Ubuhlungu Obunzima Beqolo
Ithimba Lokwelapha Izinhlungu Emhlane Eqolo. Ubuhlungu obukhulu beqolo budlula ubuhlungu obungaphezu kwe-sprain evamile kanye nokucindezeleka. Ubuhlungu obukhulu beqolo budinga ukuhlolwa okujulile ngenxa yembangela/imibono noma imibono engatholakali kalula noma esobala. Lokhu kudinga izinqubo zokuxilonga ezengeziwe ukuze kutholwe imbangela yobunzima bokwethulwa. Ubuhlungu be-nociceptive kanye ne-neuropathic bungabuye buhlakazwe bube yizinhlungu ezinzima futhi ezingapheli, ezihluke ngendlela kanye nomsebenzi.
Ngobuhlungu obukhulu, ubunzima bobuhlungu buncike ezingeni lokulimala kwezicubu. Abantu ngabanye bane-reflex yokuzivikela ekugwemeni lolu hlobo lobuhlungu. Ngalolu hlobo lobuhlungu, kukhona i-reflex yokuhlehlisa ngokushesha ngemva kokuhamba noma ukuba sesimweni esithile. Ubuhlungu obukhulu bungaba uphawu lwezicubu ezilimele noma ezigulayo. Uma inkinga isilashiwe ubuhlungu buyaphela. Ubuhlungu obukhulu buyindlela yobuhlungu be-nociceptive. Ngobuhlungu obungapheli, imizwa iyaqhubeka nokuthumela imiyalezo yobuhlungu ngemva kokuba umonakalo wangaphambili wezicubu usupholile. I-neuropathy iwela kulolu hlobo.
by UDkt Alex Jimenez Ukuhlungu obusemhlane , I-Chiropractic , Ubuhlungu Bokubuyela Emuva , Ubuhlungu obungapheliyo , Impilo , Ubuhlungu Obunzima Beqolo , Ukwelashwa Kokucindezeleka Komgogodla , Ukwelashwa , I-Viscerosomatic Reflex , Ubuhle
Isingeniso
Ukuhlungu obusemhlane yinkinga evamile abantu emhlabeni wonke ababhekana nayo. Isakhiwo esikhulu somzimba womuntu singemuva, sihlukaniswe izigaba ezintathu: isibeletho, i-thoracic, ne-lumbar. Lezi zingxenye zisiza ekunyakazeni komzimba, okuhlanganisa ukusonteka nokuphenduka, ukuhambisa amaphethelo, nokuba nobudlelwano okuhle futhi uhlelo oluyisisekelo senzwa . Imisipha ezungezile ngemuva nayo ihlinzeka ngokusekela futhi ivikele umgogodla. Kodwa-ke, imisebenzi evamile efana nokugoba phansi ukuze uthathe into esindayo, ukuhlala phansi isikhathi eside, noma ukuwa kungabangela izinguquko eziholela ebuhlungu be-back, ukungahambi kahle, kanye namaphrofayli engozi ezindaweni ezingaphezulu neziphansi. Isihloko sanamuhla sigxile ezimbangela zobuhlungu beqolo kanye nezindlela zokwelapha ezitholakalayo zokukhulula imiphumela yazo. Sisebenzisa futhi sihlanganisa ulwazi olubalulekile mayelana neziguli zethu kubahlinzeki bezokwelapha abaqinisekisiwe abasebenzisa ukwelapha okungahlinzeki ukuze kuncishiswe umthelela wobuhlungu beqolo. Sikhuthaza futhi sithumele iziguli kubahlinzeki bezokwelapha abahlobene ngokusekelwe kulokho abakutholile kuyilapho sisekela ukuthi imfundo iyindlela emangalisayo nenhle yokubuza abahlinzeki bethu imibuzo ebalulekile lapho isiguli samukela. UDkt. Alex Jimenez, DC, uhlanganisa lolu lwazi njengenkonzo yezemfundo. Disclaimer
Uhlolojikelele Lwezinhlungu Emhlane
Ingabe unezinhlungu emhlane wakho ongenhla, omaphakathi, noma ophansi? Ingabe uzwa izinhlungu nezinhlungu ekuseni? Ingabe ukuphakamisa into enzima kukuzwise ubuhlungu? Lezi zimpawu zingase zibe izimpawu zobuhlungu beqolo, isizathu esivamile nesibizayo sokuvakasha kwegumbi lezimo eziphuthumayo. Ucwaningo luveza ukuthi ubuhlungu bomhlane bungaba nezimbangela ezihlukahlukene futhi buthinte umzimba wonke, kungaba ngomshini noma ngokungaqondile. Izingxenye ezintathu zomgogodla - umlomo wesibeletho, i-thoracic, ne-lumbar - zonke zingathinteka, zibangele ubuhlungu obudluliselwe ezingxenyeni ezahlukene zomzimba. Isibonelo, ubuhlungu bomhlane womlomo wesibeletho (phezulu) bungabangela ukuqina entanyeni, kuyilapho ubuhlungu be-thoracic (maphakathi) bungabangela izinkinga zehlombe nokuma. Ubuhlungu be-Lumbar (low) emuva, uhlobo oluvame kakhulu, lungabangela izinkinga ze-hip ne-sciatic. Ucwaningo olwengeziwe lwembula ukuthi ubuhlungu be-back yinkinga eyinkimbinkimbi engathinta kakhulu umsebenzi womzimba, futhi izici zemvelo zingathonya futhi.
Izimbangela Zobuhlungu Beqolo
Izici ezihlukahlukene zingaba imbangela yobuhlungu emuva, ngaleyo ndlela kubangele ukungahambi kahle komgogodla. Encwadini yabo ethi, "The Ultimate Spinal Decompression," uDkt. Eric Kaplan, DC, FIAMA, noDkt Perry Bard, DC, bachaza ukuthi imisipha yangemuva idlala indima ebalulekile ekuvikeleni umgogodla. Izici zemvelo nazo zingathinta umgogodla, okuholela ebuhlungu obungasemuva. Le ncwadi iphinde iphawule ukuthi ukugqoka nokudiliza kanye ne-disc protrusion emgogodleni kungabangela i-disc herniation kanye nokuwohloka, futhi kuhlotshaniswe nobuhlungu be-back. Ezinye izimbangela ezivamile zobuhlungu beqolo zihlanganisa:
Ukonakala kwediski I-muscle sprains kanye nezinkinga I-spinal disc eshibilikile I-Herniations Izifo ze-musculoskeletal (i-arthritis, i-osteoporosis, i-sciatica, ne-fibromyalgia) Ubuhlungu be-Visceral-somatic/Somato-visceral (Isitho esithintekile noma umsipha kubangela ubuhlungu obudluliselwe ezingxenyeni ezihlukene zomzimba) ukukhulelwa
Ucwaningo olwengeziwe luyabonisa ukuthi izici ezihlukahlukene zemvelo, njengokusebenza ngokomzimba, indlela yokuphila, ukucindezeleka, nezimo zokusebenza, zihlotshaniswa nobuhlungu beqolo futhi zingadlulela njengezici eziyingozi. Uma zingelashwa, lezi zici zemvelo zingaholela ezimweni ezingamahlalakhona futhi zibe nomthelela omkhulu eqophelweni lempilo yomuntu.
Izimfihlo Ze-Chiropractic Zidaluliwe- Ividiyo
VIDEO
Ingabe ubulokhu uzizwa ndikindiki noma uluma ezingalweni noma emilenzeni yakho? Ingabe uzwa ubuhlungu be-back muscle lapho welula? Noma ingabe uzwa ubuhlungu emhlane wakho ophansi noma kwezinye izingxenye zomzimba wakho? Lezi zinkinga zivame ukuhlotshaniswa nobuhlungu be-back and, uma zishiywe zingalashwa, zingaholela ekukhubazekeni nasekulahlekelweni komsebenzi. Ngenhlanhla, kunezindlela eziningi zokunciphisa ubuhlungu emuva kanye nezimpawu zayo ezihambisanayo nokukhuthaza ukuphulukiswa kwemvelo. Ividiyo engenhla ichaza ukuthi ukwelapha okungahlinzeki okufana nokunakekelwa kwe-chiropractic kungasiza kanjani ekudambiseni izinhlungu ezingemuva ngokuphathwa ngesandla. Lokhu kwelashwa kungalungisa kabusha umgogodla, kwelule imisipha eqinile, futhi kubuyisele uhla lokunyakaza komzimba.
