I-Migraine Physical Therapy: Ukunciphisa iintlungu kunye nokubuyisela ukuhamba

Kubantu abaphethwe yintloko ye-migraine, ngaba ukubandakanya unyango lomzimba kunceda ukunciphisa iintlungu, ukuphucula ukuhamba, kunye nokulawula ukuhlaselwa kwexesha elizayo?

Unyango lweMigraine Physical Therapy

I-Cervicogenic migraine intloko ingabangela intlungu, ukunyakaza okulinganiselwe, okanye iimpawu ezididayo ezifana nesiyezi okanye isicaphucaphu. Zisenokuvela entanyeni okanye kwintambo yomlomo wesibeleko kwaye zibizwa ngokuba yi-cervicogenic headaches. Iqela le-chiropractic yonyango lomzimba linokuvavanya umqolo kwaye linikeze unyango olunceda ukuphucula ukuhamba kunye nokunciphisa intlungu. Abantu ngabanye banokuzuza ngokusebenza kunye neqela le-migraine lonyango lomzimba ukwenza unyango lweemeko ezithile, ngokukhawuleza nangokukhuselekileyo ukukhulula intlungu kunye nokubuyela kwinqanaba labo langaphambili lomsebenzi.

I-Cervical Spine Anatomy

Intamo iqulethwe ngamathambo omqolo wesibeleko asixhenxe. I-vertebrae yomlomo wesibeleko ikhusela intambo yomgogodla kwaye ivumela intamo ukuba ihambe:

• UkuFlekisa
• Ukwandiswa
• Ukujikeleza
• Ukugoba ecaleni

I-vertebrae ephezulu yomlomo wesibeleko inceda ukuxhasa i-skull. Kukho amalungu macala omabini kwinqanaba lomlomo wesibeleko. Omnye udibanisa ngasemva kokakayi kwaye uvumela ukunyakaza. Le ndawo ye-suboccipital iyikhaya lemisipha emininzi exhasayo kwaye ishukumise intloko, kunye nemithambo-luvo ehamba ukusuka entanyeni ngokusebenzisa indawo ye-suboccipital ukuya entloko. Iintsholongwane kunye nezihlunu kule ndawo zinokuba ngumthombo weentlungu zentamo kunye / okanye iintloko.

iimpawu

Ukunyakaza ngokukhawuleza kunokubangela iimpawu ze-cervicogenic migraine, okanye zinokuthi zize ngexesha lokuhamba kwentamo eqhubekayo. (Iphepha P. 2011) Iimpawu zihlala zibuthuntu kwaye azibetheki kwaye zinokuthatha iiyure ukuya kwiintsuku. Iimpawu ze-cervicogenic migraine intloko ingabandakanya:

• Iintlungu kumacala omabini emva kwentloko.
• Iintlungu emva kwentloko eziphuma kwelinye igxalaba.
• Iintlungu kwicala elinye lentamo ephezulu ephuma kwitempile, ibunzi, okanye iliso.
• Intlungu kwicala elinye lobuso okanye esidleleni.
• Ukunciphisa uluhlu lwentshukumo entanyeni.
• Ukuqonda ukukhanya okanye isandi
• I sizathu
• Isiyezi okanye i-vertigo

Ukuqondwa

Izixhobo ezinokusetyenziswa ngugqirha zinokuquka:

• X-ray
• MRI
• CT scan
• Uvavanyo lomzimba lubandakanya uluhlu lwentamo yokunyakaza kunye nokubethelwa kwentamo kunye nokhakhayi.
• Iibhloko ze-nerve zokuxilonga kunye neenaliti.
• Izifundo zokucinga ngentamo nazo zinokubonisa:
• Isilonda
• I-disc bulging okanye i-herniated disc
• Ukudideka
• Utshintsho lwamathambo

Ukuxilongwa kwentloko yeCervicogenic ngokuqhelekileyo kwenziwa ngecala elinye, intlungu engapheliyo yentloko kunye nokulahlekelwa kwentamo yokunyakaza. (IKomiti yoHlelo lweeNtloko zeNtloko yeZizwe eziManyeneyo. 2013) Umboneleli wezempilo unokuthumela umntu kunyango lomzimba ukunyanga iintloko ze-cervicogenic xa efunyenwe. (Rana MV 2013)

