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Kupweteka Kwambiri Kwambiri

Back Clinic Chronic Back Pain Team. Kupweteka kwa msana kosalekeza kumakhudza kwambiri machitidwe ambiri a thupi. Dr. Jimenez akuwulula mitu ndi nkhani zomwe zimakhudza odwala ake. Kumvetsetsa ululu ndikofunika kwambiri pa chithandizo chake. Kotero apa tikuyamba ndondomeko ya odwala athu paulendo wochira.

Pafupifupi aliyense amamva ululu nthawi ndi nthawi. Mukadula chala chanu kapena kukoka minofu, ululu ndi njira yomwe thupi lanu limakuwuzani kuti palibe cholakwika. Chovulalacho chikachira, mumasiya kuvulaza.

Kupweteka kosalekeza ndi kosiyana. Thupi lanu limapwetekabe pakatha milungu, miyezi, kapena zaka chivulalirocho. Madokotala nthawi zambiri amatanthauzira kupweteka kosalekeza ngati ululu uliwonse womwe umakhala kwa miyezi 3 mpaka 6 kapena kuposerapo.

Kupweteka kwam'mbuyo kosatha kumatha kukhala ndi zotsatira zenizeni pamoyo wanu watsiku ndi tsiku komanso thanzi lanu lamalingaliro. Koma inu ndi dokotala mukhoza kugwirira ntchito limodzi kuchiza.

Itanani ife kuti tikuthandizeni. Timamvetsetsa vuto lomwe siliyenera kutengedwa mopepuka.


Kutulutsa Kulumikizana Pakati pa Electroacupuncture & Sciatica Pain

Kutulutsa Kulumikizana Pakati pa Electroacupuncture & Sciatica Pain

Kodi zotsatira za electroacupuncture zimachepetsa sciatica mwa anthu omwe ali ndi ululu wochepa wammbuyo kuti abwezeretse kuyenda kwawo?

Introduction

Anthu ambiri akayamba kugwiritsa ntchito kwambiri minofu yawo m'munsi mwa quadrants, zimatha kuyambitsa zovuta zambiri zomwe zimayambitsa kupweteka komanso kusamva bwino. Chimodzi mwazinthu zowawa kwambiri m'munsi mwa quadrants ya musculoskeletal system ndi sciatica, yomwe imagwirizanitsidwa ndi ululu wochepa wammbuyo. Awiriwa amawawa amatha kusokoneza machitidwe amunthu tsiku ndi tsiku ndikupangitsa kuti azimva kuwawa komanso kusamva bwino. Matenda a musculoskeletal awa ndi ofala, ndipo akakhudza mwendo umodzi ndi m'munsi, anthu ambiri amanena kuti ndi ululu wowombera womwe suchoka kwa kanthawi. Mwamwayi, pali mankhwala monga electroacupuncture kuti achepetse sciatica yokhudzana ndi ululu wochepa wammbuyo. Nkhani ya lero ikuyang'ana kugwirizana kwa sciatica-low-back, momwe electroacupuncture imachepetsa kugwirizana kwa ululu uwu, ndi momwe electroacupuncture ingabwezeretsenso kuyenda kwa munthu. Timayankhula ndi opereka chithandizo chamankhwala ovomerezeka omwe amaphatikiza zambiri za odwala athu kuti awone momwe angachepetsere kugwirizana kwa sciatica-low-back ndi electroacupuncture. Timadziwitsanso ndikuwatsogolera odwala momwe chithandizo cha electroacupuncture chingaphatikizidwe ndi mankhwala ena kuti abwezeretse kuyenda kwa thupi. Timalimbikitsa odwala athu kuti afunse mafunso omwe amawathandizira azachipatala ovuta komanso ofunikira okhudza kuphatikizira mankhwala a electroacupuncture monga gawo lachizoloŵezi chawo chochepetsera sciatica yokhudzana ndi ululu wochepa wa msana. Dr. Jimenez, DC, akuphatikizapo izi monga ntchito ya maphunziro. chandalama.

 

The Sciatica & Low Back Connection

Kodi mumamva kupweteka kwa minofu kapena kupweteka m'munsi mwa msana kapena miyendo yanu? Kodi mumamva kupweteka, kupweteka kwa miyendo yanu komwe kumakhudza kuyenda kwanu? Kapena kodi mwaona kuti miyendo ndi kumunsi kwa msana kumapweteka kwambiri mukanyamula chinthu cholemera? Zambiri mwazochitikazi zimagwirizanitsidwa ndi sciatica, yomwe imagwirizana ndi ululu wammbuyo. Tsopano, sciatica nthawi zambiri imadziwika ndi ululu wowawa womwe ukuyenda motsatira mitsempha ya sciatic kuchokera kumunsi kumbuyo, kusokoneza moyo wa munthu. Mu musculoskeletal system, mitsempha ya sciatic imagwira ntchito yofunika kwambiri popereka ntchito yamagalimoto ku miyendo. (Davis et al., 2024) Tsopano, pamene mitsempha ya sciatic, dera la lumbar limakhalanso ndi gawo lofunika kwambiri. Dera la lumbar m'chigawo cha minofu ndi mafupa amakhalanso ndi gawo lofunikira popereka chithandizo, mphamvu, ndi kusinthasintha kwa thupi. Komabe, mitsempha yambiri komanso dera la msana zimakhala zovuta kwambiri kupsinjika ndi kuvulala chifukwa cha kuvulala koopsa komanso zachilengedwe zomwe zingakhudze lumbar spinal discs ndi mitsempha ya sciatic.

 

 

Kuyenda mobwerezabwereza, kunenepa kwambiri, kukweza kosayenera, kusokonezeka kwa msana, ndi matenda a musculoskeletal ndi zifukwa zingapo zomwe zimayambitsa chitukuko cha sciatica chokhudzana ndi msana. Zomwe zimachitika pamapeto pake ndikuti madzi omwe ali m'madzi komanso kutayika kwapang'onopang'ono kwa ma proteoglycans a msana wa msana amasweka pakati pa vertebrae ndikutuluka kuti akanikizire minyewa ya sciatic, yomwe imatha kukwiyitsidwa ndikupangitsa ululu wowawa m'miyendo ndi m'munsi. . (Zhou et al., 2021) Kuphatikizana kwa sciatica ndi kupweteka kwa msana kumatha kukhala vuto la chikhalidwe cha anthu malinga ndi kuopsa kwa ululu umene mitsempha ya sciatic imayambitsa ndipo ingapangitse anthu kuphonya ntchito iliyonse yomwe akugwira nawo.Siddiq et al., 2020) Ngakhale kuti zizindikiro za ululu wa sciatica nthawi zambiri zimagwirizana ndi dera la lumbar, anthu ambiri amatha kupeza mpumulo umene akuyang'ana kudzera mu mankhwala osiyanasiyana.

 


Zomwe Zimayambitsa Sciatica- Kanema


Electroacupuncture Kuchepetsa Sciatica-Low Back Connection

Zikafika pakuchepetsa kulumikizidwa kwa sciatic-low-back, anthu ambiri amafunafuna chithandizo chotsika mtengo komanso chothandiza pakuchepetsa zovuta zonga zowawa. Thandizo lopanda opaleshoni monga electroacupuncture lingakhale lopindulitsa kwa anthu ambiri omwe akumva ululu wa sciatica wokhudzana ndi msana. Electroacupuncture ndi njira ina yachikhalidwe yochizira acupuncture yomwe imachokera ku China. Ophunzitsidwa bwino acupuncturists amatsatira mfundo zofananira za acupuncture poyika singano zolimba zolimba pamagulu osiyanasiyana m'thupi kuti abwezeretse qui kapena chi (kuthamanga kwamphamvu). Electroacupuncture imaphatikiza singano ndi electrostimulation kuti achepetse njira zowongolera zowawa zapakati zomwe zimayambitsa kupweteka kwa msana ndi sciatica mwa kutsekereza zizindikiro zowawa ndikupereka mpumulo. (Kongo, 2020) Panthawi imodzimodziyo, electroacupuncture imapereka mphamvu zochepetsera ululu kuti zitsitsimutse endorphins ndi kuchepetsa mankhwala opweteka a ululu wopweteka kwambiri. (Sung et al., 2021)

 

 

Electroacupuncture Restoring Mobility

Pamene mitsempha ya m'munsi imakhala yochepa chifukwa cha sciatica yomwe imagwirizanitsidwa ndi ululu wochepa wa msana, electroacupuncture ingathandize kumasula minofu yomwe imayambitsa mitsempha ya sciatic komanso kuthandizira kupititsa patsogolo magazi ku minofu ya lumbar. Ndi chifukwa chakuti electroacupuncture ikhoza kulimbikitsa zigawo za thupi kuti zichepetse somato-vagal-adrenal reflexes kuti athetse ndi kubwezeretsanso kuyenda kumunsi. (Liu et al., 2021) Kuwonjezera apo, electroacupuncture ikhoza kuphatikizidwa ndi mankhwala ena osagwiritsa ntchito opaleshoni kuti athandize kulimbikitsa pakati ndi minofu ya m'mbuyo, zomwe zimapangitsa kuti anthu azikumbukira zomwe zimayambitsa sciatica ndi kupweteka kwa msana. Pochita izi, anthu ambiri omwe akulimbana ndi sciatica omwe amakumana ndi ululu wopweteka kwambiri amatha kuphatikizira electroacupuncture monga gawo la pulogalamu yawo ya chithandizo pamodzi ndi njira zonse zowonjezera moyo wawo komanso kupereka njira yopititsira patsogolo kuyenda kwawo. 