Ukwelashwa Kwezinhlungu Emhlane
Uma ubhekene nobuhlungu bokubuyela emuva, ukwelashwa okuhlukahlukene kungasiza ekudambiseni izimpawu zakho futhi kuthuthukise ukuhamba kwakho. Unezinketho ezimbili zokwelapha ubuhlungu beqolo: ukuhlinzwa nokungahlinzeki. Ukwelashwa kokuhlinzwa kungase kudingeke uma ubhekene nokucindezelwa kwezinzwa noma ube nokulimala okudinga ukuhlanganiswa komgogodla. Ukwelashwa okungahlinzeki kungasiza ekudambiseni ingcindezi emgogodleni wakho, kunciphise ubuhlungu beqolo, ngisho nokunciphisa ubuhlungu kwezinye izindawo zomzimba wakho. Ezinye izindlela zokwelapha ezingezona zokuhlinzwa zobuhlungu beqolo zihlanganisa:
Ukwelapha ngokomzimba Ukuzivocavoca Ukunakekelwa kwe-Chiropractic I-acupuncture Ukunciphisa Umgogodla
Ngokuvumelana ne ucwaningo , izindlela zokwelapha ezingahlinzeki zinganciphisa ingcindezi kuma-spinal discs, zikhulule imisipha eqinile, zithuthukise ukuhamba kwamalunga, futhi zikhuthaze ukuphulukiswa kwemvelo. Abantu abaningi banezela lezi zindlela zokwelapha ngokukhetha indlela yokuphila enempilo, benza izinguquko ezincane esimisweni sabo futhi benaka kakhulu inhlalakahle yabo engokomzimba.
Isiphetho
Njengoba ubuhlungu be-back back inkinga esabalele ethinta abantu emhlabeni wonke, bungabangelwa izici ezihlukahlukene zemvelo ezithinta izingxenye zangemuva zomlomo wesibeletho, i-thoracic, ne-lumbar, okuholela kumaphrofayili ezingozi ezeqile futhi ezithinta izingxenye ezahlukene zomzimba. Imisipha eqinile futhi eqinile kanye nomgogodla ocindezelwe yizimpawu ezivamile zalolu daba. Kodwa-ke, ukwelashwa okutholakalayo kunganciphisa ngempumelelo ubuhlungu, ukwelula imisipha eqinile, futhi kunciphise ingcindezi ku-spinal disc. Ngokuhlanganisa lezi zindlela zokwelapha, abantu ngabanye banganciphisa ubuhlungu emuva futhi bavumele imizimba yabo ukuba ilulame ngokwemvelo.
Okubhekwayo
Allegri, Massimo, et al. "Izindlela Zobuhlungu Obuphansi Emuva: Umhlahlandlela Wokuxilonga Nokwelapha." I-F1000Research , 28 Juni 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC4926733/.
Casiano, Vincent E, et al. "Ukuhlungu obusemhlane." Ku: StatPearls [I-inthanethi]. I-Treasure Island (FL) , 20 Feb. 2023, www.ncbi.nlm.nih.gov/books/NBK538173/.
Choi, Jioun, et al. "Amathonya Okwelapha Ukucindezeleka Komgogodla kanye Nokwelashwa Okujwayelekile Kwe-Traction on the Pain, Disability, and Straight Leg Raising of Patients with Intervertebral Disc Herniation." Ijenali yePhysical Therapy Science , Feb. 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4339166/.
U-Kaplan, u-Eric, noPerry Bard. I-Ultimate Spinal Decompression . I-JETLAUNCH, 2023.
Bheka, uQin Yong, et al. "Izinhlungu Ezibuhlungu Eziphansi Emuva: Ukuxilongwa Nokuphathwa." Singapore Medical Journal , Juni 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC8801838/.
Disclaimer
by UDkt Alex Jimenez Ukuhlungu obusemhlane , I-Chiropractic , Ubuhlungu Bokubuyela Emuva , Izimo zenziwe , Impilo , Ubuhlungu Obunzima Beqolo , Ukwelashwa , I-Viscerosomatic Reflex , Ubuhle
Isingeniso
Imisipha ehlukahlukene kanye nemigqa ehlanganisa ingemuva isiza ukuvikela isifunda sesifuba somgogodla . Umgogodla unezigaba ezintathu: owomlomo wesibeletho, i-thoracic, ne-lumbar, ezisiza umzimba ngokugoba, ukuphenduka, nokusonteka. Ngomgogodla we-thoracic, imisipha ehlukahlukene njenge-rhomboid, i-trapezoid, neminye imisipha engaphezulu inikeza ukusebenza ku-scapula noma amahlombe ehlombe ukuze kuqiniswe i-ribcage. Lapho umzimba unqotshwa ukulimala noma amandla ahlukumezayo, ungathuthukisa i-myofascial pain syndrome ehambisana nobuhlungu obungenhla. Ubuhlungu obuphambili emuva kungaholela ezimpawini ezingafuneki ezithinta izinga lempilo yabo. Ngenhlanhla, izivivinyo ezihlukahlukene iqondise ingxenye engenhla yomhlane futhi ingaqinisa imisipha eminingi ekulimaleni. Isihloko sanamuhla sibheka imiphumela yezinhlungu ezingenhla emzimbeni futhi sibonisa ukunwetshwa okumbalwa nokuzivocavoca okungasekela amaqembu emisipha ahlukahlukene endaweni engemuva engenhla. Sidlulisela iziguli zethu kubahlinzeki abaqinisekisiwe abahlanganisa amasu kanye nokwelashwa okuningi kubantu abaningi abahlukunyezwa ubuhlungu obuphezulu kanye nezimpawu zayo ezihambisanayo ezingathinta isimiso se-musculoskeletal entanyeni, emahlombe, nasesifundeni se-thoracic yomgogodla. Sikhuthaza futhi siyasazisa isiguli ngasinye ngokusidlulisela kubahlinzeki bezokwelapha abahlobene ngokusekelwe ekuxilongweni kwaso lapho kufaneleka. Siyaqonda ukuthi imfundo iyindlela enhle uma ubuza abahlinzeki bethu imibuzo eyinkimbinkimbi ngokwesicelo nokuqonda kwesiguli. UDkt. Jimenez, DC, usebenzisa lolu lwazi kuphela njengesevisi yezemfundo. Disclaimer
Imiphumela Yobuhlungu Obungenhla Emhlane Emzimbeni
Ingabe ubulokhu ubhekene nokuqina eduze noma eduze kwamahlombe akho? Ingabe uzwa ukuqina kwemisipha lapho uzungeza amahlombe akho? Noma ingabe kubuhlungu lapho welula umhlane wakho ongenhla ekuseni? Eziningi zalezi zinkinga ziyizimpawu nezimpawu zezinhlungu ezingenhla. Ucwaningo lwembula ukuthi ubuhlungu beqolo bungenye yezikhalazo ezivame kakhulu abantu abaningi abangaya kuzo ukunakekelwa okuphuthumayo. Ubuhlungu be-back bungathinta izifunda ezihlukene ngemuva futhi kubangele izimpawu ezingafuneki ezindaweni ezihlukahlukene emhlane ongenhla. Izifundo ezengeziwe ezishiwo ukuthi ubuhlungu obuqhubekayo esifundeni se-thoracic bungabangela i-hyper-sensitization ye-intercoastal nerves ezilingisa ezinye izimo ezithinta emuva. Ezinye zezimbangela nemiphumela engaholela ekuthuthukisweni kobuhlungu obungenhla emuva zihlanganisa:
Ukumiswa okubi Ukuphakamisa okungalungile Izehlakalo ezibuhlungu noma ukulimala Izifo ezingapheli (i-Osteoporosis, Scoliosis, Kyphosis)
Uma lokhu kwenzeka, kungaholela ezimeni ezinqwabelene ezilingisa ezinye izinkinga futhi, uma zingelashwa ngaso leso sikhathi, zishiye abantu abanezimpawu zokukhubaza ezingamahlalakhona ezihlobene nobuhlungu obungenhla.
I-Upper Back Pain Relief-Ividiyo
VIDEO
Ingabe ubulokhu ubhekana nokuqina emahlombe akho noma entanyeni? Ingabe uzwa izinhlungu nezinhlungu lapho welula izingalo zakho? Noma kuthiwani ngokuzwa ukuqina kwemisipha lapho uphakamisa into esindayo? Eziningi zalezi zici zihambisana nobuhlungu obungenhla obuthinta isifunda somgogodla we-thoracic. Uma lokhu kwenzeka, kungaholela kumaphrofayili engcuphe agqagqene angase athuthuke abe yizinkinga ezihlukene ezingabangela ubuhlungu obukhulu nakakhulu emzimbeni. Kunezindlela ezihlukahlukene zokuvimbela ubuhlungu obuphezulu beqolo ukuthi bungabangeli ezinye izinkinga kumuntu futhi bungakwazi ukukhulula ubuhlungu obuhambisana nakho. Abantu abaningi bazoya ekwelashweni kwe-chiropractic ukuze umgogodla wabo uqondiswe kabusha ukuze balethe ukukhululeka okwanele noma bahlanganise ukuvivinya umzimba okungaphezulu nokwelula ukuze kuncishiswe ukungezwani okuqoqwe ezifundeni zentamo nasemahlombe. Ividiyo engenhla ichaza ukuthi ama-stretch asebenza kanjani ezifundeni ezihlukahlukene ze-muscle ngemuva futhi anikeze ukukhululeka emgogodleni we-thoracic.
