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Sciatica

IQela leKliniki eNgemva leSciatica Chiropractic. UDkt Alex Jimenez uququzelele iintlobo ezahlukeneyo zokugcinwa kwamanqaku ahambelana ne-sciatica, uluhlu oluqhelekileyo kunye noluxelwa rhoqo lweempawu ezichaphazela uninzi lwabemi. Iintlungu ze-Sciatica zinokuhluka ngokubanzi. Isenokuvakala ngathi kukuntyiloza kancinci, iintlungu ezidakumbileyo, okanye imvakalelo etshisayo. Kwezinye iimeko, intlungu inzima ngokwaneleyo ukwenza umntu angakwazi ukuhamba. Iintlungu zihlala zivela kwicala elinye.

I-Sciatica iyenzeka xa kukho uxinzelelo okanye umonakalo kwi-nerve ye-sciatic. Le nerve iqala kumqolo osezantsi kwaye ibaleka ihla ngasemva komlenze ngamnye njengoko ilawula izihlunu zasemva kwedolo kunye nomlenze ongezantsi. Kwakhona kunika imvakalelo emva kwethanga, inxalenye yomlenze ongezantsi, kunye nonyawo lonyawo. UDkt Jimenez uchaza indlela i-sciatica kunye neempawu zayo ezinokukhululeka ngayo ngokusetyenziswa kwonyango lwe-chiropractic. Ngolwazi oluthe kratya, nceda ukhululeke ukunxibelelana nathi apha (915) 850-0900 okanye isicatshulwa ukubiza uGqirha Jimenez buqu (915) 540-8444.


Ukuqonda ukubaluleka kweGluteus Maximus Muscle

Ukuqonda ukubaluleka kweGluteus Maximus Muscle

Abantu abajongene nentlungu kwiimpundu banokwenza ubomi bube nzima ukuhlala, ukuhamba, okanye ukwenza imisebenzi elula, yemihla ngemihla. Ngaba ukuqonda i-anatomy, indawo, kunye nomsebenzi we-gluteus maximus muscle kunceda ekubuyiseleni imisipha kunye nokuphepha ukulimala okunokwenzeka?

Ukuqonda ukubaluleka kweGluteus Maximus Muscle

Gluteus Maximus

I-gluteus maximus ngowona mzimba mkhulu womzimba womntu ojongene nokwandiswa kwe-hip, ukujikeleza kwangaphandle, ukunyuswa, kunye nokuthunjwa, kunye nokukwazi ukuma ngokuthe tye. I-muscle ephambili iqhubela phambili kwaye igcina umzimba uthe tye ngokuxhasa i-pelvis yamathambo kunye ne-trunk. (Neto WK et al., 2020) Xa i-gluteus maximus igxininiswe, yenzakala, okanye ibuthathaka, inokukhokelela kwintlungu kunye nokuvuvukala.

Iimpawu eziqhelekileyo zinokubandakanya:

  • Ukuqina kwimpundu
  • Ukungakhululeki xa uhleli
  • Ubunzima bokuma ekuhlaleni
  • Ubunzima bokugoba
  • Iintlungu xa uhamba, ngakumbi phezulu okanye entabeni
  • Iintlungu kumqolo ongezantsi kunye / okanye umsila

I-Anatomy kunye neSakhiwo

Izihlunu ezibandakanya i-glutes yi-gluteus maximus, i-gluteus medius, kunye ne-gluteus minimus. I-gluteus medius ihamba ngaphantsi kwe-gluteus maximus, kwaye i-gluteus minimus ingaphantsi kwe-gluteus medius.

I-gluteus maximus yenye yezona zihlunu ezinamandla. Iifayibha ezivela kwisihlunu zidibanisa kumalungu omzimba ahlukeneyo, kuquka i-femur / ithanga kunye ne-aliotibial band, equka izicubu ezidibeneyo ezihamba phezulu ethangeni. Umthambo ophezulu we-gluteal uhambisa igazi ukusuka entliziyweni ukuya kwi-glutes.

Isibonelelo soNyango

I-nerve ye-gluteal engaphantsi, inxalenye yesebe le-plexus ye-sacral, ayivaleli i-maximus muscle. I-sacral plexus nerves ixhasa i-motor kunye nomsebenzi we-sensory emathangeni, imilenze ephantsi, iinyawo, kunye ne-pelvis. I-nerve ye-sciatic ibaleka phantsi kwe-gluteus maximus, ukusuka ezantsi umva ukuya emlenzeni, kwaye ihlala ingunobangela weentlungu zemithambo-luvo ngaphakathi nakwindawo ejikeleze loo ndawo. (Carro LP et al., 2016) I-nerve ephambili ye-perineum yintsholongwane ye-pudendal, ehamba phantsi kwe-gluteus maximus muscle.

Indawo

I-gluteus maximus muscle ichaza iimpundu. Inokuthiwa yimisipha engaphezulu, ngamanye amaxesha ibhekiswa kwizihlunu ezinceda ukunika imilo. Imvelaphi ye-gluteus maximus idibanisa kwi-sacrum, i-ilium, okanye inxalenye enkulu ephezulu yethambo le-hip, i-thoracolumbar fascia tissue, kunye ne-sacrotuberous ligaments efakwe kwi-posterior iliac spine. I-gluteus maximus ine-angle ye-45-degree ukusuka kwi-pelvis ukuya kwii-buttocks kwaye ifake kwi-tuberosity ye-gluteal ye-femur kunye ne-iliotibial tract.

Umahluko

Ngamanye amaxesha, i-muscle ephindwe kabini inokuvela kwi-gluteus maximus muscle kwiimeko ezinqabileyo. Nangona kunjalo, kuqhelekile ukuba i-gluteus maximus muscle fibers ingafakwa kwiindawo ezahlukeneyo zomzimba kunokuba zifakwe khona. (Taylor, VG, Geoffrey & Reeves, Rustin. 2015) Oku kunokubangela imeko ebizwa ngokuba yi-trochanteric pain syndrome okanye i-GTPS. Ukuvuvukala kwe-gluteus medius, ubuncinane beetendon, kunye nokuvuvukala kwe-bursa kunokubangela i-GTPS. Abantu abane-GTPS baya kuba nokuthantamisa okanye ukubetha kwentliziyo kwicala elingaphandle le-hip kunye nethanga xa belele ngecala, kunye nezinye iimpawu.

itheko

I-gluteus maximus yandisa kwaye yangaphandle ijikeleze i-hip joint, izinzile umzimba. Ibandakanyeka kakhulu ngexesha lokubaleka kunye nemisebenzi yokunyuka intaba. Ukuhamba rhoqo akubhekiseli kuqeqesho lwamandla e-gluteus maximus. Nangona kunjalo, i-gluteus maximus ikhuthaza ukulinganisela xa uhamba kunye neminye imisebenzi ngokunceda ukugcina i-pelvis kunye nokuma ngokuthe tye.

Conditions

Imeko eqhelekileyo ehambelana ne-gluteus maximus yi-muscle strain, kunye ne-deep gluteus maximus syndrome enye imeko enokubangela intlungu kwaye ibandakanya imisipha.

Umzila weMiscle

Uxinzelelo lwe-muscle lunokubangela ukolula kunye nokusebenza isihlunu kakhulu kangangokuba sigqithise okanye sikhala. (Falótico GG et al., 2015) Oku kunokwenzeka ngenxa yokungafudumezi okanye ukupholisa kakuhle, ukusetyenziswa ngokuphindaphindiweyo kokulimala, kunye nokuzilolonga ngokugqithisileyo. Ngenye indlela, ukungazilolongi kunye nokungasebenzisi i-gluteus maximus yakho kunokuyenza buthathaka, okukhokelela kwiintlungu ezisezantsi, iintlungu ze-hip, kunye nokuzinza kunye nemiba yokuma. (Jeong UC et al., 2015)

I-Deep Gluteus Maximus Syndrome

Le syndrome ibangela intlungu kwiimpundu xa i-nerve ye-sciatic ibanjiswa. (Martin, HD et al., 2015) Indawo yentlungu inokunceda ababoneleli bezempilo banqume apho i-nerve ibanjwe khona. Abo bane-gluteus maximus syndrome enzulu banokufumana iintlobo ezahlukeneyo zokungakhululeki, kubandakanywa (Martin, HD et al., 2015)

  • Ukuba ndindisholo nokuntlitheka emlenzeni
  • Iintlungu xa uhleli
  • Ubuhlungu xa uhamba
  • Iintlungu eziphuma emqolo nasezinqeni nasethangeni

Ukuxilonga imeko, umboneleli wezempilo unokwenza uvavanyo lomzimba kunye neemvavanyo ezahlukeneyo ukulawula ezinye iimeko ezinokubangela iimpawu ezifanayo.

Unyango kunye nokuBuyiselwa kwisimo sesiqhelo

Ukuba kukho intlungu kwiimpundu kunye / okanye kwiindawo ezisezantsi, kubalulekile ukubonisana nogqirha oyintloko, i-chiropractor, okanye i-physical therapist. Baya kuvavanya amandla emisipha ye-gluteus ukuxilonga nayiphi na ingxaki okanye ubuthathaka. Ukusuka apho, baya kuphuhlisa isicwangciso sonyango lomntu siqu ukunceda ukuphilisa ukwenzakala, ukuqinisa imisipha, nokubuyisela ukusebenza. Unyango luyakubandakanya ukolula nje ukuba uxinzelelo luphumle kwaye luphucukile.

  • Iingcebiso zingabandakanya ukuthatha iintsuku ezimbalwa ukuphumla isisipha okanye, ubuncinci, ukuyeka ukwenza umsebenzi okanye umsebenzi obangele ubunzima.
  • Amayeza omkhenkce kunye ne-counter-the-counter njenge-ibuprofen anokunceda ukunciphisa ukudumba.
  • Kwi-gluteus maximus ebuthathaka, ugqirha womzimba uya komeleza kwaye abuyisele umsipha ngenkqubo yokuzivocavoca elungiselelwe. (Jeong UC et al., 2015)
  • Unyango lwe-deep gluteus maximus syndrome lungabandakanya unyango olulondolozayo, olufana ukuxhatshazwa kwe-chiropractic kunye nokulungiswa kwakhona, unyango lomzimba, amayeza entlungu kunye nokuvuvukala, kunye neenaliti.
  • Ukuba unyango olulondolozayo aluyiphelisi intlungu, umboneleli wezempilo osisiseko unokucebisa utyando. (Martin, HD et al., 2015)

Ukusebenza kunye neqela le-chiropractic yonyango lomzimba kunokunceda abantu babuyele kumsebenzi oqhelekileyo kunye nokukhawuleza ukuphilisa. I-Chiropractic yezoNyango zeChiropractic kunye ne-Functional Medicine Clinic isebenza nababoneleli bezempilo abaphambili kunye neengcali ukuphuhlisa inkqubo yonyango eyenziwe ngokwezifiso ngokusebenzisa indlela edibeneyo yokunyanga ukulimala kunye neentlungu ezibuhlungu ezingapheliyo, ukuphucula ukuguquguquka, ukuhamba, kunye nokukwazi ukukhulula intlungu kunye nokunceda abantu babuyele kwimisebenzi eqhelekileyo. Ukuba ezinye iindlela zonyango zifunekayo, uDkt Jimenez uye wabambisana noogqirha abaphezulu, iingcali zeklinikhi, abaphandi bezonyango, kunye nababoneleli bokubuyisela ukubonelela ngonyango olusebenzayo.


