Ukuba uye wafumana intloko, awuyedwa. Ngokumalunga ne-9 kubantu base-10 baseUnited States abanesifo sengqondo. Nangona ezinye ziphakathi, ezinye zihlala zikhona, ezinye ziphazamisekile kwaye ziphazamiseka, kwaye ezinye zibangele ubuhlungu kunye neentlungu, ukugqithisa intlungu intloko yempendulo ngokukhawuleza. Kodwa, unokuyiphucula njani intlekele entle?

 

Uphando luye lwabonisa ukuba ukunakekelwa kwe-chiropractic yindlela efanelekileyo yokwenza unyango kwiintlobo ezininzi zeentloko. Ingxelo ye-2014 kwi-Journal of Manipulative and Physiological Therapeutics (i-JMPT) yafumanisa ukuba ukulungiswa komgudu kunye nokusetyenziswa kwamanyathelo asetyenziswe ekunyamekelweni kwe-chiropractic kuphuculwe amanyathelo okuphumelela unyango lweentlungu ezingapheliyo kunye nentlungu kunye nokuphucula izibonelelo zeendlela ezahlukeneyo zonyango. intlungu yentamo. Ngaphezu koko, uphando lwe-JNPT lwe-2011 lufumene ukuba ukunakekelwa kwe-chiropractic kungaphucula nokunciphisa ubukhulu bexesha neyamenza kunye nentloko yomlomo.

 

Ukunyamekelwa kweCrospractic Kukhusela njani iintloko zeentloko?

 

Ukunyamekela kwe-Chiropractic kugxile kunyango lwezinto ezahlukeneyo zokulimala kunye / okanye iimeko ze-musculoskelet kunye ne-system ye-nervous, kubandakanywa nentloko. I-chiropractor isebenzisa ukulungiswa kwemisipha kunye neendlela zokusebenzisa umyalelo ukulungisa ngokuchanekileyo ukulungelelaniswa komgudu. Ukugqithiswa, okanye ukuguqulwa kwamagqabi, kuboniswe ukuba kubangele iimpawu, ezifana nentamo kunye umqolo obuhlungu, kunye nentloko kunye neyamenza. Umgudu olinganiselayo unokuphucula umgudu womgudu kunye nokunciphisa uxinzelelo lwezakhiwo. Ukongezelela, ugqirha we-chiropractic unokukunceda ukuphatha iintloko kunye nezinye iimpawu ezibuhlungu ngokubonelela ngeengcebiso zondlo, ukunika iingcebiso nge-posture kunye ne-ergonomics kunye nokukhuthaza ukuphathwa kwengcinezelo nokusebenzisa iingcebiso. Ukhathalelo lwe-Chiropractic ekugqibeleni lunokubangela ukuxhatshazwa kwemisipha kunye nezakhiwo ezijikelezileyo zomgudu, ukubuyisela umsebenzi wesiqalo somqala.

 

 

 

Ukongezelela, ukunakekelwa kwe-chiropractic kunokunyanga ngokufanelekileyo kunye nempembelelo yempilo yeminwe, kuquka iimpawu zentamo kunye neentlungu ezisezantsi emva kweengcingo ze-colervical and lumbar herniated, phakathi kwezinye ukulimala kunye / okanye iimeko. I-chiropractor iyayiqonda indlela ukuguqulwa kwamagqabi, okanye ukuhlukumeza, kunokuchaphazela imimandla eyahlukeneyo yomzimba kwaye baya kuyiphatha umzimba ngokupheleleyo kunokuba bajolise kwiimpawu kuphela. Ukwelashwa kwe-Chiropractic kunokunceda umzimba womntu ngokuqhelekileyo uphinde ubuyisele impilo yakhe yokuqala kunye nokuphila kakuhle.

 

 

Kuyaziwa ukuba ukhathalelo lwe-chiropractic lusebenza kakuhle kwiintlobo zengozi kunye / okanye iimeko, nangona kunjalo, kwiminyaka embalwa edlulileyo, uphando lufumene ukuba i-chiropractic inokuphucula impilo yethu ngokulawula uxinzelelo lwethu. Uninzi lweziphumo zophando lwangoku nje lubonise ukuba unyango lwe-chiropractic lunokuguqula ukusebenza komzimba, kuthintela izinga lentliziyo kunye nokunciphisa uxinzelelo lwegazi. Uphando lwe-2011 oluvela eJapan lubonise ukuba i-chiropractic inokuba nomthelela omkhulu kumzimba wakho kunokuba ukholelwa.

 

Ukuxinezeleka kuyisalathiso esibalulekileyo sempilo, kwaye iimpawu zentlungu ezingapheliyo zinokuchaphazela kakhulu impilo. Abaphandi baseJapan bafuna ukujonga ukuba i-chiropractic ingakwazi ukuguqula amanqanaba okuxinwa kwi-12 amadoda kunye nabasetyhini abaneentlungu kunye nentloko. Kodwa izazinzulu zaseJapan zafuna ukufumana umfanekiso ogqithiseleyo wendlela yokuguqula umlenze kunye nokunyanzeliswa kwemigudu yokuchaphazeleka kwindlela yokuphazamisa inkqubo, ngoko ke basebenzisa i-PET ukujonga ukujonga umsebenzi weengqondo kunye novavanyo lwe-salvia ukujonga utshintsho lwe-hormone.

 

Emva kokunyamekela kwe-chiropractic, izigulane zatshintshile umsebenzi wengqondo kwimimandla yengqondo ejongene nokucubungula intlungu kunye nokunyamezela. Baye banciphisa kakhulu amanqanaba e-cortisol, ebonisa ukunyuka kwengxaki. Abathathi-nxaxheba bavakalisa amanqaku aphantsi entlungu kunye nomgangatho omkhulu wobomi emva kokunyanga. Ukongeniswa kwengqondo, njengokhathalelo lwe-chiropractic, ziindlela zokulawula uxinzelelo kunye nokusebenza. Ukuxinzezeleka kwengcinezelo kunokukhokelela kwimibandela yempilo eyahlukeneyo, kuquka intlungu kunye nentlungu yangemva kunye nentloko kunye ne-migraine. Ezinye iindlela zokuqwalasela ingqalelo zinokunceda ngokukhuselekileyo kwaye ngempumelelo ziphucule iimpawu. Injongo yale nqaku elandelayo kukubonisa ukungenelela kolunye ukungenelela kwengqondo, eyaziwa ngokuba yi-mindiness-based reduction reduction, kwi-intensive pain and quality of life kwizigulane ezaye zafumanisa ukuba zintloko.

