I-Viscerosomatic Reflex
UDkt. Jimenez DC ubonisa iziphumo zeklinikhi ze i-viscerosomatic reflex .
Kweli xesha lanamhlanje ledatha enkulu yolwazi, kukho ukuphazamiseka okuninzi, izifo, kunye nonikezelo lweklinikhi olubonisa unxulumano oluhambelanayo, iziganeko, ulungelelwaniso, izizathu, iiprofayili ezidlulayo, iiprofayili ezibalekayo zomngcipheko, ukugula okuhlangeneyo, kunye nemingcipheko yokuphazamiseka okuhambelana nokudityaniswa kwezonyango kwimiboniso kunye iziphumo.
Ukuza kuthi ga ngoku, ukuvavanya i ukungasebenzi kakuhle kwe-viscerosomatic kunye nokuphazamiseka kwe-somatovisceral ivela ukubaluleka okuphambili ukuze ufumane umfanekiso opheleleyo wekliniki ochaphazela izigulane.
Ugqirha ugunyaziswe ngobunzulu bokuqonda kwethu kwangoku kweklinikhi kunye nesifungo sethu kwizigulane zethu ukubona umfanekiso opheleleyo weklinikhi ngaphakathi kwezi paradigms zeklinikhi ezidibeneyo kunye nokunyanga ngokufanelekileyo.
Ukungasebenzi kakuhle kweSomatic kuchazwa “njengomsebenzi ongonakalisiyo okanye otshintshileyo wamacandelo anxulumeneyo wenkqubo ye-somatic (isakhelo somzimba): amathambo, i-arthrodial, kunye ne-myofascial structures, kunye ne-vascular, lymphatic, and neural elements.
A i-viscerosomatic reflex ukuphazamiseka kwe-visceral kwiithishu zesomatic. I-reflex iqaliswe yi-afferent impulses evela kwi-visceral receptors; ezi mpembelelo zithunyelwa kwi-dorsal horn ye-spinal cord, apho i-synapse kunye ne-neuron edibanisayo. Ezi ke, zona, zihambisa uvuselelo kwi-efferents ezinovelwano kunye ne-peripheral motor, oko kukhokelela kutshintsho lweemvakalelo kunye neemoto kwizihlunu ze-somatic ze-skeletal muscle, i-viscera, imithambo yegazi kunye nolusu.
Njengomzekelo kuphela,
https://pubmed.ncbi.nlm.nih.gov/?term=Viscerosomatic+pathophysiology
https://pubmed.ncbi.nlm.nih.gov/?linkname=pubmed_pubmed&from_uid=32644644
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Ulwazi olulapha ayenzelwanga ukuba luthathe indawo yobudlelwane bomntu nomntu kunye nengcali yezempilo eqeqeshiweyo okanye ugqirha onelayisensi kwaye ayiyongcebiso yezonyango. Siyakukhuthaza ukuba uzenzele ezakho izigqibo zokhathalelo lwempilo ngokusekelwe kuphando lwakho kunye nentsebenziswano nengcali yezempilo eqeqeshiweyo.
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Umda wethu wolwazi imiboniso yeklinikhi, ezinxulumene ne-somatovisceral reflex yeklinikhi dynamics, i-subluxation complexes, imiba yezempilo ebuthathaka, kunye / okanye amanqaku amayeza asebenzayo, izihloko kunye neengxoxo.
Sibonelela kwaye sibonise intsebenziswano yeklinikhi
Iividiyo zethu, iiposti, izihloko, izifundo, kunye nokuqonda kugubungela imicimbi yeklinikhi, imiba kunye nezihloko ezinxulumene nokuxhasa, ngokuthe ngqo okanye ngokungathanga ngqo, umda weklinikhi yethu yokusebenza.
Iofisi yethu yenze iinzame ezifanelekileyo zokubonelela ngeziqendu ezixhasayo kwaye ichonge uphando olufanelekileyo okanye izifundo ezixhasa izithuba zethu. Sinikezela ngeekopi zophando ezixhasayo ezifumanekayo kwiibhodi ezilawulayo nakuluntu ngesicelo.
Siyaqonda ukuba sigubungela imicimbi efuna inkcazo eyongezelelweyo yokuba inganceda njani kwisicwangciso esithile sokhathalelo okanye inkqubo yonyango; ke, ukuqhubeka nokuxoxa ngombandela ongentla, nceda ukhululeke ukubuza UDkt Alex Jimenez DC okanye qha ga mshelana nathi 915-850-0900 .
Silapha ukunceda wena kunye nosapho lwakho.
Iintsikelelo
UDkt Alex Jimenez D.C., I-MSACP , I-CCST , IFMCP *, I-CIFM *, I-ATN *
email: qeqeshi@elpasofunctionalmedicine.com
Ilayisenisi kwi: Texas & New Mexico *
UGqr. Alex Jimenez DC, MSACP, CIFM*, IFMCP*, ATN*, CCST Ikhadi lam loShishino lweDijithali
by UGqr Alex Jimenez Unyango lwe-Acupuncture , Ubuhlungu obungapheliyo , Ukulimala koluhlu , Unyango , I-Viscerosomatic Reflex
Ngaba abantu abajongene neentlungu zemisipha banokufumana isiqabu kunyango lwe-acupuncture ukuze babuyele kwimisebenzi yabo yemihla ngemihla kunye nokuba sempilweni?
intshayelelo
Abantu abaninzi kwihlabathi jikelele baye bajongana neentlungu kwinkqubo yabo ye-musculoskeletal eye yachaphazela imisebenzi yabo yemihla ngemihla. Ezinye zezona zinto zixhaphakileyo abantu baye bafumana iintlungu zokuqaqamba kwezihlunu ziquka indlela yokuphila yokungaphumli ukusuka ekusebenzeni emsebenzini wedesika okanye iimfuno zomzimba ezivela kwindlela yokuphila esebenzayo. Izihlunu, ii-tendon, ii-ligaments, kunye ne-soft tissues zinokolulwa kwaye zisebenze kakhulu, zibangele ukuba izihlunu zibe buthathaka. Ngexesha elifanayo, imiba ye-visceral ye-somatic entanyeni, emagxeni, nasemva inokuchaphazela iindawo eziphezulu kunye nezisezantsi, ezikhokelela kubomi bokukhubazeka. Izinto ezininzi ezinokuthi zibe negalelo ekuphuhlisweni kweentlungu ze-muscle zinokuchaphazela inkqubo yomntu kwaye zibangele ukuba bafumane iindlela ezahlukeneyo zokunciphisa intlungu yemisipha emizimbeni yabo. Kuba iintlungu zezihlunu zinokuba bukhali okanye zingapheli, abantu abaninzi abafuna unyango kwizigulo zabo banokujonga kunyango olungalulo utyando olufana ne-acupuncture ukuba lunganciphisi nje iintlungu zezihlunu kodwa bafumane isiqabu abalufunayo. Inqaku lanamhlanje ligxile kwindlela iintlungu zemisipha ezinokuchaphazela ngayo impilo-ntle yomntu, indlela undoqo we-acupuncture onokuba luncedo ngayo kwiintlungu zemisipha, kunye nendlela abantu abanokudibanisa ngayo unyango lwe-acupuncture njengenxalenye yendlela yokuphila kakuhle. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya indlela intlungu yemisipha inokuchaphazela ngayo impilo yomntu. Siyazisa kwaye sikhokela izigulane malunga nendlela unyango lwe-acupuncture olunokuthi luzuze ngayo umzimba ngokunciphisa iziphumo zentlungu yemisipha. Sikhuthaza abaguli bethu ukuba babuze ababoneleli bezonyango abanxulumene nabo imibuzo entsonkothileyo kunye nebalulekileyo malunga nokubandakanya unyango lwe-acupuncture kwi-wellness routine ukunciphisa intlungu ye-muscle kunye neempawu zayo ezithunyelwe. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli .
Indlela Intlungu Yemisipha Enokuchaphazela Ngayo Intlalontle Yomntu
Ngaba uziva imiphumo yokukhathala kunye nobuthathaka kwimisipha yakho ephezulu nangaphantsi? Ngaba ukhe weva ubuhlungu obuqhelekileyo okanye amahlaba entanyeni yakho, emagxeni, okanye emqolo? Okanye ngaba ukujija kunye nokuguqula umzimba wakho kubangela ukukhululeka okwethutyana emzimbeni wakho, kuphela ukuba ube mandundu imini yonke? Xa kuziwa kwintlungu ye-muscle ingaba yimeko yezinto ezininzi apho oko kunokubandakanya ukusebenzisana okuyinkimbinkimbi kwisakhiwo somntu, umzimba, intlalontle, indlela yokuphila, kunye nempilo ye-comorbid enokuthi idlale njengezinto ezibangela ukuba abantu bafumane intlungu yexesha elide. kunye nokukhubazeka. ( Caneiro et al., 2021 ) Njengoko abantu abaninzi beqala ukwenza ukunyakaza okuphindaphindiweyo okanye ukuhlala kwiindawo zokulala, iintlungu zemisipha zinokukhula xa zisolula okanye zizama ukuhambisa izihlunu zabo ngelixa besenza imisebenzi yabo. Umthwalo weentlungu ze-muscle uhlala uhambelana nezinto zentlalo zoqoqosho ezinokubangela ukuba abantu abaninzi, abancinci nabadala, banciphise kakhulu ukuhamba kwabo kunye nokuzibandakanya kwindlela yabo yesiqhelo, ebeka phambili imingcipheko eyongeziweyo kwezinye iimeko ezingapheliyo abanokuba nazo. ( Dzakpasu et al., 2021 )
Xa abantu abaninzi bejongene neentlungu zemisipha ngendlela ebuhlungu okanye engapheliyo, abaninzi abaqondi ukuba xa izihlunu ezichaphazelekayo kwi-quadrants yomzimba ophezulu kunye nezantsi zijongene nentlungu, kukho intlungu ehambelanayo kunye nokuqina kwindlela esebenzayo okanye engasebenzi ngayo. Izihlunu zinokuchaphazela izicubu ezithambileyo ezibangela uxinzelelo oluphezulu lomatshini ukuya kuchaphazela amalunga amathambo. ( UWilke & Behringer, ngo-2021 ) Xa oku kwenzeka, abantu abaninzi baya kuqala ukufumana intlungu echazwe kwi-muscle emizimbeni yabo, ebangela imiba ngokuhamba kwabo, ukuguquguquka, kunye nokuzinza. Ngokuzenzekelayo, intlungu ye-muscle ingaba ngumqondiso wabantu abaninzi abaneentlungu ezahlukeneyo emizimbeni yabo eye yachaphazela ubomi babo ngaphambili; ukufuna unyango kunokunciphisa imiphumo yeentlungu ze-muscle kwaye ubancede babuyisele indlela yabo yokuphila ubomi obunempilo.
