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Izihlangu zokuNceda iintlungu ezingemva: Ukukhetha izihlangu eziLungileyo

Izihlangu zokuNceda iintlungu ezingemva: Ukukhetha izihlangu eziLungileyo

Izihlangu zinokubangela iintlungu ezisezantsi kunye neengxaki kwabanye abantu. Ngaba ukuqonda unxibelelwano phakathi kweengxaki zezihlangu kunye neengxaki zasemva kunokunceda abantu bafumane izihlangu ezifanelekileyo zokugcina impilo yangasemva kunye nokuphelisa iintlungu?

Izihlangu zokuNceda iintlungu ezingemva: Ukukhetha izihlangu eziLungileyo

Isihlangu Umva Intlungu

Umqolo unika amandla emisebenzi yomzimba. Ubuhlungu obungasemva buchaphazela ubomi bemihla ngemihla kwaye bunokuba nezizathu ezahlukeneyo. Ukuma okungahambi kakuhle, ukuhamba, ukujija, ukujika, ukugoba, kunye nokufikelela kunokufaka isandla kwiingxaki zomqolo ezibangela intlungu. Ngokutsho kweCDC, i-39% yabantu abadala babika ukuba baphila ngentlungu emva (Amaziko oLawulo lweSifo kunye nokuThintela, i-2019). Izihlangu ezingafanelekanga nazo zinokuba negalelo kwiintlungu zomqolo. Ukukhetha izicathulo ngononophelo kunokunceda ukuzisa intlungu kunye nokunceda ukugcina impilo yomgogodla. Abantu ngabanye banokunandipha iintlungu ezincinci kunye nokulawula iimpawu ngokukhetha izicathulo ezigcina ukulungelelaniswa komgogodla kunye nokukhusela iinyawo kwimpembelelo engathandekiyo.

Ukuqonda i-Back Pain-Footwear Connection

Izihlangu ezingafanelekanga zinokuba ngunobangela weentlungu ezisezantsi. Yintoni echaphazela amathambo asezantsi kwenkqubo ye-neuromusculoskeletal ephuma phezulu kwaye ichaphazela umqolo kunye nezihlunu zangasemva. Ziziphi izihlangu ezisetyenzisiweyo zihamba phezulu, zichaphazela ukuhamba, ukuma, ukulungelelaniswa komgogodla, kunye nokunye. Xa iingxaki zangasemva zivela ezinyaweni, le yimiba ye-biomechanical. I-Biomechanics ithetha indlela amathambo, amalungu, kunye nezihlunu ezisebenzisana ngayo kunye nendlela utshintsho lwamandla angaphandle oluchaphazela ngayo umzimba.

intshukumo

Xa iinyawo zichaphazela umhlaba, ziziphelo zokuqala zokufunxa umothuko wonke umzimba. Abantu ngabanye baya kuqala ukuhamba ngokwahlukileyo ukuba unengxaki okanye utshintsho ezinyaweni zabo. Ukugqoka izicathulo ezinenkxaso engafanelekanga kunokunyusa ukunxiba kunye nokukrazula kwimisipha kunye namalungu, okukhokelela ekuhambeni okungahambi kakuhle kunye nokungaqhelekanga. Umzekelo, qwalasela umahluko phakathi kokuma kwiitiptoes kwizithende eziphakamileyo kunye nesimo sendalo esisicaba. Izihlangu ezigcinwe kakuhle zinceda ukufunxa impembelelo kunye nokunciphisa ukuvakalelwa kweentlungu. Uxinzelelo kwindawo nganye ye-joint shift balance, ebangela iingxaki zokungazinzi kunye noxinzelelo oluncinci kwabanye nangaphezulu kwabanye. Oku kudala ukungalingani okukhokelela kwiintlungu kunye neemeko ezidibeneyo.

Iimpawu

Ukugcina i-posture enempilo enye into ekuthinteleni okanye ekunciphiseni iintlungu zangasemva. Ngezihlangu ezifanelekileyo, umzimba unokugcina isimo esinempilo kunye ne-curvature efanelekileyo kuwo wonke umqolo, kwaye inceda ukusabalalisa ubunzima ngokulinganayo. Oku kubangela ukunciphisa uxinzelelo kwiigaments, izihlunu, kunye namalungu. (UPapasho lwezeMpilo lwaseHarvard. 2014) Kucetyiswa ukuba ubone ugqirha wamathambo ukuze ufike kwingcambu yemeko yomntu. Kwabanye, i-disc ye-herniated, i-sciatica, i-automobile collision, ukuwa, i-ergonomics engafanelekanga, okanye idibaniso, kunye neminye imiba ephantsi, ingaba negalelo kwintlungu yabo yangasemva.

Iindidi zezihlangu kunye nempembelelo yazo ngasemva

Izihlangu ezahlukahlukeneyo zichaphazela njani ukuma, okunokubangela okanye ukukhulula intlungu yomqolo.

Izihlangu eziphezulu

Izithende eziphakamileyo ngokuqinisekileyo zinokufaka isandla kwiintlungu zangasemva. Batshintsha ukuma komzimba, kubangela umphumo we-domino kumqolo. Ubunzima bomzimba butshintshelwa ukwandisa uxinzelelo kwiibhola zeenyawo, kwaye ukulungelelaniswa komqolo kuya kuguqulwa. Izithende eziphakamileyo zichaphazela indlela ama-ankle, amadolo, kunye neenqumlo ezihamba ngayo xa uhamba, ukulinganisela, kunye nendlela imisipha yangemuva esebenza ngayo, yonke into enokuthi ibangele intlungu emva.

Flat Shoes

Izicathulo zeFlat azinakuba yiyona nto ikhethekileyo kwimpilo yomgogodla. Ukuba abanayo inkxaso ye-arch, banokubangela ukuba unyawo luqengqeleke ngaphakathi, olubizwa ngokuba yi-pronation. Oku kunokubangela ukungahambi kakuhle, okunokuthi kugxininise amadolo, ama-hips, kunye nomqolo ophantsi. Nangona kunjalo, banokuba lukhetho olufanelekileyo ukuba babonelela ngenkxaso ye-arch. Xa ugqoke izicathulo ezinqamlekileyo kunye nenkxaso enempilo, ubunzima busasazwa ngokulinganayo kwiinyawo kunye nomqolo. Oku kunceda ukugcina ukuma okuchanekileyo, okunokukunceda ukukhusela kunye / okanye ukunciphisa intlungu emva.

Izihlangu, iTennis, kunye nezihlangu zeembaleki

Izihlangu, tennis, kunye izihlangu zembaleki inokuphelisa iintlungu zomqolo ngokucokisa ngokucokisekileyo kunye nenkxaso. Ukukhetha ezifanelekileyo kuquka ukumisela umsebenzi oza kwenziwa kuzo. Kukho intenetya, ukubaleka, ibhola yomnyazi, ibhola ekhatywayo, izihlangu zokutyibiliza, nokunye. Phanda ngeempawu eziya kufuneka kumdlalo okanye umsebenzi. Oku kunokubandakanya:

  • Iikomityi zesithende
  • I-insole cushioning
  • Isiseko esibanzi
  • Ezinye iimpawu ukuhlangabezana neemfuno zonyawo lomntu.

Kunconywa ukuba izicathulo zezemidlalo zitshintshwe yonke i-300 ukuya kwii-500 zeekhilomitha zokuhamba okanye ukugijima okanye kunye naziphi na iimpawu zokungalingani xa zibekwe kwindawo ethe tyaba, njengoko iintambo ezigugileyo kunye nezinto ezithotyiweyo zinokunyusa umngcipheko wokulimala kunye neentlungu zangasemva. (I-American Academy ye-Podiatric Sports Medicine, ngo-2024). Ukuba isibini esithile sibeka imilenze, isinqe, okanye amaqatha kwindawo engeyoyamvelo okanye sithintela ukushukuma rhoqo, kusenokuba lixesha lokuwabuyisela.

Ukukhetha izihlangu eziLungileyo

Isisombululo esifanelekileyo sokukhetha ukugqoka izicathulo kukufumana uhlalutyo lwe-gait kunye nokuhlaziywa kwendlela ohamba ngayo kunye nokuqhuba. Iingcali ezahlukeneyo zezempilo zinokubonelela ngale nkonzo ukulungisa ukhangelo lomntu ngamnye kwizihlangu ezifanelekileyo kwiintlungu zangasemva. Kuhlalutyo lokuhamba, abantu bayacelwa ukuba babaleke kwaye bahambe, ngamanye amaxesha kwikhamera, ngelixa ingcali iphawula ukuthambekela komzimba, njengaxa unyawo lubetha emhlabeni nokuba luqengqelekela ngaphakathi okanye ngaphandle. Oku kunika idatha kwi-posture echaphazelekayo, ukunyakaza, amanqanaba eentlungu, ingakanani inkxaso ye-arch efunekayo, kunye noluphi uhlobo lokugqoka ukunceda ukukhusela intlungu emva. Emva kokuba uhlalutyo lugqityiwe, luya kukukhokela malunga nokuba ukhangele ntoni, njengokuthi yeyiphi inqanaba lenkxaso ye-arch, ukuphakama kwesithende, okanye izinto ezilungele wena.

I-Chiropractic yezoNyango ze-Chiropractic kunye ne-Functional Medicine Clinic igxile kwiinkqubo zonyango eziqhubekayo, ezinqamlekileyo kunye neenkqubo zokuvuselela ezisebenzayo ezijoliswe kwi-physiology yeklinikhi, impilo epheleleyo, uqeqesho olusebenzayo lwamandla, kunye nokulungiswa okupheleleyo. Sigxila ekubuyiseleni imisebenzi eqhelekileyo yomzimba emva kokwenzakala kunye nokulimala kwezicubu ezithambileyo. Sisebenzisa iiProtocol zeChiropractic eziKhethekileyo, iiNkqubo zeNtlalontle, iZondlo eziSebenzayo kunye nezidibeneyo, i-Agility kunye nokuhamba koQeqesho loQeqesho lokuQinisekisa, kunye neeNkqubo zoBuyiselo kuyo yonke iminyaka. Iinkqubo zethu zezendalo kwaye zisebenzisa amandla omzimba ukufezekisa iinjongo ezilinganisiweyo ezithile kunokwazisa iikhemikhali eziyingozi, ukutshintshwa kwehomoni ephikisanayo, utyando olungafunwayo, okanye iziyobisi ezikhobokisayo. Siye sasebenzisana noogqirha bedolophu, oogqirha, abanyangi, kunye nabaqeqeshi ukuba babonelele ngonyango oluphezulu oluxhobisa izigulane zethu ukugcina eyona ndlela iphilileyo yokuphila kwaye siphile ubomi obusebenzayo obunamandla, isimo sengqondo esifanelekileyo, ukulala okungcono, kunye neentlungu ezincinci. .


