Kana iwe wakambova nemusoro, iwe hausi woga. Inenge 9 kunze kwevanhu vane 10 muUnited States vanotambura nemusoro. Kunyange zvazvo vamwe vari pakati, dzimwe nguva, dzimwe dzisina kugadzikana uye dzinoputika, uye zvimwe zvinokonzera marwadzo anokonzera uye kushungurudza, kubvisa kubvisa musoro musoro inokurumidza kupindura kune vakawanda. Asi, iwe unogona sei kunyatsobudirira kugadzirisa musoro?

 

Ongororo dzekutsvakurudza dzakaratidza kuti chiropractic kuchengetedza ndiyo nzira yakanakisisa yekurapa kusarudzwa kwemhando dzakawanda dzemusoro. Mharidzo ye2014 mu Journal of Manipulative uye Physiological Therapeutics (JMPT) yakawana kuti kugadziriswa kwemapapu uye maitiro ezvinyorwa zvinoshandiswa mukuchengetedza chiropractic kwakagadzirisa migumisiro yemiganho yekurapa kusagadzikana kwehuro nekurwadziwa kwemutsipa pamwe nekuvandudza mararamiro emhando dzakasiyana-siyana dzokurapa kurwadziwa kwemutsipa. Uyezve, imwe 2011 JMPT yakawana kuti chiropractic inogona kuvandudza uye kuderedza kuwanda kwe migraine uye cervicogenic musoro.

 

Kurapa Kwokurapa Kunobata Sei Musoro Wechena?

 

Chiropractic inotarisa mukurapa kwekukuvara kwakasiyana siyana uye / kana mamiriro ehutachiona uye hutsinye hwese, kusanganisira misoro. A chiropractor anoshandura maginha ekugadzirisa uye maitiro ekushandisa kuitira kunyatsogadzirisa kurongeka kwepamusoro. Kugunun'una, kana kusaruramiswa kwemusana, kwakaratidzwa kuita kuti zviratidzo, zvakadai somutsipa uye kurwadziwa shure, uye musoro uye migraine. Kuenzanisa kwepakati kunogona kuvandudza ruvara rwemhepo uye pamwe nekuderedza kunetseka kwepfungwa. Mukuwedzera, chiremba wechiropractic inogona kubatsira kubata mapepa emusoro nemamwe zviratidzo zvinorwadza nekupa mazano ekudya, kupa maitiro uye ergonomics mazano uye kukurudzira kushandiswa kwepfungwa uye mazano ekushandisa. Chiropractic kuchengetedza inogona kugadzirisa kukanganiswa kwemashure pamwe nemadziro akakomberedzwa emusana, kudzorera mushonga wepakuvamba.

 

 

 

Uyezve, chirwere chechiropractic chinogona kubata nekuchengetedza dzimwe nhau dzehutano hwepwere, kusanganisira zviratidzo zvemutsipa uye nechepamusoro-marwadzo pamusana pemakondomu emakondomu uye emakumbo ake, pakati pekukuvara uye / kana mamiriro. A chiropractor anonzwisisa kuti kusarudzwa kwepelinha, kana kugunun'una, kunogona kukanganisa nzvimbo dzakasiyana dzomuviri uye vachabata muviri wose sekwese panzvimbo yekuisa pfungwa pachiratidzo chete. Chiropractic mishonga inogona kubatsira muviri wemunhu zvakasununguka kudzorera hutano hwepakutanga uye hukama hwakanaka.

 

 

Zvinonyatsozivikanwa kuti chiropractic kuchengetedza inoshanda kune zvakasiyana-siyana zvekukuvara uye / kana mamiriro ezvinhu, zvisinei, pamusoro pemakore mashomanana apfuura, zvidzidzo zvekutsvakurudza zvakawana kuti chiropractic inogona kusimbisa hupenyu hwedu nekugadzirisa dambudziko redu. Zvimwe zvezviongorori zvitsva zvinotsvakurudza zvakaratidza kuti chirwere chechiropractic chinogona kugadzirisa maitiro ezvirwere mumuviri, kuchinja maitiro emwoyo, uyewo kuderedza kuwedzera kweropa. Tsvakurudzo ye 2011 inobva kuJapan yakaratidza kuti chiropractic inogona kunge ine simba guru pane muviri wako kupfuura iwe unotenda.

 

Kushungurudzika ndiyo chiratidzo chinokosha cheutano, uye zviratidzo zvinorwadza zvisingaperi zvinogona kuchinja hutano. Vatsvakurudzi muJapan vakatsvaka kuongorora kana chiropractic inogona kugadzirisa zvinetso zvevarume nevakadzi ve12 vane kurwadziwa kwemutsipa uye musoro. Asi masayendisiti kuJapan aida kutsvaga mifananidzo yakajeka yekuti chiropractic marinha ekugadzirisa uye maitiro ekunyora anogadzirisa hurongwa hwemagetsi, saka vakashandisa PET kuongorora kuongorora uropi uye sarvia miedzo yekucherechedza kuchinja kwehomoni.

 

Mushure mekuchira chiropractic, varwere vakashandura uropi muhutano hwehuropi hunoita kuti utambudzi hwekugadzirisa uye kushungurudzika kuite. Vaivawo vakaderedza zvakanyanya cortisol, zvichiratidzira kuderedza kushungurudzika. Vatori vechikamu vakataurawo nezvehutano hwepamusoro uye huwandu hwehupenyu mushure mokurapa. Kupindira kwepfungwa, zvakadai sechiropractic kutarisira, ndiyo inokosha yekugadzirisa maitiro nemaitiro. Kushungurudzika kwenguva refu kunogona kutungamirira kune zvakasiyana-siyana zvehutano, kusanganisira kurwadziwa kwehuro uye mushure pamwe nemusoro uye migraine. Mamwe mapindiro ekufungisisa anogonawo kubudirira uye kubudirira kubatsira kubatsiridza zviratidzo. Chinangwa chehurukuro inotevera ndechekuratidza kubudirira kweimwe kupindira kwepfungwa, inozivikanwa sekutarisa-kunokonzerwa nekuderedza kushungurudzika, pamanzwiro ekurwadziwa uye simba rehupenyu kune varwere vakamboonekwa vane musana unopera.

