Izibonelelo ze-acupuncture kwi-Arthritis zicacisiwe

Kubantu abane-arthritis, ngaba ukudibanisa i-acupuncture kunye nolunye unyango kunceda ukulawula iintlungu kunye nezinye iimpawu?

I-acupuncture ye-Arthritis

I-acupuncture ikhona iminyaka engamawaka kwaye luhlobo lwamayeza emveli aseTshayina asebenzisa iinaliti ezifakwe kwiindawo ezahlukeneyo zomzimba ukukhulula intlungu kunye nokudumba. Uqheliselo lusekwe kumbono wamandla obomi aqukuqela kuwo wonke umzimba ecaleni kwendlela ebizwa ngokuba ziimeridians. Xa ukuhamba kwamandla kuphazamiseka, ukuvaleka, okanye ukulimala, intlungu okanye ukugula kunokubonakala. (I-Arthritis Foundation. ND.) Uphando olongezelelweyo luyafuneka ukuze kubonwe ukuba zisebenza njani iindlela zonyango lwe-acupuncture kunye nokusebenza ngokupheleleyo. Nangona kunjalo, kukho ubungqina obuvelayo obubonisa ukuba i-acupuncture inokubonelela ngokukhululeka kweempawu kubantu abaneentlungu ezidibeneyo, ngakumbi abo bane-osteoarthritis kunye ne-rheumatoid arthritis. (Pei-Chi Chou, Heng-Yi Chu. 2018)

benefits

Eyona ndlela yokunciphisa intlungu kunye nokuvuvukala ayikacaci. Iithiyori ziquka ukuba iinaliti zicinezela iimpendulo ezivuthayo, ukuphucula ukuhamba kwegazi, kunye nokuphumla kwemisipha. Nangona i-acupuncture ingenako ukunyanga okanye ukubuyisela umva isifo samathambo, kunokuba luncedo ekulawuleni iintlungu kunye nokuncipha kweempawu ezinxulumeneyo, ngakumbi ngokudityaniswa nolunye unyango. (Pei-Chi Chou, Heng-Yi Chu. 2018)

Irheumatoid arthritis

Uphononongo olucwangcisiweyo lwezifundo ezingama-43, kubandakanywa abantu kunye nezilwanyana ezine-rheumatoid arthritis, zibonise iziphumo ezahlukeneyo. Izifundo ezininzi zibonise ukuphucuka kweempawu kunye nokuncipha kweempawu zebhayoloji ze-rheumatoid arthritis kulandela iseshoni enye ukuya kwezintathu ze-acupuncture iiveki ezine okanye ngaphezulu. (USharon L. Kolasinski et al., 2020Iziphumo eziluncedo ezilandela unyango lwe-acupuncture kwi-rheumatoid arthritis ziquka:

• Iintlungu ezincitshisiweyo
• Ukunciphisa ukuqina kwamalungu
• Ukuphuculwa komsebenzi womzimba

Iziphumo zophando lwabantu kunye nezilwanyana zacebisa ukuba i-acupuncture inamandla okwenza lawula phantsi:

• Amanqanaba e-interleukins
• Amanqanaba e-tumor necrosis factor
• Iiprotheyini ezithile zeseli / ii-cytokines ezibandakanyekayo kwimpendulo yokuvuvukala, eziye ziphakame kwiimeko ezizimeleyo ezifana ne-rheumatoid arthritis. (Pei-Chi Chou, Heng-Yi Chu. 2018)
• Uninzi lwezifundo zophononongo bezikwafumana ezinye iindlela zonyango, ngakumbi amayeza. Ngoko ke, kunzima ukugqiba ngendlela eluncedo ngayo i-acupuncture iyodwa okanye njengokongeza kolunye unyango lwezamayeza. (Pei-Chi Chou, Heng-Yi Chu. 2018)

Osteoarthritis

I-acupuncture ye-osteoarthritis yesandla, i-hip, kunye nedolo iyacetyiswa, ngokutsho kwe-American College of Rheumatology kunye ne-Arthritis Foundation, oku kuthetha ukuba kunokufaneleka ukuzama, nangona uphando olungakumbi lufunekayo ukuqinisekisa ukusebenza kwayo. Nangona kunjalo, kuba umngcipheko umncinci, i-acupuncture ithathwa njengenye indlela yonyango ekhuselekileyo yokulawula iimpawu. (USharon L. Kolasinski et al., 2020)

