Iimpawu
Iqela le-Back Clinic Posture. I-Posture yindawo apho umntu abambe umzimba wakhe ume nkqo ngokuchasene nomxhuzulane ngelixa emile, ehleli, okanye elele phantsi. Ukuma okufanelekileyo ngokubonakalayo kubonisa impilo yomntu, ukuqinisekisa ukuba amalungu kunye nezihlunu, kunye nezinye izakhiwo zomzimba, zisebenza ngokufanelekileyo. Kuyo yonke ingqokelela yamanqaku, uGqr Alex Jimenez uchonga ezona ziphumo zixhaphakileyo zokuma okungafanelekanga njengoko echaza izenzo ezicetyiswayo umntu kufuneka azithathe ukuze aphucule isimo sakhe kunye nokuphucula impilo kunye nokuphila kakuhle. Ukuhlala okanye ukuma ngokungalunganga kunokuthi kwenzeke ngokungazi, kodwa ukuqonda umba kunye nokuwulungisa ekugqibeleni kunokunceda abantu abaninzi ukuba baphile ngendlela enempilo. Ngolwazi oluthe kratya, nceda ukhululeke ukunxibelelana nathi apha (915) 850-0900 okanye isicatshulwa ukubiza uGqirha Jimenez buqu (915) 850-0900.
by UGqr Alex Jimenez ukuphulula umzimba womntu ngobunono , Iimpawu
Kubantu abahlala rhoqo emsebenzini kwaye behla ukuya phambili, ngaba ukomeleza izihlunu ze-rhomboid kunceda ukukhusela iingxaki zokuma kunye nokunciphisa intlungu?
Izihlunu zeRhomboid
I-rhomboids liqela lezihlunu kumqolo ongaphezulu. I-rhomboid enkulu kunye ne-muscle encinci kwicala ngalinye lomqolo ophezulu yenza i-shoulder girdle, leyo, kunye nezinye izihlunu, inceda ukugcina ukuzinza kwegxala kunye nehlombe. Ukulawula izihlunu zerhomboid:
Ukutyhala
Ukuphakamisa
Ukujikeleza i-blade blade.
Ezi zihlunu zikwanegalelo ekushukumeni kwengalo kwaye zenze ukuba ziphakamise iingalo ngaphezulu kwentloko.
Izihlunu zerhomboid zixhasa ukuma okunempilo kunye nomqolo ongaphezulu. (Yoo WG 2017 )
Ukuhlala ixesha elide, ukugoba phambili, ukugqithisa ingalo ngaphezu komzimba, ukulala kwelinye icala, ukuphosa ngokuphindaphindiweyo, kunye nemidlalo efana ne-volleyball inokuchaphazela imisipha ye-rhomboid kwaye ibangele iimpawu zentlungu.
Anatomy
Kukho izihlunu ezimbini zerhomboid. Eyona nto iphambili isuka kwi-thoracic spine ukusuka kwisibini ukuya kwi-vertebrae yesihlanu kwaye ifake kwicala lehlombe elijongene nomqolo. Incinci iphakamileyo kuneyona nto ibalulekileyo kwaye ifaka kwi-C7 kunye ne-T1 vertebrae. Izihlunu zidibanisa phakathi komqolo kunye necala ngalinye lamagxa. Xa zidibene, zitsala iincakuba zamagxa kunye. Iintsinga zemisipha zihamba ngediagonally. Bafaka i-scapula ngokuchasene ne-torso, evumela isiseko esizinzile apho iingalo zinokuhamba.
iimpawu
Xa imisipha ye-rhomboid isetyenziswe ngokugqithiseleyo okanye igxininisekile, iimpawu zingabandakanya oku kulandelayo:
Ububele obujikeleze intshinga yegxalaba.
Uluhlu olulinganiselweyo lwentshukumo egxalabeni.
Intlungu ejikeleze igxalaba.
Umqolo obuhlungu.
Intlungu yomqala.
Ukudinwa kwengalo xa usenza iintshukumo eziphindaphindayo.
Isandi esiqhekezayo xa uhambisa igxalaba.
Ubuthathaka engalweni.
Iintlungu zesifuba.
Ukwakha iMisipha
Isenzo se-rhomboid kukuzisa amagxa ehlombe kunye, ukuwaphakamisa okanye ukuwaphakamisa, njengaxa uguqa, kwaye ujikeleze ukuze ajonge phantsi, kude nentloko. Ukuzisa amagxa amagxa kunye okanye ukurhoxa kwe-scapular yakha i-rhomboids ukuxhasa umqolo ongaphezulu.
Ukuphucula okanye ukuthintela iingxaki ze-posture okanye i-mild, i-muscle enxulumene ne-back-back kunye / okanye intlungu yentamo, i-10 ukuya kwi-15 ukuphindaphinda ukuphindaphinda kwe-scapular eyenziwa kabini ukuya kathathu imihla ngemihla yimisebenzi ejoliswe kuyo enokucetyiswa ukunceda ukuqinisa imisipha. Nangona kunjalo, jongana nomboneleli wokhathalelo oluphambili, ugqirha womzimba, okanye i-chiropractor kwiimeko ezinzulu zonyango ezichaphazela i-posture ukuphuhlisa inkqubo yokuzivocavoca yomntu ngokukodwa kwimeko yomntu okanye ukulimala. Wonke umntu wahlukile, kwaye akukho nto ilinganayo xa ubandakanya umthambo wokulawula iintlungu zangasemva. Iqela lonyango lomzimba linokucebisa ezinye izivivinyo ukunceda ukulawula okanye ukuguqula nayiphi na imiba yasemva. (UKim, D. et al., 2015 )
Imisipha Eyolule kakhulu
Umzimba womntu unobudlelwane obukhethekileyo kunye nomngeni kunye nomxhuzulane, obangela ukutsalwa kwezakhiwo zawo, kuquka umqolo, intloko kunye namagxa. Njengoko umxhuzulane utsala, amagxa aqengqelekela phambili, yaye isifuba sinokutshona.Impilo yaseHarvard, ngo-2022 ). Izihlunu ze-rhomboid zinokugqithiswa, okanye izihlunu ze-pectoral kunye nezicubu ezithambileyo ngaphambili zingaqinisa kwaye zidibanise. Ukomeleza i-rhomboids kunokunceda ukukhulula imisipha ye-pectoral.
Ukuma kwentloko phambili
Ukuma okungahambi kakuhle kunokukhokelela kwiintlungu ezingapheliyo kunye neengxaki zomqolo. (UKripa, S. et al., 2021 ) Ngokuhamba kwexesha, ukuma okungahambi kakuhle kunokubangela ukuba intloko ibe phambili. (IThala leeNcwadi leLizwe leLizwe leLizwe leeMvavanyo zeKlinikhi yase-US, ngo-2020 ) Ukuhamba kwentloko phambili kunokukhokelela ekuxinzeni kwezicubu ezithambileyo, i-kink entanyeni, kunye nokukhathala kwimisipha ebambe intloko, enokubangela intlungu engapheliyo entanyeni. Ukugcina izihlunu ezomeleleyo ze-extensor kwi-lumbar kunye thotho inokunceda ukukhusela umva kunye neengxaki zentamo njengoko umzimba uguga.
