Ubuhlungu Bokubuyela Emuva
Ithimba Lomtholampilo Wasemuva Lezinhlungu Ezingapheli. Ubuhlungu obungapheli bokubuyela emuva bunomphumela ofinyelela kude ezinkambisweni eziningi zomzimba. UDkt. Jimenez wembula izihloko nezindaba ezithinta iziguli zakhe. Ukuqonda ubuhlungu kubalulekile ekwelapheni kwabo. Ngakho-ke lapha siqala inqubo yeziguli zethu ohambweni lokululama.
Cishe wonke umuntu uzwa ubuhlungu ngezikhathi ezithile. Uma usika umunwe wakho noma udonsa umsipha, ubuhlungu buyindlela yomzimba wakho yokukutshela ukuthi kukhona okungalungile. Uma ukulimala sekupholile, uyayeka ukulimaza.
Ubuhlungu obungapheli buhlukile. Umzimba wakho ulokhu ulimaza amasonto, izinyanga, noma ngisho neminyaka ngemva kokulimala. Odokotela bavame ukuchaza ubuhlungu obungapheli njenganoma yikuphi ubuhlungu obuhlala ku-3 kuya ku-6 izinyanga noma ngaphezulu.
Ubuhlungu obungapheli bokubuyela emuva bungaba nemiphumela yangempela empilweni yakho yansuku zonke kanye nempilo yakho yengqondo. Kodwa wena nodokotela wakho ningasebenzisana ukuze niyelapha.
Sicela usibize ukuze sikusize. Siyayiqonda inkinga okungafanele ithathwe kalula.
by UDkt Alex Jimenez | Ukuhlungu obusemhlane, Ubuhlungu Bokubuyela Emuva, Ubuhlungu obungapheliyo, Electroacupuncture Therapy, Sciatica, I-Sciatica Nerve Pain, Ukwelashwa, I-Viscerosomatic Reflex
Ingabe imiphumela ye-electroacupuncture inganciphisa i-sciatica kubantu ababhekene nobuhlungu obuphansi emuva ukuze babuyisele ukuhamba kwabo?
Isingeniso
Lapho abantu abaningi beqala ukusebenzisa ngokweqile imisipha yabo kuma-quadrants aphansi, kungaholela ezindabeni eziningi ezibangela ubuhlungu nokungakhululeki. Enye yezinkinga ezivame kakhulu zobuhlungu ku-quadrants ephansi yesistimu ye-musculoskeletal yi-sciatica, ehlotshaniswa nobuhlungu obuphansi emuva. Lezi zinhlungu ezimbili zingathinta indlela yomuntu yansuku zonke futhi zimholele ebuhlungwini nasekuphatheni kabi. Lesi simo se-musculoskeletal sivamile, futhi uma sithinta umlenze owodwa kanye nomhlane ophansi, abantu abaningi bathi ubuhlungu obuvuthayo obudubulayo obungapheli isikhathi eside. Ngenhlanhla, kukhona ukwelashwa okufana ne-electroacupuncture ukunciphisa i-sciatica ehambisana nobuhlungu obuphansi emuva. Isihloko sanamuhla sibheka uxhumano lwe-sciatica-low-back, ukuthi i-electroacupuncture inciphisa kanjani lokhu kuxhumana kobuhlungu, nokuthi i-electroacupuncture ingabuyisela kanjani ukuhamba kumuntu ngamunye. Sikhuluma nabahlinzeki bezokwelapha abaqinisekisiwe abahlanganisa ulwazi lweziguli zethu ukuze bahlole indlela yokunciphisa uxhumano lwe-sciatica-low-back nge-electroacupuncture. Siphinde sazise futhi siqondise iziguli ukuthi ukwelashwa kwe-electroacupuncture kungahlanganiswa kanjani nezinye izindlela zokwelapha ukubuyisela ukuhamba komzimba. Sikhuthaza iziguli zethu ukuthi zibuze abahlinzeki bazo bezokwelapha abahlobene nabo imibuzo eyinkimbinkimbi futhi ebalulekile mayelana nokuhlanganisa ukwelashwa kwe-electroacupuncture njengengxenye yendlela yabo yokunciphisa i-sciatica ehambisana nobuhlungu obuphansi emuva. UDkt. Jimenez, DC, uhlanganisa lolu lwazi njengesevisi yezemfundo. Disclaimer.
The Sciatica & Low Back Connection
Ingabe uzwa ubuhlungu bemisipha noma ubuhlungu emhlane wakho ophansi noma emilenzeni yakho? Ingabe uzwa ubuhlungu obukhazimulayo, obuhlabayo emilenzeni obuthinta ikhono lakho lokuhamba? Noma uke waqaphela ukuthi imilenze yakho neqolo lakho libuhlungu kakhulu lapho uphethe into esindayo? Eziningi zalezi zimo zihlotshaniswa ne-sciatica, ehambisana nobuhlungu obuphansi emuva. Manje, i-sciatica ivame ukubonakala ngobuhlungu obunzima obuhamba nge-nerve ye-sciatic kusuka esifundeni esingaphansi, okuphazamisa izinga lokuphila lomuntu. Kuhlelo lwe-musculoskeletal, i-nerve ye-sciatic idlala indima ebalulekile ngokuhlinzeka ngokusebenza kwemoto emilenzeni. (UDavis et al., 2024) Manje, lapho i-sciatic nerve, isifunda se-lumbar sinendima ebalulekile. Isifunda se-lumbar esifundeni se-musculoskeletal sinendima ebalulekile ekuhlinzekeni ukusekela, amandla, nokuvumelana nezimo emzimbeni. Kodwa-ke, kokubili i-sciatic nerve kanye ne-lumbar spinal region ijwayele ukucindezeleka nokulimala ekulimaleni okubuhlungu kanye nezici zemvelo ezingaba nomthelela kuma-lumbar spinal discs kanye ne-nerve ye-sciatic.
Ukunyakaza okuphindaphindiwe, ukukhuluphala, ukuphakanyiswa okungalungile, izinkinga zomgogodla eziwohlokayo, nezimo ze-musculoskeletal yizimbangela ezimbalwa kanye nezici eziyingozi ezibangela ukuthuthukiswa kwe-sciatica ehambisana nomgogodla ophansi. Okugcina kwenzeka ukuthi okuqukethwe kwamanzi kanye nokulahlekelwa okuqhubekayo kwama-proteoglycans ama-spinal discs aphuka phakathi kwe-vertebrae futhi aphume ukuze acindezele i-nerve ye-sciatic, engase icasuke futhi ibangele ubuhlungu obuvela emilenzeni nasemhlane ophansi. . (U-Zhou et al., 2021) Inhlanganisela ye-sciatica nobuhlungu obuphansi emuva ingaba yinkinga yezenhlalo nezomnotho kuye ngokuthi ubukhulu bobuhlungu obubangelwa yi-sciatic nerve futhi kungenza abantu baphuthelwe kunoma yimiphi imisebenzi ababambe iqhaza kuyo.USiddiq et al., 2020) Nakuba izimpawu ezifana nobuhlungu be-sciatica zivame ukuhlobana ne-lumbar region, abantu abaningi bangathola ukukhululeka abakufunayo ngokwelashwa okuhlukahlukene.
Izimbangela ze-Sciatica- Ividiyo
I-Electroacupuncture Yehlisa I-Sciatica-Low Back Connection
Uma kukhulunywa ngokunciphisa ukuxhumana kwe-sciatic-low-back, abantu abaningi bafuna ukwelashwa okungabizi kakhulu futhi okusebenzayo ekwehliseni izinkinga ezinjengobuhlungu. Ukwelashwa okungahlinzeki njenge-electroacupuncture kungaba yinzuzo kubantu abaningi ababhekene nobuhlungu be-sciatica obuhambisana nomgogodla ophansi. I-Electroacupuncture ingolunye uhlobo lokwelapha lwendabuko lokutshopa olusuka eShayina. Ama-acupuncturists aqeqeshwe kakhulu alandela izimiso ezifanayo zokutshopa ngokubeka izinaliti ezincane eziqinile kuma-acupoints ahlukene emzimbeni ukuze kubuyiselwe i-qui noma i-chi (ukugeleza kwamandla). I-Electroacupuncture ihlanganisa izinaliti kanye ne-electrostimulation ukuze kuncishiswe izindlela zokulawula ubuhlungu obuphakathi okubangela ubuhlungu obuphansi emuva kanye ne-sciatica ngokuvimbela izimpawu zobuhlungu nokuhlinzeka ngokukhululeka kobuhlungu. (Kong, 2020) Ngesikhathi esifanayo, i-electroacupuncture inikeza izakhiwo ze-analgesic ukuvuselela ama-endorphin nokunciphisa imithi yobuhlungu ngenxa yobuhlungu obuphansi emuva ngokuphepha. (Sung et al., 2021)
I-Electroacupuncture Ukubuyisela Ukuhamba
Lapho imigqa engezansi ibhekene nokuhamba okulinganiselwe ngenxa ye-sciatica ehambisana nobuhlungu obuphansi emuva, i-electroacupuncture ingasiza ukukhulula imisipha ehlukumeza i-nerve ye-sciatic futhi isize ngisho nokuthuthukisa ukugeleza kwegazi emisipha ye-lumbar. Lokho kungenxa yokuthi i-electroacupuncture ingashukumisa izifunda ezithile zomzimba ukunciphisa i-somato-vagal-adrenal reflexes ukuze ikhulule futhi ibuyisele ukuhamba emaphethelweni aphansi. (Liu et al., 2021) Ukwengeza, i-electroacupuncture ingahlanganiswa nezinye izindlela zokwelapha ezingezona zokuhlinzwa ukuze kusize ukuqinisa imisipha eyisisekelo nephansi, okuvumela abantu ukuba bakhumbule ukuthi yiziphi izici ezibangela i-sciatica nobuhlungu obuphansi emuva. Ngokwenza lokhu, abantu abaningi abalwa ne-sciatica ehambisana nobuhlungu obuphansi emuva bangafaka i-electroacupuncture njengengxenye yohlelo lwabo lokwelapha oluhlangene nezindlela eziphelele zokuthuthukisa izinga labo lokuphila nokuhlinzeka indlela yokuthuthukisa ukuhamba kwabo.
