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
Kodi anthu omwe ali ndi matenda a Ehlers-Danlos angapeze mpumulo kudzera m'njira zosiyanasiyana zosapanga opaleshoni kuti achepetse kusakhazikika pamodzi?
Introduction
Kulumikizana ndi mitsempha yozungulira minofu ndi mafupa amalola kuti kumtunda ndi kumunsi kukhazikike kukhazikika kwa thupi ndikukhala mafoni. Minofu yosiyana siyana ndi minyewa yofewa yomwe imazungulira mafupawo imawathandiza kuti asavulale. Zinthu zachilengedwe kapena zovuta zikayamba kukhudza thupi, anthu ambiri amakhala ndi zovuta zomwe zimapangitsa kuti pakhale mbiri yowopsa, zomwe zimakhudza kukhazikika kwa mafupa. Chimodzi mwa zovuta zomwe zimakhudza mafupa ndi minofu yolumikizana ndi EDS kapena Ehlers-Danlos syndrome. Kusokonezeka kwa minofu yamtunduwu kungapangitse kuti ziwalo za thupi zikhale hypermobile. Zingayambitse kusakhazikika kwa mgwirizano kumtunda ndi kumunsi, motero kumasiya munthu kukhala wopweteka nthawi zonse. Nkhani ya lero ikukamba za matenda a Ehlers-Danlos ndi zizindikiro zake komanso momwe pali njira zopanda opaleshoni zothetsera vutoli. Timakambirana ndi azachipatala ovomerezeka omwe amaphatikiza zambiri za odwala athu kuti awone momwe matenda a Ehlers-Danlos angagwirizane ndi matenda ena a minofu ndi mafupa. Timadziwitsanso ndikuwatsogolera odwala momwe mankhwala osiyanasiyana osagwiritsa ntchito opaleshoni angathandizire kuchepetsa zizindikiro zowawa komanso kusamalira matenda a Ehlers-Danlos. Timalimbikitsanso odwala athu kuti afunse othandizira awo azachipatala mafunso ambiri ovuta komanso ofunikira okhudza kuphatikiza njira zosiyanasiyana zochiritsira zosachita opaleshoni monga gawo la zochitika zawo zatsiku ndi tsiku kuti athe kuthana ndi zotsatira za matenda a Ehlers-Danlos. Dr. Jimenez, DC, akuphatikizapo izi monga ntchito ya maphunziro. chandalama.
Kodi Ehlers-Danlos Syndrome Ndi Chiyani?
Kodi nthawi zambiri mumatopa kwambiri tsiku lonse, ngakhale mutagona usiku wonse? Kodi mumavulazidwa mosavuta ndikudabwa kuti mikwingwirima iyi ikuchokera kuti? Kapena mwawona kuti muli ndi kuchuluka kwamitundu yambiri pamalumikizidwe anu? Zambiri mwazinthuzi nthawi zambiri zimagwirizanitsidwa ndi matenda otchedwa Ehlers-Danlos syndrome kapena EDS omwe amakhudza ziwalo zawo ndi minofu yolumikizana. EDS imakhudza minyewa yolumikizana m'thupi. Mitsempha yolumikizana m'thupi imathandiza kupereka mphamvu ndi kusungunuka kwa khungu, mafupa, komanso makoma a mitsempha ya magazi, kotero pamene munthu akulimbana ndi EDS, zingayambitse kusokonezeka kwakukulu kwa minofu ndi mafupa. EDS imapezeka makamaka m'chipatala, ndipo madokotala ambiri azindikira kuti jini ya collagen ndi mapuloteni omwe amalumikizana m'thupi angathandize kudziwa mtundu wa EDS umene umakhudza munthu. (Miklovic & Sieg, 2024)
Zizindikiro zake
