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.
by UGqr Alex Jimenez Chiropractic , Ubuhlungu obungapheliyo , Ukuhamba kunye nokuguquguquka , Unyango lokuthotywa koMnqonqo , Uncedo Lwezityalo , Unyango , I-Viscerosomatic Reflex
Ukunciphisa umqolo kunokunciphisa njani intlungu ngelixa ubuyisela ukuguquguquka komgogodla kubantu abaninzi abaneengxaki ze-lumbar degenerative?
intshayelelo
Njengoko sikhula ngokwemvelo, ngokunjalo nemiqolo yethu kunye neediski zomgogodla, njengoko ulwelo lwendalo kunye nezondlo ziyeka ukukhupha iidiski kwaye zibangele ukuba zihlambuluke. Xa i-disc degeneration iqala ukuchaphazela umqolo, inokubangela iimpawu ezinjengeentlungu kwimimandla ye-lumbar, enokuthi iphuhlise ibe yintlungu ephantsi okanye ezinye izifo ze-musculoskeletal ezichaphazela imilenze ephantsi. Xa i-disc degeneration iqala ukuchaphazela ummandla we-lumbar, abantu abaninzi baya kuqaphela ukuba abaguquki njengokuba babebancinci. Iimpawu ezibonakalayo zokunciphisa izihlunu zabo ekuphakamiseni okungafanelekanga, ukuwa, okanye ukuthwala izinto ezinzima kunokubangela ukuxhatshazwa kwemisipha kunye neentlungu. Xa oku kusenzeka, abantu abaninzi baya kunyanga iintlungu ngamayeza asekhaya, anokuthi anike isiqabu sexeshana kodwa angayenza ibe mandundu ngakumbi xa abantu bephinda-phinda kwi-lumbar spine, enokubangela ukulimala. Ngethamsanqa, unyango olungenalo utyando olunokunceda ukucotha inkqubo ye-disc degeneration ngelixa ubuyisela i-spinal disc. Inqaku lanamhlanje lijonga ukuba kutheni i-disc degeneration ichaphazela ukuguquguquka kwe-lumbar kunye nendlela unyango olufana ne-spinal decompression lunciphisa ukuchithwa kwe-disc ngelixa libuyisela ukuguquguquka kwe-lumbar. Ngokuzenzekelayo, sinxibelelana nababoneleli bezonyango abaqinisekisiweyo ababandakanya ulwazi lwezigulane zethu ukubonelela ngezicwangciso zonyango ezahlukeneyo zokunciphisa inkqubo yokunciphisa i-disc kunye nokubonelela intlungu. Siyabazisa kwakhona ukuba kukho iindlela ezingezona zokuhlinzwa zokunciphisa iimpawu ezinjengeentlungu ezinxulumene nokuguqulwa kwe-disc kunye nokunceda ukubuyisela ukuguquguquka kwe-lumbar. Sikhuthaza izigulana zethu ukuba zibuze imibuzo emangalisayo yemfundo kubaboneleli bethu bezonyango abanxulumeneyo malunga neempawu zabo ezihambelana nentlungu yomzimba kwindawo ekhuselekileyo nelungileyo. UDkt Alex Jimenez, DC, udibanisa olu lwazi njengenkonzo yezemfundo. isikhanyeli
I-DDD iyichaphazela njani iLumbar Flexibility?
Ngaba uye wafumana ukuqina emqolo xa uvuka ekuseni? Ngaba uziva uqaqamba nezihlunu xa ugoba kwaye uchola izinto ezinzima? Okanye ngaba uziva iintlungu ezikhuphayo emilenzeni nasemqolo? Xa abantu abaninzi besentlungwini engathethekiyo, abaninzi abadli ngokuqaphela ukuba iintlungu zabo ezisezantsi zinokunxulunyaniswa ne-spinal disc yabo ewohlokayo. Ekubeni i-spinal disc kunye nomzimba unokuhla ngokwemvelo, kunokukhokelela ekuphuhlisweni kweengxaki ze-musculoskeletal. I-DDD, okanye isifo se-disc degenerative, yimeko eqhelekileyo yokukhubazeka enokuthi ichaphazele kakhulu inkqubo ye-musculoskelet kwaye iyona nto ibangela ukuba abantu balahlekelwe yimisebenzi yabo yemihla ngemihla. ( I-Cao et al., 2022 ) Xa izinto eziqhelekileyo okanye ezibuhlungu ziqala ukubangela ukunyakaza okuphindaphindiweyo kumqolo, kunokubangela ukuba i-spinal disc ixinzelelwe kwaye, ngokuhamba kwexesha, iyancipha. Oku ke, kubangela ukuba umnqonqo ungabi bhetyebhetye kwaye ube ngumngeni wentlalo noqoqosho.
Xa i-disc degeneration iqala ukubangela ukuguquguquka komgogodla, kunokukhokelela ekuphuhlisweni kweentlungu ezisezantsi. Ekubeni intlungu ephantsi ye-back back yinkxalabo yezempilo eqhelekileyo, inokuchaphazela abantu abaninzi emhlabeni jikelele, njengoko ukuchithwa kwe-disc kuyinto eqhelekileyo. ( USamanta et al., 2023 ) Ekubeni i-disc degeneration yi-multi-factorial disorder, iinkqubo ze-musculoskeletal kunye ne-organ nazo zichaphazelekayo njengoko zingabangela intlungu ethunyelwe kwiindawo ezahlukeneyo zomzimba. Ngethamsanqa, abantu abaninzi banokufumana unyango abalufunayo, njengoko abaninzi befuna ukukhululeka kwiintlungu ezininzi ezibangelwa yi-disc degeneration.
Ukwenzakala kwiLumbar Spine kwiimbaleki- Ividiyo
VIDEO
Ekubeni i-disc degeneration yimbangela eninzi yokukhubazeka, ingaba ngumthombo oyintloko wentlungu emva. Xa izinto eziqhelekileyo zifaka isandla kwiintlungu zangasemva, mhlawumbi zihambelana ne-disc degeneration kwaye zingabangela i-cellular, i-structural, i-compositional, kunye ne-mechanical utshintsho kuwo wonke umgudu. ( U-Ashinsky et al., 2021 ) Nangona kunjalo, abantu abaninzi abafuna unyango banokujonga kunyango olungasebenzisi utyando njengoko lungabizi kakhulu kwaye lukhuselekile kumqolo. Unyango olungasebenzisi utyando lukhuselekile kwaye luthambile kumqolo njengoko lunokwenziwa ngokwezifiso kwiintlungu zomntu kwaye zidityaniswe nezinye iindlela zonyango. Olunye unyango olungelulo utyando kukuthotywa komqolo, osebenzisa ukutsalwa okuthambileyo kumqolo ukubuyisela amanzi kwidiski yomqolo ukusuka ekuwohlokeni kunye nokunceda ukukhaba-ukuqala inkqubo yokuphilisa yendalo yomzimba. Ividiyo engentla ibonisa indlela ukuguqulwa kwe-disc ehambelana ngayo ne-disc herniation kunye nendlela ezi zonyango ezinokuthi zinciphise imiphumo efana nentlungu kumqolo.
Ukunciphisa uMnqongo Ukunciphisa iDDD
Xa abantu abaninzi besiya kunyango lwe-disc degeneration, abaninzi baya kuhlala bezama ukudodobala komgogodla njengoko kunokwenzeka. Uninzi lwabaqeqeshi bezempilo baya kuvavanya umntu ngokwenza isicwangciso somntu ngaphambi kokungena kumatshini wokutsala. Abantu abaninzi baya kufumana i-CT scan ukuvavanya utshintsho olubangelwa yi-DDD. ( Dullerud kunye neNakstad, ngo-1994 ) Oku kugqiba ukuba isithuba sediski sinzima kangakanani. Umatshini wokutsalwa kwe-spinal decompression umisela ixesha elifanelekileyo lonyango, ukuphindaphinda, kunye nendlela yokulawula i-traction kumqolo ukunciphisa i-DDD. ( Pellecchia, ngo-1994 ) Ukongezelela, ukusebenza kakuhle kwe-traction ukusuka kwi-spinal decompression kunokunceda abantu abaninzi abanomqolo ophantsi kwaye banike uncedo. ( Beurskens et al., 1995 )
Ucaphulo
Ashinsky, B., Smith, HE, Mauck, RL, & Gullbrand, SE (2021). I-intervertebral disc degeneration kunye nokuvuselelwa: imbono yecandelo lentshukumo. I-Eur Cell Mater , 41 , 370-380. doi.org/10.22203/eCM.v041a24
Beurskens, AJ, de Vet, HC, Koke, AJ, Lindeman, E., Regtop, W., van der Heijden, GJ, & Knipschild, PG (1995). Ukusebenza kwe-traction kwiintlungu ezisezantsi ezisezantsi: uvavanyo lweklinikhi olungahleliwe. Lancet , 346 (8990), 1596-1600. doi.org/10.1016/s0140-6736(95)91930-9
Cao, G., Yang, S., Cao, J., Tan, Z., Wu, L., Dong, F., Ding, W., & Zhang, F. (2022). Indima ye-Oxidative Stress kwi-Intervertebral Disc Degeneration. Oxid Med Iseli Longev , 2022 , 2166817. doi.org/10.1155/2022/2166817
Dullerud, R., & Nakstad, PH (1994). Utshintsho lwe-CT emva konyango olulondolozayo lwe-lumbar disk herniation. Acta Radiol , 35 (5), 415-419. www.ncbi.nlm.nih.gov/pubmed/8086244
Pellecchia, GL (1994). I-Lumbar traction: uphononongo loncwadi. J Orthop Sports Phys Ther , 20 (5), 262-267. doi.org/10.2519/jospt.1994.20.5.262
Samanta, A., Lufkin, T., & Kraus, P. (2023). I-Intervertebral disc degeneration-Iinketho zangoku zonyango kunye nemingeni. Impilo yoLuntu ePhambili , 11 , 1156749. doi.org/10.3389/fpubh.2023.1156749
isikhanyeli
by UGqr Alex Jimenez Chiropractic , Ubuhlungu obungapheliyo , Ukuhamba kunye nokuguquguquka , Unyango lokuthotywa koMnqonqo , Uncedo Lwezityalo , Unyango , I-Viscerosomatic Reflex
Ngaba abaqeqeshi bezempilo banokubanceda abantu abaneentlungu zomqolo ngokubandakanya ukuxinzezeleka komqolo okungekho kotyando ukubuyisela ukuhamba?
