Ngaba ngamanye amaxesha uziva ngathi izihlunu zakho kwiindawo ezifana nentamo yakho, amahlombe, okanye umqolo ziqinile kwaye ziqinile? Usenokuba uzibuza, "Yintoni le?" malunga nezi ndawo ezivakala ngathi yiqhuma elincinci xa uzichukumisa kwaye zibangela intlungu enganyamezelekiyo xa uzicinezela. Kwabanye abantu, oku kuyacaphukisa kangangokuba intlungu iba nkulu kangangokuba abakwazi nokwenza imisebenzi yabo yemihla ngemihla ngokufanelekileyo. Ezi zizinto esizibiza ngokuba 'ziingongoma ze-trigger' ngokwezonyango. Namhlanje, siza kuthetha ngonyango olukhethekileyo lwe-injection olusetyenziselwa ukunciphisa loo ntlungu.
Yintoni i-'Trigger Point'? Kwenzeka ntoni ngolu gonyo?
Kulungile, masiqale siqonde ukuba yintoni 'i-trigger point'. Cinga ngezihlunu zethu njengeqela leebhanti zerabha ezitsalwa kunye. Ngokwesiqhelo, ziyanwebeka kwaye zinciphe. Kodwa ngamanye amaxesha, nokuba kungenxa yokwenzakala ngequbuliso okanye ngenxa yokuba izihlunu zihlala zixinezelekile ngendlela efanayo (umzekelo, izihlunu entanyeni xa ujonge ikhompyutha), ezinye zeefayibha ezincinci kwezi zihlunu ziyadibana, zinciphe, kwaye ziqine kwaye azikwazi ukunwebeka kwakhona. Elo cala liqinileyo, lifana neqhina yinto esiyibiza ngokuba yi-trigger point .
Ezi ndawo zibuhlungu kakhulu xa zicinezelwa ngesandla. Ngamanye amaxesha intlungu ayipheleli kuloo ndawo kuphela, kodwa isasazeka nakwiindawo ezikude. Umzekelo, indawo ebangela intlungu egxalabeni inokubangela intloko ebuhlungu.
Ngoku makhe sijonge ukuba yintoni iTrigger Point Injection (TPI) . Ngamafutshane, ibandakanya ukufaka iyeza kwisihlunu esiqinileyo nesinamaqhina sisebenzisa inaliti encinci. Inaliti isebenza ngokukhulula imicu yemisipha eqinileyo, ukubuyisela ukuhamba kwegazi, kunye nokunciphisa iintlungu.
Olu gonyo lungasetyenziselwa enye yezi zinto zilandelayo:
- I-Local Anesthetic: Iyeza elisetyenziselwa ukunciphisa iintlungu.
- IiCorticosteroids: Zinceda ekunciphiseni ukudumba kunye nokudumba kwimisipha.
- Ityhefu yeBotulinum: Ngamanye amaxesha isetyenziselwa ukuphumza izihlunu.
- Ngaphandle kwamayeza (i-Dry Needling): Ngamanye amaxesha oogqirha bafaka nje inaliti encinci kwiqhuma baze balikhulule. Oku sikubiza ngokuba yi-'dry needling'.
Zeziphi iintlobo zentlungu ezisetyenziselwa ezi naliti?
Ezi naliti zisetyenziswa kakhulu ukunyanga imeko ebizwa ngokuba yiMyofascial Pain Syndrome . Igama elithi 'Myo' lithetha izihlunu, kwaye elithi 'Fascia' lithetha inwebu emhlophe ebhityileyo ejikeleze izihlunu. Ngoko ke eli gama libhekisa kwintlungu eyenzeka kwezi zihlunu nakwiinwebu ezizingqongileyo. Eyona nto ibangela ezi ntlungu zizinto ezibangela intlungu esithethe ngazo ngaphambili.
