istres sisiphumo somzimba womntu "ukulwa okanye ukusabaleka" impendulo, indlela yokuzivikela kwangaphambili eyabangela inkqubo ye-nervous sympathetic system (SNS). Ukuxinezeleka kuyinkalo ebalulekileyo yokusinda. Xa izixinzelelo zivuselela ukulwa okanye ukuphendula kwendiza, umxube weekhemikhali kunye nama-hormone ufihliwe ekuphumeni kwegazi, okulungisa umzimba ngenxa yengozi ebonakalayo. Nangona ukuxinezeleka kwexesha elifutshane kunceda, nangona kunjalo, uxinzelelo lwangexesha elide lunokubangela iintlobo zempilo. Ngaphezu koko, uxinzelelo lwabantu banamhlanje luye lwatshintsha kwaye kunzima kakhulu kubantu ukuba baphathe uxinzelelo lwabo kwaye bahlale beqiqa.

 

Ukuxinezeleka Kukuthintela njani uMzimba?

 

Ingcinezelo inokufumaneka kwiindlela ezintathu ezahlukeneyo: imvakalelo; umzimba kunye nendawo. Ukuxinezeleka ngokomzwelo kubandakanya iimeko ezimbi ezichaphazela ingqondo kunye nokwenza izigqibo. Ukuxinezeleka komzimba kubandakanya ukungondleki okungafanelekanga nokungabikho kokulala. Kwaye ekugqibeleni, uxinzelelo lwendalo yenzeke ngokusekelwe kumava angaphandle. Xa ufumana naluphi na olu hlobo lweengcinezelo, inkqubo yokukhathazeka yomsindo iya kubangela ukuba uphendule "ukulwa okanye ukundiza", ukukhulula i-adrenaline kunye ne-cortisol ukwenyusa izinga lentliziyo nokuphakamisa iingqondo zethu ukusenza siqaphile ukuze sikwazi ukujamelana neemeko eziphambi kwethu .

 

Nangona kunjalo, ukuba iingxaki ezibonakalayo zihlala zikhona, ukulwa kwe-SNS okanye impendulo yendiza ihlala isasebenza. Ukuxinzeleleka kwengcinezelo kunokukhokelela kwimibandela yempilo eyahlukeneyo, njengokuxhalaba, ukuxinezeleka, ukuxhatshazwa kwemisipha, intlungu kunye nentlungu emva, iingxaki zokugaya, ukufumana ubunzima kunye neengxaki zokulala kunye nokukhunjulwa kwengqondo kunye nokugxininisa. Ukongeza, ukuxhatshazwa kwemisipha kunye nomgudu ngenxa yoxinzelelo kungabangela ukuguqulwa kwamagqabi, okanye ukuxilongwa, okungakhokelela ekukhohliseni i-disc.

 

Intloko kunye ne-Disc Herniation kwi-Stress

 

I-disc ye-herniated iyenzeka xa i-disc, i-gel-like centre ye-disc intervertebral iqhuba ikhefu kwisangqa sayo esingaphandle, i-cartilage ring, icatshulwa kwaye icinezele intambo yomgudu kunye / okanye iingcambu zentsholongwane. I-disc ye-Disc isenzeka ngokuqhelekileyo kwintonga yomlomo wesibeleko, okanye intanyeni, kunye ne-lumbar spine, okanye ngasemva. Iimpawu zeediski ze-herniated zixhomekeke kwindawo yokuxinwa kwintsipho. Intlungu yentlungu kunye nentlungu ehamba phambili ehamba kunye ne-numbness, ukuvutha kwamandla kunye nobuthathaka kwimigangatho ephezulu kunye nezantsi kunomnye wempawu eziqhelekileyo ezidibaniswa ne-disc. Intloko kunye ne-migraine nazo ziyimpawu eziqhelekileyo ezinxulumene noxinzelelo kunye neernied diss kunye nomgudu womlomo wesibeleko, ngenxa yokuxhatshazwa kwemisipha kunye nokungahambisani nomzimba.

 

Ukungenelela kwengqondo yokuLawula uxinzelelo

 

Ulawulo loxinzelelo lubalulekile ekuphuculeni kunye nasekugcineni impilo kunye nokuba sempilweni. Ngokwezifundo zophando, ukungenelela kwengqondo, njengokukhathalela i-chiropractic kunye nokunciphisa uxinzelelo kwengqondo (MBSR), phakathi kwabanye, kunokunceda ngokukhuselekileyo nangokufanelekileyo ukunciphisa uxinzelelo. Ukhathalelo lweChiropractic isebenzisa uhlengahlengiso lomqolo kunye neendlela zokwenza ngesandla ukubuyisela ngononophelo ulungelelwaniso lokuqala lomqolo, ukunciphisa iintlungu kunye nokuphazamiseka kunye nokunciphisa uxinzelelo lwemisipha. Ukongeza, i-chiropractor inokubandakanya ukuguqulwa kwendlela yokuphila ukuze uncede ngakumbi ekuphuculeni iimpawu zoxinzelelo. I-MBSR inokukunceda ukunciphisa uxinzelelo, uxinzelelo kunye noxinzelelo.