Ukonzakala kweChiropractic yezoNyango kunye neKlinikhi yokuSebenza yamayeza
Sigxile kakhulu ekuphatheni ukulimala kwezigulana kunye nee-syndromes ezibuhlungu ezingapheliyo kunye nokuphuhlisa izicwangciso zokhathalelo lomntu eziphucula amandla ngokusebenzisa ukuguquguquka, ukuhamba, kunye neenkqubo zobuchule ezilungiselelwe umntu. Ukusebenzisa indlela edibeneyo, iindawo zethu ze-chiropractic practice ziquka i-Wellness & Nutrition, Ubuhlungu obungapheliyo, Ukulimala komntu, Ukunyamekelwa kweNgozi ye-Auto, Ukulimala komsebenzi, uBumva, uBuhlungu obuphantsi, uBuhlungu beNtanye, i-Migraine Headaches, Ukulimala kweMidlalo, i-Sciatica Enzima, i-Scoliosis, i-Complex. Iidiski ze-Herniated, i-Fibromyalgia, iintlungu ezingapheliyo, iintlungu ezixinzelelekileyo, uLawulo loxinzelelo, uNyango lwezoNyango oluSebenzayo, kunye neeprothokholi zokunyamekela iintlungu ngokwemvelo ngokubuyisela impilo kunye nomsebenzi emzimbeni ngokusebenzisa i-Functional Medicine, i-Acupuncture, i-Electro-Acupuncture, kunye ne-Sports Medicine protocol. . Ukuba umntu ufuna olunye unyango, baya kuthunyelwa kwiklinikhi okanye ugqirha ofaneleke kakhulu kubo, njengoko uDkt Jimenez ehlangene kunye noogqirha abaphezulu, iingcali zeklinikhi, abaphandi bezonyango, kunye nabanikezeli bokubuyisela i-premier rehabilitation ukubonelela ngezona zonyango zisebenzayo. . Sijolisa koko kukusebenzelayo kwaye sizame ukwenza ngcono umzimba ngokusebenzisa iindlela zophando kunye neenkqubo zempilo epheleleyo.
UkuPhilisa okuSebenzayo
VIDEO
Ucaphulo
Yoo WG (2017). Iimpembelelo zokutsala ulwalathiso kwi-trapezius ephezulu kunye nomsebenzi we-rhomboid muscle. Ijenali yenzululwazi yonyango lomzimba, 29(6), 1043–1044. doi.org/10.1589/jpts.29.1043
UKim, D., Cho, M., Park, Y., & Yang, Y. (2015). Umphumo wenkqubo yokuzivocavoca yokulungiswa kwesimo kwiintlungu ze-musculoskelet. Ijenali yesayensi yonyango lomzimba, 27 (6), 1791-1794. doi.org/10.1589/jpts.27.1791
Impilo yeHarvard. (2022). Ngaba sele kusemva kwexesha ukuba ungagcina ukuma kwakho? Ukuzilolonga kunye Nokufaneleka. www.health.harvard.edu/exercise-and-fitness/is-it-too-late-to-save-your-posture
Kripa, S., Kaur, H. (2021). Ukuchonga ubudlelwane phakathi kokuma kunye neentlungu kwizigulane ezibuhlungu ezisezantsi: uphononongo olubalisayo. Ibhulethini yeFaculty yoNyango loMzimba, 26. doi.org/https://doi.org/10.1186/s43161-021-00052-w
IThala leeNcwadi leLizwe lase-US leeMvavanyo zeklinikhi. (2020). Ukomeleza kunye nokwelula umthambo wokuphucula ukuma kwentloko phambili kunye namagxa ajikelezayo. Ifunyenwe kwi clinicaltrials.gov/study/NCT04216862
by UGqr Alex Jimenez Chiropractic , ukuphila qete , Ukuhamba kunye nokuguquguquka , entanyeni Pain , Unyango lweentlungu , Iimpawu , Unyango , I-Viscerosomatic Reflex
Ngaba ukubandakanya iindlela ezahlukeneyo zeyoga kunceda ukunciphisa uxinzelelo lwentamo kunye nokubonelela ngesiqabu kwiintlungu zabantu abajongene neentlungu zentamo?
intshayelelo
Kukuphithizela kunye nokuphithizela kobomi bale mihla, kuqhelekile ukuba abantu abaninzi baphathe uxinzelelo emizimbeni yabo. Xa umzimba ujongene noxinzelelo lwemihla ngemihla, uxinzelelo, ukungonwabi, kunye neentlungu zihlala zibonakala kwiindawo eziphezulu nezisezantsi zomzimba. Xa iindawo ezingaphezulu nezisezantsi zomzimba zijongana nale miba, zinokubangela ukugcwala kweeprofayili zomngcipheko kwinkqubo ye-musculoskeletal system. Enye yeengxaki eziqhelekileyo ze-musculoskeletal yintlungu yentamo. Inokubangela iingxaki ezininzi kwinxalenye yomlomo wesibeleko kwaye ibangele ukuba izihlunu ezijikelezayo zibe nzima kwaye zibuhlungu ngenxa yoxinzelelo lwemisebenzi yemihla ngemihla. Ngethamsanqa, kukho iindlela ezininzi zokunciphisa uxinzelelo olusuka entanyeni kunye nokunceda ukukhulula izihlunu ezichaphazelekayo ekungakhululeni, kubandakanya i-yoga. Kwinqaku lanamhlanje, siza kujonga indlela iintlungu zentamo ezichaphazela ngayo umzimba ongaphezulu, izibonelelo zeyoga kwiintlungu zentamo, kunye neentlobo ezahlukeneyo ze-yoga zokunciphisa iziphumo ezidlulayo zeentlungu zentamo. Sixoxa nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya indlela intlungu yentamo ehambelana ngayo noxinzelelo lwemihla ngemihla oluchaphazela umzimba ophezulu. Siyazisa kwaye sikhokela izigulana malunga nendlela i-yoga kunye neendlela ezahlukeneyo zokubeka ezinokuthi zincede umzimba kwaye zinike isiqabu kwiintlungu ezingqongileyo. Sikwakhuthaza abaguli bethu ukuba babuze ababoneleli bezonyango abanxulumene nabo imibuzo emininzi entsonkothileyo kunye nebalulekileyo malunga nokubandakanya i-yoga kwindlela yabo yemihla ngemihla ukunciphisa ukuxinezeleka kwemisipha kunye nokubonelela ukucaca emizimbeni yabo. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli .
Iintlungu zeNtamo ziwuchaphazela njani uMzimba oPhezulu?
