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Umqolo obuhlungu

Iqela loNyango lweChiropractic ngasemva kwiKliniki yangasemva. Kwikliniki yase-El Paso yokuBuyela, sithatha intlungu ebuhlungu kakhulu.

Emva kokufumanisa oyena nobangela wokungonwabi / iintlungu zakho, siyakwenza konke okusemandleni ethu ukunyanga le ndawo kwaye sithomalalise iimpawu zakho.

Izizathu eziqhelekileyo zentlungu emva:
Kukho inani elingapheliyo leentlungu zentlungu emva, kwaye iintlobo ezahlukeneyo zokulimala kunye nezifo zingabangela ukungahambi kakuhle kule ndawo yomzimba. Enye yezona zinto ziQhaphakileyo sibona esinye sezigulane zethu kwi-East Side El Paso kunye neendawo ezikufutshane ziquka:

I-Disc Herniation
Ngaphakathi komqolo kukho iidiski eziguquguqukayo ezigcina amathambo akho kwaye zibambe umothuko. Nanini na ezi diski zophukileyo, zinokucinezela umthambo-luvo okhokelela kubundindisholo obusezantsi. UxinzeleloXa i-muscle kwi-trunk igqithise okanye ibuhlungu, ibangela ukuqina kunye nentlungu, olu hlobo lokulimala luhlelwa ngokubanzi njenge-back strain. Oku kunokuba sisiphumo sokuzama ukuphakamisa into enokubangela intlungu ebuhlungu kunye nokukhubazeka kwaye inzima kakhulu. Ukufumanisa oyena nobangela wentlungu yakho.

Osteoarthritis
I-osteoarthritis ibonakala ngokucotha ukuthotywa kwe-cartilage ekhuselayo. Xa umva uchaphazelekayo kule meko, kubangela umonakalo kumathambo obangela intlungu engapheliyo, ukuqina, kunye nokuhamba okulinganiselwe. I-sprainUkuba iiligaments kumqolo wakho nasemva zoluliwe okanye zikrazukile, kubizwa ngokuba yi-sprain yomqolo. Ngokuqhelekileyo, le nzakala ibangela intlungu kummandla. I-Spasms ibangela ukuba izihlunu zangasemva zisebenze ngokugqithisileyo zinokuqala ukuwohloka, kwaye zinokuhlala zikosuleleka- okukwabizwa ngokuba kukuqhawuka kwezihlunu. I-Muscle spasms ingabonisa intlungu kunye nokuqina de kube i-strain isombulula.

Sifuna ukuphumeza uxilongo ngoko nangoko, sidibanisa imvelaphi kunye noviwo kunye nemifanekiso yakutshanje, ukuze sikwazi ukukunika olona khetho lusebenzayo lonyango. Ukuqala, siza kuthetha nawe malunga neempawu zakho, nto leyo eya kuthi isinike ulwazi olubalulekileyo malunga nemeko yakho esisiseko. Emva koko siyakwenza uvavanyo lomzimba, apho siya kujonga imiba yokuma, sivavanye umqolo wakho kwaye sivavanye umqolo wakho. Ukuba siqikelela ukwenzakala, okufana nediski okanye ukwenzakala kwemithambo-luvo, siyaku-odola iimvavanyo zomfanekiso ukuze sifumane uhlalutyo.

Amayeza okuhlaziya kwintlungu yakho yangasemva. Kwikliniki yase-El Paso eBuyela, unokuqiniseka ukuba usezandleni ezingcono kakhulu kunye noGqirha wethu weChiropractic kunye ne-Massage Therapist. Injongo yethu ngexesha lonyango lwakho ayikokuthomalalisa iimpawu zakho kuphela - kodwa kukunqanda ukuphinda kwaye ukunyanga iintlungu zakho.


Indlela yoNyango yokuQonda i-HIV: Isikhokelo esiBanzi

Indlela yoNyango yokuQonda i-HIV: Isikhokelo esiBanzi

Iingcali zonyango zibonelela njani ngendlela yonyango yokuqaphela i-HIV kubantu abasezintlungwini kunye nokubonelela ngesiqabu?

intshayelelo

Umzimba womntu uye wajongana nezinto ezahlukeneyo zokusingqongileyo, ukwenzakala, kunye ne-pathogens ezinokubangela imiba kwinkqubo yomzimba. Njengoko abantu abaninzi behlala behamba besuka kwenye indawo besiya kwenye, ukuba sempilweni kubaluleke kakhulu. Ukwenza ixesha lokwenza idinga lempilo kunye nokuba sempilweni komntu kubaluleke kakhulu, njengoko abantu abaninzi baye bafumana izinto eziye zadibana nazo kunye neeprofayili zomngcipheko ezidlulanayo ezibabangela iintlungu. Xa abantu befumana imiba yokudinwa, izihlunu kunye neentlungu ezidibeneyo, okanye ukuphazamiseka kwamajoni omzimba, uninzi lweengcali zezempilo kufuneka zivavanye imeko kwaye zibuze abantu xa bezifumana ezi profayili zibalekayo zomngcipheko kunye nokuba ziyichaphazela njani imisebenzi yabo yemihla ngemihla. Enye yeenkangeleko zemingcipheko ethe kratya ebonakala ichaphazela umzimba lusulelo lwentsholongwane olubizwa ngokuba yi-Human Immunodeficiency Virus okanye i-HIV. Oku kunokwenza uninzi lwamagcisa okhathalelo lwempilo ukuba aze nesicwangciso sonyango esilolwakho ukuze kuncitshiswe ezi profayili zomngcipheko zidibanayo kwaye zifundise umntu ukuba makathini ukulawula iimpawu ze-HIV. Inqaku lanamhlanje lijonga ukuba i-HIV inokuchaphazela njani na umntu, iimpawu zakhe, kunye nonyango olungalulo utyando lokulawula i-HIV. Sixoxa nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya iziphumo ze-HIV kunye neempawu ezinxulumene nayo. Siyazisa kwaye sikhokela izigulane malunga nokuba zizazi njani iimpembelelo ze-HIV kwaye sibuze ababoneleli bezonyango abanxulumene nabo imibuzo entsonkothileyo ukudibanisa isicwangciso sonyango esilungiselelwe ukubandakanya unyango oluninzi olungasebenzisi utyando ukulawula iimpawu. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli.

 

Yintoni i-HIV?

 

Ngaba uziva udiniwe nasemva kokuba uphumle kamnandi ebusuku? Ngaba uyawuva umqala wakho ubuhlungu ngaphandle kweempawu zomkhuhlane? Okanye ngaba ufumana imisipha kunye neentlungu ezidibeneyo kwiindawo ezahlukeneyo zomzimba wakho? Ehlabathini lonke, abantu abaninzi baye bafumana ezi mpawu kusulelo lwentsholongwane olubizwa ngokuba yi-Human Immunodeficiency Virus okanye i-HIV. I-HIV yeyosapho lwe-retroviridae, olujolise kumajoni omzimba, ngakumbi iiseli ze-CD4+ T. Iiseli ze-CD4+T zidlala indima ebalulekileyo kwimpendulo yomzimba yokuzikhusela, kodwa xa i-HIV iqalisa ukuphelisa ii-receptors kwaye iphelisa iiseli zehostele. (UMasenga et al., 2023) Oku kubangela ukuba abantu babenezigaba ezibukhali ze-HIV kwaye, ukuba abanyangwa ngokukhawuleza, kunokukhokelela ekuqhubekeni kwamanqanaba amabi. Noko ke, abantu bayifumana njani iHIV? Kulungile, imowudi ixhaphake kakhulu ngokwabelana ngesondo okungakhuselekanga, ukwabelana ngeenaliti, okanye ngokuvezwa koomama nosana, okunciphisa inani labantu beeseli ze-T-helper kwaye, ekuhambeni kwexesha, kunokonyusa amandla amajoni omzimba. (van Heuvel et al., 2022) Oku kubangela ukuba abantu abaninzi babe neempawu ezahlukeneyo ze-HIV ezinokwahluka, kuxhomekeka kubuzaza kunye namanqanaba okuqhubela phambili kwentsholongwane. 

