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Migraines

Iqela leMigraine leKliniki yangasemva. Esi sisifo sofuzo semithambo-luvo esibonakaliswa ziziqendu ezibizwa ngokuba yiMigraine attack. Bahluke kakhulu kwiintloko eziqhelekileyo, ezingenayo i-migrainous. Malunga ne-100 yezigidi zabantu baphathwa yintloko e-US, Kwaye i-37 yezigidi zaba bantu baphathwa yi-migraines. I-World Health Organization iqikelela ukuba i-18 ekhulwini yabasetyhini kunye neepesenti ze-7 zamadoda ase-US ahlupheka.

Zibizwa ngokuba ziintloko eziphambili kuba iintlungu azibangelwa sisifo okanye isifo, oko kukuthi, ithumba ebuchotsheni okanye ukwenzakala entloko. Ezinye zibangela intlungu kuphela kwicala lasekunene okanye kwicala lasekhohlo lentloko. Ngokwahlukileyo koko, abanye baphumela kwiintlungu kuyo yonke indawo. Abantu abahluphekayo banokuba neentlungu eziphakathi okanye eziqatha kodwa ngokuqhelekileyo abanakuthatha inxaxheba kwimisebenzi eqhelekileyo ngenxa yeentlungu.

Xa i-migraine ibetha, igumbi elizolileyo, elimnyama linokunceda ngeempawu. I-Migraines inokuhlala iiyure ezine okanye inokuhlala iintsuku. Uluhlu lwexesha umntu ochaphazelekayo kuhlaselo lude ngokwenene kune-migraine ngokwayo. Oku kungenxa yokuba i-pre-monitory okanye i-build-up kunye ne-post-drome inokuhlala usuku ukuya kwiintsuku ezimbini.

Iintlobo zeentlobo zeentloko

Iintlobo zeentlobo zeentloko

by | Chiropractic, I-Neurology Clinic, Intloko kunye nonyango, Migraine, Migraines

Intloko Imiba yempilo eqhelekileyo, kwaye abaninzi abantu baphatha ngokusebenzisa i-painkillers ezisisiseko, betywala ngamanzi amaninzi, ngokuphumla, okanye ngokulinda nje ukuba intloko ihambe yodwa. Njengoko kunjalo, intloko iphakathi kwezona zizathu eziqhelekileyo zokutyelela iofisi ye-dokotela.

 

Phantse malunga nomntu wonke uya kuba neentloko ngexesha elithile ebomini babo. Uninzi lweentloko azibangelwa ziimeko ezinzulu okanye ezinzima. Nangona kunjalo, abantu bayayixhalabisa xa iintloko ziziva zihluke, nokuba zinzima kakhulu, ngokukodwa ngokuqhelekileyo okanye ezingavamile nakwezinye iindlela. Kodwa, inkxalabo eqhelekileyo kukuba ingaba intloko ingabonakalisa uphawu lwezempilo, njenge-tumor yengqondo.

 

Inqaku elilandelayo lixoxa ngokuqhelekileyo ngeentloko. Ichaza iintlobo ezahlukeneyo zeentloko onokuzifumana kwaye uzichaze iimeko ezinqabileyo apho intloko yesifo ingaba sisifo sesifo esibi.

 

Iintlobo zeentloko

 

Iintloko ziya kukwahlula njengezona ziprayimari, okanye zinokuthi zibekwe njengesibili-ntloko, nto leyo ithetha ukuba yinto echaphazelekayo yenye inzakalo okanye imeko.

 

Umninimzi wezempilo unokuqaphela ukuba isizathu sokuba intloko yakho ikhulume nawe kwaye ikuhlolisise. Xa befumene isizathu, uya kuba nekhono lokugqiba indlela yokwenza unyango engcono kwimpawu zentlungu. Oku kungabandakanya ukuthatha iziyobisi kuphela xa ufumana intloko, uthabatha amayeza onke ukuba uwayeke ngokupheleleyo, kunye / okanye ukuyeka unyango olusele uluthathe. Ngamaxesha amaninzi, iintloko zingadinga ukuxilongwa okuqhubekayo ukulawula ezinye izinto ezibalulekileyo. Ukhathalelo lwe-Chiropractic kunye neyeza zonyango zisetyenziselwa ukunceda unyango lwentloko. Ngezantsi, siza kuxubusha iintlobo ezahlukeneyo zeentloko.

 

Intloko zeNtloko

 

Iintlobo eziqhelekileyo zeentloko, ngokude, zixinzeleleka iintloko kunye ne-migraines.

 

Intloko intloko

 

Intloko yeentloko zithathwa njengebhanki ejikelezileyo. Zingadlulela iintsuku ezininzi. Basenokukhathala kwaye bangakhathazeki, kodwa abaqhelekanga ukuphazamisa ubuthongo. Uninzi lwabantu luyakwazi ukuqhubeka lusebenza ngentlungu yomlomo. Aba bahlala benomdla wokunyuka njengoko usuku luqhubeka, nangona kunjalo, abaqhelekanga ngakumbi ngemisebenzi yenyama, nangona akumangalisi ukuba ube nolwazi olunzulu ukukhanya okanye ukuvakala.

 

Migraines

 

I-Migraines nazo ziqhelekileyo iintlobo zeentloko. I-migraine eqhelekileyo ichazwa njengentlungu yokuphosa. Intloko ezisisigxina esisodwa, iintloko ezithintekayo kunye neentloko ezikwenza ukuba uzive ugula zithandekile ukuba zibe yimigrafa xa kuthelekiswa nantoni na enye. I-Migraines idla ngokukhawuleza ngokwaneleyo ukukhubaza. Abanye abantu baya kufuna ukulala ukuze balele ekuhlaleni kwabo.

 

ICluster Headaches

 

Iintloko zentloko zibuhlungu kakhulu, ngezinye izihlandlo zibizwa ngokuba "iintloko zokuzibulala". Zenzeka kumaqela, rhoqo rhoqo imihla ngemihla okanye mhlawumbi iiveki. Emva koko ziphela iiveki ekupheleni. Ezi ntlobo zentlungu ziyabunqabile kwaye zidla ngokukodwa ikakhulu kubantu abadala ababhemayo. Zizinzulu, iintloko zentloko, ezikhubaza kakhulu, zithetha ukuba bayeka umsebenzi oqhelekileyo. Abantu bavame ukuchaza njengentlungu ebuhlungu kakhulu abaye bavakalelwa ngayo. Iintloko zentloko ziqhelekileyo zodwa. Izigulane zihlala zijongene nelinye iliso elibomvu elisebomvu ngakwesinye icala, iipumlo ezigqithiseleyo kunye nejwabu le-droopy.

 

Ukuxhatshazwa kwentloko

 

Ukuphathwa kwengqondo engapheliyo (okanye intsholongwane engapheliyo yonke imihla) kubangelwa ukuxhatshazwa kwemisipha emva kwentamo kwaye kuthintela abafazi ngokuphindaphindiweyo kunamadoda. Iindlela ezingapheliyo ukuba ingxaki iyaqhubeka kwaye iyaqhubeka. Ezi ntlobo ziyakhula ngenxa yokulimala kwentamo okanye ukukhathala kwaye kungadlukiswa neziyobisi / iziyobisi ngaphezulu. Intloko eyenzeka phantse nsuku zonke kwiiveki ze-3 okanye ngaphezulu iyaziwa njengeyintsholongwane engapheliyo yintsholongwane okanye iintsholongwane ezingapheliyo.

 

Ukusetyenziswa kweMichiza-Ukusetyenziswa kweenhloko

 

Ukuphathwa kakubi kweziyobisi okanye unyango olushukumisayo, luyinto engathandekiyo kunye nexesha elide. Kulethwa ngokuthatha ii-painkillers eziqhelekileyo zenzelwe iintloko. Ngelishwa, xa ama-painkillers athatyathwa rhoqo ngenxa yeentloko, umzimba uphatha ngokudala izinzwa zentlungu ezongezelelweyo kwingqondo. Ekugqibeleni, iinzwa zentlungu zininzi kangangokuba intloko iba yinto enzulu kwaye inwele intloko ayiyi kuhamba. Abantu abathile abaneentloko ziba neenani ezikhulayo zabanikazi bokuzama ukuzama nokuziva ngcono. Kodwa, i-painkillers inokuyeka ukuyeka ukusebenza. Ukususelwa kwintsholongwane yokuxhatshazwa ngamachiza yimbangela eqhelekileyo yesondlo sesibini.

 

Intloko / Intsholongwane yesondo

 

Intloko zenyameko zinentloko ehambelana nokusebenza ngokomzimba. Basenokukhawuleza ngokukhawuleza emva kwesenzo esinzima esinokukhwehlela, ukugijima, ukulala, kunye nokuxhamla ngokunyakaza. Baye bafumana ngokuqhelekileyo izigulana ezinama-migraines, okanye ezinezihlobo ezinemigraine.

 

Intloko ezinxulumene nesondo zixhalabele izigulane. Ziyakwenzeka njengoko uqala ngesondo, kwi-orgasm, okanye ngesondo esilandelayo. Intloko e-orgasm iya kuba yinto eqhelekileyo. Ngokuqhelekileyo zibukhali, ngasemva kwentloko, ngasemva kwamehlo okanye ngeenxa zonke. Zigqiba malunga nemizuzu engamashumi amabini kwaye ayidla ngokubonakalisa nayiphi na enye imicimbi yezempilo okanye iingxaki.

 

Intloko echaphazelekayo ngokwesondo kunye neentlobano zesini azibonakali ngokubonakalayo kwiingxaki eziphambili. Ngamaxesha amaninzi, banokuba ngumqondiso wokuba kukho umkhumbi wegazi ophazamisayo phezu kwengqondo. Ngenxa yoko, ukuba ziphawulwe kwaye ziphindaphindiwe, kunengqiqo ukuthetha ngazo ngezobugcisa bakho bezempilo.

 

Intsholongwane yeNtloko

 

Ngamanye amaxesha iintloko ezibuhlungu zibizwa ngokuthi "i-ice-pick headaches" okanye "i-head of a stabbing headache". Igama elithi "idiopathic" lisetyenziswe oogqirha into ezayo ngaphandle kwesizathu esicacileyo. Ezi zifutshane, iintloko zeentloko ezibuhlungu ngokukhawuleza. Zihlala zihlala phakathi kwe-5 kunye ne-30 imizuzwana kwaye zenzeka nanini na imini okanye ebusuku. Baziva ngathi into ebukhali, njengokhetho lweqhwa, lugxininiswe entloko yakho. Zihlala zihlala okanye emva nje kwendlebe kwaye ngamanye amaxesha ziloyiko. Nangona bengekho imigraines baxhaphake kakhulu kulabo abanesifo se-migraines, phantse isiqingatha sabantu abafumana imigraines baneenhloko zeentloko zokugwaza.

 

Bavame ukuvalelwa kwindawo ekhanda apho i-migraines inomdla wokuba kwenzeke. Izifo zentloko zokubetha eziphambili zincinci ukuba zinyamekele, nangona imithi yokukhusela i-migraine inokunciphisa inani labo.

 

Hemicrania Continua

 

I-Hemicrania iqhubeka i-headache engapheliyo imihla ngemihla. Ngokuqhelekileyo ikhuthaza intlungu eqhubekayo kodwa eguqukayo kwelinye icala lobuchopho. Intlungu ngokuqhubekayo iqhubeka neentlobo zesifo esibuhlungu, esinokuhlala phakathi kwemizuzu ye-20 kunye neentsuku eziliqela. Ngexesha lezo ziqwenga zentlungu kunokubakho ezinye iimpawu, ezifana nokutyilisa okanye ukubomvu kweso, i-runny okanye imbobo evinjiweyo, kunye ne-drooping ye-ijwabu leso, ecaleni ngqo kwicala elinye. Ngokufana nomgraine, kunokuba novelwano ekukhanyeni, ukugula, njengentlanzi, nokugula, njengokuhlanza. Iintloko azihambi kodwa kodwa kunokubakho ixesha apho ungenayo intloko. I-Hemicrania iqhubeka neentloko ziphendula kwiyeza elibizwa nge-indometacin.

 

Trigeminal Neuralgia

 

I-neuralgia ye-Trigeminal ibangela ubuhlungu besisu. Intlungu ibandakanyeka kakhulu ukutshatyalaliswa kwamandla-njengemvakalelo ebusweni, ngokukodwa kwimeko yamehlo, impumlo, isikhumba, i-brow, imilomo okanye izitho. Ngokuqhelekileyo isisigxina esisodwa kwaye siqheleke kubantu kubantu abangaphezu kweminyaka eyi-50. Kungase kubangelwe ngumnxeba okanye umoya ophezulu kwindawo.

 

Izihloko zeNhloko

 

Ngamanye amaxesha, iintloko zinezizathu ezingundoqo, kwaye unyango lwentloko luquka ukuphathwa kwesizathu. Abantu bahlala besaba ukuba iintloko zibangelwa zizifo ezinzulu, okanye ngabaxinzelelo begazi. Zomibini zezi zizathu eziqhelekileyo eziqhelekileyo zentloko, ukunyuswa kwengcinezelo yegazi ngokuqhelekileyo kungabangela ukuba kubekho impawu nangayiphi na indlela.

 

Iikhemikhali, iziyobisi kunye nokuLawula izinto

 

Intloko ingaba ngenxa yento, okanye ukuhoxiswa kwayo, umzekelo:

 

  • I-carbon monoxide, eyenziwa yi-heaters heaters engenawo umoya
  • Ukusela utywala, kunye neentloko zihlala zifumana ekuseni emva koko
  • Ukuntuleka komzimba kumanzi okanye ukukhulelwa kwamanzi

 

Intloko ngenxa yobuhlungu obuvakalisiweyo

 

Ezinye iintloko zingabangela intlungu kwenye inxalenye yentloko, njengentlungu okanye intlungu yezinyo, intlungu kwintambo yomhlathi kunye nentlungu entanyeni.

 

I-Sinusitis yinto ebangela rhoqo yezikhwebu. Iimonsi zi "imingxuma" ekhreyeni ezikhoyo apho ukuba ziyeke ukuba zibe nzima kakhulu entanyeni ukuthutha ngeenxa zonke. Zixutywe ngeembumba ezinjenge-mucous membranes, ezifana nomgca wempumlo, kwaye oku kudala i-muscus ekuphenduleni iibanda okanye ukungabikho komzimba. Iimbumba ze-liner nazo ziyavumba kwaye zingavimba umjelo we-mucus ngaphandle kwendawo. Emva koko iyahlanjululwa kwaye isuleleke, okubangelwa intloko. Inwele ye-sinusitis ivame ukuvalelwa phambi kwentloko kunye nakubuso okanye amazinyo.

 

Ngokuqhelekileyo ubuso buziva bunesihe ukuxhatshazwa, ngokukodwa nje ngaphantsi kwamehlo ecaleni kwempumlo. Unokuba neempumlo eziphambili kwaye intlungu idla kakhulu xa ugoba phambili. I-sinusitis enobuchule yinto enokukhawuleza ngokubambisana kunye nokubandayo okanye ukuphazamiseka kwamanzi. Unokuba nobushushu kwaye uvelise i-mucus eninzi. I-sinusitis engapheliyo ibangelwa kukungabikho komzimba, ngokusebenzisa ama-decongestants okanye nge-sinusitis enzima engagqibekanga. Iimonsi ziba negalelo elingapheliyo kwaye iimbambo zangasemva zivuvuka. Okuqulathwe kwesi sibeleko kunokuba bunzima kodwa kaninzi kasuleleki.

 

I-glaucoma ebonakalayo inokubangela ukuba ikhwekhwe enzima. Kule meko, uxinzelelo lwangaphakathi kwamehlo lukhuphuka ngokukhawuleza kwaye oku kubangela ukuba, ngokukrakra, ikhanda elibi kakhulu kwiso. Nangona iliso linokuziva lukhuni kunzima ukuyichukumisa, iliso libomvu, inxalenye yangaphambili yeliso, okanye i-cornea, inokubonakala ibhakabhaka kwaye amehlo angabonakali.