 

Kubudirira Kwepfungwa-Kubva Kudzvinyirira Kushushikana Pamusoro Panoona Kunetseka uye Uhu hwehupenyu muvarwere vane Musoro usina kuchena

 

ngovepo

 

Chinangwa chechidzidzo ichi chaiva chokutsvaga kubudirira kweMangariro-Inotemesa kudzvinyirira (MBSR) pamusoro pekunzwisisika kunorwadza uye hutano hwehupenyu kune varwere vane hutano husingaperi. Nokudaro, varwere makumi mana kubva pakuonekwa kwechirwere chetsuro uye chirwere chekuongorora chirwere cheMunyika yepamusoro yeHemis Headache (IHS) chemigraine uye chronic-tension-type headache yakasarudzwa uye yakarongerwa kuboka rekupindira uye boka rekutonga, maererano. Vadzidzi vakapedzisa kurwadziwa uye mararamiro ehupenyu (SF-36). Boka rekupindira rakanyoresa purogiramu yemasere e-MBSR iyo yakabatanidza kufungisisa uye tsika dzezuva nezuva, pamusi wevhiki, svondo re 90-maminitsi. Migumisiro ye covariance kuongorora pamwe nekuparadzaniswa kwepamberi yekuedzwa kwakaonesa kunatsiridza marwadzo uye hutano hwehupenyu muboka rinopindira richifananidzwa neboka rinodzora. Zvakawanikwa kubva pakurongwa uku zvakaratidza kuti MBSR inogona kushandiswa kusingabatsiri mune zvemasikirwo yekuvandudza mararamiro ehupenyu nekuvandudza mazano ekugadzirisa marwadzo kune varwere vane hutano husingaperi. Uye inogona kushandiswa pamwe chete nedzimwe nzira dzokurapa dzakadai sedhemotherapy.

 

Keywords: kusuruvara kusingaperi, migraine musoro, pfungwa, hupenyu hwehupenyu, kushushikana musoro musoro

 

Dr. Alex Jimenez's Insight

Kuora musoro musoro kunopedza zviratidzo zvinokanganisa zvinokanganisa vanhu vakawanda. Kune marudzi akasiyana-siyana emusoro, kunyange zvakadaro, ruzhinji rwavo runowanzotaurirana. Kushungurudzika kwenguva refu kunogona kukonzera hutano hwakasiyana-siyana hwehutano husina kunyatsogadziriswa, kusanganisira kushungurudzika kwemasisita, izvo zvinogona kutungamirira kusaruramisa kwepelinha, kana kugadziriswa, pamwe nezvimwe zviratidzo, zvakadai semutsipa uye mushure, kurwadziwa musoro uye migraines. Kunyanya kushungurudzika maitiro ekugadzirisa uye nzira dzekugadzirisa zvinogona kubatsira pakuvandudza nekugadzirisa zvinetso zvinosanganiswa zvine chokuita. Kufungisisa kwepfungwa sezvinonzi chiropractic kuchengeta uye pfungwa-based based stress reduction zvakatsungirirwa kubatsira zvakanatsi kuderedza kushungurudzika uye kuderedza zviratidzo zvisingagumi zvepfungwa.

 

ziviso

 

Kutemwa nemusoro ndiko kumwe kwekunyunyuta kwakajairika kunoongororwa mumakiriniki evana vakura uye evana. Iyo yakanyanya kuwanda yemisoro iyi ndeye migraine uye tension-mhando misoro (Kurt & Kaplan, 2008). Musoro unorongerwa muzvikamu zviviri zvemusoro kana zvepuraimari uye zvechipiri musoro wemusoro. Makumi mapfumbamwe muzana emusoro musoro ndiwo anonyanya kutemwa nemusoro, pakati peiyo migraine uye kusagadzikana musoro misoro ndiyo yakajairika mhando (International Headache Society [IHS], 2013). Zvinoenderana nedudziro, migraine musoro unowanzo kuve unilateral uye kupuruzira mune zvakasikwa uye unotora kubva pa4 kusvika maawa 72. Zviratidzo zvinosanganisirwa zvinosanganisira kusvotwa, kurutsa, kuwedzera kunzwisisika kuchiedza, kurira uye kurwadziwa, uye zvinowanzo wedzera nekuwedzera chiitiko chemuviri. Zvakare, kushushikana musoro musoro kunoonekwa neyakaenzana, isingarwadziwi kurwadziwa, kumanikidza kana kuomarara, kurwadziwa kwakapinza, kunge bhandeji kana ngowani, uye kuenderera kwehurombo hunyoro kusvika pakati nepakati, kudzivirira zviitiko zveupenyu hwezuva nezuva (IHS, 2013).

 

Stovner et al. (2007) vachishandisa iyo IHS yekuongorora nzira, inofungidzirwa zvikamu zvevanhu vakuru vane chinetso chinorwara nemusoro nezve 46% yemusoro mukati, 42% ye tension-type headache. Izvi zvinoratidza kuti kuitika uye kuwanda kwematambudziko-mhando misoro yakakwira zvakanyanya kupfuura zvaifungidzirwa. Inofungidzirwa kuti vangangoita gumi nemaviri kusvika gumi nemasere muzana yevanhu vane migraines (Stovner & Andree, 12). Vakadzi vanowanzo kuve nemagraines zvichienzaniswa nevarume, migraine kuwanda kuri nezve 18% yevarume uye 2010% yevakadzi (Tozer et al., 6).

 

Migraine uye tension-mhando misoro yemusoro zvakajairika uye zvakanyatsoratidzwa mhinduro kune zvepfungwa uye zvemuviri zvinonetsa (Menken, Munsat, & Toole, 2000). Migraine inogara ichidzora uye inoshungurudza kurwadziwa kusingaperi uye ine mhedzisiro yakaipa pahunhu hwehupenyu, hukama uye kugadzirwa. IWorld Health Organisation (WHO) yakazivisa migraine yakaoma seimwe yezvirwere zvinonyanya kuora zvinegumi nepfumbamwe (IHS, 2013; Menken et al., 2000).

 

Kunyangwe paine kuvandudzwa kwemishonga yakawanda yekurapa uye kudzivirira kwekurwadziswa kwemigraine, huwandu hwevarwere vanovawana husingashande uye vamwe vanovawana vasina kukodzera nekuda kwemhedzisiro yavo uye mhedzisiro-kazhinji kazhinji zvinotungamira mukumira kwekutanga kurapwa. Nekuda kweizvozvo, kufarira kukuru mukuvandudza kweasina-pharmacologic kurapwa kunogona kucherechedzwa (Mulleners, Haan, Dekker, & Ferrari, 2010).

 

Biological zvinhu zvega hazvigone kutsanangura kusagadzikana kune chiitiko chemusoro, kutanga kwekurwiswa uye nezvayo, kuwedzera kurwiswa kwemusoro, kuremara kwakanangana nemusoro uye zvakare hupenyu hwevarwere vane hutachiona husingaperi. Zviitiko zvehupenyu zvisina kunaka zviri (senge psychosocial factor) inowanzo kuzivikanwa sechinhu chakakosha mukusimudzira nekuwedzera kwemusoro (Nash & Thebarge, 2006).

