Ukuqonda intlungu kuyahluka kubantu abahlukeneyo ngokusekelwe kwimizwelo yabo, imeko yengqondo kunye namava angaphambili, nangona intlungu iziswa ngokuvuselela ngokomzimba okufanayo kwaye iphele kwinqanaba elifanayo lomonakalo. Kwi-1965, uRonald Melzack kunye noPatrick Wall bashwankathela ithiyori yesayensi malunga nempembelelo yengqondo kwimbono yeentlungu; eyaziwa ngokuba yi ukulawula isango.
Ukuba bekungengenxa yale thiyori, uluvo lwentlungu belusaya kudityaniswa nobunzulu bokuvuselela iintlungu kunye nenqanaba lomonakalo owenziwe kwithishu echaphazelekayo. Kodwa uMelzack kunye noWall bakwenza kwacaca ukuba ukuqonda intlungu kunzima kakhulu kunokuba sikholelwa.
Ngokusekwe kwithiyori yokulawula isango, iimpawu zentlungu azikhululekanga ukuba zihambe ziye kwingqondo ngokukhawuleza nje ukuba zenziwe kummandla wezicubu ezonakeleyo okanye ezilimeleyo. Ezi ziqale zifuna ukuhlangana namasango athile e-neural afunyenwe kwinqanaba lentambo yomgogodla, apho la masango aqinisekisa ukuba iimpawu zentlungu kufuneka zifike kwingqondo okanye hayi. Ukuyibeka ngokwahlukileyo, intlungu ibonwa xa isango linikezela kwiimpawu zentlungu kwaye alikho kakhulu okanye lingabonakali nakanye xa isango livala ukuba iimpawu zidlule.
Le ithiyori inika ingcaciso yokuba kutheni abantu befumana isiqabu ngokuphulula okanye ngokuhlikihla umonakalo, indawo eyonzakeleyo okanye ebuhlungu. Nangona ithiyori yokulawula isango ingenako ukubonisa umfanekiso opheleleyo wenkqubo esisiseko ephantsi kweentlungu, ibonwa indlela yokuqonda intlungu kwaye idale indlela eya kwiindlela ezahlukeneyo zonyango lolawulo lweentlungu.
Contents
IiFayibha zeNerve ekugqithiseni iiMpawu zoMva
Ilungu ngalinye, okanye inxalenye yomzimba womntu, inokubonelela ngemithambo-luvo yayo ejongene nokuthwala iimpembelelo zombane ezenziwe ngokusabela kwiimvakalelo ezininzi, ezinje ngokubamba, ubushushu, uxinzelelo kunye neentlungu. Ezi mithambo-luvo, ezenza inkqubo ye-nervous peripheral, idlulisela le miqondiso yeemvakalelo, kwinkqubo yemithambo-luvo esembindini, okanye ingqondo kunye nentambo yomqolo. Ezi mpembelelo ziye ziguqulelwe kwaye zibonwa njengeemvakalelo. Imithambo-luvo ye-peripheral ithumela imiqondiso kwi-dorsal horn ye-spinal cord kwaye ukusuka apho, imiqondiso yeemvakalelo idluliselwa kwingqondo ngephecana le-spinothalamic. Iintlungu yimvakalelo eyothusa umntu ukuba ithishu okanye inxalenye ethile yomzimba womntu yonakele okanye yenzakele.
Ngenxa yobukhulu be-axonal kunye nesantya sokuqhuba, iintambo ze-nerve zingahlelwa kwiintlobo ezintathu ezahlukeneyo, iintambo ze-nerve A, B kunye noC. Ngaphezu koko, kukho ii-subtypes ezine ngaphakathi kwe-A fibers: A-alpha, A-beta, A-gamma kunye ne-A-delta. Ukusuka kwi-fiber subtypes, i-A-alpha fibers yeyona inkulu kwaye i-A-delta fibers incinci.
Iintsinga ze-A ezinkulu xa zithelekiswa ne-A-delta fibers, zithwala iimvakalelo, ezifana nokuchukumisa, uxinzelelo, njl., kwintambo yomgogodla. I-A-delta fibers kunye ne-C fibers zithwala iimpawu zentlungu kwintambo yomgogodla. Iifiber ze-A-delta zikhawuleza kwaye zithwala iimpawu ezibukhali zentlungu ngelixa ii-C fibers zicotha kwaye zithwala iimpawu zentlungu.
