Ululu wammbuyo ndi nkhani yomwe anthu ambiri padziko lonse amakumana nayo. Thupi lalikulu la thupi la munthu ndi kumbuyo, logawidwa m'magawo atatu: khomo lachiberekero, thoracic, ndi lumbar. Zigawozi zimathandizira kusuntha kwa thupi, kuphatikiza kupotoza ndi kutembenuka, kusuntha malekezero, komanso kukhala ndi ubale ndi zabwino ndi dongosolo lalikulu la mitsempha. Minofu yozungulira kumbuyo imaperekanso chithandizo ndi kuteteza msana. Komabe, zochitika zachibadwa monga kugwada pansi kuti mutenge chinthu cholemera, kukhala pansi kwa nthawi yaitali, kapena kugwa kungayambitse kusintha komwe kumayambitsa kupweteka kwa msana, kusalongosoka, ndi mbiri ya chiopsezo kumtunda ndi kumunsi. Nkhani ya lero ikufotokoza zomwe zimayambitsa kupweteka kwa msana ndi mankhwala omwe alipo kuti athetse zotsatira zake. Timagwiritsa ntchito ndikuphatikiza zidziwitso zamtengo wapatali za odwala athu kwa azachipatala ovomerezeka omwe amagwiritsa ntchito mankhwala osachita opaleshoni kuti achepetse kupweteka kwam'mbuyo. Timalimbikitsa ndi kutumiza odwala kwa azachipatala omwe amagwirizana nawo malinga ndi zomwe apeza pomwe timathandizira kuti maphunziro ndi njira yodabwitsa komanso yosangalatsa yofunsa opereka chithandizo mafunso ofunikira pakuvomereza kwa wodwalayo. Dr. Alex Jimenez, DC, ali ndi chidziwitso ichi ngati ntchito yophunzitsa. chandalama
Chidule Cha Kupweteka Kwa Msana
Kodi mumamva kupweteka kumtunda, pakati, kapena kumbuyo kwanu? Kodi mumamva zowawa ndi zowawa m'mawa? Kodi kukweza chinthu cholemera kukupweteketsani? Zizindikirozi zitha kukhala zizindikiro za ululu wammbuyo, chifukwa chofala komanso chokwera mtengo choyendera zipinda zadzidzidzi. Kafukufuku akuwonetsa kuti ululu wammbuyo ukhoza kukhala ndi zifukwa zosiyanasiyana ndipo umakhudza thupi lonse, kaya ndi makina kapena osakhala enieni. Zigawo zitatu zam'mbuyo - khomo lachiberekero, thoracic, ndi lumbar - zonse zimatha kukhudzidwa, zomwe zimayambitsa ululu wotchulidwa m'madera osiyanasiyana a thupi. Mwachitsanzo, kupweteka kwa khomo lachiberekero (chapamwamba) kungayambitse kuuma kwa khosi, pamene kupweteka kwa thoracic (pakati) kungayambitse mapewa ndi kaimidwe. Lumbar (otsika) ululu wammbuyo, mtundu wofala kwambiri, ungayambitse mavuto a chiuno ndi sciatic. Kafukufuku wowonjezera amawulula kuti kupweteka kwa msana ndi vuto lovuta kwambiri lomwe lingakhudze kwambiri ntchito ya thupi, komanso zinthu zachilengedwe zingakhudzenso.