 

Iyo chirongwa cheMindfulness-Yakavakirwa Stress kudzikisira (MBSR) iri pakati pekurapa, uko kwakadzidzwa mumakumi maviri emakore apfuura pane akasiyana maronda asingagumi. MBSR yakagadzirwa naKabat-Zinn uye inoshandiswa munzvimbo dzakasiyana siyana dzevanhu vane kusagadzikana kwakanangana nekushushikana uye kurwadziwa kusingaperi (Kabat-Zinn, 1990). Kunyanya mumakore achangopfuura, ongororo dzakawanda dzakaitwa kuti dziongorore ekurapa mhedzisiro yeMBSR. Zvizhinji zvidzidzo zvakaratidza zvakakosha zviitiko zveMBSR pamamiriro akasiyana epfungwa kusanganisira kudzikiswa kwezviratidzo zvepfungwa zvekushushikana, kushushikana, rumination, kushushikana uye kushushikana (Bohlmeijer, Prenger, Taal, & Cuijpers, 2010; Carlson, Speca, Patel, & Goodey, 2003; Grossman, Niemann, Schmidt, & Walach, 2004; Jain et al., 2007; Kabat-Zinn, 1982; Kabat-Zinn, Lipworth, & Burney, 1985; Kabat-Zinn et al., 1992; Teasdale et al. , 2002), kurwadziwa (Flugel et al., 2010; Kabat-Zinn, 1982; Kabat-Zinn et al., 1985; La Cour & Petersen, 2015; Rosenzweig et al., 2010; Zeidan, Gordon, Merchant, & Goolkasian , 2010) uye hupenyu hwehupenyu (Brown & Ryan, 2003; Carlson et al., 2003; Flugel et al., 2010; Kabat-Zinn, 1982; La Cour & Petersen, 2015; Morgan, Ransford, Morgan, Driban, & Wang, 2013; Rosenzweig et al., 2010).

 

Bohlmeijer et al. (2010) yakaita meta-ongororo yezvisere zvakasarudzika zvakadzorwa zvidzidzo pamhedzisiro yechirongwa cheMBSR, yakagumisa kuti MBSR ine madiki mhedzisiro kuora mwoyo, kushushikana uye kushushikana kwepfungwa kune vanhu vane chirwere chisingaperi chekurapa. Zvakare Grossman et al. (2004) mune meta-ongororo ye20 yakadzorwa uye isingadzorwe zvidzidzo pamhedzisiro yechirongwa cheMBSR pane hutano hwepanyama uye hwepfungwa hweanorapa uye asiri ekurapa masampuli, yakawana saizi yekuita yekuenzanisira yezvidzidzo zvinodzorwa pahutano hwepfungwa. Hapana masimba ekukura kwezviratidzo zvakasiyana sekushushikana uye kushushikana zvakataurwa. Ongororo ichangoburwa inosanganisira 16 zvidzidzo zvinodzorwa uye zvisingadzorwe, Ongororo iyi inoshuma kuti kupindira kweMBSR kunodzora kurwadziwa, uye kuongororwa kwakawanda kwekutongwa (6 kwe8) kunoratidza kudzikisira kwakanyanya mukurwadziwa kusimba kwekupindira boka zvichienzaniswa neboka rinodzora (Reiner, Tibi, & Lipsitz, 2013).

 

Mune kumwe kuongorora, vaongorori vakawana hunhu hwakakura hwezvimwe zvidimbu zvehunhu hwehupenyu semuenzaniso huremo hwekukura uye kurwadziwa kwemuviri, zvisingaenzaniswi masize ekurwadziwa uye akakosha epakati kusvika kune makuru size mhedzisiro yekudzikira kwakazara kushushikana uye kushushikana (La Cour & Petersen, 2015) . Zvakare mukudzidza naRosenzweig et al. (2010) pavarwere vane kurwadziwa kusingaperi kusanganisira avo vanotambura nemagraine, paive nekusiyana kukuru mukurwadziwa kwakanyanya, kurwadziwa-kwakanangana nekukanganisa kushanda pakati pevarwere. Zvisinei, avo vanotambura nemigraine vakaona kuvandudzwa kwakadzika kwazvo mukurwadziwa uye akasiyana maitiro ehupenyu hwehupenyu. Pakati pese, akasiyana mapoka ekurwadziwa kusingaperi akaratidzira kusimudzira kwakanyanya mukushungurudzika uye marwadzo-ane chekuita nekukanganisika kwekuita mune ino kudzidza. Zvimwe zvidzidzo zviviri zvakaitwa naKabat-Zinn uye vachishandisa nzira dzeMBSR dzekurapa varwere vane kurwadziwa kusingaperi, kusanganisira huwandu hwevarwere vane maronda asingaperi. Statistical ongororo yakaratidza kudzikisira kukuru kwekurwadziwa, kupindira kwekurwadziwa nemabasa ezuva nezuva, zvekurapa uye zvepfungwa zviratidzo uye zviratidzo, kushushikana uye kushushikana, kusagadzikana kwemuviri, kurwadziwa kwekukanganiswa nemabasa ezuva nezuva, kushandiswa kwechirwere uye zvakare kuwedzera mukuvimba (Kabat-Zinn, 1982; Kabat-Zinn et al., 1985).

 

Pamusana pokurwadziwa uye kurasikirwa kwebasa uye kuderedzwa kwekushanda kwebasa nekuwedzera kushandiswa kwehutano, hutachiona hutachiona hunokonzera mari kune mumwe munhu uye munzanga, zvinoratidzika kuti hutachiona hutachiona ndedambudziko guru rehutano uye kutsvaga nzira dzekutonga uye kubata chirwere ichi chinogona kuva che kukosha kukuru. Chinangwa chikuru chechidzidzo ichi chaiva chekuongorora kubudirira kweBMSR mune kuwedzera kwechirongwa chemasipromotherapy muchipatara chemuenzaniso wevanhu vepachipatara vane varwere vane hutachiona hwemusoro kusaratidza kubudirira kwechirongwa ichi senzira yekurwadziwa nekugadzirwa kwehupenyu hwevarwere ane musoro usingagumi.

 

nzira

 

Vatori vechikamu uye Nzira

 

Uku kuyedzwa kusinganzwisisike kwakatarwa maviri- boka retpretest-posttest dhizaini yekudzidza. Zvakare mvumo yakawanikwa kubva kuEthics Committee yeZahedan University yeMedical Sciences. Vatori vechikamu vakasarudza kuburikidza neyakareruka sampling nzira kubva kuvarwere vane chisingaperi migraine uye tension-mhando misoro, inoonekwa nachiremba wezveuropi uye chiremba wepfungwa vachishandisa IHS yekuongorora nzira-inotaurwa kuzvipatara zveyunivhesiti zveZahedan University yeMedical Sciences, Zahedan-Iran.

