Ukulawula iintlungu ze-Sciatica nge-Acupuncture: Yintoni ekufuneka uyazi

Kubantu abacinga nge-acupuncture yokunceda kunye nolawulo lwe-sciatica, ngaba ukwazi ukuba isebenza njani kwaye yintoni onokuyilindela ngexesha leseshoni kunceda ekwenzeni isigqibo?

Iseshoni yoNyango lwe-Acupuncture Sciatica

I-acupuncture ye-sciatica lunyango olukhuselekileyo nolusebenzayo lonyango lokunciphisa nokulawula iimpawu zentlungu. Uphononongo lucebisa ukuba lusebenza njengezinye iindlela zonyango kwaye lubangela iziphumo ebezingalindelekanga ezimbalwa. (UZhihui Zhang et al., 2023) Ukuphindaphinda kwe-acupuncture ukukhulula intlungu ye-sciatica kuxhomekeke kubunzima bemeko kunye nokulimala, kodwa abaninzi bachaza ukuphuculwa kweeveki ezimbini ukuya kwezintathu. (UFang-Ting Yu et al., 2022)

Ukubekwa kweNaliti

• Iingxaki zokujikeleza zingabangela amandla omzimba ukuba agxininise kwi-meridians / itshaneli enye okanye ngaphezulu, okukhokelela kwiintlungu kunye neendawo ezijikelezayo. (Wei-Bo Zhang et al., 2018)
• Injongo ye-acupuncture kukubuyisela ukujikeleza kwegazi ngokufanelekileyo ngokuvuselela amanqaku athile emzimbeni abizwa ngokuba zii-acupoints.
• Iinaliti ezibhityileyo, ezibhityileyo zivuselela ii-acupoints ukuze zivule amandla endalo okuphilisa umzimba kunye nokuphelisa iintlungu. (Heming Zhu 2014)
• Abanye oogqirha bayayisebenzisa i-electroacupuncture – umbane othambileyo, othambileyo usetyenziswa kwiinaliti kwaye udlula kwizicubu ukuze kusebenze inkqubo ye-nervous. (Ruixin Zhang et al., 2014)

Ii-Acupoints

Unyango lwe-acupuncture sciatica lubandakanya ii-acupoints ezithile ecaleni kwe-bladder kunye ne-gallbladder meridians.

I-Bladder Meridian – BL

I-bladder meridian / BL ibaleka ezantsi ngasemva kunye nomqolo, isinqe, kunye nemilenze. Ii-acupoints ngaphakathi kwe-meridian ye-sciatica ziquka:UFang-Ting Yu et al., 2022)

• BL 23 -Shenshu – Indawo kumqolo osezantsi, kufutshane nezintso.
• BL 25 - Dachangshu - Indawo kumqolo osezantsi.
• BL 36 – Chengfu – Indawo ngasemva kwethanga, ngaphantsi kweempundu.
• BL 40 – Weizhong – Indawo emva kwedolo.

I-Gallbladder Meridian - GB

I-gallbladder meridian/GB ibaleka emacaleni ukusuka kwikona yamehlo ukuya kuzwane olupinki. (UThomas Perreault et al., 2021I-acupoints ye-sciatica ngaphakathi kwale meridian ibandakanya: (UZhihui Zhang et al., 2023)

• GB 30 - Huantiao - Indawo ngasemva, apho iimpundu zidibana nezinqe.
• I-GB 34 - Yanglingquan - Indawo engaphandle komlenze, ngaphantsi kwedolo.
• GB 33 - Xiyangguan - Indawo esecaleni ukuya edolweni, ecaleni.