Ulungiso lwenyama

Xa kuqala ukutyelela umgulana womzimba, baya kudlula kwimbali yonyango kunye neemeko, kwaye imibuzo iya kubuzwa malunga nokuqala kweentlungu, ukuziphatha kweempawu, amayeza, kunye nezifundo zokuxilonga. Ugqirha uya kuphinda abuze malunga nonyango lwangaphambili kunye nokuhlaziya imbali yonyango kunye nokuhlinzwa. Amacandelo ovavanyo angabandakanya:

• Ukubetha kwentamo kunye nokakayi
• Imilinganiselo yentamo yoluhlu lwentshukumo
• Imilinganiselo yamandla
• Uvavanyo lwasemva

Emva kokuba uvavanyo lugqityiwe, ugqirha uya kusebenza nomntu ukuba aphuhlise inkqubo yonyango lomntu kunye neenjongo zokubuyisela. Unyango olwahlukeneyo luyafumaneka.

Lolonga

Ukuzivocavoca ukuphucula ukunyakaza kwentamo kunye nokunciphisa uxinzelelo kwiimbilini zomlomo wesibeleko kunokumiselwa kwaye kunokubandakanya. (Park, SK et al., 2017)

• Ukujikeleza komlomo wesibeleko
• Ukujika komlomo wesibeleko
• Ukugoba kwicala lomlomo wesibeleko
• Ukurhoxiswa komlomo wesibeleko

Ugqirha uya kuqeqesha umntu ukuba ahambe ngokucothayo kwaye ngokuthe ngcembe kwaye aphephe ukuhamba ngokukhawuleza okanye ukuxubha.

Ukulungiswa kwePosi

Ukuba i-posture yentloko yangaphambili ikhona, umqolo womlomo wesibeleko ophezulu kunye nommandla we-suboccipital unokucinezela imithambo-luvo ehamba ngasemva kwekhakhayi. Ukulungisa ukuma kunokuba sisicwangciso esisebenzayo sonyango kwaye sinokubandakanya:

• Ukwenza imithambo ekujoliswe kuyo ngasemva.
• Ukusebenzisa umqamelo wentamo exhasayo ukulala.
• Ukusebenzisa inkxaso ye-lumbar xa uhleli.
• I-Kinesiology taping inokunceda ukwandisa ulwazi lwe-tactile ye-back and neck position kunye nokuphucula ulwazi jikelele lwe-postural.

Ubushushu / Ice

• Ubushushu okanye umkhenkce unokufakwa entanyeni nakukakayi ukunceda ukunciphisa iintlungu kunye nokudumba.
• Ukushisa kunokunceda ukukhulula izihlunu eziqinileyo kunye nokuphucula ukujikeleza kwaye kunokusetyenziswa ngaphambi kokwenza intamo.

ukuphulula umzimba womntu ngobunono

• Ukuba izihlunu eziqinileyo zinciphisa ukunyakaza kwentamo kwaye kubangela intlungu yentloko, i-massage inokunceda ukuphucula ukuhamba.
• Indlela ekhethekileyo ebizwa ngokuba yi-suboccipital release ikhulula izihlunu ezifake i-skull entanyeni ukuze kuphuculwe ukunyakaza kunye nokunciphisa ukucaphuka kwe-nerve.

Ukutsalwa ngesandla kunye noomatshini

• Inxalenye yesicwangciso sonyango lomzimba we-migraine sinokubandakanya i-mechanical or manual traction to decompress i-neck discs kunye namalungu, ukuphucula ukunyakaza entanyeni, kunye nokunciphisa intlungu.
• Ukuhlanganiswa okuhlangeneyo kungasetyenziselwa ukuphucula ukuhamba kwentamo kunye nokulawula intlungu. (Paquin, JP 2021)

Ukukhuthaza uMbane

• Ukuvuselela kombane, njengaye electro-acupuncture okanye i-transcutaneous neuromuscular electrical stimulation, ingasetyenziselwa kwimisipha yentamo ukunciphisa intlungu kunye nokuphucula iimpawu zentloko.