ISayensi yeMotion kunye neChiropractic Care


Ucaphulo

Neto, WK, Soares, EG, Vieira, TL, Aguiar, R., Chola, TA, Sampaio, VL, & Gama, EF (2020). I-Gluteus Maximus Activation ngexesha lamandla aqhelekileyo kunye ne-Hypertrophy Exercises: Ukuphononongwa ngokuchanekileyo. Ijenali yenzululwazi yezemidlalo kunye neyeza, 19(1), 195–203.

Carro, LP, Hernando, MF, Cerezal, L., Navarro, IS, Fernandez, AA, & Castillo, AO (2016). Iingxaki zesithuba esinzulu se-gluteal: i-piriformis syndrome, i-ischiofemoral impingement kunye nokukhululwa kwe-nerve ye-sciatic. Imisipha, imigqa kunye nejenali ye-tendon, i-6 (3), i-384-396. doi.org/10.11138/mltj/2016.6.3.384

UTaylor, uVictor & Guttmann, uGeoffrey kunye noReeves, uRustin. (2015). I-avant accessory muscle ye-gluteus maximus. Ijenali yeHlabathi yeeNguqulelo zeAnatomical. 8. 10-11.

Falótico, GG, Torquato, DF, Roim, TC, Takata, ET, de Castro Pochini, A., & Ejnisman, B. (2015). Iintlungu zeGluteal kwiimbaleki: kufuneka ziphandwe kwaye ziphathwe njani? I-Revista brasileira de ortopedia, i-50 (4), i-462-468. doi.org/10.1016/j.rboe.2015.07.002

Jeong, UC, Sim, JH, Kim, CY, Hwang-Bo, G., & Nam, CW (2015). Imiphumo ye-gluteus muscle yokuqinisa umthambo kunye ne-lumbar stabilization exercise on the lumbar muscle strength kunye nokulinganisela kwizigulane ezingapheliyo ezibuhlungu. Ijenali yenzululwazi yonyango lomzimba, 27(12), 3813–3816. doi.org/10.1589/jpts.27.3813

UMartin, HD, Reddy, M., & Gómez-Hoyos, J. (2015). I-deep gluteal syndrome. Ijenali yotyando lokugcinwa kwe-hip, i-2 (2), i-99-107. doi.org/10.1093/jhps/hnv029

I-Aerobics yamanzi yaMandla kunye neMpilo ye-Cardiovascular

I-Aerobics yamanzi yaMandla kunye neMpilo ye-Cardiovascular

Kubantu abaphila neentlungu ezingapheliyo kunye nezifo ezahlukeneyo ezifana ne-Parkinson, isifo samathambo, kunye nesifo seswekile, ingaba i-aerobics yamanzi ingaba luncedo?

I-Aerobics yamanzi yaMandla kunye neMpilo ye-Cardiovascular

Aerobics yaManzi

Umthambo wokuzilolonga wamanzi luqheliselo olunempembelelo ephantsi eyenziwa rhoqo kumadama okuqubha. Yindlela entle yokwenza umthambo wokuzilolonga umzimba ogcweleyo, onempembelelo ephantsi ngaphandle kokusebenza kakhulu kwamalungu omzimba kunye nezihlunu. Amanye amagama asetyenzisiweyo aquka:

  • ukufaneleka emanzini
  • i-aqua aerobics
  • Aquarobics

Iindidi ezininzi zinokulungelelaniswa neemfuno zomntu ngamnye, ukulimala, kunye / okanye iimeko. Imithambo ineenzuzo ezahlukeneyo zempilo, ngakumbi kwabo bangakwaziyo ukwenza iintshukumo ezinempembelelo ephezulu.

Ingaba isebenza kanjani

I-aerobics yamanzi ibandakanya ukwenza iintshukumo ezithile ezilawulwayo njengendlela yokuzilolonga. Iintlobo ezahlukeneyo zijolise kwiindawo ezahlukeneyo zempilo, kubandakanywa (I-Harvard Health yokuPapasha iSikolo sezoNyango saseHarvard, ngo-2023)

  • Uqeqesho lwamandla
  • I-Cardiovascular
  • Uqeqesho lwexeshana

Abantu banokwenza i-aerobics yamanzi ukuba bayazazi iintshukumo ezibandakanyekayo. (I-Harvard Health yokuPapasha iSikolo sezoNyango saseHarvard, ngo-2023)

Iingenelo zoMthambo wePool

Kukho iinzuzo ezininzi ezinxulumene ne-aerobics yamanzi.

Ngenxa yempembelelo ephantsi kunye nomzimba ogcweleyo wokuzilolonga, abantu banokulindela ukubona uphuculo (Pereira Neiva, H. et al., 2018) (I-Harvard Health yokuPapasha iSikolo sezoNyango saseHarvard, ngo-2023)

Impilo ehlangeneyo

  • I-aerobics yamanzi ithambile kumalungu kunye noxinzelelo oluncinci.

I-Cardiovascular

  • Ukumelana namanzi ngexesha lokuzilolonga kunokuphucula impilo ye-cardiovascular ngaphandle kokuyityhala.
  • Uphononongo lubonise ukuba lunokunceda ukulawula uxinzelelo lwegazi.

amandla

  • Ngenxa yokuchaswa kwamanzi, izihlunu zisebenza nzima.

Ukuhla ukusinda

  • Imithambo yokuxhathisa amanzi itshisa iikhalori ezininzi kunezo zingaphandle kwamanzi, nto leyo enokukhokelela ekulahlekeni kobunzima obuninzi ngokuhamba kwexesha.

Iimeko zempilo ezinokuzuza

Ezinye zeemeko zempilo ezinokuzuza kwi-aerobics yamanzi ziquka (I-Harvard Health yokuPapasha iSikolo sezoNyango saseHarvard, ngo-2023)

  • Ubuhlungu obungapheliyo
  • Arthritis
  • ukutyeba
  • Impilo yentliziyo
  • Ifuthe legazi
  • Uxinzelelo kunye noxinzelelo

izixhobo

Abantu abathatha inxaxheba kwi-aerobics yamanzi baya kufuna isuti yokuhlambela, itawuli, iiglasi, kunye nekepusi yokuqubha ukukhusela amehlo okanye iinwele zabo kumanzi aneklorini. Abantu abafuni ezinye izixhobo ezikhethekileyo ngelixa bezilolonga njengoko amanzi esebenza njengoxhathiso olongezelelweyo. Iidumbbells ze-Foam okanye iipaddles zingasetyenziselwa ukwandisa ukuxhathisa. Ezinye izixhobo ozikhethelayo ziquka: (Plunge eSan Diego, ngo-2024) (I-Harvard Health yokuPapasha iSikolo sezoNyango saseHarvard, ngo-2023)

  • Iibhodi zokukhaba
  • Ubunzima besandla kunye neqatha
  • Iibhanti zokubaleka emanzini
  • Indawo yokuqubha

Ukuzilolonga Pool

Kukho iintlobo ezininzi zokuzilolonga echibini ukunceda ukufikelela kwiinjongo zempilo kunye nokomelela. Ziquka:

Ukuhamba ngamanzi

  • Isenzo esisisiseko sokuhamba emanzini yindlela efanelekileyo yokufumana umzimba ogcweleyo.
  • Qala ngokuma emanzini afikelela esinqeni iinyawo zityalwe emazantsi edama.
  • Yandisa umqolo ngokunyusa amagxa kunye nomva kwaye ulungelelanise amagxa kunye nezinqe kunye namadolo.
  • Xa sele ukwindawo entle yokuqala, hamba emanzini, ubeke uxinzelelo kwisithende kuqala kwaye emva koko iinzwane, njengokuphuma emanzini, ngelixa uguqula iingalo ngasemva naphambili emanzini.
  • Lo msebenzi unokwenziwa imizuzu emihlanu ukuya kwe-10.
  • Izihlunu eziza kufumana ingqalelo kakhulu ziingalo, undoqo, kunye nomzimba ongezantsi.

Ukuphakamisa iingalo

  • Yima uye emagxeni emanzini.
  • Ngeentende ezijonge phezulu, zoba iingqiniba kwi-torso ngelixa uphakamisa iingalo zangaphambili phambi komzimba ukuya kumphezulu wamanzi.
  • Xa sele iphezu komhlaba, jikelezisa iintende ukuze zijonge phantsi kwaye ngokukhawuleza uhambise iingalo zangaphambili phantsi emacaleni.
  • Ukomelela ngakumbi, lo msebenzi unokwenziwa kusetyenziswa iidumbbells zegwebu.
  • Phinda isenzo 10-15 amaxesha kwiseti enye ukuya kwezintathu.
  • Izihlunu ezijoliswe kuzo zingundoqo kunye nezihlunu zengalo.

Oojack abaxhumayo

  • Ukumelana namanzi kwenza ukuba ukutsiba iijack emanzini kube nzima kakhulu kunasemhlabeni.
  • Ukwenza, qala ngokuma emanzini akwinqanaba lesifuba iinyawo zakho kunye neengalo zakho zithe tye emacaleni.
  • Xa usesikhundleni, qalisa ngokugungqa imilenze kwicala kunye neengalo phezu kwentloko ngaphambi kokuba ubuyele kwindawo yokuqala.
  • Izihlunu ezijoliswe kuzo ziquka umzimba wonke kunye nenkqubo ye-cardiovascular system.
  • Yongeza iintsimbi zesihlahla okanye zeqatha ukuze uxhathise ngakumbi kwaye wenze umthambo ube ngumngeni.

