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.
by UGqr Alex Jimenez Chiropractic , Uvavanyo lweChiropractic , Ubuhlungu obungapheliyo , Ukulimala koluhlu , Ababoneleli ngezeMpilo , Unyango , I-Viscerosomatic Reflex
Ngaba abaqeqeshi bezempilo kwiklinikhi ye-chiropractic babonelela njani ngendlela yeklinikhi yokuqaphela ukukhubazeka kwabantu abaneentlungu?
intshayelelo
Naliphi na inqaku olifundayo malunga nokusetyenziswa kakubi kweziyobisi phakathi kwabongikazi ngokuqinisekileyo liya kuphinda amabango enziwe yi-American Nurses Association, ethi, ngokuhambelana noluntu ngokubanzi, i-10% yabongikazi, okanye omnye kwabalishumi okanye malunga nama-300,000 abongikazi ababhalisiweyo eUnited States. States, zixhomekeke kwiziyobisi zohlobo oluthile. Ukonakala kwalo naluphi na uhlobo emsebenzini, ngakumbi ukuba lusuka kusetyenziso gwenxa lweziyobisi okanye kusetyenziso, lunokuba neziphumo ezibi kumongikazi nakumsebenzi wokonga ngenxa yezizathu ezininzi. Ukuchaneka, ukuchaneka, amandla okucinga nzulu, kunye noqwalaselo kubalulekile kumsebenzi wokonga. Ngenxa yokuba iimpazamo okanye iingozi zinokuthi zenzeke, nakuphi na ukungakwazi ukuhambisa ezi zakhono kubeka izigulane, abantu osebenza nabo kunye nomongikazi emngciphekweni. Ukongezelela, abantu bajonga abongikazi njengabathembekileyo, abathembekileyo nabanyanisekileyo. Ukonakala kunokuyonakalisa loo mbono, ngakumbi ukuba iziswa butywala okanye iziyobisi. Kula macandelo alandelayo, siza kuphonononga ukonakaliswa, izizathu zako, kunye nezibophelelo zakho ezisesikweni nezomthetho ukuba ukholelwa ukuba umntu osebenza naye wonakele. Inqaku lanamhlanje lijolise kwindlela yeklinikhi yokuqaphela ukukhubazeka kwimeko yeklinikhi. Sixoxa nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya imiba efana neentlungu ezijongene nazo. Siyazisa kwaye sikhokela izigulana kunyango olwahlukeneyo kwaye sibuze imibuzo entsonkothileyo kwabo banxulumene nabo ababoneleli bezonyango ukudibanisa isicwangciso sonyango esilungiselelweyo. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli .
Inkcazo yokonakala
Inkcazo esisiseko yokwenzakala ithi “Imeko yokuncipha, ukuba buthathaka okanye yokwenzakala, ngakumbi ngokwasengqondweni okanye ngokwasemzimbeni” ( “Ukonakala,” nd” ) Uya kubona ukuba le yinkcazelo nje yobume kwaye akukho sizathu sinikiweyo. Esi sisiphumo sobuninzi bezizathu ezinokwenzeka. Ngelixa ezinye izizathu zinokuba lula ukubonisa ubungqina, ezinye zisenokungabi njalo. Ngenxa yoko, kubalulekile ukuchonga nokuqwalasela umxholo kunye nonobangela, ukuba uyaziwa, ngelixa uthetha ngomonakalo. Uluntu olukhubazekileyo olusingqongileyo njengabongikazi lu: Bazizigulana zethu. Bakwimeko encitshisiweyo, ebuthathaka, okanye eyonakeleyo, nangona inokuba sengozini ngenxa yesifo okanye ukwenzakala. Ngokufanayo, usengozini yokugula ukuba uye wasebenza iishifti enomkhuhlane ombi. Iimpawu zokuziva ucotha, ukucinga ngokuphazamiseka, kunye ukuphonononga umsebenzi wakho rhoqo yimizekelo yothintelo kwimeko yeklinikhi.
Isifo okanye ukwenzakala kunokuba neziphumo ezahlukeneyo kwaye kuchaphazele indlela owenza kakuhle ngayo umsebenzi wakho ukuya kumaqondo ahlukeneyo, kodwa njengoko iqondo lokukhubazeka lisanda, liya kuba njalo nethuba lokuba wenze impazamo. Ukhuseleko lwakho nobabini kunye nabo bakungqongileyo, kubandakanywa izigulana zakho kunye nabantu osebenza nabo, lunxulunyaniswa nenqanaba lokwenzakala kwakho. Wena, izigulana zakho, kunye nabantu osebenza nabo anikhuselekanga kangako njengoko ukusebenza kwenu kuchaphazeleka kakubi. Nangona abongikazi besazi ukuba izigulana zisesichengeni ngenxa yokuba zisengozini ngandlel’ ithile. Siyazi kwakhona ukuba izithintelo zinokukwenza ukuba wenze iimpazamo. Ungumntu onoxanduva kwaye awunakuze usebenze ukuba ukukhubazeka kwakho bekuqatha ngokwaneleyo ukubeka izigulana zakho emngciphekweni. Noko ke, kuthekani ukuba umntu osebenza naye unesiphene? Okubi nangakumbi, kuthekani ukuba ucinga ukuba ngandlel’ ithile wazenza ngokwakhe? Uqhuba njani? Ngaba uyathetha nabo? Ngaba uyamchazela omnye umntu ngayo? Ngaba unethemba lokuba akukho nto imbi yenzekayo kwaye ungayihoyi?
Ukugcina ukhuseleko lwesigulane yeyona nto iphambili kubongikazi kuluhlu lwabo lomsebenzi. Luxanduva lwakho ukwazi into omawuyenze kunye nendlela ongayenza ngayo ukuba umntu osebenza naye ubonakala echaphazeleka. Kodwa ukufezekisa oko, kufuneka ukwazi ukubona ukonakala okunokwenzeka kuwe nakwabanye abantu. Iimfuno zolawulo nezifunekayo zokunika ingxelo kufuneka zaziwe kuwe. Kwakhona kufuneka uqaphele iziphumo ezinokubakho kuwe ukuba awenzi nto.
Iimbangela zoKuthomalalisa
Unokucinga ukuba sixoxa ngokusetyenziswa kweziyobisi ngeli xesha usivayo okanye ufunda ibinzana elithi ukonakala emsebenzini. Noko ke, kukho abanye oonobangela ngaphandle kokusetyenziswa kakubi kotywala neziyobisi, yaye ukwenza izigqibo eziphosakeleyo ngokufuthi kunokuba nemiphumo engalindelekanga. Akunyanzelekanga ukuba ujonge okanye ufumanise ukuba yintoni ebangela umntu osebenza naye abonakale ekhubazekile. Lowo ngumsebenzi wabanye. Kufuneka uchonge izalathisi zomonakalo kwaye uthathe amanyathelo afanelekileyo. Enye yezinto omawuziqwalasele phambi kokuba uxele umntu osebenza naye ngokukhotyokiswa ziziyobisi kukuba ubona okanye awuboni ukonakala kwenyani. Wonke umntu ukhe abe neemvakalelo zokugula, ukucaphuka, okanye uxinezeleko. Nokuba sisenokungasebenzi njengesiqhelo, akukho nto malunga nokusebenza kwethu ebeka nabani na emngciphekweni, kwaye ayenzeki rhoqo. "Ukuphazamiseka kwinkqubo yokunakekelwa kwempilo kuchazwa njengokungakwazi okanye ukungabikho kokungakwazi ukwenza, okwahlulahlulwe ngamacandelo amabini anokuchaphazela zombini ingcali kunye nesigulane" ( Baldisseri, 2007 ). Le ngxelo iyayichitha imeko yangaphambili apho unokuhamba kancinane kunesiqhelo ngenxa yengqele eqhaqhazelisa amazinyo.
Impembelelo yoNyango oluSebenzayo ngaphandle kwaMajoyinti-Ividiyo
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Umahluko phakathi koKuthomalalisa kunye nosuku olubi
"Uthintelo luphawulwa kukungakwazi ukwenza imisebenzi yobungcali kunye noxanduva oluhambelana ngokufanelekileyo nemigangatho yokonga." Ukuba nosuku olubi kunokuchaphazela imo yomntu kunye nokuhamba komsebenzi. Ngamanye amaxesha, uluvo olutyhafileyo lokuba umntu akanguye uqobo lukhokelela koku kufunyanwa. Abo basebenza nabo basenokunganeliseki okanye bazive besoyika. Abaphathi banokubona ukunyuka kwenani lezikhalazo ezifakwe kumqeshwa okanye ngoogxa babo ngakuloo mntu. Iipateni zokuziphatha zibonisa imiba ekhoyo kwaye inokukhokelela ekuphuhlisweni kokubangela iimpazamo zonyango. Iimpazamo zonyango kwimibutho yokhathalelo lwempilo zinokudala ingxaki enkulu yempilo enokubeka emngciphekweni ukhuseleko lwesigulana. ( Rodziewicz et al., 2024 ). Phambi kokuphonononga ezi patheni, masithathele ingqalelo ezinye zezizathu ezinokuthi zibekho ngaphandle kokusetyenziswa gwenxa kweziyobisi okanye iziyobisi ezinokuba negalelo ekwehleni kweendlela ezinobungozi kwimisebenzi yobunesi.
Iintsilelo zoQeqesho neMfundo
Imisebenzi eyingozi yomntu osebenza naye inokubangelwa kukungaqeqeshwa ngokwaneleyo, ulwazi, okanye ukuqhelaniswa nomsebenzi wangoku. Oku kusebenza ngokukodwa kwabongikazi abasandula ukufumana iimpepha-mvume kunye nabongikazi abatshintshayo ukusuka kwindawo yokuziqhelanisa ukuya kwenye. Abongikazi abakuqeqesho lokuhlaziya banokufuna ukuzithemba ngakumbi kwindlela izinto ebezisenziwa ngayo ngokwesiko okanye kufuneka bafundiswe uhlengahlengiso olucetyiswayo kumgaqo-nkqubo okanye iinkqubo. Uqeqesho oluhlaziyiweyo lusenokudibana nenkcaso okanye utshintsho kwaye lufuna ukuphumelela. Ukuba umongikazi akafuni kuvuma ukuba ulwazi okanye izakhono zabo azifikeleli kwinqanaba, ezi ntsilelo kwimfundo zinokubonakala njengomonakalo. Basenokuthatha ixesha elide kunabanye abongikazi ukwenza imisebenzi, phakathi kwezinye izalathisi. Iintelekelelo ezigwenxa malunga nokuba yeyiphi eyona ndlela ifanelekileyo okanye echanekileyo yokugqiba umsebenzi kunokukhokelela kwiimpazamo kwicala likamongikazi. Kungenjalo, basenokuba novakalelo olugqithisileyo xa begxekwa baze bazame ukuzigcina bezolile ngokugxininisa ukuba banobuchule.
Isigulo soMzimba
Sele siwuxoxile umcimbi wokuzama ukusebenza xa unomkhuhlane ombi. Kwabaninzi bethu, amava okuba nesigulo esincinci okanye usulelo olusibambeleyo luyaziwa. Nangona kunjalo, ukwanda kweemeko ezinganyangekiyo kunokukhokelela ekuthotyweni kweentsuku zokusebenza. Njengezinye izifo ezininzi, isifo seswekile, kunye nesifo samathambo sinokubangela ukuba umntu azive engaphantsi kwe-100% yakhe ngeentsuku ezithile. Kubalulekile ukukhumbula ukuba usenokungazi nokuba umntu osebenza naye unazo ezi zigulo. Ngokufuna isihloko esingcono okanye esifanelekileyo sokubeka oku phantsi, qiniseka ukuba umntu oza kumtyhola ngokusebenzisa kakubi iziyobisi akakhulelwanga phambi kokuba uqhubele phambili. Ngokwemvelo, olu luhlu oluyinxenye lwazo zonke iinkcazo ezibonakalayo ezibonakalayo. Sisikhumbuzo sobuhlobo nje ukuba sicinge nethuba lokuba umongikazi ongakwaziyo ukuphilwa ngokwasemzimbeni.
Ukwenzakala Emzimbeni
Njengeemeko zonyango, ukonzakala kusenokubangela ubani angakwazi ukwenza umsebenzi wakhe. Nangona kunokwenzeka ukuba kubekho iimpawu ezicacileyo zokwenzakala-ezifana nokuqhwalela okanye enye intshukumo engaqhelekanga, imimandla ebotshiweyo, okanye ukusebenzisa intonga yokuhamba okanye enye i-mechanical aid-oku akusoloko kunjalo. Umntu onomqolo okanye uhlobo oluthile lwemithambo-luvo unokuzama ukufihla ukungakhululeki kunye nemida yabo.
Uxinzelelo kunye nokudinwa
Ekubeni kuqhelekile ukuba ezi zizathu zenzeke kunye okanye ukuba enye ibonakale njengophawu lomnye, inokubonwa njengesizathu esihlangeneyo. Zisenokuba ziziphumo zeziganeko ezingaphandle kwendawo yokusebenza, ngaphakathi emsebenzini, okanye zombini. Umntu osandul’ ukuqhawula umtshato okanye umntu ongoyena mntu unyamekela isalamane esigula kakhulu ekhaya yimizekelo emibini. Zombini ezi meko azikho mnandi, kodwa kuthekani ukuba ezi zinto bezingeyonxalenye yeengxaki zemali? Bobabini ukuba nexhala malunga noku kunye nokuzama ukusebenza iishifti ezininzi ngenxa yemiceli mngeni yezoqoqosho kunokwenzakalisa ukukwazi kwabo ukulala. Umntu kwezi meko unokudinwa ngokukhawuleza ngokwasengqondweni nasemzimbeni. Kuxhomekeka kubuntu babo, bekungayi kuvakala nokuba oogxa babo bangabikho zingqondweni kobu bunzima. Kungenjalo, unobangela usenokuba ngokuthe ngqo njengoxinezeleko emsebenzini, okukhokelela ekudinweni nokuncipha kwenkuthazo. Ukudinwa nokunganeliseki emsebenzini, enyanisweni, “kuyinto eqhelekileyo kumsebenzi wokonga” ( Van Bogaert et al., 2017 )
Isigulo sengqondo
Nangona abongikazi bethanda ukuzicingela njengabomelele kwaye bengachatshazelwa ziimeko abanye abanokuthi bazibone njengobuthathaka, inyani yeyokuba sisengozini kwimiba yempilo yengqondo efana nokuxhalaba kunye nokudakumba, kunye nokuphazamiseka kokusetyenziswa kweziyobisi, ngenxa yezizathu ezininzi ezifanayo. . Kwiinkalo ezithile zokonga, sisebenza nezigulana ezisifa ngalo lonke ixesha-mhlawumbi nokufa kweentsana-okanye sibona iziphumo ezihlasimlisayo ngenxa yeziganeko zobundlobongela okanye ngengozi. Iimeko ezifana nezi zinokusebenza njengezandulela kwizigulo ezifana nePost Traumatic Stress Disorder (PTSD). Abongikazi abangobafazi abakhulu okanye amadoda amakhulu—kwakhona, le yimizekelo nje embalwa. Iingcali zezempilo zinokuchaphazeleka ukuba zichaphazela uluntu ngokubanzi.
