Back Clinic Lower Back Pain Chiropractic Team. Oposa 80% ya anthu amavutika ndi ululu wammbuyo panthawi ina m'miyoyo yawo. Nthawi zambiri zimatha kulumikizidwa ndi zomwe zimayambitsa: kupsinjika kwa minofu, kuvulala, kapena kugwiritsa ntchito mopitirira muyeso. Koma zikhoza kukhala chifukwa cha chikhalidwe cha msana: Herniated Disc, Degenerative Disc Disease, Spondylolisthesis, Spinal Stenosis, ndi Osteoarthritis. Mikhalidwe yocheperako ndi kusagwira ntchito kwa mgwirizano wa sacroiliac, zotupa za msana, fibromyalgia, ndi matenda a piriformis.
Ululu umayamba chifukwa cha kuwonongeka kapena kuvulala kwa minofu ndi mitsempha yam'mbuyo. Dr. Alex Jimenez analemba nkhani zofotokozera kufunika komvetsetsa zomwe zimayambitsa ndi zotsatira za chizindikiro chovutachi. Chiropractic imayang'ana kubwezeretsa mphamvu ndi kusinthasintha kwa munthu kuti athandize kusintha zizindikiro za kupweteka kwa msana.
Zomwe zimayambitsa mtundu uwu wa herniation sizikudziwika.
Episacral Lipoma
Episacral lipoma ndi kagawo kakang'ono kowawa pansi pa khungu komwe kamakhala pamwamba pa fupa la m'chiuno. Ziphuphuzi zimachitika pamene gawo lina la dorsal mafuta pad limatuluka kupyolera mu misozi ya thoracodorsal fascia, minyewa yolumikizana yomwe imathandiza kuti minofu yam'mbuyo ikhale. (Erdem, HR et al., 2013) Wopereka chithandizo chamankhwala akhoza kutumiza munthu kwa dokotala wa mafupa kapena ochita opaleshoni ya mafupa chifukwa cha lipoma iyi. Munthu athanso kupeza mpumulo wowawa kuchokera kwa akatswiri otikita minofu omwe amadziwa bwino matendawa. (Erdem, HR et al., 2013)
zizindikiro
Nthawi zambiri zotupa zam'mbuyo zimatha kuwoneka pansi pakhungu. Nthawi zambiri amakhala achifundo kukhudza ndipo amatha kukhala pampando kapena kugona chagada kukhala kovuta, chifukwa nthawi zambiri amawonekera pamafupa a chiuno ndi dera la sacroiliac. (Bicket, MC et al., 2016) Manodule angakhale:
Khalani olimba kapena olimba.
Khalani ndi kumva zotanuka.
Yendani pansi pa khungu mukapanikizika.
Chifukwa chachikulu, kupweteka kwambiri.
Ululu umabwera chifukwa cha kukanikiza kwa chotupacho, komwe kumapangitsa minyewa.
Kuwonongeka kwa fascia yapansi kungayambitsenso zizindikiro zowawa.
Matendawa
Anthu ena samazindikira kuti ali ndi timinofu totupa kapena zotupa mpaka kukakamizidwa. Madokotala ndi othandizira kutikita minofu nthawi zambiri amawapeza panthawi yamankhwala koma samazindikira kukula kwamafuta osadziwika bwino. Katswiri wa chiropractor kapena kutikita minofu amatumiza wodwalayo kwa dermatologist wodziwa bwino ntchito kapena katswiri wazachipatala yemwe angachite maphunziro a kujambula ndi biopsy. Kuzindikira kuti zotupazo ndi zotani kungakhale kovuta chifukwa sizomwe zili zenizeni. Othandizira azaumoyo nthawi zina amazindikira tinthu tating'onoting'ono tambirimbiri pobaya jekeseni wamankhwala am'deralo. (Bicket, MC et al., 2016)
Kusiyanitsa kusiyana
The mafuta madipoziti akhoza kukhala chiwerengero cha zinthu, ndi chimodzimodzi ndi magwero a mitsempha ululu. Wothandizira zaumoyo atha kuwunikanso zina mwa kuletsa zifukwa zina, zomwe zingaphatikizepo:
Sebaceous Cysts
Kapisozi wabwino, wodzaza madzimadzi pakati pa khungu.
Subcutaneous abscess
Kutolere mafinya pansi pa khungu.
Nthawi zambiri zowawa.
Ikhoza kuyaka.
Sciatica
Kupweteka kwa mitsempha pansi pamiyendo imodzi kapena yonse yomwe imayamba chifukwa cha disni ya herniated, fupa la fupa, kapena minofu ya m'munsi.
