Iimeko eziPhathwayo
Iimeko zeklinikhi yangasemva zinyangwa. Ubuhlungu obungapheliyo, ukunakekelwa kweNgozi ye-Auto, iintlungu ezibuhlungu, iintlungu ezisezantsi, iintlungu ezisezantsi, i-Sciatica, iintlungu zentanyeni, iintlungu zomsebenzi, ukwenzakala komntu, ukwenzakala kwezemidlalo, iMigraine Headaches, Scoliosis, Complex Herniated Discs, Fibromyalgia, Wellness & Nutrition, Ulawulo loxinzelelo, kunye Complex Ukwenzakala.
Kwikliniki ye-El Paso ye-Chiropractic Rehabilitation Clinic & Integrated Medicine Centre, sigxile ekuphatheni izigulane emva kokulimala okuphazamisayo kunye neentlungu ezingapheliyo zentlungu. Sigxila ekuphuculeni amandla akho ngokuguquguquka, ukushukuma, kunye neenkqubo zobuchule ezenzelwe onke amaqela obudala kunye nokukhubazeka.
Ukuba uDkt Alex Jimenez uvakalelwa kukuba ufuna olunye unyango, ngoko uya kuthunyelwa kwiklinikhi okanye kuGqirha ofaneleke kakhulu kuwe. UDkt Jimenez uye wabambisana noogqirha abaphezulu, iingcali zeklinikhi, abaphandi bezonyango, kunye nabanikezeli be-premiere yokuvuselela ukuzisa u-El Paso unyango oluphezulu lweklinikhi kuluntu lwethu. Ukubonelela ngeeprothokholi eziphezulu ezingahlaseliyo yeyona nto iphambili kuthi. Ukuqonda kwezonyango yinto izigulane zethu ezifunayo ukuze ubanike ukhathalelo olufanelekileyo olufunekayo. Ngeempendulo kuyo nayiphi na imibuzo onokuba nayo nceda ufowunele uDkt Jimenez kwi-915-850-0900
by UGqr Alex Jimenez Iimeko eziPhathwayo , Neuropathy
Ezinye iziphazamiso ze-neurological zingabangela iziqephu ezibukhali ze-peripheral neuropathy, kwaye kubantu abafunyanwe ukuba bane-peripheral neuropathy engapheliyo, ngaba unyango lomzimba lunokunceda ukuphucula ukukwazi ukuhambahamba ngokukhuselekileyo kunye namayeza, iinkqubo, kunye nohlengahlengiso lokuphila ukunceda ukulawula nokulawula iimpawu?
Unyango lwe-Peripheral Neuropathy
Unyango lwe-peripheral neuropathy lubandakanya unyango lweempawu kunye nolawulo lwezonyango ukunceda ukuthintela ukonakaliswa kwemithambo-luvo.
Kwiintlobo ezinzima ze-peripheral neuropathy, ukungenelela kwezonyango kunye nonyango kunokunyanga inkqubo ephantsi, ukuphucula imeko.
Kwiintlobo ezingapheliyo ze-peripheral neuropathy, ukungenelela kwezonyango kunye neendlela zokuphila zinokunceda ukuthintela ukuqhubela phambili kwemeko.
Unyango olungapheliyo lwe-peripheral neuropathy lugxile ekulawulweni kweempawu zentlungu kunye nokukhusela iindawo ezinciphayo zokuziva kumonakalo okanye usulelo.
Ukuzikhathalela kunye noLungiso lwendlela yokuphila
Kubantu abafunyaniswe ukuba bane-peripheral neuropathy okanye abasemngciphekweni wokuphuhla le meko, iindlela zokuphila zidlala indima ebalulekileyo ekulawuleni iimpawu kunye nokuthintela umonakalo wemithambo-luvo ukuba ungabi mandundu kwaye unokuthintela imeko ekuphuhliseni. (UJonathan Enders et al., 2023 )
Ulawulo lwezinhlungu
Abantu ngabanye banokuzama ezi zonyango zokuzikhathalela kwaye babone ukuba kwaye yintoni enokunceda ukunciphisa ukungonwabi kwabo kwaye baphuhlise indlela abanokuthi basebenze ngayo. Ukuzikhathalela ngokwakho kwiimpawu zentlungu kubandakanya:
Ukubeka indawo yokufudumala efudumeleyo kwiindawo ezibuhlungu.
Ukubeka i-pad yokupholisa (kungekhona umkhenkce) kwiindawo ezibuhlungu.
Ukugubungela indawo okanye ukuyishiya ingabonakali, kuxhomekeke kumanqanaba okuthuthuzela.
Nxiba iimpahla ezikhululekileyo, iikawusi, izihlangu, kunye/okanye iiglavu ezingenziwanga ngezinto ezinokubangela ukucaphuka.
Kuphephe ukusebenzisa izinto zokuthambisa okanye iisepha ezinokubangela ukucaphuka.
Sebenzisa i-creams okanye lotions.
Ukugcina iindawo ezibuhlungu zicocekile.
Ukuthintela Ukwenzakala
Ukuncipha kwemvakalelo yenye yezona ziphumo zixhaphakileyo ezinokukhokelela kwiingxaki ezifana nokukhubeka, ubunzima bokujikeleza, kunye nokwenzakala. Ukuthintela kunye nokujonga rhoqo umonzakalo kunokunceda ukuphepha iingxaki ezifana namanxeba abosulelekileyo. (UNadja Klafke et al., 2023 ) Uhlengahlengiso lwendlela yokuphila ukulawula nokuthintela ukulimala kubandakanya:
Nxiba izihlangu ezifakwe kakuhle kunye neekawusi.
Hlola iinyawo, iinzwane, iminwe nezandla rhoqo ukujonga amanxeba okanye amanxeba ekusenokwenzeka ukuba awuvakalanga.
Coca kwaye ugqume amanxeba ukuphepha usulelo.
Sebenzisa inkathalo eyongezelelweyo ngezixhobo ezibukhali ezifana nokupheka kunye nomsebenzi okanye izixhobo zasegadini.
Ulawulo lwezifo
Imiba yokuphila inokunceda ukukhusela ukuqhubela phambili kwesifo kwaye ihambelana ngokusondeleyo nemingcipheko kunye nezizathu ezisisiseko. Ukunceda ukuthintela i-peripheral neuropathy okanye ukuqhubela phambili kwayo kunokwenziwa: (UJonathan Enders et al., 2023 )
Gcina amanqanaba eglucose esempilweni ukuba unesifo seswekile.
Gwema utywala kuyo nayiphi na i-peripheral neuropathy.
Gcina ukutya okunokulinganisela, okunokubandakanya izongezelelo zevithamini, ngakumbi kubantu abatya imifuno okanye imifuno.
Unyango olungaphaya kwe-Counter
Iindlela ezimbalwa zonyango zinokunceda kwiimpawu ezibuhlungu kwaye zinokuthathwa njengoko zifuneka. Unyango lweentlungu ezingaphaya kwe-counter ziquka: (UMichael Überall et al., 2022 )
I-topical lidocaine spray, i-patch, okanye i-creams.
I-Capsaicin creams okanye iipatches.
Umxholo Umkhenkce oshushu
Amachiza achasene ne-steroidal anti-inflammatory - Advil/ibuprofen okanye iAleve/naproxen
Tylenol/acetaminophen
Olu nyango lunokunceda ukukhulula iimpawu ezibuhlungu ze-peripheral neuropathy, kodwa azincedi ekuphuculeni imvakalelo eyanciphayo, ubuthathaka, okanye iingxaki zokulungelelanisa. (UJonathan Enders et al., 2023 )
Amayeza kagqirha
Unyango olumiselweyo lokunyanga i-peripheral neuropathy lubandakanya amayeza eentlungu kunye ne-anti-inflammatories. Iintlobo ezingapheliyo ze-peripheral neuropathy ziquka:
I-Alcohol neuropathy
I-diabetes neuropathy
I-Chemotherapy-induced neuropathy
Unyango olumiselweyo lweentlobo ezingapheliyo luyahluka kunyango lweentlobo ezibukhali ze-peripheral neuropathy.
Ulawulo lwezinhlungu
Unyango olumiselweyo lunokunceda ukulawula intlungu kunye nokungonwabi. Amayeza aquka (UMichael Überall et al., 2022 )
Lyrica - pregabalin
Neurontin - gabapentin
Elavil - amitriptyline
Effexor – venlafaxine
Cymbalta – duloxetine
Kwiimeko ezinzima, i-intravenous/IV lidocaine ingayimfuneko. (USanja Horvat et al., 2022 )
Ngamanye amaxesha, isongezelelo samandla kagqirha okanye i-vitamin B12 enikezelwa ngokutofa inokunceda ukuthintela ukuqhubela phambili xa i-peripheral neuropathy inxulumene nokunqongophala okukhulu kwevithamini. Unyango olumiselweyo lunokunceda ukunyanga inkqubo esisiseko kwezinye iindidi ze-acute peripheral neuropathy. Unyango lwe-acute peripheral neuropathy, efana ne-Miller-Fisher syndrome okanye i-Guillain-Barré syndrome, inokubandakanya:
Corticosteroids
I-Immunoglobulins - iiprotheni ze-immune system
I-Plasmapheresis yinkqubo esusa inxalenye yolwelo yegazi, ibuyisela iiseli zegazi, eziguqula ukusebenza ngokugqithiseleyo kwamajoni omzimba. (USanja Horvat et al., 2022 )
Abaphandi bakholelwa ukuba kukho unxibelelwano phakathi kwezi meko kunye nokudumba umonakalo wesondlo , kunye nokuguqula amajoni omzimba kunenzuzo ekunyangeni iimpawu kunye nesifo esisisiseko.
