Te Maimoatanga Turi Whai Hua a te Runners mō te Whakaora Kaha
Ko te mamae tonu i te taha o tō turi e kino haere ana i te oma, i te arawhata, i te tūpekepeke rānei, ko te turi o te kai-oma pea—tētahi o ngā whara tino noa e pā ana ki te hunga hohe. Ka arohia e te maimoatanga turi o ngā kai-oma te mate mamae patellofemoral, he āhuatanga e kore ai te turi e tika te rere ki runga i te wheua huha, ka puta te riri me te mumura. Ahakoa tōna ingoa, ehara i te mea ko ngā kai-oma anake te pānga o tēnei āhuatanga—ka pāngia te hunga katoa e pāngia ana e te taumahatanga turi auau.
I Madison Medical, e mārama ana mātou ehara i te mea ko tō oma anake te mea e pāngia ai e te mamae o te turi, engari ko tō āhua noho ora whānui hoki. Ka tautuhia e tā mātou huarahi whānui ngā āhuatanga motuhake e pā ana ki tō mamae, kātahi ka whakawhanakehia he mahere maimoatanga kua whakaritea e aro ana ki ngā mahi koiora, ngā kore taurite o te kaha, me ngā hapa whakangungu. Ko te nuinga o ngā tūroro ka hoki ki te mahi katoa me te maimoatanga tika me te whakaora.
Te Mārama ki te Turi o te Runner
Ka puta te mate turi o Runner, te mate mamae patellofemoral (PFPS) rānei, ina kore te patella (turi) e neke pai i roto i tōna awaawa i runga i te femur. I te nuinga o te wā, ka neke ake, ka heke iho te turi i roto i te awaawa trochlear i te wā e piko ana, e whakatikatika ana rānei te turi. Ina whakarerekētia tēnei ara - nā te kore taurite o te uaua, ngā āhuatanga hanganga, te nui rawa rānei o te whakamahinga - ka puta te mamae i te waku me te pēhanga.
Tērā pea ka riri, ka mumura, ka pakaru haere rānei te kiriuhi i raro i te taupoki turi nā te ahotea rerekē e auau ana. Ahakoa he maha ngā wā ka tīmata te turi o te kaieke hei mamae wā poto, ka taea e ngā keehi kāore i rongoatia te whanake hei mamae mau tonu e whakawhāiti ana i te mahi, ā, i te mutunga ka pakaru te kiriuhi.
Ka pāngia ngā tāngata o ngā reanga katoa me ngā taumata mahi katoa e tēnei āhuatanga. He tino pāngia ngā kai-oma, engari ka pāngia pea ngā kai-eke paihikara, ngā kai-hiki-haere, ngā kaitākaro poitūkohu, me te hunga katoa e piko pinepine ana ō rātou turi i raro i te taumahatanga. He maha ake ngā wā ka pāngia ngā wāhine e te turi oma i ngā tāne, nā ngā rerekētanga hanganga tinana pea e pā ana ki te tūnga o te turi.
Ngā Tohu o te Mate Mamae Patellofemoral
Ko te mamae i te taha, i muri rānei i te turi te tohu matua. Ka kino haere te mamae i ngā mahi e whakararuraru ana i te hononga patellofemoral: te oma, te piki, te heke rānei i ngā arawhata, te tūohu, te tuturi, te noho rānei me ngā turi piko mō te wā roa. He maha ngā tūroro e kite ana he kino rawa atu ā rātou tohu i te wā mahi, i muri rānei i te mahi.
Ko te "tohu whare pikitia" e whakaahua ana i te mamae e puta mai ana i muri i te noho roa me ngā turi piko—he mea noa i te wā e kiriata ana, e eke waka roa ana rānei. Tērā pea ka mamae te tū i muri i te noho, ā, ka pai ake ngā tohu i muri i te hikoi haere. He iti noa iho, he kore rānei te pupuhi huri noa i te turi.
Tērā pea ka kite koe i te wiri, te pāorooro, te pakū rānei i te wā e neke ana te turi. Ka piki ake te mamae i ngā mahi e hiahia ana kia piko hohonu te turi. Ka pāngia ētahi tūroro e te piko, e te ngoikore rānei, ahakoa he tohu tēnei i te karo i te mamae, kaua ki te kore pumau.
He aha te take o te turi o te kaikawe?