 

Xhumana Nathi namhlanje

 

Ukuba ufumana iimpawu zoxinzelelo ngeentloko okanye neyamenza kunye nentlungu nentlungu ehambelana ne-disniation, ukungenelela kwengqondo ezifana nokunyamekela kwe-chiropractic kungabakho unyango olukhuselekileyo nolunokwenza uxinzelelo lwakho. Iinkonzo zokulawula uxinzelelo lukaDkt. Alex Jimenez zingakunceda ukuba uphumelele kwimpilo kunye nokuphila kakuhle. Ukufuna ukungenelela okufanelekileyo kungakufumana uncedo olufanelekileyo. Injongo yale nqaku ilandelayo kukubonisa imiphumo yokunciphisa uxinzelelo lwengqondo kwizigulane ezineentlungu zentlungu. Musa ukuphatha nje iimpawu, ufike kumthombo wembambano.

 

Iimiphumo zengqondo ejoliswe kwiNkcazo yokuThuthukiswa kwengcinezelo kwiNgxaki yokuPhathwa kwengqondo kunye neZengqondo zengqondo kwizigulane zentlungu

 

Abstract

 

imvelaphi: Iinkqubo zokuphucula imeko yezempilo yezigulane ezinezifo ezinxulumene nentlungu, njengentloko, zihlala zisencinane. Ukunciphisa ukunyamezela kwengqondo (MBSR) yintsholongwane yengqondo ebonakala ngathi iyasebenza ekuphatheni ubuhlungu obungapheliyo noxinzelelo. Olu pho nonongo luhlolisise ukusebenza ngempumelelo kwe-MBSR kunyango loxinzelelo olubonakalayo kunye nempilo yengqondo yomxhasi onexinzelelo lwentloko.

 

Impahla nenkqubo: Olu pho nonongo luyilingo lonyango. Izigulane ezingama-60 ezineentlobo zesifo sengqondo ngokubhekiselele kwiCommittee Committee Classification Class (Substitute Classification Classification Committee) ziye zanikwa i-Traction As Usual (TAU) iqela okanye iqela lokuhlola (MBSR). Iqela le-MBSR lafumana iikholeji zeeveki ezisibhozo zeeveki kunye neeseshoni ze-12. Iiseshoni zisekelwe kwi-MBSR protocol. I-Symptom Inventory yeBrief (BSI) kunye ne-Stress Scale Scale (PSS) efunyenwe kwixesha langaphambili kunye nexesha lokuthunyelwa emva kwenyanga kunye nokulandelwa kweenyanga ze-3 kuzo zombini amaqela.

 

iziphumo: Iintsingiselo zamanqaku ewonke e-BSI (isalathiso sobukhali behlabathi; i-GSI) kwiqela le-MBSR yayingu-1.63 0.56 ngaphambi kongenelelo olwehliswe kakhulu lwaya kwi-0.73 0.46 kunye ne-0.93 0.34 emva kongenelelo nakwiiseshoni zokulandela, ngokulandelelana ( P <0.001). Ukongeza, iqela le-MBSR libonise amanqaku asezantsi kuxinzelelo olubonakalayo xa kuthelekiswa neqela lolawulo kuvavanyo lwasemva kwexesha. Intsingiselo yoxinzelelo olubonakalayo ngaphambi kongenelelo yayingu-16.96 2.53 kwaye yaguqulwa yaya kwi-12.7 2.69 kunye ne-13.5 2.33 emva kongenelelo nakwiiseshoni zokulandelelana, ngokulandelelana (P <0.001). Kwelinye icala, intsingiselo ye-GSI kwiqela le-TAU yayingu-1.77 0.50 kwangoko eyancitshiswa kakhulu yaya kwi-1.59 0.52 kunye ne-1.78 0.47 kuma-posttest kunye nokulandela, ngokulandelelana (P <0.001). Kwakhona, intsingiselo yoxinzelelo olubonakalayo kwiqela le-TAU kwi-pretest yayiyi-15.9 2.86 kwaye yatshintshelwa kwi-16.13 2.44 kunye ne-15.76 2.22 kutyelelo lokugqibela kunye nokulandela, ngokulandelelana (P <0.001).

 

Isiphelo: I-MBSR inokunciphisa uxinzelelo kunye nokuphucula impilo yengqondo jikelele kwizigulane ezineentlungu zentlungu.