Mukamvetsetsa EDS, ndikofunikira kudziwa zovuta za matenda olumikizana ndi minofu iyi. EDS imagawidwa m'mitundu yambiri yokhala ndi mawonekedwe osiyanasiyana komanso zovuta zomwe zimasiyana malinga ndi kuuma kwake. Imodzi mwa mitundu yodziwika bwino ya EDS ndi hypermobile Ehlers-Danlos syndrome. Mtundu uwu wa EDS umadziwika ndi hypermobility wamba, kusakhazikika kwamagulu, komanso kupweteka. Zina mwa zizindikiro zomwe zimagwirizanitsidwa ndi hypermobile EDS zimaphatikizapo kugwedezeka, kusokonezeka, ndi kuvulala kwa minofu yofewa yomwe imakhala yofala ndipo imatha kuchitika mwadzidzidzi kapena kupwetekedwa kochepa. (Hakim, 1993) Izi nthawi zambiri zingayambitse ululu wopweteka kwambiri pamagulu omwe ali pamwamba ndi pansi. Pokhala ndi zizindikiro zambiri komanso momwe chikhalidwecho chilili, ambiri nthawi zambiri samazindikira kuti kuphatikizika kwa mgwirizano kumakhala kofala pakati pa anthu ambiri ndipo sikungakhale ndi zovuta zomwe zimasonyeza kuti ndi matenda okhudzana ndi minofu. (Gensemer et al., 2021) Kuphatikiza apo, hypermobile EDS ingayambitse kupunduka kwa msana chifukwa cha kuchuluka kwa khungu, mafupa, ndi kufooka kwa minofu yosiyanasiyana. The pathophysiology of spinal deformity kugwirizana ndi hypermobile EDS makamaka chifukwa cha minofu hypotonia ndi ligament laxity. (Uehara et al., 2023) Izi zimapangitsa kuti anthu ambiri achepetse kwambiri moyo wawo komanso zochita za tsiku ndi tsiku. Komabe, pali njira zothandizira EDS ndi zizindikiro zake zogwirizana kuti muchepetse kusakhazikika pamodzi.
Movement Medicine: Chiropractic Care-Video
Njira Zowongolera EDS
Pankhani yofunafuna njira zothandizira EDS kuti muchepetse ululu ndi kusakhazikika kwamagulu, mankhwala osachita opaleshoni angathandize kuthana ndi zochitika zakuthupi ndi zamaganizo. Thandizo lopanda maopaleshoni kwa anthu omwe ali ndi EDS nthawi zambiri limayang'ana kwambiri pakuwongolera magwiridwe antchito amthupi pomwe amapangitsa kuti minyewa ikhale yolimba komanso kukhazikika kwamagulu. (Buryk-Iggers et al., 2022) Anthu ambiri omwe ali ndi EDS amayesa kuphatikizira njira zowongolera ululu ndi chithandizo chamankhwala komansogwiritsani ntchito zingwe ndi zida zothandizira kuchepetsa zotsatira za EDS ndikusintha moyo wawo.
Chithandizo Chopanda Opaleshoni cha EDS
Mankhwala osiyanasiyana osapanga opaleshoni monga MET (njira yamphamvu ya minofu), electrotherapy, chithandizo chopepuka, chisamaliro cha chiropractic, ndi kutikita minofu. zingathandize kulimbikitsa pamene toning minofu yozungulira kuzungulira mafupa, kupereka mpumulo wokwanira wa ululu, ndi kuchepetsa kudalira mankhwala kwa nthawi yaitali. (Broida et al., 2021) Kuonjezera apo, anthu omwe ali ndi EDS amafunitsitsa kulimbikitsa minofu yomwe yakhudzidwa, kukhazikika m'malo olumikizirana mafupa, komanso kukonza mayendedwe ake. Thandizo lopanda opaleshoni limalola munthuyo kukhala ndi ndondomeko ya chithandizo chokhazikika cha kuopsa kwa zizindikiro za EDS ndikuthandizira kuchepetsa ululu wokhudzana ndi vutoli. Anthu ambiri, akamadutsa dongosolo lawo lamankhwala motsatizana kuti athe kusamalira EDS yawo ndikuchepetsa zizindikiro zonga zowawa, amawona kusintha kwazizindikiro. (Khokhar et al., 2023) Izi zikutanthauza kuti mankhwala osagwiritsa ntchito opaleshoni amalola anthu kuti aziganizira kwambiri za matupi awo ndi kuchepetsa zotsatira zopweteka za EDS, motero amalola anthu ambiri omwe ali ndi EDS kukhala ndi moyo wokwanira, womasuka popanda kumva ululu ndi kusamva bwino.
