INyaniso eQinisekisayo malunga neSciatica | El Paso, TX (2021)

intshayelelo

Kwi-podcast yanamhlanje, uDkt Alex Jimenez kunye noDkt Mario Ruja baxoxa ngento eyenziwa yi-sciatica emzimbeni kunye nendlela echaphazela ngayo impilo kunye nokuphila kakuhle komntu.

Yintoni ebangela iSciatica?

[00:00:06] UGqr. Alex Jimenez DC*: Molo Mario, sikwipodcast entsha namhlanje. Namhlanje siza kuthetha nge-sciatica kunye neengxaki kunye naloo nto. Ndifumene uMario apha, kwaye siye sagqiba ekubeni sixoxe kwaye sixoxe ngemiba ye-sciatica.

[00:00:29] UGqr. Mario Ruja DC*: Ivakala ibuhlungu.

[00:00:31] UGqr. Alex Jimenez DC*: Uyazi, mandikubuze oku. Kwindlela yakho yokusebenza, uMario, malunga nokusebenza kunye ne-sciatica, yintoni oye wayifunda kule minyaka ngokubhekiselele kwi-sciatica?

[00:00:41] UGqr. Mario Ruja DC*: I-Sciatica iya kukubeka phantsi, Alex. Kuya kukwenza uzive njengomntwana kwaye kukukhumbule ukuba kubaluleke kangakanani i-chiropractic kunye nokugcinwa. Kufana nokuba nemoto. Umzekelo, ukuba uqhuba iBuggati kwaye awuyenzi isondlo, ubeka nje igesi. Ifana nje, yikrazule kwaye uyiqhube. Kwaye ke ngenye imini, kukushiya ujinga phakathi kwe-I-10, kwaye wonke umntu udlula kuwe, kwaye uneentloni.

[00:01:15] UGqr. Alex Jimenez DC*: Yiloo nto i-sciatica.

[00:01:18] UGqr. Mario Ruja DC*: Akukho mnandi kakhulu.

[00:01:20] UGqr. Alex Jimenez DC*: Uyazi, ndiyakholwa ukuba iyinto ehlekisayo ukuba siyihleka, kodwa sisibetho. Ndiyibiza ngomqolo ophantsi. Kukufumana ukothuka. Ichwechwela kuwe. Iyajikeleza, nayo. Ewe. Kwaye xa zikuluma, ndithetha ukuba ichazwa ngokwesiqhelo njengeentlungu ezihla ngomlenze. Zininzi izizathu zokuba oko kusenzeka. Ufumana ntoni xa izigulane zakho zibonisa oko? Zikuxelela ntoni? Loluphi uhlobo lweempawu abazibonakalisayo?

[00:01:45] UGqr. Mario Ruja DC*: Ufanele ukuba udlala ngam. Okokuqala, inkosikazi yabo iyabangenisa ngaphakathi. Ngaba oko kuyakuxelela ukuba yintoni? Ewe, kufana nemela ebayihlabayo emqolo, kwaye ikhazimle emlenzeni wabo, kwaye ke badla ngokungqiyama kwelinye icala okanye kwelinye. Kwaye ke banalo eli bali. UAlex, kukho eli bali liphambeneyo elinje, “Ewe, bendi…” ekuphela kwento ehlekisayo. "Ndandithatha umntwana wam kuphela," okanye "Ndandiphosa ibhola kuphela, kwaye ngokukhawuleza, umqolo wam waphuma. Ndize ndizame ukuyolula, ndibe nomfazi wam ehlikihla. Kwaye yonke loo nto ayizange isebenze ngosuku olulandelayo. Andizange ndikwazi ukuphakama ebhedini yaye kwafuneka ndikhase ndiye kwigumbi lokuhlambela.” Ngoku kuxa ingqalelo yakho ivuliwe.

[00:02:43] UGqr. Alex Jimenez DC*: Ewe.

UDkt Alex Jimenez kunye noDkt Mario Ruja Bachaza ukuba yintoni iSciatica eyenzayo kuMzimba.

[00:02:44] UGqr. Mario Ruja DC*: Ingqwalasela yethu ikwi-sciatica. Lo ngumxholo omkhulu, Alex.

[00:02:48] UGqr. Alex Jimenez DC*: Esi sisihloko esikhulu, kwaye mandikhe ndiphose oku ngaphandle apho siza kuqalisa inkqubo yokudiliza i-sciatica ukuba asinakuze sikwazi nokwazi ububanzi nobubanzi njengoko kufana nokuthi wena. ingathatha i-sequoia ngokuluma kanye. Ayinakwenzeka loo nto, kwaye kuya kufuneka siyikhuphe kuyo. Kwaye njengoko singena apho, siya kungena nzulu. Ngaba siza kuba mbi ngesayensi, Mario? 

[00:03:14] UGqr. Mario Ruja DC*: Oku kuya kusiba nzulu kwaye kubi. Abantu kuya kufuneka babhinqe amabhanti ezihlalo zabo kolu hambo.

[00:03:21] UGqr. Alex Jimenez DC*: Ngokuqinisekileyo. Njengoko sisenza loo nto, siza kukwazi ukungena nzulu kuyo. Siza kuchukumisa kwimiba ethile, kodwa silandele kule nkqubo kuba siza kuxubusha imiba ebalulekileyo malunga ne-sciatica echaphazela izigidi ezininzi zabantu nangaliphi na ixesha. Ndingathanda ukuthetha ukuba umntu omnye kwabane unentlungu engapheliyo emva, kwaye isiqingatha sabo bantu baphethwe yi-sciatica ngenye indlela okanye enye okanye intlungu ephantsi komlenze. Ngaloo ndlela, sijongene nomba omkhulu ochaphazela izigidi zezigulane kunye nezigidi zabantu kwilizwe lonke kunye noogqirha abohlukeneyo kunye neentlobo ezahlukeneyo zemigaqo. Kwaye ezi prothokholi zinokusuka kwi-esoteric ngokwenene ukuya kwi-invasive. Kwaye sonke sifuna ukuyenza ngokukhawuleza, kwaye sonke sifuna ukuyenza ngendlela elula. Ke ndicinga ukuba amayeza anamhlanje uMario uzimisele ukuba kufuneka sihambe isiseko kwaye sizame yonke into phambi kokuba kungenelele utyando.

[00:04:16] UGqr. Mario Ruja DC*: Ndiyathetha, yinto eqhelekileyo, kwaye ndandisoloko ndisebenzisa imodeli yemoto njengomzekelo. Ngaphambi kokuba ufumane uthumelo olwakhiwe ngokutsha, kutheni ungayigcini phambi kokuba ulahle injini entsha? Kutheni ungatshintshi i-oyile kwaye ufumane i-tune-up? Ngelishwa, kwakhona, ukhankanye impembelelo engakholelekiyo yeentlungu ezisezantsi kuluntu lwethu. Ndiyakholwa ukuba andazi nokuba ndisebaleni na. Zizizathu ezibini okanye ezithathu zokonzakala emsebenzini kwaye sesinye sezona zizathu zikhulu zokuba umkhosi uphume emkhosini. Ndiyathetha, lo ngumba omkhulu ochaphazela ubomi babantu, kwaye ke uya kungena kulawulo lweentlungu ezingapheliyo, izinto ezinjalo. Kodwa kwakhona, ukuba sijonga esona sisombululo sibalulekileyo ebomini bethu, sinokusithintela njani? Uthintelo kukusetyenziswa kwendalo kobugcisa bonyango obunciphisa ukungahambi kakuhle komqolo. Kwakhona, oko kungahambi kakuhle yila torque apho umva wakho ungaphandle kokulungelelaniswa kunye nokulinganisa, akunjalo? Okubangela ukuguga nokungalingani kwidiski. Emva koko omnye ucinezele rhoqo lokuhlala phantsi kunye nokuphindaphinda intshukumo. Enye enye kukwenzakala nje kwemidlalo yemihla ngemihla. Bayanda abantwana abancinci benzakalayo kwibhola ekhatywayo, kwibhola yomnyazi, iintlungu eziqatha, itorque eyongezelelekileyo, kwaye ungabona abadlali bebhola yomnyazi kunye nabadlali bebhola ekhatywayo, bonke baphethwe yi-sciatica.

[00:06:19] UGqr. Alex Jimenez DC*: Ewe. Nantsi i-cascade. I-Cascade iqala ngokulungiswa kwe-pelvis okanye esinqeni, okanye ukwenzakala okuthile, isilonda esibambe indawo, okanye into ekule ndlela. Ndizakuqhubekeka ndibonise apha endleleni yethu, kwaye siza kubonisa kancinci into ekwimithambo-luvo. 

[00:06:43] UGqr. Mario Ruja DC*: Ndiyayithanda le modeli ye-3-D uyibonisayo apha.

[00:06:43] UGqr. Alex Jimenez DC*: Enkosi.

[00:06:44] UGqr. Mario Ruja DC*: Yinto entle le.

Inzululwazi yeNzululwazi

[00:06:46] UGqr. Alex Jimenez DC*: Le yi-anatomy epheleleyo enikezelwe kuthi kwaye into esinokuyibona yinkalo emithathu-ntathu yendlela kwaye kutheni umntu ene-sciatica. Ngoku xa ujonga le nto, Mario, uthatha ntoni okokuqala? Kuba kum, ithi sisakhiwo esintsonkothileyo xa sijonge oku. Xa ujonga ngasemva, apho iphuma khona, ubona le ntambo inkulu indala ebizwa ngokuba yi-sciatic nerve, kodwa ubona iindawo ezininzi ezisondeleleneyo kunye neengingqi ezininzi eziya zingaqhelekanga.

[00:07:11] UGqr. Mario Ruja DC*: Zininzi iindawo ezihambayo ezo, Alex.

