Ulawulo lwezoPhilisa lweMpilo kunye neZonyango ze-ITBS
Ukuba une-Iliotibial band friction syndrome (i-ITBS), unokufumana uncedo kwizonyango zonyango lomzimba ukuze uncede ukukhulula intlungu yakho nokuphucula ukuhamba kwakho.
Isiotibial band friction syndrome yimeko eyenzekayo xa ukuxubha ngokweqhelekileyo okanye ukungqubuzana kwenzeka kumacala edolo apho iqela le-idiotili (i-band band). Ukuxubha okungavumelekanga kubangela ukuba i-IT band ivuke kwaye ingabangela ubuhlungu emadolweni .
Ngamanye amaxesha intlungu inokuthi ivezwe phezulu kwaye iphantsi kwethambo elichaphazelekayo kwaye inokuthi ivezwe njengentlungu ye- hip .
Uluphi uhlobo lwe-Iliotibial Band?
Ibhanti ye-aliotibial ibhanti elixubileyo leethambo eziqhubela ngaphandle kwintambo phakathi kwe-hip kunye namadolo. Njengoko uwela emadolweni, udlulela kwi-epicondyle ye-lateral ye-femur (ithambo lesithambo). Idibanisa phambi kwe bone bone, okanye tibia. Kukho i-bursa phantsi kwe-IT band ekunceda iqela lihamba ngokukhawuleza xa ugoba kwaye uqondise lakho idolo.
Ziziphi iimpawu ze-ITBS?
Iimpawu eziqhelekileyo ze-ITBS zibuhlungu obuvuthayo kwicandelo langaphandle lamadolo okanye intlungu phezu kwengxenyeni yangaphandle yentsanga okanye i-hip. Ubuhlungu obuvuthayo buya kwenzeka ngexesha lokuzilolonga oludinga ukuphinda ukuguquka nokulungiswa njengebhayisikili okanye ukuqhuba.
Yintoni ebangela i-ITBS?
Kukho izimbangela ezininzi ze-ITBS. Ngamanye amaxesha, izihlunu ezinqabileyo malunga nomlenze kunye namadolo zingabangela ukungqubuzana okungaqhelekanga phakathi kwe-IT band kunye namathambo e-hip okanye emadolweni.
I-IT band ingaxhomekeke ekuxubeni amandla njengoko idlula kwi-bony izikhundla ezikufuphi ngasedolo. Ubuthathaka kwimisipha ejikeleze umlenze nomlenze ungabangela negalelo kwi-ITBS. Ukuma kweenyawo ezingalunganga, ezifana nokugqithisa xa kuqhutywe, kungakho nokuba ngumthombo we-ITBS. Ekubeni izizathu ze-ITBS zininzi, uvavanyo olujoliswe ngugqirha wakho kunye nomzimba wonyango lunokukunceda ekulawuleni kakuhle ingxaki.
Uvavanyo lwePhysical Assessment lwe-ITBS
Ukuba ufumana intlungu engxenyeni yangaphandle ye-hip okanye idolo, unokuba ne-ITBS. Ngamanye amaxesha iimpawu ze-ITBS zihlala zifutshane kwaye zingahamba kunye nokuphumla. Ukuba intlungu yakho iyaqhubeka okanye iphazamise umsebenzi oqhelekileyo, kufuneka ubone ugqirha wakho kukunceda uqalise unyango olufanelekileyo. Ukuphononongwa ngonyango kunokuba kuyimfuneko ukukunceda ukufumana izizathu zengxaki nokukhokelela ekuphatheni kakuhle.
Ukuhlolwa kokunyanga kwimizimba ye-ITBS ngokuqhelekileyo kuqala ngembali ephambili. Yilungele ukuxelela umphathiswa wakho wezonyango xa iimpawu zakho ziqalisiwe kunye nendlela echaphazeleka ngayo imisebenzi. Imbali inceda umdlavuza wakho wenyama ukhethe apho ukugxila kuvavanyo. Uvavanyo kunye nemilinganiselo ingaquka:
- Ubunzima bokuguquguquka: Iimfumba zezintlu kunye nemilenze zivandlakanywa ukuba zibone ukuba ubungqina bungabangela ukungqubuzana okungavamile phakathi kwe-IT band kunye namathambo emadolo.
- Amandla omzimba : Ukuba unayo i-ITBS, ubunobuthakathaka bomzimba buba khona emthonjeni, emilenzeni okanye emilenzeni. Olu buthathaka lungakhokelela kwisimo esingaqhelekanga sexolo ngexesha lemisebenzi efana nokugijima kunye nokuhamba ngebhayisikili, kubangela ukuxubha kwe-IT band kumathambo endolo.
- Ukuphakama kwesantya : Isilinganiselo sokunyuka kwesantya singathatyathwa emadolweni, emlenzeni okanye enqeni ukuba uhlole ukuba ukuhla kweendleko zala manxeba kunciphisa ingxaki yakho.