Ukuzivocavoca Upper Back Pain
Ngokuphathelene nomhlane ongenhla, kubalulekile ukuqonda ukuthi ukufaka izivivinyo ezihlukahlukene eziqondiswe esifundeni se-thoracic kungabangela ukulimala isikhathi eside. Ucwaningo lwembula ukuthi izivivinyo ezihlukene zasemuva azigxili emhlane kuphela kodwa amahlombe, izingalo, isifuba, umgogodla, nezinqulu ezihlinzeka ngokuzinza, ibhalansi, nokuxhumana kumuntu ngamunye. Lokhu kuvumela imisipha esifundeni esingemuva ukuthi ithuthukise amandla nokukhuthazela ngokuhamba kwesikhathi lapho umuntu eqhubeka nokusebenza. Ucwaningo olwengeziwe luyembula ukuthi izivumelwano ezifana ne-McKenzie back exercise ziyizinhlelo eziphumelelayo zokwelapha izimo ezihlukahlukene ze-musculoskeletal ezingabangela ubuhlungu emhlane. Abaningi bezokwelapha ngokomzimba basebenzisa le protocol ezigulini zabo ukuze bakhulule ubuhlungu emuva futhi basize ukuthuthukisa isakhiwo sabo semisipha ukuze sibe nokuma okungcono.
Kulungele
Njenganoma yimuphi umuntu oqala ukubuyela empilweni nasempilweni yakhe ngokuzivocavoca, isinyathelo esibaluleke kakhulu okufanele sithathwe yinoma ubani ukufudumeza imisipha yakhe ngaphambi kokuzivivinya. Ukufudumala iqembu ngalinye lemisipha kungavimbela ukulimala kwesikhathi esizayo futhi kwandise ukugeleza kwegazi ngaphambi kokuqala umsebenzi. Abantu abaningi bangafaka ama-stretch kanye nokuginqika kwegwebu imizuzu emi-5-10 ukuze baqinisekise ukuthi umsipha ngamunye ulungele ukusebenza ngomzamo omkhulu.
Exercises
Ngemva kokuba umzimba usufudunyeziwe, sekuyisikhathi sokuqala ukuvivinya umzimba. Ukunyakaza kokuzivocavoca okuningi okuhlukahlukene kuqondise iqembu ngalinye lemisipha futhi kusize ukwakha imisipha futhi kuthuthukise ukusebenza. Kubalulekile ukwakha umfutho uma kuziwa ekusebenzeni. Ukuqala kancane kancane ngama-reps amancane namasethi kubalulekile ukuqinisekisa ukuthi ukuvivinya umzimba kwenziwa ngendlela efanele. Ngemuva kwalokho, umuntu angakhuphula ama-reps okuzivocavoca futhi ahambe nesisindo esinzima kakhulu. Ngezansi ezinye zezindlela zokuzivocavoca ezifanele ingemuva elingaphezulu.
Superman
Lala ngesisu bese welula izingalo zakho ngaphezu kwekhanda Gcina intamo isendaweni engathathi hlangothi futhi uphakamise imilenze nezingalo usuke phansi ngesikhathi esifanayo Qinisekisa ukuthi usebenzisa ingemuva ne-glutes ukuze uphakamise Yima kafushane phezulu, bese ubuyela endaweni yokuqala Qedela amasethi amathathu we-10 reps
Lokhu kuvivinya umzimba kusiza ukuqinisa umgogodla kanye nemisipha ezungezile ukusekela umgogodla futhi kunciphise noma yikuphi ukulimala okuzayo okuvela ezinhlungwini ezingenhla.
Reverse Dumbbell Flies
Bamba ama-dumbbell anesisindo esincane Hinge okhalweni ngamadigri angu-45 ngenkathi umile Qinisekisa ukuthi izingalo zilenga phansi nezisindo Gcina intamo isendaweni engathathi hlangothi ngenkathi ubheke phansi Phakamisa izingalo (ngama-dumbbell) uzibeke eceleni nangaphezulu Cindezela amahlombe ndawonye phezulu ngesikhathi salokhu kunyakaza Qedela amasethi amathathu we-8-12 reps
Lokhu kuvivinya umzimba kuhle kakhulu ekuqiniseni imisipha ezungeze ihlombe kanye nomhlane ongenhla.
Imigqa
Sebenzisa ibhande lokumelana noma i-dumbbell enesisindo esincane . Ngebhande lokumelana, namathisela ibhande endaweni ezinzile ngaphezu kwezinga leso. Ukuze uthole ama-dumbbell anesisindo esilula, nweba izingalo ngaphambi komzimba ngaphezu kweleveli yeso . Sebenzisa i-overhead grip uma ubambe izibambi zebhendi yokumelana nama-dumbbell anesisindo esincane . Donsela amabhande okumelana noma ama-dumbbell uwabhekise ebusweni . Vula izingalo ezingaphezulu ezinhlangothini Khama amahlombe ndawonye Yima kancane bese ubuyela endaweni yokuqala Qedela amasethi amathathu we-12 reps
Lokhu kuvivinya umzimba kusiza ukuqinisa imisipha yehlombe futhi kuvimbele ukulimala okuzayo ukuthi kwenzeke emhlane ongenhla.
Isiphetho
Eminye imisipha nemigqa ehlukahlukene ihlanganisa ingemuva futhi isiza ukuvikela isifunda se-thoracic yomgogodla. Le misipha isiza ngokuqiniswa kwe-ribcage futhi isiza ukunikeza ukusebenza komhlane ongaphezulu. Uma izici eziningi zidala ukulimala okubuhlungu emhlane ongenhla, kungaholela ezimpawini ezifana nobuhlungu ezingabangela izici ezinqwabelanisayo futhi zithinte izinga lempilo yomuntu. Ngenhlanhla, izivivinyo ezihlukahlukene ziqondise iqolo elingaphezulu namaqembu emisipha ezungezile. Umsebenzi ngamunye uqondise yonke imisipha engemuva futhi uvumela umuntu ukuthi aphinde athole impilo nempilo ngaphandle kobuhlungu obuqhubekayo.
Okubhekwayo
Atalay, Erdem, et al. "Umthelela Wezivivinyo Zokuqinisa Ukuqina Kwe-Upper-Extremity ku-Lumbar Strength, Ukukhubazeka kanye Nobuhlungu Beziguli ezinobuhlungu obungapheli obuphansi emuva: Ucwaningo Olulawulwa Ngokungahleliwe." Ijenali Yesayensi Yezemidlalo Nezokwelapha , Umtapo Wezincwadi Kazwelonke Wezokwelapha wase-US, 1 Dec. 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5721192/ .
Casiano, Vincent E, et al. "Ubuhlungu Basemuva - Statpearls - Ishalofu Lezincwadi le-NCBI." Ku: StatPearls [I-inthanethi]. I-Treasure Island (FL) , StatPearls Publishing, 4 Sept. 2022, www.ncbi.nlm.nih.gov/books/NBK538173/ .
Louw, Adriaan, noStephen G Schmidt. "Ubuhlungu obungapheli kanye nomgogodla we-thoracic." Ijenali Yokwelashwa Kwezandla Nokusebenzisa Ukwelapha , I-US National Library of Medicine, ngoJulayi 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4534852/ .
Mann, Steven J, et al. "UMcKenzie Back Exercises - Statpearls - NCBI Bookshelf." Ku: StatPearls [I-inthanethi]. I-Treasure Island (FL) , StatPearls Publishing, 4 July 2022, www.ncbi.nlm.nih.gov/books/NBK539720/ .
Disclaimer
by UDkt Alex Jimenez Ukulimala Kwengozi Yezimoto , I-Chiropractic , Ukulimala Komuntu , Ubuhlungu Obunzima Beqolo , Care Spine , Whiplash
Ngemva kwengozi yemoto, ungase ubone ubuhlungu bentamo. Kungaba a ubuhlungu obuncane ocabanga ukuthi akulutho ngaphandle kokunakekela. Ngokunokwenzeka, une-whiplash. Futhi lokho ubuhlungu obuncane bungashintsha impilo yonke yobuhlungu obungapheli bentamo uma kuphela ukwelashwa ngemithi yobuhlungu hhayi elashwe emthonjeni.
I-Whiplash trauma, aka intamo ingquza noma intamo strain, kuyinto ukulimala kwezicubu ezithambile entanyeni.