Izandiso eziphezulu zedolo-Phakamisa

  • Izandiso zokuphakamisa amadolo aphezulu ziyenziwa ngelixa zimi emanzini anzulu esinqeni.
  • Ukwenza umthambo, sebenzisa undoqo kwaye uphakamise umlenze omnye kwindawo egobileyo de ube kwinqanaba kunye nomphezulu wamanzi.
  • Bamba indawo imizuzwana embalwa, uze wandise umlenze phambi kwaye ubambe kwakhona.
  • Emva kwexesha lokubamba, hambisa umlenze ubuyele phantsi emanzini ukuya kwindawo yokuqala ngelixa ugcina ngqo kwaye uguqule unyawo.
  • Phinda kwimilenze yomibini iiseti ezimbini ukuya kwezintathu ze-15 reps ngomlenze ngamnye.
  • Sebenzisa iintsimbi emaqatheni ukwandisa ukuxhathisa.
  • Izihlunu ezijoliswe kuzo ziquka i-core, i-glutes, kunye nomzimba ophantsi.

iingozi

Ngelixa bezilolonga emanzini, abantu ngabanye banokungaqapheli ukuba babila kangakanani. Oku kunokwenza kubonakale ngathi ukuzilolonga akunzima kangako kwaye kunokukhokelela ekuphelelweni kwamanzi emzimbeni. Abantu kufuneka bahlale bemanzisa amanzi phambi nasemva kokujima echibini. Abantu abangakwaziyo ukuqubha kakuhle kufuneka bakuphephe ukwenza umthambo ongafuni isixhobo sokudada. Ngamanye amaxesha amachibi ayafudumala, ngoko ke kuyacetyiswa ukuba ukhethe enye i-90 degrees F okanye ngaphantsi ukuze umzimba ungabi shushu kakhulu ngelixa usenza umthambo.

Misa imithambo yePool ngoko nangoko

Ukwenza umthambo we-pool kunokubonakala kulula kunokuba kunjalo, okukhokelela ekusebenzeni ngokugqithiseleyo. Yeka ukuzilolonga ngoko nangoko ukuba uziva:

  • Intlungu kuyo nayiphi na indawo yomzimba
  • Ukuqhawukelwa ngumphefumlo
  • Ndicaphukile
  • Ukutyhafa
  • Isiyezi
  • Uxinzelelo kumzimba ophezulu okanye esifubeni

Ezinye Iimeko zempilo Ezincedayo

I-aerobics yamanzi iyacetyiswa kubantu abaninzi, abasempilweni ngokupheleleyo okanye abanesifo esingapheliyo. Abo banesifo esingapheliyo baye baboniswa ukuba bazuze ekusebenzeni okuphantsi kwempembelelo. (Faíl, LB et al., 2022Olunye uphando lujonge abantu abaneemeko ezahlukeneyo zempilo, kunye neziphumo ezibonisa ukuba iimeko ezilandelayo zabona ukuphucula emva kweeveki ze-12 zokusebenzisa amanzi rhoqo (Faíl, LB et al., 2022)

  • Diabetes
  • Arthritis
  • Fibromyalgia
  • Izifo zamathambo
  • Igazi elonyukayo
  • Izifo ze-coronary
  • Stroke
  • I-Multiple sclerosis (MS)
  • Isifo sikaParkinson

Ngelixa iinzuzo ze i-aerobics yamanzi ziye zafundwa kwaye ziqinisekisiwe ukuba zisebenza kakuhle, abantu ngabanye kufuneka bahlanjululwe yingcali yezonyango ngaphambi kokuba baqalise nayiphi na irejimeni entsha yokuzivocavoca. I-Chiropractic yezoNyango zeChiropractic kunye ne-Functional Medicine Clinic isebenza nababoneleli bezempilo bokuqala kunye neengcali ukuphuhlisa isisombululo sezempilo kunye nokuphila kakuhle ngokusebenzisa indlela edibeneyo yokunyanga ukulimala kunye neentlungu ezingapheliyo, ukuphucula ukuguquguquka, ukuhamba, kunye neenkqubo ze-agility ukukhulula intlungu kunye nokunceda abantu babuyele eqhelekileyo. Ababoneleli bethu benza izicwangciso zokhathalelo lomntu kwisigulane ngasinye. Ukuba ezinye iindlela zonyango zifunekayo, uDkt Jimenez uye wabambisana noogqirha abaphezulu, iingcali zeklinikhi, abaphandi bezonyango, kunye nababoneleli bokubuyisela ukubonelela ngonyango olusebenzayo.


I-Chiropractic kunye ne-Integrative Healthcare


Ucaphulo

I-Harvard Health yokuPapasha iSikolo sezoNyango saseHarvard. (2023). Iintlobo ezisisiseko zokuzilolonga ezisekelwe emanzini. HealthBeat. www.health.harvard.edu/healthbeat/basic-types-of-water-based-exercise

Pereira Neiva, H., Brandão Faíl, L., Izquierdo, M., Marques, MC, & Marinho, DA (2018). Impembelelo yeeveki ze-12 ze-water-aerobics kwisimo sempilo kunye nokuqina komzimba: Indlela yendalo. PloS enye, 13(5), e0198319. doi.org/10.1371/journal.pone.0198319

I-Harvard Health yokuPapasha iSikolo sezoNyango saseHarvard. (2024). Izinto eziluncedo zokuzilolonga esekwe emanzini. HealthBeat. www.health.harvard.edu/healthbeat/advantages-of-water-based-exercise

Yiya eSan Diego. (2024). Kufuneka zibe-5 iziqwenga zezixhobo zokuzilolonga zasemanzini ukulungiselela umthambo wokuzilolonga wamanzi. Yiya eSan Diego. plungesandiego.com/what-equipment-needed-water-aerobics-shoes/

Faíl, LB, Marinho, DA, Marques, EA, Costa, MJ, Santos, CC, Marques, MC, Izquierdo, M., & Neiva, HP (2022). Izibonelelo zokuzilolonga emanzini kubantu abadala abanezifo ezingapheliyo kunye nabangenazo izifo ezingapheliyo-Ukuphononongwa okucwangcisiweyo kunye nohlalutyo lwe-meta. Ijenali yaseScandinavia yezamayeza kunye nesayensi kwezemidlalo, 32 (3), 465-486. doi.org/10.1111/sms.14112

Unyango olusebenzayo olungaSebenziyo lweSciatica

Unyango olusebenzayo olungaSebenziyo lweSciatica

Kubantu abajongene ne-sciatica, ngaba unyango olungasebenzisi utyando olufana nokhathalelo lwe-chiropractic kunye ne-acupuncture lunciphisa intlungu kunye nokubuyisela umsebenzi?

intshayelelo

Umzimba womntu ngumatshini onzima ovumela umphathi ukuba ahambe kwaye azinzile xa ephumla. Ngamaqela ahlukeneyo emisipha kwiindawo eziphezulu kunye nezisezantsi zomzimba, imisipha ejikelezileyo, imisipha, i-nerve, kunye nemigqaliselo isebenzela injongo yomzimba njengoko zonke zinemisebenzi ethile yokugcina umkhosi usebenza. Nangona kunjalo, abantu abaninzi baye bahlakulela imikhwa eyahlukahlukeneyo eyenza imisebenzi enzima eyenza ukuphindaphinda imisipha kunye nemithambo-luvo kwaye ichaphazele inkqubo yabo ye-musculoskeletal. Enye yemithambo-luvo abantu abaninzi abaye bajongana neentlungu yi-nerve ye-sciatic, ebangela imiba emininzi kumazantsi omzimba kwaye, xa ingaphathwanga kwangoko, ikhokelela kwiintlungu kunye nokukhubazeka. Ngethamsanqa, abantu abaninzi baye bafuna unyango olungasebenzisi utyando ukunciphisa i-sciatica kunye nokubuyisela umsebenzi womzimba kumntu ngamnye. Inqaku lanamhlanje lijolise ekuqondeni i-sciatica kunye nendlela unyango olungenalo utyando olufana nokhathalelo lwe-chiropractic kunye ne-acupuncture lunokunceda ukunciphisa imiphumo ye-sciatic-efana nentlungu ebangela ukugqithiswa kweeprofayili ezinobungozi kwiindawo ezisezantsi zomzimba. Sixoxa nababoneleli bezonyango abaqinisekisiweyo abadibanisa kunye nolwazi lwezigulane zethu ukuvavanya indlela i-sciatica isoloko ihambelana ngayo nezinto ezisingqongileyo ezibangela ukungasebenzi emzimbeni. Siyazisa kwaye sikhokela izigulana malunga nendlela ezahlukeneyo zonyango ezingasebenzisi utyando zinokunceda ukunciphisa i-sciatica kunye neempawu zayo ezihambelanayo. Sikwakhuthaza izigulana zethu ukuba zibuze ababoneleli bezonyango abanxulumene nabo imibuzo emininzi entsonkothileyo kunye nebalulekileyo malunga nokubandakanya iindlela ezahlukeneyo zonyango ezingezizo utyando njengenxalenye yonyango. indlela yabo yemihla ngemihla ukunciphisa amathuba kunye neziphumo sciatica ekubuyeni. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli.

 

Ukuqonda iSciatica

Ngaba uhlala uziva iintlungu ezikhuphayo ezihamba phantsi komlenze omnye okanye yomibini xa uhleli phantsi ixesha elide? Kukangaphi uye wafumana ukuntyiloza okubangela ukuba ushukumise umlenze wakho ukuze unciphise umphumo? Okanye ngaba uye waphawula ukuba ukolula imilenze kubangela ukukhululeka okwexeshana? Ngelixa ezi zimpawu zigqithisayo zentlungu zinokuchaphazela amazantsi asezantsi, abantu abaninzi banokucinga ukuba ziintlungu ezisezantsi, kodwa enyanisweni, yi-sciatica. I-Sciatica yimeko eqhelekileyo ye-musculoskelet echaphazela abantu abaninzi emhlabeni jikelele ngokubangela intlungu kwi-nerve ye-sciatic kunye nokukhanya ukuya emilenzeni. I-nerve ye-sciatic ibalulekile ekuboneleleni ngokusebenza ngokuthe ngqo kunye nokungathanga ngqo kwimisipha yomlenze. (Davis et al., 2024) Xa i-nerve ye-sciatic ixinzelelwe, abantu abaninzi bathi intlungu inokwahluka ngamandla, ihamba kunye neempawu ezifana nokubetha, ukuphazamiseka, kunye nobuthakathaka bemisipha obunokuchaphazela ukukwazi komntu ukuhamba nokusebenza. 