Ukusetyenziswa kweziyobisi
Ukukhotyokiswa ziziyobisi mhlawumbi yeyona nto ingapheliyo kwaye iyonakalisa umntu, indawo, kunye nomsebenzi, nokuba ayiqhelekanga ngakumbi kunezizathu ezichazwe ngaphambili zomonakalo. Ukusetyenziswa kakubi kweziyobisi akunakwenzeka ukuba kuhambe ngokwalo ngokuhamba kwexesha ngaphandle koncedo oluvela kubasebenzi osebenza nabo kunye nabaphathi, ngokungafaniyo neemeko zonyango okanye ukulimala. Oku akuthethi ukuba ungenelelo lwezinye izizathu zomonakalo aluyomfuneko okanye kufuneka luphetshwe. Ukuba awukwenzi xa into efana neentlungu ezisezantsi zingunobangela wokuphazamiseka, unokuphela ukhoboke kwiipilisi zeentlungu kwasekuqaleni. Ibandakanyiwe kwingqokelela phantsi kwesi sifundo ukukhubazeka okuziswa kukusetyenziswa kakubi okanye ukusetyenziswa kakubi kwamayeza amiselweyo kubo okanye abanye. Ukuphazamiseka rhoqo kuhambelana nemiphumo emibi yokusetyenziswa ngokugqithiseleyo okanye ukugqithisa okukhulu. Kwangaxeshanye, inokuvela ngamaxesha athile kwiziganeko ezimbi ezinxulumene needosi eziqhelekileyo, ezifana nesicaphucaphu, ukozela, okanye isiyezi. Ukusetyenziswa okanye ukusetyenziswa kakubi "kweziyobisi zasesitalatweni" okanye izinto ezingachazwanga njenge-methamphetamine, ecstasy, okanye i-cannabis. Ukusetyenziswa kakubi ngokugqithisileyo okanye okungapheliyo okanye ukusetyenziswa kakubi kotywala. Umongikazi usenokunxila kakhulu okanye abe ne-hangover enzima, kodwa zombini ezi meko zinokuphazamisa izakhono zakhe. Ukusetyenziswa okungapheliyo kunokukhokelela kwizigulo zomzimba okanye ukuphazamiseka kwengqondo okwenza kube nzima ukuba umongikazi enze kwinqanaba eliphezulu ngokwaneleyo. Kuba indlela umongikazi azichaza ngayo igxile emsebenzini wakhe njengomongikazi, ukungena kokuphathwa gadalala okanye ukuba likhoboka labo kwindawo yempangelo kudla ngokuba luphawu lokuba isigulo sabo sikhule kangakanani na.
Ngenxa yokuba abasebenzi bezempilo bachonga umgca wabo womsebenzi, ubungqina besifo ngamanye amaxesha bukhomba kwinqanaba lokugula. Imiba yendawo yokusebenza idla ngokuba linqanaba lokugqibela lokuhla, kwaye xa isifo sifunyenwe, abantu osebenza nabo bahlala bemangalisiwe “( Washington State Department of Health, 2016, p.6 ). Xa umonakalo ubonakala ekuqaleni emsebenzini, abantu osebenza nabo kunye nabaphathi banokuwukhanyela okanye bawunciphise umcimbi, banike izizathu okanye baphephe ukuphikisana ngethemba lokuba umcimbi uya kunyamalala.
Imiba yoMngcipheko eyodwa kooMongikazi
Ithuba lokuba nengxaki yokusetyenziswa kweziyobisi kuphenjelelwa zizinto ezahlukeneyo, ezibandakanya imfuzo, indlela akhuliswe ngayo, uxinzelelo lwabazali noontanga, njalo njalo. Nangona kunjalo, ukusebenza njengomongikazi kubonisa izinto ezimbalwa ezinobungozi ezingekhoyo kweminye imisebenzi. Ezona meko ziphambili zomngcipheko weyure abongikazi abajongana nazo kwiziko lezempilo zezi:
Ukufikelela kunye nesimo sengqondo
Amachiza asemthethweni ukuba afunyanwe ngomyalelo kagqirha kusenokwenzeka ukuba asetyenziswe ngabongikazi kunoluntu ngokubanzi, nangona ukuphazamiseka kokusetyenziswa kweziyobisi akuchaphazeli abongikazi rhoqo kunabantu ngokubanzi. Ingcaciso yeyokuba abongikazi baphatha la mayeza mihla le, nangaphandle kwencwadi kagqirha. Koku, songeza ulwazi lwethu lolawulo lwamayeza, ukusetyenziswa, kunye nedosi kwaye sisebenza kwindawo apho izibonelelo zokusetyenziswa kwamayeza zibonakala. Oku kubonisa ukuba siqinisekile ngesakhono sethu sokuzixilonga nokuzinyangela kunye nokukwazi kwethu ukuphatha la mayeza.
istres
Ezinye zezinto ezibonisa ukuba bonke abongikazi ngamanye amaxesha bayinxalenye yoxinzelelo olubangele ukuba baphazamiseke ziquka:
Iinguqu ezongeziweyo Umsebenzi onzima Ukungabikho kwabasebenzi Izigulana ezingxamiseke kakhulu ngelixa zizolile phantsi kweemeko ezibuhlungu kakhulu.
Oku kuqikelelwa ukuba kwaziwa kubo bonke abongikazi kwaye ngamanye amaxesha kunokubalelwa kuxinzelelo lwendima. Zonke ziyinxalenye eyimfuneko yomgca onzima womsebenzi. Iishedyuli zomsebenzi zizodwa zibonise unxulumano oluyinzuzo nokusetyenziswa kweziyobisi. Iintlungu okanye ukuphuthelwa emva kokutshintsha okufunwayo zixhaphakile kwaye zihlala zisebenza njengesona sizathu sokuthatha amayeza ukunceda ngeentlungu kunye neentlungu, ukukhuthaza ukuphumla, okanye ukulala.
Ukunqongophala kweMfundo
Apha, igama elithi “ukunqongophala kwemfundo” alithethi ukungazi nto ngeziyobisi. Njengoko besesitshilo, akukho kunqongophala kwemfundo apho. Hayi. Kulo mongo, ukungazi ngeengxaki zokusetyenziswa kweziyobisi kunye neempawu ezilumkiso ezinxulumeneyo kunye neempawu kuthethwa. Amaxesha amaninzi, abaqeqeshi bezempilo abakwazi ukuchonga ezi mpawu kunye nezikhombisi kubo bobabini nakwabanye abantu. Nokuba bathe bazichonga, ukubekwa amabala kuphuma kukungabikho kolwazi malunga nezi ngxaki-ingakumbi ukuba umntu ogulayo ngumsebenzi wezempilo osebenza naye-kuba sikholisa ukubamba abaqeqeshi bezempilo-kubandakanywa nathi-kwimigangatho ephezulu kunokuba sisenza abasebenzi abangabakhathaleli bezempilo.
Ukuqonda Iimpawu
Xa umongikazi ebanjwe esebenzisa iziyobisi okanye utywala emsebenzini, eyona ndlela ifanelekileyo yokwenza kwezi ntsuku luncedo kunye nonyango kunokupheliswa kwangoko. Umbono kukuba umongikazi ekugqibeleni uya kukwazi ukubuyela emsebenzini emva konyango kunye nokubuyisela kwimeko yesiqhelo. Nangona kunjalo, ukungenelela kwangethuba yinxalenye ephambili yesi sicwangciso. Njengoko besesitshilo, ukusetyenziswa kweziyobisi kunokufuna ukuqhubeka ixeshana ngaphambi kokuba iimpawu zothintelo emsebenzini zibonakale. Ngoko ke, ekulandeleni umphumo ophumelelayo, ixesha ngokwalo liba yingozi. Kufanelekile ukuba sizikhumbuze ukuba ukusetyenziswa gwenxa kweziyobisi kusenokungabi kuphela kwengcaciso yothintelo njengoko sivavanya ezinye zezalathi ezinokuthi zibangelwe nokusetyenziswa kweziyobisi. Ngenxa yokhuseleko lwezigulane kunye nabasebenzi, kufuneka ungenelelo ngoncedo nokuba siyintoni na isizathu. Ukukhangela utshintsho lokuziphatha okanye utshintsho olusuka kwisiseko kunemisebenzi ethile mhlawumbi kunenzuzo ngakumbi. Emva kwayo yonke loo nto, sonke siyazi ukuba umongikazi ongakwaziyo ukusebenza kodwa ebesoloko ebonakala emdaka okanye ehamba kancinci kancinci kunabanye xa egqibezela imisebenzi. Mhlawumbi lukhetho lobuqu, kodwa ukuba umongikazi owayebonakala eqeqesheke kakuhle kwaye enemveliso ngequbuliso uqalisa ukwenza ubuvila nokungakhathali, kusenokubakho umba onzulu okhoyo.
Kwelinye icala, kuyaphawuleka ukuba umongikazi, obesoloko esonqena kwaye esonqena kodwa ebesoloko ehleli ngaphakathi kwiparamitha ezamkelekileyo, ngequbuliso akamkelekanga okanye wacotha kakhulu kwaye wonakele. Nangona kunjalo, utshintsho olubonakalayo lunokuba ngaphandle kwemeko yesinxibo sabo. Kwanomntu odla ngokuziphatha kakuhle unokubonakala edandathekile, esoyika, okanye esoyika. Umntu oqhele ukuzola unokubonakala edlamkile, ethetha kwaye enobubele. Kusenokwenzeka ukuba umntu oneentloni azimele yedwa ngaphezu kwesiqhelo, okanye umntu oqhele ukuthetha kwaye odlamkileyo uye athethe kakhulu kwaye asebenze ngakumbi kunesiqhelo. Khumbula ukuba ukuziphatha akubalulekanga kangako kwiimeko ezininzi kunokutshintsha ekuboniseni ingxaki. Kuyafana nokujonga ukutenxa kuxinzelelo lwegazi oluqhelekileyo okanye ubushushu njengophawu lomcimbi. Iimpawu ezongezelelweyo zotshintsho ekufuneka uzilumkele ziquka:
Ukuhamba kweemvakalelo Ukutshatyalaliswa Ukulala Ukukhala okanye ukuhleka okungafanelekanga Ukurhanela okanye ukuba novelwano ngokugqithisileyo ekugxekeni. Ukungaguquguquki okanye ukubambelela ngokugqithisileyo kwiinkqubo xa zingafunwa. Ukudideka, okanye inkumbulo embi
Xa kuziwa ekusebenzeni komsebenzi, unokujonga oku kulandelayo:
Ukunyuka kokulibazisa kunye nokungabikho, ngakumbi xa kulandelwa ipateni. Iingcaciso ezingaqhelekanga zokungabikho Unqumamo olude okanye ngaphezulu oluqhelekileyo Ukungabikho okungaqhelekanga emsebenzini, Ngaphambili, imisebenzi eqhelekileyo yayifuna ixesha elingakumbi. "Iindlela ezimfutshane" ezingaqhelekanga okanye ezithandabuzekayo ezisetyenziswa kwimisebenzi aziyibambi inqanaba elilindelekileyo lokhathalelo. Xa umgangatho okanye umxholo we-charting uba yi-shoddy okanye uyingqayizivele, kukho ukungachaneki okukhulu kunye nokungakhathali. Ukunyuka kwezikhalazo okanye izikhalazo zomongikazi.
Ngamnye kubo walatha kwinto enokwenzeka. Zisenokubonakala ngokucacileyo okanye zingaqhelekanga ngokwaneleyo ukuze zikunike ingcamango yokuba kukho into ecinyiweyo. Usenokuphawula ukuba basebenzisa izinto zokuphefumla, iminti, okanye itshungama ngokuphindaphindiweyo kunokuba bebesenza ngaphambili. Basenokumbombozela ngaphezu kwesiqhelo okanye babonise intetho emisiweyo ngokuchuliweyo nangokuthula ixesha elide ngelixa beqwalasela impendulo yabo. "Ngaba abafundi babo babecinezelekile (okanye bahlanjululwe)?" okanye “Ibibutywala obu ndabunuka?” yeminye imibuzo omawuzibuze yona xa uhamba. Njengabongikazi, sinokufumana i-hunches okanye intuition. Ukukwazi kwethu ukukwazi ukubona iziphumo zoqeqesho lwethu olubanzi kwaye olu lwazi luhlala lusekwe kuqwalaselo esilwenza singekho zingqondweni. Ngoko ke, nceda ungabahoyi. Ngelixa awufanelanga ukubahoya, akufanele ubamkele njengevangeli.
Ukuphambuka kweziyobisi
Ukufikelela kwichiza elikhethiweyo kunokuthintelwa umongikazi onengxaki yokusebenzisa iziyobisi xa engasebenzi. Oku kusenokuba ngenxa yezizathu ezahlukahlukeneyo, ezinje ngokuba usapho lwabo alusayi kunikwa elo chiza lithile, ugqirha wabo okanye usokhemisti uyakrokra, okanye ezinye izizathu. Bahlala bezama ukongeza olo fikelelo emsebenzini ngolu hlobo lwemeko. Kwaye umongikazi kuya kufuneka abe nobuchule bokufihla le ndlela yokuziphatha ngenxa yamanyathelo okhuseleko akhoyo, ngakumbi xa kuziwa kwizinto ezithintelweyo.
Phakathi kwezalathi ezilumkisayo ekufuneka uziqwalasele zezi:
Rhoqo okanye ngokuzimisela ukunikezela ukuba ngumongikazi kumachiza. Izigulane ziyaqhubeka zikhalaza malunga nokungonwabi nasemva kokufumana i-painkillers. Amaxwebhu atyhila ukuba isigulana sanikwa amayeza okudambisa iintlungu ngakumbi kunokuba kuyimfuneko kwimeko yawo. Ziyanda iingxelo zokuchitheka kweziyobisi kunye nenkcitho. Xa lo mongikazi esenza imijikelo yamayeza ngokunxulumene nabanye abongikazi, inani eliphezulu ngokungaqhelekanga lamachiza alawulwayo asetyenziswayo.
