Ukwazisa okuphakathi yinkqubo yesantya ehambelana nokuphuhliswa nokugcinwa kwentlungu engapheliyo. Xa kuphakanyiswa ukuqala phakathi, inkqubo ye-nervous ihamba kwinkqubo eyaziwa ngokuba yi-wind-up kwaye ilawulwa yimeko eqhubekayo yokuvuselela. Oku kuqhubekileyo, okanye okulawulwayo, imeko ye-reactivity iyanciphisa umda wezinto ezibangela intlungu kwaye emva koko ufunda ukugcina intlungu emva kokulimala kokuqala. Ukwaziswa okuphakathi kunempawu ezibini ezibalulekileyo. Bobabini banomdla wokwanda kwintlungu kunye nevakalelo zokuthintela. Ezi zibizwa ngokuba yi-allodynia kunye ne-hyperalgesia.
I-Allodynia iyenzeka xa umntu evezwa iintlungu ngeemeko eziqhelekanga akufanele zibuhlungu. Ngokomzekelo, izigulane ezingapheliyo zihlala zibuhlungu nokuba nezinto ezinjenge-touch okanye i-massage. Kule meko, iimbulunga kwimimandla ethintekileyo zithumela iimpawu kwiinkqubo zeentlanzi kwiingqondo. Ngenxa yokuba inkqubo yeentlanzi isesimweni esiqhubekayo sokuvuselela i-reactivity, ubuchopho abuvelisi ukuvakalelwa komnxeba ngendlela efanelekileyo, njengoko kunikezelwa ukuba ukuvuselela okwakusungula kuyisichukumiso esilula okanye ukuhlalisa. Endaweni yoko, ubuchopho buvelisa intlungu yesifo kunye nokungahambi kakuhle.
I-Hyperalgesia iyenzeka xa i-stimulus edlalwa njengento ebuhlungu ibonwa njengentlungu ephazamisayo ngakumbi kunokuba iyimfuneko. Ngokomzekelo, izigulane ezingapheliyo ezinamava alula, ngokuqhelekileyo ziba buhlungu buhlungu, ziya kuziva zibuhlungu. Kwakhona, emva kokuba inkqubo yeentlanzi isesimo esihlala sisigxina se-reactivity ephezulu, ikhulisa intlungu.
Contents
Izigulane ezingapheliyo ngezinye izihlandlo zikholelwa ukuba zingaphantsi kweengxaki zempilo yengqondo kuba ziqonda ngokusesikweni ukuba ukuchukumisa okanye ukugqithwa okulula kukuvelisa ubuninzi beentlungu okanye ukungaphumeleli. Ngamanye amaxesha, akubona izigulana ngokwazo abazivakalelwa ngale ndlela, kodwa abahlobo kunye namalungu entsapho. Abantu abangabandezeleka ngenxa yobuhlungu obungapheliyo banokubonikela abanye abanamava entlupheko kwiintetho ezincinci okanye bekhala ngokulula. Nangona kunjalo, ngenxa yokuba abanalo mqathango, kunokuba nzima ukuba baqonde into eyenziwa ngumntu owenzayo.
Ukongeza kwi-allodynia kunye ne-hyperalgesia, ukuvezwa kwephambili kuneminye impawu eyaziwayo, nakuba ingaba yinto encinane kakhulu. Ukwaziswa okuphakathi kunokukhokelela ekuveleleni okuphakamileyo kuzo zonke iingqondo, kungekhona nje ukuvakalelwa kwintsimbi. Izigulane zomsindo ezingapheliyo ngamanye amaxesha zingachaza ukukhathazeka ukukhanya, ukuvumba kunye nesandi. Ngaloo ndlela, amazinga okukhanya okuqhelekileyo angabonakala eqaqambileyo okanye nokuba i-spicy aisle kwivenkile yesebe inokuvelisa intloko. Ukwaziswa okuphambili kunokudibaniswa nokulahlekelwa kwengqondo, njengengqwalaselo engapheliyo kunye nememori emfutshane yesikhashana. Ukwaziswa okuphakathi kukuphazamisa amanqanaba okwanda kwengqondo, ngakumbi ukwesaba nokuxhalabisa. Emva koko, inkqubo ye-nervous inexanduva lokungabi nje ngeengqondo nje, njengentlungu, kodwa nemvakalelo. Ukuba inkqubo yeentlanzi ibanjwe kwiimeko eziqhubekayo zokuziphendulela, izigulane ziya kuba nexhala okanye zixhalabe. Ekugqibeleni, ukusondeza phakathi kwasemgangathweni kuhambelana nemilinganiselo yokugula, njengento yokuphumla kunye nokuziphatha kakubi.