Ukuvuselela i-acupoints kule meridians kwandisa ukuhamba kwegazi kwindawo, kunciphisa ukuvutha, kunye nokukhupha i-endorphins kunye nezinye iikhemikhali ze-neurochemicals ezidambisa intlungu. (UNingcen Li et al., 2021) Ii-acupoints ezithile ziyahluka ngokuxhomekeke kwiimpawu kunye nonobangela. (Tiaw-Kee Lim et al., 2018)

Umzekelo Umonde

An umzekelo weseshoni yonyango ye-acupuncture sciatica: Isigulana esinentlungu yokudubula eqhubekayo isuka ezantsi ngasemva nangecala lomlenze. Unyango olusemgangathweni lubandakanya oku kulandelayo:

• I-acupuncturist ihamba ngokucokisekileyo kwimbali yonyango yesigulane kunye neempawu kwaye isigulane sikhomba apho intlungu ikhona khona.
• Emva koko, bahamba-hamba kwaye bajikeleze indawo ukuze bafumane apho intlungu iyancipha kwaye iyancipha, benxibelelana nesigulana njengoko behamba.
• Ngokuxhomekeke kwisiza kunye nobunzima, banokuqala ukubeka iinaliti kwi-back back, egxininisa kwindawo yokulimala.
• Ngamanye amaxesha, i-sacrum ibandakanyeka, ngoko i-acupuncturist iya kubeka iinaliti kwezo zi-acupoints.
• Emva koko bahamba baye emva komlenze baze bafake iinaliti.
• Iinaliti zigcinwa imizuzu engama-20-30.
• I-acupuncturist ishiya igumbi okanye indawo yonyango kodwa ihlola rhoqo.
• Isigulana sinokuziva sifudumala, ukuntyiloza, okanye ubunzima obuncinci, nto leyo yimpendulo eqhelekileyo. Kulapho izigulane zibika khona umphumo wokuthomalalisa. (Shilpadevi Patil et al., 2016)
• Iinaliti zisuswe ngononophelo.
• Isigulana sinokuziva sikhululekile ngokunzulu kwaye siya kucetyiswa ukuba siphakame ngokukhawuleza ukuphepha ukuba nesiyezi.
• Kusenokubakho ukuqaqamba, ububomvu, okanye ukugruzuka kwindawo yokufaka inaliti, into eqhelekileyo kwaye kufuneka isombulule ngokukhawuleza.
• Isigulana siya kunikwa iingcebiso malunga nokuphepha umsebenzi onzima, ukuhambisa amanzi ngokufanelekileyo, kunye nokwenza lula.

IiNzuzo zeAcupuncture

I-acupuncture ibonakaliswe njengonyango olongezelelweyo lokunciphisa intlungu kunye nokulawula. Iingenelo ze-acupuncture:

Ukuphucula ukuhamba

• I-acupuncture ivuselela ukujikeleza kwegazi, eyondla imithambo-luvo eyonakeleyo okanye enomsindo kwaye ikhuthaza ukuphilisa.
• Oku kunceda ukukhulula iimpawu ze-sciatica, ezifana nokuba ndindisholo, ukubetha, kunye neentlungu. (Ingoma-Yi Kim et al., 2016)

Ikhupha i-Endorphins

• I-acupuncture ibangela ukukhululwa kwee-endorphins kunye nezinye iikhemikhali zendalo ezidambisa iintlungu, ezinceda ukuthomalalisa iintlungu. (Shilpadevi Patil et al., 2016)

Ilawula iNervous System

• I-acupuncture ilungelelanisa iimpendulo zovelwano kunye ne-parasympathetic, ezinciphisa uxinzelelo, uxinzelelo kunye neentlungu. (Xin Ma et al., 2022)

Ukhulula Imisipha

• Iintlungu zemithambo-luvo zihlala zihamba noxinzelelo lwemisipha kunye ne-spasms.
• I-acupuncture ikhulula imisipha eqinile, inciphisa uxinzelelo kunye nokubonelela ngesiqabu. (UZhihui Zhang et al., 2023)

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Ukusuka kwiiMpawu ukuya kwizisombululo

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Ucaphulo

Zhang, Z., Hu, T., Huang, P., Yang, M., Huang, Z., Xia, Y., Zhang, X., Zhang, X., & Ni, G. (2023). Ukusebenza kunye nokhuseleko lwe-acupuncture therapy ye-sciatica: ukuphononongwa ngokuchanekileyo kunye nohlalutyo lwemeta yeendlela ezilawulwa ngokungahleliwe. Imida kwi-neuroscience, 17, 1097830. doi.org/10.3389/fnin.2023.1097830