[00:07:15] UGqr. Alex Jimenez DC*: Ewe yiyo. Kwaye uyazi ntoni? Enye yezinto eziphambeneyo endizijongileyo apha yi-sacrum. 

[00:07:20] UGqr. Mario Ruja DC*: Kwaye eso sisiseko.

[00:07:21] UGqr. Alex Jimenez DC*: Nantso isiseko. Indlela umdali asidale ngayo yayikukuba kulapho amandla athumela khona eli thambo kanye apha. I-sacrum, akunjalo? Kodwa kancinci phambi kwayo. Uneengcambu ze-sacral nerve eziphuma njengoko zivela. Ungabona kule ndawo ithile; Uyakwazi ukubona iingcambu zemithambo-luvo ziphuma njengoko zisiza ngasemva, ungakujika oku kwaye sifumane le ndawo incinci apha kwaye njengoko sijikelezisa le nto, siyayibona i-sciatic nerve njengoko iphuma kwintoni. siyibiza inotshi yesacral. Ezo notshi zesacral zinkulu kakhulu.

[00:08:03] UGqr. Mario Ruja DC*: Yimpambano leyo.

[00:08:04] UGqr. Alex Jimenez DC*: Ndiyayazi kulungile? Ke into eyenzekayo xa uyibona apha, unokuqonda ukuba le nerve enkulu ichaphazela isidalwa sonke. Uyayikhupha le nto, kwaye uthintele ukukwazi kwesidalwa ukuhamba. Nceda uyijonge njengoko iphuma; unokujonga ukusuka kumda ongaphantsi ukuya kumda ophezulu. Uyasibona isizathu sokuba umfazi akhulelwe; unokugqiba ukuba kutheni lo mntwana enokuhlala kule ndawo ye-pelvic apha kunokubangela umonakalo omkhulu kwi-nerve ye-sacral. 

[00:08:31] UGqr. Mario Ruja DC*: Abaninzi babo babandezeleka ngenxa yeentlungu ze-back back kunye ne-sciatica.

[00:08:34] UGqr. Alex Jimenez DC*: Esi sesinye sezizathu ezibangela ukuba lo mntwana ahlale kwaye adanise kule ndawo yonke apha. Ke xa sijonga olu hlobo lwezinto, sinokwenza intsingiselo yazo zonke iinkcazo-ntetho. Njengoko usenza intlungu kwindawo enye, unokubona ukuba ubuya kuba buhlungu njengoko ubuya kwenza into efana nale. Kwaye imithambo-luvo iyakwenzakalisa i-distal okanye itsalele ibheke kude kuyo. Nje ukuba ulimaze loo mmandla, injongo yethu kukumisela iingcambu zemithambo-luvo ezihla kuloo ndawo. Ukuba oku kuchaphazela yonke indlela phantsi komlenze, kuya kubangela intlungu. Ngoku, unokubona kulo mmandla ukhethekileyo ukuba kuqhubeka ntoni.

[00:09:18] UGqr. Mario Ruja DC*: Yile nto ngoku. Ngoku uyabona ukuba le yinto endiyithandayo, kwaye le yindalo. Ukuba uyakholelwa kwimimangaliso, uyeka ukukholelwa kwaye uqonde nje ukuba uhamba omnye. Nantsi i-sacral sacrum kanye apha, ithambo elingcwele, kwaye yiyo loo nto ibizwa ngokuba yi-sacrum kuba ingcwele.

[00:09:42] UGqr. Alex Jimenez DC*: Bendingayazi lonto. Ndafunda ngethambo eloyikayo, kwaye lisisiseko somqolo.

[00:09:48] UGqr. Mario Ruja DC*: Kulapho, njengoko ukhankanyile, kulapho ukuzalwa kuphuma khona. Apha kulapho ilifa elilandelayo lenziwa khona. Ke nantsi ilium. Kulungile, lithambo lesinqe sakho ke elo. Unazo ezimbini. Kukho i-symmetry emizimbeni yethu, kwaye yindlela uThixo asidala ngayo kwi-symmetrical synergy. Ke kanye apha zii-pubic surfaces, kwaye ke unabasebenzi kanye apho, kwaye ke nantsi laa diski ye-L5, kwaye le yeyona ndawo ndinokuthi malunga neepesenti ezingama-80 zediskhi zenzeke kanye apho. Ke ukuba ufuna ukuthatha uqikelelo lwasendle, oku kulapha.

I-Intervertebral Foramen

[00:10:32] UGqr. Alex Jimenez DC*: Mandiyiphucule loo nto kanye apho ukuze ndikwazi ukuzisa ngcono kancinci. 

[00:10:42] UGqr. Mario Ruja DC*: Le nto iyadanisa.

[00:10:43] UGqr. Alex Jimenez DC*: Njengoko uGqr. Ruja wayechaza, uthetha malunga ne-disk space yomqolo kanye apha. 

[00:10:51] UGqr. Mario Ruja: Kunjalo, ke yabona, kulapho une-IVF.

[00:11:00] UGqr. Alex Jimenez DC*: I-intervertebral foramen.

[00:11:01] UGqr. Mario Ruja DC*: I-IVF. I-interverebral foramen. Nantso ke, kwaye yonke loo nto ifana negama elimnandi kuyo. Kukho umngxuma apho yonke into ilungile iphuma khona.

[00:11:06] UGqr. Alex Jimenez DC*:  Ke apha siqala ukujonga umngxuma osecaleni, kwaye njengoko siwujonga kanye apho. Unokubona apho iingcambu zemithambo-luvo ziphuma khona kanye.

[00:11:29] UGqr. Mario Ruja DC*: Ke ngelo xesha, uyayibona apha.

[00:11:35] UGqr. Alex Jimenez DC*: Ngokuchanekileyo, kwaye njengoko ujika imodeli.

[00:11:38] UGqr. Mario Ruja DC*: Kulungile, kanye apho.

[00:11:41] UGqr. Alex Jimenez DC*: Nantso imvakalelo kanye apho.

[00:11:43] UGqr. Mario Ruja DC*: Ke kulapho bahlala khona phezu komnye apho. Emva koko unokuyibona ukusuka ngaphantsi kanye apho. Ngoku ngeli xesha, ezi mithambo-luvo, njengefiber optics, zihamba ukuhla ngale mijelo kunye nokuvuleka nayo yonke into. Ke zininzi iindawo, Alex, ezinokuthi zibanjiswe, zixinzelelwe, kwaye zinokujijwa kwakhona. Khumbula, igama elikhulu kuthi nakwiintetho zethu kukudumba.

Ngaba ukudumba kubangela iingxaki eMzimbeni?

[00:12:23] UGqr. Alex Jimenez DC*:  Ukudumba ewe.

[00:12:26] UGqr. Mario Ruja DC*: Ukukrala okunzulu, ewe. Ngoku, zonke ezi kwakhona ukuba ujongeka njengegcisa lombane kuba ndiyayithanda indlela abasebenza ngayo abantu bombane. Ujonge i-fiber optics, kwaye kufuneka uyilandele kwaye ufumanise ukuba uphi umba? Ngaba ilapha phezulu? Apha? Ngaba iphakathi? Ngaba ilapha kumjelo? Kulapho kanye kuloo notshi yi-compress ye-muscle.

[00:13:01] UGqr. Alex Jimenez DC*: Ewe, uyayibona kwi-compress yemisipha.

[00:13:12] UGqr. Mario Ruja DC*: Bona apho iphinywe khona kanye apho. Loo misipha ye-peraforma ngoku ibaluleke kakhulu. Kwakhona, kulapho ubona khona amaxesha amaninzi kufuneka ukhulule eso sihlunu. Nje ukuba icinezele, ivele iye haywire kanye apho.

[00:13:30] UGqr. Alex Jimenez DC*: Ewe, kutheni bebiza isihlunu se-peraforma nguMario?

[00:13:35] UGqr. Mario Ruja DC*:  Ndixelele, Alex.

[00:13:37] UGqr. Alex Jimenez DC*: Kuba ikhangeleka njengepere. Xa uyithatha, sisihlunu esityebileyo xa ujongeka ngathi sicaba apha.

[00:13:43] UGqr. Mario Ruja DC*: Kwaye ndibona umfanekiso wepere, uAlex.

[00:13:44] UGqr. Alex Jimenez DC*: Ewe. Nanku umphezulu wepere, kwaye yindawo ebanzi yepere.

[00:13:49] UGqr. Mario Ruja DC*: Intle loo nto, Alex. Andazi ukuba luhlobo luni lwepere.

[00:13:52] UGqr. Alex Jimenez DC*: Kunjalo.

[00:13:52] UGqr. Mario Ruja DC*: Kodwa ewe, unyanisile, imile okwepere. Ngoku ndiyayibona.

[00:13:56] UGqr. Alex Jimenez DC*: Le yinxalenye crazy. Kukho i-Escamilla ephezulu apha kule ndawo ukuze ibanjwe naphi na. Njengoko sijonga oku kwisiseko sombono, unokubona ukuba kutheni abantu beqala ukuba nezi mpawu.

[00:14:08] UGqr. Mario Ruja DC*: Ewe, ukuba sijonga le pateni, sinokubona ukonyuka kwendlela yokuphila yokuhlala, u-Alex. Uyayibona indlela zonke ezi zihlunu apha? I-glutes, i-gluteus minimus, i-Maximus, i-hamstrings. Izihlunu ezinkulu ze-squat kunye nezinqe. Ngaba uyazibona zonke ezi zicocwa kwaye zicinezelwa kwimithambo-luvo?