 

Ukuphumelela kweengqondo ezisekelwe kwiNgqondo ekunciphiseni ubuhlungu kwi-Intenance Pain Intelligence and quality Quality of Life in patients with headacheache

 

Abstract

 

Injongo yale ngxowa-mali yayikukuqinisekisa ukuphuculwa kwe-Mindfulness-Based Based Stress reduction (MBSR) ekuboneni ubunzima obubuhlungu kunye nomgangatho wobomi kwizigulane ezinentloko engapheliyo. Ngaloo ndlela, izigulane ezingama-40 ezixhomekeke kwi-diagnosis ye-neurologist kunye neendlela zokuxilonga ze-International Headache Society (IHS) ze-migraine kunye nesifo esingapheliyo-intloko-intlobo zonyulwa kwaye zinikezelwa ngokulandelelana iqela lokungenelela kunye neqela lokulawula, ngokulandelana. Abathathi-nxaxheba bazalise i-Pain kunye nekhwalithi yobomi (SF-36). Iqela lokungenelela elibhalise kwiprogram ye-MBSR yeeveki ezisibhozo ezibandakanya ukucamngca nokusebenza kwimihla ngemihla, ngeveki, kwiseshoni ye-90-imizuzu. Uphuhliso lokuhlaziywa kwe-covariance kunye nokupheliswa kovavanyo lwangaphambi kokuvavanya lubonise kakhulu ukuphucula intlungu kunye nomgangatho wobomi kwinqanaba lokungenelela xa kuthelekiswa neqela lolawulo. Iziphumo ezivela kulolu cwaningo zibonise ukuba i-MBSR ingasetyenziselwa ukungenelela kwe-pharmacological ukungenelela komgangatho wobomi nokuphuhliswa kwezicwangciso zokujamelana nentlungu kwizigulane ezineentloko ezingapheliyo. Yaye ingasetyenziselwa ukudibanisa namanye amachiza afana ne-pharmotherapy.

 

Internet: ubuhlungu obungapheliyo, intloko ye-migraine, ingqondo, umgangatho wobomi, intloko yesifo

 

Insight of Dr. Alex Jimenez

Intsholongwane engapheliyo impawu eziphazamisayo ezichaphazela abantu abaninzi. Kukho iintlobo ezininzi ezahlukeneyo zeentloko, nangona kunjalo, uninzi lwazo luhlala luba nesisombululo esifanayo. Ukuxinzezeleka kwengcinezelo kunokubangela imiba eyahlukahlukeneyo yempilo engabinokulawulwa kakuhle, kuquka ukuxhatshazwa kwemisipha, engakhokelela ekugqibeleni komgudu, okanye ngezinye izibonakaliso, ezifana nentlungu kunye nentlungu, intloko kunye nemigraines. Izindlela zokulawulwa kwengcinezelo kunye nobuchule zingakunceda ekuphuculeni nasekulawuleni iimpawu ezinxulumene noxinzelelo. Ukungenelela kwengqondo njengokhathalelo lwe-chiropractic kunye nokunciphisa uxinzelelo lokuxinwa kwengqondo kuye kwazimisela ukunceda ngokukhawuleza ukunciphisa uxinzelelo kunye nokunciphisa iimpawu zentloko ezingapheliyo.

 

intshayelelo

 

Intloko yenye yezona zikhalazo zixhaphakileyo kwiiklinikhi zabantu abadala kunye neekliniki. Uninzi lwazo iintloko zi-migraine kunye noxinzelelo lwentloko (uKurt & Kaplan, 2008). Intloko yahlulwa yangamacandelo amabini eentloko eziphambili okanye eziziiprayimari neziziisekondari. Iipesenti ezingama-2013 zeentloko zentloko ziintloko eziphambili, phakathi kwazo i-migraine kunye neentloko zentlungu ziintlobo eziqhelekileyo (i-International Headache Society [IHS], 4). Ngokwenkcazo, intloko ebuhlungu ye-migraine ihlala ingahambelani kwaye ishukuma kwindalo kwaye ihlala iiyure ezi-72 ukuya kwezingama-2013. Iimpawu ezinxulumene noko zibandakanya isicaphucaphu, ukugabha, ukonyusa ubuntununtunu ekukhanyeni, isandi kunye nentlungu, kwaye inyuka ngokubanzi ngokwanda komzimba. Kwakhona, uxinzelelo lwentloko lubonakaliswa ngamazwe amabini, iintlungu ezingafakwanga, uxinzelelo okanye ukuqina, iintlungu ezingacacanga, njengebhandeji okanye umnqwazi, kunye nokuqhubekeka kwentlungu ethambileyo ukuya kokuphakathi, kuthintela imisebenzi yobomi bemihla ngemihla (IHS, XNUMX).

 

UStovner et al. (2007) kusetyenziswa iikhrayitheriya zokuchonga i-IHS, kuqikelelwa ukuba yipesenti yabantu abadala abanesifo esisebenzayo esentloko malunga ne-46% yentloko ngokubanzi, i-42% yentloko yentloko yoxinzelelo. Oku kuphakamisa ukuba izehlo kunye nokuxhaphaka kwentloko yentloko yoxinzelelo kuphezulu kakhulu kunokuba bekuxelwe kwangaphambili. Kuqikelelwa ukuba malunga ne-12 ukuya kwi-18 yeepesenti yabantu abanemigraines (Stovner & Andree, 2010). Abasetyhini kunokwenzeka ukuba bafumane i-migraines xa kuthelekiswa namadoda, ukuxhaphaka kwe-migraine kumalunga ne-6% yamadoda kunye ne-18% yabasetyhini (Tozer et al., 2006).

 

I-Migraine kunye noxinzelelo lwentloko yentloko ziqhelekileyo kwaye zibhalwe kakuhle kwiimpendulo zengqondo nezomzimba (Menken, Munsat, & Toole, 2000). I-Migraine ngamaxesha athile kwaye iyadodobalisa iintlungu ezingapheliyo kwaye inefuthe elibi kumgangatho wobomi, ubudlelwane kunye nemveliso. Umbutho wezeMpilo weHlabathi (i-WHO) ubhengeze ukuba i-migraine ebaluleke kakhulu njengesinye sezifo ezibuthathaka kakhulu kwinqanaba le-2013 (IHS, 2000; Menken et al., XNUMX).

 

Ngaphandle kophuhliso lwamayeza amaninzi kunyango kunye nokuthintela uhlaselo lwe-migraine, uninzi lwezigulana luzifumanisa zingasebenzi kwaye ezinye zifumanise ukuba azifanelekanga ngenxa yeziphumo ebezingalindelekanga kunye neziphumo ebezingalindelekanga zihlala zikhokelela ekuphelisweni kwangoko kwonyango. Ngenxa yoko, umdla omkhulu kuphuhliso lonyango lwe-non-pharmacologic unokujongwa (I-Mulleners, Haan, Dekker, & Ferrari, 2010).

 

Izinto zebhayoloji zizodwa azinako ukuchaza ukuba sesichengeni kwamava entloko, ukuqala kohlaselo kunye nezifundo zalo, ukonyuka kokuhlaselwa kwentloko, ukukhubazeka okunxulumene nentloko kunye nomgangatho wobomi kwizigulana ezineentloko ezingapheliyo. Iziganeko zobomi ezigwenxa (njengento yengqondo) zihlala zaziwa njengeyona nto iphambili kuphuhliso kunye nokuqaqanjelwa kwentloko (Nash & Thebarge, 2006).

