Asayansi Amatsutsana ndi Chigwirizano ndi Zochitika Zowonjezera
Ngakhale zingakhale zomveka kunena kuti kunenepa kumagwiritsa ntchito kupanikizika kosafunika pamphuno, kumbuyo, ndi msana-kumayambitsa chitukuko chakumbuyo kosalekeza -gulu lakhala likuyambitsa mkangano pakati pa ofufuza.
Kumbali imodzi, pali anthu omwe amakhulupirira chifukwa chake ndi zotsatira zake zimakhazikitsidwa momveka bwino: kuti kulemera kwakukulu kumapangitsa pakhosi kutsogolo ndipo potero kumachepetsa m'mbuyo kumbuyo.
Kumbali ina, pali anthu omwe amakhulupirira kuti mawonekedwe a thupi okha ndi ophweka kwambiri chifukwa cha chikhalidwe chomwe chimatha kusiyana kwambiri kuyambira munthu mmodzi kupita kutsogolo komanso ngakhale a zaka zofanana, thupi, ndi chidziwitso.
Kafukufuku Wothandiza Kulemera Kwambiri Chifukwa
Kuchokera ku chiwerengero cha ziwerengero, zikuwoneka kuti pali gulu lamphamvu komanso losasinthasintha pakati pa kulemera ndi kupweteka kwa m'mbuyo.
Kupenda kwa 2015 kolembedwa mu American Journal of Epidemiology kunayesa deta kuchokera ku maphunziro apamwamba kwambiri 95 ndipo inatsimikizira kuti chiopsezo cha kuchepetsa kupweteka kwa msana chinali chogwirizana kwambiri ndi kuwonjezeka kwa mchere wa thupi (BMI).
Ziwerengerozo zinali zazikulu kwambiri. Malinga ndi kafukufuku, anthu omwe anali olemera kwambiri anali pangozi yochepa kwambiri, anthu olemera kwambiri anali ndi chiopsezo chochepa, pamene anthu omwe anali olemera kwambiri anali ndi chiopsezo chachikulu. Phunziroli linapezanso kuti anthu olemera kwambiri komanso olemera kwambiri amafunikira thandizo lachipatala kuti athetse ululu wawo.
Phunziro la 2017 kuchokera ku chipatala cha University of Tokyo ku Japan linagonjera chimodzimodzi. Pofufuza mbiri yachipatala ya amuna 1,152 kuchokera mu 1986 mpaka 2009, ochita kafukufuku anapeza kuti BMI ya munthu, kuphatikizapo kuchuluka kwa mafuta a thupi, molumikizana mwachindunji ndi kuopsa kwa vuto lakumbuyo.
Kufufuza Kafukufuku Wopambanitsa Monga Chifukwa
Komabe, ena amaumirira kuti chiyanjanocho sichiri chodulidwa komanso chouma.
Mu 2017, ntchito yochita kafufuzidwe yomwe inayendetsedwa ndi University of Cornell inayesa kufufuza kuti ndi mitundu yanji yambuyo kapena mavuto a msana omwe anali okhudzana ndi kunenepa kwambiri.
Pogwiritsa ntchito deta kuchokera ku Phunziro la 2014 Medical Expenditure Panel (kufufuza kwakukulu kwa dziko lonse kwa ogwira ntchito zaumoyo, ogwira ntchito, ndi anthu pawokha), ochita kafukufukuwo adayang'ana mwachindunji matenda anayi omwe amagwirizana nawo:
- Pansirani ululu wammbuyo
- Spondylosis (kuchepa kwa msana)
- Kusokonezeka kwa ma discs (IDD)
- Nkhuni mavuto omwe sagwirizana ndi spondylosis kapena IDD
Chimene ofufuza apeza chinali chakuti kunenepa (monga momwe zimayesedwa ndi BMI munthu, mafuta a thupi, ndi chiwerengero cha hip-to-waist ratio ) chinali chitsimikizo cholimba cha ululu wa m'mbuyo ndi IDD koma osati zina ziwiri.
Izi zikusonyeza kuti, pamene mgwirizano ulipo, pali zifukwa zina zopanda mawonekedwe a thupi zomwe zimapereka. Ngati sichoncho, tikanakhoza kuwona kuwonjezeka komweko kwa mitengo ya spondylosis monga momwe tinachitira IDD.
N'zotheka, anena ochita kafukufukuwo, kuti kuwonjezeka kwa minofu ya adipose (mafuta) kungayambitse kusintha kwamagetsi komwe kumakhala gawo lalikulu la mavuto ambuyo monga kulemera kwake.
N'zotheka kuti kulemera sikuli chifukwa chachikulu cha vuto lakumbuyo monga chovuta. Phunziro la 2015 lomwe linatulutsidwa mu Medical Archives Obesity linafika pamapeto awa pambuyo powerenga mbiri yachipatala ya amuna 101 omwe amagwiritsidwa ntchito pa mitundu yofanana ya ntchito.
Chimene iwo anatsimikiza chinali chakuti kunenepa kwambiri sikumene kunakhudza mwachindunji kupweteka kwakumbuyo koma m'malo mofulumizitsa kapena kuwonjezereka kwambiri matenda (kuphatikizapo mankhwala a herniated, kugunda kwa mitsempha , ndi nyamakazi ya msana).
