Kodi minofu yanu ili ndi mafundo olimba? Tiyeni tikambirane za matenda a ululu wa myofascial!

Lero tikambirana za mtundu wa ululu wovuta wa minofu womwe anthu ambiri amakumana nawo, koma nthawi zina zimakhala zovuta kudziwa bwino lomwe. Madokotala amatcha myofascial pain syndrome, kapena mu Chingerezi, ``Myofascial Pain Syndrome.'' Mwina munamvapo za dzinali, kapena mwina munavutikapo ndi ululu wamtunduwu nokha. Tiyeni tiwone chomwe chili, chifukwa chake chimachitika, momwe mungachidziwire, komanso momwe mungachithandizire.

Kodi Myofascial Pain Syndrome ndi chiyani?

Mwachidule, ndi ululu wosatha womwe umayamba chifukwa cha kutupa kwa minofu yanu ndi minofu yopyapyala yotchedwa fascia yomwe imazungulira minofuyo. "Myo" imatanthauza minofu, ndipo "fascial" imatanthauza minofu yotchedwa fascia.

Taganizirani za lalanje. Khungu la lalanje lili ngati khungu lathu. Mkati mwake ndi minofu yathu. Nembanemba yoyera yopyapyala yozungulira m'mimbamo imatchedwa fascia. M'mimbamo uwu umazungulira ndi kuphimba minofu yathu yonse, minofu iliyonse, ndi magulu a minofu. Chifukwa chake, minofu iyi ndi m'mimbamo wozungulira umawonongeka ndi kutupa mwanjira ina, ululu wa myofascial uwu umachitika.

Anthu ambiri amamva ululu uwu m'dera linalake la thupi, koma nthawi zina ungakhudze madera angapo (koma nthawi zambiri mbali imodzi ya thupi).

Kodi vutoli ndi lofala bwanji?

Izi ndi matenda ofala kwambiri kuposa momwe mungaganizire. Malinga ndi akatswiri azachipatala, pafupifupi 85% ya anthu onse adzadwala matendawa nthawi ina m'miyoyo yawo. Izi zikutanthauza kuti anthu asanu ndi atatu mwa khumi aliwonse adzadwala matendawa.

Kodi ululu uwu umamveka bwanji?

Si aliyense amene ali ndi matenda a myofascial pain syndrome amene ali ndi zizindikiro zofanana. Zingasiyane malinga ndi munthu. Nthawi zina ululu ungabwere mwadzidzidzi ndipo umakhala woopsa. Nthawi zina, ululuwu ukhoza kukhala wosasangalatsa, wopweteka, kapena wopweteka womwe umakhalapo kumbuyo.

Zizindikiro zazikulu zomwe zingawonekere ndi izi:

• Ululu ukhoza kukhala wa mitundu yosiyanasiyana: kupweteka kosalekeza, kupweteka kofinya, kupweteka kobaya, kapena kupweteka kwambiri.
• Malo Oyambitsa Matenda: Ichi ndi chizindikiro chodziwika bwino cha matendawa. Mudzaona malo ang'onoang'ono, okhala ndi ziphuphu, kapena mabowo pakhungu lanu. Malo amenewa amatchedwa malo oyambitsa matenda. Malo amenewa amatha kukhala opweteka kuwakhudza kapena kuwakankhira. Nthawi zina, ngakhale kungoyima chete kumatha kupweteka. Pamene vutoli likupitirira, malo oyambitsa matendawa amayamba kukula.
• Mnofu ndi wofewa komanso wofewa: ungamve ngati ukupweteka ngakhale utaukhudza.
• Minofu ndi yofooka: Mungamve ngati mulibe mphamvu zomwe munali nazo kale.
• Kuchepa kwa kayendedwe ka thupi: Mwachitsanzo, simungathe kuzungulira phewa lanu mokwanira.

Nthawi zina, anthu omwe ali ndi matenda a myofascial pain syndrome angakhalenso ndi mavuto ena azaumoyo, monga:

• Mutu
• Kusowa tulo kapena mavuto ogona (Kusagona bwino)
• Kupsinjika maganizo
• Nkhawa
• Kuvutika maganizo
• Kumva kutopa nthawi zonse (Kutopa)

Kodi pali mitundu ya mfundo zoyambira?

