Nthawi zina, mumamva kachidutswa kakang'ono pakhosi panu, m'mapewa, kapena m'minofu ya msana, ndipo mukakakanikiza, kamayambitsa ululu wosapiririka, eti? Zili ngati chotupa chaching'ono mkati mwa thupi lanu. Ichi ndi chomwe timachitcha 'malo oyambitsa'. Mwina simungathe kuchita ntchito zanu za tsiku ndi tsiku bwino chifukwa cha ululu uwu. Kotero lero tikulankhula za chithandizo chomwe anthu ambiri sadziwa chomwe chingakuthandizeni kuchotsa ululuwu.
Kodi 'Trigger Points' izi ndi chiyani kwenikweni?
Mwachidule, mfundo yoyambitsa vutoli ndi 'mfundo' yopweteka m'minofu yathu. Ngati mutakhudza malowo, ingamveke ngati mfundo yaying'ono. Pali zifukwa zingapo zomwe izi zingachitikire. Zingachitike chifukwa cha kuvulala mwadzidzidzi (kuvulala kwakukulu), kapena zingachitike chifukwa cha kupsinjika maganizo mobwerezabwereza komwe kumachitika chifukwa cha kuyenda mobwerezabwereza.
Pazifukwa izi, ulusi wa minofu umamatirana pamodzi, wolimba, ndikumamatira pamalo amodzi, ngati mpira wa chingwe. 'Mafundo omatirira' awa amatchedwa mfundo zoyambira.
Jakisoni wa trigger point ndi njira yomwe singano yopyapyala imagwiritsidwa ntchito pobaya mankhwala pamalo opweteka. Izi nthawi zambiri zimachitika ndi mankhwala oletsa ululu. Nthawi zina, mankhwala a steroid kapena botulinum toxin angawonjezedwe. Nthawi zina, mankhwalawa amachitidwa popanda mankhwala aliwonse, kungogwiritsa ntchito singano (yotchedwa dry needling ).
Kodi jakisoni iyi imagwiritsidwa ntchito pa ululu wamtundu wanji?
Jakisoni uyu amagwiritsidwa ntchito makamaka pochiza matenda otchedwa 'Myofascial Pain' . Pano 'Myo' amatanthauza minofu, ndipo 'fascial' amatanthauza fascia. Taganizirani za chidutswa cha nyama ngati soseji, ndipo chidendene choyera chozungulira chimatchedwa fascia. Chifukwa chake, ululu wa myofascial ndi ululu womwe umapezeka mu minofu iyi, ndi nembanemba yomwe imazungulira.
Chifukwa chachikulu cha ululu uwu ndi kupezeka kwa chimodzi kapena zingapo mwa zinthu zomwe takambiranazi. Ngakhale kuti mfundozi zimatha kupangika mu minofu iliyonse, pali malo ochepa omwe amapezeka kwambiri.
| Minofu yomwe nthawi zambiri imapanga mfundo zoyambitsa | Malo omwe ululu nthawi zambiri umamveka |
|---|---|
| Trapezius | Kumbuyo kwa khosi ndi mbali za mapewa |
| Wogwira ntchito yopukuta | Minofu ya nsagwada (pafupi ndi khutu) |
| Levator scapulae | Mbali zonse ziwiri za khosi |
| Quadratus lumborum | Pansi pansi kumbuyo |
| Gluteus medius | Malo a matako/chiuno |
Chodabwitsa n'chakuti nthawi zina ululu wochokera ku mfundo zimenezi sumveka mwachindunji pamalo pomwe mfundoyo yaikidwa, koma m'malo mwake umamveka kutali pang'ono. Mwachitsanzo, mfundo mu minofu ya trapezius paphewa lanu ingakuthandizeni kumva ululu ngati mutu wovuta .
Ndani akufunikira chithandizo ichi?
Dokotala wanu nthawi zambiri sangakulimbikitseni jakisoni nthawi yomweyo. Ngati ululu wanu sunathe ngakhale mutalandira mankhwala ochepetsa ululu, kutentha thupi, kutikita minofu, ndi chithandizo cha thupi, mungafune kuganizira chithandizochi ngati gawo lotsatira.
Tangoganizani, anthu ena amamva ululu kwambiri moti sangathe kuchita masewera olimbitsa thupi moyenera. Zikatero, choyamba mungapereke jakisoni iyi kuti muchepetse ululu, kenako nkuyamba chithandizo cha thupi. Kenako zotsatira zake zimakhala zabwino kwambiri.
