ClickCease
+ 1-915-850-0900 spinedoctors@gmail.com
Khetha Ikhasi

Ukuhlolwa kwe-Chiropractic

Ukuhlolwa Kwe-Back Clinic Chiropractic. Ukuhlolwa kokuqala kwe-chiropractic ye-musculoskeletal disorders ngokuvamile kuzoba nezingxenye ezine: ukubonisana, umlando wecala, nokuhlolwa ngokomzimba. Ukuhlaziywa kwelabhorethri kanye nokuhlolwa kwe-X-ray kungenziwa. Ihhovisi lethu lihlinzeka ngokuhlolwa kokusebenza kahle nokudidiyelwe kokusebenza kahle ukuze kulethe ukuqonda okwengeziwe ezethulo zomzimba zesiguli.

Ukubonisana:
Isiguli sizohlangana ne-chiropractor ezohlola futhi ibuze i-synopsis emfushane yobuhlungu bakhe obuphansi emuva, njenge:
Ubude nobuningi bezimpawu
Incazelo yezimpawu (isb ukushiswa, ukushaya)
Izindawo zobuhlungu
Yini eyenza ubuhlungu buzizwe kangcono (isb. ukuhlala, ukwelula)
Yini eyenza ubuhlungu buzizwe bubi nakakhulu (isb. ukuma, ukuphakamisa).
Umlando wecala. Isazi se-chiropractor sikhomba indawo(s) yesikhalazo kanye nemvelo yobuhlungu beqolo ngokubuza imibuzo nokufunda kabanzi mayelana nezindawo ezahlukene zomlando wesiguli, okuhlanganisa:
Umlando womndeni
Izindlela zokudla
Umlando odlule wezinye izindlela zokwelapha (i-chiropractic, osteopathic, medical and other)
Umlando wokusebenza
Umlando wezengqondo
Ezinye izindawo okufanele ziphenywe, ngokuvamile ezisekelwe ezimpendulweni zemibuzo engenhla.

Ukuhlolwa ngokomzimba:
Sizosebenzisa izindlela ezihlukahlukene ukuze sinqume izingxenye zomgogodla ezidinga ukwelashwa kwe-chiropractic, okubandakanya kodwa okungagcini nje kumasu we-static kanye nokunyakaza kwe-palpation enquma izingxenye zomgogodla eziyi-hypo mobile (ezivinjelwe ekuhambeni kwazo) noma ezilungisiwe. Ngokuya ngemiphumela yokuhlolwa okungenhla, isazi se-chiropractor singasebenzisa izivivinyo ezengeziwe zokuxilonga, ezifana:
I-X-ray ukuthola i-subluxations (indawo eguquliwe ye-vertebra)
Idivayisi ethola izinga lokushisa lesikhumba endaweni ye-paraspinal ukukhomba izindawo zomgogodla ezinokuhlukahluka okuphawulekayo kwezinga lokushisa okudinga ukukhohliswa.

Ukuxilongwa Kwaselabhorethri:
Uma kudingeka futhi sisebenzisa izinhlobonhlobo zezinqubo zokuxilonga zelabhu ukuze sinqume isithombe esiphelele somtholampilo sesiguli. Sihlanganyele namalebhu aphezulu edolobheni ukuze sinikeze iziguli zethu isithombe esiphelele somtholampilo kanye nokwelashwa okufanele.

Ukuqinisekisa Ukuphepha Kwesiguli: Indlela Yomtholampilo Emtholampilo We-Chiropractic

Ukuqinisekisa Ukuphepha Kwesiguli: Indlela Yomtholampilo Emtholampilo We-Chiropractic

by | I-Chiropractic, Ukuhlolwa kwe-Chiropractic, Izindaba ze-Chiropractic, Ubuhlungu obungapheliyo, Ukufanekisa Nokuxilonga, Ukwelashwa

Ochwepheshe bezempilo emtholampilo we-chiropractic banikeza kanjani indlela yomtholampilo yokuvimbela amaphutha ezokwelapha kubantu abasezinhlungwini?

Isingeniso

Amaphutha ezokwelapha aholela ekufeni kwabantu baseMelika abangu-44,000–98,000 ezibhedlela minyaka yonke, futhi amaningi abangela ukulimala okuyinhlekelele. (Kohn et al., 2000) Lesi sasingaphezu kwenani labantu abafa minyaka yonke ngenxa yengculaza, umdlavuza webele, nezingozi zezimoto ngaleso sikhathi. Ngokocwaningo lwakamuva, inani langempela lokufa lingase lisondele ku-400,000, libeka amaphutha ezokwelapha njengesizathu sesithathu sokufa esivame kakhulu e-US. Imvamisa, la maphutha awawona umkhiqizo wochwepheshe bezokwelapha ababi ngokwemvelo; kunalokho, ziwumphumela wezinkinga zesistimu nohlelo lokunakekelwa kwezempilo, njengamaphethini wokuzijwayeza abahlinzeki abangahambisani, amanethiwekhi omshwalense ahlukene, ukusetshenziswa kancane noma ukungabikho kwezivumelwano zokuphepha, nokunakekelwa okungahlanganisiwe. Isihloko sanamuhla sibheka indlela yomtholampilo yokuvimbela iphutha lezokwelapha esimweni somtholampilo. Sidingida abahlinzeki bezokwelapha abahlobene abangochwepheshe ekwelashweni okuhlukahlukene ukusiza abantu abahlushwa izinkinga ezingapheli. Siphinde futhi siqondise iziguli zethu ngokuzivumela ukuthi zibuze abahlinzeki bazo bezokwelapha abahlobene nabo imibuzo ebaluleke kakhulu neyinkimbinkimbi. UDkt. Alex Jimenez, DC, usebenzisa lolu lwazi kuphela njengesevisi yezemfundo. Disclaimer

Ukuchaza Amaphutha Ezokwelapha

Ukunquma ukuthi yiliphi iphutha lezokwelapha okuyisinyathelo esibaluleke kakhulu kunoma iyiphi ingxoxo mayelana nokuvimbela amaphutha ezokwelapha. Ungase ucabange ukuthi lokhu kuwumsebenzi olula kakhulu, kodwa lokho kuphela kuze kube yilapho uhlola uhlu olukhulu lwamagama asetshenziswayo. Amagama amaningi asetshenziswa ngendlela efanayo (ngezinye izikhathi ngephutha) njengoba amanye amagama ashintshashintsha, futhi ngezikhathi ezithile, incazelo yegama incike kulokho okukhethekile okuxoxwa ngakho.

 

 

Ngisho noma umkhakha wezokunakekelwa kwempilo uthe ukuphepha kwesiguli kanye nokuqeda noma ukunciphisa amaphutha ezokwelapha kwakuyizinto eziza kuqala, u-Grober no-Bohnen baphawule muva nje ngo-2005 ukuthi baye bahluleka endaweni eyodwa ebalulekile: ukucacisa incazelo yokuthi "mhlawumbe umbuzo obaluleke kakhulu ... iphutha lezokwelapha? Iphutha lezokwelapha ukwehluleka ukuqedela isenzo esihleliwe esimweni sezokwelapha. (UGrober noBohnen, ngo-2005) Nokho, awekho amagama umuntu avame ukuwabona ngephutha lezokwelapha—iziguli, ukunakekelwa kwempilo, nanoma iyiphi enye into—okukhulunywa ngawo kule ncazelo. Naphezu kwalokhu, incazelo inikeza uhlaka oluqinile lwentuthuko eyengeziwe. Njengoba ubona, leyo ncazelo ethile iqukethe izingxenye ezimbili:

  • Iphutha lokwenza: Ukwehluleka ukuqedela isenzo esihleliwe njengoba bekuhlosiwe.
  • Iphutha lokuhlela: kuyindlela yokuthi, ngisho noma yenziwe ngokuphelele, ayikhiqizi imiphumela oyifunayo.

Imiqondo yamaphutha okwenziwa kanye namaphutha okuhlela ayanele uma sizochaza iphutha lezokwelapha ngokwanele. Lokhu kungenzeka noma kuphi, hhayi endaweni yezokwelapha kuphela. Ingxenye yokuphathwa kwezokwelapha kufanele yengezwe. Lokhu kuveza umqondo wezehlakalo ezingezinhle, ezaziwa njengezehlakalo ezimbi. Incazelo evame kakhulu yesigameko esibi ukulimala okungahlosiwe ezigulini ezilethwa ukwelashwa kwezokwelapha esikhundleni sesifo sazo esiyisisekelo. Le ncazelo iye yamukelwa emhlabeni wonke ngandlela thize. Isibonelo, e-Australia, igama elithi izehlakalo lichazwa ngokuthi ukulimala okubangele ukuthi umuntu athole usizo lwezempilo. Lokhu kuhlanganisa izifo, ukuwa okubangela ukulimala, nezinkinga zemithi kadokotela kanye nemishini yezokwelapha. Izehlakalo ezithile ezingezinhle zingagwemeka.

 

Izinhlobo Ezivamile Zamaphutha Ezokwelapha

Okuwukuphela kwenkinga ngalo mbono ukuthi akuzona zonke izinto ezingezinhle ezenzeka ngengozi noma ngamabomu. Ngenxa yokuthi isiguli singase sizuze ekugcineni, kungase kwenzeke isenzakalo esibi esilindelwe kodwa esibekezelelwa. Ngesikhathi sokwelashwa ngamakhemikhali, isicanucanu nokulahlekelwa izinwele yizibonelo ezimbili. Kulokhu, ukwenqaba ukwelashwa okutuswayo kungaba ukuphela kwendlela enengqondo yokuvimbela umphumela ongemuhle. Ngakho sifika emcabangweni wezehlakalo ezimbi ezingagwemeka nezingagwemeki njengoba siqhubeka siphucula incazelo yethu. Akulula ukuhlukanisa ukukhetha ukubekezelela umthelela owodwa uma kunqunywa ukuthi umphumela omuhle uzokwenzeka kanyekanye. Kodwa injongo iyodwa ayisona izaba. (Inethiwekhi Yokuphepha Yesiguli, 2016, isigaba.3) Esinye isibonelo sephutha elihleliwe kungaba ukunqunywa konyawo lwesokudla ngenxa yesimila esandleni sobunxele, okungaba ukwamukela isenzakalo esingesihle esaziwayo nesibikezelwe ngethemba lomphumela onenzuzo lapho kungakaze kuvele khona ngaphambili. Abukho ubufakazi obusekela ukulindela umphumela omuhle.