Xa ucinga malunga nokuba isantya sokuqhuba kwe-nerve fibers, i-A-alpha fibers, eyona micu ye-nerve enkulu ye-A, inesantya esiphezulu sokuqhuba xa kuthelekiswa ne-A-delta fibers kunye ne-C fibers, ezibhekwa njengeyona ndlela incinci ye-nerve pathways. Xa i-tissue yonakalisiwe okanye yonzakele, i-A-delta fibers iyasebenza kuqala, ilandelwa kukusebenza kwe-C fibers. Le micu yemithambo-luvo inotyekelo lokuthwala imiqondiso yeentlungu iyise kwintambo yomqolo ize iye ebuchotsheni. Nangona kunjalo, iimpawu zentlungu zihanjiswa ngenkqubo enzima kakhulu kunokuba ichazwe ngasentla.
Amaphecana anyukayo | Ukuguqulwa kweentlungu: Ithiyori yoLawulo lweSango
Yintoni iTheory yoLawulo lweSango leentlungu?
Ithiyori yokulawula isango ithetha ukuba imiqondiso yeemvakalelo okanye iimpembelelo ezithunyelwa yimithambo yemithambo-luvo zidibana namasango e-neural kwinqanaba lentambo yomgogodla kwaye ezi ziya kufuneka zicocwe ngala masango ukuze zifike ebuchotsheni. Izinto ezahlukahlukeneyo zigqiba ukuba iimpawu zentlungu kufuneka ziphathwe njani kumasango e-neurological, kuquka:
- Ubunzulu beempawu zentlungu
- Iqondo lomnye umqondiso weemvakalelo, ezifana nokuchukumisa, ubushushu kunye noxinzelelo, ukuba ziveliswe kwindawo yomonakalo okanye yokulimala
- Umyalezo ovela kwingqondo ngokwayo ukuhambisa iimpawu zentlungu okanye hayi
Njengoko kukhankanyiwe ngaphambili, iintambo ze-nerve, zombini ezinkulu kunye ezincinci, ezithwala izibonakaliso zengqondo, ziphela kwiphondo le-dorsal yentambo yomgogodla ukusuka apho iimpembelelo zithunyelwa khona kwingqondo. Ngokwe-postulate yasekuqaleni ye-Melzack kunye ne-Wall, iprojekthi ye-nerve fibers project kwi-substantia gelatinosa, okanye i-SG, yophondo lwe-dorsal kunye neeseli zokuqala zokudluliselwa (T) zomgudu womgogodla. I-SG iqulethe i-interneuron inhibitory eziphatha njengesango kwaye iqinisekise ukuba zeziphi iimpawu zoluvo kufuneka zifike kwiiseli ze-T kwaye ziqhubele phambili kwiphecana le-spinothalamic ekugqibeleni lifikelele kwingqondo.
Xa iimpawu zentlungu ezithwalwa yi-fibers encinci ye-nerve, okanye i-A-delta fibers kunye ne-C fibers, zincinci kakhulu xa zithelekiswa nolunye uphawu lwe-sensory engeyiyo intlungu efana nokuchukumisa, ubushushu kunye noxinzelelo, i-neurons inhibitory ukuyeka ukuhanjiswa kweentlungu. imiqondiso ngeeseli T. Iimpawu ezingezizo iintlungu zigqithisa iimpawu zentlungu kwaye ngoko ke intlungu ayiqondwa yingqondo. Xa iimpawu zentlungu zinamandla ngakumbi xa kuthelekiswa neempawu ezingezizo iintlungu, i-neurons yokuthintela ayisebenzi kwaye isango livuliwe. Iiseli ze-T zigqithisa iimpawu zentlungu kwiphecana le-spinothalamic elithwala loo mpembelelo kwingqondo. Ngenxa yoko, isango le-neurological liphenjelelwa ngumlinganiselo ohambelana nomsebenzi ovela kwimicu emikhulu kunye nencinci.
Indlela iimvakalelo kunye neengcinga ezichaphazela ngayo iintlungu
Ithiyori yokulawula isango iphinda ibonise ukuba ukuhanjiswa kweempawu zentlungu kunokuchaphazeleka ngeengcinga kunye neemvakalelo. Kuyaziwa ukuba abantu abaziva ukuba intlungu engapheliyo okanye, ngokufanelekileyo, intlungu ayibaphazamisi ukuba bagxile kwezinye izinto ezinomdla kubo. Ngelixa, abantu abadakumbileyo okanye abaxhalabileyo banokuziva iintlungu ezibukhali kwaye banokukufumanisa kunzima ukumelana nazo. Oku kungenxa yokuba ingqondo ithumela imiyalezo ngokuhla kwemithambo yemithambo-luvo ethi iyeke, inciphise okanye iphucule ukuhanjiswa kweempawu zentlungu ngesango, ngokuxhomekeke kwiimvakalelo neengcinga umntu anokuhamba kuzo.