Ukuqinisekiswa okuphakathi kude kwaziwa ngokuba yinto enokubangela ukulimala kunye nokulimala kwentambo yomgudu. Nangona kunjalo, kuya kukholelwa ukuba idlala indima kwiintlobo ezahlukeneyo zentlungu ezingapheliyo. Kungenzeka ngeentlungu ezingapheliyo zentlungu, ubuhlungu obungapheliyo entanyeni, ukulimala kwe-whiplash, iintloko zengxubevange ezingapheliyo, intloko yesisu, i-rheumatoid arthritis, i-osteoarthritis yamadolo, i-endometriosis, ukulimala okuqhutyelwa kwingozi yemoto, kunye nokulandela ukuhlinzwa. I-Fibromyalgia, isifo esilumkileyo esiswini, kunye nesifo esingapheliyo sesifo, zonke zibonakala zivela ngenxa yokuphuculwa kweentloko.
Ukwaziswa okuphakathi kukubandakanya utshintsho oluthile kwinkqubo yenzwa. Utshintsho kwiphondo lokwehla komgudu womgogodla kunye nobuchopho buvela, ngokukodwa kumgangatho wamaselula, njengamaziko e-receptor. Njengoko kuthethwe ngaphambili, sekude kubekho ubungqina bokuthi ukuphulwa kweentambo kunye nokulimala kwentambo yomgudu kungabangela ukukhuliswa okukhulu. Iyabonisana nezizathu. Ukuxhwala kunye nokulimala kwentambo yomgudu kubangela ingozi kwinkqubo yesistim ephakathi, kubandakanya ubuchopho, xa kwenzeka imivimbo, kunye nentambo yomgogodla, kwimeko yokulimala kwentambo yomgogodla. Ezi nzakala zitshintsha amaqhinga enkqubo ye-nervous echaphazelekayo kwi-centralisation.
Nangona kunjalo, kuthekani ngomnye, ukugqithiseleka, iintlobo zeengxaki zentlungu ezingapheliyo, ezibhalwe apha ngasentla, ezinjengeentloko, iintlungu ezingapheliyo, okanye intlungu emaphethelweni? Izingozi okanye iimeko ezikhokelela kule ntlobo zentlungu engapheliyo azinako ukulimala ngokuthe ngqo kwintliziyo okanye umgogodla. Kunoko, zibandakanya ukulimala okanye imeko echaphazela inkqubo ye-nervous system, ngokukodwa kwimiqathango yeentlanzi elele ngaphandle komgca wesipelini kunye nengqondo. Imiba yempilo enxulumene nenkqubo yentsholongwane yomzila ingabangela njani ukuguqulwa kwinkqubo yesantya ephakathi kunye nokwenza ubuhlungu obungapheliyo kwindawo ekude yengozi yokuqala? Isishwankathelo, njani ukuba iintloko ze-migraine zodwa zingaba ziintsuku ezingapheliyo? Kwenzeka njani ukuba umonakalo owenziwe ngasemva okhuselayo ungaphantsi kwintlungu? Ukulimala kwesandla okanye unyawo kuthatha njani isifo esiyinkimbinkimbi yesifo seengingqi?
Kukho iziganeko ezininzi ezibangele ukuphuhliswa kokwenza ulwaphulo oluphambili kulezi ziphazamiso ezingapheliyo zentlungu. Ezi zintlukwano zingabelana ngezigaba ezimbini:
Iqela lokuqala libandakanya ezo zinto ezinokubangela ukuba abantu bahlakulele ukuphuhliswa okuphakathi xa kwenzeka ingozi kwaye iqela elilandelayo libandakanya izinto ezichasayo ezikhuthaza ukukhuliswa okukhulu phakathi kokuqala kwentlungu.
Insight of Dr. Alex Jimenez
Ubuhlungu obungapheliyo buhlala buguqula indlela inkqubo ye-nerve yoqobo isebenza ngayo, kangangokuthi isigulane sinokuthi sivelele ngakumbi intlungu ngefuthe elincinci. Oku kuthethwa ngokuba ngu-centensive sensitization kwaye kubandakanya ukutshintshwa kwinkqubo yesiseko yomnyo, okanye i-CNS, ngakumbi ngokukhethekileyo, kwingqondo kunye nomtya wentongo. Ukukhuthazwa okuphakathi kukudibene nezifo eziqhelekileyo kwaye zichazwe ukuba ziphuhliswe ngento elula njengesihlungu se-muscle. Ukwaziswa okusemgangathweni kuye kwaqulunqwa kwakhona ukuba iqhubeke kwaye ibuhlungu nangona kungekho kubangelwa ngokucacileyo. Zininzi izinto eziye zabanjwa ngokuphuhliswa kwe-central sensitization, nangona isizathu esinyani esingaziwa.
