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Chiropractic

Iklinikhi yangasemva yeChiropractic. Olu luhlobo lonyango olulolunye olujolise ekuxilongweni nasekunyangelweni kweentlobo ezahlukeneyo zokulimala kwe-musculoskelet kunye neemeko, ngakumbi ezo zihambelana nomqolo. UDkt Alex Jimenez uxoxa ngendlela uhlengahlengiso lomqolo kunye nokuguqulwa kwesandla rhoqo kunokunceda kakhulu zombini ukuphucula nokuphelisa iimpawu ezininzi ezinokubangela ukungahambi kakuhle kumntu. I-Chiropractors ikholelwa phakathi kwezizathu eziphambili zentlungu kunye nezifo kukungahambi kakuhle kwe-vertebrae kwikholamu yomgogodla (oku kwaziwa ngokuba yi-subluxation ye-chiropractic).

Ngokusetyenziswa kokufumanisa ngesandla (okanye i-palpation), uxinzelelo olufakwe ngokucokisekileyo, i-massage, kunye nokunyangwa ngesandla kwe-vertebrae kunye namalungu (okubizwa ngokuba luhlengahlengiso), i-chiropractors inokunciphisa uxinzelelo kunye nokucaphuka kwimithambo-luvo, ukubuyisela ukuhamba ngokubambisana, kunye nokunceda ukubuyisela i-homeostasis yomzimba. . Ukusuka kwi-subluxation, okanye ukungahambi kakuhle komgogodla, ukuya kwi-sciatica, isethi yeempawu ecaleni kwe-nerve ye-sciatic ebangelwa yi-nerve impingement, ukhathalelo lwe-chiropractic lunokubuyisela ngokuthe ngcembe imeko yendalo yomntu. UDkt Jimenez uqulunqa iqela leengcamango kwi-chiropractic ukufundisa abantu ngokufanelekileyo kwiintlobo ezahlukeneyo zokulimala kunye neemeko ezichaphazela umzimba womntu.


Ukubaluleka koNyango olungaqhawukiyo loNciphiso lwe-Joint Hypermobility

Ukubaluleka koNyango olungaqhawukiyo loNciphiso lwe-Joint Hypermobility

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

Iziphumo zeTraction Therapy & Decompression yeHerniated Disc

Iziphumo zeTraction Therapy & Decompression yeHerniated Disc

Ngaba abantu abaneediski ze-herniated banokulufumana uncedo abalufunayo kunyango lwe-traction okanye ukudodobala ukubonelela ngesiqabu seentlungu?

intshayelelo

Umqolo uvumela umntu ukuba ahambe kwaye aguquguquke ngaphandle kokuva intlungu kunye nokungahambi kakuhle xa umntu ehamba. Oku kungenxa yokuba umqolo uyingxenye yenkqubo ye-musculoskeletal equkethe imisipha, i-tendon, i-ligaments, intambo yomgogodla, kunye neediski zomgogodla. Ezi zixhobo zijikeleze umqolo kwaye zinemimandla emithathu ukuvumela iindawo eziphezulu kunye nezisezantsi ukuba zenze imisebenzi yazo. Nangona kunjalo, umqolo ukwaguga xa umzimba uqala ukuguga ngokwemvelo. Ukunyakaza okuninzi okanye izenzo eziqhelekileyo zinokubangela ukuba umzimba ube nzima kwaye, ngokuhamba kwexesha, kunokubangela ukuba i-spinal disc i-herniate. Xa oku kwenzeka, i-disc ye-herniated ingakhokelela kwiintlungu kunye nokungahambi kakuhle kwimida, ngaloo ndlela yenza abantu bajongane nomgangatho wobomi obuncitshisiweyo kunye nentlungu kwimimandla emithathu yomgogodla. Ngethamsanqa, kukho unyango oluninzi, olufana nonyango lwe-traction kunye ne-decompression, ukunciphisa intlungu kunye nokukhathazeka okuhambelana neediski ze-herniated. Inqaku lanamhlanje lijonga ukuba kutheni iidiski ze-herniated zibangela imiba kumqolo kunye nemiphumo yendlela ezi zonyango ezimbini ezinokunceda ukunciphisa iidiski ze-herniated. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya indlela i-disc ye-herniated kumqolo ingaba ngumba obangela intlungu ye-musculoskeletal. Siyazisa kwaye sikhokela izigulane malunga nendlela ukudibanisa ukuchithwa komgogodla kunye nonyango lwe-traction kunokunceda ukulungelelanisa umqolo kunye nokunciphisa i-disc herniation ebangela imiba yomgogodla. Sikhuthaza izigulane zethu ukuba zibuze ababoneleli bezonyango abanxulumene nabo imibuzo enzima kunye nebalulekileyo malunga nokubandakanya unyango olungenalo utyando njengenxalenye yendlela yabo yokunciphisa intlungu kunye nokukhathazeka emizimbeni yabo. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli.

 

Kutheni i-Herniated Discs ibangela imiba kwi-Spine?

Ngaba uziva ungonwabanga rhoqo entanyeni okanye ngasemva okungakuvumeli ukuba uphumle? Ngaba uziva ukubetha kwiindawo zakho eziphezulu kunye nezisezantsi, ukwenza izinto zokubamba okanye ukuhamba nzima? Okanye ngaba uye waqaphela ukuba uzingela kwidesika yakho okanye ukuma kwaye ukolula kubangela intlungu? Njengoko umqolo ugcina umzimba uthe tye, amacandelo awo aphambili abandakanya i-vertebrae eshukumayo, i-nerve root fibers, kunye ne-spinal discs ukunceda ukuthumela izibonakaliso ze-neuron kwingqondo ukuvumela ukunyakaza, ukukhupha amandla othusayo kumqolo, kwaye ube bhetyebhetye. Umqolo uvumela umntu ukuba enze imisebenzi eyahlukeneyo ngaphandle kweentlungu kunye nokungahambi kakuhle ngokusebenzisa ukunyakaza okuphindaphindiweyo. Nangona kunjalo, xa umzimba uguga, kunokukhokelela ekutshintsheni okuguquguqukayo kumqolo, okubangela ukuba i-spinal disc i-herniate ngokuhamba kwexesha. I-disc ye-herniated yimeko eqhelekileyo ye-musculoskelet ye-degenerative eyenza ukuba i-nucleus pulposus iphule kuyo nayiphi na indawo ebuthathaka ye-annulus fibrosus kwaye icinezele iingcambu ze-nerve ezijikelezayo. (UGe et al., 2019) Ngamanye amaxesha, xa iintshukumo eziphindaphindiweyo ziqala ukudala i-disc ye-herniated, inxalenye yangaphakathi ye-disc ingaba yi-desiccated kunye ne-brittle. Ngokwahlukileyo, inxalenye yangaphandle iba yi-fibrotic kwaye i-elastic encinci, ibangela ukuba i-disc iyancipha kwaye ibe yincinci. I-disc ye-herniated inokuchaphazela abantu abancinci nabadala njengoko banokuba negalelo lezinto ezininzi ezibangela ukuba utshintsho lwe-proinflammatory emzimbeni. (Wu et al., 2020

 

 

Xa abantu abaninzi bejongene nentlungu ehambelana ne-disc ye-herniated, i-disc ngokwayo ihamba ngenguqu ye-morphological ngokusebenzisa i- characterization ye-disc ibe ngumonakalo oyingxenye, elandelwa yi-displacement kunye ne-herniation ye-disc yangaphakathi kwi-canal ye-vertebral ukuze icinezele. iingcambu zemithambo-luvo. (Diaconu et al., 2021) Oku kubangela iimpawu zentlungu, ukuba ndindisholo, kunye nobuthathaka kwiindawo eziphezulu kunye nezisezantsi zomzimba ngokusebenzisa i-nerve impingement. Yiyo loo nto, abantu abaninzi bajongana neempawu zentlungu ezigqithisiweyo ezivela ezingalweni zabo nasemilenzeni ekhupha iintlungu. Xa ukunyanzeliswa kwe-nerve ehambelana neediski ze-herniated ziqala ukubangela intlungu kunye nokungahambi kakuhle, abantu abaninzi baqala ukufuna unyango ukuze banciphise intlungu eyenziwa yi-disc ye-herniated ukubonelela ngokukhululeka kwimizimba yabo.