 

Amaphutha ezokwelapha abangela ukulimala esigulini ngokuvamile yiwona esigxile kuwo ucwaningo lwethu. Noma kunjalo, amaphutha ezokwelapha angenzeka futhi enzeka lapho isiguli singalinyazwanga. Ukwenzeka kokuphuthelwa eduze kungase kunikeze idatha ebalulekile lapho uhlela indlela yokunciphisa amaphutha ezokwelapha endaweni yokunakekelwa kwezempilo. Noma kunjalo, ukuvama kwalezi zenzakalo uma kuqhathaniswa nezikhathi odokotela ababika ngazo kufanele kuphenywe. Amaphutha aseduze amaphutha ezokwelapha abengadala umonakalo kodwa awenzanga esigulini, ngisho noma isiguli senza kahle. (U-Martinez et al., 2017) Kungani ungavuma okuthile okungase kuphumele ekuthatheni izinyathelo zomthetho? Cabangela isimo lapho umhlengikazi, nganoma yisiphi isizathu, esanda kubuka izithombe zemithi ehlukene futhi esezoyinikeza imithi. Mhlawumbe kukhona okusalibele enkumbulweni yakhe, bese enquma ukuthi akuyona indlela umuthi othile obukeka ngayo. Lapho ebheka, wathola ukuthi imithi engalungile yayinikezwe. Ngemva kokuhlola wonke amaphepha, uyalilungisa iphutha futhi anikeze isiguli incwadi kadokotela efanele. Ingabe kungenzeka ukugwema iphutha esikhathini esizayo uma irekhodi lokuphatha lihlanganisa nezithombe zomuthi ofanele? Kulula ukukhohlwa ukuthi kube nephutha nethuba lokulimaza. Lelo qiniso lihlala liyiqiniso kungakhathaliseki ukuthi sibe nenhlanhla yokulithola ngesikhathi noma sabhekana nemiphumela engemihle.

 

Amaphutha Wemiphumela Nenqubo

Sidinga idatha ephelele ukuze sakhe izixazululo ezithuthukisa ukuphepha kwesiguli futhi zehlise amaphutha ezokwelapha. Okungenani, lapho isiguli sisesikhungweni sezokwelapha, konke okungenziwa ukuvimbela ukulimala nokusibeka engozini kufanele kubikwe. Odokotela abaningi baye banquma ukuthi ukusebenzisa amaphutha emishwana nezenzakalo ezimbi kwakuphelele futhi kufanelekile ngemva kokubuyekeza amaphutha nezenzakalo ezimbi ekunakekelweni kwezempilo nokuxoxa ngamandla abo nobuthakathaka ngo-2003. Le ncazelo ehlanganisiwe izokwandisa ukuqoqwa kwedatha, okuhlanganisa amaphutha, izingcingo eziseduze, eduze. uyaphuthelwa, futhi amaphutha asebenzayo nacashile. Ukwengeza, igama elithi izehlakalo ezimbi lihlanganisa amagama avame ukusho ukulimala kwesiguli, njengokulimala kwezokwelapha kanye nokulimala kwe-iatrogenic. Okuwukuphela kwento esele ukunquma ukuthi ibhodi lokubuyekeza liwuhlaka olufanele yini lokusingatha ukuhlukaniswa kwezehlakalo ezimbi ezingagwemeka nezingagwemeki.

 

Umcimbi womlindi uyisigameko lapho kudingeka khona ukubika kuKhomishana Ehlangene. I-Joint Commission ithi umcimbi womlindi uyisigameko esingalindelekile esibandakanya ukulimala okubi ngokomzimba noma kwengqondo. ("Sentinel Events," 2004, p.35) Akukho ukukhetha, njengoba kufanele kubhalwe phansi. Izikhungo eziningi zokunakekelwa kwempilo, nokho, ziyawagcina amarekhodi azo achaza izehlakalo zabalindi nokuthi yini okufanele yenziwe uma kwenzeka umuntu eqinisekisa ukuthi izindinganiso zeKhomishini Ehlanganyelwe ziyafinyelelwa. Lesi ngesinye salezo zimo lapho kungcono ukuphepha kunokuzisola. Njengoba igama elithi “serious” liwumqondo ohlobene, kungase kube khona ukuklolodelana lapho uvikela osebenza naye noma umqashi. Ngakolunye uhlangothi, ukubika umcimbi womlindi ngokungalungile kungcono kunokwehluleka ukubika umcimbi womlindi. Ukwehluleka ukudalula kungaba nemiphumela emibi, okuhlanganisa ukunqanyulwa komsebenzi.

 

Uma kucatshangelwa amaphutha ezokwelapha, abantu bavame ukwenza iphutha lokugxila emaphutheni kadokotela. Amaphutha emithi ngokungangabazeki avamile futhi ahlanganisa amaphutha amaningi enqubo njengamanye amaphutha ezokwelapha. Ukwehlukana kwezokuxhumana, amaphutha enziwe ngesikhathi sokunikwa kukadokotela noma ukukhipha, nezinye izinto eziningi zingenzeka. Kodwa siyobe siyahlulela kabi kakhulu le ndaba uma sicabanga ukuthi amaphutha ezidakamizwa ayimbangela yokulimala esigulini. Inselele eyodwa enkulu ekuhlukaniseni amaphutha ezokwelapha ahlukene ukunquma ukuthi kufanele kuhlukaniswe iphutha ngokusekelwe kunqubo ehilelekile noma umphumela. Kuyamukeleka ukuhlola lezo zigaba lapha, uma kubhekwa imizamo eminingi eyenziwe yokuthuthukisa izincazelo zokusebenza ezihlanganisa kokubili inqubo nomphumela, eziningi zazo ezisekelwe emsebenzini ka-Lucian Leape kusukela ngawo-1990. 

 

Thuthukisa Indlela Yakho Yokuphila Namuhla- Ividiyo

Ukuhlaziya Nokuvimbela Amaphutha Ezokwelapha

Izigaba ezisebenzayo nezingasebenziseki kwakuyizigaba ezimbili eziyinhloko zezehlakalo ezimbi u-Leape nozakwabo abazihlukanisa kulolu cwaningo. (Leape et al., 1991) Izinkinga zokuhlinza zazihlanganisa ukungenwa yizilonda, ukwehluleka ukuhlinzwa, izinkinga ezingezona ezobuchwepheshe, izinkinga sekwephuzile, kanye nobunzima bokusebenza. Okungasebenzi: izihloko ezifana nemithi ehlobene nemithi, ukuxilonga, ukuphathwa kabi, okuhlobene nenqubo, ukuwa, ukuphuka, i-postpartum, i-anesthesia-related, neonatal, kanye nesihloko sokubamba-konke kwesistimu kufakwe ngaphansi kwalesi sigaba sezehlakalo ezimbi. I-Leape iphinde yahlukanisa amaphutha ngokukhomba iphuzu lokuhlukaniswa kwenqubo. Uphinde wahlukanisa lezi zihloko ngezihloko ezinhlanu, ezihlanganisa: 

  • System
  • Ukusebenza
  • Ukuphathwa kwezidakamizwa
  • kwesifo
  • Okuvikelayo

Amaphutha amaningi ezinqubo awela ngaphansi kwesihloko esingaphezu kwesisodwa, nokho wonke asiza ukukhomba imbangela yangempela yenkinga. Uma udokotela ongaphezu koyedwa ebambe iqhaza ekunqumeni izindawo eziqondile ezidinga ukuthuthukiswa, kungase kudingeke imibuzo eyengeziwe.

 

 

Ngokobuchwepheshe, iphutha lezokwelapha lingenziwa yinoma yisiphi isisebenzi esibhedlela. Ayigcini kochwepheshe bezokwelapha abafana nodokotela nabahlengikazi. Umqondisi angase avule umnyango, noma ilungu leqembu elihlanzayo lingashiya ikhemikhali lapho ingane ingalibamba. Okubaluleke ngaphezu kokwaziwa komenzi wephutha yisizathu salo. Kuthiwani ngaphambi kwayo? Futhi singaqinisekisa kanjani ukuthi lokho akwenzeki futhi? Ngemva kokuqoqa yonke idatha engenhla nokunye okuningi, yisikhathi sokuthola ukuthi ungawavimbela kanjani amaphutha afanayo. Mayelana nemicimbi yabalindi, iJoint Commission yagunyaza kusukela ngo-1997 ukuthi zonke lezi zigameko zenzeke ngenqubo ebizwa nge-Root Cause Analysis (RCA). Kodwa-ke, ukusebenzisa le nqubo yezehlakalo ezidinga ukubikwa kubantu bangaphandle kuzodinga ukulungiswa.

 

Iyini Ukuhlaziywa Kwembangela Yomsuka?

Ama-RCA "athwebule imininingwane kanye nombono wesithombe esikhulu." Benza amasistimu okuhlola abe lula, ukuhlaziya ukuthi isenzo sokulungisa siyadingeka yini, kanye nokulandelela amathrendi. (Williams, 2001) Nokho, iyini ngempela i-RCA? Ngokuhlola izehlakalo eziholele ephutheni, i-RCA ingagxila ezenzakalweni nasezinqubweni esikhundleni sokubuyekeza noma ukusola abantu abathile. (I-AHRQ, 2017) Yingakho kubaluleke kangaka. I-RCA ivamise ukusebenzisa ithuluzi elibizwa ngokuthi i-Five Whys. Lena inqubo yokuqhubeka uzibuza ukuthi “kungani” ngemva kokukholwa ukuthi unqume imbangela yenkinga.

