Ngaba wayesazi ukuba ukuvuvukala kunye neentlungu ezisezantsi zibangelwa ngumlinganiselo ophantsi we-pH? Ukuvutha kukukholelwa ukuba kubangelwe kwiimeko ezahlukeneyo, kubandakanywa ukulimala kunye / okanye imeko ephantsi, nangona uphando lwangoku lufumene uxhumano phakathi kokuvuvukala, ubuhlungu obungapheliyo buhlungu kunye ne-pH ibhalansi. I-lower balance yakho ye-pH ibaluleke kakhulu, umzimba wakho uyenzileyo. Xa umzimba womntu uhambile, imeko ebhekiswe kuyo acidosis, kunokubangela ukuvuvukala kunye nezinye iimpawu kuwo wonke umzimba, nakwiindawo ezisezantsi. Kungakhathaliseki ukuba ukulinganiswa kwe-pH okanye enye inkinga yempilo kubangela ukuba ubuhlungu bakho bube buhlungu, kubalulekile ukuba uqonde indlela i-acidity kunye namazinga aphantsi angama-pH anokuchaphazela ngayo isakhiwo kunye nomsebenzi womzimba womntu.

I-acidosis yimeko esetyenziselwa ukuchaza xa kuninzi i-asidi emzimbeni wakho. Xa kuninzi i-asidi emzimbeni wakho, ukufundwa kwe-pH yokulinganisela kuya kuba sezantsi. Ngamanye amazwi, umzimba wakho uya kuthathwa njengento eqinile. Xa umzimba womzimba usebenza kakuhle, awupheleli i-acid nge-leaching calcium, i-magnesium, i-potassium kunye ne-sodium emathanjeni. Ngokuhamba kwexesha, ubuninzi be-acidity yomzimba bunokuqala ukuba badle kude emathanjeni, kubangele ukuguqulwa kwamathambo ekugqibeleni kwaye ekugqibeleni kukhokelela ekuqhekekeni. Nangona i-fracture ibonakala ngathi iyona nto ibangela ukuba buhlungu buhlungu, ukubola kwe-vertebrae yomgudu kungabangela isifo sokuguqulwa kwe-dis, okanye i-DDD, ekhokelela ekubuhlungu kwintlungu nangentlungu ephantsi. Injongo yecandelo elingezantsi kukubonisa kunye nokuxoxisana nobudlelwane phakathi kwe-pH yokulinganisela kwidiski ye-intervertebral kunye nentlungu ephantsi.

Ubudlelwane phakathi kwe-Low PH kwiiDiskrit Intervertebral kunye ne-Low Back Pain: uVavanyo oluHlolo

Abstract

• Intshayelelo: Ukuphonononga ngokuchanekileyo ubudlelwane phakathi kwe-pH ephantsi kwidiski ye-intervertebral kunye nentlungu ephantsi.
• Izinto kunye neendlela: Ulwazi lwe-elekthroniki (i-PubMed, i-ISI Web yeSayensi, iThalayibrari yeCchrane, i-CINAHL, i-AMED, kunye ne-China yeZiko loLwazi lweSizwe) uphando kunye nokwenza uphando lweenkqubo zenkomfa zenziwa. Ababhali ababini bahlola ngokuzimeleyo umgangatho wendlela kunye neenkcukacha ezifanelekileyo ezichanekileyo ngokwemigangatho efanelekileyo. Emva koko iindlela zokulinga kunye neesampula eziqeshwe kumaphepha ekugqibeleni afunyenwe ahlolwe.
• iziphumo: Saqala ukufumana amanqaku e-136 malunga neentlungu kunye ne-pH, kwaye kuphela i-16 yazo yayingakumbi malunga neentlungu eziphantsi kunye ne-pH. Ekugqibeleni, amanqaku e-7 ahlangene nokulindela kwethu ukugxila kwi-pathogenesis yeentlungu ezisezantsi ezibangelwa yi-pH. Kule mibono ye-7 ababhali babambe iingcamango ezintathu ukuchaza i-pathogenesis yeentlungu ezisezantsi ezinxulumene ne-pH ephantsi. Okokuqala, i-pH ephantsi ebangelwa yi-lactate ivuselela imisipha kwaye ikhulise uxinzelelo lwe-muscle, obangela iintlungu eziphantsi. Okwesibini, i-pH ephantsi ivuselela iingcambu zentliziyo kwaye ivelise intlungu. Okwesithathu, i-pH ephantsi iguqula i-matrix metabolism, ekhokelela ekufeni kwe-neuronal kunye nentlungu ephantsi.
• Izigqibo: Kulo hlalutyo oluchanekileyo siphakamisa ingcinga entsha yokuba iintlungu eziphantsi zingaphantsi kubangelwa i-pH ephantsi ngokubhekiselele kwincwadi esedlulileyo. Uphando olongezelelweyo lokuhlola luyimfuneko ukuqinisekisa ubungqina bethu. Le ngcamango iya kukhuthaza ukuqonda kwethu i-pathogenesis yeentlungu ezisezantsi kunye nokuphuhliswa kweendlela ezintsha zokuxilongwa kunye neendlela zokwelapha iintlungu eziphantsi.
• Internet: intlungu ephantsi, i-pH, i-acidity, i-disvertebral disc, uhlolo lokuhlaziya

