Chiropractic ke mofuta oa tlhokomelo ea bophelo bo shebaneng le kamano pakeng tsa sebopeho sa 'mele, haholo-holo mokokotlo le mosebetsi.
Hangata chiropractic e sebelisoa ho tšoara maemo a mesifa, mathata a:
- mesifa
- manonyeletso
- masapo
- lihlahisoa tse tšoanelang (tse kang lefuba, li-ligam, le li-tendon)
Lentsoe "chiropractic" le kopanya mantsoe a Segerike cheir (letsoho) le praxis (ketso) mme ho bolela "ho etsoang ka letsoho." Chiropractic ke mokhoa o mong oa bongaka 'me o nka mekhoa e fapaneng le ea meriana e tloaelehileng ho fumana, ho arola le ho phekola mathata a bongaka.
Lingaka tsa chiropractic, tse tsejoang hape hore ke li-chiropractors kapa lingaka tsa chiropractic, li sebelisa mofuta oa matsoho a bitsoang phekolo (kapa phetoho ) e le mokhoa oa tsona oa motheo oa kliniki. Ho qhekella ke mokhatlo o kopanetsoeng ho feta mefuta e tloaelehileng ea ho tsamaea. Tlhaloso ea lentsoe e khethoa ho chiropractic.
Lintlha tsa motheo tsa chiropractic li ka hlalosoa e le:
- 'mele o na le bokhoni bo matla ba ho folisa
- sebopeho sa 'mele (haholo-holo sa mokokotlo) le mosebetsi oa oona o amana haholo,' me kamano ena e ama bophelo bo botle
- phekolo ea chiropractic e fanoa ka lipakane tsa ho etsa hore kamano ena e be teng pakeng tsa sebopeho le ts'ebetso le ho thusa 'mele ha e phekola
Meriana e Tloaelehileng ke Eng?
Meriana e tloaelehileng ke meriana e sebelisoang ke ba nang le litsebi le litsebi tse ling tsa bophelo bo botle ba kang:
- MD (Ngaka ea Meriana)
- E FETILENG FETA LETHATHAMO LA TSE KA HARE DO (Ngaka ea Osteopathic Medicine, mofuta oa meriana e tloaelehileng)
- litsebi tsa 'mele
- litsebi tsa kelello
- baoki ba ngolisitsoeng
Mantsoe a mang bakeng sa meriana e tloaelehileng a kenyelletsa
- meriana ea allopathic
- Meriana ea Bophirimela
- meriana e tloaelehileng
- meriana e tloaelehileng
- meriana e tloaelehileng
- biomedicine
Ke Eng e Phelisang le Meriana ea Meriana (CAM)?
Mekhoa ea tlhokomelo ea bophelo le lihlahisoa tse sa nkoang e le karolo ea meriana e tloaelehileng li bitsoa meriana e tlatsanang le e meng e fapaneng (CAM).
- Meriana e tlatsetsang e sebelisoa hammoho le meriana e tloaelehileng.
- Meriana e meng e sebelisoa sebakeng sa meriana e tloaelehileng.
Histori ea Chiropractic
Chiropractic ke mofuta oa khatello ea mokokotlo, e leng o mong oa mekhoa ea khale ea ho folisa. Boloetse ba mokokotlo bo hlalositsoe ke Hippocrates Greece ea boholo-holo.
Ka 1895, Daniel David Palmer o thehile mosebetsi oa kajeno oa chiropractic Davenport, Iowa. Palmer e ne e le moriana ea ipolokileng 'me e le seithuti sa ho folisa lifilosofi tsa mehleng eo. O ile a hlokomela hore 'mele o na le matla a tlhaho a folisang ao a neng a lumela hore a laoloa ke tsamaiso ea methapo. O ne a boetse a lumela hore li-subluxation, kapa li-misalignments tsa mokokotlo (khopolo e neng e se e ntse e le teng mokhoeng oa bonesetter le lineano tsa osteopathic), ho kena-kenana kapa ho kena-kenana le "ts'oaetso ea methapo". Palmer o ile a fana ka tlhahiso ea hore haeba setho se sa amohele maikutlo a tloaelehileng ho tsoa metsing, e ka ba lefu. Mokhoa ona oa ho nahana o ile oa etsa hore a hlahise mokhoa oa ho "fetola" li-vertebrae, masapo a mokokotlo oa mokokotlo, ka sepheo sa ho lokisa litlhaloso.
