Utyando kunye neChiropractic: Loluphi unyango oluLungileyo?

Kubantu abafumana intlungu emva kwidiski ye-herniated, ngaba unokuqonda umahluko phakathi kotyando kunye ne-chiropractic ukunceda abantu bafumane isicwangciso sonyango esilungileyo?

Utyando okanye Chiropractic

Ukuphila neentlungu zangasemva kunokuba yinto ebuhlungu, kwaye nangona kunjalo abaninzi bayasokola ngaphandle kokufuna ukhathalelo. Namhlanje, kukho inani elikhulu lotyando kunye nobuchule obungabonakaliyo obungcono ekuphatheni iingxaki zomqolo kunye nomqolo kunye nokulawula iimpawu. Kubantu abanokuba ne-disc ye-herniated okanye banomdla malunga neendlela zokunciphisa iintlungu zabo zangasemva, umboneleli wezempilo, umchwephesha womzimba, ingcali yomgogodla, kunye ne-chiropractor ungabazisa ngeendlela zonyango. Utyando kunye nonyango lwe-chiropractic lunyango oludumileyo lwe-herniated, bulging, okanye idiski etyibilikayo.

• I-disc ye-herniated xa i-cartilage discs ehambisa i-vertebrae isuka kwindawo kwaye iphume.
• Utyando lwe-disc ye-herniated lubandakanya ukususa okanye ukulungisa i-disc.
• I-Chiropractic ibeka i-disc ngokungaqhelekanga kwaye ilungelelanise umqolo.
• Omabini amayeza aneenjongo ezifanayo ezinomahluko ophambili.

Ukhathalelo lweChiropractic

I-Chiropractic yinkqubo yonyango egxile ekulungiseni nasekugcineni ukulungelelaniswa komqolo ukuze uncede ngeengxaki ze-back and posture. Iingcali zeChiropractors ziqeqeshelwe kwaye zinelayisenisi abaqeqeshi bezonyango abathatha indlela yokungabikho kokuhlinzwa, unyango oluqinisekisiweyo lwentlungu engapheliyo, ukuguquguquka, kunye nemiba yokuhamba.

Indlela Esebenzayo

Unyango lweChiropractic lukhuthaza kwaye luxhasa iinkqubo zokuphilisa zendalo zomzimba. Kuthathwa njengentlungu edibeneyo kumqolo, intamo, imilenze, iingalo, iinyawo kunye nezandla. Ngokuqhelekileyo kubandakanya iiseshoni apho i-chiropractor ngokwenyama kwaye ilungisa ngokucophelela i-vertebrae ngesandla, eyaziwa ngokuba yi-spinal manipulation okanye ukulungiswa kwe-chiropractic. (MedlinePlus. 2023). I-chiropractor yenza uvavanyo olunzulu lwezonyango kwaye iqhuba iimvavanyo ukuseka ukuxilongwa. I-chiropractor iya kuphuhlisa isicwangciso sonyango esinokubandakanya iqela le-massage kunye neengcali zonyango, acupuncturists, abaqeqeshi bezempilo, kunye neengcali zokutya ukuphatha iindawo ezichaphazelekayo ngeendlela ezahlukeneyo, ukucebisa ukuzivocavoca okujoliswe kuyo, ukulungelelanisa indlela yokuphila kunye nesondlo ukuxhasa unyango, kunye nokubeka iliso kwinkqubela phambili. Ukudibanisa kunye noxinzelelo kunye noxinzelelo oluqhubekayo, iindlela ezininzi zinokunyusa ukuhamba ngokubambisana kunye nokunciphisa iimpawu zentlungu. (Iziko leSizwe leMpilo yokuThotyelwa kunye neNtsebenziswano. 2019Iiprothokholi ezongeziweyo zokuxhasa okanye ukuphucula unyango lwe-chiropractic ziquka:

• Ukufudumala kunye nonyango lwe-ice ukunciphisa ukuvuvukala kunye nokwandisa ukujikeleza kwegazi.
• Ukusebenzisa izixhobo zokuvuselela izihlunu kunye nemithambo-luvo ngombane.
• Ukuphuhlisa ukuphumla kunye neendlela zokuphefumla ngokunzulu.
• Ukubandakanya imithambo ukukhuthaza ukubuyisela kwisimo sangaphambili.
• Ukuseka inkqubo yesiqhelo yokuba sempilweni.
• Ukwenza uhlengahlengiso kwindlela yokutya kunye nendlela yokuphila.
• Ukuthatha izongezo ezithile zokutya.

