kushushikana inokonzerwa nemuviri wemunhu "kurwisana kana kutiza," chiitiko chekuzvidzivirira chinokonzerwa nenyasha dzekunzwira tsitsi (SNS). Kushungurudzika chinhu chinokosha chekugara. Apo kushungurudzika kunobatsira kurwisana kana kupindura kwendiza, musanganiswa wemakemikari nemahomoni zvakachengetwa muropa rekuyerera, izvo zvinogadzirira muviri kuti uone dambudziko. Kunyange zvazvo kupera kwenguva pfupi kushungurudzika kunobatsira, zvakadaro, kwenguva refu kushungurudzika kunogona kutungamirira kune zvakasiyana-siyana zvehutano. Uyezve, kushungurudzika munharaunda yemazuva ano kwachinja uye zvave zvakaoma kuti vanhu vagadzirise kushungurudzika kwavo uye varambe vachifunga.

 

Kushungurudzika Kunobatsira Sei Mutumbi?

 

Kushungurudzika kunogona kuonekwa kuburikidza nenzira nhatu dzakasiyana-siyana: manzwiro; muviri uye zvakatipoteredza. Kushungurudzika mupfungwa kunosangana nemamiriro ezvinhu akaipa anokanganisa pfungwa dzedu nekuita zvisarudzo. Kushungurudzika kwemuviri kunosanganisira kudya kwakashata uye kusava nehope. Uye pakupedzisira, kushungurudzika kwezvakatipoteredza kunoitika kunobva pane zvakaitika kunze. Paunoona chero ipi zvayo yemhando dzezvinonetsa, hurongwa hwekutambudzika huchaita kuti "kurwisana kana kutiza," kurega adrenaline uye cortisol kuwedzera kukurumidza kwemwoyo uye kusimudzira pfungwa dzedu kutiita kuti tive vakangwarira kuitira kuti titarisana nemamiriro ezvinhu mberi kwedu .

 

Zvisinei, kana kuonekwa kunetseka kunogara kuripo, SNS yekurwisana kana kupindura kwemhepo kunogona kuramba kuchiita. Kushungurudzika kwenguva refu kunogona kutungamirira kune zvakasiyana-siyana zvehutano, zvakadai sokuzvidya mwoyo, kuora mwoyo, kushungurudzika kwemasumbu, kurwadziwa kwemutsipa uye kumashure, zvinetso zvekudya, kuwedzera kuwedzera uye zvinetso zvekurara uyewo kusakanganwa mupfungwa nekufungisisa. Mukuwedzera, kushungurudzika kwemisungo pamwe nomukaka nokuda kwekumanikidzika kunogona kukonzera kusaruramisa kwemusana, kana kuti subluxation, iyo inogona kutungamirira kukonzera kudzivirira.

 

Headache uye Disc Herniation kubva kunetseka

 

Dhayi rearniated rinowanikwa apo ganda rakanyorova, segel-like re intervertebral disc rinopfurikidza nekubvarura mukati maro, rinoteterera remheteti, rinogumbura uye rinokonzera mutsara wesimbi uye / kana nhengo midzi. Disc herniation inowanzoitika mumutsipa wekervical, kana mutsipa, uye mumakumbo emakumbo, kana kumashure kumashure. Zviratidzo zvemabhadharo e-herniated zvinotarisana nenzvimbo yekudzvinyirira pamwe nomukaka. Uturu hwemitsipa uye marwadzo ekudzokera shure pamwe chete nekushaya simba, kushungurudzika uye kushaya simba pamwe chete nepamusoro nepamusoro kune dzimwe zviratidzo zvinowanzobatanidzwa ne disc disclaimer. Musoro uye migraine zvakare zviratidzo zvinowanzobatanidza nekudzvinyirira uye ma-disnied discs pamwe nemucheto wepervical, semugumisiro wekushungurudzika kwemusana uye kusasarudzwa kwemusana.

 

Kufungisisa Kwepfungwa Dzekutambudzika Kwepfungwa

 

Kushungurudzika manejimendi kwakakosha pakuvandudza pamwe nekuchengetedza hutano hwese uye hutano. Zvinoenderana nezvidzidzo zvekutsvagisa, kupindira kwepfungwa, senge chiropractic kuchengetedza uye kufunga-kunetseka kunetseka (MBSR), pakati pevamwe, kunogona zvakachengeteka uye zvinobudirira kubatsira kudzikisira kushushikana. Chiropractic kuchengetedza inoshandisa kugadziriswa kwemuzongoza uye manyorerwo ekunyatso dzoreredza kuenderana kwepakutanga kwemuzongoza, kubvisa marwadzo uye kusagadzikana pamwe nekurerutsa mhasuru kushushikana. Pamusoro pezvo, chiropractor inogona kusanganisira marongero ehupenyu kubatsira kubatsira kuwedzera zviratidzo zvekushushikana. MBSR inogona zvakare kubatsira kudzikisa kushushikana, kushushikana uye kushushikana.