 


Ukuthotywa koMnqonqo kubunzulu-Ividiyo


Iimpembelelo zeTraction Therapy ekunciphiseni i-Herniated Disc

Abantu abaninzi abaphethwe yintlungu echaphazelekayo kwiidiski ze-herniated kwimiqolo yabo banokufuna unyango olufana ne-traction therapy ukunciphisa intlungu. Unyango lokutsalwa lunyango olungasebenzisi utyando ololula kwaye luhlanganise umqolo. Unyango lokutsala lungenziwa ngoomatshini okanye ngesandla yingcali yeentlungu okanye ngoncedo lwezixhobo zoomatshini. Iimpembelelo zonyango lwe-traction zinganciphisa amandla oxinzelelo kwi-spinal disc ngelixa unciphisa ukunyanzeliswa kweengcambu ze-nerve ngokwandisa ubude bediski ngaphakathi komgudu. (Wang et al., 2022) Oku kuvumela ukuba iindawo ezijikelezayo ngaphakathi komqolo zihambe kwaye zichaphazele ngokufanelekileyo umqolo. Ngonyango lwe-traction, imikhosi yoxinzelelo oluphakathi okanye oluzinzileyo lunceda ukolula umqolo, ukunciphisa iintlungu, kunye nokuphucula iziphumo zokusebenza. (Kuligowski et al., 2021

 

Iimpembelelo zoMnqopho wokuNxinzelela ekunciphiseni i-Herniated Disc

Olunye uhlobo lonyango olungenalo utyando luyi-spinal decompression, inguqu ephucukileyo ye-traction esebenzisa iteknoloji yekhompyutheni ukunceda ukusebenzisa i-controlled, i-lattle pulling forces to the spine. I-Spinal decompression iyenza kukuba inokunceda ukuthoba umgudu womgogodla kwaye incede ukutsala i-disc ye-herniated ibuyele kwindawo yayo yasekuqaleni ngelixa uzinzisa umqolo kunye nokugcina amathambo abalulekileyo kunye nezicubu ezithambileyo zikhuselekile. (Zhang et al., 2022) Ukongezelela, ukunyanzeliswa komgogodla kunokudala uxinzelelo olubi kumqolo ukuvumela ukuhamba kwamanzi okunomsoco kunye ne-oksijini yegazi ukubuyela kwiidiski ngelixa udala ubudlelwane obuphambeneyo xa kuqaliswa uxinzelelo lwengcinezelo. (URamos noMartin, ngo-1994) Bobabini ukunyanzeliswa komgogodla kunye nokunyangwa kwe-traction kunokubonelela ngeendlela ezininzi zonyango ukubonelela ngokukhululeka kubantu abaninzi abajongene neediski ze-herniated. Ngokuxhomekeke kwindlela enzima ngayo i-disc ye-herniated ibangele imiba kumqolo womntu, abaninzi banokuthembela kunyango olungelulo utyando ngenxa yesicwangciso salo esilungelelanisiweyo esinomntu kwintlungu yomntu kwaye inokudibaniswa kunye nezinye iindlela zonyango zokuqinisa imisipha ejikelezayo. Ngokwenza njalo, abantu abaninzi banokungabi nantlungu ekuhambeni kwexesha ngelixa bekhumbula imizimba yabo. 

 


Ucaphulo

Diaconu, GS, Mihalache, CG, Popescu, G., Man, GM, Rusu, RG, Toader, C., Ciucurel, C., Stocheci, CM, Mitroi, G., & Georgescu, LI (2021). Iingqwalasela zeklinikhi kunye ne-pathological kwi-lumbar herniated disc ehambelana nezilonda ezivuthayo. Rom J Morphol Embryol, 62(4), 951-960. doi.org/10.47162/RJME.62.4.07

Ge, CY, Hao, DJ, Yan, L., Shan, LQ, Zhao, QP, He, BR, & Hui, H. (2019). Intradural Lumbar Disc Herniation: Ingxelo yeNgxelo kunye noPhononongo loNcwadi. Clin Interv Ukuguga, 14, 2295-2299. doi.org/10.2147/CIA.S228717

Kuligowski, T., Skrzek, A., & Cieslik, B. (2021). Unyango lweNcwadana kwi-Cervical and Lumbar Radiculopathy: Ukuphononongwa okuCwangcisiweyo koNcwadi. Int J Environ Res Impilo yoLuntu, 18(11). doi.org/10.3390/ijerph18116176

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

Wang, W., Long, F., Wu, X., Li, S., & Lin, J. (2022). Ukusebenza kweKlinikhi ye-Mechanical Traction njenge-Physical Therapy ye-Lumbar Disc Herniation: Uhlalutyo lwe-Meta. Iindlela zeMathematika zeKhompyutha Med, 2022, 5670303. doi.org/10.1155/2022/5670303

Wu, PH, Kim, HS, & Jang, IT (2020). Izifo ze-Intervertebral Disc ICANDELO 2: Uphononongo lweSicwangciso sokuHlola kunye noNyango lwangoku lwe-Intervertebral Disc Disease. Int J Mol Sci, 21(6). doi.org/10.3390/ijms21062135

Zhang, Y., Wei, FL, Liu, ZX, Zhou, CP, Du, MR, Quan, J., & Wang, YP (2022). Ukuthelekiswa kweendlela zokuchithwa kwe-posterior kunye ne-laminectomy eqhelekileyo ye-lumbar spinal stenosis. I-Front Surg, 9, 997973. doi.org/10.3389/fsurg.2022.997973

 

isikhanyeli

Indima yoNyango lweDecompression ekuBuyiselweni kweDisc Spinal

Indima yoNyango lweDecompression ekuBuyiselweni kweDisc Spinal

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

Fumanisa olona nyango luSebenzayo lwe-Non-utyando lwe-Sciatica

Fumanisa olona nyango luSebenzayo lwe-Non-utyando lwe-Sciatica

Ngaba unyango olungasebenzisi utyando olufana ne-acupuncture kunye ne-spinal decompression lubonelela ngesiqabu kubantu abajongene ne-sciatica?