Inkqubo yeLymphatic

[00:14:40] UGqr. Alex Jimenez DC*: Ewe, mandikubonise oku, Mario kuba bendifuna ukukubonisa le nto. Ukuqala kwam ukuyibona le nto, ndacinga oku njengoko wawuqala ukuqaphela ukuba unenkqubo ye-venous, kodwa nantsi into abantu abangayaziyo malunga nenkqubo ye-venous. Ecaleni kwayo kukho inkqubo ye-lymphatic. Ngoku mandisuse ezi zihlunu apha, kwaye uza kubona ukuntsonkotha kwemigca eluhlaza. Le migca eluhlaza ikwinkqubo yokujikeleza kwegazi.

[00:15:02] UGqr. Mario Ruja DC*: Wow, imigca eluhlaza yinkqubo ye-lymphatic.

[00:15:05] UGqr. Alex Jimenez DC*: Uluhlaza yi-lymphatic, kwaye ebomvu yi-arterial. Xa uqala ukubona ebomvu ngoku, unokubona ukuba baneengxaki ngokujikeleza kwabo xa umntu ehlala phantsi kakhulu. Kwaye njengoko ubona apha, khawufane ucinge uhlala phantsi imini yonke phezu kwale nto? Ngaba uyayibona indlela okuya kwenzeka ngayo ukudumba kuloo mmandla?

[00:15:25] UGqr. Mario Ruja DC*: Alex, jonga ukuba kungakanani okwenzekayo kuloo ndawo ye-pelvic. Ndiyathetha, oku kufana nefiber optics ebotshwe nje, kwaye oku kufana ne-compress. Okwangoku, akukho ndawo ingako iqhubekayo apha, Alex. Ndithetha ukuba, unemithambo-luvo, imithambo, imithambo, kunye nelymph, zonke ezo zidlula kumjelo omnye. Ke akukho nto ininzi endiyibizayo, uyazi, indawo kunye nokuxolelwa. Kungenxa yoko le ntlungu ekhuphayo phantsi komlenze icinezela loo ndawo ukuba ukuhamba phantsi komlenze kusebenze. Yiyo loo nto umlenze wakho uba ndindisholo kwaye izihlunu zakho kakhulu emva kwexesha elide unale ngxaki. Kwenzeka ntoni, Alex, kwizigulana zam ezininzi zifumana i-atrophy yezihlunu. Uyazi, bafumana ubuthathaka bezihlunu, kwaye kulapho izihlunu zakho zishwabana khona.

[00:16:40] UGqr. Alex Jimenez DC*: Makhe ndikubonise izihlunu ezongezelelweyo apha. Uyabona, yiyo loo nto siziqeqesha kuba zonke ezi zihlunu zilapha zijikelezile kwaye zigqume le ndawo, kwaye izihlunu ziyawohloka.

[00:17:00] UGqr. Mario Ruja DC*: I-Decalibrates.Ngaba oko kufana negama elihle lokulithetha nje...

[00:17:05] UGqr. Alex Jimenez DC*: De-imiqathango?

[00:17:06] UGqr. Mario Ruja DC*: Oko kuwela phantsi?

[00:17:08] UGqr. Alex Jimenez DC*: Kum, ndiyalithanda igama elithi ulungelelwaniso kuba sisakhiwo esilungelelaniswe kakuhle. Ngokwefilosofi, baye bafumana iqhuma kule bhola ebalandelayo kuyo yonke indawo xa ujonge ebantwini. Le yunithi yamandla, akunjalo? Le nkqubo ye-throttling, yi-glutes. Abanye babaluleke ngakumbi kunabanye, akunjalo? Kodwa kulapho sisuka khona; ngumthombo wamandla. Yindlela isidalwa esenza ngayo iiankile yaso. Ukuba isinqe siphelile, irhamncwa alisindi. Ngoko xa sijonga oku, kwaye sijonga umntu owayengumdlali wezemidlalo eselula kwaye ngequbuliso ufumana lo msebenzi apho ahlala phambi kwekhompyutha, akaphumi. Kwenzeka ntoni kubo? Bazigungxule okwemoto. Ayisebenzi, kwaye ngaphambi kokuba uyazi, iqala ukutshona kwaye ithandeke, kwaye ekugqibeleni, ukusebenza kwangaphakathi esisanda kuvela kuqale ngokwenene ukugaya. Ke xa kukho ukuxinana, inkqubo ye-lymphatic inoxanduva lokujikeleza. Kodwa inkqubo ye-lymphatic, ngokungafaniyo ne-arterial kunye ne-venous system, esebenza ngokuyinhloko ngokumpompa kwentliziyo, isebenza ngokushukuma. Ngoko xa uhleli phantsi, awushukumi.

[00:18:16] UGqr. Mario Ruja DC*: Uyazi yintoni, Alex? Yimpompo ye-occipital ye-sacral; xa uthetha nge-CSF cerebral spinal fluid, ndiyakwazi ukukuxelela ngoku xa loo sacrum ingapompa emva naphambili xa uhamba, uyazi ukuba kwenzekani? Iyagxadazela ukuya kwingqondo yakho.

[00:18:36] UGqr. Alex Jimenez DC*: Iya.

[00:18:37] UGqr. Mario Ruja DC*: Ewe, yonke indlela eya engqondweni yakho. Ke indawo othethe ngayo endicinga ukuba ibalulekile. Kufuneka ugcine umzimba uhamba. Sidalwe njengeebhiped. Asihambi njengeegorila ezihamba ngemilenze yomine. Ndiyazi ngamanye amaxesha uziva ngathi ungomnye, kodwa asizonkawu. Kuko oko; asizizonkawu. Eyona nto kukuba, sibipeds. Oko kuthetha ukuba wonke umzimba kufuneka ulungelelanise kwaye ume ngeenyawo. UAlex, kuyo yonke imidlalo, ndixelela abantu ukuba ndichukumisekile zii-biceps zakho, kodwa eyona nto iphambili yakho iyala. Uyakwazo oko? Undoqo wakho umisela umsebenzi wakho wonke. Kulapho ugcina umzimba wakho uthe tye, kwaye udala olo lungelelwaniso lomqolo wakho. Kanye ukuba lordosis, ukuba igophe kumqolo wakho. Xa loo nto ilahlekile, uyehla; uyaguga. Nantso ke, kanye apho.

[00:19:41] UGqr. Alex Jimenez DC*: Masiqhubele phambili sijonge oko kanye apho. Ewe, yile lordosis uthetha ngayo apha emqolo.

I-Lordosis

[00:19:56] UGqr. Mario Ruja DC*: Ngaba ungayizoba i-lordosis?

[00:19:59] UGqr. Alex Jimenez DC*: Kanjalo.

[00:20:01] UGqr. Mario Ruja DC*: Wowu, uyaphambana lo, Alex.

[00:20:06] UGqr. Alex Jimenez DC*: Yimpambano leyo.

[00:20:10] UGqr. Mario Ruja DC*: Kulungile, ke masenze ipeni epinki ngeentlungu kwi-lordosis.

[00:20:17] UGqr. Alex Jimenez DC*: Elo jiko kunye neli jiko lenza umahluko omkhulu. Ngoko kwenzeka ntoni ugqiba ukuqonda ukuba le sacrum okanye le ndawo ye-glute ichaphazela indawo enkulu. Into endiyifundileyo ekusebenzeni kwam kukuba xa unomntu onomcimbi we-sciatic, kukho imiba engaphezulu, kwaye kukho imiba yegxalaba ngoku ukuba umqolo ongezantsi uneengxaki ...

[00:20:53] UGqr. Mario Ruja DC*: Ilahla yonke into, kwaye ifana nesiphumo se-domino.

[00:20:56] UGqr. Alex Jimenez DC*: Ewe. Ucinga ntoni xa bekuxelela, Hee, umntu ulimaza umqolo wakhe kuphela, kwaye lo ngumsebenzi onxulumene nomsebenzi? Kwaye ngokufanayo, bathi inxulumene kuphela ngasemva. Nangona kunjalo beza ngeentlungu zomlenze, iintlungu zengalo, kwaye iyavakala kuthi, kodwa akukho mntu ufuna ukuyiqonda loo nto.

[00:21:11] UGqr. Mario Ruja DC*: Ewe, kungenxa yokuba abafuni, Alex. Kulapho bafuna ukuxoka, kwaye bubuxoki. Uyakhumbula xa umama wakho ekuxelela ukuba akulunganga ukuxoka?

[00:21:34] UGqr. Alex Jimenez DC*: Uyakwazo oko? Kutheni singathethi nje ukuba yintoni na? Bayaxoka. Baye baqonda ukuba kutheni bengaqondi ukuba umzimba yitsheyini ye-biomechanical, kwaye ukuba ichaphazela i-hips, iqala ukuchaphazela umqolo ophantsi, ochaphazela umva ongaphezulu. Kwaye wonke umntu uyazi ukuba unomqolo onikezelayo, amagxa akho aya kuba nemiba. Ukuba uneengxaki zamagxa, ngokulinganayo kwelinye icala legumbi; uzakuba nemiba yamadolo. Ke into eyenzekayo xa sijonga le modeli iguqukayo, siyabona ukuba asinakuxela i-fib apha.

ITrapezius

[00:22:06] UGqr. Mario Ruja DC*: Umnqonqo yiyunithi enye eyenziwe ngamacandelo amaninzi. Kulungile, ayohlukanga. Ngoko akukho ndlela yokuba ungenzakala kwenye indawo yomqolo, kwaye unokundixelela i-100 ekhulwini ukuba ayichaphazeli nayiphi na enye. Akunakwenzeka. Uxolo, uThixo akazange adale. Ukuba ufuna ukuyibona apha, jonga le ischium muscle njengoko ihamba yonke indlela. Jonga le. Lo uyamangalisa. Ndiza kuyenza le nto. Nasi isihlunu apha, trapezius. Ngoku jonga njengoko ihamba ukusuka apha ukuya apho amahlombe ezantsi, emva koko uye entanyeni emva kwentamo.

