by UDkt Alex Jimenez Ukulimala okunzima , Ukunakekelwa kokulimala
Abantu abaphethwe umunwe ominyene: Ingabe ukwazi izimpawu nezimpawu zomunwe ongaphukile noma ongagudluki kungavumela ukwelashwa ekhaya nokuthi umbona nini umhlinzeki wezempilo?
Umunwe ominyene, owaziwa nangokuthi umunwe ophihlizekile, ukulimala okuvamile lapho ichopho lomunwe liphushelwa ngesandla ngamandla, okwenza ilunga licindezelwe. Lokhu kungabangela ubuhlungu nokuvuvukala emunweni owodwa noma ngaphezulu noma emalungeni omunwe futhi kubangele ukuba imigqa ilula, ihlehle, noma idabuke. (I-American Society for Surgery of the Hand. 2015 ) Umunwe ominyene ngokuvamile ungaphola ngokuqhwaza, ukuphumula, nokuthinta. Lokhu kuvame ukwanele ukuyivumela ukuthi ilulame evikini elilodwa noma amabili uma kungekho ukuphuka noma ukugudluka okukhona. (Carruthers, KH et al., 2016 ) Nakuba ibuhlungu, kufanele ikwazi ukunyakaza. Kodwa-ke, uma umunwe ungakwazi ukunyakazisa, ungase uphuke noma uhlakazeke futhi udinge ama-X-ray, njengoba umunwe ophukile noma ukususwa kwamalunga kungase kuthathe izinyanga ukuze kuphole.
Ukwelashwa kuhlanganisa uqweqwe lukaqhwa, ukuhlola, ukutepha, ukuphumula, ukubona udokotela wezifo zamathambo noma i-osteopath, kanye nokusetshenziswa okuvamile okuqhubekayo ukuze uthole amandla nekhono.
Isinyathelo sokuqala ukucwilisa ukulimala nokukugcina kuphakeme.
Sebenzisa iphakethe leqhwa noma isikhwama semifino efriziwe esongwe ngethawula.
Faka eqhweni umunwe ngezikhathi zemizuzu engu-15.
Susa iqhwa bese ulinda kuze kube yilapho umunwe ubuyela ekushiseni kwawo okujwayelekile ngaphambi kokufaka kabusha uqweqwe.
Ungawufaki eqhweni umunwe ominyene ngaphezu kwezikhawu zemizuzu engu-15 ehoreni elilodwa.
Uma umunwe ominyene unganyakazi kalula noma ubuhlungu buya buba bubi nakakhulu uma uzama ukuwususa, udinga ukubona umhlinzeki wezempilo futhi ube ne-X-ray ukuze uhlole ukuphuka kwethambo noma ukuhlukana. (I-American Society for Surgery of the Hand. 2015 )
Zama ukuhambisa umunwe kancane ngemva kokuvuvukala, futhi ubuhlungu buyancipha.
Uma ukulimala kuncane, umunwe kufanele uhambe ngokungakhululeki okuncane isikhathi esifushane.
Uma umunwe ominyene ungaphukile noma ungahlukani, unganamathiselwa emunweni oseduze nawo ukuze unganyakazi, okwaziwa ngokuthi i-buddy taping. (Uphumelele u-SH et al., 2014 )
I-tape yezinga lezokwelapha kanye ne-gauze phakathi kweminwe kufanele isetshenziselwe ukuvimbela amabhamuza kanye nomswakama ngenkathi uphulukisa.
Umhlinzeki wezempilo angase asikisele ukuphonswa komunwe ukugcina umunwe ominyene uhambisana neminye iminwe.
I-splint ingasiza futhi ukuvimbela umunwe ominyanisiwe ukuthi ungalimali kabusha.
Umunwe ominyene kufanele ugcinwe unganyakazi ukuze ululame ekuqaleni, kodwa ekugcineni, udinga ukunyakaza futhi ugobe ukuze wakhe amandla nokuvumelana nezimo.
Ukuzivocavoca okuhlosiwe kokwelapha ngokomzimba kungaba usizo ekululameni.
Umhlinzeki wokunakekelwa oyinhloko angase akwazi ukubhekisela kumelaphi womzimba ukuze aqinisekise ukuthi umunwe unobubanzi bokunyakaza nokujikeleza okunempilo njengoba ululama.
I-chiropractor noma i-osteopath ingaphinde inikeze izincomo zokusiza ukubuyisela umunwe, isandla, nengalo ekusebenzeni okuvamile.
Kuye ngezinga lokulimala, umunwe nesandla singaba buhlungu futhi sivuvuke izinsuku ezimbalwa noma amasonto.
Kungathatha isikhathi ukuqala ukuzizwa ujwayelekile.
Lapho inqubo yokuphulukisa iqala, abantu bazofuna ukubuyela ekuyisebenziseni ngendlela evamile.
Ukugwema ukusebenzisa i-jammed umunwe kuzoyibangela ukuba ilahlekelwe amandla, okungase, ngokuhamba kwesikhathi, iyenze buthaka futhi yandise ingozi yokulimala kabusha.
Uma ubuhlungu nokuvuvukala kuqhubeka, bonana nomhlinzeki wezempilo ukuze ahlole ukuthi kungenzeka yini ukuphuka, ukugudluka, noma enye inkinga ngokushesha ngangokunokwenzeka, njengoba lokhu kulimala kuba nzima ukukwelapha uma umuntu elinda isikhathi eside kakhulu. (I-University of Utah Health, 2021 )
E-Injury Medical Chiropractic kanye ne-Functional Medicine Clinic, sigxile ngentshiseko ekwelapheni ukulimala kweziguli kanye ne-syndromes yobuhlungu obungapheli kanye nokuthuthukisa ikhono ngokuguquguquka, ukuhamba, kanye nezinhlelo zokushelela eziklanyelwe umuntu ngamunye. Abahlinzeki bethu basebenzisa indlela edidiyelwe ukuze benze izinhlelo zokunakekelwa komuntu siqu ezihlanganisa i-Functional Medicine, i-Acupuncture, i-Electro-Acupuncture, ne-Sports Medicine protocol. Umgomo wethu uwukukhulula ubuhlungu ngokwemvelo ngokubuyisela impilo nokusebenza emzimbeni. Uma umuntu edinga okunye ukwelashwa, uzothunyelwa emtholampilo noma kudokotela omfanele kangcono. UDkt. Jimenez uhlanganyele nodokotela abahlinzayo abaphezulu, ochwepheshe bezokwelapha, abacwaningi bezokwelapha, nabahlinzeki bokubuyisela uNdunankulu ukuze banikeze ukwelashwa okuphumelelayo kakhulu kwemitholampilo.
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I-American Society for Surgery of the Hand. (2015). Umunwe omakiwe. www.assh.org/handcare/condition/jammed-finger
Carruthers, KH, Skie, M., & Jain, M. (2016). Ukulimala Kwe-Jam Yomunwe: Ukuxilongwa Nokuphathwa Kokulimala Kumajoyinti E-Interphalangeal Kuwo wonke Imidlalo Eminingi kanye Namazinga Okuhlangenwe nakho. Impilo yezemidlalo, 8(5), 469–478. doi.org/10.1177/1941738116658643
Won, SH, Lee, S., Chung, CY, Lee, KM, Sung, KH, Kim, TG, Choi, Y., Lee, SH, Kwon, DG, Ha, JH, Lee, SY, & Park, MS (2014). I-Buddy taping: ingabe kuyindlela ephephile yokwelapha ukulimala kweminwe nezinzwane? Imitholampilo yokuhlinzwa kwamathambo, 6(1), 26–31. doi.org/10.4055/cios.2014.6.1.26
I-University of Utah Health. (2021). I-University of Utah Health. Ingabe kufanele ngikhathazeke ngomunwe ominyene? I-University of Utah Health. healthcare.utah.edu/the-scope/all/2021/03/should-i-i-worry about-jammed-finger
by UDkt Alex Jimenez I-Chiropractic , Ukuhlolwa kwe-Chiropractic , Izindaba ze-Chiropractic , Ubuhlungu obungapheliyo , Ukufanekisa Nokuxilonga , Ukwelashwa
Ochwepheshe bezempilo emtholampilo we-chiropractic banikeza kanjani indlela yomtholampilo yokuvimbela amaphutha ezokwelapha kubantu abasezinhlungwini?
Amaphutha ezokwelapha aholela ekufeni kwabantu baseMelika abangu-44,000–98,000 ezibhedlela minyaka yonke, futhi amaningi abangela ukulimala okuyinhlekelele. ( Kohn et al., 2000 ) Lesi sasingaphezu kwenani labantu abafa minyaka yonke ngenxa yengculaza, umdlavuza webele, nezingozi zezimoto ngaleso sikhathi. Ngokocwaningo lwakamuva, inani langempela lokufa lingase lisondele ku-400,000, libeka amaphutha ezokwelapha njengesizathu sesithathu sokufa esivame kakhulu e-US. Imvamisa, la maphutha awawona umkhiqizo wochwepheshe bezokwelapha ababi ngokwemvelo; kunalokho, ziwumphumela wezinkinga zesistimu nohlelo lokunakekelwa kwezempilo, njengamaphethini wokuzijwayeza abahlinzeki abangahambisani, amanethiwekhi omshwalense ahlukene, ukusetshenziswa kancane noma ukungabikho kwezivumelwano zokuphepha, nokunakekelwa okungahlanganisiwe. Isihloko sanamuhla sibheka indlela yomtholampilo yokuvimbela iphutha lezokwelapha esimweni somtholampilo. Sidingida abahlinzeki bezokwelapha abahlobene abangochwepheshe ekwelashweni okuhlukahlukene ukusiza abantu abahlushwa izinkinga ezingapheli. Siphinde futhi siqondise iziguli zethu ngokuzivumela ukuthi zibuze abahlinzeki bazo bezokwelapha abahlobene nabo imibuzo ebaluleke kakhulu neyinkimbinkimbi. UDkt. Alex Jimenez, DC, usebenzisa lolu lwazi kuphela njengesevisi yezemfundo. Disclaimer
Ukunquma ukuthi yiliphi iphutha lezokwelapha okuyisinyathelo esibaluleke kakhulu kunoma iyiphi ingxoxo mayelana nokuvimbela amaphutha ezokwelapha. Ungase ucabange ukuthi lokhu kuwumsebenzi olula kakhulu, kodwa lokho kuphela kuze kube yilapho uhlola uhlu olukhulu lwamagama asetshenziswayo. Amagama amaningi asetshenziswa ngendlela efanayo (ngezinye izikhathi ngephutha) njengoba amanye amagama ashintshashintsha, futhi ngezikhathi ezithile, incazelo yegama incike kulokho okukhethekile okuxoxwa ngakho.
Ngisho noma umkhakha wezokunakekelwa kwempilo uthe ukuphepha kwesiguli kanye nokuqeda noma ukunciphisa amaphutha ezokwelapha kwakuyizinto eziza kuqala, u-Grober no-Bohnen baphawule muva nje ngo-2005 ukuthi baye bahluleka endaweni eyodwa ebalulekile: ukucacisa incazelo yokuthi "mhlawumbe umbuzo obaluleke kakhulu ... iphutha lezokwelapha? Iphutha lezokwelapha ukwehluleka ukuqedela isenzo esihleliwe esimweni sezokwelapha. ( UGrober noBohnen, ngo-2005 ) Nokho, awekho amagama umuntu avame ukuwabona ngephutha lezokwelapha—iziguli, ukunakekelwa kwempilo, nanoma iyiphi enye into—okukhulunywa ngawo kule ncazelo. Naphezu kwalokhu, incazelo inikeza uhlaka oluqinile lwentuthuko eyengeziwe. Njengoba ubona, leyo ncazelo ethile iqukethe izingxenye ezimbili:
Iphutha lokwenza : Ukwehluleka ukuqedela isenzo esihleliwe njengoba bekuhlosiwe.Iphutha lokuhlela: kuyindlela yokuthi, ngisho noma yenziwe ngokuphelele, ayikhiqizi imiphumela oyifunayo.
Imiqondo yamaphutha okwenziwa kanye namaphutha okuhlela ayanele uma sizochaza iphutha lezokwelapha ngokwanele. Lokhu kungenzeka noma kuphi, hhayi endaweni yezokwelapha kuphela. Ingxenye yokuphathwa kwezokwelapha kufanele yengezwe. Lokhu kuveza umqondo wezehlakalo ezingezinhle, ezaziwa njengezehlakalo ezimbi. Incazelo evame kakhulu yesigameko esibi ukulimala okungahlosiwe ezigulini ezilethwa ukwelashwa kwezokwelapha esikhundleni sesifo sazo esiyisisekelo. Le ncazelo iye yamukelwa emhlabeni wonke ngandlela thize. Isibonelo, e-Australia, igama elithi izehlakalo lichazwa ngokuthi ukulimala okubangele ukuthi umuntu athole usizo lwezempilo. Lokhu kuhlanganisa izifo, ukuwa okubangela ukulimala, nezinkinga zemithi kadokotela kanye nemishini yezokwelapha. Izehlakalo ezithile ezingezinhle zingagwemeka.
Okuwukuphela kwenkinga ngalo mbono ukuthi akuzona zonke izinto ezingezinhle ezenzeka ngengozi noma ngamabomu. Ngenxa yokuthi isiguli singase sizuze ekugcineni, kungase kwenzeke isenzakalo esibi esilindelwe kodwa esibekezelelwa. Ngesikhathi sokwelashwa ngamakhemikhali, isicanucanu nokulahlekelwa izinwele yizibonelo ezimbili. Kulokhu, ukwenqaba ukwelashwa okutuswayo kungaba ukuphela kwendlela enengqondo yokuvimbela umphumela ongemuhle. Ngakho sifika emcabangweni wezehlakalo ezimbi ezingagwemeka nezingagwemeki njengoba siqhubeka siphucula incazelo yethu. Akulula ukuhlukanisa ukukhetha ukubekezelela umthelela owodwa uma kunqunywa ukuthi umphumela omuhle uzokwenzeka kanyekanye. Kodwa injongo iyodwa ayisona izaba. ( Inethiwekhi Yokuphepha Yesiguli, 2016, isigaba.3 ) Esinye isibonelo sephutha elihleliwe kungaba ukunqunywa konyawo lwesokudla ngenxa yesimila esandleni sobunxele, okungaba ukwamukela isenzakalo esingesihle esaziwayo nesibikezelwe ngethemba lomphumela onenzuzo lapho kungakaze kuvele khona ngaphambili. Abukho ubufakazi obusekela ukulindela umphumela omuhle.
