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 , Disc Disc , Ubuhlungu Bokubuyisela , Unyango lokuthotywa koMnqonqo , Ucoceko loMgcini , Unyango , I-Viscerosomatic Reflex
Ngaba abantu abaneentlungu ze-herniated ezinxulumene neentlungu ezisezantsi bangafumana isiqabu ngokudodobala komqolo ukubuyisela ukuhamba?
intshayelelo
Abantu abaninzi emhlabeni jikelele baye bafumana intlungu kwingingqi yangasemva kwaye bahlala bekhalaza ukuba kuchaphazela ukuhamba kwabo xa besenza indlela yabo eqhelekileyo. Inkqubo ye-musculoskeletal inemisipha eyahlukeneyo, izicubu ezithambileyo, amalunga, iigaments, kunye namathambo anceda ukujikeleza umqolo kunye nokukhusela izitho ezibalulekileyo. Umqolo uqukethe amathambo, amalungu, kunye neengcambu zemithambo-luvo ezinobudlelwane obubalaseleyo kunye nenkqubo ye-nervous central kunye ne-musculoskeletal system njengoko intambo yomgogodla ikhuselwe ngamalunga omgogodla kunye neediski ezineengcambu zemithambo-luvo zisasazekile kwaye zinceda ukubonelela nge-sensory-motor. umsebenzi ukuya kwiziphelo eziphezulu nezisezantsi. Xa ii-pathogens ezahlukeneyo okanye izinto ezisingqongileyo ziqala ukubangela ukuba umqolo ucinezele i-spinal discs rhoqo, kunokukhokelela kwi-herniation kunye nokuchaphazela ukuhamba komzimba ngexesha. Abantu, abancinci nabadala, baya kuqaphela ukuba iintlungu azihambi kumayeza asekhaya kwaye kusenokufuneka bafune unyango ukuba iintlungu zininzi kakhulu. Nangona kunjalo, kunokukhokelela ekujonganeni noxinzelelo olungeyomfuneko xa ukhangela unyango olufikelelekayo. Inqaku lanamhlanje lijonga indlela i-herniation enokuchaphazela ngayo ukuhamba okuphantsi komva kunye nendlela unyango olufana ne-decompression lunokunceda ukubuyisela umqolo. Sithetha nababoneleli bezonyango abaqinisekisiweyo ababandakanya ulwazi lwezigulane zethu ukubonelela ngezisombululo ezahlukeneyo zokubuyisela ukuhamba okuphantsi komqolo. Sikwaxelela izigulana ukuba unyango olufana noxinzelelo lunokubuyisela njani ukuhamba komqolo emzimbeni. Sikhuthaza izigulane zethu ukuba zibuze imibuzo enzima kunye nemfundo kubaboneleli bethu bezonyango abahambelanayo malunga neempawu ezinjengeentlungu ezihlangabezana nazo ezihambelana ne-disc herniation echaphazela umqolo. UDkt Alex Jimenez, D.C., usebenzisa olu lwazi njengenkonzo yezemfundo. isikhanyeli .
I-Disc Herniation echaphazela ukuhamba ngasemva
Ngaba uhlala ufumana ukuqina okanye ukuhamba okulinganiselweyo kumqolo wakho osezantsi obangela ukuba uhambe kancinci kancinci kunesiqhelo? Ngaba uziva iintlungu kwizihlunu zakho ezisezantsi ukusuka ukolula okanye ukugoba ukuze uchole into? Okanye ngaba uziva ndindisholo okanye ukuntyiloza ezantsi kwemilenze yakho eziva ingakhululekanga? Xa abantu abaninzi beqala ukwenza iintshukumo eziphindaphindayo, oko kunokubangela ukuba iidiski zomnqonqo zicinezele ngokuhamba kwexesha kwaye ekugqibeleni zibe yi-herniated. Xa abantu abaninzi besebenza ngokugqithisileyo imizimba yabo, iidiski zabo zomgogodla zinokuqhekeka ekugqibeleni, zibangele ukuba indawo engaphakathi iphume kwaye icinezele ingcambu yemithambo-luvo ejikelezileyo. Oku kubangela ukuba i-disc ye-disc ibe ne-cyst ephakathi kwe-ballon-type ebangela ukuba utshintsho olubi, olukhokelela kwiintlungu ezisezantsi kunye ne-herniation. ( UGe et al., 2019 )
Ngexesha elifanayo, xa abaninzi abantu beqala ukujongana neentlungu ezisezantsi kwiidiski ze-herniated, baya kuqala ukulahlekelwa ukuhamba kwimihlaba yabo ephantsi. Oku kunokubangelwa zizihlunu zesisu ezibuthathaka ezidityaniswe nokuhamba okulinganiselweyo. Xa abantu abaninzi bengenazo izihlunu eziqinileyo zokubonelela ngenkxaso kunye nokuhamba kwimihlana yabo ephantsi, inokuqala ngeentlungu ezilula zemisipha, ezikhokelela kwiintlungu ezisezantsi ezisezantsi ngaphandle kwonyango kwaye zichaphazele kakubi umgangatho wobomi babo. ( Chu, 2022 ) Nangona kunjalo, ukujongana neentlungu ezisezantsi akufuneki kube nzima njengoko unyango oluninzi lunokunciphisa imiphumo yeentlungu ezisezantsi ezihambelana ne-disc herniation ngelixa ubuyisela ukuhamba komqolo ophantsi.
INzululwazi yeVidiyo eshukumayo
VIDEO
Ngaba uke wafumana ama-aches angenakubuzwa avela kumqolo wakho ongaphantsi kwaye ahambe emilenzeni yakho? Ngaba uziva uqina xa ugoba ukuze uchole into ebangela ubunzima bemisipha kumqolo wakho ongezantsi? Okanye ngaba uziva iintlungu kumqolo wakho ongaphantsi ukusuka ekuhlaleni ngokugqithisileyo okanye ukuma? Xa abantu abaninzi bejongene nale miba efana neentlungu kumqolo wabo ophantsi, kunokukhokelela kubomi bokukhubazeka ngelixa kuchaphazela umgangatho wobomi babo. Oku kubangelwa i-disc herniation echaphazela ukuhamba komntu osezantsi kwaye, xa ingaphathwa ngokukhawuleza, kunokukhokelela kwimiba engapheliyo. Nangona kunjalo, abantu abaninzi baya kufuna unyango kwiintlungu zabo ezisezantsi kwaye bafumane isiqabu abasidingayo. Uninzi lweendlela zonyango ezidityanisiweyo kunye nonyango olungelulo utyando lunokunceda ukubuyisela izihlunu ze-trunk ezibuthathaka ukuzinzisa umva ophantsi ngcono kwaye uncede ukunciphisa iintlungu ezisezantsi. ( Hlaing et al., 2021 ) Xa abantu beqala ukucinga ngempilo yabo kunye nokuphila kakuhle, ngakumbi xa bejongene neentlungu ezisezantsi ezichaphazela ukuhamba kwabo, baya kufumanisa ukuba uninzi lweentlungu zivela kwizinto eziqhelekileyo, eziphindaphindiweyo ezibangela ukuba i-spinal disc yabo ixinzelelwe kwaye i-herniated. Ngenxa yoko, ukusebenzisa i-traction kwi-lumbar spine kunokunceda ukunciphisa i-lumbar disc protrusion ebangela intlungu ephantsi. ( UMateyu, ngo-1968 ) Unyango olufana nokhathalelo lwe-chiropractic, unyango lwe-traction, kunye nokuchithwa komgogodla zizo zonke unyango olungenalo utyando olunendleko kwaye luthambile kumqolo. Banceda ukulungelelanisa umzimba kwaye bancede ukukhaba ukuqala into yokuphilisa yendalo yomzimba ukubuyisela kwakhona iidiski zomgogodla. Xa abantu abaninzi beqala ukwenza unyango oluqhubekayo ukunciphisa iintlungu zabo ezisezantsi ezinxulumene neediski ze-herniated, baya kuqala ukubona ukuphuculwa kokuhamba komgogodla kunye neentlungu zabo ziyancipha. Jonga le vidiyo ingentla ukujonga indlela unyango olungenalo utyando lunokunceda ukubuyisela ukuhamba emzimbeni kunye nokunciphisa iimpawu ezinjengeentlungu.
