Chifukwa chiyani matenda amtundu wa iliotibial amapezeka, momwe angachiritse matendawa?

Thirakiti la tibial iliac, lomwe limalumikiza bondo ndi fupa la m'chiuno ngati mawonekedwe, limalandira nkhawa zokwanira poyenda. Mavuto a PBT ndi okwera kwambiri pakati pa othamanga.

Pachifukwa ichi, osati kokha, akhoza kukhala ndi matenda amtundu wa iliac tibial. Matendawa ndichikhalidwe chomwe chimapezeka nthawi zambiri kwa othamanga ndi oyenda pa njinga.

Ngati mukumva kupweteka pamondo, pamwamba pake ndi kunja kwa ntchafu, muyenera kufunsa dokotala mwachangu. Kenako zitha kupezeka ndi chithandizo chamankhwala ndikupewa opaleshoni.

Thirakiti la tibial - ndi chiyani?

Mphamvu yama volumetric yomwe imayenda kunja kwa ntchafu ndi thirakiti ya tibial iliac. Minofu yolumikizanayi yolimba yochokera kumwamba imalumikizidwa ndi ilium yamchiuno.

Pansipa, ulusi wa fascia umalumikizidwa ndi tibia, komanso gawo lotsatira la patella. Mbali yakumunsi imakhazikika ndi PBT. Chifukwa cha cholumikizira ichi, mwendo sunatembenukire mkati.

Matenda a Tibial tract - ndi chiyani?

Matenda a PBT ndi matenda a mawondo. Ochita masewera ndi anthu omwe akukhala moyo wachangu atha kudwala matendawa. Ndiye kuti, kudwala koteroko kumakhudza anthu omwe amapanga katundu wambiri pa akakolo ndi mchiuno.

M'malo ochezera komanso omwe amakhala minda, tibial tract syndrome imafanana ndi matenda akuntchito. Koma ngakhale anthu wamba, SPBT sangathawe. Matendawa amakula ngakhale mwa munthu yemwe amangokhala.

Zomwe zimayambitsa matenda a PBT

Mkhalidwe wa thirakiti la tibial ukhoza kuchitika chifukwa cha kukangana kwa PBT fascia motsutsana ndi epicondyle yakunja ya ntchafu. Mikangano yotere imachitika pomwe munthu akuyenda. Komabe, vuto lowawa liyenera kukwiyitsa zina.

Mwachitsanzo:

• Mawonekedwe owoneka ngati O a miyendo yakumunsi;
• kusinthasintha kwakukulu kwa mwendo wakumunsi pamene munthu akuthamanga kapena kumangoyenda.

Zimayambitsa zina za matenda:

1. Ndondomeko yophunzitsira molakwika (zosasinthika, zosasinthika - kamodzi pa sabata).
2. Kulimbana kwambiri, miyendo yambiri.
3. Kutenthetsa kosayenera.
4. Kuyenda motsetsereka kwapamwamba pakagwa mawondo a 30 digiri.
5. Kukhala mosakhalitsa m'malo a "Lotus".
6. Kufooka kwa minofu yamiyendo yamiyendo.
7. Mavuto akulu mu PBT.
8. Kukhala ndi thanzi lokwanira.

Kuphatikiza apo, akatswiri amalangiza kusintha njira yoyendetsera - maphunziro munjira yomweyo kwa nthawi yayitali atha kuyambitsa mawonekedwe a tibial thirakiti.

Zizindikiro za matenda a PBT

Chizindikiro chachikulu cha tibial thirakiti ndikumva kuwawa.

Malo omwe amawonekera:

• kunja kwa bondo (kutsogolo);
• cholumikizira mchiuno (kuchokera kunja).

Zowawa zambiri zimamveka mukuyenda, nthawi zambiri mukamathamanga. Zimachitika, koma kawirikawiri, poyenda. Pambuyo pakupuma, munthuyo amamva kupumula. Mwa mawonekedwe ovuta a matenda a tibial thirakiti, zowawa sizimatha pambuyo pakupumula, thupi likapuma. Malo opweteka amadziwika ndi "kutaya", wodwalayo amaloza bondo lonse, mawonekedwe ake akunja.