 

 

Nangona kunjalo, ezinye zeengcambu ezikhokelela ekuphuhlisweni kwe-sciatica zinokudlala kwinto ebangela intlungu kwiindawo eziphantsi. Izinto ezininzi zendalo kunye nokusingqongileyo zihlala zinxulunyaniswa ne-sciatica, ebangela ukunyanzeliswa kweengcambu ze-lumbar kwi-nerve ye-sciatic. Izinto ezifana nesimo sempilo esibi, uxinzelelo lomzimba, kunye nomsebenzi wokusebenza zihambelana nokuphuhliswa kwe-sciatica kwaye inokuchaphazela inkqubo yomntu. (Gimenez-Campos et al., 2022) Ukongezelela, ezinye zeengcambu ze-sciatica zingabandakanya iimeko ze-musculoskeletal ezifana neediski ze-herniated, i-bone spurs, okanye i-spinal stenosis, enokuthi ihambelane nale miba yendalo kunye nendalo enokunciphisa abantu abaninzi kunye nomgangatho wobomi. (Zhou et al., 2021) Oku kubangela ukuba abantu abaninzi bafune unyango lokunciphisa intlungu ye-sciatica kunye neempawu zayo ezihambelanayo. Nangona iintlungu ezibangelwa yi-sciatica zinokwahluka, abantu abaninzi bahlala befuna unyango olungasebenzisi utyando ukuze banciphise ukungonwabi kunye neentlungu zabo kwi-sciatica. Oku kubavumela ukuba bafake izisombululo ezisebenzayo zokulawula i-sciatica. 

 


Ngaphandle koLungiso: IChiropractic & Integrative Healthcare-Ividiyo


Ukhathalelo lweChiropractic kwiSciatica

Xa kuziwa ekufuneni unyango olungenalo utyando lokunciphisa i-sciatica, unyango olungenalo utyando lunokunciphisa imiphumo efana nentlungu ngelixa unceda ukubuyisela ukusebenza komzimba kunye nokuhamba. Kwangaxeshanye, unyango olungelulo utyando lwenziwa ngokwezifiso kwiintlungu zomntu kwaye lunokufakwa kwinkqubo yomntu. Olunye unyango olungasebenzisi utyando olufana nokhathalelo lwe-chiropractic lugqwesile ekunciphiseni i-sciatica kunye neempawu zayo ezihambelana neentlungu. Ukunyamekela kwe-Chiropractic luhlobo lonyango olungenalo utyando olujolise ekubuyiseleni intshukumo yomzimba ngelixa uphucula umsebenzi womzimba. Ukhathalelo lweChiropractic lusebenzisa ubuchule bomatshini kunye neendlela ze-sciatica ukulungelelanisa umqolo kunye nokunceda umzimba uphilise ngokwemvelo ngaphandle kotyando okanye iyeza. Ukunyamekela kwe-Chiropractic kunokunceda ukunciphisa uxinzelelo lwe-intradiscal, ukunyusa ukuphakama kwendawo ye-intervertebral disc, kunye nokuphucula uluhlu lokuhamba kwiindawo ezisezantsi. (Gudavalli et al., 2016) Xa ujongene ne-sciatica, ukunakekelwa kwe-chiropractic kunokunciphisa uxinzelelo olungadingekile kwi-nerve ye-sciatic kunye nokunceda ukunciphisa umngcipheko wokuphindaphinda ngokunyanga ngokulandelelana. 

 

Iziphumo zokhathalelo lweChiropractic kwiSciatica

Ezinye zeempembelelo zokunakekelwa kwe-chiropractic ekunciphiseni i-sciatica zinokunika ingqiqo kumntu njengoko ii-chiropractors zisebenza kunye nababoneleli bezonyango abahambelanayo ukuba baqulunqe isicwangciso somntu siqu ukukhulula iimpawu ezifana neentlungu. Abantu abaninzi abasebenzisa ukunakekelwa kwe-chiropractic ukunciphisa imiphumo ye-sciatica banokubandakanya unyango lomzimba ukuqinisa imisipha ebuthathaka. ezirhangqileyo umqolo osezantsi, wolule ukuphucula ukuguquguquka kwaye ukhumbule ngakumbi ukuba zeziphi izinto ezibangela intlungu ye-sciatic kwiindawo zabo ezisezantsi. Ukunyamekela kwe-Chiropractic kunokukhokelela abantu abaninzi kwi-ergonomics yepowusta efanelekileyo, kunye nokuzivocavoca okuhlukahlukeneyo ukunciphisa amathuba okubuya kwe-sciatica ngelixa unikezela iziphumo ezilungileyo kumzimba ophantsi.

 

I-acupuncture ye-Sciatica

Olunye uhlobo lonyango olungenalo utyando olunokunceda ukunciphisa intlungu-efana nemiphumo ye-sciatica yi-acupuncture. Njengenxalenye ephambili kumayeza emveli aseTshayina, unyango lwe-acupuncture lubandakanya iingcali ezibeka iinaliti ezibhityileyo, eziqinileyo kwiindawo ezithile emzimbeni. Xa kuza ku ukunciphisa i-sciatica, unyango lwe-acupuncture lunokusebenzisa imiphumo ye-analgesic kwi-acupoints yomzimba, ilawula i-microglia, kwaye imodareyithe i-receptors ethile ecaleni kwendlela yentlungu kwi-nervous system. (Zhang et al., 2023) Unyango lwe-acupuncture lugxile ekubuyiseleni ukuhamba kwamandla endalo omzimba okanye i-Qi ukukhuthaza ukuphilisa.

 

Iziphumo ze-Acupuncture kwi-Sciatica

 Ngokumalunga nemiphumo yonyango lwe-acupuncture ekunciphiseni i-sciatica, unyango lwe-acupuncture lunokunceda ukunciphisa iimpawu zentlungu eziveliswa yi-sciatica ngokuguqula umqondiso wengqondo kunye nokubuyisela i-motor ehambelanayo okanye ukuphazamiseka kwengqondo kwindawo echaphazelekayo. (Yu et al., 2022) Ukongezelela, unyango lwe-acupuncture lunokunceda ukubonelela intlungu ngokukhulula i-endorphins, i-endorphins yendalo yomzimba, kwi-acupoint ethile ehambelana ne-nerve ye-sciatic, ukunciphisa ukuvuvukala kwi-nerve ye-sciatic, ngaloo ndlela ukunciphisa uxinzelelo kunye neentlungu kunye nokunceda ukuphucula umsebenzi we-nerve. Zombini ukhathalelo lwe-chiropractic kunye ne-acupuncture zibonelela ngeendlela ezixabisekileyo zonyango ezingasebenzisi utyando ezinokubonelela ngoncedo kwinkqubo yokuphilisa kunye nokunciphisa intlungu ebangelwa yi-sciatica. Xa abantu abaninzi bejongene ne-sciatica kwaye befuna izisombululo ezininzi zokunciphisa imiphumo efana nentlungu, ezi zibini zonyango ezingezonyango zinokunceda abantu abaninzi bajongane nezizathu ezibangela i-sciatica, ukuphucula inkqubo yokuphulukisa yendalo yomzimba, kunye nokunceda ukubonelela ngokukhululeka okukhulu intlungu.

 


Ucaphulo

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

Gimenez-Campos, MS, Pimenta-Fermisson-Ramos, P., Diaz-Cambronero, JI, Carbonell-Sanchis, R., Lopez-Briz, E., & Ruiz-Garcia, V. (2022). Uphononongo olucwangcisiweyo kunye nohlalutyo lwe-meta yokusebenza kunye neziganeko ezimbi ze-gabapentin kunye ne-pregabalin kwiintlungu ze-sciatica. Aten Primaria, 54(1), 102144. doi.org/10.1016/j.aprim.2021.102144

Gudavalli, MR, Olding, K., Joachim, G., & Cox, JM (2016). I-Chiropractic Distraction Spinal Manipulation on Postsurgical Continued Low Back and Radicular Pain Patients: I-Retrospective Case Series. J Chiropr Med, 15(2), 121-128. doi.org/10.1016/j.jcm.2016.04.004

Yu, FT, Liu, CZ, Ni, GX, Cai, GW, Liu, ZS, Zhou, XQ, Ma, CY, Meng, XL, Tu, JF, Li, HW, Yang, JW, Yan, SY, Fu, HY, Xu, WT, Li, J., Xiang, HC, Sun, TH, Zhang, B., Li, MH, . . . Wang, LQ (2022). I-acupuncture ye-sciatica engapheliyo: iprotocol yolingo olulawulwa ngokungahleliwe olune-multicenter. BMJ Open, 12(5), e054566. doi.org/10.1136/bmjopen-2021-054566

Zhang, Z., Hu, T., Huang, P., Yang, M., Huang, Z., Xia, Y., Zhang, X., Zhang, X., & Ni, G. (2023). Ukusebenza kunye nokhuseleko lwe-acupuncture therapy ye-sciatica: ukuphononongwa ngokuchanekileyo kunye nohlalutyo lwemeta yeendlela ezilawulwa ngokungahleliwe. Front Neurosci, 17, 1097830. doi.org/10.3389/fnin.2023.1097830

Zhou, J., Mi, J., Peng, Y., Han, H., & Liu, Z. (2021). Iintlangano ze-Causal of Obesity kunye ne-Intervertebral Degeneration, iintlungu ezisezantsi, kunye ne-Sciatica: iSampuli ezimbini zeMendelian zokuHlaziya. Front Endocrinol (Lausanne), 12, 740200. doi.org/10.3389/fendo.2021.740200

isikhanyeli

I-Demystifying Spinal Nerve Roots kunye nempembelelo yazo kwiMpilo

I-Demystifying Spinal Nerve Roots kunye nempembelelo yazo kwiMpilo

Xa i-sciatica okanye ezinye iintlungu zemithambo-luvo ziveza, ngaba ukufunda ukwahlula phakathi kweentlungu zemithambo-luvo kunye neentlobo ezahlukeneyo zeentlungu kunokunceda abantu babone xa iingcambu zemithambo-luvo zicaphukile okanye zicinezelekile okanye iingxaki ezingakumbi ezifuna unyango?

