Name: El Paso Back Clinic | Spine Specialists - El Paso, TX
Price range: $$

Ukuhamba kunye nokuguquguquka

UkuHamba kweKlinikhi ngasemva kunye nokuGuquleka: Umzimba womntu ugcina inqanaba lendalo ukuqinisekisa ukuba zonke izakhiwo zawo zisebenza ngokufanelekileyo. Amathambo, imisipha, iigaments, i-tendon, kunye nezinye izicubu zisebenza kunye ukuvumela uluhlu lwentshukumo kunye nokugcina ukufaneleka okufanelekileyo kunye nokutya okunokulinganisela kunokunceda ukugcina umzimba usebenza ngokufanelekileyo. Ukushukuma okukhulu kuthetha ukwenza iintshukumo ezisebenzayo ngaphandle kwezithintelo kuluhlu lwesindululo (ROM).

Khumbula ukuba ukuguquguquka licandelo lokushukuma, kodwa ukuguquguquka okugqithisileyo ngokwenene akufuneki ukwenza iintshukumo ezisebenzayo. Umntu oguquguqukayo unokuba namandla angundoqo, ukulinganisela, okanye ulungelelwaniso kodwa akakwazi ukwenza ukunyakaza okufanayo okusebenzayo njengomntu onokuhamba okukhulu. Ngokutsho kukaGqr. Alex Jimenez ukuqulunqa amanqaku malunga nokuhamba kunye nokuguquguquka, abantu abangoluliyo umzimba wabo bahlala befumana imisipha efutshane okanye eqinisiweyo, ukunciphisa amandla abo okuhamba ngokufanelekileyo.

Ukuphonononga i-Periscapular Bursitis: Iimpawu kunye nokuxilongwa

by UGqr Alex Jimenez | Umqolo obuhlungu, Ukuhamba kunye nokuguquguquka

Kubantu abafumana igxalaba kunye neentlungu ezingaphezulu, ngaba i-periscapular bursitis ingaba ngunobangela?

I-Periscapular Bursitis

I-scapula / igxalaba lithambo elitshintsha indawo kunye nomzimba ophezulu kunye nokunyakaza kwamagxa. Ukunyakaza kwe-scapula kubaluleke kakhulu kumsebenzi oqhelekileyo wegxalaba kunye nomqolo. Xa ukunyakaza okungaqhelekanga okanye ngokukhawuleza kwenzeka, ukuvuvukala kunye neempawu zentlungu zingakhula. (Augustine H. Conduah et al., 2010)

Umsebenzi we-Scapula oqhelekileyo

I-scapula lithambo elingunxantathu kumqolo ongasentla ngaphandle kweembambo. Icala layo elingaphandle okanye elisecaleni liqulethe i-socket ye-joint joint / glenoid, ngelixa elinye ithambo lisebenza njengeendawo zokuncamathela kwigxalaba kunye nezihlunu zangasemva. I-scapula iyatshintsha kwi-rib cage xa uhambisa ingalo phambili nasemva. Le ntshukumo ibizwa ngokuba intshukumo ye-scapulothoracic kwaye ibaluleke kakhulu kumsebenzi oqhelekileyo wecala eliphezulu kunye negxalaba. Xa i-scapula ingahambi kwintshukumo edibeneyo, umsebenzi we-torso kunye namagxa amagxa unokuba nzima kwaye ube buhlungu. (JE Kuhn et al., 1998)

I-Scapular Bursa

I-bursa yingxowa ezaliswe ngamanzi evumela intshukumo egudileyo, etyibilikayo phakathi kwezakhiwo, izicubu zomzimba, amathambo kunye neetendon. I-Bursae ifumaneka kuwo wonke umzimba, kubandakanywa nalabo abaphambi kwe-kneecap, ngaphandle kwe-hip, kunye ne-joint joint. Xa i-bursa ivutha kwaye icaphukile, ukunyakaza okuqhelekileyo kunokuba buhlungu. Kukho ii-bursae ezijikeleze i-scapula kumqolo ongaphezulu. Ezimbini zezi ngxowa ze-bursa ziphakathi kwamathambo kunye ne-serratus anterior muscle elawula ukunyakaza kwe-scapular kudonga lwesifuba. Enye i-bursa sac itholakala kwikona ephezulu ye-scapula, kufuphi nomqolo kwisiseko sentamo, kwaye enye isekhoneni elisezantsi le-scapula, kufuphi ne-mid-back. Nokuba zombini iingxowa ze-bursa zinokuchaphazeleka yi-periscapular bursitis. Kukho ezinye ii-bursae ezijikeleze i-scapula kunye neentambo ezijikelezayo, kodwa iingxowa ezimbini zekona zivame ukuba yi-bursae ephambili eyenza i-periscapular bursitis.

Ukuvutha

Xa ezi bursae zidumba kwaye zicaphuka, zidumbe, kwaye zijiyile, imeko eyaziwa ngokuba yi-bursitis iziphumo. Xa i-bursitis ivela kufuphi ne-scapula, i-muscle, kunye ne-shoulder blade movements inokubangela ukungahambi kakuhle kunye neentlungu. Iimpawu eziqhelekileyo ze-periscapular bursitis ziquka:

Ukuhlutha ngentshukumo
Iimvakalelo zokugaya okanye i-crepitus
Ubuhlungu
Ububele ngokuthe ngqo kwi-bursa (Augustine H. Conduah et al., 2010)
Uvakalelo olungaqhelekanga lwe-scapular kunye nokunyakaza

Ukuhlolwa kwe-scapula kunokubonisa ukunyakaza okungaqhelekanga kwi-shoulder blade. Oku kunokukhokelela kwi-wissang, apho igxalaba lingabanjwanga ngokuchanekileyo kwi-rib cage kwaye liphume ngokungaqhelekanga. Abantu abane-wissang ye-scapula badla ngokuba noomatshini bokudityaniswa kwegxalaba ngendlela engaqhelekanga kuba ukuma kwegxalaba kutshintshiwe.

Izizathu

Izizathu ze-periscapular bursitis zinokuhluka. Eyona nto ixhaphakileyo yi-syndrome yokusetyenziswa ngokugqithiseleyo, apho umsebenzi othile ubangela ukucaphuka kwi-bursa. Oku kunokubandakanya:

Imisebenzi enxulumene nemidlalo ebangelwa ukusetyenziswa ngokuphindaphindiweyo.
Imisebenzi enxulumene nomsebenzi ebangelwa kukusetyenziswa ngokuphindaphindiweyo.
Ukulimala okubuhlungu okubangela ukuvuvukala okanye ukucaphuka kwi-bursa.

Ezinye iimeko zingabangela i-anatomy engaqhelekanga okanye i-bone protuberances, ecaphukisa i-bursa. Enye imeko kukukhula kwethambo elibi eyaziwa ngokuba yi-osteochondroma. (Antônio Marcelo Gonçalves de Souza kunye noRosalvo Zósimo Bispo Júnior 2014) Oku kukhula kunokuvela kwi-scapula, okukhokelela ekucaphukeni kunye nokuvuvukala.

impatho

Unyango lwe-periscapular bursitis luqala nge-conservative zonyango. Unyango oluhlaselayo alufane lufuneke ukulungisa ingxaki. Unyango lungabandakanya:

Ukuphumla

Isinyathelo sokuqala kukuphumla i-bursa ecasulayo kwaye ulungise ukuvuvukala.
Oku kungathatha iiveki ezimbalwa kwaye kunokufezwa ngokuguqula umzimba, imidlalo, okanye imisebenzi enxulumene nomsebenzi.

umkhenkce

Umkhenkce uluncedo ekunciphiseni ukudumba nokulawula iintlungu.
Ukwazi indlela yokwenza umkhenkce ngokufanelekileyo kunokunceda ukulawula intlungu kunye nokuvuvukala.

