Ubuhlungu Bokubuyisela
Iqela leChiropractic leChiropractic eNgemva eNgemva. Ngaphezulu kwe-80% yabemi babandezeleka ngenxa yentlungu emva kwexesha elithile ebomini babo. Uninzi lweemeko zinokudityaniswa nezona zizathu zixhaphakileyo: ubunzima bemisipha, ukulimala, okanye ukusetyenziswa kakubi. Kodwa inokuthi ifakwe kwimeko ethile yomqolo: i-Herniated Disc, i-Degenerative Disc Disease, i-Spondylolisthesis, i-Spinal Stenosis, kunye ne-Osteoarthritis. Iimeko eziqhelekileyo ezingaphantsi kwe-sacroiliac ukungasebenzi kakuhle, izicubu zomgogodla, i-fibromyalgia, kunye ne-piriformis syndrome.
Ubuhlungu bubangelwa ngumonakalo okanye ukulimala kwimisipha kunye nemigqa yomqolo. UDkt Alex Jimenez uqulunqe amanqaku achaza ukubaluleka kokuqonda izizathu kunye nemiphumo yolu phawu olungathandekiyo. I-Chiropractic igxile ekubuyiseleni amandla omntu kunye nokuguquguquka ekuncedeni ukuphucula iimpawu zentlungu ephantsi.
by UGqr Alex Jimenez Umqolo obuhlungu , Chiropractic , Ubuhlungu obungapheliyo , Ubuhlungu Bokubuyisela , Unyango lokuthotywa koMnqonqo , Ucoceko loMgcini , Unyango , I-Viscerosomatic Reflex
Ngaba abantu banokufaka i-decompression ukunciphisa uxinzelelo lwe-spinal disc kumqolo wabo ophantsi ukubuyisela umgangatho wobomi babo?
intshayelelo
Umqolo unobudlelwane obumangalisayo kunye nomzimba womntu njengoko uyinxalenye ye-musculoskeletal system. Umqolo unamacandelo amaninzi avumela umzimba ukuba uhambe kwaye uncede uzinzise amaqela ahlukeneyo emisipha ejikeleze iindawo eziphezulu nezisezantsi. Xa umzimba uhamba, umqolo uqala ukucinezela i-spinal discs phakathi kwekholamu yomgogodla, onceda ukunciphisa umthwalo we-axial othe nkqo. Abantu abaninzi abanemisebenzi enzima kakhulu baya kusebenzisa iintshukumo eziphindaphindayo ezibangela ukuba i-spinal disc ihlale ixinzelelwe. Xa i-spinal disc iqala ukunyanzeliswa ngokuqhubekayo, inokuqhekeka ngokuhamba kwexesha ukusuka kuxinzelelo olukhulu. Iyakwazi ukunyusa i-nerve ejikelezileyo enokubangela ukuba iimpawu ezinjengeentlungu ezibhekiselele kwiindawo eziphezulu kunye nezantsi. Ukuza kuthi ga ngelo xesha, kunokukhokelela kubomi bokukhubazeka ukuba ayiphathwa ngoko nangoko. Ngethamsanqa, unyango oluninzi lunokunceda ukunciphisa uxinzelelo olukhulu olusuka kwi-spinal discs kunye nokunciphisa iimpawu ezinjengeentlungu ezivela kwiindawo eziphezulu kunye nezisezantsi. Inqaku lanamhlanje lijonga indlela uxinzelelo lomgogodla oluchaphazela ngayo umva ophantsi kunye nendlela ukuchithwa kwengcinezelo kunokunceda ukunciphisa uxinzelelo lomqolo kumqolo osezantsi. Sithetha nababoneleli bezonyango abaqinisekisiweyo ababandakanya ulwazi lwezigulane zethu ukubonelela ngezisombululo ezahlukeneyo zokunciphisa uxinzelelo lomgogodla kumqolo. Sikwaxelela izigulana ukuba unyango olufana ne-decompression lunokunciphisa njani uxinzelelo lwe-axial kumqolo osezantsi. Sikhuthaza izigulane zethu ukuba zibuze imibuzo enzima kunye nemfundo kubaboneleli bethu bezonyango abahambelanayo malunga neempawu ezinjengeentlungu abahlangabezana nazo ezihambelana noxinzelelo lomgogodla oluchaphazela umva wabo ophantsi. UDkt Alex Jimenez, D.C., usebenzisa olu lwazi njengenkonzo yezemfundo. isikhanyeli .
Ingaba Uxinzelelo loMnqongo luwuchaphazela njani umqolo ongezantsi?
Ngaba ukhe waziva naziphi na izihlunu okanye ukuqina kumqolo wakho ongaphantsi emva kokugoba ukuze uchole into? Kuthekani ngokuziva iintlungu ezibuhlungu kumqolo wakho ongezantsi ophumela entanyeni okanye emilenzeni yakho? Okanye ngaba uziva intlungu kwindawo enye yomqolo wakho ongahambiyo emva kokuphumla? Xa abantu abaninzi besentlungwini, kwaye amayeza asekhaya awaboneleli ngesiqabu esiwafaneleyo, banokuba bajongana noxinzelelo lomqolo oluchaphazela umqolo wabo. Xa abantu beqala ukwenza ukunyakaza okuphindaphindiweyo emizimbeni yabo, i-spinal disc iya kuqala ukuqhekeka kunye nokunciphisa ngokuxhomekeke kwimeko yokusingqongileyo intlungu ehambelana nayo.
Ngokumalunga noxinzelelo lomgogodla kumqolo ongaphantsi, i-disc iyancipha kwaye isengozini yokulimala. Xa kuziwa kuxinzelelo lomgogodla olunxulumene ne-disc herniation, kunokukhokelela kubantu abaninzi abajongene neentlungu ezisezantsi kwaye banokuchaphazela umgangatho wabo wobomi. Enye yeempawu ze-disc herniation ezihambelana noxinzelelo lomgogodla kukuba ukufuduka kwe-spinal disc kunokubangela intlungu kunye nokukhubazeka kumqolo ngenxa yokulimala okubuhlungu okanye utshintsho olubi ngenxa yenkqubo yokuguga kwendalo. ( Chu et al., 2023 ) Xa besebenza, abantu ngabanye babeka uxinzelelo oluqhubekayo kwimiqolo yabo, enokukhawuleza ukuphuhliswa kweentlungu ezisezantsi.
Ukongeza, xa kukho uxinzelelo olukhulu lomqolo kumqolo, imiba emininzi efana neentlungu abantu abangaqhelekanga ukuba nayo iya kuqala ukuvela. Oku kubangelwa ukufuduka okugxilwe kwi-disc ye-intervertebral engaphezulu komda oqhelekileyo womqolo kwaye icinezele ingcambu enye okanye ngaphezulu, enokubangela ukuba imiba ye-musculoskeletal ivele. ( Trager et al., 2022 ) Oku, kubangele, kubangela iintlungu ezibuhlungu kwiindawo eziphezulu kunye nezisezantsi zomzimba, ukuphazamiseka kwengqondo, ubuthathaka bemisipha, kunye nokunciphisa i-reflexes ye-muscle njengempawu ezibuhlungu kwi-back back. Kwangaxeshanye, xa abantu besiva iintlungu ezisezantsi ezinxulunyaniswa noxinzelelo lomqolo, izihlunu zabo zeloli zinokuthambeka okungaqhelekanga xa behleli, bemile kwaye behamba. ( Wang et al., 2022 ) Xa oku kusenzeka, kunokubangela ukuba bahlakulele ukuma kakubi, kwaye xa bemi nkqo, baya kuva iintlungu emqolo ongezantsi ngenxa yemisipha yelori ebuthathaka. Nangona kunjalo, kukho iindlela zokunciphisa uxinzelelo lomgogodla ekunyanzeliseni iingcambu ze-nerve ezichaphazela umqolo ophantsi.
