Kooxda Xanuunka Sinta & Xanuunada Rugta Dhabarka. Noocyada noocaan ah waa cabashooyin caadi ah oo ay sababi karaan dhibaatooyin kala duwan. Goobta saxda ah ee xanuunka miskaha ayaa ku siin karta macluumaad dheeraad ah oo ku saabsan sababta hoose. Labbada sinta lafteedu waxay u egtahay inay ku keento xanuun gudaha sintaada ama aagga gumaarka. Xanuunka dibadda, bawdada sare, ama barida dibadda waxaa badanaa keena xanuuno/dhibaatooyin murqaha, seedaha, seedaha, iyo unugyo jilicsan oo ku hareeraysan wadajirka sinta. Sinta xanuunka waxa kale oo sababi kara cuduro iyo xaalado ka jira qaybaha kale ee jidhkaaga, tusaale ahaan dhabarka hoose. Waxa ugu horreeya waa in la garto meesha uu xanuunka ka imanayo.
Qodobka ugu muhiimsan ee lagu kala saari karo waa in la ogaado haddii sinta ay tahay sababta xanuunka. Marka sinta xanuunku ka yimaado murqaha, seedaha, ama dhaawacyada seedaha, waxay caadi ahaan ka timaadaa isticmaalka xad dhaafka ah ama Dhaawaca Cadaadiska Soo noqnoqda (RSI). Tani waxay ka timaada isticmaalka xad-dhaafka ah ee muruqyada miskaha ee jirka ie iliopsoas tendinitis. Tani waxay ka iman kartaa seedaha iyo xanaaqa seedaha, kuwaas oo sida caadiga ah ku lug leh xanuunka sinta. Waxay ka iman kartaa gudaha kala-goysyada taas oo aad ugu sifada sinta osteoarthritis. Mid kasta oo ka mid ah noocyadan xanuunka wuxuu isu soo bandhigaa siyaalo kala duwan, taas oo markaa ah qaybta ugu muhiimsan ee ogaanshaha waxa sababa.
For individuals experiencing pelvic pain, it could be a disorder of the pudendal nerve known as pudendal neuropathy or neuralgia that leads to chronic pain. The condition can be caused by pudendal nerve entrapment, where the nerve becomes compressed or damaged. Can knowing the symptoms help healthcare providers correctly diagnose the condition and develop an effective treatment plan?
Pudendal Neuropathy
The pudendal nerve is the main nerve that serves the perineum, which is the area between the anus and the genitalia – the scrotum in men and the vulva in women. The pudendal nerve runs through the gluteus muscles/buttocks and into the perineum. It carries sensory information from the external genitalia and the skin around the anus and perineum and transmits motor/movement signals to various pelvic muscles. (Origoni, M. et al., 2014) Pudendal neuralgia, also referred to as pudendal neuropathy, is a disorder of the pudendal nerve that can lead to chronic pelvic pain.
Sababaha
Chronic pelvic pain from pudendal neuropathy can be caused by any of the following (Kaur J. et al., 2024)
Excessive sitting on hard surfaces, chairs, bicycle seats, etc. Bicyclists tend to develop pudendal nerve entrapment.
Trauma to the buttocks or pelvis.
Dhalmada.
Cudurka macaanka neuropathy.
Bony formations that push against the pudendal nerve.
Thickening of ligaments around the pudendal nerve.
Calaamadaha
Pudendal nerve pain can be described as stabbing, cramping, burning, numbness, or pins and needles and can present (Kaur J. et al., 2024)
In the perineum.
In the anal region.
In men, pain in the scrotum or penis.
In women, pain in the labia or vulva.
Xilliga galmada.
When urinating.
During a bowel movement.
When sitting and goes away after standing up.
Because the symptoms are often hard to distinguish, pudendal neuropathy can often be hard to differentiate from other types of chronic pelvic pain.
Cyclist’s Syndrome
Prolonged sitting on a bicycle seat can cause pelvic nerve compression, which can lead to chronic pelvic pain. The frequency of pudendal neuropathy (chronic pelvic pain caused by entrapment or compression of the pudendal nerve) is often referred to as Cyclist’s Syndrome. Sitting on certain bicycle seats for long periods places significant pressure on the pudendal nerve. The pressure can cause swelling around the nerve, which causes pain and, over time, can lead to nerve trauma. Nerve compression and swelling can cause pain described as burning, stinging, or pins and needles. (Durante, J. A., and Macintyre, I. G. 2010) For individuals with pudendal neuropathy caused by bicycling, symptoms can appear after prolonged biking and sometimes months or years later.
Take breaks at least 20–30 seconds after each 20 minutes of riding.
While riding, change positions frequently.
Stand up to pedal periodically.
Take time off between riding sessions and races to rest and relax the pelvic nerves. 3–10 day breaks can help in recovery. (Durante, J. A., and Macintyre, I. G. 2010)
If pelvic pain symptoms are barely starting to develop, rest and see a healthcare provider or specialist for an examination.
kursiga
Use a soft, wide seat with a short nose.
Have the seat level or tilted slightly forward.
Seats with cutout holes place more pressure on the perineum.
If numbness or pain is present, try a seat without holes.
Bike Fitting
Adjust the seat height so the knee is slightly bent at the bottom of the pedal stroke.
The body’s weight should rest on the sitting bones/ischial tuberosities.
Keeping the handlebar height below the seat can reduce pressure.
The Triathlon bike’s extreme-forward position should be avoided.
A more upright posture is better.
Mountain bikes have been associated with an increased risk of erectile dysfunction than road bikes.
gaab
Wear padded bike shorts.
Daaweyn
A healthcare provider may use a combination of treatments.
The neuropathy can be treated with rest if the cause is excessive sitting or cycling.
Injury Medical Chiropractic and Functional Medicine Clinic care plans and clinical services are specialized and focused on injuries and the complete recovery process. Our areas of practice include Wellness and nutrition, Chronic Pain, Personal Injury, Auto Accident Care, Work Injuries, Back Injury, Low Back Pain, Neck Pain, Migraine Headaches, Sports Injuries, severe sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Pain, Complex Injuries, Stress Management, and Functional Medicine Treatments. If the individual requires other treatment, they will be referred to a clinic or physician best suited for their condition, as Dr. Jimenez has teamed with the top surgeons, clinical specialists, medical researchers, therapists, trainers, and premiere rehabilitation providers.
Uurka iyo Sciatica
tixraacyada
Origoni, M., Leone Roberti Maggiore, U., Salvatore, S., & Candiani, M. (2014). Neurobiological mechanisms of pelvic pain. BioMed research international, 2014, 903848. doi.org/10.1155/2014/903848
Durante, J. A., & Macintyre, I. G. (2010). Pudendal nerve entrapment in an Ironman athlete: a case report. The Journal of the Canadian Chiropractic Association, 54(4), 276–281.
Chiaramonte, R., Pavone, P., & Vecchio, M. (2021). Diagnosis, Rehabilitation and Preventive Strategies for Pudendal Neuropathy in Cyclists, A Systematic Review. Journal of functional morphology and kinesiology, 6(2), 42. doi.org/10.3390/jfmk6020042
Ogaanshaha ikhtiyaarrada daawaynta ee sinta go'an ma ka caawin kartaa shakhsiyaadka inay dedejiyaan baxnaanintu iyo soo kabashada?