 

Taura nesu Nhasi

 

Kana uri kuona zviratidzo zvekunetseka nemusoro kana kuti migraine pamwe nemarwadzo emutsipa uye kumashure anokonzerwa ne disc disclaimer, kupindira kwepfungwa zvakadai sechiropractic kuchengetwa kunogona kunge yakachengeteka uye yakagadzikana kurapwa kwekunetseka kwako. Dhiyabhorosi Alex Jimenez kushungurudza kushanda kwepfungwa kunogona kukubatsira kuti uwane hutano hwakakwana uye hukama hwakanaka. Kutsvaka nzira dzakakodzera dzekufunga kunogona kukupa ruzivo rwunofanirwa. Chinangwa chenyaya inotevera ndechekuratidzira migumisiro yekufunga-yakakonzerwa nekuderedzwa mupfungwa muvarwere vane dambudziko remusoro. Usangobata zviratidzo zvacho, enda kune zvinobva panhau yacho.

 

Migumisiro Yechenjeri-Yakadzika Kuderedza Kushushikana Pamusoro Pokunetseka Kwepfungwa uye Mafungiro Ehutano Muvarwere vane Mhirizhonga Musoro

 

ngovepo

 

Background: Zvirongwa zvekuvandudza nzvimbo yehutano hwevarwere vane chirwere chinosangana nemarwadzo, akadai senyoka, vanowanzove vachiri mucheche. Kufunga-based based stress reduction (MBSR) chirwere chitsva chepfungwa chinoratidzika sechakabudirira mukurapa kurwadziwa kusingaperi uye kushungurudzika. Ichi chiongorori chakaongorora kubudirira kweMBSR mukurapa kwekunzwisisa kunetseka uye utano hwepfungwa hwekwereti uyo ane dambudziko rekushaya musoro.

 

Zvinhu uye Nzira: Ichi chidzidzo nderwendo rwechipatara rusinganzwisisiki. Vatanhatu makumi matanhatu vane chirwere chinokonzerwa nehutano hwepamusoro maererano neInternational Headache Classification Subcommittee vakangoerekana vapiwa muboka reTrament As Usual (TAU) kana boka rekuongorora (MBSR). Bhuku re MBSR rakagamuchira masereji masere ekirasi vese vaine madiki 12-min. Zvirongwa zvaive zvakatangira paMBS protocol. Brief Symptom Inventory (BSI) uye Yakanzwisisika Stress Scale (PSS) yakashandiswa mushure mekupedzisira uye shure kwenguva refu uye pamwedzi 3 kutevera mapoka ose.

 

Results: Zvinoreva huwandu hwakazara hweBSI (global solidity index; GSI) muboka reMBSR yaive 1.63 0.56 kupindira kusati kwadzikira zvakanyanya kusvika ku0.73 0.46 uye 0.93 0.34 mushure mekupindira uye pamasangano ekuteedzera, zvichiteerana ( P <0.001). Mukuwedzera, boka reMBSR rakaratidza zvishoma zvishoma pakuona kunetseka pakuenzanisa neboka rinodzora pakuongorora kwekupedzisira. Izvo zvinoreva kushushikana kusati kwaonekwa kupindira kwaive 16.96 2.53 uye yakashandurwa ikave 12.7 2.69 uye 13.5 2.33 mushure mekupindira uye panguva dzekutevera, zvichiteerana (P <0.001). Kune rimwe divi, zvairehwa neGSI muboka re TAU yaive 1.77 0.50 pakufunga kwekutanga iyo yakadzikiswa zvakanyanya kuita 1.59 0.52 uye 1.78 0.47 pakuposita uye nekutevera, zvichiteerana (P <0.001). Zvakare, zvinorehwa nekushushikana kunoonekwa muboka re TAU pakumhangara kwaive 15.9 2.86 uye izvo zvakashandurwa kuita 16.13 2.44 uye 15.76 2.22 pakuposta nekutevera, zvichiteerana (P <0.001).

 

mhedziso: MBSR inogona kuderedza kushungurudzika uye kuvandudza utano hwepfungwa huzhinji kune varwere vane dambudziko rekushaya musoro.

