Kukanganiswa kwakakomba
Back Clinic Complex Injuries Chiropractic Team. Kukuvara kwakaoma kunoitika kana vanhu vakakuvara zvakanyanya kana njodzi, kana vane nyaya dzakanyanya kuoma nekuda kwekushungurudzika kwakawanda, mhedzisiro yepfungwa, uye nhoroondo dzezvekurapa dzagara dziripo. Kukuvara kwakaomarara kunogona kuve kukuvadzwa kweseri kwekumusoro, kurwadza kwakanyanya kwetishu, uye kupindirana (kunoperekedza kana kubatanidzwa), kukuvara kumidziyo kana tsinga. Kukuvara uku kunopfuura kudarika kwakajairwa uye kushungurudza uye kunoda yakadzika mwero wekuongorora iyo ingasave nyore kuoneka.
El Paso, TX's Injury specialist, chiropractor, Dr. Alexander Jimenez anokurukura nzira dzokurapa, pamwe nekugadzirisa, kurovedza musuru / simba, kudya, uye kudzokera kumabasa emuviri. Zvirongwa zvedu ndezvemuzvarirwo uye zvinoshandisa kugona kwemuviri kuzadzisa zvinangwa zvakayerwa, pane kuunza makemikari anokuvadza, zvinonetsa kutsiva mahormone, maoparesheni asingadiwe, kana zvinodhaka zvinopinda muropa. Tinoda kuti urarame hupenyu hunoshanda hunozadzikiswa nesimba rakawanda, mafungiro akanaka, kurara zviri nani, uye kurwadziwa kushoma. Chinangwa chedu ndechekupa simba varwere vedu kuchengetedza mararamiro ane hutano.
by Dr Alex Jimenez Kugadzirira Therap , chisingaperi Pain , Kukanganiswa kwakakomba , Mishonga , Viscerosomatic Reflex
Vanhu vari kubata nemarwadzo emhasuru vanogona kuwana zororo kubva kuacupuncture therapy kuti vadzokere kumabasa avo ezuva nezuva uye kugara zvakanaka?
ziviso
Vanhu vazhinji pasi rese vakasangana nemarwadzo musculoskeletal system izvo zvakakanganisa maitiro avo ezuva nezuva. Zvimwe zvezvinhu zvinowanzoitika izvo vanhu vakasangana nemarwadzo emhasuru zvinosanganisira mararamiro ekugara kubva pakushanda pabasa redhesiki kana zvinodiwa zvemuviri kubva kumararamiro anoshanda. Mimhasuru, mhasuru, marunda, uye matishu akapfava anogona kuwanda uye kushanda zvakanyanya, zvichiita kuti tsandanyama dzisasimba. Panguva imwecheteyo, visceral somatic nyaya mumutsipa, mapepa, uye kumashure zvinogona kukanganisa mazamu epamusoro nepamusoro, zvichiita kuti hupenyu huve nehurema. Zvinhu zvakawanda zvinogona kukonzera kukura kwekurwadziwa kwetsandanyama zvinogona kukanganisa maitiro emunhu uye kuita kuti vawane nzira dzakasiyana dzekudzikisa marwadzo emhasuru mumiviri yavo. Sezvo kurwadziwa kwetsandanyama kuchigona kunge kwakaoma kana kusingagumi, vanhu vazhinji vari kutsvaga kurapwa kwehurwere hwavo vanogona kutarisa mune zvisiri zvekuvhiya marapirwo senge acupuncture kwete kungoderedza marwadzo etsandanyama asiwo kuwana zororo ravari kutsvaga. Chinyorwa chanhasi chinotarisa kuti kurwadziwa kwetsandanyama kunogona kukanganisa sei kugara kwemunhu, kuti musimboti weacupuncture ungabatsira sei pakurwadziwa kwetsandanyama, uye kuti vanhu vanogona sei kubatanidza kurapwa kweacupuncture sechikamu chemaitiro ehutano. Tinotaura nevarapi vane hunyanzvi vanobatanidza ruzivo rwevarwere vedu kuti vaone kuti kurwadziwa kwemhasuru kunogona kukanganisa sei kugara kwemunhu. Isu tinozivisawo uye kutungamira varwere kuti acupuncture therapy inogona kubatsira sei muviri nekudzikisa mhedzisiro yekurwadziwa kwetsandanyama. Isu tinokurudzira varwere vedu kuti vabvunze avo vanobatana navo vezvokurapa mibvunzo yakaoma uye yakakosha pamusoro pekubatanidza acupuncture therapy mune yehutano routine kuderedza marwadzo emhasuru uye ayo anotumirwa zviratidzo. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer .
Marwadzo Etsandanyama Anogona Kukanganisa Hupenyu Hwemunhu
Iwe unonzwa here migumisiro yekuneta uye kushaya simba mumasumbu ako epamusoro uye ezasi? Wakambonzwa kurwadziwa kwakawanda kana kurwadziwa mumutsipa wako, mapendekete, kana musana? Kana kuti kumonyorora uye kushandura muviri wako kunokonzera kuzorora kwenguva pfupi kumuviri wako, chete kuti uwedzere kuipa zuva rese? Kana zvasvika pakurwadziwa kwemhasuru kunogona kuva mamiriro ezvinhu akasiyana-siyana apo izvo zvinogona kusanganisira kushamwaridzana kwakaoma pane chimiro chemunhu, muviri, hutano, mararamiro, uye comorbid hutano zvinhu zvinogona kuuya sezvinobatsira kuti vanhu vanzwe kurwadziwa kwenguva refu. nekuremara. ( Caneiro et al., 2021 ) Sezvo vanhu vazhinji vanotanga kuita zvekudzokorora kana kugara munzvimbo dzakagadzikana, kurwadziwa kwetsandanyama kunogona kuitika pavanotambanudza kana kuedza kufambisa tsandanyama dzavo pavanenge vachiita tsika yavo. Mutoro wekurwadziwa kwetsandanyama unowanzoenderana nemagariro ehupfumi izvo zvinogona kuita kuti vanhu vazhinji, vese vadiki nevakuru, vadzikise zvakanyanya kufamba kwavo uye kuita kwavo maitiro, izvo zvinokonzeresa kuwedzera kwengozi kune mamwe mamiriro asingaperi avangave nawo. ( Dzakpasu et al., 2021 )
Kana vanhu vazhinji vachibata nekurwadziwa kwetsandanyama muchimiro chayo chakaoma kana chisingaperi, vazhinji havawanzo ziva kuti kana tsandanyama dzakakanganisika dzepamusoro uye dzezasi dzemuviri quadrants dzichisangana nemarwadzo, kune hukama marwadzo uye kuoma kubva pakushanda kana kusashanda. tsandanyama dzinogona kukanganisa matishu akapfava zvichikonzera kushushikana kwemagetsi kune zvinokanganisa skeletal majoini. ( Wilke & Behringer, 2021 ) Kana izvi zvikaitika, vanhu vazhinji vanozotanga kunzwa kurwadziwa kwetsandanyama mumiviri yavo, zvichikonzera nyaya nekufamba kwavo, kuchinjika, uye kugadzikana. Sezvineiwo, kurwadziwa kwemisumbu kunogonawo kuva chiratidzo chevanhu vazhinji vane marwadzo akasiyana-siyana mumiviri yavo akakanganisa hupenyu hwavo pamberi; kutsvaga kurapwa kunogona kuderedza migumisiro yemarwadzo emisumbu uye kuvabatsira kuti vadzorere maitiro avo kuti vararame hupenyu hwakanaka.