[00:23:32] UGqr. Alex Jimenez DC*: Makhe ndicacise amanqaku okubhala, Kulungile?

[00:23:35] UGqr. Mario Ruja DC*: Ungawuhambisa umzimba phantsi? 

[00:23:38] UGqr. Alex Jimenez DC*: Ewe, ndinako, kwaye nalapho uhamba.

[00:23:44] UGqr. Mario Ruja DC*: Ke ndifuna ukubonisa umzekelo omnye ukuze ukwazi ukubona yonke indlela ukuya kwisiseko sentloko.

[00:23:49] UGqr. Alex Jimenez DC*: Kulungile, ndikufumene. 

[00:23:52] UGqr. Mario Ruja DC*: Uchanile.

[00:23:57] UGqr. Alex Jimenez DC*: Kulungile, nantsi into ofuna ukuyibonisa. Ndicinga ukuba into ozama ukuyibonisa kukuba uzama ukubonisa izihlunu ezimbi kwaye ubone zonke izinto ezilungileyo apho. 

[00:24:06] UGqr. Mario Ruja DC*: Ewe, kodwa ndifuna ukukubonisa nje laa maleko aphezulu, trapezius.

[00:24:10] UGqr. Alex Jimenez DC*: Owu, masiye kwindawo yezihlunu.

[00:24:11] UGqr. Mario Ruja DC*: Ngoko ihamba yonke indlela ukusuka kwisiseko. Ngaba ungasondeza ukuze sibone yonke into?

[00:24:16] UGqr. Alex Jimenez DC*: Ngokuqinisekileyo unako. 

[00:24:18] UGqr. Mario Ruja DC*: Kulungile, phakamisa imodeli.

[00:24:20] UGqr. Alex Jimenez DC*: Ndiyanqena ndinga.

[00:24:23] UGqr. Mario Ruja DC*: Ngoku nantsi, kwaye le yindlela eshukuma ngayo le. Xa abantu besithi, Owu, wenzakalisa intamo yakho kuphela, kodwa hayi umqolo wakho ophakathi. Nantsi. I-Trapezius apha isuka kwisiseko sokakayi phantsi kwamagxa, kanye apho, yonke indlela ukuya kumbindi-ngasemva. Kulungile, kwaye oku kufana ne-T10 T11, akunjalo? Ndaweni ithile apha kufutshane, kanye embindini wayo yonke indlela enqumlayo. Ke yonke le ndawo kanye phaya, sisihlunu esinye, kwaye ukuba unokwenzakala apha kule ndawo, oku kuyakuchaphazela yonke indlela apha ke ukuba ungena nzulu kumaleko wesibini nowesithathu wesihlunu.

[00:25:50] UGqr. Alex Jimenez DC*: Makhe ndicofe apha ukuze uyibone.

[00:25:53] UGqr. Mario Ruja DC*: Ngoku iyaphambana.

[00:25:55] UGqr. Alex Jimenez DC*: Xa siqala ukususa iileya ze-muscular okanye ukwandisa izihlunu zemisipha, uqala ukujonga yonke imisebenzi.

[00:26:02] UGqr. Mario Ruja DC*: Owu, jonga laa, i-spinadeus enkulu, Kwaye jonga apha kanye. I-Vader scapula kwaye ukusuka ehlombe yonke indlela ukuya entloko i-scalenus calculus.

[00:26:24] UGqr. Alex Jimenez DC*: Kulungile, ngoko sijonge apha, sijonge umzimba ongakholelekiyo, kodwa masibuyele kwindawo yenkxalabo.

[00:26:33] UGqr. Mario Ruja DC*: Kulungile, uyayibona indlela eqhagamshelene ngayo, Alex.

Ziziphi izizathu ze-Sciatica?

[00:26:36] UGqr. Alex Jimenez DC*: Nasi isivumelwano, Kulungile? Mna nawe siyazi ukuba yonke into ye-darn ixhunyiwe, akunjalo? Sinokubona ukuba kuqhubeka ntoni emva kokujongana nezigulana ezininzi esizibonileyo kule minyaka idlulileyo. Kwaye sifana nabahlohli bevayolin. Sibamba ivayolin, kwaye senza lo mzimba uhambe. Umsebenzi wethu kukuqonda xa umntu engena kwaye ngokomzimba ukubona apho le ngxaki. Fumana apho imiba ikhoyo; kukho iitoni zemiba, kwaye asikaqalisi. Siba nencoko ngokubanzi malunga ne-sciatica kunye nalapho imiba ikhoyo. Into esingayifuniyo yeyokuba asinqweneli kungenelelo lotyando nakweyiphi na imeko kwangethuba ngaphandle kokuba oko kuyimfuneko ngokwenene. Ngoku into esiyijongileyo kuxa sibona le nto, akukho mntu uyifunayo. Siyilungisa njani ke lento? Ngoko kukho iitoni zeendlela zokwenza oko.

[00:27:26] UGqr. Mario Ruja DC*: Ngaba sinokubuyela kwiislayidi ze-causation ye-sciatica? 

[00:27:34] UGqr. Alex Jimenez DC*:  Ngokuqinisekileyo. Ndiza kukubuyisela kwi-causation xa ufika apho ngomzuzwana. Unobangela ulapha, kwaye sijongile.

[00:27:51] UGqr. Mario Ruja DC*: Eyokuqala yi-compress.

[00:27:52] UGqr. Alex Jimenez DC*: Uxinzelelo lwediski.

[00:27:54] UGqr. Mario Ruja DC*: Uxinzelelo ngenxa yokungabikho kolungelelwaniso lolungelelwaniso ngaphakathi kwenkqubo. Ke unoxinzelelo olungalinganiyo kwaye ke uhlale phantsi kakhulu; sithethile ngayo, akunjalo? Kwaye ke ukuvuvukala kwakhona, inkqubo yokuvuvukala. Sathetha kwiveki ephelileyo nge-metabolic syndrome, ukuvuvukala. Ukuvuvukala kuchaphazela wonke umzimba kunye ne-disc bulging. Eyesibini ekunene kukho i-disc bulging. Lonto iphinde yenziwa yintoni? Umqolo awukho kulungelelwaniso, awukho kulungelelwaniso, ubeka uxinzelelo olungalinganiyo, kwaye kufana nje nokukhama ibhaluni okanye idonathi. Lowo ngumzekelo oqhelekileyo. Ubeka uxinzelelo kwi-donut kwelinye icala, kwaye iya kuqhekeka, emva koko uhambe ukusuka kule ngqungquthela ukuya kwi-herniation embi. I-Herniation kunye nokwaphuka. Ewe, ukuba une-DDD yokwenzakala, yinto ehlekisayo leyo. Isifo se-disgenerative.

Izifo zeDis Degenerative

[00:28:58] UGqr. Alex Jimenez DC*:  Ewe, imiba yokuwohloka kwangaphambili.

[00:29:00] UGqr. Mario Ruja DC*: Kunene? Kwaye ndiyayithanda kuba abantu abaninzi beza kwikliniki yam, "Owu, ndinezifo zediskhi eziwohlokayo ngathi ndiyaguga," kwaye ndithi, "Hayi. Ubungenasondlo emqolo, kwaye awumdala. ” Ukuba ubuwunyamekele kakuhle umzimba wakho, ubungayi kuba nokuwohloka. Benza ngathi oku kuqhelekile; nangona kunjalo, ayiqhelekanga; olu luphawu nje lokuqhekeka.

[00:29:23] UGqr. Alex Jimenez DC*: Uyazi, ubukhulu bokuba omnye wethu utyhila okanye ufumanise apho umntu anomcimbi. Zonke ezi zinto zineendlela esinokuyinceda ngazo. Yintoni ephambeneyo ngayo kukuba kufuneka sichasane neenkozo kwiindlela zethu kuba awucingi ukuba umthambo ungasisixhobo esiluncedo kule nto. Nangona kunjalo, umthambo yenye yezona zinto zilungileyo ekufuneka sizilinganise i-pelvis ukuba ifanelekile. Yidiski ye-herniated, kwaye imbi. Kufuneka siqhubele phambili kwaye sisuse ngotyando oko; ukuba akunjalo, senza i-anti-inflammatories, ngaba senza iindlela zendalo, kwaye sifumane ukuba umzimba usebenze kunye nokulinganisa. Ngamanye amaxesha into eyenzekayo kukuba aba bantu bangene. Aba bantu zizigulana ezingena kwaye ngequbuliso zineentlungu ezithe zangena kubo kwezi veki zidlulileyo. Ngamanye amaxesha banokwenzakala okutyibilikayo, idiski etyibilikayo, okanye i-vertebra ethe yaphuka iminyaka kwaye ngoku inikezela ngemiba. Ngamanye amaxesha yinkcazo yemithambo-luvo. Ngamanye amaxesha kukuphazamiseka kwemetabolism njenge-metabolic syndrome, kwaye banemeko yokukrala. Into endiyiqapheleyo, kwaye ndiqinisekile ukuba uyibonile, kukuba aba bantu bane-sciatica bahlala nale monster izayo. Ifana nenyoka ehlala kwiibhulukhwe zabo, kwaye xa ibaluma, ithatha umlenze wabo wonke. Iphazamisa ubomi babantu. Ukufumana apho unobangela kubaluleke kakhulu. Ke njengoko sidlula kwezi zinto, ndiyathetha, kubalulekile ukudlula imimandla. Ndikhe ndabona nezigulane apho zingena khona zicinga ukuba yi-sciatica. Kwaye ngokuqinisekileyo, kulusizi, kodwa lithumba. Kwaye kuloo meko, sihamba ngokukhawuleza. Ndimelwe kukukuxelela, kwiimeko apho siye safumana khona, siye saba nentsebenziswano enkulu kwaye sasombulula imiba emininzi kwizigulana ezininzi.