Komanso, musanapereke jakisoni iyi, dokotala adzafufuza ngati pali zifukwa zina zomwe zimayambitsa ululu wanu. Mwachitsanzo:
- Kupsinjika kwa minofu
- Matenda a nyamakazi kapena herniated disc
- Radiculopathy (ululu woyambitsidwa ndi kupsinjika kwa mitsempha)
Kodi chimachitika ndi chiyani jakisoni akaperekedwa?
Njirayi ndi yosavuta. Nthawi zambiri imakhala ndi masitepe angapo:
1. Choyamba, mudzalamulidwa kukhala pansi kapena kugona bwino pabedi lofufuzira, moyang'anizana ndi malo omwe pali chotupa.
2. Kenako dokotala adzakhudza mfundo yopweteka, kapena malo oyambitsa, ndikupeza malo enieni.
3. Pambuyo pozindikira malo, khungu limatsukidwa ndi mowa ndipo singano yopyapyala imayikidwa mu nodule.
4. Apa, dokotala adzasuntha singano kumbuyo ndi kumbuyo mkati mwa chotupacho kangapo, osachichotsa kwathunthu. Izi zimatchedwa 'needling'. Mutha kumva minofu yanu ikugwedezeka panthawiyi. Ichi ndi chachibadwa ndipo ndi chizindikiro chabwino kuti singanoyo ili pamalo oyenera.
5. Minofu ikasiya kugwira ntchito kapena dokotala akaona kuti minofu yamasuka mokwanira, adzabayidwa mankhwala oletsa ululu m'derali.
6. Ndi zimenezo. Ntchito yonse imatenga mphindi zochepa chabe. Pambuyo pake, mutha kupita kunyumba.
Kodi izi zimapweteka?
Kunena zoona, zingapweteke pang'ono. Chifukwa mfundo zoyambitsa matendawa zimakhala zosavuta kuzigwira. Mungamve kupweteka ngakhale dokotala akagwira malowo ndi dzanja lake. Jakisoni akaperekedwa, mudzamva kutentha pang'ono kapena kupweteka. Koma nsonga ya singano ikagunda malowo, ululuwo ukhoza kuwonjezeka pang'ono. Koma musachite mantha, ululuwo umatanthauza kuti singanoyo yapita pamalo oyenera.
Kodi chimachitika ndi chiyani mukalandira chithandizo?
Mukalandira jakisoni, mutha kupita kunyumba ndikugwiritsa ntchito minofu yomwe yakhudzidwa monga mwachizolowezi. Komabe, ndi bwino kupewa kuchita zinthu zolemetsa kwa masiku awiri kapena atatu oyambirira.
Ngati pali kuvulala pang'ono kapena kupweteka pamalo omwe mwabayira jakisoni, mutha kugwiritsa ntchito paketi ya ayezi. Ndi bwino kufunsa dokotala musanamwe chinthu monga paracetamol kuti muchepetse ululu.
Kodi mpumulo uwu ndi wautali bwanji?
Kwa anthu ambiri, ululu umayamba kuchepa mkati mwa maola 24 mpaka 72. Mpumulo uwu nthawi zambiri umakhala kwa mwezi umodzi kapena kuposerapo . Ngati ululuwo ukadalipo pambuyo pake, dokotala wanu angakulangizeni kuti mulandire jakisoni wina kuti mupumule kwa nthawi yayitali.
Chofunika kwambiri: Ngati malo obayira jakisoni afiira, apweteka, kapena kutentha thupi pambuyo pa jakisoni, chikhoza kukhala chizindikiro cha matenda. Ngati izi zitachitika , pitani kwa dokotala nthawi yomweyo.
Uthenga Wopita Nawo Kunyumba
- Jakisoni wa Trigger Point ndi mankhwala otetezeka komanso ogwira mtima a minofu yopweteka (maunyolo oyambitsa).
- Izi nthawi zambiri zimachitika pamene ululu sutha ndi zinthu monga mankhwala ochepetsa ululu, kutikita minofu, kapena physiotherapy.
- Ngakhale kuti ululu wina ungamveke panthawi ya chithandizo, mpumulo ungatenge mwezi umodzi kapena kuposerapo.
- Dokotala wanu yekha ndi amene angadziwe ngati chithandizochi chili choyenera kwa inu. Chifukwa chake, ngati muli ndi ululu waukulu, monga chomangira cholimba m'thupi lanu, onetsetsani kuti mwapeza upangiri wa dokotala.
- Ngati mukumva zizindikiro monga kutentha thupi kapena kutentha pamalo omwe mujambulira jakisoni mutalandira jakisoni, dziwitsani dokotala wanu nthawi yomweyo.
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