Movement Medicine- Vhidhiyo
VIDEO
Hunhu hweAcupuncture Kune Kurwadza Kwetsandanyama
Kana vanhu vazhinji vachirwara nekurwadziwa kwemhasuru, vari kutsvaga marapirwo asingadhure chete asi anogonawo kushanda mukudzikisa maprofile enjodzi ari kukanganisa muviri, zvichikonzera kurwadziwa kwemhasuru. Kurapa kwakawanda senge chiropractic care, decompression, uye massage therapy haisi yekuvhiya uye inoshanda kuburikidza nezvikamu zvakatevedzana. Imwe yemishonga yekare uye inoshanda kwazvo inogona kubatsira kuderedza marwadzo emhasuru mumuviri ndeye acupuncture therapy. Acupuncture kurapwa kwakazara kunobva kuChinyakare Chinese Mushonga unoshandisa tsono diki, dzakasimba, dzakatetepa dzakaiswa nenyanzvi acupuncturists kune akasiyana acupoints. Huzivi hukuru ndehwekuti acupuncture inopa zororo kumuviri sezvo ichibatsira kuvandudza kuyerera kwesimba remuviri uchichengetedza hutano hwese hwemunhu uye kusimba. ( Zhang et al., 2022 ) Kana munhu ari kubata nekurwadziwa kwetsandanyama, mafiibhi emhasuru anogona kugadzira tumapundu tunozivikanwa sematrigger point anogona kukonzera marwadzo muakabatwa tsandanyama quadrants. Netsono dzeacupuncture dzakaiswa munzvimbo yakakanganiswa, marwadzo emunharaunda uye anotaurwa anoderedzwa, mhasuru yeropa uye okisijeni inodzoserwa kumuviri, uye mhasuru yekufamba inovandudzwa. ( Pourahmadi et al., 2019 ) Mamwe mabhenefiti anopihwa neacupuncture therapy anosanganisira:
Kuwedzera kutenderera Kuzvimba kudzikisira Endorphin kuburitswa Kuzorodza tsandanyama tension
Kubatanidza Acupuncture sechikamu cheKugwinya Routine
Vanhu vazhinji vari kutsvaga kurapwa kweacupuncture sechikamu cherwendo rwavo rwehutano hwakanaka vanogona kuona mabhenefiti akanaka eacupuncture uye vanogona kuisanganisa nemamwe marapirwo kuderedza mikana yekurwadziwa kwetsandanyama kubva pakudzoka. Nepo acupuncture inogona kubatsira kumutsa tsinga uye kudzoreredza kushanda kwemotokari, marapirwo akaita sekubatanidza majoini anogona kubatsira kutambanudza mhasuru dzakakanganisika uye majoini kuvandudza mafambiro emuviri. ( Lee et al., 2023 ) Nevanhu vazhinji vari kutsvaga kurapwa kweacupuncture kuderedza marwadzo emhasuru, vazhinji vanogona kuita shanduko diki mumaitiro avo kudzivirira marwadzo kubva pakukonzera kupindirana kwengozi profiles kumiviri yavo. Kana uchigadzirisa zvinokonzeresa marwadzo uye nekusimudzira kugona kwemuviri kupora, acupuncture inogona kubatsira kudzoreredza kuenzanisa, kuderedza kusagadzikana, uye kuwedzera hutano hwese.
References
Caneiro, JP, Bunzli, S., & O'Sullivan, P. (2021). Zvinotendwa nezvemuviri uye kurwadziwa: iyo yakakosha basa musculoskeletal kurwadziwa manejimendi. 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). Marwadzo emusculoskeletal uye mufambiro wekugara mumabasa uye asiri emabasa ekugadzirisa: kuongorora kwakarongeka nemeta-analysis. Int J Behav Nutr Phys Mutambo , 18 (1), 159. doi.org/10.1186/s12966-021-01191-y
Lee, JE, Akimoto, T., Chang, J., & Lee, HS (2023). Migumisiro yekubatana kwekubatana pamwe chete neacupuncture pamarwadzo, kushanda kwemuviri, uye kuora mwoyo muvarwere vesitiroko vane chirwere chisingaperi cheuropathic: Chiyedzo chinodzorwa chisingaverengeki. PLOS ONE , 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). Kubudirira kwekushaiwa kwakaoma kwekuvandudza marwadzo nekuremara kune vanhu vakuru vane tension-type, cervicogenic, kana migraine misoro: protocol yekuongorora kwakarongeka. Chiropr Man Therap , 27 , 43. doi.org/10.1186/s12998-019-0266-7
Wilke, J., & Behringer, M. (2021). “Kunonoka Kutanga Kurwadziwa Kwetsandanyama” Ishamwari Yenhema Here? Izvo Zvinogona Kureva zveFascial Connective Tissue muPost-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). Kufumura mashiripiti eacupuncture anoenderana nebiological mechanisms: Ongororo yemabhuku. Biosci Trends , 16 (1), 73-90. doi.org/10.5582/bst.2022.01039
Disclaimer
by Dr Alex Jimenez Kukanganiswa kwakakomba , Sciatica
Ko mapuroteni ekurapa ekurapa ane chinangwa chekuvandudza huwandu hwekufamba uye kuchinjika kwakatenderedza muhudyu uye kubvisa kuzvimba kwakatenderedza sciatic nerve kubatsira vanhu vari kurwadziwa zvakadzama matako kana piriformis syndrome?
Deep Buttock Pain
Piriformis syndrome, ak .a. kurwadziwa kwakadzika kwebutto, kunotsanangurwa se sciatic nerve irritation kubva pamusumbu wepiriformis.
Iyo piriformis imhasuru diki kuseri kwejojo rehudyu mumagaro.
Inenge centimita imwe mudhayamita uye inoshanda mukutenderera kwekunze kwehudyu kana kutenderera kunze.
Iyo piriformis muscle uye tendon iri pedyo ne sciatic nerve, iyo inopa mazamu ezasi ane motokari uye manzwiro.
Zvichienderana nekusiyana kwemunhu anatomic yemhasuru uye tendon:
Izvo zviviri zvinoyambuka, pasi, kana kuburikidza nemumwe kuseri kwejojo rehudyu muzasi kwakadzika.
Ukama uhwu hunofungidzirwa kutsamwisa tsinga, zvichiita kuti sciatica zviratidzo.
Piriformis Syndrome
Kana ukaonekwa kuti une piriformis syndrome, inofungidzirwa kuti musuru uye tendon inosunga uye / kana spasm yakakomberedza tsinga, zvichikonzera kutsamwa uye zviratidzo zvinorwadza.
