Izimo zenziwe
Izimo Zasemuva Zelashwa. Ubuhlungu obungapheli, Ukunakekelwa Kwengozi Okuzenzakalelayo, Ubuhlungu Basemuva, Ubuhlungu Bemuva, Ukulimala Emuva, I-Sciatica, I-Neck Pain, Ukulimala Komsebenzi, Ukulimala Komuntu Siqu, Ukulimala Kwezemidlalo, Ikhanda Elibuhlungu, I-Scoliosis, I-Complex Herniated Discs, I-Fibromyalgia, Wellness & Nutrition, Ukulawula Ukucindezeleka, kanye Ukulimala Okuyinkimbinkimbi.
E-El Paso's Chiropractic Rehabilitation Clinic & Integrated Medicine Center, sigxile ekwelapheni iziguli ngemva kokulimala okuwohlokayo kanye nobuhlungu obungapheli. Sigxila ekuthuthukiseni ikhono lakho ngezinhlelo zokuguquguquka, ukuhamba, kanye nokuba bukhali okwenzelwe wonke amaqembu eminyaka yobudala nokukhubazeka.
Uma uDkt. Alex Jimenez ezwa ukuthi udinga okunye ukwelashwa, uzothunyelwa emtholampilo noma kuDokotela ofaneleka kakhulu kuwe. UDkt. Jimenez ubambisene nodokotela abahlinzayo abaphezulu, ochwepheshe bezokwelapha, abacwaningi bezokwelapha, nabahlinzeki bokuvuselela i-premiere ukuletha u-El Paso imithi yokwelapha ephezulu emphakathini wethu. Ukuhlinzeka ngamaphrothokholi aphezulu angahlaseli kubaluleke kakhulu kithi. Ukuqonda komtholampilo yilokho iziguli zethu ezikufunayo ukuze sizinikeze ukunakekelwa okufanele okudingekayo. Ukuze uthole izimpendulo zanoma imiphi imibuzo ongase ube nayo sicela ushayele uDkt. Jimenez kokuthi 915-850-0900
by UDkt Alex Jimenez Izimo zenziwe , I-neuropathy
Ukuphazamiseka okuthile kwemizwa kungabangela iziqephu ezinzima ze-peripheral neuropathy, futhi kubantu abatholakala bene-peripheral neuropathy, ingabe ukwelashwa ngokomzimba kungasiza ukuthuthukisa ikhono lokuhamba ngokuphepha kanye nemithi, izinqubo, kanye nokulungiswa kwendlela yokuphila ukusiza ukulawula nokulawula izimpawu?
Ukwelashwa Kwe-peripheral Neuropathy
Ukwelashwa kwe-peripheral neuropathy kufaka phakathi izindlela zokwelapha eziyizimpawu kanye nokuphathwa kwezokwelapha ukusiza ukuvimbela ukulimala kwezinzwa okuwohlokayo.
Ngezinhlobo ezinzima ze-peripheral neuropathy, ukungenelela kwezokwelapha kanye nokwelapha kungaphatha inqubo eyisisekelo, ukuthuthukisa isimo.
Ezinhlotsheni ezingapheli ze-peripheral neuropathy, ukungenelela kwezokwelapha nezici zendlela yokuphila kungasiza ukuvimbela ukuqhubeka kwesimo.
Ukwelashwa kwe-peripheral neuropathy okungapheli kugxile ekulawuleni izimpawu zobuhlungu nokuvikela izindawo zokuzwa okunciphile ekulimaleni noma ekuthelelekeni.
Ukulungiswa Kokuzinakekela kanye Nendlela Yokuphila
Kubantu okutholwe ukuthi bane-peripheral neuropathy noma abasengcupheni yokuba nalesi simo, izici zendlela yokuphila zidlala indima enkulu ekulawuleni izimpawu kanye nokuvimbela ukulimala kwezinzwa ukuba zibe zimbi futhi zingavimbela ngisho nokuthi isimo singathuthuki. (UJonathan Enders et al., 2023 )
Ukuphathwa kobuhlungu
Abantu bangazama lezi zindlela zokwelapha zokuzinakekela futhi babone ukuthi noma yikuphi ukusiza ekunciphiseni ukungaphatheki kahle kwabo bese benza isimiso abangase basebenze ngaso. Ukuzinakekela ngokwakho izimpawu zobuhlungu zihlanganisa:
Ukubeka indawo yokushisa efudumele ezindaweni ezibuhlungu.
Ukubeka iphedi lokupholisa (hhayi iqhwa) ezindaweni ezibuhlungu.
Ukumboza indawo noma ukuyishiya ingamboziwe, kuye ngezinga lokunethezeka.
Gqoka izingubo ezixegayo, amasokisi, izicathulo, kanye/noma amagilavu angenziwanga ngezinto ezingabangela ukucasuka.
Gwema ukusebenzisa izinto zokuthambisa noma insipho ezingadala ukucasuka.
Sebenzisa ama-creams noma ama-lotions apholile.
Ukugcina izindawo ezibuhlungu zihlanzekile.
Ukuvimbela Ukulimala
Ukuncipha kokuzwa kungomunye wemiphumela evame kakhulu engaholela ezinkingeni ezifana nokukhubeka, ubunzima bokuzulazula, nokulimala. Ukuvimbela nokuhlola ukulimala njalo kungasiza ekugwemeni izinkinga ezifana namanxeba angenwe yileli gciwane. (UNadja Klafke et al., 2023 ) Ukulungiswa kwendlela yokuphila ukuphatha nokuvimbela ukulimala kufaka:
Gqoka izicathulo ezifakwe kahle namasokisi.
Hlola izinyawo, izinzwane, iminwe nezandla njalo ukuze ubheke ukusikeka noma imihuzuko okungenzeka ukuthi ayizange izwakale.
Hlanza futhi uvale ukusikeka ukuze ugweme izifo.
Sebenzisa ukuqapha okwengeziwe ngezitsha ezicijile njengokupheka kanye namathuluzi okusebenza noma angadi.
Ukuphathwa Kwezifo
Izici zendlela yokuphila zingasiza ekuvimbeleni ukuqhubeka kwesifo futhi zihlotshaniswa eduze nezingozi nezimbangela eziyisisekelo. Ukusiza ukuvimbela i-peripheral neuropathy noma ukuqhubeka kwayo kungenziwa:UJonathan Enders et al., 2023 )
Gcina amazinga eglucose enempilo uma unesifo sikashukela.
Gwema utshwala kunoma iyiphi i-peripheral neuropathy.
Gcina ukudla okunomsoco, okungafaka izithasiselo zamavithamini, ikakhulukazi kwabadla imifino noma abadla inyama.
Imithi Yokwelapha Engaphezu Kwe-Counter
Izindlela zokwelapha ezimbalwa ezitholakala ngaphandle kwe-counter zingasiza ngezimpawu ezibuhlungu futhi zingathathwa njengoba kudingeka. Izindlela zokwelapha ubuhlungu ezitholakala ngaphandle kwe-counter zihlanganisa: (UMichael Überall et al., 2022 )
I-topical lidocaine spray, patch, noma okhilimu.
I-Capsaicin creams noma ama-patches.
I-Topical Icy Hot
Imithi engeyona i-steroidal eqeda ukuvuvukala - i-Advil/ibuprofen noma i-Aleve/naproxen
I-Tylenol/acetaminophen
Lezi zindlela zokwelapha zingasiza ekudambiseni izimpawu ezibuhlungu ze-peripheral neuropathy, kodwa azisizi ukuthuthukisa umuzwa onciphile, ubuthakathaka, noma izinkinga zokusebenzisana. (UJonathan Enders et al., 2023 )
Imithi Yokwelapha Kadokotela
Imithi yokwelapha kadokotela yokwelapha i-peripheral neuropathy ihlanganisa imithi yobuhlungu kanye nama-anti-inflammatories. Izinhlobo ezingapheli ze-peripheral neuropathy zihlanganisa:
I-Alcohol neuropathy
I-diabetesic neuropathy
I-Chemotherapy-induced neuropathy
Imithi yokwelapha yezinhlobo ezingamahlalakhona ihlukile ekwelashweni kwezinhlobo ezinzima ze-peripheral neuropathy.
Ukuphathwa kobuhlungu
Imithi yokwelashwa ingasiza ekulawuleni ubuhlungu nokungakhululeki. Imithi ihlanganisa (UMichael Überall et al., 2022 )
I-Lyrica - i-pregabalin
I-Neurontin - i-gabapentin
Elavil - amitriptyline
I-Effexor - i-venlafaxine
I-Cymbalta - i-duloxetine
Ezimweni ezimbi kakhulu, i-intravenous/IV lidocaine ingadingeka. (USanja Horvat et al., 2022 )
Kwesinye isikhathi, isithasiselo samandla kadokotela noma i-vitamin B12 enikezwa ngomjovo ingasiza ekuvimbeleni ukuqhubeka lapho i-peripheral neuropathy ihlotshaniswa nokuntuleka okukhulu kwamavithamini. Ukwelashwa okubhalwe udokotela kungasiza ekwelapheni inqubo ewumsuka kwezinye izinhlobo ze-acute peripheral neuropathy. Ukwelashwa kwe-acute peripheral neuropathy, njenge-Miller-Fisher syndrome noma i-Guillain-Barré syndrome, kungabandakanya:
Corticosteroids
Immunoglobulins - amaprotheni amasosha omzimba
I-Plasmapheresis iyinqubo esusa ingxenye yoketshezi yegazi, ibuyisele amangqamuzana egazi, eguqula ukusebenza ngokweqile kwamasosha omzimba. (USanja Horvat et al., 2022 )
Abacwaningi bakholelwa ukuthi kukhona ukuhlobana phakathi kwalezi zimo nokuvuvukala umonakalo wezinzwa , futhi ukuguqula amasosha omzimba kunenzuzo ekwelapheni izimpawu kanye nesifo esiwumsuka.
