Uncedo Lwezityalo
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.
by UGqr Alex Jimenez Chiropractic , Uncedo Lwezityalo
Kubantu abaphethwe yintlungu emva, ngaba ukwazi isigama esisisiseko se-chiropractic kunokunceda ukuqonda ukuxilongwa kunye nophuhliso lwesicwangciso sonyango?
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?
VIDEO
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
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 Arthritis , Chiropractic , Ubuhlungu obungapheliyo , Unyango lokuthotywa koMnqonqo , Uncedo Lwezityalo , Unyango , I-Viscerosomatic Reflex
Ngaba abantu abane-osteoarthritis banokubandakanya unyango lwe-spinal decompression ukubuyisela ukuhamba komgogodla kunye nomgangatho wobomi?
intshayelelo
Njengoko umzimba uguga, kunjalo nomgudu, njengoko i-spinal disc phakathi kwamalungu kunye namathambo aqala ukukhupha amanzi ngenxa yokunyanzeliswa rhoqo ngokuphindaphindiweyo. Izinto ezininzi zokusingqongileyo ezifaka isandla kule ngxaki ephazamisayo zinokuhluka ngaphakathi komntu kwaye zikhokelela kwiimeko ze-arthritic ngaphakathi kwinqanaba eliphezulu nangaphantsi. Olona hlobo luxhaphakileyo lwesifo samathambo sisifo samathambo, kwaye sinokuchaphazela abantu abaninzi kwihlabathi liphela. Ukujongana ne-osteoarthritis kumalungu abo kunokubangela iimpawu ezininzi ezinjengeentlungu ezihambelana nezinye iimeko zomzimba, ezibangela iintlungu ezigqithisiweyo. Nangona kunjalo, unyango oluninzi lunokunceda ukucothisa inkqubo ye-osteoarthritis kunye nokunciphisa umzimba kwiimpawu ezinjengeentlungu zamalungu. Inqaku lanamhlanje lijonga indlela i-osteoarthritis echaphazela ngayo ukuhamba komgudu kunye nendlela unyango olunokubuyisela ngayo ukuhamba komgudu kwimiphumo ye-osteoarthritis. Sithetha nababoneleli bezonyango abaqinisekisiweyo abasebenzisa ulwazi lwezigulane zethu ukubonelela ngeendlela ezahlukeneyo zonyango ukunciphisa impembelelo ye-osteoarthritis kumalungu. Sikwaxelela izigulane ukuba unyango oluninzi lunokunceda njani ukucothisa inkqubo ewohlokayo ye-osteoarthritis. Sikhuthaza izigulana zethu ukuba zibuze ababoneleli bezonyango abanxulumene nabo imibuzo entsonkothileyo kunye nebalulekileyo malunga neempawu ezinjengeentlungu abazifumana kwi-osteoarthritis. UDkt Jimenez, D.C., udibanisa le ngcaciso njengenkonzo yezemfundo. isikhanyeli .
I-Osteoarthritis ichaphazela njani ukuHamba koMnqonqo?
Ngaba uye waqaphela ukuqina kwasekuseni emva kokulala kakuhle ebusuku? Ngaba uziva ukuthamba kumalungu akho emva koxinzelelo oluthile olulula? Okanye ngaba uziva ukushukuma okulinganiselweyo kumalungu akho, kubangele uluhlu oluthintelweyo lwentshukumo? Uninzi lwezi meko ezinjengeentlungu zinxulunyaniswa ne-osteoarthritis, ingxaki edibeneyo echaphazela abantu abaninzi, kubandakanya abantu abadala. Njengoko bekutshiwo ngaphambili, xa umzimba ukhula, kunjalo namalungu, amathambo kunye nomqolo. Ngokumalunga ne-osteoarthritis, amalungu aya kuncipha ngokunxiba kwendalo kunye nokukrazula kwi-cartilage. I-osteoarthritis ichaphazela amalungu amaninzi anjenge-hips kunye namadolo, awona axhaphakileyo, kunye nomqolo, kwaye kubangela ukungasebenzi kakuhle kweemotor. ( Yao et al., 2023 ) Xa i-cartilage ejikeleze amajoyina achaphazelekayo iqala ukuwohloka, i-pathogenesis ye-osteoarthritis ibangela ukuba ibhalansi ye-cytokine ephazamisekileyo ye-cytokines ye-proinflammatory iqalise umjikelezo onobuqhetseba obangela ukuba i-cartilage kunye nomonakalo wesakhiwo se-intra-articular ujikeleze umgudu. ( UMolnar et al., 2021 ) Yintoni le yenziwayo kukuba xa i-osteoarthritis iqala ukuchaphazela amalungu, inokukhokelela kwiimpawu ezininzi ezifana neentlungu.
Nangona kunjalo, nangona i-osteoarthritis inokuchaphazela amalungu, ngokwemvelo, izinto ezininzi zokusingqongileyo zidlala indima ekuphuhliseni i-osteoarthritis. Ukungasebenzi komzimba, ukutyeba kakhulu, ukukhubazeka kwamathambo, kunye nokulimala kwamalungu ezinye zezizathu ezinokuthi ziqhubele phambili inkqubo yokunciphisa. Iimpawu ezinxulumene nale miba yokusingqongileyo ziquka:
Ubuhlungu Ukuqina ngokudibeneyo ukuthantamisa Ukuvutha Ukuvuvukala Uvakalelo lwe grating I-Bone ihluma
Abantu abaninzi abajongana neempawu ezinjengeentlungu ezibangelwa yi-osteoarthritis baya kuchazela oogqirha babo abaphambili ukuba iintlungu ziyahluka ngexesha, ubunzulu, uhlobo lokwenzeka, impembelelo kunye nesigqi. Oku kungenxa yokuba iintlungu ezivela kwi-osteoarthritis ziyinkimbinkimbi kwaye zininzi. ( U-Wood et al., 2022 ) Nangona kunjalo, abantu abaninzi banokujonga uncedo abaludingayo ukunciphisa imiba efana neentlungu ezibangelwa sisifo samathambo ngonyango olunokuthi lucothise inkqubela-phambili ewohlokayo.