Ukunciphisa Ukubuyisela Umqolo
Xa kuziwa ekunciphiseni iimpawu ezinjengeentlungu ezibangelwa yi-disc herniation ebangela ukuhamba okulinganiselwe kunye neentlungu ezisezantsi, ukunyanzeliswa komgogodla kunokuba yimpendulo abantu abaninzi abayifunayo ukuba bafake kwimpilo yabo kunye nendlela yokuphila kakuhle. Ekubeni i-lumbar herniated spinal discs yimbangela eqhelekileyo yeentlungu ezisezantsi kunye ne-radiculopathy, ukunyanzeliswa komgogodla kunokunceda ukutsala ngobumnene i-disc ye-herniated kwindawo yayo yokuqala ukukhuthaza ukuphilisa. Ekubeni i-spinal decompression kunye ne-lumbar traction iyingxenye yonyango lwe-physiotherapy, inokunceda ukunciphisa ubunzima beentlungu ukusuka kumqolo kunye nokunciphisa ubukhulu bediski ye-herniated. ( I-Choi et al., 2022 ) Xa abantu abaninzi beziva bekhululekile kutsalo oluthambileyo ukusuka kuxinzelelo lomqolo, baya kuqaphela ukuba ukuhamba kwabo kubuyile. Emva konyango olulandelelanayo, intlungu yabo iya kuncipha njengoko i-spinal disc yabo iphiliswa ngokupheleleyo. ( UCyriax, ngo-1950 ) Ngabantu abaninzi abafuna unyango oluninzi lokunciphisa iintlungu zabo ezisezantsi kunye nokubuyisela ingqondo yabo yobomi, ukudibanisa olu nyango kunokubonelela ngeziphumo eziluncedo kwinkqubo yabo ye-musculoskeletal system.
Ucaphulo
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
Chu, E. C. (2022). I-aneurysm enkulu ye-aortic yesisu eboniswe kunye ne-concomitant acute lumbar disc herniation - ingxelo yecala. J Med Ubomi , 15 (6), 871-875. doi.org/10.25122/jml-2021-0419
Cyriax, J. (1950). Ukunyangwa kwezilonda zediski ye-lumbar. Br Med J , 2 (4694), 1434-1438. doi.org/10.1136/bmj.2.4694.1434
Ge, CY, Hao, DJ, Yan, L., Shan, LQ, Zhao, QP, He, BR, & Hui, H. (2019). Intradural Lumbar Disc Herniation: Ingxelo yeNgxelo kunye noPhononongo loNcwadi. Clin Interv Ukuguga , 14 , 2295-2299. doi.org/10.2147/CIA.S228717
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
Matthews, J. A. (1968). Dynamic discography: isifundo se-lumbar traction. U-Ann Phys Med , 9 (7), 275-279. doi.org/10.1093/rheumatology/9.7.275
isikhanyeli
by UGqr Alex Jimenez Umqolo obuhlungu , Chiropractic , Ubuhlungu obungapheliyo , Injury , Unyango lokuthotywa koMnqonqo , Unyango , I-Viscerosomatic Reflex
Ngaba abantu abanengxaki yokungasebenzi kakuhle kwemithambo-luvo banokubandakanya ukunyibilika ngaphandle kotyando ukuze babuyisele umsebenzi wokushukuma emizimbeni yabo?
intshayelelo
Ikholamu yomgogodla kwi-musculoskeletal system iquka amathambo, amalunga, kunye neentsholongwane ezisebenza kunye nemisipha eyahlukeneyo kunye nezicubu ukuqinisekisa ukuba intambo yomgogodla ikhuselwe. Intambo yomgogodla yinxalenye yenkqubo ye-nervous central apho iingcambu ze-nerve zisasazwa kwiindawo eziphezulu kunye nezisezantsi zomzimba ezibonelela ngemisebenzi ye-sensory-motor. Oku kuvumela umzimba ukuba uhambe kwaye usebenze ngaphandle kweentlungu okanye ukuphazamiseka. Nangona kunjalo, xa umzimba kunye nomnqonqo uguga okanye xa umntu ejongene nokulimala, iingcambu zemithambo-luvo zinokucaphuka kwaye zibangele iimvakalelo ezingaqhelekanga ezifana nokuba ndindisholo okanye ukubetha, okuhlala kuhambelana neentlungu zomzimba. Oku kunokubangela umthwalo wentlalo noqoqosho kubantu abaninzi kwaye, ukuba akunyangwa ngokukhawuleza, kunokukhokelela kwiintlungu ezingapheliyo. Ukuza kuthi ga ngoku, kunokukhokelela kubantu abaninzi abajongana neentlungu zomzimba ezinxulunyaniswa nokungasebenzi kakuhle kwemithambo-luvo. Oku kubangela ukuba abantu abaninzi abajongene nengxaki ye-musculoskeletal baqale ukukhangela unyango. Inqaku lanamhlanje liphonononga indlela ukungasebenzi kakuhle kwemithambo-luvo okuchaphazela ngayo imida kunye nendlela ukudambisa okungekho tyando kunokunceda ngayo ukunciphisa ukungasebenzi kakuhle kwemithambo-luvo ukuvumela ukushukuma ukubuyela kumalungu aphezulu nasezantsi. Sithetha nababoneleli bezonyango abaqinisekisiweyo ababandakanya iinkcukacha zezigulana zethu ukubonelela ngezisombululo ezingezizo utyando ezifana nokuthomalalisa ukunceda abantu abanengxaki yemithambo-luvo. Sikwaxelela izigulane ukuba ukuchithwa kwe-non-surgical decompression kungabuyisela njani i-mobility-sensory ukuya kwiindawo eziphezulu kunye nezisezantsi. Sikhuthaza izigulana zethu ukuba zibuze imibuzo entsonkothileyo kunye nemfundo kubaboneleli bethu bezonyango abanxulumeneyo malunga neempawu ezinjengeentlungu abahlangabezana nazo ezihambelana nokungasebenzi kakuhle kwenzwa. UDkt Alex Jimenez, DC, usebenzisa olu lwazi njengenkonzo yezemfundo. isikhanyeli .
