Ngamanye amaxesha, uziva iqhina elincinci entanyeni yakho, emagxeni, okanye kwizihlunu zomqolo, kwaye xa ulicinezela, libangela intlungu enganyamezelekiyo, akunjalo? Lifana neqhuma elincinci emzimbeni wakho. Oku sikubiza ngokuba 'yi-trigger point'. Usenokungakwazi ukwenza imisebenzi yakho yemihla ngemihla ngokufanelekileyo ngenxa yale ntlungu. Ngoko ke namhlanje sithetha ngonyango abantu abaninzi abangalwaziyo olunokukunceda ukhulule le ntlungu.
Zithini kanye kanye ezi 'Trigger Points'?
Ngamafutshane, indawo ebangela intlungu 'liqhina' elibuhlungu kwimisipha yethu. Ukuba uchukumisa indawo, isenokuvakala ngathi liqhina elincinci. Kukho izizathu ezininzi zokuba oku kwenzeke. Inokubangelwa kukwenzakala ngequbuliso (ukwenzakala okukhulu), okanye inokubangelwa yi-micro-trauma ephindaphindayo (uxinzelelo) olubangelwa kukunyakaza okuphindaphindiweyo.
Ngenxa yezi zizathu, imicu yemisipha inamathelana, iqine, ize inamathele kwindawo enye, njengebhola yentambo. La 'maqhina anamathelayo' abizwa ngokuba ngamanqaku okubangela.
Iinaliti ze-trigger point yinkqubo apho kusetyenziswa inaliti encinci ukufaka amayeza kwindawo ebuhlungu. Oku kudla ngokwenziwa nge-anesthetic yendawo. Ngamanye amaxesha, kunokongezwa i-steroid okanye i-botulinum toxin . Ngamanye amaxesha, olu nyango lwenziwa ngaphandle kwamayeza, kuphela ngenaliti (ebizwa ngokuba yi -dry needling ).
Loluphi uhlobo lwentlungu olusetyenziselwa olu tyando?
Olu tyando lusetyenziswa kakhulu ukunyanga imeko ebizwa ngokuba yi -'Myofascial Pain' . Apha igama elithi 'Myo' lithetha izihlunu, kwaye elithi 'fascial' lithetha i-fascia. Cinga ngeqhekeza lenyama efana nesoseji, kwaye isheya elimhlophe eliyijikelezileyo libizwa ngokuba yi-fascia. Ngoko ke, intlungu ye-myofascial yintlungu eyenzeka kwesi sihlunu, kunye ne-membrane esijikelezileyo.
Eyona nto ibangela le ntlungu kukubakho kwenye okanye ngaphezulu kweendawo ezibangela intlungu esithethe ngazo. Nangona la maqhina anokwakheka kuyo nayiphi na imisipha, kukho iindawo ezimbalwa apho aqheleke khona.
| Izihlunu ezihlala zivelisa amanqaku okubangela | Indawo apho intlungu idla ngokuvakala khona |
|---|---|
| I-Trapezius | Umva wentamo nasemacaleni amagxa |
| UMasseter | Umsipha womhlathi (kufutshane nendlebe) |
| I-Levator scapulae | Kumacala omabini entamo |
| I-Quadratus lumborum | Ngaphakathi ngasemva |
| I-Gluteus medius | Indawo yamanqe/amanqe |
Okumangalisayo kukuba, ngamanye amaxesha iintlungu ezivela kwezi ndawo zibangela intlungu azivakali ngqo kwindawo yeqhina, kodwa zivakala kude kakhulu. Umzekelo, iqhina kwimisipha ye-trapezius egxalabeni lakho linokubangela ukuba uzive iintlungu ngendlela yentloko ebuhlungu .
Ngubani ofuna olu nyango?
Ugqirha wakho akayi kucebisa olu tyando ngoko nangoko. Ukuba iintlungu zakho azikapheli nangona kukho izinto ezifana neentlungu zentlungu, ubushushu, ukuphulula, kunye nonyango lomzimba, ungacinga ngolu nyango njengenyathelo elilandelayo.
Khawucinge nje, abanye abantu baneentlungu ezininzi kangangokuba abakwazi nokwenza umthambo wonyango lomzimba ngokufanelekileyo. Kwiimeko ezinjalo, ungaqala ngokufaka olu hlaselo ukunciphisa iintlungu, uze emva koko uqale unyango lomzimba. Emva koko iziphumo ziya kuba yimpumelelo enkulu.
