbitsa thupi. Kutengera kukula ndi kuopsa kwa chovulalacho, kuvulala kwa triceps kumatha kuphatikizika, chithandizo chamankhwala, komanso mwina opaleshoni kuti muyambenso kuyenda ndi mphamvu. Kuchira pambuyo pa misozi ya triceps kumatenga pafupifupi miyezi isanu ndi umodzi. (Ohio State University Wexner Medical Center. 2021)
Anatomy
Minofu ya triceps brachii, kapena triceps, imayenda kumbuyo kwa mkono wakumtunda. Amatchedwa katatu - chifukwa ali ndi mitu itatu - wautali, wapakati, ndi wotsatira. (Sendi G. 2023) Ma triceps amachokera pamapewa ndipo amamangiriza ku phewa / scapula ndi kumtunda kwa mkono fupa / humerus. Pansi pake, imakakamira mpaka pachigongono. Ili ndi fupa lomwe lili mbali ya pinki ya mkono, yotchedwa ulna. Ma triceps amayambitsa kusuntha pamapewa ndi pachigongono. Pa phewa, imapanga kutambasula kapena kubwerera kumbuyo kwa mkono ndi kukweza kapena kusuntha mkono ku thupi. Ntchito yayikulu ya minofu iyi ili pachigongono, pomwe imakulitsa kapena kuwongola chigongono. Ma triceps amagwira ntchito mosiyana ndi minofu ya biceps kutsogolo kwa mkono wapamwamba, yomwe imapangitsa kupindika kapena kupindika kwa chigongono.
Misozi ya Triceps
Misozi imatha kupezeka paliponse kutalika kwa minofu kapena tendon, yomwe ndi dongosolo lomwe limamangiriza minofu ku mafupa. Misozi ya triceps nthawi zambiri imapezeka mu tendon yolumikiza triceps kumbuyo kwa chigongono. Misozi ya minofu ndi tendon imayikidwa pa 1 mpaka 3 kutengera kuuma kwake. (Alberto Grassi et al., 2016)
Grade 1 Wofatsa
Misozi yaying'ono iyi imayambitsa ululu womwe umakulirakulira ndikuyenda.
Pali kutupa, mikwingwirima, ndi kuchepa pang'ono kwa ntchito.
Grade 2 Moderate
Misozi iyi ndi yokulirapo ndipo imatupa pang'ono komanso mabala.
Ulusiwo umang'ambika pang'ono ndi kutambasula.
Mpaka 50% kutaya ntchito.
Gulu 3 Kwambiri
Uwu ndi mtundu woyipa kwambiri wa misozi, pomwe minofu kapena tendon imang'ambika kwathunthu.
Mankhwala ena osagwiritsidwa ntchito ngati Tylenol angathandize kuchepetsa ululu.
Chiwombankhangacho chikachotsedwa, chithandizo chamankhwala chingathandize kubwezeretsa kayendedwe ndi mphamvu mu chigongono.