Yu, FT, Liu, CZ, Ni, GX, Cai, GW, Liu, ZS, Zhou, XQ, Ma, CY, Meng, XL, Tu, JF, Li, HW, Yang, JW, Yan, SY, Fu, HY, Xu, WT, Li, J., Xiang, HC, Sun, TH, Zhang, B., Li, MH, Wan, WJ, ... Wang, LQ (2022). I-acupuncture ye-sciatica engapheliyo: iprotocol yolingo olulawulwa ngokungahleliwe olune-multicenter. BMJ vula, 12(5), e054566. doi.org/10.1136/bmjopen-2021-054566

Zhang, WB, Jia, DX, Li, HY, Wei, YL, Yan, H., Zhao, PN, Gu, FF, Wang, GJ, & Wang, YP (2018). Ukuqonda i-Qi ebalekayo kwi-Meridians njenge-Interstitial Fluid Fluid nge-Interstitial Space of Low Hydraulic Resistance. Ijenali yaseTshayina yonyango oludibeneyo, i-24 (4), i-304-307. doi.org/10.1007/s11655-017-2791-3

Zhu H. (2014). Ii-Acupoints ziqalisa inkqubo yokuphilisa. I-acupuncture yonyango, i-26 (5), i-264-270. doi.org/10.1089/acu.2014.1057

Zhang, R., Lao, L., Ren, K., & Berman, BM (2014). Iinkqubo ze-acupuncture-electroacupuncture kwiintlungu eziqhubekayo. I-Anesthesiology, i-120 (2), 482-503. doi.org/10.1097/ALN.0000000000000101

Perreault, T., Fernández-de-Las-Peñas, C., Cummings, M., & Gendron, BC (2021). I-Needling Interventions ye-Sciatica: Ukukhetha iindlela ezisekelwe kwi-Neuropathic Pain Mechanisms-Ukuphononongwa kwe-Scoping. Ijenali yezonyango zonyango, i-10 (10), i-2189. doi.org/10.3390/jcm10102189

Li, N., Guo, Y., Gong, Y., Zhang, Y., Fan, W., Yao, K., Chen, Z., Dou, B., Lin, X., Chen, B., Chen, Z., Xu, Z., & Lyu, Z. (2021). Izenzo ezichasene nokudumba kunye neeNkqubo ze-Acupuncture ukusuka kwi-Acupoint ukuya kumaziko ekujoliswe kuwo nge-Neuro-Immune Regulation. Ijenali yophando lokuvuvukala, 14, 7191-7224. doi.org/10.2147/JIR.S341581

Lim, TK, Ma, Y., Berger, F., & Litscher, G. (2018). I-acupuncture kunye ne-Neural Mechanism kuLawulo lweentlungu ezisezantsi-Uhlaziyo. Amayeza (Basel, Switzerland), 5(3), 63. doi.org/10.3390/medicines5030063

UKim, SY, Min, S., Lee, H., Cheon, S., Zhang, X., Park, JY, Ingoma, TJ, & Park, HJ (2016). Utshintsho lweGazi leNdawo ekuphenduleni kwi-Acupuncture Stimulation: Ukuphononongwa okuCwangcisiweyo. Ubungqina obusekelwe kubungqina obuxhasayo kunye nolunye unyango : eCAM, 2016, 9874207. doi.org/10.1155/2016/9874207

UPatil, S., Sen, S., Bral, M., Reddy, S., Bradley, KK, Cornett, EM, Fox, CJ, & Kaye, AD (2016). Indima ye-Acupuncture kuLawulo lweentlungu. Iintlungu zangoku kunye neengxelo zentloko, i-20 (4), i-22. doi.org/10.1007/s11916-016-0552-1

Ma, X., Chen, W., Yang, NN, Wang, L., Hao, XW, Tan, CX, Li, HP, & Liu, CZ (2022). Iindlela ezinokwenzeka ze-acupuncture kwiintlungu ze-neuropathic ezisekelwe kwinkqubo ye-somatosensory. Imida kwi-neuroscience, 16, 940343. doi.org/10.3389/fnin.2022.940343