Ugxininiso kwiiKhetho zoNyango ezingezizo Utyando kwiintlungu ezisezantsi

Ngaba ukhetho olungasebenzisi utyando lunokuba luncedo kubantu abaninzi abasebenzayo abaneentlungu ezisezantsi kunonyango lotyando?

intshayelelo

Abantu abaninzi abasebenzayo baya kuba neentlungu kwi-back backs ngenxa yomsebenzi wabo onzima obangela umthwalo ongafunekiyo woxinzelelo kwingingqi ye-lumbar yomqolo. Ngowona msebenzi womqolo wokuxhasa i-quadrants ephezulu kunye nesezantsi, abantu abaninzi abanemisebenzi enzima bahlala behleli phantsi kwiidesika zabo okanye bephethe izinto ezinzima kwiindawo ezahlukeneyo. Ngeentlungu ezisezantsi ziyingxaki eqhelekileyo kumntu wonke ngaxa lithile, abantu abaninzi bafumana izisombululo zethutyana zokuthomalalisa iintlungu, kuphela ukuphinda izinto. Ukuza kuthi ga ngelo xesha, oku kukhokelela kwizifo ezingapheliyo ze-musculoskeletal disorders ezinokubangela intlungu egqithisiweyo kwiindawo ezisezantsi kunye neziphezulu kwaye ingaba nexabiso xa isiya kunyango. Nangona kunjalo, kukho iindlela ezininzi zokukhetha abantu abasebenzayo abangabizi kakhulu kwaye bakhuselekile kwimiqolo yabo esezantsi. Inqaku lanamhlanje lihlola indlela iintlungu ezisezantsi ezichaphazela ngayo umntu osebenzayo kunye nendlela okukhethwa ngayo unyango olungasebenzisi utyando luhluka ngamathuba otyando xa ujongene neentlungu ezisezantsi. Ngokuzenzekelayo, sinxibelelana nababoneleli bezonyango abaqinisekisiweyo ababandakanya ulwazi lwezigulane zethu ukuze sinciphise iintlungu ezisezantsi ezihambelana nokuphazamiseka kwe-musculoskeletal disorders. Siyabazisa kwakhona ukuba kukho iindlela ezingezizo utyando zokunciphisa imiphumo yeentlungu ezisezantsi kunye nokubuyisela umgangatho wobomi babo. Sikhuthaza izigulane zethu ukuba zibuze imibuzo emangalisayo yemfundo kubaboneleli bethu bezonyango abahambelanayo malunga neempawu zabo ze-musculoskelet ezihambelana neentlungu ezisezantsi. UDkt Alex Jimenez, DC, udibanisa olu lwazi njengenkonzo yezemfundo. isikhanyeli

Iintlungu ezisezantsi zimchaphazela njani umntu osebenzayo?

Ngaba uye wajongana neentlungu ezingapheliyo kumqolo wakho ophantsi, imilenze, okanye iinyawo emva kosuku olude lomsebenzi? Ngaba uziva iintlungu xa uhamba-hamba, ukuze ufumane isiqabu xa uphumle? Okanye ngaba wena kunye nabo ubathandayo niziva izihlunu kunye noxinzelelo xa nizolula ekuseni? Abantu abaninzi, ngakumbi abantu abasebenzayo, bajongana neentlungu ezisezantsi mihla le xa bejongana nale miba ye-musculoskeletal. Iintlungu ezisezantsi zixhaphake kakhulu kubantu abasebenzayo njengoko zinokuchaphazela ukusebenza kwabo kwaye zibe ngumthwalo wezoqoqosho xa benyangwe. Iintlungu ezisezantsi ngasemva yingxaki eninzi enesantya esonyukayo sokuchaphazela abantu kwaye inegalelo ekukhuleni kweengxaki zempilo ezininzi. Iintlungu ezisezantsi ngasemva zinokubangela ukuba abantu abaninzi baphoswe ngumsebenzi ngenxa yokungacaci kwezizathu, unyango, kunye nezinto ezinegalelo kwesi sifo se-musculoskeletal disorder. (Pai & Sundaram, 2004)