Kukho mhlawumbi i-biological, emotion, kunye nendawo yokusingqongileyo yokubangela ukwenziwa kweengqondo. Ubunzulu obuphezulu kunye nobukhulu beentlungu, okanye iintlungu zentlungu, mhlawumbi ziyingxenye ngenxa yezinto ezininzi zezofuzo. Nangona kungekho nzulu uphando njengokuba kunjalo ukuxhasa uxhamlwano lwe-causal phakathi kwimiqathango yesisindo esele ikhona kunye nokulandela ukuphuhliswa kwe-central sensitization emva kwesiganeko, becingelwa ukuba kuya kufikeleleka ekugqibeleni.
Iimeko zengqondo, njengengxaki yokuphendula uxinzelelo, nazo zikwazi ukudlala inxaxheba ekuphuhliseni ukwakhiwa kolwazi oluphakathi. Ubungqina bokuba uvavanyo lwezilwanyana kunye nabantu, kunye nezifundo eziza kubakho kubantu, babonise ukuxhamla phakathi kokucinezeleka kunye nokunciphisa ubunzima beentlungu. Ngokufanayo, iintlobo ezahlukahlukeneyo zokuxhalabisa kwangaphambi kweentlungu zihambisana ngokufanayo ezinzulu iintlungu. Zonke ezi nkalo ze-psychophysiological zibonisa ukuba i-preexisting imeko yesimiso se-nervous nayo ibaluleke kakhulu ekudaleni ukwenziwa koluntu emva kokuqala kwentlungu. Ukuba iimpendulo zengcinezelo ziye zenza inkqubo yeentlanzi iphendule ngaphambi kokulimala, inkqubo ye-nervous iyakwazi ukunyanzeliswa xa kuvela intlungu.
Kukho ubungqina obungqalileyo obu bungqina obuchanekileyo kule mfundiso. Imbali yangaphambili yexhala, ukukhathazeka ngokwenyama nangokwengqondo, kunye nokudandatheka kukuxela ukuqala kwentlungu engapheliyo ebomini. Into eqhelekileyo phakathi kweentlungu ezingapheliyo, ukuxhalaba, ukukhathazeka, ukulimala, kunye nokudandatheka, yinkqubo yenzwa. Zizo zonke iinkqubo ze-nervous system, ngokukodwa ukuguqulwa okuqhubekayo, okanye ukulungelelaniswa, inkqubo ye-nervous.
Akukhona ukuba izinto ezinjalo zempilo esele zikhona zenza abantu basengozini yokulimala okanye ukuqala kokugula, njengokuba ukulimala okanye ukugula kufikeleleke kwindlela ekhethekileyo kuyo yonke indawo. Kunoko, le micimbi yempilo esele ikhona iyenze ukunyanzelisa abantu ukuphuhliswa kwentlungu engapheliyo emva kokulimala okanye isifo. Ngokomzekelo, inkqubo ye-nervous dysregulated, ngexesha lokulimala, inokuphazamisa umkhondo oqhelekileyo wokuphulukisa kwaye ngaloo ndlela unqande intlungu kwi-subsidy once umonakalo wesisu uphulukiswa.
Imiba elindelekileyo inokuba yinxalenye yophuhliso lweemvakalelo ezisembindini. Ukuqala kweentlungu zihlala zihambelana nophuhliso olulandelayo lweemeko, ezifana nokudandatheka, ukuphepha ukwesaba, ukuxhalaba okanye ukuxhalaba kunye nezinye i-phobias. Uxinzelelo lwezo mpendulo lunokuthi, kwakhona, luqhube ngakumbi ukusebenza kwakhona kwenkqubo ye-nervous, ekhokelela kwi-central sensitization.ļæ½Ukungalali ngokwaneleyo kukwayimpembelelo eqhelekileyo yokuphila neentlungu ezingapheliyo. Inxulunyaniswa novakalelo olwandisiweyo kwiintlungu ngokunjalo. Kwinto eyaziwa ngokuba ngumfundi osebenzayo, ukuqiniswa kwabantu kunye nokusingqongileyo kudala kubonakaliswe ukukhokelela kwiindlela zokuziphatha ezibuhlungu, nangona kunjalo, kuyabonakala ukuba ukuqinisa okunjalo kunokukhokelela ekuphuhlisweni kwe-central sensitization.
