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Fumanisa iiNzuzo zokuPhilisa kwi-Acupressure

Fumanisa iiNzuzo zokuPhilisa kwi-Acupressure

Ngaba ukubandakanya i-acupressure kunokubonelela ngokukhululeka kunye neenzuzo kubantu abafuna ukuzama unyango lwendalo kwizigulo eziqhelekileyo zempilo?

Fumanisa iiNzuzo zokuPhilisa kwi-Acupressure

Acupressure

I-Acupressure luhlobo lweyeza elixhasayo elikhula ngokuthandwa ngenxa yokulula kunye nokufikeleleka. Inokunceda ekunyangeni izifo ezahlukeneyo kunye neemeko. (UPiyush Mehta et al., 2016) Nabani na unokuyifunda, yaye akukho sixhobo sikhethekileyo sifunekayo. Lukhetho olusebenzayo nolukhuselekileyo lonyango ngaphandle kweziphumo ezibi ezaziwayo. (U-Youngmi Cho et al., ngo-2021) Lungenelelo olungabizi kakhulu olufana ne-acupuncture. (ULukas Israel et al., 2021)

Yintoni?

Ingqikelelo ye-acupressure ivuselela i-acupoints okanye amanqaku oxinzelelo kuwo wonke ama-meridians okanye amajelo aqhagamshelwe kumalungu ahlukeneyo ukulungelelanisa amandla kunye nokukhuthaza impilo. Iingcali zikholelwa ukuba umgangatho okanye imeko yamandla omntu imisela impilo yakhe. (UPiyush Mehta et al., 2016) I-acupressure kukuvuselela ii-acupoints usebenzisa nokuba yiminwe okanye isixhobo. Ubuchule bokuphulula umzimba obufana no-Amma, Shiatsu, Tui Na, kunye ne-Thai massage ibandakanya i-acupressure kunyango lwabo kwaye ilandele iziteshi zamandla ezifanayo njenge-acupuncture.

Indlela Esebenzayo

I-acupressure isebenza ngokufanayo kwi-acupuncture. Ithiyori yoLawulo lweSango ithi iimpembelelo zolonwabo zifikelela kwingqondo ephindwe kane ngokukhawuleza kuneempembelelo zentlungu. Iimpembelelo zolonwabo eziqhubekayo zivala amasango e-neural kwaye zivale imiyalezo ecothayo, njengentlungu. Ngokwale thiyori, i-acupressure iphucula umda wokubona intlungu. (UPiyush Mehta et al., 2016) I-acupoints evuselelayo ivuselela iimpendulo ezisebenzayo, njengokukhupha iihomoni. La mahomoni asebenza imisebenzi eyahlukeneyo, ngokomzimba, njengokulawula ukusebenza kwamalungu, kunye nengqondo, njengokulawula iimvakalelo, kunye nokuzikhulula kunokunceda ukuphucula impilo kunye nokuphila kakuhle. (UPiyush Mehta et al., 2016)

  • I-Acupressure lungenelelo olulula nolusebenzayo olunokuthi luzilawule ngokwalo okanye luzilawule ngobungcali.
  • Ii-acupoints zisebenza kwi-elbows, iminwe, iinyawo, i-knuckles, iintende, okanye isithupha.
  • Nangona i-acupressure ayifuni izixhobo ezikhethekileyo, ziyafumaneka ukuze zibe lula.
  • Abanye oogqirha basebenzisa Amatye Bian ukwenza ii-acupoints zisebenze.
  • Izixhobo zanamhlanje zinokunceda ngokuvula i-acupoints. (UPiyush Mehta et al., 2016)
  • Ukucinezela i-acupoints ngokwaneleyo, kwaye ukuchaneka akunakwenzeka ukuba kubangele ukulimala okanye ukulimala. (U-Youngmi Cho et al., ngo-2021)

Ezinye ze izixhobo ezikhoyo ziquka: (UPiyush Mehta et al., 2016)

  • Isixhobo somqolo
  • iiglavu
  • Isixhobo seminwe
  • Ipeni
  • umsesane
  • nezihlangu
  • Ibhodi yeenyawo
  • Isixhobo sendlebe
  • Izilwanyana

benefits

I-acupressure ihlala isetyenziswa ecaleni kweyeza lanamhlanje, njengoko linyanga iimpawu eziqhelekileyo okanye ezihlala zihleli, ezinje ngoxinzelelo okanye uxinzelelo. Ezinye zeemeko apho i-acupressure inokusebenza khona ibandakanya.

Uxinzelelo kunye nokunciphisa ukukhathala

Ukuxinezeleka kunye nokudinwa zixhaphakile kodwa zihlala zivela kunye nezinye izifo okanye iimeko ukuba ukuzingisa okanye kunzima, ukuxhalaba kunye nokudinwa kunokuchaphazela kakhulu umgangatho wobomi ngokunciphisa amandla omntu okuthatha inxaxheba kwimisebenzi yemihla ngemihla. Kuphononongo olujonge abongikazi bomsebenzi weshifti abafumana uxinzelelo kunye nokudinwa ngenxa yobunzulu bomsebenzi wabo, i-acupressure inciphise kakhulu iimpawu zabo. (U-Youngmi Cho et al., ngo-2021Kuphononongo lwabantu abasinde kumhlaza wamabele, i-acupressure nayo yasetyenziswa ukunciphisa amanqanaba okudinwa kwaye yaboniswa njengeyona ndlela isebenzayo kunye nexabiso eliphantsi lokulawula ukudinwa okuzingileyo ecaleni kokhathalelo oluqhelekileyo lomhlaza wamabele. (USuzanna Maria Zick et al., 2018) (Suzanna M Zick et al., 2016)

Unokunceda Ngexhala kunye Noxinzelelo

Ukudakumba kunye nokuxhalaba kunokuba yinxalenye yokuphazamiseka okanye kubekho ngokwabo. I-acupressure inokunceda ukunciphisa ixhala kunye nokudakumba okuvela njengenxalenye yemeko okanye isigulo. Kuphononongo lwabahlengikazi bomsebenzi wokutshintsha, i-acupressure incede ukunciphisa amanqanaba okuxhalaba. (U-Youngmi Cho et al., ngo-2021) Kwezinye izifundo, i-acupressure yanciphisa amanqaku okuxhalaba kunye nokuphucula iimpawu zokudakumba kubantu abaneempawu ezincinci ukuya kweziphakathi. (Elizabeth Monson et al., 2019) (Jingxia Lin et al., 2022) (USuzanna Maria Zick et al., 2018)

Ukuncitshiswa kobuhlungu

Abantu ngabanye bafumana iintlungu zomzimba ngenxa yezizathu ezahlukahlukeneyo. Iintlungu zinokuvela okwethutyana zemidlalo ukwenzakala, umsebenzi, iintshukumo ezingaqhelekanga ngesiquphe, kunye/okanye ukugula okungapheliyo. I-Acupressure inokunciphisa ngempumelelo intlungu njengonyango olongezelelweyo. (Elizabeth Monson et al., 2019) Kuphononongo, abagijimi ababenokulimala kwezemidlalo ye-musculoskeletal babika ukunciphisa ubunzima bentlungu emva kwemizuzu emithathu yonyango lwe-acupressure. (U-Aleksandra K Mącznik et al., 2017) Kwesinye isifundo, abasindileyo bomhlaza webele babonisa ukuphuculwa okubalulekileyo nge-acupressure. (USuzanna Maria Zick et al., 2018)

Isiqabu Uncedo

I-nausea kunye nokugabha ziimeko eziqhelekileyo kwabo bakhulelweyo okanye bephantsi kwechemotherapy. Kwakhona inokuba yimpembelelo yecala leyeza okanye ivele nge-migraine okanye ukugabha. Kukho ubungqina bokuba i-acupressure inokusebenza ekudambiseni iimpawu. Abanye abaphandi bakholelwa ukuba uhlobo oluthile lwe-acupressure olwaziwa ngokuba yi-auricular acupressure lolona lusebenzayo ekunyangeni isicaphucaphu esibangelwa yichemotherapy-induced nagabha ecaleni konyango oluqhelekileyo. (UJing-Yu Tan et al., 2022) Nangona kunjalo, uphando olongezelelweyo luyafuneka ukuze kubonwe ukuba ngaba le yindlela esebenzayo, eqhubekayo yokunyanga isicaphucaphu kunye nokuhlanza. (UHeather Greenlee et al., 2017)

Ukulala Kungcono

I-Acupressure inokuba lukhetho olusebenzayo kunye nexabiso eliphantsi lokulawula iimpawu zomhlaza wamabele. Olunye uphononongo lufumene iindlela zokuphumla ze-acupressure ziphucule umgangatho wokulala kunye nomgangatho wobomi kwabasindileyo kumhlaza wamabele. Ukongeza, abaphandi baqaphela ukuba ukuphumla kwe-acupressure kusebenza ngakumbi ekuphuculeni ukulala kunye nomgangatho wobomi kunokuvuselela i-acupressure. (Suzanna M Zick et al., 2016)

UkuNcitshiswa kweAleji

I-rhinitis ye-Alergic kukuvuvukala okubangelwa kukungabikho komzimba. Ulingo lwangaphambili lufumanise ukuba i-acupressure inokuphucula impilo ngokubanzi ngokunciphisa iimpawu ze-rhinitis ezibangelwa kukwalana ngamaxesha athile kunye nesidingo samayeza okwaliwa. (ULukas Israel et al., 2021) Kwakhona abaphandi baye baqaphela ukuba abantu banokubambelela kunyango lokuzithambisa lwe-acupressure njengendlela yokuziphulula. (ULukas Israel et al., 2021)

Soloko udibana nomboneleli wezempilo ngaphambi kokuba uqalise unyango lwe-acupressure, ngakumbi ukuba unayo nayiphi na imeko yezempilo esele ikhona. Kwikliniki yokulimala kweChiropractic kunye ne-Functional Medicine, siphatha ukulimala kunye ne-syndromes ezibuhlungu ezingapheliyo ngokuphuhlisa izicwangciso zonyango lomntu ngamnye kunye neenkonzo ezikhethekileyo zeklinikhi ezijoliswe kukulimala kunye nenkqubo yokubuyisela ngokupheleleyo. Ukuguquguquka, ukushukuma, kunye neenkqubo ze-agility zilungiselelwe onke amaqela eminyaka kunye nokukhubazeka. Ukuba olunye unyango luyafuneka, abantu ngabanye baya kuthunyelwa kwiklinikhi okanye ugqirha ofaneleke kakhulu ukulimala kwabo, imeko, kunye / okanye isifo.


Ukuphucula ukusebenza kunye ne-Functional Foot Orthotics


Ucaphulo

Mehta, P., Dhapte, V., Kadam, S., & Dhapte, V. (2016). Unyango lwangoku lwe-acupressure: Unyango lwe-Adroit lokuchacha okungenabuhlungu kwizigulo zonyango. Ijenali yamayeza emveli kunye neyongezelelweyo, 7(2), 251-263. doi.org/10.1016/j.jtcme.2016.06.004

Cho, Y., Joo, JM, Kim, S., & Sok, S. (2021). Iziphumo ze-Meridian Acupressure kuxinzelelo, ukudinwa, ukuxhalaba, kunye nokuSebenza ngokuSebenza kwabongikazi beShiftwork eMzantsi Korea. Ijenali yamazwe ngamazwe yophando lokusingqongileyo kunye nempilo yoluntu, 18(8), 4199. doi.org/10.3390/ijerph18084199

Israel, L., Rotter, G., Förster-Ruhrmann, U., Hummelsberger, J., Nögel, R., Michalsen, A., Tissen-Diabaté, T., Binting, S., Reinhold, T., Ortiz , M., & Brinkhaus, B. (2021). I-Acupressure kwizigulana ezine-rhinitis ye-allergic yexesha lonyaka: uvavanyo lokuhlola olulawulwa ngokungahleliwe. Iyeza laseTshayina, i-16 (1), i-137. doi.org/10.1186/s13020-021-00536-w

Zick, SM, Sen, A., Hassett, AL, Schrepf, A., Wyatt, GK, Murphy, SL, Arnedt, JT, & Harris, RE (2018). Impembelelo ye-Self-Acupressure kwiimpawu eziBambiseneyo kuBasindi boMhlaza. I-JNCI i-spectrum yomhlaza, i-2 (4), i-pky064. doi.org/10.1093/jncics/pky064

Zick, SM, Sen, A., Wyatt, GK, Murphy, SL, Arnedt, JT, & Harris, RE (2016). Uphando lwe-2 Iindidi ze-Acupressure yokuzimela ngokuPheleleyo kwi-Cancer-Related Fatigue kwi-Breast Cancer Survivors: i-Randomized Clinical Trial. JAMA oncology, 2 (11), 1470-1476. doi.org/10.1001/jamaoncol.2016.1867

Monson, E., Arney, D., Benham, B., Bird, R., Elias, E., Linden, K., McCord, K., Miller, C., Miller, T., Ritter, L., & Waggy, D. (2019). Ngaphandle kweePilisi: Impembelelo ye-Acupressure kwi-Self-Rated Pain kunye namanqaku okuxhalabisa. Ijenali yolunye unyango kunye neyeza elincedisayo (eNew York, NY), 25 (5), 517-521. doi.org/10.1089/acm.2018.0422

Lin, J., Chen, T., He, J., Chung, RC, Ma, H., & Tsang, H. (2022). Iimpembelelo zonyango lwe-acupressure kuxinzelelo: uphononongo olucwangcisiweyo kunye nohlalutyo lwemeta. Ijenali yehlabathi yengqondo yengqondo, i-12 (1), i-169-186. doi.org/10.5498/wjp.v12.i1.169

Mącznik, AK, Schneiders, AG, Athens, J., & Sullivan, SJ (2017). Ngaba i-Acupressure ibetha uphawu? Uvavanyo oluLawulwayo lwe-Acupressure ye-Acupressure ye-Arm-Arm ezintathu-Randomized kwi-Pain kunye ne-Anxiety kwiimbaleki ezinokulimala kweMidlalo ye-Musculoskeletal. Ijenali yeklinikhi yeyeza lezemidlalo : ijenali esemthethweni yeCanadian Academy of Sport Medicine, 27(4), 338–343. doi.org/10.1097/JSM.0000000000000378

Tan, JY, Molassiotis, A., Suen, LKP, Liu, J., Wang, T., & Huang, HR (2022). Iziphumo ze-auricular acupressure kwi-chemotherapy-induced nausea kunye nokuhlanza kwizigulana zomhlaza wamabele: uvavanyo lokuqala olulawulwa ngokungahleliwe. I-BMC yokuncedisa amayeza kunye nonyango, i-22 (1), i-87. doi.org/10.1186/s12906-022-03543-y

Greenlee, H., DuPont-Reyes, MJ, Balneaves, LG, Carlson, LE, Cohen, MR, Deng, G., Johnson, JA, Mumber, M., Seely, D., Zick, SM, Boyce, LM, & Tripathy, D. (2017). Izikhokelo zeklinikhi malunga nokusetyenziswa okusekelwe kubungqina bonyango oludibeneyo ngexesha kunye nasemva konyango lomhlaza webele. I-CA: ijenali yomhlaza yeekliniki, i-67 (3), i-194-232. doi.org/10.3322/caac.21397

Ho, KK, Kwok, AW, Chau, WW, Xia, SM, Wang, YL, & Cheng, JC (2021). Ulingo olulawulwa ngokungenamkhethe kwisiphumo sonyango olujoliso lwe-thermal kumanqaku e-acupressure ukunyanga i-osteoarthritis yamadolo. Ijenali yotyando lwamathambo kunye nophando, i-16 (1), i-282. doi.org/10.1186/s13018-021-02398-2

Ukuphonononga i-Periscapular Bursitis: Iimpawu kunye nokuxilongwa

Ukuphonononga i-Periscapular Bursitis: Iimpawu kunye nokuxilongwa

Kubantu abafumana igxalaba kunye neentlungu ezingaphezulu, ngaba i-periscapular bursitis ingaba ngunobangela?