Zothandizira
Broida, SE, Sweeney, AP, Gottschalk, MB, & Wagner, ER (2021). Kusamalira kusakhazikika kwa mapewa mu hypermobility-type Ehlers-Danlos syndrome. JSES Rev Rep Tech, 1(3), 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). Kuchita Zolimbitsa Thupi ndi Kukonzanso Kwa Anthu Omwe Ali ndi Ehlers-Danlos Syndrome: Kubwereza Mwadongosolo. Arch Rehabil Res Clin Transl, 4(2), 100189. doi.org/10.1016/j.arrct.2022.100189
Gensemer, C., Burks, R., Kautz, S., Judge, DP, Lavallee, M., & Norris, RA (2021). Hypermobile Ehlers-Danlos Syndromes: Zovuta za phenotypes, matenda ovuta, komanso zifukwa zomwe sizikumveka bwino. Dev Dyn, 250(3), 318-344. doi.org/10.1002/dvdy.220
Hakim, A. (1993). Hypermobile Ehlers-Danlos Syndrome. 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). Ubwino Wa Chithandizo Cha Osteopathic Manipulative Pa Wodwala Ali ndi Ehlers-Danlos Syndrome. Cureus, 15(5), e38698. doi.org/10.7759/cureus.38698
Uehara, M., Takahashi, J., & Kosho, T. (2023). Kuwonongeka kwa Msana mu Ehlers-Danlos Syndrome: Yang'anani pa Mtundu wa Musculocontractural. Genes (Basel), 14(6). doi.org/10.3390/genes14061173
Kodi kumvetsetsa mfundo za mahinji amthupi ndi momwe zimagwirira ntchito kungathandize kuthana ndi vuto la kuyenda ndi kusinthasintha ndikuwongolera momwe zinthu zilili kwa anthu omwe ali ndi vuto lopindika kapena kutambasula zala, zala, zigongono, akakolo, kapena mawondo?
Mgwirizano wa Hinge
Mgwirizano umapanga pamene fupa limodzi limagwirizanitsa ndi lina, kulola kuyenda. Mitundu yosiyanasiyana yamagulu imasiyana mosiyana ndi kayendetsedwe kake malinga ndi malo awo. Izi zikuphatikizapo hinge, mpira ndi socket, planar, pivot, saddle, ndi ellipsoid joints. (Zopanda malire. General Biology, ND) Mahinji olowa ndi ma synovial olowa omwe amadutsa munjira imodzi yoyenda: kupindika ndi kukulitsa. Kulumikizana kwa hinge kumapezeka mu zala, zigongono, mawondo, akakolo, ndi zala ndikuwongolera kayendetsedwe ka ntchito zosiyanasiyana. Kuvulala, osteoarthritis, ndi matenda a autoimmune amatha kukhudza mafupa a hinge. Kupumula, mankhwala, ayezi, ndi chithandizo chamankhwala chingathandize kuchepetsa ululu, kulimbitsa mphamvu ndi kuyenda kosiyanasiyana, ndikuthandizira kuthetsa mikhalidwe.
Anatomy
Mgwirizano umapangidwa ndi kulumikizana kwa mafupa awiri kapena kuposerapo. Thupi la munthu lili ndi magulu atatu akuluakulu a mafupa, omwe amagawidwa ndi momwe angasunthire. Izi zikuphatikizapo: (Zopanda malire. General Biology, ND)
Awa ndi malo olumikizirana oyenda momasuka omwe amalola kusuntha mbali zingapo.
Mafupa omwe amapanga mafupa amapangidwa ndi articular cartilage ndipo amatsekedwa mu capsule yophatikizana yodzaza ndi synovial fluid yomwe imalola kuyenda kosalala.
Magulu a Synovial amagawidwa m'mitundu yosiyanasiyana kutengera kusiyana kwa kapangidwe kake komanso kuchuluka kwa ndege zoyenda zomwe amalola. Mgwirizano wa hinge ndi mgwirizano wa synovial womwe umalola kuyenda mu ndege imodzi, mofanana ndi hinge ya chitseko yomwe imapita kutsogolo ndi kumbuyo. Mkati mwa olowa, mapeto a fupa limodzi amakhala opindikira / kuloza kunja, ndi ena ozungulira / ozungulira mkati kuti malekezero agwirizane bwino. Chifukwa ma hinge olowa amangoyenda munjira imodzi, amakhala okhazikika kuposa ma synovial ena. (Zopanda malire. General Biology, ND) Zophatikiza za hinge zimaphatikizapo:
Chala ndi zala zala - kulola zala ndi zala kupindika ndi kutambasula.
