Ubuhlungu obungapheliyo
Iqela leKlinikhi eNgemva yeentlungu ezingapheliyo zeChiropractic Physical Therapy. Wonke umntu uva iintlungu ngamaxesha athile. Ukusika umnwe wakho okanye ukutsala isihlunu, iintlungu yindlela yomzimba wakho yokukuxelela ukuba kukho into engalunganga. Ukwenzakala kuyaphilisa, uyeka ukuqaqanjelwa.
Iintlungu ezingapheliyo zisebenza ngokwahlukileyo. Umzimba uhlala uqaqanjelwa iiveki, iinyanga, okanye iminyaka emva kokwenzakala. Oogqirha bachaza intlungu engapheliyo njengayo nayiphi na intlungu ehlala kwi-3 kwiinyanga ze-6 okanye ngaphezulu. Iintlungu ezingapheliyo zinokuchaphazela ubomi bakho bemihla ngemihla kunye nempilo yengqondo. Iintlungu zivela kuthotho lwemiyalezo ehamba nge-nervous system. Xa ubuhlungu, ukulimala kuguqula iinzwa zentlungu kuloo ndawo. Bathumela umyalezo ngendlela yomqondiso wombane, osuka kwimithambo-luvo uye kwimithambo-luvo de ufikelele ebuchotsheni. Ingqondo isebenzisa umqondiso kwaye ithumela umyalezo wokuba umzimba wenzakele.
Ngaphantsi kweemeko eziqhelekileyo, umqondiso uyayeka xa imbangela yentlungu ixazululwe, umzimba ulungisa isilonda emnweni okanye kwisihlunu esikrazukileyo. Kodwa ngeentlungu ezingapheliyo, iimpawu ze-nerve zihlala zidubula nasemva kokuba umonzakalo uphilisiwe.
Iimeko ezibangela intlungu engapheliyo ingaqala ngaphandle kwesizathu esicacileyo. Kodwa kwabaninzi, iqala emva kokulimala okanye ngenxa yemeko yempilo. Abanye oonobangela abaphambili:
Arthritis
Iingxaki zangaphambili
I-Fibromyalgia, imeko apho abantu beva iintlungu zemisipha kuyo yonke imizimba yabo
Infections
Imigraines kunye nezinye iintloko
Umonakalo wemisipha
Ukulimala kwangaphambili okanye ukuhlinzwa
iimpawu
Intlungu inokuqala ukusuka kumbi ukuya kobunzima kwaye inokuqhubeka usuku nosuku okanye ifike kwaye ihambe. Inokuvakala ngathi:
Intlungu ebuhlungu
Ukutsha
ukudubula
Ukukhathazeka
U kucima
Ubunzima
Ukuhlaba
Throbbing
Ngeempendulo kuyo nayiphi na imibuzo onokuba nayo nceda ufowunele uDkt Jimenez kwi-915-850-0900
by UGqr Alex Jimenez Chiropractic , Ubuhlungu obungapheliyo , Ukuhamba kunye nokuguquguquka , Ucoceko loMgcini , Uncedo Lwezityalo , Unyango , I-Viscerosomatic Reflex
Ngaba abantu abane-hypermobility edibeneyo banokufumana isiqabu ngonyango olungazenzisiyo ekunciphiseni iintlungu kunye nokubuyisela ukuhamba komzimba?
intshayelelo
Xa umntu ehambisa umzimba wabo, izihlunu ezijikelezileyo, amalunga, kunye nemigqaliselo ifakwe kwimisebenzi eyahlukeneyo evumela ukuba banwebe kwaye baguquguquke ngaphandle kwentlungu okanye ukungahambi kakuhle. Iintshukumo ezininzi eziphindaphindwayo zenza umntu aqhubeke nenkqubo yakhe. Nangona kunjalo, xa amalunga, izihlunu, kunye nemigqa yolulelwe kude kunesiqhelo kwindawo ephezulu kunye nesezantsi ngaphandle kweentlungu, kwaziwa ngokuba yi-joint hypermobility. Olu kuphazamiseka kwezicubu ezixhumeneyo kunokunxibelelana nezinye iimpawu ezichaphazela umzimba kwaye kubangele ukuba abantu abaninzi bafune unyango lokulawula iimpawu ze-hypermobility edibeneyo. Kwinqaku lanamhlanje, siza kujonga i-hypermobility edibeneyo kunye nendlela ezahlukeneyo zonyango ezingezizo utyando ezinokunceda ukunciphisa intlungu ebangelwa yi-hypermobility kunye nokubuyisela ukuhamba komzimba. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya indlela intlungu yabo inokudibaniswa ngayo ne-hypermobility edibeneyo. Sikwazisa kwaye sikhokela izigulana malunga nendlela ukudibanisa unyango olungelulo utyando lunokunceda ukuphucula umsebenzi odibeneyo ngelixa ulawula iimpawu ezihambelanayo. Sikhuthaza izigulana zethu ukuba zibuze ababoneleli bezonyango abanxulumene nabo imibuzo enzima kunye nengqiqo malunga nokubandakanya unyango olungasebenzisiyo njengenxalenye yendlela yabo yokunciphisa intlungu kunye nokukhathazeka kwi-hypermobility joint. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli .
Yintoni Joint Hypermobility?
Ngaba uhlala uziva ukuba amalungu akho evalelwe ezandleni, ezihlahleni, emadolweni, nasezingqinibeni? Ngaba ufumana iintlungu kunye nokudinwa kumalungu akho xa umzimba wakho uziva udiniwe rhoqo? Okanye xa usolula iziphetho zakho, ngaba zinwenwela kude kunesiqhelo ukuze uve isiqabu? Uninzi lwezi meko zahlukeneyo zihlala zinxulunyaniswa nabantu abafumana i-hypermobility edibeneyo. I-Joint hypermobility sisifo esizuzwa njengelifa kunye neepateni eziphambili ze-autosomal ezibonisa i-hyperlaxity edibeneyo kunye neentlungu ze-musculoskeletal ngaphakathi kweendawo zomzimba. ( Carbonell-Bobadilla et al., 2020 ) Le meko ye-tissue edibeneyo idla ngokuhambelana nokuguquguquka kwezicubu ezidibeneyo ezifana nemigqa kunye ne-tendon emzimbeni. Umzekelo uya kuba ukuba isithupha somntu sichukumisa umphambili wabo wangaphakathi ngaphandle kokuva iintlungu okanye ukungakhululeki, bane-hypermobility edibeneyo. Ukongeza, abantu abaninzi abajongana ne-hypermobility edibeneyo bahlala benokuxilongwa nzima njengoko beya kukhula ulusu kunye nobuthathaka bezicubu ngokuhamba kwexesha, okubangela iingxaki ze-musculoskeletal. ( Tofts et al., 2023 )
Xa abantu bejongana ne-hypermobility edibeneyo ngokuhamba kwexesha, uninzi luhlala lunophawu lwe-hypermobility edibeneyo. Baza kubonisa iimpawu ze-musculoskelet kunye ne-systemic ezikhokelela ekuboniseni ukukhubazeka kwamathambo, izicubu kunye ne-fragility yesikhumba, kunye nokwahlukana kwesakhiwo kwinkqubo yomzimba. ( UNicholson et al., 2022 ) Ezinye zeempawu zokuba i-joint hypermobility iboniswa kuxilongo ziquka:
Iintlungu zemisipha kunye nokuqina kwamalungu Ukucofa amalungu Ukukhathala Imiba yokugaya Imicimbi yokulinganisa
Ngethamsanqa, kukho unyango olwahlukeneyo olunokuthi lusetyenziswe ngabantu abaninzi ukunceda ukubuyisela izihlunu ezijikeleze amalunga kunye nokunciphisa iimpawu ezihambelanayo ezibangelwa yi-hypermobility edibeneyo.
Intshukumo Njengonyango-Ividiyo
VIDEO
Nosurgical Treatments For Joint Hypermobility
Xa ujongene ne-hypermobility edibeneyo, abantu abaninzi kufuneka bafune unyango lokunciphisa iimpawu ezihambelana neentlungu ze-hypermobility kunye nokunceda ukukhulula iziphelo zomzimba ngelixa ubuyisela ukuhamba. Olunye unyango olugqwesileyo lwe-hypermobility edibeneyo lunyango olungasebenzisi utyando olungaphazamisiyo, luthambileyo kumalungu kunye nezihlunu, kwaye lungabizi kakhulu. Iindidi ezahlukeneyo zonyango ezingezizo utyando zinokwenzelwa umntu ngamnye ngokuxhomekeke ekubeni kuqatha kangakanani na ukudityaniswa kwe-hypermobility kunye ne-commorbidities kuchaphazela umzimba womntu. Unyango olungenalo utyando lunokukhulula umzimba kwi-hypermobility edibeneyo ngokunyanga izizathu zentlungu ngokunciphisa kunye nokwandisa amandla okusebenza kunye nokubuyisela umgangatho wobomi bomntu. ( Etwell et al., 2021 ) Iindlela ezintathu zonyango ezingenalo utyando ezigqwesileyo ekunciphiseni intlungu kwi-hypermobility yamalungu kunye nokunceda ukuqinisa imisipha ejikelezayo ingezantsi.
Ukhathalelo lweChiropractic
Ukunyamekela kwe-Chiropractic kusebenzisa ukunyanzeliswa komgogodla kwaye kunceda ukubuyisela ukuhamba ngokubambisana emzimbeni ukuze kuncitshiswe imiphumo ye-hypermobility edibeneyo ngokuzinzisa amajoyina achaphazelekayo ukusuka kwi-hypermobile extremities. ( Boudreau et al., 2020 ) I-Chiropractors ibandakanya ukuguqulwa komatshini kunye nemigaqo kunye neendlela ezahlukeneyo zokunceda abantu abaninzi baphucule i-posture yabo ngokunyamekela imizimba yabo kunye nokusebenza kunye nezinye iindlela zokwelapha ezininzi ukugxininisa ukunyakaza okulawulwayo. Ngolunye ukuxhatshazwa okuhambelana nokuxhatshazwa ngokubambisana, njengentlungu emva nangentamo, ukunakekelwa kwe-chiropractic kunokunciphisa ezi mpawu ze-comorbidity kunye nokuvumela umntu ukuba aphinde abuyele umgangatho wobomi.
