Unyango lokuthotywa koMnqonqo
UGqr Alex Jmenez, iChiropractor Ixoxa: Unyango lwe-Spinal Decompression, iiProtocol, uBuyiselo kunye neZicwangciso zoNyango oluPhambili.
Kwiiofisi zethu, sinikezela ngokhathalelo olugcinayo lwemeko yomqolo ewohlokayo, kubandakanywa neendlela ezininzi zonyango. Ngaloo ndlela, i-traction iyahlula njengoko inokubangela ukuba umzimba ukhusele impendulo yokukhusela ukuphazamiseka, ukunciphisa uxinzelelo lwe-intradiscal kunye nokunciphisa iimpawu zesibini kwi-disc herniation kunye neentlungu ze-axial.
Ukunyamekelwa kwe-Conservative ku-mid-long-term degenerative spinal conditions with axial and irradiated pain generally include pharmacological treatment, rehabilitation physical, or injections. I-Mechanical traction yindlela yakudala yonyango, eye yehliswa ekusebenziseni ejongene nobunye ubuchwephesha banamhlanje okanye isetyenziswe ngokudityaniswa nezinye iindlela zonyango, ezifana nonyango lwezandla, imithambo, ubushushu, okanye i-electrotherapy. Nathi, sinikezela ngeeworkshops zonyango lwe-spinal advanced kunye neenkampu ze-boot ukunceda ukufundisa izigulane malunga nokuguqulwa kococeko lomgogodla.
Izigulana zethu zinyangwa ngenxa yeentlungu ezingapheliyo ze-axial spinal. Le yintlungu ebhekiselwe kwi-spinal axial skeleton kwaye ithathwa njenge-syndrome ene-nociceptive kunye ne-neuropathic pain components. Izigulane zibika ukuphuculwa kweempawu kunye nokunciphisa umthwalo we-axial kumqolo.
Ukuba ujonge isisombululo esingaphazamisiyo kwintlungu yakho engapheliyo yomqolo okanye yomlenze, unokufuna ukuzama unyango lokuthomalalisa umqolo. Ngokungafaniyo notyando olungenayo okanye lwe-laparoscopic, ukunyanzeliswa komgogodla akufuni ukuba isigulane sihambe phantsi kwemela. Endaweni yoko, umqolo wesigulana woluliwe ukuze uthomalalise umqolo kunye neentlungu zomlenze. Injongo ye-spinal decompression kukudala indawo efanelekileyo yokuphilisa kwiindawo ezichaphazelekayo.
Olu nyango ludla ngokusetyenziselwa:
Sitsalele umnxeba namhlanje ukucwangcisa idinga lakho lokuqala! Iqela lethu e-El Paso liyavuya ukunceda.
by UGqr Alex Jimenez Umqolo obuhlungu , Chiropractic , Ubuhlungu obungapheliyo , Ubuhlungu Bokubuyisela , Unyango lokuthotywa koMnqonqo , Unyango , I-Viscerosomatic Reflex
Ngaba abantu abanemilenze kunye neentlungu zangasemva banokulufumana uncedo ngokubandakanya ukudambisa ukunciphisa iimpawu ezinxulumene nentlungu?
intshayelelo
Iziphelo ezisezantsi zinceda ukuzinzisa ubunzima bomzimba ophezulu kunye nokubonelela ngentshukumo kumntu ngamnye. Amacandelo omzimba asezantsi abandakanya umqolo ophantsi, i-pelvis, i-hips, amathanga, imilenze, kunye neenyawo, njengoko zonke zinemisebenzi ethile yokwenza kwaye zibe nobudlelwane obubalaseleyo kunye nomnye. Nangona kunjalo, umqolo wabo osezantsi kunye nemilenze iyakwazi ukwenzakala. Xa izinto ezisingqongileyo okanye ukulimala ziqala ukubangela imiba kwinkqubo ye-musculoskelet system, kunokukhokelela kwiintlungu ezigqithisiweyo kunye neeprofayili ezinobungozi ezigqithisiweyo ezinokubangela ukuba umntu abe nemiba yokuhamba kunye nokuzinza. Izihlunu ezichaphazelekayo, izicubu, iigaments, kunye neengcambu zemithambo-luvo zinokucaphuka, zibe buthathaka, kwaye ziqine xa izinto zokusingqongileyo ziqala ukucinezela umqolo kwaye zikhokelela kwintlungu ekuhambeni kwexesha. Inqaku lanamhlanje lijonga indlela umva kunye nemilenze esebenza ngayo kunye emzimbeni, indlela echaphazelekayo ngayo intlungu evela kwizinto ezisingqongileyo, kunye nendlela ukunyanzeliswa komgogodla kunokunciphisa umlenze kunye neentlungu zangasemva. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukubonelela ngeendlela ezininzi zonyango ukuze kuncitshiswe iintlungu zomqolo kunye nemilenze echaphazela ukuhamba kwazo. Siyazisa kwaye sikhokela izigulana malunga nendlela unyango olufana noxinzelelo olunokunceda ukunciphisa iimpawu ezinjengeentlungu ngaphakathi kwemilenze kunye nomqolo. Sikhuthaza izigulane zethu ukuba zibuze ababoneleli bezonyango abanxulumene nabo imibuzo enzima kunye ebalulekileyo malunga neempawu ezigqithisiweyo ezifana nentlungu abazifumanayo emilenzeni yabo kwaye ekubeni oko kuphazamisa indlela yabo yemihla ngemihla. UDkt Jimenez, DC, udibanisa le ngcaciso njengenkonzo yezemfundo. isikhanyeli .
Isebenza Njani Umqolo & Nemilenze Kunye?
Ngaba uziva iintlungu ezikhuphayo kumqolo wakho ezichaphazela ukukwazi kwakho ukuhamba? Ngaba ufumana iintlungu zemisipha okanye ukukhathala emilenzeni yakho emva kosuku olude lomsebenzi? Okanye ngaba uziva unzima emqolo nasemilenzeni emva kokuvuka? Uninzi lwezi meko zihambelana neentlungu zomlenze kunye nomqolo ezinokuchaphazela ukuhamba komntu kwaye zikhokelela kwiimpawu ezifana nentlungu. Imisipha yomqolo kunye nomlenze isebenza kunye nge-nerve ye-sciatic, i-nerve ende evela kwi-lumbar spinal region, idlula imisipha ye-gluteal, ihamba phantsi emva kwemilenze kwaye imise emadolweni. Umva uqukethe imisipha engundoqo kunye nommandla we-lumbar spinal, ovumela umntu ukuba aguqe, ajike, andise.
Okwangoku, izihlunu zomlenze zinceda umntu ukuba ashukume ngelixa uzinzisa ubunzima bomntu. La maqela amabini emisipha anobudlelwane obubalaseleyo kwiindawo ezisezantsi, njengoko abantu kufuneka bahambe xa besenza imisebenzi. Nangona kunjalo, banokuba sesichengeni sokwenzakala kunye neentlungu ezinokubangela imiba yokukhubazeka.
Iintlungu zinxulunyaniswa njani nomqolo kunye nemilenze?
Xa kuziwa kumqolo ophantsi kunye nemilenze, iimeko zokusingqongileyo kunye nokulimala okubuhlungu kunokuchaphazela imisipha ejikelezileyo, i-tendon, i-ligaments, kunye neengcambu ze-nerve. Ngokomzekelo, xa abantu abasebenzayo bephakamisa izinto ezinzima, kunokunyusa umngcipheko wokuphuhlisa iintlungu ezisezantsi ngelixa kubangela ukungcangcazela komzimba wonke emilenzeni. ( Becker & Childress, 2019 ) Oku kungenxa yokuba into enzima yokulayisha into eyenziwa kumqolo ongaphantsi kukuba ibangela ukuba umqolo ucinezele kwaye uvumelane nemisipha ejikelezayo. Xa iphindaphindwa rhoqo, inokubangela ukuba i-spinal disc i-herniate kwaye ikhulise iingcambu ze-nerve. Xa ezi ngcambu zemithambo-luvo ziba mandundu, kunokukhokelela ekungeneni kwemithambo-luvo kunye nokudumba, oko kubangela ukuba abantu babe neentlungu ezingapheliyo zomlenze, ukuhla kweenyawo, okanye ukuzinza kwe-ankle okuchaphazela ukuhamba kwabo. ( Forter et al., 2021 )
Ukongezelela, intlungu yomqolo kunye nomlenze inokwenzeka naxa umqolo uqala ukuthotywa, inkqubo yendalo xa i-spinal disc iyancipha ngokuhamba kwexesha. Xa i-disc ye-spinal kwingingqi ye-lumbar spinal iyancipha ngokuhamba kwesikhathi, ukunikezelwa kwezondlo kunye noshintsho kwi-extracellular composition kubangela ukuba iidiski zingakwazi ukugcina umsebenzi wabo wokusabalalisa umthwalo kwiindawo ezisezantsi. ( UKim et al., 2020 ) Nangona kunjalo, abantu abaninzi abafumana umlenze kunye neentlungu zentlungu bangafuna unyango lokunciphisa iimpawu ezinjengeentlungu.
