Chiropractic
Iklinikhi yangasemva yeChiropractic. Olu luhlobo lonyango olulolunye olujolise ekuxilongweni nasekunyangelweni kweentlobo ezahlukeneyo zokulimala kwe-musculoskelet kunye neemeko, ngakumbi ezo zihambelana nomqolo. UDkt Alex Jimenez uxoxa ngendlela uhlengahlengiso lomqolo kunye nokuguqulwa kwesandla rhoqo kunokunceda kakhulu zombini ukuphucula nokuphelisa iimpawu ezininzi ezinokubangela ukungahambi kakuhle kumntu. I-Chiropractors ikholelwa phakathi kwezizathu eziphambili zentlungu kunye nezifo kukungahambi kakuhle kwe-vertebrae kwikholamu yomgogodla (oku kwaziwa ngokuba yi-subluxation ye-chiropractic).
Ngokusetyenziswa kokufumanisa ngesandla (okanye i-palpation), uxinzelelo olufakwe ngokucokisekileyo, i-massage, kunye nokunyangwa ngesandla kwe-vertebrae kunye namalungu (okubizwa ngokuba luhlengahlengiso), i-chiropractors inokunciphisa uxinzelelo kunye nokucaphuka kwimithambo-luvo, ukubuyisela ukuhamba ngokubambisana, kunye nokunceda ukubuyisela i-homeostasis yomzimba. . Ukusuka kwi-subluxation, okanye ukungahambi kakuhle komgogodla, ukuya kwi-sciatica, isethi yeempawu ecaleni kwe-nerve ye-sciatic ebangelwa yi-nerve impingement, ukhathalelo lwe-chiropractic lunokubuyisela ngokuthe ngcembe imeko yendalo yomntu. UDkt Jimenez uqulunqa iqela leengcamango kwi-chiropractic ukufundisa abantu ngokufanelekileyo kwiintlobo ezahlukeneyo zokulimala kunye neemeko ezichaphazela umzimba womntu.
by UGqr Alex Jimenez Uncedo Lwezityalo , Unyango
I-Spinal stenosis ligama elisetyenziselwa ukuchaza umqolo onqabileyo. Unyango luyahluka kuba imeko yomntu wonke yahlukile. Abanye abantu baba neempawu ezibuthathaka, ngelixa abanye bafumana iimpawu ezinzima. Ngaba ukwazi iindlela zonyango kunokunceda isigulana kunye neqela lokhathalelo lwempilo ukuba benze ngokwezifiso isicwangciso sonyango kwimeko yomntu ngamnye?
Unyango Stenosis Umqolo
Izithuba ngaphakathi komqolo zinokuba mfutshane kunokuba zifanele ukuba, ezinokubangela uxinzelelo kwiingcambu zemithambo-luvo kunye nentambo yomgogodla. Naphi na ecaleni komqolo unokuchaphazeleka. Ukunciphisa kunokubangela intlungu, ukutshisa, kunye / okanye ukuqaqanjelwa ngasemva kunye nobuthathaka emilenzeni nasezinyaweni. I-Spinal stenosis inamayeza amaninzi aphambili. Xa usebenza ngonyango lwe-spinal stenosis, umboneleli wezempilo uya kuvavanya iimpawu kwaye aqalise unyango ngonyango lokuqala, olufana namayeza eentlungu kunye/okanye unyango lomzimba. Aba badla ngokuba ngabokuqala phakathi kwabantu abanesifo.
Amachiza
Intlungu engapheliyo yenye yeempawu eziphambili. Unyango lodidi lokuqala luhlala lubandakanya ukusetyenziswa kweyeza/amayeza okudambisa iintlungu. Amayeza amiselweyo aqhelekileyo achasene ne-nonsteroidal anti-inflammatories okanye ii-NSAID. La mayeza anciphisa intlungu kunye nokuvuvukala. Nangona kunjalo, ii-NSAID azikhuthazwa ukuba zisetyenziswe ixesha elide, kwaye amanye amayeza angadinga ukusetyenziswa ukukhulula intlungu equka: (Sudhir Diwan et al., 2019 )
Tylenol - acetaminophen
UGabapentin
Pregabalin
Ii-opioids kwiimeko ezinzima
Lolonga
Ukuzivocavoca kunokunciphisa iimpawu ze-spinal stenosis ngokuthatha uxinzelelo kwiimbilini, ezinokunciphisa intlungu kunye nokuphucula ukuhamba. (U-Andrée-Anne Marchand et al., 2021 ) Ababoneleli ngezempilo baya kucebisa eyona mithambo isebenzayo kumntu ngamnye. Imizekelo ibandakanya:
Ukuzivocavoca kweAerobic, njenge ukuhamba
Ehleli i-lumbar flexion
I-Lumbar flexion ekuxokeni
Ukwandiswa kwe-lumbar eqhubekayo
Ukuqiniswa kwe-Hip kunye nengundoqo
Ukuma kwe-lumbar flexion
Ulungiso lwenyama
Olunye unyango oluphambili lwe-spinal stenosis lunyango lomzimba, oluhlala lusetyenziswa kunye namayeza eentlungu. Ngokuqhelekileyo, abantu bafumana iiveki ezintandathu ukuya kwezisibhozo zonyango lomzimba, kunye neeseshini ezimbini ukuya kathathu ngeveki. Ukusebenzisa unyango lomzimba kubonisiwe ukuba (Sudhir Diwan et al., 2019 )
Ukunciphisa intlungu
Yandisa ukuhamba
Nciphisa amayeza eentlungu.
Ukunciphisa iimpawu zempilo yengqondo ezifana nomsindo, ukudakumba, kunye nokutshintsha kwemo.
Kwiimeko ezinzima, unyango lomzimba emva kotyando lunokunciphisa amaxesha okubuyisela.
Iibrayisi zangasemva
I-back braces inokunceda ukunciphisa ukunyakaza kunye noxinzelelo kumqolo. Oku kuluncedo kuba neentshukumo ezincinci zomnqonqo zinokukhokelela ekucaphukeni kwemithambo-luvo, iintlungu, kunye neempawu eziya zisiba mbi. Ngokuhamba kwexesha, i-bracing ingakhokelela ekunyuseni okulungileyo kokuhamba. (UCarlo Ammendolia et al., 2019 )
Injections
Iinaliti ze-epidural steroid zinokucetyiswa ukukhulula iimpawu ezinzima. Iisteroids zisebenza njenge-anti-inflammatories ukunciphisa intlungu kunye nokudumba okubangelwa kukudumba kunye nokucaphuka kwemithambo yomqolo. Zigqalwa njengeenkqubo zonyango ezingaqhaqho. Ngokutsho kophando, i-injection inokulawula ngokufanelekileyo intlungu kwiiveki ezimbini ukuya kwiinyanga ezintandathu, kwaye uphando oluthile lufumene ukuba emva kwesitofu somgogodla, ukukhululeka kunokuhlala iinyanga ze-24. (Sudhir Diwan et al., 2019 )
Inkqubo yokuTyibilika kweeLigaments ezityebileyo
Abanye abantu banokucetyiswa ukuba benze inkqubo yoxinzelelo. Le nkqubo ibandakanya ukusebenzisa isixhobo senaliti esincinci esifakwe ngasemva. Izicubu ze-ligament ezixubileyo zisuswa ukunciphisa uxinzelelo kumqolo kunye nemithambo-luvo. Uphando lufumene ukuba inkqubo inokunciphisa iimpawu kunye nesidingo sotyando olungakumbi. (Nagy Mekhail et al., 2021 )
Unyango olulolunye
Ukongeza kunyango lokuqala, abantu banokuthunyelwa kwezinye iindlela zonyango zolawulo lweempawu, kubandakanya:
Ukwenza i-Acupuncture
Oku kubandakanya ukufakwa kweenaliti ezinencam encinci kwii-acupoints ezahlukeneyo ukuthomalalisa iimpawu.
Olunye uphando lufumene ukuba i-acupuncture inokusebenza ngakumbi ekunciphiseni iimpawu kunonyango lomzimba kuphela. Zombini iinketho ziyasebenza kwaye zinokuphucula ukuhamba kunye neentlungu. (Hiroyuki Oka et al., 2018 )
Chiropractic
Olu nyango lunciphisa uxinzelelo kwiimbilini, lugcina ukulungelelaniswa komgogodla, kwaye lunceda ukuphucula ukuhamba.
ukuphulula umzimba womntu ngobunono
Ukuphulula kunceda ukwandisa ukujikeleza, ukukhulula izihlunu, kunye nokunciphisa intlungu kunye nokuqina.
UKhetho olutsha loNyango
Njengoko uphando lwe-spinal stenosis luqhubeka, unyango olutsha luya kuvela ukunceda ukukhulula kunye nokulawula iimpawu kubantu abangaphenduliyo kumayeza esintu okanye abangakwaziyo ukuthatha inxaxheba kunyango oluqhelekileyo ngenxa yezizathu ezahlukeneyo. Nangona kunjalo, ubungqina obuthile obunikiweyo buyathembisa; ii-inshorensi zonyango zingazithatha njengezovavanyo kwaye zingaboneleli nge-inshorensi de ukhuseleko lwazo lungqinwe. Olunye unyango olutsha lubandakanya:
Acupotomy
I-Acupotomy luhlobo lwe-acupuncture olusebenzisa iinaliti ezibhityileyo ezinencanyana encinci, ecaba, i-scalpel-type-tip ukukhulula uxinzelelo kwiindawo ezibuhlungu. Uphando ngeziphumo zalo lusanqongophele, kodwa idatha yokuqala ibonisa ukuba inokuba lunyango oluncedisayo olusebenzayo. (UJi Hoon Han et al., 2021 )
Ulwaphulo lweStem Cell
Iiseli ze-Stem ziiseli eziphuma kuzo zonke ezinye iiseli. Zisebenza njengezinto eziluhlaza ukuze umzimba wenze iiseli ezikhethekileyo ezinemisebenzi ethile. (Amaziko eSizwe ezeMpilo. 2016 )
Abantu abane-spinal stenosis banokuhlakulela umonakalo wezicubu ezithambileyo.
Unyango lwe-stem cell lusebenzisa iiseli ze-stem ukunceda ukulungisa izicubu ezonzakeleyo okanye ezigulayo.
Unyango lwe-stem cell lunokunceda ukulungisa okanye ukuphucula iindawo ezonakalisiweyo kunye nokubonelela ngokukhululeka kweempawu.
Izifundo zeklinikhi zespinal stenosis zixela ukuba inokuba lukhetho olusebenzayo lonyango kwabanye.