Okubhekwayo
U-Davis, D., Maini, K., Taqi, M., & Vasudevan, A. (2024). I-Sciatica. Ku StatPearls. www.ncbi.nlm.nih.gov/pubmed/29939685
Kong, JT (2020). I-Electroacupuncture Yokwelapha Izinhlungu Ezingapheli Zomgogodla: Imiphumela Yocwaningo Lokuqala. I-Med Acupunct, 32(6), i-396-397. doi.org/10.1089/acu.2020.1495
U-Liu, S., Wang, Z., Su, Y., Qi, L., Yang, W., Fu, M., Jing, X., Wang, Y., & Ma, Q. (2021). Isisekelo se-neuroanatomical se-electroacupuncture ukushayela i-axis ye-vagal-adrenal. Nature, 598(7882), i-641-645. doi.org/10.1038/s41586-021-04001-4
USiddiq, MAB, Clegg, D., Hasan, SA, & Rasker, JJ (2020). I-Extra-spinal sciatica kanye ne-sciatica ilingisa: ukubuyekezwa kwe-scoping. I-Korean J Pain, 33(4), i-305-317. doi.org/10.3344/kjp.2020.33.4.305
Sung, WS, Park, JR, Park, K., Youn, I., Yeum, HW, Kim, S., Choi, J., Cho, Y., Hong, Y., Park, Y., Kim, EJ , & Nam, D. (2021). Ukusebenza nokuphepha kwe-electroacupuncture yobuhlungu obungapheli obungapheli obungapheli: Iphrothokholi yokubuyekezwa okuhlelekile kanye / noma ukuhlaziywa kwe-meta. Imithi (Baltimore), 100(4), i-e24281. doi.org/10.1097/MD.0000000000024281
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 | Ubuhlungu Bokubuyela Emuva, Ubuhlungu obungapheliyo, Electroacupuncture Therapy, Ukwelashwa, I-Viscerosomatic Reflex
Ingabe abantu ababhekene nobuhlungu obuhlukahlukene be-musculoskeletal bangafaka izinzuzo ezinhle ze-electroacupuncture ukuze babuyisele ukusebenza?
Isingeniso
Njengoba umhlaba ushintsha futhi abantu abaningi bezama ukwenza izinguquko ezincane empilweni yabo nasenhlalakahleni yabo, ngeke bezwe ubuhlungu noma ukungakhululeki. Ukwelashwa okuningi kusiza abantu abaningi ababhekana nobuhlungu obuhlukahlukene be-musculoskeletal obuhlotshaniswa nezici zemvelo. Umzimba womuntu unamaqembu amaningi emisipha ezingxenyeni ezingaphezulu neziphansi zomzimba ezivikela isakhiwo somgogodla nezitho ezibalulekile. Lapho izici zemvelo zihlotshaniswa nobuhlungu nokungakhululeki, kungaba nomthelela omkhulu enqubweni yomuntu yansuku zonke. Ngesikhathi esifanayo, ubuhlungu be-musculoskeletal bungabangela izimpawu ezifana nobuhlungu abantu abaningi ababhekana nazo ezindaweni ezimbili ezihlukene zomzimba. Kodwa-ke, lapho ubuhlungu bungabekezeleleki, abaningi bazofuna izindlela zokwelapha ezihlukahlukene ukuze bangagcini nje ukunciphisa ubuhlungu kodwa futhi babuyisele ukusebenza komzimba. Isihloko sanamuhla sibheka izici eziningi zobuhlungu be-musculoskeletal, ukwelashwa okufana ne-electroacupuncture enciphisa ubuhlungu be-musculoskeletal, kanye nezinzuzo ze-electroacupuncture. Sikhuluma nabahlinzeki bezokwelapha abaqinisekisiwe abahlanganisa imininingwane yeziguli zethu ukuze sihlole ukuthi izici ezihlukahlukene zingaba nomthelela ebuhlungu bemisipha namathambo emzimbeni. Siphinde sazise futhi siqondise iziguli ukuthi ukwelapha nge-electroacupuncture kungasiza kanjani ukunciphisa imiphumela yobuhlungu bezinhlungu ze-musculoskeletal futhi kusize ukuthuthukisa ukusebenza komzimba. Sikhuthaza iziguli zethu ukuthi zibuze abahlinzeki bazo bezokwelapha abahlobene nabo imibuzo eyinkimbinkimbi nebalulekile mayelana nendlela yokunciphisa umthelela wobuhlungu bemisipha. UDkt. Jimenez, DC, uhlanganisa lolu lwazi njengesevisi yezemfundo. Disclaimer.
Izinto Ezihlukahlukene Ezihambisana Nobuhlungu Bemisipha
Uke wabhekana nezindawo zezikhalazo ngaphakathi kwentamo yakho, amahlombe, noma emuva ngemva kosuku olude? Ingabe uzizwa ndikindiki noma uluma emaphethelweni akho angaphezulu nangaphansi? Noma uke wabhekana nobuhlungu bemisipha namalunga okwenza kube nzima ukwenza umsebenzi wakho wansuku zonke? Uma kuziwa kubantu abaningi ababhekene nobuhlungu bemisipha emizimbeni yabo bungadambisa usuku lwabo ngenxa yobuhlungu obuningi abakubo. Ubuhlungu be-musculoskeletal yisimo esihlanganisa izici ezihlukahlukene ezihlanganisa izici ezihlukahlukene zemvelo abantu abaningi emphakathini abaye bahlangabezana nazo. (Caneiro et al., 2021) Ubuhlungu be-musculoskeletal bungahlala bungapheli noma bube nzima kuye ngezici zemvelo noma ukulimala okudabukisayo okuvela kuwo futhi akuthinti imisipha kuphela kodwa namathambo, imigqa, izintambo, nezimpande zemizwa ezihlinzeka ngemisebenzi ye-sensory-motor eyenza umzimba. iselula.
Ezinye izici zemvelo ezifaka isandla ekuthuthukiseni ubuhlungu be-musculoskeletal zihlanganisa:
- Ukuhlala/ukuma ngokweqile
- Ama-Fractures
- Ukumiswa okubi
- Ukususwa ngokuhlanganyela
- Ukucindezeleka
- Ukukhuluphala
- Ukunyakaza okuphindaphindiwe
Ukwengeza, abantu abaningi ababhekene nobuhlungu be-musculoskeletal bangaba yinkinga lapho ubuhlungu nezifo ezingapheli zingase zibe khona ngaphambili, okubangela ukuthi abantu abaningi babhekane ne-comorbidities, ngaleyo ndlela bandise amathuba abo okuba yinkinga. (Dzakpasu et al., 2021) Ngaphezu kwalokho, lapho abantu bebhekene nobuhlungu be-musculoskeletal, bungahluka kumuntu nomuntu futhi bungaba nomthelela omkhulu omubi empilweni yabo yengqondo. (I-Welsh et al., 2020) Lokhu kungenxa yokuthi abantu abaningi babhekene nobuhlungu obudluliselwe kanye nezimpawu zabo ezihambisana nobuhlungu bazozama amakhambi asekhaya ukuze banciphise ubuhlungu be-musculoskeletal okwesikhashana ngaphambi kokwenza ukunyakaza okuphindaphindiwe futhi babe nobuhlungu obuningi. Kulelo phuzu, abantu abaningi bazovame ukufuna izindlela zokwelapha ezihlukahlukene ukuze bakhulule ubuhlungu be-musculoskeletal nokubuyisela ukusebenza komzimba wabo.
Lungiselela Impilo Yakho- Ividiyo
Izinzuzo ze-Electroacupuncture
Uma kukhulunywa ngokunciphisa nokwelapha izinhlungu ze-musculoskeletal, abantu abaningi bafuna izindlela zokwelapha ezingahlinzeki ukuze banciphise izimpawu ezinjengobuhlungu. Izindlela zokwelapha ezingahlinzeki zinhle kakhulu ezinhlungwini ze-musculoskeletal njengoba zingenziwa ngezifiso ezinhlungwini zomuntu futhi zingabizi kakhulu. Izindlela zokwelapha ezingahlinzeki zisukela ekunakekelweni kwe-chiropractic kuye ku-acupuncture. Enye yezinhlobo ezahlukene zokwelapha ezingahlinzeki i-electroacupuncture therapy. Ukwelashwa kwe-Electroacupuncture kuhlanganisa ukusetshenziswa kokuvuselela ugesi kanye ne-acupuncture ukuze kukhululeke ubuhlungu obukhulu noma obungapheli be-musculoskeletal. (U-Lee et al., 2020) Lokhu kwelashwa kungenza kusebenze amakhemikhali e-bioactive futhi kuvimbele izimpawu zobuhlungu ukuthi zingathinti umzimba.
Ukwengeza, i-electroacupuncture ingasebenza futhi izuzise umzimba ngokunciphisa ubuhlungu be-neuropathic obuhambisana ne-musculoskeletal. I-Electroacupuncture inikeza izinzuzo ezengeziwe ngokugqugquzela ama-neurotransmitters kusukela ohlelweni lwezinzwa oluphakathi ukuze kuncishiswe ubuhlungu be-nociceptive obubangelwa ubuhlungu be-musculoskeletal. (Xue et al., 2020)
I-Electroacupuncture Therapy Yehlisa Ubuhlungu beMusculoskeletal
Ngakho-ke, mayelana nobuhlungu be-musculoskeletal, i-electroacupuncture ingaba impendulo yokunciphisa ukuhlangana kwayo. Uma umuntu ezwa ubuhlungu be-musculoskeletal, izindawo ezithintekile lapho ubuhlungu bukhona zingavuvukala. Ngakho-ke lapho ama-acupuncturists aqeqeshwe kakhulu ethola ama-acupoints omzimba futhi esebenzisa i-electroacupuncture, umfutho wokuvuselela uyahlukahluka kumuntu nomuntu. Ukugqugquzelwa okuphezulu kwenza kusebenze isimiso sezinzwa esinozwelo, kuyilapho ukuvuselela okuphansi kuvuselela isimiso sezinzwa esine-parasympathetic. (Ulloa, 2021) I-Electroacupuncture ingasiza ngisho nasekuthuthukiseni ukusebenza kwemisipha emikhawulweni ye-musculoskeletal ngokukhulula ubuhlungu nokulungisa izakhiwo ze-biomechanical ukuthuthukisa ukulayishwa kwamalunga okungavamile. (Shi et al., 2020) Lapho abantu becabanga ngempilo yabo, bangabheka i-electroacupuncture njengengxenye yendlela yokuphila nokuphila kahle ukuze bathuthukise ukusebenza komzimba futhi baphile izimpilo ezingenabuhlungu.