Ukhathalelo lweChiropractic lokungazinzi komlenze-Ividiyo
VIDEO
Ukunyanzeliswa koMnqongo wokunciphisa iintlungu kwimilenze kunye nomqolo
Xa kufikwa ekunyangeni umlenze kunye neentlungu zangasemva, abantu abaninzi bayakuqala ukufuna unyango olufikelelekayo olunokunciphisa iimpawu ezinjengeentlungu. Uninzi lwezonyango ezingezizo utyando ezifana nokuthotywa komqolo zigqwesile ekunciphiseni iintlungu ezichaphazela umqolo nemilenze. Ukuchithwa komgogodla usebenzisa umatshini wokutsala onokunceda ukunweba imisipha eqinile ukusuka kumqolo ongaphantsi kwaye unikeze uxinzelelo olubi kwi-disc echaphazelekayo ngokunyusa i-blood nutrient flow back to disc ngelixa unciphisa uxinzelelo kwingcambu ye-nerve eyingozi. ( I-Choi et al., 2022 ) Ukunyanzeliswa komgogodla kunokudibaniswa kunye nokuzivocavoca okungundoqo okunokuthi kuncede ukunciphisa intlungu kunye nokukhubazeka kunye nokuphucula ukuzinza emilenzeni nangaphantsi. ( Hlaing et al., 2021 ) Ngokuxinzezeleka komgudu wokunciphisa umva kunye nomlenze wentlungu, abantu abaninzi banokubona iziphumo ezintle emva kokunyangwa okulandelelanayo, kwaye ukuhamba kwabo kuphuculwe. ( Vanti et al., 2021 ) Xa abantu abava ubuhlungu bomlenze kunye nomqolo kwaye bafuna unyango banokufumana izibonelelo zokuxinzelela komgogodla ukuba zibandakanywe kwindlela yabo yemihla ngemihla kuba iyakwazi ukulungelelaniswa kwaye ibancede ukuba bakhumbule ukuba yintoni intshukumo kunye nezinto ezisingqongileyo ezibangela intlungu. . Ukwenza olu tshintsho luncinci ekuhambeni kwexesha kunokuphucula impilo yabo kwaye kuncede baphile 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
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
Fortier, LM, Markel, M., Thomas, BG, Sherman, WF, Thomas, BH, & Kaye, AD (2021). Uhlaziyo kwi-Peroneal Nerve Entrapment kunye ne-Neuropathy. Orthop Rev (Pavia) , 13 (2), 24937. doi.org/10.52965/001c.24937
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
UKim, HS, Wu, PH, & Jang, IT (2020). I-Lumbar Degenerative Disease Icandelo le-1: I-Anatomy kunye ne-Pathophysiology ye-Intervertebral Discogenic Pain kunye ne-Radiofrequency Ablation ye-Basivertebral kunye ne-Sinuvertebral Nerve Treatment for Chronic Discogenic Back Pain: I-Case Series Series kunye nokuphononongwa koNcwadi. Int J Mol Sci , 21 (4). doi.org/10.3390/ijms21041483
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
isikhanyeli
by UGqr Alex Jimenez Chiropractic , Ubuhlungu obungapheliyo , Unyango lokuthotywa koMnqonqo , Ucoceko loMgcini , Uncedo Lwezityalo , Unyango , I-Viscerosomatic Reflex
Ngaba abantu abasebenzayo abajongene ne-syndrome yentlungu ephazamisayo banokubandakanya ukunyanzeliswa ukubonelela ngokukhululeka komzimba kunye nokuhamba?
intshayelelo
Njengenxalenye yenkqubo ye-musculoskeletal, umqolo uvumela umzimba ukuba ume ngokuthe nkqo kwaye unceda ukukhusela intambo yomgogodla kukulimala. Kuba inkqubo ye-nervous central ibonelela ngemiqondiso ye-neuron ukusuka kwingqondo ukuya kwiingcambu zemithambo-luvo, umzimba womntu unokuhamba ngaphandle kweentlungu okanye ukungonwabi. Oku kubangelwa i-spinal discs phakathi kwamalungu e-facet, anokuthi axinzelelwe, athathe uxinzelelo lwe-axial ephantsi, kwaye ancede ukusabalalisa ubunzima kwimisipha engaphantsi kunye nephezulu. Nangona kunjalo, njengoko abantu abaninzi beqonda, ukunyakaza okuphindaphindiweyo kunye nokugqoka kunye nokukrazula kwisakhiwo somgogodla kunokukhokelela ekugqithiseni kweeprofayili ezinobungozi ezinokubangela ukuba i-spinal disc ihlambuluke kwaye ikhuphe intlungu kwi-musculoskeletal system. Ukuza kuthi ga ngoku, kunokubangela ukuba umntu abe buhlungu kakhulu kwaye angakhululeki ngokuhamba kwexesha. Inqaku lanamhlanje lijonga indlela i-syndrome yentlungu ephazamisayo echaphazela ngayo umqolo, iimpawu ezihambelana nayo, kunye nendlela ukunyanzeliswa kwentlungu kunokunciphisa i-syndrome ye-degenerative. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukubonelela ngeendlela ezininzi zonyango zokunciphisa intlungu ye-syndrome ebangela imiba yokuhamba kumqolo. Siyazisa kwaye sikhokela izigulana malunga nendlela ukudambisa kunokunceda ukunciphisa iimpawu ezinjengeentlungu ezihambelana ne-syndrome yentlungu. Sikhuthaza izigulane zethu ukuba zibuze ababoneleli babo bezonyango abadibeneyo kunye nemibuzo ebalulekileyo malunga neempawu ezigqithisiweyo ezifana neentlungu ezijongene nazo kwiintlungu ezibuhlungu ezichaphazela umgangatho wobomi babo. UDkt Jimenez, DC, udibanisa le ngcaciso njengenkonzo yezemfundo. isikhanyeli .
I-Degenerative Pain Syndrome kwi-Spine
Ngaba uziva iintlungu zemisipha okanye iintlungu emqolo wakho emva kwexesha elide lokulala, ukuhlala okanye ukuma? Ngaba uziva intlungu eqhubekayo emva kokuthwala into enzima ukusuka kwenye indawo ukuya kwenye? Okanye ngaba ukujija okanye ukuguqula i-torso yakho kunika isiqabu sexeshana? Abantu abaninzi kaninzi abaqondi ukuba uninzi lwale miba efana nentlungu idityaniswa ne-syndrome ye-degenerative echaphazela umqolo. Ekubeni umzimba uguga ngokwendalo, umqolo wenza ngokunjalo ngokuwohloka. Xa i-spinal discs iqala ukuhla, inokubangela ukuba uxinzelelo lwe-axial oluthe nkqo lubethe kwaye lufake i-disc, luphazamise amandla ayo okugcina i-hydrated kwaye ibangele ukuba iphume kwindawo yayo yokuqala. Ngexesha elifanayo, ukuphakama kwe-spinal disc kuya kuwela ngokuthe ngcembe, kwaye umphumo ukutshintshwa kwezinto eziguquguqukayo kumacandelo achaphazelekayo omqolo. ( Kos et al., 2019 ) Ukutshatyalaliswa kunokuhla ukuya kwimizila ejikelezayo, imisipha, kunye namalungu xa ukuguqulwa kuqala ukuchaphazela umqolo.
Iimpawu eziNxulunyaniswe nentlungu ebuhlungu
Xa iindawo ezijikelezileyo, izihlunu, kunye nemigqaliselo zichatshazelwa yintlungu ye-disc degenerative, ingaba ngenxa yezinto ezininzi ezibangela iimpawu ezinjengeentlungu. Ukuvuvukala ngenye yeempawu ezihambelana ne-syndrome yentlungu ephazamisayo, njengoko ukuphazamiseka kunokuchaphazela isigqi se-circadian kunye nokuphazamisa i-homeostasis, ekhokelela ekunyuseni uxinzelelo kwi-spinal disc, leyo ke inegalelo kwinkqubo yokunciphisa. ( Chao-Yang et al., 2021 ) Ukuvuvukala kunokubangela ukuba izihlunu ezichaphazelekayo zitshise kwaye zibangele iiprofayili ezinobungozi ezingaphezulu, njengoko zinokuchaphazela iindawo eziphezulu kunye nezisezantsi. Ukongezelela, ukulayishwa komatshini kunokuchaphazela ukuchithwa kwediski ngeendlela ezahlukeneyo kumanqanaba ahlukeneyo e-vertebral. ( Salo et al., 2022 ) Oku kunokukhokelela kwiimpawu ezifana neentlungu ezifana:
Ukuthamba kwengalo kunye nomlenze Iintlungu zemithambo-luvo Ukulahleka kwemisebenzi yeemvakalelo kwiindawo eziphezulu kunye nezisezantsi Iimpawu ezibonakalayo Ubuhlungu besisu
Nangona kunjalo, unyango oluninzi lunokunceda ukubuyisela ukuhamba komgogodla kunye nokunciphisa imiphumo ebuhlungu ye-syndrome yentlungu ephazamisayo yomqolo.
Indlela engeyiyo Utyando kwiMpilo-Video
VIDEO
Xa kuziwa ekufuneni unyango lwe-syndrome ye-degenerative, abantu abaninzi baya kwenza uphando malunga nokuba loluphi unyango olufikelelekayo kwiintlungu zabo, kungoko abantu abaninzi bekhetha unyango olungasebenzisi utyando ukuze bathobe iintlungu zabo. Unyango olungasebenzisi utyando lulungelelaniswe kwintlungu yomntu. Banokunceda ukuqalisa uhambo lwempilo yomntu, olunokubandakanya indibaniselwano yokuzilolonga, unyango lwezandla, kunye nohlengahlengiso lwendlela yokuphila. ( Brogger et al., 2018 ) Le vidiyo ingentla ibonisa indlela indlela engasebenzisi utyando enokuzuza ngayo umntu one-syndrome ye-degenerative pain echaphazela umqolo wabo.
I-Decompression Ukunciphisa i-Degenerative Pain Syndrome
Ngonyango oluninzi olukhoyo lokunciphisa iimpawu ezinjengeentlungu ezichaphazela umqolo, unyango olungasebenzisi utyando lunokuba lukhetho. Ukusukela kukhathalelo lwe-chiropractic ukuya kwi-acupuncture, unyango olungasebenzisi utyando lunokudityaniswa ukuze kuncitshiswe imiphumo efana nentlungu. I-Decompression, njengenxalenye yeendlela zonyango ezingenayo utyando, yindlela efanelekileyo kakhulu yokunciphisa inkqubo yeentlungu ezibuhlungu kumqolo. I-Decompression ivumela ikholomu yomgogodla ukuba itsalwe ngobunono ngomatshini wokutsala ukukhulula i-spinal disc. Xa umatshini wokutsala ubola umqolo, ubunzima bentlungu buyancipha kakhulu kuwo onke amalungu omzimba. ( Ljunggren et al., 1984 ) Oku kubangelwa uxinzelelo olubi olubuyiselwa kumqolo ukuze kwandiswe ukuphakama kwediski kunye nokubuyisela izondlo kwi-disc echaphazelekayo kwaye ibuyisele kwakhona. ( I-Choi et al., 2022 ) Xa abantu beqala ukubandakanya i-decompression ngonyango olulandelelanayo, ubunzima babo beentlungu buyancipha, kwaye umqolo wabo uhamba kwakhona ngelixa unciphisa inkqubo ephazamisayo kumqolo. Oku kubavumela ukuba banakekele ngcono imizimba yabo ngokwenza utshintsho oluncinci kwimpilo yabo kunye nokuphila kakuhle.
