Unyango oluSebenzayo lweLumbosacral Pain

Kubantu abaneentlungu ze-lumbosacral, ngaba unyango oluneendleko ezisebenzayo xa luthelekiswa nonyango lwendabuko luchaphazela ukuxinezeleka kwemisipha?

intshayelelo

Umqolo womntu uhlukaniswe ngamacandelo amathathu, okwenza i-S-curve shape exhasa amalungu omzimba aphezulu nangaphantsi, ukugcina ukuma kakuhle ngexesha lokunyakaza. Iidiski ze-spinal okanye i-intervertebral discs zisebenza njengezinto eziphazamisayo ngaphakathi kwecandelo ngalinye lekholomu yomgogodla. Banceda ukunciphisa i-axial overload kunye nokukhusela intambo yomgogodla. Umlomo wesibeleko, i-thoracic, kunye namacandelo e-lumbar aneendima ezithile kwiindawo eziphezulu kunye nezisezantsi, eziqinisekisa induduzo kunye nokunyakaza okungenabuhlungu. Nangona kunjalo, abantu abaninzi babandakanyeka kwimisebenzi eqhelekileyo efana nokuphakamisa ngokungafanelekanga, ukuhlala ngokugqithiseleyo, okanye ukuthwala ubunzima obungenangqiqo, okukhokelela kwiintlungu kunye nokukhubazeka ngokuhamba kwesikhathi ngaphandle kokunyamekela ngokufanelekileyo. Ummandla we-lumbosacral we-spine yeyona nto ixhaphakileyo yokulimala kwaye idibaniswe neentlungu ezisezantsi. Intlungu ye-Lumbosacral inokubangelwa kwizinto eziqhelekileyo okanye ezibuhlungu, okwenza abantu baphoswe ngumsebenzi okanye imisebenzi yemihla ngemihla, ekhokelela kwimithwalo yemali xa be tyelela ugqirha. Iimpawu ezinxulumene nentlungu ye-lumbosacral zingabangela intlungu ebhekiswe kwezinye iindawo zomzimba, ezikhokelela abantu ukuba bacinge ukuba indawo ephambili yentlungu ikwenye indawo. Ngethamsanqa, iindlela ezahlukeneyo zonyango ezingabizi kakhulu zinokunciphisa imiphumo yentlungu ye-lumbosacral kunye nokunciphisa ubunzima be-muscle kummandla osezantsi. Eli nqaku ligxininise kwizinto ezininzi ezinxulumene nentlungu ye-lumbosacral, unyango olunexabiso lokunciphisa, kunye nokwahlukana phakathi kwe-traction kunye noxinzelelo lwe-spinal decompression, enokunciphisa ubunzima be-muscle kwi-lumbosacral spinal region. Njengoko sisebenza kunye nababoneleli bezonyango abaqinisekisiweyo abasebenzisa ulwazi lwezigulane zethu ukunyanga abantu abafumana intlungu ye-lumbosacral kwaye bachaze indlela ukudibanisa ukuchithwa kwe-non-operation njengenxalenye yendlela yabo yesiqhelo kunokunciphisa iimpawu ezinjengeentlungu ezichaphazela ummandla we-lumbosacral. Siyabazisa malunga nonyango olungelulo utyando lokunciphisa intlungu ye-lumbosacral ngelixa sinciphisa ubunzima bemisipha. Sikhuthaza izigulana zethu ukuba zibuze imibuzo ebalulekileyo ngelixa zifuna imfundo kubaboneleli bethu bezonyango abanxulumene neemeko zabo. UDkt Alex Jimenez, DC, unikezela ngolu lwazi njengenkonzo yemfundo. isikhanyeli

I-Lumbosacral Pain Associated Factors

Zingaphi izihlandlo ngosuku uye wafumana iintlungu ezisezantsi ezihambelana nokuphakamisa izinto ezinzima? Ngaba uziva uqaqanjelwa sisihlunu okanye uxinezeleko kumqolo wakho ongaphantsi ukusuka ekubeni uhleli ngokugqithisileyo emsebenzini wakho? Okanye ngaba uziva intlungu kumqolo wakho ophantsi emva kosuku olude lomsebenzi oziva ungcono emva kokuhlala phantsi? Abantu abaninzi abasoloko beqaphela ukuba intlungu abayivayo kwingingqi yabo ye-lumbosacral inokuba ngenxa yezinto eziqhelekileyo ezibangela ukunyakaza okuphindaphindiweyo okubangela ukuba i-spinal discs kwindawo ye-lumbosacral ixinzelelwe, yonakaliswe, okanye i-herniated. Ukuza kuthi ga ngoku, iintlungu ze-lumbosacral zinokuhambelana neentlungu ezisezantsi. Kuba iintlungu ezisezantsi zomqolo ubukhulu becala ayingomba uthile, abantu abaninzi abasebenzayo abanomsebenzi wedesika wokuhlala okanye umsebenzi osebenzayo ofuna umthambo unokuba ngumkhondo wezizathu zeentlungu ezisezantsi ezihambelana neentlungu zelumbosacral. (Jonga uTan noKumar, ngo-2021) Ukongezelela, intlungu ye-lumbosacral inokubangela ukuba umntu abe noxinzelelo olungafunekiyo ngelixa efumana unyango. Iindleko zokunyanga iintlungu ze-lumbosacral ezinxulumene ne-back back zinganyuka kakhulu.

