Ɛtɔ da bi a, wote nka sɛ kɔndua ketewaa bi wɔ wo kɔn, wo mmati, anaa w’akyi ntini mu, na sɛ wopiapia a, ɛma wote yaw a wuntumi nnyina ano, ɛnte saa? Ɛte sɛ akuru ketewaa bi a ɛwɔ wo nipadua mu. Eyi ne nea yɛfrɛ no ‘trigger point’. Ebia worentumi nyɛ wo da biara da nnwuma yiye esiane ɛyaw yi nti. Enti ɛnnɛ yɛreka ayaresa bi a nnipa pii nnim ho asɛm a ebetumi aboa wo ma woayi ɛyaw yi afi hɔ.
Dɛn ankasa ne saa ‘Trigger Points’ yi?
Sɛ yɛbɛka no tiawa a, ade a ɛkanyan yɛn ne ‘akwan’ a ɛyɛ yaw wɔ yɛn ntini mu. Sɛ wode wo nsa ka beae no a, ebia ɛbɛyɛ te sɛ kɔndua ketewaa bi. Nneɛma pii nti na eyinom betumi aba. Ebetumi afi opira a ɛba mpofirim (acute trauma) mu aba, anaasɛ ebetumi afi micro-trauma (adwennwen) a ɛtaa ba mpɛn pii a ɛnam kankyee a wɔyɛ no mpɛn pii so na ɛba.
Esiane saa nneɛma yi nti, ntini no mu nhama no bata ho, ɛyɛ den, na ɛkyekyere baabi biako, te sɛ hama bɔɔl. Wɔfrɛ saa ‘nhama a ɛkyekyere’ yi sɛ nneɛma a ɛkanyan.
Trigger point injections yɛ ɔkwan a wɔfa so de ade a ɛyɛ tratraa di dwuma de twitwa nnuru gu baabi a ɛyɛ yaw. Wɔtaa de aduru a ɛma obi dwensɔ na ɛyɛ eyi. Ɛtɔ mmere bi a, wobetumi de steroid anaa botulinum awuduru bi aka ho. Ɛtɔ da bi a, wɔde aduru biara (a wɔfrɛ no dry needling ) na ɛyɛ saa ayaresa yi.
Ɛyaw bɛn na wɔde saa aduru yi di dwuma?
Wɔde saa aduru yi di dwuma titiriw de sa tebea bi a wɔfrɛ no ‘Myofascial Pain’ . Ɛha yi ‘Myo’ kyerɛ ntini, na ‘fascial’ kyerɛ fascia. Susuw nam asinasin bi te sɛ soseji ho hwɛ, na wɔfrɛ aduru fitaa a ɛyɛ tratraa a atwa ho ahyia no fascia. Enti, myofascial ɛyaw yɛ ɛyaw a ɛba saa ntini yi mu, ne ntini a atwa ho ahyia no.
Nea ɛde ɛyaw yi ba titiriw ne nneɛma a ɛkanyan adwene a yɛkaa ho asɛm no biako anaa nea ɛboro saa a ɛwɔ hɔ. Ɛwom sɛ saa nhama yi tumi yɛ ntini biara de, nanso mmeae kakraa bi wɔ hɔ a ɛtaa ba.
| Ntini a ɛtaa nya nneɛma a ɛkanyan | Beae a wɔtaa te ɛyaw no nka |
|---|---|
| Trapezius na ɔkyerɛwee | Kɔn akyi ne mmati afã horow |
| Masseter na ɔkyerɛwee | Ntini a ɛwɔ anom (a ɛbɛn aso no) . |
| Levator scapulae a ɛwɔ nipadua no mu | Wɔ kɔn no afã abien no nyinaa |
| Quadratus lumborum a ɛwɔ nipadua no mu | Wɔ akyi tɔnn |
| Gluteus a ɛwɔ ntam | Buttocks/hips beaeɛ |
Nea ɛyɛ nwonwa no, ɛtɔ mmere bi a wɔte ɛyaw a efi mmeae a ɛkanyan saa yi nka wɔ baabi a kɔndua no wɔ no tẽẽ, na mmom wɔ akyirikyiri kakra. Sɛ nhwɛso no, kɔndua a ɛwɔ trapezius ntini a ɛwɔ mmati no mu no betumi ama woate ɛyaw a ɛte sɛ tiyɛ a ɛyɛ den .
Henanom na wohia saa ayaresa yi?
Mpɛn pii no, wo duruyɛfo renkamfo saa aduru yi nkyerɛ ntɛm ara. Sɛ wo yaw no nnyaa ano brɛɛ ase ɛmfa ho nneɛma te sɛ nnuru a wɔde kum ɛyaw, ɔhyew, aduru a wɔde twitwiw nipadua, ne nipadua mu ayaresa a, ebia wobɛpɛ sɛ wubu saa ayaresa yi sɛ adeyɛ a edi hɔ.
Susuw ho hwɛ, nnipa binom te yaw araa ma wontumi nyɛ apɔw-mu-teɛteɛ apɔw-mu-teɛteɛ mpo yiye. Wɔ tebea horow a ɛtete saa mu no, wubetumi adi kan ama saa aduru yi na ama ɛyaw no so atew, na afei woafi ase ayɛ nipadua mu ayaresa. Afei nea efi mu ba no di yiye paa.
Afei nso, ansa na oduruyɛfo no de saa aduru yi bɛma no, ɔbɛhwɛ sɛ nneɛma afoforo bi wɔ hɔ a ɛde wo yaw no ba anaa. Nhwɛsoɔ:
- Ntini mu nhyɛso
- Ntini mu yare a ɛyɛ mmerɛw anaasɛ herniated disc
- Radiculopathy (ɛyaw a efi ntini a ɛyɛ mmerɛw mu ba) .
