I-Chiropractic
I-Back Clinic Chiropractic. Lokhu kuyindlela yokwelapha ehlukile egxile ekuxilongweni nasekwelapheni kokulimala nezimo ezihlukahlukene ze-musculoskeletal, ikakhulukazi lezo ezihambisana nomgogodla. UDkt. Alex Jimenez uxoxa ngokuthi ukulungiswa komgogodla kanye nokuphathwa ngesandla njalo kungasiza kakhulu kokubili ukuthuthukisa nokuqeda izimpawu eziningi ezingase zidale ukungakhululeki kumuntu. Ama-Chiropractors akholelwa phakathi kwezizathu eziyinhloko zobuhlungu nezifo ukungahambi kahle kwe-vertebrae kukholomu yomgogodla (lokhu kwaziwa ngokuthi i-chiropractic subluxation).
Ngokusebenzisa ukutholwa okubhaliwe (noma i-palpation), ukucindezela okufakwe ngokucophelela, ukubhucungwa, kanye nokuphathwa ngesandla kwe-vertebrae namalunga (okubizwa ngokuthi ukulungiswa), ama-chiropractors angakwazi ukunciphisa ukucindezelwa nokucasuka emithanjeni, abuyisele ukuhamba okuhlangene, futhi asize ukubuyisela i-homeostasis yomzimba. . Kusukela ku-subluxations, noma ukungahambi kahle komgogodla, kuya ku-sciatica, isethi yezimpawu eduze kwe-nerve ye-sciatic ebangelwa ukufakwa kwezinzwa, ukunakekelwa kwe-chiropractic kungabuyisela kancane kancane isimo semvelo somuntu. UDkt. Jimenez uhlanganisa iqembu lemiqondo nge-chiropractic ukuze afundise kangcono abantu ngabanye ngezinhlobonhlobo zokulimala nezimo ezithinta umzimba womuntu.
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?
Isingeniso
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
Ukuchaza Amaphutha Ezokwelapha
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.
Izinhlobo Ezivamile Zamaphutha Ezokwelapha
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.
Amaphutha Wemiphumela Nenqubo
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.
Thuthukisa Indlela Yakho Yokuphila Namuhla- Ividiyo
VIDEO
Ukuhlaziya Nokuvimbela Amaphutha Ezokwelapha
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.
Iyini Ukuhlaziywa Kwembangela Yomsuka?
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.
Isiphetho
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.
Okubhekwayo
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
Disclaimer
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?
Isingeniso
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 .
Iyini i-Ehlers-Danlos Syndrome?
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 )
Izimpawu
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.
Umuthi Wokunyakaza: Ukunakekelwa Kwe-Chiropractic-Ividiyo
VIDEO
Izindlela Zokuphatha I-EDS
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 Okungekona Ukuhlinzwa Kwe-EDS
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.
Okubhekwayo
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
Disclaimer
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?
Isingeniso
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 .
Ukuqonda i-Sciatica
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.
Beyond Adjustments: Chiropractic & Integrative Healthcare- Ividiyo
VIDEO
Ukunakekelwa kweChiropractic For Sciatica
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.
Imiphumela yokunakekelwa kweChiropractic ye-Sciatica
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.
I-acupuncture ye-Sciatica
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.
Imiphumela ye-Acupuncture ye-Sciatica
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.
Okubhekwayo
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
Disclaimer
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 Neuropathy
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.
Izimbangela
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.
Izimpawu
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.
I-Cyclist's Syndrome
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.
I-Cyclist's Syndrome Prevention
Ukubuyekezwa kocwaningo kunikeze izincomo ezilandelayo zokuvimbela i-Cyclist's Syndrome (Chiaramonte, R., Pavone, P., Vecchio, M. 2021 )
Ukuphumula
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.
isihlalo
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.
Ukufakwa Kwebhayisikili
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.
izikhindi
Gqoka izikhindi zebhayisikili ezinamaphedi.
Ukwelashwa
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.
Ukukhulelwa kanye ne-Sciatica
VIDEO
Okubhekwayo
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?
I-Laser Spine Surgery
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.
Indlela Esebenza
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 )
Izingozi Zokuhlinzwa
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 )
Injongo
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 )
Ukulungiselela
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.
Ukulindela Izinto
Ukuhlinzwa kuzonqunywa isiguli kanye nomhlinzeki wezempilo futhi kuhlelelwe esibhedlela noma esikhungweni sokuhlinza iziguli ezingalalisiwe. Hlela ukuthi umngane noma ilungu lomndeni lishayele lapho liyohlinzwa nasekhaya.