I-Whiplash ingachazwa njengokuzumayo ukunwetshwa noma ukunyakaza emuva kwentamo futhi ukunwebeka noma ukuya phambili kwentamo .
Lokhu kulimala kuvame ukuvela ku-a ingozi yemoto engemuva .
I-whiplash enzima ingabandakanya ukulimala kokulandelayo:
Amalunga e-Intervertebral Ama-Discs Amagagasi Imisipha yomlomo wesibeletho Izimpande zemizwa
Izimpawu ze-Whiplash
Iningi labantu lizwa ubuhlungu bentamo ngokushesha ngemva kokulimala noma ezinsukwini ezimbalwa kamuva.
Ezinye izimpawu ze-whiplash trauma zingabandakanya:
Ukuqina kwentamo
Ukulimala kwemisipha nemigqa entanyeni
Ubuhlungu bekhanda nesiyezi
Izimpawu kanye nokungqubuzana okungenzeka
Ubunzima bokugwinya nokuhlafuna
Ukuthuthumela (ukulimala okungenzeka kumphimbo kanye ne-larynx)
Ukuzwa ukusha noma ukuhlaba
ubuhlungu ehlombe
Ukuhlungu obusemhlane
Ukuxilongwa kwe-Whiplash Trauma
Ukuhlukunyezwa kwe-Whiplash ngokuvamile kubangela ukulimala kwezicubu ezithambile; udokotela uzothatha ama-x-ray omgogodla womlomo wesibeletho uma kwenzeka izimpawu ezibambezelekile futhi akhiphe ezinye izinkinga noma ukulimala.
Ukwelashwa
Ngenhlanhla, i-whiplash iyalapheka, futhi izimpawu eziningi zixazulula ngokuphelele.
Ngokuvamile, i-whiplash iphathwa ngekhola yomlomo wesibeletho ethambile.
Le khola ingase idinge ukugqokwa amaviki angu-2 kuya kwangu-3.
Okunye ukwelashwa kwabantu abane-whiplash kungabandakanya okulandelayo:
Ukwelashwa kokushisa okuphumuza ukungezwani kwemisipha nobuhlungu
Imithi yobuhlungu efana ne-analgesics kanye ne-non-steroidal anti-inflammatory
Ama-relaxant muscle
Izivivinyo zokunyakaza
Ukwelapha ngokomzimba
I-Chiropractic
Izimpawu ze-whiplash ngokuvamile ziqala ukwehla kumaviki angu-2 kuya kwangu-4.
Labo abanezimpawu ngesikhathi sokwelashwa bangase badinge ukugcina intamo inganyakazi nge-halter emsebenzini noma ekhaya.
Lokhu kubizwa ngokuthi i-cervical traction.
Imijovo yendawo yokubulala izinzwa ingasiza uma kunesidingo.
Izimpawu eziqhubekayo noma eziya ziba zimbi ngemva kwamasonto angu-6 kuya kwangu-8 zingadinga ama-x-reyi amaningi kanye nokuhlolwa kokuxilonga ukuze kubonakale ukuthi kukhona yini ukulimala okubi kakhulu.
Ukulimala okukhulu okunwetshiwe njenge-whiplash kungalimaza ama-intervertebral discs. Uma lokhu kwenzeka, khona-ke ukuhlinzwa kungase kudingeke.
I-Whiplash Massage Therapy El Paso, TX Chiropractor
VIDEO
Abanye abantu bazokutshela ukuthi i-whiplash iwukulimala okwenziwe abantu abasebenzisa ukuze bathole imali eyengeziwe ekuxazululeni okuvela engozini. Abakholelwa ukuthi kungenzeka engozini engemuva enesivinini esiphansi futhi bakubheka njengesicelo sokulimala esisemthethweni, ikakhulukazi ngenxa yokuthi awekho amamaki abonakalayo.
Abanye ochwepheshe bomshwalense bathi cishe a okwesithathu kwamacala e-whiplash anokukhwabanisa , okushiya izingxenye ezimbili kwezintathu zamacala zisemthethweni. Ucwaningo oluningi luphinde lusekele isimangalo sokuthi izingozi zejubane eliphansi zingabangela ngempela i-whiplash, okuyiqiniso kakhulu. Ezinye iziguli zihlushwa izinhlungu nokungakwazi ukuhamba ukuphila kwazo konke.
Izinsiza ze-NCBI
Izidakamizwa uzosebenzisa amasu ahlukene ukuze akhulule ubuhlungu be-whiplash futhi usize ngokuphulukisa.
Ukulungiswa kwe-Chiropractic I-chiropractor yenza ukuxhaphazwa komgogodla ukuhambisa amalunga ekuqondaneni ngobumnene. Lokhu kuzosiza ukuvumelanisa umzimba ukuze ukhulule ubuhlungu futhi ukhuthaze ukuphulukiswa.Ukukhuthazwa Kwemisipha Nokuphumula Lokhu kuhilela ukwelula imisipha ethintekile, ukukhulula ukungezwani, nokuzisiza ukuba zikhululeke. Amasu okucindezela iminwe angase ahlanganiswe nokuzama ukudambisa ubuhlungu.UMcKenzie Ukuzivocavoca Lezi zivivinyo zisiza nge-disc derangement ebangelwa yi-whiplash. Zenziwa okokuqala ehhovisi le-chiropractor, kodwa isiguli singafundiswa ukuthi senziwa kanjani ekhaya. Lokhu kusiza isiguli sibe nezinga elithile lokulawula ukuphulukiswa kwaso.
Icala ngalinye le-whiplash lihlukile. I-chiropractor izohlola isiguli futhi inqume isisekelo esifanele sokwelashwa icala ngalinye. I-chiropractor izonquma inkambo engcono kakhulu yokwelashwa ezokhulula ubuhlungu bakho futhi ibuyisele ukuhamba kwakho nokuguquguquka.
by UDkt Alex Jimenez Ukuhlungu obusemhlane , I-Chiropractic , Ubuhlungu Bokubuyela Emuva , Ubuhlungu obungapheliyo , Izimo zenziwe , Impilo , Ubuhlungu Obunzima Beqolo , Ukwelashwa , I-Viscerosomatic Reflex , Ubuhle
Isingeniso
Abantu abaningi abaqapheli ukuthi imisipha ehlukahlukene engemuva iyasiza ukunikeza ukusebenza komzimba. I imisipha yangemuva siza ukunyakaza, ukugoba, ukuzungezisa, futhi usize umuntu ngamunye ukuthi asukume aqonde lapho ephumile futhi ehamba. Imisipha yangemuva ibuye isize ukuvikela izingxenye zomlomo wesibeletho, i-thoracic, ne-lumbar yomgogodla futhi isebenze ndawonye nekhanda, intamo, amahlombe, izingalo nemilenze ukunikeza ukuhamba. Lapho umzimba uqala ukuguga ngeminyaka ngokwemvelo, kungaholela izindaba ezingemuva lokho kungakhawulela ukuhamba komuntu, noma imisebenzi evamile ingabangela ukuthi imisipha yangemuva isetshenziswe ngokweqile futhi ithuthukise amaphuzu okubangela ukucela ubuhlungu emuva noma i-lumbago. Isihloko sanamuhla sibheka imisipha ye-thoracolumbar paraspinal ngemuva, ukuthi i-lumbago ihlotshaniswa kanjani nama-trigger points, kanye nokwelashwa kokukhulula i-lumbago emisipha ye-thoracolumbar. Sidlulisela iziguli kubahlinzeki abaqinisekisiwe abahlinzeka ngamasu ahlukene ekwelapheni ubuhlungu be-thoracic lumbar emuva obuhambisana namaphoyinti okubangela ukusiza abaningi abahlushwa izimpawu ezifana nobuhlungu eduze kwemisipha ye-thoracolumbar paraspinal ngemuva, okubangela i-lumbago. Sikhuthaza iziguli ngokuzidlulisela kubahlinzeki bethu bezokwelapha abahlobene ngokusekelwe ekuhlolweni kwazo lapho kufaneleka. Sinquma ukuthi imfundo iyisixazululo esihle sokubuza abahlinzeki bethu imibuzo ejulile neyinkimbinkimbi ngokwesicelo sesiguli. UDkt. Alex Jimenez, DC, uphawula lolu lwazi njengenkonzo yezemfundo kuphela. Disclaimer
I-Thoracolumbar Paraspinal Muscles Emuva
Ingabe ubukuthola kunzima ukuhamba ngisho isikhathi esifushane? Ingabe uzwa izinhlungu nobuhlungu lapho uvuka embhedeni? Ingabe uhlale usezinhlungwini lapho ugoba ukuze ucoshe izinto phansi? Lezi zenzo ezihlukahlukene ozenzayo zihlanganisa i-thoracolumbar paraspinal muscle ngemuva, futhi uma izinkinga zithinta le misipha, kungaholela ku-lumbago ehambisana namaphuzu okuqala. I i-thoracolumbar paraspinal ngemuva kukhona iqembu lemisipha elizungezwe eduze komgogodla we-thoracolumbar, lapho isifunda se-thoracic siphela, futhi isifunda se-lumbar siqala. Imisipha ye-thoracolumbar paraspinal ngemuva inobudlelwane obungavamile nomzimba njengoba idinga umnikelo ovela ezinhlelweni ezidinga ukunyakaza. Ucwaningo lwembula ukuthi imisipha ye-thoracolumbar paraspinal ilungiswa ngokuxhumana nezinhlelo ezingaphansi ezintathu, ezihlanganisa:
Uhlelo lwe-passive: ama-vertebrae, ama-discs, nemigqa Uhlelo olusebenzayo: imisipha nemisipha Uhlelo lokulawula: isimiso sezinzwa esimaphakathi nezinzwa
Uhlelo ngalunye luhlinzeka ngemisebenzi yemisipha lapho umuntu egoba ukuze acoshe into ethile noma enza ukunyakaza okulula. Kodwa-ke, lapho imisipha isetshenziswa ngokweqile, ingaholela ezindabeni ezihlukahlukene ezithinta imisipha yangemuva neyokuzungezile.
