Ngaba abantu abajongene neentlungu ze-sciatica banokulufumana uncedo abaludingayo kwi-acupuncture ukuze babuyisele ukuhamba okuphantsi?

intshayelelo

Iziphelo ezisezantsi zomzimba zibonelela ngokuzinza kunye nokunyakaza kumntu ngamnye njengoko behamba besuka kwenye indawo ukuya kwenye ngaphandle kwentlungu okanye ukungahambi kakuhle. Iziphelo ezisezantsi zibandakanya i-hips, i-back back, imilenze, amathanga, i-pelvis, amadolo kunye neenyawo; nganye inezihlunu ezahlukeneyo, iingcambu zemithambo-luvo, kunye nemigqaliselo enomsebenzi othile kwi-quadrant ye-muscle nganye. Ikholamu yomgogodla kwi-musculoskeletal system inceda ukubonelela ngokufanelekileyo ngokufanelekileyo ngelixa ukhusela intambo yomgogodla kukulimala. Nangona kunjalo, ngokuphindaphindiweyo, iziphelo ezisezantsi zinokunikezela kukulimala njengoko abantu abaninzi bebandakanya ukunyakaza okuphindaphindiweyo okunokuthi kucinezele iingcambu ze-nerve ezisasazwa kwiindawo ezisezantsi, ezinokuthi zifake intlungu. Intlungu eqhelekileyo ebonakala ichaphazela umva ophantsi kunye nemilenze yi-sciatica, kwaye xa ingaphathwa, inokubangela ukugqithiswa kweeprofayili ezinobungozi kwiindawo ezisezantsi. Inqaku lanamhlanje lihlola indlela i-sciatica ehambelana ngayo ne-back back kunye nendlela unyango olungenalo utyando lunokunceda ukunciphisa imiphumo yeentlungu ze-sciatic. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukubonelela ngeendlela ezininzi zonyango ukukhulula intlungu ye-sciatica echaphazela iziphelo zabo ezisezantsi. Kwakhona siyazisa kwaye sikhokela izigulane malunga nendlela unyango olungenalo utyando lunokunceda ukunciphisa intlungu ye-sciatica ukusuka kwimida ephantsi ye-musculoskeletal. Sikhuthaza izigulane zethu ukuba zibuze ababoneleli babo bezonyango abadibeneyo kunye nemibuzo ebalulekileyo malunga neempawu ezinjengeentlungu ezihlangabezana nazo kwi-sciatica ezibangela intlungu. UDkt Jimenez, DC, udibanisa le ngcaciso njengenkonzo yezemfundo. isikhanyeli.

 

I-Sciatica ihambelana njani nomqolo osezantsi?

Ngaba udla ngokuba nama-numb okanye ukuntlontlozela okuhla emlenzeni wakho okubangela ukuba umlenze okanye unyawo lwakho lulahlekelwe yimvakalelo ngokufutshane? Ngaba uziva intlungu yokudubula kumqolo wakho ongaphantsi emva kokuhlala ngokugqithisileyo kwidesika yakho? Okanye ngaba ufumanisa ukuba ukolula imilenze yakho okanye umva kuyayithomalalisa okwexeshana intlungu, kuphela ukuba iphinde ibuye? Uninzi lwabantu abafumana iintlungu zokudutyulwa ezihla imilenze yabo bajongana ne-sciatica. Xa kuziwa kwiindawo ezisezantsi kwi-musculoskeletal system, abantu abaninzi benza ukunyakaza okuphindaphindiweyo kumqolo wabo onokubangela ukuba i-spinal discs ixinzelelwe kwaye ifakwe phantsi koxinzelelo. Xa i-disc ye-spinal i-herniated kwi-lumbar spine, loo diski iya kuqala ukucinezela kwiingcambu ze-nerve ezijikelezayo, ngaloo ndlela ithumela iintlungu ezikhuphayo phantsi kwemilenze. I-Sciatica ichazwa njengaxa abantu beva iintlungu ezivela kwingcambu ye-lumbosacral ye-nerve kwaye ibangela ukutshisa, ubunzima, okanye ukuva ubunzima. (UAguilar-Shea et al., 2022) I-Sciatica inokuvela kwi-mild to serious, iphoqa abantu abaninzi ukuba bacinge ukuba unyawo lwabo lulele. Nangona kunjalo, ingcambu ye-nerve ye-sciatic icinezelekile, ibanjwe, ibambelele, okanye igxininiswe, ebangela i-spasms ye-muscle ngaphakathi kwe-back back, i-buttock, okanye imilenze. Ngenxa yoko, abantu abaninzi baya kuchaza ukuba bafumana intlungu ephantsi okanye emilenzeni xa i-sciatica. 

