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, IiOthotics zeenyawo
Abantu abafumana iintlungu zemithambo-luvo elunyaweni banokubangelwa ziimeko ezininzi ezahlukeneyo, ngaba ukuqonda izizathu eziqhelekileyo kunokunceda ekuphuhliseni isicwangciso sonyango esisebenzayo?
Intlungu yeNerve Enyaweni
Ezi mvakalelo zinokuvakala njengokutshisa, ukudutyulwa, umbane, okanye iintlungu ezihlatywayo kwaye zinokwenzeka ngelixa ushukuma okanye uphumle. Inokuthi yenzeke phezulu kweenyawo okanye nge-arch. Ummandla okufutshane kwi-nerve unokuba novelwano xa ubamba. Inani leemeko ezahlukeneyo zinokubangela intlungu ye-nerve ezinyaweni, kuquka:
- I-neuroma kaMorton
- Inyibiliko
- I-Tarsal tunnel syndrome
- Isifo seswekile yezifo zesifo seswekile
- I-disniated disc
INoron's Neuroma
I-neuroma ka-Morton ibandakanya i-nerve ehamba phakathi kweyesithathu kunye neyesine iinzwane, kodwa ngamanye amaxesha ingenzeka phakathi kweenzwane zesibini kunye nezesithathu zibe ngqindilili. Iimpawu eziqhelekileyo ziquka ukutshisa okanye ukudubula intlungu kwindawo, ngokuqhelekileyo xa uhamba. (UNikolaos Gougoulias, et al., 2019) Olunye uphawu oluqhelekileyo luvakalelo loxinzelelo phantsi kweenzwane njengoko i-sock ihlanganiswe phantsi. Unyango lungabandakanya:
- I-Arch ixhasa
- Iinaliti zeCortisone ukunciphisa ukudumba
- Ukuguqulwa kwezicathulo - kunokubandakanya ukunyuswa, i-orthotics edibeneyo kunye ne-metatarsal pads, kunye ne-rocker soles, ukubonelela nge-cushion apho kuyimfuneko.
Izinto ezongeza umngcipheko wokukhula kwesi sifo ziquka:
- Ukugqoka rhoqo izithende eziphakamileyo - imeko iyenzeka rhoqo kubasetyhini.
- Izihlangu ezixinene kakhulu.
- Ukuthatha inxaxheba kwimidlalo enempembelelo ephezulu njengokubaleka.
- Ukuba neenyawo ezisicaba, ii-arches eziphakamileyo, i-bunion, okanye i-hammertoes.
I-Pinned Nerve
I-nerve pinched inokuziva ngathi ukudubula okanye intlungu evuthayo. I-nerve entrapment ingenzeka kwimimandla eyahlukeneyo yonyawo okanye indawo engaphezulu konyawo inokuvakalelwa. Unobangela unokubangelwa: (Basavaraj Chari, Eugene McNally. 2018)
- Ukwenzakala okubangela ukudumba.
- Ifuthe elibi.
- Izihlangu eziqinileyo.
Unyango lunokubandakanya:
- ukuphulula umzimba womntu ngobunono
- Ulungiso lwenyama
- Ukuphumla
- Ukuguqulwa kwezihlangu
- Ulwaphulo-mthetho.
Izinto ezongeza umngcipheko wokuphuhlisa i-nerve pinched in the foot ziquka:
- Izihlangu ezingafanelekanga.
- Ukulimala okuphindaphindiweyo koxinzelelo.
- Ukwenzakala kunyawo.
- Ukunyanya.
- Irheumatoid Arthritis.
ITarsal Tunnel Syndrome
Olunye uhlobo lwe-nerve entrapment yi-tarsal tunnel syndrome. I-Tarsal tunnel syndrome "yiyo nayiphi na into evelisa uxinzelelo kwi-posterior tibial nerve." (IKholeji yaseMelika yeeNyawo kunye ne-Ankle Surgeons. 2019) I-nerve ye-tibial ifumaneka kufuphi nesithende. Iimpawu ziquka ukuphazamiseka kunye nokunyanzeliswa kweenyawo, ukutshisa, ukubetha, okanye ukuvakalelwa kokudubula okuhlala kuphuma kwi-instep / arch. Zombini zinokuba mbi ngakumbi ngelixa unyawo luphumle, njengaxa uhleli okanye ulele. Unyango lunokubandakanya:
- Ukubeka i-padding kwisihlangu apho unyawo lunyanzeliswa khona ukukhulula intlungu.
- I-orthotics yeenyawo eziqhelekileyo.
- I-Cortisone shots okanye ezinye iindlela zonyango ezichasayo.
- Utyando lunokuba yimfuneko ukukhulula umthambo.
Iimeko ezicinezela i-nerve ye-tibial kwaye zinokukhokelela kwi-tarsal tunnel syndrome ziquka:
- Iinyawo ezinyaweni
- Iingqameko eziwile
- I-ankle sprain
- Diabetes
- Arthritis
- Imithambo ye-Varicose
- I-Bone ihluma
Isifo seswekile sePeripheral Neuropathy
Ixesha elide iswekile yegazi / i-glucose ehambelana nesifo seswekile inokukhokelela kuhlobo lomonakalo wemithambo-luvo owaziwa ngokuba yi-peripheral neuropathy. (Amaziko oLawulo noThintelo lweZifo. 2022) Intlungu ye-neuropathy ivakala njengokutshisa okanye ukudutyulwa kweentlungu, okanye imvakalelo yokuhamba kwi-bubble wrap edla ngokubonakala ngobusuku. Intlungu inokuza kwaye ihambe kunye nokulahlekelwa ngokuthe ngcembe kwemvakalelo kwiinyawo eziqala kwiinzwane kunye nokunyuka kwenyawo. Kuqikelelwa ukuba malunga nesiqingatha sabantu abanesifo seswekile ekugqibeleni baya kuba neuropathy. (U-Eva L. Feldman, et al., 2019) Unyango lungabandakanya:
- I-massage yonyango lomzimba ukwandisa ukujikeleza.
- Unyango lwezihloko kunye ne-capsaicin.
- Uvithamini B.
- Ulawulo lweswekile yegazi.
- Alpha lipoic acid.
- Amayeza.
Abantu abanesifo seswekile banomngcipheko owongeziweyo wokuphuhlisa i-peripheral neuropathy ukuba:
- Iswekile yegazi ayilawulwa kakuhle.
- Isifo seswekile sikhona iminyaka emininzi.
- Isifo sezintso.
- Umsi.
- Ukutyeba kakhulu okanye ukutyeba.
Disc Disc
Intlungu ye-nerve kunyawo inokubangelwa yimiba yomgogodla. I-disc ye-herniated kwi-back back inokucaphukisa kwaye icinezele iimbilini, ezibangela intlungu ephuma emlenzeni nasenyaweni. Iimpawu ezongezelelweyo zihlala zibandakanya ubuthathaka bemisipha emilenzeni kunye / okanye ukuphazamiseka kunye nokubetha. Uninzi lweediski ze-herniated azifuni utyando kwaye ziba ngcono ngonyango olulondolozayo. (Wai Weng Yoon, Jonathan Koch. 2021) Ukuba iimpawu aziphucuki okanye zibe mandundu, umboneleli wezempilo unokucebisa utyando. Iidiski zeHerniated zixhaphake kakhulu kubantu abadala abancinci nabaphakathi. Ukunyuka kwamathuba okuphuhlisa idiski ye-herniated kunokuvela:
- Utshintsho oluguquguqukayo kumqolo ukusuka kwixesha eliqhelekileyo lokunxiba kunye nokukrazula.
- Umsebenzi onzima ngokwasemzimbeni.
- Ukuphakamisa ngokungalunganga.
- Ukutyeba kakhulu okanye ukutyeba.
- I-Genetic predisposition - imbali yentsapho yeediski ze-herniated.
IStinal Stenosis
I-Spinal stenosis yenzeka xa izithuba zomqolo ziqala ukucutha, zenza uxinzelelo kwintambo yomgogodla kunye neengcambu zemithambo-luvo. Ngokuqhelekileyo kubangelwa kukuguga kunye nokukrazula komqolo njengoko umzimba uguga. I-stenosis kumqolo osezantsi inokubangela intlungu evuthayo kwiimpundu kunye nomlenze. Njengoko iqhubela phambili iintlungu zinokuphuma ezinyaweni kunye nokuba ndindisholo kunye nokutshotshozela. Unyango lwe-Conservative lubandakanya ukuzivocavoca umzimba kunye neyeza-non-steroidal anti-inflammatory/NSAIDs. (UJon Lurie, uChristy Tomkins-Lane. 2016) Iinaliti zeCortisone zinokuba luncedo kwaye ukuba imeko iba mandundu, utyando lunokuba lukhetho. Imiba yomngcipheko ibandakanya:
- Ubudala be-50 okanye ngaphezulu.