Ithiyori yoLawulo lweSango kuLawulo lweeNtlungu
Ithiyori yokulawula isango ibangele ukuguqulwa okukhulu kwintsimi yokulawula intlungu. Ithiyori iphakamise ukuba ukulawulwa kweentlungu kunokufezekiswa ngokuchaphazela iintambo ezinkulu ze-nerve ezithwala ukuvuselela okungahambiyo. Ingcamango iphinde ivule indlela yophando olongezelelweyo malunga nezicwangciso zokuqonda kunye nokuziphatha ukuze kuphunyezwe intlungu.
Phakathi kwezona nkqubela zibalaseleyo kuphando lolawulo lweentlungu kukufika kweTranscutaneous Electrical Nerve Stimulation (TENS). Ithiyori yokulawula isango yenza ilitye lembombo le-TENS. Kule nkqubo, ukuvuselela okukhethiweyo kwe-diameter enkulu ye-nerve fibers ethatha ukunyanzeliswa kwe-sensor ye-non-pain ukusuka kummandla othile kuphelisa okanye kunciphisa impembelelo yeempawu zentlungu ezivela kummandla. I-TENS yinkqubo yokulawula intlungu engabonakaliyo kwaye efikelelekayo esetyenziswe ngokubanzi kunyango lwentlungu engapheliyo kunye neyonyango engapheliyo ngabasebenzi bezempilo abahlukeneyo, mhlawumbi bengakhange baphendule kwii-analgesics kunye nokungenelela kokuhlinzwa. I-TENS inenzuzo kakhulu kumachiza eentlungu ukusuka kwinqanaba lokuba ayinayo ingxaki yokusebenzisana kwamayeza kunye netyhefu.
Ngokomzekelo, abaninzi oogqirha be-chiropractic, okanye i-chiropractors, sebenzisa i-TENS kunye nezinye iinkqubo ze-electrotherapeutic ekusebenzeni kwazo. Ezi zisetyenziswa ngokubanzi kunye nohlengahlengiso lomqolo kunye nokunyanzelwa ngesandla ukwandisa ukujikeleza kunye nokunceda ekuxhaseni ukhathalelo lwe-chiropractic. Ezinye iindlela ezininzi zokuvuselela umbane kunye nezingabonakaliyo zifunyenwe ziluncedo kwiimeko ezininzi zentlungu engapheliyo njengentlungu ye-arthritis, i-diabetes neuropathy, i-fibromyalgia, njl. Nangona kunjalo, iziphumo ezilungileyo azifumaneki kwezinye iimeko kwaye ukusebenza kwexesha elide kobu buchule ngokusekwe kwithiyori kusahlala kuqwalaselwa.
Insight of Dr. Alex Jimenez
Ukhathalelo lweChiropractic lusetyenziswa ngokubanzi ukunceda izigulane ezineentlungu ezingapheliyo. Iimpawu zentlungu eqhubekayo kunye nokungahambi kakuhle kuye kwaba ngumcimbi omkhulu wezempilo e-United States apho iminyaka emininzi yophando ifumene ukuba iziyobisi kunye / okanye amayeza ayisona isisombululo kwingxaki. Ithiyori yokulawula isango, eyaqala ukuphakanyiswa ngaphezu kwesiqingatha senkulungwane edlulileyo, inike abaqeqeshi bezempilo ulwazi olutsha malunga nombono wentlungu, ukubonelela ngeendlela ezahlukeneyo zonyango lwentlungu, njengokusetyenziswa kwe-transcutaneous electrical nerve stimulation, okanye i-TENS, njengoko. kunye nezinye iinkqubo ze-electrotherapeutic. I-Chiropractors inokunceda ekulawuleni iintlungu ngokusebenzisa uhlengahlengiso lomgogodla kunye nokunyanzeliswa kwencwadana, kunye nokusetyenziswa kwe-TENS.
Nangona kunjalo, ithiyori yokulawula isango iye yatshintsha kakhulu indawo yophando lweentlungu kwaye iphumelele ukufumana izifundo ezininzi ezijolise ekuboniseni indlela yokuphila engenazintlungu kwizigulana ezinentlungu engapheliyo. Ububanzi bolwazi lwethu bukhawulelwe kwi-chiropractic kunye nokulimala komgogodla kunye neemeko. Ukuxoxa ngombandela, nceda uzive ukhululekile ukubuza uDkt Jimenez okanye uqhagamshelane nathi 915-850-0900 .
