Ucoceko loMgcini
Iklinikhi yangasemva yoCoceko loMnqonqo. Umgudu wendlu yokukhusela kwinkqubo yesantya, inkqubo enamandla kangangokuba ilawula yonke imisebenzi emzimbeni womntu. Inkqubo yesifo ixelela umzimba wakho ukuba uphefumle, ixelela intliziyo yakho ukuba ibethe, ixelela iingalo zakho nemilenze ukuba ihambe, ixelela umzimba wakho nini na indlela yokuvelisa iiseli ezintsha kunye nayo inamandla okulawula ukuphulukiswa. Umonakalo okanye umonakalo ongenakulungiswa ungaphazamisa ngokuphawulekayo iimpawu eziye zithunyelwa kwinkqubo yeentlanzi, ekugqibeleni zibangele intlungu yomzimba, ukungonakaliswa kwangaphakathi kunye nokulahlekelwa kwemisebenzi yemihla ngemihla esiyithathayo.
Ukucoceka komgogodla kubaluleke kakhulu, kodwa i-89 ipesenti yabemi behlabathi ayiqapheli ukubaluleka kokugcina ukulungelelaniswa okufanelekileyo kwe-vertebrae ngohlengahlengiso lwe-chiropractic, kunye nokukhusela umqolo kwingozi ngokusebenzisa iindlela zokuphila eziphilileyo. Endaweni yoko siyayityeshela imiqolo yethu. Njengabantwana siqala ubomi bethu ngokuwa kunye neehambo ezibeka i-spines yethu, sikhula sibe ngabantu abadala abanesimo esibi, siphakamisa izinto ezinzima kakhulu, sithwala iipakethi ezigqithisiweyo, kwaye sibandezeleka ngenxa yeengozi zemoto, iimpembelelo zezemidlalo kunye noxinzelelo.
Ngena kwindlela yezempilo yekamva-namhlanje. Joyina ipesenti ekhulayo yabemi abonwabela impilo enkulu kunye nokuphila kakuhle ngokhathalelo oluqhelekileyo lwemiqolo yabo. Thetha kwi-chiropractor yakho namhlanje malunga neendlela onokuphucula ngazo ucoceko lomqolo wakho.
by UGqr Alex Jimenez Chiropractic , Ubuhlungu obungapheliyo , Ukulimala koluhlu , Ukuhamba kunye nokuguquguquka , Ucoceko loMgcini , Uncedo Lwezityalo , Unyango , I-Viscerosomatic Reflex
Ngaba abantu abane-Ehlers-Danlos syndrome banokufumana isiqabu ngonyango olwahlukeneyo olungaqhaqho ukunciphisa ukungazinzi kwamalungu?
intshayelelo
Amalungu kunye nemigqa ejikeleze inkqubo ye-musculoskeletal ivumela ukuba iindawo eziphezulu kunye nezisezantsi zizinze umzimba kwaye zihambe. Izihlunu ezahlukeneyo kunye nezihlunu ezithambileyo ezijikeleze amalunga zinceda ukubakhusela kukwenzakala. Xa iimeko zokusingqongileyo okanye ukuphazamiseka kuqala ukuchaphazela umzimba, abantu abaninzi bavelisa imiba ebangela ukuba iiprofayili zomngcipheko zigqithise, ezichaphazela ukuzinza kwamalungu. Enye yeengxaki ezichaphazela amalunga kunye nezicubu ezidibeneyo yi-EDS okanye i-Ehlers-Danlos syndrome. Oku kuphazamiseka kwezicubu ezidibeneyo kunokubangela ukuba amalungu omzimba abe yi-hypermobile. Inokubangela ukungazinzi ngokubambisana kwiindawo eziphezulu kunye nezantsi, ngaloo ndlela ishiya umntu ukuba abe nentlungu eqhubekayo. Inqaku lanamhlanje ligxile kwi-Ehlers-Danlos syndrome kunye neempawu zayo kunye nokuba kukho iindlela ezingezizo utyando zokulawula le ngxaki. Sixoxa nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya indlela i-Ehlers-Danlos syndrome enokuthi ihambelane ngayo nezinye izifo ze-musculoskeletal disorders. Siyazisa kwaye sikhokela izigulane malunga nendlela ezahlukeneyo zonyango ezingasebenzisi utyando zinokunceda ukunciphisa iimpawu ezinjengeentlungu kunye nokulawula i-Ehlers-Danlos syndrome. Kwakhona sikhuthaza izigulane zethu ukuba zibuze ababoneleli babo bezonyango abanxulumene nabo imibuzo emininzi enzima kunye ebalulekileyo malunga nokubandakanya iindlela ezahlukeneyo zonyango ezingezona utyando njengenxalenye yendlela yabo yemihla ngemihla yokulawula imiphumo ye-Ehlers-Danlos syndrome. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli .
Yintoni i-Ehlers-Danlos Syndrome?
Ngaba uhlala uziva udinwe kakhulu imini yonke, nasemva kokulala ubusuku bonke? Ngaba ugruzuka ngokulula kwaye uyazibuza ukuba le mivumbo ivela phi? Okanye ngaba uye waqaphela ukuba unoluhlu olwandisiweyo kumalungu akho? Uninzi lwale miba luhlala lunxulunyaniswa nengxaki eyaziwa ngokuba yi-Ehlers-Danlos syndrome okanye i-EDS echaphazela amalungu abo kunye nezicubu ezixhumeneyo. I-EDS ichaphazela izicubu ezidibeneyo emzimbeni. Izicubu ezidibeneyo emzimbeni zinceda ukunika amandla kunye nokuqina kwesikhumba, amalunga, kunye neendonga zemithambo yegazi, ngoko ke xa umntu ejongene ne-EDS, kunokubangela ukuphazamiseka okukhulu kwinkqubo ye-musculoskeletal. I-EDS ixilongwa kakhulu kwiklinikhi, kwaye oogqirha abaninzi baye bafumanisa ukuba i-gene coding ye-collagen kunye neeprotheyini ezisebenzisanayo emzimbeni zinokukunceda ukuba luhlobo luni lwe-EDS oluchaphazela umntu. ( UMiklovic & Sieg, 2024 )
Iimpawu
Xa uqonda i-EDS, kubalulekile ukwazi izinto ezintsonkothileyo zesi sifo soxhulumaniso. I-EDS ihlelwa ngokweendidi ezininzi ezineempawu ezahlukileyo kunye nemingeni eyahluka ngokuxhomekeke kubunzima. Enye yeentlobo eziqhelekileyo ze-EDS yi-hypermobile Ehlers-Danlos syndrome. Olu hlobo lwe-EDS lubonakaliswa yi-hypermobility ngokubanzi, ukungazinzi kwamalungu, kunye neentlungu. Ezinye zeempawu ezinxulumene ne-hypermobile EDS zibandakanya i-subluxation, i-dislocation, kunye nokulimala kwezicubu ezithambileyo eziqhelekileyo kwaye zinokuthi zenzeke ngokuzenzekelayo okanye ngomothuko omncinci. ( Hakim, ngo-1993 ) Oku kunokubangela iintlungu ezibuhlungu kwiindawo eziphezulu kunye nezisezantsi. Ngoluhlu lwayo olubanzi lweempawu kunye nobuntu bemeko ngokwayo, abaninzi bahlala bengayiqondi ukuba i-hypermobility edibeneyo ixhaphake kuluntu ngokubanzi kwaye ingabonakali naziphi na iingxaki ezibonisa ukuba yi-disorder tissue disorder. ( Gensemer et al., 2021 ) Ukongezelela, i-EDS ye-hypermobile inokukhokelela ekukhubazekeni komgogodla ngenxa ye-hyperextensibility yolusu, amalunga, kunye ne-fragility eyahlukeneyo yezicubu. I-pathophysiology ye-spinal deformity ehambelana ne-hypermobile EDS ngokuyinhloko ngenxa ye-hypotonia ye-muscle kunye ne-ligament laxity. ( Uehara et al., 2023 ) Oku kubangela ukuba abantu abaninzi banciphise umgangatho wobomi babo kunye nemisebenzi yemihla ngemihla kakhulu. Nangona kunjalo, kukho iindlela zokulawula i-EDS kunye neempawu zayo ezihambelanayo zokunciphisa ukungazinzi ngokubambisana.
Iyeza lokuhamba: Ukhathalelo lweChiropractic-Ividiyo
VIDEO
Iindlela zokulawula i-EDS
Xa kuziwa ekufuneni iindlela zokulawula i-EDS ukunciphisa intlungu kunye nokungazinzi kwamalungu, unyango olungenalo utyando lunokunceda ukujongana nemiba yenyama kunye nemvakalelo yesimo. Unyango olungalulo utyando lwabantu abane-EDS ludla ngokujolisa ekwandiseni umsebenzi womzimba womzimba ngelixa uphucula amandla emisipha kunye nokuzinza kwamalungu. ( Buryk-Iggers et al., 2022 ) Abantu abaninzi abane-EDS baya kuzama ukubandakanya iindlela zokulawula iintlungu kunye nonyango lomzimba kunye sebenzisa i-braces kunye nezixhobo zokuncedisa ukunciphisa imiphumo ye-EDS kunye nokuphucula umgangatho wobomi babo.