Amaphutha ezokwelapha abangela ukulimala esigulini ngokuvamile yiwona esigxile kuwo ucwaningo lwethu. Noma kunjalo, amaphutha ezokwelapha angenzeka futhi enzeka lapho isiguli singalinyazwanga. Ukwenzeka kokuphuthelwa eduze kungase kunikeze idatha ebalulekile lapho uhlela indlela yokunciphisa amaphutha ezokwelapha endaweni yokunakekelwa kwezempilo. Noma kunjalo, ukuvama kwalezi zenzakalo uma kuqhathaniswa nezikhathi odokotela ababika ngazo kufanele kuphenywe. Amaphutha aseduze amaphutha ezokwelapha abengadala umonakalo kodwa awenzanga esigulini, ngisho noma isiguli senza kahle. ( U-Martinez et al., 2017 ) Kungani ungavuma okuthile okungase kuphumele ekuthatheni izinyathelo zomthetho? Cabangela isimo lapho umhlengikazi, nganoma yisiphi isizathu, esanda kubuka izithombe zemithi ehlukene futhi esezoyinikeza imithi. Mhlawumbe kukhona okusalibele enkumbulweni yakhe, bese enquma ukuthi akuyona indlela umuthi othile obukeka ngayo. Lapho ebheka, wathola ukuthi imithi engalungile yayinikezwe. Ngemva kokuhlola wonke amaphepha, uyalilungisa iphutha futhi anikeze isiguli incwadi kadokotela efanele. Ingabe kungenzeka ukugwema iphutha esikhathini esizayo uma irekhodi lokuphatha lihlanganisa nezithombe zomuthi ofanele? Kulula ukukhohlwa ukuthi kube nephutha nethuba lokulimaza. Lelo qiniso lihlala liyiqiniso kungakhathaliseki ukuthi sibe nenhlanhla yokulithola ngesikhathi noma sabhekana nemiphumela engemihle.
Sidinga idatha ephelele ukuze sakhe izixazululo ezithuthukisa ukuphepha kwesiguli futhi zehlise amaphutha ezokwelapha. Okungenani, lapho isiguli sisesikhungweni sezokwelapha, konke okungenziwa ukuvimbela ukulimala nokusibeka engozini kufanele kubikwe. Odokotela abaningi baye banquma ukuthi ukusebenzisa amaphutha emishwana nezenzakalo ezimbi kwakuphelele futhi kufanelekile ngemva kokubuyekeza amaphutha nezenzakalo ezimbi ekunakekelweni kwezempilo nokuxoxa ngamandla abo nobuthakathaka ngo-2003. Le ncazelo ehlanganisiwe izokwandisa ukuqoqwa kwedatha, okuhlanganisa amaphutha, izingcingo eziseduze, eduze. uyaphuthelwa, futhi amaphutha asebenzayo nacashile. Ukwengeza, igama elithi izehlakalo ezimbi lihlanganisa amagama avame ukusho ukulimala kwesiguli, njengokulimala kwezokwelapha kanye nokulimala kwe-iatrogenic. Okuwukuphela kwento esele ukunquma ukuthi ibhodi lokubuyekeza liwuhlaka olufanele yini lokusingatha ukuhlukaniswa kwezehlakalo ezimbi ezingagwemeka nezingagwemeki.
Umcimbi womlindi uyisigameko lapho kudingeka khona ukubika kuKhomishana Ehlangene. I-Joint Commission ithi umcimbi womlindi uyisigameko esingalindelekile esibandakanya ukulimala okubi ngokomzimba noma kwengqondo. ( "Sentinel Events," 2004, p.35 ) Akukho ukukhetha, njengoba kufanele kubhalwe phansi. Izikhungo eziningi zokunakekelwa kwempilo, nokho, ziyawagcina amarekhodi azo achaza izehlakalo zabalindi nokuthi yini okufanele yenziwe uma kwenzeka umuntu eqinisekisa ukuthi izindinganiso zeKhomishini Ehlanganyelwe ziyafinyelelwa. Lesi ngesinye salezo zimo lapho kungcono ukuphepha kunokuzisola. Njengoba igama elithi “serious” liwumqondo ohlobene, kungase kube khona ukuklolodelana lapho uvikela osebenza naye noma umqashi. Ngakolunye uhlangothi, ukubika umcimbi womlindi ngokungalungile kungcono kunokwehluleka ukubika umcimbi womlindi. Ukwehluleka ukudalula kungaba nemiphumela emibi, okuhlanganisa ukunqanyulwa komsebenzi.
Uma kucatshangelwa amaphutha ezokwelapha, abantu bavame ukwenza iphutha lokugxila emaphutheni kadokotela. Amaphutha emithi ngokungangabazeki avamile futhi ahlanganisa amaphutha amaningi enqubo njengamanye amaphutha ezokwelapha. Ukwehlukana kwezokuxhumana, amaphutha enziwe ngesikhathi sokunikwa kukadokotela noma ukukhipha, nezinye izinto eziningi zingenzeka. Kodwa siyobe siyahlulela kabi kakhulu le ndaba uma sicabanga ukuthi amaphutha ezidakamizwa ayimbangela yokulimala esigulini. Inselele eyodwa enkulu ekuhlukaniseni amaphutha ezokwelapha ahlukene ukunquma ukuthi kufanele kuhlukaniswe iphutha ngokusekelwe kunqubo ehilelekile noma umphumela. Kuyamukeleka ukuhlola lezo zigaba lapha, uma kubhekwa imizamo eminingi eyenziwe yokuthuthukisa izincazelo zokusebenza ezihlanganisa kokubili inqubo nomphumela, eziningi zazo ezisekelwe emsebenzini ka-Lucian Leape kusukela ngawo-1990.
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Izigaba ezisebenzayo nezingasebenziseki kwakuyizigaba ezimbili eziyinhloko zezehlakalo ezimbi u-Leape nozakwabo abazihlukanisa kulolu cwaningo. ( Leape et al., 1991 ) Izinkinga zokuhlinza zazihlanganisa ukungenwa yizilonda, ukwehluleka ukuhlinzwa, izinkinga ezingezona ezobuchwepheshe, izinkinga sekwephuzile, kanye nobunzima bokusebenza. Okungasebenzi: izihloko ezifana nemithi ehlobene nemithi, ukuxilonga, ukuphathwa kabi, okuhlobene nenqubo, ukuwa, ukuphuka, i-postpartum, i-anesthesia-related, neonatal, kanye nesihloko sokubamba-konke kwesistimu kufakwe ngaphansi kwalesi sigaba sezehlakalo ezimbi. I-Leape iphinde yahlukanisa amaphutha ngokukhomba iphuzu lokuhlukaniswa kwenqubo. Uphinde wahlukanisa lezi zihloko ngezihloko ezinhlanu, ezihlanganisa:
System Ukusebenza Ukuphathwa kwezidakamizwa kwesifo Okuvikelayo
Amaphutha amaningi ezinqubo awela ngaphansi kwesihloko esingaphezu kwesisodwa, nokho wonke asiza ukukhomba imbangela yangempela yenkinga. Uma udokotela ongaphezu koyedwa ebambe iqhaza ekunqumeni izindawo eziqondile ezidinga ukuthuthukiswa, kungase kudingeke imibuzo eyengeziwe.
Ngokobuchwepheshe, iphutha lezokwelapha lingenziwa yinoma yisiphi isisebenzi esibhedlela. Ayigcini kochwepheshe bezokwelapha abafana nodokotela nabahlengikazi. Umqondisi angase avule umnyango, noma ilungu leqembu elihlanzayo lingashiya ikhemikhali lapho ingane ingalibamba. Okubaluleke ngaphezu kokwaziwa komenzi wephutha yisizathu salo. Kuthiwani ngaphambi kwayo? Futhi singaqinisekisa kanjani ukuthi lokho akwenzeki futhi? Ngemva kokuqoqa yonke idatha engenhla nokunye okuningi, yisikhathi sokuthola ukuthi ungawavimbela kanjani amaphutha afanayo. Mayelana nemicimbi yabalindi, iJoint Commission yagunyaza kusukela ngo-1997 ukuthi zonke lezi zigameko zenzeke ngenqubo ebizwa nge-Root Cause Analysis (RCA). Kodwa-ke, ukusebenzisa le nqubo yezehlakalo ezidinga ukubikwa kubantu bangaphandle kuzodinga ukulungiswa.
Ama-RCA "athwebule imininingwane kanye nombono wesithombe esikhulu." Benza amasistimu okuhlola abe lula, ukuhlaziya ukuthi isenzo sokulungisa siyadingeka yini, kanye nokulandelela amathrendi. ( Williams, 2001 ) Nokho, iyini ngempela i-RCA? Ngokuhlola izehlakalo eziholele ephutheni, i-RCA ingagxila ezenzakalweni nasezinqubweni esikhundleni sokubuyekeza noma ukusola abantu abathile. ( I-AHRQ, 2017 ) Yingakho kubaluleke kangaka. I-RCA ivamise ukusebenzisa ithuluzi elibizwa ngokuthi i-Five Whys. Lena inqubo yokuqhubeka uzibuza ukuthi “kungani” ngemva kokukholwa ukuthi unqume imbangela yenkinga.
Isizathu sokuthi kubizwe ngokuthi “izizathu ezinhlanu” yingoba, nakuba ezinhlanu kuyisiqalo esihle kakhulu, kufanele uzibuze ukuthi kungani kuze kube yilapho uthola imbangela eyinhloko yenkinga. Ukubuza ukuthi kungani ngokuphindaphindiwe kungase kwembule amaphutha ezinqubo eziningi ezigabeni ezihlukene, kodwa kufanele uhlale ubuza ukuthi kungani ngaso sonke isikhathi sodaba uze uphelelwe ezinye izinto ezingalungiswa ukuze unikeze umphumela ofiselekayo. Kodwa-ke, amathuluzi ahlukene ngaphandle kwaleli angasetshenziswa ophenyweni lwembangela. Baningi abanye abakhona. Ama-RCA kufanele abe nemikhakha eminingi futhi angaguquguquki futhi abandakanye bonke abathintekayo ephutheni ukuze kugwenywe ukungaqondi kahle noma ukubikwa okungalungile kwezehlakalo.
Amaphutha ezokwelapha ezikhungweni zezempilo ayizehlakalo ezivamile futhi ezingabikwanga ezibeka impilo yeziguli engcupheni. Kucatshangwa ukuthi abantu abangafika engxenyeni yesine yesigidi bayafa unyaka ngamunye ngenxa yamaphutha ezokwelapha. Lezi zibalo azamukelekile esikhathini lapho ukuphepha kwesiguli kufanele kube yinto ehamba phambili, kodwa akukuningi okwenziwayo ukuze kushintshwe izinqubo. Uma amaphutha ezokwelapha echazwe kahle futhi umsuka wenkinga utholakala ngaphandle kokubeka icala kubasebenzi abathile, lokhu akudingekile. Izinguquko ezibalulekile zingenziwa uma izimbangela ezibalulekile zesistimu noma amaphutha enqubo zihlonzwa ngendlela efanele. Indlela engaguquguquki, enemikhakha eminingi yokuhlaziya imbangela esebenzisa izinhlaka ezinjengalezi ezinhlanu zokuthi kungani zicutshungulwa kuze kube yilapho kudalulwa zonke izinkinga nokukhubazeka kuyithuluzi eliwusizo. Nakuba manje sekudingekile ukuze kuqalwe izenzakalo zabalindi, Ukuhlaziywa Kwembangela Yomsuka kungase futhi kufanele kusetshenziswe kuzo zonke izimbangela zamaphutha, kuhlanganise nokuphuthelwa eduze.
I-Ejensi Yocwaningo Lokunakekelwa Kwezempilo Nekhwalithi. (2016). Ukuhlaziya Imbangela. Ibuyiselwe ngomhla ka-Mashi 20, 2017, kusukela psnet.ahrq.gov/primer/root-cause-analysis
Grober, ED, & Bohnen, JM (2005). Ukuchaza iphutha lezokwelapha. Ingabe uJ Surg , 48 (1), i-39-44. www.ncbi.nlm.nih.gov/pubmed/15757035
Kohn, LT, Corrigan, J., Donaldson, MS, & Institute of Medicine (US). IKomidi Lekhwalithi Yokunakekelwa Kwezempilo eMelika. (2000). Ukwenza iphutha kuwumuntu : ukwakha uhlelo lwezempilo oluphephile . National Academy Press. books.nap.edu/books/0309068371/html/index.html
Leape, LL, Brennan, TA, Laird, N., Lawthers, AG, Localio, AR, Barnes, BA, Hebert, L., Newhouse, JP, Weiler, PC, & Hiatt, H. (1991). Uhlobo lwezehlakalo ezingezinhle ezigulini ezilaliswe esibhedlela. Imiphumela ye-Harvard Medical Practice Study II. N Engl J Med , 324 (6), i-377-384. doi.org/10.1056/NEJM199102073240605
I-Lippincott ® NursingCenter ® . Isikhungo sabahlengikazi. (2004). www.nursingcenter.com/pdfjournal?AID=531210&an=00152193-200411000-00038&Journal_ID=54016&Issue_ID=531132
U-Martinez, W., Lehmann, LS, Hu, YY, Desai, SP, & Shapiro, J. (2017). Izinqubo Zokuhlonza Nokubuyekeza Imicimbi Emibi kanye Nokuphuthelwa Okuseduze Esikhungweni Sezokwelapha Sezemfundo. I-Jt Comm J Qual Isiguli Saf , 43 (1), i-5-15. doi.org/10.1016/j.jcjq.2016.11.001
Inethiwekhi Yokuphepha Yesiguli. (2016). Izehlakalo ezimbi, eduze kwamaphutha, namaphutha. Ibuyiselwe ngomhla ka-Mashi 20, 2017, kusukela psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors
Williams, PM (2001). Amasu okuhlaziya imbangela yezimpande. I-Proc (Bayl Univ Med Cent) , 14 (2), i-154-157. doi.org/10.1080/08998280.2001.11927753
by UDkt Alex Jimenez I-Gastro Intestinal Health , Ukuqeqeshwa Kwezempilo
Kubantu ababhekene nokuqunjelwa njalo ngenxa yemithi, ukucindezeleka, noma ukuntuleka kwe-fiber, ingabe ukuzivocavoca umzimba kungakusiza ukukhuthaza ukunyakaza kwamathumbu njalo?
Ukuqunjelwa kuyisimo esivamile. Ukuhlala kakhulu, imithi, ingcindezi, noma ukungatholi i-fiber eyanele kungaholela ekunyakazeni kwamathumbu okungajwayelekile. Ukulungiswa kwendlela yokuphila kungalawula izimo eziningi. Enye yezindlela eziphumelela kakhulu ukuhlanganisa ukuvivinya umzimba okusesilinganisweni okuvamile, ukukhuthaza imisipha yamathumbu ukuba ifinyele ngokwemvelo (U-Huang, R., et al., 2014 ). Lokhu kuhlanganisa ukugijima, i-yoga, i-water aerobics, namandla noma ukuhamba ngokushesha ukuze kuncishiswe ukuqunjelwa.
Ucwaningo luhlaziye abesifazane abakhuluphele abaneminyaka ephakathi nendawo ababenokuqunjelwa okungapheli esikhathini esingamaviki ayi-12. (Tantawy, SA, et al., 2017 )
Iqembu lokuqala lalihamba nge-treadmill izikhathi ezingu-3 ngesonto imizuzu engu-60.
Iqembu lesibili alizange lihlanganyele kunoma yimuphi umsebenzi womzimba.
Iqembu lokuqala laba nokuthuthuka okukhulu ezimpawu zabo zokuqunjelwa kanye nekhwalithi yokuhlola impilo.