 

Internet: Impilo yengqondo, intloko yesifo somzimba, ukunciphisa uxinzelelo lwengqondo (MBSR), ukuxinezeleka okubonakalayo, unyango njengesiqhelo (TAU)

 

Insight of Dr. Alex Jimenez

Ukunyamekela kwe-Chiropractic yinkqubo yokulawula uxinzelelo oluyimpumelelo ngoba igxininisa umgudu, oyisiseko senkqubo yesifo. I-Chiropractic isebenzisa ukulungiswa kwemigudu kunye neendlela ezisetyenziswayo zokubuyisela ngokucophelela ukulungelelaniswa komgudu ukuze kuvumele umzimba ukuba uziphilise ngokwawo. Ukungahambisani nokugqithiswa kwemisipha, okanye ukuxilongwa, kunokudala ukuxhatshazwa kwemisipha kunye nomlenze kwaye kukhokelela kwimibandela yempilo eyahlukeneyo, kuquka intloko yesifo kunye ne-migraine, kunye nokukhutshwa kwe-disc sciatica. Ukhathalelo lwe-Chiropractic lungabandakanya nokuguqulwa kwendlela yokuphila, njengokucebisa okunomsoco kunye nokusebenzisa iziphakamiso, ukuphucula imiphumo yazo. Ukunciphisa ukunyamezeleka kwengqondo kunokuncedisa ngokufanelekileyo ukuphathwa kwengcinezelo kunye neempawu.

 

intshayelelo

 

Intloko yentloko i-90% yeentloko zeentloko. Ngokumalunga ne-3% yabemi abaphethwe yintsholongwane yengqondo engapheliyo. [I-1] Intloko yeentloko zintlungu zihlala zihambelana nomgangatho osezantsi wobomi kunye namazinga aphezulu okungaxakeki kwengqondo. [2] Kwiminyaka yakutshanje, amaninzi amaninzi ahlalutya ukuvavanya unyango olusetyenziswa Namhlanje uye wabonisa ukuba unyango lwezonyango, olunokuba luncedo kwiintlungu ezinzima, alusebenzelanga ngentlungu engapheliyo kwaye kwaye, ngokwenene, kubangela iingxaki ezingaphezulu. Uninzi lwezonyango zentlungu zenzelwe kwaye luncedo kwiintlungu ezinzima kodwa xa zisetyenziselwa ixesha elide zingenza ezinye iingxaki ezifana nokusetyenziswa kakubi kweziyobisi kunye nokuphepha kwimisebenzi ebalulekileyo. [3] Into eqhelekileyo kwiinkalo ezininzi zonyango kukuba zigxininisa mhlawumbi ukuphepha intlungu okanye ukulwa ukunciphisa intlungu. Intlungu ekubandezelekeni kwintloko ingaxinwa. Iipilisi kunye neendlela zokulawula ubuhlungu kunokunyusa ukunyamezela kunye novelwano kwiintlungu. Ngoko ke, unyango olwandisa ukwamkelwa nokunyamezela intlungu, ngakumbi intlungu engapheliyo, isebenza kakuhle. Ukuphuculwa kwengcinezelo kwengqondo (MBSR) yintsholongwane yengqondo eyenza iphumelele ekuphuculeni ukusebenza komzimba kunye nentlalo yengqondo kwizigulane ezinentlungu engapheliyo. [4,5,6,7,8] Kwiminyaka emibini edlulileyo, i-Kabat-Zinn et al. e-US ngokuphumelelayo wayesebenzisa ingqondo ngokukhululeka kwentlungu kunye nokugula okuhambelana nentlungu. [9] Uphando olutshanje kwiindlela zokubamkela, ezifana nokukhumbula, kubonisa ukuphucula ukusebenza kwizigulane ezinentlungu engapheliyo. Ukuqwalasela ukuchukumisa intlungu ngokusebenzisa ulwazi olungenanto noluntu, kunye neemvakalelo kunye neengxaki, kunye nolwalamano oludityanisiweyo nolwalamano lwangaphakathi nangaphandle. [I-10] Izifundo zifumene ukuba inkqubo ye-MBSR inokunciphisa kakhulu ukugula kwezonyango ezinxulumene neentlungu ezingapheliyo ezifana ne-fibromyalgia, i-rheumatoid arthritis, engapheliyo Iintlungu zesifo se-musculoskelet, ubuhlungu obungapheliyo, kunye ne-multiple sclerosis. [7,11,12,13] I-MBSR ineentshintsho ezinkulu kwiintlungu, ukuxhalaba, ukuxinezeleka, izikhalazo zesigxina, ukunyamekela, ukuguqulwa, umgangatho wobuthongo, ukukhathala nokusebenza ngokomzimba. [6,14,15,16,17] Kodwa iiprogram zokuphucula imeko yezempilo yezigulane ezinezifo ezinxulumene nentlungu, njengentlungu yesifo senwele, zihlala zisencinane. Ngoko ke, isifundo senziwa ukuze kuhlolwe imiphumo ye-MBSR kwixinzelelo lokuqonda kunye nentsholongwane yempilo yengqondo kwizigulane ezineentlungu zentlungu.