Kuyenda kwathunthu kumayembekezereka kubwerera mkati mwa masabata a 12, koma mphamvu zonse sizidzabwerera mpaka miyezi isanu ndi umodzi kapena isanu ndi inayi pambuyo povulala. (Mehmet Demirhan, Ali Ersen 2016)
Opaleshoni
Misozi ya triceps tendon yomwe imaphatikizapo zoposa 50% ya tendon imafuna opaleshoni. Nthawi zina, komabe, opaleshoni ikhoza kulangizidwabe misozi yochepera 50% ngati munthuyo ali ndi ntchito yovuta kapena akufuna kuyambiranso kusewera masewera apamwamba. Misozi ya m'mimba ya minofu kapena malo omwe minofu ndi tendon zimalumikizana nthawi zambiri zimasokedwa pamodzi. Ngati tendon silinagwirizanenso ndi fupa, imabwereranso. Kuchira ndi chithandizo chamankhwala pambuyo pa opaleshoni zimadalira ndondomeko za dokotalayo. Nthawi zambiri, anthu amatha milungu ingapo ali pachingwe. Pafupifupi milungu inayi pambuyo pa opaleshoni, anthu adzatha kusunthanso chigongono. Komabe, sadzatha kuyamba kunyamula katundu wolemetsa kwa miyezi inayi kapena isanu ndi umodzi. (Ortho Bullets. 2022) (Mehmet Demirhan, Ali Ersen 2016)
Grassi, A., Quaglia, A., Canata, GL, & Zaffagnini, S. (2016). Kusintha pakusintha kwa kuvulala kwa minofu: kuwunikiranso nkhani kuchokera kuchipatala kupita ku machitidwe onse. Zolumikizana, 4(1), 39-46. doi.org/10.11138/jts/2016.4.1.039
Casadei, K., Kiel, J., & Freidl, M. (2020). Kuvulala kwa Tendon Triceps. Malipoti aposachedwa azamankhwala amasewera, 19 (9), 367-372. doi.org/10.1249/JSR.0000000000000749
Mangano, T., Cerruti, P., Repetto, I., Trentini, R., Giovale, M., & Franchin, F. (2015). Chronic Tendonopathy Monga Chifukwa Chapadera Chopanda Kupweteka kwa Triceps Tendon Kuphulika mu (Zoopsa Zopanda Zowopsa) Zomanga thupi: Lipoti la Nkhani. Journal ya malipoti amilandu ya mafupa, 5 (1), 58-61. doi.org/10.13107/jocr.2250-0685.257
Anthu nthawi zambiri amakhala ndi kulimba kwa minofu kapena zoletsa mu minofu ndi fascia pambuyo povulala. Zoletsa za minofu yofewazi zimatha kuchepetsa kusuntha - ROM ndipo zimatha kuyambitsa zizindikiro zowawa. (Kim J, Sung DJ, Lee J. 2017)
History
Njira ya Graston yolumikizira minofu yofewa yothandizidwa ndi zida idapangidwa ndi wothamanga yemwe adapanga zida zawo zochizira kuvulala kwa minofu yofewa. Mchitidwewu wakula ndi malingaliro ochokera kwa akatswiri azachipatala, ophunzitsa, ofufuza, ndi azachipatala.
izi zida zosisita amakhala ndi mitundu yosiyanasiyana yotikita minofu ndi kumasula.
Kampani ya Graston imapanga zida zina.
Makampani ena ali ndi mtundu wawo wazitsulo kapena pulasitiki zopala ndi zida zopaka.
Cholinga chake ndikuthandizira kumasula minofu yofewa komanso zoletsa za myofascial kuti zithandizire kuyenda bwino kwa thupi. (Kim J, Sung DJ, Lee J. 2017)
Mmene Ntchito
Chiphunzitso chake ndi chakuti kukwapula minofu kumayambitsa microtrauma kudera lomwe lakhudzidwa, ndikuyambitsa kuyankha kwachilengedwe kwa thupi. (Kim J, Sung DJ, Lee J. 2017)
Ndemanga inafanizira manja-pa myofascial kumasulidwa kwa chida cha myofascial kumasulidwa kwa ululu wopweteka kwambiri. (Williams M. 2017)
Kusiyana kochepa kunapezeka pakati pa njira ziwiri zochepetsera ululu.
Ndemanga ina inayerekeza IASTM ndi njira zina zochizira ululu ndi kutayika kwa ntchito. (Matthew Lambert et al., 2017)
Ofufuzawo adatsimikiza kuti IASTM ikhoza kukhudza kufalikira kwa magazi ndi kusinthasintha kwa minofu ndikuchepetsa ululu.
Kafukufuku wina adayang'ana kugwiritsa ntchito IASTM, pseudo-fake ultrasound therapy, ndi kusintha kwa msana kwa odwala omwe ali ndi ululu wa thoracic / chapamwamba. (Amy L. Crothers et al., 2016)
Ofufuzawo adatsimikiza kuti kusonkhanitsa minofu yofewa yothandizidwa ndi zida sikulinso kothandiza kuposa kuwongolera kwa msana kapena pseudo-ultrasound chithandizo cha ululu wammbuyo wa thoracic.
