Iingcali zenzululwazi Iingxaki zoMbutho kunye nezinto eziQhathelayo
Nangona kubonakala ngathi kunengqiqo ukubonisa ukuba ukunyanya kuninzi kukubeka uxinzelelo olungadingekanga kwiplovin, emuva, nangomqolo-okubangela ukuphuhliswa kwentlungu engapheliyo- intlangano sele ibe yimbambano phakathi kwabaphandi.
Ngakolunye uhlangothi, kukho abo bakholelwa ukuba imbangela-nesefuthe icaciswe ngokucacileyo: ukuba ubunzima obunzima bunqumla iphambili ye-pelvis kwaye ngaloo ndlela luhlupha umva ongaphantsi.
Ngakolunye uhlangothi, kukho abo bakholelwa ukuba i-mechanics yomzimba yedwa yinto elula kakhulu inkcazo yemeko enokuthi ihluke ngokubanzi ukusuka kumntu omnye kuya kwesinye kunye neyexesha elifanayo, uhlobo lomzimba kunye namava.
Uphando oluxhasa ukunyaniseka njengesizathu
Kusuka kwinqanaba leembono, kubonakala ngathi kukho ubudlelwane obuqinileyo kunye nobunzima obungenakuphikiswa phakathi kobunzima kunye nentlungu ephantsi.
Ukuhlaziywa kuka-2015 kupapashwe kwi-American Journal of Epidemiology kwavavanya idatha ukusuka kwizifundo ezingama-95 eziphezulu kwaye yagqiba ukuba umngcipheko weentlungu ezisezantsi zihambelana ngqo nokunyuka kwi-index mass body (BMI).
La manani ayengenasisiseko. Ngokutsho kophando, abantu abanesisindo esifanelekileyo babenomngcipheko ophantsi kunabo bonke, abantu abangaphezu kwamandla amaninzi babenomngcipheko ophantsi, ngelixa abo babesele bebenobungozi becala kakhulu. Uphando lwafumanisa ukuba abantu abangaphezu komzimba kunye nabagqithisileyo banokufuna ukunyangwa kwonyango ukuze baphathe intlungu.
Ucwaningo lwango-2017 oluvela kwisibhedlele saseYunivesithi yaseTokyo eJapan lwafikelela kwisigqibo esifanayo. Ekuhloliseni imbali yezonyango yabantu abayi-1,152 ukususela ngo-1986 ukuya ku-2009, abaphandi bafumanisa ukuba i-BMI yomntu, idibene neepesenti zomzimba, ihambelana ngqo nomngcipheko kunye nezinga leengxaki zangemva.
Uphando loPhando oluPhezulu njengesisusa
Nangona kunjalo, abanye bafuna ukuba ulwalamano aluqiniwe kwaye lumile.
Ngo-2017, umzamo wophando odibeneyo oququzelelwe yiYunivesithi yaseConell ejolise ukuhlolisisa ukuba zeziphi iintlobo zangasemva okanye iingxaki zomgudu zihlobene nokukhuluphala.
Ukusebenzisa i-Data kwi-Study Panel Ye-Expenditure Panel (i-survey enkulu yesizwe yabanikezeli bezempilo, abaqeshi kunye nabantu ngabanye), abaphandi bajonga ngokukodwa izifo ezine ezifanayo:
- Intlungu engaphantsi
- I-Spondylosis (uhlengahlengiso lwesantya)
- Ukuphazamiseka kwangaphakathi kwidiski (IDD)
- Iingxaki zeNeck ezingahambelani ne-spondylosis okanye i-IDD
Oko abaphandi bafumene kukuba ukunyanya (njengoko kulinganiswa ngumntu we-BMI, i-fat fat, kunye ne- hip-to-waist ratio ) yayisisigxina esilungileyo seentlungu zangasemva kunye ne-IDD kodwa kungekho enye imimiselo emibini.
Oko oku kuphakamisa kukuba, ngelixa uxhumano lukhona ngokucacileyo, kukho ezinye iimeko ezingaphezu kwamashishini omzimba athatha inxaxheba. Ukuba akunjalo, mhlawumbi siyakubona ukunyuka okufanayo kwimilinganiselo ye-spondylosis njengoko senze i-IDD.
Oku kunokwenzeka, bathi abaphandi, ukuba ukwanda kwimizimba ye-adipose (i-fat), kunokuthi utshintshe utshintsho oluthile oludlala kakhulu njengengxenye yeengxaki zangemuva njengoko isisindo ngokwawo.
Kwakhona kunokwenzeka ukuba ubunzima abukho imbangela yenkxalabo yangemva njengoko kuyinkambinkimbi. Uphononongo luka-2015 olupapashwe kwi-Medical Archives Ubukhulu bobugqwetha kwafika kwesi sigqibo emva kokuphonononga imbali yonyango yabesilisa abangama-101 abaqeshwe kwiindidi zemisebenzi efanayo.
Oko bazimisela kukuba ukunyamezela akuzange kube nefuthe ngqo kwiintlungu zentlungu kodwa kunokukhawuleza okanye kukugqithiseleyo ingxaki (kubandakanya i-disc, i- ligament hardening , kunye ne-spinal arthritis).