Sinta oo go'day
Sinta go'day waa dhaawac aan caadi ahayn laakiin wuxuu ku dhici karaa dhaawac ama qalliin beddelka misigta dabadeed. Waxay badanaa dhacdaa ka dib dhaawac daran, oo ay ku jiraan shilalka baabuurta, dhaca, iyo mararka qaarkood dhaawacyo ciyaaraha. (Caylyne Arnold et al., 2017) Sinta go'day waxay kaloo dhici kartaa qalliinka beddelka misigta ka dib. Dhaawacyada kale sida jeexjeexa seedaha, dhaawaca carjawda, iyo lafaha lafaha ayaa ku dhici kara iyada oo ay weheliso kala-baxa. Kala-baxyada sinta intooda badan waxaa lagu daaweeyaa habraac dhimis wadajir ah oo dib u dejinaya kubbadda godka. Badanaa waxaa lagu sameeyaa suuxdin ama suuxdin guud. Baxnaanintu waxay qaadataa wakhti waxayna noqon kartaa dhawr bilood ka hor si buuxda u bogsan. Daaweynta jireed waxay kaa caawin kartaa soo celinta dhaqdhaqaaqa iyo xoogga sinta.
Waa maxay?
Haddii sinta qayb ahaan ay go'do, waxa loo yaqaan subluxation sinta. Marka tani dhacdo, madaxa wadajirka sinta ayaa qayb ka mid ah oo kaliya ka soo baxaya godka. Sinta go'an waa marka madaxa ama kubbadda wadajirku ay beddelaan ama ka soo baxaan godka. Sababtoo ah sinta macmalka ah waxay ka duwan tahay wadajirka miskaha caadiga ah, khatarta kala-baxa waxay kordhisaa ka dib beddelka wadajirka ah. Daraasad la sameeyay ayaa lagu ogaaday in ku dhawaad 2% shaqsiyaadka wadarta beddelka misigta ay la kulmi doonaan kala-baxa sinta muddo sanad gudaheed ah, iyadoo khatarta isugeynta ay kordheyso ku dhawaad 1% shan sano gudahood. (Jens Dargel iyo al., 2014Si kastaba ha ahaatee, farsamooyinka cusub ee tignoolajiyada iyo farsamooyinka qalliinka ayaa tan ka dhigaya mid aan caadi ahayn.
Hip Anatomy
Kubbada sinta-iyo-socket-ka wadajirka ah waxaa lagu magacaabaa wadajirka femoroacetabular.
Socket-ka waxaa lagu magacaabaa acetabulum.
Kubadda waxaa loo yaqaan madaxa femoral.
Anatomy-ka lafaha iyo seedaha xooggan, murqaha, iyo seedaha ayaa gacan ka geysta abuurista kalagoys deggan. Xoog muhiim ah waa in lagu dabaqaa kala-goysyada si ay u dhacdo sinta. Shakhsiyaadka qaarkood waxay ka warbixiyaan inay dareemayaan dareenka sinta. Tani badanaa ma aha kala-bax sinta ah laakiin waxay muujinaysaa cillad ka duwan oo loo yaqaan 'snapping hip syndrome'. (Paul Walker iyo al., 2021)
Kala-baxa miskaha ee dambe
Qiyaastii 90% kala-baxa sinta ayaa ah kuwa dambe.
Noocan oo kale ah, kubbadda ayaa gadaal looga riixayaa godka.
Kala-baxyada dambe waxay keeni karaan dhaawacyo ama xanaaq ku dhaca dareemaha sciatica. (R Cornwall, TE Radomisli 2000)
Kala-baxa miskaha hore
Kala-baxa hore ayaa aad u yar.
Dhaawaca noocan ah, kubbadda ayaa laga soo riixayaa godka.
Hip Subluxation
Subluxation sinta waxay dhacdaa marka kubbadda wadajirka sinta ay bilowdo inay ka soo baxdo godka qayb ahaan.
Sidoo kale loo yaqaan kala-bax qaybeed, waxay isu rogi kartaa kala goysyada sinta oo si buuxda u go'ay haddii aan loo oggolaan inay si habboon u bogsato.
Calaamadaha
Calaamadaha waxaa ka mid noqon kara:
Lugta waxay ku taal meel aan caadi ahayn.
Dhaqdhaqaaq adag
Sinta xanuun daran.
Awood la'aanta culeyska.
Xanuunka dhabarka hoose ee makaanikada wuxuu abuuri karaa jahawareer marka la samaynayo ogaanshaha saxda ah.
Kala-baxa xagga dambe, jilibka iyo cagtu waxay u rogi doonaan dhanka khadka dhexe ee jidhka.
Kala-baxa waxay dhaawac u geysan kartaa dhismayaasha kubbadda ku haya godka waxaana ka mid noqon kara:
Dhaawaca carjawda ee wadajirka -
Ilmo shaybaarka iyo seedaha.
Jabka lafaha ee kala-goysyada.
Dhaawaca xididdada dhiigga siiya waxay hadhow u horseedi karaan necrosis avascular ama osteonecrosis ee sinta. (Patrick Kellam, Robert F. Ostrum 2016)
Kala-baxa sinta waxay kordhisaa khatarta ah inuu ku dhaco arthritis-ka wadajirka ah ka dib dhaawaca wuxuuna kor u qaadi karaa khatarta u baahan beddelka misigta dambe ee nolosha. (Hsuan-Hsiao Ma et al., 2020)
Kala-baxa Koriinka ee Sinta
Carruurta qaar ayaa ku dhasha kala go'a korriinka ee sinta ama DDH.
Carruurta qabta DDH waxay leeyihiin kala-goysyada miskaha oo aan si sax ah u samaynin intii ay koritaanayeen.
Tani waxay keenaysaa dabacsanaan xagga godka.
Xaaladaha qaarkood, kala-goysyada miskaha ayaa si buuxda u go'ay.
Kuwa kale, waxay u nugul tahay inay noqoto meel bannaan.
Yaraynta wadajirku waa habka ugu badan ee lagu daweeyo sinta go'day. Nidaamku wuxuu dib u dhigayaa kubbadda godka waxaana badanaa lagu sameeyaa suuxdin ama suuxdin guud. Dib u dhigista sinta waxay u baahan tahay xoog weyn. Kala-baxa misigta waxaa loo tixgeliyaa xaalad degdeg ah, dhimista waa in isla markiiba la sameeyaa ka-baxa si looga hortago dhibaatooyinka joogtada ah iyo daaweynta soo galitaanka. (Caylyne Arnold et al., 2017)
Marka kubbadu ay ku soo noqoto godka, bixiyaha xanaanada caafimaadka ayaa raadin doona lafaha, carjawda, iyo dhaawacyada seedaha.
Iyadoo ku xiran waxa bixiyaha xanaanada caafimaadka helo, daaweyn dheeraad ah ayaa laga yaabaa in loo baahdo.
Lafaha jabay ama jabay ayaa laga yaabaa inay u baahdaan in la hagaajiyo si kubbadu ugu dhex jirto godka.
Carjawda dhaawacan ayaa laga yaabaa in la saaro.
Qalliinka
Qalliinku wuxuu noqon karaa lagama maarmaan si loo soo celiyo kala-goysyada booskeedii caadiga ahaa. Sinta arthroscopy-gu waxay yarayn kartaa soo galitaanka hababka qaarkood. Dhakhtarka qalliinka ayaa kamarad yar-yar geliya sinta sinta si uu uga caawiyo dhakhtarka qalliinka inuu hagaajiyo dhaawaca isagoo isticmaalaya qalab la geliyo jeexjeexyo yaryar oo kale.
