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Iqela le-Chiropractic yasemva kokulimala kweKliniki. Ukwenzakala okuntsonkothileyo kwenzeka xa abantu befumana umonzakalo omandundu okanye oyintlekele, okanye iimeko zabo zintsonkothe ​​ngakumbi ngenxa yokwenzakala okuphindaphindiweyo, iziphumo zengqondo, kunye neembali zonyango esele zikhona. Ukulimala okuyinkimbinkimbi kunokulimala kwe-serial yecala eliphezulu, ukuxhwaleka okukhulu kwezicubu ezithambileyo, kunye ne-concomitant (ehamba ngokwemvelo okanye ehambelanayo), ukulimala kwiinqanawa okanye kwi-nerve. Ezi nzakala zihamba ngaphaya kwe-sprain eqhelekileyo kunye noxinzelelo kwaye zifuna inqanaba elinzulu lovavanyo olunokuthi lungabonakali lula.

El Paso, i-TX's Injury specialist, i-chiropractor, uDkt Alexander Jimenez uxoxa ngeendlela zonyango, kunye nokuvuselelwa, ukuqeqeshwa kwemisipha / amandla, ukondla, kunye nokubuyela kwimisebenzi eqhelekileyo yomzimba. Iinkqubo zethu zezendalo kwaye zisebenzisa amandla omzimba ukufezekisa iinjongo ezithile ezilinganisiweyo, kunokwazisa imichiza eyingozi, ukutshintshwa kwehomoni ephikisanayo, utyando olungafunwayo, okanye iziyobisi ezikhobokisayo. Sifuna ukuba uphile ubomi obusebenzayo obuzalisekiswa ngamandla amaninzi, isimo sengqondo esifanelekileyo, ukulala okungcono, kunye neentlungu ezincinci. Injongo yethu kukuxhobisa izigulana zethu ekugqibeleni ukuba zigcine eyona ndlela isempilweni yokuphila.


Ukuthintela kunye nokuNyanga i-Plantar Fasciitis ngezolulo ezahlukeneyo

Ukuthintela kunye nokuNyanga i-Plantar Fasciitis ngezolulo ezahlukeneyo

Ngaba izolulo ezahlukeneyo zinokunceda abantu abane-plantar fasciitis ukunciphisa intlungu yonyawo kunye nokubuyisela ukusebenza kwe-gait?

intshayelelo

Njengabantu, sihlala sihamba, kwaye iinyawo zethu zezona zithatha umngcipheko emva kosuku olude. Iinyawo zinemisipha eyahlukeneyo, i-ligaments, i-tendon, kunye nezicubu ezithambileyo ezinceda ukukhusela amalungu kunye nokubonelela ukuzinza. Iinyawo ziyinxalenye yeendawo ezisezantsi ezincedisa ukuhamba kunye namandla omzimba ophezulu. Xa abantu abaninzi behlala bemi ngeenyawo, izihlunu kunye neeligaments zisebenza kakhulu kwaye zinokukhula zibe yimiba efana neentlungu. Amaxesha amaninzi iba kukuqaqanjelwa sisihlunu neentlungu; nangona kunjalo, xa ukunyakaza okuphindaphindiweyo kuqala kubangela iingxaki ezininzi ezinyaweni, kunokukhokelela kwiinyembezi ezincinci kwi-fascia yonyawo. Oku, kwakhona, kunokukhokelela ekuphuhlisweni kwe-plantar fasciitis, echaphazela amandla omntu wokuhamba. Inqaku lanamhlanje lijonga indlela i-fasciitis ye-plantar echaphazela ngayo ukusebenza kwe-gait kunye nendlela ezahlukeneyo ezolula ezinokunceda ngayo ukunciphisa i-fasciitis ye-plantar. Sixoxa nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya i-plantar fasciitis kunye ne-comorbidities ehambelana nayo. Sikwazisa kwaye sikhokela izigulana kwiindlela ezahlukeneyo ze-plantar fasciitis kwaye sibuze ababoneleli bezonyango abanxulumene nabo imibuzo entsonkothileyo ukudibanisa isicwangciso sonyango esilungiselelwe ukubandakanya ukunwebeka okuninzi ukunciphisa iimpawu ezinjengeentlungu ezihambelana nayo. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli.

 

I-Plantar Fasciitis ichaphazela njani ukusebenza kweGait

Ngaba uziva ngathi uhamba egoso ukusuka kwenye indawo ukuya kwenye? Ngaba uziva intlungu ehlabayo xa uthatha amanyathelo akho okuqala? Okanye ngaba uziva iintlungu eziqhubekayo ezinyaweni zakho ngelixa uphumle? Njengoko bekutshiwo ngaphambili, abantu abaninzi bahlala bemi ngeenyawo kwaye bajongana neentlungu ezinokuthi zichaphazele umgangatho wobomi babo. Ekubeni iinyawo ziyingxenye yesigxina somzimba ophantsi, umntu ofumana intlungu eninzi kwizithende zabo unokukhokelela kwimeko engapheliyo ye-musculoskeletal eyaziwa ngokuba yi-plantar fasciitis. I-fascia ye-plantar idlala indima enkulu kumzimba womntu njengoko inceda nge-biomechanics eqhelekileyo yonyawo, ixhasa i-arch, kwaye ibonelele ukufunxa ukothuka xa umntu enyathela. (Buchanan et al., 2024) Xa umntu esenza ukunyakaza okuphindaphindiweyo ezinyaweni zabo, kunokukhokelela ekuphuhlisweni kwe-plantar fasciitis. I-Plantar fasciitis sisifo esiqhelekileyo se-musculoskelet esibangela utshintsho olungapheliyo kwi-fascia plantar. Esi sifo se-musculoskelet sikwadibaniswa nezinto zemishini ezifana nokuphindaphinda uxinzelelo kunye nokuthwala ubunzima obunokukhokelela kwii-microtears kwi-muscle fibers. (Tseng et al., 2023) Loo ngongoma ibangela ukuba abantu abaninzi babe neengxaki zokuhamba kunye nezinye izifo.

 

 

Eminye imingcipheko enxulumene ne-plantar fasciitis iyancipha i-ROM kwi-plantarflexion kunye nokwanda komthwalo onzima, onokubangela ukuba abantu abaninzi babe nemiba yokuhamba xa behamba. (Hamstra-Wright et al., 2021) Ekubeni abantu abaninzi baxhomekeke ekuhambeni kwaye bafumana intlungu kwi-fasciitis plantar, kungekhona nje umsebenzi wabo we-gait ochaphazelekayo, kodwa Izihlunu ezijikelezileyo emilenzeni nazo ziyachaphazeleka. Iimpawu zentlungu ezifana nobuthakathaka bemisipha yangaphakathi, ukunciphisa amandla emisipha emilenzeni kunye ne-dorsiflexion, ukungafani kobude bomlenze, kunye nokukhubazeka kwe-arch kunokunyusa amathuba okuba i-plantar fasciitis ikhule. (Khammas et al., 2023) Oku kunokubangela ukuba abantu abaninzi babe ne-gait dysfunction kuba iintlungu azinyamezeleki. Ukongezelela, xa abantu bejongana ne-plantar fasciitis, batshintsha ubunzima babo kwelinye icala lemizimba yabo ukuze banciphise intlungu kwaye bavumele imisipha yabo yesibini ukuba ithathe umthwalo ongeyomfuneko. Ngethamsanqa, kukho iindlela zokunciphisa iintlungu ezinjengeentlungu ze-plantar fasciitis kunye nokunceda ukubuyisela umsebenzi wokuhamba komntu.

 


Yintoni i-Plantar Fasciitis?-Ividiyo


Ukolulwa okusebenzayo ukuthomalalisa i-Plantar Fasciitis

 

Xa kufikwa ekunciphiseni i-plantar fasciitis, abantu abaninzi bafuna unyango olwahlukeneyo ukunciphisa iimpawu ezinjengeentlungu ezibangela ukungasebenzi kakuhle kwe-gait. Abantu abaninzi bafuna unyango olungangoqhaqho kunye nonyango lokufumana isisombululo esifanelekileyo se-plantar fasciitis. Ngokuxhomekeke kubunzima beentlungu ezichaphazela iinyawo zabo, eyona njongo iphambili kukunciphisa umthwalo ocinezelayo wezicubu kunye nokubonelela ngesicwangciso sonyango lomntu siqu sokufundisa kunye nokunyanga i-plantar fasciitis. (Morrissey et al., 2021) Enye yezona ndlela zokunciphisa intlungu kwi-fasciitis ye-plantar kukubandakanya iintlobo ezahlukeneyo. Izahlulo ezahlukeneyo ze-plantar fasciitis zinokusebenza njengoko zinokunceda ukuthomalalisa iintlungu kunye nokuphucula amandla emisipha kwimisipha yangaphandle kunye neyonyawo lwangaphakathi. (Boonchum et al., 2020) Ngezantsi kukho ukunweba apho abantu abaninzi abajongene ne-plantar fasciitis bangayenza ekhaya ukuze banciphise intlungu.

 

Itawuli Yolula

Olu lulula olulula lufanelekile kusasa, ngakumbi ngaphambi kokuba uthathe amanyathelo akho okuqala.

Indlela yokwenza ngayo:

  • Hlala ecaleni kwebhedi kunye nemilenze yakho ngqo phambi kwakho.
  • Jika itawuli ujikeleze ibhola yeenyawo kwaye ubambe isiphelo ngasinye ngezandla zakho.
  • Tsala itawuli ijonge kuwe ngelixa uzama ukugcina amadolo athe nkqo ude uzive usolulekile emazantsi onyawo lwakho kunye nethole.
  • Bamba indawo ye-15 ukuya kwi-30 imizuzwana.
  • Phinda amaxesha angama-2-3 ngonyawo ngalunye.

 

Ithole Lizolula

Izihlunu eziqinileyo zethole zingenza ukuba i-plantar fasciitis ibe nzima. Ukolula amathole akho kunokunciphisa uxinzelelo kwi-fascia yakho ye-plantar.

Indlela yokwenza ngayo:

  • Yima kufuphi nodonga unyawo olunye umva kunye nolunye unyawo phambi kwakho.
  • Gcina isithende sakho singasemva emhlabeni kwaye ugobe idolo lakho langaphambili de uve ukolula kwisihlunu sethole somlenze wangasemva.
  • Bamba malunga nemizuzwana engama-30 kwaye utshintshe.
  • Phinda amaxesha angama-2-3 ngomlenze ngamnye.

 

Plantar Fascia Yolula

Ukwelula ngokuthe ngqo i-fascia plantar kunokunceda ukunciphisa intlungu kunye nokuphucula umsebenzi weenyawo.

Indlela yokwenza ngayo:

  • Hlala kunye nonyawo lwakho oluchaphazelekayo kwaye ulubeke ngaphaya kwelinye icala.
  • Sebenzisa isandla sakho ukutsala iinzwane zakho ngasemva ukuya kwi-shin de uzive ukolula ecaleni kwe-arch yonyawo lwakho.
  • Bamba ukolula ubuncinci imizuzwana eyi-15 kwaye uphinde ukolula kathathu.

 

Achilles Tendon Yolula

Olu luhlu lunceda zombini izihlunu zethole kunye ne-plantar fascia.

Indlela yokwenza ngayo:

  • Yima ngonyawo lwakho oluchaphazelekayo emva kwakho.
  • Gcina isithende sakho phantsi kwaye ugobe idolo lakho kancinci.
  • Bamba indawo ye-15-20 imizuzwana, uze uphumule.
  • Phinda amaxesha angama-2-3 ngomlenze ngamnye.

 

Ukuthatha iMarble

Ukomeleza imisipha ejikeleze unyawo lwakho kunokuxhasa inkqubo yokuphilisa.

Indlela yokwenza ngayo:

  • Hlala kwisitulo
  • Emva koko, pintambo yeebhastile ezingama-20 kunye nesitya phantsi phambi kweenyawo zakho.
  • Sebenzisa iinzwane zakho ukuchola ibhastile elinye kwaye ulibeke esityeni esinye ngexesha.
  • Phindaphinda ude ube nawo onke amabhastile esityeni.

