Sciatica Nerve Pain
Ikliniki yangasemva ye-Sciatica Nerve Pain Chiropractic, iQela loNyango loNyango loMzimba. Isizathu esivakalayo sisisombululo okanye i-disk ruptured (disc disc) ekugxininiseni umlanjana kunye neengcambu zentsholongwane ezikhokelela kwi-nerve ye-sciatic. Intlungu yesifo se-Sciatica ingaba uphawu lwezinye iimeko ezichaphazela umlanjana, njengokunciphisa umgudu womgogodla (spinal stenosis), i-bone spurs (amancinci, ukukhula kwebony edibanisa kunye namajoyina) obangelwa yi-arthritis, okanye i-nerve root compression ) obangelwa yingozi. Kwiimeko ezinqabileyo, i-sciatica inokubangelwa zizimo ezingabandakanyeli umlenze, oko kukuthi izicathulo okanye ukukhulelwa.
Ziziphi iimpawu?
Ubunzima obuqala kumqolo wakho okanye kwisithambiso kwaye uhamba umlenze wakho kwaye unokuthi unyuke emanzini. Ubuthathaka, ukubetha, okanye ukuphazamiseka emlenzeni kuya kwenzeka.
Ukuhlala, ukuma ixesha elide, kunye nokunyakaza okubangela ukuba umlenze uguqule (njengokugqithisa ngamadolo) kungenza iimpawu zibe zibi nakakhulu.
Ukuhamba, ukulala phantsi, kunye nokunyakaza okwandisa umlanjeni (njengokuncinciza) kunokunciphisa iimpawu. Ngeempendulo kuyo nayiphi na imibuzo onokuba nayo nceda ufowunele uDkt Jimenez kwi-915-850-0900
by UGqr Alex Jimenez Unyango lwe-Acupuncture , Chiropractic , Sciatica , Sciatica Nerve Pain , Unyango lokuthotywa koMnqonqo , Unyango , I-Viscerosomatic Reflex
Ngaba unyango olungasebenzisi utyando olufana ne-acupuncture kunye ne-spinal decompression lubonelela ngesiqabu kubantu abajongene ne-sciatica?
intshayelelo
Xa abantu abaninzi beqala ukuva iintlungu ezihla emilenzeni emva kosuku olude lwemisebenzi, oko kubangela ukuba bangakwazi ukuhamba kunye nobunzima bokufumana indawo yokuphumla. Abantu abaninzi bacinga ukuba bajongana neentlungu zomlenze, kodwa kunokuba ngumcimbi ngakumbi njengoko beqonda ukuba akusiyo nje intlungu yomlenze abayifumanayo kodwa yi-sciatica. Ngelixa le nzwa ende ivela kumqolo osezantsi kwaye ihamba ihla ukuya emilenzeni, inokuzithoba kwiintlungu kunye nokungahambi kakuhle xa iidiski ze-herniated okanye izihlunu zicinezela kwaye zikhulise i-nerve. Xa oku kwenzeka, kunokuchaphazela ukuhamba komntu kunye nomgangatho wobomi, ngaloo ndlela kubangele ukuba bafune unyango lokunciphisa intlungu kwi-sciatica. Ngethamsanqa, ezinye iindlela zonyango ezifana ne-acupuncture kunye ne-spinal decompression ziye zasetyenziselwa ukunciphisa intlungu ye-sciatic kuphela kodwa nokubonelela ngemiphumo emihle, enenzuzo. Inqaku lanamhlanje lijonga i-sciatica, indlela ukuchithwa komgogodla kunye ne-acupuncture kunokunciphisa i-sciatica, kunye nendlela ukudibanisa ezi zibini zonyango ezingezona utyando kunokukhokelela kwimiphumo enenzuzo. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya indlela i-sciatica inokuchaphazela ngayo kakhulu impilo yomntu kunye nomgangatho wobomi. Siyazisa kwaye sikhokela izigulane malunga nendlela yokudibanisa unyango lwe-acupuncture kunye noxinzelelo lomgogodla kunokunciphisa ngokuqinisekileyo i-sciatica. Sikhuthaza izigulane zethu ukuba zibuze ababoneleli bezonyango abanxulumene nabo imibuzo enzima kunye nebalulekileyo malunga nokubandakanya unyango olungenalo utyando kwi-wellness routine ukukhulula i-sciatica kunye neempawu ezithunyelweyo. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli .
Ukuqonda iSciatica
Ngaba uhlala uziva ndindisholo okanye ukuntyiloza ukusuka emqolo ukuya emilenzeni yakho? Ngaba uziva ngathi ukuhamba kwakho kukwi-balance? Okanye ngaba uye wolula imilenze yakho emva kokuba uhleli ixeshana, nto leyo enikela isiqabu sokwexeshana? Ngelixa i-nerve ye-sciatic idlala indima ebalulekileyo ekusebenzeni kweemoto emilenzeni, xa izinto ezahlukeneyo, ezifana neediski ze-herniated kunye nokukhulelwa, ziqala ukunyusa i-nerve, kunokubangela intlungu. I-Sciatica yintlungu ebangelwa ngabom ehlala ibhalwa ngendlela engeyiyo njengeentlungu ezisezantsi okanye iintlungu zomlenze ngenxa yezi meko zimbini ze-musculoskelet. Ezi zi-comorbidities kwaye zinokongezwa ngokujija okulula kunye nokujika. ( Davis et al., 2024 )
Ukongezelela, xa abantu abaninzi benza ukunyakaza okuphindaphindiweyo okanye ukujongana neenguqu eziguqukayo kumqolo, i-spinal discs ixhomekeke kwi-herniation. Basenokucinezela kwimithambo yomqolo, ebangela ukuba imiqondiso ye-neuron ikhuphe iintlungu kunye nokungakhululeki kwiindawo ezisezantsi. ( Zhou et al., 2021 Ngexesha elifanayo, i-sciatica ingaba yimithombo yomgogodla kunye neyongezelelweyo ye-spinal kwingingqi ye-lumbar spinal, ebangela ukuba abantu abaninzi bahlale bebuhlungu kwaye bajonge ukukhululeka. ( Siddiq et al., 2020 ) Xa intlungu ye-sciatica iqala ukuchaphazela iindawo eziphantsi zomntu, ezibangela imiba yokuhamba, abantu abaninzi bafuna unyango lokunciphisa iintlungu ezinjengeentlungu ze-sciatica.
INzululwazi yeVidiyo eshukumayo
VIDEO
I-acupuncture yokunciphisa iintlungu ze-Sciatica
Xa kuziwa ekuphatheni i-sciatica, abantu abaninzi banokujonga kunyango olungelulo utyando ngenxa yokufikeleleka kunye nokusebenza ngempumelelo ekunciphiseni i-sciatica kunye neempawu ezihambelana neentlungu. Unyango olungasebenzisi utyando lunokwenziwa ngokwezifiso kwiintlungu zomntu kwaye zidityaniswe ukubuyisela umgangatho wobomi bomntu. Izonyango ezimbini ezingezizo utyando ezinokunceda ukunciphisa i-sciatica yi-acupuncture kunye ne-spinal decompression. I-acupuncture inembali ende yokubonelela ngemiphumo emihle ebalulekileyo ekunciphiseni intlungu ye-sciatic kunye nokuphucula umgangatho wobomi bomntu. ( Yuan et al., 2020 ) Iingcali eziqeqeshwe kakhulu ezivela eChina zisebenzisa i-acupuncture kwaye zibandakanya iinaliti ezincinci eziqinileyo ukubonelela ngokukhawuleza kwiimpawu ezinxulumene ne-sciatica. Oku kungenxa yokuba i-acupuncture yenza iziphumo ze-analgesic ngokulawula ukusebenza kwe-microglia, inqanda impendulo yendalo yomzimba, kunye ne-modulating receptors ecaleni kwendlela yentlungu kwinkqubo ye-nervous. ( Zhang et al., 2023 ) Ukuza kuthi ga ngoku, i<em>acupuncture inokuvuselela i<em>acupoints yomzimba ukuze ibuyisele ulungelelwano.
Iziphumo zeAcupuncture
Enye yeempembelelo ze-acupuncture yokunciphisa i-sciatica kukuba inokunciphisa ubunzima beentlungu ngokuguqula iipatheni zokusebenza kwengqondo xa i-receptors yentlungu iphazamiseka. ( Yu et al., 2022 ) Ukongezelela, xa i-acupuncturists iqala ukuvuselela imithambo-luvo kwimisipha kunye nezicubu, ikhulula i-endorphins kunye nezinye izinto ze-neurohumoral ezinceda ukutshintsha inkqubo yeentlungu kwinkqubo ye-nervous. I-acupuncture inceda ukunciphisa ukuvuvukala ngelixa iphucula ukuqina kwemisipha kunye nokuhamba ngokubambisana ngokunyusa i-microcirculation ukunciphisa ukuvuvukala ngelixa ivimbela intlungu ye-sciatica ekuchaphazeleni imilenze ephantsi.
Ukuthotywa koMnqonqo wokuNciphisa iintlungu zeSciatica
Olunye uhlobo lonyango olungenalo utyando luyi-decompression yomgogodla, kwaye inokunceda ukunciphisa imiphumo ye-sciatica kunye neempawu zayo ezibuhlungu ezihambelanayo. I-Spinal decompression isebenzisa itafile ye-traction ukuze yolule ngobunono umqolo ukwenza uxinzelelo olubi ngaphakathi kwe-spinal disc kunye nokukhulula i-nerve echaphazelekayo. Kubantu be-sciatica, olu nyango lungenalo utyando lukhulula i-nerve ye-sciatic njengoko ukunyanzeliswa komgogodla kunceda ukunciphisa ubunzima beentlungu kunye nokuphucula umsebenzi wokuhamba kwiindawo ezisezantsi. ( I-Choi et al., 2022 ) Injongo ephambili ye-spinal decompression kukudala indawo ngaphakathi kwi-spinal canal kunye ne-neural structures ukukhulula i-nerve ye-sciatic eyingozi ekubangeleni intlungu. ( Burkhard et al., 2022 )
Iziphumo zokuDodobala koMnqonqo
Abantu abaninzi banokuqala ukuziva bekhululekile ekufakeni ukudodobala komqolo kunyango lwabo lwempilo. Olu nyango olungasebenzisi utyando lukhuthaza ulwelo kunye nezondlo kwidiski yomgogodla ukukhaba-ukuqala inkqubo yokuphilisa yendalo yomzimba. Xa umqolo utyhulwa ngobumnene, kukho uxinzelelo oluncinci kwi-nerve ye-sciatic, enokunciphisa intlungu kunye nokuphucula ukuhamba. Ukongeza, abantu abaninzi baya kuziva ukuguquguquka kwabo kunye nokuhamba emva kwindawo yabo ye-lumbar.