Qalliinka beddelka miskaha ayaa beddelaya kubbadda iyo godka, qalliin lafaha caadiga ah oo guuleysta. Qalliinkan waxaa lagu samayn karaa sababo kala duwan, oo ay ku jiraan dhaawacyada ama arthritis-ka, maadaama ay caadi tahay in uu hore u soo baxo arthritis-ka sinta ka dib dhaawaca noocan ah. Tani waa sababta qaar badan oo leh kala-baxa ugu dambeyntii u baahan yihiin qalliin beddelka misigta. Habka qalliinka weyn, maaha khatar la'aan. Dhibaatooyinka suurtagalka ah waxaa ka mid ah:
Caabuqa
Dabcinta Aseptic (dabcinta wadajirka iyada oo aan caabuq lahayn)
Sinta oo kabaxsan
Recovery
Ka soo kabashada sinta go'a waa hawl dheer. Shakhsiyaadka waxay u baahan doonaan inay ku socdaan kalyo ama qalab kale goor hore ee soo kabashada. Daaweynta jireed waxay hagaajin doontaa kala duwanaanshaha dhaqdhaqaaqa waxayna xoojin doontaa muruqyada ku wareegsan sinta. Waqtiga soo kabashada waxay ku xirnaan doontaa haddii dhaawacyada kale, sida jabka ama ilmada, ay jiraan. Haddii sinta laf-dhabarta la dhimo oo aysan jirin dhaawacyo kale, waxay qaadan kartaa lix ilaa toban toddobaad si ay uga soo kabsato ilaa heerka miisaanka la saari karo lugta. Waxay noqon kartaa inta u dhaxaysa laba ilaa saddex bilood si ay si buuxda uga soo kabato. Ka ilaalinta miisaanka lugta waa muhiim ilaa dhakhtarka qalliinka ama daaweeyaha jirku uu si cad u bixiyo. Dhaawaca Caafimaadka Chiropractic and Functional Medicine Clinic waxay la shaqayn doontaa bixiyaha daryeelka caafimaadka aasaasiga ah ee shakhsiga iyo dhakhaatiirta kale ee qalliinka ama takhasuska si ay u horumariyaan qorshe daawaynta shakhsi ahaaneed ee ugu habboon.
Xalka lafdhabarta ee lafaha lafaha
tixraacyada
Arnold, C., Fayos, Z., Bruner, D., Arnold, D., Gupta, N., & Nusbaum, J. (2017). Maareynta kala-baxyada sinta, jilibka, iyo anqawga ee qaybta gargaarka degdega ah. Dhaqanka daawaynta degdega ah, 19(12 Qodobbada Suppl & Luul), 1-2.
Walker, P., Ellis, E., Scofield, J., Kongchum, T., Sherman, WF, & Kaye, AD (2021). Snapping Hip Syndrome: Cusboonaysiinta Dhamaystiran. Dib u eegista lafaha, 13 (2), 25088. doi.org/10.52965/001c.25088
Cornwall, R., & Radomisli, TE (2000). Dhaawaca neerfaha ee kala-baxa naxdinta leh ee sinta. Lafaha kiliinikada iyo cilmi baarista la xiriirta, (377), 84-91. doi.org/10.1097/00003086-200008000-00012
Hal aragti ayaa ah in ay caawiso in ay kor u qaado oo ay ka qabato unugyada kor-dhaafka ah ee wadajirka SI, taas oo ka caawisa hoos u dhigista cadaadiska ku wareegsan.
Aragti kale ayaa ah in qaadista unugyadu ay ka caawiso abuurista kala duwanaanshaha cadaadiska ee cajaladda, sida qalliin aan qalliin ahayn, taas oo u oggolaanaysa wareegga korodhka unugyada ku wareegsan wadajirka sacroiliac.
Tani waxay aagga ku daadiyaan dhiig iyo nafaqo, abuurista jawi bogsiin wanaagsan.
Codsiga
Isku-dhafka sacroiliac ee dhinaca midig iyo bidix wuxuu isku xiraa miskaha ilaa sacrum ama qaybta ugu hooseysa ee lafdhabarta. Si loo codsado cajaladda kinesiology si sax ah, hel qaybta ugu hooseysa ee dhabarka gudaha aagga miskaha. (Francisco Selva iyo al., 2019) Weydiiso saaxiib ama xubin qoyskaaga caawimaad haddii aadan gaari karin aagga.
Haddii qof uu ku caawinayo, waad istaagi kartaa oo wax yar ayaad u foorarsan kartaa.
Ka saar xariijinta wiishka ee dhexda oo fidi cajaladda si aad u soo bandhigto dhowr inch, adigoo darafyada ka tagaya.
Codso cajaladda qaawan xagal ka koraysa isku-dhafka SI, sida samaynta xariiqda koowaad ee X, oo ka sarraysa badhida, oo si buuxda u fidsan cajaladda.
Ka saar xariijimaha wiishashka cidhifyada oo ku dheg iyaga oo aan kala bixin.
Ku soo celi tillaabooyinka arjiga adigoo leh falin labaad, adoo ku dheggan xagal 45-degree ah ee falinka kowaad, adoo ka dhigaya X ka sarreeya wadajirka sacroiliac.
Tan ku soo celi falinka u dambeeya si siman oo dhan X oo laga sameeyay labada qaybood ee hore.
Waa in uu jiro qaab sharooto ah oo qaab xiddigle ah oo ka sarreeya wadajirka sacroiliac.
Cajaladda Kinesiology waxay ku dul joogi kartaa wadajirka sacroiliac saddex ilaa shan maalmood.
Ka fiirso calaamadaha xanaaqa agagaarka cajaladda.
Ka saar cajaladda haddii maqaarku xanaaqo, oo la tasho bixiyahaaga daryeelka caafimaadka aasaasiga ah, daaweeyaha jireed, ama lafopractor si aad u hesho doorashooyin kale oo daaweyn ah.
Shakhsiyaadka qaba xanuunka sacroiliac ee daran halka is-maamulku aanu shaqaynayn waa inay arkaan bixiye daryeel caafimaad, daaweeyaha jireed, ama lafopractor si loo qiimeeyo oo ay u bartaan jimicsiga daweynta iyo daawaynta si looga caawiyo maaraynta xaalada.
Sciatica Xilliga Uurka
tixraacyada
Al-Subahi, M., Calayat, M., Alshehri, MA, Helal, O., Alhasan, H., Calalaawi, A., Takrouni, A., & Alfaxeh, A. (2017). Wax ku oolnimada waxqabadyada daaweynta fiisigiska ee cillad la'aanta wadajirka ee sacroiliac: dib u eegis nidaamsan. Joornaalka Sayniska Daaweynta Jirka, 29(9), 1689-1694. doi.org/10.1589/jpts.29.1689
Selva, F., Pardo, A., Aguado, X., Montava, I., Gil-Santos, L., & Barrios, C. (2019). Daraasad ku saabsan dib u soo saarista codsiyada cajaladda kinesiology: dib u eegista, isku halaynta iyo ansaxnimada. Xanuunada murqaha ee BMC, 20(1), 153. doi.org/10.1186/s12891-019-2533-0
Bukaanjiifka plantar fasciitis ma ku dari karaan daaweyn aan qalliin ahayn si loo yareeyo xanuunka sinta oo loo soo celiyo dhaqdhaqaaqa?