 

Iimpawu

Ngoku, ukuze ukuqhubela phambili kwe-HIV yosulele amajoni omzimba kwaye kubangele iimpawu ezahlukeneyo ukuba zichaphazele umntu, uninzi lweengcali zezempilo kufuneka zijonge inkqubo yokukhutshwa kwe-host kunye nendima yabo yokunxibelelana ne-HIV. Inkqubo yokuvelisa i-exosomes ibangela ukugqithelana kweeprofayili zomngcipheko kunye nendibano yentsholongwane ye-HIV njengoko i-exosomes inokuthutha intsholongwane ukusuka kwiiseli ezosulelekileyo ukuya kwiiseli ezingosulelwanga zomzimba ngokuyinceda ilawule impendulo yokhuselo lomkhosi kusulelo lwentsholongwane. (Chen et al., 2021) Ukuza kuthi ga ngelo xesha, kunokukhokelela ekuqhubekeni kwamanqanaba aliqela e-HIV kunye neempawu ezinxulumene nayo. Xa umntu ejongene nosulelo lwe-HIV kumabakala alo abukhali, iimpawu zinokuba buthathaka kwaye ngokulula ziphazame njengosulelo oluqhelekileyo lwentsholongwane. Ezinye zeempawu zinokubandakanya:

  • Iintsimbi zomzimba
  • intlungu Joint
  • Ubunzima buba buthongo
  • Ukukhathala 
  • Neuropathy
  • Ukuqhawukelwa ngumphefumlo
  • Iingqungqungqungqungqungqungqungqungqungqungqungqungqungqungquthela ezivuyiweyo

Oku kungenxa yokuba ii-cytokines ezidumbileyo ezivela kumxokomezelo wokhuselo lomzimba ziye zanda kwaye ziphenjelelwa yi-HIV. Xa i-cytokines evuthayo idibene ne-HIV, iimpawu zinempembelelo enkulu kubomi bomntu, ebangela ukuba anxunguphele. (Schnall et al., 2020) Ukongeza, xa i-HIV ikwinqanaba lokulibaziseka kwezonyango, intsholongwane ayisebenzi kangako kodwa isenokuziphindaphinda ngaphandle kokubonakalisa naziphi na iimpawu emzimbeni. Noko ke, xa iHIV ifikelela kwinqanaba elibi kakhulu, inokukhokelela ekukhuleni kukaGawulayo. Ngethamsanqa, ukuqhubela phambili kunyango lokunyanga i-HIV ukusuka kumanqanaba ayo abukhali kunganceda ukulawula iimpawu ezinxulumeneyo. 

 


Indlela engeyiyo Utyando kwiMpilo-Video


Unyango olungaSebenziyo lwe-HIV

 

Xa kufikwa ekunyangeni i-HIV, unyango olungasebenzisi utyando lunokunceda ukulawula iimpawu ezinxulumene nalo ngelixa luphucula ngokumangalisayo ubude bobomi kunye nomgangatho wobomi bomntu ochatshazelwe yintsholongwane. Kunyango olungelulo olotyando, eyona njongo iphambili kukuxilonga i-HIV kwangethuba nokuvavanya imeko ngokuza namanyathelo amatsha ovavanyo lwe-HIV okunyusa ukuphindaphindwa kunye nothintelo lwe-HIV kuzo zombini iimeko zonyango kunye nezingezizo ezonyango. (UDelaney kunye noDiNenno, ngo-2021) Apha ngezantsi kukho unyango olungasebenzisi utyando lokulawula i-HIV.

 

Unyango lwe-Antiretroviral

Ngoku, amanye amayeza angengawo otyando okulawula i-HIV kungokusebenzisa unyango lwe-antiretroviral. Oku kuvumela umntu one-HIV ukuba akuthathele ingqalelo ukuthatha amayeza ee-antiretroviral yonke imihla, nto leyo enceda ekuphuculeni ucinezelo lwentsholongwane kagawulayo oluzingileyo kwaye inike izicwangciso ezisebenzayo zeendlela zonyango zokuphucula imisebenzi ye-antiretroviral. (Huerta, 2020) Ukongezelela, eyona njongo iphambili yonyango lwe-antiretroviral kukunciphisa umthwalo we-HIV ukuba inqanaba elingabonakaliyo, gcina amajoni omzimba esebenza, kwaye athintele uphuhliso lokuqhubela phambili kwe-AIDS.

 

Uhlengahlengiso kwindlela yokuphila

Nangona ukuphila ne-HIV namhlanje kwahluke kakhulu kumashumi eminyaka adlulileyo, ngenxa yenkqubela phambili ebalulekileyo yezonyango. Abantu abaninzi banokuya kubaboneleli babo bezempilo ukuze bafumane ukuxilongwa kwangoko kunye nonyango olusebenzayo ukuze baphile ubomi obude nobunempilo. Ukwazisa, imfundo, kunye nokuhlala uxakekile ngokuhlolwa kwezempilo kuhlala kungundoqo kumlo ochasene ne-HIV kunye nokuqhubekela phambili kwayo. Ukongeza, isondlo esifanelekileyo, umthambo rhoqo, kunye nenkxaso yempilo yengqondo zibalulekile kubantu abaphila ne-HIV, ukunceda ukomeleza amajoni omzimba kunye nokulawula iimpawu. Kwangaxeshanye, utyelelo rhoqo kumboneleli wezempilo ukwenzela uvavanyo lwegazi lubalulekile ekubekeni iliso kwimpumelelo ye-ART kunye nokulungelelanisa irejimeni yonyango njengoko kuyimfuneko ukuze uphile ubomi obunempilo.

 


Ucaphulo

Chen, J., Li, C., Li, R., Chen, H., Chen, D., & Li, W. (2021). Ii-exosomes kusulelo lwe-HIV. Curr Opin HIV AIDS, 16(5), 262-270. doi.org/10.1097/COH.0000000000000694

Delaney, KP, & DiNenno, EA (2021). Amaqhinga oVavanyo lwe-HIV kumaSebe ezeMpilo ukuze aphelise ubhubhane e-US NdinguJ Prev Med, 61(5 Suppl 1), S6-S15. doi.org/10.1016/j.amepre.2021.06.002

Huerta, L. (2020). UHlelo: I-Anti-infective 2020: I-HIV-Ukusuka kwi-pathogenesis ukuya kunyango. Curr Opin Pharmacol, 54, x-xii. doi.org/10.1016/j.coph.2020.12.001

Masenga, SK, Mweene, BC, Luwaya, E., Muchaili, L., Chona, M., & Kirabo, A. (2023). INtsebenziswano yeSeli ejongene ne-HIV. Iiseli, 12(10). doi.org/10.3390/cells12101351

Schnall, R., Jia, H., & Reame, N. (2020). Umbutho phakathi kwe-HIV Symptom Burden and Inflammatory Cytokines: Uhlalutyo lweSini kunye neSigaba sokuyeka ukuya eMenopause. J Womens Health (Larchmt), 29(1), 119-127. doi.org/10.1089/jwh.2019.7749

van Heuvel, Y., Schatz, S., Rosengarten, JF, & Stitz, J. (2022). I-RNA eyosulelayo: iBhayoloji yeNtsholongwane yoKhuseleko lweNtsholongwane yoMzi (i-HIV), ungenelelo loNyango, kunye nokuFumana isitofu sokugonya. Iityhefu (Basel), 14(2). doi.org/10.3390/toxins14020138

 

isikhanyeli

Ukuphonononga i-Periscapular Bursitis: Iimpawu kunye nokuxilongwa

Ukuphonononga i-Periscapular Bursitis: Iimpawu kunye nokuxilongwa

Kubantu abafumana igxalaba kunye neentlungu ezingaphezulu, ngaba i-periscapular bursitis ingaba ngunobangela?