Non-utyando unyango EDS
Iindlela ezahlukeneyo zonyango ezingezizo utyando ezifana ne-MET (inkqubo yamandla emisipha), unyango lwe-electrotherapy, unyango olulula lomzimba, ukhathalelo lwe-chiropractic, kunye ne-massage. inokunceda ukomeleza ngelixa i-toning imisipha ejikelezileyo ngeenxa zonke kumalungu, unikeze isiqabu ngokwaneleyo seentlungu, kwaye unciphise ukuxhomekeka kwexesha elide kumayeza. ( Broida et al., 2021 ) Ukongezelela, abantu abajongene ne-EDS bajolise ekuqiniseni imisipha echaphazelekayo, ukuzinzisa amajoyina, kunye nokuphucula ukufaneleka. Unyango olungenalo utyando luvumela umntu ukuba abe nesicwangciso sonyango esilungiselelwe ubunzima beempawu ze-EDS kunye nokunceda ukunciphisa intlungu ehambelana nemeko. Abantu abaninzi, xa besenza isicwangciso sabo sonyango ngokulandelelanayo ukulawula i-EDS yabo kunye nokunciphisa iimpawu ezinjengeentlungu, baya kuqaphela ukuphucuka kweempawu ezingathandekiyo. ( Khokhar et al., 2023 ) Oku kuthetha ukuba unyango olungasebenzisi utyando luvumela abantu ukuba bacinge ngakumbi ngemizimba yabo kwaye banciphise iziphumo ezinjengeentlungu ze-EDS, ngaloo ndlela bevumela abantu abaninzi abane-EDS ukuba baphile ubomi obugcweleyo, obutofotofo ngaphandle kokuziva iintlungu kunye nokungakhululeki.
Ucaphulo
Broida, SE, Sweeney, AP, Gottschalk, MB, & Wagner, ER (2021). Ukulawulwa kokungazinzi kwamagxa kwi-hypermobility-type Ehlers-Danlos syndrome. JSES Rev Rep Tech , 1 (3), 155-164. doi.org/10.1016/j.xrrt.2021.03.002
Buryk-Iggers, S., Mittal, N., Santa Mina, D., Adams, SC, Englesakis, M., Rachinsky, M., Lopez-Hernandez, L., Hussey, L., McGillis, L., McLean , L., Laflamme, C., Rozenberg, D., & Clarke, H. (2022). Ukuzivocavoca kunye nokuvuselelwa kwabantu abane-Ehlers-Danlos Syndrome: Ukuphononongwa okuCwangcisiweyo. IArch Rehabil Res Clin Transl , 4 (2), 100189. doi.org/10.1016/j.arrt.2022.100189
Gensemer, C., Burks, R., Kautz, S., Judge, DP, Lavallee, M., & Norris, RA (2021). I-Hypermobile Ehlers-Danlos syndromes: Ii-phenotypes eziyinkimbinkimbi, ukuxilongwa ngumngeni, kunye nezizathu ezingaqondakaliyo. Dev Dyn , 250 (3), 318-344. doi.org/10.1002/dvdy.220
Hakim, A. (1993). Hypermobile Ehlers-Danlos Syndrome. KwiMP uAdam, uJ. Feldman, GM Mirzaa, RA Pagon, SE Wallace, LJH Bean, KW Gripp, & A. Amemiya (Eds.), GeneReviews((R)) . www.ncbi.nlm.nih.gov/pubmed/20301456
Khokhar, D., Amandla, B., Yamani, M., & Edwards, MA (2023). IiNzuzo ze-Osteopathic Manipulative Treatment kwisigulane esine-Ehlers-Danlos Syndrome. Cureus , 15 (5), e38698. doi.org/10.7759/cureus.38698
Miklovic, T., & Sieg, VC (2024). Ehlers-Danlos Syndrome. Kwi StatPearls . www.ncbi.nlm.nih.gov/pubmed/31747221
Uehara, M., Takahashi, J., & Kosho, T. (2023). I-Spinal Deformity kwi-Ehlers-Danlos Syndrome: Gxininisa kwi-Musculocontractural Type. Imfuza (Basel) , 14 (6). doi.org/10.3390/genes14061173
isikhanyeli
by UGqr Alex Jimenez Ucoceko loMgcini , Uncedo Lwezityalo
Kubantu abaye bagqiba zonke ezinye iindlela zonyango kwiintlungu ezisezantsi kunye nokunyanzeliswa kweengcambu ze-nerve, ngaba utyando lwe-laser spine lunokunceda ukunciphisa uxinzelelo lwe-nerve kunye nokubonelela ngesiqabu sentlungu ehlala ixesha elide?
Laser Spine Surgery
Utyando lweLaser spine luyinkqubo yotyando eyingozi encinci esebenzisa i-laser ukunqumla kunye nokususa izakhiwo zomqolo ezicinezela imithambo-luvo kwaye zibangele iintlungu ezibukhali. Inkqubo encinci ye-invasive idla ngokubangela intlungu encinci, umonakalo wezicubu, kunye nokuchacha ngokukhawuleza kunotyando olubanzi.
Ingaba isebenza kanjani
Iinkqubo ezincinci eziphazamisayo zibangela ukutshatyalaliswa okuncinci kunye nomonakalo kwizakhiwo ezijikelezileyo, zihlala zinciphisa iimpawu zentlungu kunye nexesha elifutshane lokubuyisela. (Stern, J. 2009 ) Iziqendu ezincinci zenziwa ukufikelela kwizakhiwo zekholomu yomgogodla. Ngotyando oluvulekileyo, i-incision enkulu yenziwa ezantsi ngasemva ukufikelela kumqolo. Utyando lwahlukile kolunye utyando kuba umqa welaser, endaweni yezinye izixhobo zotyando, usetyenziselwa ukusika izakhiwo kumqolo. Nangona kunjalo, i-scalpel yokuqala yesikhumba yenziwa nge-scalpel yotyando. I-Laser sisishunqulelo se-Light Amplification evuselelwe kukukhutshwa kweRadiation. I-laser inokuvelisa ubushushu obukhulu ukusika izihlunu ezithambileyo, ngakumbi ezo zinomxholo ophezulu wamanzi, njengeediski zekholamu yomgogodla. (Stern, J. 2009 ) Kutyando oluninzi lomqolo, i-laser ayinakusetyenziselwa ukusika ithambo njengoko ivelisa iintlantsi ezikhawulezayo ezingonakalisa izakhiwo ezingqongileyo. Kunoko, utyando lwe-laser spine lusetyenziselwa ukwenza i-discectomy, yindlela yokuhlinzwa esusa inxalenye ye-disc bulging okanye i-herniated disc etyhala kwiingcambu ze-nerve ezijikelezayo, ezibangela ukunyanzeliswa kwe-nerve kunye nentlungu ye-sciatic. (Stern, J. 2009 )
Imingcipheko yotyando
Utyando lwe-Laser spine lunokunceda ukusombulula unobangela wokunyanzeliswa kweengcambu zemithambo-luvo, kodwa kukho umngcipheko owongezelelweyo womonakalo kwizakhiwo ezikufutshane. Imingcipheko enxulumeneyo ibandakanya: (Brouwer, PA et al., 2015 )
Sulelo
Ukuhlamba
Amacandelo egazi
Iimpawu eziseleyo
Ukubuyisela iimpawu
Umonakalo ongakumbi we-nerve
Umonakalo kwi-membrane ejikeleze intambo yomgogodla.
Kufuneka utyando olongezelelweyo
I-laser beam ayichanekanga njengezinye izixhobo zotyando kwaye ifuna ukuziqhelanisa nolawulo lokuthintela umonakalo kwintambo yomqolo kunye neengcambu zemithambo-luvo. (Stern, J. 2009 ) Ngenxa yokuba iilaser zingakwazi ukunqumla amathambo, ezinye izixhobo zotyando zisoloko zisetyenziswa kwiikona nakwii-engile ezahlukeneyo kuba zisebenza kakuhle kwaye zivumela ukuchaneka okukhulu. (Ubuchopho be-Atlantic kunye noMnqonqo, ngo-2022 )
Injongo
Utyando lweLaser spine lwenziwa ukususa izakhiwo ezibangela uxinzelelo lweengcambu zemithambo-luvo. Uxinzelelo lweengcambu zemithambo-luvo lunxulunyaniswa nezi meko zilandelayo (Iklinikhi yaseCleveland. 2018 )
Iidiski zokukhupha
Iidiski zeHerniated
Sciatica
I stenosis
Isisu sentambo
Iingcambu zemithambo-luvo ezonzakeleyo okanye ezonakaliswe kwaye zihlala zithumela imiqondiso yeentlungu ezingapheliyo zinokucinywa ngotyando lwe-laser, olubizwa ngokuba yi-nerve ablation. I-laser iyatshisa kwaye itshabalalise i-nerve fibers. (Stern, J. 2009 ) Ngenxa yokuba utyando lwe-laser spine lulinganiselwe ekunyangeni iziphazamiso ezithile zomnqonqo, uninzi lweenkqubo zomnqonqo ezincinci azisebenzisi i-laser. (Ubuchopho be-Atlantic kunye noMnqonqo. 2022 )
Ukulungiselela
Iqela lotyando liza kunika imiyalelo ethe kratya malunga nokuba wenze ntoni ngeentsuku kunye neeyure ngaphambi kotyando. Ukukhuthaza ukuphiliswa okuphezulu kunye nokuchacha okugudileyo, kucetyiswa ukuba isigulana sihlale sisebenza, sitye ukutya okunempilo, kwaye siyeke ukutshaya phambi kotyando. Abantu banokudinga ukuba bayeke ukuthatha amayeza athile ukuthintela ukopha kakhulu okanye ukusebenzisana ne-anesthesia ngexesha lotyando. Yazisa umboneleli wezempilo malunga nayo yonke imimiselo, amayeza athengiswayo, kunye nezongezo ezithathwayo.
Uqhaqho lweLaser spine yinkqubo yezigulane ezingalaliswanga esibhedlele okanye kwiziko lotyando labangaphandle. Isigulana kusenokwenzeka ukuba sigoduke kwangolo suku lunye lotyando. (Iklinikhi yaseCleveland. 2018 ) Abaguli abakwazi ukuqhuba ukuya okanye ukubuya esibhedlele ngaphambi okanye emva kotyando lwabo, ngoko lungiselela ukuba intsapho okanye abahlobo balungiselele isithuthi sabo. Ukunciphisa uxinzelelo kunye nokubeka phambili impilo enempilo yengqondo kunye neemvakalelo kubalulekile ekunciphiseni ukuvuvukala kunye nokunceda ukubuyiswa. Impilo isigulane siya kuqhaqho, kokukhona kuya kuba lula ukuchacha nokubuyisela kwisimo sangaphambili.