Ulungiso lwenyama

Unyango lomzimba lunokunciphisa iimpawu zokuvuvukala ngokusebenzisa imithambo eyahlukeneyo kunye nokwelula.
Unyango lunokuphucula i-scapular mechanics ukuze ukwenzakala kungabi yinto eqhubekayo kwaye iphindaphindeka.
Ukunyakaza okungaqhelekanga kwe-scapula kwi-rib cage ayikwazi nje ukukhokelela ekuphuhlisweni kwe-bursitis, kodwa ukuba le michiza engaqhelekanga ayilungiswanga, ingxaki inokuphinda ibuyele.

Amayeza achasene nokudumba

Amayeza achasene nokudumba asetyenziswa ukulawula ukudumba kwixesha elifutshane. (Augustine H. Conduah et al., 2010)
Amayeza anokunceda ukuthintela impendulo yokuvuvukala.
Ngaphambi kokuthatha nawaphi na amayeza, abantu kufuneka baqinisekise kunye nomboneleli wabo wezempilo ukuba akhuselekile.

Izitofu zeCortisone

Unyango oluyimpumelelo nge-cortisone shot luphawu lokuba utyando luya kusebenza ngakumbi kubantu abanokufuna utyando.
Iinaliti zeCortisone zinokuba luncedo kakhulu ekuhambiseni idosi enamandla yokuchasana nokudumba ngokuthe ngqo kwindawo yokudumba. (Augustine H. Conduah et al., 2010)
Iinaliti zeCortisone kufuneka zincitshiswe malunga nokuba zingaphi iinaliti ezinikezelwa kumntu, kodwa kwiidosi ezilinganiselweyo zinokuba luncedo kakhulu.
Nangona kunjalo, i-cortisone shots kufuneka yenziwe kuphela xa ukuxilongwa kuqinisekisiwe.

Ukuhlinzwa

Utyando alufane lube yimfuneko kodwa lunokusebenza kubantu abangakwaziyo ukufumana isiqabu ngonyango olululo.
Utyando luhlala lusetyenziselwa abantu abane-scapular anatomy engaqhelekanga, njengokukhula kwamathambo okanye amathumba.

Kwi-Chiropractic yezoNyango zeChiropractic kunye ne-Functional Medicine Clinic, siphatha ukulimala kunye ne-syndromes yentlungu engapheliyo ngokuphucula amandla omntu ngokusebenzisa ukuguquguquka, ukuhamba, kunye neenkqubo ze-agility ezilungiselelwe onke amaqela eminyaka kunye nokukhubazeka. Izicwangciso zethu zokunakekelwa kwe-chiropractor kunye neenkonzo zeklinikhi zikhethekileyo kwaye zijolise kukulimala kunye nenkqubo yokubuyisela ngokupheleleyo. Ukuba olunye unyango luyafuneka, abantu ngabanye baya kuthunyelwa kwiklinikhi okanye ugqirha ofaneleke kakhulu ukulimala kwabo, imeko, kunye / okanye isifo.

Uphiko lweScapular kubunzulu

Ucaphulo

Conduah, AH, Baker, CL, 3rd, & Baker, CL, Jr (2010). Ulawulo lweklinikhi ye-scapulothoracic bursitis kunye ne-scapula ye-snapping. Impilo yezemidlalo, i-2 (2), i-147-155. doi.org/10.1177/1941738109338359

Kuhn, JE, Plancher, KD, & Hawkins, RJ (1998). Iimpawu ze-scapulothoracic crepitus kunye ne-bursitis. Umbhalo we-American Academy of Orthopedic Surgeons, 6 (5), 267-273. doi.org/10.5435/00124635-199809000-00001

de Souza, AM, & Bispo Júnior, RZ (2014). Osteochondroma: ukungahoyi okanye ukuphanda? Revista brasileira de ortopedia, 49 (6), 555-564. doi.org/10.1016/j.rboe.2013.10.002

Ukubaluleka koNyango olungaqhawukiyo loNciphiso lwe-Joint Hypermobility

by UGqr Alex Jimenez | Chiropractic, Ubuhlungu obungapheliyo, Ukuhamba kunye nokuguquguquka, Ucoceko loMgcini, Uncedo Lwezityalo, Unyango, I-Viscerosomatic Reflex

Ngaba abantu abane-hypermobility edibeneyo banokufumana isiqabu ngonyango olungazenzisiyo ekunciphiseni iintlungu kunye nokubuyisela ukuhamba komzimba?

intshayelelo

Xa umntu ehambisa umzimba wabo, izihlunu ezijikelezileyo, amalunga, kunye nemigqaliselo ifakwe kwimisebenzi eyahlukeneyo evumela ukuba banwebe kwaye baguquguquke ngaphandle kwentlungu okanye ukungahambi kakuhle. Iintshukumo ezininzi eziphindaphindwayo zenza umntu aqhubeke nenkqubo yakhe. Nangona kunjalo, xa amalunga, izihlunu, kunye nemigqa yolulelwe kude kunesiqhelo kwindawo ephezulu kunye nesezantsi ngaphandle kweentlungu, kwaziwa ngokuba yi-joint hypermobility. Olu kuphazamiseka kwezicubu ezixhumeneyo kunokunxibelelana nezinye iimpawu ezichaphazela umzimba kwaye kubangele ukuba abantu abaninzi bafune unyango lokulawula iimpawu ze-hypermobility edibeneyo. Kwinqaku lanamhlanje, siza kujonga i-hypermobility edibeneyo kunye nendlela ezahlukeneyo zonyango ezingezizo utyando ezinokunceda ukunciphisa intlungu ebangelwa yi-hypermobility kunye nokubuyisela ukuhamba komzimba. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya indlela intlungu yabo inokudibaniswa ngayo ne-hypermobility edibeneyo. Sikwazisa kwaye sikhokela izigulana malunga nendlela ukudibanisa unyango olungelulo utyando lunokunceda ukuphucula umsebenzi odibeneyo ngelixa ulawula iimpawu ezihambelanayo. Sikhuthaza izigulana zethu ukuba zibuze ababoneleli bezonyango abanxulumene nabo imibuzo enzima kunye nengqiqo malunga nokubandakanya unyango olungasebenzisiyo njengenxalenye yendlela yabo yokunciphisa intlungu kunye nokukhathazeka kwi-hypermobility joint. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli.

Yintoni Joint Hypermobility?

Ngaba uhlala uziva ukuba amalungu akho evalelwe ezandleni, ezihlahleni, emadolweni, nasezingqinibeni? Ngaba ufumana iintlungu kunye nokudinwa kumalungu akho xa umzimba wakho uziva udiniwe rhoqo? Okanye xa usolula iziphetho zakho, ngaba zinwenwela kude kunesiqhelo ukuze uve isiqabu? Uninzi lwezi meko zahlukeneyo zihlala zinxulunyaniswa nabantu abafumana i-hypermobility edibeneyo. I-Joint hypermobility sisifo esizuzwa njengelifa kunye neepateni eziphambili ze-autosomal ezibonisa i-hyperlaxity edibeneyo kunye neentlungu ze-musculoskeletal ngaphakathi kweendawo zomzimba. (Carbonell-Bobadilla et al., 2020) Le meko ye-tissue edibeneyo idla ngokuhambelana nokuguquguquka kwezicubu ezidibeneyo ezifana nemigqa kunye ne-tendon emzimbeni. Umzekelo uya kuba ukuba isithupha somntu sichukumisa umphambili wabo wangaphakathi ngaphandle kokuva iintlungu okanye ukungakhululeki, bane-hypermobility edibeneyo. Ukongeza, abantu abaninzi abajongana ne-hypermobility edibeneyo bahlala benokuxilongwa nzima njengoko beya kukhula ulusu kunye nobuthathaka bezicubu ngokuhamba kwexesha, okubangela iingxaki ze-musculoskeletal. (Tofts et al., 2023)

Xa abantu bejongana ne-hypermobility edibeneyo ngokuhamba kwexesha, uninzi luhlala lunophawu lwe-hypermobility edibeneyo. Baza kubonisa iimpawu ze-musculoskelet kunye ne-systemic ezikhokelela ekuboniseni ukukhubazeka kwamathambo, izicubu kunye ne-fragility yesikhumba, kunye nokwahlukana kwesakhiwo kwinkqubo yomzimba. (UNicholson et al., 2022) Ezinye zeempawu zokuba i-joint hypermobility iboniswa kuxilongo ziquka:

Iintlungu zemisipha kunye nokuqina kwamalungu
Ukucofa amalungu
Ukukhathala
Imiba yokugaya
Imicimbi yokulinganisa

Ngethamsanqa, kukho unyango olwahlukeneyo olunokuthi lusetyenziswe ngabantu abaninzi ukunceda ukubuyisela izihlunu ezijikeleze amalunga kunye nokunciphisa iimpawu ezihambelanayo ezibangelwa yi-hypermobility edibeneyo.