Ukujongwa nzulu kwi-Spinal Decompression-Video
VIDEO
Xa kuziwa ekufuneni unyango lokunciphisa iziphumo ze-osteoarthritis, abantu abaninzi bafuna unyango olungabizi kakhulu kwaye lukhuselekile kubantu abadala. Unyango olungasebenzisi utyando lunokuba sisisombululo abantu abaninzi abafuna ukunciphisa inkqubela phambili ye-osteoarthritis. Xa abantu abafumana i-osteoarthritis besiya kunyango olungelulo utyando, bafumanisa ukuba iintlungu ziyancipha, uluhlu lwabo lokunyakaza luyanda, kwaye umsebenzi wabo womzimba uphuculwe. ( I-Alkhawajah kunye ne-Alshami, ngo-2019 ) Kwangaxeshanye, unyango olungasebenzisi utyando lunokudityaniswa nolunye unyango kwisicwangciso sonyango lomntu ngamnye. Unyango olungenalo utyando lunokuvela kukhathalelo lwe-chiropractic ukuya kwi-spinal decompression njengoko lusebenza ngokucokisekileyo ukulungelelanisa umqolo ngokutsalwa kunye nokunceda ukunciphisa iintlungu ezidibeneyo kunye nezihlunu. Le vidiyo ingasentla inika ujongo olunzulu malunga nokuthotywa komqolo kunye nendlela enokubanceda ngayo abantu abasentlungwini.
Ukunyanzeliswa koMnqonqo Ukubuyisela Ukuhamba koMnqongo ukusuka kwi-Osteoarthritis
Ekubeni i-spinal decompression luhlobo lonyango olungasebenzisi utyando, lunokunceda ukucotha inkqubo ye-osteoarthritis. Ukunyanzeliswa komgogodla kubandakanya ukutsalwa ukutsala ngobumnene kumqolo, ukuvumela iidiski kunye namalungu ukuba afakwe i-lubricated kwaye avumele inkqubo yokuphilisa yendalo ukuba yenzeke. Oku kungenxa yokuba izihlunu ezijikelezileyo ezikhusela amajoyina zolulelwa ngobumnene kwaye indawo yediski ye-vertebral iyanda ukuvumela ukuba i-disc ihlaziywe kwaye i-protrusion ibuyele kwindawo yayo yokuqala. ( UCyriax, ngo-1950 ) Ukunyanzeliswa komgogodla kunokunceda ukunciphisa inkqubo ephazamisayo ye-osteoarthritis, kwaye xa idibene nonyango lomzimba, imisipha ejikelezayo, izicubu kunye nemigqaliselo iyaqiniswa.
Ngokwahlukileyo, ukuhamba ngokubambisana kunye nomgogodla kunye nokuguquguquka kwanda. Ukunyanzeliswa komqolo kunokunceda abantu abaninzi banciphise amathuba abo otyando, njengoko iiseshoni ezilandelelanayo zinokunceda ukubonelela ngeentlungu kunye nokuphuculwa komsebenzi kumqolo. ( I-Choi et al., 2022 ) Xa abantu bephinda baphinde babuyele emizimbeni yabo ukusuka kwi-spinal decompression, banokwenza utshintsho oluncinci kwindlela yabo yemihla ngemihla ukuze banciphise inkqubo ephazamisayo ye-osteoarthritis.
Ucaphulo
Alkhawajah, H. A., & Alshami, A. M. (2019). Umphumo wokuhlanganisa kunye nokunyakaza kwiintlungu kunye nokusebenza kwizigulane ezine-knee osteoarthritis: isilingo esilawulwa ngokungahleliwe esiphindwe kabini. I-BMC Musculoskelet Disord , 20 (1), 452. doi.org/10.1186/s12891-019-2841-4
Choi, E., Gil, HY, Ju, J., Han, WK, Nahm, FS, & Lee, PB (2022). Impembelelo ye-Nonsurgical Spinal Decompression kwi-Intensity of Pain kunye ne-Herniated Disc Volume kwi-Subacute Lumbar Herniated Disc. Ijenali yaMazwe ngaMazwe yoNyango lweKliniki , 2022 , 6343837. doi.org/10.1155/2022/6343837
Cyriax, J. (1950). Ukunyangwa kwezilonda zediski ye-lumbar. Br Med J , 2 (4694), 1434-1438. doi.org/10.1136/bmj.2.4694.1434
Molnar, V., Matisic, V., Kodvanj, I., Bjelica, R., Jelec, Z., Hudetz, D., Rod, E., Cukelj, F., Vrdoljak, T., Vidovic, D., Staresinic, M., Sabalic, S., Dobricic, B., Petrovic, T., Anticevic, D., Boric, I., Kosir, R., Zmrzljak, U. P., & Primorac, D. (2021). IiCytokines kunye neeChemokines ezibandakanyekayo kwi-Osteoarthritis Pathogenesis. Int J Mol Sci , 22 (17). doi.org/10.3390/ijms22179208
Wood, M. J., Miller, R. E., & Malfait, A. M. (2022). IGenesis yePain kwi-Osteoarthritis: Ukuvuvukala njengoMlamli we-Osteoarthritis Pain. Clin Geriatr Med , 38 (2), 221-238. doi.org/10.1016/j.cger.2021.11.013
Yao, Q., Wu, X., Tao, C., Gong, W., Chen, M., Qu, M., Zhong, Y., He, T., Chen, S., & Xiao, G. (2023). I-Osteoarthritis: iindlela zokubonisa i-pathogenic kunye neethagethi zonyango. Ukuhanjiswa kweSignali ekuJoliswe kuyo , 8 (1), 56. doi.org/10.1038/s41392-023-01330-w
isikhanyeli
by UGqr Alex Jimenez Ucoceko loMgcini , Uncedo Lwezityalo
Kubantu abazama ukugcina umqolo onempilo, ngaba ukuqonda izizathu kunye nokuthintela i-vertebrae ejikelezayo kunceda ukukhusela umqolo ekujikelezeni okuyingozi kwe-vertebrae?
Ukujikeleza koMnqonqo
Ukujikeleza komgudu ophilileyo kuyinkalo ebalulekileyo yokuthintela ukulimala, kwaye i-vertebrae ejikeleziweyo okanye i-spine spine ingabangela umqolo, i-nerve, okanye isifo se-muscle okanye ukunyakaza okuthile.
Ubuchule bokuJinga uMnqonqo oQhelekileyo
Umqolo unokuhamba ngeendlela ezininzi. Iintshukumo zomqolo ziquka:
Ukugoba – Ukujikela phambili
Ukwandiswa – Ukubuyela umva
Ukuthambeka emacaleni kuxhaswa zizihlunu ezinceda ekujikeni.
