Uvavanyo lweChiropractic
UVavanyo lweChiropractic yangasemva. Uvavanyo lokuqala lwe-chiropractic ye-musculoskeletal disorders luya kuba namacandelo amane: ukubonisana, imbali yecala, kunye nokuhlolwa komzimba. Uhlalutyo lwebhubhoratri kunye novavanyo lwe-X-reyi lunokwenziwa. I-Ofisi yethu ibonelela ngoVavanyo oloNgezelelweyo lokuSebenza kunye noluHlanganisiweyo lweMpilontle ukuze izise ulwazi oluphangaleleyo kwiinkcazo-mpilo zesigulana.
Ukubonisana:
Isigulane siya kudibana ne-chiropractor esiya kuhlola kwaye sibuze umbuzo omfutshane weentlungu zakhe ezisezantsi, njenge:
Ixesha kunye nobukhulu beempawu
Inkcazo yeempawu (umz. Ukuvutha, ukuphosa)
Iindawo zeentlungu
Yintoni eyenza intlungu iziva ngcono (umzekelo, uhleli, ulula)
Yintoni eyenza intlungu ibuhlungu ngakumbi (umzekelo ukuma, ukuphakamisa).
Imbali yembali. I-chiropractor ichonga indawo (s) yesibheno kunye nesimo seentlungu emva kokubuza imibuzo nokufunda ngakumbi malunga nemimandla eyahlukeneyo yomlando wesigulane, kuquka:
Imbali yentsapho
Indlela yokutya
Imbali edlulileyo yamanye unyango (i-chiropractic, i-osteopathic, unyango kunye nezinye)
Imbali yomsebenzi
Imbali yengqondo
Eminye imimandla emayiphononongwe, ngokufuthi isekelwe kwiimpendulo zale mibuzo ingasentla.
Uhlolo loqobo:
Siza kusetyenziswa iindlela ezahlukeneyo zokujonga izigulane zamagqabi ezifuna unyango lwe-chiropractic, kubandakanywa kodwa ezingagqibekanga kwiinkqubo zesigxina kunye neendlela zokunyakaza ezinqumle amaqhekeza omnxeba onobungozi bezithuthi (ezinqongophele ekuhambeni kwawo) okanye ukulungiswa. Ngokuxhomekeke kwiziphumo zoviwo olukhankanywe ngasentla, i-chiropractor ingasebenzisa iimvavanyo zokuxilonga ezongezelelweyo, ezifana:
I-X-ray ukufumana izihlomelo (indawo eguqulelwe kwi-vertebra)
Isixhobo esichaza ukushisa kwesikhumba kwindawo yesigxina ukuchonga iindawo zokumelana nomoya ngokuhluka kweqondo lokushisa olufuna ukuphathwa.
Diagnostics yeLebhanki:
Ukuba kuyimfuneko, sikwasebenzisa iindlela ezahlukeneyo zokuxilonga zaselebhu ukuze siqinisekise umfanekiso opheleleyo wekliniki wesigulana. Siye sasebenzisana neelebhu eziphezulu esixekweni ukuze sinike izigulane zethu umfanekiso weklinikhi ogqibeleleyo kunye nonyango olufanelekileyo.
by UGqr Alex Jimenez | Uvavanyo lweChiropractic, Iimeko eziPhathwayo
Izihlunu zegluteal / glutes ziquka iimpundu. Ziliqela izihlunu ezinamandla eziquka izihlunu ezintathu. I-gluteus maximus, i-gluteus medius, kunye ne-gluteus minimus. Izihlunu ze-glute zinceda amandla okusebenza ngokomzimba kunye nokunyakaza kwemihla ngemihla njengokuhamba, ukuma, kunye nokuhlala kunye nokunceda ukukhusela ukwenzakala kumbindi, umva, izihlunu zesisu, kunye nezinye izihlunu ezixhasayo kunye nezicubu. Abantu ngabanye banokuhlakulela ukungalingani kwe-glute apho elinye icala liba namandla kwaye lisebenze ngakumbi okanye liphezulu kunelinye. Ukungalingani okungaqwalaselwanga kunokukhokelela ekuqhubekeni kokungalingani kwemisipha, iingxaki zokuma, kunye nemiba yeentlungu. I-Chiropractic yezoNyango zeChiropractic kunye ne-Functional Medicine Clinic inokuphuhlisa isicwangciso sonyango lomntu siqu ukukhulula iimpawu kunye nokubuyisela ukulungelelaniswa, ukulinganisela kunye nempilo.
I-Glute Muscle Ukungalingani
Amandla, i-glutes enempilo ikhuthaza ukuzinza kwe-lumbopelvic kunye isigqi, oku kuthetha ukuba bagcina umqolo ophantsi kunye ne-pelvis ngendlela echanekileyo yokukhusela iingxaki kunye nokulimala. Ukungalingani kwe-Glute kwenzeka xa elinye icala le-glutes likhulu, linamandla, okanye linamandla. Ukungalingani kweGlute kuqhelekile kwaye kuyinxalenye ye-anatomy eqhelekileyo yomntu, njengoko umzimba ungalingani ngokugqibeleleyo. Ukutshintsha kunye nokusebenzisa elona cala lilawulayo xa uthatha ubunzima okanye uchola izinto kuqhelekile, ke elinye icala liya liba likhulu. Kanye njengokuba umntu ukhetha isandla esinye, ingalo kunye nomlenze ngaphezu kwesinye, elinye icala le-glute linokusebenza nzima kwaye libe namandla.
Izizathu
Kukho izizathu ezininzi zokungalingani kwemisipha ye-glute, kuquka:
- Ukwahluka kwe-Anatomical- Wonke umntu unezihlunu ezimile ngokukodwa, iindawo zokuncamathela, kunye neendlela zemithambo-luvo. Ezi zintlukwano zingenza ukuba elinye icala le-glutes lilawule okanye libe namandla.
- Ukuma okungenampilo.
- Iimpawu zentlungu yangasemva zinokubangela ukuba abantu bathathe izikhundla ezingafanelekanga kunye nokumisa, njengokuthembela kwelinye icala.
- Ukwenzakala kwangaphambili.
- Ukuvuselelwa okungonelanga kumonzakalo wangaphambili.
- Ukwenzakala kwemithambo-luvo.
- I-Ankle sprains ingakhokelela ekunciphiseni ukusebenza kwe-glute.
