Ubuhlungu Emuva Emuva
Umtholampilo Wasemuva Ithimba Le-Chiropractic Lezinhlungu Eziphansi. Abantu abangaphezu kuka-80% bahlushwa izinhlungu emuva esikhathini esithile ekuphileni kwabo. Izimo eziningi zingaxhunyaniswa nezimbangela ezivame kakhulu: ukuqina kwemisipha, ukulimala, noma ukusetshenziswa ngokweqile. Kodwa kungase futhi kufakwe esimweni esithile somgogodla: I-Herniated Disc, I-Degenerative Disc Disease, i-Spondylolisthesis, i-Spinal Stenosis, ne-Osteoarthritis. Izimo ezingavamile ukungasebenzi kahle kwamalunga e-sacroiliac, izimila zomgogodla, i-fibromyalgia, ne-piriformis syndrome.
Ubuhlungu bubangelwa ukulimala noma ukulimala emisipha kanye nemigqa yangemuva. UDkt. Alex Jimenez uhlanganise izihloko ezichaza ukubaluleka kokuqonda izimbangela nemiphumela yalesi sibonakaliso esingakhululekile. I-Chiropractic igxile ekubuyiseleni amandla omuntu nokuguquguquka ukusiza ukuthuthukisa izimpawu zobuhlungu obuphansi emuva.
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
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 | I-Foot Orthotics, Ubuhlungu Emuva Emuva
Izicathulo zingabangela ubuhlungu obuphansi emuva nezinkinga kwabanye abantu. Ingabe ukuqonda ukuhlobana phakathi kwezinkinga zezicathulo nezasemuva kungasiza abantu ukuba bathole izicathulo ezifanele ukuze balondoloze impilo yasemuva futhi bakhulule izinhlungu?
Izinyawo Ezibuhlungu Emuva
Umhlane unikeza amandla emisebenzi yomzimba. Ubuhlungu beqolo buthinta impilo yansuku zonke futhi bungaba nezimbangela ezihlukahlukene. Ukuma okungenampilo, ukuhamba, ukusonteka, ukuphenduka, ukugoba, nokufinyelela kungaba nomthelela ezinkingeni zeqolo ezibangela ubuhlungu. Ngokusho kwe-CDC, i-39% yabantu abadala ibika ukuthi iphila nobuhlungu emuva (Izikhungo Zokulawulwa Kwezifo Nezifo, i-2019). Izicathulo ezingafaneleki nazo zingaba nomthelela ebuhlungu beqolo. Ukukhetha izicathulo ngokucophelela kungasiza ukuletha ukukhululeka kobuhlungu futhi kusize ekugcineni impilo yomgogodla. Abantu ngabanye bangajabulela ubuhlungu obuncane futhi baphathe izimpawu ngokukhetha izicathulo ezigcina ukuhleleka komgogodla futhi zivikele izinyawo kumthelela onzima.
Ukuqonda I-Back Pain-Footwear Connection
Izicathulo ezingafaneleki kungaba yimbangela yezinhlungu ezingezansi. Okuthinta amathambo angaphansi kwesistimu ye-neuromusculoskeletal kukhanya phezulu futhi kuthinte umgogodla nemisipha yangemuva. Iziphi izicathulo ezisetshenziswayo zihambela phezulu, zibe nomthelela ekuhambeni, ukuma, ukuqondanisa umgogodla, nokunye. Lapho izinkinga zangemuva zivela ezinyaweni, lezi yizinkinga ze-biomechanical. I-Biomechanics isho ukuthi amathambo, amalunga, nemisipha kusebenza kanjani ndawonye nokuthi izinguquko zamandla angaphandle ziwuthinta kanjani umzimba.
Movement
Lapho izinyawo zithinta phansi, zingamaphethelo okuqala okumunca ukushaqeka kwawo wonke umzimba. Abantu bazoqala ukuhamba ngendlela ehlukile uma benenkinga noma beshintsha izinyawo. Ukugqoka izicathulo ezinokwesekwa okungalungile kungandisa ukuguga nokudilika emisipha nasemalungeni, okuholela ekuhambeni okungahambi kahle nokungajwayelekile. Isibonelo, cabanga umehluko phakathi kokuma kuma-tiptoes ezithendeni eziphakeme kanye nesimo semvelo sonyawo oluyisicaba. Izicathulo eziboshwe kahle zisiza ukumunca umthelela futhi zinciphise imizwa yobuhlungu. Izingcindezi kulungu ngalinye zishintsha ibhalansi, okubangela izinkinga zokungazinzi ngokucindezela okuncane kokunye nokunye okwengeziwe. Lokhu kudala ukungalingani okuholela ebuhlungu nezimo ezihlangene.
indlela yekuma
Ukugcina ukuma okunempilo kungenye into ekuvimbeleni noma ekudambiseni ubuhlungu beqolo. Ngezicathulo ezifanele, umzimba ungakwazi ukugcina ukuma okunempilo kanye nokugoba okulungile kuwo wonke umgogodla, futhi kusiza ukusabalalisa isisindo ngokulinganayo. Lokhu kubangela ukuncipha kwengcindezi emithanjeni, emisipha, namalunga. (I-Harvard Health Publishing. 2014) Kunconywa ukubonana nodokotela wamathambo ukuze uthole umsuka wesimo somuntu. Kwabanye, i-disc ye-herniated, i-sciatica, ukushayisana kwezimoto, ukuwa, i-ergonomics engenampilo, noma inhlanganisela, kanye nezinye izinkinga ezingaphansi, kungase kube nomthelela ebuhlungu babo emuva.
Izinhlobo zezicathulo kanye nomthelela wazo ngemuva
Ukuthi izicathulo ezihlukahlukene zikuthinta kanjani ukuma, okungase kubangele noma kudambise ubuhlungu beqolo.
Izindwangu eziphakeme
Izithende eziphakeme zingaba nomthelela ebuhlungu emuva. Bashintsha ukuma komzimba, okubangela umphumela we-domino emgogodleni. Isisindo somzimba siyashintshwa ukuze kwandiswe ingcindezi emabholeni ezinyawo, nokuhleleka komgogodla kuyashintsha. Izithende eziphakeme ziphinde zibe nomthelela endleleni amaqakala, amadolo, nezinqulu ezihamba ngayo lapho uhamba, ukulinganisa, nendlela imisipha yangemuva esebenza ngayo, konke okungaba buhlungu kakhulu ubuhlungu beqolo.
Izicucu zeFlat
Izicathulo eziyisicaba zingase zingabi yisinqumo esingcono kakhulu sempilo yomgogodla. Uma bengenakho ukwesekwa kwe-arch, bangabangela unyawo ukuba lugingqikele ngaphakathi, olubizwa ngokuthi i-pronation. Lokhu kungaba nomthelela ekungaqondiseni kahle, okungase kucindezele amadolo, izinqulu, nomhlane ophansi. Kodwa-ke, bangaba yisinqumo esihle uma benikeza ukwesekwa kwe-arch. Uma ugqoke izicathulo eziyisicaba ngokusekelwa okunempilo, isisindo sisatshalaliswa ngokulinganayo ezinyaweni nasemgogodleni. Lokhu kusiza ukugcina ukuma okulungile, okungasiza ekuvimbeleni kanye/noma ekudambiseni ubuhlungu beqolo.
Amateki, Ithenisi, Nezicathulo Zokusubatha
Izitebhisi, ithenisi, kanye izicathulo zemidlalo ingadambisa izinhlungu zomhlane ngokucofa nokusekela ngokuphelele. Ukukhetha ezifanele kuhlanganisa nokunquma umsebenzi ozokwenziwa kuzo. Kukhona ithenisi, ukugijima, i-basketball, i-pickleball, izicathulo ze-skating, nokunye. Cwaninga ukuthi yiziphi izici ezizodingeka emdlalweni noma umsebenzi. Lokhu kungase kuhlanganise:
- Izindebe zesithende
- I-insole cushioning
- Isisekelo esibanzi
- Ezinye izici ukuhlangabezana nezidingo zonyawo ngalunye.