intshayelelo
Abantu abaninzi abaqapheli ukuba ukubeka uxinzelelo olungafunekiyo kwimiqolo yabo kunokukhokelela kwiintlungu ezingapheliyo ngaphakathi kweediski zabo zomgogodla ezichaphazela ukuhamba komgogodla. Oku ngokuqhelekileyo kwenzeka ngemisebenzi enzima efuna abantu ukuba baphathe izinto ezinzima, ukunyathela ngokungahambi kakuhle, okanye ukungasebenzi ngokomzimba, okubangela ukuba izihlunu ezijikelezayo zangasemva zigqithiswe kwaye zikhokelela kwiintlungu ezigqithisiweyo ezichaphazela iindawo eziphezulu kunye nezisezantsi zomzimba. Oku kunokubangela ukuba abantu baye koogqirha babo bokuqala ukuze banyangelwe iintlungu zomqolo. Oku kukhokelela ekubeni baphoswe ziishedyuli zabo zokusebenza ezixakekileyo kwaye bahlawule ixabiso eliphezulu ukuze banyangwe. Iintlungu zangasemva ezihambelana nemiba yomgogodla inokuba yingxaki enkulu kwaye ibenze bazive belusizi. Ngethamsanqa, ezininzi iinketho zeklinikhi zinendleko kwaye zenziwe ngumntu kubantu abaninzi abajongene neentlungu zomqolo ezibangela ukuba bafumane isiqabu esibafaneleyo. Inqaku lanamhlanje lijolise ekubeni kutheni intlungu yomgogodla ichaphazela abantu abaninzi kunye nendlela ukuchithwa komgogodla kunokunceda ukunciphisa intlungu yomgogodla kunye nokubuyisela ukuhamba komgogodla. Ngokuzenzekelayo, sinxibelelana nababoneleli bezonyango abaqinisekisiweyo ababandakanya ulwazi lwezigulane zethu ukubonelela ngezicwangciso zonyango ezahlukeneyo zokunciphisa intlungu yomgogodla echaphazela umqolo wabo. Siyabazisa kwakhona ukuba kukho iindlela ezingezizo utyando zokunciphisa iimpawu ezinjengeentlungu ezinxulumene nemiba yomgogodla emzimbeni. Sikhuthaza izigulana zethu ukuba zibuze imibuzo emangalisayo yemfundo kubaboneleli bethu bezonyango abanxulumeneyo malunga neempawu zabo ezihambelana nentlungu yomzimba kwindawo ekhuselekileyo nelungileyo. UDkt Alex Jimenez, DC, udibanisa olu lwazi njengenkonzo yezemfundo. isikhanyeli
Kutheni le nto iintlungu zomqolo zichaphazela abantu abaninzi?
Ngaba ukhe wafumana intlungu kwimisipha yakho yangasemva ebonakala ibuhlungu emva kokugoba rhoqo ukuze uthabathe izinto? Ngaba wena okanye abo ubathandayo baziva ukuqina kwemisipha ngasemva kwaye banamava obunzima kumalungu akho aphezulu okanye asezantsi? Okanye ngaba ufumana ukukhululeka okwethutyana emva kokwelula izihlunu zakho zangasemva, kuphela ukuba intlungu ibuye? Abantu abaninzi abaneentlungu zangasemva abazange baqonde ukuba intlungu yabo ingaphakathi komqolo wabo. Ekubeni umqolo umilo we-S-curve enemimandla emithathu eyahlukeneyo emzimbeni, i-spinal discs ngaphakathi kwecandelo ngalinye lomgogodla unokuxinzelelwa kwaye ulungelelanise ngokungahambi kakuhle ngexesha. Oku kubangela utshintsho oluguquguqukayo ngaphakathi komqolo kwaye kunokubangela ukuba imimandla emithathu eyahlukeneyo yomgogodla iphuhlise imiba efana nentlungu emzimbeni. Xa izinto ezininzi zokusingqongileyo ziqala ukuba yimbangela yokutshatyalaliswa kweediski zomgogodla, kunokuchaphazela isakhiwo somgogodla. Inokuba yimpembelelo enamandla echaphazela umsebenzi wabo, ibeka phambili i-disc kukulimala. (Choyi, 2009 ) Ngexesha elifanayo, oku kunokubangela impembelelo enkulu xa uphathwa ngenxa yeendleko eziphezulu kwaye unokuqalisa utshintsho oluqhelekileyo olunxulumene nobudala obangela imiba ye-pathophysiological kumzimba we-vertebral. (Gallucci et al., 2005 )
UDeyo et al., ngo-1990 ) Oku kubangela ukuba abantu bahlale bebandezeleka kwaye baphande ngeendlela ezahlukeneyo zonyango lokunciphisa iintlungu abazifumanayo. Xa iintlungu zomqolo zichaphazela abantu abaninzi, abaninzi baya kufuna unyango olungabizi kakhulu ukuze banciphise intlungu abayifumanayo kwaye bakhumbule imikhwa yemihla ngemihla abayithathayo ngokuhamba kwexesha kwaye bayilungise.
Ukuthotywa koMnqonqo kubunzulu-Ividiyo
VIDEO
Ngaba uhlala uziva izihlunu ezihlala zibuhlungu kunye neentlungu emzimbeni wakho eziyindawo zakho eziqhelekileyo zesikhalazo? Ngaba uziva izihlunu zakho zitsala ngokungathandekiyo emva kokuphakamisa okanye ukuthwala into enzima? Okanye ngaba uziva uxinezelekile rhoqo entanyeni yakho, emagxeni, okanye ngasemva? Xa abantu abaninzi bejongene neentlungu eziqhelekileyo, bahlala becinga ukuba ziintlungu zangasemva xa inokuba ngumba womqolo onokuba ngunobangela weentlungu abazifumanayo. Xa oku kusenzeka, abantu abaninzi bakhetha unyango olungasebenzisi utyando ngenxa yokusebenza kakuhle kweendleko kunye nendlela olunokuthi lwenzelwe ngayo umntu ngokuxhomekeke kubuzaza beentlungu. Olunye lwezonyango ezingezizo utyando kukuthotywa komgogodla/unyango lwe-traction. Ividiyo engentla inika ukujonga olunzulu malunga nendlela ukuchithwa komgogodla kunokunceda ukunciphisa intlungu yomqolo ehambelana neentlungu ezisezantsi. Iintlungu zomqolo zinganyuka ngokuguga kwaye zicatshukiswe kukwandiswa kwe-lumbar ngokugqithiseleyo, ngoko ke ukubandakanya ukunyanzeliswa komgogodla kunokuncedisa ukunciphisa intlungu kwiindawo eziphezulu kunye nezantsi. (Katz et al., 2022 )
Indlela ukuCandeka koMnqongo kunokunciphisa iintlungu zoMnqonqo
UCyriax, ngo-1950 ) Ukunyanzeliswa komgogodla kusebenzisa i-traction ethambileyo ukutsala amalunga omgogodla ukuvumela i-spinal disc ibuyele kwindawo yayo yokuqala kwaye incede ukwandisa ukungenisa kwamanzi kumqolo. Xa abantu beqala ukubandakanya ukunyanzeliswa komgogodla kwimpilo yabo kunye nendlela yokuphila kakuhle, banokunciphisa intlungu yabo yomqolo emva kokunyanga okumbalwa okulandelelanayo.