Ngati ululu uli waukulu, kuchotsa opaleshoni kungakhale kovomerezeka. Izi zimaphatikizapo kudula misa ndi kukonza fascia kuti mupumule kwamuyaya. Komabe, kuchotsa sikungakhale kovomerezeka ngati pali tinthu tambirimbiri, chifukwa anthu ena amatha kukhala ndi mazana. Liposuction ikhoza kukhala yothandiza ngati zotupazo zili zazing'ono, zokulirapo, komanso zimakhala ndi madzi ambiri. (American Family Doctor. 2002) Mavuto ochotsa opaleshoni angaphatikizepo:
Kutaya
Kudandaula
Kusafanana khungu kapangidwe
Kutenga
Thandizo Lowonjezera ndi Njira Zina
Chithandizo chamankhwala ovomerezeka komanso amtundu wina monga kutema mphini, kusowa kowuma, komanso kuwongolera msana kungathandize. Ma chiropractor ambiri amakhulupirira kuti minyewa yam'mbuyo imatha kuthandizidwa bwino ndi chithandizo chothandizira komanso china. Njira yodziwika bwino imagwiritsa ntchito acupuncture ndi kusintha kwa msana pamodzi. Kafukufuku wina adawonetsa kuti jakisoni wogonetsa wotsatiridwa ndi kusowa kowuma, komwe kuli kofanana ndi kutema mphini, kumathandizira kuchepetsa ululu. (Bicket, MC et al., 2016)
Chiropractic Medical Chiropractic ndi Functional Medicine Clinic imayang'anira njira zochiritsira zopita patsogolo komanso njira zochiritsira zomwe zimayang'ana pakubwezeretsa magwiridwe antchito amthupi pambuyo povulala ndi kuvulala kwa minofu yofewa komanso kuchira kwathunthu. Malo athu omwe timachita ndi monga Ubwino & Chakudya, Ululu Wosatha, Kuvulala Kwawekha, Kusamalira Ngozi Yagalimoto, Kuvulala Kwa Ntchito, Kuvulala Kwambuyo, Kupweteka Kwambiri, Kupweteka kwa Pakhosi, Migraine Mutu, Kuvulala Kwa Masewera, Sciatica Kwambiri, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Ululu, Kuvulala Kwakukulu, Kuwongolera Kupsinjika, Chithandizo Chamankhwala Ogwira Ntchito, ndi ma protocol a chisamaliro chapakatikati. Ngati munthuyo akufuna chithandizo china, adzatumizidwa ku chipatala kapena dokotala yemwe ali woyenera kwambiri pa matenda awo, monga Dr. Jimenez adagwirizana ndi madokotala apamwamba, akatswiri a zachipatala, ofufuza zachipatala, othandizira, ophunzitsa, ndi opereka chithandizo choyamba.
Kupitilira Pamwamba
Zothandizira
Dąbrowski, K., & Ciszek, B. (2023). Anatomy ndi morphology ya iliolumbar ligament. Opaleshoni ndi radiologic anatomy: SRA, 45 (2), 169-173. doi.org/10.1007/s00276-022-03070-y
Seyedhoseinpoor, T., Taghipour, M., Dadgoo, M., Sanjari, MA, Takamjani, IE, Kazemnejad, A., Khoshamooz, Y., & Hides, J. (2022). Kusintha kwa lumbar minofu morphology ndi kapangidwe kake pokhudzana ndi ululu wochepa wammbuyo: kuwunika mwadongosolo ndi kusanthula meta. Magazini ya msana: magazini yovomerezeka ya North American Spine Society, 22 (4), 660-676. doi.org/10.1016/j.spinee.2021.10.018
Erdem, HR, Nacır, B., Özeri, Z., & Karagöz, A. (2013). Episakral lipoma: Bel ağrısının tedavi edilebilir bir nedeni [Episacral lipoma: chomwe chimayambitsa kupweteka kwa msana]. Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = Magazini ya Turkey Society of Algology, 25(2), 83–86. doi.org/10.5505/agri.2013.63626
Bicket, MC, Simmons, C., & Zheng, Y. (2016). Mapulani Abwino Kwambiri a "Mbewa Zakumbuyo" ndi Amuna: Lipoti la Nkhani ndi Kubwereza Zolemba za Episacroiliac Lipoma. Dokotala wa ululu, 19 (3), 181-188.
Ndibwino kuti nsapato zothamanga zisinthidwe pamtunda uliwonse wa 300 ku 500 mailosi oyenda kapena kuthamanga kapena ndi zizindikiro zilizonse zosagwirizana pamene zimayikidwa pamalo ophwanyika, monga zowonongeka zowonongeka ndi zowonongeka zimatha kuwonjezera chiopsezo cha kuvulala ndi ululu wammbuyo. (American Academy of Podiatric Sports Medicine, 2024). Ngati awiri ena aika miyendo, chiuno, kapena akakolo m'malo osakhala achibadwa kapena kulepheretsa kuyenda pafupipafupi, ingakhale nthawi yosintha.
Kusankha Nsapato Zoyenera
Njira yabwino yosankha kuvala nsapato ndikupeza kusanthula kwa gait ndikuwunikanso momwe mumayendera ndikuthamanga. Akatswiri osiyanasiyana azachipatala atha kupereka ntchitoyi kuti agwirizane ndi kusaka kwa aliyense payekhapayekha nsapato zoyenera za ululu wammbuyo. Pakuwunika mayendedwe, anthu amafunsidwa kuthamanga ndikuyenda, nthawi zina pa kamera, pomwe katswiri amawona zomwe zimachitika mthupi, monga phazi likagunda pansi komanso ngati likugudubuza mkati kapena kunja. Izi zimapereka deta pamayendedwe okhudzidwa, kusuntha, milingo ya ululu, kuchuluka kwa chithandizo chomwe chimafunikira, ndi mtundu wanji wovala kuti muchepetse ululu wammbuyo. Kusanthula kukamalizidwa, kukutsogolerani pazomwe muyenera kuyang'ana, monga momwe mungathandizire, kutalika kwa chidendene, kapena zinthu zomwe zili zabwino kwa inu.
