by Dr Alex Jimenez chisingaperi Pain , Nerve Injury
Kune vanhu vanotarisana nemarwadzo asingagumi vanogona kuva nekunzwisisa zviri nani kwenyanzvi dzekugadzirisa marwadzo kubatsira mukugadzira zvirongwa zvekurapa zvakasiyana-siyana?
Pain management inyanzvi yekurapa inokura iyo inotora nzira dzakasiyana-siyana dzekurapa marudzi ese emarwadzo. Ibazi remushonga rinoshandisa nzira dzakaratidzwa nesainzi dzekudzikisa, kuderedza, uye kugadzirisa zviratidzo zvekurwadziwa uye manzwiro. Vanamazvikokota vepain management vanoongorora, kugadzirisa, uye kubata huwandu hwemamiriro ezvinhu, kusanganisira kurwadziwa kweuropathic, sciatica, kurwadziwa kwepashure, kurwadziwa kusingaperi, nezvimwe. Vazhinji vatapi vehutano hwekutanga vanoendesa varwere vavo kune nyanzvi dzekutarisira marwadzo kana zviratidzo zvekurwadziwa zvichienderera kana zvakakosha mukuratidzwa kwavo.
Vatariri vehutano vanonyanya kugadzirisa marwadzo vanoziva kuoma kwemarwadzo uye vanosvika kune dambudziko kubva kumativi ose. Kurapa pakiriniki yemarwadzo kunonyanyoenderana nemurwere asi kunoenderana nezvinowanikwa zvekiriniki. Parizvino, hapana mipimo yakatarwa yemhando dzechirango chinodiwa, chimwe chikonzero nzira dzekurapa dzinosiyana kubva kukiriniki kuenda kukiriniki. Nyanzvi dzinoti nzvimbo inofanirwa kupa varwere:
A coordinating practitioner specializing in pain management and consulting specialists akamiririra murwere.
Nyanzvi yekudzorera muviri.
Chiremba wepfungwa kuti abatsire munhu kutarisana nekuora mwoyo chero kupi zvako kunofambidzana kana kushungurudzika, kunyanya kana uchibata nekurwadziwa kusingaperi. (American Society of Regional Anesthesia uye Pain Medicine. 2023 )
Humwe hunyanzvi hunomiririrwa mukugadzirisa marwadzo ndeye anesthesiology, neurosurgery, uye mushonga wemukati. Anoronga wehutano hwehutano anogona kutumira munhu kune masevhisi kubva:
Mupi wehutano anofanirwa kunge apedza kudzidziswa kwekuwedzera uye kubvumidzwa mukurapa kurwadziwa uye kuve MD ane bhodhi certification mune imwe yeiyi inotevera (American Board of Medical Specialties. 2023 )
Anesthesiology
Kuvandudza muviri
Psychiatry
Neurology
Chiremba wekurapa marwadzo anofanirwawo kuita kuti maitiro avo ave mashoma kune hunyanzvi hwavanobata chitupa.
Munda wekugadzirisa marwadzo unobata marudzi ese emarwadzo sechirwere. Zvisingaperi, zvakadai semusoro; acute, kubva pakuvhiyiwa, nezvimwe. Izvi zvinobvumira kushandisa sainzi uye kufambira mberi kwekurapa kwekunyaradza marwadzo. Ikozvino pane nzira dzakawanda, kusanganisira:
Mishonga
Kupindira maitiro ekugadzirisa marwadzo - nerve blocks, spinal cord stimulators, uye kurapa kwakafanana.
Physical therapy
Alternative medicine
Chinangwa ndechekuderedza uye kuita kuti zviratidzo zvigadzirike.
Vandudza basa.
Wedzera hupenyu hwehupenyu. (Srinivas Nalamachu. 2013 )
Kliniki yekutarisira kurwadziwa ichapfuura nekutevera:
Kuongorora.
Diagnostic bvunzo, kana zvichidikanwa.
Physical therapy - inowedzera huwandu hwekufamba, inosimbisa muviri, uye inogadzirira vanhu kuti vadzokere kubasa uye mabasa ezuva nezuva.