Ukudibanisa i-acupuncture kunye ne-Spinal Decompression yokuNceda
Ngoko ke, xa abantu abaninzi beqala ukudibanisa i-spinal decompression kunye ne-acupuncture njengendlela epheleleyo kunye nengekho yokuhlinzwa yokunciphisa i-sciatica, iziphumo kunye neenzuzo zilungile. Nangona i-spinal decompression ijolise ekuphulukisweni komatshini we-spinal disc kunye nokunciphisa uxinzelelo lwe-nerve, i-acupuncture igxile ekunciphiseni intlungu kunye nokunciphisa ukuvuvukala kwinqanaba le-systemic. Oku kwandisa inkqubo yokuphilisa yendalo yomzimba kwaye kunika umphumo we-synergistic ukuphucula iziphumo zonyango. Unyango olungazenzisiyo olufana ne-acupuncture kunye nokuthotywa komqolo kunokubonelela ngesiphumo esinethemba kubantu abaninzi abafuna isiqabu kwiintlungu zabo ze-sciatic ngaphandle kokubhenela kwiinkqubo zotyando. Olu nyango luvumela umntu ukuba aphinde aphinde ahambe kwiindawo eziphantsi, ukunciphisa intlungu, kunye nokuphucula umgangatho wobomi ngokwenza abantu bakhumbule imizimba yabo kunye nokunciphisa amathuba okuba i-sciatica ibuyele. Ngokwenza oko, abantu abaninzi banokuphila ubomi obusempilweni nobungenazintlungu.
Ucaphulo
Burkhard, MD, Farshad, M., Suter, D., Cornaz, F., Leoty, L., Furnstahl, P., & Spirig, JM (2022). Ukuthotywa komqolo kunye nezikhokelo ezithile zesigulane. Umqolo J , 22 (7), 1160-1168. doi.org/10.1016/j.spinee.2022.01.002
Choi, E., Gil, HY, Ju, J., Han, WK, Nahm, FS, & Lee, PB (2022). Impembelelo ye-Nonsurgical Spinal Decompression kwi-Intensity of Pain kunye ne-Herniated Disc Volume kwi-Subacute Lumbar Herniated Disc. Ijenali yaMazwe ngaMazwe yoNyango lweKliniki , 2022 , 6343837. doi.org/10.1155/2022/6343837
UDavis, D., Maini, K., Taqi, M., & Vasudevan, A. (2024). Sciatica. Kwi StatPearls . www.ncbi.nlm.nih.gov/pubmed/29939685
Siddiq, MAB, Clegg, D., Hasan, SA, & Rasker, JJ (2020). I-sciatica eyongezelelweyo yomgogodla kunye ne-sciatica ilinganisa: ukuphononongwa kwe-scoping. Korean J Intlungu , 33 (4), 305-317. doi.org/10.3344/kjp.2020.33.4.305
Yu, FT, Liu, CZ, Ni, GX, Cai, GW, Liu, ZS, Zhou, XQ, Ma, CY, Meng, XL, Tu, JF, Li, HW, Yang, JW, Yan, SY, Fu, HY, Xu, WT, Li, J., Xiang, HC, Sun, TH, Zhang, B., Li, MH, . . . Wang, LQ (2022). I-acupuncture ye-sciatica engapheliyo: iprotocol yolingo olulawulwa ngokungahleliwe olune-multicenter. BMJ Open , 12 (5), e054566. doi.org/10.1136/bmjopen-2021-054566
Yuan, S., Huang, C., Xu, Y., Chen, D., & Chen, L. (2020). I-acupuncture ye-lumbar disc herniation: iProtocol yokuhlaziywa okucwangcisiweyo kunye nohlalutyo lwemeta. Iyeza (Baltimore) , 99 (9), e19117. doi.org/10.1097/MD.0000000000019117
Zhang, Z., Hu, T., Huang, P., Yang, M., Huang, Z., Xia, Y., Zhang, X., Zhang, X., & Ni, G. (2023). Ukusebenza kunye nokhuseleko lwe-acupuncture therapy ye-sciatica: ukuphononongwa ngokuchanekileyo kunye nohlalutyo lwemeta yeendlela ezilawulwa ngokungahleliwe. Front Neurosci , 17 , 1097830. doi.org/10.3389/fnin.2023.1097830
Zhou, J., Mi, J., Peng, Y., Han, H., & Liu, Z. (2021). Iintlangano ze-Causal of Obesity kunye ne-Intervertebral Degeneration, iintlungu ezisezantsi, kunye ne-Sciatica: iSampuli ezimbini zeMendelian zokuHlaziya. Front Endocrinol (Lausanne) , 12 , 740200. doi.org/10.3389/fendo.2021.740200
isikhanyeli
by UGqr Alex Jimenez Umqolo obuhlungu , Ubuhlungu obungapheliyo , Ubuhlungu obungapheliyo , Electroacupuncture Therapy , Sciatica , Sciatica Nerve Pain , Unyango , I-Viscerosomatic Reflex
Ngaba iimpembelelo ze-electroacupuncture zinganciphisa i-sciatica kubantu abajongene neentlungu ezisezantsi ukubuyisela ukuhamba kwabo?
intshayelelo
Xa abantu abaninzi beqala ukusebenzisa ngokugqithiseleyo izihlunu zabo kwii-quadrants ezisezantsi, kunokukhokelela kwimibandela emininzi ebangela intlungu kunye nokungahambi kakuhle. Enye yeengxaki eziqhelekileyo zentlungu kwi-quadrants ephantsi ye-musculoskeletal system yi-sciatica, ehambelana neentlungu ezisezantsi. Le duo yeentlungu inokuchaphazela inkqubo yomntu yemihla ngemihla kwaye ibakhokelele kwiintlungu kunye nokungakhululeki. Le meko ye-musculoskeletal ixhaphakile, kwaye xa ichaphazela enye yemilenze kunye nomqolo ophantsi, abantu abaninzi bathi yintlungu edubulayo ekhuphayo engapheli ixesha elide. Ngethamsanqa, kukho unyango olufana ne-electroacupuncture ukunciphisa i-sciatica ehambelana neentlungu ezisezantsi. Inqaku lanamhlanje lijonga uxhulumaniso lwe-sciatica-low-back, indlela i-electroacupuncture inciphisa ngayo uxhulumaniso lwentlungu, kunye nendlela i-electroacupuncture inokubuyisela ngayo ukuhamba komntu. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya indlela yokunciphisa i-sciatica-low-back connection kunye ne-electroacupuncture. Siyazisa kwaye sikhokela izigulane malunga nendlela unyango lwe-electroacupuncture olunokudibaniswa ngayo kunye nolunye unyango ukubuyisela ukuhamba emzimbeni. Sikhuthaza izigulane zethu ukuba zibuze ababoneleli babo bezonyango abahambelanayo nemibuzo ebalulekileyo malunga nokubandakanya unyango lwe-electroacupuncture njengenxalenye yendlela yabo yokunciphisa i-sciatica ehambelana neentlungu ezisezantsi. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli .
I-Sciatica kunye ne-Low Back Connection
Ngaba uziva iintlungu zemisipha okanye iintlungu kumqolo ongaphantsi okanye emilenzeni yakho? Ngaba ufumana iintlungu ezikhanyayo, ezibethayo emilenzeni yakho echaphazela amandla akho okuhamba? Okanye ngaba uye waphawula ukuba imilenze yakho kunye nomqolo osezantsi uqaqamba ngakumbi xa uphethe into enzima? Uninzi lwezi meko zidibene ne-sciatica, ehambelana neentlungu ezisezantsi. Ngoku, i-sciatica ihlala ibonakaliswe ngeentlungu ezibuhlungu ezihamba kunye ne-nerve ye-sciatic ukusuka kummandla osezantsi, ukuphazamisa umgangatho wobomi bomntu. Kwinkqubo ye-musculoskeletal, i-nerve ye-sciatic idlala indima ebalulekileyo ngokubonelela nge-motor function kwimilenze. ( Davis et al., 2024 ) Ngoku, xa i-nerve ye-sciatic, indawo ye-lumbar nayo inendima ebalulekileyo. Ummandla we-lumbar kwingingqi ye-musculoskeletal nayo inendima ebalulekileyo ekuboneleleni ngenkxaso, amandla, kunye nokuguquguquka komzimba. Nangona kunjalo, zombini i-nerve ye-sciatic kunye ne-lumbar spinal region ixhomekeke ngakumbi kuxinzelelo kunye nokulimala ngenxa yokulimala okubuhlungu kunye nezinto ezisingqongileyo ezinokuchaphazela i-lumbar spinal discs kunye ne-nerve ye-sciatic.