 

Ziziphi iintlobo zeentloko ezisengozini okanye ezibi?

 

Zonke iintloko azibi kwaye ezinye, ezinjengeentloko zonyango ekusebenziseni kakubi imithi, zinzulu kakhulu ngolu hlobo lokuba ukuba zingakhange ziphathwe ngokuchanekileyo zingenakuze zihambe. Kodwa iincwadana ezimbalwa zibonakalisa izinto ezinzulu. Le nto ayiqhelekanga, kwiimeko ezininzi kunqabile. Iintsholongwane ezinobungozi zidla ngokukhawuleza, kwaye ekugqibeleni ziba zibi nakwixesha. Ziqhelekile kubantu abadala. Ziquka ezi zilandelayo:

 

Ukuhlambalaza kwiBrain (i-Subarachnoid Haemorrhage)

 

Isifo segazi esisemgangathweni sisimo esibi ngokwenene esenzeka xa isitya esincinci segazi siphuma phezu kwengqondo. Izigulana zikhula ziba neentloko ezinzulu kunye nentamo elukhuni kwaye zingenakuqonda. Esi sizathu esinqabileyo sentloko ebuhlungu.

 

I-Meningitis kunye neeNtsholongwane zeBongo

 

I-Meningitis iyintsholongwane yezicubu ezungeze kunye nomphezulu wengqondo kunye ne-encephalitis isifo sobungoko ngokwayo. Izifo zengqondo zingabangelwa ziintsholongwane ezibizwa ngokuba yi-bacteria, ii-virus okanye i-parasites kwaye ziyabonga ngokungaqhelekanga. Bangela ukuba kubekho intloko enzima, ekhubaza intloko. Ngokuqhelekileyo, izigulana zinokuziva zigula okanye zihlanza kwaye azikwazi ukuthwala izibane ezikhanyayo, into eyaziwa njenge-photophobia. Ngokuqhelekileyo unentamo eqinile, inzima kakhulu ukuba ugqirha wakho abe nekhono lokugoba ikhanda ukwenzela ukuba isithinte sichukumise isifuba, nangona kwenzeka ukuba uzama ukuphumla. Ngokuqhelekileyo izigulane zihlala zingenasiphelo, zijongene nokutshisa, ukugubha kunye neengqondo ezigugu.

 

I-Cell Arteritis enkulu (i-Temporal Arteritis)

 

I-cell arteritis enkulu (i-arteritis yesikhashana), ngokubanzi, ibonakala kubantu kubantu abangaphezu kwe-50. Kungenxa yokuvuvukala, okanye ukuvuvukala, kwemibhobho ethempelini nasemva kwelihlo. Idala intloko emva kwebunzi, ebizwa ngokuba yintloko yesono. Ngokuqhelekileyo imithwalo yegazi ebunzini iphathekayo kwaye abantu bayibona intlungu ekhanda xa bedibanisa iinwele zabo. Ngokuqhelekileyo intlungu iya kuba nzima ngokutshiza. I-arteritis yesigxina inzima kuba ukuba ingaphathwa ngayo ingabangela ukulahleka kwamehlo ngokukhawuleza. Unyango lukho nekhosi ye-steroids. Isidingo sokugcina le steroids ngokubanzi sijongwa yi-GP ngokusebenzisa iimvavanyo zegazi, kwaye ziyafuneka kwiinyanga eziliqela.

 

Izibilini zeBongo

 

Izibilini zesibindi yimbangela engavamile kakhulu yentloko, nangona ezininzi izigulane ezineentloko ezinde, ezinzima okanye eziqhubekayo ziqala ukuxhalabisa ukuba le nto ingaba sisizathu. Iimvumi zebhondi zingakhokelela kwiintloko. Ngokuqhelekileyo ukugqithisa kweengxaki zeengqondo zikhona ekuvuseni kusasa, kukubi kakhulu ekuhlaleni, kwaye kube nzima nakakhulu kwimini yemihla, kungabi lula kwaye akuze kuphele. Ngamanye amaxesha kunokuba nzima ngakumbi ukukhwehlela nokutyhawula, njengokuba isifo sesifo kunye ne-migraines.

 

Ngaba Ndimele Ndikhathazeke Ngeentloko?

 

Ininzi intloko ayinaso isizathu esibalulekileyo. Nangona kunjalo, abaqeqeshi bezempilo baqeqeshelwa ukukubuza malunga nemiqondiso kunye neempawu ezingabonisa ukuba intloko yakho idinga ukuxilongwa ngokuthe gqolo, ukuze wenze into yokuba ayikho into ebalulekileyo.

 

Izinto eziza kubonisa ugqirha wakho kunye nomongikazi ukuba intloko yakho ingadinga ukuhlolwa okongeziweyo kubandakanye oku kulandelayo. Athethi ukuba intloko yakho inzima okanye iyingozi, kodwa ithetha ukuba umqeqeshi wezempilo unqwenela ukwenza uvavanyo olongezelelweyo ukuqinisekisa ukuba:

 

  • Ube nenxeba elikhulu lentloko kwiinyanga ezintathu ezedlule.
  • Iintsuku zakho ziba nzima kwaye zihamba kunye nobushushu obuphezulu okanye umkhuhlane.
  • Intloko zakho ziqala ngokungalindelekanga.
  • Uye waba neengxaki ngokuthetha kunye nokulinganisela kunye nentloko.
  • Uye waba neengxaki kwimemori yakho okanye utshintsho kwiindlela oziphathe ngayo okanye ubuntu ngokwengeza kwintloko.
  • Udidekile okanye udakile kunye nentloko yakho.
  • Intloko yakho yaqala xa udibene, utyhonywe okanye utyunyiwe.
  • Intloko yakho yimbi ngakumbi xa uhlala okanye ume.
  • Intloko yakho inxulumene nobomvu okanye amehlo abuhlungu.
  • Intloko yakho ayifani nantoni na owake wakubona ngaphambili.
  • Unomsoco ongenakuchaza kunye kunye nokwehla.
  • Unomkhuhlane ophantsi, umzekelo, xa unesifo se-HIV, okanye ngaba ngomlomo we-steroid okanye unyango lwe-immune.
  • Unayo okanye unomdla womhlaza ongasasazeka kuwo wonke umzimba.

 

UDkt-Jimenez_White-Coat_01.png

Insight of Dr. Alex Jimenez

Intloko ziyimicimbi echaphazelekayo yempilo echaphazela uluhlu olubanzi lwabemi emhlabeni jikelele. Nangona rhoqo, intloko echazwe ukuba ayikho enye eyake yabhekana nayo ngaphambili, inokuhlala ixhalaba. Kukho iintlobo ezininzi zeentloko ezinokubangelwa ziintlobo zengozi kunye / okanye phantsi kweemeko. Njengezengcali zonyango, kubalulekile ukuba ukwazi ukuqonda phakathi kweentlobo ezinobungozi okanye eziyingozi zeentlobo zesifo kunye neentlobo ezinobungozi beentloko, ukwenzela ukuba unqume indlela yokwelashwa engcono. Ngokuzifumanisa ngokufanelekileyo umthombo wesifo somlwelwe, iintlobo zombini ezinobungozi kunye neziyingozi zentlungu zingaphathwa ngokufanelekileyo.

 

isishwankathelo

 

Ininzi yamakhanda, ngelixa engathandekiyo, ayinobungozi kwaye isabela kwiintlobo ezahlukeneyo zonyango, kubandakanya ukunakekelwa kwe-chiropractic. I-Migraine, iintloko zentlungu kunye neyeza-ukusetyenziswa kweentloko ziqhelekile. Uninzi lwabantu luya kuba nelinye okanye ngaphezulu kwezi. Ukusebenza ngokuchanekileyo isizathu esisisiseko santoni na ikhanda ngokuxoxa ngogqirha wakho ngokuqhelekileyo kuyona ndlela efanelekileyo yokuyisingatha. Kunokwenzeka ukuba uhlakulele intloko engapheliyo okanye engapheliyo kwaye ingapheliyo ngokusebenzisa iziyobisi kunye / okanye unyango owathathayo ukulahla ikhanda lakho. Ugqirha wakho unokukunceda ngenkqubo yokuyeka i-painkillers xa kunjalo.

 

Iintloko ziya, ngokukhawuleza, zibonakaliso zesifo esibi okanye esiyingozi, kwaye ezininzi iintloko zihamba zihamba zodwa.

 

Ukuba unentloko engavamile kuwe kufuneka uxoxe nayo nodokotela wakho. Kufuneka uxoxe noogqirha malunga neentloko ezithinteleyo okanye ezichaphazela imisebenzi yakho rhoqo, ezo zihambelana nezinye iimpawu, ezifana nokubetha okanye ubuthathaka, kunye nalabo abenza i-scalp ithenda yakho, ngakumbi xa ungaphezu kwe50 iminyaka ubudala. Ekugqibeleni, soloko usathetha kwizonyango zonyango xa unesihloko esisentloko esisikhubekiyo esilungileyo iintsuku ezintathu okanye senza kancane kancane.

 

Khumbula ukuba iintloko azinakwenzeka ukuba zenzeke kubantu aba:

 

  • Ukuphatha kakuhle amaxhala abo.
  • Yidla ukutya okunokulinganisela, okuqhelekileyo.
  • Yenza uqeqesho oluqhelekileyo.
  • Gxila kwi-posture kunye nemisipha engundoqo.
  • Ukulala emibini ngemithwalo okanye ngaphantsi.
  • Phuza imithwalo yamanzi.
  • Uninzi lokulala.

 

Nantoni na onokuyenza ukuphucula enye okanye ngaphezulu kwezi zinto zobomi bakho ziya kuyiphucula impilo kunye nokuba sempilweni kunye nokunciphisa inani leentloko ozifumanayo. Qiniseka ukuba ufuna unyango olufanelekileyo nakwezononophelo lwempilo kwimeko enesifo esibuhlungu ngokungafaniyo nantoni na owakha wayifumana ngaphambili. Ubungakanani bolwazi lwethu bukhawulelwe kwi-chiropractic kunye nokulimala komqolo kunye neemeko. Ukuxoxa ngomxholo, nceda ukhululeke ukubuza uGqirha Jimenez okanye unxibelelane nathi ku915-850-0900 .

 

Ikhutshwe nguDkt. Alex Jimenez

 

Green-Call-Now-Button-24H-150x150-2-3.png

 

Imixholo eyongezelelweyo: Ubunzima bokubuyisela

 

Umqolo obuhlungu enye yezona zizathu ezibangeleko zokukhubazeka kunye neentsuku eziphosakeleyo emhlabeni wonke. Njengokuba kunjalo, iintlungu zenziwa emva kweyona sibini isizathu esivakalayo sokutyelela iofisi yee-dkt. Ngokumalunga neepesenti ze-80 zabemi ziya kuba nolunye uhlobo lweentlungu zentlungu ubuncinane kanye kanye ebomini babo. Umgudu uyisakhiwo esiyinkimbinkimbi esakhiwa ngamathambo, amajoyina, iigaments kunye nezihlunu, phakathi kwezinye iifomthi ezithambileyo. Ngenxa yoko, ukulimala kunye / okanye iimeko ezihlaziyiweyo, ezifana disni, ekugqibeleni unokukhokelela kwiimpawu zentlungu. Ukulimala kwezemidlalo okanye ukulimala kwengozi yeemoto ngokuqhelekileyo kubangelwa yintlungu yokubuhlungu, kodwa ngamanye amaxesha ukuhamba kwezinto ezilula kunokuba neziphumo ezibuhlungu. Ngethamsanqa, ezinye iindlela zokhathalela unyango, ezifana nokunyamekelwa kwe-chiropractic, kunokunceda ukubuyisela intlungu emva kokusetyenziswa kwemilenze kunye nokunyanzeliswa kwemigaqo, ekugqibeleni ukuphucula intlungu.

 

 

 

umfanekiso webhlogi weendaba eziphambili zephepha lephepha

 

ISIHLOKO ESIBALULEKILEYO: Ulawulo oluPhantsi lwePain Pain

 

IINKCUKACHA NGOKUGQITHISILEYO: UKONGEZA KWEZINTLOKO: PainUbuhlungu obungapheliyo kunye nonyango

 

Ukuxhamla kwi-Migraine Intloko ye-Chiropractic Inceda njani El Paso, TX.

Ukuxhamla kwi-Migraine Intloko ye-Chiropractic Inceda njani El Paso, TX.

by | Intloko kunye nonyango, Migraine, Migraines

Melana neMigraines: Ukuba ukhe waba ne-migraine uyazi ukuba ingaphezulu nje kwentloko ebuhlungu. Iintlungu ezidambisayo zinokukhatshwa sisicaphucaphu kunye nezinye iimpawu � kwaye ixhaphake kakhulu kunokuba unokucinga. Uphando lubonisa ukuba kuzo zonke izindlu ezine zaseMelika, umntu omnye unesifo se-migraine. Enyanisweni, iipesenti ze-12 zabemi base-US bahlushwa yi-migraines, kuquka nabantwana. Oku kuthetha ukuba i-migraines ichaphazela abantu abaninzi ukuba i-asthma kunye nesifo seswekile zidibene.

Kulinganiselwa ukuba Ipesenti ze-18 yabasetyhini bafumana imigraines ngelixa i-6 ipesenti yamadoda i-migraine abagulayo. Ngokuqhelekileyo ichaphazela abantu abaphakathi kweminyaka eyi-25 kunye ne-55, kodwa nabantwana abancinci baye bafumanisa. I-Migraines inokumisa kwiitrakthi zakho, kodwa kukho unyango olunokukunceda. Ukunyamekelwa kwe-Chiropractic kuye kwaboniswa ukuba kuncede ukunciphisa intlungu, ubunzulu, kunye nokuphindaphindiweyo kwemigraines.

Ukuhlupheka KwiMigraines

Yintoni iMigraine?

Migraines ziintsholongwane ezinobungozi ezingapheli imizuzu emininzi kwiiyure eziliqela okanye iintsuku. Kubonakaliswe ukutshatyalaliswa okukhulu okanye ukuvutha kwengqondo eqhutyelwe kwindawo enye yentloko. Ngokuqhelekileyo kuhamba kunye nokuhlanza, isicathulo, kunye nobutyebi obukhulu ukuvakala nokukhanya. Intlungu inokuba nzima kakhulu ukuba ungeke usebenze. Abantu abaninzi baziva behleli elaleni egumbini elimnyama, balinde ukuba lidlule.

Amaninzi amaninzi aguqula abachaphazelekayo ingxelo yokufumana i-aura, okanye iimpawu zokulumkisa, ezinjengeentlobo eziqhelekileyo, izibane eziyimfama, ukukhanya kokukhanya, okanye ukukhwaza emlenzeni okanye ngengalo yakho. Kwakhona bavame ukugijima kwiintsapho. Ukuba omnye umzali ungumntu ogulayo ngumntwana unesithuba se-40 ithuba lokuba nemigraines kunye. Ukuba ngaba bobabini abazali bafumana i-migraines ukuba ithuba liye lehla kwipesenti ze-90. Ngu 8th sisifo esixhatshazayo kwihlabathi lonke.

