Ukubandakanya uNyango lwe-Spinal Decompression kwi-Lumbosacral Pain

Ngaba unyango lwe-spinal decompression lungabandakanywa kubantu abaneentlungu ze-lumbosacral kunye nokuphucula ukuma?

intshayelelo

Abantu abaninzi baqonda kuphela ukuba banesimo esibi xa besenza intshukumo ebangela intlungu kwindawo ye-lumbosacral yomzimba wabo. Ngaba wena okanye abantu obathandayo baye banamava okuqaqamba kwemisipha okanye ubunzima emva kokuphumla kwindawo engaqhelekanga? Okanye ngaba uqalisa ukuqaphela ukuba ungxamile xa uhamba usuka kwenye indawo usiya kwenye? Uninzi lwezi meko zihambelana nendlela esizibonakalisa ngayo ngokuma kwethu. Ukuma kwethu kunceda ukuxhasa ubunzima bomzimba ophezulu ngelixa uzinzisa umzimba ophantsi ngomqolo kunye nokuqinisekisa ukuba umzimba wethu ukwindawo ethe tye xa sihamba. Nangona kunjalo, njengoko sikhula, imizimba yethu kunye nomnqonqo iyakhula, nto leyo ebangela ukuba sibe kwindawo egobileyo, ebangela ukuba ukuma kwethu kuhla. Oku kubangela ukuba intlungu ye-lumbosacral iphuhlise kunye neendawo ezisezantsi zomzimba, ezikhokelela ekugqithiseni kweeprofayili zengozi ezibangela imiba yokuhamba, ukungahambi kakuhle, kunye nokukhubazeka ukuba akunyangwa kwangoko. Xa oku kwenzeka, izihlunu ezijikelezileyo, iigaments, kunye nezicubu ezijikeleze i-lumbar spine ziya kuqala ukuhlakulela iimpawu ezinjengeentlungu kwaye zinokwenza ubomi bomntu bube buhlungu. Ngethamsanqa kukho iindlela ezahlukeneyo zonyango kunye nonyango lokuphucula imeko embi kunye nokunciphisa intlungu ye-lumbosacral echaphazela abantu abaninzi. Inqaku lanamhlanje lijonga indlela intlungu ye-lumbosacral echaphazela ngayo ukuma komntu kunye nendlela ukuchithwa komgogodla kunye nonyango lwe-MET kunokunciphisa intlungu ye-lumbosacral kunye nokubuyisela ukuma kakuhle. Ukongezelela, sisebenza ngesandla kunye nababoneleli bezonyango abaqinisekisiweyo ababandakanya ulwazi lwesigulane sethu ukunyanga kunye nokunciphisa intlungu ye-lumbosacral ehambelana nokungahambi kakuhle. Siyabazisa kwakhona ukuba ukunyanzeliswa komqolo odibeneyo kunye nonyango lwe-MET kunokunceda ngeentlungu ze-lumbosacral ngelixa kuphuculwa ukuhleleka okulungileyo kumzimba. Sikhuthaza izigulana zethu ukuba zibuze imibuzo enzulu ngelixa zifuna imfundo kubaboneleli bethu bezonyango abanxulumeneyo malunga nemiba yabo efana neentlungu. UDkt Alex Jimenez, DC, udibanisa olu lwazi njengenkonzo yemfundo. isikhanyeli