- Iimvavanyo ezizodwa: I-Testable Compression Test (Testing Compression Test) iyimvavanyo ekhethekileyo ye-ITBS. Ngethuba lo vavanyo, i-IT band phezu kwengxenyana yangaphandle yamadolo igxininiswa ngelixa idolo liguquguquka kwaye landiswa. Uvavanyo oluhle luvelisa ukutshisa okukhulu kwi-IT band xa idolo ligqityiwe ngokupheleleyo. Uvavanyo luka-Ober luvavanyo olukhethekileyo ukulinganisa ukuguquguquka kwe-IT yakho band. Umgulana wakho womzimba angenza ezinye iimvavanyo ukuqinisekisa ukuba amadologam akho okanye i-meniscus ayibangeli ingxaki yakho.
- Uvavanyo lokuhlawula: Uvavanyo lwenzuzo lungenziwa ukwenzela ukuvavanya ukuhamba kunye nesimo seenyawo zakho, amadolo kunye neenyawo njengoko uhamba okanye uhamba. Isikhundla seenyawo zakho sinokuhlolwa kwakhona ukuze sibone ukuba kukho ukugqithisa, ingxaki yokulungelelanisa inyawo, ingabangela iimpawu zakho.
Xa i-PT yakho yenza uvavanyo, uya kusebenza nawe ukuphuhlisa inkqubo yonyango ngokukodwa kwimeko yakho.
Unyango lwe-ITBS
IsiGaba esiPhambili: Iintsuku zokuqala ezintathu ukuya ezintlanu zentlungu emadolweni okanye kwi-hip zibhekwa njengesigaba esichukumisayo sokulimala kwi-IT band. Ngeli xesha, ukuphepha kwento eyenza intlungu iphakanyiswe. Iqhwa kwindawo echaphazelekayo inokunceda ukulawula ukutshaya. Iqhwa kufuneka isetyenziswe imizuzu engama-15 ukuya kwimizuzu engama-20 ngamaxesha amaninzi ngemini ngexesha lesiganeko.
Isigaba sengxaki: Emva kweentsuku ezintlanu ukuya kwi sixhenxe zokuphumla ngokuxhomekeke kunye nokuchukumisa izicubu ezinobungozi, isicetywa esincinci sinokuqalisa ukukunceda ukuphulukiswa kakuhle kwe-IT band. Ngethuba lokusasaza kwe-IT band kunye nezihlunu ezixhasayo zingaqaliswa. Ukuqalwa okulula kwamadolo kunye nokuqhaqhoza ukuqinisa umzimba kunokuqaliswa ukuba kuboniswe ngugqirha wakho okanye umphathiswa wenyama.
Buyela kumsebenzi: Emva kweeveki ezimbalwa zokuqiniswa ngenyameko kunye nokwelula, uqeqesho oluninzi luya kwenziwa ukuze kuqinisekiswe ukuba i-IT band inokukwazi ukunyamezela umkhosi onokuhlangana nawo ngexesha lomsebenzi wakho wezemidlalo. Izenzo zokuqiniswa kwe-hip zoqhagamshelwano zingaqaliswa ukuqinisekisa ukuba imisipha ye-hip nesisu isinika inkxaso efanelekileyo. Ukuba ukunyuka kweenyawo kuyinkathazo, iiflothi okanye ukufakelwa kungahlolwa kwizihlangu ukuze kulungiswe ingxaki.
Isiotibibial band friction syndrome ngokuhlala ihlala kwiiveki ezintandathu ukuya kwezi-ezisibhozo, kuxhomekeke kubukhulu bokulimala. Ukuba iimpawu zakho ziqhubeka, uhambo olulandelayo lokuhamba noogqirha wakho lunokuba luyimfuneko ukuba ubone ukuba ngaba ukhetho oluninzi olusakhulayo olunjenge- cortisone injections lufanelekile.
Ubuhlungu obungaphandle kwamadolo okanye ukunyakaza kwakho kunokunciphisa ukukwazi ukuhamba, ukugijima, umjikelezo, okanye ukuthatha inxaxheba ngokupheleleyo kwizo lonwabo. Xa uqala unyango kusasa kwaye ngokulandela isilathisi sakho somzimba kunye nodokotela, unokukwazi ukuphelisa intlungu evela kwi-ITBS kwaye ubuyele kumsebenzi oqhelekileyo ngokukhawuleza nangokukhuselekileyo.
> Imithombo:
Hertling, D. (2006). Ulawulo lweengxaki ezixhaphakileyo ze-musculoskeletal. (4th ed.). Philadelphia: Lippincott Williams & Wilkins Safran, M., Stone, D., & Zachazewski, J. (2003). Imiyalelo yezigulane zamachiza ezemidlalo. Philadelphia: Saunders.