UkuSebenza koMnqonqo wokuNxinzelela kwiNtlupheko eNgasemva eNgasemva

Ngaba ukuxinzezeleka komqolo kungaphatha abantu abaneentlungu ezingapheliyo ezisezantsi ukuze banciphise i-arthritis edibeneyo kunye nokuqinisa imisipha ejikelezileyo ukubuyisela ukuhamba kwe-lumbar?

intshayelelo

Xa abantu abaninzi bejongene nentlungu kwindawo yabo ye-lumbar, ngokuphindaphindiweyo kunokuba kunjalo, bakholelwa ukuba yimisipha ejikelezileyo ekhusela umqolo ochaphazelekayo. Noko ke, eso sisiqingatha kuphela sengxaki. Ngaba wena okanye abantu obathandayo bahlala beziva ukufudumala ngaphakathi komqolo wakho ongaphantsi, isinqe, kunye namadolo akhupha intlungu ngaphakathi kwamalungu akho? Ewe, iintlungu ezidibeneyo zinokunxulumana neentlungu ezisezantsi zomqolo kwimeko yazo engapheliyo. Ekubeni umzimba kunye nomqolo unokuwohloka ngokuhamba kwexesha, kunokubangela ukuba amalungu anxibe kwaye akrazuke ngelixa ekhuhla omnye komnye, kubangela ukuba i-arthritis edibeneyo ikhule. Xa iintlungu ze-arthritis zidibene neentlungu ezingapheliyo ezisezantsi, kunokukhokelela ekugqithiseni kweeprofayili ezinobungozi ezinokukhokelela kubomi bokukhubazeka kwaye zenze umntu abe lusizi. Iimpawu ezininzi ezinjengeentlungu ezihambelana neentlungu ezingapheliyo ezisezantsi zingakhula ngokuhamba kwexesha kwaye zibangele iingxaki zokuhamba kunye nokuzinza ngaphakathi komzimba. Ngethamsanqa, unyango oluninzi olungasebenzisi utyando lunokunciphisa ukuqhubeka kwe-arthritis edibeneyo kunye nokunciphisa iintlungu ezingapheliyo ezisezantsi. Amanqaku anamhlanje avavanya ulungelelwaniso phakathi kwe-arthritis edibeneyo kunye neentlungu ezingapheliyo ezisezantsi ngelixa ujonga indlela unyango olungahlaseliyo olufana nokuxinzelela komgogodla alukwazi ukunciphisa kuphela iintlungu ezingapheliyo ezisezantsi ezinxulumene nesifo samathambo kodwa ziphinde zibuyisele ukuhamba kwe-lumbar. Ukongezelela, sisebenza ngesandla kunye nababoneleli bezonyango abaqinisekisiweyo ababandakanya ulwazi lwesigulane sethu ukunyanga nokunciphisa ukuqhubela phambili kwe-arthritis edibeneyo ehambelana neentlungu ezisezantsi. Siyabazisa kwakhona ukuba ukuchithwa kwe-spinal decompression kunokunceda ukubuyisela ukuhamba kwe-lumbar ngelixa uphucula amandla e-muscle abuyele kwingingqi ye-lumbar. 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

 