Ucaphulo
Brogger, HA, Maribo, T., Christensen, R., & Schiottz-Christensen, B. (2018). Ukusebenza okuthelekisayo kunye nezinto ezibikezelwayo kwisiphumo sotyando kunye nokulawulwa kokungabikho kokuhlinzwa kwe-lumbar spinal stenosis kubantu abadala: iprotocol yophononongo lokuqwalasela. BMJ Open , 8 (12), e024949. doi.org/10.1136/bmjopen-2018-024949
Chao-Yang, G., Peng, C., & Hai-Hong, Z. (2021). Iindima ze-NLRP3 inflammasome kwi-intervertebral disc degeneration. I-Osteoarthritis Cartilage , 29 (6), 793-801. doi.org/10.1016/j.joca.2021.02.204
Choi, E., Gil, HY, Ju, J., Han, WK, Nahm, FS, & Lee, P.-B. (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 , 1-9. doi.org/10.1155/2022/6343837
Kos, N., Gradisnik, L., & Velnar, T. (2019). Uphononongo olufutshane lwe-Degenerative Intervertebral Disc Disease. Med Arch , 73 (6), 421-424. doi.org/10.5455/medah.2019.73.421-424
Ljunggren, AE, Weber, H., & Larsen, S. (1984). I-autotraction versus manual traction kwizigulane ezine-prolapsed lumbar intervertebral discs. Scand J Rehabil Med , 16 (3), 117-124. www.ncbi.nlm.nih.gov/pubmed/6494835
Salo, S., Hurri, H., Rikkonen, T., Sund, R., Kroger, H., & Sirola, J. (2022). Umbutho phakathi kwe-lumbar disc degeneration enzima kunye nokuzixela ngokwakho ukulayisha ngokomzimba. J Occup Health , 64 (1), e12316. doi.org/10.1002/1348-9585.12316
isikhanyeli
by UGqr Alex Jimenez Chiropractic , Ubuhlungu obungapheliyo , I-Hip Pain kunye nokuphazamiseka , Sciatica , Sciatica Nerve Pain , Unyango lokuthotywa koMnqonqo , Unyango , I-Viscerosomatic Reflex
Ngaba abantu abajongana neentlungu ze-hip, banokufumana isiqabu abayifunayo kwi-spinal decompression ukuze banciphise iintlungu zabo ze-sciatica?
intshayelelo
Xa kuziwa kubantu abenza iintshukumo zemihla ngemihla, umzimba unokuba kwindawo ezingaqhelekanga ngaphandle kweentlungu okanye ukungakhululeki. Ngenxa yoko, abantu banokuma okanye bahlale ixesha elide kwaye bazive belungile xa besenza imisebenzi enzima. Nangona kunjalo, njengoko umzimba uguga, imisipha ejikelezileyo kunye nemigqa ingaba buthathaka kwaye iqinile, ngelixa i-spinal joints kunye ne-discs iqala ukuxinzezeleka kwaye igugile. Oku kungenxa yokuba abantu abaninzi benza ukunyakaza okuphindaphindiweyo emizimbeni yabo ebangela iimpawu ezinjengeentlungu emqolo, ezinqeni, entanyeni, nasezinqeni zomzimba, ezikhokelela kwiintlungu ezigqithisiweyo kwiindawo ezahlukeneyo zomzimba. Xa abantu besiva iintlungu ze-musculoskeletal emizimbeni yabo, kunokubangela ukugcwala kweeprofayili zomngcipheko ezinokuthi zithintele umntu kwaye zibangele ukuba bakhathazeke. Ukongezelela, xa abantu beva ubuhlungu be-musculoskelet emizimbeni yabo, abaninzi baya kufuna unyango lokunciphisa iimpawu ezigqithisiweyo ezifana neentlungu ezinxulumene nentlungu ye-musculoskeletal. Inqaku lanamhlanje liza kuhlolisisa uhlobo olulodwa lweentlungu ze-musculoskeletal ezinqeni, ukuba zingabangela njani iingxaki ezinjenge-sciatica, kunye nendlela unyango olufana nokunciphisa uxinzelelo lunokunciphisa iintlungu ezinjengeentlungu ze-hip ezihambelana ne-sciatica. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukubonelela ngeendlela ezininzi zonyango ukukhulula intlungu ye-hip ehambelana ne-sciatica. Siyazisa kwaye sikhokela izigulane malunga nendlela ukuchithwa kwe-decompression kunokunceda ukunciphisa iimpawu ezinjengeentlungu ezifana ne-sciatica kunye nokubuyisela ukuhamba kwe-hip. Sikhuthaza izigulane zethu ukuba zibuze ababoneleli babo bezonyango abanxulumene nabo imibuzo enzima kunye nebalulekileyo malunga neempawu ezifana nentlungu abazifumanayo kwiintlungu ze-hip. UDkt Jimenez, DC, udibanisa le ngcaciso njengenkonzo yezemfundo. isikhanyeli .
Iintlungu ze-Hip ezinxulumene ne-Sciatica
Ngaba uhlala ufumana ukuqina kwi-back back and hips emva kokuhlala phantsi ixesha elide? Kuthekani ngokuziva iintlungu ezikhuphayo zihla ukusuka kumqolo wakho ongezantsi ukuya emilenzeni yakho? Okanye ngaba ucinga ukuba izihlunu zakho ze-hip kunye nethanga ziba nzima kwaye zibuthathaka, ezichaphazela ukuzinza kwakho? Abantu abaninzi abahlangabezana nale miba efana neentlungu bava iintlungu ze-hip, kwaye inokuba ngumba xa inganyangwa ngokuhamba kwexesha. Ekubeni intlungu ye-hip yinto eqhelekileyo kwaye ikhubaza imeko enzima ukuyixilonga, abantu abaninzi bahlala bevakalisa intlungu yendawo kwindawo enye yemimandla emithathu ye-anatomic: i-anterior, posterior, kunye ne-lateral hip section. ( UWilson & Furukawa, ngo-2014 ) Xa abantu bejongene neentlungu ze-hip, baya kuba neentlungu ezigqithisiweyo kwi-back backs zabo, ezibangela ukuba babandezeleke kwaye bahlupheke. Kwangaxeshanye, ukunyakaza okuqhelekileyo okuqhelekileyo njengokuhlala okanye ukuma kunokuchaphazela izihlunu kunye nemigqa ejikeleze isinqe kwaye kunokuba yingozi. Oku kunokubangela ukuba intlungu ye-hip idluliselwe kwi-lumbar spine kunye neengxaki zomqolo, ezibangela ukuba imiba ye-musculoskeletal ifikelele kwiindawo ezisezantsi. ( ULee et al., 2018 )
Ngoko ke, intlungu ye-hip iya kudibaniswa njani ne-sciatica kwaye ibangele intlungu kwiindawo ezininzi ezisezantsi? Iindawo ze-hip kwi-musculoskeletal system zinezihlunu ezininzi ezijikeleze indawo yethambo le-pelvic enokuthi ibe qinile kwaye ibe buthathaka, ibangele intlungu ye-musculoskeletal evela kwimiba ye-intrapelvic kunye ne-gynecologic. ( Chamberlain, 2021 ) Oku kuthetha ukuba ukuphazamiseka kwe-musculoskelet njenge-piriformis syndromes ehambelana neentlungu ze-hip kunokukhokelela kwi-sciatica. I-nerve ye-sciatic ihamba phantsi ukusuka kwingingqi ye-lumbar kunye neempundu kunye nasemva komlenze. Xa umntu ejongene ne-sciatica kwaye uya kugqirha wabo oyintloko ukuba aphathwe ngentlungu, oogqirha babo baya kwenza uviwo lomzimba ukuze babone ukuba zeziphi izinto ezibangela intlungu. Ezinye zezinto ezifunyenweyo eziqhelekileyo ngexesha lovavanyo lomzimba lwaluthamba kunye ne-palpation yenotshi enkulu ye-sciatic kunye nokuzala kweentlungu ezinqeni. ( Unyana & Lee, 2022 ) Oku kubangela iimpawu ezihambelanayo ezihambelana ne-sciatica kunye neentlungu ze-hip, kuquka:
Ukurhawuzelela/ukuba nomsindo Ukuthamba kwezihlunu Iintlungu xa uhleli okanye umile Ukungakhululeki
Ngaba intshukumo isitshixo sokuPhilisa-Ividiyo
VIDEO
Ukunyanzeliswa koMnqongo Ukunciphisa Ubuhlungu be-Hip
Nangona kunjalo, abantu abaninzi baya kufumana unyango olungasebenzisi utyando ukunceda ukunciphisa i-sciatica ehambelana neentlungu ze-hip. Unyango olungasebenzisi utyando lulolongelwe kwiintlungu zomntu kwaye luyonga iindleko ngelixa luthambile kumqolo. Ukunyanzeliswa komgogodla kunokunceda ukunciphisa intlungu ye-hip ehambelana ne-sciatica. I-Decompression kumqolo ivumela ukutsalwa okuthambileyo ukolule izihlunu ezibuthathaka ecaleni komqolo osezantsi kunye nesinqe ngelixa i-spinal discs ifumana uxinzelelo olubi. Xa umntu ejongene nentlungu ye-sciatica ehambelana nentlungu ye-hip kunye nokuzama ukuchithwa okokuqala, babonelelwa ngokukhululeka okufanelekileyo. ( UCrisp et al., ngo-1955 )
Ukongezelela, abantu abaninzi ababandakanya ukudakumba ngenxa yeentlungu zabo ze-hip banokuqala ukuva iziphumo zabo njengoko kunceda ekuphuculeni ukuhamba kwegazi ukubuyela ezinqeni ukuqala inkqubo yokuphilisa yendalo. ( U-Hua et al., 2019 ) Xa abantu beqala ukubandakanya i-decompression ngenxa yeentlungu zabo ze-hip, banokukhululeka njengoko beva zonke iintlungu zabo kunye neentlungu ziphela ngokuthe ngcembe njengoko ukuhamba kunye nokujikeleza kubuyela kwiindawo ezisezantsi.