Dzidziso inotsigirwa ndeyokuti apo piriformis muscle uye tendon yayo inoomesa, sciatic nerve inova yakamanikidzwa kana kupiniwa. Izvi zvinoderedza kutenderera kweropa uye zvinotsamwisa tsinga kubva mukumanikidzwa. (Shane P. Cass 2015 )
zviratidzo
Zviratidzo uye zviratidzo zvinowanzoitika zvinosanganisira: (Shane P. Cass 2015 )
Unyoro nekumanikidza pamusumbu wepiriformis.
Kusagadzikana kumashure kwechidya.
Kurwadza kwemagaro kwakadzika kuseri kwehudyu.
Manzwiro emagetsi, kuvhunduka, uye marwadzo zvinofamba zvichidzika kumashure kwechikamu chepasi.
Chiveve kumucheto wezasi.
Vamwe vanhu vanotanga zviratidzo zvekuerekana, nepo vamwe vachiwedzera zvishoma nezvishoma.
kuongorora chirwere
Vanachiremba vanozoraira X-rays, MRIs, uye nerve conduction zvidzidzo, izvo zvakajairika.
Nemhaka yokuti piriformis syndrome inogona kuva yakaoma kuongorora, vamwe vanhu vane marwadzo maduku ehudyu vanogona kugamuchira piriformis syndrome kuongororwa kunyange kana vasina chirwere. (Shane P. Cass 2015 )
Iyo dzimwe nguva inonzi yakadzika bhutu kurwadziwa. Zvimwe zvikonzero zverudzi urwu rwemarwadzo zvinosanganisira kumashure uye musana uye musana senge:
Herniated discs
Spinal stenosis
Radiculopathy - sciatica
Hip bursitis
A piriformis syndrome kuongororwa inowanzopiwa apo izvi zvimwe zvikonzero zvinobviswa.
Kana kuongororwa kusinganyatsozivikanwi, jekiseni rinoshandiswa munzvimbo yepiriformis muscle. (Danilo Jankovic et al., 2013 )
Mishonga yakasiyana inogona kushandiswa, asi jekiseni pachayo rinoshandiswa kubatsira kuziva nzvimbo chaiyo yekusagadzikana.
Apo jekiseni rinopiwa mupiriformis muscle kana tendon, inowanzotungamirirwa nehutungamiri hwe ultrasound kuti uone kuti tsono inopa mishonga kunzvimbo yakarurama. (Elizabeth A. Bardowski, JW Thomas Byrd 2019 )
mabatiro
Mishonga yakajairika inosanganisira zvinotevera. (Danilo Jankovic et al., 2013 )
Zorora
Kudzivisa mabasa anokonzera zviratidzo kwemavhiki mashoma.
Therapy Therapy
Simbisa kutambanudza uye kusimbisa hudyu rotator tsandanyama.
Non-Surgical Decompression
Zvinyoro zvinodhonza musana kuti usunungure chero kudzvanywa, zvichibvumira optimal rehydration uye kutenderera uye kutora kumanikidza kubva kune sciatic nerve.
Therapeutic Massage Techniques
Kuzorodza uye kusunungura kushushikana kwemhasuru uye kuwedzera kutenderera.
Acupuncture
Kubatsira kuzorora piriformis muscle , sciatic nerve, uye nzvimbo yakapoteredza.
Deredza marwadzo.
Chiropractic Adjustments
Realignment inogadzirisa musana uye musculoskeletal system kuderedza marwadzo.
Anti-Inflammatory Medication
Kuderedza kuzvimba kwakatenderedza tendon.
Cortisone Majekiseni
Majekiseni anoshandiswa kuderedza kuzvimba uye kuzvimba.
Botulinum Toxin Jekiseni
Majekiseni emuchetura we botulinum anoomesa tsandanyama kuti abvise marwadzo.
Surgery
Kuvhiya kunogona kuitwa muzviitiko zvisingawanzoitiki kusunungura piriformis tendon, inozivikanwa sepiriformis release. (Shane P. Cass 2015 )
Kuvhiya inzira yekupedzisira apo kurapwa kwekuchengetedza kwakaedzwa kweinenge mwedzi mitanhatu pasina zororo.
Kupora kunogona kutora mwedzi yakati wandei.
Sciatica Zvinokonzera uye Kurapa
VIDEO
References
Cass SP (2015). Piriformis syndrome: chikonzero che nondiscogenic sciatica. Mishumo yezvino yemishonga yemitambo, 14 (1), 41-44. doi.org/10.1249/JSR.0000000000000110
Jankovic, D., Peng, P., & van Zundert, A. (2013). Ongororo pfupi: piriformis syndrome: etiology, kuongororwa, uye manejimendi. Canadian magazine of anesthesia = Journal canadien d'anesthesie, 60(10), 1003–1012. doi.org/10.1007/s12630-013-0009-5
Bardowski, EA, & Byrd, JWT (2019). Piriformis Injection: An Ultrasound-Guided Technique. Arthroscopy maitiro, 8(12), e1457-e1461. doi.org/10.1016/j.eats.2019.07.033
by Dr Alex Jimenez Kukanganiswa kwakakomba , Injury Care
Kukuvara kwemabvi kunogona kuwanikwa muvanhu vakagwinya vanosimudza masimbi. Kunzwisisa marudzi ekurema kwekukuvara kwebvi kunogona kubatsira mukudzivirira here?
Weightlifting Mabvi Kukuvara
Kudzidzira uremu kwakachengeteka zvikuru kumabvi sezvo kurovedza uremu nguva dzose kunogona kuvandudza simba remabvi uye kudzivirira kukuvadzwa chero bedzi fomu yakarurama ichiteverwa. Kune Vanhu vane kukuvara kwemabvi kubva kune mamwe mabasa, zvisizvo kurovedza uremu zvinogona kuwedzera kukuvara. (Ulrika Aasa et al., 2017 ) Zvakare, kumonyorora kamwe kamwe, kurongeka kwakashata, uye kukuvadzwa kwagara kuripo kunogona kuwedzera njodzi yekuwedzera kana kugadzira kumwe kukuvara. (Hagen Hartmann et al, 2013 ) Muviri nemabvi zvakagadzirirwa kutsigira vertical forces pamajoini.
Kazhinji Kukuvara
Weightlifting mabvi kukuvadzwa kunoitika sezvo majoini emabvi anotsungirira zvakasiyana-siyana zvekunetseka uye kushungurudza. Mukurovedza uremu, matsimba anonamatira kune yakaoma bone system yemabvi akabatanidzwa anogona kukuvadzwa nekufamba kwakashata, kuremedza uremu, uye kuwedzera huremu nekukurumidza. Kukuvara uku kunogona kuguma nekurwadziwa, kuzvimba, uye kusagadzikana kunogona kubva kune zviduku kusvika kune zvakanyanya, kubva pakuputika kana kubvarura zvishoma kusvika pakubvarura kwakakwana mumatambudziko makuru.
Anterior Cruciate Ligament - ACL - Kukuvara
Iyi ligament inonamira femur bone yechidya kuzasi kwegumbo shin bone/tibia uye inodzora kutenderera kwakanyanya kana kuwedzera kwemabvi akabatanidzwa. (American Academy of Family Physicians. 2024 )
Anterior zvinoreva pamberi.