Ngokona nxalenye, oogqirha abazi izinto ezininzi ezibangelwa yimigraines. Nangona kunjalo, kukho ezinye izinto eziye zachongwa njenge migraine:

  • Utshintsho lweHormonal � ngamaxesha athile enyangeni, abafazi bafumana ukuguquguquka kwe-estrogen enokuthi ibangele imigraines.
  • Izicwangcisi ezithathwa ngomlomo � amayeza atshintshayo okanye athatha indawo yehomoni anokwenza intloko ibe mandundu
  • Ukutya okuthile � ukutya okugayiweyo, iMSG, ukutya okunetyuwa, iitshizi ezindala
  • Ukuzila okanye ukudla ukudla
  • Aspartame
  • Utywala
  • istres
  • Ukugqithiseleka
  • emzimbeni
  • Ukuzikhandla ngokwemvelo
  • Kuninzi okanye ukulala kakhulu
  • Mayeza

Indlela Ukunyamekela Ngokwe-Chiropractic Inokunceda Abagulayo be-Migraine

Oogqirha abaninzi bakholelwa ukuba iintloko kunye ne-migraines zibangelwa ngumgudu ongaphandle kokulungelelaniswa. Xa umgudu wakho ungagwenxa umzimba wakho wonke ubandezeleka. Iyakucasula iimbilini ezisebenzayo ukusuka kwingqondo ukuya emthonjeni obangela intloko. Ukulungiswa kwe-Chiropractic kunokunceda ukukhulula intlungu migraines. Enyanisweni, abantu abaninzi babika umahluko ohlukileyo emva kweseshoni enye.

Ugqirha weChiropractic uya kulungelelanisa umlenze wakho kwaye asebenze nawe ukwenza isicwangciso sobuchule esibandakanya ukuguquka kwendlela yokuphila kunye nokutya. Ukwenza utshintsho kwiipatheni zakho zokulala kunye nokuphelisa ukutya okuthethile ekudleni kwakho kunokunceda ukukhusela i-migraines. Ngokudala inkqubo yobuhle bomzimba, wena kunye ne-chiropractor yakho akunakukunceda kuphela ukukhusela i-migraines yakho, kodwa nezinye iimeko zezempilo.

I-chiropractor yakho inokuphinda ucebise ukuba ugcine iphepha lokuncedisa ukuba uchaze eyakho i-migraine ephazamisayo. Uyakurekhoda ukutya okutyayo, izinto ezingqongileyo ezinokukuchaphazela, uxinzelelo, kunye neendlela zokulala, kunye nalapho unemigraines, ixesha elide lokugqibela, kunye nobunzima bawo. Ngokulandelela ezi zinto, unokwazi ukuba yiyiphi into ebangela ukuba i-migraines ibe yenze uhlengahlengiso kwindlela yakho yokuphila, ngaloo ndlela ubenqande. Ukubandakanya ukunakekelwa kwe-chiropractic njengenxalenye yokugcinwa komzimba wakho wonke, kunye nokukhusela i-migraine, kunokukunceda ukuba ugweme ezi ntlobo zentloko ukuze uqhubeke nobomi bakho.

Ukuba wena okanye othandekayo unenkathazo yamakhanda, qiniseka ukuba usinika ifowuni. Ugqirha weChiropractic ulapha ukunceda!

Ikliniki yeChiropractic Eyongezelelweyo: Unyango lweMigraine kunye noBuyiselo

I-Chiropractic Spinal Treatment Therapy ye-Migraine

I-Chiropractic Spinal Treatment Therapy ye-Migraine

by | Chiropractic, Iingxelo zeNtsholongwane yezonyango, Uchungechunge lweeKlinikhi, Iimeko eziPhathwayo, LweMpilo, Migraine, Migraines, Ukubuyiswa komzimba

Intloko ingaba yinkxalabo yokunyusa ngokwenene, ngakumbi ukuba ezi ziqala ukuvela rhoqo. Ngaphezu koko, iintloko zingabangela ingxaki enkulu xa uhlobo oluqhelekileyo lweentlungu zentloko luba yimigraine. Iintlungu zentloko zidla impawu ezibangelwa yingozi kunye / okanye imeko kunye nomlenze wesibeleko, okanye ngasemva nangentamo. Ngethamsanqa, iindlela ezahlukeneyo zonyango ziyafumaneka ukunceda unyango lwentloko. Ukhathalelo lwe-Chiropractic yindlela ekhethwa yonyango eyaziwa yinto eqhelekileyo ekucetyiswa intlungu, intloko kunye nemigraines. Injongo yolu lulwazi kuphando olulandelayo kukuqinisekisa ukusebenza kwe-chiropractic ye-spinal manialative treatment for migraine.

I-Chiropractic Spinal Treatment Therapy kwi-Migraine: iProgram yokuFunda ye-One-Blinded Placebo-Controled Randomized Trial Clinical Trial

 

Abstract

 

intshayelelo

 

I-Migraine ithintela i-15% yabemi, kwaye inempilo enkulu kunye nezoqoqosho zentlalo. Ulawulo lwe-Pharmacological yonyango lokuqala. Nangona kunjalo, iyeza elimangalisayo kunye / okanye iprophylactic alinakunyamezela ngenxa yemiphumo emibi okanye ukuchasene. Ngaloo ndlela, sijonge ukuvavanya ukuphumelela kwe-chiropractic ye-spinal manipulative therapy (CSMT) ye-migraineurs kwi-trial-clinic trial trial (rand).

 

Indlela kunye nohlalutyo

 

Ngokwezibalo zamandla, abathathi-nxaxheba abangama-90 bayadingeka kwi-RCT. Abathathi-nxaxheba baya kwenziwa ngokulandelelana kwelinye lamaqela amathathu: i-CSMT, indawo ye-placebo (ukunyanzelwa kwe-sham) kunye nolawulo (ulawulo oluqhelekileyo olungelulo olwezandla). I-RCT inezigaba ezithathu: inyanga enye e-1 yokungenela, ukungenelela kweenyanga ezi-3 kunye nohlalutyo olulandelayo emva kongenelelo kunye neenyanga ezi-3, 6 no-12? Indawo yokugqibela kukuphindaphindeka kwemigraine, ngelixa ubude be-migraine, amandla e-migraine, isalathiso sentloko (frequency x ubude be-x ngamandla) kunye nokusetyenziswa kwamayeza ngamanqaku esiphelo sesibini. Uhlalutyo oluphambili luya kuvavanya utshintsho kwimvamisa ye-migraine ukusuka kwisiseko ukuya esiphelweni songenelelo kunye nokulandela, apho amaqela e-CSMT kunye ne-placebo kunye ne-CSMT kunye nolawulo ziya kuthelekiswa. Ngenxa yokuthelekisa amaqela amabini, amaxabiso e-p angaphantsi kwe-0.025 aya kuthathelwa ingqalelo njengobalulekileyo ngokwezibalo. Kuwo onke amanqaku okuphela kunye nohlalutyo, ixabiso elisezantsi kwe-0.05 liya kusetyenziswa. Iziphumo ziya kuboniswa ngexabiso lexabiso le-p kunye ne-95% ye-CI.

 

Ukuziphatha nokuSasazwa

 

I-RCT iya kulandelwa izikhokelo zetyala leekliniki ezivela kwi-International Headache Society. IKomiti yesiFunda yaseNorway ye-Ethics Research Ethics kunye neNorway Social Science Data Services ziye zavuma le projekthi. Inkqubo iya kwenziwa ngokubhengezwa kweHelsinki. Iziphumo ziza kushicilelwa kwiintlanganiso zesayensi kunye nakwiimagazini ezihlaziywe ngontanga.

 

Inombolo yokuBhaliswa kweTyala

 

NCT01741714.

Internet: Iinkcukacha-manani kunye neendlela zophando

 

Amandla kunye nokulinganiselwa kwesi sifundo

 

  • Uphononongo luya kuba yonyango lokuqala lonyango olunezixhobo ezintathu (rCT) ukuhlola ukuphumelela kwe-chiropractic ye-spray manialative therapy ngokubhekiselele kwi-placebo (ukunyanzelwa kwe-sham) kunye nokulawula (qhubela phambili ulawulo lwamayeza olusisiseko ngaphandle kokufumana ukungenelela kwamanyathelo).
  • Ukusebenza kwangaphakathi okuqinileyo, kuba isicrotractor esisodwa iya kuqhuba zonke iindlela zokungenelela.
  • I-RCT inakho ukubonelela ngonyango olungenalo lwe-pharmacological for migraineurs.
  • Umngcipheko wokuphuma kwabafundi uyekisiwe ngenxa yeendlela zokuthintela ezingqongqo kunye nexesha leenyanga ezili-17 ze-RCT.
  • I-placebo eyamkelekileyo ngokuqhelekileyo ayizange isetyenziselwe unyango olusesikweni; Ngako oko, kukho umngcipheko wokungaboni kakuhle, ngelixa umphandi obonelela ngoncedo angakwazi ukukhunjulwa ngenxa yezizathu ezicacileyo.

 

imvelaphi

 

I-Migraine yinkinga yempilo eqhelekileyo kunye neendleko zempilo kunye nezoqoqosho zentlalo. Kwi-recent Burgment of Disease study, i-migraine yayisetyenziswe njengesimo sesithathu esiqhelekileyo. [1]

 

Umfanekiso wesetyhini ene-migraine iboniswe ngombane ephuma entloko.

 

Ngokumalunga ne-15% yabemi ngokubanzi abane-migraine. [2, 3] I-Migraine idla ngokuba yi-unilateral kunye ne-pulsating kunye nentloko ephakathi / ebuhlungu eyenziwa yinto eyenziwa ngumzimba wesiqhelo, kwaye ihamba kunye ne-photophobia kunye ne-phonophobia, isicaphucaphu kunye nokuhlanza ngamanye amaxesha.[4] I-Migraine ikhona kwiifom ezimbini ezinkulu, i-migraine ngaphandle kwe-aura kunye ne-migraine ene-aura (ngezantsi). I-Aura iguquguquka ukuphazamiseka kwe-neurological yembono, i-sensory kunye / okanye umsebenzi wokuthetha, okwenzeka ngaphambi kwentloko. Nangona kunjalo, ukuhluka kwe-intraindividual ukusuka ekuhlaselweni ukuya ekuhlaselweni kuqhelekileyo [5, 6] Imvelaphi ye-migraine ixutyushwa. Iimpembelelo ezibuhlungu zinokuvela kwi-nerve ye-trigeminal, i-central kunye / okanye i-peripheral mechanisms [7, 8] Izakhiwo ezibuhlungu zentlungu ye-Extracranial ziquka ulusu, imisipha, i-arteries, i-periosteum kunye namalungu. Ulusu lunobuntununtunu kuzo zonke iintlobo zesiqhelo zokuvuselela iintlungu, ngelixa izihlunu zexeshana nezentamo zinokuba ngumthombo wentlungu kunye nokuthamba kwi-migraine.[9�11] Ngokufanayo, i-frontal supraorbital, i-superficial temporal, i-posterior kunye ne-occipital arteries inovelwano kwiintlungu. [9, 12]

 

amaNqaku

 

Ulwahlulo lwaMazwe ngamazwe lweengxaki zeNtloko-II Iingqinisiso zokuxilongwa kwe-Migraine

 

Migraine ngaphandle kweAura

  • A. Ubuncinci uhlaselo oluhlanu luzalisekisa imilinganiselo B�D
  • B. Uhlaselo olubuhlungu lwentloko oluthatha iiyure ezi-4�72?h (lunganyangwanga okanye lunganyangwanga ngempumelelo)
  • C. Intloko ine ubuncinane ezimbini kwezi zinto zilandelayo:
  • 1. Indawo engasetyenziswayo
  • 2. Umgangatho wokupasa
  • 3. Ubuhlungu obukhulu okanye obunzima obubuhlungu
  • 4. Ukuhlaziywa okanye kubangela ukuphepha ukuqhutyelwa komzimba
  • D. Ngethuba lokubamba intloko ubuncinane enye yezi zinto zilandelayo:
  • 1. Isihlunu kunye / okanye ukuhlanza
  • 2. Photophobia kunye nefonophobia
  • E. Akunakubangelwa kwenye ingxaki
  • Migraine nge aura
  • A. Ubuncinane uhlaselo olubini luzalisekisa imilinganiselo B�D
  • B. Aura equkwa ubuncinane kwezi zinto zilandelayo, kodwa akukho mandla obuthathaka:
  • 1. Izimpawu ezibonakalayo ezibuyiselwayo ziquka iimpawu ezintle (oko kukuthi, izibane ezikhanyayo, amabala okanye imigca) kunye / okanye iimpawu ezimbi (oko kukuthi, ukulahleka kombono). Ubuhlungu obukhulu okanye obunzima obubuhlungu
  • 2. Izimpawu ezinokubuyiselwa ngokupheleleyo eziquka iimpawu ezintle (oko kukuthi, izikhonkwane kunye neenaliti) kunye / okanye iimpawu ezingalunganga (oko kukuthi,
  • 3. Ukuphazanyiswa kwentetho ye-dysphasic
  • C. ubuncinane ezimbini kwezi zinto zilandelayo:
  • 1. Izimpawu ezingabonakaliyo ezibonakalayo kunye / okanye iimpawu ezingabonakaliyo
  • 2. Ubuncinci uphawu lwe-aura olukhula kancinci kancinci ngaphezulu kwe-5? Min kunye / okanye iimpawu ezahlukileyo ze-aura zenzeka ngokulandelelana ngaphezulu kwe-5? Min
  • 3. Uphawu ngalunye luhlala 5 kunye no 60?
  • D. Ukufezekisa iikhrayitheriya zentloko ye-BD ye-1.1 Migraine ngaphandle kwe-aura kuqala ngexesha le-aura okanye kulandela i-aura ngaphakathi kwe-60? Min
  • E. Akunakubangelwa kwenye ingxaki

 

Ulawulo lwe-Pharmacological lukhetho lokuqala lonyango lwe-migraineurs. Nangona kunjalo, ezinye izigulane azinyamezeli amayeza abukhali kunye / okanye i-prophylactic ngenxa yemiphumo emibi okanye ukuchasana ngenxa ye-comorbidity yezinye izifo okanye ngenxa yomnqweno wokuphepha amayeza ngenxa yezinye izizathu. Umngcipheko wokusetyenziswa kakubi kwamayeza ngenxa yokuhlaselwa rhoqo kwe-migraine kubonisa ingozi enkulu yempilo kunye neenkxalabo zeendleko ezithe ngqo kunye nezingathanga ngqo. Ukuxhaphaka kwamayeza asetyenziswa kakhulu yintloko ebuhlungu (MOH) yi-1�2% kuluntu ngokubanzi, [13�15] oko kukuthi, malunga nesiqingatha sabemi abaphethwe yintloko ebuhlungu engapheliyo (iintsuku zentloko ezili-15 okanye ngaphezulu ngenyanga) bane-MOH.[16] I-Migraine ibangela ilahleko yeentsuku zokusebenza ezingama-270 ngonyaka ngabantu abayi-1000 ukusuka kubemi ngokubanzi.[17] Oku kuhambelana malunga neminyaka eyi-3700 yomsebenzi elahlekileyo ngonyaka eNorway ngenxa ye-migraine. Iindleko zezoqoqosho nge-migraineur nganye ziqikelelwa ukuba yi-$ 655 e-USA kunye �579 eYurophu ngonyaka. bhiliyoni kumazwe e-EU, i-Iceland, iNorway neSwitzerland ngelo xesha. I-Migraine ixabisa ngaphezu kokuphazamiseka kwemithambo-luvo okufana nesifo sengqondo esiyingozi, i-multiple sclerosis, isifo sika-Parkinson kunye ne-stroke.[18] Ngaloo ndlela, iindlela zonyango ezingezona ze-pharmacological zifanelekile.

 

Inkqubo yeDiversified kunye nendlela yeGonstead yizona ndlela ziqhelekileyo zonyango zokusebenzisa unyango lwe-chiropractic ekusebenzeni, ezisetyenziswe ngu91% kunye ne-59%, ngokulandelanayo, [21, 22] kunye nezinye iindlela zokungenelela ezingekho mbhalo iindlela zokuhamba, ukulungiswa kwemisipha kunye nokuqhutyelwa kwamanzi, ukuvuselelwa, ukulungiswa kwangaphambili kunye nokuzivocavoca kunye nesondlo ngokubanzi kunye neengcebiso zezokwelapha.