Ubalo lweziyobisi aluchanekanga; Ukuba awukayiboni ichiza elinikiweyo okanye elikhutshwayo, umongikazi unokukucela ukuba ulisayinele. Olu luhlu oluyinxenye, njengabanye. Njengolunye uluhlu, abongikazi balumke kakhulu ngenxa yemfundo yethu, uqeqesho, kunye namava, ngoko ngamanye amaxesha lithuku nje lethuku elikulumkisa ngomba onokwenzeka. Nangona kunjalo, njengesikhokelo esiqhelekileyo, nayiphi na into evakalelwa kukuba kufuneka ijongwe ngakumbi. Izibophelelo zakho kwizigulane zakho kunye nabo osebenza nabo zifuna oku.
Ngoncedo
Umthetho wokuziqhelanisa noMongikazi waseFlorida waphulwa xa umongikazi eziqhelanisa ngoxa enxilile. Zombini izigulo kunye nokusetyenziswa kweziyobisi zidweliswe njengezinto ezinokuthi zibe ngunobangela wolu thintelo kumhlathi ochaza oku njengolwaphulo-mthetho kwaye kunokukhokelela kwisenzo soluleko. Kuya kuba semthethweni kwakhona ukusilela ukuxela ukonakaliswa kukamongikazi okanye ukubeka ukhuseleko lwesigulane emngciphekweni ngokusivumela ukuba sisebenze ngelixa sonakele. Kukhethwa wonke umntu ukuba akukho nzame yokugubungela umongikazi okanye ukuba umcimbi awuhoywa ngethemba lokuba uza kudlula. Njengomsebenzi, kuya kufuneka unxibelelane ngokupheleleyo nemimiselo kunye neenkqubo indawo nganye ekusenokwenzeka ukuba iyilelwe ezi meko. Ezi ziya kuba zidalwe ukuqinisekisa ukuthotyelwa kwazo zonke izibophelelo ezisemthethweni nezolawulo. Ayifanelekanga into yokuba uye kumntu osebenza naye oneziphene. Ngalo lonke ixesha ucela uncedo kumphathi okanye umongikazi. Umphathi okanye umphathi uya kuqhagamshelana nomongikazi okhubazekileyo kuqala; nangona kunjalo, ukuba nabantu abaninzi abakhoyo ngexesha longenelelo kuya:
Nika ubungqina obunikwe umongikazi ubunzima obuninzi kuba kunokwenzeka ukuba aphikisane nokwenzakala. Yiza namangqina eziganeko ezinokufuneka kwiingxoxo zetyala okanye iintlanganiso kamva. Nika amandla kumyalezo, inkxaso yeemvakalelo, kwaye ugcine ukhuseleko ukuba umongikazi ubonisa ukuphazamiseka okanye ubundlongondlongo xa kuqhagamshelwana naye. Ungaze ungenelelo lokuqala lube sisityholo okanye lubandakanye ukuzama ukuchonga umba womongikazi.
Kufuneka isekelwe kwinyani kwaye inike ubungqina obubhaliweyo bemigqaliselo kunye neenkxalabo ukwenza umongikazi aqonde ukuba kutheni umcela ukuba ayeke ukusebenza ngoku. Uthomalaliso kunye nalo naluphi na ungenelelo olulandelayo lunokuxelwa ngenye yeendlela ezimbini. IFlorida State Board of Nursing yeyokuqala kubo. Ngokuchanekileyo, iSebe lezeMpilo liya kufumana ingxelo, liphande ngezikhalazo, kwaye lithathe amanyathelo afanelekileyo. Inyathelo lesibini liya kuba kukuthumela ingxelo kwiProjekthi yokuNgenelela kwabongikazi (IPN). IPN yaqulunqwa ngo-1983 ngesenzo sowiso-mthetho ukukhusela impilo nokhuseleko loluntu ( Chan et al., 2019 ). Ikwenza oku ngokubeka iliso elibukhali kubongikazi ababonwa bengakhuselekanga ekusebenzeni ngenxa yothintelo oluziswe kukusetyenziswa gwenxa kweziyobisi okanye utywala, ukusetyenziswa kakubi, okanye zombini, okanye ngenxa yesigulo somzimba okanye sengqondo esinokuphazamisa amandla omntu onephepha-mvume lokuziqhelanisa ngokukhuselekileyo nangobuchule. .
Ezi nkqubo ezichasene nokuziphatha ziye zaphuhliswa kulo lonke ilizwe, kwaye eFlorida, ziyinxalenye yeNethiwekhi yeSigulana esiHlangeneyo (IPN) ngenxa yokuqaphela ukuba umongikazi onengxaki yokusetyenziswa kweziyobisi kufuneka afumane ukhathalelo kunye nonyango njengaye nabani na. enye into. Ngeenkqubo zayo, abongikazi banokufumana unyango olungenasohlwayo kunye nokubuyisela kwisimo sangaphambili. I-IPN iya kunceda ukuba umongikazi abuyele ngempumelelo emsebenzini ukuba uyavuma ukushiya umsebenzi kwaye agqibe inkqubo ngelixa egcina imfihlo-nkqu nakwiBhodi yoMongikazi. I-IPN iya kuyithumela ifayile kwiSebe lezeMpilo ukuba umongikazi uyayamkela le migaqo kodwa emva koko atshintshe iingqondo zakhe. Amatyala athile anokuxelwa kwiSebe lezeMpilo kunye ne-IPN, apho unyango KUNYE namanyathelo oluleko anokuqaliswa. Ukuthatha inxaxheba kweSebe lezeMpilo kunokukhokelela ekubeni iphepha-mvume likamongikazi linqunyanyiswe okanye lirhoxiswe, nto leyo eyenza kube nzima kakhulu ukuba abuyele emsebenzini. Kucingelwa ukuba ngokunikezela ngeendlela ezingezizo ezohlwayo, abongikazi baya kukhuthazwa ukuba bafune uncedo phambi kokuba bajongane nesohlwayo kwaye banokuthi ekugqibeleni bakwazi ukubuyela emsebenzini.
isiphelo
Ngenxa yeemeko ezizodwa ezingqonge imfundo noqeqesho lwethu, indlela esijongwa ngayo, kunye nenyaniso yokuba sizibona sinamandla ngandlel’ ithile kunabanye, umba wokukhubazeka emsebenzini wabongikazi unzima kakhulu. Kwixa elidlulileyo, ukuba umqeshwa wayeneziphene emsebenzini, kwakusenokuthatyathwa amanyathelo oluleko ngenxa yokonakaliswa kwakhe okanye ngenxa yeempazamo ezenziweyo. Oku kwakufanelekile ngokukodwa kwiimeko apho kwafunyaniswa ukuba umongikazi wayenxilile okanye wonakaliswe yenye into. Ubuphume ngomnyango zange ubuye emva koko. Kwakhona uya kuphulukana nelayisensi yakho, nto leyo ekuthintela ukuba ungaphinde ubuyele emsebenzini njengomongikazi. Okuvuyisayo kukuba, amanyathelo angenaluqeqesho aye abangelwa kukuqonda ukuba asikhuselekanga kuxinzelelo olufanayo njengabanye. Umbono ongemva kwala manyathelo kukuchonga iingxaki, kubandakanywa ukuphazamiseka kokusetyenziswa kweziyobisi, kwangethuba ukuze esona siphumo silungileyo sibe nokuphunyezwa kuwo onke amaqela.
Ucaphulo
Baldisseri, MR (2007). Ingcali yezempilo ebuthathaka. Crit Care Med , 35 (2 Suppl), S106-116. doi.org/10.1097/01.CCM.0000252918.87746.96
Chan, CWH, Ng, NHY, Chan, HYL, Wong, MMH, & Chow, KM (2019). Uphononongo olucwangcisiweyo lweziphumo zeenkqubo zoqeqesho zabaququzeleli bocwangciso lokhathalelo. BMC Health Service Res , 19 (1), 362. doi.org/10.1186/s12913-019-4192-0
Hakim, A. (2023). Ukuphanda imingeni yemfundo yeklinikhi ngokwembono yabafundisi bobuhlengikazi kunye nabafundi: Isifundo esinqamlezileyo. SAGE Vula i-Med , 11 , 20503121221143578. doi.org/10.1177/20503121221143578
Ukonakala. (nd). KwiDictionary.com engafinyezwanga. Ifunyenwe kwi www.dictionary.com/browse/impairment
Rodziewicz, TL, Houseman, B., & Hipskind, JE (2024). UkuNcitshiswa kwempazamo yezoNyango kunye noThintelo. Kwi StatPearls . www.ncbi.nlm.nih.gov/pubmed/29763131
Van Bogaert, P., Peremans, L., Van Heusden, D., Verspuy, M., Kureckova, V., Van de Cruys, Z., & Franck, E. (2017). Abaqikeleli bokudinwa, ukubandakanyeka emsebenzini kunye nomongikazi baxela iziphumo zomsebenzi kunye nomgangatho wokhathalelo: isifundo sendlela edibeneyo. BMC Nurs , 16 , 5. doi.org/10.1186/s12912-016-0200-4
Washington State Department of Health. (2016). Isikhokelo sokunceda oogxa babo ababonakalisa ukonakala emsebenzini. Ifunyenwe kwi www.doh.wa.gov/portals/1/Documents/Pubs/600006.pdf
isikhanyeli
by UGqr Alex Jimenez ukuphulula umzimba womntu ngobunono , Iimpawu
Kubantu abahlala rhoqo emsebenzini kwaye behla ukuya phambili, ngaba ukomeleza izihlunu ze-rhomboid kunceda ukukhusela iingxaki zokuma kunye nokunciphisa intlungu?
Izihlunu zeRhomboid
I-rhomboids liqela lezihlunu kumqolo ongaphezulu. I-rhomboid enkulu kunye ne-muscle encinci kwicala ngalinye lomqolo ophezulu yenza i-shoulder girdle, leyo, kunye nezinye izihlunu, inceda ukugcina ukuzinza kwegxala kunye nehlombe. Ukulawula izihlunu zerhomboid:
Ukutyhala
Ukuphakamisa
Ukujikeleza i-blade blade.
Ezi zihlunu zikwanegalelo ekushukumeni kwengalo kwaye zenze ukuba ziphakamise iingalo ngaphezulu kwentloko.
Izihlunu zerhomboid zixhasa ukuma okunempilo kunye nomqolo ongaphezulu. (Yoo WG 2017 )
Ukuhlala ixesha elide, ukugoba phambili, ukugqithisa ingalo ngaphezu komzimba, ukulala kwelinye icala, ukuphosa ngokuphindaphindiweyo, kunye nemidlalo efana ne-volleyball inokuchaphazela imisipha ye-rhomboid kwaye ibangele iimpawu zentlungu.
Anatomy
Kukho izihlunu ezimbini zerhomboid. Eyona nto iphambili isuka kwi-thoracic spine ukusuka kwisibini ukuya kwi-vertebrae yesihlanu kwaye ifake kwicala lehlombe elijongene nomqolo. Incinci iphakamileyo kuneyona nto ibalulekileyo kwaye ifaka kwi-C7 kunye ne-T1 vertebrae. Izihlunu zidibanisa phakathi komqolo kunye necala ngalinye lamagxa. Xa zidibene, zitsala iincakuba zamagxa kunye. Iintsinga zemisipha zihamba ngediagonally. Bafaka i-scapula ngokuchasene ne-torso, evumela isiseko esizinzile apho iingalo zinokuhamba.
iimpawu
Xa imisipha ye-rhomboid isetyenziswe ngokugqithiseleyo okanye igxininisekile, iimpawu zingabandakanya oku kulandelayo:
Ububele obujikeleze intshinga yegxalaba.
Uluhlu olulinganiselweyo lwentshukumo egxalabeni.
Intlungu ejikeleze igxalaba.
Umqolo obuhlungu.
Intlungu yomqala.
Ukudinwa kwengalo xa usenza iintshukumo eziphindaphindayo.
Isandi esiqhekezayo xa uhambisa igxalaba.
Ubuthathaka engalweni.
Iintlungu zesifuba.
Ukwakha iMisipha
Isenzo se-rhomboid kukuzisa amagxa ehlombe kunye, ukuwaphakamisa okanye ukuwaphakamisa, njengaxa uguqa, kwaye ujikeleze ukuze ajonge phantsi, kude nentloko. Ukuzisa amagxa amagxa kunye okanye ukurhoxa kwe-scapular yakha i-rhomboids ukuxhasa umqolo ongaphezulu.
Ukuphucula okanye ukuthintela iingxaki ze-posture okanye i-mild, i-muscle enxulumene ne-back-back kunye / okanye intlungu yentamo, i-10 ukuya kwi-15 ukuphindaphinda ukuphindaphinda kwe-scapular eyenziwa kabini ukuya kathathu imihla ngemihla yimisebenzi ejoliswe kuyo enokucetyiswa ukunceda ukuqinisa imisipha. Nangona kunjalo, jongana nomboneleli wokhathalelo oluphambili, ugqirha womzimba, okanye i-chiropractor kwiimeko ezinzulu zonyango ezichaphazela i-posture ukuphuhlisa inkqubo yokuzivocavoca yomntu ngokukodwa kwimeko yomntu okanye ukulimala. Wonke umntu wahlukile, kwaye akukho nto ilinganayo xa ubandakanya umthambo wokulawula iintlungu zangasemva. Iqela lonyango lomzimba linokucebisa ezinye izivivinyo ukunceda ukulawula okanye ukuguqula nayiphi na imiba yasemva. (UKim, D. et al., 2015 )
Imisipha Eyolule kakhulu
Umzimba womntu unobudlelwane obukhethekileyo kunye nomngeni kunye nomxhuzulane, obangela ukutsalwa kwezakhiwo zawo, kuquka umqolo, intloko kunye namagxa. Njengoko umxhuzulane utsala, amagxa aqengqelekela phambili, yaye isifuba sinokutshona.Impilo yaseHarvard, ngo-2022 ). Izihlunu ze-rhomboid zinokugqithiswa, okanye izihlunu ze-pectoral kunye nezicubu ezithambileyo ngaphambili zingaqinisa kwaye zidibanise. Ukomeleza i-rhomboids kunokunceda ukukhulula imisipha ye-pectoral.
Ukuma kwentloko phambili
Ukuma okungahambi kakuhle kunokukhokelela kwiintlungu ezingapheliyo kunye neengxaki zomqolo. (UKripa, S. et al., 2021 ) Ngokuhamba kwexesha, ukuma okungahambi kakuhle kunokubangela ukuba intloko ibe phambili. (IThala leeNcwadi leLizwe leLizwe leLizwe leeMvavanyo zeKlinikhi yase-US, ngo-2020 ) Ukuhamba kwentloko phambili kunokukhokelela ekuxinzeni kwezicubu ezithambileyo, i-kink entanyeni, kunye nokukhathala kwimisipha ebambe intloko, enokubangela intlungu engapheliyo entanyeni. Ukugcina izihlunu ezomeleleyo ze-extensor kwi-lumbar kunye thotho inokunceda ukukhusela umva kunye neengxaki zentamo njengoko umzimba uguga.