intshayelelo

Intlungu ebuyiswe ngasemva yenye yezona zinto ezibangela ukukhubazeka nokukhubazeka. Intlungu ebuyela emva ifikelela kwi-50% ukuya kwi-80% yabemi kumazwe athuthukile kwaye izinga layo lokuphindaphinda lilingana no-85%, okubangelwa ukulahleka kwezoqoqosho malunga ne-50 ukuya kwi-100 yeebhiliyoni ngonyaka kwi-US [1, 2].

Okwangoku, unyango olusebenzayo lweentlungu ezisezantsi zithintelwa kakhulu ngenxa yokuba i-pathogenesis yayo ihlala inqabile [3, 4]. Kwiminyaka yakutshanje, iingcamango ezininzi ziye zacetywa ukuba zichaze i-pathogenesis yeentlungu ezisezantsi kwaye uninzi lwazo lujolise ekungasebenzi kakuhle kwekholamu yomgogodla kunye namacandelo ayo, njengokulimala kunye nokungazinzi kweklinikhi [5�7], ukuwohloka komqolo [8] ], i-facet-tip engaphantsi kwi-lamina [9], kunye ne-Schmorl's nodes [10] kunye nokulimala kwe-facet joint [11]. Ezinye iingqikelelo zijolise ekonakaleni okungaphumeleli kwemisipha yomgogodla kunye nemigqaliselo kwaye iphakamisa ukuba i-spinal ligaments, i-disc annulus, i-facet capsules kunye ne-thoracolumbar fascia ingabangela intlungu engapheliyo ngenxa yokulawulwa kwemisipha [12�16]. Ukongezelela, ukulungelelaniswa kweentlungu kunye ne-pain-spasm-pain hypotheses zicetywayo [17�19]. Nangona kunjalo, ezi ngqikelelo ubukhulu becala ziyaqikelelwa kwaye zifuna uphando lovavanyo olongezelelweyo.

I-disvertebral disc (IVD) iqukethe i-nucleus pulposus (NP), i-annulus fibrosus (AF), kunye neeplates (EP). I-corpora vertebrae ilapha phezulu nangaphantsi kweediski. I-disc enempilo i-avascular, kwaye isondlo sayo incike kwi-AF kunye ne-EP [20, 21]. Iidiski zivelisa i-ATP nge-anaerobic glycolysis; ngenxa yoko i-lactate iveliswa kwaye i-pH iyancinci kunezinye iifom. Iintlungu ezisezantsi ziyaziwa zidibene ne-intervertebral disc disceneration, kwaye i-pH iya kunciphisa kwiidiski ze-intervertebral ezilahlekileyo [22, 23]. Ngoko ke, i-pH ephantsi kwiidiski inxulumene nentlungu ephantsi. Enyanisweni, u-Hambly noMononey [24] babike ubudlelwane obusondeleyo phakathi kwentlungu ephantsi kunye ne-intradiscal ephantsi ye-pH kwimivundla, ngelixa uKrapf et al. [25] yafumanisa ukuba i-pH ephantsi ibenokubangela i-muscle spasm edibene neentlungu ezisezantsi.