Ngaba uziva ungakhululekile okanye intlungu entanyeni nasemagxeni emva kosuku olude, olunzima lomsebenzi? Ngaba uyaqaphela ukuba uzingela ngaphezu kwesiqhelo xa usenza umsebenzi wakho wemihla ngemihla? Okanye ngaba uzibona uhlakulela isimo sengqondo sokuzingela ngokujonga isikrini sekhompyutheni okanye ifowuni ixesha elide? Uninzi lwezi ntshukumo eziqhelekileyo zihlala zihambelana nomzimba ophezulu, ngakumbi kwintamo kunye nemimandla yamagxa, ebangela intlungu yentamo. Njengenye yeengxaki ezixhaphakileyo ezichaphazela abantu abaninzi emhlabeni wonke, intlungu yentamo sisifo se-multifactorial esinemiba emininzi yengozi ebangela ukuphuhliswa kwayo. ( Kazeminasab et al., 2022 ) Njengentlungu emva, intlungu yentamo ingaba nezigaba ezinzima kunye nezingapheliyo ngokuxhomekeke kubunzima kunye nezinto ezisingqongileyo ezikhokelela ekuphuhlisweni kwayo. Izihlunu ezahlukeneyo, iigaments, kunye nezicubu ezijikeleze intamo kunye namagxa zigcina intamo izinzile kwaye ihamba. Xa abantu abaninzi besebenzisa ngokugqithiseleyo le misipha entanyeni nasemagxeni ngokuphindaphindiweyo, kunokunyusa intlungu yentamo kumzimba ophezulu xa umntu emdala. ( UBen Ayed et al., 2019 )
Xa iintlungu ezibuhlungu zentamo zijika zingapheliyo, zinokubangela ukuba umntu ahlale engonwabanga, intlungu, kunye nosizi, ngoko ke baqala ukukhangela izisombululo ezahlukeneyo zokunciphisa iimpawu ezihambelanayo xa bethetha noogqirha babo bokuqala. Xa abantu abaninzi beqala ukuchazela oogqirha babo ukuba indlela yabo yemihla ngemihla ibonakala njani, oogqirha abaninzi baya kuqala ukuvavanya nokuqulunqa isicwangciso esijolise kuyo nayiphi na inkcazo ethile yokulimala, kubandakanywa neendlela ezinokubakho, izinto ezikhuthazayo kunye nokunciphisa, kunye neepatheni zentlungu abanazo. sidibene nayo yonke imini ukuza nesicwangciso sonyango lomntu ukuba singanciphisi nje iintlungu zentamo kodwa nokubonelela ngesiqabu kuxinzelelo kunye nokungonwabi emzimbeni. ( Childress & Stuek, 2020 )
ISayensi yeNtshukumo-Ividiyo
VIDEO
IiNzuzo zeYoga kwiintlungu zeNtamo
Oogqirha abaninzi baseprayimari baya kusebenza nababoneleli bezonyango abanxulumeneyo ukuphuhlisa isicwangciso somntu siqu sokunciphisa iintlungu zentamo kunye neempawu ezinxulumene nazo kubantu abaninzi. Uninzi lwezi zicwangciso zonyango ezilungiselelweyo zibandakanya ukuguqulwa komgogodla, i-acupuncture, i-massage, unyango lokuthomalalisa, kunye nemithambo yonyango. Olunye uqheliselo lonyango oluye lwasetyenziswa ngabantu abaninzi yiyoga. I-Yoga sisenzo esipheleleyo esibandakanya ukulawula ukuphefumla, ukucamngca, kunye neendlela ezahlukeneyo zokolula kunye nokomeleza izihlunu eziphezulu ezichaphazelekayo. I-Yoga igqwesileyo ekunciphiseni intlungu yentamo kunye nokunceda ukuhamba komgudu ophezulu womlomo wesibeleko, ukunweba i-neck musculature ukunceda umntu ukuba aphucule ukuhamba kunye nokuguquguquka. ( URaja et al., 2021 Ukongeza, iziphumo ze-yoga kunye neemeko zayo ezininzi zinokunciphisa uxinzelelo, zinike ingcaciso engqondweni, kwaye zivumele izondlo kunye neoksijini kwisistim ye-musculo-articular ukuphilisa umzimba ngokwawo. ( Gandolfi et al., 2023 )
I-Yoga ibeka iintlungu zeNtamo
Kwangelo xesha, abantu abaninzi abanemisebenzi yokuhlala ehambelana neentlungu zentamo baye baphumeza i-yoga njengenxalenye yesiqhelo sabo. I-Yoga iphucula uluhlu lwabo lwentshukumo edibeneyo kunye nomsebenzi wokuqonda kwaye inceda ukukhulula ukungahambi kakuhle kwe-musculoskeletal kwintamo kunye nemimandla yamagxa. ( Thanasilungkoon et al., 2023 ) Ngezantsi ezinye zeendlela ezahlukeneyo ze-yoga ezinokuthi zincede ukunciphisa iimpawu ezinjengeentlungu zentamo kunye nokunciphisa imisipha ejikelezayo.
Ehleli Intamo Iyazolula
Ukolulwa kwentamo ehleliyo, le yoga pose inceda ukolula kwaye ikhulule izihlunu zentamo ezithwele uxinzelelo kunye noxinzelelo kwindawo yomlomo wesibeleko.
Kwindawo ehleliyo ethe tye, jikela intloko ngasekunene kwaye uphakamise ngobunono isilevu. Kufuneka uzive ukolula kwicala lasekhohlo lentamo kunye namagxa. Bamba indawo emithathu ukuya kwemihlanu yokuphefumla kwaye uphinde kwicala lasekhohlo.
Ukuma kwenkamela
Kwimeko yenkamela, le yoga pose inceda ukomeleza izihlunu zentamo yangaphambili ngelixa unciphisa uxinzelelo emagxeni nasemva kwentamo.
Unokuguqa kwi-yoga mat ngokugcina amadolo akho kunye neenyawo zakho zikude-umgama ngelixa ugcina i-pelvis ingathathi hlangothi. Phakamisa isifuba ngelixa ugobe umqolo wakho kwaye ucinezela i-pelvis kancinci phambili. Zisa iincam zeminwe kwizithende okanye iibhloko zeyoga ecaleni kwamaqatha. Gxininisa ekuzoba isilevu kufutshane nentamo ngelixa ucinezela iinyawo kwi-mat. Bamba indawo emithathu ukuya kwemihlanu yokuphefumla phambi kokuba ukhulule kwaye uphakamise i-sternum ukuze iphakame.
Isikhundla seSphinx
I-sphinx pose ikuvumela ukuba wandise kwaye uqinise umqolo ngelixa usolula amagxa kunye nokukhulula uxinzelelo.
Kwi-yoga mat, lala ngesisu ngeengqiniba phantsi kwamagxa. Cinezela iintende zakho kunye neengalo zakho kwi-mat kwaye uqinise isiqingatha esisezantsi ukukuxhasa njengoko uphakamisa i-torso yakho ephezulu kunye nentloko. Qhubeka ujonge ngqo phambili njengoko ucinga ngokwandisa umnqonqo. Bamba le ndawo ukuphefumla kathathu ukuya kwemihlanu.
Umsonto weNaliti yokuma
I-thread-the-needle pose inceda ukukhulula uxinzelelo olugcinwe entanyeni, emagxeni, nasemva.
Kwi-yoga mat, qalisa kwindawo yonke-ezine kunye nesandla phantsi kwamagxa kunye namadolo phantsi kwezinqe. Phakamisa isandla sasekunene usihambise ngasekhohlo ecaleni komgangatho intende ijonge phezulu. Bamba indawo emithathu ukuya kwemihlanu ukuphefumla imizuzwana engamashumi amathathu kwaye ukhulule. Buyela kwindawo yesine kwaye uphinde uye kwicala lasekhohlo.
isiphelo
Ngokubanzi, ukubandakanya i-yoga njengenxalenye yenkqubo yemihla ngemihla kunokubonelela ngeziphumo eziluncedo ekunciphiseni iintlungu zentamo kunye ne-comorbidities ehambelana nayo. I-Yoga ayifuni iiyure zokuziqhelanisa okanye ukudibanisa kwiindlela ezahlukeneyo, njengoko nje imizuzu embalwa yokolula kunye nokuphefumla ngengqondo suku ngalunye kunokubonelela ngeziphumo ezilungileyo. Xa abantu beqala ukusebenzisa i-yoga njengenxalenye yemisebenzi yabo yemihla ngemihla, baya kuqaphela ukuphuculwa kwendlela yabo yokuma, iingqondo zabo zicace ngakumbi kunangaphambili, kwaye baphile ubomi obonwabisayo, obunempilo ngaphandle kokujongana neentlungu zentamo.
