Izindlela zokwelashwa ezisetshenziselwa ukuphatha emuva kanye nekhanda lezinhlungu
I-centralization yigama elisetshenziswe ngendlela yokwelapha ngokomzimba ebizwa ngokuthi iMcKenzie Method of Mechanical Diagnosis and Therapy (MDT). I-centralization ichaza isenzakalo lapho ubuhlungu emlenzeni, emlenzeni, noma e-buttock ngokuzumayo kushintshela endaweni eseduze nomgogodla uma umgogodla ususwa noma uhanjiswa.
Indlela ye-MDT yasungulwa nguRobin McKenzie (1932-2013), isazi esingokwenyama esivela eNew Zealand lapho ukwelashwa kwakhe kugxile ekuboniseni izimpawu zomtholampilo we- back emuva noma entanyeni kunokuba kubonakale indawo esetshenziswa ngayo ubuhlungu bezinhlungu
Ngenkathi ucwaningo luye lwabonisa ukuthi i-MDT ingase inikeze ukukhululeka kubantu abanezinhlungu ezibuhlungu ezisezingeni eliphansi, inzuzo yayo ekwelapheni ezinye izinhlobo zezinkinga ezihlobene nomgogodla ayiqinisekisiwe.
Inani lokwelapha le-Centralization
Ngokwenqubo ye-MacKenzie, ukusekela phakathi komphakathi kungasetshenziswa njengendlela yokuxilongwa ngenkathi kusiza abahlengikazi ekwenzeni uhlelo lokwelapha. Ukubheka ukugxilwa kweminyaka kubhekwa kubalulekile ngezizathu ezimbili:
- Ukugxilisa ubuhlungu obukhulu phakathi komzimba ngokuvamile kubonisa inkinga engathà sina yomgogodla.
- Noma yikuphi ukunyakaza noma ukuzivocavoca okubangela ubuhlungu ukugxila kufanele kubhekwe njengenzuzo futhi kungabandakanywa ekwelapheni ngokomzimba .
Njengethuluzi lokuxilonga, i-centralization yinto encane kakhulu. Ngenkathi sijwayele ukucabanga ubuhlungu njengento okumele siyigweme, ukugxilisa phakathi kwezinto kuphakamisa ukuthi ubuhlungu ngezinye izikhathi bungasetshenziswa ukukhomba ukunyakaza okubili okuqondile kanye nokwelapha.
Ngaphezu kwalokho, ukugxilisa phakathi komphakathi akudingi ukuthi udokotela azi ukuthi indawo yabuhlungu kangakanani ukuze ayiphathe.
Kungakhathaliseki ukuthi une- disc yokubhoboza , i-arthritis, noma enye inkinga yomgogodla, i-centralization inikeza izindlela zokwelapha enembile ngaphandle kokungenelela okubizayo noma ingozi yokulimala. Izenzo nezikhundla ezihlukahlukene zingasetshenziselwa lokhu kufaka hlangana ukuzivocavoca nokuzivocavoca .
Ngakolunye uhlangothi, uma ubuhlungu bomhlane noma intamo buhamba kude nomgogodla, kufanele kubhekwe njengengenzuzo futhi kungabangela ukulimala okunye.
Ukuphumelela kwe-MDT
Ukucwaninga ngendlela ye-MacKenzie kubonise ukuthi kuyasebenza kakhulu ekuphatheni abantu abanezinhlungu ezibuhlungu emuva. Kodwa-ke, ukubuyekezwa kuka-2012 kwezifundo zokwelashwa sekuphelile ukuthi izinzuzo zayo kubantu abanezinhlungu ezingapheli zingabuyiselwa kahle.
Akukhona ukuthi i-MDT ayiyona into engasebenzi. Kuyinto nje ukuthi ukugxila phakathi kwabantu kubonakala kuvela kubantu abanezinhlungu ezibuhlungu emuva kunokubuhlungu okungapheli. Ngaphezu kwalokho, ukugxila phakathi kwezinto kubonakala ngokuvamile kubantu abasha abanokuhlukunyezwa kwangemva kwesikhathi ababa nobuhlungu obukhulu nokulimala. Phakathi kwaleli qembu ukuthi ubuhlungu bokubuyela emuva buzokwazi ukuthuthukisa ngokwakho, ngaphandle noma ngaphandle kwe-MDT.
Izwi elivela
Uma unesihlungu esiphansi noma sezintanyeni esingabonakali sithuthuka, bheka udokotela wakho bese ucela ukudluliselwa kumthandi wezinto ezingokwenyama ongakwazi ukusiza. Kwezinye izimo, ukulungiswa kwe-postural namanye amasu alula kungasiza ukuxazulula inkinga yangemuva noma yezintamo ngokuphumelela kakhulu kunezinhlamba noma izidakamizwa eziphikisayo.
Uma ubuhlungu bakho bungapheli, zama ukucabangela ukwelashwa njengenqubo esikhundleni somcimbi. Ngokwenza kanjalo, ungenza ushintsho endleleni yakho yokuphila ukuze uqiniseke kangcono noma yikuphi ukuthuthuka okubonayo okuhlala njalo.
> Imithombo:
> Machado, L .; Maher, C .; UHerbert, R. et al. "Ukuphumelela kohlelo lweMcKenzie ngaphezu kokunakekelwa kokuqala kokuhlukunyezwa okubuhlungu kakhulu: isilingo esilawulwa ngokungahleliwe." BMC Medicine . 2010; 8:10.
> May, S. kanye no-Type, A. "I-centralization kanye nokukhetha okuqondisayo: Ukubuyekezwa okuhlelekile." I-Science and Practice ye-Musculoskeletal. 2012; 17 (6): 497-506