Ke, iintlungu ezisezantsi zingamchaphazela njani umntu osebenzayo? Ekubeni abantu abaninzi banemisebenzi enzima, kunokubangela ukuba izihlunu ezijikelezayo, iigaments, kunye nezicubu kwingingqi ye-lumbar zisebenze ngokugqithiseleyo, kwaye i-spinal discs iyancipha ngokuhamba kwexesha. Xa kukho utshintsho olungaguqukiyo ngaphakathi komgudu, lunokudibaniswa nokuchaphazela izakhiwo ze-lumbar zomgudu ukuze zihlambuluke ngokuhamba kwexesha. Oku, kwakhona, kubangela ukuba i-lumbar spine ihambe ngeenguqu ze-biochemical ezinokuvelisa iimpawu ezinjengeentlungu kwingingqi ye-lumbar kwaye ibangele utshintsho lwesakhiwo kumqolo, okhokelela kwiintlungu ezisezantsi. (Benoist, ngo-2003)

Ukongezelela, kukho izizathu ezininzi kunye nezinto abantu abaninzi abasebenzayo abaya kuzenza ezikhokelela kwiintlungu ezisezantsi. Izinto eziqhelekileyo ezifana nokuphakamisa okungafanelekanga, ukunyathela ngokungalunganga, okanye ukuhlala phantsi ngokugqithisileyo kunokufaka isandla kwiintlungu ezisezantsi. Ngexesha elifanayo, izinto ezibuhlungu ezifana neengozi, ukulimala, okanye ukudlala imidlalo kunokukhokelela kwiintlungu ezisezantsi. Xa iimeko ze-musculoskeletal ezifana neentlungu ezisezantsi ziba ngumcimbi, unokuba ngumthwalo omkhulu kwiinkqubo zokunakekelwa kwezempilo kunye nentlalontle kubantu abaninzi, ngeendleko ezingathanga ngqo ezinokubiza xa ziphathwa. (UWoolf kunye noPfleger, ngo-2003)

Ukunyamekela kweChiropractic Emva kweeNgozi kunye nokulimala-Ividiyo

Ngoku, iintlungu ezisezantsi ziyinkathazo kwabaninzi, abantu baya kufuna unyango lokunciphisa iintlungu abazifumanayo kumqolo wabo osezantsi kwaye banciphise iimpawu ezishiyekileyo ebebejongene nazo kwezinye iziphelo zomzimba. Ngokudabukisayo, iintlungu ezisezantsi zomqolo, ngakumbi kwimeko yazo engapheliyo, zinokuba luxilongo olulula kubantu abaninzi, oluchaphazela impilo yabo yentlalontle, umsebenzi, kunye nendlela yokuphila ngokwasengqondweni. (Andersson, 1999) Abantu abaninzi baya kufuna amathuba amaninzi onyango lokunciphisa iintlungu ezisezantsi. Unyango lotyando lweentlungu ezisezantsi lulungile kumntu ngamnye xa unyango lwasekhaya oluqhelekileyo lungasebenzi kodwa lunokuba nexabiso. Abaninzi baya kukhetha unyango olungelulo utyando xa kufikwa ekufumaneni unyango olungabizi kakhulu lokunyanga iintlungu ezisezantsi. Unyango olungelulo utyando, olubandakanya ukhathalelo lwe-chiropractic kunye nokuthotywa komgogodla, zigqwesileyo ekunyangeni iintlungu ezisezantsi. Iingcali zeentlungu ezifana ne-chiropractors kunye nee-massage therapists zisebenzisa iindlela ezahlukeneyo (oomatshini kunye nencwadana) ukulungelelanisa umzimba kunye nokwelula izihlunu ezichaphazelekayo ezichatshazelwa ziintlungu ezisezantsi. Ividiyo ichaza ukuba olu nyango lunokunciphisa njani intlungu ephantsi ehambelana neengozi kunye nokulimala.

Iinketho ezingezizo Utyando kwiintlungu ezisezantsi

Njengoko kuchaziwe ngaphambili, unyango olungasebenzisiyo lunokunceda ukunciphisa iintlungu ezisezantsi kwaye zinokudibaniswa nolunye unyango ukulawula intlungu. Unyango olungazenzisi utyando lunokwenziwa ngokweentlungu zomntu kwaye lunokubonelela ngesithomalalisi sentlungu emzimbeni. Xa abantu befumana unyango olungelulo utyando, iingcali zeentlungu zibandakanya ukuguqulwa komatshini kunye nesandla ukubuyisela ukunyakaza okuhlangeneyo kunye nomgogodla kumqolo ongaphantsi. (Park et al., 2023) Ukongezelela, abantu abaneentlungu ezisezantsi baquka inkqubo yokuzivocavoca ukuze banyuse ngokufanelekileyo uluhlu lomntu ohambahambayo ngelixa ukwandisa amathuba omntu ukuba abuyele kwimisebenzi yemihla ngemihla kunye nomsebenzi. (van Tulder et al., 2000)

