Isifo se-band ye-Iliotibial-ukhathalelo lwamva

Ibhendi ye-iliotibial (ITB) yitoni ehamba ecaleni komlenze wakho. Idibanisa phezulu kwithambo lakho le-pelvic ukuya ezantsi kwedolo lakho. Ithenda yinyama ejiyileyo eshinyeneyo edibanisa umsipha nethambo.

I-Iliotibial band syndrome yenzeka xa i-ITB idumba kwaye icaphukiswa kukuzihlikihla kwithambo elingaphandle kwethanga lakho okanye emadolweni.

Kukho isingxobo esigcwele ulwelo, esibizwa ngokuba yi-bursa, phakathi kwethambo kunye nomsipha kwinxalenye engaphandle yomlenze wakho. Ingxowa ibonelela ukuthambisa phakathi kwethoni kunye nethambo. Ukurabha ithenda kunokubangela iintlungu kunye nokudumba kwe-bursa, ithenda, okanye zombini.

Oku kwenzakala kuhlala kuchaphazela iimbaleki nabahambi ngebhayisikile. Ukugoba amadolo ngaphezulu nangaphezulu ngexesha lale misebenzi kunokubangela ukurhawuzelela kunye nokudumba kwethenda.

Ezinye izizathu zibandakanya:

• Ukuba kwimeko entle yomzimba
• Ukuba ne-ITB exineneyo
• Ifom elibi kunye nemisebenzi yakho
• Ukungafudumezi ngaphambi kokuzilolonga
• Ukuba nemilenze egobileyo
• Utshintsho kumanqanaba omsebenzi
• Ukungalingani kwemisipha engundoqo

Ukuba une-ITB syndrome ungaqaphela:

• Intlungu ethambileyo ngaphandle kwedolo okanye inyonga xa uqala ukwenza umthambo, ohamba njengoko ushushubeza.
• Ngokuhamba kwexesha iintlungu ziziva zisiba mandundu kwaye azihambi ngexesha lokuzilolonga.
• Ukubaleka ezantsi kweenduli okanye ukuhlala ixesha elide ugobile idolo kunokwenza iintlungu zibe mandundu.

Ugqirha wakho uya kuvavanya idolo lakho kwaye uhambise umlenze wakho kwiindawo ezahlukeneyo ukuze ubone ukuba i-ITB yakho yomelele na. Ngokwesiqhelo, isifo se-ITB sinokufunyanwa kuvavanyo nakwinkcazo yeempawu.

Ukuba kufuneka uvavanyo lwe-imaging, inokubandakanya nayiphi na kwezi zilandelayo:

• I-Ultrasound
• IMRI

Ukuba une-ITB syndrome, unyango lunokubandakanya nayiphi na kwezi zilandelayo:

• Amayeza okanye ukusebenzisa umkhenkce ukuphelisa iintlungu
• Ukuzolula kunye nokuqinisa umthambo
• Ukudubula kweyeza ekuthiwa yi-cortisone kwindawo ebuhlungu ukuthomalalisa iintlungu nokudumba

Uninzi lwabantu aludingi kuqhaqho. Kodwa ukuba olunye unyango alusebenzi, kunokucetyiswa utyando. Ngexesha lotyando, inxenye ye-ITB yakho, i-bursa, okanye zombini ziya kususwa. Okanye, i-ITB iya kwandiswa. Oku kuthintela i-ITB ekuhlikihliseni ngokuchasene nethambo ecaleni ledolo lakho.

Ekhaya, landela la manyathelo ukunceda ukunciphisa iintlungu kunye nokudumba:

• Faka umkhenkce kwindawo ebuhlungu kangangemizuzu eli-15 rhoqo emva kweeyure ezi-2 ukuya kwezi-3. MUSA ukufaka iqhwa ngqo kulusu lwakho. Songela umkhenkce kwilaphu elicocekileyo kuqala.
• Faka ubushushu obuncinci ngaphambi kokuba wolule okanye wenze imithambo eyomelezayo.
• Thatha iyeza lentlungu xa ufuna njalo.