Ngaphambi Kokuhlinzwa
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.
Ngesikhathi Sokuhlinzwa
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.
Ngemuva Kokuhlinzwa
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.
Lokubuyisela
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.
Inqubo
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.
Indlela Engahlinzwa
VIDEO
Okubhekwayo
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
by UDkt Alex Jimenez I-Chiropractic , Ubuhlungu Emuva Emuva
Abantu bangase bathole isigaxa, iqhubu, noma iqhubu ngaphansi kwesikhumba ezizungeze umhlane wabo ophansi, okhalweni, kanye ne-sacrum engabangela ubuhlungu ngokucindezela izinzwa futhi kulimaze i-fascia. Ingabe ukwazi izimo ezixhunyaniswe nazo kanye nezimpawu zazo kungabasiza abahlinzeki bezokunakekelwa kwempilo banqume ukuxilongwa okufanele futhi bakhe uhlelo lokwelapha olusebenzayo lwabo?
Amaqhubu Abuhlungu, Amaqhuqhuva Around Low Back, Hips, and Sacrum
Izixuku ezibuhlungu ezinqeni nasezinqeni, i i-sacrum , futhi ingemuva elingezansi kunezigaxa zamafutha noma ama-lipomas, izicubu ezinemicu, noma ezinye izinhlobo zamaqhuqhuva ezihambayo lapho zicindezelwa. Abanye abahlinzeki bezempilo kanye nama-chiropractors, ikakhulukazi, basebenzisa igama elingelona elezokwelapha amagundane angemuva (Ngo-1937, leli gama lalisetshenziselwa ukuchaza izigaxa ezihlobene ne-episacroiliac lipoma) ukuchaza amaqhubu. Abanye ochwepheshe bezokunakekelwa kwempilo baphikisana nokubiza abantu abaningi ngamagundane ngoba akucaci futhi kungaholela ekuxilongweni okungeyikho noma ekwelashweni okungalungile.
Iningi livela endaweni engezansi ne-hip.
Kwezinye izimo, ziphuma noma zikhiphe i-herniate ngokusebenzisa i-lumbodorsal fascia noma inethiwekhi yezicubu ezixhumeneyo ezihlanganisa imisipha ejulile yomgogodla ophansi nophakathi.
Ezinye izigaxa zingakhula esicutshini esingaphansi kwesikhumba.
Namuhla, izimo eziningi zihlotshaniswa nezigaxa zamagundane angemuva, okuhlanganisa:
I-Iliac Crest Pain Syndrome
I-Multifidus triangle syndrome
I-Lumbar fascial fat herniation
I-Lumbosacral (sacrum) i-fat herniation
I-Episacral lipoma
Izimo Ezihlobene
I-Iliac Crest Pain Syndrome
Eyaziwa nangokuthi i-iliolumbar syndrome, i-iliac crest pain syndrome iqala lapho ukudabuka emgqeni kwenzeka.
Ibhande le-ligament lixhuma i-vertebrae yesine neyesihlanu ye-lumbar ne-ilium ohlangothini olufanayo. (Dąbrowski, K. Ciszek, B. 2023 )
Izimbangela zihlanganisa :Ukudabula umsipha ekugobeni ngokuphindaphindiwe nokusonteka.
Ukuhlukumezeka noma ukuphuka kwethambo ilium okubangelwa ukuwa noma ukushayisana kwemoto.
I-Multifidus Triangle Syndrome
I-Multifidus triangle syndrome iqala lapho imisipha ye-multifidus egudle umgogodla iba buthaka futhi inciphisa ukusebenza noma ikhono.
Le misipha ingaba ne-atrophy, futhi izicubu ezinamafutha e-intramuscular zingathatha indawo yomsipha.
Imisipha ye-atrophied inciphisa ukuzinza komgogodla futhi ingabangela ubuhlungu obuphansi. (Seyedhoseinpoor, T. et al., 2022 )
I-Lumbar Facial Fat Herniation
I-lumbodorsal fascia iwulwelwesi oluncane lwe-fibrous olumboza imisipha ejulile yangemuva.
I-Lumbar fascial fat herniation iyinqwaba yamafutha abuhlungu aphumela ngaphandle noma aphume ngolwelwesi, avaleleke futhi avuvuke, futhi abangele ubuhlungu.
Izimbangela zalolu hlobo lwe-herniation okwamanje azikaziwa.
