Kodi nthawi zina mumamva ngati minofu yanu m'malo monga khosi lanu, mapewa, kapena msana ndi yolimba komanso yolimba? Mwina mumadzifunsa kuti, "Ichi ndi chiyani?" za malo awa omwe amamveka ngati chotupa chaching'ono mukawakhudza ndipo amachititsa ululu wosapiririka mukawakakamiza. Kwa anthu ena, izi zimakhala zokhumudwitsa kwambiri kotero kuti ululuwo umakhala woopsa kwambiri kotero kuti sangathe kuchita ntchito zawo za tsiku ndi tsiku moyenera. Izi ndi zomwe madokotala amati 'zigawo zoyambitsa.' Lero, tikambirana za chithandizo chapadera cha jakisoni chomwe chimagwiritsidwa ntchito kuchepetsa ululuwo.
Kodi 'Trigger Point' ndi chiyani? Nanga chimachitika ndi chiyani ndi katemerayu?
Chabwino, choyamba tiyeni timvetse tanthauzo la 'choyambitsa'. Taganizirani minofu yathu ngati gulu la zingwe za rabara zomwe zimakokedwa pamodzi. Nthawi zambiri, zimatambasuka ndikugwedezeka. Koma nthawi zina, kaya chifukwa cha kuvulala mwadzidzidzi kapena chifukwa minofu imakhala ikupanikizika nthawi zonse mwanjira yomweyo (mwachitsanzo, minofu ya pakhosi poyang'ana kompyuta), ulusi wina wofewa m'minofu imeneyi umasakanikirana, umagwedezeka, ndipo sungathe kutambasukanso. Malo omangika amenewo, ngati mfundo, ndi omwe timatcha malo oyambitsa .
Malo amenewa amapweteka kwambiri akamakanikiza ndi dzanja. Nthawi zina ululu sumangokhala pamalo amenewo okha, koma umafalikira kumadera akutali. Mwachitsanzo, malo oyambitsa ululu m'phewa angayambitse mutu.
Tsopano tiyeni tiwone tanthauzo la Trigger Point Injection (TPI) . Mwachidule, imatanthauza kubaya mankhwala mu minofu yolimba, yomangiriridwa pogwiritsa ntchito singano yopyapyala. Jakisoniyo imagwira ntchito pomasula ulusi wa minofu yolimba, kubwezeretsa kuyenda kwa magazi, komanso kuchepetsa ululu.
Katemera uyu angagwiritsidwe ntchito pa chimodzi mwa izi:
- Mankhwala Oletsa Kupweteka: Mankhwala ogwiritsidwa ntchito pochepetsa ululu.
- Corticosteroids: Amathandiza kuchepetsa kutupa ndi kutupa kwa minofu.
- Poizoni wa Botulinum: Izi nthawi zina zimagwiritsidwanso ntchito kupumula minofu.
- Popanda mankhwala aliwonse (Kupaka Needle Youma): Nthawi zina madokotala amangoika singano yopyapyala mu chotupacho n’kuchimasula. Timachitcha kuti 'kupaka needle youma'.
Kodi jakisoni awa amagwiritsidwa ntchito pa ululu wamtundu wanji?
Jakisoni awa amagwiritsidwa ntchito makamaka pochiza matenda otchedwa Myofascial Pain Syndrome . 'Myo' amatanthauza minofu, ndipo 'Fascia' amatanthauza nembanemba yoyera yopyapyala yomwe imazungulira minofu. Chifukwa chake dzinali limatanthauza ululu womwe umapezeka m'minofu iyi ndi nembanemba yozungulira. Chifukwa chachikulu cha ululuwu ndi zinthu zomwe tidakambirana kale.
