Ezinye izindlela zokwelashwa ezivamile azicatshangwa njengezokwelapha okwe-spinal stenosis. I-National Institute of Arthritis ne-Musculoskeletal and Skin Skin (ingxenye ye-NIH) ithi ayithathwa njengengxenye yemithi ejwayelekile ngoba ucwaningo olwengeziwe luyadingeka ngaphambi kokusho okucacile mayelana nokusebenza kwabo.
Kodwa ngokuqhubekayo, odokotela bancoma lezi zelashwa iziguli zabo njengezixazululo, kanti imitholampilo iqala ukuyihlinzeka njengengxenye yepulani yokwelapha noma njengamathuba eminyangweni yemfundo yomphakathi.
U-Rick Deyo, onguprofesa we-Evidenced Based Based Medicine Family, eMnyangweni WezeMpilo, e-Oregon Health and Science University uthi: " Ubuhlungu besikhathi esidala buyinto evame kakhulu ukuthi kungani abantu befuna ukwelashwa okuhambisanayo nokwezinye izindlela."
Hlela indlela oyisebenzisayo yokwelashwa okunye ukwelashwa kwesimo sokuthi ubuhlungu bubuyele emuva
I-stinalosis yomgogodla ingumphumela we-arthritis emgogodla, okusho ukuthi ukugcina ukuguquguquka kwakho nokuhambisana kokunyakaza kuyinhloso esemqoka. Ukuqonda okuvamile kusho ukuthi ukukhetha ukwelashwa kwakho okuphelele nalomgomo engqondweni kungakusiza ukuphatha, ukunciphisa ukuqhubekela phambili, noma ukuvimbela isisu somgogodla.
Uma uke wazama ukwelashwa wendabuko ngesimo sokugulisa umgogodla kodwa ushiye ukufuna okungaphezulu, noma uma ufuna ukwazi ukuthi kungenzeka ukuthatha indlela ephelele, usendaweni efanele.
Lezi zindlela zokwelapha ezingase zihambelane kahle nokuphathwa komgogodla we-spinal stenosis noma imizamo yokuvimbela.
1 -
Ukwelashwa kwe-ChiropracticUmgomo wokwelashwa kwe- chiropractic ukwandisa ukuhamba okuhamba phambili, futhi abantu abaningi babona isifo se-chiropractor "sokukhulula umgogodla wazo." Ngokwesiko, izidakamizwa ziyaqeqeshwa ukwenza lokhu usebenzisa ukuguqulwa kwe- high-velocity yebanga lesi-5 , owaziwa nangokuthi ukulungiswa. Iningi labantu livele libize le nqubo eyaziwa ngokuthi "ukubuyiswa kwami emuva."
Kungakhathaliseki ukuthi i-terminology, ukwelashwa kwenzelwe ukubuyisela ukunyakaza kwemvelo komgogodla wakho. Kodwa ngokuthuthuka kwezobuchwepheshe kanye nensimu ye-chiropractic, lo msebenzi manje unezindlela eziningi zokufeza umgomo womgogodla okhululekile. Izibonelo zibandakanya, kepha azikho nje kuphela ezilinganiselwe: ukulandelana, amasu angenayo, ukunikeza massage kanye / noma izinsizakalo zokwelashwa emzimbeni emahhovisi abo nokuningi.
Khumbula ukuthi nakuba abantu abaningi benesithakazelo kakhulu nge-chiropractor yabo, ngokubuhlungu okubuhlungu okubuhlungu emuva, ukucwaninga kwe-NIH SAYS kubonisa ukuthi ukulungiswa kusebenza ngendlela ephumelelayo njenganoma imuphi ukwelashwa ongayithola kudokotela wakho noma uchwepheshe wezempilo . Lokhu kubandakanya ukuma okudala "thatha u-2 bese ungibiza ekuseni," futhi / noma ukuthola umuthi wokwelapha ngokomzimba (futhi uya, Yebo.)
Ucwaningo
Ngokuqondene nesifo sokugaya umgogodla ngokuqondile, ukuhlaziywa kuka-2009 okushicilelwe kuyi- Journal of Chiropractic Medicine kuthole kuphela ambalwa (6, ukuba abe okuqondile) izifundo eziphansi ezisebenzisa ukusetshenziswa kwe-chiropractic. Izifundo ezine zaziyizifundo zamacala.