 

Izilingo ezimbalwa ze-spinal manipulative (SMT) ezilawulwa ngokungenamkhethe (RCTs) zisebenzisa i-Diversified technique iye yaqhutyelwa kwi-migraine, iphakamisa umphumo kwi-migraine frequency, ubude be-migraine, ubukhulu be-migraine kunye nokusetyenziswa kweyeza. Ii-RCT ziziphene zemethodological ezifana nokuxilongwa kwentloko engachanekanga, oko kukuthi, ukuxilongwa kwemibuzo esetyenzisiweyo akuchanekanga, [23] ukungonelanga okanye akukho nkqubo ye-randomisation, ukungabikho kweqela le-placebo, kunye neendawo eziphambili kunye nesekondari ezingachazwanga.[26�27] Ukongezelela , Ii-RCT zangaphambili azizange zihambelane nemigaqo yeklinikhi ekhuthazwayo evela kwi-International Headache Society (IHS) [28, 31] Okwangoku, akukho RCTs isebenzise indlela ye-Gonstead chiropractic SMT (CSMT). Ngaloo ndlela, ukuqwalasela ukusilela kwendlela kwii-RCT zangaphambili, i-RCT yekliniki elawulwa yi-placebo kunye nomgangatho ophuculweyo we-methodological uhlala uqhutyelwa kwi-migraine.

 

Indlela ye-SMT yesenzo kwi-migraine ayaziwa. Kuxoxwa ukuba i-migraine inokuthi ivele kwi-complexity of nociceptive afferent responses ezibandakanya umqolo wesibeleko esiphezulu (C1, C2 kunye neC3), ekhokelela kwimeko ye-hypersensitivity yendlela ye-trigeminal ehambisa ulwazi lwengqondo yobuso kunye nobuninzi bentloko. , 34] Uphando lucebise ukuba i-SMT inokuvuselela iinkqubo ze-neural inhibitory kumanqanaba ahlukeneyo e-spinal cord, kwaye inokuthi isebenze iindlela ezahlukeneyo ezisezantsi ezithintelayo. iindlela ezongezelelweyo ezingahlolisiswanga ezinokuchaza umphumo we-SMT enayo kwi-mechanical pain sensitisation.

 

Umfanekiso wesibini womfazi onomgraine kunye nomzobo obonakalisa ingqondo yomntu ngexesha le-migraine.

 

Injongo yale sifundo kukuvavanya ukuphumelela kwe-CSMT ngokubhekiselele kwi-placebo (ukuphathwa kakubi) kunye nokulawula (qhubela phambili ukulawulwa kwemithi ye-pharmacy ngaphandle kokufumana ukungenelela kwamanyathelo) kubaxhamli be-RCT.

 

Indlela kunye noyilo

 

Le yi-RCT elawulwa yi-placebo elawulwa yi-placebo ngamaqela amathathu afanayo (i-CSMT, i-placebo kunye nolawulo). I-hypothesis yethu ephambili kukuba i-CSMT inika ubuncinci i-25% yokunciphisa inani leentsuku ze-migraine ngenyanga (30? Iintsuku / inyanga) xa kuthelekiswa ne-placebo kunye nolawulo ukusuka kwisiseko ukuya esiphelweni songenelelo, kwaye silindele ukuba ukuncitshiswa okufanayo kube zigcinwa kwiinyanga ezi-3, 6 ne-12? Ukuba unyango lwe-CSMT lusebenza kakuhle, luya kunikwa abathathi-nxaxheba abafumene i-placebo okanye ulawulo emva kokugqitywa kwesifundo, oko kukuthi, emva kokulandelwa kweenyanga ezili-12? Olu phononongo luza kuhambelana nezikhokelo zezilingo ezinconywayo ezivela kwi-IHS, 32 33 kunye nezikhokelo ze-CONSORT kunye ne-SPIRIT. [41, 42]

 

Abemi abagulayo

 

Abathathi-nxaxheba baya kugaywa kwixesha likaJanuwari ukuya kuSeptemba 2013 ngeSibhedlele seYunivesithi yase-Akershus, ngokusebenzisa oogqirha ngokubanzi kunye nentengiso yeendaba, oko kukuthi, iipowusta ezinolwazi oluqhelekileyo ziya kufakwa kwiiofisi zabasebenzi ngokubanzi kunye nolwazi lomlomo kwi-Akershus kunye ne-Oslo. , Norowe. Abathathi-nxaxheba baya kufumana ulwazi oluthunyelweyo malunga neprojekthi elandelwa ludliwano-ndlebe olufutshane lwefowuni. Abo baqeshwe kwiiofisi zoogqirha jikelele kuya kufuneka baqhagamshelane nomphandi weklinikhi oneenkcukacha zakhe zoqhagamshelwano zinikezelwe kwiipowusta ukuze bafumane ulwazi olubanzi malunga nophononongo.

 

Abathathi-nxaxheba abafanelekileyo baphakathi kwe-18 kunye ne-70? Iminyaka yobudala kwaye ubuncinci kuhlaselo lwe-migraine ngenyanga. Abathathi-nxaxheba bafunyaniswe ngokwemigaqo yokuqonda isifo yoHlelo lwaMazwe ngaMazwe lweZifo zeNtloko (ICHD-II) ngugqirha wezifo zengqondo kwisibhedlele iAkershus University. [43] Bavunyelwe kuphela ukuba babekho ngokudibeneyo kwentloko-yentloko kwaye hayi ezinye iintloko eziphambili.

 

Iikhrayitheriya zokukhutshwa zichasene ne-SMT, i-spinal radiculopathy, ukukhulelwa, uxinzelelo kunye ne-CSMT kwiinyanga ezili-12 ezidlulileyo. Abathathi-nxaxheba abathi ngexesha le-RCT bafumane naluphi na ungenelelo olwenziweyo ngabanyangi bomzimba, oochwephesha bezonyango, i-osteopaths okanye abanye oochwephesha ekunyangeni iintlungu ze-musculoskeletal kunye nokukhubazeka, kubandakanya unyango lwe-massage, ukudityaniswa ngokudibeneyo kunye nokuphathwa, [44] batshintshe amayeza abo entloko okanye ukukhulelwa baya kukhutshwa ukufunda ngelo xesha kwaye uthathwe njengayeka phakathi esikolweni. Bavunyelwe ukuqhubeka nokutshintsha amayeza abo aqhelekileyo e-migraine lonke uvavanyo.

 

Ekuphenduleni koqhagamshelwano lokuqala, abathathi-nxaxheba abazalisekisa imigaqo-nkqubo yokungeniswa bayamenywa ukuba baqhutywe vavanyo ngumphandi we-chiropractic. Uvavanyo luquka udliwano-ndlebe kunye novavanyo lwangaphakathi ngokugxininiswa ngokukodwa kwikholamu yomgcini. Ulwazi olubhaliweyo nolwabhaliweyo malunga neprojekthi luya kunikwa kwangaphambili kwaye umlomo kunye nemvume ebhaliweyo iya kufumaneka kuwo onke amacandelo athatywayo ngexesha lodliwano-ndlebe nangomphandi weklinikhi. Ngokuhambelana nokusebenza kakuhle kweekliniki, zonke izigulane ziya kwaziswa malunga nezibi kunye neenzuzo kwakunye nokungabikho kokungalunganga kokungenelela kubandakanywa ukunyamekela kwendawo kunye nokukhathala kwimihla yokunyanga. Akukho ziganeko ezibi kakhulu eziye zaxelwa kwi-chiropractic Gonstead indlela. [45, 46] Abathathi-nxaxheba abaye bangenelela kumanyathelo okungenelela okanye asebenzayo baya kufumana uviwo olupheleleyo lwe-spinal radiography kwaye zicwangciselwe kwiiseshoni zokungena kwi-12. Iqela lolawulo aliyi kubonakaliswa kulolu vavanyo.

 

RCT

 

I-RCT yeklinikhi ineenyanga ezi-1 zokuqhutywa kunye nokungenelela kweenyanga ezi-3? Iprofayile yexesha iya kuvavanywa ukusuka kwisiseko kude kube sekupheleni kokulandelwa kwazo zonke iindawo zokuphela (Umzobo 1).

 

Umzobo we-1 Isatifiketi soMgca wokuFunda

Umzobo 1: Uluhlu lokufunda. I-CSMT, unyango lwe-chiropractic unyango olusisigxina; Indawo ye-Placebo, ukunyanzelwa kwe-sham; Ukulawula, qhubela phambili ulawulo oluqhelekileyo lwe-pharmacological ngaphandle kokufumana ukungenelela kwangaphakathi.

 

Ukuqalisa

 

Abathathi-nxaxheba baya kugcwalisa iphepha ledayari eliqinisekisiweyo le-1 inyanga enye ngaphambi kokungenelela okuya kusetyenziswa njengedatha esisiseko kubo bonke abathathi-nxaxheba. [47, 48] Idayari eqinisekisiweyo ibandakanya imibuzo ehambelana ngqo nendawo zokugqibela nezesekondari. I-ray-ray iya kuthathwa kwindawo yokuma kwi-anterioposterior kunye ne-lateral planes yomgudu wonke. I-X-ray iya kuvavanywa ngumphandi we-chiropractic.

 

Ukurhoxiswa

 

Amaqashiso alungisiweyo atywiniweyo ngongenelelo oluthathu, oko kukuthi, unyango olusebenzayo, i-placebo kunye neqela lolawulo, ziya kwahlulwa ngokwamacandelwana amane ngobudala kunye nesini, oko kukuthi, i-18�39 kunye ne-40�70?iminyaka yobudala kunye namadoda nabasetyhini, ngokulandelelanayo. Abathathi-nxaxheba baya kwabelwa ngokulinganayo amaqela amathathu ngokuvumela umthathi-nxaxheba ukuba azobe iqashiso elinye kuphela. I-block randomisation iya kulawulwa liqela eliqeqeshwe ngaphandle ngaphandle kokubandakanyeka kumphandi wekliniki.

 

Ukungenelela

 

Unyango olusebenzayo luquka i-CSMT ngokusebenzisa indlela ye-Gonstead, [21] oko kukuthi, udibaniso oluthile, u-velocity, low-amplitude, umgcini osisigxina somgca ongekho ukulungiswa kwesimo esilungelelweyo esilungelelaniswe kumsebenzi wokungasebenzi kwemigulane (ugcini lwe-spine). iimvavanyo ze-chiropractic.

 

Ungenelelo lwe-placebo luqukethe ukuphathwa kwe-sham, oko kukuthi, uqhakamshelwano olubanzi olungacacanga, isantya esisezantsi, islow-amplitude sham push maneual in a non-purpose and non-therapeutic directional line. Lonke unxibelelwano olungelolonyango luya kwenziwa ngaphandle kwekholamu yomqolo kunye nokudibanisa okwaneleyo kwaye ngaphandle kokuzilungisa kwithishu ethambileyo ukuze kungabikho mingxunya idibeneyo. Kwezinye iiseshoni, umthathi-nxaxheba wayelala ebhentshini leZenith 2010 HYLO kunye nomphenyi emi kwicala lasekunene lomthathi-nxaxheba ngesandla sakhe sasekhohlo sibekwe kwicala lasekunene lomthathi-nxaxheba ngesinye isandla esomeleza. Kwezinye iiseshoni, umphandi uyokuma kwicala lasekhohlo lomthathi-nxaxheba kwaye abeke intende yakhe yasekunene ngaphezulu komda wasekhohlo we-scapular edge ngesandla esisekhohlo sokuqinisa, ehambisa iphulo lokutyhala elingenanjongo. Ngenye indlela, umthathi-nxaxheba ulele kwindawo efanayo yokuma njengeqela lonyango elisebenzayo kunye nomlenze ongezantsi ngokuthe tye kwaye umlenze ongaphezulu uguqulwe kunye neqatha lomlenze wangaphezulu uphumle kumlenze osemazantsi wedolo, ukulungiselela intshukumo yokuma kwentshukumo esecaleni, eya kuthi zisiwe njengokutyhala okungenanjongo kwindawo enobukhazikhazi. Iindlela ezizezinye zokukhohlisa ziya kutshintshaniswa ngokulinganayo phakathi kwabathathi-nxaxheba be-placebo ngokomgaqo olandelwayo ngexesha lonyango lweeveki ezili-12 ukomeleza ubunyani besifundo. Amaqela asebenzayo kunye ne-placebo aya kufumana uvavanyo olufanayo lwesakhiwo kunye nokuhamba ngaphambi nasemva kongenelelo ngalunye. Akukho lungelelwaniso okanye iingcebiso ziya kunikwa abathathi-nxaxheba ngexesha lokulingwa. Ithuba lonyango lizakubandakanya uthethathethwano oluli-12, okt, kabini ngeveki kwiiveki ezi-3 zokuqala ezilandelwa kube kanye ngeveki kwiiveki ezi-2 ezizayo kwaye kube kanye kwiveki yesibini kude kufike iiveki ezili-12. Imizuzu elishumi elinesihlanu iya kwabelwa ngokuthetha-thethana ngomthathi-nxaxheba ngamnye. Zonke iindlela zongenelelo ziya kuqhutywa kwisibhedlele iAkershus University kwaye zilawulwe ngugqirha wezonyango onamava (AC).

 

Umfanekiso wesinye indoda endala efumana i-chiropractic ukunakekelwa kwemigraine.

 

UDkt Jimenez usebenza kwi-neckrest_preview ye-wrestler

 

Iqela lolawulo liya kuqhubeka nokunyamekela ngokuqhelekileyo, oko kukuthi, ulawulo lwezonyango ngaphandle kokufumana ukungenelela kwamanyathelo ngumphenyi weklinikhi. Iindlela ezifanayo zokukhutshwa zisetyenziswa kwiqela lolawulo ngexesha lonke lokufunda.

 

Ukufumba

 

Emva kweseshoni yonyango nganye, abathathi-nxaxheba abafumana ukungenelela okusebenzayo okanye i-placebo baya kugcwalisa i-questionnaire ye-de-blinding elawulwa liqela elizimeleyo eliqeqeshwe ngaphandle ngaphandle kokubandakanyeka kumphandi weklinikhi, oko kukuthi, ukubonelela nge-dichotomous "ewe" okanye "hayi" impendulo njenge ukuba ngaba unyango olusebenzayo lufunyenwe. Le mpendulo yalandelwa ngumbuzo wesibini malunga nokuba baqiniseke kangakanani na ukuba unyango olusebenzayo lwafunyanwa kwi-0�10 isikali sokulinganisa amanani (NRS), apho i-0 imele ukungaqiniseki ngokupheleleyo kwaye i-10 imele ukuqiniseka ngokupheleleyo. Iqela lolawulo kunye nomphandi weklinikhi abanako ngenxa yezizathu ezicacileyo ukuba bangaboni. [49, 50]

 

Ukulandelisa

 

Uhlalutyo lokulandelela luya kwenziwa kwiindawo zokugqibela ezilinganiswe emva kokuphela kongenelelo kwaye kwi-3, 6 ne-12 yeenyanga? Ngeli xesha, bonke abathathi-nxaxheba baya kuqhubeka nokuzalisa iphepha lokujonga iintlungu kwidayari kwaye bayibuyise rhoqo ngenyanga. Kwimeko yedayari engaguquguqukiyo okanye amaxabiso ashiyekileyo kwidayari, abathathi-nxaxheba baya kuqhakamshelwa kwangoko ekufumaneni ukunciphisa ukukhumbula ukukhumbula. Abathathi-nxaxheba baya kuqhagamshelwa ngefowuni ukukhusela ukuthotyelwa.

