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IQela leKliniki eNgemva leChiropractic Spine Care Team. Umnqonqo uyilwe ngeegophe zendalo ezintathu; intamo igophe okanye umqolo womlomo wesibeleko, umqolo ophezulu ogobileyo okanye umqolo wethoracic, kunye nomqolo ongaphantsi ogobileyo okanye i-lumbar spine, zonke ezidibanayo zenze ukumila okuncinci xa zijongwa ecaleni. Umqolo sisakhiwo esibalulekileyo njengoko inceda ukuxhasa ukuma okuthe tye kwabantu, inika umzimba ukuguquguquka kokuhamba kwaye idlala indima ebalulekileyo yokukhusela intambo yomgogodla. Impilo yomqolo ibalulekile ukuze kuqinisekiswe ukuba umzimba usebenza ngokupheleleyo. UDkt Alex Jimenez ubonisa ngokugqithiseleyo kwiqoqo lakhe lamanqaku malunga nokunyamekela komgudu, indlela yokuxhasa ngokufanelekileyo umqolo ophilileyo. Ngolwazi oluthe kratya, nceda ukhululeke ukunxibelelana nathi apha (915) 850-0900 okanye isicatshulwa ukubiza uGqirha Jimenez buqu (915) 540-8444.


Ukubaluleka koNyango olungaqhawukiyo loNciphiso lwe-Joint Hypermobility

Ukubaluleka koNyango olungaqhawukiyo loNciphiso lwe-Joint Hypermobility

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


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

Iziphumo zeTraction Therapy & Decompression yeHerniated Disc

Iziphumo zeTraction Therapy & Decompression yeHerniated Disc

Ngaba abantu abaneediski ze-herniated banokulufumana uncedo abalufunayo kunyango lwe-traction okanye ukudodobala ukubonelela ngesiqabu seentlungu?

intshayelelo

Umqolo uvumela umntu ukuba ahambe kwaye aguquguquke ngaphandle kokuva intlungu kunye nokungahambi kakuhle xa umntu ehamba. Oku kungenxa yokuba umqolo uyingxenye yenkqubo ye-musculoskeletal equkethe imisipha, i-tendon, i-ligaments, intambo yomgogodla, kunye neediski zomgogodla. Ezi zixhobo zijikeleze umqolo kwaye zinemimandla emithathu ukuvumela iindawo eziphezulu kunye nezisezantsi ukuba zenze imisebenzi yazo. Nangona kunjalo, umqolo ukwaguga xa umzimba uqala ukuguga ngokwemvelo. Ukunyakaza okuninzi okanye izenzo eziqhelekileyo zinokubangela ukuba umzimba ube nzima kwaye, ngokuhamba kwexesha, kunokubangela ukuba i-spinal disc i-herniate. Xa oku kwenzeka, i-disc ye-herniated ingakhokelela kwiintlungu kunye nokungahambi kakuhle kwimida, ngaloo ndlela yenza abantu bajongane nomgangatho wobomi obuncitshisiweyo kunye nentlungu kwimimandla emithathu yomgogodla. Ngethamsanqa, kukho unyango oluninzi, olufana nonyango lwe-traction kunye ne-decompression, ukunciphisa intlungu kunye nokukhathazeka okuhambelana neediski ze-herniated. Inqaku lanamhlanje lijonga ukuba kutheni iidiski ze-herniated zibangela imiba kumqolo kunye nemiphumo yendlela ezi zonyango ezimbini ezinokunceda ukunciphisa iidiski ze-herniated. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya indlela i-disc ye-herniated kumqolo ingaba ngumba obangela intlungu ye-musculoskeletal. Siyazisa kwaye sikhokela izigulane malunga nendlela ukudibanisa ukuchithwa komgogodla kunye nonyango lwe-traction kunokunceda ukulungelelanisa umqolo kunye nokunciphisa i-disc herniation ebangela imiba yomgogodla. Sikhuthaza izigulane zethu ukuba zibuze ababoneleli bezonyango abanxulumene nabo imibuzo enzima kunye nebalulekileyo malunga nokubandakanya unyango olungenalo utyando njengenxalenye yendlela yabo yokunciphisa intlungu kunye nokukhathazeka emizimbeni yabo. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli.

 

Kutheni i-Herniated Discs ibangela imiba kwi-Spine?

Ngaba uziva ungonwabanga rhoqo entanyeni okanye ngasemva okungakuvumeli ukuba uphumle? Ngaba uziva ukubetha kwiindawo zakho eziphezulu kunye nezisezantsi, ukwenza izinto zokubamba okanye ukuhamba nzima? Okanye ngaba uye waqaphela ukuba uzingela kwidesika yakho okanye ukuma kwaye ukolula kubangela intlungu? Njengoko umqolo ugcina umzimba uthe tye, amacandelo awo aphambili abandakanya i-vertebrae eshukumayo, i-nerve root fibers, kunye ne-spinal discs ukunceda ukuthumela izibonakaliso ze-neuron kwingqondo ukuvumela ukunyakaza, ukukhupha amandla othusayo kumqolo, kwaye ube bhetyebhetye. Umqolo uvumela umntu ukuba enze imisebenzi eyahlukeneyo ngaphandle kweentlungu kunye nokungahambi kakuhle ngokusebenzisa ukunyakaza okuphindaphindiweyo. Nangona kunjalo, xa umzimba uguga, kunokukhokelela ekutshintsheni okuguquguqukayo kumqolo, okubangela ukuba i-spinal disc i-herniate ngokuhamba kwexesha. I-disc ye-herniated yimeko eqhelekileyo ye-musculoskelet ye-degenerative eyenza ukuba i-nucleus pulposus iphule kuyo nayiphi na indawo ebuthathaka ye-annulus fibrosus kwaye icinezele iingcambu ze-nerve ezijikelezayo. (UGe et al., 2019) Ngamanye amaxesha, xa iintshukumo eziphindaphindiweyo ziqala ukudala i-disc ye-herniated, inxalenye yangaphakathi ye-disc ingaba yi-desiccated kunye ne-brittle. Ngokwahlukileyo, inxalenye yangaphandle iba yi-fibrotic kwaye i-elastic encinci, ibangela ukuba i-disc iyancipha kwaye ibe yincinci. I-disc ye-herniated inokuchaphazela abantu abancinci nabadala njengoko banokuba negalelo lezinto ezininzi ezibangela ukuba utshintsho lwe-proinflammatory emzimbeni. (Wu et al., 2020