Indlela engeyiyo Utyando kwiVidiyo yeMpilo-ntle
VIDEO
Xa bekhangela unyango olululo, abantu abaninzi bafuna ukukhangela into engabizi kakhulu kwaye ithomalalise iintlungu zabo. Unyango olungasebenzisi utyando lunendleko kwaye lusebenzisa iindlela ezahlukeneyo zokunceda ukunciphisa iintlungu ze-musculoskeletal ngokusebenzisa iintshukumo zoomatshini kunye nezandla ukuqinisa izihlunu ezibuthathaka, ukunciphisa uxinzelelo lomgogodla kwidiski, kunye nokunceda ukulungelelanisa umzimba ukukhuthaza iipropati zokuphilisa. Le vidiyo ingasentla ibonisa indlela unyango olungasebenzisi utyando olufana nokhathalelo lwe-chiropractic lunokunceda abantu abaninzi ukuba bafumane unyawo lwabo ekunene kuhambo lwabo lwezempilo kunye nempilo. Ngelo xesha, ukunyanzeliswa komgogodla lolunye uhlobo lonyango olungenalo utyando njengoko lubandakanya i-traction ethambileyo kumqolo wokunciphisa uxinzelelo lwe-intervertebral ngexesha elisebenzayo kunye ne-passive traction. ( Andersson et al., 1983 ) Xa umgudu utsalwa ngobumnene, i-disc ye-herniated iqala ukubuyela kwindawo yayo yasekuqaleni ibuyele kumqolo, emva koko ivumela ulwelo kunye nezondlo ukuba zibuyele kwi-disc kwaye zibuyisele kwakhona.
I-Decompression Ukunciphisa uxinzelelo loMnqonqo kumqolo osezantsi
Ke, ukunyanzeliswa komgogodla kunceda njani ukunciphisa uxinzelelo lwediski kumqolo xa ujongana neentlungu ezisezantsi? Njengoko bekutshiwo ngaphambili, ukudodobala komgogodla kubandakanya ukutsalwa okuthambileyo kumqolo ukuze utsalwe ngobunono ukolula izihlunu ezibuthathaka kumqolo osezantsi. Oku kubangela ubudlelwane obuphambeneyo njengoko uxinzelelo ngaphakathi kwe-nucleus pulposus yediski ye-herniated inokunceda ukuphucula i-posture kubantu abaninzi abaneentlungu ezisezantsi. (Ramos & Martin, 1994) Ngokufanayo, xa abantu abaninzi bebandakanya ukudambisa kunye ne-chiropractic, intlungu yentlungu iyancipha ngokuphawulekayo kuwo onke amalungu omzimba, kwaye abantu abaninzi baya kuqala ukuva ukukhululeka okubafaneleyo. ( Ljunggren et al., 1984 ) Xa abantu abaninzi bemamela imizimba yabo kwaye bafumane unyango olubafaneleyo, baya kuqalisa ukuqaphela indlela ukudambisa okunokunceda ngayo ukubuyisela imizimba yabo kunye nokuphucula impilo yabo.
Ucaphulo
Andersson, GB, Schultz, AB, & Nachemson, AL (1983). Uxinzelelo lwe-intervertebral disc ngexesha lokutsalwa. Scand J Rehabil Med Suppl , 9 , 88-91. www.ncbi.nlm.nih.gov/pubmed/6585945
Chu, E. C., Lin, A., Huang, K. H. K., Cheung, G., & Lee, W. T. (2023). I-Disc Emandundu Herniation Mimics Spinal Tumor. Cureus , 15 (3), e36545. doi.org/10.7759/cureus.36545
Ljunggren, AE, Weber, H., & Larsen, S. (1984). I-autotraction versus manual traction kwizigulane ezine-prolapsed lumbar intervertebral discs. Scand J Rehabil Med , 16 (3), 117-124. www.ncbi.nlm.nih.gov/pubmed/6494835
Ramos, G., & Martin, W. (1994). Iziphumo ze-vertebral axial decompression kuxinzelelo lwe-intradiscal. J Neurosurg , 81 (3), 350-353. doi.org/10.3171/jns.1994.81.3.0350
Trager, R. J., Daniels, C. J., Perez, J. A., Casselberry, R. M., & Dusek, J. A. (2022). Umbutho phakathi kwe-chiropractic spinal manipulation kunye ne-lumbar discectomy kubantu abadala abane-lumbar disc herniation kunye ne-radiculopathy: isifundo se-retrospective cohort usebenzisa idatha yase-United States. BMJ Open , 12 (12), e068262. doi.org/10.1136/bmjopen-2022-068262
Wang, L., Li, C., Wang, L., Qi, L., & Liu, X. (2022). I-Sciatica-Related Spinal Imbalance in Lumbar Disc Herniation Patients: Iimpawu zeRadiological and Recovery Emva kwe-Endoscopic Discectomy. J Iintlungu Res , 15 , 13-22. doi.org/10.2147/JPR.S341317
isikhanyeli
by UGqr Alex Jimenez Umqolo obuhlungu , Chiropractic , Ubuhlungu obungapheliyo , Disc Disc , Ubuhlungu Bokubuyisela , Unyango lokuthotywa koMnqonqo , Ucoceko loMgcini , Unyango , I-Viscerosomatic Reflex
Ngaba abantu abaneentlungu ze-herniated ezinxulumene neentlungu ezisezantsi bangafumana isiqabu ngokudodobala komqolo ukubuyisela ukuhamba?
intshayelelo
Abantu abaninzi emhlabeni jikelele baye bafumana intlungu kwingingqi yangasemva kwaye bahlala bekhalaza ukuba kuchaphazela ukuhamba kwabo xa besenza indlela yabo eqhelekileyo. Inkqubo ye-musculoskeletal inemisipha eyahlukeneyo, izicubu ezithambileyo, amalunga, iigaments, kunye namathambo anceda ukujikeleza umqolo kunye nokukhusela izitho ezibalulekileyo. Umqolo uqukethe amathambo, amalungu, kunye neengcambu zemithambo-luvo ezinobudlelwane obubalaseleyo kunye nenkqubo ye-nervous central kunye ne-musculoskeletal system njengoko intambo yomgogodla ikhuselwe ngamalunga omgogodla kunye neediski ezineengcambu zemithambo-luvo zisasazekile kwaye zinceda ukubonelela nge-sensory-motor. umsebenzi ukuya kwiziphelo eziphezulu nezisezantsi. Xa ii-pathogens ezahlukeneyo okanye izinto ezisingqongileyo ziqala ukubangela ukuba umqolo ucinezele i-spinal discs rhoqo, kunokukhokelela kwi-herniation kunye nokuchaphazela ukuhamba komzimba ngexesha. Abantu, abancinci nabadala, baya kuqaphela ukuba iintlungu azihambi kumayeza asekhaya kwaye kusenokufuneka bafune unyango ukuba iintlungu zininzi kakhulu. Nangona kunjalo, kunokukhokelela ekujonganeni noxinzelelo olungeyomfuneko xa ukhangela unyango olufikelelekayo. Inqaku lanamhlanje lijonga indlela i-herniation enokuchaphazela ngayo ukuhamba okuphantsi komva kunye nendlela unyango olufana ne-decompression lunokunceda ukubuyisela umqolo. Sithetha nababoneleli bezonyango abaqinisekisiweyo ababandakanya ulwazi lwezigulane zethu ukubonelela ngezisombululo ezahlukeneyo zokubuyisela ukuhamba okuphantsi komqolo. Sikwaxelela izigulana ukuba unyango olufana noxinzelelo lunokubuyisela njani ukuhamba komqolo emzimbeni. Sikhuthaza izigulane zethu ukuba zibuze imibuzo enzima kunye nemfundo kubaboneleli bethu bezonyango abahambelanayo malunga neempawu ezinjengeentlungu ezihlangabezana nazo ezihambelana ne-disc herniation echaphazela umqolo. UDkt Alex Jimenez, D.C., usebenzisa olu lwazi njengenkonzo yezemfundo. isikhanyeli .
