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Ubuhlungu obungapheliyo

IQela leKlinikhi eNgenasiphelo eNgenentlungu yokuBuya. Iintlungu ezibuhlungu ezingapheliyo zinefuthe elide kwiinkqubo ezininzi ze-physiological. UDkt Jimenez utyhila izihloko kunye nemiba echaphazela izigulane zakhe. Ukuqonda intlungu kubalulekile kunyango lwayo. Ke apha siqala inkqubo yezigulane zethu kuhambo lokubuyisela.

Kuthe phantse wonke umntu uziva intlungu ngexesha elide. Xa usika umnwe okanye udonsa isisu, intlungu yindlela yomzimba wakho yokuxelela into engalunganga. Emva kokulimala, uyayeka ukulimaza.

Ubuhlungu obungapheliyo buhluke. Umzimba wakho uqhubeka ulimaza iiveki, iinyanga, okanye kwiminyaka emva kokulimala. Oogqirha bahlala bechaza intlungu engapheliyo njengoko kukho intlungu ehlala kwi3 kwiinyanga ze-6 okanye ngaphezulu.

Iintlungu ezibuhlungu ezingapheliyo zinokuba nemiphumo yokwenyani kubomi bakho bemihla ngemihla kunye nempilo yakho yengqondo. Kodwa wena nogqirha wakho ningasebenzisana ukunyanga.

Nceda usincede ukuba sikuncede. Siyayiqonda ingxaki engafanele ithathwe ngokulula.


Ukukhupha umdibaniso phakathi kwe-Electroacupuncture kunye ne-Sciatica Pain

Ukukhupha umdibaniso phakathi kwe-Electroacupuncture kunye ne-Sciatica Pain

Ngaba iimpembelelo ze-electroacupuncture zinganciphisa i-sciatica kubantu abajongene neentlungu ezisezantsi ukubuyisela ukuhamba kwabo?

intshayelelo

Xa abantu abaninzi beqala ukusebenzisa ngokugqithiseleyo izihlunu zabo kwii-quadrants ezisezantsi, kunokukhokelela kwimibandela emininzi ebangela intlungu kunye nokungahambi kakuhle. Enye yeengxaki eziqhelekileyo zentlungu kwi-quadrants ephantsi ye-musculoskeletal system yi-sciatica, ehambelana neentlungu ezisezantsi. Le duo yeentlungu inokuchaphazela inkqubo yomntu yemihla ngemihla kwaye ibakhokelele kwiintlungu kunye nokungakhululeki. Le meko ye-musculoskeletal ixhaphakile, kwaye xa ichaphazela enye yemilenze kunye nomqolo ophantsi, abantu abaninzi bathi yintlungu edubulayo ekhuphayo engapheli ixesha elide. Ngethamsanqa, kukho unyango olufana ne-electroacupuncture ukunciphisa i-sciatica ehambelana neentlungu ezisezantsi. Inqaku lanamhlanje lijonga uxhulumaniso lwe-sciatica-low-back, indlela i-electroacupuncture inciphisa ngayo uxhulumaniso lwentlungu, kunye nendlela i-electroacupuncture inokubuyisela ngayo ukuhamba komntu. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya indlela yokunciphisa i-sciatica-low-back connection kunye ne-electroacupuncture. Siyazisa kwaye sikhokela izigulane malunga nendlela unyango lwe-electroacupuncture olunokudibaniswa ngayo kunye nolunye unyango ukubuyisela ukuhamba emzimbeni. Sikhuthaza izigulane zethu ukuba zibuze ababoneleli babo bezonyango abahambelanayo nemibuzo ebalulekileyo malunga nokubandakanya unyango lwe-electroacupuncture njengenxalenye yendlela yabo yokunciphisa i-sciatica ehambelana neentlungu ezisezantsi. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli.

 

I-Sciatica kunye ne-Low Back Connection

Ngaba uziva iintlungu zemisipha okanye iintlungu kumqolo ongaphantsi okanye emilenzeni yakho? Ngaba ufumana iintlungu ezikhanyayo, ezibethayo emilenzeni yakho echaphazela amandla akho okuhamba? Okanye ngaba uye waphawula ukuba imilenze yakho kunye nomqolo osezantsi uqaqamba ngakumbi xa uphethe into enzima? Uninzi lwezi meko zidibene ne-sciatica, ehambelana neentlungu ezisezantsi. Ngoku, i-sciatica ihlala ibonakaliswe ngeentlungu ezibuhlungu ezihamba kunye ne-nerve ye-sciatic ukusuka kummandla osezantsi, ukuphazamisa umgangatho wobomi bomntu. Kwinkqubo ye-musculoskeletal, i-nerve ye-sciatic idlala indima ebalulekileyo ngokubonelela nge-motor function kwimilenze. (Davis et al., 2024) Ngoku, xa i-nerve ye-sciatic, indawo ye-lumbar nayo inendima ebalulekileyo. Ummandla we-lumbar kwingingqi ye-musculoskeletal nayo inendima ebalulekileyo ekuboneleleni ngenkxaso, amandla, kunye nokuguquguquka komzimba. Nangona kunjalo, zombini i-nerve ye-sciatic kunye ne-lumbar spinal region ixhomekeke ngakumbi kuxinzelelo kunye nokulimala ngenxa yokulimala okubuhlungu kunye nezinto ezisingqongileyo ezinokuchaphazela i-lumbar spinal discs kunye ne-nerve ye-sciatic.

 

 

Ukuphindaphinda okuphindaphindiweyo, ukukhuluphala, ukunyuswa okungafanelekanga, imiba ephazamisayo yomgogodla, kunye neemeko ze-musculoskelet yizizathu ezimbalwa kunye nezinto ezinobungozi ezibangela ukuphuhliswa kwe-sciatica ehambelana nomqolo ongaphantsi. Oko kwenzekayo ekugqibeleni kukuba umxholo wamanzi kunye nokulahleka okuqhubekayo kweproteoglycans ye-spinal discs idiliza phakathi kwe-vertebrae kwaye ikhuphe ngaphandle ukuze icinezele i-nerve ye-sciatic, enokuthi icaphuke kwaye ibangele ubuhlungu obugqithisiweyo emilenzeni kunye nomqolo ophantsi. . (Zhou et al., 2021Ukudibanisa kwe-sciatica kunye neentlungu ezisezantsi zingaba ngumcimbi wentlalo-qoqosho ngokuxhomekeke kubunzima beentlungu ezibangelwa yi-nerve ye-sciatic kwaye zingenza abantu baphoswe kuyo nayiphi na imisebenzi abayithathayo.Siddiq et al., 2020Nangona iimpawu ze-sciatica ezifana neentlungu zihlala zihambelana nommandla we-lumbar, abantu abaninzi banokufumana ukukhululeka abakufunayo ngonyango olwahlukeneyo.

 


Iimbangela zeSciatica-Ividiyo


I-Electroacupuncture Ukunciphisa i-Sciatica-Low Back Connection

Xa kufikwa ekunciphiseni unxibelelwano lwe-sciatic-low-back, abantu abaninzi bafuna unyango olufikelelekayo kwaye olusebenzayo ekwehliseni imiba efana neentlungu. Unyango olungaphangeliyo olufana ne-electroacupuncture lunokuba luncedo kubantu abaninzi abafumana iintlungu ze-sciatica ezinxulumene nomqolo ongezantsi. I-Electroacupuncture lolunye uhlobo lonyango lwesintu lwe-acupuncture olusuka e-China. Ii-acupuncturists eziqeqeshwe kakhulu zilandela imigaqo efanayo ye-acupuncture ngokubeka iinaliti eziqinileyo eziqinileyo kwii-acupoints ezahlukeneyo emzimbeni ukubuyisela i-qui okanye i-chi (ukuhamba kwamandla). I-Electroacupuncture idibanisa iinaliti kunye ne-electrostimulation ukunciphisa iindlela zokulawula intlungu ephakathi ezibangela iintlungu ezisezantsi kunye ne-sciatica ngokuthintela iimpawu zentlungu kunye nokubonelela intlungu. (Kong, 2020) Ngelo xesha, i-electroacupuncture inikeza iipropati ze-analgesic ukuvuselela i-endorphins kunye nokunciphisa amayeza eentlungu kwiintlungu ezisezantsi ngokukhuselekileyo. (Sung et al., 2021)

 

 

Electroacupuncture Ukubuyisela Ukuhamba

Xa iziphelo ezisezantsi zifumana ukuhamba okulinganiselweyo ngenxa ye-sciatica ehambelana neentlungu ezisezantsi, i-electroacupuncture inokunceda ukukhulula izihlunu ezenza i-nerve ye-sciatic ibe nzima kwaye incedise ekuphuculeni ukuhamba kwegazi kwimisipha ye-lumbar. Kungenxa yokuba i-electroacupuncture inokuvuselela imimandla ethile yomzimba ukunciphisa i-somato-vagal-adrenal reflexes ukukhulula kunye nokubuyisela ukuhamba kwiindawo ezisezantsi. (Liu et al., 2021) Ukongezelela, i-electroacupuncture inokudibaniswa kunye nezinye iindlela zonyango ezingezona utyando ukunceda ukuqinisa i-core kunye ne-back back muscles, ukuvumela abantu ukuba bakhumbule ukuba zeziphi izinto ezibangela i-sciatica kunye neentlungu ezisezantsi. Ngokwenza oku, abantu abaninzi abalwa ne-sciatica ehambelana neentlungu ezisezantsi zingabandakanya i-electroacupuncture njengenxalenye yenkqubo yabo yonyango edibeneyo kunye neendlela ezipheleleyo zokuphucula umgangatho wobomi kunye nokubonelela indlela yokuphucula ukuhamba kwabo. 