 

Isizathu sokuthi kubizwe ngokuthi “izizathu ezinhlanu” yingoba, nakuba ezinhlanu kuyisiqalo esihle kakhulu, kufanele uzibuze ukuthi kungani kuze kube yilapho uthola imbangela eyinhloko yenkinga. Ukubuza ukuthi kungani ngokuphindaphindiwe kungase kwembule amaphutha ezinqubo eziningi ezigabeni ezihlukene, kodwa kufanele uhlale ubuza ukuthi kungani ngaso sonke isikhathi sodaba uze uphelelwe ezinye izinto ezingalungiswa ukuze unikeze umphumela ofiselekayo. Kodwa-ke, amathuluzi ahlukene ngaphandle kwaleli angasetshenziswa ophenyweni lwembangela. Baningi abanye abakhona. Ama-RCA kufanele abe nemikhakha eminingi futhi angaguquguquki futhi abandakanye bonke abathintekayo ephutheni ukuze kugwenywe ukungaqondi kahle noma ukubikwa okungalungile kwezehlakalo.

 

Isiphetho

Amaphutha ezokwelapha ezikhungweni zezempilo ayizehlakalo ezivamile futhi ezingabikwanga ezibeka impilo yeziguli engcupheni. Kucatshangwa ukuthi abantu abangafika engxenyeni yesine yesigidi bayafa unyaka ngamunye ngenxa yamaphutha ezokwelapha. Lezi zibalo azamukelekile esikhathini lapho ukuphepha kwesiguli kufanele kube yinto ehamba phambili, kodwa akukuningi okwenziwayo ukuze kushintshwe izinqubo. Uma amaphutha ezokwelapha echazwe kahle futhi umsuka wenkinga utholakala ngaphandle kokubeka icala kubasebenzi abathile, lokhu akudingekile. Izinguquko ezibalulekile zingenziwa uma izimbangela ezibalulekile zesistimu noma amaphutha enqubo zihlonzwa ngendlela efanele. Indlela engaguquguquki, enemikhakha eminingi yokuhlaziya imbangela esebenzisa izinhlaka ezinjengalezi ezinhlanu zokuthi kungani zicutshungulwa kuze kube yilapho kudalulwa zonke izinkinga nokukhubazeka kuyithuluzi eliwusizo. Nakuba manje sekudingekile ukuze kuqalwe izenzakalo zabalindi, Ukuhlaziywa Kwembangela Yomsuka kungase futhi kufanele kusetshenziswe kuzo zonke izimbangela zamaphutha, kuhlanganise nokuphuthelwa eduze.

 

Okubhekwayo

I-Ejensi Yocwaningo Lokunakekelwa Kwezempilo Nekhwalithi. (2016). Ukuhlaziya Imbangela. Ibuyiselwe ngomhla ka-Mashi 20, 2017, kusukela psnet.ahrq.gov/primer/root-cause-analysis

Grober, ED, & Bohnen, JM (2005). Ukuchaza iphutha lezokwelapha. Ingabe uJ Surg, 48(1), i-39-44. www.ncbi.nlm.nih.gov/pubmed/15757035

Kohn, LT, Corrigan, J., Donaldson, MS, & Institute of Medicine (US). IKomidi Lekhwalithi Yokunakekelwa Kwezempilo eMelika. (2000). Ukwenza iphutha kuwumuntu : ukwakha uhlelo lwezempilo oluphephile. National Academy Press. books.nap.edu/books/0309068371/html/index.html

Leape, LL, Brennan, TA, Laird, N., Lawthers, AG, Localio, AR, Barnes, BA, Hebert, L., Newhouse, JP, Weiler, PC, & Hiatt, H. (1991). Uhlobo lwezehlakalo ezingezinhle ezigulini ezilaliswe esibhedlela. Imiphumela ye-Harvard Medical Practice Study II. N Engl J Med, 324(6), i-377-384. doi.org/10.1056/NEJM199102073240605

I-Lippincott ® NursingCenter ®. Isikhungo sabahlengikazi. (2004). www.nursingcenter.com/pdfjournal?AID=531210&an=00152193-200411000-00038&Journal_ID=54016&Issue_ID=531132

U-Martinez, W., Lehmann, LS, Hu, YY, Desai, SP, & Shapiro, J. (2017). Izinqubo Zokuhlonza Nokubuyekeza Imicimbi Emibi kanye Nokuphuthelwa Okuseduze Esikhungweni Sezokwelapha Sezemfundo. I-Jt Comm J Qual Isiguli Saf, 43(1), i-5-15. doi.org/10.1016/j.jcjq.2016.11.001

Inethiwekhi Yokuphepha Yesiguli. (2016). Izehlakalo ezimbi, eduze kwamaphutha, namaphutha. Ibuyiselwe ngomhla ka-Mashi 20, 2017, kusukela psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors

Williams, PM (2001). Amasu okuhlaziya imbangela yezimpande. I-Proc (Bayl Univ Med Cent), 14(2), i-154-157. doi.org/10.1080/08998280.2001.11927753

Disclaimer

Ukuthuthukisa I-Intervertebral Disc Health: Amasu Okuphila Kahle

Ukuthuthukisa I-Intervertebral Disc Health: Amasu Okuphila Kahle

by | Ukuhlolwa kwe-Chiropractic, Ukuhlanzeka komgogodla

Kubantu ababhekene nobuhlungu be-back nezinkinga, ingabe ukwazi ukuthuthukisa nokugcina impilo ye-intervertebral disc kungasiza ekunciphiseni izimpawu?

Ukuthuthukisa I-Intervertebral Disc Health: Amasu Okuphila Kahle

I-Intervertebral Disc Health

Ikholomu yomgogodla inamathambo anyakazayo angama-24 namathambo angama-33 abizwa ngokuthi ama-vertebrae. Amathambo omgogodla ahlanganiswe phezu komunye nomunye. I-intervertebral disc iyinto ehlanganisayo phakathi kwamathambo aseduze. (I-Dartmouth. 2008)

Bones

Amathambo omgogodla mancane futhi ayindilinga endaweni ebizwa ngokuthi umzimba we-vertebral. Ngemuva kunendandatho enamathambo lapho ama-protrusions anwebeka khona bese kwakhiwa ama-arches nezindlela. Isakhiwo ngasinye sinenhloso eyodwa noma ngaphezulu futhi sihlanganisa: (Waxenbaum JA, Reddy V, Williams C, et al., 2023)

  • Ukuzinzisa umgogodla.
  • Ukunikeza isikhala ukuze izicubu ezixhumeneyo nemisipha yangemuva zixhumeke.
  • Ukuhlinzeka ngomhubhe ukuze umgogodla udlule ngokuhlanzekile.
  • Inikeza isikhala lapho izinzwa ziphuma futhi ziphuma kuzo zonke izindawo zomzimba.

Ukwakheka

I-intervertebral disc iyi-cushioning ehlala phakathi kwama-vertebrae. Ukuklanywa komgogodla kuwuvumela ukuthi uhambe ngezindlela ezihlukahlukene:

  • Ukugoba noma ukugoba
  • Isandiso noma i-arching
  • Ukutsheka nokuzungeza noma ukusonta.

Amandla anamandla asebenza futhi athonya ikholomu yomgogodla ukukhiqiza lokhu kunyakaza. I-intervertebral disc idonsa ukushaqeka ngesikhathi sokunyakaza futhi ivikela ama-vertebrae nomgogodla ekulimaleni kanye/noma ekuhlukumezekeni.

Amandla

Ngaphandle, izicubu ezilukiwe eziqinile zakha indawo ebizwa ngokuthi i-annulus fibrosis. I-annulus fibrosis iqukethe futhi ivikela into yejeli ethambile phakathi nendawo, i-nucleus pulposus. (YS Nosikova et al., 2012) I-nucleus pulposis inikeza ukushaqeka, ukuguquguquka, nokuvumelana, ikakhulukazi ngaphansi kwengcindezi ngesikhathi sokunyakaza komgogodla.

Mechanics

I-nucleus pulposus iyinto yejeli ethambile etholakala phakathi nendawo yediski evumela ukunwebeka nokuguquguquka ngaphansi kwamandla okucindezeleka ukuze ibambe ukucindezelwa. (Nedresky D, Reddy V, Singh G. 2024) Isenzo se-swivel sishintsha ukutsheka nokujikeleza kwe-vertebra ngaphezulu nangaphansi, kuphazamise imiphumela yokunyakaza komgogodla. Ama-disc ayazulazula ngokuphendula isiqondiso somgogodla. I-nucleus pulposus yenziwe kakhulu ngamanzi, angena futhi aphume ngokusebenzisa izimbotshana ezincane, esebenza njengemigwaqo phakathi kwe-vertebra ne-disc bone. Izikhundla zomzimba ezilayisha umgogodla, njengokuhlala nokuma, ziphusha amanzi ngaphandle kwediski. Ukulala phansi ngemuva noma endaweni ephansi kusiza ukubuyiselwa kwamanzi kudiski. Njengoba umzimba uguga, ama-disc alahlekelwa amanzi/qeda amanzi emzimbeni, okuholela ekuwohlokeni kwediski. I-disc intervertebral ayinalo igazi, okusho ukuthi ukuze i-disc ithole umsoco odingekayo kanye nokususwa kwemfucuza, kufanele ithembele ekujikelezeni kwamanzi ukuze uhlale unempilo.

Care

Ezinye izindlela zokugcina impilo ye-intervertebral disc zihlanganisa:

  • Ukunaka ukuma.
  • Shintsha izikhundla njalo usuku lonke.
  • Ukuzivocavoca nokuhambahamba.
  • Ukusebenzisa izinsimbi zomzimba ezifanele emisebenzini yomzimba.
  • Ukulala kumatilasi osekelayo.
  • Ukuphuza amanzi amaningi.
  • Ukudla okunempilo.
  • Ukugcina isisindo esinempilo.
  • Ukuphuza utshwala ngokulinganisela.
  • Ukuyeka ukubhema.