Ukwenza i-Acupuncture
Olunye unyango olungelona utyando olunokuthi abantu abaninzi balubandakanye ukunciphisa ukudityaniswa kwe-hypermobility kunye ne-comorbidities yayo yi-acupuncture. I-acupuncture isebenzisa iinaliti ezincinci, ezinqabileyo, eziqinileyo ezisetyenziswa ngabagqirha be-acupuncture ukuvala ii-receptors zentlungu kunye nokubuyisela ukuhamba kwamandla omzimba. Xa abantu abaninzi bejongene ne-hypermobility edibeneyo, iziphelo zabo emilenzeni, ezandleni nasezinyaweni ziba nentlungu ekuhambeni kwexesha, nto leyo enokubangela ukuba umzimba ungazinzi. Yintoni eyenziwa yi-acupuncture kukunceda ukunciphisa intlungu ebangelwa yi-hypermobility edibeneyo ehambelana neziphelo kunye nokubuyisela ukulinganisela kunye nokusebenza komzimba ( Luan et al., 2023 ). Oku kuthetha ukuba ukuba umntu ujongene nokuqina kunye neentlungu zemisipha ezivela kwi-joint hypermobility, i-acupuncture inokunceda ukubuyisela iintlungu ngokubeka iinaliti kwii-acupoints zomzimba ukunika isiqabu.
Ulungiso lwenyama
Unyango lomzimba lunyango lokugqibela olungasebenzisi utyando abantu abaninzi abanokulubandakanya kwimisebenzi yabo yemihla ngemihla. Unyango lomzimba lunokunceda ukulawula i-hypermobility edibeneyo elungiselelwe ukunceda ukuqinisa izihlunu ezibuthathaka ezijikeleze amajoyina achaphazelekayo, ukuphucula ukuzinza komntu kunye nokunceda ukunciphisa umngcipheko wokutshatyalaliswa. Ukongeza, abantu abaninzi banokusebenzisa umthambo onempembelelo ephantsi ukuqinisekisa ulawulo olululo lwemoto xa usenza umthambo rhoqo ngaphandle kokubeka uxinzelelo olugqithisileyo kumalungu. ( URussek et al., ngo-2022 )
Ngokubandakanya olu nyango luthathu lungelolo lotyando njengenxalenye yonyango olulungiselelweyo lwe-hypermobility edibeneyo, abantu abaninzi baya kuqala ukuva umahluko kwibhalansi yabo. Abayi kuba neentlungu ezidibeneyo ngokukhumbula ngakumbi umzimba kunye nokubandakanya utshintsho oluncinci kwindlela yabo. Nangona ukuhlala kunye ne-hypermobility edibeneyo kunokuba ngumceli mngeni kubantu abaninzi, ngokudibanisa kunye nokusebenzisa indibaniselwano efanelekileyo yonyango olungasebenzisi utyando, abaninzi banokuqala ukuphila ubomi obusebenzayo nobanelisayo.
Ucaphulo
Atwell, K., Michael, W., Dubey, J., James, S., Martonffy, A., Anderson, S., Rudin, N., & Schrager, S. (2021). Ukuxilongwa kunye noLawulo lwe-Hypermobility Spectrum Disorders kwi-Primary Care. J IBhodi ye Fam Fam , 34 (4), 838-848. doi.org/10.3122/jabfm.2021.04.200374
Boudreau, PA, Steiman, I., & Mior, S. (2020). Ulawulo lweklinikhi ye-benign joint hypermobility syndrome: i-case series. J Can Chiropr Assoc , 64 (1), 43-54. www.ncbi.nlm.nih.gov/pubmed/32476667
www.ncbi.nlm.nih.gov/pmc/articles/PMC7250515/pdf/jcca-64-43.pdf
Carbonell-Bobadilla, N., Rodriguez-Alvarez, AA, Rojas-Garcia, G., Barragan-Garfias, JA, Orrantia-Vertiz, M., & Rodriguez-Romo, R. (2020). [I-Joint hypermobility syndrome]. Acta Ortop Mex , 34 (6), 441-449. www.ncbi.nlm.nih.gov/pubmed/34020527 (Sindrome de hipermovilidad articular.)
Luan, L., Zhu, M., Adams, R., Witchalls, J., Pranata, A., & Han, J. (2023). Iziphumo ze-acupuncture okanye unyango olufanayo lwe-needling kwiintlungu, i-proprioception, ibhalansi, kunye nomsebenzi wokuzichaza ngokuzimeleyo kubantu abanokungazinzi okungapheliyo kwe-ankle: ukuphononongwa okucwangcisiweyo kunye nohlalutyo lwe-meta. Mncedi Ther Med , 77 , 102983. doi.org/10.1016/j.ctim.2023.102983
Nicholson, LL, Simmonds, J., Pacey, V., De Wandele, I., Rombaut, L., Williams, CM, & Chan, C. (2022). Iimbono zamazwe ngamazwe kwi-Joint Hypermobility: I-Synthesis yeNzululwazi yangoku ukuKhokela izikhokelo zeKlinikhi kunye noPhando. J Clin Rheumatol , 28 (6), 314-320. doi.org/10.1097/RHU.0000000000001864
Russek, LN, Block, NP, Byrne, E., Chalela, S., Chan, C., Comerford, M., Frost, N., Hennessey, S., McCarthy, A., Nicholson, LL, Parry, J ., Simmonds, J., Stott, PJ, Thomas, L., Treleaven, J., Wagner, W., & Hakim, A. (2022). Ukunikezelwa kunye nokulawulwa konyango lomzimba wokungazinzi komlomo wesibeleko esiphezulu kwizigulane ezine-symptomatic generalized joint hypermobility: iingcebiso zeengcali zamazwe ngamazwe. Front Med (Lausanne) , 9 , 1072764. doi.org/10.3389/fmed.2022.1072764
Tofts, LJ, Simmonds, J., Schwartz, SB, Richheimer, RM, O'Connor, C., Elias, E., Engelbert, R., Cleary, K., Tinkle, BT, Kline, AD, Hakim, AJ , van Rossum, MAJ, & Pacey, V. (2023). Uxinzelelo oludibeneyo lwabantwana: isakhelo sokuxilonga kunye nophononongo olubalisayo. Orphanet J Rare Dis , 18 (1), 104. doi.org/10.1186/s13023-023-02717-2
isikhanyeli
by UGqr Alex Jimenez Chiropractic , Ubuhlungu obungapheliyo , Disc Disc , Unyango lokuthotywa koMnqonqo , Uncedo Lwezityalo , Unyango , I-Viscerosomatic Reflex
Ngaba abantu abaneediski ze-herniated banokulufumana uncedo abalufunayo kunyango lwe-traction okanye ukudodobala ukubonelela ngesiqabu seentlungu?
intshayelelo
Umqolo uvumela umntu ukuba ahambe kwaye aguquguquke ngaphandle kokuva intlungu kunye nokungahambi kakuhle xa umntu ehamba. Oku kungenxa yokuba umqolo uyingxenye yenkqubo ye-musculoskeletal equkethe imisipha, i-tendon, i-ligaments, intambo yomgogodla, kunye neediski zomgogodla. Ezi zixhobo zijikeleze umqolo kwaye zinemimandla emithathu ukuvumela iindawo eziphezulu kunye nezisezantsi ukuba zenze imisebenzi yazo. Nangona kunjalo, umqolo ukwaguga xa umzimba uqala ukuguga ngokwemvelo. Ukunyakaza okuninzi okanye izenzo eziqhelekileyo zinokubangela ukuba umzimba ube nzima kwaye, ngokuhamba kwexesha, kunokubangela ukuba i-spinal disc i-herniate. Xa oku kwenzeka, i-disc ye-herniated ingakhokelela kwiintlungu kunye nokungahambi kakuhle kwimida, ngaloo ndlela yenza abantu bajongane nomgangatho wobomi obuncitshisiweyo kunye nentlungu kwimimandla emithathu yomgogodla. Ngethamsanqa, kukho unyango oluninzi, olufana nonyango lwe-traction kunye ne-decompression, ukunciphisa intlungu kunye nokukhathazeka okuhambelana neediski ze-herniated. Inqaku lanamhlanje lijonga ukuba kutheni iidiski ze-herniated zibangela imiba kumqolo kunye nemiphumo yendlela ezi zonyango ezimbini ezinokunceda ukunciphisa iidiski ze-herniated. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya indlela i-disc ye-herniated kumqolo ingaba ngumba obangela intlungu ye-musculoskeletal. Siyazisa kwaye sikhokela izigulane malunga nendlela ukudibanisa ukuchithwa komgogodla kunye nonyango lwe-traction kunokunceda ukulungelelanisa umqolo kunye nokunciphisa i-disc herniation ebangela imiba yomgogodla. Sikhuthaza izigulane zethu ukuba zibuze ababoneleli bezonyango abanxulumene nabo imibuzo enzima kunye nebalulekileyo malunga nokubandakanya unyango olungenalo utyando njengenxalenye yendlela yabo yokunciphisa intlungu kunye nokukhathazeka emizimbeni yabo. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli .
Kutheni i-Herniated Discs ibangela imiba kwi-Spine?
Ngaba uziva ungonwabanga rhoqo entanyeni okanye ngasemva okungakuvumeli ukuba uphumle? Ngaba uziva ukubetha kwiindawo zakho eziphezulu kunye nezisezantsi, ukwenza izinto zokubamba okanye ukuhamba nzima? Okanye ngaba uye waqaphela ukuba uzingela kwidesika yakho okanye ukuma kwaye ukolula kubangela intlungu? Njengoko umqolo ugcina umzimba uthe tye, amacandelo awo aphambili abandakanya i-vertebrae eshukumayo, i-nerve root fibers, kunye ne-spinal discs ukunceda ukuthumela izibonakaliso ze-neuron kwingqondo ukuvumela ukunyakaza, ukukhupha amandla othusayo kumqolo, kwaye ube bhetyebhetye. Umqolo uvumela umntu ukuba enze imisebenzi eyahlukeneyo ngaphandle kweentlungu kunye nokungahambi kakuhle ngokusebenzisa ukunyakaza okuphindaphindiweyo. Nangona kunjalo, xa umzimba uguga, kunokukhokelela ekutshintsheni okuguquguqukayo kumqolo, okubangela ukuba i-spinal disc i-herniate ngokuhamba kwexesha. I-disc ye-herniated yimeko eqhelekileyo ye-musculoskelet ye-degenerative eyenza ukuba i-nucleus pulposus iphule kuyo nayiphi na indawo ebuthathaka ye-annulus fibrosus kwaye icinezele iingcambu ze-nerve ezijikelezayo. ( UGe et al., 2019 ) Ngamanye amaxesha, xa iintshukumo eziphindaphindiweyo ziqala ukudala i-disc ye-herniated, inxalenye yangaphakathi ye-disc ingaba yi-desiccated kunye ne-brittle. Ngokwahlukileyo, inxalenye yangaphandle iba yi-fibrotic kwaye i-elastic encinci, ibangela ukuba i-disc iyancipha kwaye ibe yincinci. I-disc ye-herniated inokuchaphazela abantu abancinci nabadala njengoko banokuba negalelo lezinto ezininzi ezibangela ukuba utshintsho lwe-proinflammatory emzimbeni. ( Wu et al., 2020 )
Xa abantu abaninzi bejongene nentlungu ehambelana ne-disc ye-herniated, i-disc ngokwayo ihamba ngenguqu ye-morphological ngokusebenzisa i- characterization ye-disc ibe ngumonakalo oyingxenye, elandelwa yi-displacement kunye ne-herniation ye-disc yangaphakathi kwi-canal ye-vertebral ukuze icinezele. iingcambu zemithambo-luvo. ( Diaconu et al., 2021 ) Oku kubangela iimpawu zentlungu, ukuba ndindisholo, kunye nobuthathaka kwiindawo eziphezulu kunye nezisezantsi zomzimba ngokusebenzisa i-nerve impingement. Yiyo loo nto, abantu abaninzi bajongana neempawu zentlungu ezigqithisiweyo ezivela ezingalweni zabo nasemilenzeni ekhupha iintlungu. Xa ukunyanzeliswa kwe-nerve ehambelana neediski ze-herniated ziqala ukubangela intlungu kunye nokungahambi kakuhle, abantu abaninzi baqala ukufuna unyango ukuze banciphise intlungu eyenziwa yi-disc ye-herniated ukubonelela ngokukhululeka kwimizimba yabo.