Mgwirizano wa chigongono - umalola kuti chigongono chipinde ndi kufalikira.
Mgwirizano wa bondo - umalola kuti bondo lipinde ndi kufalikira.
Mgwirizano wa talocrural wa bondo - umalola bondo kusunthira mmwamba / dorsiflexion ndi pansi / plantarflexion.
Mahinji amalumikiza miyendo, zala, ndi zala zapamapazi kutalikirana ndi kupindikira ku thupi. Kusunthaku ndi kofunikira pazochitika za tsiku ndi tsiku, monga kusamba, kuvala, kudya, kuyenda, kuyimirira, ndi kukhala pansi.
zokwaniritsa
Osteoarthritis ndi kutupa kwa nyamakazi kungakhudze mgwirizano uliwonse (Arthritis Foundation. ND) Matenda a nyamakazi, kuphatikizapo nyamakazi ndi psoriatic nyamakazi, amatha kuchititsa kuti thupi liziwombera mafupa ake. Izi nthawi zambiri zimakhudza mawondo ndi zala, zomwe zimapangitsa kutupa, kuwuma, ndi kupweteka. (Kamata, M., Tada, Y. 2020) Gout ndi matenda otupa a nyamakazi omwe amayamba chifukwa cha kuchuluka kwa uric acid m'magazi ndipo nthawi zambiri amakhudza ma hinge a chala chachikulu chakuphazi. Zina zomwe zimakhudza ma hinge joints ndi:
Kuvulala kwa cartilage mkati mwa ziwalo kapena mitsempha yomwe imakhazikika kunja kwa mafupa.
Mitsempha ya ligament kapena misozi imatha chifukwa cha zala kapena zala zopindika, akakolo opindika, kuvulala kopindika, komanso kukhudzidwa mwachindunji pabondo.
Kuvulala kumeneku kungakhudzenso meniscus, chiwombankhanga cholimba mkati mwa bondo chomwe chimathandiza kugwedeza ndi kuyamwa mantha.
konzanso
Zinthu zomwe zimakhudza mafupa a hinge nthawi zambiri zimayambitsa kutupa ndi kutupa, zomwe zimapangitsa kupweteka komanso kuyenda kochepa.
Pambuyo pa kuvulala kapena panthawi yotupa, kuchepetsa kusuntha ndi kupumula mgwirizano womwe wakhudzidwa kungathandize kuchepetsa nkhawa komanso ululu.
Kupaka ayezi kumatha kuchepetsa kutupa ndi kutupa.
Kwa anthu omwe akumva kupweteka kwa ma hinge joints kuchokera ku autoimmune condition, mankhwala a biologic kuti achepetse ntchito ya autoimmune ya thupi amaperekedwa kudzera mu infusions yomwe imaperekedwa kwa milungu ingapo kapena miyezi ingapo. (Kamata, M., Tada, Y. 2020)
Majekeseni a Cortisone angagwiritsidwenso ntchito kuchepetsa kutupa.
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.
Kamata, M., & Tada, Y. (2020). Kuchita bwino ndi Chitetezo cha Biologics kwa Psoriasis ndi Psoriatic Arthritis ndi Zotsatira Zawo pa Comorbidities: Kubwereza Zolemba. Nyuzipepala yapadziko lonse ya sayansi ya molekyulu, 21(5), 1690. doi.org/10.3390/ijms21051690
Kodi anthu omwe ali ndi ululu wa minofu angapeze mpumulo ku chithandizo cha acupuncture kuti abwerere kuntchito zawo zatsiku ndi tsiku ndikukhala bwino?