Umntu osebenzayo kuya kufuneka akhathazeke ngeendleko zonyango lwesintu kunye nendlela yokubuyisela umvuzo olahlekileyo ukuze ahlawulele unyango. (Snook, ngo-1988) Oku kukhokelela abantu abaninzi ukuba baqhubeke nokusebenza naxa bekwintlungu engathethekiyo ngokubandakanya unyango lwasekhaya lokunciphisa iintlungu okwethutyana. Xa i-lumbosacral spine ijongene nentlungu, iingcambu zemithambo-luvo ezijikeleze ummandla we-lumbosacral ziya kuqala ukuhamba nge-haywire, ezibangela intlungu ye-somato-visceral apho izibonakaliso ze-sensory zibangela iimpawu zokubetha kunye nokuqhaqhazela ukuhamba ukuya emilenzeni, i-glutes, i-back back, kunye namathanga. (IVaitkus kunye neSipylaite, ngo-2021) Ngethamsanqa, abantu abaninzi banokukhululeka ngeendlela ezahlukahlukeneyo. Kukho unyango oluneendleko zokunciphisa imiba efana nentlungu ehambelana nommandla we-lumbosacral kunye nokunciphisa uxinzelelo lwemisipha olubangelwa yintlungu ye-lumbosacral.

Ngaba iMithambo ePhambili inokucima iintlungu ezingemva?-Ividiyo

Abantu abaninzi baya kukhangela amayeza asekhaya okunciphisa iintlungu kwindawo yemisipha echaphazelekayo xa benyanga iintlungu ze-lumbosacral ezinxulumene neentlungu ezisezantsi. Abantu abaninzi baya kukhetha ukuzilolonga, umkhenkce / iipakethi ezishushu, okanye iimasaji zokunciphisa iintlungu ezisezantsi ezihambelana neentlungu ze-lumbosacral. ("Unyango olulula lungcono kwiingxaki ezibuhlungu ezibuhlungu, zitsho izikhokelo zombutho," ngo-1995) Zonke ezi zonyango zinendleko kwaye zinokudibaniswa kunye nonyango olungenalo utyando ukuze lunwebe izihlunu eziqinileyo, zilungelelanise umqolo, kwaye zincede ukubuyisela kwakhona i-spinal discs emva komqolo. Ividiyo engentla ibuza ukuba imithambo engundoqo inganceda na ukuthomalalisa iintlungu ezingasemva. Ividiyo icacisa ukuba imisipha ye-core ebuthathaka inxibelelana njani neentlungu ezisezantsi ze-lumbosacral. Ukubandakanya undoqo ngexesha lokuzilolonga kunokunceda ukuzinzisa ummandla we-lumbosacral ngelixa uphucula impilo yonke.

UNyango oluSebenzayo ngexabiso lokuthomalalisa iintlungu zeLumbosacral

Xa uthomalalisa iintlungu ze-lumbosacral, unyango olungabizi kakhulu olungasebenzisi utyando lunokunceda abantu abaninzi bafumane isiqabu abasidingayo. Imiphumo yonyango olungelulo utyando kwi-vertebrae ye-lumbosacral isebenzisa iindlela ezahlukeneyo kumqolo ngokwandisa ukuphakama kwe-spinal disc, ukunciphisa ubunzima be-muscle kunye ne-spasms, kunye nokwahlula i-vertebrae. (UColachis kunye noStrohm, ngo-1969) Abantu abaninzi baye bakhetha olu nyango kuba lukhuselekile, luyonga imali, kwaye luthambile emqolo. Ekubeni i-spinal discs inokunyanzeliswa ngenxa yomthwalo we-axial ongafunekiyo, ukunyanzeliswa komgogodla okwenziwa yi-chiropractor kunokulungelelanisa umqolo ngaphandle kwe-subluxation. (UCyriax, ngo-1950) Oku kuvumela umntu ukuba azive ekhululekile ngokukhawuleza kwaye anciphise iingcambu ze-nerve ezinobungozi ukusuka kwi-lumbosacral spine. Olunye unyango olungabizi kakhulu njengonyango lwe-traction kunye nokudodobala komqolo kunokunciphisa intlungu ye-lumbosacral ebangela umba kubantu abaninzi.