Okubhekwayo
I-Caneiro, JP, Bunzli, S., & O'Sullivan, P. (2021). Izinkolelo mayelana nomzimba nobuhlungu: indima ebalulekile ekulawuleni ubuhlungu be-musculoskeletal. Braz J Phys Ther, 25(1), i-17-29. doi.org/10.1016/j.bjpt.2020.06.003
Dzakpasu, FQS, Carver, A., Brakenridge, CJ, Cicuttini, F., Urquhart, DM, Owen, N., & Dunstan, DW (2021). Ubuhlungu be-Musculoskeletal kanye nokuziphatha kokuhlala phansi kuzilungiselelo zomsebenzi nezingezona ezomsebenzi: ukubuyekezwa okuhlelekile nokuhlaziywa kwe-meta. Int J Behav Nutr Phys Act, 18(1), i-159. doi.org/10.1186/s12966-021-01191-y
U-Lee, YJ, Han, CH, Jeon, JH, Kim, E., Kim, JY, Park, KH, Kim, AR, Lee, EJ, & Kim, YI (2020). Ukusebenza nokuphepha kwe-polydioxanone thread-embedding acupuncture (TEA) kanye ne-electroacupuncture (EA) yokwelashwa kweziguli ze-knee osteoarthritis (KOA) ezinezinhlungu zangemva kokuhlinzwa: Isilingo somshayeli esiphuphuthekiswe, esingahleliwe, esilawulwayo. Imithi (Baltimore), 99(30), i-e21184. doi.org/10.1097/MD.0000000000021184
U-Shi, X., Yu, W., Wang, T., Battulga, O., Wang, C., Shu, Q., Yang, X., Liu, C., & Guo, C. (2020). I-Electroacupuncture inciphisa ukuwohloka kwe-cartilage: Ukuthuthukiswa kwe-cartilage biomechanics ngokukhululeka kobuhlungu kanye namandla okusebenza kwemisipha kumodeli onogwaja we-knee osteoarthritis. I-Biomed Pharmacother, 123, 109724. doi.org/10.1016/j.biopha.2019.109724
Ulloa, L. (2021). I-Electroacupuncture yenza ama-neurons asebenze ukuze acime ukuvuvukala. Nature, 598(7882), i-573-574. doi.org/10.1038/d41586-021-02714-0
I-Welsh, TP, Yang, AE, & Makris, UE (2020). Ubuhlungu be-Musculoskeletal Kubantu Abadala Abadala: Ukubuyekezwa Komtholampilo. Med Clin North Am, 104(5), i-855-872. doi.org/10.1016/j.mcna.2020.05.002
U-Xue, M., Sun, YL, Xia, YY, Huang, ZH, Huang, C., & Xing, GG (2020). I-Electroacupuncture Modulates Spinal BDNF/TrkappaB Signaling Pathway futhi Ithuthukisa Ukuzwela Kwe-Dorsal Horn WDR Neurons ku-Spared Nerve Injury Rats. Int J Mol Sci, 21(18). doi.org/10.3390/ijms21186524
Disclaimer
by UDkt Alex Jimenez | Ukuhlungu obusemhlane, I-Chiropractic, Ubuhlungu Bokubuyela Emuva, Ubuhlungu obungapheliyo, Ubuhlungu Emuva Emuva, Ukwelashwa Kokucindezeleka Komgogodla, Ukwelashwa, I-Viscerosomatic Reflex
Ingabe izindlela zokwelapha ezingahlinzeki zingabasiza abantu abanobuhlungu obungapheli bokubuyela emuva bathole ukukhululeka abakufunayo ukuze babuyisele ukusebenza komzimba?
Isingeniso
Phakathi kwezingxenye ezingenhla, ezimaphakathi, neziphansi emuva zesistimu ye-musculoskeletal, abantu abaningi baye banqotshwa ukulimala okubuhlungu, ukunyakaza okuphindaphindiwe, kanye namaphrofayli engozi yemvelo adlulele abangela ubuhlungu nokukhubazeka, ngaleyo ndlela kuthinte isimiso sabo sansuku zonke. Njengenye yezimo zomsebenzi ezivame kakhulu, ubuhlungu beqolo bungabangela abantu ukuthi babhekane nemithwalo yenhlalo-mnotho futhi bangasukela kokubi kuye kokungapheli, kuye ngokulimala kanye nezici ezihambisana nalolu daba. Njengengxenye yesistimu ye-musculoskeletal, ingemuva inemisipha ehlukahlukene kuma-quadrants amathathu asekela amaphethelo aphezulu naphansi futhi abe nobuhlobo obuvelele nomgogodla njengoba iqembu ngalinye le-muscle lizungeza umgogodla futhi livikela intambo yomgogodla. Lapho izici zemvelo kanye nokulimala okudabukisayo kuqala ukudala izimpawu ezinjengobuhlungu emhlane, kungafaka umuntu ezinhlungwini ezinzima, yingakho abaningi befuna ukwelashwa okungezona ukuhlinzwa ukuze banciphise imiphumela ebuhlungu efana nobuhlungu beqolo futhi bathole ukukhululeka abayikho. efuna. Isihloko sanamuhla sibheka umthelela wobuhlungu obungapheli obuphansi emuva nokuthi ukwelapha okungahlinzeki kungabathinta kanjani kahle abantu ababhekene nobuhlungu obungapheli obuphansi emuva. Sikhuluma nabahlinzeki bezokwelapha abaqinisekisiwe abahlanganisa imininingwane yeziguli zethu ukuze banikeze izinketho eziningi zokwelapha ezingahlinzeki ukuze kuncishiswe ubuhlungu obungapheli bomgogodla obuthinta amaphethelo azo. Siphinde sazise futhi siqondise iziguli ukuthi izindlela zokwelapha ezihlukahlukene ezingahlinzeki zingazuzisa kanjani impilo nempilo yazo njengoba zingasiza ekunciphiseni izimo ze-musculoskeletal ezifana nobuhlungu obungapheli bokubuyela emuva. Sikhuthaza iziguli zethu ukuthi zibuze abahlinzeki bazo bezokwelapha abahlobene nabo imibuzo eyinkimbinkimbi futhi ebalulekile mayelana nobuhlungu babo obungapheli obuphansi emuva nokuthi yiziphi izinguquko ezincane ezingase zihlanganise ukuze kuncishiswe izimpawu zayo ezifana nobuhlungu. UDkt. Jimenez, DC, uhlanganisa lolu lwazi njengesevisi yezemfundo. Disclaimer.
Umthelela Wobuhlungu Obungapheli Beqolo
Ingabe uhlale uzwa ubuhlungu obukhulu bemisipha noma izinhlungu emhlane wakho ngemva kosuku olude olunzima lomsebenzi? Ingabe uhlangabezana nokukhathala kwemisipha kusukela emhlane kuya emilenzeni yakho ngemva kokuthwala into esindayo? Noma uke waqaphela ukuthi ukusonteka noma ukujika ukunyakaza kukhulula iqolo lakho okwesikhashana, bese kuba kubi ngemva kwesikhashana? Ngokuvamile, eziningi zalezi zimo ezinjengezinhlungu zihlotshaniswa nobuhlungu obungapheli obuphansi emuva, futhi kungase kube ngenxa yezinto ezihlukahlukene ezihambisana nalesi simo esivamile se-musculoskeletal. Uma kuziwa ezimweni ze-musculoskeletal ezihambisana nobuhlungu obungapheli obuphansi emuva, zivame ngenkathi umthelela wazo ugcwele. Kulelo phuzu, zithinta abantu abaningi njengoba ziyimbangela yokuqala evamile yobuhlungu obunzima besikhathi eside nokukhubazeka ngokomzimba. (UWoolf noPfleger, ngo-2003) Njengoba ubuhlungu beqolo bungase bube bukhulu noma bungapheli, bungase bube yizici eziningi njengoba ezinye izimpawu zobuhlungu zivame ukudala amaphrofayili ezingozi ezidlulanayo emzimbeni. Umthelela wobuhlungu obungapheli obuphansi emuva unezimbangela eziyisisekelo ze-pathological ezingachazwanga kahle kodwa zingahlotshaniswa nokungasebenzi kahle kwengqondo. (Andersson, 1999)
Ukwengeza, izinguquko eziwohlokayo ngaphakathi komgogodla nazo zingabangela umthelela ekuthuthukiseni ubuhlungu obungapheli obuphansi emuva. Izinto eziyingozi ezidala ukweqana kwamaphrofayili engcuphe zingasukela ekubhemeni nasekukhuluphaleni kuye emisebenzini ehlukahlukene edinga ukunyakaza okudlulele. (Atkinson, 2004) Uma lokho kwenzeka, kubangela abantu ukuba babe nokucindezeleka okungadingekile okuthinta ukuphila kwabo futhi kubangele usizi. Yilapho abantu abaningi beqala ukufuna ukwelashwa ukuze banciphise imiphumela yobuhlungu obungapheli obuphansi emuva futhi banciphise amathuba okufuna ukungenelela kokuhlinzwa.
Iqhaza Lokunakekelwa Kwe-Chiropractic Ekuthuthukiseni Impilo Yakho- Ividiyo
Ukwelashwa Okungahlinzeki Ngezinhlungu Ezingapheli Emhlane
Lapho abantu bebhekana nobuhlungu obungapheli obuphansi emuva, abaningi ngokuvamile abaqapheli ukuthi ukunyakaza okuhlukahlukene, ubudala, kanye ne-pathologies kungashintsha umgogodla, okubangela ukuthi ama-spinal discs adlule izinguquko eziwohlokayo ezihambisana nokuthuthukiswa kobuhlungu obungapheli obuphansi emuva. (Benoist, 2003) Lapho izinguquko eziwohlokayo ziqala ukudala izimpawu ezinjengobuhlungu emhlane, abaningi bazoqala ukufuna ukwelashwa okungabizi futhi okusebenzayo. Ngakho-ke, yingakho izindlela zokwelapha ezingahlinzeki zingasiza ekunciphiseni izimpawu ezinjengobuhlungu bobuhlungu obungapheli bomgogodla futhi kusize ukubuyisela ukuhamba komzimba. Izindlela zokwelapha ezingahlinzeki zenzelwe umuntu siqu ezinhlungwini zomuntu futhi zisukela ku-acupuncture ukuya ekwelapheni kokubhucungwa kanye nokuwohloka komgogodla. Ukwelashwa okungahlinzeki nakho kuyathengeka futhi kusiza ekunciphiseni amaphrofayili engozi agqagqene obuhlungu obungapheli obuphansi beqolo kuyilapho kunciphisa izimo ezihambisana nakho.
