Unyango lweentlungu
IQela leKliniki yangasemva yeChiropractic Neck Pain Treatment Team. Ingqokelela kaDkt Alex Jimenez yamanqaku eentlungu zentamo igubungela i-assortment yeemeko zonyango kunye / okanye ukulimala okuhambelana neentlungu kunye nezinye iimpawu ezijikeleze umgudu womlomo wesibeleko. Intamo iqulethe izakhiwo ezahlukahlukeneyo ezinzima; amathambo, izihlunu, imisipha, imisipha, imithambo-luvo, kunye nezinye izihlunu. Xa ezi zakhiwo zonakaliswe okanye zonzakele ngenxa yesimo esingafanelekanga, i-osteoarthritis, okanye i-whiplash, phakathi kwezinye iingxaki, intlungu kunye nokungahambi kakuhle ngamava omntu kunokuba buthathaka.
Ngokuxhomekeke kwimbangela eyintloko, iimpawu zentlungu zentamo zingathatha kwiifom ezininzi ezahlukeneyo. Ziquka:
Ubuhlungu xa ubambe intloko yakho kwindawo enye ixesha elide
Ukungakwazi ukuhambisa intloko yakho ngokukhululekile
Ubunzima bomzimba
Iimfucu zamathambo
intloko ebuhlungu
Ukuqhaqhaqhafaza rhoqo kunye nekhunching
Ubungqina nobuhlungu beentlungu ezisuka entanyeni ukuya ezandleni ezingaphezulu nasesandleni
Ngokusebenzisa ukunakekelwa kwe-chiropractic, uDkt Jimenez uchaza indlela ukusetyenziswa kohlengahlengiso lwezandla kumqolo wesibeleko kunokunceda kakhulu ukukhulula iimpawu ezibuhlungu ezinxulumene nemiba yentamo. Ngolwazi oluthe kratya, nceda ukhululeke ukunxibelelana nathi apha (915) 850-0900 okanye isicatshulwa ukubiza uGqirha Jimenez buqu (915) 540-8444.
by UGqr Alex Jimenez | Chiropractic, Ubuhlungu obungapheliyo, Iimeko eziPhathwayo, impilo, entanyeni Pain, Unyango lweentlungu, Unyango, I-Viscerosomatic Reflex
intshayelelo
The umlenze wesibeleko unobudlelwane obuqhelekileyo kunye nenkqubo ye-nervous central njengengqondo kunye umqolo isebenza kunye ukuthumela imiqondiso ye-neuron ngeendlela ze-nerve ezisasazeka kuwo wonke umzimba. Umqolo wesibeleko uyingxenye yentamo, apho iigaments kunye nezihlunu zibandakanya amalunga omlomo wesibeleko ukuzinzisa intloko, intamo kunye namagxa. Intamo inezihlunu ezahlukeneyo ezixhasa intloko kwaye zinokunikezela ukwenzakala okwahlukeneyo oko kunokubangela ukunyanzeliswa kwemisipha kunye nezinye iimpawu ezihambelanayo ezinokuchaphazela iziphelo eziphezulu zomzimba. Inqaku lanamhlanje lijonga imisipha yomlomo wesibeleko yangasemva, indlela amaphuzu e-trigger achaphazela ngayo imisipha yomlomo wesibeleko, kunye nendlela unyango olungenalunyanzelo lunokunceda ngayo ukulawula intlungu yomlomo wesibeleko se-myofascial. Sithumela izigulane kubaboneleli abaqinisekisiweyo abajongene nonyango lwe-musculoskeletal ukunceda abantu abaphethwe yintlungu ye-myofascial trigger ehambelana nentamo echaphazela imisipha yomlomo wesibeleko yangasemva. Sikwakhokela izigulane zethu ngokuzithumela kubaboneleli bethu bezonyango abanxulumeneyo ngokusekelwe kuvavanyo lwabo xa kufanelekile. Siqinisekisa ukuba sifumanisa ukuba imfundo isisisombululo ekubuzeni ababoneleli bethu imibuzo enengqiqo. UDkt. Jimenez DC ubona olu lwazi njengenkonzo yemfundo kuphela. isikhanyeli
Ziziphi iMihlunu yoMkhosi wesibeleko yangasemva?
Ngaba ukhe wafumana intloko ebuhlungu echaphazela usuku lwakho? Ngaba uziva kukho ukuxinezeleka entanyeni yakho? Okanye ngaba ufumana ubunzima kunye nokuhamba okulinganiselweyo xa uguqula intamo yakho? Uninzi lwezi zibonakaliso zihambelana neentlungu ezibangelwa yintlungu echaphazela i-posterior cervical muscle entanyeni. I imisipha yomlomo wesibeleko yangasemva umsebenzi kwingingqi ye-anatomic yentamo ngelixa ukhusela umqolo wesibeleko. Izihlunu kumqolo wesibeleko zenza unxantathu entanyeni ngelixa zibonelela ngokusebenza kunye nokunyakaza entanyeni, entloko, ehlombe, nangaphezulu. Ezinye ze imisipha ezisebenza kunye nomqolo wesibeleko ziquka:
- Umvavanyi scapulae
- I-SCM (Sternocleidomastiod)
- trapezius
- i-erector spinae
- Iziguquli ezinzulu zomlomo wesibeleko
- Suboccipitals
- i-semispinalis
- Splenius
Ezi zihlunu kunye nezicubu ezithambileyo zibonelela ngokuzinza entanyeni kwaye zisebenza kunye neetoni kunye neegaments ukujikeleza, ukwandisa, kunye nokubuyisela intloko, intamo, amahlombe kunye nomqolo ophezulu. Ukuza kuthi ga ngelo xesha, ukuba imisipha yentamo iyancipha, inokukhokelela kwimibandela eyahlukeneyo enokubangela intlungu entanyeni kunye nomqolo wesibeleko.
Indlela i-Trigger Points echaphazela ngayo iMihlunu yoMkhosi weSibeleko yangasemva
Uphando lutyhila ukuba i-musculoskeletal disorder eyaziwa ngokuba yintlungu ye-myofascial yomlomo wesibeleko ibangela ukuba izihlunu ezijikelezayo kwintamo kunye nemimandla yegxala ibe yithenda kwi-touch kwaye ikhuphe intlungu kwiindawo ezahlukeneyo zomzimba. Xa imisipha yomlomo wesibeleko yangasemva iye yanyanzeliswa kwimiba eyahlukeneyo efana nokungahambi kakuhle, ukuzivocavoca ngokugqithiseleyo, ukubandakanyeka engozini yemoto, okanye ukuxhatshazwa kwimeko ephazamisayo, kunokubangela ukuba imisipha isetyenziswe ngokugqithiseleyo, i-hypersensitive, kwaye inzima ngelixa inokubakho. emngciphekweni wokuphuhlisa amanqaku e-trigger ecaleni kwentamo kunye nezihlunu zamagxa. Amanqaku e-Trigger ayingxaki kancinane njengoko enxulunyaniswa neentlungu ezidluliselweyo kwaye zinokuba zifihlakele okanye zisebenze njengoko zenza amaqhuqhuva amancinci ecaleni kwe-taut muscle fibers kwindawo. Uphando lophando lutyhila ukuba intlungu echazwe kwintlungu ye-myofascial yomlomo wesibeleko inokuphakanyiswa ngamanqaku asebenzayo asebenzayo kwi-muscle echaphazelekayo. Ukuza kuthi ga ngelo xesha, iingongoma ezisebenzayo ziyakwazi ukulinganisa ezinye iimpawu zentlungu kwiindawo eziphezulu, okwenza ukuxilongwa kwentlungu ye-myofascial ibe ngumngeni. Ngombulelo kukho iindlela zokulawula intlungu ye-trigger point ehambelana nemisipha yomlomo wesibeleko ngasemva kwentamo kunye nomqolo wesibeleko.
Ukuzilolonga kwiNtamo kunye neNgxaki yeentlungu-Ividiyo
Ngaba uye wafumana ubunzima ecaleni kwentamo yakho okanye emagxeni akho? Ngaba iintloko ezibuhlungu zenza kube nzima ukugqiba usuku lonke? Okanye ngaba ubuziva uxinene ecaleni komhlathi wakho? Abantu abaninzi abaneentlungu zentamo kunye neempawu ezinxulumene nazo banokubeka umngcipheko wokuphuhlisa intlungu ye-myofascial kunye nemisipha yomlomo wesibeleko yangasemva. Ukuba ne-myofascial trigger pain ehambelana ne-posterior muscle yomlomo wesibeleko kunye nokuchaphazela intamo kunye neendawo eziphezulu zingabangela abantu abaninzi ukuba bahlupheke; nangona kunjalo, kukho iindlela ezininzi abantu abanokusebenzisa ukukhulula intlungu kunye nemisipha yomlomo wesibeleko yangasemva kunye nokulawula intlungu ye-myofascial yomlomo wesibeleko ehambelana nentamo. Ividiyo engentla ibonelela ngeentlungu ezahlukeneyo zentamo kunye negxalaba ezinxibelelana namanqaku e-myofascial trigger. Ukuza kuthi ga ngelo xesha, ukufumana unyango olungabonakaliyo olukhoyo lokulawula intlungu ye-myofascial yomlomo wesibeleko kunokunceda ukunciphisa imiphumo yeentlungu entanyeni kunye nemisipha yomlomo wesibeleko yangasemva.