Mlandu uliwonse ndi wosiyana, ndipo matenda a musculoskeletal amayankha mosiyanasiyana mankhwala. Pamafunso aliwonse kapena nkhawa, funsani wothandizira zaumoyo wanu kuti adziwe ngati IASTM ndi chithandizo choyenera chomwe chingathandize.
Kuyambira Kuvulala Mpaka Kuchira
Zothandizira
Kamali, F., Panahi, F., Ebrahimi, S., & Abbasi, L. (2014). Kuyerekeza pakati pa kutikita minofu ndi chizolowezi cholimbitsa thupi mwa amayi omwe ali ndi ululu wocheperako komanso wosakhazikika wocheperako. Journal of back and musculoskeletal rehabilitation, 27 (4), 475-480. doi.org/10.3233/BMR-140468
Kim, J., Sung, DJ, & Lee, J. (2017). Kuchita bwino kwa chithandizo chamankhwala othandizira minofu yofewa yothandizidwa ndi zida zovulaza minofu yofewa: njira ndi ntchito zothandiza. Journal of exercise rehabilitation, 13 (1), 12-22. doi.org/10.12965/jer.1732824.412
Chughtai, M., Newman, JM, Sultan, AA, Samuel, LT, Rabin, J., Khlopas, A., Bhave, A., & Mont, MA (2019). Chithandizo cha Astym®: kuwunika mwadongosolo. Annals of translational medicine, 7(4), 70. doi.org/10.21037/atm.2018.11.49
Kwa anthu omwe ali ndi zizindikiro za ululu wa mawondo chifukwa chovulala ndi / kapena nyamakazi, kodi kuphatikiza ndondomeko ya chithandizo cha acupuncture ndi / kapena electroacupuncture kungathandize kuchepetsa ululu ndi kusamalira?
Acupuncture Chifukwa cha Kupweteka kwa Knee
Kutema mphini kumaphatikizapo kulowetsa singano zoonda kwambiri pakhungu pazigawo zina za thupi. Zimachokera ku mfundo yakuti singano zimabwezeretsa kutuluka kwa mphamvu za thupi kuti ziyambitse ndi kulimbikitsa machiritso, kuthetsa ululu, ndikuthandizira thupi kumasuka.
Kutema mphini kungathandize kuthana ndi matenda osiyanasiyana, kuphatikizapo kupweteka kwa bondo chifukwa cha nyamakazi kapena kuvulala.
Malingana ndi mtundu ndi kukula kwa ululu, mankhwala angathandize kuchepetsa ululu kwa masiku kapena masabata.
Kupweteka kwa bondo chifukwa cha osteoarthritis kapena kuvulala kungachepetse kusinthasintha, kuyenda, ndi moyo wabwino. Acupuncture imathandizira kuchepetsa thupi.
Pamene singano za acupuncture zimayikidwa pa thupi, chizindikiro chimatumizidwa pamphepete mwa msana kupita ku ubongo, zomwe zimayambitsa kutulutsidwa kwa endorphins / mahomoni opweteka. Ofufuza zachipatala amakhulupirira kuti izi zimathandiza kuchepetsa ululu. (Qian-Qian Li et al., 2013) Kutema mphini kumathandizanso kuchepetsa kaphatikizidwe ka cortisol, timadzi timene timathandiza kuti kutupa. (Qian-Qian Li et al., 2013) Ndikumva kupweteka kochepa komanso kutupa pang'ono pambuyo pa chithandizo cha acupuncture, ntchito ya mawondo ndi kuyenda kungapitirire.
Zinthu zosiyanasiyana zimathandizira pakuchepetsa ululu chifukwa cha kutema mphini. Umboni wina umasonyeza kuti zomwe munthu amayembekeza zingakhudze zotsatira za chithandizo cha acupuncture. (Stephanie L. Prady et al., 2015)
Ochita kafukufuku panopa akuwunika ngati kuyembekezera kuti kutema mphini n'kopindulitsa kumathandiza kuti pakhale zotsatira zabwino pambuyo pa chithandizo. (Zuoqin Yang et al., 2021)
Mu 2019, acupuncture idalimbikitsidwa pochiza nyamakazi ya bondo mu malangizo a American College of Rheumatology/Arthritis Foundation pakuwongolera ululu wamanja, chiuno, ndi mawondo osteoarthritis. (Sharon L. Kolasinski et al., 2020)
Research
Maphunziro osiyanasiyana azachipatala amathandizira kuthekera kwa acupuncture kuthandiza kuchepetsa ululu wa mawondo ndi kuwongolera.