Ucaphulo
Ben Ayed, H., Yaich, S., Trigui, M., Ben Hmida, M., Ben Jemaa, M., Ammar, A., Jedidi, J., Karray, R., Feki, H., Mejdoub, Y., Kasis, M., & Damak, J. (2019). Ukuxhaphaka, izinto eziMngcipheko kunye neZiphumo zeNtamo, amahlombe kunye neentlungu ezisezantsi kuBantwana beSikolo seSekondari. J Res Health Sci , 19 (1), e00440. www.ncbi.nlm.nih.gov/pubmed/31133629
www.ncbi.nlm.nih.gov/pmc/articles/PMC6941626/pdf/jrhs-19-e00440.pdf
Childress, MA, & Stuek, SJ (2020). Intlungu Yentamo: UVavanyo lokuqala kunye noLawulo. Ugqirha wezeMerika waseMerika , 102 (3), 150-156. www.ncbi.nlm.nih.gov/pubmed/32735440
www.aafp.org/pubs/afp/issues/2020/0801/p150.pdf
Gandolfi, MG, Zamparini, F., Spinelli, A., & Prati, C. (2023). I-Asana yeNtamo, amagxa, kunye neZihlalo zokuthintela ukuphazamiseka kwe-Musculoskeletal phakathi kweeNgcali zamazinyo: iProtocol ye-Yoga kwi-Ofisi. J Funct Morphol Kinesiol , 8 (1). doi.org/10.3390/jfmk8010026
Kazeminasab, S., Nejadghaderi, SA, Amiri, P., Pourfathi, H., Araj-Khodaei, M., Sullman, MJM, Kolahi, AA, & Safiri, S. (2022). Intlungu yentamo: i-epidemiology yehlabathi, iintsingiselo kunye nezinto ezinobungozi. I-BMC Musculoskelet Disord , 23 (1), 26. doi.org/10.1186/s12891-021-04957-4
Raja, GP, Bhat, NS, Fernandez-de-Las-Penas, C., Gangavelli, R., Davis, F., Shankar, R., & Prabhu, A. (2021). Ukusebenza kwe-fascial manipulation enzulu yomlomo wesibeleko kunye ne-yoga postures kwiintlungu, umsebenzi, kunye nokulawulwa kwe-oculomotor kwizigulane ezineentlungu zentamo yomatshini: iprotocol yokufunda ye-pragmatic, i-parallel-group, i-randomized, isilingo esilawulwayo. Zilingo , 22 (1), 574. doi.org/10.1186/s13063-021-05533-w
Thanasilungkoon, B., Niempoog, S., Sriyakul, K., Tungsukruthai, P., Kamalashiran, C., & Kietinun, S. (2023). Ukusebenza kweRuesi Dadton kunye neYoga ekunciphiseni iNtamo kunye neentlungu zamagxa kubasebenzi baseOfisi. Int J Exerc Sci , 16 (7), 1113-1130. www.ncbi.nlm.nih.gov/pubmed/38287934
www.ncbi.nlm.nih.gov/pmc/articles/PMC10824298/pdf/ijes-16-7-1113.pdf
isikhanyeli
by UGqr Alex Jimenez Iimpawu , Uncedo Lwezityalo
Ukufunda unobangela wengxaki kunye nendlela yokulawula ngokufanelekileyo kunokunceda abantu abafumana i-spasms emva ngokukhawuleza nangokukhuselekileyo babuyele kumanqanaba angaphambili omsebenzi kunye nomsebenzi.
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
VIDEO
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
by UGqr Alex Jimenez Ubuhlungu Bokubuyisela , Iimpawu
Kubantu abajongene neentlungu ezisezantsi, inokuba yi-quadricep muscle tightness ebangela iimpawu kunye neengxaki zokuma. Ngaba ukwazi iimpawu zokuqina kwe-quadricep kunokuthintela iintlungu kwaye uphephe ukwenzakala?
Ukuqina kweQuadriceps
Izihlunu ze-quadriceps ziphambi kwethanga. Amandla anokuthi enze iintlungu ezingapheliyo kunye neengxaki zokuma zinokwenzeka ngaxeshanye zezi:
Ukuqina kwe-quadricep kubangela iintlungu ezisezantsi zomqolo njengoko i-pelvis itsalwa phantsi.
I-quadriceps eqinile ikhokelela ekubeni buthathaka kwezihlunu ze-hamstring.
Ezi zihlunu ezichasayo emva kwethanga.
Uxinzelelo kunye noxinzelelo kwi-hamstrings kunokubangela intlungu kunye neengxaki.
Ukulungelelaniswa kwe-pelvic kuyachaphazeleka, kubangela iingxaki zokuma kunye nokwanda kweempawu zentlungu. (Sai Kripa, Harmanpreet Kaur, 2021 )
Ukuqina kweQuadriceps Kutsala iPelvis Phantsi
Esinye sezihlunu ezine kwiqela le-quadriceps:
I-rectus femoris inamathele kwi-pelvis kwi-anterior superior iliac spine, eyinxalenye yangaphambili yethambo le-hip.
I-rectus femoris yodwa imisipha kwiqela eliwela i-joint hip, echaphazela nokunyakaza.
Xa i-quadriceps, ngakumbi i-rectus femoris, iqinile, ihlehla esinqeni.
I-pelvis ijonge phantsi okanye phambili, ebizwa ngokuba yi-tilt yangaphambili ye-pelvis. (Anita Król et al., 2017 )
Umqolo uphakathi kwe-pelvis, kwaye ukuba i-pelvis iqhubela phambili, i-lumbar spine ihlawulela nge-arching.
I-arch enkulu kumqolo osezantsi ubizwa ngokuba yi-lordosis egqithisileyo kwaye ihlala ibangela ukuqina kunye nentlungu kwimisipha yangasemva. (Sean G. Sadler et al., 2017 )
Imbuyekezo yeHamstring
Xa i-quadriceps iqina kwaye i-pelvis ihlawulwe phantsi, umva unokuphakamisa okungaqhelekanga. Oku kubeka i-hamstring kwi-stretch ehambelanayo enokubangela iimpawu zentlungu.
Ukuma okunempilo kunye nethoni ye-hamstring muscle inceda ukugcina indawo echanekileyo ye-pelvic ngasemva.
Oku kuchanekile kuba inceda ukugcina indawo etofotofo.
Ukuqina kwe-quadricep kunokubangela ukusabela njengoko i-pelvis ijongeka phantsi ngaphambili kwaye phezulu ngasemva ngelixa isolula kakhulu i-hamstrings.
Iintlungu kunye nobuhlungu ziziphumo eziqhelekileyo
Ukunqongophala kwamandla e-hamstring kunye nokwelula kwe-quadriceps kunokubangela ukuba i-hamstrings ilahlekelwe amandla abo okuxhasa izikhundla ezichanekileyo ze-pelvic kunye ne-spinal. (IBhunga laseMelika lokuzilolonga. 2015 )
Ukwazi Xa I-Quads Iqinisa
Abantu bahlala bengaqondi ukuba i-quadriceps yabo iqinile, ngakumbi abo bachitha ixesha elininzi behleli.
Ixesha elininzi elichithwe esihlalweni linokubangela ukuba i-quadriceps kunye nezihlunu ezisezantsi ziqiniswe ngokuthe ngcembe.
Abantu ngabanye banokuzama iimvavanyo ezimbalwa ekhaya:
Ukusukuma
Tyhiliza isinqe phambili.
Tyhala ukusuka kumathambo ahleliyo ukuze ube kumgangatho ochanekileyo.
Ziya phambili kangakanani izinqe?
Kuvakala ntoni?
Iintlungu zingabonisa i-quadriceps eqinile.
Kwisikhundla seLunge
Ngomlenze omnye phambili kwaye ugobe phambi komnye.
Umlenze ongasemva uthe tye.
Ingaba umlenze uya phambili kangakanani?
Kuvakala ntoni?
Uziva njani umphambili we-hip kumlenze ongasemva?
Umlenze oGobileyo omileyo
Yima umlenze wangaphambili ugobile kwaye umlenze wangemva uthe tye.
Ukungakhululeki emlenzeni wangasemva kunokuthetha i-quadriceps eqinile.
KwiNdawo yokuGuqa
Arch ngasemva
Bamba amaqatha
Guqula indawo yokulungelelanisa nayiphi na intlungu okanye imiba edibeneyo.