Ukuhlinzwa
Kwezinye izimo, izinqubo zokuhlinzwa zingazuzisa abantu abanezinhlobo ezithile ze-peripheral neuropathy. Uma esinye isimo sibhebhethekisa izimpawu noma inqubo ye-peripheral neuropathy, ukuhlinzwa kungasiza ukukhulula izimpawu futhi kuvimbele ukuqhubeka kwesifo. Lokhu kuye kwabonakala kuphumelela lapho ukuboshwa kwemizwa noma ukungasebenzi kahle kwemithambo kuyizici. (Wenqiang Yang et al., 2016 )
Imithi Ehambisanayo Nenye
Ezinye izindlela ezihambisanayo nezihlukile zingasiza abantu ukuthi babhekane nobuhlungu nokungakhululeki. Lezi zindlela zokwelapha zingasebenza njengenketho eqhubekayo kulabo abane-peripheral neuropathy engapheli. Izinketho zingabandakanya: (UNadja Klafke et al., 2023 )
I-acupuncture ihlanganisa ukubekwa kwezinaliti ezindaweni ezithile zomzimba ukusiza ukunciphisa izimpawu zobuhlungu.
I-Acupressure ihilela ukusebenzisa ingcindezi ezindaweni ezithile zomzimba ukusiza ukunciphisa izimpawu zobuhlungu.
Ukwelashwa kwe-massage kungasiza ukukhulula ukungezwani kwemisipha.
Izindlela zokwelapha zokuzindla nokuziphumuza zingasiza ekulawuleni izimpawu.
Ukwelashwa ngokomzimba kungase futhi kusebenze njengengxenye ebalulekile yokuphila ne-peripheral neuropathy kanye nokululama ku-acute peripheral neuropathy.
Ukwelapha ngokomzimba kungasiza ukuqinisa imisipha ebuthaka, kuthuthukise ukusebenzisana, nokufunda ukuzivumelanisa nezinzwa nezinguquko zemoto ukuze uhambe ngokuphepha.
Abantu abacabangela ukwelashwa okuhambisanayo noma okunye bayakhuthazwa ukuthi bakhulume nomhlinzeki wabo wezempilo oyinhloko ukuze banqume ukuthi ingabe iphephile yini esimweni sabo. I-Injury Medical Chiropractic kanye ne-Functional Medicine Clinic izosebenzisana nomhlinzeki wokunakekelwa kwezempilo kanye/noma ochwepheshe ukuze kuthuthukiswe isixazululo esiphelele sokwelashwa kwezempilo nempilo ukuze kuhlinzekwe ukudambisa izinhlungu nokwenza ngcono izinga lokuphila.
I-Peripheral Neuropathy: Indaba Ephumelelayo Yokubuyisela
VIDEO
Okubhekwayo
Enders, J., Elliott, D., & Wright, DE (2023). Ukungenelela Okusafufusa Kwe-Nonpharmacologic Ukwelapha I-Diabetic Peripheral Neuropathy. Ama-Antioxidants nokusayina kabusha kwe-redox, 38(13-15), 989–1000. doi.org/10.1089/ars.2022.0158
Klafke, N., Bossert, J., Kröger, B., Neuberger, P., Heyder, U., Layer, M., Winkler, M., Idler, C., Kaschdailewitsch, E., Heine, R., John, H., Zielke, T., Schmeling, B., Joy, S., Mertens, I., Babadag-Savas, B., Kohler, S., Mahler, C., Witt, CM, Steinmann, D. , … Stolz, R. (2023). Ukuvimbela Nokwelashwa Kwe-Chemotherapy-Induced Peripheral Neuropathy (CIPN) Nokungenelela Okungekona Okwemithi: Izincomo Zomtholampilo ezivela Ekubuyekezweni Kwesikophu Esihlelekile kanye Nenqubo Yokuvumelana Ngochwepheshe. Isayensi yezokwelapha (Basel, Switzerland), 11(1), 15. doi.org/10.3390/medsci11010015
Überall, M., Bösl, I., Hollanders, E., Sabatschus, I., & Eerdekens, M. (2022). I-diabetic peripheral neuropathy ebuhlungu: ukuqhathanisa komhlaba wangempela phakathi kokwelashwa kwe-topical ne-lidocaine 700 mg ukhonkolo oluyimithi kanye nokwelashwa ngomlomo. I-BMJ ivula ucwaningo lwesifo sikashukela nokunakekelwa, 10(6), e003062. doi.org/10.1136/bmjdrc-2022-003062
Horvat, S., Staffhorst, B., & Cobben, JMG (2022). I-Lidocaine ye-Intravenous yokwelashwa kobuhlungu obungapheli: Ucwaningo lwe-Retrospective Cohort. Ijenali yocwaningo lobuhlungu, i-15, 3459-3467. doi.org/10.2147/JPR.S379208
U-Yang, W., Guo, Z., Yu, Y., Xu, J., & Zhang, L. (2016). Ukunciphisa Ubuhlungu kanye Nokuthuthukiswa Kwekhwalithi-Yokuphila Okuhlobene Nempilo Ngemva Kokuncibilika Kwe-Microsurgical Yezinzwa Zomngcele Ebanjelwe Ezigulini Ezinobuhlungu Besifo Se-Diabetic Peripheral Neuropathy. I-Journal yokuhlinzwa kwezinyawo neqakala: ukushicilelwa okusemthethweni kwe-American College of Foot and Ankle Surgeons, 55 (6), 1185-1189. doi.org/10.1053/j.jfas.2016.07.004
by UDkt Alex Jimenez I-Acupuncture Therapy , Izimo zenziwe
Kubantu ababhekene nesifo sokukhathala okungamahlalakhona, ingabe ukufaka i-acupuncture nezinye izimiso zokwelapha kungasiza ukubuyisela ukusebenza futhi kuthuthukise izinga lempilo?
I-acupuncture ye-Chronic Fatigue Syndrome
Ucwaningo lubheka ukuthi i-acupuncture ingasiza kanjani ekulawuleni izimpawu zokukhathala okungapheli. Lezi zifundo zigxile kuma-acupoints namasu athile kanye nendlela ezithinte ngayo izimpawu ezithile noma ukungajwayelekile okuxhumene nesimo. Abacwaningi bathola ukuthi i-acupuncture ingasiza ekulawuleni nasekunciphiseni ezinye izimpawu (Qing Zhang et al., 2019 ). Nokho, bebengakakwazi ukuthola izindlela zokuthi i-acupuncture isebenza kanjani ngempela.
