Back Clinic Hip Pain & Disorders Team. Matenda amtunduwu ndi madandaulo ofala omwe angayambitsidwe ndi zovuta zosiyanasiyana. Malo enieni a ululu wanu wa m'chiuno angapereke zambiri zokhudzana ndi zomwe zimayambitsa. Kuphatikizika kwa chiuno paokha kumayambitsa kupweteka mkati mwa ntchafu kapena groin. Ululu kunja, ntchafu yam'mwamba, kapena matako akunja nthawi zambiri amayamba chifukwa cha matenda / mavuto ndi minofu, ligaments, tendons, ndi zofewa zozungulira chiuno. Kupweteka kwa mchiuno kumathanso kuyambitsa matenda ndi mikhalidwe m'madera ena a thupi lanu, mwachitsanzo m'munsi. Chinthu choyamba ndikuzindikira komwe ululu ukuchokera.
Chofunika kwambiri chosiyanitsa ndicho kupeza ngati chiuno ndicho chifukwa cha ululu. Pamene ululu wa m'chiuno umachokera ku minofu, tendon, kapena kuvulala kwa ligament, nthawi zambiri zimachokera ku kugwiritsidwa ntchito mopitirira muyeso kapena Kuvulaza Kubwerezabwereza (RSI). Izi zimabwera chifukwa chogwiritsa ntchito kwambiri minofu ya m'chiuno m'thupi monga iliopsoas tendinitis. Izi zitha kubwera kuchokera ku zowawa za tendon ndi ligament, zomwe nthawi zambiri zimakhudzidwa ndi snapping hip syndrome. Zitha kubwera kuchokera mkati mwa mgwirizano womwe umakhala wodziwika kwambiri wa nyamakazi ya m'chiuno. Ululu uliwonse wamtundu uwu umakhala wosiyana pang'ono, womwe ndi gawo lofunika kwambiri pozindikira chomwe chimayambitsa.
Kwa anthu omwe ali ndi ululu wa m'chiuno, akhoza kukhala vuto la mitsempha ya pudendal yotchedwa pudendal neuropathy kapena neuralgia yomwe imayambitsa kupweteka kosalekeza. Mkhalidwewu ukhoza kuyambitsidwa ndi kutsekeka kwa mitsempha ya pudendal, komwe mitsempha imakanikizidwa kapena kuwonongeka. Kodi kudziwa zizindikilo zake kungathandize azachipatala kudziwa bwino matendawa ndikupanga dongosolo lothandizira lamankhwala?
Pudendal Neuropathy
Mitsempha ya pudendal ndiyo mitsempha yayikulu yomwe imagwira ntchito pa perineum, yomwe ili pakati pa anus ndi maliseche - scrotum mwa amuna ndi vulva mwa akazi. Mitsempha ya pudendal imadutsa mu minofu ya gluteus / matako ndikupita ku perineum. Imanyamula chidziwitso chomveka kuchokera kumaliseche akunja ndi khungu lozungulira anus ndi perineum ndikutumiza zizindikiro zamagalimoto / kuyenda kumagulu osiyanasiyana a pelvic. (Origoni, M. et al., 2014) Pudendal neuralgia, yomwe imatchedwanso pudendal neuropathy, ndi matenda a mitsempha ya pudendal yomwe ingayambitse kupweteka kwa m'chiuno.
Zimayambitsa
Kupweteka kwa m'chiuno kosatha kuchokera ku pudendal neuropathy kumatha kuyambitsidwa ndi izi:Kaur J. et al., 2024)
Kukhala pa malo olimba, mipando, mipando ya njinga, ndi zina zotero. Oyendetsa njinga amatha kukhala ndi mitsempha ya pudendal.
Kuvulala kwa matako kapena m'chiuno.
Kubadwa.
Diabetesic neuropathy.
Mafupa omwe amatsutsana ndi mitsempha ya pudendal.
Kuchulukitsa kwa mitsempha yozungulira mitsempha ya pudendal.
zizindikiro
Ululu wa mitsempha ya pudendal ukhoza kufotokozedwa ngati kubaya, kuponderezana, kuwotcha, dzanzi, kapena zikhomo ndi singano ndipo zimatha kuwonetsa (Kaur J. et al., 2024)
Mu perineum.
M'chigawo chakuthako.
Mwa amuna, kupweteka kwa scrotum kapena mbolo.
Kwa amayi, kupweteka kwa labia kapena maliseche.
Pogonana.
Pokodza.
Pa nthawi ya matumbo.
Akakhala ndikuchoka atayimirira.
Chifukwa zizindikiro nthawi zambiri zimakhala zovuta kusiyanitsa, pudendal neuropathy nthawi zambiri imakhala yovuta kusiyanitsa ndi mitundu ina ya ululu wosaneneka wa m'chiuno.
Cyclist's Syndrome
Kukhala pampando wanjinga kwa nthawi yayitali kungayambitse kupsinjika kwa mitsempha ya m'chiuno, zomwe zingayambitse kupweteka kosalekeza. Mafupipafupi a pudendal neuropathy (kupweteka kwa m'chiuno kosatha komwe kumachitika chifukwa cha kutsekeka kapena kupanikizana kwa mitsempha ya pudendal) nthawi zambiri amatchedwa Cyclist's Syndrome. Kukhala pamipando ina ya njinga kwa nthawi yayitali kumapangitsa kuti mitsempha ya pudendal ikhale yovuta kwambiri. Kupanikizika kungayambitse kutupa kuzungulira mitsempha, yomwe imayambitsa kupweteka ndipo, pakapita nthawi, ingayambitse kuvulala kwa mitsempha. Kupanikizika kwa mitsempha ndi kutupa kungayambitse ululu wofotokozedwa ngati kuyaka, kuluma, kapena mapini ndi singano. (Durante, JA, and Macintyre, IG 2010) Kwa anthu omwe ali ndi vuto lotchedwa pudendal neuropathy chifukwa chokwera njinga, zizindikiro zimatha kuonekera pambuyo poyenda nthawi yayitali ndipo nthawi zina pakadutsa miyezi kapena zaka.