I-Lumbago Ihlotshaniswa Namaphuzu Okubangela
Ucwaningo lwembula ukuthi ubuqotho bemisipha ye-paraspinal budlala indima ebaluleke kakhulu uma kuziwa ekugcinweni kokuqondiswa komgogodla ngemuva. Lapho imisipha ye-thoracolumbar paraspinal isetshenziswa ngokweqile emisebenzini evamile, ingathinta emuva ngokubangela izimpawu zobuhlungu emuva noma i-lumbago ehambisana namaphuzu okuqala. Encwadini kaDkt Travell, ye-MD ethi "Myofascial Pain and Dysfunction," amaphuzu e-trigger angase asebenze ngenxa yokunyakaza okungazelelwe noma ukuqina kwemisipha okuqhubekayo ngokuhamba kwesikhathi okuholela ekuthuthukiseni i-lumbago. Izinkinga ze-Atrophy emisipha ye-paraspinal zingafaka isandla ku-lumbago ehambisana namaphoyinti e-trigger abangela ubuhlungu obujulile obubhekiswe ezindaweni ze-thoracolumbar ngemuva. Amaphuzu e-trigger asebenzayo eqenjini elijulile le-muscle ye-thoracolumbar paraspinal angaphazamisa ukunyakaza phakathi kwama-vertebrae ngesikhathi sokugoba noma ukugoba ohlangothini.
Uhlolojikelele Lwe-Lumbago- Ividiyo
VIDEO
Lumbago noma ukuhlungu obusemhlane ingenye yezinkinga ezivame kakhulu abantu abaningi, kusukela ku-acute kuya kwezingamahlalakhona, kuye ngokuthi ubuhlungu bubuhlungu kangakanani emhlane. Ingabe ubulokhu uzwa ubuhlungu emhlane wakho omaphakathi nesingezansi? Ingabe uzwa ukushaqeka kukagesi lapho wehla ngomlenze wakho endaweni eyinqaba? Noma uke wezwa ukuthamba phakathi komhlane wakho? Ukuthola lezi zimpawu kungabonisa ukuthi imisipha ye-thoracolumbar paraspinal ithinteka ngamaphuzu okuqala ahambisana ne-lumbago. Ividiyo ichaza ukuthi iyini i-lumbago, izimpawu, kanye nezinketho zokwelashwa ezihlukahlukene zokukhulula ubuhlungu nokuphatha amaphuzu okuqala abangela izinkinga zemisipha ye-thoracolumbar ngemuva. Abantu abaningi abaphethwe i-lumbago abaqapheli ukuthi izici ezihlukahlukene zingathinta imisipha ezungezile esifundeni se-thoracolumbar futhi bafihle ezinye izimo zangaphambili ababengase bahlupheke kuzo. Ngokuphathelene nokuphatha i-lumbago ehlotshaniswa namaphoyinti e-trigger, izinketho ezihlukahlukene zokwelapha zingasiza ukunciphisa ubuhlungu obuthinta imisipha ye-thoracolumbar paraspinal ngenkathi ulawula amaphuzu okubangela ukuqhubeka phambili ngemuva.
Ukwelapha Ukukhulula I-Lumbago Emisipha Ye-Thoracolumbar
Njengoba i-lumbago noma ubuhlungu be-back iyinkinga evamile kubantu abaningi, ukwelashwa okuhlukahlukene kunganciphisa izimpawu ezifana nobuhlungu emisipha ye-thoracolumbar futhi ilawule amaphuzu okubangela ahlobene. Ezinye zezindlela zokwelapha ezilula abantu abaningi abangazisebenzisa ukulungisa indlela abami ngayo. Abantu abaningi bavame ukuncika ohlangothini olulodwa lwemizimba yabo okubangela ukuthi imisipha ye-thoracolumbar paraspinal ezinhlangothini ezihlukene igcwale ngokweqile. Lokhu kubangela ukuguqulwa komgogodla noma ukungahambi kahle esifundeni se-thoracolumbar. Okunye ukwelashwa abantu abaningi abangakuhlanganisa ekuphileni kwabo kwansuku zonke ukuya ku-chiropractor ukuze kulungiswe umgogodla we-thoracolumbar spine. Ucwaningo lwembula ukuthi ukunakekelwa kwe-chiropractic kuhlangene nokwelapha ngokomzimba kungakhulula i-thoracolumbar emuva ngenkathi kunciphisa izimpawu zobuhlungu ezihlobene namaphuzu okuqala ngokukhulula imisipha eqinile futhi kubangele ukukhululeka emhlane.
Isiphetho
Umhlane unemisipha ehlukahlukene eyaziwa ngokuthi imisipha ye-thoracolumbar paraspinal evumela ukunyakaza nokuhamba emzimbeni. Imisipha yangemuva isiza ukuvikela izingxenye zomlomo wesibeletho, i-thoracic, ne-lumbar yomgogodla ngenkathi isebenza nazo zonke izingxenye zomzimba ukugcina umzimba uzinzile. Lapho ukuguga kwemvelo noma izenzo zithinta imisipha yangemuva, kungaholela ezindabeni ezihlukahlukene zobuhlungu ezingase zivule amaphuzu abangela i-lumbago noma ubuhlungu beqolo. Ngenhlanhla, ezinye izindlela zokwelapha zingasiza ekunciphiseni ubuhlungu emuva emisipha ye-thoracolumbar paraspinal ngenkathi ulawula amaphuzu okubangela ukubuyisela ukuhamba emuva.
Okubhekwayo
Bell, Daniel J. "Paraspinal Muscles: Radiology Reference Article." I-Radiopaedia Blog RSS , Radiopaedia.org, 10 Julayi 2021, radiopaedia.org/articles/paraspinal-muscles?lang=us .
du Rose, Alister, kanye no-Alan Breen. "Ubudlelwano phakathi kwe-Paraspinal Muscle Activity kanye ne-Lumbar Inter-Vertebral Range of Motion." Ukunakekelwa kwezempilo (Basel, Switzerland) , MDPI, 5 Jan. 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC4934538/ .
Yena, uKevin, et al. "Imiphumela ye-Paraspinal Muscle Atrophy ku-Low Back Pain, i-Thoracolumbar Pathology, kanye Nemiphumela Yomtholampilo Ngemva Kokuhlinzwa Komgogodla: Ukubuyekezwa Kwezincwadi." I-Global Spine Journal , SAGE Publications, Aug. 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7359686/ .
Khodakarami, Nima. "Ukwelashwa Kweziguli Ezinobuhlungu Obuncane Basemuva: Ukuqhathaniswa Kwezokwelapha Ngomzimba kanye Nokuphathwa Kwe-Chiropractic." Ukunakekelwa kwezempilo (Basel, Switzerland) , MDPI, 24 Feb. 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7151187/ .
Travell, JG, et al. Ubuhlungu be-Myofascial kanye nokungasebenzi kahle: I-Trigger Point Manual: Vol. 1:Ingxenye Engaphezulu Yomzimba . UWilliams noWilkins, ngo-1999.