Ngokusekelwe kwincwadi esedlulileyo sincoma ingcinga entsha yokuba i-pH ephantsi ingabangela iintlungu ezisezantsi. Kulo hlalutyo oluchanekileyo, siqokelele kwaye sihlalutye uncwadi oluchaphazelekayo malunga nolwalamano oluphakathi kwe-pH ephantsi kunye nentlungu ephantsi yokujongana nale mibuzo elandelayo: (1) Iyiphi indima ephantsi kwepH edlala kwiintlungu ezisezantsi? (2) Ngaba ulwalamano olubonakalayo phakathi kwe-pH ephantsi kunye nentlungu ephantsi? Kwaye (3), kutheni i-pH ephantsi neentlungu ezisezantsi zifanelekileyo?

Izinto kunye neendlela

Iinkcukacha zekhompyutheni (i-PubMed, i-ISI Web of Science, i-Cochrane Library, i-CINAHL, i-AMED, ne-China ye-Infrastructure Knowledge Infrastructure), ezagqitywa ngokutsha ngomhla we-26 Nov. 2011, zaphandwa ngaphandle komda ngabaphenyi ababini abazimeleyo. Ukukhangela okusetyenziswayo kunye nabaqhubi be-Boolean ngolu hlobo: i-lactate OKANYE i-hydrogen ion i-concentration). Uludwe lweenkcukacha zoomanqaku ezikhethiweyo luye lwafunwa ngesandla naziphi na izilingo ezongezelelweyo. Iintetho zeentlanganiso zeentlungu ezibalulekileyo kunye neengxelo zamathambo zafunwa ngesandla ukuze zichonge idatha engashicilelwa. Ukuba kuyimfuneko, saqhagamshelana nabalobi ukuba bafumane ulwazi olongezelelweyo.

Amanqaku e-136 amaninzi aye afunyaniswa okokuqala ngophando lweencwadi, kwaye ama-113 amanqaku akhankanywe emva kokutshekisha izihloko kunye nezibhengezo, ezingazange zifikelele kulindeleke. Emva koko sihlole izicatshulwa ezipheleleyo zamanqaku aseleyo kwaye singabandakanyi amanqaku alandelayo: (1) amanqaku angesiNgesi; (2) ukuphononongwa, ukuhlolwa okucwangcisiweyo okanye iileta; (3) intlungu kwezinye iiscupu; (4) ayinxulumene ne-pH, i-asidi okanye iiponononi. Ngenxa yoko, amaqaku e-16 afunyenwe kwaye izikhonkco zezihloko ze-16 zihlolwe ukuqinisekisa ukuba ezinye iimpapasho ezifanelekileyo aziyi kuphinda zilahleke. Ekugqibeleni, amanqaku asixhenxe ahlangene nokulindela kwethu ukugxila kwi-pathogenesis yeentlungu ezisezantsi ezibangelwa yi-pH (Umfanekiso we-1). Uphando lwencwadi lwenziwa ngababhali ababini (CZL kunye ne-HL) ngokuzimeleyo, kwaye nayiphi na ingavumelwane isisombululo ngengxoxo.

Siye siwaphonononge amanqaku asixhenxe ngokugxila 'kwiendlela apho i-pH ibangela iintlungu ezisezantsi zomqolo, kwaye emva koko savavanya iindlela zovavanyo kunye neesampulu ezisetyenziswe kumanqaku asixhenxe.

iziphumo

Amanqaku asixhenxe adibana nolindelo lwethu [26�32]. Emva koko sivavanye umgangatho wobungqina kwinqaku ngalinye, ngokwemigangatho edweliswe kwiThebhile I [33]. Ezintlanu kuzo zazikwinqanaba II, kwaye ezimbini zazikwinqanaba III. Iimpawu zezifundo ezisixhenxe zidweliswe kwiThebhile II.