Ukuthotywa koMnqonqo kubunzulu-Ividiyo
VIDEO
Iimpembelelo zeTraction Therapy ekunciphiseni i-Herniated Disc
Abantu abaninzi abaphethwe yintlungu echaphazelekayo kwiidiski ze-herniated kwimiqolo yabo banokufuna unyango olufana ne-traction therapy ukunciphisa intlungu. Unyango lokutsalwa lunyango olungasebenzisi utyando ololula kwaye luhlanganise umqolo. Unyango lokutsala lungenziwa ngoomatshini okanye ngesandla yingcali yeentlungu okanye ngoncedo lwezixhobo zoomatshini. Iimpembelelo zonyango lwe-traction zinganciphisa amandla oxinzelelo kwi-spinal disc ngelixa unciphisa ukunyanzeliswa kweengcambu ze-nerve ngokwandisa ubude bediski ngaphakathi komgudu. ( Wang et al., 2022 ) Oku kuvumela ukuba iindawo ezijikelezayo ngaphakathi komqolo zihambe kwaye zichaphazele ngokufanelekileyo umqolo. Ngonyango lwe-traction, imikhosi yoxinzelelo oluphakathi okanye oluzinzileyo lunceda ukolula umqolo, ukunciphisa iintlungu, kunye nokuphucula iziphumo zokusebenza. ( Kuligowski et al., 2021 )
Iimpembelelo zoMnqopho wokuNxinzelela ekunciphiseni i-Herniated Disc
Olunye uhlobo lonyango olungenalo utyando luyi-spinal decompression, inguqu ephucukileyo ye-traction esebenzisa iteknoloji yekhompyutheni ukunceda ukusebenzisa i-controlled, i-lattle pulling forces to the spine. I-Spinal decompression iyenza kukuba inokunceda ukuthoba umgudu womgogodla kwaye incede ukutsala i-disc ye-herniated ibuyele kwindawo yayo yasekuqaleni ngelixa uzinzisa umqolo kunye nokugcina amathambo abalulekileyo kunye nezicubu ezithambileyo zikhuselekile. ( Zhang et al., 2022 ) Ukongezelela, ukunyanzeliswa komgogodla kunokudala uxinzelelo olubi kumqolo ukuvumela ukuhamba kwamanzi okunomsoco kunye ne-oksijini yegazi ukubuyela kwiidiski ngelixa udala ubudlelwane obuphambeneyo xa kuqaliswa uxinzelelo lwengcinezelo. ( URamos noMartin, ngo-1994 ) Bobabini ukunyanzeliswa komgogodla kunye nokunyangwa kwe-traction kunokubonelela ngeendlela ezininzi zonyango ukubonelela ngokukhululeka kubantu abaninzi abajongene neediski ze-herniated. Ngokuxhomekeke kwindlela enzima ngayo i-disc ye-herniated ibangele imiba kumqolo womntu, abaninzi banokuthembela kunyango olungelulo utyando ngenxa yesicwangciso salo esilungelelanisiweyo esinomntu kwintlungu yomntu kwaye inokudibaniswa kunye nezinye iindlela zonyango zokuqinisa imisipha ejikelezayo. Ngokwenza njalo, abantu abaninzi banokungabi nantlungu ekuhambeni kwexesha ngelixa bekhumbula imizimba yabo.
Ucaphulo
Diaconu, GS, Mihalache, CG, Popescu, G., Man, GM, Rusu, RG, Toader, C., Ciucurel, C., Stocheci, CM, Mitroi, G., & Georgescu, LI (2021). Iingqwalasela zeklinikhi kunye ne-pathological kwi-lumbar herniated disc ehambelana nezilonda ezivuthayo. Rom J Morphol Embryol , 62 (4), 951-960. doi.org/10.47162/RJME.62.4.07
Ge, CY, Hao, DJ, Yan, L., Shan, LQ, Zhao, QP, He, BR, & Hui, H. (2019). Intradural Lumbar Disc Herniation: Ingxelo yeNgxelo kunye noPhononongo loNcwadi. Clin Interv Ukuguga , 14 , 2295-2299. doi.org/10.2147/CIA.S228717
Kuligowski, T., Skrzek, A., & Cieslik, B. (2021). Unyango lweNcwadana kwi-Cervical and Lumbar Radiculopathy: Ukuphononongwa okuCwangcisiweyo koNcwadi. Int J Environ Res Impilo yoLuntu , 18 (11). doi.org/10.3390/ijerph18116176
Ramos, G., & Martin, W. (1994). Iziphumo ze-vertebral axial decompression kuxinzelelo lwe-intradiscal. J Neurosurg , 81 (3), 350-353. doi.org/10.3171/jns.1994.81.3.0350
Wang, W., Long, F., Wu, X., Li, S., & Lin, J. (2022). Ukusebenza kweKlinikhi ye-Mechanical Traction njenge-Physical Therapy ye-Lumbar Disc Herniation: Uhlalutyo lwe-Meta. Iindlela zeMathematika zeKhompyutha Med , 2022 , 5670303. doi.org/10.1155/2022/5670303
Wu, PH, Kim, HS, & Jang, IT (2020). Izifo ze-Intervertebral Disc ICANDELO 2: Uphononongo lweSicwangciso sokuHlola kunye noNyango lwangoku lwe-Intervertebral Disc Disease. Int J Mol Sci , 21 (6). doi.org/10.3390/ijms21062135
Zhang, Y., Wei, FL, Liu, ZX, Zhou, CP, Du, MR, Quan, J., & Wang, YP (2022). Ukuthelekiswa kweendlela zokuchithwa kwe-posterior kunye ne-laminectomy eqhelekileyo ye-lumbar spinal stenosis. I-Front Surg , 9 , 997973. doi.org/10.3389/fsurg.2022.997973
isikhanyeli
by UGqr Alex Jimenez Chiropractic , Ubuhlungu obungapheliyo , Disc Disc , Ukuhamba kunye nokuguquguquka , Unyango lokuthotywa koMnqonqo , Uncedo Lwezityalo , Unyango , I-Viscerosomatic Reflex
Ngaba abantu abaneentlungu zomqolo ezintanyeni zabo kunye nomqolo bangasebenzisa unyango lwe-decompression ukubuyisela ubude be-spinal disc kwaye bafumane isiqabu?
intshayelelo
Abantu abaninzi abaqondi ukuba njengoko umzimba uya ukhula, kunjalo nomnqonqo. Umqolo yinxalenye yenkqubo ye-musculoskeletal enikezela ngenkxaso yesakhiwo kumzimba ngokuwugcina ulungile. Izihlunu ezijikelezileyo, iigaments, kunye nezicubu ezijikeleze umgudu zinceda ngokuzinza kunye nokuhamba, ngelixa i-disc ye-spinal kunye ne-joints inikezela ukuxutywa kokutshatyalaliswa kwisisindo esithe nkqo. Xa umntu ehamba kunye nemisebenzi yakhe yemihla ngemihla, umqolo unokuvumela umntu ukuba ahambe ngaphandle kweentlungu okanye ukungahambi kakuhle. Nangona kunjalo, njengoko ixesha lihamba, umqolo uhamba ngeenguqu eziguqukayo ezinokubangela intlungu kunye nokungahambi kakuhle emzimbeni, ngaloo ndlela ushiya umntu ukuba ajongane neeprofayili ezinobungozi ezinokuchaphazela intamo kunye nomva. Ukuza kuthi ga ngelo xesha, abantu abaninzi bafuna unyango lokunciphisa intlungu echaphazela umqolo wabo kunye nokubuyisela ukuphakama kwediski emizimbeni yabo. Inqaku lanamhlanje lijonga indlela iintlungu zomgogodla ezichaphazela ngayo intamo yomntu kunye nomva kunye nendlela unyango olufana nokuthotywa komgogodla kunokunciphisa intlungu yomgogodla kunye nokubuyisela ukuphakama kwediski. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya indlela intlungu yomgogodla inokuchaphazela kakhulu impilo yomntu kunye nomgangatho wobomi emizimbeni yabo. Siyazisa kwaye sikhokela izigulane malunga nendlela ukudibanisa ukuchithwa komgogodla kunokunceda ukunciphisa intlungu yomgogodla kunye nokubuyisela ukuphakama kwe-spinal disc. Sikhuthaza izigulana zethu ukuba zibuze ababoneleli bezonyango abanxulumene nabo imibuzo entsonkothileyo kunye nebalulekileyo malunga nokubandakanya unyango olungasebenzisi utyando kwindlela yempilo kunye nokuba sempilweni ukuze kuthomalaliswe iintlungu zomqolo kunye nokubuyisela umgangatho wobomi babo. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli .
Indlela iintlungu zoMnqonqo ezichaphazela ngayo iNtamo yoMntu kunye nomqolo
Ngaba uziva iintlungu ezingapheliyo zemisipha kunye neentlungu entanyeni nasemva? Ngaba ufumene ukuqina kunye nokuhamba okulinganiselweyo xa ujija kwaye ujika? Okanye ngaba izinto ezinzima zibangela ubunzima bemisipha xa usuka kwenye indawo ukuya kwenye? Abantu abaninzi baya kuba sendleleni kwaye babekwizikhundla ezingaqhelekanga ngaphandle kokuziva iintlungu kunye nokungakhululeki xa kufikwa kumqolo. Oku kubangelwa ukuba izihlunu ezijikelezileyo kunye nezicubu zoluliwe kwaye iidiski zomgogodla zithatha uxinzelelo oluthe nkqo kumqolo. Nangona kunjalo, xa iimeko zokusingqongileyo, ukulimala okubuhlungu, okanye ukuguga kwendalo kuqala ukuchaphazela umqolo, kunokukhokelela ekuphuhlisweni kweentlungu zomgogodla. Oku kungenxa yokuba inxalenye yangaphandle ye-spinal disc ilungile, kwaye inxalenye yangaphakathi yediski iyachaphazeleka. Xa uxinzelelo olungaqhelekanga luqala ukunciphisa umthamo wamanzi ngaphakathi kwediski, lunokuvuselela ngaphakathi kwi-receptors yentlungu ngaphandle kweempawu zeengcambu ze-nerve ngaphakathi kwediski. ( Zhang et al., 2009 ) Oku kubangela ukuba abantu abaninzi bajongane neentlungu zentamo kunye nomqolo emizimbeni yabo kwaye banciphise umgangatho wobomi babo.