Iinzuzo zokusebenzisa i-Custom Foot Orthotics


Ucaphulo

Amaziko oLawulo noThintelo lweZifo. (2019). Umva, umlenze ongezantsi, kunye neentlungu eziphezulu phakathi kwabantu abadala base-US, 2019. Ifunyenwe kwi www.cdc.gov/nchs/products/databriefs/db415.htm

UPapasho lwezeMpilo lwaseHarvard. (2014). Ukuma kunye nempilo yomqolo. Imfundo yezeMpilo yaseHarvard. www.health.harvard.edu/pain/posture-and-back-health

I-American Academy ye-Podiatric Sports Medicine. Ayne Furman, DF, AAPSM. (2024). Ndazi njani xa ilixesha lokutshintsha izihlangu zam zembaleki?

IGlycogen: Ukuxhobisa umzimba kunye nengqondo

IGlycogen: Ukuxhobisa umzimba kunye nengqondo

Kubantu abenza umthambo, ukomelela, kunye nokuzivocavoca umzimba, ngaba ukwazi ukuba isebenza njani i-glycogen ekubuyiseleni umthambo?

IGlycogen: Ukuxhobisa umzimba kunye nengqondo

IGlycogen

Xa umzimba ufuna amandla, utsala kwiivenkile zawo ze-glycogen. I-carbohydrate ephantsi, izidlo ze-ketogenic kunye nokuzilolonga kakhulu kuphelisa iivenkile ze-glycogen, ezibangela ukuba umzimba udibanise amafutha ukuze ufumane amandla. IGlycogen ibonelelwa ngeecarbohydrates ekutyeni komntu kwaye isetyenziselwa ukunika amandla ingqondo, umsebenzi womzimba, kunye neminye imisebenzi yomzimba. Iimolekyuli ezenziwe ngeglucose ikakhulu zigcinwa esibindini nasezihlunu. Yintoni edliwayo, kangaphi, kunye nenqanaba lomsebenzi lichaphazela indlela umzimba ogcina ngayo kwaye usebenzisa i-glycogen. Ukubuyisela i-glycogen emva kokusebenza ngokomzimba okanye ukusebenza yinxalenye ebalulekileyo yenkqubo yokubuyisela. Umzimba unokukhawuleza uhlanganise i-glycogen kwezi ndawo zokugcina xa ufuna amafutha. Ukutya iicarbohydrates ezaneleyo ukufikelela kwiinjongo zempilo kunye namanqanaba omsebenzi kubalulekile kwimpumelelo.

Yintoni

  • Luhlobo olugcinwe ngumzimba lweswekile okanye iswekile.
  • Igcinwe kwisibindi kunye nezihlunu.
  • Ngowona mthombo wamandla ophambili nokhethwayo womzimba.
  • Iphuma kwiicarbohydrates ekutyeni nakwiziselo.
  • Yenziwe kwiimolekyuli ezininzi zeglucose ezidityanisiweyo.

Imveliso kunye noGcino

Uninzi lweecarbohydrate ezityiwayo ziguqulwa zibe yiglucose, ethi ibe ngowona mthombo wamandla womzimba. Noko ke, xa umzimba ungakufuni ukugalela amafutha, iimolekyuli zeglucose ziba ngamatyathanga adityanisiweyo asibhozo ukuya kwali-12, zenza imolekyuli yeglycogen.

Izichukumisi zenkqubo

  • Ukutya ukutya okune-carbohydrate kuya kuphakamisa amanqanaba eglucose yegazi ekuphenduleni.
  • Ukonyuka kweglucose kukwazisa udakada ukuba luvelise i-insulin, ihomoni enceda iiseli zomzimba zikhuphe iswekile egazini ukuze zifumane amandla okanye ziyigcine.
  • Ukusebenza kwe-insulin kubangela ukuba isibindi kunye neeseli zemisipha zivelise i-enzyme ebizwa ngokuba yi-glycogen synthase, edibanisa amakhonkco e-glucose kunye.
  • Nge-glucose eyaneleyo kunye ne-insulin, iimolekyuli ze-glycogen zinokuhanjiswa kwisibindi, izihlunu kunye neeseli ezinamafutha ukuze zigcinwe.

Ekubeni i-glycogen eninzi ifumaneka kwiimisipha kunye nesibindi, isixa esigcinwe kwezi seli siyahluka ngokuxhomekeka kwinqanaba lomsebenzi, amandla angakanani atshiswa ekuphumleni, kunye nokutya okudliwayo. Izihlunu ikakhulu zisebenzisa i-glycogen egcinwe kwi imisipha, ngelixa i-glycogen egcinwe esibindi isasazwa kuwo wonke umzimba, ngokukodwa kwingqondo kunye nentambo yomgogodla.

Ukusetyenziswa komzimba

Umzimba uguqula i-glucose ibe yi-glycogen ngokusebenzisa inkqubo ebizwa ngokuba yi-glycogenesis. Ngethuba le nkqubo, ii-enzymes ezahlukeneyo zinceda umzimba ukuba uphule i-glycogen kwi-glycogenolysis ukuze umzimba ukwazi ukuyisebenzisa. Igazi linomlinganiselo omiselweyo weglucose elungele ukuhamba nangaliphi na ixesha. Amanqanaba e-insulin nawo ehla xa inqanaba liqala ukwehla, nokuba ungatyi okanye utshisa iswekile ngexesha lokuzilolonga. Xa oku kusenzeka, i-enzyme eyaziwa ngokuba yi-glycogen phosphorylase iqalisa ukwaphula i-glycogen ukuze ibonelele umzimba ngeglucose. Iglucose esuka kwisibindi i-glycogen iba ngamandla aphambili omzimba. Ukuqhuma okufutshane kwamandla kusebenzisa i-glycogen, nokuba ngexesha le-sprints okanye ukuphakamisa okunzima. (UBob Murray, uChristine Rosenbloom, ngo-2018) Isiselo sangaphambi kokuzilolonga esinecarbohydrates sinokunika amandla okuzilolonga ixesha elide kwaye uchache ngokukhawuleza. Abantu ngabanye kufuneka batye i-snack yasemva kokusebenza kunye nesixa esilungeleleneyo se-carbohydrates ukuzalisa iivenkile ze-glycogen. Ingqondo isebenzisa i-glucose yamandla, kunye ne-20 ukuya kwi-25% ye-glycogen eya ekunikezeni amandla ingqondo. (UManu S. Goyal, uMarcus E. Raichle, ngo-2018) Ubuvila bengqondo okanye inkungu yobuchopho inokuvela xa kungatyiwa iicarbohydrates zaneleyo. Xa izitolo ze-glycogen zichithwa ngokuzilolonga okanye ii-carbs ezingonelanga, umzimba unokuziva udinwe kwaye ucolile kwaye mhlawumbi ube nokuphazamiseka kwemizwelo kunye nokuphazamiseka kokulala. (Hugh S. Winwood-Smith, Craig E. Franklin 2, Craig R. White, 2017)

idayethi

Kukuphi ukutya okutyiwayo kunye nokuba ungakanani umsebenzi womzimba owenziwa ngumntu nawo uchaphazela ukuveliswa kwe-glycogen. Imiphumo ingaba nzima ukuba umntu ulandela ukutya okuphantsi kwe-carb, apho i-carbohydrates, umthombo oyintloko we-glucose synthesis, ngokukhawuleza inqatshelwe.

Ukudinwa kunye neNkungu yoBuchopho

  • Xa uqala ukutya okune-carb ephantsi, iivenkile ze-glycogen zomzimba zinokuphelelwa kakhulu kwaye abantu banokufumana iimpawu ezifana nokudinwa kunye nenkungu yobuchopho. (Kristen E. D'Anci et al., 2009)
  • Iimpawu ziqala ukuncipha xa umzimba ulungelelanisa kwaye uhlaziye iivenkile zawo ze-glycogen.

Ubunzima bamanzi

  • Naliphi na inani lokunciphisa umzimba linokuba nefuthe elifanayo kwiivenkile ze-glycogen.
  • Ekuqaleni, abantu ngabanye banokufumana ukuhla ngokukhawuleza kobunzima.
  • Ngokuhamba kwexesha, ubunzima bunokukhula kwaye bunyuke.

Oku kwenzeka ngokuyinxenye ngenxa yokubunjwa kwe-glycogen, ekwamanzi. Ukutshatyalaliswa ngokukhawuleza kwe-glycogen ekuqaleni kokutya kubangela ukulahleka kobunzima bamanzi. Ngokuhamba kwexesha, izitolo ze-glycogen zihlaziywa, kwaye ubunzima bamanzi bubuya. Xa oku kusenzeka, ukwehla kobunzima kunokuma okanye kuphele. Ukulahleka kwamafutha kunokuqhubeka nangona umphumo wexesha elifutshane leplateau.

Lolonga

Ukuba wenza umsebenzi onzima wokuzilolonga, kukho izicwangciso zokunceda ukuphepha ukunciphisa ukusebenza okunokuba luncedo:

Ukulayishwa kweCarbo

  • Abanye iimbaleki batya izixa ezigqithisileyo zecarbohydrates ngaphambi kokuba basebenze okanye bakhuphisane.
  • Iicarbohydrates ezongezelelweyo zinika amafutha amaninzi.
  • Indlela iwile ekuthandeni njengoko inokukhokelela kubunzima bamanzi angaphezulu kunye nemiba yokugaya.

Iigel zeGlucose

  • Iigels zamandla eziqukethe i-glycogen zingasetyenziswa ngaphambi okanye njengoko zifunekayo ngexesha lesiganeko ukwandisa amanqanaba eglucose yegazi.
  • Umzekelo, i-chews yamandla izongezo ezisebenzayo kubagijimi ukunceda ukwandisa ukusebenza ngexesha lokubaleka okwandisiweyo.

Ukutya okuphantsi kweCarb Ketogenic

  • Ukutya ukutya okunamafutha amaninzi kunye ne-carbohydrates encinci kunokubeka umzimba kwi-keto-adaptive state.
  • Kule meko, umzimba uqala ukufikelela kumafutha agciniweyo ukuze ube namandla kwaye uthembele kancinci kwi-glucose kumafutha.

