Kuze kube ngu-53% wabantu, ikakhulukazi labo abanesithakazelo esikhulu kwezemidlalo, ababhekene nezifo ezahlukahlukene zohlelo lwe-musculoskeletal. Izifo zikhula ngezizathu eziningi, kufaka phakathi ukulimala okukhulu, ukuphuka, ukucindezela ngokweqile emisipheni nasemalungeni.
Esinye sezifo ezivame kakhulu emikhawulweni engezansi yi-iliotibial tract syndrome, ezibonakalisa ngobuhlungu nokuqina kokunyakaza. Kuyadingeka ukubhekana nalesi sifo ngendlela eyinkimbinkimbi futhi ngokushesha, ngaphandle kwalokho izingqinamba ezinkulu kanye nokusebenza okuphuthumayo akufakwa.
Yini i-iliotibial tract syndrome?
I-iliotibial tract syndrome iqondwa njenge-pathology lapho kukhona khona inqubo yokuvuvukala noma ukuqhekeka kwe-fascia etholakala engxenyeni engaphandle yamathanga. Lesi sifo siholela ezinkingeni ezinkulu esifundeni se-hip futhi senza impilo ibe nzima kumuntu.
Odokotela ubheke izici zokugula:
- izimpawu ezibonakalisiwe, ezibonakaliswa ubuhlungu nobunzima bokuhamba;
- ukuqhubeka ngokushesha kwalesi sifo;
- kudinga ukwelashwa okuhlala isikhathi eside futhi okuyinkimbinkimbi.
Ngokuxilongwa nokwelashwa okufika ngesikhathi, isibikezelo siyathandeka.
Izimbangela zalesi sifo
Ngokuyinhloko, abagijimi abaqeqeshiwe babhekene ne-syndrome yepheshana le-iliotibial, ngoba yibo abaye bakhulisa imithwalo ezinyaweni ezingezansi nokuqeqeshwa okuvamile okukhandlayo.
Izizathu eziyinhloko eziholela kulesi sifo zibizwa ngamathambo nabelaphi:
- Ukucindezeleka okuvamile futhi ngokweqile emisipha yomlenze.
Engcupheni:
- abagijimi;
Njengoba kuphawulwe ngabadokotela bamathambo, abagijimi abangama-67% baba ne-iliotibial tract syndrome, njengoba begijima ngokuhlelekile amabanga ahlukene futhi belula imisipha yabo yethole.
- abagibeli bamabhayisikili;
- abadlali be-volleyball;
- abadlali be-basketball;
- abadlali bebhola nabanye.
Qaphela: ngokuvamile, abasengozini bonke abadlali abanomthwalo oqhubekayo emaphethelweni abo aphansi ngesikhathi sokuqeqeshwa nokuncintisana.
- Ukulimala okutholakele, ikakhulukazi, imisipha yemisipha, ukuqhuma kwethenda, ukuhlukaniswa.
- Ukuphazamiseka kokuzalwa kwesistimu yemisipha, ngokwesibonelo:
- i-hallux valgus;
- izinyawo eziyisicaba;
- ukukhubazeka.
Kumuntu onesifo sokuzalwa esingezansi, lapho ehamba, kukhona umthwalo ongalingani emisipheni nasemalungeni.
- Akuyona indlela yokuphila eyanele esebenzayo.
Engcupheni:
- iziguli ezilele embhedeni;
- abantu abakhuluphele ngokweqile;
- izakhamizi ezingazinaki izincomo zokuhamba njalo nokudlala imidlalo;
- abantu baphoqeleke ukuba bahlale amahora ayi-8-10, isibonelo, abasebenza emahhovisi, abaphathizimali nabanye.
Ubuthakathaka bemisipha obuzelwe noma obutholakele.
Lapho umuntu enemisipha ebuthakathaka, khona-ke nganoma yimuphi umthwalo kuba nengcindezi eyengeziwe kumajoyinti amadolo, nawo angaholela ekwakhiweni kwe-iliotibial tract syndrome.
Izimpawu zokugula
Noma yimuphi umuntu othuthukisa ukugula okunjalo ubhekene nezimpawu ezithile zesici.
Phakathi kokubaluleke kakhulu:
Ubuhlungu emajoyinteni amadolo kanye nasezinqeni.