Unyango olungaHlaziyo lokuLawula iintlungu zeMyofascial Cervical
Abantu abaninzi babandezeleka ngenxa yentlungu yentamo ehambelana nentlungu ye-myofascial yomlomo wesibeleko; izinto ezininzi zinokufaka isandla ekuphuhliseni amaqhuqhuva amancinci ecaleni kwezihlunu ezingasemva. Uphando lutyhila ukuba imisebenzi, nokuba inxulumene nomsebenzi okanye ukuzonwabisa, inokuvelisa uxinzelelo oluphindaphindiweyo kumaqela e-muscle abangela uxinzelelo olungapheliyo kwimicu ye-muscle ukuba yenze amanqaku e-trigger. Ukuza kuthi ga ngoku, intlungu ye-myofascial trigger ibangela ukuba i-taut muscle bands ibe yi-hyper-sensitive kwaye ichaphazele indawo ye-muscle. Abantu abaninzi abanengxaki ye-myofascial trigger pain bangasebenzisa unyango olungathinteliyo ukulawula iintlungu ze-myofascial ezinxulumene ne-posterior cervical muscle. Olunye unyango olunceda ukulawula intlungu yomlomo wesibeleko ye-myofascial ziquka:
- Ukwenza i-Acupuncture
- I-Trigger point yokukhululwa unyango
- Ukhathalelo lweChiropractic
- Utyando lwefuthe
- Umthambo/uzolula
Uninzi lwezi zonyango zinceda ukukhulula amanqaku e-trigger kwiimisipha ezichaphazelekayo kwaye zincede ukuba zithintele ukuba ziphinde zenzeke kwimisipha echaphazelekayo kunye neendawo eziphezulu.
isiphelo
Intamo inezihlunu ezininzi, iigaments, kunye nezicubu ezincedisa ukuxhasa iindawo eziphezulu zomzimba. Xa imiba iqala ukuchaphazela ukusebenza kwemisipha yentamo, inokukhokelela ekuphuhliseni i-myofascial trigger pain in the posterior cervical muscles ecaleni kwentamo ukuze kubangele iimpawu ezibuhlungu. Oku kunokukhokelela kwimiba engapheliyo efana nokuqina kunye nokuthamba kwiindawo eziphezulu. Unyango olungenasiphelo lunokunceda ukunciphisa intlungu kunye nokulawula iimpawu ezibangelwa yintlungu ye-myofascial yomlomo wesibeleko kwiindawo eziphezulu zomzimba. Oku kuvumela i-muscle echaphazelekayo ukuba ibuyele ekusebenzeni kwayo kwaye ithintele imiba ezayo ekuchaphazela umzimba.
Ucaphulo
Alghadir, Ahmad H, et al. "Ukusebenza koNyango oluDityanisiweyo kwiNzululwazi yeNtamo kunye nokuBumba kweSisipha kwizigulane zeSidoda ezine-Upper Trapezius Active Myofascial Trigger Points." IBioMed yoPhando yeHlabathi, Hindawi, nge-10 kaMatshi 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7085833/.
UFernández-de-Las-Peñas, uCésar, et al. "Indima yeMyofascial Trigger Points kwi-Musculoskeletal Pain Syndromes yeNtloko kunye neNtamo." IiNzululwazi zangoku kunye neeNgxelo zeNtloko, Ilayibrari yeSizwe yaseMelika yoNyango, Okthobha 2007, yentshutshiso.ncbi.nlm.nih.gov/17894927/.
Stathakios, James, kunye noMichael A Carron. "I-Anatomy, iNtloko kunye neNtamo, iNgingqi yeSibeleko yangasemva." Ku: StatPearls [Internet]. Isiqithi saseTreasure (FL), iStatPearls Publishing, 27 July 2021, www.ncbi.nlm.nih.gov/books/NBK551521/.
UTouma, uJeffrey, et al. "Intlungu yoMyofascial yomlomo wesibeleko." Ku: StatPearls [Internet]. Isiqithi saseTreasure (FL), iStatPearls Publishing, 4 July 2022, www.ncbi.nlm.nih.gov/books/NBK507825/.
isikhanyeli
by UGqr Alex Jimenez | Chiropractic, Ubuhlungu obungapheliyo, Iimeko eziPhathwayo, entanyeni Pain, Unyango lweentlungu, Unyango, I-Viscerosomatic Reflex
intshayelelo
The entanyeni sisidibanisi sentloko kunye namagxa, ukuvumela ukuhamba kunye nokusebenza ukuzinzisa intloko ekuweni. Intamo nayo iyingxenye ye umlenze wesibeleko, apho iindlela ezininzi ze-neuron, iigaments, kunye nezihlunu zisebenza kunye kwinkqubo yomnatha ukubonelela ngemiqondiso ye-sensory-motor kwingqondo. Imisipha yentamo iphinda isebenze kunye negxalaba kunye nezihlunu ezingaphezulu ukuze zisebenze kwiindawo eziphezulu. Ezi zaziwa ngokuba zizihlunu ze-splenius kwaye zinceda ukuxhasa umqolo wesibeleko. Nangona kunjalo, njengazo zonke izihlunu emzimbeni, intamo inokutshatyalaliswa kwingozi yokulimala okanye izinto eziqhelekileyo ezinokubangela ukuba izihlunu zentamo zisetyenziswe ngokugqithiseleyo, ukulimala, kunye nokunyanzeliswa kubangela ukuba iimbilini zithumele iimpawu eziphazamisayo kwingqondo kunye nemiba yokuphuhlisa. Inqaku lanamhlanje lijonga imisipha ye-splenius entanyeni, indlela amaphuzu e-trigger achaphazela ngayo imisipha ye-splenius, kunye nendlela yokulawula intlungu yentamo ehambelana namanqaku e-trigger. Sithumela izigulane kubaboneleli abaqinisekisiweyo abakhethekileyo kunyango lwe-musculoskeletal ukunceda abantu abaphethwe yintlungu ye-myofascial trigger ehambelana neentlungu zentamo ezichaphazela imisipha ye-splenius. Sikwakhokela izigulane zethu ngokuzithumela kubaboneleli bethu bezonyango abanxulumeneyo ngokusekelwe kuvavanyo lwabo xa kufanelekile. Siqinisekisa ukuba sifumanisa ukuba imfundo isisisombululo ekubuzeni ababoneleli bethu imibuzo enengqiqo. UDkt. Jimenez DC ubona olu lwazi njengenkonzo yemfundo kuphela. isikhanyeli
Izihlunu zeSplenius Entanyeni
Ngaba uye wafumana intlungu yemisipha entanyeni yakho? Kuthekani ngokuziva uxinene emacaleni entamo yakho xa uhambisa intloko ukusuka kwelinye icala ukuya kwelinye? Okanye ngaba iintloko ezibuhlungu zibonakala ziphuma ndawo kwaye zichaphazela usuku lwakho? Uninzi lwezi zimpawu zihambelana nentlungu yentamo echaphazela imisipha ye-splenius kwaye ingabangela imiba edibeneyo echaphazela intamo kunye nomva ongaphezulu. I izihlunu splenius zihlulwe zibe ngamaqela amabini izihlunu: i-splenius capitis kunye ne-splenius cervicis. Zombini izihlunu ze-splenius nganye inomsebenzi wokusebenza kwentamo. I-splenius capitis inikezela ukujikeleza kunye nokwandiswa kwentloko, ngelixa i-splenius cervicis ibonelela ngokujikeleza kwaye idlulela kumqolo wesibeleko. I-splenius capitis fibers idibene ne-SCM (sternocleidomastoid) izihlunu ezinceda ukuhambisa intloko. I-splenius cervicis ibandakanya i-vertebrae emithathu ephezulu yomlomo wesibeleko kwaye ifake imicu ye-muscle kwimisipha ye-scapulae. Nangona ezi zihlunu zimbini zibonelela ngemisebenzi eyahlukeneyo, zinokuthi zibandakanyeke kukulimala okunokubangela imiba yentamo kunye nomva ongaphezulu.
Indlela Amanqaku e-Trigger ayichaphazela ngayo i-Splenius Muscles
Esinye sezikhalazo eziqhelekileyo abantu abaninzi babonakala bechatshazelwa yintlungu yegxalaba kunye nentamo. Izinto ezahlukahlukeneyo zingabangela impembelelo emagxeni nasentanyeni ngenxa yokugqithisa imisipha ye-splenius edibeneyo entanyeni nasemagxeni kunye nokuphuhlisa amanqaku aqalayo ahambelana nemisipha ye-splenius. Uphando lutyhila ukuba amanqaku aqalayo okanye iintlungu ze-myofascial zingenza izihlunu ze-splenius zibe ne-hypersensitive kunye nethenda kunye ne-taut band ye-splenius muscle. Ukuza kuthi ga ngoku, izihlunu ze-splenius zibonakala kwaye zivelise intlungu yendawo kwezinye izakhiwo entanyeni, emagxeni nasentloko. Amanqaku e-trigger anzima kakhulu ukuxilonga ngenxa yokuba alinganisa eminye imiba engapheliyo echaphazela umzimba kwaye inokubandakanya iimpawu ezininzi eziqhelekileyo ezinokuthi zenzeke yonke imihla. Uphando lutyhila ukuba iimpawu eziqhelekileyo ezifana neentloko zihambelana namanqaku e-trigger ecaleni kwentloko, intamo, kunye nezihlunu zamagxa. Ekubeni amanqaku e-trigger anzima ukuxilonga, angenza i-taut band ye-musculoskeletal fibers kwaye ibe yinto esebenzayo okanye efihliweyo xa uxinzelelo luhlala kwindawo echaphazelekayo. Ukuza kuthi ga ngelo xesha, kubangela uxinezeleko entloko, entanyeni nasemagxeni omzimba. Ngethamsanqa, iindlela ezahlukeneyo zokulawula iintlungu ze-trigger point zinxulunyaniswa neentlungu zentamo kunye nemisipha ye-splenius.