 

Impahla nenkqubo

 

Olu vavanyo lweklinikhi olulawulwa ngokungenamthetho lwenziwa ngo-2012 kwiSibhedlele saseShahid Beheshti kwisiXeko saseKashan. Ikomidi lokuziphatha kophando leYunivesithi yaseKashan yezeNzululwazi yezoNyango yamkele olu phando (i-IRCT No: 2014061618106N1). Abathathi-nxaxheba kolu phando babandakanya abantu abadala abaneentloko zentloko ezixinzelelweyo ababethunyelwe ngoochwephesha bezengqondo kunye noochwephesha bezempilo eKashan. Iikhrayitheriya zokubandakanywa zezi zilandelayo: Ukuba noxinzelelo lwentloko ngokubhekisele kwiKomitana yoHlukelo lweNtloko yaMazwe ngaMazwe, ekulungele ukuthatha inxaxheba kuphononongo, ukungabinachaphaza kwezonyango ngengqondo yengqondo okanye ukuphazamiseka kwengqondo, kwaye ungenayo nembali yonyango lwengqondo ngexesha le-6 eyandulelayo iinyanga. Izigulana ezingakhange zigqibe ungenelelo kwaye zaphoswa ngaphezulu kweeseshoni ezimbini azifakwanga kwisifundo. Abathathi-nxaxheba, abasayine ifom yemvume enolwazi, bawagqibile amanyathelo njengobungqina. Ukuqikelela ubungakanani besampulu, sathetha kolunye uphononongo apho utshintsho lwamanqaku okudinwa yayiyi-62 9.5 kwixesha langaphambi kokunyangwa kunye ne-54.5 11.5 kwisithuba sasemva konyango. [18] Ke ukusebenzisa ubalo lwesampulu, abathathi-nxaxheba abangama-33 (abanomngcipheko wokutsala) kwiqela ngalinye? = 0.95 kunye no-1 ? = 0.9 zahlulwe. Emva kokubalwa kobungakanani besampulu, izigulana ezingama-66 ezineentloko zentloko ezixhalabisayo zikhethwe ngokusetyenziswa kwesampulu ngokuhambelana nenqobo yokufaka. Emva koko, abaguli babizwa kwaye bamenywa ukuba bathathe inxaxheba kolu phando. Ukuba isigulana sivumile ukuthatha inxaxheba, siye samenywa ukuba sibekho kwiseshoni yokwabelana ngesifundo kwaye ukuba akukho esinye isigulana esikhethwe ngokufanayo. Emva koko besebenzisa itafile yamanani engahleliwe, babelwa kwiqela lokulinga (MBSR) okanye kwiqela lolawulo elaliphatha njengesiqhelo. Okokugqibela, abaguli be-3 ababandakanywa kwiqela ngalinye kwaye abaguli abangama-60 babandakanywa (izigulana ezingama-30 kwiqela ngalinye). Iqela le-TAU lalinyangwa kuphela ngamayeza athomalalisa uxinzelelo kunye nolawulo lweklinikhi. Iqela le-MBSR lafumana uqeqesho lwe-MBSR ukongeza kwi-TAU. Izigulana ezikwiqela le-MBSR zaqeqeshwa kwiiveki ze-8 yingcali yezengqondo enesidanga se-PhD. Uluhlu olufutshane lweMpawu zoLuhlu lweeMpawu (i-BSI) kunye ne-Scale Scale Scale (PSS) zaye zenziwa ngaphambi kweseshoni yokuqala yonyango kwiqela le-MBSR, emva kweseshoni yesibhozo (posttest), kunye neenyanga ezi-3 emva kovavanyo (ukulandelelana) kuwo omabini la maqela. Iqela le-TAU lamenyelwa kwisibhedlele i-Shahid Beheshti ukuba lizalise amaphepha emibuzo. Umzobo 1 ubonisa iMigangatho eDityanisiweyo yoLingo lweeNgxelo (CONSORT) umzobo obonisa ukuhamba kwabafundi abathathe inxaxheba.

