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Kuvulala kwa masewera

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: Chinthu Chachikulu Pakuyambiranso Kuvulala Kwa Masewera

Nthawi Yochiritsira: Chinthu Chachikulu Pakuyambiranso Kuvulala Kwa Masewera

Kodi nthawi zamachiritso za kuvulala kofala pamasewera kwa othamanga ndi anthu omwe amachita nawo masewera osangalatsa ndi chiyani?

Nthawi Yochiritsira: Chinthu Chachikulu Pakuyambiranso Kuvulala Kwa Masewera

Mtsikana wachichepere, wosangalala wamasewera akulandira chithandizo chamagetsi makumi ambiri kuchipatala.

Nthawi Zochiritsira Zovulala Zamasewera

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.

Compound Fractures

  • Pamenepa, fupa limathyoledwa m'malo angapo.
  • Zingafunike opaleshoni kuti fupa likhale lokhazikika.
  • Nthawi yamachiritso imatha mpaka miyezi isanu ndi itatu.

Clavicle / Collarbone Wosweka

  • Zingafunike immobilization ya phewa ndi chapamwamba mkono.
  • Zitha kutenga masabata asanu kapena khumi kuti muchiritse bwino.
  • Zala zothyoka kapena zala zimatha kuchira pakatha milungu itatu kapena isanu.

Nthiti Zothyoka

  • Gawo la ndondomeko ya chithandizo limaphatikizapo kuchita masewera olimbitsa thupi.
  • Ma painkillers angafunike kwakanthawi kochepa.
  • Nthawi zambiri, zimatenga pafupifupi masabata asanu ndi limodzi kuti muchiritse.

Kuthyoka Kwa Pakhosi

  • Zitha kukhala chimodzi mwa zisanu ndi ziwiri za khosi.
  • Chomangira pakhosi kapena chida cha halo chomwe chakulungidwa mu chigaza kuti chikhazikike chingagwiritsidwe ntchito.
  • Zitha kutenga masabata asanu ndi limodzi kuti muchiritse.

Mapiritsi ndi Mapiritsi

Malinga ndi lipoti la CDC, sprains ndi zovuta zimakhala ndi 41.4% ya zovulala zonse zamasewera. (Sheu, Y., Chen, LH, ndi Hedegaard, H. 2016)

  • A phokoso ndiko kutambasula kapena kung’ambika kwa minyewa kapena mizere yolimba ya minyewa ya ulusi yomwe imalumikiza mafupa aŵiri pa mfundo.
  • A mavuto ndi kutambasula kapena kung'ambika kwa minofu kapena tendons.

Mapazi Osweka

  • Ikhoza kuchira m'masiku asanu ngati palibe zovuta.
  • Kuphulika kwakukulu komwe kumaphatikizapo minyewa yong'ambika kapena yosweka imatha kutenga milungu itatu kapena isanu ndi umodzi kuti ichire.

Matenda a Ng'ombe

  • Odziwika ngati giredi 1 - kupsinjika pang'ono kumatha kuchira pakatha milungu iwiri.
  • Gulu 3 - kupsyinjika kwakukulu kungatenge miyezi itatu kapena kuposerapo kuti kuchiritse kwathunthu.
  • Kugwiritsiridwa ntchito kwa manja opondereza ng'ombe kumatha kufulumizitsa kuchira kwa zovuta ndi zotupa m'munsi mwa mwendo.

Acute Neck Strain

  • Kuthamanga, kugunda, kugwa, kusuntha mofulumira, kapena kukwapula kungayambitse kuvulala kwa whiplash.
  • Nthawi yochiritsa imatha kutenga masabata angapo mpaka masabata asanu ndi limodzi.

Zovulala Zina

Misozi ya ACL

  • Kuphatikizika kwa anterior cruciate ligament.
  • Nthawi zambiri, pamafunika miyezi yambiri yakuchira komanso kukonzanso, kutengera zinthu zingapo, kuphatikiza mtundu wamasewera.
  • Kuchira kwathunthu kuchokera ku opaleshoni kumatenga miyezi isanu ndi umodzi mpaka 12.
  • Popanda opaleshoni, palibe nthawi yeniyeni yokonzanso.

Kuphulika kwa Achilles Tendon

  • Ndi kuvulala koopsa.
  • Izi zimachitika pamene tendon yang'ambika pang'ono kapena kwathunthu.
  • Anthu angafune kuchitidwa opaleshoni.
  • Nthawi yochira ndi miyezi inayi mpaka isanu ndi umodzi.