- Uqeqesho olungafanelekanga
- Ukungafani kobude bomlenze
- I-Atrophy
- Imeko yomqolo
- Umsebenzi wengqesho
- Imiba yezemidlalo inokuthi ibeke phambili icala elinye lomzimba kunelinye.
Ukutshintsha uMzimba
Xa intlungu ibonakala kwindawo enye yomzimba, izibonakaliso zithunyelwa ukuba zilumkise ezinye izihlunu ukuba zivumelane / ziqiniswe njengendlela yokukhusela ukukhusela ukulimala okuqhubekayo. Olu tshintsho luguqula iipatheni zokuhamba, ezikhokelela ekungalingani kwemisipha kwi-glutes nakwezinye iindawo. Abantu abangakwaziyo ukubuyisela kwimeko yokwenzakala ngokufanelekileyo banokushiywa ngokungalingani.
Uncedo lweChiropractic kunye nokubuyiselwa
Le meko kufuneka iqwalaselwe ukuthintela ukwenzakala okungaphezulu kunye nemiba yokuma. Unyango luyahluka ngokuxhomekeke kumntu kunye nobungakanani bengxaki. Isicwangciso sonyango sokuthintela nokuphucula ezinye iindlela zokungalingani kwe-glute kunokubandakanya oku kulandelayo.
- Ukunyibilika komgogodla iya kolula umzimba kunye nezihlunu kwindawo esebenzayo.
- I-massage yonyango iya kukhulula imisipha kwaye inyuse ukuhamba kwegazi.
- Uhlengahlengiso lweChiropractic ukulungelelanisa umqolo kunye nomzimba.
- Ukolulwa okujoliswe kuko kunye nokuzivocavoca kuya kubonelelwa ukugcina ulungelelwaniso.
- Uqeqesho olumacala omabini okanye ukuqeqesha icala elinye lomzimba ngexesha kunokunceda ukwakha nokomeleza icala elibuthathaka.
- Ukomeleza okungundoqo kunokusebenza umahluko kumacala omabini omzimba.
Indlela yeChiropractic yokuNceda iintlungu
Ucaphulo
Bini, uRodrigo Rico, kunye no-Alice Flores Bini. "Ukuthelekiswa kobude be-linea alba kunye nokuzibandakanya kwezihlunu ezingundoqo ngexesha lokuzilolonga kunye ne-back back." Ijenali yoMzimba kunye nonyango lwentshukumo vol. 28 (2021): 131-137. doi:10.1016/j.jbmt.2021.07.006
Buckthorpe, uMateyu, et al. "UKUVAVANYA NOKUNYATHA UBUTHATHAKA BE-GLUTEUS MAXIMUS - ULUVO LWECLINICAL." Ijenali yaMazwe ngaMazwe yonyango lomzimba ezemidlalo vol. 14,4 (2019): 655-669.
U-Elzanie A, uBorger J. Anatomy, uBony Pelvis kunye neLungu elisezantsi, iGluteus Maximus Muscle. [Ihlaziywe ngo-2023 ku-Epreli 1]. Ku: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Ifumaneka kwi: www.ncbi.nlm.nih.gov/books/NBK538193/
Liu R, Wen X, Tong Z, Wang K, Wang C. Utshintsho lwe-gluteus medius muscle kwizigulane zabantu abadala abane-unilateral developmental hip dysplasia. I-BMC Musculoskelet Disord. 2012;13(1):101. doi: 10.1186/1471-2474-13-101
U-Lin CI, uKhajooei M, u-Engel T, kunye no-al. Umphumo wokungazinzi kwe-ankle engapheliyo ekusebenzeni kwemisipha kwiindawo ezisezantsi. Li Y, umhleli. PLoS ENYE. 2021;16(2):e0247581. doi:10.1371/journal.pone.0247581
Pool-Godzwaard, AL et al. "Uzinzo olungonelanga lwe-lumbopelvic: indlela yeklinikhi, ye-anatomical kunye ne-biomechanical ukuya 'kwintlungu ethile' ephantsi." Unyango lwezandla vol. 3,1 (1998): 12-20. doi:10.1054/math.1998.0311
Vazirian, Milad, et al. "Isigqi seLumbopelvic ngexesha lokuhamba kwesiqu kwinqwelomoya ye-sagittal: Uphononongo lweendlela zokulinganisa i-kinematic kunye neendlela zokulinganisa." Unyango lwePhysical and Rehabilitation vol. 3 (2016): 5. doi:10.7243/2055-2386-3-5
by UGqr Alex Jimenez | Uvavanyo lweChiropractic, Injury
Inkqubo ye-nervous inxibelelana nomzimba wonke kwaye isabela kwiinguqu zangaphakathi nangaphandle usebenzisa impembelelo yombane kunye neekhemikhali ukuthumela nokufumana imiyalezo. Uhambo lwemiyalezo/synapse ukusuka kwenye i-neuron ukuya kwenye kusetyenziswa iikhemikhali ezikhethekileyo ezaziwa ngokuba zii-neurotransmitters. I-Paresthesia ibhekisela kuyo ukushukumisa Ukuba ndindisholo, ukuntlontyela, ukurhawuzelela, ukurhawuzelela, ukurhawuzelelwa okanye ukutshisa, ngokuqhelekileyo ezingalweni, ezandleni, emilenzeni, kunye/okanye ezinyaweni, kodwa kunokuchaphazela ezinye iindawo zomzimba. Ukunyamekela kwe-Chiropractic, unyango lwe-massage, unyango lwe-decompression, kunye neyeza ezisebenzayo zinokunciphisa izicubu kunye nokunyanzeliswa kwe-nerve, ukuphucula ukuguquguquka, ukujikeleza, kunye nokuhamba, kunye nokuqinisa imisipha ejikeleze i-nerve echaphazelekayo ukuze kugcinwe impilo efanelekileyo kunye nokukhusela ukonakala okanye ukulimala ngakumbi.
IParesthesia
Uvakalelo luza ngaphandle kwesilumkiso kwaye luhlala lungenazintlungu kwaye luchazwa njengokuntyiloza okanye ukuba ndindisholo. Kukho izizathu ezahlukeneyo ze-paresthesia, kuquka:
- I-nerve ecinezelweyo okanye epinkiweyo.
- Ukulimala kwamathambo.
- Umonakalo we-nerve kwisifo seswekile.