Ukukhululwa Kwezimpawu
Ucwaningo oluhlukahlukene lubonise ukuthi i-acupuncture ingathuthukisa izimpawu zokukhathala ngokomzimba nangokwengqondo, okuhlanganisa:
Bekukhona Nokuthuthuka Kwangaphakathi
Ezinye izifundo Zithole Ukuthi I-acupuncture Yasiza Kanjani Ku
Ukwelashwa Kuyahlukahluka Ngocwaningo
Ucwaningo olulodwa lwabonisa intuthuko emaqenjini abagijimi abafakwe uchungechunge lokuzivocavoca umzimba okuphelele nokuphumula kwesikhashana. Iqembu elilodwa labasubathi lelashwa nge-acupuncture kuma-acupoints akhethiwe kuyilapho abanye benikezwa ukuphumula okude. Ukuhlaziywa kwasetshenziswa kumaphrofayili we-metabolic wamasampula omchamo aqoqwe kubasubathi ngamaphuzu amathathu: ngaphambi kokuzivocavoca, ngaphambi nangemva kokwelashwa kwe-acupuncture, noma ukuphumula isikhathi eside. Imiphumela ibonise ukuthi ukubuyiswa kwama-metabolites aphazamisekile kubadlali abaphathwa nge-acupuncture kwakushesha kakhulu kunalabo abaphumula isikhathi eside kuphela. (Haifeng Ma et al., 2015 )
Abacwaningi bathi ucwaningo oluhilela ukutshopa lulodwa noma oluhlanganiswe nezinye izindlela zokwelapha lubonakala lubonisa ukuthi luyasebenza ekwehliseni ukukhathala. (U-Yu-Yi Wang et al., 2014 ) Nokho, kudingeka olunye ucwaningo ukuze kuqinisekiswe izinzuzo. Lolu wushintsho olubalulekile olusuka ekubuyekezweni okuthole ubufakazi obulinganiselwe bokusebenza kwezinye izindlela zokwelapha zokukhulula izimpawu zokukhathala okungapheli. (Terje Alraek et al., 2011 )
Okunye ukubuyekezwa kwezinye izindlela zokwelapha kwathola ukutshopa kanye nezindlela ezithile zokuzindla kwabonisa isithembiso esikhulu sophenyo lwesikhathi esizayo. (U-Nicole S. Porter et al., 2010 )
Olunye ucwaningo lwaqhathanisa i-prednisone, i-steroid, nezindlela zokutshopa okuthiwa i-coiling dragon kanye nokwelashwa okwengeziwe okubizwa nge-cupping. Yaphakamisa ukuthi ukwelashwa kwe-acupuncture ne-cupping kudlula i-steroid mayelana nokukhathala. (Wei Xu et al., 2012 )
Olunye ucwaningo lwathola ukuthi ukudinga ngokusetshenziswa kokushisa noma i-moxibustion kukhiqize imiphumela engcono kune-acupuncture evamile mayelana nezikolo zokukhathala ngokomzimba nangokwengqondo. (U-Chen Lu, u-Xiu-Juan Yang, u-Jie Hu 2014 )
Ukusuka Ekubonisaneni Kuya Ekuguquleni: Ukuhlola Iziguli Esimisweni Se-Chiropractic
VIDEO
Okubhekwayo
U-Zhang, Q., Gong, J., Dong, H., Xu, S., Wang, W., & Huang, G. (2019). I-acupuncture ye-chronic fatigue syndrome: ukubuyekezwa okuhlelekile nokuhlaziywa kwe-meta. I-acupuncture kwezokwelapha : iphephabhuku le-British Medical Acupuncture Society, 37(4), 211-222. doi.org/10.1136/acupmed-2017-011582
UFrisk, J., Källström, AC, Wall, N., Fredrikson, M., & Hammar, M. (2012). I-acupuncture ithuthukisa ikhwalithi yempilo ehlobene nempilo (HRQoL) futhi ilala kwabesifazane abanomdlavuza webele kanye nokushisa okushisayo. Ukunakekelwa okusekelayo kumdlavuza : iphephabhuku elisemthethweni le-Multinational Association of Supportive Care in Cancer, 20 (4), 715-724. doi.org/10.1007/s00520-011-1134-8
I-Gao, DX, & Bai, XH (2019). Zhen ci yan jiu = Ucwaningo lwe-acupuncture, 44(2), 140–143. doi.org/10.13702/j.1000-0607.170761
Mandıroğlu, S., & Ozdilekcan, C. (2017). Umthelela We-acupuncture Ku-Insomnia Okungapheli: Umbiko Wezimo Ezimbili Ngokuhlola Kwe-Polysomnographic. Ijenali yezifundo ze-acupuncture ne-meridian, 10(2), 135-138. doi.org/10.1016/j.jams.2016.09.018
U-Zhu, L., Ma, Y., Ye, S., & Shu, Z. (2018). I-acupuncture ye-Diarrhoea-Predominant Irritable Bowel Syndrome: I-Network Meta-Analysis. Imithi ehambisanayo esekelwe ebufakazini nehlukile : eCAM, 2018, 2890465. doi.org/10.1155/2018/2890465
Ma, H., Liu, X., Wu, Y., & Zhang, N. (2015). Imithelela Yokungenelela Ye-acupuncture Ekukhathaleni Okubangelwa Ukuzivocavoca Okuphelele Komzimba: Uphenyo Lwe-Metabolomics. Umuthi ohambisanayo osuselwe ebufakazini nohlukile : eCAM, 2015, 508302. doi.org/10.1155/2015/508302
Wang, YY, Li, XX, Liu, JP, Luo, H., Ma, LX, & Alraek, T. (2014). Umuthi wendabuko waseShayina we-chronic fatigue syndrome: ukubuyekezwa okuhlelekile kwezivivinyo zomtholampilo ezingahleliwe. Izindlela zokwelapha ezihambisanayo kwezokwelapha, 22(4), 826-833. doi.org/10.1016/j.ctim.2014.06.004
U-Alraek, T., Lee, MS, Choi, TY, Cao, H., & Liu, J. (2011). Umuthi ohambisanayo nohlukile weziguli ezine-chronic fatigue syndrome: ukubuyekezwa okuhlelekile. I-BMC yokwelapha ehambisanayo nehlukile, 11, 87. doi.org/10.1186/1472-6882-11-87
Porter, NS, Jason, LA, Boulton, A., Bothne, N., & Coleman, B. (2010). Okunye ukungenelela kwezokwelapha okusetshenziselwa ukwelashwa nokuphathwa kwe-myalgic encephalomyelitis/chronic fatigue syndrome kanye ne-fibromyalgia. Ijenali yemithi ehlukile nehambisanayo (New York, NY), 16(3), 235–249. doi.org/10.1089/acm.2008.0376
U-Lu, C., Yang, XJ, & Hu, J. (2014). Zhen ci yan jiu = Ucwaningo lwe-acupuncture, 39(4), 313–317.
by UDkt Alex Jimenez I-Acupuncture Therapy , Izimo zenziwe
Kubantu abanenkinga yamehlo, ingabe ukwelashwa kwe-acupuncture kungasiza futhi kuzuze impilo yamehlo iyonke?
Ukutshopa Ngempilo Yamehlo
I-acupuncture iyindlela yokwelapha ehlukile ehilela ukufaka izinaliti ezincane ezindaweni ezithile emzimbeni. Inhloso ukubuyisela ibhalansi nempilo ngokubuyisela nokulinganisa ukujikeleza kwamandla ngokusebenzisa izindlela kuwo wonke umzimba. Lezi zindlela, ezaziwa ngokuthi ama-meridians, zihlukene nemigudu yegazi nemithambo yegazi.
Ucwaningo luye lwabonisa ukuthi ukufakwa kwezinaliti kuxhaphaza ukunqwabelana kwama-neurotransmitters athile yimizwa eseduze futhi kungaba yikhona okubangela imiphumela yezempilo enenzuzo. (U-Heming Zhu 2014 )
Ososayensi abanaso isiqiniseko sokuthi i-acupuncture isebenza kanjani, kodwa kukhonjiswe ukuthi inikeza ukudambisa izinhlungu kanye nokunciphisa isicanucanu sokwelashwa komdlavuza. (Weidong Lu, David S. Rosenthal 2013 )
Ucwaningo luye lwabonisa ukuthi i-acupuncture ingasiza ekwelapheni izimo zamehlo njenge-dry eye syndrome. (Tae-Hun Kim et al., 2012 )
Izinkinga Zamehlo
Kwabanye abantu, ukungalingani komzimba kungabangelwa izinkinga zamehlo noma izifo. Nge-acupuncture, izimpawu ezibangela ukungalingani ziyabhekwa. I-acupuncture ikhuthaza ukuhamba kwamandla negazi eduze kwamehlo.
I-acupuncture isetshenziswe njengenye indlela yokwelapha isifo samehlo esomile esingamahlalakhona. (Tae-Hun Kim et al., 2012 )
Ucwaningo luye lwabonisa ukuthi i-acupuncture isiza ekwehliseni izinga lokushisa leso ukuze kuncishiswe ukuhwamuka kwezinyembezi.
Inqubo ibuye isetshenziswe ngezinye izikhathi ukwelapha i-glaucoma.
I-glaucoma yisifo se-optic nerve ngokuvamile esibangelwa amazinga okucindezela kwamehlo angaphezu kwejwayelekile.
Ucwaningo olulodwa lwathola ukucindezeleka kwamehlo kwehle kakhulu ngemva kokutshopa. (U-Simon K. Law, Tianjing Li 2013 )
Olunye ucwaningo lubonise ngempumelelo izimpawu zezifo zamehlo ezinciphisa ukungezwani nokuvuvukala. (U-Justine R. Smith et al., 2004 )
I-Eye Acupoints
Ama-acupoints alandelayo ezempilo zamehlo.
Jingming
I-Jingming – UB-1 itholakala ekhoneni elingaphakathi leso.Leli phuzu kucatshangwa ukuthi likhulisa amandla negazi futhi lisiza ezinkingeni ezinjengokubona lufifi, ulwelwesi lwamabala, i-glaucoma, ubumpumputhe ebusuku, kanye ne-conjunctivitis. (U-Tilo Blechschmidt et al., 2017 )
Zanzhu
Iphuzu leZanzhu - UB-2 isendaweni engaphakathi ekugcineni kweshiya.Le acupoint isetshenziswa lapho abantu bekhononda ngokuphathwa yikhanda, ukungaboni kahle, ubuhlungu, ukudabuka, ububomvu, ukudikiza, kanye ne-glaucoma. (UGerhard Litscher 2012 )
I-Yuyao
I-Yuyao iphakathi kweshiya, ngaphezu komfundi.Leli phuzu lisetshenziselwa ukwelapha ukucindezelwa kwamehlo, ukunyakazisa ijwabu leso, ptosis , noma lapho ijwabu leso elingenhla lishona phansi, ukuguqubala kwe-cornea, ububomvu, nokuvuvukala. (U-Xiao-yan Tao et al., 2008 )
Sizhukong
I-Sizhukog - SJ 23 indawo isendaweni engenalutho ngaphandle kweshiya.Kucatshangwa ukuthi iyindawo lapho ukutshopa kungasiza khona ngobuhlungu beso nobuso, kuhlanganise nobuhlungu bekhanda, ububomvu, ubuhlungu, ukungaboni kahle, ukuqaqamba kwamazinyo, nokukhubazeka kobuso. (U-Hongjie Ma et al., 2018 )
Tongzilia
I-Tongzilia – GB 1 itholakala ekhoneni elingaphandle leso.Iphuzu lisiza ekukhanyiseni amehlo.