Iintlungu zomqolo zingakhokelela kwiiprofayili zomngcipheko ezidlulayo ezibangela ukuba abantu abaninzi bajongane neentlungu ezibuhlungu ezisezantsi kunye neentlungu zentamo, nto leyo ebangela ukuba izihlunu ezijikelezileyo zibe buthathaka, ziqine, kwaye zolule kakhulu. Ngelo xesha, iingcambu ze-nerve ezijikelezayo nazo zichaphazelekayo njengoko iintambo ze-nerve zijikeleze iindawo zangaphandle kunye nezangaphakathi ze-spinal disc, ezibangela iimpawu zentlungu ye-nociceptive entanyeni nasemva kwaye ikhokelela kwiintlungu ze-discogenic. ( Coppes et al., 1997 ) Xa abantu abaninzi bejongene nentlungu ye-muscle ehambelana ne-spinal discs, ibangela umjikelezo we-pain-pain-pain onokuchaphazela imizimba yabo ngenxa yokungahambi ngokwaneleyo kunye nokubangela imisebenzi ye-muscular ebuhlungu xa uzama ukuhamba. ( URoland, ngo-1986 ) Xa umntu enokuhamba okulinganiselweyo kubangela ukuba bafumane intlungu yomgogodla, ukuphakama kwabo kwediski yendalo kuncipha ngokukhawuleza, kubangela imiba emininzi emizimbeni yabo kunye nemithwalo yentlalontle yezoqoqosho. Ngethamsanqa, xa abantu abaninzi bejongene neentlungu zomgogodla, unyango oluninzi lunokunciphisa intlungu yomgogodla kunye nokubuyisela ubude babo bediski.
Amayeza okunyakaza-Ividiyo
VIDEO
Njani ukudodobala koMnqongo kunciphisa iintlungu zoMnqonqo
Xa abantu befuna unyango lweentlungu zabo zomqolo, abaninzi baya kufuna unyango lotyando ukunciphisa iintlungu zabo, kodwa kuya kuba yixabiso elincinci. Nangona kunjalo, abantu abaninzi baya kukhetha unyango olungasebenzisi utyando ngenxa yokufikeleleka kwabo. Unyango olungasebenzisi utyando luyonga kwaye luyakwazi ukwenzeka kwiintlungu zomntu kunye nokungonwabi. Ukusuka kukhathalelo lwe-chiropractic ukuya kwi-acupuncture, kuxhomekeke kubukhulu bentlungu yomntu, abaninzi baya kufumana isiqabu abasifunayo. Olunye lolona nyango lusandul’ ukusekwa lokunciphisa iintlungu zomqolo kukuthotywa komqolo. Ukunyanzeliswa komgogodla kuvumela umntu ukuba afakwe kwitafile yokutsala. Oku kungenxa yokuba itsala ngobunono kumqolo ukuze ilungelelanise i-spinal disc ngokunciphisa uxinzelelo kumnqonqo ukubiza inkqubo yokuphilisa yendalo yomzimba ukuthomalalisa iintlungu. ( URamos noMartin, ngo-1994 ) Ukongezelela, xa abantu abaninzi besebenzisa ukunyanzeliswa komgogodla, ukunyanzeliswa kobumnene kunika ukuphazamiseka kwemoto kumqolo onokuthi ubangele utshintsho lomzimba kwi-spinal disc kwaye uncede ukubuyisela uluhlu lomntu ohambahambayo, ukuguquguquka, kunye nokuhamba. ( U-Amjad et al., ngo-2022 )
Ukuthotywa koMnqongo Ukubuyisela Ukuphakama kweDiskhi ye-Spinal
Xa umntu ebotshelelwa kumatshini wokunciphisa umgogodla, ukutsalwa okuthambileyo kunceda i-spinal disc ibuyele kumqolo, ivumela ulwelo kunye nezondlo ukuba zibuyisele umqolo, ukwandisa ukuphakama kwediski yomgogodla. Oku kungenxa yokuba i-spinal decompression idala uxinzelelo olubi kumqolo, okuvumela ukuba i-spinal disc ibuyele ekuphakameni kwayo kwasekuqaleni kwaye inike uncedo. Ngaphezu koko, into emangalisayo eyenziwa yi-spinal decompression kukuba inokudibaniswa kunye nonyango lomzimba ukunceda ukunweba kunye nokuqinisa imisipha ejikelezayo kufuphi nomgudu wokubonelela ukuzinza kunye nokuguquguquka. ( Vanti et al., 2023 ) Oku kuvumela umntu ukuba acinge ngakumbi ngemizimba yakhe kwaye aqale ukubandakanya utshintsho oluncinci lomkhwa ukunciphisa intlungu ekubuyeni. Xa abantu abaninzi beqala ukucinga ngempilo yabo kunye nokuphila kakuhle ngokuya kunyango, baya kuphinda bafumane umgangatho wobomi kwaye babuyele kwimisebenzi yabo yemihla ngemihla ngaphandle kwemiba echaphazela umqolo wabo.
Ucaphulo
Amjad, F., Mohseni-Bandpei, MA, Gilani, SA, Ahmad, A., & Hanif, A. (2022). Imiphumo yonyango lwe-decompression non-surgeon ukongeza kunyango oluqhelekileyo lomzimba kwiintlungu, uluhlu lokunyakaza, ukunyamezela, ukukhubazeka okusebenzayo kunye nomgangatho wobomi ngokubhekiselele kunyango oluqhelekileyo lomzimba yedwa kwizigulane ezine-radiculopathy lumbar; ulingo olulawulwa ngokungakhethiyo. I-BMC Musculoskelet Disord , 23 (1), 255. doi.org/10.1186/s12891-022-05196-x
Coppes, MH, Marani, E., Thomeer, RT, & Groen, GJ (1997). Innervation yeediski "ezibuhlungu" ze-lumbar. Isihlwele (Phila Pa 1976) , 22 (20), 2342-2349; ingxoxo 2349-2350. doi.org/10.1097/00007632-199710150-00005
Ramos, G., & Martin, W. (1994). Iziphumo ze-vertebral axial decompression kuxinzelelo lwe-intradiscal. J Neurosurg , 81 (3), 350-353. doi.org/10.3171/jns.1994.81.3.0350
Roland, MO (1986). Ukuphononongwa okubalulekileyo kobungqina bomjikelezo we-pain-pain-pain in disorder disorders. UClin Biomech (eBristol, eAvon) , 1 (2), 102-109. doi.org/10.1016/0268-0033(86)90085-9
Vanti, C., Saccardo, K., Panizzolo, A., Turone, L., Guccione, AA, & Pillastrini, P. (2023). Imiphumo yokongezwa kwe-mechanical traction kunyango lomzimba kwiintlungu ezisezantsi? Uphononongo olucwangcisiweyo kunye nohlalutyo lwemeta. Acta Orthop Traumatol Turc , 57 (1), 3-16. doi.org/10.5152/j.aott.2023.21323
Zhang, YG, Guo, TM, Guo, X., & Wu, SX (2009). Ukuxilongwa kweklinikhi kwiintlungu ezisezantsi ze-discogenic. Int J Biol Sci , 5 (7), 647-658. doi.org/10.7150/ijbs.5.647
isikhanyeli
by UGqr Alex Jimenez Unyango lwe-Acupuncture , Ubuhlungu obungapheliyo , Ukulimala koluhlu , Unyango , I-Viscerosomatic Reflex
Ngaba abantu abajongene neentlungu zemisipha banokufumana isiqabu kunyango lwe-acupuncture ukuze babuyele kwimisebenzi yabo yemihla ngemihla kunye nokuba sempilweni?
intshayelelo
Abantu abaninzi kwihlabathi jikelele baye bajongana neentlungu kwinkqubo yabo ye-musculoskeletal eye yachaphazela imisebenzi yabo yemihla ngemihla. Ezinye zezona zinto zixhaphakileyo abantu baye bafumana iintlungu zokuqaqamba kwezihlunu ziquka indlela yokuphila yokungaphumli ukusuka ekusebenzeni emsebenzini wedesika okanye iimfuno zomzimba ezivela kwindlela yokuphila esebenzayo. Izihlunu, ii-tendon, ii-ligaments, kunye ne-soft tissues zinokolulwa kwaye zisebenze kakhulu, zibangele ukuba izihlunu zibe buthathaka. Ngexesha elifanayo, imiba ye-visceral ye-somatic entanyeni, emagxeni, nasemva inokuchaphazela iindawo eziphezulu kunye nezisezantsi, ezikhokelela kubomi bokukhubazeka. Izinto ezininzi ezinokuthi zibe negalelo ekuphuhlisweni kweentlungu ze-muscle zinokuchaphazela inkqubo yomntu kwaye zibangele ukuba bafumane iindlela ezahlukeneyo zokunciphisa intlungu yemisipha emizimbeni yabo. Kuba iintlungu zezihlunu zinokuba bukhali okanye zingapheli, abantu abaninzi abafuna unyango kwizigulo zabo banokujonga kunyango olungalulo utyando olufana ne-acupuncture ukuba lunganciphisi nje iintlungu zezihlunu kodwa bafumane isiqabu abalufunayo. Inqaku lanamhlanje ligxile kwindlela iintlungu zemisipha ezinokuchaphazela ngayo impilo-ntle yomntu, indlela undoqo we-acupuncture onokuba luncedo ngayo kwiintlungu zemisipha, kunye nendlela abantu abanokudibanisa ngayo unyango lwe-acupuncture njengenxalenye yendlela yokuphila kakuhle. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya indlela intlungu yemisipha inokuchaphazela ngayo impilo yomntu. Siyazisa kwaye sikhokela izigulane malunga nendlela unyango lwe-acupuncture olunokuthi luzuze ngayo umzimba ngokunciphisa iziphumo zentlungu yemisipha. Sikhuthaza abaguli bethu ukuba babuze ababoneleli bezonyango abanxulumene nabo imibuzo entsonkothileyo kunye nebalulekileyo malunga nokubandakanya unyango lwe-acupuncture kwi-wellness routine ukunciphisa intlungu ye-muscle kunye neempawu zayo ezithunyelwe. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli .
Indlela Intlungu Yemisipha Enokuchaphazela Ngayo Intlalontle Yomntu
Ngaba uziva imiphumo yokukhathala kunye nobuthathaka kwimisipha yakho ephezulu nangaphantsi? Ngaba ukhe weva ubuhlungu obuqhelekileyo okanye amahlaba entanyeni yakho, emagxeni, okanye emqolo? Okanye ngaba ukujija kunye nokuguqula umzimba wakho kubangela ukukhululeka okwethutyana emzimbeni wakho, kuphela ukuba ube mandundu imini yonke? Xa kuziwa kwintlungu ye-muscle ingaba yimeko yezinto ezininzi apho oko kunokubandakanya ukusebenzisana okuyinkimbinkimbi kwisakhiwo somntu, umzimba, intlalontle, indlela yokuphila, kunye nempilo ye-comorbid enokuthi idlale njengezinto ezibangela ukuba abantu bafumane intlungu yexesha elide. kunye nokukhubazeka. ( Caneiro et al., 2021 ) Njengoko abantu abaninzi beqala ukwenza ukunyakaza okuphindaphindiweyo okanye ukuhlala kwiindawo zokulala, iintlungu zemisipha zinokukhula xa zisolula okanye zizama ukuhambisa izihlunu zabo ngelixa besenza imisebenzi yabo. Umthwalo weentlungu ze-muscle uhlala uhambelana nezinto zentlalo zoqoqosho ezinokubangela ukuba abantu abaninzi, abancinci nabadala, banciphise kakhulu ukuhamba kwabo kunye nokuzibandakanya kwindlela yabo yesiqhelo, ebeka phambili imingcipheko eyongeziweyo kwezinye iimeko ezingapheliyo abanokuba nazo. ( Dzakpasu et al., 2021 )
Xa abantu abaninzi bejongene neentlungu zemisipha ngendlela ebuhlungu okanye engapheliyo, abaninzi abaqondi ukuba xa izihlunu ezichaphazelekayo kwi-quadrants yomzimba ophezulu kunye nezantsi zijongene nentlungu, kukho intlungu ehambelanayo kunye nokuqina kwindlela esebenzayo okanye engasebenzi ngayo. Izihlunu zinokuchaphazela izicubu ezithambileyo ezibangela uxinzelelo oluphezulu lomatshini ukuya kuchaphazela amalunga amathambo. ( UWilke & Behringer, ngo-2021 ) Xa oku kwenzeka, abantu abaninzi baya kuqala ukufumana intlungu echazwe kwi-muscle emizimbeni yabo, ebangela imiba ngokuhamba kwabo, ukuguquguquka, kunye nokuzinza. Ngokuzenzekelayo, intlungu ye-muscle ingaba ngumqondiso wabantu abaninzi abaneentlungu ezahlukeneyo emizimbeni yabo eye yachaphazela ubomi babo ngaphambili; ukufuna unyango kunokunciphisa imiphumo yeentlungu ze-muscle kwaye ubancede babuyisele indlela yabo yokuphila ubomi obunempilo.
Amayeza okunyakaza-Ividiyo
VIDEO
Undoqo we-acupuncture yeentlungu zemisipha
Xa abantu abaninzi bejongene neentlungu zemisipha, bafuna unyango olungafikelelekiyo kuphela kodwa lunokusebenza ekunciphiseni iiprofayili zomngcipheko ezigqithisayo ezichaphazela umzimba, ezibangela iintlungu zemisipha. Unyango oluninzi olufana nokhathalelo lwe-chiropractic, i-decompression, kunye nonyango lwe-massage alukho utyando kwaye lusebenza ngeeseshoni ezilandelelanayo. Olunye lolona nyango ludala nolusebenzayo olunokunceda ukunciphisa intlungu yemisipha emzimbeni lunyango lwe-acupuncture. I-acupuncture lunyango olupheleleyo oluphuma kwiTraditional Chinese Medicine esebenzisa iinaliti ezincinci, eziqinileyo, ezibhityileyo ezifakwe ngoochwephesha abachwepheshile kwii-acupoints ezahlukeneyo. Eyona filosofi iphambili yeyokuba i-acupuncture ibonelela ngesiqabu emzimbeni njengoko inceda ekuphuculeni ukuhamba kwamandla omzimba ngelixa igcina impilo yomntu wonke kunye namandla. ( Zhang et al., 2022 ) Xa umntu ejongene nentlungu ye-muscle, i-muscle fibers inokuphuhlisa amaqhuqhuva amancinci aziwa ngokuba ngamanqaku okubangela angabangela intlungu kwi-quadrants ye-muscle echaphazelekayo. Ngenaliti ze-acupuncture ezibekwe kwindawo echaphazelekayo, iintlungu zengingqi kunye neentlungu ezigqithisiweyo ziyancitshiswa, ukuhamba kwegazi kwe-muscle kunye ne-oksijini ibuyiselwa emzimbeni, kwaye uluhlu lwe-muscle lwe-motion luphuculwe. ( Pourahmadi et al., 2019 ) Ezinye zezibonelelo ezibonelelwa ngonyango lwe-acupuncture ziquka:
Ukunyuka kokujikeleza Ukunciphisa ukudumba Ukukhutshwa kwe-Endorphin Ukukhululeka koxinzelelo lwemisipha
Ukudibanisa i-acupuncture njengenxalenye yeNkqubo yeMpilo
Abantu abaninzi abafuna unyango lwe-acupuncture njengenxalenye yohambo lwabo lokuphila kakuhle banokubona izibonelelo ezilungileyo ze-acupuncture kwaye banokuludibanisa nolunye unyango ukunciphisa amathuba okubuya kweentlungu zemisipha. Ngelixa i-acupuncture inokunceda ukuvuselela imithambo-luvo kunye nokubuyisela ukusebenza kwemoto, unyango olufana nokuhlanganiswa ngokubambisana lunokunceda ukolula izihlunu kunye namalungu achaphazelekayo ukuphucula uluhlu lokunyakaza komzimba. ( ULee et al., 2023 ) Ngabantu abaninzi abafuna unyango lwe-acupuncture ukunciphisa intlungu ye-muscle, abaninzi banokwenza utshintsho oluncinci kwindlela yabo yokuthintela intlungu ekubangeleni iiprofayili ezinobungozi ezigqithisekileyo emizimbeni yabo. Xa ulungisa iingcambu zentlungu kunye nokukhuthaza amandla okuphilisa emzimbeni, i-acupuncture inokunceda ukubuyisela ibhalansi, ukunciphisa ukungonwabi, kunye nokuphucula impilo-ntle jikelele.
Ucaphulo
Caneiro, JP, Bunzli, S., & O'Sullivan, P. (2021). Iinkolelo malunga nomzimba kunye neentlungu: indima ebalulekileyo kulawulo lweentlungu ze-musculoskeletal. Braz J Phys Ther , 25 (1), 17-29. doi.org/10.1016/j.bjpt.2020.06.003
Dzakpasu, FQS, Carver, A., Brakenridge, CJ, Cicuttini, F., Urquhart, DM, Owen, N., & Dunstan, DW (2021). Intlungu ye-musculoskelet kunye nokuziphatha kokuhlala kwindawo yokusebenza kunye neendawo ezingekho phantsi komsebenzi: ukuphononongwa ngokuchanekileyo kunye nohlalutyo lwe-meta. Int J Behav Nutr Phys Act , 18 (1), 159. doi.org/10.1186/s12966-021-01191-y
Lee, JE, Akimoto, T., Chang, J., & Lee, HS (2023). Iziphumo zokuhlanganiswa ngokubambisana kunye ne-acupuncture kwiintlungu, umsebenzi womzimba, kunye nokudandatheka kwizigulane ze-stroke ezinentlungu engapheliyo ye-neuropathic: Ulingo olulawulwa ngokungahleliwe. I-PLOS ONE , 18 (8), e0281968. doi.org/10.1371/journal.pone.0281968
Pourahmadi, M., Mohseni-Bandpei, MA, Keshtkar, A., Koes, BW, Fernandez-de-Las-Penas, C., Dommerholt, J., & Bahramian, M. (2019). Ukusebenza kwesidingo esomileyo sokuphucula intlungu kunye nokukhubazeka kubantu abadala abane-tension-type, i-cervicogenic, okanye i-headaches ye-migraine: iprotocol yokuhlaziywa okucwangcisiweyo. Unyango lweChiropr lomntu , 27 , 43. doi.org/10.1186/s12998-019-0266-7
Wilke, J., & Behringer, M. (2021). Ngaba “Ukulibaziseka Ukuqala Ukuqaqamba Kwezihlunu” Ngumhlobo Wobuxoki? Impembelelo enokwenzeka yeFascial Connective Tissue kwi-Post-Exercise Discomfort. Int J Mol Sci , 22 (17). doi.org/10.3390/ijms22179482
Zhang, B., Shi, H., Cao, S., Xie, L., Ren, P., Wang, J., & Shi, B. (2022). Ukutyhila umlingo we-acupuncture esekwe kwiindlela zebhayoloji: Uphononongo loncwadi. Iimpawu zeBiosci , 16 (1), 73-90. doi.org/10.5582/bst.2022.01039
isikhanyeli
by UGqr Alex Jimenez Umqolo obuhlungu , Chiropractic , Ubuhlungu obungapheliyo , Ubuhlungu Bokubuyisela , Unyango lokuthotywa koMnqonqo , Unyango , I-Viscerosomatic Reflex
Ngaba abantu abane-lumbar spinal stenosis banokusebenzisa i-spinal decompression ukunciphisa iintlungu ezisezantsi kunye nokubuyisela ukuhamba?
intshayelelo
Abantu abaninzi kwihlabathi jikelele baye bajongana neentlungu ezisezantsi ngaxa lithile ebomini babo eziye zachaphazela ukuhamba kwabo kwaye zachaphazela indlela yabo yesiqhelo. Izinto ezininzi zokusingqongileyo zingakhokelela ekuphuhlisweni kweentlungu ezisezantsi, njengokuphakanyiswa okungafanelekanga, ukungahambi kakuhle, ukulimala okubuhlungu, kunye neengozi ezinokuchaphazela imisipha ejikelezileyo, intambo yomgogodla kunye neengcambu zemithambo-luvo. Xa oku kusenzeka, kunokukhokelela kwi-lumbar spinal stenosis kwaye kubangele ukugqithiswa kweeprofayili zomngcipheko ezihambelana neentlungu ezisezantsi. Xa abantu bejongene ne-lumbar spinal stenosis, banokucinga ukuba intlungu yabo iphantsi. Ukuza kuthi ga ngoku, abantu abaninzi bafuna unyango ukuba bangagcini nje ukunciphisa intlungu ephantsi kodwa banciphise nemiphumo ye-lumbar spinal stenosis. Olunye unyango, olufana nokuthotywa komqolo, olulunyango olungasebenzisi utyando, lunokunceda ukubuyisela ukuhamba emzimbeni. Inqaku lanamhlanje lijonga indlela i-lumbar spinal stenosis echaphazela ngayo umva ophantsi kunye nokuxilongwa kwayo ngelixa ijonga indlela ukuchithwa komgogodla kunokubonelela ngayo umntu kwaye ibe neenzuzo ezintle ekubuyiseleni ukuhamba. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya indlela i-lumbar spinal stenosis ehambelana ngayo neentlungu ezisezantsi, ezibangela imiba yokuhamba. Sikwazisa kwaye sikhokela izigulane malunga nendlela i-spinal decompression yindlela egqwesileyo yonyango enokuthi idibaniswe nolunye unyango. Sikhuthaza izigulane zethu ukuba zibuze ababoneleli babo bezonyango abahambelanayo nemibuzo ebalulekileyo malunga nokubandakanya unyango lwe-decompression ukukhulula imiphumo yentlungu ebangelwa yi-lumbar stenosis ngelixa ukunciphisa imiphumo yeentlungu ezigqithisiweyo njengeentlungu ezisezantsi zokubuyisela ukuhamba komntu. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli .
Indlela iLumbar Spinal Stenosis echaphazela ngayo umqolo osezantsi
Ngaba uziva ukuntyiloza ngasemva kwemilenze yakho echaphazela ukukwazi kwakho ukuhambahamba? Okanye ngaba umqolo wakho osezantsi uziva uphantsi kancinci kunokuba ubuqhele ukwenza? Xa abantu abaninzi beva iintlungu ezisezantsi ngexesha lokuphila kwabo, zinokuhlala zihambelana ne-lumbar spinal stenosis. I-Lumbar spinal stenosis ngokuqhelekileyo iyenzeka xa i-spinal canal kwi-back back iyancipha, ekhokelela kwiinguqu eziguqukayo. Xa umgudu womgogodla uqala ukucutheka kumqolo, unokubangela ukungoneliseki okukhulu, uphazamise imisebenzi yemihla ngemihla, kwaye unokubangela ukukhubazeka okuqhubekayo kubantu abaninzi. ( Munakomi et al., 2024 ) Iimpawu ezibangelwa yi-lumbar spinal stenosis zivela kwi-mild to severe, kwaye zeziphi iimeko zendalo ezihambelana nomcimbi. Ngelo xesha, i-lumbar spinal stenosis ibonakala ngeempawu ezinjengeentlungu ezisezantsi ezinokubangela utshintsho lwe-spondylotic olubangela intlungu ephantsi enokuthi ichaphazele kakubi umgangatho wobomi bomntu. ( Ogon et al., 2022 ) Oku kubangela ukuba abantu abaninzi baye koogqirha babo bokuqala ukuze bafumane ukuxilongwa kwaye bafunde indlela yokulawula intlungu ehambelana ne-lumbar spinal stenosis.
Ukuxilongwa kweLumbar Spinal Stenosis
Xa kuziwa ekuxilongeni i-lumbar spinal stenosis, abaninzi ababoneleli bezempilo baya kubandakanya uvavanyo olubanzi, olubandakanya ukuhlolwa ngokomzimba ukuze ubone indlela ehamba ngayo umva womntu kunye nokuhlolwa kwe-imaging njenge-MRIs kunye ne-CT scans ukuze babone umgudu womgogodla kunye nokuvavanya ubungakanani bomqolo. ukunciphisa okubangela intlungu kwiindawo ezisezantsi. Oku kungenxa yokuba xa abantu bejongana ne-lumbar spinal stenosis, inokubonakalisa nge-neurogenic claudication kwiindawo ezisezantsi, ngakumbi xa umntu emile okanye ehleli. Intlungu iyancipha xa isikhundla sabo sitshintshwa. ( Sobanski et al., 2023 ) Ukongezelela, i-lumbar spinal stenosis yenye yezona zinto zixhaphakileyo zokuxilongwa kwezifo zomgudu apho uninzi lwabasebenzi bezempilo bavavanya kwaye bavavanya. Xa kukho ukucutha kwi-spinal canal, ekhokelela ekuphuhlisweni kwe-lumbar spinal, ukunyakaza okulula njengokuhamba kunokunyusa iimpawu kwiindawo ezisezantsi kunye nokwandisa i-oksijini kwiimbilini zomgogodla, ezinokuthi zigqithise ukuhamba kwegazi okukhoyo ukuya kwiindawo ezisezantsi. ( I-Deer et al., ngo-2019 ) Ukuza kuthi ga ngelo xesha, unyango olufana ne-spinal decompression lunokunceda ukunciphisa iintlungu ezisezantsi ezinxulumene ne-lumbar spinal stenosis.
Indlela engeyiyo Utyando kwiMpilo-Video
VIDEO
Indlela yokuNceda ngokuSebenzisa ukuthotywa koMnqonqo
Xa kuziwa kubantu abafumana iintlungu ezibangelwa yi-lumbar spinal stenosis, abantu abaninzi banokufuna unyango olungasebenzisi utyando olunje ngoxinzelelo lomqolo ukuthoba iintlungu ezisezantsi. Ukunyanzeliswa komgogodla kuye kwavela njengento engabonakaliyo, inketho yonyango olusebenzayo kwi-lumbar spinal stenosis. Isebenzisa ukutsalwa okuthambileyo komatshini kumqolo ukuze wolulwe, ukukhulula imithambo yomqolo ngokudala indawo eyongezelelekileyo ngaphakathi kumngxuma womqolo. Ukunyanzeliswa komgogodla kunciphisa inkqubo yokunciphisa ngelixa izihlunu ezijikelezileyo zoluliwe ngobumnene, kwaye ukuphakama kwe-spinal disc kuyanda ngenxa yoxinzelelo olubi. ( Kang et al., 2016 )
IiNzuzo zokuDodobala koMnqonqo kunye nokuBuyisela ukuHamba
Ukongezelela, i-traction ethambileyo evela kwi-spinal decompression inceda ukunyusa ukuhamba kwemveliso yezondlo kunye ne-oksijini ukubuyela kwiidiski zomgogodla ezichaphazelekayo kunye nomqolo ukukhuthaza indawo engcono yokuphilisa umzimba. Ekubeni ukunyanzeliswa komgogodla kunokudibaniswa nolunye unyango olungelulo utyando, njengonyango lomzimba kunye nokuguqulwa komgogodla, kunokubonelela ngemiphumo emihle ehlala ixesha elide kubantu abane-lumbar spinal stenosis. ( U-Ammendolia et al., ngo-2022 ) Ezinye zeziphumo eziluncedo zokudodobala komqolo ziquka:
Ukunciphisa intlungu ngokunciphisa uxinzelelo kwi-spinal nerves ukunciphisa intlungu kunye nokungahambi kakuhle kwiindawo ezisezantsi kakhulu. Ukuhamba okuphuculweyo kuvumela umntu ukuba abuyele kwimisebenzi yakhe yemihla ngemihla ngokulula.
Abantu abaninzi banokuzuza kwi-spinal decompression ukuze banciphise imiphumo ye-lumbar spinal stenosis kunye nokuhamba kwabo okuphantsi kubuyiselwe emva kweeseshoni ezilandelelanayo zokunciphisa amathuba okuba intlungu ibuye. Ngokucinga ngakumbi malunga nempilo kunye nokuphila kakuhle, abantu abaninzi banokwenza utshintsho oluncinci kwimisebenzi yabo ukunciphisa intlungu kwaye bahlale behamba ubomi babo bonke. Oku kubavumela ukuba babe nethemba lokubakhulula kwintlungu abebephantsi kwayo.
Ucaphulo
Ammendolia, C., Hofkirchner, C., Plener, J., Bussieres, A., Schneider, MJ, Young, JJ, Furlan, AD, Stuber, K., Ahmed, A., Cancelliere, C., Adeboyejo, A ., & Ornelas, J. (2022). Unyango olungasebenziyo lwe-lumbar spinal stenosis kunye ne-neurogenic claudication: ukuhlaziywa okucwangcisiweyo okuhlaziyiweyo. BMJ Open , 12 (1), e057724. doi.org/10.1136/bmjopen-2021-057724
Deer, T., Sayed, D., Michels, J., Josephson, Y., Li, S., & Calodney, AK (2019). Ukuphononongwa kweLumbar Spinal Stenosis kunye ne-Intermittent Neurogenic Claudication: Izifo kunye nokuxilongwa. Iintlungu Med , 20 (Isihlomelo 2), S32-S44. doi.org/10.1093/pm/pnz161
Kang, JI, Jeong, DK, & Choi, H. (2016). Impembelelo ye-spinal decompression kumsebenzi we-lumbar muscle kunye nokuphakama kwediski kwizigulane ezine-disk intervertebral disk. Ijenali yoNyango lwezeMpilo , 28 (11), 3125-3130. doi.org/10.1589/jpts.28.3125
Munakomi, S., Foris, LA, & Varacallo, M. (2024). I-Spinal Stenosis kunye ne-Neurogenic Claudication. Kwi StatPearls . www.ncbi.nlm.nih.gov/pubmed/28613622
Ogon, I., Teramoto, A., Takashima, H., Terashima, Y., Yoshimoto, M., Emori, M., Iba, K., Takebayashi, T., & Yamashita, T. (2022). Izinto ezinxulumene neentlungu ezisezantsi kwizigulane ezine-lumbar spinal stenosis: isifundo esinqamlezayo. I-BMC Musculoskelet Disord , 23 (1), 552. doi.org/10.1186/s12891-022-05483-7
Sobanski, D., Staszkiewicz, R., Stachura, M., Gadzielinski, M., & Grabarek, BO (2023). Ukunikezelwa, ukuxilongwa, kunye noLawulo lweentlungu ezisezantsi eziNxulunyaniswe ne-Spinal Stenosis: Ukuphononongwa okuBalisayo. Inyanga yezeMed , 29 , e939237. doi.org/10.12659/MSM.939237
isikhanyeli
by UGqr Alex Jimenez Unyango lwe-Acupuncture , Ubuhlungu obungapheliyo , Ukuhamba kunye nokuguquguquka , Unyango , I-Viscerosomatic Reflex
Ngaba abantu abajongene neentlungu ezidibeneyo banokubandakanya unyango lwe-acupuncture ukulawula iimpawu ze-lupus kunye nokubuyisela ukuhamba komzimba?