Lindele
Utyando luya kugqitywa sisigulana kunye nomboneleli wezempilo kwaye lucwangciswe esibhedlele okanye kwiziko lotyando labangaphandle. Lungiselela ukuba umhlobo okanye ilungu losapho liqhube ukuya kuqhaqho kunye nekhaya.
Phambi koTyando
Isigulane siya kuthathwa kwigumbi langaphambi kokuhlinzwa kwaye sicelwe ukuba sitshintshe ibe yingubo.
Isigulana siya kuvavanywa ngomzimba omfutshane kwaye siphendule imibuzo malunga nembali yonyango.
Isigulana silala ebhedini yasesibhedlele, kwaye umongikazi ufaka i-IV ukuze azise amayeza kunye nolwelo.
Iqela lotyando liya kusebenzisa ibhedi yesibhedlele ukuthutha isigulane ngaphakathi nangaphandle kwigumbi lotyando.
Iqela lotyando liya kunceda isigulane ekungeneni kwitafile yokusebenza, kwaye isigulane siya kulawulwa i-anesthesia.
Isigulana sinokufumana I-anesthesia ngokubanzi , eya kubangela ukuba isigulane silale ngenxa yotyando, okanye i-anesthesia yengingqi , itofwe kumqolo ukuze iphazamise indawo echaphazelekayo. (Iklinikhi yaseCleveland. 2018 )
Iqela elityandayo liya kucoca ulusu apho kuya kwenziwa khona utyando.
Isisombululo esibulala amagciwane siya kusetyenziswa ukubulala ibhaktheriya kunye nokuthintela umngcipheko wosulelo.
Wakuba uhlanjululwe, umzimba uya kugqunywa ngeelinen ezicociweyo ukugcina indawo yotyando icocekile.
Ngexesha Lotyando
Kwi-discectomy, ugqirha uya kwenza i-incision encinci ngaphantsi kwe-intshi enye ubude kunye ne-scalpel ecaleni komqolo ukufikelela kwiingcambu ze-nerve.
Isixhobo sotyando esibizwa ngokuba yi-endoscope yikhamera efakwe kwindawo yokusikwa ukujonga umnqonqo. (Brouwer, PA et al., 2015 )
Nje ukuba isahlulo sediski esinengxaki esibangela ukunyanzeliswa sikhona, i-laser ifakwe ukunqumla kuyo.
Isahlulo se-disc esinqunyiwe siyasuswa, kwaye indawo yokucima i-sutured.
Emva kotyando
Emva kokuhlinzwa, isigulane siziswa kwigumbi lokubuyisela, apho iimpawu ezibalulekileyo zijongwa njengemiphumo ye-anesthesia iphelile.
Zakuba zizinzile, isigulana sinokubuyela ekhaya kwiyure enye okanye ezimbini emva kotyando.
Ugqirha wotyando uya kugqiba xa umntu ecacile ukuba angaphinda aqalise ukuqhuba.
ukuchacha
Ukulandela i-discectomy, umntu unokubuyela emsebenzini kwiintsuku ezimbalwa ukuya kwiiveki ezimbalwa, kuxhomekeke kubunzima, kodwa kunokuthatha ukuya kwiinyanga ezintathu ukubuyela kwimisebenzi eqhelekileyo. Ubude bexesha lokuchacha bunokususela kwiiveki ezimbini ukuya kwezine okanye ngaphantsi ukuze uqalise kwakhona umsebenzi wokungaphumli okanye iiveki ezisibhozo ukuya kwezili-12 ukuze ufumane umsebenzi onzima ngakumbi ofuna ukuphakanyiswa. (IYunivesithi yaseWisconsin yeSikolo soNyango kunye neMpilo yoLuntu, ngo-2021 ) Kwiiveki ezimbini zokuqala, isigulane siya kunikwa izithintelo ukuze kube lula ukuphilisa umqolo de ube uzinzile. Izithintelo zinokubandakanya: (IYunivesithi yaseWisconsin yeSikolo soNyango kunye neMpilo yoLuntu, ngo-2021 )
Akukho kugoba, ukujija, okanye ukuphakamisa.
Akukho msebenzi unzima womzimba, kubandakanywa umthambo, umsebenzi wasekhaya, umsebenzi waseyadini, kunye nokwabelana ngesondo.
Akukho utywala kwinqanaba lokuqala lokubuyisela okanye ngelixa uthatha amayeza eentlungu ze-narcotic.
Akukho kuqhuba okanye ukusebenzisa isithuthi de uxoxwe nogqirha wotyando.
Umboneleli wezempilo unokucebisa ulungiso lwenyama ukuphumla, ukomeleza, kunye nokugcina impilo ye-musculoskeletal. Unyango lomzimba lunokuba kabini ukuya kathathu ngeveki kwiiveki ezine ukuya kwezintandathu.
inkqubo
Iingcebiso ezifanelekileyo zokubuyisela zibandakanya:
Ukulala ngokwaneleyo, ubuncinane iiyure ezisixhenxe ukuya kwezisibhozo.
Ukugcina isimo sengqondo esifanelekileyo kunye nokufunda indlela yokuhlangabezana nokulawula uxinzelelo.
Ukugcina amanzi emzimbeni.
Ukulandela inkqubo yokuzivocavoca njengoko kumiselwe ngugqirha womzimba.
Ukuziqhelanisa nokuma okunempilo kunye nokuhlala, ukuma, ukuhamba kunye nokulala.
Ukuhlala usebenza kunye nokunciphisa ixesha elichithwe uhleli. Zama ukuvuka uhambe nganye ukuya kwiiyure ezimbini emini ukuze uhlale usebenza kwaye uthintele amahlwili egazi. Yandisa ngokuthe ngcembe ixesha okanye umgama njengoko kuqhubeka ukuchacha.
Musa ukutyhala ukwenza kakhulu ngokukhawuleza. Ukugqithisa kakhulu kunokunyusa intlungu kunye nokulibazisa ukubuyiswa.
Ukufunda iindlela ezichanekileyo zokuphakamisa ukusebenzisa i-core kunye nemisipha yomlenze ukukhusela ukunyuka koxinzelelo kumqolo.
Xoxa ngeendlela zonyango zokulawula iimpawu kunye nomboneleli wezempilo okanye ingcali ukuze unqume ukuba utyando lwe-laser spine lufanelekile. Izicwangciso zokhathalelo lwezonyango lweChiropractic kunye neFunctional Medicine Clinic kunye neenkonzo zeklinikhi zikhethekileyo kwaye zijolise kukulimala kunye nenkqubo yokubuyisela ngokupheleleyo. UDkt Jimenez uye wabambisana noogqirha abaphezulu, iingcali zeklinikhi, abaphandi bezonyango, abaphengululi, abaqeqeshi, kunye nabanikezeli be-premiere rehabilitation. Sigxininise ekubuyiseleni imisebenzi eqhelekileyo yomzimba emva kokulimala kunye nokulimala kwezicubu ezithambileyo usebenzisa iiProtocol eziKhethekileyo zeChiropractic, iiNkqubo zeNtlalontle, iZondlo eziSebenzayo kunye nokudibanisa, uBuchule kunye nokuhamba koQeqesho lokuQinisekisa, kunye neeNkqubo zoBuyiselo kuyo yonke iminyaka. 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 neeprotokholi zokhathalelo olukwi-scope.
Indlela engeyiyo Utyando
VIDEO
Ucaphulo
Stern, J. SpineLine. (2009). IiLasers kwiSpine Surgery: Uphononongo. Iingcamango zangoku, i-17-23. www.spine.org/Portals/0/assets/downloads/KnowYourBack/LaserSurgery.pdf
Brouwer, PA, Brand, R., van den Akker-van Marle, ME, Jacobs, WC, Schenk, B., van den Berg-Huijsmans, AA, Koes, BW, van Buchem, MA, Arts, MP, & Peul , WC (2015). I-Percutaneous laser disc decompression ngokuchasene ne-microdiscectomy eqhelekileyo kwi-sciatica: uvavanyo olulawulwa ngokungahleliwe. Ijenali yomqolo : ijenali esemthethweni yeNorth American Spine Society, 15 (5), 857-865. doi.org/10.1016/j.spinee.2015.01.020
Ubuchopho be-Atlantic kunye noMnqonqo. (2022). INyaniso malunga neLaser Spine Surgery [2022 Update]. Atlantic Brain kunye Spine Blog. www.brainspinesurgery.com/blog/the-truth-about-laser-spine-surgery-2022-update?rq=Laser%20Spine%20Surgery
Iklinikhi yaseCleveland. (2018). Ngaba iLaser Spine Surgery ingalungisa iintlungu zakho zangasemva? health.clevelandclinic.org/can-laser-spine-surgery-fix-your-back-pain/
IYunivesithi yaseWisconsin yeSikolo soNyango kunye neMpilo yoLuntu. (2021). Imiyalelo yoLondolozo lweKhaya emva kweLumbar Laminectomy, i-Decompression okanye i-Discectomy Surgery. patient.uwhealth.org/healthfacts/4466
by UGqr Alex Jimenez Uvavanyo lweChiropractic , Ucoceko loMgcini
Kubantu abajongene neentlungu ezibuhlungu kunye neengxaki, ngaba ukwazi indlela yokuphucula nokugcina impilo ye-intervertebral disc kunceda ukunciphisa iimpawu?
I-Intervertebral Disc Health
Ikholamu yomgogodla iquka amathambo angama-24 ashukumayo kunye namathambo angama-33 abizwa ngokuba yi-vertebrae. Amathambo e-vertebral ahlanganiswe phezu komnye nomnye. I-disc ye-intervertebral yi-cushioning substance phakathi kwamathambo akufutshane. (eDartmouth. 2008 )
Amathambo
Amathambo e-vertebral amancinci kwaye ajikeleze kwindawo ebizwa ngokuba ngumzimba we-vertebral. Ngasemva kukho indandatho yamathambo apho i-protrusions yandisa kwaye i-arches kunye neendlela zenziwa. Ulwakhiwo ngalunye lunenjongo enye okanye ngaphezulu kwaye lubandakanya: (Waxenbaum JA, Reddy V, Williams C, et al., 2023 )
Ukuzinzisa umqolo.