Ukuhlinzwa
Kwezinye iimeko, iinkqubo zotyando zinokunceda abantu abaneentlobo ezithile ze-peripheral neuropathy. Xa enye imeko ikhulisa iimpawu okanye inkqubo ye-peripheral neuropathy, utyando lunokunceda ukukhulula iimpawu kunye nokuthintela ukuqhubela phambili kwesifo. Oku kuye kwabonakala kusebenza xa i-nerve entrapment okanye ukusilela kwemithambo zizinto. (Wenqiang Yang et al., 2016 )
Unyango olongezelelweyo nolunye
Ezinye iindlela ezincedisayo nezizezinye zinokunceda abantu bajamelane neentlungu kunye nokungonwabi. Olu nyango lunokusebenza njengokhetho oluqhubekayo kwabo bane-peripheral neuropathy engapheliyo. Ukhetho lungabandakanya: (UNadja Klafke et al., 2023 )
I-acupuncture ibandakanya ukubekwa kweenaliti kwiindawo ezithile zomzimba ukunceda ukunciphisa iimpawu zentlungu.
I-Acupressure ibandakanya ukufaka uxinzelelo kwiindawo ezithile zomzimba ukunceda ukunciphisa iimpawu zentlungu.
Unyango lwe-massage lunokunceda ukukhulula uxinzelelo lwemisipha.
Ukucamngca kunye nonyango lokuphumla lunokunceda ukulawula iimpawu.
Unyango ngokwasemzimbeni lusenokusebenza njengenxalenye ebalulekileyo yokuphila ne-peripheral neuropathy engapheliyo kunye nokuchacha kwi-acute peripheral neuropathy.
Unyango lomzimba lunokunceda ukomeleza izihlunu ezibuthathaka, ukuphucula ulungelelwaniso, kwaye ufunde ukuziqhelanisa notshintsho lweemvakalelo kunye neemoto ukuhamba ngokukhuselekileyo.
Abantu abacinga ngonyango lokuncedisana okanye olulolunye bayakhuthazwa ukuba bathethe nomboneleli wabo wezempilo ukuze baqinisekise ukuba ngaba ikhuselekile na kwimeko yabo. I-Chiropractic yezoNyango ze-Chiropractic kunye ne-Functional Medicine Clinic iya kusebenza kunye nomboneleli wezempilo womntu kunye / okanye iingcali ukuphuhlisa isisombululo esifanelekileyo sonyango lwezempilo kunye nempilo ukubonelela intlungu kunye nokuphucula umgangatho wobomi.
I-Peripheral Neuropathy: Ibali eliPhumelelayo lokuBuyisa kwakhona
VIDEO
Ucaphulo
Enders, J., Elliott, D., & Wright, DE (2023). Ungenelelo olusakhulayo lwe-Nonpharmacologic lokuNyanga i-Diabetic Peripheral Neuropathy. I-Antioxidants kunye nokubonakaliswa kwe-redox, i-38 (13-15), i-989-1000. doi.org/10.1089/ars.2022.0158
Klafke, N., Bossert, J., Kröger, B., Neuberger, P., Heyder, U., Layer, M., Winkler, M., Idler, C., Kaschdailewitsch, E., Heine, R., John, H., Zielke, T., Schmeling, B., Joy, S., Mertens, I., Babadag-Savas, B., Kohler, S., Mahler, C., Witt, CM, Steinmann, D. , ... Stolz, R. (2023). UThintelo kunye noNyango lwe-Chemotherapy-Induced Peripheral Neuropathy (CIPN) kunye ne-Non-Pharmacological Interventions: Iingcebiso zeklinikhi ezivela kwiNkqubo yokuHlola iNkqubo kunye neNkqubo yeNgcali yokuVumelana. Inzululwazi yezoNyango (Basel, Switzerland), 11(1), 15. doi.org/10.3390/medsci11010015
Überall, M., Bösl, I., Hollanders, E., Sabatschus, I., & Eerdekens, M. (2022). Isifo seswekile esibuhlungu se-peripheral neuropathy: uthelekiso lwehlabathi lokwenyani phakathi konyango lwe-topical kunye ne-lidocaine 700 mg udaka lwe-medicated kunye nonyango lomlomo. I-BMJ ivula uphando lwesifo sikashukela kunye nokunyamekela, i-10 (6), e003062. doi.org/10.1136/bmjdrc-2022-003062
Horvat, S., Staffhorst, B., & Cobben, JMG (2022). I-Lidocaine ye-Intravenous yoNyango lwentlungu engapheliyo: i-Retrospective Cohort Study. Ijenali yophando lwentlungu, i-15, i-3459-3467. doi.org/10.2147/JPR.S379208
Yang, W., Guo, Z., Yu, Y., Xu, J., & Zhang, L. (2016). Uncedo lweentlungu kunye nokuPhuculwa koMgangatho woBomi oNxulumene neMpilo emva koKuthotywa kweMicrosurgical yeNerves eziBanjelwe ePeripheral kwiZigulana ezinePainful Diabetic Peripheral Neuropathy. Ijenali yotyando lweenyawo kunye ne-ankle: upapasho olusemthethweni lweKholeji yaseMelika yeeNyawo kunye ne-Ankle Surgeons, i-55 (6), i-1185-1189. doi.org/10.1053/j.jfas.2016.07.004
by UGqr Alex Jimenez Unyango lwe-Acupuncture , Iimeko eziPhathwayo
Kubantu abajongene nesifo esingapheliyo sokukhathala, ngaba ukubandakanya i-acupuncture kunye nezinye iiprothokholi zonyango kunceda ukubuyisela ukusebenza kunye nokuphucula umgangatho wobomi?
I-acupuncture ye-Chronic Fatigue Syndrome
Uphando lujonge indlela i-acupuncture enokunceda ngayo ukulawula iimpawu zokudinwa okungapheliyo. Olu phononongo lugxininise kwii-acupoints kunye nobuchule kunye nendlela ezichaphazele ngayo iimpawu ezithile okanye izinto ezingaqhelekanga ezinxulumene nemeko. Abaphandi bafumanisa ukuba i-acupuncture inokunceda ukulawula kunye nokunciphisa ezinye iimpawu (Qing Zhang et al., 2019 ). Nangona kunjalo, bebengekakwazi ukumisela iindlela zendlela i-acupuncture esebenza ngayo.