- Amanqanaba aphezulu evithamini D okanye ezinye iivithamini.
- Igazi elonyukayo.
- Usulelo.
- I-Fibromyalgia.
- Isifo sokugubhuka.
- Stroke.
- Ithumba kwintambo yomgogodla okanye ingqondo.
Abanye abantu baye i-paresthesia engapheliyo okanye ixesha elide, enokuthi ibe ngumqondiso wengozi enkulu ye-nerve okanye imeko. Uxinzelelo olongeziweyo lomzimba lunokubangela ukuba izicubu ezijikelezileyo zicaphukise okanye zibambe i-nerve ekhokelela kuxinzelelo lokwakha. Olu xinzelelo lubangela i-paresthesia kwindawo ephazamisa ukujikeleza kunye nomsebenzi. I-nerve pinched ingenzeka naphi na emzimbeni, njengentamo, igxalaba, isihlahla, umva kunye nobuso.
- I-disc ye-herniated kwi-spine esezantsi ingabangela intlungu emva kunye ne-paresthesia emlenzeni okanye unyawo kwicala elichaphazelekayo.
- I-Carpal tunnel syndrome yi-nerve epinkiweyo esihlahleni ebangela ukuba ndindisholo kunye nokutshotshozela kwesandla kunye neminwe.
- Iimpawu ze-nerve pinched zinokuba ziphakathi okanye zihlale.
- Ngokuqhelekileyo, ukuvakalelwa kwexeshana kubangelwa xa uxinzelelo lubekwe kwi-nerve echaphazelekayo.
- Lwakuba luphelile olo xinzelelo, ukungonwabi kuyaphela.
Abantu Abanomngcipheko Owandayo
Ukusebenzisa Ngokugqithisileyo Ukwenzakala
- Abantu abanemisebenzi okanye izinto zokuzonwabisa ezifuna ukuphinda-phinda basengozini enkulu yoxinzelelo lwemithambo-luvo, i-paresthesia, okanye ukwenzakala.
- Nabani na unokufumana i-nerve pinched, kwaye abaninzi abantu baya kufumana i-paresthesia ngexesha elithile.
Ukungqengqa ixesha elide
ukutyeba
- Ubunzima obongezelelweyo bubeka uxinzelelo kwimithambo-luvo.
Diabetes
- Isifo seswekile sinokubangela umonakalo kwimithambo-luvo kunye nezicubu.
Ukukhulelwa
- Ubunzima kunye nokuzuza kwamanzi kunokubangela ukudumba kunye nokunyusa uxinzelelo kwimithambo-luvo.
Izifo Zegciwane
- Oku kubeka abantu engozini ye-carpal tunnel syndrome.
Irheumatoid arthritis
- Oku kubangela ukuvuvukala, okunokuthi kucinezele imithambo-luvo kumalungu.
Ukuqondwa
Ukuxilonga i-paresthesis, ugqirha uya kujonga imbali yempilo yomntu kwaye abuze imibuzo malunga neempawu. Baya kwenza uvavanyo lomzimba kwaye, ngokuxhomekeke kwiziphumo, banokucebisa iimvavanyo ezinokubandakanya:
Uphononongo lokuQhuba iNerve
- Oku kulinganisa indlela i-nerve ekhawuleza ngayo ukuhamba kwiimisipha.
Electromyography - EMG
- Ukujonga umsebenzi wombane wendlela imithambo-luvo kunye nezihlunu ezidibana ngayo.
I-Magnetic Resonance imaging-MRI
- Oku kujonga kwiindawo ezahlukeneyo zomzimba kwinkcazo ephezulu.
omoya
- Isetyenziselwa ukuvelisa imifanekiso, oku kungasetyenziswa kwiindawo ezincinci ukujonga ukunyanzeliswa kwentsholongwane okanye umonakalo.
Chiropractic
Izinketho zonyango zixhomekeke kwisizathu se-paresthesia. Ukungahambi kakuhle komzimba kunokubangela ukuphazamiseka kwemithambo-luvo okungakhokelela kwiingxaki zempilo ezifana ne-migraines, okanye kunokuphazamisa unxibelelwano lwe-nerve kunye nokuthintela ukujikeleza okufanelekileyo. Ukunyamekela kwe-Chiropractic kugxile ekuphatheni inkqubo ye-nervous kwaye yindlela ekhuselekileyo nesebenzayo yokunyanga iingxaki ze-nerve ezibangela ukungahambi kakuhle kunye nokuziva. Emva kovavanyo olucokisekileyo lweendawo ezinengxaki, i-massage, i-decompression, kunye nohlengahlengiso lwe-chiropractic luya:
- Hlaziya kwaye ubuyisele ngokufanelekileyo umsebenzi we-nerve.
- Ukubuyisela ukujikeleza kwegazi okufanelekileyo.
- Ukwandisa umsebenzi weenkqubo zomzimba.
- Ukukhuthaza amanqanaba aphezulu empilo kunye nokuba sempilweni.
INzululwazi yeNtshukumo
Ucaphulo
Bova, Joseph, kunye Adam Serge. "Ulawulo lweChiropractic yomfazi oneminyaka engama-24 ubudala one-idiopathic, ephakathi ngasekunene kwe-hemiparesthesia." Ijenali yamayeza e-chiropractic vol. 13,4 (2014): 282-6. doi:10.1016/j.jcm.2014.08.002
Christensen, Kim D, kunye noKirsten Buswell. "Iziphumo zeChiropractic zokulawula i-radiculopathy kwindawo yesibhedlele: ukuphononongwa kwakhona kwezigulane ze-162." Ijenali yamayeza e-chiropractic vol. 7,3 (2008): 115-25. doi:10.1016/j.jcm.2008.05.001
Freihofer, HP Omnci. “Parästhesien” [Paresthesia]. Schweizerische Monatsschrift fur Zahnheilkunde = Revue mensuelle suisse d'odonto-stomatologie vol. 89,2 (1979): 124-5.