Ukungalingani kwamagciwane emathunjini nakho kuhlotshaniswa nezinkinga zokuqunjelwa. Olunye ucwaningo lwalugxile emphumeleni wokuhamba ngokushesha uqhathanisa nokuzivocavoca okuqinisa imisipha ewumgogodla njengamapulangwe ekubunjweni kwe-microbiota yamathumbu. (Morita, E., et al., 2019 ) Imiphumela yabonisa ukuthi izivivinyo ze-aerobic ezifana namandla/ukuhamba ngokushesha kungasiza ukukhulisa amathumbu Ama-bacterium , ingxenye ebalulekile yamagciwane amathumbu anempilo. Ucwaningo lubonise umphumela omuhle lapho abantu behlanganyela okungenani imizuzu engu-20 yokuhamba ngokushesha nsuku zonke. (Morita, E., et al., 2019 )
Ukuzivocavoca umzimba kungaba isici esibalulekile sokuvikela ekwehliseni umdlavuza wekoloni. (I-National Cancer Institute. 2023 ) Abanye balinganisela ukuncishiswa kwengozi ku-50%, futhi ukuvivinya umzimba kungasiza ngisho nokuvimbela ukuphinda kwenzeke ngemva kokuxilongwa komdlavuza wekoloni, futhi u-50% kwezinye izifundo zeziguli ezinomdlavuza wekholoni wesigaba II noma isigaba III. (I-Schoenberg MH 2016 )
Imiphumela emihle kakhulu itholwe ngokuzivocavoca okunamandla okumaphakathi, okufana namandla/ukuhamba ngokushesha, cishe amahora ayisithupha ngeviki.
Ukufa kwehliswe ngo-23% kubantu abebezivocavoca okungenani imizuzu engama-20 izikhathi ezimbalwa ngesonto.
Iziguli ezinomdlavuza wekholoni ezingasebenzi ezaqala ukuvivinya umzimba ngemva kokuxilongwa kwazo ziye zaba nemiphumela engcono kakhulu kunabantu abahlala bodwa, okubonisa ukuthi akukephuzi kakhulu ukuqala ukujima.(I-Schoenberg MH 2016 )
Iziguli ezikhuthele kakhulu zaba nemiphumela engcono kakhulu.
Abanye abagijimi nabahamba ngezinyawo baba nekholoni esebenza ngokweqile, okuholela esihudo esihlobene nokuzivocavoca noma indle exekethile, eyaziwa ngokuthi ama-runner's trots. Abasubathi abangafika kwabangu-50% baba nezinkinga zesisu ngesikhathi sokuzivivinya kanzima. (de Oliveira, EP et al., 2014 ) Izinyathelo zokuvimbela ezingathathwa zihlanganisa.
Ukungadli emahoreni amabili okuzivocavoca.
Gwema i-caffeine noketshezi olufudumele ngaphambi kokuzivocavoca.
Uma uzwela ku-lactose, gwema imikhiqizo yobisi noma usebenzise i-Lactase.
Qinisekisa ukuthi umzimba unamanzi amaningi ngaphambi kokuzivocavoca.
Ukukhipha amanzi ngesikhathi sokuzivocavoca.
Uma uzivocavoca ku- ekuseni :
Phuza cishe izinkomishi ezingu-2.5 zoketshezi noma isiphuzo sezemidlalo ngaphambi kokulala.
Phuza cishe izinkomishi ezingu-2.5 zoketshezi ngemva kokuvuka.
Phuza ezinye izinkomishi eziyi-1.5 - 2.5 zoketshezi imizuzu engama-20-30 ngaphambi kokuzivocavoca.
Phuza ama-ounces angu-12-16 njalo ngemizuzu engu-5-15 ngesikhathi sokuzivocavoca.
If ukuzivocavoca imizuzu engaphezu kwengama-90 :
Phuza isixazululo se-fluid-ounce esingu-12 - 16 esiqukethe amagremu angu-30-60 we-carbohydrates, i-sodium, i-potassium, ne-magnesium njalo ngemizuzu engu-5-15.
Ukuqunjelwa ngezikhathi ezithile kungase kuxazululwe ngokulungisa indlela yokuphila njengokunyuka kokudla kwefayibha, ukuvivinya umzimba, noketshezi. Abantu ababhekene nendle enegazi noma i-hematochezia, abasanda kulahlekelwa ngamakhilogremu angu-10 noma ngaphezulu, bane-anemia yokuntuleka kwensimbi, banokuhlolwa okuqondile kwe-fecal/igazi elifihliwe, noma abanomlando womndeni womdlavuza wekoloni badinga ukubonana nomhlinzeki wezempilo noma uchwepheshe ukuze enze okuthile. ukuhlola ukuze kuqinisekiswe ukuthi azikho izinkinga eziwumsuka noma izimo ezibucayi. (Jamshed, N. et al., 2011 ) Ngaphambi kokuhamba ngezinyawo ukuze bathole usizo lokuqunjelwa, abantu kufanele bathintane nomhlinzeki wabo wezempilo ukuze babone ukuthi kuphephile yini kubo.
Ku-Injury Medical Chiropractic kanye ne-Functional Medicine Clinic, izindawo zethu zokuzijwayeza zihlanganisa Wellness & Nutrition, Pain Chronic, Ukulimala Komuntu, Ukunakekelwa Kwezingozi Ezizenzakalelayo, Ukulimala Komsebenzi, Ukulimala Emuva, Ubuhlungu Be-Low Back, Ubuhlungu Bentamo, Ikhanda Lekhanda Le-Migraine, Ukulimala Kwezemidlalo, Okunzima Sciatica , Scoliosis, Complex Herniated Discs, Fibromyalgia, Pain Chronic, Complex Injuries, Stress Management, Functional Medicine Treatments, kanye ne-in-scope care protocols. Sigxila kulokho okukusebenzelayo ukuze ufinyelele imigomo yokuthuthukisa nokudala umzimba othuthukisiwe ngezindlela zocwaningo nezinhlelo zempilo ephelele. Uma kudingeka okunye ukwelashwa, abantu bazothunyelwa emtholampilo noma kudokotela ofaneleka kakhulu ukulimala kwabo, isimo, kanye/noma ukugula kwabo.
VIDEO
U-Huang, R., Ho, SY, Lo, WS, & Lam, TH (2014). Umsebenzi womzimba nokuqunjelwa entsheni yaseHong Kong. I-PloS eyodwa, 9(2), e90193. doi.org/10.1371/journal.pone.0090193
Tantawy, SA, Kamel, DM, Abdelbasset, WK, & Elgohary, HM (2017). Imiphumela yomsebenzi womzimba ohlongozwayo nokulawulwa kokudla ukulawula ukuqunjelwa kwabesifazane abakhuluphele abaneminyaka ephakathi. Isifo sikashukela, i-metabolic syndrome kanye nokukhuluphala: okuhlosiwe kanye nokwelashwa, i-10, 513-519. doi.org/10.2147/DMSO.S140250
Morita, E., Yokoyama, H., Imai, D., Takeda, R., Ota, A., Kawai, E., Hisada, T., Emoto, M., Suzuki, Y., & Okazaki, K. (2019). Ukuqeqeshwa kwe-Aerobic Exercise With Brisk Walking Kwenyusa Ama-Bacteroides Amathumbu Kwabesifazane Asebekhulile Abanempilo. Izakhamzimba, 11(4), 868. doi.org/10.3390/nu11040868
I-National Cancer Institute. (2023). I-Colorectal Cancer Prevention (PDQ(R)): Inguqulo Yesiguli. Ku-PDQ Cancer Information Summaries. www.cancer.gov/types/colorectal/patient/colorectal-prevention-pdq www.ncbi.nlm.nih.gov/pubmed/26389376
I-Schoenberg MH (2016). Umsebenzi Womzimba Nokudla Okunomsoco Ekuvimbeleni Okuyisisekelo NasesiPhakathi KweCancer Colorectal. Umuthi we-Visceral, 32(3), 199-204. doi.org/10.1159/000446492
de Oliveira, EP, Burini, RC, & Jeukendrup, A. (2014). Izikhalazo zamathumbu ngesikhathi sokuzivocavoca: ukusabalala, i-etiology, kanye nezincomo zokudla okunomsoco. Umuthi wezemidlalo (Auckland, NZ), 44 Suppl 1(Suppl 1), S79–S85. doi.org/10.1007/s40279-014-0153-2
Jamshed, N., Lee, ZE, & Olden, KW (2011). Indlela yokuxilonga yokuqunjelwa okungapheli kubantu abadala. Udokotela womndeni waseMelika, 84(3), 299-306.
by UDkt Alex Jimenez Ukuzivocavoca , Ukufaneleka
Kubantu abafuna ukuthuthukisa impilo yabo yokufaneleka, ingabe ukuhlolwa kokufaneleka kungahlonza izindawo ezingaba khona futhi kusize ukuhlola isimo sempilo nesimo somzimba sisonke?
Ukuhlolwa kokufaneleka, okwaziwa nangokuthi ukuhlola ukufaneleka, kusiza ukuhlola impilo yomuntu iyonke kanye nempilo yomzimba. Kuhlanganisa uchungechunge lwezivivinyo ukuze udizayine uhlelo olufanele lokuzivocavoca lwezempilo jikelele kanye nokuqina. (Inhlangano Kazwelonke Yamandla Nezimo. 2017 ) Izinzuzo zokuhlolwa kokufaneleka zifaka:
Ukuhlonza izindawo ezidinga ukuthuthukiswa.
Ukusiza ochwepheshe ekuqondeni ukuthi yiziphi izinhlobo zokuzivocavoca eziphephe kakhulu nezisebenza kahle kakhulu.
Ukusiza ukukala ukuqhubeka kokufaneleka ngokuhamba kwesikhathi.
Ukuvumela uhlelo lomuntu ngamunye olungasiza ekuvimbeleni ukulimala nokugcina impilo yonke yomzimba.
Ukuhlola kungahlanganisa izinhlobonhlobo zokuhlola, okuhlanganisa:
Ukuhlolwa kokwakheka komzimba.
Ukuhlolwa kokucindezeleka kwenhliziyo.
Ukuhlolwa kokukhuthazela.
Ibanga lokuhlolwa kokunyakaza.
Zenzelwe ukuqinisekisa ukuthi umuntu ngeke abe sengcupheni yokulimala futhi zinikeze umqeqeshi imininingwane edingekayo ukuze asungule imigomo yokufaneleka ecacile nesebenzayo. Abantu abazibuza ukuthi ukuhlolwa kokufaneleka kungabazuzisa yini kufanele baxhumane nomhlinzeki wabo wezempilo.
Ngaphambi kokuqala uhlelo lokufaneleka, kubalulekile ukwazisa umqeqeshi ngomlando wezokwelapha ngamunye futhi uthole ukugunyazwa okudingekayo kumhlinzeki wokunakekelwa kwezempilo oyinhloko. (I-Harvard Health Publishing. Isikole Sezokwelapha saseHarvard. 2012 ) Ochwepheshe bokufaneleka ngokuvamile basebenzisa ithuluzi lokuhlola elilodwa noma amaningi ukuze basize ukunquma impilo yomuntu ngamunye.I-National Academy of Sports Medicine. 2020 ) Phakathi kwemibuzo, abantu bangase babuzwe mayelana nemithi abayithathayo, noma yiziphi izinkinga zesiyezi noma ubuhlungu, noma izimo zezempilo ezingase ziphazamise ikhono labo lokuzivocavoca.
Ukwakheka komzimba kuchaza isamba sezingxenye zesisindo somzimba, okuhlanganisa imisipha, amathambo, namafutha. Izindlela ezivame kakhulu zokulinganisa ukwakheka komzimba zihlanganisa:
Ngesikhathi se-BIA, amasignali kagesi athunyelwa kusuka kuma-electrode ngamathe ezinyawo kuya esiswini ukuze alinganise ukwakheka komzimba. (I-Doylestown Health. 2024 )
Lezi zilinganiso zisebenzisa ama-caliper ukulinganisa inani lamafutha omzimba esikhumbeni sesikhumba.
Ukuhlola ukukhuthazela kwenhliziyo nemithambo yegazi, okubuye kwaziwe ngokuthi ukuhlola ukucindezeleka, kukala ukuthi inhliziyo namaphaphu kusebenza kahle kangakanani ukuze kunikeze umoya-mpilo namandla emzimbeni ngesikhathi sokuzivivinya. (UC Davis Health, 2024 ) Izivivinyo ezintathu ezivame ukusetshenziswa zihlanganisa:
Ukuhlolwa kokugijima kwemizuzu eyishumi nambili kwenziwa ku-treadmill, futhi izinga lomuntu ngaphambi kokuzivivinya kwenhliziyo kanye namazinga okuphefumula aqhathaniswa nezinga lenhliziyo yangemva kokuzivocavoca kanye namazinga okuphefumula.
Ukuhlolwa kokucindezeleka kokuzivocavoca kwenziwa ku-treadmill noma ibhayisikili elimile.
Kuhilela ukusebenzisa isiqaphi senhliziyo kanye ne-blood pressure cuff ukukala izimpawu ezibalulekile phakathi nokuzivocavoca.
Kwenziwe ku-treadmill noma ibhayisikili elimile.
Ukuhlola okuphezulu kwe-V02 kusebenzisa idivayisi yokuphefumula ukukala izinga eliphezulu lokusetshenziswa komoyampilo phakathi nomsebenzi womzimba (UC Davis Health, 2024 )
Abanye abaqeqeshi bazohlanganisa izivivinyo ezifana nokuhlala-ups noma ukusunduza ukuze balinganise impendulo kuma-exercises athile.
Le miphumela eyisisekelo ingasetshenziswa kamuva ukuze kubonakale ukuthi amazinga ezempilo nawokuqina athuthukile yini.
Ukuhlolwa kokukhuthazela kwemisipha kulinganisa ubude besikhathi iqembu lemisipha elingakwazi ukuhoxisa futhi likhulule ngaphambi kokuba likhathale. Ukuhlola amandla kulinganisa inani eliphezulu lamandla iqembu lemisipha elingawasebenzisa. (UMkhandlu WaseMelika Wokuzivivinya, uJiminez C., 2018 ) Izivivinyo ezisetshenzisiwe zihlanganisa:
Ukuhlolwa kwe-push-up.
Amandla angumongo nokuhlolwa kokuqina.
Kwesinye isikhathi, umqeqeshi uzosebenzisa i-metronome ukukala ukuthi umuntu angahambisana nesikhathi esingakanani nesigqi. Imiphumela ibe isiqhathaniswa nabantu beqembu lobudala nobulili obufanayo ukuze kutholwe izinga lesisekelo. Ukuhlolwa kwamandla nokukhuthazela kubalulekile njengoba kusiza indawo yomqeqeshi lapho amaqembu emisipha anamandla, asengozini, futhi adinga ukunakwa okugxilile. (Heyward, VH, Gibson, AL 2014 ).
Ukulinganisa ukuguquguquka kwamalunga kubalulekile ekunqumeni ukuthi ingabe abantu banokungalingani kwe-postural, ukuntengantenga kwezinyawo, noma ukulinganiselwa kuhlu lokunyakaza. (Pate R, Oria M, Pillsbury L, 2012 )
Ukuhlola ukuguquguquka kwehlombe kuhlola ukuguquguquka nokuhamba kwejoyinti lehlombe.