Ukuthotywa koMnqongo Ukubuyisela Ukuhamba koMnqonqo
Ukunyanzeliswa komgogodla kunokudityaniswa kunye nolunye unyango olungenalo utyando ukubuyisela ukuhamba komgogodla. Xa iingcali zentlungu zisebenzisa ukunyanzeliswa komgogodla ngaphakathi kwezenzo zabo, zinokunceda ukunyanga iimeko ezahlukeneyo ze-musculoskelet, kubandakanywa ukuphazamiseka komgogodla, ukuvumela umntu ukuba aphinde abuyele ukuhamba komgogodla. (UPettman, ngo-2007 ) Kwangaxeshanye, iingcali zentlungu zingasebenzisa oomatshini kunye nokuphathwa ngesandla ukuze kuncitshiswe intlungu eviwa ngumntu. Xa ukuthotywa komgogodla kuqala ukusebenzisa i-traction ethambileyo kumqolo, kunokunceda ukunciphisa iintlungu ezibuhlungu ezihambelana nokungena kwi-nerve, ukudala uxinzelelo olubi ngaphakathi kwamacandelo omqolo, kunye nokunciphisa ukuphazamiseka kwe-musculoskeletal ebangela intlungu. (UDaniel, ngo-2007 ) Xa abantu beqala ukucinga ngakumbi malunga nempilo yabo kunye nokuphila kakuhle ukunciphisa intlungu yabo, ukunyanzeliswa komgogodla kunokuba yimpendulo ngesicwangciso somntu kwaye kunokunceda abantu abaninzi bafumane isiqabu esibafaneleyo.
Ucaphulo
Choi, YS (2009). I-Pathophysiology yesifo se-disc degenerative. Ijenali yoMnqonqo waseAsia , 3 (1), 39-44. doi.org/10.4184/asj.2009.3.1.39
Cyriax, J. (1950). Ukunyangwa kwezilonda zediski ye-lumbar. Br Med J , 2 (4694), 1434-1438. doi.org/10.1136/bmj.2.4694.1434
UDaniel, DM (2007). Unyango olungazenzisiyo lonyango lokuthomalalisa umqolo: ngaba uncwadi lwenzululwazi luxhasa amabango asebenzayo awenziwe kumajelo entengiso? Chiropr Osteopat , 15 , 7. doi.org/10.1186/1746-1340-15-7
Deyo, RA, Loeser, JD, & Bigos, SJ (1990). Herniated lumbar intervertebral disk. Ann Intern Med , 112 (8), 598-603. doi.org/10.7326/0003-4819-112-8-598
Gallucci, M., Puglielli, E., Splendiani, A., Pistoia, F., & Spacca, G. (2005). Iziphazamiso eziwohlokayo zomqolo. I-Eur Radiol , 15 (3), 591-598. doi.org/10.1007/s00330-004-2618-4
Katz, JN, Zimmerman, ZE, Mass, H., & Makhni, MC (2022). Ukuxilongwa kunye noLawulo lweLumbar Spinal Stenosis: Uphononongo. JAMA , 327 (17), 1688-1699. doi.org/10.1001/jama.2022.5921
Pettman, E. (2007). Imbali yonyango olukhohlisayo. J Man Manip Ther , 15 (3), 165-174. doi.org/10.1179/106698107790819873
isikhanyeli
by UGqr Alex Jimenez Ukunyamekela , Ukuhamba kunye nokuguquguquka
Kubantu abane-collarbone eyaphukileyo, ngaba unyango olulondolozayo lunokunceda kwinkqubo yokubuyisela?
I-Collarbone eyaphukileyo
I-collarbones ephukileyo ixhaphake kakhulu ukulimala kwamathambo okunokuthi kwenzeke kuyo nayiphi na iminyaka yobudala. Eyaziwa nangokuthi i-clavicle, lithambo elingaphezulu kwesifuba, phakathi kwe-breastbone / sternum kunye ne-shoulder blade / scapula. I-clavicle inokubonwa ngokulula kuba kuphela ulusu lugubungela inxalenye enkulu yethambo. Iifractures zeClavicle zixhaphake kakhulu, kwaye zibalelwa kwi-2% - 5% yazo zonke iifractures. (IRadiopaedia. 2023 ) I-collarbones eyaphukileyo iyenzeka:
Iintsana - ngokuqhelekileyo ngexesha lokuzalwa.
Abantwana kunye nabaselula - kuba i-clavicle ayiphuhli ngokupheleleyo kude kube sekupheleni kweshumi elivisayo.
Iimbaleki - ngenxa yeengozi zokubethwa okanye ukuwa.
Ngeentlobo ezahlukeneyo zeengozi kunye nokuwa.
Uninzi lwee-collarbones eziphukileyo zinokunyangwa ngonyango olungenalo utyando, ngokuqhelekileyo, kunye ne-sling ukuvumela ukuba ithambo liphilise kunye nonyango lomzimba kunye nokubuyisela.
Ngamanye amaxesha, xa i-clavicle fractures iguqulwa kakhulu ngaphandle kokulungelelaniswa, unyango lotyando lunokucetyiswa.
Kukho iindlela zonyango ezimele zixoxwe kunye nogqirha wamathambo, i-physical therapist, kunye / okanye i-chiropractor.
I-collarbone eyaphukileyo ayibi kakhulu kunamanye amathambo aphukileyo.
Emva kokuba ithambo eliphukile liphilisa, abaninzi abantu banoluhlu olupheleleyo lokunyakaza kwaye banokubuyela kwimisebenzi ngaphambi kokuphuka. (Johns Hopkins Medicine. 2023 )
iintlobo
Ukulimala kwe-clavicle ephukileyo kuhlukaniswe kwiintlobo ezintathu kuxhomekeke kwindawo yokuphuka. (IRadiopaedia. 2023 )
Ukuqhekeka kwe-Mid-Shaft Clavicle
Ezi zenzeke kwindawo esembindini enokuba kukuqhekeka okulula, ukwahlula, kunye/okanye ukuqhekeka kwiziqwenga ezininzi.
Iikhefu ezininzi - iifractures zecandelo.Ukufuduswa okubalulekileyo – ukwahlukana.Ubude obufutshane bethambo .
I-Distal Clavicle Fractures
Oku kwenzeka kufutshane nesiphelo sekhola kwindawo yegxalaba.
Le nxalenye yegxalaba ibizwa ngokuba yi-acromioclavicular/AC joint.
I-Distal clavicle fractures ingaba neendlela ezifanayo zonyango njengokulimala ngokubambisana kwe-AC.
Ukuqhekeka kweClavicle ephakathi
Ezi zinto aziqhelekanga kwaye zihlala zihambelana nokulimala kwi-sternoclavicular joint.
Ilungu le-sternoclavicular lixhasa igxalaba kwaye lilo lodwa ilungu elidibanisa ingalo nomzimba.
Ukukhula kweplati yokuphuka kwe-clavicle kunokubonwa ekupheleni kwentsha kunye ne-20 yokuqala.
iimpawu
Iimpawu eziqhelekileyo zekhola ephukileyo ziquka: (Ithala leencwadi leSizwe loNyango: MedlinePlus. 2022 )
Intlungu phezu kwekhola.
intlungu Gxalaba .Ubunzima bokuhambisa ingalo.
Ubunzima bokuphakamisa ingalo ukusuka kwicala.
Ukudumba nokugruzuka egxalabeni.
Ukugruzuka kunokuphumela ezantsi esifubeni nasekhwapheni.
Ukuba ndindisholo nokutshotshozela phantsi kwengalo.
Ukukhubazeka kwekhola.
Ukongeza ekudumbeni, abanye abantu banokuba neqhuma kwindawo apho kwaphuka khona.
Kungathatha iinyanga ezininzi ukuze eli qhuma liphole ngokupheleleyo, kodwa oku kuqhelekile.
Ukuba iqhuma libonakala lidumbile okanye licaphukile, yazisa umboneleli wezempilo.
UkuDumba kweClavicular
Xa i-sternoclavicular joint ikhula okanye ikhula, ibizwa ngokuba yi-clavicular swelling.
Ngokuqhelekileyo kubangelwa kukwenzakala, isifo, okanye usulelo oluchaphazela ulwelo olufumaneka kumalungu. (UJohn Edwin, et al., 2018 )
Ukuqondwa
Kwikliniki yezempilo okanye kwigumbi likaxakeka, iX-reyi iya kufunyanwa ukuhlola uhlobo oluthile lokwaphuka.
Baya kwenza uviwo ukuqinisekisa ukuba imithambo-luvo kunye nemithambo yegazi ejikeleze i-collarbone eyaphukileyo ayinqunyulwanga.
Imithambo-luvo kunye neenqanawa azifane zilimale, kodwa kwiimeko ezinzima, ezi nzakala zingenzeka.
impatho
Unyango lufezwa ngokuvumela ithambo ukuba liphilise okanye ngotyando ukubuyisela ulungelelwaniso olufanelekileyo. Olunye unyango oluqhelekileyo lwamathambo aphukileyo alusetyenziswanga kwi-clavicle fractures.
Umzekelo, ukuphosa i-collarbone ephukileyo ayenziwa.
Ukongezelela, ukusetha kwakhona ithambo okanye ukunciphisa okuvaliweyo akukwenziwanga ngenxa yokuba akukho ndlela yokubamba ithambo eliphukileyo ngolungelelwaniso olufanelekileyo ngaphandle kokuhlinzwa.
Ukuba utyando lukhetho, umboneleli wezempilo ujonga le miba ilandelayo: (Isemgangathweno. 2023 )
Indawo yoLwahlulo kunye neDinga lokufuduswa
Iifractures ezingenandawo okanye ezincinci zokufuduswa zihlala zilawulwa ngaphandle kotyando.
ubudala
Abantu abancinci banamandla okwandisiweyo okuphinda bachache kukwaphuka ngaphandle kotyando.
