I-Chiropractic yindlela yokhathalelo lwempilo egxininisa ubudlelwane obuphakathi kwesakhiwo somzimba, ngokuyinhloko ngomgudu, nomsebenzi.
I-chiropractic isetyenziswe rhoqo ekuphatheni imeko ze-musculoskeel, iingxaki nge:
- imisipha
- maqela
- amathambo
- izicubu ezinxulumene (ezifana ne-cartilage, ligaments, kunye neeton)
Igama elithi "chiropractic" lidibanisa amagama aseGrike angama-cheir (isandla) kunye ne-praxis (isenzo) kwaye ithetha "kwenziwa ngesandla." I-Chiropractic yindlela enye yokwelapha kwaye ithatha indlela eyahlukileyo ukusuka kwiyeza eliqhelekileyo ekuxileni, ukuhlengahlengisa kunye nokunyanga iingxaki zempilo.
Oogqirha be-chiropractic, ababizwa ngokuba yi-chiropractors okanye oogqirha be-chiropractic, basebenzisa uhlobo lwezonyango zonyango olubizwa ngokuba yi-manipulation (okanye utshintsho ) njengenkqubo yazo yekliniki. Ukunyanzeliswa kukunyanzelanisa ngokuhambelanayo kunye nokuhamba kweendlela eziqhelekileyo. Ukulungiswa kwexesha kukhethwa kwi-chiropractic.
Iingcamango ezisisiseko ze-chiropractic zingachazwa njenge:
- umzimba unamandla okuphulukisa amandla
- isakhiwo somzimba (ngokukodwa oko kwintlambo) kunye nomsebenzi wayo unxulumene ngokusondeleyo, kwaye olu lamano luchaphazela impilo
- unyango lwe-chiropractic lunikezelwa ngeenjongo zokuqhelanisa olu ludlelwane phakathi kwesakhiwo kunye nomsebenzi kunye nokunceda umzimba njengoko uphilisa
Ziyiphi iyeza eziqhelekileyo?
Iyeza eliqhelekileyo lonyango njengoko lenziwa ngabanini bamadigri kunye nabanye abaqeqeshi bezempilo njengamalungu:
- MD (Ugqirha wezeMpilo)
- YENZA (Ugqirha we-Osteopathic Medicine, uhlobo lweyeza eliqhelekileyo)
- a mayeza
- zengqondo
- abahlengikazi ababhalisiweyo
Eminye imigaqo yonyango eliqhelekileyo iquka:
- iillopathic
- Amayeza aseNtshona
- lonyango
- mayeza
- mayeza rhoqo
- biomedicine
Ziyiphi i-Complementary Alternative Medicine (CAM)?
Iinkqubo zokunakekelwa kwezempilo kunye nemveliso engabonwa njengenxalenye yonyango eliqhelekileyo libizwa ngokuba yi-complementary and alternative medicine (CAM).
- Iyeza elongezelelweyo lisetyenziswe kunye neyeza eziqhelekileyo.
- Iyeza elisebenzayo lisetyenziselwa indawo yonyango.
Imbali YeCropractic
I-Chiropractic yindlela yokuguqulwa kwemigulane, yenye yeyona ndlela yokudala yokuphulukisa. Ukuguqulwa kwamagxa kwachazwa nguHippocrates eGrisi lasendulo.
Ngomnyaka we-1895, uDaniel David Palmer wasungula ubugcisa be-chiropractic namhlanje eDavenport, eIowa. I-Palmer yayiyimpilisi yokuzimela kunye nomfundi wefilosofi yokuphulukisa loo mini. Wayebona ukuba umzimba unamandla okuphulukisa okwemvelo awayekholelwa ukuba wayelawulwa yinkqubo yesantya. Kwakhona wayekholelwa ukuba ukuxhomekeka, okanye ukungahambi kakuhle kwempumputhe (imbono eyayisele ikhona kwi-bonesetter kunye neethambo ze-osteopathic), ukuphazamisa okanye ukuphazamisana nale "ntshoyo yegazi." I-Palmer icetyise ukuba ukuba iqumrhu lingafumani ukubonelelwa kwalo ngokuqhelekileyo kwimibilini, ingaba sisifo. Lo mgca wokucinga wamkhokelela ukuba ahlaziye inkqubo yokuba "ulungelelanise" i-vertebrae, amathambo omqolo wesigxina, ngenjongo yokulungisa izihlomelo.
Kukho ulwahlulo kwiintlangano kunye neendlela ekusebenziseni umsebenzi we-chiropractic. Abanye abagqirha bezonyango baqhubeka bejonga ukuxhomekeka kwinqanaba eliphambili kwiinkonzo zonyango lwezempilo.