Ngaphandle kwendalo ye-biomechanics, ukugqithisa kubonakala kubangela ukuphindaphinda okungavamile kobutyebi bomzimba obuye kwanezela kwi-wear-and-tear that already existed.
Iingxaki eziMva eziPhambili ezichaphazelekayo
Kungakhathaliseki ukuba ukukhulula kunobangela okanye inxaxheba ekunciphiseni intlungu ephantsi, kuyacaca ukuba ubunzima obunzima bungenza umva omncinci. Njengoko isakhiwo esinceda ukuxhasa umzimba kunye nempembelelo yokunyakaza, umva unesiqhelo somgca oqhelekileyo osebenza ngokuthe ngqo kwindawo engathathi hlangothi.
Xa umntu ekhululekileyo, nayiphi na isisindo esongeziweyo kwi-middlesection ishintshela phambili kwi-pelvis kwaye ibangela ukuba umgudu uphawule kakhulu ngaphakathi. Sithi le hyperlordosis okanye swayback. Yimimiselo eyenza ingcinezelo engaqhelekanga kwimisipha yangemva ephoqelelwe ukuba ithwale ubunzima.
Imiboniselo eyenzelwe ukomeleza izihlunu zesisu esezantsi kunokunceda ukuphikisana nale mphumela kwaye ubuyise i-pelvis kwindawo engathathi hlangothi. Kodwa, okubaluleke ngakumbi, ukulahleka kwesisindo kukubalulekileyo ekukhuliseni umxube emhlane nasemva.
Ukunyanya ubukhulu kunakho ukunyusa nezinye iimeko eziqhelekileyo zokubuya. Phakathi kwabo:
- I-disc ye-herniated yenye yezinto eziqhelekileyo zokulimala komnxeba apho abantu bafuna ukunyamekela. Ukuba ukhuluphele okanye ukhuluphele, umatshini wakho womzimba unokudlala indima kokuqala kunye nobude balo mqathango. Iimpawu ziquka i- sciatica kunye / okanye i-lumbar intlungu ebuhlungu (intlungu yokubhukuda ehambelana nesigulane se-lumbar). Abantu abagqithiseleyo banokuthi bafune ukuhlinzwa ukuze bahlaziye i-herniation xa kuthelekiswa nezobunzima obuqhelekileyo.
- I-osteoarthritis iyaziwa ukuba iyancipha kwaye ikhawuleze ngokunyanya. Nangona ubunzima obunzima bungakhokelela ekungcoleni okuhlanganyeneyo, kukholelwa kakhulu ukuba i-adipose tissue kwi trunk inokutshintsha utshintsho olusisigxina emgodini ngokudala ukuvuvukala kwendawo kunye nokujikeleza kwimihlaba yomonakalo.
ILizwi
Ukuba ukhuluphele okanye ukhuluphele, kusemandleni akho ukuba ubunzima obongezelelweyo obuthwalayo bubandakanya uxinzelelo olungapheliyo kumqolo wakho. Kodwa akuthethi ukuba yinto ebangela kuphela. Ukuba ufumana intlungu okanye ukukhubazeka kwanoma yiluphi uhlobo, yihlolisise ukuba kuchongiwe isizathu esibangeleyo, izinto ezinobangela, kunye nekhosi efanelekileyo yokunyango.
Ngaphandle koko, ukulahlekelwa iipesenti ezili-10 zesisindo somzimba wakho kuya kukwenza ukuba ube nehlabathi elihle kwaye unokutshintshela ezininzi iimpawu zangemuva. Qala khona, kwaye ucele ugqirha wakho ukuba uthumele isicatshulwa esifanelekileyo sokutya kunye nesifo sengqondo esingakwazi ukuncedisa.
> Imithombo:
> IBliddal, H; Leeds, A .; kunye nama-Christiansen, R. "I-Osteoarthritis, ukukhuluphala nokulahleka kwesisindo: ubungqina, iingcamango, kunye neehorizons - ukuphononongwa kwakhona." I-Rev . Julayi 2014; 15 (7): 578-86. INGXELO: 10.1111 / obr.12173.
> Ibrahimi-Kacuri, D .; Murtezani, A .; Rrecaj, S. et. al. "Ubunzima Bokubuya Kwintlungu kunye nobutyebi." Med Arch. Epreli 2015; 69 (2): 114-6. I-DOI: 10.5455 / i-medarh.2015.69.114-116.
> Hashimoto, Y .; Mastudiara, K .; Sawada, S. et. al. "Ukunyaniseka kunye nentlungu ephantsi: ukufundwa kwamalungu aseJapan." J Phys Ther Sci. Juni 2017; 29 (6): 978-83. INGXELO: 10.1589 / jpts.29.978.
> Shiri, R., et. al. "Intlangano phakathi kokukhuluphala kunye neentlungu ezisezantsi: i-meta-analysis." Am J Epidemio l. Ja nuwari 2015; 171 (2): 135-54. INGXELO: 10.1093 / aje / kwp356.
> Sheng, B .; Feng, C; Zhang, D. kunye. al., "Iintlangano phakathi kobuthathaka kunye neengxaki zomzimba: I-Panel Expenditure Panel Study Analysis". Int J Imimandla yoLuntu lwezeMpilo. Fe bruwari 2017; 14 (2): 183. INGXELO 10.3390 / ijerph14020183.