ImiSebenzi Yomdla

Izifundo ezintathu ezibandakanya izigulane ze-32 [26, 27, 29] zaphakamisa ukuba i-pH ephantsi yayiza kubangela ukuba iingcambu zentsholongwane zenze intlungu ephantsi.

Diamant et al. uhlalutye ulungelelaniso phakathi kwezinga le-lactate kunye ne-pH kwiidiski zezigulane ezine-rhizopathy kwaye zifumene ukuba i-pH ephantsi ibangelwe lizinga le-lactate eyandisiweyo ngenxa ye-anaerobic glycolysis ephakamileyo ngaphakathi kwe-NP, ephikisana nokunciphisa ukondla kwesondlo. Ukusabela kweengcambu zesisu kwiimeko apho i-pH ephantsi ihambelana nokuveliswa kwemveliso kunye nokuvuza kwe-acid metabolism. Izakhiwo ezibonakalayo ezinjengeengcambu zentliziyo zingashukunyiswa ngumfutho we-acetabolites ye-asidi yaye yaboniswa ukuba intlungu iya kuvela kwiishubhu ngezantsi pH [26, 34].

Keshari et al. wasebenzisa i-HR-MAS NMR i-spectroscopy ukuhlalutya i-snap iisampuli eziqingqiweyo ezithathwe kwizigulane ze-9 ezenza i-discectomy ngenxa yokunciphisa i-disc [27, 35, 36]. Bafumene ukuba i-proteoglycan, i-collagen, kunye ne-lactate inokukhonza njengempawu ze-metabolism yeentlungu zentlungu. Ngoko ke, babecinga ukuba i-pH ephantsi yayibangelwa i-lactate eyandisiweyo kwaye yandisa i-lactate eyakhupha i-nerve fibers kwi-tissue ye-granulation ehambelana nokuphilisa i-disk, ehambelana nentlungu ye-discogenic [27, 35, 36].

Baumann et al. uhlolisise iimpendulo zabantu abadala abakhulileyo abakhulayo (i-hDRG) neurons kwi-pH [29]. Bafumene ukuba i-pH ephantsi ikhutshwe, i-ppolarizations eqhubekayo yenziwa ngenxa yendlela engaphezulu kweyodwa, kwaye ukuvimbela ukuphumla kweembrane kuphazamisa iimpendulo kwi-pH ephantsi kwezinye i-hDRG neurons, ezihambelana nentlungu ephantsi [29].

Uxinzelelo lweMisipha kunye nokuThuthukiswa kweTisue

Uphando olwangaphambili lucetyise ukuba i-pH ephantsi iya kukwandisa ukuxhatshazwa kwemisipha, enokubangela intlungu ephantsi [30]. Ababhali bavavanya izigulane ze-20 ezinexinzelelo ezingapheliyo ezixhamlekileyo ze-erector muscle, kwaye zafumanisa ukuba i-pH yehle ngenxa ye-anaerobic glycolysis e-NP. I-pH ephantsi yayibangelwa ukuqokelela kwe-lactate. I-Lactate iya kuvuselela isistim se-multitifidus kwaye ikhulise ukuxhatshazwa kwemisipha. Ngexesha elifanayo, i-myogelosis ifakwe, ekhokelela kwiintlungu ezisezantsi (30]. Vormann et al. [31] yabonisa ukuba ukongezwa okulula kunye okukhuselekileyo kwe-alkaline multimineral ukulungiselela kwakwazi ukunciphisa impawu zentlungu kulezi zi gulane ezineentlungu ezingapheliyo. Ezi ziphumo zibonisa ukuba ukulinganisela kwe-acid-disturbed-base kungabangela iimpawu zeentlungu eziphantsi.