Ukuguqulwa komgogodla kunye nokulungiswa kwe-chiropractic kuye kwaboniswa ukuphucula iimpawu kunye nokubuyisela ukuhamba kwiimeko zentlungu engapheliyo. Olunye uphononongo lufumene ukuba abantu abaneentlungu ezingapheliyo ze-lumbar / ezisezantsi babika ukuphucuka okukhulu emva kweeveki ezintandathu zonyango lwe-chiropractic. (Ian D. Coulter et al., 2018)

amaxabiso

Iindleko eziphuma epokothweni zonyango lwe-chiropractic zixhomekeke kwizinto ezahlukeneyo.
I-inshorensi inokuluhlawulela okanye ingaluhlawuleli unyango, kwaye imali umntu afanele ukuyihlawula inokwahluka ngokusekelwe kubuzaza betyala lakhe, ukuba isicwangciso sakhe sibandakanya ntoni na, kunye nendawo ahlala kuyo. Olunye uphononongo lufumene ixabiso lingahluka phakathi kweedola ezingama-264 kunye ne-6,171 yeedola. (USimon Dagenais et al., 2015)

Ukuhlinzwa

Kukho uluhlu lweenkqubo zokuhlinzwa ezincinci zokunyanga iidiski ze-herniated. Ezi zisebenza ukunciphisa uxinzelelo lwe-nerve ngokususa okanye ukubuyisela iidiski ezonakalisiweyo okanye ukuzinzisa i-vertebrae, ukukhulula intlungu kunye nokuvuvukala.

Indlela Esebenzayo

I-disc ye-herniated ingenzeka kuyo nayiphi na indawo yomqolo kodwa ixhaphake kakhulu kwi-back back / lumbar spine kunye nentamo / yomlomo wesibeleko. Utyando luyacetyiswa xa: (I-American Academy ye-Orthopedic Surgeons. 2022)

• Unyango olongezelelweyo, njengamayeza kunye nonyango lomzimba, alukwazi ukulawula iimpawu.
• Iintlungu kunye neempawu zichaphazela ubomi bemihla ngemihla kunye nokusebenza.
• Ukuma okanye ukuhamba kuba nzima okanye akunakwenzeka.
• I-disc ye-herniated ibangela ubunzima bokuhamba, ubuthathaka bemisipha, kunye ne-bladder okanye i-bowel control loss.
• Umntu usempilweni ngokufanelekileyo, akanalo usulelo, i-osteoporosis, okanye isifo samathambo.

Iinkqubo zotyando ezikhethekileyo ezisetyenziswayo ziquka:

Utyando lweFusion

• Ukudityaniswa komqolo yeyona nkqubo ixhaphakileyo kwidiski ye-herniated esezantsi.
• Kubandakanya ukusebenzisa izinto zamathambo ezenziweyo ukudibanisa i-vertebrae ukwandisa ukuzinza kunye nokukhulula kunye nokuthintela ukucaphuka kwe-nerve kunye noxinzelelo. (I-American Academy ye-Neurological Surgeons. 2024)

I-Laminotomy kunye ne-Laminectomy

• Iimpawu ze-disc ze-Herniated zivela kwi-compression ebekwe kwiimbilini.
• I-Laminotomy ibandakanya ukwenza ukusika okuncinci kwi-lamina, okanye i-arch ye-vertebrae yomgogodla, ukukhulula uxinzelelo.
• Ngamanye amaxesha, i-lamina yonke iyasuswa, eyaziwa ngokuba yi-laminectomy. (I-American Academy ye-Neurological Surgeons. 2024)

Ukuqonda

• I-Discectomy, eyaziwa ngokuba yi-microdiscectomy, inokwenziwa kwi-lumbar okanye kwi-cervical spine.
• Ugqirha ogqirha ufikelela kwi-disc echaphazelekayo ngokusebenzisa i-incision encinci kwaye asuse iinxalenye zediski. (I-American Academy ye-Orthopedic Surgeons. 2022)

Uqhaqho lweDiskhi eyenziweyo

• Enye indlela ibandakanya ukufakela idiski eyenziweyo.
• Oku kudla ngokusetyenziswa kwi-hernia kumqolo ongezantsi; i-disc egugileyo okanye eyonakeleyo iyasuswa, kwaye iprosthetic ekhethekileyo ithatha indawo yediski esusiweyo. (I-American Academy ye-Orthopedic Surgeons. 2022)
• Oku kuvumela ukuhamba ngakumbi.

Impumelelo yotyando lwediski ye-herniated ixhomekeke kwizinto ezahlukeneyo. Ukuqhubela phambili kubuchule obuncinci obuncinci buphucule kakhulu iziphumo zexesha elide, kunye nophononongo olunye lufumanisa ukuba malunga ne-80% ibike iziphumo ezilungileyo-ezigqwesileyo kwi-mix-year elandelayo. (UGeorge J. Dohrmann, uNassir Mansour ngo-2015) Noko ke, kukho ithuba lokuphindaphinda. Ngokumalunga ne-20% ukuya kwi-25% yabantu abaneediski ze-lumbar ze-herniated bafumana i-herniation kwakhona ngexesha elithile. (I-American Academy ye-Neurological Surgeons. 2024)

amaxabiso

• Utyando lwe-disc ye-herniated lukhethekileyo, kwaye iindleko zixhomekeke kububanzi kunye nobukhulu bonyango.
• Isicwangciso se-inshorensi esikhethekileyo somntu sikwamisela iindleko.
• Iindleko eziqhelekileyo zotyando ziphakathi kwe-$14,000 kunye ne-$30,000. (UAnna NA Tosteson et al., 2008)