I-acupuncture iphinde isize ekwelapheni ikhanda elibuhlungu, ububomvu, ubuhlungu bamehlo, ukuzwela okuncane, amehlo omile, ungwengwezi, kanye ne-conjunctivitis. (I-GladGirl 2013 )
Izifundo zakuqala nge-acupuncture zibonise isithembiso sokuthuthukisa impilo yamehlo. Abantu ngabanye bayacabangela ukutshopa bayanconywa ukuthi babonane nomhlinzeki wabo wezempilo oyinhloko ukuze babone ukuthi kungaba yinketho yini kulabo abangakasitholi isisombululo ngezindlela zendabuko.
Ukulimala Entanyeni
VIDEO
Okubhekwayo
U-Zhu H. (2014). Ama-Acupoints Aqala Inqubo Yokuphulukisa. I-acupuncture yezokwelapha, 26(5), 264-270. doi.org/10.1089/acu.2014.1057
Lu, W., & Rosenthal, DS (2013). I-acupuncture yobuhlungu bomdlavuza kanye nezimpawu ezihlobene. Imibiko yamanje yobuhlungu nekhanda, 17(3), 321. doi.org/10.1007/s11916-013-0321-3
UKim, TH, Kang, JW, Kim, KH, Kang, KW, Shin, MS, Jung, SY, Kim, AR, Jung, HJ, Choi, JB, Hong, KE, Lee, SD, & Choi, SM (2012 ). I-acupuncture yokwelapha iso elomile: isilingo esilawulwa ngokungahleliwe esinezindawo eziningi ezinokungenelela kokuqhathanisa okusebenzayo (izinyembezi zokwenziwa). I-PloS eyodwa, 7(5), e36638. doi.org/10.1371/journal.pone.0036638
Umthetho, SK, & Li, T. (2013). I-acupuncture ye-glaucoma. Isizindalwazi se-Cochrane sokubuyekezwa okuhlelekile, 5(5), CD006030. doi.org/10.1002/14651858.CD006030.pub3
USmith, JR, Spurrier, NJ, Martin, JT, & Rosenbaum, JT (2004). Ukusetshenziswa okuvamile komuthi ohambisanayo nohlukile yiziguli ezinesifo samehlo esivuvukalayo. I-immunology ye-Ocular nokuvuvukala, i-12 (3), i-203-214. doi.org/10.1080/092739490500200
Blechschmidt, T., Krumsiek, M., & Todorova, MG (2017). Umthelela Wokutshopa Ekusebenzeni Okubonakalayo Ezigulini ezine-Congenital kanye ne-Nystagmus Ezuziwe. Imithi (Basel, Switzerland), 4(2), 33. doi.org/10.3390/medicines4020033
Litscher G. (2012). Umuthi we-laser odidiyelwe kanye ne-high-tech acupuncture enyuvesi yezokwelapha yase-graz, e-austria, e-europe. Umuthi ohambisanayo osuselwe ebufakazini nohlukile : eCAM, 2012, 103109. doi.org/10.1155/2012/103109
Tao, XY, Sun, CX, Yang, JL, Mao, M., Liao, CC, Meng, JG, Fan, WB, Zhang, YF, Ren, XR, & Yu, HF (2008). I-Zhongguo zhen jiu = i-Chinese acupuncture & moxibustion, 28(3), 191–193.
Ma, H., Feng, L., Wang, J., & Yang, Z. (2018). I-Zhongguo zhen jiu = i-Chinese acupuncture & moxibustion, 38(3), 273–276. doi.org/10.13703/j.0255-2930.2018.03.011
I-GladGirl The Lash & Brow Expert Blog. I-acupuncture yempilo yamehlo. (2013). www.gladgirl.com/blogs/lash-brow-expert/acupuncture-for-eye-health
by UDkt Alex Jimenez I-Acupuncture Therapy , Ubuhlungu obungapheliyo , Izimo zenziwe , Ukwelashwa , I-Viscerosomatic Reflex
Ingabe abantu abanobuhlungu bomhlathi bangathola ukukhululeka ekwelashweni kwe-acupuncture ukuze banciphise ubuhlungu futhi bathuthukise ukuhamba komhlathi ezingxenyeni ezingaphezulu zomzimba?
Isingeniso
Ikhanda liyingxenye ye-quadrant yomzimba ophezulu we-musculoskeletal osekelwa indawo yentamo, equkethe ugebhezi, imisipha ehlukahlukene, nezitho ezibalulekile ezihlinzeka ngokuzinza, ukuhamba, nokusebenza. Ekhanda, izici zobuso ezihlukene zihlanganisa umlomo, ikhala, amehlo, nomhlathi ukuze umninikhaya adle, akhulume, ahogele futhi abone. Ngenkathi ikhanda lihlinzeka ngokusebenza kwezinzwa kanye nemoto, intamo ihlanganisa ukuzinza kwemoto ukuqinisekisa ukuthi akukho kulimala noma ukuhlukumezeka okuthinta ikhanda. Kutholakala ngaphansi kwamehlo umhlathi, ovumela ukusebenza kwemoto ngemisipha ehlukahlukene kanye namalunga ukuze kudlulele ngaphandle kobuhlungu noma ukungakhululeki. Kodwa-ke, izici eziningi zingathinta imisipha yomhlathi kanye namalunga ukuze kubangele ubuhlungu nokungakhululeki, okungabangela ukukhishwa kobuhlungu obudluliselwe phansi emisipha yentamo. Isihloko sanamuhla sibheka ukuthi ubuhlungu bemihlathi bungathinta kanjani umzimba ongaphezulu, ukuthi ukwelapha okungezona ukuhlinzwa kungasiza kanjani ngezinhlungu zomhlathi, nokuthi ukwelapha okufana nokutshopa kungasiza kanjani ukubuyisela ukunyakaza kwemihlathi. Sikhuluma nabahlinzeki bezokwelapha abaqinisekisiwe abahlanganisa ulwazi lweziguli zethu ukuze zinikeze ukwelashwa ukuze kuncishiswe ubuhlungu bomhlathi obuthinta umhlathi nentamo yazo. Siphinde sazisa futhi siqondise iziguli ukuthi ukutshopa kanye nokwelashwa okungahlinzeki kungabazuzisa kanjani abantu abaningi abanobuhlungu obuhambisana nomhlathi. Sikhuthaza iziguli zethu ukuthi zibuze abahlinzeki bazo bezokwelapha abahlobene nabo imibuzo eyinkimbinkimbi nebalulekile mayelana nendlela ubuhlungu bazo obuthinta ngayo izinga lempilo yabo futhi bunciphisa ubuhlungu bomhlathi. UDkt. Jimenez, DC, uhlanganisa lolu lwazi njengesevisi yezemfundo. Disclaimer .
Ubuhlungu Bomhlathi Othinta Umzimba Ongaphezulu
Ingabe uzwa ubuhlungu bemisipha emihlathini nasentanyeni yakho usuku lonke? Ingabe ubulokhu uhlikihla noma ukubhucunga imisipha yomhlathi ukuze unciphise ukungezwani? Noma ingabe ubulokhu ubhekene nekhanda elibuhlungu noma ubuhlungu bentamo njalo obuthinta isimiso sakho sansuku zonke? Abantu abaningi ababhekene nalezi zimpawu ezifana nobuhlungu babhekene nobuhlungu bomhlathi noma i-TMJ (i-temporomandibular joint syndrome). Umhlathi uqukethe imisipha ye-mastication ohlangothini ngalunye esiza ukunikeza imisebenzi ehlukahlukene njengokuhlafuna, ukugwinya, noma ukukhuluma. Lapho izici eziningi ezihlukumezayo noma ezivamile ziqala ukuba nomthelela emhlathini, zingaphazamisa ukusebenza kwenzwa yemoto engaphezulu komzimba. Kubantu ngabanye, ubuhlungu bemihlathi buvamile emhlabeni wonke, futhi nge-TMJ, kungase kube inkinga njengoba ubuhlungu bubonakala buthinta isilawuli somhlathi womhlathi kuyilapho buphelezelwa ukuvuleka komlomo okukhawulelwe kanye namandla amakhulu okuluma. (U-Al Sayegh et al., 2019 ) Ukwengeza, i-TMJ ayithinti nje kuphela imisipha yokukhukhumala kodwa futhi nelunga le-temporomandibular, ilunga elihlanganisa umhlathi nogebhezi, oluvuvukala futhi lubangele izinkinga ezengeziwe.