I-Disc Herniation echaphazela ukuhamba ngasemva
Ngaba uhlala ufumana ukuqina okanye ukuhamba okulinganiselweyo kumqolo wakho osezantsi obangela ukuba uhambe kancinci kancinci kunesiqhelo? Ngaba uziva iintlungu kwizihlunu zakho ezisezantsi ukusuka ukolula okanye ukugoba ukuze uchole into? Okanye ngaba uziva ndindisholo okanye ukuntyiloza ezantsi kwemilenze yakho eziva ingakhululekanga? Xa abantu abaninzi beqala ukwenza iintshukumo eziphindaphindayo, oko kunokubangela ukuba iidiski zomnqonqo zicinezele ngokuhamba kwexesha kwaye ekugqibeleni zibe yi-herniated. Xa abantu abaninzi besebenza ngokugqithisileyo imizimba yabo, iidiski zabo zomgogodla zinokuqhekeka ekugqibeleni, zibangele ukuba indawo engaphakathi iphume kwaye icinezele ingcambu yemithambo-luvo ejikelezileyo. Oku kubangela ukuba i-disc ye-disc ibe ne-cyst ephakathi kwe-ballon-type ebangela ukuba utshintsho olubi, olukhokelela kwiintlungu ezisezantsi kunye ne-herniation. ( UGe et al., 2019 )
Ngexesha elifanayo, xa abaninzi abantu beqala ukujongana neentlungu ezisezantsi kwiidiski ze-herniated, baya kuqala ukulahlekelwa ukuhamba kwimihlaba yabo ephantsi. Oku kunokubangelwa zizihlunu zesisu ezibuthathaka ezidityaniswe nokuhamba okulinganiselweyo. Xa abantu abaninzi bengenazo izihlunu eziqinileyo zokubonelela ngenkxaso kunye nokuhamba kwimihlana yabo ephantsi, inokuqala ngeentlungu ezilula zemisipha, ezikhokelela kwiintlungu ezisezantsi ezisezantsi ngaphandle kwonyango kwaye zichaphazele kakubi umgangatho wobomi babo. ( Chu, 2022 ) Nangona kunjalo, ukujongana neentlungu ezisezantsi akufuneki kube nzima njengoko unyango oluninzi lunokunciphisa imiphumo yeentlungu ezisezantsi ezihambelana ne-disc herniation ngelixa ubuyisela ukuhamba komqolo ophantsi.
INzululwazi yeVidiyo eshukumayo
VIDEO
Ngaba uke wafumana ama-aches angenakubuzwa avela kumqolo wakho ongaphantsi kwaye ahambe emilenzeni yakho? Ngaba uziva uqina xa ugoba ukuze uchole into ebangela ubunzima bemisipha kumqolo wakho ongezantsi? Okanye ngaba uziva iintlungu kumqolo wakho ongaphantsi ukusuka ekuhlaleni ngokugqithisileyo okanye ukuma? Xa abantu abaninzi bejongene nale miba efana neentlungu kumqolo wabo ophantsi, kunokukhokelela kubomi bokukhubazeka ngelixa kuchaphazela umgangatho wobomi babo. Oku kubangelwa i-disc herniation echaphazela ukuhamba komntu osezantsi kwaye, xa ingaphathwa ngokukhawuleza, kunokukhokelela kwimiba engapheliyo. Nangona kunjalo, abantu abaninzi baya kufuna unyango kwiintlungu zabo ezisezantsi kwaye bafumane isiqabu abasidingayo. Uninzi lweendlela zonyango ezidityanisiweyo kunye nonyango olungelulo utyando lunokunceda ukubuyisela izihlunu ze-trunk ezibuthathaka ukuzinzisa umva ophantsi ngcono kwaye uncede ukunciphisa iintlungu ezisezantsi. ( Hlaing et al., 2021 ) Xa abantu beqala ukucinga ngempilo yabo kunye nokuphila kakuhle, ngakumbi xa bejongene neentlungu ezisezantsi ezichaphazela ukuhamba kwabo, baya kufumanisa ukuba uninzi lweentlungu zivela kwizinto eziqhelekileyo, eziphindaphindiweyo ezibangela ukuba i-spinal disc yabo ixinzelelwe kwaye i-herniated. Ngenxa yoko, ukusebenzisa i-traction kwi-lumbar spine kunokunceda ukunciphisa i-lumbar disc protrusion ebangela intlungu ephantsi. ( UMateyu, ngo-1968 ) Unyango olufana nokhathalelo lwe-chiropractic, unyango lwe-traction, kunye nokuchithwa komgogodla zizo zonke unyango olungenalo utyando olunendleko kwaye luthambile kumqolo. Banceda ukulungelelanisa umzimba kwaye bancede ukukhaba ukuqala into yokuphilisa yendalo yomzimba ukubuyisela kwakhona iidiski zomgogodla. Xa abantu abaninzi beqala ukwenza unyango oluqhubekayo ukunciphisa iintlungu zabo ezisezantsi ezinxulumene neediski ze-herniated, baya kuqala ukubona ukuphuculwa kokuhamba komgogodla kunye neentlungu zabo ziyancipha. Jonga le vidiyo ingentla ukujonga indlela unyango olungenalo utyando lunokunceda ukubuyisela ukuhamba emzimbeni kunye nokunciphisa iimpawu ezinjengeentlungu.
Ukunciphisa Ukubuyisela Umqolo
Xa kuziwa ekunciphiseni iimpawu ezinjengeentlungu ezibangelwa yi-disc herniation ebangela ukuhamba okulinganiselwe kunye neentlungu ezisezantsi, ukunyanzeliswa komgogodla kunokuba yimpendulo abantu abaninzi abayifunayo ukuba bafake kwimpilo yabo kunye nendlela yokuphila kakuhle. Ekubeni i-lumbar herniated spinal discs yimbangela eqhelekileyo yeentlungu ezisezantsi kunye ne-radiculopathy, ukunyanzeliswa komgogodla kunokunceda ukutsala ngobumnene i-disc ye-herniated kwindawo yayo yokuqala ukukhuthaza ukuphilisa. Ekubeni i-spinal decompression kunye ne-lumbar traction iyingxenye yonyango lwe-physiotherapy, inokunceda ukunciphisa ubunzima beentlungu ukusuka kumqolo kunye nokunciphisa ubukhulu bediski ye-herniated. ( I-Choi et al., 2022 ) Xa abantu abaninzi beziva bekhululekile kutsalo oluthambileyo ukusuka kuxinzelelo lomqolo, baya kuqaphela ukuba ukuhamba kwabo kubuyile. Emva konyango olulandelelanayo, intlungu yabo iya kuncipha njengoko i-spinal disc yabo iphiliswa ngokupheleleyo. ( UCyriax, ngo-1950 ) Ngabantu abaninzi abafuna unyango oluninzi lokunciphisa iintlungu zabo ezisezantsi kunye nokubuyisela ingqondo yabo yobomi, ukudibanisa olu nyango kunokubonelela ngeziphumo eziluncedo kwinkqubo yabo ye-musculoskeletal system.