Ukuphonononga i-Periscapular Bursitis: Iimpawu kunye nokuxilongwa

I-Periscapular Bursitis

I-scapula / igxalaba lithambo elitshintsha indawo kunye nomzimba ophezulu kunye nokunyakaza kwamagxa. Ukunyakaza kwe-scapula kubaluleke kakhulu kumsebenzi oqhelekileyo wegxalaba kunye nomqolo. Xa ukunyakaza okungaqhelekanga okanye ngokukhawuleza kwenzeka, ukuvuvukala kunye neempawu zentlungu zingakhula. (Augustine H. Conduah et al., 2010)

Umsebenzi we-Scapula oqhelekileyo

I-scapula lithambo elingunxantathu kumqolo ongasentla ngaphandle kweembambo. Icala layo elingaphandle okanye elisecaleni liqulethe i-socket ye-joint joint / glenoid, ngelixa elinye ithambo lisebenza njengeendawo zokuncamathela kwigxalaba kunye nezihlunu zangasemva. I-scapula iyatshintsha kwi-rib cage xa ​​uhambisa ingalo phambili nasemva. Le ntshukumo ibizwa ngokuba intshukumo ye-scapulothoracic kwaye ibaluleke kakhulu kumsebenzi oqhelekileyo wecala eliphezulu kunye negxalaba. Xa i-scapula ingahambi kwintshukumo edibeneyo, umsebenzi we-torso kunye namagxa amagxa unokuba nzima kwaye ube buhlungu. (JE Kuhn et al., 1998)

I-Scapular Bursa

I-bursa yingxowa ezaliswe ngamanzi evumela intshukumo egudileyo, etyibilikayo phakathi kwezakhiwo, izicubu zomzimba, amathambo kunye neetendon. I-Bursae ifumaneka kuwo wonke umzimba, kubandakanywa nalabo abaphambi kwe-kneecap, ngaphandle kwe-hip, kunye ne-joint joint. Xa i-bursa ivutha kwaye icaphukile, ukunyakaza okuqhelekileyo kunokuba buhlungu. Kukho ii-bursae ezijikeleze i-scapula kumqolo ongaphezulu. Ezimbini zezi ngxowa ze-bursa ziphakathi kwamathambo kunye ne-serratus anterior muscle elawula ukunyakaza kwe-scapular kudonga lwesifuba. Enye i-bursa sac itholakala kwikona ephezulu ye-scapula, kufuphi nomqolo kwisiseko sentamo, kwaye enye isekhoneni elisezantsi le-scapula, kufuphi ne-mid-back. Nokuba zombini iingxowa ze-bursa zinokuchaphazeleka yi-periscapular bursitis. Kukho ezinye ii-bursae ezijikeleze i-scapula kunye neentambo ezijikelezayo, kodwa iingxowa ezimbini zekona zivame ukuba yi-bursae ephambili eyenza i-periscapular bursitis.

Ukuvutha

Xa ezi bursae zidumba kwaye zicaphuka, zidumbe, kwaye zijiyile, imeko eyaziwa ngokuba yi-bursitis iziphumo. Xa i-bursitis ivela kufuphi ne-scapula, i-muscle, kunye ne-shoulder blade movements inokubangela ukungahambi kakuhle kunye neentlungu. Iimpawu eziqhelekileyo ze-periscapular bursitis ziquka:

  • Ukuhlutha ngentshukumo
  • Iimvakalelo zokugaya okanye i-crepitus
  • Ubuhlungu
  • Ububele ngokuthe ngqo kwi-bursa (Augustine H. Conduah et al., 2010)
  • Uvakalelo olungaqhelekanga lwe-scapular kunye nokunyakaza

Ukuhlolwa kwe-scapula kunokubonisa ukunyakaza okungaqhelekanga kwi-shoulder blade. Oku kunokukhokelela kwi-wissang, apho igxalaba lingabanjwanga ngokuchanekileyo kwi-rib cage kwaye liphume ngokungaqhelekanga. Abantu abane-wissang ye-scapula badla ngokuba noomatshini bokudityaniswa kwegxalaba ngendlela engaqhelekanga kuba ukuma kwegxalaba kutshintshiwe.

Izizathu

Izizathu ze-periscapular bursitis zinokuhluka. Eyona nto ixhaphakileyo yi-syndrome yokusetyenziswa ngokugqithiseleyo, apho umsebenzi othile ubangela ukucaphuka kwi-bursa. Oku kunokubandakanya:

  • Imisebenzi enxulumene nemidlalo ebangelwa ukusetyenziswa ngokuphindaphindiweyo.
  • Imisebenzi enxulumene nomsebenzi ebangelwa kukusetyenziswa ngokuphindaphindiweyo.
  • Ukulimala okubuhlungu okubangela ukuvuvukala okanye ukucaphuka kwi-bursa.

Ezinye iimeko zingabangela i-anatomy engaqhelekanga okanye i-bone protuberances, ecaphukisa i-bursa. Enye imeko kukukhula kwethambo elibi eyaziwa ngokuba yi-osteochondroma. (Antônio Marcelo Gonçalves de Souza kunye noRosalvo Zósimo Bispo Júnior 2014) Oku kukhula kunokuvela kwi-scapula, okukhokelela ekucaphukeni kunye nokuvuvukala.

impatho

Unyango lwe-periscapular bursitis luqala nge-conservative zonyango. Unyango oluhlaselayo alufane lufuneke ukulungisa ingxaki. Unyango lungabandakanya:

Ukuphumla

  • Isinyathelo sokuqala kukuphumla i-bursa ecasulayo kwaye ulungise ukuvuvukala.
  • Oku kungathatha iiveki ezimbalwa kwaye kunokufezwa ngokuguqula umzimba, imidlalo, okanye imisebenzi enxulumene nomsebenzi.

umkhenkce

  • Umkhenkce uluncedo ekunciphiseni ukudumba nokulawula iintlungu.
  • Ukwazi indlela yokwenza umkhenkce ngokufanelekileyo kunokunceda ukulawula intlungu kunye nokuvuvukala.

Ulungiso lwenyama

  • Unyango lomzimba lunokunciphisa iimpawu zokuvuvukala ngokusebenzisa imithambo eyahlukeneyo kunye nokwelula.
  • Unyango lunokuphucula i-scapular mechanics ukuze ukwenzakala kungabi yinto eqhubekayo kwaye iphindaphindeka.
  • Ukunyakaza okungaqhelekanga kwe-scapula kwi-rib cage ayikwazi nje ukukhokelela ekuphuhlisweni kwe-bursitis, kodwa ukuba le michiza engaqhelekanga ayilungiswanga, ingxaki inokuphinda ibuyele.

Amayeza achasene nokudumba

  • Amayeza achasene nokudumba asetyenziswa ukulawula ukudumba kwixesha elifutshane. (Augustine H. Conduah et al., 2010)
  • Amayeza anokunceda ukuthintela impendulo yokuvuvukala.
  • Ngaphambi kokuthatha nawaphi na amayeza, abantu kufuneka baqinisekise kunye nomboneleli wabo wezempilo ukuba akhuselekile.

Izitofu zeCortisone

  • Unyango oluyimpumelelo nge-cortisone shot luphawu lokuba utyando luya kusebenza ngakumbi kubantu abanokufuna utyando.
  • Iinaliti zeCortisone zinokuba luncedo kakhulu ekuhambiseni idosi enamandla yokuchasana nokudumba ngokuthe ngqo kwindawo yokudumba. (Augustine H. Conduah et al., 2010)
  • Iinaliti zeCortisone kufuneka zincitshiswe malunga nokuba zingaphi iinaliti ezinikezelwa kumntu, kodwa kwiidosi ezilinganiselweyo zinokuba luncedo kakhulu.
  • Nangona kunjalo, i-cortisone shots kufuneka yenziwe kuphela xa ukuxilongwa kuqinisekisiwe.

Ukuhlinzwa

  • Utyando alufane lube yimfuneko kodwa lunokusebenza kubantu abangakwaziyo ukufumana isiqabu ngonyango olululo.
  • Utyando luhlala lusetyenziselwa abantu abane-scapular anatomy engaqhelekanga, njengokukhula kwamathambo okanye amathumba.

Kwi-Chiropractic yezoNyango zeChiropractic kunye ne-Functional Medicine Clinic, siphatha ukulimala kunye ne-syndromes yentlungu engapheliyo ngokuphucula amandla omntu ngokusebenzisa ukuguquguquka, ukuhamba, kunye neenkqubo ze-agility ezilungiselelwe onke amaqela eminyaka kunye nokukhubazeka. Izicwangciso zethu zokunakekelwa kwe-chiropractor kunye neenkonzo zeklinikhi zikhethekileyo kwaye zijolise kukulimala kunye nenkqubo yokubuyisela ngokupheleleyo. Ukuba olunye unyango luyafuneka, abantu ngabanye baya kuthunyelwa kwiklinikhi okanye ugqirha ofaneleke kakhulu ukulimala kwabo, imeko, kunye / okanye isifo.


Uphiko lweScapular kubunzulu


Ucaphulo

Conduah, AH, Baker, CL, 3rd, & Baker, CL, Jr (2010). Ulawulo lweklinikhi ye-scapulothoracic bursitis kunye ne-scapula ye-snapping. Impilo yezemidlalo, i-2 (2), i-147-155. doi.org/10.1177/1941738109338359

Kuhn, JE, Plancher, KD, & Hawkins, RJ (1998). Iimpawu ze-scapulothoracic crepitus kunye ne-bursitis. Umbhalo we-American Academy of Orthopedic Surgeons, 6 (5), 267-273. doi.org/10.5435/00124635-199809000-00001

de Souza, AM, & Bispo Júnior, RZ (2014). Osteochondroma: ukungahoyi okanye ukuphanda? Revista brasileira de ortopedia, 49 (6), 555-564. doi.org/10.1016/j.rboe.2013.10.002

Ukukhuselwa Kwesandla: Indlela Yokuthintela Ukulimala Xa Uphakamisa Ubunzima

Ukukhuselwa Kwesandla: Indlela Yokuthintela Ukulimala Xa Uphakamisa Ubunzima

Kubantu abaphakamisa iintsimbi, ngaba zikhona iindlela zokukhusela izihlahla nokuthintela ukwenzakala xa uphakamisa iintsimbi?

Ukukhuselwa Kwesandla: Indlela Yokuthintela Ukulimala Xa Uphakamisa Ubunzima

Ukukhuselwa Kwesandla

Izandla zidityanisiwe. Izandla zifaka isandla kakhulu kuzinzo kunye nokuhamba xa usenza imisebenzi okanye uphakamisa iintsimbi. Babonelela ngokushukumiseka kweentshukumo kusetyenziswa izandla kunye nokuzinza ukuthwala nokuphakamisa izinto ngokukhuselekileyo nangokukhuselekileyo (Ithala leencwadi leSizwe loNyango, ngo-2024). Ukuphakamisa iintsimbi ngokuqhelekileyo kwenziwa ukomeleza nokuzinzisa izihlahla; nangona kunjalo, ezi ntshukumo zinokubangela intlungu yesihlahla kwaye zikhokelela ekulimazeni ukuba akwenziwanga ngokuchanekileyo. Ukukhuselwa kwesandla kunokugcina izihlahla zomelele kwaye zisempilweni kwaye ngundoqo ekuphepheni iingxaki kunye nokwenzakala.

