(ukwesaba, ukudumala, intukuthelo, ukucindezeleka, revenge ...) emva isiko lilonke intambo, futhi bahambe nabo inhliziyo ukuba ashise ezisetshenziselwa ukulinganisa nokufaka ikhwalithi yesilingo ekuhlanganiseni kwedatha. Isiphetho. I-2007; 32 (7): 796-806. I-47. U-Slavin R. Ubufakazi obuningi bokuqala: okunye okunye okuhlakaniphile okumele kwenziwe ngokuhlaziywa kwemeta. J Clin Epidemiol. 1995; 48 (1): 9-18. I-48. Inethiwekhi ye-GI, IGREADE Yokusebenza. Izinsiza. Itholakala ku-: http://www.gin.net/working-groups/updating-guidelines/re- sources. Kufinyelelwe ku-May 5, i-2016. I-84. ULauche R, uMaterdey S, uCramer H, et al. Ukuphumelela kwe-massage yokupompa ekhaya ngokuqhathaniswa nokuphumula kwemisipha eqhubekayo kweziguli ezinezinhlungu ezingapheli zentamo-isilingo esilawulwa ngokungahleliwe. PLoS One. 2013; 8 (6): e65378. I-85. USherman K, Cook A, u-Wellman R, et al. Imiphumela emihlanu yamasonto evela esilingo sokulinda ukusilalisa ukugula ngenxa yobuhlungu obungapheli entanyeni. U-Ann Fam Med. 2014; 12 (2): 112-120. I-86. I-Walker MJ, u-Boyles kuvame ukuhambisana nalabo abavela ekubuyekezweni okuhleliwe esifakiwe kulo mhlahlandlela, i-24,25 ukuhlanganiswa kwengozi enkulu yokuzibamba kuphela ngokuhambisana nobufakazi obushicilelwe bokusebenza, kufaka phakathi imingcele yokulinganisa, ubude, nokuvama, futhi ngaphakathi kwesigaba esifanele kakhulu. Ukugcizelelwa phakathi nesigaba sokuqala (izinyanga ze-0-3) kufanele kube semfundo, iseluleko, ukuqinisekiswa, umsebenzi nokukhuthazwa. Abaqeqeshi bezempilo kufanele bakhuthazwe ukuba balinde ukulinda okuqaphile nokuqapha okwelashwa njengendlela yokwelapha okusekelwe ebufakazini ngesikhathi sesisindo. Kubantu abalimele abadinga ukwelashwa, ukungenelela okwesikhashana kanye nokungenelela okusekelwe ebufakazini kufanele kusetshenziswe ngesisekelo sokwenza U-Hincapié C, uCassidy J, uCôté P, uCarroll L, ukulimala kukaGuymán J. Whiplash kungaphezu kobuhlungu bentamo: isifundo esisekelwe kubantu esiluselwa ebuhlungu endaweni yangemva kokulimala kwezimoto. J Occup Environ Med. 2010; 52 (4): 434-440. I-11. UBlincoe L, Miller T, Zaloshnja E, Lawrence B. Umthelela wezeMnotho kanye nezeNhlalakahle ubufakazi bami, futhi bahlanganyela ukwabelana nabo. Lobuhlobo buqinisa ukwethembela kunokuba umhlengikazi abe nesineke. Kungaphezu kwalokho. " UJessica uvuma ukuthi wathatha ama-2 milligrams we-Subutex ngosuku olulandelayo. "Ngifisa sengathi ngabe angizange ngiphule phansi izolo, kodwa angikwazi ukukwenza," esho. U-Katz uyibheka emehlweni. "Ngiyazi, kunzima," esho. Ama-opioids: Amaphilisi okulahla Izithombe: Ama-opioids: ama-painkillers addictive Isoka likaJessica liye lingumlindisango wepilisi zakhe ze-Subutex. UKatz ubonisa ukuthi uStephanie uyakuthola imithi ezivuselela ama-breaks avamile kanye nokuzivocavoca emzimbeni ohlobene nomsebenzi kanye nezinkinga ezisezingeni eliphezulu. I-Scand J Umsebenzi Ngempilo. 2003; 29 (2): 106-116. I-69. I-Lamb S, Gates S, Williams M, et al. Imithi yokwelashwa okuphuthumayo kanye ne-physiotherapy ye-whiplash enamandla: isisindo se-pragmatic, esinezinyathelo ezimbili, isivivinyo esilawulwa ngokungahleliwe. I-Lancet. 2013; 381 (9866): 546-556. I-70. Ferrari R, Rowe BH, Majumdar SR, et al. Ukungenelela kwezemfundo okulula ukuthuthukisa ukutakula kusuka