 

Inkqubo yokunciphisa uxinzelelo lwengqondo (MBSR) iphakathi kwezonyango, eziye zafundwa kumashumi amabini adlulileyo kwiintlungu ezingapheliyo. I-MBSR iphuculwe yiKabat-Zinn kwaye isetyenziswe kuluhlu olubanzi lwabemi abaneengxaki ezinxulumene noxinzelelo kunye nentlungu engapheliyo (Kabat-Zinn, 1990). Ngokukodwa kule minyaka idlulileyo, uninzi lwezifundo luye lwenziwa ukuvavanya iziphumo zonyango lwe-MBSR. Uninzi lwezifundo lubonakalisile iziphumo ezibonakalayo ze-MBSR kwiimeko ezahlukeneyo zengqondo kubandakanya nokuncitshiswa kweempawu zengqondo zoxinzelelo, unxunguphalo, isisu, uxinzelelo kunye noxinzelelo (Bohlmeijer, Prenger, Taal, & Cuijpers, 2010; Carlson, Speca, Patel, & Goodey, 2003; Grossman, Niemann, Schmidt, & Walach, 2004; Jain et al., 2007; Kabat-Zinn, 1982; Kabat-Zinn, Lipworth, & Burney, 1985; Kabat-Zinn et al., 1992; Teasdale okqhubekayo. , 2002), iintlungu (Flugel et al., 2010; Kabat-Zinn, 1982; Kabat-Zinn et al., 1985; La Cour & Petersen, 2015; Rosenzweig et al., 2010; Zeidan, Gordon, Merchant, & Goolkasian , 2010) kunye nomgangatho wobomi (Brown & Ryan, 2003; Carlson et al., 2003; Flugel et al., 2010; Kabat-Zinn, 1982; La Cour & Petersen, 2015; Morgan, Ransford, Morgan, Driban, & UWang, 2013; URosenzweig et al., 2010).

 

UBohlmeijer et al. (2010) wenza uhlalutyo lweemeta kwizifundo ezisibhozo ezilawulwa ngokungenamkhethe kwiziphumo zenkqubo ye-MBSR, wagqiba kwelokuba i-MBSR ineziphumo ezincinci kuxinzelelo, uxinzelelo kunye noxinzelelo lwengqondo kubantu abanezifo ezinganyangekiyo. Kwakhona uGrossman et al. (2004) kuhlalutyo lwe-meta lwe-20 olulawulwayo kunye nolawulo olungalawulwayo kwiziphumo zenkqubo ye-MBSR kwimpilo yomzimba kunye nengqondo yeesampulu zonyango nezingezizo ezonyango, ifumene ubungakanani besiphumo sokumodareyitha kwizifundo ezilawulwayo kwimpilo yengqondo. Akukho bungakanani besiphumo seempawu ezithile ezinje ngoxinzelelo kunye noxinzelelo oxeliweyo. Olona hlaziyo lutshanje lubandakanya izifundo ze-16 ezilawulwayo nezingalawulwayo, Olu hlaziyo luthi ukungenelela kwe-MBSR kunciphisa ukuqina kwentlungu, kwaye uninzi lwezifundo ezilawulwayo (6 ze-8) zibonisa ukunciphisa okuphezulu kwintlungu yokungenelela kweqela xa kuthelekiswa neqela lolawulo (UReiner, uTibi, & ILipsitz, 2013).

 

Kwesinye isifundo, abaphandi bafumene ubungakanani besiphumo sezinto ezithile zomgangatho wobomi umzekelo ubungakanani bempilo kunye nentlungu yomzimba, ubungakanani besiphumo esingabalulekanga kwiintlungu kunye nesiphumo esiphakathi ukuya kubukhulu obukhulu bexhala kunye noxinzelelo (La Cour & Petersen, 2015) . Kwisifundo esenziwe nguRosenzweig et al. (2010) kwizigulana ezineentlungu ezingapheliyo kubandakanya nezo ziphathwa yimigraine, bekukho umahluko omkhulu kubunzima beentlungu, ukusikelwa umda okunxulumene nentlungu phakathi kwezigulana. Nangona kunjalo, abo banesifo se-migraine bafumana ukuphucuka okuphantsi kwintlungu kunye neenkalo ezahlukeneyo zomgangatho wobomi. Ngokubanzi, amaqela ahlukeneyo entlungu engapheliyo abonisa ukuphucuka okubonakalayo kubunzima beentlungu kunye nokusikelwa umda okunxulumene neentlungu kwesi sifundo. Ezinye izifundo ezimbini zaqhutywa yiKabat-Zinn kunye nokusebenzisa iindlela ze-MBSR zokunyanga abaguli abaneentlungu ezingapheliyo, kubandakanya nenani lezigulana ezineentloko ezingapheliyo. Uhlalutyo lweenkcukacha-manani lubonise ukuncipha okukhulu kwintlungu, ukuphazamiseka kwentlungu nemisebenzi yansuku zonke, iimpawu zonyango kunye neempawu zengqondo, uxinzelelo kunye nokudakumba, ukubonwa komzimba, ukuphazamiseka kwentlungu nemisebenzi yemihla ngemihla, ukusetyenziswa kweziyobisi kunye nokunyusa ukuzithemba (Kabat-Zinn, 1982; Kabat-Zinn et al., 1985).

 

Ngenxa yentlungu kunye nokulahlekelwa komsebenzi kunye nokuveliswa komsebenzi wokunciphisa nokunyusa ukunyamekelwa kwempilo, ukuphathwa kwentloko engapheliyo kubeka iindleko kumntu ngamnye kunye noluntu, kubonakala ukuba intloko engapheliyo yinkinga enkulu yempilo kwaye ifumene iindlela zokulawula nokuphatha le ngxaki ingaba luleka kakhulu. Injongo ephambili yale sifundo kwakukuphonononga ukuphumelela kwe-MBSR ngaphezu kwe-pharmacotherapy eqhelekileyo kwisampula yoluntu lwezigulane ezineentloko ezingapheliyo ukubonisa ukuphumelela kwale ndlela njengendlela yokulawulwa kwintlungu nokuphucula umgangatho wobomi kwizigulane ezintle iintloko.

 

tindlela

 

Abathathi-nxaxheba kunye neNkqubo

 

Olu luvavanyo olulawulwa ngokungakhethiyo lwamaqela amabini yoyilo lokufunda emva kokuvavanywa. Kwafunyanwa imvume kwiKomiti yeeNqobo eziseSikweni yeYunivesithi yaseZahedan yezeNzululwazi yezoNyango. Abathathi-nxaxheba bakhethe ngokusebenzisa isampulu ngendlela elula evela kwizigulana ezinganyangekiyo yimigraine kunye noxinzelelo lwentloko, ezifunyenwe sisazi ngezigulo zengqondo kunye nonyango lwengqondo kusetyenziswa iindlela zokuqonda isifo ze-IHS-ezibhekiswe kwizibhedlele zaseyunivesithi yaseZahedan University of Medical Science, Zahedan-Iran.