Ucaphulo
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
Chu, E. C. (2022). I-aneurysm enkulu ye-aortic yesisu eboniswe kunye ne-concomitant acute lumbar disc herniation - ingxelo yecala. J Med Ubomi , 15 (6), 871-875. doi.org/10.25122/jml-2021-0419
Cyriax, J. (1950). Ukunyangwa kwezilonda zediski ye-lumbar. Br Med J , 2 (4694), 1434-1438. doi.org/10.1136/bmj.2.4694.1434
Ge, CY, Hao, DJ, Yan, L., Shan, LQ, Zhao, QP, He, BR, & Hui, H. (2019). Intradural Lumbar Disc Herniation: Ingxelo yeNgxelo kunye noPhononongo loNcwadi. Clin Interv Ukuguga , 14 , 2295-2299. doi.org/10.2147/CIA.S228717
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
Matthews, J. A. (1968). Dynamic discography: isifundo se-lumbar traction. U-Ann Phys Med , 9 (7), 275-279. doi.org/10.1093/rheumatology/9.7.275
isikhanyeli
by UGqr Alex Jimenez I-Hip Pain kunye nokuphazamiseka , Ubuhlungu Bokubuyisela
Kubantu abajongene nentlungu ye-gluteus minimus kwaye abaqinisekanga ukuba baqale phi ukujongana nayo, ngaba i-physical therapist, i-chiropractor, okanye ugqirha jikelele unokunceda ukuxilonga iintlungu ezisezantsi kunye nokuphuhlisa isicwangciso sonyango esifanelekileyo?
Izihlunu zeGluteus Minimus
I-gluteus minimus yimisipha encinci ye-gluteal muscle. Ukudibanisa ne-gluteus maximus kunye ne-gluteus medius, ezi zihlunu zenza i-glutes. I-glutes inceda ukwenza imilo yeempundu, izinze izinqe, ijikeleze imilenze, kwaye iphakamise amathanga. I-gluteus minimus kunye ne-medius ixhasa ngokukodwa i-gluteus maximus amandla okuphakamisa umlenze kwicala kwaye ujikeleze ithanga ngaphakathi. (ScienceDirect. 2011 )
Anatomy
The Izihlunu ze-gluteus minimus zingunxantathu kwaye zilala phantsi kwe-gluteus medius kufuphi ne-rotator yamalungu e-hip. Izihlunu ziqala kummandla ophantsi we-ilium, ummandla ophezulu kunye nowona mkhulu wethambo le-hip elenza i-pelvis kwaye linamathele kwi-femur / ithambo lethanga.
Iintsinga ezikumphezulu wesihlunu zingqindilili kwaye zixinene, ngelixa iintsinga ezisezantsi zithe tyaba kwaye zinabile.
Iimbilini eziphezulu ze-gluteal kunye nemithambo yegazi zihlukanisa i-gluteus minimus kunye ne-medius.
The imisipha ye-gluteus medius qala kwindawo ephezulu ye-ilium, egubungela i-gluteus minimus muscle ngokupheleleyo. Indawo ye-gluteus minimus yezihlunu imvulophu inotshi ye-sciatic okanye indawo kwi-pelvis ehlala imisipha ye-piriformis, umthambo ophezulu we-gluteal, kunye nomthambo ophezulu we-gluteal , ezibonelela ngomlinganiselo othile wokhuseleko.
itheko
Ukuhamba kuxhomekeke kwindawo ye-femur. Umsebenzi we-gluteus minimus muscle kuku:
lukwazi
Jikela
Ukuzinza
Xa ithanga landiswa, inceda ukuxhwila okanye ukujiwuzisa umlenze ngaphandle komzimba.
Xa amathambo e-hip eguquguqukayo, i-gluteus minimus ijikeleza ithanga ngaphakathi ngoncedo lwe-gluteus medius.
Ukunyakaza kwenziwa ngenkxaso ye-muscle fibers, ekhontraktha ukuhambisa ithanga kumacala omabini. (ScienceDirect. 2011 )
I-gluteus minimus kunye ne-medius iphinda izinze i-hip kunye ne-pelvis ngexesha lokunyakaza kwaye xa uphumla.
Iimeko ezidibeneyo
Olona konzakala luxhaphakileyo kukunxiba nokukrazuka kwezihlunu, nto leyo enokubangela intlungu ngaphezulu nangaphaya kwe-trochanter enkulu. Oku kwaziwa ngokuba intlungu enkulu ye-trochanteric syndrome okanye i-GTPS , imeko edla ngokubangelwa yi-gluteus medius okanye i-minimus tendinopathy, engabandakanya ukuvuvukala kwe-bursae ejikelezileyo. (UDiane Reid. 2016 ) Kwi-gluteus minimus tear, intlungu / ukuvakalelwa kuya kuvakala ngaphandle kwe-hip, ngakumbi xa uguqa okanye usebenzisa ubunzima kwicala elichaphazelekayo. Ukukrazula kwenzeka ngokukhawuleza kungekho msebenzi uthile obangela ukuba ukukrazuka kwenzeke ngaphandle kokusetyenziswa okuqhelekileyo kunye noxinzelelo kwimisipha. Imisebenzi yomzimba efana nokuhamba inokuba buhlungu.
kwimo
Unyango luxhomekeke kubunzima bemeko. Ngokuqhelekileyo, ukuphumla, umkhenkce, kunye neyeza-the-counter-counter-counter-counter-counter-the-counter kunokunceda ukunciphisa ukuvuvukala kunye neempawu zentlungu. Kwiimpawu zentlungu ezingapheliyo, kuyacetyiswa ukuba ubone umboneleli wezempilo onokuqhuba i-MRI okanye i-X-ray ukuze abone imeko ye-muscle kwaye akhuphe ezinye izizathu zentlungu. Umboneleli wezempilo uyakuthumela isigulana ku a iqela lonyango lomzimba ekwazi ukuvavanya amandla e-gluteus minimus kwaye inikeze uluhlu lweendlela zokuzivocavoca kunye nokwelula ukunceda ukulungisa i-muscle ngelixa ulungelelanisa imisipha ejikelezayo. (SportsRec. 2017 ) Ngokuxhomekeke kwinqanaba lentlungu, ngamanye amaxesha umboneleli wezempilo uya kumisela i-cortisone injection kwi-gluteus minimus muscle ngokubambisana nonyango lomzimba. Oku kuya kunceda ukunciphisa intlungu ukwenzela ukuba umthambo wonyango womzimba unokwenziwa ngokukhululeka, ukuvumela i-gluteus maximus muscle ukuba iphole ngokufanelekileyo kwaye yomeleze. (UJulie M. Labrosse et al., 2010 )
ISayensi yeMotion Chiropractic Care
VIDEO
Ucaphulo
ScienceDirect. (2011). Isihlunu seGluteus minimus .