Kwakhona, ngaphambi kokuba unike olu tyando, ugqirha uza kujonga ukuba kukho ezinye izizathu zentlungu yakho. Umzekelo:
- Uxinzelelo lwemisipha
- I-arthritis ewohlokayo okanye idiski ye-herniated
- I-Radiculopathy (intlungu ebangelwa kukuxinana komthambo)
Kwenzeka ntoni xa kufakwe inaliti?
Le nkqubo ilula kakhulu. Idla ngokubandakanya amanyathelo ambalwa:
1. Okokuqala, uza kwenziwa ukuba uhlale okanye ulale phantsi ngokukhululeka ebhedini yovavanyo, ujonge kwindawo apho kukho iqhuma.
2. Emva koko ugqirha uza kuchukumisa iqhina elibuhlungu, okanye indawo yokuqalisa, aze afumane indawo echanekileyo.
3. Emva kokuchonga indawo, ulusu lucocwa ngotywala kwaye kufakwa inaliti encinci kwiqhubu.
4. Apha, ugqirha uza kuyishukumisa inaliti ngaphakathi kwiqhuma izihlandlo ezininzi, ngaphandle kokuyisusa ngokupheleleyo. Oku kubizwa ngokuba yi-'needling'. Usenokuziva izihlunu zakho zishukuma ngeli xesha. Oku kuqhelekile kwaye luphawu oluhle lokuba inaliti ikwindawo elungileyo.
5. Xa umsipha uyekile ukuxhuzula okanye ugqirha evakalelwa kukuba umsipha uphumle ngokwaneleyo, kuya kufakwa i-anesthetic yendawo kuloo ndawo.
6. Yiyo loo nto. Yonke le nkqubo ithatha imizuzu embalwa kuphela. Emva koko, ungagoduka.
Ngaba oku kuyabuhlungu?
Inyaniso kukuba, inokuba buhlungu kancinci. Kuba iindawo ezibangela uqhushumbo ziyakhawuleza xa zichukunyiswa. Usenokuziva iintlungu nokuba ugqirha uyiva loo ndawo ngesandla sakhe. Xa unikwa inaliti, uya kuziva ukutshisa okanye ukurhawuzelelwa kancinci. Kodwa xa incam yenaliti ifika kuloo ndawo, iintlungu zinokwanda kancinci. Kodwa ungoyiki, iintlungu zithetha ukuba inaliti ihambe ngqo kwindawo efanelekileyo.
Kwenzeka ntoni emva konyango?
Emva kokufakwa inaliti, ungaya ekhaya usebenzise izihlunu ezichaphazelekileyo njengesiqhelo. Nangona kunjalo, kungcono ukuphepha imisebenzi enzima kwiintsuku ezimbini ukuya kwezintathu zokuqala.
Ukuba kukho ukukrweleka okanye intlungu encinci kwindawo ohlatywe kuyo inaliti, ungayifaka i-ice pack. Kungcono ukubonana nogqirha wakho ngaphambi kokuba uthathe into efana ne-paracetamol ukuze uncede iintlungu.
Ingakanani le mpumlo?
Kwabaninzi abantu, iintlungu ziya kuqala ukuncipha kwiiyure ezingama-24 ukuya kuma-72. Olu ncedo lunokuhlala inyanga okanye ngaphezulu . Ukuba iintlungu zisekhona emva koko, ugqirha wakho unokucebisa ukuba ufumane ezinye iinaliti ezimbalwa ukuze ufumane ukukhululeka kwexesha elide.
Okubaluleke kakhulu: Ukuba indawo efakwe kuyo inaliti iba bomvu, ibe buhlungu, okanye inomkhuhlane emva kokufakwa kwenaliti, oko kungaba luphawu losulelo. Ukuba oku kuyenzeka , bonana nogqirha wakho ngoko nangoko.
Umyalezo Wokuya Ekhaya
- I-Trigger Point Injection lunyango olukhuselekileyo nolusebenzayo kwiintlungu zemisipha (ii-trigger points).
- Oku kudla ngokwenziwa xa iintlungu zingapheli ngezinto ezifana neentlungu zokuthomalalisa iintlungu, ukuphulula umzimba, okanye unyango lomzimba.
- Nangona ezinye iintlungu zinokuvakala ngexesha lonyango, isiqabu singathatha inyanga okanye ngaphezulu.
- Ngugqirha wakho kuphela onokugqiba ukuba olu nyango lukulungele na. Ngoko ke, ukuba unentlungu enzima, efana nokuxinana emzimbeni wakho, qiniseka ukuba ufuna ingcebiso kagqirha.
- Ukuba ufumanisa iimpawu ezinje ngomkhuhlane okanye ubushushu kwindawo ofakwe kuyo inaliti emva kwenaliti, yazisa ugqirha wakho ngoko nangoko.
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