 

Emva kokuvavanya isigulane ngasinye ukuhlangabezana neenkqubo zokungeniswa kunye nokuthintela intlanganiso-ndlebe, i-40 kwizigulane eziphambili ezisibhozo ezisixhenxe ezineenkathazo ezingapheli zikhethiweyo kwaye zenziwa ngamanqaku ngamaqela alinganayo angenelelo kunye nokulawula. Bobabini ulawulo kunye namaqela angenelelo athola i-pharmacotherapy eqhelekileyo phantsi kolawulo lwe-neurologist. Ngexesha leeseshoni zonyango zifundo ezintathu, ngenxa yokungabi nako kweendlela zokuhlala okanye zokungabikho, ukukhethwa ngaphandle okanye kungabandakanywa kwisifundo.

 

Iingqinisiso zokufakwa

 

• (1) Imvume ekwazisiweyo ukuthatha inxaxheba kwiiseshoni.
• (2) Ubuncinane beminyaka yobudala be-18.
• (3) Isiqinisekiso esiphantsi semfundo esikolweni esiphakathi.
• (4) Ukuxilongwa kwintsholongwane engapheliyo (i-primary migraine engapheliyo kunye nentloko yeentlobo zentlungu) yi-neurologist kunye ne-IHS.
• (5) i-15 okanye iintsuku ezingaphezulu kwinyanga ngaphezulu kweenyanga ze-3 kunye neenyanga ezi-6 zembali zemigraines kunye nentloko yesifo

 

Iimpawu zokungabikho

 

• (1) Abafundi abangafuni ukuqhubeka nokuthatha inxaxheba kwisifundo okanye ukushiya isifundo nangaliphi na isizathu.
• (2) Ezinye iingxaki zentlungu ezingapheliyo.
• (3) Iingxaki zengqondo, i-delirium kunye neengcinga.
• (4) Iziganeko zobunzima bobuchule obuphazamisana nomsebenzi weqela.
• (5) Ukusetyenziswa kakubi kweziyobisi kunye neziyobisi.
• (6) Ukukhathazeka kwemizwa

 

Amaqela angenelelo

 

Iiseshoni zonyango (MBSR) zenziwa kwi-1.5 kwiiyure ze-2 ngeveki kumalungu enkxaso yokungena (izidakamizwa kunye ne-MBSR); Nangona kungekho MBSR eyenziwa kwiqela lokulawula (izidakamizwa eziqhelekileyo ezisetyenzisiweyo) kude kube sekupheleni kophando. I-MBSR yenziwa ngeeveki ze-8. Kule sifundo, inkqubo ye-MBSR yeseshoni ye-8 (Chaskalon, 2011) isetyenzisiwe. Ukwenza ukucamngca ekhaya xa uqeqesho lwabathathi-nxaxheba kwiiseshoni, amanyathelo afanelekileyo anikezelwe kwiCD kunye ncwadana. Ukuba kukho nayiphi na yezifundo ezingazange zithathe inxaxheba kwiseshoni okanye kwiiseshoni, ekuqaleni kwiseseshoni elandelayo umgqirha uza kunika amanqaku ebhaliweyo kwiiseshoni kwizifundo, ngaphezu kokuphinda iseshwankathelo seseshoni esedlule. Inkqubo ye-MBSR kunye neengxoxo zanikezelwa kwizigulane kwiiseshoni ezisibhozo ziquka: ukuqonda intlungu kunye neengxaki ze-etiology, xubusha ngobudlelwane obuxinzelelekileyo, umsindo kunye nemvakalelo enentlungu, Ukuqonda iingcamango ezizenzekelayo, iingcamango ezingenangqondo kunye nokuvakalelwa, ukufaka ingcamango ye-Acceptance, ukuphefumla indawo indawo yokuphefumla, imizuzu emithathu yokuphefumla, ukuqhubezela umoya, iziganeko ezimnandi kunye ezimbi, imihla ngemihla, ukusebenziselwa ukuziphatha, ukuqikelela izinto eziqhelekileyo, ukukhangela umzimba, Ukubona nokuvalelwa, ukucamngca, ukuhamba ngokuqiqa, ukubhala iingcamango ezinxulumene nengqiqo kunye nokuxoxa ngendlela ukugcina oko kuphuhliswe kulo lonke ikhosi, xubusha izicwangciso kunye nezizathu ezifanelekileyo zokugcina umgangatho. Izigulana nazo zafumana ulwazi malunga nokufunda indlela yokufumanisa nayiphi na ikamva elizayo kwakhona kunye nezicwangciso kunye nezicwangciso zokusekwa ngokukhawuleza kweempawu zentlungu kunye nokuzimelela kwiimeko ezintsha.

 

Iqela lo Lawulo

 

Izigulane ezazingenangqondo kwiqela lolawulo zazihlala zihamba ngokuqhelekileyo kwi-pharmacotherapy (kubandakanywa neziyobisi ezingekho mbandela) nge-neurologist yazo ukuya ekupheleni kophando.

 

Izixhobo

 

Izixhobo ezibini eziphambili zisetyenzisiwe kuvavanyo lwaphambi kunye nasemva kovavanyo lokuqokelela idatha, ukongeza kwifom yedatha yabantu. I-log ye-headache yayisetyenziselwa ukumisela ubungakanani bentlungu kusetyenziswa iindawo ezintathu: (1) amanqaku angama-10 okulinganisa isikali, (2) inani leeyure zentlungu ngosuku kunye (3) nobunzima beentlungu ngenyanga. Icandelo ngalinye linikwe amanqaku ukusuka kwi-0 ukuya kwi-100, elona nqanaba liphezulu li-100. Kuba isigulana ngasinye silinganisa ubungakanani bentlungu ebuzwayo kwiphepha lemibuzo, ukuthembeka kunye nokuthembeka akuqwalaselwa. Enye yayiyifom yemibuzo emfutshane engama-36 (SF-36). Ikhweshine liyasebenza kumaqela ahlukeneyo ubudala kunye nezifo ezahlukeneyo. Ukunyaniseka nokunyaniseka kwiphepha lemibuzo kwavunywa nguWare et al (Ware, Osinski, Dewey, & Gandek, 2000). I-SF-36 ivavanya ukuqonda komgangatho wobomi kwii-8 subscales zibandakanya: ukusebenza komzimba (PF), ukuthintelwa kwendima ngenxa yempilo yomzimba (RP), iintlungu zomzimba (PB), impilo ngokubanzi (GH), amandla kunye namandla (VT ), Ukusebenza kwezentlalo (SF), ukuthintelwa kwendima ngenxa yeengxaki zemvakalelo (RE) kunye nefuthe lezempilo (AH). Esi sixhobo sinezikali ezibini zesishwankathelo sePhysical Component Summary (PCS) kunye neMental Component Summary (MCS) amanqaku. Isikali ngasinye sifunyenwe ukusuka kwi-0 ukuya kwi-100, elona nqanaba liphezulu lokusebenza linqanaba le-100. Ukunyaniseka kunye nokuthembeka kwe-SF-36 kuvavanywe kubemi baseIran. Ukungqinelana okungaphakathi kokuphakathi kwakuphakathi kwe-0.70 kunye ne-0.85 yee-subscales ze-8 kunye ne-coefficients zokuphinda uvavanywe phakathi kwe-0.49 kunye ne-0.79 ngekhefu leveki enye (iMontazeri, iGoshtasebi, iVahdaninia, kunye neGandek, 2005).