Ho na le phapang pakeng tsa litumelo le litsela tse ka hare ho mosebetsi oa chiropractic. Li-chiropractors tse ling li tsoela pele ho nka hore li-subluxation li le bohareng ba tlhokomelo ea meriana ea chiropractic.
Leha ho le joalo, litsebi tse ling tsa methapo ea maiketsetso ha li sa talima khopolo ea tlhaloso e le sehlooho se kopantsoeng sa bophelo bo botle le bokuli kapa e le motheo oa seo ba se etsang. Likhopolo tse ling mabapi le hore na chiropractic e ka 'na ea sebetsa joang e entsoe.
Lisebelisoa
Ka 1997, ho ile ha hakanngoa hore Maamerika a entse limilione tse 192 ho etela li-chiropractors ka selemo. Maeto ao a fetang limilione tse 88 a ne a lokela ho phekola bohloko kapa mokokotlo oa molala. Phuputsong e 'ngoe ea morao-rao, bakuli ba fetang 40 lekholong ba fumanang tlhokomelo ea likokoana-hloko ba ne ba ntse ba phekoloa ka mathata a morao kapa a morao-rao. Ba fetang halofo ea bao ho buisanoeng le bona ba ile ba re matšoao a bona a sa foleng. Maemo a tloaelehileng a tšoaroang ke litsebi tsa maiketsetso a kenyelletsa:
- bohloko ba morao
- bohloko ba molala
- hlooho ea hlooho
- likotsi tsa lipapali
- khatello e pheta-pheta
Bakuli ba boetse ba batla phekolo ea bohloko bo amanang le maemo a mang, a kang ramatiki.
Mahlaba a tlaase ka morao ke bothata bo tloaelehileng ba bongaka, bo etsang karolo ea kotara ea baahi selemo le selemo. Batho ba bangata ba utloa bohloko bo bohloko ba ho khutlela morao bonyane hanngoe nakong ea bophelo ba bona.
Litlhahlobo tse 'maloa tsa morao-rao ka mahlaba a tlaase morao li hlokometse hore maemong a mangata bohloko bo bohloko bo ka morao bo feta libeke tse' maloa, ho sa tsotellehe hore na phekolo e sebelisoa joang. Hangata, sesosa sa bohloko ba morao ha se tsejoe, 'me se fapana haholo ka tsela eo batho ba e bonang ka eona le kamoo litsebi li e fumanang kateng. Sena se etsa hore bohloko ba morao bo be thata ho ithuta.
Li-Chiropractors Tseo li li Etsang
Haeba u fetoha mokuli oa chiropractic, ha u etetse pele ho moo, chiropractor e tla nka histori ea bophelo ba hau. O tla etsa tlhahlobo ea 'mele, a hatelletse ka ho khethehileng mokokotlong, mohlomong le litlhahlobo tse ling kapa litlhahlobo tse kang x-rays. Haeba a etsa qeto ea hore u motlatsi ea tšoaro ea chiropractic, o tla hlahisa moralo oa phekolo.