Ixesha Lonyango

Uninzi lweeseshoni zonyango lwe-migraine ngokomzimba kwiintloko ze-cervicogenic zihlala malunga neeveki ezine ukuya kwezintandathu. Abantu ngabanye banokufumana isiqabu kwiintsuku ezimbalwa zokuqala unyango, okanye iimpawu zinokuza kwaye zihambe ngokwamanqanaba ahlukeneyo kwiiveki. Amanye amava aqhubeka ne-migraine intloko ebuhlungu kwiinyanga emva kokuqala unyango kunye nokusetyenziswa kobuchule abafunde ukunceda ukulawula iimpawu.

I-Chiropractic yezoNyango zeChiropractic kunye ne-Functional Medicine Clinic igxile kunyango oluqhubekayo kunye neenkqubo zokuvuselela ezisebenzayo ezijolise ekubuyiseleni imisebenzi eqhelekileyo yomzimba emva kokulimala kunye nokulimala kwezicubu ezithambileyo. Sisebenzisa iiProtocol zeChiropractic eziKhethekileyo, iiNkqubo zeNtlalontle, iZondlo eziSebenzayo kunye nezidibeneyo, i-Agility kunye nokuhamba koQeqesho loQeqesho lokuQinisekisa, kunye neeNkqubo zoBuyiselo kuyo yonke iminyaka. Iinkqubo zethu zendalo zisebenzisa amandla omzimba ukufezekisa iinjongo ezithile ezilinganisiweyo. Siye sasebenzisana noogqirha bedolophu, oogqirha, abanyangi, kunye nabaqeqeshi ukuba babonelele ngonyango oluphezulu oluxhobisa izigulane zethu ukugcina eyona ndlela iphilileyo yokuphila kwaye siphile ubomi obusebenzayo obunamandla, isimo sengqondo esifanelekileyo, ukulala okungcono, kunye neentlungu ezincinci. .

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Ukunyangwa kwe-Chiropractic yeMigraines

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Ucaphulo

Iphepha P. (2011). Iintloko zeCervicogenic: indlela ekhokelwa bubungqina bolawulo lweklinikhi. Ijenali yamazwe ngamazwe yonyango lomzimba, 6(3), 254–266.

IKomiti yoHlelo lweeNtloko zeNtloko ye-International Headache Society (IHS) (2013). Ulwahlulo lwamazwe ngamazwe lweZiphazamiso zeNtloko, i-3rd edition (inguqulo ye-beta). I-Cephalalgia : ijenali yamazwe ngamazwe yentloko, 33 (9), 629-808. doi.org/10.1177/0333102413485658

Rana MV (2013). Ukulawula kunye nokunyanga intloko yemvelaphi ye-cervicogenic. Iiklinikhi zonyango zaseNyakatho Melika, i-97 (2), i-267-280. doi.org/10.1016/j.mcna.2012.11.003

Ipaki, SK, Yang, DJ, Kim, JH, Kang, DH, Park, SH, & Yoon, JH (2017). Iimpembelelo zokwelula komlomo wesibeleko kunye ne-cranio-cervical flexion exercises kwiimpawu zemisipha yomlomo wesibeleko kunye nokuma kwezigulane ezinentloko ye-cervicogenic. Ijenali yenzululwazi yonyango lomzimba, 29(10), 1836-1840. doi.org/10.1589/jpts.29.1836

Paquin, JP, Tousignant-Laflamme, Y., & Dumas, JP (2021). Iziphumo zokuhlanganiswa kwe-SNAG ezidityanisiweyo kunye ne-self-SNAG ekhaya-ukuzivocavoca kunyango lwentloko ye-cervicogenic: isifundo somqhubi. Ijenali ye-manual & manipulative therapy, 29 (4), 244-254. doi.org/10.1080/10669817.2020.1864960