I-Demystifying Spinal Nerve Roots kunye nempembelelo yazo kwiMpilo

Iingcambu zeNerve yoMnqongo kunye neDermatomes

Iimeko zomgogodla ezifana neediski ze-herniated kunye ne-stenosis zingakhokelela kwiintlungu ezikhuphayo ezihamba phantsi kwengalo enye okanye umlenze. Ezinye iimpawu ziquka ubuthathaka, ukuba ndindisholo, kunye/okanye ukudubula okanye ukuvutha kombane. Igama lezonyango kwiimpawu ze-nerve pinched yi-radiculopathy (AmaZiko eSizwe ezeMpilo: Iziko leSizwe leZiphazamiso zeNeurological kunye ne-Stroke. 2020). I-Dermatomes inokubangela ukucaphuka kwintambo yomgogodla, apho iingcambu zemithambo-luvo zibangela iimpawu kumqolo kunye nemilenze.

Anatomy

Umnqonqo unamacandelo angama-31.

  • Icandelo ngalinye lineengcambu zemithambo-luvo ngasekunene nangasekhohlo ezibonelela ngemoto kunye nemisebenzi yeemvakalelo kumalungu.
  • Amasebe angaphambili kunye nasemva anxibelelana adibanisa ukwenza i-nerve spinal ephuma kwi-vertebral canal.
  • Amacandelo angama-31 omqolo abangela i-31 ye-spinal nerves.
  • Ngamnye uhambisa igalelo le-nerve ye-sensory evela kwindawo ethile yesikhumba kweli cala kunye nommandla womzimba.
  • Le mimandla ibizwa ngokuba ziidermatomes.
  • Ngaphandle kwe-nerve yokuqala yomlomo wesibeleko, i-dermatomes ikhona kwi-nerve nganye yomgogodla.
  • Imithambo yomqolo kunye needermatomes ezinxulumene nazo zenza inethiwekhi kuwo wonke umzimba.

Dermatomes Injongo

I-Dermatomes yimimandla yomzimba / yesikhumba kunye negalelo leemvakalelo ezinikezelwe kwimithambo-luvo yomqolo ngamnye. Ingcambu yemithambo-luvo nganye ine-dermatome ehambelana nayo, kwaye amasebe ahlukeneyo abonelela ngedermatome nganye kwingcambu yomthambo omnye. I-Dermatomes ziindlela apho ulwazi oluchukumisayo eluswini luthumela imiqondiso ukuya nokusuka kwinkqubo yemithambo-luvo. Iimvakalelo eziviwa ngokwasemzimbeni, njengoxinzelelo kunye nobushushu, zigqithiselwa kwinkqubo yemithambo-luvo. Xa ingcambu ye-nerve ye-spinal igxininiswe okanye inomsindo, ngokuqhelekileyo ngenxa yokuba idibana nesinye isakhiwo, ibangela i-radiculopathy. (AmaZiko eSizwe ezeMpilo: Iziko leSizwe leZiphazamiso zeNeurological kunye ne-Stroke. 2020).

Radiculopathy

I-Radiculopathy ichaza iimpawu ezibangelwa yi-nerve pinched kunye nomqolo. Iimpawu kunye neemvakalelo zixhomekeke apho i-nerve igxininiswe khona kunye nobukhulu boxinzelelo.

Umlomo wesibeleko

  • Le yi-syndrome yentlungu kunye / okanye ukusilela kwe-sensorimotor xa iingcambu ze-nerve entanyeni zixinzelelwe.
  • Idla ngokuba neentlungu ezehla ngengalo enye.
  • Abantu ngabanye banokufumana imvakalelo yombane efana nezikhonkwane kunye neenaliti, ukothuka, kunye nokutshisa, kunye neempawu zemoto ezifana nokuba buthathaka kunye nokuba ndindisholo.

Lumbar

  • Le radiculopathy ibangelwa ukunyanzeliswa, ukuvuvukala, okanye ukulimala kwi-nerve yomgogodla kwi-back back.
  • Uvakalelo lwentlungu, ukuphazamiseka, ukubetha, ukuvakala kombane okanye ukutshisa, kunye neempawu zeemoto ezifana nobuthathaka obuhamba phantsi komlenze omnye ziqhelekileyo.

Ukuqondwa

Inxalenye yovavanyo lomzimba we-radiculopathy kukuvavanya i-dermatomes ukuva. Ugqirha uya kusebenzisa iimvavanyo ezithile zezandla ukufumanisa inqanaba lomgogodla apho iimpawu zivela khona. Iimviwo ezenziwa ngesandla zihlala zikhatshwa luvavanyo lokuxilonga olufana ne-MRI, enokubonisa izinto ezingaqhelekanga kwingcambu yemithambo-luvo. Uvavanyo olupheleleyo lomzimba luya kugqiba ukuba ingcambu ye-spinal nerve imvelaphi yeempawu.

Ukunyanga oonobangela

Uninzi lweengxaki zomqolo zinganyangwa ngonyango olulondolozayo ukubonelela ngokukhululeka kweentlungu. Kwidiski ye-herniated, umzekelo, abantu banokucetyiswa ukuba baphumle kwaye bathathe iyeza elichasene ne-nonsteroidal anti-inflammatory. I-acupuncture, unyango lomzimba, i-chiropractic, i-traction engeyiyo yokuhlinzwa, okanye unyango lokuthomalalisa inokumiselwa kwakhona. Kwiintlungu ezibuhlungu, abantu banokunikwa inaliti ye-epidural steroid enokubonelela ngesiqabu seentlungu ngokunciphisa ukudumba. (I-Akhademi yaseMelika yeeGqirha ze-Orthopedic: i-OrthoInfo. 2022) Kwi-spinal stenosis, umboneleli unokuqala ugxininise kunyango lomzimba ukuze kuphuculwe ukufaneleka okupheleleyo, ukuqinisa izibilini kunye nemisipha yangasemva, kunye nokugcina ukunyakaza kumqolo. Amayeza okuphelisa iintlungu, kuquka ii-NSAID kunye neenaliti ze-corticosteroid, anokunciphisa ukuvuvukala kunye nokunciphisa intlungu. (IKholeji yaseMelika yeRheumatology. 2023) Iingcali zonyango zibonelela ngeendlela ezahlukeneyo zonyango ukunciphisa iimpawu, kubandakanywa ukuchithwa kwe-manual kunye ne-mechanical kunye ne-traction. Utyando lunokucetyiswa kwiimeko ze-radiculopathy ezingaphenduliyo kunyango olulondolozayo.

Izicwangciso zokhathalelo lwezonyango lweChiropractic kunye neFunctional Medicine Clinic kunye neenkonzo zeklinikhi zikhethekileyo kwaye zijolise kukulimala kunye nenkqubo yokubuyisela ngokupheleleyo. Imimandla yethu yokuziqhelanisa ibandakanya i-Wellness & Nutrition, Intlungu engapheliyo, ukwenzakala komntu, ukuKhathalelwa kweNgozi ye-Auto, ukwenzakala komsebenzi, ukwenzakala ngasemva, iintlungu ezisezantsi, iintlungu zentamo, iMigraine Headaches, i-Sciatica enzima, i-Scoliosis, i-Complex Herniated Discs, i-Fibromyalgia, i-Chronic Iintlungu, Ukwenzakala Okuntsonkothileyo, Ulawulo Loxinzelelo, Unyango Lwezonyango oluSebenzayo, kunye neeprothokholi zokhathalelo olukwi-scope. Sigxininise ekubuyiseleni imisebenzi eqhelekileyo yomzimba emva kokulimala kunye nokulimala kwezicubu ezithambileyo usebenzisa iiProtocol eziKhethekileyo zeChiropractic, iiNkqubo zoBulungisa, iZondlo eziSebenzayo kunye nokudibanisa, i-Agility, kunye nokuhamba koQeqesho lweFitness, kunye neeNkqubo zoBuyiselo kuyo yonke iminyaka. Ukuba umntu ufuna olunye unyango, uya kuthunyelwa kwiklinikhi okanye kugqirha oyilungeleyo imeko yakhe. UDkt Jimenez uye wabambisana noogqirha abaphezulu, iingcali zeklinikhi, abaphandi bezonyango, abaqeqeshi, abaqeqeshi, kunye nababoneleli bokuvuselela i-premiere ukuzisa u-El Paso, unyango oluphezulu lweklinikhi, kuluntu lwethu.


Buyisela ukuHamba kwakho: Ukhathalelo lweChiropractic yokuBuyisa iSciatica


Ucaphulo

AmaZiko eSizwe ezeMpilo: Iziko leSizwe leZiphazamiso zeNeurological kunye ne-Stroke. (2020). Iphepha lenyaniso leentlungu ezisezantsi. Ifunyenwe kwi www.ninds.nih.gov/sites/default/files/migrate-documents/low_back_pain_20-ns-5161_march_2020_508c.pdf

I-Akhademi yaseMelika yeeGqirha ze-Orthopedic: i-OrthoInfo. (2022). Idiski yeHerniated kumqolo osezantsi. orthoinfo.aaos.org/en/diseases-conditions/herniated-disk-in-the-lower-back/

IKholeji yaseMelika yeRheumatology. (2023). I-stenosis yomqolo. rheumatology.org/patients/spinal-stenosis

I-Lumbar Traction: Ukubuyisela Ukuhamba kunye nokunciphisa iintlungu ezisezantsi

I-Lumbar Traction: Ukubuyisela Ukuhamba kunye nokunciphisa iintlungu ezisezantsi

Kubantu abafumana okanye abalawula iintlungu ezisezantsi kunye / okanye i-sciatica, ngaba unyango lwe-lumbar traction lunokunceda ukunika isiqabu esiqhubekayo?

I-Lumbar Traction: Ukubuyisela Ukuhamba kunye nokunciphisa iintlungu ezisezantsi

Ukutsalwa kwe-Lumbar

I-Lumbar traction therapy ye-back back pain kunye ne-sciatica ingaba yindlela yokonyango yokunceda ukubuyisela ukuhamba kunye nokuguquguquka kunye nokuxhasa ngokukhuselekileyo ukubuyela komntu kwinqanaba eliphezulu lomsebenzi. Ihlala idibaniswa nomsebenzi ojoliswe kuwo wonyango. (Yu-Hsuan Cheng, et al., 2020) Ubuchwephesha bolula indawo phakathi kwe-vertebrae kumqolo ophantsi, ukukhulula iintlungu ezisezantsi.

  • I-Lumbar okanye i-low back traction inceda ukwahlula izithuba phakathi kwe-vertebrae.
  • Ukwahlula amathambo kubuyisela ukujikeleza kwaye kunceda ukukhulula uxinzelelo kwi-nerve pinched njenge-nerve ye-sciatic, ukunciphisa intlungu kunye nokuphucula ukuhamba.