Ko ngā hapa whakangungu te tino take. Mā te whakanui ohorere i ngā maero, i te kaha rānei o te oma, te tāpiri i ngā pukepuke, i ngā arawhata rānei me te kore e āta haere tonu, te whakarerekē rānei i ngā mata oma, ka taumaha rawa te hononga patellofemoral i mua i te urutau. Ko te tauira "tino nui, tino wawe" te pūtake o te nuinga o ngā whara whakamahi nui.
He nui te pānga o ngā uaua taurite kore ki te aroturuki o te hope. Kāore e taea e ngā uaua waewae ngoikore—ina koa ko te vastus medialis obliquus (VMO)—te whakau tika i te taupoki turi. Mā ngā uaua hope ngoikore ka taea e te huha te huri ki roto i te wā e mahi ana, ka kumea te taupoki turi i waho o tōna awaawa. Ka tāpirihia he taumahatanga anō e ngā piko hope pakari, ngā uaua o te hope, me te whitiki iliotibial.
I ētahi wā, ka whai wāhi ngā āhuatanga hanganga. Ko ngā waewae papatahi, ko ngā āwhata teitei, ko ngā mahi rerekē rānei o te waewae ka whakarerekē i te huarahi e tukuna ai ngā kaha mā roto i te turi. Ko ngā hope whānui, ko ngā turi piko, ko ngā turi e eke ana ki runga i te whenua ka piki ake te mōrearea o te PFPS. Kāore ngā hu ngoikore e whakarato i te tautoko me te whakamarie e tika ana.
Ngā Take Mōrearea mō te Turi o te Runner
- Ngā hapa whakangungu: Te pikinga tere o ngā maero, te kaha, te mahi pukepuke rānei
- Te ngoikore o te uaua: Ina koa ko ngā quadriceps me ngā whakaū hope
- Te pūmau o te uaua: ITB piripono, uaua o te hope, me ngā uaua piko o te hope
- Ngā tikanga o te waewae: Te nui o te pronation, tetahi atu nekehanga waewae rerekē rānei
- Ngā hu kāore i te tika: Ngā hu oma kua tawhito, kāore rānei i te tika
- Ngā āhuatanga ā-tinana: He whānui ngā hope, he piko ngā turi, he teitei te hope
Aromatawai Tātaritanga
Ko te aro o te whakamātautau tinana ki te aromatawai i te aroturuki i te hope, te tautuhi i te uaua me te ngoikore, me te whakaatu anō i ō tohu. Ka arotakehia e tō kaiwhakarato hauora ngā āhuatanga o te hope me te pona e whai wāhi ana ki ngā raruraru turi. Ki te whakatauritea ki tō turi kāore i pāngia, ka kitea he rerekētanga o te āhua.
Ka taea te tono i ngā hihi-X hei aromatawai i te tūnga o te hope me te whakakore i ētahi atu mate pēnei i te rumatiki. Ka pai ake te tirohanga o te hope me te hope i ngā hihi-X turi paerewa mā te tirohanga a te rā, arā, mā te tirohanga a te kaihoko. Ko te tikanga, ka whakamahia te MRI mō ngā take kāore e pai ki te maimoatanga, ki te whakapaetia rānei he mate kē atu.
Mā te tātari haere—te mātakitaki i tō hikoi me tō oma—ka tautuhia ngā tauira nekehanga e whai wāhi ana ki te taumahatanga turi rerekē. Mā tēnei aromatawai ka ārahi i ngā mahi whakatikatika, ā, ka kitea pea ngā hiahia mō ngā hu, ngā orthotic rānei.
Huarahi Maimoatanga Matawhānui
Ko te arotahi o te maimoatanga tuatahi ko te whakaiti i te mamae me te mumura me te aro atu ki ngā āhuatanga matua. Ko te okiokinga ōrite—te whakarerekē i te mahi, kaua te whakamutu i te mahi—ka taea te whakaora me te pupuri tonu i te hauora. Mā te whakangungu whakawhiti me ngā mahi iti te pānga pēnei i te kaukau, te eke pahikara rānei ka whakaiti i te pēhanga o te turi.
Ko te whakaora tinana te tūāpapa o te maimoatanga turi o te kaiwhai. Mā te whakapakari i ngā quadriceps, inā koa te VMO, ka pai ake te aroturuki i te patellar. Mā te whakapakari hope ka ārai i te hurihanga o te huha ki roto i te wā e mahi ana. Mā te totoro i ngā uaua kikī ka whakaiti i ngā kaha kukume rerekē i runga i te turi. Mā te whakapakari i te uho ka pai ake te mahi a ngā pito o raro.