Ukuba kufuneka uzixhase okanye uguqule indawo yokunciphisa intlungu, inokuba yi-quadriceps eqinile.
Ukunceda ukuqonda imeko kunokunceda ekunxibelelaneni nomboneleli wezempilo.
Umboneleli wezempilo kunye / okanye i-physical therapist inokwenza uvavanyo lokuvavanya i-posture ukuvavanya I-quadriceps .
Ukuqonda iiNzululwazi eziPhambili eziPhambili: Iimpembelelo zeMpembelelo kunye neziSombululo zeChiropractic
VIDEO
Ucaphulo
Kripa, S., Kaur, H. (2021). Ukuchonga ubudlelwane phakathi kwe-posture kunye nentlungu kwizigulane ezibuhlungu ezisezantsi: uphononongo olubalisayo. I-Bulletin ye-Faculty ye-Physical Therapy, i-26 (34). doi.org/doi : 10.1186/s43161-021-00052-w
Król, A., Polak, M., Szczygieł, E., Wójcik, P., & Gleb, K. (2017). Ubudlelwane phakathi kwezinto zoomatshini kunye nokuthambeka kwe-pelvic kubantu abadala kunye nangaphandle kweentlungu ezisezantsi. Umbhalo we-back and musculoskeletal rehabilitation, 30 (4), 699-705. doi.org/10.3233/BMR-140177
Sadler, SG, Spink, MJ, Ho, A., De Jonge, XJ, & Chuter, VH (2017). Isithintelo kwi-lateral bending range of motion, lumbar lordosis, kunye ne-hamstring flexibility iqikelela ukuphuhliswa kweentlungu ezisezantsi: uphononongo olucwangcisiweyo lwezifundo ezizayo zeqela. I-BMC ye-musculoskeletal disorders, i-18 (1), i-179. doi.org/10.1186/s12891-017-1534-0
IBhunga laseMelika lokuzilolonga. (2015). Izolulo ezi-3 zokuvula ama-hips aqinileyo (Ukufaneleka, ukukhutshwa. www.acefitness.org/resources/everyone/blog/5681/3-stretches-for-opening-up-tight-hips/
by UGqr Alex Jimenez entanyeni Pain , Iimpawu
Kubantu abajongene neentlungu zentamo okanye zengalo kunye neempawu zentloko ye-migraine ingaba yi-splenius capitis yokulimala kwemisipha. Ngaba ukwazi izizathu kunye neempawu kunokunceda ababoneleli bezempilo baphuhlise isicwangciso sonyango esisebenzayo?
Splenius Capitis Izihlunu
I-splenius capitis sisihlunu esinzulu esikumqolo ongasentla. Kanye kunye ne-splenius cervicis, iquka umaleko ongaphezulu - enye yezintathu-yezihlunu zangaphakathi zangasemva. I-splenius capitis isebenza kunye ne-splenius cervicis, i-muscle encinci engaphantsi kwayo, ukunceda ukujikeleza intamo kunye nokunciphisa i-chin esifubeni, eyaziwa ngokuba yi-flexing. Ukugcina ukuma okunempilo kubalulekile kuba kunceda ukugcina intloko kwindawo engathathi hlangothi.
Ukuqala kwi-middleline yomqolo kwi-C3 ukuya kwi-T3, i-splenius capitis idibanisa amanqanaba phakathi kwe-7th vertebra yomlomo wesibeleko ukuya kwi-3rd okanye i-4th ye-thoracic vertebrae, eyahluka kubantu abahlukeneyo.
Umsipha ufaka kwi nuchal ligament , into eyomeleleyo yentamo.
Isihlunu se-splenius capitis sijikela phezulu nangaphandle, sincamathele kukhakhayi.
I-splenius capitis kunye nomlomo wesibeleko zigubungela i-paraspinals, ezinzulu kwaye ziquka umaleko ophakathi we-intrinsic back muscles.
Izihlunu ze-splenius zibukeka njenge-bandage ye-paraspinals kunye nezihlunu ezithe nkqo ezibandakanya umaleko onzulu.
Izihlunu zesplenius zibamba ezi maleko zinzulu kwindawo echanekileyo.
Ezi zihlunu ziqala embindini womqolo kwaye xa zidibene zenza imilo engu-V.
Amacala ka-V angqingqwa, kwaye indawo esembindini yokujongisisa ayinzulu.
Ubuhlungu
Kuqhelekile ukuba abantu bafumane iintlungu ezinxulumene nokwenzakala kwi-splenius capitis. Olu hlobo lweentlungu lwaziwa ngokuba i-splenius capitis syndrome . (U-Ernest E, u-Ernest M. 2011 )
iimpawu
Intloko ebuhlungu ebangelwa kukwenzakala idla ngokuxelisa intloko ebuhlungu. Iimpawu ze-splenius capitis syndrome ziquka:U-Ernest E, u-Ernest M. 2011 )
intlungu entanyeni
Intlungu yokulwa
Iintlungu emva kwentloko
Intloko ebuhlungu kwiitempile
Uxinzelelo emva kweliso
Iintlungu ngasemva, ngaphezulu, okanye phantsi kweliso
Ukuqonda ukukhanya
Izizathu
Ukwenzakala kwi-splenius capitis kunokubangelwa: (U-Ernest E, u-Ernest M. 2011 )
Ukuma okungenampilo ixesha elide
Ukuguquguquka rhoqo okanye ukujikeleza intamo
Ukulala kwiindawo ezingaqhelekanga
Ukulimala kokuwa
Ukungqubana kwemoto
Ukulimala kwezemidlalo
impatho
Kucetyiswa ukuba uqhagamshelane nomboneleli wezempilo ukuba ufumana iimpawu eziphazamisa imisebenzi yemihla ngemihla okanye umgangatho wobomi. Umboneleli wezempilo uya:
Iiprothokholi zonyango kunye neendlela zokuphelisa iimpawu kunye nokubuyisela ukusebenza kunokubandakanya enye okanye indibaniselwano yonyango olubandakanya:
Ukusetyenziswa komkhenkce kunye nobushushu
Ulungiso lwenyama
Unyango lokunyanga
Uhlengahlengiso lweChiropractic
Ukuthotywa kwe-non-utyando
Ukwenza i-Acupuncture Intamo yolula
Iyeza leentlungu (ixesha elifutshane)
Injections
Utyando olungenelelayo oluncinci
Ukulimala Kweentambo
VIDEO
Ucaphulo
U-Ernest E, u-Ernest M. Ulawulo lweentlungu eziSebenzayo. (2011). Splenius Capitis Muscle Syndrome.
by UGqr Alex Jimenez Heart Health , Iimpawu
I-postural orthostatic tachycardia syndrome yimeko yonyango eyenza ukukhanya kunye nokubetha emva kokuma. Ngaba uhlengahlengiso lwendlela yokuphila kunye nezicwangciso zeendlela ezininzi zinokunceda ukunciphisa nokulawula iimpawu?
I-Postural Orthostatic Tachycardia Syndrome - I-POTS
I-postural orthostatic tachycardia syndrome, okanye i-POTS, yimeko eguquguqukayo ngobunzima ukusuka kwi-mild to incapacitating. NgeePOTS:
Isantya sentliziyo sanda kakhulu ngokuma komzimba.
Le meko idla ngokuchaphazela abantu abaselula.
Uninzi lwabantu abane-postural orthostatic tachycardia syndrome ngabasetyhini abaphakathi kweminyaka eyi-13 kunye ne-50.
Abanye abantu banembali yosapho lwePOTS; Abanye abantu baxela ukuba i-POTS yaqala emva kokugula okanye uxinzelelo, kwaye abanye bathi yaqala kancinci.