 

Amaphuzu okuPhambili kunye neeSondari

 

Amanqaku aphambili kunye nesekondari adweliswe ngezantsi. Amanqaku okugqibela ahambelana nezikhokelo zovavanyo lweklinikhi ezicetyiswayo ze-IHS. [32, 33] Sichaza inani leentsuku ze-migraine njengeyona ndawo yokugqibela kwaye silindele ubuncinane i-25% yokunciphisa inani leentsuku ukusuka kwisiseko ukuya ekupheleni kokungenelela, kunye umgangatho ofanayo wokunciphisa ugcinwa ekulandeleni. Ngokwesiseko sophononongo lwangaphambili kwi-migraine, ukunciphisa i-25% kuthathwa njengoqikelelo olulondolozayo. [30] Ukunciphisa i-25% kulindeleke kwakhona kumanqaku okugqibela esibini ukusuka kwisiseko ukuya ekupheleni kokungenelela, ukugcina ekulandeleni ixesha le-migraine, i-migraine intensity kunye ne-headache index, apho isalathisi sibalwa njengenani leentsuku ze-migraine (ientsuku ze-30)) ubude be-migraine ubude (iiyure ngosuku) �ubunzima obuphakathi (0�10 NRS). Ukunciphisa i-50% yokusetyenziswa kweyeza ukusuka kwisiseko ukuya ekupheleni kokungenelela kunye nokulandelwa kulindeleke.

 

amaNqaku

 

Amaphuzu okuPhambili kunye neeSondari

 

IziPhelo zePrayimari

  • 1. Inani leentsuku ze-migraine kunyango olusebenzayo ngokumelene neqela le-placebo.
  • 2. Inani leentsuku ze-migraine kunyango olusebenzayo kunye neqela lokulawula.

Amaphuzu okugqibela eSiphelo

  • 3. Ubude be-Migraine kwiiyure kwindlela yokwelapha esebenzayo ngokumelene neqela le-placebo.
  • 4. Ubude be-Migraine kwiiyure kwindlela yokwenza unyango olusebenzayo kunye neqela lokulawula.
  • 5. I-VAS eyaziwayo ngokweenyango ezisebenzayo kunye neqela le-placebo.
  • 6. I-VAS ngokuzimelayo kwindlela yokwelapha esebenzayo kunye neqela lokulawula.
  • 7. Isalathisi seentloko (ubuninzi x ubude x intensity) kwindlela yokwenza unyango oluhambelana neqela le-placebo.
  • 8. Isalathisi seentloko kwonyango olusebenzayo ngokumelene neqela lokulawula.
  • 9. Isifo semithi yamakhanda entloko kwindlela yokwelapha esebenzayo ngokumelene neqela le-placebo.
  • 10. Imithi yonyango yeentloko kwindlela yokwelapha esebenzayo kunye neqela lokulawula.

 

*Uhlalutyo lwedatha lusekwe kwixesha lokuqhuba ngokuchasene nokuphela kongenelelo. Inqaku 11�40 liya kuphinda-phindwa inqaku 1�10 ngasentla kulandelelwano lweenyanga ezi-3, 6 nezi-12, ngokulandelelanayo.

 

UkuCwangciswa kwedatha

 

Isatriki sokuhamba kwamathathi siboniswa kwiSifayile 2. Impawu ezisemgangathweni kunye neempawu zeklinikhi ziya kubalwa njengeendlela kunye nee-SD zokuguquka okuqhubekayo kunye namanani kunye neepesenti eziguqukayo. Ngamanye amaqela amathathu aya kuchazwa ngokwahlukileyo. Amaphuzu okuphambili kunye nesekondari aya kuboniswa ngamanqaku afanelekileyo achaza kwiqela ngalinye kunye nexesha ngalinye. Ukuqheleka kwamaphuzu okugqibela kuya kuvavanywa ngokucacileyo kwaye utshintsho luya kuqwalaselwa ukuba luyimfuneko.

 

Umzobo we-2 Umtsalane woMgca oLindelekileyo

Umzobo 2: Ukulindela umzobo wokuhamba. I-CSMT, unyango lwe-chiropractic unyango olusisigxina; Indawo ye-Placebo, ukunyanzelwa kwe-sham; Ukulawula, qhubela phambili ulawulo oluqhelekileyo lwe-pharmological ngaphandle kokufumana ukungenelela kwangaphakathi.

 

Utshintsho kumaphuzu okuphambili nolwasekondari ukusuka kwisiseko kuze kube sekupheleni kokungenelela kwaye ukulandelelwaniswa kuya kufaniswa phakathi kwamaqela asebenzayo kunye ne-placebo kunye namaqela asebenzayo kunye nokulawula. I-hypothesis engabonakaliyo ithi akukho mvelaphi ephawulekayo phakathi kwamaqela ekutshintsheni okuqhelekileyo, ngelixa enye i-hypothesis ithi ukungafani kwe-25% kukhoyo.

 

Ngenxa yexesha lokulandelela, ukurekhodwa okuphindaphindiweyo kweziphambili eziphambili nezesekondari kuya kufumaneka, kwaye ukuhlalutya kwendlela yokugqibela kunye neyesibini kuya kuba ngumdla omkhulu. Amakhonkco e-intra-individual (i-cluster effect) kungenzeka ukuba abekhona kwiedatha ngokulinganisa okuphindaphindiweyo. Umphumo weCluster uya kuhlolwa ngokubala i-intraclass coefficient equantifying inani leyantlukwano eyahlukileyo ebonakalayo ngenxa yokuhlukahluka kwamanye amazwe. Umgangatho kumaphuku okugqibela uza kuvavanywa ngumzekelo wokulungiswa komgca wenkcazelo yexesha elide. Umzekelo odibeneyo odibeneyo ulawula idatha engalinganiyo, inika yonke into efumanekayo evela kwizigulane ezingenangqondo ukuba zifakiwe, kwakunye nokuphuma kwezinto ezihambayo. Imizekelo yokunyanzeliswa kunye neempembelelo ezingapheliyo kwicandelo lexesha kunye nokwabiwa kweqela kunye nokusebenzisana phakathi kwababini kuya kuqikelelwa. Ukusebenzisana kuya kuthintela ukungafani phakathi kwamacandelo malunga nokuhamba kwexesha kumaphuzu okugqibela kwaye usebenza njengolu vavanyo lwe-omnibus. Iziphumo ezingalindelekanga kwizigulane ziya kufakwa ukulungelelanisa uqikelelo lwama-intraindividual correlations. Iintlambo eziqhelekileyo ziya kuqwalaselwa. Iimodeli ezidibeneyo ezixubileyo ziya kuqinganiswa nenkqubo ye-SAS PROC MIXED. Ukuqhathaniswa kokubini kokubili kuya kwenziwa ngokufumana ixesha elilodwa ixesha elihlukileyo phakathi kweqela ngalinye kunye neenombolo eziphambili ze-p kunye ne-95% CI.

 

Bobabini i-protocol kunye neenjongo zokuphatha izihlalutya ziya kwenziwa xa zifanelekileyo. Konke uhlalutyo luya kwenziwa ngumgcini-manani, uphuphuthelwe ukunikezelwa kweqela kunye nabathathi-nxaxheba. Zonke iziphumo ezimbi ziya kubhaliswa kwaye zinikezelwe. Abathathi-nxaxheba abafumana nayiphi na imiphumo emibi ngexesha lovavanyo baya kuba nelungelo lokufowuna umphandi wekliniki kwipowuni yefowuni yeprojekthi. Idata iya kuhlaziywa nge-SPSS V.22 kunye ne-SAS V.9.3. Ngenxa yokuqhathaniswa kweqela ezimbini kwisiphelo sokugqibela, amaxabiso ephantsi kwe-0.025 aya kuqwalaselwa njengento ebalulekileyo. Kuzo zonke iziphumo zokugqibela kunye nokuhlalutya, inqanaba lokubaluleka kwe0.05 liya kusetyenziswa. Amanani angabikhoyo angabonakala kwiimviwo zengxoxo ezingaphelelanga, ii-diary ezingaphelelanga zentloko, iiseshoni zokungena kwiingxoxo kunye / okanye ngenxa yokulahla. Umzekelo wokulahleka uza kuhlolwa kunye nokulahlekelwa kwamanani athathwa ngokufanelekileyo.

 

Ukubalwa kwamandla

 

Ubungakanani besampulu yokubala kusekwe kwiziphumo kuphando olusandula ukupapashwa lokuthelekiswa kweqela kwi-topiramate. [51] Sicinga ukuba umahluko ophakathi wokunciphisa inani leentsuku kunye ne-migraine ngenyanga phakathi kwamaqela asebenzayo kunye namaqela e-placebo ziintsuku ze-2.5? Umahluko ofanayo uthathwa phakathi kwamaqela asebenzayo kunye nolawulo. I-SD yokunciphisa iqela ngalinye kuthathwa ukuba ilingana no-2.5. Ngaphantsi kokucingelwa, kwi-avareji, iintsuku ze-10 migraine ngenyanga kwisiseko kwiqela ngalinye kwaye akukho lutshintsho kwi-placebo okanye kwiqela lolawulo ngexesha lokufunda, ukunciphisa kweentsuku ze-2.5 kuhambelana nokuncitshiswa yi-25%. Kuba uhlalutyo oluphambili lubandakanya ukuthelekiswa kwamaqela amabini, sibeka inqanaba lokubaluleka kwi-0.025. Ubungakanani besampulu yezigulana ezingama-20 ziyafuneka kwiqela ngalinye ukuze kufunyanwe umahluko obalulekileyo ngokweenkcukacha-manani ekunciphiseni i-25% ngamandla angama-80%. Ukuvumela abafundi abaphumayo esikolweni, baceba ukuqesha abathathi-nxaxheba abali-120.

 

UDkt Jimenez White Coat

Insight of Dr. Alex Jimenez

“Ndiye ndacetyiswa ukuba ndifune ukhathalelo lwe-chiropractic ngenxa yentloko yam ebuhlungu. Ngaba unyango lwe-chiropractic spinal manipulative luyasebenza kwi-migraine? ”�Iindidi ezininzi ezahlukeneyo zonyango zingasetyenziselwa ukuphatha ngokufanelekileyo i-migraine, nangona kunjalo, ukunakekelwa kwe-chiropractic yenye yeendlela zonyango ezidumileyo zokuphatha i-migraine ngokwemvelo. Unyango lwe-Chiropractic spinal manipulative thrust yemveli ye-high-velocity low-amplitude (HVLA). Eyaziwa nangokuthi i-spinal manipulation, i-chiropractor yenza le ndlela ye-chiropractic ngokusebenzisa amandla alawulwa ngokukhawuleza kwi-joint ngelixa umzimba ubekwe ngendlela ethile. Ngokutsho kwenqaku elilandelayo, unyango lwe-chiropractic spinal manipulative lunokunceda ngokufanelekileyo ukunyanga i-migraine.

 

ingxoxo

 

Ukuqwalasela ngeendlela

 

I-RT ye-SMT zangoku kwi-migraine ibonisa indlela yokwenza uphando ngokuphathelele imvama ye-migraine, ixesha kunye nobukhulu. Nangona kunjalo, isigqibo esiqinileyo sifuna i-RCs elawulwa yi-placebo elawulwa yi-placebo eneendlela ezimbalwa zokungaphumeleli kweendlela. [30] Ezi zifundo zifanele zihambelane nezikhokelo zecilisi ze-IHS ezicetyiswayo nge-freraine frequency njengendlela yokuphela ephezulu kunye ne-migraine ubude, i-migraine ngamandla, i-headache index kunye nokusetyenziswa kwamachiza njengendawo yokugqibela yesiphelo. [32, 33] Inkcazo yeentloko, kunye nokudibanisa ubude, ubude kunye nobukhulu, unikezela ubungqina bezinga lokuhlupheka. Ngaphandle kokungabikho kwemvumelwano, isalathisi seentloko sinconywe njengesiphelo semigangatho yesibini esiphelekileyo esamkelweyo. [33, 52, 53] Amaphuzu okugqibela kunye nesekondari aya kuqokelelwa ngempumelelo kwi-diary head validity diagnosis head to all participants ukuze banciphise khumbula i-bias. [47, 48] Okusemandleni ethu kolwazi, le yonyango lokuqala lokufumana unyango kwi-RCT ene-three-armed armored-blinded-controlled RCT. Uyilo lokufunda luhambelana neziphakamiso ze-RCTs ze-pharmological ngokubanzi. Ii-RCT eziquka iqela le-placebo kunye neqela lokulawula lixhamla kwii-RCT ezidityanisiweyo eziqhathanisa ezimbini zonyango zonyango. I-RCT inika kwakhona indlela efanelekileyo yokuvelisa ukhuseleko kunye nedatha yokusebenza.

 

Umfanekiso wesetyhini ene-migraine ephethe intloko yakhe.

 

Ukungaphumeleli okuyimpumelelo kungumngcipheko weRCT. Ukubambeka kudla kunzima njengoko kungekho ncedo olumiselweyo lwe-chiropractic lwamanyathelo olusetyenziswayo olungasetyenziswa njengeqela lolawulo kulo mhla. Nangona kunjalo, kuyimfuneko ukuquka iqela le-placebo ukwenzela ukuvelisa umphumo wenene we-intervention entle. Ukuvumelana malunga neendawo ezifanelekileyo ze-placebo esifanelekileyo kwilingo leklinikhi ye-SMT phakathi kweengcali ezimela oogqirha kunye nabafundi, nakuba kunjalo, akuzange kufumaneke. [54] Akukho zifundo ezidlulileyo, ekuhambeni kolwazi lwethu, ziqinisekisile ukuphuhliswa ngempumelelo kwecandelo lovavanyo lweklinikhi ye-CSMT iiseshoni zonyango. Sizimisele ukunciphisa umngcipheko ngokulandela umgaqo-nkqubo ocetywayo weqela le-placebo.

 

Impendulo ye-placebo iphezulu kakhulu kwi-pharmacological kwaye ithathwa njengento ephakamileyo efanayo kwizifundo ezingekho ze-pharmacological clinical; nangona kunjalo, kusenokuba kuphakamileyo kwiprogram ye-RCT yocalulo kunye nokuthintana nomzimba kubandakanyeka. [55] Ngokufanayo, inkxalabo yemvelo malunga nokuqwalasela ingqalelo iya kubandakanywa kwiqela lokulawula njengoko lingabonwa ngabani okanye lingabonwa okuninzi ngumphandi weklinikhi njengamanye amaqela amabini.

 

Kuhlala kukho umngcipheko wokuyeka isikolo ngenxa yezizathu ezahlukeneyo. Ukusukela ukuba ixesha lokulingwa liinyanga ezili-17 ezineenyanga ezili-12 zokulandela, umngcipheko wokulahleka kokulandela uyonyuswa. Ukuvela kolunye ungenelelo olwenziwayo ngexesha lesilingo yenye ingozi, njengoko abo bafumana unyango okanye olunye unyango lwezomzimba kwenye indawo ngexesha lesilingo baya kurhoxiswa kufundo kwaye bathathwe njengabaphumileyo ngexesha lolwaphulo-mthetho.

 

Imvume yangaphandle ye-RCT ingaba ubuthathaka njengoko kukho omnye uphando. Nangona kunjalo, sifumene ukuba luncedo kubaphenyi abaninzi, ukwenzela ukuba banikele ngolwazi olufanayo kubathathi-nxaxheba kuwo onke amaqela amathathu kunye nokungenelela kwangaphakathi kwi-CSMT nakwiqela le-placebo. Ngaloo ndlela, sinenjongo yokuphelisa ukuhlukahluka kophenonongo onokuba khona ukuba kukho abaphandi ababini okanye ngaphezulu. Nangona indlela yeGonstead yindlela yesibini eqhelekileyo esetyenziswayo phakathi kwezilwanyana zonyango, asiyiboni inkxalabo yokuxhalabisa xa kufikelele ekuveleni nasekuqinisekiseni kwangaphandle. Ukongezelela, inkqubo ye-block randomisation iya kunika isampuli ehambelanayo phakathi kwamaqela amathathu.

