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Iibrace zangasemva ze-ankylosing spondylitis: ziyasebenza?

ULindsey Curtis ngumbhali wezempilo oneminyaka engaphezu kwe-20 yamava okubhala amanqaku ngezempilo, isayensi kunye nokuphila kakuhle.
ULaura Campedelli, PT, DPT ngugqirha womzimba onamava kwisibhedlele sokhathalelo olungxamisekileyo kunye nokunakekelwa kwezigulane ngaphandle kwabantwana kunye nabantu abadala.
Ukuba une-ankylosing spondylitis (AS), mhlawumbi uvile ukuba i-braces inokunceda ukunciphisa intlungu kunye nokugcina ukuma kakuhle.Nangona i-brace yesikhashana inokuxhasa umqolo ekuncedeni ukulawula intlungu, akusiyo isisombululo sexesha elide sokunciphisa intlungu okanye ukulungisa iingxaki zokuma.
Ukufumana izixhobo ezifanelekileyo zokunyanga iimpawu ze-ankylosing spondylitis ngamanye amaxesha kufana nokukhangela inaliti kwi-haystack.Zininzi iinketho;iibrayisi kunye nezinye izixhobo zokuncedisa izithethi ayisosixhobo sehlabathi lonke.Kungathatha ukuzama kunye nempazamo ude ufumane esona sixhobo sifanelekileyo kwiimfuno zakho.
Eli nqaku lixubusha ukusetyenziswa kwe-corsets, i-orthoses kunye nezinye izinto ezincedisayo kunyango lwe-spondylitis ye-ankylosing.
Iintlungu ezingapheliyo ezisezantsi kunye nokuqina, ezona mpawu zixhaphakileyo ze-AS, zihlala ziba mandundu ngokuphumla ixesha elide okanye ukulala kwaye zithande ukuphucula ngokuzilolonga.Ukunxiba i-lumbar support brace kunokunciphisa intlungu ngokunciphisa uxinzelelo kumqolo (i-vertebrae) kunye nokunciphisa ukunyakaza.Ukolula kunokukhulula izihlunu eziqinileyo ukuthintela ukuqhawuka kwezihlunu.
Uphando malunga nokusebenza kwee-corsets kwiintlungu ezisezantsi zixutywe.Uphononongo lufumene ukuba ukudibanisa kwemfundo yokuzivocavoca, imfundo yentlungu emva, kunye nenkxaso ye-back back ayizange inciphise intlungu xa kuthelekiswa nokuzivocavoca kunye nemfundo.
Nangona kunjalo, uphononongo lwe-2018 lophando lufumene ukuba i-lumbar orthoses (i-braces) inokunciphisa kakhulu intlungu kunye nokuphucula umsebenzi womgogodla xa idibene nolunye unyango.
Ngexesha lokunyuka, i-AS idla ngokuchaphazela amalunga e-sacroiliac, adibanisa umqolo kwi-pelvis.Njengoko isifo siqhubela phambili, i-AS inokuchaphazela wonke umnqonqo kwaye ibangele ukukhubazeka kwangasemva okunje:
Nangona i-braces ibonakala isebenzayo ekukhuseleni okanye ekunciphiseni iingxaki ze-posture, akukho uphando oluxhasa ukusetyenziswa kwe-back brace kwi-AS.I-Arthritis Foundation incoma ukunxiba i-corset ukulungisa iingxaki ze-posture ezinxulumene ne-AS, engasebenziyo okanye engasebenziyo.Ukuzivocavoca kwi-spondylitis ye-ankylosing kunokunceda ukulawula iimpawu kunye nokuphucula i-posture kubantu abane-AS.
Iintlungu kunye nokuqina kunokwenza imisebenzi yemihla ngemihla ibe nzima, ngakumbi ngexesha lokuvutha kwe-AS (okanye amaxesha okugqabhuka okanye ukwanda kweempawu).Endaweni yokubandezeleka, qwalasela izixhobo ezincedisayo zokunciphisa ukungonwabi kwaye wenze ubomi bemihla ngemihla bulawuleke ngakumbi.
Iintlobo ezininzi zeegajethi, izixhobo kunye nezinye izixhobo zikhoyo.Indlela efanelekileyo kuwe ixhomekeke kwiimpawu zakho, indlela yokuphila kunye neemfuno.Ukuba usanda kuxilongwa, akunakufuna ezi zixhobo, kodwa abantu abane-AS ephezulu banokuzifumana ezi zixhobo ziluncedo ekuphuhliseni ukuzimela kunye nokugcina umgangatho wobomi obuhle.
Ngaphandle kobume obuqhubekayo be-AS, abantu abaninzi baphila ubomi obude kunye nemveliso kunye nesifo.Ngezixhobo ezifanelekileyo kunye nenkxaso, unokusebenzisana kakuhle ne-AS.
Izixhobo zokuhamba ezifana nezi zinokukunceda uhambe ngokulula ekhaya, emsebenzini, nasendleleni:
Ukulawulwa kweentlungu yinxalenye ebalulekileyo yobomi kubantu abane-spondylitis e-ankylosing.Ukongeza kokuthatha amayeza amiselwe ngumboneleli wakho wezempilo, amayeza athile, afana nala alandelayo, anokunceda ukunciphisa intlungu kunye nokuqina:
Imisebenzi yemihla ngemihla inokuba ngumngeni xa ujongene namadangatye e-AS.Izixhobo ezincedisayo zinokukunceda wenze imisebenzi yemihla ngemihla ngeentlungu ezincinci, kubandakanya:
Ngokhetho oluninzi, ukuthenga izixhobo ezincedisayo kunokuba nzima.Unokuba unqwenela ukubonisana nogqirha wakho wokunyamekela oyintloko okanye ugqirha wezomsebenzi (OT) ngaphambi kokuba wenze naziphi na izigqibo.Banokuvavanya iimpawu zakho kwaye bakuncede ufumane izixhobo ezifanelekileyo kwiimfuno zakho.
