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:
I-Disc Herniation
Osteoarthritis
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.
by UGqr Alex Jimenez Umqolo obuhlungu , Chiropractic , Ubuhlungu obungapheliyo , Ubuhlungu obungapheliyo , Ubuhlungu Bokubuyisela , Unyango lokuthotywa koMnqonqo , Uncedo Lwezityalo , Unyango , I-Viscerosomatic Reflex
Kubantu abaneentlungu zangasemva, abasebenzi bezempilo bangazibandakanya njani izisombululo ezingezizo utyando ukunciphisa iintlungu zomqolo?
intshayelelo
Umqolo ungomnye wezona zakhiwo zibalulekileyo kumzimba womntu, ukubonelela ukuhamba komkhosi kunye nokuzinza xa uxinzelelo oluthe nkqo lucinezela kwisakhiwo somgogodla. Umqolo ujikelezwe yimisipha eyahlukeneyo, i-ligaments, kunye nezicubu ezinceda ukuxhasa iindawo eziphezulu kunye nezantsi zomzimba kunye neziphelo. Xa izinto eziqhelekileyo ezifana nokuphakamisa ukuphakamisa, ukuma okungafanelekanga, ukukhuluphala, okanye iimeko esele zikhona ziqala ukuchaphazela umzimba, kunokubangela ukuba isakhiwo somgogodla sinokubangela imiba engafunekiyo ekhokelela kumqolo, intamo, kunye neentlungu zegxalaba. Xa ufumana ezi ntlungu zintathu ziqhelekileyo zomzimba zihlala zihambelana nezinye iimpawu ezinxulumene nazo ezinokuchaphazela ezinye iziphelo. Xa oku kusenzeka, abantu abaninzi baqalisa ukuphoswa ngumsebenzi okanye imisebenzi yemihla ngemihla enokubabangela bangabi nangxaki, bade bazame ukukhangela izicombululo ezahlukahlukeneyo zokunciphisa iintlungu abazifumanayo. Inqaku lanamhlanje lijonga enye yeentlungu zomzimba eziqhelekileyo njengentlungu yomqolo kunye nendlela enokubangela ngayo imiba emininzi echaphazela amandla omntu okusebenza, kunye nendlela izisombululo ezingezizo utyando ezinokuthi zinciphise imiphumo efana nentlungu kodwa zibonelela ngesiqabu esiyimfuneko. abantu abaninzi bafanelwe kuhambo lwabo lwempilo kunye nokuphila kakuhle. Sithetha nababoneleli bezonyango abaqinisekisiweyo ababandakanya ulwazi lwezigulane zethu ukubonelela ngezicwangciso zonyango ezininzi zokunciphisa iimpawu ezinjengeentlungu ezinxulumene nemiba yomgogodla ebangela intlungu emva. Siyazisa kwakhona izigulane zethu ukuba kukho iindlela ezingezizo zokuhlinzwa zokunciphisa le miba efana neentlungu kunye nokubuyisela ukuhamba komgogodla kumzimba. Sikhuthaza izigulane zethu ukuba zibuze imibuzo enzima kunye nemfundo kubaboneleli bethu bezonyango abahambelanayo malunga neempawu ezinjengeentlungu ezihlangabezana nazo ezihambelana nomqolo ongaphantsi. UDkt Alex Jimenez, DC, usebenzisa olu lwazi njengenkonzo yezemfundo. isikhanyeli .
Iintlungu Zomqolo Ezichaphazela uMnqonqo
Ngaba uhlala ufumana iintlungu ezikhuphayo kumqolo wakho ongaphantsi obangela iimpawu zokuva okanye ukubetha kwemilenze ukuya ezinyaweni zakho? Ngaba uziva ukuqina kwezihlunu kusasa ngelixa uvuka, kodwa uphela kancinci imini yonke? Okanye ngaba uziva iimpawu zemisipha kunye neentlungu xa uthwala into enzima ukusuka kwindawo ukuya kwenye? Abantu abaninzi, ngokuphindaphindiweyo kunokuba, baye bajongana neentlungu zangasemva ezinxulumene nezinto ezahlukeneyo. Ngeentlungu zomqolo ezikwiingxaki ezintathu eziphezulu eziqhelekileyo kubasebenzi, abantu abaninzi baye bajongana nengxaki eqhelekileyo ngeendlela ezininzi. Ukusuka ekuphakameni okungafanelekanga ukuya kukuhlala ngokugqithisileyo kwidesika, iintlungu zangasemva zinokubangela imiba ye-musculoskeletal abaninzi abazama ukuyifumana isiqabu. Iintlungu ezisezantsi zingaba buhlungu okanye zingapheliyo, kuxhomekeke kubukhulu. Ingakhokelela ekuphazamisekeni kokuhamba ngaphakathi kwemimandla ye-thoracic, lumbar, kunye ne-sacroiliac spinal, ebangela intlungu ebhekiswe kwiindawo ezisezantsi. Ingakhokelela kubomi bomonakalo ngaphandle kwaziphi na iimpawu okanye iimpawu zeemeko ezimandundu zonyango okanye zengqondo ezinxulumene nezinto zokusingqongileyo. ( Delitto et al., 2012 ) Intlungu ebuyayo iphinda idibaniswe neemeko zomgogodla ezifana nokuvuvukala, ukulayishwa kwe-asymmetric, kunye noxinzelelo lwe-muscle, olunokubangela ukuba izakhiwo zomgogodla zinyanzeliswe, ngaloo ndlela kubangele i-disc herniations. ( Zemková & Zapletalová, 2021 )
Ukongeza, iintlungu zangasemva yimeko ye-musculoskelet ye-multifactorial ebangela ukuba abantu abaninzi babe kwimeko yentlalo-qoqosho enokunciphisa umgangatho wobomi. Imizekelo emininzi yeentlungu zangasemva zihambelana nokulawulwa kwemoto etshintshileyo ngaphakathi kwemisipha ye-spinal erector ebangela ukuba i-proprioception iphazamiseke kumqolo. ( Ilahleko yeFagundes et al., 2020 ) Xa oku kusenzeka kubantu abaninzi, bahlala befumana isithintelo sokuzinza kwe-lumbar, ukulinganisela komzimba, ukuma, kunye nokulawulwa kwe-postural. Ngelo xesha, xa abaninzi abantu abasebenzayo beneentlungu ezibuhlungu ezibuhlungu ezinxulumene nemihla ngemihla, inani leentlungu ezikuyo lingatshintsha umda we-mechanoreceptors ohambisa iimpawu zentlungu ngentambo yomgogodla. Ukuza kuthi ga ngoku, intlungu yangasemva inokuchaphazela impendulo ye-neuromuscular kwaye ichaphazele umsebenzi oqhelekileyo we-musculoskelet. Ngethamsanqa, unyango oluninzi lunokunceda ukunciphisa iintlungu zangasemva kunye nokubonelela ngesiqabu kwiintlungu zomqolo ezichaphazela abantu abaninzi.
Indima yoLondolozo lweChiropractic-Ividiyo
VIDEO
Zingaphi izihlandlo ngosuku ufumana iintlungu zangasemva ezinxulumene nokuqina, iintlungu eziqhelekileyo, okanye iintlungu ezichaphazela amandla akho okusebenza? Ngaba uyaqaphela ukuba uzingela ngakumbi xa usuka kwenye indawo uye kwenye? Okanye ngaba uziva iintlungu kunye neentlungu emqolo wakho emva kokwelula ekuseni? Abantu abaninzi abajongene nale miba eqhelekileyo yokusingqongileyo banxulunyaniswa ngokusondeleyo neentlungu zangasemva. Iintlungu zangasemva zikwezona ngxaki ziphezulu ezintathu zixhaphakileyo abantu abaninzi abaye bahlangabezana nazo ngaxa lithile ebomini babo. Ngokuphindaphindiweyo, abantu abaninzi baye bajongana neentlungu zangasemva ngokusebenzisa amayeza asekhaya ukunciphisa imiphumo efana nentlungu. Nangona kunjalo, uphando lubonisa ukuba xa abantu abaninzi beqala ukuyihoya intlungu, ingabakhokelela kubomi bokukhubazeka kwaye ibangele ubuninzi boxinzelelo ukuba ayiphathwa ngoko nangoko. ( Parker et al., 2015 ) Ngenxa yoko, unyango olungenalo utyando alukwazi ukunciphisa kuphela intlungu ehambelana neentlungu zangasemva kodwa zinokunceda ukubuyisela ukuhamba komgogodla. Unyango olungasebenzisi utyando olufana nokhathalelo lwe-chiropractic lubandakanya ukunyanzelwa komgogodla, onokuchaphazela ngokuqinisekileyo umqolo. ( Koes et al., 1996 ) Yintoni eyenziwa ngononophelo lwe-chiropractic kukuba iquka iindlela zokuxhaphaza ngoomatshini kunye nezandla zokwelula izihlunu eziqinileyo kunye nokunciphisa amanqaku okubangela ukuguqulwa. Le vidiyo ingentla ibonisa indlela ukhathalelo lwe-chiropractic lunokuchaphazela ngokufanelekileyo umntu ngelixa liyinxalenye yempilo kunye nohambo oluhle ekunciphiseni intlungu emva.
Ukuthotywa koMnqonqo oNgekuko Utyando ngenxa yeentlungu zomqolo
Kanye njengokunyamekelwa kwe-chiropractic, ukunyanzeliswa komgogodla lolunye unyango olungenalo utyando olusebenzisa i-traction ukutsala ngobunono kunye nokwelula umqolo ukuze kuncitshiswe i-discs ye-spinal egxininisiweyo ehambelana neentlungu zangasemva kunye nokunceda ukunweba imisipha eqinile. Xa abantu abaninzi beqala ukubandakanya ukunyanzeliswa komgogodla njengenxalenye yendlela yabo yesiqhelo, baya kuqaphela ukuba ukunyanzeliswa komgogodla kunokunciphisa uxinzelelo lwe-intradiscal ngaphakathi koluhlu olubi. ( URamos, ngo-2004 ) Yintoni le nto iyenzayo kukuba xa i-spinal discs itsalwa ngokutsalwa ngokuthambileyo, zonke ii-fluids kunye nezondlo ezazingenamanzi kwi-disc zibuyela emva kwaye zincede ukukhaba inkqubo yokuphilisa yendalo yomzimba. Xa abantu abaninzi beqala ukusebenzisa i-spinal decompression ngenxa yeentlungu zabo zangasemva, baya kubona ukunciphisa okukhulu kwiintlungu zabo emva kweeseshoni ezimbalwa ezilandelelanayo. ( UCrisp et al., ngo-1955 ) Xa abantu abaninzi beqala ukudibanisa ezinye iindlela zonyango ezingezizo utyando kunye ne-spinal decompression, baya kukwazi ukubuyisela ukuhamba kwabo komgogodla ngelixa bekhumbula ngakumbi ukuba zeziphi izinto ezisingqongileyo ezichaphazela umqolo wabo kwaye zingaphindi umba ukuze uvumele intlungu yangasemva ukuba ibuyele.