Nangona umqolo unokuhamba ngeendlela ezininzi, kukho imida yokuba ungahamba kangakanani kwaye kufuneka uhambe. (Xinhai Shan et al., 2013 ). Oku kuyinyani ngakumbi ngokujija. Ikholamu yomqolo yenziwe ngamathambo angama-26 adibeneyo abizwa ngokuba yi-vertebrae. Xa uhamba, ithambo ngalinye le-vertebrae lihamba ngokufanelekileyo. I-vertebrae ejikeleziweyo okanye ephothiweyo, ngakumbi xa igobela phambili njengokuphakamisa izinto ezinzima, idibene nomngcipheko wokulimala kwangemva njengoxinzelelo kunye neediski ze-herniated.
Indlela Ujikelezo olusebenza ngayo
Ukujikeleza yintshukumo esisiseko apho abantu banokujika ikholamu yabo yomqolo. Xa ujijwa, umnqonqo nawo ugobela ecaleni. Izihlunu ezibandakanyekayo ekujikelezweni komqolo ziquka:
The izibilini ze-oblique zangaphakathi kunye nangaphandle izisu ezityebileyo musa ukuncamathela ngqo kumqolo kodwa zezona zihlunu zinoxanduva lokunika amandla ukujikeleza komqolo kumqolo ongezantsi.
Izihlunu zangaphakathi , kuquka i-multifidus kunye ne-longissimus, igalelo ekujikeni ukunyakaza ngokunjalo.I-multifidus inceda i-spine twist xa elinye icala libanjwe / lisebenza kwaye linweba i-lumbar spine xa omabini amacala enkontileka.
I-multifidus inceda ukulawula ukunyakaza, kwaye i-longissimus inikezela ukunyakaza kunye nokwandiswa okuthile.
Ubudala kunye noMnqonqo
Njengobudala bomntu ngamnye, umzimba uqokelela uxinzelelo kunye / okanye ubuthathaka kwi-oblique yesisu kunye nezinye izihlunu ze-trunk. Imikhwa yokungafundi ngokuyintloko izisa olu tshintsho. (Pooriput Waongenngarm et al., 2016 )
Izihlunu ezihlala zixinene ngasemva kunye nesisu ziphazamisa uluhlu lwentshukumo ye-trunk, kunye nokukwazi ukujija.
Ubuthathaka bemisipha kunye nokuqina kuchaphazela ukunyakaza komgudu.
Izihlunu ezibuthathaka zinokucutha inkxaso yentshukumo yomnqonqo kwaye inciphise ukuzinza kwe-trunk.
Ukujikeleza koMnqongo kunye ne-Scoliosis
I-Scoliosis yimeko eqhelekileyo eyenza i-lateral curve of the spine. Ezinye ze-vertebrae ziye zifudukele ecaleni. Ngokuqhelekileyo, ukujikeleza okungaqhelekanga kwe-vertebral kuphantsi koku kufuduswa. Unyango luhlala lujolise ekulawuleni ukujikeleza kwe-vertebral kunye nesikhokelo sonyango kunye nonyango lomzimba. (John P. Horne et al., 2014 )
Ukujikeleza ngaphezulu koMnqonqo
Abantu abaninzi bajikelezisa kakhulu imiqolo yabo ngomsebenzi wezandla, nto leyo enokunyusa umngcipheko wokonzakala ngasemva. (Amaziko eSizwe ezeMpilo. 2020 ). Ujikelezo olugqithileyo lunokwenzeka ngemisebenzi efana nokugrumba okanye ukuhlakula.
Zilolonge Ukwenzela uMnqonqo osempilweni
Indlela ecetyiswayo yokufezekisa ukujikeleza okufanelekileyo komqolo kukuzilolonga kwansuku zonke. (Isiseko seMpilo yeSizwe soMnqonqo. 2015 ). Inkqubo esebenzayo yokuzilolonga ngasemva iya kubandakanya iintshukumo macala onke.
I-Yoga iyanconywa kuba ibeka ugxininiso ekuphuhliseni ukuguquguquka kunye namandla kuwo onke amacala.
UPilates wenza okufanayo.
Inkqubo yokuthintela ukulimala iya kusebenza kwi-hip kunye nezihlunu ze-pelvic ngokunjalo.
Abantu abanemeko yomqolo kufuneka badibane nomboneleli wabo wezempilo okanye umgqirha womzimba malunga nendlela yokusebenzisa umqolo ngokukhuselekileyo, njengoko ukuzilolonga okujikelezayo kunokuzenza mbi ngakumbi iingxaki zomqolo ezinje nge-bulging okanye iidiski ze-herniated.
Amandla Angundoqo Womqolo ongenazintlungu
VIDEO
Ucaphulo
Shan, X., Ning, X., Chen, Z., Ding, M., Shi, W., & Yang, S. (2013). Impendulo yokuphuhliswa kweentlungu ezisezantsi kwi-trunk axial twisting eqhubekayo. Ijenali yaseYurophu yomgogodla : ukupapashwa ngokusemthethweni kwe-European Spine Society, i-European Spinal Deformity Society, kunye neCandelo laseYurophu leCervical Spine Research Society, i-22 (9), i-1972-1978. doi.org/10.1007/s00586-013-2784-7
Waongenngarm, P., Rajaratnam, B. S., & Janwantanakul, P. (2016). I-Oblique yangaphakathi kunye ne-Transversus Abdominis Muscle Fatigue ebangelwa yi-Slumped Sitting Posture emva kwe-1 yeyure yokuHlala kwi-Ofisi yabasebenzi. Ukhuseleko kunye nempilo emsebenzini, 7(1), 49–54. doi.org/10.1016/j.shaw.2015.08.001
Horne, JP, Flannery, R., & Usman, S. (2014). I-idiopathic scoliosis yolutsha: ukuxilongwa kunye nokulawula. Ugqirha wentsapho yaseMelika, 89 (3), 193-198.
Amaziko eSizwe ezeMpilo. (2020). Iphepha Lenyani Leentlungu Ezisezantsi .
Isiseko seMpilo yeSizwe soMnqonqo. (2015). Ukwaphula imithambo eyophula uMnqonqo wakho .
by UGqr Alex Jimenez entanyeni Pain , Uncedo Lwezityalo
Abantu abaneentlungu zentamo kunye negxalaba banokufumana into evakala ngathi ngamaqhuma aqiniweyo okanye amaqhina ngaphakathi najikeleze imisipha apho intamo negxalaba zidibana khona. Ngaba ukusebenzisa i-kinesiology tape kwiintanyeni kunye namagxa e-trigger amaphuzu kunceda ukukhulula kunye nokukhulula, ukubuyisela umsebenzi, kunye nokuzisa intlungu?