 

 

Xa abantu abaninzi bejongene nentlungu ehambelana ne-disc ye-herniated, i-disc ngokwayo ihamba ngenguqu ye-morphological ngokusebenzisa i- characterization ye-disc ibe ngumonakalo oyingxenye, elandelwa yi-displacement kunye ne-herniation ye-disc yangaphakathi kwi-canal ye-vertebral ukuze icinezele. iingcambu zemithambo-luvo. (Diaconu et al., 2021) Oku kubangela iimpawu zentlungu, ukuba ndindisholo, kunye nobuthathaka kwiindawo eziphezulu kunye nezisezantsi zomzimba ngokusebenzisa i-nerve impingement. Yiyo loo nto, abantu abaninzi bajongana neempawu zentlungu ezigqithisiweyo ezivela ezingalweni zabo nasemilenzeni ekhupha iintlungu. Xa ukunyanzeliswa kwe-nerve ehambelana neediski ze-herniated ziqala ukubangela intlungu kunye nokungahambi kakuhle, abantu abaninzi baqala ukufuna unyango ukuze banciphise intlungu eyenziwa yi-disc ye-herniated ukubonelela ngokukhululeka kwimizimba yabo.

 


Ukuthotywa koMnqonqo kubunzulu-Ividiyo


Iimpembelelo zeTraction Therapy ekunciphiseni i-Herniated Disc

Abantu abaninzi abaphethwe yintlungu echaphazelekayo kwiidiski ze-herniated kwimiqolo yabo banokufuna unyango olufana ne-traction therapy ukunciphisa intlungu. Unyango lokutsalwa lunyango olungasebenzisi utyando ololula kwaye luhlanganise umqolo. Unyango lokutsala lungenziwa ngoomatshini okanye ngesandla yingcali yeentlungu okanye ngoncedo lwezixhobo zoomatshini. Iimpembelelo zonyango lwe-traction zinganciphisa amandla oxinzelelo kwi-spinal disc ngelixa unciphisa ukunyanzeliswa kweengcambu ze-nerve ngokwandisa ubude bediski ngaphakathi komgudu. (Wang et al., 2022) Oku kuvumela ukuba iindawo ezijikelezayo ngaphakathi komqolo zihambe kwaye zichaphazele ngokufanelekileyo umqolo. Ngonyango lwe-traction, imikhosi yoxinzelelo oluphakathi okanye oluzinzileyo lunceda ukolula umqolo, ukunciphisa iintlungu, kunye nokuphucula iziphumo zokusebenza. (Kuligowski et al., 2021

 

Iimpembelelo zoMnqopho wokuNxinzelela ekunciphiseni i-Herniated Disc

Olunye uhlobo lonyango olungenalo utyando luyi-spinal decompression, inguqu ephucukileyo ye-traction esebenzisa iteknoloji yekhompyutheni ukunceda ukusebenzisa i-controlled, i-lattle pulling forces to the spine. I-Spinal decompression iyenza kukuba inokunceda ukuthoba umgudu womgogodla kwaye incede ukutsala i-disc ye-herniated ibuyele kwindawo yayo yasekuqaleni ngelixa uzinzisa umqolo kunye nokugcina amathambo abalulekileyo kunye nezicubu ezithambileyo zikhuselekile. (Zhang et al., 2022) Ukongezelela, ukunyanzeliswa komgogodla kunokudala uxinzelelo olubi kumqolo ukuvumela ukuhamba kwamanzi okunomsoco kunye ne-oksijini yegazi ukubuyela kwiidiski ngelixa udala ubudlelwane obuphambeneyo xa kuqaliswa uxinzelelo lwengcinezelo. (URamos noMartin, ngo-1994) Bobabini ukunyanzeliswa komgogodla kunye nokunyangwa kwe-traction kunokubonelela ngeendlela ezininzi zonyango ukubonelela ngokukhululeka kubantu abaninzi abajongene neediski ze-herniated. Ngokuxhomekeke kwindlela enzima ngayo i-disc ye-herniated ibangele imiba kumqolo womntu, abaninzi banokuthembela kunyango olungelulo utyando ngenxa yesicwangciso salo esilungelelanisiweyo esinomntu kwintlungu yomntu kwaye inokudibaniswa kunye nezinye iindlela zonyango zokuqinisa imisipha ejikelezayo. Ngokwenza njalo, abantu abaninzi banokungabi nantlungu ekuhambeni kwexesha ngelixa bekhumbula imizimba yabo. 