Hordhac
Qof kastaa wuxuu ku socdaa cagihiisa si joogto ah maadaama ay ka caawiso dadka inay sii socdaan oo u ogolaato inay ka tagaan meel kale. Dad badan ayaa si joogto ah cagahooda ugu socda carruurnimada ilaa qaan-gaarnimada. Tani waa sababta oo ah caguhu waa qayb ka mid ah murqaha hoose ee murqaha kuwaas oo xasiliya miskaha oo u oggolaanaya dhaqdhaqaaqa dareenka lugaha, bowdada, iyo weylaha. Cagaha sidoo kale waxay leeyihiin muruqyo kala duwan, seedaha, iyo seedaha ku wareegsan qaabdhismeedka lafaha si looga hortago xanuunka iyo raaxo la'aanta. Si kastaba ha noqotee, marka dhaqdhaqaaqyada soo noqnoqda ama dhaawacyada ay bilaabaan inay saameeyaan cagaha, waxay u horseedi kartaa fasciitis plantar iyo, waqti ka dib, waxay keenaan astaamo halis ah oo isku dhafan oo keena xanuunka sinta. Marka ay dadku la kulmaan xaaladahan xanuunka u eg, waxay si weyn u saameyn kartaa hawl maalmeedkooda iyo tayada guud ee nolosha. Marka tani dhacdo, dad badan ayaa raadsada daaweyno kala duwan si loo yareeyo calaamadaha xanuunka u eg ee ay keento fasciitis plantar iyo soo celinta dhaqdhaqaaqa sinta. Maqaalka maanta wuxuu eegayaa sida fasciitis plantar uu ula xiriiro xanuunka sinta, xiriirka ka dhexeeya cagaha iyo miskaha, iyo sida ay u jiraan xalal aan qaliin ahayn si loo yareeyo fasciitis plantar. Waxaan la hadalnaa bixiyeyaasha caafimaadka ee shahaadeysan ee xoojiya macluumaadka bukaannadayada si loo qiimeeyo sida loo yareeyo fasciitis plantar iyo soo celinta dhaqdhaqaaqa sinta. Waxaan sidoo kale ku wargelineynaa oo hagaynaa bukaanada sida badan oo daaweyn aan qalliin ahayn ay gacan uga geysan karaan xoojinta murqaha daciifka ah ee la xidhiidha fasciitis plantar iyo caawinta soo celinta xasilinta xanuunka sinta. Waxaan ku dhiirigelinaynaa bukaanadayada inay weydiiyaan bixiyeyaashooda caafimaad ee la xidhiidha su'aalo adag oo muhiim ah oo ku saabsan isku darka isbeddellada yaryar si loo yareeyo saameynta xanuunka u eg ee ay keento fasciitis plantar. Dr. Jimenez, DC, waxa ku jira macluumaadkan adeeg akadeemiyadeed ahaan. Afeef.
Miyaad dareentaa xanuun ciribta ah si joogto ah ka dib socod dheer? Ma dareentaa qallafsanaan miskahaaga ah markaad iskala bixinayso? Mise waxaad dareentaa in kabahaagu ay ku keenayaan kacsanaan iyo xanuun cagahaaga iyo weylahaaga? Badanaa, qaar badan oo ka mid ah xaaladahan xanuunka la mid ah waxaa sabab u ah dadka la tacaalaya fasciitis plantar, oo lagu garto xanuunka ciribta sababtoo ah bararka ama xanaaqa sii xumaanaya ee fascia plantar, koox ka mid ah unugyo qaro weyn ayaa ka socda dhinaca hoose ee cagta waxayna ku xiran yihiin lafta ciribta ilaa suulasha cidhifyada hoose. Qaybtan unugyadu waxa ay door lama huraan ah ka ciyaaraan jidhka, iyaga oo siinaya biomechanics caadiga ah cagta iyaga oo taageeraya qaansada oo ka caawinaya nuugista shoogga. (Buchanan et al., 2024) Plantar fasciitis wuxuu saameyn karaa xasiloonida cirifka hoose tan iyo markii xanuunku saameeya cagaha oo uu keeno sinta xanuun.
Marka, sidee baa fasciitis plantar ula xiriiri lahaa sinta xanuunka? Iyadoo fasciitis plantar, dad badan ayaa la kulma xanuunka cagahooda. Waxay u horseedi kartaa caga cag aan caadi ahayn, daciifnimada murqaha hoose, iyo walbahaarka murqaha oo yarayn kara xasilloonida lugaha iyo muruqyada miskaha. (Lee et al., 2022) Xanuunka sinta, dad badan ayaa la kulmi kara cillad socodka taasoo keenta daciifnimada murqaha ee cidhifyada hoose waxayna sababtaa murqaha dheeriga ah inay qabtaan shaqooyinka murqaha aasaasiga ah. Halkaa marka ay marayso, tani waxay dadka ku qasabtaa in ay dhulka xoqaan marka ay socdaan. (Ahuja iyo al., 2020) Tani waa sababta oo ah xaaladaha caadiga ah sida gabowga dabiiciga ah, murqaha xad-dhaafka ah, ama dhaawacyada waxay keeni karaan calaamado xanuun u eg miskaha, oo ay ku jiraan raaxo la'aanta bowdada, gumaarka, iyo badhida gobolka, qallafsanaanta wadajirka ah, iyo dhaqdhaqaaqa oo yaraada. Xanuunka miskaha waxa uu sababi karaa astaamo is-daba-marin ah oo laga yaabo inay ku jiraan cadaadis soo noqnoqda oo cagaha ah, taasoo keenta calaamado xanuun fiiqan iyo kuwo caajis ah oo ciribta ah.
Xidhiidhka ka dhexeeya cagaha iyo miskaha
Waxaa muhiim ah in la fahmo in dhibaatooyinka cagaha sida fasciitis plantar ay saameyn ku yeelan karaan miskaha iyo dhanka kale, maadaama labada gobol ee jirku ay leeyihiin xiriir qurux badan oo ku dhex jira nidaamka muruqyada. Plantar fasciitis ee cagahooda waxay bedeli karaan shaqadooda socodkooda, taasoo suurtogal ah inay keento sinta xanuun waqti ka dib. Tani waxay sabab u tahay arrimo badan oo deegaanka ah oo saameyn kara miskaha iyo cagaha waqti ka dib, taasoo keenta fasciitis plantar oo xiriir la leh sinta xanuunka. Laga soo bilaabo dhaqdhaqaaqyada culeyska xad-dhaafka ah ee microtrauma ee miskaha ama fascia plantar, dad badan ayaa inta badan raadsan doona daaweyn si loo yareeyo saameynta fasciitis plantar ee ku xiran xanuunka sinta iyagoo wax ka qabanaya sida dhaqdhaqaaqooda kala duwan ay u saameeyaan isugeynta dhirta iyo culeyskooda xoogga. -Nuu nuugista qaababka dusha sare ee dhirta waxay noqon kartaa bar bilow wanaagsan oo ka hortagga iyo daaweynta fasciitis plantar ee la xidhiidha sinta xanuunka. (Hamstra-Wright iyo al., 2021)
Waa maxay Plantar Fasciitis?-Video
Xalka aan Qalliinka ahayn si loo yareeyo Faskiitiska Dhirta
Marka ay timaado hoos u dhigista fasciitis plantar ee jirka, shakhsiyaad badan ayaa raadin doona daaweyn aan qalliin ahayn oo yareyn karta xanuunka ka yimaada fascia plantar. Daawaynta aan qaliinka ahayn waa kharash-ool ah waxayna yarayn kartaa xanuunka ka yimaada fasciitis plantar iyo calaamadaha la xidhiidha, sida xanuunka sinta. Qaar ka mid ah faa'iidooyinka daaweynta aan qalliinka ahayn ayaa ah kuwo rajo leh, maaddaama ay leeyihiin khatar yar oo dhibaatooyin ah, helitaan wanaagsan, iyo xitaa awood sare oo lagu yareeyo culeyska farsamada ee fascia plantar marka la qabanayo waxqabadyo joogto ah. (Schuitema et al., 2020Qaar ka mid ah daawaynta aan qaliinka ahayn ee dad badani ku dari karaan waxaa ka mid ah:
Jimicsiyada jimicsiga
Qalabka Ortotic
Daryeelka lafdhabarta
Daaweynta maskaxda
Acupuncture/electroacupuncture
Laf-dhabarta oo yaraada
Daawooyinkan aan qalliinka ahayn ma aha oo kaliya inay caawiyaan yaraynta fasciitis plantar laakiin sidoo kale waxay caawiyaan yaraynta xanuunka sinta. Tusaale ahaan, laf-dhabarka laf-dhabarku wuxuu gacan ka geysan karaa dib u soo celinta dhaqdhaqaaqa sinta iyada oo la kala bixinayo laf-dhabarka lumbar oo ka saaraysa cidhifyada hoose ee kabuubyada iyada oo la xoojinayo muruqyada cidhiidhiga ah. (Takagi iyo al., 2023). Electroacupuncture waxay kicin kartaa acupoints jirka si ay u sii daayaan endorphins ee cirifka hoose si loo yareeyo bararka fascia plantar. (Wang et al., 2019) Marka ay dadku bilaabaan inay isbeddel yar ku sameeyaan hawlahooda caadiga ah, sida xidhashada kabo habboon oo aanay qaadin ama qaadin walxaha miisaanka culus, waxay aad u dheeraan kartaa si looga hortago fasciitis plantar iyo miskaha xanuunka inay soo noqnoqdaan waxay u socon kartaa waddo dheer. Lahaanshaha qorshe daawaynta shakhsi ahaaneed waxay hubin kartaa shakhsiyaad badan oo doonaya daweyn aan qalliin ahayn inay natiijo fiican ka helaan caafimaadkooda iyo dhaqdhaqaaqooda iyagoo ka hortagaya dhibaatooyinka muddada dheer.
tixraacyada
Ahuja, V., Thapa, D., Patial, S., Chander, A., & Ahuja, A. (2020). Sinta xanuunka daba dheeraada ee dadka waaweyn: aqoonta hadda iyo mustaqbalka mustaqbalka. J Anaesthesiol Clin Pharmacol, 36(4), 450-457. doi.org/10.4103/joacp.JOACP_170_19
Hamstra-Wright, KL, Huxel Bliven, KC, Bay, RC, & Aydemir, B. (2021). Qodobbada Khatarta ah ee Faskitis Plantar ee Shakhsiyaadka Firfircoon ee Jirka ah: Dib-u-eegis Nidaamsan iyo Falanqaynta Meta. Caafimaadka Ciyaaraha, 13(3), 296-303. doi.org/10.1177/1941738120970976
Lee, JH, Shin, KH, Jung, TS, & Jang, WY (2022). Waxqabadka Muruqyada Cirifka Hoose iyo Cadaadiska Cagaha ee Bukaannada Qaba Fasciitis Plantar oo leh iyo Aan Lahayn Joogitaanka Cagaha fidsan. Int J Environ Res Caafimaadka Dadweynaha, 20(1). doi.org/10.3390/ijerph20010087
Schuitema, D., Greve, C., Postema, K., Dekker, R., & Hijmans, JM (2020). Waxtarka Daawaynta Makaanikada ee Plantar Fasciitis: Dib-u-eegis Habaysan. J Sports Rehabil, 29(5), 657-674. doi.org/10.1123/jsr.2019-0036
Takagi, Y., Yamada, H., Ebara, H., Hayashi, H., Inatani, H., Toyooka, K., Mori, A., Kitano, Y., Nakanami, A., Kagechika, K., Yahata, T., & Tsuchiya, H. (2023). Burburinta laf-dhabarka laf-dhabarka laf-dhabarka ee goobta gelinta kateetarka intrathecal inta lagu jiro daawaynta baclofen ee intrathecal: warbixin kiis. J Med Case Rep, 17(1), 239. doi.org/10.1186/s13256-023-03959-1
Wang, W., Liu, Y., Zhao, J., Jiao, R., & Liu, Z. (2019). Electroacupuncture oo ka soo horjeeda acupuncture buug-gacmeedka ee daaweynta xanuunka cirridka ciribta ee ciribta: borotokoolka daraasadda ee tijaabada la xakameynayo ee soo socota. BMJ Open, 9(4), e026147. doi.org/10.1136/bmjopen-2018-026147
Shakhsiyaadka qaba osteoarthritis ma heli karaan gargaarka ay u qalmaan iyaga oo isticmaalaya electroacupuncture si loo soo celiyo dhaqdhaqaaqa jilibka iyo sinta?
Hordhac
Cidhifyada hoose waxay bixiyaan dhaqdhaqaaqa iyo xasiloonida jidhka, taas oo u oggolaanaysa dadka inay dhaqdhaqaaq sameeyaan. Sinta, dhabarka hoose, jilbaha, iyo cagaha mid kastaa wuxuu leeyahay shaqo uu ku sameeyo, iyo marka arrimaha naxdinta leh ay bilaabaan inay saameeyaan qaababka laf-dhabarka, waxay keeni kartaa calaamado badan oo soo baxa oo keena calaamadaha xanuunka u eg. Intaa waxaa dheer, arrimaha hoos u dhaca ayaa dabiici u ah kala-goysyada cirifka hoose maadaama dad badani ay sameeyaan dhaqdhaqaaqyo soo noqnoqda oo jidhkooda ah kuwaas oo u horseedaya habka xumaanshaha. Mid ka mid ah arrimaha ugu caansan ee hoos u dhaca ee saameeya qaybaha hoose waa osteoarthritis, taas oo dad badan ka dhigi karta inay dareemaan murugo. Maqaalka maanta wuxuu eegayaa sida osteoarthritis u saameeyo qaybaha hoose iyo sida daawaynta sida electroacupuncture ay yareeyaan bararka la xidhiidha osteoarthritis waxayna soo celiyaan dhaqdhaqaaqa jilibka iyo sinta. Waxaan la hadalnaa bixiyeyaasha caafimaadka ee shahaadeysan ee xoojiya macluumaadka bukaannadayada si aan si fiican u fahanno sida osteoarthritis-ku u saameeyo xubnahooda hoose. Waxaan sidoo kale ku wargelineynaa oo ku hageynaa bukaanka sida daaweynta elektroacupuncture ay u caawin karto yareynta saameynta bararka osteoarthritis ee saameeya miskaha iyo jilbaha. Waxaan ku dhiirigelinaynaa bukaanadayada inay waydiiyaan bixiyeyaashooda caafimaadka ee la xidhiidha su'aalo adag oo muhiim ah oo ku saabsan dhimista horumarka osteoarthritis iyada oo loo marayo daawaynta aan qaliinka ahayn. Dr. Jimenez, DC, waxa ku jira macluumaadkan adeeg akadeemiyadeed ahaan. Afeef.
Osteoarthritis oo Saamayn ku leh Cidhifyada Hoose
Ma la tacaalaysay qallafsanaanta jilbahaaga, miskahaaga, iyo dhabarka hoose subaxdii? Ma dareentaa inaad xoogaa gariirayso markaad socoto? Mise waxaad u malaynaysaa inuu kul iyo barar ka dhalinayo jilbahaaga? Marka dadku la kulmaan arrimahan xanuunka bararka ee kala-goysyada, waxaa sabab u ah osteoarthritis, xanuunka wadajirka ah ee saameeya carjawda u dhexeeya lafaha iyo qaybaha unugyada ku wareegsan wadajirka. Lafo-jileecu waa noocyo badan oo kala duwan, taasoo la micno ah inay noqon karto idiopathic ama labaad iyadoo ay saameynayaan arrimaha dhaxalka. (Bliddal, 2020) Meelaha ugu badan ee ay dadku isku arkaan osteoarthritis waa dhabarka hoose, gacanta, sinta, iyo, inta badan, jilbaha. Qaar ka mid ah arrimaha ugu waaweyn ee deegaanka ee gacan ka geysta horumarinta osteoarthritis waxaa ka mid ah:
cayilka
Age
Hawlaha soo noqnoqda
Taariikhda qoyska
dhaawacyada
Marka ay dadku la tacaalayaan osteoarthritis, arrimaha deegaanka waxay keeni karaan culeys xad dhaaf ah oo ku saabsan kala-goysyada, taas oo keenta cadaadis iyo barar. (Nedunchezhiyan iyo al., 2022)
Marka caabuqa lala xiriiriyo osteoarthritis, waxay keeni kartaa kala-goysyada iyo unugyada muruqa ee ku hareeraysan inay bararaan oo dareemaan kulayl marka la taabto. Isla mar ahaantaana, osteoarthritis waa mid ka mid ah sababaha ugu horreeya ee naafanimada taas oo noqon karta arrin dhaqan-dhaqaale oo dad badan. (Yao et al., 2023) Tani waa sababta oo ah shakhsiyaad badan oo qaba osteoarthritis waxay leeyihiin cillado isku dhafan kuwaas oo la xidhiidha saamaynta cytokines bararka, taas oo u horseedi karta inay noqdaan kuwo aan firfircoonayn oo murugaysan. (Katz et al., 2021) Si kastaba ha ahaatee, waxaa jira siyaabo kala duwan oo lagu yareeyo horumarka osteoarthritis iyo in la yareeyo saameynta bararka ee kala-goysyada.