Ukomelela Kwesandla

Amalungu esihlahla abekwe phakathi kwesandla kunye namathambo omphambili. Izibonda zilungelelaniswe kwimiqolo emibini yesibhozo okanye elithoba lilonke lamathambo amancinci / amathambo e-carpal kwaye aqhagamshelwe kwingalo kunye namathambo esandla ngama-ligaments, ngelixa ii-tendon zidibanisa imisipha ejikelezayo emathanjeni. Amalungu e-Wrist yi-condyloid okanye ibhola eguquliweyo kunye ne-socket joints ezincedisa ukuguqa, ukongezwa, ukuxuthwa, kunye nokunyakaza kwe-adduction. (Ithala leencwadi leSizwe loNyango. 2024) Oku kuthetha ukuba izihlahla zinokuhamba kuzo zonke iinqwelomoya ezihambayo:

  • Ecaleni ngecala
  • Phezulu nasezantsi
  • Jikela

Oku kunika uluhlu olubanzi lokunyakaza kodwa kunokubangela ukugqoka ngokugqithiseleyo kunye nokukrazula kunye nokwandisa umngcipheko woxinzelelo kunye nokulimala. Izihlunu kwi-forearm kunye nesandla sokulawula intshukumo yeminwe eyimfuneko yokubamba. Ezi zihlunu kunye nemisipha kunye neentambo ezibandakanyekayo zihamba ngesihlahla. Ukomeleza izihlahla kuya kuzigcina zihamba, kunceda ukuthintela ukulimala, kwaye kwandise kwaye kugcinwe amandla okubamba. Kuphononongo kwii-weightlifters kunye ne-powerlifters ezivavanye iintlobo zokulimala ezizigcinayo, ukulimala kwesandla kwakuqhelekileyo, kunye nokulimala kwemisipha kunye ne-tendon yeyona nto ixhaphake kakhulu phakathi kwee-weightlifters. (Ulrika Aasa et al., 2017)

Ukukhusela Izandla

Ukukhuselwa kwesandla kunokusebenzisa iindlela ezininzi, ezibandakanya ukwandisa ngokuqhubekayo amandla, ukuhamba, kunye nokuguquguquka ukuphucula impilo kunye nokukhusela ukulimala. Ngaphambi kokuphakamisa okanye ukubandakanya nawuphi na umthambo omtsha, abantu ngabanye kufuneka badibane nomboneleli wabo wezempilo oyintloko, umqeqeshi womzimba, umqeqeshi, ingcali yezonyango, okanye i-chiropractor yezemidlalo ukubona ukuba yeyiphi imithambo ekhuselekileyo kwaye ibonelele ngeenzuzo ezisekelwe kwimbali yokulimala kunye nenqanaba langoku lempilo..

Ukwandisa ukuhamba

Ukushukuma kuvumela izihlahla ukuba zibe noluhlu olupheleleyo lokunyakaza ngelixa zigcina uzinzo oluyimfuneko kumandla kunye nokuqina. Ukungabikho kokuhamba kwi-wrist joint kunokubangela ukuqina kunye nentlungu. Ukuguquguquka kudibene nokuhamba, kodwa ukuguquguquka ngokugqithiseleyo kunye nokungabikho kozinzo kunokubangela ukulimala. Ukwandisa ukuhamba kwesandla, yenza imithambo ubuncinane kabini ukuya kathathu ngeveki ukuphucula uluhlu lwentshukumo ngokulawula nokuzinza. Kwakhona, ukuthatha ikhefu rhoqo imini yonke ukujikeleza kunye nokujikeleza izihlahla kunye nokutsala ngobunono kwiminwe ukuze izolule kuya kunceda ukunciphisa uxinzelelo kunye nokuqina okunokubangela iingxaki zokuhamba.

Shushubeza

Ngaphambi kokuba usebenze, fudumeza izihlahla kunye nomzimba wonke ngaphambi kokuba usebenze. Qala ngokukhanya kwe-cardiovascular ukuze ufumane i-synovial fluid kumalungu ajikelezayo ukuthambisa amalungu, okuvumela ukuhamba kakuhle. Umzekelo, abantu ngabanye banokwenza amanqindi, bajikelezise izandla zabo, benze umthambo wokushukuma, banwebe kwaye bandise izihlahla, kwaye basebenzise isandla esinye ukutsala iminwe ngobunono. Malunga ne-25% yokulimala kwezemidlalo kubandakanya isandla okanye isandla. Ezi ziquka ukulimala kwe-hyperextension, iinyembezi ze-ligament, i-front-inside okanye i-thumb-side side intlungu ngenxa yokulimala ngokugqithiseleyo, ukulimala kwe-extensor, kunye nabanye. (UDaniel M. Avery 3rd et al., 2016)

Ukuqinisa imiSebenzi

Izandla ezomeleleyo zizinze ngakumbi, yaye ukuzomeleza kunokukhusela isihlahla. Imithambo ephucula amandla esihlahla ibandakanya ukutsalwa, ukunyuswa, ukunyathela, ukuthwala, kunye Zottman curls. Amandla okubamba abalulekile ekwenzeni imisebenzi yemihla ngemihla, ukuguga okunempilo, kunye nempumelelo eqhubekayo ngokuphakamisa iintsimbi. (Richard W. Bohannon 2019) Ngokomzekelo, abantu abanengxaki yokunyusa ubunzima kwiinqwelo-mafutha zabo ngenxa yokuba intsimbi ishenxile ezandleni zabo banokungabi namandla ngokwaneleyo okubamba isihlahla.

Isongelwa

Ukusonga isihlahla okanye iimveliso ezincedisa ukubamba zifanelekile ukuba ziqwalaselwe abo banemiba yesihlahla okanye iinkxalabo. Bangakwazi ukubonelela ngokuzinza kwangaphandle okongeziweyo ngelixa bephakamisa, ukunciphisa ukubamba ukukhathala kunye noxinzelelo kwiigaments kunye neetendon. Nangona kunjalo, kucetyiswa ukuba ungathembeli kwii-wraps njengonyango-konke umlinganiselo kwaye ugxininise ekuphuculeni amandla omntu ngamnye, ukuhamba, kunye nokuzinza. Uphononongo kubadlali abanokulimala kwesandla lubonise ukuba ukulimala kwenzeka nangona i-wraps igqoke i-34% yexesha ngaphambi kokulimala. Ngenxa yokuba abadlali abaninzi abalimele abazange basebenzise i-wraps, oku kubhekiselele kumanyathelo okukhusela anokuthi athintele, kodwa iingcali zivumile ukuba uphando olungakumbi luyafuneka. (U-Amr Tawfik et al., 2021)

Ukuthintela Ukwenzakala Ngokugqithisileyo

Xa ummandla womzimba uphinda uphindaphindeka ngokuphindaphindiweyo ngaphandle kokuphumla okufanelekileyo, uyaguga, uxinezeleke, okanye udumbe ngokukhawuleza, nto leyo ebangela ukulimala ngokugqithisileyo. Izizathu zokulimala ngokugqithisileyo ziyahluka kodwa zibandakanya ukungaguquki ukusebenza ngokwaneleyo ukuphumla izihlunu kunye nokuthintela ubunzima. Uphononongo lophando malunga nokuxhaphaka kokulimala kwi-weightlifters yafumanisa ukuba i-25% yayingenxa yokulimala kwe-tendon. (Ulrika Aasa et al., 2017) Ukuthintela ukusetyenziswa ngokugqithiseleyo kunokunceda ukuphepha iingxaki zesihlahla ezinokubakho.

Ifomu efanelekileyo

Ukwazi ukwenza iintshukumo ngokuchanekileyo kunye nokusebenzisa ifom efanelekileyo ngexesha ngalinye lokuzilolonga / iseshoni yoqeqesho kubalulekile ekukhuseleni ukulimala. Umqeqeshi womntu, i-physiotherapist yezemidlalo, okanye i-physiotherapist ye-physiotherapist inokufundisa indlela yokulungisa ukubamba okanye ukugcina ifom echanekileyo.

Qinisekisa ukubona umboneleli wakho ukuze afumane imvume ngaphambi kokuba uphakamise okanye uqalise inkqubo yokuzivocavoca. Unyango Lokwenzakala Chiropractic kunye ne-Functional Medicine Clinic inokucebisa ngoqeqesho kunye ne-prehabilitation okanye yenza ukuthunyelwa ukuba kukho imfuneko.


Ukufaneleka kweMpilo


Ucaphulo

U-Erwin, J., kunye noVaracallo, M. (2024). I-Anatomy, iGxala kunye neLungu eliPhezulu, iNdlela yeSihlalo. KwiStatPearls. www.ncbi.nlm.nih.gov/pubmed/30521200

Aasa, U., Svartholm, I., Andersson, F., & Berglund, L. (2017). Ukulimala phakathi kwee-weightlifters kunye ne-powerlifters: ukuphononongwa okucwangcisiweyo. Ijenali yaseBrithani yonyango lwezemidlalo, 51 (4), 211-219. doi.org/10.1136/bjsports-2016-096037

Avery, DM, 3rd, Rodner, CM, & Edgar, CM (2016). Isandla esinxulumene nezemidlalo kunye nokulimala kwesandla: uphononongo. Ijenali yotyando lwamathambo kunye nophando, i-11 (1), i-99. doi.org/10.1186/s13018-016-0432-8

Bohannon RW (2019). Amandla okubamba: I-Biomarker eyimfuneko kubantu abadala. Ukungenelela kwezonyango ekugugeni, i-14, i-1681-1691. doi.org/10.2147/CIA.S194543

Tawfik, A., Katt, BM, Sirch, F., Simon, ME, Padua, F., Fletcher, D., Beredjiklian, P., & Nakashian, M. (2021). Uphononongo malunga nesiganeko sokulimala kwesandla okanye iWrist kubadlali be-CrossFit. Cureus, 13(3), e13818. doi.org/10.7759/cureus.13818

Ukuthintela kunye nokuNyanga i-Peripheral Neuropathy: Indlela ePhambili

Ukuthintela kunye nokuNyanga i-Peripheral Neuropathy: Indlela ePhambili

Ezinye iziphazamiso ze-neurological zingabangela iziqephu ezibukhali ze-peripheral neuropathy, kwaye kubantu abafunyanwe ukuba bane-peripheral neuropathy engapheliyo, ngaba unyango lomzimba lunokunceda ukuphucula ukukwazi ukuhambahamba ngokukhuselekileyo kunye namayeza, iinkqubo, kunye nohlengahlengiso lokuphila ukunceda ukulawula nokulawula iimpawu?

Ukuthintela kunye nokuNyanga i-Peripheral Neuropathy: Indlela ePhambili

Unyango lwe-Peripheral Neuropathy

Unyango lwe-peripheral neuropathy lubandakanya unyango lweempawu kunye nolawulo lwezonyango ukunceda ukuthintela ukonakaliswa kwemithambo-luvo.

  • Kwiintlobo ezinzima ze-peripheral neuropathy, ukungenelela kwezonyango kunye nonyango kunokunyanga inkqubo ephantsi, ukuphucula imeko.
  • Kwiintlobo ezingapheliyo ze-peripheral neuropathy, ukungenelela kwezonyango kunye neendlela zokuphila zinokunceda ukuthintela ukuqhubela phambili kwemeko.
  • Unyango olungapheliyo lwe-peripheral neuropathy lugxile ekulawulweni kweempawu zentlungu kunye nokukhusela iindawo ezinciphayo zokuziva kumonakalo okanye usulelo.

Ukuzikhathalela kunye noLungiso lwendlela yokuphila

Kubantu abafunyaniswe ukuba bane-peripheral neuropathy okanye abasemngciphekweni wokuphuhla le meko, iindlela zokuphila zidlala indima ebalulekileyo ekulawuleni iimpawu kunye nokuthintela umonakalo wemithambo-luvo ukuba ungabi mandundu kwaye unokuthintela imeko ekuphuhliseni. (UJonathan Enders et al., 2023)

Ulawulo lwezinhlungu

Abantu ngabanye banokuzama ezi zonyango zokuzikhathalela kwaye babone ukuba kwaye yintoni enokunceda ukunciphisa ukungonwabi kwabo kwaye baphuhlise indlela abanokuthi basebenze ngayo. Ukuzikhathalela ngokwakho kwiimpawu zentlungu kubandakanya:

  • Ukubeka indawo yokufudumala efudumeleyo kwiindawo ezibuhlungu.
  • Ukubeka i-pad yokupholisa (kungekhona umkhenkce) kwiindawo ezibuhlungu.
  • Ukugubungela indawo okanye ukuyishiya ingabonakali, kuxhomekeke kumanqanaba okuthuthuzela.
  • Nxiba iimpahla ezikhululekileyo, iikawusi, izihlangu, kunye/okanye iiglavu ezingenziwanga ngezinto ezinokubangela ukucaphuka.
  • Kuphephe ukusebenzisa izinto zokuthambisa okanye iisepha ezinokubangela ukucaphuka.
  • Sebenzisa i-creams okanye lotions.
  • Ukugcina iindawo ezibuhlungu zicocekile.

Ukuthintela Ukwenzakala

Ukuncipha kwemvakalelo yenye yezona ziphumo zixhaphakileyo ezinokukhokelela kwiingxaki ezifana nokukhubeka, ubunzima bokujikeleza, kunye nokwenzakala. Ukuthintela kunye nokujonga rhoqo umonzakalo kunokunceda ukuphepha iingxaki ezifana namanxeba abosulelekileyo. (UNadja Klafke et al., 2023) Uhlengahlengiso lwendlela yokuphila ukulawula nokuthintela ukulimala kubandakanya:

  • Nxiba izihlangu ezifakwe kakuhle kunye neekawusi.
  • Hlola iinyawo, iinzwane, iminwe nezandla rhoqo ukujonga amanxeba okanye amanxeba ekusenokwenzeka ukuba awuvakalanga.
  • Coca kwaye ugqume amanxeba ukuphepha usulelo.
  • Sebenzisa inkathalo eyongezelelweyo ngezixhobo ezibukhali ezifana nokupheka kunye nomsebenzi okanye izixhobo zasegadini.

Ulawulo lwezifo

Imiba yokuphila inokunceda ukukhusela ukuqhubela phambili kwesifo kwaye ihambelana ngokusondeleyo nemingcipheko kunye nezizathu ezisisiseko. Ukunceda ukuthintela i-peripheral neuropathy okanye ukuqhubela phambili kwayo kunokwenziwa: (UJonathan Enders et al., 2023)

  • Gcina amanqanaba eglucose esempilweni ukuba unesifo seswekile.
  • Gwema utywala kuyo nayiphi na i-peripheral neuropathy.
  • Gcina ukutya okunokulinganisela, okunokubandakanya izongezelelo zevithamini, ngakumbi kubantu abatya imifuno okanye imifuno.

Unyango olungaphaya kwe-Counter

Iindlela ezimbalwa zonyango zinokunceda kwiimpawu ezibuhlungu kwaye zinokuthathwa njengoko zifuneka. Unyango lweentlungu ezingaphaya kwe-counter ziquka: (UMichael Überall et al., 2022)

  • I-topical lidocaine spray, i-patch, okanye i-creams.
  • I-Capsaicin creams okanye iipatches.
  • Umxholo Umkhenkce oshushu
  • Amachiza achasene ne-steroidal anti-inflammatory - Advil/ibuprofen okanye iAleve/naproxen
  • Tylenol/acetaminophen

Olu nyango lunokunceda ukukhulula iimpawu ezibuhlungu ze-peripheral neuropathy, kodwa azincedi ekuphuculeni imvakalelo eyanciphayo, ubuthathaka, okanye iingxaki zokulungelelanisa. (UJonathan Enders et al., 2023)

Amayeza kagqirha

Unyango olumiselweyo lokunyanga i-peripheral neuropathy lubandakanya amayeza eentlungu kunye ne-anti-inflammatories. Iintlobo ezingapheliyo ze-peripheral neuropathy ziquka:

  • I-Alcohol neuropathy
  • I-diabetes neuropathy
  • I-Chemotherapy-induced neuropathy

Unyango olumiselweyo lweentlobo ezingapheliyo luyahluka kunyango lweentlobo ezibukhali ze-peripheral neuropathy.