 

Keywords: Utano hwepfungwa, kusuruvara kwepfungwa, pfungwa-based based stress reduction (MBSR), kunetseka kunonzwisisika, kurapwa sezvinowanzoitwa (TAU)

 

Dr. Alex Jimenez's Insight

Chiropractic kuchengetedza inoshanda yekugadzirisa kurapwa kwepfungwa nokuti inotarisa pamusana, iyo ndiyo nheyo yenheyo yenheyo. Chiropractic inoshandisa kugadziriswa kwepelinha uye nzira dzekushandisa kuitira kunyatsogadzirisa kuwirirana kwemupaka kuitira kuti muviri ugozviratidza kuti unoporesa. Kusaruramisa kwepelinha, kana kugunun'una, kunogona kukonzera kukanganiswa kwemashure pamwe nomukomana uye kunotungamirira kune zvakasiyana-siyana zvehutano, kusanganisira misoro uye migraine, uye disc disclaimer uye sciatica. Chiropractic kuchengetedza inogonawo kusanganisira mararamiro ekuvandudza mararamiro, zvakadai sekupa mazano ezvekudya uye maitiro anokurudzira, kuti uwedzere kuwedzera migumisiro yaro. Kufungidzira-based based stress reduction kunogonawo kubudirira kubudirira nekugadzirisa kutarisira uye zviratidzo.

 

ziviso

 

Kushungurudzwa musoro kunokonzera 90% yemusoro wemusoro. Panenge ne3% yevanhu vari kutambura nekusagadzikana kwepfungwa musoro. [1] Mhirizhonga misoro inowanzobatanidzwa nehutsika hwehupenyu hwehupenyu uye hurefu hwakanyanya hwepfungwa dzisina kugadzikana. [2] Mumakore achangopfuura, meta dzakawanda-dzinoongorora kuongorora maitiro ekurwadziwa kwakagadziriswa anoshandiswa nhasi vakaratidza kuti kurapwa kwezvokurapa, izvo zvingave zvinobudirira mukurwadziwa kwakanyanya, hazvibudiriri nekurwadziwa kusingaperi uye zvingangodaro, zvichikonzera zvinetso zvinowedzera. Nzira dzakawanda dzemarwadzo ekurwadziwa dzakagadzirirwa uye dzinobatsira pakurwadziwa kwakanyanya asi kana dzichishandiswa munguva refu dzinogona kuumba zvinetso zvakadai sekushandisa zvinodhaka nekudzivisa mabasa anokosha. [3] Chimwe chinhu chinowanikwa mumatambudziko akawanda ekurwadziwa ndeokuti vanosimbisa pane kana kudzivisa kurwadziwa kana kurwisana kuti kuderedze kurwadziwa. Kurwadziwa kwekutambudzika kwepfungwa kunogona kusinganzwisisike. Painkillers uye mazano ekugadzirisa zvinorwadza zvinogona kuwedzera kusawirirana uye kunzwisisika kunorwadza. Nokudaro, kurapwa kunowedzera kugamuchirwa nekutsungirira kune marwadzo, kunyanya kurwadziwa kusingaperi, kunobudirira. Kufunga-based based stress reduction (MBSR) inonzi psychotherapy itsva inoita seinobudirira mukuvandudza mararamiro emagariro uye kugadzikana kwepfungwa mune varwere vane marwadzo asingagumi. [4,5,6,7,8] Mumakore makumi maviri adarika, Kabat-Zinn et al. muUnited States vakabudirira kushandisa mafungiro ekuzorodza marwadzo uye zvirwere zvakabatana nemarwadzo. [9] Zvidzidzo zvenguva pemaitiro ekugamuchirwa, zvakadai sekufunga, zvinoratidza kuvandudzika kwekuita kune varwere vane kurwadziwa kusingaperi. Kungwarira kunogadzirisa marwadzo usingashandisi pfungwa dzese dzenharo, manzwiro uye manzwiro, uye hukama hwepfungwa hunoparadzana nehumukati nekunze ruzivo. [10] Zvidzidzo zvakawana kuti chirongwa cheMBS rinogona kuderedza zvikuru zvirwere zvehutano zvine chokuita nemarwadzo asingagumi sefibromyalgia, rheumatoid arthritis, isingaperi mushuloskeletal kurwadziwa, kusagadzikana kunorwadza shure, uye multiple sclerosis. [7,11,12,13] MBSR ine kuchinja kukuru mukurwadziwa kwakanyanya, kushungurudzika, kuora mwoyo, kunyunyuta kunetseka, kufanana, kumira, kunaka kwekurara, kuneta, uye kubata muviri. [6,14,15,16,17] Asi mapurogiramu ekuvandudza mararamiro ehutano evarwere vane chirwere chinokonzerwa nemarwadzo, akadai sekurwadziwa musoro musoro, vanowanzove vachiri mucheche. Nokudaro, chidzidzo chacho chakaitwa kuti chiongorore migumisiro yeBSSR pamusana pekufungidzika kunetseka uye hutano hwehutano mune varwere vane dambudziko rekushaya musoro.