Amanqaku e-Trigger & Splenius Muscles-Ividiyo
Ngaba ukhe wajongana neentloko ezibuhlungu ezenzeka ngokungalindelekanga imini yonke? Kuthekani ngokufumana ukuqina kwemisipha kunye nokuthamba okubekwe entanyeni nasemagxeni akho? Okanye ngaba ubungalali kakuhle ubusuku bonke? Uninzi lwezi mpawu zidibene neentlungu ze-trigger point ezinxulumene nentlungu yentamo kunye nemisipha ye-splenius. Ividiyo engentla ichaza indlela amanqaku e-trigger achaphazela ngayo imisipha ye-splenius kunye nezinye zezizathu ezikhokelela ekuphuhlisweni kweentlungu ze-trigger point kunye nemisipha ye-splenius. Abantu abaninzi abajongene namanqaku e-trigger ahambelana neentlungu zentamo bahlala bechazela oogqirha babo ukuba baye baziva benobunzima bemisipha entanyeni yabo, kubangela ukuhamba okulinganiselwe. Uphando lutyhila ukuba i-myofascial trigger esebenzayo ibangela amanqaku ecaleni kwentamo kunye nezihlunu zamagxa zenze iintlungu ezigqithisiweyo ukuba zibe negalelo kwiimpawu zentlungu ebuhlungu, ukukhubazeka, kunye nomgangatho ophantsi wokulala kwiintlungu zentamo. Ukuza kuthi ga ngelo xesha, abantu abaninzi bazama ukubandakanya unyango oluhlukeneyo ukunciphisa iimpawu kunye nokulawula intlungu yentamo ehambelana namanqaku e-trigger.
Ukulawula Intlungu Yentamo eNxulunyaniswe namanqaku e-Trigger
Abantu abaninzi abajongene nentlungu yentamo ehambelana namanqaku e-trigger kunye nemisipha ye-splenius kaninzi abaqondi ukuba ezinye izizathu zichaphazela indlela imisipha esetyenziswa ngayo. Izinto eziqhelekileyo njengokuma kakubi, ukujonga phantsi kweefowuni, okanye ukuthembela kufutshane naziphi na izikrini kunokubangela uxinzelelo kwimisipha ye-splenius. Ngokwahlukileyo, izinto ezibuhlungu ezifana ne-whiplash okanye iingozi ze-auto zingabangela intlungu kwi-muscle fibers. Iindlela ezahlukeneyo zokulawula intlungu yentamo ehambelana namanqaku e-trigger ayisiyi-invasive ngaphandle kokuba intlungu inzima. Xa umntu esiya kugqirha wakhe oyintloko ukuze axilongwe, bachaza iimpawu zentlungu echaphazela imizimba yabo ngelixa ugqirha ebaxilonga. Nje ukuba umba ufunyaniswe, oogqirha abaninzi baya kuthumela izigulane zabo kwingcali yeentlungu ezijongene nalo mbandela. Ke yithi ukuba umntu ujongene neentlungu zentamo ehambelana neentlungu ze-trigger point kunye nezihlunu zabo ze-splenius ezibangela ukuba baphathwe yintloko, baya kuthunyelwa kwingcali yeentlungu ezifana ne-chiropractor ukukhulula intlungu ye-myofascial trigger kunye nemisipha ye-splenius ephethwe yi-spinal subluxation. kwinkqubo ye-musculoskeletal system. Uhlengahlengiso lomqolo luvumela izihlunu ezomeleleyo ukuba zikhululeke kwaye zide ziqhawule ukuncamathela kwamanqaku e-trigger kwisihlunu. Ukubandakanya ukhathalelo lwe-chiropractic ukunyanga intlungu yentamo ehambelana namanqaku e-trigger kunokubuyisela ukusebenza komzimba.
isiphelo
Intamo ivumela intloko ukuba ihambe kwaye incede igcine izinzile. Njengenxalenye yomqolo wesibeleko, intamo ineendlela ezininzi ze-neuron, iigaments, kunye nezihlunu ezisebenza kunye nenkqubo ye-nervous central ukubonelela nge-sensory-motor function. Izihlunu ezibonelela ngokusebenza kwamagxa, intamo, kunye nomqolo ongaphezulu zibizwa ngokuba yi-splenius muscles. Izihlunu ze-splenius zibandakanya amaqela amabini: i-capitis kunye ne-cervicis, enemisebenzi eyahlukeneyo yokusebenza kwentamo. Nangona kunjalo, njengawo nawuphi na umsipha emzimbeni unokuchaphazeleka yimiba eyahlukeneyo enokubangela imiba yentamo kunye nomva ongaphezulu. Imiba eqhelekileyo kunye neyobuhlungu ingakhokelela ekuphuhlisweni kwentlungu ye-myofascial trigger kunye nemisipha yentamo. Kuloo ndawo kubangela intlungu yentamo kunye nokukhubazeka entanyeni. Xa oku kwenzeka, unyango oluhlukeneyo lukhoyo ukulawula intlungu yentamo ehambelana nentlungu ye-myofascial kunye nokunciphisa iimpawu, ezibangela ukukhululeka entanyeni.
Ucaphulo
Chatchawan, Uraiwan, et al. "Iimpawu kunye noKwabiwa kwamanqaku e-Myofascial Trigger kubantu abaneentloko ezingapheliyo zeTension-Type." Ijenali yoNyango lwezeMpilo, Umbutho weNzululwazi yoNyango lwePhysical, Epreli 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6451952/.
Henson, Brandi, et al. "I-Anatomy, Back, Izihlunu-i-StatPearls-ishelufa yeencwadi ye-NCBI." Ku: StatPearls [Internet]. Isiqithi saseTreasure (FL), StatPearls Publishing, 10 Aug. 2021, www.ncbi.nlm.nih.gov/books/NBK537074/.
Muñoz-Muñoz , Sonsoles, et al. "IiMyofascial Trigger Points, Intlungu, Ukukhubazeka, kunye noMgangatho Wokulala Kubantu abaneentlungu zeNeck Neck." Ijenali yoNyango kunye noNyango lweeNkobe, Ilayibrari yeSizwe yaseMelika yoNyango, Okthobha 2012, yentshutshiso.ncbi.nlm.nih.gov/23158466/.
URibeiro, uDaniel Cury, et al. "Ukuxhaphaka kwamanqaku e-Myofascial Trigger kwiNtamo kunye neNgxaki eNxulumene neNgxaki: Ukuphononongwa okuCwangcisiweyo koNcwadi." Iingxaki ze-BMC zeMisculoskeletal, BioMed Central, 25 Julayi 2018, www.ncbi.nlm.nih.gov/pmc/articles/PMC6060458/.
isikhanyeli
by UGqr Alex Jimenez | Chiropractic, Ubuhlungu obungapheliyo, Iimeko eziPhathwayo, Intloko kunye nonyango, impilo, entanyeni Pain, Unyango lweentlungu, Unyango, I-Viscerosomatic Reflex
intshayelelo
The entanyeni ibalulekile ekugcineni intloko ime nkqo kubudlelwane obungenamsebenzi ne umlenze wesibeleko. Intamo likhaya ku idlala lengqula kunye nezihlunu ezijikelezayo ezinceda ukuxhasa intamo kuwo wonke umzimba. Enye yezihlunu ezinceda ukuxhasa intamo yi-sternocleidomastoid muscle. Xa imikhosi ephazamisayo iqala ukuchaphazela intamo, ngokuhamba kwexesha kunokukhokelela ekuphuhlisweni kweemeko ezingapheliyo ezinxulumene nentlungu. Xa abantu beqala ukuva intlungu echaphazela intamo yabo, inokubangela ukuba bahlupheke kwaye bafumane iindlela zokukhulula intlungu abayifumanayo. Inqaku lanamhlanje ligxile kwi-sternocleidomastoid muscle, indlela intlungu ye-trigger echaphazela ngayo le misipha, kunye neendlela zokunciphisa intlungu ye-SCM. Sithumela izigulane kubaboneleli abaqinisekisiweyo abakhethekileyo kunyango lwe-musculoskelet ukunceda abantu abaphethwe yi-SCM ehambelana neentlungu ezibangelwa yi-trigger entanyeni. Sikwakhokela izigulane zethu ngokuzithumela kubaboneleli bethu bezonyango abanxulumeneyo ngokusekelwe kuvavanyo lwabo xa kufanelekile. Siqinisekisa ukuba sifumanisa ukuba imfundo isisisombululo ekubuzeni ababoneleli bethu imibuzo enengqiqo. UDkt. Jimenez DC ubona olu lwazi njengenkonzo yemfundo kuphela. isikhanyeli
Yintoni iSternocleidomastoid Muscle?
Ngaba uye wafumana intlungu emacaleni entamo yakho? Kuthekani ngokuhamba okulinganiselweyo xa ujika intamo yakho ukusuka kwelinye icala ukuya kwelinye? Okanye ngaba iintloko zibonakala ziba mandundu imini yonke? Ezinye zezi mpawu zinxulunyaniswa neentlungu ecaleni kwentamo kwaye zinokuchaphazela izihlunu ezijikelezileyo ezidityanisiweyo. Esinye sezihlunu ezijikelezileyo ezihlala emva kwe-thyroid eyaziwa ngokuba I-SCM okanye i-sternocleidomastoid muscle. Imisipha ye-sternocleidomastoid yimisipha ende ene-innervation emibini kunye nemisebenzi emininzi entanyeni. I-SCM ixhunywe kwi-trapezius muscle enceda ukuguqula intamo, ukudonsa intloko phambili ngelixa uzisa i-chin phantsi kwesifuba. I-SCM kunye ne-trapezius muscle isebenza kunye ukunceda ukuzinzisa kunye nokulungisa isikhundla sentloko ngelixa umninimzi ethetha okanye edla. Xa izinto zichaphazela intamo ekuhambeni kwexesha, i-SCM nayo iyabandakanyeka.