 


Ucaphulo

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

Kong, JT (2020). I-Electroacupuncture yokuNyanga iiNzululwazi eziNgaphantsi eziNgapheliyo: Iziphumo zoPhando lwangaphambili. Med Acupunct, 32(6), 396-397. doi.org/10.1089/acu.2020.1495

Liu, S., Wang, Z., Su, Y., Qi, L., Yang, W., Fu, M., Jing, X., Wang, Y., & Ma, Q. (2021). Isiseko se-neuroanatomical se-electroacupuncture ukuqhuba i-vagal-adrenal axis. indalo, 598(7882), 641-645. doi.org/10.1038/s41586-021-04001-4

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

Sung, WS, Park, JR, Park, K., Youn, I., Yeum, HW, Kim, S., Choi, J., Cho, Y., Hong, Y., Park, Y., Kim, EJ , & Nam, D. (2021). Ukusebenza kunye nokhuseleko lwe-electroacupuncture kwiintlungu ezingapheliyo ezingapheliyo ezingapheliyo: iprotocol yokuhlolwa okucwangcisiweyo kunye / okanye uhlalutyo lwe-meta. Iyeza (Baltimore), 100(4), e24281. doi.org/10.1097/MD.0000000000024281

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

IiNzuzo ze-Electroacupuncture kwi-Musculoskeletal System

IiNzuzo ze-Electroacupuncture kwi-Musculoskeletal System

Ngaba abantu abajongene neentlungu ezahlukeneyo ze-musculoskeletal bangabandakanya izibonelelo ezilungileyo ze-electroacupuncture ukubuyisela ukusebenza?

intshayelelo

Njengoko ihlabathi litshintsha kwaye abantu abaninzi bazama ukwenza utshintsho oluncinci kwimpilo yabo nakwintlalontle yabo, abayi kuva zintlungu okanye ukuphazamiseka. Unyango oluninzi lunceda abantu abaninzi abajongene neentlungu ezahlukeneyo ze-musculoskeletal ezinxulumene nezinto zokusingqongileyo. Umzimba womntu unamaqela amaninzi emisipha kwiindawo eziphezulu kunye nezisezantsi zomzimba ezikhusela isakhiwo somgogodla kunye nezitho ezibalulekileyo. Xa izinto zokusingqongileyo zihambelana neentlungu kunye nokungonwabi, zinokuchaphazela kakhulu inkqubo yomntu yemihla ngemihla. Kwangaxeshanye, iintlungu ze-musculoskelet zingakhokelela kwiimpawu ezinjengeentlungu ezithunyelwa ngabantu abaninzi abafumana iintlungu kwiindawo ezimbini ezahlukeneyo zomzimba. Nangona kunjalo, xa iintlungu zinganyamezeleki, abaninzi baya kufuna iindlela ezahlukeneyo zonyango ukuze banganciphisi nje intlungu kodwa babuyisele ukusebenza komzimba. Inqaku lanamhlanje lijonga izinto ezininzi zeentlungu ze-musculoskeletal, unyango olufana ne-electroacupuncture enciphisa intlungu ye-musculoskeletal, kunye neenzuzo ze-electroacupuncture. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya indlela izinto ezahlukeneyo ezinokubangela ngayo intlungu ye-musculoskeletal emzimbeni. Siyazisa kwaye sikhokela izigulane malunga nendlela unyango lwe-electroacupuncture lunokunceda ngayo ukunciphisa iintlungu zentlungu ye-musculoskeletal kunye nokunceda ukuphucula ukusebenza komzimba. Sikhuthaza izigulane zethu ukuba zibuze ababoneleli babo bezonyango abahambelanayo nemibuzo ebalulekileyo malunga nendlela yokunciphisa impembelelo yeentlungu ze-musculoskeletal. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli.

Izinto ezahlukeneyo ezihambelana neentlungu ze-Musculoskeletal

Ngaba uye wajongana neendawo zezikhalazo ngaphakathi kwentamo yakho, amahlombe, okanye umva emva kosuku olude? Ngaba uziva unesithukuthezi okanye ubetha kwiindawo zakho eziphezulu kunye nezisezantsi? Okanye ngaba uye wafumana iintlungu zemisipha kunye namalungu okwenza kube nzima ukwenza imisebenzi yakho yemihla ngemihla? Xa kuziwa kubantu abaninzi abafumana iintlungu ze-musculoskeletal emizimbeni yabo banokudambisa imini yabo ngenxa yobuninzi bentlungu abakuyo. (Caneiro et al., 2021Intlungu ye-musculoskeletal inokuba yinto engapheliyo okanye enzima ngokuxhomekeke kwizinto eziphilayo okanye ukulimala okubuhlungu okwenzekayo emzimbeni kwaye kunokuchaphazela kuphela izihlunu kodwa kunye namathambo, iigaments, i-tendon kunye neengcambu ze-nerve ezibonelela ngemisebenzi ye-sensory-motor eyenza umzimba. mobile. 

 

 

Ezinye izinto zokusingqongileyo ezinegalelo ekuphuhlisweni kweentlungu ze-musculoskelet ziquka:

  • Ukuhlala/ukuma ngokugqithisileyo
  • Izahlulo
  • Ukunyanzeliswa okubi
  • Ukususwa ngokudibeneyo
  • istres
  • ukutyeba
  • Ukunyuswa kwakhona

Ukongezelela, abantu abaninzi abajongene neentlungu ze-musculoskelet banokuba yingxaki xa intlungu kunye nezifo ezingapheliyo zinokuthi zibekwe ngaphambili, ezibangela ukuba abantu abaninzi bajongane ne-comorbidities, ngaloo ndlela bandise amathuba abo okuba ngumcimbi. (Dzakpasu et al., 2021) Ngaphezu koko, xa abantu bejongene nentlungu ye-musculoskeletal, inokuhluka ukusuka kumntu ukuya kumntu kwaye ingaba nefuthe elikhulu elibi kwimpilo yabo yengqondo. (Welsh et al., 2020) Oku kungenxa yokuba abantu abaninzi bajongene neentlungu ezigqithisiweyo kunye neempawu zabo ezihambelana neentlungu eziya kuzama amayeza asekhaya ukunciphisa intlungu ye-musculoskeletal okwethutyana ngaphambi kokwenza ukuphindaphinda kwakhona kwaye ube nentlungu engakumbi. Ukuza kuthi ga ngoku, abantu abaninzi baya kuhlala befuna unyango olwahlukeneyo ukuze banciphise iintlungu ze-musculoskeletal kunye nokubuyisela ukusebenza komzimba wabo.

 


Yongeza iMpilo Yakho-Ividiyo


IiNzuzo zeElectroacupuncture

Xa kufikwa ekunciphiseni nasekunyangeni iintlungu ze-musculoskeletal, abantu abaninzi bafuna unyango olungasebenzisi utyando ukuze banciphise iimpawu ezinjengeentlungu. Unyango olungasebenzisi utyando lugqwesileyo kwiintlungu ze-musculoskeletal njengoko zinokwenzelwa umntu kwiintlungu zomntu kwaye zinokubiza imali eninzi. Unyango olungazenzisiyo lusuka kukhathalelo lwe-chiropractic ukuya kwi-acupuncture. Enye yeendlela ezahlukeneyo zonyango olungasebenzisi utyando lunyango lwe-electroacupuncture. Unyango lwe-Electroacupuncture lubandakanya ukusetyenziswa kombane kunye ne-acupuncture stimulation ukukhulula intlungu ebuhlungu okanye engapheliyo ye-musculoskeletal. (ULee et al., 2020) Olu nyango lunokusebenzisa iikhemikhali ze-bioactive kwaye luthintele iimpawu zentlungu ekuchaphazeleni umzimba.

Ukongezelela, i-electroacupuncture inokusebenza kwaye izuze umzimba ngokunciphisa intlungu ye-neuropathic ehambelana ne-musculoskeletal. I-Electroacupuncture inikezela ngeenzuzo ezongezelelweyo ngokuvuselela i-neurotransmitters ukusuka kwinkqubo ye-nervous central ukunciphisa intlungu ye-nociceptive ebangelwa yintlungu ye-musculoskeletal. (Xue et al., 2020)

I-Electroacupuncture Therapy Yehlisa Ubuhlungu beMusculoskeletal

Ke, malunga neentlungu ze-musculoskeletal, i-electroacupuncture inokuba yimpendulo yokunciphisa i-comorbidities yayo. Xa umntu ejongene nentlungu ye-musculoskeletal, iindawo ezichaphazelekayo apho intlungu ikhoyo inokutsha. Ke xa ii-acupuncturists eziqeqeshwe kakhulu zifumana ii-acupoints zomzimba kwaye zisebenzise i-electroacupuncture, amandla okuvuselela ayahluka kumntu nomntu. Ukuvuselela okuphakamileyo kusebenze inkqubo ye-nervous enovelwano, ngelixa ukuvuselela okuphantsi kusebenze inkqubo ye-nervous parasympathetic. (Ulloa, 2021) I-Electroacupuncture inokunceda nasekuphuculeni umsebenzi we-musculoskeletal ngokukhulula intlungu kunye nokulungelelanisa iimpawu ze-biomechanical ukuphucula ukulayisha ngokungaqhelekanga. (Shi kunye nabanye, ngo-2020) Xa abantu becinga ngempilo yabo, banokuqwalasela i-electroacupuncture njengenxalenye yempilo yabo kunye nendlela yokuphila kakuhle ukuphucula ukusebenza komzimba kunye nokuphila ubomi obungenazintlungu.