 


Ucaphulo

Diaconu, GS, Mihalache, CG, Popescu, G., Man, GM, Rusu, RG, Toader, C., Ciucurel, C., Stocheci, CM, Mitroi, G., & Georgescu, LI (2021). Iingqwalasela zeklinikhi kunye ne-pathological kwi-lumbar herniated disc ehambelana nezilonda ezivuthayo. Rom J Morphol Embryol, 62(4), 951-960. doi.org/10.47162/RJME.62.4.07

Ge, CY, Hao, DJ, Yan, L., Shan, LQ, Zhao, QP, He, BR, & Hui, H. (2019). Intradural Lumbar Disc Herniation: Ingxelo yeNgxelo kunye noPhononongo loNcwadi. Clin Interv Ukuguga, 14, 2295-2299. doi.org/10.2147/CIA.S228717

Kuligowski, T., Skrzek, A., & Cieslik, B. (2021). Unyango lweNcwadana kwi-Cervical and Lumbar Radiculopathy: Ukuphononongwa okuCwangcisiweyo koNcwadi. Int J Environ Res Impilo yoLuntu, 18(11). doi.org/10.3390/ijerph18116176

Ramos, G., & Martin, W. (1994). Iziphumo ze-vertebral axial decompression kuxinzelelo lwe-intradiscal. J Neurosurg, 81(3), 350-353. doi.org/10.3171/jns.1994.81.3.0350

Wang, W., Long, F., Wu, X., Li, S., & Lin, J. (2022). Ukusebenza kweKlinikhi ye-Mechanical Traction njenge-Physical Therapy ye-Lumbar Disc Herniation: Uhlalutyo lwe-Meta. Iindlela zeMathematika zeKhompyutha Med, 2022, 5670303. doi.org/10.1155/2022/5670303

Wu, PH, Kim, HS, & Jang, IT (2020). Izifo ze-Intervertebral Disc ICANDELO 2: Uphononongo lweSicwangciso sokuHlola kunye noNyango lwangoku lwe-Intervertebral Disc Disease. Int J Mol Sci, 21(6). doi.org/10.3390/ijms21062135

Zhang, Y., Wei, FL, Liu, ZX, Zhou, CP, Du, MR, Quan, J., & Wang, YP (2022). Ukuthelekiswa kweendlela zokuchithwa kwe-posterior kunye ne-laminectomy eqhelekileyo ye-lumbar spinal stenosis. I-Front Surg, 9, 997973. doi.org/10.3389/fsurg.2022.997973

 

isikhanyeli

Indima yoNyango lweDecompression ekuBuyiselweni kweDisc Spinal

Indima yoNyango lweDecompression ekuBuyiselweni kweDisc Spinal

Ngaba abantu abaneentlungu zomqolo ezintanyeni zabo kunye nomqolo bangasebenzisa unyango lwe-decompression ukubuyisela ubude be-spinal disc kwaye bafumane isiqabu?

intshayelelo

Abantu abaninzi abaqondi ukuba njengoko umzimba uya ukhula, kunjalo nomnqonqo. Umqolo yinxalenye yenkqubo ye-musculoskeletal enikezela ngenkxaso yesakhiwo kumzimba ngokuwugcina ulungile. Izihlunu ezijikelezileyo, iigaments, kunye nezicubu ezijikeleze umgudu zinceda ngokuzinza kunye nokuhamba, ngelixa i-disc ye-spinal kunye ne-joints inikezela ukuxutywa kokutshatyalaliswa kwisisindo esithe nkqo. Xa umntu ehamba kunye nemisebenzi yakhe yemihla ngemihla, umqolo unokuvumela umntu ukuba ahambe ngaphandle kweentlungu okanye ukungahambi kakuhle. Nangona kunjalo, njengoko ixesha lihamba, umqolo uhamba ngeenguqu eziguqukayo ezinokubangela intlungu kunye nokungahambi kakuhle emzimbeni, ngaloo ndlela ushiya umntu ukuba ajongane neeprofayili ezinobungozi ezinokuchaphazela intamo kunye nomva. Ukuza kuthi ga ngelo xesha, abantu abaninzi bafuna unyango lokunciphisa intlungu echaphazela umqolo wabo kunye nokubuyisela ukuphakama kwediski emizimbeni yabo. Inqaku lanamhlanje lijonga indlela iintlungu zomgogodla ezichaphazela ngayo intamo yomntu kunye nomva kunye nendlela unyango olufana nokuthotywa komgogodla kunokunciphisa intlungu yomgogodla kunye nokubuyisela ukuphakama kwediski. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya indlela intlungu yomgogodla inokuchaphazela kakhulu impilo yomntu kunye nomgangatho wobomi emizimbeni yabo. Siyazisa kwaye sikhokela izigulane malunga nendlela ukudibanisa ukuchithwa komgogodla kunokunceda ukunciphisa intlungu yomgogodla kunye nokubuyisela ukuphakama kwe-spinal disc. Sikhuthaza izigulana zethu ukuba zibuze ababoneleli bezonyango abanxulumene nabo imibuzo entsonkothileyo kunye nebalulekileyo malunga nokubandakanya unyango olungasebenzisi utyando kwindlela yempilo kunye nokuba sempilweni ukuze kuthomalaliswe iintlungu zomqolo kunye nokubuyisela umgangatho wobomi babo. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli.