I-Traction vs. Spinal Decompression

Umahluko phakathi konyango lwe-traction kunye ne-spinal decompression therapy iyahluka ngaphakathi komntu kwaye yintoni isicwangciso sabo sonyango esifunayo. Unyango lwe-Traction lubandakanya isiqingatha sobunzima bomzimba womntu kunye nobunzima obongezelelweyo ukunciphisa ukunyanzeliswa kweengcambu ze-nerve kwaye kunokudibaniswa nolunye unyango olufana nonyango olushushu / olubandayo kunye ne-electro-stimulation; kudityaniswe neprogram yokuzivocavoca kunokomeleza izihlunu ezibuthathaka kunye nokunciphisa ubunzima bemisipha. (Alrwaily, Almutiri, & Schneider, 2018)
Ngokudodobala komqolo, abantu abaninzi baya kubotshelelwa kumatshini oomatshini kwaye bazive betsalwa kancinci kumqolo wabo. Oku kudala uxinzelelo olubi phakathi komqolo kwaye ivumela i-disc ukuba ibeke ingcambu ye-nerve eyingozi kwaye ikhuthaze iipropati zokuphulukisa kwi-disc. (I-Choi et al., 2022) Ukunyanzeliswa komgogodla kubangela ukuphazamiseka ngokuthe ngqo ngaphakathi kwamacandelo omqolo kunye nokuphazamiseka okuncinci kumntu. Zombini unyango olusebenzayo lufanelekile kubantu abaneentlungu ze-lumbosacral kunye nomqolo wabo njengoko banokunceda ukukhulula intlungu kunye nokunciphisa ubunzima bemisipha kunye nommandla we-lumbar emva kweeseshoni ezimbalwa. Unyango olungazenzisi utyando luluncedo kubantu abaninzi abajonge ukubuyisela impilo yabo kunye nokuba sempilweni ngaphandle kokuba neentlungu.

Ucaphulo

Alrwaily, M., Almutiri, M., & Schneider, M. (2018). Uvavanyo lokuguquguquka kweendlela zokungenelela kwizigulane ezineentlungu ezisezantsi: ukuphononongwa ngokuchanekileyo. Unyango lweChiropr lomntu, 26, 35. doi.org/10.1186/s12998-018-0205-z

Choi, E., Gil, HY, Ju, J., Han, WK, Nahm, FS, & Lee, P.-B. (2022). Impembelelo ye-Nonsurgical Spinal Decompression kwi-Intensity of Pain kunye ne-Herniated Disc Volume kwi-Subacute Lumbar Herniated Disc. Ijenali yaMazwe ngaMazwe yoNyango lweKliniki, 2022, 6343837. doi.org/10.1155/2022/6343837

Colachis, SC, Jr., & Strohm, BR (1969). Iimpembelelo ze-traction intermittent ekuhlukaneni kwe-lumbar vertebrae. IiNqoloba zoLwazi lweMpilo kunye nokuHlaziya, 50(5), 251-258. www.ncbi.nlm.nih.gov/pubmed/5769845

Cyriax, J. (1950). Ukunyangwa kwezilonda zediski ye-lumbar. Br Med J, 2(4694), 1434-1438. doi.org/10.1136/bmj.2.4694.1434

Bona, QY, Tan, JB, & Kumar, DS (2021). Iintlungu ezibuhlungu ezisezantsi: ukuxilongwa kunye nokulawula. Singapore uMed J, 62(6), 271-275. doi.org/10.11622/smedj.2021086

Unyango olulula lungcono kwiingxaki ezibuhlungu ezisezantsi, zitsho izikhokelo zomanyano. (1995). Am J Health Syst Pharm, 52(5), 457. doi.org/10.1093/ajhp/52.5.457a

Snook, SH (1988). Iindleko zentlungu yomqolo kwishishini. Occupy Med, 3(1), 1-5. www.ncbi.nlm.nih.gov/pubmed/2963383

Vaitkus, A., & Sipylaite, J. (2021). Umbono we-Sensory Perception kwi-Lumbosacral Radiculopathy nge-Radicular Pain: Uphononongo olunokwenzeka lwe-Multimodal Bedside-Suitable Somatosensory Testing. Acta Med Litu, 28(1), 97-111. doi.org/10.15388/Amed.2021.28.1.18

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