[00:31:06] UGqr. Mario Ruja DC*: Obo bubuhle bendlela esicinga ngayo, Alex. Sicinga malunga nokudibanisa. Ke, ngenxa yokuba unehamile, yonke into ayibonakali ngathi sisikhonkwane. Siyi-chiropractors, kodwa kwangaxeshanye, singoogqirha. Kwaye oko kuthetha ukuthini kukuba siyazi malunga ne-physiology, anatomy, neurology, yonke loo nto. Ngoko sinokuqonda ukuba inzwa yentlungu ayikho ingxaki. Iintlungu ze-sciatica aziyongxaki. Sijonge unobangela wengxaki, Alex. Kwaye oko ngeendlela ezininzi, ukungahambi kakuhle, ukunyanzeliswa, ukudumba, i-disc bulging kwakhona, i-bone spurs, kwaye amaxesha amaninzi abantu baya kuthi, Kulungile, ndine-bone spurs ngenxa yokuba ndiyaluphala. Hayi, i-bone spurs idalwe ngenxa yokuba kukho ukungahambi kakuhle kunye nokungabikho kokulungelelaniswa kumqolo wakho apho umzimba uzama ukuzilawula, ukuzilungelelanisa, kwaye ubizwa ngokuba ngumthetho wengcuka. Uyazi, umthetho wayo ngumgaqo ofanayo ojongene ne-fracture yokuphulukisa i-fracture apho unoxinzelelo, kulapho uye wanda i-calcification. Alex, ngaba kunjalo?

[00:32:22] UGqr. Alex Jimenez DC*: Yinto efanayo xa usebenza; xa usebenza, ufumana i-calluses ngokufanelekileyo kuba umzimba uphendula kuxinzelelo ngokunyusa nokukhusela izicubu. Kwenzeka into efanayo nangomqolo. Masithi iqala ukukhulula ngokungafanelekanga, ngoko ngaphambi kokuba uyazi, umthetho wengcuka ukhaba, i-osteoclast iqala ukulahlekelwa, yizona ezithatha ithambo, kwaye i-osteoblasts iqala ukuphumelela. Emva koko unokwanda kokukhula kwethambo kwicala, ngokuqhelekileyo kwicala lamandla. Ke, eneneni, umzimba uzama ukuwukhusela, ngoko unokucinga ukuba umntu uya kufana nenqaba eleleyo. Ewe, kweli cala umzimba uyalikhusela ukuze lingawi. Ngoko ke, ngokwenene, njengoko sijonga ezi zifo eziphazamisayo, sizama ukuzifumana kwangethuba, kwaye sizama ukudibanisa. Kwiimeko ezininzi, sinokunceda umntu ngeendlela ezahlukeneyo kunye neendlela ezahlukeneyo. Kwaye sisebenzisa ezinye iindlela ezininzi kunye nobuchule bokunceda abantu kule nkqubo.

IStinal Stenosis

[00:33:18] UGqr. Mario Ruja DC*: Ndifuna ukudlula amanqaku ambalwa. Uyazi, sithetha nge-spinal stenosis. Kwakhona, ukuqala kwe-spinal stenosis kukungahambi kakuhle komqolo wakho, apho i-chiropractic inobugcisa obuhle. Oku kubugcisa kunye nenzululwazi yokulungisa oko. Ngoko ke ukulungelelaniswa ngakumbi, ukucaca ngakumbi, ngakumbi ibhalansi onayo kumqolo wakho. Okukhona ulondolozo olungakumbi olufumana kumqolo wakho, kokukhona ukuncipha kwe-spinal stenosis uya kuba nako kamva ebomini bakho. Okanye kwakhona, i-spinal stenosis. Uyazi, enye into esiyijongileyo sisifo se-disc okanye i-disc herniation. Ndiyakholelwa ukuba ndijonge umzimba kwi-25 + iminyaka yokusebenza kwam; okukhona ulondolozo olungcono olunika umzimba wakho, imiba embalwa, kunye nokuwohloka okuncinci obuya kuba nako kamva ebomini bakho. Ke ndijonge ukuba singoogqirha abachasayo ngokwemigaqo ye-biomechanics, ke sinceda umzimba ukuba ugcine umsebenzi wawo ungowona ulungileyo ixesha elongeziweyo. Ngoko ke, xa ukwi-60s kunye ne-70s, kunye ne-80s, ungazihambela ngaphandle kwenduku, kwaye unokusebenza. Unokwenza i-squat. Ndiyathanda ukulinganisa impilo yonke ixesha, uyazi. UDanny ulungile. Nge-PUSH, uDanny womelele ngokomgangatho wokomelela. Kwaye kulapho intsebenziswano ingena khona. Okukhona iimayile ezininzi, kokukhona ukonakala kunye nokukrazula, kokukhona ubetha umzimba wakho. Okukhona ufuna ulondolozo, kokukhona umsebenzi wokubuyisela ungakumbi. Kwaye abantu abaninzi, Alex, banombono onje, Owu, umqolo wam ubuhlungu, ndifuna nje ukukrwada ngakumbi. Ndifuna nje ukwenza iintsimbi ezininzi. Ndifuna nje ukuba sejimini, hayi. Kufana nokuba ndikuxelela ukuba andifuni ukubala kwesondlo kunye nohlengahlengiso lwemoto yam. Ndifuna nje ukuyiqhuba ngakumbi ngoku. Ke okukhona ubeka iimayile ezininzi ebhegini yakho, kokukhona u-squat, kokukhona ufuna ulungelelwaniso. Ngoba? Ngenxa yokuba, ekugqibeleni, umzimba wakho uya kuphuma ngaphandle kolungelelwaniso.

[00:35:32] UGqr. Alex Jimenez DC*: Uyazi, njengoko sijonga ukuphazamiseka, njengoko ubutshilo, i-spinal stenosis. Kukho izizathu ezininzi esinokuthi sibe ne-spinal stenosis, ukusuka kwidiski ukuya kwimiba ye-arthritic nje. Kodwa xa sinomntu oye wanemiba ngequbuliso, kulungile, oku akwenzeki ngequbuliso, uyazi, uhlobo lwento yokuba i-spinal stenosis ingenzeki ngaphandle kokuba yi-disc herniation enkulu eyenzekayo ngomzuzu omnye. Ewe, kodwa ezi zinto kunye nento esithetha ngayo nge-spinal stenosis, kukho izizathu ezahlukeneyo. Kwaye kunyango zininzi iindlela, uyazi, i-microanatomy. Kukwakho ne-laminectomy leyo kukususa uxinzelelo. Kodwa eyona nto iphambili ayilunganga kakhulu kwi-nerve. Umba ngamandla acinezelayo. Ngoko ke kufuneka senze ntoni kwimeko apho kukho ukungalingani kwe-biomechanical kwibhanti ye-pelvic ixesha elininzi. 

[00:36:20] UGqr. Mario Ruja DC*: Ngoko ke ulwakhiwo luthintela i-nerve.

[00:36:23] UGqr. Alex Jimenez DC*: Ewe. Kwaye njengoko sisenza oko, sivavanya ukuba kukho izinto ezithile ezifana nobudala, ukutyeba, okanye nangaphantsi kobomi bomsebenzi. Ziziphi ezinye izinto, Mario?

Yeyiphi imisebenzi ebangela iSciatica?

[00:36:33] UGqr. Mario Ruja DC*: Indlela yokuphila yokuhlala phantsi, ukuphindaphinda intshukumo yomsebenzi? 

[00:36:36] UGqr. Alex Jimenez DC*: Loluphi uhlobo lwemisebenzi olunokuba ne-sciatica? 

[00:36:40] UGqr. Mario Ruja DC*: Abaqhubi belori. Ngoba? Ngokungcangcazela. Iiyure ezisibhozo ukuya kwezilishumi ngokuhlala phantsi. Oonobhala, ndithetha ukuthi, ungaqhubeka kwaye uqhubeke, abantu abasebenza ezibhankini kunye nootitshala nkqu.

[00:36:57] UGqr. Alex Jimenez DC*: Sinezigulana eziya kumzila kaloliwe weManyano yaseMazantsi, iinjineli, ukungcangcazela, ukungcangcazela okungaphaya kweminyaka engama-30 yokungcangcazela. Ekugqibeleni, ithambo lisebenza amafu omqolo, okanye une-spinal stenosis, kwaye banemiba ye-disc yangasemva, kwaye banezifo eziphazamisayo.

[00:37:14] UGqr. Mario Ruja DC*: Iimbaleki zine-toque ephindaphindayo njengomdlali wegalufa. Bangaphi abadlali begalufa obaziyo abangenazo iintlungu zomqolo? Akukho nanye. Kuthekani ngabadlali bebaseball?

[00:37:25] UGqr. Alex Jimenez DC*: Kuthekani ngomhlobo wethu, uTiger Woods?

[00:37:27] UGqr. Mario Ruja DC*: Ewe, kwenzeka ntoni kuye?

