Ukuphathwa Kwemithi Yokwelashwa Nokunakekelwa kwe-ITBS
Uma une-Iliotibial band friction syndrome (I-ITBS), ungase uzuze ekunakekeleni abanekhono lomuthi wezokwelapha ukusiza ukukhulula ubuhlungu bakho futhi uthuthukise ukuhamba kwakho.
I-Iliotibial band friction syndrome yisimo esenzeka lapho ukubhoboza okungavamile noma ukungqubuzana kwenzeka eceleni komgwaqo lapho kunqamuleka khona ibhande le-Iliotibial (IT band). Ukuxubha okungavamile kubangela ukuthi iqembu le-IT livuke futhi lingabangela ubuhlungu emadolweni .
Ngezinye izikhathi ubuhlungu bungase buzwakale phezulu nangaphansi ngaphandle kwethanga elithintekile futhi kungase kube nomuzwa wokuthi ubuhlungu be-hip .
Iyini Ibutho Leliyobubi?
I-band i-iriotibial iyinhlangano ebanzi yezincubu ezigijima engxenyeni engaphandle kwethanga phakathi kwe-hip namadolo. Njengoba iwela emadolweni idlula phezu kwe-epicondyle lateral ye-femur (ithambo lesithambo). Ihlanganisa phambi kwethambo le-shin, noma i-tibia. Kukhona i-bursa ngaphansi kwe-IT band esiza iqembu ukuthi liqhube ngokushelela uma ugoba futhi uqondise idolo lakho.
Yiziphi Izimpawu ze-ITBS?
Izimpawu ezijwayelekile ze-ITBS zibuhlungu obuvuthayo engxenyeni engaphandle yamadolo noma ubuhlungu ngaphezu kwengxenyeni yangaphandle kwethanga noma i-hip. Ubuhlungu obuvuthayo buba khona ngesikhathi sokuzivocavoca okudinga ukuphindaphinda okuphindaphindiwe nokuqondisa njengokuhamba ngebhayisikili noma kusebenza.
Yini ebangela i-ITBS?
Kunezimbangela eziningi ze-ITBS. Ngezinye izikhathi, imisipha eqinile emlenzeni kanye nasemadolweni kungabangela ukungqubuzana okungavamile phakathi kwe-IT band namathambo we-hip noma amadolo.
I-band ye-IT ingase ibe ngaphansi kokuxubha amandla njengoba idlula phezu kwe-bony okuvelele eduze kwedolo. Ukwehluleka kwemisipha ezungeze umlenze nethanga kungabamba iqhaza kwi-ITBS. Isikhundla esingalungile sezinyawo, njengokudlulela phezulu ngenkathi kusebenza, kungase kube umthombo we-ITBS. Njengoba izimbangela ze-ITBS ziningi, ukuhlolwa okugxilwe ngudokotela wakho kanye nodokotela ongokwenyama kungasiza ekuholeni kahle inkinga.
Therapy Physical Ukuhlolwa kwe-ITBS
Uma uzwa ubuhlungu engxenyeni yangaphandle ye-hip noma idolo, ungaba ne-ITBS. Ngezinye izikhathi izimpawu ze-ITBS zihlala isikhathi esifushane futhi zingahamba nokuphumula. Uma ubuhlungu bakho buphikelela noma buphazamisa umsebenzi ojwayelekile, kufanele ubone udokotela wakho ukukusiza ukuthi uqale ukwelashwa okufanele. Ukuhlola okusebenza ngokomzimba kungadingeka ukuze kusize ukuthola izimbangela zenkinga futhi kuholele ekuphatheni kahle.
Ukuhlola okwelapha ngokomzimba kwe-ITBS kuvame ukuqala ngomlando ogxile. Yilungele ukutshela umhlengikazi wakho wezakhi lapho izimpawu zakho ziqala nokuthi izenzo ezithile zithinta kanjani izimpawu zakho. Umlando usiza umhlinzeki wakho wenyama ukuthi akhethe kuphi ukugxila ekuhloleni. Izivivinyo nezinyathelo zingabandakanya:
- Imisipha yokuguquguquka kwemvelo: Imisipha yezinyopho nemilenze ivame ukuhlolwa ukuze ibone ukuthi ukuqina kungabangela ukungezwani okungajwayelekile phakathi kwe-IT band namathambo emadolweni.
- Amandla omzimba : Uma une-ITBS, ubuthakathaka bemisipha bungaba khona emthangeni, emaceleni noma emilenzeni. Lokhu buthakathaka kungaholela esimweni esingavamile samadolo phakathi nemisebenzi efana nokugijima nokuhamba ngebhayisikili, okwenza ukuxubha kwe-IT band emathanjeni emadolo.