Ukuphindaphinda okuphindaphindiweyo, ukukhuluphala, ukunyuswa okungafanelekanga, imiba ephazamisayo yomgogodla, kunye neemeko ze-musculoskelet yizizathu ezimbalwa kunye nezinto ezinobungozi ezibangela ukuphuhliswa kwe-sciatica ehambelana nomqolo ongaphantsi. Oko kwenzekayo ekugqibeleni kukuba umxholo wamanzi kunye nokulahleka okuqhubekayo kweproteoglycans ye-spinal discs idiliza phakathi kwe-vertebrae kwaye ikhuphe ngaphandle ukuze icinezele i-nerve ye-sciatic, enokuthi icaphuke kwaye ibangele ubuhlungu obugqithisiweyo emilenzeni kunye nomqolo ophantsi. . ( Zhou et al., 2021 Ukudibanisa kwe-sciatica kunye neentlungu ezisezantsi zingaba ngumcimbi wentlalo-qoqosho ngokuxhomekeke kubunzima beentlungu ezibangelwa yi-nerve ye-sciatic kwaye zingenza abantu baphoswe kuyo nayiphi na imisebenzi abayithathayo. Siddiq et al., 2020 Nangona iimpawu ze-sciatica ezifana neentlungu zihlala zihambelana nommandla we-lumbar, abantu abaninzi banokufumana ukukhululeka abakufunayo ngonyango olwahlukeneyo.
Iimbangela zeSciatica-Ividiyo
VIDEO
I-Electroacupuncture Ukunciphisa i-Sciatica-Low Back Connection
Xa kufikwa ekunciphiseni unxibelelwano lwe-sciatic-low-back, abantu abaninzi bafuna unyango olufikelelekayo kwaye olusebenzayo ekwehliseni imiba efana neentlungu. Unyango olungaphangeliyo olufana ne-electroacupuncture lunokuba luncedo kubantu abaninzi abafumana iintlungu ze-sciatica ezinxulumene nomqolo ongezantsi. I-Electroacupuncture lolunye uhlobo lonyango lwesintu lwe-acupuncture olusuka e-China. Ii-acupuncturists eziqeqeshwe kakhulu zilandela imigaqo efanayo ye-acupuncture ngokubeka iinaliti eziqinileyo eziqinileyo kwii-acupoints ezahlukeneyo emzimbeni ukubuyisela i-qui okanye i-chi (ukuhamba kwamandla). I-Electroacupuncture idibanisa iinaliti kunye ne-electrostimulation ukunciphisa iindlela zokulawula intlungu ephakathi ezibangela iintlungu ezisezantsi kunye ne-sciatica ngokuthintela iimpawu zentlungu kunye nokubonelela intlungu. ( Kong, 2020 ) Ngelo xesha, i-electroacupuncture inikeza iipropati ze-analgesic ukuvuselela i-endorphins kunye nokunciphisa amayeza eentlungu kwiintlungu ezisezantsi ngokukhuselekileyo. ( Sung et al., 2021 )
Electroacupuncture Ukubuyisela Ukuhamba
Xa iziphelo ezisezantsi zifumana ukuhamba okulinganiselweyo ngenxa ye-sciatica ehambelana neentlungu ezisezantsi, i-electroacupuncture inokunceda ukukhulula izihlunu ezenza i-nerve ye-sciatic ibe nzima kwaye incedise ekuphuculeni ukuhamba kwegazi kwimisipha ye-lumbar. Kungenxa yokuba i-electroacupuncture inokuvuselela imimandla ethile yomzimba ukunciphisa i-somato-vagal-adrenal reflexes ukukhulula kunye nokubuyisela ukuhamba kwiindawo ezisezantsi. ( Liu et al., 2021 ) Ukongezelela, i-electroacupuncture inokudibaniswa kunye nezinye iindlela zonyango ezingezona utyando ukunceda ukuqinisa i-core kunye ne-back back muscles, ukuvumela abantu ukuba bakhumbule ukuba zeziphi izinto ezibangela i-sciatica kunye neentlungu ezisezantsi. Ngokwenza oku, abantu abaninzi abalwa ne-sciatica ehambelana neentlungu ezisezantsi zingabandakanya i-electroacupuncture njengenxalenye yenkqubo yabo yonyango edibeneyo kunye neendlela ezipheleleyo zokuphucula umgangatho wobomi kunye nokubonelela indlela yokuphucula ukuhamba kwabo.
Ucaphulo
UDavis, D., Maini, K., Taqi, M., & Vasudevan, A. (2024). Sciatica. Kwi StatPearls . www.ncbi.nlm.nih.gov/pubmed/29939685
Kong, JT (2020). I-Electroacupuncture yokuNyanga iiNzululwazi eziNgaphantsi eziNgapheliyo: Iziphumo zoPhando lwangaphambili. Med Acupunct , 32 (6), 396-397. doi.org/10.1089/acu.2020.1495
Liu, S., Wang, Z., Su, Y., Qi, L., Yang, W., Fu, M., Jing, X., Wang, Y., & Ma, Q. (2021). Isiseko se-neuroanatomical se-electroacupuncture ukuqhuba i-vagal-adrenal axis. indalo , 598 (7882), 641-645. doi.org/10.1038/s41586-021-04001-4
Siddiq, MAB, Clegg, D., Hasan, SA, & Rasker, JJ (2020). I-sciatica eyongezelelweyo yomgogodla kunye ne-sciatica ilinganisa: ukuphononongwa kwe-scoping. Korean J Intlungu , 33 (4), 305-317. doi.org/10.3344/kjp.2020.33.4.305
Sung, WS, Park, JR, Park, K., Youn, I., Yeum, HW, Kim, S., Choi, J., Cho, Y., Hong, Y., Park, Y., Kim, EJ , & Nam, D. (2021). Ukusebenza kunye nokhuseleko lwe-electroacupuncture kwiintlungu ezingapheliyo ezingapheliyo ezingapheliyo: iprotocol yokuhlolwa okucwangcisiweyo kunye / okanye uhlalutyo lwe-meta. Iyeza (Baltimore) , 100 (4), e24281. doi.org/10.1097/MD.0000000000024281
Zhou, J., Mi, J., Peng, Y., Han, H., & Liu, Z. (2021). Iintlangano ze-Causal of Obesity kunye ne-Intervertebral Degeneration, iintlungu ezisezantsi, kunye ne-Sciatica: iSampuli ezimbini zeMendelian zokuHlaziya. Front Endocrinol (Lausanne) , 12 , 740200. doi.org/10.3389/fendo.2021.740200
isikhanyeli
by UGqr Alex Jimenez Unyango lwe-Acupuncture , Ubuhlungu obungapheliyo , Sciatica , Sciatica Nerve Pain , Unyango , I-Viscerosomatic Reflex
Ngaba abantu abane-piriformis syndrome banokufaka i-acupuncture ngeendlela ezahlukeneyo zonyango ukunciphisa intlungu ye-nerve ye-sciatic kunye nezinye iimpawu?
intshayelelo
Njengoko abantu abaninzi bejikeleza besuka kwenye indawo besiya kwenye ngenxa yemilenze esezantsi, izihlunu ezijikelezileyo, iiligaments, iingcambu zemithambo-luvo, kunye nezicubu zinceda igalelo kumsebenzi we-sensory-motor of the hips, imilenze, iimpundu kunye neenyawo. Onke la maqela e-muscle afaka isandla ekuqinisekiseni ukuba ayakwazi ukuhamba ngaphandle kwemiphumo yeentlungu okanye ukungahambi kakuhle. Nangona kunjalo, izinto ezininzi kunye nemiba inokubangela ukuba imisipha ejikelezileyo iphuhlise iingxaki ze-musculoskelet ngokuhamba kwexesha, ezichaphazela ukuhamba komntu. Enye yezihlunu ezinceda ukwabelana ngoxanduva lokuhamba ezinqeni nasezinqeni yimisipha ye-piriformis, ehlala ihoywa xa ukulimala okuhlukeneyo okanye ukunyakaza okuphindaphindiweyo kuqala ukuchaphazela amandla omntu ukuhamba. Inqaku lanamhlanje lihlola indlela i-piriformis syndrome echaphazela ngayo ukuhamba, indlela intlungu ye-sciatic ehambelana ngayo ne-piriformis syndrome, kunye nendlela unyango olufana ne-acupuncture lunokunceda ukunciphisa i-piriformis syndrome. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukubonelela ngeendlela ezininzi zonyango ukunciphisa i-piriformis syndrome echaphazela ukuhamba komntu. Siyazisa kwaye sikhokela izigulane malunga nendlela unyango olufana ne-acupuncture olunokunceda ngayo ukunciphisa intlungu ye-nerve ye-sciatic ehambelana ne-piriformis syndrome. Sikhuthaza izigulane zethu ukuba zibuze ababoneleli babo bezonyango abadibeneyo kunye nemibuzo ebalulekileyo malunga neempawu ezibhekiselele kwiintlungu ezibangelwa yi-piriformis syndrome echaphazela ukukwazi kwabo ukuhamba. UDkt Jimenez, DC, udibanisa le ngcaciso njengenkonzo yezemfundo. isikhanyeli .
I-Piriformis Syndrome echaphazela ukuHamba
Ngaba uye wafumana ukuqina kwemisipha kwindawo yakho okanye kwindawo ye-buttock, echaphazela amandla akho okuhamba? Ngaba uziva ukuba ndindisholo, ukuntlitheka, okanye iintlungu ezitshisayo ezihamba emadolweni nasezinyaweni zakho? Okanye, emva kosuku olude lomsebenzi, ngaba uziva iintlungu xa uhleli phantsi? Uninzi lwezi zibonakaliso zihlala zihambelana ne-piriformis syndrome. Izihlunu ezithandathu ezijikelezayo ezijikeleze ummandla we-gluteal wamathanga kunye nezinqe zonke zisebenza kunye ukuze zibonelele ukunyakaza komzimba ophantsi ngelixa uzinzisa umlenze kunye nokujikeleza amathanga. Isihlunu se-piriformis sisisipha esincinci, esisicaba, esine-pear esihamba phezu kwe-nerve ye-sciatic. I-Piriformis syndrome yimeko yeklinikhi ye-musculoskelet ebangela ukuba abantu abaninzi baxele ukudubula kunye neentlungu ezitshisayo ukuya kwindawo yabo yeempundu. ( Hicks et al., 2024 ) Oku kubangela ukuba abantu abaninzi bacinge ukuba bajongene neentlungu ezisezantsi ezinxulumene ne-sciatica. Xa umntu ejongene ne-piriformis syndrome, baya kuba nokuhamba okulinganiselweyo ezinqeni zabo, okuthi, ekuhambeni kwexesha, ukuba kungaphathwanga, kuya kuchaphazela amathanga kunye nemilenze.