 

 

Ukungenelela

 

Iqela longenelelo (MBSR) laqeqeshwa kwisibhedlele saseShahid Beheshti. Iiseshoni ezisibhozo zeveki (i-120 min) zabanjwa ngokomgaqo we-MBSR omiselweyo njengoko wawuphuhliswe yiKabat-Zinn. [11] Iiseshoni ezongeziweyo zabanjwa kubathathi-nxaxheba abaphose iseshoni enye okanye ezimbini. Ekupheleni koqeqesho kunye ne-3 iinyanga kamva (ukulandelelana), omabini amaqela e-MBSR kunye ne-TAU bamenyelwa kwisibhedlele i-Shahid Beheshti (indawo yovavanyo lwe-MBSR) kwaye bayalelwa ukuba bazalise amaphepha emibuzo. Ngexesha leeseshoni ze-MBSR, abathathi-nxaxheba baqeqeshwa ukuba bazi iingcinga zabo, iimvakalelo zabo, kunye neemvakalelo zomzimba ngaphandle kwesigwebo. Ukuzivocavoca umzimba kufundiswa njengeendlela ezimbini zokucamngca ngokusesikweni nangokungekho sesikweni. Uhlobo oluqhelekileyo lokuzilolonga lubandakanya ukucamngca ngokuhlala okuqeqeshiweyo, ukuskena umzimba kunye neyoga enengqondo Ukucamngca okungacwangciswanga, ingqalelo kunye nokwazisa kugxile kungekuphela kwimisebenzi yemihla ngemihla, kodwa nakwiingcinga, iimvakalelo, kunye novakalelo lomzimba nokuba zinengxaki kwaye zibuhlungu. Umxholo uphela weeseshoni ukhankanyiwe 1 Table.

 

 

Izixhobo zokulinganisa

 

ICandelo leNkcazo yeNqununu yamaZwe ngamaZwe eSikweni seNtloko

 

Intloko yalinganiswa ngesikali sedayari kwintloko yekhanda. [19] Izigulane zacelwa ukuba zirekhode idayari yobunzima be-diary kwisikali se-0-10. Ukungabikho kwintlungu kunye nentloko yokukhubaza ikhanda yabonwa yi-0 kunye ne-10, ngokulandelanayo. Intsikelelo yentlungu yesisu kwiveki yabalwa ngokuhlula isamba semilinganiselo ebunzima yi-7. Ngaphezu koko, intsingiselo yentlungu yesifo ngenyanga yayibalwa ngokuhlula isixa somlinganiselo we-30. Amanqaku amancinci kunye namanqanaba aphezulu obukhulu beentloko zi-0 kunye ne-10, ngokulandelanayo. Idayari yeentloko zanikwa izigulane ezihlanu kunye ne-neurologist kunye neengqondo zengqondo ziqinisekisile ukuqinisekiswa komxholo wesixhobo. [20] Ukulinganisa okuthembekileyo kwenguqu yasePersi yale nqanaba kubalwa njenge0.88. [20]

 

Isibonakaliso esifutshane Isixhobo sokuSebenza (BSI)

 

Iimpawu zengqondo zavavanywa kunye ne-BSI. [21] Uluhlu lweempahla luqukethe izinto ezingama-53 kunye neenkxaso ezi-9 ezivavanya iimpawu zengqondo. Into nganye inqaku phakathi kwe-0 kunye ne-4 (umzekelo: Ndinesicaphucaphu okanye ukuphazamiseka esiswini sam). I-BSI inesalathiso sobukhali sehlabathi (GSI) ifumene amanqaku amanqaku angama-53. Ukuthembeka kovavanyo kuye kwaxela amanqaku ayi-0.89. [22] Kwisifundo sethu, uqikelelo lwe-GSI test retest was .90 isekwe kwisampulu yezigulana ezingama-60 ezineentloko zentloko eziye zagqiba i-BSI.

 

I-Stress Scale Scale (PSS)

 

Uxinzelelo olubonakalayo lwavavanywa kusetyenziswa i-PSS, [21,23] isikali sento eyi-10 evavanya inqanaba lokungalawuleki kunye neemeko ezingalindelekanga zobomi kwinyanga ephelileyo (umzekelo: Uziva ngathi awukwazi ukulawula izinto ezibalulekileyo ebomini bakho ?). Abaphenduli baxela ukwanda kwento kwinyanga ephelileyo kwinqanaba le-5, ukusukela kwi-0 (zange) ukuya kwi-4 (rhoqo kakhulu). Amanqaku agqityiwe ngokufumana amanqaku aphindaphindiweyo ngezinto ezinezinto ezichanekileyo [4,5,7,8] kwaye kushwankathelwa onke amanqaku ezinto. Amanqaku amanqaku aqala ku-0-40. Amanqaku aphezulu abonisa amanqanaba aphezulu oxinzelelo. Ithatha ukuba abantu ngokuxhomekeke kwizixhobo zabo zokulwa bavavanya inqanaba lomngcipheko okanye imiceli mngeni. Amanqaku aphezulu abonisa inqanaba elikhulu loxinzelelo olubonakalayo. Ukuvavanywa okwaneleyo kokunyaniseka okungaguqukiyo kunye nokuguqula imeko kunye nokunyaniseka kocalucalulo kuye kwaxelwa. [19] Kwisifundo sethu, ii-alpha coefficients ze-alpha zokuvavanya ukungqinelana kwangaphakathi kweli nqanaba zibalwe zaba yi-0.88.