- Umngxuma omxinwa womqolo.
- Ukwenzakala kwangaphambili.
- Utyando lomqolo lwangaphambili.
- I-osteoarthritis echaphazela umqolo.
Ezinye Oonobangela
Ezinye iimeko zingabangela umonakalo we-nerve kunye neempawu zentlungu kunye nokuziva. Imizekelo ibandakanya: (Nathan P. Staff, Anthony J. Windebank. 2014)
- Ukunqongophala kweVithamini (Nathan P. Staff, Anthony J. Windebank. 2014)
- Ukwenzakala ngokomzimba - emva kotyando okanye ingozi yemoto okanye yezemidlalo.
- Umhlaza othile, amayeza e-antiviral, okanye amayeza okubulala iintsholongwane.
- I-syndrome yeentlungu zengingqi eziyinkimbinkimbi.
- Amathumba acaphukisayo kunye / okanye acinezele i-nerve.
- Isibindi okanye isifo sezintso.
- Izifo ezithathelwanayo - iingxaki ze-Lyme okanye izifo zentsholongwane.
Intlungu ye-nerve enyaweni ngokuqinisekileyo sisizathu sokubona umboneleli wezempilo. Ukuxilongwa kwangaphambili kunokunceda ukukhusela ukuqhubela phambili kweempawu kunye neengxaki ezizayo. Nje ukuba unobangela wentlungu ichongiwe, iqela lokhathalelo lwempilo linokusebenza kunye ukuphuhlisa isicwangciso sonyango lomntu ukukhulula imithambo-luvo ecinezelekileyo kunye nokubuyisela ukuhamba kunye nomsebenzi. Bona umboneleli wezempilo ngokukhawuleza ukuba iintlungu kunye neempawu ziba nzima, okanye ukuba kukho ubunzima bokuma okanye ukuhamba.
IChiropractic Emva kweeNgozi kunye nokulimala
Ucaphulo
Gougoulias, N., Lampridis, V., & Sakellariou, A. (2019). I-Morton's interdigital neuroma: ukuphononongwa komyalelo. U-EFORT uvule uphononongo, 4(1), 14–24. doi.org/10.1302/2058-5241.4.180025
Chari, B., & McNally, E. (2018). I-Nerve Entrapment kwi-Ankle kunye noNyawo: I-Ultrasound Imaging. Iisemina kwi-radiology ye-musculoskeletal, i-22 (3), i-354-363. doi.org/10.1055/s-0038-1648252
IKholeji yaseMelika yeeNyawo kunye ne-Ankle Surgeons. I-Tarsal tunnel syndrome.
Amacandelo okuLawula nokuKhuselwa kwezifo. Isifo seswekile kunye nomonakalo wemithambo-luvo.
Feldman, EL, Callaghan, BC, Pop-Busui, R., Zochodne, DW, Wright, DE, Bennett, DL, Bril, V., Russell, JW, & Viswanathan, V. (2019). I-diabetes neuropathy. Uphononongo lwendalo. Izifo zokuqala, i-5 (1), i-42. doi.org/10.1038/s41572-019-0097-9
Yoon, WW, & Koch, J. (2021). Iidiski zeHerniated: nini utyando oluyimfuneko? EFORT vula uphononongo, 6(6), 526–530. doi.org/10.1302/2058-5241.6.210020
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
Abasebenzi, iNP, & Windebank, AJ (2014). I-peripheral neuropathy ngenxa yokunqongophala kwevithamin, ityhefu, kunye namayeza. I-Continuum (iMinneapolis, iMinn.), i-20 (i-5 ye-Peripheral Nervous System Disorders), i-1293-1306. doi.org/10.1212/01.CON.0000455880.06675.5a
by UGqr Alex Jimenez | Iimeko eziPhathwayo, Umenzakalo owehle kwisiqu
Ingxaki ye-Temporomandibular joint disorder ibangela intlungu kunye nokutshixa imihlathi enokuthi ibe mandundu ngemisebenzi ethile. Abantu banokulawula njani kwaye bathintele njani ukugqabhuka ngokufunda ukuba bangakwenzi ntoni ukwenza imeko ibe mandundu?
Yintoni eMangayenzi iTemporomandibular Joint Disorder
Ububele, ubuhlungu, intlungu, kunye nokuvala imihlathi ziimpawu ze-temporomandibular joint disorder okanye i-TMJ. Ilungu le-temporomandibular lidibanisa umhlathi kunye nokhakhayi. Isetyenziselwa yonke imihla ukutya, ukusela kunye nokuthetha. I-disc encinci kwi-joint evumela ukuba amathambo omhlathi atyibilike kwaye atyibilike ngokuchanekileyo. Nge-TMJ, i-disc iyatshintsha ngaphandle kwendawo, ekhokelela ekunqakrazeni, ukuhlutha, kunye nokunyakaza okulinganiselwe kwemihlathi. Inokubangela intlungu emhlathini nasebusweni, iintlungu zentamo, kunye neentloko, kwaye izihlunu ezijikeleze umhlathi kunye nentamo zinokuba buhlungu kunye / okanye zingene kwi-spasm. Naluphi na uhlobo lomsebenzi ogxininisa okanye osebenza ngokugqithiseleyo umdibaniso unokubangela ukuvutha kunye nokwandisa iimpawu ze-TMJ. (Schiffman E, et al. 2014) Eli nqaku lijonga ukuphepha imisebenzi eyenza i-TMJ ibe yimbi ngakumbi kwaye yintoni ongafanele uyenze ukuze uncede ukugcina iimpawu ze-TMJ.
Igum yokuhlafuna
- Ukuhlafuna iintsini akukhuthazwa kubantu abane-TMJ.
- Umhlathi ngomnye wamalungu asetyenziswa kakhulu emzimbeni.
- Ukunciphisa ukusetyenziswa ngokugqithisileyo kunciphisa uxinzelelo oluvumela amalungu kunye nezihlunu ukuba ziphumle.
- Ukuphumla kwezihlunu ezibuhlungu kunye namalungu linyathelo lokuqala lokubuyisela ukulimala.
Ukutya i-Chewy and Hard Foods
- Ukutya okuhlafunwayo nokuqinileyo kwenza imihlathi isebenze ixesha elongezelelekileyo.
- Kuphephe ukutya ukutya okunzima okufana neelekese ezihlafunwayo, izonka eziqinileyo nezihlafunwayo, imifuno enjengombona okwisikhwebu, neziqhamo ezifana nama-apile.
- Oku kutya kunokubeka uxinzelelo olugqithiseleyo emhlathini, kwaye kuthintele umdibaniso ekuphumleni ngokufanelekileyo kunye nokuphilisa.
Ukuhlafuna Kuphela Kwicala elinye
- Abantu abaninzi bahlafuna ukutya kwabo kwicala elinye lomlomo kuphela.
- Oku kunokugxininisa kwelinye icala le-temporomandibular joint kunye nezihlunu ezijikelezileyo, ezikhokelela kwiintlungu kunye nokungasebenzi. (Urbano Santana-Mora, et al., 2013)
- Hlala unolwazi ngemikhwa yokuhlafuna kwaye uqiniseke ukuba usebenzisa amacala omabini omlomo.
- Abantu abaneengxaki zamazinyo okanye iintlungu zezinyo bayacetyiswa ukuba babone ugqirha wamazinyo.
Imisebenzi yeMihlathi engasebenziyo
- Ukuhamba yonke imihla, abantu bathanda ukwenza izinto bengaqondanga okanye beqhelekile.
- Umzekelo, abantu ngabanye:
- Ukufunda okanye ukubhala kunokuhlafuna usiba okanye ipensile.
- Balume iinzipho okanye bahlafune ngaphakathi emlonyeni ngelixa bebukele iTV okanye i-intanethi.
- Le misebenzi inokubeka uxinzelelo kwi-joint, ibe mandundu imeko, kwaye yandise inkqubo yokuphilisa.
Ukuphumla kwi-Chin
- Abantu baya kuphumla izandla zabo ngelixa befunda, kwimidiya yoluntu, okanye bebukele iTV.
- Esi sikhundla sinokukhululeka, kodwa sinokuchaphazela umhlathi.
- Esi sikhundla sinokwakha uxinzelelo kwicala lomhlathi kunye nokutyhala ngokuchasene nokudibanisa, kubangela ukuba i-disc isuke kwindawo echaphazela indlela umhlathi ovula kwaye uvale ngayo.
- Ukuqhawula umkhwa wokuphumla kwe-chin kunokuvumela umdibaniso ukuba uphumule kwaye uphilise ngokuchanekileyo.
Ukucoca Amazinyo
- I-Bruxism ligama lezonyango lokubamba amazinyo.
- Oku kunokwenzeka emini okanye ngexesha lokulala.