Intshukumo Njengonyango-Ividiyo

Nosurgical Treatments For Joint Hypermobility

Xa ujongene ne-hypermobility edibeneyo, abantu abaninzi kufuneka bafune unyango lokunciphisa iimpawu ezihambelana neentlungu ze-hypermobility kunye nokunceda ukukhulula iziphelo zomzimba ngelixa ubuyisela ukuhamba. Olunye unyango olugqwesileyo lwe-hypermobility edibeneyo lunyango olungasebenzisi utyando olungaphazamisiyo, luthambileyo kumalungu kunye nezihlunu, kwaye lungabizi kakhulu. Iindidi ezahlukeneyo zonyango ezingezizo utyando zinokwenzelwa umntu ngamnye ngokuxhomekeke ekubeni kuqatha kangakanani na ukudityaniswa kwe-hypermobility kunye ne-commorbidities kuchaphazela umzimba womntu. Unyango olungenalo utyando lunokukhulula umzimba kwi-hypermobility edibeneyo ngokunyanga izizathu zentlungu ngokunciphisa kunye nokwandisa amandla okusebenza kunye nokubuyisela umgangatho wobomi bomntu. (Etwell et al., 2021) Iindlela ezintathu zonyango ezingenalo utyando ezigqwesileyo ekunciphiseni intlungu kwi-hypermobility yamalungu kunye nokunceda ukuqinisa imisipha ejikelezayo ingezantsi.

Ukhathalelo lweChiropractic

Ukunyamekela kwe-Chiropractic kusebenzisa ukunyanzeliswa komgogodla kwaye kunceda ukubuyisela ukuhamba ngokubambisana emzimbeni ukuze kuncitshiswe imiphumo ye-hypermobility edibeneyo ngokuzinzisa amajoyina achaphazelekayo ukusuka kwi-hypermobile extremities. (Boudreau et al., 2020) I-Chiropractors ibandakanya ukuguqulwa komatshini kunye nemigaqo kunye neendlela ezahlukeneyo zokunceda abantu abaninzi baphucule i-posture yabo ngokunyamekela imizimba yabo kunye nokusebenza kunye nezinye iindlela zokwelapha ezininzi ukugxininisa ukunyakaza okulawulwayo. Ngolunye ukuxhatshazwa okuhambelana nokuxhatshazwa ngokubambisana, njengentlungu emva nangentamo, ukunakekelwa kwe-chiropractic kunokunciphisa ezi mpawu ze-comorbidity kunye nokuvumela umntu ukuba aphinde abuyele umgangatho wobomi.

Ukwenza i-Acupuncture

Olunye unyango olungelona utyando olunokuthi abantu abaninzi balubandakanye ukunciphisa ukudityaniswa kwe-hypermobility kunye ne-comorbidities yayo yi-acupuncture. I-acupuncture isebenzisa iinaliti ezincinci, ezinqabileyo, eziqinileyo ezisetyenziswa ngabagqirha be-acupuncture ukuvala ii-receptors zentlungu kunye nokubuyisela ukuhamba kwamandla omzimba. Xa abantu abaninzi bejongene ne-hypermobility edibeneyo, iziphelo zabo emilenzeni, ezandleni nasezinyaweni ziba nentlungu ekuhambeni kwexesha, nto leyo enokubangela ukuba umzimba ungazinzi. Yintoni eyenziwa yi-acupuncture kukunceda ukunciphisa intlungu ebangelwa yi-hypermobility edibeneyo ehambelana neziphelo kunye nokubuyisela ukulinganisela kunye nokusebenza komzimba (Luan et al., 2023). Oku kuthetha ukuba ukuba umntu ujongene nokuqina kunye neentlungu zemisipha ezivela kwi-joint hypermobility, i-acupuncture inokunceda ukubuyisela iintlungu ngokubeka iinaliti kwii-acupoints zomzimba ukunika isiqabu.

Ulungiso lwenyama

Unyango lomzimba lunyango lokugqibela olungasebenzisi utyando abantu abaninzi abanokulubandakanya kwimisebenzi yabo yemihla ngemihla. Unyango lomzimba lunokunceda ukulawula i-hypermobility edibeneyo elungiselelwe ukunceda ukuqinisa izihlunu ezibuthathaka ezijikeleze amajoyina achaphazelekayo, ukuphucula ukuzinza komntu kunye nokunceda ukunciphisa umngcipheko wokutshatyalaliswa. Ukongeza, abantu abaninzi banokusebenzisa umthambo onempembelelo ephantsi ukuqinisekisa ulawulo olululo lwemoto xa usenza umthambo rhoqo ngaphandle kokubeka uxinzelelo olugqithisileyo kumalungu. (URussek et al., ngo-2022)

Ngokubandakanya olu nyango luthathu lungelolo lotyando njengenxalenye yonyango olulungiselelweyo lwe-hypermobility edibeneyo, abantu abaninzi baya kuqala ukuva umahluko kwibhalansi yabo. Abayi kuba neentlungu ezidibeneyo ngokukhumbula ngakumbi umzimba kunye nokubandakanya utshintsho oluncinci kwindlela yabo. Nangona ukuhlala kunye ne-hypermobility edibeneyo kunokuba ngumceli mngeni kubantu abaninzi, ngokudibanisa kunye nokusebenzisa indibaniselwano efanelekileyo yonyango olungasebenzisi utyando, abaninzi banokuqala ukuphila ubomi obusebenzayo nobanelisayo.

Ucaphulo

Atwell, K., Michael, W., Dubey, J., James, S., Martonffy, A., Anderson, S., Rudin, N., & Schrager, S. (2021). Ukuxilongwa kunye noLawulo lwe-Hypermobility Spectrum Disorders kwi-Primary Care. J IBhodi ye Fam Fam, 34(4), 838-848. doi.org/10.3122/jabfm.2021.04.200374

Boudreau, PA, Steiman, I., & Mior, S. (2020). Ulawulo lweklinikhi ye-benign joint hypermobility syndrome: i-case series. J Can Chiropr Assoc, 64(1), 43-54. www.ncbi.nlm.nih.gov/pubmed/32476667

www.ncbi.nlm.nih.gov/pmc/articles/PMC7250515/pdf/jcca-64-43.pdf

Carbonell-Bobadilla, N., Rodriguez-Alvarez, AA, Rojas-Garcia, G., Barragan-Garfias, JA, Orrantia-Vertiz, M., & Rodriguez-Romo, R. (2020). [I-Joint hypermobility syndrome]. Acta Ortop Mex, 34(6), 441-449. www.ncbi.nlm.nih.gov/pubmed/34020527 (Sindrome de hipermovilidad articular.)