 


Zothandizira

Davis, D., Maini, K., Taqi, M., & Vasudevan, A. (2024). Sciatica. Mu Malangizo. www.ncbi.nlm.nih.gov/pubmed/29939685

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

Liu, S., Wang, Z., Su, Y., Qi, L., Yang, W., Fu, M., Jing, X., Wang, Y., & Ma, Q. (2021). Maziko a neuroanatomical a electroacupuncture kuyendetsa vagal-adrenal axis. Nature, 598(7882), 641-645. doi.org/10.1038/s41586-021-04001-4

Siddiq, MAB, Clegg, D., Hasan, SA, & Rasker, JJ (2020). Extra-spinal sciatica ndi sciatica amatsanzira: kuwunika koyang'ana. Korea J Pain, 33(4), 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). 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

Zhou, J., Mi, J., Peng, Y., Han, H., & Liu, Z. (2021). Mayanjano Oyambitsa Kunenepa Kwambiri Ndi Intervertebral Degeneration, Low Back Pain, ndi Sciatica: Zitsanzo ziwiri za Mendelian Randomization Study. Front Endocrinol (Lausanne), 12, 740200. doi.org/10.3389/fendo.2021.740200

chandalama

Ubwino Wa Electroacupuncture pa Musculoskeletal System

Ubwino Wa Electroacupuncture pa Musculoskeletal System

Kodi anthu omwe ali ndi ululu wosiyanasiyana wa musculoskeletal angaphatikizepo zabwino za electroacupuncture kuti abwezeretse ntchito?

Introduction

Pamene dziko likusintha ndipo anthu ambiri akuyesera kusintha pang'ono pa thanzi lawo ndi thanzi lawo, samva ululu kapena kusamva bwino. Mankhwala ambiri amathandiza anthu ambiri omwe ali ndi ululu wosiyanasiyana wa minofu ndi mafupa omwe amagwirizanitsidwa ndi chilengedwe. Thupi laumunthu liri ndi magulu angapo a minofu m'magulu apamwamba ndi apansi omwe amateteza mapangidwe a msana ndi ziwalo zofunika kwambiri. Zinthu zachilengedwe zikagwirizana ndi zowawa komanso kusapeza bwino, zimatha kukhudza kwambiri moyo watsiku ndi tsiku wa munthu. Panthawi imodzimodziyo, kupweteka kwa musculoskeletal kungayambitse zizindikiro zowawa zomwe anthu ambiri akumva ululu m'malo awiri osiyana. Komabe, ululu ukakhala wosapiririka, ambiri amafunafuna njira zosiyanasiyana zamankhwala kuti achepetse ululu komanso kubwezeretsa magwiridwe antchito a thupi. Nkhani ya lero ikuyang'ana pazifukwa zingapo za ululu wa musculoskeletal, mankhwala monga electroacupuncture omwe amachepetsa ululu wa musculoskeletal, komanso ubwino wa electroacupuncture. Timalankhula ndi opereka chithandizo chamankhwala ovomerezeka omwe amaphatikiza chidziwitso cha odwala athu kuti awone momwe zinthu zosiyanasiyana zingathandizire kupweteka kwa minofu ndi mafupa m'thupi. Timadziwitsanso ndikuwatsogolera odwala momwe chithandizo cha electroacupuncture chingathandizire kuchepetsa ululu wa ululu wa musculoskeletal ndikuthandizira kusintha magwiridwe antchito a thupi. Timalimbikitsa odwala athu kuti afunse omwe amawathandizira azachipatala mafunso ovuta komanso ofunikira okhudza momwe angachepetsere kupweteka kwa minofu ndi mafupa. Dr. Jimenez, DC, akuphatikizapo izi monga ntchito ya maphunziro. chandalama.

Zinthu Zosiyanasiyana Zomwe Zimagwirizana Ndi Kupweteka Kwa Musculoskeletal

Kodi mwakhala mukukumana ndi madandaulo m'khosi mwanu, mapewa, kapena kumbuyo mutatha tsiku lalitali? Kodi mumamva dzanzi kapena kumva kunjenjemera kumtunda ndi kumunsi kwanu? Kapena munamva kupweteka kwa minofu ndi mafupa zomwe zimapangitsa kuti zikhale zovuta kuchita ntchito zanu za tsiku ndi tsiku? Pankhani ya anthu ambiri omwe amamva kupweteka kwa minofu m'matupi awo amatha kuchepetsa tsiku lawo chifukwa cha ululu wochuluka umene ali nawo. Kupweteka kwa minofu ndizochitika zambiri zomwe zimakhudzana ndi zinthu zosiyanasiyana zachilengedwe zomwe anthu ambiri akukumana nazo. (Caneiro et al., 2021) Kupweteka kwa musculoskeletal kumatha kukhala kosalekeza kapena kowopsa kutengera chilengedwe kapena kuvulala koopsa komwe thupi kumachitika ndipo sikungakhudze minofu yokha komanso mafupa, ligaments, tendon, ndi mizu ya minyewa yomwe imapereka mphamvu zamagetsi zomwe zimapanga thupi. mafoni. 

 

 

Zina mwazinthu zachilengedwe zomwe zimathandizira kukula kwa ululu wa minofu ndi mafupa ndi awa:

  • Kukhala/kuyimirira mopitirira muyeso
  • Fractures
  • Kusasintha kosauka
  • Kusuntha kwamagulu
  • kupanikizika
  • kunenepa
  • Kuyenda mobwerezabwereza

Kuonjezera apo, anthu ambiri omwe ali ndi ululu wa musculoskeletal amatha kukhala ovuta pamene ululu ndi matenda aakulu amatha kukhala okonzeka, kuchititsa anthu ambiri kuthana ndi comorbidities, motero amawonjezera mwayi wawo wokhala ndi vuto. (Dzakpasu et al., 2021) Komanso, pamene anthu akukumana ndi ululu wa musculoskeletal, ukhoza kusiyana pakati pa munthu ndi munthu ndipo ukhoza kukhala ndi vuto lalikulu pa thanzi lawo la maganizo. (Welsh et al., 2020) Izi zili choncho chifukwa anthu ambiri akukumana ndi ululu wotchulidwa ndi zizindikiro zawo zowawa zomwe zimawagwirizanitsa kuti ayese mankhwala ochizira kunyumba kuti achepetse kupweteka kwa minofu kwakanthawi asanayambe kubwereza mobwerezabwereza ndikumva kupweteka kwambiri. Kufikira pamenepo, anthu ambiri nthawi zambiri amafunafuna chithandizo chamankhwala chosiyanasiyana kuti athetse ululu wamtsempha ndi kubwezeretsa magwiridwe antchito a thupi lawo.

 


Konzani Ubwino Wanu- Kanema


Ubwino wa Electroacupuncture

Pankhani yochepetsera komanso kuchiza ululu wa minofu ndi mafupa, anthu ambiri amafunafuna chithandizo chosapanga opaleshoni kuti athetse ululu womwewo. Thandizo lopanda opaleshoni ndilabwino kwambiri pakupweteka kwa minofu ndi mafupa chifukwa zimatha kukhala zamunthu payekhapayekha komanso zimakhala zotsika mtengo. Thandizo lopanda opaleshoni limachokera ku chisamaliro cha chiropractic kupita ku acupuncture. Imodzi mwa mitundu yosiyanasiyana ya chithandizo chosapanga opaleshoni ndi electroacupuncture therapy. Electroacupuncture therapy imaphatikizapo kugwiritsa ntchito magetsi ndi acupuncture stimulation kuti athetse ululu wowawa kwambiri kapena wosachiritsika wa musculoskeletal. (Lee ndi al., 2020) Chithandizochi chikhoza kuyambitsa mankhwala a bioactive ndikuletsa zizindikiro zowawa kuti zisakhudze thupi.

Kuonjezera apo, electroacupuncture ikhoza kukhala yothandiza komanso yopindulitsa thupi mwa kuchepetsa ululu wa neuropathic wokhudzana ndi minofu ndi mafupa. Electroacupuncture imapereka zopindulitsa zina mwa kulimbikitsa ma neurotransmitters kuchokera m'kati mwa mitsempha kuti achepetse kupweteka kwa nociceptive chifukwa cha ululu wa musculoskeletal. (Xue et al., 2020)

Electroacupuncture Therapy Imachepetsa Kupweteka kwa Musculoskeletal

Chifukwa chake, ponena za ululu wa musculoskeletal, electroacupuncture ikhoza kukhala yankho lochepetsera ma comorbidities ake. Pamene munthu akukumana ndi ululu wa musculoskeletal, madera omwe akhudzidwa ndi ululuwo amatha kutentha. Chifukwa chake akatswiri ophunzitsidwa bwino acupuncturists akapeza ma acupoints amthupi ndikugwiritsa ntchito electroacupuncture, mphamvu yolimbikitsira imasiyanasiyana munthu ndi munthu. Kukondoweza kwamphamvu kwambiri kumayambitsa dongosolo lamanjenje lachifundo, pomwe kukondoweza kwapang'onopang'ono kumayambitsa dongosolo lamanjenje la parasympathetic. (Ulloa, 2021) Electroacupuncture ingathandizenso kupititsa patsogolo ntchito ya minofu m'mitsempha ya musculoskeletal pochotsa ululu ndi kusintha zinthu za biomechanical kuti zikhale bwino. (Shi et al., 2020) Anthu akamaganizira za thanzi lawo, amatha kuganizira za electroacupuncture ngati gawo la thanzi lawo komanso thanzi lawo kuti azitha kugwira bwino ntchito komanso kukhala ndi moyo wopanda ululu.