I-Kinesiology Tape yeNtamo kunye neeNgcaciso ze-Trigger zamagxa
I-trapezius ephezulu kunye ne-levator scapula izihlunu apho ihlombe kunye nentamo zidibana khona kwaye zihlala zihlala kwindawo yokubunjwa kwamanqaku e-trigger. Ezi ngongoma zinokubangela uxinzelelo, intlungu, kunye ne-muscular spasms entanyeni nasemagxeni. Iindlela ezahlukeneyo zonyango zokukhulula amanqaku e-trigger kunye nokunciphisa iimpawu zentlungu zibandakanya i-massage yonyango, ukukhutshwa kwe-trigger point, kunye nohlengahlengiso lwe-chiropractic kwindlela yonyango lwe-multidisciplinary.
Ukukhuthazwa kombane kunye ne-ultrasound ziye zasetyenziswa rhoqo ukuqhawula amaqhina, kodwa ubungqina besayensi bubonise ukuba olu nyango lodwa alulona lusebenzayo. (UDavid O. Draper et al., 2010 )
Ukolula imisipha yentamo kunokuzisa ukukhululeka koxinzelelo kwaye kuncede ukukhulula amaqhina.
Ukuziqhelanisa nokuma okunempilo kunceda ukuphepha nokuthintela iimpawu. (Iklinikhi yaseCleveland. 2019 )
I-kinesiology tape inokunciphisa intlungu kunye ne-spasms kwaye incede ukukhulula amanqaku e-trigger.
unyango
Ukusebenzisa i-kinesiology tape yindlela yonyango lomzimba olunokusetyenziswa ngeendlela ezahlukeneyo.
I-tape inceda ukuphakamisa izicubu eziphezulu ukusuka kwizicubu ezingaphantsi ukunyusa ukujikeleza kunye nokukhulula i-muscular spasms.
Inokunceda ukuphucula ukunyanzeliswa kwemisipha, ukunciphisa ukudumba, kunye nokuthintela iintlungu kwizicubu ezonzakeleyo.
Inceda ukumisa amanqaku okuqalisa kunye namaqhina ukuba abe mandundu.
Iteyiphu ingasetyenziselwa ukulawula i-lymphedema .
ukusetyenziswa
Ukunciphisa amanqaku e-trigger, abantu banokusebenzisa i-kinesiology tape strip ebizwa ngokuba yi- umtya wokuphakamisa . Abantu banokubonisana nomboneleli wabo wezempilo okanye ugqirha womzimba ukubabonisa iintlobo ezahlukeneyo zemicu funda indlela yokuzisika ngokufanelekileyo .
Ngaphambi kokusebenzisa i-kinesiology tape, qhagamshelana nomboneleli wezempilo okanye umgulana womzimba ukuvavanya ukulimala kunye nemeko.
I-Kinesiology tape ayiyena wonke umntu, kwaye abanye abantu banemiqathango apho ukusetyenziswa kwe-kinesiology tape kufuneka kugwenywe ngokupheleleyo.
Umgqirha unokuvavanya intlungu yentamo kunye neengongoma ezibangela ukuba anqume ukuba umntu kufuneka asebenzise i-kinesiology tape.
Ukusebenzisa i-kinesiology tape kwiintanyeni kunye namanqaku okubangela amagxa:
Zikhululeke intamo kunye namagxa avuliwe.
Sika umcu omnye wokuphakamisa kwicala ngalinye lentamo, ukuba kuyimfuneko.
Umtya wokuphakamisa kufuneka ube malunga nee-intshi ezi-3 ukuya kwezi-4 ubude.
Susa i-backback yephepha embindini kunye ne-tape eveziweyo embindini, ekufuneka ibukeke njenge-band-aid.
Zombini iziphelo zomcu wokuphakamisa kufuneka zihlale zinephepha elixhasayo.
Yolula iteyiphu yekinesiology.
Beka i-tape eyoluliweyo ngokuthe ngqo kwi-trigger points kwindawo ephezulu yegxalaba.
Susa uxhaso ngapha nangapha komgca wokuphakamisa kwaye ubeke iziphelo ngaphandle kokwelula.
Gcoba ngobumnene i-tape ukunceda i-adhesive ibambelele.
Emva kokuba i-tape isetyenzisiwe, inokushiywa apho iintsuku ezi-2 ukuya kwezi-5.
Kulungile ukuba ibamanzi ngebhafu okanye ishawa.
Beka esweni ulusu olujikeleze iteyiphu ukujonga ubomvu okanye ezinye iimpawu zokusabela okungalunganga kwiteyiphu.
I-Kinesiology taping inokuba sisixhobo esiluncedo sokunciphisa iintlungu kunye ne-spasms kodwa ayithathi indawo yonyango lobuchwephesha, ukuzivocavoca okumiselweyo kunye nokwelula, kunye nokuqeqeshwa kwe-posture.
Iqela lonyango lomzimba liya kufundisa izicwangciso ezifanelekileyo zokuzinyamekela kwimeko yomntu.
Yabantu abathile entanyeni kunye neentlungu zegxalaba kunye ne-muscle spasms, uvavanyo lwe-kinesiology taping lunokunceda ukunciphisa iimpawu kunye nokuphucula ukulimala ngokubanzi.
Indlela engeyiyo yoRhwando kwiMpilo kunye neChiropractic Care
VIDEO
Ucaphulo
Draper, DO, Mahaffey, C., Kaiser, D., Eggett, D., & Jarmin, J. (2010). I-Thermal ultrasound inciphisa ukuqina kwezicubu zamanqaku e-trigger kwimisipha ye-trapezius ephezulu. Ithiyori ye-Physiotherapy kunye nokusebenza, i-26 (3), i-167-172. doi.org/10.3109/09593980903423079
Iklinikhi yaseCleveland. (2019). Amaqhina Entanyeni Yakho? Ungazama njani i-Trigger Point Massage ukuze uzikhulule .
by UGqr Alex Jimenez Umqolo obuhlungu , Chiropractic , Ubuhlungu obungapheliyo , Ubuhlungu obungapheliyo , Ubuhlungu Bokubuyisela , Unyango lokuthotywa koMnqonqo , Uncedo Lwezityalo , Unyango , I-Viscerosomatic Reflex
Kubantu abaneentlungu zangasemva, abasebenzi bezempilo bangazibandakanya njani izisombululo ezingezizo utyando ukunciphisa iintlungu zomqolo?