Ulawulo lwezinhlungu

Unyango olumiselweyo lunokunceda ukulawula intlungu kunye nokungonwabi. Amayeza aquka (UMichael Überall et al., 2022)

  • Lyrica - pregabalin
  • Neurontin - gabapentin
  • Elavil - amitriptyline
  • Effexor – venlafaxine
  • Cymbalta – duloxetine
  • Kwiimeko ezinzima, i-intravenous/IV lidocaine ingayimfuneko. (USanja Horvat et al., 2022)

Ngamanye amaxesha, isongezelelo samandla kagqirha okanye i-vitamin B12 enikezelwa ngokutofa inokunceda ukuthintela ukuqhubela phambili xa i-peripheral neuropathy inxulumene nokunqongophala okukhulu kwevithamini. Unyango olumiselweyo lunokunceda ukunyanga inkqubo esisiseko kwezinye iindidi ze-acute peripheral neuropathy. Unyango lwe-acute peripheral neuropathy, efana ne-Miller-Fisher syndrome okanye i-Guillain-Barré syndrome, inokubandakanya:

  • Corticosteroids
  • I-Immunoglobulins - iiprotheni ze-immune system
  • I-Plasmapheresis yinkqubo esusa inxalenye yolwelo yegazi, ibuyisela iiseli zegazi, eziguqula ukusebenza ngokugqithiseleyo kwamajoni omzimba. (USanja Horvat et al., 2022)
  • Abaphandi bakholelwa ukuba kukho unxibelelwano phakathi kwezi meko kunye nokudumba umonakalo wesondlo, kunye nokuguqula amajoni omzimba kunenzuzo ekunyangeni iimpawu kunye nesifo esisisiseko.

Ukuhlinzwa

Kwezinye iimeko, iinkqubo zotyando zinokunceda abantu abaneentlobo ezithile ze-peripheral neuropathy. Xa enye imeko ikhulisa iimpawu okanye inkqubo ye-peripheral neuropathy, utyando lunokunceda ukukhulula iimpawu kunye nokuthintela ukuqhubela phambili kwesifo. Oku kuye kwabonakala kusebenza xa i-nerve entrapment okanye ukusilela kwemithambo zizinto. (Wenqiang Yang et al., 2016)

Unyango olongezelelweyo nolunye

Ezinye iindlela ezincedisayo nezizezinye zinokunceda abantu bajamelane neentlungu kunye nokungonwabi. Olu nyango lunokusebenza njengokhetho oluqhubekayo kwabo bane-peripheral neuropathy engapheliyo. Ukhetho lungabandakanya: (UNadja Klafke et al., 2023)

  • I-acupuncture ibandakanya ukubekwa kweenaliti kwiindawo ezithile zomzimba ukunceda ukunciphisa iimpawu zentlungu.
  • I-Acupressure ibandakanya ukufaka uxinzelelo kwiindawo ezithile zomzimba ukunceda ukunciphisa iimpawu zentlungu.
  • Unyango lwe-massage lunokunceda ukukhulula uxinzelelo lwemisipha.
  • Ukucamngca kunye nonyango lokuphumla lunokunceda ukulawula iimpawu.
  • Unyango ngokwasemzimbeni lusenokusebenza njengenxalenye ebalulekileyo yokuphila ne-peripheral neuropathy engapheliyo kunye nokuchacha kwi-acute peripheral neuropathy.
  • Unyango lomzimba lunokunceda ukomeleza izihlunu ezibuthathaka, ukuphucula ulungelelwaniso, kwaye ufunde ukuziqhelanisa notshintsho lweemvakalelo kunye neemoto ukuhamba ngokukhuselekileyo.

Abantu abacinga ngonyango lokuncedisana okanye olulolunye bayakhuthazwa ukuba bathethe nomboneleli wabo wezempilo ukuze baqinisekise ukuba ngaba ikhuselekile na kwimeko yabo. I-Chiropractic yezoNyango ze-Chiropractic kunye ne-Functional Medicine Clinic iya kusebenza kunye nomboneleli wezempilo womntu kunye / okanye iingcali ukuphuhlisa isisombululo esifanelekileyo sonyango lwezempilo kunye nempilo ukubonelela intlungu kunye nokuphucula umgangatho wobomi.


I-Peripheral Neuropathy: Ibali eliPhumelelayo lokuBuyisa kwakhona


Ucaphulo

Enders, J., Elliott, D., & Wright, DE (2023). Ungenelelo olusakhulayo lwe-Nonpharmacologic lokuNyanga i-Diabetic Peripheral Neuropathy. I-Antioxidants kunye nokubonakaliswa kwe-redox, i-38 (13-15), i-989-1000. doi.org/10.1089/ars.2022.0158

Klafke, N., Bossert, J., Kröger, B., Neuberger, P., Heyder, U., Layer, M., Winkler, M., Idler, C., Kaschdailewitsch, E., Heine, R., John, H., Zielke, T., Schmeling, B., Joy, S., Mertens, I., Babadag-Savas, B., Kohler, S., Mahler, C., Witt, CM, Steinmann, D. , ... Stolz, R. (2023). UThintelo kunye noNyango lwe-Chemotherapy-Induced Peripheral Neuropathy (CIPN) kunye ne-Non-Pharmacological Interventions: Iingcebiso zeklinikhi ezivela kwiNkqubo yokuHlola iNkqubo kunye neNkqubo yeNgcali yokuVumelana. Inzululwazi yezoNyango (Basel, Switzerland), 11(1), 15. doi.org/10.3390/medsci11010015

Überall, M., Bösl, I., Hollanders, E., Sabatschus, I., & Eerdekens, M. (2022). Isifo seswekile esibuhlungu se-peripheral neuropathy: uthelekiso lwehlabathi lokwenyani phakathi konyango lwe-topical kunye ne-lidocaine 700 mg udaka lwe-medicated kunye nonyango lomlomo. I-BMJ ivula uphando lwesifo sikashukela kunye nokunyamekela, i-10 (6), e003062. doi.org/10.1136/bmjdrc-2022-003062

Horvat, S., Staffhorst, B., & Cobben, JMG (2022). I-Lidocaine ye-Intravenous yoNyango lwentlungu engapheliyo: i-Retrospective Cohort Study. Ijenali yophando lwentlungu, i-15, i-3459-3467. doi.org/10.2147/JPR.S379208

Yang, W., Guo, Z., Yu, Y., Xu, J., & Zhang, L. (2016). Uncedo lweentlungu kunye nokuPhuculwa koMgangatho woBomi oNxulumene neMpilo emva koKuthotywa kweMicrosurgical yeNerves eziBanjelwe ePeripheral kwiZigulana ezinePainful Diabetic Peripheral Neuropathy. Ijenali yotyando lweenyawo kunye ne-ankle: upapasho olusemthethweni lweKholeji yaseMelika yeeNyawo kunye ne-Ankle Surgeons, i-55 (6), i-1185-1189. doi.org/10.1053/j.jfas.2016.07.004

Utyando kunye neChiropractic: Loluphi unyango oluLungileyo?

Utyando kunye neChiropractic: Loluphi unyango oluLungileyo?

Kubantu abafumana intlungu emva kwidiski ye-herniated, ngaba unokuqonda umahluko phakathi kotyando kunye ne-chiropractic ukunceda abantu bafumane isicwangciso sonyango esilungileyo?

Utyando kunye neChiropractic: Loluphi unyango oluLungileyo?

Utyando okanye Chiropractic

Ukuphila neentlungu zangasemva kunokuba yinto ebuhlungu, kwaye nangona kunjalo abaninzi bayasokola ngaphandle kokufuna ukhathalelo. Namhlanje, kukho inani elikhulu lotyando kunye nobuchule obungabonakaliyo obungcono ekuphatheni iingxaki zomqolo kunye nomqolo kunye nokulawula iimpawu. Kubantu abanokuba ne-disc ye-herniated okanye banomdla malunga neendlela zokunciphisa iintlungu zabo zangasemva, umboneleli wezempilo, umchwephesha womzimba, ingcali yomgogodla, kunye ne-chiropractor ungabazisa ngeendlela zonyango. Utyando kunye nonyango lwe-chiropractic lunyango oludumileyo lwe-herniated, bulging, okanye idiski etyibilikayo.

  • I-disc ye-herniated xa i-cartilage discs ehambisa i-vertebrae isuka kwindawo kwaye iphume.
  • Utyando lwe-disc ye-herniated lubandakanya ukususa okanye ukulungisa i-disc.
  • I-Chiropractic ibeka i-disc ngokungaqhelekanga kwaye ilungelelanise umqolo.
  • Omabini amayeza aneenjongo ezifanayo ezinomahluko ophambili.

Ukhathalelo lweChiropractic

I-Chiropractic yinkqubo yonyango egxile ekulungiseni nasekugcineni ukulungelelaniswa komqolo ukuze uncede ngeengxaki ze-back and posture. Iingcali zeChiropractors ziqeqeshelwe kwaye zinelayisenisi abaqeqeshi bezonyango abathatha indlela yokungabikho kokuhlinzwa, unyango oluqinisekisiweyo lwentlungu engapheliyo, ukuguquguquka, kunye nemiba yokuhamba.

Indlela Esebenzayo

Unyango lweChiropractic lukhuthaza kwaye luxhasa iinkqubo zokuphilisa zendalo zomzimba. Kuthathwa njengentlungu edibeneyo kumqolo, intamo, imilenze, iingalo, iinyawo kunye nezandla. Ngokuqhelekileyo kubandakanya iiseshoni apho i-chiropractor ngokwenyama kwaye ilungisa ngokucophelela i-vertebrae ngesandla, eyaziwa ngokuba yi-spinal manipulation okanye ukulungiswa kwe-chiropractic. (MedlinePlus. 2023). I-chiropractor yenza uvavanyo olunzulu lwezonyango kwaye iqhuba iimvavanyo ukuseka ukuxilongwa. I-chiropractor iya kuphuhlisa isicwangciso sonyango esinokubandakanya iqela le-massage kunye neengcali zonyango, acupuncturists, abaqeqeshi bezempilo, kunye neengcali zokutya ukuphatha iindawo ezichaphazelekayo ngeendlela ezahlukeneyo, ukucebisa ukuzivocavoca okujoliswe kuyo, ukulungelelanisa indlela yokuphila kunye nesondlo ukuxhasa unyango, kunye nokubeka iliso kwinkqubela phambili. Ukudibanisa kunye noxinzelelo kunye noxinzelelo oluqhubekayo, iindlela ezininzi zinokunyusa ukuhamba ngokubambisana kunye nokunciphisa iimpawu zentlungu. (Iziko leSizwe leMpilo yokuThotyelwa kunye neNtsebenziswano. 2019Iiprothokholi ezongeziweyo zokuxhasa okanye ukuphucula unyango lwe-chiropractic ziquka:

  • Ukufudumala kunye nonyango lwe-ice ukunciphisa ukuvuvukala kunye nokwandisa ukujikeleza kwegazi.
  • Ukusebenzisa izixhobo zokuvuselela izihlunu kunye nemithambo-luvo ngombane.
  • Ukuphuhlisa ukuphumla kunye neendlela zokuphefumla ngokunzulu.
  • Ukubandakanya imithambo ukukhuthaza ukubuyisela kwisimo sangaphambili.
  • Ukuseka inkqubo yesiqhelo yokuba sempilweni.
  • Ukwenza uhlengahlengiso kwindlela yokutya kunye nendlela yokuphila.
  • Ukuthatha izongezo ezithile zokutya.

Ukuguqulwa komgogodla kunye nokulungiswa kwe-chiropractic kuye kwaboniswa ukuphucula iimpawu kunye nokubuyisela ukuhamba kwiimeko zentlungu engapheliyo. Olunye uphononongo lufumene ukuba abantu abaneentlungu ezingapheliyo ze-lumbar / ezisezantsi babika ukuphucuka okukhulu emva kweeveki ezintandathu zonyango lwe-chiropractic. (Ian D. Coulter et al., 2018)

amaxabiso

Iindleko eziphuma epokothweni zonyango lwe-chiropractic zixhomekeke kwizinto ezahlukeneyo.
I-inshorensi inokuluhlawulela okanye ingaluhlawuleli unyango, kwaye imali umntu afanele ukuyihlawula inokwahluka ngokusekelwe kubuzaza betyala lakhe, ukuba isicwangciso sakhe sibandakanya ntoni na, kunye nendawo ahlala kuyo. Olunye uphononongo lufumene ixabiso lingahluka phakathi kweedola ezingama-264 kunye ne-6,171 yeedola. (USimon Dagenais et al., 2015)

Ukuhlinzwa

Kukho uluhlu lweenkqubo zokuhlinzwa ezincinci zokunyanga iidiski ze-herniated. Ezi zisebenza ukunciphisa uxinzelelo lwe-nerve ngokususa okanye ukubuyisela iidiski ezonakalisiweyo okanye ukuzinzisa i-vertebrae, ukukhulula intlungu kunye nokuvuvukala.

Indlela Esebenzayo

I-disc ye-herniated ingenzeka kuyo nayiphi na indawo yomqolo kodwa ixhaphake kakhulu kwi-back back / lumbar spine kunye nentamo / yomlomo wesibeleko. Utyando luyacetyiswa xa: (I-American Academy ye-Orthopedic Surgeons. 2022)

  • Unyango olongezelelweyo, njengamayeza kunye nonyango lomzimba, alukwazi ukulawula iimpawu.
  • Iintlungu kunye neempawu zichaphazela ubomi bemihla ngemihla kunye nokusebenza.
  • Ukuma okanye ukuhamba kuba nzima okanye akunakwenzeka.
  • I-disc ye-herniated ibangela ubunzima bokuhamba, ubuthathaka bemisipha, kunye ne-bladder okanye i-bowel control loss.
  • Umntu usempilweni ngokufanelekileyo, akanalo usulelo, i-osteoporosis, okanye isifo samathambo.