Nakuba izifundo ziphakamisa inzuzo enhle ngokusebenzisa isifo se-chiropractic for stumosis ye-lumbar, isibalo esincane esihlangene nokuntuleka kwesakhiwo sokutadisha esiqinile sabavimbela ekudwebeni isiphetho.
2 -
I-Massage TherapyUkwelashwa kwe-massage kungasiza ukwandisa ukujikeleza ezitokisini zakho ezithambile kanye nemikhawulo yokukhulula kanye nezimpande ze-muscle ezingakusiza ukuhamba ngokugcwele. Ngaphezu kwalokho uzizwa uhle! Ngenxa yalezi zizathu, ukuxilonga njalo ngenyanga noma ngeviki, njengoba ukwazi ukuyikhokhela, kungenza kube lula ukuvimbela ukuvivinya umzimba kwakho kanye nemigomo yokulula.
Uma imali kuyinkinga, imitholampilo yabafundi ehambisana nezikole zokusikhipha endaweni yangakini inganikeza amanani aphansi. Lokhu kungafaneleka ukuhlola. Okunye okunye kungukuthi "izinsuku zomphakathi," lapho ukubhula abahlinzeka ngamathambo kuhlinzeka ngamanani aphansi kanye ngenyanga, ukota noma unyaka ukusiza ukwandisa lokwelapha abakholelwa kakhulu kulabo abaswele. Futhi ekugcineni, abahlinzeki abaningi banikeza izilinganiso zokukhokha imali kumaklayenti.
Ucwaningo
Esifundweni sokuqhathanisa sonyaka ka-2011 esasinyatheliswa ku- Annals of Internal Medicine , ehlanganisa abantu abangaphezu kuka-400, uCherkin, et. al. wathola ukuthi ukwelashwa ukusikhipha imithi kungenza ukwelashwa okubuhlungu okungapheli okubuhlungu emuva. Abacwaningi babika ukuthi izinzuzo zabahlanganyeli esifundweni sabo zenze okungenani izinyanga ezingu-6. Ucwaningo lubuye lwathola ukuthi ngokubili kokuphumula kwesibonakaliso nokukhubazeka, kwakungakhathazeki ukuthi ngabe unesisindo sokuphumula noma ukusikhipha okuningi. Imiphumela yabonakala.
Inhlolovo yocingo ngo-2010 eyanyatheliswa kuyi- Journal of Back Musculoskeletal Rehabilitation futhi ihlanganisa iziguli ezingama-75 kanye nezifo ezingama-76 ezitholakalayo zathola ukuthi ukusikhipha imithi kwakuyindlela yokwelashwa esetshenziswa kakhulu iziguli, kanti iziguli ezingu-27 ezibika ukutholakala kwezidakamizwa njengengxenye yokwelashwa kwazo. Kuyathakazelisa ukuphawula ukuthi abahlinzeki bomzimba abaxoxwa kulolu cwaningo abazange bakhulume ngokusikhipha imishanguzo nhlobo (nakuba bekungakhulumi ngokubambisana okuhlangene, okuyinto, ngokufanayo, kuyindlela yokwelashwa ngezandla.)
Ukuqapha
Ngoba i-stenosis yomgogodla ihlotshaniswa ne-arthritis, ibuye ihlotshaniswe nokuguga. Ake sibhekane nakho, njengoba sisebudala, singase sibe yi-frailer. Nakuba ukulimala ukusikhipha umzimba kungavamile, kungenzeka. Kodwa uma uthola ukwelashwa ukusikhipha imisipha ngezimo zezempilo ezandulele, ingozi yakho yokulimala iyanda.
Isibonelo, ngo-2013, uGuo kanye nabangane bakhe bachaza icala (eshicilelwe kuyi- European Journal of Surgery and Orthopedic Surgery & Traumatology ) lapho owesilisa oneminyaka engu-66 ubudala one-osteoporosis eqhubeka nokuphuka komzimba wokuphunga, futhi kwakudingeka ahlinzekwe ukulungisa it.
