Ukunyanzeliswa koMnqonqo: Indlela yokunciphisa iintlungu ze-Hip ngokulula

Ngaba abantu abajongana neentlungu ze-hip, banokufumana isiqabu abayifunayo kwi-spinal decompression ukuze banciphise iintlungu zabo ze-sciatica?

intshayelelo

Xa kuziwa kubantu abenza iintshukumo zemihla ngemihla, umzimba unokuba kwindawo ezingaqhelekanga ngaphandle kweentlungu okanye ukungakhululeki. Ngenxa yoko, abantu banokuma okanye bahlale ixesha elide kwaye bazive belungile xa besenza imisebenzi enzima. Nangona kunjalo, njengoko umzimba uguga, imisipha ejikelezileyo kunye nemigqa ingaba buthathaka kwaye iqinile, ngelixa i-spinal joints kunye ne-discs iqala ukuxinzezeleka kwaye igugile. Oku kungenxa yokuba abantu abaninzi benza ukunyakaza okuphindaphindiweyo emizimbeni yabo ebangela iimpawu ezinjengeentlungu emqolo, ezinqeni, entanyeni, nasezinqeni zomzimba, ezikhokelela kwiintlungu ezigqithisiweyo kwiindawo ezahlukeneyo zomzimba. Xa abantu besiva iintlungu ze-musculoskeletal emizimbeni yabo, kunokubangela ukugcwala kweeprofayili zomngcipheko ezinokuthi zithintele umntu kwaye zibangele ukuba bakhathazeke. Ukongezelela, xa abantu beva ubuhlungu be-musculoskelet emizimbeni yabo, abaninzi baya kufuna unyango lokunciphisa iimpawu ezigqithisiweyo ezifana neentlungu ezinxulumene nentlungu ye-musculoskeletal. Inqaku lanamhlanje liza kuhlolisisa uhlobo olulodwa lweentlungu ze-musculoskeletal ezinqeni, ukuba zingabangela njani iingxaki ezinjenge-sciatica, kunye nendlela unyango olufana nokunciphisa uxinzelelo lunokunciphisa iintlungu ezinjengeentlungu ze-hip ezihambelana ne-sciatica. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukubonelela ngeendlela ezininzi zonyango ukukhulula intlungu ye-hip ehambelana ne-sciatica. Siyazisa kwaye sikhokela izigulane malunga nendlela ukuchithwa kwe-decompression kunokunceda ukunciphisa iimpawu ezinjengeentlungu ezifana ne-sciatica kunye nokubuyisela ukuhamba kwe-hip. Sikhuthaza izigulane zethu ukuba zibuze ababoneleli babo bezonyango abanxulumene nabo imibuzo enzima kunye nebalulekileyo malunga neempawu ezifana nentlungu abazifumanayo kwiintlungu ze-hip. UDkt Jimenez, DC, udibanisa le ngcaciso njengenkonzo yezemfundo. isikhanyeli.

 

Iintlungu ze-Hip ezinxulumene ne-Sciatica

Ngaba uhlala ufumana ukuqina kwi-back back and hips emva kokuhlala phantsi ixesha elide? Kuthekani ngokuziva iintlungu ezikhuphayo zihla ukusuka kumqolo wakho ongezantsi ukuya emilenzeni yakho? Okanye ngaba ucinga ukuba izihlunu zakho ze-hip kunye nethanga ziba nzima kwaye zibuthathaka, ezichaphazela ukuzinza kwakho? Abantu abaninzi abahlangabezana nale miba efana neentlungu bava iintlungu ze-hip, kwaye inokuba ngumba xa inganyangwa ngokuhamba kwexesha. Ekubeni intlungu ye-hip yinto eqhelekileyo kwaye ikhubaza imeko enzima ukuyixilonga, abantu abaninzi bahlala bevakalisa intlungu yendawo kwindawo enye yemimandla emithathu ye-anatomic: i-anterior, posterior, kunye ne-lateral hip section. (UWilson & Furukawa, ngo-2014) Xa abantu bejongene neentlungu ze-hip, baya kuba neentlungu ezigqithisiweyo kwi-back backs zabo, ezibangela ukuba babandezeleke kwaye bahlupheke. Kwangaxeshanye, ukunyakaza okuqhelekileyo okuqhelekileyo njengokuhlala okanye ukuma kunokuchaphazela izihlunu kunye nemigqa ejikeleze isinqe kwaye kunokuba yingozi. Oku kunokubangela ukuba intlungu ye-hip idluliselwe kwi-lumbar spine kunye neengxaki zomqolo, ezibangela ukuba imiba ye-musculoskeletal ifikelele kwiindawo ezisezantsi. (ULee et al., 2018) 

 

 