Ucaphulo
Crisp, EJ, Cyriax, JH, & Christie, BG (1955). Ingxoxo ngonyango lwe-backache ngokutsala. Proc R Soc Med , 48 (10), 805-814. www.ncbi.nlm.nih.gov/pubmed/13266831
www.ncbi.nlm.nih.gov/pmc/articles/PMC1919242/pdf/procrsmed00390-0081.pdf
Delitto, A., George, SZ, Van Dillen, L., Whitman, JM, Sowa, G., Shekelle, P., Denninger, TR, & Godges, JJ (2012). Iintlungu ezisezantsi. Ijenali yonyango lwamathambo kunye nezonyango kunyango , 42 (4), A1-A57. doi.org/10.2519/jospt.2012.42.4.a1
I-Fagundes Loss, J., de Souza da Silva, L., Ferreira Miranda, I., Groisman, S., Santiago Wagner Neto, E., Souza, C., & Tarrago Candotti, C. (2020). Iziphumo ezikhawulezileyo ze-lumbar spine manipulation kwi-sensitivity yentlungu kunye nokulawulwa kwe-postural kubantu abaneentlungu ezingabonakaliyo ezisezantsi: isilingo esilawulwa ngokungahleliwe. Unyango lweChiropr lomntu , 28 (1), 25. doi.org/10.1186/s12998-020-00316-7
Koes, BW, Assendelft, WJ, van der Heijden, GJ, & Bouter, LM (1996). Ukuguqulwa komqolo ngenxa yeentlungu ezisezantsi. Uphononongo olucwangcisiweyo oluhlaziyiweyo lwezilingo zeklinikhi ezingahleliwe. Isihlwele (Phila Pa 1976) , 21 (24), 2860-2871; ingxoxo 2872-2863. doi.org/10.1097/00007632-199612150-00013
Parker, SL, Mendenhall, SK, Godil, SS, Sivasubramanian, P., Cahill, K., Ziewacz, J., & McGirt, MJ (2015). Izehlo zentlungu ephantsi emva kweLumbar Discectomy ye-Herniated Disc kunye nempembelelo yayo kwiZiphumo ezichazwe ngesigulane. Clin Orthop Relat Res , 473 (6), 1988-1999. doi.org/10.1007/s11999-015-4193-1
URamos, G. (2004). Ukusebenza kwe-vertebral axial decompression kwiintlungu ezingapheliyo ezisezantsi: ukufundwa kwerejimeni yedosi. Neurol Res , 26 (3), 320-324. doi.org/10.1179/016164104225014030
Zemková, E., & Zapletalová, L. (2021). Iingxaki zangasemva: IiPros and Cons of the Core Strengthening Exercises njengenxalenye yoQeqesho lwabadlali. Ijenali yehlabathi yoPhando lwezeNdalo kunye neMpilo yoLuntu , 18 (10), 5400. doi.org/10.3390/ijerph18105400
isikhanyeli
by UGqr Alex Jimenez Umqolo obuhlungu , Disc Disc
Abantu abajongene neengxaki zeentlungu zangasemva banokuba nokubandezeleka kwi-disc bulging. Ngaba ukwazi umahluko phakathi kweempawu zediski ezityibilikileyo kunye ne-herniated kunokunceda ngonyango kunye nokufumana isiqabu?
UkuBulging Disc Pain
Iintlungu zomqolo zinokuba buthathaka ukuba aziphathwanga kakuhle. I-disc bulging yimbangela eqhelekileyo yomlomo wesibeleko, i-thoracic, kunye neempawu zentlungu ephantsi. Kwenzeka xa enye ye-cushions ezaliswe ngamanzi phakathi kwe-vertebrae iqala ukusuka kwindawo. Esikhundleni sokulungelelanisa kunye nemiphetho, i-disc bulges ngaphezulu. Oku kuqalisa ukuvelisa uxinzelelo kwimithambo-luvo ebangela intlungu kunye nokudumba.
Iidiski ze-Bulging zihlala zibangelwa ubudala, kodwa ukunyakaza okuphindaphindiweyo kunye / okanye ukuphakamisa izinto ezinzima kunokufaka isandla kwimeko.
Iimpawu ziyakwazi ukuzisombulula ngokwazo, kodwa abantu ngabanye bayacetyiswa ukuba badibane nonyango lomzimba kunye / okanye i-chiropractor ukuqinisekisa ukuba i-disc iphiliswe ngokufanelekileyo, ngaphandle koko, kunokukhokelela ekunyameni kunye / okanye ukulimala ngakumbi.
I-Bulging Disc vs. I-Herniated Disc
I-Bulging kunye neediski ze-herniated zibangela iimpawu zentlungu.
I-Bulging - i-disc ye-intervertebral ihamba ngaphandle kwendawo kodwa ihleli.
I-Herniated - i-external layer ye-disc ruptures, ebangela ukuba i-gel cushioning ngaphakathi ivuze kwiimbilini zomgogodla.
Indawo yeempawu
I-disc bulging inokwenzeka naphi na ecaleni komqolo.
Nangona kunjalo, uninzi lwenzeka phakathi kwee-vertebrae ezintlanu zokugqibela kumqolo osezantsi.
Lo ngumqolo we-lumbar. (I-American Academy ye-Orthopedic Surgeons. 2022 )
Oku kungenxa yokuba umva ophantsi uxhomekeke kuzo zonke iintlobo zoxinzelelo kunye nokunyakaza kunye nemisebenzi yemihla ngemihla, ukwandisa amathuba okuba intlungu kunye nokulimala.
Indawo elandelayo eqhelekileyo yintamo / yomlomo wesibeleko apho kukho ukunyakaza okuqhubekayo okwenza kube lula ukulimala kunye neempawu zentlungu.
Izizathu
Iidiski eziqhumayo zidla ngokubangelwa kukuguga komzimba kunye nokunxiba okuqhelekileyo kunye nokukrazula. Njengoko ixesha lihamba kwiidiski ze-intervertebral ngokwemvelo ziyancipha, ezibizwa ngokuba sisifo se-disc degenerative. Oku kunokubangela ukuba iidiski ziwe phantsi, zibangele ukuba zikhuphe ukusuka kwindawo yazo. (Penn Medicine. 2018 ) Izinto ezinokubangela okanye zibe mandundu imeko ziquka:
Ukuziqhelanisa nokuma okungenampilo.
Iintshukumo eziphindaphindiweyo.
Ukuphakamisa izinto ezinzima
Ukulimala komqolo.
Imbali yonyango yesifo somgogodla okanye i-disc kwintsapho.
impatho
Ukunyanga i-disc bulging kuthatha ixesha kunye nomonde. (I-American Academy ye-Neurological Surgeons. 2023 )
Uviwo
Abantu abaneentlungu zangasemva eziphazamisa imisebenzi yemihla ngemihla okanye baye bahlala ixesha elide kuneeveki ezintandathu, kufuneka babone umboneleli wezempilo ukuze axilongwe. Baya kuyalela i-imaging resonance imaging scan / MRI, engabonisa apho i-disc iphuma khona. (I-American Academy ye-Neurological Surgeons. 2023 )
Ukuphumla
Kwintlungu ye-disc bulging, ukuphumla umva kuyimfuneko. Nangona kunjalo,
Izigulana ezininzi zixhamla kusuku okanye ezimbini zokuphumla ebhedini. (I-American Academy ye-Orthopedic Surgeons. 2022 )
Emva koko, qalisa imisebenzi elula njengokuhamba. Kuphephe naziphi na iintshukumo ezenza intlungu yakho ibe mandundu.
NSAID
Amayeza eentlungu ze-NSAID afana ne-Advil, i-Motrin, okanye i-Aleve inokugcina iimpawu zentlungu kunye nokuvuvukala kuncitshiswe.
Nangona kunjalo, oku kwenzelwa ukusetyenziswa kwexesha elifutshane, njengoko unobangela osisiseko kusafuneka uqwalaselwe.
Umboneleli wezempilo uya kucebisa idosi ekhuselekileyo kunye nexesha elingakanani la mayeza kufuneka athathwe. (I-American Academy ye-Orthopedic Surgeons. 2022 )
Ulungiso lwenyama
I-Steroid Injection
Inaliti ye-epidural steroid inokubonelela ngesiqabu kubantu abaseneempawu emva kweeveki ezintandathu.
Umboneleli wezempilo uya kufaka i-cortisone kumqolo ukunciphisa ukuvuvukala kunye neentlungu. (I-American Academy ye-Orthopedic Surgeons. 2022 )
Ukuhlinzwa
Ukuba unyango olulondolozayo alusebenzi, umboneleli wezempilo unokucebisa utyando, njenge-microdiscectomy.
Le nkqubo isebenzisa amabala amancinci ukususa yonke okanye inxalenye yediski eqhumayo.
Uninzi lwabantu abane-disc bulging abayi kufuna utyando. (I-American Academy ye-Neurological Surgeons. 2023 )
Ukuvuvukala: Indlela edibeneyo yoNyango
VIDEO
Ucaphulo
Penn Medicine. (2018) Idiskhi ye-Bulging vs. idiski ye-herniated: Yintoni umahluko ?
I-American Academy ye-Orthopedic Surgeons. (2022) Idiski yeHerniated kumqolo osezantsi .
I-American Academy ye-Neurological Surgeons. (2023) I-disniated disc .