I-Lumbosacral (Sacrum) I-Fat Herniation
I-Lumbosacral ichaza lapho umgogodla we-lumbar uhlangana khona ne-sacrum.
I-Lumbosacral fat herniation iyisisindo esibuhlungu esifana ne-lumbar facial herniation endaweni ehlukile ezungeze i-sacrum.
Izimbangela zalolu hlobo lwe-herniation okwamanje azikaziwa.
Episacral Lipoma
I-Episacral lipoma iyiqhubu elincane elibuhlungu ngaphansi kwesikhumba elivela ngokuyinhloko phezu konqenqema lwangaphandle lwethambo le-pelvic. Lezi zigaxa zenzeka lapho ingxenye ye-dorsal fat pad iphuma ngokudabuka ku-thoracodorsal fascia, izicubu ezixhumeneyo ezisiza ukubamba imisipha yangemuva endaweni. (Erdem, HR et al., 2013 ) Umhlinzeki wezempilo angase adlulisele umuntu kudokotela wamathambo noma udokotela wamathambo ngalelipoma. Umuntu angase futhi athole ukukhululeka kobuhlungu kumuntu ophulukisa umzimba ojwayelene nalesi simo. (Erdem, HR et al., 2013 )
Izimpawu
Izigaxa ezingemuva zivame ukubonakala ngaphansi kwesikhumba. Ngokuvamile zithambile lapho zithinta futhi zingenza ukuhlala esihlalweni noma ukulala ngomhlane kube nzima, njengoba zivame ukuvela emathanjeni e-hip kanye nesifunda se-sacroiliac. (Bicket, MC et al., 2016 ) Ama-nodule angaba:
Qina noma uqine.
Yiba nomuzwa wokunwebeka.
Hambisa ngaphansi kwesikhumba uma ucindezelwa.
Banga ubuhlungu obukhulu, obukhulu.
Ubuhlungu bubangelwa ukucindezelwa kwesigaxa, esicindezela imizwa.
Ukulimala kwe-fascia engaphansi kungase kubangele izimpawu zobuhlungu.
Sifo
Abanye abantu ababoni ukuthi banamaqhuqhuva noma izigaxa kuze kube yilapho kufakwa umfutho. Ama-Chiropractors kanye nabelaphi be-massage bavame ukuzithola ngesikhathi sokwelashwa kodwa abahloli ukukhula kwamafutha okungavamile. I-chiropractor noma i-massage Therapist izodlulisela isiguli kudokotela wesikhumba oqeqeshiwe noma uchwepheshe wezokwelapha ongenza izifundo ze-imaging kanye ne-biopsy. Ukunquma ukuthi yiziphi izigaxa kungaba yinselele ngoba aziqondile. Abahlinzeki bezempilo kwesinye isikhathi baxilonga amaqhuqhuva ngokuwajova ngomuthi obulala izinzwa wendawo. (Bicket, MC et al., 2016 )
Ukuxilongwa Okuhlukile
Ama-fatty deposits angaba yinoma iyiphi inombolo yezinto, futhi okufanayo kuyasebenza emithonjeni yobuhlungu bezinzwa. Umhlinzeki wokunakekelwa kwezempilo angase aphinde axilonge ngokukhipha ezinye izimbangela, ezingafaka:
Ama-Sebaceous Cysts
I-capsule elungile, egcwele uketshezi phakathi kwezingqimba zesikhumba.
Ithumba elingaphansi kwesikhumba
Iqoqo lobovu ngaphansi kwesikhumba.
Ngokuvamile kubuhlungu.
Ingavuvukala.
Sciatica
Ubuhlungu bezinzwa ezikhazimulayo phansi komlenze owodwa noma yomibili obubangelwa i-disc ye-herniated, i-bone spur, noma imisipha e-spasming emhlane ophansi.
I-Liposarcoma
Izimila ezimbi ngezinye izikhathi zingabonakala njengezimila ezinamafutha emisipha.
I-Liposarcoma ivame ukutholwa yi-biopsy, lapho ezinye izicubu zikhishwa ku-nodule futhi zihlolwe amangqamuzana omdlavuza. (Johns Hopkins Medicine. 2024)
I-MRI noma i-CT scan nayo ingenziwa ukuze kutholwe indawo eqondile yenodule.
Ama-lipomas abuhlungu nawo ahlotshaniswa ne-fibromyalgia.