Kupindira kurapwa - majekiseni kana musana wekukurudzira.
Kuendesa kune chiremba anovhiya kana zvichiratidzwa nekuongororwa uye kuongororwa.
Psychiatry kubata nekuora mwoyo, kuzvidya mwoyo, uye / kana zvimwe zvinhu zvinoperekedza zviratidzo zvinorwadza zvisingaperi.
Mumwe mushonga wekutsigira uye kuwedzera mamwe marapirwo.
Vanhu vane:
Kutambudzika shure Neck marwadzo
Ndakavhiyiwa musana kakawanda
Kuvhiya kwakakundikana
Neuropathy
Vanhu vakasarudza kuti kuvhiyiwa hakubatsiri mamiriro avo.
Kunzwisisa kuri nani kwemarwadzo ekurwadziwa nenharaunda uye makambani einishuwarenzi uye kuwedzera marwadzo zvidzidzo zvichabatsira kuwedzera inishuwarenzi yekuvhara marapirwo uye tekinoroji yekuvandudza mhedzisiro yekupindira.
VIDEO
American Society of Regional Anesthesia uye Pain Medicine. (2023). Ihwo hunokosha hwekugadzirisa marwadzo asingagumi .
American Academy yePain Medicine (2023). NezveAmerican Academy yePain Medicine .
American Board of Medical Specialties. (2023). Iyo Yakanyanya Kuvimbwa Medical Specialty Certification Organisation .
Nalamachu S. (2013). Mhedziso yekutarisira marwadzo: kiriniki efficacy uye kukosha kwekurapa. Magazini yeAmerica yekuchengetedzwa kwakachengetedzwa, 19(14 Suppl), s261–s266.
American Society of Interventional Pain Physicians. (2023). Pain Physician .
by Dr Alex Jimenez Health Coaching , udyo
Kune vanhu vanotarisa kudya kwavo panguva yezororo rekutenda, kuziva kukosha kwekudya kweTurkey kunogona kubatsira kuchengetedza hutano hwekudya?
Minimally processed turkey inogona kuve sosi inobatsira yeprotein, mavhitaminzi, uye zvicherwa. Zvisinei, huturu hunogadzirwa hunogona kuva neshuga yakawanda, mafuta asina kunaka, uye sodium.
Ruzivo rwekudya kwegumbo reTurkey rakakangwa neganda - 3 ounces - 85g. (US Department of Agriculture. 2018 )
Makorori - 177
Mafuta - 8.4
Sodium - 65.4mg
Carbohydrate - 0 g
Fiber - 0 g
Shuga - 0g
Mapuroteni - 23.7 g
Turkey haina chero makhahydrates.
Dzimwe nyama dzekudya kwemasikati dzine carbs sezvo turkey inodyiwa, yakabikwa, kana yakaputirwa mumuto une shuga kana kuwedzerwa panguva yekugadzirisa.
Kusarudza kutsva kunogona kuita mutsauko mukuru mune zvehuga.
Mafuta mazhinji anobva paganda.
Turkey kazhinji ine zvikamu zvakaenzana zvemafuta akazara, monounsaturated, uye polyunsaturated mafuta.
Kubvisa ganda uye kubika pasina kuwedzera mafuta kunoderedza huwandu hwehuwandu hwemafuta.
Turkey inzvimbo yakanaka kwazvo yeprotein yakakwana, ine magiramu makumi maviri nemana mu24-ounce inoshumira.
Mazamu akarenda, senge mazamu asina ganda, ane mapuroteni akawanda.
Inopa vhitamini B12, calcium, folate, iron, magnesium, phosphorus, potassium, uye selenium.
Nyama yakasviba ine iron yakawanda kudarika nyama chena.
Sarcopenia, kana kutambisa tsandanyama, kunowanzo tungamira kune utera muvanhu vakura.
Kuwana mapuroteni akakwana pakudya kwega kwega kwakakosha kune vakura vakura kuchengetedza tsandanyama uye kufamba kwemuviri.