Amaziko eSizwe ezeMpilo. (2022) Ukuguqulwa koMnqonqo: Yintoni ekufuneka uyazi .
by UGqr Alex Jimenez Umqolo obuhlungu , Chiropractic , Ubuhlungu obungapheliyo , Ubuhlungu Bokubuyisela , Unyango lokuthotywa koMnqonqo , Unyango , I-Viscerosomatic Reflex
Ngaba abantu abaneentlungu ezisezantsi bangafumana isiqabu ngokudodobala komqolo okudityaniswe nokhathalelo lwe-chiropractic ukunciphisa iintlungu zemisipha?
intshayelelo
Wonke umntu emhlabeni jikelele uye wajongana neentlungu ezisezantsi, ingxaki eqhelekileyo enokuthi ifihle ezinye izifo ze-musculoskeletal. Iintlungu ezisezantsi zingakhula ngokwemvelo ngokuguqulwa komgogodla, iimeko eziqhelekileyo zokusingqongileyo abantu abazibekayo imizimba yabo, okanye izinto ezibuhlungu ezinokuchaphazela ngokuthe ngcembe ummandla we-lumbar ngokuhamba kwexesha. Umqolo osezantsi uyingxenye yengingqi ye-lumbar spine njengoko ithatha ubunzima bomzimba ophezulu kwaye uzinzisa umzimba ophantsi xa uhamba. Ummandla we-lumbar unzima ukuxhasa ubunzima bomzimba ophezulu kwaye ukhuselwe yimisipha ejikelezayo, imisipha kunye nezicubu; nangona kunjalo, yeyona nto isengozini yokwenzakala. Abantu abaninzi abaqapheli ukuba bafumana intlungu ephantsi emva kokuba ingozi okanye ukunyakaza okuphindaphindiweyo kuqale ukuchaphazela iigaments ezijikelezayo okanye i-lumbar intervertebral discs zixinzelelwe kakhulu. Ukuza kuthi ga ngoku, abantu abaninzi bafumana iintlungu eziqaqambayo kumazantsi abo. Nangona kunjalo, yonke into ayilahlekanga, njengoko kukho iindlela ezininzi zokunciphisa iintlungu ezisezantsi kunye nokubonelela ngesiqabu kubantu abaninzi. Inqaku lanamhlanje ligxininisa kwizinto ezikhokelela ekuphuhlisweni kweentlungu ezisezantsi kunye nendlela unyango olufana nokunyamekela kwe-chiropractic kunye noxinzelelo lomgogodla lunokunceda ukunciphisa intlungu ephantsi kunye neempawu zayo. Sithetha nababoneleli bezonyango abaqinisekisiweyo ababandakanya ulwazi lwezigulane zethu ukubonelela ngezicwangciso zonyango ezininzi zokunciphisa iintlungu ezisezantsi kunye neempawu ezinxulumene nazo. Sikwazisa izigulana zethu ukuba kukho iindlela ezingezizo utyando ezifana nokhathalelo lwe-chiropractic kunye noxinzelelo lomgogodla ukunciphisa iintlungu ezikhuphayo ezinxulumene neentlungu ezisezantsi. Sikhuthaza izigulane zethu ukuba zibuze imibuzo enzima kunye nemfundo kubaboneleli bethu bezonyango abahambelanayo malunga neempawu ezinjengeentlungu ezihlangabezana nazo ezihambelana nomqolo ongaphantsi. UDkt Alex Jimenez, DC, usebenzisa olu lwazi njengenkonzo yezemfundo. isikhanyeli
Izinto ezikhokelela ekuphuhlisweni kweentlungu ezisezantsi
Ngaba uziva iintlungu zemisipha kunye neentlungu kwi-back back yakho xa usolula? Ngaba intlungu ibangela imiba ekuhambeni kwakho xa usenza imisebenzi? Okanye ngaba uziva iintlungu ngokukhawuleza okanye ngokuthe ngcembe emva kosuku olude lomsebenzi wokuthwala izinto ezinzima okanye uhleli kakhulu edesikeni yakho? Xa abantu abaninzi besiva iintlungu kwezi meko zahlukeneyo, kunokukhokelela ekuphuhlisweni komqolo osezantsi ohambelana nezi meko zokusingqongileyo. Iintlungu ezisezantsi zomqolo ziyinkathazo eqhelekileyo abantu abaninzi abasebenzayo nabangasebenziyo abazifumana ngamaxesha athile. Xa izinto ezahlukeneyo zomngcipheko zinxulunyaniswa neentlungu ezisezantsi, kunokubangela ukuba abantu abaninzi bajongane neemfuno zomzimba nezengqondo ezibangela ukuba benze izinto ezininzi ezinjengokuphakamisa ubunzima, izikhundla ezingathandekiyo, kunye nokugoba okugqithisileyo, ezinokuvelisa iimpawu ezinjengeentlungu ummandla we-lumbar. ( Ukuya kuthi, ngo-2021 ) Ngexesha elifanayo, xa kuthelekiswa nezinye iimeko zempilo, intlungu ephantsi yomqolo ngumthwalo ophezulu wehlabathi, obangela ukuba abantu abaninzi baphoswe kwiziganeko ezibalulekileyo ezifana nomsebenzi kunye nemisebenzi yemihla ngemihla. ( Petrozzi et al., 2020 ) Oku kubangela ukuba baphile ubomi bokukhubazeka kwaye kubenze bazive belusizi. Iintlungu ezisezantsi zingachaphazela intlalo-ntle yabantu kunye nokusebenza ukuba bafuna unyango olubafaneleyo.
Abantu abaninzi abafumana iintlungu ezisezantsi ngasemva baya kuhlala bekhokelela ubomi bokukhubazeka kunye nomthwalo wentlalo noqoqosho ohambelana nezi zinto. ( Wong et al., 2022 ) Abantu abaninzi bahlala becinga ukuba iintlungu ezisezantsi zenzeka kuphela kubantu abadala, kodwa iintlungu ezisezantsi zingenzeka nakubani na nakweyiphi na iminyaka. Izinto ezininzi ezihambelana nokuphuhliswa kweentlungu ezisezantsi ziquka:
Ukuphakamisa ubunzima obungafanelekanga Ukuhamba ngokungalunganga Ukuba kwindawo egobileyo okanye egobileyo Ingozi yemoto ukutyeba Imiba yesisu Ukuphazamiseka kwe-musculoskeletal ekubhekiselwe kuyo Ukungasebenzi komzimba
Uninzi lwale miba yokusingqongileyo ihambelana neentlungu ezisezantsi abantu abaninzi abangaziyo xa besenza inkqubo yabo. Oku kubangelwa ukuba izicubu ezijikelezayo, iigaments, kunye nezihlunu zisetyenziswe ngokugqithiseleyo kwaye zichaphazeleke kwaye i-intervertebral disc isoloko ixinzelelwe ukusuka kwiintshukumo eziphindaphindiweyo. Xa oku kusenzeka, abantu abaninzi baya kuhlala befuna unyango lokunciphisa iziphumo ezibuhlungu zeentlungu ezisezantsi.
Indlela yokunyamekela kweChiropractic inokuguqula iintlungu zibe yiNcedo-Ividiyo
VIDEO
Xa kuziwa ekunciphiseni iintlungu ezisezantsi, abantu abaninzi baya kuzama amayeza asekhaya ukunciphisa iintlungu zemisipha kunye nokunciphisa ukuvuvukala okuhambelana neentlungu ezisezantsi. Oku kunika isiqabu sexeshana kwiintlungu ezibuhlungu ezisezantsi, kodwa abaninzi baya kufuna unyango olungaphangeliyo xa kufikwa kwiintlungu ezingapheliyo ezisezantsi. Unyango olungenalo utyando lunokunceda ekunciphiseni iintlungu ezisezantsi kunye neempawu ezihambelana nazo ngokusebenzisa iindlela zoomatshini kunye nezandla. Unyango olungelulo utyando, olubandakanya ukhathalelo lwe-chiropractic kunye noxinzelelo lomgogodla, lunokunceda ukunciphisa iintlungu ezisezantsi. Ekubeni iintlungu ezisezantsi zihambelana nokulawulwa kweemoto ezitshintshileyo kwingingqi ye-lumbar, inokuthintela ukuzinza kwe-lumbar, kubangele ukungaboni kakuhle kokunyakaza, kunye nokuchaphazela ukuzinza kwe-postural. ( Ilahleko yeFagundes et al., 2020 ) Ngonyango olungenalo utyando, iingcali ezininzi zeentlungu zingabandakanya ukuhlanganiswa kwe-vertebral kunye neenkqubo zokuxhaphaza ukuphucula ukuhamba komgogodla kunye nokunciphisa intlungu kwingingqi ye-lumbar. Ividiyo engentla ichaza indlela ukunakekelwa kwe-chiropractic kunye nokuchithwa komgogodla kunokunciphisa iintlungu ezisezantsi kunye nokunceda ukubuyisela ukusebenza emzimbeni.
Ukhathalelo lweChiropractic kunye neentlungu ezisezantsi
Xa kuziwa ekunciphiseni iintlungu ezisezantsi ezinxulumene nezinto ezisingqongileyo, iingcali ezininzi zeentlungu zinokujonga ukuqonda kwengqondo, kunye neepatheni zokusebenza ezihambelana nokungahambi kakuhle kwe-lumbar. ( Khodadad et al., 2020 ) Oku kuvumela ingcali yeentlungu ukuba yenze isicwangciso sonyango lomntu siqu kwiintlungu ezisezantsi. Unyango olungasebenzisi utyando olufana nokhathalelo lwe-chiropractic lubalaseleyo ekunciphiseni iintlungu ezisezantsi. Ukhathalelo lweChiropractic lubandakanya iindlela zokuxhaphaza umqolo ukuze ulungelelanise umqolo kunye nokunceda ukolula izihlunu ezichaphazelekayo ezijikelezileyo. Abantu abaninzi ababandakanya ukhathalelo lwe-chiropractic kwindlela yabo yesiqhelo bafumana ukuncipha okukhulu kweentlungu kunye nokuncipha kokukhubazeka emva konyango olulandelelanayo. ( UGevers-Montoro et al., 2021 ) Ukunyamekela kwe-Chiropractic kunokudibaniswa nonyango lomzimba kunye ne-massage yokwelula nokuqinisa imisipha echaphazelekayo. Oku, kwakhona, kunceda umntu ukuba aphinde abuyele ukuhamba komgogodla kunye nokunciphisa intlungu.