Indlela iNerve Dysfunction echaphazela ngayo iiNdawo
Ngaba uziva ukuntyiloza okanye ukuziva ndindisholo ezandleni okanye ezinyaweni zakho ezingafuni ukuhamba? Ngaba uziva iintlungu kwiindawo ezahlukeneyo zomqolo ezinokuthi zikhululeke kuphela ngokuzolula okanye ukuphumla? Okanye ngaba kubuhlungu ukuhamba imigama emide ovakalelwa kukuba kufuneka uphumle rhoqo? Iimeko ezininzi ezinjengeentlungu zihambelana nokungasebenzi kakuhle kwe-nerve sensory enokuthi ichaphazele iindawo eziphezulu kunye nezisezantsi. Xa abantu abaninzi befumana ukungasebenzi kakuhle kwemithambo-luvo kwaye bejongana neemvakalelo ezingaqhelekanga kwimida yabo, abaninzi bacinga ukuba kungenxa yeentlungu ze-musculoskeletal entanyeni, emagxeni, okanye ngasemva. Oku kuyingxenye yomcimbi, njengoko izinto ezininzi zokusingqongileyo zinokudibaniswa nentlungu ye-nerve ye-sensory, njengoko iingcambu ze-nerve zinyanzeliswa kwaye ziphazamisekile, ezibangela ukungasebenzi kakuhle kwe-nerve ye-sensory in the end. Ekubeni iingcambu zemithambo-luvo zisasazekile ukusuka kwintambo yomgogodla, ingqondo ithumela ulwazi lwe-neuron kwiingcambu zemithambo-luvo ukuvumela ukusebenza kwe-sensory-mobility in the top and low ends. Oku kuvumela umzimba ukuba uhambe ngaphandle kokungahambi kakuhle okanye intlungu kunye nokusebenza ngemisebenzi yemihla ngemihla. Nangona kunjalo, xa abantu abaninzi beqala ukwenza ukunyakaza okuphindaphindiweyo okubangela ukuba i-spinal disc ixinzelelwe rhoqo, kunokukhokelela kwi-disc ye-disc kunye ne-musculoskeletal disorders. Ekubeni iingcambu ezininzi ze-nerve zisasazeka kwiindawo ezahlukeneyo, xa iingcambu eziphambili ze-nerve zigqithiswa, zinokuthumela iimpawu zentlungu kumgca ngamnye. Ke, abantu abaninzi bajongana ne-nerve entrapment ekhokelela kumqolo osezantsi, i-buttock, kunye neentlungu zomlenze ezinokuchaphazela indlela yabo yemihla ngemihla. ( UKarl et al., ngo-2022 ) Ngexesha elifanayo, abaninzi abantu abane-sciatica bajongene nokungasebenzi kakuhle kwe-nerve sensory echaphazela amandla abo okuhamba. Nge-sciatica, inokudityaniswa ne-spinal disc pathology kwaye ibangela abantu abaninzi ukuba bafune unyango. ( Bush et al., 1992 )
Iimfihlo zeSciatica zityhiliwe-Ividiyo
VIDEO
Xa kuziwa ekujongeni unyango lokunciphisa ukungasebenzi kakuhle kwemithambo-luvo, abantu abaninzi baya kukhetha izisombululo ezingezizo utyando zokunciphisa iimpawu ezinjengeentlungu kunye nokunciphisa imiqondiso yentlungu ebangela ukuba iindawo eziphezulu nezisezantsi zibandezeleke. Izisombululo zonyango ezingaqhawukiyo ezifana nokuthotywa kwemithambo-luvo zinokunceda ukubuyisela ukusebenza kwemithambo-luvo ngokutsaleka ngokuthambileyo ngokubangela ukuba i-spinal disc ibeke ingcambu yemithambo-luvo eyingozi kwaye iqalise inkqubo yokuphilisa yendalo yomzimba. Ngexesha elifanayo, kunceda ukunciphisa ukuphazamiseka kwe-musculoskeletal ukusuka ekubuyeni. Le vidiyo ingasentla ibonisa indlela i-sciatica ehambelana nokungasebenzi kakuhle kwe-nervous sensory inokwehliswa ngonyango olungenalo utyando ukuvumela iziphelo zomzimba ukuba zive ngcono.
Ukunyanzeliswa ngokuNgekho kotyando kuNciphisa ukungasebenzi kakuhle kweNerve
Unyango olungazenzisiyo lunokunceda ekunciphiseni iintlungu ezisezantsi ezinxulunyaniswa ne-sensory nerve dysfunction ukubuyisela ukusebenza kwe-sensory-motor ukuya kwindawo ephezulu nasezantsi. Abantu abaninzi ababandakanya unyango olungazenzisiyo olunjengoxinzelelo lwengqondo njengenxalenye yempilo yabo kunye nendlela yokuphila kakuhle banokubona ukuphucuka emva konyango olulandelelanayo. ( I-Chou et al., 2007 ) Ukusukela oko uninzi lwabasebenzi bezempilo bebandakanya unyango olungaqhayisiyo olufana noxinzelelo kwimisebenzi yabo, kubekho ukuphucuka okukhulu kulawulo lweentlungu. ( Bronfort et al., 2008 )
Xa abantu abaninzi beqala ukusebenzisa i-decompression engenziwa ngotyando ngenxa yokungasebenzi kakuhle kwemithambo-luvo, abaninzi baya kubona ukuphucuka kwiintlungu zabo, ukuhambahamba, kunye nemisebenzi yabo yemihla ngemihla. ( Gose et al., 1998 ). Yiyiphi i-spinal decompression eyenza iingcambu ze-nerve kukuba inceda i-disc echaphazelekayo eyenza i-root root root, ikhuphe i-disc kwindawo yayo yokuqala, kwaye iyibuyisele kwakhona. ( URamos noMartin, ngo-1994 ) Xa abantu abaninzi beqala ukucinga ngempilo kunye nokuba sempilweni kwabo, unyango olungazenzisiyo lunokuba luncedo kubo ngenxa yeendleko zabo ezifikelelekayo kunye nendlela abanokudityaniswa ngayo nolunye unyango ukuze balawule ngcono iintlungu ezinxulunyaniswa nokungasebenzi kakuhle kwemithambo-luvo okuchaphazela iziphelo zemizimba yabo.