I-arthritis edibeneyo kunye neentlungu ezingapheliyo ezisezantsi

Ngaba uhlala ufumana ukuqina kusasa okubonakala kuhamba emva kweeyure ezimbalwa? Ngaba uziva iintlungu kunye neentlungu emsebenzini, mhlawumbi kwidesika okanye kufuna izinto ezinzima? Okanye ngaba uziva ukuba amalungu akho abuhlungu rhoqo ukuba akufumani buthongo ngokwaneleyo ebusuku? Ezi meko ezinjengeentlungu zinxulunyaniswa nesifo samathambo, esinokukhula sibe ziintlungu ezingapheliyo ezisezantsi. Abantu abaninzi bayazi ukuba umqolo wamaplanga kunye neziphelo ezisezantsi ziya kuba noxinzelelo oluphezulu lomatshini xa umzimba ukwindawo ethe tye ngaphandle kweentlungu. Njengoko i-lumbar spine kunye nezithintelo ezisezantsi ziqala ukuhamba ngokuphindaphindiweyo ngokuhamba kwexesha, oko kunokubangela ukuba i-ligaments kunye nezihlunu ezijikelezayo zibe neenyembezi ze-microtrauma, ezibangelwa ukuphuhliswa kwe-arthritis edibeneyo, engakhokelela kwimiphumo yokuvuvukala. (Xiong okqhubekayo., 2022) Ngoku ukuvuvukala emzimbeni kunenzuzo kwaye kuyingozi kuxhomekeke kubunzima ngaphakathi kwendawo echaphazelekayo. I-arthritis edibeneyo, ngokukodwa i-spondylarthritis, iyingxenye yezifo ezivuthayo ezichaphazela umgudu kunye nomqolo kwaye unokuba nezibonakaliso ezahlukeneyo zeklinikhi. (Sharip & Kunz, 2020) Iimpawu ze-arthritis ezidibeneyo ziquka intlungu yokuvuvukala kwindawo echaphazelekayo, ukuqina kwamalungu kunye nokuvuvukala, kunye nobuthakathaka bemisipha. Xa ujongene nemiphumo yokuvuvukala ehambelana ne-arthritis edibeneyo, inokubangela ukuba babe nomgangatho ophantsi wobomi, bandise ukufa, kwaye babe ngumthwalo wezoqoqosho. (Walsh & Magrey, 2021)

 

 

Ngoku i-joint arthritis inxulunyaniswa njani neentlungu ezisezantsi? Xa abantu beqala ukwenza ukunyakaza okuphindaphindiweyo kwi-lumbar spine yabo, kunokukhokelela ekutshintsheni okungaqhelekanga kwiidiski ze-intervertebral. Xa uxinzelelo olungafunekiyo luqala ukucinezela i-disc intervertebral rhoqo, kunokubangela ukugqoka kunye nokukrazula kwi-disc, kubangele ukuba baqhekeze kwaye bavumele ukuba i-nociceptors ye-annular ibe yinto engaphezulu. (Weinstein, uClaverie, kunye noGibson, ngo-1988) I-disc echaphazelekayo ke ikhulisa iingcambu ze-nerve ezijikelezayo kunye nezihlunu, ezibangela intlungu ephantsi. Xa abantu besenza izinto zabo eziqhelekileyo zemihla ngemihla, izinto ezibangela utshintsho oluphazamisayo kwiidiski ze-intervertebral zingakhokelela kwiintlungu ezingapheliyo ezibuhlungu. (UVernon-Roberts kunye noPirie, ngo-1977) Ukuza kuthi ga ngoku, iintlungu ezingapheliyo ezibuhlungu ezihambelana nesifo samathambo zingaba ngumcimbi ongapheliyo ukuba awuphathwa ngokukhawuleza.

 

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Isifo Samathambo Sicacisiwe- Ividiyo

Xa unciphisa imiphumo yeentlungu ezingapheliyo ezisezantsi ezihambelana nesifo samathambo, abantu abaninzi bafuna unyango ukuze bakhulule iindawo zabo ezichatshazelwe ziintlungu ngesiphumo esihle. Unyango olungelulo utyando lunokuba yimpendulo, edityaniswe nolunye unyango lokunciphisa iintlungu ezingapheliyo ezisezantsi. (Kizhakkeveettil, Rose, & Kadar, 2014) Unyango olungasebenzisi utyando lunokwenziwa ngokwezifiso kwiintlungu zomntu ngelixa lungabizi kakhulu. Abantu abaninzi abanamalungu e-arthritic banokuzuza kunyango olungelulo utyando njengoko iingcali zentlungu ezinje nge-massage therapists kunye ne-chiropractors zinokusebenzisa iindlela ezahlukeneyo zokolula izihlunu ezichaphazelekayo, ukonyusa i-ROM yelungu (uluhlu lweentshukumo) kunye nokulungelelanisa umzimba ngaphandle kokungahambi kakuhle ukukhuthaza inkqubo yokuphilisa yendalo yomzimba. Ividiyo engentla inika umboniso wendlela i-arthritis inokuchaphazela ngayo amalunga, inxulunyaniswe neentlungu ezisezantsi, kunye nendlela olu nyango lunokunciphisa ngayo iimpawu zayo ngeendlela ezahlukeneyo.