Ukuthotywa koMnqonqo kunye neentlungu ezisezantsi
Ukunyanzeliswa komgogodla lolunye unyango olungenalo utyando olunokunceda ukunciphisa intlungu ephantsi, njengokunakekelwa kwe-chiropractic. I-Spinal decompression isebenzisa i-traction ethambileyo kwi-lumbar spine ukuba itsalwe ngobunono ukukhulula izihlunu ezichaphazelekayo ezibangela iintlungu ezisezantsi. Ukunyanzeliswa komqolo kunokunciphisa intlungu yomlenze ehambelana neentlungu ezisezantsi kunye nokunciphisa iintlungu ezibhekiselele ezichaphazela imilenze ephantsi. ( Wang et al., 2022 ) Ukunyanzeliswa komgogodla kunokuphucula ukuphakama kwe-spinal disc kunye nokunceda ukuphucula amandla emisipha kunye nokunyamezela kwe-trunk. ( Kang et al., 2016 ) Ukudibaniswa kwe-spinal decompression kunye nokunakekelwa kwe-chiropractic ukunciphisa iintlungu ezisezantsi zisebenza kakuhle njengoko ezi ntlobo zimbini zonyango ezingenalo utyando zinokunciphisa ngokufanelekileyo iintlungu ze-musculoskeletal zabantu abaninzi kwaye zibenze baqonde izinto ezisingqongileyo eziyimbangela yeentlungu zabo ezisezantsi. kwaye uyithintele ukuba ingabuyi.
Ucaphulo
I-Fagundes Loss, J., de Souza da Silva, L., Ferreira Miranda, I., Groisman, S., Santiago Wagner Neto, E., Souza, C., & Tarrago Candotti, C. (2020). Iziphumo ezikhawulezileyo ze-lumbar spine manipulation kwi-sensitivity yentlungu kunye nokulawulwa kwe-postural kubantu abaneentlungu ezingabonakaliyo ezisezantsi: isilingo esilawulwa ngokungahleliwe. Unyango lweChiropr lomntu , 28 (1), 25. doi.org/10.1186/s12998-020-00316-7
Gevers-Montoro, C., Provencher, B., Descarreaux, M., Ortega de Mues, A., & Piche, M. (2021). Ukusebenza kweKlinikhi kunye nokusebenza kakuhle kweChiropractic Spinal Manipulation for Spine Pain. Iintlungu zangaphambili (Lausanne) , 2 , 765921. doi.org/10.3389/fpain.2021.765921
Kang, J.-I., Jeong, D.-K., & 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
Khodadad, B., Letafatkar, A., Hadadnezhad, M., & Shojaedin, S. (2020). Ukuthelekisa ukusebenza kweNgcaciso yoNyango oluSebenzayo kunye noNyango lokuZinzisa kweLumbar kwiintlungu kunye noLawulo lweNtshukumo kwiZigulana ezineentlungu ezisezantsi. Impilo yezemidlalo , 12 (3), 289-295. doi.org/10.1177/1941738119886854
Petrozzi, MJ, Rubinstein, SM, Ferreira, PH, Leaver, A., & Mackey, MG (2020). Abaqikeleli bokukhubazeka okusezantsi kwi-chiropractic kunye nezicwangciso zonyango lomzimba. Unyango lweChiropr lomntu , 28 (1), 41. doi.org/10.1186/s12998-020-00328-3
Ku, D., Rezai, M., Murnaghan, K., & Cancelliere, C. (2021). Imiba yomngcipheko weentlungu ezisezantsi kubasebenzi bezempi abasebenzayo: ukuphononongwa ngokuchanekileyo. Unyango lweChiropr lomntu , 29 (1), 52. doi.org/10.1186/s12998-021-00409-x
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
Wong, CK, Mak, RY, Kwok, TS, Tsang, JS, Leung, MY, Funabashi, M., Macedo, LG, Dennett, L., & Wong, AY (2022). Ukuxhaphaka, Iziganeko, kunye neMiba eNxulunyaniswe neNtlupheko eNgeyiyo eNgqongileyo ePhambili kwiNdawo yokuHlala abantu abadala abaDala abaneminyaka eyi-60 kunye nabadala: Ukuphononongwa okuCwangcisiweyo kunye nohlalutyo lweMeta. J Pain , 23 (4), 509-534. doi.org/10.1016/j.jpain.2021.07.012
isikhanyeli
by UGqr Alex Jimenez Umqolo obuhlungu , Chiropractic , Ubuhlungu obungapheliyo , Ubuhlungu Bokubuyisela , Unyango lokuthotywa koMnqonqo , Unyango , I-Viscerosomatic Reflex
Kubantu abane-lumbar back pain, ngaba iingcali zentlungu zingasebenzisa iindlela zokuphazamisa ukunciphisa i-muscle spasms?
intshayelelo
Abantu abaninzi abajongana neentlungu ezithile okanye ezingachazwanga ngasemva banokuvuma ukuba inokuthomalalisa iimvakalelo zabo njengoko bezama ukufumana isiqabu abafuna ukubuyela kwindlela yabo yesiqhelo. Ngokuphindaphindiweyo, intlungu ye-back back yi-multifactorial musculoskeletal disorder enokuthi ichaphazele umzimba wonke, kwaye yonke into iqala ngendlela abantu abenza ngayo ukunyakaza okulula ngokungalunganga, okubangela ukunyanzeliswa komqolo. Ekubeni umqolo ngowona mqolo womzimba, unoxanduva lokuqeqesha, ukuzinza, kunye nokuguquguquka. Izihlunu ezijikelezileyo ezibandakanya umqolo zisebenza njengesithintelo sokukhusela i-skeletal joints kunye nentambo yomgogodla kwingozi enokuba yinto ephazamisayo okanye eqhelekileyo yokugqoka kunye nokukrazula. I-Lumbar back pain iphinda ibe ngumthwalo wezoqoqosho onokubangela uxinzelelo olungadingekile emzimbeni, olukhokelela kwi-spasms ye-muscle kwaye kubangela uxinzelelo olungakumbi kumntu. Ngeentlungu ze-lumbar back inkathazo eqhelekileyo kuwo wonke umntu emhlabeni jikelele, abaninzi baya kukhetha unyango lokunciphisa intlungu kwaye baqhubeke nemisebenzi yabo yemihla ngemihla. Kwinqaku lanamhlanje, siza kuphonononga imiba yeentlungu ze-lumbar kunye nendlela unyango oluneendlela zokuphazamiseka ezinciphisa imiphumo yeentlungu ze-lumbar kunye nokunciphisa i-muscle spasms. Sithetha nababoneleli bezonyango abaqinisekisiweyo ababandakanya ulwazi lwezigulane zethu ukubonelela ngezicwangciso ezininzi zonyango zokunciphisa intlungu ye-lumbar back back ehambelana nezinto ezisingqongileyo. Kwakhona siyazisa izigulane zethu ukuba kukho iindlela ezingezizo utyando zokunciphisa iimpawu ezinjengeentlungu ezinxulumene ne-lumbar back pain kunye nokunciphisa imiphumo ye-muscle spasms. Sikhuthaza izigulana zethu ukuba zibuze imibuzo emangalisayo yezemfundo kubaboneleli bethu bezonyango abahambelanayo malunga neempawu ezinjengeentlungu ezihlangabezana nazo ezihambelana ne-lumbar spine. UDkt Alex Jimenez, DC, usebenzisa olu lwazi njengenkonzo yezemfundo. isikhanyeli
Imiba yeLumbar Back Pain
Ngaba uhlala uziva iintlungu eziphuma kumqolo wakho osezantsi ukuya emilenzeni emva komsebenzi? Ngaba uphakamise into enzima eyenza ukuba izihlunu zakho zangasemva zibe buhlungu kwaye ube buhlungu? Okanye ngaba wena kunye nabo ubathandayo niziva i-muscle spasms kwi-back back yakho emva kokulula ekuseni? Xa abantu abaninzi bejongana nale miba ye-musculoskelet, ihlala ihambelana neentlungu zangasemva. Njengoko kuchaziwe ngaphambili, umqolo ngumqolo womzimba, kwaye umsebenzi wawo oyintloko kukuxhasa ubunzima bomzimba, ukubonelela ngokuzinza kwi-quadrants ephezulu nangaphantsi, kwaye uvumele umphathi ukuba ahambe ngaphandle kwentlungu okanye ukungahambi kakuhle. Xa izinto eziqhelekileyo okanye ezibuhlungu ziqala ukuchaphazela abantu abaninzi ngokuhamba kwexesha, kunokukhokelela ekuphuhlisweni kweentlungu ze-lumbar, kwaye kunokuba ngumcimbi kubantu abaninzi abancinci nabadala. Ekubeni i-lumbar back pain inokuba yi-mechanical or nonspecific, inokuvela ngaphakathi kwi-spine kunye ne-spinal components ngokusebenzisa i-trauma ye-muscle ephindaphindayo enokuthi isetyenziswe ngokugqithiseleyo ngelixa ingenye yezizathu eziqhelekileyo abantu abaninzi bafumana intlungu kwi-lumbar spine yabo. ( Ngaba et et., 2018 ) Xa abantu abaninzi bejongene neentlungu ze-lumbar back, inokuba yinto ephindaphindiweyo, kwaye abaninzi baya kwiikliniki zonyango ukuze bafumane unyango lweentlungu zabo ze-lumbar.
Omnye umcimbi obangelwa yintlungu ye-lumbar back back ichaphazela isakhiwo somgogodla kunye nezihlunu ezijikelezileyo, izicubu kunye nemigqaliselo ekhusela umqolo. Ekubeni umzimba uphawulekayo ekuboneni xa intlungu ichaphazela umqolo, izakhiwo ezibalulekileyo zichaphazelekayo kwaye ziqala ukuphendula ngokuthatha amanye amanyathelo okugcina ukuzinza komgudu. ( I-Hauser et al., 2022 ) Oku kuthetha ukuba xa umzimba uqala ukuphuhlisa i-muscle spasms kwi-spine, i-ligaments eyoluliweyo isabela ngokukhawuleza ukukhusela umgudu wokungazinzi. Oku kukhokelela ekubeni abantu bazive iintlungu kunye neentlungu kumqolo wabo ongezantsi, nto leyo ebangela ukuba baphoswe yimisebenzi yabo.