Nangona kunjalo, uphando oluninzi luyafuneka ukuqinisekisa ukuba ngaba unyango lusebenza ngokwaneleyo ukuba lusetyenziswe ngokubanzi. (Hideki Sudo et al., 2023 )
Izixhobo zokuZinzisa eziNgqongileyo
I-LimiFlex sisixhobo sonyango esenza uphando kunye nohlalutyo ngokukwazi kwayo ukubuyisela ukuhamba kunye nokuzinza kumqolo. Ifakwe emqolo ngenkqubo yotyando. Ngokophando, abantu abane-spinal stenosis abafumana i-LimiFlex bahlala befumana ukuncipha okuphezulu kweentlungu kunye neempawu kunezinye iindlela zonyango. (T Jansen et al., 2015 )
Lumbar Interspinous Distraction Decompression
I-Lumbar interspinous distraction decompression yenye inkqubo yotyando ye-spinal stenosis. Utyando lwenziwa nge-incision ngaphezu komqolo kwaye lubeka isixhobo phakathi kwama-vertebrae amabini ukudala indawo. Oku kunciphisa ukunyakaza kunye noxinzelelo kwiimbilini. Iziphumo zokuqala zibonisa ukukhululeka kwexesha elifutshane elihle kwiimpawu; idatha yexesha elide ayikabikho njengoko iyindlela entsha yonyango ye-spinal stenosis. (INkonzo yezeMpilo yeSizwe yase-UK, ngo-2022 )
Inkqubo yoNyango
Kukho iinkqubo ezininzi zotyando ezikhoyo kwi-spinal stenosis. Ezinye ziquka: (Impilo ye-NYU Langone. 2024 ) Utyando lwe-spinal stenosis luhlala lugcinelwe abantu abaneempawu ezinzima, ezifana nokuba ndindisholo kwiingalo okanye emilenzeni. Xa ezi zimpawu zikhula, kubonisa ukunyanzeliswa okuphawuleka ngakumbi kwi-spinal nerves kunye nesidingo sonyango olunamandla. (Impilo ye-NYU Langone. 2024 )
Laminectomy
I-laminectomy isusa inxalenye okanye yonke i-lamina, ithambo lomqolo eligqume umjelo womqolo.
Inkqubo yenzelwe ukunciphisa uxinzelelo kwi-nerve kunye nentambo yomgogodla.
I-Laminotomy kunye ne-Foraminotomy
Zombini utyando zisetyenziswa ukuba i-spinal stenosis yomntu ichaphazela kakubi ukuvuleka kwi-vertebral foramen.
I-Ligaments, i-cartilage, okanye ezinye izicubu ezithintela imithambo-luvo ziyasuswa.
Bobabini banciphisa uxinzelelo kwiimbilini ezihamba nge-foramen.
I-Laminoplasty
I-laminoplasty ikhulula uxinzelelo kwintambo yomgogodla ngokususa iinxalenye zelamina yomqolo womqolo.
Oku kwandisa i-spinal canal kunye nokunciphisa uxinzelelo kwimithambo-luvo. (Columbia Neurosurgery, 2024 )
Ukuqonda
Le nkqubo yotyando ibandakanya ukususa iidiski ze-herniated okanye i-bulging ezibeka uxinzelelo kwintambo yomgogodla kunye neentsholongwane.
Umswakama
Ukudityaniswa komqolo kubandakanya ukudibanisa ama-vertebrae amabini kusetyenziswa iziqwenga zentsimbi ezifana neentonga kunye nezikrufu.
I-vertebrae izinzile ngakumbi kuba iintonga kunye nezikrufu zisebenza njengebrace.
Loluphi Unyango OluLungileyo?
Ngenxa yokuba zonke izicwangciso zonyango zahlukile, ukumisela eyona nto isebenzayo yeyona ifaneleke kakhulu kumboneleli wezempilo. Indlela nganye iya kujongwa kumntu ngamnye. Ukugqiba ukuba loluphi unyango olulungileyo, ababoneleli bezempilo baya kuvavanya: (Iziko leSizwe le-Arthritis kunye ne-Musculoskeletal and Skin Diseases. 2023 )
Ubunzima beempawu.
Inqanaba langoku lempilo yonke.
Inqanaba lomonakalo owenzeka kumqolo.
Inqanaba lokukhubazeka kunye nendlela ukuhamba kunye nomgangatho wobomi obuchaphazelekayo.
I-Chiropractic yezoNyango ze-Chiropractic kunye ne-Functional Medicine Clinic iya kusebenza kunye nomboneleli wezempilo oyintloko womntu ngamnye kunye / okanye iingcali zokunceda ukuchonga iindlela ezifanelekileyo zonyango kunye neenkxalabo malunga namayeza okanye ezinye iindlela zonyango.
Ukuvula Wellness
VIDEO
Ucaphulo
Diwan, S., Sayed, D., Deer, TR, Salomons, A., & Liang, K. (2019). Indlela ye-Algorithmic yokuNyanga i-Lumbar Spinal Stenosis: Indlela esekelwe kubungqina. Iyeza lentlungu (Malden, Mass.), 20 (Suppl 2), S23-S31. doi.org/10.1093/pm/pnz133
Marchand, AA, Houle, M., O'Shaughnessy, J., Châtillon, C. É., Cantin, V., & Descarreaux, M. (2021). Ukusebenza kwenkqubo esekelwe kwi-prehabilitation yezigulane ezilindele ukuhlinzwa kwi-lumbar spinal stenosis: uvavanyo lweklinikhi olungahleliwe. Iingxelo zenzululwazi, i-11 (1), i-11080. doi.org/10.1038/s41598-021-90537-4
Ammendolia, C., Rampersaud, YR, Southerst, D., Ahmed, A., Schneider, M., Hawker, G., Bombardier, C., & Côté, P. (2019). Umphumo we-prototype ye-lumbar spinal stenosis belt ngokubhekiselele kwinkxaso ye-lumbar ekuhambeni kwamandla kwi-lumbar spinal stenosis: uvavanyo olulawulwa ngokungahleliwe. Ijenali yomqolo : ijenali esemthethweni yeNorth American Spine Society, 19 (3), 386-394. doi.org/10.1016/j.spinee.2018.07.012
Mekhail, N., Costandi, S., Nageeb, G., Ekladios, C., & Saied, O. (2021). Ukuqina kwenkqubo yokunciphisa i-lumbar encinci kwizigulane ezine-symptomatic lumbar spinal stenosis: ukulandelwa kwexesha elide. Iintlungu zokuziqhelanisa : iphephancwadi elisemthethweni le-World Institute of Pain, i-21 (8), i-826-835. doi.org/10.1111/papr.13020
Oka, H., Matsudaira, K., Takano, Y., Kasuya, D., Niiya, M., Tonosu, J., Fukushima, M., Oshima, Y., Fujii, T., Tanaka, S., & Inanami, H. (2018). Uphononongo oluthelekisayo lwezonyango ezintathu ezilondolozayo kwizigulane ezine-lumbar spinal stenosis: i-lumbar spinal stenosis kunye ne-acupuncture kunye ne-physiotherapy study (LAP study). I-BMC encedisayo kunye neyeza elilolunye, i-18(1), i-19. doi.org/10.1186/s12906-018-2087-y
Han, JH, Lee, HJ, Woo, SH, Park, YK, Choi, GY, Heo, ES, Kim, JS, Lee, JH, Park, CA, Lee, WD, Yang, CS, Kim, AR, & Han , CH (2021). Ukusebenza kunye nokhuseleko lwe-acupotomy kwi-lumbar spinal stenosis: i-pragmatic randomized, controlled, pilot trial trial: Iprotocol yokufunda. Amayeza, 100 (51), e28175. doi.org/10.1097/MD.0000000000028175
Sudo, H., Miyakoshi, T., Watanabe, Y., Ito, YM, Kahata, K., Tha, KK, Yokota, N., Kato, H., Terada, T., Iwasaki, N., Arato, T., Sato, N., & Isoe, T. (2023). Iprotocol yokunyanga i-lumbar spinal canal stenosis kunye nendibaniselwano ye-ultrapurified, i-allogen bone marrow-derived mesenchymal stem cells kunye ne-situ-forming gel: i-multicentre, i-prospective, i-double blind blind-controlled controlled trial. BMJ vula, 13(2), e065476. doi.org/10.1136/bmjopen-2022-065476
Amaziko eSizwe ezeMpilo. (2016). Iziseko zeeseli zestem. ISebe lezeMpilo lase-US kunye neeNkonzo zoLuntu. Ifunyenwe kwi stemcells.nih.gov/info/basics/stc-basics
Jansen, T., Bornemann, R., Otten, L., Sander, K., Wirtz, D., & Pflugmacher, R. (2015). Vergleich dorsaler Dekompression nicht stabilisiert und dynamisch stabilisiert mit LimiFlex™ [Uthelekiso lweDorsal Decompression kunye neDorsal Decompression Didityaniswe nesixhobo sokuZinzisa esiDynamic iLimiFlex™]. Zeitschrift fur Orthopadie und Unfallchirurgie, 153(4), 415–422. doi.org/10.1055/s-0035-1545990
INkonzo yezeMpilo yeSizwe yase-UK. (2022). Utyando lokuthotywa kweLumbar: lwenziwa njani. www.nhs.uk/conditions/lumbar-decompression-surgery/what-happens/
Impilo ye-NYU Langone. (2024). Utyando lwe-spinal stenosis. nyulangone.org/conditions/spinal-stenosis/treatments/surgery-for-spinal-stenosis
Columbia Neurosurgery. (2024). Inkqubo ye-laminoplasty yomlomo wesibeleko. www.neurosurgery.columbia.edu/patient-care/treatments/cervical-laminoplasty
Iziko leSizwe le-Arthritis kunye ne-Musculoskeletal and Skin Diseases. (2023). I-Spinal stenosis: Ukuxilongwa, unyango kunye namanyathelo okufuneka uwathathe. Ifunyenwe kwi www.niams.nih.gov/health-topics/spinal-stenosis/diagnosis-treatment-and-steps-to-take
by UGqr Alex Jimenez Sciatica , Unyango lokuthotywa koMnqonqo
Kubantu abafumana okanye abalawula iintlungu ezisezantsi kunye / okanye i-sciatica, ngaba unyango lwe-lumbar traction lunokunceda ukunika isiqabu esiqhubekayo?
Ukutsalwa kwe-Lumbar
I-Lumbar traction therapy ye-back back pain kunye ne-sciatica ingaba yindlela yokonyango yokunceda ukubuyisela ukuhamba kunye nokuguquguquka kunye nokuxhasa ngokukhuselekileyo ukubuyela komntu kwinqanaba eliphezulu lomsebenzi. Ihlala idibaniswa nomsebenzi ojoliswe kuwo wonyango. (Yu-Hsuan Cheng, et al., 2020 ) Ubuchwephesha bolula indawo phakathi kwe-vertebrae kumqolo ophantsi, ukukhulula iintlungu ezisezantsi.