UKarne, uSampada Swapneel, kunye noNilima Sudhakar Bhalerao. "I-Carpal Tunnel Syndrome kwi-Hypothyroidism." Ijenali yoPhando lweKlinikhi kunye noxilongo: JCDR vol. 10,2 (2016): OC36-8. doi:10.7860/JCDR/2016/16464.7316
by UGqr Alex Jimenez | Uvavanyo lweChiropractic, Ukulimala kwezemidlalo
Inxalenye enkulu yezemidlalo kukuphepha nokukhusela ukulimala, njengoko ukuthintela ukulimala kungcono kakhulu kunokubuyisela kunye nokubuyisela. Kulapho ukuvuselelwa kwangaphambili ingena ngaphakathi. I-Prehabilitation yinto yobuqu, ehlala iphuhla, kwaye iphuhlisa ukomelezwa Inkqubo yokwenza umthambo. Inkqubo ijolise ekuboneleleni ngemithambo ejolise kwimidlalo ethile kunye nemisetyenzana yokugcina izakhono zomzimba zabadlali kunye nokulungela kwengqondo kumdlalo wabo. Inyathelo lokuqala lelomqeqeshi wezemidlalo, i-chiropractor yezemidlalo, kunye nonyango lomzimba ukuvavanya umntu.
Prehabilitation
Wonke umntu wahlukile xa kuziwa ekuphuhliseni inkqubo esebenzayo yokubuyisela kwimeko yesiqhelo. Inkqubo yomntu ngamnye kufuneka iqhubele phambili kwaye iphononongwe ngokutsha ukulungelelanisa nokulungelelanisa iimfuno zomdlali. Inyathelo lokuqala kukufunda ukukhusela ukwenzakala kunye nokulandela iiprothokholi ezisisiseko zokuthintela ukulimala. Ukwazi ukuba wenze ntoni xa umzimba ugcina ukwenzakala, njengonyango lwasekhaya kwaye xa ilixesha lokubonana nogqirha.
Abadlali
Iimbaleki zawo onke amanqanaba bayacetyiswa ukuba babandakanye inkqubo yokubuyisela kwimeko yesiqhelo kuqeqesho lwabo. Njengoko iimbaleki zibandakanyeka kwimidlalo yazo, imizimba yazo ilungelelanisa iimfuno zomzimba zokuzilolonga, ukudlala kunye noqeqesho. Ukungalingani kuyenzeka ngokwemvelo ngomsebenzi oqhelekileyo kodwa kubonakale ngakumbi ngokuziqhelanisa, umdlalo, kunye neseshoni yoqeqesho kwaye kaninzi kuyimbangela yokulimala. Ukunyakaza okuphindaphindiweyo kunye noxinzelelo oluqhelekileyo kunokubangela ukuba iimpawu ze-neuromusculoskeletal zibonise. Oku kuquka:
- Ukuqina kwamaqela emisipha.
- Iintlungu kunye neempawu ezingathandekiyo.
- Imiba yozinziso.
- Ukungalingani kwamandla.
Programme
Ugqirha we-chiropractic uya kulinganisa uluhlu lomntu ngamnye lwentshukumo kunye namandla, i-biomechanics, ukuvavanya imbali yonyango, kunye nesimo sempilo samanje. Abantu abanokulimala okanye imeko banokuzuza kwi-prehabilitation.
- Inkqubo nganye yenzelwe umntu kwaye iya kujongana nokulingana komzimba wonke, iimfuno ezikhethekileyo kwezemidlalo, kunye nobuthathaka.
- Ukuzivocavoca kuya kulungelelanisa amandla, ukulungelelanisa, uluhlu lwentshukumo, kunye nokuzinzisa.
- Isiseko sijonge kwaye sithelekisa iintshukumo ukusuka ekhohlo ukuya ekunene, ngaphambili ukuya ngasemva, nangaphezulu ukuya kumzimba osezantsi.
- Imisebenzi inokuba yinto efihlakeleyo, imithambo egxininisiweyo okanye ulandelelwano lwentshukumo oluntsonkothileyo ukuzinzisa okanye ukuphucula isakhono esithile.
- Iinkqubo zijolise ekomelezeni nasekuzinziseni undoqo, isisu, isinqe, kunye nomqolo.
- Ukungazinzi kuqhelekile kwaye kaninzi kubonisa ukunqongophala koqeqesho olungundoqo, njengoko iimbaleki zivame ukugxila kwizinto ezithile zomzimba ezisetyenziswa ngumdlalo wazo, zishiya undoqo ngaphandle koqeqesho oluqhelekileyo.
- Inkqubo yokubuyisela kwimeko yesiqhelo kufuneka ihlaziywe rhoqo ukuze ilungelelanise inkqubela yomntu ngamnye.
- Izixhobo ezifana ne-foam rollers, iibhodi balance, iintsimbi, kunye neebhola zokuzilolonga zisetyenziswa.
uqeqesho
I-prehabilitation kufuneka iqale ngaphambi kokuba kwenzeke nayiphi na ingozi enzima okanye engapheliyo, kodwa kaninzi kuthatha ukulimala okumbalwa kubantu ukuba bathathe isigqibo sokungena kwinkqubo yokubuyisela kwangaphambili. Ngokuxhomekeke kumjikelo woqeqesho lomdlali, i-prehabilitation ingabandakanywa ekusebenzeni okanye njengomsebenzi ozimeleyo kwaye ube yinxalenye yoqeqesho lomdlali. Iseshini inokubandakanya oku kulandelayo:
- Ukuzifudumeza kunye nokupholisa umzimba.
- Imithambo yokwenza ngelixa uphumle okanye ulindile ngexesha lokuziqhelanisa.
- Ukuzilolonga okujoliswe kuko kubuthathaka obuthile.
- Ukuzilolonga okupheleleyo kweentsuku zokuphumla okanye ukuphumla okusebenzayo.
- Ukuzilolonga okuncinci xa uhamba kunye neentsuku zokubuyisela.
Kubadlali, ukuziva unomngeni kwaye ukhuthazekile kunokuba ngumahluko phakathi kwempumelelo kunye nokungaphumeleli. Ukusebenza nomqeqeshi, chiropractor yezemidlalo, kunye nabanyangi abayaziyo imidlalo, baqonde iimfuno zezemidlalo, kwaye banxibelelane kakuhle, baya kuba negalelo kwinkqubo yokuphumelela kwangaphambili.