 

Ukuqinisekiswa kwangaphakathi, nangona kunjalo, kunamandla ngokuba nekliniki eyodwa. Iyanciphisa umngcipheko wokukhethwa kwintetho, ulwazi kunye neziphumo zokulinga. Ukongezelela, ukuxilongwa kwabo bonke abathathi-nxaxheba kwenziwa ngabafundi bamayeza abanegazi kwaye kungekhona ngamaphepha emibuzo. Udliwano-ndlebe oluchanekileyo unobunzulu obuphezulu kunye nobunzima xa kuthelekiswa nombuzo wemibuzo. [27] Izinto ezinokubakhuthaza ngabanye, ezinokuthi zithintele ingqiqo yezinto ezithatha inxaxheba kunye nezinto ezikhethwa ngabanye xa unyango luyancitshiswa ngokuba nomphenyi omnye. Ukongezelela, ukuqinisekiswa kwangaphakathi kuqiniswa ngakumbi yenkqubo efihliweyo yokurhoxiswa kwenkqubo. Ukusukela ekubeni iminyaka yobudala kunye nabangqingili banokudlala indima kwimigraine, i-block randomisation yafunyaniswa kuyimfuneko ukulinganisela iingalo ngamanqanaba kunye nobulili ukwenzela ukunciphisa i-bias enxulumene neminyaka yobudala.

 

Umfanekiso we-X-ray ebonisa ukulahlekelwa kwe-bososis ye-colervus njengokuba kunokubangela ukuba u-migraine.

I-ray-ray ebonisa ukulahlekelwa kwintsholongwane yesibeleko njengesizathu esibangelwa ukufuduka kwemigraine.

 

Ukuqhuba i-X-rays ngaphambi kokungenelela okusebenzayo kunye ne-placebo kwafunyaniswa ukuba kuyasebenza ukuze kubonwe i-posture, i-joint kunye ne-disc integrity. ukuvezwa kwakucatshangelwa ukuba kuphantsi. [56, 57] uvavanyo lwe-X-ray lufunyenwe luyimfuneko ukuze kuqinisekiswe ukuba i-X-rays yomqolo epheleleyo iluncedo kwizifundo ezizayo okanye cha.

 

Ekubeni singazi kakuhle iindlela zokusebenza kakuhle, kwaye zombini intambo yomgudu kunye nomgangatho ophakathi wehla okhutshiwe, asibonanga sizathu sokuba singabandakanyi indlela epheleleyo yonyango lwangaphakathi. Kuye kwandiswe kwakhona ukuba intlungu kwiindawo ezinomqolo ezahlukileyo akufanele ithathwe njengengxaki ehlukeneyo kodwa kunokuba ibe lilungu elinye. [60] Ngokufanayo, kubandakanywa nendlela epheleleyo yomgudu kunqanda ukwahlula phakathi kwe-CSMT kunye namaqela e-placebo. Ngaloo ndlela, inokuqinisa ubungako bokuphupha impumputhe kwiqela le-placebo elifezekileyo. Ukongeza, bonke oonobumba be-placebo baya kwenziwa ngaphandle kwekholomu yomgcini, ngoko ukunciphisa intambo yomgudu ongabonakaliyo.

 

Ixabiso loNcedo kunye neSayensi

 

Le RCT iya kugxininisa kwaye iqinisekise i-Gonstead CSMT ye-migraineurs, engazange ifundwe ngaphambili. Ukuba i-CSMT ibonisa ukuba iyasebenza, iya kubonelela ngonyango olungenalo lweyeza. Oku kubaluleke ngakumbi kuba abanye abathintekayo abanakho ukuphumelela kweempawu zecawa kunye / okanye i-prophylactic medication, ngelixa ezinye zinemiphumo engavumelekiyo okanye i-comorbidity yezinye izifo eziphikisana namayeza ngelixa abanye banqwenela ukuphepha amachiza ngezizathu ezahlukahlukeneyo. Ngaloo ndlela, ukuba i-CSMT isebenza, iyakwazi ukuba nefuthe ekwenzeni unyango lwe-migraine. Uphononongo luphinde luxoxisane ngokubambisana phakathi kwezilwanyana zonyango kunye namagqirha, okubalulekileyo ukwenzela ukuba ukhathalelo lwezempilo luphumelele. Ekugqibeleni, indlela yethu ingasetyenziswa kwi-chiropractic yexesha elizayo kunye nezinye ii-RCT zonyango kwi-headache.

 

Ukuziphatha nokuSasazwa

 

Zokuziphatha

 

Uphononongo luvunyiwe yiKomiti yeNgingqi yaseNorway yeeNqobo zoPhando lwezoNyango (REK) (2010/1639/REK) kunye neeNkonzo zeDatha yeNzululwazi yeNtlalo yaseNorway (11�77). Ukubhengezwa kweHelsinki kulandelwa ngenye indlela. Yonke idatha ayiyi kuchazwa ngelixa abathathi-nxaxheba kufuneka banike imvume yomlomo nebhaliweyo. I-inshurensi ibonelelwa �INkqubo yaseNorway yeMbuyekezo kwiZigulana� (NPE), eliqumrhu lesizwe elizimeleyo elasekwa ukuba liqhube amabango embuyekezo kwizigulana eziye zafumana ukwenzakala ngenxa yonyango phantsi kwenkonzo yezempilo yaseNorway. Umgaqo wokumisa wachazwa ukurhoxisa abathathi-nxaxheba kolu phononongo ngokuhambelana neengcebiso kulwandiso lwe-CONSORT lweNgxelo eNgcono yokuNxwema [61]. Ukuba umthathi-nxaxheba unika ingxelo kwi-chiropractor yakhe okanye kubasebenzi bophando ngesiganeko esibi kakhulu, uya kuhoxiswa kwisifundo kwaye athunyelwe kugqirha wabo jikelele okanye isebe elingxamisekileyo esibhedlele kuxhomekeke kwimeko yesiganeko. Isethi yokugqibela yedatha iya kufumaneka kumphandi wekliniki (AC), i-statistician ezimeleyo kunye nemfama (JSB) kunye noMlawuli weSifundo (MBR). Idatha iya kugcinwa kwikhabhathi etshixiweyo kwiZiko loPhando, kwiSibhedlele seYunivesithi yaseAkershus, eNorway, iminyaka emi-5.

 

Ukusasazwa

 

Le projekthi ilindeleke ukuba igqitywe iminyaka emi-3? Emva kokuqala kwayo. Iziphumo ziya kupapashwa kwiijenali zamazwe aphesheya ezivavanywe ngoontanga ngokuhambelana neNgxelo ye-CONSORT 2010. Iziphumo ezilungileyo, ezimbi, kunye neziphumo ezingathandabuzekiyo ziya kupapashwa. Ukongeza, isishwankathelo esibhaliweyo seziphumo ziya kufumaneka ukuba zithathe inxaxheba xa kuceliwe. Bonke ababhali kufuneka bakulungele ukuloba ngokwe-International Committee of Medical Journal Editors, 1997. Umbhali ngamnye kufanele ukuba athathe inxaxheba ngokwaneleyo emsebenzini ukuthatha uxanduva loluntu kumxholo. Isigqibo sokugqibela malunga nomyalelo wokubhala siya kugqitywa xa iprojekthi igqityiwe. Iziphumo ezivela kufundo zinokuthi, ngokungaphezulu, ziboniswe njengeeposta okanye iintetho zomlomo kwinkomfa yesizwe kunye / okanye yamazwe aphesheya.

 

Imibulelo

 

Isibhedlele sase-Akershus University sinobubele sinikezela ngezixhobo zophando. I-Clinic1, i-Oslo, eNorway, yenza uvavanyo lwe-X-ray.

 

Imihlathi

 

Abaxhasi: I-AC kunye ne-PJT babenombono wokuqala kwisifundo. I-AC ne-MBR ifumane inkxaso-mali. I-MBR icwangcise ukuyila ngokubanzi. I-AC ilungiselele uxwebhu loqulunqo lokuqala kunye ne-PJT ibeke ingxelo ngenguqu yokugqibela yenkqubo yophando. I-JSB yenza yonke i-statistical analysis. I-AC, i-JSB, i-PJT kunye ne-MBR babandakanyeka ekuchazeni nasekuncedisweni ekuhlaziyweni nasekulungiseleleni kwincwadi yesandla. Bonke abalobi baye bafunda kwaye bavumile isicatshulwa sokugqibela.

 

Inkxaso: Isifundo sifumane inkxaso-mali evela kwi-Extrastiftelsen (inombolo yesibonelelo: 2829002), iNorth Chiropractic Association (inombolo yesibonelelo: 2829001), iSibhedlele se-Akershus University (inombolo yesibonelelo: N / A) kunye neYunivesithi yase-Oslo eNorway (inombolo yesibonelelo: N / A) .

 

Injongo yokunyanzela: Akukho nto ipapashwe.

 

Imvume yomonde: Ku funyenwe.

 

Ukuvunywa kwemiqathango: IKomiti yesiFunda yaseNorway ye-Ethics Research Ethics ivume le projekthi (i-ID yemvume: 2010 / 1639 / REK).

 

Iprovenance kunye nokuhlolwa koontanga: A nga thunyelwa; uhlolo lwangaphandle.

 

Uvavanyo oluLungeleleneyo oluLawulayo lwe-Chiropractic Spinal Treatment Therapy kwi-Migraine

 

Abstract

 

Injongo: Ukuvavanya ukuphumelela kwe-chiropractic ye-spinal manipulative therapy (SMT) kunyango lwe-migraine.

 

Design: Iilingo elilawulwa ngokungalindelekanga lwexesha leenyanga ze-6. Icandelo lalingamacandelo e-3: Iinyanga ze-2 zokuqokelela idatha (phambi kokonyango), iinyanga ze-2 zonyango, kunye nezinye iinyanga ze-2 zokuqokelela idatha (emva kokonyango). Ukuthelekiswa kweziphumo kwizinto zokuqala ezisezantsi zenziwa kwiphepha leenyanga ze-6 zombini kwiqela le-SMT kunye neqela lolawulo.

 

Ukubeka: Isiko loPhando lweChiropractic saseYunivesithi yaseMacquarie.

 

Aba nxaxheba: Amavolontiya angamakhulu amabini anamabini anesixhenxe phakathi kwexesha le-10 kunye ne-70 iminyaka babesetyenziselwa ukuthengiswa kweendaba. Ukuxilongwa kwe-migraine kwenziwe ngesiseko somgangatho we-International Headache Society, ubuncinane ubuncinane bodwa kwimigraine ngenyanga.

 

Amanyathelo: Iinyanga ezimbini ze-SMT (iindlela ezihlukahlukeneyo) zokulungiswa kwe-vertebral ezimiselwe ngunyango (ubuninzi bezonyango ze-16).

 

Izisiphumo eziphambili zeziphumo: Abathathi-nxaxheba bagqiba i-diaries ephezulu yamaphepha entloko ngexesha lonke uvavanyo luchaza ukuphindaphindiweyo, ubunzima (amanqaku afanayo anjengokufaniswa), ixesha, ukukhubazeka, iimpawu ezihambelanayo kunye nokusetyenziswa kwamachiza nganye kwisiqhelo.

 

iziphumo: Impendulo yomndilili yeqela lonyango (n = 83) ibonakalise ukuphuculwa kweenkcukacha manani kwimigraine (P <.005), ubude bexesha (P <.01), ukukhubazeka (P <.05), kunye nokusetyenziswa kwamayeza (P <.001 xa kuthelekiswa neqela lolawulo (n = 40). Abantu abane basilele ukugqibezela ukulingwa ngenxa yezizathu ezahlukeneyo, kubandakanya notshintsho kwindawo yokuhlala, ingozi yemoto, kunye nokunyuka rhoqo kwemigraine. Icacisiwe ngamanye amagama, i-22% yabathathi-nxaxheba baxele ngaphezulu kwe-90% yokuncipha kwemigraines njengesiphumo seenyanga ezi-2 ze-SMT. Phantse iipesenti ezingama-50 zabathathi-nxaxheba baxele ukuphucuka okubonakalayo ekuziphatheni kwesiqendu ngasinye.

 

Isiphelo: Iziphumo zolu phando zixhasa iziphumo zangaphambili zibonisa ukuba abanye abantu baxela ukuphucuka okubonakalayo kwimigraines emva kwe-chiropractic SMT. Ipesenti ephezulu (> 80%) yabathathi-nxaxheba baxele uxinzelelo njengeyona nto iphambili kwimigraines yabo. Kubonakala kunokwenzeka ukuba ukhathalelo lwe-chiropractic lunefuthe kwimeko yomzimba enxulumene noxinzelelo kwaye kwaba bantu iziphumo ze-migraine ziyancitshiswa.

 

Ekugqibeleni, unyango lwe-chiropractic unyango olusisigxina lungasetyenziselwa ngempumelelo ukunceda ukuphathwa kwemigraine, ngokutsho kophando lophando. Ukongezelela, ukunakekelwa kwe-chiropractic kukuphucula impilo nempilo yabantu. Inkolelo yomzimba womntu wonke iyakholelwa ukuba yinto ebalulekileyo yeyona nto eyenza ukunakekelwa kwe-chiropractic kusebenza kakuhle. Ulwazi oluchazwe kwiziko leSizwe loLwazi lweBiotechnology (NCBI). Ubungakanani beenkcukacha zethu zikhawulelwe kwi-chiropractic kunye nokulimala kwemigudu kunye nemeko. Ukuxoxa ngesihloko, nceda ukhululeke ukucela uDkt Jimenez okanye uqhagamshelane nathi 915-850-0900 .

 

Ikhutshwe nguDkt. Alex Jimenez

 

Green-Call-Now-Button-24H-150x150-2-3.png

 

Imixholo eyongezelelweyo: Intlungu Yentambo

 

Intlungu yesikhumba isishalazo esiqhelekileyo esinokubangelwa ngenxa yeemeko ezahlukeneyo kunye / okanye iimeko. Ngokwezibalo, ukulimala kwengozi yemoto kunye nokulimala kwe-whiplash zizinye zezona zinto zixhaphake iintlungu phakathi kwabantu bonke. Ngethuba lengozi yengozi, igalelo elizenzekelayo elivela kweso siganeko kunokubangela ukuba intloko nentamo iqhume ngokukhawuleza emva kwanoma iyiphi na indlela, eyonakalise izakhiwo eziyinkimbinkimbi ezungeze umgudu wesibeleko. Ixinzelelo kumathambo kunye nemigqa, kunye neyezinye izicubu entanyeni, kunokubangela iintlungu zentamo kunye nokubonakalisa imiqondiso emzimbeni womntu.

 

umfanekiso webhlogi weendaba eziphambili zephepha lephepha

 

ISIHLOKO ESIBALULEKILEYO: I-EXTRA EXTRA: Ungcono!