Turkey inogona kubatsira kusangana nemazano anoratidza kuonda nyama kudyiwa 4-5 nguva pasvondo kuchengetedza hutano hwemhasuru nekuchembera. (Anna Maria Martone, et al., 2017 )
Diverticulitis ndiko kuzvimba kwekoloni. Zvokudya zvinokonzera njodzi ye diverticulitis zvinosanganisira:
Fiber kudya - kunoderedza njodzi.
Yakagadzirwa nyama tsvuku yekudya - inomutsa njodzi.
Kudya nyama tsvuku ine mafuta akawanda akawandisa - kunomutsa ngozi.
Vatsvakurudzi vakadzidza varume ve253 vane diverticulitis uye vakaona kuti kutsiva imwe yenyama tsvuku nekushumira kwehuku kana hove kunoderedza ngozi ye diverticulitis ne20%. (Yin Cao et al., 2018 )
Chidzidzo chacho chinogumira ndechekuti kudyiwa kwenyama kwakanyorwa muvarume chete, madyiro acho aitaurwa ega, uye mari yaidyiwa pachikamu chega chega chekudya haina kunyorwa.
Inogona kunge iri yekutsiva inobatsira kune chero munhu ari panjodzi ye diverticulitis.
Turkey inopa kudya kunodiwa nemasero eropa.
Inopa heme simbi , nyore kunyura panguva yekugaya, kudzivirira iron inoshaya anemia. (National Institutes of Health. 2023 )
Turkey zvakare ine folate uye vhitamini B12, iyo inodiwa mukuumbwa uye kushanda kwakaringana kwemasero matsvuku eropa.
Kugara turkey kushandiswa kunogona kubatsira kuchengetedza masero eropa ane utano .
Turkey inzira yakaonda kune dzimwe nyama yakaderera-sodium, kunyanya kana ganda richibviswa uye rakabikwa ritsva.
Turkey zvakare yakakwirira mune amino acid arginine.
Arginine inogona kubatsira kuchengeta tsinga dzakavhurika uye dzakasununguka semutangiri we nitric oxide. (Patrick J. Skerrett, 2012 )
Kusawirirana kwenyama kunogona kuitika chero zera. A turkey allergy inogoneka uye inogona kusanganiswa neallergies kune mamwe marudzi ehuku uye nyama tsvuku. Zviratidzo zvinogona kusanganisira: (American College yeAllergy, Asthma & Immunology. 2019 )
Kudzora
Diarrhea
Wheezing
Kupfupika kwemhepo
Kudzokorora chikosoro
Kuzvimba
Anaphylaxis
Iyo USDA inokurudzira 1 pondo kumunhu wega wega.
Izvi zvinoreva kuti mhuri yevashanu inoda 5-pound turkey, boka re12 pa12-pondo. (US Department of Agriculture. 2015 )
Chengetedza nyama itsva mufiriji kusvikira wagadzirira kubika.
Frozen pre-stuffed turkeys zvakanyorwa ne USDA kana mamiriro ehurumende yekuongorora akagadzirirwa pasi pekuchengetedzwa, kudzorwa mamiriro.
Bika ma turkeys akaomeswa nechando ega kubva muchando pane kutanga kunyunguduka. (US Department of Agriculture. 2015 )
Nzira dzakachengeteka dzekunyungudutsa turkey yakaomeswa nechando: mufiriji, mumvura inotonhora, kana microwave oveni.
Dzinofanirwa kunyungudutswa kwenguva yakati rebei uchishandisa nhungamiro zvichienderana nehuremu.
Inoda kubikwa kusvika mukati mekushisa kwe 165 degrees Fahrenheit.
Yakabikwa turkey inoda kuiswa mufiriji mukati memaawa 1-2 mushure mekubika uye kushandiswa mukati memazuva 3-4.
Zvisaririra zveTurkey zvakachengetwa mufiriji zvinofanira kudyiwa mukati memwedzi 2-6.
VIDEO
US Department of Agriculture. FoodData pakati. (2018). Turkey, makirasi ose, gumbo, nyama uye ganda, yakabikwa, yakagochwa .