 


Ucaphulo

Boonchum, H., Bovonsunthonchai, S., Sinsurin, K., & Kunanusornchai, W. (2020). Umphumo womsebenzi wokwelula owenziwe ekhaya kwi-multi-segmental foot motion kunye neziphumo zeklinikhi kwizigulane ezine-plantar fasciitis. J Musculoskelet Neuronal Interact, 20(3), 411-420. www.ncbi.nlm.nih.gov/pubmed/32877978

www.ncbi.nlm.nih.gov/pmc/articles/PMC7493445/pdf/JMNI-20-411.pdf

Buchanan, BK, Sina, RE, & Kushner, D. (2024). I-Plantar Fasciitis. Kwi StatPearls. www.ncbi.nlm.nih.gov/pubmed/28613727

Hamstra-Wright, KL, Huxel Bliven, KC, Bay, RC, & Aydemir, B. (2021). Imiba yoMngcipheko we-Plantar Fasciitis kubantu abaSebenza ngoMzimba: Ukuphononongwa okuCwangcisiweyo kunye nohlalutyo lweMeta. Impilo yezemidlalo, 13(3), 296-303. doi.org/10.1177/1941738120970976

Khammas, ASA, Mahmud, R., Hassan, HA, Ibrahim, I., & Mohammed, SS (2023). Uvavanyo lwe-plantar fascia kunye neziphumo ze-ultrasound kwizigulane ezine-plantar fasciitis: ukuphononongwa ngokuchanekileyo. J Ultrasound, 26(1), 13-38. doi.org/10.1007/s40477-022-00712-0

Morrissey, D., Cotchett, M., Wathi J'Bari, A., Ngaphambili, T., Griffiths, IB, Rathleff, MS, Gulle, H., Vicenzino, B., & Barton, CJ (2021). Ulawulo lweentlungu zesithende sesityalo: isikhokelo esihle kakhulu esichazwe ngokuphononongwa okucwangcisiweyo, ingcali yokuqiqa kwezonyango kunye nemilinganiselo yesigulane. Br J Midlalo yeMed, 55(19), 1106-1118. doi.org/10.1136/bjsports-2019-101970

Tseng, WC, Chen, YC, Lee, TM, & Chen, WS (2023). I-Plantar Fasciitis: Uphononongo oluhlaziyiweyo. J Med Ultrasound, 31(4), 268-274. doi.org/10.4103/jmu.jmu_2_23

isikhanyeli

Ukulawula i-TMJ kunye neMizilo eJolisiwe yokuZolula

Ukulawula i-TMJ kunye neMizilo eJolisiwe yokuZolula

Ngaba izahlulo ezahlukeneyo zinokubonelela ngeziphumo eziluncedo kubantu abafumana iintlungu zeTMJ ngokubonelela ngesiqabu emhlathini?

intshayelelo

Abantu abaninzi basebenzisa imihlathi ukuze banxibelelane, batye ukutya okumnandi, baze baveze iimvakalelo zabo. Umhlathi uyingxenye yemigangatho ephezulu njengoko inemisipha emihlanu evumela ukuba isebenze xa umlomo uvula okanye uvala, ukuhlafuna, kunye nokuhamba ukusuka kwelinye icala ukuya kwelinye. Xa iimoto eziqhelekileyo zisebenza njengokuzamla, ukuhlafuna, okanye ukuthetha kuvelisa iipopu ezikhwazayo okanye ucofa, kunokuba buhlungu kakhulu kwaye kaninzi kukhokelela kwi-temporomandibular joint dysfunction okanye i-TMJ. I-TMJ yingxaki edibeneyo enokuthi ichaphazele amandla omntu okusebenzisa imihlathi ngokufanelekileyo kwaye inokubangela ukuphazamiseka kwe-visceral-somatic enokuthi ichaphazele imilenze ephezulu, ibangele ukuba bahlupheke. Ngethamsanqa, abantu abaninzi banokubandakanya iindlela ezahlukeneyo zokunciphisa impembelelo ye-TMJ kwaye bancede ukukhulula imisipha eqinile ejikeleze umhlathi. Inqaku lanamhlanje lijonga imiphumo ye-TMJ, indlela iindlela ezahlukeneyo zokunciphisa i-TMJ, kunye nendlela unyango olongezelelweyo olungasebenzisi utyando olunokuyiphelisa ngayo intlungu ye-TMJ. Sixoxa nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya imiba efana neentlungu ezinxulumene ne-TMJ. Siyazisa kwaye sikhokela izigulane kwiindlela ezahlukeneyo ze-TMJ kwaye sibuze ababoneleli bezonyango abanxulumene nabo imibuzo enzima ukudibanisa isicwangciso sonyango esilungiselelwe ukunciphisa imiba efana nentlungu echaphazela imihlathi yabo. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli.

 

Iziphumo zeTMJ

Ngaba uziva uqina emhlathini wakho emva kokubamba ixesha elide? Ngaba uyeva ukucofa okugqithisileyo xa uvula okanye uvala imihlathi yakho? Okanye ngaba ucinga ukuba umhlathi wakho uhlala uvaliwe, nto leyo eyenza kube nzima ukuvula okanye ukuvala umlomo wakho? Xa abantu abaninzi beqala ukuva iintlungu emihlathini ngokugqithisileyo, abaninzi bahlala becinga ukuba inokuba ziintlungu zamazinyo, kodwa eneneni, lilungu le-temporomandibular elibangela imiba. I-Temporomandibular joint disorder, okanye i-TMJ, inokuphuhliswa ngezizathu ezahlukahlukeneyo ezinokuchaphazela umhlathi womntu kwaye zingakhokelela kwiintlungu kunye nokungahambi kakuhle. Imiba yomatshini efana nokulimala kwemihlathi, isifo samathambo, ukuqhina kwamazinyo, kunye nokusila kunokubangela ukulayisha ngokugqithisileyo okanye okungalungelelananga ngokudibeneyo emhlathini, okunokuqhubela phambili uphuhliso lwe-TMJ. (Cardoneanu et al., 2022) Xa usebenzisana ne-TMJ, intlungu ingakhokelela kwiimpawu zobubele malunga nommandla odibeneyo womhlathi, ubunzima bokuhlafuna, intlungu yendlebe, kunye nokuqina.

 

 

Ngexesha elifanayo, iimpembelelo zentlungu ye-TMJ zihlala zibonakaliswa ngokungahambi kakuhle kwendawo, njengoko i-TMJ i-multifactorial musculoskeletal and neuromuscular disorder enokuba nzima ukuyifumanisa. (UAlolayan et al., 2022) Oku kungenxa yokuba bangaphi abantu abahlafuna ukutya kwabo kwelinye icala, nto leyo enokukhokelela ekukhuleni kwako. Xa izihlunu ze-masseter zomhlathi ziqala ukugqithiswa kwi-TMJ, inokuqalisa ukulungiswa kwakhona kwicala elingasebenziyo lomhlathi kwaye ibangele ukuba intlungu iphumelele ngokuhamba kwesikhathi. (Santana-Mora et al., 2013) Nangona kunjalo, xa ujongene nentlungu ye-TMJ, abantu abaninzi banokufuna iindlela ezahlukeneyo zonyango ezinokunciphisa ukukhubazeka kwemisipha kunye nokukhutshwa kwe-disc emhlathini kunye nokunceda ukuphucula uluhlu lwe-mandibular ye-motion. (UBrighenti et al., ngo-2023

 


INzululwazi yeVidiyo eshukumayo


Kutheni Ukolula Kunceda Nge-TMJ

 

Xa kufikwa ekunciphiseni iintlungu ze-TMJ, abantu abaninzi banokufuna unyango olungasebenzisi utyando ukunciphisa iimpawu zentlungu ezigqithileyo kunye nokubuyisela ukusebenza kwemihlathi. Ezinye zeenjongo eziphambili ezinokuthi iingcali ezininzi zeentlungu zithathelwe ingqalelo xa zijongene nentlungu ye-TMJ zinciphisa intlungu ye-reflex masticatory muscle kunye nokunceda ukwandisa umsebenzi we-TMJ ngokusebenzisa unyango oluhlukeneyo olunokuba nefuthe elihle emhlathini. (UFerrillo et al., ngo-2022) Olunye unyango olungelulo utyando lubandakanya ukolula okuninzi ukunceda ukukhulula izihlunu ezijikelezileyo kunye nomhlathi kunye nokunciphisa uxinzelelo kunye nokungahambi kakuhle okuhambelana ne-TMJ. 

 

Ukolulwa okusebenzayo koNcedo lweTMJ

Ukolula kunokuba yinxalenye yesicwangciso sonyango lomntu siqu sokunciphisa intlungu ye-TMJ kunye ne-comorbidities ezinxulumene nayo. Ukolula kunye nokuqinisa ukuzivocavoca kunokuchaphazela kakuhle intlungu ngelixa uphucula uluhlu lwentshukumo ye-TMJ kunye nokunceda abantu abaninzi babuyisele umsebenzi wabo womhlathi (Byra et al., 2020). Ngezantsi ezinye zezolula ezinokukunceda ukunciphisa intlungu ye-TMJ kwaye ukhulule imisipha yomhlathi. 

 

Ukuzilolonga kwemihlathi ekhululekile

  • Indlela yokwenza: Beka ulwimi ngobunono eluphahleni lomlomo emva kwamazinyo angaphezulu angaphambili. Oku kuvumela amazinyo ukuba ahlukane ngelixa ukhulula izihlunu zemihlathi.
  • benefits: Lo mthambo unceda ukukhulula umhlathi kunye nokunciphisa ukuxinezeleka kwemisipha.

 

Inxalenye yeGoldfish Yokuzilolonga

  • Indlela yokwenza: Beka ulwimi ngobunono eluphahleni lomlomo kunye nomnwe omnye phambi kwendlebe apho i-TMJ ikhona. Beka umnwe wakho ophakathi esilevini sakho. Beka umhlathi wakho ongezantsi phakathi kwaye uvale. Yenza lo msebenzi izihlandlo ezithandathu kwiseti enye.
  • benefits: Olu luhlu lunceda ukujolisa kwimihlathi yokunyakaza kunye nokunciphisa ukuqina kwamalungu.

 

Imithambo yeGoldfish epheleleyo

  • Indlela yokwenza: Kufana nokuvula ngokuyinxenye, kodwa vula umlomo wakho ngokupheleleyo ngeli xesha.
  • benefits: Olu luhlu lunceda ukunyusa uluhlu olupheleleyo lokunyakaza kunye nokunciphisa ukuqina kwamalungu.

 

I-Chin Tucks

  • Indlela yokwenza: Ukuhlala nkqo esitulweni, utsala isilevu sakho ngasemva, usenza "i-chin ephindwe kabini." Bamba imizuzwana emithathu, uze ukhulule.
  • benefits: Lo msebenzi unceda ukuqinisa imisipha yentamo, ukuphucula ukuma, kunye nokunciphisa ubunzima emhlathini.

 

Iingcebiso ezongezelelweyo zokunciphisa i-TMJ

Ngoku kunye nolu luhlu, iingcebiso ezongezelelweyo zokulawula kunye nokunciphisa i-TMJ ngokuphepha ukunyakaza okugqithisileyo kwemihlathi kunye nokusebenzisa iipakethi ezishushu / ezibandayo ukunciphisa nakuphi na ukudumba okushiyekileyo okuhambelana ne-TMJ. Xa abantu abane-TMJ beqala ukubandakanya unyango olungasebenzisi utyando kunye nokwelula ukuthomalalisa iintlungu, kunokunceda ukwandisa uluhlu lwe-mandibular olusebenzayo kunye nokubonelela ngesiqabu esiluncedo. (Urbanski et al., 2021) Oku, kwakhona, kuvumela abantu abaninzi abaneentlungu ze-TMJ ukuba bacinge ngakumbi ngomzimba kwaye benze utshintsho oluncinci kwimpilo yabo kunye nokuphila kakuhle.

 


Ucaphulo

Alolayan, A., Alsayed, SS, Salamah, RM, Ali, KM, Alsousi, M., & Elsayed, S. (2022). I-Temporomandibular joint (TMJ) ukuphazamiseka kokuxhaphaka kunye nokwazisa ngezenzo ezifanelekileyo zonyango, phakathi koluntu lwase-Al-Madinah eSaudi Arabia. F1000Res, 11, 395. doi.org/10.12688/f1000research.104272.2

Brighenti, N., Battaglino, A., Sinatti, P., Abuin-Porras, V., Sanchez Romero, EA, Pedersini, P., & Villafane, JH (2023). Iimpembelelo zeNdlela yeNtsebenziswano phakathi kweCandelo loLawulo lwe-Temporomandibular Disorders: uPhononongo lwe-Scoping. Int J Environ Res Impilo yoLuntu, 20(4). doi.org/10.3390/ijerph20042777

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

Cardoneanu, A., Macovei, LA, Burlui, AM, Mihai, IR, Bratoiu, I., Rezus, II, Richter, P., Tamba, BI, & Rezus, E. (2022). I-Temporomandibular Joint Osteoarthritis: Iindlela ze-Pathogenic ezibandakanya i-Cartilage kunye ne-Subchondral Bone, kunye neZicwangciso eziNgcono zonyango zokuHlaziya ngokuHlanganyela. Int J Mol Sci, 24(1). doi.org/10.3390/ijms24010171

Ferrillo, M., Giudice, A., Marotta, N., Fortunato, F., Di Venere, D., Ammendolia, A., Fiore, P., & de Sire, A. (2022). Ulawulo lweentlungu kunye noBuyiselo kwi-Central Sensitization kwi-Temporomandibular Disorders: Ukuphononongwa okuBanzi. Int J Mol Sci, 23(20). doi.org/10.3390/ijms232012164

I-Santana-Mora, U., Lopez-Cedrun, J., Mora, MJ, Otero, XL, & Santana-Penin, U. (2013). Iziphazamiso zeTemporomandibular: Isiqhelo sokuhlafuna side syndrome. I-PLOS ONE, 8(4), e59980. doi.org/10.1371/journal.pone.0059980

Urbanski, P., Trybulec, B., & Pihut, M. (2021). Ukusetyenziswa koBuchule boBuchule kwi-Masticatory Muscle Relaxation njenge-Adjunctive Therapy kuNyango lwe-Temporomandibular Joint Disorders. Int J Environ Res Impilo yoLuntu, 18(24). doi.org/10.3390/ijerph182412970

isikhanyeli

Ukuqonda ukukhuthazwa kwemisipha yoMbane: Isikhokelo

Ukuqonda ukukhuthazwa kwemisipha yoMbane: Isikhokelo

Ngaba ukubandakanya ukuvuselela imisipha yombane kunceda ukulawula intlungu, ukuqinisa imisipha, ukwandisa umsebenzi womzimba, ukubuyisela ukunyakaza okulahlekileyo, kunye / okanye ukulawula ukuvuvukala kubantu abafumana intamo kunye neentlungu zangasemva?