Ezimweni ezingama-85%, i-pain syndrome ivela lapho:
- ukugijima noma ukuhamba;
- ukwenza noma yikuphi ukuvivinya umlenze;
- ukuphakamisa nokuthwala izinsimbi.
Ngendlela enganakwa, i-pain syndrome ikhona ngisho nangesikhathi sokuphumula nokulala.
- Ukugoqa amadolo, ikakhulukazi lapho uphaphama.
- Ukuvuvukala emadolweni nasezinyangeni zethambo.
- Ukungakwazi ukuqondisa ngokuphelele umlenze noma ukuhamba.
Uma isifo se-iliotibial tract sibi kakhulu, kwenzeka kakhulu ukuthi izimpawu ziba.
Izindlela zokuxilonga
Akunakwenzeka ukuzimela ngokuzimela i-iliotibial tract syndrome, ngoba i-pathology inezimpawu ezifanayo zesifundo nezinye izifo zohlelo lwe-musculoskeletal. Odokotela bamathambo kuphela, kanye nabelaphi kanye nodokotela bezinzwa, abangakhomba ngokunembile lesi sifo, futhi banqume ukuthi sinjani.
Ukwenza ukuxilongwa, odokotela baphendukela ku:
- Ukuhlolwa okuphelele kwesiguli.
- Ukubanjwa kwamadolo nokuqina kwamalunga.
- Uzwa i-fascia ngezandla zakho.
- I-X ray yamajoyinti amadolo nesinqe.
- Ukuhlolwa kwegazi nomchamo.
Ngokuyinhloko, isiguli sinikezwa ukudluliselwa kokuhlaziywa okujwayelekile komchamo negazi.
- I-MRI ne-ultrasound.
I-Magnetic resonance imaging ne-ultrasound kuyasetshenziswa lapho udokotela ekungabaza ukuxilongwa noma kudingeka ukucacisa ukuthi ngabe kukhona yini ukuphazamiseka okuhambisana nalokho ohlelweni lwe-musculoskeletal.
Futhi, ukuze kutholakale kahle, odokotela badinga isithombe esiphelele sesifo. Ochwepheshe babuza isiguli ngohlobo lobuhlungu nezinye izimpawu, ubude besifundo sabo, lapho umuntu ezwa khona ukuqala ukungakhululeki, njalonjalo.
Ukuqoqwa kwalo lonke ulwazi kukuvumela ukuthi ungalenzi iphutha futhi unqume kahle ukuthi hlobo luni lwezifo umuntu analo, futhi okubaluleke kakhulu, ukuthi hlobo luni lwezokwelapha oludinga ukuphendukela kulo.
Ukwelashwa kwe-iliotibial tract syndrome
Ngemuva kokutholakala kwesifo se-iliotibial tract syndrome, isiguli sikhethelwa ukwelashwa, ngokuya ngo:
- ubunzima be-pathology ekhonjiwe;
- uhlobo lobuhlungu;
- izici zezindwangu zamadolo kanye namajoyini we-hip;
- Izimo;
- izifo ezikhona;
- iminyaka yobudala yesiguli.
Ngokuvamile, uma i-syndrome yepheshana le-iliotibial ingekho esimweni esithuthukile, futhi umuntu engahlushwa ubuhlungu obungabekezeleleki futhi obungalawulwa kahle, khona-ke inkambo inqunyelwe:
- Ubuhlungu bokudambisa izinhlungu, imijovo namaphilisi.
- Izidakamizwa ezilwa nokuvuvukala.
- Izinqubo ze-Physiotherapeutic, isibonelo, i-magnetotherapy, ethuthukisa ukujikeleza kwegazi, isheshisa uqwanga nokubuyiselwa kwe-articular.
- Ukwelashwa kogongolo lwe-Laser.
Ku-iliotibial tract syndrome, ukwelashwa kwe-laser kusetshenziswa lapho isiguli sibuhlungu obukhulu nokuvuvukala kuma-kneecaps.
- Ukucindezela. Odokotela bayavuma ukuthi isiguli senza ukucindezelwa sisodwa nasekhaya.