Chiropractic Medical Chiropractic ndi Functional Medicine Clinic imayang'anira njira zochiritsira zopita patsogolo, zotsogola komanso njira zochiritsira zomwe zimayang'ana kwambiri pazamankhwala azachipatala, thanzi lathunthu, kuphunzitsidwa mwamphamvu mwamphamvu, komanso kukhazikika kwathunthu. Timayang'ana kwambiri kubwezeretsa magwiridwe antchito amthupi pambuyo povulala komanso kuvulala kwa minofu yofewa. Timagwiritsa ntchito Specialized Chiropractic Protocols, Wellness Programs, Nutrition Yogwira Ntchito ndi Yophatikizana, Agility and Mobility Fitness Training, ndi Rehabilitation Systems kwa mibadwo yonse. Mapulogalamu athu ndi achilengedwe ndipo amagwiritsa ntchito kuthekera kwa thupi kukwaniritsa zolinga zomwe zayesedwa m'malo moyambitsa mankhwala owopsa, kusintha kwa mahomoni, maopaleshoni osayenera, kapena mankhwala osokoneza bongo. Tagwirizana ndi madotolo akuluakulu ammzindawu, asing'anga, ndi ophunzitsa kuti apereke chithandizo chapamwamba chomwe chimapatsa mphamvu odwala athu kukhala ndi moyo wathanzi komanso kukhala ndi moyo wathanzi wokhala ndi mphamvu zambiri, malingaliro abwino, kugona bwino, komanso kupweteka pang'ono. .
Ubwino Wogwiritsa Ntchito Custom Foot Orthotics
Zothandizira
Centers for Disease Control and Prevention. (2019). Kumbuyo, kumunsi kwa miyendo, ndi kupweteka kwapamwamba pakati pa akuluakulu a US, 2019. Kuchotsedwa www.cdc.gov/nchs/products/databriefs/db415.htm
Kodi mumamva kugwedezeka kumbuyo kwa miyendo yanu zomwe zimakhudza kusuntha kwanu? Kapena kodi msana wanu umakhala wocheperako kuposa momwe umakhalira? Pamene anthu ambiri akukumana ndi ululu wochepa wammbuyo m'moyo wawo wonse, nthawi zambiri amatha kugwirizana ndi lumbar spinal stenosis. Lumbar spinal stenosis nthawi zambiri imachitika pamene ngalande ya msana m'munsi mwa msana imakhala yocheperapo, zomwe zimapangitsa kusintha kosinthika. Mtsempha wa msana ukayamba kuchepa msana, ukhoza kuyambitsa kusapeza bwino, kusokoneza zochita za tsiku ndi tsiku, ndipo zingayambitse kulemala kwa anthu ambiri. (Munakomi et al., 2024) Zizindikiro zomwe zimayambitsidwa ndi lumbar spinal stenosis zimayambira pang'onopang'ono mpaka zovuta, ndipo zomwe zachilengedwe zimayenderana ndi nkhaniyi. Panthawi imodzimodziyo, lumbar spinal stenosis imadziwika ndi zizindikiro monga kupweteka kwa msana komwe kungayambitse kusintha kwa spondylotic komwe kumayambitsa kupweteka kwa msana komwe kungasokoneze moyo wa munthu. (Ogon et al., 2022) Izi zimapangitsa anthu ambiri kupita kwa madokotala awo oyambirira kuti akapeze matenda ndikuphunzira momwe angasamalire ululu wokhudzana ndi lumbar spinal stenosis.
Kuzindikira kwa Lumbar Spinal Stenosis
Pankhani yozindikira lumbar spinal stenosis, ambiri opereka chithandizo chamankhwala adzaphatikiza kuwunika kokwanira, komwe kumaphatikizapo kuyezetsa thupi kuti awone momwe msana wa munthu uliri komanso kuyezetsa zithunzi monga MRIs ndi CT scans kuti muwone msana wa msana ndikuwunika kukula kwa msana. kuchepetsa komwe kumayambitsa kupweteka m'munsi. Izi ndichifukwa choti anthu akamakumana ndi lumbar spinal stenosis, amatha kuwonetsa ndi neurogenic claudication m'munsi, makamaka munthu atayima kapena atakhala. Ululu umachepa pamene malo awo asinthidwa. (Sobanski et al., 2023) Kuonjezera apo, lumbar spinal stenosis ndi imodzi mwa matenda omwe amapezeka kwambiri a msana omwe akatswiri ambiri azachipatala amawunika ndikuwunika. Pakakhala kuchepa kwa msana wa msana, zomwe zimayambitsa chitukuko cha lumbar msana, kuyenda kosavuta monga kuyenda kungapangitse zizindikiro kumunsi kumunsi ndikuwonjezera mpweya mu mitsempha ya msana, yomwe imatha kupitirira magazi omwe alipo mpaka kumapeto. (Deer et al., 2019) Kufikira pamenepo, mankhwala ochiritsira monga kupweteka kwa msana angathandize kuchepetsa kupweteka kwa msana komwe kumagwirizanitsidwa ndi lumbar spinal stenosis.