Ukucuthwa kweqhekeza leqhekeza
Ukuqhekeka okufudukayo kunokuphilisa, kodwa xa kukho ukucutha okucacileyo kwekhola, utyando luyimfuneko.
Okunye Ukwenzakala
Abantu abanokulimala kwentloko okanye iifractures ezininzi banokunyangwa ngaphandle kokuhlinzwa.
Ulindelo Lwesigulane
Xa ukwenzakala kubandakanya imbaleki, umsebenzi onzima, okanye ingalo yeyona nto iphambili, kunokubakho isizathu esingakumbi sotyando.
Ingalo eyongameleyo
Xa iifractures zenzeka kwingalo elawulayo, iziphumo zibonakala zibonakala.
Uninzi lwezi fractures zinokulawulwa ngaphandle kokuhlinzwa, kodwa kukho iimeko apho utyando lunokuvelisa iziphumo ezingcono.
Ixhasa uNyango oluNgelulo utyando
Isilingi okanye i-figure-8 clavicle brace.
Umzobo we-8 awukabonakali uchaphazela ulungelelwaniso lokwaphuka, kwaye abantu abaninzi bahlala befumana isilingi sikhululeke ngakumbi. (Isemgangathweno. 2023 )
I-collarbones ephukile kufuneka iphilise kwiiveki ezi-6-12 kubantu abadala
Iiveki ezi-3-6 kubantwana
Izigulane ezincinci zihlala zibuyela kwimisebenzi epheleleyo phambi kweeveki ze-12.
Iintlungu zidla ngokudamba kwiiveki ezimbalwa. (Isemgangathweno. 2023 )
I-immobilization ayifane ifuneke ngaphaya kweeveki ezimbalwa, kwaye kunye nomsebenzi wokukhanya ocacileyo kagqirha kunye nokubuyisela intshukumo ethambileyo ngokuqhelekileyo kuqala.
Ukwenzakala Ixesha Elide
VIDEO
Ucaphulo
IRadiopaedia. Ukwaphuka kweClavicular .
Johns Hopkins Medicine. Ukwaphuka kweClavicle .
Ithala leencwadi leSizwe loNyango: MedlinePlus. I-collarbone eyaphukileyo - i-aftercare .
Isemgangathweno. Ukwaphuka kweClavicle .
Edwin, J., Ahmed, S., Verma, S., Tytherleigh-Strong, G., Karuppaiah, K., & Sinha, J. (2018). Ukudumba komdibaniso we-sternoclavicular: ukuphononongwa kwe-pathologies ephazamisayo kunye ne-non-traumatic. EFORT vula uphononongo, 3(8), 471–484. doi.org/10.1302/2058-5241.3.170078
by UGqr Alex Jimenez Ubuhlungu obungapheliyo , Ukuhamba kunye nokuguquguquka
Abantu ngabanye emsebenzini, esikolweni, njl njl, benza zonke iintlobo zemisebenzi ephindaphindiweyo yomzimba ebeka imizimba yabo ngoxinzelelo olukhulu lwe-musculoskeletal, zithini iziphumo kunye neenzuzo zonyango oludibeneyo lokunyanga iintlungu?
IiNzuzo zeMpilo zokuLawula ngokuManyeneyo
Ukuphathwa ngokudibeneyo luhlobo lonyango lwezandla olubandakanya ukusebenzisa amandla kwi Umgudu okanye amalungu eperipheral ukuze:
Ukuphelisa iimpawu zentlungu.
Ukulungelelanisa amalungu kwindawo yawo efanelekileyo.
Buyisela ukuguquguquka.
Ukuphucula ukuhamba.
Yandisa uluhlu lwentshukumo.
I-Chiropractors, i-massage, kunye neengcali zonyango zisebenzisa iindlela ezahlukeneyo zokuxhaphaza ukunceda ukuhamba kunye nokuziva ngcono emva kokulimala okanye ukugula okubangela ukulahlekelwa kokuhamba komsebenzi. . Apha sichaza ukukhohlisa okudibeneyo, ukusetyenziswa kwayo, kwaye ukuba ubuchule bukhuselekile kuwe nakwimeko yakho.
Ukuphuma ngokudibeneyo
Amalungu emzimbeni ziindawo apho amathambo amabini nangaphezulu adibana khona ukuze avumele intshukumo.
Kwincam yethambo kukho umgca we i-hyaline cartilage .
I-cartilage ivumela iindawo ezidibeneyo ukuba zityibilike / zityibilike kakuhle.
Ukuba i-cartilage yenzakele okanye yonakele, intlungu kunye nokunyakaza okulinganiselwe kunokubonisa.
Xa ilungu lingashukumi kakuhle, izihlunu ezijikeleze elo lungu azifinyeleli kakuhle.
Ukuba umdibaniso awusebenzi ixesha elithile, ukuchithwa kwemisipha ebalulekileyo kunye ne-atrophy ingenzeka malunga nomdibaniso, okukhokelela kubunzima bokuhamba njengokuma, ukuhamba, okanye ukufikelela. (Hurley MV.1997 )
Umzimba wenziwe ngeeseli eziphefumla ngokuguqula amandla kunye nokukhulula izinto ezilahlwayo. Olunye uhlobo lwenkunkuma ephuma kwiseli yokuphefumla yicarbon dioxide. Irhasi ithuthwa ngegazi kwaye ikhutshwe emzimbeni ngelixa iphefumla. Iipokotho ezincinci zegesi zinokubanjwa kumalungu akhulayo kunye nenkontileka njengoxinzelelo olujikeleze utshintsho oludibeneyo ngexesha lokunyakaza, okubizwa ngokuba yi-cavitation. Xa igesi ikhutshwa ngokusetyenziswa ngokubambisana, kunokubakho isandi esiphumayo okanye esiqhekezayo njengoko umdibaniso ushukunyiswa. Emva kokuba igesi ikhutshwe, uxinzelelo oludibeneyo luyancipha kwaye ukuhamba kwanda. (Kawchuk, et al., 2015 )
Izizathu
Non-amayeza
Kukho izizathu ezingezizo ezonyango kunye nezonyango zokungasebenzi kakuhle kunye nokungahambi kakuhle okubandakanya:
Ukusetyenziswa ngokugqithisileyo kunye nokuphindaphinda ubunzima.
Ukuhlala ngokungekho sempilweni kunye/okanye nokuma kokuma.
Ukunqongophala kokusebenza komzimba.
Ukuzolula kakhulu okanye ukolula ngokungalunganga.
Kwezi meko, amajoyina anokuthi abekwe okwethutyana kwindawo engasebenziyo / ephazamisekileyo. Xa usiya kwindawo echanekileyo, isandi esiphumayo sinokubonisa njengoko uxinzelelo olwakhiweyo lukhutshwa.
Medical
Iingxaki ezidibeneyo zinokuvela kwiimeko zonyango ezinokubandakanya:
I-Herniated cervical or lumbar discs.
I-arthritis yomqolo.
Irheumatoid Arthritis.
I-Osteoarthritis.
Ikhontrakthi edibeneyo emva kokuba ingashukumi ixesha elithile.
Kwezi meko, ingxaki yonyango inokubangela ukulinganiselwa kwindawo kunye nokunyakaza kwamalungu. (Gessl, et al., 20220 )
benefits
Ukuba ugqirha we-chiropractic ufumanisa ukuba kukho ukungasebenzi ngokudibeneyo ngoko ukukhwabanisa kunokuba lukhetho lonyango. . Izibonelelo ziquka:
Uncedo Lwezinhlungu
Xa i-chiropractor okanye i-therapist ifumana ilungu elenzakeleyo lihamba ngokufanelekileyo, i-receptors ngaphakathi nakwindawo ejikeleze indawo iphinda isetyenziselwe ukuvumela ukukhululeka kweentlungu.
Ukuphuculwa Kwezihlunu kusebenze
Njengoko i-chiropractor ilawula umdibaniso kwindawo yayo ye-anatomical echanekileyo, izihlunu ezijikelezileyo zinokuguquguquka kwaye zivumelane ngokufanelekileyo.
Uphuculo oluPhuculo lweeMotion
Umdibaniso ubuyiselwe ukunyakaza okufanelekileyo.
Oku kuphucula uluhlu lokunyakaza kunye nokunciphisa ukuxinwa kunye nokuqina.
UkuPhuculwa kokuSebenza okuPhuculweyo
Emva kokuba idibeneyo iqhutywe, uluhlu oluphuculweyo lwentshukumo kunye nokusebenza kwemisipha malunga nokudibanisa kunokukhokelela ekuphuculeni ukuhamba komsebenzi jikelele. (Puentedura, et al., 2012 )
Abaviwa
Ukuguqula ngokudibeneyo yindlela ekhuselekileyo yonyango lwezandla kubantu abathile. (Puentedura, et al., 2016 ) Oku kuquka:
Abantu abanentamo ebukhali, umva, okanye iintlungu ezidibeneyo zeperipheral.
Abantu abadala abaneminyaka eyi-25 ukuya kwi-65 abangenazo iimeko zonyango ezinzulu.
Iimbaleki ezonzakeleyo kumdlalo wazo.