 

Zvinhu uye Nzira

 

Iyi kiriniki yakarongedzwa kiriniki kutongwa kwakaitwa mu2012 muShahid Beheshti Hospital muKashan City. Yekutsvagisa Ethics Committee yeKashan University yeMedical Sciences yakabvumidza chidzidzo ichi (IRCT Kwete: 2014061618106N1). Ivo vatori vechikamu vechidzidzo vaisanganisira vanhu vakuru vane tension headache avo vakaendeswa nevarapi vezvepfungwa uye neurologists muKashan. Maitiro ekubatanidzwa aive anotevera: Kuva nemusoro wekushushikana zvichiteerana neInternational Headache Classification Subcommittee, inoda kutora chikamu muchidzidzo ichi, isina chirwere chekuongororwa kwe organic brain disorder kana psychotic disorder, uye isina nhoroondo yekurapwa kwepfungwa munguva yapfuura 6 mwedzi. Varwere vasina kupedzisa kupindira uye vakapotsa zvinopfuura zvikamu zviviri vakasiyiwa muchidzidzo. Vatori vechikamu, avo vakasaina fomu rekubvuma rine ruzivo, vakapedzisa matanho sekufungidzira. Zvekufungidzira saizi yekuyera, isu takareva kune kumwe kuongorora uko shanduko mukureva kwekuwanda kwekuneta yaive 62 9.5 munguva yekuzvigadzirira uye 54.5 11.5 munguva yekumashure yekurapa. [18] Zvino, nekushandisa muyero saizi kuverenga, vatori vechikamu makumi matatu nematatu (vane njodzi yekukwezva) muboka rega rega vane? = 33 uye 0.95 ? = 1 dzakaparadzaniswa. Mushure mekuyera saizi kuverenga, 0.9 varwere vane tension headache vakasarudzwa kuburikidza neyakareruka sampling zvinoenderana neyakaisirwa maitiro. Ipapo, varwere vakadaidzwa uye vakakokwa kuti vatore chikamu muchidzidzo ichi. Kana murwere akabvuma kutora chikamu, iye aibva akokwa kuti apinde muchirongwa chekupfupikisa uye kana pasina mumwe murwere akasarudzwa zvakafanana. Zvino vachishandisa tafura yenhamba isina kujairika, ivo vakagoverwa kungave kuboka rekuyedza (MBSR) kana kuboka rinodzora raibata senguva dzose. Pakupedzisira, varwere ve66 vakasarudzika kubva muboka rega uye varwere ve3 vakasanganiswa (60 varwere muboka rega rega). Boka re TAU rakarapwa chete nemishonga yekudzvinyirira uye kiriniki manejimendi. Boka reMBSR rakagamuchira MBSR kudzidziswa mukuwedzera kune TAU. Varwere veboka reMBSR vakadzidziswa kwemavhiki masere nekiriniki yezvepfungwa nePhD degree. Iyo Pfupi Chiratidzo Inventory (BSI) uye Yakanzwisisika Stress Scale (PSS) yakapihwa pamberi pekutanga kurapwa chikamu muboka reMBSR, mushure memusangano wechisere (posttest), uye mwedzi mitatu mushure mekuyedzwa (kuteedzera) mumapoka ese ari maviri. Boka re TAU rakakokwa kuShahid Beheshti Hospital kunozadza mibvunzo. Mufananidzo 30 unoratidza Consolidated Maitiro Ekubika Miedzo (CONSORT) dhizaini inoratidza kuyerera kwevadzidzi vechidzidzo.

