Mitambo Injodzi
Back Clinic Sports Injuries Chiropractic uye Physical Therapy Team. Vatambi vanobva mumitambo yose vanogona kubatsirwa nechiropractic kurapwa. Kugadziridza kunogona kubatsira kurapa kukuvara kwemitambo ine chekuita zvakanyanya kureva mutsimba, nhabvu, uye hockey. Vatambi vanowana zvigadziriso zvenguva dzose vanogona kuona kuvandudzwa kwemitambo yemitambo, kuvandudzwa kwekufamba pamwe chete nekushanduka-shanduka, uye kuwedzerwa kweropa. Nokuti kugadziriswa kwepelinha kunoderedza kushatirwa kwemidzi yetsinga pakati pe vertebrae, nguva yekuporesa kubva mukukuvara kuduku inogona kupfupiswa, iyo inovandudza kushanda. Vatambi vepamusoro-soro uye vashoma-vatambi vanogona kubatsirwa kubva kune dzimwe nguva kugadziriswa kwemusana.
Kuvatambi vepamusoro-soro, inowedzera kuita uye kushanduka uye inoderedza njodzi yekukuvara kwevatambi vane simba shoma kureva vatambi vetenisi, makombi, uye gorofu. Chiropractic inzira yepanyama yekurapa nekudzivirira kukuvara kwakasiyana uye mamiriro anokanganisa vatambi. Maererano naDr. Jimenez, kurovedza zvakanyanya kana gear isina kukodzera, pakati pezvimwe zvikonzero, zvinowanzokonzera kukuvara. Dr. Jimenez anopfupisa zvikonzero zvakasiyana-siyana nemigumisiro yekukuvara kwemitambo pamutambi pamwe chete nekutsanangura marudzi ekurapa uye nzira dzekugadzirisa dzinogona kubatsira kuvandudza mamiriro emutambi. Kuti uwane rumwe ruzivo, ndapota inzwa wakasununguka kuti utaure nesu pa (915) 850-0900 kana mameseji kufonera Dr. Jimenez pachezvangu pa (915) 540-8444.
by Dr Alex Jimenez Injury Care , Mitambo Injodzi
Kune vanhu vanosimudza masimbi, pane nzira dzekudzivirira maoko nekudzivirira kukuvara kana uchisimudza masimbi?
Wrist Protection
Iwo mawoko majoini akaoma kunzwisisa. Maoko anobatsira zvakanyanya mukugadzikana uye kufamba kana uchiita mabasa kana kusimudza masimbi. Vanopa mafambiro ekufamba vachishandisa maoko uye kugadzikana kutakura nekusimudza zvinhu zvakachengeteka uye zvakachengeteka (National Library yeMishonga, 2024 ) Kusimudza simbi kunowanzoitwa kusimbisa uye kudzikamisa maoko; zvisinei, kufamba uku kunogona kukonzera kurwadziwa kwemaoko uye kutungamirira mukukuvadzwa kana kusina kuitwa nemazvo. Kudzivirirwa kweWrist kunogona kuita kuti mawoko arambe akasimba uye ane hutano uye ndicho chinhu chakakosha kudzivirira matambudziko nekukuvara.
Wrist Strength
Majoini emaoko akaiswa pakati peruoko nemapfupa epamberi. Wrists akabatana mumitsara miviri yesere kana mapfumbamwe yakazara mapfupa madiki / carpal mapfupa uye akabatana neruoko uye ruoko mapfupa nemarunda, nepo tendon achibatanidza mhasuru dzakatenderedza kumapfupa. Majoini eWrist ari condyloid kana yakagadziridzwa bhora uye masokisi majoini ayo anobatsira nekuchinjika, kuwedzera, kubira, uye adduction mafambiro. (National Library of Medicine. 2024 ) Izvi zvinoreva kuti maoko anogona kufamba mundege dzese dzekufamba:
Side to side
Kumusoro nekudzika
Shanduka
Izvi zvinopa huwandu hwakawanda hwekufamba asi zvinogona kukonzera kupfeka zvakanyanya uye kubvarura uye kuwedzera njodzi yekunetseka uye kukuvara. Mamhasuru ari paruoko uye neruoko kudzora munwe kufamba kunodiwa kuti ubate. Aya mamhasuru nemarunda nemarunda anosanganisirwa anomhanya nepachanza. Kusimbisa mawoko kuchaita kuti vafambe, kubatsira kudzivirira kukuvara, uye kuwedzera nekuchengetedza simba rekubata. Mukuongorora pamusoro pezviremera uye simbalifters izvo zvakaongorora marudzi ekukuvadzwa kwavanoita, kukuvadzwa kwemaoko kwaiva kwakajairika, nekukuvara kwemhasuru uye tendon ndiko kwakajairika pakati pezviremera. (Ulrika Aasa et al., 2017 )
Kuchengetedza Maoko
Kudzivirirwa kwemaoko kunogona kushandisa nzira yakawanda, iyo inosanganisira kugara uchiwedzera simba, kufamba, uye kushanduka kwekuvandudza hutano nekudzivirira kukuvara. Vasati vasimudza kana kuita chero kurovedza muviri kutsva, vanhu vanofanirwa kubvunza mutarisiri wavo wekutanga wehutano, murapi wepanyama, mudzidzisi, nyanzvi yezvekurapa, kana chiropractor yemitambo kuti vaone kuti ndeapi maekisesaizi akachengeteka uye anopa mabhenefiti kubva munhoroondo yekukuvara uye nhanho yazvino yehutano. .
Wedzera Kufamba
Mobility inobvumira mawrists kuti ave nehuwandu hwakazara hwekufamba uchichengeta kugadzikana kunodiwa kune simba uye kusimba. Kushaikwa kwekufamba mumubatanidzwa wewrist kunogona kukonzera kuoma uye kurwadziwa. Kuchinjika kwakabatana nekufamba, asi kuve wakanyanya kuchinjika uye kushaya kugadzikana kunogona kukonzera kukuvara. Kuti uwedzere kufamba kwemaoko, ita maekisesaizi kanenge kaviri kana katatu pasvondo kuti uvandudze huwandu hwekufamba nekutonga uye kugadzikana. Zvakare, kutora nguva dzekuzorora mukati mezuva rese kutenderera uye kutenderedza maoko uye zvinyoro nyoro kudzoreredza zvigunwe kuti zvitambanudzire zvichabatsira kubvisa kushushikana uye kuoma izvo zvinogona kukonzera matambudziko ekufamba.
Dziisa
Usati watanga kushanda, dziya maoko nemuviri wese usati washanda. Tanga nechiedza chemwoyo kuti uwane synovial fluid mumajoini anotenderera kuti aise majoini, achibvumira kufamba kwakanaka. Semuenzaniso, vanhu vanogona kugadzira zvibhakera, kutenderedza maoko avo, kuita maekisesaizi ekufamba, kupfakanyika uye kutambanudza maoko, uye kushandisa ruoko rumwe kudhonzera kumashure zvigunwe zvinyoro. Around 25% yekukuvara kwemitambo kunosanganisira ruoko kana wrist. Izvi zvinosanganisira hyperextension kukuvara, ligament misodzi, pamberi-mukati kana thumb-side wrist kurwadziwa kubva mukukuvadzwa zvakanyanya, kukuvara kweextensor, nezvimwe. (Daniel M. Avery 3rd et al., 2016 )
Kusimbisa Mazivo
Maoko akasimba akasimba zvakanyanya, uye kuasimbisa kunogona kupa kudzivirira kwechanza. Maekisesaizi anonatsiridza simba remaoko anosanganisira kudhonza-ups, deadlifts, loaded carries, uye Zottman curls . Simba rekubata rakakosha pakuita mabasa ezuva nezuva, kuchembera kune hutano, uye nekuenderera mberi nekubudirira nekusimudza uremu. (Richard W. Bohannon 2019 ) Semuenzaniso, vanhu vanoomerwa nekuwedzera huremu pazvikwiriso zvavo nekuti simbi inotsvedza kubva mumaoko avo inogona kunge isina simba rakakwana reruoko uye kubata.