Nangona kunjalo, ezinye iirhorenti zisaqwalasela i-theory ye-subluxation njengesihloko esihlangeneyo kwimpilo nokugula okanye njengesiseko sokwenza kwabo. Ezinye iingcamango malunga nokuba isifo se-chiropractic singasebenza njani siphuhlisiwe.
Ukusetyenziswa
Ngo-1997, kwaqikelelwa ukuba amaMerika enza i-192 yezigidi ezivakatyelayo ngonyaka kunyango. Izigidi ezingaphezu kwezigidi ezili-88 zale ndwendwe zaziye zonyango intlungu okanye intamo. Kuphando olutshanje, ngaphezu kwe-40 ekhulwini yezigulane ezifumana unyango lwe-chiropractic zalashwa ngenxa yeengxaki zangaphambili okanye eziphantsi. Abangaphezu kwesiqingatha salabo baphando bathi iimpawu zabo zazingapheliyo. Iimeko eziqhelekileyo zonyango ngabaculi bezilwanyana ziquka:
- umqolo obuhlungu
- intlungu yentamo
- intloko
- ukulimala kwezemidlalo
- ukuphindaphinda
Izigulana nazo zifuna unyango lwentlungu ehambelana nezinye iimeko, ezifana ne-arthritis.
Intlungu ebuyiseleyo yinkathalo yonyango eqhelekileyo, eyenzeka kwikota enye yabemi ngonyaka. Uninzi lwabantu luba nobuhlungu obunzima bentlungu ubuncinane kanye kanye ngexesha lokuphila kwabo.
Ukuphononongwa kwamva kwangoko kwintlungu ebuyiswe emva kwexesha eliphantsi kuye kwaphawula ukuba kwiimeko ezininzi iintlungu ezisezantsi zihamba ngcono kwiiveki ezimbalwa, kungakhathaliseki ukuba unyango lusetyenziswa njani. Ngokuqhelekileyo, ubangela bentlungu emva engaziwa, kwaye iyahluka kakhulu ngokweendlela abantu abava ngayo kunye nendlela abaqeqeshwa ngayo. Oku kwenza ubuhlungu bubuye bucelomngeni ukufunda.
Ziziphi ii-Chiropractors Zenza
Ukuba uba isigulane se-chiropractic, ngexesha lokutyelela kwakho okokuqala ityropratra iya kuthatha imbali yakho yempilo. Uya kwenza uvavanyo oluthile, ngokugxininiswa ngokukhethekileyo emthonjeni, kwaye mhlawumbi nezinye iimviwo okanye iimvavanyo ezifana ne-x-ray. Ukuba unquma ukuba ungumviwa ofanelekileyo kunyango lwe-chiropractic, uya kuphuhlisa isicwangciso sonyango.
Xa u-chiropractor ekuphatha, unokwenza olunye utshintsho okanye ngaphezulu. Ulungelelwaniso (olubizwa nangokuthi unyango lokunyanga) luyonyango olusesikweni okanye unyango olunikezwa ngezandla. Ngokunikwa kakhulu umgudu, ukulungiswa kwe-chiropractic kufaka isicelo sokulawula, ngokukhawuleza kwintsebenziswano. Zenzelwe ukwandisa uluhlu kunye nomgangatho wokunyuswa kwendawo ekuphathwa ngayo. Abanye abaqeqeshi bempilo nabo benza iintlobo ezahlukeneyo zokuphathwa, kuquka:
- a mayeza
- oogqirha bamayeza
- amazinyo (Ugqirha wezeMpilo (MD) okanye ugqirha we-Osteopathic (DO) ngubani ugqirha onguchwepheshe onokuziphazamisa inkqubo ye-musculoskelet)
- iingcali zonyango
- ogqirha be-osteopathic
- inkqubo yoogqirha (enye indlela yokwelapha, eyaziwa nangokuthi i-naturopathy, apho abaphandi basebenzisana nemvelo yokuphilisa emzimbeni, ngenjongo yokunceda umzimba uphilise kwizifo kwaye ufumane impilo engcono)
- ukucoca umzimba
EUnited States, abaculi bezilwanyana baphatha ngaphezu kweepesenti ezingama-90 zokunyanga.
Kubalulekile ukwazisa bonke ababonelela ngempilo malunga naluphina unyango olusebenzisayo okanye oluqwalaselayo, kuquka i-chiropractic. Oku kuya kunceda umboneleli ngamnye ukuqinisekisa ukuba zonke iinkalo zonyango lwakho lisebenza kunye.
