Ukuhlungu obusemhlane
Umtholampilo Wasemuva Ubuhlungu Ithimba Lokwelapha I-Chiropractic. E-El Paso Back Clinic, sithatha ubuhlungu emuva kakhulu.
Ngemva kokuhlonza umsuka wokungaphatheki kahle/ubuhlungu bakho, sizokwenza konke okusemandleni ethu ukuze selaphe indawo futhi sikhulule izimpawu zakho.
Izimbangela ezivamile zobuhlungu beqolo:
Kunenombolo engapheli yezinhlobo zobuhlungu be-back, futhi izinhlobonhlobo zokulimala nezifo zingabangela ukungakhululeki kule ndawo yomzimba. Enye yezinto ezivame kakhulu esibona esinye seziguli zethu e-East Side El Paso kanye nezindawo ezizungezile zihlanganisa:
I-Disc Herniation
Ngaphakathi komgogodla kunamadiski aguquguqukayo aqinisa amathambo akho futhi amunce ukushaqeka. Noma nini lapho la madiski ephukile, angase acindezele umthambo oholela ekubeni ndikindiki ongezansi. UkucindezelekaUma umsipha esiqwini usebenza ngokweqile noma ulimale, okubangela ukuqina nobuhlungu, lolu hlobo lokulimala ngokuvamile lubhekwa njengobunzima basemuva. Lokhu kungaba umphumela wokuzama ukuphakamisa into engase ibangele ubuhlungu obudlulele kanye nokonakala futhi esinda kakhulu. Ukuthola imbangela eyisisekelo yobuhlungu bakho.
I-osteoarthritis
I-osteoarthritis ibonakala ngokuwohloka kancane koqwanga oluvikelayo. Uma umhlane uthinteka kulesi simo, kubangela ukulimala emathanjeni okuholela ebuhlungu obungapheli, ukuqina, nokuhamba okulinganiselwe. I-sprainUma imigqa yomgogodla wakho nangemuva inwetshiwe noma idabukile, kubizwa ngokuthi i-sprain yomgogodla. Ngokuvamile, lokhu kulimala kubangela ubuhlungu esifundeni. I-Spasm ibangela imisipha yangemuva ukuthi isebenze ngokweqile ingase iqale ukuwohloka, futhi ingahlala ngisho nenkontileka- okubuye kubizwe ngokuthi i-muscle spasm. Ama-muscle spasms angabonisa ubuhlungu nokuqina kuze kube yilapho ukucindezeleka kuxazulula.
Sifuna ukufeza ukuxilongwa ngokushesha, sihlanganise isizinda kanye nokuhlolwa kanye nesithombe sesimanjemanje, ukuze sikwazi ukukunikeza izinketho zokwelapha ezisebenza kahle kakhulu. Ukuqala, sizokhuluma nawe mayelana nezimpawu zakho, okuzosihlinzeka ngolwazi olubucayi mayelana nesimo sakho esiwumsuka. Sizobe sesihlola umzimba, lapho sizohlola izinkinga zokuma, sihlole umgogodla wakho futhi sihlole umgogodla wakho. Uma siqagela ukulimala, njengediski noma ukulimala kwemizwa, cishe sizo-oda ukuhlolwa kwesithombe ukuze sithole ukuhlaziya.
Amakhambi okuvuselela ubuhlungu bakho emuva. E-El Paso Back Clinic, ungase uqiniseke ukuthi usezandleni ezingcono kakhulu noDokotela wethu weChiropractic kanye ne-Massage Therapist. Inhloso yethu phakathi nokwelashwa kwakho kwezinhlungu akukhona nje ukukhulula izimpawu zakho - kodwa futhi ukugwema ukuphinda futhi ukwelapha ubuhlungu bakho.
by UDkt Alex Jimenez | Ukuhlungu obusemhlane, Ukuhamba Nezimo
Kubantu abazwa ubuhlungu behlombe nangaphezulu, ingabe i-periscapular bursitis ingaba imbangela engenzeka?
I-Periscapular Bursitis
I-scapula/ihlombe ihlombe ithambo elishintsha indawo ngomzimba ongenhla nokunyakaza kwehlombe. Ukunyakaza kwe-scapula kubalulekile ekusebenzeni okuvamile kwehlombe nomgogodla. Uma ukunyakaza kwamahlombe okungavamile noma okungazelelwe kwenzeka, ukuvuvukala nezimpawu zobuhlungu zingakhula. (Augustine H. Conduah et al., 2010)
Umsebenzi We-Scapula Ojwayelekile
I-scapula iyithambo elingunxantathu emhlane ongenhla ngaphandle kwekheji yezimbambo. Uhlangothi lwayo lwangaphandle noma olusemaceleni luqukethe isokhethi / i-glenoid ehlangene yehlombe, kuyilapho lonke ithambo lisebenza njengamaphuzu okunamathiselwe ehlombe ehlukene nemisipha yangemuva. I-scapula iyashintsha ezimbanjeni lapho ihambisa ingalo phambili nangemuva. Lo mnyakazo ubizwa ngokuthi ukunyakaza kwe-scapulothoracic futhi ibalulekile emsebenzini ovamile womkhawulo ongaphezulu kanye nokuhlangana kwehlombe. Lapho i-scapula ingashibiliki ekunyakazeni okuhlanganisiwe, umsebenzi we-torso namajoyinti ehlombe ungaba nzima futhi ube buhlungu. (JE Kuhn et al., 1998)
I-Scapular Bursa
I-bursa yisaka eligcwele uketshezi elivumela ukunyakaza okushelelayo, okutshuzayo phakathi kwezakhiwo, izicubu zomzimba, amathambo, nemisipha. I-Bursae itholakala kuwo wonke umzimba, kuhlanganise nalawo angaphambi kwe-kneecap, ngaphandle kwe-hip, nasendaweni yehlombe. Lapho i-bursa ivuvukala futhi icasuka, ukunyakaza okuvamile kungase kube buhlungu. Kukhona ama-bursa azungeze i-scapula ngemuva. Amabili alawa masaka e-bursa aphakathi kwamathambo kanye nemisipha yangaphambili ye-serratus elawula ukunyakaza kwe-scapular odongeni lwesifuba. Isikhwama esisodwa se-bursa sitholakala ekhoneni elingenhla le-scapula, eduze nomgogodla phansi kwentamo, kanti enye isekhoneni elingezansi le-scapula, eduze ne-mid-back. Izikhwama ze-bursa noma zombili zingathinteka yi-periscapular bursitis. Kukhona amanye ama-bursa azungeze i-scapula kanye nezintambo ezizungezile, kodwa amasaka amabili ekhoneni avame ukuba yi-bursae eyinhloko eyenza i-periscapular bursitis.
Ukuvuvukala
Lapho la ma-bursae evuvukala futhi ecasuka, avuvukele, futhi ajiyile, kuba umphumela we-bursitis. Lapho i-bursitis ivela eduze kwe-scapula, ukunyakaza kwemisipha, kanye nehlombe kungaholela ekuphatheni kabi nobuhlungu. Izimpawu ezivame kakhulu ze-periscapular bursitis zihlanganisa:
- Ukuqhafaza ngokunyakaza
- Imizwa yokugaya noma i-crepitus
- Ubuhlungu
- Ubumnene ngqo phezu kwe-bursa (Augustine H. Conduah et al., 2010)
- Ukuzwa nokunyakaza kwe-scapular okungavamile
Ukuhlolwa kwe-scapula kungase kubonise ukunyakaza okungavamile kwehlombe lehlombe. Lokhu kungaholela ekujikeni, lapho ihlombe lehlombe lingabanjwanga ngendlela efanele ezimbanjeni futhi liphume ngendlela engavamile. Abantu abane-wingang ye-scapula ngokuvamile banomshini wokuhlanganisa wehlombe ongajwayelekile ngenxa yokuthi ukuma kwehlombe kushintshile.
Izimbangela
Izimbangela ze-periscapular bursitis zingahlukahluka. Okuvame kakhulu i-overuse syndrome, lapho umsebenzi othize ubangela ukucasuka ku-bursa. Lokhu kungafaka:
- Imisebenzi ehlobene nezemidlalo ebangelwa ukusetshenziswa ngokuphindaphindiwe.
- Imisebenzi ehlobene nomsebenzi ebangelwa ukusetshenziswa ngokuphindaphindiwe.
- Ukulimala okubuhlungu okubangela ukuvuvukala noma ukucasuka ku-bursa.
Ezinye izimo zingabangela i-anatomy engavamile noma i-bone protuberances, ecasula i-bursa. Esinye sezimo ukukhula kwamathambo okunempilo eyaziwa ngokuthi i-osteochondroma. (U-Antônio Marcelo Gonçalves de Souza no-Rosalvo Zósimo Bispo Júnior 2014) Lezi zimila zingaphuma ku-scapula, okuholela ekucasukeni nasekuvuvukeni.
Ukwelashwa
Ukwelashwa kwe-periscapular bursitis kuqala nge-conservative ukwelapha. Ukwelashwa okuhlaselayo akuvamile ukuba kudingeke ukulungisa inkinga. Ukwelashwa kungabandakanya:
Ukuphumula
- Isinyathelo sokuqala ukuphumula i-bursa ecasuliwe futhi uxazulule ukuvuvukala.
- Lokhu kungathatha amasonto ambalwa futhi kungafezwa ngokushintsha imisebenzi yomzimba, yezemidlalo, noma ehlobene nomsebenzi.
Ice
- Iqhwa liwusizo ekwehliseni ukuvuvukala nokulawula ubuhlungu.
- Ukwazi ukuthi ungenza kanjani i-ice ukulimala ngendlela efanele kungasiza ekulawuleni ubuhlungu nokuvuvukala.
Ukwelashwa Kwemvelo
- Ukwelashwa ngokomzimba kunganciphisa izimpawu zokuvuvukala ngokusebenzisa izivivinyo ezihlukahlukene nokwelula.
- Ukwelashwa kungathuthukisa imishini ye-scapular ukuze ukulimala kungapheli futhi kuphindeke.
- Ukunyakaza okungavamile kwe-scapula emgodleni wezimbambo akukwazi nje ukuholela ekuthuthukiseni i-bursitis, kodwa uma le mishini engavamile ingabhekwana nayo, inkinga ingase iphinde ibuyele.