 

Ngenanto
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19. Berg J, uStovner LJ. Iindleko ze-migraine kunye nezinye iintloko ezibuhlungu eYurophu. I-Eur J Neurol 2005;12(I-Suppl 1): 59--62. I-doi: 10.1111 / j.1468-1331.2005.01192.x [PubMed]
20. Andlin-Sobocki P, Jonsson B, Wittchen HU et al. Iindleko zokuphazamiseka kwengqondo eYurophu. I-Eur J Neurol 2005;12(I-Suppl 1): 1--27. I-doi: 10.1111 / j.1468-1331.2005.01202.x [PubMed]
21. Cooperstein R. I-Gonstead Chiropractic Technique (GCT). J Chiropr Med 2003;2: 16--24. doi:10.1016/S0899-3467(07)60069-X [Inkcazelo yamahhala ye-PMC] [PubMed]
22. Cooperstein R, Gleberson BJ. Iinkqubo zobugcisa kwi-chiropractic. 1st edn New York: Churchill Livingston, 2004.
23. Parker GB, Tupling H, Pryor DS. Isilingo esilawulwayo sokuxhaphaza kwesibeleko se-migraine. Aust NZ J Med 1978;8: 589--93. i-Doi: 10.1111 / j.1445-5994.1978.tb04845.x [PubMed]
24. Parker GB, Pryor DS, Tupling H. Kutheni i-migraine iphucula ngexesha lovavanyo lweklinikhi? Iziphumo ezongezelelweyo ezivela kulingo lokunyanzelwa komlomo wesibeleko kwi-migraine. Aust NZ J Med 1980;10: 192--8. i-Doi: 10.1111 / j.1445-5994.1980.tb03712.x [PubMed]
25. UNelson CF, uBronfort G, uEvans R et al. Ukusebenza kokuxhaphaza umgogodla, i-amitriptyline kunye nokudityaniswa kwezixhobo zonyango zombini zeprophylaxis yentloko ye-migraine.. J Uluhlu lwePhysiol Ther 1998;21: 511--19. [PubMed]
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27. Rasmussen BK, Jensen R, Olesen J. Uluhlu lwemibuzo ngokubhekiselele kudliwano-ndlebe lweklinikhi ekuxilongweni kwentloko. intloko ebuhlungu 1991;31: 290--5. doi:10.1111/j.1526-4610.1991.hed3105290.x [PubMed]
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31. UChaibi A, uRussell MB. Unyango olusisiseko lwentloko engapheliyo yentloko: uphononongo olucwangcisiweyo lweemvavanyo ezilawulwa ngokungahleliwe. J Intlungu ebuhlungu 2014;15: 67 doi:10.1186/1129-2377-15-67 [Inkcazelo yamahhala ye-PMC] [PubMed]
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35. Bogduk N. Intamo kunye neentloko. Iklinikhi yeNeurol 2004;22:151�71, vii doi:10.1016/S0733-8619(03)00100-2 [PubMed]
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37. UVernon H. Uphononongo olufanelekileyo lwezifundo ze-hypoalgesia eyenziwe ngobuqhetseba. J Uluhlu lwePhysiol Ther 2000;23: 134--8. doi:10.1016/S0161-4754(00)90084-8 [PubMed]
38. Vicenzino B, Paungmali A, Buratowski S et al. Unyango olukhethekileyo lokunyanga ngokunyanga i-epicondylalgia engalunganga evelisa i-hypoalgesia ekhethekileyo. Ther Man 2001;6: 205--12. doi:10.1054/math.2001.0411 [PubMed]
39. Boal RW, Gillette RG. Ubuninzi beplastiki ye-neuronal, iintlungu ezisezantsi zokubuyela umva kunye nonyango lomgogodla. J Uluhlu lwePhysiol Ther 2004;27: 314--26. I-doi: 10.1016 / j.jmpt.2004.04.005 [PubMed]
40. De Camargo VM, Alburquerque-Sendin F, Berzin F et al. Iziphumo ezivele kwangoko kwimisebenzi ye-electromyographic kunye noxinzelelo lweengxaki zentlungu emva koqhushumbo lobuhlungu besibeleko kubuhlungu kumatshini wentambo: isilingo esilawulwa ngokungahleliwe. J Uluhlu lwePhysiol Ther 2011;34: 211--20. I-doi: 10.1016 / j.jmpt.2011.02.002 [PubMed]
41. U-Moher D, u-Hopewell S, uSchulz KF et al. INKCAZO 2010 ingcaciso kunye nogcino: izikhokelo ezihlaziyiweyo zokuxela ulingano lweqela elilinganayo. BMJ 2010;340:c869 doi:10.1136/bmj.c869 [Inkcazelo yamahhala ye-PMC] [PubMed]
42. Hoffmann TC, Glasziou PP, Boutron I et al. Ingxelo engcono yongenelelo: ithemplate yenkcazo yongenelelo kunye nokuphindaphinda (TIDieR) uluhlu lokutshekisha kunye nesikhokelo. BMJ 2014;348:g1687 doi:10.1136/bmj.g1687 [PubMed]
43. Ikomitana yoHlelo lweeNtloko zeNtloko yoMbutho waMazwe ngaMazwe weentloko. Ulwahlulwahlulwahlulwa lwaMazwe ngaMazwe kwiNhlungu zeNtloko: Ushicilelo lwe2nd. Cephalalgia 2004;24(I-Suppl 1): 9--10. I-doi: 10.1111 / j.1468-2982.2003.00824.x [PubMed]
44. French HP, Brennan A, White B et al. Unyango lwe-Manual ye-osteoarthritis ye-hip okanye idolo - uphononongo olucwangcisiweyo. Ther Man 2011;16: 109--17. I-doi: 10.1016 / j.math.2010.10.011 [PubMed]
45. UCassidy JD, uBoyle E, uCote P et al. Ingozi ye-vertebrobasilar stroke kunye nokunyamekelwa kwe-chiropractic: iziphumo zolawulo lweefolda-based and case-crossover study. Isihlwele (Phila Pa 1976) 2008;33(4 Suppl)iS176�S83. I-doi: 10.1097 / BRS.0b013e3181644600 [PubMed]
46. Tuchin P. Ukuphindaphindwa kophononongo �Iziphumo ezibi zokuguqulwa komgogodla: uphononongo olucwangcisiweyo . Unyango lweChiropr lomntu 2012;20: 30 doi:10.1186/2045-709X-20-30 [Inkcazelo yamahhala ye-PMC] [PubMed]
47. URussell MB, uRasmussen BK, uBrennum J et al. Ukuhanjiswa kwesixhobo esitsha: idayari yentloko yokuxilonga. Cephalalgia 1992;12: 369--74. I-doi: 10.1111 / j.1468-2982.1992.00369.x [PubMed]
48. Lundqvist C, Benth JS, Grande RB et al. I-VAS ethe nkqo sisixhobo esisebenzayo sokujonga ukuqina kweentlungu zentloko. Cephalalgia 2009;29: 1034--41. I-doi: 10.1111 / j.1468-2982.2008.01833.x [PubMed]
49. Bang H, Ni L, Davis CE. Uvavanyo lokumfamekisa kulingo lwezonyango. Ukulawulwa kovavanyo lweKlinikhi 2004;25: 143--56. doi:10.1016/j.cct.2003.10.016 [PubMed]
50. Johnson C. Ukulinganisa Iintlungu. I-Visual Analog Scale Versus Numeric Pain Scale: Yintoni umahluko? J Chiropr Med 2005;4: 43--4. doi:10.1016/S0899-3467(07)60112-8 [Inkcazelo yamahhala ye-PMC] [PubMed]
51. Silberstein SD, Neto W, Schmitt J et al. I-Topiramate ekuthinteleni kwe-migraine: iziphumo zesilingo esikhulu esilawulayo. IArch Neurol 2004;61: 490--5. i-Doi: 10.1001 / archneur.61.4.490 [PubMed]
52. Bendtsen L, Jensen R, Olesen J. Umntu ongakhethiyo (amitriptyline), kodwa engakhethiyo (citalopram), i-serotonin reuptake inhibitor iyasebenza kunyango lweprophylactic yentloko ebuhlungu engapheliyo.. J Neurol Neurosurg Psychiatry 1996;61: 285--90. doi: 10.1136 / jnnp.61.3.285 [Inkcazelo yamahhala ye-PMC] [PubMed]
53. Hagen K, Albretsen C, Vilming ST et al. Ulawulo lwamayeza asebenzisa intloko ebuhlungu kakhulu: unyaka we-1 wolingo lwe-multicentre open-label trial. Cephalalgia 2009;29: 221--32. I-doi: 10.1111 / j.1468-2982.2008.01711.x [PubMed]
54. UHancock MJ, uMaher CG, uLatimer J et al. Ukukhetha i-placebo efanelekileyo yokuvavanywa kunyango lwe-spinal manipulative. Aust J Physiotherapy 2006;52: 135--8. doi:10.1016/S0004-9514(06)70049-6 [PubMed]
55. Meissner K, Fassler M, Rucker G et al. Ukusebenza okwahlukileyo koNyango lwe-Placebo: Uphononongo olucwangcisiweyo lweMigraine Prophylaxis. JAMA Inter Med 2013;173: 1941--51. I-Doi: 10.1001 / jamainternmed.2013.10391 [PubMed]
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Vala i-Accordion
IiKhetho zoNyango lweentloko kunye neMigraines

IiKhetho zoNyango lweentloko kunye neMigraines

by | Chiropractic, Intlungu neNtlungu, Intloko kunye nonyango, Migraine, Migraines, Uncedo Lwezityalo, Unyango

Owona mthetho uluncedo kakhulu wentloko kunye nonyango lwe-migraine: Yiba nenkqubo. Jonga ugqirha wakho kwaye uvelise isicwangciso sonyango kunye. Inkqubo yakho iya kukunceda ukuba uchonge kwaye uphathe i-migraines okanye iintloko zakho kwangoko, ukonga ukungonwabi.

Unyango lweentloko eziTshisayo

Xa ufumana intloko yoxinzelelo, idla ngokuba ngenxa yokutshintsha kwentamo, ingqondo yakho, okanye ukudibana. Ezinye izihlunu, imithambo-luvo, imithambo yegazi, kunye nezihlunu ziphantsi koxinzelelo. Phatha utshintsho, kwaye uya kunciphisa intloko yakho.

Inokwakha uxinzelelo olungafunekiyo, ukuba ngaba sele uzingelwe yilaptop emsebenzini. Okanye mhlawumbi iyeza elitsha liqalwe nguwe, okanye unokwenzakala kancinci entanyeni.

Thatha umzuzu ukugoqa ukolula, okanye uphulule intloko ubuso bakho, kunye nentamo. Cinga ngokulala, ukuhlamba, okanye ukusebenzisa ipakethe okanye ipakethe yeqhwa entloko okanye entanyeni yakho.

Unyango lweNtloko yeNtloko

kuba iintloko zentlungu, uneendlela ezininzi ezizezinye zamayeza athengwayo. I-Naproxen ibuprofen, i-acetaminophen, kunye ne-aspirin ziphumelele. Ukuba ukrokrela ukuba intloko yakho ine-vascular (ehambelana nemithambo yegazi yakho), cinga ngento edambisa iintlungu equka icaffeine.

Xhumana nogqirha wakho malunga neengcebiso ezingaphezulu ukuba intloko yakho ayiphenduli kwiindlela zakho zokuziphatha kunye namayeza. Kwimeko apho intloko iba nzima okanye ihlala ngaphezu kweentsuku ezili-10, bonana nogqirha wakho. Intloko yakho inokuba ngumqondiso wenye imeko.

Ukunyangwa kweentloko zeentloko

Ukuphefumla i-oksijini eyi-100 ngokufanelekileyo xa kuqalisa ukuqaqamba yintloko kunganceda ukunciphisa intlungu. Ugqirha wakho unokukunceda ufumane iyunithi ephathekayo yeoksijini ukuze uyiphathe engxoweni okanye isikhwama.

Iyeza eliphambili le-migraine, i-sumatriptan, iyasebenza kwiintloko zentloko. Funda ukuzitofa ngokufanelekileyo xa uva iimpawu zokuqala zentloko yakho yentloko. Amanye amayeza entloko edibeneyo aluncedo yi-dihydroergotamine, elawulwa nge-IV, kunye ne-octreotide ethunyelwa njengenaliti.

Ukuthintela intloko ye-Migraine

Kule minyaka eyi-2 edlulileyo, oogqirha bezempilo baye bafumana unyango olufanelekileyo ukwenzela ukunciphisa amaxesha emigraines. Gwema ukukhupha imithi, uthathe imithi yokukhusela, utshintshe ukutya kwakho, uphucule ukuphumla kwakho.

Enye yezinto ezininzi ezibangela i-migraine, ezininzi kukutya, ngokunqanda ukuze unciphise umngcipheko wakho we-migraine:

  • Ubhontshisi, izityalo kunye namantongomane
  • Ukutya okunotyiweyo kunye nokucoca njengama-pickle neminqumo
  • Ubisi kunye noshizi obudala
  • kuvuthwa
  • Anyanisi
  • Inyama enyangisiweyo okanye eg ed
  • Izinto eziqukethe igwele yomdiza
  • Icoleta, i-cocoa kunye ne-carob
  • Aspartame
  • iZiselo
  • Caffeine

Ezinye izihlandlo ezifudumeleyo ezihamba phambili ziquka:

  • istres
  • Umozulu utshintsha
  • Ukutya okubi
  • Iinguqu zeHormon
  • Nicotine
  • Imisebenzi yomzimba enzima

Njengoko uhlawula ingqwalasela kwizinto ezibangela ukuba ube nemigraines, uyakwazi ukufunda ngcono into omawuyiphephe; olu luluhlu nje lokuqala.

Ugqirha wakho uya kuqwalasela amanye amayeza athintela i-migraines. Unokuyalela:

  • Imithi yexinzelelo yegazi propranolol okanye i-timolol
  • Abaxhomekeke ku-anti-depressants ezifana ne-amitriptyline okanye i-fluoxetine
  • Iyeza lokuthatha i-valproate

Ngelixa la mayeza eze kwintengiso ukuze aphathe ezinye iimeko, ayasebenza nasekuthinteleni i-migraine.

I-Migraine Treatment

Unyango lweMigraine lugqatso ukusuka ewotshini. Unokuthatha amanyathelo okunciphisa ubunzulu bohlaselo xa uziva iimpawu ezilumkisayo ze-migraine. Elo lixesha lokungqengqa, uphumle, kwaye uthabathe ngokulula iziyobisi zakho.

Ii-non-steroidal anti-inflammatories (NSAIDs), i-aspirin, kunye ne-acetaminophen zikhulula ezinye iimigraines. Nangona kunjalo, abantu abaninzi abane-migraine bafuna amayeza anamandla umzekelo i-sumatriptan okanye iyeza elahlukileyo kusapho lwakho lwe-triptan. Kwiimeko ezimbalwa ezigqithisileyo, unokunyangwa ngugqirha wakho nge-opioid.

Unyango olunjengeipakethe zeqhwa okanye ukunyanzeliswa okubandayo ebunzini lakho kukhawuleza ukunciphisa ngokukhawuleza. Ukubamba i-scalp yakho kunye nokuxubha iithempile zakho kunokukunceda ukunciphisa ubunzima be-migraine.

Ubungakanani beenkcukacha zethu zikhawulelwe kwi-chiropractic kunye nokulimala kwemigudu nemiqathango. Ukuze uxoxe ngokukhetha kwimiba, nceda ukhululeke ukucela uDkt Jimenez okanye uqhagamshelane nathi 915-850-0900 . I-Green-Call-Now-Button-24H-150x150.png

NguDkt Alex Jimenez

Imixholo eyongezelelweyo: I-Cervicogenic Headache kunye neChiropractic

Intlungu yomzimba enxulumene neengxaki ezihambelana ne-whiplash ezibangelwa yingozi yemoto zibizwa ngokuba yona nto ibangelwa yintlungu ngaphandle komlenze wesibeleko. Igunya elinamandla elinempembelelo ekuqhumeni kwemoto ekupheleni okanye esinye isiganeko sothutho singabangela ukulimala okanye kwandisa imeko ekhoyo ngaphambili. Nangona intlungu yentamo idla ngokubangela umonakalo kwizakhiwo eziyinkimbinkimbi yentamo, iintloko ze-cervicogic zingabangela ngenxa yemicimbi yentamo. Ukunyamekelwa kwe-Chiropractic kunokunceda ukubuyisela ngokucophelela ukulungelelanisa umlenze wesibeleko ukuze kunciphise intloko nentlungu yentamo.

 

umfanekiso webhlogi weendaba eziphambili zephepha lephepha

 

ISIHLOKO ESIHAMBELAYO: UKUNGXELELWA KWENYE I-PUSH 24 / 7 ? IZiko lokuFama

 

 

Yithi I-Goodbye To Paeck Pain!

Yithi I-Goodbye To Paeck Pain!

by | Chiropractic, Migraines, entanyeni Pain, Ukuphila

El Paso, TX. I-Chiropractor uDkt. Alex Jimenez ukhangelelana intlungu entanyeni.

Intamo yakho lelinye lawona malungu asebenza nzima emzimbeni wakho.�Isisebenzela kakuhle njengomthombo wamandla kunye nokulinganisela. Xa iphumile, intamo yakho inokuba ngumthombo woxinzelelo olungapheliyo. �Masijongane nayo namhlanje ukusetyenziswa kwetekhnoloji kwenza ukuba iintamo zethu zisetyenziswe ngendlela engazange ijongwe. Ngaba ubusazi ukuba ukujonga ezantsi kwifowuni yakho ngamanye amaxesha kunokufaka uxinzelelo oluninzi njengokulingana nobunzima be-40lb?