Ukwelashwa
Amaqhuqhuva angemuva ngokuvamile awalungile, ngakho-ke asikho isizathu sokuwasusa ngaphandle uma ebangela ubuhlungu noma izinkinga zokuhamba (I-American Academy of Orthopedic Surgeons: OrthoInfo. 2023 ). Kodwa-ke, kufanele zihlolwe ukuze kuqinisekiswe ukuthi azinawo umdlavuza. Ukwelashwa ngokuvamile kuhilela izibulala-zinzwa ezijovwe, njenge-lidocaine noma i-corticosteroids, kanye nezidambisi zobuhlungu ezitholakala ngaphandle kwe-counter njengama-NSAID.
Ukuhlinzwa
Uma ubuhlungu bukhulu, ukususwa kokuhlinzwa kungase kunconywe. Lokhu kuhilela ukusika ubuningi nokulungisa i-fascia ukuze uthole impumuzo ehlala njalo. Nokho, ukususwa kungase kunganconyiwe uma kunamaqhuqhuva amaningi, njengoba abanye abantu bengaba namakhulu. I-Liposuction ingase isebenze uma izigaxa zizincane, zibanzi kakhulu, futhi zihlanganisa uketshezi oluningi. (Udokotela Womndeni waseMelika. 2002 ) Izinkinga zokususwa ngokuhlinzwa zingabandakanya:
Ukwehla
Ukuthuka
Ukuthungwa kwesikhumba okungalingani
Ukutheleleka
Ukwelashwa Okuhambisanayo Nokunye
Ukwelapha Okuthophayo kanye Neminye Imithi efana ne-acupuncture, i-dry needling, kanye nokuxhaphaza umgogodla kungasiza. Abaningi be-chiropractors bakholelwa ukuthi ama-nodule angemuva angelashwa ngempumelelo ngemithi ehambisanayo nehlukile. Indlela evamile isebenzisa i-acupuncture kanye nokuguqulwa komgogodla ngokuhlangene. Ucwaningo oluyisibonelo lwabika ukuthi imijovo yokubulala izinzwa elandelwa inaliti eyomile, efana ne-acupuncture, yenza ngcono izinhlungu. (Bicket, MC et al., 2016 )
I-Injury Medical Chiropractic kanye ne-Functional Medicine Clinic igxile ekwelapheni okuqhubekayo kanye nezinqubo zokuvuselela ukusebenza ezigxile ekubuyiseleni imisebenzi evamile yomzimba ngemva kokulimala nokulimala kwezicubu ezithambile kanye nenqubo yokutakula ephelele. 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. 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.
Ngalé Kwe-Surface
VIDEO
Okubhekwayo
U-Dąbrowski, K., & Ciszek, B. (2023). I-Anatomy kanye ne-morphology ye-iliolumbar ligament. I-anatomy yokuhlinzwa ne-radiologic : SRA, 45(2), 169-173. doi.org/10.1007/s00276-022-03070-y
Seyedhoseinpoor, T., Taghipour, M., Dadgoo, M., Sanjari, MA, Takamjani, IE, Kazemnejad, A., Khoshamooz, Y., & Hides, J. (2022). Ukuguqulwa kwe-lumbar muscle morphology kanye nokubunjwa ngokuphathelene nobuhlungu obuphansi emuva: ukubuyekezwa okuhlelekile nokuhlaziywa kwe-meta. Ijenali yomgogodla: iphephabhuku elisemthethweni leNorth American Spine Society, 22(4), 660-676. doi.org/10.1016/j.spinee.2021.10.018
U-Erdem, HR, Nacır, B., Özeri, Z., & Karagöz, A. (2013). I-Episakral lipoma: Bel ağrısının tedavi edilebilir bir nedeni [I-Episacral lipoma: imbangela elaphekayo yobuhlungu obuphansi beqolo]. Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = Ijenali ye-Turkish Society of Algology, 25(2), 83–86. doi.org/10.5505/agri.2013.63626
I-Bicket, MC, Simmons, C., & Zheng, Y. (2016). Izinhlelo Ezibekwe Kakhulu "Zamagundane Angemuva" kanye Nabesilisa: Umbiko Wecala Nokubuyekezwa Kwemibhalo Ye-Episacroiliac Lipoma. Udokotela wezinhlungu, 19(3), 181-188.
