Intlungu engapheliyo emva kwexesha yimbini yesibini ebangela ukukhubazeka eUnited States. Ngokumalunga neepesenti ze-80 zabemi ziya kuba nobuhlungu ubuncinane kanye kanye ngexesha lokuphila kwabo. Eyona nto ibangele iimbandezelo ezingapheliyo zentlungu ziquka: disni, sciatica, ukulimala ekuphakanyiseni izinto ezinzima okanye nayiphi na enye inkunkuma engasetyenziswanga. Nangona kunjalo, abantu bahlala besabela ngendlela eyahlukileyo kwimpawu zabo. Ezi mpendulo ezahlukileyo zibangelwa zizimo zengqondo kunye nemibono yengqondo.

 

Ubunzima Bokubuya Kwangaphantsi Nengqondo

 

Uxinzelelo lunxulunyaniswa nentlungu eyandayo kodwa iinkolelo zakho zempilo kunye neendlela zokujamelana nazo zinokuchaphazela umbono wakho wentlungu ngokunjalo. Kungenxa yokuba ukuba semngciphekweni kwengqondo kunokutshintsha ingqondo yakho kwaye kuqinise iintlungu. Ukongeza, iintlungu ngokwazo zinokuphinda zisebenze kwingqondo. Xa iintlungu ziqhubeka, umsebenzi ohambelana nengqondo utshintsha ukusuka kwiisekethe zentlungu ukuya kwiisekethi ezenza iimvakalelo. Kungenxa yoko le nto kukholelwa ukuba uxinzelelo, unxunguphalo kunye noxinzelelo kunokubangela kunye nokuba mandundu kweentlungu ezingapheliyo.

 

UkuLawula iSithwathwa seNtsholongwane engapheliyo

 

Ngethamsanqa, iindlela ezininzi zokulawula uxinzelelo kunye neendlela zinokunceda ukuphucula iintlungu ezisezantsi ezingapheliyo. Ingqondo yonyango oluqhelekileyo kunye nobungqina obuhle obuxhasayo ekuphuculeni nasekulawuleni iintlungu ezingapheliyo.Uphononongo olutshanje lubonise ukuba ukunciphisa uxinzelelo lwengqondo, okanye i-MBSR, kuquka ukucamngca kwengqondo kunye nokunye ukungenelela kwengqondo, kunokunceda ukunciphisa intlungu emva kunye nokuphucula ukulawula kwengqondo ngokwandisa ukuhamba kwegazi kwingqondo engaphambili. Ukuziqhelanisa nokukhumbula kubandakanya ukusebenza kwendlela yokuphumla kwengqondo ngokungazihoyi ngengqondo "incoko" kwaye ujonge ukuphefumla kwakho. TherapyUkunyanga ngokuziphatha, okanye i-CBT kunokuba luncedo kwiintlungu ezingapheliyo zentlungu. Ukunyanga kokuziphatha kwengqondo kunokuthintela ukwenzakala okungapheliyo ekuqhubekeni ukuya kwiintlungu ezingapheliyo zentlungu. I-Hypnosis inokunceda ekunciphiseni iintlungu ezingapheliyo zangasemva. Nangona kunjalo, i-CBT kunye ne-hypnosis zinobungqina obuthathaka bokuxhasa ukusebenza kwazo kwintlungu ebuhlungu.

 

Ingqondo Ngakumbi

 

Nangona kusenokubonakala ngathi iintlungu ezingapheliyo zangasemva zonke “zisentloko yakho”, izifundo zophando zibonise ukuba uxinzelelo lunokuchaphazela iimpawu ezibuhlungu. Ingqondo ibandakanya i- matter, ngakumbi xa ucinga ukuba matter yomzimba Ingqondo idlala indima enkulu kutshintsho lwengqondo. Oku kuyinyani ngakumbi xa kuziwa kutshintsho olusekwe kwingqondo olunxulumene nentlungu esezantsi. Injongo yale nqaku ingezantsi kukubonisa ukusebenza kokucamngca kwengqondo kwiintlungu ezingapheliyo zentlungu.