Ngaba i-Trigger Pain iyichaphazela njani iSternocleidomastoid?
Xa izinto ezichaphazela i-SCM ehambelana nentamo, imiba emininzi iya kuqala ukuchaphazela intamo kunye nentlungu edibeneyo kufuphi namehlo, iindlebe, emacaleni ezihlathini, nasebunzi. Uphando lutyhila ukuba i-SCM inokuphuhlisa amanqaku e-myofascial trigger entloko, ebangela iintlungu ezibhekisiweyo. Amanqaku e-Trigger ahlala enziwa xa amandla aphazamisayo achaphazela iindawo ezithile emzimbeni. Ukuze i-SCM ichaphazeleke yintlungu ye-trigger, amaqhina amancinci kunye nebhendi ye-taut ye-SCM ye-muscle fibers ivakalelwa kuxinzelelo xa ixinzelelwe, kwaye abantu abaninzi bahlala bechaza intlungu njengenzulu kwaye ibuhlungu. Ukuza kuthi ga ngoku, iimpawu ezinxulumene ne-SCM zibangela iintlungu zingabonakala kwiinhlanganisela ezininzi okanye kunye ngokuxhomekeke kwindlela ebuhlungu ngayo intlungu emntwini. Ezinye ze iimpawu ezinxulumene I-SCM ebangela iintlungu ziquka:
- Intloko ebuhlungu (isinus, cluster, okanye tension)
- Umqala obuhkungu
- Iintlungu zendlebe (izandi eziphuma ezindlebeni)
- Umbono ongezantsi
- Vertigo
- Isiyezi
- Imicimbi yokulinganisa
- Ubuhlungu besisu
Iintlungu zeSCM kunye neeNqaku zokuTyala-Ividiyo
Ngaba ubujongana nentloko ebuhlungu imini yonke? Kuthekani ngokuthamba kwezihlunu kwiindawo ezithile ezikufutshane nentamo okanye emagxeni akho? Okanye ngaba uziva unesiyezi ukuba sichaphazela imisebenzi yakho yemihla ngemihla? Abantu abaninzi abanezi mpawu banokuthi bajongane neentlungu ze-SCM ezinxulumene neentlungu ze-trigger. Le vidiyo ingentla inika umbono ocacileyo wokuba ingaba i-trigger pain ingabandakanyeka njani kwiintlungu ze-SCM. I-SCM okanye i-sternocleidomastoid muscle yi-muscle ende ejikeleze emacaleni entamo kwaye idibene ne-trapezius muscle. Xa izinto ziqala ukuchaphazela i-SCM, i-muscle isengozini yokuphuhlisa intlungu ye-trigger kunye ne-muscle fibers. Uphando lutyhila ezibangela iintlungu ecaleni kwe-SCM zinokuchaphazela imisebenzi yemisipha eqhelekileyo ye-SCM, njengokuhlafuna ngenxa yokungasebenzi kakuhle. Ngethamsanqa, kukho iindlela zokukhulula intlungu ye-SCM ehambelana neentlungu ze-trigger ezichaphazela intamo.
Iindlela zokunciphisa iintlungu ze-SCM kwiNtamo
Xa kuziwa kwintlungu ye-SCM ehambelana neentlungu ezibangelwa yi-trigger entanyeni, abantu abaninzi bafumana iindlela zokukhulula iimpawu ezinxulumeneyo ezibangela intlungu. Abanye abantu baya kuthatha amayeza angaphaya kwe-counter ukukhulula intamo, amagxa kunye neentlungu zentloko. Kwangaxeshanye, abanye bayazolula ukukhulula uxinzelelo entloko, entanyeni nasemagxeni. Nangona kunjalo, intlungu ye-trigger inzima kwaye inzima ukuyixilonga kuba ilinganisa ezinye iimeko ezichaphazela umzimba. Njengoko ithamsanqa linokuba nalo, oogqirha abaninzi baya kuthumela iingcali ze-musculoskeletal ezifana nee-massage therapists, ii-physical therapists, kunye ne-chiropractors ezinokunceda ukukhulula intlungu ye-SCM entanyeni. Uphando lutyhila ukuba indibaniselwano physiotherapy, i-massage ye-classical, kunye ne-extra exercises ingasetyenziselwa ukunciphisa intlungu ye-SCM entanyeni. Ngokusolula kunye nokuphulula i-SCM, abantu abaninzi banokuqala ukuva intlungu entanyeni yabo, ukwandisa uluhlu lwabo lokunyakaza, kwaye babe nokunyamezela entanyeni yabo. Ukudibanisa ezi zonyango ezahlukeneyo ze-SCM (i-sternocleidomastoid muscle) intlungu entanyeni inokunceda ukuvuselela ingqondo yomntu yokuphila ngaphandle kobuhlungu.
isiphelo
I-SCM, okanye i-sternocleidomastoid muscle, i-muscle ende ehlala emva kwelungu le-thyroid kwaye idibene ne-trapezius muscle. Lo mzimba unceda ukuzinza kwaye ubambe isikhundla sentloko ngelixa uguqula intamo kwaye uzisa isilevu phantsi esifubeni. Xa izinto ezisingqongileyo okanye eziphazamisayo zichaphazela imisipha yentamo, kunokukhokelela kwiimeko ezingapheliyo ngexesha, ngaloo ndlela kubangele intlungu kunye nesisa kunye ne-SCM. Ezi ziyaziwa ngokuba ngamanqaku e-trigger kwaye kunokuba nzima ukuxilonga ngenxa yokuba zilinganisa ezinye iimpawu ezingapheliyo ezinxulumene nentamo, intloko kunye namagxa. Ngombulelo, unyango olwahlukeneyo olufana ne-physiotherapy, i-exercise exercises, kunye ne-massage yeklasiki inokunceda ukukhulula amanqaku e-trigger ecaleni kwe-SCM kunye nokukhulula intamo kunye nezihlunu ezijikelezileyo.
Ucaphulo
Bordoni, Bruno, kunye noMateyu Varacallo. "I-Anatomy, iNtloko kunye neNtamo, i-Sternocleidomastoid Muscle." Ku: StatPearls [Internet]. Isiqithi saseTreasure (FL), iStatPearls Publishing, 5 Epreli 2022, www.ncbi.nlm.nih.gov/books/NBK532881/.
UBüyükturan, Buket, et al. "Iimpembelelo ze-Sternocleidomastoid ye-Muscle edibeneyo kunye ne-Massage kwiintlungu, ukukhubazeka, ukunyamezela, i-kinesiophobia, kunye ne-Range of Motion kubantu abane-Chronic Neck Pain: i-Randomized, i-Single-Blind Study." Inzululwazi ye-Musculoskeletal & Practice, iThala leencwadi leSizwe laseMelika, nge-12 kaJuni 2021, yentshutshiso.ncbi.nlm.nih.gov/34147954/.
Kohno, S, et al. "Intlungu kwi-Sternocleidomastoid Muscle kunye ne-Occlusal Interferences." Ijenali yokuvuselelwa ngomlomo, ILayibrari yeSizwe yezeMithi yase-US, ngoJulayi 1988, yentshutshiso.ncbi.nlm.nih.gov/3171759/.
Misaghi, Babak. "I-Sternocleidomastoid Syndrome: Uphononongo Lwemeko." Ijenali yombutho waseCanada weChiropractic, Umbutho waseCanada weChiropractic, ngoSeptemba 2004, www.ncbi.nlm.nih.gov/pmc/articles/PMC1769463/.
isikhanyeli
by UGqr Alex Jimenez | Chiropractic, impilo, entanyeni Pain, Unyango lweentlungu, Unyango, I-Viscerosomatic Reflex
intshayelelo
Umzimba udibanisa izinto ezahlukeneyo imisipha abanemisebenzi ethile yokunceda ukudibanisa amalunga amathambo ngelixa unikezela umsebenzi kwiingalo, intamo, imilenze kunye nomqolo. Abantu abaninzi basebenzisa izihlunu zabo ukusetyenziswa kwansuku zonke njengokuphakamisa nokuthwala izinto, ukusuka kwenye indawo ukuya kwenye, nokukhusela amalungu abalulekileyo ekonakalisweni. Ukuza kuthi ga ngoku, imiba efana neziganeko ezibuhlungu, ukulimala, kunye nezinto ezisingqongileyo zinokuchaphazela umzimba kwaye zibangele umonakalo kwimisipha. Xa izihlunu zichatshazelwa zezi zinto, amaqhina amancinci inokubumba kunye nebhendi ye-taut muscle enokubangela iimpawu ezibuhlungu ezichaphazela iindawo ezithile emzimbeni. Esinye sezihlunu ezichaphazelekayo yintlungu yi-trapezius muscle, eyaziwa ngokuba yi-"coat hanger" muscle, enokuthi idibaniswe neempawu ezingapheliyo ze-myofascial pain syndrome. Inqaku lanamhlanje lihlola i-trapezius muscle, indlela intlungu ye-myofascial echaphazela ngayo i-trapezius muscle, kunye nendlela yokulawula intlungu ye-myofascial trapezius. Sithumela izigulane kubaboneleli abaqinisekisiweyo abakhethekileyo kunyango lwe-musculoskeletal ukunceda abantu abaphethwe yintlungu ye-trapezius ye-muscle ehambelana nentlungu ye-myofascial. Sikwakhokela izigulana zethu ngokuzithumela kubaboneleli bezonyango abanxulumeneyo ngokusekelwe kuvavanyo lwabo xa kufanelekile. Sifumanisa ukuba imfundo sisisombululo sokubuza ababoneleli bethu imibuzo ecacileyo. UDkt Jimenez DC unikezela ngolu lwazi njengenkonzo yemfundo kuphela. isikhanyeli
Yintoni i-Trapezius Muscle?