Ukubonelela ngesithuba sokudibanisa izicubu kunye nezihlunu zangasemva ukuze zincamathele.
Ukubonelela ngetonela ukuze intambo yomgogodla idlule ngokucocekileyo.
Ukubonelela ngendawo apho imithambo-luvo iphuma kwaye isebenze kuyo yonke indawo yomzimba.
Ulwakhiwo
I-disc intervertebral yi-cushioning ehlala phakathi kwe-vertebrae. Uyilo lomqolo luwuvumela ukuba uhambe kumacala ahlukeneyo:
Ukuguqa okanye ukugoba
Ukongezwa okanye ukugquma
Ukuthambeka kunye nokujikeleza okanye ukujija.
Amandla anamandla asebenza kwaye aphembelele ikholamu yomgogodla ukuvelisa ezi ntshukumo. I-disc ye-intervertebral ithatha ukutshatyalaliswa ngexesha lokunyakaza kwaye ikhusela i-vertebrae kunye nentambo yomgogodla kwingozi kunye / okanye ukwenzakala.
Ngaphandle, izihlunu zefiber ezilukiweyo ezomeleleyo zenza indawo ebizwa ngokuba yi annulus fibrosis. I-annulus fibrosis iqulethe kwaye ikhusela into yejeli ethambileyo embindini, i-nucleus pulposus. (YS Nosikova et al., 2012 ) I-nucleus pulposis inikezela ukutshitshiswa kokutshitshiswa, ukuguquguquka, kunye nokunyanzeliswa, ngakumbi phantsi koxinzelelo ngexesha lokuhamba komgogodla.
Mechanics
I-nucleus pulposus yinto yejeli ethambileyo ebekwe embindini wediski evumela ukuqina kunye nokuguquguquka phantsi kwemikhosi yoxinzelelo ukuba ibambe uxinzelelo. (Nedresky D, Reddy V, Singh G. 2024 ) Isenzo se-swivel siguqula i-tilt kunye nokujikeleza kwe-vertebra ngaphezulu nangaphantsi, i-buffering imiphumo ye-spinal motion. Iidiski zijikeleza ngokuphendula kwicala elihamba umqolo. I-nucleus pulposus yenziwe kakhulu ngamanzi, ahamba ngaphakathi nangaphandle ngokusebenzisa ama-pores amancinci, asebenza njengeendlela phakathi kwe-vertebra kunye ne-disc bone. Izikhundla zomzimba ezilayisha umqolo, njengokuhlala nokuma, zityhala amanzi ngaphandle kwediski. Ukulala phantsi ngasemva okanye kwindawo yokulala kunceda ukubuyiswa kwamanzi kwidiski. Njengoko umzimba ukhula, iidiski zilahlekelwa ngamanzi /ukuphelisa amanzi emzimbeni , ekhokelela kwi-disc degeneration. I-disc ye-intervertebral ayinalo igazi, oku kuthetha ukuba i-disc ifumane isondlo esiyimfuneko kunye nokususwa kwenkunkuma, kufuneka ithembele kumjikelezo wamanzi ukuze uhlale uphilile.
Care
Ezinye iindlela zokugcina impilo ye-intervertebral disc ziquka:
Ukunikela ingqalelo kwisimo.
Ukutshintsha izikhundla rhoqo imini yonke.
Ukuzilolonga kunye nokujikeleza.
Ukusebenzisa ubuxhakaxhaka bomzimba obuchanekileyo kwimisebenzi yomzimba.
Ukulala kumatrasi oxhasayo.
Ukusela amanzi amaninzi.
Ukutya okunempilo.
Ukugcina ubunzima obusempilweni.
Ukusela utywala ngobungcathu.
Ukuyeka ukutshaya.
Kwi-Chiropractic yezoNyango zeChiropractic kunye ne-Functional Medicine Clinic, siphatha ukulimala kunye ne-syndromes yentlungu engapheliyo ngokuphucula amandla omntu ngokusebenzisa ukuguquguquka, ukuhamba, kunye neenkqubo ze-agility ezilungiselelwe onke amaqela eminyaka kunye nokukhubazeka. Iqela lethu le-chiropractic, izicwangciso zokunakekelwa, kunye neenkonzo zeklinikhi zikhethekileyo kwaye zijolise kukulimala kunye nenkqubo epheleleyo yokubuyisela. Iindawo zethu zokuziqhelanisa ziquka i-Wellness & Nutrition, i-Acupuncture, i-Chronic Pain, iNzalo yoMntu, i-Auto Accident, i-Auto Injury, i-Back Injury, i-Low Back Pain, i-Neck Pain, i-Migraine Headaches, i-Acupuncture, i-Sciatica Enzima, i-Scoliosis, i-Complex Herniated Discs, i-Fibromyalgia. , Iintlungu ezingapheliyo, iiNgxaki zoLwanzakala, uLawulo lweStress, uNyango oluSebenzayo lwezoNyango, kunye neeprotokholi zokhathalelo olukwi-scope. Ukuba olunye unyango luyafuneka, abantu ngabanye baya kuthunyelwa kwiklinikhi okanye ugqirha ofaneleke kakhulu ukulimala kwabo, imeko, kunye / okanye isifo.
Ngaphaya koMbuso: Ukuqonda iimpembelelo zokwenzakala komntu
VIDEO
Ucaphulo
UDartmouth Ronan O'Rahilly, MD. (2008). ISiseko soMntu weAnatomy. Isahluko 39: Ikholamu ye-vertebral. Kwi-D. Rand Swenson, MD, PhD (Ed.), I-ANATOMI YOMNTU ESISISEKO Uphononongo lweNgingqi loLwakhiwo loMntu. WB Saunders. humananatomy.host.dartmouth.edu/BHA/public_html/part_7/chapter_39.html
Waxenbaum, JA, Reddy, V., Williams, C., & Futterman, B. (2024). I-Anatomy, Umva, iLumbar Vertebrae. KwiStatPearls. www.ncbi.nlm.nih.gov/pubmed/29083618
Nosikova, YS, Santerre, JP, Grynpas, M., Gibson, G., & Kandel, RA (2012). Uphawu lwe-annulus fibrosus-vertebral body interface: ukuchongwa kweempawu ezintsha zesakhiwo. Ijenali ye-anatomy, i-221 (6), i-577-589. doi.org/10.1111/j.1469-7580.2012.01537.x
UNedresky D, uReddy V, Singh G. (2024). I-Anatomy, Umva, i-Nucleus Pulposus. KwiStatPearls. www.ncbi.nlm.nih.gov/pubmed/30570994
by UGqr Alex Jimenez Chiropractic , Ubuhlungu obungapheliyo , Ukuhamba kunye nokuguquguquka , Ucoceko loMgcini , Uncedo Lwezityalo , Unyango , I-Viscerosomatic Reflex
Ngaba abantu abane-hypermobility edibeneyo banokufumana isiqabu ngonyango olungazenzisiyo ekunciphiseni iintlungu kunye nokubuyisela ukuhamba komzimba?
intshayelelo
Xa umntu ehambisa umzimba wabo, izihlunu ezijikelezileyo, amalunga, kunye nemigqaliselo ifakwe kwimisebenzi eyahlukeneyo evumela ukuba banwebe kwaye baguquguquke ngaphandle kwentlungu okanye ukungahambi kakuhle. Iintshukumo ezininzi eziphindaphindwayo zenza umntu aqhubeke nenkqubo yakhe. Nangona kunjalo, xa amalunga, izihlunu, kunye nemigqa yolulelwe kude kunesiqhelo kwindawo ephezulu kunye nesezantsi ngaphandle kweentlungu, kwaziwa ngokuba yi-joint hypermobility. Olu kuphazamiseka kwezicubu ezixhumeneyo kunokunxibelelana nezinye iimpawu ezichaphazela umzimba kwaye kubangele ukuba abantu abaninzi bafune unyango lokulawula iimpawu ze-hypermobility edibeneyo. Kwinqaku lanamhlanje, siza kujonga i-hypermobility edibeneyo kunye nendlela ezahlukeneyo zonyango ezingezizo utyando ezinokunceda ukunciphisa intlungu ebangelwa yi-hypermobility kunye nokubuyisela ukuhamba komzimba. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya indlela intlungu yabo inokudibaniswa ngayo ne-hypermobility edibeneyo. Sikwazisa kwaye sikhokela izigulana malunga nendlela ukudibanisa unyango olungelulo utyando lunokunceda ukuphucula umsebenzi odibeneyo ngelixa ulawula iimpawu ezihambelanayo. Sikhuthaza izigulana zethu ukuba zibuze ababoneleli bezonyango abanxulumene nabo imibuzo enzima kunye nengqiqo malunga nokubandakanya unyango olungasebenzisiyo njengenxalenye yendlela yabo yokunciphisa intlungu kunye nokukhathazeka kwi-hypermobility joint. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli .
Yintoni Joint Hypermobility?