Ukuphonononga i-Periscapular Bursitis: Iimpawu kunye nokuxilongwa

I-Periscapular Bursitis

I-scapula / igxalaba lithambo elitshintsha indawo kunye nomzimba ophezulu kunye nokunyakaza kwamagxa. Ukunyakaza kwe-scapula kubaluleke kakhulu kumsebenzi oqhelekileyo wegxalaba kunye nomqolo. Xa ukunyakaza okungaqhelekanga okanye ngokukhawuleza kwenzeka, ukuvuvukala kunye neempawu zentlungu zingakhula. (Augustine H. Conduah et al., 2010)

Umsebenzi we-Scapula oqhelekileyo

I-scapula lithambo elingunxantathu kumqolo ongasentla ngaphandle kweembambo. Icala layo elingaphandle okanye elisecaleni liqulethe i-socket ye-joint joint / glenoid, ngelixa elinye ithambo lisebenza njengeendawo zokuncamathela kwigxalaba kunye nezihlunu zangasemva. I-scapula iyatshintsha kwi-rib cage xa ​​uhambisa ingalo phambili nasemva. Le ntshukumo ibizwa ngokuba intshukumo ye-scapulothoracic kwaye ibaluleke kakhulu kumsebenzi oqhelekileyo wecala eliphezulu kunye negxalaba. Xa i-scapula ingahambi kwintshukumo edibeneyo, umsebenzi we-torso kunye namagxa amagxa unokuba nzima kwaye ube buhlungu. (JE Kuhn et al., 1998)

I-Scapular Bursa

I-bursa yingxowa ezaliswe ngamanzi evumela intshukumo egudileyo, etyibilikayo phakathi kwezakhiwo, izicubu zomzimba, amathambo kunye neetendon. I-Bursae ifumaneka kuwo wonke umzimba, kubandakanywa nalabo abaphambi kwe-kneecap, ngaphandle kwe-hip, kunye ne-joint joint. Xa i-bursa ivutha kwaye icaphukile, ukunyakaza okuqhelekileyo kunokuba buhlungu. Kukho ii-bursae ezijikeleze i-scapula kumqolo ongaphezulu. Ezimbini zezi ngxowa ze-bursa ziphakathi kwamathambo kunye ne-serratus anterior muscle elawula ukunyakaza kwe-scapular kudonga lwesifuba. Enye i-bursa sac itholakala kwikona ephezulu ye-scapula, kufuphi nomqolo kwisiseko sentamo, kwaye enye isekhoneni elisezantsi le-scapula, kufuphi ne-mid-back. Nokuba zombini iingxowa ze-bursa zinokuchaphazeleka yi-periscapular bursitis. Kukho ezinye ii-bursae ezijikeleze i-scapula kunye neentambo ezijikelezayo, kodwa iingxowa ezimbini zekona zivame ukuba yi-bursae ephambili eyenza i-periscapular bursitis.

Ukuvutha

Xa ezi bursae zidumba kwaye zicaphuka, zidumbe, kwaye zijiyile, imeko eyaziwa ngokuba yi-bursitis iziphumo. Xa i-bursitis ivela kufuphi ne-scapula, i-muscle, kunye ne-shoulder blade movements inokubangela ukungahambi kakuhle kunye neentlungu. Iimpawu eziqhelekileyo ze-periscapular bursitis ziquka:

  • Ukuhlutha ngentshukumo
  • Iimvakalelo zokugaya okanye i-crepitus
  • Ubuhlungu
  • Ububele ngokuthe ngqo kwi-bursa (Augustine H. Conduah et al., 2010)
  • Uvakalelo olungaqhelekanga lwe-scapular kunye nokunyakaza

Ukuhlolwa kwe-scapula kunokubonisa ukunyakaza okungaqhelekanga kwi-shoulder blade. Oku kunokukhokelela kwi-wissang, apho igxalaba lingabanjwanga ngokuchanekileyo kwi-rib cage kwaye liphume ngokungaqhelekanga. Abantu abane-wissang ye-scapula badla ngokuba noomatshini bokudityaniswa kwegxalaba ngendlela engaqhelekanga kuba ukuma kwegxalaba kutshintshiwe.

Izizathu

Izizathu ze-periscapular bursitis zinokuhluka. Eyona nto ixhaphakileyo yi-syndrome yokusetyenziswa ngokugqithiseleyo, apho umsebenzi othile ubangela ukucaphuka kwi-bursa. Oku kunokubandakanya:

  • Imisebenzi enxulumene nemidlalo ebangelwa ukusetyenziswa ngokuphindaphindiweyo.
  • Imisebenzi enxulumene nomsebenzi ebangelwa kukusetyenziswa ngokuphindaphindiweyo.
  • Ukulimala okubuhlungu okubangela ukuvuvukala okanye ukucaphuka kwi-bursa.

Ezinye iimeko zingabangela i-anatomy engaqhelekanga okanye i-bone protuberances, ecaphukisa i-bursa. Enye imeko kukukhula kwethambo elibi eyaziwa ngokuba yi-osteochondroma. (Antônio Marcelo Gonçalves de Souza kunye noRosalvo Zósimo Bispo Júnior 2014) Oku kukhula kunokuvela kwi-scapula, okukhokelela ekucaphukeni kunye nokuvuvukala.

impatho

Unyango lwe-periscapular bursitis luqala nge-conservative zonyango. Unyango oluhlaselayo alufane lufuneke ukulungisa ingxaki. Unyango lungabandakanya:

Ukuphumla

  • Isinyathelo sokuqala kukuphumla i-bursa ecasulayo kwaye ulungise ukuvuvukala.
  • Oku kungathatha iiveki ezimbalwa kwaye kunokufezwa ngokuguqula umzimba, imidlalo, okanye imisebenzi enxulumene nomsebenzi.

umkhenkce

  • Umkhenkce uluncedo ekunciphiseni ukudumba nokulawula iintlungu.
  • Ukwazi indlela yokwenza umkhenkce ngokufanelekileyo kunokunceda ukulawula intlungu kunye nokuvuvukala.

Ulungiso lwenyama

  • Unyango lomzimba lunokunciphisa iimpawu zokuvuvukala ngokusebenzisa imithambo eyahlukeneyo kunye nokwelula.
  • Unyango lunokuphucula i-scapular mechanics ukuze ukwenzakala kungabi yinto eqhubekayo kwaye iphindaphindeka.
  • Ukunyakaza okungaqhelekanga kwe-scapula kwi-rib cage ayikwazi nje ukukhokelela ekuphuhlisweni kwe-bursitis, kodwa ukuba le michiza engaqhelekanga ayilungiswanga, ingxaki inokuphinda ibuyele.

