Kodi munayamba mwazindikira momwe malo ena amakupangitsani kuti msana wanu ukhale wabwino, pamene ena amachititsa kuti azivutika kwambiri? Zina mwa mavuto omwe amabwera m'mbuyo monga a herniated disc, chiwalo cha nyamakazi, kupweteka kwa pamtima sacroiliac, ndi ena, mayanjano odziwika ndi malo enieni alipo. Akatswiri opanga thupi, komanso othandizira omwe akudziŵa, agwiritseni ntchito mfundoyi kuthandiza othandizira awo / kapena odwala kusamalira zizindikiro panyumba, kuntchito, ndi pochita.
Zosankha Zotsogolera
Zomwe akutsatira, monga momwe zimatchulidwira mu msana, zimakhala zochitika zogwirizana ndi kayendetsedwe ka kayendetsedwe ka kayendetsedwe kamene kamapangitsa wodwala wanu kuti ayang'ane momwe mumayimirira, kukhala, kuyenda ndi kusunthira, ndi kumvetsera zomwe muli nazo kunena za ululu wanu. Wothandizira wanu amagwiritsira ntchito chidziwitsochi kuti adze ndi dongosolo la mankhwala limene limakugwiritsani ntchito.
Njirayi imatchedwa "osagwiritsa ntchito pathoanatomical system" ya mndandanda. Pali njira yowonongeka yomwe imakhala yambiri poyang'ana pa MRIs, CT ndi zina zotero kuti mudziwe njira yabwino yothetsera zizindikiro zanu.
Mchitidwe wa McKenzie , womwe umagwiritsidwa ntchito kwambiri ndi physiotherapists kuzungulira dziko lonse lapansi, mwinamwake ndi chitsanzo chabwino cha dongosolo losagwirizana ndi machitidwe osiyanitsa thupi.
Kotero chomwe chimagwira ntchito bwino - njira yowonongeka, mwachitsanzo, kutanthauzira mwachidwi pa zomwe zikuchitika muzochitika zanu kapena njira yosagwirizana ndi matenda, yomwe mwachiwonekere imakhala yambiri?
Njira yogwiritsira ntchito tizilombo toyambitsa matenda imayambitsa malo ochizira, koma akatswiri ambiri m'munda amanena kuti dongosololi liri ndi zolakwika. M'maganizo awo okhudza kupweteka kwapweteka, mwachitsanzo, American Physical Therapy Association imati njira yosagwiritsira ntchito pathoanatomic yothetsera ululu wobwezeretsa imakhala yovuta kwambiri ndi chiwerengero cha zonyenga zomwe zimapezedwa pa zojambula zojambula.
Kuti afotokoze mfundo yawo, olemba a ndondomekoyi akuti 20% - 76% mwa anthu omwe alibe sciatica omwe anajambula zithunzi zojambulazo zimapezeka. Ndipo, mwa odwala 32 peresenti omwe analibe zizindikilo nkomwe, kaya kutaya magazi, kupweteka kwa magazi, kapena kupatsirana kwa magazi kapena mitsempha ya msana kumapezeka. Olembawo akuwonjezera kuti ndizotheka kuti anthu adzidwe kupwetekedwa mmbuyo pamene ma x-rays kapena CT akuyang'ana osasintha. Iwo amatha kunena kuti ngakhale pamene zochitika zosadziwika zikupezeka pa filimu, kuzigwirizanitsa ndi mkhalidwe wa wodwalayo ndi / kapena kudziwa chomwe chimayambitsa, sizingatheke - ndipo sizothandiza kwambiri wodwalayo kumva bwino kapena kubwerera kuntchito.
Kodi Kubwezeretsa Kwako Kumbuyo Kumakondweretsa? (Ndipo Zimene Tiyenera Kuchita Pazo)
Kuphatikizidwa ndi chisokonezo choonjezera, pali mitundu iwiri yokha: Kukhutira ndi kusakanikirana. Ngati zizindikiro zanu zimachepa kapena zimachoka pokhapokha mukamaliza msana wanu, mkhalidwe wanu wammbuyo umakhala wosakanikirana.
Kawirikawiri, mavuto a diski ndi kuvulala kwapakati kwa kutalika kwa mitsempha yowonjezereka ndizowonjezereka. Njira zomwe mungagwiritsire ntchito chidziwitso ichi ngati muli ndi mitundu iwiri ya kuvulaza ili:
- Kulimbana ndi malo osakanikirana , omwe amamangirira (kumbuyo) kumbuyo.
- Pezani kapena kuthetseratu ntchito zomwe msanawo umasinthasintha, monga kubisa msana wanu mukasankha zinthu (kapena anthu) mmwamba kapena pansi.
- Funsani dokotala wanu kapena wodwala zakuthupi za chisangalalo choonjezera ndi momwe mungayankhire msana wanu kuti musamalire ululu wanu wam'mbuyo ndi zizindikiro zina.
> Zotsatira:
> Delitto, A., PT, PhD., Et. al. Kutsika Kwathu Kumbuyo. Malangizo Othandizira Amagulu Okhudzana ndi Kachipatala Komwe Akugwirizana ndi Kudzala Mtengo Wapadziko Lonse wa Ntchito, Olemala, ndi Zaumoyo kuchokera ku Orthopedic Gawo la American Physical Therapy Association. J Orthop Sports Phys Ther. 2012.
> Dunsford, A., Kumar, S., Clarke, S. Kuphatikiza umboni wogwiritsidwa ntchito: kugwiritsa ntchito mankhwala a McKenzie opweteka kwambiri. J Multidiscip Healthc. 2011.
> Kinser, C., Colby, LA, Kuchita Zochita Zochizira: Maziko ndi Njira. 4th Edition. FA Davis Company. Philadelphia, PA. 2002.
> Nachemson, A. Kufufuza kwa sayansi kapena chizindikiro chosadziwika cha odwala opweteka. Lumbar Segmental Instability. Szpalski M, Gunzburg R, Papa MH eds. Philadelphia: Lippincott William & Wilkins, 297-301.