intshayelelo

Xa abantu abaninzi beqala ukuva iintlungu ezihla emilenzeni emva kosuku olude lwemisebenzi, oko kubangela ukuba bangakwazi ukuhamba kunye nobunzima bokufumana indawo yokuphumla. Abantu abaninzi bacinga ukuba bajongana neentlungu zomlenze, kodwa kunokuba ngumcimbi ngakumbi njengoko beqonda ukuba akusiyo nje intlungu yomlenze abayifumanayo kodwa yi-sciatica. Ngelixa le nzwa ende ivela kumqolo osezantsi kwaye ihamba ihla ukuya emilenzeni, inokuzithoba kwiintlungu kunye nokungahambi kakuhle xa iidiski ze-herniated okanye izihlunu zicinezela kwaye zikhulise i-nerve. Xa oku kwenzeka, kunokuchaphazela ukuhamba komntu kunye nomgangatho wobomi, ngaloo ndlela kubangele ukuba bafune unyango lokunciphisa intlungu kwi-sciatica. Ngethamsanqa, ezinye iindlela zonyango ezifana ne-acupuncture kunye ne-spinal decompression ziye zasetyenziselwa ukunciphisa intlungu ye-sciatic kuphela kodwa nokubonelela ngemiphumo emihle, enenzuzo. Inqaku lanamhlanje lijonga i-sciatica, indlela ukuchithwa komgogodla kunye ne-acupuncture kunokunciphisa i-sciatica, kunye nendlela ukudibanisa ezi zibini zonyango ezingezona utyando kunokukhokelela kwimiphumo enenzuzo. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya indlela i-sciatica inokuchaphazela ngayo kakhulu impilo yomntu kunye nomgangatho wobomi. Siyazisa kwaye sikhokela izigulane malunga nendlela yokudibanisa unyango lwe-acupuncture kunye noxinzelelo lomgogodla kunokunciphisa ngokuqinisekileyo i-sciatica. Sikhuthaza izigulane zethu ukuba zibuze ababoneleli bezonyango abanxulumene nabo imibuzo enzima kunye nebalulekileyo malunga nokubandakanya unyango olungenalo utyando kwi-wellness routine ukukhulula i-sciatica kunye neempawu ezithunyelweyo. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli.

 

Ukuqonda iSciatica

Ngaba uhlala uziva ndindisholo okanye ukuntyiloza ukusuka emqolo ukuya emilenzeni yakho? Ngaba uziva ngathi ukuhamba kwakho kukwi-balance? Okanye ngaba uye wolula imilenze yakho emva kokuba uhleli ixeshana, nto leyo enikela isiqabu sokwexeshana? Ngelixa i-nerve ye-sciatic idlala indima ebalulekileyo ekusebenzeni kweemoto emilenzeni, xa izinto ezahlukeneyo, ezifana neediski ze-herniated kunye nokukhulelwa, ziqala ukunyusa i-nerve, kunokubangela intlungu. I-Sciatica yintlungu ebangelwa ngabom ehlala ibhalwa ngendlela engeyiyo njengeentlungu ezisezantsi okanye iintlungu zomlenze ngenxa yezi meko zimbini ze-musculoskelet. Ezi zi-comorbidities kwaye zinokongezwa ngokujija okulula kunye nokujika. (Davis et al., 2024)

 

 

Ukongezelela, xa abantu abaninzi benza ukunyakaza okuphindaphindiweyo okanye ukujongana neenguqu eziguqukayo kumqolo, i-spinal discs ixhomekeke kwi-herniation. Basenokucinezela kwimithambo yomqolo, ebangela ukuba imiqondiso ye-neuron ikhuphe iintlungu kunye nokungakhululeki kwiindawo ezisezantsi. (Zhou et al., 2021Ngexesha elifanayo, i-sciatica ingaba yimithombo yomgogodla kunye neyongezelelweyo ye-spinal kwingingqi ye-lumbar spinal, ebangela ukuba abantu abaninzi bahlale bebuhlungu kwaye bajonge ukukhululeka. (Siddiq et al., 2020) Xa intlungu ye-sciatica iqala ukuchaphazela iindawo eziphantsi zomntu, ezibangela imiba yokuhamba, abantu abaninzi bafuna unyango lokunciphisa iintlungu ezinjengeentlungu ze-sciatica. 

 


INzululwazi yeVidiyo eshukumayo


 

I-acupuncture yokunciphisa iintlungu ze-Sciatica

Xa kuziwa ekuphatheni i-sciatica, abantu abaninzi banokujonga kunyango olungelulo utyando ngenxa yokufikeleleka kunye nokusebenza ngempumelelo ekunciphiseni i-sciatica kunye neempawu ezihambelana neentlungu. Unyango olungasebenzisi utyando lunokwenziwa ngokwezifiso kwiintlungu zomntu kwaye zidityaniswe ukubuyisela umgangatho wobomi bomntu. Izonyango ezimbini ezingezizo utyando ezinokunceda ukunciphisa i-sciatica yi-acupuncture kunye ne-spinal decompression. I-acupuncture inembali ende yokubonelela ngemiphumo emihle ebalulekileyo ekunciphiseni intlungu ye-sciatic kunye nokuphucula umgangatho wobomi bomntu. (Yuan et al., 2020) Iingcali eziqeqeshwe kakhulu ezivela eChina zisebenzisa i-acupuncture kwaye zibandakanya iinaliti ezincinci eziqinileyo ukubonelela ngokukhawuleza kwiimpawu ezinxulumene ne-sciatica. Oku kungenxa yokuba i-acupuncture yenza iziphumo ze-analgesic ngokulawula ukusebenza kwe-microglia, inqanda impendulo yendalo yomzimba, kunye ne-modulating receptors ecaleni kwendlela yentlungu kwinkqubo ye-nervous. (Zhang et al., 2023) Ukuza kuthi ga ngoku, i<em>acupuncture inokuvuselela i<em>acupoints yomzimba ukuze ibuyisele ulungelelwano.

 

Iziphumo zeAcupuncture

Enye yeempembelelo ze-acupuncture yokunciphisa i-sciatica kukuba inokunciphisa ubunzima beentlungu ngokuguqula iipatheni zokusebenza kwengqondo xa i-receptors yentlungu iphazamiseka. (Yu et al., 2022) Ukongezelela, xa i-acupuncturists iqala ukuvuselela imithambo-luvo kwimisipha kunye nezicubu, ikhulula i-endorphins kunye nezinye izinto ze-neurohumoral ezinceda ukutshintsha inkqubo yeentlungu kwinkqubo ye-nervous. I-acupuncture inceda ukunciphisa ukuvuvukala ngelixa iphucula ukuqina kwemisipha kunye nokuhamba ngokubambisana ngokunyusa i-microcirculation ukunciphisa ukuvuvukala ngelixa ivimbela intlungu ye-sciatica ekuchaphazeleni imilenze ephantsi. 

 

Ukuthotywa koMnqonqo wokuNciphisa iintlungu zeSciatica

 

Olunye uhlobo lonyango olungenalo utyando luyi-decompression yomgogodla, kwaye inokunceda ukunciphisa imiphumo ye-sciatica kunye neempawu zayo ezibuhlungu ezihambelanayo. I-Spinal decompression isebenzisa itafile ye-traction ukuze yolule ngobunono umqolo ukwenza uxinzelelo olubi ngaphakathi kwe-spinal disc kunye nokukhulula i-nerve echaphazelekayo. Kubantu be-sciatica, olu nyango lungenalo utyando lukhulula i-nerve ye-sciatic njengoko ukunyanzeliswa komgogodla kunceda ukunciphisa ubunzima beentlungu kunye nokuphucula umsebenzi wokuhamba kwiindawo ezisezantsi. (I-Choi et al., 2022) Injongo ephambili ye-spinal decompression kukudala indawo ngaphakathi kwi-spinal canal kunye ne-neural structures ukukhulula i-nerve ye-sciatic eyingozi ekubangeleni intlungu. (Burkhard et al., 2022

 

Iziphumo zokuDodobala koMnqonqo

Abantu abaninzi banokuqala ukuziva bekhululekile ekufakeni ukudodobala komqolo kunyango lwabo lwempilo. Olu nyango olungasebenzisi utyando lukhuthaza ulwelo kunye nezondlo kwidiski yomgogodla ukukhaba-ukuqala inkqubo yokuphilisa yendalo yomzimba. Xa umqolo utyhulwa ngobumnene, kukho uxinzelelo oluncinci kwi-nerve ye-sciatic, enokunciphisa intlungu kunye nokuphucula ukuhamba. Ukongeza, abantu abaninzi baya kuziva ukuguquguquka kwabo kunye nokuhamba emva kwindawo yabo ye-lumbar.