Ha setsebi sa lik'hemik'hale se u tšoara, se ka etsa liphetoho tse le 'ngoe kapa tse ling. Phetoho (e boetse e bitsoa phekolo ea bolotsana) ke phekolo ea litlhare kapa phekolo e fanoang ke matsoho. Haholo-holo e fanoa ka mokokotlo, liphetoho tsa chiropractic li kenyelletsa ho sebelisa matla a laoloang, ka tšohanyetso ho se kopane. Li etsoa ho eketsa marang-rang le boleng ba tsamaiso sebakeng seo se tšoaroang. Litsebi tse ling tsa tlhokomelo ea bophelo bo botle le tsona li etsa mefuta e sa tšoaneng ea ho qhekella, ho akarelletsa:
- litsebi tsa 'mele
- lingaka tsa meriana
- orthopedists (Ngaka ea Meriana (MD) kapa Ngaka ea Osteopathic (DO) eo e leng ngaka e buoang ea tsebahalang ka ho kula ha mesifa ea mesifa)
- litsebi tsa meriana ea meriana
- lingaka tsa meriana ea masapo a mabeli
- lingaka tsa meriana ea naturopathic (mofuta o mong oa bongaka, o tsejoang hape e le naturopathy, eo lingaka li sebetsang le matla a tlhaho a ho folisa ka har'a 'mele, ka sepheo sa ho thusa' mele hore o phekole maloetse le ho fumana bophelo bo ntlafetseng)
- ho silila litlhare
United States, li-chiropractors li etsa karolo e fetang 90 lekholong ea phekolo e sebetsang.
Ke habohlokoa ho tsebisa bafani bohle ba tlhokomelo ea bophelo mabapi le phekolo efe kapa efe eo u e sebelisang kapa e nahanang, ho akarelletsa le chiropractic. Sena se tla thusa mofani e mong le e mong ho etsa bonnete ba hore likarolo tsohle tsa tlhokomelo ea hau ea bophelo li sebetsa hammoho.
Bongata ba litsebi tsa mafu li sebelisa mekhoa e meng ea phekolo ntle le liphetoho tse kang:
- ho hlohlelletsa (mokhoa oo motsoako o kenngoang ka oona ka har'a mokoloko oa oona o tloaelehileng)
- phekolo ea ho silila
- mocheso le leqhoa
- ultrasound
- ho tsosolosa motlakase
- boikoetliso bo botle
- phekolo ea magnetic
- ho eletsa ka lijo, ho lahleheloa ke boima ba 'mele le lintho tse ling tsa bophelo
- lijo li tlatsetsa
- homeopathy
- ho entsoe ka majoe
Koetliso
Thupelo ea Chiropractic ke lenane la thuto ea lilemo tse 4 tse nang le thuto ea bobeli le ea tleleniki. Ho hlokahala hore ho be le lilemo tse 3 tsa mosebetsi oa koetliso ea ho koetlisa likolong tsa chiropractic. Liithuti tse fumaneng mangolo li fumana tekanyo ea Doctor of Chiropractic (DC) 'me li na le tokelo ea ho nka lihlopha tsa boto ea tumello ea naha e le hore li ikoetlise. Likolo tse ling li boetse li fana ka lithupelo tsa morao-rao, ho kenyeletsa manane a lilemo a 2 ho isa ho a 3 a lulang libakeng tse khethehileng.
Koetliso ea chiropractic e kenyeletsa:
- Ka nako e tloaelehileng ka sebōpeho sa lipatlisiso, thuto ea likokoana-hloko, likokoana-hloko, likokoana-hloko, mafu a bophelo, phepo e nepahetseng, bophelo bo botle ba sechaba le lintlha tse ling tse ngata
- Melao-motheo le tloaelo ea chiropractic
- Mekhoa ea lipatlisiso le litsela
- Phihlelo e tobileng ea ho hlokomela bakuli
Lekhotla la Thuto ea Chiropractic, e leng mokhatlo o tiisitsoeng ke Lefapha la Thuto la United States, ke sehlopha se amohelang likoloi tsa chiropractic United States.
Na 'Muso o Laela Chiropractic?