Reid D. (2016). Ulawulo lwe-trochanteric pain syndrome enkulu: ukuphononongwa koncwadi olucwangcisiweyo. Ijenali ye-orthopedics, i-13 (1), i-15-28. doi.org/10.1016/j.jor.2015.12.006
SportsRec. (2017). Ukuzivocavoca umzimba kwi-gluteus minimus .
Labrosse, JM, Cardinal, E., Leduc, BE, Duranceau, J., Rémillard, J., Bureau, NJ, Belblidia, A., & Brassard, P. (2010). Ukusebenza kwenaliti ye-corticosteroid ekhokelwa yi-ultrasound yonyango lwe-gluteus medius tendinopathy. AJR. Ijenali yaseMelika ye-roentgenology, i-194 (1), i-202-206. doi.org/10.2214/AJR.08.1215
by UGqr Alex Jimenez Ubuhlungu Bokubuyisela , entanyeni Pain , Iimpawu
Abantu abaninzi bathi kumlinganiselo othile, intamo yabo okanye iintlungu zangasemva zibangelwa kukuma ngendlela engafanelekanga. Ngaba ukwazi oonobangela kunye nezinto ezisisiseko zinokukhokela uhlengahlengiso kwindlela yokuphila kunye nokufuna unyango lokubuyisela kwimeko yesiqhelo?
IiMbango ezingafanelekanga
Zininzi izinto ezinokubangela ukuba abantu baziqhelanise nokuma okungenampilo rhoqo.
Ukuziqhelanisa nokuma okunempilo yindlela yokuzivocavoca apho izihlunu zixhasa i-skeleton ngokuzinza kunye nokulungelelaniswa okusebenzayo okukhoyo ngokuthula kunye nokunyakaza.
Ukwenzakala kunye nokuGada kweZihlunu
Emva kokulimala, izihlunu ziyakwazi ukukhusela umzimba kunye nokunceda ukuzinzisa ukulimala kunye nokukhusela kukwenzakala okungaphezulu.
Nangona kunjalo, ukunyakaza kuyancipha kwaye kunokukhokelela kwiimpawu zentlungu.
Ukuqhawuka kwemisipha ixesha elide kukhokelela kwizihlunu ezibuthathaka ngokuhamba kwexesha.
Ukungalingani phakathi kwezihlunu ezigada ukwenzakala kunye nezo zisasebenza ngokuqhelekileyo kunokukhokelela kwiingxaki zokuma.
Unyango lwe-musculoskeletal nge-massage, i-chiropractic, kunye nonyango lomzimba lunokunceda ukubuyisela ukusebenza kakuhle.
Uxinzelelo lwemisipha kunye nobuthathaka
Ukuba amaqela athile e-muscle abe buthathaka okanye agxininise, i-posture inokuchaphazeleka, kwaye iimpawu zentlungu zingaphuhliswa.
Ubuthathaka bemisipha okanye ukuxinezeleka kunokuvela xa abantu bebambe isikhundla ixesha elide imihla ngemihla okanye xa besenza imisebenzi yesiqhelo kunye nemisebenzi yasekhaya ngendlela ebeka uxinzelelo kwizihlunu okanye beyisebenzisa ngendlela engalungelelananga.
Uphononongo lufumene indlela ukunyanzeliswa kwemisipha, amandla, kunye nokuguquguquka okuchaphazela ukuma. UDariusz Czaprowski, et al., 2018 )
Ukuhlaziywa kwe-postural kunye nohlengahlengiso lonyango lomzimba lunokunceda ukuqinisa imisipha kunye nokunciphisa iimpawu zentlungu.
Imikhwa Yemihla Ngemihla
Njengoko abantu befumana iindlela zokwamkela ukuqhawuka kwezihlunu, ubuthathaka, uxinzelelo, kunye/okanye ukungalingani, ingqondo nomzimba unokulibala kwaye ulahle ukuma okunempilo.
Umzimba emva koko uqala ukuhlawulela usebenzisa enye, i-wkward, kunye ne-contraction ye-muscle echaseneyo kunye nokwelula oko kuthoba umzimba kunye nokulungelelaniswa komgogodla.
Ukusetyenziswa kweTekhnoloji
Itekhnoloji - nokuba uhleli kwidesika / kwindawo yokusebenzela, usebenzisa ithebhulethi okanye iselfowuni, okanye ukusebenza ngezixhobo ezininzi kunokutshintsha ngokuthe ngcembe umzimba ngaphandle kolungelelwaniso. (UParisa Nejati, et al., 2015 )
Abantu abahlala bejonge phantsi kwifowuni yabo banokuhlakulela intamo yombhalo, imeko apho intamo ibanjwe kwi-flexion okanye phambili i-tilting ixesha elide, elinokubangela intlungu.
Isimo Sengqondo Noxinzelelo
Abantu abaphantsi koxinzelelo okanye abafumana iimeko zoxinzelelo banokuqala ukuba neengxaki zokuma. (UShwetha Nair et al., 2015 )
Uxinzelelo lunokuba negalelo kwizihlunu ezisebenza ngokugqithisileyo, ezinokubangela ukuxinezeleka kwemisipha, ukuphefumla okunzulu, iingxaki zokuma, kunye neempawu zentlungu.
Ukukwazi ukuma komzimba kunye nokulungisa kunye nokulungelelanisa indlela yokuma kunokunceda ukulwa noxinzelelo. (UShwetha Nair et al., 2015 )
Ukukhetha izihlangu kwaye Zinxibile
Izihlangu zinokuchaphazela ukuma komzimba.
Izithende eziphakamileyo zitshintsha ubunzima bomzimba phambili, ezinokubangela ukungahambi kakuhle. (U-Anniele Martins Silva, et al., 2013 )
Ukugqoka phantsi ngaphandle okanye ngaphakathi kwezihlangu ngokukhawuleza kwizinto ezifana nemikhwa yokuthwala ubunzima kuya kungalingani amandla e-kinetic aguqulela i-ankle, idolo, i-hip, kunye ne-back back ekhokelela kwiimpawu zentlungu kuyo nayiphi na okanye kuzo zonke ezi zihlanganisi.
Ufuzo kunye neGenetics
Maxa wambi unobangela ubangelwa lufuzo.
Ngokomzekelo, isifo sikaScheuermann yimeko apho amadoda afikisayo aphuhlisa i-kyphosis curve kwi-thoracic spine. (Nemours. Impilo yabantwana. 2022 )
Qhagamshelana noLondolozo lweChiropractic yezoNyango kunye neKlinikhi yoNyango oluSebenzayo ukuze uvavanye, kwaye masikuncede ngokuphuhlisa unyango lomntu siqu kunye nenkqubo yokubuyisela kwisimo sangaphambili.