Ubuhlungu obungapheliyo

Njengoko ulingo lwezonyango lucebisa ukuba i-acupuncture inokusebenza ekunikeni isiqabu kwiintlungu, inokuba lukhetho olucetyiswayo kubantu abaphethwe ziintlungu ezingapheliyo. Uphononongo olucwangcisiweyo lwamva nje lwezigulane ze-20,827 kunye nezilingo ze-39 zagqiba ukuba i-acupuncture iyasebenza kunyango lwentlungu engapheliyo ye-musculoskeletal, intloko, kunye neentlungu ze-osteoarthritis. (Andrew J. Vickers et al., 2018)

Ezinye izibonelelo ezinokubakho ziquka iziphumo ze-antioxidative: (Pei-Chi Chou, Heng-Yi Chu. 2018)

• Ukunciphisa uxinzelelo lwe-oxidative kunye nokuvuvukala
• Ukuphucula i-metabolism yamandla
• Ukuqala ukukhululwa kwe-endorphins / ihomoni ezinceda ukunciphisa intlungu.

Safety

• I-acupuncture ithathwa njengenkqubo ekhuselekileyo yingcali enelayisensi kunye nesiqinisekiso.
• Ukuziqhelanisa ne-acupuncture e-United States, i-acupuncture idinga ubuncinci isidanga se-master ukusuka kwinkqubo evunyiweyo yi-American Academy of Acupuncture kunye ne-Oriental Medicine kunye nelayisenisi kwilizwe apho bafumana unyango lwabo lwe-acupuncture.
• Oogqirha abane-MD okanye i-DO degree abanelayisensi e-United States ukuba benze amayeza banokuvunyelwa yi-American Academy of Medical Acupuncture emva koqeqesho olongezelelweyo.

iingozi

Imingcipheko eyayanyaniswa ne-acupuncture kukopha kunye nokugruzuka, ngakumbi kubantu abanengxaki yokopha efana ne-hemophilia okanye amayeza okunciphisa igazi. Abantu ngabanye bayacetyiswa ukuba bathethe nomboneleli wabo wezempilo ukuze babone ukuba i-acupuncture yindlela ekhuselekileyo.

Imiphumela

Uninzi lwabantu alufumani ziphumo zingalindelekanga, nangona iimpendulo ezinokubakho zinokubandakanya: (Shifen Xu et al., 2013)

• Ukukhathazeka
• Ukunyakaza
• Scarring
• Ukothuka ngenaliti: impendulo ye-vasovagal ebonakala njengokuziva utyhafile, izandla ezipholileyo, ukugodola, kunye nesicaphucaphu kancinci.

Iseshoni yeAcupuncture

• Ngexesha lonyango lokuqala, abantu baya kuxoxa ngembali yabo yonyango kwaye ngawaphi amalungu kunye nemimandla yemizimba yabo ebonisa iimpawu.
• Emva kovavanyo lomzimba, umntu uya kulala etafileni yonyango.
• Abantu banokujongana phezulu okanye phantsi kuxhomekeke ekubeni zeziphi iindawo zomzimba i-acupuncturist ekufuneka ifikelele kuyo.
• Kunconywa ukuba unxibe iimpahla ezivulekileyo ezinokugqithwa okanye zisuswe kwindlela yokufikelela kwiindawo ezahlukeneyo ngokulula.
• Kuxhomekeka ekubeni yeyiphi na imimandla ekufuneka ifikelelwe, abantu banokucelwa ukuba batshintshe banxibe ilokhwe yezonyango.
• I-acupuncturist iya kusebenzisa i-alcohol swabs ukukhupha iintsholongwane kwindawo ngaphambi kokufaka iinaliti.
• Iinaliti zenziwe ngentsimbi engenasici kwaye zincinci kakhulu.
• Abantu banokuziva bencitshiswe kancinci kwiindawo ezibuthathaka njengezandla neenyawo, kodwa inaliti yokufakwa kufuneka ikhululeke kwaye inyamezeleke ngaphandle kokungakhululeki.
• Kwi-electroacupuncture, i-acupuncturist iya kudlula umbane omncinci kwiinaliti, ngokuqhelekileyo i-40 ukuya kwi-80 volts.
• Iinaliti zihlala kwindawo yemizuzu engama-20 ukuya kwengama-30.
• Emva kokuba unyango lugqityiwe, i-acupuncturist iya kususa iinaliti kwaye ilahle.