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, YJ, Han, CH, Jeon, JH, Kim, E., Kim, JY, Park, KH, Kim, AR, Lee, EJ, & Kim, YI (2020). Ukusebenza kunye nokukhuseleka kwe-polydioxanone thread-embedding acupuncture (TEA) kunye ne-electroacupuncture (EA) unyango lwe-knee osteoarthritis (KOA) izigulane ezinentlungu emva kokuhlinzwa: Umvavanyi-imfama, i-randomized, i-pilot trial elawulwayo. Iyeza (Baltimore), 99(30), e21184. doi.org/10.1097/MD.0000000000021184

Shi, X., Yu, W., Wang, T., Battulga, O., Wang, C., Shu, Q., Yang, X., Liu, C., & Guo, C. (2020). I-Electroacupuncture inciphisa ukuthotywa kwe-cartilage: Ukuphuculwa kwe-cartilage biomechanics ngokukhululeka kweentlungu kunye nokunyanzeliswa komsebenzi we-muscle kumzekelo womvundla we-knee osteoarthritis. Utywala ngogqirha, 123, 109724. doi.org/10.1016/j.biopha.2019.109724

Ulloa, L. (2021). I-Electroacupuncture yenza i-neurons isebenze ukucima ukuvutha. indalo, 598(7882), 573-574. doi.org/10.1038/d41586-021-02714-0

Welsh, TP, Yang, AE, & Makris, UE (2020). Ubuhlungu be-Musculoskeletal kuBantu abadala: Uphononongo lweKlinikhi. Med Clin North Am, 104(5), 855-872. doi.org/10.1016/j.mcna.2020.05.002

Xue, M., Sun, YL, Xia, YY, Huang, ZH, Huang, C., & Xing, GG (2020). I-Electroacupuncture Modulates Spinal BDNF/TrkappaB Signaling Pathway and Ameliorates the Sensitization of Dorsal Horn WDR Neurons in Spared Nerve Injury Rats. Int J Mol Sci, 21(18). doi.org/10.3390/ijms21186524

isikhanyeli

Ukufumana uLawulo kwiNzululwazi eNgenasiphelo eNgasemva kunye noNyango oluNgelulo utyando

Ukufumana uLawulo kwiNzululwazi eNgenasiphelo eNgasemva kunye noNyango oluNgelulo utyando

Ngaba iindlela zonyango ezingezizo utyando zingabanceda abantu abaneentlungu ezingapheliyo ezingasemva bafumane isiqabu abasikhangelayo ukubuyisela ukusebenza komzimba?

intshayelelo

Phakathi kwendawo ephezulu, ephakathi, kunye nesezantsi emva kwenkqubo ye-musculoskeletal, abantu abaninzi baye boyiswa kukwenzakala okubuhlungu, ukunyakaza okuphindaphindiweyo, kunye neeprofayili zomngcipheko wendalo obangela intlungu kunye nokukhubazeka, ngaloo ndlela kuchaphazela indlela yabo yemihla ngemihla. Njengenye yeemeko eziqhelekileyo zomsebenzi, iintlungu zangasemva zinokubangela ukuba abantu bajongane nemithwalo yentlalo-qoqosho kwaye banokuvela kwi-acute ukuya kwisigxina, kuxhomekeke kukulimala kunye nezinto ezihambelana nalo mbandela. Njengenxalenye yenkqubo ye-musculoskeletal, umva unemisipha eyahlukeneyo kwii-quadrants ezintathu ezixhasa iindawo eziphezulu kunye nezisezantsi kwaye zibe nobudlelwane obubalaseleyo kunye nomqolo njengoko iqela ngalinye le-muscle lijikeleze umqolo kwaye likhusela intambo yomgogodla. Xa izinto ezisingqongileyo kunye nokulimala okubuhlungu ziqala ukudala iimpawu ezinjengeentlungu ngasemva, zinokubeka umntu kwiintlungu ezibuhlungu, ngenxa yoko kutheni abaninzi bafuna unyango olungenalo utyando ukuze banciphise iintlungu ezinjengeentlungu zentlungu emva kwaye bafumane ukukhululeka kwabo. ukufuna. Inqaku lanamhlanje lijonga impembelelo yeentlungu ezingapheliyo ezisezantsi kunye nendlela unyango olungasebenzisi utyando lunokubachaphazela njani abantu abajongene neentlungu ezingapheliyo ezisezantsi. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukubonelela ngeendlela ezininzi zonyango ezingasebenzisi utyando ukunciphisa iintlungu ezingapheliyo ezisezantsi ezichaphazela iziphelo zabo. Siyazisa kwaye sikhokela izigulana malunga nokuba iindlela ezahlukeneyo zonyango ezingasebenzisi utyando zinokuthi zizuze impilo kunye nokuphila kakuhle njengoko zinokunceda ukunciphisa iimeko ze-musculoskelet ezifana neentlungu ezingapheliyo. Sikhuthaza izigulane zethu ukuba zibuze ababoneleli babo bezonyango abadibeneyo kunye nemibuzo ebalulekileyo malunga neentlungu zabo ezingapheliyo ezibuhlungu kunye nokuba zeziphi iinguqu ezincinci ezinokuzibandakanya ukunciphisa iimpawu ezifana nentlungu. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli.

 

Impembelelo yeeNzululwazi eziNgapheliyo eziNgasemva

Ngaba uhlala uziva iintlungu ezibuhlungu okanye iintlungu emqolo wakho emva kosuku olude olunzima lomsebenzi? Ngaba ufumana ukudinwa kwemisipha ukusuka emqolo ukuya emilenzeni yakho emva kokuthwala into enzima? Okanye ngaba uye waphawula ukuba ukujija okanye ukuguqula iintshukumo kukhulula okwethutyana umqolo wakho ongezantsi, kodwa ube mandundu emva kwexeshana? Rhoqo, uninzi lwezi meko ezinjengeentlungu zinxulunyaniswa neentlungu ezingapheliyo ngasemva, kwaye zinokubakho ngenxa yezinto ezahlukeneyo ezihambelana nale meko iqhelekileyo ye-musculoskeletal. Xa kuziwa kwiimeko ze-musculoskelet ezinxulumene neentlungu ezingapheliyo ezisezantsi, zixhaphake ngelixa impembelelo yazo ixhaphake. Ukuza kuthi ga ngoku, bachaphazela abantu abaninzi njengoko bengoyena nobangela uxhaphakileyo wentlungu yexesha elide kunye nokukhubazeka ngokomzimba. (UWoolf kunye noPfleger, ngo-2003) Kuba iintlungu zangasemva zinokuba bukhali okanye zingapheliyo, zinokuba zininzi njengezinye iimpawu zentlungu zidla ngokubangela ukugcwala kweeprofayili zomngcipheko emzimbeni. Impembelelo yentlungu engapheliyo ye-back back inezizathu ezisisiseko ze-pathological ezingachazwanga kakuhle kodwa zinokunxulumana nokungasebenzi kakuhle kwengqondo. (Andersson, 1999)

 

 

Ukongezelela, utshintsho oluguquguqukayo ngaphakathi komqolo lunokubangela impembelelo ekuphuhlisweni kweentlungu ezingapheliyo ezisezantsi. Imiba esemngciphekweni ebangela ukugcwala kweeprofayili zomngcipheko zinokususela ekutshayeni nasekutyebeni ngokugqithiseleyo ukuya kwimisebenzi eyahlukeneyo efuna iintshukumo ezigqithisileyo. (Atkinson, ngo-2004) Xa oko kusenzeka, kubangela ukuba abantu babe noxinezeleko olungeyomfuneko oluchaphazela ubomi babo luze lubenze bangonwabi. Kulapho abantu abaninzi beqala ukufuna unyango lokunciphisa imiphumo yeentlungu ezingapheliyo ezisezantsi kunye nokunciphisa amathuba okufuna ukungenelela ngotyando. 

 


Indima yoLondolozo lweChiropractic ekuphuculeni impilo yakho-Ividiyo


Unyango olungaSebenziyo loNyango lweNzululwazi eziNgapheliyo

Xa abantu bejongana neentlungu ezingapheliyo ezisezantsi, abaninzi abaqapheli ukuba ukunyakaza okuhlukeneyo, iminyaka, kunye ne-pathologies inokuguqula umqolo, okubangela ukuba i-spinal discs ihambe ngeenguqu eziguquguqukayo ezihambelana nokuphuhliswa kweentlungu ezingapheliyo ezisezantsi. (Benoist, ngo-2003) Xa iinguqu eziguqukayo ziqala ukubangela iimpawu ezinjengeentlungu emva, abaninzi baya kuqala ukukhangela unyango olufikelelekayo kunye olusebenzayo. Yiyo loo nto unyango olungasebenzisi utyando lunokunceda ukunciphisa iimpawu ezinjengeentlungu zentlungu engapheliyo yomqolo kunye nokunceda ukubuyisela ukuhamba komzimba. Unyango olungazenzisiyo lulolwakho kwiintlungu zomntu kwaye lususela kwi-acupuncture ukuya kunyango lwe-massage kunye nokudodobala komqolo. Unyango olungasebenzisi utyando lukwafikeleleka kwaye lunceda ekunciphiseni iiprofayili zomngcipheko ezidlulanayo zeentlungu ezingapheliyo ezisezantsi ngelixa kuncitshiswa iimeko ezinxulumene nazo.

 

Iziphumo zokuDodobala koMnqonqo Kwintlungu eNgasemva eNgasemva

 

Ukunyanzeliswa komqolo, njengoko kuchaziwe ngaphambili, luhlobo lonyango olungasebenzisi utyando olubandakanya i-mechanical gentle traction kumqolo wokunciphisa intlungu engapheliyo kwaye inokunciphisa iimpawu ezinjengeentlungu ezinxulumene nayo. Ukunyanzeliswa komqolo kunceda ukunciphisa ukungqubuzana kwemisipha ye-lumbar, echaphazela i-lumbar spine kodwa inika kwakhona intlungu kunye nomsebenzi womzimba. (I-Choi et al., 2022) Ukunyanzeliswa komgogodla kukhuselekile ngelixa uthambile kumqolo, udibene nokuzivocavoca kokuzinzisa ukunyusa uxinzelelo lwe-intra-abdominal kunye nekhono lomgogodla kwi-lumbar. (Hlaing et al., 2021) Xa umntu ehlanganisa ukunyanzeliswa komgogodla njengenxalenye yohambo lwabo lwempilo kunye nokuphila kakuhle, intlungu yabo kunye nokukhubazeka kuya kuncipha ngokuhamba kwexesha ngelixa besomeleza imisipha ebuthakathaka echaphazelekayo yintlungu engapheliyo. Ukubandakanya ezi zonyango ezingenalo utyando zinokunceda umntu akhumbule ngakumbi impembelelo yokusingqongileyo abayenzayo kumqolo wabo kwaye aphile ubomi obungcono nobunempilo.

