Iliotibial band syndrome - pambuyo pa chithandizo

Gulu lotchedwa iliotibial band (ITB) ndi tendon yomwe imayenda kunja kwa mwendo wanu. Amagwirizana kuchokera pamwamba pa fupa lanu la m'chiuno mpaka pansi pa bondo lanu. Tonthoni ndi mnofu wolimba womwe umalumikiza minofu ndi fupa.

Matenda a Iliotibial band amapezeka pamene ITB yatupa ndikukwiyitsidwa chifukwa chopaka fupa kunja kwa ntchafu kapena bondo lanu.

Pali thumba lodzaza madzi, lotchedwa bursa, pakati pa fupa ndi tendon kunja kwa mwendo wanu. Thumba limapereka mafuta pakati pa tendon ndi fupa. Kupaka kwa tendon kumatha kupweteketsa ndi kutupa kwa bursa, tendon, kapena zonse ziwiri.

Kuvulala kumeneku kumakhudza othamanga komanso oyendetsa njinga. Kupinda bondo mobwerezabwereza pazochitikazi kungayambitse kukwiya ndi kutupa kwa tendon.

Zina mwa zifukwa zake ndi izi:

• Kukhala wosauka mwakuthupi
• Kukhala ndi ITB yolimba
• Maonekedwe osauka ndi zochitika zanu
• Osatenthetsa musanachite masewera olimbitsa thupi
• Kukhala ndi miyendo yoweramitsidwa
• Kusintha kwa magwiridwe antchito
• Kusiyanitsa kwa minofu yayikulu

Ngati muli ndi matenda a ITB mutha kuzindikira:

• Kupweteka pang'ono kunja kwa bondo lanu kapena mchiuno mukayamba kuchita masewera olimbitsa thupi, omwe amapita mukayamba kutentha.
• Popita nthawi ululu umakhala woipa kwambiri ndipo sumatha nthawi yochita masewera olimbitsa thupi.
• Kuthamangira pansi pa mapiri kapena kukhala nthawi yayitali mutagwada bondo kumatha kukulitsa ululu.

Dokotala wanu amayesa bondo lanu ndikusuntha mwendo wanu m'malo osiyanasiyana kuti muwone ngati ITB yanu ili yolimba. Nthawi zambiri, matenda a ITB amatha kupezeka pamayeso ndikufotokozera kwanu zizindikirazo.

Ngati kuyesa kujambula kumafunikira, atha kuphatikizira izi:

• Ultrasound
• MRI

Ngati muli ndi matenda a ITB, chithandizo chitha kuphatikizira izi:

• Mankhwala kapena kuthira ayezi kuti muchepetse ululu
• Zochita zolimbitsa komanso zolimbitsa thupi
• Kuwombera kwa mankhwala kotchedwa cortisone m'malo opweteka kuti athetse ululu ndi kutupa

Anthu ambiri safunika kuchitidwa opaleshoni. Koma ngati mankhwala ena sakugwira ntchito, angalimbikitsidwe opaleshoni. Pochita opareshoni, gawo la ITB yanu, bursa, kapena zonsezi zidzachotsedwa. Kapena, ITB idzatalikitsidwa. Izi zimalepheretsa ITB kupukuta fupa pambali pa bondo lanu.

Kunyumba, tsatirani izi kuti muthandize kuchepetsa kupweteka ndi kutupa:

• Ikani ayezi kumalo opweteka kwa mphindi 15 maola awiri kapena atatu alionse. Musagwiritse ntchito ayezi pakhungu lanu. Mangani ayezi ndi nsalu yoyera poyamba.
• Ikani kutentha pang'ono musanatambasule kapena kuchita zolimbitsa thupi.
• Tengani mankhwala opweteka ngati mukufuna.

Pogwiritsa ntchito ululu, mungagwiritse ntchito ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), kapena acetaminophen (Tylenol). Mutha kugula mankhwala amtunduwu kusitolo.

• Lankhulani ndi dokotala musanagwiritse ntchito mankhwala aliwonse opweteka ngati muli ndi matenda a mtima, kuthamanga kwa magazi, matenda a impso, kapena mudakhala ndi zilonda zam'mimba kapena kutuluka magazi m'mbuyomu.
• MUSAMATenge zochuluka kuposa zomwe zakulimbikitsani mu botolo kapena ndi dokotala.

Yesani kuthamanga kapena kupalasa njinga pafupipafupi kuposa momwe mumakhalira. Ngati mukumva kuwawa, pewani izi. Mungafunike kuchita masewera olimbitsa thupi omwe samakwiyitsa ITB yanu, monga kusambira.

Yesani kuvala malaya a mawondo kuti bursa ndi ITB zikhale zotentha mukamachita masewera olimbitsa thupi.

Dokotala wanu angakulimbikitseni wothandizira (PT) kuti agwire ntchito ndi kuvulala kwanu kuti muthe kubwerera kuntchito zanthawi yomweyo.

PT yanu ingakulimbikitseni njira zosinthira momwe mumathandizira kuti muchepetse mavuto. Kuchita masewera olimbitsa thupi ndikulimbitsa minofu yanu yapakati komanso ya m'chiuno.

Mukatha kuchita zolimbitsa thupi komanso zolimbitsa thupi popanda kumva kupweteka, mutha kuyambiranso kuthamanga kapena kupalasa njinga. Pang'ono pang'ono pangani mtunda ndi liwiro.

PT yanu imatha kukupatsani masewera olimbitsa thupi kuti muthandizire kutambasula ITB yanu ndikulimbitsa minofu yanu yamiyendo. Ntchito isanayambe kapena itatha:

• Gwiritsani ntchito pedi yotenthetsera pa bondo lanu kuti muwutenthe malowo. Onetsetsani kuti mapangidwe a pad ndi otsika kapena apakatikati.
• Ikani bondo lanu ndikumwa mankhwala opweteka mukatha kugwira ntchito ngati mukumva kuwawa.

Njira yabwino yoti ma tendon achiritse ndikumamatira ku dongosolo la chisamaliro. Mukamapumula kwambiri ndikuchita masewera olimbitsa thupi, kuvulala kwanu kumachira mwachangu komanso bwino.

Itanani woyang'anira zaumoyo wanu ngati kupweteka kukukulirakulira kapena sikukuchira m'milungu ingapo.

Matenda a IT band - pambuyo pa chisamaliro; Matenda a ITB - pambuyo pa chisamaliro; Iliotibial band friction syndrome - pambuyo pa chithandizo

Akuthota V, Stilp SK, Lento P, Gonzalez P, Putnam AR. Iliotibial band matenda. Mu: Frontera, WR, Silver JK, Rizzo TD, Jr, olemba. Zofunikira za Thupi Lathupi ndi Kukonzanso: Matenda a Musculoskeletal, Ululu, ndi Kukonzanso. Wolemba 4. Philadelphia, PA: Elsevier; 2019: mutu 69.

[Adasankhidwa] Telhan R, Kelly BT, Moley PJ. M'chiuno ndi m'chiuno mumagwiritsa ntchito ma syndromes. Mu: Miller MD, Thompson SR, olemba. DeLee ndi Drez's Orthopedic Sports Medicine: Mfundo ndi Kuchita. Wolemba 4. Philadelphia, PA: Elsevier Saunders; 2015: chap 85.

• Kuvulala kwa Mabondo ndi Matenda
• Kuvulala Kwamiyendo ndi Kusokonezeka