 

Indlela iintlungu zoMnqonqo ezichaphazela ngayo iNtamo yoMntu kunye nomqolo

Ngaba uziva iintlungu ezingapheliyo zemisipha kunye neentlungu entanyeni nasemva? Ngaba ufumene ukuqina kunye nokuhamba okulinganiselweyo xa ujija kwaye ujika? Okanye ngaba izinto ezinzima zibangela ubunzima bemisipha xa usuka kwenye indawo ukuya kwenye? Abantu abaninzi baya kuba sendleleni kwaye babekwizikhundla ezingaqhelekanga ngaphandle kokuziva iintlungu kunye nokungakhululeki xa kufikwa kumqolo. Oku kubangelwa ukuba izihlunu ezijikelezileyo kunye nezicubu zoluliwe kwaye iidiski zomgogodla zithatha uxinzelelo oluthe nkqo kumqolo. Nangona kunjalo, xa iimeko zokusingqongileyo, ukulimala okubuhlungu, okanye ukuguga kwendalo kuqala ukuchaphazela umqolo, kunokukhokelela ekuphuhlisweni kweentlungu zomgogodla. Oku kungenxa yokuba inxalenye yangaphandle ye-spinal disc ilungile, kwaye inxalenye yangaphakathi yediski iyachaphazeleka. Xa uxinzelelo olungaqhelekanga luqala ukunciphisa umthamo wamanzi ngaphakathi kwediski, lunokuvuselela ngaphakathi kwi-receptors yentlungu ngaphandle kweempawu zeengcambu ze-nerve ngaphakathi kwediski. (Zhang et al., 2009) Oku kubangela ukuba abantu abaninzi bajongane neentlungu zentamo kunye nomqolo emizimbeni yabo kwaye banciphise umgangatho wobomi babo. 

 

 

Iintlungu zomqolo zingakhokelela kwiiprofayili zomngcipheko ezidlulayo ezibangela ukuba abantu abaninzi bajongane neentlungu ezibuhlungu ezisezantsi kunye neentlungu zentamo, nto leyo ebangela ukuba izihlunu ezijikelezileyo zibe buthathaka, ziqine, kwaye zolule kakhulu. Ngelo xesha, iingcambu ze-nerve ezijikelezayo nazo zichaphazelekayo njengoko iintambo ze-nerve zijikeleze iindawo zangaphandle kunye nezangaphakathi ze-spinal disc, ezibangela iimpawu zentlungu ye-nociceptive entanyeni nasemva kwaye ikhokelela kwiintlungu ze-discogenic. (Coppes et al., 1997) Xa abantu abaninzi bejongene nentlungu ye-muscle ehambelana ne-spinal discs, ibangela umjikelezo we-pain-pain-pain onokuchaphazela imizimba yabo ngenxa yokungahambi ngokwaneleyo kunye nokubangela imisebenzi ye-muscular ebuhlungu xa uzama ukuhamba. (URoland, ngo-1986) Xa umntu enokuhamba okulinganiselweyo kubangela ukuba bafumane intlungu yomgogodla, ukuphakama kwabo kwediski yendalo kuncipha ngokukhawuleza, kubangela imiba emininzi emizimbeni yabo kunye nemithwalo yentlalontle yezoqoqosho. Ngethamsanqa, xa abantu abaninzi bejongene neentlungu zomgogodla, unyango oluninzi lunokunciphisa intlungu yomgogodla kunye nokubuyisela ubude babo bediski.

 


Amayeza okunyakaza-Ividiyo


Njani ukudodobala koMnqongo kunciphisa iintlungu zoMnqonqo

Xa abantu befuna unyango lweentlungu zabo zomqolo, abaninzi baya kufuna unyango lotyando ukunciphisa iintlungu zabo, kodwa kuya kuba yixabiso elincinci. Nangona kunjalo, abantu abaninzi baya kukhetha unyango olungasebenzisi utyando ngenxa yokufikeleleka kwabo. Unyango olungasebenzisi utyando luyonga kwaye luyakwazi ukwenzeka kwiintlungu zomntu kunye nokungonwabi. Ukusuka kukhathalelo lwe-chiropractic ukuya kwi-acupuncture, kuxhomekeke kubukhulu bentlungu yomntu, abaninzi baya kufumana isiqabu abasifunayo. Olunye lolona nyango lusandul’ ukusekwa lokunciphisa iintlungu zomqolo kukuthotywa komqolo. Ukunyanzeliswa komgogodla kuvumela umntu ukuba afakwe kwitafile yokutsala. Oku kungenxa yokuba itsala ngobunono kumqolo ukuze ilungelelanise i-spinal disc ngokunciphisa uxinzelelo kumnqonqo ukubiza inkqubo yokuphilisa yendalo yomzimba ukuthomalalisa iintlungu. (URamos noMartin, ngo-1994) Ukongezelela, xa abantu abaninzi besebenzisa ukunyanzeliswa komgogodla, ukunyanzeliswa kobumnene kunika ukuphazamiseka kwemoto kumqolo onokuthi ubangele utshintsho lomzimba kwi-spinal disc kwaye uncede ukubuyisela uluhlu lomntu ohambahambayo, ukuguquguquka, kunye nokuhamba. (U-Amjad et al., ngo-2022)

 

Ukuthotywa koMnqongo Ukubuyisela Ukuphakama kweDiskhi ye-Spinal

 

Xa umntu ebotshelelwa kumatshini wokunciphisa umgogodla, ukutsalwa okuthambileyo kunceda i-spinal disc ibuyele kumqolo, ivumela ulwelo kunye nezondlo ukuba zibuyisele umqolo, ukwandisa ukuphakama kwediski yomgogodla. Oku kungenxa yokuba i-spinal decompression idala uxinzelelo olubi kumqolo, okuvumela ukuba i-spinal disc ibuyele ekuphakameni kwayo kwasekuqaleni kwaye inike uncedo. Ngaphezu koko, into emangalisayo eyenziwa yi-spinal decompression kukuba inokudibaniswa kunye nonyango lomzimba ukunceda ukunweba kunye nokuqinisa imisipha ejikelezayo kufuphi nomgudu wokubonelela ukuzinza kunye nokuguquguquka. (Vanti et al., 2023) Oku kuvumela umntu ukuba acinge ngakumbi ngemizimba yakhe kwaye aqale ukubandakanya utshintsho oluncinci lomkhwa ukunciphisa intlungu ekubuyeni. Xa abantu abaninzi beqala ukucinga ngempilo yabo kunye nokuphila kakuhle ngokuya kunyango, baya kuphinda bafumane umgangatho wobomi kwaye babuyele kwimisebenzi yabo yemihla ngemihla ngaphandle kwemiba echaphazela umqolo wabo. 