- Ukubanjwa kwamazinyo kudla ngokuziswa luxinzelelo kwaye kunokubeka uxinzelelo olumangalisayo kwizihlunu zomhlathi kwaye ibe mandundu iTMJ.
- Ugqirha wamazinyo unokumisela isikhuselo somlomo esifanele sinxitywe xa ulele ukukhusela amazinyo ekubambeni ngokugqithiseleyo. (UMiriam Garrigós-Pedrón, et al., 2019)
Ukulala
- Umsebenzi womhlathi unxulumene ngokusondeleyo nokuma komzimba.
- Umhlathi usebenza ngokufanelekileyo xa intloko ingaphezu komqolo wesibeleko kwaye ukuma ngokuthe tye.
- I-Slouching inokutshintsha indlela izihlunu zemihlathi ezisebenza ngayo kunye nendlela umhlathi ovula nokuvalwa ngayo.
- Inxalenye yonyango lomzimba lwe-TMJ lusebenza ukulungiswa kwe-posture kunye noqeqesho.
- Oku kunokubandakanya ukuqinisa umva kunye nemisipha yamagxa kunye nokumisela izikhumbuzo zokuma.
- Ukuhlala nokuma ngokuchanekileyo kunokugcina imihlathi isebenza kakuhle.
Ukumisela Unyango
- Abaninzi abaneengxaki ze-musculoskeletal kunye neempawu balinda ukuba intlungu ihambe.
- Abantu abaneengxaki zemihlathi akufuneki balinde ukufumana unyango.
- I-TMJ inezinga elincomekayo lokuchacha ngonyango olulondolozayo, nto leyo esesona sizathu sokufuna unyango. (G Dimitroulis. 2018)
- Ugqirha wamazinyo okanye umboneleli wezempilo unokubonelela ngoxilongo oluchanekileyo ukuba kukrokrelwa i-TMJ.
- Abantu ngabanye banokuzuza ngokutyelela ingcali yezomzimba ukuze bafunde umthambo kunye nezicwangciso zokuzinyanga ngokwabo le meko. (Yasser Khaled, et al., 2017)
impatho
Unyango lunokubandakanya:
- Unyango lokuqala lujolise ekupheliseni intlungu kunye nomsebenzi womhlathi uvula kwaye uvale ukuphuculwa.
- Imithambo yokwenza umhlathi uhambe ngokuqhelekileyo.
- Ukuhlanganisana.
- Unyango ukugcina ngokufanelekileyo imisipha umsebenzi. (Amira Mokhtar Abouelhuda, et al., 2018)
- Umlindi unokunceda ngokusila kwamazinyo/i-bruxism ebusuku.
- Unyango oluchasayo.
- Kwiimeko ezinzima, utyando lunokucetyiswa ukulungisa ingxaki, njengento yokugqibela. (Meghan K Murphy, et al., 2013)
- Landela iingcebiso malunga noko ungazenzi kwaye uphephe imisebenzi ethile.
UkuQalwa kweSigulana esiKhawulezayo
Ucaphulo
Schiffman, E., Ohrbach, R., Truelove, E., Look, J., Anderson, G., Goulet, JP, List, T., Svensson, P., Gonzalez, Y., Lobbezoo, F., Michelotti , A., Brooks, SL, Ceusters, W., Drangsholt, M., Ettlin, D., Gaul, C., Goldberg, LJ, Haythornthwaite, JA, Hollender, L., Jensen, R., ... Orofacial Pain Special Iqela elinomdla, i-International Association for the Study of Pain (2014). Iikhrayitheriya zokuHlola kwi-Temporomandibular Disorders (DC / TMD) kwi-Clinical and Research Applications: iingcebiso ze-International RDC / TMD Consortium Network * kunye ne-Orofacial Pain Special Interest Group†. Ijenali yentlungu yomlomo kunye nobuso kunye nentloko, i-28 (1), i-6-27. doi.org/10.11607/jop.1151
I-Santana-Mora, U., López-Cedrún, J., Mora, MJ, Otero, XL, & Santana-Penín, U. (2013). Iziphazamiso zeTemporomandibular: Isiqhelo sokuhlafuna side syndrome. PloS enye, 8(4), e59980. doi.org/10.1371/journal.pone.0059980
Garrigós-Pedrón, M., Elizagaray-García, I., Domínguez-Gordillo, AA, Del-Castillo-Pardo-de-Vera, JL, & Gil-Martínez, A. (2019). Iziphazamiso ze-Temporomandibular: ukuphucula iziphumo usebenzisa indlela ye-multidisciplinary. Ijenali yokhathalelo lwezempilo olubanzi, i-12, 733-747. doi.org/10.2147/JMDH.S178507
Dimitroulis G. (2018). Ulawulo lweengxaki ze-temporomandibular joint disorders: Umbono wogqirha wotyando. Australian Dental Journal, 63 Suppl 1, S79-S90. doi.org/10.1111/adj.12593
Khaled Y, Quach JK, Brennan MT, NapeÑas JJ. Iziphumo emva kokunyangwa ngokomzimba kunyango lweengxaki ze-temporomandibular. Oral Surg Oral Med Oral Pathol Oral Radiol, 2017; 124 (3: e190. doi:10.1016/j.oooo.2017.05.477
Abouelhuda, AM, Khalifa, AK, Kim, YK, & Hegazy, SA (2018). Iindlela ezingezizo ezohlukeneyo zonyango lweengxaki ze-temporomandibular: uphononongo loncwadi. Ijenali yoMbutho waseKorea weeGqirha zoMlomo kunye neMaxillofacial, i-44 (2), i-43-51. doi.org/10.5125/jkaoms.2018.44.2.43
Murphy, MK, MacBarb, RF, Wong, ME, & Athanasiou, KA (2013). Ukuphazamiseka kweTemporomandibular: uphononongo lwe-etiology, ulawulo lweklinikhi, kunye nezicwangciso zobunjineli bezicubu. Ijenali yaMazwe ngaMazwe yofakelo lwe-oral & maxillofacial, 28(6), e393–e414. doi.org/10.11607/jomi.te20
by UGqr Alex Jimenez | Iimeko eziPhathwayo, Intloko kunye nonyango
Ngaba iiprothokholi zonyango lwe-chiropractic zingaxilonga ukuba yintoni ebangela uxinzelelo lwentloko kubantu ngabanye, kwaye inike unyango olusebenzayo?
Uxinzelelo lweNtloko
Uxinzelelo lwentloko lunokuba nezizathu ezahlukeneyo kunye neempawu ezichaphazela iindawo ezahlukeneyo kuxhomekeke ekubeni isizathu siyintloko, i-allergies, ukulimala, ukugula okanye isifo. Indawo yoxinzelelo okanye intlungu inokunceda ugqirha we-chiropractic ukuba anqume isizathu.
- Isizathu esisisiseko asiqhelekanga ukusongela ubomi, kodwa uxinzelelo olwakhiweyo lunokuba ngumphumo weemeko ezinzulu ezifana nokulimala kwentloko okanye i-tumor yengqondo.
- Ukunyamekela kwe-Chiropractic, okubandakanya ukudibanisa ukuguqulwa komgogodla, ukuzivocavoca okusebenzayo kunye nokunyanzeliswa, kunye ne-massage, ihlala isetyenziselwa ukulawula intloko kunye nokukhusela. (Moore Craig, et al., 2018)
- Unyango lwe-Chiropractic luhlala lufunwa ngenxa yoxinzelelo kunye nentloko ye-cervicogenic, i-migraines, kwaye ngamnye uphendula ngokuhlukileyo kunyango.
Intloko
- Intloko yenziwe yinkqubo eyinkimbinkimbi ye-lobes, izoni / iziteshi, imithambo yegazi, imithambo-luvo, kunye ne-ventricles. (Thau L, et al., 2022)
- Uxinzelelo lwezi nkqubo lulawulwa kwaye nakuphi na ukuphazamiseka kule bhalansi kunokubonakala.
- Ukuxilongwa kunokuba nzima ukufumanisa ukuba yintoni ebangela ukungahambi kakuhle okanye uxinzelelo lwentloko.
- Iintlungu, uxinzelelo, ukucaphuka, kunye nesicaphucaphu zizo zonke iimpawu ezinokuthi zenzeke ngeentloko. (Rizzoli P, Mullally W. 2017)
Indawo
- Uxinzelelo lwentloko kwiindawo ezingaphezu kweyodwa kunokwenzeka nge-migraine okanye ukubanda okukhulu. (Isiseko seMigraine saseMelika ngo-2023)
- Ubuhlungu bunokuvela kwindawo engaphezu kweyodwa ukuba kukho ukulimala kwentloko.
- Ukuba uxinzelelo luthe ngqo kwindawo ethile, lunokunceda ukubonelela ngeempawu malunga nonobangela weempawu.