intshayelelo
Umqolo ungomnye wezona zakhiwo zibalulekileyo kumzimba womntu, ukubonelela ukuhamba komkhosi kunye nokuzinza xa uxinzelelo oluthe nkqo lucinezela kwisakhiwo somgogodla. Umqolo ujikelezwe yimisipha eyahlukeneyo, i-ligaments, kunye nezicubu ezinceda ukuxhasa iindawo eziphezulu kunye nezantsi zomzimba kunye neziphelo. Xa izinto eziqhelekileyo ezifana nokuphakamisa ukuphakamisa, ukuma okungafanelekanga, ukukhuluphala, okanye iimeko esele zikhona ziqala ukuchaphazela umzimba, kunokubangela ukuba isakhiwo somgogodla sinokubangela imiba engafunekiyo ekhokelela kumqolo, intamo, kunye neentlungu zegxalaba. Xa ufumana ezi ntlungu zintathu ziqhelekileyo zomzimba zihlala zihambelana nezinye iimpawu ezinxulumene nazo ezinokuchaphazela ezinye iziphelo. Xa oku kusenzeka, abantu abaninzi baqalisa ukuphoswa ngumsebenzi okanye imisebenzi yemihla ngemihla enokubabangela bangabi nangxaki, bade bazame ukukhangela izicombululo ezahlukahlukeneyo zokunciphisa iintlungu abazifumanayo. Inqaku lanamhlanje lijonga enye yeentlungu zomzimba eziqhelekileyo njengentlungu yomqolo kunye nendlela enokubangela ngayo imiba emininzi echaphazela amandla omntu okusebenza, kunye nendlela izisombululo ezingezizo utyando ezinokuthi zinciphise imiphumo efana nentlungu kodwa zibonelela ngesiqabu esiyimfuneko. abantu abaninzi bafanelwe kuhambo lwabo lwempilo kunye nokuphila kakuhle. Sithetha nababoneleli bezonyango abaqinisekisiweyo ababandakanya ulwazi lwezigulane zethu ukubonelela ngezicwangciso zonyango ezininzi zokunciphisa iimpawu ezinjengeentlungu ezinxulumene nemiba yomgogodla ebangela intlungu emva. Siyazisa kwakhona izigulane zethu ukuba kukho iindlela ezingezizo zokuhlinzwa zokunciphisa le miba efana neentlungu kunye nokubuyisela ukuhamba komgogodla kumzimba. Sikhuthaza izigulane zethu ukuba zibuze imibuzo enzima kunye nemfundo kubaboneleli bethu bezonyango abahambelanayo malunga neempawu ezinjengeentlungu ezihlangabezana nazo ezihambelana nomqolo ongaphantsi. UDkt Alex Jimenez, DC, usebenzisa olu lwazi njengenkonzo yezemfundo. isikhanyeli .
Iintlungu Zomqolo Ezichaphazela uMnqonqo
Ngaba uhlala ufumana iintlungu ezikhuphayo kumqolo wakho ongaphantsi obangela iimpawu zokuva okanye ukubetha kwemilenze ukuya ezinyaweni zakho? Ngaba uziva ukuqina kwezihlunu kusasa ngelixa uvuka, kodwa uphela kancinci imini yonke? Okanye ngaba uziva iimpawu zemisipha kunye neentlungu xa uthwala into enzima ukusuka kwindawo ukuya kwenye? Abantu abaninzi, ngokuphindaphindiweyo kunokuba, baye bajongana neentlungu zangasemva ezinxulumene nezinto ezahlukeneyo. Ngeentlungu zomqolo ezikwiingxaki ezintathu eziphezulu eziqhelekileyo kubasebenzi, abantu abaninzi baye bajongana nengxaki eqhelekileyo ngeendlela ezininzi. Ukusuka ekuphakameni okungafanelekanga ukuya kukuhlala ngokugqithisileyo kwidesika, iintlungu zangasemva zinokubangela imiba ye-musculoskeletal abaninzi abazama ukuyifumana isiqabu. Iintlungu ezisezantsi zingaba buhlungu okanye zingapheliyo, kuxhomekeke kubukhulu. Ingakhokelela ekuphazamisekeni kokuhamba ngaphakathi kwemimandla ye-thoracic, lumbar, kunye ne-sacroiliac spinal, ebangela intlungu ebhekiswe kwiindawo ezisezantsi. Ingakhokelela kubomi bomonakalo ngaphandle kwaziphi na iimpawu okanye iimpawu zeemeko ezimandundu zonyango okanye zengqondo ezinxulumene nezinto zokusingqongileyo. ( Delitto et al., 2012 ) Intlungu ebuyayo iphinda idibaniswe neemeko zomgogodla ezifana nokuvuvukala, ukulayishwa kwe-asymmetric, kunye noxinzelelo lwe-muscle, olunokubangela ukuba izakhiwo zomgogodla zinyanzeliswe, ngaloo ndlela kubangele i-disc herniations. ( Zemková & Zapletalová, 2021 )
Ukongeza, iintlungu zangasemva yimeko ye-musculoskelet ye-multifactorial ebangela ukuba abantu abaninzi babe kwimeko yentlalo-qoqosho enokunciphisa umgangatho wobomi. Imizekelo emininzi yeentlungu zangasemva zihambelana nokulawulwa kwemoto etshintshileyo ngaphakathi kwemisipha ye-spinal erector ebangela ukuba i-proprioception iphazamiseke kumqolo. ( Ilahleko yeFagundes et al., 2020 ) Xa oku kusenzeka kubantu abaninzi, bahlala befumana isithintelo sokuzinza kwe-lumbar, ukulinganisela komzimba, ukuma, kunye nokulawulwa kwe-postural. Ngelo xesha, xa abaninzi abantu abasebenzayo beneentlungu ezibuhlungu ezibuhlungu ezinxulumene nemihla ngemihla, inani leentlungu ezikuyo lingatshintsha umda we-mechanoreceptors ohambisa iimpawu zentlungu ngentambo yomgogodla. Ukuza kuthi ga ngoku, intlungu yangasemva inokuchaphazela impendulo ye-neuromuscular kwaye ichaphazele umsebenzi oqhelekileyo we-musculoskelet. Ngethamsanqa, unyango oluninzi lunokunceda ukunciphisa iintlungu zangasemva kunye nokubonelela ngesiqabu kwiintlungu zomqolo ezichaphazela abantu abaninzi.