Imithi Yokuvimbela Ukuvuvukala
- Imithi engeyona i-steroidal eqeda ukuvuvukala isetshenziselwa ukulawula ukuvuvukala ngesikhathi esifushane. (Augustine H. Conduah et al., 2010)
- Imithi ingasiza ekuvimbeleni ukusabela kokuvuvukala.
- Ngaphambi kokuthatha noma yimiphi imithi, abantu kufanele baqinisekise kumhlinzeki wabo wezempilo ukuthi iphephile.
Imijovo yeCortisone
- Ukwelashwa okuphumelelayo ngokudutshulwa kwe-cortisone kuwuphawu lokuthi ukuhlinzwa kuzosebenza kangcono kubantu abangase badinge ukuhlinzwa.
- Imijovo ye-Cortisone ingaba usizo kakhulu ekuletheni umthamo onamandla wokulwa nokuvuvukala ngqo endaweni yokuvuvukala. (Augustine H. Conduah et al., 2010)
- Imijovo ye-Cortisone kufanele ibe nomkhawulo mayelana nokuthi mingaki imijovo enikezwa umuntu ngamunye, kodwa ngemithamo elinganiselwe ingasiza kakhulu.
- Kodwa-ke, ukudubula kwe-cortisone kufanele kwenziwe kuphela uma ukuxilongwa sekuqinisekisiwe.
Ukuhlinzwa
- Ukuhlinzwa akuvamile ukuba kudingekile kodwa kungase kusebenze kubantu abangakwazi ukuthola impumuzo ngemithi yokwelapha elandelanayo.
- Ukuhlinzwa kuvame ukusetshenziselwa abantu abane-scapular anatomy engajwayelekile, njengokukhula kwamathambo noma amathumba.
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. Izinhlelo zethu zokunakekelwa kwe-chiropractor kanye nezinsizakalo zomtholampilo zikhethekile futhi zigxile ekulimaleni kanye nenqubo yokutakula ephelele. Uma kudingeka okunye ukwelashwa, abantu bazothunyelwa emtholampilo noma kudokotela ofaneleka kakhulu ukulimala kwabo, isimo, kanye/noma ukugula kwabo.
I-Scapular Winging Ngokujulile
Okubhekwayo
I-Conduah, AH, Baker, CL, 3rd, & Baker, CL, Jr (2010). Ukuphathwa komtholampilo kwe-scapulothoracic bursitis kanye ne-snapping scapula. Impilo yezemidlalo, 2(2), 147–155. doi.org/10.1177/1941738109338359
Kuhn, JE, Plancher, KD, & Hawkins, RJ (1998). Izimpawu ze-scapulothoracic crepitus kanye ne-bursitis. I-Journal ye-American Academy of Orthopedic Surgeons, 6 (5), 267-273. doi.org/10.5435/00124635-199809000-00001
de Souza, AM, & Bispo Júnior, RZ (2014). I-Osteochondroma: ungayinaki noma uphenye? I-Revista brasileira de ortopedia, 49(6), 555–564. doi.org/10.1016/j.rboe.2013.10.002
by UDkt Alex Jimenez | Ukuhlungu obusemhlane, I-Chiropractic, Ubuhlungu obungapheliyo, Ubuhlungu Emuva Emuva, Ukwelashwa Kokucindezeleka Komgogodla, Ukwelashwa, I-Viscerosomatic Reflex
Ingabe abantu abane-lumbar spinal stenosis bangasebenzisa ukuwohloka komgogodla ukuze banciphise ubuhlungu obuphansi emuva futhi babuyisele ukuhamba?
Isingeniso
Abantu abaningi emhlabeni wonke baye babhekana nobuhlungu obuphansi emuva esikhathini esithile ekuphileni kwabo okuye kwathinta ukuhamba kwabo futhi kwaba nomthelela endleleni yabo yokuphila. Izici eziningi zezemvelo zingaholela ekuthuthukisweni kobuhlungu obuphansi emuva, njengokuphakamisa okunzima okungafanele, ukuma okungalungile, ukulimala okubuhlungu, nezingozi ezingase zithinte imisipha ezungezile, intambo yomgogodla, nezimpande zezinzwa. Uma lokhu kwenzeka, kungaholela ku-lumbar spinal stenosis futhi kubangele amaphrofayli ezingozi ezeqile ahlotshaniswa nobuhlungu obuphansi emuva. Lapho abantu bebhekene ne-lumbar spinal stenosis, bangase bacabange ukuthi ubuhlungu babo busemaphethelweni aphansi. Kuze kube yileso sikhathi, abantu abaningi bafuna ukwelashwa ukuze bangagcini nje ukunciphisa ubuhlungu obuphansi emuva kodwa futhi banciphise imiphumela ye-lumbar spinal stenosis. Ezinye zokwelapha, njengokuwohloka komgogodla, okuwukwelashwa okungahlinzeki, kungasiza ukubuyisela ukuhamba komzimba. Isihloko sanamuhla sibheka ukuthi i-lumbar spinal stenosis ithinta kanjani i-back back kanye nokuxilongwa kwayo ngenkathi ibheka ukuthi ukuchithwa komgogodla kunganikeza kanjani ukukhululeka kumuntu futhi kube nezinzuzo ezinhle ekubuyiseleni ukuhamba. Sikhuluma nabahlinzeki bezokwelapha abaqinisekisiwe abahlanganisa ulwazi lweziguli zethu ukuze bahlole ukuthi i-lumbar spinal stenosis ihlobana kanjani nobuhlungu obuphansi emuva, okubangela izinkinga zokuhamba. Siphinde sazise futhi siqondise iziguli ukuthi ukuwohloka komgogodla kuyindlela enhle kakhulu yokwelapha engahlanganiswa nezinye izindlela zokwelapha. Sikhuthaza iziguli zethu ukuthi zibuze abahlinzeki bazo bezokwelapha abahlobene nabo imibuzo eyinkimbinkimbi nebalulekile mayelana nokuhlanganisa ukwelashwa kokunciphisa ukucindezelwa ukuze kudambise imiphumela yobuhlungu ebangelwa i-lumbar stenosis kuyilapho kunciphisa imiphumela yobuhlungu obudlulele njengobuhlungu obuphansi bomgogodla ukuze kuphinde kutholakale ukuhamba komuntu. UDkt. Jimenez, DC, uhlanganisa lolu lwazi njengesevisi yezemfundo. Disclaimer.
Ukuthi I-Lumbar Spinal Stenosis Ithinta Kanjani I-Lower Back
Ingabe uzwa ukuntweza ngemuva kwemilenze yakho okuthinta ikhono lakho lokuhambahamba? Noma ingabe iqolo lakho eliphansi lizwa sengathi lihamba kancane kunalokho obujwayele? Lapho abantu abaningi bezwa ubuhlungu obuphansi emuva ngesikhathi sokuphila kwabo, kungase kuhambisane ne-lumbar spinal stenosis. I-Lumbar spinal stenosis ivame ukwenzeka lapho umsele womgogodla osemuva ophansi uba yinkimbinkimbi, okuholela ekushintsheni okuwohlokayo. Lapho umsele womgogodla uqala ukuba mncane emgogodleni, ungabangela ukungakhululeki okukhulu, uphazamise imisebenzi yansuku zonke, futhi ungabangela ukukhubazeka okuqhubekayo kubantu abaningi. (Munakomi et al., 2024) Izimpawu ezibangelwa i-lumbar spinal stenosis zisukela kokuncane kuye kokuqina, futhi yiziphi izici zemvelo ezihambisana nenkinga. Ngesikhathi esifanayo, i-lumbar spinal stenosis ibonakala ngezimpawu ezifana nobuhlungu obuphansi emuva obungabangela izinguquko ze-spondylotic ezibangela ubuhlungu obuphansi obungase buthinte kabi izinga lokuphila komuntu. (Ogon et al., 2022) Lokhu kubangela ukuthi abantu abaningi baye kodokotela babo abayinhloko ukuze bathole ukuxilongwa futhi bafunde ukuphatha ubuhlungu obuhambisana ne-lumbar spinal stenosis.
Ukuxilongwa Kwe-Lumbar Spinal Stenosis
Uma kuziwa ekuxilongeni i-lumbar spinal stenosis, abahlinzeki bezempilo abaningi bazofaka ukuhlolwa okuphelele, okubandakanya ukuhlolwa ngokomzimba ukuze ubone ukuthi ingemuva lomuntu lihamba kanjani kanye nokuhlolwa kwe-imaging njenge-MRIs kanye ne-CT scans ukuze ubone ngeso lengqondo umgogodla womgogodla futhi uhlole izinga lomgogodla. ukunciphisa okubangela ubuhlungu emaphethelweni aphansi. Lokhu kungenxa yokuthi lapho abantu bebhekana ne-lumbar spinal stenosis, ingabonakalisa nge-neurogenic claudication emaphethelweni aphansi, ikakhulukazi uma umuntu emile noma ehlezi. Ubuhlungu buyancipha lapho isikhundla sabo sishintshwa. (USobanski et al., 2023) Ukwengeza, i-lumbar spinal stenosis ingenye yezinkinga zomgogodla ezivame ukutholwa ochwepheshe abaningi bezempilo abahlola futhi bazihlole. Uma kukhona ukuncipha emgodleni womgogodla, okuholela ekuthuthukiseni umgogodla we-lumbar, ukunyakaza okulula njengokuhamba kungandisa izimpawu emaphethelweni aphansi futhi kwandise i-oksijini emithanjeni yomgogodla, okungase kudlule ukugeleza kwegazi okutholakalayo kuya emaphethelweni. (I-Deer et al., 2019) Kulelo phuzu, ukwelashwa okufana nokuwohloka komgogodla kungasiza ekunciphiseni ubuhlungu obuphansi obuhambisana ne-lumbar spinal stenosis.