- Imiba yezonyango inokubangela uxinzelelo kwiindawo ezahlukeneyo. (Rizzoli P, Mullally W. 2017)
- An umzekelo lusulelo lwe-sinus olunokubangela uxinzelelo phantsi kwamehlo kunye neempumlo.
- A neyamenza or ingxaki intloko inokuvela ngolu hlobo: (MedlinePlus. Migraine 2021)
- Ibhanti eqinileyo ejikeleze intloko.
- Intlungu okanye uxinzelelo emva kwamehlo.
- Ukuqina kunye noxinzelelo emva kwentloko kunye / okanye intamo.
Iimbangela zoxinzelelo
Oyena nobangela wale ngxaki awusoloko ucaca. Kunokubakho inani lezinto ezinokubakho.
Ukuxhatshazwa kwentloko
Iintloko ezibuhlungu zezona zixhaphakileyo ezivakala ngathi kukucinezela intloko. Ngokuqhelekileyo bakhula ngenxa yokuqiniswa kwemisipha ye-scalp ebangelwa:
- istres
- ukudakumba
- Ukuxhalabisa
- Ukwenzakala entloko
- Ukuma kwentloko ngokungaqhelekanga okanye ukugula kunokubangela ukuqaqanjelwa yintloko.
Ngaphandle koxinzelelo lwemisipha, iintloko zoxinzelelo zinokukhula ukusuka(MedlinePlus. Uxinzelelo lwentloko.)
- Uxinzelelo lomzimba
- Uxinzelelo lweemvakalelo
- Ukunyuka kwemehlo
- Ukukhathala
- Ukuxhatshazwa
- Ukusetyenziswa ngokugqithiseleyo kwe-caffeine
- Ukurhoxiswa kwecaffeine
- Ngaphezu kokusetyenziswa kotywala
- Usulelo lweSinus
- Umkhuhlane okanye umkhuhlane
- ukutshaya
- Iintloko ezibuhlungu zisenokuqhuba kwiintsapho. (MedlinePlus. Uxinzelelo lwentloko.)
Intloko yeSinus
Iimeko zendlebe
- Iindlebe zinceda umzimba ukwazi ukushukuma kunye nokulingana.
- Ingxaki kwindlebe yangaphakathi enceda ukulawula ukulinganisela kunokubangela uhlobo lwe-migraine olubizwa ngokuba yi-vestibular migraine. (I-American Speech-Language-Hearing Association)
- Olu hlobo lwe-migraine alusoloko lubonisa iimpawu zentlungu.
- Iingxaki ezinokulinganisela kunye neemvakalelo ze-vertigo / ingqiqo yokujikeleza zixhaphake ngolu hlobo lwe-migraines. (Isiseko seMigraine Migraine)
- Usulelo lwendlebe lunokubangela iimvakalelo zoxinzelelo lwentloko kunye / okanye iintlungu.
- Usulelo lunokubangela uxinzelelo lokwakha kwizakhiwo ezithambileyo zombindi wendlebe nangaphakathi.
- Olu sulelo ludla ngokubangelwa sisigulo sentsholongwane okanye ibhaktheriya. (FamilyDoctor.org)
Iimbangela zeNeurological
- Izifo ze-neurological kunye neemeko zingakhokelela ekunyuseni uxinzelelo entloko.
- Iimpawu zentlungu zixhomekeke kwisizathu esithile.
- Ngokomzekelo, i-stroke inokuchaphazela yonke intloko, ngelixa ukunciphisa amanqanaba e-brain fluid kunokuchaphazela nje isiseko sekhanda.
- Le meko yokugqibela yaziwa ngokuba yi-intracranial hypertension ethetha ukwanda koxinzelelo lwengqondo. (Schizodimos, T et al., 2020)
- Kwabanye abantu, akukho sizathu sicacileyo, oku kwaziwa ngokuba yi-idiopathic intracranial hypertension. (Wall, uMichael. 2017) (INkonzo yezeMpilo yeSizwe yowama-2023)
Ezinye izizathu zokwanda koxinzelelo lwe-intracranial ziquka:
omnye
- Uxinzelelo lwentloko lunokwenzeka kuphela ngamaxesha xa umile, ugoba phantsi ukuze uthabathe into, okanye utshintshe indlela yokuma ngandlela-thile ukuba uxinzelelo lwegazi luchaphazeleka.
Unyango lweChiropractic
Iqela lezonyango lokulimala liya kuphuhlisa isicwangciso sonyango lomntu siqu ukunceda ukukhulula iimpawu zoxinzelelo ngokusebenzisa iindlela ezininzi ezinokubandakanya. (Moore Craig, et al., 2018)
- Ukunyanzeliswa kwamanzi
- Umthwalo ophantsi we-craniocervical mobilization
- Ukuhlanganiswa okuhlangeneyo
- Ukunciphisa
- Imithambo yentamo enzulu
- I-massage ye-neuromuscular
- Ukuzivocavoca umzimba
- Iindlela zokuphucula
- Uxinzelelo lweengxaki
- Iingcebiso ngesondlo
UVavanyo lweZifundo ezininzi kunye noNyango
Ucaphulo
Moore, C., Leaver, A., Sibbritt, D., & Adams, J. (2018). Ukulawulwa kweentloko eziqhelekileyo eziqhelekileyo ze-chiropractors: uhlalutyo oluchazayo lophando olumele ilizwe. I-BMC neurology, i-18 (1), i-171. doi.org/10.1186/s12883-018-1173-6
Thau, L., Reddy, V., & Singh, P. (2022). I-Anatomy, iNkqubo yeNervous esembindini. KwiStatPearls. StatPearls Publishing.
Rizzoli, P., & Mullally, WJ (2018). Intloko ebuhlungu. Ijenali yaseMelika yezamayeza, i-131 (1), i-17-24. doi.org/10.1016/j.amjmed.2017.09.005
Isiseko seMigraine saseMelika. Ngaba i-migraine okanye intloko ye-sinus?
I-MedlinePlus. Migraine.
I-MedlinePlus. Intloko yesifo.
Imisedare yaseSinayi. Iimeko zeSinus kunye nonyango.
American Speech-Language-Hearing Association. Isiyezi kunye nokulinganisela.
Isiseko seMigraine saseMelika. Yintoni omele uyazi malunga ne-vestibular migraine.
FamilyDoctor.org. Ukosuleleka kwendlebe.
Schizodimos, T., Soulountsi, V., Iasonidou, C., & Kapravelos, N. (2020). Isishwankathelo solawulo lwe-hypertension ye-intracranial kwiyunithi yokunyamekela kakhulu. Ijenali ye-Anesthesia, i-34 (5), i-741-757. doi.org/10.1007/s00540-020-02795-7
Udonga M. (2017). Uhlaziyo kwi-Idiopathic Intracranial Hypertension. Iiklinikhi ze-Neurologic, i-35 (1), i-45-57. doi.org/10.1016/j.ncl.2016.08.004
INkonzo yezeMpilo yeSizwe. Uxinzelelo lwegazi lwe-Intracranial.
Iziko leSizwe leZiphazamiso zeNeurological kunye neStroke. I-Hydrocephalus. www.ninds.nih.gov/health-information/disorders/hydrocephalus
by UGqr Alex Jimenez | Iimeko eziPhathwayo, Umenzakalo owehle kwisiqu
Ukuqina kunye neentlungu ezikhulayo emagxeni kunokuba yi-adhesive capsulitis, (ihlombe eliqingqiweyo), imeko kwi-shoulder ball-and-socket joint / glenohumeral joint. Ngokuqhelekileyo ikhula ngokuhamba kwexesha kwaye inciphise ukusetyenziswa kwengalo. Intlungu kunye nokuqina kuthintela ukunyakaza kwengalo, kwaye ubude beempawu bunokuqhubeka kwiinyanga ze-12-18. Isizathu sihlala singaziwa, kodwa sixhaphake kakhulu kubantu abangaphezu kweminyaka engama-40, abantu abanesifo sikashukela, isifo se-thyroid, kunye neemeko zenhliziyo banomngcipheko ophezulu wokuphuhlisa imeko, kwaye abafazi bavame ukuphuhlisa imeko ngaphezu kwamadoda. Unyango lwe-Chiropractic lunokusebenza ekupheliseni iintlungu kunye nokukhawuleza ukubuyiswa.
Ukuqina kunye neentlungu
Umdibaniso wegxalaba uvumela ukunyakaza okungaphezulu kunayo nayiphi na enye idibeneyo emzimbeni. Igxalaba elinomkhenkce libangela ukuba i-capsule ejikeleze igxalaba lihlangane kwaye lenze i-scar tissue. I-capsule contraction kunye nokubunjwa kwe-adhesions kubangela ukuba igxalaba libe lukhuni, lithintele ukunyakaza, kwaye libangele intlungu kunye neempawu ezingathandekiyo.