 


Ucaphulo

Andersson, GB (1999). Iimpawu ze-Epidemiological zentlungu engapheliyo ephantsi. Lancet, 354(9178), 581-585. doi.org/10.1016/S0140-6736(99)01312-4

Atkinson, JH (2004). Iintlungu ezingapheliyo zomqolo: ukukhangela izizathu kunye nonyango. J Rheumatol, 31(12), 2323-2325. www.ncbi.nlm.nih.gov/pubmed/15570628

www.jrheum.org/content/jrheum/31/12/2323.full.pdf

Benoist, M. (2003). Imbali yendalo yomqolo wokuguga. Eur Spine J, 12 Suppl 2(Ubonelelo 2), S86-89. doi.org/10.1007/s00586-003-0593-0

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

Hlaing, S. S., Puntumetakul, R., Khine, E. E., & Boucaut, R. (2021). Iziphumo zokuzinzisa okungundoqo kunye nokuqinisa umthambo kwi-proprioception, ibhalansi, ubukhulu bemisipha kunye neziphumo ezinxulumene nentlungu kwizigulane ezine-subacute nonspecific back pain: isilingo esilawulwa ngokungahleliwe. I-BMC Musculoskelet Disord, 22(1), 998. doi.org/10.1186/s12891-021-04858-6

UWoolf, AD, & Pfleger, B. (2003). Umthwalo weemeko eziphambili ze-musculoskelet. IBull World Health Organ, 81(9), 646-656. www.ncbi.nlm.nih.gov/pubmed/14710506

www.ncbi.nlm.nih.gov/pmc/articles/PMC2572542/pdf/14710506.pdf

isikhanyeli

I-Sciatica ePhambili: Ukuqaphela iimpawu zokulimala kweNerve

I-Sciatica ePhambili: Ukuqaphela iimpawu zokulimala kweNerve

Kubantu abajongene ne-sciatica engapheliyo, xa intlungu kunye nezinye iimpawu zichaphazela kakhulu imisebenzi yemihla ngemihla kunye nokukwazi ukuhamba, ngaba umboneleli wezempilo we-musculoskeletal unokunceda ukukhulula nokulawula iimpawu ngokusebenzisa isicwangciso sonyango lwe-multidisciplinary?

I-Sciatica ePhambili: Ukuqaphela iimpawu zokulimala kweNerve

I-Sciatica engapheliyo

I-Sciatica yimeko eqhelekileyo ebangelwa ukunyanzeliswa kwe-nerve ye-sciatic kumqolo ophantsi okanye emlenzeni. I-sciatica engapheliyo yenzeka xa iimpawu zihlala kwiinyanga ze-12 okanye ngaphezulu.

Iimpawu eziphambili zeSciatica

I-Advanced okanye i-sciatica engapheliyo ngokuqhelekileyo ivelisa intlungu ephumayo okanye ehamba phantsi ngasemva komlenze. Uxinzelelo lwe-nerve ye-sciatic ixesha elide lunokubangela:

  • Intlungu yomlenze
  • Ubungqina
  • Ukulinganisa
  • Ukuziva kombane okanye ukutshisa
  • Ubuthathaka
  • Ubuthathaka
  • Ukungazinzi kwemilenze, enokuchaphazela ukukwazi ukuhamba.
  1. Ukunyanzeliswa kwe-nerve enzima kunokuqhubela phambili ekukhubazekeni komlenze ukuba i-nerve yonakaliswe kakhulu kuxinzelelo olungapheliyo. (UAntonio L Aguilar-Shea, et al., 2022)
  2. I-Sciatica inokuqhubela phambili kumonakalo we-nerve we-nerve ezincinci kwaye uhambe ukuya emilenzeni nasezinyaweni. Ukonakala kwemithambo-luvo/i-neuropathy kunokubangela iintlungu, ukuntlitheka, kunye nokulahlekelwa yimvakalelo. (UJacob Wycher Bosma, et al., 2014)

Ukukhubaza iiKhetho zoNyango lweSciatica

Xa i-sciatica iba ikhubaza, ichaphazela ukukwazi komntu ukuhamba, unyango olubandakanyekayo lufunekayo ukuzisa isiqabu. Iimeko ezininzi ze-sciatica ezingapheliyo kunye nezikhubazayo zibangelwa iingxaki nge-lumbar spine. Ukunyanzeliswa kweengcambu ze-nerve ezenza i-nerve ye-sciatic ingenzeka kwi-bulging okanye kwiidiski ze-herniated okanye i-spinal stenosis. Ukuba iimpawu ze-sciatica ziqhubeka ngaphaya kweenyanga ze-12 ngokukhululeka okuncinci okanye akukho nto kunyango lomzimba, ukuchithwa kwe-mechanical non-ukuhlinzwa, ukunweba kunye nokuzivocavoca, okanye iindlela zokulawula iintlungu, iinkqubo zotyando zingafuneka. (ULucy Dove, et al., 2023)

Utyando lwe-Lumbar decompression lubandakanya iinkqubo ezininzi zokudala indawo eninzi kwi-lumbar spine kunye nokunciphisa uxinzelelo lwe-nerve. Utyando lokuthotywa kweLumbar lungabandakanya: (Iklinikhi yaseMayfield. 2021)

Ukuqonda

  • Le nkqubo isusa inxalenye yediski eyonakalisiweyo phakathi kwe-vertebrae ukunciphisa ukunyanzeliswa kweengcambu kwi-disc bulging okanye i-herniated disc.

Laminectomy

  • Le nkqubo isusa i-lamina, inxalenye ye-vertebrae ebangela ukunyanzeliswa kwe-nerve, ngakumbi ukuba kukho i-bone spur ngenxa ye-arthritic kunye neenguqu eziguqukayo kumqolo.

Foraminotomy

  • Le nkqubo yandisa i-foramina, izivulo kwi-vertebrae apho iingcambu ze-nerve ziphuma ukuze zikhulule ukunyanzeliswa.

Ukudibana kwespinal

  • Le nkqubo ithatha ama-vertebrae amabini okanye ngaphezulu ukuwadibanisa kunye neentonga zentsimbi kunye nezikrufu zokuzinzisa.
  • Inkqubo inokwenziwa ukuba:
  • Idiski yonke iyasuswa.
  • Iilaminectomi ezininzi zenziwe.
  • Enye i-vertebra iye yahamba phambili enye.

Ulawulo loNcedo lwemihla ngemihla lwe-Advanced Sciatica

Ukufumana isiqabu kwiimpawu eziphambili ze-sciatica ekhaya kunokubandakanya iindlela zokuziqhelanisa rhoqo njengokuthatha ibhafu eshushu okanye i-massage yeshawa, kunye nokusebenzisa ipaneli yokufudumeza kumqolo ongezantsi okanye i-glutes ukukhulula izihlunu eziqinileyo ukunceda ukukhulula ukuqina okujikeleze i-nerve ye-sciatic.

  • Umthambo olungisayo okanye wokunyanga onje nge-sciatic nerve glides unokunceda ukunciphisa uxinzelelo ecaleni kwemithambo-luvo ngelixa imithambo esezantsi ngasemva ehambisa umqolo ukuya phambili okanye ukugoba ngasemva kunokunciphisa uxinzelelo. (UWitold Golonka, et al., 2021)
  • Amayeza afana ne-nonsteroidal anti-inflammatory drugs/NSAIDs, iziphumlisi zemisipha, okanye amayeza entlungu yemithambo-luvo anokucetyiswa. (UAntonio L Aguilar-Shea, et al., 2022)
  • I-sciatica ephucukileyo ayinakuphendula kwiindlela zonyango ezilondolozayo, njengoko ukulimala kubekwe kwaye i-nerve kunye nezicubu ezijikelezayo ziye zathintelwa kakhulu.
  • Iimpawu ze-Sciatica ezihlala ixesha elide kuneenyanga ze-12 zifuna unyango olubandakanyekayo ngakumbi njengenaliti okanye utyando ukujongana neempawu ngokufanelekileyo. (UAntonio L Aguilar-Shea, et al., 2022)

Ukuphilisa iSciatica engapheliyo

Ukuba isizathu esisisiseko sinokunyangwa ngokufanelekileyo ke i-sciatica engapheliyo inokuphiliswa. I-sciatica engapheliyo ihlala ivela kwiimeko zomgogodla ezifana neediski ze-herniated okanye i-lumbar spinal stenosis. Ezi meko zinciphisa indawo ejikeleze iingcambu ze-nerve eziphuma kwintambo yomgogodla kwaye zidibanise ukwenza i-nerve ye-sciatica. Utyando lwenziwa ukuvula isithuba kumqolo. (Iklinikhi yaseMayfield. 2021) Ngamanye amaxesha i-sciatica iziswa ngenxa yezizathu eziqhelekileyo ezifana ne-tumor okanye isifo somgogodla. Kwezi meko, iimpawu aziyi kusombulula kude kube ngunobangela oyintloko. Amathumba angadinga ukuba asuswe ngotyando ngelixa usulelo lufuna i-antibiotics enobundlobongela ukukhusela ukusasazeka kwezinye iindawo zomzimba. (Isibhedlele soTyando oluKhethekileyo. 2023)

Uphuhliso lweSicwangciso soNyango lweeNgcali zeeNtlungu

Iintlungu eziqhubekayo, ukuphazamiseka, ukubetha, kunye nobuthathaka zizo zonke iimpawu ezimele zijongwe kunye nomboneleli wezempilo. Ingcali yeentlungu inokunceda ukwenza isicwangciso sonyango esibandakanya: (Isibhedlele soTyando oluKhethekileyo. 2023)

  • Ulungiso lwenyama
  • Unyango lokunyanga
  • Chiropractic Uxinzelelo kunye nohlengahlengiso lomqolo
  • Ukolula okujoliswe kuko kunye nemithambo
  • Ukuthunyelwa kubaboneleli bezempilo abakhethekileyo
  • Injections
  • Mayeza