I-Sciatic Nerve Pain ihambelana njani nePiriformis Syndrome?
Ukongezelela, ekubeni i-piriformis syndrome ihambelana nentlungu ye-nerve ye-sciatic, ezinye iziphumo zeklinikhi ezibangela ukugqithiswa kweeprofayili zomngcipheko ziquka ukujikeleza kwe-hip yangaphandle kunye nokuqina kwemisipha ye-lumbosacral muscle. Ezinye iziphumo zeklinikhi zivela kwintlungu ye-palpatory ngaphezu kwe-notch enkulu ye-sciatic ukuya kwiintlungu ezibuhlungu kwindawo ehleliyo. ( Sharma et al., 2023 ) Ekubeni i-nerve ye-sciatic entrapment ihambelana ne-piriformis syndrome, isathathwa njenge-non-discogenic imbangela ye-sciatica. ( Unyana & Lee, 2022 ) Xa loo nerve ye-sciatic ibanjwe ngaphakathi kwe-piriformis muscle, abantu abaninzi baya kuba ne-numbness, i-sensations, kunye neepatheni ezifanayo zentlungu emilenzeni, njenge-sciatica; nangona kunjalo, xa abantu befuna unyango lokunciphisa intlungu ye-nerve ye-sciatic kunye nokuphucula imisipha ye-piriformis.
Unyango lwe-Acupuncture lunciphisa i-Piriformis Syndrome
Xa abantu befuna unyango lokunciphisa intlungu ye-nerve ye-sciatic ehambelana ne-piriformis syndrome, bafuna unyango olufikelelekayo kwaye lunokunciphisa intlungu ngeeseshoni ezilandelelanayo. Unyango lwe-acupuncture lunokunceda ukunciphisa imiphumo ye-piriformis syndrome. I-acupuncture lunyango olongezelelweyo kunye nolunye unyango oluvela e-China olusebenzisa iinaliti eziqinileyo, ezibhityileyo eziza kufakwa kwii-acupoints emzimbeni. Ukongezelela, iingcali eziqeqeshwe kakhulu zinokubandakanya iindlela ezahlukeneyo ze-acupuncture ukunyanga nokunciphisa imiphumo ye-piriformis syndrome. ( U-et al., 2023 ) Ngexesha elifanayo, xa umntu ephathwa nge-piriformis syndrome, i-acupuncturist isebenzisa iindlela ezikhokelwa yi-ultrasound ukuvumela ukufakwa kwenaliti echanekileyo ngaphakathi kwemisipha enzulu ukubonelela ngempendulo yonyango olusebenzayo. ( Fusco et al., 2018 ) Oku kuvumela izihlunu ezichaphazelekayo ukuba ziphumle kwaye zinciphise intlungu ye-nerve ye-sciatic.
I-Acupuncture yokunciphisa iintlungu zeNerve ye-Sciatic
Ekubeni intlungu ye-nerve ye-sciatic kunye ne-piriformis syndrome ineeprofayili ezinobungozi ezigqithisiweyo, zinokudibaniswa nezinye iimeko zentlungu ye-musculoskelet enokuchaphazela ukuhamba komntu. I-acupuncture inokunceda ukunciphisa iimpawu zentlungu ezibangela ukuphazamiseka kwemoto okanye kwi-sensory ngaphakathi kwe-pelvic kunye ne-hip. ( Kvorning et al., 2004 ) I-acupuncture enye yeendlela zakudala zonyango olungaxutywanga olunokuthi ludityaniswe nezinye iindlela zokwelapha ezahlukeneyo zokunceda ukubuyisela umlenze kunye nokunciphisa intlungu echaphazela i-nerve ye-sciatic ngelixa inika uncedo. ( Vij et al., 2021 ) Ngokubandakanya i-acupuncture njengenxalenye yesicwangciso sonyango lwezempilo kunye nokuphila kakuhle komntu, baya kuqala ukulawula ngokuthe ngcembe iimpawu ezihambelanayo kunye nokunciphisa amathuba e-piriformis syndrome ekubuyeleni kubangela intlungu ye-nerve ye-sciatic kwiindawo ezisezantsi. Oku kuvumela abantu ukuba bacinge ngakumbi kwaye bancede ukubuyisela inkqubo yokuphilisa yendalo yomzimba ngokuhamba kwexesha.
Banga kwakhona ukuHamba kwakho-Ividiyo
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Ucaphulo
Fusco, P., Di Carlo, S., Scimia, P., Degan, G., Petrucci, E., & Marinangeli, F. (2018). I-Ultrasound-guided Dry Needling Treatment of Myofascial Trigger Points for Piriformis Syndrome Management: A Case Series. J Chiropr Med , 17 (3), 198-200. doi.org/10.1016/j.jcm.2018.04.002
Yena, Y., Miao, F., Fan, Y., Zhang, F., Yang, P., Zhao, X., Wang, M., He, C., & He, J. (2023). Iindlela ze-Acupuncture ze-Piriformis Syndrome: iProtocol yokuHlola ngokuCwangcisiweyo kunye neNethiwekhi yeMeta-Analysis. J Iintlungu Res , 16 , 2357-2364. doi.org/10.2147/JPR.S417211
Hicks, BL, Lam, JC, & Varacallo, M. (2024). I-Piriformis Syndrome. Kwi StatPearls . www.ncbi.nlm.nih.gov/pubmed/28846222
Kvorning, N., Holmberg, C., Grennert, L., Aberg, A., & Akeson, J. (2004). I-acupuncture ikhulula i-pelvic kunye neentlungu ezisezantsi ekukhulelweni kwexesha. I-Acta Obstet Gynecol Scand , 83 (3), 246-250. doi.org/10.1111/j.0001-6349.2004.0215.x
Sharma, S., Kaur, H., Verma, N., & Adhya, B. (2023). Ukujonga ngaphaya kwePiriformis Syndrome: Ngaba ngokwenene yiPiriformis? Isifuba seHip , 35 (1), 1-5. doi.org/10.5371/hp.2023.35.1.1
Unyana, BC, & Lee, C. (2022). I-Piriformis Syndrome (i-Sciatic Nerve Entrapment) Edityaniswa Nohlobo lwe-C Sciatic Nerve Variation: Ingxelo yeemeko ezimbini kunye nokuphononongwa koncwadi. Korean J Neurotrauma , 18 (2), 434-443. doi.org/10.13004/kjnt.2022.18.e29
Vij, N., Kiernan, H., Bisht, R., Singleton, I., Cornett, EM, Kaye, AD, Imani, F., Varrassi, G., Pourbahri, M., Viswanath, O., & Urits , I. (2021). UKhetho loNyango loTyando kunye noluNgelulo utyando lwePiriformis Syndrome: Uphononongo loNcwadi. Anesth Pain Med , 11 (1), e112825. doi.org/10.5812/aapm.112825
isikhanyeli
by UGqr Alex Jimenez Unyango lwe-Acupuncture , Ubuhlungu obungapheliyo , Sciatica , Sciatica Nerve Pain , Unyango , I-Viscerosomatic Reflex
Ngaba abantu abajongene neentlungu ze-sciatica banokulufumana uncedo abaludingayo kwi-acupuncture ukuze babuyisele ukuhamba okuphantsi?
intshayelelo
Iziphelo ezisezantsi zomzimba zibonelela ngokuzinza kunye nokunyakaza kumntu ngamnye njengoko behamba besuka kwenye indawo ukuya kwenye ngaphandle kwentlungu okanye ukungahambi kakuhle. Iziphelo ezisezantsi zibandakanya i-hips, i-back back, imilenze, amathanga, i-pelvis, amadolo kunye neenyawo; nganye inezihlunu ezahlukeneyo, iingcambu zemithambo-luvo, kunye nemigqaliselo enomsebenzi othile kwi-quadrant ye-muscle nganye. Ikholamu yomgogodla kwi-musculoskeletal system inceda ukubonelela ngokufanelekileyo ngokufanelekileyo ngelixa ukhusela intambo yomgogodla kukulimala. Nangona kunjalo, ngokuphindaphindiweyo, iziphelo ezisezantsi zinokunikezela kukulimala njengoko abantu abaninzi bebandakanya ukunyakaza okuphindaphindiweyo okunokuthi kucinezele iingcambu ze-nerve ezisasazwa kwiindawo ezisezantsi, ezinokuthi zifake intlungu. Intlungu eqhelekileyo ebonakala ichaphazela umva ophantsi kunye nemilenze yi-sciatica, kwaye xa ingaphathwa, inokubangela ukugqithiswa kweeprofayili ezinobungozi kwiindawo ezisezantsi. Inqaku lanamhlanje lihlola indlela i-sciatica ehambelana ngayo ne-back back kunye nendlela unyango olungenalo utyando lunokunceda ukunciphisa imiphumo yeentlungu ze-sciatic. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukubonelela ngeendlela ezininzi zonyango ukukhulula intlungu ye-sciatica echaphazela iziphelo zabo ezisezantsi. Kwakhona siyazisa kwaye sikhokela izigulane malunga nendlela unyango olungenalo utyando lunokunceda ukunciphisa intlungu ye-sciatica ukusuka kwimida ephantsi ye-musculoskeletal. Sikhuthaza izigulane zethu ukuba zibuze ababoneleli babo bezonyango abadibeneyo kunye nemibuzo ebalulekileyo malunga neempawu ezinjengeentlungu ezihlangabezana nazo kwi-sciatica ezibangela intlungu. UDkt Jimenez, DC, udibanisa le ngcaciso njengenkonzo yezemfundo. isikhanyeli .