[00:37:28] UGqr. Alex Jimenez DC*: Ewe, bacinge ntoni abantu? Abantu babecinga ukuba usenokuba uneengxaki ezithile ngotywala. Sekunjalo, inyaniso kukuba usebenzisa amayeza emva kotyando, yaye ngequbuliso, uyaqhuba, yaye mhlawumbi ulibele ukuwasela. Uyazi, bathatha ipilisi kwaye baqala ukuba likhoboka, kwaye lo mbandela. Kufuneka siqonde indlela yokulungisa le miba ilungelelaniswa. Kodwa ndimelwe kukunixelela; zininzi iindlela esinokubanceda ngazo abantu. Umcimbi kukuba xa siqonda apho ingxaki ivela khona, isicwangciso sokuhlasela sinokuqala. Kukho imiba eyahlukeneyo kunye neentlobo ezahlukeneyo zokuxilonga. Sinefestile encinci apha onokuthi ujonge kuyo. Uyabona ukuba i-sciatica luphawu. Kukubonakaliswa kweesyndromes. Yintlungu phantsi komlenze, kodwa kukho iitoni zezizathu.

[00:38:14] UGqr. Mario Ruja DC*: Ngoku unobangela ukhona, akunjalo? 

[00:38:17] UGqr. Alex Jimenez DC*: Ewe, jonga kuzo zonke ezi zinto, kwaye iyahlekisa.

[00:38:21] UGqr. Mario Ruja DC*: Wowu.

[00:38:22] UGqr. Alex Jimenez DC*: Eyona nto abantu bacinga ngayo kakhulu yi-peraforma syndrome, kwaye licandelo elinye kuphela. Ke xa oko kungasebenzi, ukolula kwakho okuncinci, uzama ukufumanisa ukuba yintoni ebangela ukuba ibe yi-tendinopathy, inokuba yi-bursitis. Jonga yonke le miba xa singena apha; xa sijonga le miba ethile, sinokujonga ezinye iinkalo ezilandelayo ezibangela iingxaki. Uyikhankanye phambi kweeseti ezine; oku kuncipha kukhulisa i-quadrant yindawo ye-formal.

[00:38:48] UGqr. Mario Ruja DC*: Ngoko makhe siyenze ilula. Kungenjalo, uyazi, abantu bosiva, bahambe; ininzi. Ininzi, kwaye oku kufana nombhobho womlilo, kwaye ndinomlomo wam phezu kwawo. UAlex, yile nto sinayo. Inombolo enye, yonke into yehla kwisiseko kunye nomsebenzi, akunjalo? Ukuba sibuyela kwinto nganye kwezi zinto ukusuka, uyazi, iiseti ezine-syndrome, oku kudodobala, isinqe esihlekisayo, uyazi, ukunyanzeliswa okusesikweni, i-quadrennial femoral, uyazi, izinto ezingaqhelekanga zonke ezi. Ingcambu yazo zonke ezi zinto kukungahambi kakuhle kunye nokungabikho kokulungelelaniswa kwenkqubo ye-neuromuscular. Ndithetha ukuthi, xa usihla kuyo, uninzi, anditsho ukuba 100 ekhulwini, masingayenzi loo nto. Masingabhanxi ngobu busuku. Hayi inqaku lininzi, ukuba singenza umsebenzi ongcono kuluntu lwethu, ukuba sinokwenza umsebenzi ongcono ngokweembaleki zethu, kukwenza i-maintainance calibration system kubo, siya kuncipha kakhulu kwezi zidegenerative. izifo zediskhi kunye noxilongo, siya kuzimisa ngaphambi kokuba ziqhume ebusweni babo.

Iindlela ezahlukeneyo zokuNyanga iSciatica

[00:40:19] UGqr. Alex Jimenez DC*: Makhe ndikubuze oku. Loluphi uhlobo lwezinto malunga nesakhono sethu sokuxilonga, yintoni esiyisebenzisayo iindlela ezahlukeneyo zokuxilonga?

[00:40:26] UGqr. Mario Ruja DC*: Ndiyayithanda iMRI.

[00:40:28] UGqr. Alex Jimenez DC*: Ngokumalunga ne-sciatica, i-X-rays ilungile, kodwa i-MRIs inokuxelela ukuba yintoni ingxaki.

[00:40:34] UGqr. Mario Ruja DC*: Yiyo loo nto, kwaye sithetha njengeTesla yeshumi. Andazi nokuba banayo na, kwaye ndicinga ukuba uxolo ngayo. Ndivele ndaphambana ngobu busuku. Hayi, abazange baphumelele. Siza kufumana iminxeba ethile. Tesla, yintoni? 

[00:40:46] UGqr. Alex Jimenez DC*: Sinengcali yeradiology ebalaseleyo, kwaye iyasinceda ukuba siqonde kwiindawo ezithile.

[00:40:54] UGqr. Mario Ruja DC*: Baneengongoma ezintathu-o okanye into?

Ubudlelwane kunye neRadiologist yakho

[00:40:59] UGqr. Alex Jimenez DC*: Ingcamango epheleleyo lubudlelwane kunye neeradiologists zethu. I-radiologists yethu ingamehlo ethu kunye neendlebe kwizicubu ezinzulu. Ndiyakwazi ukukuxelela ukuba sinezona ngcali zeradiology zisebenza kunye nathi. Siya. Ndithetha ukuthi, esi sixeko sinabantu abakwi-radiologists abakumgangatho ophezulu, kwaye xa sibathumela kubo, banxibelelana nathi kwaye basixelele ukuba ingxaki iphi na ukuba sisuka apho siye kuyo xa sisazi ukuba iphi. Sisebenzisa i-cat scans. Sisebenzisa i-ultrasound. Sisebenzisa iskeni samathambo.

[00:41:29] UGqr. Mario Ruja DC*:  Kutheni ingumbuzo nje? Kulungile, oku kuya kuphambana kancinci kwaye kubi kancinci ngokuhlwanje. Kutheni le nto oogqirha abaninzi, u-Alex ayalela ii-X-reyi kuqala? Kutheni kunjalo nje? Andikwazi ukuqonda ngokwam. Uyayazi into endiyizamayo ukuya ngqo kulo mba kukuya kwiMRI. Kutheni kunjalo nje?

[00:41:51] UGqr. Alex Jimenez DC*: Umgangatho wokhathalelo uninzi lwabathwali beinshorensi baya kufuna iX-reyi kuqala ukuze babone ukuba sisakhiwo samathambo esiwohlokayo ukuze sikwazi ukopha kuloo nto. Kodwa sonke siyaqonda ukuba olona khetho lufanelekileyo lokuyivavanya kukumisela ezinye izinto. Ukuba ufuna ukujonga ithambo, wenza iskena sekati ukwenza izicubu ezithambileyo. Ewe, esi sisihlunu esithambileyo. Ngoko ke wenza i-MRI ngokuchaseneyo, kwaye unokubona izicubu ezinzulu kunye nokwahlula kunye nokuvutha kwayo nayiphi na imiba emide eyenzekayo.

[00:42:21] UGqr. Mario Ruja DC*: Yiyo loo nto, kum, Alex, iyavakala ukuba sijonge kuxilongo lwediski kunye nemiba yemithambo-luvo, akunjalo? Kutheni le nto sisebenzisa isixhobo amaxesha amaninzi kwaye ndiyayibona le nto kwaye ndiyavumelana nawe. Zonke ii-inshurensi ziyangena kwaye zithi, Heyi, kufuneka wenze iX-reyi kuqala. Asiyi kukuvumela ukuba wenze iMRI, akunjalo? Ndinje, kodwa iiX-reyi azibonisi naziphi na izihlunu ezithambileyo.

[00:42:46] UGqr. Alex Jimenez DC*: Ndicinga ukuba yinto eqhelekileyo. Ingathi xa usiya kugqirha wamazinyo, uyazi, baskena onke amazinyo. Kulula kakhulu ukwenza ngokubanzi. Uyazi, kukho amaxesha apho umgangatho wokhathalelo ukuloo nto namhlanje? Ngomqolo ophantsi, umgangatho wokunyamekela i-X-ray njengendawo yokuqala yokungena. Ke ukusuka apho, ndifundile, kwaye ndiyifumene le nto mva nje, ukuba uninzi lwabathwali beinshurensi bavuleleke kakhulu ukuvumela umntu osekwe kwinkcazo ukuba enze nantoni na efunekayo. Abayeki. Lutshintsho oluhle ngenene oluthe lwenzeka njengoko ndingathi kule minyaka mihlanu idlulileyo; ngumdlalo owahluke ngokupheleleyo. Ke siye sibone ukuba senza i-nerve conduction kunye novavanyo lwemithambo-luvo ukubona isantya apho imithambo-luvo ibetha. Ngoko sinokufumanisa ukuba i-electromyography ye-AMG kwaye sibone indlela izihlunu. Kodwa awudingi ukuba wenze loo nto ye-sciatica xa usazi ukuba umntu usentlungwini enkulu. Ngoku, ukuba ufuna ukuyingqina, kuxa usenza i-NCBI. Ngaphandle koko, umntu akayi kungena ekuxelela ukuba unentlungu. Ngoku i-sciatica kuba ndiyibiza ngokuba sisibetho kuba iyakucaphukisa nje. Iyakunqanda ukwenza, awulali, ufumana ukungqengqa, kwaye into edarn iyasebenza. Kwaye kukho lo msinga wombane ukuthintela ukuba ulale. Abantu bangena ngamehlo abo ebomvu begazi kwaye bengakwazi ukunandipha ubomi babo. Oku kutshintsha umgangatho, kwaye kufuneka silungise ezi zinto. 

Ngaba i-Sciatica Ibangela Ukuvuvukala?

[00:44:09] UGqr. Mario Ruja DC*: Ichaphazela iintsapho. Alex, makhe sijonge kuyo. Uyakwazo oko? Ichaphazela ulwalamano lwakho neqabane lakho, nabantwana bakho, emsebenzini. Uyazi, uya emsebenzini, kwaye unomsindo. Ewe, uphambene nje emhlabeni, kwaye abantu bayazama ukucinga, ngathi, yintoni engalunganga, ndoda? Kwaye kufana, "Uyazi ntoni? Ndijongene nezinto. " Kwaye ke loo nto ingapheliyo emva kwexesha, ufana, “Andazi ukuba mandenze ntoni. Ndithatha amayeza amaninzi. Ndithatha iimiligram ezingama-800 yonke imihla kangangeenyanga ezintlanu.”