Amayeza okunyakaza-Ividiyo
VIDEO
Undoqo we-acupuncture yeentlungu zemisipha
Xa abantu abaninzi bejongene neentlungu zemisipha, bafuna unyango olungafikelelekiyo kuphela kodwa lunokusebenza ekunciphiseni iiprofayili zomngcipheko ezigqithisayo ezichaphazela umzimba, ezibangela iintlungu zemisipha. Unyango oluninzi olufana nokhathalelo lwe-chiropractic, i-decompression, kunye nonyango lwe-massage alukho utyando kwaye lusebenza ngeeseshoni ezilandelelanayo. Olunye lolona nyango ludala nolusebenzayo olunokunceda ukunciphisa intlungu yemisipha emzimbeni lunyango lwe-acupuncture. I-acupuncture lunyango olupheleleyo oluphuma kwiTraditional Chinese Medicine esebenzisa iinaliti ezincinci, eziqinileyo, ezibhityileyo ezifakwe ngoochwephesha abachwepheshile kwii-acupoints ezahlukeneyo. Eyona filosofi iphambili yeyokuba i-acupuncture ibonelela ngesiqabu emzimbeni njengoko inceda ekuphuculeni ukuhamba kwamandla omzimba ngelixa igcina impilo yomntu wonke kunye namandla. ( Zhang et al., 2022 ) Xa umntu ejongene nentlungu ye-muscle, i-muscle fibers inokuphuhlisa amaqhuqhuva amancinci aziwa ngokuba ngamanqaku okubangela angabangela intlungu kwi-quadrants ye-muscle echaphazelekayo. Ngenaliti ze-acupuncture ezibekwe kwindawo echaphazelekayo, iintlungu zengingqi kunye neentlungu ezigqithisiweyo ziyancitshiswa, ukuhamba kwegazi kwe-muscle kunye ne-oksijini ibuyiselwa emzimbeni, kwaye uluhlu lwe-muscle lwe-motion luphuculwe. ( Pourahmadi et al., 2019 ) Ezinye zezibonelelo ezibonelelwa ngonyango lwe-acupuncture ziquka:
Ukunyuka kokujikeleza Ukunciphisa ukudumba Ukukhutshwa kwe-Endorphin Ukukhululeka koxinzelelo lwemisipha
Ukudibanisa i-acupuncture njengenxalenye yeNkqubo yeMpilo
Abantu abaninzi abafuna unyango lwe-acupuncture njengenxalenye yohambo lwabo lokuphila kakuhle banokubona izibonelelo ezilungileyo ze-acupuncture kwaye banokuludibanisa nolunye unyango ukunciphisa amathuba okubuya kweentlungu zemisipha. Ngelixa i-acupuncture inokunceda ukuvuselela imithambo-luvo kunye nokubuyisela ukusebenza kwemoto, unyango olufana nokuhlanganiswa ngokubambisana lunokunceda ukolula izihlunu kunye namalungu achaphazelekayo ukuphucula uluhlu lokunyakaza komzimba. ( ULee et al., 2023 ) Ngabantu abaninzi abafuna unyango lwe-acupuncture ukunciphisa intlungu ye-muscle, abaninzi banokwenza utshintsho oluncinci kwindlela yabo yokuthintela intlungu ekubangeleni iiprofayili ezinobungozi ezigqithisekileyo emizimbeni yabo. Xa ulungisa iingcambu zentlungu kunye nokukhuthaza amandla okuphilisa emzimbeni, i-acupuncture inokunceda ukubuyisela ibhalansi, ukunciphisa ukungonwabi, kunye nokuphucula impilo-ntle jikelele.
Ucaphulo
Caneiro, JP, Bunzli, S., & O'Sullivan, P. (2021). Iinkolelo malunga nomzimba kunye neentlungu: indima ebalulekileyo kulawulo lweentlungu ze-musculoskeletal. Braz J Phys Ther , 25 (1), 17-29. doi.org/10.1016/j.bjpt.2020.06.003
Dzakpasu, FQS, Carver, A., Brakenridge, CJ, Cicuttini, F., Urquhart, DM, Owen, N., & Dunstan, DW (2021). Intlungu ye-musculoskelet kunye nokuziphatha kokuhlala kwindawo yokusebenza kunye neendawo ezingekho phantsi komsebenzi: ukuphononongwa ngokuchanekileyo kunye nohlalutyo lwe-meta. Int J Behav Nutr Phys Act , 18 (1), 159. doi.org/10.1186/s12966-021-01191-y
Lee, JE, Akimoto, T., Chang, J., & Lee, HS (2023). Iziphumo zokuhlanganiswa ngokubambisana kunye ne-acupuncture kwiintlungu, umsebenzi womzimba, kunye nokudandatheka kwizigulane ze-stroke ezinentlungu engapheliyo ye-neuropathic: Ulingo olulawulwa ngokungahleliwe. I-PLOS ONE , 18 (8), e0281968. doi.org/10.1371/journal.pone.0281968
Pourahmadi, M., Mohseni-Bandpei, MA, Keshtkar, A., Koes, BW, Fernandez-de-Las-Penas, C., Dommerholt, J., & Bahramian, M. (2019). Ukusebenza kwesidingo esomileyo sokuphucula intlungu kunye nokukhubazeka kubantu abadala abane-tension-type, i-cervicogenic, okanye i-headaches ye-migraine: iprotocol yokuhlaziywa okucwangcisiweyo. Unyango lweChiropr lomntu , 27 , 43. doi.org/10.1186/s12998-019-0266-7
Wilke, J., & Behringer, M. (2021). Ngaba “Ukulibaziseka Ukuqala Ukuqaqamba Kwezihlunu” Ngumhlobo Wobuxoki? Impembelelo enokwenzeka yeFascial Connective Tissue kwi-Post-Exercise Discomfort. Int J Mol Sci , 22 (17). doi.org/10.3390/ijms22179482
Zhang, B., Shi, H., Cao, S., Xie, L., Ren, P., Wang, J., & Shi, B. (2022). Ukutyhila umlingo we-acupuncture esekwe kwiindlela zebhayoloji: Uphononongo loncwadi. Iimpawu zeBiosci , 16 (1), 73-90. doi.org/10.5582/bst.2022.01039
isikhanyeli
by UGqr Alex Jimenez Umqolo obuhlungu , Chiropractic , Ubuhlungu obungapheliyo , Ubuhlungu Bokubuyisela , Unyango lokuthotywa koMnqonqo , Unyango , I-Viscerosomatic Reflex
Ngaba abantu abane-lumbar spinal stenosis banokusebenzisa i-spinal decompression ukunciphisa iintlungu ezisezantsi kunye nokubuyisela ukuhamba?
intshayelelo
Abantu abaninzi kwihlabathi jikelele baye bajongana neentlungu ezisezantsi ngaxa lithile ebomini babo eziye zachaphazela ukuhamba kwabo kwaye zachaphazela indlela yabo yesiqhelo. Izinto ezininzi zokusingqongileyo zingakhokelela ekuphuhlisweni kweentlungu ezisezantsi, njengokuphakanyiswa okungafanelekanga, ukungahambi kakuhle, ukulimala okubuhlungu, kunye neengozi ezinokuchaphazela imisipha ejikelezileyo, intambo yomgogodla kunye neengcambu zemithambo-luvo. Xa oku kusenzeka, kunokukhokelela kwi-lumbar spinal stenosis kwaye kubangele ukugqithiswa kweeprofayili zomngcipheko ezihambelana neentlungu ezisezantsi. Xa abantu bejongene ne-lumbar spinal stenosis, banokucinga ukuba intlungu yabo iphantsi. Ukuza kuthi ga ngoku, abantu abaninzi bafuna unyango ukuba bangagcini nje ukunciphisa intlungu ephantsi kodwa banciphise nemiphumo ye-lumbar spinal stenosis. Olunye unyango, olufana nokuthotywa komqolo, olulunyango olungasebenzisi utyando, lunokunceda ukubuyisela ukuhamba emzimbeni. Inqaku lanamhlanje lijonga indlela i-lumbar spinal stenosis echaphazela ngayo umva ophantsi kunye nokuxilongwa kwayo ngelixa ijonga indlela ukuchithwa komgogodla kunokubonelela ngayo umntu kwaye ibe neenzuzo ezintle ekubuyiseleni ukuhamba. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya indlela i-lumbar spinal stenosis ehambelana ngayo neentlungu ezisezantsi, ezibangela imiba yokuhamba. Sikwazisa kwaye sikhokela izigulane malunga nendlela i-spinal decompression yindlela egqwesileyo yonyango enokuthi idibaniswe nolunye unyango. Sikhuthaza izigulane zethu ukuba zibuze ababoneleli babo bezonyango abahambelanayo nemibuzo ebalulekileyo malunga nokubandakanya unyango lwe-decompression ukukhulula imiphumo yentlungu ebangelwa yi-lumbar stenosis ngelixa ukunciphisa imiphumo yeentlungu ezigqithisiweyo njengeentlungu ezisezantsi zokubuyisela ukuhamba komntu. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli .
Indlela iLumbar Spinal Stenosis echaphazela ngayo umqolo osezantsi
Ngaba uziva ukuntyiloza ngasemva kwemilenze yakho echaphazela ukukwazi kwakho ukuhambahamba? Okanye ngaba umqolo wakho osezantsi uziva uphantsi kancinci kunokuba ubuqhele ukwenza? Xa abantu abaninzi beva iintlungu ezisezantsi ngexesha lokuphila kwabo, zinokuhlala zihambelana ne-lumbar spinal stenosis. I-Lumbar spinal stenosis ngokuqhelekileyo iyenzeka xa i-spinal canal kwi-back back iyancipha, ekhokelela kwiinguqu eziguqukayo. Xa umgudu womgogodla uqala ukucutheka kumqolo, unokubangela ukungoneliseki okukhulu, uphazamise imisebenzi yemihla ngemihla, kwaye unokubangela ukukhubazeka okuqhubekayo kubantu abaninzi. ( Munakomi et al., 2024 ) Iimpawu ezibangelwa yi-lumbar spinal stenosis zivela kwi-mild to severe, kwaye zeziphi iimeko zendalo ezihambelana nomcimbi. Ngelo xesha, i-lumbar spinal stenosis ibonakala ngeempawu ezinjengeentlungu ezisezantsi ezinokubangela utshintsho lwe-spondylotic olubangela intlungu ephantsi enokuthi ichaphazele kakubi umgangatho wobomi bomntu. ( Ogon et al., 2022 ) Oku kubangela ukuba abantu abaninzi baye koogqirha babo bokuqala ukuze bafumane ukuxilongwa kwaye bafunde indlela yokulawula intlungu ehambelana ne-lumbar spinal stenosis.