Martone, AM, Marzetti, E., Calvani, R., Picca, A., Tosato, M., Santoro, L., Di Giorgio, A., Nesci, A., Sisto, A., Santoliquido, A., & Landi, F. (2017). Exercise uye Protein Intake: A Synergistic Nzira yekurwisa Sarcopenia. BioMed research international, 2017, 2672435. doi.org/10.1155/2017/2672435
Cao, Y., Strate, LL, Keeley, BR, Tam, I., Wu, K., Giovannucci, EL, & Chan, AT (2018). Kudya nyama uye njodzi ye diverticulitis pakati pevarume. Gut, 67(3), 466–472. doi.org/10.1136/gutjnl-2016-313082
National Institutes of Health, Hofisi yeDietary Supplements. (2023). Simbi: Gwaro Rechokwadi reVashandi Vehutano .
Skerrett PJ. Harvard Health Publishing, Harvard Medical School. (2012). Turkey: Hwaro Hutano Hwekudya Kwezororo .
American College yeAllergy, Asthma & Immunology. (2019). Kusawirirana nenyama .
US Department of Agriculture. (2015). Ngatitaurei neTurkey - Gwaro reVatengi reKugocha Zvakachengeteka muTurkey .
by Dr Alex Jimenez Kudzorera Pain , Chiropractic , Dzose Kudzorera Painini , chisingaperi Pain , Pasi Pasi Pain , Spinal Decompression Treatments , Spine Care , Mishonga , Viscerosomatic Reflex
Kune vanhu vane marwadzo ekumusana, varapi vehutano vangabatanidza sei zvigadziriso zvisiri zvekuvhiya kuderedza marwadzo emusana?
Muzongoza ndechimwe chezvimiro zvakakosha mumuviri wemunhu, zvichipa mauto ekufamba uye kugadzikana kana vertical pressure iri kudzvanya pane spinal chimiro. Muzongoza wakakomberedzwa nemhasuru dzakasiyana siyana, ligaments, uye matishu anobatsira kutsigira kumusoro nepasi zvikamu zvemuviri uye magumo. Kana zvinhu zvakajairika senge kusimudza kusimudza, zvimiro zvisina kufanira, kufutisa, kana mamiriro akange aripo atanga kukanganisa muviri, zvinogona kukonzera musana wemuzongoza kuti ukonzerese zvisingadiwe zvinotungamira kumashure, mutsipa, uye kurwadziwa kwepfudzi. Kana uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchi . Izvi pazvinoitika, vanhu vakawanda vanotanga kurovha basa kana kuita zvinhu zvezuva nezuva izvo zvingavaparira nhamo, uye vanotoedza kutsvaka nzira dzakasiyana-siyana dzokupedza marwadzo avari kusangana nawo. Chinyorwa chanhasi chinotarisa imwe yeakajairika marwadzo emuviri sekurwadziwa kwemusana uye kuti angakonzeresa sei nyaya dzakawanda dzinokanganisa kugona kwemunhu kuita basa, uye kuti mhinduro dzisiri dzekuvhiya dzinogona sei kuderedza marwadzo senge mhedzisiro asiwo dzinopa zororo rinodikanwa. vanhu vazhinji vanokodzera murwendo rwavo rwehutano uye hutano. Tinotaura nevarapi vane hunyanzvi vanosanganisa ruzivo rwevarwere vedu kupa zvirongwa zvakawanda zvekurapa kudzikamisa marwadzo-senge zviratidzo zvine chekuita nemusana nenyaya dzinokonzera kurwadziwa kwemusana. Isu tinozivisawo varwere vedu kuti kune zvisiri zvekuvhiya sarudzo dzekudzikisa idzi marwadzo-senyaya uye kudzorera musana wekufamba kumuviri. Tinokurudzira varwere vedu kubvunza mibvunzo yakaoma uye inodzidzisa kune vatinosanganisirwa varapi vekurapa nezve kurwadziwa-kufanana nezviratidzo zvavari kusangana nazvo zvinoenderana nechepasi musana. Dr. Alex Jimenez, DC, anoshandisa ruzivo urwu sebasa rezvidzidzo. Disclaimer .