Ucaphulo
Chamberlain, R. (2021). Ubuhlungu be-Hip kubantu abadala: uVavanyo kunye neDifferential Diagnosis. Ugqirha wezeMerika waseMerika , 103 (2), 81-89. www.ncbi.nlm.nih.gov/pubmed/33448767
www.aafp.org/pubs/afp/issues/2021/0115/p81.pdf
Crisp, EJ, Cyriax, JH, & Christie, BG (1955). Ingxoxo ngonyango lwe-backache ngokutsala. Proc R Soc Med , 48 (10), 805-814. www.ncbi.nlm.nih.gov/pubmed/13266831
www.ncbi.nlm.nih.gov/pmc/articles/PMC1919242/pdf/procrsmed00390-0081.pdf
Hua, KC, Yang, XG, Feng, JT, Wang, F., Yang, L., Zhang, H., & Hu, YC (2019). Ukusebenza kunye nokhuseleko lwe-core decompression kunyango lwe-femoral head necrosis: ukuphononongwa ngokuchanekileyo kunye nohlalutyo lwe-meta. J Orthop Surg Res , 14 (1), 306. doi.org/10.1186/s13018-019-1359-7
Lee, YJ, Kim, SH, Chung, SW, Lee, YK, & Koo, KH (2018). Iimbangela ze-Hip ezingapheliyo ze-Hip Pain Engafunyaniswanga okanye i-Misdiagnosed ngabaGqirha basePrayimari kwi-Young Adult Patients: i-Retrospective Descriptive Study. J isiKorea uMedi weSayensi , 33 (52), e339. doi.org/10.3346/jkms.2018.33.e339
Unyana, BC, & Lee, C. (2022). I-Piriformis Syndrome (i-Sciatic Nerve Entrapment) Edityaniswa Nohlobo lwe-C Sciatic Nerve Variation: Ingxelo yeemeko ezimbini kunye nokuphononongwa koncwadi. Korean J Neurotrauma , 18 (2), 434-443. doi.org/10.13004/kjnt.2022.18.e29
Wilson, JJ, & Furukawa, M. (2014). Ukuvavanywa kwesigulane ngentlungu ye-hip. Ugqirha wezeMerika waseMerika , 89 (1), 27-34. www.ncbi.nlm.nih.gov/pubmed/24444505
www.aafp.org/pubs/afp/issues/2014/0101/p27.pdf
isikhanyeli
by UGqr Alex Jimenez Arthritis , Chiropractic , Ubuhlungu obungapheliyo , Unyango lokuthotywa koMnqonqo , Uncedo Lwezityalo , Unyango , I-Viscerosomatic Reflex
Ngaba abantu abane-osteoarthritis banokubandakanya unyango lwe-spinal decompression ukubuyisela ukuhamba komgogodla kunye nomgangatho wobomi?
intshayelelo
Njengoko umzimba uguga, kunjalo nomgudu, njengoko i-spinal disc phakathi kwamalungu kunye namathambo aqala ukukhupha amanzi ngenxa yokunyanzeliswa rhoqo ngokuphindaphindiweyo. Izinto ezininzi zokusingqongileyo ezifaka isandla kule ngxaki ephazamisayo zinokuhluka ngaphakathi komntu kwaye zikhokelela kwiimeko ze-arthritic ngaphakathi kwinqanaba eliphezulu nangaphantsi. Olona hlobo luxhaphakileyo lwesifo samathambo sisifo samathambo, kwaye sinokuchaphazela abantu abaninzi kwihlabathi liphela. Ukujongana ne-osteoarthritis kumalungu abo kunokubangela iimpawu ezininzi ezinjengeentlungu ezihambelana nezinye iimeko zomzimba, ezibangela iintlungu ezigqithisiweyo. Nangona kunjalo, unyango oluninzi lunokunceda ukucothisa inkqubo ye-osteoarthritis kunye nokunciphisa umzimba kwiimpawu ezinjengeentlungu zamalungu. Inqaku lanamhlanje lijonga indlela i-osteoarthritis echaphazela ngayo ukuhamba komgudu kunye nendlela unyango olunokubuyisela ngayo ukuhamba komgudu kwimiphumo ye-osteoarthritis. Sithetha nababoneleli bezonyango abaqinisekisiweyo abasebenzisa ulwazi lwezigulane zethu ukubonelela ngeendlela ezahlukeneyo zonyango ukunciphisa impembelelo ye-osteoarthritis kumalungu. Sikwaxelela izigulane ukuba unyango oluninzi lunokunceda njani ukucothisa inkqubo ewohlokayo ye-osteoarthritis. Sikhuthaza izigulana zethu ukuba zibuze ababoneleli bezonyango abanxulumene nabo imibuzo entsonkothileyo kunye nebalulekileyo malunga neempawu ezinjengeentlungu abazifumana kwi-osteoarthritis. UDkt Jimenez, D.C., udibanisa le ngcaciso njengenkonzo yezemfundo. isikhanyeli .
I-Osteoarthritis ichaphazela njani ukuHamba koMnqonqo?
Ngaba uye waqaphela ukuqina kwasekuseni emva kokulala kakuhle ebusuku? Ngaba uziva ukuthamba kumalungu akho emva koxinzelelo oluthile olulula? Okanye ngaba uziva ukushukuma okulinganiselweyo kumalungu akho, kubangele uluhlu oluthintelweyo lwentshukumo? Uninzi lwezi meko ezinjengeentlungu zinxulunyaniswa ne-osteoarthritis, ingxaki edibeneyo echaphazela abantu abaninzi, kubandakanya abantu abadala. Njengoko bekutshiwo ngaphambili, xa umzimba ukhula, kunjalo namalungu, amathambo kunye nomqolo. Ngokumalunga ne-osteoarthritis, amalungu aya kuncipha ngokunxiba kwendalo kunye nokukrazula kwi-cartilage. I-osteoarthritis ichaphazela amalungu amaninzi anjenge-hips kunye namadolo, awona axhaphakileyo, kunye nomqolo, kwaye kubangela ukungasebenzi kakuhle kweemotor. ( Yao et al., 2023 ) Xa i-cartilage ejikeleze amajoyina achaphazelekayo iqala ukuwohloka, i-pathogenesis ye-osteoarthritis ibangela ukuba ibhalansi ye-cytokine ephazamisekileyo ye-cytokines ye-proinflammatory iqalise umjikelezo onobuqhetseba obangela ukuba i-cartilage kunye nomonakalo wesakhiwo se-intra-articular ujikeleze umgudu. ( UMolnar et al., 2021 ) Yintoni le yenziwayo kukuba xa i-osteoarthritis iqala ukuchaphazela amalungu, inokukhokelela kwiimpawu ezininzi ezifana neentlungu.
Nangona kunjalo, nangona i-osteoarthritis inokuchaphazela amalungu, ngokwemvelo, izinto ezininzi zokusingqongileyo zidlala indima ekuphuhliseni i-osteoarthritis. Ukungasebenzi komzimba, ukutyeba kakhulu, ukukhubazeka kwamathambo, kunye nokulimala kwamalungu ezinye zezizathu ezinokuthi ziqhubele phambili inkqubo yokunciphisa. Iimpawu ezinxulumene nale miba yokusingqongileyo ziquka:
Ubuhlungu Ukuqina ngokudibeneyo ukuthantamisa Ukuvutha Ukuvuvukala Uvakalelo lwe grating I-Bone ihluma
Abantu abaninzi abajongana neempawu ezinjengeentlungu ezibangelwa yi-osteoarthritis baya kuchazela oogqirha babo abaphambili ukuba iintlungu ziyahluka ngexesha, ubunzulu, uhlobo lokwenzeka, impembelelo kunye nesigqi. Oku kungenxa yokuba iintlungu ezivela kwi-osteoarthritis ziyinkimbinkimbi kwaye zininzi. ( U-Wood et al., 2022 ) Nangona kunjalo, abantu abaninzi banokujonga uncedo abaludingayo ukunciphisa imiba efana neentlungu ezibangelwa sisifo samathambo ngonyango olunokuthi lucothise inkqubela-phambili ewohlokayo.
Ukujongwa nzulu kwi-Spinal Decompression-Video
VIDEO
Xa kuziwa ekufuneni unyango lokunciphisa iziphumo ze-osteoarthritis, abantu abaninzi bafuna unyango olungabizi kakhulu kwaye lukhuselekile kubantu abadala. Unyango olungasebenzisi utyando lunokuba sisisombululo abantu abaninzi abafuna ukunciphisa inkqubela phambili ye-osteoarthritis. Xa abantu abafumana i-osteoarthritis besiya kunyango olungelulo utyando, bafumanisa ukuba iintlungu ziyancipha, uluhlu lwabo lokunyakaza luyanda, kwaye umsebenzi wabo womzimba uphuculwe. ( I-Alkhawajah kunye ne-Alshami, ngo-2019 ) Kwangaxeshanye, unyango olungasebenzisi utyando lunokudityaniswa nolunye unyango kwisicwangciso sonyango lomntu ngamnye. Unyango olungenalo utyando lunokuvela kukhathalelo lwe-chiropractic ukuya kwi-spinal decompression njengoko lusebenza ngokucokisekileyo ukulungelelanisa umqolo ngokutsalwa kunye nokunceda ukunciphisa iintlungu ezidibeneyo kunye nezihlunu. Le vidiyo ingasentla inika ujongo olunzulu malunga nokuthotywa komqolo kunye nendlela enokubanceda ngayo abantu abasentlungwini.