 

Uhlalutyo olwenziwe ngokuphindaphindiweyo lweentlukwano lwenziwe ukuthelekisa amaqela e-MBSR kunye ne-TAU kwiimilinganiselo zokuxinezeleka okubonakalayo kunye ne-GSI ekuxhasweni kwangaphambili, emva kokunyangwa, kunye nokulandelwa kweenyanga ze-3. Kwakhona, uvavanyo lwe-Chi-square lusetyenziselwa ukuthelekisa imimandla yabantu kumaqela amabini. P xabisa ngaphantsi kwe-0.05 ithathwa njengento ebalulekileyo kuyo yonke imvavanyo.

 

iziphumo

 

Phakathi kwezifundo ze-66, abathathi-nxaxheba be-2 abavela kwiqela le-MBSR babengabandakanywa ngenxa yokulahleka kweeseshoni ze-2. Kwakhona, abathathi-nxaxheba abathathu bebekelwe ngaphandle ngenxa yokuba bangagqiba imibuzo elandelayo emva kokuvavanya okanye ukulandelelana ukuba ngubani wabo ovela kwiqela le-MBSR kunye abathathu abathathi-nxaxheba beqela le-TAU. Itheyibhile 2 ibonise iimpawu zentlobo zezifundo kunye neziphumo zentshekhi yokukhangela. Iziphumo zovavanyo lwe-t ngokungafani phakathi kwe-MBSR kunye ne-TAU ngamaqela ahlukeneyo kunye novavanyo lwe-Chi-square kwezinye iinguqu zibonisa ukuba akukho mvelaphi ephawulekayo phakathi kokuguquguquka kwemimandla kumaqela amabini kwaye zezifundo zanikwa amaqela amabini.

 

 

Itheyibhile 3 inikeza amanqaku athetha kunye nokuphambuka okuqhelekileyo kweengxaki ezixhomekeke kuzo (ukuxinzezeleka kwengqondo kunye ne-GSI) kunye nokuthelekiswa kwamanyathelo okuphumelela ngexesha lokutyala kwangaphambili, ixesha lokunyanga emva kwonyango, kunye nokulandelwa kweenyanga ze-3.

 

 

Itheyibhile 3 ibonisa ukunciphisa ngakumbi uxinzelelo olufunyenweyo kunye ne-GSI kwiqela longenelelo (MBSR) xa kuthelekiswa neqela le-TAU, ngelixa ukunciphisa uxinzelelo olufunyenweyo kunye ne-GSI kungakhange kubonwe kwiqela le-TAU. Iziphumo ziveze isiphumo esibonakalayo sexesha kunye nokunxibelelana phakathi kwexesha kunye nohlobo lonyango kutshintsho lwamanqaku (P <0.001).

 

Amanani? 2 kunye no-3 okhoyo ngoku kuthetha ukuba bafumene uxinzelelo kunye namanqaku e-GSI kumaqela e-MBSR kunye ne-TAU kwinqanaba lokugqibela kunye nelokulandela.

 

 

 

ingxoxo

 

Olu hlolisiso luqhathanise ukusebenza kakuhle kwe-MBSR kunye noTyango njenge-Usual (TAU) ekuxininisweni nasekukhathazeni impilo yengqondo yezigulane ezinentlungu yesifo. Nangona i-MBSR ibonwa njengonyango olusebenzayo lweempawu zengcinezelo kunye nentlungu, kukho isidingo sokuhlola ukusebenza kwayo kunyango lweengxaki zempilo yengqondo kwizigulane ezineentlungu zentlungu, esinye sezikhalazo eziqhelekileyo kubemi.