Ngoko ke, intlungu ye-hip iya kudibaniswa njani ne-sciatica kwaye ibangele intlungu kwiindawo ezininzi ezisezantsi? Iindawo ze-hip kwi-musculoskeletal system zinezihlunu ezininzi ezijikeleze indawo yethambo le-pelvic enokuthi ibe qinile kwaye ibe buthathaka, ibangele intlungu ye-musculoskeletal evela kwimiba ye-intrapelvic kunye ne-gynecologic. (Chamberlain, 2021) Oku kuthetha ukuba ukuphazamiseka kwe-musculoskelet njenge-piriformis syndromes ehambelana neentlungu ze-hip kunokukhokelela kwi-sciatica. I-nerve ye-sciatic ihamba phantsi ukusuka kwingingqi ye-lumbar kunye neempundu kunye nasemva komlenze. Xa umntu ejongene ne-sciatica kwaye uya kugqirha wabo oyintloko ukuba aphathwe ngentlungu, oogqirha babo baya kwenza uviwo lomzimba ukuze babone ukuba zeziphi izinto ezibangela intlungu. Ezinye zezinto ezifunyenweyo eziqhelekileyo ngexesha lovavanyo lomzimba lwaluthamba kunye ne-palpation yenotshi enkulu ye-sciatic kunye nokuzala kweentlungu ezinqeni. (Unyana & Lee, 2022) Oku kubangela iimpawu ezihambelanayo ezihambelana ne-sciatica kunye neentlungu ze-hip, kuquka:

• Ukurhawuzelela/ukuba nomsindo
• Ukuthamba kwezihlunu
• Iintlungu xa uhleli okanye umile
• Ukungakhululeki

 

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Ngaba intshukumo isitshixo sokuPhilisa-Ividiyo

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Ukunyanzeliswa koMnqongo Ukunciphisa Ubuhlungu be-Hip

Nangona kunjalo, abantu abaninzi baya kufumana unyango olungasebenzisi utyando ukunceda ukunciphisa i-sciatica ehambelana neentlungu ze-hip. Unyango olungasebenzisi utyando lulolongelwe kwiintlungu zomntu kwaye luyonga iindleko ngelixa luthambile kumqolo. Ukunyanzeliswa komgogodla kunokunceda ukunciphisa intlungu ye-hip ehambelana ne-sciatica. I-Decompression kumqolo ivumela ukutsalwa okuthambileyo ukolule izihlunu ezibuthathaka ecaleni komqolo osezantsi kunye nesinqe ngelixa i-spinal discs ifumana uxinzelelo olubi. Xa umntu ejongene nentlungu ye-sciatica ehambelana nentlungu ye-hip kunye nokuzama ukuchithwa okokuqala, babonelelwa ngokukhululeka okufanelekileyo. (UCrisp et al., ngo-1955)

 

 

Ukongezelela, abantu abaninzi ababandakanya ukudakumba ngenxa yeentlungu zabo ze-hip banokuqala ukuva iziphumo zabo njengoko kunceda ekuphuculeni ukuhamba kwegazi ukubuyela ezinqeni ukuqala inkqubo yokuphilisa yendalo. (U-Hua et al., 2019) Xa abantu beqala ukubandakanya i-decompression ngenxa yeentlungu zabo ze-hip, banokukhululeka njengoko beva zonke iintlungu zabo kunye neentlungu ziphela ngokuthe ngcembe njengoko ukuhamba kunye nokujikeleza kubuyela kwiindawo ezisezantsi.

 

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Ucaphulo

Chamberlain, R. (2021). Ubuhlungu be-Hip kubantu abadala: uVavanyo kunye neDifferential Diagnosis. Ugqirha wezeMerika waseMerika, 103(2), 81-89. www.ncbi.nlm.nih.gov/pubmed/33448767

www.aafp.org/pubs/afp/issues/2021/0115/p81.pdf

Crisp, EJ, Cyriax, JH, & Christie, BG (1955). Ingxoxo ngonyango lwe-backache ngokutsala. Proc R Soc Med, 48(10), 805-814. www.ncbi.nlm.nih.gov/pubmed/13266831

www.ncbi.nlm.nih.gov/pmc/articles/PMC1919242/pdf/procrsmed00390-0081.pdf

Hua, KC, Yang, XG, Feng, JT, Wang, F., Yang, L., Zhang, H., & Hu, YC (2019). Ukusebenza kunye nokhuseleko lwe-core decompression kunyango lwe-femoral head necrosis: ukuphononongwa ngokuchanekileyo kunye nohlalutyo lwe-meta. J Orthop Surg Res, 14(1), 306. doi.org/10.1186/s13018-019-1359-7

Lee, YJ, Kim, SH, Chung, SW, Lee, YK, & Koo, KH (2018). Iimbangela ze-Hip ezingapheliyo ze-Hip Pain Engafunyaniswanga okanye i-Misdiagnosed ngabaGqirha basePrayimari kwi-Young Adult Patients: i-Retrospective Descriptive Study. J isiKorea uMedi weSayensi, 33(52), e339. doi.org/10.3346/jkms.2018.33.e339

Unyana, BC, & Lee, C. (2022). I-Piriformis Syndrome (i-Sciatic Nerve Entrapment) Edityaniswa Nohlobo lwe-C Sciatic Nerve Variation: Ingxelo yeemeko ezimbini kunye nokuphononongwa koncwadi. Korean J Neurotrauma, 18(2), 434-443. doi.org/10.13004/kjnt.2022.18.e29

Wilson, JJ, & Furukawa, M. (2014). Ukuvavanywa kwesigulane ngentlungu ye-hip. Ugqirha wezeMerika waseMerika, 89(1), 27-34. www.ncbi.nlm.nih.gov/pubmed/24444505

www.aafp.org/pubs/afp/issues/2014/0101/p27.pdf

 

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