Amayeza achasene nokudumba

  • Amayeza achasene nokudumba asetyenziswa ukulawula ukudumba kwixesha elifutshane. (Augustine H. Conduah et al., 2010)
  • Amayeza anokunceda ukuthintela impendulo yokuvuvukala.
  • Ngaphambi kokuthatha nawaphi na amayeza, abantu kufuneka baqinisekise kunye nomboneleli wabo wezempilo ukuba akhuselekile.

Izitofu zeCortisone

  • Unyango oluyimpumelelo nge-cortisone shot luphawu lokuba utyando luya kusebenza ngakumbi kubantu abanokufuna utyando.
  • Iinaliti zeCortisone zinokuba luncedo kakhulu ekuhambiseni idosi enamandla yokuchasana nokudumba ngokuthe ngqo kwindawo yokudumba. (Augustine H. Conduah et al., 2010)
  • Iinaliti zeCortisone kufuneka zincitshiswe malunga nokuba zingaphi iinaliti ezinikezelwa kumntu, kodwa kwiidosi ezilinganiselweyo zinokuba luncedo kakhulu.
  • Nangona kunjalo, i-cortisone shots kufuneka yenziwe kuphela xa ukuxilongwa kuqinisekisiwe.

Ukuhlinzwa

  • Utyando alufane lube yimfuneko kodwa lunokusebenza kubantu abangakwaziyo ukufumana isiqabu ngonyango olululo.
  • Utyando luhlala lusetyenziselwa abantu abane-scapular anatomy engaqhelekanga, njengokukhula kwamathambo okanye amathumba.

Kwi-Chiropractic yezoNyango zeChiropractic kunye ne-Functional Medicine Clinic, siphatha ukulimala kunye ne-syndromes yentlungu engapheliyo ngokuphucula amandla omntu ngokusebenzisa ukuguquguquka, ukuhamba, kunye neenkqubo ze-agility ezilungiselelwe onke amaqela eminyaka kunye nokukhubazeka. Izicwangciso zethu zokunakekelwa kwe-chiropractor kunye neenkonzo zeklinikhi zikhethekileyo kwaye zijolise kukulimala kunye nenkqubo yokubuyisela ngokupheleleyo. Ukuba olunye unyango luyafuneka, abantu ngabanye baya kuthunyelwa kwiklinikhi okanye ugqirha ofaneleke kakhulu ukulimala kwabo, imeko, kunye / okanye isifo.


Uphiko lweScapular kubunzulu


Ucaphulo

Conduah, AH, Baker, CL, 3rd, & Baker, CL, Jr (2010). Ulawulo lweklinikhi ye-scapulothoracic bursitis kunye ne-scapula ye-snapping. Impilo yezemidlalo, i-2 (2), i-147-155. doi.org/10.1177/1941738109338359

Kuhn, JE, Plancher, KD, & Hawkins, RJ (1998). Iimpawu ze-scapulothoracic crepitus kunye ne-bursitis. Umbhalo we-American Academy of Orthopedic Surgeons, 6 (5), 267-273. doi.org/10.5435/00124635-199809000-00001

de Souza, AM, & Bispo Júnior, RZ (2014). Osteochondroma: ukungahoyi okanye ukuphanda? Revista brasileira de ortopedia, 49 (6), 555-564. doi.org/10.1016/j.rboe.2013.10.002

Iinketho zoNyango olusebenzayo lweLumbar Spinal Stenosis: Ukunyanzeliswa koMnqonqo

Iinketho zoNyango olusebenzayo lweLumbar Spinal Stenosis: Ukunyanzeliswa koMnqonqo

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


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

Ukukhupha umdibaniso phakathi kwe-Electroacupuncture kunye ne-Sciatica Pain

Ukukhupha umdibaniso phakathi kwe-Electroacupuncture kunye ne-Sciatica Pain

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., 2021Ukudibanisa 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., 2020Nangona iimpawu ze-sciatica ezifana neentlungu zihlala zihambelana nommandla we-lumbar, abantu abaninzi banokufumana ukukhululeka abakufunayo ngonyango olwahlukeneyo.

 


Iimbangela zeSciatica-Ividiyo


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

Ukuqonda i-Electroacupuncture kunye nendlela ekhulula ngayo ukuvuvukala kwamathumbu

Ukuqonda i-Electroacupuncture kunye nendlela ekhulula ngayo ukuvuvukala kwamathumbu

Ngaba abantu abajongene nokudumba kwamathumbu banokukhululeka nge-electroacupuncture ukunciphisa iimpawu zeentlungu ezisezantsi kunye nokuphucula ukusebenza kwamathumbu?

intshayelelo

Xa kuziwa kumzimba, inkqubo yamathumbu inobudlelwane obunomdla kakhulu kumaqela ahlukeneyo omzimba. Inkqubo yamathumbu isebenza kunye ne-nervous central, i-immune, kunye ne-musculoskeletal systems njengoko inceda ukukhusela umzimba kwiibhaktheriya ezinobungozi ngelixa ilawula ukuvutha. Nangona kunjalo, xa izinto zokusingqongileyo ziqala ukuchaphazela umzimba kwaye zibangele inkqubo yamathumbu ukuba ihambe i-haywire, inokubangela imiba emininzi yeentlungu kunye nokungonwabi emzimbeni. Enye yeengxaki ezinokuchaphazela amathumbu yinkqubo ye-musculoskeletal, ebangela imiba yeentlungu zangasemva ezinxulumene nokudumba kwamathumbu. Nangona kunjalo, unyango oluninzi lunokunceda ukunciphisa iziphumo zokudumba kwamathumbu okubangela iintlungu zangasemva. Inqaku lanamhlanje lijonga uxhulumaniso lweentlungu ze-gut-back, indlela i-electroacupuncture enokuhlanganiswa ngayo njengonyango, kunye nendlela enokunciphisa ngayo ukuvuvukala. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya ukuba ukuvutha kwamathumbu kuyichaphazela njani imizimba yabo, kubangela intlungu emva. Siyazisa kwaye sikhokela izigulana malunga nendlela unyango lwe-electroacupuncture olunokunceda ngayo ukunciphisa iziphumo zokudumba ezibangela imiba yamathumbu kunye nomqolo kunye nokubuyisela ukusebenza kwamathumbu. Sikhuthaza abaguli bethu ukuba babuze ababoneleli bezonyango abanxulumene nabo imibuzo entsonkothileyo kunye nebalulekileyo malunga nokubandakanya iindlela ezahlukeneyo zonyango ezingezizo utyando ukunciphisa ukudumba kwamathumbu okuhambelana neentlungu zangasemva. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli.