Uncedo lweempawu
Izifundo ezahlukeneyo zibonise ukuba i-acupuncture inokuphucula iimpawu zokudinwa ngokomzimba nangokwengqondo, kubandakanya:
Bekukho Kwakhona Uphuculo Kwi
Olunye uphononongo lufumene indlela i-acupuncture encede ngayo
Unyango luyahluka ngokweSifundo
Olunye uphando lubonise ukuphuculwa kwamaqela eembaleki ezifakwe kwi-series ye-exercises yokuzivocavoca umzimba kunye nokuphumla kwexesha elifutshane. Elinye iqela leembaleki laphathwa nge-acupuncture kwii-acupoints ezikhethiweyo ngelixa abanye banikwa ukuphumla okwandisiweyo. Uhlalutyo lusetyenziswe kwiiprofayili ze-metabolic zeesampuli zomchamo eziqokelelwe kwiimbaleki kumanqaku amathathu: ngaphambi kokuzivocavoca, ngaphambi nangemva konyango lwe-acupuncture, okanye ukuphumla okwandisiweyo. Iziphumo zibonise ukuba ukubuyiswa kwe-metabolites ephazamisayo kwiimbaleki eziphathwe nge-acupuncture zazikhawuleza kakhulu kunabo bathatha ukuphumla ixesha elide. (Haifeng Ma et al., 2015 )
Abaphandi bathi amaphononongo abandakanya iacupuncture yodwa okanye edityaniswe nolunye unyango lubonakala lubonisa ukuba luyasebenza ekwehliseni ukudinwa. (Yu-Yi Wang et al., 2014 ) Nangona kunjalo, uphando olongezelelweyo luyafuneka ukuze kuqinisekiswe iinzuzo. Olu lutshintsho olubalulekileyo kuphononongo olufumene ubungqina obulinganiselweyo bokusebenza kolunye unyango lokuthomalalisa iimpawu zokudinwa okungapheliyo. (Terje Alraek et al., 2011 )
Olunye uphononongo lolunye unyango lufumene i-acupuncture kunye neendlela ezithile zokucamngca zibonise esona sithembiso sophando lwexesha elizayo. (UNicole S. Porter et al., 2010 )
Olunye uphononongo luthelekisa i-prednisone, isteroid, kunye nobuchule be-acupuncture ebizwa ngokuba yi-coiling dragon kunye nonyango olongezelelweyo olubizwa ngokuba yi-cupping. Icebise ukuba unyango lwe-acupuncture kunye ne-cupping lugqithise i-steroid malunga nokudinwa. (Wei Xu et al., 2012 )
Olunye uphononongo lwafumanisa ukuba ukudinga ngokusetyenziswa kobushushu okanye i-moxibustion kuvelise iziphumo ezingcono kune-acupuncture eqhelekileyo ngokumalunga namanqaku okudinwa ngokomzimba nangokwengqondo. (Chen Lu, Xiu-Juan Yang, Jie Hu 2014 )
Ukususela ekuBonelweni ukuya kwiNguquko: Ukuvavanya izigulane kwi-Chiropractic Setting
VIDEO
Ucaphulo
Zhang, Q., Gong, J., Dong, H., Xu, S., Wang, W., & Huang, G. (2019). I-acupuncture ye-chronic fatigue syndrome: uphononongo olucwangcisiweyo kunye nohlalutyo lwemeta. I-acupuncture kwiyeza : ijenali yeBritish Medical Acupuncture Society, 37 (4), 211-222. doi.org/10.1136/acupmed-2017-011582
Frisk, J., Källström, AC, Wall, N., Fredrikson, M., & Hammar, M. (2012). I-acupuncture iphucula umgangatho wobomi obunxulumene nempilo (HRQoL) kunye nokulala kubasetyhini abanomhlaza wamabele kunye nokugungxula okushushu. Ukunyamekelwa kweNkxaso kumhlaza : iphephancwadi elisemthethweni loMbutho we-Multinational Association of Supporting Care in Cancer, 20 (4), 715-724. doi.org/10.1007/s00520-011-1134-8
I-Gao, DX, & Bai, XH (2019). Zhen ci yan jiu = uphando lwe-acupuncture, 44 (2), 140-143. doi.org/10.13702/j.1000-0607.170761
Mandıroğlu, S., & Ozdilekcan, C. (2017). Impembelelo ye-Acupuncture kwi-Chronic Insomnia: Ingxelo yeemeko ezimbini kunye noVavanyo lwe-Polysomnographic. Ijenali ye-acupuncture kunye nezifundo ze-meridian, i-10 (2), i-135-138. doi.org/10.1016/j.jams.2016.09.018
Zhu, L., Ma, Y., Ye, S., & Shu, Z. (2018). I-acupuncture ye-Diarrhoea-Predominant Irritable Bowel Syndrome: I-Network Meta-Analysis. Ubungqina obusekelwe kubungqina obuxhasayo kunye nolunye unyango : eCAM, 2018, 2890465. doi.org/10.1155/2018/2890465
Ma, H., Liu, X., Wu, Y., & Zhang, N. (2015). Iimpembelelo zoNgenelelo ze-Acupuncture kwi-Fatigue ebangelwa ukuSebenza okuPheleleyo koMzimba: uPhando lweMetabolomics. Ubungqina obusekelwe kubungqina obuxhasayo kunye nolunye unyango : eCAM, 2015, 508302. doi.org/10.1155/2015/508302
Wang, YY, Li, XX, Liu, JP, Luo, H., Ma, LX, & Alraek, T. (2014). Iyeza lemveli laseTshayina lesifo esingapheliyo sokukhathala: ukuphononongwa okucwangcisiweyo kwezilingo zeklinikhi ezingahleliwe. Unyango olongezelelweyo kwiyeza, i-22 (4), 826-833. doi.org/10.1016/j.ctim.2014.06.004
Alraek, T., Lee, MS, Choi, TY, Cao, H., & Liu, J. (2011). Iyeza elongezelelweyo kunye nolunye unyango lwezigulane ezine-syndrome engapheliyo yokukhathala: ukuphononongwa ngokuchanekileyo. I-BMC encedisayo kunye neyeza elihlukile, i-11, i-87. doi.org/10.1186/1472-6882-11-87
Porter, NS, Jason, LA, Boulton, A., Bothne, N., & Coleman, B. (2010). Ungenelelo olulolunye lwezonyango olusetyenziselwa unyango kunye nolawulo lwe-myalgic encephalomyelitis / isifo esingapheliyo sokukhathala kunye ne-fibromyalgia. Ijenali yolunye unyango kunye neyeza elincedisayo (eNew York, NY), 16 (3), 235-249. doi.org/10.1089/acm.2008.0376
Lu, C., Yang, XJ, & Hu, J. (2014). Zhen ci yan jiu = uphando lwe-acupuncture, 39 (4), 313-317.
by UGqr Alex Jimenez Unyango lwe-Acupuncture , Iimeko eziPhathwayo
Kubantu abanengxaki zamehlo, ngaba unyango lwe-acupuncture lunokunceda kwaye luzuze impilo yamehlo ngokubanzi?
I-acupuncture yeMpilo yamehlo
I-acupuncture yenye indlela yonyango ebandakanya ukufaka iinaliti ezincinci kwiindawo ezithile emzimbeni. Injongo kukubuyisela ibhalansi kunye nempilo ngokubuyisela kunye nokulinganisa ukujikeleza kwamandla ngokusebenzisa iindlela kuwo wonke umzimba. Ezi ndlela, ezaziwa ngokuba ziimeridians, zahlukile kwimithambo-luvo negazi.
Uphononongo lubonise ukuba ukufakwa kweenaliti kuxhaphaza ukuqokelelwa kwee-neurotransmitters ezithile ngemithambo-luvo ekufutshane kwaye inokuba yinto ebangela iziphumo eziluncedo zempilo. (Heming Zhu 2014 )
Izazinzulu aziqinisekanga ncam ukuba isebenza njani i-acupuncture, kodwa ibonakalisiwe inika isiqabu kwiintlungu kunye nokunciphisa isicaphucaphu sonyango lomhlaza. (Weidong Lu, David S. Rosenthal 2013 )
Uphononongo lubonise ukuba i-acupuncture inokunceda ukunyanga iimeko zamehlo ezifana nesifo samehlo esomileyo. (Tae-Hun Kim et al., 2012 )
Iingxaki Zamehlo
Kwabanye abantu, ukungalingani komzimba kunokubangelwa ziingxaki zamehlo okanye izifo. Nge-acupuncture, iimpawu ezibangela ukungalingani zilungiswa. I-acupuncture ikhuthaza ukuhamba kwamandla kunye negazi elijikeleze amehlo.
I-acupuncture isetyenziswe njengonyango olulolunye lwe-syndrome yamehlo eyomileyo engapheliyo. (Tae-Hun Kim et al., 2012 )
Uphononongo lubonise ukuba iacupuncture inceda ekunciphiseni ubushushu bomphezulu wamehlo ukunciphisa ukuphuphuma kweenyembezi.
Inkqubo ikwasetyenziswa ngamanye amaxesha ukunyanga iglaucoma.
IGlaucoma sisifo semithambo-luvo esidla ngokubangelwa ngamanqanaba oxinzelelo lwamehlo angaphezu kwesiqhelo.
Olunye uphononongo lufumene uxinzelelo lwamehlo lwehle kakhulu emva kwe-acupuncture. (Simon K. Law, Tianjing Li 2013 )
Olunye uphononongo lubonise impumelelo ekunciphiseni iimpawu zesifo samehlo kunye nokudumba. (UJustine R. Smith et al., 2004 )
Eye Acupoints
Ezi acupoints zilandelayo zezempilo zamehlo.
Jingming
Jingming – UB-1 ibekwe kwikona engaphakathi yeliso.Le ngongoma kucingelwa ukuba yongeza amandla kunye negazi kwaye inceda kwiingxaki ezinjengokubona luzizi, urhatyazo, iglaucoma, ukungaboni ebusuku, kunye ne-conjunctivitis. (Tilo Blechschmidt et al., 2017 )
Zanzhu
Inqaku leZanzhu – UB-2 ikwincanca kwincam yangaphakathi yeshiya.Le acupoint isetyenziswa xa abantu bekhalaza ngeentloko, ukubona luzizi, iintlungu, ukukrazuka, ubomvu, ukuxhuzula, kunye neglaucoma. (Gerhard Litscher 2012 )
Yuyao
Yuyao iphakathi kweshiya, ngaphezulu komfundi.Eli nqaku lisetyenziselwa ukunyanga ubunzima bamehlo, ukuxhuzula kwenkophe, ptosis , okanye xa inkophe yangaphezulu iye isiwohlo, amafu ekhoneni, ukubabomvu, nokudumba. (Xiao-yan Tao et al., 2008 )
Sizhukong
ISizhukog – SJ 23 indawo ikwindawo engumngxuma ngaphandle kwamashiya.Kucingelwa ukuba yindawo apho i<em>acupuncture inokunceda kwiintlungu zamehlo nezobuso, kuquka intloko ebuhlungu, ukuba bomvu, iintlungu, ukungaboni kakuhle, ukuqaqamba kwamazinyo nokukhubazeka kobuso. (Hongjie Ma et al., 2018 )
eTongzilia
I-Tongzilia – GB 1 ibekwe kwikona engaphandle yeliso.Inqaku linceda ukukhanyisa amehlo.