 

Ukuphumelela Kwengqondo Ukucamngca Ngezibuhlungu kunye Nobunjani boBomi bezilwelisi ezine-Down Low Back Pain

 

Abstract

 

• Imvelaphi kunye nenjongo: Ukubuyiselwa kwezigulane ezinentlungu engapheliyo ye-back-back (LBP) kuxhomekeke kwiimeko ezininzi zomzimba nezengqondo. Ngako oko, abalobi bajolise ukuhlolisisa ukuphumelela kwengqondo ekusetyenzisweni kokunciphisa uxinzelelo (MBSR) njengongenelelo lwengqondo kumgangatho wobomi kunye neentlungu zesiguli sezilwanyana ezine-LBP engapheliyo (NSCLBP).
• Iindlela: Izigulane ezisibhozo ezisibhozo ezifunyaniswa njengeNSCLBP ngugqirha kwaye zinikezelwe ngokuzenzekelayo ukunyamekela (MBSR + unyango lwangonyango) kunye neqela lolawulo (unyango lwangonyango kuphela). Izifundo ezihlolwe kumaxesha e-3; ngaphambi, emva kweeveki ze-4 emva kokungenelela kwe-Mac Gil ubuhlungu kunye nomgangatho omfutshane wemilinganiselo yokuphila. Iinkcukacha ezifunyenwe kwisampuli yokugqibela ehlaziywa ngu-ANCOVA usebenzisa i-software ye-SPSS.
• iziphumo: Iziphumo zabonisa ukuba i-MBSR yayisebenza ngokunciphisa ubunzima beentlungu kunye nezigulana ezenza iiseshoni ze-8 zokucamngca zichaze iintlungu ezisezantsi kakhulu kunezigulana ezifumana ukhathalelo lonyango oluqhelekileyo. Kwakukho isiphumo esibalulekileyo phakathi kweqela lesifundo (F [1, 45] = 16.45, P <0.001) kunye (F [1, 45] = 21.51, P <0.001) kumgangatho wobomi wobomi kwaye (F [1 , 45] = 13.80, P <0.001) kunye (F [1, 45] = 25.07, P <0.001) umgangatho wobomi bengqondo ngokulandelelana.
• Isiphelo: I-MBSR njengonyango lwengqondo yomzimba olubandakanya ukutshitshiswa komzimba, ukucinga nokuhlala nokucamngca ukuhamba ngokufanelekileyo kwongenelelo ngoncedo lokunciphisa ubuhlungu ubunzima kunye nokuphucula umgangatho wenyama kunye nengqondo yobomi bezigulane zesini kunye ne-NSCLBP.
• Internet: Ubuhlungu obungapheliyo obubuyisela emuva, ukukhathazeka ngokusekelwe ekunciphiseni uxinzelelo, intlungu, umgangatho wobomi, iSF-12

 

intshayelelo

 

Kwiintlungu ezingacacanga ezisezantsi (i-NSLBP) iintlungu azihambelani neemeko ezinje ngokuqhekeka, i-spondylitis, ukwenzakala ngokuthe ngqo, okanye i-neoplastic, isifo esosulelayo, i-vascular, i-metabolic, okanye i-endocrine enxulumene nayo nangona ingunobangela wokuthintelwa kwimisebenzi yemihla ngemihla ngenxa yokwenyani intlungu okanye uloyiko lwentlungu. [1] Ngelishwa, uninzi lwezigulana ze-LBP (80-90%) zinengxaki ye-LBP engacacanga ekhokelela ekukhubazekeni okunxulumene nentlungu kunye nokusikelwa umda kwimisebenzi yemihla ngemihla. [1,2] I-LBP engapheliyo ayixhaphakanga nje kuphela, kodwa ikwangumthombo omkhulu ukukhubazeka ngokwasemzimbeni, ukukhubazeka kwendima, kunye nokuwohloka kwempilo-ntle kunye nomgangatho wobomi. [1]

 

Ngaphambi komzekelo owamkelekileyo we-biopsychosocial, i-model ye-biomedical ilawulwa yonke ingqondo yokugula malunga neminyaka eyi-300 kwaye ihlala ilawulwa ngcamango eyaziwayo. Okokuqala kucetyiswa ngu-Engel (1977) umzekelo we-biopsychosocial uvuma iinkqubo ze-biological kodwa ugxininisa ukubaluleka kweemeko zengqondo kunye nengqondo kwiintlungu. Isango elidumileyo lokulawula i-theory yentlungu [3] kwakhona icebisa ukuba ingqondo idlala indima enkulu kwiintlungu ezibonakalayo ngokuchasene nokuba ngummkeli ongenabuhlungu. Bakucebisa ukuba iingqondo zithintele okanye ziphuculise ukuhamba kweemvakalelo zentlungu kwaye zichaphazele indlela ekugqibeleni ubuchopho buphendula ngayo ukuvuselela okubuhlungu. [4] Ukuba iinjongo zengqondo zingatshintsha indlela ubuchopho buqhutyelwa ngayo intlungu kwaye luba negalelo elikhulu lokungenelela kwengqondo ukuze kuveliswe iintlungu ezivela kwingqondo.

