Ingabe ngezinye izikhathi uzizwa ubuhlungu obungavamile endaweni efanayo entanyeni, ehlombe, noma emhlane? Kuzwakala sengathi indawo eqinile, njengefindo, futhi ubuhlungu buba bubi nakakhulu uma ulicindezela? Lokhu kungase kungabi nje ukuqaqamba kwemisipha. Namuhla sikhuluma ngesimo abantu abaningi ababhekene naso, kodwa abangasazi ngokugcwele. Leso yi -Myofascial Pain Syndrome .
Kalula nje, iyini i-Myofascial Pain Syndrome?
Nakuba igama lingase lizwakale liyinkimbinkimbi kancane, indaba ilula impela. Igama elithi "Myo" libhekisela emisipheni. Igama elithi "Fascial" libhekisela esikhumbeni esincane esizungeze le misipha, esibizwa ngokuthi i-fascia . Ngakho-ke, sibiza i-Myofascial Pain Syndrome ngokuthi isimo esibuhlungu sesikhathi eside esibangelwa ukuvuvukala kwale misipha kanye nesikhumbeni esizungezile.
Cabanga ngomzimba wakho ufana ne-orange.
- Ikhasi le-orenji liyisikhumba sakho.
- Ikhasi eliphuzi ngaphakathi liyimisipha yakho.
- Manje, lelo qabunga elimhlophe elincane elizungeze ikhasi le-orange libizwa ngokuthi i-fascia .
Le fascia, ulwelwesi, izungeza yonke i-fiber yemisipha, iqembu lemisipha, kanye neqembu lemisipha emzimbeni wethu futhi isebenza njengesisekelo sazo. Lapho le fascia membrane kanye nemisipha kuqina ngesizathu esithile, kwakheka amafindo abuhlungu, noma lokho esikubiza ngokuthi amaphuzu okubangela , ngokwezokwelapha. Lobuhlungu abugcini kuleyo ndawo kuphela, kodwa ngezinye izikhathi bungasakazekela nakwezinye izindawo.
Iningi labantu lizwa lobu buhlungu endaweni eyodwa. Kodwa-ke, abanye abantu bangase babe nalobu buhlungu ezindaweni eziningana. Kodwa-ke, ngokuvamile buvame kakhulu kulolo hlangothi olulodwa.
Sivame kangakanani lesi simo?
I-Myofascial Pain Syndrome iyisimo esivame kakhulu kunalokho ongakucabanga. Ochwepheshe balinganisela ukuthi cishe u-85% wabantu bonke basengozini yokuthola lesi simo ngesikhathi esithile empilweni yabo. Lokho kusho ukuthi abantu abayisishiyagalombili kwabayishumi abaseduze nawe bangabhekana naso.
Ubuhlungu buzwakala kanjani? Ziyini izimpawu?
Ubuhlungu obukhona kulesi simo bungahlukahluka kumuntu nomuntu. Ngezinye izikhathi ubuhlungu bungavela ngokuzumayo, ngokuzumayo. Ngezinye izikhathi, bungazwakala njengobuhlungu obungapheli nobungenamsoco .
Ake sihlukanise ngokucacile izimpawu eziyinhloko.
| Isibonakaliso | Incazelo |
|---|---|
| Uhlobo lobuhlungu | Ubuhlungu obuhlabayo, obucindezelayo, obuqinile, noma obunciphayo emzimbeni. |
| Amaphuzu Okuqalisa | Amaqhubu amancane, amafindo, noma amaqhubu angazwakala emisipheni. Lokhu kubuhlungu ukuwathinta. Ngezinye izikhathi, ubuhlungu bungazwakala ngisho nangaphandle kokuthinta. |
| Ubuhlungu bemisipha nokuqina kwayo | Ubuhlungu lapho uthinta imisipha ethintekile. |
| Ubuthakathaka bemisipha | Ukuzwa ukuthi imisipha okukhulunywa ngayo ayinawo amandla afana nawangaphambili. |
| Ububanzi bokunyakaza obuncishisiwe | Isibonelo, uma unesifo samahlombe, ungase ungakwazi ukujikisa ingalo yakho ngokuphelele. |
Ngaphezu kwalezi zimpawu eziyinhloko, ezinye izinkinga zempilo zingavela ngalesi simo.