Metabolism

Bartels et al. ukulinganisa i-oxygen kunye ne-lactate kwizigulane ze-11 ezineentlungu kunye nezigulane ze-13 ezine-scoliosis, kwaye zifumene ukuba kwimeko nganye, i-oxygen kunye ne-lactate concentrations yayiphezulu kwi-disc yecala kwaye yawela ngasentla kwirekhodi [28]. Ngoko ke, babecinga ukuba i-microcirculation ngokusebenzisa i-endplate kunye nomlinganiselo we-cell metabolism iya kuba nefuthe kwi-oksijini kunye ne-lactate concentrations kwi-disc. Ngokomzekelo, ingcinezelo ye-oksijeni yayiza kuphuma njengoko kufuneka ukunyuka kweselula; Ngenxa yoko i-concentration ye-lactate iya kunyuka kwaye i-pH iya kuhla. Kwaye kwaphawula ukuba kwezinye iidiski i-oxygen yayingaphantsi kwe-40 mm Hg kunye ne-lactate yayingaphezulu kwe-5 mmol / l, eya kubangela ukufa kweseli.

Olunye uphando lubonise ukuba i-pH yehle, ukuncipha kwe-PO2 kunye nokwanda kwe-PCO2 inxulumene neendlela zokuvelisa iintlungu kwizigulane ezinentlungu emveni [32]. Ezi ziqhelo zingabonakaliswa ngumbono wokumangalisa umbane. Uphando olongezelelweyo lufunekayo ukuze kuqinisekiswe ukuba ukuguqulwa kwamathambo kwezi zigugu kunokusebenza kakuhle ekunciphiseni ubuhlungu bentlungu.

I-pH ephantsi ingakhokelela kutshintsho kwimetabolism ye-matrix, enokuthi ibe nefuthe elinamandla kumsebenzi weseli kwaye ibangele nokufa kweeseli. Kuyaziwa ukuba iziteshi ze-ion ze-acid-sensing (ASICs) kwi-cell surface inokuvuselela iiprotons. Emva kokuba iiseli zifile, iiprotoni ziya kwanda kwaye zisebenze ii-ASICs, ezithi zidibanise ukufa kwe-ischemic neuronal [37], kwaye ekugqibeleni kubangele iintlungu ezisezantsi [28, 38�40].

Insight of Dr. Alex Jimenez

Xa ulwelo lomzimba womntu luneasidi eninzi kakhulu, okanye luneasidi kakhulu, ―inkxalabo eqhelekileyo eyaziwa ngokuba yi-acidosis, inokukhokelela kwimicimbi eyahlukeneyo yezempilo ukuba ayilungiswanga kakuhle. Imiphunga yakho kunye nezintso zinokuhlawula ukungalingani okuncinci kwe-pH, nangona kunjalo, iingxaki ngalo naliphi na lala malungu okanye isondlo esingafanelekanga esibandakanya ukutya okucutshungulweyo okuneswekile eninzi, kunokukhokelela ekuqokeleleni kweasidi engaphezulu emzimbeni womntu. Eminye imingcipheko enokuba negalelo ekwandeni kwamathuba okuba ne-asidi iquka: ukutya okunamafutha amaninzi okunekhabhohayidrethi ezininzi, ukusilela kwezintso, ukutyeba ngokugqithiseleyo, ukuphelelwa ngamanzi emzimbeni, i-aspirin okanye ityhefu yemethanol, kunye nesifo seswekile. Ngaphaya koko, njengoko kukhankanyiwe kwinqaku, i-acidosis iye yadityaniswa njengesizathu sokudumba okunokukhokelela kwiintlungu ezingapheliyo zomqolo kunye neentlungu ezisezantsi. Ngoko ke, ukugcina ibhalansi ye-pH kukholelwa ukuba kunokunceda ukunyanga iintlungu ezisezantsi, kunye nezinye iindlela zonyango, ezifana nokunyamekela kwe-chiropractic.

ingxoxo

Emva kokuphonononga ngokucopheleleyo kwamanqaku asixhenxe esiwafumanayo, safumana umbono ochanekileyo malunga nobudlelwane phakathi kwe-pH ephantsi kunye nentlungu ephantsi, nangona abalobi bezifundo zabo bacebise izimvo ezintathu ezahlukeneyo.