 

Mushure mokuongorora chirwere chega chega nekusangana nekugadziriswa nekuregererwa kwekutora uye kutora hurukuro yekutanga, 40 kunze kwe makumi masere nevanomwe vepachirwere vepachirwere vane hutano husingaperi vakasarudzwa uye pasina nguva vakaiswa mumapoka maviri akaenzana ekupindira uye kutonga. Izvo zvose kutonga uye mapoka ekupindira akawana pharmacotherapy inowanikwa pasi pekutarisa kweurorologist. Panguva yekurapa zvidzidzo zvitatu nyaya, nekuda kwekushayikwa kwekugara kwenguva dzose kana kuti kusarirwa, zvinosarudzwa kana kusabviswa kubva pachidzidzo.

 

Inclusion Criteria

 

• (1) Chibvumirano chakazivikanwa chekutora chikamu mumisangano.
• (2) Makore mashoma emakore 18.
• (3) Chidzidzo chechidiki chechikoro chepakati-chikoro.
• (4) Kuongororwa kwepfungwa dzisingagumi (inonyanya kusagadzikana migraine uye kushungurudzika-musoro musoro) neurologist uye maererano neHS diagnostic criteria.
• (5) 15 kana mamwe mazuva pamwedzi kwepfuura mwedzi ye3 uye mwedzi mitanhatu yakaitika nhoroondo ye migraines uye kushungurudza-musoro musoro

 

Kusagadziriswa Criteria

 

• (1) Vaya vanga vasingadi kuramba vachipinda muchidzidzo kana kusiya chidzidzo kune chero chikonzero.
• (2) Zvimwe zvinetso zvinorwadza zvisingaperi.
• (3) Psychosis, delirium uye kugadzirisa matambudziko.
• (4) Mhosva dzezvinetso zvevanhu vanopesana nekushanda pamwe chete.
• (5) Zvinodhaka nezvinodhaka.
• (6) Mafungiro emafungiro

 

Kupindira Mapoka

 

Zvirongwa zveTherapy (MBSR) zvakaitirwa 1.5 kumaawa 2 pavhiki kuitira nhengo dzeboka rekupindira (drug pamwe neBSS); Nepo pasina MBSR yakaitwa yeboka rinodzora (zvinongowanikwa zvinodhaka zvinoshandiswa) kusvika pakuguma kwekutsvakurudza. Iyo MBSR yakaitirwa mavhiki e8. Muchidzidzo ichi, chirongwa che 8-session session MBSR (Chaskalon, 2011) yakashandiswa. Kuti uite kufungisisa kumba kwaunenge uchidzidzisa vatori vechikamu mumisangano, zviyero zvakakosha zvakapiwa mune CD uye kabhuku. Kana imwe yezvidzidzo zvisingabatanidzi muhurukuro kana masangano, pakutanga kwechikamu chinotevera mushonga anokwanisa kupa zvinyorwa zvakanyorwa zvezvikamu kune zvidzidzo, kunze kwekudzokorora mhedziso yapfuura. Chirongwa cheMBS uye nhaurirano zvakaendeswa kuvarwere vari mumasangano masere anosanganisira: kunzwisisa kurwadziwa uye kugadziriswa kwaro, kukurukura pamusoro pehukama hukama, kutsamwa nemanzwiro nemarwadzo, Kunzwisisa mafungiro akaipa, mafungiro nemanzwiro, kuunza pfungwa yeAcceptance, kufema nzvimbo , maminitsi matatu ekufema, nzvimbo yekufema, kushandiswa kwemaitiro, kufungidzira muviri, kuongorora, kugara nekufungisisa, kufamba-fungisisa, kufamba-famba, kuverenga nhetembo dzine chokuita nekufunga uye zvakarekurukura chengetedza izvo zvakagadzirwa pamusoro payo yose, kurukura zvirongwa nezvikonzero zvakanaka zvekuchengeta tsika. Varwere vakagamuchirawo ruzivo pamusoro pekudzidza kuti vanoona sei ramangwana rezvekudzoka pamwe chete nemazano uye zvirongwa zvekugadzirisa kutanga kuonekwa kwechirwere chekurwadziwa nekurwiswa uye kuzvitungamirira kune mamiriro matsva.

 

Kudzora Boka

 

Varwere vakanga vanga vari muboka rekutonga vairamba vachiita zvekare pharmacotherapy (kusanganisira zvinodhaka uye zvisingaitiki zvinodhaka) neurologist yavo kusvikira pakupera kwekutsvakurudza.

 

Instruments

 

Maturu maviri makuru akashandiswa mu pre-bvunzo uye post-bvunzo kuunganidza data, kuwedzera kune fomu rehuwandu hwehuwandu. Musoro wemusoro log wakashandiswa kuona iko kunzwisisika kwekutambudzika uchishandisa zvikamu zvitatu: (1) 10-poindi likert-scale ratings, (2) kuwanda kwemaawa ekurwadziwa pazuva uye (3) marwadzo kuwanda mukati memwedzi. Chikamu chega chega chinotorwa kubva pa0 kusvika pa100, nhanho yepamusoro iri zana.Sezvo murwere mumwe nemumwe achiyera kurwadziwa kwavo kunonzwisisika mubhuku remibvunzo, kuvimbika uye kuvimbika hazvitariswe. Uye imwe yacho yaive pfupi-fomu 100 remibvunzo (SF-36). Bvunzo remibvunzo rinoshanda mumazera akasiyana siyana nezvirwere zvakasiyana. Kuvimbika uye kuvimbika kwebvunzo kwakabvumidzwa naWare et al (Ware, Osinski, Dewey, & Gandek, 36). Iyo SF-2000 inoongorora maonero ehunhu hwehupenyu muzvikamu zvisere zvinosanganisira: kushanda kwemuviri (PF), zvinokanganisa basa nekuda kwehutano hwepanyama (RP), kurwadziwa mumuviri (PB), hutano huzhinji (GH), simba uye simba (VT ), Kugarisana nevamwe (SF), kutadza kuita basa nekuda kwematambudziko epfungwa (RE) uye kukanganisa hutano (AH). Chishandiso chine zvakare zviyero zviviri zvepfupi zvePhysical Component Summary (PCS) uye Mental Component Summary (MCS) zvibodzwa. Chiyero chega chega chinotorwa kubva pa36 kusvika pa8, chinhanho chepamusoro chinoshanda chiri zana. Kubatika uye kuvimbika kweSF-0 kwakaongororwa muvanhu veIran. Yemukati kuenderana coefficients yaive pakati pe100 ne100 yezvisere subscales uye test-retest coefficients yaive pakati pe36.