Ngaba ukhe waziva intlungu entanyeni yakho, emagxeni, okanye phakathi-upper back? Ngaba uziva iintloko zibuhlungu kufutshane neetempile zakho? Kuthekani ngokuthantamisa kwiindawo ezithile zomzimba wakho? Ezinye zezi zimpawu zingabonakala kwimisipha yakho ye-trapezius. Imisipha ye-trapezius ibekwe ngaphaya komqolo ekhangeleka ngathi yitrapezoid elula enemicu engaphezulu, ephakathi, nesezantsi kwezihlunu ezinemisebenzi eyahlukeneyo kumqolo ophakathi-ophakathi, amagxa kunye nentamo. Ngelixa i-muscle yonke ye-trapezius inceda ukujikeleza, ukuphakamisa, kunye nokubuyisela i-scapula ngelixa ukwandisa intloko nentamo, kunye nokuguqula i-chin ngokwayo. Kwangaxeshanye, i isihlunu sonke inokunceda ekuncediseni ukwandiswa komlomo wesibeleko kunye ne-thoracic spine.
- Izihlunu zeTrapezius eziphezulu: vumela amahlombe ukuba aphakame, aguqe intloko kunye nentamo, kwaye uncedise ukuxhasa ubunzima beendawo eziphezulu zomzimba, kuquka iingalo.
- Imisipha yeTrapezius ephakathi: inceda ngokuguquguquka kunye nokuxhwilwa kweengalo ezijikeleze amagxa kuluhlu olupheleleyo.
- Izihlunu zeTrapezius ezisezantsi: Inceda ukuhoxisa i-scapula ngelixa ujikeleza i-glenoid fossa phezulu ngokunciphisa imida ye-vertebral ye-scapula. Le micu inceda ukuguquguquka kunye nokuxhwilwa kweengalo.
Xa imikhosi ephazamisayo okanye ukulimala kuchaphazela imisipha ye-trapezius, iimpawu ezibuhlungu ziqala ukuchaphazela izihlunu, ezibangela ukuba zibe zithenda kwi-touch kwaye zichaphazele iindawo ezahlukeneyo emzimbeni.
Intlungu yeMyofascial ichaphazela njani iTrapezius Muscle?
Xa imikhosi ephazamisayo okanye ukulimala kuchaphazela imisipha ye-trapezius, iindawo ezithile zamagxa, intamo, kunye ne-upper-mid back ziya kuba neempawu ezinxulumene nentlungu. Xa abantu befumana intloko ebuhlungu kunye neentlungu zentamo kunye nentamo emizimbeni yabo ngelixa beziva bethambile kwimisipha yabo ye-trapezius, oku kwaziwa ngokuba iintlungu ezibhekisiweyo ezinxulumene nentlungu ye-myofascial. Intlungu ye-Myofascial kuxa amaqhina amancinci ecaleni kwe-taut muscle bands eqala ukwenza indawo ye-muscle ithenda kwi-touch. Abantu abaneentlungu ze-myofascial kwizihlunu zabo ze-trapezius banokufumana iindawo ezibuhlungu ezibangela intlungu kunye nokungasebenzi kakuhle kwemoto. Uphando lutyhila ukuba abantu abasebenza kwiinkonzo zokutya banokuba neempawu zeentlungu zegxalaba ezinxulumene nentlungu ye-myofascial ngenxa yokunyakaza okuphindaphindiweyo kwimisipha ye-trapezius ephezulu echaphazela imizimba yabo ephezulu. Intlungu ye-Myofascial trigger ingumceli mngeni kancinane ukuyifumanisa kuba iintlungu zinokuba kwindawo ezahlukeneyo kwaye zilinganise izigulo ezahlukeneyo emzimbeni. Ukuza kuthi ga ngoku, xa izihlunu ze-trapezius zichaphazeleka yintlungu ye-trigger inokubandakanyeka kwintlungu yomlomo wesibeleko. Intlungu ye-myofascial yomlomo wesibeleko sisifo esibangela intlungu yokusetyenziswa ngokugqithiseleyo kwemisipha okanye ukwenzakala entanyeni. Xa intlungu ichaphazela imisipha yentamo, inokuhamba ukuya kwimisipha ye-trapezius ebangela ububele kunye novelwano kwindawo ye-muscle echaphazelekayo. Uxinzelelo, i-postural mechanics, okanye ukunyakaza okuphindaphindiweyo kunokuphuhlisa i-myofascial pain syndrome kwaye ichaphazele imisipha ejikelezileyo.
Amanqaku eTrapezius Trigger- Ividiyo
Ngaba ukhe waziva ubuhlungu emagxeni akho, entanyeni, kunye nomqolo ophakathi? Kuthekani ngokuthamba kwezihlunu kwiindawo ezithile zomzimba wakho? Ngaba uziva uxinezeleko entanyeni yakho okanye kufutshane neetempile zentloko yakho? Ukuba uye wajongana nayo nayiphi na yezi mpawu, ngoko unokuba ufumana intlungu ye-myofascial trapezius. Ividiyo engentla ichaza indlela i-trigger points esuka kwiziganeko ezibuhlungu inokuchaphazela i-trapezius muscle kwaye ibangele intlungu ebhekiswayo edlula ezinye iimeko ezinokuchaphazela umzimba. Uphando lutyhila ezibangela amanqaku kwintloko nakwizihlunu zentamo yabantu abaninzi ababandezelekileyo baneentloko ezibuhlungu. Iintloko zohlobo lweTension yenye yeempawu ezinxulumene nentlungu ye-myofascial trapezius. Ezinye zezinye iimpawu ezinxulumene neentlungu ze-myofascial ezichaphazela i-trapezius muscle ziquka:
- Intlungu enzulu
- Ubunzima
- Iimfucu zamathambo
- Ukuqina emagxeni nasentanyeni
- Ukuthamba emagxeni, entanyeni, nangaphezulu
- Intloko ye-Occipital
Indlela yokulawula iintlungu ze-Myofascial Trapezius
Xa abantu abaninzi bebandezeleka ngenxa yentlungu ye-myofascial trapezius, abaninzi baya kugqirha wabo oyintloko kwaye babacacisele ukuba bahlala befumana iintloko ezibuhlungu rhoqo. Ekubeni intlungu ye-myofascial inxulunyaniswa ne-trapezius muscle inzima kwaye inzima koogqirha ukuba baxilonge kuba intlungu yomntu wonke yahlukile. Oogqirha abaninzi baya kuthumela izigulana zabo kwiingcali ezihambelanayo ezifana neengcali zonyango, i-massage therapists, okanye i-chiropractors ukufumanisa ukuba intlungu ibekwe phi ecaleni kwe-trapezius muscle. Unyango oluhlukeneyo lunokunceda ukunciphisa imisipha eqinile, kunye izifundo zityhila ukuba unyango lwe-spinal manipulative lunokunceda ukulawula intlungu engapheliyo evela kwimvelaphi ye-myofascial. Ukuguqulwa komgogodla okanye ukungahambi kakuhle kunokubandakanya ingcambu ye-nerve ye-spinal ehambelanayo eyenza imiphumo ye-antinociceptive kwi-muscle yethenda, ngaloo ndlela ibangele intlungu kwi-trapezius muscle. Ukusebenzisa unyango olwahlukeneyo ukunyanga iintlungu ze-myofascial trapezius kunokubonelela abantu ngesiqabu esiluncedo kwiintlungu zabo kunye nokulawula iimpawu zabo ezinxulumene nazo.
isiphelo
Isihlunu se-trapezius sisihlunu esikhulu esimilo se-trapezoid esisemva. Imicu yemisipha ephezulu, ephakathi, nesezantsi inemisebenzi eyahlukeneyo entloko, entanyeni, emagxeni nasezingalweni. I-trapezius muscle inceda kwakhona ekuncediseni ukwandiswa komlomo wesibeleko kunye ne-thoracic spine. Xa iziganeko ezibuhlungu okanye ukulimala kuchaphazela i-trapezius muscle, inokuphuhliswa ngokuhamba kwexesha ukudala amanqaku e-trigger kunye ne-taut muscle band ye-trapezius muscle kwaye ibangele intlungu ebhekiswe kwiindawo eziphezulu zomzimba. Ngethamsanqa unyango olwahlukeneyo lunokunceda ukulawula iimpawu zentlungu ezinxulumene ne-myofascial trapezius intlungu kwaye zinokunceda abantu abaninzi ukuba babuyele kuhambo lwabo lwezempilo kunye nempilo.
Ucaphulo
UFernández-de-Las-Peñas, uCésar, et al. "Amanqaku e-Myofascial Trigger kunye noBudlelwane babo kwiiParameters zeKlinikhi yeNtloko kwi-Chronic Tension-Type Headache." intloko ebuhlungu, ILayibrari yeSizwe yezeMithi yase-US, ngo-Septemba 2006, yentshutshiso.ncbi.nlm.nih.gov/16942471/.
Hwang, Ui-Jae, et al. "Ababikezeli be-Upper Trapezius Pain kunye neMyofascial Trigger Points kubasebenzi beNkonzo yoKutya: Isifundo seStrobe." iyeza, Wolters Kluwer Health, Juni 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5500039.