Idla ngokusombulula ekuhambeni kwexesha.
Unyango lunokuba luncedo.
Ukuxilongwa kusekelwe ekuhloleni uxinzelelo lwegazi kunye ne-pulse / heart rate.
iimpawu
I-postural orthostatic tachycardia syndrome inokuchaphazela abantu abancinci abasempilweni kwaye inokuqala ngequbuliso. Ngokuqhelekileyo kwenzeka phakathi kweminyaka eyi-15 kunye ne-50, kwaye abasetyhini kunokwenzeka ukuba bayiphuhlise kunamadoda. Abantu banokufumana iimpawu ezahlukeneyo kwimizuzu embalwa yokuma kwindawo eleleyo okanye ehleliyo. Iimpawu zingenzeka rhoqo kwaye yonke imihla. Ezona mpawu zixhaphakileyo ziquka: (Amaziko eSizwe ezeMpilo. Iziko leSizwe lokuPhuhlisa iiNzululwazi zoGuqulelo. I-Genetic kunye neZiko loLwazi lweZifo ezinqabileyo. 2023 )
Ukuxhalabisa
Lightheadedness
Uziva ngathi uza kuphelelwa.
I-Palpitations - ukuva ukubetha kwentliziyo ngokukhawuleza okanye okungaqhelekanga.
Utywala
Intloko
Umbono ongezantsi
Imilenze ijika ibebomvu-mfusa.
Ubuthathaka
Ukugubha
Ukukhathala
Iingxaki zokulala
Ingxaki yokugxila/inkungu yengqondo.
Abantu ngabanye banokufumana iziqendu eziphinda-phindayo zokufa isiqaqa, ngesiqhelo kungekho nasiphi na isiqhumiso ngaphandle kokuma.
Abantu ngabanye banokufumana nayiphi na indibaniselwano yezi mpawu.
Ngamanye amaxesha, abantu abangakwaziyo ukumelana nemidlalo okanye ukuzilolonga kwaye banokuziva beqaqadekile kwaye benesiyezi ngenxa yentshukumo ephakathi okanye ephakathi, enokuchazwa njengokunganyamezeli umthambo.
Iimpembelelo ezinxulumeneyo
I-postural orthostatic tachycardia syndrome inokudibaniswa nezinye i-dysautonomia okanye i-syndromes ye-nervous system, njenge-neurocardiogenic syncope.
Abantu bahlala bexilongwa kunye nezinye iimeko ezifana: Isifo sokunyamezela esingapheliyo
Isifo se-Ehlers-Danlos
Fibromyalgia
Migraines
Ezinye iimeko ze-autoimmune.
Iimeko zamathumbu.
Izizathu
Ngokuqhelekileyo, ukuma kubangela ukuba igazi libaleke ukusuka kwi-torso ukuya emilenzeni. Utshintsho olukhawulezileyo luthetha ukuba lincinci igazi elikhoyo ukuze intliziyo impompe. Ukuhlawulela, inkqubo ye-nervous autonomic ithumela imiqondiso kwimithambo yegazi ukuze icinezele ukutyhala igazi elingakumbi entliziyweni kunye nokugcina uxinzelelo lwegazi kunye nesantya sentliziyo esiqhelekileyo. Uninzi lwabantu alufumani tshintsho lubalulekileyo kuxinzelelo lwegazi okanye i-pulse xa bemile. Ngamanye amaxesha, umzimba awukwazi ukwenza lo msebenzi ngokuchanekileyo.
If uxinzelelo lwegazi luyehla ekumeni kwaye lubangele iimpawu njengokukhanya, kwaziwa ngokuba yi-orthostatic hypotension.
ukuba Uxinzelelo lwegazi luhlala luqhelekileyo, kodwa izinga lokubetha kwentliziyo likhawuleza , ziiPOTS.
Izinto ezichanekileyo ezibangela i-postural orthostatic tachycardia syndrome ziyahluka kubantu kodwa zihambelana notshintsho kwi:
Inkqubo ye-nervous autonomic, amanqanaba e-adrenal hormone, umthamo wegazi elipheleleyo, kunye nokunyamezela ukunyamezela komzimba. (Robert S. Sheldon et al., 2015 )
I-Autonomic Nervous System
Inkqubo ye-nervous autonomic ilawula uxinzelelo lwegazi kunye nesantya sentliziyo, eziziindawo zenkqubo ye-nervous elawula imisebenzi yangaphakathi yomzimba efana nokugaya, ukuphefumla, kunye nesantya sentliziyo. Kuqhelekile ukuba uxinzelelo lwegazi lwehle kancinci kwaye isantya sentliziyo sikhawuleze kancinci xa simile. NgePOTS, olu tshintsho lubonakala ngakumbi.
I-POTS ithathwa njengoluhlobo lwe-dysautonomia, oluyiyo ukuncipha kolawulo kwinkqubo ye-nervous autonomic.
Ezinye ii-syndromes ezininzi zicingelwa ukuba zihlobene ne-dysautonomia, njenge-fibromyalgia, i-bowel syndrome enomsindo, kunye nesifo esingapheliyo sokukhathala.
Akucaci ukuba kutheni i-syndrome okanye nayiphi na enye iindidi ze-dysautonomia zikhula, kodwa kubonakala ngathi kukho i-family predisposition.
Ngamanye amaxesha isiqendu sokuqala se-POTS sibonakalisa emva kwesiganeko sezempilo esinje:
Ukukhulelwa
Isifo esosulelayo esiqatha, umzekelo, imeko enzima yomkhuhlane.
Isiqendu somonzakalo okanye ukubhideka kwengqondo.
Utyando olukhulu
Ukuqondwa
Uvavanyo lokuxilonga luya kubandakanya imbali yezonyango, uvavanyo lomzimba, kunye neemvavanyo zokuxilonga.
Umboneleli wezempilo uya kuthatha uxinzelelo lwegazi kunye ne-pulse ubuncinane kabini. Kanye xa ndilele kwaye kanye xa ndimile.
Imilinganiselo yoxinzelelo lwegazi kunye nesantya sokubetha kwentliziyo ilele phantsi, ukuhlala, kunye nokuma zizinto ezibalulekileyo ze-orthostatic.
Ngokuqhelekileyo, ukuma kwandisa izinga lokubetha kwentliziyo nge-10 beats ngomzuzu okanye ngaphantsi.
Nge-POTS, ukubetha kwentliziyo kunyuka ngama-30 ngomzuzu ngelixa uxinzelelo lwegazi luhlala lungatshintshi. (Dysautonomia International. 2019 )
Ukubetha kwentliziyo kuhlala kunyukile ngaphezulu kwemizuzwana embalwa xa umile/udla ngokuba yimizuzu eli-10 nangaphezulu.
Iimpawu zenzeka rhoqo.
Ihlala ngaphezu kweentsuku ezimbalwa.
Utshintsho lwepulse yendawo ayisiyiyo kuphela ukuqwalaselwa kokuxilonga kwi-postural orthostatic tachycardia syndrome, njengoko abantu ngabanye banokufumana olu tshintsho kunye nezinye iimeko.
tests
Ukuxilongwa ngokungafani
Kukho izizathu ezahlukeneyo ze-dysautonomia, i-syncope, kunye ne-orthostatic hypotension.
Kulo lonke uvandlakanyo, umboneleli wezempilo unokujonga ezinye iimeko, ezifana nokuphelelwa ngamanzi emzimbeni, ukukhutshwa kwe-deconditioning ekuphumleni kwebhedi ixesha elide, kunye ne-diabetes neuropathy.