Wenziwa ngokusebenzisa isandla esisodwa ukuze ufinyelele ngemuva kwentamo, phakathi kwamahlombe, nesinye isandla ukuze ufinyelele ngemuva, ngasemahlombe, ukuze ulinganise ukuthi izandla ziqhelelene kangakanani. (Baumgartner TA, PhD, Jackson AS, PhD et al., 2015 )
Lokhu kuhlola kukala ukucinana emisipha engezansi emuva kanye nemisipha. (I-American Council of Exercise, i-Metcalf A. 2014 )
Ukuhlolwa kokuhlala nokufinyelela kwenziwa phansi imilenze yelulwe ngokugcwele.
Ukuvumelana nezimo kukalwa ngokuthi mangaki ama-intshi izandla ezisuka ezinyaweni uma zifinyelela phambili.
Ukuhlolwa kwe-trunk lift kusetshenziselwa ukukala ukucinana emhlane ophansi.
Wenziwa ngenkathi ulele ubheke phansi izingalo ziseceleni kwakho.
Umuntu uzocelwa ukuthi aphakamise umzimba wakhe ongaphezulu ngemisipha yangemuva nje.
Ukuvumelana nezimo kukalwa ngokuthi mangaki ama-intshi umuntu angaziphakamisa esuka phansi. (Baumgartner TA, PhD, Jackson AS, PhD et al., 2015 )
Ukuhlolwa kokuhlolwa kokufaneleka kunezinzuzo ezihlukahlukene. Ingasiza abaqeqeshi baklame uhlelo lokujima lomuntu siqu, ukusiza abantu ukuhlonza izindawo zokufaneleka ezidinga ukuthuthukiswa, ukukala inqubekelaphambili, futhi bengeze ukuqina nokukhuthazela esimisweni sabo, esingasiza ukuvimbela ukulimala nosizo. gcina impilo yonke . Sigxila kulokho okukusebenzelayo futhi silwela ukwenza ngcono umzimba ngokusebenzisa izindlela ezicwaningiwe nezinhlelo zempilo ephelele. Lezi zinhlelo zemvelo zisebenzisa ikhono lomzimba lokufeza izinhloso zokuthuthukisa. Buza uchwepheshe wezokunakekelwa kwempilo noma uchwepheshe wokufaneleka ukuze uthole isiqondiso uma udinga iseluleko.
VIDEO
Inhlangano Kazwelonke Yamandla Nezimo. (2017). Izinjongo zokuhlola. www.nsca.com/education/articles/kinetic-select/purposes-of-assessment/
I-Harvard Health Publishing. Isikole Sezokwelapha saseHarvard. (2012). Ingabe udinga ukubonana nodokotela ngaphambi kokuqala uhlelo lwakho lokuzivocavoca? I-HealthBeat. www.health.harvard.edu/healthbeat/do-you-need-to-see-a-doctor-before-starting-your-exercise-program
I-National Academy of Sports Medicine. (2020). I-PAR-Q-+ Uhlu Lwemibuzo Lokulungela Umsebenzi Womzimba wawo wonke umuntu. www.nasm.org/docs/pdf/parqplus-2020.pdf?sfvrsn=401bf1af_24
I-Doylestown Health. (2024). Ukuhlaziywa kwe-Bio-Electric Impedance Analysis (BIA) -Ukuhlaziywa Kwesisindo Somzimba. www.doylestownhealth.org/service-lines/nutrition#maintabbed-content-tab-2BDAD9F8-F379-403C-8C9C-75D7BFA6E596-1-1
I-National Heart, Lung, kanye ne-Blood Institute. Umnyango Wezempilo Nezinsizakalo Zabantu wase-US. (ND). Bala inkomba yesisindo somzimba wakho. Kubuyiswe kusuka www.nhlbi.nih.gov/health/educational/lose_wt/BMI/bmicalc.htm
UC Davis Health. (2024). I-VO2max ne-Aerobic Fitness. health.ucdavis.edu/sports-medicine/resources/vo2description
I-American Council on Exercise. UJiminez C. (2018). Ukuqonda i-1-RM kanye nokuhlolwa kwe-RM oku-1 okubikezelwe. Ukufaneleka kwe-ACE. www.acefitness.org/fitness-certifications/ace-answers/exam-preparation-blog/2894/understanding-1-rm-and-predicted-1-rm-assessments/
Heyward, VH, Gibson, AL (2014). Ukuhlola Ukufaneleka Okuthuthukisiwe kanye Nencwadi Kadokotela Yokuzivocavoca. I-United Kingdom: I-Human Kinetics. www.google.com/books/edition/Advanced_Fitness_Assessment_and_Exercise/PkdoAwAAQBAJhl=en&gbpv=1&dq=Strength+and+endurance+tests+muscle+groups+are+stronger+and+weaker&pg=PA173&printsec=frontcover#v=onepage&q=Strength%20and%20endurance%20tests%20muscle%20groups%20are%20stronger%20and%20weaker&f=false
Pate R, Oria M, Pillsbury L, (Eds). (2012). Izinyathelo eziphathelene nempilo yentsha: Ukuvumelana nezimo. Ku-R. Pate, M. Oria, & L. Pillsbury (Eds.), Izinyathelo Zokufaneleka kanye Nemiphumela Yezempilo Entsha. doi.org/10.17226/13483
Baumgartner, T. A., Jackson, A. S., Mahar, M. T., Rowe, D. A. (2015). Isilinganiso Sokuhlola ku-Kinesiology. I-United States: UJones & Bartlett Learning. www.google.com/books/edition/Measurement_for_Evaluation_in_Kinesiolog/_oCHCgAAQBAJ?hl=en&gbpv=1&dq=Measurement+for+Evaluation+in+Kinesiology+(9th+Edition).&printsec=frontcover#v=onepage&q&f=
I-American Council of Exercise. Metcalf A. (2014). Ungakuthuthukisa kanjani ukuguquguquka nokukugcina. Ukufaneleka kwe-ACE. www.acefitness.org/resources/everyone/blog/3761/how-to-improve-flexibility-and-maintain-it/
by UDkt Alex Jimenez I-Chiropractic , Ubuhlungu obungapheliyo , Ukulimala okunzima , Ukuhamba Nezimo , Ukuhlanzeka komgogodla , Care Spine , Ukwelashwa , I-Viscerosomatic Reflex
Ingabe abantu abane-Ehlers-Danlos syndrome bangathola ukukhululeka ngokwelashwa okuhlukahlukene okungahlinzeki ukuze banciphise ukuntengantenga kwamalunga?
Amalunga kanye nemigqa ezungeze uhlelo lwe-musculoskeletal ivumela imikhawulo ephezulu nephansi ukuthi igxilise umzimba futhi ihambe. Imisipha ehlukahlukene kanye nezicubu ezithambile ezixhumeneyo ezizungeza amalunga zisiza ukuwavikela ekulimaleni. Lapho izici zemvelo noma iziyaluyalu ziqala ukuba nomthelela emzimbeni, abantu abaningi baba nezinkinga ezidala ukweqana kwamaphrofayili ezingozi, okuba nomthelela ekuzinzeni kwamalunga. Esinye sezifo ezithinta amalunga nezicubu ezixhumeneyo yi-EDS noma i-Ehlers-Danlos syndrome. Lokhu kuphazamiseka kwezicubu ezixhumene nakho kungabangela ukuthi amalunga omzimba abe yi-hypermobile. Kungabangela ukungazinzi kwamalunga emaphethelweni aphezulu naphansi, ngaleyo ndlela kushiye umuntu ebuhlungu njalo. Isihloko sanamuhla sigxile ku-Ehlers-Danlos syndrome kanye nezimpawu zayo nokuthi zikhona kanjani izindlela ezingezona ezokuhlinzwa zokulawula lesi sifo esixhumene nezicubu ezixhumeneyo. Sixoxa nabahlinzeki bezokwelapha abaqinisekisiwe abahlanganisa ulwazi lweziguli zethu ukuze sihlole ukuthi i-Ehlers-Danlos syndrome ingahlobana kanjani nezinye izifo zemisipha namathambo. Siphinde sazise futhi siqondise iziguli ukuthi ukwelapha okuhlukahlukene okungahlinzeki kungasiza kanjani ekunciphiseni izimpawu ezifana nobuhlungu nokulawula i-Ehlers-Danlos syndrome. Siphinde sikhuthaze iziguli zethu ukuthi zibuze abahlinzeki bazo bezokwelapha abahlobene nabo imibuzo eminingi eyinkimbinkimbi nebalulekile mayelana nokuhlanganisa izindlela zokwelapha ezingezona zokuhlinzwa njengengxenye yendlela yazo yansuku zonke yokuphatha imiphumela ye-Ehlers-Danlos syndrome. UDkt. Jimenez, DC, uhlanganisa lolu lwazi njengesevisi yezemfundo. Disclaimer .
Ingabe uvame ukuzizwa ukhathele kakhulu usuku lonke, ngisho nangemva kokulala ubusuku bonke? Ingabe ulimaza kalula futhi uzibuze ukuthi le mihuzuko ivelaphi? Noma uke waqaphela ukuthi unobubanzi obunyukile emalungeni akho? Eziningi zalezi zinkinga zivame ukuhlotshaniswa nesifo esaziwa ngokuthi i-Ehlers-Danlos syndrome noma i-EDS esithinta amalunga nezicubu ezixhumeneyo. I-EDS ithinta izicubu ezixhumeneyo emzimbeni. Izicubu ezixhumeneyo emzimbeni zisiza ukunikeza amandla nokunwebeka kwesikhumba, amalunga, kanye nezindonga zemithambo yegazi, ngakho-ke lapho umuntu ebhekene ne-EDS, kungabangela ukuphazamiseka okukhulu ohlelweni lwe-musculoskeletal. I-EDS ixilongwa kakhulu emitholampilo, futhi odokotela abaningi baye baqaphela ukuthi ukufakwa kwekhodi yofuzo kwe-collagen namaprotheni asebenzisana emzimbeni kungasiza ekunqumeni ukuthi yiluphi uhlobo lwe-EDS oluthinta umuntu. ( U-Miklovic no-Sieg, 2024 )
Lapho uqonda i-EDS, kubalulekile ukwazi izinto eziyinkimbinkimbi zalesi sifo sezicubu ezixhumeneyo. I-EDS ihlukaniswa yaba izinhlobo eziningi ezinezici ezihlukile nezinselele ezihlukahluka kuye ngobunzima. Enye yezinhlobo ezivame kakhulu ze-EDS i-hypermobile Ehlers-Danlos syndrome. Lolu hlobo lwe-EDS lubonakala nge-hypermobility evamile yamalunga, ukungazinzi kwamalunga, nobuhlungu. Ezinye zezimpawu ezihlotshaniswa ne-hypermobile EDS zihlanganisa i-subluxation, i-dislocation, nokulimala kwezicubu ezithambile ezivamile futhi ezingase zenzeke ngokuzenzakalelayo noma ngokuhlukumezeka okuncane. ( Hakim, 1993 ) Lokhu ngokuvamile kungabangela ubuhlungu obukhulu emalungeni angaphezulu nangaphansi. Ngohlu olubanzi lwezimpawu kanye nesimo somuntu siqu sesimo ngokwaso, abaningi ngokuvamile abaqapheli ukuthi i-hypermobility ehlangene ivamile kubantu abaningi futhi ingase ingabi nezinkinga ezibonisa ukuthi kuwukuphazamiseka kwezicubu ezixhumeneyo. ( Gensemer et al., 2021 ) Ukwengeza, i-hypermobile EDS ingaholela ekukhubazekeni komgogodla ngenxa yokunwebeka ngokweqile kwesikhumba, amalunga, nobuthaka obuhlukahlukene bezicubu. I-pathophysiology yokukhubazeka komgogodla ehlotshaniswa ne-hypermobile EDS ngokuyinhloko ngenxa ye-muscle hypotonia kanye ne-ligament laxity. ( Uehara et al., 2023 ) Lokhu kudala ukuthi abantu abaningi behlise izinga lempilo yabo kanye nemisebenzi yansuku zonke kakhulu. Kodwa-ke, kunezindlela zokuphatha i-EDS kanye nezimpawu zayo ezihambisanayo ukuze kuncishiswe ukungazinzi kwamalunga.
VIDEO
Uma kuziwa ekufuneni izindlela zokuphatha i-EDS ukuze kuncishiswe ubuhlungu nokungazinzi kwamalungu, ukwelapha okungezona ukuhlinzwa kungasiza ukubhekana nezici ezingokomzimba nezingokomzwelo zesimo. Ukwelashwa okungahlinzeki kwabantu abane-EDS kuvame ukugxila ekwandiseni ukusebenza komzimba komzimba kuyilapho kuthuthukisa amandla emisipha nokuzinza kwamalunga. ( U-Buryk-Iggers et al., 2022 ) Abantu abaningi abane-EDS bazozama ukuhlanganisa amasu okulawula ubuhlungu kanye nokwelapha ngokomzimba kanye sebenzisa izinsimbi nezinsimbi ezisizayo ukuze unciphise imiphumela ye-EDS futhi uthuthukise izinga lempilo yazo.
Ukwelashwa okuhlukahlukene okungahlinzeki njenge-MET (isu lamandla emisipha), i-electrotherapy, ukwelapha ngokomzimba okukhanyayo, ukunakekelwa kwe-chiropractic, nokumasaji. ingasiza ukuqinisa ngenkathi i-toning imisipha ezungezile azungeze amalunga, anikeze ukukhululeka okwanele kobuhlungu, futhi anciphise ukuncika isikhathi eside emithini. ( UBroida et al., 2021 ) Ukwengeza, abantu ababhekene ne-EDS bahlose ukuqinisa imisipha ethintekile, ukuzinzisa amalunga, nokuthuthukisa ukufaneleka. Izindlela zokwelapha ezingahlinzeki zivumela umuntu ukuba abe nohlelo lokwelapha oluqondene nobukhulu bezimpawu ze-EDS futhi lusize ekunciphiseni ubuhlungu obuhambisana nalesi simo. Abantu abaningi, lapho behlela uhlelo lwabo lokwelashwa ngokulandelana ukuze baphathe i-EDS yabo futhi banciphise izimpawu ezifana nobuhlungu, bazobona ukuthuthuka kokungakhululeki kwezimpawu. ( Khokhar et al., 2023 ) Lokhu kusho ukuthi ukwelapha okungezona ukuhlinzwa kuvumela abantu ukuba bacabangele imizimba yabo futhi banciphise imiphumela efana nezinhlungu ze-EDS, ngaleyo ndlela kuvumela abantu abaningi abane-EDS ukuba baphile ukuphila okugcwele, okunethezekile ngaphandle kokuzwa ubuhlungu nokungakhululeki.