Ukunyanzeliswa koMnqonqo Ukubuyisela Ukuhamba koMnqongo ukusuka kwi-Osteoarthritis
Ekubeni i-spinal decompression luhlobo lonyango olungasebenzisi utyando, lunokunceda ukucotha inkqubo ye-osteoarthritis. Ukunyanzeliswa komgogodla kubandakanya ukutsalwa ukutsala ngobumnene kumqolo, ukuvumela iidiski kunye namalungu ukuba afakwe i-lubricated kwaye avumele inkqubo yokuphilisa yendalo ukuba yenzeke. Oku kungenxa yokuba izihlunu ezijikelezileyo ezikhusela amajoyina zolulelwa ngobumnene kwaye indawo yediski ye-vertebral iyanda ukuvumela ukuba i-disc ihlaziywe kwaye i-protrusion ibuyele kwindawo yayo yokuqala. ( UCyriax, ngo-1950 ) Ukunyanzeliswa komgogodla kunokunceda ukunciphisa inkqubo ephazamisayo ye-osteoarthritis, kwaye xa idibene nonyango lomzimba, imisipha ejikelezayo, izicubu kunye nemigqaliselo iyaqiniswa.
Ngokwahlukileyo, ukuhamba ngokubambisana kunye nomgogodla kunye nokuguquguquka kwanda. Ukunyanzeliswa komqolo kunokunceda abantu abaninzi banciphise amathuba abo otyando, njengoko iiseshoni ezilandelelanayo zinokunceda ukubonelela ngeentlungu kunye nokuphuculwa komsebenzi kumqolo. ( I-Choi et al., 2022 ) Xa abantu bephinda baphinde babuyele emizimbeni yabo ukusuka kwi-spinal decompression, banokwenza utshintsho oluncinci kwindlela yabo yemihla ngemihla ukuze banciphise inkqubo ephazamisayo ye-osteoarthritis.
Ucaphulo
Alkhawajah, H. A., & Alshami, A. M. (2019). Umphumo wokuhlanganisa kunye nokunyakaza kwiintlungu kunye nokusebenza kwizigulane ezine-knee osteoarthritis: isilingo esilawulwa ngokungahleliwe esiphindwe kabini. I-BMC Musculoskelet Disord , 20 (1), 452. doi.org/10.1186/s12891-019-2841-4
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
Cyriax, J. (1950). Ukunyangwa kwezilonda zediski ye-lumbar. Br Med J , 2 (4694), 1434-1438. doi.org/10.1136/bmj.2.4694.1434
Molnar, V., Matisic, V., Kodvanj, I., Bjelica, R., Jelec, Z., Hudetz, D., Rod, E., Cukelj, F., Vrdoljak, T., Vidovic, D., Staresinic, M., Sabalic, S., Dobricic, B., Petrovic, T., Anticevic, D., Boric, I., Kosir, R., Zmrzljak, U. P., & Primorac, D. (2021). IiCytokines kunye neeChemokines ezibandakanyekayo kwi-Osteoarthritis Pathogenesis. Int J Mol Sci , 22 (17). doi.org/10.3390/ijms22179208
Wood, M. J., Miller, R. E., & Malfait, A. M. (2022). IGenesis yePain kwi-Osteoarthritis: Ukuvuvukala njengoMlamli we-Osteoarthritis Pain. Clin Geriatr Med , 38 (2), 221-238. doi.org/10.1016/j.cger.2021.11.013
Yao, Q., Wu, X., Tao, C., Gong, W., Chen, M., Qu, M., Zhong, Y., He, T., Chen, S., & Xiao, G. (2023). I-Osteoarthritis: iindlela zokubonisa i-pathogenic kunye neethagethi zonyango. Ukuhanjiswa kweSignali ekuJoliswe kuyo , 8 (1), 56. doi.org/10.1038/s41392-023-01330-w
isikhanyeli
by UGqr Alex Jimenez Umqolo obuhlungu , Chiropractic , Ubuhlungu obungapheliyo , Ubuhlungu Bokubuyisela , Unyango lokuthotywa koMnqonqo , Unyango , I-Viscerosomatic Reflex
Ngaba abantu abasebenzayo abaneentlungu ezisezantsi bangabandakanya unyango olungazenzisiyo ukunciphisa ukuhamba okulinganiselweyo kunye nokubonelela ngesiqabu?
intshayelelo
Abantu abaninzi abasebenzayo baya kukhula kancinci kancinci iintlungu ezisezantsi ngenxa yokuma okanye ukuhlala kakhulu, iimfuno zomzimba ezibangela ukuba baphakamise izinto ezinzima, okanye izihlangu ezingafanelekanga ezibangela ukuba bangalingani. Ekubeni umqolo uyingxenye yenkqubo ye-musculoskeletal, i-spinal discs kwingingqi ye-lumbar yiyona nto ichaphazeleka kakhulu ukuba ixinzelelwe. Inokuba ngomnye wemiba ebangela ukuba abantu abaninzi batyekele ekuphuhliseni iintlungu ezisezantsi. Iintlungu ezisezantsi ziqhelekileyo kubantu abasebenzayo kwaye yi-multifactorial musculoskeletal disorder eyenza abantu abaninzi abasebenzayo baphoswe ngumsebenzi. Nangona kunjalo, abantu abaninzi abaneentlungu ezisezantsi bahlala befuna unyango lokunciphisa intlungu kwaye bancede babuyele emsebenzini. Inqaku lanamhlanje lijonga izizathu zentlungu ephantsi kunye nendlela unyango olungenalo utyando lunokunceda ukunciphisa intlungu ephantsi kunye nokubuyisela ukuhamba komzimba. Sithetha nababoneleli bezonyango abaqinisekisiweyo ababandakanya ulwazi lwezigulane zethu ukubonelela unyango oluhlukeneyo lokunciphisa intlungu ephantsi. Sikwaxelela izigulana ukuba unyango olungazenziyo lunokunceda njani ukubuyisela ukuhamba emzimbeni ngelixa sinika iindlela ezininzi zokunciphisa amathuba okubuya kweentlungu ezisezantsi. Sikhuthaza izigulana zethu ukuba zibuze imibuzo enzima kubaboneleli bethu bezonyango abanxulumeneyo malunga neempawu ezinjengeentlungu abahlangabezana nazo ezihambelana nomqolo wabo. UDkt Alex Jimenez, D.C., usebenzisa olu lwazi njengenkonzo yezemfundo. isikhanyeli .
Izinto ezibangela iintlungu ezisezantsi
Ngaba uziva unzima kumqolo wakho ongaphantsi emva kosuku olunzima lomsebenzi? Ngaba ufumana iintlungu ze-muscle okanye intlungu kwi-back back yakho emva kokuthatha into enzima? Okanye ngaba ufumana ukuhamba okulinganiselweyo kunye nokuqina ngokuhamba kwexesha emva kokuma ngokugqithisileyo okanye ukuhlala emsebenzini wakho? Abantu abaninzi kwezi meko zifana neentlungu baye bafumana iintlungu ezisezantsi ngasemva ngaxa lithile ebomini babo, kwaye oko kuye kwabachaphazela ukuba baphoswe ngumsebenzi. Ekubeni abantu abaninzi emhlabeni jikelele baye bafumana iintlungu ezisezantsi ngexesha elithile ebomini babo, kuye kwaba yingxaki eqhelekileyo eye yaba yimbangela ehamba phambili yokukhubazeka kwaye ihlala ihambelana neendleko eziphezulu. ( I-Chou, i-2021 ) Iintlungu ezisezantsi yimeko ye-multifactorial ecacileyo okanye engacaciswanga ngokuxhomekeke kubunzima bamava omntu. Intlungu engacacanga esezantsi ihlala ibhekisa xa kungekho sifo sithile okanye isizathu sokwakheka kwentlungu. Oku kubangela ukuba abantu abaninzi baye kumhlala-phantsi kwangethuba ngenxa yokuphulukana namandla abo okusebenza baze babe ngumthwalo wentlalo noqoqosho xa befuna unyango. ( Chenot et al., 2017 ) Iintlungu ezicacileyo ezisezantsi zibangelwa ukuxhatshazwa ngokuphindaphindiweyo kunye nokusebenzisa ngokugqithiseleyo izihlunu ezijikelezayo ezinokubangela ukuba umqolo kunye ne-spinal disc ihlale ixinzelelwe. Oku kubangela iimpawu zentlungu ye-musculoskeletal kwaye ichaphazela yonke imimandla ephantsi. ( Ngaba et et., 2018 )
Ezinye zezizathu zokuba iintlungu ezisezantsi zinxulunyaniswa nazo zinokuvela kwizinto eziqhelekileyo zokusingqongileyo ukuya kukwenzakala okubuhlungu abantu abaninzi abasebenzayo abaye banyamezela. Ekubeni iintlungu ezisezantsi ze-back back sesinye sezizathu eziphambili zokulahleka kweentsuku zokusebenza emhlabeni jikelele, ezinye zezizathu eziqhelekileyo ezifakelwe kwiintlungu ezisezantsi ziquka:
Uxinzelelo lomatshini ukutyeba Ubunzima bomatshini I ngxaki Iintshukumo eziphindaphindayo (ukujija, ukugoba, okanye ukuphakamisa) I-disniated disc I stenosis
Ezi zizathu ezinjengeentlungu zinokuchaphazela iindawo eziphezulu kunye nezisezantsi kwaye, xa zingaphathwanga, zikhokelela kwiimpawu ezinjengeentlungu ezivela kwiintlungu ezikhuphayo ukuya ekuhambeni okulinganiselweyo. Nangona kunjalo, xa abantu abaninzi benquma ukuba kwanele ngokwaneleyo kwaye bafuna ukufumana unyango olufunekayo, baya kufuna into engenakufikeleleka kuphela kodwa inokunciphisa intlungu ngelixa ubuyisela ukuhamba.