Ngakho, i-TMJ ingawuthinta kanjani umzimba ongaphezulu? Nokho, lapho i-TMJ ithinta imisipha yokukhukhumala kanye nelunga le-temporomandibular, abantu abaningi bazothola izimpawu ezihlukahlukene ezifana nalezi:
Ubunzima bokunyakazisa umlomo lapho uhlafuna Ukuzwa kokuphuma/ukuqhekeka lapho uvula noma uvala umhlathi Ikhanda elibuhlungu/I-Migraines Ubuhlungu bendlebe Ubuhlungu bezinyo Ubuhlungu bezinsipho kanye namahlombe
Lokhu kubangela ukuphazamiseka kwe-myofascial kanye ne-intraarticular okuthinta imisipha namalunga omhlathi, axhumene nogebhezi. ( I-Maini ne-Dua, 2024 ) Kulelo qophelo, abantu abaningi bazobe bezwa ubuhlungu obudluliselwe phambili, becabanga ukuthi babhekene nokuqaqamba kwamazinyo lapho kubangelwa amaphuzu emisipheni yokukhuculula. Kulapho i-TMJ ihambisana nobuhlungu obuhlangene bemisipha entanyeni noma emhlane ongenhla noma uma izinkinga zamazinyo zihambisana ne-TMJ, kodwa kuncike kumuntu kanye nesimo angaphansi kwaso. Kodwa-ke, izindlela eziningi zokwelapha zinganciphisa ubuhlungu bemihlathi kanye nezimpawu ezihambisana nazo ezithinta umhlathi nentamo.
Indlela Engahlinzwanga Yempilo- Ividiyo
VIDEO
Ukwelashwa Okungahlinzeki Ngezinhlungu Zemihlathi
Lapho benciphisa ubuhlungu bomhlathi, abantu abaningi bafuna ukwelashwa ukuze banciphise imiphumela efana nobuhlungu futhi baphinde babuyele emihlathini yabo. Kungaba inselele futhi kube nzima lapho abantu bebhekene nobuhlungu bomhlathi. Kuyinkinga ye-multifactorial engathinta intamo nezindawo zangemuva. Ngakho-ke, lapho abantu bekhuluma nodokotela babo abayinhloko mayelana nobuhlungu bomhlathi, bazothola ukuhlolwa kokuthi ubuhlungu babo bukuphi futhi uma benezikhalazo ezihlobene nobuhlungu bomhlathi. Ngemva kwalokho, odokotela abaningi bazobhekisela kochwepheshe be-musculoskeletal ukuze banciphise ubuhlungu bemihlathi. Ukwelashwa namasu asetshenziswa odokotela be-chiropractic, abelaphi be-massage, kanye nama-physiotherapists angasiza ekudambiseni imisipha yokukhukhumala evuvukele futhi eqinile. Amasu afana nokuhlanganisa izicubu ezithambile angasiza ukuphumuza imisipha yokuqunjelwa ngokuyelula kuze kube sezingeni lokukhulula amaphuzu e-trigger emisipheni. ( Kuc et al., 2020 ) Ngesikhathi esifanayo, i-physiotherapy ingasiza imisipha yomhlathi ngokusebenzisa amasu ahlukahlukene okuphumula ukwandisa ububanzi bokunyakaza ngenkathi uqinisa umhlathi ukuze unciphise ubuhlungu nokucindezeleka. ( Byra et al., 2020 ) Eziningi zalezi zindlela zokwelapha azihlinzeki, okusho ukuthi azihlasele futhi zisebenza kahle ezinhlungwini zomuntu kuyilapho zithengeka.
I-acupuncture Ukubuyisela Ukuhamba Kwemihlathi
Uma kuziwa ekwelashweni okungezona ukuhlinzwa, enye yezinhlobo ezindala kakhulu i-acupuncture, engasiza ekunciphiseni imiphumela efana nobuhlungu bezinhlungu zomhlathi nokubuyisela ukuhamba. I-acupuncture ivela e-China, futhi ochwepheshe bezokwelapha abaqeqeshwe kakhulu basebenzisa izinaliti ezincane, eziqinile ukuze zifakwe ama-acupoints emzimbeni ukuze ziphazamise isignali yobuhlungu futhi zinikeze ukukhululeka. Ngobuhlungu bomhlathi, ama-acupuncturists azofaka izinaliti kuma-acupoints womhlathi noma imisipha ezungezile ukuze kuncishiswe ukuzwela kwemishini kwamangqamuzana ezinzwa abangela ubuhlungu ngenkathi kuthuthukiswa umsebenzi we-sensory-motor ngempendulo enhle. ( UTeja noNareswari, 2021 ) Ukwengeza, lapho ubhekene nobuhlungu bezindlebe obuhambisana ne-TMJ obuthinta imisipha yentamo, i-acupuncture ingasiza ekuthuthukiseni ukunyakaza kwentamo ngokubeka izinaliti emaphuzwini e-trigger emisipha yomlomo wesibeletho. ( Sajadi et al., 2019 ) Lapho ukwelashwa kwe-acupuncture kusiza abantu abaningi abanobuhlungu bomhlathi obuthinta izintamo namakhanda abo, banganikeza imiphumela enenzuzo, emihle ngokwelashwa okulandelanayo futhi bathuthukise umsebenzi wokuhamba komhlathi.
Okubhekwayo
Al Sayegh, S., Borgwardt, A., Svensson, KG, Kumar, A., Grigoriadis, A., & Christidis, N. (2019). Imithelela Yezinhlungu Ezingamahlalakhona Nokuhlola Okubuhlungu Okubukhali Ekuziphatheni Okuluma Ngokunemba Ebantwini. Ingaphambili lomzimba , 10 , 1369. doi.org/10.3389/fphys.2019.01369
Byra, J., Kulesa-Mrowiecka, M., & Pihut, M. (2020). I-Physiotherapy ku-hypomobility yamalunga e-temporomandibular. UFolia Med Cracov , 60 (2), i-123-134. www.ncbi.nlm.nih.gov/pubmed/33252600
Kuc, J., Szarejko, KD, & Golebiewska, M. (2020). Ukuhlolwa Kokuhlanganiswa Kwezicubu Ezithambile Ezigulini ezine-Temporomandibular Disorder-Myofascial Pain with Referral. I-Int J Environ Res Health yomphakathi , 17 (24). doi.org/10.3390/ijerph17249576
UMaini, K., & Dua, A. (2024). I-Temporomandibular Syndrome. Ku StatPearls . www.ncbi.nlm.nih.gov/pubmed/31869076
Sajadi, S., Forogh, B., & ZoghAli, M. (2019). I-Cervical Trigger Point Acupuncture yokwelashwa kwe-Somatic Tinnitus. I-J Acupunct Meridian Stud , 12 (6), i-197-200. doi.org/10.1016/j.jams.2019.07.004
U-Teja, Y., & Nareswari, I. (2021). Ukwelashwa Kwe-acupuncture Yokubhekana Ne-Post Odontectomy Neuropathy. I-Med Acupunct , 33 (5), i-358-363. doi.org/10.1089/acu.2020.1472
Disclaimer
by UDkt Alex Jimenez Ukulimala okunzima , Izimo zenziwe
Abantu abazibandakanya ekuzilolongeni okukhulu bangaba namajaqamba okushisa ngenxa yokuzikhandla ngokweqile. Ingabe ukwazi izimbangela nezimpawu kungavimbela iziqephu ezizayo ukuthi zenzeke?
Ama-Cramps Okushisa
Amajaqamba okushisa angakhula ngesikhathi sokuzivocavoca kusukela ekuzikhandleni ngokweqile noma ukuchayeka isikhathi eside emazingeni okushisa aphezulu. Amajaqamba emisipha, ama-spasms, nobuhlungu kungasukela kokuncane kuye kokuqina.
Ama-Muscle Cramps kanye Nokuphelelwa amanzi emzimbeni
Amajaqamba okushisa avame ukukhula ngenxa yokuphelelwa amanzi emzimbeni kanye nokulahleka kwe-electrolyte. (U-Robert Gauer, u-Bryce K. Meyers 2019 ) Izimpawu zihlanganisa:
Ama-electrolyte afana ne-sodium, i-calcium, ne-magnesium abalulekile ekusebenzeni kahle kwemisipha, okuhlanganisa nenhliziyo. Indima eyinhloko yokujuluka iwukulawula izinga lokushisa lomzimba. (I-MedlinePlus. 2015 ) Umjuluko ngokuvamile amanzi, electrolyte, sodium. Ukujuluka ngokweqile ngenxa yokuzivocavoca umzimba nokuzikhandla noma indawo eshisayo kungabangela ukungalingani kwe-electrolyte okuholela emajameni, ama-spasms, nezinye izimpawu.
Izimbangela Nemisebenzi
Amajaqamba okushisa ngokuvamile athinta abantu abajuluka ngokweqile phakathi nomsebenzi onzima noma abachayeka emazingeni okushisa ashisayo isikhathi eside. Umzimba nezitho kudingeka kuphole, okubangela ukukhiqizwa komjuluko. Kodwa-ke, ukujuluka kakhulu kungaholela ekuphelelweni kwamanzi emzimbeni kanye nokuncipha kwe-electrolyte. (Centers for Disease Control and Prevention. 2022 )
Izingozi Zezingozi
Izinto ezinganyusa ubungozi bokuthola amajaqamba okushisa zihlanganisa: (U-Robert Gauer, u-Bryce K. Meyers 2019 )
Ubudala - Izingane kanye nabantu abadala abaneminyaka engama-65 nangaphezulu basengozini enkulu kakhulu.