 

Uhlalutyo lweenkcukacha

 

Ukuhlalutya idatha, ngaphezu kokusetyenziswa kwezibonakaliso ezichazayo, ukuthelekisa iziphumo zengenelelo kunye namaqela okulawula, ukuhlaziywa kwe-covariance kusetyenziswe ukuchonga ukusebenza kunye nokususwa kweziphumo zokuvavanywa kwangaphambili kwi-95% inqanaba lokuzithemba.

 

Phume phakathi

 

Ngexesha leeseshoni zonyango zifundo ezintathu, ngenxa yokungabi nako kweendlela zokuhlala okanye zokungabikho, ukukhethwa ngaphandle okanye kungabandakanywa kwisifundo. Iingamashumi amathathu nesikhombisa eziphuma kwizigulane ze-40 zigqityiwe ngokufundiswa kwangoku kwaye i-data edibeneyo yahlaziywa.

 

iziphumo

 

Uhlalutyo lokulinganisa ukusabalaliswa kwabantu phakathi kwamacandelo amabini lwenziwa ngokusetyenziswa kwe-chi-square kunye novavanyo oluzimeleyo. Idatha yoluntu yamabini omabili uboniswa kwiThebhile 1. Ukusasazwa kweminyaka, iminyaka yemfundo, isini kunye nesimo somtshato kwakufana kwiqela ngalinye.

 

 

Itheyibhile 2 ibonisa iziphumo zohlalutyo lwe-covariance (ANCOVA). Uvavanyo lukaLevene lwalungabalulekanga, F (1, 35) = 2.78, P = 0.105, ebonisa ukuba ubungqingqwa bokungafani kwabantu bavunyelwe. Oku kufumanisa kubonisa ukuba umahluko kumaqela alinganayo kwaye akukho mahluko waqwalaselwayo phakathi kwamaqela amabini.

 

 

Iziphumo eziphambili zongenelelo lwe-MBSR zazibalulekile, F (1, 34) = 30.68, P = 0.001, ngokuyinxenye? 2 = 0.47, ebonisa ukuba ubunzima beentlungu babuphantsi emva kongenelelo lwe-MBSR (Kuthetha = 53.89, SD.E = 2.40) kunokuba iqela lolawulo (Kuthetha = 71.94, SD.E = 2.20). I-covariate (uvavanyo lwaphambi kovavanyo lwentlungu) lwalubalulekile, F (1, 34) = 73.41, P = 0.001, inxenye? 2 = 0.68, ebonisa ukuba inqanaba lentlungu ngaphambi kokungenelela kwe-MBSR kwaba nefuthe elibonakalayo kwinqanaba lentlungu . Ngamanye amagama, bekukho ubudlelwane obulungileyo kumanqaku entlungu phakathi kovavanyo lwangaphambi kovavanyo kunye novavanyo lwasemva kovavanyo. Ke ngoko, i-hypothesis yokuqala yophando iqinisekisiwe kwaye unyango lwe-MBSR ekuqineni okuqinisekileyo lwalusebenza kwizigulana ezinentloko engapheliyo kwaye lunokunciphisa ubukhulu beentlungu ezibonakalayo kwezi zigulana. Onke amaxabiso abalulekileyo axelwe kwi-p <0.05.

 

Iingcamango zesibini zale sifundo kukusebenza kwekhono le-MBSR kumgangatho wobomi kwizigulane ezinentloko engapheliyo. Ukuvavanya ukusebenza kobuchule be-MBSR ngobuninzi bobomi kwizigulane ezineentloko ezingapheliyo kunye nokuphelisa izinto eziphazamisayo kunye nomphumo wokuhlolwa kwangaphambili, ukuhlalutya kwedatha, uhlalutyo lwe-covariance oluninzi (MANCOVA) lobunzima bomgangatho usetyenziswa IThebhile 3 ibonisa iziphumo zokuhlalutya kwiqela lokungenelela.

 

 

IThebhile 3 ibonisa iziphumo zokuhlalutya kwe-covariance (MANCOVA). Ulwazi olulandelayo lufunekayo ukuqonda iziphumo ezivezwe kwiTable 3.

 

Uvavanyo lwebhokisi lwalungabalulekanga, F = 1.08, P = 0.320, ebonisa ukuba umahluko covariance matrices ayafana kumaqela amabini kwaye ke ngenxa yoko kucingelwa ukuba ngabantu abathandanayo bahlangana. Kwakhona F (10, 16) = 3.153, P = 0.020, Wilks Lambda = 0.33, ngokuyinxenye? 2 = 0.66, ebonisa umahluko obonakalayo phakathi kovavanyo lwangaphambi kwamaqela kumaqela axhomekeke kwizinto ezixhomekekileyo.

 

Uvavanyo lukaLevene lwalungabalulekanga kwezinye izinto ezixhomekekileyo kubandakanya [PF: F (1, 35) = 3.19, P = 0.083; Ubuninzi beRF: F (1, 35) = 1.92, P = 0.174; I-BP: F (1, 35) = 0.784, P = 0.382; GH: F (1, 35) = 0.659, P = 0.422; Ii-PCS: F (1, 35) = 2.371, P = 0.133; VT: F (1, 35) = 4.52, P = 0.141; AH: F (1, 35) = 1.03, P = 0.318], ebonisa ukuba ingcinga yokungafani kwabantu iyodwa yamkelwe kwizibonelelo zobomi kunye novavanyo lukaLevene lwalubalulekile kwezinye izinto ezixhomekekileyo kubandakanya [RE: F (1, 35) = 4.27, P = 0.046; I-SF: F (1, 35) = 4.82, P = 0.035; I-MCS: F (1, 35) = 11.69, P = 0.002], ebonisa ukuba ubungqangi bokungafani kwabantu bokungafaniyo kwaphulwe kwizibonelelo zomgangatho wobomi.