Kukuvara kweAACL kunoonekwa zvakanyanya muvatambi asi zvinogona kuitika kune chero munhu.
Kukuvadzwa kwakanyanya kune ACL kunowanzoreva kuvhiyazve kuvaka uye kusvika kumwedzi gumi nemiviri yekuvandudza.
Paunenge uchisimudza uremu, edza kudzivirira kumonyanisa mafambiro emabvi, nemaune kana netsaona, pasi pemutoro wakawandisa.
Posterior Cruciate Ligament – PCL – Kukuvara
Iyo PCL inobatanidza femur uye tibia panzvimbo dzakasiyana kune ACL.
Iyo inodzora chero kufamba kwekudzokera kumashure kwetibia pamubatanidzwa.
Kukuvara kunoitika zvakanyanya nemasimba epamusoro-soro semugumisiro wetsaona uye dzimwe nguva mumabasa apo kushungurudzwa kwechisimba kumabvi kunoitika.
Medial Collateral Ligament – MCL – Kukuvara
Iyi ligament inochengetedza ibvi kubva pakukotama zvakanyanya kusvika mukati / pakati.
Kukuvara kunonyanya kuitika kubva pakubata kusvika kunze kwebvi kana kubva kune netsaona bodyweight simba pagumbo rinokotama pakona isina kujairika.
Lateral Collateral Ligament – LCL – Kukuvara
Iyi ligament inobatanidza bhonzo duku regumbo rezasi / fibula kune femur.
Zvakapesana neMCL.
Inochengetedza kufamba kwakanyanyisa kwekunze.
Kukuvara kweLCL kunoitika apo simba rinosundira ibvi kunze.
Cartilage Kukuvara
Cartilage inodzivirira mapfupa kubva pakukweshana pamwe chete uye makusheni anokanganisa masimba.
Knee menisci is cartilage iyo inomisa majoini emabvi mukati nekunze.
Mamwe marudzi eshwashwa anodzivirira chidya uye mapfupa ekushin.
Kana cartilage ikabvaruka kana kukuvara, kuvhiyiwa kungadiwa.
Tendonitis
Yakawedzera uye yakanyanyisa kushandiswa kwemabvi tendon inogona kutungamirira mukurema kwekukuvara kwemabvi.
Kukuvara kwakabatana kunozivikanwa se iliotibial band syndrome / ITB inokonzera marwadzo kune kunze kwebvi, kazhinji mumhanyi, asi inogona kuitika kubva pakushandisa zvakanyanya.
Kuzorora, kutambanudza, kurapa kwemuviri, uye anti-kuzvimba mishonga chirongwa chakajairika chekurapa.
Vanhu vanofanirwa kubvunza murapi wepanyama kuti varwadze kwenguva yakareba kupfuura mavhiki maviri. (Simeon Mellinger, Nyasha Anne Neurohr 2019 )
Osteoarthritis
Sezvo muviri uchikura, kupfeka kwakajairwa uye kubvaruka kunogona kukonzera kukura kwe chemajoini yemabvi akabatanidzwa. (Jeffrey B. Driban et al., 2017 )
Mamiriro acho anoita kuti shwashwa riwombe uye mapfupa achikweshana, zvichikonzera marwadzo nekuoma.
dziviriro
Vanhu vanokwanisa kuderedza njodzi yavo yekuremesa kukuvara kwebvi uye kurwadziwa nekutevera kurudziro yachiremba wavo uye yevarairidzi vega.
Vanhu vane kukuvara kwebvi kuripo vanofanira kutevera mazano echiremba wavo kana wepanyama.
Sleeve yemabvi inogona kuchengetedza tsandanyama nemajoini, ichipa dziviriro netsigiro.
Kutambanudza mhasuru dzegumbo nemabvi zvinogona kuchengetedza kubatana kuchinjika.
Dzivisa kungoerekana wafamba nedivi.
Zvinogoneka kurudziro zvinogona kusanganisira:
Kudzivisa Mamwe Maekisesaizi
Maekisesaizi ekuzviparadzanisa nevamwe senge gumbo curls, akamira, kana pabhenji, pamwe nekushandisa muchina wekuwedzera gumbo, anogona kusimbisa ibvi.
Deep Squat Training
Tsvagiridzo inoratidza kuti squat yakadzika inogona kudzivirira kubva pakukuvara kwegumbo rezasi kana ibvi rine hutano. Nekudaro, izvi zvinoitika kana zvichiitwa nehunyanzvi hwakakodzera, pasi pekutariswa kwenyanzvi, uye nekufamba zvishoma nezvishoma. (Hagen Hartmann et al, 2013 )
Vanhu vanofanira kutaura nachiremba wavo vasati vatanga maitiro matsva ekurovedza muviri. Mudzidzisi wega anogona kupa kudzidziswa mukudzidza maitiro akakodzera uye uremu fomu.
Mabviro andakaita ACL yangu Chikamu 2
VIDEO
References
Aasa, U., Svartholm, I., Andersson, F., & Berglund, L. (2017). Kukuvadza pakati pe weightlifters uye powerlifters: kuongorora kwakarongeka. Magazini yeBritish yemishonga yemitambo, 51 (4), 211-219. doi.org/10.1136/bjsports-2016-096037
Hartmann, H., Wirth, K., & Klusemann, M. (2013). Kuongororwa kwemutoro pamabvi akabatanidzwa uye vertebral column ine shanduko mukudzika kwekudzika uye kuremerwa kwehuremu. Mishonga yemitambo (Auckland, NZ), 43 (10), 993-1008. doi.org/10.1007/s40279-013-0073-6
American Academy of Family Physicians. ACL kukuvara. (2024). ACL kukuvara (Zvirwere uye Mamiriro, Nyaya. familydoctor.org/condition/acl-injuries/
Mellinger, S., & Neurohr, GA (2019). Evidence based treatment options for common knee kukuvara mumhanyi. Nhoroondo dzemushonga wekushandura, 7(Suppl 7), S249. doi.org/10.21037/atm.2019.04.08
Driban, JB, Hootman, JM, Sitler, MR, Harris, KP, & Cattano, NM (2017). Kutora Chikamu Mune Mimwe Mitambo Yakabatana NeKnee Osteoarthritis? Ongororo Yakarongeka. Nyaya yekudzidziswa kwemitambo, 52 (6), 497-506. doi.org/10.4085/1062-6050-50.2.08
by Dr Alex Jimenez Kukanganiswa kwakakomba , Mamiriro Ekutongwa
Vanhu vanoita maekisesaizi anorema vanogona kukudziridza mazamu ekupisa kubva pakunyanyisa. Kuziva zvikonzero nezviratidzo zvingabatsira here kudzivirira zvikamu zvenguva yemberi kuti zvisaitike?
Heat Cramps
Heat cramps inogona kukura panguva yekurovedza muviri kubva pakuwedzeredza kana kuratidzwa kwenguva refu kune tembiricha yakakwira. The tsandanyama cramps, spasms, uye kurwadziwa zvinogona kubva kunyoro kusvika kune yakaoma.