[00:44:39] UGqr. Alex Jimenez DC*:  Masinike abantu abaphaya abanokuthi bafune ulwazi oluthile oluncinci lokuqonda kwezinye iinketho abanazo. Ngoba yintoni igama lomdlalo apha? Yintoni i-sciatica kunye nokuvuvukala? Yinto ehlala inayo kwaye iya kuhlala iyiyo. Ke into ekufuneka siyenze kukwenza oko sinokukwenza, kwaye abantu abaninzi bayandibuza, Zeziphi iindlela zam? Ewe, sinocazululo lwezinto ezithile, kwaye siza kuxoxa ngezi zinto ngokweenkcukacha ezibanzi kwisithuba seenyanga ezimbalwa ezizayo. Kwaye siza kubetha le nto njengoko siza kujongana ne-sciatica kunye ne-vitamin C, D, i-calcium. Siya nzulu zonke ezi zinto, unokuthatha umfanekiso wekhusi wale nto, kwaye unokuthi berberine. Sifumene iglucosamine, ACL, carnitine, alpha-lipoic acid, i-ashwagandha, i-soluble fiber, i-vitamin E, iti eluhlaza, i-turmeric. Uninzi lwezi zinto zinento yokwenza ne-metabolic syndrome. Kodwa khawucinge ntoni? Xa une-metabolic syndrome, yintoni?

[00:45:36] UGqr. Mario Ruja DC*: Ukuvuvukala.

[00:45:37] UGqr. Alex Jimenez DC*: Ke into esiyiqapheleyo, Mario, kwaye undilungise ukuba ubona into eyahlukileyo. 

Ashwagandha

[00:45:44] UGqr. Mario Ruja DC*:  Ndiyalithanda elo gama elithi ashwagandha.

[00:45:47] UGqr. Alex Jimenez DC*: Ewe, ndiyayithanda nam.

[00:45:55] UGqr. Mario Ruja DC*: Kufana, siza kucamngca kungekudala, Alex. 

[00:46:01] UGqr. Alex Jimenez DC*: Ke, njengoko sijonga kolu khetho, sinokuxoxa ngamanqanaba anzulu enzululwazi yebhayoloji apha, Kulungile. Kuba wonke umntu ufuna ukwazi ukuba singenza ntoni, kodwa kuba sisebenza, masithi, kwi-engile ye-metabolic syndrome, kwakhona, kufuneka sibophe kwenye i-insulin yerhamncwa. Ukuchaphazeleka kokudumba kwe-insulin. Kwaye apha, siyahambelana. Isenokubonakala ikude, kodwa ukuba uthatha abantu abalikhulu abane-metabolic syndrome, aba bantu banokuchaphazeleka kwi-sciatica kunye nezinto esibambelele kuzo.

[00:46:46] UGqr. Mario Ruja DC*: Masiyenze ilula. Bangaphi abantu obaziyo abane-metabolic syndrome abangenazo iintlungu zomqolo okanye i-sciatica? Kulungile, masiyenze. Masiyenze ilula.

[00:46:58] UGqr. Alex Jimenez DC*: Kufuneka sibophe kunye, kwaye kulapho sikwenza khona. Kuzwelonke kuqheliselo lweklinikhi, into esiyenzayo kukwenza olu nxibelelwano. Kwaye eyona nto iphambili kukuba siqala ukutshintsha imikhwa yabantu, uyazi, izinto ezilula njengendawo yokuba nepop okanye enye into kuphela onokuthi ube nayo njengeti eluhlaza. Iti eluhlaza yi-antioxidant anti-inflammatory. Siqala ukutshintsha iinkqubo zemetabolism, siqale ukusika igrisi yamathumbu, kwaye yonke into iqala ukwenzeka.

[00:47:27] UGqr. Mario Ruja DC*: KULUNGILE. Sixuba i-ashwagandha kunye negrisi yamathumbu. Uyakwazo oko? Abantu baya kukhumbula oku ngonaphakade, Alex.

[00:47:34] UGqr. Alex Jimenez DC*: Ukuba ubona into esinayo, sithi inzima. Singehla emngxunyeni omnye womvundla sithi sinexesha lenyaniso okanye into ebalulekileyo. Kodwa inyaniso kukuba i-back back ibangela intlungu yentamo. Abantu abaninzi baya kuyijonga baze bathi, Kutheni le nto isenzeka? Ewe, njengoko watshoyo uMario, uyazi, uThixo akazange abize njengentlungu yentamo. UThixo akazange ayibize i-lumbar spine. Sayibiza ngokuba yikholomu yomqolo. Yinto yonke darn edityanisiweyo. Ukusukela ngalo mzuzu uphilisayo, ukubetha intloko yakho iva ukothuka, akunjalo? Ke xa sijonga loo nto, xa sivavanya loo nto, sinokubona ukuba umzimba unentsingiselo enkulu xa imithambo-luvo enkulu, i-nerve egqiba emva kwexesha, ikhubeka. Ngoko ke into esinokuyenza kuqala, sinciphise imiba, siyilawule kwaye size nesicwangciso sonyango esisebenza ngokufanelekileyo kwizigulane. Ke njengoko sisenza ezi zinto, siya kudlula kuzo zonke ezo ngcinga zintle sinazo apha. Kwaye bendifuna ukunazisa ukuba siza kuxubusha eminye imiba emininzi.

Vitamin D3

[00:48:35] UGqr. Mario Ruja DC*: Kukho ivithamin D3. Yiyo loo nto ndiyithanda ivithamin D3, kwaye ikuyo yonke indawo.

[00:48:43] UGqr. Alex Jimenez DC*: Amakhulu amane ukuphazamiseka. Ukuhla kweepesenti ze-400 kuzo zonke iingozi zokufa okanye amaxesha anciphisa ukufa kwesifo nge-vitamin D. Oku kufana nento yomlingo? Ndiyathetha, ingqiqo. Ndithetha ukuthi, leliphi ilungu lethu elikhulu, akunjalo? Lulusu. Ngoko xa sihlala kwisixeko selanga, akunjalo, kwenzeka ntoni? 

[00:49:07] UGqr. Mario Ruja DC*: Sifunxa imitha yelanga.

[00:49:09] UGqr. Alex Jimenez DC*: Kwaye oko kufanele kube yeyona nto isempilweni.

[00:49:11] UGqr. Mario Ruja DC*: Hay ndifuna ukuphambana ngobubusuku. Konke kulungile. I-Sun City vitamin D. Sifanele sibe sesona sisempilweni emhlabeni.

[00:49:22] UGqr. Alex Jimenez DC*: Yiyo leyo. Ndiyathetha, ibalulekile. Ke sabizwa ntoni malunga namashumi eminyaka eyadlulayo? Mario, uyakhumbula ukuba sabizwa ngokuba yeyona dolophu ityebileyo elizweni? 

[00:49:35] UGqr. Mario Ruja DC*: Oko kuyandicaphukisa, kwaye oko kufanele ukubakhuthaza kwaye kumpompe abantu. Oko kulungile kufuneka kubekho umnxeba wokuvusa kunye nokukhala kwedabi lika-El Paso kunye nommandla wonke. Soze uphinde uwuvule umlomo utsho ngoba singabangcono.

Imigaqo yoNyango

[00:50:00] UGqr. Alex Jimenez DC*: Singo. Sisekwe kakhulu kusapho kunye nendawo kunye noluntu, kodwa sinengxaki ye-metabolic syndrome, echaphazela imiba. Kwaye enye yazo yi-sciatica. Ndimelwe kukukuxelela; akukho usuku apho isiqingatha sezigulane zam zifika zine-sciatica, kwaye mna nawe siye senza oku phakathi kwe-25 kunye ne-30 iminyaka, akunjalo? Ke njengoko besibetha kwaye silungisa ezi ngxaki. Kwaye kuya kufuneka sikuxelele ukuba kukho izifundo apho sibona ukuba xa oogqirha bazo zonke iintlobo ezahlukeneyo bebhekisa kugqirha wotyando, kukho umkhwa omkhulu wokwenza utyando, uyazi, ugxininise xa usiya kwi-nonmusculoskeletal ekhethekileyo njengonyango lomzimba. okanye i-chiropractor, senza uhlobo lokucoca imeko xa sisendleleni okanye kwindawo ekhoyo ukuze sibone iintlungu ezisezantsi. Bayiphosa kugqirha wamathambo, kwaye kuphela isihlanu ukuya kwi-10 ekhulwini kuninzi lwezifundo ezibonisa ukuba ezo ziba ngotyando lolo sizithumelayo. Malunga nama-50 ekhulwini ayatyandwa. Oko kuthetha ukuba senza umsebenzi omkhulu wokuhluza phambi kokuba babe nalo mba. Ngamanye amazwi, silungisa ingxaki, kwaye ezo sibhekisa kuzo.

[00:51:17] UGqr. Mario Ruja DC*: Ewe oko kulungile.

[00:51:19] UGqr. Alex Jimenez DC*: Umdlalo uyaqhubeka. Ke sifuna ukuqiniseka ukuba uyazi ukuba siyayifuna loo nto kugqirha wakho wamathambo ngaphandle. Sifuna olo khetho, olo hlobo, kodwa asenzi olo hlobo lwenkqubo. Kodwa kuyimfuneko ngokwemigaqo yonyango eqhelekileyo, uyazi, eyona nto iphambili ye-sciatica.