I-Lumbar okanye i-low back traction inceda ukwahlula izithuba phakathi kwe-vertebrae.
Ukwahlula amathambo kubuyisela ukujikeleza kwaye kunceda ukukhulula uxinzelelo kwi-nerve pinched njenge-nerve ye-sciatic, ukunciphisa intlungu kunye nokuphucula ukuhamba.
Research
Abaphandi bathi i-lumbar traction kunye nokuzilolonga ayizange iphucule iziphumo zomntu ngamnye xa kuthelekiswa nokuzivocavoca ngokwenyama ngokwabo (U-Anne Thackeray et al., ngo-2016 ). Uphononongo luvavanye abathathi-nxaxheba be-120 abaneentlungu ze-back back kunye ne-nerve root impingement abaye bakhethwa ngokungakhethi ukuba baqhube i-lumbar traction kunye nokuzivocavoca okanye ukuzivocavoca okulula kwiintlungu. Imithambo esekwe ekwandisweni igxile ekugobeni umqolo umva. Le ntshukumo ithathwa njengesebenzayo kubantu abaneentlungu zangasemva kunye nemithambo-luvo. Iziphumo zibonise ukuba ukongeza i-lumbar traction kwi-exercises yonyango lomzimba aluzange lubonelele ngeenzuzo ezibalulekileyo ngaphezu kokuzivocavoca okusekelwe ekwandisweni kwedwa ngenxa yeentlungu zangasemva. (U-Anne Thackeray et al., ngo-2016 )
Uphononongo luka-2022 lwafumanisa ukuba i-lumbar traction iluncedo kubantu abaneentlungu ezisezantsi. Uphononongo luphande iindlela ezimbini ezahlukeneyo ze-lumbar traction kwaye zafumanisa ukuba i-variable-force lumbar traction kunye ne-high-force lumbar traction yanceda ukukhulula iintlungu ezisezantsi. I-High-force lumbar traction nayo yafunyanwa ukunciphisa ukukhubazeka okusebenzayo. (Zahra Masood et al., 202 I-2) Olunye uphando lufumene i-lumbar traction iphucula uluhlu lwentshukumo kuvavanyo lokuphakamisa umlenze othe ngqo. Uphononongo luhlolisise amandla ahlukeneyo e-traction kwiidiski ze-herniated. Onke amanqanaba aphucula uluhlu lwabantu ngabanye, kodwa umlinganiselo wesiqingatha sobunzima bomzimba wawunxulunyaniswa neyona ntlungu ibalulekileyo. (Anita Kumari et al., 2021 )
impatho
Kubantu abaneentlungu ezisezantsi kuphela, ukuzilolonga, kunye nokulungiswa kwe-postural inokuba yiyo yonke into efunekayo ukunika isiqabu. Uphando luqinisekisa ukuzivocavoca umzimba kunokunceda ukunciphisa iintlungu kunye nokuphucula ukuhamba (Anita Slomski 2020 ). Olunye uphononongo luveze ukubaluleka kokubeka kwindawo enye iimpawu ze-sciatic ngexesha leentshukumo eziphindaphindiweyo. I-centralization ihambisa intlungu emva komqolo, oluluphawu oluhle lokuba ii-nerve kunye neediski ziyaphilisa kwaye zenzeke ngexesha lokusebenzisa unyango. (UHanne B. Albert et al., 2012 ) I-chiropractor kunye neqela lonyango lomzimba linokufundisa izigulane ekukhuseleni iintlungu zentlungu emva. Iingcali ze-Chiropractors kunye neengcali zonyango ziingcali zentshukumo yomzimba ezinokubonisa ukuba yeyiphi imithambo efanelekileyo kwimeko yakho. Ukuqala inkqubo yomthambo ebeka phakathi iimpawu kunokunceda abantu babuyele kubomi babo besiqhelo ngokukhawuleza nangokukhuselekileyo. Qhagamshelana nomboneleli wezempilo phambi kokuba uqalise nayiphi na inkqubo yokuzilolonga yeentlungu zomqolo.
Iyeza lokuhamba: IChiropractic
VIDEO
Ucaphulo
Cheng, YH, Hsu, CY, & Lin, YN (2020). Umphumo we-mechanical traction kwiintlungu ezisezantsi kwizigulane ezineediski ze-intervertebral herniated: ukuhlaziywa kwenkqubo kunye nohlalutyo lwe-meta. Ukuvuselelwa kweklinikhi, i-34 (1), i-13-22. doi.org/10.1177/0269215519872528
Thackeray, A., Fritz, JM, Childs, JD, & Brennan, GP (2016). Ukusebenza kwe-Mechanical Traction phakathi kwamaCandelwana ezigulane ezineentlungu ezisezantsi kunye neentlungu zomlenze: uvavanyo olungenammiselo. Ijenali yonyango lwamathambo kunye nezemidlalo, i-46 (3), i-144-154. doi.org/10.2519/jospt.2016.6238
Masood, Z., Khan, AA, Ayyub, A., & Shakeel, R. (2022). Impembelelo ye-lumbar traction kwi-discogenic low back pain usebenzisa amandla aguquguqukayo. JPMA. Ijenali yePakistan Medical Association, 72 (3), 483-486. doi.org/10.47391/JPMA.453
Kumari, A., Quddus, N., Meena, PR, Alghadir, AH, & Khan, M. (2021). Imiphumo ye-One-Fifth, One-Third, kunye ne-Half-Half of the Bodyweight Lumbar Traction kwi-Sight Leg Ukuphakamisa uvavanyo kunye nentlungu kwi-Prolapsed Intervertebral Disc Patients: Uvavanyo oluLawulwayo olungenammiselo. Uphando lweBioMed lwamazwe ngamazwe, 2021, 2561502. doi.org/10.1155/2021/2561502
Slomski A. (2020). Unyango lwangaphambili loMzimba lukhulula ukukhubazeka kwe-Sciatica kunye neentlungu. JAMA, 324(24), 2476. doi.org/10.1001/jama.2020.24673
Albert, HB, Hauge, E., & Manniche, C. (2012). I-Centralization kwizigulane ezine-sciatica: ngaba iimpendulo zentlungu kwiintshukumo eziphindaphindiweyo kunye nokumiswa okuhambelana nesiphumo okanye iintlobo zezilonda zediski? Iphephancwadi laseYurophu lomqolo : ukupapashwa ngokusemthethweni kwe-European Spine Society, i-European Spinal Deformity Society, kunye neCandelo laseYurophu leCervical Spine Research Society, i-21 (4), i-630-636. doi.org/10.1007/s00586-011-2018-9
by UGqr Alex Jimenez Intloko kunye nonyango , ukuphulula umzimba womntu ngobunono
Kubantu abaphethwe ziintlungu zentamo kunye neentloko, ngaba unyango lwe-massage yentloko ye-craniosacral lunokunceda ukunika isiqabu?
Unyango lweCraniosacral
Unyango lwe-Craniosacral kukuthanjiswa okuthambileyo ukukhulula i-fascia okanye uxinzelelo lwenethiwekhi yezicubu ezixhumeneyo. Unyango alulolutsha kodwa lufumene ingqalelo entsha ngenxa yomdla woluntu kunyango lweentlungu zendalo kunye nonyango. Izifundo zisikelwe umda, kodwa uphando lweklinikhi luyaqhuba ukubona ukuba unyango lunokuba lolona khetho lonyango luqhelekileyo. Unyango lujolise ekudambiseni iimpawu zezifo ezahlukeneyo kunye neemeko, kubandakanya:
Intloko intlungu entanyeni
I-syndrome ye-complex yengingqi yeentlungu - i-CRPS
Ngokunciphisa uxinzelelo kumqolo ongaphantsi, intloko, kunye nekholamu yomgogodla, ukujikeleza kwe-cerebrospinal fluid kubuyiselwa, kwaye izigqi zomzimba ngaphakathi kwenkqubo ye-nervous zisetwa kwakhona. Oku kunika isiqabu kwiintlungu, kunciphisa uxinzelelo, kwaye kuphucule impilo yonke.
Iinjongo zokuphulula umzimba
Iimeko ezininzi kunye nezigulo ezithi zizuze kunyango lwe-craniosacral ziquka (Heidemarie Haller et al., 2019 ) (UHeidemarie Haller, uGustav Dobos, kwaye Holger Cramer, 2021 )
Intloko
Migraines
Iimeko zeentlungu ezingapheliyo
Iziphazamiso ezinxulumene noxinzelelo
Ukuxhalabisa
ukudakumba
I-tinnitus - ukukhala ezindlebeni
Utywala
Infantile colic
Iintlungu zesisu
Ukunqongophala kwengqalelo ukuphazamiseka kwe-hyperactivity-ADHD
Isifuba
Unyango lokuphelisa iziphumo ebezingalindelekanga zonyango lomhlaza.
Iindawo ekugxilwe kuzo zezo zisecaleni kwe-fascia, izicubu ezixhumeneyo ezibambe izitho, imithambo yegazi, amathambo, imicu yemithambo-luvo, kunye nezihlunu endaweni. Ngokusebenza le zicubu ngokusebenzisa i-massage yoxinzelelo oluthambileyo, iingcali zinceda ukuthomalalisa impendulo yokulwa okanye yokubhabha ngokuphumza inkqubo ye-nervous enovelwano. Iimpawu ziya kugqiba ukuba zeziphi iindawo zomzimba ezifuna unyango lwe-craniosacral. Abantu abaneentloko ezibuhlungu baya kunikwa intloko okanye intamo ye-massage. Ezinye iindawo ezibandakanyekayo kunyango lwe-craniosacral ziquka:UHeidemarie Haller, uGustav Dobos, kunye noHolger Cramer, ngo-2021 )
umva
Ejikeleze ikholamu yomgogodla.
Ezinye iindawo ezifana namalungu okanye izihlunu.
Uxinzelelo olusetyenziswa ngexesha lonyango lwe-craniosacral lulula kwaye alufani ne-massage yezicubu ezinzulu.
Uxinzelelo olukhanyayo lusetyenziswa kwi-fascial tissue echaphazelekayo ukunceda ukusetha kwakhona izigqi zomzimba ezithile ezinokudlala indima kwintlungu kunye nezinye iimpawu. (UHeidemarie Haller, uGustav Dobos, kunye noHolger Cramer, ngo-2021 )
Inkqubo yeNervous yeParasympathetic kunye novelwano
Iinkqubo ze-nervous parasympathetic kunye novelwano zilawula iimpendulo ezahlukeneyo zomzimba.