Zothandizira

Caneiro, JP, Bunzli, S., & O'Sullivan, P. (2021). Zikhulupiriro za thupi ndi zowawa: gawo lofunika kwambiri pakuwongolera ululu wa musculoskeletal. Braz J Phys Ther, 25(1), 17-29. doi.org/10.1016/j.bjpt.2020.06.003

Dzakpasu, FQS, Carver, A., Brakenridge, CJ, Cicuttini, F., Urquhart, DM, Owen, N., & Dunstan, DW (2021). Ululu wa musculoskeletal ndi khalidwe lokhala pansi pazochitika za ntchito ndi zosagwira ntchito: kuwunika mwadongosolo ndi meta-analysis. Int J Behav Nutr Phys Act, 18(1), 159. doi.org/10.1186/s12966-021-01191-y

Lee, YJ, Han, CH, Jeon, JH, Kim, E., Kim, JY, Park, KH, Kim, AR, Lee, EJ, & Kim, YI (2020). Kuchita bwino ndi chitetezo cha polydioxanone ulusi-embedding acupuncture (TEA) ndi electroacupuncture (EA) chithandizo kwa odwala bondo osteoarthritis (KOA) omwe ali ndi ululu wapambuyo pa opaleshoni: Woyesa-wakhungu, wosasinthika, woyendetsa woyendetsa ndege. Mankhwala (Baltimore), 99(30), e21184. doi.org/10.1097/MD.0000000000021184

Shi, X., Yu, W., Wang, T., Battulga, O., Wang, C., Shu, Q., Yang, X., Liu, C., & Guo, C. (2020). Electroacupuncture imachepetsa kuwonongeka kwa cartilage: Kuwongolera kwa cartilage biomechanics kudzera pakuchepetsa ululu komanso kupangitsa kuti minofu igwire ntchito mumtundu wa kalulu wa osteoarthritis wa bondo. Biomed Pharmacother, 123, 109724. doi.org/10.1016/j.biopha.2019.109724

Ulloa, L. (2021). Electroacupuncture imayambitsa ma neuron kuti azimitsa kutupa. Nature, 598(7882), 573-574. doi.org/10.1038/d41586-021-02714-0

Welsh, TP, Yang, AE, & Makris, UE (2020). Ululu wa Musculoskeletal kwa Akuluakulu Akuluakulu: Kuwunika Kwachipatala. Med Clin North Am, 104(5), 855-872. doi.org/10.1016/j.mcna.2020.05.002

Xue, M., Sun, YL, Xia, YY, Huang, ZH, Huang, C., & Xing, GG (2020). Electroacupuncture Modulates Spinal BDNF/TrkappaB Signaling Pathway and Amliorates the Sensitization of Dorsal Horn WDR Neurons in Spared Nerve Injury Rats. Int J Mol Sci, 21(18). doi.org/10.3390/ijms21186524

chandalama

Pezani Kuwongolera Pazopweteka Zam'mbuyo Zosatha ndi Zopanda Opaleshoni

Pezani Kuwongolera Pazopweteka Zam'mbuyo Zosatha ndi Zopanda Opaleshoni

Kodi njira zochiritsira zopanda opaleshoni zingathandize anthu omwe ali ndi ululu wochepa wammbuyo kupeza mpumulo womwe akufuna kuti abwezeretse magwiridwe antchito a thupi?

Introduction

Pakati pa kumtunda, pakati, ndi kumunsi kumbuyo kwa minofu ndi mafupa, anthu ambiri agonjetsedwa ndi kuvulala koopsa, kubwerezabwereza, ndi zochitika zowonongeka zachilengedwe zomwe zimayambitsa ululu ndi kulemala, motero zimakhudza zochita zawo za tsiku ndi tsiku. Monga chimodzi mwazofala kwambiri pa ntchito, ululu wammbuyo ukhoza kuchititsa anthu kuthana ndi mavuto a zachuma ndi zachuma ndipo amatha kukhala ovuta mpaka osatha, malingana ndi kuvulala ndi zinthu zomwe zimagwirizana ndi nkhaniyi. Monga gawo la mitsempha ya mitsempha, kumbuyo kumakhala ndi minofu yosiyana siyana mu quadrants zitatu zomwe zimathandizira pamwamba ndi pansi ndipo zimakhala ndi ubale wapadera ndi msana pamene gulu lililonse la minofu limazungulira msana ndikuteteza msana. Pamene zochitika zachilengedwe ndi kuvulala koopsa zimayamba kuyambitsa zizindikiro zowawa kumbuyo, zimatha kuika munthu mu ululu wopweteka kwambiri, chifukwa chake ambiri amafunafuna chithandizo chosapanga opaleshoni kuti achepetse ululu ngati zotsatira za ululu wammbuyo ndikupeza mpumulo umene iwo ali. kufunafuna. Nkhani ya lero ikuyang'ana zotsatira za ululu wopweteka kwambiri komanso momwe chithandizo chosapanga opaleshoni chingakhudzire anthu omwe ali ndi ululu wopweteka kwambiri. Timalankhula ndi odziwa zachipatala ovomerezeka omwe amaphatikiza zambiri za odwala athu kuti apereke njira zambiri zosapangira opaleshoni kuti achepetse kupweteka kwa msana komwe kumakhudza malekezero awo. Timadziwitsanso ndikuwatsogolera odwala momwe mankhwala osiyanasiyana osagwiritsa ntchito opaleshoni angapindulire thanzi lawo ndi thanzi lawo chifukwa angathandize kuchepetsa matenda a minofu ndi mafupa monga kupweteka kwa msana. Timalimbikitsa odwala athu kuti afunse opereka chithandizo omwe amalumikizana nawo mafunso ovuta komanso ofunikira okhudza kupweteka kwawo kosalekeza kosalekeza komanso kusintha kwakung'ono komwe angaphatikizepo kuti achepetse zizindikiro zake zowawa. Dr. Jimenez, DC, akuphatikizapo izi monga ntchito ya maphunziro. chandalama.

 

Zotsatira Za Ululu Wosatha Wam'mbuyo

Kodi mumamva kuwawa kwambiri kwa minofu kapena kupweteka kumbuyo kwanu pambuyo pogwira ntchito tsiku lonse? Kodi mumatopa ndi minofu kuchokera kumbuyo kupita ku miyendo mutanyamula chinthu cholemera? Kapena kodi mwawona kuti kupotoza kapena kutembenuka kumatsitsimutsa kwakanthawi kumbuyo kwanu, koma kumangokulirakulira pakapita nthawi? Nthawi zambiri, zambiri mwazochitika zowawa ngati izi zimagwirizanitsidwa ndi ululu wopweteka kwambiri wa msana, ndipo zikhoza kukhala chifukwa cha zinthu zosiyanasiyana zomwe zimagwirizana ndi chikhalidwe chodziwika bwino cha musculoskeletal. Pankhani ya matenda a minofu ndi mafupa omwe amagwirizanitsidwa ndi ululu wopweteka kwambiri wa msana, zimakhala zofala pamene zotsatira zake zikufalikira. Mpaka pano, zimakhudza anthu ambiri chifukwa ndizomwe zimayambitsa kupweteka kwanthawi yayitali komanso kulumala. (Woolf & Pfleger, 2003) Popeza ululu wammbuyo ukhoza kukhala wowawa kwambiri kapena wokhalitsa, ukhoza kukhala wochuluka monga momwe zizindikiro zina zambiri zowawa zimapwetekera ziwopsezo zambiri m'thupi. Zotsatira za kupweteka kwapweteka kosalekeza kumakhala ndi zifukwa zoyambitsa matenda zomwe sizikufotokozedwa bwino koma zimatha kukhudzana ndi kusokonezeka kwa maganizo. (Andersson, 1999)

 

 

Kuonjezera apo, kusintha kosasinthika mkati mwa msana kungayambitsenso chitukuko cha kupweteka kwa msana. Ziwopsezo zomwe zingayambitse kuchulukirachulukira kwa mbiri yachiwopsezo zimatha kuyambira kusuta komanso kunenepa kwambiri kupita ku ntchito zosiyanasiyana zomwe zimafuna kuyenda mopitilira muyeso. (Atkinson, 2004) Izi zikachitika, anthu amakhala ndi nkhawa zosafunikira zomwe zimasokoneza moyo wawo ndikuwapangitsa kukhala omvetsa chisoni. Apa ndipamene anthu ambiri amayamba kufunafuna chithandizo kuti achepetse zotsatira za kupweteka kwa msana kosatha komanso kuchepetsa mwayi wofuna chithandizo cha opaleshoni. 

 


Udindo Wa Chiropractic Care Pakukonza Thanzi Lanu- Kanema


Mankhwala Osapanga Opaleshoni Osautsa Msana

Anthu akamakumana ndi ululu wopweteka kwambiri wa msana, nthawi zambiri sadziwa kuti kuyenda, zaka, ndi matenda osiyanasiyana amatha kusintha msana, zomwe zimapangitsa kuti ma discs a msana adutse kusintha kosasinthika komwe kumagwirizana ndi kukula kwa ululu wopweteka kwambiri. (Benoist, 2003) Pamene kusintha kowonongeka kumayamba kuyambitsa zizindikiro zopweteka kumbuyo, ambiri amayamba kufunafuna chithandizo chotsika mtengo komanso chothandiza. Chifukwa chake, ndichifukwa chake chithandizo chosapanga opaleshoni chingathandize kuchepetsa zizindikiro zowawa za ululu wammbuyo wammbuyo ndikuthandizira kubwezeretsa kuyenda kwa thupi. Thandizo lopanda opareshoni limapangidwa malinga ndi ululu wa munthuyo ndipo limayambira pa acupuncture kupita ku chithandizo chakutikita minofu ndi kupunduka kwa msana. Thandizo lopanda opaleshoni limakhalanso lotsika mtengo ndipo limathandizira kuchepetsa mbiri yachiwopsezo chambiri ya ululu wammbuyo wammbuyo ndikuchepetsa zomwe zimagwirizana.

 

Zotsatira Zakuwonongeka Kwa Msana Pa Ululu Wosatha Kwambiri

 

Kuwonongeka kwa msana, monga tanenera kale, ndi njira yochiritsira yosagwiritsa ntchito opaleshoni yomwe imaphatikizapo kugwedeza pang'onopang'ono kwa msana kuti muchepetse ululu wopweteka kwambiri komanso kuchepetsa zizindikiro zowawa zomwe zimagwirizanitsidwa nazo. Kuwonongeka kwa msana kumathandiza kuchepetsa kukangana kwa minofu ya m'chiuno, kumakhudza msana wa msana komanso kumapereka mpumulo ndi ntchito ya thupi. (Choi et al., 2022) Kuwonongeka kwa msana kumakhala kotetezeka pamene kukhala wofatsa pa msana, kuphatikizapo kukhazikika kwa zochitika zolimbitsa thupi kuti muwonjezere mphamvu ya m'mimba ndi msana ku lumbar. (Hlaing et al., 2021) Pamene munthu akuphatikiza kupweteka kwa msana monga gawo la ulendo wawo wa thanzi ndi thanzi labwino, kupweteka kwawo ndi kulemala kwawo kumatsika pakapita nthawi pamene akulimbitsa minofu yofooka yomwe imakhudzidwa ndi ululu wopweteka kwambiri. Kuphatikizirapo mankhwala osachita opaleshoniwa kungathandize kuti munthu asamaganizire kwambiri za chilengedwe chomwe amachitira kumbuyo kwawo ndikukhala ndi moyo wabwino komanso wathanzi.

 


Zothandizira

Andersson, GB (1999). Matenda a Epidemiological a ululu wochepa wammbuyo. Lancet, 354(9178), 581-585. doi.org/10.1016/S0140-6736(99)01312-4

Atkinson, JH (2004). Kupweteka kwa msana kosatha: kufunafuna zomwe zimayambitsa ndi machiritso. J Rheumatol, 31(12), 2323-2325. www.ncbi.nlm.nih.gov/pubmed/15570628

www.jrheum.org/content/jrheum/31/12/2323.full.pdf

Benoist, M. (2003). Mbiri yachilengedwe ya msana wokalamba. Eur Spine J, 12 Suppl 2(Zowonjezera 2), S86-89. doi.org/10.1007/s00586-003-0593-0

Choi, E., Gil, HY, Ju, J., Han, WK, Nahm, FS, & Lee, PB (2022). Zotsatira za Nonsurgical Spinal Decompression pa Intensity of Pain ndi Herniated Disc Volume mu Subacute Lumbar Herniated Disc. International Journal of Clinical Practice, 2022, 6343837. doi.org/10.1155/2022/6343837

Hlaing, S. S., Puntumetakul, R., Khine, E. E., & Boucaut, R. (2021). Zotsatira za zolimbitsa thupi zolimbitsa thupi komanso kulimbikitsa kuchita masewera olimbitsa thupi pazabwino, moyenera, makulidwe a minofu ndi zotsatira zokhudzana ndi zowawa kwa odwala omwe ali ndi ululu wocheperako wosakhazikika wammbuyo: kuyesedwa kosasinthika. BMC Musculoskelet Disord, 22(1), 998. doi.org/10.1186/s12891-021-04858-6

Woolf, AD, & Pfleger, B. (2003). Kulemera kwa matenda akuluakulu a musculoskeletal. Bull World Health Organ, 81(9), 646-656. www.ncbi.nlm.nih.gov/pubmed/14710506

www.ncbi.nlm.nih.gov/pmc/articles/PMC2572542/pdf/14710506.pdf

chandalama

Advanced Sciatica: Kuzindikira Zizindikiro Zowonongeka kwa Mitsempha

Advanced Sciatica: Kuzindikira Zizindikiro Zowonongeka kwa Mitsempha

Kwa anthu omwe ali ndi matenda a sciatica, pamene ululu ndi zizindikiro zina zimakhudza kwambiri ntchito za tsiku ndi tsiku komanso kuyenda, kodi wothandizira zaumoyo angathandize kuthetsa ndi kuthetsa zizindikiro pogwiritsa ntchito ndondomeko ya mankhwala osiyanasiyana?

Advanced Sciatica: Kuzindikira Zizindikiro Zowonongeka kwa Mitsempha

Matenda a Sciatica

Sciatica ndi chikhalidwe chofala chomwe chimabwera chifukwa cha kupanikizana kwa mitsempha ya sciatic kumunsi kumbuyo kapena mwendo. Matenda a sciatica amapezeka pamene zizindikiro zimatha kwa miyezi 12 kapena kuposerapo.

Zizindikiro Zapamwamba za Sciatica

Advanced kapena chronic sciatica nthawi zambiri imatulutsa ululu womwe umatuluka kapena umayenda kumbuyo kwa mwendo. Kupsinjika kwa mitsempha ya sciatic kwa nthawi yayitali kungayambitse:

  • Kupweteka kwa m'mimba
  • Numbness
  • Kugwiritsa ntchito
  • Kumva magetsi kapena kuyaka
  • Kufooka
  • Kufooka
  • Kusakhazikika kwa miyendo, zomwe zingakhudze luso loyenda.
  1. Kupanikizika kwakukulu kwa mitsempha kumatha kupita patsogolo mpaka kufa ziwalo ngati minyewa yawonongeka kwambiri chifukwa cha kupsinjika kwanthawi yayitali. (Antonio L Aguilar-Shea, et al., 2022)
  2. Sciatica ikhoza kupita patsogolo mpaka kuwonongeka kwa mitsempha ya mitsempha yaying'ono ndikuyenda m'miyendo ndi mapazi. Kuwonongeka kwa mitsempha/neuropathy kungayambitse kupweteka, kumva kuwawa, komanso kutayika kwa kumva. (Jacob Wycher Bosma, et al., 2014)

Kulepheretsa Njira Zochizira Sciatica

Pamene sciatica imakhala yolemala, yomwe imakhudza luso la munthu kuyenda, chithandizo chowonjezereka chimafunika kuti chibweretse mpumulo. Nthawi zambiri za sciatica zosatha komanso zolepheretsa zimayamba chifukwa cha zovuta za msana. Kuponderezedwa kwa mizu ya mitsempha yomwe imapanga mitsempha ya sciatic ikhoza kuchitika kuchokera ku bulging kapena herniated discs kapena spinal stenosis. Ngati zizindikiro za sciatica zikupitirira kupitirira miyezi ya 12 popanda chithandizo chochepa kapena chopanda chithandizo chamankhwala, kusokonezeka kwa makina osagwiritsa ntchito opaleshoni, kutambasula ndi kuchita masewera olimbitsa thupi, kapena njira zothandizira kupweteka, njira zopangira opaleshoni zingafunike. (Lucy Dove, et al., 2023)

Opaleshoni ya lumbar decompression imaphatikizapo njira zingapo zopangira malo ochulukirapo mu lumbar msana ndikuchepetsa kupsinjika kwa mitsempha. Opaleshoni ya lumbar decompression ingaphatikizepo:Kliniki ya Mayfield. 2021)

Kuzindikira

  • Njirayi imachotsa gawo la diski yowonongeka pakati pa vertebrae kuti muchepetse kuponderezedwa kwa mizu kuchokera ku bulging kapena herniated disc.

Laminectomy

  • Njirayi imachotsa lamina, gawo lina la vertebrae lomwe limayambitsa kupanikizika kwa mitsempha, makamaka ngati pali fupa la mafupa chifukwa cha nyamakazi ndi kusintha kwa msana.

Foraminotomy

  • Njirayi imakulitsa foramina, malo otsegula m'mitsempha yomwe mizu ya mitsempha imatuluka kuti ithetse kupanikizika.

Final Fusion

  • Izi zimatengera ma vertebrae awiri kapena kuposerapo kuwaphatikiza ndi ndodo zachitsulo ndi zomangira kuti zikhazikike.
  • Ndondomeko ikhoza kuchitidwa ngati:
  • Chimbale chonse chimachotsedwa.
  • Ma laminectomies angapo adachitidwa.
  • Mphuno imodzi yadutsa kutsogolo pamwamba pa ina.

Utsogoleri Wothandizira Tsiku ndi Tsiku kwa Advanced Sciatica

Kupeza mpumulo kuzizindikiro zapamwamba za sciatica kunyumba kungaphatikizepo njira zoyeserera nthawi zonse monga kusamba kotentha kapena kutikita minofu, ndikugwiritsa ntchito chotenthetsera kumunsi kwa msana kapena glutes kuti mupumule minofu yolimba kuti muthe kumasula kulimba kozungulira minyewa ya sciatic.