Indima yoLondolozo lweChiropractic-Ividiyo
VIDEO
Zingaphi izihlandlo ngosuku ufumana iintlungu zangasemva ezinxulumene nokuqina, iintlungu eziqhelekileyo, okanye iintlungu ezichaphazela amandla akho okusebenza? Ngaba uyaqaphela ukuba uzingela ngakumbi xa usuka kwenye indawo uye kwenye? Okanye ngaba uziva iintlungu kunye neentlungu emqolo wakho emva kokwelula ekuseni? Abantu abaninzi abajongene nale miba eqhelekileyo yokusingqongileyo banxulunyaniswa ngokusondeleyo neentlungu zangasemva. Iintlungu zangasemva zikwezona ngxaki ziphezulu ezintathu zixhaphakileyo abantu abaninzi abaye bahlangabezana nazo ngaxa lithile ebomini babo. Ngokuphindaphindiweyo, abantu abaninzi baye bajongana neentlungu zangasemva ngokusebenzisa amayeza asekhaya ukunciphisa imiphumo efana nentlungu. Nangona kunjalo, uphando lubonisa ukuba xa abantu abaninzi beqala ukuyihoya intlungu, ingabakhokelela kubomi bokukhubazeka kwaye ibangele ubuninzi boxinzelelo ukuba ayiphathwa ngoko nangoko. ( Parker et al., 2015 ) Ngenxa yoko, unyango olungenalo utyando alukwazi ukunciphisa kuphela intlungu ehambelana neentlungu zangasemva kodwa zinokunceda ukubuyisela ukuhamba komgogodla. Unyango olungasebenzisi utyando olufana nokhathalelo lwe-chiropractic lubandakanya ukunyanzelwa komgogodla, onokuchaphazela ngokuqinisekileyo umqolo. ( Koes et al., 1996 ) Yintoni eyenziwa ngononophelo lwe-chiropractic kukuba iquka iindlela zokuxhaphaza ngoomatshini kunye nezandla zokwelula izihlunu eziqinileyo kunye nokunciphisa amanqaku okubangela ukuguqulwa. Le vidiyo ingentla ibonisa indlela ukhathalelo lwe-chiropractic lunokuchaphazela ngokufanelekileyo umntu ngelixa liyinxalenye yempilo kunye nohambo oluhle ekunciphiseni intlungu emva.
Ukuthotywa koMnqonqo oNgekuko Utyando ngenxa yeentlungu zomqolo
Kanye njengokunyamekelwa kwe-chiropractic, ukunyanzeliswa komgogodla lolunye unyango olungenalo utyando olusebenzisa i-traction ukutsala ngobunono kunye nokwelula umqolo ukuze kuncitshiswe i-discs ye-spinal egxininisiweyo ehambelana neentlungu zangasemva kunye nokunceda ukunweba imisipha eqinile. Xa abantu abaninzi beqala ukubandakanya ukunyanzeliswa komgogodla njengenxalenye yendlela yabo yesiqhelo, baya kuqaphela ukuba ukunyanzeliswa komgogodla kunokunciphisa uxinzelelo lwe-intradiscal ngaphakathi koluhlu olubi. ( URamos, ngo-2004 ) Yintoni le nto iyenzayo kukuba xa i-spinal discs itsalwa ngokutsalwa ngokuthambileyo, zonke ii-fluids kunye nezondlo ezazingenamanzi kwi-disc zibuyela emva kwaye zincede ukukhaba inkqubo yokuphilisa yendalo yomzimba. Xa abantu abaninzi beqala ukusebenzisa i-spinal decompression ngenxa yeentlungu zabo zangasemva, baya kubona ukunciphisa okukhulu kwiintlungu zabo emva kweeseshoni ezimbalwa ezilandelelanayo. ( UCrisp et al., ngo-1955 ) Xa abantu abaninzi beqala ukudibanisa ezinye iindlela zonyango ezingezizo utyando kunye ne-spinal decompression, baya kukwazi ukubuyisela ukuhamba kwabo komgogodla ngelixa bekhumbula ngakumbi ukuba zeziphi izinto ezisingqongileyo ezichaphazela umqolo wabo kwaye zingaphindi umba ukuze uvumele intlungu yangasemva ukuba ibuyele.
Ucaphulo
Crisp, EJ, Cyriax, JH, & Christie, BG (1955). Ingxoxo ngonyango lwe-backache ngokutsala. Proc R Soc Med , 48 (10), 805-814. www.ncbi.nlm.nih.gov/pubmed/13266831
www.ncbi.nlm.nih.gov/pmc/articles/PMC1919242/pdf/procrsmed00390-0081.pdf
Delitto, A., George, SZ, Van Dillen, L., Whitman, JM, Sowa, G., Shekelle, P., Denninger, TR, & Godges, JJ (2012). Iintlungu ezisezantsi. Ijenali yonyango lwamathambo kunye nezonyango kunyango , 42 (4), A1-A57. doi.org/10.2519/jospt.2012.42.4.a1
I-Fagundes Loss, J., de Souza da Silva, L., Ferreira Miranda, I., Groisman, S., Santiago Wagner Neto, E., Souza, C., & Tarrago Candotti, C. (2020). Iziphumo ezikhawulezileyo ze-lumbar spine manipulation kwi-sensitivity yentlungu kunye nokulawulwa kwe-postural kubantu abaneentlungu ezingabonakaliyo ezisezantsi: isilingo esilawulwa ngokungahleliwe. Unyango lweChiropr lomntu , 28 (1), 25. doi.org/10.1186/s12998-020-00316-7
Koes, BW, Assendelft, WJ, van der Heijden, GJ, & Bouter, LM (1996). Ukuguqulwa komqolo ngenxa yeentlungu ezisezantsi. Uphononongo olucwangcisiweyo oluhlaziyiweyo lwezilingo zeklinikhi ezingahleliwe. Isihlwele (Phila Pa 1976) , 21 (24), 2860-2871; ingxoxo 2872-2863. doi.org/10.1097/00007632-199612150-00013
Parker, SL, Mendenhall, SK, Godil, SS, Sivasubramanian, P., Cahill, K., Ziewacz, J., & McGirt, MJ (2015). Izehlo zentlungu ephantsi emva kweLumbar Discectomy ye-Herniated Disc kunye nempembelelo yayo kwiZiphumo ezichazwe ngesigulane. Clin Orthop Relat Res , 473 (6), 1988-1999. doi.org/10.1007/s11999-015-4193-1
URamos, G. (2004). Ukusebenza kwe-vertebral axial decompression kwiintlungu ezingapheliyo ezisezantsi: ukufundwa kwerejimeni yedosi. Neurol Res , 26 (3), 320-324. doi.org/10.1179/016164104225014030
Zemková, E., & Zapletalová, L. (2021). Iingxaki zangasemva: IiPros and Cons of the Core Strengthening Exercises njengenxalenye yoQeqesho lwabadlali. Ijenali yehlabathi yoPhando lwezeNdalo kunye neMpilo yoLuntu , 18 (10), 5400. doi.org/10.3390/ijerph18105400
isikhanyeli
by UGqr Alex Jimenez Chiropractic , Uncedo Lwezityalo
I-Facet hypertrophy sisifo esinganyangekiyo, esingapheliyo esichaphazela i-facet joints kumqolo. Ngaba ukuqaphela iimpawu, uncedo ekuxilongeni, kunye nonyango?