Electroacupuncture Yaraynta bararka ee la xidhiidha Osteoarthritis
Marka ay timaaddo dhimista bararka ee la xidhiidha osteoarthritis, dad badan ayaa raadiya daaweyn qalliin iyo kuwo aan qalliin ahayn kuwaas oo gacan ka geysan kara hoos u dhigista horumarka cudurkan wadajirka ah. Dad badan ayaa samayn doona daawaynta aqua therapy si ay u yareeyaan cadaadiska kala goysyada oo ay u wanaajiyaan dhaqdhaqaaqooda. Isla mar ahaantaana, kuwa kale waxay isticmaalaan depression laf dhabarta si ay u abuuraan cadaadis xun oo ku saabsan booska wadajirka ah. Si kastaba ha ahaatee, dad badan ayaa ogaaday in electroacupuncture ay kaa caawin karto yaraynta saameynta bararka ee osteoarthritis. Electroacupuncture wuxuu isku daraa kicinta dareemayaasha korantada iyo acupuncture oo ay sameeyaan xirfadlayaal aad u tababaran kuwaas oo kaa caawin kara hoos u dhigista xoojinta xanuunka ee kala-goysyada waxayna bixiyaan shaqeyn. (Wu et al., 2020) Intaa waxaa dheer, maadaama osteoarthritis ay la xiriirto bararka, electroacupuncture waxay kor u qaadi kartaa wareegga dhiigga iyo hagaajinta murqaha muruqyada, waxayna wanaajisaa dhaqdhaqaaqa. (Zhang et al., 2023)
Electroacupuncture Soo celinta Jilibka & Dhaqdhaqaaqa Sinta
Electroacupuncture waxay kaa caawin kartaa dhaqdhaqaaqa sinta iyo jilibka maadaama daaweyntan aan qaliinka ahayn ay gacan ka geysaneyso kor u qaadida xaddidaadda xanuunka iyo atrophy muruqa oo ka yimaada culeyska biomechanical, sidaas darteed hagaajinta carjawda viscoelasticity. (Shi et al., 2020) Tani waxay u oggolaanaysaa kala-goysyada inay sii wadaan dhaqdhaqaaqa miskaha, jilbaha, iyo dhabarka hoose. Marka ay dadku maraan daawaynta isku xigta ee lafo-jileecu, waxay dib u soo kaban karaan xooggooda muruqa waqti ka dib si ay u soo celiyaan dhaqdhaqaaqooda oo ay u yareeyaan horumarka osteoarthritis. (Xu, iyo 2020) Marka sidaas la sameeyo, dad badan ayaa heli kara gargaarka ay raadinayaan ee loo yaqaan 'electroacupuncture', taas oo awood u siin karta inay isbeddel yar ku sameeyaan hawl maalmeedkooda si loo hubiyo inay shaqeyn karaan maalinta oo dhan.
Daryeelka lafdhabarta ee xasilooni darrada lugaha- Video
Shakhsiyaadka la tacaalaya sinta xanuunka, ma heli karaan gargaarka ay ka raadinayaan depression laf dhabarta si loo yareeyo xanuunka sciatica?
Hordhac
Marka ay timaado shakhsiyaadka samaynaya dhaqdhaqaaq maalmeed, jidhku wuxuu noqon karaa meelo aan caadi ahayn oo aan xanuun ama raaxo lahayn. Sidaa darteed, dadku waxay istaagi karaan ama fadhiisan karaan waqti dheer waxayna dareemaan inay fiicnaan karaan markay samaynayaan dhaqdhaqaaqyo culus. Si kastaba ha ahaatee, marka uu jirku da'da yahay, muruqyada ku hareeraysan iyo seedaha waxay noqon karaan kuwo daciif ah oo adkaanaya, halka kala-goysyada laf-dhabarka iyo saxannada ay bilaabaan inay is-dul-saaraan oo ay xirtaan oo dillaacaan. Tani waa sababta oo ah shakhsiyaad badan ayaa sameeya dhaqdhaqaaqyo soo noqnoqda oo jidhkooda ah kuwaas oo keena calaamadaha xanuunka dhabarka, miskaha, qoorta, iyo qaybaha jidhka, taas oo keenta xanuunka loo gudbiyo meelo kala duwan oo jirka ah. Marka shakhsiyaadka ay la kulmaan xanuunka murqaha ee jirkooda, waxay keeni kartaa astaamo khatar ah oo is-daba-joog ah oo caqabad ku noqon kara qofka oo u horseedi kara inay noqdaan kuwo murugaysan. Intaa waxaa dheer, marka dadku ay dareemaan xanuunka murqaha ee jirkooda, qaar badan ayaa raadsan doona daaweyn si loo yareeyo calaamadaha xanuunka la midka ah ee la xidhiidha xanuunka muruqyada. Maqaalka maanta wuxuu baari doonaa hal nooc oo xanuunka murqaha ah ee miskaha, sida ay u keeni karto sciatica xanuun-xanuun la mid ah, iyo sida daawaynta sida depression ay u yarayn karto xanuunka-sida xanuunka miskaha ee la xidhiidha sciatica. Waxaan la hadalnaa bixiyeyaasha caafimaadka ee shahaadeysan ee xoojiya macluumaadka bukaannadayada si ay u bixiyaan daweyn badan si loo nafiyo sinta xanuunka ee la xiriira sciatica. Waxaan sidoo kale ku wargelineynaa oo ku hageynaa bukaanka sida depression ay u caawin karto yareynta calaamadaha xanuunka sida sciatica iyo soo celinta dhaqdhaqaaqa sinta. Waxaan ku dhiirigelinaynaa bukaanadayada inay waydiiyaan bixiyeyaashooda caafimaad ee la xidhiidha su'aalo adag oo muhiim ah oo ku saabsan calaamadaha xanuunka u eg ee ay la kulmaan xanuunka sinta. Dr. Jimenez, DC, waxay xogtan ku daraysaa adeeg akadeemiyadeed ahaan. Afeef.