Abantu abaye bangakwazi ukuhamba emva kokulimala okanye utyando.
Ukuxhatshazwa ngokudibeneyo akukhuthazwa kumntu wonke kwaye kunokuba yingozi okanye kubangele ukulimala kubantu abaneemeko ezithile. (Puentedura, et al., 2016 ) Oku kubandakanya abantu abane:
iOsteoporosis
Amathambo abuthathaka anokwaphuka ukuba amandla esantya esiphezulu asetyenziswa kwijoyinti ngokuphathwa
Iifracture ezidibeneyo
Abantu abanokuqhekeka ngokudibeneyo, akufuneki babe nelo lungu likhethekileyo.
Thumela uTyando lwe-Spinal Fusion
Abantu abaye bafumana i-spinal fusion entanyeni okanye ezantsi kumqolo kufuneka baphephe ukunyanzeliswa komgogodla okanye uhlengahlengiso ubuncinane unyaka omnye emva kwenkqubo.
Amathambo afuna ixesha lokuphola ngokucokisekileyo.
Ukuguqulwa kunokubangela ukungaphumeleli kokudibanisa.
Abantu abane-Arterial Insufficiency Entanyeni yabo
Isiphumo esinqabileyo kodwa esiyingozi sokulungiswa kwentamo ngumngcipheko wokukrazula umthambo entanyeni eyaziwa ngokuba umthambo we-vertebrobasilar . (Moser, et al., 2019 )
Ukuba kukho intlungu, ukulahleka kokunyakaza, okanye ukunciphisa ukuhamba emva kokulimala okanye utyando, ukulungiswa kwe-chiropractic kunye nokuguqulwa okuhlangeneyo kunokuba luncedo ekuncedeni ukubuyisela ukunyakaza. Ubuchule bezandla bunokunceda ukuphucula ukuhamba kwamalungu, ukunciphisa intlungu, kunye nokwandisa amandla kunye nokuzinza malunga namalungu. Ukuguqulwa okudibeneyo akusiyo wonke umntu kwaye kuyacetyiswa ukuba udibane nengcali yezempilo ukuze ubone ukuba ikhuselekile na kwimeko yakho ethile.
Isifo Samathambo Sicacisiwe
VIDEO
Ucaphulo
BASTOW J. (1948). Iimpawu zokuguqulwa ngokubambisana. Iinkqubo zeRoyal Society of Medicine, 41(9), 615.
Gessl, I., Popescu, M., Schimpl, V., Supp, G., Deimel, T., Durechova, M., Hucke, M., Loiskandl, M., Studenic, P., Zauner, M., Smolen, JS, Aletaha, D., & Mandl, P. (2021). Indima yomonakalo odibeneyo, i-malalignment, kunye nokuvuvukala kwi-articular tenderness kwi-rheumatoid arthritis, i-psoriatic arthritis, kunye ne-osteoarthritis. Iingxelo zezifo ze-rheumatic, 80 (7), 884-890. doi.org/10.1136/annrheumdis-2020-218744
Hurley MV (1997). Imiphumo yomonakalo odibeneyo ekusebenzeni kwemisipha, i-proprioception, kunye nokubuyisela. Unyango lwezandla, i-2 (1), i-11-17. doi.org/10.1054/math.1997.0281
Kawchuk, GN, Fryer, J., Jaremko, JL, Zeng, H., Rowe, L., & Thompson, R. (2015). Ukuboniswa kwexesha langempela le-cavitation edibeneyo. PloS enye, 10(4), e0119470. doi.org/10.1371/journal.pone.0119470
Moser, N., Mior, S., Noseworthy, M., Côté, P., Wells, G., Behr, M., & Triano, J. (2019). Umphumo wokunyanzeliswa komlomo wesibeleko kwi-vertebral artery kunye ne-cerebral hemodynamics kwizigulane ezineentlungu ezingapheliyo zentamo: uvavanyo olulawulwa ngokungahleliwe lwe-crossover. BMJ vula, 9(5), e025219. doi.org/10.1136/bmjopen-2018-025219
Puentedura, EJ, Cleland, JA, Landers, MR, Mintken, PE, Louw, A., & Fernández-de-Las-Peñas, C. (2012). Ukuphuhliswa komgaqo woqikelelo lweklinikhi ukuchonga izigulane ezineentlungu zentamo ezinokuthi zixhamle kwi-thrust manipulation to the cervical spine. Ijenali yonyango lwamathambo kunye nezemidlalo, 42 (7), 577-592. doi.org/10.2519/jospt.2012.4243
Puentedura, EJ, Slaughter, R., Reilly, S., Ventura, E., & Young, D. (2017). Ukusetyenziswa kwe-thrust ye-manipulation yi-US physical therapists. Ijenali ye-manual & manipulative therapy, 25 (2), 74-82. doi.org/10.1080/10669817.2016.1187902
by UGqr Alex Jimenez Chiropractic , Ubuhlungu obungapheliyo , Ubuhlungu obungapheliyo , Ukuhamba kunye nokuguquguquka , Unyango lokuthotywa koMnqonqo , Ucoceko loMgcini , Uncedo Lwezityalo , Unyango , I-Viscerosomatic Reflex
Kubantu abaninzi abanemiba yomqolo, ukudodobala komqolo kuthelekiswa njani nokhathalelo lwemveli kubuyisela amandla emisipha?
intshayelelo
Abantu abaninzi ngokungazi babeka uxinzelelo kwimiqolo yabo ngexesha lemisebenzi yemihla ngemihla, kubangela ukunyanzeliswa kwe-intervertebral disc kunye nokuqina kwiigaments ezijikelezayo, izihlunu, iingcambu zentsholongwane kunye nezicubu. Ukunyakaza okuphindaphindiweyo kunye nokuguga kunokukhokelela ekuqhekekeni kwe-disc intervertebral kunye nokungahambi kakuhle, okubangelwa intlungu kunye nokungahambi kakuhle kwiindawo ezintathu eziqhelekileyo: umva, intamo, kunye namagxa. I-Spinal stenosis yimeko yomgogodla apho intambo yomgogodla ixinzelelwe kwaye iyancipha kwaye inokubangela iimpawu zobuthathaka bemisipha kunye neentlungu kumzimba ophezulu nangaphantsi xa ungaphathwanga. Eli nqaku liphonononga indlela unyango olungenalo utyando olufana ne-oscillation ephezulu kunye nokudodobala komgogodla kunokubuyisela amandla emisipha kunye nokunciphisa imiphumo ye-spinal stenosis. Ngokusebenza nababoneleli bezonyango abaqinisekisiweyo abasebenzisa ulwazi lwezigulane zethu ukunyanga abantu abaphethwe yi-spinal stenosis. Siyabazisa malunga nonyango olungelulo utyando lokubuyisela ukuhamba komgogodla kunye nokubuyisela amandla emisipha. Sikhuthaza izigulana zethu ukuba zibuze imibuzo ebalulekileyo ngelixa zifuna imfundo kubaboneleli bethu bezonyango abanxulumene neemeko zabo. UDkt Alex Jimenez, DC, unikezela ngolu lwazi njengenkonzo yemfundo. isikhanyeli
I-Spinal Stenosis Ebangela Imiba Yamandla Emisipha
Ngaba uzifumana usokola ukubamba izinto ngelixa usenza imisebenzi? Ngaba ufumana iimvakalelo ezingaqhelekanga ezifana nokuba ndindisholo okanye ukuntlithwa kweengalo okanye imilenze? Okanye ujongene neentlungu ezingapheliyo zomqolo kunye nentamo ezingayi kuhamba. Le miba yonke inokunxulumana neengxaki zomqolo wakho, ezinokubangela ukuba izihlunu zakho zibe buthathaka kwaye zikhokelela kwiimeko ezinjengeentlungu ezisezantsi, i-sciatica, kunye ne-spinal stenosis.
Uphando lubonisa ukuba i-spinal stenosis yimeko eqhelekileyo ebangelwa yi-nerve root impingement okanye i-ischemia kwi-canal yomgogodla. Oku kunokukhokelela kwiintlungu, ubuthathaka, ilahleko yemvakalelo kwimida yakho, kunye nokubetha okanye ukuphazamiseka kwezandla okanye ezinyaweni zakho. Ukongezelela, uphando lufumene ukuba i-spinal stenosis kwi-lumbar spine inokunyusa umngcipheko wakho wokuphuhlisa i-locomotive syndrome, enokuthi ichaphazele ngakumbi amandla emisipha kwiingalo nasemilenzeni yakho. {Kasukawa, 2019 }
Izihlunu ezomeleleyo zibalulekile kwiintshukumo zemihla ngemihla, njengokusebenzisa iingalo, imilenze, izandla kunye neenyawo. Nangona kunjalo, i-spinal stenosis ichaphazela amandla akho emisipha. Kwimeko enjalo, kunokubangela imiba eyahlukahlukeneyo, kubandakanywa ukuphazamiseka okanye ukubetha kwimilenze yakho ephezulu nangaphantsi, intlungu ebuhlungu xa uhamba kodwa ukukhululeka xa uhleli okanye uphumle, ukunciphisa amandla okubamba, intlungu ye-sciatic elinganisa kunye nokunciphisa umgama wokuhamba. Nangona i-spinal stenosis inokubangelwa zizinto eziqhelekileyo okanye ezibuhlungu ezichaphazela ukuhamba, ukuguquguquka, kunye nokuzinza kwe-quadrants ye-muscle ephezulu nangaphantsi emzimbeni, unyango oluninzi olukhoyo lunokunciphisa imiphumo ye-spinal stenosis kunye nokunceda ukubuyisela amandla emisipha emzimbeni.