Inkqubo ye-nervous parasympathetic isekela ukuphumla okufanelekileyo kunye nemisebenzi yokugaya ukutya, kwaye inkqubo ye-nervous enovelwano ilawula impendulo yomzimba yokulwa-okanye-indiza. (Iklinikhi yaseCleveland. 2022 )
IiTeknikhi zoNyango
Iindlela zokuphulula ezisetyenziswa kunyango lwe-craniosacral zixhomekeke kuxinzelelo oluphantsi olwenzelwe ukuba luthambe kangangoko. Iincam zeminwe zihlala zisetyenziselwa ukuphepha ukufaka uxinzelelo oluninzi. Ababoneleli bezempilo basebenza iindawo phakathi kwekhayi kunye nezantsi komqolo ukuchonga nokusetha kwakhona ukungalingani ngaphakathi komzimba kunye ne-cerebrospinal fluid. Ukuba kukho ukungalingani kwi-cerebrospinal fluid, i-massage therapist iya kuphinda ibeke umntu okanye icinezele kwindawo ukukhulula kunye / okanye ukwandisa ukujikeleza. Ubuchule busebenza ukuphucula amandla omzimba okulawula iimpendulo zomzimba. (Heidemarie Haller et al., 2019 Ngexesha nasemva kweseshoni, abantu ngabanye banokufumana iimvakalelo ezahlukeneyo, kubandakanywa: (I-Biodynamic Craniosacral Therapy Association yaseMntla Melika, ngo-2024 )
Ukuphumla.
Ukuziva ukwimo yokucamngca.
Ukulala.
Unamandla.
Ukuziva ukufudumala.
Ukuphefumla nzulu.
Ukuziva umzimba uqondile kwaye umde.
Abantu abangafanelanga baFumana unyango lweCraniosacral
Unyango lweCraniosacral luthathwa njengekhuselekile; nangona kunjalo, abanye abantu kufuneka bayiphephe okanye badibane nomboneleli wezempilo ngaphambi kokuba bazame. Abo bacetyiswayo ukuba bangalufumani unyango baquka abantu abanezi zigulo okanye izigulo zilandelayo:
Ukubhideka okanye okunye ukwenzakala kwengqondo.
Amahlwili egazi.
Ukudumba kwengqondo.
I-Brain aneurysm - i-bulge ezaliswe ligazi kumthambo wegazi ngaphakathi okanye ojikeleze ingqondo.
Iimeko ezibangela ukwakhiwa kwe-cerebrospinal fluid.
impatho
Unyango lweCraniosacral lunikezelwa ngababoneleli bezempilo abaninzi, kubandakanya:
Unyango lweCraniosacral olunelayisensi yokunyanga ii-massage therapists
Iingcali zempilo
Abasebenzi beengcali
Amathambo
Iingcali
Ezi ngcali ziyayazi indlela yokwenza indlela ye-massage ngokuchanekileyo.
Intloko intloko
VIDEO
Ucaphulo
Haller, H., Lauche, R., Sundberg, T., Dobos, G., & Cramer, H. (2019). Unyango lwe-Craniosacral kwiintlungu ezingapheliyo: ukuphononongwa okucwangcisiweyo kunye nohlalutyo lwemeta yezilingo ezilawulwa ngokungahleliwe. I-BMC ye-musculoskeletal disorders, i-21 (1), i-1. doi.org/10.1186/s12891-019-3017-y
Haller, H., Dobos, G., & Cramer, H. (2021). Ukusetyenziswa kunye neenzuzo zeCraniosacral Therapy kukhathalelo lwempilo olusisiseko: isifundo esilindelekileyo seqela. Unyango olongezelelweyo kumayeza, 58, 102702. doi.org/10.1016/j.ctim.2021.102702
Iklinikhi yaseCleveland. (2022). Inkqubo yeNervous yePeripheral (PNS) (iThala leeNcwadi leMpilo, uMba. my.clevelandclinic.org/health/body/23123-peripheral-nervous-system-pns
I-Biodynamic Craniosacral Therapy Association yaseMntla Melika. (2024). Injani iseshini? www.craniosacraltherapy.org/what-is-a-session-like-
by UGqr Alex Jimenez Chiropractic , Ubuhlungu obungapheliyo , Ukuhamba kunye nokuguquguquka , Ucoceko loMgcini , Uncedo Lwezityalo , Unyango , I-Viscerosomatic Reflex
Ngaba abantu abane-hypermobility edibeneyo banokufumana isiqabu ngonyango olungazenzisiyo ekunciphiseni iintlungu kunye nokubuyisela ukuhamba komzimba?
intshayelelo
Xa umntu ehambisa umzimba wabo, izihlunu ezijikelezileyo, amalunga, kunye nemigqaliselo ifakwe kwimisebenzi eyahlukeneyo evumela ukuba banwebe kwaye baguquguquke ngaphandle kwentlungu okanye ukungahambi kakuhle. Iintshukumo ezininzi eziphindaphindwayo zenza umntu aqhubeke nenkqubo yakhe. Nangona kunjalo, xa amalunga, izihlunu, kunye nemigqa yolulelwe kude kunesiqhelo kwindawo ephezulu kunye nesezantsi ngaphandle kweentlungu, kwaziwa ngokuba yi-joint hypermobility. Olu kuphazamiseka kwezicubu ezixhumeneyo kunokunxibelelana nezinye iimpawu ezichaphazela umzimba kwaye kubangele ukuba abantu abaninzi bafune unyango lokulawula iimpawu ze-hypermobility edibeneyo. Kwinqaku lanamhlanje, siza kujonga i-hypermobility edibeneyo kunye nendlela ezahlukeneyo zonyango ezingezizo utyando ezinokunceda ukunciphisa intlungu ebangelwa yi-hypermobility kunye nokubuyisela ukuhamba komzimba. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya indlela intlungu yabo inokudibaniswa ngayo ne-hypermobility edibeneyo. Sikwazisa kwaye sikhokela izigulana malunga nendlela ukudibanisa unyango olungelulo utyando lunokunceda ukuphucula umsebenzi odibeneyo ngelixa ulawula iimpawu ezihambelanayo. Sikhuthaza izigulana zethu ukuba zibuze ababoneleli bezonyango abanxulumene nabo imibuzo enzima kunye nengqiqo malunga nokubandakanya unyango olungasebenzisiyo njengenxalenye yendlela yabo yokunciphisa intlungu kunye nokukhathazeka kwi-hypermobility joint. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli .
Yintoni Joint Hypermobility?
Ngaba uhlala uziva ukuba amalungu akho evalelwe ezandleni, ezihlahleni, emadolweni, nasezingqinibeni? Ngaba ufumana iintlungu kunye nokudinwa kumalungu akho xa umzimba wakho uziva udiniwe rhoqo? Okanye xa usolula iziphetho zakho, ngaba zinwenwela kude kunesiqhelo ukuze uve isiqabu? Uninzi lwezi meko zahlukeneyo zihlala zinxulunyaniswa nabantu abafumana i-hypermobility edibeneyo. I-Joint hypermobility sisifo esizuzwa njengelifa kunye neepateni eziphambili ze-autosomal ezibonisa i-hyperlaxity edibeneyo kunye neentlungu ze-musculoskeletal ngaphakathi kweendawo zomzimba. ( Carbonell-Bobadilla et al., 2020 ) Le meko ye-tissue edibeneyo idla ngokuhambelana nokuguquguquka kwezicubu ezidibeneyo ezifana nemigqa kunye ne-tendon emzimbeni. Umzekelo uya kuba ukuba isithupha somntu sichukumisa umphambili wabo wangaphakathi ngaphandle kokuva iintlungu okanye ukungakhululeki, bane-hypermobility edibeneyo. Ukongeza, abantu abaninzi abajongana ne-hypermobility edibeneyo bahlala benokuxilongwa nzima njengoko beya kukhula ulusu kunye nobuthathaka bezicubu ngokuhamba kwexesha, okubangela iingxaki ze-musculoskeletal. ( Tofts et al., 2023 )
Xa abantu bejongana ne-hypermobility edibeneyo ngokuhamba kwexesha, uninzi luhlala lunophawu lwe-hypermobility edibeneyo. Baza kubonisa iimpawu ze-musculoskelet kunye ne-systemic ezikhokelela ekuboniseni ukukhubazeka kwamathambo, izicubu kunye ne-fragility yesikhumba, kunye nokwahlukana kwesakhiwo kwinkqubo yomzimba. ( UNicholson et al., 2022 ) Ezinye zeempawu zokuba i-joint hypermobility iboniswa kuxilongo ziquka:
Iintlungu zemisipha kunye nokuqina kwamalungu Ukucofa amalungu Ukukhathala Imiba yokugaya Imicimbi yokulinganisa
Ngethamsanqa, kukho unyango olwahlukeneyo olunokuthi lusetyenziswe ngabantu abaninzi ukunceda ukubuyisela izihlunu ezijikeleze amalunga kunye nokunciphisa iimpawu ezihambelanayo ezibangelwa yi-hypermobility edibeneyo.
Intshukumo Njengonyango-Ividiyo
VIDEO
Nosurgical Treatments For Joint Hypermobility
Xa ujongene ne-hypermobility edibeneyo, abantu abaninzi kufuneka bafune unyango lokunciphisa iimpawu ezihambelana neentlungu ze-hypermobility kunye nokunceda ukukhulula iziphelo zomzimba ngelixa ubuyisela ukuhamba. Olunye unyango olugqwesileyo lwe-hypermobility edibeneyo lunyango olungasebenzisi utyando olungaphazamisiyo, luthambileyo kumalungu kunye nezihlunu, kwaye lungabizi kakhulu. Iindidi ezahlukeneyo zonyango ezingezizo utyando zinokwenzelwa umntu ngamnye ngokuxhomekeke ekubeni kuqatha kangakanani na ukudityaniswa kwe-hypermobility kunye ne-commorbidities kuchaphazela umzimba womntu. Unyango olungenalo utyando lunokukhulula umzimba kwi-hypermobility edibeneyo ngokunyanga izizathu zentlungu ngokunciphisa kunye nokwandisa amandla okusebenza kunye nokubuyisela umgangatho wobomi bomntu. ( Etwell et al., 2021 ) Iindlela ezintathu zonyango ezingenalo utyando ezigqwesileyo ekunciphiseni intlungu kwi-hypermobility yamalungu kunye nokunceda ukuqinisa imisipha ejikelezayo ingezantsi.