Kuzindikira matenda

Kuti adziwe matenda amtundu wa iliac tibial, madokotala amayesa kangapo: Auber, Nobel, ndi ena.

Mayeso a Aubert

Kuyesaku ndikosavuta kuchita. Chifukwa chake, zitha kuchitika kunyumba kapena mothandizidwa ndi dokotala. Muyenera kugona mbali yathanzi la thupi. Kenako pindani mwendo wanu wabwino pa bondo ndikukoka pang'ono kulowera thupi. Kupindako kuyenera kukhala pamakona 90 digiri.

Umu ndi momwe kukhazikika kumatheka. Chiwalo chodwalacho chiyeneranso kupindika pa bondo, pambuyo pake - tengani ndikutsitsa mwendo wowongoka. Ululu udzawonetsa kupezeka kwa matenda a PBT. Ikuwoneka pamwamba pa bondo kunja kwa bwalolo.

Mayeso a Nobel

Ngati kukayikira kukachitika poyesa koyambirira, adokotala amayesa mayeso a Nobel. Wodwala amagona pakama. Chiwalo chomwe chakhudzidwa chikuyenera kupindika pa bondo ndikukweza thupi. Dokotala, pomwe akukanikiza dzanja lake pa subcondyle, pang'onopang'ono akuyesera kuti awongoke. Matendawa amatsimikiziridwa ngati kupweteka kumawonekera ngakhale bondo litapindika madigiri 30.

Mayesero ena

Wodwalayo angafunsidwe kuti alumphire pamiyendo yomwe yakhudzidwa. Bondo liyenera kukhala lopindika pang'ono panthawiyi. Ngati simungathe kuyesa izi, matenda amtundu wa iliac tibial amapezeka.

Mayeso monga x-ray, CT scans, kapena MRIs amachitika pakakhala kukayikira mavuto ena amabondo kapena mchiuno. Mwachitsanzo, arthrosis kapena kuwonongeka kwa meniscus. Komanso, MRI iulula kuthekera kokulirapo kwa thirakitilo, komanso kudzikundikira kwamadzimadzi.

Chithandizo cha matenda

Kuti muchepetse vutoli, munthu wodwala amafunika:

1. Kupaka ayezi kwa kotala la ola maola awiri aliwonse ngati akumva kuwawa. Palibe ayezi amene amafunika pakhungu. Amakulungidwa mu nsalu yopyapyala kapena chopukutira. Zonsezi zimachitika pambuyo pa kulimbitsa thupi komwe kumapweteka.
2. Kuyika bandeji wokhala ndi compress wofunda musanatambasule kapena kuchita masewera olimbitsa thupi omwe amafunika kuyesetsa.
3. Tengani mankhwala ochepetsa ululu. Mutha kugwiritsa ntchito mapiritsi kuchokera pagulu la NSAID kapena kugwiritsa ntchito mafuta omwewo. Ibuprofen woyenera, Ketorol, Diclofenac, Voltaren, etc. Adzathetsa ululu ndi kutupa.
4. Kuchepetsa katundu, mtunda kapena nthawi yakalasi. Ngati ululu ukupitilira, pezani kulimbitsa thupi. Mutha kusankha kusambira, ngati masewera ofatsa a ileal tibial.
5. Valani zolimba kapena, monga akunenera, bondo lokonzekera mukamachita masewera olimbitsa thupi.
6. Limbikitsani obera m'gulu la ntchafu. Ndibwino kuyamba kuchita masewera olimbitsa thupi omwe adapangidwa kuti athetse matenda amtundu wa tibial.

Njira zoterezi zikapanda kuchiritsa, adokotala amakupatsani jakisoni wa Cortisol, yemwe amatha kuletsa kupweteka ndikuchepetsa kutupa. Ntchitoyi, monga lamulo, siyofunikira kwa ambiri. Koma nthawi zina opaleshoni yokha ndi yomwe ingathandize. Pochita opaleshoniyi, dokotalayo amachotsa gawo lina la thirakiti, mwina limodzi ndi bursa.