 

Ukudibanisa i-acupuncture kunye ne-Spinal Decompression yokuNceda

Ngoko ke, xa abantu abaninzi beqala ukudibanisa i-spinal decompression kunye ne-acupuncture njengendlela epheleleyo kunye nengekho yokuhlinzwa yokunciphisa i-sciatica, iziphumo kunye neenzuzo zilungile. Nangona i-spinal decompression ijolise ekuphulukisweni komatshini we-spinal disc kunye nokunciphisa uxinzelelo lwe-nerve, i-acupuncture igxile ekunciphiseni intlungu kunye nokunciphisa ukuvuvukala kwinqanaba le-systemic. Oku kwandisa inkqubo yokuphilisa yendalo yomzimba kwaye kunika umphumo we-synergistic ukuphucula iziphumo zonyango. Unyango olungazenzisiyo olufana ne-acupuncture kunye nokuthotywa komqolo kunokubonelela ngesiphumo esinethemba kubantu abaninzi abafuna isiqabu kwiintlungu zabo ze-sciatic ngaphandle kokubhenela kwiinkqubo zotyando. Olu nyango luvumela umntu ukuba aphinde aphinde ahambe kwiindawo eziphantsi, ukunciphisa intlungu, kunye nokuphucula umgangatho wobomi ngokwenza abantu bakhumbule imizimba yabo kunye nokunciphisa amathuba okuba i-sciatica ibuyele. Ngokwenza oko, abantu abaninzi banokuphila ubomi obusempilweni nobungenazintlungu.

 


Ucaphulo

Burkhard, MD, Farshad, M., Suter, D., Cornaz, F., Leoty, L., Furnstahl, P., & Spirig, JM (2022). Ukuthotywa komqolo kunye nezikhokelo ezithile zesigulane. Umqolo J, 22(7), 1160-1168. doi.org/10.1016/j.spinee.2022.01.002

Choi, E., Gil, HY, Ju, J., Han, WK, Nahm, FS, & Lee, PB (2022). Impembelelo ye-Nonsurgical Spinal Decompression kwi-Intensity of Pain kunye ne-Herniated Disc Volume kwi-Subacute Lumbar Herniated Disc. Ijenali yaMazwe ngaMazwe yoNyango lweKliniki, 2022, 6343837. doi.org/10.1155/2022/6343837

UDavis, D., Maini, K., Taqi, M., & Vasudevan, A. (2024). Sciatica. Kwi StatPearls. www.ncbi.nlm.nih.gov/pubmed/29939685

Siddiq, MAB, Clegg, D., Hasan, SA, & Rasker, JJ (2020). I-sciatica eyongezelelweyo yomgogodla kunye ne-sciatica ilinganisa: ukuphononongwa kwe-scoping. Korean J Intlungu, 33(4), 305-317. doi.org/10.3344/kjp.2020.33.4.305

Yu, FT, Liu, CZ, Ni, GX, Cai, GW, Liu, ZS, Zhou, XQ, Ma, CY, Meng, XL, Tu, JF, Li, HW, Yang, JW, Yan, SY, Fu, HY, Xu, WT, Li, J., Xiang, HC, Sun, TH, Zhang, B., Li, MH, . . . Wang, LQ (2022). I-acupuncture ye-sciatica engapheliyo: iprotocol yolingo olulawulwa ngokungahleliwe olune-multicenter. BMJ Open, 12(5), e054566. doi.org/10.1136/bmjopen-2021-054566

Yuan, S., Huang, C., Xu, Y., Chen, D., & Chen, L. (2020). I-acupuncture ye-lumbar disc herniation: iProtocol yokuhlaziywa okucwangcisiweyo kunye nohlalutyo lwemeta. Iyeza (Baltimore), 99(9), e19117. doi.org/10.1097/MD.0000000000019117

Zhang, Z., Hu, T., Huang, P., Yang, M., Huang, Z., Xia, Y., Zhang, X., Zhang, X., & Ni, G. (2023). Ukusebenza kunye nokhuseleko lwe-acupuncture therapy ye-sciatica: ukuphononongwa ngokuchanekileyo kunye nohlalutyo lwemeta yeendlela ezilawulwa ngokungahleliwe. Front Neurosci, 17, 1097830. doi.org/10.3389/fnin.2023.1097830

Zhou, J., Mi, J., Peng, Y., Han, H., & Liu, Z. (2021). Iintlangano ze-Causal of Obesity kunye ne-Intervertebral Degeneration, iintlungu ezisezantsi, kunye ne-Sciatica: iSampuli ezimbini zeMendelian zokuHlaziya. Front Endocrinol (Lausanne), 12, 740200. doi.org/10.3389/fendo.2021.740200

isikhanyeli

Indima ye-Acupuncture ekuNyangweni kweentlungu zeZihlunu

Indima ye-Acupuncture ekuNyangweni kweentlungu zeZihlunu

Ngaba abantu abajongene neentlungu zemisipha banokufumana isiqabu kunyango lwe-acupuncture ukuze babuyele kwimisebenzi yabo yemihla ngemihla kunye nokuba sempilweni?

intshayelelo

Abantu abaninzi kwihlabathi jikelele baye bajongana neentlungu kwinkqubo yabo ye-musculoskeletal eye yachaphazela imisebenzi yabo yemihla ngemihla. Ezinye zezona zinto zixhaphakileyo abantu baye bafumana iintlungu zokuqaqamba kwezihlunu ziquka indlela yokuphila yokungaphumli ukusuka ekusebenzeni emsebenzini wedesika okanye iimfuno zomzimba ezivela kwindlela yokuphila esebenzayo. Izihlunu, ii-tendon, ii-ligaments, kunye ne-soft tissues zinokolulwa kwaye zisebenze kakhulu, zibangele ukuba izihlunu zibe buthathaka. Ngexesha elifanayo, imiba ye-visceral ye-somatic entanyeni, emagxeni, nasemva inokuchaphazela iindawo eziphezulu kunye nezisezantsi, ezikhokelela kubomi bokukhubazeka. Izinto ezininzi ezinokuthi zibe negalelo ekuphuhlisweni kweentlungu ze-muscle zinokuchaphazela inkqubo yomntu kwaye zibangele ukuba bafumane iindlela ezahlukeneyo zokunciphisa intlungu yemisipha emizimbeni yabo. Kuba iintlungu zezihlunu zinokuba bukhali okanye zingapheli, abantu abaninzi abafuna unyango kwizigulo zabo banokujonga kunyango olungalulo utyando olufana ne-acupuncture ukuba lunganciphisi nje iintlungu zezihlunu kodwa bafumane isiqabu abalufunayo. Inqaku lanamhlanje ligxile kwindlela iintlungu zemisipha ezinokuchaphazela ngayo impilo-ntle yomntu, indlela undoqo we-acupuncture onokuba luncedo ngayo kwiintlungu zemisipha, kunye nendlela abantu abanokudibanisa ngayo unyango lwe-acupuncture njengenxalenye yendlela yokuphila kakuhle. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya indlela intlungu yemisipha inokuchaphazela ngayo impilo yomntu. Siyazisa kwaye sikhokela izigulane malunga nendlela unyango lwe-acupuncture olunokuthi luzuze ngayo umzimba ngokunciphisa iziphumo zentlungu yemisipha. Sikhuthaza abaguli bethu ukuba babuze ababoneleli bezonyango abanxulumene nabo imibuzo entsonkothileyo kunye nebalulekileyo malunga nokubandakanya unyango lwe-acupuncture kwi-wellness routine ukunciphisa intlungu ye-muscle kunye neempawu zayo ezithunyelwe. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli.