Tsandanyama Cramps uye Dehydration
Heat cramps inowanzokura nekuda kwekupererwa nemvura uye kurasikirwa kwe electrolyte. (Robert Gauer, Bryce K. Meyers 2019 ) Zviratidzo zvinosanganisira:
Electrolytes sesodium, calcium, uye magnesium yakakosha pakushanda zvakanaka tsandanyama, kusanganisira moyo. Basa guru rekudikitira nderekugadzirisa tembiricha yemuviri. (MedlinePlus. 2015 ) Dikita kazhinji mvura, electrolytes, uye sodium. Kudikitira zvakanyanya kubva pakuita basa remuviri uye kurovedza muviri kana nharaunda inopisa inogona kukonzera kusaenzana kwe electrolyte kunotungamirira kumakumbo, spasms, uye zvimwe zviratidzo.
Zvikonzero uye Mabasa
Kupisa chinyamunhari kunowanzobata vanhu vanodikitira zvakanyanya panguva yebasa rakaoma kana kuratidzwa kune kupisa kunopisa kwenguva refu. Muviri uye nhengo dzinoda kutonhora pasi, izvo zvinokonzera kubuda dikita. Zvisinei, kudikitira zvakanyanya kunogona kukonzera kupera mvura mumuviri uye kupera kwe electrolyte. (Centers for Disease Control and Prevention. 2022 )
Risk Factors
Zvinhu zvinogona kuwedzera njodzi yekugadzira matinji ekupisa zvinosanganisira: (Robert Gauer, Bryce K. Meyers 2019 )
Zera - Vana nevakuru vane makore 65 zvichikwira vane njodzi yakanyanya.
Kutsvaira kwakanyanya.
Low sodium kudya.
Preexisting Medical Conditions - chirwere chemoyo, chirwere cheshuga mellitus, uye kufutisa mamiriro ezvinhu anogona kuwedzera njodzi yekupwanya kwetsandanyama.
Mishonga - BP, diuretics, uye antidepressants inogona kukanganisa electrolyte balance uye hydration.
Kunwa doro.
Kuzvitarisira
Kana kupisa kunotanga kutanga, pakarepo misa chiitiko uye tsvaga nzvimbo inotonhorera. Rehydrate muviri kuti udzorere kupera kwemvura. Kugara uine hydrated uye kunwa zvinwiwa nguva nenguva panguva yebasa rakasimba kana munzvimbo inopisa kunogona kubatsira kudzivirira muviri kubva mukupwanya. mienzaniso yezvinwiwa zvinowedzera electrolytes zvinosanganisira:
Kushandisa zvinyoro kumanikidza uye kukwiza tsandanyama dzakakanganisika zvinogona kubatsira kuderedza marwadzo uye spasms. Sezvo zviratidzo zvinopera, zvinokurudzirwa kuti usakurumidza kudzokera kukuita basa rinonetsa nekuti kuwedzera kusimba kunogona zvishoma nezvishoma kutungamira mukupisa kana kupera simba. (Centers for Disease Control and Prevention. 2021 ) Heatstroke uye kupera kupisa zvirwere zviviri zvine chekuita nekupisa. (Centers for Disease Control and Prevention. 2022 )
Kupisa ndipo apo muviri unorasikirwa nekukwanisa kudzora tembiricha uye zvinogona kukonzera kutonhora kwakanyanya.Kupisa kupera simba ndiyo mhinduro yemuviri kune yakawandisa mvura uye kurasikirwa kwe electrolyte.
Symptom Timing
Nguva uye urefu hwekupisa kupisa kunogona kuona kana kurapwa kuchidikanwa. (Centers for Disease Control and Prevention. 2022 )
Panguva kana Mushure meMabasa
Ruzhinji rwekupisa matinji anokura panguva yezviitwa nekuda kwekushanda nesimba nekudikitira, zvichiita kuti mamwe maelectrolyte arasikirwe uye muviri uwedzere kupera mvura.
Zviratidzo zvinogonawo kukura maminetsi kusvika kumaawa mushure mekunge basa ramira.
chinguva
Zvizhinji zvine chekuita nekupisa tsandanyama cramps inogadzirisa nekuzorora uye hydration mukati me30-60 maminetsi.
Kana tsandanyama kurovera kana kuti spasms ikasapera mukati meawa imwe chete, tsvaga rubatsiro kuna chiremba.
Kune vanhu vane mamiriro emoyo kana pane yakaderera-sodium yekudya vanokudziridza kupisa kwemukati, zvisinei nekuti kwenguva yakareba sei, rubatsiro rwekurapa runodiwa kuti vaone kuti hapana matambudziko.
dziviriro
Mazano ekudzivirira kupisa cramps zvinosanganisira: (Centers for Disease Control and Prevention. 2022 )
Inwa zvinwiwa zvakawanda usati waita uye panguva yemitambo.
Dzivisa doro uye zvinwiwa zvine caffeine.
Rega kuita maekisesaizi kana kuratidzwa kupisa kwakanyanya panguva yezuva rakanyanyisa.
Dzivisa zvipfeko zvakasimba uye zvitema-ruvara.
Kuongorora Varwere MuChiropractic Setting
VIDEO
References
Gauer, R., & Meyers, BK (2019). Zvirwere Zvinoenderana Nekupisa. Chiremba wemhuri yeAmerica, 99(8), 482–489.
Centers for Disease Control and Prevention. (2022). Kushungurudzika kwekupisa - chirwere chinoenderana nekupisa. Sangano reNational Institute for Occupational Safety and Health (NIOSH) Yakadzorerwa kubva www.cdc.gov/niosh/topics/heattress/heatrelillness.html#cramps
MedlinePlus. (2015). Ziya. Zvakatorwa kubva medlineplus.gov/sweat.html#cat_47
FoodData Central. (2019). Nzungu, kokonati mvura (mvura kubva coconuts). Zvakatorwa kubva fdc.nal.usda.gov/fdc-app.html#/food-details/170174/nutrients
FoodData Central. (2019). Mukaka, nonfat, fluid, ine vhitamini A yakawedzerwa uye vhitamini D (isina mafuta kana skim). Zvakatorwa kubva fdc.nal.usda.gov/fdc-app.html#/food-details/746776/nutrients
Centers for Disease Control and Prevention. (2012). Mibvunzo inowanzo bvunzwa (FAQ) nezve kupisa kwakanyanya. Zvakatorwa kubva www.cdc.gov/disasters/extremeheat/faq.html
by Dr Alex Jimenez Kukanganiswa kwakakomba , Injury Care
Mafinger sprains uye dislocation zvakajairika kukuvara kwemaoko izvo zvinogona kuitika panguva yebasa, zvemuviri / zvemitambo zviitiko, kana mukudhumhana kwemotokari uye tsaona. Kuziva zviratidzo kunobatsira mukugadzira nzira yekurapa inoshanda here?
Zvigunwe zveChigunwe uye Kubviswa
Zvigunwe zvigunwe uye kuputika zvinowanzoitika kukuvara kweruoko kunokonzera marwadzo uye kuzvimba.