I-Facet Hypertrophy
I-facet hypertrophy ibangela ukuba amalungu e-facet kumqolo akhule. Zifumaneka apho i-vertebrae idibana khona ngasemva kwe-vertebrae eyenza umqolo. La malungu azinzisa umqolo xa ujija kwaye ugoba. Iziphumo ze-Hypertrophy xa umonakalo uguqa i-cartilage ekhupha amathambo adibana kwindawo. Oku kunokubandakanya:
Ukuguga
Nxibela ukuyikrazula
Arthritis
Ezinye izifo ezidibeneyo zingonakalisa amalungu e-facet.
Ukuvuvukala, ukukhula kwamathambo amatsha, kunye ne-bone spurs kunokwenzeka njengoko i-joint izama ukulungisa i-cartilage eyonakele. Ukuvuvukala kunye nokukhula kwamathambo amatsha kunokunciphisa umgudu womgogodla kwaye kucinezele imithambo-luvo ejikelezileyo, kubangele iintlungu kunye nezinye iimpawu zokuziva. Esi sigulo asinyangeki kwaye siba mandundu ekuhambeni kwexesha. Injongo yonyango kukulawula iimpawu zentlungu kunye nokucothisa inkqubela yesifo.
iintlobo
I-facet hypertrophy inokuchazwa njenge icala elinye nelinye .
Unilateral - intlungu ivakala kwicala elinye.
Amacala amabini - iintlungu zivakala kumacala omabini
Kwezi ndawo zilandelayo: (Romain Perolat et al., 2018 )
Iintonga
Amacala e-groin
Amathanga
iimpawu
Iimpawu zinokuba noluhlu olubanzi lokuqina, ukusuka kwintlungu engapheliyo ukuya kwintlungu engapheliyo, ekhubazayo. Indawo yeempawu ixhomekeke kwilungu elichaphazelekayo kunye nemithambo-luvo ebandakanyekayo, Ubuhlungu bubonakalisa xa amajoyina awandisiweyo kunye nokukhula kwamathambo amatsha kucinezela iimbilini ezikufutshane. Isiphumo sikhokelela kumonakalo wemithambo-luvo kunye nezi mpawu zilandelayo: (Weill Cornell Medicine Brain & Spine Centre. 2023 ) (Imisedare yaseSinayi. 2022 )
Ukuqina, ngakumbi xa uphakama okanye uphuma esihlalweni.
Ukungakwazi ukuma nkqo xa uhamba.
Ukungakwazi ukujonga phezulu ngasekhohlo okanye ngasekunene ngaphandle kokuguqula umzimba wonke.
Uluhlu oluncitshisiweyo lokunyakaza kunye nokuhamba.
Ukuba ndindisholo okanye ukuntyiloza kwezikhonkwane kunye neenaliti.
Iimfucu zamathambo
Ubuthakathaka obuthathaka
Iintlungu ezivuthayo
Ezi mpawu zilandelayo zithe ngqo kwindawo yelungu elichaphazelekayo (Weill Cornell Medicine Brain & Spine Centre. 2023 ) (Imisedare yaseSinayi. 2022 )
Ukukhupha iintlungu ezivela kwilungu elichaphazelekayo ukuya kwiimpundu, ezinqeni, kunye nethanga eliphezulu xa i-joint / s echaphazelekayo iphantsi komqolo.
Ukukhupha iintlungu ezivela kwilungu elichaphazelekayo kwigxalaba, intamo, kunye nomva wentloko xa i-joint / s echaphazelekayo iphezulu kumqolo.
Intloko xa umdibaniso ochaphazelekayo usentanyeni.
Izizathu
Unobangela oqhelekileyo ngu ukuwohloka okunxulumene nobudala yamalungu, ebizwa spondylosis . Uphando lubonisa ukuba ngaphezu kwe-80% yabantu abaneminyaka engama-40 okanye ngaphezulu banobungqina be-radiologic be-spondylosis, nangona bengenazo iimpawu. (KwiYunivesithi yaseToledo Medical Centre. ND ) Ezi meko zilandelayo zinokunyusa umngcipheko we-facet hypertrophy (Weill Cornell Medicine Brain & Spine Centre. 2023 )
Ukuma okungenampilo
Ukugqithisa okanye ukugqithisa
Indlela yokuphila
Ukwenzakala okanye ukwenzakala kumqolo
Iimeko ezivuthayo ezifana ne-rheumatoid arthritis okanye i-ankylosing spondylitis
Osteoarthritis
I-genetic predisposition kwimeko
Ukuqondwa
Ukuxilongwa kunokuba ngumngeni xa intamo okanye intlungu ye-back back isikhalazo esikhulu, njengoko iimpawu ziyakwazi ukulinganisa iimeko ezifana ne-sciatica kwi-disc ye-herniated okanye i-hip arthritis. (Weill Cornell Medicine Brain & Spine Centre. 2023 )
I-CT ihlola nge-myelogram okanye ngaphandle kwayo - ukusetyenziswa kwedayi echaseneyo kwindawo ejikeleze intambo yomgogodla.
MRI
X-reyi kunye okanye ngaphandle myelogram
Uxilongo luqinisekiswa ngokutofa ibloko yokuxilonga ebandakanya ukunikezela ngesitofu sokuthomalalisa, ngamanye amaxesha ngesichasi sokudumba esifana ne-cortisone, kwilungu okanye kwimithambo-luvo ekufutshane nelungu elichaphazelekayo. Iinaliti ezimbini zinikezelwa ngamaxesha ahlukeneyo ukuqinisekisa umphumo. (Romain Perolat et al., 2018 )
Ukuba ukukhululeka ngokukhawuleza kuphucula emva kwesitofu ngasinye, i-facet joint iqinisekiswa njengomthombo weempawu zentlungu.