Introduction
Anthu ambiri padziko lonse lapansi akumana ndi zowawa m'miyoyo yawo zomwe zakhudza zochita zawo zatsiku ndi tsiku. Zina mwazinthu zomwe anthu ambiri amamva kupweteka kwa minofu ndi monga moyo wongokhala chifukwa chogwira ntchito pa desiki kapena zofuna za thupi kuchokera ku moyo wokangalika. Minofu, minyewa, minyewa, ndi minyewa yofewa imatha kukhala yotambasuka komanso yogwira ntchito mopitilira muyeso, zomwe zimapangitsa kuti minofuyo ikhale yofooka. Panthawi imodzimodziyo, nkhani za visceral somatic pakhosi, mapewa, ndi kumbuyo zingakhudze kumtunda ndi kumunsi, zomwe zimapangitsa moyo wolemala. Zinthu zambiri zomwe zingapangitse kukula kwa ululu wa minofu zimatha kukhudza chizolowezi cha munthu ndikupangitsa kuti apeze njira zosiyanasiyana zochepetsera ululu wa minofu m'matupi awo. Popeza ululu wa minofu ukhoza kukhala wovuta kwambiri kapena wosachiritsika, anthu ambiri omwe akufuna chithandizo cha matenda awo amatha kuyang'ana njira zochiritsira zopanda opaleshoni monga acupuncture kuti achepetse kupweteka kwa minofu komanso kupeza mpumulo umene akuyang'ana. Nkhani ya lero ikugogomezera momwe kupweteka kwa minofu kungakhudzire moyo wa munthu, momwe chiyambi cha acupuncture chingathandizire kupweteka kwa minofu, ndi momwe anthu angagwirizanitse chithandizo cha acupuncture monga gawo lachizoloŵezi cha thanzi. Timayankhula ndi ovomerezeka achipatala omwe amaphatikiza chidziwitso cha odwala athu kuti awone momwe kupweteka kwa minofu kungakhudzire moyo wa munthu. Timadziwitsanso ndikuwatsogolera odwala momwe chithandizo cha acupuncture chingapindulire thupi mwa kuchepetsa zotsatira za ululu wa minofu. Timalimbikitsa odwala athu kuti afunse omwe amawathandizira azachipatala mafunso ovuta komanso ofunikira okhudzana ndi kuphatikiza chithandizo chamankhwala acupuncture muzochita zolimbitsa thupi kuti achepetse kupweteka kwa minofu ndi zizindikiro zake. Dr. Jimenez, DC, akuphatikizapo izi monga ntchito ya maphunziro. chandalama.
Momwe Kupweteka Kwa Minofu Kungakhudzire Ubwino wa Munthu
Kodi mumamva zotsatira za kutopa ndi kufooka kwa minofu yanu yapamwamba ndi yapansi? Kodi mwamvapo zowawa kapena zowawa pakhosi, mapewa, kapena msana? Kapena kodi kupotoza ndi kutembenuza thupi lanu kumabweretsa mpumulo kwakanthawi kwa thupi lanu, kuti likhale loipitsitsa tsiku lonse? Pankhani ya ululu wa minofu ukhoza kukhala zinthu zambiri zomwe zingaphatikizepo kuyanjana kovuta pa dongosolo la munthu, thupi, chikhalidwe, moyo, ndi comorbid zinthu za thanzi zomwe zingagwirizane ndi zomwe zimapangitsa kuti anthu azimva ululu wa nthawi yaitali. ndi kulumala. (Caneiro et al., 2021) Anthu ambiri akamayamba kuchita zinthu mobwerezabwereza kapena kukhala ongokhala, kupweteka kwa minofu kumatha kuyamba akamatambasula kapena kuyesa kusuntha minyewa yawo pochita chizolowezi chawo. Kulemera kwa ululu wa minofu nthawi zambiri kumayenderana ndi zochitika za chikhalidwe cha anthu zomwe zingayambitse anthu ambiri, achichepere ndi achikulire, kuti achepetse kuyenda kwawo komanso kuchita nawo zomwe amachita, zomwe zimapangitsa kuti pakhale zovuta zina zomwe angakhale nazo. (Dzakpasu et al., 2021)
Pamene anthu ambiri akukumana ndi ululu wa minofu mu mawonekedwe ake owopsa kapena aakulu, ambiri nthawi zambiri samazindikira kuti pamene minofu yomwe imakhudzidwa pamwamba ndi pansi pa quadrants ya thupi ikulimbana ndi ululu, pali ululu wokhudzana ndi kuuma chifukwa cha momwe thupi limagwirira ntchito kapena kusagwira ntchito. minofu ndi zingakhudze minofu yofewa kuchititsa mkulu makina kupsyinjika ndi bwanji chigoba mfundo. (Wilke & Behringer, 2021) Izi zikachitika, anthu ambiri amayamba kumva kupweteka kwa minofu m'matupi awo, zomwe zimachititsa kuti asamayende bwino, azitha kusinthasintha komanso azikhala okhazikika. Mwachidziwitso, kupweteka kwa minofu kungakhalenso chizindikiro cha anthu ambiri omwe ali ndi zowawa zosiyanasiyana m'matupi awo zomwe zakhudza miyoyo yawo kale; kufunafuna chithandizo kungachepetse zotsatira za ululu wa minofu ndikuwathandiza kuti abwererenso chizolowezi chawo kuti akhale ndi moyo wathanzi.