Imiphumela Yokuwohloka Komgogodla Kubuhlungu Obungapheli Beqolo
Ukunciphisa umgogodla, njengoba kushiwo ngaphambili, kuyindlela yokwelapha engahlinzeki ehlanganisa ukudonsa okuthambile komshini emgogodleni ukuze kuncishiswe ubuhlungu obungapheli obuphansi emuva futhi kunganciphisa izimpawu ezifana nobuhlungu ezihambisana nakho. Ukunciphisa umgogodla kusiza ukunciphisa ukungqubuzana kwemisipha ye-lumbar, okuthinta umgogodla we-lumbar kodwa futhi kunikeza ukukhululeka kobuhlungu nokusebenza komzimba. (I-Choi et al., 2022) Ukuwohloka komgogodla kuphephile ngenkathi kuba mnene emgogodleni, kuhlanganiswe nokuzivocavoca kokuzinza ukuze kuthuthukiswe ukucindezela kwangaphakathi kwesisu kanye nekhono lomgogodla ku-lumbar. (Hlaing et al., 2021) Uma umuntu ehlanganisa ukuwohloka komgogodla njengengxenye yohambo lwabo lwezempilo kanye nokuphila kahle, ubuhlungu nokukhubazeka kwabo kuzokwehla ngokuhamba kwesikhathi ngenkathi kuqinisa imisipha ebuthakathaka eyathinteka ubuhlungu obungapheli obuphansi emuva. Ukufaka lezi zindlela zokwelapha ezingahlinzwa kungasiza umuntu ukuba akhumbule umthelela wemvelo abawenzayo emhlane wabo futhi aphile impilo engcono nenempilo.
Okubhekwayo
U-Andersson, GB (1999). Izici ze-Epidemiological zobuhlungu obungapheli obuphansi emuva. I-Lancet, 354(9178), i-581-585. doi.org/10.1016/S0140-6736(99)01312-4
Atkinson, JH (2004). Ubuhlungu obungapheli beqolo: ukucinga izimbangela kanye nokwelapha. J Rheumatol, 31(12), i-2323-2325. www.ncbi.nlm.nih.gov/pubmed/15570628
www.jrheum.org/content/jrheum/31/12/2323.full.pdf
Benoist, M. (2003). Umlando wemvelo wokuguga komgogodla. I-Eur Spine J, I-12 Suppl 2(Ukunikezwa 2), S86-89. doi.org/10.1007/s00586-003-0593-0
U-Choi, E., Gil, HY, Ju, J., Han, WK, Nahm, FS, & Lee, PB (2022). Umphumela we-Nonsurgical Spinal Decompression on Intensity of Pain kanye ne-Herniated Disc Volume ku-Subacute Lumbar Herniated Disc. Ijenali Yamazwe Ngamazwe Yokuzilolonga Komtholampilo, 2022, 6343837. doi.org/10.1155/2022/6343837
Hlaing, S. S., Puntumetakul, R., Khine, E. E., & Boucaut, R. (2021). Imiphumela yokuzivocavoca okuyisisekelo kokuzinzisa kanye nokuzivocavoca okuqinisayo ekuboneni ubunikazi, ibhalansi, ukushuba kwemisipha kanye nemiphumela ehlobene nobuhlungu ezigulini ezinobuhlungu obuphansi obungacacile obuphansi be-subacute: isilingo esilawulwa ngokungahleliwe. I-BMC Musculoskelet Disord, 22(1), i-998. doi.org/10.1186/s12891-021-04858-6
UWoolf, AD, & Pfleger, B. (2003). Umthwalo wezimo ezinkulu ze-musculoskeletal. I-Bull World Health Organ, 81(9), i-646-656. www.ncbi.nlm.nih.gov/pubmed/14710506
www.ncbi.nlm.nih.gov/pmc/articles/PMC2572542/pdf/14710506.pdf
Disclaimer
by UDkt Alex Jimenez | Ubuhlungu Bokubuyela Emuva, I-Sciatica Nerve Pain
Kubantu ababhekene ne-sciatica engapheli, lapho ubuhlungu nezinye izimpawu zithinta kakhulu imisebenzi yansuku zonke kanye nekhono lokuhamba, ingabe umhlinzeki wezempilo we-musculoskeletal angakwazi ukukhulula nokuphatha izimpawu ngokusebenzisa uhlelo lokwelapha oluningi?
I-Chronic Sciatica
I-Sciatica yisimo esivamile esibangelwa ukucindezelwa kwe-nerve ye-sciatic emhlane ophansi noma emlenzeni. I-sciatica engapheli yenzeka lapho izimpawu zihlala izinyanga ze-12 noma ngaphezulu.
Izimpawu Ze-Sciatica Ezithuthukisiwe
I-sciatica ethuthukisiwe noma engapheli ngokuvamile ikhiqiza ubuhlungu obuphumayo noma obuhamba phansi ngemuva komlenze. Ukucindezelwa kwesikhathi eside kwe-sciatic nerve kungaholela ku:
- Ubuhlungu bomlenze
- Ubumbulu
- Ukulinganisa
- Izinzwa zikagesi noma ezivuthayo
- Ukungabi namandla
- Ukungabi namandla
- Ukungazinzi kwemilenze, okungaba nomthelela ekhonweni lokuhamba.
- Ukucindezelwa kwemizwa okunamandla kungathuthukela ekukhubazekeni komlenze uma inzwa ilimele kakhulu ngenxa yokucindezelwa okungapheli. (U-Antonio L Aguilar-Shea, et al., 2022)
- I-Sciatica ingathuthukela ekulimaleni kwezinzwa zezinzwa ezincane futhi ihambe iye emilenzeni nasezinyaweni. Ukulimala kwezinzwa/i-neuropathy kungaholela ebuhlungu, ukuntweza, nokulahlekelwa ukuzwa. (UJacob Wycher Bosma, et al., 2014)
Ukukhubaza Izinketho Zokwelashwa kwe-Sciatica
Lapho i-sciatica iba ikhubaza, ithinta ikhono lomuntu lokuhamba, ukwelashwa okuhilelekile okwengeziwe kuyadingeka ukuletha impumuzo. Amacala amaningi we-sciatica engapheli futhi ekhubaza abangelwa izinkinga nge-lumbar spine. Ukucindezelwa kwezimpande zezinzwa ezakha i-sciatic nerve kungenzeka kusuka kuma-bulging noma ama-herniated discs noma i-spinal stenosis. Uma izimpawu ze-sciatica ziphikelela ngaphezu kwezinyanga ze-12 ngokukhululeka okuncane noma okungekho ekwelapheni ngokomzimba, ukuchithwa kwemishini okungeyona yokuhlinzwa, ukwelula nokuzivocavoca, noma amasu okulawula ubuhlungu, izinqubo zokuhlinzwa zingadingeka. (U-Lucy Dove, et al., 2023)
Ukuhlinzwa kwe-Lumbar decompression kuhlanganisa izinqubo eziningana zokudala isikhala esiningi emgogodleni we-lumbar kanye nokukhulula ukucindezelwa kwezinzwa. Ukuhlinzwa kwe-Lumbar decompression kungabandakanya:I-Mayfield Clinic. 2021)
Discectomy
- Le nqubo isusa ingxenye ye-disc eyonakele phakathi kwama-vertebrae ukuze unciphise ukucindezelwa kwezimpande kusuka ku-bulging noma i-herniated disc.
Laminectomy
- Le nqubo isusa i-lamina, ingxenye ye-vertebrae ebangela ukucindezelwa kwezinzwa, ikakhulukazi uma kune-bone spur ngenxa yezinguquko ze-arthritic kanye ne-degenerative emgogodleni.
Foraminotomy
- Le nqubo yenza banzi i-foramina, izimbobo ku-vertebrae lapho izimpande zemizwa ziphuma khona ukuze zikhulule ukucindezelwa.
I-Fusion Fusion
- Le nqubo ithatha ama-vertebrae amabili noma ngaphezulu ukuwahlanganisa nezinduku zensimbi nezikulufu ukuze azinzise.
- Inqubo ingenziwa uma:
- Idiski yonke iyasuswa.
- Ama-laminectomies amaningi ayenziwa.
- I-vertebra eyodwa ishelele phambili phezu komunye.
Ukuphathwa Kokusiza Kwansuku zonke kwe-Advanced Sciatica
Ukuthola impumuzo ezimpahleni ezithuthukisiwe ze-sciatica ekhaya kungabandakanya izindlela zokuzijwayeza njalo ezifana nokugeza okugeza okushisayo noma ukubhucungwa kweshawa, nokufaka i-pad yokushisisa emhlane ophansi noma ama-glutes ukuze uphumule imisipha eqinile ukuze usize ukukhulula ukuqina okuzungeze inzwa ye-sciatic.
- Ukuvivinya umzimba okulungisayo noma okwelaphayo okufana ne-sciatic nerve glides kungasiza ekunciphiseni ukungezwani emthanjeni kuyilapho ukuvivinya umzimba okuphansi emuva okuhambisa umgogodla ukuya phambili noma emuva ukugoba kunganciphisa ukucindezelwa. (U-Wiltold Golonka, et al., 2021)
- Imithi efana nezidakamizwa ezingezona ukuvuvukala/ama-NSAID, iziphumuza imisipha, noma imithi yobuhlungu bezinzwa ingase ituswe. (U-Antonio L Aguilar-Shea, et al., 2022)
- I-sciatica ethuthukisiwe ingase ingaphenduli ezindleleni zokwelapha ezilondolozayo, njengoba ukulimala sekuqalile futhi izicubu ze-nerve nezicubu ezizungezile ziye zavinjelwa kakhulu.