 

UQhagamshelwano Lwentlungu Engasemva Kwamathumbu

Ngaba uziva uqaqanjelwa sisihlunu okanye iintlungu emathunjini okanye emazantsi emqolo? Kuthekani ngokusasaza ubushushu kwiindawo ezahlukeneyo zomzimba wakho? Okanye ngaba uye wafumana naliphi na ixesha eliphantsi lamandla kulo lonke usuku lwakho? Ngelixa amathumbu aziwa njengengqondo yesibini kuba isebenza kunye namajoni omzimba, enye yeendima zawo ezibalulekileyo kukulawula amajoni omzimba. Oku kungenxa yokuba i-gut microbiome igcina iitriliyoni zeebhaktheriya zokwetyisa ukutya kunye nokukhusela umzimba kwiibhaktheriya ezimbi. Xa izinto zokusingqongileyo ziqala ukuchaphazela inkqubo yendalo ethambileyo yamathumbu, inokukhokelela amajoni omzimba ukuba asebenze kakhulu, abangele ukuba ii-cytokines ezikralayo zivelise ubuninzi, kwaye esi siphumo sinokuguquguquka kuwo wonke umzimba, ngaloo ndlela sibonakalise kwiimpawu ezahlukeneyo ezifana neentlungu kunye neemeko, kubandakanya. umqolo obuhlungu. Ekubeni ukuvuvukala kuyindlela yokuzikhusela yomzimba kukwenzakala okanye usulelo, kususa umcimbi oyingozi kwindawo echaphazelekayo kwaye inceda ukuphilisa. Ke xa i-cytokines evuthayo iqala ukuvelisa ubuninzi ngenxa yokudumba kwamathumbu, inokubeka esichengeni inkqubo yamathumbu, ivumela i-toxins kunye neebhaktheriya ukuba zingene egazini kwaye zihambe kwiindawo ezahlukeneyo zomzimba, zibangela intlungu. Ngoku, oku kungenxa yezinto ezahlukeneyo zokusingqongileyo ezikhokelela ekuphuhlisweni kweentlungu zangasemva. Xa iibhaktheriya ezinobungozi ezivela ekudumbeni ziqala ukubangela intlungu emva, ziyakwazi ukuzibophelela kwaye zichaphazele i-intervertebral disc homeostasis, ebangela ukuba isistim somzimba sokuzivikela sihlasele i-disc intervertebral kwaye sibangele intlungu emva. (Yao et al., 2023) Oku kubangelwa ukudibanisa kwamathumbu kunye nomva ngokusebenzisa iindlela eziyinkimbinkimbi ze-nerve ezithumela ulwazi olusuka emathunjini ukuya ngasemva kunye nokunyuka kwengqondo.

 

 

Ke, xa ukuvuvukala kuqala ukubangela imiba emzimbeni, kunokukhokelela kwiingxaki ze-musculoskelet njengentlungu yomqolo. Ukuvuvukala kwamathumbu kunokubangela ukungalingani phakathi kokubunjwa kwe-symbiont kunye ne-pathobiont ukunciphisa ingqibelelo kunye nomsebenzi wezithintelo zamathumbu emathunjini, ukubangela intlungu, kunye nokwandisa iimolekyuli ezivuthayo. (Ratna et al., 2023) Iamolekyu ezivuthayo zinokunyusa i-receptors yentlungu kunye noxinzelelo lwemisipha, ekhokelela ekubandezelekeni kunye nentlungu kwi-back back. Ngokuzenzekelayo, izinto zokusingqongileyo ezifana nokuma kakubi, ukungasebenzi komzimba, kunye nemikhwa engafanelekanga yokutya kunokubangela ukuba inkqubo yamathumbu ibangele ukudumba kwemisipha yangasemva. Xa kukho i-dysbiosis kwi-gut microbiota, iziphumo ezivuthayo zinokudibaniswa ngokungangqalanga kunye neentlungu ze-visceral kunye nokusebenza kwenkqubo ye-nervous central ukuguqula umzimba kwaye kubangele ukuba ube kwimeko eqhubekayo yokuvuvukala kwenkqubo engapheliyo ukubangela intlungu emva. (UDekker Nitert et al., 2020). Nangona kunjalo, zininzi iindlela zonyango ezingasebenzisi utyando kunye neendlela ezigqibeleleyo zokunciphisa ukudumba kwamathumbu kunye nokuphelisa iintlungu zangasemva.

 

Ukudibanisa i-Electroacupuncture njengoNyango

Xa abantu besiva iintlungu ezingasemva ezinxulunyaniswa nokudumba kwamathumbu, baya kugqirha wabo wezempilo kwaye bachaze imeko. Ukunika unxibelelwano phakathi kokudumba kwamathumbu kunye neentlungu zangasemva, ngokujongana nezinto ezisingqongileyo ezibangela ezi profayili zomngcipheko zidlulayo, oogqirha abaninzi banokusebenzisana neengcali zeentlungu ukunciphisa zombini ukudumba kwamathumbu kunye neentlungu zangasemva. Iingcali zentlungu ezifana ne-chiropractors, acupuncturists, kunye nee-massage therapists zinokunceda ukomeleza izihlunu ezichaphazelekayo ezibangela intlungu yomqolo kwaye zibonelele ngeendlela ezipheleleyo ezifana ne-anti-inflammatory vitamins kunye nezongezo zokunciphisa ukudumba kwamathumbu. Olunye lolona nyango ludala olungazenziyo utyando olunokwenza zombini yi-electroacupuncture. I-Electroacupuncture idibanisa unyango lwendabuko lwaseTshayina kunye nobuchwepheshe bale mihla obusebenzisa ukuvuselela umbane kunye neenaliti ezincinci eziqinileyo eziza kufakwa kwi-acupoint yomzimba ukufumana i-qi okanye amandla. Yintoni eyenzayo le nto kukuba ibonelela ngokuvuselela umbane kunye nemiphumo yokuchasana nokudumba ukukhuthaza i-cholinergic reflexes emathunjini kunye ne-HPA axis. (Yang et al., 2024) I-Electroacupuncture inokudibaniswa kunye nezinye iindlela zokwelapha ukunciphisa imiphumo evuthayo ehambelana neentlungu zentlungu.

 

I-Electroacupuncture ikwehlisa njani ukudumba kwamathumbu

Kuba i-electroacupuncture inokunciphisa ukudumba kwamathumbu okubangela iintlungu zangasemva, inokunceda ukulawula iintyatyambo zamathumbu ngokukhuthaza ukuhamba kwamathumbu kunye nokuthintela imiqondiso yeentlungu ekuchaphazeleni izihlunu zangasemva. (I-et al., 2022) Oku kungenxa yokuba i-electroacupuncture inokunceda ukukhulula izihlunu ezixineneyo ezibangela iintlungu zomqolo. Ukongezelela, xa abantu besondela kolu nyango, luphantsi kolwalathiso lwee-acupuncturists abaqeqeshwe kakhulu abanokufaka iinaliti ngokuchanekileyo ngelixa belungiselela unyango lwe-electroacupuncture kwiimfuno ezithile kunye neentlungu zomntu. Kuba i-electroacupuncture inokudityaniswa nolunye unyango, inokunciphisa ngokufanelekileyo ubunzima bomzimba kwaye ibuyisele ukugaya kunye nokufunxa ukubumba i-gut microbiota. (I-Xia et al., 2022) Oku kuvumela abantu ukuba benze utshintsho oluncinci kwindlela yabo kwaye bathintele ukudumba kwamathumbu ekuchaphazeleni umzimba kwaye kubangele iintlungu zomqolo. Banokuphucula umgangatho wobomi babo ngokubandakanya i-electroacupuncture njengenxalenye yempilo yabo kunye nempilo yonyango. 

