Back Clinic Sports Kuvulala kwa Chiropractic ndi Physical Therapy Team. Ochita masewera a masewera onse amatha kupindula ndi chithandizo cha chiropractic. Kusintha kungathandize kuchiza anthu ovulala chifukwa cha masewera owopsa monga wrestling, mpira, ndi hockey. Ochita masewera omwe amapeza kusintha kwachizoloŵezi amatha kuona kusintha kwabwino kwa masewera, kuyenda kwabwino komanso kusinthasintha, komanso kuwonjezeka kwa magazi. Chifukwa kusintha kwa msana kudzachepetsa kukwiya kwa mizu ya mitsempha pakati pa vertebrae, nthawi ya machiritso kuchokera ku zovulala zazing'ono zimatha kufupikitsidwa, zomwe zimapangitsa kuti ntchito ikhale yabwino. Onse othamanga kwambiri komanso otsika kwambiri amatha kupindula ndi kusintha kwa msana nthawi zonse.
Kwa othamanga othamanga kwambiri, kumawonjezera kuchita bwino komanso kusinthasintha komanso kumachepetsa chiopsezo cha kuvulala kwa othamanga omwe ali ndi mphamvu zochepa monga osewera tennis, mbale, ndi gofu. Chiropractic ndi njira yachilengedwe yochizira ndikupewa kuvulala kosiyanasiyana ndi mikhalidwe yomwe imakhudza othamanga. Malingana ndi Dr. Jimenez, kuphunzitsidwa mopitirira muyeso kapena zida zosayenera, pakati pa zinthu zina, ndizo zomwe zimayambitsa kuvulala. Dr. Jimenez akufotokoza mwachidule zifukwa zosiyanasiyana ndi zotsatira za kuvulala kwa masewera kwa wothamanga komanso kufotokoza mitundu ya mankhwala ndi njira zowonetsera zomwe zingathandize kusintha mkhalidwe wa wothamanga. Kuti mudziwe zambiri, chonde omasuka kulankhula nafe pa (915) 850-0900 kapena meseji kuitana Dr. Jimenez payekha pa (915) 540-8444.
Nthawi yochiritsira kuvulala kwamasewera kumadalira zinthu zosiyanasiyana, monga malo ndi kukula kwa chovulalacho komanso thanzi la khungu, mafupa, tendons, minofu, ndi mafupa. Ndikofunikiranso kupeza nthawi yochira kapena kusathamangiranso masewera olimbitsa thupi mafupa kapena minofu isanachire. Pofuna kupewa kuvulazidwanso, onetsetsani kuti dokotala akuyeretsa thanzi asanabwerere ku masewera kapena masewera olimbitsa thupi.
Malinga ndi kafukufuku wa CDC, pafupifupi 8.6 miliyoni zovulala zokhudzana ndi masewera ndi zosangalatsa zimachitika chaka chilichonse. (Sheu, Y., Chen, LH, ndi Hedegaard, H. 2016) Komabe, kuvulala kwamasewera ambiri kumakhala kwachiphamaso kapena kumabwera chifukwa cha zovuta kapena zopindika; osachepera 20% ya kuvulala kumachitika chifukwa cha kusweka kwa mafupa kapena kuvulala koopsa. Kuthyoka kwa fupa kumatenga nthawi yayitali kuposa sprains kapena zovuta, ndipo kuphulika kwathunthu kwa tendon kapena minofu kumatha kutenga miyezi ingapo kuti munthu abwerere kwathunthu ku ntchito. Anthu omwe ali ndi thupi labwino popanda kudwala kapena kuwonongeka, izi ndi zomwe angayembekezere akachira kuvulala kotsatiraku:
Mafupa Akuthyoka
M'masewera, kuchuluka kwambiri kwa mafupa osweka kumachitika ndi mpira ndi masewera olumikizana. Ambiri amakhala ozungulira m'munsi koma amatha kuphatikizira khosi ndi mapewa, mikono, ndi nthiti.
Zophwanyika Zosavuta
Zimatengera msinkhu wa munthu, thanzi lake, mtundu wake, ndi malo.
Nthawi zambiri, zimatenga masabata asanu ndi limodzi kuti achiritse.