Indlela yokuBuyisa: Ukhathalelo lweChiropractic- Ividiyo
VIDEO
Xa kuziwa kwiintlungu ze-lumbar back, izinto ezininzi zemihla ngemihla zinokufaka isandla ekuphuhlisweni kwayo kwaye zibangele imiba kubantu abaninzi. Abantu abaninzi abane-lumbar back pain bahlala befumana iintlungu ezigqithisiweyo kwiindawo zabo ezisezantsi njengoko iinxalenye ze-lumbar zomnqonqo zicinezele iidiski zomgogodla, ezinokuthi zihambelane ne-nerve entrapment. Ukuza kuthi ga ngoku, abaninzi baya kufuna unyango oluhlukeneyo lokunciphisa iintlungu ezisezantsi kunye neempawu ezinxulumene nazo. Xa izigulane zineempawu ezinde ezihambelana neentlungu ze-lumbar, ulawulo olulondolozayo olunokuthi lungabikho utyando okanye utyando lunokunceda ukunyanga iimpawu ezifana neentlungu ezinxulumene nentlungu ye-lumbar back. ( UMohd Isa et al., 2022 ) Unyango lwe-Lumbar back pain lunokwenziwa ngokwezifiso kwaye lungabizi kakhulu kwiintlungu zomntu. Unyango olungasebenzisi utyando lunokunceda imiba yeentlungu ze-lumbar kunye nokunciphisa iimpawu zentlungu ezigqithisiweyo ezivela kwiindawo ezahlukeneyo zomzimba kwi-quadrants yomzimba ophezulu okanye ophantsi. Xa abantu besiya kunyangwa iintlungu zabo zangasemva, iingcali zeentlungu ezinjengee-chiropractors, ii-massage therapists, kunye neengcali zonyango zisebenzisa iindlela ezahlukeneyo zonyango zokunciphisa iintlungu ezichaphazela imithambo, izicubu kunye nezihlunu ngokuzolula kunye nokutsalwa. Ividiyo engentla ichaza ukuba olu nyango lunokunceda njani ukunciphisa intlungu ebangelwa yimeko yendalo kunye nokunceda ukukhawulezisa ukubuyiswa.
Ubuchwephesha bokuphazamiseka bokunciphisa iintlungu zeLumbar
Xa abantu abaninzi benyangelwa iintlungu zomqolo, abaninzi bakhetha unyango olungasebenzisi utyando ngenxa yokuba lufikeleleka ngakumbi kunonyango lotyando. Iingcali zeentlungu ezifana ne-chiropractors okanye ii-massage therapists zisebenzisa iindlela zokuphazamisa ukunciphisa intlungu. Ezi ngcali zeentlungu zikwabandakanya unyango lwezandla kunye noomatshini ukuba lujolise kumzimba ukudibanisa, ukuphatha, kunye nokwelula izicubu ezithambileyo kwaye zomeleze. ( Kuligowski et al., 2021 ) Oku, kwakhona, kunokunceda ukunciphisa intlungu ye-lumbar emva kokuvumela umntu ukuba akhumbule ngakumbi ngezenzo zabo ukunciphisa amathuba okuba intlungu emva kokubuya. Ngexesha elifanayo, ukuphumelela kokunyanga intlungu ye-lumbar back back ngokusebenzisa i-traction kunokunciphisa ngokufanelekileyo ukunyanzeliswa kweengcambu ze-nerve kunye neempawu zokunyakaza ezingaphenduliyo. ( Vanti et al., 2021 ) Unyango lwe-Traction yonyango olungenalo utyando olulula ngobunono umqolo ukuze lunciphise intlungu kunye nokunceda ukukhaba-ukuqala inkqubo yokuphilisa yendalo.
Ubuchwephesha bokuphazamiseka kokunciphisa i-Muscle Spasms
Iingcali zentlungu zibandakanya iindlela zokuphazamisa ukunciphisa intlungu ye-lumbar back and muscle spasms kwingingqi ye-lumbar. Njengoko bekutshiwo ngaphambili, iindlela zokuphazamiseka ezinxulumene nonyango olungasebenzisi utyando zinokuba yeyona ndlela ibalaseleyo yokunciphisa iintlungu ze-lumbar. Ukuxhatshazwa kokuphazamiseka kunokunceda ukuphakamisa i-disc intervertebral echaphazelekayo ngokunciphisa uxinzelelo kwi-disc kunye nokwandisa ukuphakama kwayo kumqolo. ( I-Choi et al., 2015 ) Abantu abaninzi baziva bengcono xa bebandakanya unyango oluphazamisayo ukunciphisa intlungu ye-lumbar. Ngexesha elifanayo, unyango oluphazamisayo lunokuthi lufakwe kwisicwangciso somntu siqu sokunciphisa i-muscle spasms kunye nokuqinisa imisipha ebuthathaka ejikeleze ummandla we-lumbar. Imiphumo ye-lumbar traction edibeneyo kunye nonyango oluphazamisayo inokuphucula intlungu kunye nokunciphisa ukukhubazeka okusebenzayo ngaphakathi kwe-lumbar spine. ( Masood et al., 2022 ) Xa abantu abaninzi beqala ukucinga ngakumbi malunga nempilo yabo kunye nokuphila kakuhle, banokwenza utshintsho oluncinci kwindlela yabo yokuthintela intlungu ephantsi ukuba iqhubele phambili ibe yinto engapheliyo kwaye yomeleze imisipha yabo ebuthathaka ukulawula iimpawu ezinjengeentlungu ekubuyeni.
Ucaphulo
Choi, J., Lee, S., & Jeon, C. (2015). Iziphumo ze-flexion-distraction manipulation therapy kwiintlungu kunye nokukhubazeka kwizigulane ezine-lumbar spinal stenosis. Ijenali yoNyango lwezeMpilo , 27 (6), 1937-1939. doi.org/10.1589/jpts.27.1937
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
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
Masood, Z., Khan, AA, Ayyub, A., & Shakeel, R. (2022). Impembelelo ye-lumbar traction kwiintlungu ezisezantsi ze-discogenic usebenzisa amandla aguquguqukayo. J Pak Med Assoc , 72 (3), 483-486. doi.org/10.47391/JPMA.453
Mohd Isa, IL, Teoh, SL, Mohd Nor, NH, & Mokhtar, SA (2022). I-Discogenic Low Back Pain: I-Anatomy, i-Pathophysiology kunye noNyango lwe-Intervertebral Disc Degeneration. Int J Mol Sci , 24 (1). doi.org/10.3390/ijms24010208
Vanti, C., Turone, L., Panizzolo, A., Guccione, AA, Bertozzi, L., & Pillastrini, P. (2021). Ukutsalwa ngokuthe nkqo kwi-lumbar radiculopathy: uphononongo olucwangcisiweyo. Arch Physiother , 11 (1), 7. doi.org/10.1186/s40945-021-00102-5
Will, JS, Bury, DC, & Miller, JA (2018). Mechanical Low Back Pain. Ugqirha wezeMerika waseMerika , 98 (7), 421-428. www.ncbi.nlm.nih.gov/pubmed/30252425
www.aafp.org/pubs/afp/issues/2018/1001/p421.pdf
isikhanyeli
by UGqr Alex Jimenez Umqolo obuhlungu , Chiropractic , Ubuhlungu obungapheliyo , Ubuhlungu obungapheliyo , Ubuhlungu Bokubuyisela , Unyango lokuthotywa koMnqonqo , Unyango , I-Viscerosomatic Reflex
Ngaba iingcali zonyango zingabonelela ngezona ndlela zingcono zonyango ezingasebenzisi utyando kubantu abaneentlungu ezingapheliyo ezisezantsi?
intshayelelo
Iintlungu ezingapheliyo ze-back back zingenzeka kubantu abaninzi, zichaphazela indlela yabo yemihla ngemihla kwaye zibenze baphoswe ziziganeko ezibalulekileyo zobomi. Ngehlabathi eliguquguqukayo, abantu abaninzi, ngokukodwa abantu abasebenzayo, baya kuba neentlungu ezingapheliyo ezibuhlungu ngexesha elithile ngenxa yoxinzelelo olungenakunyamezeleka olubonakala luchaphazela imisipha ejikelezayo ekhusela i-lumbar spine. Oku kubangela ukuba abantu abaninzi bolule kakhulu okanye banciphise imisipha ebangela ukuba iintlungu ezisezantsi zibe ngunobangela wokukhula kweentlungu ezisezantsi. Kwangaxeshanye, xa abantu bebandezeleka ngenxa yeentlungu ezisezantsi, oko kunokumiselwa njengeendleko ezinkulu zezoqoqosho kuluntu. (Pai & Sundaram, 2004 ) Oku, kubangela ukuba abantu abaninzi baphoswe ngumsebenzi kwaye babe nomthwalo wemali njengoko iindleko zonyango olungapheliyo lwentlungu ephantsi luphezulu. Nangona kunjalo, iindlela ezininzi zonyango zingabizi, zikhuselekile, kwaye ziyasebenza ekunciphiseni iintlungu ezingapheliyo ezibuhlungu. Iposti yanamhlanje ijonga iziphumo zeentlungu ezingapheliyo eziphantsi komqolo kunye nokuba bangaphi abantu abanokujonga iindlela ezahlukeneyo zokungaqhaqho ezinokuthi zisetyenziswe ngabantu abaninzi ukunciphisa iintlungu ezingapheliyo. Ngokuzenzekelayo, sinxibelelana nababoneleli bezonyango abaqinisekisiweyo ababandakanya ulwazi lwezigulane zethu ukubonelela ngezicwangciso zonyango ezahlukeneyo zokunciphisa intlungu engapheliyo ephantsi. Siyabazisa kwakhona ukuba kukho iindlela ezingezizo utyando zokunciphisa iimpawu ezinjengeentlungu ezinxulumene nezinto ezibangela iintlungu ezingapheliyo ezisezantsi. Sikhuthaza izigulana zethu ukuba zibuze imibuzo emangalisayo yemfundo kubaboneleli bethu bezonyango abanxulumeneyo malunga neempawu zabo ezihambelana nentlungu yomzimba kwindawo ekhuselekileyo nelungileyo. UDkt Alex Jimenez, DC, udibanisa olu lwazi njengenkonzo yezemfundo. isikhanyeli
Iziphumo zeNzululwazi eziNgapheliyo eziNgasemva
Ngaba uye wajongana neentlungu ezingapheliyo ezivutha kumqolo wakho ongaphantsi emva kosuku olunzima lomsebenzi? Ngaba uziva uqaqanjelwa zizihlunu okanye iintlungu ezingaphumliyo emva kosuku lokuphumla? Okanye ngaba wena kunye nabo ubathandayo nithatha nawaphi na amayeza ukukhulula okwethutyana iintlungu zakho ezingasemva, kuphela ukuba zibuye emva kweeyure ezimbalwa? Abantu abaninzi abaneentlungu ezingapheliyo ezisezantsi baya kuziva iimpawu zokuqina, iintlungu zemisipha, kunye neentlungu ezikhuphayo ezihamba kwiindawo ezisezantsi. Xa intlungu ephantsi engapheliyo ihambelana neemeko ze-musculoskelet, inokuchaphazela indlela yabo yemihla ngemihla. Ukuza kuthi ga ngelo xesha, ukuphazamiseka kwe-musculoskeletal ehambelana neentlungu ezingapheliyo ezisezantsi zingabandakanya uluhlu lweemeko kwaye zinyuke ngokwemvelo ngokuhamba kwexesha. (UWoolf kunye noPfleger, ngo-2003 ) Xa abantu abaninzi bejongene neentlungu ezingapheliyo ezisezantsi, inokuba ngumthwalo wentlalo-qoqosho okhokelela kukukhubazeka. (Andersson, 1999 ) Nangona kunjalo, kukho iindlela ezininzi zokukhetha abantu abaneentlungu ezingapheliyo ezisezantsi ezinokuthi bafumane isiqabu abasidingayo ukuze banciphise iziphumo zabo kwaye baya kukwazi ukubuyela kwindlela yabo yemihla ngemihla.