Luan, L., Zhu, M., Adams, R., Witchalls, J., Pranata, A., & Han, J. (2023). Iziphumo ze-acupuncture okanye unyango olufanayo lwe-needling kwiintlungu, i-proprioception, ibhalansi, kunye nomsebenzi wokuzichaza ngokuzimeleyo kubantu abanokungazinzi okungapheliyo kwe-ankle: ukuphononongwa okucwangcisiweyo kunye nohlalutyo lwe-meta. Mncedi Ther Med, 77, 102983. doi.org/10.1016/j.ctim.2023.102983

Nicholson, LL, Simmonds, J., Pacey, V., De Wandele, I., Rombaut, L., Williams, CM, & Chan, C. (2022). Iimbono zamazwe ngamazwe kwi-Joint Hypermobility: I-Synthesis yeNzululwazi yangoku ukuKhokela izikhokelo zeKlinikhi kunye noPhando. J Clin Rheumatol, 28(6), 314-320. doi.org/10.1097/RHU.0000000000001864

Russek, LN, Block, NP, Byrne, E., Chalela, S., Chan, C., Comerford, M., Frost, N., Hennessey, S., McCarthy, A., Nicholson, LL, Parry, J ., Simmonds, J., Stott, PJ, Thomas, L., Treleaven, J., Wagner, W., & Hakim, A. (2022). Ukunikezelwa kunye nokulawulwa konyango lomzimba wokungazinzi komlomo wesibeleko esiphezulu kwizigulane ezine-symptomatic generalized joint hypermobility: iingcebiso zeengcali zamazwe ngamazwe. Front Med (Lausanne), 9, 1072764. doi.org/10.3389/fmed.2022.1072764

Tofts, LJ, Simmonds, J., Schwartz, SB, Richheimer, RM, O'Connor, C., Elias, E., Engelbert, R., Cleary, K., Tinkle, BT, Kline, AD, Hakim, AJ , van Rossum, MAJ, & Pacey, V. (2023). Uxinzelelo oludibeneyo lwabantwana: isakhelo sokuxilonga kunye nophononongo olubalisayo. Orphanet J Rare Dis, 18(1), 104. doi.org/10.1186/s13023-023-02717-2

isikhanyeli

Indima yoNyango lweDecompression ekuBuyiselweni kweDisc Spinal

by UGqr Alex Jimenez | Chiropractic, Ubuhlungu obungapheliyo, Disc Disc, Ukuhamba kunye nokuguquguquka, Unyango lokuthotywa koMnqonqo, Uncedo Lwezityalo, Unyango, I-Viscerosomatic Reflex

Ngaba abantu abaneentlungu zomqolo ezintanyeni zabo kunye nomqolo bangasebenzisa unyango lwe-decompression ukubuyisela ubude be-spinal disc kwaye bafumane isiqabu?

intshayelelo

Abantu abaninzi abaqondi ukuba njengoko umzimba uya ukhula, kunjalo nomnqonqo. Umqolo yinxalenye yenkqubo ye-musculoskeletal enikezela ngenkxaso yesakhiwo kumzimba ngokuwugcina ulungile. Izihlunu ezijikelezileyo, iigaments, kunye nezicubu ezijikeleze umgudu zinceda ngokuzinza kunye nokuhamba, ngelixa i-disc ye-spinal kunye ne-joints inikezela ukuxutywa kokutshatyalaliswa kwisisindo esithe nkqo. Xa umntu ehamba kunye nemisebenzi yakhe yemihla ngemihla, umqolo unokuvumela umntu ukuba ahambe ngaphandle kweentlungu okanye ukungahambi kakuhle. Nangona kunjalo, njengoko ixesha lihamba, umqolo uhamba ngeenguqu eziguqukayo ezinokubangela intlungu kunye nokungahambi kakuhle emzimbeni, ngaloo ndlela ushiya umntu ukuba ajongane neeprofayili ezinobungozi ezinokuchaphazela intamo kunye nomva. Ukuza kuthi ga ngelo xesha, abantu abaninzi bafuna unyango lokunciphisa intlungu echaphazela umqolo wabo kunye nokubuyisela ukuphakama kwediski emizimbeni yabo. Inqaku lanamhlanje lijonga indlela iintlungu zomgogodla ezichaphazela ngayo intamo yomntu kunye nomva kunye nendlela unyango olufana nokuthotywa komgogodla kunokunciphisa intlungu yomgogodla kunye nokubuyisela ukuphakama kwediski. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya indlela intlungu yomgogodla inokuchaphazela kakhulu impilo yomntu kunye nomgangatho wobomi emizimbeni yabo. Siyazisa kwaye sikhokela izigulane malunga nendlela ukudibanisa ukuchithwa komgogodla kunokunceda ukunciphisa intlungu yomgogodla kunye nokubuyisela ukuphakama kwe-spinal disc. Sikhuthaza izigulana zethu ukuba zibuze ababoneleli bezonyango abanxulumene nabo imibuzo entsonkothileyo kunye nebalulekileyo malunga nokubandakanya unyango olungasebenzisi utyando kwindlela yempilo kunye nokuba sempilweni ukuze kuthomalaliswe iintlungu zomqolo kunye nokubuyisela umgangatho wobomi babo. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli.

Indlela iintlungu zoMnqonqo ezichaphazela ngayo iNtamo yoMntu kunye nomqolo

Ngaba uziva iintlungu ezingapheliyo zemisipha kunye neentlungu entanyeni nasemva? Ngaba ufumene ukuqina kunye nokuhamba okulinganiselweyo xa ujija kwaye ujika? Okanye ngaba izinto ezinzima zibangela ubunzima bemisipha xa usuka kwenye indawo ukuya kwenye? Abantu abaninzi baya kuba sendleleni kwaye babekwizikhundla ezingaqhelekanga ngaphandle kokuziva iintlungu kunye nokungakhululeki xa kufikwa kumqolo. Oku kubangelwa ukuba izihlunu ezijikelezileyo kunye nezicubu zoluliwe kwaye iidiski zomgogodla zithatha uxinzelelo oluthe nkqo kumqolo. Nangona kunjalo, xa iimeko zokusingqongileyo, ukulimala okubuhlungu, okanye ukuguga kwendalo kuqala ukuchaphazela umqolo, kunokukhokelela ekuphuhlisweni kweentlungu zomgogodla. Oku kungenxa yokuba inxalenye yangaphandle ye-spinal disc ilungile, kwaye inxalenye yangaphakathi yediski iyachaphazeleka. Xa uxinzelelo olungaqhelekanga luqala ukunciphisa umthamo wamanzi ngaphakathi kwediski, lunokuvuselela ngaphakathi kwi-receptors yentlungu ngaphandle kweempawu zeengcambu ze-nerve ngaphakathi kwediski. (Zhang et al., 2009) Oku kubangela ukuba abantu abaninzi bajongane neentlungu zentamo kunye nomqolo emizimbeni yabo kwaye banciphise umgangatho wobomi babo.

Iintlungu zomqolo zingakhokelela kwiiprofayili zomngcipheko ezidlulayo ezibangela ukuba abantu abaninzi bajongane neentlungu ezibuhlungu ezisezantsi kunye neentlungu zentamo, nto leyo ebangela ukuba izihlunu ezijikelezileyo zibe buthathaka, ziqine, kwaye zolule kakhulu. Ngelo xesha, iingcambu ze-nerve ezijikelezayo nazo zichaphazelekayo njengoko iintambo ze-nerve zijikeleze iindawo zangaphandle kunye nezangaphakathi ze-spinal disc, ezibangela iimpawu zentlungu ye-nociceptive entanyeni nasemva kwaye ikhokelela kwiintlungu ze-discogenic. (Coppes et al., 1997) Xa abantu abaninzi bejongene nentlungu ye-muscle ehambelana ne-spinal discs, ibangela umjikelezo we-pain-pain-pain onokuchaphazela imizimba yabo ngenxa yokungahambi ngokwaneleyo kunye nokubangela imisebenzi ye-muscular ebuhlungu xa uzama ukuhamba. (URoland, ngo-1986) Xa umntu enokuhamba okulinganiselweyo kubangela ukuba bafumane intlungu yomgogodla, ukuphakama kwabo kwediski yendalo kuncipha ngokukhawuleza, kubangela imiba emininzi emizimbeni yabo kunye nemithwalo yentlalontle yezoqoqosho. Ngethamsanqa, xa abantu abaninzi bejongene neentlungu zomgogodla, unyango oluninzi lunokunciphisa intlungu yomgogodla kunye nokubuyisela ubude babo bediski.