Ucaphulo
Bronfort, G., Haas, M., Evans, R., Kawchuk, G., & Dagenais, S. (2008). Ulawulo olunolwazi lobungqina bentlungu engapheliyo ye-back back kunye nokuguqulwa komgogodla kunye nokuhlanganisa. Umqolo J , 8 (1), 213-225. doi.org/10.1016/j.spinee.2007.10.023
Bush, K., Cowan, N., Katz, DE, & Gishen, P. (1992). Imbali yendalo ye-sciatica ehambelana ne-disc pathology. Uphononongo olulindelekileyo kunye nolandelelwano lwe-radiologic oluzimeleyo. Isihlwele (Phila Pa 1976) , 17 (10), 1205-1212. doi.org/10.1097/00007632-199210000-00013
Chou, R., Huffman, LH, American Pain, S., & American College of, P. (2007). Unyango lwe-Nonpharmacologic kwiintlungu ezibuhlungu kunye nezingapheliyo ezibuhlungu: ukuphononongwa kobungqina be-American Pain Society / American College of Physicians clinical practice guideline. Ann Intern Med , 147 (7), 492-504. doi.org/10.7326/0003-4819-147-7-200710020-00007
Gose, EE, Naguszewski, WK, & Naguszewski, RK (1998). Unyango lwe-axial decompression ye-Vertebral yentlungu ehambelana ne-disc ye-herniated okanye i-degenerated okanye i-facet syndrome: isifundo sesiphumo. Neurol Res , 20 (3), 186-190. doi.org/10.1080/01616412.1998.11740504
UKarl, HW, Helm, S., & Trescot, AM (2022). I-Superior and Middle Cluneal Nerve Entrapment: Isizathu seNzululwazi esezantsi kunye neRadicular. Ugqirha wezinhlungu , 25 (4), E503-E521. www.ncbi.nlm.nih.gov/pubmed/35793175
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
isikhanyeli
by UGqr Alex Jimenez Umqolo obuhlungu , Chiropractic , Ubuhlungu obungapheliyo , Ubuhlungu Bokubuyisela , Unyango lokuthotywa koMnqonqo , Unyango , I-Viscerosomatic Reflex
Ngaba abantu abaneentlungu ezisezantsi bangazifumana izisombululo zokungaqhawuki ukubuyisela ukuhamba kwe-lumbar kunye nokuzinza kumalungu asezantsi?
intshayelelo
Njengenye yeengxaki ezintathu eziphezulu eziqhelekileyo ukuba abaninzi abancinci nabadala banamava ngexesha elithile ebomini babo, iintlungu ezisezantsi zinokuba nefuthe elikhulu kwindlela yabo. Iintlungu zangasemva zihlala zibangelwa zizinto eziqhelekileyo ezifana nokuphakamisa izinto ezinzima, ukuhlala kwindawo yokulala, okanye ukungasebenzi ngokomzimba. Ngamanye amaxesha, inokuba ngenxa yokwenzakala okubuhlungu, ukuphazamiseka kwe-musculoskelet, okanye ukwenzakala emzimbeni. Xa abantu abaninzi bejongene neentlungu ezisezantsi, abaninzi baya kuhlala bethatha amayeza e-counter-counter ukunciphisa iimpawu ezifana neentlungu abazifumanayo. Nangona kunjalo, eso sisisombululo sexeshana, njengoko iintlungu zibuya ngokuphindaphinda okunokukhokelela kubomi bokukhubazeka. Ukuza kuthi ga ngoku, abantu abaninzi, ngakumbi abantu abadala abasebenzayo, kuya kufuneka bayeke umsebenzi ukuze banyangwe iintlungu zabo ezisezantsi. Oku kubangela umthwalo wentlalo noqoqosho kwabaninzi, kwaye kunokuba lusizi. Inqaku lanamhlanje liza kuphonononga ukuba yintoni ebangela iintlungu zangasemva kunye nendlela iingcebiso ezahlukeneyo zokungaqhawuki kunye namaqhinga anokunciphisa iintlungu ezisezantsi. Sithetha nababoneleli bezonyango abaqinisekisiweyo ababandakanya ulwazi lwezigulane zethu ukubonelela ngezisombululo ezininzi ezingezizo zokuhlinzwa ukunciphisa iintlungu ezisezantsi kubantu abaninzi. Sikwazisa izigulana zethu ngeengcebiso kunye namaqhinga okunciphisa iimpawu zentlungu eziqhelekileyo ezibangela imiba ye-lumbar. Sikhuthaza izigulane zethu ukuba zibuze imibuzo enzima kunye nemfundo kubaboneleli bethu bezonyango abahambelanayo malunga neempawu ezinjengeentlungu abahlangabezana nazo ezihambelana nomqolo ongaphantsi. UDkt Alex Jimenez, DC, usebenzisa olu lwazi njengenkonzo yezemfundo. isikhanyeli .
Yintoni Ebangela Iintlungu Zomqolo?
Ngaba uziva uqaqanjelwa rhoqo okanye iintlungu kumqolo wakho ongaphantsi emva kosuku olude lomsebenzi? Ngaba uziva uqina kwizihlunu zakho ezisezantsi ezibuhlungu xa usoluliwe? Okanye ngaba unentlungu engapheliyo yokuba awukwazi ukusebenza yonke imini? Uninzi lwezi meko abantu abahlangabezana nazo zihambelana neentlungu ezisezantsi. Ekubeni umva kwinkqubo ye-musculoskeletal yisakhiwo esiyinkimbinkimbi esinamathambo, amalunga, iigaments, kunye nezihlunu, sinokungena kwiinzame ezahlukeneyo, i-sprains, kunye neentlungu, ezikhokelela kwiintlungu ezisezantsi. Abantu abaninzi abajongene neentlungu zangasemva azichanekanga kwaye banokuchaphazela imeko yeediski ze-lumbar spinal. Xa abantu abaninzi benemisebenzi eyahlukeneyo yomzimba, baya kuba ne-disc engaqhelekanga kunye neentlungu ezisezantsi. ( Jensen et al., 1994 ) Ngelo xesha, abantu abaninzi baya kuqaphela ukuba uchungechunge lwe-sequelae luvelisa iimpawu ezahlukeneyo ezinjengeentlungu ezithathelwa ingqalelo kwaye zibangele ukulahlekelwa komsebenzi okuhambelana neentlungu ezibuhlungu okanye ezingapheliyo ezinokuthi zichaphazele imilenze ephantsi. ( Hoy et al., 2014 ) Ezinye zezinye izizathu zeentlungu ezisezantsi zingaba yimpawu ze-musculoskelet ezingakhokelela kubomi bokukhubazeka. ( Malik et al., 2018 Ngokuqhelekileyo, abantu abaninzi abajongene neentlungu ezisezantsi bayachacha; nangona kunjalo, emva kwexesha elithile, ukuphindaphinda kweentlungu ezisezantsi ziqhelekileyo xa ukunyakaza okufanayo okuphindaphindiweyo kwenziwa kwaye xa abantu ababenentlungu ephantsi kwiindibano zangaphambili baya kujongana neentlungu ezingapheliyo kunye nokukhubazeka. ( Hartvigsen et al., 2018 ) Ngethamsanqa, unyango oluninzi lunokunceda ukunciphisa intlungu, njengemiphumo yeentlungu ezisezantsi, ukunceda ukubuyisela ukuhamba kwi-lumbar spine, kunye nokuzinzisa imilenze ephantsi.