Ngokuyinhloko, lezi ziguli ziyanconywa:
- ukucindezela okunosawoti. Ukuze wenze lokhu, chaza izipuni eziyi-2 - 3 zikasawoti wetafula engilazini yamanzi afudumele. Bese uthambisa indwangu ye-terry kusixazululo bese ufaka endaweni oyifunayo. Songa konke phezulu ngefilimu yokudla bese ushiya imizuzu engama-20.
- ukucindezelwa kwesoda. Zenziwe ngokufaniswa, njengosawoti, ama-milliliters angama-200 kuphela wamanzi adinga amathisipuni amabili wesoda yokubhaka.
Isikhathi sokwelashwa sinqunywe odokotela, baphinde basungule uhlobo lokudla izidakamizwa kanye nezinqubo ezithile ezamukelekayo esigulini.
Ukungenelela kokuhlinzwa
Iziguli ezine-iliotibial tract syndrome etholakele, ukwelashwa kokuhlinzwa kukhonjiswa lapho:
- izinqubo zokuvuvukala ze-fascia azisuswanga yimithi enamandla;
- i-pain syndrome isiphenduke unomphela futhi ayinakubekezeleleka;
- umuntu akazange afune usizo lwezokwelapha isikhathi eside, ngenxa yalokho ukugula kwachithekela esigabeni sokugcina.
Odokotela balwa nalesi sifo kuze kube sekugcineni bese bezama ukuthola indlela yokwelashwa engasebenzi.
Esimweni lapho kukhonjiswa khona isiguli ukuthi sihlinzwe, umuntu uhlala elaliswa esibhedlela, ngemuva kwalokho:
- odokotela bathatha konke ukuhlolwa okudingekayo;
- phinda i-ultrasound ne-MRI yamalunga edolo ne-hip;
- nquma usuku lokusebenza.
Ngesikhathi sokuhlinzwa, i-bursa iyasuswa noma kwenziwa ipulasitiki lepheshana le-iliotibial.
I-Physiotherapy
Akunakwenzeka ukuthi abantu abane-iliotibial tract syndrome betholwe ngokuphelele futhi balulame ngaphandle kokuvivinya umzimba.
Uqokwa ngamathambo futhi kuphela ngemuva kwalokhu:
- ukudlulisa inkambo yezinqubo ze-physiotherapy;
- ukuphela kokuthatha wonke amaphilisi anqunyiwe namafutha okugcoba;
- ukuqeda okuphawulekayo noma okuphelele kokukhukhumeza nobuhlungu.
Ngokuyinhloko, konke ukuvivinya umzimba kwalesi sifo kuhloselwe ukuqinisa imisipha ye-hip nokuthuthukisa amalunga emadolo.
Ngokuvamile, iziguli zinqunyelwe:
1. Izikwele zokusekela.
Umuntu kufanele:
- yima uqonde ubhekise udonga umhlane;
- beka izinyawo zakho ububanzi behlombe;
- wehla ngokushelela emgqeni wamadolo;
- lungisa umzimba wakho imizuzwana emi-2 - 3 kulesi sikhundla;
- ngokushelela uthathe isikhundla sokuqala.
2. Intambo yokweqa.
3. Ukuguquka kwesiphambano.
Kuyadingeka:
- thatha isihlalo ngomhlane;
- sukuma esihlalweni ngobuso nezandla ubambelele emhlane;
- khipha umlenze wangakwesokudla usuka phansi uye ekuphakameni kwamasentimitha angama-25 - 30;
- jikisa umlenze kuqala phambili, bese ubuyela emuva, bese uya ezinhlangothini ezihlukile.
Ama-swings enziwa izikhathi eziyi-15 emlenzeni ngamunye.
Ukuvuselelwa kwe-iliotibial tract syndrome
Ngemuva kokuthola ukwelashwa, umuntu udinga ukuvuselelwa kwesifo se-iliotibial tract syndrome, okubandakanya:
- Ukunciphisa ukusebenza komzimba emadolweni nasezinyangeni.
- Ukwenqaba ukuqeqesha izinsuku ezingama-30-60.
Ezimweni ezingazodwa, odokotela bangayinqabela nhlobo imidlalo.
- Ukugqoka izicathulo zamathambo kuphela ezinama-insoles akhethekile.
- Ukwenza njalo izivivinyo ezikhethekile zokuzivocavoca okuhlose ukuthuthukisa imisipha yamathanga.