Ukujuluka ngokweqile.
Ukudla okuphansi kwe-sodium.
Izimo Zezokwelapha Ezikhona Ngaphambili - isifo senhliziyo, isifo sikashukela, kanye nokukhuluphala ngokweqile yizimo ezingandisa ingozi yokuqina kwemisipha.
Imithi - umfutho wegazi, ama-diuretics, nama-antidepressants angathinta ibhalansi ye-electrolyte kanye ne-hydration.
Ukuphuza utshwala.
Ukuzinakekela
Uma amajaqamba okushisa eqala, yeka ngokushesha umsebenzi bese ubheka indawo epholile. Faka kabusha amanzi emzimbeni ukuze ugcwalise uketshezi olulahlekile. Ukuhlala unamanzi futhi uphuze uketshezi njalo ngesikhathi sokusebenza kanzima noma endaweni eshisayo kungasiza ekuvimbeleni umzimba ukuthi ungaminyanisi. izibonelo zeziphuzo ezandisa i-electrolyte zihlanganisa:
Ukusebenzisa ngobumnene ingcindezi kanye nokuphulula imisipha ethintekile kungasiza ekunciphiseni ubuhlungu nama-spasms. Njengoba izimpawu ziphela, kunconywa ukuthi ungabuyeli emsebenzini onzima maduzane ngoba ukuzikhandla okwengeziwe kungaholela kancane kancane ku-heatstroke noma ekuphelelweni ukushisa. (Centers for Disease Control and Prevention. 2021 ) Ukushisa nokushisa yizifo ezimbili ezihlobene nokushisa. (Centers for Disease Control and Prevention. 2022 )
I-Heatstroke yilapho umzimba ulahlekelwa amandla okulawula izinga lokushisa futhi ungabangela amazinga okushisa ayingozi kakhulu.Ukuphelelwa ukushisa ukusabela komzimba ekulahlekelweni koketshezi oluningi kanye ne-electrolyte.
Isikhathi Sezimpawu
Isikhathi nobude bamajaqamba okushisa kunganquma ukuthi ukunakekelwa kwezokwelapha kuyadingeka yini. (Centers for Disease Control and Prevention. 2022 )
Ngesikhathi noma Ngemva Kwemisebenzi
Iningi lamajaqamba okushisa liyakhula phakathi nomsebenzi ngenxa yokuzikhandla nokujuluka, okwenza kulahleke ama-electrolyte amaningi futhi umzimba uphelelwe amanzi kakhulu.
Izimpawu zingase futhi zikhule emaminithini kuya emahoreni ngemva kokuba umsebenzi uphelile.
Ubude besikhathi
Iningi lamajaqamba emisipha ahlobene nokushisa azoxazululeka ngokuphumula kanye nokugeleza kwamanzi kungakapheli imizuzu engama-30-60.
Uma ukuqina kwemisipha noma ukuqaqamba kwemisipha kunganciphi phakathi nehora elilodwa, funa usizo lwezokwelapha oluchwepheshile.
Kubantu abanezimo zenhliziyo noma abadla ukudla okune-sodium ephansi ababa namajaqamba okushisa, kungakhathaliseki ubude besikhathi, usizo lwezokwelapha luyadingeka ukuze kuqinisekiswe ukuthi azikho izinkinga.
Prevention
Amathiphu okuvimbela ukushisa ama-cramps zihlanganisa: (Centers for Disease Control and Prevention. 2022 )
Phuza uketshezi oluningi ngaphambi nangesikhathi sokuzivocavoca.
Gwema utshwala neziphuzo ezine-caffeine.
Gwema ukuzivocavoca noma ukuchayeka ekushiseni kakhulu ngesikhathi sokukhanya kwelanga.
Gwema izingubo ezimpintshayo nezinombala omnyama.
Ukuhlola Iziguli Esimisweni Se-Chiropractic
VIDEO
Okubhekwayo
I-Gauer, R., & Meyers, BK (2019). Izifo Ezihlobene Nokushisa. Udokotela womndeni waseMelika, 99(8), 482-489.
Centers for Disease Control and Prevention. (2022). Ukucindezeleka kokushisa - ukugula okuhlobene nokushisa. I-National Institute for Occupational Safety and Health (NIOSH) itholwe kusukela www.cdc.gov/niosh/topics/heattress/heatrelillness.html#cramps
I-MedlinePlus. (2015). Ajuluke. Kubuyiswe kusuka medlineplus.gov/sweat.html#cat_47
I-FoodData Central. (2019). Amantongomane, amanzi kakhukhunathi (uketshezi oluvela kukhukhunathi). Kubuyiswe kusuka fdc.nal.usda.gov/fdc-app.html#/food-details/170174/nutrients
I-FoodData Central. (2019). Ubisi, ama-nonfat, uketshezi, okunevithamini A eyengeziwe kanye novithamini D (okungamafutha noma ukushefa). Kubuyiswe kusuka fdc.nal.usda.gov/fdc-app.html#/food-details/746776/nutrients
Centers for Disease Control and Prevention. (2012). Imibuzo evamise ukubuzwa (FAQ) mayelana nokushisa okukhulu. Kubuyiswe kusuka www.cdc.gov/disasters/extremeheat/faq.html
by UDkt Alex Jimenez Izimo zenziwe , Sciatica
Ingabe ukwelashwa ngokomzimba kwe-spinal stenosis kungathuthukisa ikhwalithi yokuphila futhi kunciphise izimpawu zobuhlungu kubantu ababhekene nesimo esiwohlokayo?
I-Spinal Stenosis Physical Therapy
I-Spinal stenosis ibangela ukuncipha kokuvuleka kwama-vertebrae. Ukuvuleka okuthintekile kungaba:
Umgudu womgogodla ophakathi - lapho kuhlala khona umgogodla.
I-Foramen - izimbobo ezincane ezinhlangothini zomgogodla ngamunye lapho izimpande zemizwa ziphuma khona emgogodleni.
I-Spinal stenosis ivame kakhulu ku-lumbar spine/umgogodla ophansi.
Kungenzeka futhi emgogodleni/intamo yomlomo wesibeletho. (Jon Lurie, Christy Tomkins-Lane 2016 )
Ama-discs phakathi kwama-vertebrae omgogodla ahlinzeka ngokukhipha nokuthuthumela emgogodleni nakuwo wonke umzimba. Izinguquko ezilimazayo kuma-discs zikholelwa ukuthi ziyisiqalo se-spinal stenosis. Uma ama-disc engenawo amanzi okwanele / amanzi kanye nokuphakama kwe-disc kuncipha ngokuhamba kwesikhathi, ukumuncwa kwe-cushioning kanye nokushaqeka kuba kancane kancane. Khona-ke ama-vertebrae angacindezelwa, abangele ukungqubuzana. I-stenosis yomgogodla ewohlokayo ingase futhi ithuthuke kusukela kuzicubu zezibazi ezidlulele kanye nama-bone spurs (ukukhula okuvela emaphethelweni ethambo) okungakheka ngemva kokulimala noma ukuhlinzwa komgogodla.
Assessment
Udokotela uzokwenza ukuxilongwa kwe-spinal stenosis. Udokotela uzothatha i-imaging scan yomgogodla ukuze anqume indawo eqondile yokuwohloka nokukala ukuthi izimbobo zibe mncane kangakanani. Ubuhlungu, ukuqina, ukuhamba okulinganiselwe, nokulahlekelwa ububanzi bokunyakaza kuvame ukuba khona. Uma i-spinal stenosis ibangele ukucindezelwa kwezinzwa, kungase futhi kube nobuhlungu, ukuba ndikindiki, ukushotshozela, noma ubuthakathaka ezinqeni (sciatica), amathanga, nemilenze engezansi. Umelaphi womzimba uzonquma izinga ngokuhlola okulandelayo:
Ukuhamba kwe-Vertebrae - indlela umgogodla ogoba futhi usonteke ngayo ngezindlela ezihlukene.
Ikhono lokushintsha izikhundla.
Amandla emisipha yomgogodla, emuva, ne-hip.
Balance
indlela yekuma
Iphethini ye-Gait
Ukucindezelwa kwemizwa ukuze kutholakale ukuthi zikhona yini izimpawu emilenzeni.
Izimo ezibucayi ngokuvamile azibandakanyi ukucindezelwa kwezinzwa, njengoba ukuqina kweqolo kuvame kakhulu.
Ezimweni ezimbi kakhulu, kungase kube nobuhlungu obukhulu, ukuhamba okulinganiselwe, nokucindezelwa kwezinzwa, okubangela ubuthakathaka bomlenze.
Isibonakaliso esivame kakhulu se-spinal stenosis ukwanda kobuhlungu ngokugoba emuva noma ukunwetshwa komgogodla we-lumbar. Lokhu kuhlanganisa izindawo ezinweba umgogodla, njengokuma, ukuhamba, nokulala ngesisu. Izimpawu zivame ukuba ngcono lapho ugobela phambili nalapho umgogodla ubekwe ngaphezulu endaweni egobile noma egobile, njengalapho uhlezi futhi uhlezi. Lezi zindawo zomzimba zivula izikhala emseleni ophakathi womgogodla.
