Ama-shining we-Shin achaza izinhlobo ezihlukahlukene zobuhlungu obuningi obuvela emaphethelweni angaphansi kwe-shin bone (tibia). Ubuhlungu bezingqimba ze-shin ngokuvamile zikhona engxenyeni yangaphandle yangaphambili yomlenze ongezansi (ububanzi bokungena kwe-anterior) noma ubuhlungu emhlane ngaphakathi komlenze ophansi (ubude obuseduze) obunama-shin.
Ukwenziwa kwe-Shin ejwayelekile ngokujwayelekile emva kokucindezeleka okwenziwe ukucindezeleka kubangela i-microtrauma kumfutho we-soleus ekugcineni kokunamathiselwe kwesikhashana.
Ukucindezeleka okuphindaphindiwe kungabangela ukucasuka kwe-posterior tibialis muscle nokuvuvukala kwe-periosteum, izicubu ezixhumene nazo ezihlanganisa i-tibia. I-Shin ihlukanisa cishe ngaso sonke isikhathi yimbangela yokwehlisa ngaphezulu izicubu ezinomsoco ngemisebenzi yethonya ephindaphindiwe, ngaphandle kwesimo esifanele noma ukuvumela isikhathi esanele sokubuyisela phakathi kokusebenza.
Yini eyenza ama-Shin Splints?
Abaningi abagijimi abahlakulela ubucwebe bombhalo bazochaza umlando wokuzivocavoca ohlanganisa ukunyuka okungazelelwe kokuqina noma isikhathi semisebenzi yethonya, ngokuvamile kanye nokuntuleka kokuthola kahle phakathi kokusebenza.
Kunezici ezihlukahlukene ezingaholela ekuqhekekeni kwe-shin. Isizathu esivame kakhulu siwubuhlungu obuningi ngokuphindaphindiwe kumisipha noma amathambo omlenze ophansi.
Ukuhlukunyezwa kwe-muscle (i-exertional compartment syndrome ) kuvame ukuhlobene nokuqhathanisa noma ukugijima ngokweqile ezindaweni eziqinile. Ukusetshenziswa okuphindaphindiwe kwenza imisipha ikhule futhi ibeke ingcindezi ku-fascia ehlanganisa imisipha emlenzeni ophansi oholele ekucindezelweni nasekuhluphekeni.
Ukuhlukunyezwa kwe-bone kuya emlenzeni ongaphansi kungabangela ukuhlukumeza ukuphazamiseka. Ukuqhutshwa komzimba emathunjini omlenze kungabangela ukuchohloka okuncane kakhulu kanye nokwahlukana kwe-tibia ne-fibula (amathambo omlenze ophansi). Ukuphumula kuyadingeka ukuze kulungiswe lezi ziqhekeko, kodwa ngaphandle kokuvuselela okwanele, lezi ziphazamiso ziyaqhubeka zikhula futhi ziba ukuphuka.
Umphumela uba ubuhlungu obunzima nokuthola isikhathi eside.
Abagijimi abaqalayo bangengozini enkulu yokwahlukana kwe- shin nokuhlukunyezwa kwengcindezi ngenxa yokuthi ayisetshenziselwa umthelela ophezulu ogijima unemisipha namalungu omlenze onyawo osephansi. Ukugijima ezindaweni ezikhuni (ikakhulukazi ngezicathulo ezigqoke kakhulu, ezingekho kahle) kukhulisa ukucindezeleka emisipha, amalunga namathambo futhi kungenye imbangela yezingqimba ze-shin. Ukubiza ngokweqile noma ezinye izinkinga ze-biomechanical kungandisa ingozi yokuthuthukisa ama-shin.
Izizathu Ezivame kakhulu Zama-Splints we-Shin
- Ukwelula okungalungile
- Ukungabi nokufudumala
- Ukuqeqesha kakhulu
- Ukwandisa i-mileage ngokushesha kakhulu
- Ukugijima noma ukugxuma ezindaweni ezinzima
- Ukungalingani kwe-muscle phakathi komlenze ongemuva nangaphambili
- Izicathulo ezigqamile ezingenayo ukwesekwa okwanele
- Ukugijima endaweni ekhonjiwe noma ehlwanyelwe
- Ezinye izindaba ze-biomechanical
Izimpawu zeShin Splints
- Ubuhlungu bubekwe engxenyeni engaphakathi (ngaphakathi) engxenyeni engezansi
- Ubuhlungu buvame ukubi kakhulu ngokugijima noma okunye ukuvivinya umzimba
- Ubuhlungu buyanda ngemva kokusebenza ezindaweni eziqinile
- Ubuhlungu obunzima bungase buhlale isikhathi eside ngemva kokuyeka umsebenzi
- Ubuhlungu buyanda ngomsebenzi
- Ubuhlungu buyanda ngokugijima, ukuqhuma, ukukhuphuka kwezintaba, noma ukuphuka kwemvelo
- Imisipha yamathole ingaba yinkimbinkimbi futhi ingapheli
I-Shin Splints Treatment
Ukuphumula kungcono ukwelashwa okungcono kwezingqimba ze-shin.
Ukuze uthole usizo olusheshayo sebenzisa indlela yokwelapha ye-RICE yokulawula ubuhlungu nokuvuvukala. Ukubuyela emsebenzini kumele kwenziwe kancane kancane nge-non-weight bearing activity (ukuhamba ngebhayisikili, ukubhukuda) ekusebenzeni kwakho kuze kube yilapho ungenabuhlungu.
- Ukuqinisa nokuqinisa umzimba kuyasiza. Uhlelo lwe-reak lokulimala kwe-ankle lungasetshenziselwa ukuvuselelwa kabusha kwe-shin.
- Tape amakhanda akho ukunciphisa ukucindezeleka
- Gqoka izicathulo ezifanele
- Faka esikhundleni izicathulo njengoba kudingeka.
Ukubuyela emsebenzini kufanele kwenziwe kancane kancane noma usengozini yokulimala kabusha. Shintsha isimiso sakho futhi uthinte isikhathi sakho sokuzivocavoca isikhathi nokuqina ukuze ungahambi kahle ngaphambili, ngesikhathi noma ngemuva kokuzivocavoca.
Uma ubuhlungu bakho be-shin buqhubeka ngemva kwamasonto amathathu noma ngaphezulu, kufanele ucabange ukubona udokotela wakho ukuxilongwa kahle.
Umthombo
IDuke University School of Medicine. Kwangathi ngo-2006