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Ukuqhawuka koMnqonqo kunye neentlungu eziNgasemva ezingapheliyo

Ukudodobala koMnqongo lunyango olungelulo utyando olunokunceda abantu abaninzi abaneentlungu ezingapheliyo ezingasemva. I-Spinal decompression isebenzisa i-traction ethambileyo kwi-lumbar spine ukutsala umqolo, ukuvumela ulwelo kunye nezondlo ukuba zikhukula zibuyele kwindawo echaphazelekayo kwaye zincede umzimba uziphilise ngokwawo. Xa abantu beqala ukubandakanya ukunyanzeliswa komgogodla ngenxa yeentlungu zabo ezingapheliyo, baya kuziva becinezelekile kwiidiski zabo zomgogodla. (URamos, ngo-2004) Xa abantu beqala ukuziva bephucukile kwingingqi yabo ye-lumbar emva kokunyanga okumbalwa okulandelelanayo, baya kuqala ukubuyisela ukuhamba kwabo kwe-lumbar.

 

I-Spinal Decompression Ukubuyisela i-Lumbar Mobility

Ukunyanzeliswa komgogodla kunokunciphisa imiphumo yeentlungu ezingapheliyo ezisezantsi kunye nokubuyisela ukuhamba kwe-lumbar kumqolo. Ekubeni ukuchithwa komgogodla kusebenzisa i-traction ethambileyo kumqolo, i-disc intervertebral iya kubuyela kwindawo yayo yasekuqaleni, ngelixa i-spinal cavity ikwandisa ukuphakama kwediski. Ukuza kuthi ga ngoku, ukunyanzeliswa komgogodla kunokubangela ukuba abantu baphucule ukuhamba kwaye kubangele ukuba babuyele kwimisebenzi yabo yesiqhelo yemihla ngemihla, njengoko ihambelana kakhulu nokunciphisa intlungu. (Gose, Naguszewski, & Naguszewski, 1998) Ngokubandakanya ukunyanzeliswa komgogodla njengenxalenye yesiqhelo, abantu abaninzi banokubuyisela impilo yabo ngaphandle kokujongana neempawu ezinjengeentlungu.

 

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Ucaphulo

Gose, EE, Naguszewski, WK, & Naguszewski, RK (1998). Unyango lwe-axial decompression ye-Vertebral yentlungu ehambelana ne-disc ye-herniated okanye i-degenerated okanye i-facet syndrome: isifundo sesiphumo. Neurol Res, 20(3), 186-190. doi.org/10.1080/01616412.1998.11740504

 

Kizhakkeveettil, A., Rose, K., & Kadar, GE (2014). Unyango oludityanisiweyo lweentlungu ezisezantsi ezibandakanya ukhathalelo olongezelelweyo kunye nolunye unyango: ukuphononongwa ngokuchanekileyo. I-Glob Adv Health Med, 3(5), 49-64. doi.org/10.7453/gahmj.2014.043

 

URamos, G. (2004). Ukusebenza kwe-vertebral axial decompression kwiintlungu ezingapheliyo ezisezantsi: ukufundwa kwerejimeni yedosi. Neurol Res, 26(3), 320-324. doi.org/10.1179/016164104225014030

 

Sharip, A., & Kunz, J. (2020). Ukuqonda i-Pathogenesis ye-Spondyloarthritis. Biomolecule, 10(10). doi.org/10.3390/biom10101461

 

UVernon-Roberts, B., & Pirie, CJ (1977). Utshintsho oluguquguqukayo kwiidiski ze-intervertebral ze-lumbar spine kunye ne-sequelae yazo. I-Rheumatol Rehabil, 16(1), 13-21. doi.org/10.1093/rheumatology/16.1.13

 

Walsh, JA, & Magrey, M. (2021). Ukubonakaliswa kweklinikhi kunye nokuxilongwa kwe-Axial Spondyloarthritis. J Clin Rheumatol, 27(8), e547-e560. doi.org/10.1097/RHU.0000000000001575

 

Weinstein, J., Claverie, W., & Gibson, S. (1988). Intlungu ye-discography. Isihlwele (Phila Pa 1976), 13(12), 1344-1348. doi.org/10.1097/00007632-198812000-00002

 

Xiong, Y., Cai, M., Xu, Y., Dong, P., Chen, H., He, W., & Zhang, J. (2022). Ngokudibeneyo kunye: I-etiology kunye ne-pathogenesis ye-ankylosing spondylitis. I-Immunol yangaphambili, 13, 996103. doi.org/10.3389/fimmu.2022.996103

 

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