I-Chiropractic yindlela yokunakekelwa kwezempilo egxile ebuhlotsheni phakathi kwesakhiwo somzimba, ikakhulukazi umgogodla, nomsebenzi.
I-chiropractic ivame ukusetshenziselwa ukuphatha izimo ze-musculoskelet, izinkinga nge:
- imisipha
- amalunga
- amathambo
- izicubu ezihlangene (njenge-cartilage, i-ligaments, ne-tendon)
Igama elithi "chiropractic" lihlanganisa amagama esiGreki asho (isandla) kanye ne-praxis (isenzo) futhi kusho ukuthi "kwenziwa ngesandla." I-Chiropractic iyindlela ehlukile yokwelapha futhi ithatha indlela ehlukile emithini ejwayelekile ekutholeni, ehlukanisa, futhi ephathwa ngezinkinga zezokwelapha.
Odokotela be-chiropractic, ababizwa nangokuthi izidakamizwa noma odokotela be-chiropractic, basebenzisa uhlobo lwezandla zokwelashwa okuthiwa ukuxhaphazwa (noma ukulungiswa ) njengenkambiso yabo yomtholampilo eyinhloko. Ukuxhaphaza ukunyakaza okuhlanganyelwe ngaphandle kwezinga elivamile lokunyakaza. Ukulungiswa kwegama kuphakanyiswa ku-chiropractic.
Imiqondo eyisisekelo ye-chiropractic ingachazwa ngokuthi:
- umzimba unamandla okwazi ukuphulukisa
- isakhiwo somzimba (ngokuyinhloko lokho komgogodla) futhi umsebenzi wayo uhlobene eduze, futhi lobu buhlobo buyathinta impilo
- Ukwelashwa kwe-chiropractic kunikezwa ngezinhloso zokugcina ubuhlobo lobu buhlobo phakathi kwesakhiwo nomsebenzi nokusiza umzimba njengoba uphulukisa
Iyini Imithi Ejwayelekile?
Imithi ejwayelekile iyimithi njengoba iqhutshwa ngabanikazi bamadigri kanye nezinye izifundiswa zezempilo ezihlangene ezifana nalezi:
- MD (Udokotela Wezokwelapha)
- INGABE (Udokotela we-Osteopathic Medicine, uhlobo lwezokwelapha ezivamile)
- abahlinzeki bomzimba
- izazi zengqondo
- abahlengikazi abhalisiwe
Eminye imigomo yemithi ejwayelekile ihlanganisa:
- umuthi we-allopathic
- Imithi ye-Western
- umuthi ojwayelekile
- imithi yama-orthodox
- imithi ejwayelekile
- biomedicine
Iyini Imithi Ephelele Neyomunye (CAM)?
Imikhuba yokunakekelwa kwezempilo nemikhiqizo engabhekwa njengengxenye yemithi ejwayelekile ibizwa ngokuthi imithi ehambisanayo futhi ehlukile (i-CAM).
- Imithi ehambisanayo isetshenziswa kanye nemithi ejwayelekile.
- Imithi ehlukile isetshenziswa endaweni yemithi ejwayelekile.
Umlando We-Chiropractic
I-Chiropractic uhlobo lokuxhaphaza umgogodla, okuyinto yemikhuba endala yokuphulukisa. Ukuxhaphazwa kwamagciwane kwachazwa yiHippocrates eGrisi lasendulo.
Ngo-1895, uDaniel David Palmer wasungula umsebenzi wamanje we-chiropractic eDavenport, Iowa. U-Palmer wayengumphulukisi ozifundisayo futhi umfundi wefilosofi yokuphulukisa yosuku. Wabona ukuthi umzimba unamandla okuphulukisa emvelo ayekholelwa ukuthi alawulwa yisimiso sezinzwa. Wayekholelwa ukuthi ukuxoshwa, noma ukungahambisani kahle komgogodla (umqondo owawuvele usukhona emathangeni we-bonesetter kanye ne-osteopathic), ukuphazamisa noma ukuphazamisa nalokhu "ukugeleza kwenzwa." U-Palmer uphakamise ukuthi uma isitho singatholi ukuhlinzekwa kwayo okujwayelekile emithonjeni, ingaba nesifo. Lo mkhakha wokucabanga wamholela ukuba ahlakulele inqubo "yokulungisa" ama-vertebrae, amathambo endulini yomgogodla, ngenhloso yokulungisa ukuxoshwa.
