Ososayensi Bhikisana Nenhlangano Nezici Ezingenayo
Nakuba kungase kubonakale kunengqondo ukusikisela ukuthi ukukhuluphala kubeka ukucindezeleka okungadingekile emakhaleni, emuva, nangomgogodla-okubangela ukuthuthukiswa kobuhlungu obungapheli -inhlangano sekuyisikhathi eside kwaba yinkinga phakathi kwabacwaningi.
Ngakolunye uhlangothi, kukhona labo abakholelwa ukuthi imbangela-kanye-nomphumela iqinisiwe: ukuthi isisindo esiningi siphumelela isikhumba sesifuba futhi ngaleyo ndlela sinciphise emuva.
Ngakolunye uhlangothi, kukhona labo abakholelwa ukuthi umshini womzimba wedwa ulula kakhulu incazelo yezimiso ezingase zihluke kakhulu kusuka komuntu oyedwa kuya kwesinye, ngisho nangokwenyama efanayo, uhlobo lomzimba, nolwazi.
Ucwaningo Lokusekela Ukukhuluphala Njengesizathu
Kusukela ekubukeni kwesibalo, kubonakala sengathi kunomhlangano oqinile futhi ongenakuqhathaniswa phakathi kwesisindo nobuhlungu obuphansi emuva.
Ukubuyekezwa kuka-2015 okushicilelwe ku-American Journal of Epidemiology kwahlola idatha kusuka kwizifundo ezingu-95 eziphakeme futhi kwaphetha ngokuthi ubungozi bokuphuza ubuhlungu obuphansi buhlobene ngqo nokunyuka kwe-body mass index (BMI).
Lezi zibalo zazingenasisekelo. Ngokusho kocwaningo, abantu abayisisindo esivamile babekwe engozini encane kunazo zonke, abantu abaqine kakhulu kunengozi ephansi, kuyilapho labo ababengama-obese babe nomngcipheko omkhulu kakhulu. Ucwaningo luphinde lwathola ukuthi abantu abakhuluphele ngokweqile kanye nabanamandla kakhulu babefuna ukunakekelwa kwezokwelapha ukuphatha ubuhlungu babo.
Ucwaningo lwe-2017 oluvela eNyuvesi yaseTokyo Hospital eJapane lwafinyelela esiphethweni esifanayo. Ekubukezeni umlando wezokwelapha wamadoda angu-1 152 kusukela ngo-1986 kuya ku-2009, abacwaningi bathola ukuthi i-BMI yomuntu, ihlangene namaphesenti omzimba womzimba, ngokuqondile ngokuvumelana nengozi kanye nenani lezinkinga zangemuva.
Ukucwaninga Ukucwaninga Ukucwaninga Njengesisusa
Kodwa-ke, abanye bathi lobudlelwane abuyinto enqunyiwe futhi obomile.
Ngo-2017, umzamo wokucwaninga wokubambisana oqondiswe yiCornell University uhlose ukuhlola ukuthi yiziphi izinhlobo zezinkinga zangemuva noma izihlungi ezihlobene nokukhuluphala.
Ukusebenzisa idatha evela ku-2014 Medical Expenditure Panel Study (ucwaningo olunzulu lwabahlinzeki bezempilo, abaqashi kanye nabantu ngabanye), abacwaningi babheka ngokukhethekile izifo ezine ezivamile:
- Ubuhlungu obuphansi emuva
- I-Spondylosis (i- spinning )
- Ukungqubuzana kwe-disc yangaphakathi (i-IDD)
- Izinkinga zezintambo azihlobene ne-spondylosis noma i-IDD
Lokho abacwaningi abathola ukuthi ukukhuluphala (njengoba kulinganiswa nge-BMI yomuntu, amafutha omzimba, nesilinganiso se-hip-to-waist ) kwakuyi-predictor eqinile yezinhlungu eziphansi emuva kanye ne-IDD kodwa hhayi nezinye izimo ezimbili.
Okushiwo lokhu yilokho, ngenkathi uxhumano lukhona ngokucacile, cishe kunezinye izinto ezingaphezu kwamashini omzimba abamba iqhaza. Uma kungenjalo, cishe ngabe sibone ukwanda okufanayo emazingeni e-spondylosis njengoba senza i-IDD.
Kungenzeka, kusho abacwaningi ukuthi ukwanda kwama- adipose (fat) izicubu kungase kubangele izinguquko zemvelo ezithinta kakhulu ingxenye yenkinga yangemva njengoba isisindo ngokwayo.
Kungenzeka ukuthi isisindo asiyona imbangela yenkinga yangemva njengoba kuyinkimbinkimbi. Ucwaningo lwe-2015 olwanyatheliswa ku-Odesity Medical Archives lwafika kulesi siphetho ngemva kokubukeza umlando wezokwelapha wamadoda angu-101 asetshenziswe izinhlobo ezifanayo zomsebenzi.
Lokho abakubekayo ukuthi ukukhuluphala akuzange kube nomthelela oqondile ebuhlungu bomhlane kodwa kunomshwalense noma okuphuthumayo ukuphazamiseka okuyisisekelo (kufaka phakathi i-disc herniated, i- ligament hardening , ne-arthritis yomgogodla).
Ngaphandle kokudla kwe-biomechanics, ukukhuluphala kwabonakala kubangele ukubuyiswa okungavamile kwesisindo somzimba esanezela nje ekugqokeni nasezinyembezini ezisekhona kakade.