Ku-Injury Medical Chiropractic kanye ne-Functional Medicine Clinic, selapha ukulimala nama-syndromes ezinhlungu ezingapheli ngokuthuthukisa ikhono lomuntu ngokusebenzisa izinhlelo eziguquguqukayo, ukuhamba, kanye nokushesha ezenzelwe wonke amaqembu eminyaka yobudala nokukhubazeka. Ithimba lethu le-chiropractic, izinhlelo zokunakekelwa, nezinsizakalo zomtholampilo zikhethekile futhi zigxile ekulimaleni kanye nenqubo ephelele yokululama. Izindawo zethu zokuzijwayeza zihlanganisa Wellness & Nutrition, Acupuncture, Pain Chronic, Injury Personal, Auto Accident Care, Work Injury, Back Back Pain, Neck Pain, Migraine Headaches, Sports Injuries, Severe Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia , Ubuhlungu Obungamahlalakhona, Ukulimala Okuyinkimbinkimbi, Ukulawulwa Kwengcindezi, Ukwelashwa Kwemithi Esebenzayo, kanye nezinqubo zokunakekelwa kwe-in-scope. Uma kudingeka okunye ukwelashwa, abantu bazothunyelwa emtholampilo noma kudokotela ofaneleka kakhulu ukulimala kwabo, isimo, kanye/noma ukugula kwabo.

Ngale Kwendawo: Ukuqonda Imithelela Yokulimala Komuntu Siqu

Okubhekwayo

Dartmouth Ronan O'Rahilly, MD. (2008). I-Basic Anatomy Yomuntu. Isahluko 39: Ikholomu yomgogodla. Ku-D. Rand Swenson, MD, PhD (Ed.), I-BASIC HUMAN ANATOMY Ucwaningo Lwesifunda Lwesakhiwo Somuntu. I-WB Saunders. humananatomy.host.dartmouth.edu/BHA/public_html/part_7/chapter_39.html

Waxenbaum, JA, Reddy, V., Williams, C., & Futterman, B. (2024). I-Anatomy, Emuva, i-Lumbar Vertebrae. Ku-StatPearls. www.ncbi.nlm.nih.gov/pubmed/29083618

Nosikova, YS, Santerre, JP, Grynpas, M., Gibson, G., & Kandel, RA (2012). Ukubonakaliswa kwe-annulus fibrosus-vertebral body interface: ukuhlonza izici ezintsha zesakhiwo. Ijenali ye-anatomy, 221(6), 577-589. doi.org/10.1111/j.1469-7580.2012.01537.x

Nedresky D, Reddy V, Singh G. (2024). I-Anatomy, Emuva, i-Nucleus Pulposus. Ku-StatPearls. www.ncbi.nlm.nih.gov/pubmed/30570994

I-Structural Mechanics and Movement: I-Biomechanics Iyachazwa

I-Structural Mechanics and Movement: I-Biomechanics Iyachazwa

by | Ukuhlolwa kwe-Chiropractic, I-Physiology yabantu

Kubantu ababhekene nezinkinga ze-musculoskeletal kanye nezimpawu zobuhlungu, bangakwazi ukufunda nge-biomechanics nokuthi kusebenza kanjani ekuhambeni, ukuqeqeshwa ngokomzimba, nokusebenza, ukusiza ekwelapheni ukulimala nokuvimbela?

I-Structural Mechanics and Movement: I-Biomechanics Iyachazwa

I-Biomechanics

I-Biomechanics ifunda zonke izinhlobo zokuphila kanye nokusebenza kwazo kwemishini. Abaningi bacabanga nge-biomechanics kwezemidlalo nokusebenza kwe-athletic, kodwa i-biomechanics isiza ukudala nokuthuthukisa ubuchwepheshe, izinto zokusebenza, namasu okubuyisela ukulimala. (Tung-Wu Lu, Chu-Fen Chang 2012) Ososayensi, odokotela bemithi yezemidlalo, ama-physiotherapists, ama-chiropractors, nochwepheshe be-conditioning basebenzisa i-biomechanics ukusiza ukuthuthukisa izinqubo zokuqeqesha nezindlela zokuthuthukisa imiphumela yokwelapha.

Ukunyakaza komzimba

I-Biomechanics ifunda ukunyakaza komzimba, okuhlanganisa ukuthi imisipha, amathambo, imisipha, nemigqa isebenza kanjani ndawonye, ​​​​ikakhulukazi lapho ukunyakaza kungalungile noma kungalungile. Iyingxenye yenkambu enkulu ye-kinesiology, egxile ikakhulukazi kumakhenikha okunyakaza nokuhlaziya ukuthi zonke izingxenye zomzimba zisebenza kanjani ndawonye ukuze zenze ukunyakaza kwezemidlalo nokujwayelekile. (UJosé M Vilar et al., 2013) I-Biomechanics ihlanganisa:

  • Ukwakheka kwamathambo nemisipha.
  • Ikhono lokunyakaza.
  • Izindlela zokujikeleza kwegazi, ukusebenza kwezinso, neminye imisebenzi.
  • Ucwaningo lwamandla kanye nemiphumela yalawa mandla ezicutshini, uketshezi, noma izinto ezisetshenziselwa ukuxilongwa, ukwelashwa, noma ucwaningo. (U-Jose I. Priego-Quesada 2021)

Sports

Izifundo ze-Sports biomechanics ekuzilolongeni, ekuqeqesheni, nakwezemidlalo, okufaka i-physics kanye nemithetho yemishini. Isibonelo, i-biomechanics yokuzivocavoca okuthile ibheka:

  • Ukuma komzimba.
  • Ukunyakaza kwezinyawo, izinqulu, amadolo, umhlane, amahlombe nezingalo.

Ukwazi amaphethini okunyakaza alungile kusiza ukwenza okuningi ngokuzivocavoca ngenkathi kuvimbela ukulimala, ukulungisa amaphutha efomu, ukwazisa izimiso zokuqeqesha, nokwandisa imiphumela emihle. Ukuqonda ukuthi umzimba uhamba kanjani nokuthi kungani uhamba ngendlela kusiza ochwepheshe bezokwelapha bavimbele futhi belaphe ukulimala, banciphise izimpawu zobuhlungu, futhi bathuthukise ukusebenza.

Isisetshenziswa

I-Biomechanics isetshenziswa ekuthuthukisweni kwemishini yomzimba neyezemidlalo ukwenza ngcono ukusebenza. Isibonelo, isicathulo singakhelwa ukusebenza kahle komdlali we-skateboarder, umgijimi webanga elide, noma umdlali webhola lezinyawo. Izindawo zokudlala nazo ziyafundelwa le njongo, njengokuthi ukuqina kwe-surface turf yokwenziwa kukuthinta kanjani ukusebenza kwezemidlalo. (U-Jose I. Priego-Quesada 2021)

Ngabanye

  • I-Biomechanics ingahlaziya umnyakazo womuntu ukuze uthole ukunyakaza okusebenzayo ngesikhathi sokuqeqeshwa nemidlalo.
  • Isibonelo, ukugijima komuntu ngamunye noma ukushwiba kungathwetshulwa ngezincomo zokuthi yini okufanele uyishintshe ukuze uthuthuke.

Ukulimala

  • Isayensi ifunda izimbangela, ukwelashwa, kanye nokuvimbela ukulimala kwe-neuromusculoskeletal.
  • Ucwaningo lungahlaziya amandla abangela ukulimala futhi lunikeze ulwazi kochwepheshe bezokwelapha mayelana nendlela yokunciphisa ingozi yokulimala.

Training

  • I-Biomechanics ifunda amasu ezemidlalo nezinhlelo zokuqeqesha ukuthuthukisa izindlela zokuthuthukisa ukusebenza kahle.
  • Lokhu kungabandakanya ucwaningo ngokubeka indawo, ukukhululwa, ukulandela, njll.
  • Ingakwazi ukuhlaziya futhi isize ukuklama amasu amasha okuqeqesha ngokusekelwe ezidingweni zemishini yezemidlalo, okuhloswe ngayo ukuphumela ekubeni ngcono. ukusebenza.
  • Isibonelo, ukusebenza kwemisipha kulinganiswa ekugibeleni ngebhayisikili kusetshenziswa i-electromyography ne-kinematics, esiza abacwaningi bahlaziye izici ezifana nokuma, izingxenye, noma ukuqina kokuzivocavoca okuthinta ukusebenza. (U-Jose I. Priego-Quesada 2021)

Ukunyakaza

Ku-biomechanics, ukunyakaza komzimba kubhekiselwa kukho ekumeni kwe-anatomical:

  • Ame aqonde, abheke phambili
  • Izingalo emaceleni
  • Izimpama zibheke phambili
  • Izinyawo zihlukene kancane, izinzwane ziye phambili.

Izindiza ezintathu ze-anatomical zihlanganisa:

  • I-Sagittal - i-median - Ukuhlukanisa umzimba ube izingxenye zesokudla nesobunxele yindiza ye-sagittal/median. Ukuguquguquka nokunwetshwa kwenzeka endizeni ye-sagittal.
  • Ingaphambili - Indiza engaphambili ihlukanisa umzimba emaceleni angaphambili nangemuva kodwa futhi ihlanganisa ukuthunjwa, noma ukususa isitho phakathi nendawo, kanye nokudonswa, noma ukuhambisa isitho sibheke enkabeni endizeni engaphambili.
  • Transverse – enezingqimba. – Izingxenye ezingenhla nezingezansi zomzimba zihlukaniswa yindiza ephambanayo/evundlile. Ukunyakaza okujikelezayo kwenzeka lapha. (I-American Council on Exercise 2017)
  • Ukuhambisa umzimba kuzo zontathu izindiza kwenzeka ngomsebenzi wansuku zonke. Yingakho kunconywa ukwenza izivivinyo endizeni ngayinye yokunyakaza ukuze kwakhiwe amandla, umsebenzi, nokuzinza.