I-Sciatica ihambelana njani nomqolo osezantsi?
Ngaba udla ngokuba nama-numb okanye ukuntlontlozela okuhla emlenzeni wakho okubangela ukuba umlenze okanye unyawo lwakho lulahlekelwe yimvakalelo ngokufutshane? Ngaba uziva intlungu yokudubula kumqolo wakho ongaphantsi emva kokuhlala ngokugqithisileyo kwidesika yakho? Okanye ngaba ufumanisa ukuba ukolula imilenze yakho okanye umva kuyayithomalalisa okwexeshana intlungu, kuphela ukuba iphinde ibuye? Uninzi lwabantu abafumana iintlungu zokudutyulwa ezihla imilenze yabo bajongana ne-sciatica. Xa kuziwa kwiindawo ezisezantsi kwi-musculoskeletal system, abantu abaninzi benza ukunyakaza okuphindaphindiweyo kumqolo wabo onokubangela ukuba i-spinal discs ixinzelelwe kwaye ifakwe phantsi koxinzelelo. Xa i-disc ye-spinal i-herniated kwi-lumbar spine, loo diski iya kuqala ukucinezela kwiingcambu ze-nerve ezijikelezayo, ngaloo ndlela ithumela iintlungu ezikhuphayo phantsi kwemilenze. I-Sciatica ichazwa njengaxa abantu beva iintlungu ezivela kwingcambu ye-lumbosacral ye-nerve kwaye ibangela ukutshisa, ubunzima, okanye ukuva ubunzima. ( UAguilar-Shea et al., 2022 ) I-Sciatica inokuvela kwi-mild to serious, iphoqa abantu abaninzi ukuba bacinge ukuba unyawo lwabo lulele. Nangona kunjalo, ingcambu ye-nerve ye-sciatic icinezelekile, ibanjwe, ibambelele, okanye igxininiswe, ebangela i-spasms ye-muscle ngaphakathi kwe-back back, i-buttock, okanye imilenze. Ngenxa yoko, abantu abaninzi baya kuchaza ukuba bafumana intlungu ephantsi okanye emilenzeni xa i-sciatica.
Ekubeni i-nerve ye-sciatic yi-nerve ende, enzima emzimbeni womntu, ihamba ukusuka kwindawo ye-lumbar ukuya edolweni kwaye idibanise kwezinye iintsholongwane ukuze ifike enyaweni. Iintlungu ze-Sciatica zinokuba ziimeko ezimbini ezineempembelelo ezifanayo zentlungu ezibizwa ngokuba yinyani okanye iimeko ezinjenge-sciatica. I-sciatica yokwenyani kulapho ukwenzakala kuchaphazela ngqo i-nerve ye-sciatic. Oku kunokuhambelana nediski etyibilikayo ebangelwa yimiba yokusingqongileyo efana nokuphakamisa into enzima, ukwenza mandundu ingcambu ye-nerve ye-sciatic, kwaye ibangele intlungu eyandayo. ( Siddiq et al., 2020 ) Kwiimeko ezinjenge-sciatica, oku kulapho ezinye iimeko ze-musculoskelet zibangela iimpawu ze-sciatic ezifana neentlungu kwiindawo ezisezantsi. Iimeko ze-musculoskeletal ezifana ne-piriformis syndrome zingabangela iimpawu ezifana nentlungu ye-sciatica apho i-piriformis muscle icaphukile okanye ivutha, icinezela i-nerve ye-sciatic, ebangela ukuba abantu abaninzi bachaze intlungu kunye nommandla we-gluteal onokuthi udubule ukuvutha, ukuvakalelwa okubuhlungu phantsi komva imilenze. ( Hicks et al., 2024 ) Nangona kunjalo, kukho iindlela zokunyanga i-sciatica kunye nokunciphisa imiphumo efana nentlungu ebangela imiba yokuhamba.
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Unyango olungelulo utyando lwe-Sciatica
Xa kufikwa ekunciphiseni iintlungu ze-sciatica, abantu abaninzi baya kufuna unyango olunexabiso elisebenzayo kunye nolwenzelwe intlungu yomntu. Olunye unyango, olufana ne-neural mobilization, lunokusebenzisa amandla omatshini kwiingcambu zemithambo-luvo ukubuyisela intshukumo enempilo emilenzeni nakwiziphelo ezisezantsi. ( Peacock et al., 2023 ) Olunye unyango, olufana nokuthotywa komgogodla, sebenzisa i-traction ethambileyo kwi-spinal disc ukubeka uxinzelelo kwi-nerve ye-sciatic ukunika uncedo. Unyango olungasebenzisi utyando luthandeka kubantu abaninzi ngenxa yokuba lufikeleleka kangakanani kwaye lulungiselelwe umntu kwiintlungu zomntu njengoko lunceda ekunciphiseni iintlungu nokukhubazeka. ( Liu et al., 2023 ) Ngethamsanqa, uhlobo lonyango olungenalo utyando lunokunceda ukukhulula i-sciatica kunye neempawu ezihambelana nentlungu.
I-Acupuncture yokuphelisa iintlungu ze-Sciatic
I-acupuncture yenye yeendlela zakudala zonyango olungasebenzisiyo apho iingcali eziqeqeshiweyo zisebenzisa iinaliti ezincinci, eziqinileyo ukuba zifakwe kwaye zibekwe kwindawo echaphazelekayo, ebangela intlungu. I-acupuncture inokunceda ukunciphisa ukuphazamiseka kweengcambu ze-nerve ezichaphazelekayo, kunye nee-cytokines ezivuthayo zendawo ezihambelana ne-sciatica. ( Yu et al., 2021 ) Yintoni le nto iyenzayo kukuba iqhelekile izibonakaliso ze-neuron kwimodi engagqibekanga ukusuka ekukhuliseni imicu ye-muscle ejikelezileyo kunye nokwehla kweentlungu. Ukongezelela, i-acupuncture inokunceda ukubuyisela i-qi yomzimba okanye amandla ngokunciphisa intlungu ngokubeka iinaliti kwi-acupoint yamalungu abalulekileyo abelana ngobudlelwane kunye ne-nerve ye-sciatic. ( Yu et al., 2022 ) Oku kwaziwa ngokuba yi-somato-visceral, apho amalungu abalulekileyo anokuba yindawo echaphazelekayo, ebangela ukugqithelana kwemisipha kunye neeprofayili zomngcipheko we-nerve. I-acupuncture yindlela egqwesileyo yonyango olungasebenzisi utyando olunokuthi ludityaniswe nezinye iindlela zonyango ezahlukeneyo zokunceda ukubuyisela imeko yendalo yomzimba kwaye uvumele abantu ukuba bakhumbule ngakumbi indlela yokunyamekela imizimba yabo ngokulula ukukhusela iimpawu ezinjengeentlungu ze-sciatica. evelayo.
Ucaphulo
Aguilar-Shea, AL, Gallardo-Mayo, C., Sanz-Gonzalez, R., & Paredes, I. (2022). Sciatica. Ulawulo lwamagqirha eentsapho. J Ukhathalelo lwexesha elizayo lweSapho , 11 (8), 4174-4179. doi.org/10.4103/jfmpc.jfmpc_1061_21
Hicks, BL, Lam, JC, & Varacallo, M. (2024). I-Piriformis Syndrome. Kwi StatPearls . www.ncbi.nlm.nih.gov/pubmed/28846222
Liu, C., Ferreira, GE, Abdel Shaheed, C., Chen, Q., Harris, IA, Bailey, CS, Peul, WC, Koes, B., & Lin, CC (2023). Utyando oluchasene nonyango olungenalo utyando lwe-sciatica: ukuphononongwa ngokuchanekileyo kunye nohlalutyo lwe-meta lwezilingo ezilawulwa ngokungahleliwe. BMJ , 381 , e070730. doi.org/10.1136/bmj-2022-070730
IPacock, M., Douglas, S., & Nair, P. (2023). I-Neural mobilization kwi-low back and radicular pain: uphononongo olucwangcisiweyo. J Man Manip Ther , 31 (1), 4-12. doi.org/10.1080/10669817.2022.2065599
Siddiq, MAB, Clegg, D., Hasan, SA, & Rasker, JJ (2020). I-sciatica eyongezelelweyo yomgogodla kunye ne-sciatica ilinganisa: ukuphononongwa kwe-scoping. Korean J Intlungu , 33 (4), 305-317. doi.org/10.3344/kjp.2020.33.4.305
Yu, FT, Liu, CZ, Ni, GX, Cai, GW, Liu, ZS, Zhou, XQ, Ma, CY, Meng, XL, Tu, JF, Li, HW, Yang, JW, Yan, SY, Fu, HY, Xu, WT, Li, J., Xiang, HC, Sun, TH, Zhang, B., Li, MH, . . . Wang, LQ (2022). I-acupuncture ye-sciatica engapheliyo: iprotocol yolingo olulawulwa ngokungahleliwe olune-multicenter. BMJ Open , 12 (5), e054566. doi.org/10.1136/bmjopen-2021-054566
Yu, FT, Ni, GX, Cai, GW, Wan, WJ, Zhou, XQ, Meng, XL, Li, JL, Tu, JF, Wang, LQ, Yang, JW, Fu, HY, Zhang, XC, Li, J., Wang, YF, Zhang, B., Zhang, XH, Zhang, HL, Shi, GX, & Liu, CZ (2021). Ukuphumelela kwe-acupuncture ye-sciatica: iprotocol yokufunda yovavanyo olulawulwa ngokungahleliwe. Zilingo , 22 (1), 34. doi.org/10.1186/s13063-020-04961-4
isikhanyeli
by UGqr Alex Jimenez Chiropractic , Ubuhlungu obungapheliyo , I-Hip Pain kunye nokuphazamiseka , Sciatica , Sciatica Nerve Pain , Unyango lokuthotywa koMnqonqo , Unyango , I-Viscerosomatic Reflex
Ngaba abantu abajongana neentlungu ze-hip, banokufumana isiqabu abayifunayo kwi-spinal decompression ukuze banciphise iintlungu zabo ze-sciatica?