Kwi-Chiropractic ye-Chiropractic ye-Chiropractic kunye ne-Functional Medicine Clinic, ababoneleli bethu basebenzisa indlela edibeneyo yokwenza izicwangciso zokunyamekela komntu ngamnye, ngokuqhelekileyo kubandakanya i-Functional Medicine, i-Acupuncture, i-Electro-Acupuncture, kunye nemigaqo ye-Sports Medicine. Injongo yethu kukubuyisela impilo kunye nokusebenza komzimba.


ISondlo seMidlalo kunye neDietician yezeMidlalo


Ucaphulo

Murray, B., & Rosenbloom, C. (2018). Izinto ezisisiseko ze-glycogen metabolism kubaqeqeshi kunye nabadlali. Uphononongo lwezondlo, 76 (4), 243-259. doi.org/10.1093/nutrit/nuy001

Goyal, MS, & Raichle, ME (2018). IiMfuno zeGlucose zoPhuhliso lwengqondo yoMntu. Ijenali ye-gastroenterology yabantwana kunye nesondlo, i-66 Suppl 3 (Suppl 3), S46-S49. doi.org/10.1097/MPG.0000000000001875

Winwood-Smith, HS, Franklin, CE, & White, CR (2017). Ukutya okune-carbohydrate ephantsi kubangela ukudakumba kwe-metabolic: indlela enokwenzeka yokugcina i-glycogen. Ijenali yaseMelika yePhysiology. Iphysiology elawulayo, edibanisayo nethelekisayo, 313(4), R347–R356. doi.org/10.1152/ajpregu.00067.2017

D'Anci, KE, Watts, KL, Kanarek, RB, & Taylor, HA (2009). Ukutya okuphantsi kwe-carbohydrates ubunzima-ilahleko. Iziphumo kulwazi kunye nemo. Umdla, 52(1), 96–103. doi.org/10.1016/j.appet.2008.08.009

Ukuphucula i-Intervertebral Disc Health: izicwangciso zeNtlalontle

Ukuphucula i-Intervertebral Disc Health: izicwangciso zeNtlalontle

Kubantu abajongene neentlungu ezibuhlungu kunye neengxaki, ngaba ukwazi indlela yokuphucula nokugcina impilo ye-intervertebral disc kunceda ukunciphisa iimpawu?

Ukuphucula i-Intervertebral Disc Health: izicwangciso zeNtlalontle

I-Intervertebral Disc Health

Ikholamu yomgogodla iquka amathambo angama-24 ashukumayo kunye namathambo angama-33 abizwa ngokuba yi-vertebrae. Amathambo e-vertebral ahlanganiswe phezu komnye nomnye. I-disc ye-intervertebral yi-cushioning substance phakathi kwamathambo akufutshane. (eDartmouth. 2008)

Amathambo

Amathambo e-vertebral amancinci kwaye ajikeleze kwindawo ebizwa ngokuba ngumzimba we-vertebral. Ngasemva kukho indandatho yamathambo apho i-protrusions yandisa kwaye i-arches kunye neendlela zenziwa. Ulwakhiwo ngalunye lunenjongo enye okanye ngaphezulu kwaye lubandakanya: (Waxenbaum JA, Reddy V, Williams C, et al., 2023)

  • Ukuzinzisa umqolo.
  • Ukubonelela ngesithuba sokudibanisa izicubu kunye nezihlunu zangasemva ukuze zincamathele.
  • Ukubonelela ngetonela ukuze intambo yomgogodla idlule ngokucocekileyo.
  • Ukubonelela ngendawo apho imithambo-luvo iphuma kwaye isebenze kuyo yonke indawo yomzimba.

Ulwakhiwo

I-disc intervertebral yi-cushioning ehlala phakathi kwe-vertebrae. Uyilo lomqolo luwuvumela ukuba uhambe kumacala ahlukeneyo:

  • Ukuguqa okanye ukugoba
  • Ukongezwa okanye ukugquma
  • Ukuthambeka kunye nokujikeleza okanye ukujija.

Amandla anamandla asebenza kwaye aphembelele ikholamu yomgogodla ukuvelisa ezi ntshukumo. I-disc ye-intervertebral ithatha ukutshatyalaliswa ngexesha lokunyakaza kwaye ikhusela i-vertebrae kunye nentambo yomgogodla kwingozi kunye / okanye ukwenzakala.

Amandla

Ngaphandle, izihlunu zefiber ezilukiweyo ezomeleleyo zenza indawo ebizwa ngokuba yi annulus fibrosis. I-annulus fibrosis iqulethe kwaye ikhusela into yejeli ethambileyo embindini, i-nucleus pulposus. (YS Nosikova et al., 2012) I-nucleus pulposis inikezela ukutshitshiswa kokutshitshiswa, ukuguquguquka, kunye nokunyanzeliswa, ngakumbi phantsi koxinzelelo ngexesha lokuhamba komgogodla.

Mechanics

I-nucleus pulposus yinto yejeli ethambileyo ebekwe embindini wediski evumela ukuqina kunye nokuguquguquka phantsi kwemikhosi yoxinzelelo ukuba ibambe uxinzelelo. (Nedresky D, Reddy V, Singh G. 2024) Isenzo se-swivel siguqula i-tilt kunye nokujikeleza kwe-vertebra ngaphezulu nangaphantsi, i-buffering imiphumo ye-spinal motion. Iidiski zijikeleza ngokuphendula kwicala elihamba umqolo. I-nucleus pulposus yenziwe kakhulu ngamanzi, ahamba ngaphakathi nangaphandle ngokusebenzisa ama-pores amancinci, asebenza njengeendlela phakathi kwe-vertebra kunye ne-disc bone. Izikhundla zomzimba ezilayisha umqolo, njengokuhlala nokuma, zityhala amanzi ngaphandle kwediski. Ukulala phantsi ngasemva okanye kwindawo yokulala kunceda ukubuyiswa kwamanzi kwidiski. Njengoko umzimba ukhula, iidiski zilahlekelwa ngamanzi /ukuphelisa amanzi emzimbeni, ekhokelela kwi-disc degeneration. I-disc ye-intervertebral ayinalo igazi, oku kuthetha ukuba i-disc ifumane isondlo esiyimfuneko kunye nokususwa kwenkunkuma, kufuneka ithembele kumjikelezo wamanzi ukuze uhlale uphilile.

Care

Ezinye iindlela zokugcina impilo ye-intervertebral disc ziquka:

  • Ukunikela ingqalelo kwisimo.
  • Ukutshintsha izikhundla rhoqo imini yonke.
  • Ukuzilolonga kunye nokujikeleza.
  • Ukusebenzisa ubuxhakaxhaka bomzimba obuchanekileyo kwimisebenzi yomzimba.
  • Ukulala kumatrasi oxhasayo.
  • Ukusela amanzi amaninzi.
  • Ukutya okunempilo.
  • Ukugcina ubunzima obusempilweni.
  • Ukusela utywala ngobungcathu.
  • Ukuyeka ukutshaya.

Kwi-Chiropractic yezoNyango zeChiropractic kunye ne-Functional Medicine Clinic, siphatha ukulimala kunye ne-syndromes yentlungu engapheliyo ngokuphucula amandla omntu ngokusebenzisa ukuguquguquka, ukuhamba, kunye neenkqubo ze-agility ezilungiselelwe onke amaqela eminyaka kunye nokukhubazeka. Iqela lethu le-chiropractic, izicwangciso zokunakekelwa, kunye neenkonzo zeklinikhi zikhethekileyo kwaye zijolise kukulimala kunye nenkqubo epheleleyo yokubuyisela. Iindawo zethu zokuziqhelanisa ziquka i-Wellness & Nutrition, i-Acupuncture, i-Chronic Pain, iNzalo yoMntu, i-Auto Accident, i-Auto Injury, i-Back Injury, i-Low Back Pain, i-Neck Pain, i-Migraine Headaches, i-Acupuncture, i-Sciatica Enzima, i-Scoliosis, i-Complex Herniated Discs, i-Fibromyalgia. , Iintlungu ezingapheliyo, iiNgxaki zoLwanzakala, uLawulo lweStress, uNyango oluSebenzayo lwezoNyango, kunye neeprotokholi zokhathalelo olukwi-scope. Ukuba olunye unyango luyafuneka, abantu ngabanye baya kuthunyelwa kwiklinikhi okanye ugqirha ofaneleke kakhulu ukulimala kwabo, imeko, kunye / okanye isifo.


Ngaphaya koMbuso: Ukuqonda iimpembelelo zokwenzakala komntu


Ucaphulo

UDartmouth Ronan O'Rahilly, MD. (2008). ISiseko soMntu weAnatomy. Isahluko 39: Ikholamu ye-vertebral. Kwi-D. Rand Swenson, MD, PhD (Ed.), I-ANATOMI YOMNTU ESISISEKO Uphononongo lweNgingqi loLwakhiwo loMntu. WB Saunders. humananatomy.host.dartmouth.edu/BHA/public_html/part_7/chapter_39.html

Waxenbaum, JA, Reddy, V., Williams, C., & Futterman, B. (2024). I-Anatomy, Umva, iLumbar Vertebrae. KwiStatPearls. www.ncbi.nlm.nih.gov/pubmed/29083618

Nosikova, YS, Santerre, JP, Grynpas, M., Gibson, G., & Kandel, RA (2012). Uphawu lwe-annulus fibrosus-vertebral body interface: ukuchongwa kweempawu ezintsha zesakhiwo. Ijenali ye-anatomy, i-221 (6), i-577-589. doi.org/10.1111/j.1469-7580.2012.01537.x

UNedresky D, uReddy V, Singh G. (2024). I-Anatomy, Umva, i-Nucleus Pulposus. KwiStatPearls. www.ncbi.nlm.nih.gov/pubmed/30570994

Ukubaluleka kokuTyelwa kokuPhilisa emva kokuTya ityhefu

Ukubaluleka kokuTyelwa kokuPhilisa emva kokuTya ityhefu

Ngaba ukwazi ukuba kukuphi ukutya okufuneka sikutye kunokunceda abantu abachacha kwityhefu yokutya babuyisele impilo yamathumbu?