Kukhona umehluko ezinkolelweni nasezindleleni ngaphakathi kobuchwepheshe be-chiropractic. Abanye abahlengikazi baqhubeka bebheka ukuhlukunyezwa njengento ebalulekile ekunakekelweni kwezempilo kwe-chiropractic.
Kodwa-ke, ezinye izakhi zokwelashwa azikaze zibheke inkolelo ye-subluxation njengesihloko esihlanganisayo empilweni nasekuguleni noma njengesisekelo somkhuba wabo. Ezinye izinkolelo mayelana nokuthi kungenzeka kanjani ukuthi i-chiropractic isebenze.
Ukusetshenziswa
Ngo-1997, kwacatshangwa ukuthi abaseMelika benza cishe izigidi ezingu-192 ukuvakashela unyaka wezivakashi ezinyangeni. Izigidi ezingaphezu kwezigidi ezingu-88 zalezi zivakashi zazizokwelapha ubuhlungu noma emuva. Enye ucwaningo lwamuva, amaphesenti angaphezu kuka-40 weziguli ezithola ukunakekelwa kwe-chiropractic ayaphathwa ngezinkinga zangemuva noma eziphansi. Abangaphezu kwengxenye yalabo abacwaningiwe bathi izimpawu zabo zazingapheli. Izimo ezivame ukuphathwa yizidakamizwa zihlanganisa:
- ukuhlungu obusemhlane
- ubuhlungu bentamo
- ikhanda
- ukulimala kwezemidlalo
- ukuphindaphindiwe
Iziguli nazo zifuna ukwelashwa ubuhlungu obuhambisana nezinye izimo, njenge-arthritis.
Ubuhlungu obuphansi buyinkinga ejwayelekile yezokwelapha, okwenzeka ku-quarter-quarter of the population ngonyaka ngamunye. Iningi labantu lizwa ubuhlungu obunzima emuva emuva kanye ngesikhathi sokuphila kwabo.
Ukubuyekezwa okwakamuva kwamabuhlungu abuyele emuva kuye kwaphawula ukuthi ezimweni eziningi ubuhlungu obunzima obuya emuva buya ngcono emavikini ambalwa, kungakhathaliseki ukuthi imithi isetshenziswa kanjani. Ngokuvamile, imbangela yokubuyiselwa emuva akuyazi, futhi ihluka kakhulu ngendlela abantu abayibhekana nayo nokuthi izifo ziyixilonga kanjani. Lokhu kwenza ubuhlungu bempendulo buyinselele ukutadisha.
Yiziphi izidakamizwa ezenzayo
Uma uba isiguli se-chiropractic, ngesikhathi uvakashele okokuqala isazi se-chiropractor sizothatha umlando wakho wezempilo. Uzokwenza ukuhlolwa kwangokwenyama, ngokugcizelela ngokukhethekile umgogodla, futhi mhlawumbe nezinye izivivinyo noma izivivinyo ezifana ne-x-ray. Uma enquma ukuthi ungumfakisicelo ofanele we-chiropractic therapy, uzokwakha uhlelo lokwelapha.