Pambuyo potupa koyambirira ndi kutupa kwatha, dokotala amalangiza ndondomeko ya chithandizo yomwe nthawi zambiri imaphatikizapo chithandizo chamankhwala, kudzipangira nokha, kapena kuyang'aniridwa ndi akatswiri a thupi kapena gulu. Mwamwayi, othamanga ndi anthu omwe amachita masewera olimbitsa thupi nthawi zonse amakhala ndi nthawi yochiritsa mofulumira chifukwa ali ndi mawonekedwe apamwamba, ndipo dongosolo lawo lamtima limapereka magazi amphamvu omwe amafulumizitsa kuchira. Ku El Paso's Chiropractic Rehabilitation Clinic & Integrated Medicine Center, timayang'ana mwachidwi kuchiza kuvulala kwa odwala komanso ma syndromes opweteka kwambiri. Timayang'ana kwambiri kukulitsa luso kudzera mu kusinthasintha, kuyenda, ndi kuwongolera mapulogalamu ogwirizana ndi munthu. Timagwiritsa ntchito zophunzitsira zaumwini komanso zenizeni komanso mapulani a chisamaliro chokwanira kuwonetsetsa kuti wodwala aliyense ali ndi chisamaliro chokhazikika komanso zotsatira za thanzi.
Othandizira athu amagwiritsa ntchito njira yophatikizira kupanga mapulani osamalira makonda omwe amaphatikizapo Functional Medicine, Acupuncture, Electro-Acupuncture, and Sports Medicine mfundo. Cholinga chathu ndi kuthetsa ululu mwachibadwa mwa kubwezeretsa thanzi ndi ntchito ku thupi.
Ngati chiropractor akuwona kuti munthuyo akufunika chithandizo china, amatumizidwa ku chipatala kapena dokotala yemwe ali woyenera kwambiri kwa iwo. Dr. Jimenez adagwirizana ndi madokotala apamwamba, akatswiri a zachipatala, ofufuza zachipatala, ndi opereka chithandizo chamankhwala kuti apereke chithandizo chamankhwala apamwamba kwa anthu ammudzi mwathu. Kupereka ma protocol osasokoneza ndikofunikira kwambiri, ndipo chidziwitso chathu chamankhwala chotengera odwala ndichomwe timapereka.
Kuvulala kwa Lumbar Spine mu Masewera: Chiropractic Healing
Zothandizira
Sheu, Y., Chen, LH, & Hedegaard, H. (2016). Nkhani Zovulaza Zamasewera ndi Zosangalatsa ku United States, 2011-2014. Malipoti a National Health Statistics, (99), 1-12.
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
Kuvulala nthawi zambiri kumachitika popanda kukhudzana kapena kugundana koma kuthamanga, kuyamba, kuyimitsa, ndi kukoka zomwe zimayikidwa pamapazi.
Maantibayotiki ena ndi kuwombera kwa cortisone kungapangitse mwayi wa kuvulala kwa misozi ya Achilles.
Antibiotic wokhazikika, mankhwala fluoroquinolones, yasonyezedwa kuonjezera chiopsezo cha mavuto a tendon Achilles.
Kuwombera kwa Cortisone kumalumikizidwanso ndi misozi ya Achilles, chifukwa chake ambiri opereka chithandizo chamankhwala samalimbikitsa cortisone kwa Achilles tendonitis. (Anne L. Stephenson et al., 2013)
zizindikiro
Kung'ambika kapena kuphulika kwa tendon kumayambitsa kupweteka kwadzidzidzi kumbuyo kwa bondo.