 

 

Kupindira

 

Boka rekupindira (MBSR) rakadzidziswa muShahid Beheshti Hospital. Iwo masere masere evhiki (120 min) akaitwa zvinoenderana neyakajairwa MBSR protocol sekuvandudzwa kwakaitwa Kabat-Zinn. [11] Zvimwe zvikamu zvakaitwa kune ivo vatori vechikamu avo vakapotsa imwe kana maviri zvikamu. Pakupera kwekudzidziswa uye nemwedzi mitatu gare gare (kuteedzera), ese maMBSR uye maTUU mapoka akakokwa ku Shahid Beheshti Hospital (nzvimbo yekutongwa kweMBSR) uye vakarairwa kupedzisa mibvunzo. Munguva yezvikamu zveMBSR, vatori vechikamu vakadzidziswa kuti vazive mafungiro avo, nemanzwiro avo, uye nemanzwiro epanyama zvisina mhosva. Kungwarira kurovedza muviri kunodzidziswa senzira mbiri dzekufungisisa - zvepamutemo uye zvisina kurongwa. Yemaitiro erudzi maitiro anosanganisira akadzidziswa kugara pasi kufungisisa, kuongorora muviri, uye kufunga nezveyoga. Mukufungisisa zvisina kurongwa, kutarisisa nekuziva hazvitariswi pane zvinoitwa zvezuva nezuva chete, asi zvakare nepfungwa, manzwiro, uye kunzwa kwemuviri kunyangwe zvichinetsa uye zvichirwadza. Izvo zvese zvemukati memisangano zvakataurwa muTafura 3.

 

 

Meji Tools

 

Kushandiswa kweMusoro kweMusoro weChechetti Subcommittee Diary Scale for Headache

 

Musoro waive uchienzaniswa nehuwandu hwemashoko ehutu hwemusoro. [19] Varwere vakabvunzwa kuti vanyore marwadzo ekunyanyisa kwemaari pane imwe nhamba ye 0-10. Kusava nemarwadzo uye kunyanya kunetseka kwepfungwa kunokonzerwa ne 0 uye 10, maererano. Izvo zvinoreva kuora musoro kwemavhesi muvhiki zvakabatanidzwa nekuparadzanisa chikamu chekuoma kwezvizhinji ne7. Uyezve, zvinoreva kusuruvara kwepfungwa mumwedzi kwakaverengwa nekuparadzanisa chikamu chekuoma kwezvizhinji ne30. Izvo zvishoma uye zvikamu zvakanyanya zvekuchema kwepfungwa zvakange zviri 0 uye 10, maererano. Headache diary yakapiwa vashanu varwere uye nyanzvi yezvepfungwa uye chiremba wezvepfungwa akasimbisa zvakagadzirwa nehutano hwechiridzwa. [20] Kuvimbika kweiyo yePersian version yechiyero ichi kwakaverengwa se0.88. [20]

 

Chiratidzo pfupi Inventory (BSI)

 

Zviratidzo zvepfungwa zvakaongororwa neBSI. [21] Iko kuverenga kune zvinhu makumi mashanu nematatu uye zvipfumbamwe zvakapetwa zvinoongorora zviratidzo zvepfungwa. Chinhu chimwe nechimwe chinoverenga pakati pe53 ne9 (semuenzaniso: Ndine shungu kana kugumbuka mudumbu mangu). BSI ine yepasi rose yakasimba index (GSI) yakawana huwandu hwakazara hwezvinhu makumi mashanu nematatu. Kuvimbika kwebvunzo kwakazivisa mamakisi e0. [4] Muchidzidzo chedu, GSI test retest fungidziro yaive .53 yakavakirwa pamuenzaniso wevarwere makumi matanhatu vane tension headache avo vakapedza iyo BSI.

 

Kuona Kunetseka Kwepfungwa (PSS)

 

Kunetsekana kwakanzwisisika kwakaongororwa uchishandisa iyo PSS, [21,23] chiyero chechinhu-gumi chinoongorora mwero wezviitiko zvisingadzoreke uye zvisingafungidzike zvehupenyu mumwedzi wapfuura (semuenzaniso: Wainzwa kuti wanga usingakwanise kudzora zvinhu zvakakosha muhupenyu hwako. ?). Vakapindura vanotaura kuwanda kwechinhu mukati memwedzi wapfuura pachiyero che10-poindi, kubvira 5 (never) kusvika 0 (kazhinji). Kugovera kunopedziswa nekumisikidza zvibodzwa zvezvinhu zvina zvakanaka zvine mavara [4] uye kupfupisa zvese zviyero zvezvinhu. Chiyero zvikero zvinotangira kubva pa4,5,7,8-0. Zvikoro zvepamusoro zvinoratidza huwandu hwepamusoro hwekushushikana. Iyo inofungidzira kuti vanhu zvinoenderana nekwavo kwekubata zviwanikwa vanoongorora danho rekutyisidzira kana kunetsa zviitiko Chikamu chepamusoro chinoratidza mwero wakakura wekufungisisa. [Yakakwana] test retest kuvimbika uye kushanduka uye kusarura huchokwadi zvakataurwa zvakare. [40] Mukudzidza kwedu, alpha coefficients yeCronbach yekutarisa kusagadzikana kwemukati kwechiyero ichi yakaverengerwa kuva 19.