Ukuxilongwa kweLumbar Spinal Stenosis
Xa kuziwa ekuxilongeni i-lumbar spinal stenosis, abaninzi ababoneleli bezempilo baya kubandakanya uvavanyo olubanzi, olubandakanya ukuhlolwa ngokomzimba ukuze ubone indlela ehamba ngayo umva womntu kunye nokuhlolwa kwe-imaging njenge-MRIs kunye ne-CT scans ukuze babone umgudu womgogodla kunye nokuvavanya ubungakanani bomqolo. ukunciphisa okubangela intlungu kwiindawo ezisezantsi. Oku kungenxa yokuba xa abantu bejongana ne-lumbar spinal stenosis, inokubonakalisa nge-neurogenic claudication kwiindawo ezisezantsi, ngakumbi xa umntu emile okanye ehleli. Intlungu iyancipha xa isikhundla sabo sitshintshwa. ( Sobanski et al., 2023 ) Ukongezelela, i-lumbar spinal stenosis yenye yezona zinto zixhaphakileyo zokuxilongwa kwezifo zomgudu apho uninzi lwabasebenzi bezempilo bavavanya kwaye bavavanya. Xa kukho ukucutha kwi-spinal canal, ekhokelela ekuphuhlisweni kwe-lumbar spinal, ukunyakaza okulula njengokuhamba kunokunyusa iimpawu kwiindawo ezisezantsi kunye nokwandisa i-oksijini kwiimbilini zomgogodla, ezinokuthi zigqithise ukuhamba kwegazi okukhoyo ukuya kwiindawo ezisezantsi. ( I-Deer et al., ngo-2019 ) Ukuza kuthi ga ngelo xesha, unyango olufana ne-spinal decompression lunokunceda ukunciphisa iintlungu ezisezantsi ezinxulumene ne-lumbar spinal stenosis.
Indlela engeyiyo Utyando kwiMpilo-Video
VIDEO
Indlela yokuNceda ngokuSebenzisa ukuthotywa koMnqonqo
Xa kuziwa kubantu abafumana iintlungu ezibangelwa yi-lumbar spinal stenosis, abantu abaninzi banokufuna unyango olungasebenzisi utyando olunje ngoxinzelelo lomqolo ukuthoba iintlungu ezisezantsi. Ukunyanzeliswa komgogodla kuye kwavela njengento engabonakaliyo, inketho yonyango olusebenzayo kwi-lumbar spinal stenosis. Isebenzisa ukutsalwa okuthambileyo komatshini kumqolo ukuze wolulwe, ukukhulula imithambo yomqolo ngokudala indawo eyongezelelekileyo ngaphakathi kumngxuma womqolo. Ukunyanzeliswa komgogodla kunciphisa inkqubo yokunciphisa ngelixa izihlunu ezijikelezileyo zoluliwe ngobumnene, kwaye ukuphakama kwe-spinal disc kuyanda ngenxa yoxinzelelo olubi. ( Kang et al., 2016 )
IiNzuzo zokuDodobala koMnqonqo kunye nokuBuyisela ukuHamba
Ukongezelela, i-traction ethambileyo evela kwi-spinal decompression inceda ukunyusa ukuhamba kwemveliso yezondlo kunye ne-oksijini ukubuyela kwiidiski zomgogodla ezichaphazelekayo kunye nomqolo ukukhuthaza indawo engcono yokuphilisa umzimba. Ekubeni ukunyanzeliswa komgogodla kunokudibaniswa nolunye unyango olungelulo utyando, njengonyango lomzimba kunye nokuguqulwa komgogodla, kunokubonelela ngemiphumo emihle ehlala ixesha elide kubantu abane-lumbar spinal stenosis. ( U-Ammendolia et al., ngo-2022 ) Ezinye zeziphumo eziluncedo zokudodobala komqolo ziquka:
Ukunciphisa intlungu ngokunciphisa uxinzelelo kwi-spinal nerves ukunciphisa intlungu kunye nokungahambi kakuhle kwiindawo ezisezantsi kakhulu. Ukuhamba okuphuculweyo kuvumela umntu ukuba abuyele kwimisebenzi yakhe yemihla ngemihla ngokulula.
Abantu abaninzi banokuzuza kwi-spinal decompression ukuze banciphise imiphumo ye-lumbar spinal stenosis kunye nokuhamba kwabo okuphantsi kubuyiselwe emva kweeseshoni ezilandelelanayo zokunciphisa amathuba okuba intlungu ibuye. Ngokucinga ngakumbi malunga nempilo kunye nokuphila kakuhle, abantu abaninzi banokwenza utshintsho oluncinci kwimisebenzi yabo ukunciphisa intlungu kwaye bahlale behamba ubomi babo bonke. Oku kubavumela ukuba babe nethemba lokubakhulula kwintlungu abebephantsi kwayo.
Ucaphulo
Ammendolia, C., Hofkirchner, C., Plener, J., Bussieres, A., Schneider, MJ, Young, JJ, Furlan, AD, Stuber, K., Ahmed, A., Cancelliere, C., Adeboyejo, A ., & Ornelas, J. (2022). Unyango olungasebenziyo lwe-lumbar spinal stenosis kunye ne-neurogenic claudication: ukuhlaziywa okucwangcisiweyo okuhlaziyiweyo. BMJ Open , 12 (1), e057724. doi.org/10.1136/bmjopen-2021-057724
Deer, T., Sayed, D., Michels, J., Josephson, Y., Li, S., & Calodney, AK (2019). Ukuphononongwa kweLumbar Spinal Stenosis kunye ne-Intermittent Neurogenic Claudication: Izifo kunye nokuxilongwa. Iintlungu Med , 20 (Isihlomelo 2), S32-S44. doi.org/10.1093/pm/pnz161
Kang, JI, Jeong, DK, & Choi, H. (2016). Impembelelo ye-spinal decompression kumsebenzi we-lumbar muscle kunye nokuphakama kwediski kwizigulane ezine-disk intervertebral disk. Ijenali yoNyango lwezeMpilo , 28 (11), 3125-3130. doi.org/10.1589/jpts.28.3125
Munakomi, S., Foris, LA, & Varacallo, M. (2024). I-Spinal Stenosis kunye ne-Neurogenic Claudication. Kwi StatPearls . www.ncbi.nlm.nih.gov/pubmed/28613622
Ogon, I., Teramoto, A., Takashima, H., Terashima, Y., Yoshimoto, M., Emori, M., Iba, K., Takebayashi, T., & Yamashita, T. (2022). Izinto ezinxulumene neentlungu ezisezantsi kwizigulane ezine-lumbar spinal stenosis: isifundo esinqamlezayo. I-BMC Musculoskelet Disord , 23 (1), 552. doi.org/10.1186/s12891-022-05483-7
Sobanski, D., Staszkiewicz, R., Stachura, M., Gadzielinski, M., & Grabarek, BO (2023). Ukunikezelwa, ukuxilongwa, kunye noLawulo lweentlungu ezisezantsi eziNxulunyaniswe ne-Spinal Stenosis: Ukuphononongwa okuBalisayo. Inyanga yezeMed , 29 , e939237. doi.org/10.12659/MSM.939237
isikhanyeli
by UGqr Alex Jimenez Unyango lwe-Acupuncture , Ubuhlungu obungapheliyo , Ukuhamba kunye nokuguquguquka , Unyango , I-Viscerosomatic Reflex
Ngaba abantu abajongene neentlungu ezidibeneyo banokubandakanya unyango lwe-acupuncture ukulawula iimpawu ze-lupus kunye nokubuyisela ukuhamba komzimba?
intshayelelo
Amajoni omzimba abaluleke kakhulu kumzimba njengoko umsebenzi wawo ophambili kukukhusela izakhiwo ezibalulekileyo kubahlaseli bangaphandle abanokuthi babangele imiba efana neentlungu kunye nokungonwabi. I-immune system inobudlelwane obuphilileyo kunye neenkqubo ezahlukeneyo zomzimba, kubandakanywa ne-musculoskeletal system, njengoko i-cytokines evuthayo inceda ukuphilisa umonakalo wemisipha kunye nezicubu xa umzimba wenzakala. Ngokuhamba kwexesha, nangona kunjalo, xa iimeko eziqhelekileyo zokusingqongileyo kunye nemfuzo ziqala ukukhula emzimbeni, amajoni omzimba aya kuqala ukuthumela ezi cytokines kwiiseli eziphilileyo, eziqhelekileyo. Ukuza kuthi ga ngelo xesha, umzimba uqala emngciphekweni wokuphuhlisa izifo ezizimelayo. Ngoku, izifo ezizimelayo emzimbeni zinokubangela isiphithiphithi ngokuhamba kwexesha xa zingalawulwa, nto leyo ekhokelela kwiziphazamiso ezingapheliyo ezinokubangela iimpawu ezidlulayo kwinkqubo ye-musculoskeletal. Esinye sezona zifo zixhaphakileyo ze-autoimmune yi-systemic lupus erythematosus okanye i-lupus, kwaye inokubangela ukuba umntu abe neentlungu ezingaguqukiyo kunye nokungonwabi ngelixa enxibelelana nezihlunu kunye neentlungu zamalungu. Inqaku lanamhlanje lijonga izinto kunye neziphumo ze-lupus, umthwalo wentlungu edibeneyo kwi-lupus, kunye nendlela iindlela ezipheleleyo ezifana ne-acupuncture ezinokunceda ukulawula i-lupus ngelixa ubuyisela ukuhamba komzimba. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya indlela yokunciphisa iintlungu ezibangelwa yi-lupus kumalungu. Siyazisa kwaye sikhokela izigulane malunga nendlela i-acupuncture enokunceda ngayo ukulawula i-lupus kunye nokudibanisa ezinye iindlela zonyango zokunciphisa iimpawu zayo ezinjengeentlungu ezichaphazela inkqubo ye-musculoskeletal system. Sikhuthaza abaguli bethu ukuba babuze ababoneleli babo bezonyango abahambelana nemibuzo ebalulekileyo malunga nokubandakanya unyango lwe-acupuncture ukukhulula iziphumo ezivuthayo ze-lupus ngelixa befumana iindlela zendalo zokubuyisela ukuhamba. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli .
Imiba kunye neziphumo zeLupus
Ngaba uye wafumana intlungu edibeneyo kwiindawo zakho eziphezulu okanye ezisezantsi, okwenza kube nzima ukusebenza imini yonke? Ngaba ubusoloko uziva iziphumo zokudinwa rhoqo? Abantu abaninzi abahlangabezana nale miba efana neentlungu banokubeka emngciphekweni wokuphuhlisa i-systemic lupus erythematosus. Kwesi sifo se-autoimmune, amajoni omzimba aqala ngempazamo ukuhlasela izicubu zawo, nto leyo ekhokelela ekudumbeni kunye noluhlu lweempawu ezinjengeentlungu. I-Lupis inobuqili bokuxilonga ngenxa ye-immune dysregulation entsonkothileyo enokukhokelela ekuveliseni kakhulu iicytokines ezinokuchaphazela umzimba. ( ULazar & Kahlenberg, 2023 Kwangaxeshanye, i-lupus inokuchaphazela abantu abahlukeneyo, kunye neempawu kunye nokuqina okungafaniyo kuxhomekeke kwindlela ezibuthathaka okanye ezinzima ngayo izinto ezichaphazela umzimba. I-Lupus inokuchaphazela amalungu ahlukeneyo omzimba, kubandakanya amalungu, ulusu, izintso, iiseli zegazi, kunye namanye amalungu abalulekileyo omzimba kunye namalungu, njengoko izinto zokusingqongileyo kunye nehomoni zinokuchaphazela ukukhula kwayo. ( Tsang & Bultink, 2021 ) Ukongezelela, i-lupus inokudityaniswa ngokusondeleyo kunye nezinye izinto ezibangela ukugqithiswa kweeprofayili ezinobungozi kunye nokuvuvukala okunokuchaphazela amajoyina kwi-musculoskeletal system.
Umthwalo weentlungu ezidibeneyo kwiLupus
I-Lupus inobuqili ukuyifumanisa kuba ihlala ilinganisa ezinye izigulo; olona phawu luqhelekileyo lwentlungu oluchaphazela ilupus ngamalunga. Abantu abane-lupus bafumana intlungu edibeneyo, enokubangela iziphumo ezivuthayo kunye nomonakalo wesakhiwo kumalungu, imisipha, imisipha kunye namathambo, okubangela ukungahambi kakuhle kwe-pathological. ( UDi Matteo et al., 2021 ) Ekubeni i-lupus ibangela iziphumo ezivuthayo kumalungu, abantu abaninzi baya kucinga ukuba bafumana i-arthritis evuthayo, kwaye inokubangela ukugqithiswa kweeprofayili zengozi njengoko ihamba kunye ne-lupus, ngaloo ndlela ibangela intlungu yendawo kumalungu kungakhathaliseki ukuba imvelaphi yayo. ( Senthelal et al., 2024 ) Intlungu edibeneyo kubantu be-lupus inokuthintela kakhulu imisebenzi yemihla ngemihla, ukunciphisa ukuhamba kunye nomgangatho wobomi bonke njengoko bezama ukufumana isiqabu.
Ukuvula iiMfihlo zoKudumba-Ividiyo
VIDEO
Indlela epheleleyo yokulawula iLupus
Nangona unyango oluqhelekileyo lwe-lupus lubandakanya amayeza kunye ne-immunosuppressants ukunciphisa ukuvuvukala okubangelwa yi-lupus, abantu abaninzi bafuna ukufuna iindlela ezipheleleyo zokulawula i-lupus kunye nokunciphisa iziphumo ezivuthayo ezichaphazela amalungu abo ngokwenza utshintsho oluncinci ebomini babo. Abantu abaninzi bafaka ukutya okuchasene nokudumba okutyebileyo kwi-antioxidants ukudambisa iziphumo ezivuthayo. Izongezelelo ezahlukeneyo, ezifana ne-vitamin D, i-calcium, i-zinc, njl., zinokunceda ukunciphisa ukuvuvukala okubangelwa yi-lupus kunye nokomeleza impilo yamathambo. Ukongezelela, unyango olungelulo utyando lunokuphucula umthamo we-cardiorespiratory kunye nokunciphisa ukukhathala ngelixa uphucula umsebenzi wengqondo, onokunceda ukuphucula umgangatho wobomi bomntu ngokulawula iimpawu ezibangelwa yi-lupus. ( Fangtham et al., 2019 )
Ingayinceda njani i-Lupus kunye nokubuyisela ukuHamba
Enye yezona ndlela zindala zeendlela ezingezizo utyando kunye nezipheleleyo zokunciphisa ukudumba kunye nokulawula i-lupus yi-acupuncture. I-acupuncture ibandakanya iinaliti eziqinileyo, ezincinci ezisetyenziswa ngabaqeqeshi abaqeqeshwe kakhulu ukuba bafakwe kumanqaku athile omzimba ukulinganisa i-qi yomzimba (amandla) ngokuvuselela inkqubo ye-nervous kunye nokukhulula iikhemikhali eziluncedo kwimisipha echaphazelekayo, intambo yomgogodla kunye nengqondo. Ukongeza, i-acupuncture, eneziphumo zayo ezincinci kunye nendlela epheleleyo, inokunceda ukulawula i-lupus. Oku kungenxa yokuba xa iinaliti ze-acupuncture zifakwe kwii-acupoints zomzimba, zinokuphazamisa iimpawu zentlungu ezibangela intlungu kwindawo echaphazelekayo kwaye zilawule i-cytokines evuthayo esuka kwi-lupus ukubonelela ngokukhululeka. ( Wang et al., 2023 ) Oku kungenxa yefilosofi yayo yokujongana neentlungu zomzimba kuphela kodwa kunye neempawu zeemvakalelo nezengqondo zokuphila kunye nesifo esingapheliyo njenge-lupus.
Ukongezelela, i-acupuncture inokunceda ukubuyisela ukuhamba ngokubambisana ngelixa ulawula i-lupus ngokusebenzisa unyango olulandelelanayo, njengoko abantu abaninzi beqaphela ukuba ukuhamba kwabo ngokubambisana kuphuculwe kwaye intlungu yabo iyancipha. Oku kungenxa yokuba ukufakwa kunye nokuguqulwa kweenaliti kwi-acupoints yomzimba kubangela ukuguqulwa kwigalelo le-afferent sensory kwinkqubo ye-nervous central, eyandisa i-alpha motoneuron excitability kunye nokunciphisa ukuvutha. ( UKim et al., 2020 ) Xa abantu bejongana ne-lupus kwaye bezama ukufumana ezinye iindlela ezipheleleyo zokuphelisa ukudumba kunye neentlungu ezidibeneyo ezibangelwa yi-lupus, i-acupuncture, kunye nonyango olungelulo utyando lunokunika i-ray yethemba ekulawuleni imingeni yemihla ngemihla ye-lupus.
Ucaphulo
Di Matteo, A., Smerilli, G., Cipolletta, E., Salaffi, F., De Angelis, R., Di Carlo, M., Filippucci, E., & Grassi, W. (2021). Ukufanekisa ukuBandakanya kweTissue eDityanisiweyo kunye neSoft kwi-Systemic Lupus Erythematosus. Curr Rheumatol Rep , 23 (9), 73. doi.org/10.1007/s11926-021-01040-8
Fangtham, M., Kasturi, S., Bannuru, RR, Nash, JL, & Wang, C. (2019). Unyango olungelulo lwe-pharmacologic lwe-systemic lupus erythematosus. Lupus , 28 (6), 703-712. doi.org/10.1177/0961203319841435
UKim, D., Jang, S., & Park, J. (2020). I-Electroacupuncture kunye ne-Manual Acupuncture Yongeza i-Flexibility Joint kodwa Ukunciphisa Amandla Emisipha. Ukhathalelo lwempilo (Basel) , 8 (4). doi.org/10.3390/healthcare8040414
ULazar, S., & Kahlenberg, JM (2023). I-Systemic Lupus Erythematosus: IiNdlela eziNtsha zokuHlola kunye noNyango. UAnn uMfundisi Med , 74 , 339-352. doi.org/10.1146/annurev-med-043021-032611
Senthelal, S., Li, J., Ardeshirzadeh, S., & Thomas, MA (2024). Isifo samathambo. Kwi StatPearls . www.ncbi.nlm.nih.gov/pubmed/30085534
Tsang, ASMWP, & Bultink, IEM (2021). Uphuhliso olutsha kwi-systemic lupus erythematosus. Rheumatology (Oxford) , 60 (Suppl 6), vi21-vi28. doi.org/10.1093/rheumatology/keab498
Wang, H., Wang, B., Huang, J., Yang, Z., Ingoma, Z., Zhu, Q., Xie, Z., Sun, Q., & Zhao, T. (2023). Ukusebenza kunye nokukhuseleka konyango lwe-acupuncture kunye ne-pharmacotherapy eqhelekileyo kunyango lwe-systemic lupus erythematosus: ukuphononongwa ngokuchanekileyo kunye nohlalutyo lwe-meta. Iyeza (Baltimore) , 102 (40), e35418. doi.org/10.1097/MD.0000000000035418
isikhanyeli
by UGqr Alex Jimenez Ubuhlungu obungapheliyo , Electroacupuncture Therapy , entanyeni Pain , Unyango lweentlungu , Unyango , I-Viscerosomatic Reflex
Ngaba abantu abane-thoracic outlet syndrome banokubandakanya i-electroacupuncture ukunciphisa intlungu yentamo kunye nokubuyisela ukuma okufanelekileyo?
intshayelelo
Amaxesha amaninzi kwihlabathi liphela, abantu abaninzi baye bafumana iintlungu ezijikeleze iintamo zabo, ezinokukhokelela kwiintlungu kunye nokungakhululeki. Izinto ezininzi zokusingqongileyo, ezifana nokuba kwindawo yokuzingela ngelixa ujonge ikhompyutha okanye ifowuni, ukulimala okubuhlungu, ukungahambi kakuhle, okanye imiba yomgogodla, kunokubangela iimpawu ezinjengeentlungu kunye neengxaki kumzimba. Ekubeni intlungu yentamo isikhalazo esiqhelekileyo abantu abaninzi abahluphekayo, iimpawu ezifana nokubetha, ukuphazamiseka, okanye ubuthathaka bemisipha kwiindawo ezingaphezulu kunokukhokelela kwi-comorbidities. Xa oku kwenzeka, kunokukhokelela ekuphuhlisweni kwemeko enzima eyaziwa ngokuba yi-thoracic outlet syndrome okanye i-TOS. Inqaku lanamhlanje lijonga ikhonkco phakathi kwe-thoracic outlet syndrome kunye nentlungu yentamo, indlela yokulawula i-TOS ngelixa unciphisa intlungu yentamo, kunye nendlela i-electroacupuncture inokunceda ngayo nge-TOS. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya indlela yokunciphisa imiphumo ye-TOS ngelixa unciphisa intlungu yentamo. Siyazisa kwaye sikhokela izigulane malunga nendlela i-electroacupuncture enokunceda ngayo ukulawula i-TOS. Sikhuthaza izigulane zethu ukuba zibuze ababoneleli babo bezonyango abahambelanayo nemibuzo ebalulekileyo malunga nokubandakanya i-electroacupuncture yokunciphisa i-TOS ehambelana nentamo. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli .
Ikhonkco phakathi kweThoracic Outlet Syndrome & Neck Pain
Ngaba ukhe wayiqaphela indlela ozingela ngayo ngaphezu kwesiqhelo? Ngaba ufumana iimpawu zokuntlitheka okanye ukuba ndindisholo ukusuka ezingalweni ukuya ezandleni zakho? Okanye ngaba uziva ukuxinezeleka kwemisipha entanyeni yakho? I-Thoracic outlet syndrome, okanye i-TOS, yimeko enzima ebangela ukunyanzeliswa kwezakhiwo ze-neurovascular phakathi kwe-clavicle kunye ne-rib yokuqala. ( Masocatto et al., 2019 ) Ezi zakhiwo ze-neurovascular zikufuphi nentamo kunye namagxa. Xa izakhiwo zokusingqongileyo zichaphazela iziphelo eziphezulu, kunokukhokelela ekugqithiseni intlungu yentamo, enokubangela ukugqithiswa kweeprofayili zengozi. Ezinye zezinto ezinokuthi i-TOS zibe negalelo kwiintlungu zentamo ziquka:
Iinguqu ze-atomical Ukunyanzeliswa okubi Ukuphindaphinda Ukwenzakala okubuhlungu
Ngelo xesha, abantu abaneentlungu zentamo banokuhlakulela i-TOS, njengoko intlungu yentamo yimeko ye-multifactorial ye-musculoskeletal enokuthi idibaniswe neeprofayili ezinobungozi ezigqithisiweyo ezifaka isandla kwi-TOS. ( Kazeminasab et al., 2022 ) Njengoko kuchaziwe ngaphambili, izinto ezifana nokungahambi kakuhle zinokuthi zigqithise imisipha yentamo kunye nezakhiwo ze-neurovascular, ezikhokelela kwiimpawu zentlungu ye-neuropathic ezinokubangela intlungu ebuhlungu ebhekiswe kwintamo kunye nobuthathaka bemisipha. ( Childress & Stuek, 2020 ) Xa oku kwenzeka, abantu abaninzi baya kuqala ukuziva bebuhlungu kwaye baqale ukufuna unyango ukuze banciphise i-TOS kuphela kodwa nokunciphisa intlungu yentamo.
Yintoni iThoracic Outlet Syndrome- Ividiyo
VIDEO
Ukulawula i-TOS kunye nokunciphisa iintlungu zeNtamo
Xa kuziwa ekuphatheni i-TOS, ngakumbi xa iintlungu zentamo ziyingxenye ebalulekileyo, abantu abaninzi baya kuzama ukufuna unyango olungenalo utyando ukunciphisa iimpawu. Abantu abaninzi banokuzama unyango lomzimba ukolula kunye nokomeleza amagxa, isifuba, kunye nezihlunu zentamo ukukhulula uxinzelelo. Abanye banokuzama unyango olwenziwa ngokudibeneyo entanyeni ngelixa i-neural-tissue-oriented for TOS ukuphucula ukuhlanganiswa kwiindawo eziphezulu kunye nokuphucula ukungahambi kakuhle. ( Kuligowski et al., 2021 ) Ukongezelela, unyango olungenalo utyando lunokudibaniswa kunye nezinye iindlela zonyango zokunciphisa amathuba okuba i-TOS ibuyele njengoko inokuthi inyuse ngakumbi umsebenzi we-sensory-motor emva kwentamo nangaphezulu. ( Borrella-Andres et al., 2021 )
Indlela i-Electroacupuncture enokunceda ngayo nge-TOS
I-Electroacupuncture yindlela yanamhlanje ye-acupuncture yendabuko eyinxalenye yonyango olungasebenzisiyo olunokunceda ukulawula i-TOS ngelixa unciphisa intlungu yentamo. I-Electroacupuncture yinguqu yokufaka iinaliti kwii-acupoints zomzimba ngelixa idibanisa ukukhuthazwa kombane ukuhambisa umbane ojikelezayo kwindawo echaphazelekayo ngobunono. ( Zhang et al., 2022 ) Ezinye zeempawu eziluncedo ezinokubonelelwa nge-electrostimulation kwi-TOS ziquka:
Ukunciphisa intlungu ngokukhuthaza ukukhululwa kwee-endorphins ukunciphisa ukuvuvukala. Nceda ukhulule izihlunu ezichaphazelekayo esifubeni nasentanyeni ukuze unciphise uxinzelelo kwiimbilini ze-thoracic outlet. Ukunceda ukuphucula ukuhamba kwegazi ukunciphisa ukunyanzeliswa kwe-vascular ye-TOS. Ukunceda ukuvuselela i-nerve pathway ukukhuthaza ukusebenza kakuhle kwe-nerve kunye nokunciphisa iimpawu ezinjengeentlungu.
Ngokubandakanya i-electroacupuncture kunye nonyango olungelulo utyando ukunciphisa i-TOS, abantu abaninzi banokwenza uhlengahlengiso kwimikhwa yabo yokuphila kwaye bathintele imiba ekuchaphazeleni imizimba yabo ephezulu. Ngokusebenzisa olu nyango, abantu abaninzi banokuphulaphula imizimba yabo kwaye bagxininise kwimpilo yabo kunye nokuphila kakuhle ngokujongana neempawu ezifana nentlungu abazifumana kwi-TOS ehambelana nentlungu yentamo. Ngexesha elifanayo, banobudlelwane obuhle kunye noogqirha babo bokuqala ukuphuhlisa isicwangciso sonyango lomntu siqu esinokulawula iimpawu zabo ze-TOS kwiziphumo ezilungileyo.
Ucaphulo
Borrella-Andres, S., Marques-Garcia, I., Lucha-Lopez, MO, Fanlo-Mazas, P., Hernandez-Secorun, M., Perez-Bellmunt, A., Tricas-Moreno, JM, & Hidalgo- UGarcia, C. (2021). Unyango lweManuwali njengoLawulo lweCervical Radiculopathy: Ukuphononongwa okuCwangcisiweyo. I-Biomed Res Int , 2021 , 9936981. doi.org/10.1155/2021/9936981
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/dam/brand/aafp/pubs/afp/issues/2020/0801/p150.pdf
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
Kuligowski, T., Skrzek, A., & Cieslik, B. (2021). Unyango lweNcwadana kwi-Cervical and Lumbar Radiculopathy: Ukuphononongwa okuCwangcisiweyo koNcwadi. Int J Environ Res Impilo yoLuntu , 18 (11). doi.org/10.3390/ijerph18116176
Masocatto, NO, Da-Matta, T., Prozzo, TG, Couto, WJ, & Porfirio, G. (2019). I-Thoracic outlet syndrome: uphononongo olubalisayo. Umfundisi Col Bras Cir , 46 (5), e20192243. doi.org/10.1590/0100-6991e-20192243 (Sindrome do desfiladeiro toracico: uma revisao narrativa.)
Zhang, B., Shi, H., Cao, S., Xie, L., Ren, P., Wang, J., & Shi, B. (2022). Ukutyhila umlingo we-acupuncture esekwe kwiindlela zebhayoloji: Uphononongo loncwadi. Iimpawu zeBiosci , 16 (1), 73-90. doi.org/10.5582/bst.2022.01039
isikhanyeli
by UGqr Alex Jimenez Chiropractic , Ubuhlungu obungapheliyo , IiOthotics zeenyawo , I-Hip Pain kunye nokuphazamiseka , Unyango , I-Viscerosomatic Reflex
Ngaba izigulane ze-plantar fasciitis zingabandakanya unyango olungasebenzisiyo ukunciphisa intlungu ye-hip kunye nokubuyisela ukuhamba?
intshayelelo
Wonke umntu umi ngeenyawo rhoqo njengoko inceda abantu ukuba bahlale behamba kwaye ibavumela ukuba bahambe ukusuka kwenye indawo ukuya kwenye. Abantu abaninzi bahlala bemi ngeenyawo ukusuka ebuntwaneni ukuya ebudaleni. Oku kungenxa yokuba iinyawo ziyingxenye yemilenze ephantsi ye-musculoskeletal ezinzisa i-hips kwaye ivumela umsebenzi we-sensory-motor ukuya emilenzeni, emathangeni, kunye namathole. Iinyawo nazo zinemisipha eyahlukeneyo, i-tendon, kunye nemigqa ejikeleze isakhiwo samathambo ukukhusela intlungu kunye nokukhathazeka. Nangona kunjalo, xa ukunyakaza okuphindaphindiweyo okanye ukulimala kuqala ukuchaphazela iinyawo, kunokukhokelela kwi-plantar fasciitis kwaye, ngokuhamba kwexesha, kubangele ukugqithiswa kweeprofayili ezinobungozi ezikhokelela kwiintlungu ze-hip. Xa abantu befumana ezi meko ezinjengeentlungu, zinokuchaphazela kakhulu imisebenzi yabo yemihla ngemihla kunye nomgangatho wobomi ngokubanzi. Xa oku kusenzeka, abantu abaninzi bafuna unyango olwahlukeneyo ukuze banciphise iimpawu ezifana neentlungu ezibangelwa yi-plantar fasciitis kunye nokubuyisela ukuhamba kwe-hip. Inqaku lanamhlanje lijonga indlela i-fasciitis ye-plantar ehambelana ngayo nentlungu ye-hip, ukudibanisa phakathi kweenyawo kunye nezinqe, kunye nokuba kukho izisombululo ezingezizo zokuhlinzwa zokunciphisa i-plantar fasciitis. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya indlela yokunciphisa i-plantar fasciitis kunye nokubuyisela ukuhamba kwe-hip. Siyazisa kwaye sikhokela izigulane malunga nokuba zininzi kangakanani unyango olungenalo utyando olunokunceda ukuqinisa izihlunu ezibuthathaka ezinxulumene ne-plantar fasciitis kunye nokunceda ekubuyiseleni ukuzinza kwiintlungu ze-hip. Sikhuthaza izigulane zethu ukuba zibuze ababoneleli babo bezonyango abahambelanayo nemibuzo ebalulekileyo malunga nokubandakanya utshintsho oluncinci ukunciphisa iintlungu ezinjengeentlungu ezibangelwa yi-plantar fasciitis. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli .
I-Plantar Fasciitis ihambelana njani neentlungu ze-Hip
Ngaba ufumana intlungu kwizithende zakho rhoqo emva kokuhamba ixesha elide? Ngaba uziva uqina ezinqeni zakho xa usolula? Okanye ngaba uziva ukuba izihlangu zakho zibangela uxinzelelo kunye neentlungu ezinyaweni zakho namathole? Ngokuqhelekileyo, uninzi lwezi meko ezinjengeentlungu zibangelwa ngabantu abajongene ne-plantar fasciitis, ebonakaliswa yintlungu yesithende ngenxa yokudumba okanye ukucaphuka okuwohlokayo kwe-plantar fascia, ibhande lezicubu ezingqindilili lihamba liwela emazantsi onyawo kwaye lixhuma kwi-fascia. ithambo lesithende kwiinzwane kwiindawo ezisezantsi. Le bhendi yezicubu idlala indima ebalulekileyo emzimbeni, inika i-biomechanics eqhelekileyo ezinyaweni ngelixa ixhasa i-arch kwaye inceda ngokufunxa ukothuka. ( Buchanan et al., 2024 ) I-Plantar fasciitis inokuchaphazela ukuzinza kweendawo ezisezantsi kuba intlungu ichaphazela iinyawo kwaye ibangele intlungu ye-hip.
Ke, i-plantar fasciitis inganxulumana njani neentlungu ze-hip? Nge-plantar fasciitis, abantu abaninzi bafumana intlungu ezinyaweni zabo. Ingakhokelela ekumeni kweenyawo ezingaqhelekanga, ubuthathaka bemisipha ephantsi, kunye noxinzelelo lwemisipha enokunciphisa ukuzinza kwemilenze kunye nezihlunu ze-hip. ( ULee et al., 2022 ) Ngentlungu ye-hip, abantu abaninzi banokufumana ukungasebenzi kakuhle kwe-gait okubangela ubuthathaka bemisipha kwiindawo ezisezantsi kwaye kubangela ukuba imisipha ye-accessory yenze imisebenzi ephambili yemisipha. Ukuza kuthi ga ngelo xesha, oku kunyanzela abantu ukuba bachithe umhlaba xa behamba. ( Ahuja et al., 2020 ) Oku kungenxa yokuba iimeko eziqhelekileyo ezifana nokuguga kwendalo, ukuxhatshazwa kwemisipha, okanye ukuxhatshazwa kunokubangela iimpawu ezinjengeentlungu ezinqeni, kubandakanywa ukungahambi kakuhle emathangeni, kwi-groin, kunye nommandla we-buttock, ukuqina ngokubambisana, kunye nokunciphisa uluhlu lokunyakaza. Iintlungu ze-Hip zingabangela ukugqithiswa kweeprofayili ezinobungozi ezinokubandakanya ukuphindaphinda kweenyawo, oko kukhokelela kwiimpawu ezibukhali ezibuhlungu ezibuhlungu kwisithende.
Umdibaniso phakathi kweenyawo kunye neeHips
Kubalulekile ukuqonda ukuba iingxaki zeenyawo ezifana ne-plantar fasciitis zinokuchaphazela i-hips kunye ne-vice versa, njengoko zombini imimandla yomzimba inobudlelwane obuhle ngaphakathi kwenkqubo ye-musculoskeletal system. I-Plantar fasciitis ezinyaweni zabo inokuguqula umsebenzi wabo we-gait, enokuthi iholele kwiintlungu ze-hip ngokuhamba kwexesha. Oku kungenxa yezinto ezininzi zokusingqongileyo ezinokuchaphazela ama-hips kunye neenyawo ngokuhamba kwexesha, okukhokelela kwi-plantar fasciitis ehambelana nentlungu ye-hip. Ukusuka kwizinto ezithwala ubunzima obugqithisileyo ukuya kwi-microtrauma ezinqeni okanye kwi-plantar fascia, abantu abaninzi baya kuhlala befuna unyango lokunciphisa imiphumo ye-plantar fasciitis ehambelana nentlungu ye-hip ngokujongana nendlela uluhlu lwabo lokunyakaza oluchaphazela ngayo i-plantarflexion kunye nomthwalo wabo kumandla. -i-absorbing plantar surface structures ingaba yindawo efanelekileyo yokuqala ekukhuseleni kunye nonyango lwe-plantar fasciitis ehambelana neentlungu ze-hip. ( Hamstra-Wright et al., 2021 )
Yintoni i-Plantar Fasciitis?-Ividiyo
VIDEO
Izisombululo ezingezizo Utyando zokunciphisa i-Plantar Fasciitis
Xa kufikwa ekunciphiseni i-plantar fasciitis emzimbeni, abantu abaninzi baya kufuna unyango olungasebenzisi utyando olunokuthi luthomalalise iintlungu ezivela kwi-plantar fascia. Unyango olungasebenzisi utyando luyindleko kwaye lunokunciphisa intlungu kwi-plantar fasciitis kunye neempawu zayo ezihambelanayo, njengentlungu ye-hip. Ezinye zezibonelelo zonyango ezingezizo utyando zithembisa, njengoko zinomngcipheko ophantsi weengxaki, ukufikeleleka kakuhle, kunye nomthamo ophezulu wokukhulula umthwalo womatshini kwi-fascia plantar xa wenza imisebenzi eqhelekileyo. ( Schuitema et al., 2020 ) Olunye unyango olungasebenzisi utyando olunokuthi lufakwe ngabantu abaninzi lubandakanya:
Ukuzilolonga Izixhobo ze-Orthotic Ukhathalelo lweChiropractic Ukunyanga kwamayeza I-acupuncture/electroacupuncture Ukunyibilika komgogodla
Olu nyango lungenalo utyando aluncedi nje ukunciphisa i-plantar fasciitis kodwa lukwanceda ukunciphisa intlungu ye-hip. Ngokomzekelo, ukuchithwa kwe-spinal decompression kunokunceda ukubuyisela ukuhamba kwe-hip ngokwandisa i-lumbar spine kunye nokunciphisa iindawo ezisezantsi kwi-numbness ngelixa uqinisa imisipha eqinile. ( Takagi et al., 2023 ). I-Electroacupuncture inokuvuselela i-acupoints yomzimba ukukhulula i-endorphins kwiindawo ezisezantsi zokunciphisa ukuvuvukala kwe-fascia plantar. ( Wang et al., 2019 ) Xa abantu beqala ukwenza utshintsho oluncinci kwindlela yabo, njengokugqoka izicathulo ezifanelekileyo kunye nokungathwali okanye ukuphakamisa izinto ezinobunzima obunzima, kunokuhamba ixesha elide ukukhusela i-fasciitis ye-plantar kunye neentlungu ze-hip ezivela kwakhona zingahamba ixesha elide. Ukuba nesicwangciso sonyango lomntu siqu kunokuqinisekisa ukuba abantu abaninzi abafuna unyango olungasebenzisi lutyando baneziphumo ezingcono kwimpilo yabo kunye nokuhamba ngelixa bekhusela iingxaki zexesha elide.
Ucaphulo
Ahuja, V., Thapa, D., Patial, S., Chander, A., & Ahuja, A. (2020). Iintlungu ezingapheliyo ze-hip kubantu abadala: ulwazi lwangoku kunye nekamva elizayo. J Anaesthesiol Clin Pharmacol , 36 (4), 450-457. doi.org/10.4103/joacp.JOACP_170_19
Buchanan, BK, Sina, RE, & Kushner, D. (2024). I-Plantar Fasciitis. Kwi StatPearls . www.ncbi.nlm.nih.gov/pubmed/28613727
Hamstra-Wright, KL, Huxel Bliven, KC, Bay, RC, & Aydemir, B. (2021). Imiba yoMngcipheko we-Plantar Fasciitis kubantu abaSebenza ngoMzimba: Ukuphononongwa okuCwangcisiweyo kunye nohlalutyo lweMeta. Impilo yezemidlalo , 13 (3), 296-303. doi.org/10.1177/1941738120970976
Lee, JH, Shin, KH, Jung, TS, & Jang, WY (2022). Ukusebenza kwe-Muscle okusezantsi kunye noxinzelelo lweenyawo kwizigulane ezine-Plantar Fasciitis kunye nangaphandle kwe-Flat Foot Posture. Int J Environ Res Impilo yoLuntu , 20 (1). doi.org/10.3390/ijerph20010087
Schuitema, D., Greve, C., Postema, K., Dekker, R., & Hijmans, JM (2020). Ukuphumelela koNyango lweMechanical ye-Plantar Fasciitis: Ukuphononongwa okuCwangcisiweyo. J Ukuvuselela iMidlalo , 29 (5), 657-674. doi.org/10.1123/jsr.2019-0036
Takagi, Y., Yamada, H., Ebara, H., Hayashi, H., Inatani, H., Toyooka, K., Mori, A., Kitano, Y., Nakanami, A., Kagechika, K., Yahata, T., & Tsuchiya, H. (2023). Ukunciphisa i-lumbar spinal stenosis kwindawo yokufaka i-catheter ye-intrathecal ngexesha lonyango lwe-baclofen ye-intrathecal: ingxelo yecala. J Med Case Rep , 17 (1), 239. doi.org/10.1186/s13256-023-03959-1
Wang, W., Liu, Y., Zhao, J., Jiao, R., & Liu, Z. (2019). I-Electroacupuncture versus manual acupuncture kunyango lwe-plantar heel pain syndrome: iprotocol yokufunda yovavanyo oluzayo olulawulwa ngokungahleliwe. BMJ Open , 9 (4), e026147. doi.org/10.1136/bmjopen-2018-026147
isikhanyeli
by UGqr Alex Jimenez Chiropractic , entanyeni Pain , Unyango lweentlungu , Unyango lokuthotywa koMnqonqo , Unyango , I-Viscerosomatic Reflex
Ngaba abantu abaneentlungu zomgogodla womlomo wesibeleko banokubandakanya unyango lwe-spinal decompression ukunciphisa intlungu yentamo kunye neentloko?
intshayelelo
Abantu abaninzi bajongana nentlungu yentamo ngaxa lithile, ekhokelela kwimicimbi emininzi enokuchaphazela ubomi babo bemihla ngemihla. Yabona, intamo yinxalenye yommandla wesibeleko se-musculoskeletal system. Ijikelezwe yimisipha, izicubu ezithambileyo, kunye nemigqaliselo ekhusela intambo yomgogodla ngelixa ivumela intloko ukuba ihambe. Njengeentlungu ezibuhlungu, intlungu yentamo yinto eqhelekileyo eyenza intlungu kunye nokungahambi kakuhle kwizinto ezinxulumene nokusingqongileyo kunye nokulimala okubuhlungu. Xa umntu ejongene neentlungu zentamo, bahlangabezana ne-comorbidities ebangela ukugqithiswa kweeprofayili zomngcipheko njengentloko kunye ne-migraines. Nangona kunjalo, unyango olufana ne-spinal decompression lunokunceda ukunciphisa intlungu yomqolo wesibeleko echaphazela intamo kunye nokunciphisa iziphumo ezibuhlungu zentloko kunye ne-migraines. Inqaku lanamhlanje lijonga impembelelo yentlungu yomlomo wesibeleko kunye neentloko, ukuba ukuchithwa komgogodla kunokunciphisa njani intlungu yomgogodla wesibeleko, kunye nendlela eluncedo ngayo ekunciphiseni iintloko. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya indlela yokunciphisa intlungu yomlomo wesibeleko ukusuka entanyeni. Siyazisa kwaye sikhokela izigulane malunga nendlela ukuchithwa kwe-spinal decompression kunokunceda ukunciphisa iintloko ezibangelwa yintlungu yomgogodla wesibeleko. Sikhuthaza izigulane zethu ukuba zibuze ababoneleli babo bezonyango abahambelanayo nemibuzo ebalulekileyo malunga nokubandakanya unyango lwe-spinal decompression therapy njengenxalenye yendlela yabo yokunciphisa iintloko kunye ne-migraines ehambelana nentamo. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli .
Iziphumo Zeentlungu Zomlomo wesibeleko & Nentloko
Ngaba uziva unzima kumacala omabini entanyeni yakho okubangela ukuba uhambe ngokukhawuleza xa ujika intamo yakho? Ngaba ukhe waziva iintlungu ezibetha rhoqo kwiitempile zakho? Okanye ngaba uziva uqaqanjelwa yimisipha entanyeni nasemagxeni ekubeni uzingelwe kwikhompyuter ixesha elide? Abantu abaninzi abajongana nale miba efana neentlungu banokuhlangabezana neentlungu zomqolo wesibeleko. Izizathu ezahlukahlukeneyo ezinokukhokelela ekuphuhlisweni kweentlungu zomgogodla womlomo wesibeleko ziquka iidiski ze-herniated, i-pinched nerves, i-spinal stenosis, kunye ne-muscle strain ephuma kwingingqi yentamo. Oku kungenxa yokuba intlungu yomgogodla wesibeleko inokudibaniswa nezinto ezisingqongileyo ezinokubangela intlungu kunye nokungahambi kakuhle, ukukhubazeka, kunye nokukhubazeka komgangatho wobomi njengoko imisipha yentamo ejikelezayo igxininisekile kwaye iqinile. ( UBen Ayed et al., 2019 ) Xa abantu bejongene neentlungu zomgogodla wesibeleko, enye yeempawu ezihambelana nayo yintloko. Oku kungenxa yokuba iindlela ezintsonkothileyo zemithambo-luvo ziqhagamshelwe entanyeni nasentloko. Xa intlungu yomqolo wesibeleko ibangela le miba, inokuchaphazela kakhulu umsebenzi womzimba womntu wemihla ngemihla njengoko intlungu ihambela phezulu.
Ngelo xesha, intlungu yentamo yisifo se-multifactorial esinokuthi sibe ngumcimbi omkhulu kwihlabathi jikelele. Njengeentlungu zangasemva, izinto ezininzi ezinobungozi zinokufaka isandla ekuphuhlisweni kwayo. ( Kazeminasab et al., 2022 ) Ezinye izinto ezinobungozi, ezifana nokusetyenziswa kwefowuni ngokugqithiseleyo, kubangela ukuguquka kwentamo ixesha elide entanyeni nasemagxeni, kubangela ukulayishwa kwe-static ye-muscular kunye nokungabikho kwenkxaso kwiindawo eziphezulu. ( Al-Hadidi et al., 2019 ) Ukuza kuthi ga ngoku, izinto ezinobungozi bokusingqongileyo ezifana nokusetyenziswa kwefowuni ngokugqithiseleyo zingenza abantu baphuhlise isikhundla esizingelayo kwiintamo zabo ezinokucinezela i-spinal disc kwingingqi yomlomo wesibeleko kunye nokwandisa iingcambu ze-nerve ukuvelisa intloko kunye neentlungu. Nangona kunjalo, abantu abaninzi baye bafumana iindlela zokunciphisa intlungu yomgogodla wesibeleko kwaye bafumane ukukhululeka kweentlungu kwiintloko zabo.
Imithambo yaseKhaya yokuNceda iintlungu-Ividiyo
VIDEO
Njani ukudodobala koMnqongo kunciphisa iintlungu zoMnqongo wesibeleko
Xa kuziwa ekunciphiseni intlungu yomgogodla wesibeleko, abantu abaninzi baye bafumana ukuba ukunyanzeliswa komgogodla kunokunceda ukunciphisa imiphumo yentlungu yomlomo wesibeleko. Ukunyanzeliswa komqolo kuye kwaqatshelwa njengonyango olusebenzayo olungasebenzisi utyando xa kufikwa ekudambiseni intlungu yomqolo wesibeleko. Yintoni eyenziwa yi-spinal decompression kukuba ivumela uxinzelelo olubi kumgudu womlomo wesibeleko ukukhulula nayiphi na i-disc ye-herniated yeengcambu ze-nerve ezinobungozi kunye nokunceda ukuphucula iimpawu ze-neurological. ( Kang et al., 2016 ) Oku kubangelwa ukuba umntu ubotshwe ngokukhululekileyo kumatshini wokutsala owolula ngobunono kwaye uthobe i-vertebrae yomgogodla. Ukongezelela, ezinye zeenzuzo zokunyanzeliswa komgogodla kwintlungu yomgogodla wesibeleko ziquka:
Ukuphuculwa kokulungelelaniswa komgogodla ukunciphisa uxinzelelo lwemisipha kwimisipha yentamo kunye namalungu. Ukuphucula ukuphiliswa komzimba ngokwendalo ngokunyusa ukuhamba kwegazi kunye nokutshintshiselana ngezondlo. Ukwandiswa kokuhamba kwentamo ngokunciphisa ukuqina kwemisipha. Ukunciphisa amanqanaba eentlungu ezibangela intloko ebuhlungu.
IiNzuzo zokuDodobala koMnqonqo Kwintloko
Ukongezelela, ukunyanzeliswa komgogodla kunokuncedisa ukunciphisa iintloko ezinxulumene nentlungu yomgogodla womlomo wesibeleko njengoko ukunyanzeliswa komgogodla kunokudibaniswa kunye nolunye unyango olufana ne-acupuncture kunye nonyango lomzimba ukukhulula idayisi yomgogodla ephumayo kunye nokuzinza ngaphakathi kwe-annulus ngokunyuka komgogodla. ( Van Der Heijden et al., 1995 ) Oku kubangelwa ukunyathela ngobumnene entanyeni ebangela ukuba i-disc ye-prolapsed iphinde ibeke kwakhona ngelixa ibuyisela ukuphakama kwe-disc ukunciphisa uxinzelelo kwiimbilini. ( U-Amjad et al., ngo-2022 ) Xa umntu esenza unyango lwe-spinal decompression therapy ngokulandelelana, iintlungu ezinjengeentlungu zentlungu yomlomo wesibeleko kunye neentloko ezinxulumene nazo ziqala ukunciphisa ixesha elide, kwaye abantu abaninzi baya kuqala ukuqaphela indlela imikhwa yabo ehambelana ngayo nentlungu yabo. Ngokubandakanya unyango lwe-spinal decompression therapy njengenxalenye yonyango lwabo, abantu abaninzi banokwenza utshintsho oluncinci kwindlela yabo yesiqhelo kwaye bakhumbule ngakumbi imizimba yabo ukukhusela ukuqhubela phambili kwentlungu yomlomo wesibeleko ekubuyeni.
Ucaphulo
Al-Hadidi, F., Bsisu, I., AlRyalat, SA, Al-Zu'bi, B., Bsisu, R., Hamdan, M., Kanaan, T., Yasin, M., & Samarah, O. (2019). Umbutho phakathi kokusetyenziswa kweefowuni eziphathwayo kunye neentlungu zentamo kubafundi baseyunivesithi: Uphononongo olunqamlezayo usebenzisa isikali sokulinganisa amanani okuvavanya intlungu yentamo. I-PLOS ONE , 14 (5), e0217231. doi.org/10.1371/journal.pone.0217231
Amjad, F., Mohseni-Bandpei, MA, Gilani, SA, Ahmad, A., & Hanif, A. (2022). Imiphumo yonyango lwe-decompression non-surgeon ukongeza kunyango oluqhelekileyo lomzimba kwiintlungu, uluhlu lokunyakaza, ukunyamezela, ukukhubazeka okusebenzayo kunye nomgangatho wobomi ngokubhekiselele kunyango oluqhelekileyo lomzimba yedwa kwizigulane ezine-radiculopathy lumbar; ulingo olulawulwa ngokungakhethiyo. I-BMC Musculoskelet Disord , 23 (1), 255. doi.org/10.1186/s12891-022-05196-x
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
Kang, J.-I., Jeong, D.-K., & Choi, H. (2016). Impembelelo ye-spinal decompression kumsebenzi we-lumbar muscle kunye nokuphakama kwediski kwizigulane ezine-disk intervertebral disk. Ijenali yoNyango lwezeMpilo , 28 (11), 3125-3130. doi.org/10.1589/jpts.28.3125
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
Van Der Heijden, GJ, Beurskens, AJ, Koes, BW, Assendelft, WJ, De Vet, HC, & Bouter, LM (1995). Ukusebenza kweTraction for Back and Neck Pain: Ukuphononongwa okuCwangcisiweyo, okuBlinded kwiiNdlela zoVavanyo lweClinical Randomized. Ulungiso lwenyama , 75 (2), 93-104. doi.org/10.1093/ptj/75.2.93
isikhanyeli
by UGqr Alex Jimenez Ubuhlungu obungapheliyo , Electroacupuncture Therapy , Unyango , I-Viscerosomatic Reflex
Kubantu abajongene neentlungu ze-musculoskeletal, ngaba ukubandakanya unyango lwe-acupuncture kunye ne-electroacupuncture therapy lubonelela ngeziphumo eziluncedo?