Iwe unowanzo sangana nemarwadzo anopenya mumusana wako wepasi izvo zvinokonzera zviratidzo zvekunzwa kana kurira kwekunzwa kusvika kumakumbo ako netsoka? Iwe unonzwa kuoma kwemhasuru mangwanani paunenge uchimuka, uchingonyangarika zvishoma nezvishoma zuva rose? Kana kuti unonzwa zviratidzo zvetsandanyama aches uye kurwadziwa kana wakatakura chinhu chinorema kubva kune imwe nzvimbo kuenda kune imwe? Vanhu vazhinji, kazhinji pane kwete, vakabata nemarwadzo ekudzokera shure ane chokuita nezvinhu zvakasiyana-siyana. Nekurwadziwa kwemusana kuve mumatambudziko matatu epamusoro akajairika muvashandi, vanhu vazhinji vakabata nedambudziko rakajairika munzira dzakawanda. Kubva pakusimudza zvinorema zvisina kufanira kusvika pakugara zvakanyanya padhesiki, kurwadziwa kwemusana kunogona kukonzera nyaya dzemusculoskeletal dziri kuyedza kuwana zororo. Kurwadziwa kwepazasi kumashure kunogona kuve kwakanyanya kana kusingaperi, zvichienderana nekuomarara. Inogona kutungamirira kuhutano hwekufamba mukati me thoracic, lumbar, uye sacroiliac spinal regions, zvichiita kuti marwadzo anotaurwa kumucheto wezasi. Inogona kutungamira kuhupenyu hwekukanganiswa pasina chero zviratidzo kana zviratidzo zvehutano hwakakomba kana hwepfungwa mamiriro ane chekuita nemamiriro ekunze. ( Delitto et al., 2012 ) Marwadzo ekudzokera shure anobatanidzwawo nemamiriro emusana sekuputika, asymmetric loading, uye kushungurudzika kwemisungo, izvo zvinogona kuita kuti zvivako zvemusana zviomerwe, zvichiita kuti disc herniations. ( Zemková & Zapletalová, 2021 )
Pamusoro pezvo, kurwadziwa kwemusana ndeye multifactorial musculoskeletal mamiriro ayo anoita kuti vanhu vazhinji vange vari mumamiriro ehupfumi nehupfumi izvo zvinogona kuderedza hupenyu hwavo. Mienzaniso yakawanda yemarwadzo ekudzokera shure inopindirana nekushandurwa kwemotokari mukati memusana erector muscles iyo inokonzera kukanganisa proprioception mumuzongoza. ( Fagundes Loss et al., 2020 ) Kana izvi zvikaitika kuvanhu vakawanda, vanowanzoona chipingamupinyi chekudzikama kwechiuno, kugadzikana kwemuviri, kumira, uye kudzora kwemashure. Panguva imwecheteyo, apo vanhu vakawanda vanoshanda vane kurwadziwa kwakanyanya kwemusana kunobatanidza nezvinhu zvezuva nezuva, kuwanda kwemarwadzo avanenge vari mukati kunogona kuchinja chikumbaridzo che mechanoreceptors ari kutumira zviratidzo zvinorwadza kuburikidza nemutsipa wepelinha. Kusvika panguva ino, marwadzo ekudzokera shure anogona kukanganisa mhinduro yeuromuscular uye inokanganisa hutano hwemusculoskeletal. Sezvineiwo, kurapwa kwakawanda kunogona kubatsira kuderedza marwadzo ekudzokera shure uye kupa zororo kumarwadzo emusana ari kubata vanhu vazhinji.