Disclaimer
by UDkt Alex Jimenez Ukunakekelwa kokulimala , Ubuhlungu Obunzima Beqolo
The umgogodla wethoracic , eyaziwa nangokuthi ingemuva elingenhla noma elimaphakathi, iklanyelwe ukuzinza ukuze ibambe izimbambo futhi ivikele izitho ezisesifubeni. Imelana kakhulu nokulimala nobuhlungu. Kodwa-ke, lapho ubuhlungu be-thoracic emuva bukhona, ngokuvamile buvela ezinkingeni zokuma isikhathi eside noma ukulimala. Ubuhlungu be-thoracic emuva akuvamile kakhulu kunobuhlungu obuphansi be-back and nentamo, kodwa buthinta kufika ku-20% yabantu, ikakhulukazi abesifazane. Izinketho zokwelapha zihlanganisa i-chiropractic yokukhulula ubuhlungu obusheshayo nesikhathi eside.
Ubuhlungu Be-Thoracic Emuva Nobuhlungu
Indawo ye-thoracic ibalulekile emisebenzini ehlukahlukene ehlobene nalokhu:
Izizathu ezivamile zokubhekana nobuhlungu be-thoracic zifaka:
Ukushaywa okuqondile noma ukulimala okuphezulu okuvela ekwindla.
Ukulimala kwezemidlalo.
Ingozi yemoto.
Ukuma okungenampilo okubeka umgogodla ekungahambi kahle okungapheli, okubangela ubunzima.
Ukulimala okuphindaphindiwe kokusetshenziswa ngokweqile kusukela ekugobeni, ekufinyeleleni, ekuphakamiseni, ekusonteni.
Ukungahambi kahle kwe-core noma ihlombe, okubangela ukungalingani kwemisipha.
Ukucasuka kwemisipha, imisipha emikhulu yangemuva engemuva ijwayele ukuthuthukisa izinkinga noma ukuqina okungaba buhlungu futhi kube nzima ukudambisa.
Ukukhipha isimo noma ukungabi namandla.
Ukungasebenzi kahle kwamalunga kungavela ekulimaleni okungazelelwe noma ukonakala okungokwemvelo ngenxa yokuguga. Izibonelo zihlanganisa i-facet joint cartilage izinyembezi or ukuhlukana kwe-capsule ehlangene .
Ubuhlungu obungenhla beqolo ngokuvamile buzwakala njengobuhlungu obubukhali, obuvuthayo obubekwe endaweni eyodwa noma ubuhlungu obuvamile obungaqubuka futhi busakazekele ehlombe, entanyeni nasezingalweni.
Izinhlobo Zobuhlungu Obuphezulu Emhlane
Lezi zihlanganisa:
Ubuhlungu be-Myofascial
Ukuwohloka komgogodla
Ukungasebenzi kwamalunga
Ukungasebenzi kahle kwemizwa
Ukungahambi kahle komgogodla okuvamile
Kuye ngokuthi yiziphi izicubu ezithile ezithintekayo, ubuhlungu bungenzeka ngokuphefumula noma ukusetshenziswa kwengalo. Kunconywa ukuthi uchwepheshe wezokunakekelwa kwempilo enze ukuhlolwa futhi athole ukuxilongwa okunembile. Isazi se-chiropractor siyaqonda ibhalansi ethambile kanye nemisebenzi ehlinzekwa umgogodla we-thoracic futhi ingathuthukisa uhlelo olufanele lokwelapha.
I-Chiropractic
Izinketho zokwelashwa zizoncika ezimpawu, ukungasebenzi kahle okucashile, kanye nokuthandwa komuntu ngamunye.. Izincomo zokwelashwa ngokuvamile zihlanganisa:
Ukulungiswa komgogodla ukuthuthukisa ukuqondana nobuqotho bezinzwa.
Ukuqeqeshwa kokuma ukuze kugcinwe ukuqondanisa komgogodla.
I-massage yokwelapha.
Ukuzivocavoca umzimba ukuze ubuyisele ibhalansi yemisipha.
Izindlela ezingezona ezihlaselayo zokudambisa izinhlungu.
Ukuqeqeshwa kwezempilo.
Ukubunjwa komzimba
VIDEO
Izidlo Ezisekelwe Ezitshalo Zokunciphisa Isisindo
Abantu abalandela i-vegan, imifino, kanye i-semivegetarian Izidlo ziye zabika futhi zabonisa ukuthi mancane amathuba okuba zikhuluphele noma zikhuluphele. Lokhu kungabonisa ukuthi ukunciphisa ukudla kwenyama nemikhiqizo yezilwane kunenzuzo ekunciphiseni isisindo. Ucwaningo luye lwathola ukuthi abantu abalandela ukudla kwe-vegan bangase balahlekelwe isisindo esiningi kunabantu abadla ukudla okuvamile, ngisho nama-calories afanayo adliwe, futhi ngokuvamile babe nokuthuthuka okuphawulekayo kushukela wegazi kanye nezimpawu zokuvuvukala.
Amaprotheni Asekelwe Esitshalweni kanye Nokuzuza Kwemisipha
Abanye amaprotheni asekelwe ezitshalweni zisebenza kahle njengamaprotheni ezilwane ekukhuthazeni ukuzuza kwemisipha . A cwaningo ithole ukuthi ukugcwalisa amaprotheni elayisi kulandela ukuqeqeshwa kokumelana nezinzuzo ezifanayo ne-whey protein supplementation. Womabili amaqembu abe:
Okubhekwayo
U-Briggs AM, u-Smith AJ, u-Straker LM, u-Bragge P. Ubuhlungu bomgogodla we-Thoracic kubantu abaningi: ukusabalala, izigameko kanye nezici ezihambisanayo ezinganeni, intsha kanye nabantu abadala. Ukubuyekeza okuhlelekile. I-BMC Musculoskelet Disord. 2009;10:77.
Cichoń, Dorota et al. "Ukusebenza kwe-Physiotherapy ekunciphiseni ubuhlungu bokubuyela emuva kanye nokuthuthukisa ukuhamba okuhlangene kwabesifazane asebekhulile." I-Ortopedia, traumatologia, rehabilitacja vol. 21,1 (2019): 45-55. doi:10.5604/01.3001.0013.1115
U-Fouquet N, uBodin J, u-Descatha A, et al. Ukusabalala kobuhlungu bomgogodla we-thoracic kunethiwekhi yokuqapha. I-Occupa Med (Lond). 2015;65(2):122-5.
UJäger, uRalf et al. "Ukuqhathaniswa kwerayisi ne-whey protein ihlukanisa izinga lokugayeka kokudla kanye nokumuncwa kwe-amino acid." Ijenali ye-International Society of Sports Nutrition vol. 10, Ukwengeza 1 P12. 6 Des. 2013, doi:10.1186/1550-2783-10-S1-P12
Joy, Jordan M et al. "Imiphumela yamaviki angu-8 we-whey noma i-rice protein supplementation ekubunjweni komzimba nokusebenza kokuzivocavoca." Ijenali yezomsoco vol. 12 86. 20 Jun. 2013, doi:10.1186/1475-2891-12-86
Medawar, Evelyn et al. "Imiphumela yokudla okusekelwe ezitshalweni emzimbeni nasengqondweni: ukubuyekezwa okuhlelekile." Translational Psychiatry vol. 9,1 226. 12 Sep. 2019, doi:10.1038/s41398-019-0552-0
Newby, PK et al. "Ingozi yokukhuluphala ngokweqile nokukhuluphala phakathi kwabesifazane be-semivegetarian, lactovegetarian, kanye ne-vegan." The American Journal of Clinical Nutrition vol. 81,6 (2005): 1267-74. doi:10.1093/ajcn/81.6.1267
UPapa, uMalcolm H et al. "I-ergonomics yomgogodla." Ukubuyekezwa konyaka kobunjiniyela be-biomedical vol. 4 (2002): 49-68. doi:10.1146/annurev.bioeng.4.092101.122107
by UDkt Alex Jimenez Ukuhamba Nezimo , Ubuhlungu Obunzima Beqolo
Abantu nge i-spondylitis e-ankylosing Kuwumuthi owesigaba esaziwa ngokuthi I-JAK inhibitors. I-Ankylosing spondylitis ihlanganisa ubuhlungu obuhlangene nokunciphisa ukuhamba. I-Ankylosing spondylitis ihlukile ngoba ezimweni ezimbi kakhulu, amathambo asemgogodleni angahlangana, anciphise ngokoqobo ukuhamba.
The isifo ngokuvamile siqala ngobuhlungu nokuqina emhlane . Ngokuvamile lokhu kungemuva kwesikhathi esithile sokungasebenzi. Izimpawu ziqala ngaphambi kweminyaka engama-45 futhi zikhula kancane kancane. Alikho ikhambi le-ankylosing spondylitis kodwa kunemithi engathuthukisa izimpawu futhi ibeke isimo ekuxolelweni. Ukwelashwa kwe-spondylitis ye-ankylosing yiyona ephumelela kakhulu uma kubhekwana nayo kusenesikhathi ngaphambi kokuba kuqale umonakalo ongenakulungiseka emalungeni. .