Amanqanaba
Ukuqhubela phambili kuphawulwa ngamanqanaba amathathu:
Ukukhupha
- Ukuqina kunye neentlungu ziqala ukukhawulela ukunyakaza.
Frozen
- Ukushukuma kunye nokunyakaza kuthintelwe kakhulu.
Ukutsala
- Igxalaba liqala ukukhululeka.
- Kungathatha iminyaka ukusombulula ngokupheleleyo iimpawu.
- Kwiimeko ezincinci, igxalaba elinomkhenkce linokuhamba ngokwalo kodwa oko akuthethi ukuba liphiliswe ngokwenene kwaye lilungelelaniswe ngokuchanekileyo.
- Nakwiimeko ezingephi ukufuna unyango kuyacetyiswa, kunokulinda nje ukuba luhambe.
iimpawu
- Uluhlu olulinganiselweyo lwentshukumo.
- Ukuqina kunye nokuqina.
- Intlungu ebuhlungu okanye ebuhlungu kwigxalaba lonke.
- Iintlungu zinokuphuma kwingalo engaphezulu.
- Ubuhlungu bunokubangelwa yintshukumo encinci.
- Iimpawu azihlali ngenxa yobuthathaka okanye ukulimala, kodwa ziyinyani ukuqina kwamalungu.
Izizathu
Amagxa amaninzi afriziwe ayenzeka ngaphandle kokulimala okanye isizathu esibonakalayo kodwa imeko ihlala idibaniswa nemeko yenkqubo okanye enye echaphazela umzimba wonke.
Ubudala kunye nesini
- Igxalaba elinomkhenkce lidla ngokuchaphazela abantu abaphakathi kweminyaka engama-40 ukuya kuma-60, kwaye lixhaphake kakhulu kwabasetyhini kunamadoda.
Ukuphazamiseka kwi-Endocrine
- Abantu abanesifo seswekile banomngcipheko owongeziweyo wokuphuhlisa igxalaba elinomkhenkce.
- Ezinye izinto ezingaqhelekanga ze-endocrine ezifana neengxaki ze-thyroid nazo zinokukhokelela ekuphuhliseni le meko.
Ukwenzakala kwamagxa kunye/okanye uTyando
- Abantu abagcina ukwenzakala egxalabeni, okanye batyandwe egxalabeni banokuphuhlisa umdibaniso onzima nobuhlungu.
- Xa ukulimala okanye utyando lulandelwa yi-immobilization / ukuphumla kwengalo ixesha elide, umngcipheko wokuphuhlisa ihlombe elifriziwe liyanda.
Ezinye iimeko zeNkqubo
Iimeko ezininzi zenkqubo ezifana nesifo senhliziyo ziye zadibaniswa nomngcipheko okhulayo wokuphuhlisa imeko kwaye zinokubandakanya:
- Cholesterol ephezulu
- Isifo se-adrenal
- Isifo sentliziyo nemiphunga
- Isifo sikaParkinson
Ukuqina kunye neentlungu zinokudityaniswa nomonakalo kwilungu lokulimala okanye ezinye iingxaki zegxalaba ezibandakanya:
- Ukulimala kwemisipha okanye izicubu ezidibeneyo
- I-Rotator cuff tendinopathy
- Calcific tendinitis
- Ukususwa
- ukwaphuka
- Osteoarthritis
- Igxalaba elinomkhenkce elinxulumene nazo naziphi na ezi zizathu zithathwa njengesibini.
impatho
Ukuxilongwa kwenziwa ngokujonga uluhlu lwentshukumo egxalabeni, kuthathelwa ingqalelo ezi ntlobo zimbini:
Uluhlu olusebenzayo
- Le yindlela umntu anokuthi ahambise ngayo ilungu lomzimba eyedwa.
Uluhlu lwePassive
- Le yindlela omnye umntu onjengogqirha okanye ugqirha anokuthi alisuse ngayo ilungu lomzimba.
Iipilisi
- I-Chiropractic, i-massage, kunye nonyango lomzimba lubandakanya ukolula, ukulungelelanisa, kunye nokuzivocavoca ukuze ukhulule iimpawu zentlungu kunye nokubuyisela ukuhamba kunye nomsebenzi.
- Ngokuqhelekileyo, amandla awachaphazeli igxalaba elinomkhenkce kodwa i-chiropractor inokufuna ukuqinisa izihlunu ezijikelezileyo ukuxhasa ngcono igxalaba kunye nokukhusela ukunyusa ukulimala okanye ukubangela ukulimala okutsha.
- Amayeza achasene nokuvuvukala kunye neenaliti ze-corticosteroid zinokunceda ukulawula iimpawu zentlungu.
- Ukufumana ukuxilongwa kunye nonyango ngexesha lokukhenkceza kunokugcina imeko ekuqhubeleni phambili kwaye ikhawuleze ixesha lokubuyisela.
Ukuphucula impilo: uVavanyo kunye noNyango
Ucaphulo
UBrun, uShane. "Igxalaba elinomkhenkce elingaqhelekanga." Ijenali yeAustralia yokuziqhelanisa vol. 48,11 (2019): 757-761. doi:10.31128/AJGP-07-19-4992
Chan, Hui Bin Yvonne, et al. "Unyango lomzimba kulawulo lwegxalaba elinomkhenkce." Ijenali yezonyango yaseSingapore vol. 58,12 (2017): 685-689. doi:10.11622/smedj.2017107
Cho, Chul-Hyun, et al. "Isicwangciso-qhinga soNyango lweGxaxa eliQonkqisiweyo." Iikliniki zotyando lwamathambo vol. 11,3 (2019): 249-257. doi:10.4055/cios.2019.11.3.249
UDuzgun, uIrem, et al. "Yeyiphi indlela yokuhlanganisa amagxa angumkhenkce: ukunwebeka kwe-capsule yangasemva okanye ukuhlanganiswa kwe-scapular?." Ijenali yeMusculoskeletal & neuronal interactions vol. 19,3 (2019): 311-316.
UJain, uTarang K, kunye noNeena K Sharma. "Ukusebenza kongenelelo lwe-physiotherapeutic kunyango lwegxalaba elinomkhenkce / i-adhesive capsulitis: uphononongo olucwangcisiweyo." Ijenali yokubuyisela umva kunye ne-musculoskeletal rehabilitation vol. 27,3 (2014): 247-73. doi:10.3233/BMR-130443
UKim, uMin-Su, et al. "Ukuxilongwa kunye nokunyangwa kwe-calcific tendinitis yegxalaba." Iikliniki emagxeni nasengqinibeni vol. 23,4 210-216. 27 Nov. 2020, doi:10.5397/cise.2020.00318
Millar, uNeal L et al. “Igxalaba elinomkhenkce.” Uphononongo lwendalo. Iimpawu zokuqala zesifo vol. 8,1 59. 8 Septemba 2022, doi:10.1038/s41572-022-00386-2
by UGqr Alex Jimenez | Iimeko eziPhathwayo, Sciatica, Ukulala Ucoceko
Ukulala phantsi kwi-sofa okanye ebhedini xa umlenze ongezantsi ubamba ngokuziva okukhulu kunye neentlungu ezingayekiyo, kwaye umsipha unokuba nzima ukuwubamba. Xa uzama ukuhambisa umlenze, uziva ukhubazekile. Ukuqaqanjelwa komlenze wasebusuku, okubizwa ngokuba kukuqhawuka kwezihlunu okanye Amahashe eCharley, kwenzeka xa umlenze omnye okanye ngaphezulu kwemisipha yomlenze uqina ngokungaqhelekanga. Abantu ngabanye banokuvuka okanye balele xa i-cramp yomlenze ibetha. Unyango lweChiropractic, Uxinzelelo, kwaye unyango lwe-massage lunokunceda ukukhulula iimpawu, ukunweba kunye nokukhulula imisipha, nokubuyisela umsebenzi kunye nempilo.
IiCramps Zomlenze Wasebusuku
Iintlungu zomlenze wasebusuku zihlala zichaphazela i-gastrocnemius / ithole lomsipha. Nangona kunjalo, banokuchaphazela imisipha phambi kwethanga / i-quadriceps kunye nomva wethanga / i-hamstrings.
- Ngokuqhelekileyo, isihlunu esiqinileyo siphumla ngaphantsi kwemizuzu eyi-10.
- Umlenze kunye nendawo inokuvakala ibuhlungu kwaye ithenda emva koko.
- Ukuxhaphaka kwethole ebusuku kunokubangela iingxaki zokulala.
- Iintlungu zemilenze yasebusuku zixhaphake kakhulu phakathi kwabasetyhini kunye nabantu abadala.
Izizathu
Akukho nobangela/zizizathu ezaziwayo, nto leyo eyenza ukuba iimeko ezininzi zibe yidiopathic. Nangona kunjalo, kukho izinto ezaziwayo ezinokunyusa umngcipheko. Oku kunokubandakanya:
Ukuhlala Nokuma ixesha elide
- Ukuhlala unqumle imilenze okanye iinzwane ezijongwe ixesha elide zenza mfutshane/kutsale izihlunu zethole, nto leyo enokubangela ukukrala.
Ukuma kunye nokuma ixesha elide
- Abantu abame ixesha elide badla ngokuba neecramps zasebusuku kwimisipha ecinezelekileyo.
Ukugqithiswa kwemisipha
- Ukuzilolonga kakhulu kunokudala isihlunu esisebenza kakhulu kwaye kunokuba negalelo kwiicramps.
Ukungaqhelekanga koMsebenzi weNerve
Ukunqongophala koMzimba/uMzimba
- Izihlunu kufuneka zolulwe rhoqo ukuze zisebenze ngokuchanekileyo.
- Ukungabikho kokusebenza komzimba ixesha elide kwenza buthathaka izihlunu, nto leyo eyenza kube lula ukuba sengozini.
Ukunciphisa iTendons
- Imisipha, edibanisa imisipha kunye namathambo, iyancipha ngokwemvelo ngokuhamba kwexesha.
- Ngaphandle kokuzolula, oku kunokukhokelela kwi-cramping.
- Iicramps zinokunxulumana nendawo yonyawo xa ulele, iinyawo kunye neenzwane zisuka kude nomzimba, ezaziwa ngokuba i-plantar flexion.
- Oku kunciphisa izihlunu zethole, nto leyo eyenza kube lula ukukrala.
Imilenze yomlenze ebusuku ayinakwenzeka ukuba ibe ngumqondiso wesifo esibi kakhulu, kodwa inxulunyaniswa nezi meko zilandelayo:
- Ukuphazamiseka kwe-Musculoskeletal.
- Imiba yesakhiwo - iinyawo ezithe tyaba okanye i-spinal stenosis.
- Iziphazamiso zeMetabolic ezifana nesifo seswekile.
- Ukukhulelwa.
- Amayeza - i-statins kunye ne-diuretics.
- Iziphazamiso zemithambo-luvo, njengesifo se-motor neuron okanye i-peripheral neuropathy.
- Ukuphazamiseka kwe-Neurodeergenerative.
- Isibindi, izintso, kunye neemeko ze-thyroid.
- Iimeko zentliziyo.
I-Chiropractic kunye noNyango loMzimba
Ukuvuselelwa nge-chiropractic, i-massage, kunye nonyango lomzimba luxhomekeke kubunzima bokulimala kunye nemeko. Isicwangciso sonyango lwe-chiropractic sinokubandakanya oku kulandelayo:
- Ukuzolula izihlunu zethole.
- Imithambo eYolulelweyo ekuJoliswe kuyo.
- Inkqubela phambili yokuzivocavoca ithole - inkqubo yokwelula kunye nokuguquguquka rhoqo iya kwandisa uluhlu lokunyakaza kunye nokuthintela ukulimala kwethole elizayo.
- Ukuqengqeleka kwegwebu - ukuziphulula ngobunono nge-roller ye-foam kunokunceda ukunciphisa i-spasms kunye nokuphucula ukujikeleza kwegazi.
- I-massage ye-Percussive.
- Ukuzivocavoca ukuqinisa imisipha kuya kwakha amandla emisipha kunye nokulungelelanisa ukukhusela ukulimala kwexesha elizayo.
Unyango lwasekhaya lunokubandakanya:
Gcina ukuNinziswa kwamanzi
- Ulwelo luvumela ukusebenza kwemisipha eqhelekileyo.
- Abantu banokufuna ukulungelelanisa ukuba bungakanani ulwelo oluselwayo ngokusekelwe kwimozulu, ubudala, inqanaba lomsebenzi, kunye namayeza.
Guqula iNdawo yokulala
- Abantu kufuneka bakuphephe ukulala kwindawo apho iinyawo zijonge ezantsi.
- Zama ukulala ngomqolo ngomqamelo emva kwamadolo.
Ukuziphulula umzimba
- Ukuphulula izihlunu ezichaphazelekayo kuya kubanceda bakhululeke.
- Sebenzisa esinye okanye zombini izandla okanye i-massage gun ukuze uxove kwaye ukhulule imisipha ngobunono.
Ukunxibelelana
- Izahlulo ezahlukeneyo ziya kugcina unyango, zincede ukugcina izihlunu zikhululekile kwaye zibuyisele imisipha.
Umjikelo omileyo
- Imizuzu embalwa ye-pedaling elula inokunceda ukukhulula imisipha yomlenze ngaphambi kokulala.
Ukuhamba ngezithende
- Oku kuya kuvuselela izihlunu kwelinye icala lethole, kuvumela amathole ukuba aphumle.
Izihlangu ezixhasayo
- Izihlangu ezingafanelekanga zinokwenza imiba ibe mandundu ngemithambo-luvo kunye nezihlunu ezinyaweni nasemilenzeni.
- I-Orthotics inokunceda.
Ukusetyenziswa kobushushu
- Ubushushu buyakwazi ukuthomalalisa izihlunu eziqinileyo kwaye kwandisa ukuhamba kwegazi kwindawo.
- Faka itawuli eshushu, ibhotile yamanzi, i-pad yokufudumeza, okanye i-muscle topical cream kwindawo echaphazelekayo.
- Ibhafu efudumeleyo okanye ishawa (ukuba ikhona, i-shower massage setting) inokunceda.
Iimfihlo zeSciatica zityhiliwe
Ucaphulo
Allen, uRichard E, kunye noKarl A Kirby. “Imilenze yasebusuku iyanuka.” Ugqirha wosapho waseMelika vol. 86,4 (2012): 350-5.
Butler, JV et al. "Imilenze yemilenze yasebusuku kubantu abadala." Ijenali yezonyango yesidanga sokuqala vol. 78,924 (2002): 596-8. doi:10.1136/pmj.78.924.596
Garrison, Scott R et al. "I-Magnesium ye-cramps ye-skeletal muscle." I-Database ye-Cochrane yophononongo olucwangcisiweyo vol. 2012,9 CD009402. Sep 12, 2012, doi:10.1002/14651858.CD009402.pub2
Giuffre BA, Black AC, Jeanmod R. Anatomy, Sciatic Nerve. [Ihlaziywe ngo-2023 ngoMeyi 4]. Ku: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Ifumaneka kwi: www.ncbi.nlm.nih.gov/books/NBK482431/
Handa, Junichi, et al. "IiCramps zomlenze wasebusuku kunye ne-Lumbar Spinal Stenosis: iSifundo esiPhambili kwiCandelo loLuntu." Ijenali yeHlabathi yezamayeza jikelele vol. 15 7985-7993. Nov 1 2022, doi:10.2147/IJGM.S383425
Hsu D, Chang KV. Uxinzelelo lweGastrocnemius. [Ihlaziywe ngo-2022 ngo-Agasti 22]. Ku: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Ifumaneka kwi: www.ncbi.nlm.nih.gov/books/NBK534766/
Abasebenzi beKliniki yaseMayo. (2019). Iintlungu zomlenze ebusuku. mayoclinic.org/symptoms/night-leg-cramps/basics/causes/sym-20050813
Monderer, uRenee S et al. “Imilenze yasebusuku iyanuka.” Ingxelo yeNeurology yangoku kunye neNeuroscience vol. 10,1 (2010): 53-9. doi:10.1007/s11910-009-0079-5
by UGqr Alex Jimenez | Ubuhlungu obungapheliyo, Iimeko eziPhathwayo
Intlungu engasentla naphakathi/embindi-mva kunye/okanye iintlungu phakathi kwamagxa amagxa zixhaphakile kubantu abachitha ixesha elide behleli okanye bemile. Uxinzelelo, uxinzelelo, kunye neentshukumo eziphinda-phindayo kunokubangela ukuba amanqaku aphakathi ngasemva aphuhle. Iimpawu zenzeka naphi na ukusuka entanyeni ukuya emazantsi eembambo. Uphuhliso lwamanqaku e-Trigger kunye nokuphindaphinda kunokuba negalelo kwintlungu engapheliyo ephezulu kunye nephakathi. I-Chiropractic yezoNyango ze-Chiropractic kunye ne-Functional Medicine Clinic inokukhulula, ikhulule kwaye incede ukukhusela amanqaku okuqalisa ngokusebenzisa iindlela ezahlukeneyo zonyango kunye nezicwangciso zonyango.