Ikhutshwe nguDkt. Alex Jimenez
Imixholo eyongezelelweyo: iSciatica
Sciatica kuthethwa ngokuzonyango njengemqoqo yeempawu, kunokuba yingozi kunye / okanye imeko. Iimpawu zentlungu ye-ncium, okanye i-sciatica, inokuthi ihluke ngokuphindaphindiweyo kunye nobukhulu, nangona kunjalo, ngokuqhelekileyo ichazwe ngokukhawuleza, ebukhali (injenge-like) okanye intlungu yomsakazo ephuma kwi-low-down back downs, emagqabini, emathangeni kunye imilenze inyawo. Ezinye iimpawu ze-sciatica zingabandakanya, ukutshitshiswa okanye ukutshisa, ukugubungela kunye nobuthathaka kunye nobude beentsimbi ze-sciatic. I-Sciatica ihlala ichaphazela abantu phakathi kweminyaka eyi-30 kunye ne-50 iminyaka. Kungasoloko kuphuhliswa ngenxa yesantya sokusila komgudu ngenxa yobudala, nangona kunjalo, ukunyanzeliswa nokucaphukiswa kweentsimbi zesinci ezibangelwa kukugquma okanye disc disc, phakathi kweminye imiba yempilo yomgudu, inokubangela intlungu ye-nerve.
INGXELO EBALULEKILEYO: I-Chiropractor Sciatica Symptoms
IINKCUKACHA EZINYE Ukhathalelo lweNtlungu kunye noNyango
Umgangatho wobuchule wokuSebenza *
Ulwazi olulapha ku "Isango loLawulo lweSango kunye noLawulo lwezinhlungu e-El Paso, TX"Akujoliswanga ukuthatha indawo yobudlelwane obubodwa kunye nomntu oqeqeshiweyo wezempilo okanye ugqirha onelayisensi kwaye akusiyo isiluleko sonyango. Sikhuthaza ukuba wenze izigqibo zezempilo ngokusekelwe kuphando lwakho kunye nentsebenziswano kunye nochwepheshe bezempilo abaqeqeshiweyo.
Ulwazi lweBlog kunye neengxoxo zoMda
Umda wethu wolwazi ilinganiselwe kwiChiropractic, i-musculoskeletal, amayeza omzimba, impilo, igalelo le-etiological ukuphazamiseka kwe-viscerosomatic ngaphakathi kweentetho zeklinikhi, ezinxulumene ne-somatovisceral reflex clinical dynamics, i-subluxation complexes, imiba yezempilo ebuthathaka, kunye / okanye amanqaku amayeza asebenzayo, izihloko kunye neengxoxo.
Sibonelela kwaye sibonise intsebenziswano yeklinikhi neengcaphephe kumacandelo ahlukeneyo. Ingcali nganye ilawulwa ngumsebenzi wabo wobugcisa kunye negunya labo lokufumana iphepha-mvume. Sisebenzisa iiprothokholi ezisebenzayo zempilo kunye nempilo entle ukunyanga nokuxhasa ukhathalelo lokwenzakala okanye ukuphazamiseka kwenkqubo ye-musculoskeletal.
Iividiyo zethu, izithuba, izihloko, imixholo, kunye nokuqonda zibandakanya imiba yezonyango, imiba, kunye nezihloko eziyelelene kwaye zixhase ngokuthe ngqo okanye ngokungathanga ngqo umda wokuziqhelanisa wethu.
I-ofisi yethu izamile ngokufanelekileyo ukubonelela ngeengcaphulo ezixhasayo kwaye ichonge uphando olufanelekileyo lophando okanye izifundo ezixhasa izithuba zethu. Sinikezela ngeekopi zophando ezixhasayo ezifumanekayo kwiibhodi ezilawulayo nakuluntu ngesicelo.
Siyaqonda ukuba sigubungela imicimbi efuna inkcazo eyongezelelweyo yokuba inganceda njani kwisicwangciso esithile sokhathalelo okanye inkqubo yonyango; ke, ukuqhubeka nokuxoxa ngombandela ongentla, nceda ukhululeke ukubuza UDkt Alex Jimenez, DC, okanye qha ga mshelana nathi 915-850-0900.
Silapha ukunceda wena kunye nosapho lwakho.
Iintsikelelo
UDkt Alex Jimenez D.C., I-MSACP, RN*, I-CCST, IFMCP*, I-CIFM*, I-ATN*
email: qeqeshi@elpasofunctionalmedicine.com
Ilayisenisi njengoGqirha weChiropractic (DC) kwi Texas & New Mexico*
Texas DC Ilayisensi # TX5807, New Mexico DC Ilayisensi # I-NM-DC2182
Unikwe Ilayisensi njengoMongikazi oBhalisiweyo (RN*) in Florida
Florida License RN Ilayisensi # I-RN9617241 (Nombolo yolawulo. 3558029)
Ubume obubambeneyo: ILayisensi yeeNkcazo ezininzi: Ugunyaziswe Ukuziqhelanisa I-40 States*
UGqr. Alex Jimenez DC, MSACP, RN* CIFM*, IFMCP*, ATN*, CCST
Ikhadi lam loShishino lweDijithali