Iinkqubo zotyando ezikhethekileyo ezisetyenziswayo ziquka:

Utyando lweFusion

  • Ukudityaniswa komqolo yeyona nkqubo ixhaphakileyo kwidiski ye-herniated esezantsi.
  • Kubandakanya ukusebenzisa izinto zamathambo ezenziweyo ukudibanisa i-vertebrae ukwandisa ukuzinza kunye nokukhulula kunye nokuthintela ukucaphuka kwe-nerve kunye noxinzelelo. (I-American Academy ye-Neurological Surgeons. 2024)

I-Laminotomy kunye ne-Laminectomy

  • Iimpawu ze-disc ze-Herniated zivela kwi-compression ebekwe kwiimbilini.
  • I-Laminotomy ibandakanya ukwenza ukusika okuncinci kwi-lamina, okanye i-arch ye-vertebrae yomgogodla, ukukhulula uxinzelelo.
  • Ngamanye amaxesha, i-lamina yonke iyasuswa, eyaziwa ngokuba yi-laminectomy. (I-American Academy ye-Neurological Surgeons. 2024)

Ukuqonda

  • I-Discectomy, eyaziwa ngokuba yi-microdiscectomy, inokwenziwa kwi-lumbar okanye kwi-cervical spine.
  • Ugqirha ogqirha ufikelela kwi-disc echaphazelekayo ngokusebenzisa i-incision encinci kwaye asuse iinxalenye zediski. (I-American Academy ye-Orthopedic Surgeons. 2022)

Uqhaqho lweDiskhi eyenziweyo

  • Enye indlela ibandakanya ukufakela idiski eyenziweyo.
  • Oku kudla ngokusetyenziswa kwi-hernia kumqolo ongezantsi; i-disc egugileyo okanye eyonakeleyo iyasuswa, kwaye iprosthetic ekhethekileyo ithatha indawo yediski esusiweyo. (I-American Academy ye-Orthopedic Surgeons. 2022)
  • Oku kuvumela ukuhamba ngakumbi.

Impumelelo yotyando lwediski ye-herniated ixhomekeke kwizinto ezahlukeneyo. Ukuqhubela phambili kubuchule obuncinci obuncinci buphucule kakhulu iziphumo zexesha elide, kunye nophononongo olunye lufumanisa ukuba malunga ne-80% ibike iziphumo ezilungileyo-ezigqwesileyo kwi-mix-year elandelayo. (UGeorge J. Dohrmann, uNassir Mansour ngo-2015) Noko ke, kukho ithuba lokuphindaphinda. Ngokumalunga ne-20% ukuya kwi-25% yabantu abaneediski ze-lumbar ze-herniated bafumana i-herniation kwakhona ngexesha elithile. (I-American Academy ye-Neurological Surgeons. 2024)

amaxabiso

  • Utyando lwe-disc ye-herniated lukhethekileyo, kwaye iindleko zixhomekeke kububanzi kunye nobukhulu bonyango.
  • Isicwangciso se-inshorensi esikhethekileyo somntu sikwamisela iindleko.
  • Iindleko eziqhelekileyo zotyando ziphakathi kwe-$14,000 kunye ne-$30,000. (UAnna NA Tosteson et al., 2008)

Ukukhetha Unyango

Xa ukhetha phakathi kwe-chiropractic kunye nokuhlinzwa kwi-disc ye-herniated, izinto ezininzi zinokugqiba isigqibo, kuquka:

  • I-Chiropractic yindlela engaphantsi kwe-invasive nokuhlinzwa.
  • Uhlengahlengiso lwe-Chiropractic alukwazi ukunceda iimeko ezithile ezinzima zeediski ze-herniated.
  • Uhlengahlengiso lwe-Chiropractic luthintela i-disc ye-herniated ukuba ibe nzima kwaye inciphise iimpawu.
  • Utyando lubonelela ngeentlungu kunye nokukhululeka kweempawu ngokukhawuleza kune-chiropractic okanye unyango olulondolozayo kodwa lufuna ixesha elibalulekileyo lokubuyisela kwaye liyabiza. (UAnna NA Tosteson et al., 2008)
  • Utyando lusenokungafaneleki kubantu abane-osteoarthritis okanye i-osteoporosis.

Unyango lwe-Chiropractic luphakathi kweendlela zonyango ezilondolozayo kwi-disc ye-herniated kwaye inokuzama kuqala ngaphambi kokuba kuqhutywe utyando. Ngokuqhelekileyo, utyando lunconywa kuphela xa iindlela ezingabonakaliyo azikwazanga ukumisa okanye ukulawula intlungu kunye neempawu. I-Chiropractic yezoNyango ze-Chiropractic kunye ne-Functional Medicine Clinic isebenza nababoneleli bezempilo bokuqala kunye neengcali ukuphuhlisa isisombululo esiphezulu sezempilo kunye nempilo esinceda ngokupheleleyo umntu ukuba abuyele kwisiqhelo.


Inkqubo eKhawulezayo yeSigulana


Ucaphulo

I-MedlinePlus.MedlinePlus. (2023). IChiropractic. Ifunyenwe kwi medlineplus.gov/chiropractic.html

Iziko leSizwe leMpilo yokuThotyelwa kunye neNtsebenziswano. (2019). IChiropractic: ngobunzulu. Ifunyenwe kwi www.nccih.nih.gov/health/chiropractic-in-depth

Coulter, ID, Crawford, C., Hurwitz, EL, Vernon, H., Khorsan, R., Suttorp Booth, M., & Herman, PM (2018). Ukuguqulwa kunye nokuhlanganisa ukunyanga iintlungu ezingapheliyo ezibuhlungu ezisezantsi: ukuphononongwa okucwangcisiweyo kunye nohlalutyo lwe-meta. Ijenali yomqolo : ijenali esemthethweni yeNorth American Spine Society, 18 (5), 866-879. doi.org/10.1016/j.spinee.2018.01.013

Dagenais, S., Brady, O., Haldeman, S., & Manga, P. (2015). Uphononongo olucwangcisiweyo oluthelekisa iindleko zokunakekelwa kwe-chiropractic kwezinye iindlela zokungenelela kwintlungu yomqolo e-United States. Uphando lweenkonzo zempilo ze-BMC, i-15, i-474. doi.org/10.1186/s12913-015-1140-5

I-American Academy ye-Orthopedic Surgeons. (2022). Idiski yeHerniated kumqolo osezantsi. orthoinfo.aaos.org/en/diseases-conditions/herniated-disk-in-the-lower-back/

I-American Academy ye-Neurological Surgeons. Oogqirha botyando, AA o. N. (2024). Idiski yeHerniated. www.aans.org/en/Patients/Neurosurgical-Conditions-and-Treatments/Herniated-Disc

Dohrmann, GJ, & Mansour, N. (2015). Iziphumo zexesha elide leMisebenzi eyahlukeneyo yeLumbar Disc Herniation: Uhlalutyo lwezigulane ezingaphezu kwe-39,000. Imigaqo yezonyango kunye nokusebenza : ijenali yamazwe ngamazwe yeYunivesithi yaseKuwait, iZiko leSayensi yezeMpilo, i-24 (3), i-285-290. doi.org/10.1159/000375499

Tosteson, AN, Skinner, JS, Tosteson, TD, Lurie, JD, Andersson, GB, Berven, S., Grove, MR, Hanscom, B., Igazi, EA, & Weinstein, JN (2008). Ukusebenza kweendleko zokuhlinzwa ngokubhekiselele kunyango olungasebenziyo kwi-lumbar disc herniation kwiminyaka emibini: ubungqina obuvela kwi-Spine Patient Outcomes Research Trial (SPORT). Umqolo, 33 (19), 2108-2115. doi.org/10.1097/brs.0b013e318182e390

Ukulawula i-Spinal Stenosis: Iinketho zonyango

Ukulawula i-Spinal Stenosis: Iinketho zonyango

I-Spinal stenosis ligama elisetyenziselwa ukuchaza umqolo onqabileyo. Unyango luyahluka kuba imeko yomntu wonke yahlukile. Abanye abantu baba neempawu ezibuthathaka, ngelixa abanye bafumana iimpawu ezinzima. Ngaba ukwazi iindlela zonyango kunokunceda isigulana kunye neqela lokhathalelo lwempilo ukuba benze ngokwezifiso isicwangciso sonyango kwimeko yomntu ngamnye?

Ukulawula i-Spinal Stenosis: Iinketho zonyango

Unyango Stenosis Umqolo

Izithuba ngaphakathi komqolo zinokuba mfutshane kunokuba zifanele ukuba, ezinokubangela uxinzelelo kwiingcambu zemithambo-luvo kunye nentambo yomgogodla. Naphi na ecaleni komqolo unokuchaphazeleka. Ukunciphisa kunokubangela intlungu, ukutshisa, kunye / okanye ukuqaqanjelwa ngasemva kunye nobuthathaka emilenzeni nasezinyaweni. I-Spinal stenosis inamayeza amaninzi aphambili. Xa usebenza ngonyango lwe-spinal stenosis, umboneleli wezempilo uya kuvavanya iimpawu kwaye aqalise unyango ngonyango lokuqala, olufana namayeza eentlungu kunye/okanye unyango lomzimba. Aba badla ngokuba ngabokuqala phakathi kwabantu abanesifo.

Amachiza

Intlungu engapheliyo yenye yeempawu eziphambili. Unyango lodidi lokuqala luhlala lubandakanya ukusetyenziswa kweyeza/amayeza okudambisa iintlungu. Amayeza amiselweyo aqhelekileyo achasene ne-nonsteroidal anti-inflammatories okanye ii-NSAID. La mayeza anciphisa intlungu kunye nokuvuvukala. Nangona kunjalo, ii-NSAID azikhuthazwa ukuba zisetyenziswe ixesha elide, kwaye amanye amayeza angadinga ukusetyenziswa ukukhulula intlungu equka: (Sudhir Diwan et al., 2019)

  • Tylenol - acetaminophen
  • UGabapentin
  • Pregabalin
  • Ii-opioids kwiimeko ezinzima

Lolonga

Ukuzivocavoca kunokunciphisa iimpawu ze-spinal stenosis ngokuthatha uxinzelelo kwiimbilini, ezinokunciphisa intlungu kunye nokuphucula ukuhamba. (U-Andrée-Anne Marchand et al., 2021) Ababoneleli ngezempilo baya kucebisa eyona mithambo isebenzayo kumntu ngamnye. Imizekelo ibandakanya:

  • Ukuzivocavoca kweAerobic, njenge ukuhamba
  • Ehleli i-lumbar flexion
  • I-Lumbar flexion ekuxokeni
  • Ukwandiswa kwe-lumbar eqhubekayo
  • Ukuqiniswa kwe-Hip kunye nengundoqo
  • Ukuma kwe-lumbar flexion

Ulungiso lwenyama

Olunye unyango oluphambili lwe-spinal stenosis lunyango lomzimba, oluhlala lusetyenziswa kunye namayeza eentlungu. Ngokuqhelekileyo, abantu bafumana iiveki ezintandathu ukuya kwezisibhozo zonyango lomzimba, kunye neeseshini ezimbini ukuya kathathu ngeveki. Ukusebenzisa unyango lomzimba kubonisiwe ukuba (Sudhir Diwan et al., 2019)

  • Ukunciphisa intlungu
  • Yandisa ukuhamba
  • Nciphisa amayeza eentlungu.
  • Ukunciphisa iimpawu zempilo yengqondo ezifana nomsindo, ukudakumba, kunye nokutshintsha kwemo.
  • Kwiimeko ezinzima, unyango lomzimba emva kotyando lunokunciphisa amaxesha okubuyisela.

Iibrayisi zangasemva

I-back braces inokunceda ukunciphisa ukunyakaza kunye noxinzelelo kumqolo. Oku kuluncedo kuba neentshukumo ezincinci zomnqonqo zinokukhokelela ekucaphukeni kwemithambo-luvo, iintlungu, kunye neempawu eziya zisiba mbi. Ngokuhamba kwexesha, i-bracing ingakhokelela ekunyuseni okulungileyo kokuhamba. (UCarlo Ammendolia et al., 2019)

Injections

Iinaliti ze-epidural steroid zinokucetyiswa ukukhulula iimpawu ezinzima. Iisteroids zisebenza njenge-anti-inflammatories ukunciphisa intlungu kunye nokudumba okubangelwa kukudumba kunye nokucaphuka kwemithambo yomqolo. Zigqalwa njengeenkqubo zonyango ezingaqhaqho. Ngokutsho kophando, i-injection inokulawula ngokufanelekileyo intlungu kwiiveki ezimbini ukuya kwiinyanga ezintandathu, kwaye uphando oluthile lufumene ukuba emva kwesitofu somgogodla, ukukhululeka kunokuhlala iinyanga ze-24. (Sudhir Diwan et al., 2019)

Inkqubo yokuTyibilika kweeLigaments ezityebileyo

Abanye abantu banokucetyiswa ukuba benze inkqubo yoxinzelelo. Le nkqubo ibandakanya ukusebenzisa isixhobo senaliti esincinci esifakwe ngasemva. Izicubu ze-ligament ezixubileyo zisuswa ukunciphisa uxinzelelo kumqolo kunye nemithambo-luvo. Uphando lufumene ukuba inkqubo inokunciphisa iimpawu kunye nesidingo sotyando olungakumbi. (Nagy Mekhail et al., 2021)

Unyango olulolunye

Ukongeza kunyango lokuqala, abantu banokuthunyelwa kwezinye iindlela zonyango zolawulo lweempawu, kubandakanya:

Ukwenza i-Acupuncture

  • Oku kubandakanya ukufakwa kweenaliti ezinencam encinci kwii-acupoints ezahlukeneyo ukuthomalalisa iimpawu.
  • Olunye uphando lufumene ukuba i-acupuncture inokusebenza ngakumbi ekunciphiseni iimpawu kunonyango lomzimba kuphela. Zombini iinketho ziyasebenza kwaye zinokuphucula ukuhamba kunye neentlungu. (Hiroyuki Oka et al., 2018)

Chiropractic

  • Olu nyango lunciphisa uxinzelelo kwiimbilini, lugcina ukulungelelaniswa komgogodla, kwaye lunceda ukuphucula ukuhamba.

ukuphulula umzimba womntu ngobunono

  • Ukuphulula kunceda ukwandisa ukujikeleza, ukukhulula izihlunu, kunye nokunciphisa intlungu kunye nokuqina.