Ucaphulo

Amjad, F., Mohseni-Bandpei, MA, Gilani, SA, Ahmad, A., & Hanif, A. (2022). Imiphumo yonyango lwe-decompression non-surgeon ukongeza kunyango oluqhelekileyo lomzimba kwiintlungu, uluhlu lokunyakaza, ukunyamezela, ukukhubazeka okusebenzayo kunye nomgangatho wobomi ngokubhekiselele kunyango oluqhelekileyo lomzimba yedwa kwizigulane ezine-radiculopathy lumbar; ulingo olulawulwa ngokungakhethiyo. I-BMC Musculoskelet Disord, 23(1), 255. doi.org/10.1186/s12891-022-05196-x

Coppes, MH, Marani, E., Thomeer, RT, & Groen, GJ (1997). Innervation yeediski "ezibuhlungu" ze-lumbar. Isihlwele (Phila Pa 1976), 22(20), 2342-2349; ingxoxo 2349-2350. doi.org/10.1097/00007632-199710150-00005

Ramos, G., & Martin, W. (1994). Iziphumo ze-vertebral axial decompression kuxinzelelo lwe-intradiscal. J Neurosurg, 81(3), 350-353. doi.org/10.3171/jns.1994.81.3.0350

Roland, MO (1986). Ukuphononongwa okubalulekileyo kobungqina bomjikelezo we-pain-pain-pain in disorder disorders. UClin Biomech (eBristol, eAvon), 1(2), 102-109. doi.org/10.1016/0268-0033(86)90085-9

Vanti, C., Saccardo, K., Panizzolo, A., Turone, L., Guccione, AA, & Pillastrini, P. (2023). Imiphumo yokongezwa kwe-mechanical traction kunyango lomzimba kwiintlungu ezisezantsi? Uphononongo olucwangcisiweyo kunye nohlalutyo lwemeta. Acta Orthop Traumatol Turc, 57(1), 3-16. doi.org/10.5152/j.aott.2023.21323

Zhang, YG, Guo, TM, Guo, X., & Wu, SX (2009). Ukuxilongwa kweklinikhi kwiintlungu ezisezantsi ze-discogenic. Int J Biol Sci, 5(7), 647-658. doi.org/10.7150/ijbs.5.647

isikhanyeli

I-Spasms yangasemva: Ukufumana njani ukuNceda kunye nokuThintela iziqendu ezizayo

I-Spasms yangasemva: Ukufumana njani ukuNceda kunye nokuThintela iziqendu ezizayo

Ukufunda unobangela wengxaki kunye nendlela yokulawula ngokufanelekileyo kunokunceda abantu abafumana i-spasms emva ngokukhawuleza nangokukhuselekileyo babuyele kumanqanaba angaphambili omsebenzi kunye nomsebenzi.

I-Spasms yangasemva: Ukufumana njani ukuNceda kunye nokuThintela iziqendu ezizayo

I-Spasm yangasemva

Abantu abajongene neentlungu ze-back back okanye i-sciatica badla ngokuchaza iimpawu njengemisipha yomqolo eqinisa okanye i-spasming. Ukuqaqanjelwa ngasemva kunokuziva kuthambile, njengokucinezela inqindi kwelinye icala lomqolo okanye iintlungu eziqatha ezithintela umntu ukuba angahlali, eme, okanye ahambe kakuhle. I-Bask spasms ingaba nzima, ibangela ubunzima bokugcina ukuma okuqhelekileyo okuthe tye.

Yintoni iSpasm

Ukuqaqanjelwa ngasemva kukuqala ngesiquphe kokuqina kwezihlunu zangasemva. Ngamanye amaxesha, imvakalelo eqinile iba qatha kwaye inzima kangangokuba ithintela umntu ukuba ahambe ngokuqhelekileyo. Abanye abantu banobunzima bokugoba phambili ngenxa yeentlungu kunye nokuqina.

iimpawu

Uninzi lweziqendu zihlala iiyure ezininzi ukuya kwiintsuku ezininzi. Iimeko ezinzima zinokuhlala malunga neeveki ezintandathu ukuya kwezisibhozo, kodwa i-spasms kunye neentlungu ziyancipha ngokuthe ngcembe, zivumela umntu ukuba ahambe ngokuqhelekileyo kwaye aqalise umsebenzi wesiqhelo. Iimpawu eziqhelekileyo kunye neempawu zinokubandakanya:

  • Ubunzima bokugoba.
  • Imvakalelo eqinile ngasemva.
  • Ukubetha iintlungu kunye nokuziva.
  • Iintlungu kwicala elinye okanye omabini emqolo.