Amanqaku okubangela umva ngasemva
Iimbambo zinamathele kwi-sternum kwaye zibambelele kwaye zijikeleze ngasemva. Iintlungu kunye neempawu zokuva ziyakwazi ukugqithisa kwezinye iindawo apho i-nerve ihamba khona ukuba i-nerve kule ndawo igxininiswe, inomsindo, okanye yenzakele. Amaqela emisipha yommandla wesifuba nawo anendima ebalulekileyo ekuphuhlisweni kwenqaku eliphakathi kwe-back trigger. Uxinzelelo kwizihlunu zesifuba lunomthwalo ogqithileyo kwizihlunu zommandla ophakathi ngasemva, okubangela ukuqina. Oku kwenzeka kubantu abakhupha i-trigger points kwi-middle-back muscles kodwa bayasilela ukujongana namanqaku e-trigger kwimisipha yesifuba, okubangela ukuvuselelwa okunokuthi kubangele ukulimala. Amaqela amathathu emisipha anokubangela iintlungu ezibuhlungu phakathi kwamagxa egxalaba ziquka:
I-Rhomboid Trigger Points phakathi kwamaGxala amagxa
- Iqela le-Rhomboid muscle lifumaneka kwingingqi ephakathi, phakathi kwamagxa.
- Ezi zihlunu zincamathela ecaleni komnqonqo kwaye zibaleke nge-diagonally ezantsi ukuze zidibanise ngaphakathi kwi-blade blade.
- I-contraction ibangela ukuba amagxa amagxa arhoxe kwaye ajikeleze.
- Amanqaku e-trigger abangela intlungu kuphela kummandla weqela le-muscle.
- Zinokubangela ukuthamba kwingingqi kunye ne inkqubo spinous okanye incam yamathambo ephuma kwilamina okanye inxalenye enokuviwa xa ubamba umqolo.
- Intlungu idla ngokuchazwa njengokutshisa.
Iimpawu zeRhomboid Trigger
- Uphawu oluxhaphakileyo kukuqaqamba okungaphaya phakathi kweencakuba zamagxa abantu abazama ukuzihlikihla ngeminwe ukuze bafumane isiqabu.
- Intlungu ebuhlungu inokwandisa ukuya phezulu kwindawo yegxalaba ngaphezu kwe-blade kunye nendawo yentamo.
- Abantu ngabanye banokuva okanye bazive ukukrazula kunye nokukrazula njengoko behambisa iincakuba zamagxa.
- Ukuma kwegxalaba elijikelezileyo kunye nentloko-phambili yokuzingela iphantse ihlale ikhona kubantu abanala manqaku okubangela.
I-Middle Trapezius Trigger Points
- I-trapezius liqela elikhulu, elifana nedayimane le-muscle elenza isiseko sentamo kunye nomva ongaphezulu.
- Ineendawo zokuncamathela ezantsi kokakayi, ecaleni komqolo, ikhola, kunye negxalaba.
- Xa le misipha idibanisa, ihambisa i-shoulder blade.
- Ukunyakaza kunokuchaphazela intamo kunye nommandla wentloko.
- Amanqaku e-trigger kwisiqingatha esiphakathi kwesi sihlunu sibhekisa kwiintlungu phakathi kwamagxa kunye nomqolo.
- Amanqaku e-Trigger akhula ngenxa yezizathu ezininzi, kubandakanywa nokungahambi kakuhle, uxinzelelo, ukulimala, ukuwa, kunye neendawo zokulala.
- Ukongezelela, ukunyanzeliswa kunye nokongeza amanqaku e-trigger kwimisipha yesifuba kunokulayisha ngaphezulu kwe-Trapezius muscle fibers, okubangela ukuphuhliswa kwenqaku le-trigger.
Iimpawu zeTrapezius
- Kunokuba nzima ukuhlukanisa intlungu kwi-trapezius ephakathi kunye ne-rhomboid trigger points.
- Intlungu ephakathi kwe-trapezius ingaba nefuthe elivuthayo kwaye lihlala lihamba phezu kwe-thoracic spine.
- Ukuthunyelwa kweentlungu kumqolo kunokusebenzisa amanqaku esibini e-trigger kwimisipha ejikelezileyo.
Pectoralis Major Trigger Points
- Iqela le-Pectoralis Major muscle yizihlunu ezinkulu, ezisicaba kwindawo ephezulu yesifuba.
- Isihlunu sinamacandelwana amane adibanayo ancamathela kwiimbambo, ikholabone, ithambo lesifuba, kunye nengalo engaphezulu egxalabeni.
- Iqela lezihlunu liyavumelana xa lityhala ngeengalo phambi komzimba kwaye lijikelezisa iingalo ngaphakathi ukuya esiqwini.
- Amanqaku e-Trigger angakhupha iimpawu zentlungu kwisifuba, igxalaba, kunye nemimandla yamabele.
- Ubundisholo kunye/okanye iintlungu zinokuphuma ngaphakathi engalweni naseminweni.
- Amanqaku e-Trigger kweli qela le-muscle angenza i-triggers kumqolo ongaphezulu, obangela iimpawu zentlungu phakathi kwamagxa ehlombe.
Iimpawu eziphambili zePectoralis
- Abantu ngabanye baya kuba neentlungu zesifuba, iintlungu zegxalaba ngaphambili, kunye neentlungu ezihamba phantsi ngaphakathi kwengalo ukuya engqinibeni.
- Ukuba iintlungu ezidluliselweyo zenzeka kwicala lasekhohlo lomntu, zinokufana neentlungu zentliziyo.
- Qhagamshelana nogqirha wezifo zentliziyo ukuze alawule ukubandakanyeka kwentliziyo phambi kokuba aphande ngamanqaku okubangela.
- Intlungu iya kuqala ukuvela kwelinye icala lesifuba kodwa inokusasazeka kwelinye njengoko iqinisa.
- Kwabaninzi, intlungu ibonwa kuphela ngokuhamba kweengalo kwaye ihamba okanye iyancipha ngokuphumla.
- Intlungu edibeneyo phakathi kwe-back-back, phakathi kwamagxa ehlombe, iyenzeka rhoqo.
- Kwabasetyhini, kunokubakho ubuntununtunu bengono kunye neentlungu ebeleni.
- Ibele linokwandiswa ngenxa yoxinzelelo olubangela ukonakala Ukudonsa amanzi kwi-lymphatic.
Unyango lweChiropractic
I-Chiropractors iphatha ii-syndromes zentlungu ye-myofascial ezifana ne-myofascial trigger points okanye ukubambelela ngeendlela ezahlukeneyo zonyango. I-chiropractor iya kufumana amanqaku okuqalisa ngokucinezela izicubu ze-muscle okanye ngokulawula imicu ye-muscle. Nje ukuba amanqaku e-trigger afunyenwe, unyango lunokubandakanya:
- Ukuhlawula.
- I-Percussive Massage.
- MET ubuchule.
- Iindlela zokukhutshwa kweMyofascial.
- Uxinzelelo olusetyenziswayo ukunciphisa intlungu ngokuthe ngcembe.
- Uxinzelelo oluthe ngqo kwindawo yokuqalisa.
- Uhlengahlengiso lweChiropractic.
- Ukolula okujoliswe kuko.
- Ukuncipha.
- Uqeqesho lwezempilo.