Ukuba i-pH ephantsi ivuselela izimpande zentliziyo, i-pH ibaluleke kakhulu ekuphiliseni iintlungu eziphantsi. I-Lactate iya kubangela i-pH ephantsi, ivuselele iingcambu zentsholongwane, ibangele ukuqhwalalisa emantwini, kwaye ilandele i-nociceptors ukuvumela izigulane zive intlungu. Nangona kunjalo, ukwenzela ukuseka ubudlelwane phakathi kweentlungu ze-discogenic ne-lactate, inani elincinci lezigulane kufuneka lifundwe kwaye utshintsho kwi-proteoglycans (PG) / colgen (col col), PG / lactate peak (Lac), kunye neLake / Iimpawu eziqhelekileyo zeekholeji zimele zihambelane neentlungu ezibonakalayo okanye ezinye iintlungu (27, 29].

Umbono wesibini uthi i-pH ephantsi iya kuthatha isenzo kwi-muscle kodwa ayiyizimpande. Ukuba ukuphazamiseka kwe-oksijini kuyawela ngaphantsi kwe-5 mm Hg, ukuxhatshazwa kwemisipha kuya kwanda, kwaye kubangele nokuba nemyogelosis. Ukuqhekeka kwemizimba kuxhomekeke kuphela kumbane wamachiza we-ATP. Ukuba ukunyuka kwe-oksijini kwehle, iiseli ziza kuba ne-anaerobic glycolysis kwaye zivelise i-lactate eninzi, ekhokelela ekunciphiseni i-pH. Nangona kunjalo, ihlala ingenakwenzeka ukuba yintoni inqanaba le-pH eliza kubangela ubuhlungu [30].

Uluvo lwesithathu lubanga ukuba amandla e-disc kunye ne-matrix metabolism ibandakanyeka kakhulu kwiintlungu ezisezantsi [38�40]. Oku kunika ingqiqo ebalulekileyo kwi-pathogenesis yeentlungu ezisezantsi. Nangona kunjalo, iindlela ezineenkcukacha zeselula kunye neemolekyuli apho i-disc yamandla kunye nokuphazamiseka kwemetabolism ye-matrix kukhokelela ekufeni kwe-neuronal kwaye ekugqibeleni ukuphuhliswa kweentlungu akuqondwa ngokupheleleyo.

Olu vavanyo oluchanekileyo luneemida ezininzi. Okokuqala, ukuxhamla phakathi kwezifundo zodwa kwakukhulu. Okwesibini, kukho izigulana ezincinci ezimbalwa kwizifundo eziliqela eziza kuba ngamaqela amanqaku akhethiweyo. Okwesithathu, kunokubakho ukukhethwa kwezinto ezikhethiweyo kuba amanqaku athatywayo ahlanganiswe kwiinkcukacha ezigciniweyo.

Ekugqibeleni, kule ngqiqo yokucwangcisa sinika iingcamango ezintsha zokuba iintlungu ezisezantsi zibangelwa yi-pH ephantsi ngokubhekisele kwincwadi yangaphambili, apho imibono yesithathu iphakanyiswe ngababhali ukuba bachaze i-pathogenesis yeentlungu eziphantsi emva kwe-pH . Okokuqala, i-pH ephantsi ebangelwa yi-lactate ivuselela imisipha kwaye ikhulise uxinzelelo lwe-muscle, oluya kubangela intlungu ephantsi. Okwesibini, i-pH ephantsi ivuselela iingcambu zentliziyo kwaye ivelise intlungu. Okwesithathu, i-pH ephantsi iguqula i-matrix metabolism, ekhokelela ekufeni kwe-neuronal kunye nentlungu ephantsi. Le mibono eyahlukileyo ayilona yodwa kodwa ingaba yongezelela. Uphando olongezelelweyo lweemvavanyo luyimfuneko ukuqinisekisa ubungqina bethu bokuba i-pH ephantsi ibangela iintlungu eziphantsi. Le ngcamango iya kukhuthaza ukuqonda kwethu i-pathogenesis yeentlungu ezisezantsi kunye nokuphuhliswa kweendlela ezintsha zokuxilongwa kunye neendlela zokwelapha iintlungu eziphantsi.