Ukhathalelo lweChiropractic
Ukunyamekela kwe-Chiropractic kusebenzisa ukunyanzeliswa komgogodla kwaye kunceda ukubuyisela ukuhamba ngokubambisana emzimbeni ukuze kuncitshiswe imiphumo ye-hypermobility edibeneyo ngokuzinzisa amajoyina achaphazelekayo ukusuka kwi-hypermobile extremities. ( Boudreau et al., 2020 ) I-Chiropractors ibandakanya ukuguqulwa komatshini kunye nemigaqo kunye neendlela ezahlukeneyo zokunceda abantu abaninzi baphucule i-posture yabo ngokunyamekela imizimba yabo kunye nokusebenza kunye nezinye iindlela zokwelapha ezininzi ukugxininisa ukunyakaza okulawulwayo. Ngolunye ukuxhatshazwa okuhambelana nokuxhatshazwa ngokubambisana, njengentlungu emva nangentamo, ukunakekelwa kwe-chiropractic kunokunciphisa ezi mpawu ze-comorbidity kunye nokuvumela umntu ukuba aphinde abuyele umgangatho wobomi.
Ukwenza i-Acupuncture
Olunye unyango olungelona utyando olunokuthi abantu abaninzi balubandakanye ukunciphisa ukudityaniswa kwe-hypermobility kunye ne-comorbidities yayo yi-acupuncture. I-acupuncture isebenzisa iinaliti ezincinci, ezinqabileyo, eziqinileyo ezisetyenziswa ngabagqirha be-acupuncture ukuvala ii-receptors zentlungu kunye nokubuyisela ukuhamba kwamandla omzimba. Xa abantu abaninzi bejongene ne-hypermobility edibeneyo, iziphelo zabo emilenzeni, ezandleni nasezinyaweni ziba nentlungu ekuhambeni kwexesha, nto leyo enokubangela ukuba umzimba ungazinzi. Yintoni eyenziwa yi-acupuncture kukunceda ukunciphisa intlungu ebangelwa yi-hypermobility edibeneyo ehambelana neziphelo kunye nokubuyisela ukulinganisela kunye nokusebenza komzimba ( Luan et al., 2023 ). Oku kuthetha ukuba ukuba umntu ujongene nokuqina kunye neentlungu zemisipha ezivela kwi-joint hypermobility, i-acupuncture inokunceda ukubuyisela iintlungu ngokubeka iinaliti kwii-acupoints zomzimba ukunika isiqabu.
Ulungiso lwenyama
Unyango lomzimba lunyango lokugqibela olungasebenzisi utyando abantu abaninzi abanokulubandakanya kwimisebenzi yabo yemihla ngemihla. Unyango lomzimba lunokunceda ukulawula i-hypermobility edibeneyo elungiselelwe ukunceda ukuqinisa izihlunu ezibuthathaka ezijikeleze amajoyina achaphazelekayo, ukuphucula ukuzinza komntu kunye nokunceda ukunciphisa umngcipheko wokutshatyalaliswa. Ukongeza, abantu abaninzi banokusebenzisa umthambo onempembelelo ephantsi ukuqinisekisa ulawulo olululo lwemoto xa usenza umthambo rhoqo ngaphandle kokubeka uxinzelelo olugqithisileyo kumalungu. ( URussek et al., ngo-2022 )
Ngokubandakanya olu nyango luthathu lungelolo lotyando njengenxalenye yonyango olulungiselelweyo lwe-hypermobility edibeneyo, abantu abaninzi baya kuqala ukuva umahluko kwibhalansi yabo. Abayi kuba neentlungu ezidibeneyo ngokukhumbula ngakumbi umzimba kunye nokubandakanya utshintsho oluncinci kwindlela yabo. Nangona ukuhlala kunye ne-hypermobility edibeneyo kunokuba ngumceli mngeni kubantu abaninzi, ngokudibanisa kunye nokusebenzisa indibaniselwano efanelekileyo yonyango olungasebenzisi utyando, abaninzi banokuqala ukuphila ubomi obusebenzayo nobanelisayo.
Ucaphulo
Atwell, K., Michael, W., Dubey, J., James, S., Martonffy, A., Anderson, S., Rudin, N., & Schrager, S. (2021). Ukuxilongwa kunye noLawulo lwe-Hypermobility Spectrum Disorders kwi-Primary Care. J IBhodi ye Fam Fam , 34 (4), 838-848. doi.org/10.3122/jabfm.2021.04.200374
Boudreau, PA, Steiman, I., & Mior, S. (2020). Ulawulo lweklinikhi ye-benign joint hypermobility syndrome: i-case series. J Can Chiropr Assoc , 64 (1), 43-54. www.ncbi.nlm.nih.gov/pubmed/32476667
www.ncbi.nlm.nih.gov/pmc/articles/PMC7250515/pdf/jcca-64-43.pdf
Carbonell-Bobadilla, N., Rodriguez-Alvarez, AA, Rojas-Garcia, G., Barragan-Garfias, JA, Orrantia-Vertiz, M., & Rodriguez-Romo, R. (2020). [I-Joint hypermobility syndrome]. Acta Ortop Mex , 34 (6), 441-449. www.ncbi.nlm.nih.gov/pubmed/34020527 (Sindrome de hipermovilidad articular.)
Luan, L., Zhu, M., Adams, R., Witchalls, J., Pranata, A., & Han, J. (2023). Iziphumo ze-acupuncture okanye unyango olufanayo lwe-needling kwiintlungu, i-proprioception, ibhalansi, kunye nomsebenzi wokuzichaza ngokuzimeleyo kubantu abanokungazinzi okungapheliyo kwe-ankle: ukuphononongwa okucwangcisiweyo kunye nohlalutyo lwe-meta. Mncedi Ther Med , 77 , 102983. doi.org/10.1016/j.ctim.2023.102983
Nicholson, LL, Simmonds, J., Pacey, V., De Wandele, I., Rombaut, L., Williams, CM, & Chan, C. (2022). Iimbono zamazwe ngamazwe kwi-Joint Hypermobility: I-Synthesis yeNzululwazi yangoku ukuKhokela izikhokelo zeKlinikhi kunye noPhando. J Clin Rheumatol , 28 (6), 314-320. doi.org/10.1097/RHU.0000000000001864
Russek, LN, Block, NP, Byrne, E., Chalela, S., Chan, C., Comerford, M., Frost, N., Hennessey, S., McCarthy, A., Nicholson, LL, Parry, J ., Simmonds, J., Stott, PJ, Thomas, L., Treleaven, J., Wagner, W., & Hakim, A. (2022). Ukunikezelwa kunye nokulawulwa konyango lomzimba wokungazinzi komlomo wesibeleko esiphezulu kwizigulane ezine-symptomatic generalized joint hypermobility: iingcebiso zeengcali zamazwe ngamazwe. Front Med (Lausanne) , 9 , 1072764. doi.org/10.3389/fmed.2022.1072764
Tofts, LJ, Simmonds, J., Schwartz, SB, Richheimer, RM, O'Connor, C., Elias, E., Engelbert, R., Cleary, K., Tinkle, BT, Kline, AD, Hakim, AJ , van Rossum, MAJ, & Pacey, V. (2023). Uxinzelelo oludibeneyo lwabantwana: isakhelo sokuxilonga kunye nophononongo olubalisayo. Orphanet J Rare Dis , 18 (1), 104. doi.org/10.1186/s13023-023-02717-2
isikhanyeli
by UGqr Alex Jimenez Chiropractic , Ubuhlungu obungapheliyo , Disc Disc , Unyango lokuthotywa koMnqonqo , Uncedo Lwezityalo , Unyango , I-Viscerosomatic Reflex
Ngaba abantu abaneediski ze-herniated banokulufumana uncedo abalufunayo kunyango lwe-traction okanye ukudodobala ukubonelela ngesiqabu seentlungu?
intshayelelo
Umqolo uvumela umntu ukuba ahambe kwaye aguquguquke ngaphandle kokuva intlungu kunye nokungahambi kakuhle xa umntu ehamba. Oku kungenxa yokuba umqolo uyingxenye yenkqubo ye-musculoskeletal equkethe imisipha, i-tendon, i-ligaments, intambo yomgogodla, kunye neediski zomgogodla. Ezi zixhobo zijikeleze umqolo kwaye zinemimandla emithathu ukuvumela iindawo eziphezulu kunye nezisezantsi ukuba zenze imisebenzi yazo. Nangona kunjalo, umqolo ukwaguga xa umzimba uqala ukuguga ngokwemvelo. Ukunyakaza okuninzi okanye izenzo eziqhelekileyo zinokubangela ukuba umzimba ube nzima kwaye, ngokuhamba kwexesha, kunokubangela ukuba i-spinal disc i-herniate. Xa oku kwenzeka, i-disc ye-herniated ingakhokelela kwiintlungu kunye nokungahambi kakuhle kwimida, ngaloo ndlela yenza abantu bajongane nomgangatho wobomi obuncitshisiweyo kunye nentlungu kwimimandla emithathu yomgogodla. Ngethamsanqa, kukho unyango oluninzi, olufana nonyango lwe-traction kunye ne-decompression, ukunciphisa intlungu kunye nokukhathazeka okuhambelana neediski ze-herniated. Inqaku lanamhlanje lijonga ukuba kutheni iidiski ze-herniated zibangela imiba kumqolo kunye nemiphumo yendlela ezi zonyango ezimbini ezinokunceda ukunciphisa iidiski ze-herniated. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya indlela i-disc ye-herniated kumqolo ingaba ngumba obangela intlungu ye-musculoskeletal. Siyazisa kwaye sikhokela izigulane malunga nendlela ukudibanisa ukuchithwa komgogodla kunye nonyango lwe-traction kunokunceda ukulungelelanisa umqolo kunye nokunciphisa i-disc herniation ebangela imiba yomgogodla. Sikhuthaza izigulane zethu ukuba zibuze ababoneleli bezonyango abanxulumene nabo imibuzo enzima kunye nebalulekileyo malunga nokubandakanya unyango olungenalo utyando njengenxalenye yendlela yabo yokunciphisa intlungu kunye nokukhathazeka emizimbeni yabo. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli .
Kutheni i-Herniated Discs ibangela imiba kwi-Spine?