Research

Abaphandi bathi i-lumbar traction kunye nokuzilolonga ayizange iphucule iziphumo zomntu ngamnye xa kuthelekiswa nokuzivocavoca ngokwenyama ngokwabo (U-Anne Thackeray et al., ngo-2016). Uphononongo luvavanye abathathi-nxaxheba be-120 abaneentlungu ze-back back kunye ne-nerve root impingement abaye bakhethwa ngokungakhethi ukuba baqhube i-lumbar traction kunye nokuzivocavoca okanye ukuzivocavoca okulula kwiintlungu. Imithambo esekwe ekwandisweni igxile ekugobeni umqolo umva. Le ntshukumo ithathwa njengesebenzayo kubantu abaneentlungu zangasemva kunye nemithambo-luvo. Iziphumo zibonise ukuba ukongeza i-lumbar traction kwi-exercises yonyango lomzimba aluzange lubonelele ngeenzuzo ezibalulekileyo ngaphezu kokuzivocavoca okusekelwe ekwandisweni kwedwa ngenxa yeentlungu zangasemva. (U-Anne Thackeray et al., ngo-2016)

Uphononongo luka-2022 lwafumanisa ukuba i-lumbar traction iluncedo kubantu abaneentlungu ezisezantsi. Uphononongo luphande iindlela ezimbini ezahlukeneyo ze-lumbar traction kwaye zafumanisa ukuba i-variable-force lumbar traction kunye ne-high-force lumbar traction yanceda ukukhulula iintlungu ezisezantsi. I-High-force lumbar traction nayo yafunyanwa ukunciphisa ukukhubazeka okusebenzayo. (Zahra Masood et al., 202I-2) Olunye uphando lufumene i-lumbar traction iphucula uluhlu lwentshukumo kuvavanyo lokuphakamisa umlenze othe ngqo. Uphononongo luhlolisise amandla ahlukeneyo e-traction kwiidiski ze-herniated. Onke amanqanaba aphucula uluhlu lwabantu ngabanye, kodwa umlinganiselo wesiqingatha sobunzima bomzimba wawunxulunyaniswa neyona ntlungu ibalulekileyo. (Anita Kumari et al., 2021)

impatho

Kubantu abaneentlungu ezisezantsi kuphela, ukuzilolonga, kunye nokulungiswa kwe-postural inokuba yiyo yonke into efunekayo ukunika isiqabu. Uphando luqinisekisa ukuzivocavoca umzimba kunokunceda ukunciphisa iintlungu kunye nokuphucula ukuhamba (Anita Slomski 2020). Olunye uphononongo luveze ukubaluleka kokubeka kwindawo enye iimpawu ze-sciatic ngexesha leentshukumo eziphindaphindiweyo. I-centralization ihambisa intlungu emva komqolo, oluluphawu oluhle lokuba ii-nerve kunye neediski ziyaphilisa kwaye zenzeke ngexesha lokusebenzisa unyango. (UHanne B. Albert et al., 2012) I-chiropractor kunye neqela lonyango lomzimba linokufundisa izigulane ekukhuseleni iintlungu zentlungu emva. Iingcali ze-Chiropractors kunye neengcali zonyango ziingcali zentshukumo yomzimba ezinokubonisa ukuba yeyiphi imithambo efanelekileyo kwimeko yakho. Ukuqala inkqubo yomthambo ebeka phakathi iimpawu kunokunceda abantu babuyele kubomi babo besiqhelo ngokukhawuleza nangokukhuselekileyo. Qhagamshelana nomboneleli wezempilo phambi kokuba uqalise nayiphi na inkqubo yokuzilolonga yeentlungu zomqolo.


Iyeza lokuhamba: IChiropractic


Ucaphulo

Cheng, YH, Hsu, CY, & Lin, YN (2020). Umphumo we-mechanical traction kwiintlungu ezisezantsi kwizigulane ezineediski ze-intervertebral herniated: ukuhlaziywa kwenkqubo kunye nohlalutyo lwe-meta. Ukuvuselelwa kweklinikhi, i-34 (1), i-13-22. doi.org/10.1177/0269215519872528

Thackeray, A., Fritz, JM, Childs, JD, & Brennan, GP (2016). Ukusebenza kwe-Mechanical Traction phakathi kwamaCandelwana ezigulane ezineentlungu ezisezantsi kunye neentlungu zomlenze: uvavanyo olungenammiselo. Ijenali yonyango lwamathambo kunye nezemidlalo, i-46 (3), i-144-154. doi.org/10.2519/jospt.2016.6238

Masood, Z., Khan, AA, Ayyub, A., & Shakeel, R. (2022). Impembelelo ye-lumbar traction kwi-discogenic low back pain usebenzisa amandla aguquguqukayo. JPMA. Ijenali yePakistan Medical Association, 72 (3), 483-486. doi.org/10.47391/JPMA.453

Kumari, A., Quddus, N., Meena, PR, Alghadir, AH, & Khan, M. (2021). Imiphumo ye-One-Fifth, One-Third, kunye ne-Half-Half of the Bodyweight Lumbar Traction kwi-Sight Leg Ukuphakamisa uvavanyo kunye nentlungu kwi-Prolapsed Intervertebral Disc Patients: Uvavanyo oluLawulwayo olungenammiselo. Uphando lweBioMed lwamazwe ngamazwe, 2021, 2561502. doi.org/10.1155/2021/2561502

Slomski A. (2020). Unyango lwangaphambili loMzimba lukhulula ukukhubazeka kwe-Sciatica kunye neentlungu. JAMA, 324(24), 2476. doi.org/10.1001/jama.2020.24673

Albert, HB, Hauge, E., & Manniche, C. (2012). I-Centralization kwizigulane ezine-sciatica: ngaba iimpendulo zentlungu kwiintshukumo eziphindaphindiweyo kunye nokumiswa okuhambelana nesiphumo okanye iintlobo zezilonda zediski? Iphephancwadi laseYurophu lomqolo : ukupapashwa ngokusemthethweni kwe-European Spine Society, i-European Spinal Deformity Society, kunye neCandelo laseYurophu leCervical Spine Research Society, i-21 (4), i-630-636. doi.org/10.1007/s00586-011-2018-9

Fumanisa olona nyango luSebenzayo lwe-Non-utyando lwe-Sciatica

Fumanisa olona nyango luSebenzayo lwe-Non-utyando lwe-Sciatica

Ngaba unyango olungasebenzisi utyando olufana ne-acupuncture kunye ne-spinal decompression lubonelela ngesiqabu kubantu abajongene ne-sciatica?

intshayelelo

Xa abantu abaninzi beqala ukuva iintlungu ezihla emilenzeni emva kosuku olude lwemisebenzi, oko kubangela ukuba bangakwazi ukuhamba kunye nobunzima bokufumana indawo yokuphumla. Abantu abaninzi bacinga ukuba bajongana neentlungu zomlenze, kodwa kunokuba ngumcimbi ngakumbi njengoko beqonda ukuba akusiyo nje intlungu yomlenze abayifumanayo kodwa yi-sciatica. Ngelixa le nzwa ende ivela kumqolo osezantsi kwaye ihamba ihla ukuya emilenzeni, inokuzithoba kwiintlungu kunye nokungahambi kakuhle xa iidiski ze-herniated okanye izihlunu zicinezela kwaye zikhulise i-nerve. Xa oku kwenzeka, kunokuchaphazela ukuhamba komntu kunye nomgangatho wobomi, ngaloo ndlela kubangele ukuba bafune unyango lokunciphisa intlungu kwi-sciatica. Ngethamsanqa, ezinye iindlela zonyango ezifana ne-acupuncture kunye ne-spinal decompression ziye zasetyenziselwa ukunciphisa intlungu ye-sciatic kuphela kodwa nokubonelela ngemiphumo emihle, enenzuzo. Inqaku lanamhlanje lijonga i-sciatica, indlela ukuchithwa komgogodla kunye ne-acupuncture kunokunciphisa i-sciatica, kunye nendlela ukudibanisa ezi zibini zonyango ezingezona utyando kunokukhokelela kwimiphumo enenzuzo. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya indlela i-sciatica inokuchaphazela ngayo kakhulu impilo yomntu kunye nomgangatho wobomi. Siyazisa kwaye sikhokela izigulane malunga nendlela yokudibanisa unyango lwe-acupuncture kunye noxinzelelo lomgogodla kunokunciphisa ngokuqinisekileyo i-sciatica. Sikhuthaza izigulane zethu ukuba zibuze ababoneleli bezonyango abanxulumene nabo imibuzo enzima kunye nebalulekileyo malunga nokubandakanya unyango olungenalo utyando kwi-wellness routine ukukhulula i-sciatica kunye neempawu ezithunyelweyo. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli.

 

Ukuqonda iSciatica

Ngaba uhlala uziva ndindisholo okanye ukuntyiloza ukusuka emqolo ukuya emilenzeni yakho? Ngaba uziva ngathi ukuhamba kwakho kukwi-balance? Okanye ngaba uye wolula imilenze yakho emva kokuba uhleli ixeshana, nto leyo enikela isiqabu sokwexeshana? Ngelixa i-nerve ye-sciatic idlala indima ebalulekileyo ekusebenzeni kweemoto emilenzeni, xa izinto ezahlukeneyo, ezifana neediski ze-herniated kunye nokukhulelwa, ziqala ukunyusa i-nerve, kunokubangela intlungu. I-Sciatica yintlungu ebangelwa ngabom ehlala ibhalwa ngendlela engeyiyo njengeentlungu ezisezantsi okanye iintlungu zomlenze ngenxa yezi meko zimbini ze-musculoskelet. Ezi zi-comorbidities kwaye zinokongezwa ngokujija okulula kunye nokujika. (Davis et al., 2024)

 

 

Ukongezelela, xa abantu abaninzi benza ukunyakaza okuphindaphindiweyo okanye ukujongana neenguqu eziguqukayo kumqolo, i-spinal discs ixhomekeke kwi-herniation. Basenokucinezela kwimithambo yomqolo, ebangela ukuba imiqondiso ye-neuron ikhuphe iintlungu kunye nokungakhululeki kwiindawo ezisezantsi. (Zhou et al., 2021Ngexesha elifanayo, i-sciatica ingaba yimithombo yomgogodla kunye neyongezelelweyo ye-spinal kwingingqi ye-lumbar spinal, ebangela ukuba abantu abaninzi bahlale bebuhlungu kwaye bajonge ukukhululeka. (Siddiq et al., 2020) Xa intlungu ye-sciatica iqala ukuchaphazela iindawo eziphantsi zomntu, ezibangela imiba yokuhamba, abantu abaninzi bafuna unyango lokunciphisa iintlungu ezinjengeentlungu ze-sciatica. 