intshayelelo
Xa kuziwa kubantu abenza iintshukumo zemihla ngemihla, umzimba unokuba kwindawo ezingaqhelekanga ngaphandle kweentlungu okanye ukungakhululeki. Ngenxa yoko, abantu banokuma okanye bahlale ixesha elide kwaye bazive belungile xa besenza imisebenzi enzima. Nangona kunjalo, njengoko umzimba uguga, imisipha ejikelezileyo kunye nemigqa ingaba buthathaka kwaye iqinile, ngelixa i-spinal joints kunye ne-discs iqala ukuxinzezeleka kwaye igugile. Oku kungenxa yokuba abantu abaninzi benza ukunyakaza okuphindaphindiweyo emizimbeni yabo ebangela iimpawu ezinjengeentlungu emqolo, ezinqeni, entanyeni, nasezinqeni zomzimba, ezikhokelela kwiintlungu ezigqithisiweyo kwiindawo ezahlukeneyo zomzimba. Xa abantu besiva iintlungu ze-musculoskeletal emizimbeni yabo, kunokubangela ukugcwala kweeprofayili zomngcipheko ezinokuthi zithintele umntu kwaye zibangele ukuba bakhathazeke. Ukongezelela, xa abantu beva ubuhlungu be-musculoskelet emizimbeni yabo, abaninzi baya kufuna unyango lokunciphisa iimpawu ezigqithisiweyo ezifana neentlungu ezinxulumene nentlungu ye-musculoskeletal. Inqaku lanamhlanje liza kuhlolisisa uhlobo olulodwa lweentlungu ze-musculoskeletal ezinqeni, ukuba zingabangela njani iingxaki ezinjenge-sciatica, kunye nendlela unyango olufana nokunciphisa uxinzelelo lunokunciphisa iintlungu ezinjengeentlungu ze-hip ezihambelana ne-sciatica. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukubonelela ngeendlela ezininzi zonyango ukukhulula intlungu ye-hip ehambelana ne-sciatica. Siyazisa kwaye sikhokela izigulane malunga nendlela ukuchithwa kwe-decompression kunokunceda ukunciphisa iimpawu ezinjengeentlungu ezifana ne-sciatica kunye nokubuyisela ukuhamba kwe-hip. Sikhuthaza izigulane zethu ukuba zibuze ababoneleli babo bezonyango abanxulumene nabo imibuzo enzima kunye nebalulekileyo malunga neempawu ezifana nentlungu abazifumanayo kwiintlungu ze-hip. UDkt Jimenez, DC, udibanisa le ngcaciso njengenkonzo yezemfundo. isikhanyeli .
Iintlungu ze-Hip ezinxulumene ne-Sciatica
Ngaba uhlala ufumana ukuqina kwi-back back and hips emva kokuhlala phantsi ixesha elide? Kuthekani ngokuziva iintlungu ezikhuphayo zihla ukusuka kumqolo wakho ongezantsi ukuya emilenzeni yakho? Okanye ngaba ucinga ukuba izihlunu zakho ze-hip kunye nethanga ziba nzima kwaye zibuthathaka, ezichaphazela ukuzinza kwakho? Abantu abaninzi abahlangabezana nale miba efana neentlungu bava iintlungu ze-hip, kwaye inokuba ngumba xa inganyangwa ngokuhamba kwexesha. Ekubeni intlungu ye-hip yinto eqhelekileyo kwaye ikhubaza imeko enzima ukuyixilonga, abantu abaninzi bahlala bevakalisa intlungu yendawo kwindawo enye yemimandla emithathu ye-anatomic: i-anterior, posterior, kunye ne-lateral hip section. ( UWilson & Furukawa, ngo-2014 ) Xa abantu bejongene neentlungu ze-hip, baya kuba neentlungu ezigqithisiweyo kwi-back backs zabo, ezibangela ukuba babandezeleke kwaye bahlupheke. Kwangaxeshanye, ukunyakaza okuqhelekileyo okuqhelekileyo njengokuhlala okanye ukuma kunokuchaphazela izihlunu kunye nemigqa ejikeleze isinqe kwaye kunokuba yingozi. Oku kunokubangela ukuba intlungu ye-hip idluliselwe kwi-lumbar spine kunye neengxaki zomqolo, ezibangela ukuba imiba ye-musculoskeletal ifikelele kwiindawo ezisezantsi. ( ULee et al., 2018 )
Ngoko ke, intlungu ye-hip iya kudibaniswa njani ne-sciatica kwaye ibangele intlungu kwiindawo ezininzi ezisezantsi? Iindawo ze-hip kwi-musculoskeletal system zinezihlunu ezininzi ezijikeleze indawo yethambo le-pelvic enokuthi ibe qinile kwaye ibe buthathaka, ibangele intlungu ye-musculoskeletal evela kwimiba ye-intrapelvic kunye ne-gynecologic. ( Chamberlain, 2021 ) Oku kuthetha ukuba ukuphazamiseka kwe-musculoskelet njenge-piriformis syndromes ehambelana neentlungu ze-hip kunokukhokelela kwi-sciatica. I-nerve ye-sciatic ihamba phantsi ukusuka kwingingqi ye-lumbar kunye neempundu kunye nasemva komlenze. Xa umntu ejongene ne-sciatica kwaye uya kugqirha wabo oyintloko ukuba aphathwe ngentlungu, oogqirha babo baya kwenza uviwo lomzimba ukuze babone ukuba zeziphi izinto ezibangela intlungu. Ezinye zezinto ezifunyenweyo eziqhelekileyo ngexesha lovavanyo lomzimba lwaluthamba kunye ne-palpation yenotshi enkulu ye-sciatic kunye nokuzala kweentlungu ezinqeni. ( Unyana & Lee, 2022 ) Oku kubangela iimpawu ezihambelanayo ezihambelana ne-sciatica kunye neentlungu ze-hip, kuquka:
Ukurhawuzelela/ukuba nomsindo Ukuthamba kwezihlunu Iintlungu xa uhleli okanye umile Ukungakhululeki
Ngaba intshukumo isitshixo sokuPhilisa-Ividiyo
VIDEO
Ukunyanzeliswa koMnqongo Ukunciphisa Ubuhlungu be-Hip
Nangona kunjalo, abantu abaninzi baya kufumana unyango olungasebenzisi utyando ukunceda ukunciphisa i-sciatica ehambelana neentlungu ze-hip. Unyango olungasebenzisi utyando lulolongelwe kwiintlungu zomntu kwaye luyonga iindleko ngelixa luthambile kumqolo. Ukunyanzeliswa komgogodla kunokunceda ukunciphisa intlungu ye-hip ehambelana ne-sciatica. I-Decompression kumqolo ivumela ukutsalwa okuthambileyo ukolule izihlunu ezibuthathaka ecaleni komqolo osezantsi kunye nesinqe ngelixa i-spinal discs ifumana uxinzelelo olubi. Xa umntu ejongene nentlungu ye-sciatica ehambelana nentlungu ye-hip kunye nokuzama ukuchithwa okokuqala, babonelelwa ngokukhululeka okufanelekileyo. ( UCrisp et al., ngo-1955 )
Ukongezelela, abantu abaninzi ababandakanya ukudakumba ngenxa yeentlungu zabo ze-hip banokuqala ukuva iziphumo zabo njengoko kunceda ekuphuculeni ukuhamba kwegazi ukubuyela ezinqeni ukuqala inkqubo yokuphilisa yendalo. ( U-Hua et al., 2019 ) Xa abantu beqala ukubandakanya i-decompression ngenxa yeentlungu zabo ze-hip, banokukhululeka njengoko beva zonke iintlungu zabo kunye neentlungu ziphela ngokuthe ngcembe njengoko ukuhamba kunye nokujikeleza kubuyela kwiindawo ezisezantsi.
Ucaphulo
Chamberlain, R. (2021). Ubuhlungu be-Hip kubantu abadala: uVavanyo kunye neDifferential Diagnosis. Ugqirha wezeMerika waseMerika , 103 (2), 81-89. www.ncbi.nlm.nih.gov/pubmed/33448767
www.aafp.org/pubs/afp/issues/2021/0115/p81.pdf
Crisp, EJ, Cyriax, JH, & Christie, BG (1955). Ingxoxo ngonyango lwe-backache ngokutsala. Proc R Soc Med , 48 (10), 805-814. www.ncbi.nlm.nih.gov/pubmed/13266831
www.ncbi.nlm.nih.gov/pmc/articles/PMC1919242/pdf/procrsmed00390-0081.pdf
Hua, KC, Yang, XG, Feng, JT, Wang, F., Yang, L., Zhang, H., & Hu, YC (2019). Ukusebenza kunye nokhuseleko lwe-core decompression kunyango lwe-femoral head necrosis: ukuphononongwa ngokuchanekileyo kunye nohlalutyo lwe-meta. J Orthop Surg Res , 14 (1), 306. doi.org/10.1186/s13018-019-1359-7
Lee, YJ, Kim, SH, Chung, SW, Lee, YK, & Koo, KH (2018). Iimbangela ze-Hip ezingapheliyo ze-Hip Pain Engafunyaniswanga okanye i-Misdiagnosed ngabaGqirha basePrayimari kwi-Young Adult Patients: i-Retrospective Descriptive Study. J isiKorea uMedi weSayensi , 33 (52), e339. doi.org/10.3346/jkms.2018.33.e339
Unyana, BC, & Lee, C. (2022). I-Piriformis Syndrome (i-Sciatic Nerve Entrapment) Edityaniswa Nohlobo lwe-C Sciatic Nerve Variation: Ingxelo yeemeko ezimbini kunye nokuphononongwa koncwadi. Korean J Neurotrauma , 18 (2), 434-443. doi.org/10.13004/kjnt.2022.18.e29
Wilson, JJ, & Furukawa, M. (2014). Ukuvavanywa kwesigulane ngentlungu ye-hip. Ugqirha wezeMerika waseMerika , 89 (1), 27-34. www.ncbi.nlm.nih.gov/pubmed/24444505
www.aafp.org/pubs/afp/issues/2014/0101/p27.pdf
isikhanyeli
by UGqr Alex Jimenez Ubuhlungu obungapheliyo , Sciatica Nerve Pain
Kubantu abajongene ne-sciatica engapheliyo, xa intlungu kunye nezinye iimpawu zichaphazela kakhulu imisebenzi yemihla ngemihla kunye nokukwazi ukuhamba, ngaba umboneleli wezempilo we-musculoskeletal unokunceda ukukhulula nokulawula iimpawu ngokusebenzisa isicwangciso sonyango lwe-multidisciplinary?