Kwakhona i-acupuncture inceda ukunyanga intloko ebuhlungu, ububomvu, iintlungu zamehlo, ukungenwa lula, amehlo omileyo, urhatyazo, kunye ne-conjunctivitis. (GladGirl 2013 )
Izifundo zakwangoko nge-acupuncture zibonise isithembiso sokuphucula impilo yamehlo. Abantu abacingayo i-acupuncture bayacetyiswa ukuba badibane nomboneleli wabo wezempilo osisiseko ukuze babone ukuba ingaba lukhetho na kwabo bangakhange basifumane sisombululo ngeendlela zemveli.
Ukulimala Kweentambo
VIDEO
Ucaphulo
Zhu H. (2014). Ii-Acupoints ziqalisa inkqubo yokuphilisa. I-acupuncture yonyango, i-26 (5), i-264-270. doi.org/10.1089/acu.2014.1057
Lu, W., & Rosenthal, DS (2013). I-acupuncture yeentlungu zomhlaza kunye neempawu ezinxulumene nazo. Iintlungu zangoku kunye neengxelo zentloko, i-17 (3), i-321. doi.org/10.1007/s11916-013-0321-3
UKim, TH, Kang, JW, Kim, KH, Kang, KW, Shin, MS, Jung, SY, Kim, AR, Jung, HJ, Choi, JB, Hong, KE, Lee, SD, & Choi, SM (2012) ). I-acupuncture yonyango lweliso elomileyo: uvavanyo olulawulwa ngokungahleliwe lwe-multicenter kunye nokungenelela kokuthelekisa okusebenzayo (iinyembezi ezenziweyo). PloS enye, 7(5), e36638. doi.org/10.1371/journal.pone.0036638
Umthetho, SK, & Li, T. (2013). I-acupuncture ye-glaucoma. I-database ye-Cochrane yokuphononongwa okucwangcisiweyo, i-5 (5), i-CD006030. doi.org/10.1002/14651858.CD006030.pub3
Smith, JR, Spurrier, NJ, Martin, JT, & Rosenbaum, JT (2004). Ukusetyenziswa okuxhaphakileyo kwonyango oluncedisayo kunye nolunye unyango ngabaguli abanesifo samehlo esivuthayo. I-immunology ye-Ocular kunye nokuvuvukala, i-12 (3), i-203-214. doi.org/10.1080/092739490500200
Blechschmidt, T., Krumsiek, M., & Todorova, MG (2017). Impembelelo ye-Acupuncture kwi-Visual Function kwizigulane ezine-Congenital kunye ne-Acquired Nystagmus. Amayeza (Basel, Switzerland), 4(2), 33. doi.org/10.3390/medicines4020033
Litscher G. (2012). Iyeza elidityanisiweyo lelaser kunye ne-high-tech acupuncture kwiyunivesithi yezonyango yaseGraz, eAustria, eYurophu. Amayeza axhasayo asekelwe kubungqina kunye nolunye unyango : eCAM, 2012, 103109. doi.org/10.1155/2012/103109
Tao, XY, Sun, CX, Yang, JL, Mao, M., Liao, CC, Meng, JG, Fan, WB, Zhang, YF, Ren, XR, & Yu, HF (2008). Zhongguo zhen jiu = Chinese acupuncture & moxibustion, 28 (3), 191-193.
Ma, H., Feng, L., Wang, J., & Yang, Z. (2018). Zhongguo zhen jiu = Chinese acupuncture & moxibustion, 38 (3), 273-276. doi.org/10.13703/j.0255-2930.2018.03.011
IGladGirl Ibhlog yeNgcali yeLash kunye neBrow. I-acupuncture yeMpilo yamehlo. (2013). www.gladgirl.com/blogs/lash-brow-expert/acupuncture-for-eye-health
by UGqr Alex Jimenez Unyango lwe-Acupuncture , Ubuhlungu obungapheliyo , Iimeko eziPhathwayo , Unyango , I-Viscerosomatic Reflex
Ngaba abantu abaneentlungu zomhlathi bangafumana isiqabu kunyango lwe-acupuncture ukunciphisa iintlungu kunye nokuphucula ukuhamba kwemihlathi kwiindawo eziphezulu zomzimba?
intshayelelo
Intloko iyingxenye ye-quadrant yomzimba ophezulu we-musculoskeletal exhaswa ngummandla wentamo, equkethe i-skull, imisipha eyahlukeneyo, kunye nezitho ezibalulekileyo ezibonelela ngokuzinza, ukuhamba kunye nokusebenza. Entloko, iimpawu zobuso ezahlukeneyo ziquka umlomo, impumlo, amehlo nomhlathi ukuze umninimzi atye, athethe, ajoje aze abone. Ngelixa intloko ibonelela nge-sensory and motor function, intamo ibandakanya ukuzinza kwemoto ukuqinisekisa ukuba akukho nzakala okanye ukwenzakala kuchaphazela intloko. Ifumaneka ngaphantsi kwamehlo ngumhlathi, ovumela ukusebenza kweemoto kunye nezihlunu ezahlukeneyo kunye namalungu ukuba abe ne-hyperextend ngaphandle kwentlungu okanye ukungahambi kakuhle. Nangona kunjalo, izinto ezininzi zinokuchaphazela imisipha yomhlathi kunye namalungu ukucela intlungu kunye nokungahambi kakuhle, oku kunokubangela ukukhupha iintlungu ezigqithisiweyo phantsi kwemisipha yentamo. Inqaku lanamhlanje lijonga ukuba iintlungu zemihlathi zinokuwuchaphazela njani umzimba ongasentla, ukuba unyango olungasebenzisi utyando lunokunceda njani kwiintlungu zemihlathi, kunye nendlela unyango olufana ne-acupuncture olunokunceda ngayo ukubuyisela ukuhamba kwemihlathi. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukubonelela unyango lokunciphisa intlungu yomhlathi echaphazela umhlathi kunye nommandla wentamo. Sikwaxelela kwaye sikhokela izigulana malunga nokuba unyango lwe-acupuncture kunye nonyango olungasebenzisi utyando lunokubanceda njani abantu abaninzi abanentlungu ehambelana nomhlathi. Sikhuthaza izigulane zethu ukuba zibuze ababoneleli bezonyango abanxulumene nabo imibuzo enzima kunye ebalulekileyo malunga nendlela intlungu yabo echaphazela ngayo umgangatho wobomi kunye nokunciphisa intlungu yomhlathi. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli .
Iintlungu Zomhlathi Ezichaphazela uMzimba oPhezulu
Ngaba uziva ubuhlungu bemisipha kumhlathi wakho kunye nezihlunu zentamo yonke imini? Ngaba ubusoloko uzihlikihla okanye uziphulula izihlunu zemihlathi ukuze unciphise ukuxinezeleka? Okanye ngaba ujongene neentloko okanye intlungu yentamo ngokuqhubekayo echaphazela indlela yakho yemihla ngemihla? Abantu abaninzi abafumana ezi mpawu zibuhlungu bajongana neentlungu zomhlathi okanye iTMJ ( temporomandibular joint syndrome). Umhlathi unezihlunu zokuhlafuna kwicala ngalinye ezinceda ukubonelela ngemisebenzi eyahlukeneyo njengokuhlafuna, ukuginya, okanye ukuthetha. Xa izinto ezininzi ezibuhlungu okanye eziqhelekileyo ziqala ukuchaphazela umhlathi, unokuphazamisa umsebenzi we-sensory-motor womzimba ophezulu. Kubantu ngabanye, iintlungu zomhlathi zixhaphakile kwihlabathi jikelele, kwaye nge-TMJ, inokuba ngumba njengoko iintlungu zibonakala zichaphazela ukulawulwa kwemoto yomhlathi ngelixa ikhatshwa kukuvuleka komlomo okuthintelweyo kunye nokuphazamiseka kokulunywa okukhulu. (uAl Sayegh et al., 2019 ) Ukongezelela, i-TMJ ayichaphazeli nje kuphela imisipha ye-mastication kodwa kunye ne-temporomandibular joint, i-joint edibanisa umhlathi kwi-skull, evuthayo kwaye ibangele imiba emininzi.