Ngaba uhlala uziva ukuba amalungu akho evalelwe ezandleni, ezihlahleni, emadolweni, nasezingqinibeni? Ngaba ufumana iintlungu kunye nokudinwa kumalungu akho xa umzimba wakho uziva udiniwe rhoqo? Okanye xa usolula iziphetho zakho, ngaba zinwenwela kude kunesiqhelo ukuze uve isiqabu? Uninzi lwezi meko zahlukeneyo zihlala zinxulunyaniswa nabantu abafumana i-hypermobility edibeneyo. I-Joint hypermobility sisifo esizuzwa njengelifa kunye neepateni eziphambili ze-autosomal ezibonisa i-hyperlaxity edibeneyo kunye neentlungu ze-musculoskeletal ngaphakathi kweendawo zomzimba. ( Carbonell-Bobadilla et al., 2020 ) Le meko ye-tissue edibeneyo idla ngokuhambelana nokuguquguquka kwezicubu ezidibeneyo ezifana nemigqa kunye ne-tendon emzimbeni. Umzekelo uya kuba ukuba isithupha somntu sichukumisa umphambili wabo wangaphakathi ngaphandle kokuva iintlungu okanye ukungakhululeki, bane-hypermobility edibeneyo. Ukongeza, abantu abaninzi abajongana ne-hypermobility edibeneyo bahlala benokuxilongwa nzima njengoko beya kukhula ulusu kunye nobuthathaka bezicubu ngokuhamba kwexesha, okubangela iingxaki ze-musculoskeletal. ( Tofts et al., 2023 )
Xa abantu bejongana ne-hypermobility edibeneyo ngokuhamba kwexesha, uninzi luhlala lunophawu lwe-hypermobility edibeneyo. Baza kubonisa iimpawu ze-musculoskelet kunye ne-systemic ezikhokelela ekuboniseni ukukhubazeka kwamathambo, izicubu kunye ne-fragility yesikhumba, kunye nokwahlukana kwesakhiwo kwinkqubo yomzimba. ( UNicholson et al., 2022 ) Ezinye zeempawu zokuba i-joint hypermobility iboniswa kuxilongo ziquka:
Iintlungu zemisipha kunye nokuqina kwamalungu Ukucofa amalungu Ukukhathala Imiba yokugaya Imicimbi yokulinganisa
Ngethamsanqa, kukho unyango olwahlukeneyo olunokuthi lusetyenziswe ngabantu abaninzi ukunceda ukubuyisela izihlunu ezijikeleze amalunga kunye nokunciphisa iimpawu ezihambelanayo ezibangelwa yi-hypermobility edibeneyo.
Intshukumo Njengonyango-Ividiyo
VIDEO
Nosurgical Treatments For Joint Hypermobility
Xa ujongene ne-hypermobility edibeneyo, abantu abaninzi kufuneka bafune unyango lokunciphisa iimpawu ezihambelana neentlungu ze-hypermobility kunye nokunceda ukukhulula iziphelo zomzimba ngelixa ubuyisela ukuhamba. Olunye unyango olugqwesileyo lwe-hypermobility edibeneyo lunyango olungasebenzisi utyando olungaphazamisiyo, luthambileyo kumalungu kunye nezihlunu, kwaye lungabizi kakhulu. Iindidi ezahlukeneyo zonyango ezingezizo utyando zinokwenzelwa umntu ngamnye ngokuxhomekeke ekubeni kuqatha kangakanani na ukudityaniswa kwe-hypermobility kunye ne-commorbidities kuchaphazela umzimba womntu. Unyango olungenalo utyando lunokukhulula umzimba kwi-hypermobility edibeneyo ngokunyanga izizathu zentlungu ngokunciphisa kunye nokwandisa amandla okusebenza kunye nokubuyisela umgangatho wobomi bomntu. ( Etwell et al., 2021 ) Iindlela ezintathu zonyango ezingenalo utyando ezigqwesileyo ekunciphiseni intlungu kwi-hypermobility yamalungu kunye nokunceda ukuqinisa imisipha ejikelezayo ingezantsi.
Ukhathalelo lweChiropractic
Ukunyamekela kwe-Chiropractic kusebenzisa ukunyanzeliswa komgogodla kwaye kunceda ukubuyisela ukuhamba ngokubambisana emzimbeni ukuze kuncitshiswe imiphumo ye-hypermobility edibeneyo ngokuzinzisa amajoyina achaphazelekayo ukusuka kwi-hypermobile extremities. ( Boudreau et al., 2020 ) I-Chiropractors ibandakanya ukuguqulwa komatshini kunye nemigaqo kunye neendlela ezahlukeneyo zokunceda abantu abaninzi baphucule i-posture yabo ngokunyamekela imizimba yabo kunye nokusebenza kunye nezinye iindlela zokwelapha ezininzi ukugxininisa ukunyakaza okulawulwayo. Ngolunye ukuxhatshazwa okuhambelana nokuxhatshazwa ngokubambisana, njengentlungu emva nangentamo, ukunakekelwa kwe-chiropractic kunokunciphisa ezi mpawu ze-comorbidity kunye nokuvumela umntu ukuba aphinde abuyele umgangatho wobomi.
Ukwenza i-Acupuncture
Olunye unyango olungelona utyando olunokuthi abantu abaninzi balubandakanye ukunciphisa ukudityaniswa kwe-hypermobility kunye ne-comorbidities yayo yi-acupuncture. I-acupuncture isebenzisa iinaliti ezincinci, ezinqabileyo, eziqinileyo ezisetyenziswa ngabagqirha be-acupuncture ukuvala ii-receptors zentlungu kunye nokubuyisela ukuhamba kwamandla omzimba. Xa abantu abaninzi bejongene ne-hypermobility edibeneyo, iziphelo zabo emilenzeni, ezandleni nasezinyaweni ziba nentlungu ekuhambeni kwexesha, nto leyo enokubangela ukuba umzimba ungazinzi. Yintoni eyenziwa yi-acupuncture kukunceda ukunciphisa intlungu ebangelwa yi-hypermobility edibeneyo ehambelana neziphelo kunye nokubuyisela ukulinganisela kunye nokusebenza komzimba ( Luan et al., 2023 ). Oku kuthetha ukuba ukuba umntu ujongene nokuqina kunye neentlungu zemisipha ezivela kwi-joint hypermobility, i-acupuncture inokunceda ukubuyisela iintlungu ngokubeka iinaliti kwii-acupoints zomzimba ukunika isiqabu.
Ulungiso lwenyama
Unyango lomzimba lunyango lokugqibela olungasebenzisi utyando abantu abaninzi abanokulubandakanya kwimisebenzi yabo yemihla ngemihla. Unyango lomzimba lunokunceda ukulawula i-hypermobility edibeneyo elungiselelwe ukunceda ukuqinisa izihlunu ezibuthathaka ezijikeleze amajoyina achaphazelekayo, ukuphucula ukuzinza komntu kunye nokunceda ukunciphisa umngcipheko wokutshatyalaliswa. Ukongeza, abantu abaninzi banokusebenzisa umthambo onempembelelo ephantsi ukuqinisekisa ulawulo olululo lwemoto xa usenza umthambo rhoqo ngaphandle kokubeka uxinzelelo olugqithisileyo kumalungu. ( URussek et al., ngo-2022 )
Ngokubandakanya olu nyango luthathu lungelolo lotyando njengenxalenye yonyango olulungiselelweyo lwe-hypermobility edibeneyo, abantu abaninzi baya kuqala ukuva umahluko kwibhalansi yabo. Abayi kuba neentlungu ezidibeneyo ngokukhumbula ngakumbi umzimba kunye nokubandakanya utshintsho oluncinci kwindlela yabo. Nangona ukuhlala kunye ne-hypermobility edibeneyo kunokuba ngumceli mngeni kubantu abaninzi, ngokudibanisa kunye nokusebenzisa indibaniselwano efanelekileyo yonyango olungasebenzisi utyando, abaninzi banokuqala ukuphila ubomi obusebenzayo nobanelisayo.
Ucaphulo
Atwell, K., Michael, W., Dubey, J., James, S., Martonffy, A., Anderson, S., Rudin, N., & Schrager, S. (2021). Ukuxilongwa kunye noLawulo lwe-Hypermobility Spectrum Disorders kwi-Primary Care. J IBhodi ye Fam Fam , 34 (4), 838-848. doi.org/10.3122/jabfm.2021.04.200374
Boudreau, PA, Steiman, I., & Mior, S. (2020). Ulawulo lweklinikhi ye-benign joint hypermobility syndrome: i-case series. J Can Chiropr Assoc , 64 (1), 43-54. www.ncbi.nlm.nih.gov/pubmed/32476667
www.ncbi.nlm.nih.gov/pmc/articles/PMC7250515/pdf/jcca-64-43.pdf
Carbonell-Bobadilla, N., Rodriguez-Alvarez, AA, Rojas-Garcia, G., Barragan-Garfias, JA, Orrantia-Vertiz, M., & Rodriguez-Romo, R. (2020). [I-Joint hypermobility syndrome]. Acta Ortop Mex , 34 (6), 441-449. www.ncbi.nlm.nih.gov/pubmed/34020527 (Sindrome de hipermovilidad articular.)
Luan, L., Zhu, M., Adams, R., Witchalls, J., Pranata, A., & Han, J. (2023). Iziphumo ze-acupuncture okanye unyango olufanayo lwe-needling kwiintlungu, i-proprioception, ibhalansi, kunye nomsebenzi wokuzichaza ngokuzimeleyo kubantu abanokungazinzi okungapheliyo kwe-ankle: ukuphononongwa okucwangcisiweyo kunye nohlalutyo lwe-meta. Mncedi Ther Med , 77 , 102983. doi.org/10.1016/j.ctim.2023.102983
Nicholson, LL, Simmonds, J., Pacey, V., De Wandele, I., Rombaut, L., Williams, CM, & Chan, C. (2022). Iimbono zamazwe ngamazwe kwi-Joint Hypermobility: I-Synthesis yeNzululwazi yangoku ukuKhokela izikhokelo zeKlinikhi kunye noPhando. J Clin Rheumatol , 28 (6), 314-320. doi.org/10.1097/RHU.0000000000001864
Russek, LN, Block, NP, Byrne, E., Chalela, S., Chan, C., Comerford, M., Frost, N., Hennessey, S., McCarthy, A., Nicholson, LL, Parry, J ., Simmonds, J., Stott, PJ, Thomas, L., Treleaven, J., Wagner, W., & Hakim, A. (2022). Ukunikezelwa kunye nokulawulwa konyango lomzimba wokungazinzi komlomo wesibeleko esiphezulu kwizigulane ezine-symptomatic generalized joint hypermobility: iingcebiso zeengcali zamazwe ngamazwe. Front Med (Lausanne) , 9 , 1072764. doi.org/10.3389/fmed.2022.1072764
Tofts, LJ, Simmonds, J., Schwartz, SB, Richheimer, RM, O'Connor, C., Elias, E., Engelbert, R., Cleary, K., Tinkle, BT, Kline, AD, Hakim, AJ , van Rossum, MAJ, & Pacey, V. (2023). Uxinzelelo oludibeneyo lwabantwana: isakhelo sokuxilonga kunye nophononongo olubalisayo. Orphanet J Rare Dis , 18 (1), 104. doi.org/10.1186/s13023-023-02717-2
isikhanyeli
by UGqr Alex Jimenez Ucoceko loMgcini , Uncedo Lwezityalo
Kubantu abafuna ukuphucula impilo yabo yomgogodla, ngaba ukuqonda i-anatomy ye-intervertebral foramen kunceda ekubuyiseleni ukulimala kunye nokukhusela?