Amayeza okunyakaza-Ividiyo

Njani ukudodobala koMnqongo kunciphisa iintlungu zoMnqonqo

Xa abantu befuna unyango lweentlungu zabo zomqolo, abaninzi baya kufuna unyango lotyando ukunciphisa iintlungu zabo, kodwa kuya kuba yixabiso elincinci. Nangona kunjalo, abantu abaninzi baya kukhetha unyango olungasebenzisi utyando ngenxa yokufikeleleka kwabo. Unyango olungasebenzisi utyando luyonga kwaye luyakwazi ukwenzeka kwiintlungu zomntu kunye nokungonwabi. Ukusuka kukhathalelo lwe-chiropractic ukuya kwi-acupuncture, kuxhomekeke kubukhulu bentlungu yomntu, abaninzi baya kufumana isiqabu abasifunayo. Olunye lolona nyango lusandul’ ukusekwa lokunciphisa iintlungu zomqolo kukuthotywa komqolo. Ukunyanzeliswa komgogodla kuvumela umntu ukuba afakwe kwitafile yokutsala. Oku kungenxa yokuba itsala ngobunono kumqolo ukuze ilungelelanise i-spinal disc ngokunciphisa uxinzelelo kumnqonqo ukubiza inkqubo yokuphilisa yendalo yomzimba ukuthomalalisa iintlungu. (URamos noMartin, ngo-1994) Ukongezelela, xa abantu abaninzi besebenzisa ukunyanzeliswa komgogodla, ukunyanzeliswa kobumnene kunika ukuphazamiseka kwemoto kumqolo onokuthi ubangele utshintsho lomzimba kwi-spinal disc kwaye uncede ukubuyisela uluhlu lomntu ohambahambayo, ukuguquguquka, kunye nokuhamba. (U-Amjad et al., ngo-2022)

Ukuthotywa koMnqongo Ukubuyisela Ukuphakama kweDiskhi ye-Spinal

Xa umntu ebotshelelwa kumatshini wokunciphisa umgogodla, ukutsalwa okuthambileyo kunceda i-spinal disc ibuyele kumqolo, ivumela ulwelo kunye nezondlo ukuba zibuyisele umqolo, ukwandisa ukuphakama kwediski yomgogodla. Oku kungenxa yokuba i-spinal decompression idala uxinzelelo olubi kumqolo, okuvumela ukuba i-spinal disc ibuyele ekuphakameni kwayo kwasekuqaleni kwaye inike uncedo. Ngaphezu koko, into emangalisayo eyenziwa yi-spinal decompression kukuba inokudibaniswa kunye nonyango lomzimba ukunceda ukunweba kunye nokuqinisa imisipha ejikelezayo kufuphi nomgudu wokubonelela ukuzinza kunye nokuguquguquka. (Vanti et al., 2023) Oku kuvumela umntu ukuba acinge ngakumbi ngemizimba yakhe kwaye aqale ukubandakanya utshintsho oluncinci lomkhwa ukunciphisa intlungu ekubuyeni. Xa abantu abaninzi beqala ukucinga ngempilo yabo kunye nokuphila kakuhle ngokuya kunyango, baya kuphinda bafumane umgangatho wobomi kwaye babuyele kwimisebenzi yabo yemihla ngemihla ngaphandle kwemiba echaphazela umqolo wabo.

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

Coppes, MH, Marani, E., Thomeer, RT, & Groen, GJ (1997). Innervation yeediski "ezibuhlungu" ze-lumbar. Isihlwele (Phila Pa 1976), 22(20), 2342-2349; ingxoxo 2349-2350. doi.org/10.1097/00007632-199710150-00005

Ramos, G., & Martin, W. (1994). Iziphumo ze-vertebral axial decompression kuxinzelelo lwe-intradiscal. J Neurosurg, 81(3), 350-353. doi.org/10.3171/jns.1994.81.3.0350

Roland, MO (1986). Ukuphononongwa okubalulekileyo kobungqina bomjikelezo we-pain-pain-pain in disorder disorders. UClin Biomech (eBristol, eAvon), 1(2), 102-109. doi.org/10.1016/0268-0033(86)90085-9

Vanti, C., Saccardo, K., Panizzolo, A., Turone, L., Guccione, AA, & Pillastrini, P. (2023). Imiphumo yokongezwa kwe-mechanical traction kunyango lomzimba kwiintlungu ezisezantsi? Uphononongo olucwangcisiweyo kunye nohlalutyo lwemeta. Acta Orthop Traumatol Turc, 57(1), 3-16. doi.org/10.5152/j.aott.2023.21323

Zhang, YG, Guo, TM, Guo, X., & Wu, SX (2009). Ukuxilongwa kweklinikhi kwiintlungu ezisezantsi ze-discogenic. Int J Biol Sci, 5(7), 647-658. doi.org/10.7150/ijbs.5.647

isikhanyeli

I-acupuncture yokunciphisa iintlungu ezidibeneyo kwi-Lupus: Indlela yeNdalo

by UGqr Alex Jimenez | Unyango lwe-Acupuncture, Ubuhlungu obungapheliyo, Ukuhamba kunye nokuguquguquka, Unyango, I-Viscerosomatic Reflex

Ngaba abantu abajongene neentlungu ezidibeneyo banokubandakanya unyango lwe-acupuncture ukulawula iimpawu ze-lupus kunye nokubuyisela ukuhamba komzimba?

intshayelelo

Amajoni omzimba abaluleke kakhulu kumzimba njengoko umsebenzi wawo ophambili kukukhusela izakhiwo ezibalulekileyo kubahlaseli bangaphandle abanokuthi babangele imiba efana neentlungu kunye nokungonwabi. I-immune system inobudlelwane obuphilileyo kunye neenkqubo ezahlukeneyo zomzimba, kubandakanywa ne-musculoskeletal system, njengoko i-cytokines evuthayo inceda ukuphilisa umonakalo wemisipha kunye nezicubu xa umzimba wenzakala. Ngokuhamba kwexesha, nangona kunjalo, xa iimeko eziqhelekileyo zokusingqongileyo kunye nemfuzo ziqala ukukhula emzimbeni, amajoni omzimba aya kuqala ukuthumela ezi cytokines kwiiseli eziphilileyo, eziqhelekileyo. Ukuza kuthi ga ngelo xesha, umzimba uqala emngciphekweni wokuphuhlisa izifo ezizimelayo. Ngoku, izifo ezizimelayo emzimbeni zinokubangela isiphithiphithi ngokuhamba kwexesha xa zingalawulwa, nto leyo ekhokelela kwiziphazamiso ezingapheliyo ezinokubangela iimpawu ezidlulayo kwinkqubo ye-musculoskeletal. Esinye sezona zifo zixhaphakileyo ze-autoimmune yi-systemic lupus erythematosus okanye i-lupus, kwaye inokubangela ukuba umntu abe neentlungu ezingaguqukiyo kunye nokungonwabi ngelixa enxibelelana nezihlunu kunye neentlungu zamalungu. Inqaku lanamhlanje lijonga izinto kunye neziphumo ze-lupus, umthwalo wentlungu edibeneyo kwi-lupus, kunye nendlela iindlela ezipheleleyo ezifana ne-acupuncture ezinokunceda ukulawula i-lupus ngelixa ubuyisela ukuhamba komzimba. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya indlela yokunciphisa iintlungu ezibangelwa yi-lupus kumalungu. Siyazisa kwaye sikhokela izigulane malunga nendlela i-acupuncture enokunceda ngayo ukulawula i-lupus kunye nokudibanisa ezinye iindlela zonyango zokunciphisa iimpawu zayo ezinjengeentlungu ezichaphazela inkqubo ye-musculoskeletal system. Sikhuthaza abaguli bethu ukuba babuze ababoneleli babo bezonyango abahambelana nemibuzo ebalulekileyo malunga nokubandakanya unyango lwe-acupuncture ukukhulula iziphumo ezivuthayo ze-lupus ngelixa befumana iindlela zendalo zokubuyisela ukuhamba. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli.