 

IKabat-Zinn's et al. (1986) uchaze inkqubo yokunciphisa iintlungu kwiphepha lakhe ngengqondo kunye nokucamngca. Inkqubo yokunciphisa iintlungu yenzeke sisimo sengqondo se-ofan sokujonga okungafunekiyo xa sisiba sikhulu kwicandelo lokwazisa kunye nokujonga kunye neqela elifanayo leenkqubo ezihamba nazo kodwa ezizimeleyo ezinokukhokelela kuvavanyo kunye neelebheli zemvakalelo ezibuhlungu, njenge Ukwenzakalisa. Yiyo ke, ngo- uncoupling uvakalelo ngokwasemzimbeni, ukusuka kumava emvakalelo kunye nokuqonda kwentlungu, isiguli siyakwazi ukunciphisa iintlungu. [5] Iinkcazo zezigulana zokuphazamiseka kwintlungu, ezichonga iindlela zokulwa nokusetyenziswa gwenxa kwintlungu kunye nokuphakanyiswa kokuqaqanjelwa kwentlungu ekhokelela kutshintsho lokuziphatha yimizekelo yendlela iintlungu ezingahambelani ngayo neemvakalelo, ukuqonda, kunye nemvakalelo [Umzobo 1]. Ke ngoku kutshanje ezi ngcamango zitsale abaphandi abaliqela abasebenza kwiintlungu.

 

 

Ukucamngca kwengqondo kuyingcambu yefilosofi yaseBuddhist Vipassana kunye nokuziqhelanisa kwaye yenziwe ngokuzimela ngaphandle kwengqondo yengqondo kwiinkcubeko zaseNtshona. [6,7,8,9] Kungekudala eNetherlands Veehof et al. uqhube uphononongo oluhlelekile lweengxelo ezilawulwayo ezingenakulawulwa kwindlela yokusebenza kwamanyathelo afanelekileyo njengokwinkqubo yokunciphisa uxinzelelo lwengqondo, ukwamukelwa kunye nokuzinikela ukuzinyamezela. Iziphumo eziprayimari ezilinganisiweyo zibuhlungu kunye noxinzelelo. Iziphumo eziqhelekileyo zilinganiswe ukuxhalaba, ukuphila ngokwenyama kunye nomgangatho wobomi. [10] Izifundo ezingamashumi amabini namibini izifundo ezilawulwa ngandlela-thile eziqhutywe ngekliniki ngaphandle kokungahambi kakuhle kunye nezifundo ezingalawulwayo zibandakanyiwe zizonke izigulane ze-1235 ezineentlungu ezingapheliyo. Ubungakanani besiphumo kwiintlungu (0.37) zifunyenwe kwizifundo ezilawulwayo. Impembelelo ekudakaleni kwakuyi-0.32). Ababhali baphetha ngokuthi ukungenelela kwe-ACT kunye neengqondo zinempembelelo efanayo nezinye iindlela zokungenelela ezinokwenziwa kwengqondo kunye nokuba ezi zininzi zongenelelo zingenokuba yindlela efanelekileyo okanye idibeneyo kwimiba ekhoyo yangoku. UChesa noSerretti baphinde baqhube olunye uphononongo olwenziwe kwi-10 yokungenelela kwengqondo. [I-11] Iziphumo eziphambili kukuba oku kungenelela kwenzile imiphumo emincinci ngaphandle kokunciphisa intlungu engapheliyo kunye neempawu zokudandatheka. Xa kuthelekiswa namaqela alawulayo asebenzayo (inkxaso kunye nemfundo) akukho miphumo eyongeziweyo eyongeziweyo.