Indlela eya eMpilweni
VIDEO
Ucaphulo
Czaprowski, D., Stoliński, Ł., Tyrakowski, M., Kozinoga, M., & Kotwicki, T. (2018). Ukungahambi kakuhle kwesakhiwo sokuma komzimba kwindiza ye-sagittal. I-Scoliosis kunye nokuphazamiseka komgogodla, i-13, i-6. doi.org/10.1186/s13013-018-0151-5
Nejati, P., Lotfian, S., Moezy, A., & Nejati, M. (2015). Uphononongo lokulungelelaniswa phakathi kokuhamba phambili kwentloko kunye neentlungu zentamo kubasebenzi baseofisi base-Iranian. Ijenali yamazwe ngamazwe amayeza omsebenzi kunye nempilo yokusingqongileyo, i-28 (2), i-295-303. doi.org/10.13075/ijomeh.1896.00352
Nair, S., Sagar, M., Sollers, J., 3rd, Consedine, N., & Broadbent, E. (2015). Ngaba ukuthotywa kunye nokuma okuthe tye kuchaphazela iimpendulo zoxinzelelo? Ulingo olungenamkhethe. Ingqondo yezempilo : ijenali esemthethweni yeCandelo leMpilo yeNgqondo, i-American Psychological Association, i-34 (6), i-632-641. doi.org/10.1037/hea0000146
Silva, AM, de Siqueira, GR, & da Silva, GA (2013). Iimpembelelo zezicathulo eziphezulu ze-heeled kwi-posture yomzimba yabaselula. Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo, 31(2), 265–271. doi.org/10.1590/s0103-05822013000200020
Nemours. Impilo yabantwana. (2022). Scheuermann's kyphosis .
by UGqr Alex Jimenez Umqolo obuhlungu , Chiropractic , Ubuhlungu obungapheliyo , Ubuhlungu Bokubuyisela , Unyango lokuthotywa koMnqonqo , Unyango , I-Viscerosomatic Reflex
Ngaba abantu abaneentlungu ezisezantsi bangazifumana izisombululo zokungaqhawuki ukubuyisela ukuhamba kwe-lumbar kunye nokuzinza kumalungu asezantsi?
intshayelelo
Njengenye yeengxaki ezintathu eziphezulu eziqhelekileyo ukuba abaninzi abancinci nabadala banamava ngexesha elithile ebomini babo, iintlungu ezisezantsi zinokuba nefuthe elikhulu kwindlela yabo. Iintlungu zangasemva zihlala zibangelwa zizinto eziqhelekileyo ezifana nokuphakamisa izinto ezinzima, ukuhlala kwindawo yokulala, okanye ukungasebenzi ngokomzimba. Ngamanye amaxesha, inokuba ngenxa yokwenzakala okubuhlungu, ukuphazamiseka kwe-musculoskelet, okanye ukwenzakala emzimbeni. Xa abantu abaninzi bejongene neentlungu ezisezantsi, abaninzi baya kuhlala bethatha amayeza e-counter-counter ukunciphisa iimpawu ezifana neentlungu abazifumanayo. Nangona kunjalo, eso sisisombululo sexeshana, njengoko iintlungu zibuya ngokuphindaphinda okunokukhokelela kubomi bokukhubazeka. Ukuza kuthi ga ngoku, abantu abaninzi, ngakumbi abantu abadala abasebenzayo, kuya kufuneka bayeke umsebenzi ukuze banyangwe iintlungu zabo ezisezantsi. Oku kubangela umthwalo wentlalo noqoqosho kwabaninzi, kwaye kunokuba lusizi. Inqaku lanamhlanje liza kuphonononga ukuba yintoni ebangela iintlungu zangasemva kunye nendlela iingcebiso ezahlukeneyo zokungaqhawuki kunye namaqhinga anokunciphisa iintlungu ezisezantsi. Sithetha nababoneleli bezonyango abaqinisekisiweyo ababandakanya ulwazi lwezigulane zethu ukubonelela ngezisombululo ezininzi ezingezizo zokuhlinzwa ukunciphisa iintlungu ezisezantsi kubantu abaninzi. Sikwazisa izigulana zethu ngeengcebiso kunye namaqhinga okunciphisa iimpawu zentlungu eziqhelekileyo ezibangela imiba ye-lumbar. Sikhuthaza izigulane zethu ukuba zibuze imibuzo enzima kunye nemfundo kubaboneleli bethu bezonyango abahambelanayo malunga neempawu ezinjengeentlungu abahlangabezana nazo ezihambelana nomqolo ongaphantsi. UDkt Alex Jimenez, DC, usebenzisa olu lwazi njengenkonzo yezemfundo. isikhanyeli .
Yintoni Ebangela Iintlungu Zomqolo?
Ngaba uziva uqaqanjelwa rhoqo okanye iintlungu kumqolo wakho ongaphantsi emva kosuku olude lomsebenzi? Ngaba uziva uqina kwizihlunu zakho ezisezantsi ezibuhlungu xa usoluliwe? Okanye ngaba unentlungu engapheliyo yokuba awukwazi ukusebenza yonke imini? Uninzi lwezi meko abantu abahlangabezana nazo zihambelana neentlungu ezisezantsi. Ekubeni umva kwinkqubo ye-musculoskeletal yisakhiwo esiyinkimbinkimbi esinamathambo, amalunga, iigaments, kunye nezihlunu, sinokungena kwiinzame ezahlukeneyo, i-sprains, kunye neentlungu, ezikhokelela kwiintlungu ezisezantsi. Abantu abaninzi abajongene neentlungu zangasemva azichanekanga kwaye banokuchaphazela imeko yeediski ze-lumbar spinal. Xa abantu abaninzi benemisebenzi eyahlukeneyo yomzimba, baya kuba ne-disc engaqhelekanga kunye neentlungu ezisezantsi. ( Jensen et al., 1994 ) Ngelo xesha, abantu abaninzi baya kuqaphela ukuba uchungechunge lwe-sequelae luvelisa iimpawu ezahlukeneyo ezinjengeentlungu ezithathelwa ingqalelo kwaye zibangele ukulahlekelwa komsebenzi okuhambelana neentlungu ezibuhlungu okanye ezingapheliyo ezinokuthi zichaphazele imilenze ephantsi. ( Hoy et al., 2014 ) Ezinye zezinye izizathu zeentlungu ezisezantsi zingaba yimpawu ze-musculoskelet ezingakhokelela kubomi bokukhubazeka. ( Malik et al., 2018 Ngokuqhelekileyo, abantu abaninzi abajongene neentlungu ezisezantsi bayachacha; nangona kunjalo, emva kwexesha elithile, ukuphindaphinda kweentlungu ezisezantsi ziqhelekileyo xa ukunyakaza okufanayo okuphindaphindiweyo kwenziwa kwaye xa abantu ababenentlungu ephantsi kwiindibano zangaphambili baya kujongana neentlungu ezingapheliyo kunye nokukhubazeka. ( Hartvigsen et al., 2018 ) Ngethamsanqa, unyango oluninzi lunokunceda ukunciphisa intlungu, njengemiphumo yeentlungu ezisezantsi, ukunceda ukubuyisela ukuhamba kwi-lumbar spine, kunye nokuzinzisa imilenze ephantsi.
I-Diabetic Back Pain Ichazwe-Ividiyo
VIDEO
Ngaba uye wafumana ukuqina kwemisipha kunye neentlungu kumqolo wakho ophantsi ochaphazela amalungu akho angaphantsi? Ngaba uphakamise into enzima ebangela ukuba ucinezele izihlunu zakho zomqolo kwaye wenze kube nzima ukusebenza? Okanye ngaba ubugoba ukuze uchole into ethile okanye ubophe izihlangu zakho ukuze izihlunu zakho zomqolo zibe buhlungu? Xa abantu abaninzi bejongana neentlungu ezisezantsi kwezi meko zahlukeneyo, kunokukhokelela kubomi bokukhubazeka kunye nosizi xa bengaphathwa kwangoko. Kuba iintlungu ezisezantsi ngasemva ziyingxaki ye-musculoskeletal disorder, abantu abaninzi banoxilongo olwahlukileyo, olunokwenza kube nzima ukunyanga. ( UDeyo et al., ngo-1990 ) Nangona kunjalo, kukho iindlela ezininzi apho abantu abaninzi abajongene neentlungu ezisezantsi banokufumana isiqabu esibafaneleyo. Abantu abaninzi baya kuhlala befuna unyango olwahlukeneyo olunokunciphisa iintlungu ezisezantsi kwaye bancede baphinde baphinde bahambe kunye nomgogodla ukuze babuyele kwindlela yabo yemihla ngemihla. Ividiyo engentla ichaza indlela intlungu engasemva enokuthi idibaniswe ngayo nokuphazamiseka kwe-autoimmune njengesifo seswekile kunye nendlela ezahlukeneyo zonyango ezinokunceda ukunciphisa iimpawu ezinjengeentlungu.