Ngamanye amaxesha, i-spasm inokubangela iintlungu ezikhuphayo kwiimpundu nasezinqeni. Xa kunzima, kunokukhatshwa ziintlungu zemithambo-luvo, ukuba ndindisholo, kunye nokuntyiloza okuphuma ezantsi emlenzeni omnye okanye yomibini. (Medline Plus. 2022)

Izizathu

I-spasms yangasemva ibangelwa yi-tight muscle tissue, ehlala iphumela kuxinzelelo oluthile lomatshini. Uxinzelelo lubangela ukuba izihlunu ezikufutshane nomnqonqo zitsalwe ngendlela engaqhelekanga. Njengomphumo wokutsalwa, imicu ye-muscle iba yi-taut kwaye ibuhlungu. Oonobangela bomatshini bokuqhawuka komqolo kunokubandakanya: (Incwadi yeMerck, ka-2022)

  • Ukuhlala kakubi kunye/okanye ukuma.
  • Ukulimala okuphindaphindiweyo kokusetyenziswa ngokugqithisileyo.
  • Iintlobo zeLumbar.
  • I-Lumbar disc herniations.
  • I-osteoarthritis esezantsi.
  • I-Spondylolisthesis - i-vertebrae shift out of position, kuquka i-anterolisthesis kunye ne-retrolisthesis.
  • I stenosis

Zonke ezi zinokubeka uxinzelelo olwandisiweyo kwizakhiwo ze-anatomical kumqolo. Izihlunu ezisezantsi ezikufutshane nezi zakhiwo zinokungena kwi-spasm ekhuselayo enokuthi ibangele ukuvakalelwa okuqinileyo kunye nobuhlungu kumqolo. Ezinye izizathu ezingezizo ezomatshini ze-spasms ezisezantsi ziquka:Incwadi yeMerck, ka-2022)

  • Ukuxinezeleka kunye nexhala
  • Ukunqongophala kokusebenza komzimba kunye nokuzilolonga
  • Fibromyalgia

Izinto zobungozi

Imiba yomngcipheko we-spasms yangasemva ibandakanya: (Iziko leSizwe leNeurological Disorders kunye neStroke, ngo-2023)

  • ubudala
  • Izinto ezinxulumene nomsebenzi - ukuphakamisa rhoqo, ukutyhala, ukutsala, kunye/okanye ukujija.
  • Ukuhlala kakubi okanye ukuhlala ixesha elide ngaphandle kokuxhaswa ngasemva.
  • Ukunqongophala kokulungiswa komzimba.
  • Ukutyeba kakhulu okanye ukutyeba.
  • Iimeko zengqondo - ukuxhalaba, ukudakumba, kunye noxinzelelo lweemvakalelo.
  • Imbali yosapho lwezonyango lwe-ankylosing spondylitis.
  • ukutshaya

Abantu banokuyeka ukutshaya, baqale umthambo, okanye benze izinto ezintle ukunceda ukulawula uxinzelelo. Abantu abajongene ne-back spasms banokufuna ukubona umboneleli wezempilo ukuze bafumane ukuxilongwa ngokufanelekileyo kunye nonyango.

impatho

Unyango lwe-back spasms lungabandakanya amayeza asekhaya okanye unyango oluvela kubaboneleli bezonyango. Unyango lwenzelwe ukukhulula i-spasms kunye nokulawula uxinzelelo lomatshini olunokuba lubangele. Iingcali zonyango nazo zingabonisa izicwangciso zokuthintela i-spasms. Amayeza asekhaya anokuquka: (Incwadi yeMerck, ka-2022)

  • Ukusetyenziswa kobushushu okanye umkhenkce
  • I-massage esezantsi
  • Uhlengahlengiso lwasemva
  • Ukuzola okuthambileyo
  • Iyeza le-analgesic
  • Amayeza okulwa nokudumba (U-Anuj Bhatia et al., 2020)

Ukuba iindlela zokuzinyamekela azikwazi ukunika uncedo, abantu ngabanye banokufuna ukutyelela ingcali yezonyango ukuze bafumane unyango. Unyango lwezonyango lungabandakanya: (Incwadi yeMerck, ka-2022)

  • Ulungiso lwenyama
  • Ukhathalelo lweChiropractic
  • Ukwenza i-Acupuncture
  • Ukuthotywa kwe-non-utyando
  • Transcutaneous zombane neuromuscular stimulation
  • Iinaliti zesteroid
  • Utyando lweLumbar lunyango lokugqibela.

Uninzi lwabantu luyakwazi ukulawula iimpawu ngonyango lomzimba okanye i-chiropractic, ebandakanya umthambo wokufunda kunye nohlengahlengiso lwesimo ukuze unciphise ukuqina.

uthintelo

Uhlengahlengiso olulula lokuphila lunokuba nefuthe elibonakalayo kwi-spasms yangasemva. Iindlela zokuthintela umva spasms ingaquka: (Medline Plus. 2022) (Incwadi yeMerck, ka-2022)

  • Ukugcina i-hydration yonke imini.
  • Ukutshintsha ukunyakaza kunye nokugoba kunye nokuphakamisa iindlela.
  • Ukuziqhelanisa neendlela zokulungisa i-postural.
  • Ukwenza umthambo wokuzolula imihla ngemihla kunye nokomeleza.
  • Ukuzibandakanya kwi-cardiovascular exercise.
  • Ukwenza ukucamngca okanye ezinye iindlela zokulawula uxinzelelo.

UkuBuyiselwa Kokwenzakala komntu


Ucaphulo

Medline Plus. (2022). Iintlungu ezisezantsi-ezibuhlungu. Ifunyenwe kwi medlineplus.gov/ency/article/007425.htm

Incwadi yeMerck. (2022). Iintlungu ezisezantsi. Merck Manual Consumer Version. www.merckmanuals.com/home/bone,-joint,-and-muscle-disorders/low-back-and-neck-pain/low-back-pain

Iziko leSizwe leZiphazamiso zeNeurological kunye neStroke. (2023). Umqolo obuhlungu. Ifunyenwe kwi www.ninds.nih.gov/health-information/disorders/back-pain?