Indlela Engahlinzwanga Yempilo- Ividiyo
Indlela Yokukhulula Ukusebenzisa Ukucindezeleka Komgogodla
Uma kukhulunywa ngabantu ababhekene nobuhlungu obubangelwa i-lumbar spinal stenosis, abantu abaningi bangafuna izindlela zokwelapha ezingahlinzeki njengokuwohloka komgogodla ukuze bakhulule izinhlungu ezingezansi. Ukuwohloka komgogodla kuye kwavela njengendlela yokwelapha engasebenzi, ephumelelayo ye-lumbar spinal stenosis. Isebenzisa i-traction emnene emgogodleni ukuze welulwe, ikhulule izinzwa zomgogodla ngokudala isikhala esiningi ngaphakathi komsele womgogodla. Ukunciphisa umgogodla kunciphisa inqubo yokuwohloka ngenkathi imisipha ezungezile ilula kancane, futhi ukuphakama kwe-spinal disc kuyanda ngenxa yokucindezela okubi. (Kang et al., 2016)
Izinzuzo Zokuwohloka Komgogodla Nokubuyisela Ukuhamba
Ukwengeza, i-traction emnene evela ekucindezelweni komgogodla kusiza ukuthuthukisa ukugeleza kokukhiqizwa kwezakhi kanye ne-oksijini emuva kuma-spinal discs athintekile kanye nomgogodla ukuze kukhuthaze indawo yokuphulukisa engcono yomzimba. Njengoba ukuwohloka komgogodla kungahlanganiswa nezinye izindlela zokwelapha ezingezona zokuhlinzwa, njengokwelashwa ngokomzimba kanye nokuxhaphazwa komgogodla, kunganikeza imiphumela emihle ehlala isikhathi eside kubantu abane-lumbar spinal stenosis. (U-Ammendolia et al., 2022) Eminye yemiphumela enenzuzo yokuwohloka komgogodla ihlanganisa:
- Ukunciphisa ubuhlungu ngokunciphisa ingcindezi emithanjeni yomgogodla ukunciphisa ubuhlungu nokungahambi kahle emaphethelweni aphansi kakhulu.
- Ukuhamba okuthuthukisiwe kuvumela umuntu ukuthi abuyele emisebenzini yakhe yansuku zonke kalula.
Abantu abaningi bangazuza ekucindezelweni komgogodla ukuze banciphise imiphumela ye-lumbar spinal stenosis futhi babuyisele ukuhamba kwabo okuphansi ngemuva kwezikhathi ezilandelanayo ukuze kuncishiswe amathuba okuba ubuhlungu bubuye. Ngokucabanga okwengeziwe ngempilo nempilo yabo, abantu abaningi bangenza izinguquko ezincane ezivamile emisebenzini yabo ukuze banciphise ubuhlungu futhi bahlale behamba ezimpilweni zabo zonke. Lokhu kubenza babe nomuzwa wethemba wokubakhulula ebuhlungwini abebengaphansi kwabo.
Okubhekwayo
Ammendolia, C., Hofkirchner, C., Plener, J., Bussieres, A., Schneider, MJ, Young, JJ, Furlan, AD, Stuber, K., Ahmed, A., Cancelliere, C., Adeboyejo, A ., & Ornelas, J. (2022). Ukwelashwa okungezona ukusebenza kwe-lumbar spinal stenosis nge-neurogenic claudication: ukubuyekezwa okuhlelekile okubuyekeziwe. I-BMJ Vula, 12(1), i-e057724. doi.org/10.1136/bmjopen-2021-057724
I-Deer, T., Sayed, D., Michels, J., Josephson, Y., Li, S., & Calodney, AK (2019). Ukubuyekezwa kwe-Lumbar Spinal Stenosis nge-Intermittent Neurogenic Claudication: Izifo kanye Nokuxilongwa. Ubuhlungu Med, 20(Suppl 2), S32-S44. doi.org/10.1093/pm/pnz161
Kang, JI, Jeong, DK, & Choi, H. (2016). Umphumela wokuwohloka komgogodla emsebenzini we-lumbar muscle kanye nokuphakama kwediski ezigulini ezine-disk intervertebral herniated. Ijenali yePhysical Therapy Science, 28(11), i-3125-3130. doi.org/10.1589/jpts.28.3125
Munakomi, S., Foris, LA, & Varacallo, M. (2024). I-Spinal Stenosis kanye ne-Neurogenic Claudication. Ku StatPearls. www.ncbi.nlm.nih.gov/pubmed/28613622
Ogon, I., Teramoto, A., Takashima, H., Terashima, Y., Yoshimoto, M., Emori, M., Iba, K., Takebayashi, T., & Yamashita, T. (2022). Izici ezihlotshaniswa nobuhlungu obuphansi emuva ezigulini ezine-lumbar spinal stenosis: isifundo se-cross-sectional. I-BMC Musculoskelet Disord, 23(1), i-552. doi.org/10.1186/s12891-022-05483-7
Sobanski, D., Staszkiewicz, R., Stachura, M., Gadzielinski, M., & Grabarek, BO (2023). Isethulo, Ukuxilongwa, kanye Nokuphathwa Kwezinhlungu Eziphansi Ezisemuva Ezihlobene Ne-Spinal Stenosis: Ukubuyekezwa Okulandisayo. IMed Sci Monit, 29, e939237. doi.org/10.12659/MSM.939237
Disclaimer
by UDkt Alex Jimenez | Ukuhlungu obusemhlane, Ubuhlungu Bokubuyela Emuva, Ubuhlungu obungapheliyo, Electroacupuncture Therapy, Sciatica, I-Sciatica Nerve Pain, Ukwelashwa, I-Viscerosomatic Reflex
Ingabe imiphumela ye-electroacupuncture inganciphisa i-sciatica kubantu ababhekene nobuhlungu obuphansi emuva ukuze babuyisele ukuhamba kwabo?
Isingeniso
Lapho abantu abaningi beqala ukusebenzisa ngokweqile imisipha yabo kuma-quadrants aphansi, kungaholela ezindabeni eziningi ezibangela ubuhlungu nokungakhululeki. Enye yezinkinga ezivame kakhulu zobuhlungu ku-quadrants ephansi yesistimu ye-musculoskeletal yi-sciatica, ehlotshaniswa nobuhlungu obuphansi emuva. Lezi zinhlungu ezimbili zingathinta indlela yomuntu yansuku zonke futhi zimholele ebuhlungwini nasekuphatheni kabi. Lesi simo se-musculoskeletal sivamile, futhi uma sithinta umlenze owodwa kanye nomhlane ophansi, abantu abaningi bathi ubuhlungu obuvuthayo obudubulayo obungapheli isikhathi eside. Ngenhlanhla, kukhona ukwelashwa okufana ne-electroacupuncture ukunciphisa i-sciatica ehambisana nobuhlungu obuphansi emuva. Isihloko sanamuhla sibheka uxhumano lwe-sciatica-low-back, ukuthi i-electroacupuncture inciphisa kanjani lokhu kuxhumana kobuhlungu, nokuthi i-electroacupuncture ingabuyisela kanjani ukuhamba kumuntu ngamunye. Sikhuluma nabahlinzeki bezokwelapha abaqinisekisiwe abahlanganisa ulwazi lweziguli zethu ukuze bahlole indlela yokunciphisa uxhumano lwe-sciatica-low-back nge-electroacupuncture. Siphinde sazise futhi siqondise iziguli ukuthi ukwelashwa kwe-electroacupuncture kungahlanganiswa kanjani nezinye izindlela zokwelapha ukubuyisela ukuhamba komzimba. Sikhuthaza iziguli zethu ukuthi zibuze abahlinzeki bazo bezokwelapha abahlobene nabo imibuzo eyinkimbinkimbi futhi ebalulekile mayelana nokuhlanganisa ukwelashwa kwe-electroacupuncture njengengxenye yendlela yabo yokunciphisa i-sciatica ehambisana nobuhlungu obuphansi emuva. UDkt. Jimenez, DC, uhlanganisa lolu lwazi njengesevisi yezemfundo. Disclaimer.
The Sciatica & Low Back Connection
Ingabe uzwa ubuhlungu bemisipha noma ubuhlungu emhlane wakho ophansi noma emilenzeni yakho? Ingabe uzwa ubuhlungu obukhazimulayo, obuhlabayo emilenzeni obuthinta ikhono lakho lokuhamba? Noma uke waqaphela ukuthi imilenze yakho neqolo lakho libuhlungu kakhulu lapho uphethe into esindayo? Eziningi zalezi zimo zihlotshaniswa ne-sciatica, ehambisana nobuhlungu obuphansi emuva. Manje, i-sciatica ivame ukubonakala ngobuhlungu obunzima obuhamba nge-nerve ye-sciatic kusuka esifundeni esingaphansi, okuphazamisa izinga lokuphila lomuntu. Kuhlelo lwe-musculoskeletal, i-nerve ye-sciatic idlala indima ebalulekile ngokuhlinzeka ngokusebenza kwemoto emilenzeni. (UDavis et al., 2024) Manje, lapho i-sciatic nerve, isifunda se-lumbar sinendima ebalulekile. Isifunda se-lumbar esifundeni se-musculoskeletal sinendima ebalulekile ekuhlinzekeni ukusekela, amandla, nokuvumelana nezimo emzimbeni. Kodwa-ke, kokubili i-sciatic nerve kanye ne-lumbar spinal region ijwayele ukucindezeleka nokulimala ekulimaleni okubuhlungu kanye nezici zemvelo ezingaba nomthelela kuma-lumbar spinal discs kanye ne-nerve ye-sciatic.
Ukunyakaza okuphindaphindiwe, ukukhuluphala, ukuphakanyiswa okungalungile, izinkinga zomgogodla eziwohlokayo, nezimo ze-musculoskeletal yizimbangela ezimbalwa kanye nezici eziyingozi ezibangela ukuthuthukiswa kwe-sciatica ehambisana nomgogodla ophansi. Okugcina kwenzeka ukuthi okuqukethwe kwamanzi kanye nokulahlekelwa okuqhubekayo kwama-proteoglycans ama-spinal discs aphuka phakathi kwe-vertebrae futhi aphume ukuze acindezele i-nerve ye-sciatic, engase icasuke futhi ibangele ubuhlungu obuvela emilenzeni nasemhlane ophansi. . (U-Zhou et al., 2021) Inhlanganisela ye-sciatica nobuhlungu obuphansi emuva ingaba yinkinga yezenhlalo nezomnotho kuye ngokuthi ubukhulu bobuhlungu obubangelwa yi-sciatic nerve futhi kungenza abantu baphuthelwe kunoma yimiphi imisebenzi ababambe iqhaza kuyo.USiddiq et al., 2020) Nakuba izimpawu ezifana nobuhlungu be-sciatica zivame ukuhlobana ne-lumbar region, abantu abaningi bangathola ukukhululeka abakufunayo ngokwelashwa okuhlukahlukene.