Imibulelo

Olu pho nonongo luxhaswe ngumbonelelo kwiSizwe soNzululwazi lweNzululwazi yeSizwe (i-81171756) kunye neProjekthi yeSicwangciso soNzululwazi kunye neTeknoloji yePhondo leZhejiang (2012C13G2010083).

Ukuququmbela,�Ibhalansi ye-pH esezantsi inokuthetha ukuba igazi lakho lineasidi ngakumbi, ngelixa ibhalansi ephezulu ye-pH ithetha ukuba igazi lakho likufutshane kumanqanaba ekufanele ukuba kuwo. Ngelixa la manani asenokubonakala ehlula kancinci, lo mahluko wamanani unokuba nzulu kwaye unokuchaphazela impilo yakho yonke kunye nokuphila kakuhle. Kwinqaku elingasentla, abaphandi bacebise ukuba intlungu ephantsi ingabangelwa ngamanqanaba aphantsi e-pH. Ngaphezu koko, imilinganiselo yesiphumo sokuphononongwa okucwangcisiweyo kuya kunceda ukuxhasa ukuqonda kwe-pathogenesis yeentlungu ezisezantsi, ukukhuthaza ukhetho olungakumbi lonyango lweentlungu ezingapheliyo. Ulwazi olubhekiselele kwiZiko leSizwe loLwazi lweBiotechnology (NCBI).�Ubungakanani bolwazi lwethu buphelele kwi-chiropractic kunye nokulimala komgogodla kunye neemeko. Ukuxoxa ngalo mbandela, nceda uzive ukhululekile ukubuza uGqr. Jimenez okanye uqhagamshelane nathi apha915-850-0900 .

Ikhutshwe nguDkt. Alex Jimenez

Imixholo eyongezelelweyo: Ubunzima bokubuyisela

Umqolo obuhlungu enye yezona zizathu ezibangeleko zokukhubazeka kunye neentsuku eziphosakeleyo emhlabeni wonke. Njengokuba kunjalo, iintlungu zenziwa emva kweyona sibini isizathu esivakalayo sokutyelela iofisi yee-dkt. Ngokumalunga neepesenti ze-80 zabemi ziya kuba nolunye uhlobo lweentlungu zentlungu ubuncinane kanye kanye ebomini babo. Umgudu uyisakhiwo esiyinkimbinkimbi esakhiwa ngamathambo, amajoyina, iigaments kunye nezihlunu, phakathi kwezinye iifomthi ezithambileyo. Ngenxa yoko, ukulimala kunye / okanye iimeko ezihlaziyiweyo, ezifana disni, ekugqibeleni unokukhokelela kwiimpawu zentlungu. Ukulimala kwezemidlalo okanye ukulimala kwengozi yeemoto ngokuqhelekileyo kubangelwa yintlungu yokubuhlungu, kodwa ngamanye amaxesha ukuhamba kwezinto ezilula kunokuba neziphumo ezibuhlungu. Ngethamsanqa, ezinye iindlela zokhathalela unyango, ezifana nokunyamekelwa kwe-chiropractic, kunokunceda ukubuyisela intlungu emva kokusetyenziswa kwemilenze kunye nokunyanzeliswa kwemigaqo, ekugqibeleni ukuphucula intlungu.

ISIHLOKO ESIBALULEKILEYO: Ulawulo oluPhantsi lwePain Pain

IINKCUKACHA NGOKUGQITHISILEYO: UKONGEZA KWEZINTLOKO: PainUbuhlungu obungapheliyo kunye nonyango