Laframboise, Michelle A, et al. "Impembelelo yeeNdlela ezimbini ezilandelelanayo zoMnqonqo kwiSeshini enye kwi-Myofascial Pain Pressure Sensitivity: Uvavanyo oluLawulwayo olungenamkhethe." Ijenali yombutho waseCanada weChiropractic, Umbutho waseCanada weChiropractic, ngoJuni 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC4915475/.
U-Ourieff, uJared, et al. "I-Anatomy, Back, Trapezius-StatPearls-NCBI Bookshelf." Ku: StatPearls [Internet]. Isiqithi saseTreasure (FL), iStatPearls Publishing, 26 July 2021, www.ncbi.nlm.nih.gov/books/NBK518994/.
UTouma, uJeffrey, et al. "Intlungu yoMyofascial yeCervical-Statpearls-NCBI Bookshelf." Ku: StatPearls [Internet]. Isiqithi saseTreasure (FL), iStatPearls Publishing, 4 July 2022, www.ncbi.nlm.nih.gov/books/NBK507825/.
isikhanyeli
by UGqr Alex Jimenez | Chiropractic, Ubuhlungu obungapheliyo, Iimeko eziPhathwayo, impilo, entanyeni Pain, Unyango lweentlungu, Unyango
intshayelelo
Intamo iqinisekisa ukuba intloko ithe tye emzimbeni ngelixa inika ukuhamba ukujikeleza, ukugoba, kunye nokuthambeka kwiindlela ezahlukeneyo. Intamo yinxalenye ye umlenze wesibeleko kwaye ibonelela ngemisebenzi ye-sensory-motor ukusuka kwi-nerve pathways esasazeke emagxeni kunye nomqolo ongaphezulu. Xa iziganeko ezibuhlungu okanye ukulimala kuchaphazela umgudu womlomo wesibeleko kwaye kubangela intlungu entanyeni ekuhambeni kwexesha, nangona kunjalo, ukuba ayiphathwanga, kunokukhokelela kwiimpawu ezinengxaki ezinxulumene nentlungu ye-muscle. intlungu entanyeni kunokukhokelela ekuqineni kwemisipha kwaye kubangele intlungu ye-myofascial trigger ehambelana neentlungu ezigqithisiweyo kuwo wonke umzimba ophezulu. Inqaku lanamhlanje lijonga imiphumo yeentlungu zentamo, indlela ehambelana ngayo nentlungu ye-myofascial trigger, kunye neendlela zokulawula intlungu yentamo ehambelana nentlungu ye-myofascial trigger. Sithumela izigulane kubaboneleli abaqinisekisiweyo abakhethekileyo kunyango lwe-musculoskelet ukunceda abantu abaphethwe yintlungu yentamo ehambelana nentlungu ye-myofascial trigger. Sikwakhokela izigulana zethu ngokuzithumela kubaboneleli bezonyango abanxulumeneyo ngokusekelwe kuvavanyo lwabo xa kufanelekile. Sifumanisa ukuba imfundo sisisombululo sokubuza ababoneleli bethu imibuzo ecacileyo. UDkt Jimenez DC unikezela ngolu lwazi njengenkonzo yemfundo kuphela. isikhanyeli
Iziphumo Zentlungu Yentamo
Ngaba ubuziva ukuqina kwezihlunu entanyeni nasemagxeni? Ngaba ufumana iintloko ezibuhlungu ezichaphazela usuku lwakho? Kuthekani ngokuziva ukuntyiloza kweengalo nezandla zakho? Ezi mpawu zidibene neentlungu zentamo kwaye zinokuchaphazela abantu abaninzi ukuba aziphathwanga ngexesha. Abantu abaninzi abathwaxwa yintlungu yentamo baya kuziva ukuqina kwemisipha echaphazela kungekuphela nje emacaleni entamo kodwa kumagxa kunye nomqolo wabo ongaphezulu. Uphando lutyhila ukuba intlungu yentamo yi-multifactorial musculoskeletal disorder echaphazela abantu behlabathi lonke kwaye ingaba yingxaki engapheliyo. Izinto ezinobungozi ezinxulumene nophuhliso olunegalelo kwintlungu yentamo ziquka:
- istres
- Ukunyanzeliswa okubi
- Ukuxhalabisa
- Indawo yokulala
- Ukuphazamiseka kwe-Neuromusculoskeletal
- Izingozi ezizenzekelayo
- Iziganeko ezibuhlungu
Zininzi zazo izinto ezinobungozi ehambelana nentlungu yentamo ingabangela iimpawu zentlungu kwaye ibangele intlungu kwiindawo ezahlukeneyo zomzimba, ukwenza ukuxilongwa komthombo wentlungu yingxaki koogqirha.
Intlungu Yentamo eNxulunyaniswe ne-Myofascial Trigger Pain
Ekubeni iintlungu zentamo ziqhelekile kubantu abaninzi, enye yeempawu ezinxulumene nokuqina kwemisipha kunye nokuthamba yi-myofascial trigger pain overlapping nentamo. Uphando lutyhila ukuba ukubunjwa kwamanqaku e-trigger kubangelwa xa imisebenzi eyahlukeneyo yomzimba iqala ukuvelisa uxinzelelo oluphindaphindiweyo okanye kubangele i-micro-tears kumaqela aqinisekileyo emisipha enokubangela ukuxinana ngaphakathi kwimicu ye-muscle. Ukuza kuthi ga ngelo xesha, amaqhina kwibhendi ye-taut yemisipha iba yi-hypersensitive kwaye ivelise iintlungu ezibhekisiweyo, ukuthamba, ukungasebenzi kakuhle kwemoto, kunye neziganeko ezizimelayo. Xa intamo ihlupheka ngenxa yesiganeko esibuhlungu esichaphazela umqolo, ngokuhamba kwexesha kunokudala amanqaku e-trigger okanye intlungu ye-myofascial. Kunzima ukuxilonga apho intlungu ikhoyo emzimbeni ngenxa yokuba iintlungu ze-myofascial trigger zihlala zilinganisa ezinye iimeko zentlungu. Inokubhida abantu abaninzi njengoko becinga ukuba bakhathazwa yintlungu enye, kodwa yintlungu eyahlukileyo echaphazela umzimba wabo. Ezinye izifundo zityhila ukuba abantu abane-myofascial pain syndrome ehambelana neentlungu zentamo banendawo yethenda ngaphakathi kwebhendi ye-muscular eqinile, ebangela ukungathandeki kwendawo. Ukuza kuthi ga ngelo xesha, intlungu ye-myofascial ingabangela intlungu yokuthunyelwa kwiindawo ezikude ezifana nokuphazamiseka komqolo wesibeleko njenge-herniation kaninzi inokudideka kunye nentlungu ye-myofascial xa kukho intlungu yokudluliselwa kwiindawo eziphezulu zomzimba. Ezinye ze iimpawu ezinxulumene ne-myofascial trigger pain echaphazela entanyeni ziquka:
- Iintlungu ezinzulu, ezibuhlungu
- Intloko
- Ukuthamba kwemisipha entanyeni okanye emagxeni
- Ukurhawuzelelwa okanye ukuba ndindisholo phantsi kweengalo nezandla
- Ukuqina kwemisipha
Iintlungu zeNtamo kunye neeNqaku zokuTyala-Ividiyo
Ngaba uziva ndindisholo okuhla emagxeni ukuya ezandleni zakho? Kuthekani ngokuqina kwezihlunu emacaleni entamo okanye emagxeni? Okanye ngaba iintloko zibonakala ziphuma ngaphandle kwaye zichaphazela usuku lwakho? Unomngcipheko wokubandezeleka kwintlungu yentamo ehambelana nentlungu ye-myofascial trigger. Ividiyo engentla ichaza indlela intlungu yentamo ehambelana ngayo namanqaku e-trigger kunye nendlela yokuqalisa intlungu ingaba yinto ephambili okanye yesibini kwiintlungu zentamo. Uphando lutyhila ukuba i-myofascial pain syndrome yintlupheko yentlungu ye-muscular eqhelekileyo engaqondwa kakuhle kwaye ibandakanya intlungu ebhekiswayo ukwenza iincinci ezincinci, i-tender trigger points ngaphakathi kwemisipha. Ukuza kuthi ga ngoku, intlungu ye-myofascial ehambelana nentlungu yentamo inokuhambelana neepatheni ezithile zentlungu ehambelana nenqaku ngalinye le-trigger, izinto ezinegalelo ezifana neemvakalelo, i-postural, kunye nezinto zokuziphatha ezibangela uxinzelelo entanyeni kunye neempawu ezinxulumene rhoqo kwiimeko ezahlukeneyo zenza kube nzima ukuxilonga. . Ekubeni i-myofascial trigger points inzima kwaye ixelisa ezinye iimeko ezichaphazela inxalenye yomzimba eyahlukileyo, abaninzi bakholelwa ukuba izifo ezahlukeneyo zichaphazela umzimba wabo kunesigulo sangempela. Ngombulelo kukho iindlela zokulawula iintlungu zentamo ezinxulumene ne-myofascial trigger pain kunye nokunciphisa intlungu yemisipha.