Imiba kunye neziphumo zeLupus

Ngaba uye wafumana intlungu edibeneyo kwiindawo zakho eziphezulu okanye ezisezantsi, okwenza kube nzima ukusebenza imini yonke? Ngaba ubusoloko uziva iziphumo zokudinwa rhoqo? Abantu abaninzi abahlangabezana nale miba efana neentlungu banokubeka emngciphekweni wokuphuhlisa i-systemic lupus erythematosus. Kwesi sifo se-autoimmune, amajoni omzimba aqala ngempazamo ukuhlasela izicubu zawo, nto leyo ekhokelela ekudumbeni kunye noluhlu lweempawu ezinjengeentlungu. I-Lupis inobuqili bokuxilonga ngenxa ye-immune dysregulation entsonkothileyo enokukhokelela ekuveliseni kakhulu iicytokines ezinokuchaphazela umzimba. (ULazar & Kahlenberg, 2023Kwangaxeshanye, i-lupus inokuchaphazela abantu abahlukeneyo, kunye neempawu kunye nokuqina okungafaniyo kuxhomekeke kwindlela ezibuthathaka okanye ezinzima ngayo izinto ezichaphazela umzimba. I-Lupus inokuchaphazela amalungu ahlukeneyo omzimba, kubandakanya amalungu, ulusu, izintso, iiseli zegazi, kunye namanye amalungu abalulekileyo omzimba kunye namalungu, njengoko izinto zokusingqongileyo kunye nehomoni zinokuchaphazela ukukhula kwayo. (Tsang & Bultink, 2021) Ukongezelela, i-lupus inokudityaniswa ngokusondeleyo kunye nezinye izinto ezibangela ukugqithiswa kweeprofayili ezinobungozi kunye nokuvuvukala okunokuchaphazela amajoyina kwi-musculoskeletal system.

Umthwalo weentlungu ezidibeneyo kwiLupus

I-Lupus inobuqili ukuyifumanisa kuba ihlala ilinganisa ezinye izigulo; olona phawu luqhelekileyo lwentlungu oluchaphazela ilupus ngamalunga. Abantu abane-lupus bafumana intlungu edibeneyo, enokubangela iziphumo ezivuthayo kunye nomonakalo wesakhiwo kumalungu, imisipha, imisipha kunye namathambo, okubangela ukungahambi kakuhle kwe-pathological. (UDi Matteo et al., 2021) Ekubeni i-lupus ibangela iziphumo ezivuthayo kumalungu, abantu abaninzi baya kucinga ukuba bafumana i-arthritis evuthayo, kwaye inokubangela ukugqithiswa kweeprofayili zengozi njengoko ihamba kunye ne-lupus, ngaloo ndlela ibangela intlungu yendawo kumalungu kungakhathaliseki ukuba imvelaphi yayo. (Senthelal et al., 2024) Intlungu edibeneyo kubantu be-lupus inokuthintela kakhulu imisebenzi yemihla ngemihla, ukunciphisa ukuhamba kunye nomgangatho wobomi bonke njengoko bezama ukufumana isiqabu.

Ukuvula iiMfihlo zoKudumba-Ividiyo

Indlela epheleleyo yokulawula iLupus

Nangona unyango oluqhelekileyo lwe-lupus lubandakanya amayeza kunye ne-immunosuppressants ukunciphisa ukuvuvukala okubangelwa yi-lupus, abantu abaninzi bafuna ukufuna iindlela ezipheleleyo zokulawula i-lupus kunye nokunciphisa iziphumo ezivuthayo ezichaphazela amalungu abo ngokwenza utshintsho oluncinci ebomini babo. Abantu abaninzi bafaka ukutya okuchasene nokudumba okutyebileyo kwi-antioxidants ukudambisa iziphumo ezivuthayo. Izongezelelo ezahlukeneyo, ezifana ne-vitamin D, i-calcium, i-zinc, njl., zinokunceda ukunciphisa ukuvuvukala okubangelwa yi-lupus kunye nokomeleza impilo yamathambo. Ukongezelela, unyango olungelulo utyando lunokuphucula umthamo we-cardiorespiratory kunye nokunciphisa ukukhathala ngelixa uphucula umsebenzi wengqondo, onokunceda ukuphucula umgangatho wobomi bomntu ngokulawula iimpawu ezibangelwa yi-lupus. (Fangtham et al., 2019)

Ingayinceda njani i-Lupus kunye nokubuyisela ukuHamba

Enye yezona ndlela zindala zeendlela ezingezizo utyando kunye nezipheleleyo zokunciphisa ukudumba kunye nokulawula i-lupus yi-acupuncture. I-acupuncture ibandakanya iinaliti eziqinileyo, ezincinci ezisetyenziswa ngabaqeqeshi abaqeqeshwe kakhulu ukuba bafakwe kumanqaku athile omzimba ukulinganisa i-qi yomzimba (amandla) ngokuvuselela inkqubo ye-nervous kunye nokukhulula iikhemikhali eziluncedo kwimisipha echaphazelekayo, intambo yomgogodla kunye nengqondo. Ukongeza, i-acupuncture, eneziphumo zayo ezincinci kunye nendlela epheleleyo, inokunceda ukulawula i-lupus. Oku kungenxa yokuba xa iinaliti ze-acupuncture zifakwe kwii-acupoints zomzimba, zinokuphazamisa iimpawu zentlungu ezibangela intlungu kwindawo echaphazelekayo kwaye zilawule i-cytokines evuthayo esuka kwi-lupus ukubonelela ngokukhululeka. (Wang et al., 2023) Oku kungenxa yefilosofi yayo yokujongana neentlungu zomzimba kuphela kodwa kunye neempawu zeemvakalelo nezengqondo zokuphila kunye nesifo esingapheliyo njenge-lupus.

Ukongezelela, i-acupuncture inokunceda ukubuyisela ukuhamba ngokubambisana ngelixa ulawula i-lupus ngokusebenzisa unyango olulandelelanayo, njengoko abantu abaninzi beqaphela ukuba ukuhamba kwabo ngokubambisana kuphuculwe kwaye intlungu yabo iyancipha. Oku kungenxa yokuba ukufakwa kunye nokuguqulwa kweenaliti kwi-acupoints yomzimba kubangela ukuguqulwa kwigalelo le-afferent sensory kwinkqubo ye-nervous central, eyandisa i-alpha motoneuron excitability kunye nokunciphisa ukuvutha. (UKim et al., 2020) Xa abantu bejongana ne-lupus kwaye bezama ukufumana ezinye iindlela ezipheleleyo zokuphelisa ukudumba kunye neentlungu ezidibeneyo ezibangelwa yi-lupus, i-acupuncture, kunye nonyango olungelulo utyando lunokunika i-ray yethemba ekulawuleni imingeni yemihla ngemihla ye-lupus.