I-Intervertebral Foramen
I-intervertebral foramen, aka neural foramen, kukuvula phakathi kwe-vertebrae apho iingcambu zemithambo-luvo zidibanisa kwaye ziphuma kwezinye iindawo zomzimba. Ukuba i-foramina iyancipha, inokubeka uxinzelelo olongezelelweyo kwiingcambu ze-nerve ezikufutshane kunye nezijikelezileyo, ezibangela iimpawu zentlungu kunye nokuziva. Oku kwaziwa ngokuba yi-neuroforaminal stenosis. (Sumihisa Orita et al., 2016 )
Anatomy
I-vertebrae iquka ikholamu yomgogodla.
Bakhusela kwaye baxhase intambo yomgogodla kunye nobuninzi bobunzima obubekwe kumqolo.
Iforamen yindlela enye, kwaye i-foramina yindlela yesininzi.
Ulwakhiwo
Umzimba yinxalenye enkulu, engqukuva yethambo eyenza umqolo ngamnye.
Umzimba we-vertebra nganye unamathele kwindandatho yamathambo.
Njengoko i-vertebrae ihlanganiswe omnye komnye, ikhonkco idala ityhubhu apho intambo yomgogodla idlula khona. (IAkhademi yaseMelika yooGqirha bamathambo ka-2020 )
Ukuvulwa kwe-intervertebral foramen kuphakathi kwee-vertebrae ezimbini, apho iingcambu ze-nerve ziphuma kumqolo.
I-neural foramina ezimbini zikhona phakathi kwepere nganye ye-vertebrae, enye kwicala ngalinye.
Iingcambu zemithambo-luvo zihamba nge-foramen ukuya kuwo wonke umzimba.
itheko
I-intervertebral foramina iphuma apho iingcambu ze-nerve zishiya umqolo kwaye ziphume kuwo wonke umzimba.
Ngaphandle kwe-foramen, iimpawu ze-nerve azikwazi ukuhambisa kunye nokusuka kwingqondo ukuya emzimbeni.
Ngaphandle kwemiqondiso yemithambo-luvo, umzimba awukwazi ukusebenza ngokuchanekileyo.
Conditions
Imeko eqhelekileyo enokuchaphazela i-neuroforamina yi-spinal stenosis. I-stenosis ithetha ukunciphisa.
I-Spinal stenosis (ayisoloko) ngokuqhelekileyo ingxaki enxulumene neminyaka ehambelana nesifo samathambo. (IAkhademi yaseMelika yooGqirha bamathambo, ngo-2021 )
I-Stenosis ingenzeka kwi-canal canal, eyaziwa ngokuba yi-central canal stenosis, kunye ne-foramina.
Iintlungu eziziswa yi-neuroforaminal spinal stenosis kunye ne-arthritis-related bone growth / bone spurs / osteophytes ekhoyo kwi-foramen enye okanye ngaphezulu igubungele ingcambu ye-nerve edlula kwisithuba, ibangela intlungu enkulu.
Ubuhlungu obuhamba kunye nezinye iimvakalelo, ezifana nokubetha okanye ukuphazamiseka, kwaziwa ngokuba yi-radiculopathy. (UKook Choi omncinci, ngo-2019 )
Uphawu oluphambili ziintlungu.
Ukuba ndindisholo kunye/okanye ukuntyiloza kunokuvela ngokuxhomekeke kumonzakalo.
I-Neurogenic claudication iyenzeka ngenxa ye-ischemia okanye ukungabikho kokujikeleza kwegazi kwimithambo-luvo kwaye ngokuqhelekileyo ibonisa ubunzima emilenzeni.
Ngokuqhelekileyo inxulumene ne-stenosis ephakathi kune-foraminal stenosis.
Uninzi lwabantu abane-spinal stenosis baziva bengcono xa beguquguquka okanye begoba phambili kwaye beba mbi ngakumbi xa begoba umqolo wabo.
Ezinye iimpawu ziquka ubuthathaka kunye / okanye ubunzima bokuhamba . (Seung Yeop Lee et al., 2015 )
impatho
Unyango lwe-stenosis lujolise ekupheliseni intlungu kunye nokuthintela iimpawu ze-nerve ukuba zenzeke okanye zibe nzima. Unyango olululo luyacetyiswa kwaye lunokusebenza kakhulu.
Ulungiso lwenyama
I-acupuncture kunye ne-Electroacupuncture
Chiropractic
Ukuthotywa kwe-non-utyando
Unyango lokunyanga
Nonsteroidal anti-inflammatory drugs/NSAIDs
Imithambo ekujoliswe kuyo kunye nokolula
Iinaliti zeCortisone. (IAkhademi yaseMelika yooGqirha bamathambo, ngo-2021 )
Utyando aludli ngokuba yimfuneko.
Nangona kunjalo, ugqirha unokucebisa utyando kumntu onengxaki:
Iindlela ezahlukeneyo zotyando ziquka:
I-laminectomy ye-decompression - ibandakanya ukususa i-buildup yamathambo kumjelo womgogodla.
Ukuhlanganiswa komgogodla - xa kukho ukungazinzi komqolo okanye i-foraminal stenosis enzima.
Nangona kunjalo, iimeko ezininzi azifuni fusion. (IAkhademi yaseMelika yooGqirha bamathambo, ngo-2021 )
Iingcambu ezibangela i-Spinal Stenosis
VIDEO
Ucaphulo
Orita, S., Inage, K., Eguchi, Y., Kubota, G., Aoki, Y., Nakamura, J., Matsuura, Y., Furuya, T., Koda, M., & Ohtori, S. (2016). I-Lumbar foraminal stenosis, i-stenosis efihliweyo equka kwi-L5 / S1. Ijenali yaseYurophu yotyando lwamathambo kunye ne-traumatology: i-orthopedie traumatologie, i-26 (7), i-685-693. doi.org/10.1007/s00590-016-1806-7
I-American Academy ye-Orthopedic Surgeons. (2020). Iziseko zoMnqonqo (OrthoInfo, Issue. orthoinfo.aaos.org/en/diseases-conditions/spine-basics/
I-American Academy ye-Orthopedic Surgeons. (2021). I-Lumbar spinal stenosis (OrthoInfo, Issue. orthoinfo.aaos.org/en/diseases-conditions/lumbar-spinal-stenosis/
Choi YK (2019). I-Lumbar foraminal neuropathy: uhlaziyo kulawulo olungaphangeliyo. Ijenali yaseKorea yeentlungu, i-32 (3), i-147-159. doi.org/10.3344/kjp.2019.32.3.147
Lee, SY, Kim, TH, Oh, JK, Lee, SJ, & Park, MS (2015). I-Lumbar Stenosis: Uhlaziyo lwakutsha nje ngoPhononongo loNcwadi. Ijenali yomqolo waseAsia, 9 (5), 818-828. doi.org/10.4184/asj.2015.9.5.818
ULurie, J., kunye noTomkins-Lane, C. (2016). Ukulawulwa kwe-lumbar spinal stenosis. I-BMJ (uphando lweKlinikhi ed.), 352, h6234. doi.org/10.1136/bmj.h6234
Iklinikhi yaseCleveland. (2021). I-Myelopathy (iThala leeNcwadi lezeMpilo, umba. my.clevelandclinic.org/health/diseases/21966-myelopathy
by UGqr Alex Jimenez Chiropractic , Ubuhlungu obungapheliyo , Unyango lokuthotywa koMnqonqo , Ucoceko loMgcini , Uncedo Lwezityalo , Unyango , I-Viscerosomatic Reflex
Ngaba abantu abasebenzayo abajongene ne-syndrome yentlungu ephazamisayo banokubandakanya ukunyanzeliswa ukubonelela ngokukhululeka komzimba kunye nokuhamba?
intshayelelo
Njengenxalenye yenkqubo ye-musculoskeletal, umqolo uvumela umzimba ukuba ume ngokuthe nkqo kwaye unceda ukukhusela intambo yomgogodla kukulimala. Kuba inkqubo ye-nervous central ibonelela ngemiqondiso ye-neuron ukusuka kwingqondo ukuya kwiingcambu zemithambo-luvo, umzimba womntu unokuhamba ngaphandle kweentlungu okanye ukungonwabi. Oku kubangelwa i-spinal discs phakathi kwamalungu e-facet, anokuthi axinzelelwe, athathe uxinzelelo lwe-axial ephantsi, kwaye ancede ukusabalalisa ubunzima kwimisipha engaphantsi kunye nephezulu. Nangona kunjalo, njengoko abantu abaninzi beqonda, ukunyakaza okuphindaphindiweyo kunye nokugqoka kunye nokukrazula kwisakhiwo somgogodla kunokukhokelela ekugqithiseni kweeprofayili ezinobungozi ezinokubangela ukuba i-spinal disc ihlambuluke kwaye ikhuphe intlungu kwi-musculoskeletal system. Ukuza kuthi ga ngoku, kunokubangela ukuba umntu abe buhlungu kakhulu kwaye angakhululeki ngokuhamba kwexesha. Inqaku lanamhlanje lijonga indlela i-syndrome yentlungu ephazamisayo echaphazela ngayo umqolo, iimpawu ezihambelana nayo, kunye nendlela ukunyanzeliswa kwentlungu kunokunciphisa i-syndrome ye-degenerative. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukubonelela ngeendlela ezininzi zonyango zokunciphisa intlungu ye-syndrome ebangela imiba yokuhamba kumqolo. Siyazisa kwaye sikhokela izigulana malunga nendlela ukudambisa kunokunceda ukunciphisa iimpawu ezinjengeentlungu ezihambelana ne-syndrome yentlungu. Sikhuthaza izigulane zethu ukuba zibuze ababoneleli babo bezonyango abadibeneyo kunye nemibuzo ebalulekileyo malunga neempawu ezigqithisiweyo ezifana neentlungu ezijongene nazo kwiintlungu ezibuhlungu ezichaphazela umgangatho wobomi babo. UDkt Jimenez, DC, udibanisa le ngcaciso njengenkonzo yezemfundo. isikhanyeli .