 

 

Ekubeni i-nerve ye-sciatic yi-nerve ende, enzima emzimbeni womntu, ihamba ukusuka kwindawo ye-lumbar ukuya edolweni kwaye idibanise kwezinye iintsholongwane ukuze ifike enyaweni. Iintlungu ze-Sciatica zinokuba ziimeko ezimbini ezineempembelelo ezifanayo zentlungu ezibizwa ngokuba yinyani okanye iimeko ezinjenge-sciatica. I-sciatica yokwenyani kulapho ukwenzakala kuchaphazela ngqo i-nerve ye-sciatic. Oku kunokuhambelana nediski etyibilikayo ebangelwa yimiba yokusingqongileyo efana nokuphakamisa into enzima, ukwenza mandundu ingcambu ye-nerve ye-sciatic, kwaye ibangele intlungu eyandayo. (Siddiq et al., 2020) Kwiimeko ezinjenge-sciatica, oku kulapho ezinye iimeko ze-musculoskelet zibangela iimpawu ze-sciatic ezifana neentlungu kwiindawo ezisezantsi. Iimeko ze-musculoskeletal ezifana ne-piriformis syndrome zingabangela iimpawu ezifana nentlungu ye-sciatica apho i-piriformis muscle icaphukile okanye ivutha, icinezela i-nerve ye-sciatic, ebangela ukuba abantu abaninzi bachaze intlungu kunye nommandla we-gluteal onokuthi udubule ukuvutha, ukuvakalelwa okubuhlungu phantsi komva imilenze. (Hicks et al., 2024) Nangona kunjalo, kukho iindlela zokunyanga i-sciatica kunye nokunciphisa imiphumo efana nentlungu ebangela imiba yokuhamba.

 

---

I-Sciatica, izizathu, iimpawu kunye neengcebiso-Ividiyo

---

Unyango olungelulo utyando lwe-Sciatica

Xa kufikwa ekunciphiseni iintlungu ze-sciatica, abantu abaninzi baya kufuna unyango olunexabiso elisebenzayo kunye nolwenzelwe intlungu yomntu. Olunye unyango, olufana ne-neural mobilization, lunokusebenzisa amandla omatshini kwiingcambu zemithambo-luvo ukubuyisela intshukumo enempilo emilenzeni nakwiziphelo ezisezantsi. (Peacock et al., 2023) Olunye unyango, olufana nokuthotywa komgogodla, sebenzisa i-traction ethambileyo kwi-spinal disc ukubeka uxinzelelo kwi-nerve ye-sciatic ukunika uncedo. Unyango olungasebenzisi utyando luthandeka kubantu abaninzi ngenxa yokuba lufikeleleka kangakanani kwaye lulungiselelwe umntu kwiintlungu zomntu njengoko lunceda ekunciphiseni iintlungu nokukhubazeka. (Liu et al., 2023) Ngethamsanqa, uhlobo lonyango olungenalo utyando lunokunceda ukukhulula i-sciatica kunye neempawu ezihambelana nentlungu.