Mabala ndi Kudulidwa

  • Zimatengera kuya ndi malo ovulalawo.
  • Zitha kutenga paliponse kuyambira sabata mpaka mwezi kuti muchiritse.
  • Ngati palibe kuvulala kotsatira, nsonga imatha kuchotsedwa mkati mwa milungu iwiri kapena itatu.
  • Ngati kudula kwakuya kumafuna zosoka, nthawi yochulukirapo ndiyofunika.

Mikwingwirima Yochepa / Mikwingwirima

  • Zimayamba chifukwa cha kuvulala kwapakhungu, zomwe zimapangitsa kuti mitsempha yamagazi isweka.
  • Nthawi zambiri, kusokonezeka kumatenga masiku asanu mpaka asanu ndi awiri kuti achiritse.

Kupatukana Kwamapewa

  • Akachizidwa bwino, nthawi zambiri amatenga pafupifupi milungu iwiri kuti apume ndikuchira wodwalayo asanabwerere ku ntchito.

Multidisciplinary Chithandizo

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.

Chitetezo Pamanja: Momwe Mungapewere Zovulala Mukakweza Zolemera

Chitetezo Pamanja: Momwe Mungapewere Zovulala Mukakweza Zolemera

Kwa anthu omwe amakweza zolemera, pali njira zotetezera ziwongola dzanja ndikupewa kuvulala pokweza zolemera?

Chitetezo Pamanja: Momwe Mungapewere Zovulala Mukakweza Zolemera

Chitetezo cha Wrist

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)

Kulimbitsa Zolimbitsa Thupi

Mawondo amphamvu amakhala okhazikika, ndipo kuwalimbitsa kungapereke chitetezo chamanja. Zochita zolimbitsa thupi zomwe zimapangitsa kuti dzanja likhale lolimba limaphatikizapo kukoka-ups, deadlifts, zonyamula katundu, ndi Zottman ma curls. Kulimba kwamphamvu ndikofunikira kuti mugwire ntchito zatsiku ndi tsiku, kukalamba wathanzi, komanso kuchita bwino pakukweza zitsulo. (Richard W. Bohannon 2019) Mwachitsanzo, anthu amene amavutika kuonjeza kulemera kwake pazitsulo zonyamula katundu chifukwa chakuti chitsulocho chimachoka m’manja mwawo chikhoza kukhala ndi vuto losakwanira lamanja ndi kugwira.

Wraps

Zovala zapamanja kapena zinthu zothandizira kugwira ndizofunikira kuziganizira kwa omwe ali ndi vuto la dzanja kapena nkhawa. Akhoza kupereka kukhazikika kwakunja kwina pamene akukweza, kuchepetsa kutopa ndi kupsinjika kwa mitsempha ndi tendons. Komabe, tikulimbikitsidwa kuti tisadalire zomangira ngati njira yochiritsira komanso kuyang'ana kwambiri pakukweza mphamvu zamunthu, kuyenda, ndi kukhazikika. Kafukufuku wokhudza othamanga omwe ali ndi kuvulala kwa dzanja adawonetsa kuti zovulalazo zidachitikabe ngakhale kuti zokutira zidavala 34% yanthawi yovulazidwayo. Chifukwa othamanga ambiri ovulala sanagwiritse ntchito wraps, izi zinaloza njira zodzitetezera, koma akatswiri adagwirizana kuti kafukufuku wochuluka akufunika. (Amr Tawfik et al., 2021)

Kupewa Kuvulala Kwambiri

Mbali ya thupi ikamachita kubwerezabwereza kobwerezabwereza popanda kupuma mokwanira, imawonongeka, imaphwanyidwa, kapena kutupa mofulumira, zomwe zimayambitsa kuvulala mopitirira muyeso. Zifukwa za kuvulala mopitirira muyeso ndizosiyanasiyana koma zimaphatikizapo kusachita masewera olimbitsa thupi mokwanira kuti mupumule minofu ndikupewa kupsinjika. Kafukufuku wokhudzana ndi kuchuluka kwa kuvulala kwa weightlifters anapeza kuti 25% anali chifukwa cha kuvulala kwa tendon mopitirira muyeso. (Ulrika Aasa et al., 2017) Kupewa kugwiritsa ntchito mopitirira muyeso kungathandize kupewa mavuto a m’manja.