Inkambo eningiliziwe yokuvuselelwa inqunywa ngudokotela obekhona.
Imiphumela kanye nezinkinga ezingenzeka
I-Iliotibial tract syndrome iyisifo esibi kakhulu esingaholela emiphumeleni eminingi.
Phakathi kwamathambo amakhulu kukhona:
- Ukugoqana njalo kwamadolo lapho uhamba nalapho uvuka.
- Ubuhlungu obuphindaphindiwe emalungeni e-hip.
Kuziguli ezingama-75%, ubuhlungu obunjalo buvela esimweni sezulu, ikakhulukazi uma kunokubanda okubandayo, ngemuva kwezifo ezithathelwanayo, futhi nalapho isimo sezulu sishintsha.
- Ukuqhuzuka.
I-Lameness yaziwa kuphela kuma-2% wamacala futhi uma ukwelashwa okuyinkimbinkimbi kungaqalanga ngesikhathi noma ukuhlinzwa kungaphumelelanga.
Ngaphezu kwalokho, ukungathathwa ukwelashwa ngesikhathi kungaholela ezinkingeni eziningi:
- ubuthakathaka bemisipha emalungeni edolo nasesinqeni;
- ukungakwazi ukuqhubeka nokuhamba ibanga elide ngaphandle kokungaphatheki kahle noma ubuhlungu emaphethelweni angezansi;
- ukuvuvukala ngezikhathi ezithile kwama-kneecaps.
Noma iziphi izinkinga kanye nemiphumela emibi izokwehliswa ize ibe zero uma ukwelashwa kuqalwa ngesikhathi.
Izindlela zokuvimbela
Ukunciphisa ubungozi bokuqhamuka kwesifo se-iliotibial tract syndrome, odokotela bamathambo bancoma izindlela zokuvimbela.
Phakathi kokubaluleke kakhulu:
- Ukuvivinya umzimba ngokulingene emadolweni nasesinqeni.
- Ukufudumala ngaphambi kokuzivocavoca okuyinhloko.
Ngesikhathi sokuzifudumeza, kunconywa ukuthi kugcizelelwe kakhulu ukufudumeza imisipha yethole.
- Ungalokothi uphakamise izinto ezisindayo ngokungazelelwe, ikakhulukazi endaweni yokuhlala.
- Lapho wenza noma yikuphi ukuzivocavoca kwezemidlalo, bheka inqubo efanele yokuqaliswa kwayo.
- Uma unezinyawo eziyizicaba, bese uqeqesha kuphela izicathulo ezikhethekile ezinama-insoles wamathambo.
- Ungalokothi uye kwezemidlalo uma umlenze walimala ngayizolo noma ukungakhululeki emaphethelweni aphansi kuyaqashelwa.
- Gqoka njalo futhi uqeqeshe izicathulo ezintofontofo ezingacindezeli unyawo futhi zinikeze umthwalo olinganayo onyaweni.
- Thintana nodokotela wamathambo ngokushesha, lapho nje kuvela izimpawu zokuqala zobuhlungu emalungeni edolo nasesinqeni.
Kubalulekile futhi ukwandisa njalo ukuvivinya umzimba kancane kancane nokuzivocavoca umzimba ngaphansi kweso lochwepheshe. I-Iliotibial tract syndrome yisimo esibi esivame ukwenzeka kubasubathi, ikakhulukazi abagijimi nabagibeli bamabhayisikili.
Lesi sifo sikhula ngokushesha, sihambisane nobuhlungu, ukuqhuma emadolweni nokungakwazi ukuhamba ngokugcwele. Ukwelashwa kukhethwa ngemuva kokuhlolwa okuphelele, futhi kungenelwa kuphela ukuhlinzwa okuhlinzekwayo ngezindlela eziyinkimbinkimbi nezinganakiwe.
Blitz - amathiphu:
- qala ukwelashwa kuphela lapho odokotela bethola ukugula bese bekhetha ukwelashwa;
- kubalulekile ukuqonda ukuthi uma kuboniswa ukusebenza, ngakho-ke akufanele ukwenqabe, ngaphandle kwalokho ungakhubazeka;
- kufanelekile ukuqala nokuqeda ukuzivocavoca ngokuzifudumeza okulula.