Ukuphucula iNtsebenzo yeembaleki
Ucaphulo
Durrand, James et al. "Ukulungiswa kwangaphambili." Iyeza leklinikhi (eLondon, eNgilani) vol. 19,6 (2019): 458-464. doi:10.7861/clinmed.2019-0257
Giesche, Florian, et al. "Ubungqina bemiphumo ye-prehabilitation ngaphambi kokuba i-ACL-reconstruction ibuyele kumsebenzi onxulumene nezemidlalo kunye nokuzibika kwedolo: ukuphononongwa okucwangcisiweyo." PloS umqulu omnye. 15,10 e0240192. 28 Okt. 2020, doi:10.1371/journal.pone.0240192
Halloway S, Buchholz SW, Wilbur J, Schoeny ME. Ungenelelo lwangaphambili lwaBantu aBadala: Uphononongo oluDityanisiweyo. Ijenali yeNtshona yeNursing Research. 2015;37(1):103-123. doi:10.1177/0193945914551006
USmith-Ryan, uAbbie Et al. "Iingqwalasela zesondlo kunye nezicwangciso-qhinga zokuququzelela ukuBuyisa ukwenzakala kunye noBuyiselo." Ijenali yoqeqesho lweembaleki vol. 55,9 (2020): 918-930. doi: 10.4085/1062-6050-550-19
Vincent, uHeather K, kunye noKevin R Vincent. "Ukuvuselelwa kunye nokuQothulwa kweNdawo ePhambili kwiMidlalo yokuLahla: Ukugxininisa kwiLacrosse." Iingxelo zangoku zamayeza ezemidlalo vol. 18,6 (2019): 229-238. doi:10.1249/JSR.0000000000000606
Vincent, uHeather K et al. "UThintelo lokulimala, ubuChwepheshe boQeqesho oluKhuselekileyo, ukuBuyiselwa kwisimo sangaphambili, kunye nokuBuyela kwiMidlalo kubabaleki boMzila." I-arthroscopy, iyeza lezemidlalo, kunye nokuvuselelwa kwevol. 4,1 e151-e162. 28 Jan. 2022, doi:10.1016/j.asmr.2021.09.032
by UGqr Alex Jimenez | Uvavanyo lweChiropractic, Ukulala Ucoceko
Ukulala okusempilweni kubalulekile ukuze ube namandla aneleyo, ukucinga kakuhle, kunye nokulawula uxinzelelo lwemihla ngemihla ngokuzithemba. Iipateni ezingapheliyo zokulala okungenampilo kunye/okanye ukungalali kunokukhokelela kwaye kube negalelo kwimiba eyahlukeneyo yezempilo. Oku kubandakanya ukudinwa emini, ukucaphuka, ubunzima bokugxila, ukulibaziseka kwexesha lokuphendula, ukugula rhoqo, kunye neengxaki zememori. Iingxaki zempilo yokulala zinokuba mbi ngakumbi ngobusuku ngabunye bokungaphumli kakuhle. I-Chiropractic yezoNyango zeChiropractic kunye ne-Functional Medicine Clinic ibonelela ngonyango, uqeqesho, kunye nezixhobo zokulungelelanisa kunye nokuphumla umzimba kunye nokubuyisela ukulala okunempilo.
Iingxaki zempilo yokulala
Ukungabikho kokulala kuphazamisa kwaye kunciphisa impembelelo ye-nerve kunye nokuhanjiswa kuwo wonke umzimba. Oku kunokukhokelela kwiingxaki zempilo ezinokubandakanya:
- Ukukhathala ngokweqile
- Inkohlakalo yengqondo
- Iimpendulo ezicothayo
- Iingxaki zokusebenza komzimba
- Ukungakwazi ukukhumbula
- Ukulala ngesondo
- Isigulo esinganyangekiyo
- Ngokuhamba kwexesha umngcipheko wokuphuhlisa imeko yezempilo eyingozi uyanda kwaye unokubandakanya:
- Ukuxhalabisa
- ukudakumba
- Igazi elonyukayo
- Diabetes
- Isistim somzimba esilula
- Stroke
- Ukuhlaselwa yintliziyo
- Ukuxhamla
Ukuhlala phezu
Kukho uphando oluthile olunxulunyaniswa nokuphuthelwa hyperarousal okanye imeko yokuhlala. Ngokuqhelekileyo iqala ngesiganeko esicinezelayo esibeka iinkqubo zomzimba, ezibangela ukungakwazi ukuphumla ngokupheleleyo. Ukungakhululeki komzimba kunye neempawu zeentlungu zinokubakho xa ingqondo nomzimba ungaphumli. Umzimba wonke unokuqina / uqina, ubangele iintlungu, iintlungu kunye neentlungu. Ukuqhubela phambili kweengxaki zempilo zokulala zomjikelezo kukhokelela kuxinzelelo olungakumbi.
IiNzuzo zokulala ngokusempilweni
Abantu abadala bafuna Iiyure ezisixhenxe ukuya kwezilithoba zokulala ubusuku ngabunye ukusebenza ngokugqibeleleyo. Iingenelo zokulala ngokusempilweni ziquka:
- Umsebenzi ophilileyo we-immune system.
- Ukulungiswa kwezicubu kunye nezihlunu ngokucokisekileyo.
- Ukukhumbula kunye nokukhumbula izinto kulula.
- Ukuphucula ukulawulwa kwe-insulin, ukunceda ukulawula iminqweno yokutya kunye nobunzima.
- Ulawulo olomeleziweyo lwe cortisol.
- Ukuphucula imo kunye nembonakalo.
Unyango lweChiropractic
Ukhathalelo lweChiropractic, i-massage, kunye nonyango lwe-decompression lunokunceda ukuphula umjikelo. Ukuqhawula inkqubo kuyimfuneko ekuncedeni umzimba ukuba uhlaziye kwaye uvuselele ngokufanelekileyo. Unyango lubuyisela umzimba ukuba uphumle; ukolula nokutsala izihlunu kwandisa ukujikeleza kwegazi, kunye nemiqondiso ephuculweyo yobuchopho exelela umzimba ukuba uphumle. I-chiropractor iya kuvavanya iipatheni zokulala zabantu kwaye iphakamise izisombululo ezahlukeneyo. Iinzuzo kubantu abanemiba yokulala ziquka:
- Inciphisa ukuxinezeleka kwezihlunu.
- Ivuselela ukujikeleza kwemithambo-luvo kunye nokuhamba kwegazi.
- Ikhulula umzimba wonke.
- Ukuphucula ukusebenza kwenkqubo ye-nervous central.
- Iphelisa iintlungu kunye nokungonwabi.
- I-chiropractor iya kunika oku kulandelayo:
- Iingcebiso zendawo yokulala.