Ukuqonda Ukwenzakala Ixesha Elide-Ividiyo
VIDEO
Iintlungu ezisezantsi ezingapheliyo kuxa iintlungu zangasemva zihlala ixesha elide kuneeveki ezimbalwa kwaye yenye yeengxaki eziqhelekileyo abantu abaninzi abazifumanayo. Xa ufumana isiqabu kwiintlungu ezingapheliyo ezisezantsi, abantu abaninzi baya kuzama amayeza asekhaya ukunciphisa intlungu. Nangona kunjalo, inokuwukhulula okwethutyana umcimbi kwaye igqume iimpawu. Xa abantu bebona ugqirha wabo oyintloko ngenxa yeentlungu ezingapheliyo ezisezantsi, abaninzi baya kufuna isicwangciso somntu siqu sokunciphisa iintlungu ezingapheliyo ezisezantsi kunye neempawu ezinxulumene nazo. Xa ukhulula iintlungu ezingapheliyo ezisezantsi, unyango olubanzi lolawulo lweentlungu luhlala luxhomekeke kunyango lomzimba, iindlela ezininzi, kunye neendlela ezingezona zokuhlinzwa zokunciphisa iintlungu ezingapheliyo ezisezantsi. (Grabois, ngo-2005 ) Xa uqonda ukuba umntu unentlungu engapheliyo ye-back back, kubalulekile ukuchonga izizathu kunye nendlela enokubangela ngayo ukulimala okungapheliyo okunokuthi kuphuhlise ukukhubazeka. Xa oogqirha baseprayimari beqala ukusebenzisa unyango olungalulo utyando kwimisebenzi yabo, abantu abaninzi banokufumana izibonelelo zonyango olungasebenzisi utyando njengoko lungabizi kakhulu, lukhuselekile, kwaye luthambile kumqolo kunye nengingqi ye-lumbar kwaye lunobuntu kunye nababoneleli bezonyango abanxulumeneyo. ukunciphisa iimpawu ezinjengeentlungu ezihambelana neentlungu ezingapheliyo ezisezantsi. Jonga le vidiyo ingentla ukuze ufunde kabanzi malunga nendlela unyango olungenalo utyando lunokunceda ukunciphisa iintlungu ezingapheliyo ezisezantsi kunye nokunceda ukuvuselela umzimba womntu ngesicwangciso sonyango lomntu.
IiKhetho ezingezizo Utyando kwiiNzululwazi eziNgasemva eziNgapheliyo
Xa unyango olungapheliyo lwentlungu ephantsi, unyango olungenalo utyando lunceda ngokufanelekileyo intlungu kunye nokubuyisela ukuhamba ngasemva. Unyango olungasebenzisi utyando lunokwenziwa ngokweentlungu zobunzima bomntu lo gama lungabizi kakhulu. Xa abantu bevandlakanywa kwiintlungu ezingapheliyo ezisezantsi, babonelelwa ngababoneleli bezempilo abaninzi ukunciphisa iimpawu ezinjengeentlungu ezibangelwa ziintlungu ezingapheliyo. (IAtlasi kunye neDeyo, ngo-2001 ) Abantu abaninzi baya kubandakanya iindlela ezahlukeneyo zonyango ezifana:
Uqheliso lomsebenzi Ukunciphisa Umzimba Ukhathalelo lweChiropractic Ukunyanga kwamayeza Ukwenza i-Acupuncture
Uninzi lwezi zonyango azikho utyando kwaye zibandakanya iindlela ezahlukeneyo zokusebenzisa oomatshini kunye nezandla ukuze zolule kwaye zomeleze izihlunu ezingasemva ezibuthathaka, zolule umnqonqo ngohlengahlengiso, kwaye zincede ukubuyisela intshukumo ngelixa unciphisa iimpawu kwiindawo ezisezantsi. Xa abantu bebandakanya unyango olungasebenzisi utyando ngokulandelelanayo, baya kuba namava akhuthazayo kwaye bazive bengcono ekuhambeni kwexesha. (Koes et al., 1996 )
Ucaphulo
Andersson, GB (1999). Iimpawu ze-Epidemiological zentlungu engapheliyo ephantsi. Lancet , 354 (9178), 581-585. doi.org/10.1016/S0140-6736(99)01312-4
I-Atlas, SJ, & Deyo, RA (2001). Ukuphonononga kunye nokulawula iintlungu ezibuhlungu ezisezantsi kwindawo yokhathalelo oluphambili. UJ Gen uMfundi oqeqeshelwa umsebenzi uMed , 16 (2), 120-131. doi.org/10.1111/j.1525-1497.2001.91141.x
Grabois, M. (2005). Ulawulo lweentlungu ezingapheliyo ezisezantsi. NdinguJ Phys Med Rehabil , 84 (3 Suppl), S29-41. www.ncbi.nlm.nih.gov/pubmed/15722781
Koes, BW, Assendelft, WJ, van der Heijden, GJ, & Bouter, LM (1996). Ukuguqulwa komqolo ngenxa yeentlungu ezisezantsi. Uphononongo olucwangcisiweyo oluhlaziyiweyo lwezilingo zeklinikhi ezingahleliwe. Isihlwele (Phila Pa 1976) , 21 (24), 2860-2871; ingxoxo 2872-2863. doi.org/10.1097/00007632-199612150-00013
Pai, S., & Sundaram, LJ (2004). Iintlungu ezisezantsi: uvavanyo lwezoqoqosho eUnited States. I-Orthop Clin North Am , 35 (1), 1-5. doi.org/10.1016/S0030-5898(03)00101-9
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
isikhanyeli
by UGqr Alex Jimenez Umqolo obuhlungu , Uncedo Lwezityalo
Iingxaki ezingemva kunye neempawu ezingathandekiyo zisisigulo esiqhelekileyo ukuba uninzi lweentlobo zababoneleli bezempilo baxilonga kwaye baphathe. Ngaba ukwazi okuncinci malunga nento eyenziwa yingcali yeentlungu zangasemva kunye nento abanokuyinika uncedo ekukhetheni umboneleli?
Iingcali zeentlungu zangasemva
Kule mihla, abantu banokukhetha ukunyanga iintlungu zangasemva. Ababoneleli bezempilo abasisiseko, oogqirha abaqhelekileyo, oogqirha babantwana, kunye nabasebenzi begumbi likaxakeka ngokuqhelekileyo ngabokuqala ukuvavanya ukulimala okanye ingxaki. Ukuba abakwazi ukuxilonga ngokufanelekileyo okanye ukunyanga ukulimala, baya kuthumela umntu kwingcali. Iingcali ziquka:
Amathambo
Iingcali
Oogqirha bamathambo
Iingcali zeRheumatologists
Iingcali ze-Neurologists
IiNeurosurgeons.
Basebenza ngokukhethekileyo kwiimeko ezingapheliyo kunye nezifo ezifana nesifo samathambo okanye iingxaki ezifana neediski ze-herniated. Ababoneleli abancedisayo kunye nabanye baphatha abantu bodwa okanye ngoncedo oluvela kwiqela lokhathalelo. Bajonga umzimba wonke kwaye bagxininise ekuphuculeni umsebenzi jikelele.
Usapho kunye nabaGcisa ngokuBanzi
Xa iintlungu zentamo okanye umva ziqala ugqirha oqhelekileyo odla ngokuba yintsapho okanye ugqirha jikelele / i-GP okanye umboneleli oyintloko we-PCP yindawo ekhuthazwayo ukuqala. Baza ku:
Oda iimvavanyo zokuxilonga.
Cebisa umthambo kunye nokolula.
Nika amayeza.
Bhekisela isigulane kwigcisa lomzimba okanye enye ingcali yeentlungu zangasemva.
Nangona kunjalo, uphando lubonisa ukuba ababoneleli ngokubanzi banokungazi kwaye bacothe ukwamkela unyango olutsha lwasemva. (Paul B. Bishop, Peter C. Wing. 2006 ) Kucetyiswa ukuba uphando ngeendlela ezinokuthi zonyango, ubuze imibuzo emininzi ngexesha lokuqeshwa, kwaye ucele okanye ucele ukuthunyelwa kwingcali.
