Ukujongana ne-Painful Lumbar Degenerative Disorder: Izisombululo ezilula

Ukunciphisa umqolo kunokunciphisa njani intlungu ngelixa ubuyisela ukuguquguquka komgogodla kubantu abaninzi abaneengxaki ze-lumbar degenerative?

intshayelelo

Njengoko sikhula ngokwemvelo, ngokunjalo nemiqolo yethu kunye neediski zomgogodla, njengoko ulwelo lwendalo kunye nezondlo ziyeka ukukhupha iidiski kwaye zibangele ukuba zihlambuluke. Xa i-disc degeneration iqala ukuchaphazela umqolo, inokubangela iimpawu ezinjengeentlungu kwimimandla ye-lumbar, enokuthi iphuhlise ibe yintlungu ephantsi okanye ezinye izifo ze-musculoskeletal ezichaphazela imilenze ephantsi. Xa i-disc degeneration iqala ukuchaphazela ummandla we-lumbar, abantu abaninzi baya kuqaphela ukuba abaguquki njengokuba babebancinci. Iimpawu ezibonakalayo zokunciphisa izihlunu zabo ekuphakamiseni okungafanelekanga, ukuwa, okanye ukuthwala izinto ezinzima kunokubangela ukuxhatshazwa kwemisipha kunye neentlungu. Xa oku kusenzeka, abantu abaninzi baya kunyanga iintlungu ngamayeza asekhaya, anokuthi anike isiqabu sexeshana kodwa angayenza ibe mandundu ngakumbi xa abantu bephinda-phinda kwi-lumbar spine, enokubangela ukulimala. Ngethamsanqa, unyango olungenalo utyando olunokunceda ukucotha inkqubo ye-disc degeneration ngelixa ubuyisela i-spinal disc. Inqaku lanamhlanje lijonga ukuba kutheni i-disc degeneration ichaphazela ukuguquguquka kwe-lumbar kunye nendlela unyango olufana ne-spinal decompression lunciphisa ukuchithwa kwe-disc ngelixa libuyisela ukuguquguquka kwe-lumbar. Ngokuzenzekelayo, sinxibelelana nababoneleli bezonyango abaqinisekisiweyo ababandakanya ulwazi lwezigulane zethu ukubonelela ngezicwangciso zonyango ezahlukeneyo zokunciphisa inkqubo yokunciphisa i-disc kunye nokubonelela intlungu. Siyabazisa kwakhona ukuba kukho iindlela ezingezona zokuhlinzwa zokunciphisa iimpawu ezinjengeentlungu ezinxulumene nokuguqulwa kwe-disc kunye nokunceda ukubuyisela ukuguquguquka kwe-lumbar. Sikhuthaza izigulana zethu ukuba zibuze imibuzo emangalisayo yemfundo kubaboneleli bethu bezonyango abanxulumeneyo malunga neempawu zabo ezihambelana nentlungu yomzimba kwindawo ekhuselekileyo nelungileyo. UDkt Alex Jimenez, DC, udibanisa olu lwazi njengenkonzo yezemfundo. isikhanyeli

 

I-DDD iyichaphazela njani iLumbar Flexibility?

Ngaba uye wafumana ukuqina emqolo xa uvuka ekuseni? Ngaba uziva uqaqamba nezihlunu xa ugoba kwaye uchola izinto ezinzima? Okanye ngaba uziva iintlungu ezikhuphayo emilenzeni nasemqolo? Xa abantu abaninzi besentlungwini engathethekiyo, abaninzi abadli ngokuqaphela ukuba iintlungu zabo ezisezantsi zinokunxulunyaniswa ne-spinal disc yabo ewohlokayo. Ekubeni i-spinal disc kunye nomzimba unokuhla ngokwemvelo, kunokukhokelela ekuphuhlisweni kweengxaki ze-musculoskeletal. I-DDD, okanye isifo se-disc degenerative, yimeko eqhelekileyo yokukhubazeka enokuthi ichaphazele kakhulu inkqubo ye-musculoskelet kwaye iyona nto ibangela ukuba abantu balahlekelwe yimisebenzi yabo yemihla ngemihla. (I-Cao et al., 2022) Xa izinto eziqhelekileyo okanye ezibuhlungu ziqala ukubangela ukunyakaza okuphindaphindiweyo kumqolo, kunokubangela ukuba i-spinal disc ixinzelelwe kwaye, ngokuhamba kwexesha, iyancipha. Oku ke, kubangela ukuba umnqonqo ungabi bhetyebhetye kwaye ube ngumngeni wentlalo noqoqosho.