Amandla e-Chiropractic Care-Ividiyo
VIDEO
Unyango olungaqhayiyo lwentlungu esezantsi
Xa kuziwa ekufuneni unyango lweentlungu ezisezantsi, abantu abaninzi bafuna into engabiziyo kuphela kodwa inokunceda ukunciphisa iimpawu ezinjengeentlungu ezinxulumene nomqolo ongezantsi. Unyango olungazenzisiyo lunokunceda ekunciphiseni iintlungu ezisezantsi kwaye lusebenza kakuhle kubantu abaninzi kubandakanya nabantu abasebenzayo. Unyango olufana ne-acupuncture, ukhathalelo lwe-chiropractic, kunye nokudodobala komqolo kuneendlela ezahlukeneyo kunye neendlela zokubonelela isiqabu kwiintlungu kubantu abaninzi abajongana neentlungu ezisezantsi. Ukwazi ukuxhaphaka kwee-pathologies ezininzi zeentlungu ezisezantsi, imbali ecacileyo, kunye nokuhlolwa kokuhlolwa komzimba kuvumela oogqirha ukuba bachaze ngokuchanekileyo nangokukhawuleza izizathu eziqhelekileyo zentlungu ephantsi. ( Kinkade, 2007 ) Oku kuya kubanika ukuqonda okungcono ukuba luhlobo luni lonyango lwentlungu ephantsi abayidingayo ukubuyisela ukuhamba kwimizimba yabo.
Ukhathalelo lweChiropractic
Ukhathalelo lweChiropractic lunyango olungenakuhlinzwa olubandakanya ukuphathwa ngesandla kunye noomatshini ukulungelelanisa umzimba ngaphandle kwe-subluxation kwiintlungu ezisezantsi. Ukhathalelo lweChiropractic lunokufakwa kwisicwangciso sonyango somntu kunye nentlalontle njengoko inokunceda ukuphucula intlungu kunye nokukhubazeka okuhambelana neentlungu ezisezantsi. ( Bussieres et al., 2018 ) I-Chiropractors idibanisa iindlela ezahlukeneyo zokwelula kunye nokuqinisa imisipha ebuthakathaka ejikeleze umqolo ophantsi kunye nokunciphisa intlungu ephantsi kunye nokukhubazeka. ( Vining et al., 2020 ) Ukunyamekela kwe-Chiropractic kunokusebenza kunye nezinye iindlela zonyango zokunciphisa amathuba okuba neentlungu ezisezantsi ekubuyeni.
Ukunciphisa Umzimba
Ukunyanzeliswa komgogodla lolunye uhlobo lonyango olungenalo utyando olunokunceda i-lumbar spine ngokusebenzisa i-traction ethambileyo kunye nokunceda ukuxinzelela i-spinal discs echaphazelekayo ekubangeleni intlungu yomqolo. Ukunyanzeliswa komgogodla kunokunciphisa iimpawu ezibhekiselele kwiintlungu ezivela kwiingcambu ze-nerve ezibandakanyeka kwingingqi ye-lumbar ngelixa i-rehydrating discs ye-herniated. Ukudodobala komqolo kunokunceda abantu abaninzi ukuba babe noluhlu lwe-lumbar lokushukuma ngasemva kwaye baphucule iintlungu zabo kunye nonyamezelo ngelixa bebuyisela umgangatho wobomi babo. ( U-Amjad et al., ngo-2022 ) Njengokunakekelwa kwe-chiropractic, ukunyanzeliswa komgogodla kunokudibaniswa kunye nezinye iindlela zokwelapha ukuqinisa imisipha ejikelezayo kunye nemigqa.
Ukwenza i-Acupuncture
Ngeentlungu ezisezantsi zomqolo ziyingxaki eqhelekileyo kubantu abaninzi, ngamanye amaxesha inokuba kungenxa yeengcambu zemithambo-luvo ezinobungozi ecaleni kwezihlunu ezingqongileyo ezibangela iintlungu ezibangelwayo ezihambelana neentlungu ezisezantsi. Xa oko kusenzeka, abantu abaninzi baya kufuna i-acupuncture ukunciphisa intlungu kunye nokuphucula umgangatho wobomi babo. ( Baroncini et al., 2022 ) I-acupuncture inokunciphisa iziphumo ezivuthayo ezibangelwa ukuvuvukala okuhambelana neentlungu ezisezantsi kwaye kunokunyusa ukuhamba kwi-joint sacroiliac ukuphucula ukuhamba. ( Sudhakaran, 2021 ) Ngokuxhomekeke kumthombo wentlungu emqolo, i-acupuncture inokunceda ukunciphisa intlungu kunye nokubonelela ngokukhululeka. Abantu abaninzi abafuna unyango kumqolo wabo osezantsi banokubandakanya olu nyango ukuphucula impilo yabo kunye nokubuyisela umgangatho wobomi babo.
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
Baroncini, A., Maffulli, N., Eschweiler, J., Molsberger, F., Klimuch, A., & Migliorini, F. (2022). I-acupuncture kwiintlungu ezingapheliyo ze-back back: i-Bayesian network meta-analysis. J Orthop Surg Res , 17 (1), 319. doi.org/10.1186/s13018-022-03212-3
Bussieres, A. E., Stewart, G., Al-Zoubi, F., Decina, P., Descarreaux, M., Haskett, D., Hincapie, C., Page, I., Passmore, S., Srbely, J. , Stupar, M., Weisberg, J., & Ornelas, J. (2018). I-Spinal Manipulative Therapy kunye nolunye unyango lwe-Conservative Treatment for Low Back Pain: Isikhokelo esivela kwi-Canadian Chiropractic Guideline Initiative. J Uluhlu lwePhysiol Ther , 41 (4), 265-293. doi.org/10.1016/j.jmpt.2017.12.004
Chenot, J. F., Greitemann, B., Kladny, B., Petzke, F., Pfingsten, M., & Schorr, S. G. (2017). Iintlungu eziNgenaNgcanga eziNgenaNgcanga. I-Dtsch Arztebl Int , 114 (51-52), 883-890. doi.org/10.3238/arztebl.2017.0883
UChou, R. (2021). Iintlungu ezisezantsi. Ann Intern Med , 174 (8), ITC113-ITC128. doi.org/10.7326/AITC202108170
Kinkade, S. (2007). Uvavanyo kunye nonyango lweentlungu ezibuhlungu ezisezantsi. Ugqirha wezeMerika waseMerika , 75 (8), 1181-1188. www.ncbi.nlm.nih.gov/pubmed/17477101
www.aafp.org/pubs/afp/issues/2007/0415/p1181.pdf
Sudhakaran, P. (2021). I-acupuncture ngenxa yeentlungu ezisezantsi. Med Acupunct , 33 (3), 219-225. doi.org/10.1089/acu.2020.1499
Vining, R., Long, C. R., Minkalis, A., Gudavalli, M. R., Xia, T., Walter, J., Coulter, I., & Goertz, C. M. (2020). Imiphumo yoLondolozo lweChiropractic kuMandla, iBalance, kunye nokunyamezela kwi-Active-Duty yase-US yaBasebenzi be-Military kunye neentlungu ezisezantsi: Uvavanyo olulawulwa ngokungahleliwe. J Enye into yokuGqibezela iMed , 26 (7), 592-601. doi.org/10.1089/acm.2020.0107
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 Chiropractic , Ubuhlungu Bokubuyisela , entanyeni Pain , Unyango lokuthotywa koMnqonqo , Ucoceko loMgcini , Unyango , I-Viscerosomatic Reflex
Ngaba abantu abajongene neentlungu zentamo kunye nomqolo bangafumana isiqabu abasidingayo kwiziphumo zonyango loxinzelelo lomgogodla?
intshayelelo
Ehlabathini lonke, abantu abaninzi bajongana neentlungu zentamo okanye umva ngenxa yokuhlala okanye ukuma ngokugqithisileyo, ukungahambi kakuhle, okanye ukuphakamisa izinto ezinzima ezenza ukuba umqolo kunye nezihlunu zabo zihlale zibuhlungu. Ekubeni umzimba uhamba rhoqo, umgudu unyanzeliswa ngokunyakaza okuphindaphindiweyo okunokubangela ukuba iidiski zomgogodla ziphume kwindawo yazo yangaphambili kwaye zikhulise iimbilini ezijikelezayo ukuze zenze iimpawu ezinjengeentlungu entanyeni nasemva. Abantu abaninzi baqala ukukhalaza malunga neentamo zabo kunye nomqolo obuhlungu kunye nokuziva iintlungu ezithunyelwe kwiindawo ezahlukeneyo kwiindawo eziphezulu kunye nezantsi zomzimba. Oku kunokusuka kwi-acute ukuya kwi-chronic, kuxhomekeke kubukhulu bentlungu. Xa abantu befumana ezi ngxaki zentlungu ye-musculoskeletal emizimbeni yabo, abaninzi baya kufuna unyango ukuze banciphise intlungu kwiintamo zabo kunye nomqolo ukuze babuyele kwimisebenzi yabo yemihla ngemihla. Yiyo loo nto, unyango olunje ngokudodobala komqolo lunokuba nefuthe elihle ekunikeni isiqabu esilufaneleyo abantu abaninzi. Inqaku lanamhlanje lijonga ukuba kutheni intamo kunye nomva emzimbeni womntu ziindawo ezibuhlungu eziqhelekileyo abantu abaninzi abanyamezelayo kunye nendlela ukunyanzeliswa komgogodla kunokunciphisa intamo kunye neentlungu zangasemva. Sithetha nababoneleli bezonyango abaqinisekisiweyo ababandakanya ulwazi lwezigulane zethu ukubonelela ngeendlela ezahlukeneyo zokukhulula intamo kunye neentlungu zentlungu ezivela emzimbeni. Sikwaxelela izigulana ukuba unyango olufana ne-decompression lunokunciphisa njani ukuphazamiseka kweentlungu ze-musculoskeletal ukusuka entanyeni nasemva. Sikhuthaza izigulane zethu ukuba zibuze imibuzo enzima kubaboneleli bethu bezonyango abahambelanayo malunga neempawu ezinjengeentlungu ezihlangabezana nazo ezihambelana nentamo kunye nomva. UDkt Alex Jimenez, D.C., usebenzisa olu lwazi njengenkonzo yezemfundo. isikhanyeli .
Kutheni iNtamo kunye neeNdawo eziQhelekileyo zentlungu?