 

Indlela Intlungu Yemisipha Enokuchaphazela Ngayo Intlalontle Yomntu

Ngaba uziva imiphumo yokukhathala kunye nobuthathaka kwimisipha yakho ephezulu nangaphantsi? Ngaba ukhe weva ubuhlungu obuqhelekileyo okanye amahlaba entanyeni yakho, emagxeni, okanye emqolo? Okanye ngaba ukujija kunye nokuguqula umzimba wakho kubangela ukukhululeka okwethutyana emzimbeni wakho, kuphela ukuba ube mandundu imini yonke? Xa kuziwa kwintlungu ye-muscle ingaba yimeko yezinto ezininzi apho oko kunokubandakanya ukusebenzisana okuyinkimbinkimbi kwisakhiwo somntu, umzimba, intlalontle, indlela yokuphila, kunye nempilo ye-comorbid enokuthi idlale njengezinto ezibangela ukuba abantu bafumane intlungu yexesha elide. kunye nokukhubazeka. (Caneiro et al., 2021) Njengoko abantu abaninzi beqala ukwenza ukunyakaza okuphindaphindiweyo okanye ukuhlala kwiindawo zokulala, iintlungu zemisipha zinokukhula xa zisolula okanye zizama ukuhambisa izihlunu zabo ngelixa besenza imisebenzi yabo. Umthwalo weentlungu ze-muscle uhlala uhambelana nezinto zentlalo zoqoqosho ezinokubangela ukuba abantu abaninzi, abancinci nabadala, banciphise kakhulu ukuhamba kwabo kunye nokuzibandakanya kwindlela yabo yesiqhelo, ebeka phambili imingcipheko eyongeziweyo kwezinye iimeko ezingapheliyo abanokuba nazo. (Dzakpasu et al., 2021)

 

 

Xa abantu abaninzi bejongene neentlungu zemisipha ngendlela ebuhlungu okanye engapheliyo, abaninzi abaqondi ukuba xa izihlunu ezichaphazelekayo kwi-quadrants yomzimba ophezulu kunye nezantsi zijongene nentlungu, kukho intlungu ehambelanayo kunye nokuqina kwindlela esebenzayo okanye engasebenzi ngayo. Izihlunu zinokuchaphazela izicubu ezithambileyo ezibangela uxinzelelo oluphezulu lomatshini ukuya kuchaphazela amalunga amathambo. (UWilke & Behringer, ngo-2021) Xa oku kwenzeka, abantu abaninzi baya kuqala ukufumana intlungu echazwe kwi-muscle emizimbeni yabo, ebangela imiba ngokuhamba kwabo, ukuguquguquka, kunye nokuzinza. Ngokuzenzekelayo, intlungu ye-muscle ingaba ngumqondiso wabantu abaninzi abaneentlungu ezahlukeneyo emizimbeni yabo eye yachaphazela ubomi babo ngaphambili; ukufuna unyango kunokunciphisa imiphumo yeentlungu ze-muscle kwaye ubancede babuyisele indlela yabo yokuphila ubomi obunempilo.

 


Amayeza okunyakaza-Ividiyo


Undoqo we-acupuncture yeentlungu zemisipha

Xa abantu abaninzi bejongene neentlungu zemisipha, bafuna unyango olungafikelelekiyo kuphela kodwa lunokusebenza ekunciphiseni iiprofayili zomngcipheko ezigqithisayo ezichaphazela umzimba, ezibangela iintlungu zemisipha. Unyango oluninzi olufana nokhathalelo lwe-chiropractic, i-decompression, kunye nonyango lwe-massage alukho utyando kwaye lusebenza ngeeseshoni ezilandelelanayo. Olunye lolona nyango ludala nolusebenzayo olunokunceda ukunciphisa intlungu yemisipha emzimbeni lunyango lwe-acupuncture. I-acupuncture lunyango olupheleleyo oluphuma kwiTraditional Chinese Medicine esebenzisa iinaliti ezincinci, eziqinileyo, ezibhityileyo ezifakwe ngoochwephesha abachwepheshile kwii-acupoints ezahlukeneyo. Eyona filosofi iphambili yeyokuba i-acupuncture ibonelela ngesiqabu emzimbeni njengoko inceda ekuphuculeni ukuhamba kwamandla omzimba ngelixa igcina impilo yomntu wonke kunye namandla. (Zhang et al., 2022) Xa umntu ejongene nentlungu ye-muscle, i-muscle fibers inokuphuhlisa amaqhuqhuva amancinci aziwa ngokuba ngamanqaku okubangela angabangela intlungu kwi-quadrants ye-muscle echaphazelekayo. Ngenaliti ze-acupuncture ezibekwe kwindawo echaphazelekayo, iintlungu zengingqi kunye neentlungu ezigqithisiweyo ziyancitshiswa, ukuhamba kwegazi kwe-muscle kunye ne-oksijini ibuyiselwa emzimbeni, kwaye uluhlu lwe-muscle lwe-motion luphuculwe. (Pourahmadi et al., 2019) Ezinye zezibonelelo ezibonelelwa ngonyango lwe-acupuncture ziquka:

  • Ukunyuka kokujikeleza
  • Ukunciphisa ukudumba
  • Ukukhutshwa kwe-Endorphin
  • Ukukhululeka koxinzelelo lwemisipha

 

Ukudibanisa i-acupuncture njengenxalenye yeNkqubo yeMpilo

Abantu abaninzi abafuna unyango lwe-acupuncture njengenxalenye yohambo lwabo lokuphila kakuhle banokubona izibonelelo ezilungileyo ze-acupuncture kwaye banokuludibanisa nolunye unyango ukunciphisa amathuba okubuya kweentlungu zemisipha. Ngelixa i-acupuncture inokunceda ukuvuselela imithambo-luvo kunye nokubuyisela ukusebenza kwemoto, unyango olufana nokuhlanganiswa ngokubambisana lunokunceda ukolula izihlunu kunye namalungu achaphazelekayo ukuphucula uluhlu lokunyakaza komzimba. (ULee et al., 2023) Ngabantu abaninzi abafuna unyango lwe-acupuncture ukunciphisa intlungu ye-muscle, abaninzi banokwenza utshintsho oluncinci kwindlela yabo yokuthintela intlungu ekubangeleni iiprofayili ezinobungozi ezigqithisekileyo emizimbeni yabo. Xa ulungisa iingcambu zentlungu kunye nokukhuthaza amandla okuphilisa emzimbeni, i-acupuncture inokunceda ukubuyisela ibhalansi, ukunciphisa ukungonwabi, kunye nokuphucula impilo-ntle jikelele.