I-Sciatica engapheliyo
I-Sciatica yimeko eqhelekileyo ebangelwa ukunyanzeliswa kwe-nerve ye-sciatic kumqolo ophantsi okanye emlenzeni. I-sciatica engapheliyo yenzeka xa iimpawu zihlala kwiinyanga ze-12 okanye ngaphezulu.
Iimpawu eziphambili zeSciatica
I-Advanced okanye i-sciatica engapheliyo ngokuqhelekileyo ivelisa intlungu ephumayo okanye ehamba phantsi ngasemva komlenze. Uxinzelelo lwe-nerve ye-sciatic ixesha elide lunokubangela:
Intlungu yomlenze
Ubungqina
Ukulinganisa
Ukuziva kombane okanye ukutshisa
Ubuthathaka
Ubuthathaka
Ukungazinzi kwemilenze, enokuchaphazela ukukwazi ukuhamba.
Ukunyanzeliswa kwe-nerve enzima kunokuqhubela phambili ekukhubazekeni komlenze ukuba i-nerve yonakaliswe kakhulu kuxinzelelo olungapheliyo. (UAntonio L Aguilar-Shea, et al., 2022 )
I-Sciatica inokuqhubela phambili kumonakalo we-nerve we-nerve ezincinci kwaye uhambe ukuya emilenzeni nasezinyaweni. Ukonakala kwemithambo-luvo/i-neuropathy kunokubangela iintlungu, ukuntlitheka, kunye nokulahlekelwa yimvakalelo. (UJacob Wycher Bosma, et al., 2014 )
Ukukhubaza iiKhetho zoNyango lweSciatica
Xa i-sciatica iba ikhubaza, ichaphazela ukukwazi komntu ukuhamba, unyango olubandakanyekayo lufunekayo ukuzisa isiqabu. Iimeko ezininzi ze-sciatica ezingapheliyo kunye nezikhubazayo zibangelwa iingxaki nge-lumbar spine. Ukunyanzeliswa kweengcambu ze-nerve ezenza i-nerve ye-sciatic ingenzeka kwi-bulging okanye kwiidiski ze-herniated okanye i-spinal stenosis. Ukuba iimpawu ze-sciatica ziqhubeka ngaphaya kweenyanga ze-12 ngokukhululeka okuncinci okanye akukho nto kunyango lomzimba, ukuchithwa kwe-mechanical non-ukuhlinzwa, ukunweba kunye nokuzivocavoca, okanye iindlela zokulawula iintlungu, iinkqubo zotyando zingafuneka. (ULucy Dove, et al., 2023 )
Utyando lwe-Lumbar decompression lubandakanya iinkqubo ezininzi zokudala indawo eninzi kwi-lumbar spine kunye nokunciphisa uxinzelelo lwe-nerve. Utyando lokuthotywa kweLumbar lungabandakanya: (Iklinikhi yaseMayfield. 2021 )
Ukuqonda
Le nkqubo isusa inxalenye yediski eyonakalisiweyo phakathi kwe-vertebrae ukunciphisa ukunyanzeliswa kweengcambu kwi-disc bulging okanye i-herniated disc.
Laminectomy
Le nkqubo isusa i-lamina, inxalenye ye-vertebrae ebangela ukunyanzeliswa kwe-nerve, ngakumbi ukuba kukho i-bone spur ngenxa ye-arthritic kunye neenguqu eziguqukayo kumqolo.
Foraminotomy
Le nkqubo yandisa i-foramina, izivulo kwi-vertebrae apho iingcambu ze-nerve ziphuma ukuze zikhulule ukunyanzeliswa.
Ukudibana kwespinal
Le nkqubo ithatha ama-vertebrae amabini okanye ngaphezulu ukuwadibanisa kunye neentonga zentsimbi kunye nezikrufu zokuzinzisa.
Inkqubo inokwenziwa ukuba:
Idiski yonke iyasuswa.
Iilaminectomi ezininzi zenziwe.
Enye i-vertebra iye yahamba phambili enye.
Ulawulo loNcedo lwemihla ngemihla lwe-Advanced Sciatica
Ukufumana isiqabu kwiimpawu eziphambili ze-sciatica ekhaya kunokubandakanya iindlela zokuziqhelanisa rhoqo njengokuthatha ibhafu eshushu okanye i-massage yeshawa, kunye nokusebenzisa ipaneli yokufudumeza kumqolo ongezantsi okanye i-glutes ukukhulula izihlunu eziqinileyo ukunceda ukukhulula ukuqina okujikeleze i-nerve ye-sciatic.
Umthambo olungisayo okanye wokunyanga onje nge-sciatic nerve glides unokunceda ukunciphisa uxinzelelo ecaleni kwemithambo-luvo ngelixa imithambo esezantsi ngasemva ehambisa umqolo ukuya phambili okanye ukugoba ngasemva kunokunciphisa uxinzelelo. (UWitold Golonka, et al., 2021 )
Amayeza afana ne-nonsteroidal anti-inflammatory drugs/NSAIDs, iziphumlisi zemisipha, okanye amayeza entlungu yemithambo-luvo anokucetyiswa. (UAntonio L Aguilar-Shea, et al., 2022 )
I-sciatica ephucukileyo ayinakuphendula kwiindlela zonyango ezilondolozayo, njengoko ukulimala kubekwe kwaye i-nerve kunye nezicubu ezijikelezayo ziye zathintelwa kakhulu.
Iimpawu ze-Sciatica ezihlala ixesha elide kuneenyanga ze-12 zifuna unyango olubandakanyekayo ngakumbi njengenaliti okanye utyando ukujongana neempawu ngokufanelekileyo. (UAntonio L Aguilar-Shea, et al., 2022 )
Ukuphilisa iSciatica engapheliyo
Ukuba isizathu esisisiseko sinokunyangwa ngokufanelekileyo ke i-sciatica engapheliyo inokuphiliswa. I-sciatica engapheliyo ihlala ivela kwiimeko zomgogodla ezifana neediski ze-herniated okanye i-lumbar spinal stenosis. Ezi meko zinciphisa indawo ejikeleze iingcambu ze-nerve eziphuma kwintambo yomgogodla kwaye zidibanise ukwenza i-nerve ye-sciatica. Utyando lwenziwa ukuvula isithuba kumqolo. (Iklinikhi yaseMayfield. 2021 ) Ngamanye amaxesha i-sciatica iziswa ngenxa yezizathu eziqhelekileyo ezifana ne-tumor okanye isifo somgogodla. Kwezi meko, iimpawu aziyi kusombulula kude kube ngunobangela oyintloko. Amathumba angadinga ukuba asuswe ngotyando ngelixa usulelo lufuna i-antibiotics enobundlobongela ukukhusela ukusasazeka kwezinye iindawo zomzimba. (Isibhedlele soTyando oluKhethekileyo. 2023 )
Uphuhliso lweSicwangciso soNyango lweeNgcali zeeNtlungu
Iintlungu eziqhubekayo, ukuphazamiseka, ukubetha, kunye nobuthathaka zizo zonke iimpawu ezimele zijongwe kunye nomboneleli wezempilo. Ingcali yeentlungu inokunceda ukwenza isicwangciso sonyango esibandakanya: (Isibhedlele soTyando oluKhethekileyo. 2023 )
Ulungiso lwenyama
Unyango lokunyanga
Chiropractic Uxinzelelo kunye nohlengahlengiso lomqolo
Ukolula okujoliswe kuko kunye nemithambo
Ukuthunyelwa kubaboneleli bezempilo abakhethekileyo
Injections
Mayeza
Izizathu ze-Sciatica kunye noNyango
VIDEO
Ucaphulo
Aguilar-Shea, AL, Gallardo-Mayo, C., Sanz-González, R., & Paredes, I. (2022). Sciatica. Ulawulo lwamagqirha eentsapho. Ijenali yezonyango zentsapho kunye nokunyamekela okuphambili, i-11 (8), i-4174-4179. doi.org/10.4103/jfmpc.jfmpc_1061_21
Bosma, JW, Wijntjes, J., Hilgevoord, TA, & Veenstra, J. (2014). I-sciatic neuropathy ekwanti eyodwa kakhulu ngenxa yemo yelotus elungisiweyo. Ijenali yehlabathi yeemeko zeklinikhi, i-2 (2), i-39-41. doi.org/10.12998/wjcc.v2.i2.39
Dove, L., Jones, G., Kelsey, LA, Cairns, MC, & Schmid, AB (2023). Ngaba lusebenza kangakanani ukungenelela kwe-physiotherapy ekuphatheni abantu abane-sciatica? Uphononongo olucwangcisiweyo kunye nohlalutyo lwemeta. Iphephancwadi laseYurophu lomqolo : ukupapashwa ngokusemthethweni kwe-European Spine Society, i-European Spinal Deformity Society, kunye neCandelo laseYurophu leCervical Spine Research Society, i-32 (2), i-517-533. doi.org/10.1007/s00586-022-07356-y
Iklinikhi yaseMayfield. (2021). I-laminectomy ye-Spinal decompression kunye ne-foraminotomy .
