Kubantu abaningi abafuna impendulo engezona invasive, "engeyona enobuhlungu" ekubuyeni kwabo okubuhlungu okungapheli, kungase kubonakale sengathi odokotela bayashesha ukunikeza imithi (kubandakanya i- opioids yokulutha) kanye / noma ukuhlinzwa komgogodla . Futhi iziguli eziye zaphazamisa isikhathi eside zivame ukuhlushwa ukusikisela; bangahamba ngezincomo zabodokotela ngoba nje bakhathele ubuhlungu, ngoba akukho okunye okuye kwaphakanyiswa kubo (futhi abazange benze ucwaningo lwabo siqu), noma kokubili.
Uma lokhu kufana nawe, ubambe umzuzu, bese uthatha umoya ojulile. Iziguli eziphulukisa izihlungu zomshoshaphansi zihamba ngendlela efanele ngokuthatha umzila oqaphayo kuphela; Le ndlela yokufinyelela ukukhululeka ingafaka ukwelashwa ngokomzimba, izinguquko zokuphila (isibonelo ukwehlisa isisindo) nokuzivocavoca-kodwa akukhona ngokuhlinzwa.
Futhi nasi iphuzu: Ochwepheshe abaningi base-spine bakholelwa ukuthi esikhundleni sokubhanka ngendlela eyodwa yokwelashwa ngokuzenzekelayo, ukusebenzisa inhlanganisela yezindlela kungabangela imiphumela esheshayo nenomthelela kakhulu ngokubhekene nobuhlungu obuncishisiwe nokusebenza ngokomzimba okwandayo.
Enye yezinqubo eziningi ezingezona zokuhlinza ubuhlungu obubuhlungu obuya emuva obulokhu buya ekuthandeni, kanye nokushaya intshisekelo yabacwaningi bezokwelapha, ukusebenzisa ukufakwa kwezicathulo kanye / noma izintambo zezandla zomkhuba. Kulesi sihloko, sizohlola ukuthi amadivaysi okusekela ngezinyawo angasiza kanjani ukunciphisa ubuhlungu bakho obubuyela emuva.
Ukufaka izicathulo ngokumelene ne-Custom Orthotics-Uyini umehluko?
Kunezinyawo ezisekela futhi kunezinyawo ezisekelayo, ngakho ake siqale ngokuthola imigomo yethu ngqo.
Ungathenga ukufaka okungekho okungavunyelwe ukufaka izihlangu, ukusekela kwe-arch nama-insoles-ngamanye amagama, amadivaysi ajwayelekile ahambayo esikhwameni sakho futhi aguqule (okungcono noma okubi kakhulu) ukuma kwezinyawo nezinyawo-esitolo sakho sezidakamizwa. Ungawahlela futhi ku-intanethi.
Enye indlela yokubona lolu hlobo lokufakwa yilokho ukuthi liza kuqala futhi likhiqizwa ngobuningi.
I-American Podiatric Medical Association (APMA) ithi ungathola futhi okuthiwa "umkhuba okwenziwe" unyawo lusekela ngezitolo ezikhethekile zokudayisa noma ku-intanethi. Kodwa, inhlangano iyaxwayisa, ngaphandle uma ngabe ifakiwe ishicilelwe udokotela futhi yenziwe ngokuqondile ngezinyawo zakho, kubhekwa njengokufakwa futhi akuyona i-orthotic.
Izinhlobo zokufaka izicathulo
I-APMA ithi izinhlobo ezivame kakhulu zokufakelwa kwezicathulo zihlanganisa ukwesekwa kwe-arch ngamagceke aphezulu noma izinyawo eziphansi, izinsimbi zokuxoshwa nokusekelwa okungeziwe, izinsimbi zezithende ezithende ukuxhaswa nesithende, nezinyathelo zokuhamba ngezinyawo ukuze zithole induduzo ngenkathi izingxenyeni zesihlangu sakho ziqhuma unyawo lwakho .
Mayelana nama-Orthotic Custom
Amathrekhi angokwezifiso, ngakolunye uhlangothi, atholakale ngogqirha kuphela futhi ahambisana nokucaca ezinyaweni zakho ngabanye-ukuma kwawo, ukuhlelwa kwesikhashana (kungakhathaliseki ukuthi kuhambelana kahle noma cha), futhi ngisho nendlela abasebenza ngayo usuku nosuku.
