Intlungu Engasemva Emlenzeni iNyenziwe: Isikhokelo esinzulu kwi-Decompression

Ngaba abantu abanemilenze kunye neentlungu zangasemva banokulufumana uncedo ngokubandakanya ukudambisa ukunciphisa iimpawu ezinxulumene nentlungu?

intshayelelo

Iziphelo ezisezantsi zinceda ukuzinzisa ubunzima bomzimba ophezulu kunye nokubonelela ngentshukumo kumntu ngamnye. Amacandelo omzimba asezantsi abandakanya umqolo ophantsi, i-pelvis, i-hips, amathanga, imilenze, kunye neenyawo, njengoko zonke zinemisebenzi ethile yokwenza kwaye zibe nobudlelwane obubalaseleyo kunye nomnye. Nangona kunjalo, umqolo wabo osezantsi kunye nemilenze iyakwazi ukwenzakala. Xa izinto ezisingqongileyo okanye ukulimala ziqala ukubangela imiba kwinkqubo ye-musculoskelet system, kunokukhokelela kwiintlungu ezigqithisiweyo kunye neeprofayili ezinobungozi ezigqithisiweyo ezinokubangela ukuba umntu abe nemiba yokuhamba kunye nokuzinza. Izihlunu ezichaphazelekayo, izicubu, iigaments, kunye neengcambu zemithambo-luvo zinokucaphuka, zibe buthathaka, kwaye ziqine xa izinto zokusingqongileyo ziqala ukucinezela umqolo kwaye zikhokelela kwintlungu ekuhambeni kwexesha. Inqaku lanamhlanje lijonga indlela umva kunye nemilenze esebenza ngayo kunye emzimbeni, indlela echaphazelekayo ngayo intlungu evela kwizinto ezisingqongileyo, kunye nendlela ukunyanzeliswa komgogodla kunokunciphisa umlenze kunye neentlungu zangasemva. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukubonelela ngeendlela ezininzi zonyango ukuze kuncitshiswe iintlungu zomqolo kunye nemilenze echaphazela ukuhamba kwazo. Siyazisa kwaye sikhokela izigulana malunga nendlela unyango olufana noxinzelelo olunokunceda ukunciphisa iimpawu ezinjengeentlungu ngaphakathi kwemilenze kunye nomqolo. Sikhuthaza izigulane zethu ukuba zibuze ababoneleli bezonyango abanxulumene nabo imibuzo enzima kunye ebalulekileyo malunga neempawu ezigqithisiweyo ezifana nentlungu abazifumanayo emilenzeni yabo kwaye ekubeni oko kuphazamisa indlela yabo yemihla ngemihla. UDkt Jimenez, DC, udibanisa le ngcaciso njengenkonzo yezemfundo. isikhanyeli.

 

Isebenza Njani Umqolo & Nemilenze Kunye?

Ngaba uziva iintlungu ezikhuphayo kumqolo wakho ezichaphazela ukukwazi kwakho ukuhamba? Ngaba ufumana iintlungu zemisipha okanye ukukhathala emilenzeni yakho emva kosuku olude lomsebenzi? Okanye ngaba uziva unzima emqolo nasemilenzeni emva kokuvuka? Uninzi lwezi meko zihambelana neentlungu zomlenze kunye nomqolo ezinokuchaphazela ukuhamba komntu kwaye zikhokelela kwiimpawu ezifana nentlungu. Imisipha yomqolo kunye nomlenze isebenza kunye nge-nerve ye-sciatic, i-nerve ende evela kwi-lumbar spinal region, idlula imisipha ye-gluteal, ihamba phantsi emva kwemilenze kwaye imise emadolweni. Umva uqukethe imisipha engundoqo kunye nommandla we-lumbar spinal, ovumela umntu ukuba aguqe, ajike, andise.

Okwangoku, izihlunu zomlenze zinceda umntu ukuba ashukume ngelixa uzinzisa ubunzima bomntu. La maqela amabini emisipha anobudlelwane obubalaseleyo kwiindawo ezisezantsi, njengoko abantu kufuneka bahambe xa besenza imisebenzi. Nangona kunjalo, banokuba sesichengeni sokwenzakala kunye neentlungu ezinokubangela imiba yokukhubazeka.

 

Iintlungu zinxulunyaniswa njani nomqolo kunye nemilenze?

Xa kuziwa kumqolo ophantsi kunye nemilenze, iimeko zokusingqongileyo kunye nokulimala okubuhlungu kunokuchaphazela imisipha ejikelezileyo, i-tendon, i-ligaments, kunye neengcambu ze-nerve. Ngokomzekelo, xa abantu abasebenzayo bephakamisa izinto ezinzima, kunokunyusa umngcipheko wokuphuhlisa iintlungu ezisezantsi ngelixa kubangela ukungcangcazela komzimba wonke emilenzeni. (Becker & Childress, 2019) Oku kungenxa yokuba into enzima yokulayisha into eyenziwa kumqolo ongaphantsi kukuba ibangela ukuba umqolo ucinezele kwaye uvumelane nemisipha ejikelezayo. Xa iphindaphindwa rhoqo, inokubangela ukuba i-spinal disc i-herniate kwaye ikhulise iingcambu ze-nerve. Xa ezi ngcambu zemithambo-luvo ziba mandundu, kunokukhokelela ekungeneni kwemithambo-luvo kunye nokudumba, oko kubangela ukuba abantu babe neentlungu ezingapheliyo zomlenze, ukuhla kweenyawo, okanye ukuzinza kwe-ankle okuchaphazela ukuhamba kwabo. (Forter et al., 2021) 