Nangona iindawo ezibangela uqhushumbo zinokwenzeka nakweyiphi na imisipha emzimbeni, kukho imisipha embalwa ephathwa kakhulu ngolu hlobo lwenaliti.
| Igama leMisipha | Indawo kunye nentlungu ehambelana nayo |
|---|---|
| I-Trapezius | Umva wentamo nakumacala omabini amagxa. Intloko ebuhlungu idla ngokubangelwa kukuqhekeka kwamaqhina okwenzeka apha. |
| I-Levator Scapulae | Kumacala omabini entamo. Amaqhina kwezi zihlunu abangela ukuba intamo iqine kangangokuba akunakwenzeka ukuyijika. |
| I-Quadratus Lumborum | Isihlunu esikwindawo engaphakathi yomqolo ongezantsi. Le yimbangela yeentlungu zomqolo kubantu abaninzi. |
| I-Gluteus Medius | Kwindawo yeempundu. Eli qhina linokubangela intlungu emqolo nasezimpundu. |
| UMasseter | Umsipha okwimihlathi. Oku kudla ngokuba buhlungu kubantu abatshixiza amazinyo ebusuku. |
| I-Sternocleidomastoid | Umphambili wentamo. Iithumba ezikhula apha zinokubangela iintloko ezibuhlungu kunye neendlebe ezibuhlungu. |
Into ebalulekileyo kukuba ngamanye amaxesha intlungu ebangelwa zezi ndawo zibangela intlungu ingavakala njengentlungu yenye imeko enzima. Umzekelo, ukuba iqhina lenzeka kwisihlunu se -piriformis kwindawo yempundu, linokucaphukisa i-sciatic nerve kwaye libangele intlungu enzima ezantsi komlenze (piriformis syndrome).
Ngubani ofuna iTrigger Point Injection?
Olu nyango alulungelanga wonke umntu. Ukuba unentlungu ye-trigger point, ugqirha wakho uza kucebisa ezinye iindlela ezilula zonyango kuqala.
- Izibulali-ntlungu
- Ukufaka ubushushu kwindawo ebuhlungu
- Unyango lokuMasaja
- Unyango lomzimba kunye nokuzilolonga
Ukuba intlungu yakho ayipheli emva kolu nyango, ugqirha wakho angaluthatha olu nyango lwenaliti njengenyathelo elilandelayo.
Ngamanye amaxesha iintlungu ziba nzima kangangokuba umntu akakwazi nokwenza umthambo wonyango lomzimba. Kwiimeko ezinjalo, olu hlaselo lunikwa kuqala ukunciphisa iintlungu, emva koko unyango lonyango lomzimba luqalwe. Emva koko iziphumo ziyaphumelela kakhulu.
Oko ugqirha akujongileyo kuqala
Ngaphambi kokuba unike olu tyando, ugqirha wakho uya kufuna ukuqinisekisa ukuba akukho sizathu sithile sentlungu yakho. Ngoko ke uya kukuxilonga ngononophelo aze ajonge ezinye iimeko, ezinje:
- Uxinzelelo lwemisipha
- Iingxaki zomqolo: Umzekelo, isifo samathambo esiwohlokayo, iidiski ezihluthwe yi-herniated, okanye i-spinal stenosis.
- Intlungu ebangelwa kukuxinana kwemithambo-luvo (i-Radiculopathy)
Ukugonywa kwe-trigger point kuqwalaselwa kuphela emva kokuba kuqinisekiswe ukuba akukho sizathu simbi.
Kwenzeka ntoni xa ufumana isitofu?
Kulungile, ngoku makhe sibone ukuba ugqirha uza kuyinika njani le naliti. Le yinto elula edla ngokuthatha imizuzu embalwa.
1. Indawo: Ngokuxhomekeke ekubeni iphi indawo yokudubula, ungacelwa ukuba uhlale okanye ulale ebhedini.
2. Ukucoca: Coca indawo efakwe kuyo inaliti kakuhle nge-alcohol swab.
3. Ukufumanisa indawo: Ugqirha uza kusebenzisa iminwe yakhe ukufumana indawo echanekileyo yeqhubu elibuhlungu. Angade ayiphawule indawo ngepeni.
4. Ukubamba iqhina: Okulandelayo, ugqirha uza kubamba iqhina ngeminwe emibini aze aliqinise ukuze izicubu ezijikelezileyo zingashukumi. Ungaziva ungakhululekanga okanye uneentlungu ngeli xesha.
5. Ukufaka iphini:Ngoku, kufakwa isirinji enenaliti encinci eqhotyoshelweyo kwiqhina. Emva koko, ngaphandle kokususa ngokupheleleyo inaliti, ugqirha uhambisa inaliti ngaphakathi nangaphandle kweqhina izihlandlo ezininzi.