Amathuluzi

Amathuluzi ahlukahlukene asetshenziswa ukutadisha i-biomechanics. Izifundo zivame ukwenziwa kusetshenziswa idivayisi eyaziwa ngokuthi izinzwa ze-electromyography noma ze-EMG. Izinzwa zifakwa esikhumbeni futhi zikala inani nezinga le-muscle fiber activation emisipha ethile phakathi nokuzivocavoca kokuhlolwa. Ama-EMG angasiza:

  • Abacwaningi bayaqonda ukuthi yiziphi izivivinyo ezisebenza kangcono kunezinye.
  • Abelaphi bayazi ukuthi izicubu zeziguli zisebenza kahle futhi ziyasebenza yini.
  1. Ama-Dynamometers angelinye ithuluzi elisiza ukukala amandla emisipha.
  2. Bakala amandla okukhipha amandla akhiqizwa ngesikhathi sokufinyela kwemisipha ukuze babone ukuthi imisipha iqine ngokwanele yini.
  3. Zisetshenziselwa ukukala amandla okubamba, okungaba inkomba yamandla onke, impilo, nokuphila isikhathi eside. (U-Li Huang et al., 2022)

Beyond Adjustments: Chiropractic and Integrative Healthcare

Okubhekwayo

Lu, TW, & Chang, CF (2012). I-Biomechanics yokunyakaza kwabantu kanye nezicelo zayo zomtholampilo. Ijenali ye-Kaohsiung yesayensi yezokwelapha, 28(2 Suppl), S13–S25. doi.org/10.1016/j.kjms.2011.08.004

Vilar, JM, Miró, F., Rivero, MA, & Spinella, G. (2013). I-Biomechanics. Ucwaningo lwamazwe ngamazwe lwe-BioMed, 2013, 271543. doi.org/10.1155/2013/271543

I-Priego-Quesada JI (2021). I-Exercise Biomechanics kanye nePhysiology. Impilo (Basel, Switzerland), 11(2), 159. doi.org/10.3390/life11020159

I-American Council on Exercise. Makeba Edwards. (2017). Izindiza Zokunyakaza Zichazwe (Isayensi Yokuzivocavoca, Ukukhishwa. www.acefitness.org/fitness-certifications/ace-answers/exam-preparation-blog/2863/the-planes-of-motion-explained/

U-Huang, L., Liu, Y., Lin, T., Hou, L., Song, Q., Ge, N., & Yue, J. (2022). Ukuthembeka nokuba semthethweni kwama-dynamometer amabili ezandla uma esetshenziswa abantu abadala abahlala emphakathini abaneminyaka engaphezu kwengama-50. I-BMC geriatrics, 22(1), 580. doi.org/10.1186/s12877-022-03270-6

Ukuqonda Ama-Synovial Cysts Omgogodla: Uhlolojikelele

Ukuqonda Ama-Synovial Cysts Omgogodla: Uhlolojikelele

by | Ukuhlolwa kwe-Chiropractic, Sciatica

Abantu abaye babhekana nokulimala emuva bangase bathuthukise i-synovial spinal cyst njengendlela yokuvikela umgogodla ongabangela izimpawu zobuhlungu kanye nemizwa. Ingabe ukwazi izimpawu kungabasiza abahlinzeki bezokunakekelwa kwempilo ukuba bakhe uhlelo lokwelapha oluphelele lokudambisa izinhlungu, ukuvimbela ukubhebhetheka kwesimo nezinye izimo zomgogodla?

Ukuqonda Ama-Synovial Cysts Omgogodla: Uhlolojikelele

Ama-Synovial Cysts omgogodla

Ama-Synovial cysts omgogodla amasaka agcwele uketshezi olungenabungozi akhula emalungeni omgogodla. Zakha ngenxa yokuwohloka komgogodla noma ukulimala. Ama-cysts angakheka noma yikuphi emgogodleni, kodwa iningi livela endaweni ye-lumbar / emuva ongezansi. Ngokuvamile zikhula emalungeni e-facet noma ukuhlangana okugcina i-vertebrae / amathambo omgogodla ehlangene.

Izimpawu

Ezimweni eziningi, ama-synovial cysts awabangeli izimpawu. Kodwa-ke, udokotela noma uchwepheshe uzofuna ukuqapha izimpawu ze-disc degenerative, i-spinal stenosis, noma i-cauda equina syndrome. Uma izimpawu zikhona, ngokuvamile zibangela i-radiculopathy noma ukucindezelwa kwezinzwa, okungabangela ubuhlungu emuva, ubuthakathaka, ukuba ndikindiki, nobuhlungu obukhiphayo obubangelwa ukucasuka. Ubukhulu bezimpawu buncike kusayizi nendawo ye-cyst. Ama-cysts e-Synovial angathinta uhlangothi olulodwa lomgogodla noma kokubili futhi angakha engxenyeni eyodwa yomgogodla noma emazingeni amaningi.

Imithelela ingafaka

  • Izimpawu ze-Radiculopathy zingakhula uma i-cyst noma ukuvuvukala okubangelwa i-cyst kuhlangana nempande yenzwa yomgogodla. Lokhu kungabangela i-sciatica, ubuthakathaka, ukuba ndikindiki, noma ubunzima bokulawula imisipha ethile.
  • I-Neurogenic claudication/impingement kanye nokuvuvukala kwezinzwa zomgogodla kungabangela ukucindezelwa, ubuhlungu, kanye/noma ukugubha emhlane ophansi, emilenzeni, ezinqulwini nasezinqeni. (U-Martin J. Wilby et al., 2009)
  • Uma umgogodla uhilelekile, kungase kubangele i-myelopathy /ukucindezelwa okukhulu komgogodla okungabangela ukuba ndikindiki, ubuthakathaka, kanye nezinkinga zokulinganisela. (U-Dong Shin Kim et al., 2014)
  • Izimpawu ezihlobene ne-cauda equina, okuhlanganisa izinkinga zamathumbu kanye/noma esinyeni, ubuthakathaka bomlenze, kanye nezinzwa zesihlalo/ukulahlekelwa ukuzwa emathangeni, ezinqeni, nase-perineum, zingabonakala kodwa azivamile, njengama-synovial cysts phakathi nomhlane nentamo. Uma ama-cysts e-thoracic kanye ne-cervical synovial cysts ekhula, angabangela izimpawu ezifana nokuba ndikindiki, ukugubha, ubuhlungu, noma ubuthakathaka endaweni ethintekile.

Izimbangela

Umgogodla we-synovial cysts ngokuvamile ubangelwa izinguquko eziwohlokayo njenge-osteoarthritis ekhula ngokuhlanganyela ngokuhamba kwesikhathi. Ngokuguga okuvamile, i-facet joint cartilage/izinto ezisejoyintini elinikeza ukuvikeleka, indawo ebushelelezi, ukuncishiswa kokushwibeka, nokumunca ukushaqeka kuqala ukuwohloka. Njengoba inqubo iqhubeka, i-synovium ingenza i-cyst.

  • Ama-traumas, amakhulu namancane, anemiphumela yokuvuvukala futhi ewohlokayo emalungeni angabangela ukwakheka kwe-cyst.
  • Cishe ingxenye yesithathu yabantu abane-spinal synovial cyst nabo bane-spondylolisthesis.
  • Lesi simo yilapho i-vertebrae iphuma endaweni noma ngaphandle kokuhleleka ku-vertebra engaphansi.
  • Kuwuphawu lokungaqini komgogodla.
  • Ukungazinzi kungenzeka kunoma iyiphi indawo yomgogodla, kodwa i-L4-5 yizinga elivame kakhulu.
  • Lesi sigaba somgogodla sithatha ingxenye enkulu yesisindo somzimba esiphezulu.
  • Uma ukungazinzi kwenzeka, i-cyst ingakhula.
  • Kodwa-ke, ama-cysts angakheka ngaphandle kokungazinzi.

Sifo

Ukwelashwa

Amanye ama-cysts ahlala emancane futhi abangele izimpawu ezimbalwa ezingabizi. Ama-cyst adinga ukwelashwa kuphela uma edala izimpawu. (Nancy E, Epstein, Jamie Baisden. 2012)

Ukulungiswa Kwendlela Yokuphila

  • Uchwepheshe wezokunakekelwa kwempilo uzoncoma ukugwema imisebenzi ethile eyenza izimpawu zibe zimbi kakhulu.
  • Abantu ngabanye bangase belulekwe ukuthi baqale Ukuzivocavoca okuqondisiwe kanye nokwelula.
  • Ukwelashwa ngokomzimba noma ukwelapha emsebenzini nakho kungase kunconywe.
  • Ukusetshenziswa ngezikhathi ezithile kwama-nonsteroidal anti-inflammatories/ama-NSAID afana ne-ibuprofen ne-naproxen kungasiza ukukhulula ubuhlungu ngezikhathi ezithile.

Izinqubo Zabangaphandle

  • Kuma-cysts abangela ubuhlungu obukhulu, ukuba ndikindiki, ubuthakathaka, nezinye izinkinga, inqubo yokukhipha uketshezi/i-aspiration ku-cyst ingase inconywe.
  • Olunye ucwaningo lwathola ukuthi izinga lokuphumelela lisukela kumaphesenti angu-0 kuye kwangama-50.
  • Abantu abadlula ekushisekeleni ngokuvamile badinga izinqubo eziphindaphindiwe uma ukwakheka koketshezi kubuya. (Nancy E, Epstein, Jamie Baisden. 2012)
  • Imijovo ye-epidural corticosteroid inganciphisa ukuvuvukala futhi ingaba inketho yokudambisa izinhlungu.
  • Iziguli zinconywa ukuthi zingatholi imijovo engaphezu kwemithathu ngonyaka.

Izinketho Zokuhlinza

Ezimweni ezinzima noma eziphikelelayo, udokotela angase atuse ukuhlinzwa kwe-decompression ukuze kukhishwe i-cyst kanye nethambo elizungezile ukuze kuncishiswe ingcindezi empandeni yezinzwa. Izinketho zokuhlinzwa zisukela ezinqubweni ze-endoscopic ezingavamisile ukuya ekuhlinzweni okukhulu, okuvulekile. Inketho yokuhlinzwa engcono kakhulu iyehluka ngokuya ngobunzima besimo kanye nokuthi iziyaluyalu ezihambisana nazo zikhona yini. Izinketho zokuhlinzwa zihlanganisa:

  • Laminectomy - Ukususwa kwesakhiwo samathambo esivikela futhi simboze umsele womgogodla / i-lamina.
  • I-Hemilaminectomy – I-laminectomy eguquliwe lapho kukhishwa ingxenye encane ye-lamina.
  • I-Facetectomy – Ukususwa kwengxenye ye-facet joint ethintekile lapho i-synovial cyst ikhona, ngokuvamile kulandela i-laminectomy noma i-hemilaminectomy.
  • Fusion amalunga e-facet kanye ne-vertebra - Yehlisa ukuhamba kwe-vertebral endaweni elimele.
  1. Abantu abaningi bathola ukukhululeka kobuhlungu ngokushesha ngemva kwe-laminectomy noma i-hemilaminectomy.
  2. I-Fusion ingathatha izinyanga eziyisithupha kuya kweziyisishiyagalolunye ukuze iphole ngokuphelele.
  3. Uma ukuhlinzwa kwenziwa ngaphandle kokuhlanganiswa lapho i-cyst yaqala khona, ubuhlungu bungabuya, futhi esinye isimila singakheka phakathi neminyaka emibili.
  4. Izinkinga Zokuhlinzwa zihlanganisa ukutheleleka, ukopha, nokulimala komgogodla noma impande yenzwa.