 

Izvo zvinodzokororwa matanho ekuongororwa kwekusiyana kwakaitwa kuenzanidza maBlue MBSR neTUU pamusoro pehutano hwekufungidzirwa kunetseka neGSI pakutangira, kutora shure, uye mwedzi we3 kutevera. Uyewo, chi-chiyero chepamusoro chakashandiswa kuenzanisa nhamba dzevanhu mumapoka maviri. P inokosha kudarika 0.05 yaifungidzirwa inokosha mukuedzwa kwose.

 

Results

 

Pakati pezvidzidzo zve66, vatori vechikwata 2 vanobva muboka reMBSR vakanga vasisipo nekuda kwekushayikwa kupfuura zvikamu zve2. Uyezve, vatatu vatora chikamu vakaiswa kunze kwekuti havana kuzadzisa mibvunzo yepamushure pekuedzwa kana kutevera uyo mumwe wavo aibva kuboka reMBS uye vatatu vatora kubva ku TAU. Tafura 2 yakaratidza maitiro evanhu vane zvidzidzo uye zvigumisiro zvekuongorora randomization. Migumisiro ye t-kuedza kwekusiyana pakati peboka reMBSR ne TAU panguva yakasiyana-siyana uye Chi-square test mune zvimwe zvinoshandiswa zvakaratidza kuti pakange pasina misiyano yakakura pakati pezvinyorwa zvevanhu mumapoka maviri uye zvidzidzo zvacho zvakapiwa mapoka maviri.

 

 

Tafura 3 inopa zvinorehwa zvinorehwa uye zvakasiyana-siyana kusiyana kwezvimwe zvinotarisirwa (zvinonzwisisika kunetseka neGSI) uye kuenzanisa migumisiro yemigumisiro munguva yekutangira nguva, mushure mekurapa, uye mwedzi we 3 kutevera.

 

 

Tafura 3 inoratidza kuwedzera kuderedzwa kwekunetseka kwakatambirwa uye GSI muboka rekupindira (MBSR) zvichienzaniswa neboka re TAU, nepo kudzikisira kwekugashira kwakatambirwa uye GSI isina kucherechedzwa muboka re TAU. Mhedzisiro yacho yakaratidza kukosha kwenguva uye kudyidzana pakati penguva nemhando yekurapa pane shanduko yezvikoro (P <0.001).

 

Mifananidzo? 2 uye? 3 yazvino inoreva kutambira kunetsekana uye GSI mamaki eMBSR uye TAU mapoka panguva dzepashure uye dzekutevera-nhanho.

 

 

 

hurukuro

 

Ichi chidzidzo chakafananidza kubudirira kweMBSR uye Treatment As Usual (TAU) mukuona kunetseka uye utano hwepfungwa hwevarwere vane dambudziko rekushaya musoro. Kunyange zvazvo MBSR ichizivikanwa semushonga unobudirira wezvirwere zvepfungwa uye marwadzo, kune chikonzero chekuongorora kubatsira kwayo mukurapa kwehutano hwepfungwa mupfungwa kune varwere vane dambudziko remusoro, izvo ndezvimwe zvekunyunyuta kwevanhu.

 

Zvakawanikwa zvekudzidza kwedu zvinoratidzira hutano hwehutano hwehutano muGSI index yeBSI. Mune zvimwe zvidzidzo, kuve nekuvandudzika kwakakosha kuburikidza nehupindiro hweMBSR hwakataurwa pamusoro pezvikamu zvose zveC36-item Short Form Health Survey (SF-36). [20,24] Zvidzidzo zvakaratidza kuderedza kuderedzwa kwezvinetso zvepfungwa mune Symptom Checklist-90-Revised (SCL- 90-R) subscale zvakadai sokuzvidya mwoyo uye kuora mwoyo kweMBSR mushure mokupindira uye 1-gore kutevera. [5] Reibel et al. yakaratidza MBSR kune varwere vane marwadzo asingagumi vakarondedzera kuderera kwezviratidzo zvehutano zvakadai sokuzvidya mwoyo, kuora mwoyo, uye kurwadziwa. [5] Zvave zvichiratidza kuti kusuruvara kwepfungwa uye kushungurudzika kunopesana nekuderera mukutaridzirwa kugadziriswa kushandiswa kwakafanana nekuchengetedzwa kwekucherechedza uye kushanda memori. [25] Manzwiro asina kunaka anogona kukurudzira kutambura kunosangana nekunzwa kurwadziwa.