Inde, pali mitundu ingapo ya mfundo zoyambitsa. Tiyeni tiwone zomwe zili:

1. Malo oyambitsa: Iyi ndi malo "ogwira ntchito". Nthawi zambiri imakhala mkati mwa minofu. Mukaikakamiza, imapweteka, kapena ululu ukhoza kufalikira mu minofu yonse.

2. Malo obisika oyambitsa: Izi ndi "kugona," kutanthauza kuti zili ngati kugona. Koma zimatha kugwira ntchito, kutanthauza kuti zimayamba kugwira ntchito, nthawi iliyonse.

3. Mfundo yachiwiri yoyambitsa: Izi zimachitika m'dera lina la minofu kusiyana ndi mfundo yoyambitsa yogwira ntchito. Nthawi zina, mfundo zonse ziwiri zoyambitsa yogwira ntchito komanso yachiwiri zimatha kutupa nthawi imodzi, zomwe zimapangitsa kupweteka.

4. Malo oyambitsa satellite: Izi zimayatsidwa chifukwa zili pamalo omwe akhudzidwa ndi malo ena oyambitsa satellite.

Kodi n’chiyani chimayambitsa ululu wa myofascial?

Madokotala akuyesetsabe kupeza chifukwa chake anthu ena ali ndi mwayi waukulu wopeza ululu wa myofascial kuposa ena. Komabe, pali zinthu zingapo zazikulu zomwe zikuganiziridwa kuti zimayambitsa izi:

• Kuvulala kwa minofu: Tangoganizani kuti mwadzidzidzi mwapita kukanyamula chinthu cholemera ndikugubuduza minofu, kapena mwavulala minofu mukusewera masewera. Kuvulala koteroko kwa minofu kungakhale chifukwa chimodzi cha izi.
• Kubwerezabwereza: Mwachitsanzo, kuchita zomwezo kwa nthawi yayitali, monga kumenya nyundo mobwerezabwereza kapena kulemba pa kiyibodi ya kompyuta, kungapangitse minofu kupanikizika.
• Kaimidwe koipa: Ngati taimirira, titakhala, kapena tigwira ntchito molakwika, izi zitha kuyika mphamvu zosafunikira pa minofu ina ndikuyambitsa vutoli.

Kuwonjezera pa zifukwa zazikuluzikuluzi, palinso zinthu zingapo zomwe zimawonjezera chiopsezo chotenga matenda a ululu wa myofascial:

• Kufooka kwa minofu.
• Kusagwira ntchito bwino kwa minofu (taganizirani mwendo ukakhala ndi pulasitala, minofu yomwe ili mu mwendowo sigwiritsidwa ntchito. Umu ndi momwe zimakhalira).
• Kugwira ntchito kapena kukhala m'malo ozizira.
• Kupsinjika maganizo kwambiri - Izi zingapangitse kuti minofu ikhale yolimba mwachibadwa.
• Mitsempha yopindika.
• Mavuto a kagayidwe kachakudya kapena mahomoni, mwachitsanzo, matenda a chithokomiro kapena matenda amitsempha okhudzana ndi matenda a shuga.
• Kusowa kwa mavitamini, makamaka vitamini D ndi folate.
• Matenda osatha.

Kodi madokotala amazindikira bwanji izi?

Matenda a ululu wa myofascial ndi matenda omwe nthawi zina sapezeka bwino ndipo sanyalanyazidwa chifukwa zizindikiro zake zimafanana kwambiri ndi za matenda ena omwe amakhudza mitsempha yathu, mafupa, mitsempha, kapena minyewa.

Kuti adziwe vutoli, dokotala wanu adzayang'ana minofu yanu mwakuthupi . Izi zimachitika kuti ayang'ane mikwingwirima yolimba ya minofu, kenako ayang'ane madera opweteka, omwe amatchedwa malo oyambitsa matenda omwe takambirana. Mukapeza malo oyambitsa matendawa ndikuyikapo mphamvu, mutha kumva ululu pomwepo, kapena ululuwo ukhoza kufalikira kudera lakutali. Izi zimatchedwa ululu wotumizidwa .

Kodi pali mayeso apadera oti azindikire izi?

Ayi, pakadali pano palibe mayeso enieni a magazi, X-ray, kapena scan yomwe ingathe kuzindikira matenda a ululu wa myofascial. Komanso, nthawi zambiri sipakhala zizindikiro zooneka za vutoli, monga kufiira, kutupa, kapena kutentha kosazolowereka kwa malo okhudzidwawo.