Ukuhlinzwa
I-Spinal stenosis yisizathu esivame kakhulu sokuhlinzwa kubantu abadala abaneminyaka engu-65 nangaphezulu. Kodwa-ke, ukuhlinzwa cishe njalo kwenziwa njengendlela yokugcina uma ubuhlungu, izimpawu, nokukhubazeka kuqhubeka ngemva kokuzama izindlela zokwelapha ezilondolozayo, kuhlanganise ne-chiropractic, ukuwohloka okungahlinzeki , kanye nokwelashwa ngokomzimba, izinyanga noma iminyaka. Ubukhulu bezimpawu nesimo samanje sempilo kuzonquma ukuthi udokotela uzoncoma yini ukuhlinzwa. (U-Zhuomao Mo, et al., 2018 ). Izinyathelo zokulondoloza zingavikeleka futhi zisebenze ngendlela efanayo. Ukubuyekezwa okuhlelekile noma ucwaningo olusekelwe kulo lonke ucwaningo oluyisisekelo olutholakalayo lwathola ukuthi ukwelapha ngokomzimba nokuzivocavoca kubangele imiphumela efanayo yokuhlinzwa ukuze kuthuthukiswe ubuhlungu nokukhubazeka. (U-Zhuomao Mo, et al., 2018 ). Ngaphandle kwezimo ezinzima, ukuhlinzwa ngokuvamile akudingekile.
Ukwelashwa Komzimba Kwe-Spinal Stenosis
Inhloso yokwelashwa ngokomzimba ihlanganisa:
Ukuncipha kobuhlungu nokuqina kwamalunga.
Ikhulula ukucindezelwa kwezinzwa.
Ukunciphisa ukuqina emisipha ezungezile.
Ukuthuthukisa ububanzi bokunyakaza.
Ukuthuthukisa ukuqondanisa kwe-postural.
Ukuqinisa imisipha ewumgogodla.
Ukuthuthukisa amandla omlenze ukusiza ngokulinganisela kanye nomsebenzi jikelele.
Ukwelulwa kwemisipha yangemuva , okuhlanganisa lezo ezigijima ziqonde emgogodleni kanye nalezo ezigijima ngokuphambene ukusuka okhalweni kuya ku-lumbar spine, kusiza ekudambiseni ukuqina kwemisipha nobuhlungu futhi kungathuthukisa ukunyakaza okuphelele nobubanzi bokunyakaza komgogodla we-lumbar.Ukwelula imisipha ye-hip , kufaka phakathi ama-hip flexors ngaphambili, i-piriformis ngemuva, kanye nemisipha egijima kusukela ngemuva kwe-hip phansi emlenzeni kuya emadolweni, nayo ibalulekile njengoba le misipha ihlanganiswe ne-pelvis, exhuma ngqo ku-pelvis. umgogodla.Izivivinyo zokuqinisa imisipha yomgogodla wesisu , okuhlanganisa imisipha esiqwini, okhalweni, emhlane ophansi, ezinqulwini, nasesiswini, isiza ekuqiniseni umgogodla futhi iwuvikele ekunyakazeni ngokweqile namandla okucindezela.Nge-stenosis yomgogodla, imisipha eyinhloko ivame ukuba buthakathaka futhi ingasebenzi futhi ayikwazi ukwenza umsebenzi wayo wokusekela umgogodla. Ukuzivocavoca okuyisisekelo kuvame ukuqala ngokwenza imisipha yesisu ejulile ngenkathi ulele phansi amadolo agobile.
Ukuzivocavoca kuzothuthuka njengoba umuntu ezuza amandla nokulawula okwengeziwe njengoba umgogodla uzinza.
Ukwelashwa kwe-Spinal stenosis ngokomzimba kuzobandakanya ukuqeqeshwa kokulinganisela kanye nokuzivocavoca kwe-glute ukuqinisa imisipha yomlenze.
Prevention
Ukusebenza nomhlinzeki womzimba kungasiza ekuvimbeleni izinkinga zesikhathi esizayo ngokugcina ukuhamba komgogodla, ukugcina umuntu esebenza, nokuzivocavoca ukuze alondoloze amandla nokuzinza ukuze anikeze isisekelo esiqinile sokusekela umgogodla ophansi nokuvimbela izimpawu ukuba zingabi zimbi.
Ukwelapha Okuqinile Komgogodla Womgogodla
Ukwelapha ngokomzimba ngokuvamile kuhilela ukwenza ukwelula komhlane ophansi, okhalweni, nemilenze, ukuvivinya umzimba kokunyakaza, nokuzivocavoca okuyisisekelo kokuqinisa ukuze kuthuthukiswe ukwesekwa komgogodla nokunciphisa ubuhlungu. Ukwelashwa okufana nokushisa noma ukuvuselela ugesi kungase futhi kusetshenziswe esimweni ngasinye uma kukhona ubuhlungu obuphawulekayo noma ukuqina emisipha yangemuva. Nokho, abukho ubufakazi bomtholampilo obanele bokusekela ukuthi kunezinzuzo ezengeziwe. (Luciana Gazzi Macedo, et al., 2013 ) Ukuphumelela kokwelashwa ngokomzimba kuphakeme ngoba ukuhlinzwa kuphela akukwazi ukuqinisa imisipha eqinisa umgogodla, ukwandisa ukuhamba noma ukuguquguquka kwemisipha ezungezile, nokuthuthukisa ukuqondanisa kwe-postural.
Izimbangela ze-Spinal Stenosis
VIDEO
Okubhekwayo
U-Lurie, J., & Tomkins-Lane, C. (2016). Ukuphathwa kwe-lumbar spinal stenosis. I-BMJ (i-Clinical research ed.), 352, h6234. doi.org/10.1136/bmj.h6234
Mo, Z., Zhang, R., Chang, M., & Tang, S. (2018). Ukwelashwa kokuzivocavoca ngokumelene nokuhlinzwa kwe-lumbar spinal stenosis: ukubuyekezwa okuhlelekile nokuhlaziywa kwe-meta. Iphephabhuku lasePakistan lesayensi yezokwelapha, 34(4), 879-885. doi.org/10.12669/pjms.344.14349
Macedo, L. G., Hum, A., Kuleba, L., Mo, J., Truong, L., Yeung, M., & Battié, M. C. (2013). Ukungenelela kokwelashwa ngokomzimba kwe-lumbar spinal stenosis ewohlokayo: ukubuyekezwa okuhlelekile. Ukwelashwa ngokomzimba, 93(12), 1646-1660. doi.org/10.2522/ptj.20120379
by UDkt Alex Jimenez Izimo zenziwe , Ukuphathwa yikhanda nokwelashwa
Kubantu abathintwe yikhanda elibuhlungu elenzeka izinsuku eziyi-15 noma ngaphezulu ngenyanga isikhathi esingaphezu kwezinyanga ezintathu, ukwazi izimpawu nezimpawu kungabasiza yini abahlinzeki bezempilo ukusiza ekwelapheni nasekuvimbeleni ubuhlungu bekhanda obungapheli?
Izinhlungu Zekhanda Ezingapheli
Abantu abaningi baye babhekana nekhanda elibuhlungu. Ubuhlungu ngokuvamile buchazwa njengokuqiniswa okubuthuntu noma ukucindezela ezinhlangothini zombili zekhanda, njengokuba nebhande eliqinisayo ekhanda. Abanye abantu babhekana nalezi zinhlungu zekhanda njalo, isimo esaziwa ngokuthi yikhanda elibuhlungu elingapheli. Izinhlungu zekhanda ezicindezelayo ezingapheli azivamile kodwa zingaqeda amandla, njengoba zingaphazamisa ikhwalithi yokuphila enempilo nokuphila kwansuku zonke.
Ikhanda elibuhlungu ngokuvamile libangelwa ukucindezeleka, ukukhathazeka, ukuphelelwa amanzi emzimbeni, ukuzila ukudla, noma ukuntula ubuthongo futhi ngokuvamile lixazulula ngemithi etholakala ngaphandle kwe-counter. (Umtholampilo waseCleveland. 2023 )
Lesi yisifo sekhanda esiyinhloko esithinta cishe u-3% wabantu.
Ubuhlungu bekhanda obungapheli bungenzeka nsuku zonke futhi bube nomthelela omubi kwikhwalithi yokuphila nokusebenza kwansuku zonke. (Umtholampilo waseCleveland. 2023 )
Izimpawu
Ikhanda elibuhlungu lingabizwa ngokuthi ukucindezeleka kwekhanda or ubuhlungu bekhanda bokufinyela kwemisipha .
Zingaveza ngobuhlungu obufiphele, obubuhlungu futhi zihlanganisa ukuqina noma ukucindezela ebunzini, izinhlangothi, noma ngemuva kwekhanda. (Umtholampilo waseCleveland. 2023 )
Ukwengeza, abanye abantu baba nokuzwela esikhunjeni, entanyeni nasemahlombe.