Ukonzakala kweChiropractic yezoNyango kunye neKlinikhi yokuSebenza yamayeza
Sigxile kakhulu ekuphatheni ukulimala kwezigulana kunye nee-syndromes ezibuhlungu ezingapheliyo kunye nokuphuhlisa izicwangciso zokhathalelo lomntu eziphucula amandla ngokusebenzisa ukuguquguquka, ukuhamba, kunye neenkqubo zobuchule ezilungiselelwe umntu. Ukusebenzisa indlela edibeneyo, iindawo zethu ze-chiropractic practice ziquka i-Wellness & Nutrition, Ubuhlungu obungapheliyo, Ukulimala komntu, Ukunyamekelwa kweNgozi ye-Auto, Ukulimala komsebenzi, uBumva, uBuhlungu obuphantsi, uBuhlungu beNtanye, i-Migraine Headaches, Ukulimala kweMidlalo, i-Sciatica Enzima, i-Scoliosis, i-Complex. Iidiski ze-Herniated, i-Fibromyalgia, iintlungu ezingapheliyo, iintlungu ezixinzelelekileyo, uLawulo loxinzelelo, uNyango lwezoNyango oluSebenzayo, kunye neeprothokholi zokunyamekela iintlungu ngokwemvelo ngokubuyisela impilo kunye nomsebenzi emzimbeni ngokusebenzisa i-Functional Medicine, i-Acupuncture, i-Electro-Acupuncture, kunye ne-Sports Medicine protocol. . Ukuba umntu ufuna olunye unyango, baya kuthunyelwa kwiklinikhi okanye ugqirha ofaneleke kakhulu kubo, njengoko uDkt Jimenez ehlangene kunye noogqirha abaphezulu, iingcali zeklinikhi, abaphandi bezonyango, kunye nabanikezeli bokubuyisela i-premier rehabilitation ukubonelela ngezona zonyango zisebenzayo. . Sijolisa koko kukusebenzelayo kwaye sizame ukwenza ngcono umzimba ngokusebenzisa iindlela zophando kunye neenkqubo zempilo epheleleyo.
UkuPhilisa okuSebenzayo
VIDEO
Ucaphulo
Yoo WG (2017). Iimpembelelo zokutsala ulwalathiso kwi-trapezius ephezulu kunye nomsebenzi we-rhomboid muscle. Ijenali yenzululwazi yonyango lomzimba, 29(6), 1043–1044. doi.org/10.1589/jpts.29.1043
UKim, D., Cho, M., Park, Y., & Yang, Y. (2015). Umphumo wenkqubo yokuzivocavoca yokulungiswa kwesimo kwiintlungu ze-musculoskelet. Ijenali yesayensi yonyango lomzimba, 27 (6), 1791-1794. doi.org/10.1589/jpts.27.1791
Impilo yeHarvard. (2022). Ngaba sele kusemva kwexesha ukuba ungagcina ukuma kwakho? Ukuzilolonga kunye Nokufaneleka. www.health.harvard.edu/exercise-and-fitness/is-it-too-late-to-save-your-posture
Kripa, S., Kaur, H. (2021). Ukuchonga ubudlelwane phakathi kokuma kunye neentlungu kwizigulane ezibuhlungu ezisezantsi: uphononongo olubalisayo. Ibhulethini yeFaculty yoNyango loMzimba, 26. doi.org/https://doi.org/10.1186/s43161-021-00052-w
IThala leeNcwadi leLizwe lase-US leeMvavanyo zeklinikhi. (2020). Ukomeleza kunye nokwelula umthambo wokuphucula ukuma kwentloko phambili kunye namagxa ajikelezayo. Ifunyenwe kwi clinicaltrials.gov/study/NCT04216862
by UGqr Alex Jimenez Chiropractic , Ubuhlungu obungapheliyo , I-Hip Pain kunye nokuphazamiseka , Unyango , I-Viscerosomatic Reflex
Ngaba abantu bezemidlalo banokubandakanya i-MET (ubuchule be-muscle energy) unyango lokunciphisa iintlungu ezinjengeentlungu ze-adductor strain?
intshayelelo
Iziphelo ezisezantsi zomzimba zinendima ebalulekileyo njengoko zibonelela ngokuzinza kunye nokuhamba kumntu ngamnye. Iimbaleki ezininzi zisebenzisa imida yazo engezantsi ngokongeza amandla amaninzi okusebenzisa amandla okuphumelela imidlalo okanye ukhuphiswano. Izihlunu ezahlukeneyo, izicubu ezithambileyo, iiligaments, kunye namalungu anceda ukuxhasa ukwakheka kwamathambo omzimba kwaye anokoyiswa kumonzakalo wokuphindaphinda okanye iimeko zokusingqongileyo. Esinye sezihlunu ezinokuthi zichaphazeleke ngokuphindaphindiweyo ngokuphindaphindiweyo kunye nezinto ezisingqongileyo yimisipha ye-adductor, enokubangela ukuba abaninzi abagijimi babe neentlungu eziqhubekayo kwaye bachaphazele ukusebenza kwabo ngexesha lokhuphiswano. Ngethamsanqa, kukho ubuchule ukuba unyango oluninzi lunikezela ukunciphisa ubunzima be-muscle kwi-adductors kunye nokubonelela ngokukhululeka kwiindawo ezisezantsi. Inqaku lanamhlanje lijonga indlela i-adductor strain enokuthi ichaphazele ngayo abantu abaninzi, ukuba unyango lwe-MET lunokunceda njani ngoxinzelelo lwe-adductor, kunye nefuthe labo elihle kubantu bezemidlalo. Sixoxa nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya iintlungu ezinjengeentlungu ze-adductor strain kwimida ephantsi. Siyazisa kwaye sikhokela izigulane malunga nendlela unyango lwe-MET lunokunceda ngayo ukunweba kunye nokuqinisa imisipha eqinile ye-adductor ukunciphisa uxinzelelo kunye nokubonelela ngokukhululeka. Sikwakhuthaza izigulana zethu ukuba zibuze ababoneleli bezonyango abanxulumene nabo imibuzo emininzi entsonkothileyo kunye nebalulekileyo malunga nokubandakanya i-MET kunye nolunye unyango olungelulo utyando kwisicwangciso sabo sonyango lomntu ngamnye ukuze baphile impilo esempilweni. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli .
Ngaba I-Adductor Strain ibachaphazela njani abantu ngabanye?
Ngaba uziva uxinene emathangeni nasemilenzeni yakho emva kosuku olude emsebenzini? Ngaba ufumana ukungazinzi xa uhamba ukusuka kwenye indawo ukuya kwenye? Okanye ngaba uziva intlungu xa wolula amathanga akho abangela isiqabu sokwexeshana? Abantu abaninzi abafumana iintlungu kumazantsi abo baya kuhlala becinga ukuba ziintlungu zenyonga, kodwa izihlunu zabo ze-adductor zinentlungu. Izihlunu ze-adductor ziquka izihlunu ezintathu ezinika i-torque kwiindawo ezisezantsi ngokuzivumela ukuba zihambe ngaphakathi xa umntu ehamba kwaye uncede ukugcina imisipha ye-trunk iqinile. Ke, xa iimbaleki ezininzi ziqala ukwenza iintshukumo eziphinda-phindayo ngelixa ziqhuba, kunokubangela imiba kubadibanisi. Njengokulimala okuqhelekileyo kubadlali abaninzi, ukunyanzeliswa kwe-adductor kunokubeka uxinzelelo olugqithisileyo kwi-tendon yangempela, ekhokelela kwizinto ezingaqhelekanga ze-biomechanical ezichaphazela inkqubo ye-musculoskeletal. ( Kiel & Kaiser, 2024a ) Kwakhona, xa abagijimi beqala ukusebenzisa ukunyakaza okuphindaphindiweyo ngexesha lokunyuka kwevolumu okanye ubuninzi bomsebenzi woqeqesho, kunokubangela uxinzelelo kwiindawo ezisezantsi. ( Kiel & Kaiser, 2024b ) Oku, kunokubangela ukuba abantu abaninzi bazive ngathi bafumana iintlungu zenyonga kunye ne-groin xa , inyaniso, Ukuqhekeka koxinzelelo kwimisipha ye-adductor ebangela intlungu ye-myofascial.
Ngoko ke, kubantu bezemidlalo abajongene noxinzelelo lwe-adductor, oogqirha abaphambili kufuneka bahlule phakathi kwe-adductor strain kunye ne-muscle strain rhoqo kwiindawo ezisezantsi, njengoko iimpawu zentlungu ngamanye amaxesha zineeprofayili ezinobungozi ezigqithisiweyo kunye neempawu zentlungu ezibuhlungu ezinxulumene neendlela ezihlukeneyo zokulimala. ( McHugh et al., 2023 ) Oku kungenxa yokuba xa abagijimi besebenzisa ngokugqithiseleyo imisipha yabo ye-adductor, kubangela intlungu, njengoko ukulimala okuninzi ngaphakathi kwee-adductors kuhambelana nomlenze kunye nommandla we-groin. ( Koscso et al., 2022 ) Nangona kunjalo, kukho iindlela zembaleki zokufumana isiqabu abafuna ukunciphisa i-adductor strain kwaye babuyele kwindlela yabo yesiqhelo.
Amayeza okunyakaza-Ividiyo
VIDEO
Indlela i-MET Therapy inceda ngayo ngoxinzelelo lwe-Adductor
Kubadlali kunye nabantu abenza umsebenzi womzimba, unyango lwe-MET lunokuba yinxalenye ebalulekileyo yenkqubo yokubuyisela i-adductor strain. I-MET (ubuchule be-muscle energy) unyango, uhlobo lonyango lwe-osteopathic manipulative, lusetyenziswa ziingcali zentlungu ezifana ne-chiropractors, i-massage therapists, kunye noogqirha bezemidlalo ukunciphisa iimpawu zentlungu kwi-musculoskeletal system. Ngokusebenzisa i-musculoskelet contractions ethambileyo, elawulwayo, ezi ngcali zinokuphucula umsebenzi we-musculoskelet ngokuhlanganisa amalunga, ukunweba imisipha eqinile kunye ne-fascia, kunye nokuphucula ukujikeleza kunye nokuhamba kwe-lymphatic. ( Waxenbaum et al., 2024 ) Iingcali ezininzi zentlungu, ezibandakanya i-chiropractors kunye nee-massage therapists, zibandakanya unyango lwe-MET kwimisebenzi yabo ngenxa yokuphumelela kwayo ekujonganeni nokungalingani kwemisipha kunye nemiba yokulungelelanisa eyenza intlungu kunye nokuhamba okulinganiselwe kwiindawo ezisezantsi.
Isiphumo esihle soNyango lwe-MET
Enye yemiphumo emihle yonyango lwe-MET ye-adductor strain kukuba xa abadlali kunye nabantu ngabanye beqala ukuyisebenzisa njengenxalenye yokubuyisela kwabo, intlungu yabo iyancitshiswa, kwaye ukuhamba kwemisipha kwanda kuba kukho utshintsho kwiipropati ze-viscoelastic kwizicubu ezithambileyo. ( Thomas et al., 2019 ) Kwimisipha ye-adductor, unyango lwe-MET lunceda:
Ukwandisa ubude bezihlunu kunye nokuguquguquka Ukunciphisa uxinzelelo kwimisipha Ukuphucula ukuhamba kwegazi kunye nokukhuthaza ukuphilisa Ukuphucula umsebenzi odibeneyo
Unyango lwe-MET, xa lufakwe kwintlungu yokunciphisa i-adductor strain, lunokubeka abantu abaninzi lula njengoko lugxininisa ngokuqhubekayo ekuphumleni kwemisipha, ukwandisa, kunye nokomeleza imisipha echaphazelekayo. Unyango lwe-MET lunokudityaniswa kunye nolunye unyango kwisicwangciso sonyango lomntu siqu sokuphucula ukuhamba, khumbula oko kubangela intlungu kunye nokungahambi kakuhle emizimbeni yabo, kwaye baphile ubomi obunempilo.
Ucaphulo
Kiel, J., & Kaiser, K. (2024a). Uxinzelelo lweAdductor. Kwi StatPearls . www.ncbi.nlm.nih.gov/pubmed/29630218
Kiel, J., & Kaiser, K. (2024b). Ukusabela koxinzelelo kunye nokuqhekeka. Kwi StatPearls . www.ncbi.nlm.nih.gov/pubmed/29939612
Koscso, JM, McElheny, K., Carr, JB, 2nd, & Hippensteel, KJ (2022). Ukulimala kwezihlunu ezisezantsi kwi-Athlete ye-Overhead. Curr Rev Musculoskelet Med , 15 (6), 500-512. doi.org/10.1007/s12178-022-09786-z
McHugh, MP, Nicholas, SJ, & Tyler, TF (2023). Uxinzelelo lweAdductor kwiimbaleki. I-Int J yezeMidlalo yoNyango , 18 (2), 288-292. doi.org/10.26603/001c.72626
Thomas, E., Cavallaro, AR, Mani, D., Bianco, A., & Palma, A. (2019). Ukusebenza kweendlela zamandla e-muscle kwizifundo ezinempawu kunye ne-asymptomatic: ukuphononongwa ngokuchanekileyo. Unyango lweChiropr lomntu , 27 , 35. doi.org/10.1186/s12998-019-0258-7
Waxenbaum, JA, Woo, MJ, & Lu, M. (2024). IPhysiology, Amandla eZihlunu. Kwi StatPearls . www.ncbi.nlm.nih.gov/pubmed/32644455
isikhanyeli
by UGqr Alex Jimenez Ubuhlungu obungapheliyo , Ukulimala koluhlu , ukuphila qete , Ukuhamba kunye nokuguquguquka , Unyango , I-Viscerosomatic Reflex
Ngaba izolulo ezahlukeneyo zinokuba luncedo kubantu abajongana nesandla kunye neentlungu zesandla ngokunciphisa iintlungu kunye nokungonwabi ukuya kwiziphelo?
intshayelelo
Kwihlabathi eliqhutywa yiteknoloji, kuqhelekile ukuba abantu bafumane intlungu yesandla kunye nesandla ngexesha elithile ebomini babo. Izandla ziyinxalenye yeendawo eziphezulu zomzimba kwaye zisetyenziselwa imisebenzi eyahlukeneyo kunye nemisebenzi yonke imini. Iingalo zangaphambili zibonelela ngobudlelwane be-causal kunye nezandla kunye nezandla kwiindawo ezingaphezulu kuba zinika imisebenzi ebaluleke kakhulu yemoto kumzimba. Izandla zixhasa umzimba xa uphethe into; imisipha eyahlukeneyo, iigaments, i-tendon, kunye namalungu anceda isihlahla ngokushukuma kunye nokuguquguquka. Nangona kunjalo, xa ukulimala okanye ukunyakaza kwemihla ngemihla kuqala ukuchaphazela iingalo kwaye kubangele imiba ngezandla kunye nesandla, kunokuba nzima ukwenza imisebenzi elula kunye nefuthe elibi kwindlela yomntu yokuphila. Ngethamsanqa, kukho iindlela ezininzi zokunciphisa intlungu kunye nokukhathazeka kwesandla kunye nezandla. Inqaku lanamhlanje lijolise kwinto ebangela intlungu yesihlahla kunye nesandla, indlela yokuthintela iintlungu zesandla kunye nesandla ukuba zingabuyi, kunye nendlela ukudibanisa ezahlukeneyo kunokunceda ukunciphisa imiphumo efana nentlungu. Sixoxa nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya izizathu ezininzi ezikhokelela ekuphuhlisweni kwentlungu yesandla kunye nesandla. Sikwazisa kwaye sikhokela izigulane malunga nokuba iindlela ezahlukeneyo zolula kunye neendlela ezinokunceda ukunciphisa amathuba eentlungu zesandla kunye nesandla ekubuyeni. Sikwakhuthaza izigulana zethu ukuba zibuze ababoneleli bezonyango abanxulumene nabo imibuzo emininzi entsonkothileyo kunye nebalulekileyo malunga nokubandakanya olu luhlu kunye nobuchule kwiindlela zabo zemihla ngemihla ukuze baphile ubomi obunempilo. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli .
Yintoni Ebangela Intlungu Yesandla Nesandla?
Ngaba uhlala uziva iintlungu okanye ukuqina esihlahleni sakho emva kokuchwetheza imini yonke kwikhompyuter okanye kwifowuni? Ngaba unengxaki yokubamba izinto ezandleni zakho? Okanye ngaba izandla zakho ziba buhlungu kangaphi xa ukuziphulula kubangela isiqabu sokwexeshana? Abantu abaninzi, kubandakanywa nabantu abadala, baye bafumana intlungu ngexesha elithile, kwaye ixesha elininzi, lichaphazela izandla kunye nezandla. Ekubeni wonke umntu esebenzisa izandla kunye nezandla xa esenza imisebenzi eyahlukeneyo, xa ukulimala okanye ukunyakaza okuphindaphindiweyo kuqala ukuchaphazela izandla kunye nezandla, kunokuba nefuthe elikhulu kwimisebenzi elula. Xa ujongene nentlungu yesandla kunye nesandla, kunokwenza ubomi bube nzima kumntu. Ekubeni intlungu iyimpendulo eqhelekileyo yokukhusela kuyo nayiphi na inzakalo kunye nokuvuselela okunokuthi kube yingozi kwifom yayo enzima, xa imiba ye-neuromuscular ehlala ixesha elide okanye engasebenziyo iqala ukuchaphazela umzimba, inokubangela ukukhubazeka kunye neentlungu. ( Merkle et al., 2020 ) Kwiintlungu zesandla kunye nesandla, iziganeko ezininzi ezikhokelela ekuphuhlisweni kwayo zibangelwa yi-micro-stress okanye ukusetyenziswa kweenyembezi okuphindaphindiweyo.
Oku kungenxa yokuba ihlabathi liqhutywa yi-teknoloji, abantu abaninzi basebenzisa iikhomputha okanye ii-smartphones ukuze banxibelelane, nto leyo enokuba yenye yezizathu zokuphuhliswa kwentlungu yesandla kunye nesandla. Xa abantu abaninzi besebenzisa izixhobo zombane rhoqo, ukuhamba rhoqo kunye nokusetyenziswa kwezithupha kuya kwandisa umthwalo wabo kwaye kube kukuxhaphaka okuphezulu kokuphazamiseka kwe-musculoskeletal disorders. ( UBaabdullah et al., 2020 ) Olunye uphononongo luchaze ukuba xa abantu abaninzi beqala ukwenza iintshukumo eziphindaphindayo rhoqo kwaye beneendawo ezahlukeneyo zamalungu esihlahla sabo ngelixa besebenzisa izixhobo zabo zombane rhoqo, kunokubangela intlungu kumalungu esihlahla sabo kwaye kuchaphazele ubume. ( U-Amjad et al., ngo-2020 ) Ukongezelela, xa ukubonakaliswa kwe-vibration ngokuphindaphindiweyo okanye ukunyanzeliswa kwe-angular kuchaphazela izandla kunye nezandla, kunokukhokelela kwi-carpal tunnel syndrome kwaye ichaphazele izandla. ( Osiak et al., 2022 ) Amalungu ahlukeneyo, imisipha, kunye nezihlunu nazo ziyachaphazeleka ezandleni nasezihlahleni njengeendawo ezivusa umphambili. Ngethamsanqa, kukho iindlela ezininzi apho abantu abaninzi banokunciphisa iintlungu ezinjengeentlungu zesandla kunye neentlungu zesandla.
Iingenelo Zokolula-Ividiyo
VIDEO
Indlela Yokuthintela Intlungu Yesandla kunye Nesandla Ekubuyeni
Kukho iindlela ezininzi zokunciphisa intlungu yesandla kunye nesandla, kwaye abantu abaninzi bazama ukufumana izisombululo zonyango ukunciphisa intlungu. Unyango olungasebenzisi utyando olufana nonyango lwezandla lunokunceda ngeentlungu zesandla kunye nesandla ngokusebenzisa amandla okuhlanganisa ukuvumela ukuguqulwa kwesandla kunye nokwandiswa ukuphucula ukusebenza kweemoto. ( Gutierrez-Espinoza et al., 2022 ) Olunye unyango olungelulo utyando olunokunceda ngesihlahla kunye neentlungu zesandla yi-acupuncture. I-acupuncture isebenzisa iinaliti ezincinci, eziqinileyo, ezincinci ukuba zifakwe kwii-acupoints ezahlukeneyo kwi-forearm ukunciphisa ubunzima beentlungu kunye nokubuyisela umsebenzi wokushukuma kwizandla kunye nesandla. ( Trinh et al., 2022 )
Ukolulwa okwahlukeneyo kweSihlalo kunye neentlungu zesandla
Ngethamsanqa, kukho a ilula kwaye iyafikeleleka Indlela yabantu abaninzi yokunciphisa ifuthe lesandla kunye nezandla ukolula iintlungu kunye nokubandakanya i-yoga kwindlela yabo yesiqhelo. I-Yoga yolulela izandla kunye nezandla inokunceda ukuthothisa kunye nokunciphisa ukuqina, kwaye ezi zolule zingenziwa nje imizuzu embalwa, zinika iziphumo eziluncedo. ( Gandolfi et al., 2023 ) Apha ngezantsi kukho ezinye zezi zoluleko ezinokuthi Ukufakwa ngokulula kwindlela yakhe nabani na, ikwenza kube lula kuwe ukulawula impilo yesandla sakho kunye nempilo yesandla.
IWrist Flexor Yolula
Uyenza njani:
Yandisa ingalo yakho phambi kwakho uphakamise isandla sakho. Sebenzisa esinye isandla sakho ukutsalela ngobunono iminwe ibuyele emzimbeni de uve ukolula kwingalo yakho. Bamba le ndawo malunga ne-15 ukuya kwi-30 imizuzwana. Phinda amaxesha angama-2-3 ngesihlahla ngasinye.
Ukolulwa kweWrist Extensor
Uyenza njani:
Yandisa ingalo yakho phambi komzimba wakho intende yakho ijonge ezantsi. Tsala iminwe ngobunono ibhekise emzimbeni wakho ngesinye isandla de uve ukolulela ngaphandle komphambili wakho. Gcina imizuzwana engama-15 ukuya kuma-30. Yenza oku 2-3 amaxesha esihlahleni ngasinye.
Umthandazo Wolula
Uyenza njani:
Beka iintende kunye kwindawo yokuthandaza ngaphambili esifubeni, ngaphantsi kwesilevu. Yehlisa kancinci i izandla ezihlangeneyo zijonge esinqeni, ugcine izandla zikufutshane nesisu sakho kunye nezandla zakho kunye de uzive ukhululekile phantsi kweengalo zakho. Bamba imizuzwana engama-30 ubuncinane kwaye uphinde amaxesha ambalwa.
Tendon Glides
Uyenza njani:
Qala ngokuvula iminwe yakho ngqo. Emva koko, goba iminwe yakho ukwenza inqindi hook; kufuneka uve ukolula kodwa akukho ntlungu. Buyela kwindawo yokuqala kwaye ugobe iminwe yakho ukuze uthinte phezulu kwesandla sakho, ugcine iminwe yakho iqonde. Ekugqibeleni, thoba iminwe yakho ibe yinqindi elipheleleyo. Phinda ulandelelwano izihlandlo ezilishumi.
Ukuzolula ubhontsi
Uyenza njani:
Yolula isandla sakho kunye neminwe yakho kunye. Tsala ubhontsi wakho kude neminwe yakho kude kube mnandi. Gcina imizuzwana engama-15 ukuya kuma-30. Phinda amaxesha angama-2-3 ngobhontsi ngamnye.
Yivuthulule
Uyenza njani:
Emva kokuzolula, xhawula izandla zakho kancinci ngokungathi uzama ukuzomisa. Oku kunceda ukunciphisa uxinzelelo kunye nokukhuthaza ukujikeleza.
Ucaphulo
Amjad, F., Farooq, MN, Batool, R., & Irshad, A. (2020). Ukuphindaphindwa kweentlungu zesihlahla kunye nemiba enxulumene nomngcipheko kubafundi abasebenzisa iiselfowuni. Pak J Med Sci , 36 (4), 746-749. doi.org/10.12669/pjms.36.4.1797
Baabdullah, A., Bokhary, D., Kabli, Y., Saggaf, O., Daiwali, M., & Hamdi, A. (2020). Unxulumano phakathi kweziyobisi ze-smartphone kunye nentlungu yesithupha / yesandla: isifundo esinqamlezayo. Iyeza (Baltimore) , 99 (10), e19124. doi.org/10.1097/MD.0000000000019124
Gandolfi, MG, Zamparini, F., Spinelli, A., & Prati, C. (2023). I-Asana yeNtamo, amagxa, kunye neZihlalo zokuthintela ukuphazamiseka kwe-Musculoskeletal phakathi kweeNgcali zamazinyo: iProtocol ye-Yoga kwi-Ofisi. J Funct Morphol Kinesiol , 8 (1). doi.org/10.3390/jfmk8010026
UGutierrez-Espinoza, H., Araya-Quintanilla, F., Olguin-Huerta, C., Valenzuela-Fuenzalida, J., Gutierrez-Monclus, R., & Moncada-Ramirez, V. (2022). Ukuphumelela kwonyango lwe-manual kwizigulane ezine-distal radius fracture: ukuphononongwa ngokuchanekileyo kunye nohlalutyo lwe-meta. J Man Manip Ther , 30 (1), 33-45. doi.org/10.1080/10669817.2021.1992090
Merkle, SL, Sluka, KA, & Frey-Law, LA (2020). Intsebenziswano phakathi kweentlungu kunye nokunyakaza. J Hand Ther , 33 (1), 60-66. doi.org/10.1016/j.jht.2018.05.001
Osiak, K., Elnazir, P., Walocha, JA, & Pasternak, A. (2022). I-Carpal tunnel syndrome: ukuphononongwa kwe-state-of-the-art. Folia Morphol (Warsz) , 81 (4), 851-862. doi.org/10.5603/FM.a2021.0121
Trinh, K., Zhou, F., Belski, N., Deng, J., & Wong, CY (2022). Umphumo we-Acupuncture kwiSandla kunye noBuqaqawuli beNzululwazi, iSimo sokuSebenza, kunye noMgangatho woBomi kuBantu abadala: Ukuphononongwa okuCwangcisiweyo. Med Acupunct , 34 (1), 34-48. doi.org/10.1089/acu.2021.0046
isikhanyeli
by UGqr Alex Jimenez Chiropractic , ukuphila qete , Ukuhamba kunye nokuguquguquka , entanyeni Pain , Unyango lweentlungu , Iimpawu , Unyango , I-Viscerosomatic Reflex
Ngaba ukubandakanya iindlela ezahlukeneyo zeyoga kunceda ukunciphisa uxinzelelo lwentamo kunye nokubonelela ngesiqabu kwiintlungu zabantu abajongene neentlungu zentamo?
intshayelelo
Kukuphithizela kunye nokuphithizela kobomi bale mihla, kuqhelekile ukuba abantu abaninzi baphathe uxinzelelo emizimbeni yabo. Xa umzimba ujongene noxinzelelo lwemihla ngemihla, uxinzelelo, ukungonwabi, kunye neentlungu zihlala zibonakala kwiindawo eziphezulu nezisezantsi zomzimba. Xa iindawo ezingaphezulu nezisezantsi zomzimba zijongana nale miba, zinokubangela ukugcwala kweeprofayili zomngcipheko kwinkqubo ye-musculoskeletal system. Enye yeengxaki eziqhelekileyo ze-musculoskeletal yintlungu yentamo. Inokubangela iingxaki ezininzi kwinxalenye yomlomo wesibeleko kwaye ibangele ukuba izihlunu ezijikelezayo zibe nzima kwaye zibuhlungu ngenxa yoxinzelelo lwemisebenzi yemihla ngemihla. Ngethamsanqa, kukho iindlela ezininzi zokunciphisa uxinzelelo olusuka entanyeni kunye nokunceda ukukhulula izihlunu ezichaphazelekayo ekungakhululeni, kubandakanya i-yoga. Kwinqaku lanamhlanje, siza kujonga indlela iintlungu zentamo ezichaphazela ngayo umzimba ongaphezulu, izibonelelo zeyoga kwiintlungu zentamo, kunye neentlobo ezahlukeneyo ze-yoga zokunciphisa iziphumo ezidlulayo zeentlungu zentamo. Sixoxa nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya indlela intlungu yentamo ehambelana ngayo noxinzelelo lwemihla ngemihla oluchaphazela umzimba ophezulu. Siyazisa kwaye sikhokela izigulana malunga nendlela i-yoga kunye neendlela ezahlukeneyo zokubeka ezinokuthi zincede umzimba kwaye zinike isiqabu kwiintlungu ezingqongileyo. Sikwakhuthaza abaguli bethu ukuba babuze ababoneleli bezonyango abanxulumene nabo imibuzo emininzi entsonkothileyo kunye nebalulekileyo malunga nokubandakanya i-yoga kwindlela yabo yemihla ngemihla ukunciphisa ukuxinezeleka kwemisipha kunye nokubonelela ukucaca emizimbeni yabo. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli .
Iintlungu zeNtamo ziwuchaphazela njani uMzimba oPhezulu?
Ngaba uziva ungakhululekile okanye intlungu entanyeni nasemagxeni emva kosuku olude, olunzima lomsebenzi? Ngaba uyaqaphela ukuba uzingela ngaphezu kwesiqhelo xa usenza umsebenzi wakho wemihla ngemihla? Okanye ngaba uzibona uhlakulela isimo sengqondo sokuzingela ngokujonga isikrini sekhompyutheni okanye ifowuni ixesha elide? Uninzi lwezi ntshukumo eziqhelekileyo zihlala zihambelana nomzimba ophezulu, ngakumbi kwintamo kunye nemimandla yamagxa, ebangela intlungu yentamo. Njengenye yeengxaki ezixhaphakileyo ezichaphazela abantu abaninzi emhlabeni wonke, intlungu yentamo sisifo se-multifactorial esinemiba emininzi yengozi ebangela ukuphuhliswa kwayo. ( Kazeminasab et al., 2022 ) Njengentlungu emva, intlungu yentamo ingaba nezigaba ezinzima kunye nezingapheliyo ngokuxhomekeke kubunzima kunye nezinto ezisingqongileyo ezikhokelela ekuphuhlisweni kwayo. Izihlunu ezahlukeneyo, iigaments, kunye nezicubu ezijikeleze intamo kunye namagxa zigcina intamo izinzile kwaye ihamba. Xa abantu abaninzi besebenzisa ngokugqithiseleyo le misipha entanyeni nasemagxeni ngokuphindaphindiweyo, kunokunyusa intlungu yentamo kumzimba ophezulu xa umntu emdala. ( UBen Ayed et al., 2019 )
Xa iintlungu ezibuhlungu zentamo zijika zingapheliyo, zinokubangela ukuba umntu ahlale engonwabanga, intlungu, kunye nosizi, ngoko ke baqala ukukhangela izisombululo ezahlukeneyo zokunciphisa iimpawu ezihambelanayo xa bethetha noogqirha babo bokuqala. Xa abantu abaninzi beqala ukuchazela oogqirha babo ukuba indlela yabo yemihla ngemihla ibonakala njani, oogqirha abaninzi baya kuqala ukuvavanya nokuqulunqa isicwangciso esijolise kuyo nayiphi na inkcazo ethile yokulimala, kubandakanywa neendlela ezinokubakho, izinto ezikhuthazayo kunye nokunciphisa, kunye neepatheni zentlungu abanazo. sidibene nayo yonke imini ukuza nesicwangciso sonyango lomntu ukuba singanciphisi nje iintlungu zentamo kodwa nokubonelela ngesiqabu kuxinzelelo kunye nokungonwabi emzimbeni. ( Childress & Stuek, 2020 )
ISayensi yeNtshukumo-Ividiyo
VIDEO
IiNzuzo zeYoga kwiintlungu zeNtamo
Oogqirha abaninzi baseprayimari baya kusebenza nababoneleli bezonyango abanxulumeneyo ukuphuhlisa isicwangciso somntu siqu sokunciphisa iintlungu zentamo kunye neempawu ezinxulumene nazo kubantu abaninzi. Uninzi lwezi zicwangciso zonyango ezilungiselelweyo zibandakanya ukuguqulwa komgogodla, i-acupuncture, i-massage, unyango lokuthomalalisa, kunye nemithambo yonyango. Olunye uqheliselo lonyango oluye lwasetyenziswa ngabantu abaninzi yiyoga. I-Yoga sisenzo esipheleleyo esibandakanya ukulawula ukuphefumla, ukucamngca, kunye neendlela ezahlukeneyo zokolula kunye nokomeleza izihlunu eziphezulu ezichaphazelekayo. I-Yoga igqwesileyo ekunciphiseni intlungu yentamo kunye nokunceda ukuhamba komgudu ophezulu womlomo wesibeleko, ukunweba i-neck musculature ukunceda umntu ukuba aphucule ukuhamba kunye nokuguquguquka. ( URaja et al., 2021 Ukongeza, iziphumo ze-yoga kunye neemeko zayo ezininzi zinokunciphisa uxinzelelo, zinike ingcaciso engqondweni, kwaye zivumele izondlo kunye neoksijini kwisistim ye-musculo-articular ukuphilisa umzimba ngokwawo. ( Gandolfi et al., 2023 )
I-Yoga ibeka iintlungu zeNtamo
Kwangelo xesha, abantu abaninzi abanemisebenzi yokuhlala ehambelana neentlungu zentamo baye baphumeza i-yoga njengenxalenye yesiqhelo sabo. I-Yoga iphucula uluhlu lwabo lwentshukumo edibeneyo kunye nomsebenzi wokuqonda kwaye inceda ukukhulula ukungahambi kakuhle kwe-musculoskeletal kwintamo kunye nemimandla yamagxa. ( Thanasilungkoon et al., 2023 ) Ngezantsi ezinye zeendlela ezahlukeneyo ze-yoga ezinokuthi zincede ukunciphisa iimpawu ezinjengeentlungu zentamo kunye nokunciphisa imisipha ejikelezayo.
Ehleli Intamo Iyazolula
Ukolulwa kwentamo ehleliyo, le yoga pose inceda ukolula kwaye ikhulule izihlunu zentamo ezithwele uxinzelelo kunye noxinzelelo kwindawo yomlomo wesibeleko.
Kwindawo ehleliyo ethe tye, jikela intloko ngasekunene kwaye uphakamise ngobunono isilevu. Kufuneka uzive ukolula kwicala lasekhohlo lentamo kunye namagxa. Bamba indawo emithathu ukuya kwemihlanu yokuphefumla kwaye uphinde kwicala lasekhohlo.
Ukuma kwenkamela
Kwimeko yenkamela, le yoga pose inceda ukomeleza izihlunu zentamo yangaphambili ngelixa unciphisa uxinzelelo emagxeni nasemva kwentamo.
Unokuguqa kwi-yoga mat ngokugcina amadolo akho kunye neenyawo zakho zikude-umgama ngelixa ugcina i-pelvis ingathathi hlangothi. Phakamisa isifuba ngelixa ugobe umqolo wakho kwaye ucinezela i-pelvis kancinci phambili. Zisa iincam zeminwe kwizithende okanye iibhloko zeyoga ecaleni kwamaqatha. Gxininisa ekuzoba isilevu kufutshane nentamo ngelixa ucinezela iinyawo kwi-mat. Bamba indawo emithathu ukuya kwemihlanu yokuphefumla phambi kokuba ukhulule kwaye uphakamise i-sternum ukuze iphakame.
Isikhundla seSphinx
I-sphinx pose ikuvumela ukuba wandise kwaye uqinise umqolo ngelixa usolula amagxa kunye nokukhulula uxinzelelo.
Kwi-yoga mat, lala ngesisu ngeengqiniba phantsi kwamagxa. Cinezela iintende zakho kunye neengalo zakho kwi-mat kwaye uqinise isiqingatha esisezantsi ukukuxhasa njengoko uphakamisa i-torso yakho ephezulu kunye nentloko. Qhubeka ujonge ngqo phambili njengoko ucinga ngokwandisa umnqonqo. Bamba le ndawo ukuphefumla kathathu ukuya kwemihlanu.
Umsonto weNaliti yokuma
I-thread-the-needle pose inceda ukukhulula uxinzelelo olugcinwe entanyeni, emagxeni, nasemva.
Kwi-yoga mat, qalisa kwindawo yonke-ezine kunye nesandla phantsi kwamagxa kunye namadolo phantsi kwezinqe. Phakamisa isandla sasekunene usihambise ngasekhohlo ecaleni komgangatho intende ijonge phezulu. Bamba indawo emithathu ukuya kwemihlanu ukuphefumla imizuzwana engamashumi amathathu kwaye ukhulule. Buyela kwindawo yesine kwaye uphinde uye kwicala lasekhohlo.
isiphelo
Ngokubanzi, ukubandakanya i-yoga njengenxalenye yenkqubo yemihla ngemihla kunokubonelela ngeziphumo eziluncedo ekunciphiseni iintlungu zentamo kunye ne-comorbidities ehambelana nayo. I-Yoga ayifuni iiyure zokuziqhelanisa okanye ukudibanisa kwiindlela ezahlukeneyo, njengoko nje imizuzu embalwa yokolula kunye nokuphefumla ngengqondo suku ngalunye kunokubonelela ngeziphumo ezilungileyo. Xa abantu beqala ukusebenzisa i-yoga njengenxalenye yemisebenzi yabo yemihla ngemihla, baya kuqaphela ukuphuculwa kwendlela yabo yokuma, iingqondo zabo zicace ngakumbi kunangaphambili, kwaye baphile ubomi obonwabisayo, obunempilo ngaphandle kokujongana neentlungu zentamo.
Ucaphulo
Ben Ayed, H., Yaich, S., Trigui, M., Ben Hmida, M., Ben Jemaa, M., Ammar, A., Jedidi, J., Karray, R., Feki, H., Mejdoub, Y., Kasis, M., & Damak, J. (2019). Ukuxhaphaka, izinto eziMngcipheko kunye neZiphumo zeNtamo, amahlombe kunye neentlungu ezisezantsi kuBantwana beSikolo seSekondari. J Res Health Sci , 19 (1), e00440. www.ncbi.nlm.nih.gov/pubmed/31133629
www.ncbi.nlm.nih.gov/pmc/articles/PMC6941626/pdf/jrhs-19-e00440.pdf
Childress, MA, & Stuek, SJ (2020). Intlungu Yentamo: UVavanyo lokuqala kunye noLawulo. Ugqirha wezeMerika waseMerika , 102 (3), 150-156. www.ncbi.nlm.nih.gov/pubmed/32735440
www.aafp.org/pubs/afp/issues/2020/0801/p150.pdf
Gandolfi, MG, Zamparini, F., Spinelli, A., & Prati, C. (2023). I-Asana yeNtamo, amagxa, kunye neZihlalo zokuthintela ukuphazamiseka kwe-Musculoskeletal phakathi kweeNgcali zamazinyo: iProtocol ye-Yoga kwi-Ofisi. J Funct Morphol Kinesiol , 8 (1). doi.org/10.3390/jfmk8010026
Kazeminasab, S., Nejadghaderi, SA, Amiri, P., Pourfathi, H., Araj-Khodaei, M., Sullman, MJM, Kolahi, AA, & Safiri, S. (2022). Intlungu yentamo: i-epidemiology yehlabathi, iintsingiselo kunye nezinto ezinobungozi. I-BMC Musculoskelet Disord , 23 (1), 26. doi.org/10.1186/s12891-021-04957-4
Raja, GP, Bhat, NS, Fernandez-de-Las-Penas, C., Gangavelli, R., Davis, F., Shankar, R., & Prabhu, A. (2021). Ukusebenza kwe-fascial manipulation enzulu yomlomo wesibeleko kunye ne-yoga postures kwiintlungu, umsebenzi, kunye nokulawulwa kwe-oculomotor kwizigulane ezineentlungu zentamo yomatshini: iprotocol yokufunda ye-pragmatic, i-parallel-group, i-randomized, isilingo esilawulwayo. Zilingo , 22 (1), 574. doi.org/10.1186/s13063-021-05533-w
Thanasilungkoon, B., Niempoog, S., Sriyakul, K., Tungsukruthai, P., Kamalashiran, C., & Kietinun, S. (2023). Ukusebenza kweRuesi Dadton kunye neYoga ekunciphiseni iNtamo kunye neentlungu zamagxa kubasebenzi baseOfisi. Int J Exerc Sci , 16 (7), 1113-1130. www.ncbi.nlm.nih.gov/pubmed/38287934
www.ncbi.nlm.nih.gov/pmc/articles/PMC10824298/pdf/ijes-16-7-1113.pdf
isikhanyeli
by UGqr Alex Jimenez Chiropractic , Uvavanyo lweChiropractic , News Chiropractic , Ubuhlungu obungapheliyo , Ukujonga kunye nokuchonga , Unyango
Ngaba abaqeqeshi bezempilo kwiklinikhi ye-chiropractic babonelela njani ngendlela yeklinikhi yokuthintela iimpazamo zonyango kubantu abaneentlungu?
intshayelelo
Iimpazamo zonyango zibangele ukufa kwe-44,000-98,000 esibhedlele eMelika ngonyaka, kwaye ezininzi zibangele ukulimala okubi. ( Kohn et al., 2000 ) Eli nani lalingaphezu kwenani labantu abafa minyaka le ngenxa kaGawulayo, umhlaza wamabele neengozi zemoto ngelo xesha. Ngokophando lwamva, elona nani lokufa linokuba lisondele kwi-400,000, libeka iimpazamo zonyango njengeyesithathu eyona nto ixhaphakileyo yokufa e-US. Rhoqo, ezi mpazamo aziyomveliso yabasebenzi bezonyango ababi ngokwemvelo; kunoko, ziziphumo zemiba yenkqubo kunye nenkqubo yokunakekelwa kwempilo, njengeepatheni zokungahambelani komnikezeli, unxibelelwano lwe-inshurensi edibeneyo, ukusetyenziswa kakubi okanye ukungabikho kwemigaqo yokhuseleko, kunye nokunyamekela okungalungelelanisiweyo. Inqaku lanamhlanje lijonga indlela yeklinikhi yokuthintela impazamo yonyango kwimeko yeklinikhi. Sixoxa ngababoneleli bezonyango abanxulumeneyo abakhethekileyo kunyango olwahlukeneyo lokunceda abantu abaneengxaki ezingapheliyo. Sikwakhokela izigulana zethu ngokubavumela ukuba babuze ababoneleli bezonyango abanxulumene nabo imibuzo ebaluleke kakhulu kwaye entsokothileyo. UDkt Alex Jimenez, DC, usebenzisa le ngcaciso kuphela njengenkonzo yemfundo. isikhanyeli
Ukuchaza Iimpazamo zonyango
Ukumisela ukuba yeyiphi impazamo yonyango lelona nyathelo libalulekileyo kuyo nayiphi na incoko malunga nokuthintela iimpazamo zonyango. Unokucinga ukuba lo ngumsebenzi olula kakhulu, kodwa oko kuphela de ungene kuluhlu olukhulu lwesigama esisetyenzisiweyo. Amagama amaninzi asetyenziswa ngendlela efanayo (ngamanye amaxesha ngempazamo) kuba isigama sitshintshatshintsha, kwaye ngamanye amaxesha, intsingiselo yegama ixhomekeke kubuchule obuxutyushwayo.