Intlungu yeLumbosacral ichaphazela i-Poture

Ngaba uye waqaphela ukuba uhlala u-slouching okanye ukwindawo e-hunched, kuphela ukuva ukuqaqanjelwa kwezihlunu kunye noxinzelelo kwindawo yakho ye-lumbar-sacral? Ngaba uziva iimpawu zokuntlitheka kunye ne-numbness in the hips and buttock region emva kokuhlala phantsi ngokugqithisileyo? Okanye ngaba uziva intlungu ethunyelwe kwindawo enye kwaye kufuneka utshintshe ubunzima bakho ukuze uhlawule intlungu? Ezi mpawu ezinjengeentlungu kunye neemeko zihambelana neentlungu ze-lumbosacral ezichaphazela ukuma kwakho. Ummandla we-lumbosacral spine unegophe lendalo elisebenza njenge-absorber yokothuka ukunciphisa ubunzima bomatshini kunye noxinzelelo lomzimba xa ushukuma. (Adams & Hutton, 1985) Ngexesha elifanayo, liyakwazi ukwenzakala rhoqo njengoko i-disc ye-spinal ixinzelelwe kwaye inokuthi i-herniated okanye yonakaliswe ngokuhamba kwexesha, ibonakalisa intlungu ye-lumbosacral. Ke iintlungu ze-lumbosacral zidibana njani nokuma kakubi? Xa abantu bejongene neengxaki ezisezantsi ezinxulumene nentlungu ye-lumbosacral, i-spinal disc kwingingqi ye-lumbosacral iqala ukuba nemiba yokulinganisa xa ihamba. (Huang, Jaw, & Young, 2022) Xa abantu bejongene nobunzima bokulinganisa umjikelezo wabo wokuhamba, kunokubangela ukuba ukuhamba kwabo kunye nokulawulwa kwe-postural kungasebenzi kakuhle kwaye kubangele ukuba umzimba ulungelelaniswe, ngaloo ndlela kubangele ukuba imiba ye-musculoskeletal ivele kwaye ichaphazele umzimba ophantsi kunye neziphelo zayo. Izihlunu ezijikelezayo ezijikeleze ummandla we-lumbosacral ziya kuqala ukufumana ubunzima kwingingqi ye-trunk, enokubangela ukuba utshintsho lwe-musculoskeletal kwimisipha ejikelezileyo xa abantu beqala ukuba kwindawo ethe tye. (UCreze et al., ngo-2019) Xa i-posture embi ichaphazela imisipha ye-trunk, izihlunu ze-accessory ezijikelezayo ziqala ukusebenza ukuze zihlawule intlungu. Ukuza kuthi ga ngelo xesha, intlungu ye-lumbosacral ehambelana nokungahambi kakuhle kunokukhokelela kwisisu, umva ophantsi, i-hip, kunye neentlungu ze-pelvic. Nangona kunjalo, abantu abaninzi banokufumana iindlela ezahlukeneyo zonyango kunye nobuchule bokunciphisa ukuphucula ukuma, ukomeleza imisipha ejikelezileyo, kunye nokunciphisa iimpawu ezinjengeentlungu.

Ukwakha Umzimba Owomeleleyo- Ividiyo

Abantu abaninzi banokufuna iindlela ezahlukeneyo zonyango ezingahlaseliyo ukuze banciphise umba xa kuziwa ekuphuculeni ukuma kunye nokunciphisa iintlungu ze-lumbosacral. Olu nyango luyonga iindleko kwaye lulungiselelwe umntu kwiintlungu zomntu. Unyango olufana nokhathalelo lwe-chiropractic kunye ne-decompression lunokunceda ukubuyisela ukuma kakuhle ngelixa ulungelelanisa umzimba ngaphandle kwe-subluxation kunye nokunceda ukunweba izihlunu ezichaphazelekayo. Ngokuzenzekelayo, unyango olungasebenzisiyo lunokudibaniswa nolunye unyango olufana nonyango lomzimba ukuqinisa imisipha ye-trunk ejikeleze ummandla we-lumbosacral, ngaloo ndlela ukunciphisa umthwalo kwi-lumbosacral spine. (UCallaghan, uGunning, kunye noMcGill, ngo-1998) Xa abantu begxininise kwimpilo yabo kunye nokuphila kakuhle, unyango olungenalo utyando lunokubonelela ngamava afanelekileyo kwaye akhuselekile kunye neqela elinokunceda ukunciphisa intlungu umntu ajongene nayo ubomi bakhe bonke. Le vidiyo ingentla icacisa ukuba olu nyango lusebenzisana njani ukukunceda ukuba wakhe umzimba owomeleleyo ngelixa uvuselela amandla akho kwaye uphucula impilo kunye nokuphila kakuhle.

Ukunciphisa uMnqongo Ukunciphisa Ubuhlungu beLumbosacral

Xa kufikwa ekunciphiseni iintlungu ze-lumbosacral ezinxulumene nokuma kakubi, abantu abaninzi banokubandakanya unyango olungasebenzisi utyando olunjengokuthotywa komnqonqo kwaye ludibanise nesicwangciso sonyango lomntu siqu ukunciphisa iimpawu ezinjengeentlungu. Yiyiphi i-spinal decompression eyenza intlungu ye-lumbosacral kukuba inceda ukunciphisa uxinzelelo lwe-intra-disc ngelixa ukwandisa i-disc space ngaphakathi kwendawo ye-lumbosacral spinal. (U-Amjad et al., ngo-2022) Ukunyanzeliswa komgogodla kunokunceda ukuphucula ukuhamba komlenze kunye nokwelula imisipha echaphazelekayo ukukhaba-ukuqala inkqubo yokuphilisa yendalo yomzimba. Ukudodobala komqolo kunokudibanisa kunye nonyango lomzimba ukunceda ukuqinisa izihlunu zesisu ze-lumbosacral kwaye kwenza abantu abaninzi abanesimo esibi ukuba baqaphele indlela abazibonakalisa ngayo.Mielenz et al., 1997)