 


Ukuvula iiMfihlo zoKudumba-Ividiyo


Ucaphulo

An, J., Wang, L., Ingoma, S., Tian, ​​L., Liu, Q., Mei, M., Li, W., & Liu, S. (2022). I-Electroacupuncture inciphisa i-glucose yegazi ngokulawula i-intestinal flora kuhlobo lwe-2 yeempuku zeswekile. J Isifo seswekile, 14(10), 695-710. doi.org/10.1111/1753-0407.13323

Dekker Nitert, M., Mousa, A., Barrett, HL, Naderpoor, N., & de Courten, B. (2020). Ukubunjwa kweGut Microbiota okutshintshiweyo kunxulunyaniswa nentlungu yomqolo kuBantu abaBonelekileyo nabatyebileyo. Front Endocrinol (Lausanne), 11, 605. doi.org/10.3389/fendo.2020.00605

Ratna, HVK, Jeyaraman, M., Yadav, S., Jeyaraman, N., & Nallakumarasamy, A. (2023). Ngaba i-Dysbiotic Gut ibangela iintlungu ezisezantsi? Cureus, 15(7), e42496. doi.org/10.7759/cureus.42496

Xia, X., Xie, Y., Gong, Y., Zhan, M., He, Y., Liang, X., Jin, Y., Yang, Y., & Ding, W. (2022). I-Electroacupuncture ikhuthaze i-intestinal defensins kwaye yahlangula i-dysbiotic cecal microbiota yeempuku ezityebileyo ezinamafutha aphezulu. Life Sci, 309, 120961. doi.org/10.1016/j.lfs.2022.120961

Yang, Y., Pang, F., Zhou, M., Guo, X., Yang, Y., Qiu, W., Liao, C., Chen, Y., & Tang, C. (2024). I-Electroacupuncture iNciphisa iSifo sokuDumba kwiiMice eziObese ngokuSebenza i-Nrf2 / HO-1 Iindlela zokuSayina kunye noLungiso lweSithintelo samathumbu. Seswekile Metab Syndr Obes, 17, 435-452. doi.org/10.2147/DMSO.S449112

Yao, B., Cai, Y., Wang, W., Deng, J., Zhao, L., Han, Z., & Wan, L. (2023). Umphumo weGut Microbiota kwiNkqubela ye-Intervertebral Disc Degeneration. Unyango lwe-Orthopedic, 15(3), 858-867. doi.org/10.1111/os.13626

isikhanyeli

Unyango olusebenzayo kwiintlungu ezisezantsi: Izisombululo ze-Electroacupuncture

Unyango olusebenzayo kwiintlungu ezisezantsi: Izisombululo ze-Electroacupuncture

Ngaba abantu abaneentlungu ezisezantsi bangasebenzisa unyango lwe-electroacupuncture ukunciphisa iintlungu kunye nokubuyisela ukuhamba kwakhona emizimbeni yabo?

intshayelelo

Abantu abaninzi emhlabeni jikelele baye bajongana neentlungu ezisezantsi ezivela kwizinto ezininzi kunye nokulimala okubuhlungu okunokubangela iimpawu ezinjengeentlungu ezijikeleze i-spinal discs, imisipha, iigaments kunye neengcambu ze-nerve. Oku kungenxa yokuba umzimba uhamba ngeendlela eziphindaphindiweyo ezibangela ukuba izihlunu ezijikelezileyo kunye neegaments zigqithiswe kwaye ziqine, zikhulise iingcambu ze-nerve kwaye zibangele intlungu echazwe. Okanye ingaba ukulimala okubuhlungu okuchaphazela i-spinal discs kwingingqi ye-lumbar enokuthi ibe yi-herniated okanye i-degenerate ukuze ikhulise iingcambu ze-nerve kwaye iholele kwintlungu ephantsi. Kungakhathaliseki ukuba yintoni umphumo, intlungu ephantsi ye-back back yingxaki eqhelekileyo ye-musculoskelet, kwaye abantu abaninzi baya kufuna unyango lokunciphisa imiphumo efana nentlungu kunye nokunceda abantu abaninzi babuyiselwe ukuhamba kwabo. Inqaku lanamhlanje liphonononga ukuba kutheni iintlungu ezisezantsi zingumba wehlabathi jikelele, ukuba i-electroacupuncture ingakunceda njani ukuyinciphisa, kwaye ingaphinda ikwazi ukuphinda ishukume. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuze baqonde ngcono ukuba kutheni iintlungu ezisezantsi ziyingxaki emizimbeni yabo. Siyazisa kwaye sikhokela izigulana malunga nendlela unyango lwe-electroacupuncture olunokunceda ngayo ukunciphisa iintlungu ezisezantsi kunye noncedo nokubuyisela ukuhamba komzimba. Sikhuthaza izigulane zethu ukuba zibuze ababoneleli babo bezonyango abahambelanayo nemibuzo ebalulekileyo malunga nokunciphisa impembelelo yeentlungu ezisezantsi kunye nokufumana iindlela ezahlukeneyo zonyango ezibandakanya. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli.

Kutheni iintlungu ezisezantsi zinguMba wehlabathi jikelele?

Ngaba uziva uqina kumqolo wakho ongaphantsi emva kokuthwala okanye ukuphakamisa into enzima? Ngaba uziva iintlungu ezikhuphayo ezihla ziye emilenzeni yakho? Okanye ngaba uziva izihlunu ezibuhlungu kumqolo wakho ongaphantsi ekubeni uzingelwe ixesha elide? Uninzi lwale miba efana nentlungu ihambelana nezinto ezisingqongileyo ezinokubangela ukuba umzimba uphuhlise iintlungu ezisezantsi. Xa kuziwa kwiintlungu ezisezantsi, ngumba wentlalo-qoqosho ochaphazela abantu abaninzi kwihlabathi liphela, ngakumbi abantu abasebenzayo. Xa abantu abaninzi besenza iintshukumo ezahlukeneyo okanye besenza imisebenzi, ezi ntshukumo zinokukhulula ngokuthe ngcembe imithambo kumqolo ongezantsi. Oku kubangela ukuba umzimba uqonde ukuba kukho into engalunganga kumqolo ongaphantsi kunye nezakhiwo ezibalulekileyo zomqolo, ngaloo ndlela uthatha ezinye iindlela zokugcina uzinzo lomqolo. (I-Hauser et al., 2022

 

 

Ukongeza, uninzi lweempawu zentlungu ezisezantsi azicacanga, kwaye iintshukumo zokuphakamisa okunzima, ukugoba, ukujija, kunye nokungcangcazela komzimba wonke zizinto ezinobungozi bomsebenzi ezikhokelela ekuphuhliseni iintlungu ezisezantsi. (Becker & Childress, 2019) Oku kubangela ukuba abantu abaninzi abaneentlungu ezisezantsi bajongane nomthwalo wokulahleka komsebenzi okanye ukubamba indlela yabo yemihla ngemihla. Xa oku kusenzeka, abantu abaninzi baqala ukufuna unyango lokunciphisa iimpawu ezibangelwa ziintlungu ezisezantsi.