Izimbangela ze-Sciatica- Ividiyo
I-Electroacupuncture Yehlisa I-Sciatica-Low Back Connection
Uma kukhulunywa ngokunciphisa ukuxhumana kwe-sciatic-low-back, abantu abaningi bafuna ukwelashwa okungabizi kakhulu futhi okusebenzayo ekwehliseni izinkinga ezinjengobuhlungu. Ukwelashwa okungahlinzeki njenge-electroacupuncture kungaba yinzuzo kubantu abaningi ababhekene nobuhlungu be-sciatica obuhambisana nomgogodla ophansi. I-Electroacupuncture ingolunye uhlobo lokwelapha lwendabuko lokutshopa olusuka eShayina. Ama-acupuncturists aqeqeshwe kakhulu alandela izimiso ezifanayo zokutshopa ngokubeka izinaliti ezincane eziqinile kuma-acupoints ahlukene emzimbeni ukuze kubuyiselwe i-qui noma i-chi (ukugeleza kwamandla). I-Electroacupuncture ihlanganisa izinaliti kanye ne-electrostimulation ukuze kuncishiswe izindlela zokulawula ubuhlungu obuphakathi okubangela ubuhlungu obuphansi emuva kanye ne-sciatica ngokuvimbela izimpawu zobuhlungu nokuhlinzeka ngokukhululeka kobuhlungu. (Kong, 2020) Ngesikhathi esifanayo, i-electroacupuncture inikeza izakhiwo ze-analgesic ukuvuselela ama-endorphin nokunciphisa imithi yobuhlungu ngenxa yobuhlungu obuphansi emuva ngokuphepha. (Sung et al., 2021)
I-Electroacupuncture Ukubuyisela Ukuhamba
Lapho imigqa engezansi ibhekene nokuhamba okulinganiselwe ngenxa ye-sciatica ehambisana nobuhlungu obuphansi emuva, i-electroacupuncture ingasiza ukukhulula imisipha ehlukumeza i-nerve ye-sciatic futhi isize ngisho nokuthuthukisa ukugeleza kwegazi emisipha ye-lumbar. Lokho kungenxa yokuthi i-electroacupuncture ingashukumisa izifunda ezithile zomzimba ukunciphisa i-somato-vagal-adrenal reflexes ukuze ikhulule futhi ibuyisele ukuhamba emaphethelweni aphansi. (Liu et al., 2021) Ukwengeza, i-electroacupuncture ingahlanganiswa nezinye izindlela zokwelapha ezingezona zokuhlinzwa ukuze kusize ukuqinisa imisipha eyisisekelo nephansi, okuvumela abantu ukuba bakhumbule ukuthi yiziphi izici ezibangela i-sciatica nobuhlungu obuphansi emuva. Ngokwenza lokhu, abantu abaningi abalwa ne-sciatica ehambisana nobuhlungu obuphansi emuva bangafaka i-electroacupuncture njengengxenye yohlelo lwabo lokwelapha oluhlangene nezindlela eziphelele zokuthuthukisa izinga labo lokuphila nokuhlinzeka indlela yokuthuthukisa ukuhamba kwabo.
Okubhekwayo
U-Davis, D., Maini, K., Taqi, M., & Vasudevan, A. (2024). I-Sciatica. Ku StatPearls. www.ncbi.nlm.nih.gov/pubmed/29939685
Kong, JT (2020). I-Electroacupuncture Yokwelapha Izinhlungu Ezingapheli Zomgogodla: Imiphumela Yocwaningo Lokuqala. I-Med Acupunct, 32(6), i-396-397. doi.org/10.1089/acu.2020.1495
U-Liu, S., Wang, Z., Su, Y., Qi, L., Yang, W., Fu, M., Jing, X., Wang, Y., & Ma, Q. (2021). Isisekelo se-neuroanatomical se-electroacupuncture ukushayela i-axis ye-vagal-adrenal. Nature, 598(7882), i-641-645. doi.org/10.1038/s41586-021-04001-4
USiddiq, MAB, Clegg, D., Hasan, SA, & Rasker, JJ (2020). I-Extra-spinal sciatica kanye ne-sciatica ilingisa: ukubuyekezwa kwe-scoping. I-Korean J Pain, 33(4), i-305-317. doi.org/10.3344/kjp.2020.33.4.305
Sung, WS, Park, JR, Park, K., Youn, I., Yeum, HW, Kim, S., Choi, J., Cho, Y., Hong, Y., Park, Y., Kim, EJ , & Nam, D. (2021). Ukusebenza nokuphepha kwe-electroacupuncture yobuhlungu obungapheli obungapheli obungapheli: Iphrothokholi yokubuyekezwa okuhlelekile kanye / noma ukuhlaziywa kwe-meta. Imithi (Baltimore), 100(4), i-e24281. doi.org/10.1097/MD.0000000000024281
U-Zhou, J., Mi, J., Peng, Y., Han, H., & Liu, Z. (2021). I-Causal Associations of Obesity With the Intervertebral Degeneration, Low Back Pain, kanye ne-Sciatica: I-Two-Sample Mendelian Randomization Study. I-Front Endocrinol (Lausanne), 12, 740200. doi.org/10.3389/fendo.2021.740200
Disclaimer
by UDkt Alex Jimenez | Ukuhlungu obusemhlane, Ubuhlungu obungapheliyo, Electroacupuncture Therapy, Amathumbu kanye Nempilo Yamathumbu, Ubuhlungu Emuva Emuva, Ukwelashwa, I-Viscerosomatic Reflex
Ingabe abantu ababhekene nokuvuvukala kwamathumbu bangakhululeka nge-electroacupuncture ukuze banciphise izimpawu zobuhlungu obuphansi emuva futhi bathuthukise ukusebenza kwamathumbu?
Isingeniso
Uma kukhulunywa ngomzimba, uhlelo lwamathumbu lunobudlelwano obuthakazelisa kakhulu emaqenjini ahlukahlukene omzimba. Uhlelo lwamathumbu lusebenza nesistimu yezinzwa emaphakathi, i-immune, ne-musculoskeletal njengoba lusiza ukuvikela umzimba kumabhaktheriya ayingozi ngenkathi kulawula ukuvuvukala. Kodwa-ke, lapho izici zemvelo ziqala ukuba nomthelela emzimbeni futhi zidale uhlelo lwamathumbu ukuthi luhambe i-haywire, kungabangela izinkinga eziningi zobuhlungu nokungakhululeki emzimbeni. Enye yezinkinga ezingathinta amathumbu uhlelo lwe-musculoskeletal, oludala izinkinga ezibuhlungu emuva ezihambisana nokuvuvukala kwamathumbu. Kodwa-ke, izindlela zokwelapha eziningi zingasiza ekunciphiseni imiphumela yokuvuvukala kwamathumbu okubangela ubuhlungu emuva. Isihloko sanamuhla sibheka ukuxhumana kobuhlungu be-gut-back, ukuthi i-electroacupuncture ingahlanganiswa kanjani njengokwelashwa, nokuthi inganciphisa kanjani ukuvuvukala. Sikhuluma nabahlinzeki bezokwelapha abaqinisekisiwe abahlanganisa imininingwane yeziguli zethu ukuze bahlole ukuthi ukuvuvukala kwamathumbu kuyithinta kanjani imizimba yazo, okubangela ubuhlungu beqolo. Siphinde sazise futhi siqondise iziguli ukuthi ukwelapha nge-electroacupuncture kungasiza kanjani ukunciphisa imiphumela yokuvuvukala ebangela izinkinga zamathumbu neqolo futhi kubuyisele ukusebenza kwamathumbu. Sikhuthaza iziguli zethu ukuthi zibuze abahlinzeki bazo bezokwelapha abahlobene nabo imibuzo eyinkimbinkimbi nebalulekile mayelana nokuhlanganisa izindlela zokwelapha ezingezona zokuhlinzwa ukuze kuncishiswe ukuvuvukala kwamathumbu okuhambisana nobuhlungu beqolo. UDkt. Jimenez, DC, uhlanganisa lolu lwazi njengesevisi yezemfundo. Disclaimer.
I-Gut-Back Pain Connection
Ingabe uzwa ubuhlungu bemisipha noma izinhlungu emathunjini akho noma emhlane ongezansi? Kuthiwani ngokukhipha ukushisa ezindaweni ezihlukahlukene zomzimba wakho? Noma ingabe uke wabhekana nezikhathi ezingenamandla aphansi usuku lonke? Yize amathumbu aziwa njengobuchopho besibili njengoba esebenza namasosha omzimba, enye yezindima zawo ezibalulekile ukulawula amasosha omzimba. Lokhu kungenxa yokuthi i-gut microbiome igcina izigidigidi zamabhaktheriya ukuze agaye ukudla futhi avikele umzimba kumagciwane amabi. Lapho izici zemvelo ziqala ukuba nomthelela ohlelweni lwezemvelo oluthambile lwamathumbu, kungaholela ekutheni amasosha omzimba asebenze ngokweqile, okubangele ukuthi ama-cytokines avuvukalayo akhiqize ngobuningi, futhi lo mphumela unganyakaza wonke umzimba, ngaleyo ndlela ubonakale ezimpawu nezimo ezihlukahlukene ezifana nobuhlungu, kuhlanganise. ukuhlungu obusemhlane. Njengoba ukuvuvukala kuyindlela yokuzivikela yomzimba ekulimaleni noma ezifweni, kususa inkinga eyingozi endaweni ethintekile futhi kusize ukuphulukisa. Ngakho-ke lapho ama-cytokines avuvukalayo eqala ukukhiqiza ngobuningi ngenxa yokuvuvukala kwamathumbu, angafaka engcupheni uhlelo lwamathumbu, okuvumela ubuthi namabhaktheriya ukuthi angene egazini futhi ahambe ezindaweni ezihlukahlukene zomzimba, okubangela ubuhlungu. Manje, lokhu kungenxa yezici ezihlukahlukene zemvelo eziholela ekuthuthukiseni ubuhlungu emuva. Lapho amabhaktheriya ayingozi avela ekuvuvukeni eqala ukubangela ubuhlungu emuva, angakwazi ukuzinamathisela futhi athinte i-intervertebral disc homeostasis, okwenza amasosha omzimba ahlasele i-intervertebral disc futhi abangele ubuhlungu emuva. (Yao et al., 2023) Lokhu kungenxa yokuxhumana kwamathumbu kanye nokubuyela emuva ngokusebenzisa izindlela eziyinkimbinkimbi zemizwa ezithumela ukwaziswa kusuka emathunjini kuya ngemuva futhi kuze kufike ebuchosheni.