Kunconywa ukuthi izicathulo zezemidlalo zishintshwe njalo ngamamayela angu-300 kuya kwangu-500 wokuhamba noma ukugijima noma nganoma yiziphi izimpawu zokungalingani lapho zibekwe endaweni eyisicaba, njengoba ama-soles agugile nezinto ezonakele zingandisa ingozi yokulimala nobuhlungu emuva. (I-American Academy of Podiatric Sports Medicine, 2024). Uma umbhangqwana othile ubeka imilenze, izinqulu, noma amaqakala endaweni engeyona eyemvelo noma uphazamisa ukunyakaza okuvamile, kungase kube isikhathi sokuwabuyisela.
Ukukhetha Izicathulo Ezilungile
Isixazululo esikahle sokukhetha ukugqoka izicathulo ukuthola ukuhlaziywa kwe-gait kanye nokubuyekezwa kokuthi uhamba futhi ugijima kanjani. Ochwepheshe abahlukahlukene bezokunakekelwa kwempilo bangase banikeze le sevisi ukuze bahlanganise ukusesha komuntu ngamunye izicathulo ezifanele zobuhlungu beqolo. Ekuhlaziyeni ukuhambahamba, abantu bayacelwa ukuthi bagijime futhi bahambe, ngezinye izikhathi ngekhamera, kuyilapho uchwepheshe ephawula ukuthambekela komzimba, njengalapho unyawo lushaya phansi nokuthi lugingqika ngaphakathi noma ngaphandle. Lokhu kunikeza idatha mayelana nokuma okuthintekile, ukunyakaza, amazinga obuhlungu, ukuthi kungakanani ukusekelwa kwe-arch okudingekayo, nokuthi yiluphi uhlobo oluzogqoka ukuze kusize ukuvimbela ubuhlungu emuva. Uma ukuhlaziya sekuqediwe, kuzokuqondisa ukuthi yini okufanele uyibheke, njengokuthi yiliphi izinga lokusekelwa kwe-arch, ukuphakama kwesithende, noma impahla ekulungele wena.
I-Injury Medical Chiropractic kanye ne-Functional Medicine Clinic igxile ekwelashweni okuthuthukayo, okusezingeni eliphezulu kanye nezinqubo zokuvuselela ukusebenza ezigxile ku-physiology yomtholampilo, impilo ephelele, ukuqeqeshwa kwamandla okusebenzayo, kanye nesimo esiphelele. Sigxila ekubuyiseleni imisebenzi evamile yomzimba ngemva kokulimala kanye nokulimala kwezicubu ezithambile. Sisebenzisa i-Specialized Chiropractic Protocols, Wellness Programs, Functional and Integrated Nutrition, Agility kanye nokuhamba Ukuqeqeshwa Kokufaneleka, kanye Nezinhlelo Zokubuyisela esimweni sayo yonke iminyaka. Izinhlelo zethu zingokwemvelo futhi zisebenzisa ikhono lomzimba lokufinyelela imigomo ethile elinganiselwe kunokwethula amakhemikhali ayingozi, ukushintshwa kwama-hormone okuyimpikiswano, ukuhlinzwa okungafunwa, noma izidakamizwa eziluthayo. Sihlanganyele nodokotela abakhulu bedolobha, abelaphi, nabaqeqeshi ukuze sinikeze ukwelashwa kwekhwalithi ephezulu okunika iziguli zethu amandla okugcina indlela enempilo yokuphila futhi ziphile ukuphila okusebenzayo okunamandla engeziwe, isimo sengqondo esihle, ukulala okungcono, nobuhlungu obuncane. .
Izinzuzo Zokusebenzisa I-Custom Foot Orthotics
Okubhekwayo
Centers for Disease Control and Prevention. (2019). Iqolo, isitho esingezansi, nobuhlungu besitho esingaphezulu phakathi kwabantu abadala base-US, 2019. Kubuyiswe kusukela www.cdc.gov/nchs/products/databriefs/db415.htm
I-Harvard Health Publishing. (2014). Ukuma nempilo yasemhlane. Imfundo Yezempilo yaseHarvard. www.health.harvard.edu/pain/posture-and-back-health
I-American Academy ye-Podiatric Sports Medicine. Ayne Furman, DF, AAPSM. (2024). Ngazi kanjani uma sekuyisikhathi sokushintsha izicathulo zami ze-athletic?
by UDkt Alex Jimenez | Ukuhlungu obusemhlane, I-Chiropractic, Ubuhlungu obungapheliyo, Ubuhlungu Emuva Emuva, Ukwelashwa Kokucindezeleka Komgogodla, Ukwelashwa, I-Viscerosomatic Reflex
Ingabe abantu abane-lumbar spinal stenosis bangasebenzisa ukuwohloka komgogodla ukuze banciphise ubuhlungu obuphansi emuva futhi babuyisele ukuhamba?
Isingeniso
Abantu abaningi emhlabeni wonke baye babhekana nobuhlungu obuphansi emuva esikhathini esithile ekuphileni kwabo okuye kwathinta ukuhamba kwabo futhi kwaba nomthelela endleleni yabo yokuphila. Izici eziningi zezemvelo zingaholela ekuthuthukisweni kobuhlungu obuphansi emuva, njengokuphakamisa okunzima okungafanele, ukuma okungalungile, ukulimala okubuhlungu, nezingozi ezingase zithinte imisipha ezungezile, intambo yomgogodla, nezimpande zezinzwa. Uma lokhu kwenzeka, kungaholela ku-lumbar spinal stenosis futhi kubangele amaphrofayli ezingozi ezeqile ahlotshaniswa nobuhlungu obuphansi emuva. Lapho abantu bebhekene ne-lumbar spinal stenosis, bangase bacabange ukuthi ubuhlungu babo busemaphethelweni aphansi. Kuze kube yileso sikhathi, abantu abaningi bafuna ukwelashwa ukuze bangagcini nje ukunciphisa ubuhlungu obuphansi emuva kodwa futhi banciphise imiphumela ye-lumbar spinal stenosis. Ezinye zokwelapha, njengokuwohloka komgogodla, okuwukwelashwa okungahlinzeki, kungasiza ukubuyisela ukuhamba komzimba. Isihloko sanamuhla sibheka ukuthi i-lumbar spinal stenosis ithinta kanjani i-back back kanye nokuxilongwa kwayo ngenkathi ibheka ukuthi ukuchithwa komgogodla kunganikeza kanjani ukukhululeka kumuntu futhi kube nezinzuzo ezinhle ekubuyiseleni ukuhamba. Sikhuluma nabahlinzeki bezokwelapha abaqinisekisiwe abahlanganisa ulwazi lweziguli zethu ukuze bahlole ukuthi i-lumbar spinal stenosis ihlobana kanjani nobuhlungu obuphansi emuva, okubangela izinkinga zokuhamba. Siphinde sazise futhi siqondise iziguli ukuthi ukuwohloka komgogodla kuyindlela enhle kakhulu yokwelapha engahlanganiswa nezinye izindlela zokwelapha. Sikhuthaza iziguli zethu ukuthi zibuze abahlinzeki bazo bezokwelapha abahlobene nabo imibuzo eyinkimbinkimbi nebalulekile mayelana nokuhlanganisa ukwelashwa kokunciphisa ukucindezelwa ukuze kudambise imiphumela yobuhlungu ebangelwa i-lumbar stenosis kuyilapho kunciphisa imiphumela yobuhlungu obudlulele njengobuhlungu obuphansi bomgogodla ukuze kuphinde kutholakale ukuhamba komuntu. UDkt. Jimenez, DC, uhlanganisa lolu lwazi njengesevisi yezemfundo. Disclaimer.