Ngelishwa ngenxa yobuninzi babantu, intlungu yentamo iya kubachaphazela ngandlela-thile ebomini babo. Abasetyhini banamathele ngakumbi entlungu, kodwa ngokuqinisekileyo amadoda anesabelo esilungileyo.

Omnye Wezizathu Zethu IiNecks Zihlawula Ixabiso ... Sihlala Kulo

Ingaba kusekhaya phambi kweTV okanye i-electronics okanye emsebenzini phambi kwekhompyutheni, iintamo zethu zifumana umsebenzi! Ukukhathazeka entanyeni kubonakala ngeendlela ezininzi, kubandakanywa kodwa kungaphelelanga: iintlungu ezisezantsi, intloko enzima, i-migraines, okanye ukunyuka kwesisa kunye nesisa.

Ziziphi ezinye iindlela ezithandekayo onokuyenza intamo yakho iphule? Umbuzo omuhle, siyavuya xa ucele! Ngombulelo, ukwelula iintamo zethu zentamo rhoqo kulula ukwenza kwaye kunokukunceda ukukhupha nokukhusela intlungu yentamo.

Funda ngokugqithisileyo: paininnjuryrelief.com/get-ahead-of-your-neck-pain/#ixzz4Q3iGAMqs

Igraphic Bezantsi Kwiimiboniso Eminye Elula Ejongene Nokunceda:

 

I-Olive-Green-Call-Now-Button-150x153-1-1.png

Biza namhlanje!

 

umthombo:

PMIR

izimvo

Isizathu Esiyinyaniso Sokubangela Ubuhlungu: Indlela Umnqweno Odibeneyo Udibene Namalungu Aphakathi!

Isizathu Esiyinyaniso Sokubangela Ubuhlungu: Indlela Umnqweno Odibeneyo Udibene Namalungu Aphakathi!

by | Chiropractic, Ubuhlungu obungapheliyo, Migraines, entanyeni Pain

El Paso, TX. I-Chiropractor uDkt. Alex Jimenez uphando ngeentlungu, umgudu kunye nokuxhamla kwawo kwizitho zangaphakathi.
Kanye emva kokuba ndibe nendodana yam yokuqala, ndabandezeleka ngenxa yesisu kunye nemiba yokutya. Andizange ndibe neengxaki zokugaya phambi, kodwa ndadlulisa njengomphumo wecala lokuzala umntu ophilayo. Kwaye ndithethelela iingcinezelo zokuba esikolweni nokunyusa umntwana omncinci.

Umyeni wam waya kwicroperrare ukuba aphathe iintlungu ezandleni zakhe, kwaye yilapho ndagqiba ekubeni ndizame. I chiropractor ukulungelelanisa umlenze wam, kwaye, ngokutyelela ngeveki, ndandiziva ndibhetele.

Xa mna nentsapho yethu sathuthela eMzantsi Korea, andizange ndifumane i-chiropractor. Kodwa, ndifumene i-acupuncturist egqibeleleyo eyayineofisi yakhe ibhloko ezimbini ukusuka emnyango wam wangaphambili. Esikhundleni sokusebenza emlanjeni, i-acupuncturist yasebenza kwimisipha ejikeleze umlenze wam.

 

 

 

Ndiva ukuba iziphumo zombini zifana. Ndandisoloko ndiziva ndibhetele ngakumbi xa ndithatha ixesha lokunyamekela umlenze wam nesistim.

Oku kungenxa yokuba onke amalungu ethu afumana imiyalezo evela kwingqondo yethu ngentambo yethu yomqolo. Imiphunga iyakwazi ukuphefumla ngaphakathi nangaphandle ngenxa yemiyalezo eyifumana ebuchotsheni. Intliziyo ibetha ngenxa yale miyalezo ngokunjalo. Onke amalungu omzimba wethu aqhagamshelwe kwingqondo kwaye athintele olu nxibelelwano - nokuba luncinci - lunokubangela iingxaki zempilo.

Ezinye iingxaki zempilo zivakalelwa lula ngathi zinzima kuminwe okanye kwintloko. Ezinye iingxaki azibonakali njengemiba yokugaya okanye iingxaki zeengtso. Ukuba umgudu awukho umyalelo, izitho ziya kuziva.

 

 

Kubalulekile Ukunyamekela I-Spine Every Day

 

1501_Connections_of_the_Sympathetic_Nervous_System

 

Ukuba umntu ujonga umfanekiso ongentla, umntu unokubona indlela iimbilini ezisuka kumgca womgudu zidibanisa kwiindawo ezithile zomzimba. I-chiropractor okanye i-acupuncturist iya kuba nokubona iingxaki zomgudu kwaye zilungise ixesha elide. Yilokho baqeqeshwayo ukukwenza.

Nazi ezinye iinqununu zokunyamekela WeMpilo:

  • Ukuhlala ngokuchanekileyo okanye esebenzisa isihlalo se-ergonomic ngelixa umsebenzi kulunge lokunyamekela umgudu.
  • Lolonga engekho kwaye ubuyele imihla ngemihla ukuqinisa imisipha ejikeleze umgudu kwaye uyigcine kwindawo.
  • Thatha ixesha lokufumana i-massage, jonga i-chiropractor, okanye i-acupuncturist. Oku kuya kunceda umlenze uhlale ngendlela echanekileyo.
  • Gqoka izihlangu ezixhasa iinyawo kwaye uzive ukhululekile. Izicathulo ezingakhaziyo, ngakumbi iimpompo, ziza kulimaza umqolo kunye nomqolo.
  • Ukulala ngomgudu ngengqondo. Khetha i-mattress kunye nomlotha oxhasa umqolo kwaye uzame ukulala kwindawo yendalo. Kwakhona, zama ukulala ngengalo yakho ukuze ufumane umgca omhle xa ulala ecaleni lakho kunokusebenzisa umlotha onokuyifaka ikhanda lakho kunye nekink entanyeni yakho.

Ukuba umntu ubandezeleka intlungu, kubalulekile ukufuna uncedo lobuchwepheshe. Iingxaki zengcewa, njengentsimbi ephosiweyo, ukuba ingathatyathwa, ingaba nzima kakhulu. Intambo yomthambo ulawula umzimba. Ukuze ube ngowona mhle kwimpilo, umgudu kufuneka ube nempilo entle.

Wunakekele umqolo wakho kwaye uya kukukhathalela yonke iminyaka yobomi bakho.

Biza namhlanje!

Umthombo: David Wolfe

Cacisa Ubuhlungu Bakho KuDokotela

Cacisa Ubuhlungu Bakho KuDokotela

by | Chiropractic, Ubuhlungu obungapheliyo, Migraines, entanyeni Pain

El Paso TX. Chiropractor, UDkt Alex Jimenez Ixoxa ngeendlela zokukunceda ufumane ulondolozo oluza kuludinga kwintlanganiso yakho elandelayo.
Bendinyanga abaguli abaneentlungu eziqatha nezingapheliyo ukusuka kwikona e-Rutherford, eNew Jersey ukuya kuthi ga eOstreliya naseMzantsi Afrika.

Ukusuka kwisigulana sethu okokuqala kutyelelo lweofisi yonyango oludlulileyo, impumelelo yalo naluphi na unyango lweentlungu esilumiselayo luxhomekeke kuthi (umboneleli wezempilo) ngokunyanga ngokuchanekileyo oyena nobangela weentlungu zakho.

Njengesigulana, ukuchaza nje ukuba buhlungu kakhulu okanye intlungu ye-neuropathic yincoko ephezulu incoko eyi- . Ndiyakwazi ukufunda imbali yakho yezonyango, ndinika iziphumo zebhabhu kunye neengxelo zogqirha, nangona kunjalo oku kubaluleke kakhulu ekuqondeni isigulana ngasinye. Kubaluleke kakhulu oku kunxibelelaniswa nomboneleli wakho wolawulo lwentlungu ngokuchanekileyo kangangoko kunokwenzeka.

Kwabo balwa "iintlungu ezingabonakaliyo" ezinjenge-fibromyalgia, i-CRPS (indawo enesifo sentlungu), i-RSD (i-reflex novelwano lwe-dystrophy), isifo seswekile seswekile okanye iintlungu zexesha elide emva konyango lomhlaza, ukunxibelelana ngokuchanekileyo ngendawo, ubukhulu kunye nobunzulu bokungonwabi kunokuba ngokukodwa ukufuna kunye nokuthotywa ngokweemvakalelo.

Unokuba unqwenela ukuzisa eli nqaku lifutshane kutyelelo lwakho olulandelayo logqirha kwaye uhambe ngaphezulu kwenqaku ngalinye lenkcazo yeentlungu ezichazwe apha ngezantsi.

Ndiyathemba ukuba ugqirha uya kukubuza le mibuzo, kodwa ukuba akunjalo, unako ukuziphatha njengomgqugquzeli weentlungu kwaye unike le ngcaciso.

 

EllNdixelele Ngentlungu Yakho

Ngokusekelwe kwiirekhodi zakho zonyango, sesele sazi isizathu sokubandezeleka kwakho (ukulimala okanye ukugula). Ukuze uqalise kwakhona umgangatho wakho ophezulu wokuphila, unomnqweno uza kuba ukususa okanye ukunciphisa le mpawu.

Iimpawu zeentlungu zangasese, zizimeleyo-kwaye zahlukile. (Oko uJoe akuchaza njengentlungu "engenakunyamezeleka" kunokuthathwa njengentlungu engavisisaniyo noMike). Kuyo yonke le minyaka, ndiye ndavelisa eyam incoko yokuxilonga “intlungu yokuxilonga” kunye nezigulana ukunceda iqela lam kwaye ndiyayiqonda into yokuba, phi, nini kwaye zingakanani iintlungu eziviwa zizigulana.

Ndicacisile amanqaku aphambili apha ngezantsi:

 

Imiba yexesha

Esi sisitshixo kuhlalutyo olufanelekileyo. Ungacingi ukuba siyazi ukuba ulwe nale ntlungu ukufumana inyanga okanye unyaka.

1.Ndinayo le ntlungu _________________.

2.Ingaphi rhoqo kwaye ihlala ixesha elingakanani?

I-3.Yiyiphi i-flare) okanye iyanciphisa intlungu yakho kunye nokuba lide kangakanani?

 

Indawo, Indawo, Indawo

Umzobo womzimba womntu ngasemva nangaphambili (jonga ngasentla)

 

Oogqirha unokukuyalela ukuba ubonise indawo / apho apho ubuhlungu bakho bubekwe khona. Basenokucela ukuba uqaphele umahluko phakathi kwentlungu ebuhlungu kunye nomphezulu ongaphantsi kobuso.

Ingaphambili nangemva yesibalo somntu ongeyunxilongo yiyona nto ibonakalayo, nangona esi sixhobo sivela kumbuzo weMbuzo we-McGill Pain kuquka nezinye izilinganiso.

Uninzi loogqirha ababhekisa kubo, nokuba benza luphi na unyango, basebenzise i-1 ukuya kwi-10 yenqanaba leentlungu ezilula, ke ndigcina wonke umntu kwiphepha elinye.

Esi sixhobo sivela kumbuzo we-McGill Pain Questionnaire kuquka nezinye izilinganiso, kodwa phambili nangemuva komzimba womntu ongenakunxibelelwano unobonakala kakhulu.

 

Ubunzima Kangakanani Ubuhlungu Bakho - Isixhobo Sokulinganisa

 

Ngamafutshane, thathela ingqalelo apho inqanaba lentlungu lakho liwela kuninzi lwamaxesha- ngaphandle kokuba uhlangabezana neentlungu eziguqukayo.

Akukho ntlungu

0 Iintlungu

Ubuhlungu obuphathekayo

Iintlungu zincinci, azibonakali. Awucingi ngayo.

Intlungu encinci. Kuyacaphukisa kwaye ngamanye amaxesha kunokuba namawele omelele.

Intlungu iyaphazamisa kwaye iyaqapheleka, unokuyiqhela kwaye uziqhelanise nayo.

 

I-Moderate Pain Iphazamisa imisebenzi yesiqhelo yemihla ngemihla

Iintlungu eziphakathi. Ukuba kufanelekile ukuba wenze isenzo esithile, inokubethwa ngumoya ukuze ufumane ixesha, kodwa iyaphambukisa.

Iintlungu ezinamandla eziphakathi. Ayinakugxothwa ngaphezulu kwemizuzu embalwa, kodwa usenokukwazi ukusebenza okanye ukuthatha inxaxheba kwezinye izinto zentlalo.

Iintlungu ezinamandla eziphazamisa imisebenzi yesiqhelo yemihla ngemihla. Kunzima ukugxila.

Ubuhlungu obukhulu buyakhubaza; Ukudodobalisa, kunciphisa uMgangatho woBomi bemihla ngemihla, awunakuPhila ngokuzimeleyo

Iintlungu ezinzima ezilawula izivamvo zakho kwaye zithintele kakhulu amandla akho okwenza imisebenzi yesiqhelo yemihla ngemihla okanye ukugcina ubudlelwane phakathi koluntu. Ukuphazamisa ukulala.

Intlungu ebuhlungu. Isenzo somzimba sinqongophele kakhulu. Ukuncokola kufuna umzamo omkhulu.

9. Ayikwazi ukuthetha. Ukulila ngaphandle okanye ukulila ngokungalawulekiyo.

Iintlungu ezingathethekiyo. Mhlawumbi kunye nokulala ebhedini. Ukuhamba kunokujongwa phantsi.

 

PainIintlungu Zam Ndiziva Njenge

Ixesha elininzi, izigulana ziye zifumane iintlungu enye okanye ezimbini ezingapheliyo imvakalelo kodwa abanye banokuba namava ovakalelo ahlukeneyo.

Iintlobo zentlungu eziqhelekileyo ziyiyo:

  • Ukubetha intlungu
  • Ukushisa okukhulu okanye ukuvutha komsindo
  • Ubanda kakhulu
  • Ukuqothula, izicubu ezinokutsha
  • Ukungakwazi ukuqhagamshelana / ukuthinta
  • Ukutshiza
  • Ubudenge, ukubetha, izikhonkwane kunye neenaliti

Yakha i-Journal ye Pain

 


Ndikhuthaza izigulane okanye amalungu abo entsapho ukuba baqaphele umjikelezo weentsuku zeveki baze badibane ne-chiropractic, ulawulo lwabo lobuhlungu okanye elinye iqela leyeza.

Ukongeza, bhala phantsi naluphi na unyango okanye imisebenzi ehlisa okanye inyuse ukungonwabi kwakho.

Ngokomzekelo, mhlawumbi uye wafumanisa ukuba imvula ebandayo okanye imvula ebanda kakhulu ikuvumela ukuba uzive unzima ngakumbi, kodwa umzimba okanye u-Epsom usawayile uhlamba wenza ukuba intlungu ikwazi ukuphathwa.

Ukuba uza uzilungiselele ngalo lonke olu lwazi, ixesha lakho kunye nalo lonke ugqirha linokuchithwa kugxilwe kumanyathelo alandelayo nakwisicwangciso sonyango, endaweni yokuphononongwa ixesha elide kunye ne-Q yolwazi olunikezwe apha.

Okubaluleke ngakumbi, ukujongana nale miba phambi kwangaphambili kuya kuqinisekisa ukuba ugqirha wakho ufumana i-up-to-date, ulwazi oluphezulu lwekhwalithi.

Ngenxa yoko, ityala lakho linokuvavanywa ngokukhawuleza kwaye isicwangciso solawulo lweentlungu singeniswa kwisenzo ukuqala ukususa okanye ukunciphisa ubunzima bakho ngokukhawuleza nangendlela enokwenzeka ngayo.

 

Biza namhlanje!