- Izimpawu ze-Sciatica ezihlala isikhathi eside kunezinyanga ze-12 zidinga ukwelashwa okuhilelekile okungaphezulu njengama-injection noma ukuhlinzwa ukubhekana nezimpawu ngokuphumelelayo. (U-Antonio L Aguilar-Shea, et al., 2022)
Ukwelapha I-Chronic Sciatica
Uma imbangela eyinhloko ingelashwa ngokuphumelelayo i-sciatica engapheli ingaphulukiswa. I-Chronic sciatica ngokuvamile ibangelwa izimo zomgogodla ezifana nama-disc herniated noma i-lumbar spinal stenosis. Lezi zimo zinciphisa isikhala esizungeze izimpande zenzwa eziphuma entanjeni yomgogodla futhi zihlangane ukuze zenze i-sciatica nerve. Ukuhlinzwa kwenziwa ukuvula isikhala emgogodleni. (I-Mayfield Clinic. 2021) Ngezinye izikhathi i-sciatica ilethwa yizimbangela ezingavamile ezifana nesimila noma ukutheleleka komgogodla. Kulezi zimo, izimpawu ngeke zixazulule kuze kube yilapho imbangela eyinhloko ibhekwa. Amathumba angase adinge ukususwa ngokuhlinzwa kuyilapho izifo zidinga ama-antibiotic anolaka ukuvimbela ukusabalala kwezinye izifunda zomzimba. (Isibhedlela Sokuhlinzwa Okukhethekile. 2023)
Ukuthuthukiswa Kwesu Lokwelapha Lochwepheshe Bezinhlungu
Ubuhlungu obuqhubekayo, ukuba ndikindiki, ukuntweza kanye nokuba buthakathaka yizo zonke izimpawu okufanele zibhekiswe kumhlinzeki wezempilo. Uchwepheshe wezinhlungu angasiza ekwakheni uhlelo lokwelapha olubandakanya: (Isibhedlela Sokuhlinzwa Okukhethekile. 2023)
- Ukwelapha ngokomzimba
- Ukuzivocavoca okwelapha
- I-Chiropractic ukucindezela nokulungiswa komgogodla
- Ukwelula okuhlosiwe nokuzivocavoca
- Ukudluliselwa kubahlinzeki bezempilo abakhethekile
- Izifo
- Imithi
I-Sciatica Izimbangela Nezokwelapha
Okubhekwayo
U-Aguilar-Shea, AL, Gallardo-Mayo, C., Sanz-González, R., & Paredes, I. (2022). I-Sciatica. Ukuphathwa kodokotela bomndeni. Ijenali yemithi yomndeni nokunakekelwa okuyisisekelo, 11(8), 4174-4179. doi.org/10.4103/jfmpc.jfmpc_1061_21
I-Bosma, JW, Wijntjes, J., Hilgevoord, TA, & Veenstra, J. (2014). I-sciatic neuropathy ehluka kakhulu ehlukanisiwe ngenxa yesimo se-lotus esishintshiwe. Ijenali yomhlaba yamacala omtholampilo, 2(2), 39–41. doi.org/10.12998/wjcc.v2.i2.39
I-Dove, L., Jones, G., Kelsey, LA, Cairns, MC, & Schmid, AB (2023). Ngabe kuphumelela kangakanani ukungenelela kwe-physiotherapy ekwelapheni abantu abane-sciatica? Ukubuyekeza okuhlelekile nokuhlaziywa kwemeta. Ijenali yomgogodla waseYurophu : ukushicilelwa okusemthethweni kwe-European Spine Society, i-European Spinal Deformity Society, kanye ne-European Section ye-Cervical Spine Research Society, i-32 (2), i-517-533. doi.org/10.1007/s00586-022-07356-y
I-Mayfield Clinic. (2021). I-laminectomy ye-Decompression yomgogodla kanye ne-foraminotomy.
Golonka, W., Raschka, C., Harindi, VM, Domokos, B., Alfredson, H., Alfen, FM, & Spang, C. (2021). I-Isolated Lumbar Extension Resistance Exercise inlimited Limited of Motion for Patients with Lumbar Radiculopathy and Disk Herniation-Clinical Outcome and Influencing Factors. Ijenali yemithi yomtholampilo, 10(11), 2430. doi.org/10.3390/jcm10112430
Isibhedlela Sokuhlinzwa Okukhethekile. (2023). Sciatica.
Isibhedlela Sokuhlinzwa Okukhethekile. (2023). Ukuphathwa kobuhlungu.
by UDkt Alex Jimenez | Ukuhlungu obusemhlane, I-Chiropractic, Ubuhlungu Bokubuyela Emuva, Ubuhlungu obungapheliyo, Ubuhlungu Emuva Emuva, Ukwelashwa Kokucindezeleka Komgogodla, Care Spine, Ukwelashwa, I-Viscerosomatic Reflex
Kubantu abanobuhlungu bokubuyela emuva, abasebenzi bezempilo bangazihlanganisa kanjani izixazululo ezingahlinzeki ukuze banciphise ubuhlungu bomgogodla?
Isingeniso
Umgogodla ungenye yezakhiwo ezibaluleke kakhulu emzimbeni womuntu, ohlinzeka ngokuhamba komkhosi nokuzinza lapho ingcindezi eqondile icindezela isakhiwo somgogodla. Umgogodla uzungezwe imisipha ehlukahlukene, imigqa, nezicubu ezisiza ukusekela izingxenye zomzimba ezingaphezulu neziphansi kanye namaphethelo. Lapho izici ezivamile ezifana nokuphakamisa ukuphakamisa, ukuma okungalungile, ukukhuluphala, noma izimo ezikhona ngaphambili ziqala ukuba nomthelela emzimbeni, kungabangela isakhiwo somgogodla ukuthi sibangele izinkinga ezingafuneki eziholela emuva, intamo, nobuhlungu behlombe. Lapho uzwa lezi zinhlungu ezintathu ezivamile zomzimba ngokuvamile zihlobana nezinye izimpawu ezihambisanayo ezingase zithinte eminye imikhawulo. Uma lokhu kwenzeka, abantu abaningi baqala ukuphuthelwa umsebenzi noma imisebenzi yansuku zonke engababangela usizi, baze bazame nokubheka izixazululo ezihlukahlukene zokunciphisa ubuhlungu ababuzwayo. Isihloko sanamuhla sibheka enye yezinhlungu zomzimba ezivamile njengobuhlungu beqolo nokuthi bungabangela kanjani izinkinga eziningi ezithinta ikhono lomuntu lokusebenza, nokuthi izixazululo ezingahlinzeki zinganciphisa kanjani imiphumela efana nezinhlungu kodwa futhi zinikeze ukukhululeka okudingekayo abantu abaningi bafanelwe ohambweni lwabo lwezempilo kanye nokuphila kahle. Sikhuluma nabahlinzeki bezokwelapha abaqinisekisiwe abahlanganisa ulwazi lweziguli zethu ukuze banikeze izinhlelo eziningi zokwelapha ukuze kudambiswe izimpawu ezifana nobuhlungu ezihambisana nezinkinga zomgogodla ezibangela ubuhlungu beqolo. Siphinde sazise iziguli zethu ukuthi kunezinketho ezingezona zokuhlinzwa zokunciphisa lezi zinkinga ezifana nobuhlungu nokubuyisela ukuhamba komgogodla emzimbeni. Sikhuthaza iziguli zethu ukuthi zibuze imibuzo eyinkimbinkimbi nefundisayo kubahlinzeki bethu bezokwelapha abahlobene mayelana nezimpawu ezifana nobuhlungu ezibhekana nazo ezihlobene nomgogodla ophansi. UDkt. Alex Jimenez, DC, usebenzisa lolu lwazi njengenkonzo yezemfundo. Disclaimer.
Ubuhlungu Basemuva Obuthinta Umgogodla
Ingabe uvame ukuzwa ubuhlungu obukhazimulayo emhlane wakho ophansi obangela izimpawu zokuba ndikindiki noma ukuzwa okuzwakalayo kuze kufike emilenzeni nasezinyaweni zakho? Ingabe uzwa ukuqina kwemisipha ekuseni ngenkathi uvuka, bese unyamalala kancane kancane usuku lonke? Noma ingabe uzizwa izimpawu zobuhlungu bemisipha nobuhlungu lapho uthwala into esindayo usuka kwenye indawo uye kwenye? Abantu abaningi, kaningi kunalokho, baye babhekana nobuhlungu bomhlane obuhambisana nezici ezihlukahlukene. Njengoba ubuhlungu beqolo busezinkingeni ezintathu ezivamile ezivamile emsebenzini, abantu abaningi baye babhekana nenkinga evamile ngezindlela eziningi. Ukusuka ekuphakamiseni okunzima okungafanele ukuya ekuhlaleni ngokweqile edeskini, ubuhlungu beqolo bungabangela izinkinga ze-musculoskeletal abaningi abazama ukuzithola. Ubuhlungu obuphansi emuva bungaba buhlungu noma obungapheli, kuye ngobunzima. Kungaholela ekulimazeni kokuhamba ngaphakathi kwezifunda zomgogodla we-thoracic, lumbar, kanye ne-sacroiliac, okubangela ubuhlungu obubhekiswe emaphethelweni aphansi. Kungaholela ekuphileni kokonakala ngaphandle kwanoma yiziphi izimpawu noma izimpawu zezimo ezibucayi zezokwelapha noma ezingokwengqondo ezihlobene nezici zemvelo. (UDelitto et al., 2012) Ubuhlungu be-back back buhlotshaniswa nezimo zomgogodla ezifana nokuvuvukala, ukulayishwa kwe-asymmetric, nokucindezeleka kwemisipha, okungabangela ukuthi izakhiwo zomgogodla zicindezelwe, ngaleyo ndlela kubangele i-disc herniations. (I-Zemková ne-Zapletalová, 2021)
Ukwengeza, ubuhlungu beqolo yisimo se-multifactorial musculoskeletal esenza abantu abaningi babe sesimweni senhlalo-mnotho esinganciphisa izinga labo lempilo. Izibonelo eziningi zobuhlungu be-back zihlotshaniswa nokulawulwa kwemoto okushintshiwe ngaphakathi kwemisipha ye-spinal erector ebangela ukukhubazeka kwe-proprioception emgogodleni. (I-Fagundes Loss et al., 2020) Uma lokhu kwenzeka kubantu abaningi, bavame ukubhekana nesithiyo sokuzinza kwe-lumbar, ibhalansi yomzimba, ukuma, nokulawula i-postural. Ngesikhathi esifanayo, lapho abantu abaningi abasebenzayo beba nobuhlungu obunzima bokubuyela emuva obuhambisana nezici zansuku zonke, inani lobuhlungu abakhona lingashintsha umkhawulo wama-mechanoreceptors adlulisa izimpawu zobuhlungu ngomgogodla. Kuze kube manje, ubuhlungu be-back back bungathinta impendulo ye-neuromuscular futhi buthinte ukusebenza okuvamile kwe-musculoskeletal. Ngenhlanhla, ukwelashwa okuningi kungasiza ekunciphiseni ubuhlungu bokubuyela emuva futhi kunikeze ukukhululeka ebuhlungu bomgogodla obuthinta abantu abaningi.