Ngoko, i-TMJ inokuwuchaphazela njani umzimba ongasentla? Ewe, xa i-TMJ ichaphazela izihlunu zokuphulula kunye nelungu le-temporomandibular, abantu abaninzi baya kuba neempawu ezahlukeneyo ezifana:
Ubunzima bokuhambisa umlomo xa uhlafuna Ukuvaleka/ukuqhekeka xa uvula okanye uvala umhlathi Intloko/iMigraines Intlungu yendlebe Iintlungu zamazinyo Intamo kunye neentlungu zegxalaba
Oku kubangela ukuphazamiseka kwe-myofascial kunye ne-intraarticular echaphazela imisipha kunye namalungu omhlathi, adibaniswa nekhanda. ( I-Maini kunye neDua, ngo-2024 ) Ukuza kuthi ga ngelo xesha, abantu abaninzi baya kuba neentlungu ezibhekiswayo, becinga ukuba bajongana nezinyo xa kubangelwa kukuqalisa kwamanqaku kwimisipha ye-mastication. Oku kuxa i-TMJ ihamba kunye nentlungu edibeneyo ye-muscle entanyeni okanye umva ongaphezulu okanye ukuba imiba yamazinyo ihamba kunye ne-TMJ, kodwa kuxhomekeke kumntu kunye nemeko ephantsi kwayo. Nangona kunjalo, unyango oluninzi lunokunciphisa intlungu yemihlathi kunye neempawu ezihambelanayo ezichaphazela umhlathi kunye nentamo.
Indlela engeyiyo Utyando kwiMpilo-Video
VIDEO
Non-Utyando Unyango Kuba Intlungu Emihlathini
Xa unciphisa iintlungu zemihlathi, abantu abaninzi bafuna unyango lokunciphisa iintlungu ezinjengeentlungu kwaye baphinde babuyele emihlathini yabo. Kunokuba ngumngeni kwaye kube nzima xa abantu bejongene neentlungu zemihlathi. Ingumba wezinto ezininzi ezinokuchaphazela intamo kunye neendawo zangasemva. Ke, xa abantu bethetha noogqirha babo abaphambili malunga neentlungu zomhlathi, baya kufumana uvavanyo lwendawo apho iintlungu zabo zikhoyo kwaye ukuba banazo naziphi na izikhalazo ezinxulumene nentlungu yomhlathi. Emva koko, oogqirha abaninzi baya kubhekisa kwiingcali ze-musculoskeletal ukukhulula iintlungu zemihlathi. Unyango kunye neendlela ezisetyenziswa ziichiropractors, ii-massage therapists, kunye nephysiotherapists zinokunceda ukuthomalalisa izihlunu ezivuthayo kunye nezixineneyo. Ubuchwephesha obufana nokuhlanganiswa kwezicubu ezithambileyo kunokunceda ukukhulula izihlunu ze-masticatory ngokwandisa ukuya kwinqanaba lokukhulula amanqaku e-trigger kwiimisipha. ( Kuc et al., 2020 ) Ngexesha elifanayo, i-physiotherapy inokunceda i-muscle yomhlathi ngokusebenzisa iindlela ezahlukeneyo zokuphumla ukwandisa uluhlu lwentshukumo ngelixa uqinisa umhlathi ukunciphisa intlungu kunye noxinzelelo. ( Byra et al., 2020 ) Uninzi lwezi zonyango zonyango alwenziwa utyando, nto leyo ethetha ukuba azikho kwaye zisebenza kwiintlungu zomntu ngelixa zifikeleleka.
I-acupuncture Ukubuyisela Ukuhamba kwemihlathi
Xa kuziwa kunyango olungelulo utyando, enye yeefom ezindala kakhulu i-acupuncture, enokunceda ukunciphisa iintlungu ezinjengeentlungu zomhlathi kunye nokubuyisela ukuhamba. I-acupuncture ivela e-China, kwaye abaqeqeshi bezonyango abaqeqeshwe kakhulu basebenzisa iinaliti ezincinci, eziqinileyo ukuba zifakwe kwi-acupoints emzimbeni ukuphazamisa umqondiso weentlungu kunye nokubonelela ngesiqabu. Ngentlungu yomhlathi, i-acupuncturists iya kubeka iinaliti kwi-acupoints yomhlathi okanye izihlunu ezijikelezayo ukunciphisa i-hypersensitivity ye-mechanical yeeseli ze-nerve ezibangela intlungu ngelixa uphucula umsebenzi we-sensory-motor ngempendulo efanelekileyo. ( Teja & Nareswari, 2021 ) Ukongezelela, xa ujongene nentlungu yendlebe ehambelana ne-TMJ echaphazela imisipha yentamo, i-acupuncture inokunceda ukunyusa intambo yokunyakaza kwentamo ngokubeka iinaliti kwiindawo zokubangela imisipha yomlomo wesibeleko. ( Sajadi et al., 2019 ) Xa unyango lwe-acupuncture lunceda abantu abaninzi abaneentlungu zemihlathi ezichaphazela iintamo kunye neentloko zabo, banokubonelela ngenzuzo, iziphumo ezilungileyo ngonyango olulandelelanayo kunye nokuphucula ukuhamba kwemihlathi.
Ucaphulo
Al Sayegh, S., Borgwardt, A., Svensson, KG, Kumar, A., Grigoriadis, A., & Christidis, N. (2019). Iziphumo zeNzululwazi eNgenasiphelo kunye neyoMfuniselo ye-Acute Masseter kwi-Precision Biting Behavior kuBantu. Umphambili wePhysol , 10 , 1369. doi.org/10.3389/fphys.2019.01369
Byra, J., Kulesa-Mrowiecka, M., & Pihut, M. (2020). I-Physiotherapy kwi-hypomobility yamalungu e-temporomandibular. UFolia Med Cracov , 60 (2), 123-134. www.ncbi.nlm.nih.gov/pubmed/33252600
Kuc, J., Szarejko, KD, & Golebiewska, M. (2020). Uvavanyo lwe-Soft Tissue Mobilization kwizigulane ezine-Temporomandibular Disorder-Myofascial Pain with Referral. Int J Environ Res Impilo yoLuntu , 17 (24). doi.org/10.3390/ijerph17249576
Maini, K., & Dua, A. (2024). I-Temporomandibular Syndrome. Kwi StatPearls . www.ncbi.nlm.nih.gov/pubmed/31869076
Sajadi, S., Forogh, B., & ZoghAli, M. (2019). ICervical Trigger Point Acupuncture yoNyango lweSomatic Tinnitus. J Acupunct Meridian Stud , 12 (6), 197-200. doi.org/10.1016/j.jams.2019.07.004
Teja, Y., & Nareswari, I. (2021). Unyango lwe-Acupuncture yokujongana ne-Post Odontectomy Neuropathy. Med Acupunct , 33 (5), 358-363. doi.org/10.1089/acu.2020.1472
isikhanyeli
by UGqr Alex Jimenez Ukulimala koluhlu , Iimeko eziPhathwayo
Abantu abenza umthambo onzima banokuphuhlisa ubushushu obuvela ekuzibhokoxeni. Ngaba ukwazi oonobangela kunye neempawu kunokunceda ukukhusela iziqendu ezizayo ukuba zenzeke?
Ukutshisa iiCramps
Ubushushu bobushushu bunokukhula ngexesha lokuzilolonga ngokugqithisileyo okanye ukuvezwa ixesha elide kumaqondo obushushu aphezulu. I-cramps ye-muscle, i-spasms, kunye neentlungu zinokusuka kwi-mild to serious.
IiCramps ze-Muscle kunye nokuphelelwa ngamanzi emzimbeni
Ubushushu buhlala bukhula ngenxa yokuphelelwa ngamanzi emzimbeni kunye nokulahleka kwe-electrolyte. (Robert Gauer, Bryce K. Meyers 2019 ) Iimpawu ziquka:
I-electrolytes efana ne-sodium, i-calcium, kunye ne-magnesium zibalulekile ekusebenzeni ngokufanelekileyo kwemisipha, kuquka intliziyo. Indima ephambili yokubila kukulawula ubushushu bomzimba. (MedlinePlus. 2015 ) Ukubila kakhulu ngamanzi, i-electrolytes, kunye nesodium. Ukujuluka okugqithisileyo kokusebenza ngokomzimba kunye nokuzibhokoxa okanye indawo eshushu kunokubangela ukungalingani kwe-electrolyte ekhokelela kwi-cramps, i-spasms kunye nezinye iimpawu.
Iimbangela kunye neMisebenzi
Ubushushu bobushushu budla ngokuchaphazela abantu ababila kakhulu ngexesha lomsebenzi onzima okanye bachanabeke kumaqondo obushushu ixesha elide. Umzimba kunye namalungu kufuneka uphole, nto leyo ebangela ukuveliswa kokubila. Nangona kunjalo, ukubila kakhulu kunokukhokelela ekuphelelweni kwamanzi kunye nokuncipha kwe-electrolyte. (Amaziko oLawulo noThintelo lweZifo. 2022 )
Izinto zobungozi
Izinto ezinokonyusa umngcipheko wokukhula kobushushu zibandakanya: (Robert Gauer, Bryce K. Meyers 2019 )
Ubudala - Abantwana kunye nabantu abadala abaneminyaka engama-65 nangaphezulu banomngcipheko omkhulu.