I-Diabetic Back Pain Ichazwe-Ividiyo
VIDEO
Ngaba uye wafumana ukuqina kwemisipha kunye neentlungu kumqolo wakho ophantsi ochaphazela amalungu akho angaphantsi? Ngaba uphakamise into enzima ebangela ukuba ucinezele izihlunu zakho zomqolo kwaye wenze kube nzima ukusebenza? Okanye ngaba ubugoba ukuze uchole into ethile okanye ubophe izihlangu zakho ukuze izihlunu zakho zomqolo zibe buhlungu? Xa abantu abaninzi bejongana neentlungu ezisezantsi kwezi meko zahlukeneyo, kunokukhokelela kubomi bokukhubazeka kunye nosizi xa bengaphathwa kwangoko. Kuba iintlungu ezisezantsi ngasemva ziyingxaki ye-musculoskeletal disorder, abantu abaninzi banoxilongo olwahlukileyo, olunokwenza kube nzima ukunyanga. ( UDeyo et al., ngo-1990 ) Nangona kunjalo, kukho iindlela ezininzi apho abantu abaninzi abajongene neentlungu ezisezantsi banokufumana isiqabu esibafaneleyo. Abantu abaninzi baya kuhlala befuna unyango olwahlukeneyo olunokunciphisa iintlungu ezisezantsi kwaye bancede baphinde baphinde bahambe kunye nomgogodla ukuze babuyele kwindlela yabo yemihla ngemihla. Ividiyo engentla ichaza indlela intlungu engasemva enokuthi idibaniswe ngayo nokuphazamiseka kwe-autoimmune njengesifo seswekile kunye nendlela ezahlukeneyo zonyango ezinokunceda ukunciphisa iimpawu ezinjengeentlungu.
Iingcebiso ezingezizo utyando kunye namaqhinga okunciphisa iintlungu ezisezantsi
Xa kuziwa ekunciphiseni kunye nokunyanga iintlungu ezisezantsi, abantu abaninzi baya kuqala ukufuna unyango lokunciphisa iintlungu zabo ezisezantsi. Abaninzi baya kuhlala besiya kunyango olungelulo utyando kuba lungabizi kakhulu kwaye lunokudityaniswa nolunye unyango ukuthomalalisa iintlungu ze-musculoskeletal. Unyango olungazenzisiyo lunokuvela kwi-spinal decompression kunye nokhathalelo lwe-chiropractic ukuya kunyango lomnqonqo. ( I-Chou et al., 2017 ) Xa abantu abaninzi befumana isiqabu kwiintlungu zabo ezisezantsi, ezinye iingcebiso kunye namaqhinga abantu abaninzi abanokuthi bazenze ukunqanda ukuba zingavuthi ziquka:
Ukugcina ubunzima obunempilo kunye nokutya Kancinci ukubandakanya imithambo Kuphephe ukwenza ixesha elide Tyala Lala kumatrasi oqinileyo Qhubeka nonyango olungelulo utyando ukunciphisa amathuba okubuya kweentlungu ezisezantsi Gcina ukuma kakuhle
Ngezi ngcebiso kunye namaqhinga, abantu abaninzi baya kuqala ukuqaphela iintlungu zabo ezisezantsi zokunciphisa kunye nokukhuthaza indlela yokuphila enempilo.
Ucaphulo
Chou, R., Deyo, R., Friedly, J., Skelly, A., Hashimoto, R., Weimer, M., Fu, R., Dana, T., Kraegel, P., Griffin, J., Grusing, S., & Brodt, ED (2017). I-Nonpharmacologic Therapy for Low Back Pain: Ukuphononongwa okuCwangcisiweyo kwiKholeji yaseMelika yeeGqirha zeKliniki yeSikhokelo sokuSebenza. Ann Intern Med , 166 (7), 493-505. doi.org/10.7326/M16-2459
Deyo, RA, Cherkin, D., & Conrad, D. (1990). IQela loVavanyo lweSiphumo sePain. Inkonzo yezempilo iRes , 25 (5), 733-737. www.ncbi.nlm.nih.gov/pubmed/2147670
www.ncbi.nlm.nih.gov/pmc/articles/PMC1065661/pdf/hsresearch00081-0050.pdf
Hartvigsen, J., Hancock, MJ, Kongsted, A., Louw, Q., Ferreira, ML, Genevay, S., Hoy, D., Karppinen, J., Pransky, G., Sieper, J., Smeets, RJ, Underwood, M., & Lancet Low Back Pain Series Working, G. (2018). Yiyiphi intlungu ephantsi kwaye kutheni kufuneka sinikele ingqalelo. Lancet , 391 (10137), 2356-2367. doi.org/10.1016/S0140-6736(18)30480-X
Hoy, D., March, L., Brooks, P., Blyth, F., Woolf, A., Bain, C., Williams, G., Smith, E., Vos, T., Barendregt, J., Murray, C., Burstein, R., & Buchbinder, R. (2014). Umthwalo wehlabathi jikelele weentlungu ezisezantsi: uqikelelo lwe-Global Burden of Disease 2010 study. Ann Rheum Dis , 73 (6), 968-974. doi.org/10.1136/annrheumdis-2013-204428
Jensen, MC, Brant-Zawadzki, MN, Obuchowski, N., Modic, MT, Malkasian, D., & Ross, JS (1994). I-Magnetic Resonance Imaging ye-Lumbar Spine kubantu abangenazo iintlungu emva. I-New England Journal of Medicine , 331 (2), 69-73. doi.org/10.1056/nejm199407143310201
Malik, KM, Beckerly, R., & Imani, F. (2018). I-Musculoskeletal Disorders i-Universal Source of Pain kunye noKhubazeko Ukungaqondwa kakuhle kunye nokuphathwa kakubi: Uhlalutyo olubalulekileyo olusekelwe kwiModeli yase-US yokunyamekela. Anesth Pain Med , 8 (6), e85532. doi.org/10.5812/aapm.85532
isikhanyeli
by UGqr Alex Jimenez Umqolo obuhlungu , Chiropractic , Ubuhlungu obungapheliyo , Disc Disc , Ubuhlungu Bokubuyisela , Unyango lokuthotywa koMnqonqo , Ucoceko loMgcini , Unyango , I-Viscerosomatic Reflex
Ngaba ababoneleli bezempilo banokunceda abantu abaninzi abane-lumbar disc degeneration bafumane isiqabu ngonyango lokuthomalalisa umqolo?