Broida, SE, Sweeney, AP, Gottschalk, MB, & Wagner, ER (2021). Ukuphathwa kokungazinzi kwehlombe ku-hypermobility-type Ehlers-Danlos syndrome. I-JSES Rev Rep Tech , 1 (3), i-155-164. doi.org/10.1016/j.xrrt.2021.03.002
Buryk-Iggers, S., Mittal, N., Santa Mina, D., Adams, SC, Englesakis, M., Rachinsky, M., Lopez-Hernandez, L., Hussey, L., McGillis, L., McLean , L., Laflamme, C., Rozenberg, D., & Clarke, H. (2022). Ukuzivocavoca Nokuvuselela Kubantu Abane-Ehlers-Danlos Syndrome: Ukubuyekezwa Okuhlelekile. I-Arch Rehabil Res Clin Transl , 4 (2), i-100189. doi.org/10.1016/j.arrct.2022.100189
Gensemer, C., Burks, R., Kautz, S., Judge, DP, Lavallee, M., & Norris, RA (2021). I-Hypermobile Ehlers-Danlos syndromes: I-phenotypes eyinkimbinkimbi, ukuxilonga okuyinselele, nezimbangela ezingaqondakali kahle. I-Dev Dyn , 250 (3), i-318-344. doi.org/10.1002/dvdy.220
Hakim, A. (1993). I-Hypermobile Ehlers-Danlos Syndrome. Ku-MP Adam, J. Feldman, GM Mirzaa, RA Pagon, SE Wallace, LJH Bean, KW Gripp, & A. Amemiya (Eds.), GeneReviews((R)) . www.ncbi.nlm.nih.gov/pubmed/20301456
Khokhar, D., Powers, B., Yamani, M., & Edwards, MA (2023). Izinzuzo Zokwelashwa Kwe-Osteopathic Manipulative Esigulini Esine-Ehlers-Danlos Syndrome. I-Cureus , 15 (5), i-e38698. doi.org/10.7759/cureus.38698
U-Miklovic, T., & Sieg, VC (2024). I-Ehlers-Danlos Syndrome. Ku StatPearls . www.ncbi.nlm.nih.gov/pubmed/31747221
Uehara, M., Takahashi, J., & Kosho, T. (2023). Ukukhubazeka Komgogodla ku-Ehlers-Danlos Syndrome: Gxila Ohlotsheni Lwe-Musculocontractural. Izakhi zofuzo (Basel) , 14 (6). doi.org/10.3390/genes14061173
by UDkt Alex Jimenez Ukulimala okunzima , Ukuhamba Nezimo
Ingabe ukuqonda amalunga omzimba wehinge nendlela asebenza ngayo kungasiza ngezinkinga zokuhamba nokuvumelana nezimo futhi ulawule izimo zabantu abanenkinga yokugoba ngokugcwele noma ukwelula iminwe yabo, izinzwane, izindololwane, amaqakala, noma amadolo?
Inhlanganisela yakha lapho ithambo elilodwa lixhuma kwelinye, livumela ukunyakaza. Izinhlobo ezahlukene zamalunga ziyahlukahluka ngesakhiwo nokunyakaza kuye ngendawo yawo. Lokhu kufaka phakathi ihinge, ibhola nesokhethi, i-planar, i-pivot, isihlalo sehhashi, namalunga e-ellipsoid. (Akunamkhawulo. I-General Biology, ND ) Ama-hinge joints angama-synovial amalunga ahamba ngendiza eyodwa yokunyakaza: i-flexion nesandiso. Amalunga amahinge atholakala eminweni, ezindololwaneni, emadolweni, emaqakaleni nasezinzwaneni futhi alawule ukunyakaza kwemisebenzi ehlukahlukene. Ukulimala, i-osteoarthritis, nezimo ze-autoimmune zingathinta amalunga ama-hinge. Ukuphumula, imithi, iqhwa, nokwelashwa ngokomzimba kungasiza ekudambiseni ubuhlungu, kuthuthukise amandla nokunyakaza okuhlukahlukene, futhi kusize ukuphatha izimo.
Ilunga lakhiwa ngokuhlangana kwamathambo amabili noma ngaphezulu. Umzimba womuntu unezigaba ezintathu eziyinhloko zamalunga, ezihlukaniswa ngezinga angahamba ngalo. Lokhu kubandakanya: (Akunamkhawulo. I-General Biology, ND )
Lawa angamalunga angaguquki, anganyakazi.
Yakhiwe ngamathambo amabili noma ngaphezulu.
Eyaziwa nangokuthi amalunga e-cartilaginous.
I-fibrocartilage disc ihlukanisa amathambo akha amalunga.
Lawa malungu anyakazayo avumela ukunyakaza okuncane.
Eyaziwa nangokuthi ama-synovial joints.
Lawa amajoyinti ahamba ngokukhululekile avumela ukunyakaza ngezindlela eziningi.
Amathambo akha amalunga ahlanganiswe ne-articular cartilage futhi afakwe ku-capsule ehlangene egcwele i-synovial fluid evumela ukunyakaza okubushelelezi.
Amalunga e-Synovial ahlukaniswa abe izinhlobo ezahlukene kuye ngokuhluka kwesakhiwo kanye nenani lezindiza ezinyakazayo ezivumelayo. I-hinge joint iyinhlangano ye-synovial evumela ukunyakaza endizeni eyodwa yokunyakaza, efana nehinge yomnyango eya phambili nangemuva. Ngaphakathi kwelunga, isiphetho sethambo elilodwa sivamise ukuba yi-convex/sikhombe ngaphandle, elinye libe yi-concave/liyindilinga ngaphakathi ukuze kuvunyelwe iziphetho ukuthi zilingane kahle. Ngenxa yokuthi ama-hinge joints ahamba ngendiza eyodwa kuphela, ajwayele ukuzinza kakhulu kunamanye amalunga e-synovial. (Akunamkhawulo. I-General Biology, ND ) Ama-hinge ahlanganisa:
Amalunga omunwe nezinzwane - vumela iminwe nezinzwane ukuthi zigobe futhi zinwebe.
I-elbow joint - ivumela indololwane ukuthi igobe futhi inwebe.
I-knee joint - ivumela idolo ukuthi ligobe futhi linwebe.
Ijoyinti ye-talocrural yeqakala - ivumela iqakala ukuthi liye phezulu/dorsiflexion futhi phansi/plantarflexion.
Amalunga amahinge avumela izitho, iminwe, nezinzwane ukuba zinwebe futhi zigobe zibheke emzimbeni. Lokhu kunyakaza kubalulekile emisebenzini yokuphila kwansuku zonke, njengokugeza, ukugqoka, ukudla, ukuhamba, ukuma, nokuhlala phansi.
I-osteoarthritis kanye nezinhlobo ezivuthayo ze-arthritis zingathinta noma yiliphi ilunga (I-Arthritis Foundation. ND ) Izinhlobo zokuvuvukala kwe-autoimmune ze-arthritis, okuhlanganisa i-rheumatoid ne-psoriatic arthritis, zingabangela umzimba ukuba uhlasele amalunga awo. Lokhu kuvame ukuthinta amadolo neminwe, okuholela ekuvuvukeni, ukuqina, nobuhlungu. (Kamata, M., Tada, Y. 2020 ) I-Gout iwuhlobo oluvuvukalayo lwesifo sokuqaqamba kwamalunga oluvela emazingeni aphezulu e-uric acid egazini futhi ngokuvamile luhlasela ilunga lehinge lozwane olukhulu. Ezinye izimo ezithinta ama-hinge joints zihlanganisa:
Ukulimala kwe-cartilage ngaphakathi kwamalunga noma imigqa ezinza ngaphandle kwamalunga.
I-Ligament sprains noma izinyembezi zingabangelwa iminwe noma izinzwane eziminyene, amaqakala agoqekile, ukulimala okusontekile, nomthelela oqondile edolweni.
Lokhu kulimala kungase futhi kuthinte i-meniscus, uqwanga oluqinile ngaphakathi kwelunga ledolo elisiza ukugoba nokudonsa ukushaqeka.
Izimo ezithinta ama-hinge joints ngokuvamile zibangela ukuvuvukala nokuvuvukala, okuholela ebuhlungu kanye nokuhamba okulinganiselwe.
Ngemuva kokulimala noma ngesikhathi sokuqubuka kwesimo sokuvuvukala, ukunciphisa ukunyakaza okusebenzayo nokuphumula ilunga elithintekile kunganciphisa ukucindezeleka okukhulu futhi ubuhlungu .
Ukusebenzisa iqhwa kunganciphisa ukuvuvukala nokuvuvukala.
Imithi edambisa izinhlungu njengama-NSAID nayo ingasiza ekunciphiseni ubuhlungu. (I-Arthritis Foundation. ND )
Uma ubuhlungu nokuvuvukala kuqala ukuncipha, ukwelashwa ngokomzimba kanye/noma emsebenzini kungasiza ukubuyisela izindawo ezithintekile.
Umelaphi uzonikeza ukwelula nokuzivocavoca ukusiza ukuthuthukisa uhla oluhlangene lokunyakaza nokuqinisa imisipha esekelayo.
Kubantu abazwa ubuhlungu obuhlangene obuhinge obuvela esimweni sokuzivikela komzimba, imishanguzo ye-biologic yokunciphisa umsebenzi wokuzivikela komzimba inikezwa ngokufakwa okulethwa njalo emavikini noma izinyanga ezimbalwa. (Kamata, M., Tada, Y. 2020 )
Imijovo ye-Cortisone ingase isetshenziselwe ukunciphisa ukuvuvukala.
E-Injury Medical Chiropractic kanye ne-Functional Medicine Clinic, sigxile ngentshiseko ekwelapheni ukulimala kweziguli kanye ne-syndromes yobuhlungu obungapheli kanye nokuthuthukisa ikhono ngokuguquguquka, ukuhamba, kanye nezinhlelo zokushelela eziklanyelwe umuntu ngamunye. Abahlinzeki bethu basebenzisa indlela edidiyelwe ukuze benze izinhlelo zokunakekelwa komuntu siqu ezihlanganisa i-Functional Medicine, i-Acupuncture, i-Electro-Acupuncture, ne-Sports Medicine protocol. Umgomo wethu uwukukhulula ubuhlungu ngokwemvelo ngokubuyisela impilo nokusebenza emzimbeni. Uma umuntu edinga okunye ukwelashwa, uzothunyelwa emtholampilo noma kudokotela omfanele kangcono. UDkt. Jimenez uhlanganyele nodokotela abahlinzayo abaphezulu, ochwepheshe bezokwelapha, abacwaningi bezokwelapha, nabahlinzeki bokubuyisela uNdunankulu ukuze banikeze ukwelashwa okuphumelelayo kakhulu kwemitholampilo.
VIDEO
Akunamkhawulo. I-General Biology. (ND). 38.12: Amalunga kanye Nokunyakaza Kwamathambo - Izinhlobo zama-Synovial Joints. Ku. I-LibreTexts Biology. bio.libretexts.org/Bookshelves/Introductory_and_General_Biology/Book%3A_General_Biology_%28Boundless%29/38%3A_The_Musculoskeletal_System/38.12%3A_Joints_and_Skeletal_Movement_-_Types_of_Synovial_Joints
I-Arthritis Foundation. (ND). I-Osteoarthritis. I-Arthritis Foundation. www.arthritis.org/diseases/osteoarthritis
Kamata, M., & Tada, Y. (2020). Ukusebenza Nokuphepha Kwezinto Eziphilayo Ze-Psoriasis kanye Ne-Psoriatic Arthritis kanye Nomphumela Wazo Ku-Comorbidities: Ukubuyekezwa Kwezincwadi. Ijenali yamazwe ngamazwe yesayensi yamangqamuzana, 21(5), 1690. doi.org/10.3390/ijms21051690
by UDkt Alex Jimenez I-Acupuncture Therapy , I-Chiropractic , Sciatica , I-Sciatica Nerve Pain , Ukwelashwa , I-Viscerosomatic Reflex
Kubantu ababhekene ne-sciatica, ingabe ukwelashwa okungahlinzeki njengokunakekelwa kwe-chiropractic kanye ne-acupuncture kunganciphisa ubuhlungu nokubuyisela ukusebenza?
Umzimba womuntu ungumshini oyinkimbinkimbi ovumela umphathi ukuthi ahambe futhi azinzile lapho ephumule. Ngamaqembu emisipha ahlukahlukene ezingxenyeni zomzimba ezingenhla nezingaphansi, imisipha ezungezile, imisipha, imizwa, nemigqa isebenzela injongo yomzimba njengoba yonke inemisebenzi ethile yokugcina umsingathi esebenza. Kodwa-ke, abantu abaningi baye bahlakulela imikhuba ehlukahlukene ebangela imisebenzi enzima ebangela ukunyakaza okuphindaphindiwe emisipha yabo nasezinzwa futhi kuthinte isimiso sabo semisipha. Enye yezinzwa abantu abaningi abaye babhekana nobuhlungu yi-nerve ye-sciatic, ebangela izinkinga eziningi emaphethelweni omzimba ophansi futhi, uma ingelashwa ngokushesha, iholela ebuhlungu nokukhubazeka. Ngenhlanhla, abantu abaningi baye bafuna ukwelashwa okungezona ukuhlinzwa ukuze banciphise i-sciatica futhi babuyisele umsebenzi womzimba kumuntu ngamunye. Isihloko sanamuhla sigxile ekuqondeni i-sciatica nokuthi izindlela zokwelapha ezingahlinzeki ezifana nokunakekelwa kwe-chiropractic kanye ne-acupuncture zingasiza kanjani ekunciphiseni imiphumela efana nobuhlungu be-sciatic ebangela ukugqagqana kwamaphrofayili ezingozi emikhawulweni engezansi yomzimba. Sixoxa nabahlinzeki bezokwelapha abaqinisekisiwe abahlanganisa nolwazi lweziguli zethu ukuhlola ukuthi i-sciatica ivame ukuhlotshaniswa nezici zemvelo ezibangela ukungasebenzi emzimbeni. Siphinde sazise futhi siqondise iziguli ukuthi ukwelapha okuhlukahlukene okungahlinzeki kungasiza kanjani ekunciphiseni i-sciatica kanye nezimpawu zayo ezihambisanayo. Siphinde sikhuthaze iziguli zethu ukuthi zibuze abahlinzeki bazo bezokwelapha abahlobene nabo imibuzo eminingi eyinkimbinkimbi nebalulekile mayelana nokuhlanganisa izindlela zokwelapha ezingezona zokuhlinzwa njengengxenye yokwelapha. isimiso sabo sansuku zonke ukunciphisa amathuba kanye nemiphumela sciatica ekubuyeni. UDkt. Jimenez, DC, uhlanganisa lolu lwazi njengesevisi yezemfundo. Disclaimer .
Ingabe uvame ukuzwa ubuhlungu obukhiphayo obuhamba phansi ngomlenze owodwa noma yomibili lapho uhlezi phansi isikhathi eside? Kukangaki uhlangabezane nemizwa yokuluma okubangela ukuba unyakazise umlenze wakho ukuze unciphise umphumela? Noma uke waqaphela ukuthi ukwelula imilenze yakho kubangela ukukhululeka kwesikhashana? Nakuba lezi zimpawu zobuhlungu ezidlulayo zingathinta imikhawulo engezansi, abantu abaningi bangase bacabange ukuthi ubuhlungu obuphansi emuva, kodwa empeleni, i-sciatica. I-Sciatica yisimo esivamile se-musculoskeletal esithinta abantu abaningi emhlabeni jikelele ngokubangela ubuhlungu ku-nerve ye-sciatic futhi isakaze phansi emilenzeni. I-sciatic nerve ibalulekile ekuhlinzekeni ukusebenza kwemoto okuqondile nokungaqondile emisipha yomlenze. ( UDavis et al., 2024 ) Lapho i-nerve ye-sciatic icindezelekile, abantu abaningi bathi ubuhlungu bungahluka ngamandla, buhambisane nezimpawu ezifana nokuluma, ukuba ndikindiki, nobuthakathaka bemisipha obungathinta ikhono lomuntu lokuhamba nokusebenza.