Fomu Yoyenera

Kudziwa momwe mungayendetsere bwino komanso kugwiritsa ntchito mawonekedwe oyenera panthawi iliyonse yolimbitsa thupi / maphunziro ndikofunikira kuti mupewe kuvulala. Mphunzitsi waumwini, physiotherapist ya masewera, kapena physiotherapist akhoza kuphunzitsa momwe angagwiritsire ntchito kapena kusunga mawonekedwe oyenera.

Onetsetsani kuti muwone wothandizira wanu kuti akupatseni chilolezo musananyamule kapena kuyamba pulogalamu yolimbitsa thupi. Kuvulala Medical Chiropractic ndi Functional Medicine Clinic ikhoza kulangiza za maphunziro ndi kuyambika kapena kutumiza ngati kuli kofunikira.


Umoyo Wathanzi


Zothandizira

Erwin, J., & Varacallo, M. (2024). Anatomy, Mapewa ndi Kumtunda Limb, Wrist Joint. Mu StatPearls. www.ncbi.nlm.nih.gov/pubmed/30521200

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

Bohannon RW (2019). Grip Strength: Biomarker Yofunika Kwambiri Kwa Akuluakulu Achikulire. Kuthandizira kwachipatala pakukalamba, 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). Kafukufuku Wokhudza Kuvulala kwa Dzanja kapena Dzanja mu CrossFit Athletes. Cureus, 13(3), e13818. doi.org/10.7759/cureus.13818

Kuchira ku Misozi ya Triceps: Zomwe Muyenera Kuyembekezera

Kuchira ku Misozi ya Triceps: Zomwe Muyenera Kuyembekezera

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?

Kuchira ku Misozi ya Triceps: Zomwe Muyenera Kuyembekezera

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.
  • Kuvulala kumeneku kumayambitsa kupweteka kwambiri komanso kulemala.

zizindikiro

Misozi ya triceps imayambitsa kupweteka kumbuyo kwa chigongono ndi kumtunda komwe kumakulirakulira poyesa kusuntha chigongono. Anthu amatha kumva komanso/kapena kumva kung'ung'udza kapena kung'amba. Padzakhala kutupa, ndipo khungu likhoza kukhala lofiira ndi / kapena lophwanyika. Kung'ambika pang'ono, mkono umakhala wofooka. Ngati kung'ambika kwathunthu, padzakhala kufooka kwakukulu powongola chigongono. Anthu amatha kuwonanso chotupa kumbuyo kwa mkono wawo pomwe minofu yalumikizana ndikulumikizana.

Zimayambitsa

Misozi ya triceps nthawi zambiri imapezeka pakavulala, pamene minofu yagwidwa ndipo mphamvu yakunja imakankhira chigongono kuti chikhale chopindika. (Kyle Casadei et al., 2020) Chimodzi mwa zifukwa zomwe zimafala kwambiri ndi kugwa ndi dzanja lotambasula. Misozi ya triceps imapezekanso pamasewera monga:

  • Kuponya mpira
  • Kuletsa mumasewera a mpira
  • olimbitsa
  • Mabokosi
  • Wosewera akagwa ndikugwera pamkono.
  • Misozi imathanso kuchitika mukamagwiritsa ntchito zolemetsa zolemetsa panthawi yochita masewera olimbitsa thupi a triceps, monga makina osindikizira.
  • Misozi imathanso kuchitika chifukwa cha kuvulala kwachindunji kupita ku minofu, monga ngozi yagalimoto, koma sizofala kwambiri.

Kutalika

Misozi ya triceps imatha kukula pakapita nthawi chifukwa cha tendonitis. Izi nthawi zambiri zimachitika chifukwa chogwiritsa ntchito mobwerezabwereza minofu ya triceps pazochitika monga ntchito yamanja kapena masewera olimbitsa thupi. Triceps tendonitis nthawi zina amatchedwa weightlifter's elbow. (Orthopedic & Spine Center. ND) Kuvuta kwa timinofu kumabweretsa misozi yaing'ono yomwe thupi limachiritsa. Komabe, ngati pali zovuta zambiri pa tendon kuposa momwe zimakhalira, misozi yaying'ono imatha kukula.