Sinta Xanuunka La Xidhiidha Sciatica
Badana miyaad la kulantaa qallafsanaanta dhabarkaaga hoose iyo miskahaaga ka dib markaad fadhiisatid wakhti xad dhaaf ah? Ka waran sida loo dareemo shucaac xanuun ka soo dhacaya dhabarkaaga hoose ilaa lugahaaga? Mise waxaad u malaynaysaa in muruqyada miskahaaga iyo bowdadaadu ay noqdaan kuwo adag oo daciifa, taas oo saameynaysa xasiloonida socodkaaga? Shakhsiyaad badan oo la kulma arrimahan xanuunka la mid ah ayaa la kulma xanuunka sinta, waxayna noqon kartaa arrin marka aan la daaweynin waqti ka dib. Maaddaama xanuunka sinta uu yahay xaalad caadi ah oo naafo ah oo ay adag tahay in la ogaado, shakhsiyaad badan ayaa inta badan muujiya xanuunka maxaliga ah ee mid ka mid ah saddexda gobol ee anatomic: qaybta hore, dambe, iyo qaybaha miskaha. (Wilson & Furukawa, 2014) Marka shakhsiyaadka ay la tacaalayaan xanuunka sinta, waxay sidoo kale la kulmi doonaan xanuunka dhabarka hoose, taas oo u keenta inay ku jiraan murugo iyo murugo. Isla mar ahaantaana, dhaqdhaqaaqyada caadiga ah ee fudud sida fadhiga ama istaaga waxay saameyn karaan muruqyada iyo seedaha ku wareegsan miskaha waxayna keeni karaan dhaawac. Tani waxay sababi kartaa xanuunka sinta in laga soo gudbiyo dhibaatooyinka laf-dhabarka iyo laf-dhabarka, taas oo markaa keenta arrimaha murqaha ee cirifka hoose. (Lee et al., 2018)
Marka, sidee xanuunka sinta loola xiriirin lahaa sciatica oo uu xanuunka u keeno meelo badan oo hoose? Meelaha miskaha ee habka muruqyada waxay leeyihiin muruqyo badan oo ku wareegsan aagga lafaha miskaha kuwaas oo noqon kara cidhiidhi iyo daciifnimo, taasoo keenta xanuunka murqaha ee ka yimaada intrapelvic iyo arrimaha haweenka. (Chamberlain, 2021) Tani waxay ka dhigan tahay in xanuunada muruqyada sida piriformis syndromes ee la xidhiidha sinta xanuunka ay u horseedi karaan sciatica. Dareemaha sciatica wuxuu hoos uga socdaa gobolka lumbar iyo barida iyo lugta gadaashiisa. Marka qofku uu la tacaalayo xanuunka sciatica oo uu u aadayo dhakhtarkooda aasaasiga ah si looga daweeyo xanuunka, dhakhaatiirtoodu waxay samayn doonaan baaritaan jireed si ay u arkaan waxa keena xanuunka. Qaar ka mid ah natiijooyinka caadiga ah ee inta lagu jiro baaritaanka jireed waxay ahaayeen jilicsanaan iyo garaacid cirifka weyn ee sciatic iyo taranka xanuunka ee miskaha. (Son & Lee, 2022Tani waxay sababtaa calaamado la xidhiidha sciatica iyo sinta xanuunka, oo ay ku jiraan:
Dareen kabuubis/kabuubyo
Dareenka murqaha
Xanuun marka la fadhiyo ama taagan yahay
Raaxo la'aan
Mooshinku ma fure u yahay bogsiinta- Video
Laf-dhabar-jabka Yaraynta Sinta Xanuunka
Si kastaba ha ahaatee, shakhsiyaad badan ayaa heli doona daaweyn aan qalliin ahayn si ay u caawiyaan yaraynta sciatica ee la xidhiidha xanuunka sinta. Daawaynta aan qalliinka ahayn waxaa loo habeeyey xanuunka qofka waana kharash-ku-ool marka ay u jilicsan yihiin laf dhabarta. Kala-baxa laf-dhabarku wuxuu kaa caawin karaa dhimista miskaha xanuunka ee la xidhiidha sciatica. Burburinta laf dhabarta waxay u oggolaaneysaa jilbis jilicsan si ay u fidiso murqaha daciifka ah ee dhabarka hoose iyo miskaha halka saxannada laf dhabarta ay la kulmaan cadaadis taban. Marka qofku uu la tacaalayo xanuunka sciatica ee la xidhiidha sinta xanuunka iyo isku dayga niyad-jabka markii ugu horeysay, waxaa la siiyaa gargaarka ay u qalmaan. (Crisp iyo al., 1955)
Intaa waxaa dheer, shakhsiyaad badan oo ku dara niyad-jabka xanuunka sinta waxay bilaabi karaan inay dareemaan saameyntooda maadaama ay gacan ka geysaneyso hagaajinta wareegga dhiigga ee dib ugu noqoshada miskaha si ay u bilaabaan habka bogsashada dabiiciga ah. (Hua et al., 2019) Marka ay dadku bilaabaan inay ku daraan niyad-jabka sinta xanuunkooda, way nasan karaan markay dareemaan dhammaan xanuunkooda iyo xanuunkooda si tartiib tartiib ah u baaba'aan marka dhaqdhaqaaqa iyo wareega ay ku soo noqdaan cidhifyada hoose.
tixraacyada
Chamberlain, R. (2021). Sinta Xanuunka Dadka Waaweyn: Qiimaynta iyo ogaanshaha Kala Duwanaanshaha. Dhakhtarka Qoyska Maraykanka, 103(2), 81-89. www.ncbi.nlm.nih.gov/pubmed/33448767
Lee, YJ, Kim, SH, Chung, SW, Lee, YK, & Koo, KH (2018). Sababaha keena Xanuunka miskaha ee daba-dheeraada ee aan la ogaanin ama ay si khaldan u baadheen Dhakhaatiirta Aasaasiga ah ee Bukaan-socodka Da'da yar: Daraasad Sharaxeed Dib-u-eegis ah. J Korean Med Sci, 33(52), e339. doi.org/10.3346/jkms.2018.33.e339
Son, BC, & Lee, C. (2022). Piriformis Syndrome (Isku-xirnaanta Dareemaha Sciatic) ee ku xidhan Nooca C Kala duwanaanshaha neerfaha Sciatic: Warbixinta Laba Kiis iyo Dib-u-eegis Suugaaneed. Kuuriya J Neurotrauma, 18(2), 434-443. doi.org/10.13004/kjnt.2022.18.e29
Shakhsiyaadka la kulma xanuunka miskaha, ku darida acupuncture miyay kaa caawin kartaa yaraynta iyo yaraynta xanuunka dhabarka hoose?
Hordhac
Nidaamka muruqyada, qaybaha sare iyo hoose ee jirka waxay leeyihiin shaqooyin si ay ugu oggolaadaan martida loo yahay dhaqdhaqaaq. Qaybaha hoose ee jirka waxay bixiyaan xasilooni waxayna ilaalinayaan booska saxda ah, taas oo ka caawin karta muruqyada ku hareeraysan inay noqdaan kuwo xooggan oo ilaaliya xubnaha muhiimka ah. Kala-goysyada qalfoofka ee jirku waxay caawiyaan hubinta in miisaanka jidhka qofka si siman loo qaybiyo. Nidaamka muruqyada, gobolka miskaha ee qaybta hoose ee jirka waxay ka caawisaa xasilinta waxayna siisaa shaqada kaadida ee caadiga ah ee jirka. Si kastaba ha noqotee, marka arrimaha caadiga ah iyo kuwa naxdinta leh ay bilaabaan inay saameeyaan qaybaha hoose ee jirka, waxay u horseedi kartaa arrimo la mid ah xanuunka kuwaas oo keeni kara qaar ka mid ah xanuunka loo gudbiyo visceral ee dhabarka hoose, waxayna ka dhigi kartaa shakhsiyaad badan inay u maleeyaan inay la kulmaan xanuunka dhabarka hoose. , taas oo ah mid ka mid ah calaamadaha la xidhiidha xanuunka miskaha. Marka shakhsiyaad badan ay la kulmaan xanuunka miskaha ee la xidhiidha xanuunka dhabarka hoose, qaar badan ayaa dooran doona inay raadiyaan daaweyn si loo yareeyo calaamadaha xanuunka oo u soo celiyaan shaqadooda jirkooda. Maqaalka maanta wuxuu eegayaa sida xanuunka miskaha uu ula xiriiro xanuunka dhabarka hooseeya iyo sida daaweynta sida acupuncture ay u caawin karto yaraynta xanuunka miskaha ee la xidhiidha xanuunka dhabarka hooseeya iyo bixinta gargaarka. Waxaan la hadalnaa bixiyeyaasha caafimaadka ee shahaadaysan kuwaas oo ku dara macluumaadka bukaannadayada si ay u bixiyaan daaweyno kala duwan si loo yareeyo xanuunka dhabarka hooseeya ee la xidhiidha xanuunka miskaha. Waxaan sidoo kale ku wargelineynaa bukaanka sida daaweynta aan qalliinka ahayn sida acupuncture ay u caawin karto yareynta saameynta xanuunka miskaha. Waxaan ku dhiirigelineynaa bukaanadayada inay weydiiyaan su'aalo adag bixiyeyaashayada caafimaadka ee xiriirka la leh ee ku saabsan calaamadaha xanuunka u eg ee ay la kulmaan xanuunka miskaha oo sidoo kale keena arrimaha dhabarka hoose. Dr. Alex Jimenez, D.C., waxa uu macluumaadkan uga faa’ideeyaa adeeg tacliin ahaan. Afeef.