  • Zochita zolimbitsa thupi kapena zochizira monga sciatic nerve glides zitha kuthandizira kuchepetsa kupsinjika pamitsempha pomwe zolimbitsa thupi zotsika kumbuyo zomwe zimayendetsa msana kupita kutsogolo kapena kumbuyo kumachepetsa kupsinjika. (Witold Golonka, et al., 2021)
  • Mankhwala monga nonsteroidal anti-inflammatory drugs/NSAIDs, otsitsimula minofu, kapena mankhwala opweteka a mitsempha akhoza kulimbikitsidwa. (Antonio L Aguilar-Shea, et al., 2022)
  • Advanced sciatica sizingakhale zomvera ku njira zochiritsira zodzitetezera, monga momwe kuvulala kumayambira ndipo mitsempha ndi zozungulira zozungulira zakhala zoletsedwa kwambiri.
  • Zizindikiro za Sciatica zomwe zimatenga nthawi yayitali kuposa miyezi ya 12 zimafunikira chithandizo chochulukirapo monga jekeseni kapena opaleshoni kuti athetsere zizindikiro bwino. (Antonio L Aguilar-Shea, et al., 2022)

Kuchiritsa Matenda a Sciatica

Ngati chomwe chimayambitsa chitha kuchiritsidwa bwino ndiye kuti sciatica yosatha imatha kuchiritsidwa. Chronic sciatica nthawi zambiri imachokera ku mikhalidwe ya msana monga herniated discs kapena lumbar spinal stenosis. Izi zimachepetsa malo ozungulira mizu ya mitsempha yomwe imachokera ku msana ndikuphatikizana kupanga mitsempha ya sciatica. Opaleshoni imachitidwa kuti atsegule malo a msana. (Kliniki ya Mayfield. 2021) Nthawi zina sciatica imabweretsedwa ndi zifukwa zochepa monga chotupa kapena matenda a msana. Pazifukwa izi, zizindikiro sizingathetsedwe mpaka chomwe chinayambitsa chithetsedwe. Zotupa zingafunikire kuchotsedwa opaleshoni pamene matenda amafuna maantibayotiki amphamvu kuti asafalikire kumadera ena a thupi. (Chipatala cha Opaleshoni Yapadera. 2023)

Pain Specialist Treatment Plan Development

Kupweteka kosalekeza, dzanzi, kumva kuwawa, ndi kufooka ndi zizindikiro zonse zomwe ziyenera kuthandizidwa ndi wothandizira zaumoyo. Katswiri wa ululu angathandize kupanga dongosolo lamankhwala lomwe limaphatikizapo: (Chipatala cha Opaleshoni Yapadera. 2023)

  • Kuchiza thupi
  • Zochita kutikita minofu
  • Chiropractic kusokonezeka ndi kusintha kwa msana
  • Matambala olunjika ndi masewera olimbitsa thupi
  • Kutumiza kwa opereka chithandizo chamankhwala apadera
  • Majekeseni
  • Mankhwala

Zomwe Zimayambitsa Sciatica ndi Chithandizo


Zothandizira

Aguilar-Shea, AL, Gallardo-Mayo, C., Sanz-González, R., & Paredes, I. (2022). Sciatica. Kusamalira madokotala a mabanja. Journal ya mankhwala a banja ndi chisamaliro chambiri, 11 (8), 4174-4179. doi.org/10.4103/jfmpc.jfmpc_1061_21

Bosma, JW, Wijntjes, J., Hilgevoord, TA, & Veenstra, J. (2014). Kuopsa kwapadera kwa sciatic neuropathy chifukwa cha malo osinthidwa a lotus. Nyuzipepala ya World of Clinical Cases, 2 (2), 39-41. doi.org/10.12998/wjcc.v2.i2.39

Nkhunda, L., Jones, G., Kelsey, LA, Cairns, MC, & Schmid, AB (2023). Kodi physiotherapy imathandiza bwanji pochiza anthu omwe ali ndi sciatica? Kuwunika mwadongosolo komanso kusanthula meta. European Spine Journal: chofalitsidwa chovomerezeka cha European Spine Society, European Spinal Deformity Society, ndi European Section of Cervical Spine Research Society, 32 (2), 517-533. doi.org/10.1007/s00586-022-07356-y

Kliniki ya Mayfield. (2021). Msana decompression laminectomy & foraminotomy.

Golonka, W., Raschka, C., Harandi, VM, Domokos, B., Alfredson, H., Alfen, FM, & Spang, C. (2021). Isolated Lumbar Extension Resistance Exercise in Limited Range of Motion for Odwala omwe ali ndi Lumbar Radiculopathy ndi Disk Herniation-Clinical Outcome and Influencing Factors. Journal of Clinical Medicine, 10 (11), 2430. doi.org/10.3390/jcm10112430

Chipatala cha Opaleshoni Yapadera. (2023). Sciatica.

Chipatala cha Opaleshoni Yapadera. (2023). kasamalidwe ululu.

Njira Zopanda Opaleshoni Zopweteka Mmbuyo: Momwe Mungagonjetsere Ululu

Njira Zopanda Opaleshoni Zopweteka Mmbuyo: Momwe Mungagonjetsere Ululu

Kwa anthu omwe ali ndi ululu wammbuyo, kodi akatswiri azaumoyo angaphatikize bwanji njira zopanda opaleshoni kuti achepetse kupweteka kwa msana?

Introduction

Msana ndi chimodzi mwazinthu zofunika kwambiri m'thupi la munthu, zomwe zimapatsa mphamvu kuyenda komanso kukhazikika pamene kukakamizidwa kosunthika kukukankhira pamtundu wa msana. Msana umazunguliridwa ndi minofu yosiyanasiyana, mitsempha, ndi minofu yomwe imathandiza kuthandizira kumtunda ndi kumunsi kwa thupi ndi malekezero. Zinthu zodziwika bwino monga kukweza kukweza, mawonekedwe osayenera, kunenepa kwambiri, kapena zinthu zomwe zidalipo kale zimayamba kukhudza thupi, zimatha kupangitsa kuti msanawo upangitse zinthu zosafunikira zomwe zimayambitsa kupweteka kwa msana, khosi, ndi mapewa. Mukakumana ndi zowawa zitatu izi zowawa m'thupi nthawi zambiri zimalumikizana ndi zizindikiro zina zomwe zimatha kukhudza mbali zina. Izi zikachitika, anthu ambiri amayamba kuphonya ntchito kapena zochitika zatsiku ndi tsiku zomwe zingawachititse kukhala okhumudwa, ndipo amayesa kupeza njira zosiyanasiyana zothetsera ululu umene akukumana nawo. Nkhani ya lero ikuyang'ana chimodzi mwa zowawa za thupi monga kupweteka kwa msana ndi momwe zingayambitsire nkhani zambiri zomwe zimakhudza momwe munthu amagwirira ntchito, komanso momwe njira zopanda opaleshoni sizingachepetse zotsatira za ululu komanso kupereka mpumulo wofunikira anthu ambiri amayenera ulendo wawo wathanzi komanso wathanzi. Timalankhula ndi madokotala ovomerezeka omwe amaphatikizapo zambiri za odwala athu kuti apereke njira zambiri zothandizira kuchepetsa zizindikiro zowawa zomwe zimagwirizanitsidwa ndi mavuto a msana zomwe zimayambitsa kupweteka kwa msana. Timadziwitsanso odwala athu kuti pali njira zopanda opaleshoni zochepetsera zowawa ngati izi ndikubwezeretsanso kuyenda kwa msana kwa thupi. Timalimbikitsa odwala athu kuti afunse mafunso ovuta komanso ophunzitsa kwa othandizira athu azachipatala okhudzana ndi zowawa zomwe akukumana nazo zogwirizana ndi msana. Dr. Alex Jimenez, DC, amagwiritsa ntchito chidziwitsochi ngati ntchito ya maphunziro. chandalama.

 

Ululu Wamsana Wokhudza Msana

Kodi nthawi zambiri mumamva kuwawa kwapansi kumbuyo kwanu komwe kumayambitsa dzanzi kapena kumva kumva kumva kuwawa mpaka miyendo ndi mapazi anu? Kodi mumamva kulimba kwa minofu m'mawa mukadzuka, ndikungotha ​​pang'onopang'ono tsiku lonse? Kapena mumamva zizindikiro za kupweteka kwa minofu ndi kupweteka pamene munyamula chinthu cholemera kuchokera kumalo ena kupita kwina? Anthu ambiri, nthawi zambiri, akhala akulimbana ndi ululu wammbuyo wokhudzana ndi zinthu zosiyanasiyana. Ndi ululu wammbuyo womwe umakhala m'mavuto atatu omwe amapezeka kwambiri pantchito, anthu ambiri athana ndi vutoli m'njira zingapo. Kuchokera kunyamula katundu mosayenera mpaka kukhala pa desiki, ululu wammbuyo ungayambitse zovuta za minofu ndi mafupa zomwe ambiri akuyesera kuti apeze mpumulo. Ululu wammbuyo ukhoza kukhala wowawa kapena wopweteka, malingana ndi kuopsa kwake. Zingayambitse kusokonezeka kwa kayendetsedwe kake m'madera a thoracic, lumbar, ndi sacroiliac, zomwe zimayambitsa ululu wotchulidwa m'munsi. Zingayambitse moyo wowonongeka popanda zizindikiro kapena zizindikiro za matenda aakulu kapena maganizo okhudzana ndi chilengedwe. (Delitto et al., 2012) Ululu wammbuyo umagwirizananso ndi mikhalidwe ya msana monga kutupa, kutsekemera kwa asymmetric, ndi kupweteka kwa minofu, zomwe zingapangitse kuti mapangidwe a msana apangidwe, motero amachititsa kuti ma disc awonongeke. (Zemková & Zapletalová, 2021

 

 

Kuonjezera apo, ululu wammbuyo ndi chikhalidwe cha multifactorial musculoskeletal chomwe chimapangitsa anthu ambiri kukhala pazachuma ndi zachuma zomwe zingachepetse moyo wawo. Zitsanzo zambiri za ululu wammbuyo zimagwirizana ndi kusintha kwa kayendetsedwe ka magalimoto mkati mwa minofu ya msana yomwe imayambitsa kusokonezeka kwa proprioception mumsana. (Fagundes Loss et al., 2020) Izi zikachitika kwa anthu ambiri, nthawi zambiri amakumana ndi vuto la kukhazikika kwa chiuno, kukhazikika kwa thupi, kaimidwe, komanso kuwongolera kanjira. Pa nthawi imodzimodziyo, pamene anthu ambiri ogwira ntchito ali ndi ululu wopweteka kwambiri wokhudzana ndi zochitika za tsiku ndi tsiku, kuchuluka kwa ululu umene ali nawo kungasinthe malire a mechanoreceptors omwe akutumiza zizindikiro zowawa kudzera mu msana. Mpaka pano, kupweteka kwa msana kumatha kukhudza kuyankha kwa neuromuscular ndikukhudza magwiridwe antchito abwinobwino a minofu ndi mafupa. Mwamwayi, mankhwala ambiri angathandize kuchepetsa ululu wammbuyo ndikupereka mpumulo ku ululu wa msana umene umakhudza anthu ambiri.

 


Udindo Wa Chiropractic Care- Video

 Ndi kangati patsiku mumamva kupweteka kwam'mbuyo komwe kumakhudzana ndi kuuma, kuwawa kwanthawi zonse, kapena zowawa zomwe zimakhudza kuthekera kwanu kugwira ntchito? Kodi mukuwona kuti mukusaka kwambiri mukasuntha kuchoka kumalo ena kupita kwina? Kapena mumamva kupweteka ndi kupweteka kumbuyo kwanu mutatambasula m'mawa? Anthu ambiri omwe amakumana ndi zochitika zachilengedwe izi zimagwirizanitsidwa kwambiri ndi ululu wammbuyo. Ululu wammbuyo uli pamavuto atatu omwe amapezeka kwambiri omwe anthu ambiri adakumana nawo nthawi ina m'miyoyo yawo. Nthawi zambiri, anthu ambiri adalimbana ndi ululu wammbuyo pogwiritsa ntchito mankhwala apakhomo kuti achepetse zowawa ngati zopweteka. Komabe, kafukufuku wofufuza akuwonetsa kuti anthu ambiri akayamba kunyalanyaza zowawazo, zimatha kuwapangitsa kukhala ndi moyo wolumala komanso kubweretsa mavuto ambiri ngati sanalandire chithandizo nthawi yomweyo. (Parker et al., 2015) Choncho, mankhwala osagwiritsa ntchito opaleshoni sangachepetse ululu wokhudzana ndi ululu wammbuyo komanso amathandiza kubwezeretsa kuyenda kwa msana. Thandizo lopanda opaleshoni monga chisamaliro cha chiropractic limaphatikizapo kusintha kwa msana, komwe kungakhudze msana. (Koes et al., 1996) Zomwe chisamaliro cha chiropractic chimachita ndikuti chimaphatikizapo njira zogwiritsira ntchito makina ndi manja kuti atambasule minofu yolimba ndi kuchepetsa mfundo zoyambitsa kukonzanso. Vidiyo yomwe ili pamwambayi ikuwonetsa momwe chisamaliro cha chiropractic chingakhudzire munthu payekha pamene ali gawo la ulendo wathanzi ndi wathanzi kuti achepetse ululu wammbuyo.


Kusokonezeka Kwa Msana Kwa Opanda Opaleshoni Kwa Ululu Wamsana

Mofanana ndi chisamaliro cha chiropractic, kupweteka kwa msana ndi chithandizo china chosagwiritsa ntchito opaleshoni chomwe chimagwiritsa ntchito kukoka pang'onopang'ono ndi kutambasula msana kuti muchepetse ma discs opanikizika omwe amagwirizanitsidwa ndi ululu wammbuyo ndikuthandizira kutambasula minofu yolimba. Pamene anthu ambiri ayamba kuphatikizira kusokonezeka kwa msana monga gawo lachizoloŵezi chawo, adzawona kuti kuwonongeka kwa msana kungachepetse kupanikizika kwa intradiscal mkati mwamtundu woipa. (Ramos, 2004) Zomwe izi zimachita ndikuti pamene ma diski a msana akukokedwa ndi kugwedezeka kofatsa, madzi onse ndi zakudya zomwe sizinali hydrating disk zimabwereranso ndikuthandizira kuyambitsa machiritso achilengedwe a thupi. Pamene anthu ambiri ayamba kugwiritsa ntchito kupweteka kwa msana chifukwa cha ululu wawo wammbuyo, amawona kuchepa kwakukulu kwa ululu wawo pambuyo pa magawo angapo otsatizana. (Crisp et al., 1955) Pamene anthu ambiri ayamba kuphatikiza mankhwala ena osiyanasiyana osagwiritsa ntchito opaleshoni ndi kuponderezedwa kwa msana, adzatha kuyambiranso kuyenda kwa msana pamene akuganizira kwambiri zomwe chilengedwe chimakhudza msana wawo komanso osabwerezanso nkhaniyi kuti alole ululu wammbuyo kubwerera.


Zothandizira

Crisp, EJ, Cyriax, JH, & Christie, BG (1955). Kukambitsirana pa chithandizo cha kupweteka kwa msana ndi kukoka. Proc R Soc Med, 48(10), 805-814. www.ncbi.nlm.nih.gov/pubmed/13266831

www.ncbi.nlm.nih.gov/pmc/articles/PMC1919242/pdf/procrsmed00390-0081.pdf

Delitto, A., George, SZ, Van Dillen, L., Whitman, JM, Sowa, G., Shekelle, P., Denninger, TR, & Godges, JJ (2012). Ululu Pamunsi. Journal of Orthopedic & Sports Physical Therapy, 42(4), A1-A57. doi.org/10.2519/jospt.2012.42.4.a1

Fagundes Loss, J., de Souza da Silva, L., Ferreira Miranda, I., Groisman, S., Santiago Wagner Neto, E., Souza, C., & Tarrago Candotti, C. (2020). Zotsatira zaposachedwa za lumbar spine manipulation pakumva kupweteka komanso kuwongolera kwapambuyo kwa anthu omwe ali ndi ululu wammbuyo wosadziwika bwino: kuyesedwa kosasinthika. Chiropr Man Therap, 28(1), 25. doi.org/10.1186/s12998-020-00316-7

Koes, BW, Assendelft, WJ, van der Heijden, GJ, & Bouter, LM (1996). Kuwongolera kwa msana kwa ululu wochepa wa msana. Kuwunikiridwa mwadongosolo kwakanthawi kwamayesero azachipatala osasintha. Mpaka (Phila Pa 1976), 21(24), 2860-2871; zokambirana 2872-2863. doi.org/10.1097/00007632-199612150-00013

Parker, SL, Mendenhall, SK, Godil, SS, Sivasubramanian, P., Cahill, K., Ziewacz, J., & McGirt, MJ (2015). Chiwopsezo cha Kupweteka Kwambiri Pambuyo Pambuyo pa Lumbar Discectomy kwa Herniated Disc ndi Zotsatira Zake pa Zotsatira Zofotokozedwa ndi Odwala. Clin Orthop Relat Relat, 473(6), 1988-1999. doi.org/10.1007/s11999-015-4193-1

Ramos, G. (2004). Kuchita bwino kwa vertebral axial decompression pa ululu wochepa wammbuyo: kuphunzira za regimen ya mlingo. Neurol Res, 26(3), 320-324. doi.org/10.1179/016164104225014030

Zemková, E., & Zapletalová, L. (2021). Mavuto Obwerera: Ubwino ndi Zoipa Zolimbitsa Thupi Zolimbitsa Thupi Monga Gawo la Maphunziro a Othamanga. Lipoti Lapadziko Lonse Lafukufuku Wachilengedwe ndi Zaumoyo, 18(10), 5400. doi.org/10.3390/ijerph18105400

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Njira Zothetsera Odwala Opweteka Kwambiri Osauka

Njira Zothetsera Odwala Opweteka Kwambiri Osauka

Kodi akatswiri azachipatala angapereke njira zabwino zochiritsira zosapanga opaleshoni kwa anthu omwe ali ndi ululu wopweteka kwambiri?

Introduction

Kupweteka kwapang'onopang'ono kwanthawi yayitali kumatha kuchitika kwa anthu ambiri, kumakhudza zomwe amachita tsiku ndi tsiku ndikuwapangitsa kuphonya zochitika zofunika pamoyo. Ndi dziko lomwe likusintha nthawi zonse, anthu ambiri, makamaka ogwira ntchito, amamva ululu wopweteka kwambiri panthawi ina chifukwa cha kupsinjika maganizo kosasunthika komwe kumawoneka kuti kumakhudza minofu yozungulira yomwe imateteza msana wa lumbar. Izi zimapangitsa anthu ambiri kutambasula kapena kufupikitsa minofu yomwe imayambitsa kupweteka kwa msana, zomwe zingakhale zomwe zimayambitsa kukula kwa ululu wammbuyo. Panthaŵi imodzimodziyo, pamene anthu akuvutika ndi ululu wochepa wa msana, ukhoza kuikidwa ngati mtengo waukulu wachuma kwa anthu. (Pai & Sundaram, 2004) Izi zimachititsa kuti anthu ambiri azilephera kugwira ntchito komanso kukhala ndi mavuto azachuma chifukwa mtengo wa chithandizo chamankhwala opweteka kwambiri. Komabe, njira zambiri zochiritsira ndizotsika mtengo, zotetezeka, komanso zothandiza pochepetsa kupweteka kwam'mbuyo kosalekeza. Nkhani yamasiku ano ikuyang'ana zotsatira za kupweteka kwa msana ndi kuchuluka kwa anthu omwe angayang'ane njira zosiyanasiyana zosapanga opaleshoni zomwe anthu ambiri angagwiritse ntchito kuti achepetse kupweteka kwa msana. Mwachidziwitso, timalankhulana ndi opereka chithandizo chamankhwala ovomerezeka omwe amaphatikizapo chidziwitso cha odwala athu kuti apereke njira zosiyanasiyana zothandizira kuchepetsa ululu wopweteka kwambiri. Timawadziwitsanso kuti pali njira zopanda opaleshoni kuti muchepetse zizindikiro zopweteka zomwe zimagwirizanitsidwa ndi zinthu zomwe zimayambitsa kupweteka kwa msana. Timalimbikitsa odwala athu kuti afunse mafunso odabwitsa a maphunziro kwa azachipatala omwe timalumikizana nawo za zizindikiro zawo zokhudzana ndi kupweteka kwa thupi m'malo otetezeka komanso abwino. Dr. Alex Jimenez, DC, akuphatikiza mfundozi monga ntchito ya maphunziro. chandalama