Zowopsa

Zowopsa zimatha kuwonjezera chiopsezo cha misozi ya triceps. Zomwe zimayambitsa matenda zimatha kufooketsa minyewa, kuonjezera chiopsezo cha kuvulala, ndipo zingaphatikizepo: (Tony Mangano et al., 2015)

  • shuga
  • nyamakazi
  • Hyperparathyroidism
  • Lupus
  • Xanthoma - mafuta a cholesterol pansi pa khungu.
  • Hemangioendothelioma - zotupa za khansa kapena zopanda khansa chifukwa cha kukula kwachilendo kwa maselo amitsempha yamagazi.
  • Kulephera kwa impso kosatha
  • Matenda a tendonitis kapena bursitis mu chigongono.
  • Anthu omwe adawombera cortisone mu tendon.
  • Anthu omwe amagwiritsa ntchito anabolic steroids.

Misozi ya triceps imakonda kuchitika mwa amuna azaka zapakati pa 30 ndi 50.Ortho Bullets. 2022) Izi zimabwera chifukwa chochita nawo zinthu monga mpira, kukweza zitsulo, kumanga thupi, ndi ntchito zamanja, zomwe zimawonjezera chiopsezo cha kuvulala.

chithandizo

Chithandizo chimadalira mbali ya triceps yomwe imakhudzidwa komanso kukula kwa kuwonongeka. Zingafunike kupuma kwa milungu ingapo, chithandizo chamankhwala, kapena kuchitidwa opaleshoni.

Opanda opaleshoni

Misozi yochepa mu triceps yomwe imaphatikizapo zosachepera 50 peresenti ya tendon nthawi zambiri imatha kuchiritsidwa popanda opaleshoni. (Mehmet Demirhan, Ali Ersen 2016) Chithandizo choyambirira chimaphatikizapo:

  • Kumenyetsa chigongono ndi kupindika pang'ono kwa milungu inayi kapena isanu ndi umodzi kumapangitsa kuti minofu yovulalayo ichire. (Ortho Bullets. 2022)
  • Panthawiyi, ayezi amatha kugwiritsidwa ntchito kuderali kwa mphindi 15 mpaka 20 kangapo tsiku lililonse kuti athandize kuchepetsa ululu ndi kutupa.
  • Non-steroidal anti-inflammatory drugs/NSAIDs - Aleve, Advil, ndi Bayer angathandize kuchepetsa kutupa.
  • 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)

Mavuto

Zovuta zimatha kuchitika pambuyo pokonza triceps, kaya panali opaleshoni kapena ayi. Mwachitsanzo, anthu akhoza kukhala ndi vuto kuti ayambirenso kukhuta mpukutu kukulitsa kapena kuwongola. Amakhalanso pachiwopsezo chotha kuswekanso ngati atayesa kugwiritsa ntchito mkonowo usanachiritsidwe. (Mehmet Demirhan, Ali Ersen 2016)


Chiropractic Care for Healing After Trauma


Zothandizira

Ohio State University Wexner Medical Center. (2021). Distal triceps kukonza: malangizo azachipatala. (Medicine, Nkhani. medicine.osu.edu/-/media/files/medicine/departments/sports-medicine/medical-professionals/shoulder-and-elbow/distaltricepsrepair.pdf?

Sendic G. Kenhub. (2023). Triceps brachii minofu Kenhub. www.kenhub.com/en/library/anatomy/triceps-brachii-muscle

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

Orthopedic & Spine Center. (ND). Triceps tendonitis kapena weightlifter chigongono. Resource Center. 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). 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

Ortho Bullets. (2022). Triceps kupasuka www.orthobullets.com/shoulder-and-elbow/3071/triceps-rupture

Demirhan, M., & Ersen, A. (2017). Distal triceps imaphulika. Ndemanga za EFORT zotsegula, 1(6), 255-259. doi.org/10.1302/2058-5241.1.000038

Achilles Tendon Misozi: Zowopsa Zofotokozedwa

Achilles Tendon Misozi: Zowopsa Zofotokozedwa

Anthu omwe amachita nawo masewera olimbitsa thupi komanso masewera amatha kung'ambika kwa Achilles tendon. Kodi kumvetsetsa zizindikiro ndi zoopsa zake kungathandize kuchiza ndikubwezeretsa munthuyo kumasewera ake posachedwa?

Achilles Tendon Misozi: Zowopsa Zofotokozedwa

Achilles Tendon

Ichi ndi chovulala chofala chomwe chimachitika pamene tendon yomwe imamangiriza minofu ya ng'ombe ku chidendene imang'ambika.