Zomwe Zimayambitsa Kupweteka Kwa Msana
Zinthu zosiyanasiyana zimatha kukhala chifukwa cha ululu wammbuyo, zomwe zimapangitsa kuti msana ukhale wolakwika. M'buku lawo, "The Ultimate Spinal Decompression," Dr. Eric Kaplan, DC, FIAMA, ndi Dr. Perry Bard, DC, akufotokoza kuti minofu yam'mbuyo imagwira ntchito yofunika kwambiri poteteza msana. Zinthu zachilengedwe zimathanso kukhudza msana, zomwe zimayambitsa kupweteka kwa msana. Bukhuli linanenanso kuti kuvala ndi kung'amba ndi kutuluka kwa disc pa msana kungapangitse disc herniation ndi kuwonongeka, komanso kumagwirizana ndi ululu wammbuyo. Zomwe zimayambitsa kupweteka kwa msana ndi izi:
Kuwonongeka kwa disc
Minofu sprains ndi mavuto
Kuthamanga kwa spinal disc
Herniations
Matenda a musculoskeletal (arthritis, osteoporosis, sciatica, & fibromyalgia)
Visceral-somatic/Somato-visceral ululu (Chiwalo chokhudzidwa kapena minofu imayambitsa ululu wotchulidwa ku ziwalo zosiyanasiyana za thupi)
Kodi mwakhala mukumva dzanzi kapena kunjenjemera m'manja kapena m'miyendo yanu? Kodi mumamva kupweteka kwa minofu yam'mbuyo mukatambasula? Kapena mumamva kupweteka kumbuyo kwanu kapena mbali zina za thupi lanu? Nkhanizi nthawi zambiri zimagwirizanitsidwa ndi ululu wammbuyo ndipo, ngati sizitsatiridwa, zingayambitse kulemala ndi kutaya ntchito. Mwamwayi, pali njira zambiri zochepetsera ululu wammbuyo ndi zizindikiro zomwe zimagwirizanitsidwa ndi kulimbikitsa machiritso achilengedwe. Vidiyo yomwe ili pamwambapa ikufotokoza momwe chithandizo chosagwiritsa ntchito opaleshoni monga chisamaliro cha chiropractic chingathandizire kuchepetsa ululu wammbuyo pogwiritsa ntchito kusintha kwamanja. Mankhwalawa amatha kusintha msana, kutambasula minofu yolimba, ndi kubwezeretsanso kayendedwe ka thupi.
Chithandizo cha Kupweteka Kwamsana
Ngati mukukumana ndi ululu wammbuyo, mankhwala osiyanasiyana angathandize kuchepetsa zizindikiro zanu ndikuwongolera kuyenda kwanu. Muli ndi njira ziwiri zochizira ululu wammbuyo: opaleshoni komanso osachita opaleshoni. Chithandizo cha opaleshoni chingakhale chofunikira ngati mukukumana ndi kupsinjika kwa mitsempha kapena mwakhala mukuvulala komwe kumafuna kusakanikirana kwa msana. Mankhwala osachita opaleshoni angathandize kuchepetsa kupanikizika kwa msana wanu, kuchepetsa ululu wammbuyo, komanso kuchepetsa ululu m'madera ena a thupi lanu. Thandizo lina lopanda opaleshoni la ululu wammbuyo ndi:
Kuchiza thupi
Masewera olimbitsa thupi
Kusamalira tizilombo
kutema mphini
Kusokonezeka kwa msana
Malinga ndi kafukufuku, mankhwala osachita opaleshoni amatha kuchepetsa kupanikizika kwa ma discs a msana, kumasula minofu yolimba, kupititsa patsogolo kuyenda kwamagulu, ndi kulimbikitsa machiritso achilengedwe. Anthu ambiri amawonjezera mankhwalawa ndi zosankha zamoyo wathanzi, kupanga kusintha pang'ono pazochitika zawo komanso kusamala kwambiri za thanzi lawo.
Kutsiliza
Popeza ululu wammbuyo ndi vuto lofala lomwe limakhudza anthu padziko lonse lapansi, likhoza kuyambitsidwa ndi zinthu zosiyanasiyana zachilengedwe zomwe zimakhudza zigawo za khomo lachiberekero, thoracic, ndi lumbar, zomwe zimapangitsa kuti pakhale zochitika zoopsa zomwe zimakhudza ziwalo zosiyanasiyana za thupi. Minofu yolimba komanso yolimba komanso kupsinjika kwa msana ndizizindikiro zofala za nkhaniyi. Komabe, mankhwala omwe amapezeka amatha kuchepetsa ululu, kutambasula minofu yolimba, komanso kuchepetsa kupanikizika kwa msana. Mwa kuphatikiza mankhwalawa, anthu amatha kuchepetsa ululu wammbuyo ndikulola matupi awo kuchiza mwachibadwa.
Zothandizira
Allegri, Massimo, et al. "Njira Zopweteka Pambuyo Pang'onopang'ono: Chitsogozo cha Kuzindikira ndi Kuchiza." F1000Kufufuza, 28 June 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC4926733/.
Casiano, Vincent E, et al. "Kupweteka Kwamsana." Mu: StatPearls [Intaneti]. Chilumba cha Treasure (FL), 20 Feb. 2023, www.ncbi.nlm.nih.gov/books/NBK538173/.