Nangona icandelo lokhathalelo lwezempilo lithe ukhuseleko lwesigulane kunye nokuphelisa okanye ukunciphisa iimpazamo zonyango zizinto eziphambili, uGrober noBohnen baqaphele kutshanje nje ngo-2005 ukuba baye bawa phantsi kwindawo enye ebalulekileyo: ukugqiba inkcazo "mhlawumbi owona mbuzo ubalulekileyo ... Impazamo yezonyango? Impazamo yonyango kukungaphumeleli ukugqiba isenzo esicwangcisiweyo kwisimo sonyango. ( UGrober & Bohnen, ngo-2005 ) Noko ke, akukho nalinye kumagama adla ngokuchazwa ngokucacileyo xa ubani enengxaki yezonyango—izigulane, unyango, okanye nayiphi na enye into—ekhankanywe kule nkcazelo. Ngaphandle koku, inkcazo inika isakhelo esiluqilima sophuhliso olongezelelweyo. Njengoko ubona, loo ngcaciso ikhethekileyo inamacandelo amabini:
Impazamo yokwenza : Ukusilela ukugqiba inyathelo elicwangcisiweyo njengoko bekucetyiwe.Impazamo yokucwangcisa: bubuchule obuthi, nokuba kwenziwe ngokugqibeleleyo, akuvelisi iziphumo ezinqwenelekayo.
Iingcamango zeempazamo zokwenziwa kunye neempazamo zokucwangcisa azanelanga ukuba siza kuchaza impazamo yonyango ngokwaneleyo. Oku kunokwenzeka naphi na, hayi kwiziko lezonyango kuphela. Icandelo lolawulo lwezonyango kufuneka longezwe. Oku kuzisa ingcamango yeziganeko ezingathandekiyo, ezaziwa ngokuba ziziganeko ezimbi. Inkcazo eqhelekileyo yesiganeko esibi yingozi engalindelekanga kwizigulane eziziswa ngonyango lwezonyango kunokuba isifo sabo esisisiseko. Le nkcazo ifumene ukwamkelwa kwamanye amazwe ngendlela enye okanye enye. Umzekelo, eOstreliya, igama elithi izehlo lichazwa ngokuba yiyiphi ingozi ebangele ukuba umntu afumane unyango. Ezi ziquka usulelo, ukuwa okubangela ukwenzakala, kunye nemiba yamayeza kagqirha kunye nezixhobo zonyango. Izehlo ezithile ezingathandekiyo zinokuthintelwa.
Iindidi eziqhelekileyo zeempazamo zonyango
Ekuphela komcimbi ngalo mbono kukuba ayizizo zonke izinto ezimbi ezenzeka ngengozi okanye ngabom. Ngenxa yokuba isigulana sinokuzuza ekugqibeleni, isiganeko esibi esilindelekileyo kodwa esinyamezelekileyo singenzeka. Ngexesha le-chemotherapy, isicaphucaphu kunye nokulahleka kweenwele yimizekelo emibini. Kulo mzekelo, ukwala unyango olucetyiswayo kuya kuba kuphela kwendlela esengqiqweni yokuthintela iziphumo ezingathandekiyo. Ngaloo ndlela sifika kumbono wezinto ezinokuthi zithintelwe kwaye zingathinteleki njengoko siqhubeka siphucula inkcazo yethu. Akukho lula ukuhlela ukhetho lokunyamezela impembelelo enye xa kuqinisekiwe ukuba isiphumo esilungileyo siyakwenzeka ngaxeshanye. Kodwa injongo iyodwa ayisosizathu. ( Inethiwekhi yoKhuseleko lweSigulane, i-2016, isiqendu.3 ) Omnye umzekelo wempazamo ecwangcisiweyo iya kuba kukunqunyulwa kwenyawo lokunene ngenxa yethumba kwisandla sasekhohlo, esiya kwamkela isiganeko esibi esaziwayo nesixelwe kwangaphambili ngethemba lomphumo onenzuzo apho kungekho namnye owakha wavela ngaphambili. Akukho bungqina bokuxhasa ulindelo lwesiphumo esihle.
Iimpazamo zonyango ezenza umonakalo kwisigulana zidla ngokuba yeyona nto sigxile kuyo kuphando lwethu. Nangona kunjalo, iimpazamo zonyango zinokwenzeka kwaye ziyenzeka xa isigulane singonakaliswa. Ukwenzeka kokuphoswa kufutshane kunokubonelela ngedatha exabiseke kakhulu xa kucwangciswa indlela yokunciphisa iimpazamo zonyango kwiziko lokhathalelo lwempilo. Nangona kunjalo, ukuphindaphindwa kwezi ziganeko xa kuthelekiswa neekliniki ezizixela rhoqo kufuneka ziphandwe. Iziphoso ezikufutshane ziziphoso zonyango ezinokuthi zenze umonakalo kodwa azizange ziyenze kwisigulane, nokuba isigulane siqhuba kakuhle. ( UMartinez et al., 2017 ) Kutheni le nto unokuvuma into enokukhokelela ekubeni uthathwe amanyathelo asemthethweni? Cinga ngemeko apho umongikazi, nangasiphi na isizathu, ebesandula ukujonga iifoto zamayeza ahlukeneyo kwaye sele eza kunikela iyeza. Mhlawumbi kukho into esalibeleyo kwinkumbulo yakhe, yaye ugqiba kwelokuba asiyondlela amayeza athile akhangeleka ngayo. Wathi akujongisisa, wafumanisa ukuba amayeza angachanekanga esetyenziswe. Emva kokujonga onke amaphepha, ulungisa impazamo aze anike isigulane umyalelo ofanelekileyo. Ngaba kunokwenzeka ukuphepha impazamo kwixesha elizayo ukuba irekhodi yolawulo ibandakanya iifoto zamayeza afanelekileyo? Kulula ukulibala ukuba kukho impazamo kunye nethuba lokwenzakala. Loo nyaniso ihlala iyinyani nokuba sibe nethamsanqa ngokwaneleyo lokuyifumana kwangethuba okanye sibandezeleke zizo naziphi na iziphumo ezibi.
Iimpazamo zeZiphumo kunye neNkqubo
Sidinga idatha epheleleyo ukuphuhlisa izisombululo eziphucula ukhuseleko lwesigulane kunye nokunciphisa iimpazamo zonyango. Ubuncinci, xa isigulane sikwiziko lonyango, yonke into enokuyenza ukukhusela ingozi kwaye ibabeke engozini kufuneka ixelwe. Oogqirha abaninzi baye banquma ukuba ukusebenzisa amabinzana amaphutha kunye neziganeko ezibi kwakubanzi kwaye zifanelekile emva kokuphonononga iimpazamo kunye neziganeko ezimbi kukhathalelo lwempilo kunye nokuxoxa ngamandla abo kunye nobuthathaka babo kwi-2003. Le nkcazo edibeneyo iya kwandisa ukuqokelela idatha, kubandakanywa iimpazamo, iifowuni ezisondeleyo, kufuphi. uyakhumbula, kwaye iimpazamo ezisebenzayo nezifihlakeleyo. Ukongeza, igama elithi iziganeko ezibi libandakanya amagama adla ngokuthetha ukwenzakala kwesigulane, njengokwenzakala kwezonyango kunye nokwenzakala kwe-iatrogenic. Into eseleyo kukumisela ukuba ibhodi yokuphonononga ibhodi efanelekileyo yokusingatha ukuhlukana kwezinto ezinokuthi zithintelwe kwaye zingathintekiyo.
Isiganeko somlindi sisiganeko apho kufuneka ingxelo kwiKomishoni edibeneyo. IKomishoni eHlangeneyo ithi isiganeko somlindi sisehlo esingalindelekanga esibandakanya ukwenzakala okumandundu emzimbeni okanye ngokwasengqondweni. ( "Iziganeko zeSentinel," 2004, p.35 ) Akukho lukhetho, njengoko kufuneka lubhalwe. Uninzi lwezibonelelo zempilo, nangona kunjalo, ziyazigcina iirekhodi zazo ezichaza izehlo zabalindi kunye nokuba benze ntoni xa umntu eqinisekisa ukuba imigangatho yeKomishoni eHlangeneyo iyafezekiswa. Le yenye yeemeko xa kungcono ukuba ukhuseleke kunokuba uxolo. Ekubeni igama elithi “serious” lisisinxulumanisi, kusenokubakho ukungqubana okuthile xa ukhusela umntu osebenza naye okanye umqeshi. Kwelinye icala, ukunika ingxelo ngesiganeko somlindi ngempazamo kungcono kunokusilela ukuchaza isiganeko somlindi. Ukungaphumeleli ukuxela kunokuba nemiphumo emibi, kuquka ukupheliswa komsebenzi.
Xa kuqwalaselwa iimpazamo zonyango, abantu bahlala besenza impazamo yokugxila kwiimpazamo ezichazwe ngugqirha. Iimpazamo zamayeza ngokungathandabuzekiyo zixhaphakile kwaye zibandakanya iimpazamo ezininzi zenkqubo njengezinye iimpazamo zonyango. Ukuqhawuka konxibelelwano, iimpazamo ezenziweyo ngexesha lommiselo okanye ukuhanjiswa, kunye nezinye izinto ezininzi zinokwenzeka. Kodwa besiya kuba siwujonga kakubi umcimbi ukuba sicinga ukuba iimpazamo zeziyobisi kuphela konobangela wokwenzakala kwisigulana. Olunye ucelomngeni olukhulu ekuhleleni iimpazamo zonyango ezahlukeneyo kukugqiba ukuba ngaba impazamo ihlelwa ngokwenkqubo ebandakanyekayo okanye isiphumo. Kwamkelekile ukuphonononga olo kuhlelwa apha, xa kujongwe iinzame ezininzi ezenziweyo ukuphuhlisa iinkcazo zokusebenza ezibandakanya zombini inkqubo kunye nesiphumo, uninzi lwazo lusekwe kumsebenzi kaLucian Leape osuka kwiminyaka yoo-1990.
Phucula Indlela Yakho Yokuphila Namhlanje- Ividiyo
VIDEO
Ukuhlalutya kunye nokuThintelwa kweempazamo zezoNyango
I-Operative kunye ne-nonoperative yayizezona ndidi zimbini eziphambili zeziganeko ezimbi ezahlulwa nguLeape kunye noogxa bakhe kolu phononongo. ( Leape et al., 1991 ) Iingxaki zotyando zibandakanya ukosuleleka kwamanxeba, ukusilela kotyando, imiba engeyiyo eyobugcisa, iingxaki emva kwexesha, kunye nobunzima bobugcisa. I-nonoperative: izihloko ezifana neyeza-amayeza, ukuxilonga, ukuphathwa kakubi, inkqubo-enxulumene nenkqubo, ukuwa, i-fracture, i-postpartum, i-anesthesia-related, i-neonatal, kunye ne-catch-all-heading of the system yabandakanywa phantsi kolu luhlu lweziganeko ezimbi. ULeape uphinde wahlela iimpazamo ngokubonisa indawo yokwahlulwa kwenkqubo. Ukwahlule ezi zibe zizihloko ezintlanu, ezibandakanya:
isixokelelwano ukwenza Unyango lweziyobisi sokuxilonga Uthintelo
Iimpazamo ezininzi zenkqubo ziwela phantsi kwesihloko esingaphezulu kwesinye, kodwa zonke ziyanceda ukukhomba eyona nobangela womba. Ukuba ngaphezu kogqirha omnye wayebandakanyekile ekunqumeni iindawo ezichanekileyo ezifuna ukuphuculwa, ngoko ke imibuzo eyongezelelweyo ingafuneka.
Ngokobuchwephesha, impazamo yezonyango inokwenziwa nguye nawuphi na umsebenzi esibhedlele. Ayiphelelanga kwiingcali zonyango ezifana noogqirha kunye nabongikazi. Umlawuli usenokuvula ucango, okanye umntu ococayo unokushiya imichiza apho umntwana enokuyibamba. Eyona nto ibalulekileyo ngaphezu kokwaziwa umenzi wempazamo sisizathu esisemva kwayo. Yintoni phambi kwayo? Yaye sinokuqiniseka njani ukuba loo nto ayiphindi yenzeke? Emva kokuqokelela zonke iinkcukacha ezingentla kunye nokunye okuninzi, lixesha lokufumana indlela yokuthintela iimpazamo ezifanayo. Ngokubhekiselele kwiziganeko zabalindi, iKomishoni eHlangeneyo iye yagunyazisa ukususela ngo-1997 ukuba zonke ezi ziganeko zenzeke kwinkqubo ebizwa ngokuba yi-Root Cause Analysis (RCA). Nangona kunjalo, ukusebenzisa le nkqubo kwiziganeko ezifuna ukuxelwa kumaqela angaphandle kuya kufuneka zilungiswe.
Yintoni Uhlalutyo Lonobangela?
Ii-RCA "zibambe iinkcukacha kunye nembono yomfanekiso omkhulu." Benza iinkqubo zokuvavanya lula, ukuhlalutya ukuba isenzo solungiso siyimfuneko, kunye neendlela zokulandelela. ( Williams, ngo-2001 ) Yintoni kanye kanye i-RCA, nangona kunjalo? Ngokuphonononga iziganeko ezikhokelela kwimpazamo, i-RCA inokugxila kwiziganeko kunye neenkqubo kunokuba ihlolisise okanye ibeke ityala kubantu abathile. ( I-AHRQ, ngo-2017 ) Yiloo nto ibaluleke kangaka. I-RCA ihlala isebenzisa isixhobo esibizwa ngokuba zii-Five Whys. Le yinkqubo yokusoloko uzibuza ukuba “kutheni” emva kokuba ukholelwa ukuba umisele unobangela womcimbi.