Sɛ wɔde injection no ma a, dɛn na ɛba?
Adeyɛ no yɛ mmerɛw yiye. Mpɛn pii no, ɛfa anammɔn kakraa bi ho:
1. Nea edi kan no, wɔbɛma woatra ase anaasɛ wobɛda sɔhwɛ mpa no so yiye, na woahwɛ baabi a akuru no wɔ no.
2. Afei oduruyɛfo no de ne nsa bɛka kɔndua a ɛyɛ yaw, anaasɛ ade a ɛkanyan no no, na wahu beae pɔtee a ɛwɔ.
3. Bere a wɔahu beae no awie no, wɔde nsa tew honam ani na wɔde ade teateaa bi hyɛ ntini no mu.
4. Ɛha yi, oduruyɛfo no de ade no bɛkɔ anim ne akyi wɔ akuru no mu mpɛn pii, a ɔrenyi mfi hɔ koraa. Wɔfrɛ eyi sɛ ‘needling’. Ebia wobɛte nka sɛ wo ntini twitwiw wɔ saa bere yi mu. Eyi yɛ ade a ɛfata na ɛyɛ sɛnkyerɛnne pa a ɛkyerɛ sɛ ade no wɔ baabi a ɛfata.
5. Sɛ ntini no gyae twitwiw anaasɛ oduruyɛfo no te nka sɛ ntini no ho adwo no sɛnea ɛsɛ a, wɔde aduru a ɛma obi dwensɔ a ɛwɔ mpɔtam hɔ bɛhyɛ beae no.
6. Ɛno ne no. Adeyɛ no nyinaa gye simma kakraa bi pɛ. Ɛno akyi no, wubetumi akɔ fie.
So eyi yɛ yaw?
Sɛ yɛbɛka nokware a, ebetumi ayɛ yaw kakra. Efisɛ trigger points yɛ nea ɛyɛ mmerɛw sɛ wɔbɛka. Ebia wobɛte ɛyaw nka bere mpo a oduruyɛfo no de ne nsa te baabi a ɛwɔ no. Sɛ wɔde injection no ma a, wobɛte nka sɛ wo ho hyehye wo kakra anaasɛ wo ho reyɛ wo yaw. Nanso sɛ ade no ano bɔ baabi a, ɛyaw no betumi ayɛ kɛse kakra. Nanso nsuro, ɛyaw no kyerɛ sɛ ade no akɔ baabi a ɛfata pɛpɛɛpɛ.
Dɛn na ɛba wɔ ayaresa akyi?
Sɛ wɔde injection no wie a, wubetumi akɔ fie na wode ntini a ɛka wo no adi dwuma sɛnea wotaa yɛ no. Nanso, ɛbɛyɛ papa sɛ wobɛkwati dwumadi ahorow a emu yɛ den wɔ nna abien kosi abiɛsa a edi kan no mu.
Sɛ akuru anaa ɛyaw kakra wɔ baabi a wɔde aduru no gu no a, wubetumi de nsukyenee ahyɛ mu. Ɛyɛ papa sɛ wobɛkɔ wo duruyɛfo nkyɛn ansa na woanom biribi te sɛ paracetamol ama ɛyaw.
Ahotɔ yi kyɛ ahe?
Wɔ nnipa dodow no ara fam no, ɛyaw no befi ase ano abrɛ ase wɔ nnɔnhwerew 24 kosi 72 ntam. Mpɛn pii no, saa ahotɔ yi betumi adi ɔsram biako anaa nea ɛboro saa . Sɛ ɛyaw no da so ara wɔ hɔ wɔ ɛno akyi a, ebia wo duruyɛfo bɛkamfo akyerɛ wo sɛ fa nnuru kakraa bi bio na ama wo ho atɔ wo bere tenten.
Nea ɛho hia sen biara: Sɛ baabi a wɔde aduru no guu no no yɛ kɔkɔɔ, ɛyɛ yaw, anaasɛ ne ho yɛ no hyew wɔ aduru no akyi a, ebetumi ayɛ ɔyare mmoawa ho sɛnkyerɛnne. Sɛ eyi ba a , kɔ wo duruyɛfo nkyɛn ntɛm ara.
Nkrasɛm a Wɔde Kɔ Fie
- Trigger Point Injection yɛ aduru a ahobammɔ wom na etu mpɔn a wɔde sa ntini mu ntini a ɛyɛ yaw (trigger points).
- Wɔtaa yɛ eyi bere a ɛyaw no ano abrɛ ase denam nneɛma te sɛ nnuru a wɔde kum ɛyaw, aduru a wɔde twitwiw nipadua, anaa nipadua mu ayaresa so no.
- Ɛwom sɛ wobetumi ate ɛyaw bi nka bere a wɔresa yare no de, nanso ahotɔ no betumi atra hɔ ɔsram biako anaa nea ɛboro saa.
- Wo duruyɛfo nkutoo na obetumi ahu sɛ saa ayaresa yi fata wo anaa. Enti, sɛ wote ɛyaw a emu yɛ den, te sɛ kɔndua a ɛyɛ den wɔ wo nipadua mu a, hwɛ hu sɛ wobɛhwehwɛ aduruyɛfo afotu.
- Sɛ wunya yare no ho sɛnkyerɛnne te sɛ atiridii anaa ɔhyew wɔ baabi a wɔde aduru no ahyɛ wo mu wɔ aduru no akyi a, ka kyerɛ wo duruyɛfo ntɛm ara.

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