intshayelelo
Abantu abaninzi bahlala besenza intshukumo yemihla ngemihla enokuvumela umnqonqo ukuba ugobe, ujije, kwaye ujike ngeendlela ezahlukeneyo ngaphandle kokuziva iintlungu kunye nokungakhululeki. Nangona kunjalo, njengoko umzimba uguga, kunjalo nomgudu, njengoko i-spinal discs iqala inkqubo yendalo yokuncipha. Ekubeni i-spinal discs kwikholamu yomgogodla ithatha ubunzima boxinzelelo oluthe nkqo, izinza iindawo eziphezulu kunye nezisezantsi kwaye inikezela ukunyakaza. Ukuza kuthi ga ngoku, xa abantu abaninzi bebandezeleka ngenxa yokulimala okuhlukahlukeneyo okanye izinto ezisingqongileyo ezenza ukuba i-spinal disc ixinzelelwe, inokukhokelela kwimiba ephantsi ebangela intlungu kunye nokuphazamiseka xa umntu esenza umsebenzi. Kuba iintlungu ezisezantsi zomqolo ziyenye yeengxaki ezintathu ezixhaphakileyo abantu abaninzi kwihlabathi jikelele abaye bajongana nazo, inokuba ngumba wentlalo-qoqosho onokukhokelela kubomi bokukhubazeka kunye nosizi. Iintlungu ezisezantsi zihlala zihambelana ne-disc degeneration, kwaye i-ligaments ejikelezileyo kunye nezicubu ze-muscle zinokuchaphazela iindawo eziphezulu kunye nezantsi. Oku kubangela intlungu ebhekiswe kumaqela ahlukeneyo e-musculoskeletal, ebangela ukuba abantu abaninzi bafune unyango olungenakufikeleleka kuphela kodwa luyasebenza ekunciphiseni intlungu. Inqaku lanamhlanje lijonga i-anatomy ye-disc ye-lumbar, indlela i-disc degeneration ichaphazela ngayo i-lumbar spine, kunye nendlela ukuchithwa kwe-spinal decompression kunokunciphisa i-lumbar disc degeneration ekubangeleni intlungu ephantsi. Sithetha nababoneleli bezonyango abaqinisekisiweyo ababandakanya ulwazi lwezigulane zethu ukubonelela ngezicwangciso zonyango ezininzi zokunciphisa iimpawu ezinjengeentlungu ezinxulumene ne-lumbar disc degeneration ebangela intlungu ephantsi. Kwakhona siyazisa izigulane zethu ukuba kukho iindlela ezingezona zokuhlinzwa zokunciphisa le miba efana nentlungu ehambelana nokuguqulwa kwe-disc kunye nokubuyisela ukuhamba kwe-lumbar emzimbeni. 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 .
IAnatomy yeLumbar Disc
Ngaba uziva uxinezeleko okanye ukuqina kumqolo wakho ongaphantsi emva kokuvuka ekuseni? Ngaba uziva intlungu ngokukhawuleza okanye ngokuthe ngcembe ekugobeni ukuphakamisa into enzima echaphazela umqolo wakho ongaphantsi? Okanye ngaba uziva intlungu kwindawo enye okanye enye kumqolo wakho obangela intlungu kunye nokungahambi kakuhle kwindawo yakho ye-lumbar spinal? Uninzi lwale miba efana neentlungu zihlala zihambelana nokuncipha kwediski kunye neentlungu ezisezantsi. I-anatomy ye-spinal disc iquka izinto ezintathu ezisebenza kunye kwipatheni ethile ukuxhathisa amandla abekwe kwi-lumbar spine. ( UMartin et al., 2002 ) Ekubeni i-lumbar spine iyona nxalenye enkulu yomqolo, i-spinal disc isekela ubunzima bomzimba ophezulu ngelixa uzinzisa umzimba ophantsi. Nangona kunjalo, i-spinal disc iya kuncipha ngokuhamba kwexesha xa umzimba uguga. Ekubeni ukuwohloka kuyinkqubo yendalo, abantu abaninzi baya kuqala ukuziva beselula, nto leyo enokubangela imiba emininzi ngaphakathi kwi-lumbar spine.
Indlela iDisc Degeneration eyichaphazela ngayo iLumbar Spine
Xa i-disc degeneration iyenzeka kwi-lumbar spine, i-spinal disc iqala ukunciphisa umthamo, kwaye izondlo ezikhupha i-hydrate kwidiski ziqala ukucima kwaye zixinzelelwe. Xa i-disc degeneration ichaphazela i-lumbar spine, iingcambu ze-nerve ezivela kwinkqubo ephakathi zichaphazelekayo. Banokudibaniswa naliphi na iqela elithile leemeko ze-pathological ezinokucaphukisa iimbilini ezijikelezayo kwaye zivelise iimpawu ezinjengeentlungu. ( Bogduk, 1976 ) Ukuza kuthi ga ngelo xesha, oku kubangela intlungu echazwe kwimilenze ephantsi kunye neentlungu ezikhuphayo kwi-back back. Ngexesha elifanayo, i-glycosphingolipid antibodies isebenze kwi-immune system, ebangela imiphumo yokuvuvukala. ( Brisby et al., 2002 ) Xa abantu bejongene neentlungu ezisezantsi ezinxulumene ne-disc degeneration, abantu abaninzi baya kuziva bevalelekile kwi-back back, ebangela ukuhamba okulinganiselwe kunye nokuqina. Ngexesha elifanayo, i-muscle ejikelezileyo kunye nezicubu ezithambileyo zigqithise kwaye ziqiniswe. I-disc yomgogodla iya kuchaphazela i-nerve fibers ejikeleze umqolo, ekhokelela kwiintlungu ezisezantsi ze-nociceptive. ( Coppes et al., 1997 ) Nangona kunjalo, abantu abaninzi banokufumana unyango olukhoyo lokunciphisa iintlungu ezisezantsi ezihambelana nokunciphisa i-disc.
Isishwankathelo sokuDodobala koMnqonqo-Ividiyo
VIDEO
Ukunyanzeliswa koMnqonqo kunokunciphisa iLumbar Disc Degeneration
Abantu abaninzi banokufuna unyango olungenalo utyando lokunciphisa iintlungu ezisezantsi ezihambelana nokuguqulwa kwediski njengoko kubiza imali kwaye, ngonyango olulandelelanayo, unokuqalisa ukuziva ngcono. Olunye unyango olungelulo utyando olufana nokuthotywa komnqonqo lunokunceda ukubuyisela amanzi kwi-spinal disc ngokutsalwa kancinci kunye nokukhuthaza ukuphiliswa kwendalo. Ukunyanzeliswa komgogodla kunokuba yincwadana okanye kumatshini, usebenzisa uxinzelelo olubi lokunyusa ukuphakama kwediski. ( Vanti et al., 2021 ) Oku kuvumela abantu abaninzi ukuba beve isiqabu esibafaneleyo kwaye bazive ngcono ekuhambeni kwexesha. Ukunyanzeliswa komgogodla kunokunciphisa ukuchithwa kwe-disc, ukuzinzisa i-lumbar spine, kunye nokunceda ukubuyisela ukuhamba kwe-spinal back to the lower parts. ( UDaniel, ngo-2007 ) Xa abantu abaninzi beqala ukunyamekela imizimba yabo kunye nokunciphisa amathuba okuba neentlungu ezisezantsi ukusuka ekubuyeleni kubangele imiba emininzi ngasemva.