Ukuba ibhloko ayinciphisi intlungu, i-facet joint ayiyena umthombo weempawu zentlungu. (Brigham kunye neSibhedlele sabasetyhini. 2023 )
impatho
Alukho unyango lwe-facet hypertrophy.
Unyango lwe-Conservative
Unyango lokuqala lubandakanya ukusebenzisa amayeza alondolozayo (Romain Perolat et al., 2018 )
Ukunyanga kwamayeza
Unyango lomzimba ukomeleza imisipha engundoqo kunye nomqolo.
Ukuzivocavoca okujoliswe kuko ukunceda ukugcina ukuguquguquka.
Uhlengahlengiso lweChiropractic ukulungelelanisa umqolo.
Ukuqeqeshwa kokuma okunempilo.
Ukuthotywa komatshini ongenzi utyando. Ukujija ukuzinzisa umqolo
Ukwenza i-Acupuncture
I-Nonsteroidal anti-inflammatory - i-aspirin, ibuprofen, kunye ne-naproxen.
Iziphumlisi zemisipha - i-cyclobenzaprine okanye i-metaxalone.
Isitofu se-steroid kumalungu e-facet.
I-injection ye-platelet-rich plasma / PRP kumalungu.
Isebe eliphakathi okanye iBhlokhi yeFacet
Ibhloko yesebe eliphakathi litofa i-anesthetic yendawo kufuphi nemithambo-luvo yangaphakathi edibanisa kwilungu elivuthayo.
Imithambo-luvo ephakathi yimithambo-luvo encinci ngaphandle kwendawo edibeneyo kufutshane nemithambo-luvo ehambisa imiqondiso kunye nezinye iimpembelelo kwingqondo.
I-facet block itofa iyeza ngaphandle kwendawo edibeneyo kufuphi ne-nerve ebonelela ngokudibeneyo ebizwa ngokuba yi-medial branch.
I-neurolysis
I-neurolysis, eyaziwa ngokuba yi-rhizotomy okanye i-neurotomy, yinkqubo etshabalalisa i-nerve fibers echaphazelekayo ukukhulula intlungu, ukunciphisa ukukhubazeka, kunye nokunciphisa imfuno ye-analgesics. Olu nyango lunokuthomalalisa iintlungu kangangeenyanga ezintandathu ukuya kwezili-12 de imithambo-luvo ihlaziyeke, apho unyango olongezelelekileyo lunokuba yimfuneko. (UMatthew Smuck et al., 2012 ) I-neurolysis inokwenziwa kusetyenziswa enye yezi ndlela zilandelayo (Romain Perolat et al., 2018 )
I-Radiofrequency ablation RFA – ukusetyenziswa kobushushu ngokusebenzisa irediyo frequency.Cryoneurolysis -ukusetyenziswa kwamaqondo okushisa abandayo kwi-nerve ekujoliswe kuyo.I-neurolysis yemichiza – ukusebenzisa iikhemikhali, njengendibaniselwano yephenol kunye notywala.Ukuqhawula imithambo-luvo ngesixhobo sotyando.
Ukuhlinzwa
Xa ilungu elinye okanye ngaphezulu lonakele kakhulu, lisenokungasebenzi kwaye libe buhlungu. Utyando lunokucetyiswa xa iimpawu zingancitshiswanga ngamanye amayeza. (UAli Fahir Ozer, et al., 2015 )
Prognosis
I-Facet hypertrophy yimeko engapheliyo eqhubekayo kunye nobudala kwaye ayichaphazeli ixesha lokuphila. (Weill Cornell Medicine Brain & Spine Centre. 2023 ) Esi sifo asinyangeki, kodwa iimpawu zinokulawuleka ngonyango olululo
Umboneleli wezempilo unokunceda ukuphuhlisa isicwangciso sonyango ngokusekelwe kubungakanani kunye nendawo yokudibanisa echaphazelekayo.
Ukuxilongwa kwangoko kunye nonyango lunokunceda abantu ukuba bafumane ezona ziphumo zibalaseleyo.
Ukugcina indlela yokuphila esebenzayo kunye nobunzima obunempilo kunokunceda ukuthintela uxinzelelo olongezelelweyo lwamalungu. Abantu banokucetyiswa ukuba benze umthambo wokuzolula rhoqo kunye nokomeleza ukuthoba ukuvuvukala, ukunciphisa uxinzelelo, kunye nokuphucula impilo yonke.
Unyango lwe-Facet Syndrome
VIDEO
Ucaphulo
Perolat, R., Kastler, A., Nicot, B., Pellat, JM, Tahon, F., Attye, A., Heck, O., Boubagra, K., Grand, S., & Krainik, A. ( 2018). I-facet joint syndrome: ukusuka ekuxilongweni ukuya kulawulo lokungenelela. Ukuqonda kwimifanekiso, 9(5), 773–789. doi.org/10.1007/s13244-018-0638-x
Weill Cornell Medicine Brain & Spine Centre. (2023). Iimpawu ze-facet syndrome .
Imisedare yaseSinayi. (2022). Iimpawu zesifo esidibeneyo .
KwiYunivesithi yaseToledo Medical Centre. (ND). Spondylosis .
Weill Cornell Medicine Brain & Spine Centre. (2023). I-facet syndrome .
Weill Cornell Medicine Brain & Spine Centre. (2023). Ukuxilongwa kunye nokunyanga i-facet syndrome .
Brigham kunye neSibhedlele sabasetyhini. (2023). Ubuso kunye neebhloko zesebe ezingaphakathi .
Smuck, M., Crisostomo, RA, Trivedi, K., & Agrawal, D. (2012). Impumelelo ye-neurotomy ye-medial yokuqala kunye nokuphindaphindiweyo ye-neurotomy ye-zygapophysial joint joint: uphononongo olucwangcisiweyo. PM & R : ijenali yokulimala, umsebenzi, kunye nokuvuselelwa, i-4 (9), i-686-692. doi.org/10.1016/j.pmrj.2012.06.007
Ozer, AF, Suzer, T., Sasani, M., Oktenoglu, T., Cezayirli, P., Marandi, HJ, & Erbulut, DU (2015). Ukulungiswa kwe-facet elula kunye nenkqubo ye-pedicular eguqukayo: Inqaku lobugcisa kunye nochungechunge lwamatyala. Ijenali ye-craniovertebral junction & spine, 6 (2), 65-68. doi.org/10.4103/0974-8237.156049