Thevendran, G., Sarraf, KM, Patel, NK, Sadri, A., & Rosenfeld, P. (2013). The ruptured Achilles tendon: mwachidule mwachidule kuchokera ku biology ya kupasuka kupita kuchipatala. Opaleshoni ya minofu ndi mafupa, 97 (1), 9-20. doi.org/10.1007/s12306-013-0251-6
Stephenson, AL, Wu, W., Cortes, D., & Rochon, PA (2013). Kuvulala kwa Tendon ndi Kugwiritsa Ntchito Fluoroquinolone: Kubwereza Mwadongosolo. Chitetezo cha mankhwala, 36 (9), 709-721. doi.org/10.1007/s40264-013-0089-8
Pedowitz, D., & Kirwan, G. (2013). Kuphulika kwa tendon Achilles. Ndemanga zaposachedwa mumankhwala a minofu ndi mafupa, 6 (4), 285-293. doi.org/10.1007/s12178-013-9185-8
Yasui, Y., Tonogai, I., Rosenbaum, AJ, Shimozono, Y., Kawano, H., & Kennedy, JG (2017). Kuopsa kwa Achilles Tendon Kuphulika kwa Odwala ndi Achilles Tendinopathy: Healthcare Database Analysis ku United States. BioMed Research International, 2017, 7021862. doi.org/10.1155/2017/7021862
Pambuyo povulala musculoskeletal, anthu akulimbikitsidwa kutsatira R.I.C.E. njira yothandizira kuchepetsa kutupa ndi kutupa. R.I.C.E. ndi chidule cha Rest, Ice, Compression, and Elevation. (Michigan Medicine. Yunivesite ya Michigan. 2023) Kuzizira kumathandiza kuchepetsa ululu, kuchepetsa kutentha kwa minofu, ndi kuchepetsa kutupa pafupi ndi malo ovulalawo. Polamulira kutupa ndi ayezi ndi kuponderezedwa mwamsanga pambuyo povulala, anthu amatha kukhala ndi kayendedwe koyenera ndi kuyenda mozungulira gawo lovulala la thupi. (Jon E. Block. 2010) Pali njira zosiyanasiyana zogwiritsira ntchito ayezi pakavulala.
Zikwama zogulira ayezi ndi mapaketi ozizira.
Kuviika mbali yovulalayo mu kamvuluvulu ozizira kapena mphika.
Kupanga mapaketi a ayezi ogwiritsidwanso ntchito.
Bandeji yoponderezedwa imatha kugwiritsidwa ntchito limodzi ndi ayezi.
Ice Tape ndi bandeji yopanikizana yomwe imapereka machiritso ozizira nthawi imodzi. Pambuyo pa kuvulala, kugwiritsa ntchito kungathandize kuchepetsa ululu ndi kutupa panthawi yotupa kwambiri. (Matthew J. Kraeutler et al., 2015)
Momwe Tepi Imagwirira Ntchito
Tepiyo ndi bandeji yosinthika yomwe imalowetsedwa ndi gel ozizirira ochizira. Akagwiritsidwa ntchito ku gawo lovulala la thupi ndikukhala ndi mpweya, gel osakaniza amatsegula, kutulutsa kuzizira kuzungulira dera lonselo. The achire mankhwala amatha maola asanu kapena sikisi. Kuphatikizidwa ndi bandeji yosinthika, imapereka chithandizo cha ayezi ndi kuponderezana. Tepi ya ayezi ingagwiritsidwe ntchito molunjika kunja kwa phukusi koma ikhoza kusungidwa mufiriji kuti iwonjezere kuzizira. Malinga ndi malangizo a wopanga, tepiyo siyenera kusungidwa mufiriji chifukwa izi zingapangitse kuti zikhale zovuta kukulunga mozungulira malo ovulalawo.
ubwino
Ubwino wake ndi awa:
Zosavuta Kuzigwiritsa Ntchito
Mankhwalawa ndi osavuta kugwiritsa ntchito.
Tulutsani tepiyo, ndikuyamba kuikulunga mozungulira mbali yovulalayo.
Block J. E. (2010). Kuzizira ndi kupsinjika mu kasamalidwe ka kuvulala kwa minofu ndi mafupa ndi njira zogwirira ntchito za mafupa: ndemanga yofotokozera. Open access magazine ya sports medicine, 1, 105-113. doi.org/10.2147/oajsm.s11102
Kraeutler, M. J., Reynolds, K. A., Long, C., & McCarty, E. C. (2015). Compressive cryotherapy motsutsana ndi ayezi-woyembekezereka, kafukufuku wosasinthika pa ululu wa postoperative kwa odwala omwe akukonzedwa ndi arthroscopic rotator cuff kapena subacromial decompression. Journal ya opaleshoni yamapewa ndi chigongono, 24 (6), 854-859. doi.org/10.1016/j.jse.2015.02.004
Kwa anthu omwe akukumana ndi kuvulala kwa chala cha turf, kodi kudziwa zizindikirozo kungathandize othamanga ndi omwe si othamanga kulandira chithandizo, nthawi yochira, komanso kubwerera kuntchito?