 

Ukufunyaniswa kweso sifundo kubonisa ukuphucula impilo yengqondo jikelele kwi-index ye-GSI ye-BSI. Kwisifundo esithile, ukuphucula okubalulekileyo ngongenelelo lwe-MBSR kwabikwa kuzo zonke iifom ze-36-Into eFutshane yeFom yeFom yeFom (SF-36). [I-20,24] Izifundo zabonisa ukunciphisa okukhulu kwiingxaki zengqondo kwi-Symptom Checklist-90-Revised (SCL- 90-R) i-subscale efana nokuxhalabisa nokuxinezeleka yi-MBSR emva kokungenelela kunye nokulandelelwa kwe-1-nyaka. [5] Reibel et al. Wabonisa i-MBSR kwizigulane ezinentlungu engapheliyo yabika ukwehla kwezimpawu zonyango ezifana nokuxhalaba, ukuxinezeleka kunye nentlungu. [5] Kuye kwaboniswa ukuba ukukhathazeka kwentloko kunye nokuxhalaba kuhamba kunye nokulahleka kwenkqubo yokulawulwa kwengqondo efana nokugcinwa kwengqalelo kunye nokukhumbula imemori. [25] Iimvakalelo ezinganakunokuthi zikhulise ukubandezeleka ezinxulumene nentlungu yokuqonda.

 

I-MBSR isebenzisa ezi ndlela zilandelayo zokuphucula imeko yengqondo yesigulana: Okokuqala, ukucamngca kukhokelela ekwandiseni ulwazi malunga nokwenzekayo mzuzu ngamnye, ngesimo sokwamkela, ngaphandle kokubanjwa ziingcinga, iimvakalelo kunye neendlela zokuziphatha. Ukwanda kolwazi emva koko kunika iindlela ezintsha zokuphendula nokumelana ngokunxulumene nesiqu sakho kunye nehlabathi elijikelezileyo. [3] Ingqondo ibeka imeko yokuzimela okukhulu kuneengcinga, iimvakalelo, kunye noluvo lomzimba njengentlungu. Ukuziqhelanisa nengqondo, abathengi abafundileyo bakhulisa i- observer self . Ngobu buchule, banokuzijonga iingcinga zabo kunye neemvakalelo zabo ngendlela engasebenziyo kunye nokungagwebi eyayikade ithintelwe ngaphambili, ezo zazithintela iingcinga kunye neemvakalelo ngaphambili ezazingaboniswanga kwaye zingagwetywa. Abaxhasi bafunda ukuqaphela iingcinga ngaphandle kokwenza oko, belawulwa ngabo, okanye bekholelwa kubo. [3]

 

Okwesibini, ukuqonda kunceda umxhasi ukuba aqhubeke nokunyamekela ekuthatheni amanyathelo kwiindlela ezibalulekayo ezibalulekileyo kubo. Uninzi lwabo bathengi abanentlungu engapheliyo bafuna ukuva iintlungu ngaphandle kokuphila ubomi obalulekileyo bokukhetha kwabo. Kodwa inkqubo ye-MBSR yawaqeqesha ukuba bahlanganyele kwisenzo esixabisekileyo naphezu kwentlungu. Izifundo zibonise ingqalelo kwaye iimvakalelo zengqondo zintlungu ebalulekileyo ekuqhubekekeni intlungu. [26] Iimpawu zengqondo kunye neengcamango zingayigxininisa intlungu kunye nokuxhalaba ngayo leyo inokuqinisa intlungu kunye nokuphazamisa izigulane imisebenzi. [27,28]

 

Okwesithathu, ukufunyaniswa kweziphumo ezithile kubonisa ukuba i-MBSR inokuguqula umsebenzi wengqondo ejongene nokuchaphazela ummiselo kunye neendawo ezilawula indlela esabela ngayo kwiimvakalelo ezixinzelelekileyo, kwaye oku kungenza ukuba imisebenzi yomzimba ifane nokuphefumula, intliziyo, [29,30] Ukuziqhelanisa nokuziphatha kwenza ukunciphisa iingcamango kunye neemvakalelo eziphazamisayo kunye nokuqinisa intlungu yokuqonda. [31] Kwakhona ukunyamekela kunganciphisa ukusebenza kwengqondo kwengqondo kunye nokukhathazeka kwemizwa ngokuqinisa amandla okuphinda ahlaziywe kunye nolawulo lomzwelo. [32]

 

Amandla kwesi sifundo kukusetyenziswa kwe-psychotherapy entsha esebenzayo ekunciphiseni uxinzelelo kwisikhalazo esingakhange sifunde, kodwa yinkinga yonyango eqhelekileyo. Impembelelo yesifundo sethu isebenzisa i-psychotherapy elula engenzi nto imfuno engqondweni kwaye isetyenziswe ngokukhawuleza njengekhono lokuphatha isigulane. Ngoko ke, abaqeqeshi bempilo bayalathana nesi sikhalazo kwaye isiguli siya kukwazi ukusebenzisa olu unyango. Kwakhona, i-MBSR iya kutshintsha indlela yokuphila yesigulane eyayiza kuba yinkxalabo yakhe yingxaki. Umlinganiselo ophambili wale sifundo kukungabikho koqhathaniso phakathi kwe-MBSR kunye ne-gold standard psychotherapies ezifana ne-ctnitive behavior treatment (CBT). Kucetyiswa ukuba izifundo zexesha elizayo kufuneka ziqhathanise ukuphumelela kwe-MBSR kunye nezinye iindlela zokuziphatha ezingokwenkcubeko nezokutsha kwizigulane ezineentloko zentlungu.