Kodwa-ke, ezinye zezimbangela eziholela ekuthuthukiseni i-sciatica zingadlala entweni ebangela ubuhlungu emaphethelweni aphansi. Izici eziningana ezingokwemvelo nezemvelo zivame ukuhlotshaniswa ne-sciatica, okubangela ukucindezelwa kwezimpande ze-lumbar ku-nerve ye-sciatic. Izinto ezifana nesimo sempilo esingesihle, ukucindezeleka ngokomzimba, nomsebenzi wokusebenza kuhlobene nokuthuthukiswa kwe-sciatica futhi kungaba nomthelela esimisweni somuntu. ( Gimenez-Campos et al., 2022 ) Ukwengeza, ezinye zezimbangela ze-sciatica zingabandakanya izimo ze-musculoskeletal ezifana ne-herniated discs, i-bone spurs, noma i-spinal stenosis, engahlotshaniswa nalezi zici zemvelo nezemvelo ezinganciphisa ukuhamba kwabantu abaningi kanye nekhwalithi yokuphila. ( U-Zhou et al., 2021 ) Lokhu kubangela abantu abaningi ukuba bafune ukwelashwa ukuze bakhulule ubuhlungu be-sciatica kanye nezimpawu zayo ezihambisanayo. Nakuba ubuhlungu obubangelwa i-sciatica bungahluka, abantu abaningi bavame ukufuna ukwelashwa okungezona ukuhlinzwa ukuze banciphise ukungakhululeki nobuhlungu babo be-sciatica. Lokhu kubavumela ukuthi bafake izixazululo eziphumelelayo zokuphatha i-sciatica.
VIDEO
Uma kuziwa ekufuneni ukwelashwa okungezona ukuhlinzwa ukuze kuncishiswe i-sciatica, ukwelapha okungezona ukuhlinzwa kunganciphisa imiphumela efana nobuhlungu ngenkathi kusiza ukubuyisela ukusebenza komzimba nokuhamba. Ngesikhathi esifanayo, ukwelapha okungezona ukuhlinzwa kwenziwa ngendlela oyifisayo ebuhlungu bomuntu ngamunye futhi kungafakwa esimisweni somuntu. Ezinye izindlela zokwelapha ezingahlinzeki ezifana nokunakekelwa kwe-chiropractic zinhle kakhulu ekwehliseni i-sciatica kanye nezimpawu zayo zobuhlungu ezihambisana nayo. Ukunakekelwa kwe-Chiropractic kuyindlela yokwelapha engeyona yokuhlinzwa egxile ekubuyiseleni ukunyakaza komzimba womgogodla ngenkathi kuthuthukisa ukusebenza komzimba. Ukunakekelwa kwe-Chiropractic kusebenzisa amasu omshini kanye nezandla ukuze i-sciatica iqondise umgogodla futhi isize umzimba uphulukise ngokwemvelo ngaphandle kokuhlinzwa noma imithi. Ukunakekelwa kwe-Chiropractic kungasiza ekunciphiseni ukucindezela kwe-intradiscal, ukwandisa ukuphakama kwesikhala se-intervertebral disc, nokuthuthukisa ububanzi bokunyakaza emaphethelweni aphansi. ( Gudavalli et al., 2016 ) Lapho usebenzelana ne-sciatica, ukunakekelwa kwe-chiropractic kunganciphisa ukucindezela okungadingekile ku-nerve ye-sciatic futhi kusize ukunciphisa ingozi yokuphindaphinda ngokusebenzisa ukwelashwa okulandelanayo.
Eminye yemiphumela yokunakekelwa kwe-chiropractic yokunciphisa i-sciatica inganikeza ukuqonda kumuntu njengoba ama-chiropractors esebenza nabahlinzeki bezokwelapha abahambisanayo ukuze bahlele uhlelo lomuntu siqu lokukhulula izimpawu ezifana nobuhlungu. Abantu abaningi abasebenzisa ukunakekelwa kwe-chiropractic ukunciphisa imiphumela ye-sciatica bangafaka ukwelapha ngokomzimba ukuqinisa imisipha ebuthakathaka. lokho okuzungezile i-back back, yelula ukuze uthuthukise ukuguquguquka futhi ukhumbule kakhudlwana ukuthi yiziphi izici ezibangela ubuhlungu be-sciatic emaphethelweni abo aphansi. Ukunakekelwa kwe-Chiropractic kungase kuqondise abantu abaningi ku-ergonomics ye-poster efanele, nokuzivocavoca okuhlukahlukene ukuze kuncishiswe amathuba okubuya kwe-sciatica ngenkathi inikeza imiphumela emihle emzimbeni ophansi.
Olunye uhlobo lokwelashwa okungezona ukuhlinzwa olungasiza ekunciphiseni imiphumela efana nobuhlungu be-sciatica i-acupuncture. Njengengxenye eyinhloko emithini yendabuko yamaShayina, ukwelapha nge-acupuncture kuhilela ochwepheshe ukubeka izinaliti ezincane, eziqinile ezindaweni ezithile emzimbeni. Uma kuziwa ukunciphisa i-sciatica, ukwelashwa kwe-acupuncture kungaba nemiphumela ye-analgesic kuma-acupoints omzimba, ukulawula i-microglia, futhi kushintshe ama-receptors athile endleleni yobuhlungu eya ohlelweni lwezinzwa. ( Zhang et al., 2023 ) Ukwelashwa kwe-acupuncture kugxile ekubuyiseleni ukugeleza kwamandla emvelo omzimba noma i-Qi ukuze kuthuthukiswe ukuphulukiswa.
Ngokuphathelene nemiphumela yokwelashwa kwe-acupuncture ekunciphiseni i-sciatica, ukwelashwa kwe-acupuncture kungasiza ekunciphiseni izimpawu zobuhlungu ezikhiqizwa yi-sciatica ngokushintsha isignali yobuchopho nokubuyisela kabusha imoto ehambisanayo noma ukuphazamiseka kwezinzwa endaweni ethintekile. ( Yu et al., 2022 ) Ukwengeza, ukwelashwa kwe-acupuncture kungasiza ekuhlinzekeni ukukhululeka kobuhlungu ngokukhulula ama-endorphin, ukukhulula ubuhlungu bemvelo bomzimba, ku-acupoint ethize ehambisana ne-sciatic nerve, ukunciphisa ukuvuvukala okuzungeze i-nerve sciatic, ngaleyo ndlela kunciphise ingcindezi nobuhlungu nokusiza ukuthuthukisa ukusebenza kwezinzwa. Kokubili ukunakekelwa kwe-chiropractic kanye ne-acupuncture kunikeza izinketho ezibalulekile zokwelapha ezingahlinzeki ezinganikeza usizo enqubweni yokuphulukisa nokunciphisa ubuhlungu obubangelwa i-sciatica. Lapho abantu abaningi bebhekene ne-sciatica futhi befuna izixazululo eziningi zokunciphisa imiphumela efana nobuhlungu, lezi zindlela zokwelapha ezimbili ezingahlinzeki zingasiza abantu abaningi ukubhekana nezimbangela eziyinhloko ze-sciatica, ukuthuthukisa inqubo yokuphulukisa yemvelo yomzimba, futhi kusize ukunikeza ukukhululeka okukhulu ubuhlungu.
U-Davis, D., Maini, K., Taqi, M., & Vasudevan, A. (2024). I-Sciatica. Ku StatPearls . www.ncbi.nlm.nih.gov/pubmed/29939685
Gimenez-Campos, MS, Pimenta-Fermisson-Ramos, P., Diaz-Cambronero, JI, Carbonell-Sanchis, R., Lopez-Briz, E., & Ruiz-Garcia, V. (2022). Ukubuyekezwa okuhlelekile kanye nokuhlaziywa kwe-meta kokusebenza kahle kanye nezenzakalo ezimbi ze-gabapentin ne-pregabalin yobuhlungu be-sciatica. Aten Primaria , 54 (1), i-102144. doi.org/10.1016/j.aprim.2021.102144
Gudavalli, MR, Olding, K., Joachim, G., & Cox, JM (2016). I-Chiropractic Distraction Spinal Manipulation on Postsurgical Continued Low Back and Radicular Pain Patients: A Retrospective Case Series. J Chiropr Med , 15 (2), i-121-128. doi.org/10.1016/j.jcm.2016.04.004
Yu, FT, Liu, CZ, Ni, GX, Cai, GW, Liu, ZS, Zhou, XQ, Ma, CY, Meng, XL, Tu, JF, Li, HW, Yang, JW, Yan, SY, Fu, HY, Xu, WT, Li, J., Xiang, HC, Sun, TH, Zhang, B., Li, MH, . . . Wang, LQ (2022). I-acupuncture ye-sciatica engapheli: iphrothokholi yesilingo esilawulwa ngokungahleliwe se-multicenter. I-BMJ Vula , 12 (5), i-e054566. doi.org/10.1136/bmjopen-2021-054566
Zhang, Z., Hu, T., Huang, P., Yang, M., Huang, Z., Xia, Y., Zhang, X., Zhang, X., & Ni, G. (2023). Ukusebenza nokuphepha kwe-acupuncture therapy ye-sciatica: Ukubuyekezwa okuhlelekile nokuhlaziywa kwe-meta yemizila elawulwa ngokungahleliwe. Front Neurosci , 17 , 1097830. doi.org/10.3389/fnins.2023.1097830
U-Zhou, J., Mi, J., Peng, Y., Han, H., & Liu, Z. (2021). I-Causal Associations of Obesity With the Intervertebral Degeneration, Low Back Pain, kanye ne-Sciatica: I-Two-Sample Mendelian Randomization Study. I-Front Endocrinol (Lausanne) , 12 , 740200. doi.org/10.3389/fendo.2021.740200
by UDkt Alex Jimenez Abadlali , Ukulimala kwezemidlalo
Yiziphi izikhathi zokuphulukiswa kokulimala kwezemidlalo okuvamile kubasubathi kanye nabantu abahlanganyela emisebenzini yezemidlalo yokuzilibazisa?
Owesifazane osemusha, ojabule wezemidlalo uthola ukwelashwa kwe-tens-electrotherapy emtholampilo wezokwelapha.
Isikhathi sokuphulukiswa ekulimaleni kwezemidlalo sincike ezintweni ezihlukahlukene, njengendawo kanye nezinga lokulimala kanye nempilo yesikhumba, amalunga, imisipha, imisipha, namathambo. Kubalulekile futhi ukuthatha isikhathi sokululama noma ukungajahi ukubuyela emisebenzini yemidlalo yomzimba ngaphambi kokuba amathambo noma izicubu zilulame ngokugcwele. Ukuze uvimbele ukulimala kabusha, qiniseka ukuthi udokotela uhlanza impilo ngaphambi kokubuyela kwezemidlalo noma umsebenzi onzima womzimba.
Ngokocwaningo lwe-CDC, isilinganiso sokulimala okuhlobene nezemidlalo nokungcebeleka okulinganiselwa ezigidini ezingu-8.6 kwenzeka minyaka yonke. (U-Sheu, Y., Chen, LH, no-Hedegaard, H. 2016 ) Kodwa-ke, ukulimala okuningi kwezemidlalo kukha phezulu noma kubangelwa izinhlungu zebanga eliphansi noma ama-sprains; okungenani u-20% wokulimala ubangelwa ukuphuka kwamathambo noma ukulimala okubi kakhulu. Ukuphuka kwamathambo kuthatha isikhathi eside kunokusprains noma izinhlungu, futhi ukuhlukana okuphelele kwe-tendon noma imisipha kungathatha izinyanga ngaphambi kokuthi umuntu abuyele ngokugcwele emisebenzini. Abantu abasesimweni esihle somzimba abangenakho ukugula okucashile noma ukukhubazeka, nakhu abangakulindela lapho belulama ekulimaleni okulandelayo kwezemidlalo:
Ezemidlalo, izinga eliphakeme kakhulu lokuphuka kwamathambo lenzeka ngebhola kanye nemidlalo yokuxhumana. Iningi ligxile emaphethelweni aphansi kodwa lingabandakanya intamo namahlombe, izingalo, nezimbambo.
Kuya ngeminyaka yomuntu, impilo, uhlobo, nendawo.
Ngokuvamile, kuthatha okungenani amasonto ayisithupha ukuphulukisa.
Kulokhu, ithambo liphukile ezindaweni eziningana.
Kungase kudinge ukuhlinzwa ukuze kuqiniswe ithambo.
Isikhathi sokuphulukisa singathatha izinyanga eziyisishiyagalombili.
Kungase kudinge ukungasebenzi kwehlombe nengalo engenhla.
Kungathatha amasonto amahlanu kuya kwayishumi ukuze ululame ngokugcwele.
Iminwe noma izinzwane eziphukile zingaphola emasontweni amathathu kuya kwamahlanu.
Ingxenye yohlelo lokwelapha ihlanganisa ukuvivinya umzimba kokuphefumula.
Ama-Painkillers angadingeka isikhathi esifushane.
Ngokuvamile, kuthatha cishe amasonto ayisithupha ukuze ululame.
Kungase kuhlanganise noma iyiphi i-vertebrae yentamo eyisikhombisa.
I-brace yentamo noma idivayisi ye-halo efakwe okhakhayini ukuze izinze ingasetshenziswa.
Kungathatha amasonto ayisithupha ukuze ululame.
Ngokombiko we-CDC, ama-sprains nama-sprains enza i-41.4% yakho konke ukulimala kwezemidlalo. (U-Sheu, Y., Chen, LH, no-Hedegaard, H. 2016 )
A hlala ukunwebeka noma ukudabuka kwemigqa noma izibopho eziqinile zezicubu ezinezintambo ezihlanganisa amathambo amabili endaweni ehlangene.
A uhlobo ukunwebeka ngokweqile noma ukudabuka kwemisipha noma imisipha .
Ingaphola ezinsukwini ezinhlanu uma zingekho izinkinga.
Ama-sprains amakhulu ahlanganisa imisipha edabukile noma ephukile kungathatha amasonto amathathu kuya kwayisithupha ukuphola.
Kubhekwa njengebanga loku-1 - uhlobo oluncane lungaphola emasontweni amabili.
Ibanga lesi-3 - uhlobo olunzima lungadinga izinyanga ezintathu noma ngaphezulu ukuze ululame ngokuphelele.
Ukusetshenziswa kwemikhono yokucindezela ithole kungasheshisa ukutholakala kwezinkinga kanye nama-sprains emlenzeni ophansi.
Ukubhekana, umthelela, ukuwa, ukuguquka okusheshayo, noma ukunyakaza kokushaywa kungabangela ukulimala kwe-whiplash.
Isikhathi sokuphulukisa singathatha amasonto ambalwa kuya kwayisithupha.
Kubandakanya i-anterior cruciate ligament.