Golonka, W., Raschka, C., Harandi, VM, Domokos, B., Alfredson, H., Alfen, FM, & Spang, C. (2021). Isolated Lumbar Extension Resistance Exercise in limited Range of Motion for Patients with Lumbar Radiculopathy and Disk Herniation-Clinical Outcome and Influenceing Factors. Ijenali yezonyango zonyango, i-10 (11), i-2430. doi.org/10.3390/jcm10112430
Isibhedlele soTyando oluKhethekileyo. (2023). Sciatica .
Isibhedlele soTyando oluKhethekileyo. (2023). ulawulo Pain .
by UGqr Alex Jimenez Ukulimala koluhlu , Sciatica Nerve Pain
Ukulimala kwemisipha ye-Hamstring kuqhelekileyo, ngakumbi kwiimbaleki nakubantu abanemisebenzi enzima ngokomzimba. Ngaba kukho ithuba elingcono lokuchacha ngokupheleleyo ngokulungiswa kotyando kunye nokuvuselelwa kwe-post-op?
Ukunyakaza kweMisipha yokuHlala
Ngokuqhelekileyo, ukulimala kwemisipha ye-hamstring ziinyembezi eziyingxenye yesihlunu. Ezi ntlobo zokulimala zizihlunu ze-muscle ezenzeka xa iintambo ze-muscle zolulelwe ngaphaya kwemida yazo eqhelekileyo. Iinyembezi ezipheleleyo ze-hamstring muscle aziqhelekanga, kodwa zenzeke kubadlali bezemidlalo kunye nabangewona abadlali. Ukumisela isicwangciso sonyango esisiso sixhomekeke koku:
Ubuqatha bokukrazuka komthambo
Izinto ezilindelekileyo kumntu owenzakeleyo.
Iinyembezi ezingaphelelanga kuxa i-hamstring muscle yoluliwe kakhulu, kodwa ayicalulwanga ngokupheleleyo .Ukuba ukukrazula kugqityiwe, ukulimala kubaluleke ngakumbi, njengoko iziphelo zingasadibanisi. (I-American Academy ye-Orthopedic Surgeons. 2021 )
Gqibezela iinyembezi ngokuqhelekileyo kwenzeka phezulu kwesihlunu apho i-tendon ikrazula kude ne-pelvis.Ukukrazula okupheleleyo ngokuqhelekileyo kwenzeka xa kukho ukunyanzeliswa ngokukhawuleza kwe-hip kunye nokwandiswa kwamadolo - xa i-muscle inkontileka kule ndawo, iyancipha ngaphaya kwemida yayo.
Iinyembezi ezipheleleyo zibonwa njengokwenzakala okwahlukileyo kwaye kunokufuna unyango olungenelelayo. (I-American Academy ye-Orthopedic Surgeons. 2021 )
Abantu abagcina olu hlobo lokulimala bachaza ukuhlatywa okubukhali emva kwethanga.
Ukulimala kunokwenzeka kwiimbaleki okanye kubantu abaneminyaka ephakathi. (I-American Academy ye-Orthopedic Surgeons. 2021 )
Iintlobo ze-hamstring ezisisiseko zinokuphathwa ngamanyathelo alula - ukuphumla, iqhwa, amayeza achasene nokuvuvukala, kunye nonyango olulondolozayo.
iimpawu
Iimpawu ze-hamstring muscle strain zingabandakanya intlungu, ukubetha, ukuvuvukala, kunye nobunzima bokunyakaza. (I-American Academy ye-Orthopedic Surgeons. 2021 ) Abantu abagcina le nzakala badla ngokuba neentlungu ezibukhali ngesiquphe. Iimpawu zokukrazula zingabandakanya:
Iintlungu ezibukhali apho impundu nethanga zidibana khona.
Kunzima ukuhamba.
Ukuhlala kunokuba nzima njengoko umda wesitulo unokubeka uxinzelelo ngokuthe ngqo kwingozi.
I-Spasms kunye ne-cramping sensations emva kwethanga.
Ubuthathaka emlenzeni, ngokukodwa xa uguqa idolo okanye uphakamisa umlenze emva komzimba.
Ukuba ndindisholo okanye ukutshisa ngenxa ye ukucaphuka kwe-nerve sciatic .
Ukudumba kunye nokugruzuka emva kwethanga - ekuhambeni kwexesha kunokuhamba ukuya kumqolo wedolo kunye nethole kwaye mhlawumbi ukuya ezinyaweni.
Ngokukrazula okupheleleyo kwe-hamstring, ngokuqhelekileyo kukho ukudumba okuphawulekayo kunye nokulimala okwenzeka emva kwethanga.
Ukuqondwa
Iimpawu kunokuba nzima ukuzibona kumanqanaba okuqala yiyo loo nto i-X-reyi ye-hip okanye ithanga idla ngokufunyanwa.
Kwezinye iimeko, iqhekeza lethambo linokutsalwa kwi-pelvis kunye ne-hamstring muscle attachment. Uvavanyo lwe-MRI lunokwenziwa ukuvavanya isinamathiselo kwaye lunokuchaza iimpawu ezibalulekileyo zokukrazula kwemisipha ye-hamstring epheleleyo, kuquka: (I-American Academy ye-Orthopedic Surgeons. 2021 )
Inani lemisipha echaphazelekayo.
Gqibezela ngokuchasene nokukrazulwa okungaphelelanga.
Ubungakanani bokurhoxa - inani leetendon eziye zarhoxa.
Oku kuya kukhokela uphuhliso lonyango.
impatho
Ukunyangwa kwenyembezi epheleleyo kuya kuxhomekeka kwizinto ezahlukeneyo. Enye into eguquguqukayo sisigulana kunye nezinto abazilindeleyo.
Unyango lu ndlongondlongo ngakumbi kubantu abancinci njengabadlali abakwinqanaba eliphezulu .
Unyango lu abanamandla kakhulu kubantu abakubudala obuphakathi .
Ngokuqhelekileyo ukukrazuka komthambo omnye kunokunyangwa ngaphandle kotyando. Xa i-tendon enye ibandakanyeka, ayiqhelekanga ukutsalwa kude kakhulu kwi-attachment yayo eqhelekileyo kwaye iya kuphuhlisa izicubu ezibomvu kwindawo efanelekileyo.
Ngokuchasene noko, xa imisipha emithathu ikrazukile, idla ngokutsala ngaphezu kweesentimitha ezimbalwa ukusuka ethanjeni. Ezi meko zineziphumo ezingcono ngokulungiswa kotyando. (UW Health. 2017 )
Oogqirha botyando baya kusebenzisa iimpawu zesigulana- iimbaleki ezikwinqanaba eliphezulu okanye abantu abangasebenziyo ngokwasemzimbeni - ukukhokela iingcebiso zonyango.
kwimo
Ukubuyisela kwisimo sangaphambili emva kotyando kunokuthatha iinyanga ezi-3-6 okanye ngaphezulu.
Iiveki ezintandathu zokuqala zinciphisa ubunzima ngokusetyenziswa kweentonga.
Izigulane zinokucetyiswa ukuba zinxibe i-brace ukunciphisa uxinzelelo kwii-tendon ze-hamstring ezilungisiweyo.
Ukomeleza akuqali de kube ziinyanga ezintathu emva kokuphuma, kwaye nemisebenzi elula idla ngokulibaziseka. (UW Health. 2017 )
Ngenxa yokuba le nzakala inokuba nexesha elide lokubuyisela, abanye abantu banokukhetha unyango ngaphandle kotyando .
Ngamanye amaxesha aba bantu bafumana iimpawu zokungakhululeki ngokuhlala kwaye banokubonisa ubuthathaka bexesha elide le-hamstring muscle.
Ukuchacha ngokupheleleyo kwi-hamstring ye-muscle yokulimala kuthatha ixesha. Izifundo zibonise abadlali bezinga eliphezulu bayakwazi ukuqalisa kwakhona imidlalo ekhuphisanayo emva kokulungiswa kunye nokuvuselelwa kokulimala kwe-hamstring muscle. (USamuel K. Chu, uMonica E. Rho. 2016 )
Ukulibazisa unyango lotyando kusenokungasoloko kukhokelela kwiziphumo ezigqwesileyo.
Xa i-tendon ikrazulwa kude ne-attachment yayo eqhelekileyo, iqala ukukrala malunga nezicubu ezithambileyo ezijikelezayo.
Xa kukho ukulibaziseka kweeveki ezimbalwa emva kokulimala kokuqala, ukuphinda ufumane ubude obupheleleyo be-tendon kunye ne-muscle kunokuba ngumngeni.
Oku kunokulibazisa inkqubo yokubuyisela kwisimo sangaphambili kwaye kunokunciphisa amandla okubuyisela ngokupheleleyo. (Ho Yoon Kwak, et al., 2011 )
Ngomonzakalo onzima, kukho ithuba elingcono lokuchacha ngokupheleleyo ngokulungiswa kotyando kodwa kunokubandakanya ukubuyisela ixesha elide kunye nokuzibophelela kwisicwangciso sokubuyisela emva kwe-op.
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Ucaphulo
I-American Academy ye-Orthopedic Surgeons. (2021) Ukulimala komsipha .
UW Health. (2017) Izikhokelo zokubuyisela kwisimo sangaphambili emva kokulungiswa okuphambili kwe-hamstring .
Chu, SK, & Rho, ME (2016). Ukulimala kwe-Hamstring kuMgijimi: Ukuxilongwa, Unyango, kunye nokuBuyela kuMdlalo. Iingxelo zangoku zonyango lwezemidlalo, i-15 (3), i-184-190. doi.org/10.1249/JSR.0000000000000264
Kwak, HY, Bae, SW, Choi, YS, & Jang, MS (2011). Ukulungiswa kwangoko kotyando lokuqhekeka okupheleleyo kwe-proximal hamstring tendons. Iiklinikhi kuqhaqho lwamathambo, i-3 (3), i-249-253. doi.org/10.4055/cios.2011.3.3.249