Wraps
Wrist wraps kana grip-assisting products zvakakodzera kufunga nezveavo vane wrist issues kana zvinonetsa. Vanogona kupa kuwedzera kugadzikana kwekunze pavanenge vachisimudza, kuderedza kubata kuneta uye kushungurudza pamarunda uye tendons. Zvisinei, zvinokurudzirwa kuti usavimbe nemaputi sechirapa-yese chiyero uye kuisa pfungwa pakuvandudza simba rega rega, kufamba, uye kugadzikana. Chidzidzo chevatambi vane kukuvara kwemaoko chakaratidza kuti kukuvara kuchiri kuitika kunyangwe kuputira kuri kupfekwa 34% yenguva isati yakuvadzwa. Nemhaka yokuti vatambi vakawanda vakakuvadzwa havana kushandisa wraps, izvi zvakanongedza matanho ekudzivirira, asi nyanzvi dzakabvumirana tsvakurudzo yakawanda inodiwa. (Amr Tawfik et al., 2021 )
Kudzivirira Kunyanya Kukuvara
Kana imwe nzvimbo yemuviri ikaita zvekudzokorodza zvakawandisa pasina kuzorora kwakakodzera, inosakara, kudhonzwa, kana kupisa nekukurumidza, zvichikonzera kukuvara zvakanyanya. Zvikonzero zvekukuvadzwa zvakanyanya zvakasiyana asi zvinosanganisira kusasiyana-siyana kurovedza muviri zvakakwana kuzorora mhasuru uye kudzivirira kunetsa. Ongororo yekutsvagisa pamusoro pekuwanda kwekukuvara muweightlifters yakawana kuti 25% yaive nekuda kwekunyanya kukuvara kwetendon. (Ulrika Aasa et al., 2017 ) Kudzivirira kushandisa zvakanyanya kunogona kubatsira kudzivirira matambudziko anogona kuitika emaoko.
Fomu Yakakodzera
Kuziva maitiro ekuita mafambiro nemazvo uye kushandisa fomu rakakodzera panguva yega yega yekurovedza / yekudzidzira chikamu chakakosha pakudzivirira kukuvara. Mudzidzisi wega, physiotherapist yemitambo, kana murapi wepanyama anogona kudzidzisa kugadzirisa kubata kana kuchengetedza fomu chairo.
Iva nechokwadi chekuona mupi wako wekupa mvumo usati wasimudza kana kutanga chirongwa chekurovedza muviri. Kukuvadza Medical Chiropractic uye Functional Medicine Clinic inogona kuraira nezve kudzidziswa uye prehabilitation kana kutumira kana ichidikanwa.
Fitness Health
VIDEO
References
Erwin, J., & Varacallo, M. (2024). Anatomy, Shoulder uye Yekumusoro Limb, Wrist Joint. MuStatPearls. www.ncbi.nlm.nih.gov/pubmed/30521200
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
Avery, DM, 3rd, Rodner, CM, & Edgar, CM (2016). Mitambo-yakabatana wrist uye kukuvara kwemaoko: wongororo. Nyaya yekuvhiyiwa kwemapfupa uye tsvagiridzo, 11(1), 99. doi.org/10.1186/s13018-016-0432-8
Bohannon RW (2019). Kubata Simba: Iyo Inonyanya Kukosha Biomarker Kune Vakuru Vakuru. Kupindira kwekiriniki mukukwegura, 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). Chidzidzo pamusoro peChiitiko cheKukuvadzwa Kwemaoko kana Wrist muCrossFit Athletes. Cureus, 13(3), e13818. doi.org/10.7759/cureus.13818
by Dr Alex Jimenez Injury Care , Mitambo Injodzi
Kune vatambi uye vanofarira zvemitambo, triceps yakabvaruka inogona kuva kukuvara kwakakomba. Kuziva zviratidzo zvavo, zvinokonzeresa, njodzi, uye zvinogona kunetsa zvinogona kubatsira varapi vehutano kugadzira chirongwa chekurapa chinoshanda?
Kubvaruka Triceps Kukuvara
Triceps imhasuru yekuseri kweruoko rwepamusoro inoita kuti gokora ritwasanuke. Nenzira yakanaka, triceps misodzi haina kujairika, asi inogona kuva yakakomba. Kukuvara kunobata varume kakawanda kupfuura vakadzi uye kunowanzoitika kubva mukushungurudzika, mitambo, uye / kana mabasa ekurovedza muviri. Zvichienderana nehukuru uye kuoma kwekukuvara, kukuvara kwetriceps kwakabvaruka kunogona kuda kuputika, kurapwa kwemuviri, uye pamwe kuvhiyiwa kuti udzore kufamba uye simba. Kupora mushure mekubvaruka kwetriceps kunowanzotora mwedzi mitanhatu. (Iyo Ohio State University Wexner Medical Center. 2021 )
Anatomy
The triceps brachii tsandanyama, kana triceps, inomhanya nekuseri kweruoko rwepamusoro. Inonzi tri- nekuti ine misoro mitatu - iyo yakareba, yepakati, uye yekumusoro musoro. (Sendic G. 2023 ) Triceps inotangira pabendekete uye inonamira pabendekete/scapula uye kumusoro kweruoko bhonzo/humerus. Nechepasi, inonamira panoperera gokora. Iri ibhonzo riri papinky side ye forearm, inozivikanwa se ulna. Iyo triceps inokonzera kufamba pabendekete uye pagokora. Pabendekete, inoita kuwedzera kana kufambisa kumashure kweruoko uye kukwidza kana kufambisa ruoko kuenda kumuviri. Basa guru remusuru uyu riri pagokora, apo rinoita kuwedzera kana kutwasanudza kwegokora. Iyo triceps inoshanda zvakapesana nemhasuru yebiceps kumberi kweruoko rwepamusoro, iyo inofambisa kuchinjika kana kukotama kwegokora.
Triceps Tear
Misodzi inogona kuitika chero kureba kwemhasuru kana tendon, inova chimiro chinonamira tsandanyama kumapfupa. Triceps misodzi inowanzoitika mutendon inobatanidza triceps kumashure kwegokora. Misodzi uye tendon misodzi inoiswa kubva ku1 kusvika ku3 zvichienderana nekuoma. (Alberto Grassi et al., 2016 )
Grade 1 Munyoro
Iyi misodzi midiki inokonzera kurwadziwa kunowedzera nekufamba.
Pane kumwe kuzvimba, mavanga, uye kushomeka kwekuita basa.
Grade 2 Zvine mwero
Misodzi iyi yakakura uye ine kuzvimba kuri pakati nepakati uye nemavanga.
Fibers dzakabvaruka zvishoma uye dzakatambanudzwa.
Kusvikira ku50% kurasikirwa kwebasa.
Grade 3 Zvakaoma
Iyi ndiyo yakaipisisa rudzi rwekubvarura, apo tsandanyama kana tendon yakabvaruka zvachose.
