Iindlela zobuchwephesha ezisetyenziselwa ukuPhatha iMva kunye neNtlungu
I-centralization iyigama elisetyenziswe ngendlela yokwelapha ngokwenyama eyaziwa njengeMcKenzie Indlela yokuHlola iMechanical and Therapy (MDT). I-centralization ichaza into apho intlungu, umlenze, okanye ityhuna ngokukhawuleza ishukunyiselwa kwindawo esondeleyo emthonjeni ukuba umgudu ungasuswa okanye uqhutywe.
Indlela ye-MDT yasungulwa nguRobin McKenzie (1932-2013), umphathiswa wenyama ovela eNew Zealand ogqirha lwakhe olujoliswe ekujonganeni neempawu zekliniki zentlungu ephantsi okanye entanyeni kunokuba kuchonge indawo ye-anatomiki yentlungu
Nangona uphando lubonise ukuba i-MDT inokubonelela ukukhululeka kubantu abaneentlungu ezibuhlungu ezisezantsi, inzuzo yayo ekuphatheni ezinye iintlobo zeengxaki ezinxulumene nomgudu zingekho nto.
Ixabiso loPhezulu lweZiko
Ngokomgaqo we-MacKenzie, ukusetyenzana kungasetyenziselwa njengendlela yokuxilongwa ngelixa uncedisa oogqirha ekuquluneni isicwangciso sonyango. Ukuqwalasela i-centralization kubonwa kubalulekile ngezizathu ezibini:
- Ukuphambili kweentlungu kubonisa ukuba yingxaki engaphantsi komgudu.
- Naluphi na ukunyakaza okanye ukuzivocavoca okubangela ukuba ubuhlungu bokugxininisa kufuneka kuthathelwe ingqalelo kwaye lunokubandakanywa kwipilisi .
Njengesixhobo sokuxilonga, ukuphambili kwendawo yinto engafanelekanga. Nangona sihlala sicinga ngeentlungu njengento ekufuneka siyiphephe, ukuphambili kwendawo kubonisa ukuba ngezinye iimeko iintlungu zingasetyenziselwa ukuchonga iintshukumo ezizodwa kunye nezonyango.
Ngaphezu koko, i-central centration does not require therapist ukuba wazi indawo ekhoyo yentlungu ukuze uyiphathe.
Ingaba unayo i- disc , i-arthritis, okanye enye ingxaki yesipelingi, ukusetyenzana kwendawo kukubonelela ngeendlela ezinokwenyango ngaphandle kokungenelela okuninzi okanye umngcipheko wokulimala. Izenzo ezahlukeneyo kunye nezikhundla zingasetyenziselwa oku kubandakanywa ukuqhutyelwa kweendlela zokujikeleza kunye nokujikeleza kwepaji .
Ngakolunye uhlangothi, ukuba intlungu emva okanye entanyeni ihamba kude nomgudu, kufuneka ithathelwe ingqalelo inzuzo kwaye ingabangela ingozi ngakumbi.
Ukusebenza kwe-MDT
Uphando lwe-MacKenzie luye lwabonisa ukuba lusebenza kakuhle ekuphatheni abantu abaneentlungu ezibuhlungu. Nangona kunjalo, ukuhlaziywa kwe-kliniki ka-2012 kwagqitywa ukuba izibonelelo zayo kubantu abaneentlungu ezingapheliyo zingaphelelanga.
Akunjalo ukuba i-MDT ayiyinto engasebenzi. Kuphela nje ukuba i-centralization ivame ukuvela kubantu abaneentlungu ezibuhlungu kunokuba babe nobuhlungu obungapheliyo. Ukongezelela, i-centralization ibonakala ngokuqhelekileyo kubantu abancinci abathandabuzwayo obuya kuba yintlungu kunye nokulimala. Kule qela ukuba intlungu emva koko inokuphucula ngokwayo, ngaphandle okanye ngaphandle kwe-MDT.
ILizwi
Ukuba unesihlungu esiphantsi okanye entanyeni engabonakali kukuphucula, jonga ugqirha uze ucele ukuthunyelwa kwiphilisi yomzimba onokukwazi ukukunceda. Kwezinye iimeko, ukulungiswa kwangemva kwesikhashana kunye nezinye iindlela ezilula kunokukunceda ukulungisa ingxaki emva okanye entanyeni ngokugqithiseleyo kunokuba i-painkillers okanye anti-inflammatories.
Ukuba intlungu yakho ingapheliyo, zama ukucinga ngonyango njengenkqubo ngaphandle kwesiganeko. Ngokwenza njalo, unokwenza utshintsho kwiindlela zakho zokuphila ukuze uqinisekise kangcono nayiphi na intuthuko onayo.
> Imithombo:
> Machado, L .; Maher, C; UHerbert, R. et al. Indlela yokuphumelela kwendlela kaMcKenzie ngaphezu kokunakekelwa kokuqala kwintlungu yeentlungu eziphantsi. BMC Medicine . 2010; 8:10.
> NgoMeyi, S. kunye no-Type, A. "I-centralization and preference preference: Uhlolo oluhlelekile." Inzululwazi yeSishuloskeletal and Practice. 2012; 17 (6): 497-506