Ukuthi I-Lumbar Spinal Stenosis Ithinta Kanjani I-Lower Back
Ingabe uzwa ukuntweza ngemuva kwemilenze yakho okuthinta ikhono lakho lokuhambahamba? Noma ingabe iqolo lakho eliphansi lizwa sengathi lihamba kancane kunalokho obujwayele? Lapho abantu abaningi bezwa ubuhlungu obuphansi emuva ngesikhathi sokuphila kwabo, kungase kuhambisane ne-lumbar spinal stenosis. I-Lumbar spinal stenosis ivame ukwenzeka lapho umsele womgogodla osemuva ophansi uba yinkimbinkimbi, okuholela ekushintsheni okuwohlokayo. Lapho umsele womgogodla uqala ukuba mncane emgogodleni, ungabangela ukungakhululeki okukhulu, uphazamise imisebenzi yansuku zonke, futhi ungabangela ukukhubazeka okuqhubekayo kubantu abaningi. (Munakomi et al., 2024) Izimpawu ezibangelwa i-lumbar spinal stenosis zisukela kokuncane kuye kokuqina, futhi yiziphi izici zemvelo ezihambisana nenkinga. Ngesikhathi esifanayo, i-lumbar spinal stenosis ibonakala ngezimpawu ezifana nobuhlungu obuphansi emuva obungabangela izinguquko ze-spondylotic ezibangela ubuhlungu obuphansi obungase buthinte kabi izinga lokuphila komuntu. (Ogon et al., 2022) Lokhu kubangela ukuthi abantu abaningi baye kodokotela babo abayinhloko ukuze bathole ukuxilongwa futhi bafunde ukuphatha ubuhlungu obuhambisana ne-lumbar spinal stenosis.
Ukuxilongwa Kwe-Lumbar Spinal Stenosis
Uma kuziwa ekuxilongeni i-lumbar spinal stenosis, abahlinzeki bezempilo abaningi bazofaka ukuhlolwa okuphelele, okubandakanya ukuhlolwa ngokomzimba ukuze ubone ukuthi ingemuva lomuntu lihamba kanjani kanye nokuhlolwa kwe-imaging njenge-MRIs kanye ne-CT scans ukuze ubone ngeso lengqondo umgogodla womgogodla futhi uhlole izinga lomgogodla. ukunciphisa okubangela ubuhlungu emaphethelweni aphansi. Lokhu kungenxa yokuthi lapho abantu bebhekana ne-lumbar spinal stenosis, ingabonakalisa nge-neurogenic claudication emaphethelweni aphansi, ikakhulukazi uma umuntu emile noma ehlezi. Ubuhlungu buyancipha lapho isikhundla sabo sishintshwa. (USobanski et al., 2023) Ukwengeza, i-lumbar spinal stenosis ingenye yezinkinga zomgogodla ezivame ukutholwa ochwepheshe abaningi bezempilo abahlola futhi bazihlole. Uma kukhona ukuncipha emgodleni womgogodla, okuholela ekuthuthukiseni umgogodla we-lumbar, ukunyakaza okulula njengokuhamba kungandisa izimpawu emaphethelweni aphansi futhi kwandise i-oksijini emithanjeni yomgogodla, okungase kudlule ukugeleza kwegazi okutholakalayo kuya emaphethelweni. (I-Deer et al., 2019) Kulelo phuzu, ukwelashwa okufana nokuwohloka komgogodla kungasiza ekunciphiseni ubuhlungu obuphansi obuhambisana ne-lumbar spinal stenosis.
Indlela Engahlinzwanga Yempilo- Ividiyo
Indlela Yokukhulula Ukusebenzisa Ukucindezeleka Komgogodla
Uma kukhulunywa ngabantu ababhekene nobuhlungu obubangelwa i-lumbar spinal stenosis, abantu abaningi bangafuna izindlela zokwelapha ezingahlinzeki njengokuwohloka komgogodla ukuze bakhulule izinhlungu ezingezansi. Ukuwohloka komgogodla kuye kwavela njengendlela yokwelapha engasebenzi, ephumelelayo ye-lumbar spinal stenosis. Isebenzisa i-traction emnene emgogodleni ukuze welulwe, ikhulule izinzwa zomgogodla ngokudala isikhala esiningi ngaphakathi komsele womgogodla. Ukunciphisa umgogodla kunciphisa inqubo yokuwohloka ngenkathi imisipha ezungezile ilula kancane, futhi ukuphakama kwe-spinal disc kuyanda ngenxa yokucindezela okubi. (Kang et al., 2016)
Izinzuzo Zokuwohloka Komgogodla Nokubuyisela Ukuhamba
Ukwengeza, i-traction emnene evela ekucindezelweni komgogodla kusiza ukuthuthukisa ukugeleza kokukhiqizwa kwezakhi kanye ne-oksijini emuva kuma-spinal discs athintekile kanye nomgogodla ukuze kukhuthaze indawo yokuphulukisa engcono yomzimba. Njengoba ukuwohloka komgogodla kungahlanganiswa nezinye izindlela zokwelapha ezingezona zokuhlinzwa, njengokwelashwa ngokomzimba kanye nokuxhaphazwa komgogodla, kunganikeza imiphumela emihle ehlala isikhathi eside kubantu abane-lumbar spinal stenosis. (U-Ammendolia et al., 2022) Eminye yemiphumela enenzuzo yokuwohloka komgogodla ihlanganisa:
- Ukunciphisa ubuhlungu ngokunciphisa ingcindezi emithanjeni yomgogodla ukunciphisa ubuhlungu nokungahambi kahle emaphethelweni aphansi kakhulu.
- Ukuhamba okuthuthukisiwe kuvumela umuntu ukuthi abuyele emisebenzini yakhe yansuku zonke kalula.
Abantu abaningi bangazuza ekucindezelweni komgogodla ukuze banciphise imiphumela ye-lumbar spinal stenosis futhi babuyisele ukuhamba kwabo okuphansi ngemuva kwezikhathi ezilandelanayo ukuze kuncishiswe amathuba okuba ubuhlungu bubuye. Ngokucabanga okwengeziwe ngempilo nempilo yabo, abantu abaningi bangenza izinguquko ezincane ezivamile emisebenzini yabo ukuze banciphise ubuhlungu futhi bahlale behamba ezimpilweni zabo zonke. Lokhu kubenza babe nomuzwa wethemba wokubakhulula ebuhlungwini abebengaphansi kwabo.