intshayelelo
I-quadrants yomzimba ophezulu kunye nesezantsi ijikelezwe yimisipha, izicubu ezithambileyo, kunye nemigqaliselo evumela umzimba ukuba uhambe kunye neemvakalelo zentlungu okanye ukungahambi kakuhle. Iqela ngalinye le-muscle linomsebenzi obalulekileyo wokubonelela ngemisebenzi ye-sensory-motor efana nokubamba izinto, iziphelo ezihambayo, ukuxhasa umzimba ngendlela echanekileyo, kunye nokuzinzisa ubunzima be-axial. Nangona kunjalo, abantu abaninzi baye bamkela imikhwa eyahlukahlukeneyo evela kwizinto ezisingqongileyo okanye baye ngenxa yokulimala okubuhlungu okunokubangela intlungu ye-muscle ekugqithiseni kwi-quadrants yomzimba ophezulu nangaphantsi. Xa oku kusenzeka, kunokukhokelela kubomi bokukhubazeka, intlungu, kunye nokungakhululeki ekuhambeni kwexesha ukuba ayiphathwa ngoko nangoko. Ukuza kuthi ga ngelo xesha, iintlungu ze-musculoskeletal zinokubangela ukugqithiswa kweeprofayili zomngcipheko kunye nezinye izinto ezinokuthi zibekho ngaphambili emzimbeni. Ngethamsanqa, unyango oluninzi lunokunceda ukunciphisa iintlungu ze-musculoskeletal kwaye zincede umzimba. Inqaku lanamhlanje lijonga iindlela ezimbini ezahlukeneyo zonyango ezingezizo utyando, indlela nganye eluncedo ngayo ekunciphiseni iintlungu ze-musculoskeletal, kunye nokuba zisebenza kangakanani na zinokunceda abantu abaninzi abaneentlungu ze-musculoskeletal. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya indlela yokunciphisa iintlungu ezinjengeentlungu zentlungu ye-musculoskeletal kunye nonyango olungenalo utyando. Sikwakhokela izigulane malunga nendlela olu nyango olungasebenzisiyo lunokunceda ukunciphisa iintlungu ezigqithisiweyo ezibangelwa yimiba eyahlukeneyo yokusingqongileyo echaphazela inkqubo yabo ye-musculoskeletal system. Sikhuthaza izigulana zethu ukuba zibuze ababoneleli bezonyango abanxulumene nabo imibuzo entsonkothileyo kunye nebalulekileyo malunga nokubandakanya unyango olungalulo utyando kunyango lwempilo yabo kunye nokuba sempilweni. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli .
Ukubanjwa Kwemveli kwe-Acupuncture
Emva kokusebenza nzima imini yonke, ngaba iingalo, imilenze okanye iinyawo zakho ziba buhlungu? Ngaba ukhe wafumana naziphi na iimpawu zokuba ndindisholo okanye ukuqina kumalungu aphezulu okanye asezantsi omzimba wakho? Okanye ngaba uziva ubuhlungu bemisipha kunye neentlungu emva kokuvuka ekuseni? Ehlabathini lonke, abantu abaninzi baye bajongana neentlungu ze-musculoskeletal ngaxa lithile, nto leyo ebangela ukuba abantu abaninzi baphoswe yimisebenzi emininzi. Intlungu ye-musculoskeletal yimeko ye-multifactorial enokuthi nawuphi na umntu aphuhlise ixesha elide. Ezinye iindlela zebhayoloji ezinegalelo ekuphuhlisweni kweentlungu ze-musculoskelet zinokuba zi-heterogeneous, cardiometabolic, kunye nokudumba kwenkqubo okunokuchaphazela umzimba. ( Dzakpasu et al., 2021 ) Xa abantu abaninzi bephindaphinda ukunyakaza okanye bejongene nokulimala, kunokubangela ukuba izihlunu ezahlukahlukeneyo zolule, ziqiniswe, okanye zibe buthathaka, ezinokubangela ukuba abantu bazive bebuhlungu kwaye bafune unyango. Xa abantu besiya kufumana unyango lweentlungu zabo ze-musculoskeletal, abantu abaninzi baya kuxelela oogqirha babo malunga namava abo entlungu kunye nendlela eyichaphazela ngayo impilo-ntle yabo yemihla ngemihla. Ngokufumana ulwazi malunga nendlela intlungu ye-musculoskelet echaphazela kakubi ngayo ubomi babo, indlela ye-multidisciplinary yokulawula intlungu egxininisa ukuvuselela kunye nonyango olungenalo utyando lungaba yinyathelo lokuqala ekulawuleni ngokufanelekileyo intlungu ye-musculoskeletal. ( Welsh et al., 2020 )
Ngoku, unyango olungasebenzisi utyando luyahluka ngokuxhomekeke kubunzima beentlungu ze-musculoskeletal umntu ahlangabezana nazo. Kuba iintlungu ze-musculoskeletal ziyimeko enezinto ezininzi, abantu abaninzi banokufumana ii-comorbidities ezibangela ukuba iiprofayili zomngcipheko zinxibelelene nentlungu ye-musculoskeletal, yiyo loo nto abantu abaninzi bebandakanya unyango olungangoqhaqho kuba lufikeleleka kwaye lunokudityaniswa nolunye unyango. Olunye lolona nyango ludala lusasetyenziswayo namhlanje yi<em>acupuncture. Ngoku, i-acupuncture ibandakanya ukufakwa kweenaliti ezincinci, eziqinileyo kwii-acupoints zomzimba ukubuyisela ukuhamba okuqhelekileyo kwamandla ngeendlela zomzimba. Iingcali eziqeqeshwe kakhulu zenza i-acupuncture, kwaye ikhuselekile kwaye iyasebenza kumntu ojongene neentlungu ze-musculoskeletal. Ukongezelela, i-acupuncture inokuchaphazela ngokufanelekileyo umzimba njengoko inokunceda ukuguqula umbono wentlungu ye-muscle echaphazelekayo. ( UKelly noWillis, ngo-2019 )
Indlela i-acupuncture eluncedo ngayo kwiintlungu zemisipha
I-acupuncture inokubonelela ngeziphumo eziluncedo kubantu ngokugxininisa ukuhlanganiswa kweendlela zokuziphilisa ukubuyisela i-homeostasis yomzimba kwindawo eqhelekileyo. ( Wang et al., 2023 ) Ezinye zezinto eziluncedo abantu abanokuzifumana ngeacupuncture ziquka:
Ibonelela ngokukhululeka kweentlungu zendalo ngokukhuthaza ukukhululwa kwee-endorphins kwimisipha echaphazelekayo. Ukunciphisa ukuvuvukala kwemisipha kwindawo yeqela le-muscle echaphazelekayo. Ukuphucula ukujikeleza kwegazi ukunciphisa ukuqina kwemisipha kunye nobuhlungu. Ukunciphisa uxinzelelo kunye noxinzelelo lwemisipha kwindawo echaphazelekayo.
Kwangaxeshanye, unyango lwe-acupuncture kwiintlungu ze-muscle lunokunceda ukunciphisa iziphumo zokuthintela kunye nokulungelelanisa ukuvakalelwa kweentlungu, ezithi ke ziguqule uvakalelo oluphakathi. ( UZhu et al., 2021 )
Ukujijeka kwangoku kwe-Electroacupuncture
Ngoku, i-electroacupuncture yindlela eyahlukileyo ye-acupuncture esebenzisa ukusetyenziswa kweenaliti ze-acupuncture kunye nokuvuselela kombane kwi-muscle echaphazelekayo. Kwangaxeshanye, xa abantu benyangwa nge-electroacupuncture, imithambo-luvo yabo ye-somatosensory afferent inika isiqabu kwiintlungu. Zithintelwe ukumisa iimpawu zentlungu ekufikeleleni kwinkqubo ye-nervous central. ( Chen et al., 2021 ) Oku kungenxa yokuba ukongeza ukuvuselela kombane kunokuphucula iziphumo zonyango zamanqaku e-acupuncture emzimbeni.
Indlela i-Electroacupuncture eyizuza ngayo iintlungu zezihlunu
Ngokumalunga nokunciphisa intlungu ye-muscle, i-electroacupuncture isebenza ngakumbi njengoko i-acupuncturists inokunceda ukulungelelanisa ukunyanzeliswa kombane wombane kwi-muscle echaphazelekayo ukuze kuqinisekiswe induduzo. Ezinye zezibonelelo ezibonelelwa yi-electroacupuncture ziquka:
Ukuthomalalisa iintlungu eziphuculweyo njengoko umsinga wombane unokukhuthaza ukukhululwa kwe-endorphin. Ukuphumla kwemisipha kwi-spasms kwiqela le-muscle elichaphazelekayo. Ukwandisa izinga lokuphilisa ngokuvuselela izihlunu ezinzulu. Ukunceda ukomeleza amandla emisipha kunye nokuguquguquka ukuphucula ukusebenza.
I-Electroacupuncture inokuphelisa iintlungu kwaye ide ilungelelanise iimpawu ze-biomechanical ze-extensor-flexor muscles ukuphucula ukulayisha okungaqhelekanga okudibeneyo okubangelwa yintlungu ye-musculoskeletal. ( Shi kunye nabanye, ngo-2020 )
Ezi ziNyango zimbini zinceda njani ngeentlungu ze-Musculoskeletal?
Xa kuziwa kwi-acupuncture kunye ne-electroacupuncture, konke kuxhomekeke kubunzima beentlungu ze-musculoskeletal ezichaphazela umzimba. Abantu abaninzi bakhetha i-acupuncture yesiko kwiintlungu ezibukhali ze-musculoskeletal ngendlela ebanzi. Ngokuthelekisa, abanye banokukhetha i-electroacupuncture ukunciphisa iintlungu ezingapheliyo zentlungu ye-musculoskeletal. Nangona kunjalo, zombini ezi zonyango azikho utyando. Zinokudityaniswa nolunye unyango olufana nonyango lomzimba okanye ukhathalelo lwe-chiropractic ukunceda ukuvuselela into yokuphilisa yendalo yomzimba kunye nokuphelisa iintlungu ze-musculoskeletal. Xa ezi zonyango zimbini zidibaniswa kunye nezinye iindlela zonyango, izihlunu ezichaphazelekayo ziqiniswa kwaye zinikeze umsebenzi wokuhamba ubuyela kwiindawo eziphakamileyo. Xa abantu beqala ukucinga ngempilo-ntle yabo, banokusebenzisa olu nyango ukunciphisa ii-comorbidities ezinxulumene neentlungu ze-musculoskeletal ezibachaphazelayo. Ngaloo ndlela ibavumela ukuba benze utshintsho oluncinci, olunempilo kwindlela yabo yesiqhelo kwaye baphile ubomi obungenazintlungu.
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Ucaphulo
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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
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