Ngakho-ke, lapho ukuvuvukala kuqala ukudala izinkinga emzimbeni, kungaholela ezinkingeni ze-musculoskeletal njengobuhlungu beqolo. Ukuvuvukala kwamathumbu kungabangela ukungalingani phakathi kokwakheka kwe-symbiont kanye ne-pathobiont ukunciphisa ubuqotho nokusebenza kwezithiyo zamathumbu emathunjini, kubangela ubuhlungu, nokwandisa ama-molecule avuthayo. (Ratna et al., 2023) Ama-molecule avuvukalayo angakhuphula ama-receptors ezinhlungu kanye nokucindezeleka kwemisipha, okuholela ekuphatheni kabi nobuhlungu emhlane ophansi. Ngokuzenzakalelayo, izici zemvelo njengokuma okungekuhle, ukungawuvivinyi umzimba, kanye nemikhuba yokudla engeyinhle kungabangela uhlelo lwamathumbu ukuthi lubangele ukuvuvukala kwemisipha yangemuva. Uma kukhona i-dysbiosis ku-gut microbiota, imiphumela yokuvuvukala ingahlotshaniswa ngokungaqondile nobuhlungu be-visceral kanye nokusebenza kwesistimu ye-nervous central ukuze kuguqulwe umzimba futhi kubangele ukuthi ube sesimweni esiqhubekayo sokuvuvukala okungapheli kwesistimu ukuze kubangele ubuhlungu emuva. (U-Dekker Nitert et al., 2020). Kodwa-ke, kunezindlela eziningi zokwelapha ezingahlinzeki nezindlela eziphelele zokunciphisa ukuvuvukala kwamathumbu futhi kudambise izinhlungu emuva.
Ukuhlanganisa i-Electroacupuncture Njengokwelashwa
Lapho abantu bezwa ubuhlungu beqolo obuhambisana nokuvuvukala kwamathumbu, bazoya kudokotela wabo oyinhloko wezempilo futhi bachaze isimo. Njengoba kunikezwe ukuxhumana phakathi kokuvuvukala kwamathumbu nobuhlungu beqolo, ngokubhekana nezici zemvelo ezibangela lawa maphrofayili engcuphe agqagqene, odokotela abaningi bangasebenza nochwepheshe bezinhlungu ukunciphisa kokubili ukuvuvukala kwamathumbu nobuhlungu beqolo. Ochwepheshe bezinhlungu abafana nama-chiropractors, ama-acupuncturists, nama-massage Therapists bangasiza ukuqinisa imisipha ethintekile ebangela ubuhlungu beqolo futhi banikeze izindlela eziphelele njengamavithamini alwa nokuvuvukala kanye nezithasiselo zokunciphisa ukuvuvukala kwamathumbu. Enye yezindlela zokwelapha ezingezona zokuhlinzwa ezindala kakhulu ezingakwenza kokubili i-electroacupuncture. I-Electroacupuncture ihlanganisa ukwelapha kwendabuko kwaseShayina kanye nobuchwepheshe besimanje obusebenzisa ukuvuselela kukagesi nezinaliti eziqinile eziqinile ukuze zifakwe ku-acupoint yomzimba ukuze kutholwe i-qi noma amandla. Lokhu okwenziwayo ukuthi kunikeza ukugqugquzelwa kukagesi kanye nemiphumela elwa nokuvuvukala ukuze kunxenxe i-cholinergic reflexes emathunjini kanye ne-axis ye-HPA. (UYang et al., 2024) I-Electroacupuncture ingabuye ihlanganiswe nezinye izindlela zokwelapha ukuze kuncishiswe imiphumela yokuvuvukala ehambisana nobuhlungu be-back.
I-Electroacupuncture Yehlisa Kanjani Ukuvuvukala Kwamathumbu
Njengoba i-electroacupuncture inganciphisa ukuvuvukala kwamathumbu okubangela ubuhlungu emuva, ingasiza ukulawula izitshalo zamathumbu ngokugqugquzela ukuhamba kwamathumbu nokuvimbela izimpawu zobuhlungu ukuthi zingathinteki imisipha yangemuva. (I-et al., 2022) Lokhu kungenxa yokuthi i-electroacupuncture ingasiza ukukhulula imisipha eqinile ebangela ubuhlungu beqolo. Ukwengeza, lapho abantu besondela kulokhu kwelashwa, kungaphansi kokuqondisa kwama-acupuncturists abaqeqeshwe kakhulu abakwazi ukufaka izinaliti ngendlela efanele kuyilapho behlanganisa ukwelapha nge-electroacupuncture ngokwezidingo nobuhlungu bomuntu. Njengoba i-electroacupuncture ingahlanganiswa nezinye izindlela zokwelapha, inganciphisa ngempumelelo isisindo somzimba futhi ibuyisele ukugaya nokumuncwa ukuze ilolonge i-gut microbiota. (Xia et al., 2022) Lokhu kuvumela abantu ukuba benze izinguquko ezincane esimisweni sabo futhi bavimbele ukuvuvukala kwamathumbu ekuthinteni umzimba futhi kubangele ubuhlungu emuva. Bangakwazi ukuthuthukisa izinga lempilo yabo ngokuhlanganisa i-electroacupuncture njengengxenye yokwelashwa kwabo kwezempilo nokuphila kahle.
Ukuvula Izimfihlo Zokuvuvukala-Ividiyo
Okubhekwayo
An, J., Wang, L., Song, S., Tian, L., Liu, Q., Mei, M., Li, W., & Liu, S. (2022). I-Electroacupuncture yehlisa ushukela wegazi ngokulawula izitshalo zamathumbu ohlobo 2 lwamagundane esifo sikashukela. J Isifo Sikashukela, 14(10), i-695-710. doi.org/10.1111/1753-0407.13323
U-Dekker Nitert, M., Mousa, A., Barrett, HL, Naderpoor, N., & de Courten, B. (2020). Ukwakheka Okuguquliwe Kwe-Gut Microbiota Kuhlotshaniswa Nobuhlungu Basemuva Kubantu Abakhuluphele Nabakhuluphele. I-Front Endocrinol (Lausanne), 11, 605. doi.org/10.3389/fendo.2020.00605
Ratna, HVK, Jeyaraman, M., Yadav, S., Jeyaraman, N., & Nallakumarasamy, A. (2023). Ingabe i-Dysbiotic Gut iyimbangela yobuhlungu obuphansi emuva? I-Cureus, 15(7), i-e42496. doi.org/10.7759/cureus.42496
Xia, X., Xie, Y., Gong, Y., Zhan, M., He, Y., Liang, X., Jin, Y., Yang, Y., & Ding, W. (2022). I-Electroacupuncture ikhuthaze ukuzivikela kwamathumbu futhi yahlenga i-dysbiotic cecal microbiota yamagundane anamafutha aphezulu abangelwa ukudla. Ukuphila Sci, 309, 120961. doi.org/10.1016/j.lfs.2022.120961
Yang, Y., Pang, F., Zhou, M., Guo, X., Yang, Y., Qiu, W., Liao, C., Chen, Y., & Tang, C. (2024). I-Electroacupuncture Yehlisa Izifo Zamathumbu Ezivuvukalayo Kumagundane Akhuluphele Ngokuvula Izindlela Zokusayina ze-Nrf2/HO-1 kanye Nokulungisa Isithiyo Samathumbu. Isifo sikashukela i-Metab Syndr Obes, 17, I-435-452. doi.org/10.2147/DMSO.S449112
Yao, B., Cai, Y., Wang, W., Deng, J., Zhao, L., Han, Z., & Wan, L. (2023). Umphumela we-Gut Microbiota ekuqhubekeleni phambili kwe-Intervertebral Disc Degeneration. Ukuhlinzwa Kwamathambo, 15(3), i-858-867. doi.org/10.1111/os.13626
Disclaimer
by UDkt Alex Jimenez | Ukuhlungu obusemhlane, Ubuhlungu obungapheliyo, Electroacupuncture Therapy, Ubuhlungu Emuva Emuva, Ukwelashwa, I-Viscerosomatic Reflex
Ingabe abantu abanobuhlungu obuphansi be-back back bangasebenzisa i-electroacupuncture therapy ukunciphisa ubuhlungu nokubuyisela ukuhamba emuva emizimbeni yabo?
Isingeniso
Abantu abaningi emhlabeni wonke baye babhekana nobuhlungu obuphansi emuva obuvela ezicini eziningi kanye nokulimala okubuhlungu okungabangela izimpawu ezinjengezinhlungu ezizungeze ama-spinal discs, imisipha, imigqa, nezimpande zezinzwa. Lokhu kungenxa yokuthi umzimba uhamba ngokuphindaphindiwe okudala ukuthi imisipha ezungezile kanye nemigqa yelulwe futhi iqine, ikhulise izimpande zemizwa futhi ibangele ubuhlungu obudluliselwe. Noma kungaba ukulimala okudabukisayo okuthinta ama-spinal discs endaweni ye-lumbar engase ibe yi-herniated noma i-degenerate ukuze ikhulise izimpande zemizwa futhi iholele ebuhlungu obuphansi. Kungakhathaliseki ukuthi umphumela uyini, ubuhlungu obuphansi emuva buyinkinga evamile ye-musculoskeletal, futhi abantu abaningi bazovame ukufuna ukwelashwa ukuze banciphise imiphumela yabo efana nobuhlungu futhi basize abantu abaningi ukuba babuyiselwe ukuhamba kwabo. I-athikili yanamuhla ihlola ukuthi kungani ubuhlungu obuphansi emuva buyinkinga yomhlaba wonke, ukuthi i-electroacupuncture ingasiza kanjani ekunciphiseni, nokuthi ingaphinde ibuyele kanjani ekuhambeni. Sikhuluma nabahlinzeki bezokwelapha abaqinisekisiwe abahlanganisa ulwazi lweziguli zethu ukuze siqonde kangcono ukuthi kungani ubuhlungu obuphansi beqolo buyinkinga emizimbeni yazo. Siphinde sazise futhi siqondise iziguli ukuthi ukwelapha nge-electroacupuncture kungasiza kanjani ekunciphiseni ubuhlungu obuphansi emuva futhi kusize nokubuyisela ukuhamba komzimba. Sikhuthaza iziguli zethu ukuthi zibuze abahlinzeki bazo bezokwelapha abahlobene imibuzo eyinkimbinkimbi futhi ebalulekile mayelana nokunciphisa umthelela wezinhlungu eziphansi emuva futhi zithole izindlela zokwelapha ezihlukahlukene ezizozihlanganisa. UDkt. Jimenez, DC, uhlanganisa lolu lwazi njengesevisi yezemfundo. Disclaimer.