Ukubaluleka kokuTyelwa kokuPhilisa emva kokuTya ityhefu

Ukutyhelwa kokutya kunye nokubuyisela impilo yamathumbu

Ityhefu ekutyeni inokubeka ubomi esichengeni. Ngethamsanqa, iimeko ezininzi zincinci kwaye zihlala ixesha elifutshane kwaye zihlala iiyure ezimbalwa ukuya kwiintsuku ezimbalwa (Amaziko oLawulo lweSifo kunye nokuThintela, i-2024). Kodwa iimeko ezingephi zisenokonakalisa amathumbu, zibangele isicaphucaphu, ukuhlanza, kunye norhudo. Abaphandi baye bafumanisa ukuba usulelo lwebhaktheriya, njengetyhefu yokutya, lunokubangela utshintsho kwiibhaktheriya zamathumbu. (UClara Belzer et al., 2014) Ukutya ukutya okukhuthaza ukuphiliswa kwamathumbu emva kokutya ityhefu kunokunceda umzimba ululame kwaye uzive ungcono ngokukhawuleza.

Ukutya ukuze utye

Emva kokuba iimpawu zetyhefu ekutyeni zisonjululwe, umntu unokuvakalelwa kukuba ukubuyela ekutyeni okuqhelekileyo kulungile. Nangona kunjalo, amathumbu anyamezele amava amaninzi, kwaye nangona iimpawu ezibukhali ziye zadamba, abantu banokuzuza kukutya kunye neziselo ezilula esiswini. Ukutya okucetyiswayo kunye neziselo emva kokutya ityhefu ziquka: (Iziko leSizwe leSifo seswekile kunye neDigestive and Kidney Diseases. 2019)

  • Gatorade
  • I-Pedialyte
  • amanzi
  • Iti yemifuno
  • Umhluzi wenkukhu
  • ijelo
  • I-Applesauce
  • Amaqhekeza
  • Ukugcoba
  • Rice
  • Oatmeal
  • iibhanana
  • Iipatata

Ukukhutshwa kwamanzi emva kokutyhefwa kokutya kubalulekile. Abantu ngabanye kufuneka bongeze okunye ukutya okunezondlo kunye ne-hydrating, njengesuphu ye-noodle yenkukhu, enceda ngenxa yezondlo kunye nomxholo wolwelo. Urhudo kunye nokugabha okuhamba nesi sigulo kunokuwushiya umzimba uphelelwe ngamanzi. Ukubuyisela amanzi emanzini kunceda umzimba uthathe indawo ye-electrolytes elahlekileyo kunye nesodium. Wakuba umzimba ubuyiselwe emanzini kwaye ukwazi ukubamba ukutya okungenamsebenzi, qalisa ngokucotha ukutya okusuka kukutya okuqhelekileyo. Xa uphinda uqalisa ukutya okuqhelekileyo emva kokubuyisela amanzi emzimbeni, ukutya ukutya okuncinane rhoqo, rhoqo kwiiyure ezintathu ukuya kwezine, kuyacetyiswa endaweni yokutya isidlo sakusasa esikhulu, sasemini nesangokuhlwa yonke imihla. (Andi L. Shane et al., 2017) Xa ukhetha i-Gatorade okanye i-Pedialyte, khumbula ukuba i-Gatorade isiselo se-sports-rehydrating kunye neswekile eninzi, enokucaphukisa isisu esivuthayo. I-Pedialyte yenzelwe ukubuyisela amanzi emzimbeni ngexesha nasemva kokugula kwaye ineswekile encinci, iyenza ibe lukhetho olungcono. (URonald J Maughan et al., 2016)

Xa Ukutya okunetyhefu kukutya okuSebenzayo okumele kugwenywe

Ngexesha lokutyhefa kokutya, abantu ngokuqhelekileyo abafuni kutya kwaphela. Nangona kunjalo, ukuthintela ukwanda kwesigulo, abantu bayacetyiswa ukuba baphephe oku kulandelayo ngelixa begula kakhulu (KwiYunivesithi yaseOhio State. 2019)

  • Iziselo ezinecaffeine kunye notywala zinokuphinda zikhuphe amanzi emzimbeni.
  • Ukutya okunamafutha kunye nokutya okunefayibha ephezulu kunzima ukwetyisa.
  • Ukutya kunye neziselo ezineswekile eninzi zinokubangela ukuba umzimba uvelise amanqanaba aphezulu eglucose kwaye buthathaka inkqubo yomzimba yokuzikhusela. (Navid Shomali et al., 2021)

Ixesha loBuyiselo kunye nokuQalisa kwakhona ukutya okuQhelekileyo

Ityhefu yokutya ayihlali ixesha elide, kwaye iimeko ezininzi ezingantsonkothanga zisonjululwa kwiiyure okanye iintsuku ezimbalwa. (Amaziko oLawulo lweSifo kunye nokuThintela, i-2024) Iimpawu zixhomekeke kuhlobo lwebhaktheriya. Abantu banokugula kwimizuzu nje embalwa besitya ukutya okungcolileyo ukuya kuthi ga kwiiveki ezimbini emva koko. Ngokomzekelo, iibhaktheriya ze-Staphylococcus aureus zibangela iimpawu ngokukhawuleza. Kwelinye icala, i-listeria inokuthatha ukuya kwiiveki ezimbalwa ukubangela iimpawu. (Amaziko oLawulo lweSifo kunye nokuThintela, i-2024) Abantu banokuphinda baqalise ukutya okuqhelekileyo emva kokuba iimpawu ziphelile, umzimba ugcwele amanzi kwaye unokubamba ukutya okungenamsoco. (Andi L. Shane et al., 2017)

Kucetyiswa iGut Foods Post Stomach Virus

Ukutya okunempilo emathunjini kunokunceda ukubuyisela amathumbu microbiome okanye zonke ii-microorganisms eziphilayo kwinkqubo yokwetyisa. I-microbiome ye-gut enempilo ibalulekile ekusebenzeni kwamajoni omzimba. (UEmanuele Rinninella et al., 2019) Iintsholongwane zesisu zingaphazamisa ibhalansi yeebhaktheriya zamathumbu. (UChanel A. Mosby et al., 2022) Ukutya ukutya okuthile kunokunceda ukubuyisela ukulungelelana kwamathumbu. I-Prebiotics, okanye i-indigestible plant fibers, inokunceda ukuhlahlela emathunjini amancinci kwaye ivumele ibhaktheriya enenzuzo ukuba ikhule. Ukutya kwe-Prebiotic kubandakanya: (UDorna Davani-Davari et al., 2019)

  • Iimbotyi
  • Anyanisi
  • iitumato
  • I-asparagus
  • Iifama
  • Ubusi
  • Ubisi
  • Ibhanana
  • Ingqolowa, irhasi, i-rye
  • Garlic
  • Isoya
  • Elwandle

Ukongeza, iiprobiotics, eziziibhaktheriya eziphilayo, zinokunceda ukwandisa inani lebhaktheriya enempilo emathunjini. Ukutya okuneProbiotic kubandakanya: (Isikolo soNyango saseHarvard, ngo-2023)

  • Pickles
  • Isonka seSourdough
  • Kombucha
  • Sauerkraut
  • Yogurt
  • Miso
  • Kefir
  • Kimchi
  • tempeh

Iiprobiotics zinokuthi zithathwe njengezongezelelo kwaye zize kwiipilisi, iipilisi, umgubo, kunye nolwelo. Ngenxa yokuba zineebhaktheriya eziphilayo, kufuneka zifakwe efrijini. Ababoneleli bezempilo ngamanye amaxesha bacebisa ukuba bathathe iiprobiotics xa bechacha kusulelo lwesisu. (Iziko leSizwe leSifo seswekile kunye neDigestive and Kidney Diseases, ngo-2018) Abantu kufuneka badibane nomboneleli wabo wezempilo ukuze babone ukuba olu khetho lukhuselekile kwaye lusempilweni.

Kwikliniki yokulimala kweChiropractic kunye ne-Functional Medicine Clinic, siphatha ukulimala kunye neentlungu ezingapheliyo ngokuphuhlisa izicwangciso zonyango lomntu ngamnye kunye neenkonzo ezikhethekileyo zeklinikhi ezijoliswe kukulimala kunye nenkqubo epheleleyo yokubuyisela. Ukuba olunye unyango luyafuneka, abantu ngabanye baya kuthunyelwa kwiklinikhi okanye ugqirha ofaneleke kakhulu ukulimala kwabo, imeko, kunye / okanye isifo.


Ukufunda malunga noTya endaweni yokutya


Ucaphulo

Amaziko oLawulo noThintelo lweZifo. (2024). Iimpawu zetyhefu yokutya. Ifunyenwe kwi www.cdc.gov/foodsafety/symptoms.html

Belzer, C., Gerber, GK, Roeselers, G., Delaney, M., DuBois, A., Liu, Q., Belavusava, V., Yeliseyev, V., Houseman, A., Onderdonk, A., Cavanaugh , C., & Bry, L. (2014). I-Dynamics ye-microbiota ekuphenduleni usulelo lwe-host. PloS enye, 9(7), e95534. doi.org/10.1371/journal.pone.0095534

Iziko leSizwe leSifo seswekile kunye neDigestive and Kidney Diseases. (2019). Ukutya, ukutya, kunye nesondlo sokutya ityhefu. Ifunyenwe kwi www.niddk.nih.gov/health-information/digestive-diseases/food-poisoning/eating-diet-nutrition

Shane, AL, Mody, RK, Crump, JA, Tarr, PI, Steiner, TS, Kotloff, K., Langley, JM, Wanke, C., Warren, CA, Cheng, AC, Cantey, J., & Pickering, LK (2017). I-2017 ye-Infectious Diseases Society of America Izikhokelo zokuSebenza kwezonyango zokuHlola kunye noLawulo lweSihudo esiSasulelayo. Izifo ezithathelwanayo zeklinikhi : ukupapashwa ngokusemthethweni kwe-Infectious Diseases Society of America, 65 (12), e45-e80. doi.org/10.1093/cid/cix669

Maughan, RJ, Watson, P., Cordery, PA, Walsh, NP, Oliver, SJ, Dolci, A., Rodriguez-Sanchez, N., & Galloway, SD (2016). Ulingo olungenamkhethe lokuvavanya amandla eziphuzo ezahlukeneyo ukuchaphazela imeko ye-hydration: uphuhliso lwesalathiso se-beverage hydration. Ijenali yaseMelika yesondlo seklinikhi, i-103 (3), i-717-723. doi.org/10.3945/ajcn.115.114769