Kafukufuku wina adapeza kuti kutema mphini kumathandiza kuthana ndi zovuta zosiyanasiyana zomwe zimayambitsa kupweteka kosalekeza. (Andrew J. Vickers et al., 2012)
Ndemanga ya sayansi inasanthula maphunziro apitalo okhudza chithandizo cha ululu pambuyo pa opaleshoni ya mawondo ndipo anapeza umboni wotsimikizira kuti mankhwalawo anachedwa ndi kuchepetsa kugwiritsa ntchito mankhwala opweteka pambuyo pa opaleshoni. (Dario Tedesco et al., 2017)
Osteoarthritis
Ndemanga mwadongosolo idasanthula maphunziro owongolera osasinthika kuti adziwe ngati kutema mphini kumachepetsa ululu komanso kupititsa patsogolo ntchito kwa olowa mwa anthu omwe ali ndi ululu wanthawi zonse wa osteoarthritis. (Xianfeng Lin et al., 2016)
Anthu adalandira magawo asanu ndi limodzi mpaka makumi awiri ndi atatu pa sabata kwa masabata atatu mpaka 36.
Kuwunikaku kunatsimikizira kuti kutema mphini kumatha kusintha magwiridwe antchito amthupi kwakanthawi kochepa komanso kwanthawi yayitali komanso kupereka mpaka masabata a 13 a mpumulo wa ululu mwa anthu omwe ali ndi ululu wopweteka wa mawondo omwe amayamba chifukwa cha osteoarthritis.
nyamakazi
Rheumatoid nyamakazi ndi matenda aakulu omwe amakhudza ziwalo, kuphatikizapo mawondo a mawondo, zomwe zimayambitsa kupweteka ndi kuuma.
Kugwira ntchito ndi dokotala wovomerezeka, wodziwa bwino za acupuncture kungachepetse chiopsezo cha zotsatira zosafunikira ndi zovuta.
mitundu
Njira zina za acupuncture zomwe zingaperekedwe ndi izi:
Electroacupuncture
Mawonekedwe osinthidwa a acupuncture pomwe mphamvu yamagetsi yocheperako imadutsa mu singano, kupereka chilimbikitso chowonjezera ku ma acupoints.
Mu kafukufuku wina wofufuza, anthu omwe ali ndi matenda a mafupa a bondo adanena kuti asintha kwambiri ululu wawo, kuuma kwawo, ndi ntchito zawo zakuthupi pambuyo pa chithandizo cha electroacupuncture. (Ziyong Ju et al., 2015)
Zotsogola
Auricular kapena ear acupuncture amagwira ntchito pa ma acupoints m'khutu ogwirizana ndi ziwalo zosiyanasiyana za thupi.
Kafukufuku wofufuza adasanthula maphunziro angapo okhudza kuponderezedwa kwa auricular kuti athetse ululu ndipo adapeza kuti atha kupereka mpumulo mkati mwa maola 48 chiyambireni ululu. (M. Murakami et al., 2017)
Nkhondo ya Acupuncture
Malo azachipatala ankhondo ndi akale amagwiritsa ntchito njira yapadera ya auricular acupuncture pakuwongolera ululu.
asanafotokoze kutema mphini, funsani katswiri wa zaumoyo kuti akutsogolereni, chifukwa akhoza kuphatikizidwa ndi mankhwala ena ndi kusintha kwa moyo.