Kuvulala kwa Zala Zam'manja
Kuvulala kwapala kumakhudza mitsempha yofewa ndi minyewa yomwe ili pansi pa chala chachikulu pansi pa chala chachikulu phazi. Matendawa nthawi zambiri amapezeka pamene chala chala chala chikuwonjezeka kwambiri / kukakamizidwa mmwamba, monga pamene mpira wa phazi uli pansi ndipo chidendene chimakwezedwa. (American Academy of Orthopedic Surgeons. 2021) Kuvulala kumakhala kofala pakati pa othamanga omwe amasewera masewera pamatope opangira, momwemo momwe kuvulalako kunatchulira dzina lake. Komabe, zitha kukhudzanso omwe si othamanga, monga anthu omwe amagwira ntchito tsiku lonse.
Nthawi yochira pambuyo pa kuvulala kwa chala chala chala kumatengera kuopsa kwake komanso mtundu wa zochitika zomwe munthu akufuna kubwerera.
Magiredi 2 ndi 3 amabwera ndikung'ambika pang'ono kapena kwathunthu, kupweteka kwambiri, ndi kutupa. Chithandizo cha zala zazikulu kwambiri za turf toe zingaphatikizepo: (Ali-Asgar Najefi et al., 2018)
Kalasi 1 - Wophunzira momwe amasiyanasiyana malinga ndi kulolerana kwa ululu wa munthu.
Kalasi 2 - Masabata anayi mpaka asanu ndi limodzi osasunthika.
Kalasi 3 - Masabata asanu ndi atatu osachepera osasunthika.
Zitha kutenga miyezi isanu ndi umodzi kuti mubwerere kuntchito yake yabwino.
Kubwerera ku Zochita Zachizolowezi
Pambuyo pa kalasi ya 1 turf toe kuvulala, anthu amatha kubwerera kuzochitika zachilendo pamene ululuwo ukutha. Magiredi 2 ndi 3 amatenga nthawi yayitali kuti achire. Kubwerera ku masewera a masewera pambuyo pa kuvulala kwa giredi 2 kungatenge miyezi iwiri kapena itatu, pamene kuvulala kwa kalasi ya 3 ndi milandu yomwe imafuna opaleshoni ikhoza kutenga miyezi isanu ndi umodzi. (Ali-Asgar Najefi et al., 2018)
Chithandizo cha Chiropractic cha Masewera
Zothandizira
American Academy of Orthopedic Surgeons. (2021). Zala zam'manja.
American College of Foot and Ankle Surgeons. Zowona Zaumoyo wa Phazi. (2023). Pulogalamu ya RICE.
Najefi, AA, Jeyaseelan, L., & Welck, M. (2018). Zala zam'manja: Zosintha zachipatala. Ndemanga za EFORT zotsegula, 3(9), 501–506. doi.org/10.1302/2058-5241.3.180012
Pinter, ZW, Farnell, CG, Huntley, S., Patel, HA, Peng, J., McMurtrie, J., Ray, JL, Naranje, S., & Shah, AB (2020). Zotsatira za Kukonzekera kwa Zala Zam'madzi Zakale mu Anthu Osakhala Othamanga: Phunziro Lobwereranso. Magazini ya Indian of Orthopaedics, 54 (1), 43-48. doi.org/10.1007/s43465-019-00010-8
Chinn, L., & Hertel, J. (2010). Kukonzanso kuvulala kwa akakolo ndi phazi mwa othamanga. Zipatala zamankhwala zamankhwala, 29 (1), 157-167. doi.org/10.1016/j.csm.2009.09.006
Osteitis pubis ndi kutupa kwa mgwirizano umene umagwirizanitsa mafupa a m'chiuno, otchedwa pelvic symphysis, ndi mapangidwe ozungulira. Pubic symphysis ndi cholumikizira kutsogolo ndi pansi pa chikhodzodzo. Imagwira mbali ziwiri za pelvis pamodzi kutsogolo. The pubis symphysis imakhala ndi kuyenda kochepa kwambiri, koma pamene kupsinjika kwachilendo kapena kupitiriza kumayikidwa pambali, kupweteka kwa groin ndi pelvic kumatha kuonekera. Kuvulala kwa osteitis pubis ndi kuvulala kofala kwambiri kwa anthu ochita masewera olimbitsa thupi komanso othamanga koma kumatha kuchitika chifukwa cha kuvulala, mimba, ndi / kapena kubereka.