- Ikhanda elibuhlungu
- Ukungalali kahle noma ukuphazamiseka kokulala
- Ukucindezeleka
- Ukukhathazeka Nokucindezeleka
- Ukukhathala
Ingabe kukhona izinhlobo zamaphuzu okubangela?
Yebo, la mafindo abuhlungu, noma amaphuzu okubangela, angahlukaniswa ngezinhlobo ezine eziyinhloko.
- Iphuzu Elibangela Ubuhlungu Elisebenzayo: Leli yifindo eliyinhloko elibuhlungu. Litholakala ngaphakathi kwemisipha. Uma ucindezela kuleyo ndawo, lingabangela ubuhlungu lapho noma lisakazeke kuyo yonke imisipha.
- Iphuzu Lokubangela Elicashile: Leli yifindo "elingalali". Lokhu kusho ukuthi ngokuvamile alibangeli ubuhlungu, kodwa lingaba nomthelela osebenzayo ngesinye isikhathi.
- Iphuzu Lesibili Le-Trigger: Lokhu kwenzeka komunye umsipha ngaphandle kwalowo onephuzu eliyinhloko le-trigger elisebenzayo, kodwa emsipheni ohlobene. Ngezinye izikhathi zombili zingasebenza ngesikhathi esisodwa.
- Iphuzu Lokubangela Isathelayithi: Leli yifindo elingasebenzi ngoba lakheka endaweni efanayo nephuzu lokubangela.
Kungani lesi simo senzeka?
Ochwepheshe basazama ukuthola ukuthi kungani abanye abantu benamathuba amaningi okuthola lesi simo kunabanye, kodwa kunezici eziningana ezibalulekile ezitholakele.
- Ukulimala kwemisipha: Ukulimala kwemisipha okubangelwa ingozi noma ngesikhathi udlala imidlalo.
- Ukunyakaza okuphindaphindiwe: Isibonelo, umuntu ohlala eshaya ngesando, noma umuntu ohlala ebhala kukhompyutha.
- Ukuma kabi: Ukuhlala noma ukuma endaweni efanayo isikhathi eside, ikakhulukazi esimweni esibi.
Ngaphezu kwalezi zimbangela eziyinhloko, kunezinye izici eziyingozi ezandisa ingozi yalesi simo:
- Ubuthakathaka bemisipha.
- Ukuba nesikhathi eside sokungasebenzi kwemisipha (isib., ukuba nomlenze ofakwe ukhonkolo).
- Ukusebenza noma ukuhlala endaweni ebandayo.
- Ukucindezeleka okukhulu (lokhu kubangela ukucindezeleka kwemisipha).
- Imizwa ecindezelwe.
- Izinkinga zama-hormone noma ze-metabolic ezifana nesifo se-thyroid, kanye ne-neuropathy ehlobene nesifo sikashukela.
- Ukuntuleka kwamavithamini njenge-vitamin D kanye ne-folate.
- Izifo ezingamahlalakhona.
Udokotela usithola kanjani lesi sifo?
I-Myofascial Pain Syndrome yisimo esivame ukuhlonzwa kabi futhi singatholakali ngoba izimpawu zaso zifana kakhulu nezezinye izimo ezihilela imizwa, amathambo, imisipha, noma imisipha.
Ngakho-ke, indlela engcono kakhulu newukuphela kwayo yokuthola lesi sifo ukuhlolwa ngokomzimba ngudokotela onolwazi.
Udokotela wakho uzohlola imisipha yakho. Izozwa ama-band aqinile kanye namaphuzu okucindezela. Uma kutholakala iphuzu lokucindezela futhi kucindezelwa, futhi uzwa ubuhlungu obudluliselwe lapho noma ibanga elifushane, lokho kuyinkomba ebalulekile yokuxilongwa.
Azikho izivivinyo zegazi noma ama-scan athile (ama-X-ray, ama-MRI) alokhu. Futhi, akukho ukubomvu okubonakalayo, ukuvuvukala, noma ukufudumala okungavamile kulesi simo.
Udokotela wakho angase ancome ezinye izivivinyo ukuze asuse ezinye izimo zezokwelapha. Angase akubuze nemibuzo efana nalokhu:
- Uzwa kuphi ubuhlungu?