I-Degenerative Pain Syndrome kwi-Spine
Ngaba uziva iintlungu zemisipha okanye iintlungu emqolo wakho emva kwexesha elide lokulala, ukuhlala okanye ukuma? Ngaba uziva intlungu eqhubekayo emva kokuthwala into enzima ukusuka kwenye indawo ukuya kwenye? Okanye ngaba ukujija okanye ukuguqula i-torso yakho kunika isiqabu sexeshana? Abantu abaninzi kaninzi abaqondi ukuba uninzi lwale miba efana nentlungu idityaniswa ne-syndrome ye-degenerative echaphazela umqolo. Ekubeni umzimba uguga ngokwendalo, umqolo wenza ngokunjalo ngokuwohloka. Xa i-spinal discs iqala ukuhla, inokubangela ukuba uxinzelelo lwe-axial oluthe nkqo lubethe kwaye lufake i-disc, luphazamise amandla ayo okugcina i-hydrated kwaye ibangele ukuba iphume kwindawo yayo yokuqala. Ngexesha elifanayo, ukuphakama kwe-spinal disc kuya kuwela ngokuthe ngcembe, kwaye umphumo ukutshintshwa kwezinto eziguquguqukayo kumacandelo achaphazelekayo omqolo. ( Kos et al., 2019 ) Ukutshatyalaliswa kunokuhla ukuya kwimizila ejikelezayo, imisipha, kunye namalungu xa ukuguqulwa kuqala ukuchaphazela umqolo.
Iimpawu eziNxulunyaniswe nentlungu ebuhlungu
Xa iindawo ezijikelezileyo, izihlunu, kunye nemigqaliselo zichatshazelwa yintlungu ye-disc degenerative, ingaba ngenxa yezinto ezininzi ezibangela iimpawu ezinjengeentlungu. Ukuvuvukala ngenye yeempawu ezihambelana ne-syndrome yentlungu ephazamisayo, njengoko ukuphazamiseka kunokuchaphazela isigqi se-circadian kunye nokuphazamisa i-homeostasis, ekhokelela ekunyuseni uxinzelelo kwi-spinal disc, leyo ke inegalelo kwinkqubo yokunciphisa. ( Chao-Yang et al., 2021 ) Ukuvuvukala kunokubangela ukuba izihlunu ezichaphazelekayo zitshise kwaye zibangele iiprofayili ezinobungozi ezingaphezulu, njengoko zinokuchaphazela iindawo eziphezulu kunye nezisezantsi. Ukongezelela, ukulayishwa komatshini kunokuchaphazela ukuchithwa kwediski ngeendlela ezahlukeneyo kumanqanaba ahlukeneyo e-vertebral. ( Salo et al., 2022 ) Oku kunokukhokelela kwiimpawu ezifana neentlungu ezifana:
Ukuthamba kwengalo kunye nomlenze Iintlungu zemithambo-luvo Ukulahleka kwemisebenzi yeemvakalelo kwiindawo eziphezulu kunye nezisezantsi Iimpawu ezibonakalayo Ubuhlungu besisu
Nangona kunjalo, unyango oluninzi lunokunceda ukubuyisela ukuhamba komgogodla kunye nokunciphisa imiphumo ebuhlungu ye-syndrome yentlungu ephazamisayo yomqolo.
Indlela engeyiyo Utyando kwiMpilo-Video
VIDEO
Xa kuziwa ekufuneni unyango lwe-syndrome ye-degenerative, abantu abaninzi baya kwenza uphando malunga nokuba loluphi unyango olufikelelekayo kwiintlungu zabo, kungoko abantu abaninzi bekhetha unyango olungasebenzisi utyando ukuze bathobe iintlungu zabo. Unyango olungasebenzisi utyando lulungelelaniswe kwintlungu yomntu. Banokunceda ukuqalisa uhambo lwempilo yomntu, olunokubandakanya indibaniselwano yokuzilolonga, unyango lwezandla, kunye nohlengahlengiso lwendlela yokuphila. ( Brogger et al., 2018 ) Le vidiyo ingentla ibonisa indlela indlela engasebenzisi utyando enokuzuza ngayo umntu one-syndrome ye-degenerative pain echaphazela umqolo wabo.
I-Decompression Ukunciphisa i-Degenerative Pain Syndrome
Ngonyango oluninzi olukhoyo lokunciphisa iimpawu ezinjengeentlungu ezichaphazela umqolo, unyango olungasebenzisi utyando lunokuba lukhetho. Ukusukela kukhathalelo lwe-chiropractic ukuya kwi-acupuncture, unyango olungasebenzisi utyando lunokudityaniswa ukuze kuncitshiswe imiphumo efana nentlungu. I-Decompression, njengenxalenye yeendlela zonyango ezingenayo utyando, yindlela efanelekileyo kakhulu yokunciphisa inkqubo yeentlungu ezibuhlungu kumqolo. I-Decompression ivumela ikholomu yomgogodla ukuba itsalwe ngobunono ngomatshini wokutsala ukukhulula i-spinal disc. Xa umatshini wokutsala ubola umqolo, ubunzima bentlungu buyancipha kakhulu kuwo onke amalungu omzimba. ( Ljunggren et al., 1984 ) Oku kubangelwa uxinzelelo olubi olubuyiselwa kumqolo ukuze kwandiswe ukuphakama kwediski kunye nokubuyisela izondlo kwi-disc echaphazelekayo kwaye ibuyisele kwakhona. ( I-Choi et al., 2022 ) Xa abantu beqala ukubandakanya i-decompression ngonyango olulandelelanayo, ubunzima babo beentlungu buyancipha, kwaye umqolo wabo uhamba kwakhona ngelixa unciphisa inkqubo ephazamisayo kumqolo. Oku kubavumela ukuba banakekele ngcono imizimba yabo ngokwenza utshintsho oluncinci kwimpilo yabo kunye nokuphila kakuhle.
Ucaphulo
Brogger, HA, Maribo, T., Christensen, R., & Schiottz-Christensen, B. (2018). Ukusebenza okuthelekisayo kunye nezinto ezibikezelwayo kwisiphumo sotyando kunye nokulawulwa kokungabikho kokuhlinzwa kwe-lumbar spinal stenosis kubantu abadala: iprotocol yophononongo lokuqwalasela. BMJ Open , 8 (12), e024949. doi.org/10.1136/bmjopen-2018-024949
Chao-Yang, G., Peng, C., & Hai-Hong, Z. (2021). Iindima ze-NLRP3 inflammasome kwi-intervertebral disc degeneration. I-Osteoarthritis Cartilage , 29 (6), 793-801. doi.org/10.1016/j.joca.2021.02.204
Choi, E., Gil, HY, Ju, J., Han, WK, Nahm, FS, & Lee, P.-B. (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 , 1-9. doi.org/10.1155/2022/6343837
Kos, N., Gradisnik, L., & Velnar, T. (2019). Uphononongo olufutshane lwe-Degenerative Intervertebral Disc Disease. Med Arch , 73 (6), 421-424. doi.org/10.5455/medah.2019.73.421-424
Ljunggren, AE, Weber, H., & Larsen, S. (1984). I-autotraction versus manual traction kwizigulane ezine-prolapsed lumbar intervertebral discs. Scand J Rehabil Med , 16 (3), 117-124. www.ncbi.nlm.nih.gov/pubmed/6494835
Salo, S., Hurri, H., Rikkonen, T., Sund, R., Kroger, H., & Sirola, J. (2022). Umbutho phakathi kwe-lumbar disc degeneration enzima kunye nokuzixela ngokwakho ukulayisha ngokomzimba. J Occup Health , 64 (1), e12316. doi.org/10.1002/1348-9585.12316
isikhanyeli
by UGqr Alex Jimenez Chiropractic , Ubuhlungu Bokubuyisela , entanyeni Pain , Unyango lokuthotywa koMnqonqo , Ucoceko loMgcini , Unyango , I-Viscerosomatic Reflex
Ngaba abantu abajongene neentlungu zentamo kunye nomqolo bangafumana isiqabu abasidingayo kwiziphumo zonyango loxinzelelo lomgogodla?