zizindikiro
Chizindikiro chofala kwambiri ndi kupweteka kutsogolo kwa chiuno. Nthawi zambiri ululu umamveka pakati, koma mbali imodzi ikhoza kukhala yowawa kwambiri kuposa ina. Ululu nthawi zambiri umatuluka/kufalikira kunja. Zizindikiro zina ndi izi: (Patrick Gomella, Patrick Mufarrij. 2017)
Osteitis pubis ikhoza kusokonezedwa ndi kuvulala kwina, kuphatikizapo kupsinjika kwa groin / groin, chiphuphu chachindunji cha inguinal, ilioinguinal neuralgia, kapena kupasuka kwa msana.
Zimayambitsa
Kuvulala kwa osteitis pubis nthawi zambiri kumachitika pamene mgwirizano wa symphysis umakhala wovuta kwambiri, wopitirirabe, wotsogolera, komanso kugwiritsira ntchito mopitirira muyeso m'chiuno ndi miyendo. Zifukwa ndi izi: (Patrick Gomella, Patrick Mufarrij. 2017)
Zochita za masewera
wakukhulupirira
Mimba ndi kubala
Kuvulala kwa mchiuno ngati kugwa kwakukulu
Matendawa
Chovulalacho chimapezeka potengera kuunika kwa thupi ndi kuyesa kujambula. Mayesero ena angagwiritsidwe ntchito kutsimikizira zifukwa zina zomwe zingatheke.
Kuyeza kwa thupi kudzaphatikizapo kusintha kwa chiuno kuti akhazikitse kupsinjika kwa rectus abdominis trunk muscle ndi magulu a minofu ya ntchafu ya adductor.
Ululu panthawi yogwiritsira ntchito ndi chizindikiro chodziwika bwino cha chikhalidwecho.
Pakhala pali zoyesayesa zochizira matendawa ndi jakisoni wa cortisone, koma umboni wochirikiza kugwiritsiridwa ntchito kwake ndi wochepa ndipo umafunikira kufufuza kwina. (Alessio Giai Via, et al., 2019)
Kuthamangitsani
Akapezeka, kuneneratu kuti kuchira bwino ndikwabwino koma kumatha kutenga nthawi. Zitha kutenga anthu ena miyezi isanu ndi umodzi kapena kuposerapo kuti abwerere kuntchito yovulalayo, koma ambiri amabwerera pakadutsa miyezi itatu. Ngati chithandizo chanthawi zonse chikulephera kupereka mpumulo pakatha miyezi isanu ndi umodzi, opaleshoni ikhoza kulimbikitsidwa. (Michael Dirkx, Christopher Vitale. 2023)
Kukonzanso Zovulala za Masewera
Zothandizira
Gomella, P., & Mufarrij, P. (2017). Osteitis pubis: Choyambitsa chosowa cha ululu wa suprapubic. Ndemanga mu urology, 19 (3), 156-163. doi.org/10.3909/riu0767
Beatty T. (2012). Osteitis pubis mwa othamanga. Malipoti aposachedwa azamankhwala amasewera, 11 (2), 96-98. doi.org/10.1249/JSR.0b013e318249c32b
Via, AG, Frizziero, A., Finotti, P., Oliva, F., Randelli, F., & Maffulli, N. (2018). Ulamuliro wa osteitis pubis mwa othamanga: kukonzanso ndi kubwerera ku maphunziro - kubwereza kwa mabuku atsopano. Open access magazine ya sports medicine, 10, 1-10. doi.org/10.2147/OAJSM.S155077
Dirkx M, Vitale C. Osteitis Pubis. [Yosinthidwa 2022 Dec 11]. Mu: StatPearls [Intaneti]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Zikupezeka kuchokera: www.ncbi.nlm.nih.gov/books/NBK556168/