Kukuvara uku kunokonzera kurwadziwa kwakanyanya uye kuremara.
zviratidzo
Misodzi yeTriceps inokonzera kurwadziwa pakarepo kumashure kwegokora uye ruoko rwepamusoro iyo inowedzera kana uchiedza kufambisa gokora. Vanhu vanogonawo kunzwa uye/kana kunzwa kubuda kana kubvarura kunzwa. Pachave nekuzvimba, uye ganda rinogona kunge rakatsvuka uye / kana kukuvara. Nekubvarura zvishoma, ruoko runonzwa kupera simba. Kana paine kubvarura kwakakwana, pachava nekushaya simba kukuru pakutwasanura gokora. Vanhu vanogonawo kuona bundu kuseri kweruoko rwavo apo tsandanyama dzakabatana uye dzakabatanidzwa pamwechete.
Zvinokonzera
Triceps misodzi inowanzoitika panguva yekushungurudzika, apo tsandanyama inobatwa uye simba rekunze rinosunda gokora munzvimbo yakakotama. (Kyle Casadei et al., 2020 ) Chimwe chezvinonyanya kukonzera kudonha neruoko rwakatambanudzwa. Triceps misodzi inoitikawo panguva yemitambo senge:
Kukanda baseball
Kuvharira mumutambo wenhabvu
Gymnastics
Boxing
Kana mutambi akadonha achimhara paruoko rwake.
Misodzi inogonawo kuitika kana uchishandisa zvinorema zvinorema panguva ye triceps-yakananga maekisesaizi, senge bhenji press.
Misodzi inogonawo kuitika kubva mukushungurudzika kwakananga kune tsandanyama, senge tsaona yemotokari, asi haina kuwanda.
Nguva refu
Triceps misodzi inogona kukura nekufamba kwenguva semhedzisiro ye tendonitis. Ichi chiitiko chinowanzoitika kubva pakudzokorora kushandiswa kwe triceps tsandanyama panguva yezviitiko zvakaita sebasa remaoko kana kurovedza muviri. Triceps tendonitis dzimwe nguva inonzi inonzi weightlifter's elbow. (Orthopedic & Spine Center. ND ) Kudhonzwa kwemarunda kunokonzera tumisodzi tunoporeswa nomuviri. Nekudaro, kana kuomeswa kwakawanda kuchiiswa pane tendon kupfuura iyo inogona kuramba ichikwira, iyo diki misodzi inogona kutanga kukura.
Risk Factors
Zvinhu zvine njodzi zvinogona kuwedzera njodzi ye triceps kubvaruka. Pasi pemamiriro ekurapa anogona kunetesa tendon, kuwedzera njodzi yekukuvara, uye inogona kusanganisira: (Tony Mangano et al., 2015 )
chirwere cheshuga
Rheumatoid chearthritis
Hyperparathyroidism
Lupus
Xanthoma - mafuta anoisa cholesterol pasi peganda.
Hemangioendothelioma - kenza yekenza kana isina kenza inokonzerwa nekukura kusina kujairika kwemasero emidziyo yeropa.
Kusashanda zvakanaka kweitsvo
Chronic tendonitis kana bursitis mugokora.
Vanhu vane cortisone shots mutendon.
Vanhu vari kushandisa vanabolic steroids.
Triceps misodzi inowanzoitika muvarume vari pakati pe30 ne50.Ortho Bullets. 2022 ) Izvi zvinobva mukuita zvinhu zvakaita senhabvu, kusimudzira uremu, kuvaka muviri, uye basa remaoko, izvo zvinowedzerawo njodzi yekukuvara.
mabatiro
Kurapa kunoenderana nechikamu chipi che triceps chinobatwa uye kuwanda kwekukuvara. Zvingangoda kuzorora kwemavhiki mashoma, kurapwa kwemuviri, kana kuti zvinoda kuvhiyiwa.
Nonsological
Misodzi isina kukwana mu triceps inosanganisira pasi pe50% yetendon inogona kurapwa pasina kuvhiyiwa. (Mehmet Demirhan, Ali Ersen 2016 ) Kurapa kwekutanga kunosanganisira:
Kutsemura gokora nekukotama zvishoma kwemavhiki mana kusvika matanhatu kunoita kuti nyama yakakuvara ipore. (Ortho Bullets. 2022 )
Munguva iyi, chando chinogona kuiswa munzvimbo ye15 kusvika kumaminitsi e20 kakawanda zuva rega rega kubatsira kuderedza marwadzo uye kuzvimba.
Non-steroidal anti-inflammatory drugs/NSAIDs - Aleve, Advil, uye Bayer inogona kubatsira kuderedza kuzvimba.
Mimwe mishonga ye-over-the-counter seTylenol inogona kubatsira kuderedza marwadzo.
Kana iyo splint yabviswa, kurapwa kwepanyama kuchabatsira kudzorera kufamba uye simba mugokora.
Kufamba kwakazara kunotarisirwa kudzoka mukati memavhiki e12, asi simba rakazara harizodzoki kusvika mwedzi mitanhatu kusvika mipfumbamwe mushure mekukuvara. (Mehmet Demirhan, Ali Ersen 2016 )
Surgery
Triceps tendon misodzi inosanganisira zvinopfuura 50% yetendon inoda kuvhiyiwa. Mune zvimwe zviitiko, zvisinei, kuvhiyiwa kungave kuchiri kukurudzirwa nokuda kwemisodzi iduku kudarika 50% kana munhu wacho ane basa rinoda muviri kana kuronga kutangazve kutamba mitambo padanho repamusoro. Misodzi mudumbu remhasuru kana nzvimbo inojoinwa tsandanyama netendon zvinowanzosonerwa pamwe chete. Kana iyo tendon isisiri kubatanidzwa kune pfupa, inoputirwa zvakare. Kudzoreredza uye kurapwa kwemuviri mushure mekuvhiyiwa kunoenderana neakavhiyiwa maprotocol. Kazhinji, vanhu vanopedza mavhiki mashoma vari mubhurashi. Masvondo mana mushure mekuvhiyiwa, vanhu vanozokwanisa kutanga kufambisa gokora zvakare. Zvisinei, havazokwanisi kutanga kuita basa rekusimudza zvinorema kwemwedzi mina kusvika mitanhatu. (Ortho Bullets. 2022 ) (Mehmet Demirhan, Ali Ersen 2016 )
Matambudziko
Matambudziko anogona kuitika mushure mekugadzirisa triceps, kungave kwakavhiyiwa kana kwete. Somuenzaniso, vanhu vamwe navamwe vangava nezvinetso zvokuwanazve zvizere gokora kuwedzera kana kutwasanudza. Ivo zvakare vari panjodzi huru yekutsemukazve kana vakaedza kushandisa ruoko rusati rwanyatsopora. (Mehmet Demirhan, Ali Ersen 2016 )
Chiropractic Care for Healing After Trauma
VIDEO
References
Iyo Ohio State University Wexner Medical Center. (2021). Distal triceps kugadzirisa: kiriniki yekuchengetedza gwara. (Mushonga, nyaya. medicine.osu.edu/-/media/files/medicine/departments/sports-medicine/medical-professionals/shoulder-and-elbow/distaltricepsrepair.pdf ?