Ucaphulo
Bogduk, N. (1976). I-anatomy ye-lumbar intervertebral disc syndrome. UMedi J Aust , 1 (23), 878-881. www.ncbi.nlm.nih.gov/pubmed/135200
Brisby, H., Balague, F., Schafer, D., Sheikhzadeh, A., Lekman, A., Nordin, M., Rydevik, B., & Fredman, P. (2002). I-Glycosphingolipid antibodies kwi-serum kwizigulane ezine-sciatica. Isihlwele (Phila Pa 1976) , 27 (4), 380-386. doi.org/10.1097/00007632-200202150-00011
Coppes, MH, Marani, E., Thomeer, RT, & Groen, GJ (1997). Innervation yeediski "ezibuhlungu" ze-lumbar. Isihlwele (Phila Pa 1976) , 22 (20), 2342-2349; ingxoxo 2349-2350. doi.org/10.1097/00007632-199710150-00005
UDaniel, DM (2007). Unyango olungazenzisiyo lonyango lokuthomalalisa umqolo: ngaba uncwadi lwenzululwazi luxhasa amabango asebenzayo awenziwe kumajelo entengiso? Chiropr Osteopat , 15 , 7. doi.org/10.1186/1746-1340-15-7
UMartin, MD, Boxell, CM, & Malone, DG (2002). I-Pathophysiology ye-lumbar disc degeneration: ukuhlaziywa kweencwadi. Ukugxila kwe-Neurosurg , 13 (2), E1. doi.org/10.3171/foc.2002.13.2.2
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 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 Chiropractic , Ubuhlungu obungapheliyo , entanyeni Pain , Unyango lweentlungu , Unyango lokuthotywa koMnqonqo , Uncedo Lwezityalo , Unyango , I-Viscerosomatic Reflex
Ngaba iindlela ezahlukeneyo zonyango zinokubonelela ngesiqabu kubantu abane-syndrome enqamlezileyo ukubuyisela amandla emisipha?
intshayelelo
Abantu abaninzi bahlala bebandezeleka entanyeni nasehlombe ngenxa yokungahambi kakuhle, ukuphakamisa okungafanelekanga, iimeko ze-musculoskeletal, izingozi zemoto, i-whiplash, njl. oko kunokubangela iimpawu ezinjengeentlungu ezibangela ukungakhululeki kumntu ngamnye. Intamo, igxalaba, kunye neentlungu zangasemva zezona zinto zintathu zixhaphakileyo abantu abaninzi abaye bahlangabezana nazo. Ezi ziphazamiso ze-musculoskeletal nazo ziyakwazi ukuhambelana neemeko esele zikhona ngaphambili; abantu abaninzi baya kuva iintlungu kunye nokungakhululeki ngelixa bezama ukufumana isiqabu abasifunayo. Enye yezona zinto zixhaphakileyo abantu bahlala befumana i-syndrome ephezulu, enokuthi idibaniswe neentlungu zentamo kunye nehlombe. Inqaku lanamhlanje lichaza ukuba yintoni i-upper cross syndrome kunye nendlela echaphazela ngayo intamo kunye namagxa ngelixa iphinda idive kwindlela iindlela ezahlukeneyo zonyango ezifana nokunyanzeliswa komgogodla kunye nokunyamekela kwe-chiropractic kunokunciphisa imiphumo ye-syndrome ephezulu. Sithetha nababoneleli bezonyango abaqinisekisiweyo ababandakanya ulwazi lwezigulane zethu ukubonelela ngezicwangciso ezininzi zonyango zokunciphisa i-syndrome ephezulu entanyeni nasemagxeni. Kwakhona siyazisa izigulane zethu ukuba kukho iindlela ezininzi zonyango, ezifana nokunyamekela kwe-chiropractic kunye nokunyanzeliswa komgogodla, ukunciphisa intlungu yemisipha entanyeni nasemagxeni. Sikhuthaza izigulane zethu ukuba zibuze imibuzo enzima kunye nemfundo kubaboneleli bethu bezonyango abahambelanayo malunga neempawu ezinjengeentlungu ezihlangabezana nazo ezihambelana ne-upper-crossed syndrome. UDkt Alex Jimenez, DC, usebenzisa olu lwazi njengenkonzo yezemfundo. isikhanyeli
Yintoni Upper Crossed Syndrome?
Ngaba uye wajongana neentlungu zemisipha emagxeni okanye entanyeni emva kokuba usekhompyutheni ixesha elithile? Ngaba uziva ukuqina emagxeni akho okuba ukuwajikeleza kubangela isiqabu sexeshana? Okanye ngaba kubuhlungu xa ujika intloko ukusuka kwelinye icala ukuya kwelinye? Uninzi lwezi meko ezinjengeentlungu zihlala zihambelana ne-upper-cross syndrome. Abantu abaninzi abasoloko beqaphela ukuba i-upper crossed syndrome yimeko ye-musculoskeletal echaphazela intamo, ihlombe, kunye nezihlunu zesifuba kwaye zibangele ukuba zibe buthathaka kwaye ziqine ngenxa yokungahambi kakuhle. I-syndrome enqamlekileyo ephezulu ingabangela intlungu ebhekiswe kwiindawo eziphezulu, ezikhokelela kwiintloko ze-cervicogenic, uluhlu olunqamlekileyo lokunyakaza, i-trigger points kwi-muscle, kunye nokungalingani kwemisipha. ( Moore, 2004 ) Xa abantu abaninzi bejongene ne-syndrome ephezulu ngenxa yokungahambi kakuhle, kunokukhokelela kwimiba emininzi entanyeni nasemagxeni.
Ichaphazela Njani iNtamo & namagxa?