Johns Hopkins Medicine. (2024). I-Liposarcoma. www.hopkinsmedicine.org/health/conditions-and-diseases/sarcoma/liposarcoma
I-American Academy of Orthopedic Surgeons: OrthoInfo. (2023). I-Lipoma. orthoinfo.aaos.org/zu/diseases-conditions/lipoma
Udokotela Womndeni waseMelika. (2002). Ukukhishwa kwe-Lipoma. Udokotela Womndeni waseMelika, 65(5), 901-905. www.aafp.org/pubs/afp/issues/2002/0301/p901.html
by UDkt Alex Jimenez Inhlekelele Yokulimala , Sciatica
Lapho i-sciatica noma obunye ubuhlungu bezinzwa obukhazimulayo buveza, ingabe ukufunda ukuhlukanisa phakathi kobuhlungu bezinzwa nezinhlobo ezahlukene zobuhlungu kusiza abantu ukuba babone lapho izimpande zemizwa yomgogodla zicasuka noma zicindezelwe noma izinkinga ezinkulu kakhulu ezidinga ukunakekelwa kwezokwelapha?
Izimpande ze-Spinal Neerve and Dermatomes
Izimo zomgogodla ezifana nama-disc herniated kanye ne-stenosis zingaholela ebuhlungu obukhiphayo obuhamba phansi kwengalo eyodwa noma umlenze. Ezinye izimpawu zihlanganisa ubuthakathaka, ukuba ndikindiki, kanye/noma ukudubula noma ukushiswa kwemizwa kagesi. Igama lezokwelapha lezimpawu ze-pinched nerve i-radiculopathy (Izikhungo Zezempilo Zikazwelonke: Isikhungo Sikazwelonke Sezinkinga Zezinzwa Nesifo Sohlangothi. 2020 ). Ama-dermatomes angaba nomthelela ekucasukeni komgogodla, lapho izimpande zezinzwa zibangela izimpawu emhlane nasezithweni.
Anatomy
Umgogodla unezingxenye ezingu-31.
Ingxenye ngayinye inezimpande zezinzwa kwesokudla nakwesokunxele ezinikezela ngemisebenzi ye-motor nezinzwa ezithweni.
Amagatsha okuxhumana angaphambili nangemuva ahlangana ukuze enze izinzwa zomgogodla eziphuma emgodini we-vertebral.
Izingxenye ezingu-31 zomgogodla ziphumela emithanjeni engu-31 yomgogodla.
Ngayinye idlulisa okokufaka kwemizwa yezinzwa kusuka endaweni ethile yesikhumba kulelo hlangothi nendawo yomzimba.
Lezi zifunda zibizwa ngokuthi ama-dermatome.
Ngaphandle kwe-nerve yokuqala yomgogodla womlomo wesibeletho, ama-dermatome akhona ku-nerve ngayinye yomgogodla.
Izinzwa zomgogodla kanye nama-dermatome ahlobene nawo enza inethiwekhi kuwo wonke umzimba.
Dermatomes Inhloso
Ama-dermatome yizindawo zomzimba/isikhumba ezinokufakwa kwezinzwa ezinikezwe imizwa yomgogodla ngayinye. Impande ngayinye yezinzwa ine-dermatome ehlobene, futhi amagatsha ahlukahlukene ahlinzeka nge-dermatome ngayinye kuleyompande yenzwa eyodwa. Ama-dermatome ayindlela lapho ulwazi oluvusa amadlingozi esikhumbeni ludlulisela khona amasignali luye noma lusuka ohlelweni lwezinzwa olumaphakathi. Imizwa ezwakalayo ngokomzimba, njengokucindezela nezinga lokushisa, idluliselwa ohlelweni lwezinzwa olumaphakathi. Uma impande yenzwa yomgogodla icindezela noma icasukile, ngokuvamile ngenxa yokuthi ihlangana nesinye isakhiwo, iphumela ku-radiculopathy. (Izikhungo Zezempilo Zikazwelonke: Isikhungo Sikazwelonke Sezinkinga Zezinzwa Nesifo Sohlangothi. 2020 ).
I-Radiculopathy
I-Radiculopathy ichaza izimpawu ezibangelwa inzwa epinkiwe eduze komgogodla. Izimpawu nezinzwa zincike lapho i-nerve iphiniwe kanye nezinga lokucindezelwa.
Umlomo wesibeletho
Lena i-syndrome yobuhlungu kanye/noma ukwehluleka kwezinzwa lapho izimpande zezinzwa entanyeni zicindezelwa.
Imvamisa iveza ubuhlungu obuhla ngengalo eyodwa.