Iingcebiso ezingezizo utyando kunye namaqhinga okunciphisa iintlungu ezisezantsi
Xa kuziwa ekunciphiseni kunye nokunyanga iintlungu ezisezantsi, abantu abaninzi baya kuqala ukufuna unyango lokunciphisa iintlungu zabo ezisezantsi. Abaninzi baya kuhlala besiya kunyango olungelulo utyando kuba lungabizi kakhulu kwaye lunokudityaniswa nolunye unyango ukuthomalalisa iintlungu ze-musculoskeletal. Unyango olungazenzisiyo lunokuvela kwi-spinal decompression kunye nokhathalelo lwe-chiropractic ukuya kunyango lomnqonqo. ( I-Chou et al., 2017 ) Xa abantu abaninzi befumana isiqabu kwiintlungu zabo ezisezantsi, ezinye iingcebiso kunye namaqhinga abantu abaninzi abanokuthi bazenze ukunqanda ukuba zingavuthi ziquka:
Ukugcina ubunzima obunempilo kunye nokutya Kancinci ukubandakanya imithambo Kuphephe ukwenza ixesha elide Tyala Lala kumatrasi oqinileyo Qhubeka nonyango olungelulo utyando ukunciphisa amathuba okubuya kweentlungu ezisezantsi Gcina ukuma kakuhle
Ngezi ngcebiso kunye namaqhinga, abantu abaninzi baya kuqala ukuqaphela iintlungu zabo ezisezantsi zokunciphisa kunye nokukhuthaza indlela yokuphila enempilo.
Ucaphulo
Chou, R., Deyo, R., Friedly, J., Skelly, A., Hashimoto, R., Weimer, M., Fu, R., Dana, T., Kraegel, P., Griffin, J., Grusing, S., & Brodt, ED (2017). I-Nonpharmacologic Therapy for Low Back Pain: Ukuphononongwa okuCwangcisiweyo kwiKholeji yaseMelika yeeGqirha zeKliniki yeSikhokelo sokuSebenza. Ann Intern Med , 166 (7), 493-505. doi.org/10.7326/M16-2459
Deyo, RA, Cherkin, D., & Conrad, D. (1990). IQela loVavanyo lweSiphumo sePain. Inkonzo yezempilo iRes , 25 (5), 733-737. www.ncbi.nlm.nih.gov/pubmed/2147670
www.ncbi.nlm.nih.gov/pmc/articles/PMC1065661/pdf/hsresearch00081-0050.pdf
Hartvigsen, J., Hancock, MJ, Kongsted, A., Louw, Q., Ferreira, ML, Genevay, S., Hoy, D., Karppinen, J., Pransky, G., Sieper, J., Smeets, RJ, Underwood, M., & Lancet Low Back Pain Series Working, G. (2018). Yiyiphi intlungu ephantsi kwaye kutheni kufuneka sinikele ingqalelo. Lancet , 391 (10137), 2356-2367. doi.org/10.1016/S0140-6736(18)30480-X
Hoy, D., March, L., Brooks, P., Blyth, F., Woolf, A., Bain, C., Williams, G., Smith, E., Vos, T., Barendregt, J., Murray, C., Burstein, R., & Buchbinder, R. (2014). Umthwalo wehlabathi jikelele weentlungu ezisezantsi: uqikelelo lwe-Global Burden of Disease 2010 study. Ann Rheum Dis , 73 (6), 968-974. doi.org/10.1136/annrheumdis-2013-204428
Jensen, MC, Brant-Zawadzki, MN, Obuchowski, N., Modic, MT, Malkasian, D., & Ross, JS (1994). I-Magnetic Resonance Imaging ye-Lumbar Spine kubantu abangenazo iintlungu emva. I-New England Journal of Medicine , 331 (2), 69-73. doi.org/10.1056/nejm199407143310201
Malik, KM, Beckerly, R., & Imani, F. (2018). I-Musculoskeletal Disorders i-Universal Source of Pain kunye noKhubazeko Ukungaqondwa kakuhle kunye nokuphathwa kakubi: Uhlalutyo olubalulekileyo olusekelwe kwiModeli yase-US yokunyamekela. Anesth Pain Med , 8 (6), e85532. doi.org/10.5812/aapm.85532
isikhanyeli
by UGqr Alex Jimenez Umqolo obuhlungu , Chiropractic , Ubuhlungu obungapheliyo , Disc Disc , Ubuhlungu Bokubuyisela , Unyango lokuthotywa koMnqonqo , Ucoceko loMgcini , Unyango , I-Viscerosomatic Reflex
Ngaba ababoneleli bezempilo banokunceda abantu abaninzi abane-lumbar disc degeneration bafumane isiqabu ngonyango lokuthomalalisa umqolo?
intshayelelo
Abantu abaninzi bahlala besenza intshukumo yemihla ngemihla enokuvumela umnqonqo ukuba ugobe, ujije, kwaye ujike ngeendlela ezahlukeneyo ngaphandle kokuziva iintlungu kunye nokungakhululeki. Nangona kunjalo, njengoko umzimba uguga, kunjalo nomgudu, njengoko i-spinal discs iqala inkqubo yendalo yokuncipha. Ekubeni i-spinal discs kwikholamu yomgogodla ithatha ubunzima boxinzelelo oluthe nkqo, izinza iindawo eziphezulu kunye nezisezantsi kwaye inikezela ukunyakaza. Ukuza kuthi ga ngoku, xa abantu abaninzi bebandezeleka ngenxa yokulimala okuhlukahlukeneyo okanye izinto ezisingqongileyo ezenza ukuba i-spinal disc ixinzelelwe, inokukhokelela kwimiba ephantsi ebangela intlungu kunye nokuphazamiseka xa umntu esenza umsebenzi. Kuba iintlungu ezisezantsi zomqolo ziyenye yeengxaki ezintathu ezixhaphakileyo abantu abaninzi kwihlabathi jikelele abaye bajongana nazo, inokuba ngumba wentlalo-qoqosho onokukhokelela kubomi bokukhubazeka kunye nosizi. Iintlungu ezisezantsi zihlala zihambelana ne-disc degeneration, kwaye i-ligaments ejikelezileyo kunye nezicubu ze-muscle zinokuchaphazela iindawo eziphezulu kunye nezantsi. Oku kubangela intlungu ebhekiswe kumaqela ahlukeneyo e-musculoskeletal, ebangela ukuba abantu abaninzi bafune unyango olungenakufikeleleka kuphela kodwa luyasebenza ekunciphiseni intlungu. Inqaku lanamhlanje lijonga i-anatomy ye-disc ye-lumbar, indlela i-disc degeneration ichaphazela ngayo i-lumbar spine, kunye nendlela ukuchithwa kwe-spinal decompression kunokunciphisa i-lumbar disc degeneration ekubangeleni intlungu ephantsi. Sithetha nababoneleli bezonyango abaqinisekisiweyo ababandakanya ulwazi lwezigulane zethu ukubonelela ngezicwangciso zonyango ezininzi zokunciphisa iimpawu ezinjengeentlungu ezinxulumene ne-lumbar disc degeneration ebangela intlungu ephantsi. Kwakhona siyazisa izigulane zethu ukuba kukho iindlela ezingezona zokuhlinzwa zokunciphisa le miba efana nentlungu ehambelana nokuguqulwa kwe-disc kunye nokubuyisela ukuhamba kwe-lumbar emzimbeni. 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 .