Isizathu sokuba kubizwe ngokuba “zintlanu kutheni” kungenxa yokuba, ngelixa isihlanu sisisiqalo esihle, kufuneka usoloko uzibuza ukuba kutheni ude uchonge oyena nobangela wengxaki. Ukubuza ukuba kutheni ngokuphindaphindiweyo kunokutyhila iimpazamo ezininzi zenkqubo kumanqanaba ahlukeneyo, kodwa kufuneka uqhubeke ubuza ukuba kutheni malunga nomba ngamnye womba de uphelelwe ezinye izinto ezinokuhlengahlengiswa ukuze unike isiphumo esinqwenelekayo. Nangona kunjalo, izixhobo ezahlukeneyo ngaphandle kwesi zinokusetyenziswa kuphando lwesizathu. Baninzi abanye abakhoyo. Ii-RCA kufuneka zibe zizinto ezininzi kwaye zingaguquguquki kwaye zibandakanye onke amaqela abandakanyekayo kwimpazamo ukuphepha ukungaqondani okanye ukuxelwa okungachanekanga kwezehlo.
isiphelo
Iimpazamo zonyango kumaziko okhathalelo lwempilo ziyenzeka rhoqo kwaye uninzi lweziganeko ezingaxelwanga ezibeka esichengeni impilo yezigulana. Bafikelela kwikota yesigidi abantu ekucingelwa ukuba bayafa nyaka ngamnye ngenxa yeengxaki zempilo. Ezi nkcukacha-manani azamkelekanga kwixesha apho ukhuseleko lwesigulane lucingelwa ukuba lubaluleke kakhulu, kodwa akukho nto ingako eyenziwayo ukuguqula izenzo. Ukuba iimpazamo zonyango zichazwe ngokuchanekileyo kwaye unobangela wengxaki ufunyenwe ngaphandle kokubeka ityala kubasebenzi abathile, oku akuyomfuneko. Utshintsho olubalulekileyo lunokwenziwa xa oonobangela abasisiseko benkqubo okanye iziphene zenkqubo zichongwe ngokuchanekileyo. Indlela engaguqukiyo, yeendlela ezininzi zokuhlalutya unobangela osebenzisa izikhokelo ezifana nezintlanu zokuba kutheni ukuhlalutya de yonke imiba kunye neziphene zityhilwe sisixhobo esiluncedo. Nangona ngoku kuyimfuneko ngenxa yeziganeko zomlindi, uHlalutyo lweMbangela yeNgcambu lunokuthi kwaye lusetyenziswe kuzo zonke izizathu eziphosakeleyo, kubandakanywa nokuphosa okukufutshane.
Ucaphulo
I-Arhente yoPhando lwezeMpilo kunye noMgangatho. (2016). Uhlalutyo lweMbangela. Ibuyiswe ngoMatshi 20, 2017, ukusuka psnet.ahrq.gov/primer/root-cause-analysis
Grober, ED, & Bohnen, JM (2005). Ukuchaza impazamo yezonyango. Ngaba uJ Surg , 48 (1), 39-44. www.ncbi.nlm.nih.gov/pubmed/15757035
Kohn, LT, Corrigan, J., Donaldson, MS, & Institute of Medicine (US). IKomiti yoMgangatho wezeMpilo eMelika. (2000). Ukwenza impazamo ngumntu : ukwakha inkqubo yezempilo ekhuselekileyo . National Academy Press. books.nap.edu/books/0309068371/html/index.html
Leape, LL, Brennan, TA, Laird, N., Lawthers, AG, Localio, AR, Barnes, BA, Hebert, L., Newhouse, JP, Weiler, PC, & Hiatt, H. (1991). Ubume beziganeko ezimbi kwizigulane ezibhedlele. Iziphumo ze-Harvard Medical Practice Study II. N Engl J Med , 324 (6), 377-384. doi.org/10.1056/NEJM199102073240605
Lippincott ® NursingCenter ® . NursingCenter. (2004). www.nursingcenter.com/pdfjournal?AID=531210&an=00152193-200411000-00038&Journal_ID=54016&Issue_ID=531132
Martinez, W., Lehmann, LS, Hu, YY, Desai, SP, & Shapiro, J. (2017). Iinkqubo zokuChonga kunye nokuPhonononga iZiganeko eziNgcono kunye neeNdlela eziNgcolileyo kwiZiko lezoNyango lezeMfundo. Jt Comm J Qual Isigulana Saf , 43 (1), 5-15. doi.org/10.1016/j.jcjq.2016.11.001
Uthungelwano loKhuseleko lweSigulana. (2016). Iziganeko ezingathandekiyo, kufutshane neempazamo, kunye neempazamo. Ibuyiswe ngoMatshi 20, 2017, ukusuka psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors
Williams, PM (2001). Iindlela zokuhlalutya unobangela. Proc (Bayl Univ Med Cent) , 14 (2), 154-157. doi.org/10.1080/08998280.2001.11927753
isikhanyeli
by UGqr Alex Jimenez Chiropractic , Ubuhlungu obungapheliyo , Ukulimala koluhlu , Ukuhamba kunye nokuguquguquka , Ucoceko loMgcini , Uncedo Lwezityalo , Unyango , I-Viscerosomatic Reflex
Ngaba abantu abane-Ehlers-Danlos syndrome banokufumana isiqabu ngonyango olwahlukeneyo olungaqhaqho ukunciphisa ukungazinzi kwamalungu?
intshayelelo
Amalungu kunye nemigqa ejikeleze inkqubo ye-musculoskeletal ivumela ukuba iindawo eziphezulu kunye nezisezantsi zizinze umzimba kwaye zihambe. Izihlunu ezahlukeneyo kunye nezihlunu ezithambileyo ezijikeleze amalunga zinceda ukubakhusela kukwenzakala. Xa iimeko zokusingqongileyo okanye ukuphazamiseka kuqala ukuchaphazela umzimba, abantu abaninzi bavelisa imiba ebangela ukuba iiprofayili zomngcipheko zigqithise, ezichaphazela ukuzinza kwamalungu. Enye yeengxaki ezichaphazela amalunga kunye nezicubu ezidibeneyo yi-EDS okanye i-Ehlers-Danlos syndrome. Oku kuphazamiseka kwezicubu ezidibeneyo kunokubangela ukuba amalungu omzimba abe yi-hypermobile. Inokubangela ukungazinzi ngokubambisana kwiindawo eziphezulu kunye nezantsi, ngaloo ndlela ishiya umntu ukuba abe nentlungu eqhubekayo. Inqaku lanamhlanje ligxile kwi-Ehlers-Danlos syndrome kunye neempawu zayo kunye nokuba kukho iindlela ezingezizo utyando zokulawula le ngxaki. Sixoxa nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya indlela i-Ehlers-Danlos syndrome enokuthi ihambelane ngayo nezinye izifo ze-musculoskeletal disorders. Siyazisa kwaye sikhokela izigulane malunga nendlela ezahlukeneyo zonyango ezingasebenzisi utyando zinokunceda ukunciphisa iimpawu ezinjengeentlungu kunye nokulawula i-Ehlers-Danlos syndrome. Kwakhona sikhuthaza izigulane zethu ukuba zibuze ababoneleli babo bezonyango abanxulumene nabo imibuzo emininzi enzima kunye ebalulekileyo malunga nokubandakanya iindlela ezahlukeneyo zonyango ezingezona utyando njengenxalenye yendlela yabo yemihla ngemihla yokulawula imiphumo ye-Ehlers-Danlos syndrome. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli .
Yintoni i-Ehlers-Danlos Syndrome?
Ngaba uhlala uziva udinwe kakhulu imini yonke, nasemva kokulala ubusuku bonke? Ngaba ugruzuka ngokulula kwaye uyazibuza ukuba le mivumbo ivela phi? Okanye ngaba uye waqaphela ukuba unoluhlu olwandisiweyo kumalungu akho? Uninzi lwale miba luhlala lunxulunyaniswa nengxaki eyaziwa ngokuba yi-Ehlers-Danlos syndrome okanye i-EDS echaphazela amalungu abo kunye nezicubu ezixhumeneyo. I-EDS ichaphazela izicubu ezidibeneyo emzimbeni. Izicubu ezidibeneyo emzimbeni zinceda ukunika amandla kunye nokuqina kwesikhumba, amalunga, kunye neendonga zemithambo yegazi, ngoko ke xa umntu ejongene ne-EDS, kunokubangela ukuphazamiseka okukhulu kwinkqubo ye-musculoskeletal. I-EDS ixilongwa kakhulu kwiklinikhi, kwaye oogqirha abaninzi baye bafumanisa ukuba i-gene coding ye-collagen kunye neeprotheyini ezisebenzisanayo emzimbeni zinokukunceda ukuba luhlobo luni lwe-EDS oluchaphazela umntu. ( UMiklovic & Sieg, 2024 )
Iimpawu
Xa uqonda i-EDS, kubalulekile ukwazi izinto ezintsonkothileyo zesi sifo soxhulumaniso. I-EDS ihlelwa ngokweendidi ezininzi ezineempawu ezahlukileyo kunye nemingeni eyahluka ngokuxhomekeke kubunzima. Enye yeentlobo eziqhelekileyo ze-EDS yi-hypermobile Ehlers-Danlos syndrome. Olu hlobo lwe-EDS lubonakaliswa yi-hypermobility ngokubanzi, ukungazinzi kwamalungu, kunye neentlungu. Ezinye zeempawu ezinxulumene ne-hypermobile EDS zibandakanya i-subluxation, i-dislocation, kunye nokulimala kwezicubu ezithambileyo eziqhelekileyo kwaye zinokuthi zenzeke ngokuzenzekelayo okanye ngomothuko omncinci. ( Hakim, ngo-1993 ) Oku kunokubangela iintlungu ezibuhlungu kwiindawo eziphezulu kunye nezisezantsi. Ngoluhlu lwayo olubanzi lweempawu kunye nobuntu bemeko ngokwayo, abaninzi bahlala bengayiqondi ukuba i-hypermobility edibeneyo ixhaphake kuluntu ngokubanzi kwaye ingabonakali naziphi na iingxaki ezibonisa ukuba yi-disorder tissue disorder. ( Gensemer et al., 2021 ) Ukongezelela, i-EDS ye-hypermobile inokukhokelela ekukhubazekeni komgogodla ngenxa ye-hyperextensibility yolusu, amalunga, kunye ne-fragility eyahlukeneyo yezicubu. I-pathophysiology ye-spinal deformity ehambelana ne-hypermobile EDS ngokuyinhloko ngenxa ye-hypotonia ye-muscle kunye ne-ligament laxity. ( Uehara et al., 2023 ) Oku kubangela ukuba abantu abaninzi banciphise umgangatho wobomi babo kunye nemisebenzi yemihla ngemihla kakhulu. Nangona kunjalo, kukho iindlela zokulawula i-EDS kunye neempawu zayo ezihambelanayo zokunciphisa ukungazinzi ngokubambisana.
Iyeza lokuhamba: Ukhathalelo lweChiropractic-Ividiyo
VIDEO
Iindlela zokulawula i-EDS
Xa kuziwa ekufuneni iindlela zokulawula i-EDS ukunciphisa intlungu kunye nokungazinzi kwamalungu, unyango olungenalo utyando lunokunceda ukujongana nemiba yenyama kunye nemvakalelo yesimo. Unyango olungalulo utyando lwabantu abane-EDS ludla ngokujolisa ekwandiseni umsebenzi womzimba womzimba ngelixa uphucula amandla emisipha kunye nokuzinza kwamalungu. ( Buryk-Iggers et al., 2022 ) Abantu abaninzi abane-EDS baya kuzama ukubandakanya iindlela zokulawula iintlungu kunye nonyango lomzimba kunye sebenzisa i-braces kunye nezixhobo zokuncedisa ukunciphisa imiphumo ye-EDS kunye nokuphucula umgangatho wobomi babo.
Non-utyando unyango EDS
Iindlela ezahlukeneyo zonyango ezingezizo utyando ezifana ne-MET (inkqubo yamandla emisipha), unyango lwe-electrotherapy, unyango olulula lomzimba, ukhathalelo lwe-chiropractic, kunye ne-massage. inokunceda ukomeleza ngelixa i-toning imisipha ejikelezileyo ngeenxa zonke kumalungu, unikeze isiqabu ngokwaneleyo seentlungu, kwaye unciphise ukuxhomekeka kwexesha elide kumayeza. ( Broida et al., 2021 ) Ukongezelela, abantu abajongene ne-EDS bajolise ekuqiniseni imisipha echaphazelekayo, ukuzinzisa amajoyina, kunye nokuphucula ukufaneleka. Unyango olungenalo utyando luvumela umntu ukuba abe nesicwangciso sonyango esilungiselelwe ubunzima beempawu ze-EDS kunye nokunceda ukunciphisa intlungu ehambelana nemeko. Abantu abaninzi, xa besenza isicwangciso sabo sonyango ngokulandelelanayo ukulawula i-EDS yabo kunye nokunciphisa iimpawu ezinjengeentlungu, baya kuqaphela ukuphucuka kweempawu ezingathandekiyo. ( Khokhar et al., 2023 ) Oku kuthetha ukuba unyango olungasebenzisi utyando luvumela abantu ukuba bacinge ngakumbi ngemizimba yabo kwaye banciphise iziphumo ezinjengeentlungu ze-EDS, ngaloo ndlela bevumela abantu abaninzi abane-EDS ukuba baphile ubomi obugcweleyo, obutofotofo ngaphandle kokuziva iintlungu kunye nokungakhululeki.
Ucaphulo
Broida, SE, Sweeney, AP, Gottschalk, MB, & Wagner, ER (2021). Ukulawulwa kokungazinzi kwamagxa kwi-hypermobility-type Ehlers-Danlos syndrome. JSES Rev Rep Tech , 1 (3), 155-164. doi.org/10.1016/j.xrrt.2021.03.002
Buryk-Iggers, S., Mittal, N., Santa Mina, D., Adams, SC, Englesakis, M., Rachinsky, M., Lopez-Hernandez, L., Hussey, L., McGillis, L., McLean , L., Laflamme, C., Rozenberg, D., & Clarke, H. (2022). Ukuzivocavoca kunye nokuvuselelwa kwabantu abane-Ehlers-Danlos Syndrome: Ukuphononongwa okuCwangcisiweyo. IArch Rehabil Res Clin Transl , 4 (2), 100189. doi.org/10.1016/j.arrt.2022.100189
Gensemer, C., Burks, R., Kautz, S., Judge, DP, Lavallee, M., & Norris, RA (2021). I-Hypermobile Ehlers-Danlos syndromes: Ii-phenotypes eziyinkimbinkimbi, ukuxilongwa ngumngeni, kunye nezizathu ezingaqondakaliyo. Dev Dyn , 250 (3), 318-344. doi.org/10.1002/dvdy.220
Hakim, A. (1993). Hypermobile Ehlers-Danlos Syndrome. KwiMP uAdam, uJ. Feldman, GM Mirzaa, RA Pagon, SE Wallace, LJH Bean, KW Gripp, & A. Amemiya (Eds.), GeneReviews((R)) . www.ncbi.nlm.nih.gov/pubmed/20301456
Khokhar, D., Amandla, B., Yamani, M., & Edwards, MA (2023). IiNzuzo ze-Osteopathic Manipulative Treatment kwisigulane esine-Ehlers-Danlos Syndrome. Cureus , 15 (5), e38698. doi.org/10.7759/cureus.38698
Miklovic, T., & Sieg, VC (2024). Ehlers-Danlos Syndrome. Kwi StatPearls . www.ncbi.nlm.nih.gov/pubmed/31747221
Uehara, M., Takahashi, J., & Kosho, T. (2023). I-Spinal Deformity kwi-Ehlers-Danlos Syndrome: Gxininisa kwi-Musculocontractural Type. Imfuza (Basel) , 14 (6). doi.org/10.3390/genes14061173
isikhanyeli