Iqhaza Lokunakekelwa Kwe-Chiropractic- Ividiyo
Kukangaki ngosuku lapho uzwa ubuhlungu beqolo obuhambisana nokuqina, ubuhlungu obuvamile, noma izinhlungu ezithinta ikhono lakho lokusebenza? Uyaqaphela ukuthi uzingela kakhulu lapho usuka kwenye indawo uye kwenye? Noma ingabe uzwa ubuhlungu nobuhlungu emhlane wakho ngemva kokulula ekuseni? Abantu abaningi ababhekana nalezi zici zemvelo ezivamile bahlotshaniswa eduze nobuhlungu be-back. Ubuhlungu beqolo busezinkingeni ezintathu ezivame kakhulu abantu abaningi abaye bahlangabezana nazo esikhathini esithile ekuphileni kwabo. Ngokuvamile kunalokho, abantu abaningi baye babhekana nobuhlungu beqolo ngokusebenzisa amakhambi asekhaya ukuze banciphise imiphumela efana nobuhlungu. Kodwa-ke, ucwaningo lwembula ukuthi lapho abantu abaningi beqala ukunganaki ubuhlungu, bungabaholela empilweni yokukhubazeka futhi bubangele amanani amaningi okucindezeleka uma bengelashwa ngaso leso sikhathi. (I-Parker et al., I-2015) Ngakho-ke, ukwelashwa okungezona ukuhlinzwa akukwazi nje ukunciphisa ubuhlungu obuhambisana nobuhlungu beqolo kodwa futhi kusiza ukubuyisela ukuhamba komgogodla. Izindlela zokwelapha ezingahlinzeki ezifana nokunakekelwa kwe-chiropractic zihlanganisa ukuxhaphaza umgogodla, okungathinta kahle umgogodla. (Koes et al., 1996) Okwenziwa ukunakekelwa kwe-chiropractic ukuthi kuhlanganisa amasu okukhwabanisa omshini kanye nesandla ukuze welule imisipha eqinile futhi unciphise amaphuzu okuqala ekuguqulweni. Ividiyo engenhla ibonisa ukuthi ukunakekelwa kwe-chiropractic kungathinta kanjani umuntu ngenkathi eyingxenye yohambo lwezempilo nokuphila kahle ekunciphiseni ubuhlungu bokubuyela emuva.
I-Non-Surgical Decompression For Back Pain
Njengokunakekelwa kwe-chiropractic, ukuwohloka komgogodla kungenye indlela yokwelapha engahlinzeki esebenzisa i-traction ukuze idonse ngobumnene futhi yelule umgogodla ukuze kuncishiswe ama-spinal discs acindezelwe ahlotshaniswa nobuhlungu bomhlane nokusiza ukwelula imisipha eqinile. Lapho abantu abaningi beqala ukufaka ukuwohloka komgogodla njengengxenye yesimiso sabo, bazobona ukuthi ukuchithwa komgogodla kunganciphisa ukucindezela kwe-intradiscal ngaphakathi kwebanga elibi. (Ramos, 2004) Okwenziwa yilokhu ukuthi lapho ama-spinal discs edonsa ngokudonsa kancane, zonke izinto eziwuketshezi nezakhamzimba ebezingamanzisi i-disc ziyabuyela emuva futhi zisize ukuqalisa inqubo yokuphulukisa yemvelo yomzimba. Lapho abantu abaningi beqala ukusebenzisa ukuwohloka komgogodla ngenxa yobuhlungu babo basemhlane, bazobona ukuncipha okukhulu kobuhlungu babo ngemva kwezikhathi ezimbalwa ezilandelanayo. (UCrisp et al., ngo-1955) Lapho abantu abaningi beqala ukuhlanganisa ezinye izindlela zokwelapha ezihlukahlukene ezingezona zokuhlinzwa ngokucindezeleka komgogodla, bazokwazi ukubuyisela ukuhamba kwabo komgogodla ngenkathi bekhumbula ukuthi yiziphi izici zemvelo ezithinta umgogodla wabo futhi bangaphindi inkinga ukuze bavumele ubuhlungu be-back back.
Okubhekwayo
UCrisp, EJ, Cyriax, JH, & Christie, BG (1955). Ingxoxo ngokwelashwa komgogodla ngokudonsa. I-Proc R Soc Med, 48(10), i-805-814. www.ncbi.nlm.nih.gov/pubmed/13266831
www.ncbi.nlm.nih.gov/pmc/articles/PMC1919242/pdf/procrsmed00390-0081.pdf
Delitto, A., George, SZ, Van Dillen, L., Whitman, JM, Sowa, G., Shekelle, P., Denninger, TR, & Godges, JJ (2012). Ubuhlungu Beqolo. Ijenali ye-Orthopedic & Sports Physical Therapy, 42(4), A1-A57. doi.org/10.2519/jospt.2012.42.4.a1
U-Fagundes Loss, J., de Souza da Silva, L., Ferreira Miranda, I., Groisman, S., Santiago Wagner Neto, E., Souza, C., & Tarrago Candotti, C. (2020). Imiphumela esheshayo ye-lumbar spine manipulation ekuzweleni ubuhlungu kanye nokulawulwa kwe-postural kubantu abanobuhlungu obuphansi obungacacile: isilingo esilawulwa ngokungahleliwe. I-Chiropr Man Therap, 28(1), i-25. doi.org/10.1186/s12998-020-00316-7
Koes, BW, Assendelft, WJ, van der Heijden, GJ, & Bouter, LM (1996). Ukuxhashazwa komgogodla ngenxa yobuhlungu obuphansi emuva. Ukubuyekezwa okuhlelekile okubuyekeziwe kwezivivinyo zomtholampilo ezingahleliwe. I-Spine (Phila Pa 1976), 21(24), 2860-2871; ingxoxo 2872-2863. doi.org/10.1097/00007632-199612150-00013
Parker, SL, Mendenhall, SK, Godil, SS, Sivasubramanian, P., Cahill, K., Ziewacz, J., & McGirt, MJ (2015). Isigameko Sobuhlungu Obuphansi Ngemva Kwe-Lumbar Discectomy ye-Herniated Disc kanye Nomphumela Wayo Emiphumeleni Ebikiwe Yesiguli. I-Clin Orthop Relat Res, 473(6), i-1988-1999. doi.org/10.1007/s11999-015-4193-1
Ramos, G. (2004). Ukusebenza kwe-vertebral axial decompression kubuhlungu obungapheli obuphansi emuva: ukutadisha kwemithi yomthamo. I-Neurol Res, 26(3), i-320-324. doi.org/10.1179/016164104225014030
U-Zemková, E., & Zapletalová, L. (2021). Izinkinga Emuva: Izinzuzo Nezingozi Zokuzivocavoca Okuyisisekelo Njengengxenye Yokuqeqeshwa Kwabadlali. Ijenali Yomhlaba Wonke Wocwaningo Lwezemvelo kanye Nezempilo Yomphakathi, 18(10), i-5400. doi.org/10.3390/ijerph18105400
Disclaimer
by UDkt Alex Jimenez | Ukuhlungu obusemhlane, I-Chiropractic, Ubuhlungu Bokubuyela Emuva, Ubuhlungu obungapheliyo, Ubuhlungu Emuva Emuva, Ukwelashwa Kokucindezeleka Komgogodla, Ukwelashwa, I-Viscerosomatic Reflex
Ingabe ochwepheshe bezokunakekelwa kwempilo banganikeza izinketho ezingcono kakhulu zokwelapha ezingahlinzeki kubantu abanobuhlungu obungapheli obuphansi?
Isingeniso
Ubuhlungu obungapheli bokubuyela emuva bungenzeka kubantu abaningi, buthinte indlela yabo yansuku zonke futhi bubenze baphuthelwe imicimbi ebalulekile yokuphila. Ngezwe elishintsha njalo, abantu abaningi, ikakhulukazi abantu abasebenzayo, bazobhekana nobuhlungu obungapheli obuphansi emuva ngesikhathi esithile ngenxa yokucindezeleka okungabekezeleleki okubonakala kuthinta imisipha ezungezile evikela umgogodla we-lumbar. Lokhu kubangela abantu abaningi ukuba banwebe ngokweqile noma bafinyeze imisipha ebangela ubuhlungu obuphansi emuva, okungaba yimbangela yokukhula kobuhlungu obuphansi emuva. Ngesikhathi esifanayo, lapho abantu behlushwa ubuhlungu obuphansi emuva, kungase kubekwe njengezindleko ezinkulu zezomnotho emphakathini. (I-Pai & Sundaram, 2004) Lokhu-ke kubangela ukuthi abantu abaningi baphuthelwe wumsebenzi futhi bathwale kanzima ngokwezimali njengoba izindleko zokwelashwa okungapheli komgogodla ziphezulu. Kodwa-ke, izinketho eziningi zokwelapha ziyabiza, ziphephile, futhi ziyasebenza ekwehliseni ubuhlungu obungapheli obuphansi emuva. Okuthunyelwe kwanamuhla kubheka imiphumela yobuhlungu obungapheli obuphansi emuva nokuthi bangaki abantu abangabheka izinketho ezihlukahlukene ezingahlinzeki abantu abaningi abangazisebenzisa ukuze banciphise ubuhlungu obungapheli bokubuyela emuva. Ngokuzenzakalelayo, sixhumana nabahlinzeki bezokwelapha abaqinisekisiwe abahlanganisa ulwazi lweziguli zethu ukuze banikeze izinhlelo ezihlukahlukene zokwelapha ukunciphisa ubuhlungu obungapheli obuphansi emuva. Siphinde sibazise ukuthi kunezinketho ezingezona zokuhlinzwa zokunciphisa izimpawu ezinjengezinhlungu ezihlobene nezici ezibangela ubuhlungu obungapheli obuphansi emuva. Sikhuthaza iziguli zethu ukuthi zibuze imibuzo efundisayo emangalisayo kubahlinzeki bethu bezokwelapha abahlobene mayelana nezimpawu zabo ezihlobene nobuhlungu bomzimba endaweni ephephile nelungile. UDkt. Alex Jimenez, DC, uhlanganisa lolu lwazi njengesevisi yezemfundo. Disclaimer
Imiphumela Yobuhlungu Obungapheli Beqolo
Ingabe uke wabhekana nobuhlungu obungapheli obuvutha emhlane wakho ophansi ngemva kosuku olunzima lomsebenzi? Ingabe uzwa ubuhlungu bemisipha noma izinhlungu ezingazikhululi ngemva kosuku lokuphumula? Noma ingabe wena nabathandekayo bakho nithatha noma yimuphi umuthi ukuze nikhulule okwesikhashana ubuhlungu beqolo, bese nibuya ngemva kwamahora ambalwa? Abantu abaningi abanobuhlungu obungapheli obuphansi emuva bazozizwa izimpawu zokuqina, ubuhlungu bemisipha, nobuhlungu obukhazimulayo obuhambela emaphethelweni abo aphansi. Lapho ubuhlungu obungapheli obuphansi emuva buhlotshaniswa nezimo ze-musculoskeletal, zingathinta isimiso sabo sansuku zonke. Kuze kube yileso sikhathi, ukuphazamiseka kwe-musculoskeletal okuhambisana nobuhlungu obungapheli obuphansi emuva kungahlanganisa izimo eziningi futhi kwande ngokwemvelo ngokuhamba kwesikhathi. (UWoolf noPfleger, ngo-2003) Uma abantu abaningi bebhekene nobuhlungu obungapheli obuphansi beqolo, kungaba umthwalo wenhlalo-mnotho oholela ekukhubazekeni. (Andersson, 1999) Kodwa-ke, kunezinketho eziningi kubantu abanobuhlungu obungapheli obuphansi emuva abangathola ukukhululeka abakudingayo ukuze banciphise imiphumela yabo futhi bazokwazi ukubuyela esimisweni sabo sansuku zonke.