Kugonjetsa Kuvulala kwa ACL
Zothandizira
Li, QQ, Shi, GX, Xu, Q., Wang, J., Liu, CZ, & Wang, LP (2013). Acupuncture effect ndi central autonomic regulation. Maumboni owonjezera ndi mankhwala ena: eCAM, 2013, 267959. doi.org/10.1155/2013/267959
Prady, SL, Burch, J., Vanderbloemen, L., Crouch, S., & MacPherson, H. (2015). Kuyeza ziyembekezo za phindu la chithandizo mu mayesero a acupuncture: kubwereza mwadongosolo. Thandizo lothandizira mu mankhwala, 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). Kodi ziyembekezo za wodwala zimapindula ndi chithandizo cha acupuncture?: Ndondomeko yowunikira mwadongosolo komanso kusanthula meta. Mankhwala, 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 Guideline for the Management of Osteoarthritis of the Hand, Hip, and Knee. Kusamalira nyamakazi & kafukufuku, 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). Acupuncture kwa ululu wosatha: meta-analysis ya data ya wodwala aliyense. Archives of Internal Medicine, 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). Kugwiritsa Ntchito Mankhwala Opanda Mankhwala Ochepetsa Kupweteka kapena Opioid Pambuyo pa Knee Arthroplasty Yonse: Kubwereza Mwadongosolo ndi Meta-analysis. Opaleshoni ya JAMA, 152 (10), e172872. doi.org/10.1001/jamasurg.2017.2872
Lin, X., Huang, K., Zhu, G., Huang, Z., Qin, A., & Fan, S. (2016). Zotsatira za Acupuncture pa Ululu Wosatha wa Knee Chifukwa cha Osteoarthritis: Meta-Analysis. Journal of mafupa ndi mafupa opaleshoni. Voliyumu yaku America, 98 (18), 1578-1585. doi.org/10.2106/JBJS.15.00620
Chou, PC, & Chu, HY (2018). Kuchita Kwachipatala kwa Acupuncture pa Rheumatoid Arthritis ndi Associated Mechanisms: Kubwereza Kwambiri. Umboni Wothandizira ndi Njira Zina Zochiritsira: eCAM, 2018, 8596918. doi.org/10.1155/2018/8596918
Frass, M., Strassl, RP, Friehs, H., Müllner, M., Kundi, M., & Kaye, AD (2012). Kugwiritsiridwa ntchito ndi kuvomereza mankhwala othandizira ndi ena pakati pa anthu ambiri ndi ogwira ntchito zachipatala: kubwereza mwadongosolo. Magazini ya 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). Acupuncture kwa kupweteka kwa mawondo osatha: kuyesa kwachipatala kosasintha. JAMA, 312(13), 1313-1322. doi.org/10.1001/jama.2014.12660
Ju, Z., Guo, X., Jiang, X., Wang, X., Liu, S., He, J., Cui, H., & Wang, K. (2015). Electroacupuncture yokhala ndi mphamvu zosiyanasiyana zamakono zochizira nyamakazi ya bondo: kafukufuku wopangidwa ndi khungu limodzi. Magazini yapadziko lonse yachipatala ndi kuyesa mankhwala, 8 (10), 18981-18989.
Murakami, M., Fox, L., & Dijkers, MP (2017). Ear Acupuncture for Immediate Pain Relief-Kuwunika Mwadongosolo ndi Meta-Analysis of Randomized Controlled Trials. Mankhwala opweteka (Malden, Mass.), 18 (3), 551-564. doi.org/10.1093/pm/pnw215
Montgomery, AD, & Ottenbacher, R. (2020). Battlefield Acupuncture for Chronic Pain Management in Odwala pa Long-Term Opioid Therapy. Medical acupuncture, 32 (1), 38-44. doi.org/10.1089/acu.2019.1382
Kuvulala kwa mawondo kumatha kupezeka mwa anthu ochita masewera olimbitsa thupi omwe amakweza zolemera. Kodi kumvetsetsa mitundu ya kuvulala kwa mawondo olemetsa kungathandizire kupewa?