intshayelelo
Ehlabathini lonke, abantu abaninzi bajongana neentlungu zentamo okanye umva ngenxa yokuhlala okanye ukuma ngokugqithisileyo, ukungahambi kakuhle, okanye ukuphakamisa izinto ezinzima ezenza ukuba umqolo kunye nezihlunu zabo zihlale zibuhlungu. Ekubeni umzimba uhamba rhoqo, umgudu unyanzeliswa ngokunyakaza okuphindaphindiweyo okunokubangela ukuba iidiski zomgogodla ziphume kwindawo yazo yangaphambili kwaye zikhulise iimbilini ezijikelezayo ukuze zenze iimpawu ezinjengeentlungu entanyeni nasemva. Abantu abaninzi baqala ukukhalaza malunga neentamo zabo kunye nomqolo obuhlungu kunye nokuziva iintlungu ezithunyelwe kwiindawo ezahlukeneyo kwiindawo eziphezulu kunye nezantsi zomzimba. Oku kunokusuka kwi-acute ukuya kwi-chronic, kuxhomekeke kubukhulu bentlungu. Xa abantu befumana ezi ngxaki zentlungu ye-musculoskeletal emizimbeni yabo, abaninzi baya kufuna unyango ukuze banciphise intlungu kwiintamo zabo kunye nomqolo ukuze babuyele kwimisebenzi yabo yemihla ngemihla. Yiyo loo nto, unyango olunje ngokudodobala komqolo lunokuba nefuthe elihle ekunikeni isiqabu esilufaneleyo abantu abaninzi. Inqaku lanamhlanje lijonga ukuba kutheni intamo kunye nomva emzimbeni womntu ziindawo ezibuhlungu eziqhelekileyo abantu abaninzi abanyamezelayo kunye nendlela ukunyanzeliswa komgogodla kunokunciphisa intamo kunye neentlungu zangasemva. Sithetha nababoneleli bezonyango abaqinisekisiweyo ababandakanya ulwazi lwezigulane zethu ukubonelela ngeendlela ezahlukeneyo zokukhulula intamo kunye neentlungu zentlungu ezivela emzimbeni. Sikwaxelela izigulana ukuba unyango olufana ne-decompression lunokunciphisa njani ukuphazamiseka kweentlungu ze-musculoskeletal ukusuka entanyeni nasemva. Sikhuthaza izigulane zethu ukuba zibuze imibuzo enzima kubaboneleli bethu bezonyango abahambelanayo malunga neempawu ezinjengeentlungu ezihlangabezana nazo ezihambelana nentamo kunye nomva. UDkt Alex Jimenez, D.C., usebenzisa olu lwazi njengenkonzo yezemfundo. isikhanyeli .
Kutheni iNtamo kunye neeNdawo eziQhelekileyo zentlungu?
Ngaba uziva ukuxinezeleka kwemisipha entanyeni yakho emva kokuba uzingelwe kwikhompyuter okanye kwifowuni yakho ixesha elide? Ngaba uziva iintlungu kunye neentlungu emqolo wakho emva kokuthwala okanye ukuphakamisa into enzima? Okanye ngaba uziva untyiloza okanye ungathi ndindisholo ezingalweni okanye emilenzeni yakho? Uninzi lwezi mpawu ezifana neentlungu zihlala zihambelana nentamo kunye neentlungu zangasemva ezinokuthi zibe yinkathazo kubantu abaninzi. Ngoko kutheni intamo kunye nomva womzimba womntu yizona ndawo zibuhlungu kakhulu abantu abaninzi emhlabeni jikelele? Abantu abaninzi abanemisebenzi enzima kakhulu bahlala besenza ukunyakaza okuqhelekileyo ngokuphindaphindiweyo, okubangela uxinzelelo kwimisipha ejikelezileyo, iigaments, kunye namalungu, kunye nezihlunu ze-accessory ziya kuqala ukusebenza ngokugqithiseleyo kwaye ziqinile. Iintlungu zentamo kunye neentlungu zezinye zezona zikhalazo zixhaphakileyo ezinxulumene neempawu ezinegalelo kumanqanaba aphezulu okulahleka kweentsuku zokusebenza, ukukhubazeka, kunye nokusetyenziswa kwezempilo. ( UCorwell noDavis, ngo-2020 ) Oku kubangela ukuba abantu abaninzi babe noxinzelelo olungafunekiyo lwezentlalo noqoqosho xa bendwendwela oogqirha babo bokuqala. Ukongezelela, iintlungu zentamo kunye neentlungu zibangelwa yi-non-neurologic kwi-musculoskeletal system; ezi zinokuvelisa intlungu kwimisipha, iintambo, iigaments, i-spinal discs, i-articular cartilage, kunye nethambo. ( UMeleger kunye noKrivickas, ngo-2007 ) Ukuza kuthi ga ngoku, xa iintlungu zentamo kunye neentlungu zingaphathwa ngokukhawuleza, kunokukhokelela ekunxibelelaneni kweempawu zentlungu ezingakhokelela kubomi bokukhubazeka. Ekubeni umqolo unezakhiwo ezininzi, ukusuka entanyeni ukuya kumqolo ongaphantsi, xa umntu ebuhlungu, kunokukhokelela kwiijeneretha zentlungu ezahlukahlukeneyo ezinokubangela intlungu ye-visceral. ( Patel et al., 2015 ) Kungenxa yoko le nto, iintlungu zentamo kunye nomqolo zinezinto ezininzi kwaye zikhokelela kwiziphazamiso ezininzi.
Xa kuziwa ekunciphiseni iintlungu zentamo kunye nomqolo emzimbeni, abantu abaninzi baya kufuna unyango ukuze bazikhulule kwiintlungu. Nangona kunjalo, oogqirha abaninzi abanonophelo oluphambili baya kuvavanya izigulane zabo ukuba babone ukuba yintoni imbangela yentlungu yabo ngokuthatha amanqaku emihla ngemihla. Izizathu ezininzi eziqhelekileyo zentamo kunye neentlungu zangasemva zinokubangelwa:
Ukuma kakubi istres Ukungasebenzi komzimba Ukwenzakala/Ukwenzakala Ukuhlala/ukuma ngokugqithisileyo Ukuphakamisa/ukuphatha izinto ezinzima
Ezi zizathu zingakhokelela kubomi bokukhubazeka kwaye zichaphazele umgangatho wobomi bomntu; nangona kunjalo, ngethamsanqa, abantu abaninzi baye baphanda kwaye bajonga unyango olungabizi kakhulu kwaye lunokunceda ukunciphisa intlungu abayifumanayo.
Ukuqonda iintlungu ezisezantsi zoBumva kwiVidiyo
VIDEO
Ngaba uziva iintlungu neentlungu entanyeni nasemqolo? Ngaba uziva uxinezelekile kwizihlunu zakho ezikwenza uzive ungonwabanga? Okanye ngaba uziva intlungu kwiindawo zakho eziphezulu okanye ezisezantsi ezichaphazela indlela yakho yemihla ngemihla? Uninzi lwezi meko zihambelana neentlungu zentamo kunye nomqolo, umcimbi oqhelekileyo abantu abaninzi abanamava. Ukuba ayiphathwa kwangoko, inokukhokelela kubomi bokukhubazeka kwaye, kubantu abasebenzayo, balahlekelwe lusuku lomsebenzi. Nangona kunjalo, abantu abaninzi bafuna unyango olungabizi kakhulu olunokunceda ukunciphisa intlungu echaphazela iintamo zabo kunye nomva. Unyango olufana nokhathalelo lwe-chiropractic, unyango lwe-traction, unyango lwe-massage, kunye ne-spinal decompression zonke azikho utyando, zifikeleleke, kwaye zinokunceda ukunciphisa iimpawu ezinjengeentlungu ezinxulumene nentamo kunye neentlungu zangasemva. Le vidiyo ingentla ichaza izizathu zeentlungu ezisezantsi ezifundweni kunye nendlela unyango olungasebenzisi utyando olufana nokhathalelo lwe-chiropractic lunokusebenza kunye nonyango olongezelelweyo ukukhusela umva kunye neentlungu zentamo ukuba zibuye. Kwangaxeshanye, xa abantu beqala ukunciphisa umthwalo wabo kwaye bazifundise ukuba benze ntoni ukuphepha iintlungu zentamo kunye nomqolo ekubuyeni, banokuqala ukuziva ngcono. ( Tyrdal et al., 2022 )
Iziphumo zoxinzelelo lweNtamo kunye neentlungu zomqolo
Njengenxalenye yonyango olungelulo utyando, ukudodobala komqolo kunokunceda abantu abaninzi abajongana neentlungu zentamo kunye nomqolo. Yintoni eyenziwa yi-spinal decompression idibanisa i-tracking ethambileyo kwi-spine ukuze idibanise i-spinal disc echaphazelekayo enokuthi idibaniswe nentamo kunye neentlungu zangasemva. Xa umqolo uphathwa ngoxinzelelo lwe-spinal decompression, ukutsalwa kwe-gravitational traction kunceda ukuvelisa indawo enkulu yediski kwi-spine ukunciphisa uxinzelelo lwe-intradiscal kunye neentlungu. ( Vanti et al., 2021 ) Oku kuvumela zonke izondlo kunye namanzi ukuba abuyele kumqolo kunye neediski zomgogodla ngelixa ekhuthaza inkqubo yokuphulukisa yendalo yomzimba.
Ukongeza, abantu abaninzi abanentamo kunye neentlungu zangasemva baya kuqala ukubona ukuncipha okukhulu kwiintlungu zabo kunye nokukhubazeka ngonyango olulandelelanayo. ( Vanti et al., 2023 ) Ngokubandakanya imikhwa enempilo yokunciphisa amathuba entamo kunye neentlungu zangasemva ekubuyeni, abantu abaninzi banokwenza utshintsho oluncinci kwindlela yabo yemihla ngemihla. Oku kubavumela ukuba babe nembono eyakhayo kwaye baqhubeke nohambo lwabo lwempilo kunye nokuba sempilweni.
Ucaphulo
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Meleger, A. L., & Krivickas, L. S. (2007). Intamo kunye neentlungu zangasemva: ukuphazamiseka kwe-musculoskeletal. Iklinikhi yeNeurol , 25 (2), 419-438. doi.org/10.1016/j.ncl.2007.01.006
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Vanti, C., Saccardo, K., Panizzolo, A., Turone, L., Guccione, AA, & Pillastrini, P. (2023). Imiphumo yokongezwa kwe-mechanical traction kunyango lomzimba kwiintlungu ezisezantsi? Uphononongo olucwangcisiweyo kunye nohlalutyo lwemeta. Acta Orthop Traumatol Turc , 57 (1), 3-16. doi.org/10.5152/j.aott.2023.21323
Vanti, C., Turone, L., Panizzolo, A., Guccione, AA, Bertozzi, L., & Pillastrini, P. (2021). Ukutsalwa ngokuthe nkqo kwi-lumbar radiculopathy: uphononongo olucwangcisiweyo. Arch Physiother , 11 (1), 7. doi.org/10.1186/s40945-021-00102-5
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