Sendic G. Kenhub. (2023). Triceps brachii tsandanyama Kenhub. www.kenhub.com/en/library/anatomy/triceps-brachii-muscle
Grassi, A., Quaglia, A., Canata, GL, & Zaffagnini, S. (2016). Chigadziro pamusoro pekugadzika kwekukuvara kwemhasuru: ongororo yerondedzero kubva kukiriniki kusvika kune yakazara masisitimu. Majoini, 4(1), 39–46. doi.org/10.11138/jts/2016.4.1.039
Casadei, K., Kiel, J., & Freidl, M. (2020). Triceps Tendon Kukuvara. Mishumo yazvino yemishonga yemitambo, 19 (9), 367-372. doi.org/10.1249/JSR.0000000000000749
Orthopedic & Spine Center. (ND). Triceps tendonitis kana weightlifter's elbow. 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 sechikonzero chakasiyana cheNon Traumatic Triceps Tendon Rupture mu (Risk Factors Free) Bodybuilder: Nyaya Yenyaya. Chinyorwa chemishumo yemabhonzo, 5 (1), 58-61. doi.org/10.13107/jocr.2250-0685.257
Ortho Bullets. (2022). Triceps kuputika www.orthobullets.com/shoulder-and-elbow/3071/triceps-rupture
Demirhan, M., & Ersen, A. (2017). Distal triceps inoputika. EFORT yakavhurika wongororo, 1(6), 255–259. doi.org/10.1302/2058-5241.1.000038
by Dr Alex Jimenez vatambi , Mitambo Injodzi
Vanhu vanotora chikamu mune zvemuviri uye zvemitambo zviitiko vanogona kutambura neAchilles tendon kubvaruka. Kunzwisisa zviratidzo nenjodzi kunogona kubatsira mukurapa uye kudzosa munhu wacho kumutambo wake nekukurumidza?
Achilles Tendon
Uku kukuvadzwa kunowanzoitika kana tendon inosungirira tsandanyama yemhuru pachitsitsinho ichibvaruka.
Pamusoro peTendon
Iyo Achilles tendon ndiyo yakakura tendon mumuviri.
Mumitambo uye zviitiko zvemuviri, kufamba kwakanyanya kunoputika sekumhanya, kumhanya, kukurumidza kushandura nzvimbo, uye kusvetuka kunoitwa paAchilles.
Varume vanowanzobvarura maAchilles avo uye kuchengetedza tendon kuputika. (G. Thevendran et al., 2013 )
Kukuvara kunowanzoitika pasina kubata kana kubonderana asi kumhanya, kutanga, kumira, uye kudhonza zviito zvinoiswa patsoka.
Mimwe mishonga inorwisa mabhakitiriya uye cortisone shots inogona kuwedzera mukana wekukuvara kweAchilles kubvarura.
A antibiotic chaiyo, fluoroquinolones , yakaratidzwa kuwedzera njodzi yeAchilles tendon matambudziko.
Cortisone shots inosanganiswawo neAchilles misodzi, ndicho chikonzero vatapi vehutano vakawanda vasingakurudziri cortisone yeAchilles tendonitis. (Anne L. Stephenson et al., 2013 )
zviratidzo
Tendon kubvaruka kana kuputika kunokonzera kurwadziwa kamwe kamwe kuseri kwechidzitiro.
Vanhu vanogona kunzwa pop kana snap uye vanowanzo taura kunzwa sekunge kuri kuroverwa mhuru kana chitsitsinho.
Vanhu vane dambudziko rekunongedza zvigunwe zvavo pasi.
Vanhu vanogona kunge vaine kuzvimba nekupwanya kwakatenderedza tendon.
Mumwe mupi wehutano anoongorora chidzitiro chekuenderera mberi kwetendon.
Kudzvinya tsandanyama yemhuru kunofanirwa kuita kuti tsoka inongedze pasi, asi kune vanhu vane kubvaruka, tsoka haifambi, zvichiita kuti pave nemigumisiro yakanaka. Thompson bvunzo .
Kukanganisa mutendon kunogona kunzwika mushure mekubvaruka.
X-rays inogona kushandiswa kutonga kunze kwemamwe mamiriro, kusanganisira ankle fracture kana ankle arthritis.
Risk Factors
Achilles tendon ruptures inonyanya kuonekwa muvarume vanenge 30 kana 40. (David Pedowitz, Greg Kirwan. 2013 )
Vanhu vazhinji vane zviratidzo zve tendonitis vasati vabvarura.
Ruzhinji rwevanhu havana nhoroondo yematambudziko apfuura Achilles tendon.
Ruzhinji rweAchilles tendon misodzi inosanganiswa nemitambo yebhora. (Youichi Yasui et al., 2017 )
Zvimwe zvinhu zvine njodzi zvinosanganisira:
Gout
Cortisone jekiseni muAchilles tendon
Kushandiswa kweFluoroquinolone antibiotic
Fluoroquinolone antibiotics inowanzoshandiswa pakurapa zvirwere zvekufema, zvirwere zvehutachiwana, uye zvirwere zvebhakitiriya. Iyi mishonga inorwisa mabhakitiriya inobatanidzwa neAchilles tendon rupture, asi imwe tsvakurudzo inodiwa kuti uone kuti inobata sei Achilles tendon. Vanhu vanotora mishonga iyi vanorayirwa kuti vafunge nezveimwe mishonga kana Achilles tendon matambudziko atanga kukura. (Anne L. Stephenson et al., 2013 )
mabatiro
Zvichienderana nekuoma kwekukuvara, kurapwa kunogona kusanganisira nzira dzisiri dzekuvhiya kana kuvhiyiwa.
Kubatsira kwekuvhiyiwa kunowanzova kushoma immobilization.
Vanhu vanogona kazhinji kudzokera kumitambo yemitambo nokukurumidza, uye pane mukana muduku wekuputika zvakare tendon.
Kurapa kusina kuvhiyiwa inodzivirira njodzi dzinogona kuitika dzekuvhiya, uye mhedzisiro yenguva refu inoshanda yakafanana. (David Pedowitz, Greg Kirwan. 2013 )
Kurapa Ankle Sprains
VIDEO
References
Thevendran, G., Sarraf, KM, Patel, NK, Sadri, A., & Rosenfeld, P. (2013). Iyo ruptured Achilles tendon: mhedziso yezvino kubva kubhayoroji yekuputika kusvika kurapwa. Kuvhiyiwa kwetsandanyama, 97 (1), 9-20. doi.org/10.1007/s12306-013-0251-6
Stephenson, AL, Wu, W., Cortes, D., & Rochon, PA (2013). Tendon Kukuvadza uye Fluoroquinolone Kushandisa: Kuongorora Kwakarongeka. Kuchengetedzwa kwezvinodhaka, 36(9), 709–721. doi.org/10.1007/s40264-013-0089-8
Pedowitz, D., & Kirwan, G. (2013). Achilles tendon inoputika. Ikozvino wongororo musculoskeletal mushonga, 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). Ngozi yeAchilles Tendon Rupture muVarwere vane Achilles Tendinopathy: Healthcare Database Analysis muUnited States. BioMed tsvagiridzo yenyika, 2017, 7021862. doi.org/10.1155/2017/7021862
by Dr Alex Jimenez Kukuvara Kwevanhu , Mitambo Injodzi
Kune vanhu vari mumitambo, vanofarira kusimba, uye avo vanoita mabasa emuviri, kukuvara kwetsandanyama kunowanzoitika. Kushandisa ice tepi kungabatsira here panguva yekutanga kana yakaipisisa chikamu chekukuvara kuderedza kuzvimba uye kuzvimba kukurumidza kupora uye kudzokera kumabasa nekukurumidza?