Ngoku, kutheni i-upper crossed syndrome ichaphazela intamo kunye namagxa? Abantu abaninzi babezingela bengazi xa bejonge iifowuni zabo, bekwikhompyuter, okanye bephumle ekhaya. Oku kubangela ukuba izihlunu ezithile entanyeni nasegxalabeni, njenge-serratus kunye nezihlunu eziphantsi ze-trapezius, zibe buthathaka ngelixa i-pectoral kunye nentamo yentamo iqinile. ( UChu & Butler, ngo-2021 ) Oku, kubangela ukuba amagxa ajikeleze kwaye azinge, okubangela ukuba intamo nentloko ziqhubele phambili. Xa abantu bejongana ne-upper crossed syndrome, abaninzi bahlala bekhalaza malunga neempawu ezinjengeentlungu ezinje:
Intloko Uxinzelelo lweNtamo Ubunzima bomzimba Intlungu ephezulu yomqolo Uluhlu oluthintelweyo lwesindululo Ukuba ndindisholo/Ukutshotshozela kweengalo
I-syndrome ye-upper crossed syndrome inokuthi yenzeke ngokuthe ngcembe ngokuhamba kwexesha kwaye ibangele ukunyanzeliswa kwe-nerve kwiindawo eziphezulu. Xa intamo ephezulu kunye nezihlunu zamagxa ziqala ukuchaphazela iingcambu zemithambo-luvo ejikelezileyo, nto leyo ekhokelela ekungasebenzi kakuhle kwe-nerve kwi-sensory and motor skills xa umntu ethatha into. ( U-Lee & Lim, ngo-2019 ) Nangona kunjalo, abaninzi abantu abajongene ne-syndrome ephezulu banokufuna unyango ukuze banciphise intlungu ye-muscle entanyeni nasemagxeni.
Isishwankathelo seUpper Crossed Syndrome- Ividiyo
VIDEO
Ekubeni i-upper cross syndrome yimeko ye-musculoskelet echaphazela intamo kunye namagxa, inokubangela ukungalingani kwemisipha kunye nentlungu kumntu. Abantu abaninzi, ngakumbi abakwibala elisebenzayo, bahlakulela esi sifo ngokuzingela ixesha elide. ( Mujawar & Sagar, 2019 ) Oku kubangela ukuba intloko ibe phambili ngakumbi, ukuma kwentamo ibe yinto egobileyo kwaye igobe, kwaye amahlombe abe ajikelezayo. Le vidiyo ingentla ichaza i-upper-crossing syndrome, izizathu zayo, kunye nendlela ephathwa ngayo.
Ukuthotywa koMnqongo Ukunciphisa i-Upper Crossed Syndrome
Unyango oluninzi lunokunceda ukubuyisela amandla emisipha kunye nokunciphisa intlungu ye-muscle entanyeni nasemagxeni. Unyango olufana ne-spinal decompression lunokunceda ukunciphisa i-syndrome ye-upper crossed ngokucotha usebenzisa i-traction ethambileyo ukuya kwindawo yomlomo wesibeleko kunye nokwelula ngobunono imisipha yentamo ukuze unike uncedo. Ukudodobala komqolo lolunye lonyango olungasebenzisi utyando apho abantu abaninzi abaneentloko ezinxulunyaniswa ne-Upper Crossed Syndrome banokufumana intuthuzelo abayifunayo ngokunciphisa iintlungu kunye nokuphucula umgangatho wobomi babo. ( Eskilsson et al., 2021 Ngexesha elifanayo, ukunyanzeliswa komgogodla kunokuba yinxalenye yesicwangciso sonyango lomntu ukuba abantu abaninzi banokongeza kwimisebenzi yabo yemihla ngemihla ukukhusela intlungu ukuba ibuye. ( Saunders, ngo-1983 )
Ukhathalelo lweChiropractic Ukubuyisela Amandla Emisipha
Ngokufana nokunyanzeliswa komgogodla, ukunakekelwa kwe-chiropractic yonyango olungenalo utyando olunokuthi ludibaniswe neendlela ezahlukeneyo zokwelula ukubuyisela ukuhamba kwentamo kunye nokunciphisa intlungu ehambelana ne-syndrome ephezulu. ( UMahmood et al., 2021 ) Ukhathalelo lweChiropractic lubandakanya ubuchule bezandla kunye nobuchwephesha obufana ne-MET (ubuchule be-muscle energy) kunye nokuguqulwa komgogodla ukulungelelanisa umqolo ngaphandle kwe-subluxation. Xa ii-chiropractors zidibanisa i-MET ukulawula i-syndrome ephezulu, abantu abaninzi bafumanisa ukuba intlungu yabo iyancipha, uluhlu lwabo lomlomo wesibeleko luphuculwe, kwaye ukukhubazeka kwentamo yabo kuyancipha. ( Gillani et al., 2020 ) Xa abantu abaninzi beqala ukucinga ngempilo yabo kunye nokuphila kakuhle, banokwenza utshintsho oluncinci ukuze baphucule ukuma kwabo kwaye baqaphele imizimba yabo ukunciphisa amathuba okubuya kwe-upper-cross syndrome.
Ucaphulo
Chu, EC, & Butler, KR (2021). Ukusonjululwa kweSifo seGastroesophageal Reflux esilandela uLungiso lwe-Upper Cross Syndrome-I-Case Study kunye noPhononongo olufutshane. Clin Pract , 11 (2), 322-326. doi.org/10.3390/clinpract11020045
Eskilsson, A., Ageberg, E., Ericson, H., Marklund, N., & Anderberg, L. (2021). Ukunyanzeliswa kwe-nerve enkulu ye-occipital kuphucula umphumo kwizigulane ezineentloko ezingapheliyo kunye neentlungu zentamo-isifundo se-retrospective cohort. Acta Neurochir (Wien) , 163 (9), 2425-2433. doi.org/10.1007/s00701-021-04913-0
Gillani, SN, Ain, Q., Rehman, SU, & Masood, T. (2020). Iimpembelelo ze-eccentric muscle energy technique ngokubhekiselele kwi-static stretching exercises ekulawuleni ukungasebenzi komlomo wesibeleko kwi-upper cross syndrome: ulingo lolawulo olungenamkhethe. J Pak Med Assoc , 70 (3), 394-398. doi.org/10.5455/JPMA.300417
U-Lee, EY, & Lim, AYT (2019). Uxinzelelo lweNerve kuLungu oluPhezulu. UClin Plast Surg , 46 (3), 285-293. doi.org/10.1016/j.cps.2019.03.001
Mahmood, T., Afzal, W., Ahmad, U., Arif, MA, & Ahmad, A. (2021). Ukusebenza okuthelekisayo konyango oluqhelekileyo lomzimba kunye kunye nangaphandle kwesixhobo kuncediswe ukuhlanganiswa kwezicubu ezithambileyo kwizigulane ezineentlungu zentamo ngenxa ye-syndrome ephezulu. J Pak Med Assoc , 71 (10), 2304-2308. doi.org/10.47391/JPMA.03-415
Moore, MK (2004). I-Upper crossed syndrome kunye nobudlelwane bayo nentloko ye-cervicogenic. J Uluhlu lwePhysiol Ther , 27 (6), 414-420. doi.org/10.1016/j.jmpt.2004.05.007
Mujawar, JC, & Sagar, JH (2019). Ukuxhaphaka kwe-Upper Cross Syndrome kwi-Laundry Workers. Indian J Occup Environ Med , 23 (1), 54-56. doi.org/10.4103/ijoem.IJOEM_169_18
Saunders, HD (1983). Ukusetyenziswa kwe-spinal traction kunyango lwentamo kunye neemeko zangasemva. Clin Orthop Relat Res (179), 31-38. www.ncbi.nlm.nih.gov/pubmed/6617030
isikhanyeli
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
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