I-MET yoNyango kunye nokuthotywa koMnqonqo Ukubuyisela iPomo

Xa iingcali zeentlungu ezifana ne-chiropractors kunye nee-massage therapists zibandakanya unyango lokuthotywa komgogodla ukunciphisa intlungu ye-lumbosacral, basebenzisa iindlela ezahlukeneyo zokuqinisa imisipha ye-lumbosacral ukubuyisela ukuma okufanelekileyo emzimbeni. Iingcali ezininzi zentlungu zisebenzisa i-MET (i-muscle energy techniques) unyango ukuze lugcinwe ngelixa lunweba imisipha kunye ne-fascia kwiindawo ezichaphazelekayo. Unyango lwe-MET oludityaniswe ne-spinal decompression lunokunceda ukuphucula ubufutshane bemisipha kwi-lumbar fascial tissue, ukuphucula i-posture, kunye nokwandisa i-lumbar kunye ne-pelvic range of motion. (Tamartash & Bahrpeyma, 2022) Ezi zibini zonyango ezingenalo utyando zinokunceda abantu abaninzi ngokujongana ne-posture yabo kunye nokungasebenzi kakuhle kwentshukumo ngelixa besomeleza imisipha yabo engundoqo ezinzileyo yokunciphisa intlungu. (UNorris noMatthews, ngo-2008) Abantu abaninzi abafuna ukubuyisela impilo yabo kunye nokuphila kakuhle banokwenza utshintsho oluncinci kwindlela yabo yokuphucula indlela yabo yokuma kunye nokukhumbula imizimba yabo ukunciphisa amathuba okubuya kweentlungu ze-lumbosacral.

Ucaphulo

Adams, MA, & Hutton, WC (1985). Umphumo wokuma kwi-lumbar spine. I-Bone Joint Surg Br, 67(4), 625-629. doi.org/10.1302/0301-620X.67B4.4030863

Amjad, F., Mohseni-Bandpei, MA, Gilani, SA, Ahmad, A., & Hanif, A. (2022). Imiphumo yonyango lwe-decompression non-surgeon ukongeza kunyango oluqhelekileyo lomzimba kwiintlungu, uluhlu lokunyakaza, ukunyamezela, ukukhubazeka okusebenzayo kunye nomgangatho wobomi ngokubhekiselele kunyango oluqhelekileyo lomzimba yedwa kwizigulane ezine-radiculopathy lumbar; ulingo olulawulwa ngokungakhethiyo. I-BMC Musculoskelet Disord, 23(1), 255. doi.org/10.1186/s12891-022-05196-x

Callaghan, JP, Gunning, JL, & McGill, SM (1998). Ubudlelwane phakathi komthwalo we-lumbar spine kunye nomsebenzi we-muscle ngexesha lokuzilolonga. Phys Ther, 78(1), 8-18. doi.org/10.1093/ptj/78.1.8

Creze, M., Bedretdinova, D., Soubeyrand, M., Rocher, L., Gennisson, JL, Gagey, O., Maitre, X., & Bellin, MF (2019). Imephu yokuqina okunxulumene nokuma kwemisipha ye-paraspinal. J Anat, 234(6), 787-799. doi.org/10.1111/joa.12978

Huang, CC, Jaw, FS, & Young, YH (2022). Uvavanyo lwe-radiological kunye nokusebenza kwizigulane ezine-lumbar spinal stenosis. I-BMC Musculoskelet Disord, 23(1), 137. doi.org/10.1186/s12891-022-05053-x

Mielenz, TJ, Carey, TS, Dyrek, DA, Harris, BA, Garrett, JM, & Darter, JD (1997). Ukusetyenziswa konyango lonyango ngabaguli abaneentlungu ezisezantsi. Phys Ther, 77(10), 1040-1051. doi.org/10.1093/ptj/77.10.1040

Norris, C., & Matthews, M. (2008). Indima yenkqubo edibeneyo yokuzinza emva kwezigulane ezineentlungu ezingapheliyo ezisezantsi. Gcwalisa i-Ther Clin Practice, 14(4), 255-263. doi.org/10.1016/j.ctcp.2008.06.001

Tamartash, H., & Bahrpeyma, F. (2022). Uvavanyo lwe-Lumbar Myofascial Release Effects kwi-Lumbar Flexion Angle kunye ne-Pelvic Inclination Angle kwizigulane ezineentlungu ezingezizo eziNcinci. Int J Ther Massage Bodywork, 15(1), 15-22. doi.org/10.3822/ijtmb.v15i1.709

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