Kungani Ubuhlungu Obusemuva Buyinkinga Yomhlaba Wonke?
Ingabe uzwa ukuqina emhlane wakho ongezansi ngemva kokuthwala noma ukuphakamisa into esindayo? Ingabe uzwa ubuhlungu obukhiphayo obuhamba behlela emilenzeni yakho? Noma ingabe uzwa ubuhlungu bemisipha emhlane wakho ophansi ngenxa yokuzingelwa isikhathi eside? Eziningi zalezi zinkinga ezifana nobuhlungu zihlotshaniswa nezici zemvelo ezingabangela umzimba ukuba uthuthukise ubuhlungu obuphansi emuva. Uma kukhulunywa ngobuhlungu obuphansi emuva, kuyinkinga yezenhlalo nezomnotho ethinta umhlaba wonke kubantu abaningi, ikakhulukazi abantu abasebenzayo. Lapho abantu abaningi benza iminyakazo ehlukahlukene noma benza imisebenzi, lokhu kunyakaza kungaxegisa kancane imigqa engemuva elingezansi. Lokhu kubangela umzimba ukuzwa ukuthi kukhona okungalungile ngomgogodla ophansi kanye nezakhiwo ezibalulekile zomgogodla, ngaleyo ndlela uthathe ezinye izindlela zokugcina umgogodla uzinzile. (UHauser et al., 2022)
Ukwengeza, izimpawu eziningi zobuhlungu obuphansi emuva azicacisiwe, futhi ukunyakaza kokuphakamisa okunzima, ukugoba, ukusonteka, nokudlidliza komzimba wonke kuyizici zengozi yomsebenzi eziholela ekuthuthukisweni kobuhlungu obuphansi emuva. (U-Becker no-Childress, 2019) Lokhu kubangela abantu abaningi abanezinhlungu eziphansi emuva ukuba babhekane nomthwalo wokulahlekelwa umsebenzi noma ukubamba isimiso sabo sansuku zonke. Uma lokhu kwenzeka, abantu abaningi baqala ukufuna ukwelashwa ukuze banciphise izimpawu ezibangelwa ubuhlungu obuphansi emuva.
Ukuvula I-Pain Relief- Ividiyo
I-Electroacupuncture Yobuhlungu Obusemuva
Uma kuziwa ekwehliseni izinhlungu eziphansi emuva, abantu abaningi bazoya ekwelashweni okuhlukahlukene ukuze bakhulule izinhlungu emhlane wabo ophansi kanye nezimpawu ezihambisana nazo. Ngakho-ke, yingakho izindlela zokwelapha ezingahlinzeki njenge-electroacupuncture zingasiza ekudambiseni izinhlungu eziphansi emuva futhi kusize imikhawulo engezansi iphinde ikwazi ukuhamba. I-Electroacupuncture ingenye indlela yokutshopa esebenzisa ukugqugquzelwa kukagesi kuma-acupoints omzimba ukuvimba izimpawu zobuhlungu. I-Electroacupuncture iye yasetshenziswa kabanzi ekwelapheni izifo ze-musculoskeletal, kuhlanganise nobuhlungu obuphansi emuva, njengoba isetshenziswe njengendlela yokwelapha yokunciphisa ukusetshenziswa kwemithi ngenkathi iyindlela ephumelelayo uma ihlanganiswa nezinye izindlela zokwelapha. (Sung et al., 2021)
Ukwengeza, i-electroacupuncture yenziwa ochwepheshe abaqeqeshwe kakhulu futhi, lapho isetshenziselwa ukwelapha ubuhlungu obuphansi emuva, ivumela ukugqugquzelwa ezindaweni ezinkulu zomzimba ezizungeze i-acupoint ukuvumela imingcele ehlanganisa ukuqina, ubude, kanye nemvamisa ukuze ubuhlungu bufinyelele. indawo ezokhonjwa ochwepheshe bezempilo. (U-Francescato Torres et al., 2019) I-Electroacupuncture ingasiza ekunciphiseni ubuhlungu emhlane ophansi futhi isekele abantu abaningi ngokusebenzisa amasu ahlukahlukene okubuyisela ukuhamba. (Kong, 2020)
I-Electroacupuncture Ukubuyisela Ukuhamba
Lapho ubuyisela ukuhamba komzimba kusuka ebuhlungu obuphansi emuva, i-electroacupuncture inganikeza imiphumela yokwelapha ngokuvimbela amasignali obuhlungu, okwenza umzimba unganyakazi, futhi uvumele imisipha ukuba iphumule. (USheng et al., 2021) I-Electroacupuncture ehlangene nezinye izindlela zokwelapha ezifana nokwelashwa ngokomzimba kungasiza ukwelula nokuqinisa imisipha engemuva ezungezile kanye nemigqa ukuze kuncishiswe ubuhlungu obunzima obuthinta ukuhamba futhi wenze abantu abaningi bakhumbule ukuthi yiziphi izinyathelo ezibangela ubuhlungu obuphansi emuva. Lapho abantu beqala ukwenza izinguquko ezincane noma ezinkulu empilweni nasempilweni yabo, bazoqala ukuqaphela ukuthi baziphatha kanjani ngenkathi bevimbela ukunyakaza okufanayo okuphindaphindayo okubangela izinkinga zabo eziphansi futhi baphile impilo enempilo.
Okubhekwayo
Becker, BA, & Childress, MA (2019). Ubuhlungu Beqolo obungaqondile bese ubuyela emsebenzini. I-American Family Physician, 100(11), i-697-703. www.ncbi.nlm.nih.gov/pubmed/31790184
www.aafp.org/pubs/afp/issues/2019/1201/p697.pdf
Francescato Torres, S., Brandt de Macedo, AC, Dias Antunes, M., Merllin Batista de Souza, I., Dimitre Rodrigo Pereira Santos, F., de Sousa do Espirito Santo, A., Ribeiro Jacob, F., Torres Cruz, A., de Oliveira Januario, P., & Pasqual Marques, A. (2019). Imiphumela ye-electroacupuncture frequencies kubuhlungu obungapheli obuphansi emuva kubantu abadala asebekhulile: i-triple-blind, i-protocol yezinyanga ezingu-12 yesilingo esilawulwa ngokungahleliwe. Izilingo, 20(1), i-762. doi.org/10.1186/s13063-019-3813-6
Hauser, RA, Matias, D., Woznica, D., Rawlings, B., & Woldin, BA (2022). Ukungazinzi kwe-Lumbar njenge-etiology yobuhlungu obuphansi emuva kanye nokwelashwa kwayo nge-prolotherapy: Ukubuyekezwa. J Back Musculoskelet Rehabil, 35(4), i-701-712. doi.org/10.3233/BMR-210097
Kong, JT (2020). I-Electroacupuncture Yokwelapha Izinhlungu Ezingapheli Zomgogodla: Imiphumela Yocwaningo Lokuqala. I-Med Acupunct, 32(6), i-396-397. doi.org/10.1089/acu.2020.1495
Sheng, X., Yue, H., Zhang, Q., Chen, D., Qiu, W., Tang, J., Fan, T., Gu, J., Jiang, B., Qiu, M., & Chen, L. (2021). Ukusebenza kwe-electroacupuncture ezigulini ezine-syndrome ehlulekile yokuhlinzwa emuva: iphrothokholi yokufunda yesilingo esilawulwa ngokungahleliwe. Izilingo, 22(1), i-702. doi.org/10.1186/s13063-021-05652-4
Sung, WS, Park, JR, Park, K., Youn, I., Yeum, HW, Kim, S., Choi, J., Cho, Y., Hong, Y., Park, Y., Kim, EJ , & Nam, D. (2021). Ukusebenza nokuphepha kwe-electroacupuncture yobuhlungu obungapheli obungapheli obungapheli: Iphrothokholi yokubuyekezwa okuhlelekile kanye / noma ukuhlaziywa kwe-meta. Imithi (Baltimore), 100(4), i-e24281. doi.org/10.1097/MD.0000000000024281
Disclaimer
by UDkt Alex Jimenez | Ukuhlungu obusemhlane, I-Chiropractic, Ubuhlungu Bokubuyela Emuva, Ubuhlungu obungapheliyo, Ubuhlungu Emuva Emuva, Ukwelashwa Kokucindezeleka Komgogodla, Ukwelashwa, I-Viscerosomatic Reflex
Ingabe izindlela zokwelapha ezingahlinzeki zingabasiza abantu abanobuhlungu obungapheli bokubuyela emuva bathole ukukhululeka abakufunayo ukuze babuyisele ukusebenza komzimba?