Ngentlungu ungasebenzisa ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), okanye i-acetaminophen (iTylenol). Ungawathenga la mayeza eentlungu kwivenkile.

• Thetha nogqirha ngaphambi kokuba usebenzise naliphi na iyeza lentlungu ukuba unesifo sentliziyo, uxinzelelo lwegazi, isifo sezintso, okanye unezilonda esiswini okanye ukopha ngaphakathi ngaphambili.
• Sukuthatha ngaphezulu kwesixa esinconyelwe kwibhotile okanye ngugqirha wakho.

Zama ukubaleka okanye ukuhamba ngebhayisikile umgama omfutshane kunokuba uqhele ukwenza. Ukuba useneentlungu, thintela le misebenzi ngokupheleleyo. Kuya kufuneka wenze ezinye izinto ezingayicaphukisiyo i-ITB yakho, njengokuqubha.

Zama ukunxiba umkhono wamadolo ukuze ugcine i-bursa kunye ne-ITB ifudumele ngelixa uzilolonga.

Ugqirha wakho unokucebisa ugqirha womzimba (PT) ukuba asebenze kunye nokulimala kwakho ukuze ubuyele kwimisebenzi yesiqhelo ngokukhawuleza.

I-PT yakho inokucebisa ngeendlela zokutshintsha indlela ozilolonga ngayo ukuthintela iingxaki. Ukuzivocavoca kujolise ekomelezeni imisipha yakho engundoqo kunye ne-hip, unokuthi ulungiselelwe ii-arch support (orthotic) ukunxiba izihlangu zakho.

Nje ukuba wenze ukolula kunye nokuqinisa umthambo ngaphandle kwentlungu, ungaqala kancinci usebenze okanye uphinde uhambe ngebhayisikile. Kancinci khulisa umgama kunye nesantya.

I-PT yakho inokukunika imithambo ekufuneka uyenzile ukunceda ukolula i-ITB yakho kunye nokomeleza izihlunu zomlenze wakho. Ngaphambi nasemva komsebenzi:

• Sebenzisa iphedi yokufudumeza emadolweni ukufudumeza indawo phezulu. Qiniseka ukuba iseto sephedi sisezantsi okanye esiphakathi.
• Umkhenkce edolweni lakho kwaye uthathe amayeza entlungu emva komsebenzi ukuba uziva iintlungu.

Indlela efanelekileyo yokuphulukisa imisipha kukunamathela kwisicwangciso sokhathalelo. Okukhona uphumla kwaye uziqhelanisa nokunyanga ngokwasemzimbeni, ngokukhawuleza kwaye ngcono ukwenzakala kwakho kuyaphola.

Fowunela umboneleli wakho wezempilo ukuba iintlungu ziya zisiba mandundu okanye zingangcono kwiiveki ezimbalwa.

I-band band syndrome - ukhathalelo lwasemva kwexesha; Isifo se-ITB - ukhathalelo lwasemva kwexesha; I-Iliotibial band friction syndrome-ukhathalelo lwamva

Akuthota V, Stilp SK, Lento P, Gonzalez P, Putnam AR. Isifo se-Iliotibial band. Ku: Frontera, WR, Isilivere JK, Rizzo TD, Jr, ii-eds. Izinto ezibaluleke kakhulu kwiNyango yePhysical and Rehabilitation: Musculoskeletal Disways, Pain and Rehabilitation. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2019: isahluko 69.

UTelhan R, Kelly BT, uMoley PJ. I-Hip kunye ne-pelvis overuse syndromes. Ku: Miller MD, Thompson SR, ii-eds. UDeLee kunye noDrez's Amayeza oNyango lweMidlalo: Imigaqo kunye nokuziqhelanisa. Ngomhla we-4. IPhiladelphia, PA: Elsevier Saunders; 2015: isahl 85.

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