Komabe, dokotala wanu angakulangizeni mayeso ena kuti muwonetsetse kuti mulibe matenda ena (monga nyamakazi, mwachitsanzo). Angakufunseninso mafunso okhudza zizindikiro zanu, monga:

• Kodi mukumva ululu kuti?
• Ngati mutafunsidwa kuti mufotokoze ululu wanu, mungaufotokoze bwanji (monga kupweteka, kupweteka, kapena kupweteka)?
• Kodi ululu uwu wakhalapo kwa nthawi yayitali bwanji? Kodi umachitika kangati?
• Kodi kuchita chilichonse kumachepetsa ululu?
• Kodi kuchita chilichonse kumawonjezera ululu?
• Kodi mwavulalapo posachedwapa?
• Kodi zizindikiro zimachepa/zimawonjezeka nthawi zina za tsiku?
• Kodi mumagwira ntchito yanji? Kodi muyenera kuchita mayendedwe otani pantchito imeneyo?

Dokotala wanu angayang'ane momwe mukuyendera komanso momwe mumakhalira, angayang'ane ngati minofu yanu sikuyenda bwino, ndikuwona ngati minofu yanu sikuyenda bwino. Angafunsenso za mavuto ena azaumoyo omwe angayambitse kupweteka kwa myofascial - mwachitsanzo, momwe mumagona bwino komanso ngati mumakumana ndi nkhawa, nkhawa, kapena kuvutika maganizo.

Kodi izi zimachiritsidwa bwanji?

Pali njira zingapo zochiritsira matenda a ululu wa myofascial. Zitha kugawidwa m'magulu atatu akuluakulu:

1. Chithandizo cha mu ofesi

2. Mankhwala

3. Mankhwala ochizira kunyumba

Chofunika kwambiri ndikuonana ndi dokotala mwamsanga ngati muli ndi zizindikiro za matenda a myofascial pain syndrome, ululu usanakule kwambiri. Ngati muyamba chithandizo musanayambe zizindikiro zimenezo, mwayi wopambana umakhala waukulu.

Mankhwala operekedwa mu ofesi

Dokotala wanu angakulangizeni kuphatikiza njira zingapo mwa izi:

• Kuchiza thupi: Izi zimaphatikizapo kugwiritsa ntchito masewera olimbitsa thupi ndi njira zinazake kuti muthandize kulimbitsa, kutambasula, ndi kumasula minofu yanu.
• Kupaka singano zouma: Izi zimaphatikizapo kuyika singano zazing'ono kwambiri pamalo oyambira. Izi zimachepetsa kuuma kwa malowo, zimawonjezera kuyenda kwa magazi, komanso zimachepetsa ululu.
• Jakisoni wa trigger point: Pogwiritsa ntchito singano, mankhwala opha ululu, monga lidocaine, kapena steroid, amabayidwa mu trigger point kuti achepetse ululu mwachangu.
• "Poperani ndi kutambasula": Mwanjira imeneyi, poperani choziziritsira chimapopera pamalo oyambira, kenako katswiri wochiritsa amatambasula chidutswa cha nyamayo ndi dzanja.
• Kuchiza ndi kuwala kochepa/laser yozizira: Kumagwiritsa ntchito kuwala kwapadera kwa laser kuti kulimbikitse thupi kutulutsa mankhwala ochepetsa ululu.
• Chithandizo cha Ultrasound: Chimagwiritsa ntchito mafunde a phokoso kulowa m'minofu, kuthandiza kuchira mwachangu ndikuchepetsa ululu.
• Kulimbikitsa mitsempha yamagetsi ya Transcutaneous (TENS): Izi zimaphatikizapo kumangirira mapepala pakhungu lanu ndikutumiza zizindikiro zamagetsi zochepa kumalo oyambitsa. Izi zitha kuchepetsa ululu.
• Mankhwala opumula monga acupuncture , biofeedback, ndi cognitive behavioral therapy (CBT) nawonso ndi othandiza kwambiri pakukweza tulo ndikuchepetsa nkhawa.