Iindlela zokulawula iintlungu zeNtamo eziNxulunyaniswe neNtlungu ye-Myofascial Trigger
Ekubeni i-myofascial trigger pain ehambelana nentamo ingaba nzima kwaye inzima ukuyixilonga, oogqirha abaninzi baya kuthumela izigulane kwi-physical therapist, i-chiropractor, okanye enye ingcali yomgogodla ukuhlola amanqaku abangela intlungu yentamo. Unyango olwahlukeneyo lunokusuka kunyango lwasekhaya ukuya kwiinaliti eziqatha zezihlunu, kuxhomekeke ekubeni ukwenzakala kangakanani kuba iintlungu zomntu wonke zahlukile. Ezinye ze unyango olukhoyo ezinokunciphisa nokulawula iintlungu zentamo ye-myofascial ziquka:
- Ukuzilolonga (kunceda ukolula nokomeleza intamo kunye nezihlunu zangaphezulu)
- Ukuphulula (inceda ukukhulula izihlunu eziqinileyo entanyeni nasemagxeni)
- Unyango olushushu (lunceda ukuphumla kunye nokwandisa ukuhamba kwegazi kwindawo echaphazelekayo)
- Ukhathalelo lweChiropractic (lusebenzisa ukuguqulwa komgogodla ukukhusela imiba eyongezelelweyo yeentlungu ukuba yenzeke)
- I-acupuncture (inceda ukukhulula indawo yokuqalisa kunye nokunciphisa intlungu)
Ukubandakanya ezi zonyango ezahlukeneyo kunokubonelela ngesiqabu esiluncedo kwabo baphethwe yintlungu yentamo ye-myofascial kunye nokunceda ukulawula iimpawu ezinxulumene nomzimba.
isiphelo
Intamo inikezela ukuhamba entloko njengoko inokujikeleza, ukugoba, kunye nokuthambekela kwiindlela ezahlukeneyo ngelixa ibonelela ngemisebenzi ye-sensory-motor kumagxa kunye nomva ongaphezulu ukusuka kwiingcambu zemithambo-luvo kumqolo wesibeleko. Xa amandla abuhlungu echaphazela intamo, intlungu ye-myofascial trigger ingakhokelela kwiintlungu zentamo. Intlungu ye-Myofascial trigger ehambelana nentlungu yentamo kulapho amaqhina amancinci kwimisipha yentamo echaphazelekayo eba yithenda kwaye eqinile, ebangela intlungu echazwe kwiindawo ezahlukeneyo emzimbeni. Intlungu yentamo ye-Myofascial inzima ukuxilonga kodwa iyalawuleka ukunyanga ngeendlela ezahlukeneyo zonyango kunye nobuchule obunokukhulula amaqhina kwi-muscle echaphazelekayo kunye nokukhusela iimpawu ezizayo ukuba zenzeke. Oku kuvumela abantu abaninzi ukuba bazive isiqabu kwiintlungu zabo zentamo kwaye baqhubeke nohambo lwabo lwempilo.
Ucaphulo
Alghadir, Ahmad H, et al. "Ukusebenza koNyango oluDityanisiweyo kwiNzululwazi yeNtamo kunye nokuBumba kweSisipha kwizigulane zeSidoda ezine-Upper Trapezius Active Myofascial Trigger Points." IBioMed yoPhando yeHlabathi, Hindawi, nge-10 kaMatshi 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7085833/.
Ezzati, Kamran, et al. "Ukuxhaphaka kwe-Cervical Myofascial Pain Syndrome kunye nokuNxibelelana kwayo kunye noBubunzima beentlungu kunye nokukhubazeka kwizigulane ezineNzululwazi engapheliyo yeNtamo." ULondolozo lweeNkcukacha eziBalulekileyo zoTyando lwamathambo kunye noManyano, IYunivesithi yaseMashhad yeNzululwazi yezoNyango, ngoMatshi 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC8121028/.
UFricton, JR, kunye nabanye. "I-Myofascial Pain Syndrome yeNtloko kunye neNtamo: Ukuphononongwa kweeMpawu zeKliniki yezigulane ze-164." Utyando loMlobo, uNyango loMlo, kunye nePathology yomlomo, ILayibrari yeSizwe yezeMithi yase-US, ngoDisemba 1985, yentshutshiso.ncbi.nlm.nih.gov/3865133/.
Kazeminasab, Somaye, et al. "Intlungu yeNtamo: I-Epidemiology yeHlabathi, iiTrendi kunye neMicimbi yoMngcipheko." Iingxaki ze-BMC zeMisculoskeletal, BioMed Central, 3 Jan. 2022, www.ncbi.nlm.nih.gov/pmc/articles/PMC8725362/.
isikhanyeli
by UGqr Alex Jimenez | Unyango lweentlungu, Ucoceko loMgcini
I-Cervical spinal stenosis yimeko ebangela ukunciphisa ummandla wentamo yomqolo. Oku kucutha kunokucinezela imithambo-luvo ebangela intlungu kunye nokungakhululeki. Iimpawu zibangelwa ukungahambi kakuhle / ukunyanzeliswa kwentamo, ngokuqhelekileyo i-c1 kunye ne-c2 vertebrae. Ukungalungelelani kakuhle kunokubangelwa kukunxitywa kwemihla ngemihla; ukwenzakala kunye namathumba kunokubangela okanye mandundu imeko. I-Cervical spinal stenosis yimeko enzima ebuhlungu njengoko ixesha liqhubeka kwaye lingabangela umonakalo osisigxina kunye nokukhubazeka. Iingcebiso ze-Chiropractor kunye nobuchule obungabonakaliyo bunokunciphisa iimpawu, kunye nokwelula zonyango kunye nokuzivocavoca, kunye nokutya konke kuyingxenye yesicwangciso sonyango lomntu.
Iimpawu zestenosis
Uphawu oluqhelekileyo lubuhlungu bentamo. Oogqirha batusa ukuphepha yonke imisebenzi eyenza intlungu ibe nzima; nangona kunjalo, I-chiropractors icebisa ukuba ihlale isebenza ngokusemandleni ukugcina izihlunu zomelele. Oku kungenxa yokuba ukungasebenzi ngokuhamba kwexesha kunokukhokelela ukuwohloka kwemisipha entanyeni. Ezinye iimpawu ngaphandle kweentlungu zentamo ziquka:
- Ukukhathazeka kwentamo kunye neentlungu
- Intloko
- Ukuba ndindisholo, ukuntyiloza egxalabeni, engalweni, esandleni
- Kunzima ukugcina ibhalansi
- Iingxaki zokuhamba
Iingcebiso zeChiropractor
Iintlungu okanye Ukuqina kweNtamo Akufunekanga Kuhoywe
- Intlungu okanye ukuqina kwentamo ebuhlungu ngokukhawuleza okanye ayiphumli okanye ihambe emva kweeveki ezimbini ifuna unyango.
- Ukungahoyi okanye ukugxotha intlungu okanye ukuqina kunokuyenza ibe mandundu imeko.
Ukujonga Phantsi Efowunini Inde Kakhulu
- Ukujonga phantsi ixesha elide kwandisa uxinzelelo entanyeni.
- Ukugcina intloko phambili ixesha elongeziweyo kwandisa amathuba pinching / compressing imithambo-luvo kunye kubangela i-radiculopathy.
Imithambo eyenza iNtamo ijikeleze
- Ukuzilolonga okuqengqelekayo okanye ukutsala intamo akukhuthazwa njengoko kunokubangela ukuba imeko ibe mandundu.
- I-chiropractor iya kuncoma ukulula kwentamo ethile kunye nokuzivocavoca kwimeko-nge-case basis.
Ibhegi enzima, isipaji, iBackPack kwigxalaba elinye
- Kunconywa ukuba uphathe i-backpack kunye namagxa omabini ukuze usasaze ubunzima ngokulinganayo.
- Ngokuhamba kwexesha, i-backpack, isikhwama, okanye isikhwama kwigxala elifanayo liya kuphazamisa umjikelezo wokuhamba kwaye udibanise phantsi kwelinye icala lentamo, ukunyusa i-stenosis yomlomo wesibeleko.
- Kwiingxowa kunye neengxowa ezinomtya omnye, kucetyiswa ukuba utshintshe amahlombe okanye usebenzise a umtya onqamlezileyo.
Ukulala Ngesisu
- Ukulala ngesisu kuthetha ukuguqula intamo kwelinye icala.
- Oku kugxininisa kwaye kwandisa i-stenosis yomlomo wesibeleko.
- Kunconywa ukuba ulale ngecala okanye ngasemva.
Unyango, uNyango, kunye noBuyiselo kwimo yesiqhelo
- I-Chiropractic inconywa kwi-spinal stenosis kuba ilungisa kwaye iphinde ilungelelanise i-dislocated kunye ne-herniated discs kunye ne-decompresses. umqolo.
- Unyango lunciphisa uxinzelelo kwintambo yomgogodla kunye namalungu ayo kunye neenethiwekhi ze-nerve.
- Ubuchule obuhlukeneyo bubandakanya i-physiotherapeutic massage, ukulungiswa komgogodla, ukunyanzeliswa komlomo wesibeleko, ukunyanzeliswa komgogodla, kunye ne-flexion-distraction, eya kujongana neempawu ze-stenosis, ukunyanga iintlungu, ukunciphisa ukuvuvukala, ukuphazamiseka, kunye nokubuyisela ukusebenza kwemisipha.