Za Tendon

  • The Achilles tendon ndiye tendon yayikulu kwambiri m'thupi.
  • M'masewera ndi zochitika zolimbitsa thupi, mayendedwe owopsa monga kuthamanga, kuthamanga, kusuntha mwachangu, ndi kulumpha kumachitika pa Achilles.
  • Amuna amatha kung'amba Achilles awo ndikupitiriza kusweka kwa tendon. (G. Thevendran et al., 2013)
  • 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.
  • Anthu amatha kumva phokoso kapena phokoso ndipo nthawi zambiri amanena kuti akugwedezeka pamwana wa ng'ombe kapena chidendene.
  • Anthu amavutika kuloza zala zawo pansi.
  • Anthu amatha kutupa ndi kuvulala mozungulira tendon.
  • Wothandizira zaumoyo adzayang'ana bondo kuti apitirizebe tendon.
  • Kufinya minofu ya ng'ombe kumayenera kupangitsa phazi kuloza pansi, koma mwa anthu omwe ali ndi misozi, phazi silingasunthe, zomwe zimapangitsa kuti pakhale zotsatira zabwino. Thompson mayeso.
  • Kuwonongeka kwa tendon kumatha kumveka pambuyo pong'ambika.
  • Ma X-ray angagwiritsidwe ntchito kuletsa zinthu zina, kuphatikizapo kupasuka kwa bondo kapena nyamakazi.

Zowopsa

  • Kuphulika kwa tendon ya Achilles kumawoneka kwambiri mwa amuna azaka zapakati pa 30 kapena 40.David Pedowitz, Greg Kirwan. 2013)
  • Anthu ambiri amakhala ndi zizindikiro za tendonitis asanayambe kung'ambika.
  • Anthu ambiri alibe mbiri yamavuto am'mbuyomu a Achilles tendon.
  • Misozi yambiri ya Achilles tendon imagwirizanitsidwa ndi masewera a mpira. (Youichi Yasui et al., 2017)

Zowopsa zina ndi izi:

  • Gout
  • Cortisone jakisoni mu tendon Achilles
  • Kugwiritsa ntchito mankhwala a Fluoroquinolone

Maantibayotiki a Fluoroquinolone amagwiritsidwa ntchito kwambiri pochiza matenda a kupuma, matenda amkodzo, komanso matenda a bakiteriya. Maantibayotikiwa amagwirizanitsidwa ndi kuphulika kwa tendon Achilles, koma kufufuza kwina kumafunika kudziwa momwe amakhudzira tendon Achilles. Anthu omwe amamwa mankhwalawa amalangizidwa kuti aganizire mankhwala ena ngati mavuto a tendon Achilles ayamba kukula. (Anne L. Stephenson et al., 2013)

chithandizo

Malingana ndi kuopsa kwa kuvulala, chithandizo chikhoza kukhala ndi njira zopanda opaleshoni kapena opaleshoni.

  • Ubwino wa opaleshoni nthawi zambiri umakhala wosasunthika.
  • Nthawi zambiri anthu amatha kubwerera ku masewera a masewera mwamsanga, ndipo pali mwayi wochepa wokonzanso tendon.
  • Chithandizo chosachita opaleshoni amapewa kuopsa kwa opaleshoni, ndipo zotsatira zogwira ntchito kwa nthawi yayitali zimakhala zofanana. (David Pedowitz, Greg Kirwan. 2013)

Kuchiza Ankle Sprains


Zothandizira

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

Cold Therapy yokhala ndi Ice Tape ya Kuvulala kwa Musculoskeletal

Cold Therapy yokhala ndi Ice Tape ya Kuvulala kwa Musculoskeletal

Kwa anthu omwe amachita masewera olimbitsa thupi, okonda masewera olimbitsa thupi, komanso omwe amachita masewera olimbitsa thupi, kuvulala kwaminyewa kumakhala kofala. Kodi kugwiritsa ntchito tepi ya ayezi kungathandize panthawi yoyamba kapena yopweteka kwambiri kuchepetsa kutupa ndi kutupa kuti mufulumire kuchira ndikubwereranso kuntchito mwamsanga?

Cold Therapy yokhala ndi Ice Tape ya Kuvulala kwa MusculoskeletalIce Tape

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.

Zomangira Zosafunikira

  • Chokulungacho chimadzimangirira chokha, kotero tepiyo imakhalabe m'malo mwake popanda kugwiritsa ntchito timapepala kapena zomangira.