Isingeniso
Phakathi kwezingxenye ezingenhla, ezimaphakathi, neziphansi emuva zesistimu ye-musculoskeletal, abantu abaningi baye banqotshwa ukulimala okubuhlungu, ukunyakaza okuphindaphindiwe, kanye namaphrofayli engozi yemvelo adlulele abangela ubuhlungu nokukhubazeka, ngaleyo ndlela kuthinte isimiso sabo sansuku zonke. Njengenye yezimo zomsebenzi ezivame kakhulu, ubuhlungu beqolo bungabangela abantu ukuthi babhekane nemithwalo yenhlalo-mnotho futhi bangasukela kokubi kuye kokungapheli, kuye ngokulimala kanye nezici ezihambisana nalolu daba. Njengengxenye yesistimu ye-musculoskeletal, ingemuva inemisipha ehlukahlukene kuma-quadrants amathathu asekela amaphethelo aphezulu naphansi futhi abe nobuhlobo obuvelele nomgogodla njengoba iqembu ngalinye le-muscle lizungeza umgogodla futhi livikela intambo yomgogodla. Lapho izici zemvelo kanye nokulimala okudabukisayo kuqala ukudala izimpawu ezinjengobuhlungu emhlane, kungafaka umuntu ezinhlungwini ezinzima, yingakho abaningi befuna ukwelashwa okungezona ukuhlinzwa ukuze banciphise imiphumela ebuhlungu efana nobuhlungu beqolo futhi bathole ukukhululeka abayikho. efuna. Isihloko sanamuhla sibheka umthelela wobuhlungu obungapheli obuphansi emuva nokuthi ukwelapha okungahlinzeki kungabathinta kanjani kahle abantu ababhekene nobuhlungu obungapheli obuphansi emuva. Sikhuluma nabahlinzeki bezokwelapha abaqinisekisiwe abahlanganisa imininingwane yeziguli zethu ukuze banikeze izinketho eziningi zokwelapha ezingahlinzeki ukuze kuncishiswe ubuhlungu obungapheli bomgogodla obuthinta amaphethelo azo. Siphinde sazise futhi siqondise iziguli ukuthi izindlela zokwelapha ezihlukahlukene ezingahlinzeki zingazuzisa kanjani impilo nempilo yazo njengoba zingasiza ekunciphiseni izimo ze-musculoskeletal ezifana nobuhlungu obungapheli bokubuyela emuva. Sikhuthaza iziguli zethu ukuthi zibuze abahlinzeki bazo bezokwelapha abahlobene nabo imibuzo eyinkimbinkimbi futhi ebalulekile mayelana nobuhlungu babo obungapheli obuphansi emuva nokuthi yiziphi izinguquko ezincane ezingase zihlanganise ukuze kuncishiswe izimpawu zayo ezifana nobuhlungu. UDkt. Jimenez, DC, uhlanganisa lolu lwazi njengesevisi yezemfundo. Disclaimer.
Umthelela Wobuhlungu Obungapheli Beqolo
Ingabe uhlale uzwa ubuhlungu obukhulu bemisipha noma izinhlungu emhlane wakho ngemva kosuku olude olunzima lomsebenzi? Ingabe uhlangabezana nokukhathala kwemisipha kusukela emhlane kuya emilenzeni yakho ngemva kokuthwala into esindayo? Noma uke waqaphela ukuthi ukusonteka noma ukujika ukunyakaza kukhulula iqolo lakho okwesikhashana, bese kuba kubi ngemva kwesikhashana? Ngokuvamile, eziningi zalezi zimo ezinjengezinhlungu zihlotshaniswa nobuhlungu obungapheli obuphansi emuva, futhi kungase kube ngenxa yezinto ezihlukahlukene ezihambisana nalesi simo esivamile se-musculoskeletal. Uma kuziwa ezimweni ze-musculoskeletal ezihambisana nobuhlungu obungapheli obuphansi emuva, zivame ngenkathi umthelela wazo ugcwele. Kulelo phuzu, zithinta abantu abaningi njengoba ziyimbangela yokuqala evamile yobuhlungu obunzima besikhathi eside nokukhubazeka ngokomzimba. (UWoolf noPfleger, ngo-2003) Njengoba ubuhlungu beqolo bungase bube bukhulu noma bungapheli, bungase bube yizici eziningi njengoba ezinye izimpawu zobuhlungu zivame ukudala amaphrofayili ezingozi ezidlulanayo emzimbeni. Umthelela wobuhlungu obungapheli obuphansi emuva unezimbangela eziyisisekelo ze-pathological ezingachazwanga kahle kodwa zingahlotshaniswa nokungasebenzi kahle kwengqondo. (Andersson, 1999)
Ukwengeza, izinguquko eziwohlokayo ngaphakathi komgogodla nazo zingabangela umthelela ekuthuthukiseni ubuhlungu obungapheli obuphansi emuva. Izinto eziyingozi ezidala ukweqana kwamaphrofayili engcuphe zingasukela ekubhemeni nasekukhuluphaleni kuye emisebenzini ehlukahlukene edinga ukunyakaza okudlulele. (Atkinson, 2004) Uma lokho kwenzeka, kubangela abantu ukuba babe nokucindezeleka okungadingekile okuthinta ukuphila kwabo futhi kubangele usizi. Yilapho abantu abaningi beqala ukufuna ukwelashwa ukuze banciphise imiphumela yobuhlungu obungapheli obuphansi emuva futhi banciphise amathuba okufuna ukungenelela kokuhlinzwa.
Iqhaza Lokunakekelwa Kwe-Chiropractic Ekuthuthukiseni Impilo Yakho- Ividiyo
Ukwelashwa Okungahlinzeki Ngezinhlungu Ezingapheli Emhlane
Lapho abantu bebhekana nobuhlungu obungapheli obuphansi emuva, abaningi ngokuvamile abaqapheli ukuthi ukunyakaza okuhlukahlukene, ubudala, kanye ne-pathologies kungashintsha umgogodla, okubangela ukuthi ama-spinal discs adlule izinguquko eziwohlokayo ezihambisana nokuthuthukiswa kobuhlungu obungapheli obuphansi emuva. (Benoist, 2003) Lapho izinguquko eziwohlokayo ziqala ukudala izimpawu ezinjengobuhlungu emhlane, abaningi bazoqala ukufuna ukwelashwa okungabizi futhi okusebenzayo. Ngakho-ke, yingakho izindlela zokwelapha ezingahlinzeki zingasiza ekunciphiseni izimpawu ezinjengobuhlungu bobuhlungu obungapheli bomgogodla futhi kusize ukubuyisela ukuhamba komzimba. Izindlela zokwelapha ezingahlinzeki zenzelwe umuntu siqu ezinhlungwini zomuntu futhi zisukela ku-acupuncture ukuya ekwelapheni kokubhucungwa kanye nokuwohloka komgogodla. Ukwelashwa okungahlinzeki nakho kuyathengeka futhi kusiza ekunciphiseni amaphrofayili engozi agqagqene obuhlungu obungapheli obuphansi beqolo kuyilapho kunciphisa izimo ezihambisana nakho.
Imiphumela Yokuwohloka Komgogodla Kubuhlungu Obungapheli Beqolo
Ukunciphisa umgogodla, njengoba kushiwo ngaphambili, kuyindlela yokwelapha engahlinzeki ehlanganisa ukudonsa okuthambile komshini emgogodleni ukuze kuncishiswe ubuhlungu obungapheli obuphansi emuva futhi kunganciphisa izimpawu ezifana nobuhlungu ezihambisana nakho. Ukunciphisa umgogodla kusiza ukunciphisa ukungqubuzana kwemisipha ye-lumbar, okuthinta umgogodla we-lumbar kodwa futhi kunikeza ukukhululeka kobuhlungu nokusebenza komzimba. (I-Choi et al., 2022) Ukuwohloka komgogodla kuphephile ngenkathi kuba mnene emgogodleni, kuhlanganiswe nokuzivocavoca kokuzinza ukuze kuthuthukiswe ukucindezela kwangaphakathi kwesisu kanye nekhono lomgogodla ku-lumbar. (Hlaing et al., 2021) Uma umuntu ehlanganisa ukuwohloka komgogodla njengengxenye yohambo lwabo lwezempilo kanye nokuphila kahle, ubuhlungu nokukhubazeka kwabo kuzokwehla ngokuhamba kwesikhathi ngenkathi kuqinisa imisipha ebuthakathaka eyathinteka ubuhlungu obungapheli obuphansi emuva. Ukufaka lezi zindlela zokwelapha ezingahlinzwa kungasiza umuntu ukuba akhumbule umthelela wemvelo abawenzayo emhlane wabo futhi aphile impilo engcono nenempilo.
Okubhekwayo
U-Andersson, GB (1999). Izici ze-Epidemiological zobuhlungu obungapheli obuphansi emuva. I-Lancet, 354(9178), i-581-585. doi.org/10.1016/S0140-6736(99)01312-4
Atkinson, JH (2004). Ubuhlungu obungapheli beqolo: ukucinga izimbangela kanye nokwelapha. J Rheumatol, 31(12), i-2323-2325. www.ncbi.nlm.nih.gov/pubmed/15570628
www.jrheum.org/content/jrheum/31/12/2323.full.pdf
Benoist, M. (2003). Umlando wemvelo wokuguga komgogodla. I-Eur Spine J, I-12 Suppl 2(Ukunikezwa 2), S86-89. doi.org/10.1007/s00586-003-0593-0
U-Choi, E., Gil, HY, Ju, J., Han, WK, Nahm, FS, & Lee, PB (2022). Umphumela we-Nonsurgical Spinal Decompression on Intensity of Pain kanye ne-Herniated Disc Volume ku-Subacute Lumbar Herniated Disc. Ijenali Yamazwe Ngamazwe Yokuzilolonga Komtholampilo, 2022, 6343837. doi.org/10.1155/2022/6343837
Hlaing, S. S., Puntumetakul, R., Khine, E. E., & Boucaut, R. (2021). Imiphumela yokuzivocavoca okuyisisekelo kokuzinzisa kanye nokuzivocavoca okuqinisayo ekuboneni ubunikazi, ibhalansi, ukushuba kwemisipha kanye nemiphumela ehlobene nobuhlungu ezigulini ezinobuhlungu obuphansi obungacacile obuphansi be-subacute: isilingo esilawulwa ngokungahleliwe. I-BMC Musculoskelet Disord, 22(1), i-998. doi.org/10.1186/s12891-021-04858-6
UWoolf, AD, & Pfleger, B. (2003). Umthwalo wezimo ezinkulu ze-musculoskeletal. I-Bull World Health Organ, 81(9), i-646-656. www.ncbi.nlm.nih.gov/pubmed/14710506
www.ncbi.nlm.nih.gov/pmc/articles/PMC2572542/pdf/14710506.pdf
Disclaimer
by UDkt Alex Jimenez | Ukuhlungu obusemhlane, I-Chiropractic, Ubuhlungu obungapheliyo, Ubuhlungu Emuva Emuva, Ukwelashwa Kokucindezeleka Komgogodla, Ukwelashwa, I-Viscerosomatic Reflex
Ingabe abantu abanobuhlungu bomlenze nomhlane bangakuthola ukukhululeka ngokuhlanganisa ukucindezelwa ukuze banciphise izimpawu ezihambisana nobuhlungu?