Izizathu ze-Sciatica kunye noNyango


Ucaphulo

Aguilar-Shea, AL, Gallardo-Mayo, C., Sanz-González, R., & Paredes, I. (2022). Sciatica. Ulawulo lwamagqirha eentsapho. Ijenali yezonyango zentsapho kunye nokunyamekela okuphambili, i-11 (8), i-4174-4179. doi.org/10.4103/jfmpc.jfmpc_1061_21

Bosma, JW, Wijntjes, J., Hilgevoord, TA, & Veenstra, J. (2014). I-sciatic neuropathy ekwanti eyodwa kakhulu ngenxa yemo yelotus elungisiweyo. Ijenali yehlabathi yeemeko zeklinikhi, i-2 (2), i-39-41. doi.org/10.12998/wjcc.v2.i2.39

Dove, L., Jones, G., Kelsey, LA, Cairns, MC, & Schmid, AB (2023). Ngaba lusebenza kangakanani ukungenelela kwe-physiotherapy ekuphatheni abantu abane-sciatica? Uphononongo olucwangcisiweyo kunye nohlalutyo lwemeta. Iphephancwadi laseYurophu lomqolo : ukupapashwa ngokusemthethweni kwe-European Spine Society, i-European Spinal Deformity Society, kunye neCandelo laseYurophu leCervical Spine Research Society, i-32 (2), i-517-533. doi.org/10.1007/s00586-022-07356-y

Iklinikhi yaseMayfield. (2021). I-laminectomy ye-Spinal decompression kunye ne-foraminotomy.

Golonka, W., Raschka, C., Harandi, VM, Domokos, B., Alfredson, H., Alfen, FM, & Spang, C. (2021). Isolated Lumbar Extension Resistance Exercise in limited Range of Motion for Patients with Lumbar Radiculopathy and Disk Herniation-Clinical Outcome and Influenceing Factors. Ijenali yezonyango zonyango, i-10 (11), i-2430. doi.org/10.3390/jcm10112430

Isibhedlele soTyando oluKhethekileyo. (2023). Sciatica.

Isibhedlele soTyando oluKhethekileyo. (2023). ulawulo Pain.

Izisombululo ezingezizo Ukuhlinzwa ngenxa yeeNhlungu zokuBuyela: Indlela yokuNyisa iintlungu

Izisombululo ezingezizo Ukuhlinzwa ngenxa yeeNhlungu zokuBuyela: Indlela yokuNyisa iintlungu

Kubantu abaneentlungu zangasemva, abasebenzi bezempilo bangazibandakanya njani izisombululo ezingezizo utyando ukunciphisa iintlungu zomqolo?

intshayelelo

Umqolo ungomnye wezona zakhiwo zibalulekileyo kumzimba womntu, ukubonelela ukuhamba komkhosi kunye nokuzinza xa uxinzelelo oluthe nkqo lucinezela kwisakhiwo somgogodla. Umqolo ujikelezwe yimisipha eyahlukeneyo, i-ligaments, kunye nezicubu ezinceda ukuxhasa iindawo eziphezulu kunye nezantsi zomzimba kunye neziphelo. Xa izinto eziqhelekileyo ezifana nokuphakamisa ukuphakamisa, ukuma okungafanelekanga, ukukhuluphala, okanye iimeko esele zikhona ziqala ukuchaphazela umzimba, kunokubangela ukuba isakhiwo somgogodla sinokubangela imiba engafunekiyo ekhokelela kumqolo, intamo, kunye neentlungu zegxalaba. Xa ufumana ezi ntlungu zintathu ziqhelekileyo zomzimba zihlala zihambelana nezinye iimpawu ezinxulumene nazo ezinokuchaphazela ezinye iziphelo. Xa oku kusenzeka, abantu abaninzi baqalisa ukuphoswa ngumsebenzi okanye imisebenzi yemihla ngemihla enokubabangela bangabi nangxaki, bade bazame ukukhangela izicombululo ezahlukahlukeneyo zokunciphisa iintlungu abazifumanayo. Inqaku lanamhlanje lijonga enye yeentlungu zomzimba eziqhelekileyo njengentlungu yomqolo kunye nendlela enokubangela ngayo imiba emininzi echaphazela amandla omntu okusebenza, kunye nendlela izisombululo ezingezizo utyando ezinokuthi zinciphise imiphumo efana nentlungu kodwa zibonelela ngesiqabu esiyimfuneko. abantu abaninzi bafanelwe kuhambo lwabo lwempilo kunye nokuphila kakuhle. Sithetha nababoneleli bezonyango abaqinisekisiweyo ababandakanya ulwazi lwezigulane zethu ukubonelela ngezicwangciso zonyango ezininzi zokunciphisa iimpawu ezinjengeentlungu ezinxulumene nemiba yomgogodla ebangela intlungu emva. Siyazisa kwakhona izigulane zethu ukuba kukho iindlela ezingezizo zokuhlinzwa zokunciphisa le miba efana neentlungu kunye nokubuyisela ukuhamba komgogodla kumzimba. Sikhuthaza izigulane zethu ukuba zibuze imibuzo enzima kunye nemfundo kubaboneleli bethu bezonyango abahambelanayo malunga neempawu ezinjengeentlungu ezihlangabezana nazo ezihambelana nomqolo ongaphantsi. UDkt Alex Jimenez, DC, usebenzisa olu lwazi njengenkonzo yezemfundo. isikhanyeli.

 

Iintlungu Zomqolo Ezichaphazela uMnqonqo

Ngaba uhlala ufumana iintlungu ezikhuphayo kumqolo wakho ongaphantsi obangela iimpawu zokuva okanye ukubetha kwemilenze ukuya ezinyaweni zakho? Ngaba uziva ukuqina kwezihlunu kusasa ngelixa uvuka, kodwa uphela kancinci imini yonke? Okanye ngaba uziva iimpawu zemisipha kunye neentlungu xa uthwala into enzima ukusuka kwindawo ukuya kwenye? Abantu abaninzi, ngokuphindaphindiweyo kunokuba, baye bajongana neentlungu zangasemva ezinxulumene nezinto ezahlukeneyo. Ngeentlungu zomqolo ezikwiingxaki ezintathu eziphezulu eziqhelekileyo kubasebenzi, abantu abaninzi baye bajongana nengxaki eqhelekileyo ngeendlela ezininzi. Ukusuka ekuphakameni okungafanelekanga ukuya kukuhlala ngokugqithisileyo kwidesika, iintlungu zangasemva zinokubangela imiba ye-musculoskeletal abaninzi abazama ukuyifumana isiqabu. Iintlungu ezisezantsi zingaba buhlungu okanye zingapheliyo, kuxhomekeke kubukhulu. Ingakhokelela ekuphazamisekeni kokuhamba ngaphakathi kwemimandla ye-thoracic, lumbar, kunye ne-sacroiliac spinal, ebangela intlungu ebhekiswe kwiindawo ezisezantsi. Ingakhokelela kubomi bomonakalo ngaphandle kwaziphi na iimpawu okanye iimpawu zeemeko ezimandundu zonyango okanye zengqondo ezinxulumene nezinto zokusingqongileyo. (Delitto et al., 2012) Intlungu ebuyayo iphinda idibaniswe neemeko zomgogodla ezifana nokuvuvukala, ukulayishwa kwe-asymmetric, kunye noxinzelelo lwe-muscle, olunokubangela ukuba izakhiwo zomgogodla zinyanzeliswe, ngaloo ndlela kubangele i-disc herniations. (Zemková & Zapletalová, 2021

 

 

Ukongeza, iintlungu zangasemva yimeko ye-musculoskelet ye-multifactorial ebangela ukuba abantu abaninzi babe kwimeko yentlalo-qoqosho enokunciphisa umgangatho wobomi. Imizekelo emininzi yeentlungu zangasemva zihambelana nokulawulwa kwemoto etshintshileyo ngaphakathi kwemisipha ye-spinal erector ebangela ukuba i-proprioception iphazamiseke kumqolo. (Ilahleko yeFagundes et al., 2020) Xa oku kusenzeka kubantu abaninzi, bahlala befumana isithintelo sokuzinza kwe-lumbar, ukulinganisela komzimba, ukuma, kunye nokulawulwa kwe-postural. Ngelo xesha, xa abaninzi abantu abasebenzayo beneentlungu ezibuhlungu ezibuhlungu ezinxulumene nemihla ngemihla, inani leentlungu ezikuyo lingatshintsha umda we-mechanoreceptors ohambisa iimpawu zentlungu ngentambo yomgogodla. Ukuza kuthi ga ngoku, intlungu yangasemva inokuchaphazela impendulo ye-neuromuscular kwaye ichaphazele umsebenzi oqhelekileyo we-musculoskelet. Ngethamsanqa, unyango oluninzi lunokunceda ukunciphisa iintlungu zangasemva kunye nokubonelela ngesiqabu kwiintlungu zomqolo ezichaphazela abantu abaninzi.