Ukulwa nokudumba ngokwemvelo
Ucaphulo
UBarbero, uMarco, et al. "I-Myofascial pain syndrome kunye ne-trigger points: uvavanyo kunye nonyango kwizigulane ezinentlungu ye-musculoskeletal." Uluvo lwangoku kwiNkxaso kunye nokhathalelo lwempilo vol. 13,3 (2019): 270-276. doi:10.1097/SPC.0000000000000445
Bethers, uAmber H et al. "Unyango lokukhupha isithuba kunye ne-massage yonyango inciphisa i-muscle trigger kunye namanqaku ethenda." Ijenali yoMzimba kunye nonyango lwentshukumo vol. 28 (2021): 264-270. doi:10.1016/j.jbmt.2021.07.005
Birinci, Tansu, et al. "Ukuzivocavoca okudityanisiweyo kunye nokunyanzeliswa kwe-ischemic kwi-pectoralis encinci ye-muscle kunye namanqaku aqalayo: i-single-blind-blind, randomized, controlled pilot trial." Unyango olongezelelweyo kwiklinikhi yokusebenza vol. 38 (2020): 101080. doi:10.1016/j.ctcp.2019.101080
Farrell C, Kiel J. Anatomy, Umva, i-Rhomboid Muscles. [Ihlaziywe ngo-2023 ngoMeyi 16]. Ku: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Ifumaneka kwi: www.ncbi.nlm.nih.gov/books/NBK534856/
UGupta, uLokesh, kunye noShri Prakash Singh. "I-ultrasound-Guided Trigger Point Injection ye-Myofascial Trigger Points kwi-Subscapularis kunye ne-Pectoralis Muscles." Ijenali yezonyango Yonsei vol. 57,2 (2016): 538. doi:10.3349/ymj.2016.57.2.538
Moraska, uAlbert F et al. "Ukuphendula kwamanqaku e-Myofascial Trigger kwindawo enye kunye ne-Multiple Trigger Point Release Massages: Uvavanyo oluLawulwe ngokungacwangciswanga, olulawulwa yi-Placebo." Ijenali yaseMelika yeyeza lomzimba kunye noHlengahlengiso vol. 96,9 (2017): 639-645. doi:10.1097/PHM.0000000000000728
Sadria, Golnaz, et al. "Ukuthelekiswa kwempembelelo yokukhululwa okusebenzayo kunye nobuchule bamandla emisipha kwiindawo ezifihlakeleyo ze-trapezius." Ijenali yomsebenzi womzimba kunye nonyango lwentshukumo vol. 21,4 (2017): 920-925. doi:10.1016/j.jbmt.2016.10.005
Tiric-Campara, Merita, et al. "I-syndrome yokusetyenziswa ngokugqithiseleyo emsebenzini (izifo zobuchwepheshe): i-carpal tunnel syndrome, igxalaba lempuku, isifo sentlungu yomlomo wesibeleko." Acta informatica medica : AIM : ijenali yoMbutho weInformatics yezoNyango yaseBosnia & Herzegovina : casopis Drustva za medicinsku informatiku BiH vol. 22,5 (2014): 333-40. doi:10.5455/aim.2014.22.333-340
by UGqr Alex Jimenez | Uvavanyo lweChiropractic, Iimeko eziPhathwayo
Izihlunu zegluteal / glutes ziquka iimpundu. Ziliqela izihlunu ezinamandla eziquka izihlunu ezintathu. I-gluteus maximus, i-gluteus medius, kunye ne-gluteus minimus. Izihlunu ze-glute zinceda amandla okusebenza ngokomzimba kunye nokunyakaza kwemihla ngemihla njengokuhamba, ukuma, kunye nokuhlala kunye nokunceda ukukhusela ukwenzakala kumbindi, umva, izihlunu zesisu, kunye nezinye izihlunu ezixhasayo kunye nezicubu. Abantu ngabanye banokuhlakulela ukungalingani kwe-glute apho elinye icala liba namandla kwaye lisebenze ngakumbi okanye liphezulu kunelinye. Ukungalingani okungaqwalaselwanga kunokukhokelela ekuqhubekeni kokungalingani kwemisipha, iingxaki zokuma, kunye nemiba yeentlungu. I-Chiropractic yezoNyango zeChiropractic kunye ne-Functional Medicine Clinic inokuphuhlisa isicwangciso sonyango lomntu siqu ukukhulula iimpawu kunye nokubuyisela ukulungelelaniswa, ukulinganisela kunye nempilo.
I-Glute Muscle Ukungalingani
Amandla, i-glutes enempilo ikhuthaza ukuzinza kwe-lumbopelvic kunye isigqi, oku kuthetha ukuba bagcina umqolo ophantsi kunye ne-pelvis ngendlela echanekileyo yokukhusela iingxaki kunye nokulimala. Ukungalingani kwe-Glute kwenzeka xa elinye icala le-glutes likhulu, linamandla, okanye linamandla. Ukungalingani kweGlute kuqhelekile kwaye kuyinxalenye ye-anatomy eqhelekileyo yomntu, njengoko umzimba ungalingani ngokugqibeleleyo. Ukutshintsha kunye nokusebenzisa elona cala lilawulayo xa uthatha ubunzima okanye uchola izinto kuqhelekile, ke elinye icala liya liba likhulu. Kanye njengokuba umntu ukhetha isandla esinye, ingalo kunye nomlenze ngaphezu kwesinye, elinye icala le-glute linokusebenza nzima kwaye libe namandla.
Izizathu
Kukho izizathu ezininzi zokungalingani kwemisipha ye-glute, kuquka:
- Ukwahluka kwe-Anatomical- Wonke umntu unezihlunu ezimile ngokukodwa, iindawo zokuncamathela, kunye neendlela zemithambo-luvo. Ezi zintlukwano zingenza ukuba elinye icala le-glutes lilawule okanye libe namandla.
- Ukuma okungenampilo.
- Iimpawu zentlungu yangasemva zinokubangela ukuba abantu bathathe izikhundla ezingafanelekanga kunye nokumisa, njengokuthembela kwelinye icala.
- Ukwenzakala kwangaphambili.
- Ukuvuselelwa okungonelanga kumonzakalo wangaphambili.
- Ukwenzakala kwemithambo-luvo.
- I-Ankle sprains ingakhokelela ekunciphiseni ukusebenza kwe-glute.
- Uqeqesho olungafanelekanga
- Ukungafani kobude bomlenze
- I-Atrophy
- Imeko yomqolo
- Umsebenzi wengqesho
- Imiba yezemidlalo inokuthi ibeke phambili icala elinye lomzimba kunelinye.
Ukutshintsha uMzimba
Xa intlungu ibonakala kwindawo enye yomzimba, izibonakaliso zithunyelwa ukuba zilumkise ezinye izihlunu ukuba zivumelane / ziqiniswe njengendlela yokukhusela ukukhusela ukulimala okuqhubekayo. Olu tshintsho luguqula iipatheni zokuhamba, ezikhokelela ekungalingani kwemisipha kwi-glutes nakwezinye iindawo. Abantu abangakwaziyo ukubuyisela kwimeko yokwenzakala ngokufanelekileyo banokushiywa ngokungalingani.
Uncedo lweChiropractic kunye nokubuyiselwa
Le meko kufuneka iqwalaselwe ukuthintela ukwenzakala okungaphezulu kunye nemiba yokuma. Unyango luyahluka ngokuxhomekeke kumntu kunye nobungakanani bengxaki. Isicwangciso sonyango sokuthintela nokuphucula ezinye iindlela zokungalingani kwe-glute kunokubandakanya oku kulandelayo.
- Ukunyibilika komgogodla iya kolula umzimba kunye nezihlunu kwindawo esebenzayo.
- I-massage yonyango iya kukhulula imisipha kwaye inyuse ukuhamba kwegazi.
- Uhlengahlengiso lweChiropractic ukulungelelanisa umqolo kunye nomzimba.
- Ukolulwa okujoliswe kuko kunye nokuzivocavoca kuya kubonelelwa ukugcina ulungelelwaniso.
- Uqeqesho olumacala omabini okanye ukuqeqesha icala elinye lomzimba ngexesha kunokunceda ukwakha nokomeleza icala elibuthathaka.
- Ukomeleza okungundoqo kunokusebenza umahluko kumacala omabini omzimba.
Indlela yeChiropractic yokuNceda iintlungu
Ucaphulo
Bini, uRodrigo Rico, kunye no-Alice Flores Bini. "Ukuthelekiswa kobude be-linea alba kunye nokuzibandakanya kwezihlunu ezingundoqo ngexesha lokuzilolonga kunye ne-back back." Ijenali yoMzimba kunye nonyango lwentshukumo vol. 28 (2021): 131-137. doi:10.1016/j.jbmt.2021.07.006
Buckthorpe, uMateyu, et al. "UKUVAVANYA NOKUNYATHA UBUTHATHAKA BE-GLUTEUS MAXIMUS - ULUVO LWECLINICAL." Ijenali yaMazwe ngaMazwe yonyango lomzimba ezemidlalo vol. 14,4 (2019): 655-669.
U-Elzanie A, uBorger J. Anatomy, uBony Pelvis kunye neLungu elisezantsi, iGluteus Maximus Muscle. [Ihlaziywe ngo-2023 ku-Epreli 1]. Ku: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Ifumaneka kwi: www.ncbi.nlm.nih.gov/books/NBK538193/
Liu R, Wen X, Tong Z, Wang K, Wang C. Utshintsho lwe-gluteus medius muscle kwizigulane zabantu abadala abane-unilateral developmental hip dysplasia. I-BMC Musculoskelet Disord. 2012;13(1):101. doi: 10.1186/1471-2474-13-101
U-Lin CI, uKhajooei M, u-Engel T, kunye no-al. Umphumo wokungazinzi kwe-ankle engapheliyo ekusebenzeni kwemisipha kwiindawo ezisezantsi. Li Y, umhleli. PLoS ENYE. 2021;16(2):e0247581. doi:10.1371/journal.pone.0247581
Pool-Godzwaard, AL et al. "Uzinzo olungonelanga lwe-lumbopelvic: indlela yeklinikhi, ye-anatomical kunye ne-biomechanical ukuya 'kwintlungu ethile' ephantsi." Unyango lwezandla vol. 3,1 (1998): 12-20. doi:10.1054/math.1998.0311
Vazirian, Milad, et al. "Isigqi seLumbopelvic ngexesha lokuhamba kwesiqu kwinqwelomoya ye-sagittal: Uphononongo lweendlela zokulinganisa i-kinematic kunye neendlela zokulinganisa." Unyango lwePhysical and Rehabilitation vol. 3 (2016): 5. doi:10.7243/2055-2386-3-5
