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.
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.
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
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
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
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?
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.
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)
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
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
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.
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
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
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
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
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