Uma isazi se-chiropractor ikuphatha, angenza ukulungisa okukodwa noma ngaphezulu. Ukulungiswa (okubizwa nangokuthi ukwelapha ukuxhaphaza) kuyindlela yokwelapha noma ukwelapha okuhlinzekwa ngezandla. Ngokuyinhloko okuhlinzekwa umgogodla, ukulungiswa kwe-chiropractic kuhilela ukusebenzisa ukulawulwa okulawulwayo, ngokungazelelwe kokujoyina. Yenzelwe ukwandisa ububanzi nekhwalithi yokunyakaza endaweni okuphathwa ngayo. Abanye ochwepheshe bezokunakekelwa kwezempilo futhi benza izinhlobo ezahlukene zokuxhaphaza, okufaka:
- abahlinzeki bomzimba
- odokotela bezemidlalo
- ama-orthopedists (Udokotela Wezokwelapha (MD) noma Udokotela We-Osteopathic (DO) onguchwepheshe ohlinzayo onguchwepheshe obhekene nezinkinga zesistimu ye-musculoskelet)
- ochwepheshe bezokwelapha
- odokotela bemithi ye-osteopathic
- odokotela bemithi ye-naturopathic (enye indlela yokwelashwa, eyaziwa nangokuthi i-naturopathy, lapho osebenza khona basebenzelana namandla okuphulukisa emvelo emzimbeni, benomgomo wokusiza umzimba ukuba uphulule ezifweni futhi uthole impilo engcono)
- massage therapists
E-United States, izidakamizwa zokwelapha zenza okungaphezu kwamaphesenti angu-90 ezonyango eziphathekayo.
Kubalulekile ukwazisa bonke abahlinzeki bakho bezempilo mayelana nanoma yikuphi ukwelashwa oyisebenzisayo noma okucabangelayo, kuhlanganise ne-chiropractic. Lokhu kuzosiza umhlinzeki ngamunye ukuqinisekisa ukuthi zonke izici zokunakekela impilo yakho zisebenza ndawonye.
Abaningi bezokwelapha basebenzisa ezinye izindlela zokwelashwa ngaphezu kokulungiswa, njengokuthi:
- ukugqugquzela (inqubo lapho ukuhlanganiswa kuhanjiswe khona ngaphakathi kokuhamba kwayo okujwayelekile)
- ukusikhipha imithi
- ukushisa kanye neqhwa
- i-ultrasound
- ukuvuselela kagesi
- ukuvivinya umzimba
- ukwelashwa magnetic
- ukululekwa ngokudla, ukulahlekelwa isisindo, nezinye izinto zokuphila
- izithako zokudla
- i-homeopathy
- i-acupuncture
Ukuqeqeshwa
Ukuqeqeshwa kwe-Chiropractic wuhlelo lwemfundo lweminyaka emine oluhlanganisa kokubili ekilasini nemfundo yomtholampilo. Kudingeka okungenani iminyaka engama-3 yomsebenzi wekolishi wokulungiselela ukuvunyelwa ezikoleni ze-chiropractic. Abafundi abathweswa iziqu bathola izinga loDokotela weChiropractic (DC) futhi bayakufanelekela ukuthatha izivivinyo zebhodi lelayisensi yombuso ukuze bazenze. Ezinye izikole nazo zinikeza izifundo ze-postgraduate, kuhlanganise nezinhlelo zokuhlala ezineminyaka emibili kuya kwezingu-3 ezindaweni ezikhethekile.
Ukuqeqeshwa kwe-Chiropractic ngokuvamile kuhlanganisa:
- Ukusebenza nge-anatomy, physiology, microbiology, biochemistry, pathology, umsoco, impilo yomphakathi, nezinye izifundo eziningi
- Izimiso nokusebenza kwe-chiropractic
- Izindlela zokucwaninga nezinqubo
- Ukwaziswa okuqondile ekunakekeleni iziguli
UMkhandlu weChiropractic Education, i-ejensi eqinisekisiwe nguMnyango Wezemfundo wase-US, ngumzimba wokugunyaza amakholeji we-chiropractic e-United States.
Ingabe Uhulumeni Ulawula I-Chiropractic?