Uncedo, izixhobo kunye nezixhobo zombane nazo zinokubiza.Nokuba i-ankylosing spondylitis aids engabiziyo inokuhlawula ngokukhawuleza xa uyifuna.Ngethamsanqa, kukho iindlela ezininzi zokukunceda uhlawule iindleko, kubandakanya:
I-Ankylosing spondylitis (AS) yi-arthritis evuthayo ebonakaliswe yintlungu ephantsi kunye nokuqina.Njengoko isifo siqhubela phambili, i-AS inokukhokelela ekukhubazekeni komgogodla njenge-kyphosis (i-humpback) okanye i-bamboo spine.
Abanye abantu abane-AS banxiba izihlangu zezilima ezidityaniswe ngentsinjana/ngeplangana ukunciphisa iintlungu okanye ukugcina ukuma kakuhle.Nangona kunjalo, i-corset ayisona isisombululo sexesha elide sokunciphisa intlungu okanye ukulungisa iingxaki zokuma.
Iimpawu ze-AS zinokwenza kube nzima okanye kungenzeki ukwenza imisebenzi yemihla ngemihla.Uncedo, izixhobo, kunye nezixhobo zombane zinokukunceda usebenze emsebenzini, ekhaya nasendleleni.Ezi zixhobo zenzelwe ukukhulula intlungu kunye / okanye ukuxhasa ukulungelelaniswa okufanelekileyo komgogodla ukunceda abantu abane-AS bahlale bezimeleyo kwaye baphile ubomi obuhle.
I-inshurensi yezempilo, iinkqubo zikarhulumente kunye nezibonelelo zinokunceda ukuhlawula izixhobo zokuqinisekisa ukuba izixhobo ziyafumaneka kwabo bazidingayo.
Eminye imikhwa inokwenza ukuba iimpawu ze-spondylitis ze-ankylosing zibe zibi nakakhulu: ukutshaya, ukutya ukutya okucutshungulwayo, ukuma okungahambi kakuhle, indlela yokuphila yokuhlala, uxinzelelo olungapheliyo kunye nokungabikho kokulala.Ukwenza ukhetho olunempilo yokuphila kunye nokulandela iingcebiso zomboneleli wakho wezempilo kunokunceda ukulawula iimpawu kunye nokucothisa ukuqhubeka kwesi sifo.
Asinguye wonke umntu one-ankylosing spondylitis ofuna isitulo esinamavili, iintonga, okanye ezinye izixhobo zokuhamba ukuze ajikeleze.I-AS ichaphazela wonke umntu ngokwahlukileyo.Nangona iimpawu ezithile ezifana neentlungu zentlungu ziqhelekileyo kubantu abane-AS, ubunzima beempawu kunye nokukhubazeka kuyahluka kumntu kumntu.
I-Ankylosing spondylitis ayiyingozi ebomini, kwaye abantu abane-AS banobude obuqhelekileyo bokuphila.Njengoko isifo siqhubela phambili, iingxaki ezithile zempilo zinokukhula, ezifana nesifo senhliziyo kunye nesifo se-cerebrovascular (imithambo yegazi ebuchosheni), enokunyusa umngcipheko wokufa.
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Mfutshane S, Zirke S, Schmelzle JM et al.Ukusebenza kwee-orthoses ze-lumbar kwiintlungu ezisezantsi: ukuphononongwa kweencwadi kunye neziphumo zethu.Orthop Rev (Pavia).2018;10(4):7791.doi:10.4081/okanye.2018.7791
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Menz HB, Allan JJ, Bonanno DR, et al.I-Custom Orthotic Insoles: Uhlalutyo lweNdlela yokuSebenza ye-Prescription ye-Australian Commercial Orthopedic Laboratories.J cut iqatha.10:23.doi: 10.1186/s13047-017-0204-7
Nalamachu S, Goodin J. Iimpawu zeepatches zokunciphisa intlungu.Jay Pain Res.2020;13:2343-2354.doi:10.2147/JPR.S270169
I-Chen FK, i-Jin ZL, i-Wang DF Uphononongo olwenziwayo lwe-transcutaneous electrical nerve stimulation for pain chronic after spondylitis ankylosing.Iyeza (Baltimore).2018;97(27):e11265.doi: 10.1097/MD.0000000000011265
Umbutho waseMelika weSpondylitis.Impembelelo yobunzima bokuqhuba ekusebenzeni kwizigulane ezine-axial spondyloarthritis.
Iziko leSizwe loKhubazeko kunye nokubuyisela kwisimo sangaphambili.Luluphi ukhetho lwakho lwentlawulo yezixhobo ezincedisayo?
Izifundo zeSizwe zeSayensi, ubuNjineli kunye neMedicine, iSebe lezeMpilo kunye neyeza, iKomishoni yeeNkonzo zezeMpilo.Iingxelo zemveliso kunye nobuchwepheshe obunxulumeneyo.

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Ixesha lokuposa: May-06-2023