 

Iziphumo eziphambili zongenelelo lwe-MBSR zazibalulekile kwezinye izinto ezixhomekekileyo kubandakanya [RP: F (1, 25) = 5.67, P = 0.025, ngokuyinxenye? 2 = 0.18; BP: F (1, 25) = 12.62, P = 0.002, ngokuyinxenye? 2 = 0.34; GH: F (1, 25) = 9.44, P = 0.005, ngokuyinxenye? 2 = 0.28; Ii-PCS: F (1, 25) = 9.80, P = 0.004, inxenye? 2 = 0.28; VT: F (1, 25) = 12.60, P = 0.002, ngokuyinxenye? 2 = 0.34; AH: F (1, 25) = 39.85, P = 0.001, ngokuyinxenye? 2 = 0.61; I-MCS: F (1, 25) = 12.49, P = 0.002, 2? 0.33. = 61.62], ezi ziphumo zibonisa ukuba inkxaso-mali ye-RP, BP, GH, PCS, VT, AH, kunye ne-MCS zaziphezulu emva kongenelelo lwe-MBSR [RP: Kuthetha = 6.18, SD.E = 48.97; BP: Kuthetha = 2.98, SD.E = 48.77; GH: Kuthetha = 2.85, SD.E = 58.52; Ii-PCS: Kuthetha = 2.72, SD.E = 44.99; VT: Kuthetha = 2.81, SD.E = 52.60; AH: Kuthetha = 1.97, SD.E = 44.82; I-MCS: Kuthetha = 2.43, SD.E = 40.24] kuneqela lolawulo [RP: Kuthetha = 5.62, SD.E = 33.58; BP: Kuthetha = 2.71, SD.E = 36.05; GH: Kuthetha = 2.59, SD.E = 46.13; Ii-PCS: Kuthetha = 2.48, SD.E = 30.50; VT: Kuthetha = 2.56, SD.E = 34.49; AH: Kuthetha = 1.80, SD.E = 32.32; I-MCS: Kuthetha = 2.21, SD.E = XNUMX].

 

Nangona kunjalo, isiphumo esiphambili songenelelo lwe-MBSR lwalungabalulekanga kwezinye izinto ezixhomekekileyo kubandakanya [PF: F (1, 25) = 1.05, P = 0.314, ngokuyinxenye? 2 = 0.04; RE: F (1, 25) = 1.74, P = 0.199, ngokuyinxenye? 2 = 0.06; I-SF: F (1, 25) = 2.35, P = 0.138, inxenye? 2 = 0.09]. Ezi ziphumo zibonisa, nangona iindlela kwezi nkxaso zomgangatho wobomi beziphezulu [PF: Kuthetha = 75.43, SD.E = 1.54; RE: Kuthetha = 29.65, SD.E = 6.02; SF: Kuthetha = 51.96, SD.E = 2.63] kuneqela lolawulo [PF: Kuthetha = 73.43, SD.E = 1.40; RE: Kuthetha = 18.08, SD.E = 5.48; SF: Kuthetha = 46.09, SD.E = 2.40], Kodwa umahluko ophakathi wawungabalulekanga.

 

Isishwankathelo, uhlalutyo lwe-Covariance (MANCOVA) kwiziphumo zeTheyibhile 3 bonisa umahluko obalulekileyo ngokwezibalo kumanqaku enkxaso yemilinganiselo ngenxa yempilo yomzimba (RP), iintlungu zomzimba (BP), impilo ngokubanzi (GH), amandla kunye namandla (VT) ), Ukuchaphazela impilo (AH) kunye nobungakanani bemilinganiselo yempilo yomzimba (PCS) kunye nempilo yengqondo (MCS). Kwaye ikwabonisa ukuba bekungekho mahluko ubalulekileyo ngokwamanqanaba enkqubo yokusebenza komzimba (PF), umda kwindima ngenxa yeengxaki zemvakalelo (RE) kunye nokusebenza kwezentlalo (SF) kwiqela longenelelo. Onke amaxabiso abalulekileyo axelwe kwi-p <0.05.

 

ingxoxo

 

Olu pho nonongo lujolise ekuhloleni ukusebenza kwe-MBSR kwiintlungu ezibonakalayo kunye nomgangatho wobomi kwizigulane ezineentloko ezingapheliyo. Iziphumo zibonise ukuba unyango lwe-MBSR lwalusebenza kakhulu ekunciphiseni ubunzima bokuqonda. Iziphumo zophando lwangoku ziyahambelana neziphumo zabanye abaphandi ababesebenzisa indlela efanayo yokufumana iintlungu ezingapheliyo (umz. UFlugel et al., 2010; Kabat-Zinn, 1982; Kabat-Zinn et al., 1985; La Cour & Petersen , 2015; UReibel, uGreeson, uBrainard, kunye noRosenzweig, 2001; UReiner et al., 2013; URosenzweig et al., 2010; zeidan et al., 2010). Umzekelo, kwizifundo ezibini ezenziwa yiKabat-Zinn, apho inkqubo ye-MBSR yayisetyenziselwa ukunyanga abaguli abaneentlungu ezingapheliyo ngoogqirha, inani lezigulana ezineentloko ezingapheliyo zazifakiwe. Isifundo sokuqala kwezi zifundo zibini, sabonisa ukuncipha okukhulu kwintlungu, ukuphazamiseka kwentlungu nemisebenzi yemihla ngemihla, iimpawu zonyango kunye nokuphazamiseka kwengqondo, kubandakanya uxinzelelo kunye noxinzelelo (Kabat-Zinn, 1982). Iziphumo zesifundo sesibini zibonise ukunciphisa okukhulu kwintlungu, ukubonakala komzimba, uxinzelelo, uxinzelelo, ukuphazamiseka kwintlungu nemisebenzi yemihla ngemihla, iimpawu zonyango, ukusetyenziswa kwamayeza, kunye nokubonisa ukwanda kokuzithemba (Kabat-Zinn et al., 1985) .

 

Kwakhona, ukufunyaniswa kwezifundo ezikhoyo ngoku kuhambelana neziphumo zikaRosenzweig et al. (I-2010), iziphumo zabo zibonisa ukuba inkqubo ye-MBSR iphumelele ukunciphisa, intlungu yomzimba, umgangatho wobomi kunye nentlalo yengqondo yezigulane ezineentlungu ezininzi ezingapheliyo kunye neengqondo ziphumelela kwiimvakalelo zengqondo kunye neengqondo zengqondo yokujonga ngokuzilawula ngemisebenzi yokucamngca. Nangona iziphumo zikaRosenzweig et al. (I-2010) yabonisa ukuba phakathi kwezigulane ezineentlungu ezingapheliyo kwintsikelelo encinci ekunciphiseni ubuhlungu bomzimba nokuphucula umgangatho wobomi kwakuxhomekeke kwizigulane ezine-fibromyalgia, intloko engapheliyo. Kwenye uphando olwenziwa nguFlugel et al. (2010), nangona utshintsho olulungileyo luboniswa kwimizila kunye nobukhulu beentlungu, ukunciphisa intlungu kwakungabonakali.

 

Kwesinye isifundo, ubunzima beentlungu buncitshiswe kakhulu emva kokungenelela kwizigulane ezineentloko zentloko. Ukongeza, iqela le-MBSR libonise amanqaku aphezulu ngokwazisa kwengqondo xa kuthelekiswa neqela lolawulo (i-Omidi neZargar, 2014). Kwisifundo somqhubi wenqwelo moya ngu-Wells et al. (2014), iziphumo zabo zibonise ukuba i-MBSR ngonyango lwe-pharmacological inokwenzeka kwizigulana ezine-migraine. Nangona ubungakanani besampulu kolu phononongo lokuqhuba aluzange lubonelele ngamandla okufumana umahluko omkhulu kubukrakra beentlungu kunye nokuhamba rhoqo kwe-migraine, iziphumo zibonise ukuba ungenelelo olo lube nefuthe elihle kubude beentloko, ukukhubazeka, ukusebenza ngokwakho.