intshayelelo
Amajoni omzimba abaluleke kakhulu kumzimba njengoko umsebenzi wawo ophambili kukukhusela izakhiwo ezibalulekileyo kubahlaseli bangaphandle abanokuthi babangele imiba efana neentlungu kunye nokungonwabi. I-immune system inobudlelwane obuphilileyo kunye neenkqubo ezahlukeneyo zomzimba, kubandakanywa ne-musculoskeletal system, njengoko i-cytokines evuthayo inceda ukuphilisa umonakalo wemisipha kunye nezicubu xa umzimba wenzakala. Ngokuhamba kwexesha, nangona kunjalo, xa iimeko eziqhelekileyo zokusingqongileyo kunye nemfuzo ziqala ukukhula emzimbeni, amajoni omzimba aya kuqala ukuthumela ezi cytokines kwiiseli eziphilileyo, eziqhelekileyo. Ukuza kuthi ga ngelo xesha, umzimba uqala emngciphekweni wokuphuhlisa izifo ezizimelayo. Ngoku, izifo ezizimelayo emzimbeni zinokubangela isiphithiphithi ngokuhamba kwexesha xa zingalawulwa, nto leyo ekhokelela kwiziphazamiso ezingapheliyo ezinokubangela iimpawu ezidlulayo kwinkqubo ye-musculoskeletal. Esinye sezona zifo zixhaphakileyo ze-autoimmune yi-systemic lupus erythematosus okanye i-lupus, kwaye inokubangela ukuba umntu abe neentlungu ezingaguqukiyo kunye nokungonwabi ngelixa enxibelelana nezihlunu kunye neentlungu zamalungu. Inqaku lanamhlanje lijonga izinto kunye neziphumo ze-lupus, umthwalo wentlungu edibeneyo kwi-lupus, kunye nendlela iindlela ezipheleleyo ezifana ne-acupuncture ezinokunceda ukulawula i-lupus ngelixa ubuyisela ukuhamba komzimba. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya indlela yokunciphisa iintlungu ezibangelwa yi-lupus kumalungu. Siyazisa kwaye sikhokela izigulane malunga nendlela i-acupuncture enokunceda ngayo ukulawula i-lupus kunye nokudibanisa ezinye iindlela zonyango zokunciphisa iimpawu zayo ezinjengeentlungu ezichaphazela inkqubo ye-musculoskeletal system. Sikhuthaza abaguli bethu ukuba babuze ababoneleli babo bezonyango abahambelana nemibuzo ebalulekileyo malunga nokubandakanya unyango lwe-acupuncture ukukhulula iziphumo ezivuthayo ze-lupus ngelixa befumana iindlela zendalo zokubuyisela ukuhamba. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli .
Imiba kunye neziphumo zeLupus
Ngaba uye wafumana intlungu edibeneyo kwiindawo zakho eziphezulu okanye ezisezantsi, okwenza kube nzima ukusebenza imini yonke? Ngaba ubusoloko uziva iziphumo zokudinwa rhoqo? Abantu abaninzi abahlangabezana nale miba efana neentlungu banokubeka emngciphekweni wokuphuhlisa i-systemic lupus erythematosus. Kwesi sifo se-autoimmune, amajoni omzimba aqala ngempazamo ukuhlasela izicubu zawo, nto leyo ekhokelela ekudumbeni kunye noluhlu lweempawu ezinjengeentlungu. I-Lupis inobuqili bokuxilonga ngenxa ye-immune dysregulation entsonkothileyo enokukhokelela ekuveliseni kakhulu iicytokines ezinokuchaphazela umzimba. ( ULazar & Kahlenberg, 2023 Kwangaxeshanye, i-lupus inokuchaphazela abantu abahlukeneyo, kunye neempawu kunye nokuqina okungafaniyo kuxhomekeke kwindlela ezibuthathaka okanye ezinzima ngayo izinto ezichaphazela umzimba. I-Lupus inokuchaphazela amalungu ahlukeneyo omzimba, kubandakanya amalungu, ulusu, izintso, iiseli zegazi, kunye namanye amalungu abalulekileyo omzimba kunye namalungu, njengoko izinto zokusingqongileyo kunye nehomoni zinokuchaphazela ukukhula kwayo. ( Tsang & Bultink, 2021 ) Ukongezelela, i-lupus inokudityaniswa ngokusondeleyo kunye nezinye izinto ezibangela ukugqithiswa kweeprofayili ezinobungozi kunye nokuvuvukala okunokuchaphazela amajoyina kwi-musculoskeletal system.
Umthwalo weentlungu ezidibeneyo kwiLupus
I-Lupus inobuqili ukuyifumanisa kuba ihlala ilinganisa ezinye izigulo; olona phawu luqhelekileyo lwentlungu oluchaphazela ilupus ngamalunga. Abantu abane-lupus bafumana intlungu edibeneyo, enokubangela iziphumo ezivuthayo kunye nomonakalo wesakhiwo kumalungu, imisipha, imisipha kunye namathambo, okubangela ukungahambi kakuhle kwe-pathological. ( UDi Matteo et al., 2021 ) Ekubeni i-lupus ibangela iziphumo ezivuthayo kumalungu, abantu abaninzi baya kucinga ukuba bafumana i-arthritis evuthayo, kwaye inokubangela ukugqithiswa kweeprofayili zengozi njengoko ihamba kunye ne-lupus, ngaloo ndlela ibangela intlungu yendawo kumalungu kungakhathaliseki ukuba imvelaphi yayo. ( Senthelal et al., 2024 ) Intlungu edibeneyo kubantu be-lupus inokuthintela kakhulu imisebenzi yemihla ngemihla, ukunciphisa ukuhamba kunye nomgangatho wobomi bonke njengoko bezama ukufumana isiqabu.
Ukuvula iiMfihlo zoKudumba-Ividiyo
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Indlela epheleleyo yokulawula iLupus
Nangona unyango oluqhelekileyo lwe-lupus lubandakanya amayeza kunye ne-immunosuppressants ukunciphisa ukuvuvukala okubangelwa yi-lupus, abantu abaninzi bafuna ukufuna iindlela ezipheleleyo zokulawula i-lupus kunye nokunciphisa iziphumo ezivuthayo ezichaphazela amalungu abo ngokwenza utshintsho oluncinci ebomini babo. Abantu abaninzi bafaka ukutya okuchasene nokudumba okutyebileyo kwi-antioxidants ukudambisa iziphumo ezivuthayo. Izongezelelo ezahlukeneyo, ezifana ne-vitamin D, i-calcium, i-zinc, njl., zinokunceda ukunciphisa ukuvuvukala okubangelwa yi-lupus kunye nokomeleza impilo yamathambo. Ukongezelela, unyango olungelulo utyando lunokuphucula umthamo we-cardiorespiratory kunye nokunciphisa ukukhathala ngelixa uphucula umsebenzi wengqondo, onokunceda ukuphucula umgangatho wobomi bomntu ngokulawula iimpawu ezibangelwa yi-lupus. ( Fangtham et al., 2019 )
Ingayinceda njani i-Lupus kunye nokubuyisela ukuHamba
Enye yezona ndlela zindala zeendlela ezingezizo utyando kunye nezipheleleyo zokunciphisa ukudumba kunye nokulawula i-lupus yi-acupuncture. I-acupuncture ibandakanya iinaliti eziqinileyo, ezincinci ezisetyenziswa ngabaqeqeshi abaqeqeshwe kakhulu ukuba bafakwe kumanqaku athile omzimba ukulinganisa i-qi yomzimba (amandla) ngokuvuselela inkqubo ye-nervous kunye nokukhulula iikhemikhali eziluncedo kwimisipha echaphazelekayo, intambo yomgogodla kunye nengqondo. Ukongeza, i-acupuncture, eneziphumo zayo ezincinci kunye nendlela epheleleyo, inokunceda ukulawula i-lupus. Oku kungenxa yokuba xa iinaliti ze-acupuncture zifakwe kwii-acupoints zomzimba, zinokuphazamisa iimpawu zentlungu ezibangela intlungu kwindawo echaphazelekayo kwaye zilawule i-cytokines evuthayo esuka kwi-lupus ukubonelela ngokukhululeka. ( Wang et al., 2023 ) Oku kungenxa yefilosofi yayo yokujongana neentlungu zomzimba kuphela kodwa kunye neempawu zeemvakalelo nezengqondo zokuphila kunye nesifo esingapheliyo njenge-lupus.
Ukongezelela, i-acupuncture inokunceda ukubuyisela ukuhamba ngokubambisana ngelixa ulawula i-lupus ngokusebenzisa unyango olulandelelanayo, njengoko abantu abaninzi beqaphela ukuba ukuhamba kwabo ngokubambisana kuphuculwe kwaye intlungu yabo iyancipha. Oku kungenxa yokuba ukufakwa kunye nokuguqulwa kweenaliti kwi-acupoints yomzimba kubangela ukuguqulwa kwigalelo le-afferent sensory kwinkqubo ye-nervous central, eyandisa i-alpha motoneuron excitability kunye nokunciphisa ukuvutha. ( UKim et al., 2020 ) Xa abantu bejongana ne-lupus kwaye bezama ukufumana ezinye iindlela ezipheleleyo zokuphelisa ukudumba kunye neentlungu ezidibeneyo ezibangelwa yi-lupus, i-acupuncture, kunye nonyango olungelulo utyando lunokunika i-ray yethemba ekulawuleni imingeni yemihla ngemihla ye-lupus.