KwiYunivesithi yaseOhio State. Kacie Vavrek, M., RD, CSSD Ohio State University. (2019). Ukutya okufuneka sikuphephe xa unomkhuhlane. health.osu.edu/wellness/exercise-and-nutrition/ukutya-ukunqanda-nomkhuhlane

Shomali, N., Mahmoudi, J., Mahmoodpoor, A., Zamiri, RE, Akbari, M., Xu, H., & Shotorbani, SS (2021). Iziphumo ezinobungozi zezixa eziphezulu ze-glucose kwi-immune system: ukuhlaziywa okuhlaziyiweyo. I-Biotechnology kunye ne-biochemistry esetyenzisiweyo, i-68 (2), i-404-410. doi.org/10.1002/bab.1938

Rinninella, E., Raoul, P., Cintoni, M., Franceschi, F., Miggiano, GAD, Gasbarrini, A., & Mele, MC (2019). Yintoni i-Healthy Gut Microbiota Composition? I-Ecosystem etshintshayo kubo bonke ubudala, indalo, ukutya kunye nezifo. I-Microorganisms, i-7 (1), i-14. doi.org/10.3390/microorganisms7010014

Mosby, CA, Bhar, S., Phillips, MB, Edelmann, MJ, & Jones, MK (2022). Ukusebenzisana kunye neentsholongwane ze-mammalian enteric ziguqula ukuveliswa kwe-membrane yangaphandle kunye nomxholo nge-bacterial commensal. Ijenali ye-extracellular vesicles, i-11 (1), e12172. doi.org/10.1002/jev2.12172

Davani-Davari, D., Negahdaripour, M., Karimzadeh, I., Seifan, M., Mohkam, M., Masoumi, SJ, Berenjian, A., & Ghasemi, Y. (2019). I-Prebiotics: Inkcazo, Iintlobo, iMithombo, iiMechanisms, kunye nezicelo zeKlinikhi. Ukutya (Basel, Switzerland), 8(3), 92. doi.org/10.3390/foods8030092

Isikolo sezonyango saseHarvard. (2023). Indlela yokufumana iiprobiotics ezininzi. www.health.harvard.edu/staying-healthy/how-to-get-more-probiotics

Iziko leSizwe leSifo seswekile kunye neDigestive and Kidney Diseases. (2018). Unyango lwe-viral gastroenteritis. Ifunyenwe kwi www.niddk.nih.gov/health-information/digestive-diseases/viral-gastroenteritis/treatment

ISikhokelo esipheleleyo se-Hip ekhutshweyo: Izizathu kunye nezisombululo

ISikhokelo esipheleleyo se-Hip ekhutshweyo: Izizathu kunye nezisombululo

Ngaba ukwazi iindlela zonyango ze-hip ekhutshiweyo kunokunceda abantu bakhawulezise ukubuyisela kunye nokubuyisela?

ISikhokelo esipheleleyo se-Hip ekhutshweyo: Izizathu kunye nezisombululo

I-Dilocated Hip

I-hip ekhutshiweyo yinzakalo engaqhelekanga kodwa ingenzeka ngenxa yokwenzakala okanye emva kotyando lokutshintshwa kwe-hip. Ngokuqhelekileyo kwenzeka emva kokwenzakala okukhulu, kuquka ukungqubana kwemoto, ukuwa, kwaye ngamanye amaxesha ukulimala kwezemidlalo. (UCaylyne Arnold et al., 2017) I-hip edibeneyo inokuthi yenzeke emva kokuhlinzwa kokutshintshwa kwe-hip. Okunye ukulimala okunje ngeenyembezi ze-ligament, umonakalo we-cartilage, kunye nokuphuka kwamathambo kunokwenzeka kunye nokuchithwa. Uninzi lwe-hip dislocations luphathwa ngenkqubo yokunciphisa edibeneyo ebuyisela ibhola kwi-socket. Ngokuqhelekileyo kwenziwa nge-sedation okanye i-anesthesia jikelele. Ukubuyisela kwisimo sangaphambili kuthatha ixesha kwaye kunokuba ziinyanga ezimbalwa ngaphambi kokuba uchache ngokupheleleyo. Unyango lomzimba lunokunceda ukubuyisela ukunyakaza kunye namandla kwi-hip.

Yintoni?

Ukuba i-hip isuswe ngokuyinxenye, ibizwa ngokuba yi-hip subluxation. Xa oku kwenzeka, intloko edibeneyo ye-hip iphuma kuphela kwi-socket. I-hip edibeneyo xa intloko okanye ibhola ye-joint shifts okanye iphuma kwi-socket. Ngenxa yokuba i-hip yokwenziwa ihluke kwi-joint hip eqhelekileyo, umngcipheko wokunyuka uyanda emva kokutshintshwa ngokubambisana. Uphononongo lufumanise ukuba malunga ne-2% yabantu abaye batshintsha i-hip endaweni yonke baya kuba ne-hip dislocation kwisithuba sonyaka, kunye nomngcipheko okhulayo malunga ne-1% kwiminyaka emihlanu. (UJens Dargel et al., 2014) Noko ke, ubuchwepheshe obutsha beprothetics kunye neendlela zotyando zenza ukuba oku kungaxhaphakanga.

Hip Anatomy

  • I-hip ball-and-socket joint ibizwa ngokuba yi-femoroacetabular joint.
  • Isokethi ibizwa ngokuba yi-acetabulum.
  • Ibhola ibizwa ngokuba yintloko yowesifazane.

I-bony anatomy kunye nemigqa eyomeleleyo, izihlunu, kunye nee-tendon zinceda ukudala umdibaniso ozinzile. Amandla abalulekileyo kufuneka asetyenziswe kwi-joint ukuze ukukhutshwa kwe-hip kwenzeke. Abanye abantu baxela ukuba baziva beva ukuvaleka kwe-hip. Oku ngokuqhelekileyo akuyiyo i-hip dislocation kodwa ibonisa ingxaki eyahlukileyo eyaziwa ngokuba yi-snapping hip syndrome. (UPaul Walker et al., 2021)

Ukuchithwa kwe-Hip yangasemva

  • Ngokumalunga ne-90% ye-hip dislocations ngasemva.
  • Kolu hlobo, ibhola ityhalelwa ngasemva ukusuka kwisokethi.
  • Ukukhutshwa ngasemva kunokubangela ukulimala okanye ukucaphuka kwi-nerve ye-sciatic. (R Cornwall, TE Radomisli 2000)

Ukuchithwa kwe-Anterior Hip

  • Ukukhutshwa kwangaphambili akuxhaphakanga kangako.
  • Kulo hlobo lokulimala, ibhola ikhutshwe kwi-socket.

I-Hip Subluxation

  • I-hip subluxation iyenzeka xa ibhola edibeneyo ye-hip iqala ukuphuma kwi-socket ngokuyinxenye.
  • Eyaziwa nangokuthi i-dislocation partial, inokujika ibe yinto edibeneyo ye-hip edibeneyo ukuba ayivunyelwe ukuphilisa ngokufanelekileyo.

iimpawu

Iimpawu zingabandakanya:

  • Umlenze ukwindawo engaqhelekanga.
  • Ubunzima bokuhambisa.
  • Iintlungu ezibuhlungu ze-hip.
  • Ukungakwazi ukuthwala ubunzima.
  • Iintlungu ezisezantsi zoomatshini zinokudala ukudideka xa uxilonga ngokufanelekileyo.
  • Ngokukhutshwa ngasemva, idolo kunye nonyawo luya kujikelezwa kumgca ophakathi womzimba.
  • I-dislocation yangaphambili iya kujikeleza idolo kunye nonyawo ukusuka kumgca ophakathi. (I-American Academy ye-Orthopedic Surgeons. 2021)

Izizathu

Ukukhutshwa kunokubangela umonakalo kwizakhiwo ezibambe ibhola kwisokethi kwaye kunokubandakanya:

  • Umonakalo weCartilage kwilungu -
  • Iinyembezi kwi-labrum kunye nemigqa.
  • Ukuqhekeka kwethambo kwindawo edibeneyo.
  • Ukulimala kwiinqanawa ezinikezela ngegazi kamva kunokukhokelela kwi-avascular necrosis okanye i-osteonecrosis ye-hip. (UPatrick Kellam, uRobert F. Ostrum ngo-2016)
  • Ukuchithwa kwe-hip kwandisa umngcipheko wokuphuhlisa i-arthritis edibeneyo emva kokulimala kwaye kunokunyusa umngcipheko wokufuna ukutshintshwa kwe-hip kamva ebomini. (Hsuan-Hsiao Ma et al., 2020)

Ukukhutshwa koPhuhliso lwe-Hip

  • Abanye abantwana bazalwa bene-dislocation yophuhliso lwe-hip okanye i-DDH.
  • Abantwana abane-DDH banamalungu e-hip angazange aqulunqwe ngokuchanekileyo ngexesha lophuhliso.
  • Oku kubangela ukulingana okuxekethileyo kwisokethi.
  • Kwezinye iimeko, i-hip joint is dislocated ngokupheleleyo.
  • Kwamanye, ithambekele ekubeni igxothwe.
  • Kwiimeko ezibuthathaka, umdibaniso ukhululekile kodwa awufuni ukuba ususwe. (I-American Academy ye-Orthopedic Surgeons. 2022)

impatho

Ukunciphisa ngokudibeneyo yindlela eqhelekileyo yokuphatha i-hip edibeneyo. Inkqubo ibeka kwakhona ibhola kwi-socket kwaye ngokuqhelekileyo yenziwa nge-sedation okanye phantsi kwe-anesthesia jikelele. Ukubuyisela i-hip kufuna amandla amakhulu. Ukuchithwa kwe-hip kuthathwa njengento engxamisekileyo, kwaye ukunciphisa kufuneka kwenziwe ngokukhawuleza emva kokutshatyalaliswa ukukhusela iingxaki ezisisigxina kunye nonyango olungenayo. (UCaylyne Arnold et al., 2017)

  • Emva kokuba ibhola ibuyele kwi-socket, umboneleli wezempilo uya kukhangela ithambo, i-cartilage, kunye nokulimala kwe-ligament.
  • Ngokuxhomekeke kwinto efunyenwe ngumboneleli wezempilo, unyango olongezelelweyo lunokuba yimfuneko.
  • Amathambo aphukileyo okanye aphukileyo anokufuna ukulungiswa ukugcina ibhola ngaphakathi kwesokethi.
  • Kusenokufuneka ukuba intlala eyonakeleyo isuswe.