Uninzi lwezilwanyana zonyango zisebenzisa ezinye iindlela zonyango ngaphandle kokulungiswa, njengoku:
- ukuhlanganiswa (isicwangciso apho umdibaniselwano uhanjiswe ngaphandle kwendawo eqhelekileyo yokunyakaza)
- ukuxilisa unyango
- ubushushu kunye neqhwa
- ultrasound
- ukuvuselela ugesi
- umsebenzi wokuvuselela
- unyango olumandla
- ukucebisa malunga nokutya, ukulahleka kwesisindo kunye nezinye izinto zokuphila
- izondlo zokutya
- i-homeopathy
- i-acupuncture
Qeqesho
Ukuqeqeshwa kwe-Chiropractic yiprogram yemfundo engama-4 eququzelelwe kokubili kwigumbi lokufundela kunye nemfundiso yeklinikhi. Iminyaka engama-3 yomsebenzi wekholeji ulungiselela ukuvunyelwa kwizikolo ze-chiropractic. Abafundi abaphumeleleyo bafumana isiganga seDktri yeChiropractic (DC) kwaye banelungelo lokuthatha iimviwo zebhodi zeemvume zelizwe ukwenzela ukuba baziqhelise. Ezinye izikolo zinika iikhosi ze-postgraduate, eziquka iiprogram zokuhlala ezi-2 ukuya kwe-3 kwiindawo ezizodwa.
Uqeqesho lweChiropractic luquka ngokubanzi:
- Inkqubo ye-anatomy, i-physiology, i-microbiology, i-biochemistry, i-pathology, isondlo, impilo yoluntu kunye nezinye izifundo ezininzi
- Imigaqo kunye nokusebenza kwechiropractic
- Iindlela zophando kunye neenkqubo
- Amava ngokuthe ngqo ekunyamekeleni izigulane
IBhunga kwiMfundo yeChiropractic, i-agent eqinisekisiwe yiSebe leMfundo le-US, lilungu lokuvuma iikholeji ze-chiropractic e-United States.
Ngaba uRhulumente uLawula iChiropractic?
I-Chiropractic practice ilawulwa ngokwawo ngurhulumente ngamnye kunye neSithili sase-Columbia. Uninzi lwamazwe ludinga iingcali zonyango ukuba zenze iikhredithi zemfundo eziqhubekayo zokugcina iimvume zabo. Ubungakanani bezobuchwephesha bobuchule buhluka ngobuso - kubandakanywa neemvavanyo zelabhoratri okanye iinkqubo zokuxilonga, ukunikezelwa okanye ukuthengiswa kwezibonelelo zokutya, kunye nokusetyenziswa kwamanye amayeza e-CAM njenge-acupuncture okanye i-homeopathy. Iingcali zonyango azinalo ilayisensi kunoma yimuphi ummandla ukwenza utyando olunzulu okanye ukunikezela iziyobisi.
Ngaba iMicandelo Yomshuwalense Wezempilo Inokuhlawula I-Chiropractic Treatment?
Xa kuthelekiswa neendlela ze-CAM zonyango (ezimbalwa zazo zibuyiselwa), ukuhanjiswa kwe-chiropractic nge-inshorensi zicwangciso. Ukususela ngo-2002, ngaphezulu kwama-50 ekhulwini lwemibutho yokugcinwa kwempilo (i-HMOs), ngaphezulu kwama-75 ekhulwini lwacetywayo lwempilo yoncedo, kwaye zonke iinkqubo zokuhlawulela abasebenzi baseburhulumenteni zibandakanya unyango lwe-chiropractic. Iingcali zogqirha ziyakwazi ukuhlawula i-Medicare, kwaye ngaphezu kwama-mabini amabini anxiba i-chiropractic unyango phantsi kweMedicaid.
Ukuba unomshuwalense wezempilo, khangela ukuba ulondolozo lwe-chiropractic lubekwe phambi kokuba ufune unyango. Isicwangciso sakho singadinga ukunakekelwa ukuba kuvunywe kwangaphambili, unciphise inani lokutyelelwa, kunye / okanye ufuna ukuba usebenzise i-chiropractors ngaphakathi kwintanethi.
Imiphumela
Izigulane zinakho okanye zingenakufumana imiphumo emibi yonyango lwe-chiropractic. Iimiphumo zingabandakanyeka ngethuba elithile kwiindawo zomzimba ezaphathwa, intloko, okanye ukhathala. Ezi mpawu zihlala zincinci kwaye zixazulule kwisithuba seentsuku ezi-1 ukuya kwezi-2.
Ingxoxo yeengxaki ezinzulu ezivela kwi-chiropractic iye yaxutyushwa. Akuzange kubekho uphando olulungelelanisiweyo malunga nenani leengxaki ezinzulu. Ukususela kwizinto eziziwa ngoku, ingozi ibonakala iphantsi kakhulu. Kubonakala kuphakamileyo kumlomo wesibeleko, okanye intanyeni, ukuphathwa (umzekelo, iimeko zokubetha ziye zabikwa. Ingxaki engaqhelekanga yenkxalabo evela ekuhlaziyweni okuphantsi kwe-cauda equina syndrome eyenzekayo xa iimbulunga ze-cauda equina (i-bundle yentsholongwane yomgudu ehamba ngaphaya komphetho wentambo yomgogodla) icinezelekile kwaye ibonakaliswe. Izimpawu ziquka:
- ubuthathaka bomlenze
- ukulahleka kwesibilini, isisu, kunye / okanye imisebenzi yesondo
- utshintsho kwivakalelo ezungeze i-rectum okanye i-genitalia
I-Cauda equina syndrome iqikelelwa ukuba yenzeke kanye ngezigidi zonyango (inani lezigidi lihluka; olunye uphando lubekwe kwizigidi eziyi-100).
Ukukhusela kwakho, kubalulekile ukuxelela bonke ababonelela ngempilo malunga naluphi na unyameko okanye unyango olusebenzisayo okanye oluqwalaselayo, kuquka i-chiropractic. Oku kukukunceda ukuqinisekisa isikolo sokunakekelwa (ukufumana okunye, funda i-NCCAM ingcaciso ethi "Ukukhetha uMgqirha oPheleleyo kunye noNyango").
Oko kuthethwa nguPhando
Kuze kube ngoku, uphando lwezenzululwazi kwi-chiropractic kunye neentlungu ezisezantsi lujolise ukuba, kwaye kakuhle kangakanani, ukunakekelwa kwe-chiropractic kunceda ekunciphiseni ubuhlungu kunye nezinye iimpawu abantu abazenzayo ngentlungu ephantsi. Olu phando ludla ngokuthelekisa i-chiropractic kwezinye iyeza.
Ngokubanzi, ubungqina bophando bubonwe njengobuthathaka kwaye buncinci kunokwenzela ukuphumelela kwe-chiropractic ngenxa yentlungu.
Amanqaku athile aphambili anceda ukugcina engqondweni malunga neziphumo zophando.
- Uninzi lwezilingo zonyango lwe-chiropractic zihlalutya imiphumo ye-chiropractic manipulation kuphela, kodwa i-chiropractic practice iquka okungaphezulu kokusetyenziswa.
- Iziphumo zetyala ezenziwe kwimeko enye (njengentlangano yokunyamekela okanye iikholeji ye-chiropractic) ayinakusebenza ngokupheleleyo kwezinye izicwangciso.
- Abaphandi baye baqaphela ukuba impembelelo ye-placebo inokusebenza kwindawo yokunakekelwa kwe-chiropractic njengezinye iindlela zokunakekelwa kwempilo.
Nangona uphando olwenziwa ngophando lwe-chiropractic kwiintlungu ezisezantsi lusezingeni elilinganayo kwaye alanele ukuvumela izigqibo eziqinileyo. Nangona kunjalo, ingqiqo epheleleyo yedatha yinto yokuba intlungu ephantsi, ukunyangwa kwe-chiropractic kunye neyeza zonyango ngokuqhelekileyo kunceda ngokufanayo. Kunzima ukufumana izigqibo malunga nenani elihambelana ne-chiropractic kwezinye iimeko zeklinikhi.
Kukho iingxabano zesayensi malunga ne-chiropractic, ngaphakathi nangaphandle kobugcisa. Umzekelo, ngaphakathi kobugcisa, kukho ukungavumelani malunga:
- ukusetyenziswa kweendlela zokwelapha
- zeziphi iindlela ezifanelekileyo kakhulu kwiimeko ezithile
- umxholo weengqungquthela (ukuchithwa kwempahla)
Iimbono zangaphandle zonyango lwe-chiropractic ziye zabuza:
- ukuphumelela kwonyango lwe-chiropractic
- ngokwesayensi
- ubunobungozi beengcipheko zezigulane (umzekelo, ingozi yeentlobo ezithile zokulungiswa kwezigulane ezine-osteoporosis okanye izinto ezibeka ingozi kwi- osteoporosis , xa kuthelekiswa nezigulane ezinezakhiwo zethambo ezinempilo).
Ngaphantsi
Ucwaningo lophando lwe-chiropractic luqhubekayo. Iziphumo zilindeleke ukwandisa ukuqonda kwezesayensi ze-chiropractic. Indawo ebalulekileyo yophando yenzululwazi yesiseko yento eyenzeka emzimbeni (kubandakanya iiseli kunye neentsholongwane) xa kunikwa unyango oluthile lwe-chiropractic.
> Umthombo:
> NCCAM Ukupapashwa kweNombolo D196