Movement Medicine- Kanema
Kufunika Kwa Acupuncture Kwa Kupweteka Kwa Minofu
Pamene anthu ambiri akukumana ndi ululu wa minofu, akufunafuna mankhwala omwe sangakwanitse komanso angathandize kuchepetsa zizindikiro zowonongeka zomwe zimakhudza thupi, zomwe zimayambitsa kupweteka kwa minofu. Mankhwala ambiri monga chisamaliro cha chiropractic, decompression, ndi kutikita minofu sizochita opaleshoni ndipo amagwira ntchito motsatizana. Chimodzi mwa mankhwala akale kwambiri komanso othandiza kwambiri omwe angathandize kuchepetsa kupweteka kwa minofu m'thupi ndi acupuncture therapy. Acupuncture ndi chithandizo chonse chochokera ku Traditional Chinese Medicine chomwe chimagwiritsa ntchito singano zing'onozing'ono, zolimba, zoonda zomwe zimalowetsedwa ndi akatswiri acupuncturists ku ma acupoints osiyanasiyana. Mfundo yaikulu ndi yakuti kutema mphini kumapereka mpumulo kwa thupi chifukwa kumathandiza kuti thupi lizitha kuyenda bwino ndikukhalabe ndi thanzi labwino komanso nyonga. (Zhang et al., 2022) Pamene munthu akukumana ndi ululu wa minofu, ulusi wa minofu ukhoza kupanga tinthu tating'onoting'ono totchedwa trigger points zomwe zingayambitse kupweteka kwa minofu yomwe yakhudzidwa. Ndi singano za acupuncture zomwe zimayikidwa m'dera lomwe lakhudzidwa, ululu wa m'deralo ndi wotchulidwa umachepetsedwa, kutuluka kwa magazi a minofu ndi mpweya wa okosijeni zimabwereranso m'thupi, ndipo kayendedwe ka minofu kamakhala bwino. (Pourahmadi et al., 2019) Zina mwazabwino zomwe chithandizo cha acupuncture chimapereka ndi:
Kuwonjezeka kwa kufalikira
Kuchepetsa kutupa
Kutulutsidwa kwa Endorphin
Kupumula kukangana kwa minofu
Kuphatikiza Acupuncture Monga Gawo la Ubwino Wabwino
Anthu ambiri omwe akufunafuna chithandizo cha acupuncture ngati gawo laulendo wawo wathanzi amatha kuwona zabwino za acupuncture ndipo amatha kuziphatikiza ndi njira zina zochizira kuti achepetse mwayi wa ululu wa minofu kubwereranso. Ngakhale kuti kutema mphini kungathandize kulimbikitsa minyewa ndikubwezeretsanso magwiridwe antchito agalimoto, chithandizo ngati kulimbikitsana kwamagulu kungathandize kutambasula minofu ndi mafupa omwe akhudzidwa kuti azitha kuyenda bwino m'thupi. (Lee ndi al., 2023) Ndi anthu ambiri omwe akufuna chithandizo cha acupuncture kuti achepetse kupweteka kwa minofu, ambiri amatha kusintha pang'ono pazochitika zawo kuti ateteze ululuwo kuti usamapangitse mbiri yowopsa m'matupi awo. Pothana ndi zomwe zimayambitsa zowawa komanso kulimbikitsa kuchiritsa kwachibadwa kwa thupi, kutema mphini kungathandize kubwezeretsa bwino, kuchepetsa kusapeza bwino, komanso kukulitsa thanzi.