 


INzululwazi yeVidiyo eshukumayo


 

I-acupuncture yokunciphisa iintlungu ze-Sciatica

Xa kuziwa ekuphatheni i-sciatica, abantu abaninzi banokujonga kunyango olungelulo utyando ngenxa yokufikeleleka kunye nokusebenza ngempumelelo ekunciphiseni i-sciatica kunye neempawu ezihambelana neentlungu. Unyango olungasebenzisi utyando lunokwenziwa ngokwezifiso kwiintlungu zomntu kwaye zidityaniswe ukubuyisela umgangatho wobomi bomntu. Izonyango ezimbini ezingezizo utyando ezinokunceda ukunciphisa i-sciatica yi-acupuncture kunye ne-spinal decompression. I-acupuncture inembali ende yokubonelela ngemiphumo emihle ebalulekileyo ekunciphiseni intlungu ye-sciatic kunye nokuphucula umgangatho wobomi bomntu. (Yuan et al., 2020) Iingcali eziqeqeshwe kakhulu ezivela eChina zisebenzisa i-acupuncture kwaye zibandakanya iinaliti ezincinci eziqinileyo ukubonelela ngokukhawuleza kwiimpawu ezinxulumene ne-sciatica. Oku kungenxa yokuba i-acupuncture yenza iziphumo ze-analgesic ngokulawula ukusebenza kwe-microglia, inqanda impendulo yendalo yomzimba, kunye ne-modulating receptors ecaleni kwendlela yentlungu kwinkqubo ye-nervous. (Zhang et al., 2023) Ukuza kuthi ga ngoku, i<em>acupuncture inokuvuselela i<em>acupoints yomzimba ukuze ibuyisele ulungelelwano.

 

Iziphumo zeAcupuncture

Enye yeempembelelo ze-acupuncture yokunciphisa i-sciatica kukuba inokunciphisa ubunzima beentlungu ngokuguqula iipatheni zokusebenza kwengqondo xa i-receptors yentlungu iphazamiseka. (Yu et al., 2022) Ukongezelela, xa i-acupuncturists iqala ukuvuselela imithambo-luvo kwimisipha kunye nezicubu, ikhulula i-endorphins kunye nezinye izinto ze-neurohumoral ezinceda ukutshintsha inkqubo yeentlungu kwinkqubo ye-nervous. I-acupuncture inceda ukunciphisa ukuvuvukala ngelixa iphucula ukuqina kwemisipha kunye nokuhamba ngokubambisana ngokunyusa i-microcirculation ukunciphisa ukuvuvukala ngelixa ivimbela intlungu ye-sciatica ekuchaphazeleni imilenze ephantsi. 

 

Ukuthotywa koMnqonqo wokuNciphisa iintlungu zeSciatica

 

Olunye uhlobo lonyango olungenalo utyando luyi-decompression yomgogodla, kwaye inokunceda ukunciphisa imiphumo ye-sciatica kunye neempawu zayo ezibuhlungu ezihambelanayo. I-Spinal decompression isebenzisa itafile ye-traction ukuze yolule ngobunono umqolo ukwenza uxinzelelo olubi ngaphakathi kwe-spinal disc kunye nokukhulula i-nerve echaphazelekayo. Kubantu be-sciatica, olu nyango lungenalo utyando lukhulula i-nerve ye-sciatic njengoko ukunyanzeliswa komgogodla kunceda ukunciphisa ubunzima beentlungu kunye nokuphucula umsebenzi wokuhamba kwiindawo ezisezantsi. (I-Choi et al., 2022) Injongo ephambili ye-spinal decompression kukudala indawo ngaphakathi kwi-spinal canal kunye ne-neural structures ukukhulula i-nerve ye-sciatic eyingozi ekubangeleni intlungu. (Burkhard et al., 2022

 

Iziphumo zokuDodobala koMnqonqo

Abantu abaninzi banokuqala ukuziva bekhululekile ekufakeni ukudodobala komqolo kunyango lwabo lwempilo. Olu nyango olungasebenzisi utyando lukhuthaza ulwelo kunye nezondlo kwidiski yomgogodla ukukhaba-ukuqala inkqubo yokuphilisa yendalo yomzimba. Xa umqolo utyhulwa ngobumnene, kukho uxinzelelo oluncinci kwi-nerve ye-sciatic, enokunciphisa intlungu kunye nokuphucula ukuhamba. Ukongeza, abantu abaninzi baya kuziva ukuguquguquka kwabo kunye nokuhamba emva kwindawo yabo ye-lumbar.

 

Ukudibanisa i-acupuncture kunye ne-Spinal Decompression yokuNceda

Ngoko ke, xa abantu abaninzi beqala ukudibanisa i-spinal decompression kunye ne-acupuncture njengendlela epheleleyo kunye nengekho yokuhlinzwa yokunciphisa i-sciatica, iziphumo kunye neenzuzo zilungile. Nangona i-spinal decompression ijolise ekuphulukisweni komatshini we-spinal disc kunye nokunciphisa uxinzelelo lwe-nerve, i-acupuncture igxile ekunciphiseni intlungu kunye nokunciphisa ukuvuvukala kwinqanaba le-systemic. Oku kwandisa inkqubo yokuphilisa yendalo yomzimba kwaye kunika umphumo we-synergistic ukuphucula iziphumo zonyango. Unyango olungazenzisiyo olufana ne-acupuncture kunye nokuthotywa komqolo kunokubonelela ngesiphumo esinethemba kubantu abaninzi abafuna isiqabu kwiintlungu zabo ze-sciatic ngaphandle kokubhenela kwiinkqubo zotyando. Olu nyango luvumela umntu ukuba aphinde aphinde ahambe kwiindawo eziphantsi, ukunciphisa intlungu, kunye nokuphucula umgangatho wobomi ngokwenza abantu bakhumbule imizimba yabo kunye nokunciphisa amathuba okuba i-sciatica ibuyele. Ngokwenza oko, abantu abaninzi banokuphila ubomi obusempilweni nobungenazintlungu.

 


Ucaphulo

Burkhard, MD, Farshad, M., Suter, D., Cornaz, F., Leoty, L., Furnstahl, P., & Spirig, JM (2022). Ukuthotywa komqolo kunye nezikhokelo ezithile zesigulane. Umqolo J, 22(7), 1160-1168. doi.org/10.1016/j.spinee.2022.01.002

Choi, E., Gil, HY, Ju, J., Han, WK, Nahm, FS, & Lee, PB (2022). Impembelelo ye-Nonsurgical Spinal Decompression kwi-Intensity of Pain kunye ne-Herniated Disc Volume kwi-Subacute Lumbar Herniated Disc. Ijenali yaMazwe ngaMazwe yoNyango lweKliniki, 2022, 6343837. doi.org/10.1155/2022/6343837

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

Siddiq, MAB, Clegg, D., Hasan, SA, & Rasker, JJ (2020). I-sciatica eyongezelelweyo yomgogodla kunye ne-sciatica ilinganisa: ukuphononongwa kwe-scoping. Korean J Intlungu, 33(4), 305-317. doi.org/10.3344/kjp.2020.33.4.305

Yu, FT, Liu, CZ, Ni, GX, Cai, GW, Liu, ZS, Zhou, XQ, Ma, CY, Meng, XL, Tu, JF, Li, HW, Yang, JW, Yan, SY, Fu, HY, Xu, WT, Li, J., Xiang, HC, Sun, TH, Zhang, B., Li, MH, . . . Wang, LQ (2022). I-acupuncture ye-sciatica engapheliyo: iprotocol yolingo olulawulwa ngokungahleliwe olune-multicenter. BMJ Open, 12(5), e054566. doi.org/10.1136/bmjopen-2021-054566

Yuan, S., Huang, C., Xu, Y., Chen, D., & Chen, L. (2020). I-acupuncture ye-lumbar disc herniation: iProtocol yokuhlaziywa okucwangcisiweyo kunye nohlalutyo lwemeta. Iyeza (Baltimore), 99(9), e19117. doi.org/10.1097/MD.0000000000019117

Zhang, Z., Hu, T., Huang, P., Yang, M., Huang, Z., Xia, Y., Zhang, X., Zhang, X., & Ni, G. (2023). Ukusebenza kunye nokhuseleko lwe-acupuncture therapy ye-sciatica: ukuphononongwa ngokuchanekileyo kunye nohlalutyo lwemeta yeendlela ezilawulwa ngokungahleliwe. Front Neurosci, 17, 1097830. doi.org/10.3389/fnin.2023.1097830

Zhou, J., Mi, J., Peng, Y., Han, H., & Liu, Z. (2021). Iintlangano ze-Causal of Obesity kunye ne-Intervertebral Degeneration, iintlungu ezisezantsi, kunye ne-Sciatica: iSampuli ezimbini zeMendelian zokuHlaziya. Front Endocrinol (Lausanne), 12, 740200. doi.org/10.3389/fendo.2021.740200

isikhanyeli

Uncedo oluvela kwiNeurogenic Claudication: Iinketho zonyango

Uncedo oluvela kwiNeurogenic Claudication: Iinketho zonyango

Abantu abafumana ukudutyulwa, iintlungu ezibuhlungu kwiindawo ezisezantsi, kunye neentlungu ezingapheliyo zomlenze zinokuba nokuxhatshazwa kwe-neurogenic claudication. Ngaba ukwazi iimpawu kunokunceda ababoneleli bezempilo baphuhlise isicwangciso sonyango esisebenzayo?

Uncedo oluvela kwiNeurogenic Claudication: Iinketho zonyango

Neurogenic Claudication

I-Neurogenic claudication iyenzeka xa i-spinal nerves ixinzeleleka kwi-lumbar okanye ezantsi kumqolo, okubangela intlungu yomlenze. Imithambo-luvo ecinezelekileyo kwi-lumbar spine inokubangela intlungu yomlenze kunye ne-cramps. Intlungu idla ngokuba mandundu ngeentshukumo ezithile okanye imisebenzi efana nokuhlala, ukuma, okanye ukugoba ngasemva. Ikwabizwa ngokuba ipseudo-claudication xa isithuba phakathi kwe-lumbar spine sincinci. Imeko eyaziwa ngokuba yi-lumbar spinal stenosis. Nangona kunjalo, i-neurogenic claudication yi-syndrome okanye iqela leempawu ezibangelwa yi-pinched nerve spinal, ngelixa i-spinal stenosis ichaza ukucutha kweendlela zomgogodla.

iimpawu

Iimpawu ze-Neurogenic claudication zinokubandakanya:

  • Umlenze ukukrala.
  • Ukuba ndindisholo, ukuntlitheka okanye ukutshisa.
  • Ukukhathala komlenze kunye nobuthathaka.
  • Ukuva ubunzima emlenzeni/imizu.
  • Iintlungu ezibukhali, ezidubulayo, okanye ezibuhlungu ezifikelela kumazantsi, rhoqo kwimilenze yomibini.
  • Kusenokubakho iintlungu kumqolo ongezantsi okanye ezimpundu.