Mushure mekukuvara kwetsandanyama, vanhu vanokurudzirwa kutevera R.I.C.E. nzira yekubatsira kuderedza kuzvimba uye kuzvimba. R.I.C.E. ndiyo acronym ye Rest, Ice, Compression, uye Elevation. (Michigan Medicine. Yunivhesiti yeMichigan. 2023 ) Kutonhora kunobatsira kuderedza marwadzo, kudzikisa tembiricha yetishu, uye kuderedza kuzvimba kwakatenderedza nzvimbo yekukuvara. Nekudzora kuzvimba neaizi uye kudzvanywa kutanga mushure mekukuvara, vanhu vanogona kuchengetedza yakafanira nhanho yekufamba uye kufamba kwakatenderedza chikamu chemuviri chakakuvara. (Jon E. Block. 2010 ) Pane nzira dzakasiyana dzekushandisa ice kune kukuvara.
Mabhegi echando anotengwa nechitoro uye mapepa anotonhora.
Kunyura chikamu chemuviri chakuvadzwa muchamupupuri chinotonhora kana tabhu.
Kugadzira zvakare kushandiswa ice packs.
Bhandi rekumanikidza rinogona kushandiswa pamwe chete nechando.
Ice Tape bhandeji rekumanikidza rinopa kutonhora kurapwa zvese kamwechete. Mushure mekukuvara, kuishandisa kunogona kubatsira kuderedza marwadzo uye kuzvimba panguva yakaoma yekuzvimba chikamu chekuporesa. (Matthew J. Kraeutler et al., 2015 )
Iyo Tepi Inoshanda Sei
Iyo tepi ibhande rinochinjika rinoiswa nerapeutic cooling gel. Kana yaiswa kune yakakuvara chikamu chemuviri uye ichiratidzwa kumhepo, iyo gel inoshanda, ichigadzira kutonhora kutenderedza nzvimbo. Mushonga wekurapa unogona kutora maawa mashanu kusvika matanhatu. Yakasanganiswa nebhandiji inoshanduka, inopa ice therapy uye compression. Iyo ice tepi inogona kushandiswa yakananga kunze kwepakeji asi inogona zvakare kuchengetwa mufiriji kuti iwedzere kutonhora. Zvichienderana nemirairo yemuiti, tepi haifaniri kuchengetwa mufiriji sezvo izvi zvinogona kuita kuti zviome kuputira nzvimbo yakakuvara.
Advantages
Zvakanakira zvinosanganisira zvinotevera:
Nyore Shandisa
Chigadzirwa chacho chiri nyore kushandisa.
Bvisa tepi, uye tanga kuiputira kumativi ekuvara kwemuviri.
Fasteners Hazvidiwi
Iyo yekuputira inonamatira pachayo, saka tepi inoramba iripo pasina kushandisa zvimedu kana fasteners.
Nyore Kucheka
The standard roll is 48 inches kureba uye 2 inches yakafara.
Kukuvara kwakawanda kunoda zvakakwana kuputira nzvimbo yakakuvara.
Chigero cheka huwandu chaihwo hunodiwa, uye chengeta imwe yese mubhegi rinovharika.
Inogona kudzoka
Mushure memaminitsi gumi nemashanu kusvika makumi maviri ekushandiswa, chigadzirwa chacho chinogona kubviswa nyore nyore, chakapetwa, chakachengetwa mubhegi, uye kushandiswa zvakare.
Iyo tepi inogona kushandiswa kakawanda.
Iyo tepi inotanga kurasikirwa nekutonhora kwayo mushure mekushandisa kwakati wandei.
takurika
Iyo tepi haidi kuiswa mune inotonhorera kana uchifamba.
Inotakurika zviri nyore uye yakakwana yekukurumidza ice uye compression application pakarepo mushure mekukuvara.
Inogona kuderedza marwadzo uye kuzvimba uye kuchengetwa panzvimbo yebasa.
payakaipira
Zvishoma zvakashata zvinosanganisira zvinotevera:
Kemikari Kunhuwa
Iyo gel painoputira kuputira inogona kuva nemushonga wemushonga.
Haina kunhuhwirira kwakasimba semafuta ekurwadziwa, asi kunhuhwirira kwemakemikari kunogona kunetsa vamwe vanhu.
Kunogona Kusatonhora Zvakakwana
Iyo tepi inoshanda kukurumidza kunyaradza kurwadziwa uye kuzvimba, asi inogona kusatonhora zvakakwana kumushandisi kana ikaiswa kubva pasuru patembiricha yekamuri.
Nekudaro, inogona kuiswa mufiriji kuti iwedzere kutonhora uye inogona kupa yakanyanya kutonhora kutonhora, kunyanya kune avo vanobata tendonitis kana bursitis.
Kunamira Kunogona Kuvhiringidza
Tepi inogona kunge yakatinamira kune vamwe.
Ichi chinonamira chinhu chinogona kuve chigumbuso chidiki.
Nekudaro, inongonzwa yakanamatira kana ichiiswa.
Mamwe maflecks egel anogona kusara kumashure kana abviswa.
Iyo tepi yechando inogonawo kunamatira kune zvipfeko.
Kune vanhu vari kutsvaga nekukurumidza, pa-kuenda-kutonhodza kurapwa kwevakakuvara kana kurwadza kwenhengo dzemuviri, ice tepi inogona kunge iri sarudzo. Zvingave zvakanaka kuvepo kuti upe kutonhora kwekumanikidza kana kukuvara kudiki kuchiitika paunenge uchitora chikamu mumitambo kana zviitiko zvemuviri uye zororo rekushandisa zvakanyanya kana kudzokorora kukuvara kwekunetseka.
Kurapa Ankle Sprains
VIDEO
References
Michigan Medicine. Yunivhesiti yeMichigan. Zororo, Ice, Kumanikidza, uye Kukwira (RICE) .
Block J. E. (2010). Kutonhora uye kudzvinyirira mukutarisira kwekukuvara kwemusculoskeletal uye orthopedic operative maitiro: ongororo yekurondedzera. Vhura bhuku rekushandisa remishonga yemitambo, 1, 105–113. doi.org/10.2147/oajsm.s11102
Kraeutler, M. J., Reynolds, K. A., Long, C., & McCarty, E. C. (2015). Compressive cryotherapy versus ice-inotarisirwa, kudzidza randomized pamusoro pekurwadziwa kwepashure kune varwere vane arthroscopic rotator cuff kugadziriswa kana subacromial decompression. Nyaya yekuvhiyiwa kwepfudzi negokora, 24 (6), 854-859. doi.org/10.1016/j.jse.2015.02.004
by Dr Alex Jimenez Mitambo Injodzi , Basa Rakafanana Kukuvara
Kune vanhu vane kukuvara kwechigunwe cheturf, kuziva zviratidzo zvinogona kubatsira vatambi nevasiri vatambi nekurapa, nguva yekupora, uye kudzokera kumitambo?
Turf Toe Kukuvara
Kukuvadzwa kweturf chigunwe kunokanganisa zvinyoro zvinyoro zvigunwe uye tendon pazasi pechigunwe chikuru pasi pe rutsoka . Ichi chiitiko chinowanzoitika kana chigunwe chiri hyperextended / kumanikidzirwa kumusoro, sekuti kana bhora retsoka riri pasi uye chitsitsinho chinosimudzwa. (American Academy yeOrthopedic Surgeons. 2021 ) Kukuvara kwakajairika pakati pevatambi vanotamba mitambo paartificial turf, iyo ndiyo nzira iyo kukuvara kwakawana zita rayo. Nekudaro, zvinogona zvakare kukanganisa vasiri vatambi, sevanhu vanoshanda netsoka zuva rese.