Njira Yopanda Opaleshoni Yaumoyo - Kanema
Njira Yothandizira Kugwiritsa Ntchito Decompression ya Msana
Zikafika kwa anthu omwe ali ndi ululu wobwera chifukwa cha lumbar spinal stenosis, anthu ambiri amatha kupeza chithandizo chosapanga opaleshoni monga kupsinjika kwa msana kuti athetse ululu wammbuyo. Kuwonongeka kwa msana kwawonekera ngati njira yosasokoneza, yothandiza yochizira lumbar spinal stenosis. Amagwiritsa ntchito makina ochepetsetsa pamsana kuti atambasulidwe, kuchepetsa mitsempha ya msana popanga malo ambiri mkati mwa ngalande ya msana. Kuwonongeka kwa msana kumachepetsa njira yowonongeka pamene minofu yozungulira imatambasulidwa pang'onopang'ono, ndipo kutalika kwa msana kumawonjezeka chifukwa cha kupanikizika koipa. (Kang et al., 2016)
Ubwino Wa Kuwonongeka Kwa Msana & Kubwezeretsa Kuyenda
Kuonjezera apo, kutsekemera kodekha kuchokera ku kupsinjika kwa msana kumathandiza kupititsa patsogolo kayendedwe ka zakudya ndi okosijeni kubwerera ku ma discs okhudzidwa a msana ndi msana kuti alimbikitse malo abwino ochiritsira thupi. Popeza kuwonongeka kwa msana kumatha kuphatikizidwa ndi mankhwala ena osachita opaleshoni, monga chithandizo chamankhwala ndi kuwongolera msana, kungapereke zotsatira zabwino zokhalitsa kwa anthu omwe ali ndi lumbar spinal stenosis. (Ammendolia et al., 2022) Zina mwazotsatira zabwino za decompression ya msana ndi izi:
Kuchepetsa ululu mwa kuchepetsa kupanikizika kwa mitsempha ya msana kuti muchepetse ululu ndi kusamva bwino m'munsi kwambiri.
Kuyenda bwino kumalola munthu kubwerera ku ntchito zawo za tsiku ndi tsiku mosavuta.
Anthu ambiri angapindule ndi kuwonongeka kwa msana kuti achepetse zotsatira za lumbar spinal stenosis ndikukhalanso ndi kayendedwe kawo kakang'ono kamene kamabwezeretsedwa pambuyo pa magawo otsatizana kuti achepetse mwayi wa ululu wobwereranso. Poganizira zambiri za thanzi lawo ndi thanzi lawo, anthu ambiri amatha kusintha pang'ono pazochitika zawo kuti achepetse ululu ndikukhalabe oyendayenda m'moyo wawo wonse. Izi zimawathandiza kukhala ndi chiyembekezo chowathandiza ku ululu umene wakhala akukumana nawo.
Zothandizira
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). Chithandizo chosagwira ntchito cha lumbar spinal stenosis ndi neurogenic claudication: kusinthidwa mwadongosolo. BMJ Open, 12(1), e057724. doi.org/10.1136/bmjopen-2021-057724
Deer, T., Sayed, D., Michels, J., Josephson, Y., Li, S., & Calodney, AK (2019). Ndemanga ya Lumbar Spinal Stenosis ndi Intermittent Neurogenic Claudication: Matenda ndi Kuzindikira. ululu med, 20(Suppl 2), S32-S44. doi.org/10.1093/pm/pnz161
Kang, JI, Jeong, DK, & Choi, H. (2016). Zotsatira za kusokonezeka kwa msana pa ntchito ya lumbar minofu ndi kutalika kwa disk kwa odwala omwe ali ndi herniated intervertebral disk. Journal of Physical Therapy Science, 28(11), 3125-3130. doi.org/10.1589/jpts.28.3125
Munakomi, S., Foris, LA, & Varacallo, M. (2024). Spinal Stenosis ndi Neurogenic Claudication. Mu Malangizo. 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). Zomwe zimagwirizanitsidwa ndi ululu wochepa wammbuyo kwa odwala omwe ali ndi lumbar spinal stenosis: phunziro lachigawo. BMC Musculoskelet Disord, 23(1), 552. doi.org/10.1186/s12891-022-05483-7
Sobanski, D., Staszkiewicz, R., Stachura, M., Gadzielinski, M., & Grabarek, BO (2023). Kufotokozera, Kuzindikira, ndi Kuwongolera Kupweteka Kwapambuyo Kumbuyo Kogwirizana ndi Spinal Stenosis: Ndemanga Yofotokozera. Med Sci Monit, 29, e939237. doi.org/10.12659/MSM.939237
Kwa anthu omwe ali ndi vuto la sacroiliac joint/SIJ ndi ululu, kodi kugwiritsa ntchito tepi ya kinesiology kungathandize kubweretsa mpumulo ndikuwongolera zizindikiro?
Tepi ya Kinesiology ya Ululu Wophatikizana wa Sacroiliac
Matenda a m'munsi omwe amapezeka pa nthawi ya mimba. Ululu nthawi zambiri umakhala kumbali imodzi kapena zonse za msana, pamwamba pa matako, zomwe zimabwera ndikupita ndipo zimatha kuchepetsa mphamvu yopinda, kukhala, ndi kuchita zinthu zosiyanasiyana zolimbitsa thupi. (Moayad Al-Subahi et al., 2017) Tepi yochizira imapereka chithandizo pamene ikuloleza kuyenda ndipo ingathandize kuchiza ndi kusamalira ululu wa sacroiliac / SIJ ndi:
Kuchepetsa kugunda kwa minofu.
Kuthandizira ntchito ya minofu.
Kuchulukitsa kwa magazi kupita ndi kuzungulira malo opweteka.
Kuchepetsa mfundo zoyambitsa minofu.
Njira
Kafukufuku wina wapeza kuti kujambula mgwirizano wa SI kuli ndi ubwino womwe umaphatikizapo:
Lingaliro limodzi ndiloti limathandiza kukweza ndi kusunga minofu yomwe ili pamwamba pa mgwirizano wa SI, zomwe zimathandiza kuchepetsa kupanikizika mozungulira.
Chiphunzitso china ndi chakuti kukweza minyewa kumathandiza kuti pakhale kusiyana kwapakati pa tepi, monga kusokonezeka kwapang'onopang'ono, kulola kufalikira kwa minofu yozungulira mgwirizano wa sacroiliac.
Izi zimasefukira m'derali ndi magazi ndi michere, ndikupanga malo abwino ochiritsira.
ntchito
Mgwirizano wa sacroiliac kumanja ndi kumanzere kumagwirizanitsa pelvis ndi sacrum kapena gawo lotsika kwambiri la msana. Kuti mugwiritse ntchito tepi ya kinesiology molondola, pezani gawo lotsika kwambiri la msana m'dera la pelvic. (Francisco Selva et al., 2019) Funsani mnzanu kapena wachibale kuti akuthandizeni ngati simungathe kufika kudera lanulo.
Masitepe akujambula:
Dulani mizere itatu ya tepi, iliyonse 4 mpaka 6 mainchesi yaitali.
Khalani pampando ndi kupinda thupi patsogolo pang'ono.
Bwerezani masitepe ogwiritsira ntchito ndi mzere wachiwiri, kumamatira pamakona a digirii 45 ku mzere woyamba, ndikupanga X pamwamba pa mgwirizano wa sacroiliac.
Bwerezani izi ndi mzere womaliza mopingasa pa X wopangidwa kuchokera ku zidutswa ziwiri zoyambirira.
Payenera kukhala mawonekedwe a tepi a mawonekedwe a nyenyezi pamwamba pa mgwirizano wa sacroiliac.
Tepi ya Kinesiology imatha kukhala pagulu la sacroiliac kwa masiku atatu kapena asanu.
Yang'anani zizindikiro za mkwiyo kuzungulira tepi.
Anthu ena omwe ali ndi vuto linalake ayenera kupewa kugwiritsa ntchito tepiyo ndikutsimikizira kuti ndi yotetezeka.
Anthu omwe ali ndi ululu wowawa kwambiri wa sacroiliac komwe kudziwongolera sikukugwira ntchito ayenera kuwonana ndi dokotala, chipatala, kapena chiropractor kuti aunikire ndikuphunzira zolimbitsa thupi komanso zolimbitsa thupi. mankhwala kuthandiza kuthana ndi vutoli.
Sciatica pa nthawi ya mimba
Zothandizira
Al-Subahi, M., Alayat, M., Alshehri, MA, Helal, O., Alhasan, H., Alalawi, A., Takrouni, A., & Alfaqeh, A. (2017). Kuchita bwino kwa physiotherapy kulowererapo kwa kusagwira ntchito kwa mgwirizano wa sacroiliac: kuwunika mwadongosolo. Journal of Physical Therapy Science, 29 (9), 1689-1694. doi.org/10.1589/jpts.29.1689
Do-Yun Shin ndi Ju-Young Heo. (2017). Zotsatira za Kinesiotaping Zogwiritsidwa Ntchito pa Erector Spinae ndi Sacroiliac Joint pa Lumbar Flexibility. Journal ya Korea Physical Therapy, 307-315. doi.org/https://doi.org/10.18857/jkpt.2017.29.6.307
Selva, F., Pardo, A., Aguado, X., Montava, I., Gil-Santos, L., & Barrios, C. (2019). Kafukufuku wokhudzana ndi kubwezeredwa kwa matepi a kinesiology: kuwunikanso, kudalirika komanso kutsimikizika. BMC musculoskeletal disorders, 20 (1), 153. doi.org/10.1186/s12891-019-2533-0
Popeza electroacupuncture imatha kuchepetsa kutupa kwa m'matumbo kumayambitsa kupweteka kwam'mbuyo, imatha kuthandizira kuwongolera m'matumbo mwakulimbikitsa kuyenda kwamatumbo ndikuletsa mazizindikiro opweteka kuti asakhudze minofu yakumbuyo. (An et al., 2022) Izi zili choncho chifukwa electroacupuncture ingathandize kupumula minofu yomwe imayambitsa kupweteka kwa msana. Kuonjezera apo, anthu akamayandikira chithandizochi, amakhala pansi pa chitsogozo cha akatswiri odziwa bwino ntchito za acupuncturist omwe amatha kulowetsa singano molondola pamene akukonzekera chithandizo cha electroacupuncture mogwirizana ndi zosowa ndi ululu wa munthuyo. Popeza electroacupuncture ikhoza kuphatikizidwa ndi mankhwala ena, imatha kuchepetsa kulemera kwa thupi ndikubwezeretsa chimbudzi ndi kuyamwa kuti apange matumbo a microbiota. (Xia et al., 2022) Izi zimathandiza kuti anthu asinthe pang'ono pazochitika zawo ndikuletsa kutupa kwa m'matumbo kuti zisakhudze thupi komanso kubweretsa ululu wammbuyo. Atha kusintha moyo wawo mwa kuphatikiza electroacupuncture ngati gawo laumoyo wawo komanso chithandizo chaumoyo.
Kutsegula Zinsinsi Zakutupa-Kanema
Zothandizira
An, J., Wang, L., Song, S., Tian, L., Liu, Q., Mei, M., Li, W., & Liu, S. (2022). Electroacupuncture imachepetsa shuga m'magazi poyendetsa matumbo amtundu wa 2 mbewa. J shuga, 14(10), 695-710. doi.org/10.1111/1753-0407.13323
Dekker Nitert, M., Mousa, A., Barrett, HL, Naderpoor, N., & de Courten, B. (2020). Kusintha Kwa Gut Microbiota Kumagwirizanitsidwa Ndi Kupweteka Kwamsana Kwa Anthu Olemera Kwambiri ndi Onenepa Paokha. Front Endocrinol (Lausanne), 11, 605. doi.org/10.3389/fendo.2020.00605
Ratna, HVK, Jeyaraman, M., Yadav, S., Jeyaraman, N., & Nallakumarasamy, A. (2023). Kodi Dysbiotic Gut Ndi Zomwe Zimayambitsa Kupweteka Kwambiri Kwambiri? Cureus, 15(7), e42496. doi.org/10.7759/cureus.42496
Yang, Y., Pang, F., Zhou, M., Guo, X., Yang, Y., Qiu, W., Liao, C., Chen, Y., & Tang, C. (2024). Electroacupuncture Imachepetsa Matenda Opweteka M'mimba Mwa Obese Poyambitsa Njira Zowonetsera Nrf2 / HO-1 ndi Kukonza Zolepheretsa M'mimba. Diabetes Metab Syndr Obes, 17, 435-452. doi.org/10.2147/DMSO.S449112
Yao, B., Cai, Y., Wang, W., Deng, J., Zhao, L., Han, Z., & Wan, L. (2023). Zotsatira za Gut Microbiota pa Kukula kwa Intervertebral Disc Degeneration. Opaleshoni ya Mafupa, 15(3), 858-867. doi.org/10.1111/os.13626
Kwa anthu omwe akukumana ndi ululu wammbuyo amatha kumvetsetsa momwe thupi limagwirira ntchito komanso momwe minofu ya multifidus imathandizira kupewa kuvulala komanso kupanga dongosolo lothandizira kwambiri lamankhwala?
Multifidus Minofu
Minofu ya multifidus ndi yayitali komanso yopapatiza kumbali zonse za msana wa msana, zomwe zimathandiza kukhazikika kumunsi kwa msana kapena lumbar spine. (Maryse Fortin, Luciana Gazzi Macedo 2013) Kukhala pansi kwambiri, kuchita masewera olimbitsa thupi, komanso kusayenda bwino kumatha kupita patsogolo ku minofu ya multifidus kufooketsa kapena atrophy, zomwe zingayambitse kusakhazikika kwa msana, kupweteka kwa msana, ndi kupweteka kwa msana. (Paul W. Hodges, Lieven Danneels 2019)
Anatomy
Amadziwika kuti chigawo chakuya, ndi gawo lamkati la minofu itatu yam'mbuyo ndikuyendetsa kayendetsedwe ka msana. Zigawo zina ziwiri, zomwe zimadziwika kuti intrinsic ndi zapamwamba, zimakhala ndi udindo wa thoracic khola / nthiti ndi kayendedwe ka mapewa. (Anouk Agten et al., 2020) Multifidus ili ndi mfundo zolumikizira pa:
The thoracic msana wapakati kumbuyo.
The lumbar msana wa m'munsi msana.
Msana wa Iliac - m'munsi mwa fupa la fupa la m'chiuno.
Sacrum - mafupa angapo m'munsi mwa msana wolumikizidwa ndi tailbone.
Poyimirira kapena kusuntha, minofu ya multifidus imagwira ntchito ndi transversus abdominus ndi minofu ya m'chiuno kuti ikhazikitse msana wa lumbar. (Christine Lynders 2019)
Minofu Ntchito
Ntchito yayikulu ndikukhazikika m'munsi kumbuyo, koma imathandizanso kukulitsa msana wam'munsi mukafika kapena kutambasula. (Jennifer Padwal et al., 2020) Chifukwa chakuti minofu imakhala ndi mfundo zambiri zogwirizanitsa ndipo imatumizidwa ndi nthambi inayake ya mitsempha yotchedwa posterior rami, imalola kuti vertebra iliyonse igwire ntchito payekha komanso mogwira mtima.
Minofu ya multifidus imagwira ntchito ndi magulu ena awiri a minofu yakuya kuti akhazikike ndikusuntha msana. (Jeffrey J Hebert et al., 2015)
Minofu ya rotatores imathandizira kusinthasintha kwapakati, kutembenuka kuchokera mbali kupita mbali, ndikukulitsa mbali ziwiri kapena kupinda kumbuyo ndi kutsogolo.
Minofu ya semispinalis pamwamba pa multifidus imalola kufalikira ndi kuzungulira kwa mutu, khosi, ndi kumtunda kumbuyo.
Minofu ya multifidus imatsimikizira mphamvu ya msana chifukwa imakhala ndi mfundo zowonjezera ku msana kusiyana ndi zigawo zina, zomwe zimachepetsa kusinthasintha kwa msana ndi kuzungulira koma kumawonjezera mphamvu ndi kukhazikika. (Anouk Agten et al., 2020)
Ululu Wakumananso
Minofu yofooka ya multifidus imasokoneza msana ndipo imapereka chithandizo chochepa ku vertebra. Izi zimawonjezera kupanikizika kwa minofu ndi minyewa yolumikizana pakati ndi moyandikana ndi msana wa msana, kuonjezera chiopsezo cha zizindikiro za ululu wammbuyo. (Paul W. Hodges, Lieven Danneels 2019) Kutaya mphamvu ya minofu ndi kukhazikika kungayambitse atrophy kapena kuwonongeka. Izi zingayambitse kupsinjika ndi mavuto ena amsana. (Paul W. Hodges et al., 2015) Mavuto am'mbuyo okhudzana ndi kuwonongeka kwa minofu ya multifidus akuphatikizapo (Paul W. Hodges, Lieven Danneels 2019)
Ma disc a Herniated - komanso ma disc otupa kapena otsika.
Ululu wotchulidwa - kupweteka kwa mitsempha yochokera ku msana kumamveka kumadera ena.
Osteoarthritis - matenda a nyamakazi
Mafupa a msana - osteophytes
Minofu yofooka ya m'mimba kapena m'chiuno imatha kusokoneza pachimake, kuonjezera chiopsezo cha kupweteka kwa msana ndi kuvulala kosatha.
Anthu amalangizidwa kuti afunsane ndi katswiri wamankhwala ndi chiropractor yemwe angathandize kupanga zoyenera mankhwala, kukonzanso, ndi kulimbikitsa ndondomeko yotengera zaka, kuvulala, mikhalidwe, ndi mphamvu zakuthupi.
Kodi Zochita Zolimbitsa Thupi Zingathandize Ndi Kupweteka Kwamsana?
Zothandizira
Fortin, M., & Macedo, LG (2013). Multifidus ndi gulu la minofu ya paraspinal yodutsa magawo a odwala omwe ali ndi ululu wochepa wammbuyo ndi odwala olamulira: kuwunikira mwadongosolo ndikuyang'ana pa khungu. Thandizo la thupi, 93 (7), 873-888. doi.org/10.2522/ptj.20120457
Hodges, PW, & Danneels, L. (2019). Kusintha kwa Kapangidwe ndi Kachitidwe ka Minofu Yam'mbuyo mu Ululu Wam'mbuyo: Nthawi Zosiyanasiyana, Kuwona, ndi Njira. Journal of mafupa ndi masewera olimbitsa thupi, 49 (6), 464-476. doi.org/10.2519/jospt.2019.8827
Agten, A., Stevens, S., Verbrughe, J., Eijnde, BO, Timmermans, A., & Vandenabeele, F. (2020). Lumbar multifidus imadziwika ndi ulusi waukulu wamtundu wa I minofu poyerekeza ndi erector spinae. Anatomy & cell biology, 53 (2), 143-150. doi.org/10.5115/acb.20.009
Lynders C. (2019). Udindo Wofunika Kwambiri Wachitukuko cha Transversus Abdominis mu Kupewa ndi Kuchiza Kupweteka Kwambiri. HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery, 15 (3), 214-220. doi.org/10.1007/s11420-019-09717-8
Padwal, J., Berry, DB, Hubbard, JC, Zlomislic, V., Allen, RT, Garfin, SR, Ward, SR, & Shahidi, B. (2020). Kusiyana kwachigawo pakati pa zachiphamaso ndi zakuya lumbar multifidus mwa odwala omwe ali ndi matenda aakulu a lumbar spine pathology. BMC musculoskeletal disorders, 21 (1), 764. doi.org/10.1186/s12891-020-03791-4
Hebert, JJ, Koppenhaver, SL, Teyhen, DS, Walker, BF, & Fritz, JM (2015). Kuwunika kwa lumbar multifidus minofu ntchito kudzera palpation: kudalirika ndi kutsimikizika kwa mayeso atsopano azachipatala. Magazini ya msana: magazini yovomerezeka ya North American Spine Society, 15 (6), 1196-1202. doi.org/10.1016/j.spinee.2013.08.056
Hodges, PW, James, G., Blomster, L., Hall, L., Schmid, A., Shu, C., Little, C., & Melrose, J. (2015). Kusintha kwa Minofu ya Multifidus Pambuyo pa Kuvulala Kwambuyo Kumadziwika ndi Kukonzanso Kwamapangidwe a Minofu, Adipose ndi Connective Tissue, koma Osati Muscle Atrophy: Umboni wa Molecular ndi Morphological. Msana, 40 (14), 1057-1071. doi.org/10.1097/BRS.0000000000000972
Kuonjezera apo, zizindikiro zambiri zowawa m'mbuyo zimakhala zosadziŵika bwino, ndipo kusuntha kolemera, kupindika, kupindika, ndi kugwedezeka kwa thupi lonse ndizinthu zoopsa zomwe zimayambitsa kupweteka kwa msana. (Becker & Childress, 2019) Izi zimapangitsa anthu ambiri omwe ali ndi ululu wopweteka kwambiri kuti athe kuthana ndi kulemedwa kwa ntchito yosowa ntchito kapena kugwira ntchito zawo za tsiku ndi tsiku. Izi zikachitika, anthu ambiri amayamba kupeza chithandizo kuti achepetse zizindikiro zomwe zimayambitsidwa ndi ululu wochepa wammbuyo.