Okubhekwayo
Ammendolia, C., Hofkirchner, C., Plener, J., Bussieres, A., Schneider, MJ, Young, JJ, Furlan, AD, Stuber, K., Ahmed, A., Cancelliere, C., Adeboyejo, A ., & Ornelas, J. (2022). Ukwelashwa okungezona ukusebenza kwe-lumbar spinal stenosis nge-neurogenic claudication: ukubuyekezwa okuhlelekile okubuyekeziwe. I-BMJ Vula, 12(1), i-e057724. doi.org/10.1136/bmjopen-2021-057724
I-Deer, T., Sayed, D., Michels, J., Josephson, Y., Li, S., & Calodney, AK (2019). Ukubuyekezwa kwe-Lumbar Spinal Stenosis nge-Intermittent Neurogenic Claudication: Izifo kanye Nokuxilongwa. Ubuhlungu Med, 20(Suppl 2), S32-S44. doi.org/10.1093/pm/pnz161
Kang, JI, Jeong, DK, & Choi, H. (2016). Umphumela wokuwohloka komgogodla emsebenzini we-lumbar muscle kanye nokuphakama kwediski ezigulini ezine-disk intervertebral herniated. Ijenali yePhysical Therapy Science, 28(11), i-3125-3130. doi.org/10.1589/jpts.28.3125
Munakomi, S., Foris, LA, & Varacallo, M. (2024). I-Spinal Stenosis kanye ne-Neurogenic Claudication. Ku StatPearls. www.ncbi.nlm.nih.gov/pubmed/28613622
Ogon, I., Teramoto, A., Takashima, H., Terashima, Y., Yoshimoto, M., Emori, M., Iba, K., Takebayashi, T., & Yamashita, T. (2022). Izici ezihlotshaniswa nobuhlungu obuphansi emuva ezigulini ezine-lumbar spinal stenosis: isifundo se-cross-sectional. I-BMC Musculoskelet Disord, 23(1), i-552. doi.org/10.1186/s12891-022-05483-7
Sobanski, D., Staszkiewicz, R., Stachura, M., Gadzielinski, M., & Grabarek, BO (2023). Isethulo, Ukuxilongwa, kanye Nokuphathwa Kwezinhlungu Eziphansi Ezisemuva Ezihlobene Ne-Spinal Stenosis: Ukubuyekezwa Okulandisayo. IMed Sci Monit, 29, e939237. doi.org/10.12659/MSM.939237
Disclaimer
by UDkt Alex Jimenez | I-Hip Pain & Ukuphazamiseka, Ubuhlungu Emuva Emuva
Kubantu ababhekene nokungasebenzi kahle kwejoyinti le-sacroiliac/SIJ nobuhlungu, ingabe ukusebenzisa itheyiphu ye-kinesiology kungasiza ukuletha ukukhululeka nokulawula izimpawu?
I-Kinesiology Tape ye-Sacroiliac Joint Pain
Isifo esiphansi emuva esivamile ngesikhathi sokukhulelwa. Ubuhlungu buvamise ukuba kolunye noma nhlangothi zombili zomhlane, ngenhla nje kwezinqe, obufika budlule futhi bungakwazi ukukhawulela ikhono lokugoba, ukuhlala, nokwenza imisebenzi ehlukahlukene yomzimba. (U-Moayad Al-Subahi et al., 2017) I-tape yokwelapha inikeza ukwesekwa ngenkathi ivumela ukunyakaza futhi ingasiza ukwelapha nokuphatha ubuhlungu be-sacroiliac joint/SIJ ngokuthi:
- Ukunciphisa ama-muscle spasms.
- Ukwenza kube lula ukusebenza kwemisipha.
- Ukwandisa ukujikeleza kwegazi ukuya naseduze kwendawo yobuhlungu.
- Ukunciphisa amaphuzu e-muscle trigger.
Indlela
Ezinye izifundo zithole ukuthi ukuthepha ukuhlanganyela kwe-SI kunezinzuzo ezihlanganisa:
- Ithiyori eyodwa isiza ukuphakamisa nokubamba izicubu ezingaphezulu ekuhlanganyeleni kwe-SI, okusiza ukwehlisa ingcindezi ezungezile.
- Enye inkolelo-mbono yukuthi ukuphakamisa izicubu kusiza ukudala umehluko wengcindezi ngaphansi kwe-tape, njengokuwohloka okungahlinzeki, okuvumela ukujikeleza okwenyuka kwezicubu ezizungeze i-sacroiliac joint.
- Lokhu kukhukhula indawo ngegazi nemisoco, okwenza indawo ekahle yokuphulukisa.
Isicelo
Ijoyinti ye-sacroiliac ngakwesokudla nakwesobunxele ixhuma i-pelvis ne-sacrum noma ingxenye ephansi kakhulu yomgogodla. Ukuze usebenzise i-kinesiology tape ngendlela efanele, thola ingxenye ephansi yengemuva ngaphakathi kwendawo ye-pelvic. (UFrancisco Selva et al., 2019) Cela usizo kumngane noma ilungu lomndeni uma ungakwazi ukufinyelela endaweni.
Izinyathelo zokuthepha:
- Sika imicu emithathu ye-tape, ngayinye ngamasentimitha angu-4 kuya kwangu-6 ubude.
- Hlala esihlalweni bese ugobisa umzimba kancane phambili.
- Uma othile esiza, ungama futhi ugobe kancane phambili.
- Susa i-lift-off strip phakathi nendawo bese welula itheyipu ukuze uveze amasentimitha ambalwa, ushiye iziphetho zimboziwe.
- Gcoba itheyiphu eveziwe nge-engeli phezu kwejoyinti ye-SI, njengokwenza umugqa wokuqala ka-X, ngenhla nje kwezinqe, ngokunwebeka okugcwele kutheyiphu.
- Hlanza ama-lift-off strips kusukela ekugcineni bese uwanamathela ngaphandle kokwelula.
- Phinda izinyathelo zohlelo ngomucu wesibili, ubambelele nge-engeli engu-45 degree emgqeni wokuqala, wenze u-X phezu kwejoyinti le-sacroiliac.
- Phinda lokhu ngomugqa wokugcina ovundlile ngaphesheya kuka-X owenziwe ngezingcezu ezimbili zokuqala.
- Kufanele kube nephethini yetheyiphu yokuma kwenkanyezi phezu kwejoyinti ye-sacroiliac.
- I-kinesiology tape ingahlala phezu kwejoyinti ye-sacroiliac izinsuku ezintathu kuya kwezinhlanu.
- Buka izimpawu zokucasuka ekhasethini.
- Susa itheyiphu uma isikhumba sicasuka, bese uthintana nomhlinzeki wakho wezempilo oyinhloko, uchwepheshe womzimba, noma i-chiropractor ukuze uthole ezinye izinketho zokwelapha.
- Abanye abantu abanezimo ezithile kufanele bagweme ukusebenzisa itheyiphu futhi bathole isiqinisekiso sokuthi iphephile.
- Abantu abanobuhlungu obukhulu be-sacroiliac lapho ukuzilawula kungasebenzi kufanele babone umhlinzeki wezokunakekelwa kwempilo, umelaphi womzimba, kanye noma udokotela wezifo ezithathelwanayo ukuze ahlolwe futhi afunde ukuvivinya umzimba nokwelapha zokwelapha ukusiza ukuphatha isimo.
I-Sciatica Ngesikhathi Sokukhulelwa
Okubhekwayo
Al-Subahi, M., Alayat, M., Alshehri, MA, Helal, O., Alhasan, H., Alalawi, A., Takrouni, A., & Alfaqeh, A. (2017). Ukusebenza kokungenelela kwe-physiotherapy kokungasebenzi kahle kwe-sacroiliac: ukubuyekezwa okuhlelekile. Ijenali yesayensi yokwelapha ngokomzimba, 29(9), 1689-1694. doi.org/10.1589/jpts.29.1689
U-Do-Yun Shin no-Ju-Young Heo. (2017). Imithelela ye-Kinesiotaping Isetshenziswa ku-Erector Spinae kanye ne-Sacroiliac Joint ku-Lumbar Flexibility. I-Journal of Korean Physical Therapy, 307-315. doi.org/https://doi.org/10.18857/jkpt.2017.29.6.307
Selva, F., Pardo, A., Aguado, X., Montava, I., Gil-Santos, L., & Barrios, C. (2019). Ucwaningo lokuphindaphinda kwezicelo ze-kinesiology tape: ukubuyekezwa, ukwethembeka kanye nokufaneleka. Izinkinga ze-BMC musculoskeletal, 20(1), 153. doi.org/10.1186/s12891-019-2533-0
by UDkt Alex Jimenez | Ukuhlungu obusemhlane, Ubuhlungu obungapheliyo, Electroacupuncture Therapy, Amathumbu kanye Nempilo Yamathumbu, Ubuhlungu Emuva Emuva, Ukwelashwa, I-Viscerosomatic Reflex
Ingabe abantu ababhekene nokuvuvukala kwamathumbu bangakhululeka nge-electroacupuncture ukuze banciphise izimpawu zobuhlungu obuphansi emuva futhi bathuthukise ukusebenza kwamathumbu?