UKhetho olutsha loNyango

Njengoko uphando lwe-spinal stenosis luqhubeka, unyango olutsha luya kuvela ukunceda ukukhulula kunye nokulawula iimpawu kubantu abangaphenduliyo kumayeza esintu okanye abangakwaziyo ukuthatha inxaxheba kunyango oluqhelekileyo ngenxa yezizathu ezahlukeneyo. Nangona kunjalo, ubungqina obuthile obunikiweyo buyathembisa; ii-inshorensi zonyango zingazithatha njengezovavanyo kwaye zingaboneleli nge-inshorensi de ukhuseleko lwazo lungqinwe. Olunye unyango olutsha lubandakanya:

Acupotomy

I-Acupotomy luhlobo lwe-acupuncture olusebenzisa iinaliti ezibhityileyo ezinencanyana encinci, ecaba, i-scalpel-type-tip ukukhulula uxinzelelo kwiindawo ezibuhlungu. Uphando ngeziphumo zalo lusanqongophele, kodwa idatha yokuqala ibonisa ukuba inokuba lunyango oluncedisayo olusebenzayo. (UJi Hoon Han et al., 2021)

Ulwaphulo lweStem Cell

Iiseli ze-Stem ziiseli eziphuma kuzo zonke ezinye iiseli. Zisebenza njengezinto eziluhlaza ukuze umzimba wenze iiseli ezikhethekileyo ezinemisebenzi ethile. (Amaziko eSizwe ezeMpilo. 2016)

  • Abantu abane-spinal stenosis banokuhlakulela umonakalo wezicubu ezithambileyo.
  • Unyango lwe-stem cell lusebenzisa iiseli ze-stem ukunceda ukulungisa izicubu ezonzakeleyo okanye ezigulayo.
  • Unyango lwe-stem cell lunokunceda ukulungisa okanye ukuphucula iindawo ezonakalisiweyo kunye nokubonelela ngokukhululeka kweempawu.
  • Izifundo zeklinikhi zespinal stenosis zixela ukuba inokuba lukhetho olusebenzayo lonyango kwabanye.
  • Nangona kunjalo, uphando oluninzi luyafuneka ukuqinisekisa ukuba ngaba unyango lusebenza ngokwaneleyo ukuba lusetyenziswe ngokubanzi. (Hideki Sudo et al., 2023)

Izixhobo zokuZinzisa eziNgqongileyo

I-LimiFlex sisixhobo sonyango esenza uphando kunye nohlalutyo ngokukwazi kwayo ukubuyisela ukuhamba kunye nokuzinza kumqolo. Ifakwe emqolo ngenkqubo yotyando. Ngokophando, abantu abane-spinal stenosis abafumana i-LimiFlex bahlala befumana ukuncipha okuphezulu kweentlungu kunye neempawu kunezinye iindlela zonyango. (T Jansen et al., 2015)

Lumbar Interspinous Distraction Decompression

I-Lumbar interspinous distraction decompression yenye inkqubo yotyando ye-spinal stenosis. Utyando lwenziwa nge-incision ngaphezu komqolo kwaye lubeka isixhobo phakathi kwama-vertebrae amabini ukudala indawo. Oku kunciphisa ukunyakaza kunye noxinzelelo kwiimbilini. Iziphumo zokuqala zibonisa ukukhululeka kwexesha elifutshane elihle kwiimpawu; idatha yexesha elide ayikabikho njengoko iyindlela entsha yonyango ye-spinal stenosis. (INkonzo yezeMpilo yeSizwe yase-UK, ngo-2022)

Inkqubo yoNyango

Kukho iinkqubo ezininzi zotyando ezikhoyo kwi-spinal stenosis. Ezinye ziquka: (Impilo ye-NYU Langone. 2024) Utyando lwe-spinal stenosis luhlala lugcinelwe abantu abaneempawu ezinzima, ezifana nokuba ndindisholo kwiingalo okanye emilenzeni. Xa ezi zimpawu zikhula, kubonisa ukunyanzeliswa okuphawuleka ngakumbi kwi-spinal nerves kunye nesidingo sonyango olunamandla. (Impilo ye-NYU Langone. 2024)

Laminectomy

  • I-laminectomy isusa inxalenye okanye yonke i-lamina, ithambo lomqolo eligqume umjelo womqolo.
  • Inkqubo yenzelwe ukunciphisa uxinzelelo kwi-nerve kunye nentambo yomgogodla.

I-Laminotomy kunye ne-Foraminotomy

  • Zombini utyando zisetyenziswa ukuba i-spinal stenosis yomntu ichaphazela kakubi ukuvuleka kwi-vertebral foramen.
  • I-Ligaments, i-cartilage, okanye ezinye izicubu ezithintela imithambo-luvo ziyasuswa.
  • Bobabini banciphisa uxinzelelo kwiimbilini ezihamba nge-foramen.

I-Laminoplasty

  • I-laminoplasty ikhulula uxinzelelo kwintambo yomgogodla ngokususa iinxalenye zelamina yomqolo womqolo.
  • Oku kwandisa i-spinal canal kunye nokunciphisa uxinzelelo kwimithambo-luvo. (Columbia Neurosurgery, 2024)

Ukuqonda

  • Le nkqubo yotyando ibandakanya ukususa iidiski ze-herniated okanye i-bulging ezibeka uxinzelelo kwintambo yomgogodla kunye neentsholongwane.

Umswakama

  • Ukudityaniswa komqolo kubandakanya ukudibanisa ama-vertebrae amabini kusetyenziswa iziqwenga zentsimbi ezifana neentonga kunye nezikrufu.
  • I-vertebrae izinzile ngakumbi kuba iintonga kunye nezikrufu zisebenza njengebrace.

Loluphi Unyango OluLungileyo?

Ngenxa yokuba zonke izicwangciso zonyango zahlukile, ukumisela eyona nto isebenzayo yeyona ifaneleke kakhulu kumboneleli wezempilo. Indlela nganye iya kujongwa kumntu ngamnye. Ukugqiba ukuba loluphi unyango olulungileyo, ababoneleli bezempilo baya kuvavanya: (Iziko leSizwe le-Arthritis kunye ne-Musculoskeletal and Skin Diseases. 2023)

  • Ubunzima beempawu.
  •  Inqanaba langoku lempilo yonke.
  • Inqanaba lomonakalo owenzeka kumqolo.
  • Inqanaba lokukhubazeka kunye nendlela ukuhamba kunye nomgangatho wobomi obuchaphazelekayo.

I-Chiropractic yezoNyango ze-Chiropractic kunye ne-Functional Medicine Clinic iya kusebenza kunye nomboneleli wezempilo oyintloko womntu ngamnye kunye / okanye iingcali zokunceda ukuchonga iindlela ezifanelekileyo zonyango kunye neenkxalabo malunga namayeza okanye ezinye iindlela zonyango.


Ukuvula Wellness


Ucaphulo

Diwan, S., Sayed, D., Deer, TR, Salomons, A., & Liang, K. (2019). Indlela ye-Algorithmic yokuNyanga i-Lumbar Spinal Stenosis: Indlela esekelwe kubungqina. Iyeza lentlungu (Malden, Mass.), 20 (Suppl 2), S23-S31. doi.org/10.1093/pm/pnz133

Marchand, AA, Houle, M., O'Shaughnessy, J., Châtillon, C. É., Cantin, V., & Descarreaux, M. (2021). Ukusebenza kwenkqubo esekelwe kwi-prehabilitation yezigulane ezilindele ukuhlinzwa kwi-lumbar spinal stenosis: uvavanyo lweklinikhi olungahleliwe. Iingxelo zenzululwazi, i-11 (1), i-11080. doi.org/10.1038/s41598-021-90537-4

Ammendolia, C., Rampersaud, YR, Southerst, D., Ahmed, A., Schneider, M., Hawker, G., Bombardier, C., & Côté, P. (2019). Umphumo we-prototype ye-lumbar spinal stenosis belt ngokubhekiselele kwinkxaso ye-lumbar ekuhambeni kwamandla kwi-lumbar spinal stenosis: uvavanyo olulawulwa ngokungahleliwe. Ijenali yomqolo : ijenali esemthethweni yeNorth American Spine Society, 19 (3), 386-394. doi.org/10.1016/j.spinee.2018.07.012

Mekhail, N., Costandi, S., Nageeb, G., Ekladios, C., & Saied, O. (2021). Ukuqina kwenkqubo yokunciphisa i-lumbar encinci kwizigulane ezine-symptomatic lumbar spinal stenosis: ukulandelwa kwexesha elide. Iintlungu zokuziqhelanisa : iphephancwadi elisemthethweni le-World Institute of Pain, i-21 (8), i-826-835. doi.org/10.1111/papr.13020

Oka, H., Matsudaira, K., Takano, Y., Kasuya, D., Niiya, M., Tonosu, J., Fukushima, M., Oshima, Y., Fujii, T., Tanaka, S., & Inanami, H. (2018). Uphononongo oluthelekisayo lwezonyango ezintathu ezilondolozayo kwizigulane ezine-lumbar spinal stenosis: i-lumbar spinal stenosis kunye ne-acupuncture kunye ne-physiotherapy study (LAP study). I-BMC encedisayo kunye neyeza elilolunye, i-18(1), i-19. doi.org/10.1186/s12906-018-2087-y

Han, JH, Lee, HJ, Woo, SH, Park, YK, Choi, GY, Heo, ES, Kim, JS, Lee, JH, Park, CA, Lee, WD, Yang, CS, Kim, AR, & Han , CH (2021). Ukusebenza kunye nokhuseleko lwe-acupotomy kwi-lumbar spinal stenosis: i-pragmatic randomized, controlled, pilot trial trial: Iprotocol yokufunda. Amayeza, 100 (51), e28175. doi.org/10.1097/MD.0000000000028175

Sudo, H., Miyakoshi, T., Watanabe, Y., Ito, YM, Kahata, K., Tha, KK, Yokota, N., Kato, H., Terada, T., Iwasaki, N., Arato, T., Sato, N., & Isoe, T. (2023). Iprotocol yokunyanga i-lumbar spinal canal stenosis kunye nendibaniselwano ye-ultrapurified, i-allogen bone marrow-derived mesenchymal stem cells kunye ne-situ-forming gel: i-multicentre, i-prospective, i-double blind blind-controlled controlled trial. BMJ vula, 13(2), e065476. doi.org/10.1136/bmjopen-2022-065476

Amaziko eSizwe ezeMpilo. (2016). Iziseko zeeseli zestem. ISebe lezeMpilo lase-US kunye neeNkonzo zoLuntu. Ifunyenwe kwi stemcells.nih.gov/info/basics/stc-basics

Jansen, T., Bornemann, R., Otten, L., Sander, K., Wirtz, D., & Pflugmacher, R. (2015). Vergleich dorsaler Dekompression nicht stabilisiert und dynamisch stabilisiert mit LimiFlex™ [Uthelekiso lweDorsal Decompression kunye neDorsal Decompression Didityaniswe nesixhobo sokuZinzisa esiDynamic iLimiFlex™]. Zeitschrift fur Orthopadie und Unfallchirurgie, 153(4), 415–422. doi.org/10.1055/s-0035-1545990

INkonzo yezeMpilo yeSizwe yase-UK. (2022). Utyando lokuthotywa kweLumbar: lwenziwa njani. www.nhs.uk/conditions/lumbar-decompression-surgery/what-happens/

Impilo ye-NYU Langone. (2024). Utyando lwe-spinal stenosis. nyulangone.org/conditions/spinal-stenosis/treatments/surgery-for-spinal-stenosis

Columbia Neurosurgery. (2024). Inkqubo ye-laminoplasty yomlomo wesibeleko. www.neurosurgery.columbia.edu/patient-care/treatments/cervical-laminoplasty

Iziko leSizwe le-Arthritis kunye ne-Musculoskeletal and Skin Diseases. (2023). I-Spinal stenosis: Ukuxilongwa, unyango kunye namanyathelo okufuneka uwathathe. Ifunyenwe kwi www.niams.nih.gov/health-topics/spinal-stenosis/diagnosis-treatment-and-steps-to-take

I-Lumbar Traction: Ukubuyisela Ukuhamba kunye nokunciphisa iintlungu ezisezantsi

I-Lumbar Traction: Ukubuyisela Ukuhamba kunye nokunciphisa iintlungu ezisezantsi

Kubantu abafumana okanye abalawula iintlungu ezisezantsi kunye / okanye i-sciatica, ngaba unyango lwe-lumbar traction lunokunceda ukunika isiqabu esiqhubekayo?

I-Lumbar Traction: Ukubuyisela Ukuhamba kunye nokunciphisa iintlungu ezisezantsi

Ukutsalwa kwe-Lumbar

I-Lumbar traction therapy ye-back back pain kunye ne-sciatica ingaba yindlela yokonyango yokunceda ukubuyisela ukuhamba kunye nokuguquguquka kunye nokuxhasa ngokukhuselekileyo ukubuyela komntu kwinqanaba eliphezulu lomsebenzi. Ihlala idibaniswa nomsebenzi ojoliswe kuwo wonyango. (Yu-Hsuan Cheng, et al., 2020) Ubuchwephesha bolula indawo phakathi kwe-vertebrae kumqolo ophantsi, ukukhulula iintlungu ezisezantsi.

  • I-Lumbar okanye i-low back traction inceda ukwahlula izithuba phakathi kwe-vertebrae.
  • Ukwahlula amathambo kubuyisela ukujikeleza kwaye kunceda ukukhulula uxinzelelo kwi-nerve pinched njenge-nerve ye-sciatic, ukunciphisa intlungu kunye nokuphucula ukuhamba.