Ukufumanisa iiNzuzo zeChiropractic Care-Video
VIDEO
Abantu abaninzi abafumana iimpawu zentlungu ye-musculoskeletal ezinxulumene ne-spinal stenosis basebenzisa amayeza angaphezulu kwe-counter, unyango olushushu / olubandayo, kunye nokwelula ukunciphisa intlungu ethunyelwe. Utyando lwemveli luyindlela esebenzayo yokususa i-disc eyonakalisiweyo eyenza ingcambu ye-nerve ibe nzima kwaye ikhulule ikholomu yomgogodla. Nangona kunjalo, olu tyando lunconywa kuphela xa olunye unyango lungaphumelelanga kwaye lunokubiza. {Herrington, ngo-2023 } Nangona kunjalo, unyango oluninzi olungabizi kakhulu olungasebenzisi utyando luyafumaneka ukunceda ukunciphisa iimpawu ezinjengeentlungu ezibangelwa yi-spinal stenosis kunye nokunciphisa iimpawu ezinxulumene nazo. Ukhathalelo lweChiropractic kunye noxinzelelo lomgogodla lunyango olungasebenzisi utyando olusebenzisa iindlela zoomatshini kunye neendlela ezisetyenziswayo ukulungelelanisa umzimba kunye nokunciphisa i-nerve entrapment ebangela iimpawu ezinjengeentlungu. Ividiyo engentla ibonelela ngolwazi oluthe kratya malunga nendlela unyango olungenalo utyando lunokunceda ngayo abantu abaninzi ekugcineni ukuhamba kunye nokuguquguquka ngokubonelela ngesicwangciso sonyango lomntu siqu ukukhusela ukuphindaphinda kweemeko ze-musculoskeletal kunye ne-spinal.
Advanced Oscillation For Spinal Stenosis
Abantu abaninzi bakhetha unyango olungasebenzisi utyando olufana nokhathalelo lwe-chiropractic, unyango lwe-massage, ukudodobala komgogodla, kunye ne-oscillation ephezulu yokunciphisa iintlungu. Kwi-"Ultimate Spinal Decompression," ebhalwe nguDkt Eric Kaplan, DC, FIAMA, kunye noDkt Perry Bard, DC, kuphawulwe ukuba unyango oluphezulu lwe-oscillation lunokulungelelaniswa neemfuno zomntu ngamnye, ukunceda ukunciphisa iimpawu zentlungu ezibangelwa ngumgogodla. istenosis. Izicwangciso eziphezulu ze-oscillation zinokunceda ukunciphisa ukuvuvukala kunye ne-muscle spasms ehambelana ne-spinal stenosis ngelixa ikhuthaza ukuzaliswa kwezondlo kumqolo. Ukongeza, i-oscillation ephezulu inokunceda umzimba ulungelelanise kwaye uphinde wenze ithoni yezakhiwo zomnqonqo ekujoliswe kuzo, ukuzikhulula kunye nokunciphisa i-nerve entrapment. I-oscillation ephucukileyo yenye yonyango olungasebenzisi utyando oludibanisa kakuhle kunye noxinzelelo lomgogodla.
Ukunyanzeliswa koMnqonqo Ukubuyisela Ukuqina Kwezihlunu
Ngoku i-spinal decompression inekhono elikhethekileyo lokunciphisa imiphumo ye-spinal stenosis njengoko ikhuselekile kwi-spine, i-cost-effective, kunye ne-non-invasive. Yintoni eyenziwa lunyango lokuthotywa komnqonqo emzimbeni lufana ne-oscillation ephezulu. Isebenzisa i-traction ethambileyo ukunciphisa uxinzelelo lwe-intervertebral disc ngoxinzelelo olubi, ukuvumela i-oksijini, ulwelo, kunye nezondlo kwidiski yomgogodla kwaye ikhulule ingcambu ye-nerve eyingozi. {Choyi, 2015 } I-Spinal decompression inokunceda ukubuyisela ukuphakama kwe-disc ukusuka kumqolo, ukuvumela i-disc ecinezelweyo ebangela ukuba i-spinal stenosis ibuyiselwe kwindawo yayo yokuqala. {Kanga, 2016 } Xa abantu abaninzi beqala ukucinga ngempilo kunye nokuba sempilweni kwabo, unyango olungasebenzisi utyando lunokubanika amava alungileyo kwaye luphucule iintlungu zabo.
Ucaphulo
Choi, J., Lee, S., & Hwangbo, G. (2015). Iimpembelelo zonyango lwe-spinal decompression kunye nonyango lwe-traction ngokubanzi kwiintlungu, ukukhubazeka, kunye nokuphakamisa umlenze othe ngqo wezigulane ezine-intervertebral disc herniation. Ijenali yoNyango lwezeMpilo , 27 (2), 481-483. doi.org/10.1589/jpts.27.481
Herrington, BJ, Fernandes, RR, Urquhart, JC, Rasoulinejad, P., Siddiqi, F., & Bailey, CS (2023). I-L3-L4 Hyperlordosis kunye nokuNcitshiswa kwe-Lower Lumbar Lordosis Ukulandela iCandelo elifutshane le-L4-L5 iLumbar Fusion Surgery inxulunyaniswe ne-L3-L4 yoLwando lokuHlaziywa ngokutsha kweCandelo le-Stenosis ekufutshane. Ijenali yeGlobal Spine , 21925682231191414. doi.org/10.1177/21925682231191414
Kang, J.-I., Jeong, D.-K., & Choi, H. (2016). Impembelelo ye-spinal decompression kumsebenzi we-lumbar muscle kunye nokuphakama kwediski kwizigulane ezine-disk intervertebral disk. Ijenali yoNyango lwezeMpilo , 28 (11), 3125-3130. doi.org/10.1589/jpts.28.3125
Kaplan, E., & Bard, P. (2023). Ukuthotywa koMnqongo okuGqibeleleyo . JETLAUNCH.
Kasukawa, Y., Miyakoshi, N., Hongo, M., Ishikawa, Y., Kudo, D., Kijima, H., Kimura, R., Ono, Y., Takahashi, Y., & Shimada, Y. (2019). I-Lumbar spinal stenosis ehambelana nokuqhubekela phambili kwe-locomotive syndrome kunye nobuthathaka bemisipha ephantsi. Ungenelelo lweklinikhi ekugugeni , Volume 14 , 1399-1405. doi.org/10.2147/cia.s201974
Munakomi, S., Foris, LA, & Varacallo, M. (2020). Spinal Stenosis kunye Neurogenic Claudication . I-PubMed; StatPearls Publishing. www.ncbi.nlm.nih.gov/books/NBK430872/
isikhanyeli
by UGqr Alex Jimenez Chiropractic , Ubuhlungu obungapheliyo , Ukuhamba kunye nokuguquguquka , Unyango lokuthotywa koMnqonqo , Ucoceko loMgcini , Uncedo Lwezityalo , Unyango , I-Viscerosomatic Reflex
Kubantu abaninzi abane-facet joint syndrome, ukunyanzeliswa komgogodla kuthelekiswa njani noqhaqho lwendabuko lomqolo oludambisa iintlungu ezisezantsi?