Kupumula ndiye gawo lalikulu lothana ndi matenda a PBT. Zinthu zikayamba kuwoneka bwino, ndikofunikira kuti musayambe kuchita nthawi yomweyo. Ndi bwino kuchira ndi ophunzitsa elliptical moyang'aniridwa ndi aphunzitsi.

Zochita za Tibial Tract Syndrome

Zochita zingapo zochiritsira zapangidwa ndi akatswiri. Amalimbitsa minofu ya m'dera lomwe lakhudzidwa, amathandizira kukwaniritsa kupumula kwa minofu ndikumasula mavuto.

Kufotokozera kwa machitidwe a tibial ileal tract syndrome:

1. "Tsikani pansi." Kuti mumalize, mufunika nsanja mpaka 5 cm (buku lingagwire ntchito). Phazi limodzi liyenera kuyikidwa papulatifomu, linalo liyenera kukhala pansi pang'onopang'ono. Kenako mwendo woyika umakwera kupulatifomu. Kulemera kwa thupi kumangoyang'ana pa chiwalo chothandizira. Muyenera kuchita mayendedwe 15 pa mwendo uliwonse, magulu atatu. Kwa masekondi awiri, phazi liyenera kutsika ndikukwera chimodzimodzi.
2. "Mgwirizano". Imalimbitsa minofu ya gluteal komanso ma quadriceps. Izi zithetsa kupsinjika kwa kapangidwe ka tibial. Mwendo umodzi uli pansi, winayo umakwezedwa kotero kuti zala zazitali zikulowera kumthupi. Zimatenga mphindi imodzi ndi theka kuti mukhale pomwepo. Kenako chitani chimodzimodzi ndi mwendo winawo. Amafunika koyamba kuti azitha kusinthasintha, kenako ndikupitiliza kuchita masewera olimbitsa thupi otsatirawa.
3. Wopanda. Ndi izo, katundu pa thirakiti iliac tibial yafupika. Mufunika malo okhala ndi kutalika kwa 45 mpaka 60 cm. Muyenera kutembenukira kumbuyo kwake. Kwezani mwendo umodzi masentimita 45, kuwongola. Pakhala pamene mukusuntha pakatikati pa mphamvu yokoka kupita ku gawo lina. Sungani molunjika kwa masekondi atatu. Kokani zala zanu kwa inu. Kukwera kumatenga masekondi atatu. Chitani nthawi 15 mbali iliyonse.
4. Wodzigudubuza kutikita. Chowotchera cha kutikita chimafunika. Malo oyambira - atagona chammbali. Ikani manja anu patsogolo. Wodzigudubuza ali pansi pamiyendo. Pakadutsa theka la mphindi, ndikofunikira kugubuduza wodzigudubuza, ndikupita ntchafu mpaka kugwada. Kuchuluka komweko kubwerera. Kupukutira kuyenera kukhala kosalala. Ngati kupweteka kumachitika, zolimbitsa thupi ziyenera kusokonezedwa. Bwerezani mayendedwe katatu.

PBT ikachitika, njira yabwino yothandizira mwendo wopweteka ndi kusiya kuyendetsa magalimoto pang'ono ndikupatsa chiwalo chonse mpumulo. Ngati matendawa amapezeka kokha koyambirira, chithandizocho chimakhala chosavuta komanso chosakhalitsa.

Chinthu chachikulu ndikuteteza kukula kwa matendawa mpaka kupweteka kosalekeza. Pankhaniyi, chithandizo chovuta komanso chanthawi yayitali ndikofunikira. Chifukwa chake, kupita kwakanthawi kwa dokotala kukaonetsetsa kuyambiranso maphunziro atatha chithandizo komanso nthawi yobwezeretsa.

Onerani kanemayo: Session Sit In: Treatment of IT Band Syndrome using Manual Methods (Mulole 2025).