Research

Abaphandi bathi i-lumbar traction kunye nokuzilolonga ayizange iphucule iziphumo zomntu ngamnye xa kuthelekiswa nokuzivocavoca ngokwenyama ngokwabo (U-Anne Thackeray et al., ngo-2016). Uphononongo luvavanye abathathi-nxaxheba be-120 abaneentlungu ze-back back kunye ne-nerve root impingement abaye bakhethwa ngokungakhethi ukuba baqhube i-lumbar traction kunye nokuzivocavoca okanye ukuzivocavoca okulula kwiintlungu. Imithambo esekwe ekwandisweni igxile ekugobeni umqolo umva. Le ntshukumo ithathwa njengesebenzayo kubantu abaneentlungu zangasemva kunye nemithambo-luvo. Iziphumo zibonise ukuba ukongeza i-lumbar traction kwi-exercises yonyango lomzimba aluzange lubonelele ngeenzuzo ezibalulekileyo ngaphezu kokuzivocavoca okusekelwe ekwandisweni kwedwa ngenxa yeentlungu zangasemva. (U-Anne Thackeray et al., ngo-2016)

Uphononongo luka-2022 lwafumanisa ukuba i-lumbar traction iluncedo kubantu abaneentlungu ezisezantsi. Uphononongo luphande iindlela ezimbini ezahlukeneyo ze-lumbar traction kwaye zafumanisa ukuba i-variable-force lumbar traction kunye ne-high-force lumbar traction yanceda ukukhulula iintlungu ezisezantsi. I-High-force lumbar traction nayo yafunyanwa ukunciphisa ukukhubazeka okusebenzayo. (Zahra Masood et al., 202I-2) Olunye uphando lufumene i-lumbar traction iphucula uluhlu lwentshukumo kuvavanyo lokuphakamisa umlenze othe ngqo. Uphononongo luhlolisise amandla ahlukeneyo e-traction kwiidiski ze-herniated. Onke amanqanaba aphucula uluhlu lwabantu ngabanye, kodwa umlinganiselo wesiqingatha sobunzima bomzimba wawunxulunyaniswa neyona ntlungu ibalulekileyo. (Anita Kumari et al., 2021)

impatho

Kubantu abaneentlungu ezisezantsi kuphela, ukuzilolonga, kunye nokulungiswa kwe-postural inokuba yiyo yonke into efunekayo ukunika isiqabu. Uphando luqinisekisa ukuzivocavoca umzimba kunokunceda ukunciphisa iintlungu kunye nokuphucula ukuhamba (Anita Slomski 2020). Olunye uphononongo luveze ukubaluleka kokubeka kwindawo enye iimpawu ze-sciatic ngexesha leentshukumo eziphindaphindiweyo. I-centralization ihambisa intlungu emva komqolo, oluluphawu oluhle lokuba ii-nerve kunye neediski ziyaphilisa kwaye zenzeke ngexesha lokusebenzisa unyango. (UHanne B. Albert et al., 2012) I-chiropractor kunye neqela lonyango lomzimba linokufundisa izigulane ekukhuseleni iintlungu zentlungu emva. Iingcali ze-Chiropractors kunye neengcali zonyango ziingcali zentshukumo yomzimba ezinokubonisa ukuba yeyiphi imithambo efanelekileyo kwimeko yakho. Ukuqala inkqubo yomthambo ebeka phakathi iimpawu kunokunceda abantu babuyele kubomi babo besiqhelo ngokukhawuleza nangokukhuselekileyo. Qhagamshelana nomboneleli wezempilo phambi kokuba uqalise nayiphi na inkqubo yokuzilolonga yeentlungu zomqolo.


Iyeza lokuhamba: IChiropractic


Ucaphulo

Cheng, YH, Hsu, CY, & Lin, YN (2020). Umphumo we-mechanical traction kwiintlungu ezisezantsi kwizigulane ezineediski ze-intervertebral herniated: ukuhlaziywa kwenkqubo kunye nohlalutyo lwe-meta. Ukuvuselelwa kweklinikhi, i-34 (1), i-13-22. doi.org/10.1177/0269215519872528

Thackeray, A., Fritz, JM, Childs, JD, & Brennan, GP (2016). Ukusebenza kwe-Mechanical Traction phakathi kwamaCandelwana ezigulane ezineentlungu ezisezantsi kunye neentlungu zomlenze: uvavanyo olungenammiselo. Ijenali yonyango lwamathambo kunye nezemidlalo, i-46 (3), i-144-154. doi.org/10.2519/jospt.2016.6238

Masood, Z., Khan, AA, Ayyub, A., & Shakeel, R. (2022). Impembelelo ye-lumbar traction kwi-discogenic low back pain usebenzisa amandla aguquguqukayo. JPMA. Ijenali yePakistan Medical Association, 72 (3), 483-486. doi.org/10.47391/JPMA.453

Kumari, A., Quddus, N., Meena, PR, Alghadir, AH, & Khan, M. (2021). Imiphumo ye-One-Fifth, One-Third, kunye ne-Half-Half of the Bodyweight Lumbar Traction kwi-Sight Leg Ukuphakamisa uvavanyo kunye nentlungu kwi-Prolapsed Intervertebral Disc Patients: Uvavanyo oluLawulwayo olungenammiselo. Uphando lweBioMed lwamazwe ngamazwe, 2021, 2561502. doi.org/10.1155/2021/2561502

Slomski A. (2020). Unyango lwangaphambili loMzimba lukhulula ukukhubazeka kwe-Sciatica kunye neentlungu. JAMA, 324(24), 2476. doi.org/10.1001/jama.2020.24673

Albert, HB, Hauge, E., & Manniche, C. (2012). I-Centralization kwizigulane ezine-sciatica: ngaba iimpendulo zentlungu kwiintshukumo eziphindaphindiweyo kunye nokumiswa okuhambelana nesiphumo okanye iintlobo zezilonda zediski? Iphephancwadi laseYurophu lomqolo : ukupapashwa ngokusemthethweni kwe-European Spine Society, i-European Spinal Deformity Society, kunye neCandelo laseYurophu leCervical Spine Research Society, i-21 (4), i-630-636. doi.org/10.1007/s00586-011-2018-9

Fumanisa iiNzuzo zeCraniosacral Therapy yokuNceda iintlungu

Fumanisa iiNzuzo zeCraniosacral Therapy yokuNceda iintlungu

Kubantu abaphethwe ziintlungu zentamo kunye neentloko, ngaba unyango lwe-massage yentloko ye-craniosacral lunokunceda ukunika isiqabu?

Fumanisa iiNzuzo zeCraniosacral Therapy yokuNceda iintlungu

Unyango lweCraniosacral

Unyango lwe-Craniosacral kukuthanjiswa okuthambileyo ukukhulula i-fascia okanye uxinzelelo lwenethiwekhi yezicubu ezixhumeneyo. Unyango alulolutsha kodwa lufumene ingqalelo entsha ngenxa yomdla woluntu kunyango lweentlungu zendalo kunye nonyango. Izifundo zisikelwe umda, kodwa uphando lweklinikhi luyaqhuba ukubona ukuba unyango lunokuba lolona khetho lonyango luqhelekileyo. Unyango lujolise ekudambiseni iimpawu zezifo ezahlukeneyo kunye neemeko, kubandakanya:

  • Intloko
  • intlungu entanyeni
  • I-syndrome ye-complex yengingqi yeentlungu - i-CRPS
  • Ngokunciphisa uxinzelelo kumqolo ongaphantsi, intloko, kunye nekholamu yomgogodla, ukujikeleza kwe-cerebrospinal fluid kubuyiselwa, kwaye izigqi zomzimba ngaphakathi kwenkqubo ye-nervous zisetwa kwakhona. Oku kunika isiqabu kwiintlungu, kunciphisa uxinzelelo, kwaye kuphucule impilo yonke.

Iinjongo zokuphulula umzimba

Iimeko ezininzi kunye nezigulo ezithi zizuze kunyango lwe-craniosacral ziquka (Heidemarie Haller et al., 2019) (UHeidemarie Haller, uGustav Dobos, kwaye Holger Cramer, 2021)

  • Intloko
  • Migraines
  • Iimeko zeentlungu ezingapheliyo
  • Iziphazamiso ezinxulumene noxinzelelo
  • Ukuxhalabisa
  • ukudakumba
  • I-tinnitus - ukukhala ezindlebeni
  • Utywala
  • Infantile colic
  • Iintlungu zesisu
  • Ukunqongophala kwengqalelo ukuphazamiseka kwe-hyperactivity-ADHD
  • Isifuba
  • Unyango lokuphelisa iziphumo ebezingalindelekanga zonyango lomhlaza.

Iindawo ekugxilwe kuzo zezo zisecaleni kwe-fascia, izicubu ezixhumeneyo ezibambe izitho, imithambo yegazi, amathambo, imicu yemithambo-luvo, kunye nezihlunu endaweni. Ngokusebenza le zicubu ngokusebenzisa i-massage yoxinzelelo oluthambileyo, iingcali zinceda ukuthomalalisa impendulo yokulwa okanye yokubhabha ngokuphumza inkqubo ye-nervous enovelwano. Iimpawu ziya kugqiba ukuba zeziphi iindawo zomzimba ezifuna unyango lwe-craniosacral. Abantu abaneentloko ezibuhlungu baya kunikwa intloko okanye intamo ye-massage. Ezinye iindawo ezibandakanyekayo kunyango lwe-craniosacral ziquka:UHeidemarie Haller, uGustav Dobos, kunye noHolger Cramer, ngo-2021)

  • umva
  • Ejikeleze ikholamu yomgogodla.
  • Ezinye iindawo ezifana namalungu okanye izihlunu.
  • Uxinzelelo olusetyenziswa ngexesha lonyango lwe-craniosacral lulula kwaye alufani ne-massage yezicubu ezinzulu.
  • Uxinzelelo olukhanyayo lusetyenziswa kwi-fascial tissue echaphazelekayo ukunceda ukusetha kwakhona izigqi zomzimba ezithile ezinokudlala indima kwintlungu kunye nezinye iimpawu. (UHeidemarie Haller, uGustav Dobos, kunye noHolger Cramer, ngo-2021)

Inkqubo yeNervous yeParasympathetic kunye novelwano

  • Iinkqubo ze-nervous parasympathetic kunye novelwano zilawula iimpendulo ezahlukeneyo zomzimba.
  • Inkqubo ye-nervous parasympathetic isekela ukuphumla okufanelekileyo kunye nemisebenzi yokugaya ukutya, kwaye inkqubo ye-nervous enovelwano ilawula impendulo yomzimba yokulwa-okanye-indiza. (Iklinikhi yaseCleveland. 2022)

IiTeknikhi zoNyango

Iindlela zokuphulula ezisetyenziswa kunyango lwe-craniosacral zixhomekeke kuxinzelelo oluphantsi olwenzelwe ukuba luthambe kangangoko. Iincam zeminwe zihlala zisetyenziselwa ukuphepha ukufaka uxinzelelo oluninzi. Ababoneleli bezempilo basebenza iindawo phakathi kwekhayi kunye nezantsi komqolo ukuchonga nokusetha kwakhona ukungalingani ngaphakathi komzimba kunye ne-cerebrospinal fluid. Ukuba kukho ukungalingani kwi-cerebrospinal fluid, i-massage therapist iya kuphinda ibeke umntu okanye icinezele kwindawo ukukhulula kunye / okanye ukwandisa ukujikeleza. Ubuchule busebenza ukuphucula amandla omzimba okulawula iimpendulo zomzimba. (Heidemarie Haller et al., 2019Ngexesha nasemva kweseshoni, abantu ngabanye banokufumana iimvakalelo ezahlukeneyo, kubandakanywa: (I-Biodynamic Craniosacral Therapy Association yaseMntla Melika, ngo-2024)

  • Ukuphumla.
  • Ukuziva ukwimo yokucamngca.
  • Ukulala.
  • Unamandla.
  • Ukuziva ukufudumala.
  • Ukuphefumla nzulu.
  • Ukuziva umzimba uqondile kwaye umde.

Abantu abangafanelanga baFumana unyango lweCraniosacral

Unyango lweCraniosacral luthathwa njengekhuselekile; nangona kunjalo, abanye abantu kufuneka bayiphephe okanye badibane nomboneleli wezempilo ngaphambi kokuba bazame. Abo bacetyiswayo ukuba bangalufumani unyango baquka abantu abanezi zigulo okanye izigulo zilandelayo:

  • Ukubhideka okanye okunye ukwenzakala kwengqondo.
  • Amahlwili egazi.
  • Ukudumba kwengqondo.
  • I-Brain aneurysm - i-bulge ezaliswe ligazi kumthambo wegazi ngaphakathi okanye ojikeleze ingqondo.
  • Iimeko ezibangela ukwakhiwa kwe-cerebrospinal fluid.

impatho

Unyango lweCraniosacral lunikezelwa ngababoneleli bezempilo abaninzi, kubandakanya:

  • Unyango lweCraniosacral olunelayisensi yokunyanga ii-massage therapists
  • Iingcali zempilo
  • Abasebenzi beengcali
  • Amathambo
  • Iingcali

Ezi ngcali ziyayazi indlela yokwenza indlela ye-massage ngokuchanekileyo.


Intloko intloko


Ucaphulo

Haller, H., Lauche, R., Sundberg, T., Dobos, G., & Cramer, H. (2019). Unyango lwe-Craniosacral kwiintlungu ezingapheliyo: ukuphononongwa okucwangcisiweyo kunye nohlalutyo lwemeta yezilingo ezilawulwa ngokungahleliwe. I-BMC ye-musculoskeletal disorders, i-21 (1), i-1. doi.org/10.1186/s12891-019-3017-y

Haller, H., Dobos, G., & Cramer, H. (2021). Ukusetyenziswa kunye neenzuzo zeCraniosacral Therapy kukhathalelo lwempilo olusisiseko: isifundo esilindelekileyo seqela. Unyango olongezelelweyo kumayeza, 58, 102702. doi.org/10.1016/j.ctim.2021.102702

Iklinikhi yaseCleveland. (2022). Inkqubo yeNervous yePeripheral (PNS) (iThala leeNcwadi leMpilo, uMba. my.clevelandclinic.org/health/body/23123-peripheral-nervous-system-pns

I-Biodynamic Craniosacral Therapy Association yaseMntla Melika. (2024). Injani iseshini? www.craniosacraltherapy.org/what-is-a-session-like-

Isikhokelo esiBanzi se-Almond Flour kunye ne-Almond Meal

Isikhokelo esiBanzi se-Almond Flour kunye ne-Almond Meal

Kubantu abasebenzisa isitayile sokutya esine-carbohydrate ephantsi okanye abafuna ukuzama omnye umgubo, ngaba ukudibanisa umgubo wealmondi kunokunceda kuhambo lwabo lwempilo?