- Ukuhamba kwesilinganiso : Izinga lezilinganiso zokuhamba zingathathwa emadolweni, emlenzeni noma emagqumeni ukuhlola ukuthi ukuhamba kwezimpawu ezihambayo kwalezi zingxenye kubangela inkinga yakho.
- Ukuhlolwa okukhethekile: I-Noble Compression Test iyilinga elikhethekile le-ITBS. Phakathi nalolu vavanyo, i-IT band ngaphezu kwengxenyana engaphandle yamadolo icindezelwa ngenkathi idolo liguquguquka futhi landiswa. Isivivinyo esihle siveza ukushisa okukhulu phezu kwe-IT band lapho idolo livuliwe ngokugcwele. Ukuhlolwa kuka-Ober kuyilinga elikhethekile lokukala ukuguquguquka kwe-IT yakho band. Umhlinzeki wakho womzimba angenza ezinye izivivinyo ukuqinisekisa ukuthi amadologig akho noma i-meniscus ayibangeli inkinga yakho.
- Ukuhlolwa kwe-Gait: Ukuhlolwa kwe-gait kungenziwa ukuze kuhlolwe ukunyakaza kanye nesimo sezintambo, amadolo nezinyawo njengoba uhamba noma ugijima. Isikhundla sezinyawo zakho singabuye sihlolwe ukuze sibone ukuthi kunesidingo esikhulu, inkinga yokuvumelanisa izinyawo ezivamile, kungabangela izimpawu zakho.
Uma i-PT yakho isenze ukuhlolwa, uzosebenza nawe ukuthuthukisa uhlelo lwezokwelapha ngokuqondene nesimo sakho.
Ukwelashwa kwe-ITBS
Isigaba esiyinkimbinkimbi: Izinsuku ezintathu zokuqala eziyisihlanu zobuhlungu emadolweni noma emaceleni zibhekwa njengesigaba esibucayi sokulimala ku-IT band. Ngalesi sikhathi, ukugwema umsebenzi okwenze ukuthi ubuhlungu buphakanyiswe. Iqhwa endaweni esithintekayo ingasiza ukulawula ukuvuvukala. Iqhwa kufanele ifakwe imizuzu engu-15 kuya kwangu-20 izikhathi eziningana ngosuku ngalesi sigaba esiyingozi.
Isigaba se-Subacute: Ngemuva kwezinsuku eziyisihlanu kuya kweziyisikhombisa zokuphumula okuhambisanayo nokucubungula izicubu ezilimazayo, ukunyakaza okuncane kungenziwa ukuqala ukusiza ukuqinisekisa ukuphulukiswa okufanele kwe-IT band. Phakathi nalesi sikhathi ukuhanjiswa kwe-IT band kanye nemisipha eyisekelayo ingaqaliswa. Ukuzivocavoca okulula nokuqinisa iminyango kungase kuqalwe uma kuboniswa udokotela wakho noma uchwepheshe wezempilo.
Buyela emisebenzini: Ngemuva kwamasonto ambalwa okuqiniswa nokulula, ukuvivinya okunomdlandla kungenziwa ukuze kuqinisekiswe ukuthi i-IT band ikwazi ukubekezelela amandla angase ahlangane phakathi nomsebenzi wakho wezemidlalo. Ukuzivocavoca okuthuthukisiwe kwe-hip kungaqaliswa ukuqinisekisa ukuthi imisipha ye-hip nesisu isinikeza ukusekela okufanele. Uma ukubiza ngezinyawo kuyinkinga, ama-orthotics noma ukufakwa kungase kuvivinywe izicathulo ukulungisa inkinga.
Isiotibial band band friction syndrome ngokuvamile ihlala cishe amasonto ayisithupha kuya kwangu-8, kuye ngokuthi ubuhlungu bulimala kangakanani. Uma izimpawu zakho ziphikelela, ukuvakashelwa kokulandelana nodokotela wakho kungadingeka ukubona ukuthi izinketho eziningi zokwelashwa ezingavamile, njengezigciwane ze- cortisone , ziyadingeka.
Ubuhlungu obungaphandle kwamadolo akho noma u-hip kunganciphisa ikhono lakho lokuhamba, ukugijima, ukujikeleza, noma ukubamba iqhaza ngokugcwele ngokuzilibazisa okuvamile. Ngokuqala ukwelashwa kusenesikhathi nangokulandela iseluleko sogqirha wakho wezokwelapha nodokotela, ungakwazi ukuqeda ubuhlungu obuvela kwi-ITBS bese ubuyela emsebenzini ovamile ngokushesha futhi ngokuphepha.
> Imithombo:
UHertling, D. (2006). Ukuphathwa kwezifo ezivamile zomzimba we-musculoskeletal. (4th ed.). I-Philadelphia: Lippincott Williams & Wilkins Safran, M., Stone, D., & Zachazewski, J. (2003). Imiyalo yeziguli zemithi yezemidlalo. I-Philadelphia: Saunders.