Kusintha kwa chiropractic kumatha kusintha msana ndi pelvis.
Njira yotulutsa yogwira ntchito / ART imaphatikizapo kugwiritsa ntchito kukakamiza kwa minofu m'derali pamene mukutambasula ndi kukakamira. (Chiaramonte, R., Pavone, P., Vecchio, M. 2021)
Mitsempha imatha kuchepetsa ululu wobwera chifukwa cha kutsekeka kwa mitsempha. (Kaur J. et al., 2024)
Mankhwala ena otsitsimula minofu, antidepressants, ndi anticonvulsants amatha kuperekedwa, nthawi zina kuphatikiza.
Opaleshoni ya mitsempha ya mitsempha ikhoza kulangizidwa ngati njira zonse zochiritsira zowonongeka zatha. (Durante, JA, and Macintyre, IG 2010)
Mapulani a chisamaliro chachipatala cha Chiropractic ndi Functional Medicine Clinic ndi ntchito zachipatala ndizopadera ndipo zimayang'ana kwambiri kuvulala komanso kuchira kwathunthu. Malo athu omwe timachita ndi monga Ubwino ndi zakudya, Ululu Wosatha, Kuvulala Kwawekha, Kusamalira Ngozi Yagalimoto, Kuvulala Kwa Ntchito, Kuvulala Kwambiri, Kupweteka Kwambiri, Kupweteka kwa Pakhosi, Migraine Headaches, Kuvulala Kwamasewera, Kupweteka Kwambiri, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Ululu, Kuvulala Kwambiri, Kuwongolera Kupsinjika, ndi Chithandizo Chamankhwala Ogwira Ntchito. 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.
Mimba ndi Sciatica
Zothandizira
Origoni, M., Leone Roberti Maggiore, U., Salvatore, S., & Candiani, M. (2014). Njira za Neurobiological za ululu wa m'chiuno. BioMed Research International, 2014, 903848. doi.org/10.1155/2014/903848
Durante, JA, & Macintyre, IG (2010). Kutsekeka kwa mitsempha ya Pudendal mwa wothamanga wa Ironman: lipoti lamilandu. Journal of the Canadian Chiropractic Association, 54 (4), 276-281.
Chiaramonte, R., Pavone, P., & Vecchio, M. (2021). Kuzindikira, Kukonzanso ndi Njira Zopewera za Pudendal Neuropathy mu Ma Cyclists, Kubwereza Mwadongosolo. Journal of functional morphology ndi kinesiology, 6(2), 42. doi.org/10.3390/jfmk6020042
Kutuluka m'chiuno ndi kuvulala kwachilendo koma kumatha kuchitika chifukwa cha kuvulala kapena kutsatira opareshoni ya m'chiuno. Nthawi zambiri zimachitika pambuyo povulala kwambiri, kuphatikizapo kugunda kwa magalimoto, kugwa, ndipo nthawi zina kuvulala pamasewera. (Caylyne Arnold et al., 2017) Kusokonezeka kwa chiuno kumatha kuchitikanso pambuyo pa opaleshoni ya m'chiuno. Kuvulala kwina monga misozi ya ligament, kuwonongeka kwa cartilage, ndi fractures za mafupa zimatha kuchitika pamodzi ndi kusokonezeka. Kusokonezeka kwa ntchafu zambiri kumathandizidwa ndi njira yochepetsera yomwe imabwezeretsa mpirawo muzitsulo. Kawirikawiri amachitidwa ndi sedation kapena anesthesia. Kukonzanso kumatenga nthawi ndipo kumatha miyezi ingapo kuti munthu ayambe kuchira. Thandizo la thupi lingathandize kubwezeretsa kuyenda ndi mphamvu mu chiuno.
Ndi chiyani?
Ngati ntchafuyo yang'ambika pang'ono, imatchedwa hip subluxation. Izi zikachitika, mutu wa m'chiuno umangotuluka pang'ono kuchokera pazitsulo. Chiuno chosokonekera ndi pamene mutu kapena mpira wa mgwirizano umasintha kapena kutuluka muzitsulo. Chifukwa chiuno chochita kupanga chimasiyana ndi cholumikizira wamba, chiwopsezo cha kusweka chimawonjezeka pambuyo polowa m'malo. Kafukufuku wina adawonetsa kuti pafupifupi 2% ya anthu omwe alowa m'malo mwa chiuno chonse amatha kusuntha m'chiuno mkati mwa chaka chimodzi, ndipo chiopsezo chowonjezereka chikuwonjezeka ndi pafupifupi 1% pazaka zisanu. (Jens Dargel et al., 2014) Komabe, njira zatsopano zaumisiri zopangira opaleshoni ndi maopaleshoni zikupangitsa kuti izi zichepe.
Hip Anatomy
Mgwirizano wa chiuno-ndi-socket umatchedwa mgwirizano wa femoroacetabular.
Soketiyo imatchedwa acetabulum.
Mpirawo umatchedwa mutu wa chikazi.
Mafupa a mafupa ndi mitsempha yamphamvu, minofu, ndi tendon zimathandiza kupanga mgwirizano wolimba. Mphamvu yofunikira iyenera kugwiritsidwa ntchito pa mgwirizano kuti chiuno chiwonongeke. Anthu ena amati akumva kugunda kwa m'chiuno. Izi nthawi zambiri sizowonongeka kwa chiuno koma zimasonyeza vuto lina lotchedwa snapping hip syndrome. (Paul Walker et al., 2021)
Kusuntha kwa Hip Pambuyo
Pafupifupi 90% ya kusuntha kwa ntchafu kumakhala kumbuyo.
Mwa mtundu uwu, mpira umakankhidwira kumbuyo kuchokera pazitsulo.
Kusokonezeka kwapambuyo kungayambitse kuvulala kapena kukwiyitsa kwa mitsempha ya sciatic. (R Cornwall, TE Radomisli 2000)
Anterior Hip Dislocation
Kusuntha kwapatsogolo sikofala kwambiri.
Pakuvulala kwamtunduwu, mpira umakankhidwira kunja kwa socket.
Hip Subluxation
Kuthamanga kwa chiuno kumachitika pamene mpira wolumikizana ndi chiuno umayamba kutuluka pang'onopang'ono.
Walker, P., Ellis, E., Scofield, J., Kongchum, T., Sherman, WF, & Kaye, AD (2021). Snapping Hip Syndrome: Kusintha Kwambiri. Ndemanga zamafupa, 13(2), 25088. doi.org/10.52965/001c.25088
Cornwall, R., & Radomisli, TE (2000). Kuvulala kwa mitsempha mu kusokonezeka koopsa kwa chiuno. Matenda a mafupa ndi kafukufuku wokhudzana, (377), 84-91. doi.org/10.1097/00003086-200008000-00012
Kellam, P., & Ostrum, RF (2016). Kubwereza Mwadongosolo ndi Meta-Analysis of Avascular Necrosis ndi Posttraumatic Arthritis Pambuyo pa Kusokonezeka kwa Hip. Journal of orthopedic trauma, 30 (1), 10-16. doi.org/10.1097/BOT.0000000000000419
Ma, HH, Huang, CC, Pai, FY, Chang, MC, Chen, WM, & Huang, TF (2020). Zotsatira za nthawi yayitali kwa odwala omwe ali ndi vuto lopweteka la m'chiuno-dislocation: zinthu zofunika kwambiri zomwe zimapangidwira. Journal of the Chinese Medical Association : JCMA, 83 (7), 686-689. doi.org/10.1097/JCMA.0000000000000366
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
Aliyense ali pamapazi nthawi zonse chifukwa zimathandiza kuti anthu azikhala omasuka komanso amawalola kuti achoke kumalo ena kupita kwina. Anthu ambiri amangokhalira kumapazi kuyambira ali mwana mpaka akakula. Izi zili choncho chifukwa mapazi ndi mbali ya mitsempha ya m'munsi yomwe imapangitsa kuti chiuno chikhale chokhazikika komanso chimalola kugwira ntchito kwa sensory-motor ku miyendo, ntchafu, ndi ana a ng'ombe. Mapazi amakhalanso ndi minofu yambiri, tendon, ndi mitsempha yozungulira chigobacho kuti ateteze ululu ndi kusamva bwino. Komabe, pamene kubwerezabwereza kapena kuvulala kumayamba kukhudza mapazi, kungayambitse plantar fasciitis ndipo, pakapita nthawi, kumayambitsa zizindikiro zowonongeka zomwe zimayambitsa kupweteka kwa chiuno. Anthu akamakumana ndi zowawa izi, zimatha kukhudza kwambiri zochita zawo zatsiku ndi tsiku komanso moyo wawo wonse. Izi zikachitika, anthu ambiri amafunafuna chithandizo chamankhwala osiyanasiyana kuti achepetse zizindikiro zowawa zomwe zimayambitsidwa ndi plantar fasciitis ndikubwezeretsanso chiuno. Nkhani ya lero ikuyang'ana momwe plantar fasciitis imagwirizanirana ndi ululu wa m'chiuno, kugwirizana pakati pa mapazi ndi chiuno, komanso momwe pali njira zopanda opaleshoni zochepetsera plantar fasciitis. Timalankhula ndi ovomerezeka azachipatala omwe amaphatikiza zambiri za odwala athu kuti awone momwe angachepetsere plantar fasciitis ndikubwezeretsanso kuyenda kwa chiuno. Timadziwitsanso ndikuwatsogolera odwala momwe mankhwala ambiri osagwiritsa ntchito opaleshoni angathandizire kulimbitsa minofu yofooka yokhudzana ndi plantar fasciitis ndikuthandizira kubwezeretsa kukhazikika kwa ululu wa m'chiuno. Timalimbikitsa odwala athu kuti afunse opereka chithandizo omwe amalumikizana nawo mafunso ovuta komanso ofunikira okhudza kuphatikiza kusintha kwakung'ono kuti achepetse zowawa zomwe zimayambitsidwa ndi plantar fasciitis. Dr. Jimenez, DC, akuphatikizapo izi monga ntchito ya maphunziro. chandalama.
Momwe Plantar Fasciitis Imagwirizanirana Ndi Ululu Wa Hip
Kodi mumamva kupweteka kwa zidendene zanu nthawi zonse mutayenda ulendo wautali? Kodi mumamva kuuma m'chiuno mukamatambasula? Kapena mumamva kuti nsapato zanu zikuyambitsa mavuto ndi ululu m'mapazi anu ndi ana a ng'ombe? Nthawi zambiri, zambiri mwazochitika zowawa zoterezi zimachitika chifukwa cha anthu omwe ali ndi matenda a plantar fasciitis, omwe amadziwika ndi kupweteka kwa chidendene chifukwa cha kutupa kapena kupwetekedwa mtima kwa plantar fascia, gulu la minyewa yakuda imayenda pansi pa phazi ndikulumikizana ndi phazi. fupa la chidendene ku zala za m'munsi. Gulu la minyewa iyi limagwira ntchito yofunika kwambiri m'thupi, kupereka ma biomechanics wamba kumapazi kwinaku akuthandizira chigobacho ndikuthandizira kuyamwa modabwitsa. (Buchanan et al., 2024) Plantar fasciitis ingakhudze kukhazikika kwa mitsempha ya m'munsi chifukwa kupweteka kumakhudza mapazi ndipo kumayambitsa kupweteka kwa chiuno.
Kotero, kodi plantar fasciitis ingagwirizane bwanji ndi ululu wa m'chiuno? Ndi plantar fasciitis, anthu ambiri akumva ululu m'mapazi awo. Zingayambitse kutsika kwa phazi lachilendo, kufooka kwa minofu ya m'munsi, ndi kupsinjika kwa minofu zomwe zingachepetse kukhazikika kwa miyendo ndi chiuno. (Lee ndi al., 2022) Ndi ululu wa m'chiuno, anthu ambiri amatha kukhala ndi vuto la gait lomwe limayambitsa kufooka kwa minofu m'munsimu ndipo kumapangitsa kuti minofu yowonjezera igwire ntchito zoyamba za minofu. Kufikira pamenepo, izi zimakakamiza anthu kugwetsa pansi poyenda. (Ahuja et al., 2020) Izi zili choncho chifukwa chakuti zinthu zodziwika bwino monga ukalamba wachilengedwe, kugwiritsira ntchito minofu mopitirira muyeso, kapena kupwetekedwa mtima kungayambitse zizindikiro zopweteka m'chiuno, kuphatikizapo kusokonezeka kwa ntchafu, groin, ndi matako, kuuma kwa mgwirizano, ndi kuchepa kwa kayendetsedwe kake. Kupweteka kwa m'chiuno kumatha kuyambitsa mbiri yachiwopsezo yomwe ingaphatikizepo kupsinjika mobwerezabwereza pamapazi, zomwe zimatsogolera kuzizindikiro zakuwawa kwa chidendene.
Kulumikizana Pakati pa Mapazi ndi Mchiuno
Ndikofunika kumvetsetsa kuti mavuto a phazi monga plantar fasciitis angakhudze chiuno komanso mosiyana, popeza zigawo zonse za thupi zimakhala ndi ubale wokongola mkati mwa minofu ndi mafupa. Plantar fasciitis pamapazi awo amatha kusintha magwiridwe antchito awo, zomwe zingayambitse kupweteka kwa m'chiuno pakapita nthawi. Izi zimachitika chifukwa cha zinthu zambiri zachilengedwe zomwe zingakhudze chiuno ndi mapazi pakapita nthawi, zomwe zimapangitsa kuti plantar fasciitis igwirizane ndi ululu wa m'chiuno. Kuchokera kuzinthu zolemetsa kwambiri mpaka ku microtrauma m'chiuno kapena plantar fascia, anthu ambiri nthawi zambiri amafunafuna chithandizo kuti achepetse zotsatira za plantar fasciitis zogwirizana ndi ululu wa m'chiuno mwa kuthana ndi momwe kayendedwe kawo kakukhudzira plantarflexion ndi katundu wawo pa mphamvu. -Kumwetsa zida zapamtunda kumatha kukhala koyambira bwino popewa komanso kuchiza plantar fasciitis yogwirizana ndi ululu wa m'chiuno. (Hamstra-Wright et al., 2021)
Pankhani yochepetsa plantar fasciitis m'thupi, anthu ambiri amafunafuna chithandizo chosapanga opaleshoni chomwe chingachepetse ululu wa plantar fascia. Mankhwala osachita opaleshoni ndi otsika mtengo ndipo amatha kuchepetsa ululu wa plantar fasciitis ndi zizindikiro zake, monga kupweteka kwa m'chiuno. Zina mwazopindulitsa za mankhwala osagwiritsa ntchito opaleshoni akulonjeza, chifukwa ali ndi chiopsezo chochepa cha zovuta, kupezeka kwabwino, komanso ngakhale mphamvu yapamwamba yochepetsera katundu wamakina pa plantar fascia pochita ntchito zokhazikika. (Schuitema et al., 2020) Njira zina zochiritsira zosapanga opaleshoni zomwe anthu ambiri amatha kuziphatikiza ndi monga:
Zochita zolimbitsa
Zipangizo zamagetsi
Kusamalira tizilombo
Kuchiza mankhwala
Acupuncture/electroacupuncture
Kuwonongeka kwa msana
Mankhwala osachita opaleshoniwa samangothandiza kuchepetsa plantar fasciitis komanso kumathandiza kuchepetsa ululu wa m'chiuno. Mwachitsanzo, kuwonongeka kwa msana kungathandize kubwezeretsa ntchafu ya m'chiuno mwa kutambasula msana wa lumbar ndi kutulutsa m'munsi mwa dzanzi pamene mukulimbitsa minofu yolimba. (Takagi et al., 2023). Electroacupuncture imatha kulimbikitsa ma acupoints a thupi kuti amasule ma endorphin kuchokera kumunsi kumunsi kuti achepetse kutupa kwa plantar fascia. (Wang et al., 2019) Pamene anthu ayamba kusintha pang'ono m'chizoloŵezi chawo, monga kuvala nsapato zoyenera komanso osanyamula kapena kunyamula zinthu zolemetsa, zikhoza kupita kutali kuti ateteze plantar fasciitis ndi ululu wa m'chiuno kuti usabwerenso ukhoza kupita kutali. Kukhala ndi dongosolo lachidziwitso laumwini kumatha kuonetsetsa kuti anthu ambiri omwe akufuna chithandizo chosapanga opaleshoni amakhala ndi zotsatira zabwino pa thanzi lawo komanso kuyenda kwawo ndikupewa zovuta zomwe zimatenga nthawi yayitali.
Zothandizira
Ahuja, V., Thapa, D., Patial, S., Chander, A., & Ahuja, A. (2020). Kupweteka kwa m'chiuno kwa akuluakulu: Chidziwitso chamakono ndi tsogolo lamtsogolo. J Anaesthesiol Clin Pharmacol, 36(4), 450-457. doi.org/10.4103/joacp.JOACP_170_19
Hamstra-Wright, KL, Huxel Bliven, KC, Bay, RC, & Aydemir, B. (2021). Zowopsa za Plantar Fasciitis mwa Anthu Ogwira Ntchito Mwathupi: Kuwunika Mwadongosolo ndi kusanthula kwa Meta. Health Health, 13(3), 296-303. doi.org/10.1177/1941738120970976
Lee, JH, Shin, KH, Jung, TS, & Jang, WY (2022). Kuchita kwa Minofu Yotsika Kwambiri ndi Kupanikizika kwa Mapazi kwa Odwala Omwe Ali ndi Plantar Fasciitis omwe ali ndi komanso opanda Flat Foot Posture. Int J Environ Res Public Health, 20(1). doi.org/10.3390/ijerph20010087
Schuitema, D., Greve, C., Postema, K., Dekker, R., & Hijmans, JM (2020). Kuchita bwino kwa Mechanical Chithandizo cha Plantar Fasciitis: Kuwunika Mwadongosolo. J Sport Rehabil, 29(5), 657-674. doi.org/10.1123/jsr.2019-0036
Takagi, Y., Yamada, H., Ebara, H., Hayashi, H., Inatani, H., Toyooka, K., Mori, A., Kitano, Y., Nakanami, A., Kagechika, K., Yahata, T., & Tsuchiya, H. (2023). Kuwonongeka kwa lumbar spinal stenosis pamalo opangira catheter pa intrathecal baclofen therapy: lipoti la milandu. J Med Case Rep, 17(1), 239. doi.org/10.1186/s13256-023-03959-1
Wang, W., Liu, Y., Zhao, J., Jiao, R., & Liu, Z. (2019). Electroacupuncture versus manual acupuncture pochiza matenda opweteka a plantar chidendene: ndondomeko yophunzira ya mayesero omwe akubwera mosasamala. BMJ Open, 9(4), e026147. doi.org/10.1136/bmjopen-2018-026147
Katz, JN, Arant, KR, & Loeser, RF (2021). Kuzindikira ndi Kuchiza kwa Hip ndi Knee Osteoarthritis: Ndemanga. JAMA, 325(6), 568-578. doi.org/10.1001/jama.2020.22171
Nedunchezhiyan, U., Varughese, I., Sun, AR, Wu, X., Crawford, R., & Prasadam, I. (2022). Kunenepa Kwambiri, Kutupa, ndi Chitetezo Cha mthupi mu Osteoarthritis. Kutsogolo Immunol, 13, 907750. doi.org/10.3389/fimmu.2022.907750
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
Wu, SY, Lin, CH, Chang, NJ, Hu, WL, Hung, YC, Tsao, Y., & Kuo, CA (2020). Kuphatikizika kwa laser acupuncture ndi electroacupuncture mu knee osteoarthritis odwala: Protocol for a randomized controlled trial. Mankhwala (Baltimore), 99(12), e19541. doi.org/10.1097/MD.0000000000019541
Xu, H., Kang, B., Li, Y., Xie, J., Sun, S., Zhong, S., Gao, C., Xu, X., Zhao, C., Qiu, G., & Xiao, L. (2020). Kugwiritsa ntchito electroacupuncture kuti abwezeretse mphamvu ya minofu kwa odwala omwe ali ndi matenda a mafupa a bondo pambuyo pa mawondo a arthroplasty: ndondomeko yophunzirira yoyesedwa kawiri, yosasinthika, komanso yoyendetsedwa ndi placebo. mayesero, 21(1), 705. doi.org/10.1186/s13063-020-04601-x
Yao, Q., Wu, X., Tao, C., Gong, W., Chen, M., Qu, M., Zhong, Y., He, T., Chen, S., & Xiao, G. (2023). Osteoarthritis: njira zowonetsera za pathogenic ndi zolinga zochiritsira. Signal Transduct Target Ther, 8(1), 56. doi.org/10.1038/s41392-023-01330-w
Zhang, W., Zhang, L., Yang, S., Wen, B., Chen, J., & Chang, J. (2023). Electroacupuncture imathandizira osteoarthritis ya bondo mu makoswe poletsa NLRP3 inflammasome ndikuchepetsa pyroptosis. Mol Pain, 19, 17448069221147792. doi.org/10.1177/17448069221147792
Kodi anthu omwe ali ndi ululu wa m'chiuno, angapeze mpumulo umene akuyang'ana kuchokera ku kupsinjika kwa msana kuti achepetse ululu wawo wa sciatica?
Introduction
Zikafika kwa anthu omwe akuchita mayendedwe atsiku ndi tsiku, thupi limatha kukhala m'malo odabwitsa popanda kupweteka kapena kusamva bwino. Chifukwa chake, anthu amatha kuyimirira kapena kukhala kwa nthawi yayitali ndikumva bwino akamagwira ntchito zolemetsa. Komabe, pamene thupi limakalamba, minofu yozungulira ndi mitsempha imatha kukhala yofooka komanso yolimba, pamene ziwalo za msana ndi ma discs zimayamba kupanikizidwa ndi kung'ambika. Izi zili choncho chifukwa anthu ambiri amapanga maulendo obwerezabwereza m'matupi awo zomwe zimayambitsa zizindikiro zowawa kumbuyo, m'chiuno, pakhosi, ndi m'thupi, zomwe zimayambitsa ululu wotchulidwa m'malo osiyanasiyana a thupi. Anthu akakhala ndi ululu wamtsempha m'matupi awo, zimatha kuyambitsa mbiri yachiwopsezo yomwe ingalepheretse munthuyo ndikupangitsa kuti akhale omvetsa chisoni. Kuonjezera apo, pamene anthu akumva kupweteka kwa minofu m'matupi awo, ambiri amafunafuna chithandizo kuti achepetse zizindikiro zowawa zomwe zimatchulidwa ndi ululu wa minofu ndi mafupa. Nkhani ya lero idzapenda mtundu umodzi wa ululu wa m'chiuno m'chiuno, momwe zingayambitse sciatica mavuto ngati ululu, komanso momwe mankhwala ochiritsira monga decompression angachepetse ululu wofanana ndi ululu wa chiuno chogwirizana ndi sciatica. Timalankhula ndi odziwa zachipatala ovomerezeka omwe amaphatikiza chidziwitso cha odwala athu kuti apereke mankhwala ambiri kuti athetse ululu wa m'chiuno wokhudzana ndi sciatica. Timadziwitsanso ndikuwatsogolera odwala momwe decompression ingathandizire kuchepetsa zizindikiro zowawa monga sciatica ndikubwezeretsanso chiuno. Timalimbikitsa odwala athu kuti afunse opereka chithandizo omwe amagwirizana nawo mafunso ovuta komanso ofunikira okhudza zizindikiro zowawa zomwe akukumana nazo chifukwa cha ululu wa m'chiuno. Dr. Jimenez, DC, akuphatikiza mfundozi monga ntchito ya maphunziro. chandalama.
Ululu Wam'chiuno Wogwirizana ndi Sciatica
Kodi nthawi zambiri mumawuma m'munsi mwa msana ndi m'chiuno mutakhala pansi kwa nthawi yayitali? Nanga bwanji kumva kuwawa kowawa kutsika kuchokera kumunsi kumbuyo mpaka kumapazi? Kapena mukuganiza kuti minofu yanu ya m'chiuno ndi ntchafu imakhala yolimba komanso yofooka, zomwe zimakhudza kukhazikika kwanu? Anthu ambiri omwe akukumana ndi zovuta ngati zowawa izi akumva ululu wa m'chiuno, ndipo zimatha kukhala zovuta ngati sizikuthandizidwa pakapita nthawi. Popeza kupweteka kwa m'chiuno ndi vuto lodziwika bwino komanso lolemetsa lomwe limakhala lovuta kuti lizindikire, anthu ambiri nthawi zambiri amamva kupweteka komwe kumapezeka m'madera atatu a anatomic: anterior, posterior, and lateral hip. (Wilson & Furukawa, 2014) Pamene anthu akukumana ndi ululu wa m'chiuno, amakhalanso ndi ululu wotchulidwa m'munsi mwawo, zomwe zimawapangitsa kukhala ovutika komanso omvetsa chisoni. Nthawi yomweyo, kuyenda kosavuta wamba monga kukhala kapena kuyimirira kumatha kukhudza minofu ndi minyewa yozungulira chiuno ndipo imatha kuwononga. Izi zingayambitse ululu wa m'chiuno kuti utumizidwe kuchokera ku lumbar msana ndi mavuto a msana, zomwe zimayambitsa matenda a musculoskeletal m'munsi. (Lee ndi al., 2018)
Kotero, kodi ululu wa m'chiuno ungagwirizane bwanji ndi sciatica ndikupangitsa ululu m'madera ambiri apansi? Madera a m'chiuno musculoskeletal system ali ndi minofu yambiri yozungulira fupa la m'chiuno lomwe limatha kukhala lolimba komanso lofooka, zomwe zimayambitsa kupweteka kwa minofu ndi mafupa kuchokera ku intrapelvic ndi gynecologic. (Chamberlain, 2021) Izi zikutanthauza kuti matenda a minofu ndi mafupa monga piriformis syndromes okhudzana ndi ululu wa m'chiuno angayambitse sciatica. Mitsempha ya sciatic imayenda pansi kuchokera kudera la lumbar ndi matako ndi kumbuyo kwa mwendo. Pamene munthu akulimbana ndi sciatica ndipo akupita kwa dokotala wawo wamkulu kuti akalandire chithandizo cha ululu, madokotala awo amayesa thupi kuti awone zomwe zimayambitsa ululu. Zina mwazofukufuku zomwe zimachitika panthawi yoyezetsa thupi zinali zachifundo komanso kukomoka kwa sciatic notch komanso kuberekana kwa ululu m'chiuno. (Mwana & Lee, 2022) Izi zimayambitsa zizindikiro zomwe zimagwirizana ndi sciatica ndi ululu wa m'chiuno, kuphatikizapo:
Kumva kumva kumva kumva kuwawa / kumva dzanzi
Kukoma kwa minofu
Kuwawa mutakhala kapena kuyimirira
Kusakhumudwitsidwa
Ndi Kusuntha Ndi Kiyi Yamachiritso- Kanema
Kusokonezeka kwa Msana Kuchepetsa Kupweteka kwa M'chiuno
Komabe, anthu ambiri adzapeza mankhwala osachita opaleshoni kuti athandize kuchepetsa sciatica yokhudzana ndi ululu wa m'chiuno. Thandizo lopanda opaleshoni limasinthidwa ndi ululu wa munthu ndipo zimakhala zotsika mtengo pokhala wofatsa pa msana. Kupweteka kwa msana kungathandize kuchepetsa ululu wa m'chiuno wokhudzana ndi sciatica. Kuwonongeka kwa msana kumapangitsa kuti kugwedezeka mofatsa kutambasula minofu yofooka kumbuyo ndi m'chiuno pamene ma discs a msana akukumana ndi kupanikizika koipa. Pamene munthu akulimbana ndi ululu wa sciatica wokhudzana ndi ululu wa m'chiuno ndikuyesera kusokoneza kwa nthawi yoyamba, amapatsidwa mpumulo woyenerera. (Crisp et al., 1955)
Kuonjezera apo, anthu ambiri omwe amaphatikizira kupsinjika kwa ululu wawo wa m'chiuno amatha kuyamba kumva zotsatira zake chifukwa zimathandiza kuti magazi aziyenda bwino kubwerera m'chiuno kuti ayambe kuchiritsa kwachilengedwe. (Hua et al., 2019) Pamene anthu ayamba kuphatikizira kupsinjika kwa ululu wa m'chiuno, amatha kumasuka pamene akumva zowawa zawo zonse ndi zowawa zimasowa pang'onopang'ono pamene kuyenda ndi kuzungulira kumabwereranso m'munsi.
Zothandizira
Chamberlain, R. (2021). Kupweteka kwa M'chiuno mwa Akuluakulu: Kuwunika ndi Kusiyanitsa Kosiyana. American Family Physician, 103(2), 81-89. www.ncbi.nlm.nih.gov/pubmed/33448767
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
Lee, YJ, Kim, SH, Chung, SW, Lee, YK, & Koo, KH (2018). Zomwe Zimayambitsa Kupweteka Kwambiri kwa Hip Osazindikirika kapena Osazindikirika ndi Madokotala Oyambirira mu Odwala Achikulire Achinyamata: Phunziro Lofotokozera Kwambiri. J Korea Med Sci, 33(52), e339. doi.org/10.3346/jkms.2018.33.e339
Mwana, BC, & Lee, C. (2022). Piriformis Syndrome (Sciatic Nerve Entrapment) Yogwirizana ndi Mtundu wa C Sciatic Nerve Variation: Lipoti la Milandu iwiri ndi Kubwereza Zolemba. Korea J Neurotrauma, 18(2), 434-443. doi.org/10.13004/kjnt.2022.18.e29
Wilson, JJ, & Furukawa, M. (2014). Kuwunika kwa wodwalayo ndi ululu wa m'chiuno. American Family Physician, 89(1), 27-34. www.ncbi.nlm.nih.gov/pubmed/24444505
Kwa anthu omwe akumva ululu wa m'chiuno, kodi kuphatikiza acupuncture kungathandize kuchepetsa komanso kuchepetsa ululu wochepa wammbuyo?
Introduction
Mu musculoskeletal system, kumtunda ndi kumunsi kwa thupi kumakhala ndi ntchito zolola wolandirayo kuti aziyenda. Zigawo zapansi za thupi zimapereka bata ndikukhalabe bwino, zomwe zingathandize kuti minofu yozungulira ikhale yolimba komanso kuteteza ziwalo zofunika. Kugwirizana kwa chigoba m'thupi kumathandiza kuonetsetsa kuti kulemera kwa thupi la munthuyo kumagawidwa mofanana. Kwa dongosolo la minofu ndi mafupa, chigawo cha m'chiuno chomwe chili m'munsi mwa thupi chimathandiza kuti chikhazikike ndipo chimapereka ntchito yachibadwa ya mkodzo ku thupi. Komabe, pamene zinthu zachibadwa ndi zowawa zimayamba kukhudza mbali zapansi za thupi, zimatha kuyambitsa zovuta zowawa zomwe zingayambitse kupweteka kwa visceral kumunsi kumbuyo, ndipo zingapangitse anthu ambiri kuganiza kuti akumva ululu wammbuyo. , chomwe ndi chimodzi mwa zizindikiro zomwe zimagwirizanitsidwa ndi ululu wa m'chiuno. Pamene anthu ambiri akukumana ndi ululu wa m'chiuno wokhudzana ndi kupweteka kwa msana, ambiri amasankha kupeza chithandizo kuti achepetse zizindikiro za ululu ndikubwezeretsanso thupi lawo. Nkhani ya lero ikuyang'ana momwe kupweteka kwa m'chiuno kumayenderana ndi ululu wochepa wa msana komanso momwe mankhwala monga acupuncture angathandizire kuchepetsa ululu wa m'chiuno wokhudzana ndi kupweteka kwa msana ndikupereka mpumulo. Timayankhula ndi madokotala ovomerezeka omwe amaphatikizapo zambiri za odwala athu kuti apereke chithandizo chamankhwala osiyanasiyana kuti athetse ululu wochepa wa msana wokhudzana ndi ululu wa m'chiuno. Timadziwitsanso odwala momwe mankhwala osagwiritsa ntchito opaleshoni monga acupuncture angathandizire kuchepetsa zotsatira za ululu wa m'chiuno. Timalimbikitsa odwala athu kuti afunse mafunso ovuta kwa othandizira athu azachipatala okhudzana ndi zizindikiro zowawa zomwe akukumana nazo zogwirizana ndi ululu wa m'chiuno zomwe zimabweretsanso zovuta m'mbuyo mwawo. Dr. Alex Jimenez, D.C., amagwiritsa ntchito chidziwitsochi ngati ntchito yophunzirira. chandalama.
Kodi Kupweteka kwa Pelvic Kumagwirizanitsidwa Bwanji ndi Kupweteka Kwapambuyo?
Kodi mudamvapo zowawa zowopsa chifukwa chokhala mopitilira muyeso komwe kumayambitsa kupweteka m'munsi mwa msana kapena m'chiuno? Kodi mukumva kuwuma m'munsi mwa msana ndi m'chiuno mwanu chifukwa cha kusakhazikika bwino? Kapena mukukumana ndi kupsinjika kwakukulu mozungulira dera lanu la pelvic? Pamene anthu ambiri akukumana ndi zovuta ngati zowawa izi, zimayenderana ndi ululu wa m'chiuno. Tsopano, ululu wa m'chiuno ndi wamba, wolepheretsa, kupweteka kosalekeza komwe kumagwirizanitsidwa ndi comorbidities zomwe zimakhala zambiri ndipo nthawi zambiri zimakhala zowawa zapakati. (Dydyk & Gupta, 2023) Panthawi imodzimodziyo, kupweteka kwa m'chiuno ndizovuta kuti azindikire chifukwa chokhala ndi zinthu zambiri komanso kugawana mizu yambiri ya mitsempha yomwe imafalikira ndikugwirizanitsa ndi dera la lumbar. Mpaka pano, izi zimayambitsa ululu wam'munsi ndipo zimapangitsa anthu ambiri kuganiza kuti akumva kupweteka kwa msana pamene, kwenikweni, akulimbana ndi ululu wa m'chiuno. Izi zimachitika chifukwa cha kufooka kwa minofu ya m'chiuno, zomwe zimapangitsa kuti anthu ambiri asamayende bwino, zomwe zimayambitsa kupweteka kwa msana pakapita nthawi.
Kuonjezera apo, pamene chigawo cha m'chiuno chimagwiritsidwa ntchito molakwika chifukwa cha kubwerezabwereza komwe kumayambitsa kupweteka kwa m'mbuyo, kungapangitse kuti minofu yozungulira ikhale yowonjezereka komanso yomasuka kuzungulira ziwalo za sacroiliac. (Mutaguchi et al., 2022) Izi zikachitika, minofu yozungulira chiuno ndi m'munsi imatha kufooka, zomwe zimapangitsa kuti pakhale kupendekeka kwa m'mimba ndikupangitsa kusintha kwa dera la lumbopelvic.
Popeza dera la lumbopelvic lili m'munsi mwa thupi, lingayambitse kusintha kwa chigoba cha thupi, zomwe zimayambitsa kupweteka kwa msana. Pamene chiwerengero chowonjezeka cha anthu chikulimbana ndi kufooka kwa msana, iwo adzakhalabe ndi malo oima pamene akulepheretsa mphamvu yokoka yawo yapakati kuti isapitirire patsogolo pogwiritsa ntchito minofu yawo ya m'chiuno kuti athe kubwezera kulemera kwawo. (Murata et al., 2023) Izi zikachitika, zimapangitsa kuti minofu yozungulira yozungulira ndi minofu yam'mbuyo ikhale yowonjezereka, zomwe zimapangitsa kuti minofu yowonjezera ikhale ndi mphamvu zambiri ndikuchita ntchito zoyamba za minofu. Izi zimayambitsa zovuta za mkodzo ndi minofu zomwe zimayambitsa kupweteka kwa phwetekere-visceral mu musculoskeletal system. Komabe, pali njira zambiri zochepetsera ululu wa m'chiuno womwe umagwirizanitsidwa ndi ululu wochepa wa msana pamene kubwezeretsa ntchito ya m'chiuno ndikubwezeretsanso mphamvu ya minofu ku minofu yozungulira m'dera la chiuno.
Ndi Njira Yothandizira Kuchiritsa- Kanema
Kodi mwakhala mukukumana ndi kuuma kwa minofu m'chiuno mwanu, m'munsi kumbuyo, kapena m'chiuno mwanu? Kodi mumamva kuti mumangoyenda pang'ono m'mawa, kuti mumve bwino tsiku lonse? Kapena mukukumana ndi vuto la chikhodzodzo lomwe limakhudzana ndi ululu wochepa wammbuyo? Zambiri mwazinthu zokhala ngati zowawazi zimayenderana ndi ululu wa m'chiuno ndipo zimatha kuyambitsa zovuta zomwe zimapweteka msana zomwe zimapangitsa kuti anthu ambiri azisakayika ndikumva kuwawa kosalekeza. Popeza ululu wa m'chiuno ndi matenda a multifactorial musculoskeletal disorder, amatha kugwirizanitsidwa ndi zovuta zomwe zingayambitse chigawo cha lumbar cha msana ndikukhudza kuyenda kwa thupi. Komabe, mankhwala ambiri amatha kuchepetsa zotsatira za ululu wa m'chiuno ndikubwezeretsanso kuyenda kwa msana kwa thupi. Pankhani yofunafuna chithandizo, anthu ambiri amafunafuna njira zochiritsira zomwe zimakhala zotsika mtengo ndipo zingathandize kuchepetsa ululu womwe umatumizidwa womwe umakhudzana ndi kupweteka kwa msana ndi m'chiuno. Vidiyo yomwe ili pamwambayi ikuwonetsa momwe mankhwala osagwiritsa ntchito opaleshoni angathandizire kubwezeretsa kuyenda kwapansi.
Acupuncture Kwa M'chiuno & Kupweteka Kwapambuyo
Pankhani ya chithandizo chopanda opaleshoni, anthu ambiri amafunafuna chithandizo chotsika mtengo. Kuchiza monga chisamaliro cha chiropractic, kupsinjika kwa msana, komanso kupaka minofu kungathandize kuchepetsa kupweteka kwa msana, koma kupweteka kwa m'chiuno, anthu ambiri amafunafuna njira yopumira. Acupuncture ndi ntchito yachipatala yochitidwa ndi katswiri wophunzitsidwa bwino yemwe amagwiritsa ntchito singano zolimba koma zoonda m'madera ena a thupi. Choncho, kwa anthu omwe ali ndi ululu wa m'chiuno, acupuncture ingathandize kubwezeretsa mphamvu zomwe zimagwirizanitsidwa ndi ziwalo zamkati zomwe zimayambitsa ululu. (Yang et al., 2022) Acupuncture imatha kuthandizira kubwezeretsa mphamvu kudera la pelvic potumiza mphamvu ku thupi ndikuthandizira kuchepetsa kuwonongeka ndi kusokonezeka kwa magwiridwe antchito. (Pan et al., 2023) Acupuncture amatha kuchepetsa kupweteka kwa msana posankha mfundo zina zomwe zingakhudze malo omwe ali pakati pa chiuno ndi kumbuyo kuti asatseke kuzungulira kubwerera ku minofu. (Sudhakaran, 2021) Anthu ambiri akayamba kugwiritsa ntchito njira yochizira munthu aliyense payekhapayekha, amatha kuzigwiritsa ntchito limodzi ndi mankhwala ena kuti akhale ndi thanzi labwino.
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