Ukuvula isiqabu seentlungu-Ividiyo


I-Electroacupuncture ye-Low Back Pain

Xa kuziwa ekunciphiseni iintlungu ezisezantsi, abantu abaninzi baya kunyango olwahlukeneyo ukuze banciphise iintlungu kumqolo ongaphantsi kunye neempawu ezinxulumene nazo. Kungenxa yoko le nto unyango olungasebenzisi tyando olunje nge-electroacupuncture lunokunceda ukunciphisa iintlungu ezisezantsi kwaye luncede imilenze engezantsi iphinde ikwazi ukuhamba. I-Electroacupuncture yolunye uhlobo lwe-acupuncture esebenzisa ukuvuselela umbane kwii-acupoints zomzimba ukuvala iimpawu zentlungu. I-Electroacupuncture isetyenziswe ngokubanzi kwiingxaki ze-musculoskeletal disorders, kubandakanywa neentlungu ezisezantsi, njengoko zisetyenziswe njengendlela yokwelapha ukunciphisa ukusetyenziswa kwamayeza ngelixa iyindlela efanelekileyo xa idibene nezinye iindlela zonyango. (Sung et al., 2021)

 

 

Ukongezelela, i-electroacupuncture yenziwa ngabaqeqeshi abaqeqeshwe kakhulu kwaye, xa isetyenziselwa ukunyanga iintlungu ezisezantsi, ivumela ukuvuselela kwiindawo ezinkulu zomzimba ezijikeleze i-acupoint ukuvumela iiparitha ezibandakanya ubunzulu, ubude, kunye nokuphindaphinda ukwenzela ukuba intlungu ihambe. indawo eza kuchongwa ngabasebenzi bezempilo. (UFrancescato Torres et al., 2019) I-Electroacupuncture inokunceda ukunciphisa intlungu kumqolo ongaphantsi kunye nokuxhasa abantu abaninzi ngeendlela ezahlukeneyo zokubuyisela ukuhamba. (Kong, 2020)

 

Electroacupuncture Ukubuyisela Ukuhamba

Xa ubuyisela ukuhamba komzimba kwiintlungu ezisezantsi, i-electroacupuncture inokubonelela ngemiphumo yonyango ngokuthintela iimpawu zentlungu, ezibangela ukuba umzimba ungashukumi, kwaye uvumele imisipha ukuba iphumule. (Sheng et al., 2021) I-Electroacupuncture edibeneyo kunye nolunye unyango olufana nonyango lomzimba lunokunceda ukolula kunye nokuqinisa imisipha ejikelezayo yangasemva kunye nemigqaliselo yokunciphisa intlungu ephazamisayo echaphazela ukuhamba kunye nokwenza abantu abaninzi bakhumbule ukuba zeziphi iintshukumo ezibangela intlungu ephantsi. Xa abantu beqala ukwenza utshintsho oluncinci okanye olukhulu kwimpilo yabo kunye nokuphila kakuhle, baya kuqala ukuqaphela indlela abaziphatha ngayo ngelixa benqanda ukuphindaphinda okufanayo okubangela imiba yabo ephantsi kunye nokuphila ubomi obunempilo. 

 


Ucaphulo

Becker, BA, & Childress, MA (2019). Intlungu eNgasemva eNgenaNspecific kunye nokuBuyela emsebenzini. Ugqirha wezeMerika waseMerika, 100(11), 697-703. www.ncbi.nlm.nih.gov/pubmed/31790184

www.aafp.org/pubs/afp/issues/2019/1201/p697.pdf

Francescato Torres, S., Brandt de Macedo, AC, Dias Antunes, M., Merllin Batista de Souza, I., Dimitre Rodrigo Pereira Santos, F., de Sousa do Espirito Santo, A., Ribeiro Jacob, F., Torres Cruz, A., de Oliveira Januario, P., & Pasqual Marques, A. (2019). Iimpembelelo ze-electroacupuncture frequencies kwiintlungu ezingapheliyo ezisezantsi kubantu abadala: iimfama ezintathu, iinyanga ze-12 zeprotocol yesilingo esilawulwa ngokungahleliwe. Zilingo, 20(1), 762. doi.org/10.1186/s13063-019-3813-6

Hauser, RA, Matias, D., Woznica, D., Rawlings, B., & Woldin, BA (2022). Ukungazinzi kweLumbar njenge-etiology yeentlungu ezisezantsi kunye nonyango lwayo ngeprolotherapy: Uphononongo. J Ngasemva Musculoskelet Rehabil, 35(4), 701-712. doi.org/10.3233/BMR-210097

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

Sheng, X., Yue, H., Zhang, Q., Chen, D., Qiu, W., Tang, J., Fan, T., Gu, J., Jiang, B., Qiu, M., & Chen, L. (2021). Ukusebenza kwe-electroacupuncture kwizigulane ezine-syndrome engaphumeleli yokuhlinzwa emva kokuhlinzwa: iprotocol yokufunda yovavanyo olulawulwa ngokungahleliwe. Zilingo, 22(1), 702. doi.org/10.1186/s13063-021-05652-4

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

isikhanyeli

Ukufumana uLawulo kwiNzululwazi eNgenasiphelo eNgasemva kunye noNyango oluNgelulo utyando

Ukufumana uLawulo kwiNzululwazi eNgenasiphelo eNgasemva kunye noNyango oluNgelulo utyando

Ngaba iindlela zonyango ezingezizo utyando zingabanceda abantu abaneentlungu ezingapheliyo ezingasemva bafumane isiqabu abasikhangelayo ukubuyisela ukusebenza komzimba?

intshayelelo

Phakathi kwendawo ephezulu, ephakathi, kunye nesezantsi emva kwenkqubo ye-musculoskeletal, abantu abaninzi baye boyiswa kukwenzakala okubuhlungu, ukunyakaza okuphindaphindiweyo, kunye neeprofayili zomngcipheko wendalo obangela intlungu kunye nokukhubazeka, ngaloo ndlela kuchaphazela indlela yabo yemihla ngemihla. Njengenye yeemeko eziqhelekileyo zomsebenzi, iintlungu zangasemva zinokubangela ukuba abantu bajongane nemithwalo yentlalo-qoqosho kwaye banokuvela kwi-acute ukuya kwisigxina, kuxhomekeke kukulimala kunye nezinto ezihambelana nalo mbandela. Njengenxalenye yenkqubo ye-musculoskeletal, umva unemisipha eyahlukeneyo kwii-quadrants ezintathu ezixhasa iindawo eziphezulu kunye nezisezantsi kwaye zibe nobudlelwane obubalaseleyo kunye nomqolo njengoko iqela ngalinye le-muscle lijikeleze umqolo kwaye likhusela intambo yomgogodla. Xa izinto ezisingqongileyo kunye nokulimala okubuhlungu ziqala ukudala iimpawu ezinjengeentlungu ngasemva, zinokubeka umntu kwiintlungu ezibuhlungu, ngenxa yoko kutheni abaninzi bafuna unyango olungenalo utyando ukuze banciphise iintlungu ezinjengeentlungu zentlungu emva kwaye bafumane ukukhululeka kwabo. ukufuna. Inqaku lanamhlanje lijonga impembelelo yeentlungu ezingapheliyo ezisezantsi kunye nendlela unyango olungasebenzisi utyando lunokubachaphazela njani abantu abajongene neentlungu ezingapheliyo ezisezantsi. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukubonelela ngeendlela ezininzi zonyango ezingasebenzisi utyando ukunciphisa iintlungu ezingapheliyo ezisezantsi ezichaphazela iziphelo zabo. Siyazisa kwaye sikhokela izigulana malunga nokuba iindlela ezahlukeneyo zonyango ezingasebenzisi utyando zinokuthi zizuze impilo kunye nokuphila kakuhle njengoko zinokunceda ukunciphisa iimeko ze-musculoskelet ezifana neentlungu ezingapheliyo. Sikhuthaza izigulane zethu ukuba zibuze ababoneleli babo bezonyango abadibeneyo kunye nemibuzo ebalulekileyo malunga neentlungu zabo ezingapheliyo ezibuhlungu kunye nokuba zeziphi iinguqu ezincinci ezinokuzibandakanya ukunciphisa iimpawu ezifana nentlungu. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli.