 

Data Analysis

 

Kuti uongorore ruzivo, kunze kwekushandiswa kwezviratidzo zvinotsanangurwa, kuenzanisa migumisiro yemapoka ekupindira uye ekudzora, kuongorora kwekushandiswa kwevhisi yakashandiswa kusarudza kubudirira uye kubviswa kwepamberi yekuongorora mhinduro pa 95% chivimbo chepamusoro.

 

Kuregera

 

Panguva yekurapa zvidzidzo zvitatu nyaya, nekuda kwekushayikwa kwekugara kwenguva dzose kana kuti kusarirwa, zvinosarudzwa kana kusabviswa kubva pachidzidzo. Makumi makumi matatu nemanomwe kubva kune 40 varwere vakapedza kudzidza ikozvino uye iyo yakaungana deta yakazoongororwa.

 

Results

 

Kuongorora kwekuenzanisa kwekupararira kwevanhu pakati pemapoka acho maviri kwakaitwa uchishandiswa chi-square uye yakazvimirira t-test. Dhiyabhorosi dhiyabhorosi yemapoka maviri aya anoratidzwa muTebhu 1. Kupararira kwezera, makore ezedzidzo, zvepabonde uye hutano hwemhuri dzaive zvakafanana muboka rimwe nerimwe.

 

 

Tafura 2 inoratidza mhedzisiro yekuongororwa kwecovariance (ANCOVA). Kuedzwa kweLevene kwanga kusiri-kwakakosha, F (1, 35) = 2.78, P = 0.105, zvichiratidza kuti fungidziro yehukama hwekusiyana wainge wagamuchirwa. Uku kutsvaga kunoratidza kuti misiyano yemapoka akaenzana uye hapana mutsauko wakaonekwa pakati pemapoka maviri.

 

 

Mhedzisiro huru yekupindira kweMBSR yaive yakakosha, F (1, 34) = 30.68, P = 0.001, zvishoma? 2 = 0.47, zvichiratidza kuti kurwadziwa kwakanyanya kwaive kwakaderera mushure mekupindira kweMBSR (Zvinoreva = 53.89, SD.E = 2.40) kupfuura control group (Zvinoreva = 71.94, SD.E = 2.20). Iyo covariate (pre-bvunzo yemarwadzo) yaive yakakosha, F (1, 34) = 73.41, P = 0.001, yakasarudzika? 2 = 0.68, zvichiratidza kuti mwero wekurwadziwa kusati kwatanga kupindira kweMBSR kuve nemhedzisiro padanho rekutambudzika . Mune mamwe mazwi, kwaive nehukama hwakanaka mune zvinorwadza zvibodzwa pakati pekutanga-kuyedzwa uye post-bvunzo. Naizvozvo, yekutanga ongororo yekufungidzira inosimbiswa uye kurapwa kweMBSR pakuona kwakasimba kwaive kushanda kune varwere vane kusingaperi kwemusoro uye kunogona kudzikisira kusimba kwekurwadziwa kunonzwisisika muvarwere ava. Ese akakosha maitiro anotaurwa pa p <0.05.

 

Pfungwa yechipiri yeyikudzidza ndeyekubudirira kwehutano hweMBSR pamusoro pehupenyu hwevarwere vane hutano husingaperi. Kuti kuongororwe kubudirira kwehutano hweMBSR pamusoro pehupenyu hwevarwere vane misoro yakagadzikana uye kubvisa zvinoshandiswa zvinokanganisa uye zvakagadziriswa, kushandiswa kwemashoko, multivariate covariance analysis (MANCOVA) yehupamhi hwehupenyu hwehupenyu hunoshandiswa iyo Tafura 3 inoratidza migumisiro yekuongororwa muboka rinopindira.

 

 

Itafura 3 inoratidza migumisiro yekuongororwa kwe covariance (MANCOVA). Mashoko anotevera anodiwa kuti anzwisise mhinduro inowanikwa muTebhu 3.

 

Chiyero chebhokisi chakange chisina kukosha, F = 1.08, P = 0.320, zvichiratidza kuti mutsauko covariance matrices akafanana mumapoka maviri uye nekudaro fungidziro yehukama inosangana. Zvakare F (10, 16) = 3.153, P = 0.020, Wilks Lambda = 0.33, zvishoma? 2 = 0.66, zvichiratidza kuti paive nemusiyano wakakura pakati pekutanga-kuyedzwa kwemapoka mune akasiyana anoenderana.

 

Kuongororwa kweLevene kwanga kusiri-kukosha mune zvimwe zvinoenderana zvinosanganisa zvinosanganisira [PF: F (1, 35) = 3.19, P = 0.083; RF: F (1, 35) = 1.92, P = 0.174; BP: F (1, 35) = 0.784, P = 0.382; GH: F (1, 35) = 0.659, P = 0.422; MaPC: F (1, 35) = 2.371, P = 0.133; VT: F (1, 35) = 4.52, P = 0.141; AH: F (1, 35) = 1.03, P = 0.318], zvichiratidza kuti kufungidzira kwehukama hwekusiyana kwakange kwatenderwa muzvikamu zvemhando yehupenyu uye bvunzo dzeLevene zvaive zvakakosha mune zvimwe zvinoenderana zvinosanganisira [RE: F (1, 35) = 4.27, P = 0.046; SF: F (1, 35) = 4.82, P = 0.035; MCS: F (1, 35) = 11.69, P = 0.002], zvichiratidza kuti kufungidzira kwehukama hwekusiyana kwakaputswa muzvikamu zvehupenyu hwehupenyu.

 

Mhedzisiro huru yekupindira kweMBSR yaive yakakosha kune zvimwe zvezvinhu zvinoenderana zvinosanganisira [RP: F (1, 25) = 5.67, P = 0.025, zvishoma? 2 = 0.18; BP: F (1, 25) = 12.62, P = 0.002, zvishoma? 2 = 0.34; GH: F (1, 25) = 9.44, P = 0.005, zvishoma? 2 = 0.28; PCS: F (1, 25) = 9.80, P = 0.004, zvishoma? 2 = 0.28; VT: F (1, 25) = 12.60, P = 0.002, zvishoma? 2 = 0.34; AH: F (1, 25) = 39.85, P = 0.001, zvishoma? 2 = 0.61; MCS: F (1, 25) = 12.49, P = 0.002, kusarura? Zvinoreva = 2, SD.E = 0.33; BP: Zvinoreva = 61.62, SD.E = 6.18; GH: Zvinoreva = 48.97, SD.E = 2.98; PCS: Zvinoreva = 48.77, SD.E = 2.85; VT: Zvinoreva = 58.52, SD.E = 2.72; AH: Zvinoreva = 44.99, SD.E = 2.81; MCS: Zvinoreva = 52.60, SD.E = 1.97] pane boka rekutonga [RP: Zvinoreva = 44.82, SD.E = 2.43; BP: Zvinoreva = 40.24, SD.E = 5.62; GH: Zvinoreva = 33.58, SD.E = 2.71; PCS: Zvinoreva = 36.05, SD.E = 2.59; VT: Zvinoreva = 46.13, SD.E = 2.48; AH: Zvinoreva = 30.50, SD.E = 2.56; MCS: Zvinoreva = 34.49, SD.E = 1.80].