Isingeniso
Imikhawulo engezansi isiza ukuzinzisa isisindo somzimba ophezulu futhi inikeze ukunyakaza kumuntu ngamunye. Izingxenye zomzimba ezingezansi zihlanganisa umhlane ongezansi, i-pelvis, ama-hips, amathanga, imilenze, nezinyawo, njengoba zonke zinemisebenzi ethile okufanele ziyenze futhi zibe nobuhlobo obuvelele komunye nomunye. Kodwa-ke, iqolo nemilenze yabo ephansi isengozini yokulimala. Lapho izici zemvelo noma ukulimala kuqala ukudala izinkinga ohlelweni lwe-musculoskeletal, kungase kuholele ebuhlungu obudluliselwe kanye namaphrofayili engozi agqagqene angabangela umuntu ukuba abe nezinkinga zokuhamba nokuzinza. Imisipha ethintekile, izicubu, imigqa, nezimpande zezinzwa zingacasuka, zibe buthakathaka, futhi ziqine lapho izici zemvelo ziqala ukucindezela umgogodla futhi ziholele ebuhlungu ngokuhamba kwesikhathi. Isihloko sanamuhla sibheka ukuthi umhlane nemilenze isebenza kanjani ndawonye emzimbeni, ukuthi kuthinteka kanjani ubuhlungu obuvela ezicini zemvelo, nokuthi ukuchithwa komgogodla kunganciphisa kanjani ubuhlungu bomlenze nomhlane. Sikhuluma nabahlinzeki bezokwelapha abaqinisekisiwe abahlanganisa ulwazi lweziguli zethu ukuze banikeze ukwelashwa okuningi ukuze kuncishiswe ubuhlungu beqolo nemilenze obuthinta ukuhamba kwazo. Siphinde sazisa futhi siqondise iziguli ukuthi ukwelapha okufana nokuwohloka komqondo kungasiza kanjani ekunciphiseni izimpawu ezinjengobuhlungu emilenzeni nasemhlane. Sikhuthaza iziguli zethu ukuthi zibuze abahlinzeki bazo bezokwelapha abahlobene nabo imibuzo eyinkimbinkimbi nebalulekile mayelana nezimpawu ezifana nezinhlungu ezizizwa emilenzeni futhi njengoba lokho kuphazamisa isimiso sabo sansuku zonke. UDkt. Jimenez, DC, uhlanganisa lolu lwazi njengesevisi yezemfundo. Disclaimer.
Ingemuva Nemilenze Kusebenza Kanjani Ndawonye?
Ingabe uzwa ubuhlungu obukhazimulayo emhlane wakho obuthinta ikhono lakho lokuhamba? Ingabe uzwa ubuhlungu bemisipha noma ukukhathala emilenzeni yakho ngemva kosuku olude lomsebenzi? Noma ingabe uzwa ukuqina emhlane nasemilenzeni ngemva kokuvuka? Eziningi zalezi zimo zihlotshaniswa nobuhlungu bomlenze nomhlane obungaba nomthelela ekunyakazeni komuntu futhi kubangele izimpawu ezihambisana nobuhlungu. Imisipha yangemuva nemilenze isebenza ndawonye ngokusebenzisa i-sciatic nerve, inzwa ende evela esifundeni somgogodla we-lumbar, idlula imisipha ye-gluteal, ihamba phansi ngemuva kwemilenze futhi ime emadolweni. Ingemuva liqukethe imisipha ewumgogodla kanye nesifunda somgogodla we-lumbar, okuvumela umuntu ukuthi agobe, asonte futhi ande.
Phakathi naleso sikhathi, imisipha yemilenze isiza umuntu ukuba anyakaze ngenkathi iqinisa isisindo somuntu. Lawa maqembu amabili emisipha anobudlelwane obuvelele emaphethelweni aphansi, njengoba abantu bedinga ukuhambahamba lapho benza imisebenzi. Kodwa-ke, bangase babe sengozini yokulimala nobuhlungu obungabangela izinkinga zokukhubazeka.
Ingabe Ubuhlungu Buhlotshaniswa Kanjani Nomhlane Nemilenze?
Uma kuziwa emhlane ophansi nasemilenzeni, izici zemvelo kanye nokulimala okubuhlungu kungathinta imisipha ezungezile, ama-tendon, ligaments, nezimpande zezinzwa. Isibonelo, lapho abantu abasebenzayo bephakamisa izinto ezisindayo njalo, kungandisa ingozi yokuba nobuhlungu obuphansi emuva ngenkathi kubangela ukudlidliza komzimba wonke emilenzeni. (U-Becker no-Childress, 2019) Lokhu kungenxa yokuthi okwenziwa into ethwala kanzima emhlane ophansi ukuthi ibangela umgogodla ukuba ucindezelwe futhi unciphise imisipha ezungezile. Uma iphindaphindiwe njalo, ingabangela ukuthi i-spinal disc i-herniate futhi ikhulise izimpande zemizwa. Lapho lezi zimpande zezinzwa ziba zimbi kakhulu, kungaholela ekungeneni kwezinzwa nokuvuvukala, ngaleyo ndlela kubangele abantu ukuba bezwe ubuhlungu obungapheli bomlenze, ukwehla konyawo, noma ukuzinza kweqakala okuthinta ukuhamba kwabo. (Fortier et al., 2021)
Ukwengeza, ubuhlungu be-back and emlenzeni bungenzeka ngisho nalapho umgogodla uqala ukuzwa ukuwohloka, inqubo yemvelo lapho i-disc yomgogodla iyancipha ngokuhamba kwesikhathi. Lapho i-disc yomgogodla endaweni ye-lumbar spinal iyancipha ngokuhamba kwesikhathi, ukunikezwa kwezakhi kanye nezinguquko ekubunjweni kwe-extracellular kubangela ukuthi ama-disc angakwazi ukugcina umsebenzi wabo wokusabalalisa umthwalo ezindaweni eziphansi. (Kim et al., 2020) Kodwa-ke, abantu abaningi ababhekene nomlenze nobuhlungu beqolo bangafuna ukwelashwa ukuze banciphise izimpawu ezifana nobuhlungu.
Ukunakekelwa Kwe-Chiropractic Ngokungazinzi Komlenze- Ividiyo
Ukuwohloka Komgogodla Kunciphisa Ubuhlungu Emilenzeni Nasemuva
Uma kuziwa ekwelapheni izinhlungu zomlenze nomhlane, abantu abaningi bazoqala ukufuna ukwelashwa okungabizi kakhulu okunganciphisa izimpawu ezinjengobuhlungu. Izindlela eziningi zokwelapha ezingahlinzeki ezifana nokuwohloka komgogodla zinhle kakhulu ekwehliseni izinhlungu ezithinta iqolo nemilenze. I-Decompression yomgogodla isebenzisa umshini wokudonsa ongasiza ukwelula imisipha eqinile kusukela emhlane ophansi futhi unikeze ukucindezela okungalungile ku-disc ethintekile ngokukhulisa ukugeleza kwezakhi zegazi ku-disc ngenkathi kunciphisa ukucindezela ezimpandeni zezinzwa ezimbi. (I-Choi et al., 2022) Ukunciphisa umgogodla kungahlanganiswa nokuzivocavoca okuyisisekelo okungasiza ekunciphiseni ubuhlungu nokukhubazeka futhi kuthuthukise ukuzinza emilenzeni nasezindaweni eziphansi. (Hlaing et al., 2021) Ngokucindezeleka komgogodla ukuze kuncishiswe ubuhlungu be-back and emlenzeni, abantu abaningi bangabona imiphumela emihle ngemva kokwelashwa okulandelanayo, futhi ukuhamba kwabo kuyathuthukiswa. (I-Vanti et al., 2021) Lapho abantu ababhekene nobuhlungu bomlenze nomhlane futhi bafuna ukwelashwa bangathola izinzuzo zokuwohloka komgogodla ukuze zifakwe esimisweni sabo sansuku zonke ngoba singenziwa ngokwezifiso futhi sibasize ukuba bakhumbule ukuthi yiziphi ukunyakaza kanye nezici zemvelo ezibabangela ubuhlungu. . Ukwenza lezi zinguquko ezincane ngokuhamba kwesikhathi kungathuthukisa impilo yabo futhi kubasize baphile impilo enempilo.
Okubhekwayo
Becker, BA, & Childress, MA (2019). Ubuhlungu Beqolo obungaqondile bese ubuyela emsebenzini. I-American Family Physician, 100(11), i-697-703. www.ncbi.nlm.nih.gov/pubmed/31790184
www.aafp.org/pubs/afp/issues/2019/1201/p697.pdf
U-Choi, E., Gil, HY, Ju, J., Han, WK, Nahm, FS, & Lee, PB (2022). Umphumela we-Nonsurgical Spinal Decompression on Intensity of Pain kanye ne-Herniated Disc Volume ku-Subacute Lumbar Herniated Disc. Ijenali Yamazwe Ngamazwe Yokuzilolonga Komtholampilo, 2022, 6343837. doi.org/10.1155/2022/6343837
Fortier, LM, Markel, M., Thomas, BG, Sherman, WF, Thomas, BH, & Kaye, AD (2021). Isibuyekezo Se-Peroneal Nerve Entrapment kanye Neuropathy. Umfundisi we-Orthop (Pavia), 13(2), i-24937. doi.org/10.52965/001c.24937
Hlaing, S. S., Puntumetakul, R., Khine, E. E., & Boucaut, R. (2021). Imiphumela yokuzivocavoca okuyisisekelo kokuzinzisa kanye nokuzivocavoca okuqinisayo ekuboneni ubunikazi, ibhalansi, ukushuba kwemisipha kanye nemiphumela ehlobene nobuhlungu ezigulini ezinobuhlungu obuphansi obungacacile obuphansi be-subacute: isilingo esilawulwa ngokungahleliwe. I-BMC Musculoskelet Disord, 22(1), i-998. doi.org/10.1186/s12891-021-04858-6
UKim, HS, Wu, PH, & Jang, IT (2020). I-Lumbar Degenerative Disease Ingxenye ye-1: I-Anatomy kanye ne-Pathophysiology ye-Intervertebral Discogenic Pain kanye ne-Radiofrequency Ablation ye-Basivertebral kanye ne-Sinuvertebral Nerve Treatment for Chronic Discogenic Back Pain: Uchungechunge Olulindelekile Lwecala Nokubuyekezwa Kwezincwadi. Int J Mol Sci, 21(4). doi.org/10.3390/ijms21041483
Vanti, C., Turone, L., Panizzolo, A., Guccione, AA, Bertozzi, L., & Pillastrini, P. (2021). I-Vertical traction ye-lumbar radiculopathy: ukubuyekezwa okuhlelekile. Arch Physiother, 11(1), i-7. doi.org/10.1186/s40945-021-00102-5
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