Zosavuta Kudula

  • Mpukutu wokhazikika ndi mainchesi 48 m'litali ndi mainchesi 2 m'lifupi.
  • Zovulala zambiri zimafuna zokwanira kuti zitseke malo ovulalawo.
  • Malumo amadula ndalama zenizeni zomwe zimafunikira, ndikusunga zina zonse m'thumba lotha kutsekedwa.

Zingatheke

  • Pambuyo pa mphindi 15 mpaka 20 zogwiritsira ntchito, mankhwalawa amatha kuchotsedwa mosavuta, kukulungidwa, kusungidwa m'thumba, ndikugwiritsidwanso ntchito.
  • Tepi itha kugwiritsidwa ntchito kangapo.
  • Tepiyo imayamba kutaya khalidwe lake lozizira pambuyo pa ntchito zingapo.

zam'manja

  • Tepiyo sifunikira kuikidwa mu chozizirirapo poyenda.
  • Ndiwosavuta kunyamula komanso yabwino kuti mugwiritse ntchito ayezi mwachangu komanso kuponderezana mukangovulala.
  • Ikhoza kuchepetsa ululu ndi kutupa ndikusungidwa kuntchito.

kuipa

Zoyipa zingapo ndi izi:

Chemical Odor

  • Gel yomwe ili pamakulunga osinthasintha imatha kukhala ndi fungo lamankhwala.
  • Siwonunkhira kwambiri ngati mafuta opweteka, koma fungo lamankhwala limatha kuvutitsa anthu ena.

Sangakhale Wozizira Mokwanira

  • Tepiyo imagwira ntchito yochepetsera ululu komanso kutupa, koma ikhoza kusazizira mokwanira kwa wogwiritsa ntchito ikagwiritsidwa ntchito kuchokera pa phukusi kutentha kutentha.
  • Komabe, ikhoza kuikidwa mufiriji kuti iwonjezere kuzizira ndipo ingapereke zotsatira zoziziritsa zochiritsira, makamaka kwa omwe akudwala tendinitis kapena bursitis.

Kukhazikika Kungakhale Kusokoneza

  • Tepiyo ikhoza kukhala yomata kwa ena.
  • Chomata ichi chikhoza kukhala chokhumudwitsa chaching'ono.
  • Komabe, zimangomva ngati zomata zikagwiritsidwa ntchito.
  • Magulu angapo a gel osakaniza amatha kutsalira akachotsedwa.
  • Tepi ya ayezi imathanso kumamatira ku zovala.

Kwa anthu omwe akufunafuna chithandizo chachangu chozizirirapo paziwalo zathupi zovulala kapena zopweteka, ayezi tepi ikhoza kukhala njira. Zingakhale zabwino kukhalapo kuti mupereke kuponderezedwa koziziritsa ngati mutavulala pang'ono mukuchita nawo masewera othamanga kapena masewera olimbitsa thupi komanso mpumulo wogwiritsa ntchito mopitirira muyeso kapena kuvulala mobwerezabwereza.


Kuchiza Ankle Sprains


Zothandizira

Michigan Medicine. Yunivesite ya Michigan. Mpumulo, Ice, Kupanikizika, ndi Kukwera (RICE).

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

Mvetsetsani Kuvulala Kwa Toe: Zizindikiro, Chithandizo, ndi Kuchira

Mvetsetsani Kuvulala Kwa Toe: Zizindikiro, Chithandizo, ndi Kuchira

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?

Mvetsetsani Kuvulala Kwa Toe: Zizindikiro, Chithandizo, ndi Kuchira

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.
  • Kubwereranso kumasewera apamwamba pambuyo povulala kwambiri kumatha kutenga miyezi isanu ndi umodzi.
  • Kuvulala kumeneku kumasiyana mokulira koma nthawi zambiri kumakhala bwino ndi chithandizo chanthawi zonse. Pazovuta kwambiri, opaleshoni ingafunike.
  • Ululu ndiye vuto lalikulu lomwe limayimitsa zochitika zolimbitsa thupi pambuyo pa kuvulala kwa giredi 1, pomwe magiredi 2 ndi 3 amatha kutenga masabata mpaka miyezi kuti achire kwathunthu.

kutanthauza

Kuvulala kwachala kumatanthawuza a metatarsophalangeal joint strain. Mgwirizanowu umakhala ndi mitsempha yomwe imagwirizanitsa fupa pamtunda wa phazi, pansi pa chala chachikulu / pafupi ndi phalanx, ku mafupa omwe amagwirizanitsa zala ndi mafupa akuluakulu kumapazi / metatarsals. Kuvulala nthawi zambiri kumayambitsidwa ndi hyperextension yomwe nthawi zambiri imabwera chifukwa cha kukankhira-kuchoka, monga kuthamanga kapena kudumpha.