 


Ucaphulo

Caneiro, JP, Bunzli, S., & O'Sullivan, P. (2021). Iinkolelo malunga nomzimba kunye neentlungu: indima ebalulekileyo kulawulo lweentlungu ze-musculoskeletal. Braz J Phys Ther, 25(1), 17-29. doi.org/10.1016/j.bjpt.2020.06.003

Dzakpasu, FQS, Carver, A., Brakenridge, CJ, Cicuttini, F., Urquhart, DM, Owen, N., & Dunstan, DW (2021). Intlungu ye-musculoskelet kunye nokuziphatha kokuhlala kwindawo yokusebenza kunye neendawo ezingekho phantsi komsebenzi: ukuphononongwa ngokuchanekileyo kunye nohlalutyo lwe-meta. Int J Behav Nutr Phys Act, 18(1), 159. doi.org/10.1186/s12966-021-01191-y

Lee, JE, Akimoto, T., Chang, J., & Lee, HS (2023). Iziphumo zokuhlanganiswa ngokubambisana kunye ne-acupuncture kwiintlungu, umsebenzi womzimba, kunye nokudandatheka kwizigulane ze-stroke ezinentlungu engapheliyo ye-neuropathic: Ulingo olulawulwa ngokungahleliwe. I-PLOS ONE, 18(8), e0281968. doi.org/10.1371/journal.pone.0281968

Pourahmadi, M., Mohseni-Bandpei, MA, Keshtkar, A., Koes, BW, Fernandez-de-Las-Penas, C., Dommerholt, J., & Bahramian, M. (2019). Ukusebenza kwesidingo esomileyo sokuphucula intlungu kunye nokukhubazeka kubantu abadala abane-tension-type, i-cervicogenic, okanye i-headaches ye-migraine: iprotocol yokuhlaziywa okucwangcisiweyo. Unyango lweChiropr lomntu, 27, 43. doi.org/10.1186/s12998-019-0266-7

Wilke, J., & Behringer, M. (2021). Ngaba “Ukulibaziseka Ukuqala Ukuqaqamba Kwezihlunu” Ngumhlobo Wobuxoki? Impembelelo enokwenzeka yeFascial Connective Tissue kwi-Post-Exercise Discomfort. Int J Mol Sci, 22(17). doi.org/10.3390/ijms22179482

Zhang, B., Shi, H., Cao, S., Xie, L., Ren, P., Wang, J., & Shi, B. (2022). Ukutyhila umlingo we-acupuncture esekwe kwiindlela zebhayoloji: Uphononongo loncwadi. Iimpawu zeBiosci, 16(1), 73-90. doi.org/10.5582/bst.2022.01039

isikhanyeli

I-Spasms yangasemva: Ukufumana njani ukuNceda kunye nokuThintela iziqendu ezizayo

I-Spasms yangasemva: Ukufumana njani ukuNceda kunye nokuThintela iziqendu ezizayo

Ukufunda unobangela wengxaki kunye nendlela yokulawula ngokufanelekileyo kunokunceda abantu abafumana i-spasms emva ngokukhawuleza nangokukhuselekileyo babuyele kumanqanaba angaphambili omsebenzi kunye nomsebenzi.

I-Spasms yangasemva: Ukufumana njani ukuNceda kunye nokuThintela iziqendu ezizayo

I-Spasm yangasemva

Abantu abajongene neentlungu ze-back back okanye i-sciatica badla ngokuchaza iimpawu njengemisipha yomqolo eqinisa okanye i-spasming. Ukuqaqanjelwa ngasemva kunokuziva kuthambile, njengokucinezela inqindi kwelinye icala lomqolo okanye iintlungu eziqatha ezithintela umntu ukuba angahlali, eme, okanye ahambe kakuhle. I-Bask spasms ingaba nzima, ibangela ubunzima bokugcina ukuma okuqhelekileyo okuthe tye.

Yintoni iSpasm

Ukuqaqanjelwa ngasemva kukuqala ngesiquphe kokuqina kwezihlunu zangasemva. Ngamanye amaxesha, imvakalelo eqinile iba qatha kwaye inzima kangangokuba ithintela umntu ukuba ahambe ngokuqhelekileyo. Abanye abantu banobunzima bokugoba phambili ngenxa yeentlungu kunye nokuqina.

iimpawu

Uninzi lweziqendu zihlala iiyure ezininzi ukuya kwiintsuku ezininzi. Iimeko ezinzima zinokuhlala malunga neeveki ezintandathu ukuya kwezisibhozo, kodwa i-spasms kunye neentlungu ziyancipha ngokuthe ngcembe, zivumela umntu ukuba ahambe ngokuqhelekileyo kwaye aqalise umsebenzi wesiqhelo. Iimpawu eziqhelekileyo kunye neempawu zinokubandakanya:

  • Ubunzima bokugoba.
  • Imvakalelo eqinile ngasemva.
  • Ukubetha iintlungu kunye nokuziva.
  • Iintlungu kwicala elinye okanye omabini emqolo.

Ngamanye amaxesha, i-spasm inokubangela iintlungu ezikhuphayo kwiimpundu nasezinqeni. Xa kunzima, kunokukhatshwa ziintlungu zemithambo-luvo, ukuba ndindisholo, kunye nokuntyiloza okuphuma ezantsi emlenzeni omnye okanye yomibini. (Medline Plus. 2022)

Izizathu

I-spasms yangasemva ibangelwa yi-tight muscle tissue, ehlala iphumela kuxinzelelo oluthile lomatshini. Uxinzelelo lubangela ukuba izihlunu ezikufutshane nomnqonqo zitsalwe ngendlela engaqhelekanga. Njengomphumo wokutsalwa, imicu ye-muscle iba yi-taut kwaye ibuhlungu. Oonobangela bomatshini bokuqhawuka komqolo kunokubandakanya: (Incwadi yeMerck, ka-2022)

  • Ukuhlala kakubi kunye/okanye ukuma.
  • Ukulimala okuphindaphindiweyo kokusetyenziswa ngokugqithisileyo.
  • Iintlobo zeLumbar.
  • I-Lumbar disc herniations.
  • I-osteoarthritis esezantsi.
  • I-Spondylolisthesis - i-vertebrae shift out of position, kuquka i-anterolisthesis kunye ne-retrolisthesis.
  • I stenosis

Zonke ezi zinokubeka uxinzelelo olwandisiweyo kwizakhiwo ze-anatomical kumqolo. Izihlunu ezisezantsi ezikufutshane nezi zakhiwo zinokungena kwi-spasm ekhuselayo enokuthi ibangele ukuvakalelwa okuqinileyo kunye nobuhlungu kumqolo. Ezinye izizathu ezingezizo ezomatshini ze-spasms ezisezantsi ziquka:Incwadi yeMerck, ka-2022)

  • Ukuxinezeleka kunye nexhala
  • Ukunqongophala kokusebenza komzimba kunye nokuzilolonga
  • Fibromyalgia

Izinto zobungozi

Imiba yomngcipheko we-spasms yangasemva ibandakanya: (Iziko leSizwe leNeurological Disorders kunye neStroke, ngo-2023)

  • ubudala
  • Izinto ezinxulumene nomsebenzi - ukuphakamisa rhoqo, ukutyhala, ukutsala, kunye/okanye ukujija.
  • Ukuhlala kakubi okanye ukuhlala ixesha elide ngaphandle kokuxhaswa ngasemva.
  • Ukunqongophala kokulungiswa komzimba.
  • Ukutyeba kakhulu okanye ukutyeba.
  • Iimeko zengqondo - ukuxhalaba, ukudakumba, kunye noxinzelelo lweemvakalelo.
  • Imbali yosapho lwezonyango lwe-ankylosing spondylitis.
  • ukutshaya