 

isiphelo

 

Isifundo sethu sisekela ingcamango yokuba izigulane ezinobungqina beentloko zentlungu zingakhuphula impilo yazo yengqondo ngokuthatha inxaxheba kwinkqubo ye-MBSR. Ngesishwankathelo, iziphumo zolu phando zibonisa ukuba i-MBSR inokunciphisa uxhalabo olunxulumene nentlungu kunye nokuphazamiseka kwimisebenzi yemihla ngemihla. Iimpawu ezikhethekileyo zokusebenzisa ingqondo ziqeqesho lula kwaye akukho mfuneko yokwenza izinto ezinengqondo ezinzima.

 

Inkxaso yemali kunye nenkxaso: Nil.

 

Iimbambano zomdla: Akukho zimbambano zomdla.

 

Umrhumo weMbhali

 

I-AO inegalelo ekuvelweni komsebenzi, uqhuba isifundo, kwaye uyavumelana nayo yonke imiba yomsebenzi. I-FZ inegalelo ekuqalisweni komsebenzi, ukuhlaziywa koqulunqo, ukuvunyelwa kwenguqu yokugqibela yesicatshulwa kunye nokuvunyelwa kuyo yonke imiba yomsebenzi.

 

Imibulelo

 

Ababhali bayabulela abasebenzi beSibhedlele saseShahid Beheshti kunye nabathathi-nxaxheba. Ababhali bavakalisa ukubonga kwabo kwiKhabat-Zinn kwiSiko soMqondo (i-CFM) kwiYunivesithi yaseMassachusetts enomusa wanika iikhompyutheni zekhompyutheni ze-MBSR.

 

Ukuququmbela,Ngelixa uxinzelelo lwexesha elifutshane luluncedo, uxinzelelo lwexesha elide lunokukhokelela kwimicimbi eyahlukeneyo yezempilo, kubandakanya uxinzelelo kunye noxinzelelo kunye nentamo kunye nentlungu yomqolo, intloko ebuhlungu kunye ne-disc herniation. Ngethamsanqa, ukungenelela kwengqondo, njengokukhathalela i-chiropractic kunye nokunciphisa uxinzelelo kwengqondo (MBSR) zikhuselekile kwaye zisebenza ngendlela efanelekileyo yokulawula uxinzelelo. Okokugqibela, inqaku elingentla libonise iziphumo ezisekwe kubungqina ukuba i-MBSR inokunciphisa uxinzelelo kunye nokuphucula impilo yengqondo kwizigulana ezinentloko yentloko. Ulwazi olukhankanyiweyo kwiZiko leLizwe leNgcaciso yeBiotechnology (NCBI). Ubungakanani bolwazi lwethu bukhawulelwe kwi-chiropractic kunye nokulimala komqolo kunye neemeko. Ukuxoxa ngesihloko, nceda ukhululeke ukubuza uGqirha Jimenez okanye unxibelelane nathi apha 915-850-0900 .

 

Ikhutshwe nguDkt. Alex Jimenez

 

 

Imixholo eyongezelelweyo: Ubunzima bokubuyisela

 

Ngokwezibalo, malunga ne-80% yabantu baya kuba neempawu zentlungu emva koko kanye ngexesha lokuphila kwabo. Umqolo obuhlungu isikhalazo esiqhelekileyo esinokubangelwa ngenxa yeemeko ezahlukeneyo kunye / okanye iimeko. Ngokuphindaphindiweyo amaxesha, ukuguqulwa kwemvelo komgudu kunye nomdala kunokubangela intlungu emva. Iidiski zeHerniated kwenzeka xa i-disc, i-gel-like centre ye-disc intervertebral iqhubezela ngeengqungquthela kwijikelezo zayo zangaphandle, ukuxilisa nokucaphukisa izimpande zentliziyo. Iingxoxo ze-Disc zivame ukuqhutyelwa kwi-back back, okanye i-lumbar spine, kodwa nazo zingenzeka kunye nomlenze womlomo wesibeleko okanye intamo. Ukufakelwa kwamathambo afunyenwe kwinqanaba eliphantsi ngenxa yokulimala kunye / okanye imeko ehlaseleyo ingakhokelela kwimpawu ze-sciatica.

 

ISIHLOKO ESIBALULEKILEYO: Ukulawula uxinzelelo lomsebenzi

 

 

IINGCUKACHA EZIBALULEKILEYO: UKUPHATHA KWE-EXTRA: I-Car Accident Injury Treatment El Paso, TX I-Chiropractor