 

MBSR inoshandisa nzira dzinotevera dzekuvandudza mamiriro emurwere: Chekutanga, kufunga kunotungamira mukuwedzera kuziva nezve izvo zviri kuitika mune imwe nhambo, uine hunhu hwekubvuma, pasina kubatwa mune zvakajairwa pfungwa, manzwiro, uye maitiro maitiro. Kuwedzera kwekuziva uku kunobva kwaunza nzira nyowani dzekupindura nekugadzirisa zvinoenderana newe uye nenyika yakatenderedza. [3] Kungwarira kunosimbisa pfungwa yako pachayo inopfuura mifungo, manzwiro, uye kunzwa kwemuviri sekurwadziwa. Kungwarira kurovedza muviri, vatengi vakadzidza vanokudziridza kuzvicherechedzo . Nekwaniso iyi, vanogona kucherechedza zvavanofunga nemanzwiro avo nenzira isingadzoreke uye isina mhosva iyo yaimbodziviswa, iyo yaimbodzivirira pfungwa nemanzwiro zvichionekwa nenzira isingashande uye isina kutonga. Vatengi vanodzidza kucherechedza pfungwa vasina hazvo kuzviita, kudzorwa navo, kana kudavirwa navo. [3]

 

Chechipiri, kufunga kunobatsira mutengi kuti awedzere kushingaira mukutora matanho mumitemo inokosha inokosha kwavari. Vazhinji nevatengi vane marwadzo asingagumi vanoda kushungurudzwa pasina pane kurarama hupenyu hunokosha hwekusarudza kwavo. Asi chirongwa cheMBSR chakavadzidzisa kuita basa rinokosha pasinei nemarwadzo. Zvidzidzo zvakaratidza kutarisa uye manzwiro ekurwadziwa kunorwadza zvine basa rinokosha mukuramba uchirwadziwa. [26] Mwoyo nemanzwiro ekugadzirisa zvinhu zvinogona kutarisa kurwadziwa nekuzvidya mwoyo pamusoro pazvo zvinogona kuwedzera kurwadziwa nekuvhiringidza varwere mabasa. [27,28]

 

Chechitatu, zvakawanikwa kubva kune dzimwe tsvakurudzo zvinoratidza kuti MBSR inogona kuchinja basa reropi iyo inokonzera kukanganisa mitemo uye nzvimbo dzinotungamira maitiro atinoita pamagariro anokonzera, uye izvi zvinogona kuita kuti zviratidzo zvemuviri zvive zvakadai sekufema, kushaya mwoyo, uye [29,30] Kufungidzira tsika kunowedzera kugadzirisa kuitika kune pfungwa dzinoshungurudza uye manzwiro anonyadzisa uye anosimbisa kurwadziwa kunzwisisika. [31] Uyewo kufunga kunogona kuderedza pfungwa dzepfungwa dzakagadziriswa dzinokonzerwa nekuzvidya mwoyo uye kusagadzikana kwemaitiro kuburikidza nekusimbisa kukwanisa kuongororazve uye kudzidzisa mazano ekufunga. [32]

 

Simba rekudzidza iyi kushandiswa kwehutano hunobudirira hwepfungwa mukuderedza kushungurudzika kwekunyunyuta kusina kudzidza, asi chirwere chinowanzobatwa nehutano. Zvinorehwa nekudzidza kwedu zviri kushandisa psychotherapy ine nyore iyo isingakonzere chikonzero chekufungisisa uye inoshandiswa nyore sehutano hunoshandiswa nemurwere ane hutano hwemusoro. Saka, vashandi vehutano vanofananidza nekunyunyuta uye murwere achakwanisa kushandisa mushonga uyu. Uyewo, MBSR ichashandura mararamiro emurwere uyo angave akawedzerwa nechinetso chake. Chimwe chikamu chikuru chekudzidza uku kwaiva kusashaikwa kwekuenzanisa pakati peMBSR uye yegoridhe yepamusoro yepfungwa dzepfungwa dzakadai sekuziva kugadzirisa maitiro therapy (CBT). Zvinoratidzwa kuti zvidzidzo zvemangwana zvinoda kuenzanisa kushanda kweMBSR nedzimwe tsika dzedzinza uye itsva dzekuita maitiro muvarwere vane dambudziko rekushaya musoro.