A sprain inoitika kana chigunwe chemunwe chinotsigira chibatanidza chinotambanudzwa kupfuura miganhu yayo nenzira inosimbisa ligaments uye tendon.
Iyo ligament tissue inogona kubvaruka zvishoma kana zvachose. Kana kukanganisa kwakaipa zvakakwana, chibatanidza chinoparadzana.
Uku kutsemuka - Kutsemuka kunoitika kana chibatanidza chiri muchigunwe chabviswa panzvimbo yaro.
Zvose zvinokuvadza zvinogona kukonzera marwadzo uye kuoma mumunwe uye ruoko.
Sprains
Zvigunwe zvinoputika zvinogona kuitika chero nguva iyo munwe unokotama nenzira isina kunaka kana isina kujairika. Izvi zvinogona kuitika kubva pakudonha neruoko kana kukuvadzwa kana uchiita mabasa emuviri semitambo kana mabasa epamba. Sprains inogona kuitika mune chero ipi zvayo yemajoini mumunwe. Zvisinei, kazhinji, chibatanidza chiri pakati pemunwe chinoputika. Iyo inozivikanwa se proximal interphalangeal kana PIP joint. (John Elfar, Tobias Mann. 2013 ) Zviratidzo zvemunwe sprain zvinogona kusanganisira:
mabatiro
Vanhu vanokurudzirwa kuti vasafambisa munwe wakakuvara pavanenge vachipora uye vachipora. Zvinogona kuva zvakaoma kuita, asi kupfeka splint kunogona kubatsira.
Zvitsigiro zvitsigiro zvinowanzogadzirwa kubva mufuro uye simbi inopfakanyika.
Chigunwe chine sprain chinogonawo kusungirirwa kune chimwe cheminwe iri padivi pacho paunenge uchipora, unozivikanwa sebuddy-taping.
Kutsemura chigunwe chakatsemuka paunenge uchiita mabasa kunogona kudzivirira ruoko kubva pakuipa kana kuwedzera kukuvara.
Zvisinei, kutsemuka chigunwe kana chisingadiwe kunogona kuita kuti mubatanidzwa uome. (OrthoInfo. American Academy yeOrthopedic Surgeons. 2022 )
Kukuvara kunozivikanwa se " gamekeeper's thumb" imhando yakakomba ye sprain.
Kukuvara kumarunda pachigunwe chechigunwe kunogona kukonzera kunetsa mukutsikirira uye kubata.
Kukuvara uku kunofanira kazhinji kusungirirwa kumusoro kana kupatsanurwa kwenguva yakati wandei yekupora kuzere uye kungada kuvhiyiwa. (Chen-Yu Hung, Matthew Varacallo, Ke-Vin Chang. 2023 )
Mamwe marapirwo ekubatsira sprained chigunwe anosanganisira:
Simudza ruoko kana ruchizvimba uye rwakazvimba.
Nyoro zvigunwe zviitwa / kufamba kudzivirira kuoma.
Icing chigunwe chakakuvara.
Tora mushonga unorwisa kuzvimba.
Vanhu vasina kutyoka mapfupa kana kutsemura mubatanidzwa vangangokwanisa kufambisa chigunwe chavo mukati mevhiki. Chiremba achaisa nguva yekuti unotanga rinhi kushandisa munwe kazhinji.
Vanhu vanokwenya munwe wavo unonzwa kuzvimba uye kuomarara kwenguva yakareba kupfuura mavhiki mashoma vanokurudzirwa kuonana nachiremba kana nyanzvi.
Ivo vanozoda kutarisa ruoko kuti vaone kuti hapana kuputika kana kuputsika. (OrthoInfo. American Academy yeOrthopedic Surgeons. 2022 )
Zvigunwe zvezvigunwe uye zvigunwe zvemunwe muvana zvingada kuparadzaniswa kana kunyorerwa kwenguva yakareba, sezvo ligament isati yanyatsokura kana yakasimba, iyo inogona kukonzera kubvarura.
Dislocations
Kubviswa kwemunwe kukuvara kwakanyanya kunosanganisira ligament, joint capsule, cartilage, uye mamwe matissue anokonzera kusarongeka kwemunwe. Marunda nemajoini capsule anobvaruka kana mubatanidzwa wabviswa. Iko kubatanidzwa kunoda kugadziriswa, iyo inogona kuva nzira iri nyore, kana mumatambudziko akaoma, varwere vangada kuiswa pasi peanesthesia kana kuvhiyiwa kuti vagadzirise mubatanidzwa zvakanaka.
Muzviitiko izvi, tendon kana mamwe matishu anogona kunge achidzivirira mubatanidzwa kuti upinde munzvimbo.
Kudzosa chigunwe munzvimbo chaiyo inozivikanwa se "kuderedza." Kana yangoderedzwa, chigunwe chinoda kupatsanurwa.
Vanhu vanodawo X-ray kuti vaone kuti mubatanidzwa wakarongedzwa zvakanaka uye kuti chero mapfupa haana kutyoka kana kutyoka pavakatsigira kukuvara. (James R. Borchers, Thomas M. Best. 2012 )
Kana uchinge wagadzikwa patsva, kutarisira chigunwe chabviswa zvakangofanana nemunwe wakadzvanywa. Kushandisa ice pamunwe, kuchengetedza ruoko kukwidziridzwa kuderedza kuzvimba.
Vanhu vanofanirwa kutarisa nachiremba wavo kuti vazive nguva yekutanga kufambisa chigunwe. (James R. Borchers, Thomas M. Best. 2012 )
Iyo Chiropractic Nzira Yekuvandudza Utano
VIDEO
References
Elfar, J., & Mann, T. (2013). Kutsemuka-kudislocation kweiyo proximal interphalangeal joint. The Journal of the American Academy of Orthopedic Surgeons, 21 (2), 88-98. doi.org/10.5435/JAAOS-21-02-88
OrthoInfo kubva kuAmerican Academy yeOrthopedic Surgeons. (2022) Kutyoka kwemaoko .
Hung, CY, Varacallo, M., & Chang, KV (2023). Gamekeeper's Thumb. MuStatPearls. StatPearls Publishing.
OrthoInfo kubva kuAmerican Academy yeOrthopedic Surgeons. (2022) Kutyoka kweminwe .
Borchers, JR, & Best, TM (2012). Kutyoka kwemunwe kwakajairika uye kutsemuka. Chiremba wemhuri yeAmerica, 85(8), 805–810.
by Dr Alex Jimenez Kukanganiswa kwakakomba , Hip Pain & Dambudziko
Vanhu vanotambura nehudyu, chidya, uye/kana kurwadza kwegomarara vanogona kunge vachisangana neiliopsoas syndrome. Kuziva zviratidzo nezvinokonzeresa kungabatsira here pakuongorora nekurapwa?
Iliopsoas Syndrome
Iliopsoas syndrome inosanganisira mamiriro akati wandei anokanganisa mukati mehudyu tsandanyama uye anogona kukonzera kurwadziwa kwehudyu nechidya. Tsandanyama inobatsira kukotamisa gumbo rakananga kumuviri.