Ukuthi Ngakuthola Kanjani Ukuhamba Kwami Nge-Chiropractic

Okubhekwayo

U-Wilby, MJ, Fraser, RD, Vernon-Roberts, B., & Moore, RJ (2009). Ukusabalala kanye ne-pathogenesis ye-synovial cysts ngaphakathi kwe-ligamentum flavum ezigulini ezine-lumbar spinal stenosis kanye ne-radiculopathy. Umgogodla, 34(23), 2518–2524. doi.org/10.1097/BRS.0b013e3181b22bd0

UKim, DS, Yang, JS, Cho, YJ, & Kang, SH (2014). I-acute myelopathy ebangelwa i-cyst synovial cyst yomlomo wesibeletho. Ijenali ye-Korean Neurosurgical Society, i-56 (1), i-55-57. doi.org/10.3340/jkns.2014.56.1.55

U-Epstein, NE, & Baisden, J. (2012). Ukuxilongwa nokuphathwa kwe-synovial cysts: Ukusebenza kokuhlinzwa ngokumelene ne-cyst aspiration. I-Surgery Neurology international, 3(Suppl 3), S157–S166. doi.org/10.4103/2152-7806.98576

Ungabhekana Kanjani Nezinyawo Ezishisayo Uma Ugijima Futhi Uhamba

Ungabhekana Kanjani Nezinyawo Ezishisayo Uma Ugijima Futhi Uhamba

by | Abadlali, Ukuhlolwa kwe-Chiropractic

Izinyawo zomuntu ngamunye zizoshisa lapho ehamba noma egijima; Nokho, izinyawo ezivuthayo zingaba uphawu lwezimo zezokwelapha ezifana nonyawo lomsubathi noma ukulimala kwenzwa noma ukulimala. Ingabe ukuqwashisa ngalezi zimpawu kungasiza ekuboneni izixazululo zokukhulula nokuphulukisa isimo esiwumsuka?

Ungabhekana Kanjani Nezinyawo Ezishisayo Uma Ugijima Futhi Uhamba

Izinyawo Ezivuthayo

Abahamba ngezinyawo nabagijimi bavame ukuzwa ukushisa ezinyaweni zabo. Lokhu kungokwemvelo kusukela ekukhuphukeni kokujikeleza kwegazi, ukushaya kwenhliziyo, imigwaqo yaseceleni efudumele noma eshisayo, kanye nokuhamba ngezinyawo. Kodwa izinyawo zingase zizwe ukushisa okungavamile noma ukusha. Ngokuvamile, ukushisa ngokweqile kubangelwa amasokisi nezicathulo nokukhathala ngemva kokuzivocavoca isikhathi eside. Izinyathelo zokuqala zokuzinakekela zihlanganisa ukuzama izicathulo ezintsha noma ezikhethekile kanye nokulungiswa kokujima. Uma izinyawo ezishisayo ziqhubeka noma kunezimpawu zokutheleleka, ukuluma, ukuba ndikindiki, noma ubuhlungu, abantu kufanele babonane nomhlinzeki wabo wezempilo. (IMayo Clinic. 2018)

izicathulo

Izicathulo nendlela ezigqokwa ngayo kungase kube imbangela.

  • Okokuqala, bheka izinto zezicathulo. Kungaba izicathulo kanye/noma ama-insoles angasabalalisi umoya. Bangashisa futhi bajuluke ngaphandle kokujikeleza komoya okufanele ezinyaweni.
  • Uma ukhetha izicathulo ezigijimayo, cabanga ngento enezikhala evumela ukugeleza komoya ukugcina izinyawo zipholile.
  • Cabangela ukuhlonyelwa izicathulo ezinosayizi ofanele, njengoba izinyawo zivuvukala lapho ugijima noma uhamba.
  • Uma izicathulo zizincane kakhulu, umoya awukwazi ukujikeleza, okwenza kube nokungqubuzana okwengeziwe phakathi konyawo nesicathulo.
  • Izicathulo ezinkulu kakhulu nazo zingaba nomthelela ekungqubuzaneni njengoba izinyawo zihambahamba kakhulu.
  • Ama-insoles nawo anganikela.
  • Amanye ama-insoles angenza izinyawo zishise, ngisho noma izicathulo ziphefumula.
  • Shintsha ama-insoles kusuka kwelinye izicathulo ukuze ubone ukuthi ayanikela yini, futhi uma kunjalo, bheka ama-insoles amasha.

Amathiphu okusiza ukuvimbela izinyawo ezishisayo:

Amafutha esihloko

  • Sebenzisa i-anti-blister/chafing topical cream ukuze ugcobe futhi uvikele izinyawo.
  • Lokhu kuzonciphisa ukungqubuzana futhi kuvimbele amabhamuza.

I-Lace ngokufanele

  • Abantu ngabanye bangase babophe izicathulo eziqine kakhulu, bavimbele ukujikeleza kwegazi, noma bacasule izinzwa phezulu onyaweni.
  • Abantu ngabanye kufanele bakwazi ukuslayida umunwe owodwa ngaphansi kwefindo.
  • Khumbula ukuthi izinyawo zizovuvukala lapho uhamba noma uqala ukugijima
  • Abantu bangadinga ukukhulula izintambo zabo ngemva kokufudumala.
  • Kunconywa ukuthi abantu bafunde izindlela zokubopha ezizoqinisekisa ukuthi azimpintshi kakhulu ezindaweni ezibucayi.

Ukuhlaselwa

  • Ukukhathala ngenxa yokusebenza isikhathi eside noma izinsuku ezinde zokuma/ukunyakaza kungaholela ekushiseni kwezinyawo.
  • Abantu ngabanye bangase badinge i-cushioning eyengeziwe ezicathulweni.
  • Bheka izicathulo zomsebenzi nezokusubatha ezengeze i-cushioning.

I-Allergies Yezicathulo

Abantu ngabanye bangase babe nokungezwani komzimba noma ukuzwela kwendwangu, izinto ezinamathelayo, odayi, noma amanye amakhemikhali. (Umtholampilo waseCleveland. 2023) Amakhemikhali asetshenziswa ekukhiqizeni ayahlukahluka ngesikhumba uma kuqhathaniswa nendwangu futhi ahlukile ngomkhiqizo nomkhiqizi.

  • Ukungezwani nezinto ezicathulweni kungase kubangele ukushisa, ukulunywa, nokuvuvukala.
  • Kuyanconywa ukuthi uqaphele ukuthi izimpawu zenzeka kuphela uma ugqoke izicathulo ezithile.
  • Izincomo ukuzama izinhlobo ezahlukene nezinhlobo zezicathulo.

Amasokisi

Indwangu yesokisi ingaba nomthelela ezinyaweni ezishisayo noma ezivuthayo. Izinyathelo ongazithatha zingabandakanya:

Gwema ukotini

  • Ukotini uyi-fiber yemvelo kodwa awunconywa ukuhamba nokugijima njengoba ubamba umjuluko ongakwazi ukugcina izinyawo zimanzi.
  • Kunconywa ukusebenzisa amasokisi enziwe nge-Cool-Max neminye imicu yokwenziwa ecisha umjuluko futhi iwapholise.

Uboya

  • Amasokisi ewuli angabangela nokuluma kanye nokusha.
  • Cabangela amasokisi okugijima enziwe ngoboya obungalunywayo.

ukucabangela

  • Abantu bangazwela kwezinye izindwangu noma odayi emasokisini.
  • Qaphela ukuthi yimaphi amasokisi abangela izimpawu zezinyawo ezishisayo noma ezishisayo.
  • Abantu bangaphinde bazwele emikhiqizweni yokuwasha futhi bayanconywa ukuthi bazame uhlobo oluhlukile noma uhlobo.

Imibandela Yezokwelapha

Ngaphezu kwezicathulo namasokisi, izimo zezokwelapha zingabangela futhi zibe nomthelela ezimpawu.

Unyawo Lomsubathi

  • Unyawo lwe-Athlete luyisifo sokukhunta.
  • Abantu bangazizwa beshisa endaweni ethintekile.
  • Ngokuvamile, liyaluma, libomvu, liyakala, noma liyaqhekeka.
  1. Zungezisa izicathulo.
  2. Isikhunta sikhula ezindaweni ezinomswakama, ngakho-ke, kunconywa ukuzungezisa izicathulo ukuze zome phakathi kokuzivocavoca.
  3. Geza futhi usule izinyawo ngemva kokuhamba noma ukugijima.
  4. Zama izixazululo zasekhaya nezangaphandle kwekhawunta, izimpushana, namakhambi ukwelapha unyawo lomsubathi.

neuropathy peripheral

Abantu abavame ukuzwa izinyawo ezishisayo ngaphandle kwalapho bekade bezivocavoca kungase kube ngenxa yokulimala kwemizwa eyaziwa ngokuthi yi-peripheral neuropathy. (I-National Institute of Neurological Disorders and Stroke. 2023) Izimpawu ze-peripheral neuropathy zihlanganisa izikhonkwane nezinaliti, ukuba ndikindiki, ukukitaza, ukuntweza, kanye/noma ukuzwa ukuvutha.

Ukuhlolwa

  • Isifo sikashukela singesinye sezimbangela ezivame kakhulu ze-peripheral neuropathy.
  • Isifo sikashukela singavela kunoma ibuphi ubudala.
  • Abantu kumele bafunde ukuvikela izinyawo zabo, njengoba kunconyelwa ukuvivinya umzimba ngesifo sikashukela.