Kulemba

Kuvulala kwam'mapazi kumatha kukhala kocheperako mpaka koopsa ndipo kumayikidwa motere: (American Academy of Orthopedic Surgeons. 2021)

  • Kalasi ya 1 - Minofu yofewa imatambasulidwa, kumayambitsa kupweteka ndi kutupa.
  • Kalasi ya 2 - Minofu yofewa imang'ambika pang'ono. Ululu umawonekera kwambiri, ndi kutupa kwakukulu ndi kuvulaza, ndipo zimakhala zovuta kusuntha chala.
  • Kalasi ya 3 - Minofu yofewa imang'ambika kwathunthu, ndipo zizindikiro zimakhala zovuta.

Kodi Izi Ndi Zomwe Zikuchititsa Kupweteka Kwa Phazi?

Mphuno yamphongo ikhoza kukhala:

  • Kuvulala mopitirira muyeso - chifukwa chobwereza kuyenda komweko mobwerezabwereza kwa nthawi yaitali, zomwe zimapangitsa kuti zizindikiro ziwonongeke.
  • Kuvulala koopsa - komwe kumachitika mwadzidzidzi, kumayambitsa ululu nthawi yomweyo.

Zizindikiro zingaphatikizepo izi: (Mass General Brigham. 2023)

  • Mayendedwe ochepa.
  • Kukoma kwa chala chachikulu chakuphazi ndi malo ozungulira.
  • Kutupa.
  • Ululu wa chala chachikulu ndi malo ozungulira.
  • Kulalata.
  • Mafupa otayirira amatha kusonyeza kuti pali kusuntha.

Matendawa

Ngati mukukumana ndi zizindikiro za turf toe, onani dokotala kuti akupatseni matenda oyenera kuti athe kupanga dongosolo lamankhwala lokhazikika. Adzachita mayeso a thupi kuti awone ululu, kutupa, ndi kuyenda kosiyanasiyana. (American Academy of Orthopedic Surgeons. 2021) Ngati wothandizira zaumoyo akukayikira kuwonongeka kwa minofu, angapangire kujambula ndi X-rays ndi (MRI) kuti azindikire chovulalacho ndi kudziwa zoyenera kuchita.

chithandizo

Wothandizira zaumoyo adzasankha chithandizo chabwino kwambiri potengera kuopsa kwa kuvulala. Kuvulala konse kwa toe kumatha kupindula ndi protocol ya RICE: (American College of Foot and Ankle Surgeons. Zowona Zaumoyo wa Phazi. 2023)

  1. Kupumula - Pewani kuchita zinthu zomwe zimakulitsa zizindikiro. Izi zingaphatikizepo kugwiritsa ntchito chipangizo chothandizira monga nsapato yoyenda kapena ndodo kuti muchepetse kupanikizika.
  2. Ice - Ikani ayezi kwa mphindi 20, kenaka dikirani mphindi 40 musanagwiritsenso ntchito.
  3. Kuponderezana - Manga chala chala ndi phazi ndi bandeji zotanuka kuti zithandizire ndi kuchepetsa kutupa.
  4. Kukweza - Kwezani phazi pamwamba pa mlingo wa mtima kuti muchepetse kutupa.

Kalasi ya 1

Gulu la 1 turf toe limayikidwa ndi minofu yofewa yotambasuka, ululu, ndi kutupa. Mankhwala angaphatikizepo: (Ali-Asgar Najefi et al., 2018)

  • Kugogoda kuthandizira chala.
  • Kuvala nsapato zokhala ndi soli yolimba.
  • Thandizo la Orthotic, monga a mbale yam'manja.

Maphunziro 2 ndi 3

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)

  • Kulemera kochepa
  • Kugwiritsa ntchito zida zothandizira monga ndodo, nsapato zoyenda, kapena zoponya.