Lokho kusho ukuthi kukhona ukungavumelani okuningi phakathi kochwepheshe mayelana nokuthi ama-custom orthotics asebenza kahle kangakanani, kanye nabaningi embonini bakholelwa ukuthi kunqunyiwe. Futhi ithegi lentengo ingaba yinkimbinkimbi: I- New York Times yonyaka ka-2006 ibike ukuthi, ngokusho komkhakha owodwa wezezimboni, izindleko zokukhiqiza izintambo ezimbili zazingu-$ 78.
Kodwa njengoba ikhasimende, cishe uzokhokha okungenani kabili lokho, nakuba kuvame izikhathi ezingaphezu kweziyisishiyagalombili ngaphezulu. Esinye isizathu esikhulu salokhu ukuthi ukubeka odokotela-kanye nomkhiqizi-kuzongeza ngenzuzo yabo kwizindleko ezisekelwe phansi, ukuyiqhuba kakhulu.
I-APMA ibonisa ukuthi ama-orthotics angokweziko wenziwe ngawe kuphela, futhi ngendlela yokuthi afana ngqo nezinselelo zezinyawo zakho. Lokhu kungukuthi i-orthotic ingakwazi ukufaka isakhiwo sakho sezinyawo eziyingqayizivele kanye nokukhubazeka, kufaka phakathi, kodwa kungagcini ekubuyiseni emuva, bathi.
Ngokuvamile, ama-orthotics angokwezifiso enze enye, noma kokubili, yezinto ezimbili:
- Banikeza ukukhishwa nokusekelwa okwengeziwe.
- Basiza ukulawula ukunyakaza ezinyaweni zakho (ezakhiwa ngamathambo angu-26, ngakho-ke izixhumanisi eziningi eziguquguqukayo.) Ngokulawula ukunyakaza, isifiso sakho somkhuba singakwazi ukugcina izinyawo nezinyawo zakho ngendlela efanele kakhulu ngesikhathi sokuma, ukuhamba, ukugijima , nezinye izinto ezithwala isisindo.
I-APMA ithi ngaphambi kokuthi uhlele umkhuba wakho wezintandokazi, uzodinga ukuthola ukuhlolwa kwezinyawo zakho kuphela, kodwa wonke umkhawulo wakho ophansi. Yiqiniso, batusa kuphela ama-podiatrists ngalokhu, kodwa izidakamizwa eziningi kanye nabanye odokotela bezokwelapha kanye nodokotela wezokwelapha banikeza inkonzo.
Uma ukuhlolwa sekuqedile, ngaleso sikhathi ukukhiqizwa kokuqala komkhuba wakho wama-orthotic, i-APMA ithi.
Ngabe Udinga Ukusekelwa Kwamaphiko Okungeziwe?
Ukufakwa kwezicathulo kanye nama-orthotics angokwezifiso zisetshenziselwa kabanzi ngezinkinga zonyawo. Ukuxilongwa okuvamile lapho izinhlobonhlobo zokusekela izinyawo ezibekwe khona (noma kunconywa) zihlanganisa izigqoko eziphambili, amabuniyoni, i-fasciitis ye-plantar, i-neuropathy ehlobene nesifo sikashukela, nokuningi. Uma ucabanga ukuthi unayo yalezi zinto, khuluma nodokotela wakho kanye / noma umculi wezinyawo.
Kodwa kuthiwani ngezinkinga zangemva?
Mhlawumbe isizathu esivamile kakhulu esiphambanweni somgogodla wezintandokazi zenkambiso yimihluko yobude bomlenze. Umehluko wobude bomlenze (ukungafani komlenze we-leg) ungasondeza "isikhumba" esingase sithinte ukulinganisa kwakho komgogodla nokulinganisela kwemisipha.
Isebenza kanje: Njengoba umlenze omfushane uzama ukufika emhlabathini (okwenzayo ngazo zonke izinyathelo ozithathayo), ngokuyinhloko uhudula i-pelvis ngaphesheya phansi. Umphumela wesikhumba nesigqoko esifundeni esifushane somlenze sihlale sihle kakhulu kunalesi sici eside. Ukufakwa kwenkambiso eyenziwe ngokwezifiso kungasiza ngisho nangaphandle ubude obuyimilenze kanye nokubuyisela ukulinganisela endaweni yakho ye-pelvic, ikakhulukazi ngesisindo esithwala imisebenzi. Isikhumba sisebenza njengesisekelo sokulungiswa komgogodla nokunyakaza, ngakho lolu hlobo lokulungiswa lungenza ithonya elikhulu empilweni yakho yangemuva.
Ngaphandle kwalokho, ochwepheshe abaningi bayavuma ukuthi ama-orthotics angokwezifiso nezinye izinhlobo zokusekelwa ngezinyawo azihloselwe noma yikuphi ukuxilongwa okuhlobene nomgogodla. Kunalokho, kubhekwa ukuthi kungase kube usizo ekunakekeleni jikelele.
Lokho kusho ukuthi into eyodwa ochwepheshe abaningi bayavumelana ngayo yilokho okushiwo yizinyawo (aka, izinyawo ezincane) kuvame ukuhlobana nobuhlungu obuphansi emuva. Futhi ukubiza ngezinyawo kuyinto enhle yama-orthotic angakwazi ukubhekana nayo.
Ngakho-ke ukunyakaza kwamazinyo kwandisa ubuhlungu obuncane bokubuyela emuva? Ngokuyisisekelo noma indlela eyodwa noma ezimbili.
Ucwaningo olwenziwa ngo-2014 emaphepheni U- foot wathola ukubiza okumele kube khona ngenxa yokumisa okungajwayelekile okuqala ngezinyawo futhi uhumushe emadolweni, emagqumeni, ekhanda, nangomgogodla ngokuthi yiziphi izigulane zezokwelapha nezempilo ezibiza ngokuthi "ukhenketho lwamazinyo." Lezi zimo ezingavamile zihlobene ngokuyinhloko ukungaziphathi kahle emathanjeni kulezi zindawo. Abacwaningi baphinde babone izinguquko endleleni imisipha ye-pelvic kanye neyasezingeni eliphansi isebenza ngayo ngendlela yezindlela zokunyakaza ngomzimba zingakhuphula noma zilethe ubuhlungu emuva.
Abalobi bangezela ukuthi ucwaningo olwengeziwe luyadingeka ukuze banikeze isithombe esiphelele ngendlela abadobi abangasebenzisa ngayo izintambo ukusiza ukuguqula ukusetshenziswa kwamasipha, ukuhamba komzimba noma kokubili, futhi ngaleyo ndlela kunciphise ubuhlungu obungapheli obuya emuva. Izindaba ezinhle ukuthi imigqa emisha yokubuza engxenyeni yomphakathi ocwaninga ingase idale ukukhanya okwengeziwe ngalokhu.
Phakathi naleso sikhathi, abalobi besifundo sezinyawo balungisa ukucwaninga kwesikhathi esizayo ngokukhomba ngenkathi ukusebenzisa izintambo zenkambiso kuyisisombululo esilula, kuyindlela enhle kakhulu yokubhekana nobuhlungu obungapheli obuya emuva.
Ingabe i-Orthotics ye-Low Back Pain Relief isebenza ngempela?
Isimboni se-orthotic esiyinkimbinkimbi siphuthumayo kulezi zinsuku-mhlawumbe ngoba ukusekelwa ngezinyawo kunika ithuba, okungezona okuhlinzekwa ukubhekana nobuhlungu obudala bokubuyela emuva.
Kodwa esinye isizathu kungenzeka ukuthi emibuthanweni eminye yabathengi, ukufaka kanye nama-orthotics sekube amagama e-buzz, okungaholela ekulandeleni okungahlosiwe kokugqugquzela abasebenza ngokungathembeki ukuba bazuze ekuthandeni kwabo.
Ukulinganisa umsebenzi wamahhala ongahle kwenzeke emakethe, abalobi be-athikili ka-2016 eshicilelwe emaphephandabeni I- foot inikeza isifinyezo esisekelwe ebufakazini kanye nokuncoma ekusebenziseni la madivayisi.
Kulo, basikhumbuza ukuthi ukusetshenziswa kwamathambo kanye nokufakwa okungaqinisekisiwe kakhulu yizifundo zezokwelapha zezinga eliphezulu (ama-RCT). Kuhunyushwe ngabathengi bezempilo base-US, lokhu kusho ukuthi abalobi abakwazi ukukhuthaza ukuzethemba ngezinyawo njengendlela yokwelapha abantu abafuna ukukhulula ubuhlungu babo obungapheli emuva.