Ukuqonda ukukhuthazwa kwemisipha yoMbane: Isikhokelo

Ugqirha obhinqileyo obeka izixhobo zonyango lwe-myostimulation kumqolo wesigulana

Ukukhuthazwa kwezihlunu zoMbane

Ukuvuselela izihlunu zombane okanye i-E-stim lunyango lomzimba olusetyenziselwa ukuvuselela amandla emisipha ukuba asebenze. I-E-stim isebenzisa izixhobo ezihambisa iimpembelelo zombane ngesikhumba ukujolisa kwimithambo-luvo kunye/okanye nezihlunu. Iifom eziqhelekileyo zibandakanya

  • I-Transcutaneous electric nerve stimulation, okanye i-TENS, yinto eyaziwayo kakhulu yokuvuselela umbane enika izixhobo ezinokusetyenziswa ekhaya okanye ekuhambeni.
  • Ukuvuselela imisipha yombane okanye i-EMS.
  • Kunyango lomzimba, i-E-stim ivuselela izihlunu ukuba zivumelane, ziqinise kwaye zikhuthaze ukujikeleza kwegazi.
  • Ukujikeleza kwegazi kunokuchaphazela ngokuthe ngqo imeko yezicubu zomzimba.
  • Ukukhuthazwa kwemisipha yombane kukwasetyenziselwa ukulimala kwentambo yomgogodla kunye nezinye iimeko ze-neuromuscular. (Ho, CH et al., 2014)

I-E-stim

Ngethuba lokunyanga, i-electrodes ifakwe kumatshini wokuvuselela umbane kwaye ibekwe entanyeni echaphazelekayo okanye kwindawo yangasemva.

  • I-electrodes iya kufakwa esikhumbeni ngenxa yokulimala kwentamo okanye umva.
  • Ukubekwa kwee-electrodes kuxhomekeke kwisizathu sonyango kunye nobunzulu okanye ubunzulu bokuvuselela umbane.
  • Ii-electrodes zihlala zibekwe kufuphi nendawo ye-motor ye-muscle ukuze kuqinisekiswe ukucutha okuchanekileyo.
  • Umgqirha uya kulungelelanisa ukulawulwa komatshini wokuvuselela ukufezekisa ukunyanzeliswa kwemisipha ngokucokisekileyo kunye nokuphazamiseka okuncinci.
  • Ukuvuselela kunokuhlala kwi-5 - imizuzu ye-15, kuxhomekeke kwisicwangciso sonyango kunye nobukhulu bokulimala.

Uzinziso oludityanisiweyo loMnqonqo

Ukusebenza kwemisipha kunokunceda ukwandisa ukuzinza komgogodla, ukuphucula iingxaki zokungazinzi komgogodla. (Ho, CH et al., 2014) Ukukhuthazwa kwemisipha yombane kucatshangelwa ukuba kuphuculwe inkqubo yokuzivocavoca i-therapist ichaza ukunceda ukugcina ukuzinza ngokubambisana. Ukuvuselela umbane kunokunceda ukwakha amandla emisipha kunye nokunyamezela. (Veldman, MP et al., 2016) Ukunyamezela kwemisipha kukuphindaphinda i-muscle enokuthi ivume ngaphambi kokuba idinwe.

UkuPhilisa kunye noLawulo lweeNtlungu

Unyango lokuvuselela imisipha yombane lunokuphucula ukuphulukiswa kwezicubu kunye nokunceda ukulawula ukuvuvukala ngokunciphisa ukuvuvukala kunye nokwandisa ukujikeleza. Inokunciphisa ukuvakalelwa kweentlungu ngokuthintela ukuhanjiswa kwe-nerve kwintambo yomgogodla. (Johnson, MI et al., 2019) Uchwepheshe wezempilo unokucebisa i-TENS okanye iyunithi yokuvuselela umbane ekhaya ukulawula iimpawu. (Johnson, MI et al., 2019)

impatho

Iindlela zonyango ezidibeneyo ezilungiselelwe umva okanye intlungu yentamo yomntu zifunyenwe zibonelela ngeziphumo ezilungileyo. Ukuzivocavoca, i-yoga, unyango lwexesha elifutshane lokuziphatha, i-biofeedback, ukuphumla okuqhubekayo, i-massage, unyango lwezandla, kunye i-acupuncture zinconywa ngentamo okanye intlungu emva. (Chou, R. et al., 2018) Ukuthatha amayeza achasene nokudumba okungeyo-steroidal nako kunokunceda. Ukukhuthazwa kwemisipha yombane kunokuba yintamo esebenzayo okanye unyango lwangasemva.

Abantu abangaqinisekanga ukuba bayayidinga okanye baya kuxhamla kumbane kufuneka baxoxe ngeempawu kunye neemeko kunye nogqirha oyintloko, umboneleli wezempilo, okanye ingcali ukuba ibakhokele kwicala elifanelekileyo kwaye imisele unyango olulungileyo. I-Chiropractic yezoNyango zeChiropractic kunye ne-Functional Medicine Clinic igxile kwinto esebenzela isigulane kwaye izama ukuphucula umzimba ngokusebenzisa iindlela zophando kunye neenkqubo zempilo epheleleyo. Ukusebenzisa indlela edibeneyo, siphatha ukulimala kunye ne-syndromes yeentlungu ezingapheliyo ngokusebenzisa izicwangciso zokunyamekela zomntu eziphucula amandla ngokuguquguquka, ukuhamba, kunye neenkqubo zobuchule ezenzelwe umntu ukuba anciphise intlungu. Ukuba olunye unyango luyadingeka, uDkt Jimenez uye wadibanisa kunye noogqirha abaphezulu, iingcali zeklinikhi, abaphandi bezonyango, kunye nababoneleli be-premier rehabilitation ukubonelela ngonyango olusebenzayo.


Intlungu yeThoracic Spine


Ucaphulo

Ho, CH, Triolo, RJ, Elias, AL, Kilgore, KL, DiMarco, AF, Bogie, K., Vette, AH, Audu, ML, Kobetic, R., Chang, SR, Chan, KM, Dukelow, S. , Bourbeau, DJ, Brose, SW, Gustafson, KJ, Kiss, ZH, & Mushahwar, VK (2014). Ukuvuselela umbane osebenzayo kunye nokulimala komgogodla. Iyeza lomzimba kunye neeklinikhi zokuvuselela kwiNyakatho Melika, i-25 (3), i-631-ix. doi.org/10.1016/j.pmr.2014.05.001

Veldman, MP, Gondin, J., Indawo, N., & Maffiuletti, NA (2016). Iziphumo ze-Neuromuscular Electrical Stimulation Training kwi-Endurance Performance. Imida kwiPhysiology, 7, 544. doi.org/10.3389/fphys.2016.00544

UJohnson, MI, Jones, G., Paley, CA, & Wittkopf, PG (2019). Ukusebenza kweklinikhi ye-transcutaneous electrical nerve stimulation (TENS) yentlungu ebuhlungu kunye nengapheliyo: iprotocol ye-meta-analysis yezilingo ezilawulwa ngokungahleliwe (RCTs). BMJ vula, 9(10), e029999. doi.org/10.1136/bmjopen-2019-029999

Chou, R., Côté, P., Randhawa, K., Torres, P., Yu, H., Nordin, M., Hurwitz, EL, Haldeman, S., & Cedraschi, C. (2018). I-Global Spine Care Initiative: ukusebenzisa izikhokelo ezisekelwe kubungqina ekulawuleni okungahambiyo kweentlungu zentlungu kunye nentamo kuluntu oluphantsi kunye nephakathi. Iphephancwadi laseYurophu lomqolo : ukupapashwa ngokusemthethweni kwe-European Spine Society, i-European Spinal Deformity Society, kunye neCandelo laseYurophu leCervical Spine Research Society, i-27 (Suppl 6), i-851-860. doi.org/10.1007/s00586-017-5433-8

Amaqhinga okuQophela ukukhubazeka kwiKliniki yeChiropractic

Amaqhinga okuQophela ukukhubazeka kwiKliniki yeChiropractic

Ngaba abaqeqeshi bezempilo kwiklinikhi ye-chiropractic babonelela njani ngendlela yeklinikhi yokuqaphela ukukhubazeka kwabantu abaneentlungu?

intshayelelo

 

Naliphi na inqaku olifundayo malunga nokusetyenziswa kakubi kweziyobisi phakathi kwabongikazi ngokuqinisekileyo liya kuphinda amabango enziwe yi-American Nurses Association, ethi, ngokuhambelana noluntu ngokubanzi, i-10% yabongikazi, okanye omnye kwabalishumi okanye malunga nama-300,000 abongikazi ababhalisiweyo eUnited States. States, zixhomekeke kwiziyobisi zohlobo oluthile. Ukonakala kwalo naluphi na uhlobo emsebenzini, ngakumbi ukuba lusuka kusetyenziso gwenxa lweziyobisi okanye kusetyenziso, lunokuba neziphumo ezibi kumongikazi nakumsebenzi wokonga ngenxa yezizathu ezininzi. Ukuchaneka, ukuchaneka, amandla okucinga nzulu, kunye noqwalaselo kubalulekile kumsebenzi wokonga. Ngenxa yokuba iimpazamo okanye iingozi zinokuthi zenzeke, nakuphi na ukungakwazi ukuhambisa ezi zakhono kubeka izigulane, abantu osebenza nabo kunye nomongikazi emngciphekweni. Ukongezelela, abantu bajonga abongikazi njengabathembekileyo, abathembekileyo nabanyanisekileyo. Ukonakala kunokuyonakalisa loo mbono, ngakumbi ukuba iziswa butywala okanye iziyobisi. Kula macandelo alandelayo, siza kuphonononga ukonakaliswa, izizathu zako, kunye nezibophelelo zakho ezisesikweni nezomthetho ukuba ukholelwa ukuba umntu osebenza naye wonakele. Inqaku lanamhlanje lijolise kwindlela yeklinikhi yokuqaphela ukukhubazeka kwimeko yeklinikhi. Sixoxa nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya imiba efana neentlungu ezijongene nazo. Siyazisa kwaye sikhokela izigulana kunyango olwahlukeneyo kwaye sibuze imibuzo entsonkothileyo kwabo banxulumene nabo ababoneleli bezonyango ukudibanisa isicwangciso sonyango esilungiselelweyo. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli.

 

Inkcazo yokonakala

Inkcazo esisiseko yokwenzakala ithi “Imeko yokuncipha, ukuba buthathaka okanye yokwenzakala, ngakumbi ngokwasengqondweni okanye ngokwasemzimbeni” (“Ukonakala,” nd”) Uya kubona ukuba le yinkcazelo nje yobume kwaye akukho sizathu sinikiweyo. Esi sisiphumo sobuninzi bezizathu ezinokwenzeka. Ngelixa ezinye izizathu zinokuba lula ukubonisa ubungqina, ezinye zisenokungabi njalo. Ngenxa yoko, kubalulekile ukuchonga nokuqwalasela umxholo kunye nonobangela, ukuba uyaziwa, ngelixa uthetha ngomonakalo. Uluntu olukhubazekileyo olusingqongileyo njengabongikazi lu: Bazizigulana zethu. Bakwimeko encitshisiweyo, ebuthathaka, okanye eyonakeleyo, nangona inokuba sengozini ngenxa yesifo okanye ukwenzakala. Ngokufanayo, usengozini yokugula ukuba uye wasebenza iishifti enomkhuhlane ombi. Iimpawu zokuziva ucotha, ukucinga ngokuphazamiseka, kunye ukuphonononga umsebenzi wakho rhoqo yimizekelo yothintelo kwimeko yeklinikhi.

 

Isifo okanye ukwenzakala kunokuba neziphumo ezahlukeneyo kwaye kuchaphazele indlela owenza kakuhle ngayo umsebenzi wakho ukuya kumaqondo ahlukeneyo, kodwa njengoko iqondo lokukhubazeka lisanda, liya kuba njalo nethuba lokuba wenze impazamo. Ukhuseleko lwakho nobabini kunye nabo bakungqongileyo, kubandakanywa izigulana zakho kunye nabantu osebenza nabo, lunxulunyaniswa nenqanaba lokwenzakala kwakho. Wena, izigulana zakho, kunye nabantu osebenza nabo anikhuselekanga kangako njengoko ukusebenza kwenu kuchaphazeleka kakubi. Nangona abongikazi besazi ukuba izigulana zisesichengeni ngenxa yokuba zisengozini ngandlel’ ithile. Siyazi kwakhona ukuba izithintelo zinokukwenza ukuba wenze iimpazamo. Ungumntu onoxanduva kwaye awunakuze usebenze ukuba ukukhubazeka kwakho bekuqatha ngokwaneleyo ukubeka izigulana zakho emngciphekweni. Noko ke, kuthekani ukuba umntu osebenza naye unesiphene? Okubi nangakumbi, kuthekani ukuba ucinga ukuba ngandlel’ ithile wazenza ngokwakhe? Uqhuba njani? Ngaba uyathetha nabo? Ngaba uyamchazela omnye umntu ngayo? Ngaba unethemba lokuba akukho nto imbi yenzekayo kwaye ungayihoyi?

 

Ukugcina ukhuseleko lwesigulane yeyona nto iphambili kubongikazi kuluhlu lwabo lomsebenzi. Luxanduva lwakho ukwazi into omawuyenze kunye nendlela ongayenza ngayo ukuba umntu osebenza naye ubonakala echaphazeleka. Kodwa ukufezekisa oko, kufuneka ukwazi ukubona ukonakala okunokwenzeka kuwe nakwabanye abantu. Iimfuno zolawulo nezifunekayo zokunika ingxelo kufuneka zaziwe kuwe. Kwakhona kufuneka uqaphele iziphumo ezinokubakho kuwe ukuba awenzi nto.

 

Iimbangela zoKuthomalalisa

Unokucinga ukuba sixoxa ngokusetyenziswa kweziyobisi ngeli xesha usivayo okanye ufunda ibinzana elithi ukonakala emsebenzini. Noko ke, kukho abanye oonobangela ngaphandle kokusetyenziswa kakubi kotywala neziyobisi, yaye ukwenza izigqibo eziphosakeleyo ngokufuthi kunokuba nemiphumo engalindelekanga. Akunyanzelekanga ukuba ujonge okanye ufumanise ukuba yintoni ebangela umntu osebenza naye abonakale ekhubazekile. Lowo ngumsebenzi wabanye. Kufuneka uchonge izalathisi zomonakalo kwaye uthathe amanyathelo afanelekileyo. Enye yezinto omawuziqwalasele phambi kokuba uxele umntu osebenza naye ngokukhotyokiswa ziziyobisi kukuba ubona okanye awuboni ukonakala kwenyani. Wonke umntu ukhe abe neemvakalelo zokugula, ukucaphuka, okanye uxinezeleko. Nokuba sisenokungasebenzi njengesiqhelo, akukho nto malunga nokusebenza kwethu ebeka nabani na emngciphekweni, kwaye ayenzeki rhoqo. "Ukuphazamiseka kwinkqubo yokunakekelwa kwempilo kuchazwa njengokungakwazi okanye ukungabikho kokungakwazi ukwenza, okwahlulahlulwe ngamacandelo amabini anokuchaphazela zombini ingcali kunye nesigulane" (Baldisseri, 2007). Le ngxelo iyayichitha imeko yangaphambili apho unokuhamba kancinane kunesiqhelo ngenxa yengqele eqhaqhazelisa amazinyo.

 


Impembelelo yoNyango oluSebenzayo ngaphandle kwaMajoyinti-Ividiyo


Umahluko phakathi koKuthomalalisa kunye nosuku olubi

"Uthintelo luphawulwa kukungakwazi ukwenza imisebenzi yobungcali kunye noxanduva oluhambelana ngokufanelekileyo nemigangatho yokonga." Ukuba nosuku olubi kunokuchaphazela imo yomntu kunye nokuhamba komsebenzi. Ngamanye amaxesha, uluvo olutyhafileyo lokuba umntu akanguye uqobo lukhokelela koku kufunyanwa. Abo basebenza nabo basenokunganeliseki okanye bazive besoyika. Abaphathi banokubona ukunyuka kwenani lezikhalazo ezifakwe kumqeshwa okanye ngoogxa babo ngakuloo mntu. Iipateni zokuziphatha zibonisa imiba ekhoyo kwaye inokukhokelela ekuphuhlisweni kokubangela iimpazamo zonyango. Iimpazamo zonyango kwimibutho yokhathalelo lwempilo zinokudala ingxaki enkulu yempilo enokubeka emngciphekweni ukhuseleko lwesigulana. (Rodziewicz et al., 2024). Phambi kokuphonononga ezi patheni, masithathele ingqalelo ezinye zezizathu ezinokuthi zibekho ngaphandle kokusetyenziswa gwenxa kweziyobisi okanye iziyobisi ezinokuba negalelo ekwehleni kweendlela ezinobungozi kwimisebenzi yobunesi.

 

Iintsilelo zoQeqesho neMfundo

Imisebenzi eyingozi yomntu osebenza naye inokubangelwa kukungaqeqeshwa ngokwaneleyo, ulwazi, okanye ukuqhelaniswa nomsebenzi wangoku. Oku kusebenza ngokukodwa kwabongikazi abasandula ukufumana iimpepha-mvume kunye nabongikazi abatshintshayo ukusuka kwindawo yokuziqhelanisa ukuya kwenye. Abongikazi abakuqeqesho lokuhlaziya banokufuna ukuzithemba ngakumbi kwindlela izinto ebezisenziwa ngayo ngokwesiko okanye kufuneka bafundiswe uhlengahlengiso olucetyiswayo kumgaqo-nkqubo okanye iinkqubo. Uqeqesho oluhlaziyiweyo lusenokudibana nenkcaso okanye utshintsho kwaye lufuna ukuphumelela. Ukuba umongikazi akafuni kuvuma ukuba ulwazi okanye izakhono zabo azifikeleli kwinqanaba, ezi ntsilelo kwimfundo zinokubonakala njengomonakalo. Basenokuthatha ixesha elide kunabanye abongikazi ukwenza imisebenzi, phakathi kwezinye izalathisi. Iintelekelelo ezigwenxa malunga nokuba yeyiphi eyona ndlela ifanelekileyo okanye echanekileyo yokugqiba umsebenzi kunokukhokelela kwiimpazamo kwicala likamongikazi. Kungenjalo, basenokuba novakalelo olugqithisileyo xa begxekwa baze bazame ukuzigcina bezolile ngokugxininisa ukuba banobuchule.

 

Isigulo soMzimba

Sele siwuxoxile umcimbi wokuzama ukusebenza xa unomkhuhlane ombi. Kwabaninzi bethu, amava okuba nesigulo esincinci okanye usulelo olusibambeleyo luyaziwa. Nangona kunjalo, ukwanda kweemeko ezinganyangekiyo kunokukhokelela ekuthotyweni kweentsuku zokusebenza. Njengezinye izifo ezininzi, isifo seswekile, kunye nesifo samathambo sinokubangela ukuba umntu azive engaphantsi kwe-100% yakhe ngeentsuku ezithile. Kubalulekile ukukhumbula ukuba usenokungazi nokuba umntu osebenza naye unazo ezi zigulo. Ngokufuna isihloko esingcono okanye esifanelekileyo sokubeka oku phantsi, qiniseka ukuba umntu oza kumtyhola ngokusebenzisa kakubi iziyobisi akakhulelwanga phambi kokuba uqhubele phambili. Ngokwemvelo, olu luhlu oluyinxenye lwazo zonke iinkcazo ezibonakalayo ezibonakalayo. Sisikhumbuzo sobuhlobo nje ukuba sicinge nethuba lokuba umongikazi ongakwaziyo ukuphilwa ngokwasemzimbeni.

 

Ukwenzakala Emzimbeni

Njengeemeko zonyango, ukonzakala kusenokubangela ubani angakwazi ukwenza umsebenzi wakhe. Nangona kunokwenzeka ukuba kubekho iimpawu ezicacileyo zokwenzakala-ezifana nokuqhwalela okanye enye intshukumo engaqhelekanga, imimandla ebotshiweyo, okanye ukusebenzisa intonga yokuhamba okanye enye i-mechanical aid-oku akusoloko kunjalo. Umntu onomqolo okanye uhlobo oluthile lwemithambo-luvo unokuzama ukufihla ukungakhululeki kunye nemida yabo.

 

Uxinzelelo kunye nokudinwa

Ekubeni kuqhelekile ukuba ezi zizathu zenzeke kunye okanye ukuba enye ibonakale njengophawu lomnye, inokubonwa njengesizathu esihlangeneyo. Zisenokuba ziziphumo zeziganeko ezingaphandle kwendawo yokusebenza, ngaphakathi emsebenzini, okanye zombini. Umntu osandul’ ukuqhawula umtshato okanye umntu ongoyena mntu unyamekela isalamane esigula kakhulu ekhaya yimizekelo emibini. Zombini ezi meko azikho mnandi, kodwa kuthekani ukuba ezi zinto bezingeyonxalenye yeengxaki zemali? Bobabini ukuba nexhala malunga noku kunye nokuzama ukusebenza iishifti ezininzi ngenxa yemiceli mngeni yezoqoqosho kunokwenzakalisa ukukwazi kwabo ukulala. Umntu kwezi meko unokudinwa ngokukhawuleza ngokwasengqondweni nasemzimbeni. Kuxhomekeka kubuntu babo, bekungayi kuvakala nokuba oogxa babo bangabikho zingqondweni kobu bunzima. Kungenjalo, unobangela usenokuba ngokuthe ngqo njengoxinezeleko emsebenzini, okukhokelela ekudinweni nokuncipha kwenkuthazo. Ukudinwa nokunganeliseki emsebenzini, enyanisweni, “kuyinto eqhelekileyo kumsebenzi wokonga” (Van Bogaert et al., 2017)

 

Isigulo sengqondo

Nangona abongikazi bethanda ukuzicingela njengabomelele kwaye bengachatshazelwa ziimeko abanye abanokuthi bazibone njengobuthathaka, inyani yeyokuba sisengozini kwimiba yempilo yengqondo efana nokuxhalaba kunye nokudakumba, kunye nokuphazamiseka kokusetyenziswa kweziyobisi, ngenxa yezizathu ezininzi ezifanayo. . Kwiinkalo ezithile zokonga, sisebenza nezigulana ezisifa ngalo lonke ixesha-mhlawumbi nokufa kweentsana-okanye sibona iziphumo ezihlasimlisayo ngenxa yeziganeko zobundlobongela okanye ngengozi. Iimeko ezifana nezi zinokusebenza njengezandulela kwizigulo ezifana nePost Traumatic Stress Disorder (PTSD). Abongikazi abangobafazi abakhulu okanye amadoda amakhulu—kwakhona, le yimizekelo nje embalwa. Iingcali zezempilo zinokuchaphazeleka ukuba zichaphazela uluntu ngokubanzi.

 

Ukusetyenziswa kweziyobisi

Ukukhotyokiswa ziziyobisi mhlawumbi yeyona nto ingapheliyo kwaye iyonakalisa umntu, indawo, kunye nomsebenzi, nokuba ayiqhelekanga ngakumbi kunezizathu ezichazwe ngaphambili zomonakalo. Ukusetyenziswa kakubi kweziyobisi akunakwenzeka ukuba kuhambe ngokwalo ngokuhamba kwexesha ngaphandle koncedo oluvela kubasebenzi osebenza nabo kunye nabaphathi, ngokungafaniyo neemeko zonyango okanye ukulimala. Oku akuthethi ukuba ungenelelo lwezinye izizathu zomonakalo aluyomfuneko okanye kufuneka luphetshwe. Ukuba awukwenzi xa into efana neentlungu ezisezantsi zingunobangela wokuphazamiseka, unokuphela ukhoboke kwiipilisi zeentlungu kwasekuqaleni. Ibandakanyiwe kwingqokelela phantsi kwesi sifundo ukukhubazeka okuziswa kukusetyenziswa kakubi okanye ukusetyenziswa kakubi kwamayeza amiselweyo kubo okanye abanye. Ukuphazamiseka rhoqo kuhambelana nemiphumo emibi yokusetyenziswa ngokugqithiseleyo okanye ukugqithisa okukhulu. Kwangaxeshanye, inokuvela ngamaxesha athile kwiziganeko ezimbi ezinxulumene needosi eziqhelekileyo, ezifana nesicaphucaphu, ukozela, okanye isiyezi. Ukusetyenziswa okanye ukusetyenziswa kakubi "kweziyobisi zasesitalatweni" okanye izinto ezingachazwanga njenge-methamphetamine, ecstasy, okanye i-cannabis. Ukusetyenziswa kakubi ngokugqithisileyo okanye okungapheliyo okanye ukusetyenziswa kakubi kotywala. Umongikazi usenokunxila kakhulu okanye abe ne-hangover enzima, kodwa zombini ezi meko zinokuphazamisa izakhono zakhe. Ukusetyenziswa okungapheliyo kunokukhokelela kwizigulo zomzimba okanye ukuphazamiseka kwengqondo okwenza kube nzima ukuba umongikazi enze kwinqanaba eliphezulu ngokwaneleyo. Kuba indlela umongikazi azichaza ngayo igxile emsebenzini wakhe njengomongikazi, ukungena kokuphathwa gadalala okanye ukuba likhoboka labo kwindawo yempangelo kudla ngokuba luphawu lokuba isigulo sabo sikhule kangakanani na.

 

Ngenxa yokuba abasebenzi bezempilo bachonga umgca wabo womsebenzi, ubungqina besifo ngamanye amaxesha bukhomba kwinqanaba lokugula. Imiba yendawo yokusebenza idla ngokuba linqanaba lokugqibela lokuhla, kwaye xa isifo sifunyenwe, abantu osebenza nabo bahlala bemangalisiwe “(Washington State Department of Health, 2016, p.6). Xa umonakalo ubonakala ekuqaleni emsebenzini, abantu osebenza nabo kunye nabaphathi banokuwukhanyela okanye bawunciphise umcimbi, banike izizathu okanye baphephe ukuphikisana ngethemba lokuba umcimbi uya kunyamalala.

 

Imiba yoMngcipheko eyodwa kooMongikazi

Ithuba lokuba nengxaki yokusetyenziswa kweziyobisi kuphenjelelwa zizinto ezahlukeneyo, ezibandakanya imfuzo, indlela akhuliswe ngayo, uxinzelelo lwabazali noontanga, njalo njalo. Nangona kunjalo, ukusebenza njengomongikazi kubonisa izinto ezimbalwa ezinobungozi ezingekhoyo kweminye imisebenzi. Ezona meko ziphambili zomngcipheko weyure abongikazi abajongana nazo kwiziko lezempilo zezi:

  • Ukufikelela
  • Isimo sengqondo
  • istres
  • Ukungabikho kwemfundo (Hakim, ngo-2023)

 

Ukufikelela kunye nesimo sengqondo

Amachiza asemthethweni ukuba afunyanwe ngomyalelo kagqirha kusenokwenzeka ukuba asetyenziswe ngabongikazi kunoluntu ngokubanzi, nangona ukuphazamiseka kokusetyenziswa kweziyobisi akuchaphazeli abongikazi rhoqo kunabantu ngokubanzi. Ingcaciso yeyokuba abongikazi baphatha la mayeza mihla le, nangaphandle kwencwadi kagqirha. Koku, songeza ulwazi lwethu lolawulo lwamayeza, ukusetyenziswa, kunye nedosi kwaye sisebenza kwindawo apho izibonelelo zokusetyenziswa kwamayeza zibonakala. Oku kubonisa ukuba siqinisekile ngesakhono sethu sokuzixilonga nokuzinyangela kunye nokukwazi kwethu ukuphatha la mayeza.

 

istres

Ezinye zezinto ezibonisa ukuba bonke abongikazi ngamanye amaxesha bayinxalenye yoxinzelelo olubangele ukuba baphazamiseke ziquka:

  • Iinguqu ezongeziweyo
  • Umsebenzi onzima
  • Ukungabikho kwabasebenzi
  • Izigulana ezingxamiseke kakhulu ngelixa zizolile phantsi kweemeko ezibuhlungu kakhulu. 

Oku kuqikelelwa ukuba kwaziwa kubo bonke abongikazi kwaye ngamanye amaxesha kunokubalelwa kuxinzelelo lwendima. Zonke ziyinxalenye eyimfuneko yomgca onzima womsebenzi. Iishedyuli zomsebenzi zizodwa zibonise unxulumano oluyinzuzo nokusetyenziswa kweziyobisi. Iintlungu okanye ukuphuthelwa emva kokutshintsha okufunwayo zixhaphakile kwaye zihlala zisebenza njengesona sizathu sokuthatha amayeza ukunceda ngeentlungu kunye neentlungu, ukukhuthaza ukuphumla, okanye ukulala.

 

Ukunqongophala kweMfundo

Apha, igama elithi “ukunqongophala kwemfundo” alithethi ukungazi nto ngeziyobisi. Njengoko besesitshilo, akukho kunqongophala kwemfundo apho. Hayi. Kulo mongo, ukungazi ngeengxaki zokusetyenziswa kweziyobisi kunye neempawu ezilumkiso ezinxulumeneyo kunye neempawu kuthethwa. Amaxesha amaninzi, abaqeqeshi bezempilo abakwazi ukuchonga ezi mpawu kunye nezikhombisi kubo bobabini nakwabanye abantu. Nokuba bathe bazichonga, ukubekwa amabala kuphuma kukungabikho kolwazi malunga nezi ngxaki-ingakumbi ukuba umntu ogulayo ngumsebenzi wezempilo osebenza naye-kuba sikholisa ukubamba abaqeqeshi bezempilo-kubandakanywa nathi-kwimigangatho ephezulu kunokuba sisenza abasebenzi abangabakhathaleli bezempilo.

 

Ukuqonda Iimpawu

Xa umongikazi ebanjwe esebenzisa iziyobisi okanye utywala emsebenzini, eyona ndlela ifanelekileyo yokwenza kwezi ntsuku luncedo kunye nonyango kunokupheliswa kwangoko. Umbono kukuba umongikazi ekugqibeleni uya kukwazi ukubuyela emsebenzini emva konyango kunye nokubuyisela kwimeko yesiqhelo. Nangona kunjalo, ukungenelela kwangethuba yinxalenye ephambili yesi sicwangciso. Njengoko besesitshilo, ukusetyenziswa kweziyobisi kunokufuna ukuqhubeka ixeshana ngaphambi kokuba iimpawu zothintelo emsebenzini zibonakale. Ngoko ke, ekulandeleni umphumo ophumelelayo, ixesha ngokwalo liba yingozi. Kufanelekile ukuba sizikhumbuze ukuba ukusetyenziswa gwenxa kweziyobisi kusenokungabi kuphela kwengcaciso yothintelo njengoko sivavanya ezinye zezalathi ezinokuthi zibangelwe nokusetyenziswa kweziyobisi. Ngenxa yokhuseleko lwezigulane kunye nabasebenzi, kufuneka ungenelelo ngoncedo nokuba siyintoni na isizathu. Ukukhangela utshintsho lokuziphatha okanye utshintsho olusuka kwisiseko kunemisebenzi ethile mhlawumbi kunenzuzo ngakumbi. Emva kwayo yonke loo nto, sonke siyazi ukuba umongikazi ongakwaziyo ukusebenza kodwa ebesoloko ebonakala emdaka okanye ehamba kancinci kancinci kunabanye xa egqibezela imisebenzi. Mhlawumbi lukhetho lobuqu, kodwa ukuba umongikazi owayebonakala eqeqesheke kakuhle kwaye enemveliso ngequbuliso uqalisa ukwenza ubuvila nokungakhathali, kusenokubakho umba onzulu okhoyo.

 

Kwelinye icala, kuyaphawuleka ukuba umongikazi, obesoloko esonqena kwaye esonqena kodwa ebesoloko ehleli ngaphakathi kwiparamitha ezamkelekileyo, ngequbuliso akamkelekanga okanye wacotha kakhulu kwaye wonakele. Nangona kunjalo, utshintsho olubonakalayo lunokuba ngaphandle kwemeko yesinxibo sabo. Kwanomntu odla ngokuziphatha kakuhle unokubonakala edandathekile, esoyika, okanye esoyika. Umntu oqhele ukuzola unokubonakala edlamkile, ethetha kwaye enobubele. Kusenokwenzeka ukuba umntu oneentloni azimele yedwa ngaphezu kwesiqhelo, okanye umntu oqhele ukuthetha kwaye odlamkileyo uye athethe kakhulu kwaye asebenze ngakumbi kunesiqhelo. Khumbula ukuba ukuziphatha akubalulekanga kangako kwiimeko ezininzi kunokutshintsha ekuboniseni ingxaki. Kuyafana nokujonga ukutenxa kuxinzelelo lwegazi oluqhelekileyo okanye ubushushu njengophawu lomcimbi. Iimpawu ezongezelelweyo zotshintsho ekufuneka uzilumkele ziquka: 

  • Ukuhamba kweemvakalelo 
  • Ukutshatyalaliswa
  • Ukulala
  • Ukukhala okanye ukuhleka okungafanelekanga
  • Ukurhanela okanye ukuba novelwano ngokugqithisileyo ekugxekeni.
  • Ukungaguquguquki okanye ukubambelela ngokugqithisileyo kwiinkqubo xa zingafunwa.
  • Ukudideka, okanye inkumbulo embi

Xa kuziwa ekusebenzeni komsebenzi, unokujonga oku kulandelayo:

  • Ukunyuka kokulibazisa kunye nokungabikho, ngakumbi xa kulandelwa ipateni.
  • Iingcaciso ezingaqhelekanga zokungabikho
  • Unqumamo olude okanye ngaphezulu oluqhelekileyo 
  • Ukungabikho okungaqhelekanga emsebenzini, 
  • Ngaphambili, imisebenzi eqhelekileyo yayifuna ixesha elingakumbi.
  • "Iindlela ezimfutshane" ezingaqhelekanga okanye ezithandabuzekayo ezisetyenziswa kwimisebenzi aziyibambi inqanaba elilindelekileyo lokhathalelo. 
  • Xa umgangatho okanye umxholo we-charting uba yi-shoddy okanye uyingqayizivele, kukho ukungachaneki okukhulu kunye nokungakhathali. 
  • Ukunyuka kwezikhalazo okanye izikhalazo zomongikazi. 

Ngamnye kubo walatha kwinto enokwenzeka. Zisenokubonakala ngokucacileyo okanye zingaqhelekanga ngokwaneleyo ukuze zikunike ingcamango yokuba kukho into ecinyiweyo. Usenokuphawula ukuba basebenzisa izinto zokuphefumla, iminti, okanye itshungama ngokuphindaphindiweyo kunokuba bebesenza ngaphambili. Basenokumbombozela ngaphezu kwesiqhelo okanye babonise intetho emisiweyo ngokuchuliweyo nangokuthula ixesha elide ngelixa beqwalasela impendulo yabo. "Ngaba abafundi babo babecinezelekile (okanye bahlanjululwe)?" okanye “Ibibutywala obu ndabunuka?” yeminye imibuzo omawuzibuze yona xa uhamba. Njengabongikazi, sinokufumana i-hunches okanye intuition. Ukukwazi kwethu ukukwazi ukubona iziphumo zoqeqesho lwethu olubanzi kwaye olu lwazi luhlala lusekwe kuqwalaselo esilwenza singekho zingqondweni. Ngoko ke, nceda ungabahoyi. Ngelixa awufanelanga ukubahoya, akufanele ubamkele njengevangeli.

 

Ukuphambuka kweziyobisi

Ukufikelela kwichiza elikhethiweyo kunokuthintelwa umongikazi onengxaki yokusebenzisa iziyobisi xa engasebenzi. Oku kusenokuba ngenxa yezizathu ezahlukahlukeneyo, ezinje ngokuba usapho lwabo alusayi kunikwa elo chiza lithile, ugqirha wabo okanye usokhemisti uyakrokra, okanye ezinye izizathu. Bahlala bezama ukongeza olo fikelelo emsebenzini ngolu hlobo lwemeko. Kwaye umongikazi kuya kufuneka abe nobuchule bokufihla le ndlela yokuziphatha ngenxa yamanyathelo okhuseleko akhoyo, ngakumbi xa kuziwa kwizinto ezithintelweyo.

Phakathi kwezalathi ezilumkisayo ekufuneka uziqwalasele zezi:

  • Rhoqo okanye ngokuzimisela ukunikezela ukuba ngumongikazi kumachiza. 
  • Izigulane ziyaqhubeka zikhalaza malunga nokungonwabi nasemva kokufumana i-painkillers.
  • Amaxwebhu atyhila ukuba isigulana sanikwa amayeza okudambisa iintlungu ngakumbi kunokuba kuyimfuneko kwimeko yawo. 
  • Ziyanda iingxelo zokuchitheka kweziyobisi kunye nenkcitho. 
  • Xa lo mongikazi esenza imijikelo yamayeza ngokunxulumene nabanye abongikazi, inani eliphezulu ngokungaqhelekanga lamachiza alawulwayo asetyenziswayo. 

Ubalo lweziyobisi aluchanekanga; Ukuba awukayiboni ichiza elinikiweyo okanye elikhutshwayo, umongikazi unokukucela ukuba ulisayinele. Olu luhlu oluyinxenye, njengabanye. Njengolunye uluhlu, abongikazi balumke kakhulu ngenxa yemfundo yethu, uqeqesho, kunye namava, ngoko ngamanye amaxesha lithuku nje lethuku elikulumkisa ngomba onokwenzeka. Nangona kunjalo, njengesikhokelo esiqhelekileyo, nayiphi na into evakalelwa kukuba kufuneka ijongwe ngakumbi. Izibophelelo zakho kwizigulane zakho kunye nabo osebenza nabo zifuna oku. 

 

Ngoncedo

Umthetho wokuziqhelanisa noMongikazi waseFlorida waphulwa xa umongikazi eziqhelanisa ngoxa enxilile. Zombini izigulo kunye nokusetyenziswa kweziyobisi zidweliswe njengezinto ezinokuthi zibe ngunobangela wolu thintelo kumhlathi ochaza oku njengolwaphulo-mthetho kwaye kunokukhokelela kwisenzo soluleko. Kuya kuba semthethweni kwakhona ukusilela ukuxela ukonakaliswa kukamongikazi okanye ukubeka ukhuseleko lwesigulane emngciphekweni ngokusivumela ukuba sisebenze ngelixa sonakele. Kukhethwa wonke umntu ukuba akukho nzame yokugubungela umongikazi okanye ukuba umcimbi awuhoywa ngethemba lokuba uza kudlula. Njengomsebenzi, kuya kufuneka unxibelelane ngokupheleleyo nemimiselo kunye neenkqubo indawo nganye ekusenokwenzeka ukuba iyilelwe ezi meko. Ezi ziya kuba zidalwe ukuqinisekisa ukuthotyelwa kwazo zonke izibophelelo ezisemthethweni nezolawulo. Ayifanelekanga into yokuba uye kumntu osebenza naye oneziphene. Ngalo lonke ixesha ucela uncedo kumphathi okanye umongikazi. Umphathi okanye umphathi uya kuqhagamshelana nomongikazi okhubazekileyo kuqala; nangona kunjalo, ukuba nabantu abaninzi abakhoyo ngexesha longenelelo kuya:

  • Nika ubungqina obunikwe umongikazi ubunzima obuninzi kuba kunokwenzeka ukuba aphikisane nokwenzakala. 
  • Yiza namangqina eziganeko ezinokufuneka kwiingxoxo zetyala okanye iintlanganiso kamva.
  • Nika amandla kumyalezo, inkxaso yeemvakalelo, kwaye ugcine ukhuseleko ukuba umongikazi ubonisa ukuphazamiseka okanye ubundlongondlongo xa kuqhagamshelwana naye. 
  • Ungaze ungenelelo lokuqala lube sisityholo okanye lubandakanye ukuzama ukuchonga umba womongikazi. 

Kufuneka isekelwe kwinyani kwaye inike ubungqina obubhaliweyo bemigqaliselo kunye neenkxalabo ukwenza umongikazi aqonde ukuba kutheni umcela ukuba ayeke ukusebenza ngoku. Uthomalaliso kunye nalo naluphi na ungenelelo olulandelayo lunokuxelwa ngenye yeendlela ezimbini. IFlorida State Board of Nursing yeyokuqala kubo. Ngokuchanekileyo, iSebe lezeMpilo liya kufumana ingxelo, liphande ngezikhalazo, kwaye lithathe amanyathelo afanelekileyo. Inyathelo lesibini liya kuba kukuthumela ingxelo kwiProjekthi yokuNgenelela kwabongikazi (IPN). IPN yaqulunqwa ngo-1983 ngesenzo sowiso-mthetho ukukhusela impilo nokhuseleko loluntu (Chan et al., 2019). Ikwenza oku ngokubeka iliso elibukhali kubongikazi ababonwa bengakhuselekanga ekusebenzeni ngenxa yothintelo oluziswe kukusetyenziswa gwenxa kweziyobisi okanye utywala, ukusetyenziswa kakubi, okanye zombini, okanye ngenxa yesigulo somzimba okanye sengqondo esinokuphazamisa amandla omntu onephepha-mvume lokuziqhelanisa ngokukhuselekileyo nangobuchule. . 

 

Ezi nkqubo ezichasene nokuziphatha ziye zaphuhliswa kulo lonke ilizwe, kwaye eFlorida, ziyinxalenye yeNethiwekhi yeSigulana esiHlangeneyo (IPN) ngenxa yokuqaphela ukuba umongikazi onengxaki yokusetyenziswa kweziyobisi kufuneka afumane ukhathalelo kunye nonyango njengaye nabani na. enye into. Ngeenkqubo zayo, abongikazi banokufumana unyango olungenasohlwayo kunye nokubuyisela kwisimo sangaphambili. I-IPN iya kunceda ukuba umongikazi abuyele ngempumelelo emsebenzini ukuba uyavuma ukushiya umsebenzi kwaye agqibe inkqubo ngelixa egcina imfihlo-nkqu nakwiBhodi yoMongikazi. I-IPN iya kuyithumela ifayile kwiSebe lezeMpilo ukuba umongikazi uyayamkela le migaqo kodwa emva koko atshintshe iingqondo zakhe. Amatyala athile anokuxelwa kwiSebe lezeMpilo kunye ne-IPN, apho unyango KUNYE namanyathelo oluleko anokuqaliswa. Ukuthatha inxaxheba kweSebe lezeMpilo kunokukhokelela ekubeni iphepha-mvume likamongikazi linqunyanyiswe okanye lirhoxiswe, nto leyo eyenza kube nzima kakhulu ukuba abuyele emsebenzini. Kucingelwa ukuba ngokunikezela ngeendlela ezingezizo ezohlwayo, abongikazi baya kukhuthazwa ukuba bafune uncedo phambi kokuba bajongane nesohlwayo kwaye banokuthi ekugqibeleni bakwazi ukubuyela emsebenzini.

 

isiphelo

Ngenxa yeemeko ezizodwa ezingqonge imfundo noqeqesho lwethu, indlela esijongwa ngayo, kunye nenyaniso yokuba sizibona sinamandla ngandlel’ ithile kunabanye, umba wokukhubazeka emsebenzini wabongikazi unzima kakhulu. Kwixa elidlulileyo, ukuba umqeshwa wayeneziphene emsebenzini, kwakusenokuthatyathwa amanyathelo oluleko ngenxa yokonakaliswa kwakhe okanye ngenxa yeempazamo ezenziweyo. Oku kwakufanelekile ngokukodwa kwiimeko apho kwafunyaniswa ukuba umongikazi wayenxilile okanye wonakaliswe yenye into. Ubuphume ngomnyango zange ubuye emva koko. Kwakhona uya kuphulukana nelayisensi yakho, nto leyo ekuthintela ukuba ungaphinde ubuyele emsebenzini njengomongikazi. Okuvuyisayo kukuba, amanyathelo angenaluqeqesho aye abangelwa kukuqonda ukuba asikhuselekanga kuxinzelelo olufanayo njengabanye. Umbono ongemva kwala manyathelo kukuchonga iingxaki, kubandakanywa ukuphazamiseka kokusetyenziswa kweziyobisi, kwangethuba ukuze esona siphumo silungileyo sibe nokuphunyezwa kuwo onke amaqela.

 


Ucaphulo

Baldisseri, MR (2007). Ingcali yezempilo ebuthathaka. Crit Care Med, 35(2 Suppl), S106-116. doi.org/10.1097/01.CCM.0000252918.87746.96

Chan, CWH, Ng, NHY, Chan, HYL, Wong, MMH, & Chow, KM (2019). Uphononongo olucwangcisiweyo lweziphumo zeenkqubo zoqeqesho zabaququzeleli bocwangciso lokhathalelo. BMC Health Service Res, 19(1), 362. doi.org/10.1186/s12913-019-4192-0

Hakim, A. (2023). Ukuphanda imingeni yemfundo yeklinikhi ngokwembono yabafundisi bobuhlengikazi kunye nabafundi: Isifundo esinqamlezileyo. SAGE Vula i-Med, 11, 20503121221143578. doi.org/10.1177/20503121221143578

Ukonakala. (nd). KwiDictionary.com engafinyezwanga. Ifunyenwe kwi www.dictionary.com/browse/impairment

Rodziewicz, TL, Houseman, B., & Hipskind, JE (2024). UkuNcitshiswa kwempazamo yezoNyango kunye noThintelo. Kwi StatPearls. www.ncbi.nlm.nih.gov/pubmed/29763131

Van Bogaert, P., Peremans, L., Van Heusden, D., Verspuy, M., Kureckova, V., Van de Cruys, Z., & Franck, E. (2017). Abaqikeleli bokudinwa, ukubandakanyeka emsebenzini kunye nomongikazi baxela iziphumo zomsebenzi kunye nomgangatho wokhathalelo: isifundo sendlela edibeneyo. BMC Nurs, 16, 5. doi.org/10.1186/s12912-016-0200-4

Washington State Department of Health. (2016). Isikhokelo sokunceda oogxa babo ababonakalisa ukonakala emsebenzini. Ifunyenwe kwi www.doh.wa.gov/portals/1/Documents/Pubs/600006.pdf

 

isikhanyeli

Ukuvula Uncedo: Ukolulwa kweSihlalo kunye neentlungu zesandla

Ukuvula Uncedo: Ukolulwa kweSihlalo kunye neentlungu zesandla

Ngaba izolulo ezahlukeneyo zinokuba luncedo kubantu abajongana nesandla kunye neentlungu zesandla ngokunciphisa iintlungu kunye nokungonwabi ukuya kwiziphelo?

intshayelelo

Kwihlabathi eliqhutywa yiteknoloji, kuqhelekile ukuba abantu bafumane intlungu yesandla kunye nesandla ngexesha elithile ebomini babo. Izandla ziyinxalenye yeendawo eziphezulu zomzimba kwaye zisetyenziselwa imisebenzi eyahlukeneyo kunye nemisebenzi yonke imini. Iingalo zangaphambili zibonelela ngobudlelwane be-causal kunye nezandla kunye nezandla kwiindawo ezingaphezulu kuba zinika imisebenzi ebaluleke kakhulu yemoto kumzimba. Izandla zixhasa umzimba xa uphethe into; imisipha eyahlukeneyo, iigaments, i-tendon, kunye namalungu anceda isihlahla ngokushukuma kunye nokuguquguquka. Nangona kunjalo, xa ukulimala okanye ukunyakaza kwemihla ngemihla kuqala ukuchaphazela iingalo kwaye kubangele imiba ngezandla kunye nesandla, kunokuba nzima ukwenza imisebenzi elula kunye nefuthe elibi kwindlela yomntu yokuphila. Ngethamsanqa, kukho iindlela ezininzi zokunciphisa intlungu kunye nokukhathazeka kwesandla kunye nezandla. Inqaku lanamhlanje lijolise kwinto ebangela intlungu yesihlahla kunye nesandla, indlela yokuthintela iintlungu zesandla kunye nesandla ukuba zingabuyi, kunye nendlela ukudibanisa ezahlukeneyo kunokunceda ukunciphisa imiphumo efana nentlungu. Sixoxa nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya izizathu ezininzi ezikhokelela ekuphuhlisweni kwentlungu yesandla kunye nesandla. Sikwazisa kwaye sikhokela izigulane malunga nokuba iindlela ezahlukeneyo zolula kunye neendlela ezinokunceda ukunciphisa amathuba eentlungu zesandla kunye nesandla ekubuyeni. Sikwakhuthaza izigulana zethu ukuba zibuze ababoneleli bezonyango abanxulumene nabo imibuzo emininzi entsonkothileyo kunye nebalulekileyo malunga nokubandakanya olu luhlu kunye nobuchule kwiindlela zabo zemihla ngemihla ukuze baphile ubomi obunempilo. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli.

 

Yintoni Ebangela Intlungu Yesandla Nesandla?

Ngaba uhlala uziva iintlungu okanye ukuqina esihlahleni sakho emva kokuchwetheza imini yonke kwikhompyuter okanye kwifowuni? Ngaba unengxaki yokubamba izinto ezandleni zakho? Okanye ngaba izandla zakho ziba buhlungu kangaphi xa ukuziphulula kubangela isiqabu sokwexeshana? Abantu abaninzi, kubandakanywa nabantu abadala, baye bafumana intlungu ngexesha elithile, kwaye ixesha elininzi, lichaphazela izandla kunye nezandla. Ekubeni wonke umntu esebenzisa izandla kunye nezandla xa esenza imisebenzi eyahlukeneyo, xa ukulimala okanye ukunyakaza okuphindaphindiweyo kuqala ukuchaphazela izandla kunye nezandla, kunokuba nefuthe elikhulu kwimisebenzi elula. Xa ujongene nentlungu yesandla kunye nesandla, kunokwenza ubomi bube nzima kumntu. Ekubeni intlungu iyimpendulo eqhelekileyo yokukhusela kuyo nayiphi na inzakalo kunye nokuvuselela okunokuthi kube yingozi kwifom yayo enzima, xa imiba ye-neuromuscular ehlala ixesha elide okanye engasebenziyo iqala ukuchaphazela umzimba, inokubangela ukukhubazeka kunye neentlungu. (Merkle et al., 2020) Kwiintlungu zesandla kunye nesandla, iziganeko ezininzi ezikhokelela ekuphuhlisweni kwayo zibangelwa yi-micro-stress okanye ukusetyenziswa kweenyembezi okuphindaphindiweyo. 

 

 

Oku kungenxa yokuba ihlabathi liqhutywa yi-teknoloji, abantu abaninzi basebenzisa iikhomputha okanye ii-smartphones ukuze banxibelelane, nto leyo enokuba yenye yezizathu zokuphuhliswa kwentlungu yesandla kunye nesandla. Xa abantu abaninzi besebenzisa izixhobo zombane rhoqo, ukuhamba rhoqo kunye nokusetyenziswa kwezithupha kuya kwandisa umthwalo wabo kwaye kube kukuxhaphaka okuphezulu kokuphazamiseka kwe-musculoskeletal disorders. (UBaabdullah et al., 2020) Olunye uphononongo luchaze ukuba xa abantu abaninzi beqala ukwenza iintshukumo eziphindaphindayo rhoqo kwaye beneendawo ezahlukeneyo zamalungu esihlahla sabo ngelixa besebenzisa izixhobo zabo zombane rhoqo, kunokubangela intlungu kumalungu esihlahla sabo kwaye kuchaphazele ubume. (U-Amjad et al., ngo-2020) Ukongezelela, xa ukubonakaliswa kwe-vibration ngokuphindaphindiweyo okanye ukunyanzeliswa kwe-angular kuchaphazela izandla kunye nezandla, kunokukhokelela kwi-carpal tunnel syndrome kwaye ichaphazele izandla. (Osiak et al., 2022) Amalungu ahlukeneyo, imisipha, kunye nezihlunu nazo ziyachaphazeleka ezandleni nasezihlahleni njengeendawo ezivusa umphambili. Ngethamsanqa, kukho iindlela ezininzi apho abantu abaninzi banokunciphisa iintlungu ezinjengeentlungu zesandla kunye neentlungu zesandla.