Unyango lwama-syndromes angapheliyo obuhlungu obubandakanya ukukhuthazwa okusemgangathweni ngokubhekiselele kwinkqubo yesistim ephakathi okanye ukuvuvukala okuhambelana nolwazi oluphakathi. Zonke ezi zinto zivame ukuquka iintsholongwane kunye neyeza ze-anticonvulsant, kunye nokunyangwa kwengqondo yokuziphatha. Nangona ngokuqhelekileyo kungacingwa ukuba kujoliswe kwinkqubo ye-nervous central, ukusetyenziswa rhoqo kwe-aerobic umzimba kuguqula izakhiwo kwi-system central nervous kwaye kunceda ekunciphiseni intlungu yezifo ezininzi ezidityaniswe ngongqinisiso oluphakathi. Ngaloo ndlela, uvavanyo olusisiseko lwe-aerobic lusetyenziselwa ukunyanga izilonda ezingapheliyo eziphawulwe ngongqongqo ophakathi. Izixhobo ezichasene ne-steroidal zisetyenziselwa ukuvuvukala okunxulumene nokukhuthaza ukuqala.
Ekugqibeleni, iinkqubo zokuvuselela iintlungu ezingapheliyo zisemgangathweni, unyango oluphakathi kweenkqubo ezahlukeneyo eziqeshe nganye yezicwangciso zonyango ezichazwe ngasentla ngendlela edibeneyo. Baphinde basebenzise kakhulu uphando ngendima yokufunda okusebenzayo ukusuka kwi-central sensitization kwaye baye baphuhlisa iindlela zokuziphatha zokunciphisa intlungu kunye nokukhathazeka okuhambelana nomcimbi wezempilo. Ezo zicelo zithathwa njengolona khetho lusebenzayo lonyango kwii-syndromes ezingapheliyo. Ukuxoxa ngombandela, nceda uzive ukhululekile ukubuza uDkt Jimenez okanye uqhagamshelane nathi 915-850-0900 .
Ikhutshwe nguDkt. Alex Jimenez
Sciatica kuthethwa ngokuzonyango njengemqoqo yeempawu, kunokuba yingozi kunye / okanye imeko. Iimpawu zentlungu ye-ncium, okanye i-sciatica, inokuthi ihluke ngokuphindaphindiweyo kunye nobukhulu, nangona kunjalo, ngokuqhelekileyo ichazwe ngokukhawuleza, ebukhali (injenge-like) okanye intlungu yomsakazo ephuma kwi-low-down back downs, emagqabini, emathangeni kunye imilenze inyawo. Ezinye iimpawu ze-sciatica zingabandakanya, ukutshitshiswa okanye ukutshisa, ukugubungela kunye nobuthathaka kunye nobude beentsimbi ze-sciatic. I-Sciatica ihlala ichaphazela abantu phakathi kweminyaka eyi-30 kunye ne-50 iminyaka. Kungasoloko kuphuhliswa ngenxa yesantya sokusila komgudu ngenxa yobudala, nangona kunjalo, ukunyanzeliswa nokucaphukiswa kweentsimbi zesinci ezibangelwa kukugquma okanye disc disc, phakathi kweminye imiba yempilo yomgudu, inokubangela intlungu ye-nerve.
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Sibonelela kwaye sibonise intsebenziswano yeklinikhi neengcaphephe kumacandelo ahlukeneyo. Ingcali nganye ilawulwa ngumsebenzi wabo wobugcisa kunye negunya labo lokufumana iphepha-mvume. Sisebenzisa iiprothokholi ezisebenzayo zempilo kunye nempilo entle ukunyanga nokuxhasa ukhathalelo lokwenzakala okanye ukuphazamiseka kwenkqubo ye-musculoskeletal.
Iividiyo zethu, izithuba, izihloko, imixholo, kunye nokuqonda zibandakanya imiba yezonyango, imiba, kunye nezihloko eziyelelene kwaye zixhase ngokuthe ngqo okanye ngokungathanga ngqo umda wokuziqhelanisa wethu.
I-ofisi yethu izamile ngokufanelekileyo ukubonelela ngeengcaphulo ezixhasayo kwaye ichonge uphando olufanelekileyo lophando okanye izifundo ezixhasa izithuba zethu. Sinikezela ngeekopi zophando ezixhasayo ezifumanekayo kwiibhodi ezilawulayo nakuluntu ngesicelo.
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Iintsikelelo
UDkt Alex Jimenez D.C., I-MSACP, RN*, I-CCST, IFMCP*, I-CIFM*, I-ATN*
email: qeqeshi@elpasofunctionalmedicine.com
Ilayisenisi njengoGqirha weChiropractic (DC) kwi Texas & New Mexico*
Texas DC Ilayisensi # TX5807, New Mexico DC Ilayisensi # I-NM-DC2182
Unikwe Ilayisensi njengoMongikazi oBhalisiweyo (RN*) in Florida
Florida License RN Ilayisensi # I-RN9617241 (Nombolo yolawulo. 3558029)
Ubume obubambeneyo: ILayisensi yeeNkcazo ezininzi: Ugunyaziswe Ukuziqhelanisa I-40 States*
UGqr. Alex Jimenez DC, MSACP, RN* CIFM*, IFMCP*, ATN*, CCST
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