I-Janus Kinase Inhibitors
I-Janus kinase inhibitors ngokuvamile isetshenziselwa ukwelapha:
rheumatoid arthritis
Isifo samathambo we-Psoriatic
I-colcer ulcerative
Umuthi usebenza ngokunciphisa umsebenzi wamasosha omzimba. Izidakamizwa ze-Janus kinase inhibitor zithinta amakhompiyutha amaningana abalulekile ekuthuthukiseni nasekuqhubekeleni phambili kwe-ankylosing spondylitis. Njengamanje, kunemithi emithathu kuphela ye-Janus kinase inhibitor etholakala e-United States kanye ne-FDA-egunyazwe ukwelapha isifo samathambo:
Xeljanz
I-Rinvoq
Olumiant
Ngamunye kwabagunyaziwe ama-inhibitors ahlose ama-enzyme athile
Ukwelashwa Kwamanje kwe-Ankylosing Spondylitis
Ama-Janus kinase inhibitors awanikezwa abantu ngaso leso sikhathi. Nokho, kungaba inketho uma ukwelashwa komugqa wokuqala nowesibili kungasebenzi. Ukwelashwa ngokuvamile kuhlanganisa:
Ukwelashwa Komugqa Wokuqala
ama-NSAID
Imithi elwa nokuvuvukala engeyona eye-steroidal yizona ezisetshenziswa kakhulu ukwelapha ukuvuvukala ankylosing, ubuhlungu, nokuqina.
I-Chiropractic
Ukwelashwa ngokomzimba kwe-Chiropractic kuyingxenye enkulu yokwelashwa kwe-spondylitis ye-ankylosing egcina umgogodla uguquguquka futhi unempilo ngangokunokwenzeka. A ithimba le-chiropractic/physical therapy design futhi lithuthukise izivivinyo ezithile ukuze zivumelane nezidingo zomuntu ngamunye , okubandakanya:
Ukwelula kanye nokuzivocavoca kweRange-of-motion kusiza ukugcina ukuguquguquka kwamalunga
Izivivinyo zokulungisa ukuma kokulala nokuhamba
Ukuzivocavoca kwesisu nomgogodla ukuze ugcine ukuma okunempilo
Ukuqeqesha amandla
Izindlela Zokwelapha Zomugqa Wesibili
If izidakamizwa ezingezona ze-steroidal zokulwa nokuvuvukala musa ukukhulula izimpawu ke Imithi yebhayoloji inganqunywa. I-Tumor Necrosis Factor
Ama-Tumor necrosis factor blockers asebenza ngokukhomba amaprotheni eseli ayingxenye yamasosha omzimba, aziwa ngokuthi I-tumor necrosis alpha I-Interleukin 17 Inhibitors
I-Interleukin 17 emasosheni omzimba omzimba ivikela ukutheleleka . Isebenzisa impendulo yokuvuvukala ukulwa nezifo. I-IL-17 inhibitors icindezela impendulo yokuvuvukala futhi isize ukunciphisa izimpawu.
Ezinye Izinketho Zokwelashwa
Ukulungiswa Kwendlela Yokuphila
Ukulandela uhlelo lokwelashwa kuvame ukuhlanganiswa ne ukulungiswa kokudla kanye nendlela yokuphila ezinconyiwe ukusiza kulesi simo, lezi zihlanganisa:
Ukuzikhandla ngokomzimba ngangokunokwenzeka kuzosiza:
Thuthukisa/gcina ukuma okunempilo
Gcina ukuguquguquka
Dambisa izinhlungu
Ukufaka ukushisa neqhwa kuzosiza nciphisa:
Ubuhlungu
Ukugubha
Ukuvuvuka
Ukuhlinzwa
Abantu abaningi abane-ankylosing spondylitis abadingi ukuhlinzwa . Nokho, udokotela angancoma ukuhlinzwa uma kukhona ukulimala kwamalunga, i-hip-joint idinga ukushintshwa, noma uma ubuhlungu bukhulu .
Amandla e-Inhibitor
Izifundo ziyaqhubeka ekwelapheni i-ankylosing spondylitis. Umuthi okwamanje usesigabeni sesi-3 sokuhlolwa kokwelashwa kwabantu abadala. Imiphumela yocwaningo ibonise iziguli ezine-ankylosing spondylitis esebenzayo zibonise ukuthuthukiswa ku:
Ukukhathala
Ukuvuvukala
Ukuhlungu obusemhlane
Ucwaningo lubhalise abantu abadala abane-ankylosing spondylitis esebenzayo abathathe okungenani ama-NSAID amabili ayengasebenzi ekwelapheni izimpawu. Iningi labahlanganyeli kwakungamadoda, isilinganiso seminyaka yobudala engama-41, futhi akukho ukusetshenziswa kwangaphambi kwezidakamizwa ze-biologic-modifying antirheumatic.
I-Janus kinase ingaba ukwelashwa okujwayelekile
Alukabikho ucwaningo olwanele lokwenza isibikezelo, kodwa idatha iyathembisa. Ama-inhibitors abonakala eyindlela ephephile uma esetshenziswa esimisweni esihlolwe kahle, esifaniswe kahle esihlanganisa ukuqapha okuvamile. Ama-inhibitors abonakala esebenza kahle futhi anezinzuzo zokuthi athathwe ngomlomo futhi asebenze ngokushesha.
Ukubunjwa komzimba
VIDEO
I-Osteoarthritis nokulahlekelwa isisindo
Ukukhuluphala kubonise ukuthi kuyingozi enkulu ekuthuthukisweni kwe osteoarthritis . Lokhu akuveli kuphela emiphumeleni yesisindo esengeziwe emalungeni omzimba kodwa futhi ngenxa yemiphumela yokuvuvukala kwezicubu ze-adipose. Umhlane ongezansi, okhalweni, namadolo, yiwona athwala iningi lesisindo somzimba.
Inani eleqile lezicubu ze-adipose engxenyeni ephakathi nemilenze yomzimba kukhonjiswe ukuthi libe nomthelela omubi emzimbeni amalunga anesisindo. Ukuzivocavoca kuthathwa njengokuphephile kubantu abane-osteoarthritis futhi kufanele kuhlanganiswe ukuze kuthuthukiswe ukwakheka komzimba , ukunciphisa Amafutha Omzimba , ngcono Lean Body Mass futhi ugcine isisindo esinempilo.
Umusho wokuzihlangula we-Blog Post kaDkt. Alex Jimenez
Ububanzi bolwazi lwethu bukhawulelwe ku-chiropractic, musculoskeletal, imithi yenyama, impilo enhle, nezindaba ezibucayi zezempilo kanye/noma izindatshana zemithi esebenzayo, izihloko, nezingxoxo. Sisebenzisa amaphrothokholi asebenzayo ezempilo nokuphila ukuze selaphe futhi sisekele ukunakekelwa kokulimala noma ukuphazamiseka kwesistimu ye-musculoskeletal. Okuthunyelwe kwethu, izihloko, izihloko, kanye nemininingwane ihlanganisa izindaba zomtholampilo, izinkinga, nezihloko ezihlobene nezisekela ngokuqondile noma ngokungaqondile ububanzi bethu bomtholampilo.*
Ihhovisi lethu lenze umzamo ophusile wokuhlinzeka ngezingcaphuno ezisekelayo futhi likhombe ucwaningo olufanele noma izifundo ezisekela okuthunyelwe kwethu. Senza futhi amakhophi ocwaningo olusekelayo atholakale ebhodini noma emphakathini uma uwacela. Siyaqonda ukuthi sihlanganisa izindaba ezidinga incazelo eyengeziwe yokuthi ingasiza kanjani ohlelweni oluthile lokunakekela noma inqubo yokwelapha; ngakho-ke, ukuze uqhubeke uxoxa ngendaba engenhla, sicela ukhululeke ukubuza uDkt Alex Jimenez noma usithinte ku-915-850-0900. Abahlinzeki (abahlinzeki) Abanelayisense e-Texas naseNew Mexico*
Okubhekwayo
Hammitzsch A, Lorenz G, Moog P. Umthelela we-Janus Kinase Inhibition on the Treatment of Axial Spondyloarthropathies. Imingcele ku-Immunology 11:2488, Oct 2020; doi 10.3389/fimmu.2020.591176.�www.frontiersin.org/article/10.3389/fimmu.2020.591176 , ifinyelelwe ngoJanuwari 21, 2021.
van der Heijde D, Baraliakos X, Gensler LS, et al. Ukusebenza nokuphepha kwe-filgotinib, i-Janus kinase 1 inhibitor ekhethiwe, ezigulini ezine-ankylosing spondylitis esebenzayo (TORTUGA): imiphumela evela kuhlolo olungahleliwe, olulawulwa yi-placebo, isigaba 2.�I-Lancet. �2018 Disemba 1;392(10162):2378-2387. doi: 10.1016/S0140-6736(18)32463-2. I-Epub 2018 Oct 22. PMID: 30360970.�pubmed.ncbi.nlm.nih.gov/30360970/ �ifinyelelwe ngoJanuwari 19, 2021.
by UDkt Alex Jimenez Ubuhlungu Obunzima Beqolo
Kunezindlela ezihlukahlukene imikhiqizo namagajethi leso sicelo sokuhlinzeka impumuzo yobuhlungu beqolo esheshayo esheshayo . Nali ulwazi oluncane mayelana nokuthi yikuphi ukudiliva nokubambelela kukho izimangalo . Ubuhlungu beqolo buyasimisa emikhondweni yethu futhi sifuna ukukhululeka ngokushesha. Ngaphandle kokuthatha imithi yobuhlungu, iningi lethu lifuna indlela yokuzuza impumuzo yemvelo. Yilapho imikhiqizo yezinhlungu zomgogodla kanye namagajethi efika esithombeni.
Ngokwengxenye enkulu, amagajethi amaningi aku-inthanethi, ngisho nabizayo unganikezi ngempela ukukhululeka kobuhlungu beqolo iningi lethu elikulindele. Lokhu kusho ukuthi azibususi ngokuphelele ubuhlungu futhi impilo ibuyela kwesijwayelekile. Lezi zenzelwe ukukhulula okwesikhashana ubuhlungu lapho izimpawu zikhona nangokusebenzisa njalo ukuze qinisa, andise, � futhi welule imisipha ebuhlungu, imigqa, imisipha, njll, ngendlela yokuvimbela.
Asiyinqobi le mikhiqizo/amagajethi, njengoba siwasebenzisa thina. Kodwa khumbula lezi Amathuluzi ezenzelwe ukusiza ngezimo zobuhlungu beqolo, njenge amathuluzi ama-chiropractors, abelaphi bomzimba, abelaphi be-massage basebenzisa emisebenzini yabo . Lokhu okushiwo lesi sihloko ukukusiza wenze izinqumo ezihlakaniphile mayelana nokuthi yiziphi igajethi ezibuhlungu emuva ezingasiza.
Ukuqeqeshwa Kwesimo / Abaqeqeshi
Lezi izi izinzwa ezigqokekayo ezidlidlizayo uma uqala ukuhlehla, ukunyakazisa ukuya phambili, ukugoba, njll . I-relief-relief ithi i-slouching ibeka ingcindezi emgogodleni wakho nokuthi ukuthuthukisa ukuma kuzosiza ukuvimbela ubunzima nobuhlungu.
Nakuba lokhu kuyiqiniso lokho ochwepheshe abakucabange ngalo mkhiqizo ukuthi, nakuba usiza ukugcina ukuma okufanele akuhloselwe ukukhulula ubuhlungu obusheshayo , kodwa kunalokho ukuqeqesha kabusha umzimba wakho ekugcineni ukuma okuhle. Ngakho-ke dlulisela lo mkhiqizo uma umgomo wakho kuwukukhulula ubuhlungu emuva.
Izindawo zokulala zengeze ingcindezi ku�engezansi emuva lokho kuholela ezinkingeni kanye nobuhlungu beqolo. Lawa madivaysi angasiza, qaphela nje ukuthi ungazibambeli endaweni engavamile okubangela izinkinga eziningi.
Uma ukuma okungalungile kubangela ubuhlungu bakho emuva, zama lokhu:
Ukuzivocavoca, ikakhulukazi ukunyakaza okuqinisa umnyombo
Gqoka izicathulo ezikhululekile ezinezithende eziphansi
Ama-foot orthotics
Ibhalansi qinisekisa ukuthi ikhanda lakho alikho phambili kakhulu
UDkt Jimenez wengeza lokho uma ubonisa ukuma okungekuhle njalo, thintana nodokotela womgogodla noma i-chiropractor ukuze ubone ukuthi kuyinkinga yesakhiwo.
I-Transcutaneous Electrical Stimulation
The QUELL� TENS transcutaneous kagesi stimulation iyunithi entsha yomkhiqizo egqokwa etholeni. I-p i-in-relief ithi kunjalo ithumela ama-pulses kagesi aphephile lokho kuvula impendulo yemvelo yokunciphisa ubuhlungu . I-QUELL ingasiza futhi ifana namanye amayunithi we-TENS.
Lawa mayunithi yenza kusebenze ama-opioid nerve receptors , okungesinye sezizathu ezinikeza ukukhululeka kobuhlungu. Ungawathola ngaphansi kwama-$50 ezitolo zezidakamizwa naku-inthanethi. Esikhundleni sokufakwa ngqo ezindaweni ezibuhlungu, �igqokwe enkonyaneni futhi isebenza ngomgomo ofanayo we-TENS.� Izindleko njengamanje zingama-$300. Nokho, nganoma iyiphi iyunithi ye-TENS, qaphela ukuthi kungaba khona a�impumuzo ukubekezelelana lokho kwakha futhi ekugcineni kungase kungasasebenzi. Amayunithi e-TENS asebenza kahle, kodwa asetshenziswa kangcono emtholampilo we-physical therapist/chiropractic ngoba abantu bangajwayela ukuwajwayela.
I-Percussive Massager/s
Lokhu yi ophethe ngesandla eyenza ama-pulses of deep pressure kanye nokundindizela okunamandlaokufanayo kuya ku ukujula kwezicubu ezijulile . Lezi ziyasebenza futhi zisiza ekudambiseni izimpawu zobuhlungu, kodwa azifani ne-a i-massage yokwelapha yangempela . Kunocwaningo olulinganiselwe kule mikhiqizo kodwa iningi lisho ukuthi amathuluzi okubhucunga ashayayo/adlidlizayo, angabiza amakhulu amadola, angaba ngcono kancane kunokumasaji okuvamile kokudambisa ubuhlungu bemisipha. Lokhu kusazonqunywa.
Amamasaji anamandla angase andise noma abangele okunye ukulimala/okusha ngaphandle kobuhlungu bemisipha lapho kusetshenziswa abantu abangaqeqeshiwe. Kodwa-ke, ekusethweni komtholampilo ochwepheshe ucwaningo lubonisa ukuthi ukudlidliza okuphezulu okusetshenziselwa ngemuva kuwukwelapha okusebenzayo ngokomzimba ebuhlungu obuphansi emuva.
I-Low-Level Laser Therapy
Ukwelashwa kokukhanya okunamandla aphansi kusetshenziswa ekwelapheni izinhlungu ze-neuropathy. Uthishanhloko nguyena lowo ibangela izinguquko ze-biochemical kumaseli . Izinhlungu zithi kunjalo kunciphisa ukuvuvukala kunciphisa ubuhlungu futhi kukhuthaze ukuphulukiswa. Abukho ubufakazi obuningi bokuthi kusiza ubuhlungu emuva, kodwa lokho kungenxa yokuthi alukho ucwaningo olwanele okwamanje. Akusho ukuthi ngeke uzuze kukho. Ukwelashwa nge-laser, ngezinye izikhathi okusetshenziswa ekwelapheni ngokomzimba nasemitholampilo ye-chiropractic, kunganikeza impumuzo ezinhlobonhlobo zezimo, futhi lokhu kubandakanya ukuhlungu obusemhlane .
Amathuluzi Okubhucunga Alula
Lezi ziqukethe ama-foam roller, amabhola e-lacrosse, ama-wras, ama-massage pads, namarola emisipha aphathwa ngesandla. Abadambisa izinhlungu bathi banikeza amamasaji amancane emisipha ebuhlungu. Lezi ziyasebenza futhi zingasiza uma zisetshenziswe ngendlela efanele.
Le mikhiqizo ayinazo izinto eziningi ezishicilelwe ezinzuzweni zalawa mathuluzi. Kodwa abelapha ngokomzimba bancome ukusebenzisa la mathuluzi kanye nokwelashwa kwe-chiropractic/physical therapy. Lawa mathuluzi wokubhucunga wobuchwepheshe obuphansi angenza umhlane wakho uzizwe ungcono. Kunjalo isebenza kahle emisipha yemisipha, ithambile ezicutshini ezithambile futhi ithuthukisa ukugeleza kwegazi ngengozi encane kakhulu yokulimala kwezicubu.
Amabhola okuzivocavoca angafakwa ezinhlelweni zokuzivocavoca ezisebenza kuzo isandiso kanye nokuma kwe-flexion . Ukuhlala phezu kwabo ukuze uhlanganyele ngokuphephile futhi uqinise imisipha eyinhloko kuyinzuzo eyengeziwe futhi kuhle ukugcina ukuma okufanele.
I-LLT Laser Therapy ye-Peripheral Neuropathy
VIDEO
Izinsiza ze-NCBI