Ukuhlinzwa

Utyando lunokuba yimfuneko ukubuyisela ilungu kwindawo yalo yesiqhelo. I-arthroscopy ye-Hip inokunciphisa ukuhlaselwa kweenkqubo ezithile. Ugqirha wotyando ufaka ikhamera ye-microscopic kwi-joint hip ukunceda ugqirha olungisa ukulimala usebenzisa izixhobo ezifakwe kwezinye izithintelo ezincinci.

Utyando lokutshintshwa kwe-Hip luthatha indawo yebhola kunye ne-socket, inkqubo eqhelekileyo kunye neyimpumelelo yotyando lwamathambo. Olu tyando lunokwenziwa ngezizathu ezahlukahlukeneyo, kubandakanywa ukuxhwaleka okanye i-arthritis, njengoko kuqhelekile ukuphuhlisa i-arthritis yokuqala ye-hip emva kolu hlobo lokuxhatshazwa. Kungenxa yoko le nto uninzi olune-dislocation ekugqibeleni lufuna utyando lokutshintshwa kwe-hip. Njengenkqubo enkulu yotyando, ayikho ngaphandle kweengozi. Iingxaki ezinokwenzeka ziquka:

  • Sulelo
  • Ukukhululeka kweAseptic (ukukhulula umdibaniso ngaphandle kosulelo)
  • Ukukhutshwa kwe-Hip

ukuchacha

Ukubuyisela kwi-hip dislocation yinkqubo ende. Abantu ngabanye kuya kufuneka bahambe ngeentonga okanye ezinye izixhobo kwangethuba bechacha. Unyango lomzimba luya kuphucula uluhlu lokunyakaza kunye nokuqinisa imisipha ejikeleze i-hip. Ixesha lokubuyisela liya kuxhomekeka ekubeni kukho ezinye iingozi, ezifana nokuphuka okanye iinyembezi. Ukuba umdibaniso we-hip wawuncitshisiwe kwaye akukho okunye ukulimala, kunokuthatha iiveki ezintandathu ukuya kwezilishumi ukubuyisela kwindawo apho ubunzima bunokubekwa emlenzeni. Inokuba phakathi kweenyanga ezimbini ukuya kwezintathu ukuze umntu achache ngokupheleleyo. Ukugcina ubunzima emlenzeni kubalulekile kuze kube yilapho ugqirha okanye umgqirha wenyama unika yonke into ecacileyo. I-Chiropractic yezoNyango zeChiropractic kunye ne-Functional Medicine Clinic iya kusebenza kunye nomboneleli wezempilo osisiseko womntu kunye nabanye oogqirha botyando okanye iingcaphephe ukuphuhlisa isicwangciso sonyango lomntu.


Izisombululo zeChiropractic kwi-Osteoarthritis


Ucaphulo

UArnold, C., Fayos, Z., Bruner, D., Arnold, D., Gupta, N., & Nusbaum, J. (2017). Ukulawula ukuchithwa kwe-hip, idolo, kunye ne-ankle kwisebe likaxakeka [digest]. Ukuziqhelanisa namayeza angxamisekileyo, i-19(12 Amanqaku e-Suppl & Pearls), 1–2.

Dargel, J., Oppermann, J., Brüggemann, GP, & Eysel, P. (2014). Ukukhutshwa emva kokutshintshwa kwe-hip epheleleyo. Deutsches Arzteblatt ngamazwe, 111(51-52), 884-890. doi.org/10.3238/arztebl.2014.0884

Walker, P., Ellis, E., Scofield, J., Kongchum, T., Sherman, WF, & Kaye, AD (2021). Snapping Hip Syndrome: Uhlaziyo oluBanzi. Uphononongo lwe-Orthopedic, i-13 (2), i-25088. doi.org/10.52965/001c.25088

Cornwall, R., & Radomisli, TE (2000). Ukulimala kwe-nerve kwi-traumatic dislocation ye-hip. I-orthopedics yeklinikhi kunye nophando oluhambelanayo, (377), 84-91. doi.org/10.1097/00003086-200008000-00012

I-American Academy ye-Orthopedic Surgeons. (2021). Ukukhutshwa kwe-Hip. orthoinfo.aaos.org/en/diseases-conditions/hip-dislocation

Kellam, P., & Ostrum, RF (2016). Ukuphononongwa okuCwangcisiweyo kunye nohlalutyo lwe-Meta ye-Avascular Necrosis kunye ne-Posttraumatic Arthritis Emva kokuchithwa kwe-Hip Traumatic. Ijenali ye-orthopedic trauma, i-30 (1), i-10-16. doi.org/10.1097/BOT.0000000000000419

Ma, HH, Huang, CC, Pai, FY, Chang, MC, Chen, WM, & Huang, TF (2020). Iziphumo zexesha elide kwizigulane ezine-hip-traumatic fracture-dislocation: izinto ezibalulekileyo ze-prognostic. Ijenali yoMbutho wezoNyango waseTshayina : JCMA, ​​83 (7), 686-689. doi.org/10.1097/JCMA.0000000000000366

I-American Academy ye-Orthopedic Surgeons. (2022). Ukuchithwa kophuhliso (dysplasia) ye-hip (DDH). orthoinfo.aaos.org/en/diseases-conditions/developmental-dislocation-dysplasia-of-the-hip-ddh/

Fumanisa iiNzuzo zokuPhilisa kwi-Acupressure

Fumanisa iiNzuzo zokuPhilisa kwi-Acupressure

Ngaba ukubandakanya i-acupressure kunokubonelela ngokukhululeka kunye neenzuzo kubantu abafuna ukuzama unyango lwendalo kwizigulo eziqhelekileyo zempilo?

Fumanisa iiNzuzo zokuPhilisa kwi-Acupressure

Acupressure

I-Acupressure luhlobo lweyeza elixhasayo elikhula ngokuthandwa ngenxa yokulula kunye nokufikeleleka. Inokunceda ekunyangeni izifo ezahlukeneyo kunye neemeko. (UPiyush Mehta et al., 2016) Nabani na unokuyifunda, yaye akukho sixhobo sikhethekileyo sifunekayo. Lukhetho olusebenzayo nolukhuselekileyo lonyango ngaphandle kweziphumo ezibi ezaziwayo. (U-Youngmi Cho et al., ngo-2021) Lungenelelo olungabizi kakhulu olufana ne-acupuncture. (ULukas Israel et al., 2021)

Yintoni?

Ingqikelelo ye-acupressure ivuselela i-acupoints okanye amanqaku oxinzelelo kuwo wonke ama-meridians okanye amajelo aqhagamshelwe kumalungu ahlukeneyo ukulungelelanisa amandla kunye nokukhuthaza impilo. Iingcali zikholelwa ukuba umgangatho okanye imeko yamandla omntu imisela impilo yakhe. (UPiyush Mehta et al., 2016) I-acupressure kukuvuselela ii-acupoints usebenzisa nokuba yiminwe okanye isixhobo. Ubuchule bokuphulula umzimba obufana no-Amma, Shiatsu, Tui Na, kunye ne-Thai massage ibandakanya i-acupressure kunyango lwabo kwaye ilandele iziteshi zamandla ezifanayo njenge-acupuncture.

Indlela Esebenzayo

I-acupressure isebenza ngokufanayo kwi-acupuncture. Ithiyori yoLawulo lweSango ithi iimpembelelo zolonwabo zifikelela kwingqondo ephindwe kane ngokukhawuleza kuneempembelelo zentlungu. Iimpembelelo zolonwabo eziqhubekayo zivala amasango e-neural kwaye zivale imiyalezo ecothayo, njengentlungu. Ngokwale thiyori, i-acupressure iphucula umda wokubona intlungu. (UPiyush Mehta et al., 2016) I-acupoints evuselelayo ivuselela iimpendulo ezisebenzayo, njengokukhupha iihomoni. La mahomoni asebenza imisebenzi eyahlukeneyo, ngokomzimba, njengokulawula ukusebenza kwamalungu, kunye nengqondo, njengokulawula iimvakalelo, kunye nokuzikhulula kunokunceda ukuphucula impilo kunye nokuphila kakuhle. (UPiyush Mehta et al., 2016)

  • I-Acupressure lungenelelo olulula nolusebenzayo olunokuthi luzilawule ngokwalo okanye luzilawule ngobungcali.
  • Ii-acupoints zisebenza kwi-elbows, iminwe, iinyawo, i-knuckles, iintende, okanye isithupha.
  • Nangona i-acupressure ayifuni izixhobo ezikhethekileyo, ziyafumaneka ukuze zibe lula.
  • Abanye oogqirha basebenzisa Amatye Bian ukwenza ii-acupoints zisebenze.
  • Izixhobo zanamhlanje zinokunceda ngokuvula i-acupoints. (UPiyush Mehta et al., 2016)
  • Ukucinezela i-acupoints ngokwaneleyo, kwaye ukuchaneka akunakwenzeka ukuba kubangele ukulimala okanye ukulimala. (U-Youngmi Cho et al., ngo-2021)

Ezinye ze izixhobo ezikhoyo ziquka: (UPiyush Mehta et al., 2016)

  • Isixhobo somqolo
  • iiglavu
  • Isixhobo seminwe
  • Ipeni
  • umsesane
  • nezihlangu
  • Ibhodi yeenyawo
  • Isixhobo sendlebe
  • Izilwanyana

benefits

I-acupressure ihlala isetyenziswa ecaleni kweyeza lanamhlanje, njengoko linyanga iimpawu eziqhelekileyo okanye ezihlala zihleli, ezinje ngoxinzelelo okanye uxinzelelo. Ezinye zeemeko apho i-acupressure inokusebenza khona ibandakanya.