I-Neurogenic claudication ihluke kwezinye iintlobo zentlungu yomlenze, njengoko intlungu itshintshana - ukuyeka kwaye iqale ngokungaqhelekanga kwaye ibe nzima ngakumbi ngeentshukumo ezithile okanye imisebenzi. Ukuma, ukuhamba, ukuhla ngezinyuko, okanye ukujikela ngasemva kunokubangela intlungu, ngelixa uhleli, ukunyuka izitebhisi, okanye ukuxhomekeka phambili kudla ukukhulula intlungu. Nangona kunjalo, zonke iimeko zahlukile. Ngokuhamba kwexesha, i-neurogenic claudication inokuchaphazela ukuhamba njengoko abantu bezama ukuphepha imisebenzi ebangela intlungu, kuquka ukuzivocavoca, ukuphakamisa izinto, kunye nokuhamba ixesha elide. Kwiimeko ezinzima, i-neurogenic claudication inokwenza ukulala kube nzima.

I-Neurogenic claudication kunye ne-sciatica ayifani. I-Neurogenic claudication ibandakanya ukunyanzeliswa kwe-nerve kwi-canal ephakathi kwe-lumbar spine, ebangela intlungu kwimilenze yomibini. I-Sciatica ibandakanya ukunyanzeliswa kweengcambu ze-nerve eziphuma emacaleni e-lumbar spine, kubangela intlungu emlenzeni omnye. (UCarlo Ammendolia, ngo-2014)

Izizathu

Nge-neurogenic claudication, i-spinal nerves egxininisiweyo yiyona nto ibangela intlungu yomlenze. Kwiimeko ezininzi, i-spinal stenosis yamaplanga - i-LSS yimbangela ye-nerve pinched. Kukho iintlobo ezimbini ze-lumbar spinal stenosis.

  • I-Central stenosis yimbangela ephambili ye-neurogenic claudication. Ngolu hlobo, i-canal ephakathi ye-lumbar spine, ehlala intambo yomgogodla, iyancipha, ibangela intlungu kwimilenze yomibini.
  • I-Lumbar spinal stenosis inokufunyanwa kwaye iphuhliswe kamva ebomini ngenxa yokuwohloka komqolo.
  • Ukuzalwa kuthetha ukuba umntu uzalwa enaloo meko.
  • Zombini zingakhokelela kwi-neurogenic claudication ngeendlela ezahlukeneyo.
  • I-Foramen stenosis lolunye uhlobo lwe-lumbar spinal stenosis ebangela ukucuthwa kwezithuba ngapha nangapha kwe-lumbar spine apho iingcambu ze-nerve ziphuma kwintambo yomgogodla. Intlungu ehambelanayo iyahluka kuba ingaba kumlenze wasekunene okanye wasekhohlo.
  • Intlungu ihambelana necala lomqolo apho imithambo-luvo icinezelwa.

Ufunyenwe Lumbar Spinal Stenosis

I-Lumbar spinal stenosis idla ngokufunyanwa ngenxa yokuncipha kwe-lumbar spine kwaye ivame ukuchaphazela abantu abadala. Izizathu zokunciphisa zingabandakanya:

  • Ukwenzakala komqolo, okufana nokungqubana kwesithuthi, emsebenzini, okanye ukwenzakala kwezemidlalo.
  • I-Disc herniation.
  • I-Spinal osteoporosis-i-arthrosis yokunxiba kunye nokukrazula.
  • I-Ankylosing spondylitis - uhlobo lwe-arthritis evuthayo echaphazela umqolo.
  • I-Osteophytes - i-bone spurs.
  • Izidumbu zomnqonqo - izicubu ezingenayo umhlaza kunye nomhlaza.

I-Congenital Lumbar Spinal Stenosis

I-Congenital lumbar spinal stenosis ithetha ukuba umntu uzalwa enezinto ezingaqhelekanga zomqolo ezinokuthi zingabonakali ekuzalweni. Ngenxa yokuba indawo engaphakathi kwi-spinal canal sele incinci, intambo yomgogodla isengozini kulo naluphi na utshintsho njengoko ubudala bomntu. Nabantu abane-arthritis ebuthathaka banokufumana iimpawu ze-neurogenic claudication kwangethuba kwaye bavelise iimpawu kwi-30s kunye ne-40 yabo endaweni ye-60s kunye ne-70s yabo.

Ukuqondwa

Ukuxilongwa kwe-neurogenic claudication kusekelwe kakhulu kwimbali yonyango yomntu, ukuhlolwa komzimba kunye nokucinga. Uvavanyo lomzimba kunye nokuphonononga ukuchonga apho intlungu ibonisa khona kwaye nini. Umboneleli wezempilo unokubuza:

  • Ngaba kukho imbali yeentlungu ezisezantsi?
  • Ngaba iintlungu kumlenze omnye okanye yomibini?
  • Ngaba intlungu ihlala ihlala?
  • Ngaba iintlungu ziyafika zidlule?
  • Ngaba iintlungu ziba ngcono okanye zibe mbi ngakumbi xa umile okanye uhleli?
  • Ngaba ukunyakaza okanye imisebenzi ibangela iimpawu zentlungu kunye nokuziva?
  • Ngaba kukho ukuva okuqhelekileyo ngelixa uhamba?

impatho

Unyango lunokubandakanya unyango lomzimba, inaliti ye-spinal steroid, kunye neentlungu zentlungu. Utyando linyathelo lokugqibela xa zonke ezinye iindlela zonyango zingakwazi ukunika isiqabu esisebenzayo.

Ulungiso lwenyama

A Isicwangciso sonyango iya kubandakanya unyango lomzimba olubandakanya:

  • Ukolula imihla ngemihla
  • Ukuqiniswa
  • Ukuzivocavoca kweAerobic
  • Oku kuya kunceda ukuphucula kunye nokuzinzisa izihlunu ezisezantsi kunye nokulungisa iingxaki zokuma.
  • Unyango lomsebenzi luya kuncoma ukuguqulwa komsebenzi obangela iimpawu zentlungu.
  • Oku kubandakanya ubugcisa bomzimba obufanelekileyo, ukugcinwa kwamandla, kunye nokuqaphela iimpawu zentlungu.
  • Iibrashi zasemva okanye iibhanti nazo zinokucetyiswa.

Spinal Steroid Injections

Ababoneleli ngezempilo banokucebisa iinaliti ze-epidural steroid.

  • Oku kuzisa i-cortisone steroid kwindawo engaphandle yomqolo womqolo okanye isithuba se-epidural.
  • Iinaliti zinokubonelela ngokukhululeka kwintlungu kwiinyanga ezintathu ukuya kwiminyaka emithathu. (Sunil Munakomi et al., 2024)

Iipilisi Zobunzima

Amayeza eentlungu asetyenziselwa ukunyanga i-neurogenic claudication engapheliyo. Ezi ziquka:

  • Ii-analgesics ezingaphezulu kwe-counter njenge-acetaminophen.
  • Amachiza achasene nokudumba okanye ii-NSAID ezifana ne-ibuprofen okanye i-naproxen.
  • Ii-NSAID ezimiselweyo zinokumiselwa ukuba ziyimfuneko.
  • Ii-NSAID zisetyenziselwa iintlungu ezingapheliyo ze-neurogenic kwaye kufuneka zisetyenziswe kuphela xa zifunwa.
  • Ukusetyenziswa kwexesha elide le-NSAID kunokunyusa umngcipheko wezilonda zesisu, kwaye ukusetyenziswa ngokugqithiseleyo kwe-acetaminophen kunokukhokelela kwityhefu yesibindi kunye nokungaphumeleli kwesibindi.

Ukuhlinzwa

Ukuba unyango olulondolozayo alukwazi ukunika uncedo olusebenzayo kunye nokuhamba kunye / okanye umgangatho wobomi uchaphazelekayo, utyando olwaziwa ngokuba yi-laminectomy lunokucetyiswa ukuba lunciphise i-lumbar spine. Inkqubo inokwenziwa:

  • I-Laparoscopically - kunye nezithintelo ezincinci, i-scopes, kunye nezixhobo zotyando.
  • Utyando oluvulekileyo - nge-scalpel kunye ne-sutures.
  • Ngexesha lenkqubo, iinkalo ze-vertebra zisuswe ngokuyinxenye okanye ngokupheleleyo.
  • Ukubonelela uzinzo, ngamanye amaxesha amathambo adityaniswa kunye nezikrufu, iipleyiti, okanye iintonga.
  • Amazinga empumelelo kuzo zombini ziyafana okanye ziyafana.
  • Phakathi kwe-85% kunye ne-90% yabantu abenza utyando bafumana ixesha elide kunye / okanye ukukhululeka kweentlungu ezingapheliyo. (Xin-Long Ma et al., 2017)

Iyeza lokuhamba: Ukhathalelo lweChiropractic


Ucaphulo

U-Ammendolia C. (2014). I-Degenerative lumbar spinal stenosis kunye nabakhohlisi bayo: izifundo ezintathu. I-Journal ye-Canadian Chiropractic Association, i-58 (3), i-312-319.

Munakomi S, Foris LA, Varacallo M. (2024). I-Spinal Stenosis kunye ne-Neurogenic Claudication. [Ihlaziywe ngo-2023 ngo-Agasti 13]. Ku: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Ifumaneka kwi: www.ncbi.nlm.nih.gov/books/NBK430872/

Ma, XL, Zhao, XW, Ma, JX, Li, F., Wang, Y., & Lu, B. (2017). Ukusebenza kotyando ngokubhekiselele kunyango olulondolozayo lwe-lumbar spinal stenosis: ukuphononongwa kwenkqubo kunye nohlalutyo lwemeta yezilingo ezilawulwa ngokungahleliwe. Ijenali yamazwe ngamazwe yotyando (eLondon, eNgilani), 44, 329–338. doi.org/10.1016/j.ijsu.2017.07.032