 

I-Acupuncture yokuphelisa iintlungu ze-Sciatic

I-acupuncture yenye yeendlela zakudala zonyango olungasebenzisiyo apho iingcali eziqeqeshiweyo zisebenzisa iinaliti ezincinci, eziqinileyo ukuba zifakwe kwaye zibekwe kwindawo echaphazelekayo, ebangela intlungu. I-acupuncture inokunceda ukunciphisa ukuphazamiseka kweengcambu ze-nerve ezichaphazelekayo, kunye nee-cytokines ezivuthayo zendawo ezihambelana ne-sciatica. (Yu et al., 2021) Yintoni le nto iyenzayo kukuba iqhelekile izibonakaliso ze-neuron kwimodi engagqibekanga ukusuka ekukhuliseni imicu ye-muscle ejikelezileyo kunye nokwehla kweentlungu. Ukongezelela, i-acupuncture inokunceda ukubuyisela i-qi yomzimba okanye amandla ngokunciphisa intlungu ngokubeka iinaliti kwi-acupoint yamalungu abalulekileyo abelana ngobudlelwane kunye ne-nerve ye-sciatic. (Yu et al., 2022) Oku kwaziwa ngokuba yi-somato-visceral, apho amalungu abalulekileyo anokuba yindawo echaphazelekayo, ebangela ukugqithelana kwemisipha kunye neeprofayili zomngcipheko we-nerve. I-acupuncture yindlela egqwesileyo yonyango olungasebenzisi utyando olunokuthi ludityaniswe nezinye iindlela zonyango ezahlukeneyo zokunceda ukubuyisela imeko yendalo yomzimba kwaye uvumele abantu ukuba bakhumbule ngakumbi indlela yokunyamekela imizimba yabo ngokulula ukukhusela iimpawu ezinjengeentlungu ze-sciatica. evelayo.

 

---

Ucaphulo

Aguilar-Shea, AL, Gallardo-Mayo, C., Sanz-Gonzalez, R., & Paredes, I. (2022). Sciatica. Ulawulo lwamagqirha eentsapho. J Ukhathalelo lwexesha elizayo lweSapho, 11(8), 4174-4179. doi.org/10.4103/jfmpc.jfmpc_1061_21

Hicks, BL, Lam, JC, & Varacallo, M. (2024). I-Piriformis Syndrome. Kwi StatPearls. www.ncbi.nlm.nih.gov/pubmed/28846222

Liu, C., Ferreira, GE, Abdel Shaheed, C., Chen, Q., Harris, IA, Bailey, CS, Peul, WC, Koes, B., & Lin, CC (2023). Utyando oluchasene nonyango olungenalo utyando lwe-sciatica: ukuphononongwa ngokuchanekileyo kunye nohlalutyo lwe-meta lwezilingo ezilawulwa ngokungahleliwe. BMJ, 381, e070730. doi.org/10.1136/bmj-2022-070730

IPacock, M., Douglas, S., & Nair, P. (2023). I-Neural mobilization kwi-low back and radicular pain: uphononongo olucwangcisiweyo. J Man Manip Ther, 31(1), 4-12. doi.org/10.1080/10669817.2022.2065599

Siddiq, MAB, Clegg, D., Hasan, SA, & Rasker, JJ (2020). I-sciatica eyongezelelweyo yomgogodla kunye ne-sciatica ilinganisa: ukuphononongwa kwe-scoping. Korean J Intlungu, 33(4), 305-317. doi.org/10.3344/kjp.2020.33.4.305

Yu, FT, Liu, CZ, Ni, GX, Cai, GW, Liu, ZS, Zhou, XQ, Ma, CY, Meng, XL, Tu, JF, Li, HW, Yang, JW, Yan, SY, Fu, HY, Xu, WT, Li, J., Xiang, HC, Sun, TH, Zhang, B., Li, MH, . . . Wang, LQ (2022). I-acupuncture ye-sciatica engapheliyo: iprotocol yolingo olulawulwa ngokungahleliwe olune-multicenter. BMJ Open, 12(5), e054566. doi.org/10.1136/bmjopen-2021-054566

Yu, FT, Ni, GX, Cai, GW, Wan, WJ, Zhou, XQ, Meng, XL, Li, JL, Tu, JF, Wang, LQ, Yang, JW, Fu, HY, Zhang, XC, Li, J., Wang, YF, Zhang, B., Zhang, XH, Zhang, HL, Shi, GX, & Liu, CZ (2021). Ukuphumelela kwe-acupuncture ye-sciatica: iprotocol yokufunda yovavanyo olulawulwa ngokungahleliwe. Zilingo, 22(1), 34. doi.org/10.1186/s13063-020-04961-4

isikhanyeli