Isingeniso
Uma kukhulunywa ngomzimba, uhlelo lwamathumbu lunobudlelwano obuthakazelisa kakhulu emaqenjini ahlukahlukene omzimba. Uhlelo lwamathumbu lusebenza nesistimu yezinzwa emaphakathi, i-immune, ne-musculoskeletal njengoba lusiza ukuvikela umzimba kumabhaktheriya ayingozi ngenkathi kulawula ukuvuvukala. Kodwa-ke, lapho izici zemvelo ziqala ukuba nomthelela emzimbeni futhi zidale uhlelo lwamathumbu ukuthi luhambe i-haywire, kungabangela izinkinga eziningi zobuhlungu nokungakhululeki emzimbeni. Enye yezinkinga ezingathinta amathumbu uhlelo lwe-musculoskeletal, oludala izinkinga ezibuhlungu emuva ezihambisana nokuvuvukala kwamathumbu. Kodwa-ke, izindlela zokwelapha eziningi zingasiza ekunciphiseni imiphumela yokuvuvukala kwamathumbu okubangela ubuhlungu emuva. Isihloko sanamuhla sibheka ukuxhumana kobuhlungu be-gut-back, ukuthi i-electroacupuncture ingahlanganiswa kanjani njengokwelashwa, nokuthi inganciphisa kanjani ukuvuvukala. Sikhuluma nabahlinzeki bezokwelapha abaqinisekisiwe abahlanganisa imininingwane yeziguli zethu ukuze bahlole ukuthi ukuvuvukala kwamathumbu kuyithinta kanjani imizimba yazo, okubangela ubuhlungu beqolo. Siphinde sazise futhi siqondise iziguli ukuthi ukwelapha nge-electroacupuncture kungasiza kanjani ukunciphisa imiphumela yokuvuvukala ebangela izinkinga zamathumbu neqolo futhi kubuyisele ukusebenza kwamathumbu. Sikhuthaza iziguli zethu ukuthi zibuze abahlinzeki bazo bezokwelapha abahlobene nabo imibuzo eyinkimbinkimbi nebalulekile mayelana nokuhlanganisa izindlela zokwelapha ezingezona zokuhlinzwa ukuze kuncishiswe ukuvuvukala kwamathumbu okuhambisana nobuhlungu beqolo. UDkt. Jimenez, DC, uhlanganisa lolu lwazi njengesevisi yezemfundo. Disclaimer.
I-Gut-Back Pain Connection
Ingabe uzwa ubuhlungu bemisipha noma izinhlungu emathunjini akho noma emhlane ongezansi? Kuthiwani ngokukhipha ukushisa ezindaweni ezihlukahlukene zomzimba wakho? Noma ingabe uke wabhekana nezikhathi ezingenamandla aphansi usuku lonke? Yize amathumbu aziwa njengobuchopho besibili njengoba esebenza namasosha omzimba, enye yezindima zawo ezibalulekile ukulawula amasosha omzimba. Lokhu kungenxa yokuthi i-gut microbiome igcina izigidigidi zamabhaktheriya ukuze agaye ukudla futhi avikele umzimba kumagciwane amabi. Lapho izici zemvelo ziqala ukuba nomthelela ohlelweni lwezemvelo oluthambile lwamathumbu, kungaholela ekutheni amasosha omzimba asebenze ngokweqile, okubangele ukuthi ama-cytokines avuvukalayo akhiqize ngobuningi, futhi lo mphumela unganyakaza wonke umzimba, ngaleyo ndlela ubonakale ezimpawu nezimo ezihlukahlukene ezifana nobuhlungu, kuhlanganise. ukuhlungu obusemhlane. Njengoba ukuvuvukala kuyindlela yokuzivikela yomzimba ekulimaleni noma ezifweni, kususa inkinga eyingozi endaweni ethintekile futhi kusize ukuphulukisa. Ngakho-ke lapho ama-cytokines avuvukalayo eqala ukukhiqiza ngobuningi ngenxa yokuvuvukala kwamathumbu, angafaka engcupheni uhlelo lwamathumbu, okuvumela ubuthi namabhaktheriya ukuthi angene egazini futhi ahambe ezindaweni ezihlukahlukene zomzimba, okubangela ubuhlungu. Manje, lokhu kungenxa yezici ezihlukahlukene zemvelo eziholela ekuthuthukiseni ubuhlungu emuva. Lapho amabhaktheriya ayingozi avela ekuvuvukeni eqala ukubangela ubuhlungu emuva, angakwazi ukuzinamathisela futhi athinte i-intervertebral disc homeostasis, okwenza amasosha omzimba ahlasele i-intervertebral disc futhi abangele ubuhlungu emuva. (Yao et al., 2023) Lokhu kungenxa yokuxhumana kwamathumbu kanye nokubuyela emuva ngokusebenzisa izindlela eziyinkimbinkimbi zemizwa ezithumela ukwaziswa kusuka emathunjini kuya ngemuva futhi kuze kufike ebuchosheni.
Ngakho-ke, lapho ukuvuvukala kuqala ukudala izinkinga emzimbeni, kungaholela ezinkingeni ze-musculoskeletal njengobuhlungu beqolo. Ukuvuvukala kwamathumbu kungabangela ukungalingani phakathi kokwakheka kwe-symbiont kanye ne-pathobiont ukunciphisa ubuqotho nokusebenza kwezithiyo zamathumbu emathunjini, kubangela ubuhlungu, nokwandisa ama-molecule avuthayo. (Ratna et al., 2023) Ama-molecule avuvukalayo angakhuphula ama-receptors ezinhlungu kanye nokucindezeleka kwemisipha, okuholela ekuphatheni kabi nobuhlungu emhlane ophansi. Ngokuzenzakalelayo, izici zemvelo njengokuma okungekuhle, ukungawuvivinyi umzimba, kanye nemikhuba yokudla engeyinhle kungabangela uhlelo lwamathumbu ukuthi lubangele ukuvuvukala kwemisipha yangemuva. Uma kukhona i-dysbiosis ku-gut microbiota, imiphumela yokuvuvukala ingahlotshaniswa ngokungaqondile nobuhlungu be-visceral kanye nokusebenza kwesistimu ye-nervous central ukuze kuguqulwe umzimba futhi kubangele ukuthi ube sesimweni esiqhubekayo sokuvuvukala okungapheli kwesistimu ukuze kubangele ubuhlungu emuva. (U-Dekker Nitert et al., 2020). Kodwa-ke, kunezindlela eziningi zokwelapha ezingahlinzeki nezindlela eziphelele zokunciphisa ukuvuvukala kwamathumbu futhi kudambise izinhlungu emuva.
Ukuhlanganisa i-Electroacupuncture Njengokwelashwa
Lapho abantu bezwa ubuhlungu beqolo obuhambisana nokuvuvukala kwamathumbu, bazoya kudokotela wabo oyinhloko wezempilo futhi bachaze isimo. Njengoba kunikezwe ukuxhumana phakathi kokuvuvukala kwamathumbu nobuhlungu beqolo, ngokubhekana nezici zemvelo ezibangela lawa maphrofayili engcuphe agqagqene, odokotela abaningi bangasebenza nochwepheshe bezinhlungu ukunciphisa kokubili ukuvuvukala kwamathumbu nobuhlungu beqolo. Ochwepheshe bezinhlungu abafana nama-chiropractors, ama-acupuncturists, nama-massage Therapists bangasiza ukuqinisa imisipha ethintekile ebangela ubuhlungu beqolo futhi banikeze izindlela eziphelele njengamavithamini alwa nokuvuvukala kanye nezithasiselo zokunciphisa ukuvuvukala kwamathumbu. Enye yezindlela zokwelapha ezingezona zokuhlinzwa ezindala kakhulu ezingakwenza kokubili i-electroacupuncture. I-Electroacupuncture ihlanganisa ukwelapha kwendabuko kwaseShayina kanye nobuchwepheshe besimanje obusebenzisa ukuvuselela kukagesi nezinaliti eziqinile eziqinile ukuze zifakwe ku-acupoint yomzimba ukuze kutholwe i-qi noma amandla. Lokhu okwenziwayo ukuthi kunikeza ukugqugquzelwa kukagesi kanye nemiphumela elwa nokuvuvukala ukuze kunxenxe i-cholinergic reflexes emathunjini kanye ne-axis ye-HPA. (UYang et al., 2024) I-Electroacupuncture ingabuye ihlanganiswe nezinye izindlela zokwelapha ukuze kuncishiswe imiphumela yokuvuvukala ehambisana nobuhlungu be-back.
I-Electroacupuncture Yehlisa Kanjani Ukuvuvukala Kwamathumbu
Njengoba i-electroacupuncture inganciphisa ukuvuvukala kwamathumbu okubangela ubuhlungu emuva, ingasiza ukulawula izitshalo zamathumbu ngokugqugquzela ukuhamba kwamathumbu nokuvimbela izimpawu zobuhlungu ukuthi zingathinteki imisipha yangemuva. (I-et al., 2022) Lokhu kungenxa yokuthi i-electroacupuncture ingasiza ukukhulula imisipha eqinile ebangela ubuhlungu beqolo. Ukwengeza, lapho abantu besondela kulokhu kwelashwa, kungaphansi kokuqondisa kwama-acupuncturists abaqeqeshwe kakhulu abakwazi ukufaka izinaliti ngendlela efanele kuyilapho behlanganisa ukwelapha nge-electroacupuncture ngokwezidingo nobuhlungu bomuntu. Njengoba i-electroacupuncture ingahlanganiswa nezinye izindlela zokwelapha, inganciphisa ngempumelelo isisindo somzimba futhi ibuyisele ukugaya nokumuncwa ukuze ilolonge i-gut microbiota. (Xia et al., 2022) Lokhu kuvumela abantu ukuba benze izinguquko ezincane esimisweni sabo futhi bavimbele ukuvuvukala kwamathumbu ekuthinteni umzimba futhi kubangele ubuhlungu emuva. Bangakwazi ukuthuthukisa izinga lempilo yabo ngokuhlanganisa i-electroacupuncture njengengxenye yokwelashwa kwabo kwezempilo nokuphila kahle.
Ukuvula Izimfihlo Zokuvuvukala-Ividiyo
Okubhekwayo
An, J., Wang, L., Song, S., Tian, L., Liu, Q., Mei, M., Li, W., & Liu, S. (2022). I-Electroacupuncture yehlisa ushukela wegazi ngokulawula izitshalo zamathumbu ohlobo 2 lwamagundane esifo sikashukela. J Isifo Sikashukela, 14(10), i-695-710. doi.org/10.1111/1753-0407.13323
U-Dekker Nitert, M., Mousa, A., Barrett, HL, Naderpoor, N., & de Courten, B. (2020). Ukwakheka Okuguquliwe Kwe-Gut Microbiota Kuhlotshaniswa Nobuhlungu Basemuva Kubantu Abakhuluphele Nabakhuluphele. I-Front Endocrinol (Lausanne), 11, 605. doi.org/10.3389/fendo.2020.00605
Ratna, HVK, Jeyaraman, M., Yadav, S., Jeyaraman, N., & Nallakumarasamy, A. (2023). Ingabe i-Dysbiotic Gut iyimbangela yobuhlungu obuphansi emuva? I-Cureus, 15(7), i-e42496. doi.org/10.7759/cureus.42496
Xia, X., Xie, Y., Gong, Y., Zhan, M., He, Y., Liang, X., Jin, Y., Yang, Y., & Ding, W. (2022). I-Electroacupuncture ikhuthaze ukuzivikela kwamathumbu futhi yahlenga i-dysbiotic cecal microbiota yamagundane anamafutha aphezulu abangelwa ukudla. Ukuphila Sci, 309, 120961. doi.org/10.1016/j.lfs.2022.120961
Yang, Y., Pang, F., Zhou, M., Guo, X., Yang, Y., Qiu, W., Liao, C., Chen, Y., & Tang, C. (2024). I-Electroacupuncture Yehlisa Izifo Zamathumbu Ezivuvukalayo Kumagundane Akhuluphele Ngokuvula Izindlela Zokusayina ze-Nrf2/HO-1 kanye Nokulungisa Isithiyo Samathumbu. Isifo sikashukela i-Metab Syndr Obes, 17, I-435-452. doi.org/10.2147/DMSO.S449112
Yao, B., Cai, Y., Wang, W., Deng, J., Zhao, L., Han, Z., & Wan, L. (2023). Umphumela we-Gut Microbiota ekuqhubekeleni phambili kwe-Intervertebral Disc Degeneration. Ukuhlinzwa Kwamathambo, 15(3), i-858-867. doi.org/10.1111/os.13626
Disclaimer
by UDkt Alex Jimenez | Ubuhlungu Emuva Emuva, Ukulimala Komuntu
Kubantu ababhekene nobuhlungu obuphansi emuva bangakwazi ukuqonda i-anatomy kanye nomsebenzi we-multifidus muscle ukusiza ekuvimbeleni ukulimala nasekuthuthukiseni uhlelo lokwelapha oluphumelela kakhulu?
Imisipha ye-Multifidus
Imisipha ye-multifidus yinde futhi imincane nhlangothi zombili zekholomu yomgogodla, esiza ukuzinzisa isifunda esingezansi somgogodla noma i-lumbar spine. (UMaryse Fortin, uLuciana Gazzi Macedo 2013) Ukuhlala kakhulu, ukujwayela ukuhamba okungenampilo, nokuntuleka kokunyakaza kungathuthukela ku-multifidus muscle buthakathaka noma i-atrophy, engabangela ukungazinzi komgogodla, ukucindezelwa kwe-vertebral, nobuhlungu be-back. (U-Paul W. Hodges, uLieven Danneels 2019)
Anatomy
Okwaziwa ngokuthi ungqimba olujulile, ungqimba olungaphakathi impela lwezingqimba ezintathu zemisipha yangemuva futhi lulawula ukunyakaza komgogodla. Ezinye izingqimba ezimbili, ezaziwa ngokuthi i-intrinsic kanye ne-surficial, zinesibopho sekheji ye-thoracic / imbambo kanye nokunyakaza kwehlombe. (U-Anouk Agten et al., 2020) I-multifidus inamaphuzu okunamathiselwe kokuthi:
- Umgogodla wethoracic weqolo eliphakathi.
- I-lumbar spine yomgogodla ophansi.
- Umgogodla we-iliac - isisekelo sethambo le-iliac elimise okwephiko le-pelvis.
- I-Sacrum - uchungechunge lwamathambo angaphansi komgogodla oxhunywe ku-tailbone.
- Uma umile noma uhamba, imisipha ye-multifidus isebenza ne-transversus abdominus kanye nemisipha ye-pelvic floor ukuze kuqiniswe umgogodla we-lumbar. (U-Christine Lynders 2019)
Umsebenzi Wemisipha
Umsebenzi oyinhloko ukuzinzisa umgogodla ophansi, kodwa futhi kusiza ukunweba umgogodla ophansi noma nini lapho ufinyelela noma welula. (UJennifer Padwal et al., 2020) Ngenxa yokuthi i-muscle inamaphuzu amaningi okunamathiselwe futhi isetshenziswa igatsha elithile lezinzwa ezibizwa ngokuthi i-ramior posterior, ivumela i-vertebra ngayinye ukuthi isebenze ngabanye futhi ngokuphumelelayo.