 


Indima yoLondolozo lweChiropractic-Ividiyo

 Zingaphi izihlandlo ngosuku ufumana iintlungu zangasemva ezinxulumene nokuqina, iintlungu eziqhelekileyo, okanye iintlungu ezichaphazela amandla akho okusebenza? Ngaba uyaqaphela ukuba uzingela ngakumbi xa usuka kwenye indawo uye kwenye? Okanye ngaba uziva iintlungu kunye neentlungu emqolo wakho emva kokwelula ekuseni? Abantu abaninzi abajongene nale miba eqhelekileyo yokusingqongileyo banxulunyaniswa ngokusondeleyo neentlungu zangasemva. Iintlungu zangasemva zikwezona ngxaki ziphezulu ezintathu zixhaphakileyo abantu abaninzi abaye bahlangabezana nazo ngaxa lithile ebomini babo. Ngokuphindaphindiweyo, abantu abaninzi baye bajongana neentlungu zangasemva ngokusebenzisa amayeza asekhaya ukunciphisa imiphumo efana nentlungu. Nangona kunjalo, uphando lubonisa ukuba xa abantu abaninzi beqala ukuyihoya intlungu, ingabakhokelela kubomi bokukhubazeka kwaye ibangele ubuninzi boxinzelelo ukuba ayiphathwa ngoko nangoko. (Parker et al., 2015) Ngenxa yoko, unyango olungenalo utyando alukwazi ukunciphisa kuphela intlungu ehambelana neentlungu zangasemva kodwa zinokunceda ukubuyisela ukuhamba komgogodla. Unyango olungasebenzisi utyando olufana nokhathalelo lwe-chiropractic lubandakanya ukunyanzelwa komgogodla, onokuchaphazela ngokuqinisekileyo umqolo. (Koes et al., 1996) Yintoni eyenziwa ngononophelo lwe-chiropractic kukuba iquka iindlela zokuxhaphaza ngoomatshini kunye nezandla zokwelula izihlunu eziqinileyo kunye nokunciphisa amanqaku okubangela ukuguqulwa. Le vidiyo ingentla ibonisa indlela ukhathalelo lwe-chiropractic lunokuchaphazela ngokufanelekileyo umntu ngelixa liyinxalenye yempilo kunye nohambo oluhle ekunciphiseni intlungu emva.


Ukuthotywa koMnqonqo oNgekuko Utyando ngenxa yeentlungu zomqolo

Kanye njengokunyamekelwa kwe-chiropractic, ukunyanzeliswa komgogodla lolunye unyango olungenalo utyando olusebenzisa i-traction ukutsala ngobunono kunye nokwelula umqolo ukuze kuncitshiswe i-discs ye-spinal egxininisiweyo ehambelana neentlungu zangasemva kunye nokunceda ukunweba imisipha eqinile. Xa abantu abaninzi beqala ukubandakanya ukunyanzeliswa komgogodla njengenxalenye yendlela yabo yesiqhelo, baya kuqaphela ukuba ukunyanzeliswa komgogodla kunokunciphisa uxinzelelo lwe-intradiscal ngaphakathi koluhlu olubi. (URamos, ngo-2004) Yintoni le nto iyenzayo kukuba xa i-spinal discs itsalwa ngokutsalwa ngokuthambileyo, zonke ii-fluids kunye nezondlo ezazingenamanzi kwi-disc zibuyela emva kwaye zincede ukukhaba inkqubo yokuphilisa yendalo yomzimba. Xa abantu abaninzi beqala ukusebenzisa i-spinal decompression ngenxa yeentlungu zabo zangasemva, baya kubona ukunciphisa okukhulu kwiintlungu zabo emva kweeseshoni ezimbalwa ezilandelelanayo. (UCrisp et al., ngo-1955) Xa abantu abaninzi beqala ukudibanisa ezinye iindlela zonyango ezingezizo utyando kunye ne-spinal decompression, baya kukwazi ukubuyisela ukuhamba kwabo komgogodla ngelixa bekhumbula ngakumbi ukuba zeziphi izinto ezisingqongileyo ezichaphazela umqolo wabo kwaye zingaphindi umba ukuze uvumele intlungu yangasemva ukuba ibuyele.


Ucaphulo

Crisp, EJ, Cyriax, JH, & Christie, BG (1955). Ingxoxo ngonyango lwe-backache ngokutsala. Proc R Soc Med, 48(10), 805-814. www.ncbi.nlm.nih.gov/pubmed/13266831

www.ncbi.nlm.nih.gov/pmc/articles/PMC1919242/pdf/procrsmed00390-0081.pdf

Delitto, A., George, SZ, Van Dillen, L., Whitman, JM, Sowa, G., Shekelle, P., Denninger, TR, & Godges, JJ (2012). Iintlungu ezisezantsi. Ijenali yonyango lwamathambo kunye nezonyango kunyango, 42(4), A1-A57. doi.org/10.2519/jospt.2012.42.4.a1

I-Fagundes Loss, J., de Souza da Silva, L., Ferreira Miranda, I., Groisman, S., Santiago Wagner Neto, E., Souza, C., & Tarrago Candotti, C. (2020). Iziphumo ezikhawulezileyo ze-lumbar spine manipulation kwi-sensitivity yentlungu kunye nokulawulwa kwe-postural kubantu abaneentlungu ezingabonakaliyo ezisezantsi: isilingo esilawulwa ngokungahleliwe. Unyango lweChiropr lomntu, 28(1), 25. doi.org/10.1186/s12998-020-00316-7

Koes, BW, Assendelft, WJ, van der Heijden, GJ, & Bouter, LM (1996). Ukuguqulwa komqolo ngenxa yeentlungu ezisezantsi. Uphononongo olucwangcisiweyo oluhlaziyiweyo lwezilingo zeklinikhi ezingahleliwe. Isihlwele (Phila Pa 1976), 21(24), 2860-2871; ingxoxo 2872-2863. doi.org/10.1097/00007632-199612150-00013

Parker, SL, Mendenhall, SK, Godil, SS, Sivasubramanian, P., Cahill, K., Ziewacz, J., & McGirt, MJ (2015). Izehlo zentlungu ephantsi emva kweLumbar Discectomy ye-Herniated Disc kunye nempembelelo yayo kwiZiphumo ezichazwe ngesigulane. Clin Orthop Relat Res, 473(6), 1988-1999. doi.org/10.1007/s11999-015-4193-1

URamos, G. (2004). Ukusebenza kwe-vertebral axial decompression kwiintlungu ezingapheliyo ezisezantsi: ukufundwa kwerejimeni yedosi. Neurol Res, 26(3), 320-324. doi.org/10.1179/016164104225014030

Zemková, E., & Zapletalová, L. (2021). Iingxaki zangasemva: IiPros and Cons of the Core Strengthening Exercises njengenxalenye yoQeqesho lwabadlali. Ijenali yehlabathi yoPhando lwezeNdalo kunye neMpilo yoLuntu, 18(10), 5400. doi.org/10.3390/ijerph18105400

isikhanyeli

Izisombululo zabaGcini bePain eziNgapheliyo

Izisombululo zabaGcini bePain eziNgapheliyo

Ngaba iingcali zonyango zingabonelela ngezona ndlela zingcono zonyango ezingasebenzisi utyando kubantu abaneentlungu ezingapheliyo ezisezantsi?

intshayelelo

Iintlungu ezingapheliyo ze-back back zingenzeka kubantu abaninzi, zichaphazela indlela yabo yemihla ngemihla kwaye zibenze baphoswe ziziganeko ezibalulekileyo zobomi. Ngehlabathi eliguquguqukayo, abantu abaninzi, ngokukodwa abantu abasebenzayo, baya kuba neentlungu ezingapheliyo ezibuhlungu ngexesha elithile ngenxa yoxinzelelo olungenakunyamezeleka olubonakala luchaphazela imisipha ejikelezayo ekhusela i-lumbar spine. Oku kubangela ukuba abantu abaninzi bolule kakhulu okanye banciphise imisipha ebangela ukuba iintlungu ezisezantsi zibe ngunobangela wokukhula kweentlungu ezisezantsi. Kwangaxeshanye, xa abantu bebandezeleka ngenxa yeentlungu ezisezantsi, oko kunokumiselwa njengeendleko ezinkulu zezoqoqosho kuluntu. (Pai & Sundaram, 2004) Oku, kubangela ukuba abantu abaninzi baphoswe ngumsebenzi kwaye babe nomthwalo wemali njengoko iindleko zonyango olungapheliyo lwentlungu ephantsi luphezulu. Nangona kunjalo, iindlela ezininzi zonyango zingabizi, zikhuselekile, kwaye ziyasebenza ekunciphiseni iintlungu ezingapheliyo ezibuhlungu. Iposti yanamhlanje ijonga iziphumo zeentlungu ezingapheliyo eziphantsi komqolo kunye nokuba bangaphi abantu abanokujonga iindlela ezahlukeneyo zokungaqhaqho ezinokuthi zisetyenziswe ngabantu abaninzi ukunciphisa iintlungu ezingapheliyo. Ngokuzenzekelayo, sinxibelelana nababoneleli bezonyango abaqinisekisiweyo ababandakanya ulwazi lwezigulane zethu ukubonelela ngezicwangciso zonyango ezahlukeneyo zokunciphisa intlungu engapheliyo ephantsi. Siyabazisa kwakhona ukuba kukho iindlela ezingezizo utyando zokunciphisa iimpawu ezinjengeentlungu ezinxulumene nezinto ezibangela iintlungu ezingapheliyo ezisezantsi. Sikhuthaza izigulana zethu ukuba zibuze imibuzo emangalisayo yemfundo kubaboneleli bethu bezonyango abanxulumeneyo malunga neempawu zabo ezihambelana nentlungu yomzimba kwindawo ekhuselekileyo nelungileyo. UDkt Alex Jimenez, DC, udibanisa olu lwazi njengenkonzo yezemfundo. isikhanyeli

 

Iziphumo zeNzululwazi eziNgapheliyo eziNgasemva

Ngaba uye wajongana neentlungu ezingapheliyo ezivutha kumqolo wakho ongaphantsi emva kosuku olunzima lomsebenzi? Ngaba uziva uqaqanjelwa zizihlunu okanye iintlungu ezingaphumliyo emva kosuku lokuphumla? Okanye ngaba wena kunye nabo ubathandayo nithatha nawaphi na amayeza ukukhulula okwethutyana iintlungu zakho ezingasemva, kuphela ukuba zibuye emva kweeyure ezimbalwa? Abantu abaninzi abaneentlungu ezingapheliyo ezisezantsi baya kuziva iimpawu zokuqina, iintlungu zemisipha, kunye neentlungu ezikhuphayo ezihamba kwiindawo ezisezantsi. Xa intlungu ephantsi engapheliyo ihambelana neemeko ze-musculoskelet, inokuchaphazela indlela yabo yemihla ngemihla. Ukuza kuthi ga ngelo xesha, ukuphazamiseka kwe-musculoskeletal ehambelana neentlungu ezingapheliyo ezisezantsi zingabandakanya uluhlu lweemeko kwaye zinyuke ngokwemvelo ngokuhamba kwexesha. (UWoolf kunye noPfleger, ngo-2003) Xa abantu abaninzi bejongene neentlungu ezingapheliyo ezisezantsi, inokuba ngumthwalo wentlalo-qoqosho okhokelela kukukhubazeka. (Andersson, 1999) Nangona kunjalo, kukho iindlela ezininzi zokukhetha abantu abaneentlungu ezingapheliyo ezisezantsi ezinokuthi bafumane isiqabu abasidingayo ukuze banciphise iziphumo zabo kwaye baya kukwazi ukubuyela kwindlela yabo yemihla ngemihla.