Mamiriro acho anowanzokonzerwa nekukuvadzwa kwepamusoro uye anowanzobata vanhu vanodzokorora maitiro ehudyu, semabhasikoro, gymnasts, vatambi, vanomhanya, uye vatambi venhabvu. (Liran Lifshitz, et al., 2020 )
Izwi rinowanzoshandiswa zvakasiyana ne psoas syndrome, iliopsoas tendonitis, snapping hip syndrome, uye iliopsoas bursitis. Zvisinei, kune misiyano yekiriniki.
zviratidzo
Zviratidzo zvinosanganisira: (American Association yeHip uye Knee Surgeons . 2020)
Kunyorova munzvimbo yehudyu uye mugomba.
Hip kana groin kudzvanya kana kubvuta zvinonzwika uye/kana kunzwika panguva yekufamba.
Marwadzo uye/kana kuoma muhudyu nechidya.
Marwadzo anowedzera pakukotama hudyu - kufamba, kukwira masitepisi, kuputika, kugara.
Kufambisa kunosanganisira kuunza ibvi kuchipfuva kunogona kuwedzera marwadzo.
Zvinokonzera
Iyo iliopsoas mhasuru imhasuru dzehudyu dziri kumberi kwehudyu. Ivo vakagadzirwa ne psoas huru, psoas minor, uye iliacus . Madiki, masaga akazara-mvura-mabhegi ari mukati memubatanidzwa wehudyu pakati pemapfupa uye matishu akapfava. Iyo bursae inoderedza kukweshera uye inopa cushioning kubatsira tendon, tsandanyama, uye zvimwe zvimiro kufamba zvakanaka pamusoro pemabhonzo akakurumbira.
Iliopsoas bursitis inoitika kana iyo bursa, iyo iri pakati peiliopsoas tendon uye mukati mejojo rehudyu, inoputika uye inogumburwa.
Iliopsoas tendonitis/hip tendonitis inoitika kana iyo tendon iyo inonamira bhonzo rechidya kune iliopsoas tsandanyama inozvimba uye kushatirwa.
Iliopsoas bursitis uye tendonitis zvinowanzokonzerwa nekukuvara kwakanyanya uye zviitiko zvakanyanya sekuchovha bhasikoro, kumhanya, kukwasva, kana kudzidziswa simba.
kuongorora chirwere
Vashandi vehutano vanogona kuongorora iliopsoas syndrome zvichienderana nechiratidzo chenhoroondo uye kuongororwa kwehudyu.
Imaging tests - MRI uye X-rays inogona kushandiswa kutonga kunze kwekumwe kukuvadzwa kana mamiriro akaita semisodzi yemhasuru. (Paul Walker, et al., 2021 )
mabatiro
Zvizhinji zvinyoro zviitiko zvehudyu bursitis uye hip tendonitis zvinogona kutarisirwa uchishandisa nzira yeRICE (American Association of Orthopedic Surgeons. 2020 )
Zorora
Dzivisa kuisa uremu pahudyu kwemazuva mashoma mushure mekukuvara.
chando
Isa ice pakarepo mushure mekukuvara kuti uunze kuzvimba pasi.
Shandisa inotonhora paki kwemaminitsi makumi maviri panguva, kakawanda pazuva.
Usaisa ice zvakananga paganda.
Kudzvinyirira
Putira nzvimbo yacho mubhandiji rakapfava kana shandisa kabudura kapfupi kudzivirira kuwedzera kuzvimba.
Elevation
Zorora kakawanda sezvinobvira negumbo rakasimudzwa kupfuura mwoyo.
Kurapa Kwekurapa
Non-steroidal anti-inflammatory drugs senge ibuprofen uye naproxen sodium inogona kuderedza marwadzo uye kuderedza kuzvimba. (Paul Walker, et al., 2021 )
Majekiseni eSteroid anogona kushandiswa kana zviratidzo zvikaenderera mberi kana kudzoka nemamwe majekiseni akaiswa sezvinodiwa. (Paul Walker, et al., 2021 )
Mushure mekurwadziwa uye kuzvimba zvapera, physically therapy inogona kukurudzirwa, pamwe nekudzidzira zvinyoro zvishoma nezvishoma kuvandudza simba rehudyu uye kushanduka. (Paul Walker, et al., 2021 )
Mumwe mupi wehutano anogona kukurudzira kuvhiyiwa mumamiriro ezvinhu akaoma apo marwadzo anopfuurira, uye kurapa kwekuchengetedza hakupi rubatsiro rwakakwana.
Nekudaro, izvi hazviwanzo nekuda kwekushaya simba kwetsandanyama uye njodzi dzekukuvara kwetsinga. (Paul Walker, et al., 2021 )
Hip Labral Tear - Chiropractic Treatment
VIDEO
References
Lifshitz, L., Bar Sela, S., Gal, N., Martin, R., & Fleitman Klar, M. (2020). Iliopsoas Iyo Yakavanzika Muscle: Anatomy, Diagnosis, uye Kurapa. Mishumo yezvino yemishonga yemitambo, 19 (6), 235-243. doi.org/10.1249/JSR.0000000000000723
American Association yeHip uye Knee Surgeons. Iliopsoas tendonitis/bursitis .
Walker, P., Ellis, E., Scofield, J., Kongchum, T., Sherman, WF, & Kaye, AD (2021). Snapping Hip Syndrome: A Comprehensive Update. Ongororo dzeOrthopedic, 13(2), 25088. doi.org/10.52965/001c.25088
American Association of Orthopedic Surgeons. OrthoInfo. Hip strains .
by Dr Alex Jimenez Kukanganiswa kwakakomba , Sciatica Nerve Pain
Kukuvara kwetsandanyama yeHamstring kwakajairika, kunyanya muvatambi uye vanhu vane mabasa anorema. Pane mukana uri nani wekupora kuzere nekugadzirisa kwekuvhiya uye post-op rehabilitation?
Hamstring Muscle Tear
Kazhinji, kukuvadzwa kwemhasuru yehamstring imisodzi yetsandanyama. Aya marudzi ekukuvadzwa ndiwo matsimba emhasuru anoitika kana tsinga dzemhasuru dzakatambanudzwa kupfuura zvadzinojaira. Misodzi yakakwana yemhasuru ye hamstring haina kujairika, asi inoitika kune vese vatambi nevasiri vatambi. Kusarudza chirongwa chekurapa chakanyanya kunoenderana ne:
Kuoma kwetendon kubvaruka
Zvinotarisirwa nemunhu akuvara.
Misodzi isina kukwana ndipo apo hamstring muscle iri yakatambanudzwa zvakanyanya, asi isina kubviswa zvachose .Kana kubvarura kuchipera, kukuvara kunonyanya kukosha, sezvo magumo haasisina kubatana. (American Academy yeOrthopedic Surgeons. 2021 )
Misodzi yakakwana zvinowanzoitika pamusoro pemhasuru apo tendon inobvarura kubva pachiuno.Kusvimha misodzi kunowanzoitika kana pane kamwe-kamwe kuputika kwehudyu uye kuwedzera kwekubatana kwemabvi - apo misumbu inobvumirana munzvimbo iyi, inotambanudzwa kupfuura miganhu yayo.