Bhatia, A., Engle, A., & Cohen, SP (2020). Iiarhente ze-pharmacological zangoku kunye nexesha elizayo zonyango lwentlungu emva. Uluvo lweengcali kwi-pharmacotherapy, i-21 (8), i-857-861. doi.org/10.1080/14656566.2020.1735353

I-Intervertebral Foramen: Isango leMpilo ye-Spine

I-Intervertebral Foramen: Isango leMpilo ye-Spine

Kubantu abafuna ukuphucula impilo yabo yomgogodla, ngaba ukuqonda i-anatomy ye-intervertebral foramen kunceda ekubuyiseleni ukulimala kunye nokukhusela?

I-Intervertebral Foramen: Isango leMpilo ye-Spine

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)
  1. Ukuvulwa kwe-intervertebral foramen kuphakathi kwee-vertebrae ezimbini, apho iingcambu ze-nerve ziphuma kumqolo.
  2. I-neural foramina ezimbini zikhona phakathi kwepere nganye ye-vertebrae, enye kwicala ngalinye.
  3. 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)
  1. Uphawu oluphambili ziintlungu.
  2. Ukuba ndindisholo kunye/okanye ukuntyiloza kunokuvela ngokuxhomekeke kumonzakalo.
  3. I-Neurogenic claudication iyenzeka ngenxa ye-ischemia okanye ukungabikho kokujikeleza kwegazi kwimithambo-luvo kwaye ngokuqhelekileyo ibonisa ubunzima emilenzeni.
  4. Ngokuqhelekileyo inxulumene ne-stenosis ephakathi kune-foraminal stenosis.
  5. Uninzi lwabantu abane-spinal stenosis baziva bengcono xa beguquguquka okanye begoba phambili kwaye beba mbi ngakumbi xa begoba umqolo wabo.
  6. 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.
Ezi ziquka:

  • 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


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

Isigama seChiropractic: Isikhokelo esinzulu

Isigama seChiropractic: Isikhokelo esinzulu

Kubantu abaphethwe yintlungu emva, ngaba ukwazi isigama esisisiseko se-chiropractic kunokunceda ukuqonda ukuxilongwa kunye nophuhliso lwesicwangciso sonyango?

Isigama seChiropractic: Isikhokelo esinzulu

Isigama seChiropractic

Umgaqo we-chiropractic kukuba umqolo ohambelana ngokufanelekileyo uchaphazela impilo yomntu wonke. Enye yezona zinto ziphambili zokhathalelo lwe-chiropractic kukusebenzisa amandla okubalwa kumalungu omqolo ukuze kubuyiselwe ulungelelwaniso oluchanekileyo lomgudu. Isigama seChiropractic sichaza iintlobo ezithile zobugcisa kunye nokunyamekela.

I-Subluxation ngokubanzi

I-subluxation inokuthetha izinto ezahlukeneyo koogqirha abahlukeneyo. Ngokuqhelekileyo, i-subluxation yinto ebalulekileyo yokufuduka kwesakhiwo okanye ukuchithwa okungaphelelanga okanye okuyingxenye yokubambisana okanye ilungu.

  • Kuogqirha bezonyango, i-subluxation ibhekisela kwinxalenye ukususwa kumqolo womqolo.
  • Le yimeko enzima, edla ngokuziswa yintlungu, enokubangela ukulimala kwentambo yomgogodla, ukukhubazeka, kunye / okanye ukufa.
  • I-X-rays ibonisa i-subluxation eqhelekileyo njengento ecacileyo yokuqhawula phakathi kwe-vertebrae.

I-Chiropractic Subluxation

  • Ukutolika kwe-chiropractic kunobuqili ngakumbi kwaye kubhekiselele kwi impazamo i-vertebrae yomqolo ekufutshane.
  • I-Subluxations yi-pathology ephambili ephathwa ngabasebenzi be-chiropractors. (UCharles NR Henderson 2012)
  • I-subluxation kulo mongo ibhekisela ekutshintsheni isikhundla kumalungu kunye nezicubu ezithambileyo zomqolo.
  • I-Vertebral misalignment ikholelwa ukuba ikhokelela kwiintlungu kunye nokungahambi kakuhle kwe-intervertebral joint motion.
  • Lo mahluko phakathi kwemeko yonyango enzulu kunye nenguqu ye-chiropractic inokubangela ukuba abantu bagxothe ukufuna unyango lwentlungu emva.

Icandelo elishukumayo

  • I-Chiropractors kunye noogqirha bayisebenzisa njengegama lobugcisa.
  • Icandelo leMotion libhekiselele kwii-vertebrae ezimbini ezikufutshane kunye ne-intervertebral disc phakathi kwabo.
  • Le yindawo yokuvavanya i-chiropractors kunye nokulungelelanisa.