6. Ukushukuma kwemisipha: Xa incam yenaliti ifika kwindawo yokuyishukumisa, uya kuziva ukushukuma kwemisipha okanye ukushukuma. Oku kusenokungakhululeki kancinci, kodwa luphawu oluhle kakhulu! Kuthetha ukuba inaliti ikwindawo elungileyo.
7. Ukujova iyeza: Ugqirha ushukumisa inaliti ide imisipha iyeke ukushukuma okanye ide imisipha ikhululeke ngokupheleleyo, aze ekugqibeleni ajove iyeza.
8. Isiphelo: Yiyo loo nto. Ngoku ungagoduka.
Ingaba oku kubuhlungu?
Inyaniso kukuba, usenokuva intlungu encinci. Kuba indawo yokuchukumisa i-trigger yindawo ebuthathaka kakhulu xa uyichukumisa. Uza kuziva intlungu nokuba ugqirha uyiva loo ndawo ngeminwe yakhe. Usenokuva imvakalelo yokutsha xa inaliti ifakwa kwaye iyeza lifakwa. Ingakumbi xa inaliti ifika kwindawo yokuchukumisa i-trigger, intlungu iya kwanda ngoko nangoko. Kodwa ungoyiki, loo ntlungu ithetha ukuba unyango lwenziwa kwindawo efanelekileyo.
Kwenzeka ntoni emva kogonyo?
Emva kokufakwa inaliti, ungagoduka. Ungasebenzisa indawo efakwe inaliti njengesiqhelo. Nangona kunjalo , kungcono ukuphepha imisebenzi enzima kunye nokuzilolonga okunzima kwiintsuku ezimbini ukuya kwezintathu zokuqala.
Ngoku makhe sibone ukuba zithini iingenelo kunye neengozi zolu nyango.
| Iinzuzo | Iziphumo Ezingalindelekanga kunye Neengozi |
|---|---|
| Olu nyango lukhuselekile kakhulu. Iziphumo ebezingalindelekanga eziqhelekileyo zezi:
Iingxaki ezingaqhelekanga kakhulu :
|
Ihlala ixesha elingakanani le ntlungu? Ndingabona ugqirha ngaliphi ixesha?
Kwabaninzi abantu , iintlungu ziqala ukuncipha kwiiyure ezingama-24 ukuya kuma-72 emva kokufumana inaliti. Olu ncedo luhlala malunga nenyanga . Abanye abantu banokufumana ukukhululeka ixesha elide. Ukuba useneentlungu emva kwelo xesha, ugqirha wakho unokucebisa ukuba ufumane inaliti enye.
Emva kokufumana isitofu sokugonya, ukuba ubonakalisa iimpawu zosulelo, ezinje ngomkhuhlane, ukubomvu, okanye ubushushu kwindawo yokugonywa, tsalela umnxeba ugqirha wakho ngoko nangoko.
Iinaliti zeTrigger point ziluncedo kakhulu kwaye zikhuselekile kwiintlungu ze-myofascial. Nangona ungaziva iintlungu ezithile ngexesha lonyango, ukukhululeka kuyafaneleka. Ukuba unala maqhina emisipha angasukiyo ngeepilisi zokunciphisa iintlungu ezithengiswa ngaphandle kwekhawuntara, thetha nogqirha wakho malunga neTrigger Point Injection. Uya kukwazi ukuphendula nayiphi na imibuzo onokuba nayo.
Umyalezo Wokuya Ekhaya
- Iindawo ezibangela intlungu ziingxinano eziqinileyo nezibuhlungu ezinokubangela intlungu kungekuphela nje kuloo ndawo, kodwa nakwezinye iindawo.
- Xa unyango olulula olufana neentlungu zokudambisa iintlungu kunye nokuphulula umzimba lungancedi, unyango olubizwa ngokuba yiTrigger Point Injection (TPI) lusisombululo esisebenzayo kakhulu.
- Olu nyango lukhuselekile kakhulu, kwaye iziphumo ebezingalindelekanga zimbalwa kakhulu. Ezona zixhaphakileyo ziintlungu zexeshana kwindawo yokutofa.
- Kuqhelekile ukuba uzive unesicaphucaphu kunye nentlungu encinci ngexesha lonyango, oko kuthetha ukuba inaliti ikwindawo eyiyo.
- Ukuba uhlangabezana nolu hlobo lwentlungu, kubaluleke kakhulu ukubona ugqirha ofanelekileyo ukuze ufumane uxilongo olufanelekileyo kunye nonyango, endaweni yokuzinyanga.
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