 

 

Xa i-disc degeneration iqala ukubangela ukuguquguquka komgogodla, kunokukhokelela ekuphuhlisweni kweentlungu ezisezantsi. Ekubeni intlungu ephantsi ye-back back yinkxalabo yezempilo eqhelekileyo, inokuchaphazela abantu abaninzi emhlabeni jikelele, njengoko ukuchithwa kwe-disc kuyinto eqhelekileyo. (USamanta et al., 2023) Ekubeni i-disc degeneration yi-multi-factorial disorder, iinkqubo ze-musculoskeletal kunye ne-organ nazo zichaphazelekayo njengoko zingabangela intlungu ethunyelwe kwiindawo ezahlukeneyo zomzimba. Ngethamsanqa, abantu abaninzi banokufumana unyango abalufunayo, njengoko abaninzi befuna ukukhululeka kwiintlungu ezininzi ezibangelwa yi-disc degeneration.

 

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Ukwenzakala kwiLumbar Spine kwiimbaleki- Ividiyo

Ekubeni i-disc degeneration yimbangela eninzi yokukhubazeka, ingaba ngumthombo oyintloko wentlungu emva. Xa izinto eziqhelekileyo zifaka isandla kwiintlungu zangasemva, mhlawumbi zihambelana ne-disc degeneration kwaye zingabangela i-cellular, i-structural, i-compositional, kunye ne-mechanical utshintsho kuwo wonke umgudu. (U-Ashinsky et al., 2021) Nangona kunjalo, abantu abaninzi abafuna unyango banokujonga kunyango olungasebenzisi utyando njengoko lungabizi kakhulu kwaye lukhuselekile kumqolo. Unyango olungasebenzisi utyando lukhuselekile kwaye luthambile kumqolo njengoko lunokwenziwa ngokwezifiso kwiintlungu zomntu kwaye zidityaniswe nezinye iindlela zonyango. Olunye unyango olungelulo utyando kukuthotywa komqolo, osebenzisa ukutsalwa okuthambileyo kumqolo ukubuyisela amanzi kwidiski yomqolo ukusuka ekuwohlokeni kunye nokunceda ukukhaba-ukuqala inkqubo yokuphilisa yendalo yomzimba. Ividiyo engentla ibonisa indlela ukuguqulwa kwe-disc ehambelana ngayo ne-disc herniation kunye nendlela ezi zonyango ezinokuthi zinciphise imiphumo efana nentlungu kumqolo.

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Ukunciphisa uMnqongo Ukunciphisa iDDD

Xa abantu abaninzi besiya kunyango lwe-disc degeneration, abaninzi baya kuhlala bezama ukudodobala komgogodla njengoko kunokwenzeka. Uninzi lwabaqeqeshi bezempilo baya kuvavanya umntu ngokwenza isicwangciso somntu ngaphambi kokungena kumatshini wokutsala. Abantu abaninzi baya kufumana i-CT scan ukuvavanya utshintsho olubangelwa yi-DDD. (Dullerud kunye neNakstad, ngo-1994) Oku kugqiba ukuba isithuba sediski sinzima kangakanani. Umatshini wokutsalwa kwe-spinal decompression umisela ixesha elifanelekileyo lonyango, ukuphindaphinda, kunye nendlela yokulawula i-traction kumqolo ukunciphisa i-DDD. (Pellecchia, ngo-1994) Ukongezelela, ukusebenza kakuhle kwe-traction ukusuka kwi-spinal decompression kunokunceda abantu abaninzi abanomqolo ophantsi kwaye banike uncedo. (Beurskens et al., 1995)

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Ucaphulo

Ashinsky, B., Smith, HE, Mauck, RL, & Gullbrand, SE (2021). I-intervertebral disc degeneration kunye nokuvuselelwa: imbono yecandelo lentshukumo. I-Eur Cell Mater, 41, 370-380. doi.org/10.22203/eCM.v041a24

Beurskens, AJ, de Vet, HC, Koke, AJ, Lindeman, E., Regtop, W., van der Heijden, GJ, & Knipschild, PG (1995). Ukusebenza kwe-traction kwiintlungu ezisezantsi ezisezantsi: uvavanyo lweklinikhi olungahleliwe. Lancet, 346(8990), 1596-1600. doi.org/10.1016/s0140-6736(95)91930-9

Cao, G., Yang, S., Cao, J., Tan, Z., Wu, L., Dong, F., Ding, W., & Zhang, F. (2022). Indima ye-Oxidative Stress kwi-Intervertebral Disc Degeneration. Oxid Med Iseli Longev, 2022, 2166817. doi.org/10.1155/2022/2166817

Dullerud, R., & Nakstad, PH (1994). Utshintsho lwe-CT emva konyango olulondolozayo lwe-lumbar disk herniation. Acta Radiol, 35(5), 415-419. www.ncbi.nlm.nih.gov/pubmed/8086244

Pellecchia, GL (1994). I-Lumbar traction: uphononongo loncwadi. J Orthop Sports Phys Ther, 20(5), 262-267. doi.org/10.2519/jospt.1994.20.5.262

Samanta, A., Lufkin, T., & Kraus, P. (2023). I-Intervertebral disc degeneration-Iinketho zangoku zonyango kunye nemingeni. Impilo yoLuntu ePhambili, 11, 1156749. doi.org/10.3389/fpubh.2023.1156749

 

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