- Ukolula kwasemva kunye nokuzivocavoca.
- Iingcebiso koomatrasi abaxhasayo.
- I-Ergonomics yomsebenzi, ikhaya, kunye nebhedi.
I-Chiropractic's Evolution
Ucaphulo
Hale, uDeborah, kunye noKatherine Marshall. “Ucoceko lokulala nokulala.” Ukhathalelo lwempilo yasekhaya ngoku vol. 37,4 (2019): 227. doi:10.1097/NHH.0000000000000803
Liu, Amy. "Uqeqesho Lokulala." Iingxelo zabantwana vol. 49,3 (2020): e101-e105. doi:10.3928/19382359-20200218-01
Yintoni Ukungalali nokungalali?www.nhlbi.nih.gov/health/sleepdeprivation#:~:text=Sleep%20deficiency%20is%20linked%20to,adults%2C%20teens%2C%20and%20children.
Yintoni Ekwenza Ulale? www.nhlbi.nih.gov/health/sleep-deprivation/body-clock
Indlela Ukulala Okuyichaphazela Ngayo Impilo Yakho www.nhlbi.nih.gov/health/sleep-deprivation/health-effects
URiemann, uDieter. "Ucoceko lokulala, ukuphuthelwa, kunye nempilo yengqondo." Ijenali yophando lobuthongo vol. 27,1 (2018): 3. doi:10.1111/jsr.12661
by UGqr Alex Jimenez | Uvavanyo lweChiropractic, Injury
Ukucaphuka kwe-nerve kwenzeka xa imithambo-luvo ephuma kumqolo icaphuka kwaye ivakalelwe. Ikwabizwa ngokuba sisithintelo se-nerve gliding, yimeko apho i-nerve icaphukiswa kukudumba okuvuthayo kwezakhiwo ezikufutshane ne-nerve, ezinje ngamajoyinti, iiligaments, izihlunu, okanye iidiski eziye zagcina uxinzelelo olukhokelela ekudumbeni nasekudumbeni. Uvavanyo olucokisekileyo lwe-chiropractic kunye noviwo lunokufumanisa ubungakanani bokucaphuka kunye nokuphuhlisa isicwangciso sonyango lomntu.
Ukucaphuka kweNerve
Xa ukuvuvukala kunye nokudumba kuphazamisa ingcambu ye-nerve, i-nerve idlulisela imiqondiso kwingqondo ukuze ikwazi ukuba kukho ingozi. Ingqondo itolika le miqondiso kwaye idale impendulo ekhuselayo ukunqanda ukwenza mandundu umonakalo kwi-nerve. Iimpendulo zokukhusela ziyahluka ukusuka kumntu ukuya kumntu kodwa zinokubandakanya ezilandelayo:
- Ukuqina kwemisipha kunye nokugada
- Imvakalelo ebuhlungu
- Ukuqhawula
- Ukukhupha ukungahambi kakuhle okanye intlungu
- Izikhonkwane kunye neenaliti
- Ukulinganisa
- Ubungqina
- Ukucaphuka kweengcambu zeNerve kukwathintela umzimba ukuba ungachacha ngokukhawuleza njengoko kufanelekile.
Ukucaphuka kwe-nerve akufanele kudidaniswe nayo ukunyanzeliswa kweengcambu ze-nerve okanye i-radiculopathy. Oku kuxa i-nerve icinezeleka / icinezelwe, okukhokelela ekulahlekelweni kwemisebenzi yayo njengamandla emisipha kunye nokuziva. Ngamanye amaxesha abantu abanomsindo we-nerve banokufumana ukwanda uxinzelelo lwe-neural. Iimbilini zilungelelanisa imithwalo yomatshini ebekwe kubo ngokuhamba rhoqo. Izithintelo ekuhambeni kwe-neural kunokubangela ukuba iimpawu zibe mandundu endleleni kunye nokusabalalisa i-nerve.
- Inkqubo ye-nervous iquka ingqondo, umqolo, kunye namasebe e-nerve.
- Amasebe, afana neentambo zombane, akakwazi ukolula.
- Uxinzelelo lwenziwa xa kulungiswa iindawo zomzimba, ukudala ukutsalwa kunye nokuhamba kwe-nerve kwintambo yomgogodla.
- Xa ukucaphuka kwe-nerve kwenzeka, imiqondiso ithunyelwa ukukhusela umzimba, ingqondo, umqolo kunye namasebe.
Izizathu
Ngokuqhelekileyo, ukucaphuka kwe-nerve kwenzeka xa isakhiwo esisecaleni kwe-nerve; oku kunokuba lilungu, i-ligament, kunye / okanye i-muscle eqokelela ubunzima kwaye ibe yinto engasebenziyo, idumbe, ivutha, kunye / okanye i-spasms ebangelwa ukugada okukhuselekileyo.
- Ukucaphuka kwe-nerve encinci kunokubandakanya uxinzelelo oluqokelelweyo oluvela kwi-postural overload kunye nokudumba okuvela kwinyembezi encinci kwi-ligament ekufutshane.
- Ngokuqhelekileyo akukho nto ibonisa njengengxaki kwi-MRI scan.
- Ukucaphuka okukhulu kwe-nerve kunokubandakanya i-disc herniation kwaye ibonise kwi-MRI scan; utyando lunokufuneka kwezinye iimeko.
iimpawu
- Ubunzima
- Ukuqina
- I-Aches
- Iintlungu
- Qhubeka nasemva kweentsuku zokuphumla, ukolula, ukuzivocavoca okujoliswe kuko, ukuphepha ukunyakaza, njl.
- Ukuzolula kuvakala kumnandi ekuqaleni, kodwa iintlungu ziyabuya okanye ziba mandundu kwiiyure ezimbalwa kamva okanye kusuku olulandelayo.
- Ukucaphuka ibhloka ukuchacha okusebenzayo kwemisipha, i-joint, i-tendon, kunye ne-ligament iimpawu ezingathandekiyo.