 

 


Ukuqonda Ukwenzakala Ixesha Elide-Ividiyo

Iintlungu ezisezantsi ezingapheliyo kuxa iintlungu zangasemva zihlala ixesha elide kuneeveki ezimbalwa kwaye yenye yeengxaki eziqhelekileyo abantu abaninzi abazifumanayo. Xa ufumana isiqabu kwiintlungu ezingapheliyo ezisezantsi, abantu abaninzi baya kuzama amayeza asekhaya ukunciphisa intlungu. Nangona kunjalo, inokuwukhulula okwethutyana umcimbi kwaye igqume iimpawu. Xa abantu bebona ugqirha wabo oyintloko ngenxa yeentlungu ezingapheliyo ezisezantsi, abaninzi baya kufuna isicwangciso somntu siqu sokunciphisa iintlungu ezingapheliyo ezisezantsi kunye neempawu ezinxulumene nazo. Xa ukhulula iintlungu ezingapheliyo ezisezantsi, unyango olubanzi lolawulo lweentlungu luhlala luxhomekeke kunyango lomzimba, iindlela ezininzi, kunye neendlela ezingezona zokuhlinzwa zokunciphisa iintlungu ezingapheliyo ezisezantsi. (Grabois, ngo-2005) Xa uqonda ukuba umntu unentlungu engapheliyo ye-back back, kubalulekile ukuchonga izizathu kunye nendlela enokubangela ngayo ukulimala okungapheliyo okunokuthi kuphuhlise ukukhubazeka. Xa oogqirha baseprayimari beqala ukusebenzisa unyango olungalulo utyando kwimisebenzi yabo, abantu abaninzi banokufumana izibonelelo zonyango olungasebenzisi utyando njengoko lungabizi kakhulu, lukhuselekile, kwaye luthambile kumqolo kunye nengingqi ye-lumbar kwaye lunobuntu kunye nababoneleli bezonyango abanxulumeneyo. ukunciphisa iimpawu ezinjengeentlungu ezihambelana neentlungu ezingapheliyo ezisezantsi. Jonga le vidiyo ingentla ukuze ufunde kabanzi malunga nendlela unyango olungenalo utyando lunokunceda ukunciphisa iintlungu ezingapheliyo ezisezantsi kunye nokunceda ukuvuselela umzimba womntu ngesicwangciso sonyango lomntu.


IiKhetho ezingezizo Utyando kwiiNzululwazi eziNgasemva eziNgapheliyo

Xa unyango olungapheliyo lwentlungu ephantsi, unyango olungenalo utyando lunceda ngokufanelekileyo intlungu kunye nokubuyisela ukuhamba ngasemva. Unyango olungasebenzisi utyando lunokwenziwa ngokweentlungu zobunzima bomntu lo gama lungabizi kakhulu. Xa abantu bevandlakanywa kwiintlungu ezingapheliyo ezisezantsi, babonelelwa ngababoneleli bezempilo abaninzi ukunciphisa iimpawu ezinjengeentlungu ezibangelwa ziintlungu ezingapheliyo. (IAtlasi kunye neDeyo, ngo-2001) Abantu abaninzi baya kubandakanya iindlela ezahlukeneyo zonyango ezifana:

  • Uqheliso lomsebenzi
  • Ukunciphisa Umzimba
  • Ukhathalelo lweChiropractic
  • Ukunyanga kwamayeza
  • Ukwenza i-Acupuncture

Uninzi lwezi zonyango azikho utyando kwaye zibandakanya iindlela ezahlukeneyo zokusebenzisa oomatshini kunye nezandla ukuze zolule kwaye zomeleze izihlunu ezingasemva ezibuthathaka, zolule umnqonqo ngohlengahlengiso, kwaye zincede ukubuyisela intshukumo ngelixa unciphisa iimpawu kwiindawo ezisezantsi. Xa abantu bebandakanya unyango olungasebenzisi utyando ngokulandelelanayo, baya kuba namava akhuthazayo kwaye bazive bengcono ekuhambeni kwexesha. (Koes et al., 1996)

 


Ucaphulo

Andersson, GB (1999). Iimpawu ze-Epidemiological zentlungu engapheliyo ephantsi. Lancet, 354(9178), 581-585. doi.org/10.1016/S0140-6736(99)01312-4

I-Atlas, SJ, & Deyo, RA (2001). Ukuphonononga kunye nokulawula iintlungu ezibuhlungu ezisezantsi kwindawo yokhathalelo oluphambili. UJ Gen uMfundi oqeqeshelwa umsebenzi uMed, 16(2), 120-131. doi.org/10.1111/j.1525-1497.2001.91141.x

Grabois, M. (2005). Ulawulo lweentlungu ezingapheliyo ezisezantsi. NdinguJ Phys Med Rehabil, 84(3 Suppl), S29-41. www.ncbi.nlm.nih.gov/pubmed/15722781

Koes, BW, Assendelft, WJ, van der Heijden, GJ, & Bouter, LM (1996). Ukuguqulwa komqolo ngenxa yeentlungu ezisezantsi. Uphononongo olucwangcisiweyo oluhlaziyiweyo lwezilingo zeklinikhi ezingahleliwe. Isihlwele (Phila Pa 1976), 21(24), 2860-2871; ingxoxo 2872-2863. doi.org/10.1097/00007632-199612150-00013

Pai, S., & Sundaram, LJ (2004). Iintlungu ezisezantsi: uvavanyo lwezoqoqosho eUnited States. I-Orthop Clin North Am, 35(1), 1-5. doi.org/10.1016/S0030-5898(03)00101-9

UWoolf, AD, & Pfleger, B. (2003). Umthwalo weemeko eziphambili ze-musculoskelet. IBull World Health Organ, 81(9), 646-656. www.ncbi.nlm.nih.gov/pubmed/14710506

www.ncbi.nlm.nih.gov/pmc/articles/PMC2572542/pdf/14710506.pdf

 

isikhanyeli

UkuSebenza koMnqonqo wokuNxinzelela kwiNtlupheko eNgasemva eNgasemva

UkuSebenza koMnqonqo wokuNxinzelela kwiNtlupheko eNgasemva eNgasemva

Ngaba ukuxinzezeleka komqolo kungaphatha abantu abaneentlungu ezingapheliyo ezisezantsi ukuze banciphise i-arthritis edibeneyo kunye nokuqinisa imisipha ejikelezileyo ukubuyisela ukuhamba kwe-lumbar?

intshayelelo

Xa abantu abaninzi bejongene nentlungu kwindawo yabo ye-lumbar, ngokuphindaphindiweyo kunokuba kunjalo, bakholelwa ukuba yimisipha ejikelezileyo ekhusela umqolo ochaphazelekayo. Noko ke, eso sisiqingatha kuphela sengxaki. Ngaba wena okanye abantu obathandayo bahlala beziva ukufudumala ngaphakathi komqolo wakho ongaphantsi, isinqe, kunye namadolo akhupha intlungu ngaphakathi kwamalungu akho? Ewe, iintlungu ezidibeneyo zinokunxulumana neentlungu ezisezantsi zomqolo kwimeko yazo engapheliyo. Ekubeni umzimba kunye nomqolo unokuwohloka ngokuhamba kwexesha, kunokubangela ukuba amalungu anxibe kwaye akrazuke ngelixa ekhuhla omnye komnye, kubangela ukuba i-arthritis edibeneyo ikhule. Xa iintlungu ze-arthritis zidibene neentlungu ezingapheliyo ezisezantsi, kunokukhokelela ekugqithiseni kweeprofayili ezinobungozi ezinokukhokelela kubomi bokukhubazeka kwaye zenze umntu abe lusizi. Iimpawu ezininzi ezinjengeentlungu ezihambelana neentlungu ezingapheliyo ezisezantsi zingakhula ngokuhamba kwexesha kwaye zibangele iingxaki zokuhamba kunye nokuzinza ngaphakathi komzimba. Ngethamsanqa, unyango oluninzi olungasebenzisi utyando lunokunciphisa ukuqhubeka kwe-arthritis edibeneyo kunye nokunciphisa iintlungu ezingapheliyo ezisezantsi. Amanqaku anamhlanje avavanya ulungelelwaniso phakathi kwe-arthritis edibeneyo kunye neentlungu ezingapheliyo ezisezantsi ngelixa ujonga indlela unyango olungahlaseliyo olufana nokuxinzelela komgogodla alukwazi ukunciphisa kuphela iintlungu ezingapheliyo ezisezantsi ezinxulumene nesifo samathambo kodwa ziphinde zibuyisele ukuhamba kwe-lumbar. Ukongezelela, sisebenza ngesandla kunye nababoneleli bezonyango abaqinisekisiweyo ababandakanya ulwazi lwesigulane sethu ukunyanga nokunciphisa ukuqhubela phambili kwe-arthritis edibeneyo ehambelana neentlungu ezisezantsi. Siyabazisa kwakhona ukuba ukuchithwa kwe-spinal decompression kunokunceda ukubuyisela ukuhamba kwe-lumbar ngelixa uphucula amandla e-muscle abuyele kwingingqi ye-lumbar. Sikhuthaza izigulana zethu ukuba zibuze imibuzo enzulu ngelixa zifuna imfundo kubaboneleli bethu bezonyango abanxulumeneyo malunga nemiba yabo efana neentlungu. UDkt Alex Jimenez, DC, udibanisa olu lwazi njengenkonzo yemfundo. isikhanyeli