Amayeza afana ne-diuretics okanye amayeza oxinzelelo lwegazi anokubangela iziphumo ezifanayo.
impatho
Zininzi iindlela ezisetyenziswayo ekulawuleni i-POTS, kwaye abantu ngabanye banokufuna indlela yeendlela ezininzi. Umboneleli wezempilo uya kucebisa rhoqo ukujonga uxinzelelo lwegazi kunye ne-pulse ekhaya ukuze baxoxe ngeziphumo xa besiya kuxilongo lwezonyango.
Ulwelo kunye nokutya
Ukunyanga kwamayeza
Ukuzivocavoca kunye ulungiso lwenyama inokunceda umzimba ufunde ukuziqhelanisa nokuma nkqo.
Kuba kunokuba ngumceli mngeni ukwenza umthambo xa usebenza ne-POTS, inkqubo yokuzivocavoca ekujoliswe kuyo phantsi kolawulo inokufuneka.
Ucwangciso lokuzilolonga lusenokuqalwa ngokuqubha okanye ngokusebenzisa oomatshini bokubhexa, abangafuni ukuma nkqo. (Dysautonomia International. 2019 )
Emva kwenyanga okanye ezimbini, ukuhamba, ukubaleka, okanye ukukhwela ibhayisekile kunokongezwa.
Uphononongo lubonise ukuba abantu abane-POTS, ngokomndilili, banamagumbi amancinci entliziyo kunabantu abangenayo le meko.
Ukuzilolonga rhoqo kwe-aerobic kubonakaliswe ukwandisa ubungakanani begumbi lentliziyo, ukubetha kwentliziyo ecothayo, kunye nokuphucula iimpawu. (Qi Fu, uBenjamin D. Levine. 2018 )
Abantu ngabanye kufuneka baqhubeke nenkqubo yokuzilolonga ixesha elide ukugcina iimpawu zingabuyi.
Amachiza
Amayeza amiselweyo okulawula i-POTS abandakanya i-midorine, i-beta-blockers, i-pyridostigmine - i-Mestinon, kunye ne-fludrocortisone. (Dysautonomia International. 2019 )
I-Ivabradine, esetyenziselwa imeko yentliziyo ye-sinus tachycardia, isetyenziswe ngokufanelekileyo kwabanye abantu.
Ungenelelo lolondolozo
Ezinye iindlela zokuthintela iimpawu ziquka:
Ukulala kwindawo yentloko-phezulu ngokuphakamisa intloko yebhedi ukusuka emhlabeni 4 ukuya kwi-intshi ezi-6 usebenzisa ibhedi ehlengahlengiswayo, iibhloko zomthi, okanye iziphakamisi.
Oku kwandisa umthamo wegazi elijikelezayo.
Ukwenza iindlela zokumelana nokuthintela njengoku squatting, ukukhama ibhola, okanye ukunqumla imilenze. (Qi Fu, uBenjamin D. Levine. 2018 )
Ukunxiba iikawusi zokucinezela ukuthintela igazi elininzi ukuba lingaphumi emilenzeni xa umile kunokunceda ukuphepha i-orthostatic hypotension. (Dysautonomia International. 2019 )
Ukoyisa ukungaphumeleli kweNtliziyo eCandekileyo
VIDEO
Ucaphulo
AmaZiko eSizwe ezeMpilo. Iziko leSizwe lokuPhuhlisa iiNzululwazi zoGuqulelo. Iziko loLwazi lweGenetic kunye neZifo ezinqabileyo (GARD). (2023). I-postural orthostatic tachycardia syndrome.
Sheldon, R. S., Grubb, B. P., 2nd, Olshansky, B., Shen, W. K., Calkins, H., Brignole, M., Raj, S. R., Krahn, A. D., Morillo, C. A., Stewart, J. M., Sutton, R., Sandroni, P., Friday, K. J., Hachul, D. T., Cohen, M. I., Lau, D. H., Mayuga, K. A., Moak, J. P., Sandhu, R. K., & Kanjwal, K. (2015). I-2015 ye-heart rhythm yoluntu inkcazo yokuvumelana malunga nokuxilongwa kunye nokunyangwa kwe-postural tachycardia syndrome, i-sinus tachycardia engafanelekanga, kunye ne-vasovagal syncope. Isingqisho sentliziyo, 12(6), e41–e63. doi.org/10.1016/j.hrthm.2015.03.029
Dysautonomia International. (2019). I-Postural Orthostatic Tachycardia Syndrome
UFu, Q., & Levine, B. D. (2018). Ukuzivocavoca kunye nokunyangwa kwe-pharmacological ye-POTS. I-Autonomic neuroscience : isiseko kunye neklinikhi, 215, 20-27. doi.org/10.1016/j.autneu.2018.07.001
by UGqr Alex Jimenez Iimpawu , Ucoceko loMgcini
Kubantu abasebenza kwidesksi okanye kwisikhululo somsebenzi apho uninzi lomsebenzi lwenziwa kwindawo ehleliyo kwaye kwandisa umngcipheko weengxaki ezahlukeneyo zempilo, ngaba ukusebenzisa idesksi yokuma kunokunceda ukukhusela iingxaki ze-musculoskeletal kunye nokuphucula impilo emfutshane kunye nexesha elide?
IiDesika zokuma
Ngaphezulu kwe-80% yemisebenzi yenziwa kwindawo ehleliyo. Iidesika zokumisa zibonakalise ukuba ziyanceda. (UAllene L. Gremaud et al., 2018 ) Idesika yokuma ehlengahlengiswayo yenzelwe ukuba ibe bubude obumileyo bomntu. Ezinye iidesika zinokuthotywa ukuze zisetyenziswe xa uhleli. Ezi desika zinokuphucuka:
Ukujikeleza kwegazi
Umqolo obuhlungu
amandla
Gxi ninisa
Abantu abangahlaliyo kakhulu banokufumana ukudakumba, ukuxhalaba, kunye nomngcipheko wezifo ezingapheliyo.
Ukuphucula i-Posture kunye nokunciphisa iintlungu zokuBuyela
Ukuhlala ixesha elide kunokubangela ukudinwa kunye nokungonwabi emzimbeni. Iimpawu zentlungu emva kunye neemvakalelo ziqhelekileyo, ngakumbi xa uqhuba i-postures engafanelekanga, sele ujongene neengxaki ezikhoyo zangasemva, okanye usebenzisa i-non-ergonomic desk set-up. Endaweni yokuhlala okanye ukuma usuku lonke lomsebenzi, ukutshintshisana phakathi kokuhlala nokuma kusempilweni ngakumbi. Ukuziqhelanisa nokuhlala kunye nokuma rhoqo kunciphisa ukudinwa komzimba kunye nokunciphisa umva. (UAlicia A. Thorp et al., 2014 ) (Grant T. Ognibene et al., 2016 )
Yandisa amaNqanaba oMbane
Ukuhlala ixesha elide kuhambelana nokudinwa, ukunciphisa amandla, kunye nemveliso. Idesika yokuhlala inokubonelela ngezibonelelo ezinjengokonyuka kwamanqanaba emveliso. Abaphandi bafumanise ukuba iidesika zokuhlala zingaphucula impilo jikelele kunye nemveliso yabasebenzi baseofisini. Abantu abakolu phando banike ingxelo:
Ukwanda okubonakalayo kwimpilo ye-subjective.
Ukonyuka kwamandla kwimisebenzi yomsebenzi.