Misodzi yakazara inozivikanwa sekukuvara kwakasiyana uye ingangoda kurapwa kwakanyanya. (American Academy yeOrthopedic Surgeons. 2021 )
Vanhu vanotsigira rudzi urwu rwekukuvara vanotsanangura kubaya kwakapinza kumashure kwechidya.
Kukuvara kunogona kuitika kune vatambi kana vanhu vezera repakati. (American Academy yeOrthopedic Surgeons. 2021 )
Basic hamstring strains inogona kurapwa nematanho akareruka - kuzorora, ice, anti-kuzvimba mishonga, uye inochengetedza marapirwo.
zviratidzo
Zviratidzo zve hamstring muscle strain zvinogona kusanganisira kurwadziwa, maronda, kuzvimba, uye kuoma kwekufamba. (American Academy yeOrthopedic Surgeons. 2021 ) Vanhu vanochengeta kukuvara uku vanowanzonzwa kurwadziwa kamwe kamwe. Zviratidzo zvekubvaruka zvinogona kusanganisira:
Kurwadza kwakapinza panosangana garo nechidya.
Kunetsa kufamba.
Kugara kunogona kuoma sezvo kumucheto kwechigaro kunogona kuisa kudzvinyirira zvakananga pakukuvara.
Spasms uye cramping sensations kumashure kwehudyu.
Kushaya simba mugumbo, kunyanya kana uchikotama mabvi kana kusimudza gumbo shure kwemuviri.
Kunzwa chiveve kana kupisa semugumisiro we sciatic nerve irritation .
Kuzvimba uye kuputika kumashure kwehudyu - nekufamba kwenguva inogona kufamba ichidzika kumashure kwebvi nemhuru uye zvichida mutsoka.
Nekuchekwa kwe hamstring kwakazara, kazhinji kune kuzvimba kwakakosha uye mavanga anokura kumashure kwechidya.
kuongorora chirwere
Zviratidzo zvinogona kunetsa kuona mumatanho ekutanga ndosaka maX-ray ehudyu kana chidya anowanzo kuwanikwa.
Mune mamwe mamiriro ezvinhu, chidimbu chepfupa chinogona kubviswa kubva pachiuno pamwe chete ne hamstring muscle attachment. Kuongororwa kweMRI kunogona kuitwa kuti iongorore kusungirirwa uye inogona kutsanangura zvakakosha zvemukati wakakwana wemhasuru kubvaruka, kusanganisira:American Academy yeOrthopedic Surgeons. 2021 )
Nhamba yematendon inobatanidzwa.
Kupesanisa nekubvarura zvisina kukwana.
Huwandu hwekudzosa - huwandu hwematendon akadhonza kumashure.
Izvi zvichatungamirira kukura kwekurapa.
mabatiro
Kurapa kwemisodzi yakakwana kuchaenderana nezvinhu zvakasiyana. Imwe shanduko ndeyemurwere uye zvavanotarisira.
Kurapa ndiko kunyanyisa muvanhu vadiki sevatambi vepamusoro .
Kurapa ndiko kushomeka kwehasha muvanhu vezera repakati .
Kakawanda tendon imwe chete kubvarura inogona kurapwa kwete-kuvhiya. Kana imwe tendon ichibatanidzwa, kazhinji haina kudhonzwa kure zvakanyanya kubva kune yakajairika yakabatana uye inogadzira mavanga mavanga munzvimbo yakanaka.
Sezvineiwo, kana marunda matatu abvaruka, anowanzo dhonza anopfuura masendimita mashoma kubva pabhonzo. Izvi zviitiko zvine mhedzisiro iri nani nekugadzirisa kwekuvhiya. (UW Health. 2017 )
Vanachiremba vanovhiya vachashandisa hunhu hwemurwere - vatambi vepamusoro-soro kana vanhu vasinganyanyi kusimba - kutungamirira mazano ekurapwa.
Rehabilitation
Rehabilitation inotevera kuvhiyiwa inogona kutora 3-6 mwedzi kana kupfuura.
Mavhiki matanhatu ekutanga anoderedza kurema nekushandisa madondoro.
Varwere vanogona kukurudzirwa kupfeka brace kuti vaderedze kushushikana pane yakagadziriswa hamstring tendons.
Kusimbisa hakutangi kusvika mwedzi mitatu post-op, uye kunyange mabasa akareruka anowanzo kunonoka. (UW Health. 2017 )
Nekuti kukuvara uku kunogona kuva nenguva yakareba yekupora, vamwe vanhu vanogona kusarudza kurapwa pasina kuvhiyiwa .
Dzimwe nguva vanhu ava vanoona zviratidzo zvekusagadzikana kubva pakugara uye vanogona kuratidza kushaya simba kwenguva refu kwemhasuru yehamstring.
Kupora kwakazara kubva mukukuvadzwa kwemhasuru yakazara kunotora nguva. Zvidzidzo zvakaratidza vatambi vepamusoro-soro vanokwanisa kutangazve mitambo yemakwikwi mushure mekugadzirisa uye kugadziridzwa kweacute hamstring muscle kukuvara. (Samuel K. Chu, Monica E. Rho. 2016 )
Kunonoka kurapwa kwekuvhiya hakugone kutungamirira kumigumisiro yakanaka nguva dzose.
Kana iyo tendon ichibvarurwa kubva pakubatanidzwa kwayo kwakajairika, inotanga kuve nemavanga kutenderedza manyoro akapoteredzwa.
Kana paine kunonoka kweanopfuura mavhiki mashoma zvichitevera kukuvara kwekutanga, kuwanazve hurefu hwakazara hwetendon uye tsandanyama kunogona kuve kwakaoma.
Izvi zvinogona kunonoka kudzoreredza maitiro uye zvinogona kudzikisira mukana wekupora kuzere. (Ho Yoon Kwak, et al., 2011 )
Nekukuvadzwa kwakanyanya, pane mukana uri nani wekupora kuzere nekugadziriswa kwekuvhiya asi zvinogona kusanganisira kupora kwenguva refu uye kuzvipira kune post-op rehabilitation plan.
VIDEO
References
American Academy yeOrthopedic Surgeons. (2021) Hamstring muscle kukuvara .
UW Health. (2017) Nhungamiro yekudzoreredza inotevera proximal hamstring yekutanga kugadzirisa .
Chu, SK, & Rho, ME (2016). Hamstring Kukuvara muMutambi: Kuongororwa, Kurapa, uye Kudzokera Kutamba. Mishumo yezvino yemishonga yemitambo, 15 (3), 184-190. doi.org/10.1249/JSR.0000000000000264
Kwak, HY, Bae, SW, Choi, YS, & Jang, MS (2011). Kugadziriswa kwekutanga kwekuvhiya kwekuputika kwakakwana kweproximal hamstring tendons. Makiriniki mukuvhiya kwemapfupa, 3(3), 249–253. doi.org/10.4055/cios.2011.3.3.249