- Ungakwazi yini ukuchaza ubuhlungu (njengokuqaqamba, ukuqaqamba)?
- Ubuhlungu buvela kangaki?
- Yini ongayenza ukuze unciphise ubuhlungu?
- Yini eyenza ubuhlungu bube bubi nakakhulu?
- Ingabe kube khona ingozi muva nje?
- Hlobo luni lomsebenzi owenzayo? Hlobo luni lokunyakaza okufanele ulwenze?
Yiziphi izindlela zokwelapha lokhu?
Ngenhlanhla, kunezindlela eziningana zokwelapha zokuphatha lesi simo. Indlela engcono kakhulu yokuthola imiphumela ephumelela kakhulu ukubona udokotela ngokushesha okukhulu, ngaphambi kokuba ubuhlungu bube bukhulu futhi kuvele amaphuzu abangela lesi simo.
Ukwelashwa kungahlukaniswa izingxenye ezintathu eziyinhloko:
1. Ukwelashwa ehhovisi
2. Imithi
3. Amakhambi asekhaya
Ukwelashwa ngaphansi kokuqondisa kukadokotela
Udokotela wakho angase ancome okukodwa noma inhlanganisela yalezi zindlela zokwelapha.
- Ukwelapha ngokomzimba: Ukusebenzisa izivivinyo namasu ahlukahlukene ukuqinisa, ukwelula, kanye nokuphumuza imisipha.
- Ukufaka izinaliti ezomile: Ukufaka izinaliti ezincane kakhulu ezindaweni ezibangela ukuvuvukala ukuze kuncishiswe ukuqina kwemisipha, kwandiswe ukugeleza kwegazi, futhi kuncishiswe ubuhlungu.
- Imijovo ye-trigger point: Ukujova umuthi wokubulala izinhlungu (isib. i-Lidocaine ) endaweni ye-trigger ngenaliti ukuze kuncishiswe ubuhlungu.
- Indlela "Yokufutha nokwelula": Futha uketshezi olupholile endaweni yokukhipha bese welula imisipha kancane kancane.
- Ukwelashwa nge-ultrasound: Kusebenzisa amaza omsindo ukungena emisipheni futhi kunciphise ubuhlungu.
- I-TENS (Transcutaneous electrical nerve stimulation): Ukulawula ubuhlungu ngokufaka ama-pad esikhumbeni nokuthumela izimpawu zikagesi eziphansi ukuze kuqale amaphuzu.
- Izinto ezifana nokwelashwa nge-acupuncture kanye nokuphumula nazo zingasiza ekuthuthukiseni ubuthongo nokunciphisa ukukhathazeka.
Ukwelashwa ngemithi
Udokotela wakho angase akunike lezi zinhlobo zemithi:
- Ama-Painkiller
- Imithi yokulwa nokuvuvukala (ama- NSAID )
- Iziphumuli zemisipha
- Izinhlobo ze-Steroids
- Ama-antidepressants (Lokhu kuyasiza futhi ukulawula ubuhlungu)
- Ama-sedative okuthuthukisa ikhwalithi yokulala
Into ebaluleke kakhulu: Noma yimiphi yale mithi kufanele isetshenziswe kuphela ngaphansi kweseluleko sikadokotela . Ungayithathi ekhemisi wedwa.
Izinto ongazenza ekhaya
Lezi zinto ongazenza ekhaya zingakunikeza impumuzo enkulu ebuhlungwini.
- Ukucindezela okubandayo nokushisayo: Sebenzisa amaphakethe eqhwa ukunciphisa ukuvuvukala kanye namaphakethe okushisa ukuze ukhulule imisipha.
- Ukuzivocavoca: Ukuzivocavoca kwe-aerobic okuqinisa imisipha, ukwelula imisipha, nokwandisa ukutholakala komoya-mpilo kubaluleke kakhulu.
- Amasu okuphumula:Izinto ezifana ne-yoga, ukuzivocavoca okujulile kokuphefumula, kanye nokuzindla kuphumuza imisipha futhi kunciphise ukucindezeleka.
- Izinguquko ekudleni: Kubaluleke kakhulu ukugwema ukudla okwandisa ukuvuvukala emzimbeni.
- Ukugeza ngamanzi afudumele.
- Ukuhlikihla okuthambile.
Ingabe i-Myofascial Pain Syndrome ne-Fibromyalgia ziyafana?