Ka whakaitihia te mumura e te paninga huka i muri i te mahi. Ka āwhina ngā rongoā ārai-mumura e hokona ana i waho o te tākuta ki te whakahaere i te mamae ina whakamahia tika. Mā te tāpiri i te tap, i te tautoko rānei ki te patellar ka taea te whakaora wawe i ngā tohu i te wā e haere tonu ana te whakaora. Ka arohia e ngā orthotics ngā āhuatanga uaua o te waewae e whai wāhi ana ki ngā raruraru turi.
Kōwhiringa Maimoatanga Arā Atu Anō
Mena kāore e ranea te whakaora i te maimoatanga matawhānui, ka wātea ētahi atu kōwhiringa. Ka tukuna tika ngā rongoā ārai-mumura e ngā werohanga corticosteroid ki te wāhi e pāngia ana, ka whakarato i te whakaora wā poto ka taea ai te whai wāhi atu ki te whakaora tinana.
Mā ngā werohanga plasma whai-pereti (PRP) ka āwhina pea i te whakaora i ngā mate uaua. Mā te whakaemi i ngā matū tipu mai i ō ake toto, ko te whāinga o te rongoā PRP he tere ake te whakatika i ngā kiko. Kei te haere tonu ngā rangahau ki te tautuhi i ngā tikanga tino pai mō ngā mate patellofemoral.
Kāore e hiahiatia he pokanga mō te turi o te kaieke, ā, he mea motuhake mō ngā take he raruraru hanganga motuhake kāore e aro ki te maimoatanga whānui. Ka taea e ngā tikanga arthroscopic te whakatika i te kino o te kiriuhi, te whakatikatika rānei i te patella i roto i ētahi tūroro.
Te Hokinga ki te Oma
He mea nui te hoki mārire ki te mahi kia roa ai te ora. Tīmata ki ngā oma poto, ngāwari i runga i ngā mata papatahi, me te whakanui haere i te tawhiti me te kaha. Ko te ture 10%—te whakanui ake i ngā maero ia wiki mā te kore e neke atu i te 10%—ka ārai i te whara anō. Me tatari te tāpiri i ngā pikinga me te mahi tere kia tae rā anō ki te wā e kore ai e mamae te oma turanga.
Mā te pupuri i ngā mahi whakapakari tinana mō te wā roa ka ārai i te hokinga mai. He maha ngā kai-oma e whakauru ana i te whakapakari hope me te whā o te waewae hei wāhanga tuturu o ā rātou mahi. Mā te whakakapi i ngā hu tika i ia wā, ka tiakina tonutia.
He aha i whiriwhiria ai a Madison Medical mō te maimoatanga o te turi o te kaiwhai?
He tohungatanga arotahi ā mātou tohunga rongoā hākinakina ki te rongoā i ngā whara oma. Neke atu i te 1,200 ngā tūroro e kitea ana e Madison Medical i ia wiki, me te wheako nui ki te āwhina i ngā kaioma o ngā taumata katoa ki te wikitoria i te mamae o te patellofemoral. Ka tukuna e mātou he tiaki whānui tae atu ki te whakaora tinana, ngā maimoatanga werohanga, me te tātari haere.
Ko tā mātou whāinga he whakahoki i a koe ki te oma - me te pupuri i a koe ki reira. Ka aro mātou ki ngā pūtake, ehara i te mea ko ngā tohumate anake, kia roa ai ngā hua. Ko te nuinga o ngā mahere inihua nui e whakaaetia ana i ō mātou wāhi watea i New Jersey.
Mātakihia kia nui ake ai te mōhio
Hoki atu ki te Huarahi
Ka pai te urupare a te turi o te kaiwhai ki te maimoatanga tika—ko te nuinga o ngā tūroro ka hoki ki te oma katoa me te kore e mamae tonu. Mā te wawaotanga wawe ka tere ake te ora, ā, ka ārai i te haere whakamua ki ngā raruraru mau tonu. Kaua e tukua te mamae o te turi kia whakararu i ō whāinga oma.
Whakapā atu ki a Madison Medical ki te whakarite i tō aromatawai turi. Mā ā mātou tohunga rongoā hākinakina e tātari tō āhua, e tautuhi i ngā āhuatanga e whai wāhi ana, ā, ka waihanga i tētahi mahere maimoatanga hei āwhina i a koe kia oma pai anō.