 

mhedziso

 

Kudzidza kwedu kunotsigira pfungwa yokuti varwere vanotambura nehutano hwemusoro vanogona kusimbisa hutano hwavo hwepfungwa nekupinda muchirongwa cheMBSR. Mukupfupisa, zvikamu zvekudzidza ikozvino zvinoratidza kuti MBSR inogona kuderedza kushungurudzika-kunetseka kunetseka uye kupindira mumabasa ezuva nezuva munguva pfupi. Iyo yakasiyana-siyana yemafungiro ekufungisisa ari nyore kudzidziswa uye hapana chikonzero chekuoma kunzwisisa kwezvakanaka.

 

Sangano rezvemari uye kubatsiririra: Nil.

 

Kurwisana kwekufarira: Hakuna kukakavara kwekufarira.

 

Munyori Wechipo

 

AO yakazvipira mukufungidzira kwebasa racho, kuitisa chidzidzo, uye kubvumirana kwezvinhu zvose zvebasa racho. FZ yakabatanidzwa mukugadzirisa kwebasa racho, kuongororazve zvinyorwa, kubvumirwa kwekupedzisira kwebhuku racho uye kubvumirana kwezvinhu zvose zvebasa racho.

 

Kutenda

 

Vanyori vanoonga kuvashandi veShahid Beheshti Hospital uye vatori vechikamu. Vanyori vanoratidzawo kuvonga kwaKatat-Zinn kubva kuCent for Mindfulness (CFM) paYunivhesiti yeMassachusetts avo vakagamuchira nemakopi emagetsi emitemo yeMSR.

 

Mukupedzisa,Stressapo kushushikana-kwenguva pfupi kunobatsira, kushushikana kwenguva refu kunogona kupedzisira kwaendesa kune akasiyana ehutano nyaya, kusanganisira kushushikana uye kushushikana pamwe nemutsipa uye musana kurwadziwa, musoro uye disc herniation. Neraki, kupindira kwepfungwa, kwakadai sechiropractic kuchengetedza uye kufunga-kwakavakirwa kuderedzwa kunetseka (MBSR) kwakachengeteka uye kunoshanda manejimendi manejimendi dzimwe nzira dzekurapa. Chekupedzisira, chinyorwa chiri pamusoro chakaratidza humbowo-hwakavakirwa mhedzisiro iyo MBSR inogona kudzora kushushikana uye nekuvandudza hutano hwepfungwa kune varwere vane kushushikana kwepfungwa. Ruzivo rwunotsanangurwa kubva kuNational Center yeBiotechnology Ruzivo (NCBI). Chiyero cheruzivo rwedu chinogumira kuchiropractic pamwe nekukuvara kwepamuviri nemamiriro. Kuti ukurukure nyaya yacho, ndapota inzwa wakasununguka kubvunza Dr. Jimenez kana kutibata nesu pa 915-850-0900 .

 

Yakarongedzwa naDkt Alex Jimenez

 

 

Zvimwe Zvinyorwa: Kubva Painini

 

Maererano nehuwandu, inenge 80% yevanhu ichaona zviratidzo zvekurwadziwa shure shure kamwechete munguva yeupenyu hwavo hwose. Kutambudzika shure ndiko kunyunyuta kunowanzoitika kunogona kuguma nekuda kwekukuvara kwakasiyana siyana uye / kana mamiriro. Kazhinji kacho, kuora kwechimiro chemupaka nezera kunogona kukonzera marwadzo kumashure. Herniated discs inoitika apo ganda rakanyorova, segel-like re intervertebral disc rinodonha nekubvarura mukati maro, rinenge riri kunze kwekatekete, kubvongodza nekugumbura midzi midzi. Dhizinesi dzinozivikanwa dzinowanzoitika kumucheto kumashure, kana kuti nhengo dzomukati, asi dzinogonawo kuitika pamucheto wepervical, kana mutsipa. Kuiswa kwemitsipa inowanikwa mucheka shure nekuda kwekukuvara uye / kana mamiriro akaoma kunogona kutungamirira kune zviratidzo zve sciatica.

 

NHAURWA INOKOSHA INOKOSHA: Kutarisira Kushungurudzika Kwebasa

 

 

ZVIMWE ZVINOKOSHA ZVINOKOSHA: KUDZIDZA KUNYANYA: Kutsaona Kwemotokari Kurapa El Paso, TX Chiropractor