Isikhokelo esiBanzi se-Almond Flour kunye ne-Almond Meal

Umgubo weAlmond

Umgubo we-almond kunye nesidlo se-almond ziindlela ezingenagluten-free kwiimveliso zengqolowa kwiiresiphi ezithile. Zenziwa ngokusila iialmond kwaye zingathengwa zilungiswe okanye zenziwe ekhaya kunye neprosesa yokutya okanye i-grinder. Umgubo uphezulu kwiprotheyini kwaye usezantsi kwisitashi kunomnye umgubo ongenagluten.

Umgubo we-almond kunye nesidlo se-almond

Umgubo wenziwa nge-almonds e-blanched, oku kuthetha ukuba ulusu lususiwe. Isidlo se-almond senziwe ngee-almond ezipheleleyo okanye ezimhlophe. Ukuhambelana kwazo zombini kufana nomgubo wombona kunomgubo wengqolowa. Ngokuqhelekileyo zinokusetyenziswa ngokutshintshisanayo, nangona ukusebenzisa umgubo we-blanched kuya kuvelisa umphumo ophuculweyo, ongaphantsi kweenkozo. Umgubo wealmond ocolekileyo ulungile xa ubhaka amaqebengwana kodwa kunzima ukwenza ekhaya. Inokufumaneka kwiivenkile zegrosari okanye iodolwe kwi-intanethi.

Iikhabhohayidrethi kunye neeCalories

Isiqingatha sekomityi yomgubo olungiselelwe urhwebo iqulethe malunga:

  • I-12 grams ye-carbohydrates iyonke
  • 6 iigrem zefayibha
  • I-12 gram yeprotheni
  • 24 iigrem zamafutha
  • 280 iikhalori (USDA FoodData Central. 2019)
  1. I-glycemic index yomgubo we-almond ingaphantsi kwe-1, oku kuthetha ukuba kufuneka ibe nefuthe elincinci ekunyuseni amanqanaba e-glucose yegazi.
  2. Isalathisi esiphezulu se-glycemic yomgubo wengqolowa ngu-71, kunye nomgubo werayisi ngu-98.

Ukusebenzisa umgubo weAlmond

Kucetyiswa ukwenza i-gluten-free ngokukhawuleza isonka iiresiphi, ezifana ne-gluten-free:

  • Muffins
  • Isonka sethanga
  • Pancakes
  • Ezinye iiresiphi zekeyiki

Abantu ngabanye bayacetyiswa ukuba baqale ngeresiphi esele ilungiselelwe umgubo we-almond kwaye bazenzele. Ikomityi yomgubo wengqolowa inobunzima obujikeleze ii-ounces ezi-3, ngelixa ikomityi yomgubo we-almond inobunzima obuphantse bube ii-ounces ezi-4. Oku kuya kwenza umahluko omkhulu kwizinto ezibhakiweyo. Umgubo unenzuzo yokongeza izondlo ekutyeni.

Isidlo seAlmond

  • Isidlo se-almond sinokuphekwa njenge-polenta okanye i-grits efana ne-shrimp kunye ne-grits.
  • Iikuki zingenziwa i-gluten-free kunye nesidlo se-almond.
  • Iibhisikidi zokutya ze-almond zinokwenziwa, kodwa qaphela iresiphi.
  • Ukutya kwealmondi kunokusetyenziswa kwintlanzi yesonka kunye nokunye ukutya okuqhotsiweyo, kodwa kufuneka kuthathelwe ingqalelo ukuze kungatshi.
  • Ukutya kwe-almond akukhuthazwa kwizonka ezifuna intlama yokwenene kunye nesakhiwo se-gluten esiphuhlisiwe, njengomgubo wengqolowa.
  • Amaqanda amaninzi afunekayo xa ubhaka ngesidlo se-almondi ukubonelela ngesakhiwo segluten kumgubo odala.

Ukulungelelanisa iiresiphi endaweni yesidlo se-almond kumgubo wengqolowa kunokuba ngumngeni ofuna uvavanyo oluninzi kunye nempazamo.

Ubuntununtunu

Iialmondi lindongomane lomthi, yenye yezona zinto zisibhozo zixhaphakileyo kukutya okungadibaniyo nokutya. (I-Anaphylaxis e-UK. 2023) Nangona amandongomane engengawo amandongomane emithi, amaninzi adityaniswa ne- peanut anokuba nawo aleji yealmondi.

Ukwenza Okwakho

Ingenziwa kwi-blender okanye kwiprosesa yokutya.

  • Kufuneka kuthathelwe ingqalelo ukuba ungagayi ixesha elide, okanye uya kuba yibhotela ye-almond, enokusetyenziswa kwakhona.
  • Yongeza kancinci ngexesha kwaye ucofe de ibe sisidlo.
  • Gcina umgubo ongasetyenziswanga ngokukhawuleza efrijini okanye efrijini kuba uya kuhamba ngokukhawuleza ukuba ushiywe ngaphandle.
  • I-almonds i-shelf-stable, kwaye umgubo we-almond awukho, ngoko kuyacetyiswa ukuba ugaye kuphela into efunekayo kwiresiphi.

Ivenkile Ithengiwe

Uninzi lweevenkile zokutya kwezempilo zithengisa umgubo we-almond, kwaye iivenkile ezinkulu ziyawugcina njengoko uye waba yimveliso edumileyo engenagluten. Umgubo opakishweyo kunye nesidlo nazo ziya kuhlazeka emva kokuvulwa kwaye kufuneka zigcinwe efrijini okanye efrijini emva kokuvulwa.


Udidi lweMithi


Ucaphulo

USDA FoodData Central. (2019). Umgubo weAlmond. Ifunyenwe kwi fdc.nal.usda.gov/fdc-app.html#/food-details/603980/nutrients

I-Anaphylaxis e-UK. (2023). I-Allergy Factsheets (I-Anaphylaxis UK Ikamva eliqaqambileyo labantu abane-allergies eyingozi, umba. www.anaphylaxis.org.uk/factsheets/

Atkinson, FS, Brand-Miller, JC, Foster-Powell, K., Buyken, AE, & Goletzke, J. (2021). Iitafile zamazwe ngamazwe ze-glycemic index kunye ne-glycemic load values ​​2021: uphononongo olucwangcisiweyo. Ijenali yaseMelika yesondlo seklinikhi, i-114 (5), i-1625-1632. doi.org/10.1093/ajcn/nqab233

Ukoyisa uloyiko lokuSebenza: Ukoyisa ukuxhalaba kwaye uqalise ukuhamba

Ukoyisa uloyiko lokuSebenza: Ukoyisa ukuxhalaba kwaye uqalise ukuhamba

"Kubantu abafuna ukwenza umthambo kodwa banoloyiko okanye izinto ezibaxhalabisayo, ngaba ukuqonda oko bayoyikayo kunganceda iingqondo zabo?"

Ukoyisa uloyiko lokuSebenza: Ukoyisa ukuxhalaba kwaye uqalise ukuhamba

Ukoyisa Uloyiko Lokuzilolonga

Esinye isizathu sengxaki yobunzima obuqhubekayo kukuba abantu abahambi ngokwaneleyo, kwaye esinye isizathu sokuba abantu bangazilolongi kukoyika.UCraig M. Hales et al., 2020). Kubantu ngabanye, ukuzibhokoxa ngokwasemzimbeni kunye nokuhambisa umzimba ukuya kwinqanaba lokunyuka kwesantya sentliziyo, ukuphefumla kakhulu, kunye nokubila kakhulu kunokubangela unxunguphalo kwaye boyike xa bengazange bakwenze oko kangangexesha elithile okanye bengazange basebenze. Amanye amaxhala kunye noloyiko abantu abanokuba nalo lubandakanya oku kulandelayo:

Ukujongelwa sisidenge

Nantoni na inokwenzeka xa usenza umthambo. Xa abantu bengakwazi ukuqonda ukuba umatshini usebenza njani okanye bengaqinisekanga ukuba benza umthambo ngokuchanekileyo, ukuwa ematshinini okanye ukuthoba ubunzima kunokubangela imvakalelo yobudenge. Ukwazi ukusebenzisa oomatshini kunye neentsimbi kufuna ukuziqhelanisa. Cela isikhokelo kumqeshwa wejim okanye umqeqeshi wakho, njengoko ukufundisa abantu ukwenza imithambo ngokuchanekileyo nangokukhuselekileyo kungumsebenzi wabo. Kwaye uninzi lwabantu abasebenza ngaphandle bayakuvuyela ukunceda nabo.

Ukuva Intlungu

Abanye bayakuphepha ukwenza umthambo, besoyika iintlungu eziqatha. Ukuzilolonga akufanelekanga ukuba kube buhlungu, kodwa kuya kubangela ukuba buhlungu kuba abantu basebenzisa izihlunu abangakhange bazisebenzise ixesha elide okanye kwaphela. Ngokomzekelo, izihlunu ziya kuba nokuvutha okuncinci xa uphakamisa iintsimbi. Umzimba usabela kwimithambo kwaye uziqhelanise nemithambo. Njengoko umzimba usiya usomelela, abantu ngabanye bayayibona impendulo yemizimba yabo kwaye bayakwazi ukucela umngeni ngokwabo ngobunzima obunzima, ukubaleka ixesha elide, ukuhamba kunye nokuzilolonga. Xa uqalisa inkqubo yokuzilolonga, qalisa kancinane. Abanye abaqeqeshi bacebisa ukwenza okungaphantsi kancinci kunokuba umntu ecinga ukuba bangakwenza kwiiveki zokuqala. Oku kunceda ukwakha umkhwa ngaphandle komngcipheko wokudinwa.

Ukulimala

Xa uqalisa inkqubo yokuzilolonga, abantu banokuziva utshintsho kwimizimba yabo yonke, ngokungathi yonke into iyatsala kwaye ikrazuka. Abantu abangakhange bazilolonge kakhulu basenokungakwazi ukwahlula phakathi kokungakhululeki okuqhelekileyo kwimithambo okokuqala ngqa kunye neentlungu zokwenzakala. I-Shin splints, i-side stitches, okanye ezinye iziphumo eziqhelekileyo ezinokuthi ziphuhliswe ukususela ekuqaleni kwenkqubo yokuzilolonga. Kusenokufuneka ukuba abantu bayeke ukuzilolonga, baphathe ukwenzakala, baze baqale kwakhona.

  • Ukuba kukho iintlungu ezibukhali kumalungu, ukukrazuka kwezihlunu okanye imithambo, okanye nayiphi na enye into engavakaliyo iqhelekileyo, yima uze ufune unyango.

Ziqhelise ukuba Nengqondo

  • Umzimba uya kuziva into ethile ngelixa usebenza, kodwa ukwahlula intlungu yokulimala kwangempela kwiimvakalelo eziqhelekileyo kubalulekile.
  • Qaphela ukuba umzimba uziva njani ngexesha lokuzilolonga.
  • Landela imiyalelo kwaye ubeke ingqalelo kwifomu efanelekileyo ukunciphisa umngcipheko wokulimala.

Izihlangu ezifanelekileyo

  • Ukunxiba izihlangu zokuzilolonga ezifanelekileyo yinto efanelekileyo yokuphepha nokukhusela ukulimala.
  • Tyala kwizihlangu ezisemgangathweni ukunika umzimba inkxaso oyidingayo.

Ifomu efanelekileyo

  • Ukuba uphakamisa iintsimbi, enye indlela yokugcina ukulimala kukusebenzisa ifom engafanelekanga okanye i-posture.
  • Ukuba awuqinisekanga ngendlela yokwenza imithambo, dibana nomqeqeshi okanye umqeshwa wejimu akuchazele ukuba umatshini usebenza njani.

Shushubeza

  • Ukutsiba kwi-workout ngaphandle kokufudumala kunokukhokelela ekulimazeni okungakhokelela kwiimeko ezibuhlungu ezingapheliyo.
  • Ukufudumala okuthe ngqo kwi-Workout kuyacetyiswa.
  • If ukuhamba, qala ngokuhamba okuphakathi.
  • Ukuba ubaleka, qala ngokuhamba ngokukhawuleza.
  • Ukuba uphakamisa iintsimbi, yenza umthambo omncinci wentliziyo kuqala okanye iseti yokufudumala eneentsimbi ezikhaphukhaphu.

Ukuzilolonga ngaphakathi kwamaNqanaba okuPhila

  • Ukwenzakala kwenzeka xa uzama ukwenza kakhulu ngokukhawuleza.
  • Qala ngenkqubo yokukhanya.
  • Sebenza ukuya kukuzilolonga okuqatha ngakumbi narhoqo.
  • Umzekelo, ukuba uyakwazi ukuhamba imizuzu eli-10 kuphela, qala apho kwaye wandise ngokuthe ngcembe.

Ukusilela

Xa kuziwa ekusebenzeni, ukungaphumeleli kunokuba namava ngeendlela ezahlukeneyo, njengokunciphisa umzimba, ukusilela ukuwenza ngokuzilolonga, ukungakwazi ukunamathela kwinkqubo yomthambo, njl njl. Le yinxalenye yenkqubo, kodwa abantu ngabanye banokuloyisa uloyiko lomthambo. ngokunyamezela.

  • Ukubeka ibha phezulu kakhulu kunokuba sisizathu sokuyeka.
  • Indlela elula yokuhlangabezana noku kukuzibekela usukelo olufikelelekayo.
  • Usukelo lwexesha elide lunokumiselwa ukusebenzela kulo.
  • Yenza into onokuyenza ngoku.

Abantu bazifaka emngciphekweni ngalo lonke ixesha besenza into ephuma kwindawo yabo yokuthuthuzela. Nangona kunjalo, ukubeka umngcipheko kunokuba yimfuneko ukoyisa uloyiko lokuzilolonga, ukuqhubeka, kwaye uphumelele.


IiTekhnoloji zokuLahla ubunzima


Ucaphulo

Hales CM, CM, Fryar CD, Ogden CL. (2020). Ukuxhaphaka kokutyeba kunye nokutyeba kakhulu phakathi kwabantu abadala: eUnited States, ngo-2017-2018. Ingxelo yeDatha ye-NCHS, akukho 360. Hyattsville, MD: Iziko leSizwe leNkcazo yezeMpilo. Ifunyenwe kwi www.cdc.gov/nchs/products/databriefs/db360.htm#Suggested_citation