 

Ekuchazeni iziphumo zempumelelo yengqondo esekwe kunyango kunokuthiwa, iimodeli zengqondo yeentlungu ezingapheliyo ezinje ngemodeli yokuphepha uloyiko ibonise ukuba iindlela abantu abaziguqulela ngayo iimvakalelo zabo zentlungu kwaye baziphendule zibalulekile amava entlungu (Schutze, Rees, Preece, & Schutze, 2010). Ukuqaqanjelwa yintlungu kunxulunyaniswa kakhulu noloyiko kunye noxinzelelo olubangelwa ziintlungu, iindlela zokuqonda ezinokubangelwa luloyiko lwentlungu kwaye ukukhubazeka okunxulumene nentlungu kuyayanyaniswa kananjalo kuba uvavanyo olubi lokuqonda kwengqondo luchaza i-7 ukuya kwi-31% ye Umahluko wobunzima beentlungu. Ke ngoko, nawuphina umatshini onokuthi unciphise iintlungu okanye wenze utshintsho kwinkqubo yawo unokunciphisa ukubonwa kokuqina kweentlungu kunye nokukhubazeka okubangelwa koko. Schutz okqhubekayo. (2010) bathi ukuba nengqondo encinci kuyisiseko sentlungu eyonakalisayo. Ngapha koko, kubonakala ngathi utyekelo lomntu lokuzibandakanya kwiinkqubo ezizenzekelayo zokulungisa endaweni yeenkqubo ezisekwe kulwazi ngokuqwalaselwa kokungoneliseki okwaneleyo, kunye nokusilela kolwazi ngalo mzuzu wangoku (Kabat-Zinn, 1990), izakubangela abantu cinga ngakumbi ngentlungu kwaye ke ngoko wugqithise umngcipheko wayo. Ngaloo ndlela, ukunyamekela okuncinci kuvumela ukuphuhliswa kovavanyo lokuqonda okungahambi kakuhle kwintlungu (Kabat-Zinn, 1990).

 

Esinye isizathu esinokubakho kukuba ukwamkelwa kweentlungu kunye nokulungela utshintsho zonyusa iimvakalelo ezilungileyo, zikhokelela ekunciphiseni ubunzima beentlungu ngenxa yenkqubo ye-endocrine kunye nokuveliswa kweeopioid ezingapheliyo kunye nokunciphisa ukukhubazeka okunxulumene nentlungu okanye ukulungiselela abantu ukuba basebenzise Izicwangciso ezisebenzayo zokujongana nentlungu (Kratz, Davis, & Zautra, 2007). Esinye isizathu sokuchaza iziphumo zesifundo esikhoyo ekusebenzeni kwaso ekunciphiseni iintlungu inokuba inyani kukuba iintlungu ezingapheliyo ziyaphuhliswa ngenxa yenkqubo yokuphendula yoxinzelelo (UChrousos kunye neGolide, 1992). Isiphumo kukuphazamiseka kwenkqubo yomzimba neyengqondo. Ingqondo inokuvumela ukufikelela kwi-cortex yangaphambili kunye nokuyiphucula, indawo zengqondo ezidibanisa imisebenzi yomzimba kunye nengqondo (Shapiro et al., 1995). Isiphumo kukudalwa kokhuthazo oluncinci olucutha ubunzima kunye namava entlungu nangokwasemzimbeni. Ke, iintlungu zinamava njengeemvakalelo zentlungu yokwenyani endaweni yokuqatshelwa okungalunganga. Iziphumo kukuvalwa kwemijelo yeentlungu ezinokunciphisa iintlungu (i-Astin, 2004).

 

Ukucamngca kwengqondo kunciphisa iintlungu ngeendlela ezininzi zobuchopho kunye neendlela ezahlukeneyo ezinje ngokutshintsha kwengqwalaselo kwiindlela zokucamngca zinokuchukumisa zombini izinto ezibonakalayo kunye nezihambelana nokuqonda kwentlungu. Ngakolunye uhlangothi, ukunyamekela kunciphisa ukusetyenziswa kweengcamango kunye neemvakalelo ezihamba kunye nokuqonda intlungu kunye nokuqinisa intlungu. Kwakhona, ukucutha kwengqondo kunciphisa iimpawu zengqondo ezinje ngoxinzelelo kunye noxinzelelo kunye nokwandisa umsebenzi weparasympathetic, onokuthi ukhuthaze ukuphumla kwezihlunu ezinzulu ezinokunciphisa iintlungu. Okokugqibela, ukuba nengqondo kunokunciphisa uxinzelelo kunye noxinzelelo lwe-psychophysiologic activation ngokuqinisa imeko engalunganga kunye nezakhono zokuzilawula. Amanqanaba aphezulu okuqonda aqikelele amanqanaba asezantsi oxinzelelo, uxinzelelo, ukucinga okuyintlekele kunye nokukhubazeka. Olunye uphando lubonakalisile ukuba ingqondo inendima ebalulekileyo kulawulo lwengqondo kunye neemvakalelo, kwaye inokuba luncedo ekuvuseleleni iimeko ezimbi (Zeidan et al., 2011; Zeidan, Grant, Brown, McHaffie, & Coghill, 2012).

 

Injongo yesibini yolu phononongo yayikukuchonga ukusebenza kwenkqubo ye-MBSR kumgangatho wobomi kwizigulana ezinentloko engapheliyo. Olu phononongo lubonise ukuba olu nyango lwalusebenza ngokukuko kumgangatho wobungakanani bobomi, kubandakanya nokuthintelwa kwendima ngenxa yempilo, iintlungu zomzimba, impilo ngokubanzi, amandla kunye namandla, impilo yeemvakalelo kunye nezikali zomzimba nezengqondo. Nangona kunjalo, inkqubo ye-MBSR ayinakonyusa ngokubonakalayo umgangatho wobomi ekusebenzeni komzimba, ukuthintelwa kwendima ngenxa yeengxaki zeemvakalelo kunye nokusebenza kwentlalo. Kubonakala kubonakala kwizifundo zangaphambili nezangoku kunye nakwisifundo esikhoyo ukuba i-MBSR ayinampembelelo kwimisebenzi yomzimba neyentlalo. Oku kunokwenzeka ngenxa yokuba iimpembelelo kumanqanaba entlungu kwizigulana ezineentloko zincinci, kwaye olo tshintsho lucotha. Kwelinye icala, abaguli abaneentlungu ezingapheliyo bahlala befunda ukungahoyi iintlungu ukuze basebenze ngokwesiqhelo (ILa Cour & Petersen, 2015). Nangona kunjalo, utshintsho luye kwicala olifunayo kwaye lwandisile amanqaku athethwayo kwiqela longenelelo xa kuthelekiswa neqela lolawulo. Ezi zinto zifunyanisiweyo ziyahambelana neziphumo zangaphambili (Brown & Ryan, 2003; Carlson et al., 2003; Flugel et al., 2010; Kabat-Zinn, 1982; La Cour & Petersen, 2015; Morgan et al., 2013; Reibel et. al., 2001; URosenzweig et al., 2010).