Mitundu ya Mankhwala

Dokotala wanu angaperekenso mankhwala ngati awa kuti athandize kuchepetsa ululu wa myofascial:

• Mankhwala ochepetsa ululu
• Mankhwala oletsa kutupa omwe si a steroidal (NSAIDs) - monga ibuprofen ndi naproxen.
• Zopumitsa minofu - Izi zimathandiza kuchepetsa kuuma kwa minofu.
• Ma Steroid - Nthawi zina amaperekedwa kwa kanthawi kochepa kuti achepetse kutupa.
• Mankhwala oletsa kuvutika maganizo - Awa amaperekedwa mu mlingo wochepa wa ululu wosatha komanso kuti agone bwino.
• Mankhwala ogonetsa angathandize kuti munthu agone bwino - koma sikoyenera kugwiritsa ntchito mankhwalawa nthawi zonse.

Mankhwala apakhomo

Kuwonjezera pa chithandizo chamankhwala, pali zinthu zingapo zomwe mungayesere kunyumba kuti muchepetse zizindikiro:

• Aisi ndi kutentha:Gwiritsani ntchito mapaketi a ayezi (kwa mphindi 15-20) kuti muchepetse kutupa ndi kutupa, komanso mapaketi otentha (monga botolo la madzi otentha) kuti muchepetse minofu ndikuchepetsa ululu.
• Maseŵero olimbitsa thupi a matenda a ululu wa myofascial: Maseŵero olimbitsa thupi olemera kuti alimbitse minofu, maseŵero olimbitsa thupi kuti atambitse minofu, ndi maseŵero olimbitsa thupi (monga kuyenda, kuthamanga) kuti apereke mpweya wambiri ku minofu. Komabe, izi ziyenera kuchitidwa bwino mutakambirana ndi dokotala kapena katswiri wa zamaganizo.
• Mankhwala ochepetsa ululu omwe amaperekedwa ndi dokotala: Paracetamol (acetaminophen) kapena NSAIDs (monga ibuprofen kapena naproxen). Koma kumbukirani, ngati mukumwa kale mankhwala ochepetsa ululu kapena NSAIDs, nthawi zonse muyenera kufunsa dokotala wanu musanamwe mankhwalawa.
• Njira zopumulira: yoga (yabwino kwambiri potambasula, kupumula, ndi kuchepetsa kupsinjika maganizo), masewera olimbitsa thupi opumira, ndi kusinkhasinkha.
• Kusintha zakudya: Ndikofunikira kwambiri kupewa zakudya zomwe zimayambitsa kapena kuwonjezera kutupa m'thupi (tikambirana izi posachedwa).
• Kuviika m'madzi ofunda: Izi zitha kumasula mnofu ndikuchepetsa ululu.
• Kusisita: Kusisita malo opweteka, kaya ndi munthu wophunzitsidwa bwino kapena nokha, kungathandize.

Kodi madokotala amene amachiza vutoli ndi ndani?

Pali mitundu yosiyanasiyana ya madokotala ndi ogwira ntchito zachipatala omwe angathe kuchiza matenda a ululu wa myofascial. Ena mwa iwo ndi awa:

• Madokotala a zamaganizo: Awa ndi madokotala omwe ali akatswiri pa zamankhwala olimbitsa thupi komanso mankhwala ochiritsira matenda.
• Akatswiri othana ndi ululu: Amene ali akatswiri pochiza ululu wosatha.
• Akatswiri a mafupa a m'chiuno: Akatswiri a matenda a mafupa, minofu, ndi minofu yolumikizana.
• Madokotala a mafupa: Akatswiri a matenda a mafupa ndi mafupa.
• Akatswiri a zamaganizo: Anthu omwe amathandiza kuchepetsa ululu ndi kubwezeretsa kuyenda kudzera mu masewera olimbitsa thupi ndi njira zina zolimbitsa thupi.

Kodi izi zingalepheretsedwe kuchitika?

Sizingakhale zotheka nthawi zonse kupewa matenda a myofascial pain syndrome, chifukwa zifukwa zina sitingathe kuzilamulira. Komabe, pali zinthu zingapo zomwe mungachite kuti muchepetse chiopsezo chanu:

• Khalani ndi chizolowezi chogona bwino: Khalani ndi chizolowezi chogona ndi kudzuka nthawi yomweyo tsiku lililonse.
• Chepetsani kupsinjika maganizo: Pewani kupsinjika maganizo pogwiritsa ntchito zinthu monga kusinkhasinkha, yoga, ndi zosangalatsa.
• Kuchita masewera olimbitsa thupi nthawi zonse:Sungani mipira ya nyama kukhala yolimba komanso yosinthasintha.
• Dzitetezeni ku kuvulala kwa minofu komwe kungapeweke: Mwachitsanzo, kodi thumba lomwe mwanyamula ndi lolemera kwambiri? Kodi likukakamiza minofu ya mapewa anu? Mukanyamula katundu wolemera, gwiritsani ntchito mawonekedwe oyenera.
• Chitani njira zopumulira.
• Idyani zakudya zopatsa thanzi komanso zoyenera: Idyani ndiwo zamasamba zatsopano, zipatso, nyemba, nsomba, ndi mafuta a azitona, makamaka zakudya za ku Mediterranean.
• Imwani madzi ambiri: Imwani magalasi osachepera 8 a madzi patsiku.

Chofunika: Pali zakudya zina zomwe zimawonjezera kutupa m'thupi. Kutupa kukachuluka, ululu wa myofascial umawonjezekanso. Choncho, yesetsani kupewa zakudya izi:

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* Zakudya zokazinga (monga ma French fries, ma patties).

* Zakudya za mkaka (mkaka, tchizi, yogurt) - Izi zimawonjezera kutupa kwa ena, koma osati kwa aliyense.

* Zakudya zophikidwa bwino ndi zakudya zopangidwa ndi ufa wophikidwa bwino (zakudya zophikira buledi, buledi woyera, pasitala, chimanga cham'mawa, pizza).

* Margarine, mafuta ena a masamba (monga mafuta a kanjedza).

* Zakudya ndi zakumwa zokhala ndi shuga wambiri (zakumwa zoziziritsa kukhosi, zakumwa zotsekemera, makeke, mabisiketi).

* Kudya nyama yofiira pafupipafupi (ng'ombe, nkhumba, nyama ya mbuzi, ndi zina zotero).

* Zotsekemera zopangidwa ndi zowonjezera zakudya (izi zimapezeka mu zakudya zomwe zimati zilibe shuga, zakumwa zoledzeretsa zopanda ma calories, zipatso zophikidwa, ayisikilimu, ndi maswiti).

* Nyama yokonzedwa (hot dog, soseji, mipira ya nyama).

Yang'anani mashelufu anu akukhitchini ndi firiji. Ngati pali zakudya zomwe zingawonjezere zizindikiro za ululu wa myofascial, yesani kuzichepetsa kapena kuzichotsa pang'onopang'ono. Palibe vuto ngati n'kovuta kuchita zonsezi nthawi imodzi. Chotsani chakudya chimodzi nthawi imodzi, ndipo chitani izi pang'onopang'ono, pamene mukumva bwino.

Kodi chimachitika ndi chiyani ngati ndili ndi matenda a ululu wa myofascial?

Ululu wa munthu aliyense - komwe uli, momwe ulili waukulu - ndi wapadera, zomwe zikutanthauza kuti umasiyana kwambiri kuchokera kwa munthu ndi munthu. Ululu ukhoza kukulirakulira nthawi zina, ndipo nthawi zina umakhala wokhazikika. Kuti chithandizo chikhale chopambana, nthawi zambiri ndikofunikira kupeza dokotala amene mumamva bwino naye, munthu amene mumamudalira, ndikutsatira dongosolo lawo loyang'anira.

Kodi izi zitenga nthawi yayitali bwanji?

Kutalika kwa nthawi yomwe matendawa amatha kumasiyana malinga ndi munthu aliyense. Ndi chithandizo choyenera, nthawi zambiri amatha mkati mwa tsiku limodzi kapena awiri, kapena milungu ingapo. Koma kwa ena, zimatha kutenga nthawi yayitali. Zimatengera kuopsa kwa vuto lanu, momwe mumayankhira chithandizo, komanso kusintha kwa moyo wanu.

Kodi ndimadzisamalira bwanji?

Kukhala ndi matenda a myofascial pain syndrome kungakhale kovuta kwambiri, ndipo choipa kwambiri, kungakhale kopweteka kwambiri. Ndicho chifukwa chake ndikofunikira kwambiri kudzisamalira bwino. Tsatirani ndondomeko ya chithandizo ya dokotala wanu molondola. Komanso, yesani njira zina zochiritsira kunyumba (monga masewera olimbitsa thupi omwe tidakambirana kale, kusintha zakudya, kuviika m'madzi ofunda, ndi kutikita minofu). Mungafunike kuyesa pang'ono kuti mupeze zomwe zingakuthandizeni komanso zomwe zimachepetsa ululu wanu. Ngati chinthu chimodzi sichikugwira ntchito, musataye mtima, yesani china.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati mukumva kupweteka kosalekeza m'dera linalake la thupi lanu komwe sikutha (makamaka musanayambe zizindikiro zoyambitsa), konzani nthawi yoti mukakumane ndi dokotala. Dokotala wanu akhoza kuwunika zizindikiro zanu, kuchita mayeso kuti apeze matenda ena, ndikupanga dongosolo la chithandizo lomwe likugwirizana ndi inu.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala?