Ukuqonda Ukulimala Okuhlala Isikhathi Eside- Ividiyo
Ubuhlungu obungapheli obuphansi emuva yilapho ubuhlungu beqolo obuhlala isikhathi eside kunamasonto ambalwa futhi bungenye yezinkinga ezivame kakhulu abantu abaningi ababhekana nazo. Lapho bethola impumuzo yobuhlungu obungapheli obuphansi emuva, abantu abaningi bazozama amakhambi asekhaya ukuze banciphise izinhlungu. Kodwa-ke, ingadambisa inkinga okwesikhashana futhi ifihle izimpawu. Lapho abantu bebona udokotela wabo oyinhloko ngobuhlungu obungapheli obuphansi emuva, abaningi bazofuna uhlelo lomuntu siqu lokunciphisa ubuhlungu obungapheli obuphansi emuva kanye nezimpawu ezihambisana nazo. Lapho ukhulula ubuhlungu obungapheli obuphansi emuva, ukwelashwa okuphelele kokulawula ubuhlungu kuvame ukuthembela ekwelapheni ngokomzimba, izindlela ezihlukahlukene, kanye nezinketho ezingezona zokuhlinzwa zokunciphisa ubuhlungu obungapheli obuphansi emuva. (Grabois, 2005) Uma uqonda ukuthi umuntu unobuhlungu obungapheli obuphansi emuva, kubalulekile ukukhomba izimbangela nokuthi kungabangela kanjani ukulimala impilo yonke okungase kukhule kube ukukhubazeka. Lapho odokotela abayinhloko beqala ukusebenzisa izindlela zokwelapha ezingahlinzeki emisebenzini yabo, abantu abaningi bangathola izinzuzo zokwelashwa okungahlinzeki njengoba kubiza izindleko, kuphephile, futhi kumnene endaweni yomgogodla kanye ne-lumbar futhi kungenziwa ngezifiso nabahlinzeki bezokwelapha abahlobene. ukunciphisa izimpawu ezifana nobuhlungu ezihambisana nobuhlungu obungapheli obuphansi emuva. Bheka ividiyo engenhla ukuze ufunde kabanzi mayelana nokuthi ukwelapha okungezona ukuhlinzwa kungasiza kanjani ekunciphiseni ubuhlungu obungapheli obuphansi emuva futhi kusize ukuvuselela umzimba womuntu ngohlelo lokwelapha lomuntu siqu.
Izinketho Ezingezona Zokuhlinza Zobuhlungu Obungapheli Beqolo
Lapho ukwelapha ubuhlungu obungapheli obuphansi emuva, ukwelapha okungahlinzeki ngokuphumelelayo kukhulula ubuhlungu futhi kubuyisele ukuhamba emhlane. Ukwelashwa okungahlinzeki kungenziwa ngendlela oyifisayo ukuze kulingane nobukhulu bobuhlungu bomuntu kuyilapho kubiza izindleko. Lapho abantu behlolwa ubuhlungu obungapheli obuphansi emuva, banikezwa abahlinzeki bezempilo abaningi ukuze banciphise izimpawu ezibuhlungu ezibangelwa ubuhlungu obungapheli obuphansi. (I-Atlas & Deyo, 2001) Abantu abaningi bazohlanganisa izindlela ezahlukene zokwelapha ezifana nalezi:
- Exercises
- Ukunciphisa Umgogodla
- Ukunakekelwa kwe-Chiropractic
- I-Massage Therapy
- I-acupuncture
Eziningi zalezi zindlela zokwelapha azihlinzeki futhi zihlanganisa amasu ahlukahlukene okusebenza ngemishini nezandla ukuze welule futhi aqinise imisipha yangemuva ebuthakathaka, ukwelula umgogodla ngokuqondisa kabusha, nokusiza ukubuyisela ukunyakaza ngenkathi kunciphisa izimpawu emaphethelweni aphansi. Lapho abantu behlanganisa izindlela zokwelapha ezingahlinzwa ngokulandelana, bayoba nesipiliyoni esihle futhi bazizwe bengcono ngokuhamba kwesikhathi. (Koes et al., 1996)
Okubhekwayo
U-Andersson, GB (1999). Izici ze-Epidemiological zobuhlungu obungapheli obuphansi emuva. I-Lancet, 354(9178), i-581-585. doi.org/10.1016/S0140-6736(99)01312-4
I-Atlas, SJ, & Deyo, RA (2001). Ukuhlola nokuphatha ubuhlungu obuphansi emuva esimweni sokunakekelwa okuyinhloko. J Gen Intern Med, 16(2), i-120-131. doi.org/10.1111/j.1525-1497.2001.91141.x
Grabois, M. (2005). Ukuphathwa kobuhlungu obungapheli obuphansi emuva. Ngingu-J Phys Med Rehabil, 84(3 Suppl), S29-41. www.ncbi.nlm.nih.gov/pubmed/15722781
Koes, BW, Assendelft, WJ, van der Heijden, GJ, & Bouter, LM (1996). Ukuxhashazwa komgogodla ngenxa yobuhlungu obuphansi emuva. Ukubuyekezwa okuhlelekile okubuyekeziwe kwezivivinyo zomtholampilo ezingahleliwe. I-Spine (Phila Pa 1976), 21(24), 2860-2871; ingxoxo 2872-2863. doi.org/10.1097/00007632-199612150-00013
I-Pai, S., & Sundaram, LJ (2004). Ubuhlungu obuphansi emuva: ukuhlolwa komnotho e-United States. I-Orthop Clin North Am, 35(1), i-1-5. doi.org/10.1016/S0030-5898(03)00101-9
UWoolf, AD, & Pfleger, B. (2003). Umthwalo wezimo ezinkulu ze-musculoskeletal. I-Bull World Health Organ, 81(9), i-646-656. www.ncbi.nlm.nih.gov/pubmed/14710506
www.ncbi.nlm.nih.gov/pmc/articles/PMC2572542/pdf/14710506.pdf
Disclaimer
by UDkt Alex Jimenez | Ukuhlungu obusemhlane, I-Chiropractic, Ubuhlungu Bokubuyela Emuva, Ubuhlungu obungapheliyo, Ukwelashwa Kokucindezeleka Komgogodla, Ukwelashwa, I-Viscerosomatic Reflex
Ingabe ukuwohloka komgogodla kungaphatha abantu abanobuhlungu obungapheli obuphansi emuva ukuze kuncishiswe isifo samathambo esihlangene nokuqinisa imisipha ezungezile ukuze kubuyiselwe ukuhamba kwe-lumbar?