Abantu banokuyeka ukutshaya, baqale umthambo, okanye benze izinto ezintle ukunceda ukulawula uxinzelelo. Abantu abajongene ne-back spasms banokufuna ukubona umboneleli wezempilo ukuze bafumane ukuxilongwa ngokufanelekileyo kunye nonyango.

impatho

Unyango lwe-back spasms lungabandakanya amayeza asekhaya okanye unyango oluvela kubaboneleli bezonyango. Unyango lwenzelwe ukukhulula i-spasms kunye nokulawula uxinzelelo lomatshini olunokuba lubangele. Iingcali zonyango nazo zingabonisa izicwangciso zokuthintela i-spasms. Amayeza asekhaya anokuquka: (Incwadi yeMerck, ka-2022)

  • Ukusetyenziswa kobushushu okanye umkhenkce
  • I-massage esezantsi
  • Uhlengahlengiso lwasemva
  • Ukuzola okuthambileyo
  • Iyeza le-analgesic
  • Amayeza okulwa nokudumba (U-Anuj Bhatia et al., 2020)

Ukuba iindlela zokuzinyamekela azikwazi ukunika uncedo, abantu ngabanye banokufuna ukutyelela ingcali yezonyango ukuze bafumane unyango. Unyango lwezonyango lungabandakanya: (Incwadi yeMerck, ka-2022)

  • Ulungiso lwenyama
  • Ukhathalelo lweChiropractic
  • Ukwenza i-Acupuncture
  • Ukuthotywa kwe-non-utyando
  • Transcutaneous zombane neuromuscular stimulation
  • Iinaliti zesteroid
  • Utyando lweLumbar lunyango lokugqibela.

Uninzi lwabantu luyakwazi ukulawula iimpawu ngonyango lomzimba okanye i-chiropractic, ebandakanya umthambo wokufunda kunye nohlengahlengiso lwesimo ukuze unciphise ukuqina.

uthintelo

Uhlengahlengiso olulula lokuphila lunokuba nefuthe elibonakalayo kwi-spasms yangasemva. Iindlela zokuthintela umva spasms ingaquka: (Medline Plus. 2022) (Incwadi yeMerck, ka-2022)

  • Ukugcina i-hydration yonke imini.
  • Ukutshintsha ukunyakaza kunye nokugoba kunye nokuphakamisa iindlela.
  • Ukuziqhelanisa neendlela zokulungisa i-postural.
  • Ukwenza umthambo wokuzolula imihla ngemihla kunye nokomeleza.
  • Ukuzibandakanya kwi-cardiovascular exercise.
  • Ukwenza ukucamngca okanye ezinye iindlela zokulawula uxinzelelo.

UkuBuyiselwa Kokwenzakala komntu


Ucaphulo

Medline Plus. (2022). Iintlungu ezisezantsi-ezibuhlungu. Ifunyenwe kwi medlineplus.gov/ency/article/007425.htm

Incwadi yeMerck. (2022). Iintlungu ezisezantsi. Merck Manual Consumer Version. www.merckmanuals.com/home/bone,-joint,-and-muscle-disorders/low-back-and-neck-pain/low-back-pain

Iziko leSizwe leZiphazamiso zeNeurological kunye neStroke. (2023). Umqolo obuhlungu. Ifunyenwe kwi www.ninds.nih.gov/health-information/disorders/back-pain?

Bhatia, A., Engle, A., & Cohen, SP (2020). Iiarhente ze-pharmacological zangoku kunye nexesha elizayo zonyango lwentlungu emva. Uluvo lweengcali kwi-pharmacotherapy, i-21 (8), i-857-861. doi.org/10.1080/14656566.2020.1735353

Iinketho zoNyango olusebenzayo lweLumbar Spinal Stenosis: Ukunyanzeliswa koMnqonqo

Iinketho zoNyango olusebenzayo lweLumbar Spinal Stenosis: Ukunyanzeliswa koMnqonqo

Ngaba abantu abane-lumbar spinal stenosis banokusebenzisa i-spinal decompression ukunciphisa iintlungu ezisezantsi kunye nokubuyisela ukuhamba?

intshayelelo

Abantu abaninzi kwihlabathi jikelele baye bajongana neentlungu ezisezantsi ngaxa lithile ebomini babo eziye zachaphazela ukuhamba kwabo kwaye zachaphazela indlela yabo yesiqhelo. Izinto ezininzi zokusingqongileyo zingakhokelela ekuphuhlisweni kweentlungu ezisezantsi, njengokuphakanyiswa okungafanelekanga, ukungahambi kakuhle, ukulimala okubuhlungu, kunye neengozi ezinokuchaphazela imisipha ejikelezileyo, intambo yomgogodla kunye neengcambu zemithambo-luvo. Xa oku kusenzeka, kunokukhokelela kwi-lumbar spinal stenosis kwaye kubangele ukugqithiswa kweeprofayili zomngcipheko ezihambelana neentlungu ezisezantsi. Xa abantu bejongene ne-lumbar spinal stenosis, banokucinga ukuba intlungu yabo iphantsi. Ukuza kuthi ga ngoku, abantu abaninzi bafuna unyango ukuba bangagcini nje ukunciphisa intlungu ephantsi kodwa banciphise nemiphumo ye-lumbar spinal stenosis. Olunye unyango, olufana nokuthotywa komqolo, olulunyango olungasebenzisi utyando, lunokunceda ukubuyisela ukuhamba emzimbeni. Inqaku lanamhlanje lijonga indlela i-lumbar spinal stenosis echaphazela ngayo umva ophantsi kunye nokuxilongwa kwayo ngelixa ijonga indlela ukuchithwa komgogodla kunokubonelela ngayo umntu kwaye ibe neenzuzo ezintle ekubuyiseleni ukuhamba. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya indlela i-lumbar spinal stenosis ehambelana ngayo neentlungu ezisezantsi, ezibangela imiba yokuhamba. Sikwazisa kwaye sikhokela izigulane malunga nendlela i-spinal decompression yindlela egqwesileyo yonyango enokuthi idibaniswe nolunye unyango. Sikhuthaza izigulane zethu ukuba zibuze ababoneleli babo bezonyango abahambelanayo nemibuzo ebalulekileyo malunga nokubandakanya unyango lwe-decompression ukukhulula imiphumo yentlungu ebangelwa yi-lumbar stenosis ngelixa ukunciphisa imiphumo yeentlungu ezigqithisiweyo njengeentlungu ezisezantsi zokubuyisela ukuhamba komntu. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli.

 

Indlela iLumbar Spinal Stenosis echaphazela ngayo umqolo osezantsi

Ngaba uziva ukuntyiloza ngasemva kwemilenze yakho echaphazela ukukwazi kwakho ukuhambahamba? Okanye ngaba umqolo wakho osezantsi uziva uphantsi kancinci kunokuba ubuqhele ukwenza? Xa abantu abaninzi beva iintlungu ezisezantsi ngexesha lokuphila kwabo, zinokuhlala zihambelana ne-lumbar spinal stenosis. I-Lumbar spinal stenosis ngokuqhelekileyo iyenzeka xa i-spinal canal kwi-back back iyancipha, ekhokelela kwiinguqu eziguqukayo. Xa umgudu womgogodla uqala ukucutheka kumqolo, unokubangela ukungoneliseki okukhulu, uphazamise imisebenzi yemihla ngemihla, kwaye unokubangela ukukhubazeka okuqhubekayo kubantu abaninzi. (Munakomi et al., 2024) Iimpawu ezibangelwa yi-lumbar spinal stenosis zivela kwi-mild to severe, kwaye zeziphi iimeko zendalo ezihambelana nomcimbi. Ngelo xesha, i-lumbar spinal stenosis ibonakala ngeempawu ezinjengeentlungu ezisezantsi ezinokubangela utshintsho lwe-spondylotic olubangela intlungu ephantsi enokuthi ichaphazele kakubi umgangatho wobomi bomntu. (Ogon et al., 2022) Oku kubangela ukuba abantu abaninzi baye koogqirha babo bokuqala ukuze bafumane ukuxilongwa kwaye bafunde indlela yokulawula intlungu ehambelana ne-lumbar spinal stenosis.