Recovery time after turf toe kukuvara kunoenderana nekuomarara uye rudzi rwezviitwa izvo munhu anoronga kudzoka kwazviri.
Kudzokera kumitambo yepamusoro-soro mushure mekukuvadzwa kwakanyanya kunogona kutora mwedzi mitanhatu.
Kukuvara uku kunosiyana mukuomarara asi kazhinji kunovandudza nekuchengetedza kurapa. Muzviitiko zvakakomba, kuvhiyiwa kwaigona kudiwa.
Marwadzo ndiyo inonyanya kumisa mabasa emuviri mushure mekukuvara kwegiredhi 1, nepo mamakisi 2 ne3 anogona kutora mavhiki kusvika kumwedzi kuti apore zvachose.
zvichireva
Kukuvara kwechigunwe (turf toe injury) zvinoreva a metatarsophalangeal joint strain . Mubatanidzwa uyu unosanganisira marunda anobatanidza bhonzo pasi petsoka, pazasi pechigunwe chikuru/proximal phalanx, kumapfupa anobatanidza zvigunwe kumapfupa makuru mutsoka/metatarsals. Kukuvara kunowanzo kukonzerwa ne hyperextension iyo inowanzobva mukusundira-kure kwekufamba, sekumhanya kana kusvetuka.
Grading
Turf zvigunwe zvezvigunwe zvinogona kubva kune zvinyoro kusvika kune zvakanyanya uye zvinoiswa sezvizvi: (American Academy yeOrthopedic Surgeons. 2021 )
Bhuku 1 - Iyo nyama yakapfava yakatambanudzwa, ichikonzera marwadzo uye kuzvimba.Bhuku 2 - Nyama yakapfava yakabvaruka zvishoma. Marwadzo anonyanya kutaurwa, ane kuzvimba kukuru uye kukoromoka, uye zvakaoma kufambisa chigunwe.Bhuku 3 - Nyama yakapfava yakabvaruka zvachose, uye zviratidzo zvakakomba.
Izvi Zviri Kukonzera Kurwadza Kwetsoka Yangu Here?
Turf toe inogona kuva:
Kukuvadza zvakanyanya - kunokonzerwa nekudzokorora kufamba kwakafanana kakawanda kwenguva yakareba, izvo zvinoita kuti zviratidzo zviwedzere.
Kukuvara kwakanyanya - kunoitika kamwe kamwe, zvichikonzera kurwadziwa nekukurumidza.
Zviratidzo zvinogona kusanganisira zvinotevera: (Misa General Brigham. 2023 )
Yakaganhurirwa-ye-kufamba.
Hunyoro pachigunwe chikuru uye nzvimbo yakapoteredza.
Kuzvimba.
Marwadzo muchigunwe chikuru uye nzvimbo yakapoteredza.
Kutuka.
Majoini akasununguka anogona kuratidza kuti pane dislocation.
kuongorora chirwere
Kana uchinge uine turf zvigunwe zviratidzo, tarisa mupi wehutano kuti uongororwe zvakakodzera kuti vagadzire chirongwa chemunhu chekurapa. Vachaita bvunzo yemuviri kuti vaone kurwadziwa, kuzvimba, uye huwandu hwekufamba. (American Academy yeOrthopedic Surgeons. 2021 ) Kana mupi wehutano akafungidzira kukanganisa kwenyama, vanogona kukurudzira kufungidzira neX-rays uye (MRI) kuti vaone kukuvara uye kuona nzira yakakodzera yekuita.
mabatiro
Mumwe mupi wehutano achasarudza kurapwa kwakanakisisa zvichienderana nekuoma kwekukuvara. Kukuvara kwese turf zvigunwe kunogona kubatsirwa kubva kuRICE protocol: (American College yetsoka uye Ankle Surgeons. Tsoka Hutano Chokwadi. 2023 )
Zorora - Dzivisa mabasa anowedzera zviratidzo. Izvi zvinogona kusanganisira kushandisa mudziyo wekubatsira senge bhutsu yekufamba kana madondoro kuderedza kudzvanywa.
Ice - Isa ice kwemaminetsi makumi maviri, wozomirira maminetsi makumi mana usati waisa zvakare.
Kutsikirira - Putira chigunwe netsoka nebhandeji re elastic kutsigira uye kuderedza kuzvimba.
Kukwidziridzwa - Isa tsoka pamusoro pechiyero chemoyo kubatsira kuderedza kuzvimba.
Bhuku 1
Giredhi 1 turf chigunwe chinokamurwa neakatambanudzwa matishu, kurwadziwa, uye kuzvimba. Kurapa kunogona kusanganisira: (Ali-Asgar Najefi et al., 2018 )
Kubaya kutsigira chigunwe.
Kupfeka shangu dzine sole yakaoma.
Tsigiro yeOrthotic, senge a turf toe plate .
Mashoma 2 uye 3
Magiredhi 2 ne3 anouya nechidimbu kana kuti akazara nyama kubvaruka, kurwadziwa kwakanyanya, uye kuzvimba. Mishonga yekunyanya kuomarara turf toe inogona kusanganisira: (Ali-Asgar Najefi et al., 2018 )
Kutakura uremu hushoma
Kushandisa midziyo yekubatsira senge madondoro, bhutsu yekufamba, kana kukanda.
Zvimwe Kurapa
Isingasviki 2% yekukuvara uku kunoda kuvhiyiwa. Inowanzokurudzirwa kana pane kusagadzikana mujoini kana kana kurapa kwekuchengetedza kusingabudiriri. (Ali-Asgar Najefi et al., 2018 ) (Zachariah W. Pinter et al., 2020 )
Kurapa kwepanyama kunobatsira kuderedza marwadzo nekuvandudza mararamiro uye simba mushure mekukuvara. (American Academy yeOrthopedic Surgeons. 2021 )
Physical therapy inosanganisirawo proprioception uye agility kurovedza maekisesaizi, orthotics, uye kupfeka zvinokurudzirwa shangu dzezvimwe zviitiko zvemuviri. (Lisa Chinn, Jay Hertel. 2010 )
Murapi wepanyama anogonawo kubatsira kuve nechokwadi kuti munhu wacho haadzokeri kumabasa emuviri asati kukuvara kwanyatsopora uye kudzivirira njodzi yekukuvara zvakare.
Nguva yekudzoreredza
Kupora kunoenderana nekuoma kwekukuvara. (Ali-Asgar Najefi et al., 2018 )
Grade 1 - Chidzidzo chepamusoro sezvo chichisiyana zvichienderana nekushivirira kwemarwadzo emunhu.
Grade 2 - Vhiki ina kusvika kumatanhatu yekusagona kufamba.
Giredhi 3 - Masvondo masere mashoma ekutadza kufamba.
Zvinogona kutora kusvika kumwedzi mitanhatu kuti udzokere kune zvakajairika basa.