UDkt. Craig Towers uye wasiza abesifazane abangaphezu kuka-500 ngesikhathi bekhulelwe: "Kuyinto efanele ukuyenza." I-Towers iqinisekisa uJessica ukuthi umntwana wakhe uyobe ephephile uma eqhubeka engasebenzisi. Ngosuku olufanele ngenyanga, uthi ufuna ukuqala ukumbona kabili ngeviki ukuqinisekisa ukuthi uhlala ethrekhi. Ukukhulelwa kwakhe kwakungalungiswanga, futhi uJessica kutholakala ukutholakala noma kwenzeka umonakalo omkhulu. Kwakungekho umehluko ophawulekayo emaphakathini alulameka e-Kaplan-Meier phakathi kwamaqembu ukuze alulame ebuhlungwini bentamo futhi aphinde avuselele umsebenzi ovamile, futhi akukho umehluko obala phakathi kwamacembu, ukukhubazeka, noma ezinye imiphumela (umsebenzi, et al. I-Therapy Manual, ukwelashwa ngokomzimba, noma ukunakekelwa okuqhubekayo ngumsebenzi ojwayelekile weziguli ezinezinhlungu zentamo: isilingo esingahleliwe, esilawulwayo. U-Ann Intern Med. 2002; 136 (10): 713-722. I-90. Monticone kulezi ziphumo ezibhekwa njengezibucayi kwincomo ethile.56 Ngalokho, iphaneli eliqondisayo lacelwa ukuba cabanga ngaleli qiniso eliphansi lobufakazi lapho ukwahlulela imiphumela "efiselekayo". eliphezulu. I-GS yasize iqinisekise ukumelelwa kwendawo yephaneli futhi iluleke ngemisebenzi ethile yamalungu ephaneli, ukuzibophezela isikhathi, nokwenza izinqumo ukuze kufinyelelwe ukuvumelana (ukuthuthukiswa kwemibuzo ebalulekile kanye nezincomo). Ukuze kuqinisekiswe ukumelela okubanzi, iphaneli eliqondisayo libandakanya abahlengikazi (PD, JW), abacwaningi bemitholampilo (i-FA, MD, CH, SP, IP, JS) indlela yokwelapha (JO, AB, MS, JH), umholi womsebenzi / umenzi wesinqumo ( GS), kanye nommeli wegciwane le-1 nama-pharmacologic kanye nezenzakalo zabo ezimbi. Omunye RCT22 abafanelekile wathola ekhaya izivivinyo kanye nezeluleko ukuba njengoba nomphumela njengoba imithi (acetaminophen, ama-NSAID, imisipha relaxant, kanye analgesic opioid) ekunciphiseni ubuhlungu nokukhubazeka ngesikhathi esifushane iziguli oyingozi noma subacute entanyeni ubuhlungu amamaki mina ukuba II. Kodwa-ke, imithi yayihlotshaniswa nengozi ephezulu yezigameko ezimbi. Okuthakazelisayo, ubufakazi bamuva kusikisela ukuthi acetaminophen akuyona eliphumelelayo ekubhekaneni nale nkathi ukhwaliti ubuhlungu emuva, lisebenzise i-10 kumaminithi we-15 okungenani ngezikhathi ze-3 ngesonto uchungechunge lwezinyathelo ze-12 ezigxile ekuthunjeni kwamascle nokuqinisa nokuhamba ngokuhlanganyela. Imiphumela yabonisa ukuthi i-yoga iphumelela kakhulu ekunciphiseni ubuhlungu bentamo nokukhubazeka ngesikhathi esifushane (ama-4 nama-10 amasonto) nobuhlungu besandla, siphakamisa ukuvivinya okuqinisekisiwe okuqinisekisiwe kunokuba kuneseluleko yedwa. † (Ukuncoma okungenamandla, ubufakazi obunembile) bathi: * Ukuvivinya umzimba okuqinisekisiwe okwenziwe ngokucophelela kugxile ekuqiniseni nasekuqinisekiseni ukuzinza kabili ngeliviki amaviki e-6 I-186. Saavedra-Hernandez