Isingeniso
Lapho abantu abaningi bebhekene nobuhlungu endaweni yabo ye-lumbar, kaningi kunalokho, bakholelwa ukuthi yimisipha ezungezile evikela umgogodla othintekayo. Nokho, lokho kuyingxenye yenkinga. Ingabe wena noma obathandayo nivame ukuzwa umuzwa ofudumele ngaphakathi komhlane wakho ophansi, okhalweni, namadolo okhipha ubuhlungu ngaphakathi kwamalunga akho? Nokho, ubuhlungu obuhlangene bungahlotshaniswa nobuhlungu obuphansi emuva esimweni sabo esingamahlalakhona. Njengoba umzimba nomgogodla kungawohloka ngokuhamba kwesikhathi, kungabangela amalunga ukuthi aguge futhi adabuke ngenkathi ehlikihlana, kubangele ukuqaqamba kwamalunga. Uma ubuhlungu be-arthritic buhlotshaniswa nobuhlungu obungapheli obuphansi emuva, bungabangela amaphrofayli ezingozi ezidlulanayo ezingaholela ekuphileni kokukhubazeka futhi zenze umuntu abe lusizi. Izimpawu eziningi ezifana nobuhlungu ezihambisana nobuhlungu obungapheli obuphansi emuva zingakhula ngokuhamba kwesikhathi futhi zibangele izinkinga zokuhamba nokuzinza ngaphakathi komzimba. Ngenhlanhla, izindlela eziningi zokwelapha ezingahlinzeki zinganciphisa ukuqhubeka kwe-arthritis ehlangene futhi zinciphise ubuhlungu obungapheli obuphansi emuva. Izihloko zanamuhla zihlola ukuhlobana phakathi kwe-arthritis ehlangene kanye nobuhlungu obungapheli obuphansi emuva ngenkathi kubhekwa ukuthi ukwelapha okungahlaseli okufana nokuwohloka komgogodla akukwazi ukunciphisa ubuhlungu obungapheli obuphansi obuhambisana nesifo samathambo kodwa futhi kubuyisela ukuhamba kwe-lumbar. Ukwengeza, sisebenzisana ngokubambisana nabahlinzeki bezokwelapha abanezitifiketi abahlanganisa ulwazi lwesiguli sethu ukuze belaphe futhi banciphise ukuqhubeka kwesifo samathambo esihambisana nobuhlungu obuphansi beqolo. Siphinde sibazise ukuthi ukuwohloka komgogodla kungasiza ukubuyisela ukuhamba kwe-lumbar ngenkathi kuthuthukisa amandla emisipha emuva esifundeni se-lumbar. Sikhuthaza iziguli zethu ukuthi zibuze imibuzo ejulile ngenkathi zifuna imfundo kubahlinzeki bethu bezokwelapha abahlobene mayelana nezinkinga zabo ezifana nezinhlungu. UDkt. Alex Jimenez, DC, uhlanganisa lolu lwazi njengenkonzo yezemfundo. Disclaimer
I-Joint Arthritis & Nobuhlungu Obungapheli Emhlane
Ingabe uvame ukuzwa ukuqina ekuseni okubonakala kuhamba ngemva kwamahora ambalwa? Ingabe uzwa izinhlungu nezinhlungu emsebenzini, kungaba edeskini noma kudinga izinto ezinzima? Noma ingabe uzwa amalunga akho ebuhlungu njalo ukuthi awulali ngokwanele ebusuku? Lezi zimo ezinjengezinhlungu zihlotshaniswa nesifo samathambo esihlangene, esingakhula sibe ubuhlungu obungapheli obuphansi emuva. Abantu abaningi bayazi ukuthi umgogodla wezingodo kanye namaphethelo aphansi azobhekana nokucindezeleka okukhulu kwemishini lapho umzimba usesimweni esiqondile ngaphandle kobuhlungu. Njengoba i-lumbar spine kanye nemikhawulo ephansi iqala ukuhamba ngokuphindaphindiwe ngokuhamba kwesikhathi, lokho kungabangela ukuthi imigqa kanye nemisipha ezungezile ibe nezinyembezi ze-microtrauma, okuholela ekuthuthukiseni i-arthritis ehlangene, engaholela emiphumeleni yokuvuvukala. (I-Xiong et al., 2022) Manje ukuvuvukala emzimbeni kunenzuzo futhi kuyingozi kuye ngokuthi ubukhulu obungaphakathi kwendawo ethintekile. I-arthritis ehlangene, ikakhulukazi i-spondylarthritis, iyingxenye yezifo ezivuthayo ezithinta ilunga nomgogodla futhi zingaba nokubonakaliswa okuhlukahlukene kwemitholampilo. (U-Sharip no-Kunz, 2020) Izimpawu ze-arthritis ehlangene zihlanganisa ubuhlungu obuvuthayo endaweni ethintekile, ukuqina kwamalunga nokuvuvukala, nobuthakathaka bemisipha. Lapho ubhekana nemiphumela yokuvuvukala ehambisana nesifo samathambo esihlangene, kungabangela ukuthi babe nekhwalithi yokuphila enciphile, bakhulise ukufa, futhi babe umthwalo wezomnotho. (U-Walsh no-Magrey, 2021)
Manje isifo samathambo esihlangene sihlotshaniswa kanjani nobuhlungu obuphansi emuva? Lapho abantu beqala ukwenza ukunyakaza okuphindaphindiwe kumgogodla wabo we-lumbar, kungaholela ekushintsheni okungavamile kuma-intervertebral discs. Uma ingcindezi engadingeki iqala ukucindezela i-intervertebral disc njalo, ingabangela ukugqoka nokudiliza ku-disc, kubangele ukuba baqhekeze futhi bavumele ama-nociceptors annular ukuba athuthuke kakhulu. (U-Weinstein, uClaverie, noGibson, ngo-1988) I-disc ethintekile ibe isikhulisa izimpande zemizwa ezungezile nemisipha, okubangela ubuhlungu obuphansi emuva. Lapho abantu benza okujwayelekile kwabo kwansuku zonke, izici ezibangela izinguquko eziwohlokayo kuma-intervertebral discs zingaholela ebuhlungu obungapheli obuphansi emuva. (UVernon-Roberts noPirie, ngo-1977) Kulelo phuzu, ubuhlungu obungapheli obuphansi obuhambisana nesifo samathambo bungaba inkinga engapheli uma bungaphathwa ngokushesha.
Kuchazwa Isifo Samathambo- Ividiyo
Lapho kunciphisa imiphumela yobuhlungu obungapheli obuphansi obuhambisana nesifo samathambo, abantu abaningi bafuna ukwelashwa ukuze bakhulule izindawo zabo ezithintekile ngomphumela omuhle. Ukwelashwa okungahlinzeki kungaba yimpendulo, kuhlanganiswe nezinye izindlela zokwelapha ukunciphisa ubuhlungu obungapheli obuphansi emuva. (Kizhakkeveettil, Rose, & Kadar, 2014) Ukwelashwa okungahlinzeki kungenziwa ngendlela oyifisayo kubuhlungu bomuntu kuyilapho kubiza izindleko. Abantu abaningi abanamalunga e-arthritic bangazuza ekwelashweni okungahlinzeki njengoba ochwepheshe bezinhlungu abafana nabahlinzeki be-massage kanye nama-chiropractors bangasebenzisa amasu ahlukahlukene ukuze balule imisipha ethintekile, bakhulise i-ROM yamalunga (ububanzi bokunyakaza) futhi baqondise umzimba ngaphandle kokungahambi kahle ukuze bakhuthaze inqubo yokwelapha yemvelo yomzimba. Ividiyo engenhla inikeza umbono wokuthi isifo samathambo singawathinta kanjani amalunga, sihlotshaniswe nobuhlungu obuphansi emuva, nokuthi lezi zindlela zokwelapha zingadambisa kanjani izimpawu zayo ngokusebenzisa amasu ahlukahlukene.
I-Spinal Decompression & Chronic Low Back Pain
I-Decompression yomgogodla iyindlela yokwelapha engeyona yokuhlinzwa engasiza abantu abaningi abanobuhlungu obungapheli obuphansi emuva. I-Decompression yomgogodla isebenzisa i-traction emnene emgodleni we-lumbar ukuze idonse umgogodla, okuvumela uketshezi kanye nezakhamzimba ukuthi zikhukhule zibuyele endaweni ethintekile futhi kusize umzimba uzipholise ngokwemvelo. Lapho abantu beqala ukufaka ukuwohloka komgogodla ngenxa yobuhlungu babo obungapheli obuphansi emuva, bazozizwa becindezelwa kuma-spinal discs. (Ramos, 2004) Lapho abantu beqala ukuzwa ukuthuthuka endaweni yabo ye-lumbar ngemva kokwelashwa okumbalwa okulandelanayo, bazoqala ukubuyisela ukuhamba kwabo kwe-lumbar.
Ukucindezeleka Komgogodla Ukubuyisela Ukuhamba Kwe-Lumbar
Ukunciphisa umgogodla kunganciphisa imiphumela yobuhlungu obungapheli obuphansi emuva futhi kubuyisele ukuhamba kwe-lumbar emgogodleni. Njengoba ukuwohloka komgogodla kusebenzisa i-traction emnene emgogodleni, i-intervertebral disc izobuyela endaweni yayo yasekuqaleni, kuyilapho umgogodla womgogodla ukwandisa ukuphakama kwe-disc. Kulelo phuzu, ukuwohloka komgogodla kungabangela abantu ukuba bathuthukise ukuhamba futhi kubangele ukuba babuyele emisebenzini yabo evamile yansuku zonke, njengoba ihlobana kakhulu nokunciphisa ubuhlungu. (Gose, Naguszewski, & Naguszewski, 1998) Ngokuhlanganisa ukuwohloka komgogodla njengengxenye yesimiso, abantu abaningi bangakwazi ukubuyisela impilo yabo ngaphandle kokubhekana nezimpawu ezifana nobuhlungu.
Okubhekwayo
IGose, EE, Naguszewski, WK, & Naguszewski, RK (1998). I-Vertebral axial decompression therapy yobuhlungu obuhlobene nama-disc herniated noma degenerated noma i-facet syndrome: isifundo somphumela. I-Neurol Res, 20(3), i-186-190. doi.org/10.1080/01616412.1998.11740504
Kizhakkeveettil, A., Rose, K., & Kadar, GE (2014). Izindlela zokwelapha ezihlanganisiwe zobuhlungu obuphansi emuva obuhlanganisa ukunakekelwa kwemithi ehambisanayo nehlukile: ukubuyekezwa okuhlelekile. I-Glob Adv Health Med, 3(5), i-49-64. doi.org/10.7453/gahmj.2014.043
Ramos, G. (2004). Ukusebenza kwe-vertebral axial decompression kubuhlungu obungapheli obuphansi emuva: ukutadisha kwemithi yomthamo. I-Neurol Res, 26(3), i-320-324. doi.org/10.1179/016164104225014030
Sharip, A., & Kunz, J. (2020). Ukuqonda I-Pathogenesis ye-Spondyloarthritis. Ama-biomolecule, 10(10). doi.org/10.3390/biom10101461
U-Vernon-Roberts, B., noPirie, CJ (1977). Izinguquko eziwohlokayo kuma-intervertebral discs we-lumbar spine kanye ne-sequelae yawo. I-Rheumatol Rehabil, 16(1), i-13-21. doi.org/10.1093/rheumatology/16.1.13
U-Walsh, JA, & Magrey, M. (2021). Ukubonakaliswa Komtholampilo kanye Nokuxilongwa kwe-Axial Spondyloarthritis. J Clin Rheumatol, 27(8), e547-e560. doi.org/10.1097/RHU.0000000000001575
U-Weinstein, J., Claverie, W., & Gibson, S. (1988). Ubuhlungu be-discography. I-Spine (Phila Pa 1976), 13(12), i-1344-1348. doi.org/10.1097/00007632-198812000-00002
Xiong, Y., Cai, M., Xu, Y., Dong, P., Chen, H., He, W., & Zhang, J. (2022). Kuhlanganiswe ndawonye: I-etiology kanye ne-pathogenesis ye-ankylosing spondylitis. Ngaphambili Immunol, 13, 996103. doi.org/10.3389/fimmu.2022.996103
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