 


Iingenelo Zokolula-Ividiyo


Indlela Yokuthintela Intlungu Yesandla kunye Nesandla Ekubuyeni

Kukho iindlela ezininzi zokunciphisa intlungu yesandla kunye nesandla, kwaye abantu abaninzi bazama ukufumana izisombululo zonyango ukunciphisa intlungu. Unyango olungasebenzisi utyando olufana nonyango lwezandla lunokunceda ngeentlungu zesandla kunye nesandla ngokusebenzisa amandla okuhlanganisa ukuvumela ukuguqulwa kwesandla kunye nokwandiswa ukuphucula ukusebenza kweemoto. (Gutierrez-Espinoza et al., 2022) Olunye unyango olungelulo utyando olunokunceda ngesihlahla kunye neentlungu zesandla yi-acupuncture. I-acupuncture isebenzisa iinaliti ezincinci, eziqinileyo, ezincinci ukuba zifakwe kwii-acupoints ezahlukeneyo kwi-forearm ukunciphisa ubunzima beentlungu kunye nokubuyisela umsebenzi wokushukuma kwizandla kunye nesandla. (Trinh et al., 2022)

 

Ukolulwa okwahlukeneyo kweSihlalo kunye neentlungu zesandla

 

Ngethamsanqa, kukho a ilula kwaye iyafikeleleka Indlela yabantu abaninzi yokunciphisa ifuthe lesandla kunye nezandla ukolula iintlungu kunye nokubandakanya i-yoga kwindlela yabo yesiqhelo. I-Yoga yolulela izandla kunye nezandla inokunceda ukuthothisa kunye nokunciphisa ukuqina, kwaye ezi zolule zingenziwa nje imizuzu embalwa, zinika iziphumo eziluncedo. (Gandolfi et al., 2023Apha ngezantsi kukho ezinye zezi zoluleko ezinokuthi Ukufakwa ngokulula kwindlela yakhe nabani na, ikwenza kube lula kuwe ukulawula impilo yesandla sakho kunye nempilo yesandla.

 

IWrist Flexor Yolula

  • Uyenza njani:
    • Yandisa ingalo yakho phambi kwakho uphakamise isandla sakho.
    • Sebenzisa esinye isandla sakho ukutsalela ngobunono iminwe ibuyele emzimbeni de uve ukolula kwingalo yakho.
    • Bamba le ndawo malunga ne-15 ukuya kwi-30 imizuzwana.
    • Phinda amaxesha angama-2-3 ngesihlahla ngasinye.

 

Ukolulwa kweWrist Extensor

  • Uyenza njani:
    • Yandisa ingalo yakho phambi komzimba wakho intende yakho ijonge ezantsi.
    • Tsala iminwe ngobunono ibhekise emzimbeni wakho ngesinye isandla de uve ukolulela ngaphandle komphambili wakho.
    • Gcina imizuzwana engama-15 ukuya kuma-30.
    • Yenza oku 2-3 amaxesha esihlahleni ngasinye.

 

Umthandazo Wolula

  • Uyenza njani:
    • Beka iintende kunye kwindawo yokuthandaza ngaphambili esifubeni, ngaphantsi kwesilevu.
    • Yehlisa kancinci i izandla ezihlangeneyo zijonge esinqeni, ugcine izandla zikufutshane nesisu sakho kunye nezandla zakho kunye de uzive ukhululekile phantsi kweengalo zakho.
    • Bamba imizuzwana engama-30 ubuncinane kwaye uphinde amaxesha ambalwa.

 

Tendon Glides

  • Uyenza njani:
    • Qala ngokuvula iminwe yakho ngqo.
    • Emva koko, goba iminwe yakho ukwenza inqindi hook; kufuneka uve ukolula kodwa akukho ntlungu.
    • Buyela kwindawo yokuqala kwaye ugobe iminwe yakho ukuze uthinte phezulu kwesandla sakho, ugcine iminwe yakho iqonde.
    • Ekugqibeleni, thoba iminwe yakho ibe yinqindi elipheleleyo.
    • Phinda ulandelelwano izihlandlo ezilishumi.

 

Ukuzolula ubhontsi

  • Uyenza njani:
    • Yolula isandla sakho kunye neminwe yakho kunye.
    • Tsala ubhontsi wakho kude neminwe yakho kude kube mnandi.
    • Gcina imizuzwana engama-15 ukuya kuma-30.
    • Phinda amaxesha angama-2-3 ngobhontsi ngamnye.

 

Yivuthulule

  • Uyenza njani:
    • Emva kokuzolula, xhawula izandla zakho kancinci ngokungathi uzama ukuzomisa. Oku kunceda ukunciphisa uxinzelelo kunye nokukhuthaza ukujikeleza.

Ucaphulo

Amjad, F., Farooq, MN, Batool, R., & Irshad, A. (2020). Ukuphindaphindwa kweentlungu zesihlahla kunye nemiba enxulumene nomngcipheko kubafundi abasebenzisa iiselfowuni. Pak J Med Sci, 36(4), 746-749. doi.org/10.12669/pjms.36.4.1797

Baabdullah, A., Bokhary, D., Kabli, Y., Saggaf, O., Daiwali, M., & Hamdi, A. (2020). Unxulumano phakathi kweziyobisi ze-smartphone kunye nentlungu yesithupha / yesandla: isifundo esinqamlezayo. Iyeza (Baltimore), 99(10), e19124. doi.org/10.1097/MD.0000000000019124

Gandolfi, MG, Zamparini, F., Spinelli, A., & Prati, C. (2023). I-Asana yeNtamo, amagxa, kunye neZihlalo zokuthintela ukuphazamiseka kwe-Musculoskeletal phakathi kweeNgcali zamazinyo: iProtocol ye-Yoga kwi-Ofisi. J Funct Morphol Kinesiol, 8(1). doi.org/10.3390/jfmk8010026

UGutierrez-Espinoza, H., Araya-Quintanilla, F., Olguin-Huerta, C., Valenzuela-Fuenzalida, J., Gutierrez-Monclus, R., & Moncada-Ramirez, V. (2022). Ukuphumelela kwonyango lwe-manual kwizigulane ezine-distal radius fracture: ukuphononongwa ngokuchanekileyo kunye nohlalutyo lwe-meta. J Man Manip Ther, 30(1), 33-45. doi.org/10.1080/10669817.2021.1992090

Merkle, SL, Sluka, KA, & Frey-Law, LA (2020). Intsebenziswano phakathi kweentlungu kunye nokunyakaza. J Hand Ther, 33(1), 60-66. doi.org/10.1016/j.jht.2018.05.001

Osiak, K., Elnazir, P., Walocha, JA, & Pasternak, A. (2022). I-Carpal tunnel syndrome: ukuphononongwa kwe-state-of-the-art. Folia Morphol (Warsz), 81(4), 851-862. doi.org/10.5603/FM.a2021.0121

Trinh, K., Zhou, F., Belski, N., Deng, J., & Wong, CY (2022). Umphumo we-Acupuncture kwiSandla kunye noBuqaqawuli beNzululwazi, iSimo sokuSebenza, kunye noMgangatho woBomi kuBantu abadala: Ukuphononongwa okuCwangcisiweyo. Med Acupunct, 34(1), 34-48. doi.org/10.1089/acu.2021.0046

 

isikhanyeli

Ukujongana neFinger Jammed: Iimpawu kunye nokuBuyisa

Ukujongana neFinger Jammed: Iimpawu kunye nokuBuyisa

Abantu abaphethwe ngumnwe oxineneyo: Ngaba ukwazi imiqondiso kunye neempawu zomnwe ongophukanga okanye ongashukumiyo unokuvumela unyango lwasekhaya kunye nokuba umbone nini umboneleli wezempilo?

Ukujongana neFinger Jammed: Iimpawu kunye nokuBuyisa

IJammed Finger Injury

Umnwe oxineneyo, owaziwa ngokuba ngumnwe okrunekileyo, kukwenzakala okuxhaphakileyo xa incam yomnwe ityhalelwa ngamandla ukuya esandleni, nto leyo ebangela ukuba ilungu licinezelwe. Oku kunokubangela intlungu kunye nokudumba komnye okanye ngaphezulu kweminwe okanye amalungu omnwe kwaye kubangele ukuba i-ligaments yolule, i-sprain, okanye ikrazule. (Umbutho waseMelika woTyando lweSandla. 2015) Umnwe oxineneyo unokuphola ngokukhenkceza, ukuphumla nokucofa. Oku kudla ngokwaneleyo ukuyivumela ukuba iphilise ngeveki okanye ezimbini ukuba akukho fractures okanye i-dislocation ekhoyo. (Carruthers, KH et al., 2016) Ngoxa ibuhlungu, ifanele ikwazi ukushukuma. Nangona kunjalo, ukuba umnwe awukwazi ukushukuma, unokwaphuka okanye ukhutshwe kwaye ufune i-X-rays, njengoko umnwe owaphukileyo okanye ukukhutshwa ngokubambisana kunokuthatha iinyanga ukuze kuphole.

impatho

Unyango lubandakanya i-icing, uvavanyo, ukucofa, ukuphumla, ukubona i-chiropractor okanye i-osteopath, kunye nokusetyenziswa rhoqo okuqhubekayo ukuze uphinde ufumane amandla kunye nobuchule.

umkhenkce

  • Isinyathelo sokuqala kukukhenkceza ukwenzakala kunye nokuyigcina iphakanyisiwe.
  • Sebenzisa ipakethe yomkhenkce okanye ingxowa yemifuno ekhenkcezileyo esongelwe ngetawuli.
  • Mkhenkce umnwe kwizithuba zemizuzu eyi-15.
  • Susa umkhenkce kwaye ulinde de umnwe ubuyele kwiqondo lokushisa eliqhelekileyo ngaphambi kokuba uphinde u-icing.
  • Musa ukuba ngumkhenkce ngomnwe oxineneyo ngaphezu kwamathuba amathathu emizuzu eli-15 kwiyure enye.

Zama ukuhambisa uMnwe ochaphazelekayo

  • Ukuba umnwe odibeneyo awuhambisani lula okanye intlungu iyancipha xa uzama ukuyihambisa, kufuneka ubone umboneleli wezempilo kwaye ube ne-X-ray ukujonga ukuphuka kwethambo okanye ukuchithwa. (Umbutho waseMelika woTyando lweSandla. 2015)
  • Zama ukuhambisa umnwe kancinci emva kokuvuvukala, kwaye intlungu iyancipha.
  • Ukuba ukulimala kuncinci, umnwe kufuneka uhambe ngokungahambi kakuhle ixesha elifutshane.

Tape kunye nokuphumla

  • Ukuba umnwe oxineneyo awuphukanga okanye ukhutshwe, unokubethelwa emnweni osecaleni kwawo ukuwugcina ungashukumi, owaziwa ngokuba yi-buddy taping. (Uphumelele uSH et al., 2014)
  • I-tape ye-Medical-grade kunye ne-gauze phakathi kweminwe kufuneka isetyenziswe ukukhusela i-blisters kunye nomswakama ngelixa uphilisa.
  • Umboneleli wezempilo unokucebisa ukuphoswa komnwe ukugcina umnwe oxineneyo ungqamene neminye iminwe.
  • I-splint inokunceda ukukhusela umnwe oxineneyo ekulimazeni kwakhona.

Ukuphumla kunye nokuPhilisa

  • Umnwe oxineneyo kufuneka ugcinwe unganyakazi ukuze uphole ekuqaleni, kodwa ekugqibeleni, kufuneka uhambe kwaye ubhetyebhetye ukwakha amandla kunye nokuguquguquka.
  • Ukuzivocavoca umzimba okujoliswe kuyo kunokuba luncedo ekubuyiseleni.
  • Umboneleli oyintloko wokunyamekela unokukwazi ukubhekisela kwingcali yomzimba ukuqinisekisa ukuba umnwe unoluhlu oluphilileyo lokunyakaza kunye nokujikeleza njengoko uphilisa.
  • I-chiropractor okanye i-osteopath inokubonelela ngeengcebiso zokunceda ukubuyisela umnwe, isandla, kunye nengalo kumsebenzi oqhelekileyo.

Ukwenza lula uMnwe uBuyela kwesiqhelo

  • Ngokuxhomekeke kubungakanani bokulimala, umnwe kunye nesandla sinokuba buhlungu kwaye sidumbe iintsuku ezimbalwa okanye iiveki.
  • Kungathatha ixesha ukuqala ukuziva njengesiqhelo.
  • Nje ukuba inkqubo yokuphilisa iqale, abantu ngabanye baya kufuna ukubuyela ekusebenziseni ngokuqhelekileyo.
  • Ukunqanda ukusebenzisa i-jammed umnwe iya kubangela ukuba ilahlekelwe ngamandla, enokuthi, ekuhambeni kwexesha, iyenze buthathaka ngakumbi kwaye yandise umngcipheko wokulimala kwakhona.