Uxinzelelo kunye nokunciphisa ukukhathala

Ukuxinezeleka kunye nokudinwa zixhaphakile kodwa zihlala zivela kunye nezinye izifo okanye iimeko ukuba ukuzingisa okanye kunzima, ukuxhalaba kunye nokudinwa kunokuchaphazela kakhulu umgangatho wobomi ngokunciphisa amandla omntu okuthatha inxaxheba kwimisebenzi yemihla ngemihla. Kuphononongo olujonge abongikazi bomsebenzi weshifti abafumana uxinzelelo kunye nokudinwa ngenxa yobunzulu bomsebenzi wabo, i-acupressure inciphise kakhulu iimpawu zabo. (U-Youngmi Cho et al., ngo-2021Kuphononongo lwabantu abasinde kumhlaza wamabele, i-acupressure nayo yasetyenziswa ukunciphisa amanqanaba okudinwa kwaye yaboniswa njengeyona ndlela isebenzayo kunye nexabiso eliphantsi lokulawula ukudinwa okuzingileyo ecaleni kokhathalelo oluqhelekileyo lomhlaza wamabele. (USuzanna Maria Zick et al., 2018) (Suzanna M Zick et al., 2016)

Unokunceda Ngexhala kunye Noxinzelelo

Ukudakumba kunye nokuxhalaba kunokuba yinxalenye yokuphazamiseka okanye kubekho ngokwabo. I-acupressure inokunceda ukunciphisa ixhala kunye nokudakumba okuvela njengenxalenye yemeko okanye isigulo. Kuphononongo lwabahlengikazi bomsebenzi wokutshintsha, i-acupressure incede ukunciphisa amanqanaba okuxhalaba. (U-Youngmi Cho et al., ngo-2021) Kwezinye izifundo, i-acupressure yanciphisa amanqaku okuxhalaba kunye nokuphucula iimpawu zokudakumba kubantu abaneempawu ezincinci ukuya kweziphakathi. (Elizabeth Monson et al., 2019) (Jingxia Lin et al., 2022) (USuzanna Maria Zick et al., 2018)

Ukuncitshiswa kobuhlungu

Abantu ngabanye bafumana iintlungu zomzimba ngenxa yezizathu ezahlukahlukeneyo. Iintlungu zinokuvela okwethutyana zemidlalo ukwenzakala, umsebenzi, iintshukumo ezingaqhelekanga ngesiquphe, kunye/okanye ukugula okungapheliyo. I-Acupressure inokunciphisa ngempumelelo intlungu njengonyango olongezelelweyo. (Elizabeth Monson et al., 2019) Kuphononongo, abagijimi ababenokulimala kwezemidlalo ye-musculoskeletal babika ukunciphisa ubunzima bentlungu emva kwemizuzu emithathu yonyango lwe-acupressure. (U-Aleksandra K Mącznik et al., 2017) Kwesinye isifundo, abasindileyo bomhlaza webele babonisa ukuphuculwa okubalulekileyo nge-acupressure. (USuzanna Maria Zick et al., 2018)

Isiqabu Uncedo

I-nausea kunye nokugabha ziimeko eziqhelekileyo kwabo bakhulelweyo okanye bephantsi kwechemotherapy. Kwakhona inokuba yimpembelelo yecala leyeza okanye ivele nge-migraine okanye ukugabha. Kukho ubungqina bokuba i-acupressure inokusebenza ekudambiseni iimpawu. Abanye abaphandi bakholelwa ukuba uhlobo oluthile lwe-acupressure olwaziwa ngokuba yi-auricular acupressure lolona lusebenzayo ekunyangeni isicaphucaphu esibangelwa yichemotherapy-induced nagabha ecaleni konyango oluqhelekileyo. (UJing-Yu Tan et al., 2022) Nangona kunjalo, uphando olongezelelweyo luyafuneka ukuze kubonwe ukuba ngaba le yindlela esebenzayo, eqhubekayo yokunyanga isicaphucaphu kunye nokuhlanza. (UHeather Greenlee et al., 2017)

Ukulala Kungcono

I-Acupressure inokuba lukhetho olusebenzayo kunye nexabiso eliphantsi lokulawula iimpawu zomhlaza wamabele. Olunye uphononongo lufumene iindlela zokuphumla ze-acupressure ziphucule umgangatho wokulala kunye nomgangatho wobomi kwabasindileyo kumhlaza wamabele. Ukongeza, abaphandi baqaphela ukuba ukuphumla kwe-acupressure kusebenza ngakumbi ekuphuculeni ukulala kunye nomgangatho wobomi kunokuvuselela i-acupressure. (Suzanna M Zick et al., 2016)

UkuNcitshiswa kweAleji

I-rhinitis ye-Alergic kukuvuvukala okubangelwa kukungabikho komzimba. Ulingo lwangaphambili lufumanise ukuba i-acupressure inokuphucula impilo ngokubanzi ngokunciphisa iimpawu ze-rhinitis ezibangelwa kukwalana ngamaxesha athile kunye nesidingo samayeza okwaliwa. (ULukas Israel et al., 2021) Kwakhona abaphandi baye baqaphela ukuba abantu banokubambelela kunyango lokuzithambisa lwe-acupressure njengendlela yokuziphulula. (ULukas Israel et al., 2021)

Soloko udibana nomboneleli wezempilo ngaphambi kokuba uqalise unyango lwe-acupressure, ngakumbi ukuba unayo nayiphi na imeko yezempilo esele ikhona. Kwikliniki yokulimala kweChiropractic kunye ne-Functional Medicine, siphatha ukulimala kunye ne-syndromes ezibuhlungu ezingapheliyo ngokuphuhlisa izicwangciso zonyango lomntu ngamnye kunye neenkonzo ezikhethekileyo zeklinikhi ezijoliswe kukulimala kunye nenkqubo yokubuyisela ngokupheleleyo. Ukuguquguquka, ukushukuma, kunye neenkqubo ze-agility zilungiselelwe onke amaqela eminyaka kunye nokukhubazeka. Ukuba olunye unyango luyafuneka, abantu ngabanye baya kuthunyelwa kwiklinikhi okanye ugqirha ofaneleke kakhulu ukulimala kwabo, imeko, kunye / okanye isifo.


Ukuphucula ukusebenza kunye ne-Functional Foot Orthotics


Ucaphulo

Mehta, P., Dhapte, V., Kadam, S., & Dhapte, V. (2016). Unyango lwangoku lwe-acupressure: Unyango lwe-Adroit lokuchacha okungenabuhlungu kwizigulo zonyango. Ijenali yamayeza emveli kunye neyongezelelweyo, 7(2), 251-263. doi.org/10.1016/j.jtcme.2016.06.004

Cho, Y., Joo, JM, Kim, S., & Sok, S. (2021). Iziphumo ze-Meridian Acupressure kuxinzelelo, ukudinwa, ukuxhalaba, kunye nokuSebenza ngokuSebenza kwabongikazi beShiftwork eMzantsi Korea. Ijenali yamazwe ngamazwe yophando lokusingqongileyo kunye nempilo yoluntu, 18(8), 4199. doi.org/10.3390/ijerph18084199

Israel, L., Rotter, G., Förster-Ruhrmann, U., Hummelsberger, J., Nögel, R., Michalsen, A., Tissen-Diabaté, T., Binting, S., Reinhold, T., Ortiz , M., & Brinkhaus, B. (2021). I-Acupressure kwizigulana ezine-rhinitis ye-allergic yexesha lonyaka: uvavanyo lokuhlola olulawulwa ngokungahleliwe. Iyeza laseTshayina, i-16 (1), i-137. doi.org/10.1186/s13020-021-00536-w

Zick, SM, Sen, A., Hassett, AL, Schrepf, A., Wyatt, GK, Murphy, SL, Arnedt, JT, & Harris, RE (2018). Impembelelo ye-Self-Acupressure kwiimpawu eziBambiseneyo kuBasindi boMhlaza. I-JNCI i-spectrum yomhlaza, i-2 (4), i-pky064. doi.org/10.1093/jncics/pky064

Zick, SM, Sen, A., Wyatt, GK, Murphy, SL, Arnedt, JT, & Harris, RE (2016). Uphando lwe-2 Iindidi ze-Acupressure yokuzimela ngokuPheleleyo kwi-Cancer-Related Fatigue kwi-Breast Cancer Survivors: i-Randomized Clinical Trial. JAMA oncology, 2 (11), 1470-1476. doi.org/10.1001/jamaoncol.2016.1867

Monson, E., Arney, D., Benham, B., Bird, R., Elias, E., Linden, K., McCord, K., Miller, C., Miller, T., Ritter, L., & Waggy, D. (2019). Ngaphandle kweePilisi: Impembelelo ye-Acupressure kwi-Self-Rated Pain kunye namanqaku okuxhalabisa. Ijenali yolunye unyango kunye neyeza elincedisayo (eNew York, NY), 25 (5), 517-521. doi.org/10.1089/acm.2018.0422

Lin, J., Chen, T., He, J., Chung, RC, Ma, H., & Tsang, H. (2022). Iimpembelelo zonyango lwe-acupressure kuxinzelelo: uphononongo olucwangcisiweyo kunye nohlalutyo lwemeta. Ijenali yehlabathi yengqondo yengqondo, i-12 (1), i-169-186. doi.org/10.5498/wjp.v12.i1.169

Mącznik, AK, Schneiders, AG, Athens, J., & Sullivan, SJ (2017). Ngaba i-Acupressure ibetha uphawu? Uvavanyo oluLawulwayo lwe-Acupressure ye-Acupressure ye-Arm-Arm ezintathu-Randomized kwi-Pain kunye ne-Anxiety kwiimbaleki ezinokulimala kweMidlalo ye-Musculoskeletal. Ijenali yeklinikhi yeyeza lezemidlalo : ijenali esemthethweni yeCanadian Academy of Sport Medicine, 27(4), 338–343. doi.org/10.1097/JSM.0000000000000378

Tan, JY, Molassiotis, A., Suen, LKP, Liu, J., Wang, T., & Huang, HR (2022). Iziphumo ze-auricular acupressure kwi-chemotherapy-induced nausea kunye nokuhlanza kwizigulana zomhlaza wamabele: uvavanyo lokuqala olulawulwa ngokungahleliwe. I-BMC yokuncedisa amayeza kunye nonyango, i-22 (1), i-87. doi.org/10.1186/s12906-022-03543-y

Greenlee, H., DuPont-Reyes, MJ, Balneaves, LG, Carlson, LE, Cohen, MR, Deng, G., Johnson, JA, Mumber, M., Seely, D., Zick, SM, Boyce, LM, & Tripathy, D. (2017). Izikhokelo zeklinikhi malunga nokusetyenziswa okusekelwe kubungqina bonyango oludibeneyo ngexesha kunye nasemva konyango lomhlaza webele. I-CA: ijenali yomhlaza yeekliniki, i-67 (3), i-194-232. doi.org/10.3322/caac.21397

Ho, KK, Kwok, AW, Chau, WW, Xia, SM, Wang, YL, & Cheng, JC (2021). Ulingo olulawulwa ngokungenamkhethe kwisiphumo sonyango olujoliso lwe-thermal kumanqaku e-acupressure ukunyanga i-osteoarthritis yamadolo. Ijenali yotyando lwamathambo kunye nophando, i-16 (1), i-282. doi.org/10.1186/s13018-021-02398-2

Ukuphonononga i-Periscapular Bursitis: Iimpawu kunye nokuxilongwa

Ukuphonononga i-Periscapular Bursitis: Iimpawu kunye nokuxilongwa

Kubantu abafumana igxalaba kunye neentlungu ezingaphezulu, ngaba i-periscapular bursitis ingaba ngunobangela?