 

Zotsatira Za Ululu Wosatha Kwambiri

Kodi mwakhala mukukumana ndi zowawa zosatha zomwe zimatuluka m'munsi mwanu pambuyo pogwira ntchito molimbika? Kodi mukumva kuwawa kwa minofu kapena kupweteka komwe sikudzipumula mutapuma tsiku lopuma? Kapena kodi inu ndi okondedwa anu mumamwa mankhwala aliwonse kuti muchepetse ululu wanu wammbuyo kwakanthawi, kuti mubwererenso pakatha maola angapo? Anthu ambiri omwe ali ndi ululu wammbuyo wammbuyo amamva zizindikiro za kuuma, kupweteka kwa minofu, ndi ululu wonyezimira wopita kumunsi kwawo. Kupweteka kwapang'onopang'ono kwapang'onopang'ono kumalumikizidwa ndi matenda a musculoskeletal, kumatha kukhudza zomwe amachita tsiku ndi tsiku. Mpaka pano, matenda a musculoskeletal okhudzana ndi ululu wopweteka kwambiri wa msana amatha kukhala ndi zochitika zambiri ndikuwonjezeka mwachibadwa pakapita nthawi. (Woolf & Pfleger, 2003) Pamene anthu ambiri akukumana ndi ululu wopweteka kwambiri wa msana, ukhoza kukhala cholemetsa pazachuma chomwe chimabweretsa kulumala. (Andersson, 1999) Komabe, pali zambiri zomwe mungachite kwa anthu omwe ali ndi ululu wopweteka kwambiri wa msana omwe angapeze mpumulo umene amafunikira kuti achepetse zotsatira zake ndipo adzatha kubwerera kuzochitika zawo za tsiku ndi tsiku.

 

 


Kumvetsetsa Zovulala Zokhalitsa- Kanema

Kupweteka kwapang'onopang'ono kosalekeza ndi pamene kupweteka kwa msana kumatenga nthawi yaitali kuposa masabata angapo ndipo ndi imodzi mwa mavuto omwe anthu ambiri amakumana nawo. Akapeza mpumulo wa ululu wopweteka kwambiri, anthu ambiri amayesa njira zothandizira kunyumba kuti achepetse ululu. Komabe, imatha kuthetsa vutoli kwakanthawi ndikubisa zizindikirozo. Anthu akamawonana ndi dokotala wawo wamkulu chifukwa cha ululu wopweteka kwambiri, ambiri amafunafuna njira yochepetsera ululu wammbuyo wammbuyo komanso zizindikiro zake. Pochotsa ululu wopweteka kwambiri, chithandizo chokwanira chothandizira kupweteka nthawi zambiri chimadalira chithandizo chamankhwala, njira zosiyanasiyana, komanso njira zopanda opaleshoni kuti muchepetse ululu wopweteka kwambiri. (Grabois, 2005) Pomvetsetsa momwe munthuyo aliri ndi ululu wopweteka kwambiri, ndikofunika kuzindikira zomwe zimayambitsa komanso momwe zingayambitse kuvulala kwa moyo wonse zomwe zingathe kukhala zolemala. Madokotala oyambirira akayamba kugwiritsa ntchito mankhwala osachita opaleshoni m'zochitika zawo, anthu ambiri amatha kupeza ubwino wa chithandizo chosapanga opaleshoni chifukwa ndi chotsika mtengo, chotetezeka, komanso chodetsa pa msana ndi chigawo cha lumbar ndipo amatha kukhala payekha ndi othandizira azachipatala. kuti muchepetse zizindikiro zonga zowawa zomwe zimayenderana ndi ululu wammbuyo wammbuyo. Onani vidiyo yomwe ili pamwambapa kuti mudziwe zambiri za momwe mankhwala osagwiritsa ntchito opaleshoni angathandizire kuchepetsa ululu wopweteka kwambiri komanso kuthandizira kutsitsimula thupi la munthu kudzera mu ndondomeko ya chithandizo chaumwini.


Zosankha Zosachita Opaleshoni Pakupweteka Kwam'mbuyo Kwambiri

Pochiza kupweteka kwapang'onopang'ono kwapang'onopang'ono, mankhwala osagwiritsa ntchito opaleshoni amathetsa ululu ndikubwezeretsanso kuyenda kumbuyo. Thandizo lopanda opaleshoni lingasinthidwe molingana ndi kukula kwa ululu wa munthu pamene zimakhala zotsika mtengo. Anthu akamayesedwa kuti ali ndi ululu wopweteka kwambiri, amapatsidwa chithandizo chamankhwala ambiri kuti achepetse zizindikiro zowawa zomwe zimachitika chifukwa cha ululu wopweteka kwambiri. (Atlas & Deyo, 2001) Anthu ambiri adzaphatikiza njira zosiyanasiyana zochizira monga:

  • Zochita
  • Kusokonezeka kwa msana
  • Kusamalira tizilombo
  • Kuchiza Mankhwala
  • kutema mphini

Ambiri mwa mankhwalawa ndi osachita opaleshoni ndipo amaphatikiza njira zosiyanasiyana zogwiritsira ntchito makina ndi manja kuti atambasule ndi kulimbikitsa minofu yofooka ya msana, kukulitsa msana kupyolera mu kukonzanso, ndikuthandizira kubwezeretsa kayendetsedwe kake pamene kuchepetsa zizindikiro m'munsimu. Anthu akaphatikiza mankhwala osachita opaleshoni motsatizana, amakhala ndi zokumana nazo zabwino komanso kumva bwino pakapita nthawi. (Koes et al., 1996)

 


Zothandizira

Andersson, GB (1999). Matenda a Epidemiological a ululu wochepa wammbuyo. Lancet, 354(9178), 581-585. doi.org/10.1016/S0140-6736(99)01312-4

Atlas, SJ, & Deyo, RA (2001). Kuwunika ndi kuyang'anira ululu wowawa kwambiri m'malo oyambira chisamaliro. J Gen Intern Med, 16(2), 120-131. doi.org/10.1111/j.1525-1497.2001.91141.x

Grabois, M. (2005). Kusamalira ululu wopweteka kwambiri. Ndine J Phys Med Rehabil, 84(3 Suppl), S29-41. www.ncbi.nlm.nih.gov/pubmed/15722781

Koes, BW, Assendelft, WJ, van der Heijden, GJ, & Bouter, LM (1996). Kuwongolera kwa msana kwa ululu wochepa wa msana. Kuwunikiridwa mwadongosolo kwakanthawi kwamayesero azachipatala osasintha. Mpaka (Phila Pa 1976), 21(24), 2860-2871; zokambirana 2872-2863. doi.org/10.1097/00007632-199612150-00013

Pai, S., & Sundaram, LJ (2004). Ululu wammbuyo: kuwunika kwachuma ku United States. Orthop Clin North Am, 35(1), 1-5. doi.org/10.1016/S0030-5898(03)00101-9

Woolf, AD, & Pfleger, B. (2003). Kulemera kwa matenda akuluakulu a musculoskeletal. Bull World Health Organ, 81(9), 646-656. www.ncbi.nlm.nih.gov/pubmed/14710506

www.ncbi.nlm.nih.gov/pmc/articles/PMC2572542/pdf/14710506.pdf

 

chandalama

Kuchita Bwino kwa Msana Pakupweteka Kwambiri Kwapambuyo

Kuchita Bwino kwa Msana Pakupweteka Kwambiri Kwapambuyo

Kodi kupunduka kwa msana kungathandizire anthu omwe ali ndi ululu wochepa wammbuyo kuti achepetse nyamakazi ndikulimbikitsa minofu yozungulira kuti abwezeretse kuyenda kwa lumbar?

Introduction

Pamene anthu ambiri akukumana ndi ululu m'dera lawo la lumbar, nthawi zambiri, amakhulupirira kuti ndi minofu yozungulira yomwe imateteza msana umene ukukhudzidwa. Komabe, limenelo ndi theka la vutolo. Kodi inu kapena okondedwa anu nthawi zambiri mumamva kutentha mkati mwa msana wanu, m'chiuno, ndi mawondo omwe amatulutsa ululu mkati mwa mafupa anu? Eya, kupweteka kwapakati kumatha kugwirizana ndi ululu wochepa wammbuyo m'malo ake osatha. Popeza thupi ndi msana zimatha kuwonongeka pakapita nthawi, zimatha kupangitsa kuti mafupa azitha kung'ambika ndi kung'ambika pamene akusisita, zomwe zimayambitsa matenda a nyamakazi. Pamene ululu wa nyamakazi umagwirizanitsidwa ndi ululu wopweteka kwambiri wa msana, ukhoza kuchititsa kuti pakhale zovuta zowonjezereka zomwe zingayambitse moyo wolumala ndikupangitsa munthuyo kukhala womvetsa chisoni. Zizindikiro zambiri zokhala ngati zowawa zogwirizana ndi ululu wammbuyo wammbuyo zimatha kukula pakapita nthawi ndikuyambitsa mavuto oyenda ndi kukhazikika mkati mwa thupi. Mwamwayi, mankhwala ambiri osachita opaleshoni amatha kuchepetsa kufalikira kwa nyamakazi komanso kuchepetsa ululu wopweteka kwambiri. Nkhani zamasiku ano zikuwunika kugwirizana pakati pa nyamakazi yolumikizana ndi nyamakazi ndi kupweteka kwapang'onopang'ono kwapang'onopang'ono poyang'ana momwe mankhwala osagwiritsa ntchito mankhwala monga kupsinjika kwa msana sangachepetse kupweteka kwapang'onopang'ono komwe kumakhudzana ndi nyamakazi komanso kubwezeretsanso kuyenda kwa lumbar. Kuonjezera apo, timagwira ntchito limodzi ndi ogwira ntchito zachipatala ovomerezeka omwe amaphatikizapo chidziwitso cha odwala athu kuti athetse ndi kuchepetsa kufalikira kwa nyamakazi yokhudzana ndi kupweteka kwa msana. Timawadziwitsanso kuti kuwonongeka kwa msana kungathandize kubwezeretsa lumbar kuyenda pamene kupititsa patsogolo mphamvu ya minofu kubwerera kudera la lumbar. Timalimbikitsa odwala athu kuti azifunsa mafunso ozama akamafunafuna maphunziro kuchokera kwa azachipatala omwe timalumikizana nawo zokhudzana ndi zowawa zawo. Dr. Alex Jimenez, DC, akuphatikiza mfundozi ngati ntchito yophunzitsa. chandalama