Iinketho ezingezizo Utyando Vs. Iinketho zoTyando

Kukho umahluko omkhulu phakathi kokungakhethiyo kunye nokhetho lotyando lokunyanga iintlungu ezisezantsi. Nabani na onokukhetha ukhetho olungakhethiyo ukuze abonelele ngokuphucuka okusebenzayo ekunciphiseni intlungu, ukubuyisela uluhlu lwe-lumbar lokunyakaza, kunye nokuphucula ukunyamezela kwemisipha emva kweeseshoni ezimbalwa. (U-Amjad et al., ngo-2022) Ngoku, xa amayeza asekhaya kunye neenketho ezingezizo utyando zinganciphisi iintlungu, ukhetho lotyando lusebenza kuphela kwiintlungu ezisezantsi. Oku kungenxa yecandelo lezengqondo elibangela ukuba abantu babe neentlungu ezingapheliyo zomqolo ezingabangeli isiqabu esifunwa ngumntu. (Corp et al., 2021) Kodwa zombini iinketho zibalaseleyo xa zinciphisa iintlungu ezisezantsi njengoko oogqirha abaninzi bexelela izigulane zabo ukuba zikhumbule ngakumbi malunga nendlela abasebenzisa ngayo imisipha emizimbeni yabo kwaye benze utshintsho oluncinci ukunciphisa amathuba okuba intlungu ibuyele. Xa abantu abaninzi abasebenzayo beqala ukucinga ngakumbi ngeentlungu zabo kunye nendlela yokunciphisa amathuba okubuya, banokuqhubeka nokuphila ubomi obupheleleyo obungenazintlungu.

Ucaphulo

Amjad, F., Mohseni-Bandpei, MA, Gilani, SA, Ahmad, A., & Hanif, A. (2022). Imiphumo yonyango lwe-decompression non-surgeon ukongeza kunyango oluqhelekileyo lomzimba kwiintlungu, uluhlu lokunyakaza, ukunyamezela, ukukhubazeka okusebenzayo kunye nomgangatho wobomi ngokubhekiselele kunyango oluqhelekileyo lomzimba yedwa kwizigulane ezine-radiculopathy lumbar; ulingo olulawulwa ngokungakhethiyo. I-BMC Musculoskelet Disord, 23(1), 255. doi.org/10.1186/s12891-022-05196-x

Andersson, GB (1999). Iimpawu ze-Epidemiological zentlungu engapheliyo ephantsi. Lancet, 354(9178), 581-585. doi.org/10.1016/S0140-6736(99)01312-4

Benoist, M. (2003). Imbali yendalo yomqolo wokuguga. Eur Spine J, 12 Suppl 2(Ubonelelo 2), S86-89. doi.org/10.1007/s00586-003-0593-0

Corp, N., Mansell, G., Stynes, S., Wynne-Jones, G., Morso, L., Hill, JC, & van der Windt, DA (2021). Iingcebiso zonyango ezisekelwe kubungqina bentamo kunye neentlungu ezisezantsi kwiYurophu: ukuphononongwa ngokuchanekileyo kwezikhokelo. Eur J Pain, 25(2), 275-295. doi.org/10.1002/ejp.1679

Pai, S., & Sundaram, LJ (2004). Iintlungu ezisezantsi: uvavanyo lwezoqoqosho eUnited States. I-Orthop Clin North Am, 35(1), 1-5. doi.org/10.1016/S0030-5898(03)00101-9

Park, SC, Kang, MS, Yang, JH, & Kim, TH (2023). Uvavanyo kunye nokulawulwa kokungabikho kokuhlinzwa kweentlungu ezisezantsi: uphononongo olubalisayo. Korean J Intern Med, 38(1), 16-26. doi.org/10.3904/kjim.2022.250

van Tulder, M., Malmivaara, A., Esmail, R., & Koes, B. (2000). Ukuzivocavoca unyango kwiintlungu ezisezantsi: ukuphononongwa okucwangcisiweyo ngaphakathi kwesakhelo se-cochrane ngokubambisana kweqela lokuphonononga umva. Isihlwele (Phila Pa 1976), 25(21), 2784-2796. doi.org/10.1097/00007632-200011010-00011

UWoolf, AD, & Pfleger, B. (2003). Umthwalo weemeko eziphambili ze-musculoskelet. IBull World Health Organ, 81(9), 646-656. www.ncbi.nlm.nih.gov/pubmed/14710506

www.ncbi.nlm.nih.gov/pmc/articles/PMC2572542/pdf/14710506.pdf

isikhanyeli