Ngaba uziva ukuxinezeleka kwemisipha entanyeni yakho emva kokuba uzingelwe kwikhompyuter okanye kwifowuni yakho ixesha elide? Ngaba uziva iintlungu kunye neentlungu emqolo wakho emva kokuthwala okanye ukuphakamisa into enzima? Okanye ngaba uziva untyiloza okanye ungathi ndindisholo ezingalweni okanye emilenzeni yakho? Uninzi lwezi mpawu ezifana neentlungu zihlala zihambelana nentamo kunye neentlungu zangasemva ezinokuthi zibe yinkathazo kubantu abaninzi. Ngoko kutheni intamo kunye nomva womzimba womntu yizona ndawo zibuhlungu kakhulu abantu abaninzi emhlabeni jikelele? Abantu abaninzi abanemisebenzi enzima kakhulu bahlala besenza ukunyakaza okuqhelekileyo ngokuphindaphindiweyo, okubangela uxinzelelo kwimisipha ejikelezileyo, iigaments, kunye namalungu, kunye nezihlunu ze-accessory ziya kuqala ukusebenza ngokugqithiseleyo kwaye ziqinile. Iintlungu zentamo kunye neentlungu zezinye zezona zikhalazo zixhaphakileyo ezinxulumene neempawu ezinegalelo kumanqanaba aphezulu okulahleka kweentsuku zokusebenza, ukukhubazeka, kunye nokusetyenziswa kwezempilo. ( UCorwell noDavis, ngo-2020 ) Oku kubangela ukuba abantu abaninzi babe noxinzelelo olungafunekiyo lwezentlalo noqoqosho xa bendwendwela oogqirha babo bokuqala. Ukongezelela, iintlungu zentamo kunye neentlungu zibangelwa yi-non-neurologic kwi-musculoskeletal system; ezi zinokuvelisa intlungu kwimisipha, iintambo, iigaments, i-spinal discs, i-articular cartilage, kunye nethambo. ( UMeleger kunye noKrivickas, ngo-2007 ) Ukuza kuthi ga ngoku, xa iintlungu zentamo kunye neentlungu zingaphathwa ngokukhawuleza, kunokukhokelela ekunxibelelaneni kweempawu zentlungu ezingakhokelela kubomi bokukhubazeka. Ekubeni umqolo unezakhiwo ezininzi, ukusuka entanyeni ukuya kumqolo ongaphantsi, xa umntu ebuhlungu, kunokukhokelela kwiijeneretha zentlungu ezahlukahlukeneyo ezinokubangela intlungu ye-visceral. ( Patel et al., 2015 ) Kungenxa yoko le nto, iintlungu zentamo kunye nomqolo zinezinto ezininzi kwaye zikhokelela kwiziphazamiso ezininzi.
Xa kuziwa ekunciphiseni iintlungu zentamo kunye nomqolo emzimbeni, abantu abaninzi baya kufuna unyango ukuze bazikhulule kwiintlungu. Nangona kunjalo, oogqirha abaninzi abanonophelo oluphambili baya kuvavanya izigulane zabo ukuba babone ukuba yintoni imbangela yentlungu yabo ngokuthatha amanqaku emihla ngemihla. Izizathu ezininzi eziqhelekileyo zentamo kunye neentlungu zangasemva zinokubangelwa:
Ukuma kakubi istres Ukungasebenzi komzimba Ukwenzakala/Ukwenzakala Ukuhlala/ukuma ngokugqithisileyo Ukuphakamisa/ukuphatha izinto ezinzima
Ezi zizathu zingakhokelela kubomi bokukhubazeka kwaye zichaphazele umgangatho wobomi bomntu; nangona kunjalo, ngethamsanqa, abantu abaninzi baye baphanda kwaye bajonga unyango olungabizi kakhulu kwaye lunokunceda ukunciphisa intlungu abayifumanayo.
Ukuqonda iintlungu ezisezantsi zoBumva kwiVidiyo
VIDEO
Ngaba uziva iintlungu neentlungu entanyeni nasemqolo? Ngaba uziva uxinezelekile kwizihlunu zakho ezikwenza uzive ungonwabanga? Okanye ngaba uziva intlungu kwiindawo zakho eziphezulu okanye ezisezantsi ezichaphazela indlela yakho yemihla ngemihla? Uninzi lwezi meko zihambelana neentlungu zentamo kunye nomqolo, umcimbi oqhelekileyo abantu abaninzi abanamava. Ukuba ayiphathwa kwangoko, inokukhokelela kubomi bokukhubazeka kwaye, kubantu abasebenzayo, balahlekelwe lusuku lomsebenzi. Nangona kunjalo, abantu abaninzi bafuna unyango olungabizi kakhulu olunokunceda ukunciphisa intlungu echaphazela iintamo zabo kunye nomva. Unyango olufana nokhathalelo lwe-chiropractic, unyango lwe-traction, unyango lwe-massage, kunye ne-spinal decompression zonke azikho utyando, zifikeleleke, kwaye zinokunceda ukunciphisa iimpawu ezinjengeentlungu ezinxulumene nentamo kunye neentlungu zangasemva. Le vidiyo ingentla ichaza izizathu zeentlungu ezisezantsi ezifundweni kunye nendlela unyango olungasebenzisi utyando olufana nokhathalelo lwe-chiropractic lunokusebenza kunye nonyango olongezelelweyo ukukhusela umva kunye neentlungu zentamo ukuba zibuye. Kwangaxeshanye, xa abantu beqala ukunciphisa umthwalo wabo kwaye bazifundise ukuba benze ntoni ukuphepha iintlungu zentamo kunye nomqolo ekubuyeni, banokuqala ukuziva ngcono. ( Tyrdal et al., 2022 )
Iziphumo zoxinzelelo lweNtamo kunye neentlungu zomqolo
Njengenxalenye yonyango olungelulo utyando, ukudodobala komqolo kunokunceda abantu abaninzi abajongana neentlungu zentamo kunye nomqolo. Yintoni eyenziwa yi-spinal decompression idibanisa i-tracking ethambileyo kwi-spine ukuze idibanise i-spinal disc echaphazelekayo enokuthi idibaniswe nentamo kunye neentlungu zangasemva. Xa umqolo uphathwa ngoxinzelelo lwe-spinal decompression, ukutsalwa kwe-gravitational traction kunceda ukuvelisa indawo enkulu yediski kwi-spine ukunciphisa uxinzelelo lwe-intradiscal kunye neentlungu. ( Vanti et al., 2021 ) Oku kuvumela zonke izondlo kunye namanzi ukuba abuyele kumqolo kunye neediski zomgogodla ngelixa ekhuthaza inkqubo yokuphulukisa yendalo yomzimba.
Ukongeza, abantu abaninzi abanentamo kunye neentlungu zangasemva baya kuqala ukubona ukuncipha okukhulu kwiintlungu zabo kunye nokukhubazeka ngonyango olulandelelanayo. ( Vanti et al., 2023 ) Ngokubandakanya imikhwa enempilo yokunciphisa amathuba entamo kunye neentlungu zangasemva ekubuyeni, abantu abaninzi banokwenza utshintsho oluncinci kwindlela yabo yemihla ngemihla. Oku kubavumela ukuba babe nembono eyakhayo kwaye baqhubeke nohambo lwabo lwempilo kunye nokuba sempilweni.
Ucaphulo
UCorwell, B. N., kunye noDavis, N. L. (2020). UVavanyo oluNgxamisekileyo kunye noNyango lweNtamo kunye neeNhlungu zoBumva. Emerg Med Clin North Am , 38 (1), 167-191. doi.org/10.1016/j.emc.2019.09.007
Meleger, A. L., & Krivickas, L. S. (2007). Intamo kunye neentlungu zangasemva: ukuphazamiseka kwe-musculoskeletal. Iklinikhi yeNeurol , 25 (2), 419-438. doi.org/10.1016/j.ncl.2007.01.006
UPatel, V. B., Wasserman, R., & Imani, F. (2015). UNyango oluNgeneleleyo lweNzululwazi eNgenasiphelo eNgena Phantsi: Ukuphononongwa okuGxinileyo (Ukusebenza kunye neZiphumo). Anesth Pain Med , 5 (4), e29716. doi.org/10.5812/aapm.29716
Tyrdal, M. K., Veierod, M. B., Roe, C., Natvig, B., Wahl, A. K., & Stendal Robinson, H. (2022). Intlungu yentamo kunye ne-back back: Umahluko phakathi kwezigulane eziphathwayo kwiprayimari kunye nengcali yezempilo. J Rehabil Med , 54 , jrm00300. doi.org/10.2340/jrm.v54.363
Vanti, C., Saccardo, K., Panizzolo, A., Turone, L., Guccione, AA, & Pillastrini, P. (2023). Imiphumo yokongezwa kwe-mechanical traction kunyango lomzimba kwiintlungu ezisezantsi? Uphononongo olucwangcisiweyo kunye nohlalutyo lwemeta. Acta Orthop Traumatol Turc , 57 (1), 3-16. doi.org/10.5152/j.aott.2023.21323
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
isikhanyeli
by UGqr Alex Jimenez Umqolo obuhlungu , Chiropractic , Ubuhlungu obungapheliyo , Ubuhlungu Bokubuyisela , Unyango lokuthotywa koMnqonqo , Ucoceko loMgcini , Unyango , I-Viscerosomatic Reflex
Ngaba abantu banokufaka i-decompression ukunciphisa uxinzelelo lwe-spinal disc kumqolo wabo ophantsi ukubuyisela umgangatho wobomi babo?