- Lokhu kuvikela ukuwohloka komgogodla kanye nokuthuthukiswa kwe-arthritis. (UJeffrey J Hebert et al., 2015)
- I-multifidus muscle isebenza namanye amaqembu amabili emisipha ejulile ukuze azinze futhi anyakaze umgogodla. (UJeffrey J Hebert et al., 2015)
- Imisipha ye-rotatores yenza ukujikeleza okuhlangene, ukuphenduka ukusuka kolunye uhlangothi kuya kolunye, nokunwetshwa kwamazwe amabili noma ukugoba emuva naphambili.
- Imisipha ye-semispinalis ngaphezu kwe-multifidus ivumela ukunwetshwa nokujikeleza kwekhanda, intamo, kanye nomhlane ongaphezulu.
- I-multifidus muscle iqinisekisa amandla omgogodla ngoba inamaphuzu amaningi okunamathiselwe emgogodleni kunezinye izendlalelo, okunciphisa ukuguquguquka komgogodla nokujikeleza kodwa kwandisa amandla nokuzinza. (U-Anouk Agten et al., 2020)
Ubuhlungu Emuva Emuva
Imisipha ebuthakathaka ye-multifidus iphazamisa umgogodla futhi inikeza ukusekelwa okuncane ku-vertebra. Lokhu kwenezela ingcindezi emisipha kanye nezicubu ezixhumene phakathi naseduze kwekholomu yomgogodla, okwandisa ingozi yezimpawu zobuhlungu obuphansi emuva. (U-Paul W. Hodges, uLieven Danneels 2019) Ukulahlekelwa amandla emisipha nokuzinza kungabangela i-atrophy noma ukuwohloka. Lokhu kungabangela ukucindezelwa nezinye izinkinga zeqolo. (U-Paul W. Hodges et al., 2015) Izinkinga zangemuva ezihlobene nokuwohloka kwemisipha ye-multifidus zihlanganisa (U-Paul W. Hodges, uLieven Danneels 2019)
- Ama-discs e-Herniated - nawo aqhumayo noma ashelelezi.
- I-nerve entrapment noma i-compression pinched nerve.
- Sciatica
- Ubuhlungu obudluliselwe - ubuhlungu bezinzwa obusuka emgogodleni obuzwakala kwezinye izindawo.
- I-Osteoarthritis - i-arthritis egugayo
- Ama-osteophyte omgogodla - ama-bone spurs
- Izicubu ezibuthakathaka zesisu noma i-pelvic floor zingalimaza umgogodla, okwandisa ingozi yobuhlungu obungapheli obuphansi nokulimala.
Abantu ngabanye banconywa ukuthi babonane nomelaphi womzimba kanye ne-chiropractor abangasiza ukuthuthukisa okufanele ukwelashwa, uhlelo lokuvuselela, nokuqinisa olususelwe eminyakeni yobudala, ukulimala, izimo ezikhona, kanye namakhono angokomzimba.
Ingabe I-Core Exercises Ingasiza Ngezinhlungu Emhlane?
Okubhekwayo
I-Fortin, M., & Macedo, LG (2013). I-Multifidus kanye neqembu le-paraspinal muscle cross-sectional izindawo zeziguli ezinezinhlungu eziphansi emuva nokulawula iziguli: ukubuyekezwa okuhlelekile okugxile ekuphuphutheni. Ukwelashwa ngokomzimba, 93(7), 873-888. doi.org/10.2522/ptj.20120457
Hodges, PW, & Danneels, L. (2019). Izinguquko Ekwakhekeni nasekusebenzeni Kwemisipha Yasemuva Ezinhlungwini Eziphansi Emuva: Amaphuzu Esikhathi Ahlukene, Ukubuka, Nezinqubo. Ijenali yokwelashwa kwamathambo nezemidlalo, 49(6), 464-476. doi.org/10.2519/jospt.2019.8827
U-Agten, A., Stevens, S., Verbrughe, J., Eijnde, BO, Timmermans, A., & Vandenabeele, F. (2020). I-lumbar multifidus ibonakala ngohlobo olukhulu lwe-muscle fibers I uma kuqhathaniswa ne-erector spinae. I-Anatomy & cell biology, 53(2), 143–150. doi.org/10.5115/acb.20.009
Lynders C. (2019). Iqhaza Elibalulekile Lokuthuthukiswa Kwe-Transversus Abdominis Ekuvimbeleni Nokwelashwa Kwezinhlungu Eziphansi Emhlane. Ijenali ye-HSS : iphephabhuku le-musculoskeletal of Hospital for Special Surgery, 15(3), 214–220. doi.org/10.1007/s11420-019-09717-8
U-Padwal, J., Berry, DB, Hubbard, JC, Zlomislic, V., Allen, RT, Garfin, SR, Ward, SR, & Shahidi, B. (2020). Umehluko wesifunda phakathi kwe-lumbar multifidus ejulile futhi ejulile ezigulini ezine-chronic lumbar spine pathology. Izinkinga ze-BMC musculoskeletal, 21(1), 764. doi.org/10.1186/s12891-020-03791-4
U-Hebert, JJ, Koppenhaver, SL, Teyhen, DS, Walker, BF, & Fritz, JM (2015). Ukuhlolwa komsebenzi we-lumbar multifidus muscle nge-palpation: ukwethembeka nokufaneleka kokuhlolwa okusha komtholampilo. Ijenali yomgogodla: iphephabhuku elisemthethweni leNorth American Spine Society, 15 (6), 1196-1202. doi.org/10.1016/j.spinee.2013.08.056
Hodges, PW, James, G., Blomster, L., Hall, L., Schmid, A., Shu, C., Little, C., & Melrose, J. (2015). Izinguquko ze-Muscle Multifidus Ngemva Kokulimala Emuva Zibonakala Ngokulungiswa Kwesakhiwo Semisipha, i-Adipose ne-Connective Tissue, kodwa hhayi i-Muscle Atrophy: Ubufakazi be-Molecular and Morphological. Umgogodla, 40(14), 1057–1071. doi.org/10.1097/BRS.0000000000000972
by UDkt Alex Jimenez | Ukuhlungu obusemhlane, Ubuhlungu obungapheliyo, Electroacupuncture Therapy, Ubuhlungu Emuva Emuva, Ukwelashwa, I-Viscerosomatic Reflex
Ingabe abantu abanobuhlungu obuphansi be-back back bangasebenzisa i-electroacupuncture therapy ukunciphisa ubuhlungu nokubuyisela ukuhamba emuva emizimbeni yabo?
Isingeniso
Abantu abaningi emhlabeni wonke baye babhekana nobuhlungu obuphansi emuva obuvela ezicini eziningi kanye nokulimala okubuhlungu okungabangela izimpawu ezinjengezinhlungu ezizungeze ama-spinal discs, imisipha, imigqa, nezimpande zezinzwa. Lokhu kungenxa yokuthi umzimba uhamba ngokuphindaphindiwe okudala ukuthi imisipha ezungezile kanye nemigqa yelulwe futhi iqine, ikhulise izimpande zemizwa futhi ibangele ubuhlungu obudluliselwe. Noma kungaba ukulimala okudabukisayo okuthinta ama-spinal discs endaweni ye-lumbar engase ibe yi-herniated noma i-degenerate ukuze ikhulise izimpande zemizwa futhi iholele ebuhlungu obuphansi. Kungakhathaliseki ukuthi umphumela uyini, ubuhlungu obuphansi emuva buyinkinga evamile ye-musculoskeletal, futhi abantu abaningi bazovame ukufuna ukwelashwa ukuze banciphise imiphumela yabo efana nobuhlungu futhi basize abantu abaningi ukuba babuyiselwe ukuhamba kwabo. I-athikili yanamuhla ihlola ukuthi kungani ubuhlungu obuphansi emuva buyinkinga yomhlaba wonke, ukuthi i-electroacupuncture ingasiza kanjani ekunciphiseni, nokuthi ingaphinde ibuyele kanjani ekuhambeni. Sikhuluma nabahlinzeki bezokwelapha abaqinisekisiwe abahlanganisa ulwazi lweziguli zethu ukuze siqonde kangcono ukuthi kungani ubuhlungu obuphansi beqolo buyinkinga emizimbeni yazo. Siphinde sazise futhi siqondise iziguli ukuthi ukwelapha nge-electroacupuncture kungasiza kanjani ekunciphiseni ubuhlungu obuphansi emuva futhi kusize nokubuyisela ukuhamba komzimba. Sikhuthaza iziguli zethu ukuthi zibuze abahlinzeki bazo bezokwelapha abahlobene imibuzo eyinkimbinkimbi futhi ebalulekile mayelana nokunciphisa umthelela wezinhlungu eziphansi emuva futhi zithole izindlela zokwelapha ezihlukahlukene ezizozihlanganisa. UDkt. Jimenez, DC, uhlanganisa lolu lwazi njengesevisi yezemfundo. Disclaimer.