Zothandizira
Caneiro, JP, Bunzli, S., & O'Sullivan, P. (2021). Zikhulupiriro za thupi ndi zowawa: gawo lofunika kwambiri pakuwongolera ululu wa musculoskeletal. Braz J Phys Ther, 25(1), 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). Ululu wa musculoskeletal ndi khalidwe lokhala pansi pazochitika za ntchito ndi zosagwira ntchito: kuwunika mwadongosolo ndi meta-analysis. Int J Behav Nutr Phys Act, 18(1), 159. doi.org/10.1186/s12966-021-01191-y
Lee, JE, Akimoto, T., Chang, J., & Lee, HS (2023). Zotsatira za kulimbikitsana pamodzi pamodzi ndi acupuncture pa ululu, ntchito ya thupi, ndi kuvutika maganizo kwa odwala sitiroko omwe ali ndi ululu wosaneneka wa neuropathic: mayesero oyendetsedwa mwachisawawa. MITU YOYAMBA, 18(8), 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). Kuchita bwino kwa kusowa kowuma pofuna kupititsa patsogolo ululu ndi kulemala kwa akuluakulu omwe ali ndi vuto lamtundu, cervicogenic, kapena mutu wa migraine: protocol yowunikira mwadongosolo. Chiropr Man Therap, 27, 43. doi.org/10.1186/s12998-019-0266-7
Wilke, J., & Behringer, M. (2021). Kodi “Kuchedwa Kupweteka kwa Minofu” Ndi Bwenzi Lonyenga? Zomwe Zingatheke za Fascial Connective Tissue mu Post-Exercise Discomfort. Int J Mol Sci, 22(17). doi.org/10.3390/ijms22179482
Zhang, B., Shi, H., Cao, S., Xie, L., Ren, P., Wang, J., & Shi, B. (2022). Kuwulula matsenga a acupuncture kutengera njira zamoyo: kuwunika kwa mabuku. Zotsatira za Biosci, 16(1), 73-90. doi.org/10.5582/bst.2022.01039
Akapezeka ndi matenda a piriformis, amalingalira kuti minofu ndi tendon zimamangiriza ndi / kapena kupopera kuzungulira mitsempha, kumayambitsa kukwiya ndi zizindikiro zowawa.
Chiphunzitso chomwe chimathandizidwa ndi chakuti pamene minofu ya piriformis ndi tendon yake imalimba, mitsempha ya sciatic imakhala yoponderezedwa kapena yophimbidwa. Izi zimachepetsa kufalikira kwa magazi ndikukwiyitsa minyewa kuchokera kupsinjika. (Shane P. Cass 2015)
Kukoma mtima ndi kukakamizidwa kwa minofu ya piriformis.
Kusapeza bwino kumbuyo kwa ntchafu.
Kupweteka kwa matako kuseri kwa chiuno.
Kumverera kwa magetsi, kugwedezeka, ndi zowawa zimayenda kumbuyo kwa m'munsi.
Dzanzi m'munsi.
Anthu ena amayamba zizindikiro mwadzidzidzi, pamene ena amawonjezeka pang'onopang'ono.
Matendawa
Madokotala adzayitanitsa ma X-rays, MRIs, ndi maphunziro a mitsempha ya mitsempha, zomwe ziri zachilendo.
Chifukwa chakuti matenda a piriformis angakhale ovuta kuwazindikira, anthu ena omwe ali ndi ululu wochepa wa m'chiuno amatha kulandira matenda a piriformis ngakhale alibe vutoli. (Shane P. Cass 2015)
Nthawi zina amatchedwa kupweteka kwa matako akuya. Zomwe zimayambitsa kupweteka kwamtunduwu ndizovuta za msana ndi msana monga:
Pamene matendawa sakudziwika, jekeseni imayendetsedwa m'dera la minofu ya piriformis. (Danilo Jankovic et al., 2013)
Mankhwala osiyanasiyana angagwiritsidwe ntchito, koma jekeseni yokha imagwiritsidwa ntchito pothandizira kudziwa malo enieni a kusapezako.