IAnatomy yeLumbar Disc
Ngaba uziva uxinezeleko okanye ukuqina kumqolo wakho ongaphantsi emva kokuvuka ekuseni? Ngaba uziva intlungu ngokukhawuleza okanye ngokuthe ngcembe ekugobeni ukuphakamisa into enzima echaphazela umqolo wakho ongaphantsi? Okanye ngaba uziva intlungu kwindawo enye okanye enye kumqolo wakho obangela intlungu kunye nokungahambi kakuhle kwindawo yakho ye-lumbar spinal? Uninzi lwale miba efana neentlungu zihlala zihambelana nokuncipha kwediski kunye neentlungu ezisezantsi. I-anatomy ye-spinal disc iquka izinto ezintathu ezisebenza kunye kwipatheni ethile ukuxhathisa amandla abekwe kwi-lumbar spine. ( UMartin et al., 2002 ) Ekubeni i-lumbar spine iyona nxalenye enkulu yomqolo, i-spinal disc isekela ubunzima bomzimba ophezulu ngelixa uzinzisa umzimba ophantsi. Nangona kunjalo, i-spinal disc iya kuncipha ngokuhamba kwexesha xa umzimba uguga. Ekubeni ukuwohloka kuyinkqubo yendalo, abantu abaninzi baya kuqala ukuziva beselula, nto leyo enokubangela imiba emininzi ngaphakathi kwi-lumbar spine.
Indlela iDisc Degeneration eyichaphazela ngayo iLumbar Spine
Xa i-disc degeneration iyenzeka kwi-lumbar spine, i-spinal disc iqala ukunciphisa umthamo, kwaye izondlo ezikhupha i-hydrate kwidiski ziqala ukucima kwaye zixinzelelwe. Xa i-disc degeneration ichaphazela i-lumbar spine, iingcambu ze-nerve ezivela kwinkqubo ephakathi zichaphazelekayo. Banokudibaniswa naliphi na iqela elithile leemeko ze-pathological ezinokucaphukisa iimbilini ezijikelezayo kwaye zivelise iimpawu ezinjengeentlungu. ( Bogduk, 1976 ) Ukuza kuthi ga ngelo xesha, oku kubangela intlungu echazwe kwimilenze ephantsi kunye neentlungu ezikhuphayo kwi-back back. Ngexesha elifanayo, i-glycosphingolipid antibodies isebenze kwi-immune system, ebangela imiphumo yokuvuvukala. ( Brisby et al., 2002 ) Xa abantu bejongene neentlungu ezisezantsi ezinxulumene ne-disc degeneration, abantu abaninzi baya kuziva bevalelekile kwi-back back, ebangela ukuhamba okulinganiselwe kunye nokuqina. Ngexesha elifanayo, i-muscle ejikelezileyo kunye nezicubu ezithambileyo zigqithise kwaye ziqiniswe. I-disc yomgogodla iya kuchaphazela i-nerve fibers ejikeleze umqolo, ekhokelela kwiintlungu ezisezantsi ze-nociceptive. ( Coppes et al., 1997 ) Nangona kunjalo, abantu abaninzi banokufumana unyango olukhoyo lokunciphisa iintlungu ezisezantsi ezihambelana nokunciphisa i-disc.
Isishwankathelo sokuDodobala koMnqonqo-Ividiyo
VIDEO
Ukunyanzeliswa koMnqonqo kunokunciphisa iLumbar Disc Degeneration
Abantu abaninzi banokufuna unyango olungenalo utyando lokunciphisa iintlungu ezisezantsi ezihambelana nokuguqulwa kwediski njengoko kubiza imali kwaye, ngonyango olulandelelanayo, unokuqalisa ukuziva ngcono. Olunye unyango olungelulo utyando olufana nokuthotywa komnqonqo lunokunceda ukubuyisela amanzi kwi-spinal disc ngokutsalwa kancinci kunye nokukhuthaza ukuphiliswa kwendalo. Ukunyanzeliswa komgogodla kunokuba yincwadana okanye kumatshini, usebenzisa uxinzelelo olubi lokunyusa ukuphakama kwediski. ( Vanti et al., 2021 ) Oku kuvumela abantu abaninzi ukuba beve isiqabu esibafaneleyo kwaye bazive ngcono ekuhambeni kwexesha. Ukunyanzeliswa komgogodla kunokunciphisa ukuchithwa kwe-disc, ukuzinzisa i-lumbar spine, kunye nokunceda ukubuyisela ukuhamba kwe-spinal back to the lower parts. ( UDaniel, ngo-2007 ) Xa abantu abaninzi beqala ukunyamekela imizimba yabo kunye nokunciphisa amathuba okuba neentlungu ezisezantsi ukusuka ekubuyeleni kubangele imiba emininzi ngasemva.
Ucaphulo
Bogduk, N. (1976). I-anatomy ye-lumbar intervertebral disc syndrome. UMedi J Aust , 1 (23), 878-881. www.ncbi.nlm.nih.gov/pubmed/135200
Brisby, H., Balague, F., Schafer, D., Sheikhzadeh, A., Lekman, A., Nordin, M., Rydevik, B., & Fredman, P. (2002). I-Glycosphingolipid antibodies kwi-serum kwizigulane ezine-sciatica. Isihlwele (Phila Pa 1976) , 27 (4), 380-386. doi.org/10.1097/00007632-200202150-00011
Coppes, MH, Marani, E., Thomeer, RT, & Groen, GJ (1997). Innervation yeediski "ezibuhlungu" ze-lumbar. Isihlwele (Phila Pa 1976) , 22 (20), 2342-2349; ingxoxo 2349-2350. doi.org/10.1097/00007632-199710150-00005
UDaniel, DM (2007). Unyango olungazenzisiyo lonyango lokuthomalalisa umqolo: ngaba uncwadi lwenzululwazi luxhasa amabango asebenzayo awenziwe kumajelo entengiso? Chiropr Osteopat , 15 , 7. doi.org/10.1186/1746-1340-15-7
UMartin, MD, Boxell, CM, & Malone, DG (2002). I-Pathophysiology ye-lumbar disc degeneration: ukuhlaziywa kweencwadi. Ukugxila kwe-Neurosurg , 13 (2), E1. doi.org/10.3171/foc.2002.13.2.2
Vanti, C., Turone, L., Panizzolo, A., Guccione, AA, Bertozzi, L., & Pillastrini, P. (2021). Ukutsalwa ngokuthe nkqo kwi-lumbar radiculopathy: uphononongo olucwangcisiweyo. Arch Physiother , 11 (1), 7. doi.org/10.1186/s40945-021-00102-5
isikhanyeli
by UGqr Alex Jimenez Umqolo obuhlungu , Chiropractic , Ubuhlungu obungapheliyo , Ubuhlungu obungapheliyo , Ubuhlungu Bokubuyisela , Unyango lokuthotywa koMnqonqo , Uncedo Lwezityalo , Unyango , I-Viscerosomatic Reflex
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
VIDEO
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