 

Kunyange zvakadaro, mhedzisiro huru yekupindira kweMBSR yaive isina kukosha kune zvimwe zvinoenderana zvinosanganisira [PF: F (1, 25) = 1.05, P = 0.314, zvishoma? 2 = 0.04; RE: F (1, 25) = 1.74, P = 0.199, zvishoma? 2 = 0.06; SF: F (1, 25) = 2.35, P = 0.138, zvishoma? 2 = 0.09]. Iyi mhedzisiro inoratidza, kunyange hazvo nzira mune izvi zvidiki zvehupenyu hwehupenyu zvaive zvepamusoro [PF: Zvinoreva = 75.43, SD.E = 1.54; RE: Zvinoreva = 29.65, SD.E = 6.02; SF: Zvinoreva = 51.96, SD.E = 2.63] kupfuura boka rinodzora [PF: Zvinoreva = 73.43, SD.E = 1.40; RE: Zvinoreva = 18.08, SD.E = 5.48; SF: Zvinoreva = 46.09, SD.E = 2.40], Asi Misiyano yeMireza yakanga isina kukosha.

 

Mukupfupisa, Covariance ongororo (MANCOVA) mhedzisiro muTafura 3 inoratidza musiyano wakakosha muhuwandu hwezvikamu zvebhaisikopo rebasa nekuda kwehutano hwepanyama (RP), kurwadziwa mumuviri (BP), hutano huzhinji (GH), simba uye simba (VT) ), Bata hutano (AH) uye huwandu hwehupamhi hwehutano hwepanyama (PCS) uye hutano hwepfungwa (MCS). Uye zvakare zvinoratidza kuti pakange pasina musiyano wakakura musiyano muzvikamu zvepasi zvekushanda kwemuviri (PF), kuremerwa kwebasa nekuda kwematambudziko emanzwiro (RE) nekushanda kwevanhu (SF) muboka rekupindira. Ese akakosha maitiro anotaurwa pa p <0.05.

 

hurukuro

 

Ichi chidzidzo chakanangana nekuongorora kushanda kweMBSR pane kunzwisisika kwekurwadziwa uye hutano hwehupenyu kune varwere vane chirwere chisingaperi chemusoro. Zvigumisiro zvakaratidza kuti kurapwa kweMBSR kwaive kwakanyatsobudirira pakuderedza kwekutambudzika kwekushushikana kwekuona. Zvigumisiro zvekudzidza ikozvino zvinoenderana nemigumisiro yevamwe vatsvakurudzi avo vakashandisa nzira imwechete yekurwadziwa kusingaperi (semuenzaniso Flugel et al., 2010; Kabat-Zinn, 1982; Kabat-Zinn et al., 1985; La Cour & Petersen , 2015; Reibel, Greeson, Brainard, & Rosenzweig, 2001; Reiner et al., 2013; Rosenzweig et al., 2010; zeidan et al., 2010). Semuenzaniso, muzvidzidzo zviviri zvakaitiswa naKabat-Zinn, uko chirongwa cheMBSR chakashandiswa pakurapa varwere vane kurwadziwa kusingaperi navanachiremba, varwere vakati wandei vane misoro isingarware vakasanganisirwa. Chidzidzo chekutanga chedzidzo mbiri, chakaratidza kudzikisira kukuru kwekurwadziwa, kupindira kwekurwadziwa nemabasa ezuva nezuva, zviratidzo zvekurapa uye kusagadzikana kwepfungwa, kusanganisira kushushikana uye kushushikana (Kabat-Zinn, 1982). Mhedzisiro yechidzidzo chechipiri yakaratidza kudzikisira kukuru kwekutambudzika, kusagadzikana kwemuviri, kushushikana, kushushikana, kupindira kwekurwadziwa nemabasa ezuva nezuva, zviratidzo zvekurapa, kushandiswa kwemishonga, uye zvakare kuratidza kuwedzera kwekuzvivimba (Kabat-Zinn et al., 1985) .

 

Uyewo, zvakawanikwa zvekudzidza ikozvino zvinopindirana nemigumisiro yaRosenzweig et al. (2010), mitsva yavo inoratidza kuti chirongwa cheMBS chinoshanda pakuderedza, kurwadziwa mumuviri, hupenyu hwehupenyu uye hutano hwepfungwa dzevarwere vane marwadzo akasiyana-siyana asingagumi uye pfungwa dzinobudirira pamanzwiro uye mupfungwa zvinokonzera marwadzo maonero nekuzviisa pasi kuburikidza nekufungisisa mabasa. Kunyangwe zviitiko zveRosenzweig et al. (2010) yakaratidza kuti pakati pevarwere vane kurwadziwa kusingaperi kunokonzerwa nekuderedza kusuruvara kwemuviri nekuvandudzwa kwehupenyu hwehupenyu hwaibatanidza nevarwere vane fibromyalgia, vhudzi rine musoro. Mune imwe dzidzo yakaitwa naFlugel et al. (2010), kunyange zvazvo kuchinja kwakanaka kwaionekwa muhuwandu uye kuwedzera kwehurwadzo, kuderedza kunorwa kwakanga kusingaverengeki.

 

Mune kumwe kudzidza, kurwadziwa kwakanyanya kwakadzikira mushure mekupindira kwevarwere vane kushushikana kwepfungwa. Mukuwedzera, boka reMBSR rakaratidza zvikwiriso zvakakwirira mukuziva kwepfungwa pakuenzanisa neboka rinodzora (Omidi & Zargar, 2014). Mune chidzidzo chekutyaira naWells et al. (2014), mhedzisiro yavo yakaratidza kuti MBSR ine mishonga yekurapa yaikwanisika kune varwere vane migraines. Kunyangwe idiki diki yekuyera sosi yekudzidza iyi yemutyairi haina kupa simba rekuona musiyano wakakura mukushungurudzika kwekutambudzika uye migraine frequency, mhedzisiro yakaratidza kupindira uku kwakabatsira pakubata kwemusoro kwenguva, kuremara, kushanda nesimba.