Kutsegula Kuchepetsa Kupweteka- Kanema
Electroacupuncture for Low Back Pain
Pankhani yochepetsa ululu wammbuyo, anthu ambiri amapita kumankhwala osiyanasiyana kuti athetse ululu wakumbuyo kwawo komanso zizindikiro zomwe zimawagwirizanitsa. Chifukwa chake, ndichifukwa chake chithandizo chosapanga opaleshoni ngati electroacupuncture chingathandize kuchepetsa ululu wammbuyo ndikuthandizira m'munsi kuyambiranso kuyenda. Electroacupuncture ndi mtundu wina wa acupuncture womwe umagwiritsa ntchito kukondoweza kwamagetsi pamagulu a thupi kuti atseke zizindikiro zowawa. Electroacupuncture yakhala ikugwiritsidwa ntchito kwambiri pa matenda a minofu ndi mafupa, kuphatikizapo kupweteka kwa msana, monga momwe agwiritsidwira ntchito ngati njira yochiritsira yochepetsera kugwiritsa ntchito mankhwala pamene akukhala njira yabwino pamene akuphatikiza ndi mankhwala ena. (Sung et al., 2021)
Kuonjezera apo, electroacupuncture imachitidwa ndi akatswiri ophunzitsidwa bwino kwambiri ndipo, pamene amagwiritsidwa ntchito pochiza ululu wochepa wa msana, amalola kukondoweza m'madera akuluakulu a thupi omwe ali pafupi ndi acupoint kuti alole magawo omwe amaphatikizapo mphamvu, nthawi, ndi mafupipafupi kuti ululuwo ukhale wolimba. malo oti adziwike ndi akatswiri azaumoyo. (Francescato Torres et al., 2019) Electroacupuncture ingathandize kuchepetsa ululu m'munsi kumbuyo ndikuthandizira anthu ambiri pogwiritsa ntchito njira zosiyanasiyana kuti abwezeretse kuyenda. (Kongo, 2020)
Electroacupuncture Restoring Mobility
Pobwezeretsa kuyenda kwa thupi kuchokera ku ululu wochepa wammbuyo, electroacupuncture ingapereke zotsatira zochiritsira poletsa zizindikiro zowawa, kuchititsa kuti thupi likhale losasunthika, ndikulola kuti minofu ikhale yopumula. (Sheng et al., 2021) Electroacupuncture pamodzi ndi mankhwala ena monga chithandizo chamankhwala angathandize kutambasula ndi kulimbikitsa minofu yozungulira kumbuyo ndi mitsempha kuti achepetse ululu wopweteka kwambiri womwe umakhudza kuyenda komanso kupanga anthu ambiri kukumbukira zomwe zimayambitsa kupweteka kwa msana. Anthu akayamba kusintha pang'ono kapena zazikulu pa thanzi lawo ndi thanzi lawo, amayamba kuzindikira momwe amachitira ndikupewa kubwerezabwereza komwe kumayambitsa zovuta zawo zam'mbuyo ndikukhala ndi moyo wathanzi.
Zothandizira
Becker, BA, & Childress, MA (2019). Nonspecific Low Back Ululu ndi Kubwerera Kuntchito. American Family Physician, 100(11), 697-703. www.ncbi.nlm.nih.gov/pubmed/31790184
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). Zotsatira za mafupipafupi a electroacupuncture pa ululu wopweteka kwambiri wa msana kwa akuluakulu: katatu-akhungu, 12-months protocol for a randomized controlled trial. mayesero, 20(1), 762. doi.org/10.1186/s13063-019-3813-6
Hauser, RA, Matias, D., Woznica, D., Rawlings, B., & Woldin, BA (2022). Kusakhazikika kwa Lumbar monga etiology ya ululu wochepa wammbuyo ndi chithandizo chake ndi prolotherapy: ndemanga. J Back Musculoskelet Rehabil, 35(4), 701-712. doi.org/10.3233/BMR-210097
Kong, JT (2020). Electroacupuncture Yochiza Ululu Wam'mbuyo Wosatha: Zotsatira Zoyambirira Zofufuza. Med Acupunct, 32(6), 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). Kuchita bwino kwa electroacupuncture kwa odwala omwe ali ndi vuto lolephera opaleshoni yam'mbuyo: protocol yophunzirira yoyeserera mosasinthika. mayesero, 22(1), 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). Kuchita bwino ndi chitetezo cha electroacupuncture kwa kupweteka kwapang'onopang'ono kwapang'onopang'ono kosaneneka: protocol yowunikira mwadongosolo komanso / kapena meta-analysis. Mankhwala (Baltimore), 100(4), e24281. doi.org/10.1097/MD.0000000000024281
Mitundu ya Nsapato ndi Zomwe Zimakhudza Kumbuyo
Masitepe akujambula:
