Inceda njani i-spinal decompression ekunciphiseni iintlungu ze-somatosensory ezinxulumene nabantu abajongene nentlungu yomqolo kunye nomlenze?
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intshayelelo
Njengoko sonke sisazi, umzimba womntu yinkqubo enzima esebenza kunye ukwenza izenzo ezahlukeneyo ngaphandle kokuva intlungu okanye ukungakhululeki. Ngemisipha, amalungu, izicubu, iigaments, amathambo, kunye neengcambu zemithambo-luvo, icandelo ngalinye linomsebenzi walo kwaye lisebenzisana namanye amalungu omzimba. Ngokomzekelo, umqolo usebenzisana nenkqubo ye-nervous central ukuyalela izihlunu kunye namalungu ukuba asebenze ngokuchanekileyo. Okwangoku, iingcambu ze-nerve kunye nezihlunu zisebenza kunye ukuze zibonelele ukuhamba, ukuzinza, kunye nokuguquguquka kumzimba ophezulu nangaphantsi. Nangona kunjalo, njengoko ixesha lihamba, umzimba uguga ngokwemvelo, kwaye oku kunokukhokelela kwimibandela engafunekiyo. Izinto eziqhelekileyo kunye nezibuhlungu zinokuphazamisa iimpawu ze-neuron ezivela kwingqondo kwaye zibangele intlungu ye-somatosensory kwindawo ephezulu nangaphantsi. Le mvakalelo efana nentlungu inokuchaphazela icandelo ngalinye lomzimba, okwenza umntu abe lusizi. Ngethamsanqa, kukho iindlela zokunciphisa intlungu ye-somatosensory kunye nokubonelela ngesiqabu kumzimba. Inqaku lanamhlanje liphonononga indlela iintlungu ze-somatosensory ezinokuchaphazela ngayo imilenze engezantsi, ngakumbi imilenze kunye nomqolo, kunye nendlela unyango olungasebenzisi utyando olufana noxinzelelo lomgogodla olunokuthi luthobe intlungu ye-somatosensory kumazantsi. Ngexesha elifanayo, sisebenza ngesandla kunye nababoneleli bezonyango abaqinisekisiweyo abasebenzisa ulwazi lwesigulane sethu ukunyanga nokunciphisa intlungu ye-somatosensory echaphazela imilenze kunye nomqolo. Sikwabazisa ukuba unyango olungasebenzisi utyando olufana nokuthotywa komnqonqo lunokunceda ukuthomalalisa iimpawu ezishiyekileyo ezifana neentlungu ezisuka kumazantsi. Sikhuthaza izigulane zethu ukuba zibuze imibuzo ebalulekileyo kunye nebalulekileyo ngelixa zifuna imfundo kubaboneleli bethu bezonyango ezinxulumene neentlungu zabo. UDkt Alex Jimenez, DC, udibanisa olu lwazi njengenkonzo yemfundo. isikhanyeli
Ngaba iintlungu zeSomatosensory ziyichaphazela njani imilenze kunye nomqolo?
Ngaba uziva ndindisholo okanye ukubetha emilenzeni okanye ngasemva okunyamalalayo emva kwemizuzu embalwa? Ngaba uziva iintlungu ezithandabuzekayo kwi-lumbar spine emva komsebenzi? Okanye ngaba uziva ukufudumala emva kwemilenze yakho ejika ibe yintlungu ebukhali yokudubula? Le miba inokunxulumana nenkqubo ye-somatosensory ngaphakathi kwenkqubo ye-nervous central, ebonelela ngee-reflexes zokuzithandela kumaqela emisipha. Xa ukunyakaza okuqhelekileyo okanye imikhosi ephazamisayo ibangela iingxaki kwinkqubo ye-somatosensory ngokuhamba kwesikhathi, kunokukhokelela kwiintlungu ezichaphazela iziphelo zomzimba. (UFinnerup, uKuner, kunye noJensen, ngo-2021) Le ntlungu inokuhamba kunye nokutshisa, ukubethelwa, okanye ukucinezela iimvakalelo ezichaphazela ummandla we-lumbar. Izinto ezininzi zinokudibaniswa neentlungu ze-somatosensory, eziyinxalenye yenkqubo ye-nervous central kwaye isebenza kunye nentambo yomgogodla. Xa intambo yomgogodla ixinzezeleka okanye igxininisekile ngenxa yokulimala okanye izinto eziqhelekileyo, kunokukhokelela kwintlungu ephantsi kunye nomlenze. Ngokomzekelo, i-disc ye-herniated kwindawo ye-lumbosacral inokubangela ukuba iingcambu ze-nerve zithumele iimpawu zentlungu kwingqondo kwaye zibangele ukungaqhelekanga kwi-back and imilenze. (Aminoff & Goodin, 1988)
Xa abantu bejongene neentlungu zomqolo kunye nomlenze kwintlungu ye-somatosensory, kunokubangela ukuba bahlupheke ngokunciphisa umgangatho wobomi kunye nokukhokelela kubomi bokukhubazeka. (URosenberger et al., 2020) Ngelo xesha, abantu abajongene neentlungu ze-somatosensory baya kuqala ukuva imiphumo yokuvuvukala ukusuka kwindawo echaphazelekayo yemisipha emilenzeni nasemva. Ekubeni ukuvuvukala kuyimpendulo yendalo yomzimba xa ujongene neentlungu, i-cytokines evuthayo ingabangela umphumo ovela kwingqondo ngokusebenzisa intambo yomgogodla, ebangela umlenze kunye neentlungu zangasemva. (UMatsuda, Huh, & Ji, 2019) Ukuza kuthi ga ngoku, intlungu ye-somatosensory ihambelana nokuvuvukala okubangelwa yizinto eziqhelekileyo okanye ezibuhlungu ezinokubangela ukugqithiswa kwezinto ezinobungozi ezibangela umlenze kunye nentlungu emva. Ngethamsanqa, unyango oluninzi lunokunciphisa le miba yengozi edlulanayo ebangelwa yintlungu ye-somatosensory kwaye incede ukubuyisela umsebenzi ophantsi womzimba.
Hamba Ngcono, Phila Ngcono- Ividiyo
Xa umzimba ujongene neentlungu ze-somatosensory, kunokubangela ukuba abantu abaninzi bacinge ukuba bajongana nomthombo omnye weentlungu kwindawo enye yezihlunu. Sekunjalo, kunokukhokelela kwimiba emininzi echaphazela iindawo ezahlukeneyo zomzimba. Oku kwaziwa ngokuba yintlungu ekubhekiselwa kuyo, apho elinye icandelo lomzimba lijongene neentlungu kodwa likwindawo eyahlukileyo. Intlungu ebhekiswayo inokudibaniswa ne-somato-visceral / visceral-somatic pain, apho i-muscle echaphazelekayo okanye ilungu lichaphazela enye okanye enye, ibangela imiba efana nentlungu. Nangona kunjalo, unyango oluninzi lunokunciphisa intlungu ye-somatosensory ekubangeleni iingxaki ezininzi zomlenze kunye nomqolo. Unyango olungasebenzisi utyando olufana nokhathalelo lwe-chiropractic kunye noxinzelelo lomgogodla lunokunceda ukunciphisa imiphumo yeentlungu ze-somatosensory ezichaphazela iziphelo zomzimba ezisezantsi ezibangela umlenze kunye neentlungu zangasemva. Olu nyango luvumela ingcali yeentlungu ukuba ifake iindlela ezahlukeneyo zonyango zokolula izihlunu ezichaphazelekayo kunye nokulungelelanisa umqolo kwindawo yawo yokuqala. Abantu abaninzi banokubona ukuphucula ukuhamba kwabo kunye nemisebenzi yemihla ngemihla njengoko iimpawu ezinjengeentlungu ezinxulumene neentlungu ze-somatosensory ziyancipha. (Gose, Naguszewski, & Naguszewski, 1998) Xa abantu abajongene neentlungu ze-somatosensory beqala ukucinga ngempilo yabo kunye nokuphila kakuhle ukuze banciphise intlungu abayifumanayo, banokujonga unyango olungenalo utyando njengoko lungabizi kakhulu, lukhuselekile, kwaye lubonelela ngesiphumo esihle. Ukongezelela, unyango olungelulo utyando lunomntu ngamnye kwintlungu yomntu kwaye luqale ukubona ukuphucuka emva kweeseshoni zonyango ezimbalwa. (Saal & Saal, ngo-1989) Jonga le vidiyo ingentla ukuze ufunde kabanzi malunga nendlela unyango olungenalo utyando lunokudibaniswa ngayo kunye nolunye unyango ukuze kuphuculwe impilo-ntle yomntu.
Ukuthotywa koMnqongo kunciphisa iintlungu zeSomatosenosory
Ngoku i-spinal decompression yonyango olungenalo utyando olunokunceda ukunciphisa intlungu ye-somatosensory echaphazela imilenze kunye nomva. Ekubeni intlungu ye-somatosensory ihambelana nentambo yomgogodla, inokuchaphazela i-lumbosacral spine kwaye ikhokelela kwintlungu yomqolo kunye nomlenze. Ngokudodobala komqolo, isebenzisa ukutsalwa okuthambileyo ukutsala ngobunono umqolo, nto leyo enokunciphisa iimpawu ezinxulumene nentlungu ye-somatosensory. Uxinzelelo lwe-Spinal decompression lunokunceda ukuphucula inkqubo ye-somatosensory ngokunciphisa iintlungu kunye nokunciphisa ukunyanzeliswa kweengcambu zemithambo-luvo ukuze ukhulule imilenze kunye nomqolo. (UDaniel, ngo-2007)
Ukongezelela, ukunyanzeliswa komgogodla kunokudibaniswa nolunye unyango olungenalo utyando, njenge-chiropractic, njengoko lunokunceda ekunciphiseni imiphumo ye-nerve entrapment kunye nokunceda ukubuyisela i-ROM ye-joint (uluhlu lokunyakaza). (Kirkaldy-Willis kunye noCassidy, ngo-1985) Ukunyanzeliswa komgogodla kunokudala amava amahle kubantu abaninzi abajongene nomlenze kunye neentlungu zentlungu ezinxulumene nentlungu ye-somatosensory ngelixa bebuyisela impilo yabo kunye nokuphila kakuhle.
Ucaphulo
Aminoff, MJ, & Goodin, DS (1988). I-dermatomal somatosensory ikhuphe amandla kuxinzelelo lweengcambu zelumbosacral. J Neurol Neurosurg Psychiatry, 51(5), 740-742. doi.org/10.1136/jnnp.51.5.740-a
UDaniel, DM (2007). Unyango olungazenzisiyo lonyango lokuthomalalisa umqolo: ngaba uncwadi lwenzululwazi luxhasa amabango asebenzayo awenziwe kumajelo entengiso? Chiropr Osteopat, 15, 7. doi.org/10.1186/1746-1340-15-7
Finnerup, NB, Kuner, R., & Jensen, TS (2021). Iintlungu zeNeuropathic: Ukusuka kwiiMechanism ukuya kuNyango. Physiol Rev, 101(1), 259-301. doi.org/10.1152/physrev.00045.2019
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
Kirkaldy-Willis, WH, & Cassidy, JD (1985). Ukuguqulwa komqolo kunyango lweentlungu ezisezantsi. Ngaba Fam Gqirha, 31, 535-540. www.ncbi.nlm.nih.gov/pubmed/21274223
www.ncbi.nlm.nih.gov/pmc/articles/PMC2327983/pdf/canfamphys00205-0107.pdf
Matsuda, M., Huh, Y., & Ji, RR (2019). Iindima zokuvuvukala, ukuvuvukala kwe-neurogenic, kunye ne-neuroinflammation kwiintlungu. J Anesth, 33(1), 131-139. doi.org/10.1007/s00540-018-2579-4
Rosenberger, DC, Blechschmidt, V., Timmerman, H., Wolff, A., & Treede, RD (2020). Imingeni yeentlungu ze-neuropathic: gxininisa kwi-diabetes neuropathy. J Neural Transm (Vienna), 127(4), 589-624. doi.org/10.1007/s00702-020-02145-7
Saal, JA, & Saal, JS (1989). Unyango olungasebenziyo lwe-herniated lumbar intervertebral disc kunye ne-radiculopathy. Uphononongo lwesiphumo. Isihlwele (Phila Pa 1976), 14(4), 431-437. doi.org/10.1097/00007632-198904000-00018
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