Amathiphu Okuphumelela Ukuzikhethela Ukuzivocavoca
I-stenosis yomgogodla ivela lapho isikhala esisodwa noma ngaphezulu emgodleni wakho (isibonelo, umgogodla wakho womgogodla, noma i-intervertebral foramen yakho) iyancipha, ngokuvamile ngenxa ye-arthritis. Ngenkathi i- claudication ye-neurogenic yisifo se-classic se-spen stenosis, i-sciatica nayo ingenzeka. Uma isifo sakho se-stenosis sithinta impande yomgogodla (okuthiwa i- radiculopathy ) engqondweni yakho ephansi, ungase uzwe ubuhlungu obuhlobene nobuhlungu obuhambisana nomlenze, owaziwa ngokuthi i-sciatica.
Nakuba ucwaningo lungakaze lube nesethi eqondile yokuzivocavoca emuva kokunciphisa izimpawu ze-sciatica ezibangelwa ukuqubuzana, abantu abaningi - kubandakanya ochwepheshe bezempilo bendabuko - bathathe lo mzila noma kunjalo. Uma ucabangela indlela yokuzivocavoca, into yokuqala okumele uyikhumbule ukuthi izimpawu zivame kakhulu nakakhulu uma uvala umhlane wakho. Ngakolunye uhlangothi, bathambekele ekuthuthukiseni uma uguqulela umgogodla wakho. Lokhu kwaziwa ngokuthi i- flexion bias .
Khetha Imisebenzi Esekelwe Enduduzo Futhi Gwema Izenzo Ezibangelwa Ubuhlungu
Ngisho nangolwazi oluncane oluwusizo, ngokuvamile umqondo omuhle wokukhetha izikhundla (futhi ngenxa yalokho uyazivocavoca) ngokusekelwe induduzo. Gwema izikhundla ezibangela ubuhlungu - ngisho noma ziyaziwa ukukhulula izimpawu zesifo sakho. Futhi-ke, thintana nodokotela wakho wezokwelapha noma udokotela ukuze uqiniseke ukuthi ukhethe ukuhlolwa okulungile - futhi uyakwenza ngokufanele.
Ngikhuluma noDkt. Naomi Betesh, i-physiatrist kanye ne-acupuncturist ngokukhethekile ekulawuleni ubuhlungu e-Union County Orthopedic Group eNew Jersey mayelana nezinhlelo zokuzivocavoca ze-sciatica ngokujwayelekile kanye nokukhethwa kokuzivocavoca uma izimpawu ze-sciatica zibangelwa ukuphefumula komgogodla. Wangitshela ukuthi esikhathini esedlule, odokotela abaningi bezemfundo nabahlengikazi bezemvelo bathola okuzungezile kulo mqondo we-flexion vs ukunxusa ukunyusa.
UBetish uthi ngale ndlela, uhlobo lokuzivocavoca ohlelweni lwakho luxhomeke ekulimazeni kwakho. Ngizofakazela ukuthi ukuhamba komgogodla okuvame ukwandisa izimpawu zakho futhi kwazisa ukhetho lokuzivocavoca. Kodwa izinto zingase zishintshe. "Muva nje, kuye kwaphakanyiswa ukuthi isiguli ngasinye kufanele siphathwe ngokususelwa kusiphi isikhundla esingabangela ubuhlungu," kusho uBetesh.
Noma kunjalo, enye yezinhloso eziyinhloko zokusebenzisa ukuzivocavoca ukulawula izimpawu ze-sciatica ezihlobene nesimo se-stenosis ukuthuthukisa ukwandiswa komgogodla (okungukuthi ukuguqula umhlane wakho), kusho uJill Murphy, ongumqondisi we-MotionWorks Physical Therapy e-Neenah, WI. Ukusebenza nokuguquguquka kwakho kuyadingeka, u-Murphy uyaqhubeka. "Ukuthuthukisa ukuguquguquka kwemikhawulo emikhawulweni yakho engezansi kungahle kwenzeke ukulahlekelwa kancane kancane kwendwangu yomgogodla ngokuvamile ngenxa yezinguquko ze-stenotic," uyangitshela. (Ngokuvamile, igama elithi "umkhawulo ophansi" libhekisela (ama-hip, amadolo namazinyo ezinyawo, nezinyawo zakho.)
UDkt. Judith Glaser, umzimba we-physic and acupuncturist e-Restorative Medicine eNew Hyde Park, eNew York unezela ukuthi imisipha eqinisayo, kanye nokuthuthukisa ukulawula komzimba wakho (ukulawula umzimba wakho ngenkathi uyithutha) yizinhloso ezibalulekile zokuzivocavoca izinhlelo ezikhomba izimpawu ze-sciatica ezihlobene nesimo se-stenosis.
Ukuzivocavoca kweSciatica esekelwe eStenosis
Ngakho yikuphi okufanele uyenze? Ingabe kukhona isethi evamile ukuthi odokotela kanye nezifo zomzimba banika iziguli zabo nge-sciatica ehlobene nesimo se-stenosis? Impendulo emfushane kungenzeka - cha. "Uma ucela abahlengikazi abangu-20 ukuthi bayenzani ubuhlungu obuphansi emuva, cishe uzozwa ngezinhlelo ezingafani ezingu-20," kusho uBetesh. Kodwa kulokhu okuhlangenwe nakho kwami, kunesisindo esithile phakathi kwezincomo zabahlinzeki. Ngezansi kukhona ezimbalwa ukuthi i-Glaser, i-Murphy, nabanye iphakamisa. Khumbula ukuthi lezi akuzona kuphela ukuzivocavoca okungase kusize ngezimpawu.
Ukuqinisa Ukuzivocavoca
- Ukuphuka kwesisu.
- Ama-pelvic tilts , angase asize ukuhlakulela emuva nokweqa imisipha ye-extender. I-Glaser ithi izikhonkwane ze-pelvic nazo zisiza ukusekela ukuma komzimba okuqondile.
- Izinja zezinyoni , ezingasiza ekuphikeleni ubuthakathaka emisipha yakho yangemuva ngenxa yokuthambekela kobuhlungu bomgogodla obuvamile kubantu abane-stenosis.
Ukuziphendulela Ukuzivocavoca
- Ukwelula kwe-Hamstring
- I-Flank ilule
- Ukwelula kwe-Hip flexor
- Ukunyakaza okunyanyayo kwe-pelvic ngokugxila ekuhambeni kunokuba kuqiniswe.
UBetesh ubonisa ukuthi ezinye ze-yoga zenza i-sciatica ehlobene nesifo se-stenosis, kuhlanganise ne-pelvic tilts, inja ebheke phansi, nokunye. Uthi uhlelo lwekhaya, ukunamathela ngokunyakaza okulula kungandisa amathuba okuwenza ngaphandle kokulimala.
Imithombo:
I-imeyili Ingxoxo. Betesh, N., MD, Ukuphathwa Kwezinhlungu kanye Nemithi Yomzimba / Isazi Sokuvuselelwa Kwamanzi, I-Acupuncturist. I-Union County Orthopedic Group, eNew Jersey. Feb. 2014.
I-imeyili Ingxoxo. I-Glaser, J., DO, uMqondisi Wezokubuyisela Imithi, i-New Hyde Park, eNew York. Februwari 2014.
I-imeyili Ingxoxo. UMurphy, J. DPT, uMqondisi, i-MotionWorks Physical Therapy. Neenah, WI.