Ukhathalelo lweChiropractic
Unyango lubandakanya iindlela ezahlukeneyo zonyango kunye nokuqinisa izakhiwo ezixhasayo ngelixa ziphumla kwaye zikhulula izakhiwo eziqinileyo ukuphepha ukulimala okuphindaphindiweyo. Ukhathalelo lweChiropractic lulungelelanisa umqolo, lulungisa amajoyina atshintshileyo kwindawo, inceda ukulawula umsebenzi we-nervous system, kwaye ikhuphe ukucaphuka kunye nokuvuvukala. Nokuba kukwimo yohlengahlengiso, ukutsala, okanye ukuzilolonga okukhokelwayo, zonke iinkqubo ezisemzimbeni zisondezwa kufutshane nemeko elungeleleneyo. Oku kuquka:
- Inkqubo yomdla
- Inkqubo yomzimba
- Inkqubo yokuphefumla
- Inkqubo yokujikeleza
- Inkqubo ye-Endocrine
- Inkqubo yethambo
- Zonke zinceda ukuxhasa inkqubo yokuziphilisa yomzimba kunye nokwandisa umsebenzi we-nervous system.
Iqela le-chiropractic liya kukhokela isigulane kwinkqubo yokubuyisela ukubuyela kumandla apheleleyo.
Peroneal Nerve Ukucaphuka
Ucaphulo
UEllis, uRichard F, kunye noWayne A Hing. "I-Neural mobilization: uphononongo olucwangcisiweyo lwezilingo ezilawulwa ngokungenamkhethe kunye nohlalutyo lwempumelelo yonyango." Ijenali ye-manual & manipulative therapy vol. 16,1 (2008): 8-22. doi:10.1179/106698108790818594
Gibson, William, et al. "I-Transcutaneous electrical nerve stimulation (TENS) yeentlungu ze-neuropathic kubantu abadala." Uvimba weenkcukacha weCochrane wophononongo olucwangcisiweyo vol. 9,9 CD011976. 14 Septemba 2017, doi:10.1002/14651858.CD011976.pub2
O'Shea, Simone D et al. "Uqeqesho lwamandla emisipha ye-peripheral kwiCOPD: uphononongo olucwangcisiweyo." Isifuba vol. 126,3 (2004): 903-14. doi:10.1378/chest.126.3.903
Rozmaryn, LM et al. "Imithambo kunye ne-tendon gliding exercises kunye nolawulo olulondolozayo lwe-carpal tunnel syndrome." Ijenali yonyango lwezandla: Ijenali esemthethweni ye-American Society of Hand Therapists vol. 11,3 (1998): 171-9. doi:10.1016/s0894-1130(98)80035-5
Sipko, Tomasz, et al. "Ukuhamba komqolo wesibeleko kunye nokulingana kwe-postural kwizigulane ezine-spinal overload syndrome." Ortopedia, traumatologia, rehabilitacja vol. 9,2 (2007): 141-8.
by UGqr Alex Jimenez | Uvavanyo lweChiropractic, entanyeni Pain
I-Bruxism kukubamba kwemihlathi okungaqhelekanga okanye ukutshixiza kwamazinyo, enoba uphaphile okanye ngoxa ulele. Oku kunokubangela ukunyanzeliswa kwentamo kunye namagxa okubangelwa uxinzelelo olugqithisileyo kwintamo kunye nezihlunu zemihlathi. Abantu ngabanye banokungaqondi ukuba bane-bruxism de ugqirha wamazinyo abone ukugqithisa kunye nokukrazula okanye i-chiropractor ihlola iimpawu zabo. I-Bruxism inokudlala indima kwiingxaki ze-temporomandibular. Oogqirha noogqirha bamazinyo bayavuma ukuba izinto ezifana noxinezeleko ziyawandisa amathuba okubamba imihlathi. Mazinyo bakholisa ukucebisa umlindi womlomo ukuthintela ukucola. Ukunyamekela kwe-Chiropractic, i-massage, kunye nokunyangwa kwe-decompression kunokunciphisa iimpawu, ukukhulula kunye nokukhulula imisipha, ukulungelelanisa umqolo, kunye nokubuyisela umsebenzi.
I-Bruxism
Nantsi lapho ukuvuswa kwe-bruxism kwaye ubuthongo bruxism. Umhlathi oqinileyo udala uxinzelelo oluya kutsho entanyeni, egxalabeni, nakwizihlunu ezingaphezulu. Ngokuhamba kwexesha, olo xinzelelo olugqithisileyo lucaphukisa amalunga, lubangela ukuvuvukala. Ukubamba imihlathi kunye nokusila kwamazinyo kunokukhokelela kwimicimbi yezempilo njengamazinyo onakeleyo, intamo, igxalaba, kunye neempawu zentlungu engasentla, kunye neentloko ezixineneyo.
iimpawu
Iimpawu kunye neempawu zingabandakanya:
- Ubuso, umhlathi, intamo, kunye neentlungu ezingaphezulu, ukuqina kunye nobuhlungu.
- Izihlunu zomhlathi ezidiniweyo okanye eziqinileyo.
- Iintloko eziqala kwiitempile.
- Yintoni evakala ngathi ziintlungu ezibuhlungu ezindlebeni.
- Umonakalo ekubambeni ngaphakathi esidleleni.
- Ukonyuka kwamazinyo.
- Amazinyo axengaxengayo, asicaba, aqhekeziweyo, okanye aqhekekileyo.
- Iingxaki zokulala.
Izinto zobungozi
- Uxinzelelo lweemvakalelo - Ukuxinezeleka, ixhala, ukudakumba, nomsindo.
- Izifo zokulala
- Indlela yokuphila engafanelekanga - ukutshaya, ukusela ngokugqithiseleyo, i-caffeine, njl., iphazamisa ingqondo kunye nemisebenzi ye-cardiovascular.
- Mayeza
Ukunyamekelwa kweChiropractic kwi-Jaw Clenching
Ukuba kukho ukubambene kwemihlathi okanye umba wokugaya, kuyacetyiswa ukuba ubone ugqirha wamazinyo ukuze uxilongwe. Emva koko a chiropractor inokuphuhlisa isicwangciso sonyango lomntu siqu esisebenzisa i-massage kunye ne-decompression therapy ukubeka kwakhona umhlathi, ukolula, ukukhulula kunye nokukhulula imisipha. Baza kucebisa umthambo ukomeleza nokugcina izihlunu ezikhululekileyo zemihlathi kunye nemithambo yokwazisa ukunceda ukuchonga izinto ezibangela ukuba kuthintelwe kwaye kuthintelwe ukuncwina.