Miyaad la kulantay xanuun aad u daran oo ka yimid fadhi badan oo xanuun ku keenaya dhabarkaaga hoose ama gobolka miskaha? Ma ku dareemeysaa qallafsanaanta dhabarkaaga hoose iyo gobolka miskaha sababtoo ah qaab-dhismeed xumo? Mise waxa kugu haya maroojis daran agagaarka miskahaaga? Marka shakhsiyaad badan ay la tacaalayaan arrimahan xanuunka la mid ah, waxay la xiriirtaa xanuunka miskaha. Hadda, xanuunka miskaha waa xanuun caadi ah, naafo ah, xanuun joogto ah kaas oo la xidhiidha isku-dhafka kuwaas oo ah kuwo kala duwan oo inta badan ah xanuunka dhexe. (Dydyk & Gupta, 2023) Isla mar ahaantaana, xanuunka miskaha ayaa caqabad ku ah in la ogaado sababtoo ah inuu yahay mid badan oo kala duwan iyo wadaaga xididada dareemayaasha ee badan ee fidsan oo ku xiran gobolka lumbar. Ilaa hadda, tani waxay keentaa xanuunka loo gudbiyo dhabarka hoose waxayna keentaa shakhsiyaad badan inay u maleynayaan inay la kulmaan xanuunka dhabarka hoose marka, dhab ahaantii, ay la tacaalayaan xanuunka miskaha. Tani waxay sabab u tahay muruqyada sagxada miskaha oo daciif ah, taas oo keeni karta shakhsiyaad badan inay yeeshaan qaab-dhismeed liidata, taasoo keenta xanuunka dhabarka hooseeya waqti ka dib.
Intaa waxaa dheer, marka gobolka miskaha uu khaldan yahay sababtoo ah dhaqdhaqaaqyada soo noqnoqda ee keena xanuunka dhabarka hoose, waxay keeni kartaa murqaha ku hareeraysan inay si xad dhaaf ah u fidiyaan oo ay dabacsanaadaan agagaarka kala-goysyada sacroiliac. (Mutaguchi iyo al., 2022) Marka ay tani dhacdo, murqaha ku hareeraysan miskaha iyo dhabarka hoose ayaa laga yaabaa inay daciifaan, taasoo keenaysa leexinta hore ee miskaha oo keenaya isbeddel ku yimaada aagga lumbopelvic.
Maaddaama aagga lumbopelvic uu ku jiro qaybaha hoose ee jirka, waxay keeni kartaa isbeddel ku yimaada qaab-dhismeedka lafaha jirka, taasoo keenta xanuunka dhabarka hoose. Marka tirada sii kordheysa ee shakhsiyaadka ay la tacaalaan qallafsanaanta laf-dhabarka, waxay ilaalin doonaan booska taagan iyagoo ka hortagaya cuf-jiidkooda dhexe inay horay u socdaan iyagoo isticmaalaya muruqyadooda miskaha si ay u magdhabaan miisaankooda. (Murata iyo al., 2023) Marka ay tani dhacdo, waxay keentaa murqaha xudunta u ah ee ku wareegsan iyo murqaha dhabarka inay si xad dhaaf ah u fidiyaan, taas oo markaa keenta murqaha dheeriga ah inay soo saaraan tamar badan oo ay qabtaan shaqooyinka murqaha aasaasiga ah. Tani waxay sababtaa arrimaha kaadida iyo murqaha ee keena xanuunka loo yaqaan yaanyo-visceral ee nidaamka muruqyada. Si kastaba ha ahaatee, waxaa jira siyaabo badan oo lagu yareeyo xanuunka miskaha ee la xidhiidha xanuunka dhabarka hooseeya iyada oo dib loo soo celinayo shaqada miskaha iyo dib u soo celinta xoogga muruqa ee ku wareegsan muruqyada xudunta u ah gobolka miskaha.
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Miyaad la kulantay qallafsanaan muruq ah agagaarka miskahaaga, dhabarka hoose, ama gobolka miskahaaga? Miyaad dareentaa inaad leedahay dhaqdhaqaaq xaddidan subaxdii, kaliya si aad u dareento fiicnaan maalintii oo dhan? Mise waxaad la kulantaa arrimo kaadiheysta oo xiriir la leh xanuunka dhabarka hooseeya? Qaar badan oo ka mid ah xaaladahan xanuunka la mid ah waxay la xiriiraan xanuunka miskaha waxayna sababi karaan arrimaha xanuunka dhabarka ee caadiga ah taas oo keenta in shakhsiyaad badan ay ku foorarsadaan oo ay dareemaan xanuun joogto ah. Maadaama xanuunka miskaha uu yahay xanuunka murqaha ee kala duwan, waxay la xiriiri kartaa isku-dhafka kuwaas oo keeni kara arrimo ku saabsan gobolka lumbar ee laf-dhabarka oo saameeya dhaqdhaqaaqa jirka. Si kastaba ha ahaatee, daaweyno badan ayaa yarayn kara saameynta xanuunka miskaha waxayna dib u soo celin karaan dhaqdhaqaaqa dhabarka hoose ee jirka. Marka ay timaado raadinta daawaynta, shakhsiyaad badan ayaa raadin doona daaweyno kharash-ool ah oo kaa caawin kara yaraynta xanuunka la soo gudbiyay ee la xidhiidha dhabarka hoose iyo xanuunka miskaha. Fiidiyowga kore wuxuu muujinayaa sida daaweynta aan qalliinka ahayn ay gacan uga geysan karto soo celinta dhaqdhaqaaqa cidhifyada hoose.
Marka ay timaado daawaynta aan qaliinka ahayn, shakhsiyaad badan ayaa raadsan doona daawayn kharash-ool ah. Daawooyinka sida daryeelka xanuunka loo yaqaan 'chiropractic care', xanuunka laf-dhabarka, iyo daaweynta duugista ayaa kaa caawin kara yaraynta xanuunka dhabarka hooseeya, laakiin xanuunka miskaha, shakhsiyaad badan ayaa raadin doona acupuncture. Acupuncture waa hawl caafimaad oo uu sameeyo xirfadle aad u tababaran kaas oo isticmaala cirbadaha adag laakiin dhuuban ee meelo gaar ah oo jirka ah. Sidaa daraadeed, shakhsiyaadka la tacaalaya xanuunka miskaha, acupuncture waxay gacan ka geysan kartaa soo celinta dheelitirka tamarta ee la xiriirta xubnaha gudaha ee xanuunka keena. (Yang et al., 2022) Acupuncture waxay gacan ka geysan kartaa dib u soo celinta awoodda gobolka miskaha iyada oo u wareejinaysa tamarta jidhka oo ka caawisa yaraynta naafanimada iyo cilladaha shaqada. (Pan et al., 2023) Acupuncture waxay yareyn kartaa xanuunka dhabarka hooseeya iyadoo la dooranayo qodobbada kiciya qaarkood kuwaas oo saameyn kara meelaha u dhexeeya miskaha iyo dhabarka si ay u xannibaan wareegga wareegga muruqa. (Sudhakaran, 2021) Marka dad badani bilaabaan inay ku daraan acupuncture qayb ka mid ah qorshahooda daawaynta ee gaarka ah, waxay ka faa'iidaysan karaan daawaynta kale si ay u dareemaan fiicnaan una wanaajiyaan caafimaadkooda.
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