Umkhuba we-Chiropractic ulawulwa yilowo nalowo wesifundazwe kanye nesifunda sase-Columbia. Iningi lamazwe lidinga izidakamizwa zokuthola izimali eziqhubekayo zemfundo ukugcina amalayisense abo. Izindlela zokwenza izidakamizwa ezihlukahlukene zihlukahluka emphakathini - kuhlanganise nokuhlolwa kwezinqubo zokuhlola noma izinqubo zokuxilonga, ukuhlinzeka noma ukuthengisa izithako zokudla, kanye nokusetshenziswa kwezinye izindlela zokwelashwa kwe-CAM ezifana nokukhwabanisa noma ukuvimbela umzimba. Izidakamizwa azivunyelwe kunoma yiliphi izwe ukwenza ukuhlinzeka okukhulu noma ukubeka izidakamizwa.
Ingabe Izinhlelo Zomshuwalense Wezempilo Zikhokhela Ukwelashwa Kwechiropractic?
Uma kuqhathaniswa nemithi yokwelapha ye-CAM yonke (okuyingcosana yayo ebuyiswa ngayo), ukufakwa kwe-chiropractic ngezinhlelo zomshuwalense kubanzi. Kusukela ngo-2002, amaphesenti angaphezu kwama-50 ezinhlangano zokunakekelwa kwezempilo (HMOs), amaphesenti angaba ngu-75 ezinhlelo zokunakekelwa kwezempilo ezizimele, futhi zonke izinhlelo zokukhokhelwa kwemisebenzi kahulumeni zihlanganisa ukwelashwa kwe-chiropractic. Izidakamizwa zingakwazi ukukhokhela i-Medicare, futhi izifunda ezingaphezu kwambili zimboza ukwelashwa kwe-chiropractic ngaphansi kwe-Medicaid.
Uma unomshwalense wezempilo, hlola ukuthi ngabe ukunakekelwa kwe-chiropractic kuhlanganisiwe ngaphambi kokuthola ukwelashwa. Uhlelo lwakho lungadinga ukunakekelwa ukuze kuvunywe kusengaphambili, unciphise inani lokuvakashelwa elihlanganisiwe, futhi / noma kudinga ukuthi usebenzise izidakamizwa ngaphakathi kwenethiwekhi yayo.
Okuqhamuka uma udla imishanguzo
Iziguli zingakwazi noma zingaboni imiphumela emibi evela ekwelashweni kwe-chiropractic. Imiphumela ingase ihlanganise ukunganaki kwesikhashana kwezinye izingxenye zomzimba eziphathwayo, ikhanda, noma ukukhathala. Le miphumela ivame ukuba encane futhi ixazulule phakathi kwezinsuku ezingu-1 ukuya kwezingu-2.
Isixazululo sezinkinga ezinkulu ezivela ku-chiropractic kuye kwaxoxwa. Akubekho ukuhlelwa okuhlelekile okuzokwenza kube nezibalo ezinzima. Kusukela manje owaziwayo, ingozi ibonakala sengathi iphansi kakhulu. Kubonakala sengathi kuphakeme kunomlomo wesibeletho, noma intamo, ukuxhaphazwa (isb., Amacala okulwa nesifo sohlangothi abikiwe. Ukukhathazeka okungavamile kokukhathazeka okuvela emuva okuphansi emuva kwe-cauda equina syndrome okwenzeka lapho izinzwa ze-cauda equina (isisindo wezinzwa zomgogodla ezidlulela ngaphesheya kokuphela komgogodla) zicindezelwe futhi zonakaliswe. Izimpawu zihlanganisa:
- ubuthakathaka bomlenze
- ukulahlekelwa kwesibindi, isambiso, kanye / noma imisebenzi yezocansi
- kushintshwe ekuzweleni okuzungeze umxhwele noma u-genitalia
I-Cauda equina syndrome ilinganiswa ukuthi iyenzeka kanye ngezigidi zokwelashwa (inani lezigidi lihluka; ukuhlolwa okulodwa kubeka ku-million million).