VIDEO
Kangani pazuva iwe unonzwa kurwadziwa shure kunobatanidza nekuoma, general aches, kana marwadzo ari kukanganisa kukwanisa kwako kushanda? Iwe unoona iwe uchivhima zvakanyanya kana uchifamba kubva kune imwe nzvimbo uchienda kune imwe? Kana kuti unonzwa aches uye kurwadziwa shure kwako mushure mekutambanudza mangwanani? Vanhu vazhinji vanobata neaya akajairika ezvakatipoteredza zvinhu vanobatana zvakanyanya nekurwadziwa kwemusana. Marwadzo ekudzokera kumashure ari mumatambudziko matatu epamusoro anowanzoonekwa nevanhu vazhinji pane imwe nguva muhupenyu hwavo. Kazhinji kazhinji, vanhu vazhinji vakabata nemarwadzo ekudzokera shure nekushandisa mishonga yemusha kuderedza marwadzo-semigumisiro. Nekudaro, ongororo dzetsvakiridzo dzinoratidza kuti kana vanhu vazhinji vakatanga kufuratira marwadzo, zvinogona kuvatungamira kuhupenyu hwekuremara uye kukonzera kuwanda kwekutambudzika kana vasina kurapwa ipapo. ( Parker et al., 2015 ) Nokudaro, kurapwa kusina kuvhiyiwa hakugoni kuderedza marwadzo ane chokuita nemarwadzo ekudzokera shure asiwo kubatsira kudzorera kufamba kwemusana. Mishonga isiri-yekuvhiya senge chiropractic kuchengetedza inosanganisira spinal manipulation, iyo inogona kukanganisa musana. ( Koes et al., 1996 ) Zvinoitwa nechiropractic ndezvokuti zvinosanganisira mechanical uye manual manipulation techniques kutambanudza misumbu yakaoma uye kuderedza trigger points kubva pakugadzirisa. Vhidhiyo iri pamusoro inoratidza kuti chiropractic kuchengetedza inogona sei kukanganisa munhu paanenge ari chikamu chehutano uye hutano rwendo rwekuderedza marwadzo ekudzokera shure.
Kungofanana nekuchengetwa kwechiropractic, kuparara kwepelinha ndiko kumwe kurapwa kusiri kwekuvhiya kunoshandisa kudhonza zvinyoronyoro kukweva uye kutambanudza musana kuti uderedze akamanikidzwa spinal discs ane chekuita nekurwadziwa kwemusana uye kubatsira kutambanudza mhasuru dzakasimba. Apo vanhu vazhinji vanotanga kubatanidza kupera kwepelinha sechikamu chemaitiro avo, vanozoona kuti kupera kwemusana kunogona kuderedza intradiscal pressure mukati mehutano husina kunaka. ( Ramos, 2004 ) Zvinoita izvi ndezvekuti kana ma spinal discs ari kudhonzwa nekudhonza zvinyoro, zvese zvinwiwa uye zvinovaka muviri izvo zvanga zvisiri hydrating disc inoyerera ichidzoka uye inobatsira kickstart yemuviri kuporesa maitiro. Kana vanhu vazhinji vachitanga kushandisa spinal decompression nekuda kwemarwadzo avo ekumusana, vanozoona kuderera kukuru kwemarwadzo avo mushure mezvikamu zvishoma zvakatevedzana. ( Crisp et al., 1955 ) Apo vanhu vakawanda vanotanga kusanganisa mamwe maitiro akasiyana-siyana asina kuvhiyiwa nemusana wekuparara, ivo vachakwanisa kudzorera kufamba kwavo kwemusana pavanenge vachinyanya kufunga nezvezvipi zvakatipoteredza zvinokanganisa musana wavo uye kwete kudzokorora nyaya yacho kubvumira marwadzo ekudzokera shure kudzoka.