Ngaba uziva ungonwabanga rhoqo entanyeni okanye ngasemva okungakuvumeli ukuba uphumle? Ngaba uziva ukubetha kwiindawo zakho eziphezulu kunye nezisezantsi, ukwenza izinto zokubamba okanye ukuhamba nzima? Okanye ngaba uye waqaphela ukuba uzingela kwidesika yakho okanye ukuma kwaye ukolula kubangela intlungu? Njengoko umqolo ugcina umzimba uthe tye, amacandelo awo aphambili abandakanya i-vertebrae eshukumayo, i-nerve root fibers, kunye ne-spinal discs ukunceda ukuthumela izibonakaliso ze-neuron kwingqondo ukuvumela ukunyakaza, ukukhupha amandla othusayo kumqolo, kwaye ube bhetyebhetye. Umqolo uvumela umntu ukuba enze imisebenzi eyahlukeneyo ngaphandle kweentlungu kunye nokungahambi kakuhle ngokusebenzisa ukunyakaza okuphindaphindiweyo. Nangona kunjalo, xa umzimba uguga, kunokukhokelela ekutshintsheni okuguquguqukayo kumqolo, okubangela ukuba i-spinal disc i-herniate ngokuhamba kwexesha. I-disc ye-herniated yimeko eqhelekileyo ye-musculoskelet ye-degenerative eyenza ukuba i-nucleus pulposus iphule kuyo nayiphi na indawo ebuthathaka ye-annulus fibrosus kwaye icinezele iingcambu ze-nerve ezijikelezayo. ( UGe et al., 2019 ) Ngamanye amaxesha, xa iintshukumo eziphindaphindiweyo ziqala ukudala i-disc ye-herniated, inxalenye yangaphakathi ye-disc ingaba yi-desiccated kunye ne-brittle. Ngokwahlukileyo, inxalenye yangaphandle iba yi-fibrotic kwaye i-elastic encinci, ibangela ukuba i-disc iyancipha kwaye ibe yincinci. I-disc ye-herniated inokuchaphazela abantu abancinci nabadala njengoko banokuba negalelo lezinto ezininzi ezibangela ukuba utshintsho lwe-proinflammatory emzimbeni. ( Wu et al., 2020 )
Xa abantu abaninzi bejongene nentlungu ehambelana ne-disc ye-herniated, i-disc ngokwayo ihamba ngenguqu ye-morphological ngokusebenzisa i- characterization ye-disc ibe ngumonakalo oyingxenye, elandelwa yi-displacement kunye ne-herniation ye-disc yangaphakathi kwi-canal ye-vertebral ukuze icinezele. iingcambu zemithambo-luvo. ( Diaconu et al., 2021 ) Oku kubangela iimpawu zentlungu, ukuba ndindisholo, kunye nobuthathaka kwiindawo eziphezulu kunye nezisezantsi zomzimba ngokusebenzisa i-nerve impingement. Yiyo loo nto, abantu abaninzi bajongana neempawu zentlungu ezigqithisiweyo ezivela ezingalweni zabo nasemilenzeni ekhupha iintlungu. Xa ukunyanzeliswa kwe-nerve ehambelana neediski ze-herniated ziqala ukubangela intlungu kunye nokungahambi kakuhle, abantu abaninzi baqala ukufuna unyango ukuze banciphise intlungu eyenziwa yi-disc ye-herniated ukubonelela ngokukhululeka kwimizimba yabo.
Ukuthotywa koMnqonqo kubunzulu-Ividiyo
VIDEO
Iimpembelelo zeTraction Therapy ekunciphiseni i-Herniated Disc
Abantu abaninzi abaphethwe yintlungu echaphazelekayo kwiidiski ze-herniated kwimiqolo yabo banokufuna unyango olufana ne-traction therapy ukunciphisa intlungu. Unyango lokutsalwa lunyango olungasebenzisi utyando ololula kwaye luhlanganise umqolo. Unyango lokutsala lungenziwa ngoomatshini okanye ngesandla yingcali yeentlungu okanye ngoncedo lwezixhobo zoomatshini. Iimpembelelo zonyango lwe-traction zinganciphisa amandla oxinzelelo kwi-spinal disc ngelixa unciphisa ukunyanzeliswa kweengcambu ze-nerve ngokwandisa ubude bediski ngaphakathi komgudu. ( Wang et al., 2022 ) Oku kuvumela ukuba iindawo ezijikelezayo ngaphakathi komqolo zihambe kwaye zichaphazele ngokufanelekileyo umqolo. Ngonyango lwe-traction, imikhosi yoxinzelelo oluphakathi okanye oluzinzileyo lunceda ukolula umqolo, ukunciphisa iintlungu, kunye nokuphucula iziphumo zokusebenza. ( Kuligowski et al., 2021 )
Iimpembelelo zoMnqopho wokuNxinzelela ekunciphiseni i-Herniated Disc
Olunye uhlobo lonyango olungenalo utyando luyi-spinal decompression, inguqu ephucukileyo ye-traction esebenzisa iteknoloji yekhompyutheni ukunceda ukusebenzisa i-controlled, i-lattle pulling forces to the spine. I-Spinal decompression iyenza kukuba inokunceda ukuthoba umgudu womgogodla kwaye incede ukutsala i-disc ye-herniated ibuyele kwindawo yayo yasekuqaleni ngelixa uzinzisa umqolo kunye nokugcina amathambo abalulekileyo kunye nezicubu ezithambileyo zikhuselekile. ( Zhang et al., 2022 ) Ukongezelela, ukunyanzeliswa komgogodla kunokudala uxinzelelo olubi kumqolo ukuvumela ukuhamba kwamanzi okunomsoco kunye ne-oksijini yegazi ukubuyela kwiidiski ngelixa udala ubudlelwane obuphambeneyo xa kuqaliswa uxinzelelo lwengcinezelo. ( URamos noMartin, ngo-1994 ) Bobabini ukunyanzeliswa komgogodla kunye nokunyangwa kwe-traction kunokubonelela ngeendlela ezininzi zonyango ukubonelela ngokukhululeka kubantu abaninzi abajongene neediski ze-herniated. Ngokuxhomekeke kwindlela enzima ngayo i-disc ye-herniated ibangele imiba kumqolo womntu, abaninzi banokuthembela kunyango olungelulo utyando ngenxa yesicwangciso salo esilungelelanisiweyo esinomntu kwintlungu yomntu kwaye inokudibaniswa kunye nezinye iindlela zonyango zokuqinisa imisipha ejikelezayo. Ngokwenza njalo, abantu abaninzi banokungabi nantlungu ekuhambeni kwexesha ngelixa bekhumbula imizimba yabo.
Ucaphulo
Diaconu, GS, Mihalache, CG, Popescu, G., Man, GM, Rusu, RG, Toader, C., Ciucurel, C., Stocheci, CM, Mitroi, G., & Georgescu, LI (2021). Iingqwalasela zeklinikhi kunye ne-pathological kwi-lumbar herniated disc ehambelana nezilonda ezivuthayo. Rom J Morphol Embryol , 62 (4), 951-960. doi.org/10.47162/RJME.62.4.07
Ge, CY, Hao, DJ, Yan, L., Shan, LQ, Zhao, QP, He, BR, & Hui, H. (2019). Intradural Lumbar Disc Herniation: Ingxelo yeNgxelo kunye noPhononongo loNcwadi. Clin Interv Ukuguga , 14 , 2295-2299. doi.org/10.2147/CIA.S228717
Kuligowski, T., Skrzek, A., & Cieslik, B. (2021). Unyango lweNcwadana kwi-Cervical and Lumbar Radiculopathy: Ukuphononongwa okuCwangcisiweyo koNcwadi. Int J Environ Res Impilo yoLuntu , 18 (11). doi.org/10.3390/ijerph18116176
Ramos, G., & Martin, W. (1994). Iziphumo ze-vertebral axial decompression kuxinzelelo lwe-intradiscal. J Neurosurg , 81 (3), 350-353. doi.org/10.3171/jns.1994.81.3.0350
Wang, W., Long, F., Wu, X., Li, S., & Lin, J. (2022). Ukusebenza kweKlinikhi ye-Mechanical Traction njenge-Physical Therapy ye-Lumbar Disc Herniation: Uhlalutyo lwe-Meta. Iindlela zeMathematika zeKhompyutha Med , 2022 , 5670303. doi.org/10.1155/2022/5670303
Wu, PH, Kim, HS, & Jang, IT (2020). Izifo ze-Intervertebral Disc ICANDELO 2: Uphononongo lweSicwangciso sokuHlola kunye noNyango lwangoku lwe-Intervertebral Disc Disease. Int J Mol Sci , 21 (6). doi.org/10.3390/ijms21062135
Zhang, Y., Wei, FL, Liu, ZX, Zhou, CP, Du, MR, Quan, J., & Wang, YP (2022). Ukuthelekiswa kweendlela zokuchithwa kwe-posterior kunye ne-laminectomy eqhelekileyo ye-lumbar spinal stenosis. I-Front Surg , 9 , 997973. doi.org/10.3389/fsurg.2022.997973
isikhanyeli
by UGqr Alex Jimenez Chiropractic , Ubuhlungu obungapheliyo , Disc Disc , Ukuhamba kunye nokuguquguquka , Unyango lokuthotywa koMnqonqo , Uncedo Lwezityalo , Unyango , I-Viscerosomatic Reflex
Ngaba abantu abaneentlungu zomqolo ezintanyeni zabo kunye nomqolo bangasebenzisa unyango lwe-decompression ukubuyisela ubude be-spinal disc kwaye bafumane isiqabu?
intshayelelo
Abantu abaninzi abaqondi ukuba njengoko umzimba uya ukhula, kunjalo nomnqonqo. Umqolo yinxalenye yenkqubo ye-musculoskeletal enikezela ngenkxaso yesakhiwo kumzimba ngokuwugcina ulungile. Izihlunu ezijikelezileyo, iigaments, kunye nezicubu ezijikeleze umgudu zinceda ngokuzinza kunye nokuhamba, ngelixa i-disc ye-spinal kunye ne-joints inikezela ukuxutywa kokutshatyalaliswa kwisisindo esithe nkqo. Xa umntu ehamba kunye nemisebenzi yakhe yemihla ngemihla, umqolo unokuvumela umntu ukuba ahambe ngaphandle kweentlungu okanye ukungahambi kakuhle. Nangona kunjalo, njengoko ixesha lihamba, umqolo uhamba ngeenguqu eziguqukayo ezinokubangela intlungu kunye nokungahambi kakuhle emzimbeni, ngaloo ndlela ushiya umntu ukuba ajongane neeprofayili ezinobungozi ezinokuchaphazela intamo kunye nomva. Ukuza kuthi ga ngelo xesha, abantu abaninzi bafuna unyango lokunciphisa intlungu echaphazela umqolo wabo kunye nokubuyisela ukuphakama kwediski emizimbeni yabo. Inqaku lanamhlanje lijonga indlela iintlungu zomgogodla ezichaphazela ngayo intamo yomntu kunye nomva kunye nendlela unyango olufana nokuthotywa komgogodla kunokunciphisa intlungu yomgogodla kunye nokubuyisela ukuphakama kwediski. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya indlela intlungu yomgogodla inokuchaphazela kakhulu impilo yomntu kunye nomgangatho wobomi emizimbeni yabo. Siyazisa kwaye sikhokela izigulane malunga nendlela ukudibanisa ukuchithwa komgogodla kunokunceda ukunciphisa intlungu yomgogodla kunye nokubuyisela ukuphakama kwe-spinal disc. Sikhuthaza izigulana zethu ukuba zibuze ababoneleli bezonyango abanxulumene nabo imibuzo entsonkothileyo kunye nebalulekileyo malunga nokubandakanya unyango olungasebenzisi utyando kwindlela yempilo kunye nokuba sempilweni ukuze kuthomalaliswe iintlungu zomqolo kunye nokubuyisela umgangatho wobomi babo. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli .
Indlela iintlungu zoMnqonqo ezichaphazela ngayo iNtamo yoMntu kunye nomqolo
Ngaba uziva iintlungu ezingapheliyo zemisipha kunye neentlungu entanyeni nasemva? Ngaba ufumene ukuqina kunye nokuhamba okulinganiselweyo xa ujija kwaye ujika? Okanye ngaba izinto ezinzima zibangela ubunzima bemisipha xa usuka kwenye indawo ukuya kwenye? Abantu abaninzi baya kuba sendleleni kwaye babekwizikhundla ezingaqhelekanga ngaphandle kokuziva iintlungu kunye nokungakhululeki xa kufikwa kumqolo. Oku kubangelwa ukuba izihlunu ezijikelezileyo kunye nezicubu zoluliwe kwaye iidiski zomgogodla zithatha uxinzelelo oluthe nkqo kumqolo. Nangona kunjalo, xa iimeko zokusingqongileyo, ukulimala okubuhlungu, okanye ukuguga kwendalo kuqala ukuchaphazela umqolo, kunokukhokelela ekuphuhlisweni kweentlungu zomgogodla. Oku kungenxa yokuba inxalenye yangaphandle ye-spinal disc ilungile, kwaye inxalenye yangaphakathi yediski iyachaphazeleka. Xa uxinzelelo olungaqhelekanga luqala ukunciphisa umthamo wamanzi ngaphakathi kwediski, lunokuvuselela ngaphakathi kwi-receptors yentlungu ngaphandle kweempawu zeengcambu ze-nerve ngaphakathi kwediski. ( Zhang et al., 2009 ) Oku kubangela ukuba abantu abaninzi bajongane neentlungu zentamo kunye nomqolo emizimbeni yabo kwaye banciphise umgangatho wobomi babo.
Iintlungu zomqolo zingakhokelela kwiiprofayili zomngcipheko ezidlulayo ezibangela ukuba abantu abaninzi bajongane neentlungu ezibuhlungu ezisezantsi kunye neentlungu zentamo, nto leyo ebangela ukuba izihlunu ezijikelezileyo zibe buthathaka, ziqine, kwaye zolule kakhulu. Ngelo xesha, iingcambu ze-nerve ezijikelezayo nazo zichaphazelekayo njengoko iintambo ze-nerve zijikeleze iindawo zangaphandle kunye nezangaphakathi ze-spinal disc, ezibangela iimpawu zentlungu ye-nociceptive entanyeni nasemva kwaye ikhokelela kwiintlungu ze-discogenic. ( Coppes et al., 1997 ) Xa abantu abaninzi bejongene nentlungu ye-muscle ehambelana ne-spinal discs, ibangela umjikelezo we-pain-pain-pain onokuchaphazela imizimba yabo ngenxa yokungahambi ngokwaneleyo kunye nokubangela imisebenzi ye-muscular ebuhlungu xa uzama ukuhamba. ( URoland, ngo-1986 ) Xa umntu enokuhamba okulinganiselweyo kubangela ukuba bafumane intlungu yomgogodla, ukuphakama kwabo kwediski yendalo kuncipha ngokukhawuleza, kubangela imiba emininzi emizimbeni yabo kunye nemithwalo yentlalontle yezoqoqosho. Ngethamsanqa, xa abantu abaninzi bejongene neentlungu zomgogodla, unyango oluninzi lunokunciphisa intlungu yomgogodla kunye nokubuyisela ubude babo bediski.
Amayeza okunyakaza-Ividiyo
VIDEO
Njani ukudodobala koMnqongo kunciphisa iintlungu zoMnqonqo
Xa abantu befuna unyango lweentlungu zabo zomqolo, abaninzi baya kufuna unyango lotyando ukunciphisa iintlungu zabo, kodwa kuya kuba yixabiso elincinci. Nangona kunjalo, abantu abaninzi baya kukhetha unyango olungasebenzisi utyando ngenxa yokufikeleleka kwabo. Unyango olungasebenzisi utyando luyonga kwaye luyakwazi ukwenzeka kwiintlungu zomntu kunye nokungonwabi. Ukusuka kukhathalelo lwe-chiropractic ukuya kwi-acupuncture, kuxhomekeke kubukhulu bentlungu yomntu, abaninzi baya kufumana isiqabu abasifunayo. Olunye lolona nyango lusandul’ ukusekwa lokunciphisa iintlungu zomqolo kukuthotywa komqolo. Ukunyanzeliswa komgogodla kuvumela umntu ukuba afakwe kwitafile yokutsala. Oku kungenxa yokuba itsala ngobunono kumqolo ukuze ilungelelanise i-spinal disc ngokunciphisa uxinzelelo kumnqonqo ukubiza inkqubo yokuphilisa yendalo yomzimba ukuthomalalisa iintlungu. ( URamos noMartin, ngo-1994 ) Ukongezelela, xa abantu abaninzi besebenzisa ukunyanzeliswa komgogodla, ukunyanzeliswa kobumnene kunika ukuphazamiseka kwemoto kumqolo onokuthi ubangele utshintsho lomzimba kwi-spinal disc kwaye uncede ukubuyisela uluhlu lomntu ohambahambayo, ukuguquguquka, kunye nokuhamba. ( U-Amjad et al., ngo-2022 )
Ukuthotywa koMnqongo Ukubuyisela Ukuphakama kweDiskhi ye-Spinal
Xa umntu ebotshelelwa kumatshini wokunciphisa umgogodla, ukutsalwa okuthambileyo kunceda i-spinal disc ibuyele kumqolo, ivumela ulwelo kunye nezondlo ukuba zibuyisele umqolo, ukwandisa ukuphakama kwediski yomgogodla. Oku kungenxa yokuba i-spinal decompression idala uxinzelelo olubi kumqolo, okuvumela ukuba i-spinal disc ibuyele ekuphakameni kwayo kwasekuqaleni kwaye inike uncedo. Ngaphezu koko, into emangalisayo eyenziwa yi-spinal decompression kukuba inokudibaniswa kunye nonyango lomzimba ukunceda ukunweba kunye nokuqinisa imisipha ejikelezayo kufuphi nomgudu wokubonelela ukuzinza kunye nokuguquguquka. ( Vanti et al., 2023 ) Oku kuvumela umntu ukuba acinge ngakumbi ngemizimba yakhe kwaye aqale ukubandakanya utshintsho oluncinci lomkhwa ukunciphisa intlungu ekubuyeni. Xa abantu abaninzi beqala ukucinga ngempilo yabo kunye nokuphila kakuhle ngokuya kunyango, baya kuphinda bafumane umgangatho wobomi kwaye babuyele kwimisebenzi yabo yemihla ngemihla ngaphandle kwemiba echaphazela umqolo wabo.
Ucaphulo
Amjad, F., Mohseni-Bandpei, MA, Gilani, SA, Ahmad, A., & Hanif, A. (2022). Imiphumo yonyango lwe-decompression non-surgeon ukongeza kunyango oluqhelekileyo lomzimba kwiintlungu, uluhlu lokunyakaza, ukunyamezela, ukukhubazeka okusebenzayo kunye nomgangatho wobomi ngokubhekiselele kunyango oluqhelekileyo lomzimba yedwa kwizigulane ezine-radiculopathy lumbar; ulingo olulawulwa ngokungakhethiyo. I-BMC Musculoskelet Disord , 23 (1), 255. doi.org/10.1186/s12891-022-05196-x
Coppes, MH, Marani, E., Thomeer, RT, & Groen, GJ (1997). Innervation yeediski "ezibuhlungu" ze-lumbar. Isihlwele (Phila Pa 1976) , 22 (20), 2342-2349; ingxoxo 2349-2350. doi.org/10.1097/00007632-199710150-00005
Ramos, G., & Martin, W. (1994). Iziphumo ze-vertebral axial decompression kuxinzelelo lwe-intradiscal. J Neurosurg , 81 (3), 350-353. doi.org/10.3171/jns.1994.81.3.0350
Roland, MO (1986). Ukuphononongwa okubalulekileyo kobungqina bomjikelezo we-pain-pain-pain in disorder disorders. UClin Biomech (eBristol, eAvon) , 1 (2), 102-109. doi.org/10.1016/0268-0033(86)90085-9
Vanti, C., Saccardo, K., Panizzolo, A., Turone, L., Guccione, AA, & Pillastrini, P. (2023). Imiphumo yokongezwa kwe-mechanical traction kunyango lomzimba kwiintlungu ezisezantsi? Uphononongo olucwangcisiweyo kunye nohlalutyo lwemeta. Acta Orthop Traumatol Turc , 57 (1), 3-16. doi.org/10.5152/j.aott.2023.21323
Zhang, YG, Guo, TM, Guo, X., & Wu, SX (2009). Ukuxilongwa kweklinikhi kwiintlungu ezisezantsi ze-discogenic. Int J Biol Sci , 5 (7), 647-658. doi.org/10.7150/ijbs.5.647
isikhanyeli
by UGqr Alex Jimenez Unyango lwe-Acupuncture , Chiropractic , Sciatica , Sciatica Nerve Pain , Unyango lokuthotywa koMnqonqo , Unyango , I-Viscerosomatic Reflex
Ngaba unyango olungasebenzisi utyando olufana ne-acupuncture kunye ne-spinal decompression lubonelela ngesiqabu kubantu abajongene ne-sciatica?
intshayelelo
Xa abantu abaninzi beqala ukuva iintlungu ezihla emilenzeni emva kosuku olude lwemisebenzi, oko kubangela ukuba bangakwazi ukuhamba kunye nobunzima bokufumana indawo yokuphumla. Abantu abaninzi bacinga ukuba bajongana neentlungu zomlenze, kodwa kunokuba ngumcimbi ngakumbi njengoko beqonda ukuba akusiyo nje intlungu yomlenze abayifumanayo kodwa yi-sciatica. Ngelixa le nzwa ende ivela kumqolo osezantsi kwaye ihamba ihla ukuya emilenzeni, inokuzithoba kwiintlungu kunye nokungahambi kakuhle xa iidiski ze-herniated okanye izihlunu zicinezela kwaye zikhulise i-nerve. Xa oku kwenzeka, kunokuchaphazela ukuhamba komntu kunye nomgangatho wobomi, ngaloo ndlela kubangele ukuba bafune unyango lokunciphisa intlungu kwi-sciatica. Ngethamsanqa, ezinye iindlela zonyango ezifana ne-acupuncture kunye ne-spinal decompression ziye zasetyenziselwa ukunciphisa intlungu ye-sciatic kuphela kodwa nokubonelela ngemiphumo emihle, enenzuzo. Inqaku lanamhlanje lijonga i-sciatica, indlela ukuchithwa komgogodla kunye ne-acupuncture kunokunciphisa i-sciatica, kunye nendlela ukudibanisa ezi zibini zonyango ezingezona utyando kunokukhokelela kwimiphumo enenzuzo. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya indlela i-sciatica inokuchaphazela ngayo kakhulu impilo yomntu kunye nomgangatho wobomi. Siyazisa kwaye sikhokela izigulane malunga nendlela yokudibanisa unyango lwe-acupuncture kunye noxinzelelo lomgogodla kunokunciphisa ngokuqinisekileyo i-sciatica. Sikhuthaza izigulane zethu ukuba zibuze ababoneleli bezonyango abanxulumene nabo imibuzo enzima kunye nebalulekileyo malunga nokubandakanya unyango olungenalo utyando kwi-wellness routine ukukhulula i-sciatica kunye neempawu ezithunyelweyo. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli .
Ukuqonda iSciatica
Ngaba uhlala uziva ndindisholo okanye ukuntyiloza ukusuka emqolo ukuya emilenzeni yakho? Ngaba uziva ngathi ukuhamba kwakho kukwi-balance? Okanye ngaba uye wolula imilenze yakho emva kokuba uhleli ixeshana, nto leyo enikela isiqabu sokwexeshana? Ngelixa i-nerve ye-sciatic idlala indima ebalulekileyo ekusebenzeni kweemoto emilenzeni, xa izinto ezahlukeneyo, ezifana neediski ze-herniated kunye nokukhulelwa, ziqala ukunyusa i-nerve, kunokubangela intlungu. I-Sciatica yintlungu ebangelwa ngabom ehlala ibhalwa ngendlela engeyiyo njengeentlungu ezisezantsi okanye iintlungu zomlenze ngenxa yezi meko zimbini ze-musculoskelet. Ezi zi-comorbidities kwaye zinokongezwa ngokujija okulula kunye nokujika. ( Davis et al., 2024 )
Ukongezelela, xa abantu abaninzi benza ukunyakaza okuphindaphindiweyo okanye ukujongana neenguqu eziguqukayo kumqolo, i-spinal discs ixhomekeke kwi-herniation. Basenokucinezela kwimithambo yomqolo, ebangela ukuba imiqondiso ye-neuron ikhuphe iintlungu kunye nokungakhululeki kwiindawo ezisezantsi. ( Zhou et al., 2021 Ngexesha elifanayo, i-sciatica ingaba yimithombo yomgogodla kunye neyongezelelweyo ye-spinal kwingingqi ye-lumbar spinal, ebangela ukuba abantu abaninzi bahlale bebuhlungu kwaye bajonge ukukhululeka. ( Siddiq et al., 2020 ) Xa intlungu ye-sciatica iqala ukuchaphazela iindawo eziphantsi zomntu, ezibangela imiba yokuhamba, abantu abaninzi bafuna unyango lokunciphisa iintlungu ezinjengeentlungu ze-sciatica.
INzululwazi yeVidiyo eshukumayo
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I-acupuncture yokunciphisa iintlungu ze-Sciatica
Xa kuziwa ekuphatheni i-sciatica, abantu abaninzi banokujonga kunyango olungelulo utyando ngenxa yokufikeleleka kunye nokusebenza ngempumelelo ekunciphiseni i-sciatica kunye neempawu ezihambelana neentlungu. Unyango olungasebenzisi utyando lunokwenziwa ngokwezifiso kwiintlungu zomntu kwaye zidityaniswe ukubuyisela umgangatho wobomi bomntu. Izonyango ezimbini ezingezizo utyando ezinokunceda ukunciphisa i-sciatica yi-acupuncture kunye ne-spinal decompression. I-acupuncture inembali ende yokubonelela ngemiphumo emihle ebalulekileyo ekunciphiseni intlungu ye-sciatic kunye nokuphucula umgangatho wobomi bomntu. ( Yuan et al., 2020 ) Iingcali eziqeqeshwe kakhulu ezivela eChina zisebenzisa i-acupuncture kwaye zibandakanya iinaliti ezincinci eziqinileyo ukubonelela ngokukhawuleza kwiimpawu ezinxulumene ne-sciatica. Oku kungenxa yokuba i-acupuncture yenza iziphumo ze-analgesic ngokulawula ukusebenza kwe-microglia, inqanda impendulo yendalo yomzimba, kunye ne-modulating receptors ecaleni kwendlela yentlungu kwinkqubo ye-nervous. ( Zhang et al., 2023 ) Ukuza kuthi ga ngoku, i<em>acupuncture inokuvuselela i<em>acupoints yomzimba ukuze ibuyisele ulungelelwano.
Iziphumo zeAcupuncture
Enye yeempembelelo ze-acupuncture yokunciphisa i-sciatica kukuba inokunciphisa ubunzima beentlungu ngokuguqula iipatheni zokusebenza kwengqondo xa i-receptors yentlungu iphazamiseka. ( Yu et al., 2022 ) Ukongezelela, xa i-acupuncturists iqala ukuvuselela imithambo-luvo kwimisipha kunye nezicubu, ikhulula i-endorphins kunye nezinye izinto ze-neurohumoral ezinceda ukutshintsha inkqubo yeentlungu kwinkqubo ye-nervous. I-acupuncture inceda ukunciphisa ukuvuvukala ngelixa iphucula ukuqina kwemisipha kunye nokuhamba ngokubambisana ngokunyusa i-microcirculation ukunciphisa ukuvuvukala ngelixa ivimbela intlungu ye-sciatica ekuchaphazeleni imilenze ephantsi.
Ukuthotywa koMnqonqo wokuNciphisa iintlungu zeSciatica
Olunye uhlobo lonyango olungenalo utyando luyi-decompression yomgogodla, kwaye inokunceda ukunciphisa imiphumo ye-sciatica kunye neempawu zayo ezibuhlungu ezihambelanayo. I-Spinal decompression isebenzisa itafile ye-traction ukuze yolule ngobunono umqolo ukwenza uxinzelelo olubi ngaphakathi kwe-spinal disc kunye nokukhulula i-nerve echaphazelekayo. Kubantu be-sciatica, olu nyango lungenalo utyando lukhulula i-nerve ye-sciatic njengoko ukunyanzeliswa komgogodla kunceda ukunciphisa ubunzima beentlungu kunye nokuphucula umsebenzi wokuhamba kwiindawo ezisezantsi. ( I-Choi et al., 2022 ) Injongo ephambili ye-spinal decompression kukudala indawo ngaphakathi kwi-spinal canal kunye ne-neural structures ukukhulula i-nerve ye-sciatic eyingozi ekubangeleni intlungu. ( Burkhard et al., 2022 )
Iziphumo zokuDodobala koMnqonqo
Abantu abaninzi banokuqala ukuziva bekhululekile ekufakeni ukudodobala komqolo kunyango lwabo lwempilo. Olu nyango olungasebenzisi utyando lukhuthaza ulwelo kunye nezondlo kwidiski yomgogodla ukukhaba-ukuqala inkqubo yokuphilisa yendalo yomzimba. Xa umqolo utyhulwa ngobumnene, kukho uxinzelelo oluncinci kwi-nerve ye-sciatic, enokunciphisa intlungu kunye nokuphucula ukuhamba. Ukongeza, abantu abaninzi baya kuziva ukuguquguquka kwabo kunye nokuhamba emva kwindawo yabo ye-lumbar.
Ukudibanisa i-acupuncture kunye ne-Spinal Decompression yokuNceda
Ngoko ke, xa abantu abaninzi beqala ukudibanisa i-spinal decompression kunye ne-acupuncture njengendlela epheleleyo kunye nengekho yokuhlinzwa yokunciphisa i-sciatica, iziphumo kunye neenzuzo zilungile. Nangona i-spinal decompression ijolise ekuphulukisweni komatshini we-spinal disc kunye nokunciphisa uxinzelelo lwe-nerve, i-acupuncture igxile ekunciphiseni intlungu kunye nokunciphisa ukuvuvukala kwinqanaba le-systemic. Oku kwandisa inkqubo yokuphilisa yendalo yomzimba kwaye kunika umphumo we-synergistic ukuphucula iziphumo zonyango. Unyango olungazenzisiyo olufana ne-acupuncture kunye nokuthotywa komqolo kunokubonelela ngesiphumo esinethemba kubantu abaninzi abafuna isiqabu kwiintlungu zabo ze-sciatic ngaphandle kokubhenela kwiinkqubo zotyando. Olu nyango luvumela umntu ukuba aphinde aphinde ahambe kwiindawo eziphantsi, ukunciphisa intlungu, kunye nokuphucula umgangatho wobomi ngokwenza abantu bakhumbule imizimba yabo kunye nokunciphisa amathuba okuba i-sciatica ibuyele. Ngokwenza oko, abantu abaninzi banokuphila ubomi obusempilweni nobungenazintlungu.
Ucaphulo
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Choi, E., Gil, HY, Ju, J., Han, WK, Nahm, FS, & Lee, PB (2022). Impembelelo ye-Nonsurgical Spinal Decompression kwi-Intensity of Pain kunye ne-Herniated Disc Volume kwi-Subacute Lumbar Herniated Disc. Ijenali yaMazwe ngaMazwe yoNyango lweKliniki , 2022 , 6343837. doi.org/10.1155/2022/6343837
UDavis, D., Maini, K., Taqi, M., & Vasudevan, A. (2024). Sciatica. Kwi StatPearls . www.ncbi.nlm.nih.gov/pubmed/29939685
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Yuan, S., Huang, C., Xu, Y., Chen, D., & Chen, L. (2020). I-acupuncture ye-lumbar disc herniation: iProtocol yokuhlaziywa okucwangcisiweyo kunye nohlalutyo lwemeta. Iyeza (Baltimore) , 99 (9), e19117. doi.org/10.1097/MD.0000000000019117
Zhang, Z., Hu, T., Huang, P., Yang, M., Huang, Z., Xia, Y., Zhang, X., Zhang, X., & Ni, G. (2023). Ukusebenza kunye nokhuseleko lwe-acupuncture therapy ye-sciatica: ukuphononongwa ngokuchanekileyo kunye nohlalutyo lwemeta yeendlela ezilawulwa ngokungahleliwe. Front Neurosci , 17 , 1097830. doi.org/10.3389/fnin.2023.1097830
Zhou, J., Mi, J., Peng, Y., Han, H., & Liu, Z. (2021). Iintlangano ze-Causal of Obesity kunye ne-Intervertebral Degeneration, iintlungu ezisezantsi, kunye ne-Sciatica: iSampuli ezimbini zeMendelian zokuHlaziya. Front Endocrinol (Lausanne) , 12 , 740200. doi.org/10.3389/fendo.2021.740200
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