 

Joint Arthritis & Chronic Low Back Pain

Kodi nthawi zambiri mumakumana ndi kuuma m'mawa komwe kumawoneka kuti kutha pakatha maola angapo? Kodi mukumva kuwawa ndi kuwawa kuntchito, kaya pa desiki kapena pakufunika zinthu zolemetsa? Kapena mumamva kuti ziwalo zanu zimapweteka nthawi zonse kuti simukugona mokwanira usiku? Zochitika zonga zowawa izi zimagwirizanitsidwa ndi nyamakazi yolumikizana, yomwe imatha kukhala yopweteka kwambiri. Anthu ambiri amadziwa kuti matabwa a msana ndi m'munsi malekezero adzakhala ndi mkulu mawotchi kupsyinjika pamene thupi ali pamalo oongoka popanda ululu. Pamene msana wa lumbar ndi m'munsi mwake umayamba kuyendayenda mobwerezabwereza pakapita nthawi, zomwe zingapangitse kuti mitsempha ndi minofu yozungulira ikhale ndi misozi ya microtrauma, yomwe imayambitsa chitukuko cha nyamakazi, zomwe zingayambitse kutupa. (Xiong et al., 2022) Tsopano kutupa m'thupi kumakhala kopindulitsa komanso kovulaza malinga ndi kuopsa kwa dera lomwe lakhudzidwa. Matenda a nyamakazi, makamaka spondylarthritis, ndi mbali ya matenda otupa omwe amakhudza mgwirizano ndi msana ndipo amatha kukhala ndi zizindikiro zosiyanasiyana zachipatala. (Sharip & Kunz, 2020) Zizindikiro za nyamakazi ya m'mafupa ndi ululu wopweteka m'dera lomwe lakhudzidwa, kuuma kwamagulu ndi kutupa, ndi kufooka kwa minofu. Polimbana ndi zotupa zomwe zimagwirizanitsidwa ndi nyamakazi yolumikizana, zimatha kuwapangitsa kukhala ndi moyo wocheperako, kuonjezera imfa, ndikukhala cholemetsa chachuma. (Walsh & Magrey, 2021)

 

 

Tsopano nyamakazi yolumikizana mafupa imalumikizidwa bwanji ndi ululu wocheperako? Pamene anthu ayamba kubwerezabwereza ku lumbar msana, zingayambitse kusintha kwachilendo kwa intervertebral discs. Pamene kupsyinjika kosafunika kumayamba kukakamiza intervertebral disc nthawi zonse, kungayambitse kuwonongeka ndi kung'ambika pa diski, kuwapangitsa kusweka ndi kulola kuti annular nociceptors akhale okhudzidwa kwambiri. (Weinstein, Claverie, & Gibson, 1988) Diski yomwe imakhudzidwa imakulitsa mizu ya mitsempha yozungulira ndi minofu, zomwe zimayambitsa kupweteka kwa msana. Anthu akamachita zinthu zawo zatsiku ndi tsiku, zinthu zomwe zimayambitsa kusintha kwa intervertebral discs zimatha kubweretsa ululu wammbuyo. (Vernon-Roberts ndi Pirie, 1977) Kufikira pamenepo, kupweteka kwa msana kosalekeza komwe kumayendera limodzi ndi nyamakazi kumatha kukhala vuto lalikulu ngati silikuthandizidwa nthawi yomweyo.

 


Kufotokozera Matenda a Nyamakazi- Kanema

Pochepetsa zotsatira za kupweteka kwam'mbuyo komwe kumalumikizidwa ndi nyamakazi yolumikizana, anthu ambiri amafunafuna chithandizo chothandizira madera omwe akhudzidwa ndi ululu ndi zotsatira zabwino. Mankhwala osagwiritsa ntchito opaleshoni angakhale yankho, kuphatikizapo mankhwala ena ochiritsira kuti achepetse ululu wopweteka kwambiri. (Kizhakkeveettil, Rose, & Kadar, 2014) Chithandizo chosapanga opaleshoni chingathe kusinthidwa malinga ndi ululu wa munthu pamene chikukhala chotsika mtengo. Anthu ambiri omwe ali ndi mafupa a nyamakazi amatha kupindula ndi chithandizo chosapanga opaleshoni chifukwa akatswiri odziwa ululu monga ochiritsa misala ndi ma chiropractors amatha kugwiritsa ntchito njira zosiyanasiyana kuti atambasule minofu yomwe yakhudzidwa, kuwonjezera ROM ya olowa (kusiyanasiyana koyenda) ndikuwongolera thupi kuti lisamayende bwino kulimbikitsa machiritso achilengedwe a thupi. Vidiyo yomwe ili pamwambayi ikuwonetseratu momwe nyamakazi ingakhudzire ziwalo, kugwirizana ndi kupweteka kwa msana, komanso momwe mankhwalawa angachepetsere zizindikiro zake pogwiritsa ntchito njira zosiyanasiyana.


Kupweteka kwa Msana & Kupweteka Kwambiri Kwambiri Kumbuyo

Kupweteka kwa msana ndi chithandizo chosachita opaleshoni chomwe chingathandize anthu ambiri omwe ali ndi ululu wopweteka kwambiri. Kuwonongeka kwa msana kumagwiritsa ntchito kugwedeza pang'ono pa lumbar msana kuti kukoka msana, kulola kuti madzi ndi zakudya zisefukire kumalo okhudzidwa ndikuthandizira thupi kuti lidzichiritse lokha. Anthu akayamba kuphatikizira kupsinjika kwa msana chifukwa cha ululu wawo wammbuyo wammbuyo, amamva kupanikizika pama disc awo. (Ramos, 2004) Anthu akayamba kumva bwino m'dera lawo la m'chiuno atalandira chithandizo chotsatira, amayamba kuyambiranso kuyenda.

 

Kusokonezeka kwa Msana Kubwezeretsanso Lumbar Mobility

Kuwonongeka kwa msana kumatha kuchepetsa zotsatira za kupweteka kwapweteka kosalekeza ndikubwezeretsa lumbar kuyenda kwa msana. Popeza kuwonongeka kwa msana kumagwiritsa ntchito kugwedeza pang'ono pamsana, intervertebral disc idzabwerera kumalo ake oyambirira, pamene msana wa msana umawonjezera kutalika kwa disc. Kufikira pamenepo, kuwonongeka kwa msana kungapangitse anthu kuti azitha kuyenda bwino ndikupangitsa kuti abwerere kuntchito zawo za tsiku ndi tsiku, chifukwa zimagwirizana kwambiri ndi kuchepetsa ululu. (Gose, Naguszewski, & Naguszewski, 1998) Mwa kuphatikizira kuwonongeka kwa msana monga gawo lachizoloŵezi, anthu ambiri amatha kukhala ndi thanzi labwino popanda kuthana ndi zizindikiro zopweteka.

 


Zothandizira

Gose, EE, Naguszewski, WK, & Naguszewski, RK (1998). Vertebral axial decompression therapy ya ululu wokhudzana ndi herniated kapena degenerated discs kapena facet syndrome: kafukufuku wotsatira. Neurol Res, 20(3), 186-190. doi.org/10.1080/01616412.1998.11740504

 

Kizhakkeveettil, A., Rose, K., & Kadar, GE (2014). Thandizo lophatikizana la ululu wochepa wammbuyo womwe umaphatikizapo chithandizo chamankhwala chothandizira ndi njira zina: kubwereza mwadongosolo. Glob Adv Health Med, 3(5), 49-64. doi.org/10.7453/gahmj.2014.043

 

Ramos, G. (2004). Kuchita bwino kwa vertebral axial decompression pa ululu wochepa wammbuyo: kuphunzira za regimen ya mlingo. Neurol Res, 26(3), 320-324. doi.org/10.1179/016164104225014030

 

Sharip, A., & Kunz, J. (2020). Kumvetsetsa Pathogenesis ya Spondyloarthritis. Zamoyo, 10(10). doi.org/10.3390/biom10101461

 

Vernon-Roberts, B., & Pirie, CJ (1977). Kusintha kwapang'onopang'ono kwa intervertebral discs ya lumbar msana ndi zotsatira zake. Rheumatol Rehabil, 16(1), 13-21. doi.org/10.1093/rheumatology/16.1.13

 

Walsh, JA, & Magrey, M. (2021). Zizindikiro Zachipatala ndi Kuzindikira kwa Axial Spondyloarthritis. J Clin Rheumatol, 27(8), e547-e560. doi.org/10.1097/RHU.0000000000001575

 

Weinstein, J., Claverie, W., & Gibson, S. (1988). Ululu wa discography. Mpaka (Phila Pa 1976), 13(12), 1344-1348. doi.org/10.1097/00007632-198812000-00002

 

Xiong, Y., Cai, M., Xu, Y., Dong, P., Chen, H., He, W., & Zhang, J. (2022). Ogwirizana pamodzi: The etiology ndi pathogenesis wa ankylosing spondylitis. Kutsogolo Immunol, 13, 996103. doi.org/10.3389/fimmu.2022.996103

 

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