Ubuninzi

• Ubuninzi beeseshoni ze-acupuncture ziya kuhluka ngokuxhomekeka kubunzima beempawu kunye nokuba ukutyelela kuvunyelwe kwaye kubuyiselwe yinkampani ye-inshurensi yezempilo.

Iindleko kunye ne-Inshurensi

• Iindleko ze-acupuncture zinokuhluka kwi-$ 75 ukuya kwi-$ 200 ngeseshoni nganye.
• Iseshoni yokuqala, ebandakanya uvavanyo lokuqala kunye novavanyo, ngokuqhelekileyo ixabisa ngaphezu kotyelelo olulandelayo.
• Nokuba i-inshurensi yezempilo iya kuhlawulela ezinye okanye zonke iindleko zeseshini ye-acupuncture ixhomekeke kwinkampani yeinshorensi nganye kunye nemeko enyangwayo.
• I-Medicare okwangoku ibandakanya iinkonzo ze-acupuncture ukuya kwii-12 ukutyelela phakathi kwexesha le-90-ixesha leentlungu ezingapheliyo ezisezantsi kuphela.
• I-Medicare ayiyi kugubungela i-acupuncture kwezinye iimeko. (I-Medicare.gov. ND)

I-acupuncture ayilonyango lwe-arthritis, kodwa inokuba sisixhobo esiluncedo ekulawuleni iintlungu kunye nezinye iimpawu. Qinisekisa ukudibana nomboneleli wezempilo ukuba i-acupuncture kukhuselekile ukuzama ngokusekelwe kwimbali yonyango.

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Isifo Samathambo Sicacisiwe

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Ucaphulo

I-Arthritis Foundation. (ND). I-acupuncture ye-arthritis (Impilo kunye nokuba sempilweni, umba. www.arthritis.org/health-wellness/treatment/complementary-therapies/natural-therapies/acupuncture-for-arthritis

Chou, PC, & Chu, HY (2018). Ukusebenza kweKlinikhi ye-Acupuncture kwi-Rheumatoid Arthritis kunye neendlela eziManyeneyo: Ukuphononongwa kweNkqubo. Ubungqina obusekelwe kubungqina obuxhasayo kunye nolunye unyango : eCAM, 2018, 8596918. doi.org/10.1155/2018/8596918

Kolasinski, SL, Neogi, T., Hochberg, MC, Oatis, C., Guyatt, G., Block, J., Callahan, L., Copenhaver, C., Dodge, C., Felson, D., Gellar, K., Harvey, WF, Hawker, G., Herzig, E., Kwoh, CK, Nelson, AE, Samuels, J., Scanzello, C., White, D., Wise, B., … Reston, J. (2020). I-2019 yeKholeji yaseMelika ye-Rheumatology / iSikhokelo seSiseko seArthritis soLawulo lwe-Osteoarthritis yesandla, i-Hip, ne-Knee. Ukunyamekela kunye nophando lwe-arthritis, i-72 (2), i-149-162. doi.org/10.1002/acr.24131

Vickers, AJ, Vertosick, EA, Lewith, G., MacPherson, H., Foster, NE, Sherman, KJ, Irnich, D., Witt, CM, Linde, K., & Acupuncture Trialists 'Collaboration (2018). I-Acupuncture ye-Chronic Pain: Uhlaziyo lweNkcukacha ye-Meta yoMgulane ngamnye. Ijenali yeentlungu, i-19 (5), i-455-474. doi.org/10.1016/j.jpain.2017.11.005

Xu, S., Wang, L., Cooper, E., Zhang, M., Manheimer, E., Berman, B., Shen, X., & Lao, L. (2013). Iziganeko ezimbi ze-acupuncture: ukuphononongwa okucwangcisiweyo kweengxelo zamatyala. Ubungqina obusekelwe kubungqina obuxhasayo kunye neyeza elihlukile : eCAM, 2013, 581203. doi.org/10.1155/2013/581203

I-Medicare.gov. (ND). I-acupuncture. Ifunyenwe kwi www.medicare.gov/coverage/acupuncture