I-Intervertebral Disc Stress iNcitshiswa ngokuNxinzelela

Ngaba i-decompression inokukhulula uxinzelelo lwe-intervertebral disc kubantu abajongene nemiba ye-lumbar, ukubuyisela ukuhamba komgogodla?

intshayelelo

I-disc ye-intervertebral yomgogodla isebenza njenge-absorber ephazamisa umqolo xa i-axial overload ibekwe kumqolo. Oku kuvumela abantu abaninzi ukuba baphathe, baphakamise, kwaye bathuthe izinto ezinzima ngaphandle kokuziva bengakhululeki okanye iintlungu imini yonke. Kubalulekile ukuba umqolo ungahlali usebenza kuphela kodwa unika uzinzo kunye nokuhamba kweediski ze-intervertebral ukuvumela ezi ntshukumo. Nangona kunjalo, njengoko umzimba uguga ngokwemvelo, ngoko ke iidiski ze-intervertebral, njengoko zilahlekelwa ukugcinwa kwamanzi kwaye ziqala ukuqhekeka phantsi koxinzelelo. Ukuza kuthi ga ngoku, iidiski ze-intervertebral ziqala ukungasebenzi njengezenzo eziqhelekileyo okanye ezibuhlungu zibangela imiba efana nentlungu kumqolo kwaye inokukhokelela kubomi bokukhubazeka. Xa ukunyakaza okuphindaphindiweyo kubangela ukunyanzeliswa okungafunekiyo, i-intervertebral discs ixinzelelwe kwaye, ngokuhamba kwexesha, inokukhokelela kwimiba efana nentlungu. Ngelo xesha, izihlunu ezijikelezileyo, izicubu, iigaments, kunye namalungu aqala ukuchaphazeleka kwingingqi ye-lumbar, nto leyo ekhokelela kwiimeko ezibuhlungu ezisezantsi ezihambelana nezitho ezisezantsi. Inqaku lanamhlanje lijonga uxinzelelo lwe-disc intervertebral, indlela echaphazela ngayo ukuhamba komgogodla, kunye nendlela unyango olufana noxinzelelo lwe-spinal decompression lunokubuyisela ukuhamba komgogodla ngelixa kunciphisa uxinzelelo lwe-intervertebral disc. Ngexesha elifanayo, sisebenza ngesandla kunye nababoneleli bezonyango abaqinisekisiweyo abasebenzisa ulwazi lwesigulane sethu ukunyanga nokunciphisa iimpawu ezinjengeentlungu ezinxulumene noxinzelelo lwe-intervertebral disc. Sikwabazisa ukuba unyango olungasebenzisi utyando olufana noxinzelelo lunokunceda ukunciphisa uxinzelelo kwiidiski zomgogodla. Siphinde sibachazele ukuba ukuchithwa kwe-decompression kunokunceda njani ukubuyisela ukuhamba komgogodla kumzimba kunye nendlela unyango olunokongezwa ngayo kwindlela yabo. Sikhuthaza izigulane zethu ukuba zibuze imibuzo ebalulekileyo kunye nebalulekileyo ngelixa zifuna imfundo kubaboneleli bethu bezonyango ezinxulumene neentlungu zabo. UDkt Alex Jimenez, DC, udibanisa olu lwazi njengenkonzo yemfundo. isikhanyeli

I-Intervertebral Disc Stress

Ngaba ukhe wafumana iintlungu eziqaqambayo ezidubula ezantsi emilenzeni yakho eyenza kube nzima ukuhamba? Ngaba uhlala uziva izihlunu ezibuhlungu kunye noxinzelelo ngenxa yokubamba izinto ezinzima ekufuneka ungqiyame kancinci ngomqolo ukuze unciphise intlungu? Okanye ngaba uziva intlungu kwindawo enye emzimbeni wakho ohamba kwindawo eyahlukileyo? Uninzi lwezi meko ezinjengeentlungu zihambelana noxinzelelo lwe-intervertebral disc kumqolo. Kumzimba oqhelekileyo onempilo, i-disc intervertebral kufuneka ithathe umthwalo womgogodla xa umzimba usesimweni esingaqhelekanga ngaphandle kwentlungu okanye ukuphazamiseka. Nangona kunjalo, njengoko umzimba uguga ngokwemvelo, i-intervertebral discs iyancipha ngokuhamba kwexesha, kwaye uxinzelelo lwe-intradiscal ngaphakathi kwe-spinal disc cavity luyancipha. (Sato, Kikuchi, & Yonezawa, 1999) Ukuza kuthi ga ngelo xesha, umzimba kunye neediski ze-intervertebral ziqala ukuqina ngokuhamba kwexesha, kubangela ukuba imisipha ejikelezileyo, i-ligaments, kunye nezicubu zigqithise kwaye zibuhlungu xa uxinzelelo olungafunekiyo luqala ukubangela ukuba imiba ye-musculoskelet iphuhlise ixesha elide. Ngelo xesha, ukuwohloka kunye nokuguga kunobudlelwane be-causal, obangela utshintsho oluphawulekayo ekubunjweni kunye nesakhiwo se-spinal disc. (Acaroglu et al., 1995) Olu tshintsho lubangela uxinzelelo kwi-disc intervertebral, ebangela ukuba umqolo ube ngaphantsi kwe-mobile.