intshayelelo
Abantu abaninzi kwihlabathi jikelele bafumana iintlungu ezisezantsi ngenxa yezizathu ezahlukeneyo, ezinjengokuphakamisa okanye ukuthwala izinto ezinzima, imisebenzi yokuhlala, okanye iziganeko ezibuhlungu ezinokubangela ukulimala komnqonqo. Umqolo unendima ebalulekileyo ekuboneleleni ukuhamba kunye nokuguquguquka ngaphandle kokukhathazeka. I amalungu adibeneyo kunye neediski zomgogodla zisebenza kunye ukuvelisa ukunyakaza okunempilo kunye nokuzinza ngaphakathi kwecandelo ngalinye. Nangona kunjalo, xa izihlunu, iigaments, kunye nezicubu ezijikeleze i-spinal disc zigqithisekile okanye zixinzelelwe ngenxa yezinto eziqhelekileyo okanye ezibuhlungu, zinokunyusa iingcambu ze-nerve kwaye zibangele ukuphazamiseka. Njengoko sikhula okanye sithwala ubunzima obugqithisileyo, wethu iidiski zomgogodla unokufumana ukunxiba kunye nokukrazula, okukhokelela kwi-facet joint syndrome. Le syndrome idla ngokunxulunyaniswa nayo intlungu e ngasemva okubangelwa ngamalungu awonzakeleyo. Eli nqaku liza kuphonononga indlela i-facet joint syndrome enxulunyaniswa ngayo neentlungu ezisezantsi zomqolo kunye nendlela unyango olungasebenzisi utyando olunokunceda ngayo. Sisebenza nababoneleli bezonyango abaqinisekisiweyo abasebenzisa ulwazi oluxabisekileyo lwezigulane zethu ukunyanga abantu abaphethwe yi-facet joint syndrome echaphazela ukuhamba komnqonqo kwaye kubangela intlungu ephantsi. Sikwabazisa malunga nonyango olungelulo utyando lokubuyisela ukuhamba komqolo kunye nokunciphisa iimpawu ezinjengeentlungu ezihambelana nale meko yomgogodla. Sikhuthaza izigulane ukuba zibuze imibuzo ebalulekileyo kwaye zifune imfundo kubaboneleli bethu bezonyango abanxulumene neemeko zabo. UDkt Jimenez, DC, unikezela ngolu lwazi njengenkonzo yemfundo. isikhanyeli
I-Facet Joint Syndrome
Ngaba ufumana iintlungu eziphuma phantsi emilenzeni yakho, ngakumbi xa umile? Ngaba uhlala uzingela, uchaphazela ukuma kwakho ngexesha lemisebenzi yemihla ngemihla? Ngaba ukhe waqaphela ukuba ndindisholo okanye ukulahlekelwa kukuziva ezinyaweni okanye ezimpundu? Njengoko sikhula okanye sifumana ukulimala okubuhlungu, amalungu e-facet ngapha nangapha komgudu wethu anokonakala, okukhokelela kwimeko ebizwa ngokuba yi-facet joint syndrome. Uphando lubonisa ukuba iimeko zokusingqongileyo zingabangela ukuguqulwa kwamalungu, okukhokelela kwiimpawu ezifana nezinye iimeko zomgogodla. Ukhukuliseko lweCartilage kunye nokudumba kumqolo yimiqondiso eqhelekileyo ye-facet joint syndrome, ehlala idityaniswa nokuphazamiseka kwe-musculoskelet njengeentlungu ezisezantsi.
Iintlungu ezisezantsi eziNxulunyaniswe neFacet Syndrome
Izifundo zophando Iziphazamiso ze-musculoskeletal ezifana neentlungu ezisezantsi zihambelana ne-facet syndrome. Xa amalungu e-facet eqala ukuwohloka ekuphindaphindweni okuphindaphindiweyo okubangelwa yimisebenzi yemihla ngemihla, kunokubangela ukungazinzi kwe-micro kumalungu e-facet ngelixa ucinezela iingcambu ze-nerve ezijikelezayo. Xa oku kusenzeka, abantu abaninzi baya kuba neentlungu ezisezantsi kunye neentlungu ze-sciatic nerve ezenza ukuba bangazinzi ngelixa behamba. Izifundo zophando ezongezelelweyo zichaziwe ukuba iintlungu ezisezantsi ezinxulumene ne-facet syndrome zingabangela iimpawu zentshukumo ethintelweyo, ukunciphisa umgangatho wobomi kunye nefuthe kakhulu kwisakhiwo sonke se-lumbar vertebral. Ekubeni iintlungu ezisezantsi ziyingxaki eqhelekileyo abantu abaninzi abanayo, ukudibanisa kunye ne-facet syndrome kunokubangela i-spasms ye-muscle esebenzayo, indlela yokukhusela kwi-spine ukuze ibangele ukuba umntu abe nobunzima bokuhamba kakuhle kwaye abe neentlungu ezibuhlungu ngokukhawuleza. Ukuza kuthi ga ngoku, iintlungu ezisezantsi ezihambelana ne-facet syndrome zibangela ukuba umntu ajongane neentlungu eziqhubekayo, okwenza ubomi obuqhelekileyo bube nzima.
Fumana iiNzuzo zeChiropractic Care-Video
VIDEO
Iintlungu ezisezantsi ezihambelana ne-facet joint syndrome akufanele zenze ubomi bube nzima. Unyango oluninzi lubhekiselele ekudambiseni iimpawu ezinjengeentlungu kunye nokunceda ukucothisa inkqubo ye-facet syndrome ekubangeleni imiba engaphezulu kumqolo. Unyango olungasebenzisiyo olufana nokunyamekela kwe-chiropractic lunokunceda ukunciphisa imiphumo ye-facet syndrome njengoko banokubonelela ngeenzuzo zokubuyisela ukuhamba komgogodla. Le vidiyo ingentla iphonononga izibonelelo zokhathalelo lwe-chiropractic, njengoko ii-chiropractors ziya kuxoxa ngekhosi ecetyiswayo yonyango lomntu kunye nawe. Unyango olungasebenzisi utyando lukhuselekile, luthambile kumqolo, kwaye luyonga iindleko njengoko lunceda ukubuyisela ukushukuma komzimba wakho kwi-facet syndrome. Ngexesha elifanayo, unyango olungenalo utyando olufana nokunyamekela kwe-chiropractic lunokudibaniswa kunye nezinye iindlela zonyango ezingezizo utyando ezinokunceda ukuqalisa kwakhona inkqubo yokuphulukisa yendalo yomzimba ukuvumela i-disc yomgogodla ecinezelekileyo kunye nokudibanisa ukuba kuhlaziywe.
Ukuthotywa koMnqongo Ukunciphisa iFacet Syndrome
Ngoku ka zophando zophando , unyango olungelulo utyando olufana noxinzelelo lwe-spinal decompression lunokunceda ukunciphisa imiphumo ye-facet syndrome njengoko inokunceda ukuphucula umqolo; Kwi-"Ultimate Spinal Decompression," uGqr. Eric Kaplan, DC, FIAMA, kunye noGqr Perry Bard, DC, bakhankanye ukuba xa abantu beza kuba ne-spinal decompression, banokufumana "imvakalelo ephumayo" njengoko i-facet joint joints ivulekele unyango. Oku kuqhelekile kwi-facet arthropathy yokuqala kwaye ingenzeka phakathi kweeseshoni zokuqala zonyango. Kwangaxeshanye, ukudodobala komqolo kunokolula ngobunono ingcambu yemithambo-luvo exineneyo kwaye ufumane isiqabu kwangoko. Emva konyango, abantu abaninzi banokudibanisa olunye unyango olunjengonyango lomzimba ukunciphisa iimpawu ezibuhlungu ekubuyeni. Unyango olungenalo utyando njenge-spinal decompression kunye nokhathalelo lwe-chiropractic lunokunceda ukuvuselela umqolo ochaphazelekayo yi-facet joint syndrome kunye nokunceda ukubuyisela umgangatho wobomi bomntu.
Ucaphulo
Alexander, CE, Cascio, MA, & Varacallo, M. (2022). I-Lumbosacral Facet Syndrome . I-PubMed; StatPearls Publishing. pubmed.ncbi.nlm.nih.gov/28722935/
Curtis, L., Shah, N., & Padalia, D. (2023). I-Facet Joint Disease . I-PubMed; StatPearls Publishing. www.ncbi.nlm.nih.gov/books/NBK541049
Du, R., Xu, G., Bai, X., & Li, Z. (2022). I-Facet Joint Syndrome: I-Pathophysiology, i-Diagnostic, kunye noNyango. Umbhalo woPhando loPhando , 15 , 3689–3710. doi.org/10.2147/JPR.S389602
Gose, E., Naguszewski, W., & Naguszewski, R. (1998). Unyango lwe-axial decompression ye-Vertebral yentlungu ehambelana ne-disc ye-herniated okanye i-degenerated okanye i-facet syndrome: isifundo sesiphumo. Uphando lweNeurological , 20 (3), 186–190. doi.org/10.1080/01616412.1998.11740504
Kaplan, E., & Bard, P. (2023). Ukuthotywa koMnqongo okuGqibeleleyo . JETLAUNCH.
isikhanyeli
by UGqr Alex Jimenez Chiropractic , Ubuhlungu obungapheliyo , Ukuhamba kunye nokuguquguquka , Unyango lokuthotywa koMnqonqo , Ucoceko loMgcini , Unyango , I-Viscerosomatic Reflex
Kubantu abaninzi abanesifo se-disc degenerative, i-spinal decompression ithelekisa njani utyando lomqolo luphucula ukuguquguquka komqolo?
intshayelelo
Umqolo ubalulekile kumzimba inkqubo yemisipha , evumela abantu ukuba benze iintshukumo zemihla ngemihla ngelixa begcina ukuma okufanelekileyo. Intambo yomgogodla ikhuselwe yimisipha ejikelezayo, izicubu ezithambileyo, izihlunu kunye neengcambu zemithambo-luvo. I iidiski zomgogodla phakathi kwekholomu yomgogodla yenza njengezinto eziphazamisayo zokunciphisa uxinzelelo kwi-axial overload kunye nokukhuthaza ukuhamba komzimba kunye nokuguquguquka. Iidiski zomgogodla zinokuhla ngokwemvelo njengoko umntu ekhula, ekhokelela isifo se-diserative diserative . Le meko inokubangela imiba emininzi yomgogodla enokuthi ichaphazele ukuguquguquka komqolo. Eli nqaku lihlola indlela isifo se-disc esichaphazela ngayo umqolo kunye nonyango olukhoyo ukubuyisela ukuguquguquka kwayo. Sisebenza nababoneleli bezonyango abaqinisekisiweyo abasebenzisa ulwazi oluxabisekileyo lwezigulane zethu ukunyanga abantu abaphethwe sisifo se-disc esichaphazela ukuguquguquka komqolo wabo. Sikwabazisa malunga nonyango olungelulo utyando lokubuyisela ukuhamba komqolo kunye nokunciphisa iimpawu ezinjengeentlungu. Sikhuthaza izigulana ukuba zibuze imibuzo ebalulekileyo kwaye zifune imfundo kubaboneleli bethu bezonyango abanxulumene nemeko yabo. UDkt Jimenez, DC, unikezela ngolu lwazi njengenkonzo yemfundo. isikhanyeli
Isifo seDisgenerative Disc siwuchaphazela njani uMnqonqo?