 

Ngesishwankathelo, kukho imfuno yophando olongezelelweyo kwimiphumo ethile yeengqondo ezizicingayo ezibuhlungu obungapheliyo. Ngokubhekiselele njengoko umphandi olwazi ukusebenza kwengqondo engakhange ahlolwe ngobunjani bobomi bezigulane ezingapheliyo e-Iran. Ababhali bajolise ukuhlolisisa impembelelo yokucutha kwengqondo esekelwe ekunciphiseni uxinzelelo (MBSR) inkqubo eyenzelwe ulawulo lweentlungu kwiqondo lobomi kunye nentlungu yesampula ehamba ngokufanayo kunye ne-LBP engapheliyo (NSCLBP) ngokuqhathaniswa neqela lokunakekelwa kwezempilo.

 

tindlela

 

Sampling

 

Ngaphandle kweesampulu zokuqala zabasetyhini abaneminyaka engama-30 45 (n = 155) abafumanise ukuba yi-NSLBP engapheliyo ngoogqirha kumaziko e-physiotherapy e-Ardebil-Iran ubuncinci kwiinyanga ezi-6 ngaphambili. Kuphela ngama-88 kuphela afezekisa iikhrayitheriya zokufakwa kwaye anike imvume yokuthatha inxaxheba kwinkqubo yophando. Izigulana zabelwa ngokungacwangciswanga kumaqela amancinci ukuba zifumane i-MBSR kunye nonyango oluqhelekileyo (iqela lokulinga) kunye nokhathalelo oluqhelekileyo lonyango (iqela lolawulo). Ezinye izigulana ziye zehla ngexesha nasemva konyango. Isampulu yokugqibela yophando enamabhinqa angama-48.

 

Iingqinisiso zokufakwa

 

• Ubudala beminyaka engama-30 ukuya kwengama-45
• Ukuba unyango lwezonyango ezifana ne-physiotherapy kunye neyeza
• Ingxaki yonyango-imbali ye-NSCLBP kunye nentlungu eqhubekayo ubuncinane ubuncinane kweenyanga ze-6
• Ulwimi - isiPersi
• Ubulili - isetyhini
• Imfundo-efundiswa ubuncinci ukuya esikolweni esiphakeme
• Imvume kunye nokuzimisela kwezinye iindlela zokuphelisa iintlungu.

 

Iimpawu zokungabikho

 

• Imbali yokuhlinzwa komgudu
• Ukudibana nezinye izifo ezingapheliyo
• I-Psychotherapy kwiminyaka yokugqibela ye-2 ngaphandle
• Ukungabikho kwiinyanga ezilandelayo ze-3.

 

Isindululo sophando esivunyiweyo yikomiti yesayensi yeYunivesithi yasePanjab, isebe lezengqondo kunye nazo zonke izigulana ezisayine imvume yokuthatha inxaxheba kolu phando. Uphononongo luvunyiwe eIndiya (eyunivesithi apho umphandi enze khona i-PhD), kodwa lwenziwa e-Iran kuba umphandi uvela e-Iran kwasekuqaleni kwaye bekukho ingxaki yolwimi nenkcubeko. Ukuvunywa kweKomiti yeenqobo ezisesikweni yeziko le-physiotherapy e-Ardebil kwafunyanwa e-Iran nako ukwenza uphando.

 

uyilo

 

Uphononongo lusebenzise uyilo lokulinga lwangaphambi kokuthunyelwa kwexesha lokuvavanya ukuvavanya ukusebenza kwe-MBSR kumaxesha ama-3 (phambi-emva kweeveki-4 emva kwenkqubo). Inkqubo ye-MBSR yalawula iseshoni enye ngeveki yokuchaza ubuchule, ukuziqhelanisa, kunye nengxelo kunye nokwabelana ngamava abo kwiiveki ze-8 ecaleni kwe-30 45 min yokuziqhelanisa nekhaya mihla le [Itheyibhile 1]. Ungenelelo lwenziwa kumaqela amathathu kubandakanya abathathi-nxaxheba abangama-7 9 kwiqela ngalinye. Inkqubo yokwenza inkqubo yayisekwe kwimigca ye-quid ebonelelwe yi-Kabat-Zinn, Morone (2008a, 2008b no-2007) [6,12,13,14] kunye nolunye uhlengahlengiso olwenzelwe abaguli ababandakanyekayo kuphononongo. Iqela lolawulo alibonelelwanga naluphi na uhlobo longenelelo kwiprojekthi yophando. Ngenxa yoko, bafumana iindlela eziqhelekileyo kukhathalelo lwempilo kubandakanya i-physiotherapy kunye namayeza.

 

 

Ukungenelela

 

Iiseshoni ezenziwa kwiklinikhi yabucala yomzimba kufutshane namaziko e-physiotherapy. Iiseshoni zithathe iiveki ezisibhozo, kwaye iseshoni nganye yathatha i-8 min. Ukucamngca kuguqula ulwazi lwezigulana ngeendlela zokuphefumla kunye nengqondo. Ungenelelo lwenziwa kumaqela amancinci kubandakanya abathathi-nxaxheba abangama-90 7 kwiqela ngalinye. Itheyibhile 9 yeenkcukacha zomxholo weseshoni obulungiselelwe ngokwencwadi kunye nezifundo zangaphambili. [1]

 

U vavanyo

 

Iphetshana elizaliswe zizigulana phambi kokungenelela, emva kokungenelela kunye neveki ze-4 emva kokungenelela. I-receptor yamaziko e-physiotherapy yenza uvavanyo. Abafumana i-receptors baqeqeshwe ngaphambi kokuba baqhube uvavanyo, kwaye babengaboniyo kwiingcamango zesifundo. Ezi zilandelayo zisetyenziselwa uvavanyo lwabathathi-nxaxheba:

 

Umbuzo weMicGill Pain Questionnaire

 

Icandelo eliphambili leli nqanaba liqukethe izichazi ezichazayo ze-15, i-11 sensory kuqukwa: Ukuqothulwa, ukuThunjulwa, ukuBetha, ukuCima, ukuCima, ukuGnawing, Ukutshisa, Ukutshisa, ukuPhepha, ukuThengisa, ukuCima, kunye nokuzibandakanya ezine okubandakanya: Ukukhathala, ukukhathala, ukugula , Ukwesaba, ukukhawuleza, okukrakra, ezichazwe zizigulane ngokuxhomekeka kwazo kwinqanaba elinesine (0 = akukho, 1 = ludityaniswe, 2 = elilinganayo, 3 = elibi), elivumela izikolo ezintathu. Amanqaku athile kunye neempembelelo abalwa ngokufaka i-sensory kunye nemilinganiselo yezinto ezichaphazelekayo ngokwahlukeneyo, kwaye amanqaku amanqaku isisom yala manqaku amabini angentla apha. Kule sifundo, sasisetyenzisile isalathisi sokulinganiswa kweentlungu kunye nezikolo ezipheleleyo. Adelmanesh et al., [15] yaguqulelwa kwaye yaqinisekisa i-Iran inguqu yale mibuzo.

 

Umgangatho woBomi (SF-12)

 

Umgangatho wobomi ovavanywa yiSF Survey Health Survey. [12] Yaphuhliswa njengendlela efutshane, ngokukhawuleza ukugqibezela kwi-SF-16v36 yeNgcaciso yezezeMpilo kunye nokulinganisa ezempilo ezisibhozo ezakhayo. Ukwakhiwa kuku: Ukusebenza ngokomzimba; indima yomzimba; intlungu; impilo jikelele; bukhulu; ukusebenza kwentlalo; indima; kunye nengqondo yengqondo. Izinto zineempendulo ezintlanu zokuphendula (umzekelo: Zonke ixesha, ixesha elininzi, ixesha elithile, ixesha elincinane, akukho nanye ixesha), ngaphandle kwemibuzo emibini apho kukho izigqibo ezintathu zokuphendula ( i-domain functioning domain). Izinto ezine zitshintshiwe. Izibalo eziqingqiweyo eziqingqiweyo kwiimithombo ezisibhozo ziguqulwa ukuguqula amanqaku aphantsi kunako konke kwaye amanqaku aphezulu kakhulu kwi-2. Amanqaku aphezulu abhekisela kwimpilo engcono kunye nenhlalakahle. Ifom yefom ye-SF-100 isebenzisa ixesha elidlulileyo lweeveki ze12 zangaphambili. [4]

 

Inguqulelo yeIran ye-SF-12 eMontazeri et al. (2011) uphononongo lubonakalise ukungqinelana kwangaphakathi okwanelisayo kuwo omabini la manyathelo wesishwankathelo, lawo yiPhysical Component Summary (PCS) kunye neSishwankathelo seNgqondo yeNgqondo (i-MCS); ICronbach? ye-PCS-12 kunye ne-MCS-12 yayiyi-0.73 kunye ne-0.72, ngokwahlukeneyo. Ukuthelekiswa kweqela okwaziwayo kubonise ukuba i-SF-12 ikhethe kakuhle phakathi kwamadoda nabasetyhini kunye nabo bahlukileyo ngokweminyaka nakwimeko yemfundo (P <0.001) 2.5. [17]

 

Uhlalutyo lweSatisati

 

I-SPSS 20 (Armonk, NY: IBM Corp) isetyenziswe ukuhlalutya idatha. Ukuhlalutya okuchazayo kuthetha, ukuphambuka okuqhelekileyo (SD) esetyenziswayo. Ukwenza i-ANCOVA, amanqaku aqala ukusetyenziswa njengama-covariates.

 

iziphumo

 

Iminyaka yobudala yayingu-40.3, SD = 8.2. I-45% yamabhinqa yayisebenza kwaye abanye babengumfazi wendlu. I-38% yabantwana ababini, i-55% umntwana omnye kunye nabanye babenabantwana. Bonke babetshatile kwaye bavela kwiintsapho ezinomvuzo ophakathi. I-9.8% yezigulane zazisa izinga eliphantsi lomzimba lobomi, kwaye ezinye ziphantsi (i-54.8%) kwaye zilinganise (36.4%). Oku kwakuyi-12.4%, i-40% kunye ne-47.6% ephantsi kakhulu, ephantsi kunye namanqanaba aphakathi komgangatho wengqondo ebomi kwizigulane ezithathiweyo kwisifundo sethu (n = 48). Intetho kunye ne-SD yezigulane kwi-MBSR kunye neqela lokulawula libonisa ukwehla kwintlungu kunye nokwanda kwimiqobo yobomi kunye nengokomzimba [Itafile 2].

 

 

Iziphumo zokufanisa

 

Ubuhlungu. Iziphumo zibonise ukuba emva kokuhlengahlengiswa kwamanqaku okuqala, bekukho isiphumo esibalulekileyo phakathi kweqela lezinto (F [1, 45] = 110.4, P <0.001) kunye (F [1, 45] = 115.8, P <0.001) . Amanqaku ovavanyo olwenziwe emva kovavanyo acebisa ukuba ungenelelo lube nefuthe ekwandiseni amanqaku ezigulana ze-NSCLBP ezifumene i-MBSR xa kuthelekiswa nabo babekwiqela lolawulo kwaye bengakhange bafumane naluphina unyango lomzimba wengqondo [Itheyibhile 3].

 

 

Umgangatho wobomi. Iziphumo zibonisa ukuba emva kohlengahlengiso lwamanqaku angaphambili, bekukho isiphumo esibalulekileyo phakathi kweqela lezinto (F [1, 45] = 16.45, P <0.001) kunye (F [1, 45] = 21.51, P <0.001) . Amanqaku ovavanyo olwenziwe emva kovavanyo acebisa ukuba ungenelelo lube nefuthe ekunyuseni umgangatho wokuphila kwamanqaku ezigulana ze-NSCLBP ezifumene i-MBSR xa kuthelekiswa nalabo babekwiqela lolawulo kwaye bengakhange bafumane naluphina unyango lomzimba wengqondo [3 Table ].

 

Iziphumo zikwabonisa ukuba emva kokuhlengahlengisa amanqaku okuqala, bekukho isiphumo esibalulekileyo phakathi kweqela lezinto (F [1, 45] = 13.80, P <0.001) kunye (F [1, 45] = 25.07, P <0.001 ). Amanqaku ovavanyo olwenziwe emva kovavanyo acebisa ukuba ungenelelo lube nefuthe ekwandiseni umgangatho wobomi bamanqaku ezigulana ze-NSCLBP ezifumene i-MBSR xa kuthelekiswa nabo babekwiqela lolawulo kwaye bengakhange bafumane naluphi na unyango lwengqondo [Itheyibhile 3].