Ukufunga kakhulu.
Ukutya okuphantsi kwesodium.
Iimeko zonyango ezikhoyo - isifo senhliziyo, isifo seswekile, kunye nokukhuluphala ziimeko ezinokunyusa umngcipheko wokunyuka kwemisipha.
Amayeza - uxinzelelo lwegazi, i-diuretics, kunye ne-antidepressants inokuchaphazela ibhalansi ye-electrolyte kunye ne-hydration.
Ukusela utywala.
Ukuzikhathalela
Ukuba ubushushu buqala, khawuyeke ngokukhawuleza umsebenzi kwaye ujonge indawo epholileyo. Hlaziya kwakhona umzimba ukuze uzalise ulwelo olulahlekileyo. Ukuhlala u-hydrated kunye nokusela ulwelo rhoqo ngexesha lomsebenzi onzima okanye kwindawo eshushu kunokunceda ukukhusela umzimba ukuba ungagxili. imizekelo yeziselo ezonyusa i-electrolytes ibandakanya:
Ukusebenzisa ngokucokisekileyo uxinzelelo kunye nokuphulula izihlunu ezichaphazelekayo kunokunceda ukunciphisa iintlungu kunye ne-spasms. Njengoko iimpawu ziphela, kuyacetyiswa ukuba ungabuyeli kumsebenzi onzima kwakamsinyane kuba ukwenza umthambo okongezelelekileyo kunokukhokelela kwistroke okanye ukudinwa bubushushu. (Amaziko oLawulo noThintelo lweZifo. 2021 ) Ubushushu kunye nokudinwa kobushushu zizifo ezibini ezinxulumene nobushushu. (Amaziko oLawulo noThintelo lweZifo. 2022 )
Ukubethwa bubushushu kuxa umzimba uphulukene namandla okulawula ubushushu kwaye kunokubangela ubushushu obuphezulu obuyingozi.Ukudinwa kobushushu yimpendulo yomzimba kulwelo olugqithisileyo kunye nokulahleka kwe-electrolyte.
Iimpawu zexesha
Ixesha kunye nobude bokutshisa ukushisa kunokugqiba ukuba ngaba unyango luyimfuneko. (Amaziko oLawulo noThintelo lweZifo. 2022 )
Ngexesha okanye emva kweMisebenzi
Uninzi lweekhrampu zobushushu zikhula ngexesha lemisebenzi ngenxa yomgudu kunye nokubila, nto leyo ebangela ukuba kulahleke ii-electrolyte ezininzi kwaye umzimba uphelelwe ngamanzi.
Iimpawu zinokukhula imizuzu ukuya kwiiyure emva kokuba umsebenzi uphelile.
ubude bexesha
Uninzi lwee-cramps ezinxulumene nobushushu ziya kusombulula ngokuphumla kunye ne-hydration ngaphakathi kwe-30-60 imizuzu.
Ukuba ukuqaqanjelwa kwezihlunu okanye ukukruneka akupheli kwiyure enye, funa uncedo lukagqirha.
Kubantu abaneemeko zentliziyo okanye kwi-low-sodium diet abahlakulela ukutshisa ukushisa, kungakhathaliseki ukuba ixesha elide, uncedo lwezonyango luyimfuneko ukuze kuqinisekiswe ukuba akukho zingxaki.
uthintelo
Iingcebiso zokuthintela ubushushu zincinci zibandakanya: (Amaziko oLawulo noThintelo lweZifo. 2022 )
Sela iziselo ezininzi phambi naxa usenza umsebenzi womzimba.
Kuphephe utywala kunye neziselo ezinecaffeine.
Kuphephe ukwenza imithambo okanye ukuchanabeka kubushushu obugqithisileyo ngexesha lokukhanya kwelanga.
Ziphephe iimpahla eziqinileyo nezinombala omnyama.
Ukuvavanya izigulane kwiSetting Chiropractic
VIDEO
Ucaphulo
Gauer, R., & Meyers, BK (2019). Izigulo ezinxulumene nobushushu. Ugqirha wosapho waseMelika, 99 (8), 482-489.
Amaziko oLawulo noThintelo lweZifo. (2022). Uxinzelelo lobushushu - ukugula okuhambelana nobushushu. Iziko leSizwe loKhuseleko lwezeMisebenzi kunye neMpilo (NIOSH) lifunyenwe www.cdc.gov/niosh/topics/heattress/heatrelillness.html#cramps
MedlinePlus. (2015). Ukubila. Ifunyenwe kwi medlineplus.gov/sweat.html#cat_47
FoodData Central. (2019). Amandongomane, amanzi ekhokhonathi (ulwelo olusuka kwikhokhonathi). Ifunyenwe kwi fdc.nal.usda.gov/fdc-app.html#/food-details/170174/nutrients
FoodData Central. (2019). Ubisi, i-nonfat, i-fluid, kunye ne-vitamin A eyongeziweyo kunye ne-vitamin D (amafutha okanye i-skim). Ifunyenwe kwi fdc.nal.usda.gov/fdc-app.html#/food-details/746776/nutrients
Amaziko oLawulo noThintelo lweZifo. (2012). Imibuzo ebuzwa rhoqo (FAQ) malunga nobushushu obugqithisileyo. Ifunyenwe kwi www.cdc.gov/disasters/extremeheat/faq.html
by UGqr Alex Jimenez Iimeko eziPhathwayo , Sciatica
Ngaba unyango lwe-spinal stenosis lomzimba luphucula umgangatho wobomi kunye nokunciphisa iimpawu zentlungu kubantu abajongene nesimo esibuhlungu?
I-Spine Stenosis yoNyango loMzimba
I-Spinal stenosis ibangela ukucutheka kokuvuleka kwe-vertebrae. Izithuba ezichaphazelekayo zezi:
Umbhobho ophakathi womqolo - apho intambo yomgogodla ihlala khona.
I-Foramen - izithuba ezincinci kumacala e-vertebra nganye apho iingcambu ze-nerve ziphuma kwintambo yomgogodla.
I-Spinal stenosis ixhaphake kakhulu kwi-lumbar spine / low back.
Inokuthi yenzeke kumqolo wesibeleko / intamo. (Jon Lurie, Christy Tomkins-Lane 2016 )
Iidiski phakathi kwe-vertebrae yomgogodla zibonelela ngokunyusa kunye nokufunxa ukothuka kumqolo kunye nawo wonke umzimba. Utshintsho oluphazamisayo kwiidiski lukholelwa ukuba luyisiqalo se-spinal stenosis. Xa iidiski zingenayo i-hydration eyaneleyo / amanzi kunye nokuphakama kwediski kuncipha ngokuhamba kwexesha, ukunyanzeliswa kwe-cushioning kunye ne-shock absorption iba ngaphantsi kwaye ingasebenzi kakuhle. Umqolo womqolo unokucinezeleka, ubangele ukukhuhlana. I-Degenerative spinal stenosis inokuphinda ikhule ukusuka kwizicubu ezibomvu ezigqithisileyo kunye ne-bone spurs (ukukhula okuphuhliswa kumda wethambo) onokuthi wenze emva kokulimala okanye utyando lomqolo.
U vavanyo
Ugqirha uya kwenza ukuxilongwa kwe-spinal stenosis. Ugqirha uya kuthatha i-imaging scan yomqolo ukuze anqume indawo echanekileyo yokutshatyalaliswa kunye nokulinganisa ukuba kuncinci kangakanani ukuvuleka. Ubuhlungu, ukuqina, ukuhamba okulinganiselweyo, kunye nokulahlekelwa koluhlu lokuhamba luhlala lukhona. Ukuba i-spinal stenosis ibangele ukuxinzezeleka kwemithambo-luvo, kusenokubakho iintlungu, ukuba ndindisholo, ukuntlontlozela, okanye ubuthathaka kwiimpundu (sciatica), amathanga, kunye namazantsi emilenze. Ugqirha womzimba uya kugqiba isidanga ngokuvavanya oku kulandelayo:
Ukuhamba kwe-Vertebrae - indlela umqolo ogoba ngayo kwaye ujike kwiindlela ezahlukeneyo.
Ukukwazi ukutshintsha izikhundla.
Ukomelela kombindi, umva, kunye nezihlunu zesinqe.
ibhalansi
Iimpawu
Ipatheni yeGait
Uxinzelelo lwe-nerve ukujonga ukuba kukho naziphi na iimpawu emilenzeni.
Iimeko ezibuthathaka azibandakanyi uxinzelelo lwemithambo-luvo, njengoko ukuqina komqolo kuxhaphake kakhulu.
Kwiimeko ezinzima kakhulu, kunokubakho intlungu ephawulekayo, ukuhamba okulinganiselweyo, kunye noxinzelelo lwe-nerve, okubangela ubuthathaka bomlenze.