Izinhlungu zekhanda ezicindezelayo ezingapheli zenzeka izinsuku eziyi-15 noma ngaphezulu ngenyanga ngokwesilinganiso isikhathi esingaphezu kwezinyanga ezintathu.
Ikhanda elibuhlungu lingahlala amahora ambalwa noma liqhubeke izinsuku ezimbalwa.
Izimbangela
Ikhanda elibuhlungu ngokuvamile libangelwa imisipha eqinile emahlombe, intamo, umhlathi, kanye nesikhumba.
Ukugaya amazinyo/i-bruxism kanye nokuhlanganisa imihlathi nakho kungaba nomthelela kulesi simo.
Ubuhlungu bekhanda bungabangelwa ukucindezeleka, ukucindezeleka, noma ukukhathazeka futhi kuvame kakhulu kubantu:
Sebenza amahora amaningi emisebenzini ecindezelayo.
Ungalali ngokwanele.
Yeqa ukudla.
Phuza njalo utshwala. (Umtholampilo waseCleveland. 2023 )
Sifo
Abantu abaphethwe yikhanda eliphazamisa impilo yansuku zonke noma abadinga ukuphuza imithi izikhathi ezingaphezu kuka kabili ngesonto bayatuswa ukuthi babonane nomhlinzeki wezempilo. Ngaphambi kwe-aphoyintimenti, kungaba usizo ukugcina a idayari yekhanda :
Qopha izinsuku
Times
Incazelo yobuhlungu, ukuqina, nezinye izimpawu.
Eminye imibuzo umhlinzeki wezempilo angase ayibuze ihlanganisa:
Ingabe ubuhlungu buyashaya, bubukhali, noma buhlaba, noma buhlala njalo futhi buthuntu?
Buphi ubuhlungu obukhulu kakhulu?
Ingabe igcwele ikhanda, ohlangothini olulodwa, ebunzini, noma ngemva kwamehlo?
Ingabe ubuhlungu bekhanda buphazamisa ubuthongo?
Ingabe ukusebenza noma ukwenza imisebenzi kunzima noma akunakwenzeka?
Umhlinzeki wokunakekelwa kwezempilo cishe uzokwazi ukuxilonga lesi simo ngokusekelwe ezimpawu zodwa. Kodwa-ke, uma iphethini yekhanda elibuhlungu lihlukile noma lihlukile, umhlinzeki angase alawule ukuhlolwa kwe-imaging, njenge-MRI noma i-CT scans, ukuze akhiphe ezinye izifo. Izinhlungu zekhanda ezicindezelayo ezingalapheki zingadideka nezinye izinkinga zekhanda ezihlala njalo zansuku zonke njenge-chronic migraine, i-hemicrania continua, ukungasebenzi kahle kwamalunga e-temporomandibular/TMJ, noma ikhanda elibuhlungu leqembu. (Fayyaz Ahmed. 2012 )
Ukwelashwa
Ukwelashwa kwe-Pharmacological for chronic tension headache ngokuvamile kuhilela imithi yokuvimbela.
I-Amitriptyline iwumuthi owodwa otholakale unenzuzo ekuvimbeleni ubuhlungu bekhanda elicindezelayo.
I-Tricyclic antidepressant umuthi olalisayo futhi ngokuvamile uthathwa ngaphambi kokulala. (UJeffrey L. Jackson et al., 2017 )
Ngokusho kokuhlaziywa kwe-meta yezifundo ezishicilelwe ze-22 ku-Journal of General Internal Medicine, le mithi iphakeme kune-placebo ekunciphiseni imvamisa yekhanda elibuhlungu, ngesilinganiso sezinsuku ezingu-4.8 ezimbalwa zekhanda ngenyanga.
Imithi eyengeziwe yokuvimbela ingase ihlanganise namanye ama-antidepressants afana nalokhu:
I-Remeron - i-mirtazapine.
Imithi yokulwa nokuthunjwa - njenge-Neurontin - gabapentin, noma i-Topamax - i-topiramate.
Umhlinzeki wezempilo angase futhi anikeze imithi yokwelapha iziqephu zekhanda, ezihlanganisa:
Imithi kadokotela engeyona i-steroidal eqeda ukuvuvukala noma ama-NSAID, okuhlanganisa i-acetaminophen, i-naproxen, i-indomethacin, noma i-ketorolac.
Ama-opiates
Ama-relaxant muscle
Benzodiazepines - Valium
Ukwelashwa Okungeyona Imithi
Izindlela zokwelapha zokuziphatha ngezinye izikhathi zisetshenziswa ngokwazo noma zihlanganiswe nemithi yokuvimbela kanye nokulawula ubuhlungu bekhanda obungapheli. Izibonelo zifaka:
I-acupuncture
Enye indlela yokwelapha ehilela ukusebenzisa izinaliti ukuvuselela amaphuzu athile emzimbeni okukholakala ukuthi axhumane nezindlela ezithile/ama-meridians athwala amandla/chi abalulekile kuwo wonke umzimba.
I-Biofeedback
Ku-Electromyography - i-EMG biofeedback, ama-electrode afakwa esikhumbeni, entanyeni, nangaphezulu komzimba ukuze kutholakale ukufinyela kwemisipha.
Isiguli siqeqeshelwe ukulawula ukungezwani kwemisipha ukuze kuvinjelwe ubuhlungu bekhanda. (UWilliam J. Mullally et al., 2009 )
Inqubo ingabiza futhi idle isikhathi, futhi kunobufakazi obuncane bokusekela ukusebenza kwayo.
Ukwelashwa Kwemvelo
Umelaphi womzimba angakhipha imisipha eqinile futhi eqinile.
Qeqesha abantu ngokuzivocavoca umzimba okuqondisiwe ukuze kuxegiswe imisipha yekhanda nentamo eqinile.
I-Cognitive Behavioral Therapy/CBT
Kufaka nokufunda indlela yokubona izimbangela zekhanda futhi ubhekane ngendlela engacindezeli futhi eguquguqukayo.
Ochwepheshe bekhanda ngokuvamile batusa i-CBT ngaphezu kwemithi lapho benza uhlelo lokwelapha. (U-Katrin Probyn et al., 2017 )
Ukuqeqeshwa/ukwelashwa kokugaya amazinyo nokuhlanganisa imihlathi kungasiza lapho bengabahlanganyeli.
Ukuvivinya umzimba njalo, kanye nokuzijwayeza ukuhlanzeka kokulala okunempilo, kungaba yinzuzo ekuvimbeleni.
supplements
Abanye abantu abanezinhlungu ezibuhlungu ezingapheli bangathola ukukhululeka ngokusebenzisa izithasiselo. I-American Academy of Neurology kanye ne-American Headache Society ibika ukuthi izithako ezilandelayo zingasebenza: (Isikhungo Sikazwelonke Sezempilo Ezihambisanayo Nedidiyelwe. 2021 )
I-Butterbur
Umkhuhlane
magnesium
riboflavin
Uma ikhanda liqala ngokuzumayo, libangele ukuvuka ebuthongweni, noma lihlale izinsuku, kubalulekile ukubonana nomhlinzeki wezempilo ukuze akhiphe noma yiziphi izimbangela eziyisisekelo futhi athuthukise uhlelo lokwelapha lomuntu siqu .
Ukunqanda ikhanda
VIDEO
Okubhekwayo
Umtholampilo waseCleveland. (2023). Ukunqanda ikhanda .
U-Ahmed F. (2012). Ukuphazamiseka kwekhanda: ukuhlukanisa nokuphatha ama-subtypes avamile. Iphephabhuku laseBrithani lobuhlungu, i-6 (3), i-124-132. doi.org/10.1177/2049463712459691
U-Jackson, JL, Mancuso, JM, Nickoloff, S., Bernstein, R., & Kay, C. (2017). I-Tricyclic ne-Tetracyclic Antidepressants for the Prevention of Frequent Episodic or Chronic Tension-Type Headache Kubantu Abadala: Ukubuyekezwa Okuhlelekile kanye Nokuhlaziywa Kwe-Meta. Ijenali yemithi evamile yangaphakathi, 32(12), 1351-1358. doi.org/10.1007/s11606-017-4121-z
Mullally, WJ, Hall, K., & Goldstein, R. (2009). Ukusebenza kwe-biofeedback ekwelapheni i-migraine kanye nohlobo lwekhanda lokucindezeleka . Udokotela wezinhlungu, 12(6), 1005–1011.
U-Probyn, K., Bowers, H., Mistry, D., Caldwell, F., Underwood, M., Patel, S., Sandhu, HK, Matharu, M., Pincus, T., & CHESS team. (2017). Ukuzilawula okungezona kwe-pharmacological kubantu abaphila ne-migraine noma uhlobo lwekhanda lokucindezeleka: ukubuyekezwa okuhlelekile okuhlanganisa nokuhlaziywa kwezingxenye zokungenelela. I-BMJ ivuliwe, 7(8), e016670. doi.org/10.1136/bmjopen-2017-016670
Isikhungo Sikazwelonke Sezempilo Ezihambisanayo Nedidiyelwe. (2021). Ikhanda Elibuhlungu: Okufanele Ukwazi .