Izinkinga Emuva Emuva Okuthinta Ukukhuluphala
Kungakhathaliseki ukuthi ukukhuluphala yisona imbangela noma umthelela ekunciphiseni ubuhlungu emuva, kucacile ukuthi isisindo esiningi singenza umhlane ongencane. Njengesakhiwo esisiza ukusekela umzimba nokuthonya ukunyakaza, ingemuva inejika elivamile lomgogodla eliphumelela kakhulu endaweni yokungathathi hlangothi.
Uma umuntu ekhuluphele, noma yikuphi isisindo esingeziwe emkhatsini we-midsection sishintsha phambili kwesikhumba futhi senza umgogodla uphelele ngokweqile ngaphakathi. Sibiza lokhu hyperlordosis noma swayback. Kuyinto isimo esinezingcindezi ezingavamile emisipha yangemva ephoqelelwe ukuba ithwale isisindo.
Ukuzivocavoca eklanyelwe ukuqinisa imisipha yomzimba engezansi kungasiza ukuphikisana nalomphumela futhi ukubuyisela isikhumba sakho endaweni yokungathathi hlangothi. Kodwa, okubaluleke nakakhulu, ukulahlekelwa kwesisindo kuyisihluthulelo sokuqeda ukucindezela ngemuva nangemuva.
Ukukhuluphala kungadala futhi ezinye izimo ezijwayelekile zokubuyela emuva. Phakathi kwazo:
- I-disc ye-herniated ingenye yezinto ezivame ukulimala umgogodla abantu abafuna ukuzinakekela. Uma ukhuluphele ngokweqile noma ukhuluphele, umshini wakho womzimba ungadlala indima kokubili nokuqala kwesimo. Izimpawu zibandakanya ubuhlungu be- sciatica kanye / noma ubuhlungu obukhulu kakhulu (ubuhlungu bokudubula obuhambisana nesibindi se-lumbar). Abantu abakhuluphele futhi baningi amathuba okuthi bahlinzekwe ukuze balungise ukulinganisa uma kuqhathaniswa nalezo zesisindo esivamile.
- I-osteoarthritis ye- spine iyaziwa ukuthi igxiliwe futhi ishesha ngokukhuluphala. Ngenkathi isisindo esiningi singabangela ukuhlukunyezwa okuhlangene, kukholelwa kakhulu ukuthi izicubu ze-adipose esiqwini zingenza izinguquko ezishintshashintshayo emgodini ngokudala ukuvuvukala okuqhubekayo, kanye nokuzungeze izindawo zomonakalo.
Izwi kusuka
Uma ukhuluphele ngokweqile noma ukhuluphele kakhulu, kungenzeka ukuthi isisindo esengeziwe osiphetheyo sibeka ukucindezelwa okungadingekile emhlane wakho nangemuva. Kodwa akusho ukuthi yimbangela kuphela. Uma ubuzwa ubuhlungu emuva noma ukukhubazeka kwanoma yiluphi uhlobo, luye lwahlolwa ukuze lunqume imbangela eyimbangela, izimbangela ezifaka isandla, kanye neyindlela efanele yokwelashwa.
Ngaphandle kwalokhu, ukulahlekelwa ngisho namaphesenti angu-10 esisindo somzimba wakho cishe kuzokukwenza ube nomhlaba omuhle futhi kungase kuguquke ngisho nezimpawu eziningi ezingemuva. Qala lapho, bese ucela udokotela wakho ukuba athumele isazi sokudla okunomsoco nesokufaneleka esingasiza.
> Imithombo:
> Bliddal, H .; I-Leeds, A .; kanye nama-Christiansen, R. "I-Osteoarthritis, ukukhuluphala nokukhululeka kwesisindo: ubufakazi, ukucabanga, nama-horizons - ukubuyekezwa kokuhlola." Obes uMs . Julayi 2014; 15 (7): 578-86. I-DOI: 10.1111 / obr.12173.
> Ibrahimi-Kacuri, D .; I-Murtezani, A .; Rrecaj, S. et. al. "Ubuhlungu Bokubuyiselwa Kwangaphakathi Nokukhuluphala." I-Med Arch. April 2015; 69 (2): 114-6. I-DOI: 10.5455 / medarh.2015.69.114-116.
> Hashimoto, Y .; I-Mastudiara, K .; Sawada, S. et. al. "Ukukhuluphala nobuhlungu obunzima bokubuyela emuva: ukutadisha okuhlangenwe nakho kwamaqembu aseJapan." J Phys Ther Sci. Juni 2017; 29 (6): 978-83. I-DOI: 10.1589 / jpts.29.978.
> Shiri, R., et. al. "Ubuhlobo phakathi kokukhuluphala nokuphumula okuphansi emuva: ukuhlaziywa kwe-meta." Am J Epidemio l. Januwari 2015; 171 (2): 135-54. I-DOI: 10.1093 / aje / kwp356.
> Sheng, B .; I-Feng, i-C .; Zhang, D. et. al., "Izinhlangano phakathi kokukhuluphala kanye nezifo ezigulisayo: I-Panel Expenditure Panel Study Analysis". Int J Environ Res Ezempilo Zomphakathi. February 2017; 14 (2): 183. DOI 10.3390 / ijerph14020183.