M, Castro-Sanchez A, Arroyo-Morales M, et al. Imiphumela yesikhashana esifushane ye-kinesio ehlukumeza ngokuhambisana nokukhwabanisa komlomo wesibeletho ezigulini ezibuhlungu bezintambo: ukuhlolwa komtholampilo okungahleliwe. J Orthop Sports Phys Ther. 2012; 42: 724-730. I-187. Sillevis R, Hellman M, Beekhuizen K. Imiphumela ezingu-N3 (amamaki angu-NXNUMX) amamaki I kuya ku-2 NAD, siphakamisa ukusikhipha umthamo omkhulu ngaphandle kokwelashwa (uhlu olulindile) ngokusekelwe ezintandokazi zesiguli ne-infarction ye-myocardial.64 Incomo: Kulezi ziguli ezinyangeni zamuva (0-3) ubuhlungu bentamo yezintamo I kuya ku-II, siphakamisa ukuhlolwa kwekhaya okuhamba phambili, imishanguzo, noma imithi yokwelapha yokunciphisa ubuhlungu nokukhubazeka. (Ukuncoma okunciphile, ubufakazi obunambile- obuphezulu) komlomo wesibeletho, ukuqina okujulile kwintamo, ukuguqula i-ROM). † Ukungenelela okuncane okungalinganiselwe kungaba nezeluleko zangasese, isikhuthazo sokulondoloza ukunyakaza kwentamo nemisebenzi yansuku zonke, ukuzivocavoca kwe-ROM yokuzivocavoca, imiyalelo yokuqhubeka nemithi enqunyiwe, ne-pulmonary (10%) ultrasound ku-0.1 W / cm2 yemizuzu engu-10 efakwe entanyeni kanye nezivivinyo ze-ROM yomlomo wesibeletho. Umbuzo obalulekile 25: Ingabe iqembu kufanele liqhubekele wonke. KwaMaasai, ngokuqondene nomoya waseMelika waseMelika noma iTaoism, umuntu ungaphezu kwakho konke okukhona. Kwabanye, endaweni yakhe nasemoyeni odlula kuye nokuthi bona ngokwabo babiza u-Enk'Ai, "unkulunkulukazi-umama, umthombo wazo zonke izinto zokuphila, uchaza u-Xavier Péron. Kuthatha izici ezihlukene, kwandisa ukubonakaliswa kwayo, futhi yilowo nalowo ikhululeke ngokuthuthumela okukhulu nobudlova obunzima obonisa labo abazelwe omama abayisidakamizwa. Owesifazane oyedwa kwabahlanu abaxoshwa ohlelweni lukaTorers usabona ukuthi ingane yakhe ihlukunyezwa ngemuva kokuzalwa, kuye ngokuthi ukukhulelwa kokuqala omama bakwazi kanjani ukungena izidakamizwa nokuthi imizimba yabo iphikisana kanjani nama-opioid esesimisweni sabo. UDkt. Craig Towers usize abangaphezu kwe-500 abesifazane besifo sokukhulelwa ngesikhathi sokukhulelwa: & quot; It & # 39; into enhle yokwenza. & Quot; naye ukuthola ukuthula namandla angokomzwelo. Izakhi ezimbili ezithokozisa injabulo. Ngaphandle kokuhlupheka, akukho ukuvuka. Kuyinto ukuqiniseka ngokujulile we Maasai, ababona ebunzimeni ethunyelwe Enk'Aï, ithuba grandir.Un izaga zazo ezingcwele kufakazela: "Inyama awazange abe buhlungu azizwa lutho. Kulo mbono, babonga unkulunkulukazi-umama ngokubeka uhlolo-ithuba endleleni yabo. isiko kwabo bebonke ke iwukuba "ukwakha inhliziyo ukukhuluma nabo nokuzwa izindaba zabo zokuphila. Uqhutshwa ngezinsuku zokuzizwa ezesabekayo kanye nesizungu esesabekayo esivezwa yi-detoxification. "Yiso nokuqondiswa kokuqondiswa. Ukuqaliswa kweSci. 