Ukuze uvikeleke, kubalulekile ukwazisa bonke abahlinzeki bakho bezempilo mayelana nanoma yikuphi ukunakekelwa noma ukwelashwa oyisebenzisayo noma okucabangelayo, kuhlanganise ne-chiropractic. Lokhu kuzokusiza ukuqinisekisa isikole sokunakekelwa (ukuze uthole okwengeziwe, bheka ishidi leqiniso le-NCCAM "Ukukhetha Osebenza Ngomuthi Oqedile").
Okushiwo Ucwaningo
Kuze kube manje, ucwaningo lwesayense mayelana nobuhlungu be-chiropractic nobuhlungu obuphansi buye lwagxila uma, futhi kahle kangakanani, ukunakekelwa kwe-chiropractic kusiza ekunciphiseni ubuhlungu kanye nezinye izimpawu abantu abanokubuhlungu emuva. Lolu cwaningo luvame ukufanisa i-chiropractic nezinye izifo.
Ngokubanzi, ubufakazi bokucwaninga buye bubonakala bubuthakathaka futhi buncane kunokukholisa ukuphumelela kwe-chiropractic ngezinhlungu zangemuva.
Amaphuzu amaningana ayisihluthulelo ayisiza ukukhumbula engqondweni mayelana nokuthola ucwaningo.
- Izilingo eziningi zokwelashwa kwe-chiropractic zihlaziya imiphumela yokuphathwa kabi kwe-chiropractic kuphela, kepha ukukhubazeka kwe-chiropractic kuhlanganisa okungaphezu kokuxhaphazwa.
- Imiphumela yecala eyenziwa ngesilungiselelo esisodwa (njengenhlangano yokunakekelwa ephethwe noma ekolishi ye-chiropractic) kungenzeka ingasebenzi nakwezinye izilungiselelo.
- Abacwaningi baye baqaphela ukuthi umphumela we-placebo ungase usebenze ekunakekelweni kwe-chiropractic njengokwezinye izinhlobo zokunakekelwa kwezempilo.
Ngisho noma ucwaningo lwezokwelapha lwe-chiropractic lwezinhlungu ezibuhlungu emuva lube yizinga elilinganayo futhi alanele ukuvumela iziphetho eziqinile. Noma kunjalo, umuzwa jikelele wedatha wukuthi ubuhlungu obuphansi emuva, ukwelashwa kwe-chiropractic kanye nokwelapha okuvamile okuphathelene nokwelashwa ngokuphathelene nokusiza okufanayo. Kunzima ukuthola iziphetho ngokubaluleka kwesihlobo se-chiropractic kwezinye izimo zomtholampilo.
Kunezimpikiswano zesayense mayelana ne-chiropractic, kokubili ngaphakathi nangaphandle komsebenzi. Isibonelo, ngaphakathi kobuchwepheshe, kube khona ukungavumelani mayelana:
- ukusetshenziswa kwezici zokwelashwa ngokomzimba
- yiziphi izindlela ezifanele kakhulu izimo ezithile
- umqondo wezingqinamba (ukungalingani komgogodla)
Ukubukwa kwangaphandle kokwelashwa kwe-chiropractic kuye kwabuza:
- ukuphumelela kokwelashwa kwe-chiropractic
- isisekelo sabo sesayensi
- izingozi ezingase zivele ezingxenyeni zeziguli (isibonelo, izingozi zezinhlobo ezithile zokulungiswa ezigulini ezine-osteoporosis noma izicabangela zengozi ye- osteoporosis , uma kuqhathaniswa neziguli ezinezinthambo ezinempilo).
Okubalulekile
Ucwaningo lwe-chiropractic luqhubeka. Imiphumela kulindeleke ukuthi yandise ukuqonda kwesayensi kwe-chiropractic. Indawo ebalulekile yokucwaninga yisayensi eyisisekelo yalokho okwenzeka emzimbeni (kufaka phakathi amangqamuzana nesisindo) lapho kunikwa imithi ethile yokwelashwa kwe-chiropractic.
> Umthombo:
> NCCAM Ukushicilelwa No. D196