Ezinye izimo ezingakhiqiza i-peripheral neuropathy zihlanganisa:

  • Ukushoda kwe-Vitamin B-12
  • Ukuphuza utshwala
  • Ukuphazamiseka kwesekhula
  • AIDS
  • Ubuthi bensimbi enamandla

Ukubhucunga kanye Nokunyakaza

  • Ukubhucunga izinyawo nakho kwandisa ukujikeleza kwegazi.
  • Ukuzivocavoca okunjengokuhamba kuyanconywa nge-peripheral neuropathy njengoba kuthuthukisa ukujikeleza ezinyaweni.

Ezinye Izimbangela

Izimpawu zingase futhi zidalwe ezinye izimo ezihlanganisa: (Umtholampilo waseCleveland. 2023)

Ukuvaleka Kwemizwa

  • Izinguquko eziwohlokayo emgogodleni noma ekuhlukumezeni emuva kungabangela ukulimala/ukulimala kwemizwa engabangela ubuhlungu, ukushoshozela, nokuba ndikindiki ezinyaweni.

I-Tarsal Tunnel Syndrome

  • Ukucindezelwa kwe-posterior tibial nerve emlenzeni wakho ophansi kungabangela ukugubha nokushisa ezinyaweni zakho.

I-Neonoma ka-Morton

  • I-Morton's neuroma, ebangelwa izicubu zezinzwa ezijiyile, ingabangela ubuhlungu kanye nokusha phansi kwezinzwane.

Izifo ezizenzakalelayo

  • Izifo ezifana ne-multiple sclerosis noma i-Lupus nazo zingadala izinyawo ezivuthayo.

Ukuzinakekela

Ukulungiswa noma ukungezwa kwemikhuba nemikhuba kungasiza.

  1. Ungahambi noma ugijime ngezicathulo ezigugile.
  2. Vikela izinyawo ngokusebenzisa amasokisi alungile, impushana yonyawo, namafutha okugcoba, futhi umboze noma yiziphi izindawo lapho ukuhlikihlwa nokungqubuzana kwenzeka khona.
  3. Ngokushesha shintsha izicathulo namasokisi ngemva kokuzivocavoca, okuvumela ukomisa komoya okuphelele.
  4. Lokhu kuzosiza ukunciphisa ingozi yokukhula kwesikhunta sonyawo lomsubathi.
  5. Gcoba izinyawo emanzini apholile. Ungasebenzisi iqhwa, ngoba lingalimaza isikhumba.
  6. Gcoba izinyawo ngosawoti we-Epsom ukuze ukhulule ubuhlungu nokuvuvukala futhi womise amabhamuza.
  7. Phakamisa izinyawo ngemva kokuzivocavoca.
  8. Zungezisa izicathulo namasokisi phakathi kwezikhathi zokujima naphakathi nosuku.
  9. Zama izicathulo ezahlukene, amasokisi, nama-insoles.
  10. Ukuqeqeshwa ngokweqile kungenza izimpawu zibe zimbi kakhulu.
  11. Zama ukwakha kancane kancane ebangeni ngenkathi uqapha izimpawu.

Bonana nodokotela noma umhlinzeki wezempilo onguchwepheshe uma izimpawu qhubeka futhi akuhambisani nokuhamba noma ukugijima.

Ukuhlola Imithi Edidiyelwe

Okubhekwayo

IMayo Clinic. (2018). Izinyawo Ezivuthayo.

I-National Institute of Neurological Disorders and Stroke. (2023). neuropathy peripheral.

Umtholampilo waseCleveland. (2023) I-Burning Feet Syndrome.

Impilo ye-Upper Crossed Syndrome Muscle

Impilo ye-Upper Crossed Syndrome Muscle

by | Ukuhlolwa kwe-Chiropractic, indlela yekuma

Ingabe izindlela zokwelapha ze-musculoskeletal zingabaphatha abantu abane-upper crossed syndrome ukuze baqede ubuhlungu, bathuthukise ukuma, futhi baqinise imisipha entanyeni, emahlombe nasesifubeni?

Impilo ye-Upper Crossed Syndrome Muscle

I-Upper Crossed Syndrome

I-Upper crossed syndrome yisimo lapho imisipha yamahlombe, intamo, nesifuba iba buthaka futhi iqine, futhi ngokuvamile ibangelwa ukuzilolonga okungenampilo. Izimpawu ngokuvamile zihlanganisa:

  • Ukuqina kwentamo kanye nemizwa yokudonsa.
  • Ukuqina komhlathi kanye/noma ukuqina
  • Ukuqina komhlane ongenhla, ukuntula ukuguquguquka, ukuqina, nobuhlungu obubuhlungu.
  • Ubuhlungu bentamo, ihlombe, nangaphezulu.
  • Ukukhanda ikhanda
  • Amahlombe ayindilinga
  • Umgogodla ogobile

I-Upper Crossed Syndrome nokuma

  • Isimo sithinta ukuma okunempilo ngokudala imisipha engalingani phakathi komhlane ongenhla nesifuba.
  • Imisipha emifushane eqinile esesifubeni esingenhla inwebeka kakhulu futhi ihlale isesimweni esinenkontileka encane idonsa imisipha yangemuva.
  • Lokhu kubangela ukuthi imisipha engenhla emhlane, emahlombe, nasentanyeni idonswe futhi ibe buthaka.
  • Umphumela uba iqolo eligobile, amahlombe angaphambili, nentamo ephumele ngaphandle.
  • Imisipha ethile ethintekile ihlanganisa i-trapezius kanye ne-levator scapula / ohlangothini lwemisipha yentamo. (Isibhedlela Sokuhlinzwa Okukhethekile. 2023)

Abantu abanobuhlungu beqolo obuhlala amasonto amabili noma ngaphezulu bayanconywa ukuthi babonane nochwepheshe womgogodla noma umhlinzeki wezempilo ukuze ahlole futhi anqume imbangela. zezimpawu zobuhlungu. (I-National Institute of Arthritis kanye ne-Musculoskeletal and Skin Diseases. 2023)

Ubuhlungu obungapheli

  • Ukungalingani ekusebenzeni kwemisipha nokunyakaza kanye nokuma okungenampilo konke kunomthelela ezimpawu.
  • I-syndrome ibonakala ngokuqina okungapheli, ukungezwani, ubuhlungu, nokwanda kokunganyakazi kwesifuba nemisipha yehlombe.
  • Ngokuhamba kwesikhathi ukuqina nokudonsa, kuhlangene nobuthakathaka kungaholela ekulimaleni kwamalunga ehlombe. (Seidi F, et al., 2020)

Izimbangela

Kunemisebenzi ethile nemisebenzi engaba nomthelela ekuthuthukisweni nasekubhebhethekeni kwe-syndrome. Izinto ezibhebhethekisa izimpawu zihlanganisa: (I-National Institute of Arthritis kanye ne-Musculoskeletal and Skin Diseases. 2023) - ((Seidi F, et al., 2020)

  • Ukuhlukumezeka ngokomzimba/ukulimala kunoma yiziphi izifunda zemisipha.
  • Imisebenzi enenani eliphezulu lokuzikhandla ngokomzimba, ukuphakamisa izinto ezinzima, nezingozi zokulimala.
  • Ukuzijwayeza ukuma nokuma okungalungile.
  • Imisebenzi edinga isikhathi eside sokuhlala kanye/noma sokuma.
  • Ukungenzi lutho kanye/noma indlela yokuphila yokungenzi lutho.
  • Ngaphezu komsebenzi wokusubatha.
  • Ukubhema.

Nokho, i-syndrome iyagwemeka futhi iyalawuleka.

Izokwelapha

Ukusebenza nodokotela we-chiropractor kanye nethimba le-physiotherapy massage kungasiza ekunqumeni nasekuthuthukiseni uhlelo lokwelapha lomuntu siqu olusebenza kahle futhi olufaneleka kakhulu. Uchwepheshe we-chiropractic kanye nomzimba uzohlinzeka ngezinketho eziningana, ezingabandakanya: (Imisedari-Sinayi. 2022) - ((I-National Institute of Arthritis kanye ne-Musculoskeletal and Skin Diseases. 2023) - ((Bae WS, et al., 2016)

  • Ukuqhafaza
  • Ukwelashwa kwe-massage ukwandisa ukujikeleza, ukuphumula, nokuqeqesha kabusha imisipha.
  • Ukulungiswa kwe-Chiropractic yokulungiswa kabusha komgogodla kanye nokuqeqeshwa kabusha kokuma.
  • Imishini engahlinzeki i-traction kanye ne-decompression therapy.
  • I-Kinesiology taping - ukutakula nokuvimbela.
  • Ukuqeqeshwa kokuma kabusha.
  • Ukuqeqeshwa kokunyakaza kwemisipha.
  • Izivivinyo eziqondise izicubu ezithambile namalunga.
  • Ukuqinisa ingqikithi.
  • Imijovo ye-steroid endaweni ethile.
  • Imithi kadokotela elwa nokuvuvukala yezimpawu zobuhlungu - yesikhashana.
  1. Abantu ngabanye bangase belulekwe ithimba le-chiropractic therapy ukuthi bagweme ukuphumula kombhede kakhulu futhi banciphise noma bagweme imisebenzi engabangela ubuhlungu noma izimpawu ezimbi kakhulu. (Imisedari-Sinayi. 2022)
  2. Ucwaningo luye lwabonisa ukuxhaphazwa komgogodla we-chiropractic kunciphisa ngempumelelo intamo, umgogodla, kanye nezimpawu zobuhlungu obuphansi emuva. (U-Gevers-Montoro C, et al., 2021)

Ukuzilawula

Kunezindlela zokulawula i-upper-crossed syndrome kanye nezimpawu ezihambisanayo. Amasu ajwayelekile afaka: (I-National Institute of Neurological Disorders and Stroke. 2023) - ((I-National Institute of Arthritis kanye ne-Musculoskeletal and Skin Diseases. 2023)

  • Ukuzijwayeza ukuma ngendlela efanele.
  • Ukwandisa noma ukunciphisa umsebenzi womzimba njengoba kunconywe ithimba lokwelapha.
  • Ukusebenzisa i-ice noma amaphakethe okushisa ukuze kudambise ubuhlungu nokwandisa ukujikeleza ukuze kukhuthaze ukuvuselelwa kwemisipha nokuphulukiswa.
  • Sebenzisa amakhilimu obuhlungu noma ama-gel.
  • I-Over-the-counter nonsteroidal - ama-NSAID, njenge-Advil noma i-Motrin ne-Aleve.
  • Iziphumuli zemisipha zokudambisa ukungezwani kwesikhathi esifushane.