Unyango lwabantwana
Oogqirha babantwana bayaxilonga kwaye banyange abantwana. Bagubungela uluhlu olubanzi lwemiba ebandakanya iingxaki zomqolo kunye nokulimala. Njengogqirha jikelele okanye umboneleli wokhathalelo oluphambili, ugqirha wabantwana yindawo yokuqalisa. Ngokuxhomekeke kwiimfuno zomntwana, baya kumthumela kwingcali efanelekileyo.
Ababoneleli ngeMpilo eNgxamisekileyo
Xa kukho umonzakalo omkhulu wentamo okanye umva, abantu kufuneka baye kwigumbi likaxakeka. Umothuko unokubandakanya ukungqubana kwemoto, iingozi zemidlalo, iingozi zomsebenzi, kunye/okanye iingozi zasekhaya. Umntu onomonzakalo onokwenzeka womgogodla akufanele ashukunyiswe. (W Yisheng, et al., 2007 ) Yiya kwi-ER ukuba kukho iintlungu zangasemva kunye nokulahlekelwa ngamathumbu okanye ukulawulwa kwesinyi, okanye imilenze iba buthathaka ngokuqhubekayo. Ezi ziimpawu zemeko engxamisekileyo eyaziwa ngokuba yi-cauda equina syndrome. (Umbutho waseMelika wooGqirha beNeurological. 2023 )
Oogqirha bamathambo
Oogqirha bamathambo kunye noogqirha bamathambo banyanga inkqubo ye-musculoskeletal system, ebandakanya:
izihlunu
Amathambo
Amalungu
Izicubu ezixhumeneyo
I-Cartilage
Imiba eqhelekileyo ye-orthopedic ibandakanya:
Ukulimala okuphindaphindiweyo koxinzelelo
Ukulimala kwezemidlalo
Bursitis
Tendonitis
Iidiski eziqhekekileyo
Ukuphazamiseka kwemithambo-luvo
Scoliosis
iOsteoporosis
Osteoarthritis
I-Orthopedics inokunxibelelana nezinye iingcali. Njengoogqirha bamathambo kunye ne-rheumatologists bobabini banyanga isifo samathambo kunye noogqirha bamathambo kunye ne-neurosurgeons benza ezinye zeenkqubo ezifanayo ezibandakanya ukuxutywa komgogodla kunye ne-dicectomies.
Iingcali zeRheumatologists
I-rheumatologist iphatha i-autoimmune, i-inflammatory, kunye neemeko ze-musculoskelet ezingabandakanya iintlobo ezahlukeneyo ze-arthritis, i-lupus, kunye ne-Sjogren's syndrome. Umboneleli wokhathalelo oluphambili unokubhekisa isigulana kwi-rheumatologist ukuba sineempawu ezibandakanya:
I-Sacroiliitis - ukuvuvukala kwe-joint sacroiliac kwisiseko somqolo.
I-Axial spondylosis - uhlobo lwe-arthritis yomgogodla.
I-Axial spondylosis – isifo samathambo esibangela ukuba amathambo adibane.
Iingcali zeRheumatologists zinokunyanga i-spinal stenosis okanye i-osteoarthritis ephezulu njengoko zidibana noogqirha bamathambo.
Iingcali ze-Neurologists
I-neurologist igxile ekusebenzeni kwenkqubo ye-nervous. Banyanga ukuphazamiseka kwengqondo, intambo yomgogodla, kunye nemithambo-luvo ebandakanya:
Isifo sikaParkinson
Isifo sokugubhuka
Isifo se-Alzheimer
Intlungu engapheliyo yomqolo okanye yentamo
Ziingcali kwimvelaphi yeentlungu. (UDavid Borsook. 2012 ) Noko ke, ugqirha wemithambo-luvo akalwenzi utyando lomqolo.
IiNeurosurgeons
I-neurosurgeon igxile kwiinkqubo zotyando zenkqubo ye-nervous ezibandakanya ingqondo, umqolo, kunye nentambo yomgogodla. Nangona kunjalo, oogqirha be-neurosurgeons ababoneleli ngonyango olupheleleyo lweentlungu zangasemva kuba zihlala zezokugqibela ukubonwa emva kokudinwa zonke ezinye iindlela zonyango.
Amathambo
I-osteopath ngugqirha onelayisensi owenza amayeza esebenzisa unyango oluqhelekileyo kunye ne-osteopathic manipulative medicine. Banemfundo efanayo ne-MD kunye neeyure ze-500 zezifundo ze-musculoskeletal system. (Ithala leencwadi leSizwe loNyango. 2022 ) Bathatha iimviwo ezifanayo kwaye banikwe ilayisenisi njenge-MD. Uninzi lwee-osteopaths ngababoneleli bokhathalelo oluphambili. Ngeentlungu zangasemva, baya kugxila kwi:
Ukuvuselelwa kwesimo kunye noqeqesho.
Ukunxibelelana
Unyango lokunyanga
Ukunyanzeliswa kwamanzi
Injongo kukukhulula intlungu kunye noxinzelelo lwemisipha, ukwandisa ukuhamba, kunye nokuphucula umsebenzi we-musculoskeletal.
AmaPhysics
IiPhysiatrists ngababoneleli abapheleleyo abajolise ekusebenzeni komzimba. Banokuthi bacingelwe njengomboneleli wokhathalelo oluphambili kunye nonyango lomzimba. Ezi ngcali zeentlungu zangasemva zibonelela ngokubuyiselwa kwisimo sangaphambili kwiindidi ezahlukeneyo zeemeko kunye nokulimala kubandakanya:
Umqolo obuhlungu
Ukulimala kwezemidlalo
Stroke
Rhoqo baya kuququzelela iqela leengcaphephe ukuphuhlisa isicwangciso sonyango ekujoliswe kubo.
Chiropractor
I-Chiropractic lunyango olulolunye lwezandla. Injongo kukubuyisela umsebenzi we-neuromusculoskeletal ngokulungelelanisa umqolo ngendlela efanelekileyo. Benza oku ngokuguqulwa komqolo, ukuthotywa komatshini ongenzi tyando , ukutsala, kunye neendlela zokuphulula. (UMichael Schneider, et al., 2016 )
Injongo yohlengahlengiso oluninzi lwe-chiropractic kukuphumla kunye nokubuyisela imisipha eqinile kunye nokwandisa ukuguquguquka.
I-Chiropractic inceda ukukhulula izihlunu eziqinileyo kunye nokubuyisela uluhlu lokuhamba.
Abantu abanakho ukuthunyelwa kwi-chiropractor ukuba:
Yiba namalungu akhululekileyo
Uneengxaki zethishu edibeneyo okanye iimeko.
Yiba ne-osteoporosis/amathambo abhityileyo
Zonke iintlobo zeengcali zeentlungu zentlungu zibonelela ngeendlela ezahlukeneyo zonyango ezinokuthi zikwazi ukunceda.
Ukudodobala koMnqongo kubunzulu
VIDEO
Ucaphulo
UBhishophu, uPB, kunye noPhiko, iPC (2006). Ukudluliselwa kolwazi koogqirha beentsapho abalawula izigulane ezineentlungu ezibuhlungu ezisezantsi: uvavanyo olulindelekileyo lokulawula. Ijenali yomqolo : ijenali esemthethweni yeNorth American Spine Society, 6 (3), 282-288. doi.org/10.1016/j.spinee.2005.10.008
Yisheng, W., Fuying, Z., Limin, W., Junwei, L., Guofu, P., & Weidong, W. (2007). Uncedo lokuqala kunye nonyango lokulimala komgogodla womlomo wesibeleko ngokuphuka kunye nokuchithwa. Ijenali yaseIndiya yonyango lwamathambo, 41(4), 300–304. doi.org/10.4103/0019-5413.36991
Umbutho waseMelika wooGqirha beNeurological. ICaudia Equina Syndrome .
Borsook D. (2012). Izifo ze-neurological kunye neentlungu. Ubuchopho : ijenali ye-neurology, i-135 (Pt 2), i-320-344. doi.org/10.1093/brain/awr271
ILayibrari yeSizwe yoNyango. Ugqirha wamayeza e-osteopathic .
Schneider, M., Murphy, D., & Hartvigsen, J. (2016). Ukunyamekelwa koMnqongo njengeSikhokelo soLwazi lweChiropractic. Umbhalo we-chiropractic humanities, i-23 (1), i-14-21. doi.org/10.1016/j.echu.2016.09.004
by UGqr Alex Jimenez Umqolo obuhlungu , Chiropractic , Ubuhlungu obungapheliyo , Ubuhlungu Bokubuyisela , Unyango lokuthotywa koMnqonqo , Unyango , I-Viscerosomatic Reflex
Ngaba ukhetho olungasebenzisi utyando lunokuba luncedo kubantu abaninzi abasebenzayo abaneentlungu ezisezantsi kunonyango lotyando?
intshayelelo
Abantu abaninzi abasebenzayo baya kuba neentlungu kwi-back backs ngenxa yomsebenzi wabo onzima obangela umthwalo ongafunekiyo woxinzelelo kwingingqi ye-lumbar yomqolo. Ngowona msebenzi womqolo wokuxhasa i-quadrants ephezulu kunye nesezantsi, abantu abaninzi abanemisebenzi enzima bahlala behleli phantsi kwiidesika zabo okanye bephethe izinto ezinzima kwiindawo ezahlukeneyo. Ngeentlungu ezisezantsi ziyingxaki eqhelekileyo kumntu wonke ngaxa lithile, abantu abaninzi bafumana izisombululo zethutyana zokuthomalalisa iintlungu, kuphela ukuphinda izinto. Ukuza kuthi ga ngelo xesha, oku kukhokelela kwizifo ezingapheliyo ze-musculoskeletal disorders ezinokubangela intlungu egqithisiweyo kwiindawo ezisezantsi kunye neziphezulu kwaye ingaba nexabiso xa isiya kunyango. Nangona kunjalo, kukho iindlela ezininzi zokukhetha abantu abasebenzayo abangabizi kakhulu kwaye bakhuselekile kwimiqolo yabo esezantsi. Inqaku lanamhlanje lihlola indlela iintlungu ezisezantsi ezichaphazela ngayo umntu osebenzayo kunye nendlela okukhethwa ngayo unyango olungasebenzisi utyando luhluka ngamathuba otyando xa ujongene neentlungu ezisezantsi. Ngokuzenzekelayo, sinxibelelana nababoneleli bezonyango abaqinisekisiweyo ababandakanya ulwazi lwezigulane zethu ukuze sinciphise iintlungu ezisezantsi ezihambelana nokuphazamiseka kwe-musculoskeletal disorders. Siyabazisa kwakhona ukuba kukho iindlela ezingezizo utyando zokunciphisa imiphumo yeentlungu ezisezantsi kunye nokubuyisela umgangatho wobomi babo. Sikhuthaza izigulane zethu ukuba zibuze imibuzo emangalisayo yemfundo kubaboneleli bethu bezonyango abahambelanayo malunga neempawu zabo ze-musculoskelet ezihambelana neentlungu ezisezantsi. UDkt Alex Jimenez, DC, udibanisa olu lwazi njengenkonzo yezemfundo. isikhanyeli
Iintlungu ezisezantsi zimchaphazela njani umntu osebenzayo?