Pamene jekeseni imaperekedwa mu minofu ya piriformis kapena tendon, nthawi zambiri imayendetsedwa ndi chitsogozo cha ultrasound kuonetsetsa kuti singano ikupereka mankhwala kumalo oyenera. (Elizabeth A. Bardowski, JW Thomas Byrd 2019)
Kupewa zinthu zomwe zimayambitsa zizindikiro kwa milungu ingapo.
Thandizo la Thupi
Tsindikani kutambasula ndi kulimbikitsa minofu ya mchiuno.
Kuchepetsa Kopanda Opaleshoni
Pang'onopang'ono amakoka msana kuti amasule kuponderezedwa kulikonse, kulola kubwezeretsedwa bwino kwa madzi ndi kuyendayenda ndikuchotsa kupanikizika kwa mitsempha ya sciatic.
Njira Zochiritsira Zosisita
Kupumula ndi kumasula kupsinjika kwa minofu ndikuwonjezera kufalikira.
kutema mphini
Kuthandiza kupumula piriformis minofu, sciatic mitsempha, ndi malo ozungulira.
Kuchepetsa ululu.
Kusintha kwa Chirasiki
Kuwongoleranso kumapangitsanso msana ndi minofu ndi mafupa kuti muchepetse ululu.
Mankhwala Oletsa Kutupa
Kuchepetsa kutupa kuzungulira tendon.
Cortisone jakisoni
Jekeseni amagwiritsidwa ntchito kuchepetsa kutupa ndi kutupa.
Jekeseni wa Toxin wa Botulinum
Majekeseni a poizoni wa botulinum amapundula minofu kuti athetse ululu.
Jankovic, D., Peng, P., & van Zundert, A. (2013). Ndemanga yachidule: Matenda a piriformis: etiology, matenda, ndi kasamalidwe. Magazini ya Canada ya anesthesia = Journal canadien d'anesthesie, 60 (10), 1003-1012. doi.org/10.1007/s12630-013-0009-5
Bardowski, EA, & Byrd, JWT (2019). Jekeseni wa Piriformis: Njira Yotsogozedwa ndi Ultrasound. Njira za Arthroscopy, 8 (12), e1457-e1461. doi.org/10.1016/j.eats.2019.07.033
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
Zaka - Ana ndi akuluakulu azaka 65 kapena kuposerapo ali ndi chiopsezo chachikulu.
Thukuta kwambiri.
Zakudya zochepa za sodium.
Zomwe Zili Zachipatala Zomwe Zilipo - matenda a mtima, matenda a shuga, ndi kunenepa kwambiri ndi zinthu zomwe zingapangitse chiopsezo cha kupsinjika kwa minofu.
Mankhwala - kuthamanga kwa magazi, okodzetsa, ndi antidepressants angakhudze kuchuluka kwa electrolyte ndi hydration.
Mowa.
Kudzikonda
Ngati kutentha kumayamba, nthawi yomweyo siyani ntchitoyi ndikuyang'ana malo ozizira. Bweretsaninso madzi m'thupi kuti mubwezere madzi omwe atayika. Kukhala wothira madzi ndi kumwa zamadzimadzi pafupipafupi pakuchita zolimbitsa thupi kwambiri kapena pamalo otentha kungathandize kuti thupi lisagwedezeke. Zitsanzo za zakumwa zomwe zimachulukitsa ma electrolyte ndi awa:
Kwa anthu omwe ali ndi vuto la mtima kapena pazakudya zochepa za sodium omwe amayamba kutentha kwanthawi yayitali, mosasamala kanthu za nthawi yayitali, chithandizo chamankhwala ndichofunika kuonetsetsa kuti palibe zovuta.
Gauer, R., & Meyers, BK (2019). Matenda Okhudzana ndi Kutentha. Dokotala wabanja waku America, 99 (8), 482-489.
Centers for Disease Control and Prevention. (2022). Kutentha kupsinjika - matenda okhudzana ndi kutentha. National Institute for Occupational Safety and Health (NIOSH) Yotengedwa kuchokera www.cdc.gov/niosh/topics/heattress/heatrelillness.html#cramps