 

Ukongezelela, intlungu yomqolo kunye nomlenze inokwenzeka naxa umqolo uqala ukuthotywa, inkqubo yendalo xa i-spinal disc iyancipha ngokuhamba kwexesha. Xa i-disc ye-spinal kwingingqi ye-lumbar spinal iyancipha ngokuhamba kwesikhathi, ukunikezelwa kwezondlo kunye noshintsho kwi-extracellular composition kubangela ukuba iidiski zingakwazi ukugcina umsebenzi wabo wokusabalalisa umthwalo kwiindawo ezisezantsi. (UKim et al., 2020) Nangona kunjalo, abantu abaninzi abafumana umlenze kunye neentlungu zentlungu bangafuna unyango lokunciphisa iimpawu ezinjengeentlungu. 

 

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Ukhathalelo lweChiropractic lokungazinzi komlenze-Ividiyo

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Ukunyanzeliswa koMnqongo wokunciphisa iintlungu kwimilenze kunye nomqolo

Xa kufikwa ekunyangeni umlenze kunye neentlungu zangasemva, abantu abaninzi bayakuqala ukufuna unyango olufikelelekayo olunokunciphisa iimpawu ezinjengeentlungu. Uninzi lwezonyango ezingezizo utyando ezifana nokuthotywa komqolo zigqwesile ekunciphiseni iintlungu ezichaphazela umqolo nemilenze. Ukuchithwa komgogodla usebenzisa umatshini wokutsala onokunceda ukunweba imisipha eqinile ukusuka kumqolo ongaphantsi kwaye unikeze uxinzelelo olubi kwi-disc echaphazelekayo ngokunyusa i-blood nutrient flow back to disc ngelixa unciphisa uxinzelelo kwingcambu ye-nerve eyingozi. (I-Choi et al., 2022) Ukunyanzeliswa komgogodla kunokudibaniswa kunye nokuzivocavoca okungundoqo okunokuthi kuncede ukunciphisa intlungu kunye nokukhubazeka kunye nokuphucula ukuzinza emilenzeni nangaphantsi. (Hlaing et al., 2021) Ngokuxinzezeleka komgudu wokunciphisa umva kunye nomlenze wentlungu, abantu abaninzi banokubona iziphumo ezintle emva kokunyangwa okulandelelanayo, kwaye ukuhamba kwabo kuphuculwe. (Vanti et al., 2021) Xa abantu abava ubuhlungu bomlenze kunye nomqolo kwaye bafuna unyango banokufumana izibonelelo zokuxinzelela komgogodla ukuba zibandakanywe kwindlela yabo yemihla ngemihla kuba iyakwazi ukulungelelaniswa kwaye ibancede ukuba bakhumbule ukuba yintoni intshukumo kunye nezinto ezisingqongileyo ezibangela intlungu. . Ukwenza olu tshintsho luncinci ekuhambeni kwexesha kunokuphucula impilo yabo kwaye kuncede baphile ubomi obunempilo.

 

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Ucaphulo

Becker, BA, & Childress, MA (2019). Intlungu eNgasemva eNgenaNspecific kunye nokuBuyela emsebenzini. Ugqirha wezeMerika waseMerika, 100(11), 697-703. www.ncbi.nlm.nih.gov/pubmed/31790184

www.aafp.org/pubs/afp/issues/2019/1201/p697.pdf

Choi, E., Gil, HY, Ju, J., Han, WK, Nahm, FS, & Lee, PB (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

Fortier, LM, Markel, M., Thomas, BG, Sherman, WF, Thomas, BH, & Kaye, AD (2021). Uhlaziyo kwi-Peroneal Nerve Entrapment kunye ne-Neuropathy. Orthop Rev (Pavia), 13(2), 24937. doi.org/10.52965/001c.24937

Hlaing, S. S., Puntumetakul, R., Khine, E. E., & Boucaut, R. (2021). Iziphumo zokuzinzisa okungundoqo kunye nokuqinisa umthambo kwi-proprioception, ibhalansi, ubukhulu bemisipha kunye neziphumo ezinxulumene nentlungu kwizigulane ezine-subacute nonspecific back pain: isilingo esilawulwa ngokungahleliwe. I-BMC Musculoskelet Disord, 22(1), 998. doi.org/10.1186/s12891-021-04858-6

UKim, HS, Wu, PH, & Jang, IT (2020). I-Lumbar Degenerative Disease Icandelo le-1: I-Anatomy kunye ne-Pathophysiology ye-Intervertebral Discogenic Pain kunye ne-Radiofrequency Ablation ye-Basivertebral kunye ne-Sinuvertebral Nerve Treatment for Chronic Discogenic Back Pain: I-Case Series Series kunye nokuphononongwa koNcwadi. Int J Mol Sci, 21(4). doi.org/10.3390/ijms21041483

Vanti, C., Turone, L., Panizzolo, A., Guccione, AA, Bertozzi, L., & Pillastrini, P. (2021). Ukutsalwa ngokuthe nkqo kwi-lumbar radiculopathy: uphononongo olucwangcisiweyo. Arch Physiother, 11(1), 7. doi.org/10.1186/s40945-021-00102-5

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