 

Impembelelo yeeNzululwazi eziNgapheliyo eziNgasemva

Ngaba uhlala uziva iintlungu ezibuhlungu okanye iintlungu emqolo wakho emva kosuku olude olunzima lomsebenzi? Ngaba ufumana ukudinwa kwemisipha ukusuka emqolo ukuya emilenzeni yakho emva kokuthwala into enzima? Okanye ngaba uye waphawula ukuba ukujija okanye ukuguqula iintshukumo kukhulula okwethutyana umqolo wakho ongezantsi, kodwa ube mandundu emva kwexeshana? Rhoqo, uninzi lwezi meko ezinjengeentlungu zinxulunyaniswa neentlungu ezingapheliyo ngasemva, kwaye zinokubakho ngenxa yezinto ezahlukeneyo ezihambelana nale meko iqhelekileyo ye-musculoskeletal. Xa kuziwa kwiimeko ze-musculoskelet ezinxulumene neentlungu ezingapheliyo ezisezantsi, zixhaphake ngelixa impembelelo yazo ixhaphake. Ukuza kuthi ga ngoku, bachaphazela abantu abaninzi njengoko bengoyena nobangela uxhaphakileyo wentlungu yexesha elide kunye nokukhubazeka ngokomzimba. (UWoolf kunye noPfleger, ngo-2003) Kuba iintlungu zangasemva zinokuba bukhali okanye zingapheliyo, zinokuba zininzi njengezinye iimpawu zentlungu zidla ngokubangela ukugcwala kweeprofayili zomngcipheko emzimbeni. Impembelelo yentlungu engapheliyo ye-back back inezizathu ezisisiseko ze-pathological ezingachazwanga kakuhle kodwa zinokunxulumana nokungasebenzi kakuhle kwengqondo. (Andersson, 1999)

 

 

Ukongezelela, utshintsho oluguquguqukayo ngaphakathi komqolo lunokubangela impembelelo ekuphuhlisweni kweentlungu ezingapheliyo ezisezantsi. Imiba esemngciphekweni ebangela ukugcwala kweeprofayili zomngcipheko zinokususela ekutshayeni nasekutyebeni ngokugqithiseleyo ukuya kwimisebenzi eyahlukeneyo efuna iintshukumo ezigqithisileyo. (Atkinson, ngo-2004) Xa oko kusenzeka, kubangela ukuba abantu babe noxinezeleko olungeyomfuneko oluchaphazela ubomi babo luze lubenze bangonwabi. Kulapho abantu abaninzi beqala ukufuna unyango lokunciphisa imiphumo yeentlungu ezingapheliyo ezisezantsi kunye nokunciphisa amathuba okufuna ukungenelela ngotyando. 

 


Indima yoLondolozo lweChiropractic ekuphuculeni impilo yakho-Ividiyo


Unyango olungaSebenziyo loNyango lweNzululwazi eziNgapheliyo

Xa abantu bejongana neentlungu ezingapheliyo ezisezantsi, abaninzi abaqapheli ukuba ukunyakaza okuhlukeneyo, iminyaka, kunye ne-pathologies inokuguqula umqolo, okubangela ukuba i-spinal discs ihambe ngeenguqu eziguquguqukayo ezihambelana nokuphuhliswa kweentlungu ezingapheliyo ezisezantsi. (Benoist, ngo-2003) Xa iinguqu eziguqukayo ziqala ukubangela iimpawu ezinjengeentlungu emva, abaninzi baya kuqala ukukhangela unyango olufikelelekayo kunye olusebenzayo. Yiyo loo nto unyango olungasebenzisi utyando lunokunceda ukunciphisa iimpawu ezinjengeentlungu zentlungu engapheliyo yomqolo kunye nokunceda ukubuyisela ukuhamba komzimba. Unyango olungazenzisiyo lulolwakho kwiintlungu zomntu kwaye lususela kwi-acupuncture ukuya kunyango lwe-massage kunye nokudodobala komqolo. Unyango olungasebenzisi utyando lukwafikeleleka kwaye lunceda ekunciphiseni iiprofayili zomngcipheko ezidlulanayo zeentlungu ezingapheliyo ezisezantsi ngelixa kuncitshiswa iimeko ezinxulumene nazo.

 

Iziphumo zokuDodobala koMnqonqo Kwintlungu eNgasemva eNgasemva

 

Ukunyanzeliswa komqolo, njengoko kuchaziwe ngaphambili, luhlobo lonyango olungasebenzisi utyando olubandakanya i-mechanical gentle traction kumqolo wokunciphisa intlungu engapheliyo kwaye inokunciphisa iimpawu ezinjengeentlungu ezinxulumene nayo. Ukunyanzeliswa komqolo kunceda ukunciphisa ukungqubuzana kwemisipha ye-lumbar, echaphazela i-lumbar spine kodwa inika kwakhona intlungu kunye nomsebenzi womzimba. (I-Choi et al., 2022) Ukunyanzeliswa komgogodla kukhuselekile ngelixa uthambile kumqolo, udibene nokuzivocavoca kokuzinzisa ukunyusa uxinzelelo lwe-intra-abdominal kunye nekhono lomgogodla kwi-lumbar. (Hlaing et al., 2021) Xa umntu ehlanganisa ukunyanzeliswa komgogodla njengenxalenye yohambo lwabo lwempilo kunye nokuphila kakuhle, intlungu yabo kunye nokukhubazeka kuya kuncipha ngokuhamba kwexesha ngelixa besomeleza imisipha ebuthakathaka echaphazelekayo yintlungu engapheliyo. Ukubandakanya ezi zonyango ezingenalo utyando zinokunceda umntu akhumbule ngakumbi impembelelo yokusingqongileyo abayenzayo kumqolo wabo kwaye aphile ubomi obungcono nobunempilo.

 


Ucaphulo

Andersson, GB (1999). Iimpawu ze-Epidemiological zentlungu engapheliyo ephantsi. Lancet, 354(9178), 581-585. doi.org/10.1016/S0140-6736(99)01312-4

Atkinson, JH (2004). Iintlungu ezingapheliyo zomqolo: ukukhangela izizathu kunye nonyango. J Rheumatol, 31(12), 2323-2325. www.ncbi.nlm.nih.gov/pubmed/15570628

www.jrheum.org/content/jrheum/31/12/2323.full.pdf

Benoist, M. (2003). Imbali yendalo yomqolo wokuguga. Eur Spine J, 12 Suppl 2(Ubonelelo 2), S86-89. doi.org/10.1007/s00586-003-0593-0

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

Hlaing, S. S., Puntumetakul, R., Khine, E. E., & Boucaut, R. (2021). Iziphumo zokuzinzisa okungundoqo kunye nokuqinisa umthambo kwi-proprioception, ibhalansi, ubukhulu bemisipha kunye neziphumo ezinxulumene nentlungu kwizigulane ezine-subacute nonspecific back pain: isilingo esilawulwa ngokungahleliwe. I-BMC Musculoskelet Disord, 22(1), 998. doi.org/10.1186/s12891-021-04858-6

UWoolf, AD, & Pfleger, B. (2003). Umthwalo weemeko eziphambili ze-musculoskelet. IBull World Health Organ, 81(9), 646-656. www.ncbi.nlm.nih.gov/pubmed/14710506

www.ncbi.nlm.nih.gov/pmc/articles/PMC2572542/pdf/14710506.pdf

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