Thuthukisa Indlela Yakho Yokuphila

Okubhekwayo

Isibhedlela Sokuhlinzwa Okukhethekile. Hambisa ngenhloso yokulwa nama-syndromes awela phezulu naphansi.

I-National Institute of Arthritis kanye ne-Musculoskeletal and Skin Diseases. Ukuhlungu obusemhlane.

Seidi, F., Bayattork, M., Minoonejad, H., Andersen, LL, & Page, P. (2020). Uhlelo oluphelele lokuzivocavoca lokulungisa luthuthukisa ukuqondanisa, ukusebenza kwemisipha, kanye nephethini yokunyakaza yamadoda ane-upper crossed syndrome: isilingo esilawulwa ngokungahleliwe. Imibiko yesayensi, 10(1), 20688. doi.org/10.1038/s41598-020-77571-4

U-Bae, WS, Lee, HO, Shin, JW, & Lee, KC (2016). Umphumela wokuzivocavoca kwamandla e-trapezius aphakathi naphansi kanye ne-levator scapulae kanye nokuzivocavoca okuphezulu kwe-trapezius yokwelula ku-upper crossed syndrome. Ijenali yesayensi yokwelapha ngokomzimba, 28(5), 1636-1639. doi.org/10.1589/jpts.28.1636

I-National Institute of Neurological Disorders and Stroke. Ukuhlungu obusemhlane.

Imisedari-Sinayi. Ubuhlungu beqolo nentamo.

U-Gevers-Montoro, C., Provencher, B., Descarreaux, M., Ortega de Mues, A., & Piché, M. (2021). Ukuphumelela Komtholampilo kanye Nempumelelo ye-Chiropractic Spinal Manipulation for Spine Pain. Imingcele ocwaningweni lobuhlungu (Lausanne, Switzerland), 2, 765921. doi.org/10.3389/fpain.2021.765921

I-Glute Muscle Imbalance: El Paso Back Clinic

I-Glute Muscle Imbalance: El Paso Back Clinic

by | Ukuhlolwa kwe-Chiropractic, Izimo zenziwe

Imisipha/ama-gluteal ahlanganisa izinqe. Ziyiqembu elinamandla lemisipha eliqukethe imisipha emithathu. I-gluteus maximus, i-gluteus medius, ne-gluteus minimus. Imisipha ye-glute isiza amandla okusebenza ngokomzimba kanye nokunyakaza kwansuku zonke njengokuhamba, ukuma, nokuhlala futhi isiza ukuvimbela ukulimala enkabeni, emhlane, emisipha yesisu, neminye imisipha nezicubu ezisekelayo. Abantu ngabanye bangakwazi ukuthuthukisa ukungalingani kwe-glute lapho uhlangothi olulodwa luba namandla futhi lusebenze kakhulu noma luphakeme kunolunye. Ukungalingani okungabhekwana nakho kungaholela ekuqhubekeni kokungalingani kwemisipha, izinkinga zokuma, nezinkinga zobuhlungu. I-Injury Medical Chiropractic kanye ne-Functional Medicine Clinic ingakha uhlelo lokwelapha lomuntu siqu ukuze kudambise izimpawu nokubuyisela ukuqondanisa, ibhalansi, nempilo.

I-Glute Muscle Ukungalingani: Ithimba le-EP's Chiropractic

I-Glute Muscle Ukungalingani

Ama-glute aqinile, anempilo akhuthaza ukuzinza kwe-lumbopelvic futhi isigqi, okusho ukuthi bagcina umhlane ophansi kanye ne-pelvis endaweni efanele ukuze kuvikelwe izinhlungu nokulimala. Ukungalingani kwe-Glute kwenzeka lapho uhlangothi olulodwa lwe-glutes lukhulu, lunamandla, noma lubusa kakhulu. Ukungalingani kwe-Glute kuvamile futhi kuyingxenye ye-anatomy evamile yomuntu, njengoba umzimba ungalingani ngokuphelele. Ukushintsha kanye nokusebenzisa uhlangothi olunamandla kakhulu lapho uthatha isisindo noma ucosha izinto kuyinto evamile, ngakho uhlangothi olulodwa luba lukhulu. Njengoba nje umuntu ekhetha isandla esisodwa, ingalo, nomlenze ngaphezu kwesinye, uhlangothi olulodwa lwe-glute lungasebenza kanzima futhi lube namandla.

Izimbangela

Kunezimbangela eziningana zokungalingani kwemisipha ye-glute, okuhlanganisa:

  • Ukuhluka kwe-anatomical- Wonke umuntu unemisipha emise okuhlukile, amaphuzu okunamathiselwe, nezindlela zemizwa. Lokhu kuhlukahluka kungenza uhlangothi olulodwa lwama-glutes lube namandla kakhulu noma lube namandla.
  • Ukuma okungenampilo.
  • Izimpawu zobuhlungu be-back zingabangela abantu ukuba bathathe izimo ezingenampilo kanye nokuma, njengokuncika ohlangothini olulodwa.
  • Ukulimala okukhona ngaphambili.
  • Ukuvuselelwa okunganele ekulimaleni kwangaphambilini.
  • Ukulimala kwemizwa.
  • I-ankle sprains ingaholela ekunciphiseni ukusebenza kwe-glute.
  • Ukuqeqeshwa okungafanele
  • Ukungafani kobude bomlenze
  • I-Atrophy
  • Isimo somgogodla
  • Umsebenzi womsebenzi
  • Izici zezemidlalo zingabeka phambili uhlangothi olulodwa lomzimba kunolunye.

Ukushintsha Umzimba

Uma ubuhlungu buvela endaweni eyodwa yomzimba, amasignali athunyelwa ukuze axwayise eminye imisipha ukuthi inkontileka / iqiniswe njengendlela yokuvikela ukuvimbela ukulimala okuqhubekayo. Lezi zinguquko zishintsha amaphethini okunyakaza, okuholela ekungalingani kwemisipha kuma-glutes nakwezinye izindawo. Abantu abangavuseleli ekulimaleni ngendlela efanele bangashiywa nokungalingani.

Usizo Lwe-Chiropractic Nokubuyiselwa

Lesi simo sidinga ukubhekwana naye ukuze kuvinjelwe ukulimala okwengeziwe kanye nezinkinga zokuma. Ukwelashwa kuyehluka kuye ngomuntu kanye nezinga lenkinga. Uhlelo lokwelapha lokuvimbela nokuthuthukisa ezinye izinhlobo zokungalingani kwe-glute lungabandakanya okulandelayo.

  • Ukuwohloka komgogodla izokwelula umzimba nemisipha endaweni esebenzayo.
  • I-massage yokwelapha izophumuza imisipha futhi yandise ukugeleza kwegazi.
  • Ukulungiswa kwe-Chiropractic ukulungisa kabusha umgogodla nomzimba.
  • Ukwelula okuhlosiwe kanye nokuzivocavoca kuzohlinzekwa ukugcina ukuqondana.
  • Ukuqeqeshwa Unilateral noma ukuqeqesha uhlangothi olulodwa lomzimba ngesikhathi kungasiza ukwakha nokuqinisa uhlangothi olubuthakathaka.
  • Ukuqiniswa okuyinhloko kungalungisa umehluko ezinhlangothini zombili zomzimba.

I-Chiropractic Indlela Yokukhulula Ubuhlungu

Okubhekwayo

Bini, Rodrigo Rico, no-Alice Flores Bini. "Ukuqhathaniswa kobude be-linea alba kanye nokuzibandakanya kwemisipha ephakathi ngesikhathi sokuzilolonga okusekelwe emuva naphansi." Ijenali ye-Bodywork and movement Therapies vol. 28 (2021): 131-137. doi:10.1016/j.jbmt.2021.07.006

Buckthorpe, Matthew, et al. "UKUHLOLA NOKWELAPHA UBUTHATHAKA BAKA-GLUTEUS MAXIMUS - UKUPHAWULA KOMTHOLAMPILO." Ijenali yamazwe ngamazwe yezemidlalo yokwelapha ngokomzimba vol. 14,4 (2019): 655-669.

Elzanie A, Borger J. Anatomy, Bony Pelvis and Lower Limb, Gluteus Maximus Muscle. [Kubuyekezwe 2023 Ephreli 1]. Ku: StatPearls [I-inthanethi]. I-Treasure Island (FL): I-StatPearls Publishing; 2023 Jan-. Itholakala ku: www.ncbi.nlm.nih.gov/books/NBK538193/

U-Liu R, Wen X, Tong Z, Wang K, Wang C. Izinguquko ze-gluteus medius muscle ezigulini ezikhulile ezine-unilateral developmental hip dysplasia. I-BMC Musculoskelet Disord. 2012;13(1):101. doi:10.1186/1471-2474-13-101

U-Lin CI, uKhajooei M, u-Engel T, et al. Umphumela wokungazinzi kwe-ankle okungapheli ekusebenzeni kwemisipha emikhawulweni ephansi. Li Y, ed. I-PLoS EYODWA. 2021;16(2):e0247581. doi:10.1371/journal.pone.0247581

Pool-Goudzwaard, AL et al. "Ukuzinza kwe-lumbopelvic okwanele: indlela yomtholampilo, ye-anatomical kanye ne-biomechanical eya ebuhlungu obuphansi obuphansi be-back back." Ukwelapha ngezandla vol. 3,1 (1998): 12-20. doi:10.1054/math.1998.0311

Vazirian, Milad, et al. "Isigqi se-Lumbopelvic ngesikhathi sokunyakaza kwe-trunk endizeni ye-sagittal: Ukubuyekezwa kwezindlela zokulinganisa i-kinematic kanye nezindlela zokulinganisa." I-Physical Therapy and Rehabilitation vol. 3 (2016): 5. doi:10.7243/2055-2386-3-5