Ngaba uye wajongana neentlungu ezingapheliyo kumqolo wakho ophantsi, imilenze, okanye iinyawo emva kosuku olude lomsebenzi? Ngaba uziva iintlungu xa uhamba-hamba, ukuze ufumane isiqabu xa uphumle? Okanye ngaba wena kunye nabo ubathandayo niziva izihlunu kunye noxinzelelo xa nizolula ekuseni? Abantu abaninzi, ngakumbi abantu abasebenzayo, bajongana neentlungu ezisezantsi mihla le xa bejongana nale miba ye-musculoskeletal. Iintlungu ezisezantsi zixhaphake kakhulu kubantu abasebenzayo njengoko zinokuchaphazela ukusebenza kwabo kwaye zibe ngumthwalo wezoqoqosho xa benyangwe. Iintlungu ezisezantsi ngasemva yingxaki eninzi enesantya esonyukayo sokuchaphazela abantu kwaye inegalelo ekukhuleni kweengxaki zempilo ezininzi. Iintlungu ezisezantsi ngasemva zinokubangela ukuba abantu abaninzi baphoswe ngumsebenzi ngenxa yokungacaci kwezizathu, unyango, kunye nezinto ezinegalelo kwesi sifo se-musculoskeletal disorder. (Pai & Sundaram, 2004 )
Ke, iintlungu ezisezantsi zingamchaphazela njani umntu osebenzayo? Ekubeni abantu abaninzi banemisebenzi enzima, kunokubangela ukuba izihlunu ezijikelezayo, iigaments, kunye nezicubu kwingingqi ye-lumbar zisebenze ngokugqithiseleyo, kwaye i-spinal discs iyancipha ngokuhamba kwexesha. Xa kukho utshintsho olungaguqukiyo ngaphakathi komgudu, lunokudibaniswa nokuchaphazela izakhiwo ze-lumbar zomgudu ukuze zihlambuluke ngokuhamba kwexesha. Oku, kwakhona, kubangela ukuba i-lumbar spine ihambe ngeenguqu ze-biochemical ezinokuvelisa iimpawu ezinjengeentlungu kwingingqi ye-lumbar kwaye ibangele utshintsho lwesakhiwo kumqolo, okhokelela kwiintlungu ezisezantsi. (Benoist, ngo-2003 )
Ukongezelela, kukho izizathu ezininzi kunye nezinto abantu abaninzi abasebenzayo abaya kuzenza ezikhokelela kwiintlungu ezisezantsi. Izinto eziqhelekileyo ezifana nokuphakamisa okungafanelekanga, ukunyathela ngokungalunganga, okanye ukuhlala phantsi ngokugqithisileyo kunokufaka isandla kwiintlungu ezisezantsi. Ngexesha elifanayo, izinto ezibuhlungu ezifana neengozi, ukulimala, okanye ukudlala imidlalo kunokukhokelela kwiintlungu ezisezantsi. Xa iimeko ze-musculoskeletal ezifana neentlungu ezisezantsi ziba ngumcimbi, unokuba ngumthwalo omkhulu kwiinkqubo zokunakekelwa kwezempilo kunye nentlalontle kubantu abaninzi, ngeendleko ezingathanga ngqo ezinokubiza xa ziphathwa. (UWoolf kunye noPfleger, ngo-2003 )
Ukunyamekela kweChiropractic Emva kweeNgozi kunye nokulimala-Ividiyo
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Ngoku, iintlungu ezisezantsi ziyinkathazo kwabaninzi, abantu baya kufuna unyango lokunciphisa iintlungu abazifumanayo kumqolo wabo osezantsi kwaye banciphise iimpawu ezishiyekileyo ebebejongene nazo kwezinye iziphelo zomzimba. Ngokudabukisayo, iintlungu ezisezantsi zomqolo, ngakumbi kwimeko yazo engapheliyo, zinokuba luxilongo olulula kubantu abaninzi, oluchaphazela impilo yabo yentlalontle, umsebenzi, kunye nendlela yokuphila ngokwasengqondweni. (Andersson, 1999 ) Abantu abaninzi baya kufuna amathuba amaninzi onyango lokunciphisa iintlungu ezisezantsi. Unyango lotyando lweentlungu ezisezantsi lulungile kumntu ngamnye xa unyango lwasekhaya oluqhelekileyo lungasebenzi kodwa lunokuba nexabiso. Abaninzi baya kukhetha unyango olungelulo utyando xa kufikwa ekufumaneni unyango olungabizi kakhulu lokunyanga iintlungu ezisezantsi. Unyango olungelulo utyando, olubandakanya ukhathalelo lwe-chiropractic kunye nokuthotywa komgogodla, zigqwesileyo ekunyangeni iintlungu ezisezantsi. Iingcali zeentlungu ezifana ne-chiropractors kunye nee-massage therapists zisebenzisa iindlela ezahlukeneyo (oomatshini kunye nencwadana) ukulungelelanisa umzimba kunye nokwelula izihlunu ezichaphazelekayo ezichatshazelwa ziintlungu ezisezantsi. Ividiyo ichaza ukuba olu nyango lunokunciphisa njani intlungu ephantsi ehambelana neengozi kunye nokulimala.
Iinketho ezingezizo Utyando kwiintlungu ezisezantsi
Njengoko kuchaziwe ngaphambili, unyango olungasebenzisiyo lunokunceda ukunciphisa iintlungu ezisezantsi kwaye zinokudibaniswa nolunye unyango ukulawula intlungu. Unyango olungazenzisi utyando lunokwenziwa ngokweentlungu zomntu kwaye lunokubonelela ngesithomalalisi sentlungu emzimbeni. Xa abantu befumana unyango olungelulo utyando, iingcali zeentlungu zibandakanya ukuguqulwa komatshini kunye nesandla ukubuyisela ukunyakaza okuhlangeneyo kunye nomgogodla kumqolo ongaphantsi. (Park et al., 2023 ) Ukongezelela, abantu abaneentlungu ezisezantsi baquka inkqubo yokuzivocavoca ukuze banyuse ngokufanelekileyo uluhlu lomntu ohambahambayo ngelixa ukwandisa amathuba omntu ukuba abuyele kwimisebenzi yemihla ngemihla kunye nomsebenzi. (van Tulder et al., 2000 )
Iinketho ezingezizo Utyando Vs. Iinketho zoTyando
Kukho umahluko omkhulu phakathi kokungakhethiyo kunye nokhetho lotyando lokunyanga iintlungu ezisezantsi. Nabani na onokukhetha ukhetho olungakhethiyo ukuze abonelele ngokuphucuka okusebenzayo ekunciphiseni intlungu, ukubuyisela uluhlu lwe-lumbar lokunyakaza, kunye nokuphucula ukunyamezela kwemisipha emva kweeseshoni ezimbalwa. (U-Amjad et al., ngo-2022 ) Ngoku, xa amayeza asekhaya kunye neenketho ezingezizo utyando zinganciphisi iintlungu, ukhetho lotyando lusebenza kuphela kwiintlungu ezisezantsi. Oku kungenxa yecandelo lezengqondo elibangela ukuba abantu babe neentlungu ezingapheliyo zomqolo ezingabangeli isiqabu esifunwa ngumntu. (Corp et al., 2021 ) Kodwa zombini iinketho zibalaseleyo xa zinciphisa iintlungu ezisezantsi njengoko oogqirha abaninzi bexelela izigulane zabo ukuba zikhumbule ngakumbi malunga nendlela abasebenzisa ngayo imisipha emizimbeni yabo kwaye benze utshintsho oluncinci ukunciphisa amathuba okuba intlungu ibuyele. Xa abantu abaninzi abasebenzayo beqala ukucinga ngakumbi ngeentlungu zabo kunye nendlela yokunciphisa amathuba okubuya, banokuqhubeka nokuphila ubomi obupheleleyo obungenazintlungu.
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
Andersson, GB (1999). Iimpawu ze-Epidemiological zentlungu engapheliyo ephantsi. Lancet , 354 (9178), 581-585. doi.org/10.1016/S0140-6736(99)01312-4
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
Corp, N., Mansell, G., Stynes, S., Wynne-Jones, G., Morso, L., Hill, JC, & van der Windt, DA (2021). Iingcebiso zonyango ezisekelwe kubungqina bentamo kunye neentlungu ezisezantsi kwiYurophu: ukuphononongwa ngokuchanekileyo kwezikhokelo. Eur J Pain , 25 (2), 275-295. doi.org/10.1002/ejp.1679
Pai, S., & Sundaram, LJ (2004). Iintlungu ezisezantsi: uvavanyo lwezoqoqosho eUnited States. I-Orthop Clin North Am , 35 (1), 1-5. doi.org/10.1016/S0030-5898(03)00101-9
Park, SC, Kang, MS, Yang, JH, & Kim, TH (2023). Uvavanyo kunye nokulawulwa kokungabikho kokuhlinzwa kweentlungu ezisezantsi: uphononongo olubalisayo. Korean J Intern Med , 38 (1), 16-26. doi.org/10.3904/kjim.2022.250
van Tulder, M., Malmivaara, A., Esmail, R., & Koes, B. (2000). Ukuzivocavoca unyango kwiintlungu ezisezantsi: ukuphononongwa okucwangcisiweyo ngaphakathi kwesakhelo se-cochrane ngokubambisana kweqela lokuphonononga umva. Isihlwele (Phila Pa 1976) , 25 (21), 2784-2796. doi.org/10.1097/00007632-200011010-00011
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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