Kungani Ubuhlungu Obusemuva Buyinkinga Yomhlaba Wonke?
Ingabe uzwa ukuqina emhlane wakho ongezansi ngemva kokuthwala noma ukuphakamisa into esindayo? Ingabe uzwa ubuhlungu obukhiphayo obuhamba behlela emilenzeni yakho? Noma ingabe uzwa ubuhlungu bemisipha emhlane wakho ophansi ngenxa yokuzingelwa isikhathi eside? Eziningi zalezi zinkinga ezifana nobuhlungu zihlotshaniswa nezici zemvelo ezingabangela umzimba ukuba uthuthukise ubuhlungu obuphansi emuva. Uma kukhulunywa ngobuhlungu obuphansi emuva, kuyinkinga yezenhlalo nezomnotho ethinta umhlaba wonke kubantu abaningi, ikakhulukazi abantu abasebenzayo. Lapho abantu abaningi benza iminyakazo ehlukahlukene noma benza imisebenzi, lokhu kunyakaza kungaxegisa kancane imigqa engemuva elingezansi. Lokhu kubangela umzimba ukuzwa ukuthi kukhona okungalungile ngomgogodla ophansi kanye nezakhiwo ezibalulekile zomgogodla, ngaleyo ndlela uthathe ezinye izindlela zokugcina umgogodla uzinzile. (UHauser et al., 2022)
Ukwengeza, izimpawu eziningi zobuhlungu obuphansi emuva azicacisiwe, futhi ukunyakaza kokuphakamisa okunzima, ukugoba, ukusonteka, nokudlidliza komzimba wonke kuyizici zengozi yomsebenzi eziholela ekuthuthukisweni kobuhlungu obuphansi emuva. (U-Becker no-Childress, 2019) Lokhu kubangela abantu abaningi abanezinhlungu eziphansi emuva ukuba babhekane nomthwalo wokulahlekelwa umsebenzi noma ukubamba isimiso sabo sansuku zonke. Uma lokhu kwenzeka, abantu abaningi baqala ukufuna ukwelashwa ukuze banciphise izimpawu ezibangelwa ubuhlungu obuphansi emuva.
Ukuvula I-Pain Relief- Ividiyo
I-Electroacupuncture Yobuhlungu Obusemuva
Uma kuziwa ekwehliseni izinhlungu eziphansi emuva, abantu abaningi bazoya ekwelashweni okuhlukahlukene ukuze bakhulule izinhlungu emhlane wabo ophansi kanye nezimpawu ezihambisana nazo. Ngakho-ke, yingakho izindlela zokwelapha ezingahlinzeki njenge-electroacupuncture zingasiza ekudambiseni izinhlungu eziphansi emuva futhi kusize imikhawulo engezansi iphinde ikwazi ukuhamba. I-Electroacupuncture ingenye indlela yokutshopa esebenzisa ukugqugquzelwa kukagesi kuma-acupoints omzimba ukuvimba izimpawu zobuhlungu. I-Electroacupuncture iye yasetshenziswa kabanzi ekwelapheni izifo ze-musculoskeletal, kuhlanganise nobuhlungu obuphansi emuva, njengoba isetshenziswe njengendlela yokwelapha yokunciphisa ukusetshenziswa kwemithi ngenkathi iyindlela ephumelelayo uma ihlanganiswa nezinye izindlela zokwelapha. (Sung et al., 2021)
Ukwengeza, i-electroacupuncture yenziwa ochwepheshe abaqeqeshwe kakhulu futhi, lapho isetshenziselwa ukwelapha ubuhlungu obuphansi emuva, ivumela ukugqugquzelwa ezindaweni ezinkulu zomzimba ezizungeze i-acupoint ukuvumela imingcele ehlanganisa ukuqina, ubude, kanye nemvamisa ukuze ubuhlungu bufinyelele. indawo ezokhonjwa ochwepheshe bezempilo. (U-Francescato Torres et al., 2019) I-Electroacupuncture ingasiza ekunciphiseni ubuhlungu emhlane ophansi futhi isekele abantu abaningi ngokusebenzisa amasu ahlukahlukene okubuyisela ukuhamba. (Kong, 2020)
I-Electroacupuncture Ukubuyisela Ukuhamba
Lapho ubuyisela ukuhamba komzimba kusuka ebuhlungu obuphansi emuva, i-electroacupuncture inganikeza imiphumela yokwelapha ngokuvimbela amasignali obuhlungu, okwenza umzimba unganyakazi, futhi uvumele imisipha ukuba iphumule. (USheng et al., 2021) I-Electroacupuncture ehlangene nezinye izindlela zokwelapha ezifana nokwelashwa ngokomzimba kungasiza ukwelula nokuqinisa imisipha engemuva ezungezile kanye nemigqa ukuze kuncishiswe ubuhlungu obunzima obuthinta ukuhamba futhi wenze abantu abaningi bakhumbule ukuthi yiziphi izinyathelo ezibangela ubuhlungu obuphansi emuva. Lapho abantu beqala ukwenza izinguquko ezincane noma ezinkulu empilweni nasempilweni yabo, bazoqala ukuqaphela ukuthi baziphatha kanjani ngenkathi bevimbela ukunyakaza okufanayo okuphindaphindayo okubangela izinkinga zabo eziphansi futhi baphile impilo enempilo.
Okubhekwayo
Becker, BA, & Childress, MA (2019). Ubuhlungu Beqolo obungaqondile bese ubuyela emsebenzini. I-American Family Physician, 100(11), i-697-703. www.ncbi.nlm.nih.gov/pubmed/31790184
www.aafp.org/pubs/afp/issues/2019/1201/p697.pdf
Francescato Torres, S., Brandt de Macedo, AC, Dias Antunes, M., Merllin Batista de Souza, I., Dimitre Rodrigo Pereira Santos, F., de Sousa do Espirito Santo, A., Ribeiro Jacob, F., Torres Cruz, A., de Oliveira Januario, P., & Pasqual Marques, A. (2019). Imiphumela ye-electroacupuncture frequencies kubuhlungu obungapheli obuphansi emuva kubantu abadala asebekhulile: i-triple-blind, i-protocol yezinyanga ezingu-12 yesilingo esilawulwa ngokungahleliwe. Izilingo, 20(1), i-762. doi.org/10.1186/s13063-019-3813-6
Hauser, RA, Matias, D., Woznica, D., Rawlings, B., & Woldin, BA (2022). Ukungazinzi kwe-Lumbar njenge-etiology yobuhlungu obuphansi emuva kanye nokwelashwa kwayo nge-prolotherapy: Ukubuyekezwa. J Back Musculoskelet Rehabil, 35(4), i-701-712. doi.org/10.3233/BMR-210097
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
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