Ucaphulo

Di Matteo, A., Smerilli, G., Cipolletta, E., Salaffi, F., De Angelis, R., Di Carlo, M., Filippucci, E., & Grassi, W. (2021). Ukufanekisa ukuBandakanya kweTissue eDityanisiweyo kunye neSoft kwi-Systemic Lupus Erythematosus. Curr Rheumatol Rep, 23(9), 73. doi.org/10.1007/s11926-021-01040-8

Fangtham, M., Kasturi, S., Bannuru, RR, Nash, JL, & Wang, C. (2019). Unyango olungelulo lwe-pharmacologic lwe-systemic lupus erythematosus. Lupus, 28(6), 703-712. doi.org/10.1177/0961203319841435

UKim, D., Jang, S., & Park, J. (2020). I-Electroacupuncture kunye ne-Manual Acupuncture Yongeza i-Flexibility Joint kodwa Ukunciphisa Amandla Emisipha. Ukhathalelo lwempilo (Basel), 8(4). doi.org/10.3390/healthcare8040414

ULazar, S., & Kahlenberg, JM (2023). I-Systemic Lupus Erythematosus: IiNdlela eziNtsha zokuHlola kunye noNyango. UAnn uMfundisi Med, 74, 339-352. doi.org/10.1146/annurev-med-043021-032611

Senthelal, S., Li, J., Ardeshirzadeh, S., & Thomas, MA (2024). Isifo samathambo. Kwi StatPearls. www.ncbi.nlm.nih.gov/pubmed/30085534

Tsang, ASMWP, & Bultink, IEM (2021). Uphuhliso olutsha kwi-systemic lupus erythematosus. Rheumatology (Oxford), 60(Suppl 6), vi21-vi28. doi.org/10.1093/rheumatology/keab498

Wang, H., Wang, B., Huang, J., Yang, Z., Ingoma, Z., Zhu, Q., Xie, Z., Sun, Q., & Zhao, T. (2023). Ukusebenza kunye nokukhuseleka konyango lwe-acupuncture kunye ne-pharmacotherapy eqhelekileyo kunyango lwe-systemic lupus erythematosus: ukuphononongwa ngokuchanekileyo kunye nohlalutyo lwe-meta. Iyeza (Baltimore), 102(40), e35418. doi.org/10.1097/MD.0000000000035418

isikhanyeli

Lala Ngcono ngezi Ncebiso zokuHamba kweBhedi

by UGqr Alex Jimenez | Ukuhamba kunye nokuguquguquka, Ukulala Ucoceko

Abantu ngabanye ekubuyiselweni kokuhlinzwa emva kokuhlinzwa okanye ukujongana nokugula okanye ukulimala banokufumana imisipha ebuthakathaka kunye nokunyamezela okunokubangela ukulahleka kwexeshana lokuhamba kokulala kunye nokungakwazi ukuhamba ngokuqhelekileyo ngenxa yobuthathaka, ukunciphisa uluhlu lokunyakaza, okanye intlungu. Ngaba banokuzuza kunyango lomzimba ukunceda ukubuyela ekuhambeni okuqhelekileyo kokusebenza?

Ukuhamba kokulala

Kubantu abalaliswe esibhedlele okanye ekhaya ngenxa yokwenzakala, ukugula, okanye ukuchacha kotyando, ugqirha womzimba uya kuvavanya iindawo ezahlukeneyo zokuhamba komsebenzi. Oku kubandakanya ukudluliselwa - ukusuka kwindawo yokuhlala ukuya kwiindawo zokuma, ukuhamba, kunye nokuhamba kokulala. Ukuhamba kokulala kukukwazi ukwenza iintshukumo ezithile ngelixa ebhedini. Umgqirha unokuvavanya ukulala okanye ukuhamba kwebhedi kwaye acebise izicwangciso kunye nokuzivocavoca ukuphucula ukunyakaza. (O'Sullivan, SB, Schmitz, TJ 2016) Umgqirha unokuthi umntu asebenzise izixhobo ezithile, njenge-trapeze phezu kwebhedi okanye ibhodi yokutyibiliza, ukunceda ukuhambahamba.

Ukuhamba kwebhedi kunye nokulala

Xa ugqirha womzimba ejonga ukuhamba, baya kuvavanya iintshukumo ezahlukeneyo ezibandakanya: (O'Sullivan, SB, Schmitz, TJ 2016)

Ukusuka ekuhlaleni ukuya kulala phantsi.
Ukusuka ekungqengqeni ukuya kuhlala.
Ukuqengqeleka.
Ukutyibilika okanye ukutyibilika phezulu okanye ezantsi.
Ukutyibilika okanye ukutyibilika emacaleni.
Ukujija.
Ukufikelela.
Ukuphakamisa isinqe.

Zonke ezi ntshukumo zifuna amandla kumaqela ahlukeneyo emisipha. Ngokujonga ukunyakaza komntu ngamnye ekuhambeni kokulala, umgqirha unokusebenza amaqela athile emisipha anokuthi abe buthathaka kwaye afune ukuzivocavoca okujoliswe kuyo kunye nokwelula ukubuyisela ukuhamba ngokuqhelekileyo. (O'Sullivan, S. B., Schmitz, T. J. 2016) Abantu abatyelela ingcali kwikliniki yezigulane ezingalaliswanga okanye kwindawo yokubuyisela kwimeko yesiqhelo banokuba nomsebenzi ngamnye wokuhamba kokulala kwitafile yonyango. Iintshukumo ezifanayo kwitafile yonyango inokwenziwa ebhedini.

ukubaluleka

Umzimba wenzelwe ukuhamba.

Kubantu abangakwaziyo ukuhamba kakuhle ebhedini yabo, umzimba unokuba ne-atrophy engasetyenziswayo okanye ukuphelelwa ngamandla kwezihlunu, nto leyo enokukhokelela kubunzima. Ukungakwazi ukuhamba kunokukhokelela kwizilonda zoxinzelelo, ngakumbi kubantu abaxinzelelwe kakhulu kwaye / okanye bahlale kwindawo enye ixesha elide. Impilo yolusu inokuqalisa ukuwohloka, nto leyo ekhokelela kumanxeba abuhlungu afuna ukhathalelo olukhethekileyo. Ukukwazi ukuhamba-hamba ebhedini kunokunceda ukukhusela izilonda zoxinzelelo. (Surajit Bhattacharya, RK Mishra. 2015)

Phuculo

Umgulana womzimba unokumisela umthambo othile wokuqinisa amaqela emisipha kunye nokuphucula ukuhamba kokulala. Izihlunu ziquka:

Izihlunu zamagxa kunye ne-rotator cuff.
Triceps kunye biceps ezingalweni.
Izihlunu zeGluteus ezinqeni.
hamstrings
IiQuadriceps
Izihlunu zethole

Amagxa, iingalo, isinqe, kunye nemilenze zisebenza kunye xa uhambisa umzimba ebhedini.

Imithambo eyahlukeneyo

Ukuphucula ukuhamba kwebhedi, ukuzivocavoca umzimba kungabandakanya:

Ukuzivocavoca okuphezulu
Ukujikeleza kwesiqu esisezantsi
Ukuzivocavoca kweGlute
Iibhlorho
Umlenze uphakama
Ii-arc quads ezimfutshane
Iimpompo ze-ankle

Iingcali zonyango ziqeqeshelwe ukuvavanya ezi ntshukumo kunye nemisebenzi kunye nokumisela unyango ukuphucula intshukumo yomzimba. (O'Sullivan, SB, Schmitz, TJ 2016) Ukugcina ukuqina komzimba okufanelekileyo kunokunceda umzimba uhlale usebenza kwaye uhamba. Ukwenza ukuqeqeshwa kokuhamba okuchazwe ngumgulana womzimba kunokugcina amaqela afanelekileyo emisipha esebenza ngokufanelekileyo, kwaye ukusebenza kunye nomgulana womzimba kunokuqinisekisa ukuba ukuzivocavoca ngokuchanekileyo kwimeko kwaye kwenziwa ngokufanelekileyo.

Ukuphucula impilo yakho

Ucaphulo

O'Sullivan, S. B., Schmitz, T. J. (2016). Ukuphucula iZiphumo eziSebenzayo ekuBuyiselweni kwiSimo soMzimba. EUnited States: Inkampani yeFA Davis.

Bhattacharya, S., & Mishra, RK (2015). Izilonda zoxinzelelo: Ukuqonda kwangoku kunye neendlela ezintsha zonyango. Ijenali yaseIndiya yotyando lweplastiki : ukupapashwa ngokusemthethweni koMbutho wooGqirha bePlastiki baseIndiya, i-48 (1), i-4-16. doi.org/10.4103/0970-0358.155260

Impilo Yakho YePelvic: Isikhokelo soNyango loNyango loMgangatho wePelvic

by UGqr Alex Jimenez | Chiropractic, Ukuhamba kunye nokuguquguquka

Kubantu abafumana iimpawu zentlungu ye-pelvis kunye neengxaki ezinxulumene nazo, ngaba ukudibanisa i-pelvic floor i-physical treatment exercises kunceda kunyango kunye nokuthintela?