Lo mbuzo ubuzwa abantu abaningi ngoba izinhlungu kanye nezimbangela ziyafana kuzo zombili izimo. Kodwa-ke, lezi yizimo ezimbili zezokwelapha ezihluke ngokuphelele .
Ake siqonde umehluko nje kuleli thebula elingezansi.
| Isici | Isifo Sobuhlungu Be-Myofascial | I-Fibromyalgia |
|---|---|---|
| Indawo ebuhlungu | Ubuhlungu buvame ukwenzeka endaweni ethile yomzimba (isb., entanyeni, ehlombe). | Ubuhlungu busakazeka emzimbeni wonke . |
| Uhlobo lobuhlungu | Ubuhlungu obubangelwa amafindo emisipha (amaphuzu okubangela). | Kukhona ubuhlungu obuvamile kanye namaphuzu athambile emzimbeni wonke. |
| Izimpawu ezengeziwe | Ngokuyinhloko ubuhlungu bemisipha kanye nobunzima bokunyakaza. | Kunezimpawu eziningi ezahlukene, okuhlanganisa ukukhathala okukhulu, izinkinga zokulala, ikhanda elibuhlungu, i-Irritable Bowel Syndrome (IBS) , ukuqunjelwa, kanye nokuvuvukala. |
Ingabe lesi simo singavinjelwa?
Nakuba lesi simo singenakuvinjelwa ngaso sonke isikhathi, kunezinto eziningana ongazenza ukuze unciphise ingozi.
- Lala kahle: Lala ngokwanele futhi uphumule nsuku zonke.
- Nciphisa ukucindezeleka: Yenza imisebenzi efana nokuzindla kanye ne-yoga.
- Vivinya umzimba njalo.
- Gwema ukulimala kwemisipha: Isibonelo, ingabe isikhwama osiphethe ehlombe lakho sinzima kakhulu? Hlola ukuthi siyayicindezela yini imisipha yakho yamahlombe.
- Yidla ukudla okunempilo.
- Phuza amanzi anele.
Ikakhulukazi, gwema lokhu kudla!
Okunye ukudla kwandisa ukuvuvukala emzimbeni. Lapho ukuvuvukala kuyanda, ubuhlungu be-Myofascial Pain Syndrome nabo buyanda. Nciphisa lokhu kudla ngangokunokwenzeka.
- Ukudla okuthosiwe: (isib. ama-French fries, ama-chips)
- Ukudla kobisi nobisi: (ubisi, ushizi, iyogathi)
- Ukudla okunama-carbohydrate acwengekile kanye nofulawa: (isinkwa, i-pasta, amakhekhe, i-pizza)
- I-margarine, ibhotela, uwoyela wemifino
- Ukudla neziphuzo ezinoshukela omningi: (iziphuzo ezinoshukela, ukudla okumnandi)
- Inyama ebomvu: (inyama yenkomo, ama-steak)
- Izinongo Nezithasiselo Zokwenziwa: (Ukudla Okucutshunguliwe)
- Inyama elungisiwe: (amasoseji, ama-hot dog)
Kungaba nzima ukuyeka konke lokhu ngesikhathi esisodwa, kodwa zama ukukususa ekudleni kwakho ngakunye.
Umlayezo Wokuya Nawe Ekhaya
- I-Myofascial Pain Syndrome ayiyona nje into ebangela ukudikiza kwemisipha. Yisimo esingapheli esibonakala ngamafindo abuhlungu (amaphuzu okubangela) emisipheni nasezicutshini ezizungezile.
- Nakuba lesi kuyisimo esivame kakhulu, sivame ukuphambaniswa nesinye isimo sezokwelapha.
- Ukuhlolwa ngokomzimba ngudokotela kubalulekile ukuze kutholakale ukuthi unesifo. Azikho izivivinyo zegazi noma amaskeni aqondile alokhu.
- Ukwelashwa kusebenzisa inhlanganisela yokwelapha ngokomzimba, imithi, imijovo, kanye nemithi yasekhaya.
- Uma ubuhlungu buqhubeka, ungabunaki futhi ubone udokotela wakho ngokushesha ukuze uthole iseluleko. Ukwelashwa okusheshayo kungavimbela isimo ukuba singabi sibi kakhulu.
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