 

Mukutsanangura mhedzisiro yekubudirira kwepfungwa dzakanangana nemarapirwo ekurwadziwa zvinogona kutaurwa, mhando dzepfungwa dzekurwadziwa kusingaperi senge yekutya-kudzivisa modhi yakaratidza kuti nzira idzo vanhu vanodudzira nadzo manzwiro avo ekurwadziwa uye kupindura kwavari dzakakosha mamiriro ruzivo rwekurwadziwa (Schutze, Rees, Preece, & Schutze, 2010). Kurwadziwa kunoshungurudza kwakabatana zvakanyanya nekutya uye kuzvidya moyo kunokonzerwa nekurwadziwa, nzira dzekuziva dzinogona kukonzereswa nekutya kurwadziwa uye zvakare kuremara kwakanangana nekurwadziwa kunosanganisirwa uye zvakare nekuti kusaziva kwekuziva kwekutambudzika kunotsanangura 7 kusvika ku31% ye kusiyanisa kwekutambudzika kwakanyanya. Naizvozvo, chero mashandiro anogona kudzikamisa marwadzo kukuvadza kana kuita shanduko mukugadzirisa kwawo kunogona kudzora maonero ekurwadziwa kwakanyanya uye hurema hunokonzerwa neizvozvo. Schutz et al. (2010) vanopokana kuti kufunga kushoma ndiko kutanga kwekutambudzika kunoparadza. Muchokwadi, zvinoita sekunge tsika yemunhu yekuita otomatiki yekugadzirisa mashandiro pane kuita ruzivo-rwakatarisana nekutarisisa kushomeka kushanduka, uye kushaya kwekuziva kwenguva iripo (Kabat-Zinn, 1990), ichaita kuti vanhu funga zvakanyanya nezve marwadzo uye nekudaro fungisisa njodzi yacho. Nekudaro, kufunga kushoma kunotendera kukura kwekusaziva kwekuziva kwehurombo (Kabat-Zinn, 1990).

 

Chimwe chikonzero chingangoita ndechekuti kugamuchirwa kwekutambudzika uye kugadzirira kwekuchinja kunowedzera mafungiro akanaka, zvichitungamira pakuderedzwa kwekurwadziwa zvakanyanya kuburikidza nemhedzisiro pane endocrine system uye kugadzirwa kweopioid isingagumi uye kudzikisira muhurema hune hukama nemarwadzo kana kugadzirira vanhu kuti vashandise nzira dzinoshanda dzekugadzirisa kurwadziwa (Kratz, Davis, & Zautra, 2007). Chimwe chikonzero chinogoneka chekutsanangura mhedzisiro yechidzidzo chazvino mukubudirira kwaro pakuderedza marwadzo chingave chokwadi chekuti kurwadziwa kusingaperi kunovandudzwa nekuda kwekunyanyisa kushushikana kupindura system (Chrousos & Gold, 1992). Mhedzisiro yacho inokanganisa maitiro epanyama uye epfungwa. Kungwarira kunogona kubvumidza mukana wekunze kwekortex uye nekuvandudza iyo, nzvimbo dzehuropi dzinobatanidza mabasa epanyama uye epfungwa (Shapiro et al., 1995). Mhedzisiro yacho kugadzirwa kwesimudziro shoma iyo inoderedza kusimba uye chiitiko chekurwadziwa mumuviri nepfungwa. Nekudaro, zvishuwo zvekurwadziwa zvinoitika sekunzwa kwekurwadziwa chaiko kwete pane kusazivikanwa. Mhedzisiro ndeyekuvharwa kwenzira dzemarwadzo dzinogona kudzikamisa marwadzo (Astin, 2004).

 

Kufungisisa kwepfungwa Kunoderedza Marwadzo Kupfurikidza nenzira dzeBrain dzinoverengeka uye nzira dzakasiyana dzakadai sekushandurwa kwekutarisisa munzira dzekufungisisa dzinogona kufadza zvese zvinonzwisisika uye zvine hukama nezvikamu zvekurwadziwa kwekuona. Kune rimwe divi, kufunga kunodzora kugadziriswazve kune kunetseka pfungwa uye manzwiro anofambidzana nekurwadziwa kwekuona uye kusimbisa kurwadziwa. Zvakare, kufunga kunoderedza zviratidzo zvepfungwa senge comorbid kushushikana uye kushushikana uye kunowedzera parasympathetic chiitiko, icho chinogona kusimudzira kudzika kwemhasuru kuzorora uko kunogona kudzikamisa kurwadziwa. Chekupedzisira, kufunga kunogona kudzora kushushikana uye kushushikana kwepfungwa-inoenderana psychophysiologic activation nekusimbisa kugadzirisa mamiriro asina kunaka uye hunyanzvi hwekuzvidzora Chikamu chepamusoro chekufunga chakafanofungidzira kudzikira kwakadzika kwekushushikana, kushushikana, kufunga kwakaipisisa nekuremara. Kumwe kutsvagurudza kwakaratidza kuti kufunga kune basa rakakosha mukuziva uye kutonga kwepfungwa, uye kunogona kubatsira mukugadzirisa mamiriro ezvinhu asina kunaka (Zeidan et al., 2011; Zeidan, Grant, Brown, McHaffie, & Coghill, 2012).

 

Chinangwa chechipiri chechidzidzo ichi chaive chekuona kushanda kwechirongwa cheMBSR pahunhu hwehupenyu kune varwere vane hutachiona husingaperi. Chidzidzo ichi chakaratidza kuti kurapwa uku kwaive kwakanyatso shanda pahunhu hwehupamhi hwehupenyu, kusanganisira kushomeka kwebasa nekuda kwehutano mamiriro, kurwadziwa mumuviri, hutano huzhinji, simba uye kusimba, hutano hwepamoyo uye zviyero zvehutano hwepanyama uye hwepanyama. Nekudaro, chirongwa cheMBSR hachikwanise kuwedzera zvakanyanya hupenyu hwehupenyu mukushanda kwemuviri, kutadza kuita nekuda kwematambudziko emanzwiro uye mashandiro enharaunda. Zvinotaridza sezviri pachena kubva kuongororo dzapfuura nedzazvino uyezve kubva kuchidzidzo chezvino kuti MBSR haina zvainoita panyama nemagariro mabasa. Izvi zvinogona kunge zvakadaro nekuti mhedzisiro pamarwadzo emurwere mune varwere vane musoro idiki, uye iyo shanduko inononoka. Kune rimwe divi, varwere vane kurwadziwa kusingaperi vanowanzo dzidza kusaitira hanya marwadzo kuti vaite zvakajairika (La Cour & Petersen, 2015). Kunyangwe, shanduko dzave dziri munzira yaidikanwa uye dzakawedzera zvinorehwa mazana eboka rekupindira zvichienzaniswa neboka rinodzora. Izvi zvakawanikwa zvinowirirana nezvakawanikwa zvekare (Brown & Ryan, 2003; Carlson et al., 2003; Flugel et al., 2010; Kabat-Zinn, 1982; La Cour & Petersen, 2015; Morgan et al., 2013; Reibel et. al., 2001; Rosenzweig et al., 2010).