Chiropractic tloaelo e laoloa ka bomong ka mmuso ka mong le Setereke sa Columbia. Linaheng tse ngata li hloka li-chiropractors ho fumana chelete e tsoelang pele ea thuto ho boloka li-license tsa bona. Litšebeletso tsa litsebi tsa maiketsetso li fapana le mmuso - ho kenyeletsoa le liteko tsa laboratori kapa mekhoa ea ho hlahloba, ho fana ka thepa kapa ho rekisa lijo tse ling tsa phepo, le tšebeliso ea litlhare tse ling tsa CAM tse kang acupuncture kapa homeopathy. Li-chiropractors ha li na tumello ea tumello linaheng leha e le life ho etsa opereishene e kholo kapa ho fana ka lithethefatsi.
Na Merero ea Inshorense ea Bophelo Na e Lefa Chelete ea Chiropractic Treatment?
Ha ho bapisoa le litlhare tsa CAM ka kakaretso (tse seng kae tsa tsona li tsosolosoa), ho phatlalatsoa ha chiropractic ka merero ea inshorense ho pharaletseng. Ho tloha ka 2002, mekhatlo e fetang 50 lekholong ea mekhatlo ea tlhokomelo ea bophelo (HMOs), karolo ea 75 lekholong ea merero ea tlhokomelo ea bophelo bo botle, le mekhoa eohle ea matšeliso ea basebetsi ba mmuso e ile ea koahela phekolo ea chiropractic. Likokoana-hloko li ka lefa Medicare, 'me linaha tse fetang tse peli li koahela phekolo ea chiropractic tlas'a Medicaid.
Haeba u na le inshorense ea bophelo bo botle, hlahloba hore na lefu la chiropractic le koaheloa pele u batla phekolo. Morero oa hau o ka hloka tlhokomelo ho amoheloa esale pele, fokotsa palo ea maeto a koahetsoeng, le / kapa e hloka hore u sebelise likokoana-hloko kahare ho marang-rang.
Litla-morao
Bakuli ba ka 'na ba se ke ba ba le litla-morao tse tsoang kalafo ea chiropractic. Liphello li ka kenyelletsa mathata a nakoana likarolong tsa 'mele tse ileng tsa tšoaroa, hlooho, kapa mokhathala. Liphetoho tsena li atisa ho ba tse nyenyane le ho rarolla ka hare ho matsatsi a 1 ho isa ho a 2.
Tekanyo ea mathata a tebileng a tsoang chiropractic e 'nile ea phehisana khang. Ha ho e-s'o be le liphuputso tse hlophisitsoeng mabapi le palo ea mathata a tebileng. Ho tsoa ho tse tsejoang hona joale, kotsi e bonahala eka e tlaase haholo. Ho bonahala eka e phahame bakeng sa mokokotlo oa mokokotlo kapa molala, mokhoa oa ho qhekella (mohlala, linyeoe tsa ho otloa ha pelo li tlalehiloe.) Tlhaloso e sa tloaelehang ea ho ameha ho tloha tlaase ho morao ke cauda equina syndrome e etsahalang ha methapo ea cauda equina ea methapo ea mokokotlo e fetisisang ho feta qetellong ea mokokotlo oa mokokotlo) a hatelloa mme a senyeha. Matšoao a kenyeletsa:
- bofokoli ba maoto
- tahlehelo ea malapa, senya, le / kapa mesebetsi ea thobalano
- liphetoho ho utloahalang ho pota-potiloe ke li-rectum kapa tsa genitalia
Ho hakanngoa hore lefu la Cauda equina le etsahala hanngoe ka limilione tsa phekolo (palo ea limilione e fapana; thuto e le 'ngoe e behile ka limilione tse 100).
