Kuwona kupweteka kwa m'mapazi kumunsi kungakhale chinthu chokhumudwitsa. Mukudabwa chimene chimayambitsa vuto lanu pamene mukukumana ndi vutoli. Mwinamwake kupweteka kwanu kukuipiraipira ndi zochitika za thupi kapena kusintha kwa nsapato. Kapena, kupweteka kwanu sikungagwirizane ndi kuyenda kapena ntchito koma mmalo mwake kumawoneka kuti akugwirizana ndi vuto la magazi kapena mitsempha ya mitsempha.
Nazi zina mwazimene zimayambitsa kupweteka kwa mwendo. Kumbukirani kuti ndibwino kuti musadzipange nokha, makamaka ngati kupweteka kwa mwendo wanu kuli koopsa, mwadzidzidzi, kapena kumakhala ndi kutupa. Onani wothandizira zaumoyo kuti apeze matenda oyenera, kotero mutha kuchipatala mwamsanga ndikubwerera kumverera bwino.
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Mitsempha YovutaMatenda ndi omwe amachititsa kuti ululu wa m'mapazi ukhalepo komanso zotsatira za ntchito yowonjezera yomwe imapangitsa kuti minofu iwonjezeke. Ngakhale kuti mitsempha ya minofu imayambitsa kupweteka pang'ono, mumatha kukumana ndi zofooka, zofooka, ndi kutupa.
Kuvulala kosayembekezereka kapena kuvulaza kwakukulu kungayambitse misozi yowumitsa yomwe imakhala yopweteka kwambiri. Mtundu wa mwana wa ng'ombe ndi wamba wodwala komanso misonzi.
Kuchiza kwa matenda a minofu kumaphatikizapo kupumula minofu, kugwiritsa ntchito ayezi kumalo opweteka kangapo patsiku, kupanikizika kwa minofu ndi zotchinga, ndi kukweza mwendo pansi pamtima (kuchepetsa kutupa). Kawirikawiri, mankhwala opatsirana amatha kuthandiza munthu kubwezeretsanso muzochita zawo zolimbitsa thupi.
Kukonzekera bwino ndi kuwonjezera machitidwe okhwima ngati kutambasula kwa regimen kungathandize kuchepetsa mwayi wa kuvulala kwa minofu m'tsogolomu.
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Kuvulala KwambiriZithunzi za Shin , zomwe zimatchedwanso kuti medial tibial stress syndrome, ndizofala zovulaza zolimbitsa thupi. Zithunzi za Shin zimakhudza anthu othamanga komanso omwe amachita nawo masewera othamanga kapena othamanga. Kupweteka kumamveka mkati (mkati) ndi kumbuyo (kumbuyo) gawo la tibia fupa limene mwana wamphongo amamangiriza ku fupa. Zithunzi za Shin zimatha kuwonjezereka kapena zimayambitsa mikhalidwe ya mapazi monga kuponderezana kapena mapazi apamwamba .
Nkhani yabwino ndi yakuti njira zosavuta zitha kugwiritsidwa ntchito pochizira maonekedwe. Izi ndi monga:
- Imani ntchitoyi (kawirikawiri kwa milungu) yomwe inachititsa kuti zisokonezeke. Yesani kulowetsa ntchitoyi ndi kuchita masewera olimbitsa thupi monga kusambira.
- Ikani dera kwa mphindi 20 kangapo patsiku. Onetsetsani kuti muikapo chisanu pa thaulo kapena mugwiritsire ntchito phukusi lozizira kotero kuti musayang'ane mwachindunji ndi ayezi pakhungu lanu.
- Limbikitsani dera lanu ndi bandeji lotsekemera. Izi zimathandiza makamaka ngati kutupa kulipo.
- Tambani minofu yanu ya m'munsi. Izi zidzakuthandizani kulimbitsa maonekedwe anu.
Kuonjezera apo, mankhwala monga NSAID akhoza kukulimbikitsidwa ndi dokotala kuti athetse ululu ndi kuchepetsa kutupa.
Matenda a tibia osokonezeka maganizo ndi chikhalidwe china chomwe chimapezeka ndi kusewera masewera monga masewera olimbitsa thupi kapena basketball. Chithandizo chachikulu cha kupweteka kwapanikizika, komwe amapezeka ndi X-ray, ndi kupumula, kawirikawiri kwa masabata asanu ndi limodzi kapena asanu ndi atatu.
Chinthu chosazolowereka kwambiri cha kupweteka kwa mwendo ndi zochitika zolimbitsa thupi , zomwe zimadziwikanso ngati matenda aakulu. Matendawa nthawi zambiri amagwirizanitsidwa ndi anthu omwe amapita mobwerezabwereza monga kuyendetsa njinga kapena kuyendetsa njinga, ndipo amachititsa ululu wopweteka mwendo, kupweteka, ndi kumverera kovuta pamisendo ya mwendo ndi ntchito. Nthawi zina chimfine ndi / kapena kutuluka kwa minofu kumawoneka.
Chithandizo cha matenda opatsirana pogwiritsa ntchito zochita masewera olimbitsa thupi nthawi zambiri chimaphatikizapo kupewa masewera omwe amachititsa ululu, koma angaphatikizepo mankhwala opatsirana, kusinthasintha (mwachitsanzo, kuyendetsa molingana ndi konkire), mankhwala, ndi / kapena kumwa mankhwala otsutsa-kutupa monga NSAIDs .
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TendonitisTendonitis ndi masewera omwe anthu ambiri amavulaza koma amatha kumenyana ndi aliyense, mosasamala kanthu za zomwe akuchita. Tendonitis ndi kutupa kozungulira thambo, lomwe liri lolimba, ngati chingwe chomwe chimamangiriza minofu mpaka mafupa. Zosavuta kuyenda pamapazi monga maulendo apansi kapena mabwalo apamwamba zingayambitse matenda a tendonitis.
Tendonitis imayambitsa kupweteka komwe kumawonjezereka ndi ntchito kapena kutambasula kwa thonje. Zizindikiro zina zingaphatikizepo kutupa zomwe zimapweteka ndi ntchito pamene tsiku limapitirira komanso / kapena kuwonjezeka kwa tendon.
Mitundu yodziwika ya tendonitis yomwe ingayambitse kupweteka kwa mwendo m'munsi kumalo a bwalo ndi Achilles tendonitis ndi matenda otchedwa posterior tibial tendonitis .
Chithandizo cha tendonitis chimaphatikizapo RICE protocol yomwe ili yopumula, ayezi, kuponderezana, ndi kukwera. Mankhwala otsutsa-kutupa, mankhwala opatsirana, ndi / kapena mavitamini amakhalanso othandiza.
Ndikofunika kuzindikira kuti ngati mukuvutika mwadzidzidzi komanso / kapena "pop" kumbuyo kwa mwana wanu wamphongo kapena chidendene, mwathyola kapena mukuphwanya tchalitchi chanu cha Achilles. Ngati izi zikuchitika, gwiritsani ntchito ayezi, kukweza mwendo wanu, ndikuwone dokotala mwamsanga.
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Vuto MavutoMitsempha ya miyendo imabwezeretsa magazi kumtima. Pamene mavuto a mitsempha amachitika, kupweteka kwa mwendo (edema) komanso nthawi zina ululu kapena chifundo chimatha. Chinthu chimodzi chomwe chimakhala ndi vuto la mitsempha ndizosawonongeka , zomwe zingayambitse mitsempha ya varicose , kutupa kwa mwendo nthawi zonse, ndipo khungu limasintha monga kuwala kwa bulauni pafupi ndi mitsempha. Chithandizo chimaphatikizapo kukwera kwa mwendo ndi kupondaponda.
Choopsa chachikulu chomwe chimayambitsa moyo wa ululu wa m'mapazi chimadziwika kuti deep vein thrombosis (DVT) . DVT ndi chovala mu mitsempha ya mwendo yomwe ikhoza kutha ndi kupita kumapapo. Zizindikiro za DVT m'munsi mwa mwendo nthawi zambiri zimaphatikizapo kutupa, kutentha, ndi / kapena kupukuta kwa mwana wang'ombe.
Dokotala akhoza kutsimikizira kuti matendawa ndi ultrasound ndipo kawirikawiri amapereka mankhwala ochepetsa magazi omwe amachititsa kuti kansalu kameneka sikangowonjezereka kapenanso kuchoka kumatumba atsopano.
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Matenda a Mitsempha ya Pachimake (PAD)Ndi matenda a mitsempha ya pakhosi (PAD), kuthamanga kwa magazi ku mwendo kumasokonezeka chifukwa cha kuchepa kwa mitsempha imodzi kapena miyendo yambiri. PAD imayambitsidwa ndi ululu wa mwendo ndi kuchita masewera olimbitsa thupi. Ngakhale mavuto a mitsempha nthawi zambiri amachititsa kufiira kapena kutentha pamlendo, PAD ikhoza kuyambitsa chiwopsezo, ndipo nthawi zambiri imatuluka pamphuphu yomwe imakhala yowawa kwambiri.
Zizindikiro zina za matenda opatsirana amadzimadzi ndi zilonda zomwe sizimachiritsa, khungu lowala, komanso kusowa kwa tsitsi pafupi ndi dera lomwe lakhudzidwa. Zinthu zomwe zimapangitsa munthu kukhala ndi mwayi wokhala ndi PAD ndi mbiri ya kusuta, matenda a mtima , ndi shuga.
Chithandizo chimaphatikizapo kusintha kwa moyo monga kusiya kusuta, kuchita masewera olimbitsa thupi, komanso kumwa mankhwala kuti muchepetse mafuta otchedwa cholesterol (otchedwa statin). Thandizo la antiplatelet monga aspirin kapena Plavix (clopidogrel) limasonyezanso.
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Mabala a Malamulo Okhudzana ndi MimbaMavuto a miyendo ndi miyendo ndi vuto lalikulu kwa amayi apakati, makamaka pa trimester yachitatu. Miyendo yopweteka ndi mapazi nthawi zambiri zimakhala chifukwa cha kuwonjezeka kwa kulemera komanso kusintha kwa mahomoni komwe kumapangitsa kuti phazi la phazi likhazikike ndi kupondereza pang'ono. Izi zimayambitsa chizoloŵezi choyendetsa mapazi ndipo zingayambitsenso mitsempha ya mwendo kugwira ntchito molimbika kwambiri poyendetsa mapazi okhazikika, zomwe zimayambitsa minofu yopweteka kwambiri.
Kuwonjezera pamenepo, kupweteka kwa mwendo kumapangidwe chifukwa cha mphamvu ya magazi imasintha kapena kuchokera ku sciatic nerve compression ndi chiberekero chofutukuka.
Kuchiza kwa miyendo ya m'mapazi mukutenga mimba sikudziwikabe. Nthawi zina, magnesium yamlomo ndi / kapena calcium imalimbikitsidwa koma sayansi yobwezeretsa ntchito yawo ndi yochepa. Zochiritsira zina zomwe zingakhale zothandiza zimaphatikizapo kusisita, kutambasula, ndi kugwiritsa ntchito kutentha.
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Mavuto ApalaKusinthasintha kwa mitsempha ya mwendo pamene iwo akuchoka msana kumayambitsa kupweteka kwa kuwombera kumene kumatha kupitirira mpaka ku phazi. Kupweteka kumayambira pa nsalu ndipo kumamveka kumbali ndi kumbuyo kwa mwendo. Kawirikawiri amatchedwa sciatica, ululu woterewu ukhoza kuyambitsa matenda a msana wamtsempha kapena kukhumudwa kuchokera ku minofu yolimba, monga kuwonedwa ndi matenda a piriformis .
Kupsyinjika kwa mitsempha kuyambira kumbuyo kungayambitsenso chimfine ndi kupweteka kapena kuyaka, komanso kufooka mwendo. Nthawi zambiri, vuto la cauda equina limakhalapo pamene munthu amataya chikhodzodzo ndi / kapena matumbo. Izi ndizofunikira ndipo zimafuna kuchipatala nthawi yomweyo.
Vuto lina la msana lomwe lingayambitse kupweteka kwa mitsempha m'munsi kumbuyo ndi msana wam'mimba . M'madera awa, dera loyandikana ndi msana wa m'mimba limachepetsa kupweteka kumene kumafalikira ku miyendo yonseyo, komanso kufooka ndi kufooka m'milingo. Pamene ululu umayamba ndi kuyenda, zimachepetsedwa ngati munthu akugwa, makamaka pamene wakhala. Chithandizo chimaphatikizapo mankhwala opatsirana, pamodzi ndi mankhwala otsutsa-kutupa monga NSAID ndi / kapena jekeseni ya steroid m'munsi mwa msana.
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Zotsatira zaumoyo wathanziNdikofunika kukumbukira kuti kupweteka m'mlendo wa munthu kungakhale chifukwa cha vuto lalikulu la thanzi. Mwachitsanzo, anthu omwe ali ndi fibromyalgia nthawi zambiri amakhala ndi vuto lopuma la mwendo komanso zopweteka zopondaponda. Kupweteka kwa mimba kungathenso kugwirizanitsa ndi matenda omwe amadzimadzimadzimodzi monga matenda a nyamakazi kapena matenda omwe amachititsa dongosolo la mitsempha monga multiple sclerosis (limakhudza dongosolo loyamba la mitsempha) ndi shuga (imakhudza dongosolo la mitsempha ya mthupi).
Potsirizira pake, mankhwala ena monga diuretics ("mapiritsi a madzi") kapena statins (mankhwala ogwiritsidwa ntchito kuchepetsa "cholesterol" m'magazi) angayambitse mitsempha ya m'munsi. Funsani ndi wothandizira zaumoyo wanu ngati mukuganiza kuti mankhwala anu angapweteke mimba.
Mawu Ochokera
Pali zifukwa zambiri zomwe zingayambitse kupweteka kwa mwendo wochokera m'mimba mwachisawawa, minofu yofatsa imakhala yovuta kwambiri ngati mitsempha ya mitsempha yotsekedwa. Pamapeto pake, pamene chidziwitso ndi chida champhamvu, onetsetsani kuti ululu wanu wa m'munsi umayesedwa ndi dokotala. Muyenera kuyambiranso ulendo wanu mwamsanga.
> Zotsatira:
> Hennion DR, Siano KA. Kuzindikira ndi chithandizo cha matenda opatsirana ammimba. Am Phys Physician . 2013 Sep 1; 88 (5): 306-10.
> Knee ndi Lower Leg. American Academy of Orthopedic Surgeons. https://orthoinfo.aaos.org/en/diseases--conditions/?bodyPart=KneeLowerLeg.
> Kupweteka, Zovuta, ndi Zina Zovulala Zofewa. American Academy of Orthopedic Surgeons. https://orthoinfo.aaos.org/en/diseases--conditions/sprains-strains-and-other-soft-tissue-injuries/.
> Trayes KP, Pickle S, Tully AS. Edema: Kuzindikira ndi Utsogoleri. Am Phys Physician . 2013 Jul 15; 88 (2): 102-10,
> Zhou K, West HM, Zhang J, Xu L, Li W. Zomwe zimathandiza kuti miyendo ya mwendo ikhale yoyembekezera. Cochrane Database Rev Rev. 2015 Aug > 11; (8): CD010655.