Uhlengahlengiso

  • I-chiropractor yenza uhlengahlengiso lwencwadana yomgogodla ukulungelelanisa i-subluxations edibeneyo.
  • Uhlengahlengiso lubandakanya ukusebenzisa amandla kumacandelo ashukumayo ukuwabuyisela kulungelelwaniso olusembindini.
  • Injongo yohlengahlengiso kunye nokulungelelanisa i-vertebrae ibandakanya:
  • Imithambo-luvo inokuhambisa imiqondiso ngaphandle kokuphazamiseka.
  • Ichaphazela impilo yonke kakuhle. (UMarc-André Blanchette et al., 2016)

Ukunyanzelisa

Ukunyanzelwa komqolo yindlela esetyenziswa ziichiropractors ukunika isiqabu kwiintlungu ze-musculoskeletal ezinxulumene nomqolo kunye nentamo. Ukukhohlisa kunika isiqabu esithambileyo ukuya esiphakathi kwaye kusebenza kunye nonyango oluqhelekileyo olufana namayeza okuphelisa iintlungu. (USidney M. Rubinstein et al., 2012)

  • Ukuguqulwa komqolo kwahlulwe ngokwamanqanaba okugaya.
  • Ngokuxhomekeke kuqeqesho lwabo, oogqirha bamacandelo ngamacandelo ezonyango banokunikwa iimpepha-mvume zokwenza ibakala 1 ukuya kwibakala lesi-4.
  • Kuphela ngabanyangi bomzimba, oogqirha be-osteopathic, kunye ne-chiropractors abanelayisenisi yokwenza i-5 mobilizations, eziyindlela yokuqhubela phambili ngesantya esiphezulu.
  • Uninzi lwee-massage therapists, abaqeqeshi bezemidlalo, kunye nabaqeqeshi bomntu abanalo ilayisenisi yokwenza ukuguqulwa komgogodla.

Ngokusekelwe kuphononongo olucwangcisiweyo, ukuphumelela kolu nyango lufumene ukuba kukho ubungqina obusemgangathweni bokuthi ukunyanzeliswa kunye nokuhlanganisa kunokunceda ukunciphisa intlungu kunye nokuphucula umsebenzi kubantu abaneentlungu ezingapheliyo ezisezantsi, kunye nokukhwabanisa kubonakala kuvelisa umphumo onzulu ngaphezu kokuhlanganiswa. Omabini amayeza akhuselekile, kwaye unyango lwe-multimodal lunokuba lukhetho olusebenzayo. (Ian D. Coulter et al., 2018)

Njengalo naluphi na unyango, iziphumo ziyahluka ukusuka kumntu ukuya kumntu kunye ne-chiropractors ezahlukeneyo. Kukwakho nemingcipheko enokubakho ngokuphathwa komqolo. Nangona inqabileyo, i-cervical, i-carotid, kunye ne-vertebral artery dissections yenzeke ngokuphathwa komlomo wesibeleko / intamo. (Kelly A. Kennell et al., 2017) Abantu abane-osteoporosis banokucetyiswa ukuba bagweme ukulungiswa kwe-chiropractic okanye ukuguqulwa ngenxa yokwanda komngcipheko wokulimala. (James M. Whedon et al., 2015)

Abantu abaninzi bakhetha unyango lwe-chiropractic kwiimeko ezahlukeneyo. Ukuqonda chiropractic isigama kunye nokuqiqa kuvumela abantu ukuba babuze imibuzo njengoko bexoxa ngeempawu zabo ukuphuhlisa isicwangciso sonyango lomntu kunye nokubuyisela ukusebenza kunye nokuphila kakuhle.


Yintoni ebangela iDisc Herniation?


Ucaphulo

Henderson CN (2012). Isiseko sokuguqulwa komgogodla: imbono ye-chiropractic yezibonakaliso kunye nethiyori. Umbhalo we-electromyography kunye ne-kinesiology: iphephancwadi elisemthethweni le-International Society of Electrophysiological Kinesiology, i-22 (5), i-632-642. doi.org/10.1016/j.jelekin.2012.03.008

UBlanchette, MA, Stochkendahl, MJ, Borges Da Silva, R., Boruff, J., Harrison, P., & Bussières, A. (2016). Ukusebenza kakuhle kunye noVavanyo lwezoQoqosho loNyango lweChiropractic yoNyango lwentlungu esezantsi: Ukuphononongwa okuCwangcisiweyo kwePragmatic Studies. PloS enye, 11(8), e0160037. doi.org/10.1371/journal.pone.0160037

Rubinstein, SM, Terwee, CB, Assendelft, WJ, de Boer, MR, & van Tulder, MW (2012). Unyango lwe-Spinal manipulative for acute low-back pain. I-database ye-Cochrane yokuphononongwa okucwangcisiweyo, i-2012 (9), i-CD008880. doi.org/10.1002/14651858.CD008880.pub2

Coulter, ID, Crawford, C., Hurwitz, EL, Vernon, H., Khorsan, R., Suttorp Booth, M., & Herman, PM (2018). Ukuguqulwa kunye nokuhlanganisa ukunyanga iintlungu ezingapheliyo ezibuhlungu ezisezantsi: ukuphononongwa okucwangcisiweyo kunye nohlalutyo lwe-meta. Ijenali yomqolo : ijenali esemthethweni yeNorth American Spine Society, 18 (5), 866-879. doi.org/10.1016/j.spinee.2018.01.013

Kennell, KA, Daghfal, MM, Patel, SG, DeSanto, JR, Waterman, GS, & Bertino, RE (2017). I-artery dissection yomlomo wesibeleko enxulumene nokuguqulwa kwe-chiropractic: amava eziko elinye. Ijenali yokuziqhelanisa nosapho, 66(9), 556–562.

Whedon, JM, Mackenzie, TA, Phillips, RB, & Lurie, JD (2015). Umngcipheko wokulimala okwenzakalayo okuhambelana nokunyanzeliswa komgogodla we-chiropractic kwi-Medicare Part B abaxhamli abaneminyaka eyi-66 ukuya kwi-99 iminyaka. Umqolo, 40 (4), 264-270. doi.org/10.1097/BRS.0000000000000725

Uncedo oluvela kwi-Degenerative Pain Syndrome: Isikhokelo sokuCacisa

Uncedo oluvela kwi-Degenerative Pain Syndrome: Isikhokelo sokuCacisa

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

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