Bakeng sa tšireletseho ea hau, ke habohlokoa ho tsebisa bafani bohle ba tlhokomelo ea bophelo ka tlhokomelo leha e le efe kapa phekolo eo u e sebelisang kapa ho nahanisisa, ho akarelletsa le chiropractic. Sena ke ho thusa ho netefatsa hore na tlhokomelo e tsamaisitsoe joang (ho fumana ho eketsehileng, bona pampiri ea tlhahlobo ea NCCAM "Ho khetha ngaka e tlatsitseng le ea bongaka").
Seo Patlisiso e se Buang
Ho fihlela joale, lipatlisiso tsa saense tsa chiropractic le bothata ba ho khutlela morao li lebisitse tlhokomelo ea hore na, hantle hakae, ho hlokomeloa ha chiropractic ho thusa ho fokotsa bohloko le matšoao a mang ao batho ba nang le 'ona ka bohloko ba morao. Patlisiso ena hangata e bapisa chiropractic le mekhoa e meng ea phekolo.
Ka kakaretso, bopaki ba lipatlisiso bo 'nile ba nkoa e le bo fokolang le bo fokolang ho feta bo kholisang bakeng sa katleho ea chiropractic bakeng sa bohloko ba morao.
Lintlha tse 'maloa tsa bohlokoa li thusa ho hopola sepheo sa lipatlisiso.
- Liteko tse ngata tsa lingaka tsa chiropractic li hlahloba liphello tsa ho sebetsana le chiropractic feela, empa tloaelo ea chiropractic e akarelletsa ho fetang feela ho qhekella.
- Liphello tsa nyeoe e entsoeng ka mokhoa o le mong (joalo ka mokhatlo o hlophisitsoeng oa tlhokomelo kapa k'holejeng ea chiropractic) e ke ke ea sebetsa ka ho feletseng maemong a mang.
- Bafuputsi ba hlokometse hore phello ea placebo e ka 'na ea sebetsa mosebetsing oa ho hlokomeloa ha chiropractic joaloka mefuta e meng ea tlhokomelo ea bophelo.
Le hoja liphuputso tsa lipatlisiso tsa phekolo ea chiropractic bakeng sa mahlaba a tlaase ka morao li bile le boleng bo sa lekaneng ebile ha boa lekana ho lumella liqeto tse tiileng. Leha ho le joalo, boitsebiso bo akaretsang ba data ke hore ho bohloko bo ka morao-rao, phekolo ea chiropractic le phekolo ea meriana e tloaelehileng e ka thusa ka tsela e tšoanang. Ho thata ho fumana liqeto mabapi le boleng bo lekanyelitsoeng ba chiropractic bakeng sa maemo a mang a bophelo bo botle.
Hape ho na le litsekisano tsa saense mabapi le chiropractic, ka hare le ka ntle ho mosebetsi. Ka mohlala, nakong ea mosebetsi, ho bile le liphapang mabapi le:
- tšebeliso ea mekhoa ea phekolo ea meriana
- mekhoa efe e loketseng haholo maemo a itseng
- khopolo ea litlhaloso (li-misalignments tsa mokokotlo)
Maikutlo a ka ntle a phekolo ea chiropractic a ipotse:
- katleho ea phekolo ea chiropractic
- motheo oa saense
- likotsi tse ka 'nang tsa e-ba teng likarolong tsa bakuli (mohlala, likotsi tsa mefuta e itseng ea liphetoho ho bakuli ba nang le lefu la ho fokola ha masapo kapa likotsi tsa ho fokola ha masapo , ha bapisoa le bakuli ba nang le mekhoa e metle ea masapo).
The Bottom Line
Lipatlisiso tsa lipatlisiso tsa chiropractic li ntse li tsoela pele. Liphetho li lebeletsoe ho eketsa kutloisiso ea saense ea chiropractic. Sebaka se ka sehloohong sa lipatlisiso ke saense ea mantlha ea se etsahalang 'meleng (ho akarelletsa le lisele tsa eona le methapo) ha ho fanoa kalafo e khethehileng ea chiropractic.
> Mohloli:
> NCCAM Phatlalatso No. D196