Kudzokera Kuzvinhu Zvakajairika
Mushure megiredhi 1 turf toe kukuvara, vanhu vanogona kudzokera kumabasa akajairwa kana marwadzo ari pasi pesimba. Magiredhi 2 ne3 anotora nguva yakareba kuti apore. Kudzokera kumitambo yemitambo mushure mekukuvara kwegiredhi 2 kunogona kutora mwedzi miviri kana mitatu, nepo kukuvara kwegiredhi 3 uye zviitiko zvinoda kuvhiyiwa zvinogona kutora kusvika kumwedzi mitanhatu. (Ali-Asgar Najefi et al., 2018 )
Mitambo Chiropractic Kurapa
VIDEO
References
American Academy yeOrthopedic Surgeons. (2021). Turf toe .
Misa General Brigham. (2023). Turf toe .
American College yetsoka uye Ankle Surgeons. Tsoka Hutano Chokwadi. (2023). RICE protocol .
Najefi, AA, Jeyaseelan, L., & Welck, M. (2018). Turf toe: A Clinic update. EFORT yakavhurika wongororo, 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). Migumisiro yeChronic Turf Toe Repair in Non-athlete Population: A Retrospective Study. Indian Journal of orthopaedics, 54 (1), 43–48. doi.org/10.1007/s43465-019-00010-8
Chinn, L., & Hertel, J. (2010). Kugadziriswa kwekukuvara kwetsoka nemakumbo muvatambi. Makiriniki mumishonga yemitambo, 29 (1), 157-167. doi.org/10.1016/j.csm.2009.09.006
by Dr Alex Jimenez Hip Pain & Dambudziko , Mitambo Injodzi
Vatambi uye vanhu vakagwinya vanotora chikamu mumitambo, maekisesaizi, uye mitambo inosanganisira kukava, kutenderera, uye/kana kushandura mafambiro vanogona kukudziridza pelvis yakanyanyisa kukuvara kwe pubic symphysis/join kumberi kwepelvis inozivikanwa se osteitis pubis. Kuziva zviratidzo uye zvinokonzera rubatsiro mukurapa nekudzivirira?
Osteitis Pubis Kukuvara
Osteitis pubis ndiko kuzvimba kwejoinhi rinobatanidza mapfupa epelvic, rinonzi pelvic symphysis, uye zvimiro zvakaripoteredza. The pubic symphysis ijoint pamberi nepasi pedundira. Inobata mativi maviri emboro pamwe chete kumberi. Iyo pubis symphysis ine zvishoma zvishoma kufamba, asi kana kusagadzikana kana kuenderera mberi kunetseka kunoiswa pajoinhi, groin uye kurwadziwa kwepelvic kunogona kuratidza. Kukuvara kwe osteitis pubis kunowanzo kuvadza zvakanyanya muvanhu vakagwinya uye vatambi asi zvinogonawo kuitika semhedzisiro yekukuvara kwemuviri, nhumbu, uye / kana kuzvara mwana.
zviratidzo
Chiratidzo chinonyanyozivikanwa marwadzo pamusoro pepamberi pechiuno. Marwadzo anowanzonzwika pakati, asi rimwe divi rinogona kurwadza kupfuura rimwe. Marwadzo acho anowanzo penya / anopararira kunze. Zvimwe zviratidzo nezviratidzo zvinosanganisira: (VaPatrick Gomella, VaPatrick Mufarrij. 2017 )
Kurwadza kwepazasi kwedumbu pakati pechiuno
Limping
Hip uye / kana gumbo kupera simba
Kuoma kukwira matanho
Marwadzo kana uchifamba, uchimhanya, uye/kana uchichinja nzira
Kudzvanya kana kubuda ruzha nekufamba kana pakuchinja mafambiro
Marwadzo kana akarara pasi nedivi
Marwadzo pakuhotsira kana kukosora
Osteitis pubis inogona kuvhiringika nekumwe kukuvadzwa, kusanganisira groin strain / groin pull, a direct inguinal hernia, ilioinguinal neuralgia, kana kuputsika kwepelvic stress.
Zvinokonzera
Osteitis pubis kukuvara kunowanzoitika apo symphysis joint inoratidzirwa kune yakawandisa, inoenderera mberi, inotungamira kushungurudzika uye kushandiswa zvakanyanya kwehudyu nemakumbo emakumbo. Zvikonzero zvinosanganisira: (VaPatrick Gomella, VaPatrick Mufarrij. 2017 )
Mabasa emutambo
Kuratidza
Mimba uye kubereka mwana
Kukuvara kwePelvic sekudonha kwakanyanya
kuongorora chirwere
Kukuvara kunowanikwa zvichienderana nekuongorora kwepanyama uye kuongororwa kwekufungidzira. Mimwe bvunzo inogona kushandiswa kutonga kunze kwezvimwe zvinokonzeresa.
Kuongororwa kwemuviri kunosanganisira kushandura hudyu kuti uise kushushikana pane rectus abdominis trunk muscle uye adductor chidya tsandanyama mapoka.
Marwadzo panguva yekushandiswa chiratidzo chinowanzoitika chemamiriro acho.
Vanhu vanogona kukumbirwa kufamba kuti vatarise zvisizvo mumatanho ekufamba kana kuona kana zviratidzo zvichiitika nemamwe mafambiro.
X-rays inowanzoratidza kusawirirana kwejoints pamwe nesclerosis / thickening ye pubic symphysis.
Magnetic resonance imaging - MRI inogona kuratidza kubatana uye kutenderedza pfupa kuzvimba.
Zvimwe zviitiko hazvizoratidze zviratidzo zvekukuvara pa X-ray kana MRI.
mabatiro
Kurapa kunoshanda kunogona kutora mwedzi yakawanda kana kupfuura. Nekuti kuzvimba ndicho chikonzero chinokonzera zviratidzo, kurapwa kunowanzo kusanganisira: (Tricia Beatty. 2012 )
Zorora
Inobvumira kupisa kwakanyanya kuderera.
Panguva yekupora, kurara kumusana kunogona kukurudzirwa kuderedza marwadzo.
Ice uye Kupisa Zvikumbiro
Ice packs inobatsira kuderedza kuzvimba.
Kupisa kunobatsira kurerutsa marwadzo mushure mekunge kuzvimba kwekutanga kwadzika.
Therapy Therapy
Anti-kuzvimba Mushonga
Over-the-counter nonsteroidal anti-inflammatory drugs - NSAIDs senge ibuprofen uye naproxen inogona kuderedza marwadzo uye kuzvimba.
Zvishandiso zveAssistive Walking
Kana zviratidzo zvakanyanya, madondoro kana tsvimbo inogona kukurudzirwa kuderedza kushushikana pane pelvis .