UNyango loNyango loMgangatho wePelvic

Izihlunu zomgangatho we-pelvic zibekwe kwisiseko se-pelvis kwaye zikhusela amalungu e-pelvic afana nelungu lobufazi, umlomo wesibeleko, isibeleko, isinyi, urethra kunye ne-rectum. (Ulawulo lokutya kunye neziyobisi lwase-US. 2019)
Banikezela ngenkxaso yokuma, uncedo ekusebenzeni kwe-orgasm, ukuququzelela umsebenzi we-sphincter, kunye nokunceda ukupompa igazi le-lymphatic. (Dulcegleika Vilas Boas Sartori, et al., 2021) (Varuna Raizada, Ravinder K. Mittal. 2008)

Xa izihlunu zisilela ukusebenza ngokuchanekileyo, abantu banokufumana iimpawu ezinje:

Ukwabelana ngesondo okubuhlungu
Iprolapse - xa ilungu okanye izicubu ziwa okanye zisuka endaweni.
Ukungabikho kwamanzi e-Urinary
Iingxaki zokuqunjelwa
Ezi meko zixhaphakile kubantu abakhulelweyo okanye kwabasetyhini abadala.

Ezi mpawu zinokunyangwa ngonyango lwe-pelvic floor ukuthomalalisa ukungakhululeki. Unyango lomzimba lomgangatho wePelvic lunokunceda abafazi kunye nabantu abaneentsholongwane zangasese:

Ukunciphisa imiba efana nesondo esibuhlungu, ukuvuza komchamo, kunye ne-prolapse.
Kunyango lomzimba, abantu basebenzela ukuphefumla, ukuphumla, kunye nokwandisa kunye nokomeleza iindlela zokuqeqesha izihlunu zabo ukuba zisebenze ngokufanelekileyo.

Oonobangela beMiba yoMgangatho wePelvic

Ukungasebenzi kakuhle komgangatho wePelvic kudla ngokwenzeka ngobudala, ngexesha lokukhulelwa, okanye kudityaniswe neziganeko ezinjengexesha lokubeleka kunye nokuyeka ukuya exesheni, ezinokuthoba amanqanaba ehomoni.

Abantu abakhulelweyo baqhelene kakhulu nemiba ye-pelvic floor kodwa basenokungazi ukuba banengxaki.
Ubunzima bokukhulelwa kwesibeleko bunokuxinzelela kunye noxinzelelo lwemisipha.
Ukubeleka kwilungu lobufazi nako kunokolula okanye kwenze buthathaka izihlunu. (U-Ilaria Soave, et al., 2019)

iimpawu

Iimpawu zinokubandakanya: (Columbia Surgery. 2022)

Intlungu kwingingqi ye-pelvis
Umqolo obuhlungu
Ukuchama kabuhlungu
Ukutyunjwa
Ukuvuza komchamo okanye ukungakwazi ukuzibamba
Ukuvuza kwesitulo okanye ukungakwazi ukuzibamba
Ukwabelana ngesondo okubuhlungu
Ukuba azinyangwa, ezi mpawu zinokuba mandundu ekuhambeni kwexesha.

UNyango loNyango loMgangatho wePelvic

Umntu uya kudibana nengcali ukuze axoxe ngeempawu kunye novavanyo lomzimba olubandakanya:

Uvavanyo lomgangatho wePelvic.
Uvavanyo lokuma, ukushukuma, kunye namandla angundoqo.
Nje ukuba iimviwo zokuqala kunye novavanyo zigqityiwe, ugqirha uya kudlula kwimithambo yomgangatho we-pelvic kwaye anike isicwangciso sonyango.
Ukuzivocavoca okucetyiswayo kuyahluka ngokusekelwe kwiimpawu kodwa kugxininise ekuphumleni, ukuzolula, kunye / okanye ukomeleza imisipha.

Ukuphumla kwezihlunu

Ukuphumza izihlunu, ingcali yokunyanga inokuncomela ukwenza umthambo wokuphefumla.
Kubantu abakhulelweyo, oku kuthetha ukubeka ixesha lokuphefumla kunye nokuxhuzula.
Kubantu abajongene nokuqhina, imithambo yokuphefumla inokunceda umzimba uphumle kwaye unciphise uxinzelelo.

Ukuzolula izihlunu

Ukolula kunokunceda ukukhulula ukuqina kwemisipha kunye nokuqina.
Ugqirha unokunceda ukolula umgangatho we-pelvic ngeendlela ezahlukeneyo zonyango.
Olu hlobo lonyango lomzimba lunokunceda ukukhulula izihlunu eziqinileyo okanye luncede ngokucokisekileyo ukubuyisela amalungu asusiweyo endaweni.

Ukomeleza Izihlunu

Emva kokuba umgangatho we-pelvic ukhululekile kwaye ukhululekile, ukugxila ngokuqhelekileyo kutshintshela ukuqinisa imisipha.
Umsebenzi wamandla unokujolisa izihlunu zesisu okanye izihlunu zomgangatho we-pelvic ngokwazo.

Ngokuhamba kwexesha, ukuzibophelela, kunye nonyango ekujoliswe kulo, abantu banokusebenzisa unyango lwe-pelvic floor ukuze bakhulule izicubu, bomeleze izihlunu, kwaye buyisela umsebenzi.

Ukuqhawuka koMnqonqo kubunzulu

Ucaphulo

Ulawulo lokutya kunye neziyobisi lwase-US. (2019). Ukunyuka kwelungu le-pelvic (pop).

Sartori, DVB, Kawano, PR, Yamamoto, HA, Guerra, R., Pajolli, PR, & Amaro, JL (2021). Amandla emisipha yomgangatho we-pelvic ahambelana nomsebenzi wesondo. Uphando kunye ne-urology yeklinikhi, i-62 (1), i-79-84. doi.org/10.4111/icu.20190248

URaizada, V., & Mittal, RK (2008). I-Pelvic floor anatomy kunye ne-application physiology. Iikliniki zeGastroenterology zaseMntla Melika, 37(3), 493–vii. doi.org/10.1016/j.gtc.2008.06.003

Soave, I., Scarani, S., Mallozzi, M., Nobili, F., Marci, R., & Caserta, D. (2019). Ukuqeqeshwa kwemisipha ye-pelvic yokukhusela kunye nokunyangwa kwe-urinary incontinence ngexesha lokukhulelwa nangemva kokubeleka kunye nefuthe layo kwinkqubo ye-urinary kunye nezakhiwo ezixhasayo ezihlolwe ngeendlela zokulinganisa iinjongo. Ii-Archives ze-gynecology kunye ne-obstetrics, i-299 (3), i-609-623. doi.org/10.1007/s00404-018-5036-6

Columbia Surgery. (2022). Ukuphazamiseka komgangatho wePelvic: imibuzo ebuzwa rhoqo.

Kuphephe ukuqhambuka kwePlantar Fasciitis ngezi ngcebiso

by UGqr Alex Jimenez | IiOthotics zeenyawo, Ukuhamba kunye nokuguquguquka

Abantu abane-plantar fasciitis banokufumana ama-flare-ups angaguqukiyo. Ngaba ukwazi oonobangela kunokunceda ufumane isiqabu seentlungu?

I-Plantar Fasciitis Ukugqabhuka

I-Plantar fasciitis yimbangela eqhelekileyo yesithende kunye neentlungu zeenyawo. I-plantar fascia yimbumba yezicubu ezihamba emazantsi onyawo kwaye zivutha. Izinto ezithile zinokubangela ukugqabhuka kwe-plantar fasciitis, kubandakanya:

Ukunyuka kwamanqanaba okusebenza komzimba.
Ukungolula rhoqo.
Ukunxiba izihlangu ngaphandle kwenkxaso efanelekileyo.
Ukutyeba kwakho.