Imithambo yemihlathi
Ucaphulo
Capellini, Verena Kise, et al. "Unyango lokuthanjiswa ekulawuleni i-myogenic TMD: isifundo sokulinga." Ijenali yenzululwazi yomlomo esetyenzisiweyo: Revista FOB vol. 14,1 (2006): 21-6. doi:10.1590/s1678-77572006000100005
UKuhn, uMonika, kunye noJens Christoph Türp. "Izinto ezinobungozi kwi-bruxism." Ijenali yamazinyo yaseSwitzerland vol. 128,2 (2018): 118-124.
UNishida, uNorihiro et al. "Uhlalutyo loxinzelelo lwentambo yomgogodla wesibeleko: Impembelelo ye-morphology yamacandelo entambo yomgogodla kuxinzelelo." Ijenali yeyeza lomnqonqo vol. 39,3 (2016): 327-34. doi:10.1179/2045772315Y.0000000012
Ohayon, MM et al. "Imingcipheko yokulala i-bruxism kubantu ngokubanzi." Isifuba vol. 119,1 (2001): 53-61. doi:10.1378/chest.119.1.53
Santos Miotto Amorim, Cinthia, et al. "Ukusebenza kweendlela ezimbini zonyango lonyango, ngokumalunga nonyango lwamazinyo kubantu abane-bruxism: iprotocol yokufunda yolingo lwekliniki olungahleliwe." Iimvavanyo vol. 15 8. 7 Jan. 2014, doi:10.1186/1745-6215-15-8
by UGqr Alex Jimenez | Uvavanyo lweChiropractic, Ukunyamekela
Yimeko eqhelekileyo, nokuba sihleli okanye simile xa sifuna ukugoba okanye phambili, kwaye ngequbuliso kukho ukubetha okubukhali kwelinye icala ephantsi. Ukuziva kunokubangela ukuba amadolo adibanise. Ngoko ke sima ngokucothayo ukuze sivavanye imeko kwaye siqonde ukuba akunakwenzeka ukuba sime nkqo ngokupheleleyo kwaye kunzima nangakumbi ukugobela phambili. Ngoko sihlala phantsi ukuze sizame ukukhulula uxinzelelo. Inceda kancinci, kodwa ukwenzakala kubangele ukuba izihlunu zangasemva zibe ne-spasm kwaye ziqina kwaye ziqina. Xa sizama ukuphakama, kusenokubakho ukuva ukothuka kombane omnye omkhulu okanye kaninzi ukuya kobukhali ohamba ngasemva. I-vertebrae ejikelezayo kakhulu inokuba yimbangela kwaye idinga ukunakekelwa kwe-chiropractic, i-massage, kunye / okanye unyango loxinzelelo.
Ngaphezulu kweVertebrae eJikeleziweyo
Ikholamu yomqolo yenziwe ngama-26 e-vertebrae edibeneyo. Xa uhamba, i-vertebra nganye ihamba, kwaye njengoko i-torso ijikeleza, umqolo kufuneka ujikeleze ngokunjalo. Umqolo unokuhamba ngeendlela ezininzi, kuquka:
- Ukubopha
- Ukujikela phambili.
- Ukwandisa okanye ukugoba umva.
- Ukuphika
- Ukuthambeka emacaleni kusebenzisa izihlunu ezifanayo xa ujija.
Nangona umqolo unokuhamba ngeendlela ezahlukeneyo, zikhona imida ukuba kude kangakanani inokuhamba kwaye kufuneka ihambe. Ngokomzekelo, xa ugoba phambili ukuphakamisa into, umntu ngokungazi unokwandisa kwaye ajikeleze ngaphezulu kwe-vertebrae. Kulapho umngcipheko wokulimala ukhula. Ukulimala okujikelezayo komqolo kwenzeka xa i-torso ijika kakhulu, kwaye intambo yomgogodla ayikwazi ukuyiphatha. Oku kunokolula i-ligaments kumqolo ukuya kwindawo yokuqhawula, kubangela ukuba i-facet joints idibanise. Iintlobo ze-Ligament kunye ne-facet dislocation zimbini zezona zinto zixhaphakileyo zokulimala komgudu.
Iingxaki
Ukulimala kwe-vertebrae ejikelezayo kakhulu kunokukhokelela kwiingxaki ezibandakanya.
Ubuhlungu obungapheliyo
- Ukulimala kwe-Spinal nerve kungakhokelela kwiimeko ezibuhlungu ezingapheliyo.
Iingxaki zokuhamba
- Iingxaki zokuhamba zixhaphakile emva kokwenzakala komqolo.
- Oku kuvela kumonakalo kwimithambo-luvo engapheliyo emilenzeni, ebangela ubuthathaka kunye neengxaki zokulungelelanisa.
Uxinzelelo lwe Olcers
- Ubundisholo obulandela ukwenzakala komnqonqo kunokubangela ukuba abantu bangaboni uxinzelelo lwezilonda ku phuhliswa.
- Oku kunokukhokelela kusulelo kwaye kunokufuna ukulaliswa esibhedlele.
Abantu ngabanye baqokelela uxinzelelo kunye / okanye ubuthathaka kwimisipha ye-oblique yesisu kunye nezinye izihlunu ze-trunk ezingakhokelela ekuqineni okungapheliyo kunye nobuthathaka, okuchaphazela ukunyakaza kunye nokunciphisa uluhlu lokunyakaza.
Isicwangciso soNyango lweChiropractic
Ngokuxhomekeke kwixesha kunye nobukhulu bokwenzakala, isicwangciso sonyango lomntu siqu sinokuquka oku kulandelayo:
- Ukunxiba a umva umva.
- Ukuthotywa kwe-non-utyando.
- Ukuvuselela izihlunu.
- I-massage yezicubu ezithambileyo.
- Ukuhlanganiswa kweChiropractic ukukhulula i-spasms kunye nokusetha kwakhona umqolo.
- Ukuphumla
Unyango lwe-Facet Syndrome
Ucaphulo
UJanssen, uMichiel MA, et al. "Ukujikeleza kwe-vertebral ekhoyo ngaphambili kumqolo womntu kuphenjelelwa yindawo yomzimba." Ijenali yaseYurophu yomgogodla: ukupapashwa ngokusemthethweni kwe-European Spine Society, i-European Spinal Deformity Society, kunye neCandelo laseYurophu leCervical Spine Research Society vol. 19,10 (2010): 1728-34. doi:10.1007/s00586-010-1400-3
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