Cortisone
Pakave nekuedza kurapa mamiriro nemajekiseni e-cortisone, asi humbowo hunotsigira kushandiswa kwayo hushoma uye hunoda kumwe kutsvakurudza. (Alessio Giai Via, et al., 2019 )
Prognosis
Kana yangoonekwa, kufungidzira kwekupora kuzere kwakanaka asi kunogona kutora nguva. Zvinogona kutora vamwe vanhu mwedzi mitanhatu kana kupfuura kuti vadzokere kune pre-kukuvara danho rekushanda, asi vazhinji vanodzoka mushure memwedzi mitatu. Kana kurapwa kwechinyakare kukatadza kupa zororo mushure memwedzi mitanhatu, kuvhiyiwa kunogona kukurudzirwa. (Michael Dirkx, Christopher Vitale. 2023 )
Makuvara Emitambo Kuvandudza
VIDEO
References
Gomella, P., & Mufarrij, P. (2017). Osteitis pubis: Chikonzero chisingawaniki chekurwadziwa kwe suprapubic. Ongororo muurology, 19 (3), 156-163. doi.org/10.3909/riu0767
Beatty T. (2012). Osteitis pubis muvatambi. Mishumo yezvino yemishonga yemitambo, 11 (2), 96-98. doi.org/10.1249/JSR.0b013e318249c32b
Via, AG, Frizziero, A., Finotti, P., Oliva, F., Randelli, F., & Maffulli, N. (2018). Kutungamirirwa kwe osteitis pubis muvatambi: kugadziriswa uye kudzokera kukudzidzira - kuongororwa kwezvinyorwa zvemazuva ano. Vhura bhuku rekushandisa remishonga yemitambo, 10, 1-10. doi.org/10.2147/OAJSM.S155077
Dirkx M, Vitale C. Osteitis Pubis. [Yakavandudzwa 2022 Zvita 11]. Mu: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Inowanikwa kubva: www.yori.nlm.nih.gov/books/NBK556168/
by Dr Alex Jimenez Athlete Recovery , Mitambo Injodzi
Iyo Q kana quadriceps angle chiyero chehupamhi hwepelvic icho chinofungidzirwa kuti chinobatsira kune njodzi yekukuvara kwemitambo muvatambi vechikadzi. Ko kurapa kusiri kwekuvhiya uye maekisesaizi kungabatsira kudzoreredza kukuvara here?
Quadriceps Q - Kukuvara kweAngle
The Q angle ndiyo kona iyo femur / yekumusoro gumbo bhonzo rinosangana netibia / rezasi regumbo bhonzo . Inopimwa nemitsetse miviri inopindirana:
Imwe kubva pakati pepatella/kneecap kusvika kune anterior superior iliac musana wepelvis.
Imwe yacho inobva papatella kusvika kune tibial tubercle.
Paavhareji kona ine madhigirii matatu akakwira muvakadzi kupfuura varume.
Avhareji 17 madhigirii evakadzi uye 14 madhigirii evarume. (Ramada R Khasawneh, et al., 2019 )
Nyanzvi dzemishonga yemitambo dzakabatanidza pelvis yakakura kune yakakura Q-angle. (Ramada R Khasawneh, et al., 2019 )
Vakadzi vane misiyano yebiomechanical inosanganisira pelvis yakakura, zvichiita kuti zvive nyore kuzvara. Zvisinei, kusiyana uku kunogona kukonzera kukuvara kwemabvi paunenge uchitamba mitambo, sezvo kuwedzera kweQ angle kunokonzera kushungurudzika kwakanyanya pamabvi akabatanidzwa, pamwe chete nekuita kuti kuwedzerwa kwetsoka.
Kukuvara
Zvinhu zvakasiyana-siyana zvinogona kuwedzera njodzi yekukuvara, asi yakakura Q angle yakabatanidzwa kune anotevera mamiriro.
Patellofemoral Pain Syndrome
Iyo yakawedzera Q angle inogona kuita kuti quadriceps idhonze pa kneecap, kuibvisa panzvimbo uye kukonzera kusashanda patellar tracking.
Nokufamba kwenguva, izvi zvinogona kukonzera marwadzo emabvi (pasi uye akatenderedza kneecap), uye kusaenzana kwemisumbu.
Foot orthotics uye arch zvinotsigira zvinogona kukurudzirwa.
Vamwe vaongorori vakawana chinongedzo, nepo vamwe vasina kuwana mubatanidzwa wakafanana. (Wolf Petersen, et al., 2014 )
Chondromalacia yebvi
Uku ndiko kupfekedzwa kwecartilage pasi pemabvi.
Izvi zvinotungamirira mukuderera kwe articular surfaces emabvi. (Enrico Vaienti, et al., 2017 )
Chiratidzo chinowanzoitika kurwadziwa pasi uye kumativi emabvi.
ACL Kukuvara
Vakadzi vane huwandu hwekukuvara kwe ACL kupfuura varume. (Yasuhiro Mtani. 2017 )
Iyo yakawedzera Q angle inogona kuva chinhu chinowedzera kushushikana uye chinoita kuti ibvi rirege kugadzikana.
Zvisinei, izvi zvinoramba zvichikakavadzana, sezvimwe zvidzidzo zvakawana kusabatana pakati peQ angle uye kukuvara kwemabvi.
Chiropractic Treatment
Kusimbisa Mazivo
ACL zvirongwa zvekudzivirira kukuvara zvakagadzirirwa vakadzi zvakakonzera kuderedzwa kwekukuvara. (Trent Nessler, et al., 2017 )
The vastus medialis obliquus kana VMO imhasuru yakaita seteardrop inobatsira kufambisa mabvi akabatana nekudzikamisa mabvi.
Kusimbisa musuru kunogona kuwedzera kugadzikana kwemabvi akabatanidzwa.
Kusimbaradza kungada kutarisisa kwakanangana nemhasuru yekupera nguva.
Maekisesaizi akavharwa semadziro squats anokurudzirwa.
Glute kusimbisa kuchavandudza kugadzikana.
Kutambisa Zvidzidzo
Kutambanudza mhasuru dzakasimba kunobatsira kuzorodza nzvimbo yakakuvara, kuwedzera kutenderera, uye kudzoreredza huwandu hwekufamba uye basa.
Tsandanyama dzinowanzoonekwa dzakasimba dzinosanganisira quadriceps , hamstrings, iliotibial band, uye gastrocnemius.
Foot Orthotics
Yakagadzirwa-yakagadzirwa, inochinjika orthotics inodzikisa iyo Q angle uye kuderedza mataurirwo, kubvisa iyo yakawedzera kushushikana pamabvi.
Tsika orthotic inovimbisa kuti tsoka nemakumbo masimba anoverengerwa uye anogadziriswa.
Motion-control shangu dzinogonawo kubatsira kugadzirisa overpronation.
Knee Rehabilitation
VIDEO
References
Khasawneh, RR, Allouh, MZ, & Abu-El-Rub, E. (2019). Kuyera kweiyo quadriceps (Q) angle ine ruremekedzo kune akasiyana ma paramita emuviri mudiki maArabu. PloS imwe, 14(6), e0218387. doi.org/10.1371/journal.pone.0218387
Petersen, W., Ellermann, A., Gösele-Koppenburg, A., Best, R., Rembitzki, IV, Brüggemann, GP, & Liebau, C. (2014). Patellofemoral pain syndrome. Kuvhiyiwa kwebvi, traumatology yemitambo, arthroscopy: Nyaya yepamutemo yeESSKA, 22 (10), 2264-2274. doi.org/10.1007/s00167-013-2759-6
Vaienti, E., Scita, G., Ceccarelli, F., & Pogliacomi, F. (2017). Kunzwisisa ibvi remunhu uye hukama hwayo nekutsiviwa kwebvi rose. Acta bio-medica : Atenei Parmensis, 88(2S), 6–16. doi.org/10.23750/abm.v88i2-S.6507
Mitani Y. (2017). Misiyano inoenderana nevakadzi mukurongeka kwemakumbo ezasi, huwandu hwekufamba kwemajoini, uye chiitiko chekukuvara kwemitambo muvatambi veyunivhesiti yeJapan. Nyaya yePhysical Therapy Science, 29 (1), 12-15. doi.org/10.1589/jpts.29.12
Nessler, T., Denney, L., & Sampley, J. (2017). ACL Kudzivirira Kukuvara: Tsvagiridzo Inotiudzei? Ikozvino wongororo musculoskeletal mushonga, 10 (3), 281-288. doi.org/10.1007/s12178-017-9416-5
