Ukunciphisa ukuvuvukala okuphantsi ngasemva ngeTraction

Ngaba unyango lwe-traction lunokunceda abantu abaninzi abajongene neentlungu ezisezantsi banciphise ukuvuvukala kunye nokuphucula umgangatho wobomi?

intshayelelo

Xa abantu abaninzi besenza imisebenzi yemihla ngemihla, ukuba abalumkanga, banokubangela imiba efana neentlungu ezifana nokuqina kwemisipha, ukuqina, kunye neentlungu kwiindawo ezahlukeneyo kwiindawo eziphezulu nezisezantsi zemizimba yabo. Xa oku kusenzeka, kunokukhokelela kukhuseleko lwendalo lomzimba, olubizwa ngokuba kukudumba. Ukudumba lukhuselo lwendalo lwamajoni omzimba ukuphilisa indawo echaphazelekayo emzimbeni ngokwemvelo. Nangona kunjalo, kuxhomekeke kubuzaza bomcimbi obangela ukuba umntu abe buhlungu, ukudumba kunokuba luncedo okanye kube yingozi. Xa abantu abaninzi beqala ukwenza iintshukumo eziphindaphindayo emizimbeni yabo, kunokubangela ukuba izihlunu kunye nemicu yethishu yolulwe kwaye iqaqambe. Ukuza kuthi ga ngoku, ezi ntshukumo ziphindaphindayo emzimbeni zinokukhokelela kwiintlungu ezisezantsi. Ngaba wena okanye abo ubathandayo baye bafumana iziphumo ezivuthayo ezikhokelela kwiintlungu ezisezantsi? Xa oku kusenzeka, abantu abaninzi bafuna unyango olungalulo utyando lokunciphisa ukudumba kumqolo ongezantsi, olunokunceda ukubuyisela umgangatho wobomi babo. Inqaku lanamhlanje leposi lijonga unxibelelwano phakathi kokudumba kunye neentlungu ezisezantsi zomqolo kunye nendlela unyango olungasebenzisi utyando olufana nonyango lwe-traction olunokunciphisa ukudumba nokubuyisela umgangatho wobomi bomntu. Ngokuzenzekelayo, sinxibelelana nababoneleli bezonyango abaqinisekisiweyo ababandakanya ulwazi lwezigulane zethu ukuze sinciphise iintlungu ezisezantsi ezihambelana nokuvuvukala okukhokelela ekuphuhlisweni kweengxaki ze-musculoskeletal disorders. Sikwabazisa ukuba unyango olungasebenzisi utyando olufana nonyango lwe-traction lunokunceda ukunciphisa iziphumo ezingapheliyo zokudumba emzimbeni. Sikhuthaza izigulana zethu ukuba zibuze imibuzo emangalisayo yemfundo kubaboneleli bethu bezonyango abanxulumeneyo malunga neempawu zabo ezihambelana neentlungu ezisezantsi. UDkt Jimenez, DC, udibanisa le ngcaciso njengenkonzo yezemfundo. isikhanyeli

Ukukrala Okuhambelana neentlungu ezisezantsi

Ngaba uhlala ufumana i-muscle aches kumqolo wakho ophantsi emva kosuku olude, olunzima lomsebenzi? Ngaba uvakalelwa kukuba ulusu lwakho lushushu kangangokuba lubangela ukuba izihlunu zakho zihlale zibuhlungu? Okanye ngaba wenzakalise umqolo wakho ngenxa yokuphakanyiswa okungafanelekanga, ngoko ke intlungu ayinyamezeleki? Abantu abaninzi abasoloko beqaphela ukuba iimeko abazenzayo kubomi babo bemihla ngemihla zihambelana nophuhliso lweentlungu ezisezantsi. Iintlungu ezisezantsi yi-multifactorial musculoskeletal disorder eneempawu ezininzi ezihlala zihambelana nokuvuvukala. Ukuvuvukala lukhuselo lomzimba lomzimba oluqala ukuphilisa indawo echaphazelekayo apho umzimba uye wanikezela kukwenzakala. Ukuvuvukala kunokuba luncedo kwaye kube yingozi kwifomu yayo ebukhali kunye nengapheliyo ngelixa ihambelana neentlungu ezisezantsi. Xa kuziwa kwiintlungu ezisezantsi, izinto zayo zingakhokelela kwi-lumbar disc herniation, enokuthi idibaniswe kakhulu nokuvuvukala. (UCunha et al., 2018) Oku kubangelwa ukuba iingcambu ze-nerve ezijikelezayo zibanjelwe, kwaye iimpawu ezingathandekiyo ze-back back ziqala ukuvuselela i-nerve fibers ukukhupha ukuvuvukala, okukhokelela kwimiba efana neentlungu kwiindawo ezisezantsi. Xa iindawo ezisezantsi zidibene neentlungu ezisezantsi, amacandelo e-lumbar aya kuqala ukuhla ngokuhamba kwexesha, asebenze iindlela ezivuthayo ze-cytokine ezinokulimaza ngokuthe ngqo iimbilini kunye ne-nociceptors ephantsi, ebangela intlungu emilenzeni kunye nomqolo ophantsi. (Li et al., 2021) Xa ukuvuvukala kuhambelana neentlungu ezisezantsi, yimeko ephindaphindiweyo yokuba abantu abaninzi bafuna unyango koogqirha babo bokuqala. (UVon Korff kunye noSaunders, ngo-1996) Xa oku kusenzeka, abantu abaninzi baye bafake olu nyango lokunciphisa ukudumba nokubuyisela umgangatho wobomi babo.

Ukulwa nokudumba ngokwemvelo-Ividiyo

Xa ukuvuvukala kuhambelana neentlungu ezisezantsi, abantu abaninzi baya kufuna unyango olufikelelekayo olusebenza kunye neeshedyuli zabo ezixakekileyo. Unyango olungasebenzisi utyando lunokusebenza ngokweshedyuli yomntu kwaye luyonga iindleko. Unyango olufana nonyango lwe-traction, unyango lwe-massage, ukunyamekelwa kwe-chiropractic, unyango lomzimba, kunye nokuxinzezeleka komgogodla zonke zonyango olungasebenzisi utyando olusebenzisa i-manual kunye ne-mechanical manipulation ukukhulula abantu abaneentlungu ezisezantsi kunye nokunciphisa iziphumo zokudumba ezichaphazela amazantsi asezantsi. Olu nyango lungenalo utyando lunokukhulula abantu abaninzi emva kweeseshini ezimbalwa ezilandelelanayo kwaye lunciphise kancinci iziphumo zokudumba. Le vidiyo ingasentla ibonisa indlela unyango olungasebenzisi utyando lunokunceda ukubuyisela umzimba ngelixa ngokwemvelo kunciphisa iziphumo ezivuthayo kwisicwangciso sonyango lomntu.

Indlela i-Traction inciphisa ngayo ukudumba

Xa kuziwa ekuphatheni iintlungu ezisezantsi ezihambelana nokudumba, unyango lwe-traction, uhlobo lonyango olungaphandwayo, lunokuba luncedo ekunciphiseni le miba efana neentlungu. Ingcali yeentlungu kuqala ivavanya abantu abanokuvuvukala okuhambelana neentlungu ezisezantsi njengoko beqaphela apho iintlungu zibachaphazela khona emizimbeni yabo. Emva koko, baya kubotshelelwa kumatshini wokutsala, betsala ngobunono imiqolo yabo ukuze kuncitshiswe iintlungu ezibandakanya imithambo-luvo nezihlunu. Iidiski ze-intervertebral nazo ziya kwandiswa ngexesha le-traction ukuphucula ukuphakama kwe-spinal disc. (Andersson, Schultz, & Nachemson, 1983) Oku kuvumela iingcambu ze-nerve ezichaphazelekayo ukuba ziyeke iimpawu zentlungu ekuthinteleni iindawo ezisezantsi kunye nokukhuthaza ukuphilisa. Unyango lwe-Traction lunokudiza i-nucleus pulposus, enye yeempembelelo zentlungu ephantsi, ngokuyibuyisela kwindawo yayo yokuqala. (URamos noMartin, ngo-1994) Oku, kwakhona, kunciphisa imiphumo yokuvuvukala kwaye ivumela umzimba ukuba uziphilise ngokwemvelo.

Unyango lweTraction Ukubuyisela umgangatho woBomi

Xa abantu abaninzi bebandakanya unyango lwe-traction, inokubuyisela umgangatho wobomi babo. Unyango lokutsala lunokunceda ukunciphisa iimpawu zokudumba kunye neentlungu ngokunciphisa amathuba okudinga utyando. (Wang et al., 2022) Unyango lwe-Traction lunokudibaniswa nonyango lwe-manual ukuze lunwebe kwaye luqinise imisipha ebuthakathaka ejikelezileyo kunye nokunceda ukubuyisela ukuhamba komgudu. (Kuligowski, Skrzek, & Cieslik, 2021) Ukuza kuthi ga ngoku, abantu abaninzi abajongene nokudumba okuhambelana neentlungu ezisezantsi banokubona ukuba intlungu yabo iyancipha kwaye bakhumbule ngakumbi ukuba yeyiphi imikhwa eyingcambu yeentlungu zabo kunye nendlela yokunciphisa ukuba intlungu ibuyele.

Ucaphulo

Andersson, GB, Schultz, AB, & Nachemson, AL (1983). Uxinzelelo lwe-intervertebral disc ngexesha lokutsalwa. Scand J Rehabil Med Suppl, 9, 88-91. www.ncbi.nlm.nih.gov/pubmed/6585945

Cunha, C., Silva, AJ, Pereira, P., Vaz, R., Goncalves, RM, & Barbosa, MA (2018). Impendulo yokuvuvukala kwi-regression of lumbar disc herniation. I-Arthritis Res Ther, 20(1), 251. doi.org/10.1186/s13075-018-1743-4

Kuligowski, T., Skrzek, A., & Cieslik, B. (2021). Unyango lweNcwadana kwi-Cervical and Lumbar Radiculopathy: Ukuphononongwa okuCwangcisiweyo koNcwadi. Int J Environ Res Impilo yoLuntu, 18(11). doi.org/10.3390/ijerph18116176

Li, W., Gong, Y., Liu, J., Guo, Y., Tang, H., Qin, S., Zhao, Y., Wang, S., Xu, Z., & Chen, B. (2021). Iindlela ze-Peripheral kunye ne-Central Pathological Mechanism ye-Chronic Low Back Pain: Ukuphononongwa okuBalisayo. J Iintlungu Res, 14, 1483-1494. doi.org/10.2147/JPR.S306280

Ramos, G., & Martin, W. (1994). Iziphumo ze-vertebral axial decompression kuxinzelelo lwe-intradiscal. J Neurosurg, 81(3), 350-353. doi.org/10.3171/jns.1994.81.3.0350

UVon Korff, M., & Saunders, K. (1996). Ikhosi yeentlungu zangasemva kwinkathalo yokuqala. Isihlwele (Phila Pa 1976), 21(24), 2833-2837; ingxoxo 2838-2839. doi.org/10.1097/00007632-199612150-00004

Wang, W., Long, F., Wu, X., Li, S., & Lin, J. (2022). Ukusebenza kweKlinikhi ye-Mechanical Traction njenge-Physical Therapy ye-Lumbar Disc Herniation: Uhlalutyo lwe-Meta. Iindlela zeMathematika zeKhompyutha Med, 2022, 5670303. doi.org/10.1155/2022/5670303

isikhanyeli