Abantu ngabanye bangase futhi bezwe ukuzwa kukagesi njengezikhonkwane nezinaliti, ukushaqeka, nezinzwa ezishisayo, kanye nezimpawu zemoto ezinjengobuthakathaka nokuba ndikindiki.
I-Lumbar
Le radiculopathy ibangelwa ukucindezelwa, ukuvuvukala, noma ukulimala ku-nerve yomgogodla emhlane ophansi.
Ukuzwa izinhlungu, ukuba ndikindiki, ukuntweza, ukuzwa kukagesi noma ukuvutha, kanye nezimpawu zezimoto ezinjengobuthakathaka obuhamba phansi emlenzeni owodwa zivamile.
Sifo
Ingxenye yokuhlolwa komzimba kwe-radiculopathy ukuhlola ama-dermatomes ukuze azwele. Udokotela uzosebenzisa izivivinyo ezithile zezandla ukuze anqume izinga lomgogodla lapho izimpawu zivela khona. Ukuhlolwa okwenziwa mathupha kuvame ukuhambisana nokuhlolwa kwezithombe zokuxilonga njenge-MRI, engabonisa ukungahambi kahle empandeni yemizwa yomgogodla. Ukuhlolwa okuphelele komzimba kuzonquma ukuthi impande yenzwa yomgogodla ingumthombo wezimpawu.
Ukwelapha Izimbangela Eziyisisekelo
Iziyaluyalu eziningi zangemuva zingelashwa ngemithi yokwelapha elondolozayo ukuze inikeze ukukhululeka kobuhlungu okuphumelelayo. Ngediski ye-herniated, isibonelo, abantu banganconywa ukuba baphumule futhi baphuze imithi elwa nokuvuvukala okungezona i-steroidal. I-acupuncture, ukwelapha ngokomzimba, i-chiropractic, i-traction engeyona yokuhlinzwa, noma zokwelapha decompression ingase futhi inqunywe. Ngobuhlungu obukhulu, abantu banganikezwa umjovo we-epidural steroid onganikeza ukukhululeka kobuhlungu ngokunciphisa ukuvuvukala. (I-American Academy of Orthopedic Surgeons: OrthoInfo. 2022 ) Nge-stenosis yomgogodla, umhlinzeki angase aqale agxile ekwelapheni ngokomzimba ukuze athuthukise ukuqina komzimba wonke, aqinise izisu zesisu nemisipha yangemuva, futhi alondoloze ukunyakaza emgogodleni. Imithi edambisa izinhlungu, kuhlanganise nama-NSAID nemijovo ye-corticosteroid, inganciphisa ukuvuvukala futhi ikhulule ubuhlungu. (I-American College of Rheumatology. 2023 ) Abelaphi bomzimba banikeza izindlela zokwelapha ezihlukahlukene zokunciphisa izimpawu, okuhlanganisa ukuwohloka okwenziwa ngesandla nokomshini kanye nokudonsa. Ukuhlinzwa kungase kunconywe ezimweni ze-radiculopathy ezingaphenduli ekwelashweni okuvamile.
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 & 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. 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, and Rehabilitation Systems yayo yonke iminyaka. Uma umuntu edinga okunye ukwelashwa, uzothunyelwa emtholampilo noma kudokotela osifanelekela kangcono isimo sakhe. UDkt. Jimenez uhlanganyele nodokotela abahlinzayo abaphezulu, ochwepheshe bezokwelapha, abacwaningi bezokwelapha, abelaphi, abaqeqeshi, nabahlinzeki bokuvuselela i-premiere ukuletha u-El Paso, ukwelapha okuphezulu kwemitholampilo, emphakathini wethu.
Buyisela Ukuhamba Kwakho: Ukunakekelwa Kwe-Chiropractic For Sciatica Recovery
VIDEO
Okubhekwayo
Izikhungo Zezempilo Zikazwelonke: Isikhungo Sikazwelonke Sezinkinga Zezinzwa Nesifo Sohlangothi. (2020). Iphepha leqiniso lezinhlungu eqolo. Kubuyiswe kusuka www.ninds.nih.gov/sites/default/files/migrate-documents/low_back_pain_20-ns-5161_march_2020_508c.pdf
I-American Academy of Orthopedic Surgeons: OrthoInfo. (2022). I-Herniated disk ngemuva. orthoinfo.aaos.org/zu/diseases-conditions/herniated-disk-in-the-lower-back/
I-American College of Rheumatology. (2023). I-stenosis yomgogodla. rheumatology.org/patients/spinal-stenosis