Uphawu oluqhelekileyo lwe-spinal stenosis kukunyuka kweentlungu kunye nokugoba ngasemva okanye ukwandiswa kwe-lumbar spine. Oku kubandakanya izikhundla ezandisa umqolo, njengokuma, ukuhamba, nokulala ngesisu. Iimpawu zidla ngokuphucuka xa ugobela phambili kwaye xa umqolo ubekwe ngakumbi kwindawo egobileyo okanye egobileyo, njengaxa uhleli kwaye uhleli. Ezi zikhundla zomzimba zivula izithuba kumbindi womgudu womqolo.
Ukuhlinzwa
I-Spinal stenosis sesona sizathu siqhelekileyo sokwenza utyando kubantu abadala be-65 nangaphezulu. Nangona kunjalo, utyando luhlala lwenziwa njengendlela yokugqibela ukuba iintlungu, iimpawu kunye nokukhubazeka kuyaqhubeka emva kokuzama unyango olulondolozayo, kuquka i-chiropractic, ukuthotywa kwe-non-utyando , kunye nonyango lomzimba, iinyanga okanye iminyaka. Ubunzima beempawu kunye nemeko yempilo yangoku iya kugqiba ukuba ngaba ugqirha uya kuncoma utyando. (UZhuomao Mo, et al., 2018 ). Amanyathelo olondolozo angakhuseleka kwaye asebenze kanye. Uphononongo olucwangcisiweyo okanye uphononongo olusekelwe kulo lonke uphando olusisiseko olufumanekayo lufumene ukuba unyango lomzimba kunye nokuzivocavoca kubangele iziphumo ezifanayo kuqhaqho lokuphucula intlungu kunye nokukhubazeka. (UZhuomao Mo, et al., 2018 ). Ngaphandle kweemeko ezinzima, utyando alusoloko luyimfuneko.
Unyango loMzimba loMnqonqo Stenosis
Injongo yonyango lomzimba ibandakanya:
Ukunciphisa intlungu kunye nokuqina kwamalungu.
Ukunciphisa uxinzelelo lwe-nerve.
Ukunciphisa ukuqina kwimisipha ejikelezileyo.
Ukuphucula uluhlu lwentshukumo.
Ukuphucula ukulungelelaniswa kwe-postural.
Ukomeleza imisipha engundoqo.
Ukuphucula amandla omlenze ukunceda ngokulinganisela kunye nomsebenzi jikelele.
Ukolula kwezihlunu zangasemva , kubandakanywa nalabo bahamba ngokuthe nkqo kunye nomqolo kunye nalabo bahamba nge-diagonally ukusuka kwi-pelvis ukuya kwi-lumbar spine, inceda ukukhulula ukuqina kwemisipha kunye neentlungu kwaye inokuphucula ukuhamba ngokubanzi kunye noluhlu lokuhamba kwe-lumbar spine.Ukolula imisipha yesinqe , kubandakanywa ne-hip flexors ngaphambili, i-piriformis ngasemva, kunye ne-hamstrings ehamba emva kwe-hip phantsi komlenze ukuya emadolweni, nayo ibalulekile njengoko ezi zihlunu zifakwe kwi-pelvis, edibanisa ngokuthe ngqo kwi-pelvis. umqolo.Imithambo yokomeleza izihlunu ezingundoqo zesisu , kubandakanywa izihlunu kwi-trunk, i-pelvis, i-back back, i-hips, kunye nesisu, kunceda ukuzinzisa umqolo kunye nokukhusela ukunyakaza okugqithiseleyo kunye nemikhosi yoxinzelelo.Nge-spinal stenosis, izihlunu eziphambili zihlala zibuthathaka kwaye zingasebenzi kwaye zingakwazi ukwenza umsebenzi wazo ukuxhasa umqolo. Umthambo ongundoqo udla ngokuqala ngokuvula izihlunu ezinzulu zesisu ngelixa ulele phantsi ngomqolo amadolo agobile.
Ukuzivocavoca kuya kuqhubela phambili njengoko umntu efumana amandla amaninzi kunye nokulawula njengoko umqolo uzinzile.
Ukunyangwa kwe-Spinal stenosis ngokomzimba kuya kubandakanya uqeqesho lokulinganisela kunye nokuzivocavoca kwe-glute ukuqinisa imisipha yomlenze.
uthintelo
Ukusebenza kunye nonyango lomzimba kunokunceda ukukhusela iingxaki ezizayo ngokugcina ukuhamba komgogodla, ukugcina umntu esebenzayo, kunye nokuzivocavoca ukugcina amandla kunye nokuzinza ukubonelela ngesiseko esiqinileyo sokuxhasa umqolo ophantsi kunye nokukhusela iimpawu ukuba zingabi nzima.
UNyango loNyango loMnqopho oluMandundu
Unyango lomzimba ngokuqhelekileyo lubandakanya ukwenza i-stretch kumqolo ongaphantsi, isinqe, kunye nemilenze, imithambo yokuhamba, kunye nemithambo eyomelezayo ekuphuculeni inkxaso yomgogodla kunye nokunciphisa iintlungu. Unyango olufana nobushushu okanye ukuvuselela umbane lunokusetyenziswa kwimeko-nye-imeko ukuba kukho intlungu ephawulekayo okanye ukuqina kwimisipha yangasemva. Nangona kunjalo, akukho bungqina bonyango obaneleyo bokuxhasa ukuba kukho iinzuzo ezongezelelweyo. (Luciana Gazzi Macedo, et al., 2013 ) Ukuphumelela kwonyango lomzimba kuphezulu ngenxa yokuba utyando lodwa alukwazi ukuqinisa imisipha yokuzinzisa umqolo, ukwandisa ukuhamba okanye ukuguquguquka kwemisipha ejikelezayo, kunye nokuphucula ukulungelelaniswa kwe-postural.
Iingcambu ezibangela i-Spinal Stenosis
VIDEO
Ucaphulo
ULurie, J., kunye noTomkins-Lane, C. (2016). Ukulawulwa kwe-lumbar spinal stenosis. I-BMJ (uphando lweKlinikhi ed.), 352, h6234. doi.org/10.1136/bmj.h6234
Mo, Z., Zhang, R., Chang, M., & Tang, S. (2018). Ukuzivocavoca ngonyango ngokuchasene nokuhlinzwa kwi-lumbar spinal stenosis: ukuphononongwa okucwangcisiweyo kunye nohlalutyo lwemeta. Ijenali yasePakistan yenzululwazi yezonyango, 34(4), 879–885. doi.org/10.12669/pjms.344.14349
Macedo, L. G., Hum, A., Kuleba, L., Mo, J., Truong, L., Yeung, M., & Battié, M. C. (2013). Ungenelelo lonyango lonyango lokunciphisa i-lumbar spinal stenosis: ukuphononongwa ngokuchanekileyo. Unyango lomzimba, 93 (12), 1646-1660. doi.org/10.2522/ptj.20120379
by UGqr Alex Jimenez Iimeko eziPhathwayo , Intloko kunye nonyango
Kubantu abachatshazelwa yintloko eyenzeka nge-15 okanye ngaphezulu kweentsuku ngenyanga ngaphezulu kweenyanga ezintathu, ngaba ukwazi imiqondiso kunye neempawu kunokunceda ababoneleli bezempilo bancede ukunyanga kunye nokuthintela iintloko ezibuhlungu ezingapheliyo?
Ukuxhatshazwa kwentloko
Uninzi lwabantu luye lwehlelwa yintloko yohlobo loxinzelelo. Intlungu idla ngokuchazwa njengokuqiniswa okungacacanga okanye uxinzelelo kumacala omabini entloko, njengokuba nebhanti yokuqinisa entloko. Abanye abantu bafumana ezi ntloko rhoqo, imeko eyaziwa ngokuba ziintloko ezibuhlungu ezingapheliyo. Iintloko ezibuhlungu ezingapheliyo aziqhelekanga kodwa zinokudodobalisa, njengoko zinokuphazamisana nomgangatho wobomi obunempilo kunye nobomi bemihla ngemihla.
Iintloko ezibuhlungu zidla ngokubangelwa luxinzelelo, ixhala, ukuphelelwa ngamanzi emzimbeni, ukuzila ukutya, okanye ukungabikho kokulala kwaye zihlala zisonjululwa ngamayeza angaphaya kwekhawuntara. (Iklinikhi yaseCleveland. 2023 )
Esi sisifo sentloko esiphambili esichaphazela malunga ne-3% yabemi.
Iintloko zoxinzelelo ezingapheliyo zinokuthi zenzeke mihla le kwaye zichaphazele kakubi umgangatho wobomi kunye nokusebenza kwemihla ngemihla. (Iklinikhi yaseCleveland. 2023 )
iimpawu
Iintloko zoxinzelelo zingabhekiswa njenge uxinzelelo lweentloko or iintloko zokunqanda kwezihlunu .
Bangabonisa ngeentlungu ezibuhlungu, ezibuhlungu kwaye ziquka ukuqina okanye uxinzelelo kwibunzi, emacaleni, okanye emva kwentloko. (Iklinikhi yaseCleveland. 2023 )
Ukongezelela, abanye abantu bafumana ukuthamba kwi-scalp, intamo, kunye namagxa.