 

Ngokubhekiselele kumxholo weeseshoni ze-MBSR, le nkqubo igxininisa ukusetyenziswa kweendlela zokunciphisa uxinzelelo, ukujongana nentlungu kunye nokwazisa imeko. Ukunikezela umlo nokwamkela imeko yangoku, ngaphandle kwesigwebo, ngowona mxholo uphambili wenkqubo (UFlugel et al., 2010). Ngapha koko, utshintsho ekwamkelweni ngaphandle komgwebo kunxulunyaniswa nokuphuculwa komgangatho wobomi (URosenzweig et al., 2010). I-MBSR ijolise ekwandiseni ulwazi ngalo mzuzu wangoku. Isicwangciso sonyango yindlela entsha kunye neyobuqu yokujongana noxinzelelo lomntu ngamnye. Uxinzelelo lwangaphandle luyinxalenye yobomi kwaye alunakutshintshwa, kodwa izakhono zokujamelana nendlela yokuphendula kuxinzelelo zinokutshintshwa (UFlugel et al., 2010). UMcCracken kunye no-velleman (ngo-2010) babonisa ukuba ukuguquguquka kwengqondo kunye nokuqonda okuphezulu kunxulunyaniswa nokubandezeleka okuncinci kunye nokukhubazeka kwizigulana. Izigulana ezineentlungu ezingapheliyo ezinamanqanaba aphezulu okuqonda zichaze uxinzelelo oluncinci, uxinzelelo, uxinzelelo kunye nentlungu kunye nokuphucula ukusebenza kunye nomgangatho wobomi. UMorgan et al. (2013) abaguli be-arthritis bafumana iziphumo ezifanayo, ukuze izigulana ezinamanqanaba aphezulu okuqonda zixele uxinzelelo oluphantsi, uxinzelelo kunye nokusebenza okuphezulu kunye nomgangatho wobomi. Njengoko kuphawuliwe ngasentla bekulindelwe ukuba ukunciphisa iintlungu kwizigulana kukhokelela ekunciphiseni uloyiko kunye noxinzelelo olunxulunyaniswa nentlungu kwaye ngaloo ndlela kunciphisa ukusebenza okunokubangela ukusikelwa umda. Iziphumo zophononongo oluninzi (Cho, Heiby, McCracken, Lee, & Moon, 2010; McCracken, Gauntlett-Gilbert, & Vowles, 2007; Rosenzweig et al., 2010; Schutz et al., 2010) qinisekisa oku kufunyanisiweyo. .

 

Ucwaningo oluninzi lwenziwe ukwenzela ukuvavanya ukuphumelela kweentlobo ezahlukeneyo zonyango olusekelwe kwingqondo kwiintlungu ezingapheliyo, kuquka nezigulane ezineentloko. Ngokungafani nolunye uphando oluhlolisise iisethi ezigulane zezigulane ezinentlungu engapheliyo, inzuzo yale sifundo kukuba, yenziwa kuphela kwizigulane ezineentloko ezingapheliyo.

 

Ekugqibeleni, kufanele kuvunywe ukuba kukho ukusikelwa umda kolu phononongo njengobungakanani besampulu encinci, ukunqongophala kwenkqubo yokulandela ixesha elide, ukusetyenziswa kwamayeza abathathi-nxaxheba kunye nonyango olungqongqo; kwaye ngaphandle kwemizamo yabaphandi, ukungabikho kwonyango olufanayo ngokupheleleyo kubo bonke abathathi-nxaxheba kunokuphazamisa iziphumo zovavanyo kwaye kwenze kube nzima ukwenza iziphumo ngokubanzi. Kuba isifundo esikhoyo kungokokuqala kohlobo lwaso kwizigulana ezinentloko engapheliyo e-Iran, kucetyiswa ukuba izifundo ezifanayo mazenziwe kule ndima, ngobukhulu besampulu ngangokunokwenzeka. Kwaye ezinye izifundo ziphanda ukuzinza kweziphumo zonyango kwixesha elide lokulandelwa kwexesha.

 

isiphelo

 

Ngokutsho kweziphumo zolu cwaningo kungagqitywa ukuba iindlela ze-MBSR ngokubanzi ziphumelele ekuboneni ubuhlungu obukhulu kunye nomgangatho wobomi bezigulane ezinentloko engapheliyo. Nangona kwakungabikho mmahluko ophawulekayo kwimimandla ethile yobomi bokuphila, njengokusebenza ngokomzimba, ukulinganiselwa kweengxaki ngenxa yeengxaki zengqondo kunye nokusebenza kwentlalo, kodwa utshintsho olubanzi kwintetho luthandelwe kwisifundo. Ngaloo ndlela ukuhlanganiswa kwonyango lwe-MBSR kunye neyeza lonyango oluqhelekileyo kwiprojekti yonyango yezigulane ezinentloko yesifo esingapheliyo kunokucetyiswa. Umphandi ukholelwa ukuba nangona kukho ukungaphumeleli kunye nokungaphumeleli kwenkqubo yophando lwangoku, olu phofu luza kuba yindlela entsha yokunyanga kwintsholongwane engapheliyo kwaye ingabonelela ngokutsha kwimihlaba yonyango.

 

Imibulelo

 

Olu phando lwaxhaswa (njengengqungquthela) inxalenye yeYunihedan University of Sciences yezoNyango. Sithanda ukubonga bonke abathathi-nxaxheba kwisifundo, abaphili beendawo, abasebenzi bezibhedlele- Ali -ebn-abitaleb, uKhatam-al-anbia kunye noAli asghar- ngenjongo yokuxhaswa nenkxaso yabo.

 

Ukuququmbela,Ukhathalelo lwe-irchiropractic yindlela ekhuselekileyo nesebenzayo yokunyanga esetyenzisiweyo ukunceda ukuphucula kunye nokulawula iimpawu zentloko ezingapheliyo ngokulungelelanisa ngobunono ulungelelwaniso lomqolo kunye nokubonelela ngeendlela zolawulo loxinzelelo. Kuba uxinzelelo luye lwayanyaniswa nemicimbi eyahlukeneyo yezempilo, kubandakanya ukuthotywa, okanye ukungalungelelani kakuhle komqolo, kunye nentloko engapheliyo, ukungenelela kwengqondo njengokukhathalela i-chiropractic kunye nokunciphisa uxinzelelo lwengqondo (MBSR) zibalulekile kwintloko engapheliyo. Ekugqibeleni, inqaku elingentla libonise ukuba i-MBSR ingasetyenziselwa ngokufanelekileyo ukungenelela kwengqondo kwintloko engapheliyo kunye nokuphucula impilo yonke kunye nokuphila kakuhle. Ulwazi olubhekiswe 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 ku 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