intshayelelo
Umqolo unobudlelwane obumangalisayo kunye nomzimba womntu njengoko uyinxalenye ye-musculoskeletal system. Umqolo unamacandelo amaninzi avumela umzimba ukuba uhambe kwaye uncede uzinzise amaqela ahlukeneyo emisipha ejikeleze iindawo eziphezulu nezisezantsi. Xa umzimba uhamba, umqolo uqala ukucinezela i-spinal discs phakathi kwekholamu yomgogodla, onceda ukunciphisa umthwalo we-axial othe nkqo. Abantu abaninzi abanemisebenzi enzima kakhulu baya kusebenzisa iintshukumo eziphindaphindayo ezibangela ukuba i-spinal disc ihlale ixinzelelwe. Xa i-spinal disc iqala ukunyanzeliswa ngokuqhubekayo, inokuqhekeka ngokuhamba kwexesha ukusuka kuxinzelelo olukhulu. Iyakwazi ukunyusa i-nerve ejikelezileyo enokubangela ukuba iimpawu ezinjengeentlungu ezibhekiselele kwiindawo eziphezulu kunye nezantsi. Ukuza kuthi ga ngelo xesha, kunokukhokelela kubomi bokukhubazeka ukuba ayiphathwa ngoko nangoko. Ngethamsanqa, unyango oluninzi lunokunceda ukunciphisa uxinzelelo olukhulu olusuka kwi-spinal discs kunye nokunciphisa iimpawu ezinjengeentlungu ezivela kwiindawo eziphezulu kunye nezisezantsi. Inqaku lanamhlanje lijonga indlela uxinzelelo lomgogodla oluchaphazela ngayo umva ophantsi kunye nendlela ukuchithwa kwengcinezelo kunokunceda ukunciphisa uxinzelelo lomqolo kumqolo osezantsi. Sithetha nababoneleli bezonyango abaqinisekisiweyo ababandakanya ulwazi lwezigulane zethu ukubonelela ngezisombululo ezahlukeneyo zokunciphisa uxinzelelo lomgogodla kumqolo. Sikwaxelela izigulana ukuba unyango olufana ne-decompression lunokunciphisa njani uxinzelelo lwe-axial kumqolo osezantsi. Sikhuthaza izigulane zethu ukuba zibuze imibuzo enzima kunye nemfundo kubaboneleli bethu bezonyango abahambelanayo malunga neempawu ezinjengeentlungu abahlangabezana nazo ezihambelana noxinzelelo lomgogodla oluchaphazela umva wabo ophantsi. UDkt Alex Jimenez, D.C., usebenzisa olu lwazi njengenkonzo yezemfundo. isikhanyeli .
Ingaba Uxinzelelo loMnqongo luwuchaphazela njani umqolo ongezantsi?
Ngaba ukhe waziva naziphi na izihlunu okanye ukuqina kumqolo wakho ongaphantsi emva kokugoba ukuze uchole into? Kuthekani ngokuziva iintlungu ezibuhlungu kumqolo wakho ongezantsi ophumela entanyeni okanye emilenzeni yakho? Okanye ngaba uziva intlungu kwindawo enye yomqolo wakho ongahambiyo emva kokuphumla? Xa abantu abaninzi besentlungwini, kwaye amayeza asekhaya awaboneleli ngesiqabu esiwafaneleyo, banokuba bajongana noxinzelelo lomqolo oluchaphazela umqolo wabo. Xa abantu beqala ukwenza ukunyakaza okuphindaphindiweyo emizimbeni yabo, i-spinal disc iya kuqala ukuqhekeka kunye nokunciphisa ngokuxhomekeke kwimeko yokusingqongileyo intlungu ehambelana nayo.
Ngokumalunga noxinzelelo lomgogodla kumqolo ongaphantsi, i-disc iyancipha kwaye isengozini yokulimala. Xa kuziwa kuxinzelelo lomgogodla olunxulumene ne-disc herniation, kunokukhokelela kubantu abaninzi abajongene neentlungu ezisezantsi kwaye banokuchaphazela umgangatho wabo wobomi. Enye yeempawu ze-disc herniation ezihambelana noxinzelelo lomgogodla kukuba ukufuduka kwe-spinal disc kunokubangela intlungu kunye nokukhubazeka kumqolo ngenxa yokulimala okubuhlungu okanye utshintsho olubi ngenxa yenkqubo yokuguga kwendalo. ( Chu et al., 2023 ) Xa besebenza, abantu ngabanye babeka uxinzelelo oluqhubekayo kwimiqolo yabo, enokukhawuleza ukuphuhliswa kweentlungu ezisezantsi.
Ukongeza, xa kukho uxinzelelo olukhulu lomqolo kumqolo, imiba emininzi efana neentlungu abantu abangaqhelekanga ukuba nayo iya kuqala ukuvela. Oku kubangelwa ukufuduka okugxilwe kwi-disc ye-intervertebral engaphezulu komda oqhelekileyo womqolo kwaye icinezele ingcambu enye okanye ngaphezulu, enokubangela ukuba imiba ye-musculoskeletal ivele. ( Trager et al., 2022 ) Oku, kubangele, kubangela iintlungu ezibuhlungu kwiindawo eziphezulu kunye nezisezantsi zomzimba, ukuphazamiseka kwengqondo, ubuthathaka bemisipha, kunye nokunciphisa i-reflexes ye-muscle njengempawu ezibuhlungu kwi-back back. Kwangaxeshanye, xa abantu besiva iintlungu ezisezantsi ezinxulunyaniswa noxinzelelo lomqolo, izihlunu zabo zeloli zinokuthambeka okungaqhelekanga xa behleli, bemile kwaye behamba. ( Wang et al., 2022 ) Xa oku kusenzeka, kunokubangela ukuba bahlakulele ukuma kakubi, kwaye xa bemi nkqo, baya kuva iintlungu emqolo ongezantsi ngenxa yemisipha yelori ebuthathaka. Nangona kunjalo, kukho iindlela zokunciphisa uxinzelelo lomgogodla ekunyanzeliseni iingcambu ze-nerve ezichaphazela umqolo ophantsi.
Indlela engeyiyo Utyando kwiVidiyo yeMpilo-ntle
VIDEO
Xa bekhangela unyango olululo, abantu abaninzi bafuna ukukhangela into engabizi kakhulu kwaye ithomalalise iintlungu zabo. Unyango olungasebenzisi utyando lunendleko kwaye lusebenzisa iindlela ezahlukeneyo zokunceda ukunciphisa iintlungu ze-musculoskeletal ngokusebenzisa iintshukumo zoomatshini kunye nezandla ukuqinisa izihlunu ezibuthathaka, ukunciphisa uxinzelelo lomgogodla kwidiski, kunye nokunceda ukulungelelanisa umzimba ukukhuthaza iipropati zokuphilisa. Le vidiyo ingasentla ibonisa indlela unyango olungasebenzisi utyando olufana nokhathalelo lwe-chiropractic lunokunceda abantu abaninzi ukuba bafumane unyawo lwabo ekunene kuhambo lwabo lwezempilo kunye nempilo. Ngelo xesha, ukunyanzeliswa komgogodla lolunye uhlobo lonyango olungenalo utyando njengoko lubandakanya i-traction ethambileyo kumqolo wokunciphisa uxinzelelo lwe-intervertebral ngexesha elisebenzayo kunye ne-passive traction. ( Andersson et al., 1983 ) Xa umgudu utsalwa ngobumnene, i-disc ye-herniated iqala ukubuyela kwindawo yayo yasekuqaleni ibuyele kumqolo, emva koko ivumela ulwelo kunye nezondlo ukuba zibuyele kwi-disc kwaye zibuyisele kwakhona.
I-Decompression Ukunciphisa uxinzelelo loMnqonqo kumqolo osezantsi
Ke, ukunyanzeliswa komgogodla kunceda njani ukunciphisa uxinzelelo lwediski kumqolo xa ujongana neentlungu ezisezantsi? Njengoko bekutshiwo ngaphambili, ukudodobala komgogodla kubandakanya ukutsalwa okuthambileyo kumqolo ukuze utsalwe ngobunono ukolula izihlunu ezibuthathaka kumqolo osezantsi. Oku kubangela ubudlelwane obuphambeneyo njengoko uxinzelelo ngaphakathi kwe-nucleus pulposus yediski ye-herniated inokunceda ukuphucula i-posture kubantu abaninzi abaneentlungu ezisezantsi. (Ramos & Martin, 1994) Ngokufanayo, xa abantu abaninzi bebandakanya ukudambisa kunye ne-chiropractic, intlungu yentlungu iyancipha ngokuphawulekayo kuwo onke amalungu omzimba, kwaye abantu abaninzi baya kuqala ukuva ukukhululeka okubafaneleyo. ( Ljunggren et al., 1984 ) Xa abantu abaninzi bemamela imizimba yabo kwaye bafumane unyango olubafaneleyo, baya kuqalisa ukuqaphela indlela ukudambisa okunokunceda ngayo ukubuyisela imizimba yabo kunye nokuphucula impilo yabo.
Ucaphulo
Andersson, GB, Schultz, AB, & Nachemson, AL (1983). Uxinzelelo lwe-intervertebral disc ngexesha lokutsalwa. Scand J Rehabil Med Suppl , 9 , 88-91. www.ncbi.nlm.nih.gov/pubmed/6585945
Chu, E. C., Lin, A., Huang, K. H. K., Cheung, G., & Lee, W. T. (2023). I-Disc Emandundu Herniation Mimics Spinal Tumor. Cureus , 15 (3), e36545. doi.org/10.7759/cureus.36545
Ljunggren, AE, Weber, H., & Larsen, S. (1984). I-autotraction versus manual traction kwizigulane ezine-prolapsed lumbar intervertebral discs. Scand J Rehabil Med , 16 (3), 117-124. www.ncbi.nlm.nih.gov/pubmed/6494835
Ramos, G., & Martin, W. (1994). Iziphumo ze-vertebral axial decompression kuxinzelelo lwe-intradiscal. J Neurosurg , 81 (3), 350-353. doi.org/10.3171/jns.1994.81.3.0350
Trager, R. J., Daniels, C. J., Perez, J. A., Casselberry, R. M., & Dusek, J. A. (2022). Umbutho phakathi kwe-chiropractic spinal manipulation kunye ne-lumbar discectomy kubantu abadala abane-lumbar disc herniation kunye ne-radiculopathy: isifundo se-retrospective cohort usebenzisa idatha yase-United States. BMJ Open , 12 (12), e068262. doi.org/10.1136/bmjopen-2022-068262
Wang, L., Li, C., Wang, L., Qi, L., & Liu, X. (2022). I-Sciatica-Related Spinal Imbalance in Lumbar Disc Herniation Patients: Iimpawu zeRadiological and Recovery Emva kwe-Endoscopic Discectomy. J Iintlungu Res , 15 , 13-22. doi.org/10.2147/JPR.S341317
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