Monga momwe biomechanics inalirimbikitsira, kunenepa kunkawoneka chifukwa cha kugawidwa kwachilendo kwa thupi lolemera kumene kunangowonjezera kuvala ndi kugwetsa komwe kunalipo kale.
Mavuto Omwe Amabwereranso Okhudza Kutaya Kwambiri
Kaya kunenepa ndiko chifukwa kapena kuchepetsa kupweteka kwa mmbuyo, n'zoonekeratu kuti kulemera kwakukulu kungapangitse kumbuyo kwabwino. Monga chimangidwe chomwe chimathandiza thupi ndi kuyambitsa kayendetsedwe ka msana, kumbuyo kuli ndi msana wamphepete wamthambo womwe umakhala wogwira mtima kwambiri.
Munthu akakhala wochuluka kwambiri, kulemera kwake kulikonse pakati pa pakhosi kumapangitsa kuti msanawo ufike mkati mopitirira muyeso. Timachitcha kuti hyperlordosis kapena swayback. Ndicho chikhalidwe chomwe chimakhala ndi kupanikizika kwachilendo kumiseche ya kumbuyo imene imakakamizika kunyamula kulemera kwake.
Zochita zomwe zimalimbitsa mimba ya m'mimba zingathandize kuthana ndi zotsatirazi ndikubwezeretsanso m'mimba mwawo. Koma, chofunika kwambiri, kutayika kwa kulemera ndikofunika kwambiri kuti muthetse vutoli kumbuyo ndi msana.
Kunenepa kwambiri kungapangitsenso zovuta zina zobwerera. Mwa iwo:
- Dothi la herniated ndi chimodzi mwa zovulaza zamtsempha zomwe anthu amazisamalira. Ngati muli olemera kwambiri kapena olemera kwambiri, thupi lanu limagwira ntchito panthawi yoyamba komanso nthawi yomwe mkhalidwewo ulili. Zisonyezero zimaphatikizapo ululu wa sciatica ndi / kapena ululu wambiri (kupweteka kotentha komwe kumagwirizanitsidwa ndi mitsempha ya pinched). Anthu omwe ali ochepa kwambiri amafunanso opaleshoni kukonzanso herniation poyerekezera ndi kulemera kwake.
- Mafinya amtundu wa osteoarthritis amadziwika kuti amakula ndipo amachepa ndi kunenepa kwambiri. Ngakhale kulemera kwakukulu kungayambitse kusokoneza malumikizowo, amakhulupirira kwambiri kuti minofu yodula m'thunthu imatha kusintha kusintha kwa msana poyambitsa kutupa kosalekeza, komwe kumakhala kozungulira.
Mawu ochokera
Ngati ndinu olemera kwambiri kapena olemera kwambiri, n'zothekanso kuti kulemera kwambiri kumene mumanyamula ndikuyika kupanikizika kosafunika kumbuyo kwanu ndi msana. Koma sizikutanthauza kuti ndicho chokhacho chimene chimayambitsa. Ngati mukumva ululu wammbuyo kapena kulemala kwa mtundu uliwonse, fufuzani kuti mudziwe chomwe chimayambitsa, zifukwa, ndi njira yoyenera ya chithandizo.
Kupitirira apo, kutayika ngakhale magawo 10 peresenti ya kulemera kwa thupi lanu kudzakuchititsani dziko labwino ndipo lingasinthe zizindikiro zambiri zammbuyo. Yambani pamenepo, ndipo funsani dokotala wanu kuti awatumize kwa katswiri wodziwa zakudya ndi katswiri wathanzi yemwe angathandize.
> Zotsatira:
> Bliddal, H ;; Leeds, A .; ndi Christianen, R. "Osteoarthritis, kunenepa kwambiri ndi kuwonongeka kwa thupi: umboni, kulingalira, ndi kutsogolo - ndemanga yowonongeka." Obes Chiv . July 2014; 15 (7): 578-86. DOI: 10.1111 / obr.12173.
> Ibrahimi-Kacuri, D .; Murtezani, A .; Rrecaj, S. et. al. "Kubwezeretsa Kwambiri Ndiponso Kutaya Kwambiri." Med Arch. April 2015; 69 (2): 114-6. DOI: 10.5455 / medarh.2015.69.114-116.
> Hashimoto, Y .; Mastudiara, K .; Sawada, S. et. al. "Kunenepa kwambiri ndi kupweteka kwapweteka kwapang'ono: kuyang'anitsitsa kagulu ka amuna a ku Japan." J Phys Ther Sci. June 2017; 29 (6): 978-83. DOI: 10.1589 / jpts.29.978.
> Shiri, R., ndi. al. "Kugwirizana pakati pa kunenepa kwambiri ndi kupweteka kwapweteka kwapakhosi: meta-analysis." Am J Epidemio l. January 2015; 171 (2): 135-54. DOI: 10.1093 / aje / kwp356.
> Sheng, B .; Feng, C .; Zhang, D. et. Al., "Mgwirizano pakati pa Kunenepa Kwambiri ndi Matenda a M'mimba: Magulu Ogwiritsa Ntchito Zamankhwala Zofufuza Phunziro". Int J Zomwe Zingakuthandizeni Kukhala ndi Thanzi Labwino. February 2017; 14 (2): 183. DOI 10.3390 / ijerph14020183.