Ichaphazela Njani Ukuhamba koMnqonqo

Xa i-disc ye-intervertebral ijongene noxinzelelo lomatshini ukusuka kuxinzelelo olungafunekiyo, njengoko kuchazwe ngaphambili, inokukhula ibe yinguqu ephawulekayo ekubunjweni kwayo kunye nesakhiwo. Xa abantu bejongene nemiba yokuhamba komgogodla, kubangela ukungazinzi kwamacandelo, okubangela ukuba kube nefuthe kwintshukumo yonke ye-lumbar yomgogodla kwaye kubangela ukuba i-intervertebral disc igxininise kakhulu kwaye ibangele ukukhubazeka. (Okawa et al., 1998) Xa 'uxinzelelo' oluphezulu lugxininiswe ngaphakathi kweediski ze-intervertebral, ngokuhamba kwexesha, kunokubangela intlungu ye-musculoskeletal kwi-lumbar spine, ekhokelela ekuphazamisekeni okuqhubekayo kwiindawo ezisezantsi. (Adams, McNally, & Dolan, 1996) Xa kukho ukwehla ngaphakathi kwe-disc intervertebral ehambelana noxinzelelo lomatshini, kunokuchaphazela umsebenzi wokuhamba komgudu. Kubantu abasebenzayo, kunokuba nefuthe elikhulu kubo. Xa ujongene noxinzelelo oluhambelana neediski ze-intervertebral, abantu ngabanye baya kuphuhlisa iingxaki zentlungu ephantsi enokubangela umthwalo omkhulu xa benyangwa. Iintlungu ezisezantsi ezihambelana noxinzelelo lwe-intervertebral disc zinokubangela umngcipheko wentlalontle yentlungu ye-lumbar kunye nokukhubazeka. (Katz, 2006) Xa ujongene neengxaki ezisezantsi, abantu baya kufumana izilungiso zexeshana ukuqhubeka nokusebenza ngelixa bejongene nentlungu de kube kufuneka bamkelwe unyango. Oku kubangela uxinzelelo olungeyomfuneko kumntu ngamnye kuba kuya kufuneka bathathe ixesha emsebenzini ukuze bazive bengcono. Nangona kunjalo, kubalulekile ukunyangwa ngoxinzelelo lwe-intervertebral disc kwangethuba ngaphambi kokuba imiba emininzi iqale ukwenzeka, njengoko kukho unyango olungelulo utyando olunendleko kwaye lukhuselekile ukubuyisela ukuhamba komgudu.

Kutheni ukhethe iChiropractic-Ividiyo

Xa kuziwa ekuphatheni iintlungu ezisezantsi ezihambelana noxinzelelo lwe-intervertebral disc, abantu abaninzi bazama amayeza amaninzi asekhaya kunye nonyango lokunciphisa intlungu. Nangona kunjalo, olo nyango lwasekhaya lubonelela ngesiqabu sexeshana. Abantu abajongene nemiba yokushukuma komgogodla banokufumana isiqabu abayifunayo ngokubandakanya unyango olungasebenzisi utyando kwimisebenzi yabo yemihla ngemihla. Unyango olungasebenzisi utyando luyonga kwaye lunokubonelela ngesiphumo esilungileyo kubantu abaninzi njengoko izicwangciso zabo zempilo kunye nempilo entle zinokwenzelwa umntu. (Boos, ngo-2009) Oku kuvumela umntu ukuba ekugqibeleni afumane isiqabu ayifunayo kwaye enze ubudlelwane obuhle kunye nogqirha wabo oyintloko. Unyango olungasebenzisi utyando lunokudityaniswa nolunye unyango ukuthomalalisa iintlungu zomntu ngakumbi nokunciphisa amathuba okuba ingxaki ibuye. Unyango olufana nokhathalelo lwe-chiropractic, unyango lwe-massage, kunye ne-spinal decompression lolunye unyango olungenalo utyando olunokunceda ukunciphisa uxinzelelo lwe-intervertebral kunye nokubuyisela ukuhamba komgogodla. Ividiyo engentla ichaza ukuba olu nyango lunokufumana njani unobangela wengxaki kunye nokujongana nemiba kwindawo ekhuselekileyo nelungileyo.

Indlela i-Decompression ikhulula ngayo i-Intervertebral Disc Stress

Unyango olungelulo utyando olunjengokuthotywa komgudu lunokunceda ekunciphiseni uxinzelelo lwe-intervertebral disc olubangela imiba yeentlungu ezisezantsi kwingingqi ye-lumbar. Ukunyanzeliswa komgogodla usebenzisa i-traction ethambileyo kumqolo ukunciphisa uxinzelelo kwi-disc intervertebral. Ukunyanzeliswa komgogodla kuvumela abantu abaninzi ukuba banciphise amathuba abo okuya kukuhlinzwa ngenxa yeentlungu zabo kwaye, emva kweeseshoni ezimbalwa, intlungu yentlungu iyancipha kakhulu. (Ljunggren, Weber, & Larsen, 1984) Ukongezelela, ukunyanzeliswa komgogodla kunokudala uxinzelelo olubi lwe-intradiscal kwikholamu yomgogodla ngokuvumela izondlo kunye namanzi ukuba ahlaziye i-disc echaphazelekayo ngelixa ekhuthaza inkqubo yokuphulukisa yendalo yomzimba. (Sherry, Kitchener, & Smart, 2001)

I-Decompression Ukubuyisela Ukuhamba koMnqonqo

Ukunyanzeliswa komgogodla kunokunceda kwakhona ukubuyisela ukuhamba komgudu kwindawo ye-lumbar. Xa iingcali zentlungu zibandakanya ukuchithwa komgogodla kwimisebenzi yazo, zinokunceda ngokusebenzisa iindlela ezahlukeneyo zokubuyisela ukuhamba ngokubambisana. Xa iingcali zentlungu ziqala ukusebenzisa ezi ndlela zahlukeneyo kumzimba womntu, zinokunceda ukunweba izihlunu ezijikelezileyo, iigaments, kunye nezicubu ezichaphazelekayo malunga nomqolo kwaye zincede ukubuyisela ukuhamba kwi-joint. (Gudavalli & Cox, 2014) Ngokudityaniswa nokuthotywa komgogodla, ezi ndlela zivumela umntu ukuba acinge ngakumbi ngemizimba yakhe kwaye anciphise intlungu abaye bajamelana nayo ixesha elide. Ngokubandakanya i-decompression njengenxalenye yesiqhelo sabo, abantu abaninzi banokubuyela kwimisebenzi yabo ngaphandle kweentlungu ngaphandle kokukhathazeka.

Ucaphulo

Acaroglu, ER, Iatridis, JC, Setton, LA, Foster, RJ, Mow, VC, & Weidenbaum, M. (1995). Ukuwohloka kunye nokuguga kuchaphazela indlela yokuziphatha kwe-lumbar anulus fibrosus. Isihlwele (Phila Pa 1976), 20(24), 2690-2701. doi.org/10.1097/00007632-199512150-00010

Adams, MA, McNally, DS, & Dolan, P. (1996). 'Uxinzelelo' lusasazwa ngaphakathi kweediski ze-intervertebral. Imiphumo yobudala kunye nokuncipha. I-Bone Joint Surg Br, 78(6), 965-972. doi.org/10.1302/0301-620x78b6.1287

Boos, N. (2009). Impembelelo yovavanyo lwezoqoqosho ekulawuleni umgangatho kwi-spine surgery. Eur Spine J, 18 Suppl 3(Ubonelelo 3), 338-347. doi.org/10.1007/s00586-009-0939-3

Gudavalli, MR, & Cox, JM (2014). Ixesha langempela lokunyanzeliswa kwengxelo ngexesha lenkqubo yokuphazamiseka kwe-flexion-back back pain: isifundo somqhubi. J Can Chiropr Assoc, 58(2), 193-200. www.ncbi.nlm.nih.gov/pubmed/24932023

www.ncbi.nlm.nih.gov/pmc/articles/PMC4025089/pdf/jcca_v58_2k_p193-gudavalli.pdf

Katz, JN (2006). Ukuphazamiseka kwe-Lumbar disc kunye neentlungu ezisezantsi: iimeko zentlalo kunye nemiphumo. I-Bone Joint Surg Am, 88 Suppl 2, 21-24. doi.org/10.2106/JBJS.E.01273

Ljunggren, AE, Weber, H., & Larsen, S. (1984). I-autotraction versus manual traction kwizigulane ezine-prolapsed lumbar intervertebral discs. Scand J Rehabil Med, 16(3), 117-124. www.ncbi.nlm.nih.gov/pubmed/6494835

Okawa, A., Shinomiya, K., Komori, H., Muneta, T., Arai, Y., & Nakai, O. (1998). Uphononongo olushukumisayo lwentshukumo yalo lonke i-lumbar spine ngevidiyofluoroscopy. Isihlwele (Phila Pa 1976), 23(16), 1743-1749. doi.org/10.1097/00007632-199808150-00007

Sato, K., Kikuchi, S., & Yonezawa, T. (1999). Kwi-vivo intradiscal pressure measurement kubantu abasempilweni nakwizigulane ezineengxaki eziqhubekayo zangasemva. Isihlwele (Phila Pa 1976), 24(23), 2468-2474. doi.org/10.1097/00007632-199912010-00008

Sherry, E., Kitchener, P., & Smart, R. (2001). Uphononongo olulindelekileyo olulawulwa ngokungahleliwe lwe-VAX-D kunye ne-TENS kunyango lweentlungu ezingapheliyo ezisezantsi. Neurol Res, 23(7), 780-784. doi.org/10.1179/016164101101199180

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