Cabanga ngokucophelela ngokuthola i-massage uma une-osteoporosis noma i-osteopenia futhi uhlole iziqinisekiso zakho zokwelapha massage ukuze uqiniseke ukuthi unolwazi lwezokwelapha ngezinhlobo zezinkinga zempilo ozisebenzisayo. Futhi-ke, cela udokotela wakho mayelana nokusikhipha umzimba uma ungaqiniseki ukuthi kuzophephile, unikezwe ngezinkinga zempilo zakho ezikhona.
3 -
FeldenkraisI-Feldenkrais iyinhlangano yokuvuselela kabusha imfundo efinyeleleka njengeqembu leqembu noma njengeseshini eyodwa-on-one nomsebenzi oqinisekisiwe.
Esikhathini sesifundo noma isigaba seFeldenkrais, uthisha / udokotela uhola ngokulandelana kwezinyathelo ezincane ezithathwe ndawonye, zinikeza ukugxila kwesinye isici sekhono lakho lokuhambisa umzimba wakho. Isibonelo, ungase usebenze ngokucophelela uhlangabezana nokuhamba kwezinyathelo ekhanda lakho noma indlela umgogodla uguquguquka ngayo futhi uqhubeke.
Nakuba ukuhileleka kuhilelekile, uFeldenkrais akuyona umsebenzi wokuzivocavoca . Kufana neseshini yokuthola.
Nakuba uFeldenkrais engabhekanga ngqo ekukhuliseni ukunyakaza, abantu abaningi babika ukuguquguquka okukhulu, ngisho nangemva kweklasi elilodwa kuphela. Qaphela ukuthi uma usuvele uthola ukuxilongwa kwesifo somgogodla, kufanele usebenze nodokotela wakho noma uchwepheshe wezempilo ukuze unqume ukuthi ngabe uFeldenkrais uzokwenza yini ukwelashwa okuhle.
Abanye abasebenza nge-Feldenkrais nabo banemvume yokusebenza ngokomzimba futhi bangase bafanele ukufuna, futhi, uma uthola ukuthi unesimo.
> Imithombo
> Deyo, R., MD, MPH. UDkt. Rick Deyo ucoca ngokucwaninga ngokubuhlungu okungapheli komhlane. Isikhungo sikazwelonke soMuthi oQinisekile noNyekelo, i-NIH.
> Ukuguqulwa komgogodla we-Pain Low-Back. Isikhungo sikazwelonke se-NIH seWebhu yezokuQinisekisa nokuHlanganisa kwezeMpilo.
> Imibuzo nezimpendulo mayelana ne-Spinal Stenosis. Ukuqina kwesisu. I-NIH National Institute of Arthritis kanye ne-website ye-Musculoskeletal and Skin Diseases.
> Imibuzo nezimpendulo mayelana ne-Spinal Stenosis. Ukuqina kwesisu. I-NIH National Institute of Arthritis kanye ne-website ye-Musculoskeletal and Skin Diseases.
> Stuber, K., et. al. Ukwelashwa kwe-chiropractic ye-stumosis ye-lumbar spinal: ukubuyekezwa kwezincwadi. J Chiropr Med. 2009 Jun.
> Cherkin DC, uSherman KJ, uKahn J, et al. Ukuqhathaniswa kwemiphumela yezinhlobo ezimbili zokusikhipha kanye nokunakekelwa okujwayelekile kwizinhlungu ezibuhlungu ezingapheli: ukuhlolwa okungahleliwe, okulawulwayo. Ama-Annal of Medicine yangaphakathi. 2011; 155 (1): 1-9.
> Guo, Z, futhi. al. Ukwehlukana kwe-vertebral okungahambisani ne-verticularal disacle ukuguqulwa okubangelwa ukusikhipha emuva emuva kwesiguli esikhulile: umbiko wecala nokubuyekezwa kwezincwadi. I-Eur J Orthop Surg Traumatol. 2013.
> Tomkins, CC. et. al. Izinketho zokwelashwa zokwelapha okwenziwe nge-lumbar stenosis. J. Back Back Musculoskeletal Rehabil. 2010.