Iintloko ezibuhlungu ezingapheliyo zenza i-15 okanye ngaphezulu kweentsuku ngenyanga nge-avareji ngaphezulu kweenyanga ezintathu.
Intloko inokuhlala iiyure ezininzi okanye iqhubeke iintsuku eziliqela.
Izizathu
Iintloko zoxinzelelo zidla ngokubangelwa zizihlunu eziqinileyo emagxeni, intamo, umhlathi, kunye ne-scalp.
Ukusila kwamazinyo/i-bruxism kunye nokukrwitshwa kwemihlathi nako kunokunegalelo kule meko.
Intloko inokuziswa luxinzelelo, ukudakumba, okanye ukuxhalaba kwaye ixhaphake kakhulu kubantu aba:
Sebenza iiyure ezininzi kwimisebenzi enzima.
Musa ukulala ngokwaneleyo.
Tsiba ukutya.
Ukusela rhoqo utywala. (Iklinikhi yaseCleveland. 2023 )
Ukuqondwa
Abantu abaneentloko ezibuhlungu eziphazamisana nobomi bemihla ngemihla okanye kufuneka bathathe amayeza aphindwe kabini ngeveki bayacetyiswa ukuba badibane nomboneleli wezempilo. Ngaphambi kokuba kuqeshwe, kunokuba luncedo ukugcina a intloko idayari :
Bhala phantsi iintsuku
Maxesha
Inkcazo yeentlungu, ukuqina, kunye nezinye iimpawu.
Eminye imibuzo enokubuzwa ngumboneleli wezempilo ibandakanya:
Ngaba iintlungu ziyatyabula, zibukhali, okanye zihlaba, okanye azitshintshi kwaye azipheli?
Iphi eyona ntlungu inzulu?
Ngaba iphelele entloko, kwicala elinye, ebunzi, okanye emva kwamehlo?
Ngaba iintloko ziphazamisa ukulala?
Ngaba ukusebenza okanye ukwenza imisebenzi kunzima okanye akunakwenzeka?
Umboneleli wezempilo uya kuba nakho ukuxilonga imeko ngokusekwe kwiimpawu zodwa. Nangona kunjalo, ukuba iphethini yentloko iyingqayizivele okanye eyahlukileyo, umboneleli unokuyalela iimvavanyo ze-imaging, njenge-MRI okanye i-CT scans, ukulawula ezinye izifo. Iintloko ezibuhlungu ezingapheliyo zinokubhidaniswa kunye nezinye izifo ezingapheliyo zentloko zemihla ngemihla ezifana nemigraine engapheliyo, i-hemicrania continua, i-temporomandibular joint dysfunction / TMJ, okanye intloko yeqela. (Fayyaz Ahmed. 2012 )
impatho
Unyango lwe-Pharmacological for chronic tension headache ngokuqhelekileyo lubandakanya amayeza othintelo.
I-Amitriptyline lelinye iyeza elifunyaniswe liluncedo ekuthinteleni intloko ebuhlungu engapheliyo.
I-tricyclic antidepressant liyeza lokuthomalalisa kwaye lidla ngokuthathwa ngaphambi kokulala. (UJeffrey L. Jackson et al., 2017 )
Ngokutsho kwe-meta-analysis ye-22 epapashwe izifundo kwi-Journal ye-General Internal Medicine, la mayeza angaphezulu kune-placebo ekunciphiseni ukuphindaphinda kwentloko, kunye nomyinge we-4.8 iintsuku ezimbalwa zentloko ngenyanga.
Amayeza okukhusela awongezelelweyo angabandakanya ezinye ii-antidepressants ezifana:
"Remeron" - mirtazapine.
Amachiza okulwa ne-anti-seizure - njenge-Neurontin - i-gabapentin, okanye i-Topamax - i-topiramate.
Umboneleli wezempilo unokumisela iyeza lokunyanga iziqendu zentloko, ezibandakanya:
I-Prescription non-steroidal anti-inflammatory drugs okanye i-NSAIDs, kuquka i-acetaminophen, i-naproxen, i-indomethacin, okanye i-ketorolac.
Opiates
Ukuzihlaziya kwemizimba
Benzodiazepines - Valium
Unyango olungasebenzisi mayeza
Unyango lokuziphatha ngamanye amaxesha lusetyenziswa ngokwalo okanye ludityaniswe namayeza ukuthintela nokulawula iintloko ezibuhlungu ezingapheliyo. Imizekelo ibandakanya:
Ukwenza i-Acupuncture
Olunye unyango olubandakanya ukusebenzisa iinaliti ukuvuselela amanqaku athile kumzimba okholelwa ukuba udibanisa kunye neendlela ezithile / iimeridians ezithwala amandla abalulekileyo / chi emzimbeni wonke.
Biofeedback
Kwi-Electromyography - i-EMG biofeedback, i-electrodes ifakwe kwi-scalp, intamo, kunye nomzimba ophezulu ukuze ibone ukuchithwa kwemisipha.
Isigulane siqeqeshelwa ukulawula ukunyanzeliswa kwemisipha ukukhusela intloko. (UWilliam J. Mullally et al., 2009 )
Inkqubo inokubiza kwaye idle ixesha, kwaye kukho ubungqina obuncinane bokuxhasa ukusebenza kwayo.
Ulungiso lwenyama
Ugqirha womzimba unokukhupha izihlunu eziqinileyo kunye neziqinileyo.
Qeqesha abantu ngokuzolula kunye nokuzilolonga okujoliswe kuko ukukhulula imisipha yentloko kunye nentamo.
I-Cognitive Behavioral Therapy/CBT
Kubandakanya ukufunda indlela yokuchonga izinto ezibangela intloko ebuhlungu kunye nokumelana noxinzelelo oluncinci kunye nokulungelelanisa ngakumbi.
Iingcali zentloko zihlala zincoma i-CBT ngaphezu kweyeza xa kuphuhliswa isicwangciso sonyango. (UKatrin Probyn et al., 2017 )
Uqeqesho/unyango lokusila amazinyo kunye nokubamba imihlathi lunokunceda xa bengabaxhasi.
Ukuzilolonga rhoqo, kunye nokuziqhelanisa nokucoceka kokulala okusempilweni, kunokuba luncedo ekuthinteleni.
nezongezo
Abanye abantu abaneentloko ezibuhlungu ezingapheliyo banokufumana isiqabu ngokusebenzisa izongezo. I-American Academy of Neurology kunye ne-American Headache Society ibika ukuba oku kulandelayo kunokusebenza: (Iziko leSizwe leMpilo eFanayo kunye neDityanisiweyo. 2021 )
Ibhotolo
Umkhuhlane
Magnesium
riboflavin
Ukuba iintloko zifika ngequbuliso, zibangele ukuvuka ebuthongweni, okanye zihlale iintsuku, kubalulekile ukudibana nomboneleli wezempilo ukuze akhuphe naziphi na izizathu ezisisiseko kunye nokuphuhlisa isicwangciso sonyango lomntu .
Intloko intloko
VIDEO
Ucaphulo
Iklinikhi yaseCleveland. (2023). Intloko intloko .
Ahmed F. (2012). Ukuphazamiseka kwentloko: ukwahlula kunye nokulawula ii-subtypes eziqhelekileyo. Ijenali yaseBrithani yeentlungu, i-6 (3), i-124-132. doi.org/10.1177/2049463712459691
UJackson, JL, Mancuso, JM, Nickoloff, S., Bernstein, R., & Kay, C. (2017). I-Tricyclic kunye ne-Tetracyclic ye-Antidepressants yoKhuselo lwe-Episodic rhoqo okanye i-Chronic Tension-Type Headache kubantu abadala: Ukuphononongwa ngokuchanekileyo kunye nohlalutyo lwe-Meta. Ijenali yeyeza eliqhelekileyo langaphakathi, i-32 (12), i-1351-1358. doi.org/10.1007/s11606-017-4121-z
Mullally, WJ, Hall, K., & Goldstein, R. (2009). Ukusebenza kwe-biofeedback kunyango lwe-migraine kunye nohlobo lweentloko zentlungu . Ugqirha weentlungu, i-12 (6), i-1005-1011.
Probyn, K., Bowers, H., Mistry, D., Caldwell, F., Underwood, M., Patel, S., Sandhu, HK, Matharu, M., Pincus, T., & CHESS iqela. (2017). Ukulawulwa kwe-non-pharmacological self-management kubantu abaphila ne-migraine okanye uhlobo lwe-tension-type-headache: uphononongo olucwangcisiweyo olubandakanya uhlalutyo lwamacandelo okungenelela. BMJ vula, 7(8), e016670. doi.org/10.1136/bmjopen-2017-016670
Iziko leSizwe leMpilo eFanayo kunye neDityanisiweyo. (2021). Intloko Ebuhlungu: Yintoni ekufuneka Uyazi .