Ngokuvamile, kudinga izinyanga zokululama nokuvuselelwa, kuye ngezici eziningana, kuhlanganise nohlobo lomsebenzi wezemidlalo.
Ukululama ngokugcwele ekuhlinzweni kuthatha izinyanga eziyisithupha kuya kweziyi-12.
Ngaphandle kokuhlinzwa, awukho umugqa wesikhathi othize wokuvuselela.
Ukulimala kabi.
Lokhu kwenzeka lapho ithenda iklebhukile ingxenye noma ngokuphelele.
Abantu bazodinga ukuhlinzwa kakhulu.
Isikhathi sokululama yizinyanga ezine kuya kweziyisithupha.
Kuya ngokujula nendawo yokulimala.
Kungathatha noma yikuphi ukusuka evikini kuya enyangeni ukuphola.
Uma kungabikho ukulimala okuhambisanayo, izithungo zingasuswa phakathi kwamasonto amabili kuya kwamathathu.
Uma ukusika okujulile kudinga ukuthungwa, isikhathi esengeziwe siyadingeka.
Zibangelwa ukuhlukumezeka esikhumbeni, okubangela ukuphuka kwemithambo yegazi.
Ezimweni eziningi, ukuqunjelwa kuzothatha izinsuku ezinhlanu kuya kweziyisikhombisa ukuze kuphole.
Uma uphathwa ngendlela efanele, ngokuvamile kuthatha cishe amasonto amabili okuphumula nokululama ngaphambi kokuba isiguli sibuyele emsebenzini.
Ngemuva kokuthi ukuvuvukala nokuvuvukala kokuqala sekuphelile, udokotela uzoncoma uhlelo lokwelapha oluvame ukubandakanya ukwelapha ngokomzimba, ukuzivuselela ngokomzimba, noma ukugadwa ngumelaphi womzimba noma ithimba. Ngenhlanhla, abasubathi kanye nabantu abajwayele ukuzivocavoca bavame ukuba nesikhathi sokuphulukisa ngokushesha ngenxa yokuthi basesimweni esiphezulu somzimba, futhi isimiso sabo senhliziyo nemithambo yegazi sinikeza igazi elinamandla elisheshisa inqubo yokuphulukisa. E-El Paso's Chiropractic Rehabilitation Clinic & Integrated Medicine Center, sigxile ngentshiseko ekwelapheni ukulimala kweziguli kanye nezinhlungu ezingapheli. Sigxila ekuthuthukiseni ikhono ngokusebenzisa izinhlelo ezivumelana nezimo, ukuhambahamba, kanye nokuba bukhali okuklanyelwe umuntu ngamunye. Sisebenzisa ukuqeqeshwa komuntu siqu kanye ne-virtual health coaching kanye nezinhlelo zokunakekelwa okuphelele ukuze siqinisekise ukunakekelwa komuntu ngamunye kanye nemiphumela yokuphila kahle.
Abahlinzeki bethu basebenzisa indlela edidiyelwe ukuze benze izinhlelo zokunakekelwa komuntu siqu ezihlanganisa i-Functional Medicine, i-Acupuncture, i-Electro-Acupuncture, nezimiso ze-Sports Medicine. Umgomo wethu uwukukhulula ubuhlungu ngokwemvelo ngokubuyisela impilo nokusebenza emzimbeni.
Uma udokotela we-chiropractor ezwa ukuthi umuntu udinga okunye ukwelashwa, uzothunyelwa emtholampilo noma udokotela ofaneleka kakhulu kubo. UDkt. Jimenez uhlanganyele nodokotela abahlinzayo abaphezulu, ochwepheshe bemitholampilo, abacwaningi bezokwelapha, nabahlinzeki bokubuyisela esimeni esihle ukuze banikeze usizo lwezokwelapha oluphezulu emphakathini wethu. Ukunikeza izimiso eziyisisekelo ezingahlaseli kuyinto eza kuqala kithi, futhi ukuqonda kwethu komtholampilo okusekelwe esigulini komuntu siqu yilokho esikunikezayo.
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U-Sheu, Y., Chen, LH, & Hedegaard, H. (2016). Iziqephu Zokulimala Ezihlobene Nezemidlalo Nezokungcebeleka e-United States, 2011-2014. Imibiko yezibalo zezempilo zikazwelonke, (99), 1–12.
by UDkt Alex Jimenez I-Hip Pain & Ukuphazamiseka , I-neuropathy
Kubantu abazwa ubuhlungu be-pelvic, kungase kube ukuphazamiseka kwenzwa ye-pudendal eyaziwa ngokuthi i-pudendal neuropathy noma i-neuralgia eholela ebuhlungu obungapheli. Lesi simo singabangelwa yi-pudendal nerve entrapment, lapho inzwa icindezeleka noma ilimale. Ingabe ukwazi izimpawu kungabasiza abahlinzeki bezokunakekelwa kwempilo ukuthi bahlonze kahle isimo futhi bakhe uhlelo lokwelapha olusebenzayo?
I-pudendal nerve iyinzwa eyinhloko esebenzela i-perineum, okuyindawo ephakathi kwe-anus ne-genitalia - i-scrotum emadodeni kanye ne-vulva kwabesifazane. I-pudendal nerve igijima phakathi kwemisipha/izinqe ze-gluteus futhi iye ku-perineum. Ithwala ulwazi lwezinzwa olusuka esithweni sangasese sangaphandle kanye nesikhumba esizungeze ididi ne-perineum futhi idlulisele amasignali emoto/ukunyakaza emisipheni ehlukahlukene ye-pelvic. (Origoni, M. et al., 2014 ) I-Pudendal neuralgia, ebizwa nangokuthi i-pudendal neuropathy, ukuphazamiseka kwenzwa ye-pudendal engabangela ubuhlungu obungapheli be-pelvic.
Ubuhlungu be-pelvic obungapheli obuvela ku-pudendal neuropathy bungabangelwa noma yikuphi kwalokhu okulandelayo (U-Kaur J. et al., 2024 )
Ukuhlala ngokweqile ezindaweni eziqinile, ezihlalweni, ezihlalweni zamabhayisikili, njll. Abagibeli bamabhayisikili bavamise ukuba ne-pudendal nerve entrapment.
Ukuhlukumezeka ezinqeni noma ezinqeni.
Ukubeletha.
I-diabetesic neuropathy.
Ukwakheka kwamathambo okusunduza ku-pudendal nerve.
Ukuqina kwemigqa ezungeze i-pudendal nerve.
Ubuhlungu be-Pudendal nerve bungachazwa njengokugwaza, ukuminya, ukushisa, ukuba ndikindiki, noma izikhonkwane nezinaliti futhi bungaveza (U-Kaur J. et al., 2024 )
Ku-perineum.
Esifundeni sangemuva.
Kwabesilisa, ubuhlungu ku-scrotum noma ipipi.
Kwabesifazane, ubuhlungu ku-labia noma i-vulva.
Ngesikhathi socansi.
Lapho echama.
Ngesikhathi sokunyakaza kwamathumbu.
Lapho ehlala futhi ehamba ngemva kokusukuma.
Ngenxa yokuthi izimpawu ngokuvamile kunzima ukuzihlukanisa, i-pudendal neuropathy ngokuvamile ingaba nzima ukuhlukanisa kwezinye izinhlobo zobuhlungu obungapheli be-pelvic.
Ukuhlala isikhathi eside esihlalweni sebhayisikili kungabangela ukucindezelwa kwezinzwa ze-pelvic, okungaholela ebuhlungu obungapheli be-pelvic. Imvamisa ye-pudendal neuropathy (ubuhlungu be-pelvic obungapheli obubangelwa ukugoqa noma ukucindezelwa kwe-pudendal nerve) ngokuvamile ibizwa ngokuthi yi-Cyclist's Syndrome. Ukuhlala ezihlalweni ezithile zamabhayisikili isikhathi eside kubeka ingcindezi enkulu ku-pudendal nerve. Ukucindezela kungabangela ukuvuvukala ezungeze inzwa, okubangela ubuhlungu futhi, ngokuhamba kwesikhathi, kungabangela ukuhlukumezeka kwenzwa. Ukucindezelwa kwemizwa nokuvuvukala kungabangela ubuhlungu obuchazwa njengokushiswa, ukuhlaba, noma izikhonkwane nezinaliti. (Durante, JA, and Macintyre, IG 2010 ) Kubantu abane-pudendal neuropathy ebangelwa ukuhamba ngebhayisikili, izimpawu zingavela ngemva kokuhamba ngebhayisikili isikhathi eside futhi ngezinye izikhathi izinyanga noma iminyaka kamuva.
Ukubuyekezwa kocwaningo kunikeze izincomo ezilandelayo zokuvimbela i-Cyclist's Syndrome (Chiaramonte, R., Pavone, P., Vecchio, M. 2021 )
Thatha ikhefu okungenani imizuzwana engu-20-30 ngemva kwemizuzu engama-20 yokugibela.
Ngenkathi ugibele, shintsha izindawo njalo.
Yima u-pedal ngezikhathi ezithile.
Thatha ikhefu phakathi kwamaseshini okugibela kanye nemijaho ukuze uphumule futhi ukhulule imizwa ye-pelvic. Ukuphumula kwezinsuku ezingu-3-10 kungasiza ekululameni. (Durante, JA, and Macintyre, IG 2010 )
Uma izimpawu zobuhlungu be-pelvic zingakaqali ukukhula, phumula futhi ubone umhlinzeki wezempilo noma uchwepheshe ukuze uhlolwe.
Sebenzisa isihlalo esithambile, esibanzi esinekhala elifushane.
Yiba nezinga lesihlalo noma utshekisele phambili kancane.
Izihlalo ezinezimbobo zokusika zibeka ingcindezi eyengeziwe ku-perineum.
Uma ukuba ndikindiki noma ubuhlungu bukhona, zama isihlalo esingenazimbobo.
Lungisa ubude besihlalo ukuze idolo ligobe kancane ngaphansi kwe-pedal stroke.
Isisindo somzimba kufanele sincike emathanjeni ahlezi/ischial tuberosities.
Ukugcina i-handlebar ukuphakama ngaphansi kwesihlalo kunganciphisa ingcindezi.
Indawo yebhayisikili ye-Triathlon yokuya phambili ngokwedlulele kufanele igwenywe.
Ukuma okuqondile kungcono.
Amabhayisikili asezintabeni ahlotshaniswa nengozi eyengeziwe yokungasebenzi kahle kwe-erectile kunamabhayisikili omgwaqo.
Gqoka izikhindi zebhayisikili ezinamaphedi.
Umhlinzeki wokunakekelwa kwezempilo angase asebenzise inhlanganisela yokwelashwa.
I-neuropathy ingelashwa ngokuphumula uma imbangela ingukuhlala ngokweqile noma ukuhamba ngebhayisikili.
Ukwelashwa ngokomzimba phansi kwe-Pelvic kungasiza ukuphumula nokwandisa imisipha.Izinhlelo zokuvuselela umzimba, okuhlanganisa ukunwebeka nokuzivocavoca okuhlosiwe, kungakhulula ukuboshwa kwemizwa.
Ukulungiswa kwe-Chiropractic kungalungisa kabusha umgogodla kanye ne-pelvis.
Indlela yokukhululwa esebenzayo/i-ART ihlanganisa ukufaka ingcindezi emisipha endaweni ngenkathi inwebeka futhi iqinisa. (Chiaramonte, R., Pavone, P., Vecchio, M. 2021 )
Ama-nerve blocks angasiza ekudambiseni ubuhlungu obubangelwa ukuvaleka kwezinzwa. (U-Kaur J. et al., 2024 )
Ezinye iziphumuli zemisipha, ama-antidepressants, nama-anticonvulsants angase anqunywe, ngezinye izikhathi ahlanganiswe.
Ukuhlinzwa kokunciphisa imizwa kungase kunconywe uma zonke izindlela zokwelapha ezilondolozayo seziphelile. (Durante, JA, and Macintyre, IG 2010 )
Izinhlelo zokunakekelwa kwe-Injury Medical Chiropractic kanye ne-Functional Medicine Clinic kanye nezinsizakalo zomtholampilo zikhethekile futhi zigxile ekulimaleni kanye nenqubo yokutakula ephelele. Izindawo zethu zokuzijwayeza zihlanganisa Wellness kanye nokudla, Ubuhlungu obungapheli, Ukulimala Komuntu, Ukunakekelwa Kwengozi Okuzenzakalelayo, Ukulimala Umsebenzi, Ukulimala Emhlane, Ubuhlungu Obuphansi, Ubuhlungu Bentamo, Ikhanda Elibuhlungu, Ukulimala Kwezemidlalo, I-sciatica Enzima, I-Scoliosis, I-Complex Herniated Discs, Fibromyalgia, Chronic Ubuhlungu, Ukulimala Okuyinkimbinkimbi, Ukulawulwa Kwengcindezi, kanye Nokwelashwa Kwemithi Esebenzayo. Uma lowo muntu edinga okunye ukwelashwa, uzothunyelwa emtholampilo noma kudokotela ofaneleka kakhulu ngesimo sakhe, njengoba uDkt Jimenez ehlangene nodokotela abahlinzayo abaphezulu, ochwepheshe bezokwelapha, abacwaningi bezokwelapha, abelaphi, abaqeqeshi, nabahlinzeki bokuvuselela i-premiere.
VIDEO
Origoni, M., Leone Roberti Maggiore, U., Salvatore, S., & Candiani, M. (2014). Izindlela ze-Neurobiological zobuhlungu be-pelvic. Ucwaningo lwamazwe ngamazwe lwe-BioMed, 2014, 903848. doi.org/10.1155/2014/903848
Kaur, J., Leslie, SW, & Singh, P. (2024). I-Pudendal Nerve Entrapment Syndrome. Ku-StatPearls. www.ncbi.nlm.nih.gov/pubmed/31334992
Durante, JA, & Macintyre, IG (2010). I-Pudendal nerve entrapment kumdlali we-Ironman: umbiko wecala. I-Journal ye-Canadian Chiropractic Association, i-54 (4), i-276-281.
U-Chiaramonte, R., Pavone, P., & Vecchio, M. (2021). Ukuxilongwa, Ukuvuselela kanye Namasu Okuvimbela I-Pudendal Neuropathy kuma-Cyclists, Ukubuyekezwa Okuhlelekile. Ijenali ye-Functional morphology kanye ne-kinesiology, 6(2), 42. doi.org/10.3390/jfmk6020042
by UDkt Alex Jimenez Ukuhlanzeka komgogodla , Care Spine
Kubantu asebekhathele zonke ezinye izindlela zokwelapha ubuhlungu obuphansi emuva kanye nokucindezelwa kwezimpande zezinzwa, ingabe ukuhlinzwa komgogodla we-laser kungasiza ekudambiseni ukucindezelwa kwezinzwa futhi kunikeze ukukhululeka kobuhlungu okuhlala isikhathi eside?
Ukuhlinzwa komgogodla nge-laser kuyindlela yokuhlinza engenele kancane esebenzisa i-laser ukusika nokususa izakhiwo zomgogodla ezicindezela izinzwa futhi ezibangela ubuhlungu obukhulu. Inqubo yokuhlasela kancane ngokuvamile ibangela ubuhlungu obuncane, ukulimala kwezicubu, nokululama ngokushesha kunokuhlinzwa okubanzi.