 

I-arthritis edibeneyo kunye neentlungu ezingapheliyo ezisezantsi

Ngaba uhlala ufumana ukuqina kusasa okubonakala kuhamba emva kweeyure ezimbalwa? Ngaba uziva iintlungu kunye neentlungu emsebenzini, mhlawumbi kwidesika okanye kufuna izinto ezinzima? Okanye ngaba uziva ukuba amalungu akho abuhlungu rhoqo ukuba akufumani buthongo ngokwaneleyo ebusuku? Ezi meko ezinjengeentlungu zinxulunyaniswa nesifo samathambo, esinokukhula sibe ziintlungu ezingapheliyo ezisezantsi. Abantu abaninzi bayazi ukuba umqolo wamaplanga kunye neziphelo ezisezantsi ziya kuba noxinzelelo oluphezulu lomatshini xa umzimba ukwindawo ethe tye ngaphandle kweentlungu. Njengoko i-lumbar spine kunye nezithintelo ezisezantsi ziqala ukuhamba ngokuphindaphindiweyo ngokuhamba kwexesha, oko kunokubangela ukuba i-ligaments kunye nezihlunu ezijikelezayo zibe neenyembezi ze-microtrauma, ezibangelwa ukuphuhliswa kwe-arthritis edibeneyo, engakhokelela kwimiphumo yokuvuvukala. (Xiong okqhubekayo., 2022) Ngoku ukuvuvukala emzimbeni kunenzuzo kwaye kuyingozi kuxhomekeke kubunzima ngaphakathi kwendawo echaphazelekayo. I-arthritis edibeneyo, ngokukodwa i-spondylarthritis, iyingxenye yezifo ezivuthayo ezichaphazela umgudu kunye nomqolo kwaye unokuba nezibonakaliso ezahlukeneyo zeklinikhi. (Sharip & Kunz, 2020) Iimpawu ze-arthritis ezidibeneyo ziquka intlungu yokuvuvukala kwindawo echaphazelekayo, ukuqina kwamalungu kunye nokuvuvukala, kunye nobuthakathaka bemisipha. Xa ujongene nemiphumo yokuvuvukala ehambelana ne-arthritis edibeneyo, inokubangela ukuba babe nomgangatho ophantsi wobomi, bandise ukufa, kwaye babe ngumthwalo wezoqoqosho. (Walsh & Magrey, 2021)

 

 

Ngoku i-joint arthritis inxulunyaniswa njani neentlungu ezisezantsi? Xa abantu beqala ukwenza ukunyakaza okuphindaphindiweyo kwi-lumbar spine yabo, kunokukhokelela ekutshintsheni okungaqhelekanga kwiidiski ze-intervertebral. Xa uxinzelelo olungafunekiyo luqala ukucinezela i-disc intervertebral rhoqo, kunokubangela ukugqoka kunye nokukrazula kwi-disc, kubangele ukuba baqhekeze kwaye bavumele ukuba i-nociceptors ye-annular ibe yinto engaphezulu. (Weinstein, uClaverie, kunye noGibson, ngo-1988) I-disc echaphazelekayo ke ikhulisa iingcambu ze-nerve ezijikelezayo kunye nezihlunu, ezibangela intlungu ephantsi. Xa abantu besenza izinto zabo eziqhelekileyo zemihla ngemihla, izinto ezibangela utshintsho oluphazamisayo kwiidiski ze-intervertebral zingakhokelela kwiintlungu ezingapheliyo ezibuhlungu. (UVernon-Roberts kunye noPirie, ngo-1977) Ukuza kuthi ga ngoku, iintlungu ezingapheliyo ezibuhlungu ezihambelana nesifo samathambo zingaba ngumcimbi ongapheliyo ukuba awuphathwa ngokukhawuleza.

 


Isifo Samathambo Sicacisiwe- Ividiyo

Xa unciphisa imiphumo yeentlungu ezingapheliyo ezisezantsi ezihambelana nesifo samathambo, abantu abaninzi bafuna unyango ukuze bakhulule iindawo zabo ezichatshazelwe ziintlungu ngesiphumo esihle. Unyango olungelulo utyando lunokuba yimpendulo, edityaniswe nolunye unyango lokunciphisa iintlungu ezingapheliyo ezisezantsi. (Kizhakkeveettil, Rose, & Kadar, 2014) Unyango olungasebenzisi utyando lunokwenziwa ngokwezifiso kwiintlungu zomntu ngelixa lungabizi kakhulu. Abantu abaninzi abanamalungu e-arthritic banokuzuza kunyango olungelulo utyando njengoko iingcali zentlungu ezinje nge-massage therapists kunye ne-chiropractors zinokusebenzisa iindlela ezahlukeneyo zokolula izihlunu ezichaphazelekayo, ukonyusa i-ROM yelungu (uluhlu lweentshukumo) kunye nokulungelelanisa umzimba ngaphandle kokungahambi kakuhle ukukhuthaza inkqubo yokuphilisa yendalo yomzimba. Ividiyo engentla inika umboniso wendlela i-arthritis inokuchaphazela ngayo amalunga, inxulunyaniswe neentlungu ezisezantsi, kunye nendlela olu nyango lunokunciphisa ngayo iimpawu zayo ngeendlela ezahlukeneyo.


Ukuqhawuka koMnqonqo kunye neentlungu eziNgasemva ezingapheliyo

Ukudodobala koMnqongo lunyango olungelulo utyando olunokunceda abantu abaninzi abaneentlungu ezingapheliyo ezingasemva. I-Spinal decompression isebenzisa i-traction ethambileyo kwi-lumbar spine ukutsala umqolo, ukuvumela ulwelo kunye nezondlo ukuba zikhukula zibuyele kwindawo echaphazelekayo kwaye zincede umzimba uziphilise ngokwawo. Xa abantu beqala ukubandakanya ukunyanzeliswa komgogodla ngenxa yeentlungu zabo ezingapheliyo, baya kuziva becinezelekile kwiidiski zabo zomgogodla. (URamos, ngo-2004) Xa abantu beqala ukuziva bephucukile kwingingqi yabo ye-lumbar emva kokunyanga okumbalwa okulandelelanayo, baya kuqala ukubuyisela ukuhamba kwabo kwe-lumbar.

 

I-Spinal Decompression Ukubuyisela i-Lumbar Mobility

Ukunyanzeliswa komgogodla kunokunciphisa imiphumo yeentlungu ezingapheliyo ezisezantsi kunye nokubuyisela ukuhamba kwe-lumbar kumqolo. Ekubeni ukuchithwa komgogodla kusebenzisa i-traction ethambileyo kumqolo, i-disc intervertebral iya kubuyela kwindawo yayo yasekuqaleni, ngelixa i-spinal cavity ikwandisa ukuphakama kwediski. Ukuza kuthi ga ngoku, ukunyanzeliswa komgogodla kunokubangela ukuba abantu baphucule ukuhamba kwaye kubangele ukuba babuyele kwimisebenzi yabo yesiqhelo yemihla ngemihla, njengoko ihambelana kakhulu nokunciphisa intlungu. (Gose, Naguszewski, & Naguszewski, 1998) Ngokubandakanya ukunyanzeliswa komgogodla njengenxalenye yesiqhelo, abantu abaninzi banokubuyisela impilo yabo ngaphandle kokujongana neempawu ezinjengeentlungu.

 


Ucaphulo

Gose, EE, Naguszewski, WK, & Naguszewski, RK (1998). Unyango lwe-axial decompression ye-Vertebral yentlungu ehambelana ne-disc ye-herniated okanye i-degenerated okanye i-facet syndrome: isifundo sesiphumo. Neurol Res, 20(3), 186-190. doi.org/10.1080/01616412.1998.11740504

 

Kizhakkeveettil, A., Rose, K., & Kadar, GE (2014). Unyango oludityanisiweyo lweentlungu ezisezantsi ezibandakanya ukhathalelo olongezelelweyo kunye nolunye unyango: ukuphononongwa ngokuchanekileyo. I-Glob Adv Health Med, 3(5), 49-64. doi.org/10.7453/gahmj.2014.043

 

URamos, G. (2004). Ukusebenza kwe-vertebral axial decompression kwiintlungu ezingapheliyo ezisezantsi: ukufundwa kwerejimeni yedosi. Neurol Res, 26(3), 320-324. doi.org/10.1179/016164104225014030

 

Sharip, A., & Kunz, J. (2020). Ukuqonda i-Pathogenesis ye-Spondyloarthritis. Biomolecule, 10(10). doi.org/10.3390/biom10101461

 

UVernon-Roberts, B., & Pirie, CJ (1977). Utshintsho oluguquguqukayo kwiidiski ze-intervertebral ze-lumbar spine kunye ne-sequelae yazo. I-Rheumatol Rehabil, 16(1), 13-21. doi.org/10.1093/rheumatology/16.1.13

 

Walsh, JA, & Magrey, M. (2021). Ukubonakaliswa kweklinikhi kunye nokuxilongwa kwe-Axial Spondyloarthritis. J Clin Rheumatol, 27(8), e547-e560. doi.org/10.1097/RHU.0000000000001575

 

Weinstein, J., Claverie, W., & Gibson, S. (1988). Intlungu ye-discography. Isihlwele (Phila Pa 1976), 13(12), 1344-1348. doi.org/10.1097/00007632-198812000-00002

 

Xiong, Y., Cai, M., Xu, Y., Dong, P., Chen, H., He, W., & Zhang, J. (2022). Ngokudibeneyo kunye: I-etiology kunye ne-pathogenesis ye-ankylosing spondylitis. I-Immunol yangaphambili, 13, 996103. doi.org/10.3389/fimmu.2022.996103

 

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