 

Ukuxilongwa kweLumbar Spinal Stenosis

Xa kuziwa ekuxilongeni i-lumbar spinal stenosis, abaninzi ababoneleli bezempilo baya kubandakanya uvavanyo olubanzi, olubandakanya ukuhlolwa ngokomzimba ukuze ubone indlela ehamba ngayo umva womntu kunye nokuhlolwa kwe-imaging njenge-MRIs kunye ne-CT scans ukuze babone umgudu womgogodla kunye nokuvavanya ubungakanani bomqolo. ukunciphisa okubangela intlungu kwiindawo ezisezantsi. Oku kungenxa yokuba xa abantu bejongana ne-lumbar spinal stenosis, inokubonakalisa nge-neurogenic claudication kwiindawo ezisezantsi, ngakumbi xa umntu emile okanye ehleli. Intlungu iyancipha xa isikhundla sabo sitshintshwa. (Sobanski et al., 2023) Ukongezelela, i-lumbar spinal stenosis yenye yezona zinto zixhaphakileyo zokuxilongwa kwezifo zomgudu apho uninzi lwabasebenzi bezempilo bavavanya kwaye bavavanya. Xa kukho ukucutha kwi-spinal canal, ekhokelela ekuphuhlisweni kwe-lumbar spinal, ukunyakaza okulula njengokuhamba kunokunyusa iimpawu kwiindawo ezisezantsi kunye nokwandisa i-oksijini kwiimbilini zomgogodla, ezinokuthi zigqithise ukuhamba kwegazi okukhoyo ukuya kwiindawo ezisezantsi. (I-Deer et al., ngo-2019) Ukuza kuthi ga ngelo xesha, unyango olufana ne-spinal decompression lunokunceda ukunciphisa iintlungu ezisezantsi ezinxulumene ne-lumbar spinal stenosis.

 


Indlela engeyiyo Utyando kwiMpilo-Video


Indlela yokuNceda ngokuSebenzisa ukuthotywa koMnqonqo

Xa kuziwa kubantu abafumana iintlungu ezibangelwa yi-lumbar spinal stenosis, abantu abaninzi banokufuna unyango olungasebenzisi utyando olunje ngoxinzelelo lomqolo ukuthoba iintlungu ezisezantsi. Ukunyanzeliswa komgogodla kuye kwavela njengento engabonakaliyo, inketho yonyango olusebenzayo kwi-lumbar spinal stenosis. Isebenzisa ukutsalwa okuthambileyo komatshini kumqolo ukuze wolulwe, ukukhulula imithambo yomqolo ngokudala indawo eyongezelelekileyo ngaphakathi kumngxuma womqolo. Ukunyanzeliswa komgogodla kunciphisa inkqubo yokunciphisa ngelixa izihlunu ezijikelezileyo zoluliwe ngobumnene, kwaye ukuphakama kwe-spinal disc kuyanda ngenxa yoxinzelelo olubi. (Kang et al., 2016

 

IiNzuzo zokuDodobala koMnqonqo kunye nokuBuyisela ukuHamba

Ukongezelela, i-traction ethambileyo evela kwi-spinal decompression inceda ukunyusa ukuhamba kwemveliso yezondlo kunye ne-oksijini ukubuyela kwiidiski zomgogodla ezichaphazelekayo kunye nomqolo ukukhuthaza indawo engcono yokuphilisa umzimba. Ekubeni ukunyanzeliswa komgogodla kunokudibaniswa nolunye unyango olungelulo utyando, njengonyango lomzimba kunye nokuguqulwa komgogodla, kunokubonelela ngemiphumo emihle ehlala ixesha elide kubantu abane-lumbar spinal stenosis. (U-Ammendolia et al., ngo-2022) Ezinye zeziphumo eziluncedo zokudodobala komqolo ziquka:

  • Ukunciphisa intlungu ngokunciphisa uxinzelelo kwi-spinal nerves ukunciphisa intlungu kunye nokungahambi kakuhle kwiindawo ezisezantsi kakhulu. 
  • Ukuhamba okuphuculweyo kuvumela umntu ukuba abuyele kwimisebenzi yakhe yemihla ngemihla ngokulula.

Abantu abaninzi banokuzuza kwi-spinal decompression ukuze banciphise imiphumo ye-lumbar spinal stenosis kunye nokuhamba kwabo okuphantsi kubuyiselwe emva kweeseshoni ezilandelelanayo zokunciphisa amathuba okuba intlungu ibuye. Ngokucinga ngakumbi malunga nempilo kunye nokuphila kakuhle, abantu abaninzi banokwenza utshintsho oluncinci kwimisebenzi yabo ukunciphisa intlungu kwaye bahlale behamba ubomi babo bonke. Oku kubavumela ukuba babe nethemba lokubakhulula kwintlungu abebephantsi kwayo. 

 


Ucaphulo

Ammendolia, C., Hofkirchner, C., Plener, J., Bussieres, A., Schneider, MJ, Young, JJ, Furlan, AD, Stuber, K., Ahmed, A., Cancelliere, C., Adeboyejo, A ., & Ornelas, J. (2022). Unyango olungasebenziyo lwe-lumbar spinal stenosis kunye ne-neurogenic claudication: ukuhlaziywa okucwangcisiweyo okuhlaziyiweyo. BMJ Open, 12(1), e057724. doi.org/10.1136/bmjopen-2021-057724

Deer, T., Sayed, D., Michels, J., Josephson, Y., Li, S., & Calodney, AK (2019). Ukuphononongwa kweLumbar Spinal Stenosis kunye ne-Intermittent Neurogenic Claudication: Izifo kunye nokuxilongwa. Iintlungu Med, 20(Isihlomelo 2), S32-S44. doi.org/10.1093/pm/pnz161

Kang, JI, Jeong, DK, & 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

Munakomi, S., Foris, LA, & Varacallo, M. (2024). I-Spinal Stenosis kunye ne-Neurogenic Claudication. Kwi StatPearls. www.ncbi.nlm.nih.gov/pubmed/28613622

Ogon, I., Teramoto, A., Takashima, H., Terashima, Y., Yoshimoto, M., Emori, M., Iba, K., Takebayashi, T., & Yamashita, T. (2022). Izinto ezinxulumene neentlungu ezisezantsi kwizigulane ezine-lumbar spinal stenosis: isifundo esinqamlezayo. I-BMC Musculoskelet Disord, 23(1), 552. doi.org/10.1186/s12891-022-05483-7

Sobanski, D., Staszkiewicz, R., Stachura, M., Gadzielinski, M., & Grabarek, BO (2023). Ukunikezelwa, ukuxilongwa, kunye noLawulo lweentlungu ezisezantsi eziNxulunyaniswe ne-Spinal Stenosis: Ukuphononongwa okuBalisayo. Inyanga yezeMed, 29, e939237. doi.org/10.12659/MSM.939237

 

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