Kodwa akusiyo isithombe esigcwele. Yize kuyiqiniso ukuthi izifundo eziningi eziphathelene nezici ezihlukahlukene zokusikwa kwesigqoke nezinyawo njengoba zihlobene nokuphumula okuphansi kwezinhlungu emuva, abalobi baveza ukuthi ucwaningo olubanzi lwezinqubo ze-biomechanical ezenza izinzuzo zezintambo zikhona kakade, futhi zingasetshenziswa usize usazise ngalokho okusebenzayo nokuthi yini engekho.
Ngenhlanhla, abalobi basitshela ukuthi ukuhlolwa kwezindiza (okungcono kwekhwalithi) sekuqala ukuvela ngaphesheya kwendawo yokucwaninga, okusho ukuthi maduzane sibone ezinye izimpendulo.
Njengoba ngishilo ekuqaleni, ngenkathi ama- podiatrists , i-MDs, kanye nabahlengikazi bomzimba bonke bengakwazi ukubeka izintuthwane njengesixazululo sobuhlungu obuphansi emuva, ngokuvamile kuvame ukwelashwa kwegazi okuyindlela yokungena kubantu abanokuhlupheka okuphansi. Lokhu kuyinto enhle, ngoba izifundo eziningana eziqhathanisa izintambo ezingekho ukwelashwa kanye nezitho zomzimba ezinokulungiswa kwe-chiropractic zisho ukuthi ukuthuthukiswa okungcono kunakho konke kungenziwa nokuhlanganiswa kwezinyawo nokusekela.
Isibonelo, isifundo se-2017 esashicilelwe kwi- Archives of Physical Medicine Rehabilitation sathola ukuthi kubantu abangu-225 esifundweni, kuphela labo ababegqoke ama-orthotic esikhwameni noma abagqoke kanye nabo babe nezinguquko ze-chiropractic babona ngcono ekusebenzeni ngokomzimba ekuphileni kwabo kwansuku zonke . (Bonke abathintekayo, noma ngabe bembethe izicathulo noma cha, noma babe nelashwa ye-chiropractic noma cha, bakwazi ukunciphisa ubuhlungu babo esikhathini esingamaviki ayisithupha.)
Kodwa labo ababenokwelashwa kokubili kwe-chiropractic kanye nama-orthotics bathuthukisa ngaphezu kwalabo ababenokwelashwa kwabo kuphela.
Izwi elivela
Uma nje unyawo olumshayeli wezinhlungu zakho zasemuva, ama-orthotic angase enze isisombululo sokusiza ubuhlungu obuphumelelayo.
Ngamanye amazwi, uma unomkhuba wokumemezela unyawo lwakho, lokhu ukusebenza okuncane kunakho konke kungahle kuhumushe " ukhenketho lwekhambi " futhi kube nomthelela ebuhlungu bakho obuya emuva. Ngakho-ke, ukumemezela kuyinkinga yonyawo lapho izintandokazi zenkambiso zingase zisebenzise njengoba ufuna ukukhululeka okufanele.
> Imithombo:
> Cambron, JA, et. al. I-Shoe Orthotics ye-Treatment of Pain Low Back Back Pain: Isivivinyo Esilawulwe Ngokungahleliwe. I-Arch Phys Med Rehabil. Ngo-Ephreli 2017 https://www.ncbi.nlm.nih.gov/m/pubmed/28465224/
> Kendall, JC, et. al. Ukuhamba kwezinyawo, ukungahambisani nomlenze nobuhlungu obuphansi emuva - ubuhlobo babo kanye nokuphathwa kwemitholampilo ngokusebenzisa izinyathelo zonyawo - ukubuka konke. Izinyawo. Juni 2014. https://www.ncbi.nlm.nih.gov/pubmed/24703513
> Papuga MO, et al. Amazinyo ezinyawo ezinhlungu ezibuhlungu emuva: Isimo sokuqonda kwethu nezincomo zocwaningo oluzayo. Inyawo (i-Edinb). 2016.
> I-Prescription Custom Orthotics ne-Insert Shoe. I-American Podiatric Medical Association iwebhusayithi. http://www.apma.org/Learn/FootHealth.cfm?ItemNumber=988
> U-Tuff, uSara. Ingabe Udinga Ngempela i-$ 800 Custom Insole? I-New York Times. June 2006. http://www.nytimes.com/2006/06/22/fashion/thursdaystyles/22Fitness.html