Ngaba ufumana intamo okanye iintlungu ezisezantsi emva kosuku olude lomsebenzi? Emva kokusebenza ngokomzimba, ngaba ufumana ukukhululeka okwethutyana ngokujija okanye ukuguqula i-torso yakho? Ngaba ufumana iintlungu ezikhuphayo kwiindawo zakho eziphezulu okanye ezisezantsi ezibuhlungu xa umile? Ezi mpawu zixhaphakile njengoko umzimba uguga ngokuhamba kwexesha. Imisipha, izitho, iigaments, kunye namalungu angachaphazeleka zonke, kubandakanywa umqolo kunye neediski ze-intervertebral. Uphando lophando lutyhila ukuba i-disc degeneration iyenzeka rhoqo kwi-spine, ekhokelela kwiinguqu ezinokubangela ukungahambi kakuhle kunye nemiba yomgogodla. Isifo se-disc degenerative sinokuphazamisa isakhiwo se-spinal discs, okubangelwa iimpawu ezinjengeentlungu kunye nokukhawuleza kweenguqu eziguqukayo kumqolo. Kungakhathaliseki ubudala, imikhwa eyahlukahlukeneyo kunye nokukhetha kwendlela yokuphila kunokufaka isandla ekuwohlokeni. Njengoko uphando olongezelelweyo lubonelele , le meko ibonakaliswe nge-tension-resisting annulus fibrosus kunye ne-compress-resisting nucleus pulposus, ebangela intlungu kunye nokukhathazeka.
Iimpawu eziNxibelelana neSifo seDisgenerative
Isifo se-disc degenerative xa i-spinal disc kumava omqolo inxiba kwaye ikrazula ngenxa yokuguga kwendalo. Isibonakaliso sokuqala sesi sifo kukuqhekeka kwediski okubangelwa ukunyanzeliswa kokunyakaza okuphindaphindiweyo. Iimpawu ezinxulumene nesi sifo ziyafana kodwa zinokuhluka ngokusekelwe kwindawo echaphazelekayo yomqolo. Uphando lubonisa ukuba isifo se-disc degenerative singabangela iinyembezi ezincinci kwi-spinal disc, ekhokelela ekunciphiseni kwamanzi kunye nokungena kwamanzi, ukulahleka kwendawo yediski, i-disc bulging, kunye nokucaphuka kwee-nerve ezikufutshane. Oku kunokuchaphazela izicubu ezijikelezileyo ze-muscle kunye ne-disc facet joints, ukunciphisa umgudu womgogodla. Izifundo ezongezelelweyo zityhila ukuba abantu abanesifo se-disc degenerative banokufumana iimpawu ezahlukeneyo ezinokuthintela amandla abo okusebenza ngokufanelekileyo. Ezinye iimpawu eziqhelekileyo ziquka:
Iintlungu ezingalweni, emilenzeni nasezinyaweni Izinto ezingaqhelekanga (ukulahlekelwa yimvakalelo ezandleni, ezinyaweni, kwiminwe nasemva) Ukuthamba kwemisipha kunye nobuthathaka Ukukhubazeka Ukuvutha Imeko ye-Visceral-somatic & somatic-visceral
Ukuba umntu ufumana iimpawu ezinjengeentlungu ngokubambisana nesifo se-disc degenerative sinokuchaphazela kakubi umgangatho wobomi babo kwaye kunokukhokelela ekukhubazekeni kwexesha elide. Ngethamsanqa, unyango lunokucothisa inkqubo ewohlokayo kwaye luthomalalise iimpawu ezinjengeentlungu.
Iimfihlo zeMpilo eNgcono-Ividiyo
VIDEO
Xa abantu beva intlungu enxulumene nesifo se-disc degenerative, bahlala befuna iindlela zokuyinciphisa. Abanye banokuqwalasela ukuhlinzwa komgogodla ukususa i-disc echaphazelekayo kunye nokunciphisa intlungu ebangelwa yi-nerve ecasulayo. Nangona kunjalo, olu khetho lulandelwa kuphela ukuba olunye unyango aluphumelelanga kwaye lunokubiza. Ngethamsanqa, unyango olungenalo utyando luyindleko kwaye lukhuselekile, lujongana kakuhle nommandla ochaphazelekayo ukuze ufumane uncedo. Unyango olungenalo utyando lunokwenziwa ngokwezifiso kwintlungu ethile yomntu kunye nemeko, kubandakanywa ukuchithwa komgogodla, unyango lwe-MET, unyango lwe-traction, kunye nokunakekelwa kwe-chiropractic. Ezi ndlela zisebenza ukulungelelanisa umzimba kunye nokukhuthaza ukuphiliswa kwendalo ngokubuyisela amanzi kumqolo, ekugqibeleni ukubuyisela ukuguquguquka.
Unyango Ukuphucula ukuguquguquka koMnqonqo
Abantu abanesifo se-disc degenerative banokuzuza kunyango olungenalo utyando olulungiselelwe iimfuno zabo. Olu nyango lubandakanya ukuhlolwa kwengcali yeentlungu, njengengcali yezomzimba, i-massage therapist, okanye i-chiropractor, eya kuchonga umthombo wentlungu kwaye isebenzise iindlela ezahlukeneyo zokunciphisa intlungu, ukuphucula ukuguquguquka kumqolo, kunye nokukhulula izihlunu eziqinileyo eziye zachatshazelwa sesi sifo. Ukongezelela, unyango olungenalo utyando lunokunceda ukubuyisela umsebenzi we-sensory kunye nokuhamba kumqolo kunye needilesi ezinokuthi ziqhubele phambili inkqubo yokunciphisa.
IProtokholi yokuCamba koMnqonqo kwiSifo seDisc degenerative
Uphando lophando lucebisa ukuba ukunyanzeliswa komgogodla kunokunciphisa ngokufanelekileyo inkqubo yokunciphisa i-spinal discs ngokusebenzisa i-travel traction. Ngethuba lokunyangwa kwe-spinal decompression, umntu ubotshwa kumatshini wokutsala. Umatshini wolula ngokuthe ngcembe umqolo ukwenza uxinzelelo olubi kwidiski yomqolo, enceda ukuyibuyisela emanzini kunye nokunyusa umthamo wezondlo, ngaloo ndlela utsiba inkqubo yokuphilisa. Ngokutsho kukaDkt Eric Kaplan, DC, FIAMA, kunye noDkt Perry Bard, DC, kwincwadi yabo ethi "The Ultimate Spinal Decompression," abantu abanesifo se-disc degenerative bangadinga uxinzelelo oluphezulu ngexesha lokunyangwa kwe-spinal decompression ngenxa yeengxaki zeempawu. Ukunyanzeliswa komgogodla kunokunceda ukubuyisela ukuphakama kwediski kwaye kube sisisombululo esisebenzayo kwabo bafuna ukuphucula impilo yabo.
Ucaphulo
Choi, E., Gil, HY, Ju, J., Han, WK, Nahm, FS, & Lee, P.-B. (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 , 1–9. doi.org/10.1155/2022/6343837
Choi, Y.-S. (2009). I-Pathophysiology ye-Degenerative Disc Disease. Ijenali yoMnqonqo waseAsia , 3 (1), 39. doi.org/10.4184/asj.2009.3.1.39
Kaplan, E., & Bard, P. (2023). I-Ulitimate Spinal Decompression . JETLAUNCH.
Liyew, WA (2020). Iinkcazo zeklinikhi zeLumbar Disc Degeneration kunye neLumbosacral Nerve Lesions. Ijenali yeHlabathi yeRhematology , 2020 , 1–13. doi.org/10.1155/2020/2919625
Scarcia, L., Pileggi, M., Camilli, A., Romi, A., Bartolo, A., Giubbolini, F., Valente, I., Garignano, G., D'Argento, F., Pedicelli, A., & Alexandre, AM (2022). I-Degenerative Disc Disease ye-Spine: Ukusuka kwi-Anatomy ukuya kwi-Pathophysiology kunye nokubonakala kweRadiological, kunye neNgqwalasela ye-Morphological and Functional. Ijenali yezoNyango lomntu , 12 (11), 1810. doi.org/10.1155/2020/2919625
Taher, F., Essig, D., Lebl, DR, Hughes, AP, Sama, AA, Cammisa, FP, & Girardi, FP (2012). I-Lumbar Degenerative Disc Disease: Iingcamango zangoku kunye nezexesha elizayo zokuHlola kunye noLawulo. Ukuqhubela phambili kwi-Orthopedics , 2012 , 1–7. doi.org/10.1155/2012/970752
isikhanyeli