[00:51:38] UGqr. Mario Ruja DC*: Yiyo i-gabapentin. Ukongeza kuloo nto, sibhekisa kumatyala okwenyani, uyazi? Xa umntu engena, uyayidinga. Akunjalo, oh, uyazi ntoni? Siza kuchitha ixesha labantu. Bayayidinga. Kuba kwakhona, imodeli entsha ngoku yeengxaki zangasemva kwaye ngakumbi i-sciatica ayivaleki. Kulungile, ukhathalelo olungaphazamisiyo kuqala kangangeenyanga ezimbini ukuya kwezintathu.

[00:52:10] UGqr. Alex Jimenez DC*: Ewe, uyazi, ndikwimbono yam kwezo zikhokelo. Uyazi, wonke umntu wahlukile.

[00:52:17] UGqr. Mario Ruja DC*: Ewe. Izikhokelo zeODG, uAlex.

[00:52:21] UGqr. Alex Jimenez DC*: Kwaye okwenzekayo kukuba ungajongana neeprothokholi zonyango xa sijonga ezi ntshukumo. 

[00:52:31] UGqr. Mario Ruja DC*: Ewe, ikhona. Iiprothokholi zonyango. Uyazi, ndijonge unyango. Ukunyamekela kweChiropractic, utshintsho lwendlela yokuphila. I-Metabolic syndrome, sijonge unyango lomzimba; sifuna wonke umntu okhweleyo. I-acupuncture, iziyobisi kwakhona. Amayeza entlungu. Iziphumlisi zemisipha ezichasayo. Nutraceuticals, herbals, iinaliti ze-steroid. Ewe, ezo zizinto esizibiza ngokuba kukuxoka njengawe wesibini, nokuba uninzi lwezigulana, kusemva kokhathalelo lolondolozo ngexesha befika kweso sigaba. Kwaye ke, ngokuqinisekileyo, utyando, iinkqubo zotyando. Ke ewe, kufuneka uhambe nezigulana zethu. Sisuka kwi-nonvasive ukuya kukhathalelo olungenayo.

[00:53:36] UGqr. Alex Jimenez DC*:  Ezi nkqubo zezo sizenzayo.

[00:53:47] UGqr. Mario Ruja DC*: Ngoku nabo. Kwaye loo nto yirola yogwebu kanye ekuqengqelekeni kwesaqhwithi, oko kuthetha ukukhulula iimpahla, ukusebenza okunyulu kanye apho. Kwaye kwakhona, uninzi lwababukeli bethu baya kucinga, bambelela. Andikwazi nokuhamba, kwaye andinakuyenza loo nto. Kodwa kwakhona, esi sisigaba sesibini, uAlex. Esi sisigaba sesibini. Ngapha koko, asibakhuphi abantu, kwaye ngequbuliso, abanakukwazi ukungena apho. Uyazi, benza imitsi yeebhokisi. Hayi, le yonyango lwesibini lokuqala oluchanekileyo lukhupha i-brake yoxinzelelo kunye nepateni yeentlungu kwaye emva koko uzinzile kwaye ulungise ukungalingani kwemisipha. Ke ezo zizinto kuba ndicinga amaxesha amaninzi, uyazi, abantu abaninzi bandibuza ngathi, "Owu, uyazi ntoni? Ndifuna ukuya emsebenzini.” Ndiqhubeka ngathi, Heyi, yehlisa isantya, superstar, masingajima. Uyazi, masingasebenzi. Masiyilungise ingxaki. Lungisa umqolo wakho. Emva koko usebenza, kwaye wenze inkqubo yento endiyibiza ngokuba yi periodicity. Oko kuthetha ukuba uyayikala. Kuya kufuneka ukhase ngaphambi kokuba uhambe kwaye uhambe ngaphambi kokuba ubaleke. Ke masingabi ngamaqhawe, kwaye abantu abaninzi abanamonde. 

[00:55:08] UGqr. Alex Jimenez DC*: Ndiyavumelana nawe.

[00:55:09] UGqr. Mario Ruja DC*: Abanamonde. Bafuna izinto ngoku. Uyazi ukuba oku kudaliwe. Le ngxaki ye-sciatica kunye ne-back back idalwe iminyaka. Akukho sondlo esifana ne-10 20 iminyaka. Kwaye balindele ukuhamba baye eofisini kwaye, kutyelelo olunye, benze iijekhi zokutsiba. Uyakwazo oko? Uxolo kodwa ayizukwenzeka. Ngoko kulapho abantu bafuna kwakhona. Senza konke okusemandleni ethu, kodwa asijongi kulungiswa ngokukhawuleza. Ukuba unqwenela ukuba iimpawu zihambe kodwa azilungiswa, uya kujongana nengxaki. Loo nto iyakuba nzinyana iminyaka neminyaka, kwaye iya isiba mandundu, uyazi, nezo zivamvo zeentlungu. Le yeyona nto ibaluleke kakhulu. UThixo wadala umzimba ofana nenkqubo engummangaliso enjalo, yaye asinakukwazi nokukuphinda oku. Itekhnoloji enamandla kakhulu ephuhliswe ukunxiba izinzwa, ulwazi, ukulawulwa ngaphakathi emzimbeni wethu, kunye neentlungu ziyasebenza. Ndihlala ndixelela abantu ukuba, musani ukuzivimba iintlungu kuba zisempilweni kuba ikuxelela ukuba yiyeke. Loo ntlungu yesa sibane sibomvu kwidashi yakho ethi, musa ukuyiqhuba imoto, ungayipakishi, kwaye uyilungise. Nceda ungacimi isibane kwaye uqhubeke usiqhuba. Kwaye kulapho uluntu lwethu kunye nathi, uyazi, ukhathalelo olukhawulezileyo. Ndifuna izinto ngoku. Andikwazi kulinda. Njengokomelela, uyazi, abantu bafuna ukungena njengeveki.

[00:56:47] UGqr. Alex Jimenez DC*: Njengokuba, yiza, ayizukwenzeka.

isiphelo

[00:56:50] UGqr. Mario Ruja DC*: Into efanayo nempilo yakho. Kuthatha ixesha, kwaye kufuneka ufumane ukuxilongwa ngokufanelekileyo. Uyazi, umsebenzi onzima walebhu, i-genomics, ukudumba. Ndiyathetha, oku kufana nokuxelela abantu, kufuneka utyale imali kwimpilo yakho okanye kwisigulo sakho. Nokuba yeyiphi na indlela, uya kuchitha imali, nokuba yeyiphi na indlela, kodwa kube kanye, uya kuyonwabela iziqhamo zolo tyalo-mali. Omnye, uzakutsala nje. Ngoko inkqubo yokuxilongwa kwi-MRI, inkqubo yokuxilongwa ukujonga isifo se-metabolic syndrome, ukujonga inkqubo yakho yokuvuvukala, lutyalo-mali. Kwaye ke ngezo zixhobo ezinolu lwazi, kufuneka udale iziseko, uAlex. Ukuba awuzazi apho ukhoyo, awuzazi apho uya khona. Ngoku yile nto ndinokuthi ndifuna ukukhuthaza kwaye ndixhobise abantu ukuba batyale kule nkqubo kuba ayisiyonto yasebusuku kwaye abantu bayayifuna. Ndibaxelela ukuba kufuneka baqonde. Ziqeqeshe, ungayeki kwaye ubone iziphumo zobomi endaweni yokubopha impilo yakho.

[00:58:15] UGqr.Alex Jimenez DC*: Oku kuthandeka kakhulu kwaye kukufutshane kuthi sonke apha kuba i-sciatica ichaphazela abantu abaninzi. Siza kuxoxa yonke le miba icandelo elinye ngexesha. Siza kuzisa ingcaciso. Siza kukunika impendulo. Siza kukubonelela ngeenketho. Siza kukubonelela ngonyango. Siza kuza nendlela esiza kukufunela eyona ndlela yonyango ilungileyo. Kwaye ukuba akunjalo, siza kukunika ubuncinci isiseko sokubuza oogqirha bakho kanye ukuba yeyiphi eyona ndlela ilungileyo, kwaye ubuncinci uya kuyazi imikhombandlela eyahlukileyo onokuthi uyithathe kuba kufuneka sikuqonde oku kuphazamiseka. Isenokuba lula kubantu abaninzi, kodwa ikwenza ube buthathaka. Udibanisa indlela xa unayo. Siza kukuzisa oku. Ukuba ufuna ukusibuza imibuzo yobuqu kwaye usitsalele umnxeba, uMario uzenza afumaneke 24-7 ngenombolo yomnxeba (915)494-4468. Bekuhlala kunjalo, kwaye ufowunelwa ngalo lonke ixesha njengoko enjalo ngoku. Inombolo yam yefowuni (915)850-0900. Kwaye sinayo, Mario, kwaye ndifuna ukunibulela nonke ngokusivumela ukuba sidlule kwezi zinto. Le yiwebhusayithi kaMario apha: rujahealth.com. Kulula, kwaye yindawo entle kakhulu. Sifike kum apha. Le yidilesi yam kunye nefowuni yam, kwaye ke kukho uDaniel Alvarado, apho asebenza khona kwiziko le-PUSH Fitness. Siyanamkela ke nina nizokubona ukuba kuphekwa ntoni apha nibone ukuba kwenzeka ntoni, kwaye sininqwenelela okuhle kodwa kuyo yonke into eyenzekayo. Ngoko njengoko sihamba kuloo nto. Mario, kube yintsikelelo, mntakwethu kwaye sijonge phambili ekujongeni iinkcukacha ezithe kratya kunye nawe kwezi ntsuku zimbalwa zizayo, kwaye siyakuqala ukurekhoda ngakumbi nangakumbi njengoko ixesha lihamba. Inkosi ikusikelele.

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