 

Insight of Dr. Alex Jimenez

Ingqondo yinkqubo yengqondo ebandakanya ukuvula indlela yokuphumla kwengqondo ngokungakhathaleli ngabom "incoko" yengqondo, ukuzisa ingqalelo yamava akhoyo okwangoku kunye nokujonga ukuphefumla kwakho. Ingqondo inokufezekiswa ngokwenza ukucamngca kunye neendlela zolawulo loxinzelelo kunye nobuchule. Ngokwezifundo zophando, ukuqonda kuyindlela efanelekileyo yonyango enokukunceda ukunciphisa iintlungu ezingapheliyo. Abaphandi baye bafanisa ukunciphisa ukunciphisa uxinzelelo lwengqondo, okanye i-MBSR, kunye nonyango lokuziphatha ngokuziphatha ukuze baqonde ukuba ngaba oku kungenelela kwengqondo kunokuphucula iintlungu ezingapheliyo. Inqaku elilandelayo liye laqhutyelwa ukucacisa ukuba ukucamngca ngengqondo kuyindlela efanelekileyo yokwenza unyango lweentlungu ezingapheliyo. Iziphumo zophando zombini zazithembisa, zibonisa ukuba ingqondo inokusebenza ngakumbi kwiintlungu ezingapheliyo emva kweendlela zonyango kunye nokusetyenziswa kweziyobisi kunye / okanye amayeza.

 

ingxoxo

 

Iziphumo zibonise ukuba iqela lokulinga elithotyelwe kwi-MBSR libonise ukuphucula okubalulekileyo kwintlungu yabo yonke, ubunzima bomzimba kunye nengqondo yamanqaku okuphila ngenxa yoqeqesho olufunyenweyo xa kuthelekiswa neqela lolawulo elifumana unyango oluqhelekileyo kuphela. Inkqubo yanciphisa ukuqonda kwentlungu kunye nokuphucula umgangatho wobomi kunye nengqondo yobomi kunye nefuthe kwiqela lokulinga ngokucacileyo ngokuthelekisa ukhathalelo oluqhelekileyo lonyango. UBaranoff et al., 2013, [18] Nykl cek kunye Kuijpers, 2008, [19] kunye Morone (2) et al., 2008 [20] ingxelo efanayo iziphumo.

 

Kabat-Zinn okqhubekayo. ikholelwa ukuba inkqubo yokunciphisa iintlungu yenzeke ngo- uncoupling uvakalelo lomzimba, ukusuka kumava emvakalelo kunye nokuqonda kweentlungu, isigulana siyakwazi ukunciphisa iintlungu. [21] Kwisifundo esikhoyo, abathathi-nxaxheba badibanisa izinto ezahlukeneyo zamava entlungu. Ukuzilolonga ngokuphefumla kuphazamisa iingqondo zabo kwintlungu yokuphefumla kunye nokuphila okunengqondo kubenze bazi malunga neendlela zokulwa maladaptive.

 

Kwiiseshoni zokuqala, ulwazi olunikeziweyo malunga nezinto ezisemgangathweni zengqiqo, ukuchaza ingqondo yokuxhasa iingcinga ezibandakanya ukungabi nxamnye nombono, iimvakalelo okanye iimvakalelo njengoko ziphakama, umonde, ukungaqiniseki, uvelwano, ukwamukelwa kunye nenzululwazi kwabanika ubulumko kwaye bakholelwa ukuba babandezeleka kwiingcamango ezibuhlungu ngaphezu kweentlungu ngokwazo.

 

Ngapha koko, ngexesha lokuvavanywa komzimba bafunda ukubona imeko yabo yokwenyani, njengoko yayinjalo, ngaphandle kokuzama ukutshintsha inyani. Ukwamkela imeko yabo yokugula okungapheliyo kwabanceda babona ezinye izinto ezinokubakho kwindima yabo yezentlalo kunye neemvakalelo. Ngapha koko ukuziqhelanisa nokuskena komzimba kubancede batshintsha ubudlelwane kunye nomzimba kunye nentlungu. Ngamava ngokuthe ngqo ekuskeneni umzimba, umntu uyakuqonda ukunxibelelana phakathi kwemeko yengqondo nomzimba, ngaloo ndlela kwandisa ukuzilawula kwabaguli kubomi babo. Iindlela zokuphila ezinengqondo zikwaphucule umgangatho wobomi babo ngokubafundisa ukuba baqwalasele ngakumbi iimfuno zabo zemihla ngemihla, ezikhokelele kumava eemvakalelo ezintle, ezinje ngoxolo novuyo, ukuzithemba nokuzithemba. Ngapha koko, babexabisa izinto ezintle. Nje ukuba bafunde ukubona iintlungu eziqhubayo ngokungagungqiyo kwaye bajonga ezinye iimvakalelo emzimbeni wabo, basebenzise imigaqo-nkqubo efanayo ngeendlela zokuphila ezinengqondo kubomi babo bemihla ngemihla. Ngenxa yoko, bafunde ukulawula impilo yabo kwaye baqala ukubandakanyeka kwimisebenzi yabo ngengqondo.

 

Izifundo zophando ezifana ne-Plews-Ogan et al., [22] iGrossman et al., [23] kunye neSephton et al., (2007) [24] yabonisa ukuphumelela kwenkqubo yokucamngca kwengqondo ebomini yobomi bezigulane imeko zobuhlungu obungapheliyo.

 

isiphelo

 

Konke ndawonye umphumo wale sifundo kunye nezifundo zangaphambili zigqamile ukusebenza kwonyango olongezelelweyo kunye nolunye uhlobo lwezigulane ezine-LBP ezingapheliyo. Ngokubhekiselele kwendima enkulu ebomgangatho wobomi kwimpilo yobungcali kunye nobuqu bomntu obumba i-psychotherapies esebenzayo ngokukodwa ekuphuculeni umgangatho wobomi bezigulane ezine-LBP ezingapheliyo ezicetyiswa ngababhali.

 

Olu pho nonongo lubandakanyeka nemida emininzi njengokhathalelo oluqhelekileyo oluqhelekileyo olufunyenwe zizigulane. Iiseshoni ze-physiotherapy ezinikezelweyo okanye iindlela kunye neyeza ezichazwe ngamagqirha ahlukeneyo ngendlela eyahlukileyo. Nangona ezinye izigulane ngokuqhelekileyo i-dose ingagqityi iiseshoni ze-physiotherapy. Ubungakanani besampula bekuncinci kwaye bekuncinci kumaziko amathathu. Oku kuphakanyisiwe kubaphandi bexesha elizayo ukuba baqhube isifundo ngokuqwalasela iimpawu eziphathekayo ezifana ne-MRI, i-NMR kunye nemiqondiso ye-neurologic ukuvavanya ukuphumelela kwe-MBSR ukunciphisa intlungu yesifo.

 

Ekugqibeleni, ubungqina obuninzi obunikwe ubungqina obuninzi obunokulandelelwa kwexesha elide kufuneka kwenziwe ukwenzela ukwandisa isisindo sokwelapha kunye nexabiso le-MBSR njengenxalenye yonyango elongezelelweyo eliyindlela yokukhusela kunye nokuvuselela phakathi kwezigulane ze-CLBP.

 

Ukwamkela

 

Siyabulela kwizigulane ezazinxulumene nathi. UDkt. Afzalifard kunye nabasebenzi bamaziko e-physiotherapy aseArdebil.

 

Imihlathi

 

• Umthombo wenkxaso: Nil.
• Ukugqubana kwemidla: Akukho nto ipapashwe.

 

Ukuququmbela,Ukucinga lolona nyango luxhaphakileyo nobona bungqina buxhasayo ekuphuculeni nasekulawuleni iintlungu ezingapheliyo. Ukungenelela kwengqondo, njengokunciphisa uxinzelelo lwengqondo kunye nonyango lokuziphatha, kubonise ukuba kuyasebenza kwiintlungu ezingapheliyo zentlungu. Ngapha koko, ukucamngca ngengqondo kukwabonakalisiwe ukunceda ukuphucula kunye nokulawula iintlungu ezingapheliyo zangasemva ezibangelwa luxinzelelo. Nangona kunjalo, ezinye izifundo zophando zisafuneka ukumisela isiphumo esomeleleyo sokungenelela kwengqondo kunye nentlungu engapheliyo. Ulwazi olukhankanyiweyo kwiZiko leLizwe leNgcaciso yeBiotechnology (NCBI). Ubungakanani bolwazi lwethu lukhawulelwe kwi-chiropractic kunye nokulimala komqolo kunye neemeko. Ukuxoxa ngesihloko, nceda ukhululeke ukubuza uGqirha Jimenez okanye unxibelelane nathi apha 915-850-0900 .

 

Ikhutshwe nguDkt. Alex Jimenez

 

 

Imixholo eyongezelelweyo: Ubunzima bokubuyisela

 

Ngokwezibalo, malunga ne-80% yabantu baya kuba neempawu zentlungu emva koko kanye ngexesha lokuphila kwabo. Intlungu ebuyayo yinkxalabo eqhelekileyo enokubangelwa 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

 

 

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