Chithandizo china

  • Pansi pa 2% ya kuvulala kumeneku kumafunika opaleshoni. Kaŵirikaŵiri amalangizidwa ngati pali kusakhazikika kwa mgwirizano kapena pamene chithandizo chodziletsa sichikuyenda bwino. (Ali-Asgar Najefi et al., 2018) (Zachariah W. Pinter et al., 2020)
  • Thandizo lolimbitsa thupi limathandiza kuchepetsa ululu komanso kuwongolera kuyenda ndi mphamvu pambuyo povulala. (American Academy of Orthopedic Surgeons. 2021)
  • Thandizo lolimbitsa thupi limaphatikizanso kuchita masewera olimbitsa thupi moyenera komanso kuchita masewera olimbitsa thupi, ma orthotics, komanso kuvala nsapato zovomerezeka pazochita zinazake zolimbitsa thupi. (Lisa Chinn, Jay Hertel. 2010)
  • Wothandizira thupi angathandizenso kuti munthuyo asabwerere kuzinthu zolimbitsa thupi asanayambe kuvulazidwa bwino ndikuletsa chiopsezo chovulazidwanso.

Kubwezeretsa nthawi

Kuchira kumadalira kuopsa kwa kuvulala. (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.

Mass General Brigham. (2023). 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

Upangiri Wathunthu Wochira Kuchokera ku Osteitis Pubis Injury

Upangiri Wathunthu Wochira Kuchokera ku Osteitis Pubis Injury

Ochita masewera olimbitsa thupi komanso anthu ochita masewera olimbitsa thupi omwe amachita nawo masewera olimbitsa thupi, masewera olimbitsa thupi, masewera olimbitsa thupi omwe amaphatikizapo kukankha, kuyendayenda, ndi / kapena kusuntha mayendedwe amatha kuyambitsa kuvulala koopsa kwa pubic symphysis / olowa kutsogolo kwa pelvis yotchedwa osteitis pubis. Kodi kuzindikira zizindikiro ndi zomwe zimayambitsa kungathandize kuchiza ndi kupewa?

Upangiri Wathunthu Wochira Kuchokera ku Osteitis Pubis Injury

Osteitis Pubis Kuvulala

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)

  • Kupweteka kwapakati pamimba pakati pa chiuno
  • Limping
  • Kufooka kwa chiuno ndi / kapena mwendo
  • Kuvuta kukwera masitepe
  • Kupweteka poyenda, kuthamanga, ndi/kapena kusuntha mayendedwe
  • Kudina kapena kutulutsa mawu ndikuyenda kapena kusuntha mayendedwe
  • Ululu utagona cham'mbali
  • Kuwawa poyetsemula kapena kutsokomola

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.
  • Anthu amatha kufunsidwa kuyenda kuti ayang'ane zolakwika pamayendedwe akuyenda kapena kuwona ngati zizindikiro zimachitika ndi mayendedwe ena.
  1. Ma X-ray amawonetsa kusakhazikika kwapakatikati komanso sclerosis / makulidwe a pubic symphysis.
  2. Kujambula kwa maginito a resonance - MRI ikhoza kuwulula kutupa kwa mafupa ndi ozungulira.
  3. Nthawi zina siziwonetsa kuvulala pa X-ray kapena MRI.

chithandizo

Chithandizo chogwira mtima chingatenge miyezi ingapo kapena kupitilira apo. Chifukwa kutupa ndizomwe zimayambitsa zizindikiro, chithandizo nthawi zambiri chimaphatikizapo: (Tricia Beatty. 2012)

Kupumula

  • Amalola kutupa kwakukulu kutha.
  • Panthawi yochira, kugona pansi kumbuyo kungalimbikitse kuchepetsa ululu.

Kugwiritsa Ntchito Ice ndi Kutentha

  • Ma ice packs amathandizira kuchepetsa kutupa.
  • Kutentha kumathandiza kuchepetsa ululu pambuyo potupa koyambirira kwatsika.

Thandizo la Thupi

  • Thandizo lolimbitsa thupi lingakhale lothandiza kwambiri pochiza matendawa kuti athe kupezanso mphamvu ndi kusinthasintha. (Alessio Giai Via, et al., 2019)

Anti-kutupa mankhwala

  • Mankhwala osagwiritsidwa ntchito poletsa kutupa - ma NSAID monga ibuprofen ndi naproxen amatha kuchepetsa ululu ndi kutupa.

Zida Zothandizira Kuyenda

  • Ngati zizindikirozo ndizovuta, ndodo kapena ndodo zitha kulimbikitsidwa kuti muchepetse nkhawa pelvis.

Cortisone

  • 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/