Ndibwino kubwera wokonzeka kufunsa mafunso ngati awa mukapita kwa dokotala wanu, kuti mupeze zambiri zonse zomwe mukufuna:

• "Dokotala, ndi mankhwala ati omwe angathandize ndi ululu wa myofascial womwe ndili nawo?"
• "Mukuganiza kuti ndadwala bwanji matenda a myofascial pain syndrome?"
• "Kodi ndili pachiwopsezo chotenga matenda ena opweteka ndi izi?"
• "Kodi ndondomeko yanga ya chithandizo ndi iti? Idzandithandiza bwanji?"
• "Kodi ndikufunika kuonana ndi katswiri wothandiza kuchepetsa ululu?"
• "Ndingatani kunyumba kuti ndimve bwino mwachangu?"
• "Ndiyenera kubwera kudzakuonaninso nthawi yanji? Mukufuna chiyani tsono?"

Kodi pali kusiyana kotani pakati pa ululu wa myofascial ndi fibromyalgia?

Mwina munamvapo mayina awiriwa kale. Ululu wa myofascial ndi fibromyalgia nthawi zina zimamveka zofanana. Zonsezi zimakhala ndi madontho oyambitsa ululu (kapena mawanga ofewa) omwe amayambitsa ululu. Koma awa ndi matenda awiri osiyana.

Kusiyana kwakukulu ndi:

Ululu wa myofascial nthawi zambiri umapezeka pamalo amodzi kapena, ngati pali mawanga angapo, nthawi zambiri mbali imodzi ya thupi.

Kupweteka kwa fibromyalgia kumafalikira thupi lonse.

Anthu omwe ali ndi fibromyalgia nthawi zambiri amakumana ndi zotsatirazi:

• Malo osavuta kuwazindikira (osiyana pang'ono ndi malo oyambira).
• Kawirikawiri ululu umakhala thupi lonse.
• Kutopa ndi kumva kutopa kwambiri komanso kawirikawiri.
• Matenda ogona.
• Kupweteka mutu pafupipafupi.
• Mavuto a m'mimba monga irritable bowel syndrome (IBS).
• Kumva zinthu zina m'thupi lonse, monga kutupa, kutupa, kutsekeka kwa minofu, komanso dzanzi.

Aliyense amakumana ndi ululu winawake nthawi ina m'moyo wake. Koma ngati ululuwo ndi wosapiririka, kapena ngati ukusokoneza zochita zanu za tsiku ndi tsiku kwa nthawi yayitali, ndi nthawi yoti mupemphe thandizo kwa dokotala. Mwamwayi, mitundu yambiri ya ululu, kuphatikizapo ululu wa myofascial, imatha kuchepetsedwa kapena kuthetsedwa ndi chithandizo choyenera komanso kusintha moyo wanu.

Chinthu chofunika kwambiri chomwe muyenera kukumbukira (Uthenga Wopita Nawo Kunyumba)

Choncho, matenda a ululu wa myofascial ndi vuto lenileni lomwe nthawi zina limakhala lokhumudwitsa kwambiri. Ngati muli ndi ululu womwe umabwera ndi mafundo olimba (malo oyambitsa) m'minofu yanu, dziwani izi.

Musadandaule! Ngati mukufuna upangiri wa dokotala ndikuyamba chithandizo msanga, chingathe kulamulidwa bwino kwambiri, mwinanso kuchiritsidwa. Kusamala za kaimidwe kanu, masewera olimbitsa thupi, zakudya, ndi thanzi lanu la maganizo kungakuthandizeni kwambiri kuchotsa ululuwu. Kumbukirani, simuli nokha, ndipo pali thandizo!

Ululu wa myofascial, kupweteka kwa minofu, mfundo zoyambitsa, fascia, ululu wosatha, chithandizo cha thupi, kusamalira ululu