Ukuphonononga i-Periscapular Bursitis: Iimpawu kunye nokuxilongwa

I-Periscapular Bursitis

I-scapula / igxalaba lithambo elitshintsha indawo kunye nomzimba ophezulu kunye nokunyakaza kwamagxa. Ukunyakaza kwe-scapula kubaluleke kakhulu kumsebenzi oqhelekileyo wegxalaba kunye nomqolo. Xa ukunyakaza okungaqhelekanga okanye ngokukhawuleza kwenzeka, ukuvuvukala kunye neempawu zentlungu zingakhula. (Augustine H. Conduah et al., 2010)

Umsebenzi we-Scapula oqhelekileyo

I-scapula lithambo elingunxantathu kumqolo ongasentla ngaphandle kweembambo. Icala layo elingaphandle okanye elisecaleni liqulethe i-socket ye-joint joint / glenoid, ngelixa elinye ithambo lisebenza njengeendawo zokuncamathela kwigxalaba kunye nezihlunu zangasemva. I-scapula iyatshintsha kwi-rib cage xa ​​uhambisa ingalo phambili nasemva. Le ntshukumo ibizwa ngokuba intshukumo ye-scapulothoracic kwaye ibaluleke kakhulu kumsebenzi oqhelekileyo wecala eliphezulu kunye negxalaba. Xa i-scapula ingahambi kwintshukumo edibeneyo, umsebenzi we-torso kunye namagxa amagxa unokuba nzima kwaye ube buhlungu. (JE Kuhn et al., 1998)

I-Scapular Bursa

I-bursa yingxowa ezaliswe ngamanzi evumela intshukumo egudileyo, etyibilikayo phakathi kwezakhiwo, izicubu zomzimba, amathambo kunye neetendon. I-Bursae ifumaneka kuwo wonke umzimba, kubandakanywa nalabo abaphambi kwe-kneecap, ngaphandle kwe-hip, kunye ne-joint joint. Xa i-bursa ivutha kwaye icaphukile, ukunyakaza okuqhelekileyo kunokuba buhlungu. Kukho ii-bursae ezijikeleze i-scapula kumqolo ongaphezulu. Ezimbini zezi ngxowa ze-bursa ziphakathi kwamathambo kunye ne-serratus anterior muscle elawula ukunyakaza kwe-scapular kudonga lwesifuba. Enye i-bursa sac itholakala kwikona ephezulu ye-scapula, kufuphi nomqolo kwisiseko sentamo, kwaye enye isekhoneni elisezantsi le-scapula, kufuphi ne-mid-back. Nokuba zombini iingxowa ze-bursa zinokuchaphazeleka yi-periscapular bursitis. Kukho ezinye ii-bursae ezijikeleze i-scapula kunye neentambo ezijikelezayo, kodwa iingxowa ezimbini zekona zivame ukuba yi-bursae ephambili eyenza i-periscapular bursitis.

Ukuvutha

Xa ezi bursae zidumba kwaye zicaphuka, zidumbe, kwaye zijiyile, imeko eyaziwa ngokuba yi-bursitis iziphumo. Xa i-bursitis ivela kufuphi ne-scapula, i-muscle, kunye ne-shoulder blade movements inokubangela ukungahambi kakuhle kunye neentlungu. Iimpawu eziqhelekileyo ze-periscapular bursitis ziquka:

  • Ukuhlutha ngentshukumo
  • Iimvakalelo zokugaya okanye i-crepitus
  • Ubuhlungu
  • Ububele ngokuthe ngqo kwi-bursa (Augustine H. Conduah et al., 2010)
  • Uvakalelo olungaqhelekanga lwe-scapular kunye nokunyakaza

Ukuhlolwa kwe-scapula kunokubonisa ukunyakaza okungaqhelekanga kwi-shoulder blade. Oku kunokukhokelela kwi-wissang, apho igxalaba lingabanjwanga ngokuchanekileyo kwi-rib cage kwaye liphume ngokungaqhelekanga. Abantu abane-wissang ye-scapula badla ngokuba noomatshini bokudityaniswa kwegxalaba ngendlela engaqhelekanga kuba ukuma kwegxalaba kutshintshiwe.

Izizathu

Izizathu ze-periscapular bursitis zinokuhluka. Eyona nto ixhaphakileyo yi-syndrome yokusetyenziswa ngokugqithiseleyo, apho umsebenzi othile ubangela ukucaphuka kwi-bursa. Oku kunokubandakanya:

  • Imisebenzi enxulumene nemidlalo ebangelwa ukusetyenziswa ngokuphindaphindiweyo.
  • Imisebenzi enxulumene nomsebenzi ebangelwa kukusetyenziswa ngokuphindaphindiweyo.
  • Ukulimala okubuhlungu okubangela ukuvuvukala okanye ukucaphuka kwi-bursa.

Ezinye iimeko zingabangela i-anatomy engaqhelekanga okanye i-bone protuberances, ecaphukisa i-bursa. Enye imeko kukukhula kwethambo elibi eyaziwa ngokuba yi-osteochondroma. (Antônio Marcelo Gonçalves de Souza kunye noRosalvo Zósimo Bispo Júnior 2014) Oku kukhula kunokuvela kwi-scapula, okukhokelela ekucaphukeni kunye nokuvuvukala.

impatho

Unyango lwe-periscapular bursitis luqala nge-conservative zonyango. Unyango oluhlaselayo alufane lufuneke ukulungisa ingxaki. Unyango lungabandakanya:

Ukuphumla

  • Isinyathelo sokuqala kukuphumla i-bursa ecasulayo kwaye ulungise ukuvuvukala.
  • Oku kungathatha iiveki ezimbalwa kwaye kunokufezwa ngokuguqula umzimba, imidlalo, okanye imisebenzi enxulumene nomsebenzi.

umkhenkce

  • Umkhenkce uluncedo ekunciphiseni ukudumba nokulawula iintlungu.
  • Ukwazi indlela yokwenza umkhenkce ngokufanelekileyo kunokunceda ukulawula intlungu kunye nokuvuvukala.

Ulungiso lwenyama

  • Unyango lomzimba lunokunciphisa iimpawu zokuvuvukala ngokusebenzisa imithambo eyahlukeneyo kunye nokwelula.
  • Unyango lunokuphucula i-scapular mechanics ukuze ukwenzakala kungabi yinto eqhubekayo kwaye iphindaphindeka.
  • Ukunyakaza okungaqhelekanga kwe-scapula kwi-rib cage ayikwazi nje ukukhokelela ekuphuhlisweni kwe-bursitis, kodwa ukuba le michiza engaqhelekanga ayilungiswanga, ingxaki inokuphinda ibuyele.

Amayeza achasene nokudumba

  • Amayeza achasene nokudumba asetyenziswa ukulawula ukudumba kwixesha elifutshane. (Augustine H. Conduah et al., 2010)
  • Amayeza anokunceda ukuthintela impendulo yokuvuvukala.
  • Ngaphambi kokuthatha nawaphi na amayeza, abantu kufuneka baqinisekise kunye nomboneleli wabo wezempilo ukuba akhuselekile.

Izitofu zeCortisone

  • Unyango oluyimpumelelo nge-cortisone shot luphawu lokuba utyando luya kusebenza ngakumbi kubantu abanokufuna utyando.
  • Iinaliti zeCortisone zinokuba luncedo kakhulu ekuhambiseni idosi enamandla yokuchasana nokudumba ngokuthe ngqo kwindawo yokudumba. (Augustine H. Conduah et al., 2010)
  • Iinaliti zeCortisone kufuneka zincitshiswe malunga nokuba zingaphi iinaliti ezinikezelwa kumntu, kodwa kwiidosi ezilinganiselweyo zinokuba luncedo kakhulu.
  • Nangona kunjalo, i-cortisone shots kufuneka yenziwe kuphela xa ukuxilongwa kuqinisekisiwe.

Ukuhlinzwa

  • Utyando alufane lube yimfuneko kodwa lunokusebenza kubantu abangakwaziyo ukufumana isiqabu ngonyango olululo.
  • Utyando luhlala lusetyenziselwa abantu abane-scapular anatomy engaqhelekanga, njengokukhula kwamathambo okanye amathumba.

Kwi-Chiropractic yezoNyango zeChiropractic kunye ne-Functional Medicine Clinic, siphatha ukulimala kunye ne-syndromes yentlungu engapheliyo ngokuphucula amandla omntu ngokusebenzisa ukuguquguquka, ukuhamba, kunye neenkqubo ze-agility ezilungiselelwe onke amaqela eminyaka kunye nokukhubazeka. Izicwangciso zethu zokunakekelwa kwe-chiropractor kunye neenkonzo zeklinikhi zikhethekileyo kwaye zijolise kukulimala kunye nenkqubo yokubuyisela ngokupheleleyo. Ukuba olunye unyango luyafuneka, abantu ngabanye baya kuthunyelwa kwiklinikhi okanye ugqirha ofaneleke kakhulu ukulimala kwabo, imeko, kunye / okanye isifo.


Uphiko lweScapular kubunzulu


Ucaphulo

Conduah, AH, Baker, CL, 3rd, & Baker, CL, Jr (2010). Ulawulo lweklinikhi ye-scapulothoracic bursitis kunye ne-scapula ye-snapping. Impilo yezemidlalo, i-2 (2), i-147-155. doi.org/10.1177/1941738109338359

Kuhn, JE, Plancher, KD, & Hawkins, RJ (1998). Iimpawu ze-scapulothoracic crepitus kunye ne-bursitis. Umbhalo we-American Academy of Orthopedic Surgeons, 6 (5), 267-273. doi.org/10.5435/00124635-199809000-00001

de Souza, AM, & Bispo Júnior, RZ (2014). Osteochondroma: ukungahoyi okanye ukuphanda? Revista brasileira de ortopedia, 49 (6), 555-564. doi.org/10.1016/j.rboe.2013.10.002