Ukuphucula ukusebenza komsebenzi. (UJiameng Ma et al., 2021 )
UkuNcitshiswa kweZifo eziNgapheliyo
Ngokutsho kweCDC, abantu abathandathu kwabalishumi e-US banesifo esinye esinganyangekiyo, njengesifo seswekile, isifo sentliziyo, isifo sohlangothi, okanye umhlaza. Isifo esingapheliyo sesona sizathu siphambili sokufa kunye nokukhubazeka, kunye nowona mandla aphambili kwiindleko zempilo. (Amaziko oLawulo noThintelo lweZifo. 2023 ) Nangona uphando olongezelelweyo lufunekayo ukuze ubone ukuba iidesksi zokuma zinganciphisa umngcipheko wesifo esingapheliyo, uphando oluthile lujonge ukulinganisa ubudlelwane phakathi kwexesha lokuhlala kunye nomngcipheko wesifo esingapheliyo okanye ukufa. Abaphandi baxele ukuba ukuhlala ixesha elide kunxulunyaniswa ngokuzimeleyo neziphumo ezibi zempilo kungakhathaliseki umsebenzi womzimba. (Aviroop Biswas et al., 2015 )
Ukugxilwa kwengqondo
Ukuhlala ixesha elide kunciphisa ukuhamba kwegazi. Oku kuncipha kokuhamba kwegazi ukuya kwingqondo yehlisa ukusebenza kwengqondo kwaye kwandisa umngcipheko weemeko ze-neurodeergenerative. Olunye uphononongo luqinisekisile ukuba abantu abasempilweni abasebenza kwindawo ehleli ixesha elide baye banciphisa ukuhamba kwegazi kwengqondo. Uphononongo lwafumanisa ukuba ukuhamba rhoqo, ukuhamba okufutshane kunganceda ukuthintela oku. (USophie E. Carter et al., 2018 ) Ukuma kwandisa ukujikeleza kwegazi kunye neoksijini. Oku kuphucula umsebenzi wokuqonda, okunceda ukuphucula ukugxila kunye nokugxila.
Ukuxinezeleka kunye nokuNcitshiswa kweNxwala
Iindlela zokuphila zanamhlanje ziqulathe izixa ezikhulu zokuziphatha ngokuhlala.
Nangona kunjalo, kukho imali encinci malunga nemingcipheko yempilo yengqondo yokuziphatha ixesha elide lokuhlala. Kubekho izifundo ezimbalwa ezijolise ekuphuculeni ukuqonda koluntu. Olunye uphononongo lugxile kwiqela labantu abadala, ukuba bazichaze ngemikhwa yokungahlali phantsi equka umabonwakude, i-intanethi kunye nexesha lokufunda. Olu lwazi luthelekiswe namanqaku abo ngabanye kwi Iziko leZifundo ze-Epidemiological Depression isikali. (UMark Hamer, uEmmanuel Stamatakis. 2014 )
Abaphandi bafumanise ukuba ezinye iindlela zokuziphatha ezihlala phantsi ziyingozi kakhulu kwimpilo yengqondo kunabanye.
Ukubukela umabonwakude, umzekelo, kubangele ukwanda kweempawu zokudakumba kunye nokunciphisa umsebenzi wokuqonda. (UMark Hamer, uEmmanuel Stamatakis. 2014 )
Ukusetyenziswa kwe-Intanethi kube nefuthe elichasayo, ukunciphisa iimpawu ezidakumbisayo kunye nokwandisa umsebenzi wokuqonda.
Abaphandi bacinga ukuba iziphumo zivela kwiimeko ezingqongileyo kunye nezentlalo ezichaseneyo ezenzekayo. (UMark Hamer, uEmmanuel Stamatakis. 2014 )
Olunye uphononongo lujonge unxibelelwano olunokwenzeka phakathi kokuziphatha kokuhlala kunye nokuxhalaba.
Ukunyuka kwamanani okuziphatha okuhlala phantsi, ngakumbi ukuhlala, kubonakala ngathi ukonyusa umngcipheko wokuxhalaba. (UMegan Teychenne, uSarah A Costigan, uKate Parker. 2015 )
Ukubandakanya idesika yokuma kwindawo yokusebenzela kunokuncedisa ukunciphisa imiphumo emibi yokuziphatha okungapheliyo, okukhokelela ekuphuculeni imveliso, ukuphuculwa kwempilo yengqondo kunye nomzimba, kunye nendawo enempilo yokusebenza kubantu abathile. umsebenzi iiyure ezinde kwidesika okanye kwindawo yokusebenza.
Ukuqonda iiNzululwazi eziPhambili eziPhambili: Iimpembelelo zeMpembelelo kunye neziSombululo zeChiropractic
VIDEO
Ucaphulo
Gremaud, AL, Carr, LJ, Simmering, JE, Evans, NJ, Cremer, JF, Segre, AM, Polgreen, LA, & Polgreen, PM (2018). Ukusetyenziswa kwe-Accelerometer yeGamifying Yonyusa amaNqanaba oMzimba waBasebenzi beOfisi abahleliyo. Ijenali ye-American Heart Association, i-7 (13), e007735. doi.org/10.1161/JAHA.117.007735
Thorp, AA, Kingwell, BA, Owen, N., & Dunstan, DW (2014). Ukuqhawula ixesha lokuhlala kwindawo yokusebenza kunye nokuma okungapheliyo kuphucula ukudinwa kunye nokungahambi kakuhle kwe-musculoskeletal kubasebenzi baseofisini abakhulu kakhulu / abatyebileyo. Amayeza omsebenzi kunye nokusingqongileyo, 71 (11), 765-771. doi.org/10.1136/oemed-2014-102348
Ognibene, GT, Torres, W., von Eyben, R., & Horst, KC (2016). Impembelelo ye-Sit-Stand Workstation kwi-Chronic Low Back Pain: Iziphumo zovavanyo olungenamkhethe. Ijenali yeyeza lomsebenzi kunye nokusingqongileyo, i-58 (3), i-287-293. doi.org/10.1097/JOM.0000000000000615
Ma, J., Ma, D., Li, Z., & Kim, H. (2021). Iziphumo zeNdawo yoMsebenzi iSit-Stand Desk Intervention kwiMpilo kunye neMveliso. Ijenali yamazwe ngamazwe yophando lokusingqongileyo kunye nempilo yoluntu, 18(21), 11604. doi.org/10.3390/ijerph182111604
Amacandelo okuLawula nokuKhuselwa kwezifo. Isifo esingapheliyo .
Biswas, A., Oh, PI, Faulkner, GE, Bajaj, RR, Silver, MA, Mitchell, MS, & Alter, DA (2015). Ixesha lokuhlala kunye nokudibanisa nomngcipheko weziganeko zesifo, ukufa, kunye nokulaliswa esibhedlele kubantu abadala: uphononongo olucwangcisiweyo kunye nohlalutyo lwe-meta. Iingxelo zonyango lwangaphakathi, i-162 (2), i-123-132. doi.org/10.7326/M14-1651
Carter, SE, Draijer, R., Holder, SM, Brown, L., Thijssen, DHJ, & Hopkins, ND (2018). Ikhefu lokuhamba rhoqo lithintela ukwehla kokuhamba kwegazi kwi-cerebral ehambelana nokuhlala ixesha elide. Ijenali ye-physiology esetyenzisiweyo (Bethesda, Md.: 1985), 125 (3), 790-798. doi.org/10.1152/japplphysiol.00310.2018
Hamer, M., & Stamatakis, E. (2014). Uphononongo olulindelekileyo lokuziphatha kokuhlala, umngcipheko wokudakumba, kunye nokuphazamiseka kwengqondo. Amayeza kunye nesayensi kwimidlalo kunye nokuzilolonga, 46 (4), 718-723. doi.org/10.1249/MSS.0000000000000156
Teychenne, M., Costigan, SA, & Parker, K. (2015). Ubudlelwane phakathi kokuziphatha kokuhlala kunye nomngcipheko wokuxhalaba: uphononongo olucwangcisiweyo. BMC impilo yoluntu, 15, 513. doi.org/10.1186/s12889-015-1843-x