Ngakhale kuti zizindikiro za kutupa zimatha kuchitika mu minofu iliyonse m'thupi, pali minofu ingapo yomwe nthawi zambiri imachiritsidwa ndi jakisoni iyi.
| Dzina la Minofu | Malo ndi ululu wogwirizana nawo |
|---|---|
| Trapezius | Kumbuyo kwa khosi ndi mbali zonse ziwiri za mapewa. Mutu wopweteka nthawi zambiri umayamba chifukwa cha mafundo omwe amapangika apa. |
| Levator Scapulae | Mbali zonse ziwiri za khosi. Mafundo a minofu iyi amachititsa kuti khosi likhale lolimba kwambiri moti sizingatheke kulitembenuza. |
| Quadratus Lumborum | Mnofu womwe uli mkati mwa msana. Ichi ndi chomwe chimayambitsa kupweteka kwa msana kwa anthu ambiri. |
| Gluteus Medius | M'dera la matako. Mfundo iyi ingayambitse kupweteka m'mimba ndi m'matako. |
| Wogwira ntchito yopukuta | Minofu yomwe ili mu nsagwada. Izi nthawi zambiri zimakhala zopweteka kwa anthu omwe akukuta mano awo usiku. |
| Sternocleidomastoid | Kutsogolo kwa khosi. Zotupa zomwe zimachitika apa zimatha kuyambitsa mutu ndi kupweteka m'khutu. |
Chofunika kwambiri n’chakuti nthawi zina ululu umene umabwera chifukwa cha zinthu zimenezi umamveka ngati ululu wa matenda ena aakulu. Mwachitsanzo, ngati mfundo yapangika mu minofu ya piriformis m’dera la matako, imatha kukwiyitsa mitsempha ya sciatic ndikupangitsa ululu waukulu pansi pa mwendo (piriformis syndrome).
Ndani akufunikira jakisoni wa Trigger Point?
Mankhwalawa si a aliyense. Ngati muli ndi ululu wa trigger point, dokotala wanu angakulangizeni mankhwala ena osavuta poyamba.
- Mankhwala opha ululu
- Kupaka kutentha pamalo opweteka
- Kuchiza ndi Kusisita
- Kuchita masewera olimbitsa thupi ndi kuchita masewera olimbitsa thupi
Ngati ululu wanu suchepa mutatha kulandira chithandizochi, dokotala wanu angaganizire za chithandizo cha jakisoni ngati gawo lotsatira.
Nthawi zina ululu umakhala waukulu kwambiri moti munthu sangathe kuchita masewera olimbitsa thupi. Zikatero, jakisoniyu amaperekedwa kaye kuti achepetse ululu, kenako chithandizo cha physiotherapy chimayamba. Kenako zotsatira zake zimakhala zabwino kwambiri.
Choyamba dokotala amafufuza
Dokotala wanu asanakupatseni jakisoni iyi, ayenera kuonetsetsa kuti palibe chifukwa china chomwe chimayambitsa ululu wanu. Choncho adzakuyang'anirani mosamala ndikuyang'ana matenda ena monga:
- Kupsinjika kwa minofu
- Mavuto a msana: Mwachitsanzo, nyamakazi yofooka, ma disc a herniated, kapena spinal stenosis.
- Ululu woyambitsidwa ndi kupsinjika kwa mitsempha (radiculopathy)
Katemera wa trigger point amaganiziridwa pokhapokha ngati zatsimikizika kuti palibe chifukwa china.
Kodi chimachitika ndi chiyani mukalandira katemera?
Chabwino, tsopano tiyeni tiwone momwe dokotala amaperekera jakisoni uyu. Ichi ndi chinthu chosavuta chomwe nthawi zambiri chimatenga mphindi zochepa.
1. Malo: Kutengera ndi komwe kuli malo oyambira, mungapemphedwe kukhala pansi kapena kugona pabedi.
2. Kuyeretsa: Tsukani bwino malo obayira jakisoni ndi swab ya mowa.
3. Kupeza malo: Dokotala adzagwiritsa ntchito zala zake kuti apeze malo enieni a chotupa chopwetekacho. Akhozanso kulemba malowo ndi cholembera.
4. Kugwira mfundo: Kenako, dokotala adzagwira mfundoyo ndi zala ziwiri ndikuyilimbitsa kuti minofu yozungulira isasunthe. Mutha kumva kusasangalala kapena kupweteka panthawiyi.
5. Kuyika pini:Tsopano, syringe yokhala ndi singano yopyapyala imayikidwa mu mfundo. Kenako, popanda kuchotsa singano yonse, dokotalayo amalowetsa ndi kutulutsa singanoyo mu mfundoyo kangapo.
6. Kugwedezeka kwa minofu: Nsonga ya singano ikagunda pamalo oyambira, mudzamva kupindika kwa minofu kapena kupindika. Izi zitha kukhala zosasangalatsa pang'ono, koma ndi chizindikiro chabwino kwambiri! Zimatanthauza kuti singano ili pamalo oyenera.
7. Kubaya mankhwala: Dokotala amasuntha singano mpaka minofu itasiya kugwira ntchito kapena mpaka minofu itamasuka kwathunthu, kenako pomaliza amabaya mankhwalawo.
8. Mapeto: Ndi zimenezo. Tsopano mutha kupita kunyumba.
Kodi izi zimapweteka?
Kunena zoona, mungamve kupweteka pang'ono. Chifukwa malo oyambitsa matendawa ndi malo osavuta kuwagwira. Mudzamva kupweteka ngakhale dokotala akakhudza malowo ndi zala zake. Mungamve kutentha pamene singano yalowetsedwa ndipo mankhwala abayidwa. Makamaka pamene singano yagunda malo oyambitsa matendawa, ululuwo udzawonjezeka nthawi yomweyo. Koma musachite mantha, ululuwo umatanthauza kuti chithandizocho chikuchitika pamalo oyenera.
Kodi chimachitika ndi chiyani pambuyo pa katemera?
Mukalandira jakisoni, mutha kupita kunyumba. Mutha kugwiritsa ntchito malo omwe mwalandira jakisoni monga mwachizolowezi. Komabe , ndi bwino kupewa kuchita zinthu zolemetsa komanso kuchita masewera olimbitsa thupi kwa masiku awiri kapena atatu oyambirira.
Tsopano tiyeni tiwone ubwino ndi zoopsa za chithandizochi.
| Ubwino | Zotsatirapo ndi Zoopsa |
|---|---|
| Kawirikawiri iyi ndi njira yotetezeka kwambiri yothandizira. Zotsatirapo zoyipa kwambiri ndi izi:
Mavuto osowa kwambiri :
|
Kodi mpumulo umatenga nthawi yayitali bwanji? Ndiyenera kupita kwa dokotala nthawi yanji?
Kwa anthu ambiri , ululu umayamba kuchepa mkati mwa maola 24 mpaka 72 mutalandira jakisoni. Mpumulo umenewu nthawi zambiri umatenga pafupifupi mwezi umodzi . Anthu ena amatha kupuma kwa nthawi yayitali. Ngati mukumvabe ululu pambuyo pa nthawi imeneyo, dokotala wanu angakulangizeni kuti mulandire jakisoni wina.
Mukalandira katemera, ngati mukupeza zizindikiro za matenda monga kutentha thupi, kufiira, kapena kutentha pamalo omwe jakisoniyo waperekedwa, imbani dokotala nthawi yomweyo.
Jakisoni wa trigger point ndi mankhwala othandiza kwambiri komanso otetezeka a ululu wa myofascial. Ngakhale kuti mungamve kupweteka pang'ono panthawi ya chithandizo, mpumulo ndi wofunika kwambiri. Ngati muli ndi minofu yomwe siimatha ndi mankhwala ochepetsa ululu omwe amaperekedwa kwa dokotala, lankhulani ndi dokotala wanu za Trigger Point Injection. Iye adzatha kuyankha mafunso aliwonse omwe mungakhale nawo.
Uthenga Wopita Nawo Kunyumba
- Malo oyambitsa matendawa ndi opweteka, omangika m'minofu omwe angayambitse ululu osati m'dera limenelo lokha, komanso m'madera ena.
- Ngati mankhwala osavuta monga ochepetsa ululu ndi kutikita minofu sikuthandiza, chithandizo chotchedwa Trigger Point Injection (TPI) ndi njira yothandiza kwambiri.
- Mankhwalawa ndi otetezeka kwambiri, ndipo zotsatira zake zoyipa ndi zochepa kwambiri. Chofala kwambiri ndi ululu wakanthawi pamalo obayira jakisoni.
- Ndi zachilendo kumva kupweteka pang'ono panthawi ya chithandizo, zomwe zikutanthauza kuti singano ili pamalo oyenera.
- Ngati mukukumana ndi ululu wamtunduwu, ndikofunikira kwambiri kuonana ndi dokotala woyenerera kuti akupatseni chithandizo choyenera, m'malo modzipatsa chithandizo.
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