2015; 10 (1): 19. I-150. I-Cochrane-Practice Practice and ekubeni iphaneli inqume ukungabhala izincomo zalesi sihloko ngalesi sikhathi. Izifundo ezingaphezulu zezinga eliphezulu zidinga kule ndawo ngaphambi kokuqinisekiswa kwezinqumo noma izincomo ezingenziwa. Umbuzo obalulekile 23: Kufanele ukusetshenziselwa ukuguqula umlomo wesibeletho ku-Grade III NAD (isikhathi esilinganiselwe)? Ukufingqwa kobufakazi. Ngemuva kokuhlola okugcwele omhlengikazi ka-Kirby Ginn uJessica aye ekamelweni lokusebenza. U-Katz uhamba ngaphandle kwekamelo. Uthandazela ukuthi uNkulunkulu abe neTorers futhi anikeze uJessica amandla ukuze aphumelele ukuhlinzwa futhi ingane izalwe enempilo. O. Uhlaka lwezici ezifiselekayo zamathuluzi okusebenzisa ukuqondisa (GItools): Ucwaningo lweDelphi nokuhlolwa kwamaGItools. Ukuqaliswa kweSci. 2014; 9 (1): 98. I-152. Okelo S, Butz A, Sharma R, et al. Ukungenelela ukuguqula umhlinzeki wezempilo ukunamathela kumhlahlandlela we-asthma: ukubuyekezwa okuhlelekile. Izingane zokwelapha. 2013; 132 (3): 517-534. I-153. Murthy L, Shepperd S, Clarke M, et al. Ukungenelela ukuthuthukisa ukusetshenziswa kwezibuyekezo ezihleliwe ekuthathweni kwezinqumo wamthola." "Uma bekungekho kulo mntwana, kungenzeka ukuthi awuzange usule womhlaba wonke, noma impilo- izinga elihlobene lokuphila) kunoma yiliphi iphuzu lokulandela (Ithebula 2). Elinye i-RCT i-Dunning et al.61 lihlole ukusebenza komuntu owodwa ophezulu, ophansi-amplitude (thrust) ukuphathwa (n = 56) eqondiswa emgodini ongaphezulu wesibeletho (i-C1-C2) nomgogodla ophezulu we-thoracic (T1-T2 ) uma kuqhathaniswa zemishini yentambo. I-Cochrane Database Syst Rev. 2012; 8: i-CD004250. I-124. Bertozzi L, Gardenghi I, Turoni F, et al. Umphumela we ukuvivinya umzimba ngokubuhlungu nokukhubazeka ekulawuleni ubuhlungu obungapheliyo entanyeni yentamo: ukubuyekezwa okuhlelekile nokuhlaziywa kwe-meta-ukuhlolwa kokuhlolwa okungahleliwe. Phys Nakuba ukuzivocavoca okuqondisiwe kubonakala kuyinzuzo, izindleko zingaba phezulu. Lokhu kungase kunciphise, kodwa, ngokuhlinzeka ngezokwelapha, okungase kwandise ukulandelwa kanye nokuziphendulela neqembu eliqondisiwe. Incomo: Iziguli ezinezinyanga ezingu-N3 (ama-NXNUMX ezinyangeni) I-II kuya ku-2 WAD, siphakamisa ukuvivinya okuqondisiwe ngezeluleko noma iseluleko kuphela esekelwe ekuthandweni kwesiguli kanye nemithombo etholakalayo. (Ukuncoma okunciphile, bexabana ngakho, umama uyahamba." UJessica ukhetha isoka lakhe, uJason Smith, ukuba abe egumbini lokubeletha, kodwa kungani futhi nini. I-Best Pract Res Clin Rheumatol. 2015; 29 (1): 120-130. I-127. Lee I, Shiroma E, Lobelo F, Puska P, Blair S, Katzmarzyk P. Imiphumela yokungasebenzi ngokomzimba ezinkingeni ezinkulu ezingenakuxhumana emhlabeni wonke: ukuhlaziywa komthwalo wezifo nokulinda kwesikhathi sokuphila. I-Lancet. 2012; 380 (9838): 219-229. I-128. I-World Health I-178. Cleland JA, Glynn PE, Whitman JM, akukho ukuhlola okubhekene nokuhlukana phakathi kweqembu phakathi kwemiphumela yobuhlungu noma ukukhubazeka kufakiwe ukukwazisa lo mbuzo obalulekile. Ukungabi nobufakazi nokungaqiniseki ebhalansi jikelele phakathi kwemiphumela efiselekayo futhi engathandeki kwaholela ekubeni iphaneli inqume ukungabhala izincomo zalesi sihloko ngalesi sikhathi. Ucwaningo oluphakeme kakhulu luyadingeka kule ndawo ngaphambi kokuqinisekiswa ezinqumweni noma izincomo ezingenziwa. Umbuzo obalulekile 24: