I-Iliotibial band syndrome - ukunakekelwa kwangemva kokunakekelwa

Ibhendi ye-iliotibial (ITB) iyithenda egijima ngaphandle komlenze wakho. Ixhuma kusuka phezulu kwethambo lakho le-pelvic kuya ngaphansi kwedolo lakho. Ithenda izicubu ezinwebezelayo ezijiyile ezixhuma imisipha nethambo.

I-Iliotibial band syndrome ivela lapho i-ITB ivuvukala futhi icasulwa ukugcoba ithambo ngaphandle kwethanga lakho noma emadolweni.

Kukhona isikhwama esigcwele uketshezi, esibizwa nge-bursa, phakathi kwethambo nethenda engxenyeni engaphandle yomlenze wakho. Isaka linikeza ukuthambisa phakathi kwethenda nethambo. Ukuhlikihla kwethenda kungadala ubuhlungu nokuvuvukala kwe-bursa, tendon, noma kokubili.

Lokhu kulimala kuvame ukuthinta abagijimi nabagibeli bamabhayisikili. Ukuguqa ngamadolo kaningi phakathi nale misebenzi kungadala ukucasuka nokuvuvukala kwethenda.

Ezinye izimbangela zifaka:

• Ukuba sesimeni esibi somzimba
• Ukuba ne-ITB eqinile
• Ifomu elibi ngemisebenzi yakho
• Ukungafudumali ngaphambi kokuzivocavoca
• Ukuba nemilenze ekhotheme
• Izinguquko kumaleveli omsebenzi
• Ukungalingani kwemisipha yomongo

Uma une-ITB syndrome ungaqaphela:

• Ubuhlungu obuphansi ngaphandle kwamadolo noma okhalweni lwakho lapho uqala ukuzivocavoca, okuphela lapho ufudumala.
• Ngokuhamba kwesikhathi ubuhlungu buzwela kakhulu futhi abupheli ngesikhathi sokuzivocavoca.
• Ukugijima phansi emagqumeni noma ukuhlala isikhathi eside uguqe ngamadolo kungenza ubuhlungu bube nzima kakhulu.

Udokotela wakho uzohlola idolo lakho bese ehambisa umlenze wakho ezindaweni ezahlukahlukene ukubona ukuthi i-ITB yakho iqinile yini. Imvamisa, i-ITB syndrome itholakala ekuhlolweni nasencazelweni yakho yezimpawu.

Uma kudingeka ukuhlolwa kwe-imaging, kungafaka noma yikuphi okulandelayo:

• I-Ultrasound
• I-MRI

Uma une-ITB syndrome, ukwelashwa kungafaka noma yikuphi okulandelayo:

• Imithi noma ukufaka iqhwa ukudambisa izinhlungu
• Ukuzilolonga nokuqinisa umzimba
• Ukudutshulwa komuthi obizwa nge-cortisone endaweni ebuhlungu ukudambisa izinhlungu nokuvuvukala

Abantu abaningi abadingi ukuhlinzwa. Kepha uma ezinye izindlela zokwelapha zingasebenzi, kunganconywa ukuhlinzwa. Ngesikhathi sokuhlinzwa, ingxenye ye-ITB yakho, i-bursa, noma zombili zizosuswa. Noma, i-ITB izokwandiswa. Lokhu kuvimbela i-ITB ekuzigcobeni ithambo eceleni kwedolo lakho.

Ekhaya, landela lezi zinyathelo ukusiza ukunciphisa izinhlungu nokuvuvukala:

• Faka isicelo seqhwa endaweni ebuhlungu imizuzu eyi-15 njalo emahoreni amabili kuya kwamathathu. UNGALIFAKI ngqo iqhwa esikhunjeni sakho. Songa iqhwa ngendwangu ehlanzekile kuqala.
• Faka ukushisa okuncane ngaphambi kokwelula noma ukwenza izivivinyo zokuqinisa.
• Thatha umuthi wezinhlungu uma udinga.

Ngobuhlungu, ungasebenzisa ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), noma i-acetaminophen (iTylenol). Ungathenga le mithi yezinhlungu esitolo.

• Khuluma nodokotela wakho ngaphambi kokusebenzisa noma imiphi imithi yezinhlungu uma unesifo senhliziyo, umfutho wegazi ophakeme, isifo sezinso, noma uke waba nezilonda esiswini noma ukopha ngaphakathi esikhathini esedlule.
• Ungathathi ngaphezu kwenani elinconywe ebhodleleni noma ngudokotela wakho.

Zama ukugijima noma ukuhamba ngebhayisikili amabanga amafushane kunalokho ovame ukukwenza. Uma usenobuhlungu, gwema le misebenzi ngokuphelele. Kungase kudingeke wenze ezinye izivivinyo ezingayicasuli i-ITB yakho, njengokubhukuda.

Zama ukugqoka umkhono wamadolo ukuze ugcine i-bursa ne-ITB ifudumele ngenkathi uzivocavoca umzimba.

Udokotela wakho angancoma owelapha ngokomzimba (PT) ukuthi asebenze ngokulimala kwakho ukuze ubuyele emsebenzini ojwayelekile ngokushesha okukhulu.

I-PT yakho ingancoma izindlela zokushintsha indlela ozivocavoca ngayo ukuvimbela izinkinga. Ukuzivocavoca kuhloswe ukuqinisa imisipha yakho yengqikithi neyenyonga, futhi ungafakelwa izisekelo ze-arch (orthotic) zokugqoka ezicathulweni zakho.

Lapho usungenza izivivinyo zokwelula nokuqinisa ngaphandle kobuhlungu, ungaqala ukugijima noma ukuhamba ngebhayisikili kancane kancane. Kancane kancane yakha ibanga nejubane.

I-PT yakho ingakunika ukuzivocavoca okufanele ukwenze ukusiza ukwelula i-ITB yakho nokuqinisa izicubu zomlenze wakho. Ngaphambi nangemva komsebenzi:

• Sebenzisa iphedi yokushisa emadolweni ukufudumeza indawo. Qiniseka ukuthi izilungiselelo zephedi ziphansi noma zimaphakathi.
• Qeda idolo lakho bese uphuza umuthi wezinhlungu ngemuva kokusebenza uma uzwa ubuhlungu.

Indlela engcono yokuphulukisa imisipha ukunamathela kuhlelo lokunakekelwa. Lapho uphumula ngokwengeziwe futhi wenza ukwelashwa ngokomzimba, ukulimala kwakho kuzosheshe futhi kuphole.

Shayela umhlinzeki wakho wezokunakekelwa kwezempilo uma ubuhlungu buba bukhulu noma bungabi ngcono emasontweni ambalwa.

I-IT band syndrome - ukunakekelwa ngemuva; I-ITB syndrome - ukunakekelwa ngemuva; I-Iliotibial band friction syndrome - ukunakekelwa kwangemva kokunakekelwa

Akuthota V, Stilp SK, Lento P, Gonzalez P, Putnam AR. I-Iliotibial band syndrome. Ku: Frontera, WR, Silver JK, Rizzo TD, Jr, eds. Okubalulekile Kwezomzimba kanye Nokuvuselelwa: Ukukhubazeka Kwemisipha, Ubuhlungu, Nokuvuselelwa. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2019: isahluko 69.

UTelhan R, Kelly BT, uMoley PJ. I-Hip ne-pelvis isebenzisa ngokweqile ama-syndromes. Ku: Miller MD, Thompson SR, ama-eds. UDeLee noDrez's Orthopedic Sports Medicine: Izimiso kanye Nokuzijwayeza. Umhla wesi-4. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 85.

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