Kuvulaza Mabondo Olemera
Maphunziro olemera ndi otetezeka kwambiri kwa mawondo monga maphunziro olemetsa nthawi zonse amatha kupititsa patsogolo mphamvu za mawondo ndikupewa kuvulala malinga ngati mawonekedwe olondola akutsatiridwa. Kwa anthu omwe akuvulala m'mawondo chifukwa cha zochitika zina, kuchita masewera olimbitsa thupi molakwika kungapangitse kuvulalako. (Ulrika Aasa et al., 2017) Komanso, kusuntha kwadzidzidzi, kusayenda bwino, ndi kuvulala komwe kunalipo kale kungapangitse chiopsezo chowonjezereka kapena kuvulala kwina. (Hagen Hartmann et al, 2013) Thupi ndi mawondo amapangidwa kuti azithandizira mphamvu zowongoka pamalumikizidwe.
Kuvulala Wamba
Kuvulala kwa mawondo olemera kwambiri kumachitika pamene mawondo a mawondo amapirira zovuta zambiri ndi zovuta. Pophunzitsa zolemetsa, mitsempha yomwe imagwirizanitsa ndi mafupa ovuta a mawondo a bondo amatha kuonongeka ndi kayendetsedwe kolakwika, kulemetsa kulemera kwake, ndi kuonjezera kulemera mwamsanga. Kuvulala kumeneku kungayambitse ululu, kutupa, ndi kusasunthika komwe kumatha kuchoka pazing'ono mpaka zovuta, kuchokera ku sprain kapena kung'amba pang'ono mpaka kung'amba kwathunthu pazochitika zazikulu.
Anterior Cruciate Ligament - ACL - Kuvulala
Ligament iyi imamangiriza fupa la ntchafu ku fupa la shin / tibia ndipo limayang'anira kuzungulira kwakukulu kapena kutambasula kwa bondo. (American Academy of Family Physicians. 2024)
Anterior amatanthauza kutsogolo.
Kuvulala kwa ACL kumawoneka makamaka mwa othamanga koma akhoza kuchitika kwa aliyense.
Kuwonongeka kwakukulu kwa ACL nthawi zambiri kumatanthauza kukonzanso opaleshoni ndi kukonzanso kwa miyezi 12.
Mukamakweza zolemera, yesetsani kupewa kupotoza mayendedwe a mawondo, mwadala kapena mwangozi, pansi pa katundu wambiri.
Posterior Cruciate Ligament - PCL - Kuvulala
PCL imagwirizanitsa femur ndi tibia pazigawo zosiyanasiyana ku ACL.
Imawongolera kusuntha kulikonse kumbuyo kwa tibia pamgwirizano.
Kuvulala kumachitika kwambiri ndi mphamvu zowonongeka chifukwa cha ngozi komanso nthawi zina pazochitika zomwe kuvulala koopsa kwa bondo kumachitika.
Medial Collateral Ligament - MCL - Kuvulala
Ligament iyi imasunga bondo kuti lisagwedezeke kwambiri mpaka mkati / pakati.
Nthawi zambiri kuvulala kumachitika chifukwa cha kugunda kwa bondo kapena kuchokera ku mphamvu yangozi yapamyendo yomwe imapindika mosiyanasiyana.
Lateral Collateral Ligament - LCL - Kuvulala
Ligament iyi imagwirizanitsa fupa laling'ono la mwendo wapansi / fibula ku femur.
Ndi zotsutsana ndi MCL.
Imasunga kusuntha kwakukulu kwakunja.
Kuvulala kwa LCL kumachitika pamene mphamvu ikukankhira bondo kunja.
Aasa, U., Svartholm, I., Andersson, F., & Berglund, L. (2017). Kuvulala pakati pa weightlifters ndi powerlifters: kubwereza mwadongosolo. Magazini yaku Britain yamankhwala azamasewera, 51 (4), 211-219. doi.org/10.1136/bjsports-2016-096037
Hartmann, H., Wirth, K., & Klusemann, M. (2013). Kusanthula katundu pa bondo olowa ndi vertebral column ndi kusintha squatting kuya ndi kulemera katundu. Mankhwala amasewera (Auckland, NZ), 43(10), 993-1008. doi.org/10.1007/s40279-013-0073-6
Mellinger, S., & Neurohr, GA (2019). Njira zochiritsira zozikidwa paumboni za kuvulala kofala kwa mawondo mwa othamanga. Annals za mankhwala omasulira, 7(Suppl 7), S249. doi.org/10.21037/atm.2019.04.08