Choi, Jioun, et al. "Zotsatira za Spinal Decompression Therapy ndi General Traction Therapy pa Ululu, Kulemala, ndi Kukweza Miyendo Yowongoka kwa Odwala ndi Intervertebral Disc Herniation." Journal of Physical Therapy Science, Feb. 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4339166/.
Kaplan, Eric, ndi Perry Bard. The Ultimate Spinal Decompression. JETLAUNCH, 2023.
Onani, Qin Yong, et al. "Kupweteka Kwambiri Kwambiri Kwambiri: Kuzindikira ndi Kuwongolera." Singapore Medical Journal, June 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC8801838/.
Kwa gulu lotsutsa, ikani gululo pamalo okhazikika pamwamba pa msinkhu wa diso. Kwa ma dumbbell opepuka, tambasulani manja patsogolo pa thupi pamwamba pa diso.
Gwiritsani ntchito chogwirira cham'mwamba mukagwira zogwirira za band yolimbana ndi ma dumbbells opepuka.
Kokani magulu otsutsa kapena ma dumbbells kumaso.
Yatsani mikono yakumtunda kumbali
Finyani mapewa pamodzi
Imani pang'ono ndikubwerera pomwe munayambira
Malizitsani ma seti atatu a 12 reps
Zochita izi zimathandiza kulimbikitsa minofu ya mapewa ndikuletsa kuvulala kwamtsogolo kuti zisachitike kumtunda kwa msana.
Kutsiliza
Minofu ina yosiyanasiyana ndi mitsempha imazungulira kumbuyo ndikuthandizira kuteteza dera la thoracic la msana. Minofu iyi imathandizira kukhazikika kwa nthiti ndikuthandizira kupereka magwiridwe antchito kumtunda wammbuyo. Zinthu zambiri zikamayambitsa kuvulala koopsa kumtunda kwa msana, zimatha kuyambitsa zizindikiro zowawa zomwe zingayambitse kuphatikizika kwa zinthu zomwe zimakhudza moyo wamunthu. Mwamwayi, masewera olimbitsa thupi osiyanasiyana amalunjika kumtunda kwa msana ndi magulu ozungulira minofu. Ntchito iliyonse imayang'ana minofu yonse yomwe ili kumtunda wammbuyo ndipo imalola munthu kukhalanso ndi thanzi labwino popanda kupweteka kosalekeza.
Zothandizira
Atalay, Erdem, et al. "Zotsatira za Kuchita Zolimbitsa Thupi Zapamwamba Kwambiri pa Mphamvu ya Lumbar, Kulemala ndi Kupweteka kwa Odwala Omwe Ali ndi Ululu Wosatha Kwambiri: Phunziro Loyendetsedwa Mwachisawawa." Journal of Sports Science & Medicine, US National Library of Medicine, 1 Dec. 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5721192/.
Casiano, Vincent E, et al. "Kupweteka Kwam'mbuyo - Statpearls - NCBI Bookshelf." Mu: StatPearls [Intaneti]. Chilumba cha Treasure (FL), StatPearls Publishing, 4 Sept. 2022, www.ncbi.nlm.nih.gov/books/NBK538173/.
Louw, Adriaan, ndi Stephen G Schmidt. "Kupweteka Kwambiri ndi Msana wa Thoracic." The Journal of Manual & Manipulative Therapy, US National Library of Medicine, July 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4534852/.
Mann, Steven J, et al. "McKenzie Back Exercises - Statpearls - NCBI Bookshelf." Mu: StatPearls [Intaneti]. Chilumba cha Treasure (FL), StatPearls Publishing, 4 Julayi 2022, www.ncbi.nlm.nih.gov/books/NBK539720/.
Zizindikiro zopitirira kapena zowonjezereka pambuyo pa 6 kwa masabata a 8 zingafunike ma x-ray ambiri ndi kuyezetsa matenda kuti awone ngati pali kuvulala koopsa.
Anthu ena angakuuzeni kuti whiplash ndi kuvulala kopangidwa komwe anthu amagwiritsa ntchito kuti apeze ndalama zambiri pakukhazikika chifukwa cha ngozi. Iwo samakhulupirira kuti n'zotheka pa ngozi yotsika kumbuyo ndikuyiwona ngati kuvulaza kovomerezeka, makamaka chifukwa palibe zizindikiro zowonekera.
Akatswiri ena a inshuwaransi amanena kuti pafupifupi a chachitatu cha milandu ya whiplash ndi yachinyengo, kusiya magawo awiri mwa atatu a milanduyo kukhala yovomerezeka. Kafukufuku wambiri amachirikizanso zonena kuti ngozi zotsika kwambiri zimatha kuyambitsa whiplash, zomwe ndi zenizeni. Odwala ena amavutika ndi ululu ndi kusayenda kwa moyo wawo wonse.
Kafukufuku akuwonetsa kuti umphumphu wa minofu ya paraspinal umakhala ndi gawo lofunika kwambiri pokhudzana ndi kukonzanso kwa msana kumbuyo. Mitsempha ya thoracolumbar paraspinal ikagwiritsidwa ntchito mopitirira muyeso kuchokera ku ntchito zachizolowezi, imatha kukhudza msana poyambitsa zizindikiro za ululu wammbuyo kapena lumbago zomwe zimagwirizana ndi zoyambitsa. Mu bukhu la Dr. Travell, MD "Myofascial Pain and Dysfunction," mfundo zoyambitsa zikhoza kutsegulidwa chifukwa cha kusuntha kwadzidzidzi kapena kukhazikika kwa minofu pakapita nthawi yomwe imayambitsa chitukuko cha lumbago. Matenda a atrophy mu minofu ya paraspinal amatha kupangitsa kuti lumbago igwirizane ndi mfundo zoyambitsa zomwe zimayambitsa kupweteka kwambiri m'madera a thoracolumbar kumbuyo. Zoyambitsa zogwira ntchito mumagulu akuya a minofu ya thoracolumbar paraspinal zimatha kusokoneza kayendetsedwe kake pakati pa vertebrae panthawi yopindika kapena kupindika mbali.
Chidule Cha Lumbago- Kanema
Lumbago or ululu wammbuyo ndi imodzi mwazovuta zomwe anthu ambiri, kuyambira pachimake mpaka osachiritsika, malingana ndi momwe ululu umapwetekera kumbuyo. Kodi mwakhala mukumva kuwawa pakati pa msana wanu? Kodi mumamva kugwedezeka kwamagetsi mukatsika mwendo wanu modabwitsa? Kapena mwamva kukoma pakati pa msana wanu? Kuwona zizindikiro izi kungasonyeze kuti minofu ya thoracolumbar paraspinal imakhudzidwa ndi mfundo zoyambitsa zomwe zimagwirizanitsidwa ndi lumbago. Kanemayo akufotokoza chomwe lumbago ndi, zizindikiro, ndi njira zosiyanasiyana zochizira kuti athetse ululu ndikuwongolera mfundo zoyambitsa zomwe zimayambitsa vuto la minofu ya thoracolumbar kumbuyo. Anthu ambiri omwe amadwala lumbago nthawi zambiri samazindikira kuti zinthu zosiyanasiyana zimatha kukhudza minofu yozungulira m'dera la thoracolumbar ndikubisa zovuta zina zam'mbuyomu zomwe angavutike nazo. Ponena za kuyang'anira lumbago yokhudzana ndi mfundo zoyambitsa, njira zosiyanasiyana zothandizira zingathandize kuchepetsa ululu umene umakhudza minofu ya thoracolumbar paraspinal pamene mukuyendetsa mfundo zoyambira kuti zipite patsogolo kumbuyo.
Mankhwala Othandizira Kuchepetsa Lumbago Mu Minofu Ya Thoracolumbar
Popeza lumbago kapena ululu wammbuyo ndi nkhani yofala kwa anthu ambiri, mankhwala osiyanasiyana amatha kuchepetsa zizindikiro zowawa m'mitsempha ya thoracolumbar ndikuwongolera mfundo zomwe zimayambira. Zina mwa mankhwala osavuta omwe anthu ambiri angagwiritse ntchito ndikuwongolera momwe akuyimira. Anthu ambiri nthawi zambiri amatsamira mbali imodzi ya matupi awo zomwe zimapangitsa kuti minyewa ya thoracolumbar paraspinal mbali inayo kuti ikhale yodzaza. Izi zimayambitsa kugwedezeka kwa msana kapena kusayenda bwino kudera la thoracolumbar. Chithandizo china chomwe anthu ambiri amatha kuphatikizira m'moyo wawo watsiku ndi tsiku ndikupita kwa chiropractor kuti asinthe msana wa thoracolumbar spine. Kafukufuku akuwonetsa kuti chisamaliro cha chiropractic chophatikizidwa ndi chithandizo chamankhwala chikhoza kuthetsa thoracolumbar kumbuyo pamene kuchepetsa zizindikiro zowawa zomwe zimagwirizanitsidwa ndi mfundo zoyambitsa matenda mwa kumasula minofu yolimba ndikupangitsa mpumulo kumbuyo.
Kutsiliza
Kumbuyo kuli ndi minofu yosiyanasiyana yomwe imadziwika kuti thoracolumbar paraspinal minofu yomwe imalola kuyenda ndi kuyenda kwa thupi. Minofu yam'mbuyo imathandiza kuteteza chiberekero, thoracic, ndi lumbar ya msana pamene ikugwira ntchito ndi ziwalo zonse za thupi kuti thupi likhale lokhazikika. Kukalamba kwachilengedwe kapena zochita zikakhudza minofu yam'mbuyo, zimatha kuyambitsa zovuta zosiyanasiyana zowawa zomwe zimatha kuyambitsa mfundo zoyambitsa lumbago kapena ululu wammbuyo. Mwamwayi, mankhwala ena angathandize kuchepetsa ululu wammbuyo m'mitsempha ya thoracolumbar paraspinal pamene akuyendetsa mfundo zoyambitsa kuti abwezeretse kuyenda kumbuyo.
du Rose, Alister, ndi Alan Breen. "Ubale pakati pa Paraspinal Muscle Activity ndi Lumbar Inter-Vertebral Range of Motion." Zaumoyo (Basel, Switzerland), MDPI, 5 Jan. 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC4934538/.
Iye, Kevin, et al. "Zotsatira za Paraspinal Muscle Atrophy mu Low Back Pain, Thoracolumbar Pathology, ndi Zotsatira Zachipatala Pambuyo pa Opaleshoni ya Msana: Kubwereza kwa Mabuku." Global Spine Journal, SAGE Publications, Aug. 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7359686/.
Khodakarami, Nima. "Kuchiza Odwala Omwe Ali ndi Ululu Wochepa Kwambiri: Kuyerekeza kwa Physical Therapy ndi Chiropractic Manipulation." Zaumoyo (Basel, Switzerland), MDPI, 24 Feb. 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7151187/.
Travell, JG, et al. Kupweteka kwa Myofascial ndi Kuwonongeka: Buku la Trigger Point: Vol. 1: Hafu Yapamwamba Yathupi. Williams & Wilkins, 1999.
The msana wa thoracic, yomwe imadziwikanso kuti msana wam'mwamba kapena wapakati, idapangidwa kuti ikhale yokhazikika kuti ikhazikitse nthiti ndi kuteteza ziwalo za pachifuwa. Ndizovuta kwambiri kuvulala ndi ululu. Komabe, pamene ululu wammbuyo wa thoracic umapezeka, nthawi zambiri umachokera ku zovuta za nthawi yayitali kapena kuvulala. Kupweteka kwa msana wa thoracic sikofala kwambiri kusiyana ndi kupweteka kwa msana ndi khosi, koma kumakhudza mpaka 20% ya anthu, makamaka amayi. Njira zochizira zimaphatikizapo chiropractic kuti muchepetse ululu mwachangu komanso kwakanthawi.
Thoracic Back Kupweteka ndi Kupweteka
Dera la thoracic ndilofunika kwambiri pazinthu zosiyanasiyana zokhudzana ndi:
Anthu omwe amatsatira zamasamba, zamasamba, ndi wosadya zamasamba zakudya zanenapo ndikuwonetsa kuti sakhala olemera kwambiri kapena onenepa kwambiri. Izi zikhoza kusonyeza kuti kuchepetsa kudya nyama ndi nyama ndi zothandiza kuwonda. Kafukufuku wapeza kuti anthu omwe amatsatira zakudya za vegan amatha kuonda kuposa anthu omwe amadya zakudya zochepetsera thupi, ngakhale atadya zopatsa mphamvu zofananira, ndipo nthawi zambiri amakhala ndi kusintha kwakukulu kwa shuga m'magazi ndi zolembera zotupa.
Mapuloteni Otengera Zomera ndi Kupeza Kwa Minofu
ena mapuloteni opangidwa ndi zomera ndizothandiza ngati mapuloteni a nyama polimbikitsa kupindula kwa minofu. A phunziro adapeza kuti kuwonjezera mapuloteni a mpunga kutsatira kuphunzitsidwa kukana kunali ndi phindu lofanana ndi whey protein supplementation. Magulu onsewa anali ndi:
Briggs AM, Smith AJ, Straker LM, Bragge P. Thoracic ululu wa msana pakati pa anthu ambiri: kufalikira, zochitika ndi zochitika zogwirizana ndi ana, achinyamata ndi akuluakulu. Ndemanga mwadongosolo. BMC Musculoskelet Disord. 2009; 10:77.
Cichoń, Dorota et al. "Kuthandiza kwa Physiotherapy Pochepetsa Kupweteka Kwam'mbuyo ndi Kupititsa patsogolo Kuyenda Pamodzi mwa Akazi Okalamba." Ortopedia, traumatologia, rehabilitacja vol. 21,1, 2019 (45): 55-10.5604. doi:01.3001.0013.1115/XNUMX
Fouquet N, Bodin J, Descatha A, et al. Kuchuluka kwa ululu wa msana wa thoracic mu network yowunikira. Occupa Med (Lond). 2015;65(2):122-5.
Jäger, Ralf et al. "Kuyerekeza kwa mpunga ndi mapuloteni a whey kumapatula chimbudzi ndi kuyamwa kwa amino acid." Journal of the International Society of Sports Nutrition vol. 10, Zowonjezera 1 P12. 6 Dec. 2013, doi:10.1186/1550-2783-10-S1-P12
Joy, Jordan M et al. "Zotsatira za masabata a 8 a whey kapena mapuloteni a mpunga pakupanga thupi ndi kuchita masewera olimbitsa thupi." Nutrition magazine vol. 12 86. 20 Jun. 2013, doi:10.1186/1475-2891-12-86
Medawar, Evelyn et al. "Zotsatira za zakudya zochokera ku zomera pa thupi ndi ubongo: kuwunika mwadongosolo." Translational psychiatry vol. 9,1 226. 12 Sep. 2019, doi:10.1038/s41398-019-0552-0
Newby, PK et al. "Kuopsa kwa kunenepa kwambiri komanso kunenepa kwambiri pakati pa azimayi okonda kudya, lactovegetarian, ndi azimayi anyama." The American Journal of Clinical Nutrition Vol. 81,6 (2005): 1267-74. doi:10.1093/ajcn/81.6.1267
Papa, Malcolm H et al. "Spine ergonomics." Kuwunika kwapachaka kwa biomedical engineering vol. 4 (2002): 49-68. doi:10.1146/annurev.bioeng.4.092101.122107
Anthu okhala ndi ankylosing spondylitis khalani ndi njira yatsopano yochizira yomwe idagwiritsidwa ntchito kale pa nyamakazi ya nyamakazi. Ndi mankhwala omwe ali m'gulu lomwe limadziwika kuti JAK inhibitors. Ankylosing spondylitis amaphatikiza kupweteka kwa mafupa ndi kuchepa kwa kuyenda. Ankylosing spondylitis ndi yosiyana chifukwa nthawi zambiri, mafupa a msana amatha kuphatikizira pamodzi, kuchepetsa kusuntha.
The matenda amayamba ndi ululu ndi kuuma kwa msana. Izi nthawi zambiri zimakhala pambuyo pa nthawi yosachita chilichonse. Zizindikiro zimayamba asanakwanitse zaka 45 ndikukula pang'onopang'ono. Palibe mankhwala a ankylosing spondylitis koma pali mankhwala omwe amatha kusintha zizindikiro ndikupangitsa kuti matendawa akhululuke. Chithandizo cha Ankylosing spondylitis ndichopambana kwambiri chikayankhidwa msanga musanayambe kuwonongeka kwa mafupa..
Mankhwalawa amagwira ntchito pochepetsa mphamvu ya chitetezo cha mthupi. Mankhwala a Janus kinase inhibitor amakhudza zinthu zingapo zama cell zomwe ndizofunikira pakukula ndikukula kwa ankylosing spondylitis. Pakadali pano, pali mankhwala atatu okha a Janus kinase inhibitor omwe amapezeka ku United States ndi ovomerezedwa ndi FDA kuti azichiza nyamakazi ya nyamakazi:
Xeljanz
Rinvoq
Olumiant
Chilichonse chovomerezeka inhibitors imayang'ana ma enzyme ena
Tumor necrosis factor blockers amagwira ntchito poyang'ana mapuloteni a cell omwe ndi gawo la chitetezo chamthupi, chomwe chimadziwika kuti chotupa necrosis alpha. Puloteniyi imayambitsa kutupa m'thupi, ndipo oletsa amapondereza.
Interleukin 17 Inhibitors
Interleukin 17 mu chitetezo cha mthupi chimateteza ku matenda. Amagwiritsa ntchito njira yotupa polimbana ndi matenda. The IL-17 inhibitors amapondereza kuyankha kotupa ndikuthandizira kuchepetsa zizindikiro.
Njira Zina Zochizira
Kusintha kwa Moyo Wathu
Kutsatira ndondomeko ya chithandizo chamankhwala nthawi zambiri kumaphatikizidwa ndi kusintha kwa zakudya ndi moyo zomwe zimalimbikitsidwa kuti zithandizire kudwala, izi ndi izi:
Palibe kafukufuku wokwanira kuti athe kulosera, koma deta ikulonjeza. Ma inhibitors amawoneka ngati njira yotetezeka ikagwiritsidwa ntchito poyang'aniridwa bwino, yogwirizana bwino yomwe imaphatikizapo kuyang'anitsitsa nthawi zonse. Ma inhibitors amawoneka kuti ndi othandiza komanso ali ndi ubwino wotengedwa pakamwa ndikugwira ntchito mofulumira.
Kupanga Thupi
Osteoarthritis ndi kuwonda
Kukhala onenepa kwambiri kwawonetsa kuti ndizovuta kwambiri pakukula kwa nyamakazi. Izi sizimachokera ku zotsatira za kulemera kowonjezera pa ziwalo za thupi komanso chifukwa cha zotsatira zotupa za minofu ya adipose. Kumunsi kwa msana, chiuno, ndi mawondo, ndizomwe zimanyamula kulemera kwakukulu kwa thupi.
Kuchulukirachulukira kwa minofu ya adipose pakatikati pa thupi ndi miyendo yawonetsedwa kuti kumakhudza kwambiri thupi zolemetsa zolumikizira. Kulimbikitsa Misa Yowonda ndi kulimbikitsa kuchepetsa thupi kumachepetsa chiopsezo cha osteoarthritis komanso kumapangitsa kuti munthu akhale ndi moyo wabwino. Kuchita masewera olimbitsa thupi kumawoneka kuti ndi kotetezeka kwa anthu omwe ali ndi nyamakazi ya osteoarthritis ndipo akuyenera kuphatikizidwa kuti apange thupi, kuchepetsa Mafuta a Thupi, onjezerani Lean Body Misa ndi kusunga kulemera kwa thanzi.
Dr. Alex Jimenez's Blog Post Chodzikanira
Kukula kwa chidziwitso chathu kumangokhala chiropractic, minofu ndi mafupa, mankhwala akuthupi, thanzi, ndi zovuta zaumoyo komanso/kapena zolemba zamankhwala, mitu, ndi zokambirana. Timagwiritsa ntchito ndondomeko zaumoyo ndi thanzi kuti tithandizire ndikuthandizira kuvulala kapena kusokonezeka kwa minofu ndi mafupa. Zolemba zathu, mitu yathu, mitu yathu, ndi zidziwitso zimakhudza zachipatala, zovuta, ndi mitu yomwe ikugwirizana ndikuthandizira mwachindunji kapena mwanjira ina momwe timagwirira ntchito.*
Ofesi yathu yayesetsa kupereka zolembedwa zochirikizira ndipo yazindikira kafukufuku wofunikira kapena maphunziro omwe akuchirikiza zolemba zathu. Timapanganso makope othandizira maphunziro a kafukufuku kuti apezeke ku board kapena kwa anthu akafunsidwa. Timamvetsetsa kuti timaphimba nkhani zomwe zimafuna kufotokozera zina za momwe zingathandizire mu ndondomeko ya chisamaliro kapena ndondomeko ya chithandizo; kotero, kuti mupitirize kukambirana nkhaniyi pamwambapa, chonde muzimasuka kufunsa Dr. Alex Jimenez kapena tilankhule nafe 915-850-0900. Wopereka (a) ali ndi Chilolezo ku Texas & New Mexico*
Zothandizira
Hammitzsch A, Lorenz G, Moog P. Zotsatira za Janus Kinase Kuletsa Kuchiza kwa Axial Spondyloarthropathies. Malire mu Immunology 11:2488, Oct 2020; doi 10.3389/fimmu.2020.591176.�www.frontiersin.org/article/10.3389/fimmu.2020.591176, yofikira pa Jan 21, 2021.
van der Heijde D, Baraliakos X, Gensler LS, et al. Kuchita bwino ndi chitetezo cha filgotinib, chosankha Janus kinase 1 inhibitor, mwa odwala omwe ali ndi ankylosing spondylitis (TORTUGA): zotsatira kuchokera ku mayesero osasinthika, oyendetsedwa ndi placebo, gawo la 2.Lancet.2018 Dec 1;392(10162):2378-2387. doi: 10.1016/S0140-6736(18)32463-2. Epub 2018 Oct 22. PMID: 30360970.�anayankhaIdapezeka pa Jan 19, 2021.
Dr. Jimenez akuwonjezera kuti ngati mukuwonetsa kusakhazikika bwino nthawi zonse, funsani dokotala wa msana kapena chiropractor kuti muwone ngati ndizovuta.
Transcutaneous Electrical Stimulation
The QUELL�TENS transcutaneous magetsi kukondoweza ndi mtundu watsopano wamtundu womwe umavala pa mwana wa ng'ombe. The pain-relief amadzinenera kuti imatumiza mphamvu zamagetsi zotetezeka zomwe zimayambitsa kuyankha kwachilengedwe kwa kupweteka kwathupi. QUELL imatha kuthandiza ndipo ili ngati mayunitsi ena ambiri a TENS.
Izi mayunitsi yambitsani ma opioid nerve receptors, chomwe ndi chimodzi mwa zifukwa zomwe amaperekera ululu. Mutha kuwapeza pansi pa $50 m'masitolo ogulitsa mankhwala komanso pa intaneti. M'malo mogwiritsidwa ntchito mwachindunji kumalo opweteka,� amavala pa mwana wa ng’ombe ndipo imagwira ntchito pa mfundo yomweyi ya TENS.� Mtengo pano ndi pafupifupi $300. Komabe, ndi gawo lililonse la TENS, dziwani kuti pakhoza kukhala a�mpumulo kulolerana zomwe zimamanga ndipo pamapeto pake sizingagwirenso ntchito. Magawo a TENS amagwira ntchito bwino, koma amagwiritsidwa ntchito bwino pachipatala cha physiotherapy/chiropractic chifukwa anthu amatha kuwazolowera.
Percussive Massager/s
Izi ndi massager wamanja zomwe zimapanga kugunda kwamphamvu kwambiri komanso kugwedezeka kwamphamvu kumasula ndi kumasula malo olimba. Wotsitsimula amati ndi choncho zofanana ku kutikita minofu yayikulu. Izi zimagwira ntchito ndipo zimathandizira kuchepetsa zizindikiro za ululu, koma sizili ngati a kwenikweni achire kutikita minofu. Pali kafukufuku wochepa pazamankhwalawa koma ambiri amati zida zosisita za percussive/vibrating, zomwe zingawononge mazana a madola, zitha kukhala zabwinoko pang'ono kuposa kutikita kwachikhalidwe pochotsa kuwawa kwa minofu. Izi sizinatsimikizidwebe.
Ma massager amphamvu amatha kukulitsa kapena kuyambitsa kuvulala / kwatsopano kupatulapo kuwawa kwa minofu akagwiritsidwa ntchito ndi anthu osaphunzitsidwa. Komabe, mu chipatala cha akatswiri akukhazikitsa kafukufuku akusonyeza kuti kugwedezeka kwakukulu komwe kumagwiritsidwa ntchito kumbuyo ndi chithandizo chamankhwala chothandizira kupweteka kwa msana.