 

Nezve izvo zvirimo zvezvikamu zveMBSR, chirongwa ichi chinosimbisa mashandisirwo ehunyanzvi ekudzora kushushikana, kubata nemarwadzo uye kuziva kwemamiriro ezvinhu. Kupa kurwa uye kubvuma mamiriro azvino, pasina mutongo, ndiyo pfungwa huru yechirongwa (Flugel et al., 2010). Muchokwadi, shanduko mukugamuchirwa pasina kutonga dzakabatana nekuvandudza kwehupenyu hwehupenyu (Rosenzweig et al., 2010). MBSR inoitirwa kuwedzera ruzivo rwenguva iripo. Iyo yekurapa chirongwa inzira nyowani uye pachezvako yekutarisana nekushushikana kune mumwe munhu. Kunetsa kunetsekana chikamu chehupenyu uye hakugone kuchinjwa, asi hunyanzvi hwekugadzirisa uye maitiro ekupindura kunetseka kunogona kuchinjwa (Flugel et al., 2010). McCracken naVelleman (2010) vakaratidza kuti kushanduka kwekuziva uye kufunga kwepamusoro kwakabatana nekutambura kushoma uye kuremara kune varwere. Varwere vane kurwadziwa kusingaperi nematanho epamusoro ekufunga vanotaura kushoma kwekushushikana, kushushikana, kushushikana uye kurwadziwa uye nekuvandudza mukuzvibata pamwe nehupenyu hwehupenyu. Morgan et al. (2013) kudzidza varwere veArthritis vakawana mhedzisiro yakafanana, zvekuti varwere vane huwandu hwakakwira hwekufunga vanotaura kudzikira kushushikana, kushushikana uye kuzvibata kwepamusoro uye hupenyu hwehupenyu. Sezvambotaurwa pamusoro apa zvaitarisirwa kuti kuderedzwa kwekurwadziwa muvarwere kunotungamira kudzikisira kutya uye kushushikana kwakabatana nemarwadzo uye nokudaro kunoderedza mhedzisiro yekukanganisa kushanda. Zvakare, mhedzisiro yezvidzidzo zvakati wandei (Cho, Heiby, McCracken, Lee, & Mwedzi, 2010; McCracken, Gauntlett-Gilbert, & Vowles, 2007; Rosenzweig et al., 2010; Schutz et al., 2010) zvinosimbisa kuwanikwa uku. .

 

Ongororo dzinoverengeka dzakaitwa kuti dziongorore kubudirira kwemhando dzakasiyana-siyana dzepfungwa dzinochengetwa pamarwadzo asingagumi, kusanganisira varwere vane misoro. Kusiyana nedzimwe tsvakurudzo dzakarongedza zvikamu zvisingaenzaniswi zvevarwere vane marwadzo asingagumi, zvakakosha zvekudzidza uku ndezvokuti, zvave zvichiitwa chete kune vanorwara vane musoro usingagumi.

 

Mukupedzisira, zvinofanirwa kubvumwa kuti kune zvimwe zvisingakwanisike muchidzidzo ichi senge saizi diki yemuenzaniso, kushomeka kwechirongwa chenguva refu yekutevera, kushandisa kwevatori vechikamu mishonga yekurapa; uye kunyangwe paine kuyedza kwevaongorori, kushomeka kwemishonga yakakwana yemishonga kune vese vatori vechikamu kunogona kuvhiringidza mhedzisiro yekuedza uye kuita kuti zviome kuwedzeredza mhedzisiro. Sezvo chidzidzo chiripo ichi chiri chekutanga cherudzi rwacho muvarwere vane chirwere chisingaperi muIran, zvinokurudzirwa kuti zvidzidzo zvakafanana zvinofanirwa kuitwa mundima iyi, zviine hukuru hwemuenzaniso sezvinobvira. Uye zvimwe zvidzidzo zvinotsvaga kudzikama kwemhedzisiro yekurapa mune yenguva-refu yekutevera-nguva yenguva.

 

mhedziso

 

Maererano nezvakawanikwa zvekudzidza uku zvinogona kugumiswa kuti nzira dzeMBS dzinowanzobudirira pazvinonzwisisika zvinorwadza uye hunhu hwehupenyu hwevarwere vane hutano husingaperi. Kunyangwe kwakanga kusina kuwirirana kunokosha mune zvimwe zvikamu zvehupenyu hwehupenyu, zvakadai sekushanda kwepanyama, kurerutsa kunokonzerwa nematambudziko emanzwiro uye mararamiro evanhu, asi kuchinja kukuru kwechirevo kwakakosha kuchidzidzo. Nokudaro kubatanidzwa kweBMSR kurapwa nekodzero yekurapa kurapwa muhutano hwehutano hwevarwere vane hutano husingaperi hunogona kurayirwa. Mutsvakurudzi anotendawo kuti pasinei nekukanganisa nekushayikwa kwekutsvakurudza kwezvino, chidzidzo ichi chinogona kuva nzira itsva yekurapa kwepfungwa dzisingagumi uye inogona kupa hutsva hutsva mundima iyi yekurapa.

 

KUTENDA

 

Iyi tsvakurudzo yakatsigirwa (seyiyo tsananguro) muchidimbu neZahedan University yeAradic Sciences. Tinoda kuonga vatori vechikamu vose mukudzidza, vaporesi vomunharaunda, vashandi vezvipatara- Ali -ebn-abitaleb, Khatam-al-anbia na Ali asghar- nekuda kwekutsigirwa kwavo uye rubatsiro.

 

Mukupedzisa,Irchiropractic kuchengetedza ndeye yakachengeteka uye inoshanda imwe nzira yekurapa sarudzo inoshandiswa kubatsira kuvandudza pamwe nekugadzirisa isingagumi misoro zviratidzo nekungwarira uye zvinyoronyoro kugadzirisa musana pamwe nekupa kushushikana manejimendi nzira uye matekinoroji. Nekuti kushushikana kwave kuchisanganiswa nemhando dzakasiyana dzehutano, kusanganisira subluxation, kana kusarongeka kwemuzongoza, uye kusingaperi kwemusoro, kupindira kwepfungwa senge chiropractic kuchengetedza uye nekufunga-kwakavakirwa kunetsekana kwekushushikana (MBSR) kwakakosha kune kusingaperi kwemusoro. Pakupedzisira, chinyorwa chiri pamusoro chakaratidza kuti MBSR inogona kunyatsoshandiswa sekupindira kwepfungwa kwekusingaperi kwemusoro uye nekuvandudza hutano hwese uye hutano. 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