Izinqubo ezincane ezihlaselayo ziholela ekunciphiseni izibazi kanye nokulimala kwezakhiwo ezizungezile, ngokuvamile kunciphisa izimpawu zobuhlungu kanye nesikhathi esifushane sokululama. (Stern, J. 2009 ) Kucutshungulwa okuncane ukuze kufinyelele ezakhiweni zekholomu yomgogodla. Ngokuhlinzwa okuvulekile emuva, ukusika okukhulu kwenziwa phansi ngemuva ukuze kufinyelele umgogodla. Ukuhlinzwa kwehluka kokunye ukuhlinzwa ngoba i-laser beam, kunezinye izinsimbi zokuhlinza, isetshenziselwa ukusika izakhiwo emgogodleni. Kodwa-ke, ukusika kokuqala esikhumbeni kwenziwa nge-scalpel yokuhlinzwa. I-Laser isifinyezo se-Light Amplification Stimulated by Emission of Radiation. I-laser ingakwazi ukukhiqiza ukushisa okukhulu ukunqamula izicubu ezithambile, ikakhulukazi lezo ezinokuqukethwe okuphezulu kwamanzi, njengamadiski ekholomu yomgogodla. (Stern, J. 2009 ) Ngokuhlinzwa okuningi komgogodla, i-laser ayikwazi ukusetshenziselwa ukusika emathanjeni njengoba ikhiqiza izinhlansi ezisheshayo ezingalimaza izakhiwo ezizungezile. Kunalokho, ukuhlinzwa komgogodla we-laser ngokuyinhloko kusetshenziselwa ukwenza i-discectomy, okuyindlela yokuhlinzwa esusa ingxenye ye-disc bulging noma i-herniated disc eqhuma ngokumelene nezimpande zezinzwa ezizungezile, okubangela ukucindezelwa kwezinzwa nobuhlungu be-sciatic. (Stern, J. 2009 )
Ukuhlinzwa komgogodla we-Laser kungasiza ekuxazululeni imbangela yokucindezelwa kwezimpande zezinzwa, kodwa kunengozi eyengeziwe yokulimala kwezakhiwo eziseduze. Ubungozi obuhlobene buhlanganisa: (Brouwer, PA et al., 2015 )
Ukutheleleka
ukopha
Ama-clots egazi
Izimpawu ezisele
Izimpawu ezibuyayo
Ukulimala okwengeziwe kwezinzwa
Ukulimala kolwelwesi oluzungeze umgogodla.
Isidingo sokuhlinzwa okwengeziwe
I-laser beam ayifani nakancane njengamanye amathuluzi okuhlinza futhi idinga ukuqeqesheka nokulawula ukugwema ukulimala komgogodla kanye nezimpande zezinzwa. (Stern, J. 2009 ) Ngenxa yokuthi ama-laser awakwazi ukusika ethanjeni, amanye amathuluzi okuhlinza avame ukusetshenziswa emakhoneni nasema-engeli ahlukene ngenxa yokuthi asebenza kahle kakhulu futhi avumela ukunemba okukhulu. (I-Atlantic Brain and Spine, 2022 )
Ukuhlinzwa komgogodla we-laser kwenziwa ukuze kukhishwe izakhiwo ezibangela ukucindezelwa kwezimpande zezinzwa. Ukucindezelwa kwezimpande zemizwa kuhlotshaniswa nezimo ezilandelayo (Umtholampilo waseCleveland. 2018 )
Ama-disc agcwele
Ama-discs we-Herniated
Sciatica
I-stenosis yomgogodla
Isigaxa sezintambo zomgogodla
Izimpande zemizwa ezilimele noma ezilimele futhi ezithumela njalo izimpawu zobuhlungu obungapheli zingayesulwa ngokuhlinzwa nge-laser, okwaziwa ngokuthi i-nerve ablation. I-laser iyashisa futhi ibhubhise imicu yezinzwa. (Stern, J. 2009 ) Ngenxa yokuthi ukuhlinzwa komgogodla we-laser kunomkhawulo ekwelapheni ukuphazamiseka okuthile komgogodla, izinqubo eziningi zomgogodla ezihlasela kancane azisebenzisi i-laser. (I-Atlantic Brain nomgogodla. 2022 )
Ithimba labahlinzayo lizohlinzeka ngemiyalo enemininingwane eyengeziwe yokuthi yini okufanele yenziwe ezinsukwini namahora ngaphambi kokuhlinzwa. Ukuze kuthuthukiswe ukuphulukiswa okuphelele nokululama kahle, kunconywa ukuthi isiguli sihlale simatasa, sidle ukudla okunempilo, futhi siyeke ukubhema ngaphambi kokuhlinzwa. Abantu bangadinga ukuyeka ukuphuza imithi ethile ukuze bavimbele ukopha kakhulu noma ukusebenzisana nezinzwa ngesikhathi sokuhlinzwa. Yazisa umhlinzeki wezokunakekelwa kwempilo mayelana nayo yonke imiyalelo, izidakamizwa ezithengiswa ngaphandle, nezithako ezithathwayo.
Ukuhlinzwa komgogodla nge-laser kuyinkambiso yokulaliswa ngaphandle esibhedlela noma esikhungweni sokuhlinza seziguli ezingaphandle. Isiguli cishe sizoya ekhaya ngalolo suku lokuhlinzwa. (Umtholampilo waseCleveland. 2018 ) Iziguli azikwazi ukushayela ukuya noma ukusuka esibhedlela ngaphambi noma ngemva kokuhlinzwa kwazo, ngakho hlela ukuba umkhaya noma abangane bazilungiselele izinto zokuhamba. Ukunciphisa ukucindezeleka nokubeka phambili inhlalakahle enempilo engokwengqondo nengokomzwelo kubalulekile ekwehliseni ukuvuvukala nokusiza ukululama. Uma isiguli siya ekuhlinzweni sinempilo enhle, kulula ukululama nokuvuselelwa.
Ukuhlinzwa kuzonqunywa isiguli kanye nomhlinzeki wezempilo futhi kuhlelelwe esibhedlela noma esikhungweni sokuhlinza iziguli ezingalalisiwe. Hlela ukuthi umngane noma ilungu lomndeni lishayele lapho liyohlinzwa nasekhaya.
Isiguli sizoyiswa ekamelweni langaphambi kokuhlinzwa bese sicelwa ukuba sishintshe sigqoke ingubo.
Isiguli sizohlolwa umzimba kafushane futhi siphendule imibuzo ngomlando wezokwelapha.
Isiguli silala embhedeni wasesibhedlela, futhi umhlengikazi ufaka i-IV ukuze alethe imithi noketshezi.
Ithimba labahlinzayo lizosebenzisa umbhede wesibhedlela ukuthutha isiguli singene siphinde siphume egunjini lokuhlinzela.
Ithimba elihlinzayo lizosiza isiguli ukuthi singene etafuleni lokuhlinza, futhi isiguli sizonikezwa i-anesthesia.
Isiguli singase sithole i-anesthesia ejwayelekile , okuzokwenza isiguli silale ukuze sihlinzwe, noma izinzwa zesifunda , ijovwe emgogodleni ukuze iqede indawo ethintekile. (Umtholampilo waseCleveland. 2018 )
Ithimba labahlinzayo lizobulala amagciwane esikhunjeni lapho kuzosikwa khona.
Isixazululo se-antiseptic sizosetshenziselwa ukubulala amagciwane futhi kuvimbele ingozi yokutheleleka.
Uma usuhlanjululwe, umzimba uzombozwa ngamalineni ahlanzekile ukuze kugcinwe indawo yokuhlinza ihlanzekile.
Ukuze uthole i-discectomy, udokotela ohlinzayo uzokwenza i-incision encane engaphansi kwe-intshi eyodwa ubude nge-scalpel eduze nomgogodla ukuze ufinyelele izimpande zemizwa.
Ithuluzi lokuhlinza elibizwa ngokuthi i-endoscope ikhamera eshuthekwa ukuze ibuke umgogodla. (Brouwer, PA et al., 2015 )
Lapho ingxenye yediski eyinkinga ebangela ukucindezelwa itholakala, i-laser ifakwa ukuze inqamule kuyo.
Ingxenye ye-disc enqunyiwe iyasuswa, futhi indawo yokusikeka iyasulwa.
Ngemva kokuhlinzwa, isiguli silethwa egumbini lokutakula, lapho izimpawu ezibalulekile zibhekwa khona njengoba imiphumela ye-anesthesia iguga.
Uma sezinzile, isiguli ngokuvamile singaya ekhaya ngemva kwehora elilodwa noma amabili ngemva kokuhlinzwa.
Udokotela ohlinzayo uzonquma ukuthi umuntu usekulungele nini ukuqhubeka nokushayela.
Ukulandela i-discectomy, umuntu angabuyela emsebenzini phakathi nezinsuku ezimbalwa kuya emasontweni ambalwa, kuye ngobunzima, kodwa kungathatha izinyanga ezintathu ukubuyela emisebenzini evamile. Ubude bokululama bungasukela emasontweni amabili kuya kwamane noma ngaphansi ukuze baphinde baqale umsebenzi wokuziphilisa noma amasonto ayisishiyagalombili kuya kwayi-12 ukuze benze umsebenzi onzima kakhulu odinga ukukhushulwa kanzima. (I-University of Wisconsin School of Medicine and Public Health, 2021 ) Phakathi namasonto amabili okuqala, isiguli sizonikezwa imingcele ukuze kube lula ukuphulukiswa komgogodla kuze kube yilapho uzinza. Imikhawulo ingabandakanya: (I-University of Wisconsin School of Medicine and Public Health, 2021 )
Akukho ukugoba, ukusonteka, noma ukuphakamisa.
Akukho ukuvivinya umzimba okukhandlayo, okuhlanganisa ukuvivinya umzimba, umsebenzi wasendlini, umsebenzi wasegcekeni, nocansi.
Abukho utshwala esigabeni sokuqala sokululama noma ngenkathi uthatha imithi yobuhlungu be-narcotic.
Akukho ukushayela noma ukusebenzisa imoto kuze kuxoxwe nodokotela ohlinzayo.
Umhlinzeki wezempilo angase ancome ukwelashwa ngokomzimba ukuphumula, ukuqinisa, nokugcina impilo ye-musculoskeletal. Ukwelashwa ngokomzimba kungase kube izikhathi ezimbili kuya kwezintathu ngesonto amasonto amane kuya kwayisithupha.
Izincomo zokutakula ezifanele zihlanganisa:
Ukulala ngokwanele, okungenani amahora ayisikhombisa kuya kwayisishiyagalombili.
Ukugcina isimo sengqondo esihle nokufunda indlela yokubhekana nokulawula ukucindezeleka.
Ukugcina i-hydration yomzimba.
Ukulandela uhlelo lokuzivocavoca njengoba kunqunywe ngumelaphi womzimba.
Ukuzijwayeza ukuma okunempilo ngokuhlala, ukuma, ukuhamba, nokulala.
Ukuhlala usebenza futhi ukhawulela inani lesikhathi esichithwa uhlezi. Zama ukuvuka uhambe njalo amahora amabili kuya kwamabili emini ukuze uhlale usebenza futhi uvimbele amahlule egazi. Khulisa kancane kancane isikhathi noma ibanga njengoba ukululama kuqhubeka.
Ungaphusheli ukwenza okuningi ngokushesha kakhulu. Ukuzikhandla ngokweqile kungandisa ubuhlungu futhi kubambezele ukululama.
Ukufunda amasu okuphakamisa alungile ukuze usebenzise imisipha ephakathi nemilenze ukuvimbela ukucindezela okwandayo emgogodleni.
Xoxa ngezinketho zokwelapha zokulawula izimpawu nomhlinzeki wezempilo noma uchwepheshe ukuze unqume ukuthi ukuhlinzwa komgogodla we-laser kufanelekile. Izinhlelo zokunakekelwa kwe-Injury Medical Chiropractic kanye ne-Functional Medicine Clinic kanye nezinsizakalo zomtholampilo zikhethekile futhi zigxile ekulimaleni kanye nenqubo yokutakula ephelele. UDkt. Jimenez uhlanganyele nodokotela abahlinzayo abaphezulu, ochwepheshe bemitholampilo, abacwaningi bezokwelapha, abelaphi, abaqeqeshi, nabahlinzeki bokuvuselela i-premiere. Sigxila ekubuyiseleni imisebenzi evamile yomzimba ngemva kokulimala kanye nokulimala kwezicubu ezithambile kusetshenziswa i-Specialized Chiropractic Protocols, Wellness Programs, Functional and integrative Nutrition, Agility and Mobility Fitness Training, kanye Nezinhlelo Zokuvuselela Iminyaka yonke. Izindawo zethu zokuzijwayeza zihlanganisa Wellness & Nutrition, Ubuhlungu obungapheli, Ukulimala Komuntu, Ukunakekelwa Kwengozi Yezimoto, Ukulimala Umsebenzi, Ukulimala Emuva, Ubuhlungu Obuphansi, Ubuhlungu Bentamo, Ikhanda Elibuhlungu, Ukulimala Kwezemidlalo, I-Severe Sciatica, I-Scoliosis, I-Complex Herniated Discs, Fibromyalgia, Chronic Ubuhlungu, Ukulimala Okuyinkimbinkimbi, Ukulawulwa Kwengcindezi, Ukwelashwa Kwemithi Esebenzayo, kanye nezinqubo zokunakekelwa kwe-in-scope.
VIDEO
Stern, J. SpineLine. (2009). Ama-Lasers ku-Spine Surgery: Ukubuyekezwa. Imiqondo yamanje, 17-23. www.spine.org/Portals/0/assets/downloads/KnowYourBack/LaserSurgery.pdf
Brouwer, PA, Brand, R., van den Akker-van Marle, ME, Jacobs, WC, Schenk, B., van den Berg-Huijsmans, AA, Koes, BW, van Buchem, MA, Arts, MP, & Peul , WC (2015). I-Percutaneous laser decompression ngokumelene ne-microdiscectomy evamile ku-sciatica: isilingo esilawulwa ngokungahleliwe. Ijenali yomgogodla: iphephabhuku elisemthethweni leNorth American Spine Society, 15 (5), 857-865. doi.org/10.1016/j.spinee.2015.01.020
I-Atlantic Brain nomgogodla. (2022). Iqiniso Mayelana Nokuhlinzwa Kwe-Laser Spine [2022 Update]. I-Atlantic Brain and Spine Blog. www.brainspinesurgery.com/blog/the-truth-about-laser-spine-surgery-2022-update?rq=Laser%20Spine%20Surgery
Umtholampilo waseCleveland. (2018). Ingabe Ukuhlinzwa Kwe-Laser Spine Kungalungisa Ubuhlungu Bakho Basemuva? health.clevelandclinic.org/can-laser-spine-surgery-fix-your-back-pain/
I-University of Wisconsin School of Medicine kanye Nezempilo Yomphakathi. (2021). Iziyalezo Zokunakekelwa Kwasekhaya Ngemva Kokuhlinzwa Kwe-Lumbar Laminectomy, Ukucindezeleka noma Ukuhlinzwa Kwe-Discectomy. patient.uwhealth.org/healthfacts/4466