Ukuba intlungu kunye nokuvuvukala kuyaqhubeka, jonga umboneleli wezempilo ukuba akhangele ukuba kukho ukuphuka, ukuchithwa, okanye enye ingxaki ngokukhawuleza, njengoko oku kwenzakala kunzima ukunyanga ukuba umntu ulinda ixesha elide. (IYunivesithi yase-Utah yezeMpilo, ngo-2021)

Kwi-Chiropractic yezoNyango zeChiropractic kunye ne-Functional Medicine Clinic, sigxininise kakhulu ekuphatheni ukulimala kwezigulane kunye ne-syndromes yentlungu engapheliyo kunye nokuphucula amandla ngokusebenzisa ukuguquguquka, ukuhamba, kunye neenkqubo ze-agility ezilungiselelwe umntu. Ababoneleli bethu basebenzisa indlela edibeneyo yokudala izicwangciso zokunakekelwa komntu ezibandakanya i-Functional Medicine, i-Acupuncture, i-Electro-Acupuncture, kunye ne-Sports Medicine protocols. Injongo yethu kukukhulula intlungu ngokwemvelo ngokubuyisela impilo kunye nokusebenza komzimba. Ukuba umntu ufuna olunye unyango, uya kuthunyelwa kwikliniki okanye kugqirha omlungeleyo. UDkt Jimenez uye wabambisana noogqirha abaphezulu, iingcali zeklinikhi, abaphandi bezonyango, kunye nabanikezeli be-premier rehabilitation ukubonelela ngonyango olusebenzayo lweklinikhi.


Unyango lweCarpal Tunnel Syndrome


Ucaphulo

Umbutho waseMelika woTyando lweSandla. (2015). Umnwe uJam. www.assh.org/handcare/condition/jammed-finger

Carruthers, KH, Skie, M., & Jain, M. (2016). Ukulimala kweJam yeFinger: Ukuxilongwa kunye noLawulo lweNzakalo kwi-Interphalangeal Joints kuwo wonke iMidlalo emininzi kunye namaNqanaba amava. Impilo yezemidlalo, 8 (5), 469-478. doi.org/10.1177/1941738116658643

Won, SH, Lee, S., Chung, CY, Lee, KM, Sung, KH, Kim, TG, Choi, Y., Lee, SH, Kwon, DG, Ha, JH, Lee, SY, & Park, MS (2014). I-Buddy taping: ngaba yindlela ekhuselekileyo yonyango lokulimala komnwe kunye neenzwane? Iiklinikhi zotyando lwamathambo, i-6 (1), i-26-31. doi.org/10.4055/cios.2014.6.1.26

KwiYunivesithi yase-Utah Health. (2021). KwiYunivesithi yase-Utah Health. Ngaba kufuneka ndikhathazeke ngomnwe oxineneyo? KwiYunivesithi yase-Utah Health. healthcare.utah.edu/the-scope/all/2021/03/should-i-worry-about-jammed-finger

ISikhokelo esipheleleyo se-Ehlers-Danlos Syndrome

ISikhokelo esipheleleyo se-Ehlers-Danlos Syndrome

Ngaba abantu abane-Ehlers-Danlos syndrome banokufumana isiqabu ngonyango olwahlukeneyo olungaqhaqho ukunciphisa ukungazinzi kwamalungu?

intshayelelo

Amalungu kunye nemigqa ejikeleze inkqubo ye-musculoskeletal ivumela ukuba iindawo eziphezulu kunye nezisezantsi zizinze umzimba kwaye zihambe. Izihlunu ezahlukeneyo kunye nezihlunu ezithambileyo ezijikeleze amalunga zinceda ukubakhusela kukwenzakala. Xa iimeko zokusingqongileyo okanye ukuphazamiseka kuqala ukuchaphazela umzimba, abantu abaninzi bavelisa imiba ebangela ukuba iiprofayili zomngcipheko zigqithise, ezichaphazela ukuzinza kwamalungu. Enye yeengxaki ezichaphazela amalunga kunye nezicubu ezidibeneyo yi-EDS okanye i-Ehlers-Danlos syndrome. Oku kuphazamiseka kwezicubu ezidibeneyo kunokubangela ukuba amalungu omzimba abe yi-hypermobile. Inokubangela ukungazinzi ngokubambisana kwiindawo eziphezulu kunye nezantsi, ngaloo ndlela ishiya umntu ukuba abe nentlungu eqhubekayo. Inqaku lanamhlanje ligxile kwi-Ehlers-Danlos syndrome kunye neempawu zayo kunye nokuba kukho iindlela ezingezizo utyando zokulawula le ngxaki. Sixoxa nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya indlela i-Ehlers-Danlos syndrome enokuthi ihambelane ngayo nezinye izifo ze-musculoskeletal disorders. Siyazisa kwaye sikhokela izigulane malunga nendlela ezahlukeneyo zonyango ezingasebenzisi utyando zinokunceda ukunciphisa iimpawu ezinjengeentlungu kunye nokulawula i-Ehlers-Danlos syndrome. Kwakhona sikhuthaza izigulane zethu ukuba zibuze ababoneleli babo bezonyango abanxulumene nabo imibuzo emininzi enzima kunye ebalulekileyo malunga nokubandakanya iindlela ezahlukeneyo zonyango ezingezona utyando njengenxalenye yendlela yabo yemihla ngemihla yokulawula imiphumo ye-Ehlers-Danlos syndrome. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli.

 

Yintoni i-Ehlers-Danlos Syndrome?

 

Ngaba uhlala uziva udinwe kakhulu imini yonke, nasemva kokulala ubusuku bonke? Ngaba ugruzuka ngokulula kwaye uyazibuza ukuba le mivumbo ivela phi? Okanye ngaba uye waqaphela ukuba unoluhlu olwandisiweyo kumalungu akho? Uninzi lwale miba luhlala lunxulunyaniswa nengxaki eyaziwa ngokuba yi-Ehlers-Danlos syndrome okanye i-EDS echaphazela amalungu abo kunye nezicubu ezixhumeneyo. I-EDS ichaphazela izicubu ezidibeneyo emzimbeni. Izicubu ezidibeneyo emzimbeni zinceda ukunika amandla kunye nokuqina kwesikhumba, amalunga, kunye neendonga zemithambo yegazi, ngoko ke xa umntu ejongene ne-EDS, kunokubangela ukuphazamiseka okukhulu kwinkqubo ye-musculoskeletal. I-EDS ixilongwa kakhulu kwiklinikhi, kwaye oogqirha abaninzi baye bafumanisa ukuba i-gene coding ye-collagen kunye neeprotheyini ezisebenzisanayo emzimbeni zinokukunceda ukuba luhlobo luni lwe-EDS oluchaphazela umntu. (UMiklovic & Sieg, 2024)

 

Iimpawu

Xa uqonda i-EDS, kubalulekile ukwazi izinto ezintsonkothileyo zesi sifo soxhulumaniso. I-EDS ihlelwa ngokweendidi ezininzi ezineempawu ezahlukileyo kunye nemingeni eyahluka ngokuxhomekeke kubunzima. Enye yeentlobo eziqhelekileyo ze-EDS yi-hypermobile Ehlers-Danlos syndrome. Olu hlobo lwe-EDS lubonakaliswa yi-hypermobility ngokubanzi, ukungazinzi kwamalungu, kunye neentlungu. Ezinye zeempawu ezinxulumene ne-hypermobile EDS zibandakanya i-subluxation, i-dislocation, kunye nokulimala kwezicubu ezithambileyo eziqhelekileyo kwaye zinokuthi zenzeke ngokuzenzekelayo okanye ngomothuko omncinci. (Hakim, ngo-1993) Oku kunokubangela iintlungu ezibuhlungu kwiindawo eziphezulu kunye nezisezantsi. Ngoluhlu lwayo olubanzi lweempawu kunye nobuntu bemeko ngokwayo, abaninzi bahlala bengayiqondi ukuba i-hypermobility edibeneyo ixhaphake kuluntu ngokubanzi kwaye ingabonakali naziphi na iingxaki ezibonisa ukuba yi-disorder tissue disorder. (Gensemer et al., 2021) Ukongezelela, i-EDS ye-hypermobile inokukhokelela ekukhubazekeni komgogodla ngenxa ye-hyperextensibility yolusu, amalunga, kunye ne-fragility eyahlukeneyo yezicubu. I-pathophysiology ye-spinal deformity ehambelana ne-hypermobile EDS ngokuyinhloko ngenxa ye-hypotonia ye-muscle kunye ne-ligament laxity. (Uehara et al., 2023) Oku kubangela ukuba abantu abaninzi banciphise umgangatho wobomi babo kunye nemisebenzi yemihla ngemihla kakhulu. Nangona kunjalo, kukho iindlela zokulawula i-EDS kunye neempawu zayo ezihambelanayo zokunciphisa ukungazinzi ngokubambisana.

 


Iyeza lokuhamba: Ukhathalelo lweChiropractic-Ividiyo


Iindlela zokulawula i-EDS

Xa kuziwa ekufuneni iindlela zokulawula i-EDS ukunciphisa intlungu kunye nokungazinzi kwamalungu, unyango olungenalo utyando lunokunceda ukujongana nemiba yenyama kunye nemvakalelo yesimo. Unyango olungalulo utyando lwabantu abane-EDS ludla ngokujolisa ekwandiseni umsebenzi womzimba womzimba ngelixa uphucula amandla emisipha kunye nokuzinza kwamalungu. (Buryk-Iggers et al., 2022) Abantu abaninzi abane-EDS baya kuzama ukubandakanya iindlela zokulawula iintlungu kunye nonyango lomzimba kunye sebenzisa i-braces kunye nezixhobo zokuncedisa ukunciphisa imiphumo ye-EDS kunye nokuphucula umgangatho wobomi babo.

 

Non-utyando unyango EDS

Iindlela ezahlukeneyo zonyango ezingezizo utyando ezifana ne-MET (inkqubo yamandla emisipha), unyango lwe-electrotherapy, unyango olulula lomzimba, ukhathalelo lwe-chiropractic, kunye ne-massage. inokunceda ukomeleza ngelixa i-toning imisipha ejikelezileyo ngeenxa zonke kumalungu, unikeze isiqabu ngokwaneleyo seentlungu, kwaye unciphise ukuxhomekeka kwexesha elide kumayeza. (Broida et al., 2021) Ukongezelela, abantu abajongene ne-EDS bajolise ekuqiniseni imisipha echaphazelekayo, ukuzinzisa amajoyina, kunye nokuphucula ukufaneleka. Unyango olungenalo utyando luvumela umntu ukuba abe nesicwangciso sonyango esilungiselelwe ubunzima beempawu ze-EDS kunye nokunceda ukunciphisa intlungu ehambelana nemeko. Abantu abaninzi, xa besenza isicwangciso sabo sonyango ngokulandelelanayo ukulawula i-EDS yabo kunye nokunciphisa iimpawu ezinjengeentlungu, baya kuqaphela ukuphucuka kweempawu ezingathandekiyo. (Khokhar et al., 2023) Oku kuthetha ukuba unyango olungasebenzisi utyando luvumela abantu ukuba bacinge ngakumbi ngemizimba yabo kwaye banciphise iziphumo ezinjengeentlungu ze-EDS, ngaloo ndlela bevumela abantu abaninzi abane-EDS ukuba baphile ubomi obugcweleyo, obutofotofo ngaphandle kokuziva iintlungu kunye nokungakhululeki.

 


Ucaphulo

Broida, SE, Sweeney, AP, Gottschalk, MB, & Wagner, ER (2021). Ukulawulwa kokungazinzi kwamagxa kwi-hypermobility-type Ehlers-Danlos syndrome. JSES Rev Rep Tech, 1(3), 155-164. doi.org/10.1016/j.xrrt.2021.03.002

Buryk-Iggers, S., Mittal, N., Santa Mina, D., Adams, SC, Englesakis, M., Rachinsky, M., Lopez-Hernandez, L., Hussey, L., McGillis, L., McLean , L., Laflamme, C., Rozenberg, D., & Clarke, H. (2022). Ukuzivocavoca kunye nokuvuselelwa kwabantu abane-Ehlers-Danlos Syndrome: Ukuphononongwa okuCwangcisiweyo. IArch Rehabil Res Clin Transl, 4(2), 100189. doi.org/10.1016/j.arrt.2022.100189

Gensemer, C., Burks, R., Kautz, S., Judge, DP, Lavallee, M., & Norris, RA (2021). I-Hypermobile Ehlers-Danlos syndromes: Ii-phenotypes eziyinkimbinkimbi, ukuxilongwa ngumngeni, kunye nezizathu ezingaqondakaliyo. Dev Dyn, 250(3), 318-344. doi.org/10.1002/dvdy.220

Hakim, A. (1993). Hypermobile Ehlers-Danlos Syndrome. KwiMP uAdam, uJ. Feldman, GM Mirzaa, RA Pagon, SE Wallace, LJH Bean, KW Gripp, & A. Amemiya (Eds.), GeneReviews((R)). www.ncbi.nlm.nih.gov/pubmed/20301456

Khokhar, D., Amandla, B., Yamani, M., & Edwards, MA (2023). IiNzuzo ze-Osteopathic Manipulative Treatment kwisigulane esine-Ehlers-Danlos Syndrome. Cureus, 15(5), e38698. doi.org/10.7759/cureus.38698

Miklovic, T., & Sieg, VC (2024). Ehlers-Danlos Syndrome. Kwi StatPearls. www.ncbi.nlm.nih.gov/pubmed/31747221

Uehara, M., Takahashi, J., & Kosho, T. (2023). I-Spinal Deformity kwi-Ehlers-Danlos Syndrome: Gxininisa kwi-Musculocontractural Type. Imfuza (Basel), 14(6). doi.org/10.3390/genes14061173

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