Ucaphulo
Di Matteo, A., Smerilli, G., Cipolletta, E., Salaffi, F., De Angelis, R., Di Carlo, M., Filippucci, E., & Grassi, W. (2021). Ukufanekisa ukuBandakanya kweTissue eDityanisiweyo kunye neSoft kwi-Systemic Lupus Erythematosus. Curr Rheumatol Rep , 23 (9), 73. doi.org/10.1007/s11926-021-01040-8
Fangtham, M., Kasturi, S., Bannuru, RR, Nash, JL, & Wang, C. (2019). Unyango olungelulo lwe-pharmacologic lwe-systemic lupus erythematosus. Lupus , 28 (6), 703-712. doi.org/10.1177/0961203319841435
UKim, D., Jang, S., & Park, J. (2020). I-Electroacupuncture kunye ne-Manual Acupuncture Yongeza i-Flexibility Joint kodwa Ukunciphisa Amandla Emisipha. Ukhathalelo lwempilo (Basel) , 8 (4). doi.org/10.3390/healthcare8040414
ULazar, S., & Kahlenberg, JM (2023). I-Systemic Lupus Erythematosus: IiNdlela eziNtsha zokuHlola kunye noNyango. UAnn uMfundisi Med , 74 , 339-352. doi.org/10.1146/annurev-med-043021-032611
Senthelal, S., Li, J., Ardeshirzadeh, S., & Thomas, MA (2024). Isifo samathambo. Kwi StatPearls . www.ncbi.nlm.nih.gov/pubmed/30085534
Tsang, ASMWP, & Bultink, IEM (2021). Uphuhliso olutsha kwi-systemic lupus erythematosus. Rheumatology (Oxford) , 60 (Suppl 6), vi21-vi28. doi.org/10.1093/rheumatology/keab498
Wang, H., Wang, B., Huang, J., Yang, Z., Ingoma, Z., Zhu, Q., Xie, Z., Sun, Q., & Zhao, T. (2023). Ukusebenza kunye nokukhuseleka konyango lwe-acupuncture kunye ne-pharmacotherapy eqhelekileyo kunyango lwe-systemic lupus erythematosus: ukuphononongwa ngokuchanekileyo kunye nohlalutyo lwe-meta. Iyeza (Baltimore) , 102 (40), e35418. doi.org/10.1097/MD.0000000000035418
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by UGqr Alex Jimenez Ubuhlungu obungapheliyo , Electroacupuncture Therapy , entanyeni Pain , Unyango lweentlungu , Unyango , I-Viscerosomatic Reflex
Ngaba abantu abane-thoracic outlet syndrome banokubandakanya i-electroacupuncture ukunciphisa intlungu yentamo kunye nokubuyisela ukuma okufanelekileyo?
intshayelelo
Amaxesha amaninzi kwihlabathi liphela, abantu abaninzi baye bafumana iintlungu ezijikeleze iintamo zabo, ezinokukhokelela kwiintlungu kunye nokungakhululeki. Izinto ezininzi zokusingqongileyo, ezifana nokuba kwindawo yokuzingela ngelixa ujonge ikhompyutha okanye ifowuni, ukulimala okubuhlungu, ukungahambi kakuhle, okanye imiba yomgogodla, kunokubangela iimpawu ezinjengeentlungu kunye neengxaki kumzimba. Ekubeni intlungu yentamo isikhalazo esiqhelekileyo abantu abaninzi abahluphekayo, iimpawu ezifana nokubetha, ukuphazamiseka, okanye ubuthathaka bemisipha kwiindawo ezingaphezulu kunokukhokelela kwi-comorbidities. Xa oku kwenzeka, kunokukhokelela ekuphuhlisweni kwemeko enzima eyaziwa ngokuba yi-thoracic outlet syndrome okanye i-TOS. Inqaku lanamhlanje lijonga ikhonkco phakathi kwe-thoracic outlet syndrome kunye nentlungu yentamo, indlela yokulawula i-TOS ngelixa unciphisa intlungu yentamo, kunye nendlela i-electroacupuncture inokunceda ngayo nge-TOS. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya indlela yokunciphisa imiphumo ye-TOS ngelixa unciphisa intlungu yentamo. Siyazisa kwaye sikhokela izigulane malunga nendlela i-electroacupuncture enokunceda ngayo ukulawula i-TOS. Sikhuthaza izigulane zethu ukuba zibuze ababoneleli babo bezonyango abahambelanayo nemibuzo ebalulekileyo malunga nokubandakanya i-electroacupuncture yokunciphisa i-TOS ehambelana nentamo. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli .
Ikhonkco phakathi kweThoracic Outlet Syndrome & Neck Pain
Ngaba ukhe wayiqaphela indlela ozingela ngayo ngaphezu kwesiqhelo? Ngaba ufumana iimpawu zokuntlitheka okanye ukuba ndindisholo ukusuka ezingalweni ukuya ezandleni zakho? Okanye ngaba uziva ukuxinezeleka kwemisipha entanyeni yakho? I-Thoracic outlet syndrome, okanye i-TOS, yimeko enzima ebangela ukunyanzeliswa kwezakhiwo ze-neurovascular phakathi kwe-clavicle kunye ne-rib yokuqala. ( Masocatto et al., 2019 ) Ezi zakhiwo ze-neurovascular zikufuphi nentamo kunye namagxa. Xa izakhiwo zokusingqongileyo zichaphazela iziphelo eziphezulu, kunokukhokelela ekugqithiseni intlungu yentamo, enokubangela ukugqithiswa kweeprofayili zengozi. Ezinye zezinto ezinokuthi i-TOS zibe negalelo kwiintlungu zentamo ziquka:
Iinguqu ze-atomical Ukunyanzeliswa okubi Ukuphindaphinda Ukwenzakala okubuhlungu
Ngelo xesha, abantu abaneentlungu zentamo banokuhlakulela i-TOS, njengoko intlungu yentamo yimeko ye-multifactorial ye-musculoskeletal enokuthi idibaniswe neeprofayili ezinobungozi ezigqithisiweyo ezifaka isandla kwi-TOS. ( Kazeminasab et al., 2022 ) Njengoko kuchaziwe ngaphambili, izinto ezifana nokungahambi kakuhle zinokuthi zigqithise imisipha yentamo kunye nezakhiwo ze-neurovascular, ezikhokelela kwiimpawu zentlungu ye-neuropathic ezinokubangela intlungu ebuhlungu ebhekiswe kwintamo kunye nobuthathaka bemisipha. ( Childress & Stuek, 2020 ) Xa oku kwenzeka, abantu abaninzi baya kuqala ukuziva bebuhlungu kwaye baqale ukufuna unyango ukuze banciphise i-TOS kuphela kodwa nokunciphisa intlungu yentamo.
Yintoni iThoracic Outlet Syndrome- Ividiyo
VIDEO
Ukulawula i-TOS kunye nokunciphisa iintlungu zeNtamo
Xa kuziwa ekuphatheni i-TOS, ngakumbi xa iintlungu zentamo ziyingxenye ebalulekileyo, abantu abaninzi baya kuzama ukufuna unyango olungenalo utyando ukunciphisa iimpawu. Abantu abaninzi banokuzama unyango lomzimba ukolula kunye nokomeleza amagxa, isifuba, kunye nezihlunu zentamo ukukhulula uxinzelelo. Abanye banokuzama unyango olwenziwa ngokudibeneyo entanyeni ngelixa i-neural-tissue-oriented for TOS ukuphucula ukuhlanganiswa kwiindawo eziphezulu kunye nokuphucula ukungahambi kakuhle. ( Kuligowski et al., 2021 ) Ukongezelela, unyango olungenalo utyando lunokudibaniswa kunye nezinye iindlela zonyango zokunciphisa amathuba okuba i-TOS ibuyele njengoko inokuthi inyuse ngakumbi umsebenzi we-sensory-motor emva kwentamo nangaphezulu. ( Borrella-Andres et al., 2021 )
Indlela i-Electroacupuncture enokunceda ngayo nge-TOS
I-Electroacupuncture yindlela yanamhlanje ye-acupuncture yendabuko eyinxalenye yonyango olungasebenzisiyo olunokunceda ukulawula i-TOS ngelixa unciphisa intlungu yentamo. I-Electroacupuncture yinguqu yokufaka iinaliti kwii-acupoints zomzimba ngelixa idibanisa ukukhuthazwa kombane ukuhambisa umbane ojikelezayo kwindawo echaphazelekayo ngobunono. ( Zhang et al., 2022 ) Ezinye zeempawu eziluncedo ezinokubonelelwa nge-electrostimulation kwi-TOS ziquka:
Ukunciphisa intlungu ngokukhuthaza ukukhululwa kwee-endorphins ukunciphisa ukuvuvukala. Nceda ukhulule izihlunu ezichaphazelekayo esifubeni nasentanyeni ukuze unciphise uxinzelelo kwiimbilini ze-thoracic outlet. Ukunceda ukuphucula ukuhamba kwegazi ukunciphisa ukunyanzeliswa kwe-vascular ye-TOS. Ukunceda ukuvuselela i-nerve pathway ukukhuthaza ukusebenza kakuhle kwe-nerve kunye nokunciphisa iimpawu ezinjengeentlungu.
Ngokubandakanya i-electroacupuncture kunye nonyango olungelulo utyando ukunciphisa i-TOS, abantu abaninzi banokwenza uhlengahlengiso kwimikhwa yabo yokuphila kwaye bathintele imiba ekuchaphazeleni imizimba yabo ephezulu. Ngokusebenzisa olu nyango, abantu abaninzi banokuphulaphula imizimba yabo kwaye bagxininise kwimpilo yabo kunye nokuphila kakuhle ngokujongana neempawu ezifana nentlungu abazifumana kwi-TOS ehambelana nentlungu yentamo. Ngexesha elifanayo, banobudlelwane obuhle kunye noogqirha babo bokuqala ukuphuhlisa isicwangciso sonyango lomntu siqu esinokulawula iimpawu zabo ze-TOS kwiziphumo ezilungileyo.
Ucaphulo
Borrella-Andres, S., Marques-Garcia, I., Lucha-Lopez, MO, Fanlo-Mazas, P., Hernandez-Secorun, M., Perez-Bellmunt, A., Tricas-Moreno, JM, & Hidalgo- UGarcia, C. (2021). Unyango lweManuwali njengoLawulo lweCervical Radiculopathy: Ukuphononongwa okuCwangcisiweyo. I-Biomed Res Int , 2021 , 9936981. doi.org/10.1155/2021/9936981
Childress, MA, & Stuek, SJ (2020). Intlungu Yentamo: UVavanyo lokuqala kunye noLawulo. Ugqirha wezeMerika waseMerika , 102 (3), 150-156. www.ncbi.nlm.nih.gov/pubmed/32735440
www.aafp.org/dam/brand/aafp/pubs/afp/issues/2020/0801/p150.pdf
Kazeminasab, S., Nejadghaderi, SA, Amiri, P., Pourfathi, H., Araj-Khodaei, M., Sullman, MJM, Kolahi, AA, & Safiri, S. (2022). Intlungu yentamo: i-epidemiology yehlabathi, iintsingiselo kunye nezinto ezinobungozi. I-BMC Musculoskelet Disord , 23 (1), 26. doi.org/10.1186/s12891-021-04957-4
Kuligowski, T., Skrzek, A., & Cieslik, B. (2021). Unyango lweNcwadana kwi-Cervical and Lumbar Radiculopathy: Ukuphononongwa okuCwangcisiweyo koNcwadi. Int J Environ Res Impilo yoLuntu , 18 (11). doi.org/10.3390/ijerph18116176
Masocatto, NO, Da-Matta, T., Prozzo, TG, Couto, WJ, & Porfirio, G. (2019). I-Thoracic outlet syndrome: uphononongo olubalisayo. Umfundisi Col Bras Cir , 46 (5), e20192243. doi.org/10.1590/0100-6991e-20192243 (Sindrome do desfiladeiro toracico: uma revisao narrativa.)
Zhang, B., Shi, H., Cao, S., Xie, L., Ren, P., Wang, J., & Shi, B. (2022). Ukutyhila umlingo we-acupuncture esekwe kwiindlela zebhayoloji: Uphononongo loncwadi. Iimpawu zeBiosci , 16 (1), 73-90. doi.org/10.5582/bst.2022.01039
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