Ukuthotywa kweCervical engasebenziyo
Ucaphulo
Clark, uAron J et al. "I-Cervical spinal stenosis kunye ne-neurapraxia yomlomo wesibeleko enxulumene nezemidlalo." Neurosurgical focus vol. 31,5 (2011): E7. doi:10.3171/2011.7.FOCUS11173
Kukurin, uGeorge W. "Ukulungiswa kweempawu kwi-stenosis yomlomo wesibeleko kunye ne-spinal cord deformation ngokusebenzisa i-chiropractic manipulation ethile: ingxelo yecala kunye nokulandelwa kwexesha elide." Ijenali ye-manipulative and physiological therapeutics vol. 27,5 (2004): e7. doi:10.1016/j.jmpt.2004.04.009
U-Isaac Z. Uvavanyo lwesigulane esinentlungu yentamo kunye nokuphazamiseka komlomo wesibeleko. Isemgangathweno. www.uptodate.com/contents/evaluation-of-patient-with-neck-pain-and-cervical-spine-disorders. Igqityelwe ukuhlaziywa ngoMeyi 2, 2016. Ifikeleleke ngoFebruwari 25, 2018.
by UGqr Alex Jimenez | Chiropractic, Intloko kunye nonyango, Migraine, entanyeni Pain, Unyango lweentlungu
intshayelelo
Wonke umntu unayo intloko ngaxa lithile kubo bonke ubomi babo, nto leyo enokuba buhlungu, kuxhomekeke kubuqatha. Ingaba ngumthwalo onzima obangela ukuba umntu abe noxinzelelo olunzima emabunzini abo, ukungezwani komzimba okubangela uxinzelelo olukhulu phakathi kwe-sinus cavity embindini wobuso, okanye izinto eziqhelekileyo ezibonakala zibangela ukuvakala kwentloko, intloko azikho iziqhulo. Ngokuqhelekileyo, iintloko zibonakala zihamba xa zisemoyeni wazo kodwa zinokuba zingapheliyo xa intlungu ingahambi, ibangela imiba emehlweni nakwimisipha. Inqaku lanamhlanje lijonga indlela intloko ebuhlungu echaphazela ngayo umzimba kunye nokuba ingaba yingxaki ye-somatovisceral kubantu abaninzi. Sithumela izigulana kubaboneleli abaqinisekisiweyo, abanezakhono ezikhethekileyo kunyango lwe-neurological olunceda abo bantu baphethwe yintloko. Sikwakhokela izigulana zethu ngokubhekisa kubaboneleli bethu bezonyango abanxulumeneyo ngokusekelwe kuvavanyo lwabo xa kufanelekile. Sifumanisa ukuba imfundo ibalulekile ekubuzeni imibuzo eqondayo kubaboneleli bethu. UDkt Alex Jimenez DC unikezela ngolu lwazi njengenkonzo yemfundo kuphela. isikhanyeli
Ngaba i-inshorensi yam ingayihlawula? Ewe, kunokwenzeka. Ukuba akuqinisekanga, nali ikhonkco kubo bonke ababoneleli beinshorensi esibakhuselayo. Ukuba unemibuzo okanye iinkxalabo, nceda ufowunele uDkt Jimenez kwi-915-850-0900.
Indlela Intloko Ebuhlungu Ewuchaphazela Ngayo Umzimba
Ngaba uziva ukubetha ebunzi? Ngaba amehlo akho abonakala ngathi avuleke kwaye anovelwano ekukhanyeni? Ngaba zombini iingalo okanye izandla zibonakala zitshixekile kwaye zineenaliti kunye neenaliti eziziva zingakhululekanga? Le miqondiso kunye neempawu ziintlobo ezahlukeneyo zeentloko ezichaphazela intloko. Intloko inceda ukukhusela ingqondo emonakalweni njengoko imiqondiso ye-neuron esuka kwinkqubo ye-nervous ephakathi idityaniswe kwimimandla yomlomo wesibeleko yomqolo. Xa izinto ezifana neendlela zokuphila, ukutya okutyayo, kunye noxinzelelo luchaphazela inkqubo ye-nervous central, baqala ukudibanisa ukwenza iintlobo ezahlukeneyo zeentloko. Uhlobo ngalunye lwentloko ebuhlungu luhlala lutshintsha kubantu abaninzi abahluphekayo ukuba bangaze bahlale phantsi ukuze oogqirha babo babambe iprofayile yabo ethile. Ezinye zeentloko ezininzi ziquka:
- Intloko intloko
- Migraines
- Uxinzelelo lwentloko
- Uxinzelelo lweSinus
- Iintloko ezidibeneyo
Xa iintloko ziqala ukuchaphazela intamo kunye nentloko, uphando lubonisa ukuba ezi ntloko zibangela ukuguqulwa phakathi kwamacandelo omlomo wesibeleko kunye nesiseko seskull. Oku kuba ngumlamli wentamo kunye nentloko ekuphuhliseni iintlungu ezigqithisiweyo. Iintlungu ezibhekiswayo zaziwa njengentlungu eyenzeka kwicandelo elinye lomzimba kunalapho ikhoyo. Ngokomzekelo, yithi umntu uye wafumana ukulimala okubuhlungu okubangela ukuba abe ne-whiplash entanyeni; ukuba intlungu kwimisipha yentamo yabo inokulinganisa intloko echaphazela icala elinye lentloko yabo. Ulwazi olongezelelweyo lukhankanyiwe ukuba intloko ye-migraine inokubangela imiba engapheliyo yokuvuvukala kwi-axis ye-gut-brain, ebangela ukungasebenzi kakuhle kwe-autonomic kunye ne-enteric nervous systems kunye nokuchaphazela umzimba.
Indlela Umzimba Ujongana NeMigraines-Ividiyo
Ngaba ukhe waziva ukubetha kwiindawo ezahlukeneyo zobuso bakho? Ngaba uziva ukuba izihlunu zakho ziqina entanyeni okanye emagxeni akho? Okanye ngaba umzimba wakho uziva udiniwe kuba ingxolo ibonakala ibangela intlungu engathethekiyo? Iintlobo ezahlukeneyo zeentloko zingabangela iingxaki ezininzi kungekhona nje entanyeni kodwa nasemzimbeni. Le vidiyo ingasentla ibonisa okwenzekayo emzimbeni xa umntu ephethwe yi-migraine. Izifundo zophando ziye zaqaphela ukuba abantu abane-migraines baya kuba neempawu ezinxulumene ne-somatic comorbid ezifana nokuxhalaba kunye nokudakumba, okwenza ukuba intloko ye-migraine ibe rhoqo. Kwangaxeshanye, zibe zithathu eziphezulu zezona ntlobo zixhaphakileyo zentloko, i-migraines inokwabelana ngendlela eqhelekileyo ekhoyo ebandakanya iiprofayili ezithe kratya zenkqubo ye-cerebrovascular elingana noxinzelelo oluphindaphindiweyo oluchaphazela inkqubo ye-nervous central.
Indlela iintloko ezibuhlungu ngayo yiNgxaki yeSomatovisceral
Izifundo zophando zifumene ukuba ubukhali bentloko emntwini, ngakumbi kwabasetyhini, kubangela ubudlelwane be-synergetic obubangela ukuba iimpawu ze-somatic kunye nokudakumba kube phezulu. Oku kubangelwa ukugqithiswa kweeprofayili ezinobungozi ezichaphazela iindlela zenkqubo ye-nervous onovelwano, ebangela ukuveliswa kweentloko ze-cervicogenic kunye ne-migraines engapheliyo. Oku kungenxa yokuba i-junction ye-brain stem kunye nentambo yomgogodla ibizwa ngokuba yi-nucleus ye-trigeminocervical kwaye igqithise iiseli ze-nociceptive. Xa oku kwenzeka, I-fibers esondeleyo ye-anatomic intlungu evela kumqolo wesibeleko kunye nenkqubo ye-trigeminal iqala ukuxhatshazwa; kudala iimpembelelo zentlungu ukusuka entanyeni ukuya entloko, kubangela ukuba iintloko zitolike.
isiphelo
Ngokubanzi, iintloko azikho ihlaya xa ziqala ukuchaphazela umzimba kwaye zibangele ubuhlungu obufanayo kwiindawo ezahlukeneyo zomzimba. Xa izinto ezahlukeneyo ziqala ukubangela imiba ye-somatic eqinisa izihlunu kodwa ikwachaphazela imithambo-luvo ejikelezileyo, inokubangela ukuba intloko ibe buhlungu kwaye ibe buhlungu. Iintlobo ezahlukeneyo zeentloko zinokuchaphazela eminye imimandla yobuso kwaye zinokuhamba ixesha elifutshane kwimo yazo ebukhali. Nangona kunjalo, kwimeko yayo engapheliyo, inokubangela ukuba umzimba ube buhlungu kakhulu. Ukufumana iindlela zokuthintela iintloko ukuba ziqhubele phambili ngakumbi kunokuzuza umntu.
Ucaphulo
UCastien, uRené, kunye noWillem De Hertogh. "Umbono we-Neuroscience woNyango loMzimba weeNtloko zeNtloko kunye neeNhlungu zeNtanye." Frontiers kwi-Neurology, Frontiers Media SA, nge-26 kaMatshi 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6443880/.
UCámara-Lemarroy, uCarlos R, et al. "Iziphazamiso zeGastrointestinal ezinxulumene neMigraine: Uphononongo oluBanzi." Ijenali yehlabathi ye-Gastroenterology, Baishideng Publishing Group Inc, 28 Septemba 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC5037083/.
Umbona, uMorris, kunye noRaoul Burchette. "Iimpawu zeSomatic kwiZigulana ezibuhlungu yintloko: impembelelo yokuxilongwa kwentloko, ukuphindaphinda, kunye ne-Comorbidity." intloko ebuhlungu, ILayibrari yeSizwe ka-US yamayeza, 2004, yentshutshiso.ncbi.nlm.nih.gov/15546261/.
Tietjen;Brandes JL;Digre KB;Baggaley S;Martin V;Recober A;Geweke LO;Hafeez F;Aurora SK;Herial NA;Utley C;Khuder SA;, G E. Ikhubaza Intloko Ebuhlungu. ” Neurology, ILayibrari yeSizwe yaMayeza yase-US, nge-9 Jan. 2007, yentshutshiso.ncbi.nlm.nih.gov/17210894/.
isikhanyeli