Ukukhetha Unyango

Xa ukhetha phakathi kwe-chiropractic kunye nokuhlinzwa kwi-disc ye-herniated, izinto ezininzi zinokugqiba isigqibo, kuquka:

• I-Chiropractic yindlela engaphantsi kwe-invasive nokuhlinzwa.
• Uhlengahlengiso lwe-Chiropractic alukwazi ukunceda iimeko ezithile ezinzima zeediski ze-herniated.
• Uhlengahlengiso lwe-Chiropractic luthintela i-disc ye-herniated ukuba ibe nzima kwaye inciphise iimpawu.
• Utyando lubonelela ngeentlungu kunye nokukhululeka kweempawu ngokukhawuleza kune-chiropractic okanye unyango olulondolozayo kodwa lufuna ixesha elibalulekileyo lokubuyisela kwaye liyabiza. (UAnna NA Tosteson et al., 2008)
• Utyando lusenokungafaneleki kubantu abane-osteoarthritis okanye i-osteoporosis.

Unyango lwe-Chiropractic luphakathi kweendlela zonyango ezilondolozayo kwi-disc ye-herniated kwaye inokuzama kuqala ngaphambi kokuba kuqhutywe utyando. Ngokuqhelekileyo, utyando lunconywa kuphela xa iindlela ezingabonakaliyo azikwazanga ukumisa okanye ukulawula intlungu kunye neempawu. I-Chiropractic yezoNyango ze-Chiropractic kunye ne-Functional Medicine Clinic isebenza nababoneleli bezempilo bokuqala kunye neengcali ukuphuhlisa isisombululo esiphezulu sezempilo kunye nempilo esinceda ngokupheleleyo umntu ukuba abuyele kwisiqhelo.

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Inkqubo eKhawulezayo yeSigulana

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Ucaphulo

I-MedlinePlus.MedlinePlus. (2023). IChiropractic. Ifunyenwe kwi medlineplus.gov/chiropractic.html

Iziko leSizwe leMpilo yokuThotyelwa kunye neNtsebenziswano. (2019). IChiropractic: ngobunzulu. Ifunyenwe kwi www.nccih.nih.gov/health/chiropractic-in-depth

Coulter, ID, Crawford, C., Hurwitz, EL, Vernon, H., Khorsan, R., Suttorp Booth, M., & Herman, PM (2018). Ukuguqulwa kunye nokuhlanganisa ukunyanga iintlungu ezingapheliyo ezibuhlungu ezisezantsi: ukuphononongwa okucwangcisiweyo kunye nohlalutyo lwe-meta. Ijenali yomqolo : ijenali esemthethweni yeNorth American Spine Society, 18 (5), 866-879. doi.org/10.1016/j.spinee.2018.01.013

Dagenais, S., Brady, O., Haldeman, S., & Manga, P. (2015). Uphononongo olucwangcisiweyo oluthelekisa iindleko zokunakekelwa kwe-chiropractic kwezinye iindlela zokungenelela kwintlungu yomqolo e-United States. Uphando lweenkonzo zempilo ze-BMC, i-15, i-474. doi.org/10.1186/s12913-015-1140-5

I-American Academy ye-Orthopedic Surgeons. (2022). Idiski yeHerniated kumqolo osezantsi. orthoinfo.aaos.org/en/diseases-conditions/herniated-disk-in-the-lower-back/

I-American Academy ye-Neurological Surgeons. Oogqirha botyando, AA o. N. (2024). Idiski yeHerniated. www.aans.org/en/Patients/Neurosurgical-Conditions-and-Treatments/Herniated-Disc

Dohrmann, GJ, & Mansour, N. (2015). Iziphumo zexesha elide leMisebenzi eyahlukeneyo yeLumbar Disc Herniation: Uhlalutyo lwezigulane ezingaphezu kwe-39,000. Imigaqo yezonyango kunye nokusebenza : ijenali yamazwe ngamazwe yeYunivesithi yaseKuwait, iZiko leSayensi yezeMpilo, i-24 (3), i-285-290. doi.org/10.1159/000375499

Tosteson, AN, Skinner, JS, Tosteson, TD, Lurie, JD, Andersson, GB, Berven, S., Grove, MR, Hanscom, B., Igazi, EA, & Weinstein, JN (2008). Ukusebenza kweendleko zokuhlinzwa ngokubhekiselele kunyango olungasebenziyo kwi-lumbar disc herniation kwiminyaka emibini: ubungqina obuvela kwi-Spine Patient Outcomes Research Trial (SPORT). Umqolo, 33 (19), 2108-2115. doi.org/10.1097/brs.0b013e318182e390