Crisp, EJ, Cyriax, JH, & Christie, BG (1955). Hurukuro pamusoro pekurapa kwemusana nekudhonza. Proc R Soc Med , 48 (10), 805-814. www.ncbi.nlm.nih.gov/pubmed/13266831
www.ncbi.nlm.nih.gov/pmc/articles/PMC1919242/pdf/procrsmed00390-0081.pdf
Delitto, A., George, SZ, Van Dillen, L., Whitman, JM, Sowa, G., Shekelle, P., Denninger, TR, & Godges, JJ (2012). Low Back Pain. Zvinyorwa zveOrthopedic & Sports Kurapa Kwemuviri , 42 (4), A1-A57. doi.org/10.2519/jospt.2012.42.4.a1
Fagundes Loss, J., de Souza da Silva, L., Ferreira Miranda, I., Groisman, S., Santiago Wagner Neto, E., Souza, C., & Tarrago Candotti, C. (2020). Mhedzisiro yepakarepo ye lumbar spine manipulation pakurwadziwa senitivity uye postural control kune vanhu vane nonspecific yakaderera kurwadziwa shure: a randomized controlled trial. Chiropr Man Therap , 28 (1), 25. doi.org/10.1186/s12998-020-00316-7
Koes, BW, Assendelft, WJ, van der Heijden, GJ, & Bouter, LM (1996). Spinal manipulation for low back pain. Ongororo yakagadziridzwa yakarongeka yezviyedzo zvekiriniki zvisingaite. Pine (Phila Pa 1976) , 21 (24), 2860-2871; hurukuro 2872-2863. doi.org/10.1097/00007632-199612150-00013
Parker, SL, Mendenhall, SK, Godil, SS, Sivasubramanian, P., Cahill, K., Ziewacz, J., & McGirt, MJ (2015). Chiitiko cheKurwadza Kwepashure Mushure meLumbar Discectomy yeHerniated Disc uye Mhedzisiro Yayo paMigumisiro Yakataurwa neMurwere. Clin Orthop Relat Res , 473 (6), 1988-1999. doi.org/10.1007/s11999-015-4193-1
Ramos, G. (2004). Kubudirira kwe vertebral axial decompression pane kusingaperi kurwadziwa kwepashure: kudzidza dosage regimen. Neurol Res , 26 (3), 320-324. doi.org/10.1179/016164104225014030
Zemková, E., & Zapletalová, L. (2021). Matambudziko Ekumashure: Pros uye Cons yeCore Kusimbisa Maekisesaizi sechikamu cheVatambi Kudzidziswa. Runyorwa Rwenyika Dzese rwekutsvagisa kwezvakatipoteredza uye Hutano hwevanhu , 18 (10), 5400. doi.org/10.3390/ijerph18105400
by Dr Alex Jimenez kusimbisa muviri , Musoro
Kune vanhu vakura vane matambudziko ekumira, kudonha, kutsvedza, uye kurwadza kwemusana, kuwedzera maekisesaizi embabvu kungabatsira here kuunza zororo uye kudzivirira mamiriro acho kuti asawedzera?
Zvakajairika kubatanidza kudonha kwekumusoro kumashure nezera, asi zvimwe zvikonzero zvinogona kukonzera matambudziko. (Justyna Drzał-Grabiec, et al., 2013 ) Mbabvu cage uye pelvis zvakakosha pachimiro chemuviri uye inosanganisira yakawanda yepakati. Kana aya mapfupa emapfupa akave asina kurongeka nekuda kwemaitiro asina kunaka, misumbu inonamatira pairi inova yakasimba, isina simba, kana zvose zviri zviviri, uye misumbu yakapoteredza inofanira kubhadhara, zvichiita kuti mamiriro acho awedzere uye kuwedzera kukuvara.
Mamiriro asina kunaka anogona kukonzerwa nembabvu inodzvanyirira pabhonzo repelvic.
Sezvo iyo yekumusoro kumashure inodonha kana kumanikidza, kureba kunogona kutanga kuderera.
Mamiriro ekuziva maitiro anogona kubatsira kusimudza mbabvu kubva pabhonzo repelvic.
Ichi chiitwa chinogona kuitwa wakagara kana wakamira. Chiitiko chezuva nezuva chinogona kubatsira kuvandudza kumira uye kubvisa matambudziko ekudzokera shure uye kurwadziwa.
Iyo yekugara vhezheni inobatsira kuchengetedza kutarisa pakuita chiitwa nemazvo.
Iyo yakamira vhezheni inodenha kuziva kwemuviri, ichibvumira munhu kuti anzwe kuti mbabvu yembabvu nemafambiro ekumusoro kumashure zvinokanganisa sei pelvic uye kuzasi kumashure.
Kutanga, zvinokurudzirwa kutanga munzvimbo yakagara.
Kana izvo zvekutanga zvadzidzwa, ipapo zvirokwazvo fambira mberi kusvika pakumira.
Gadzirisa chiuno kuitira kuti chirere kumberi zvishoma.
Uku kurerekera kumberi kunozowedzeredza iyo yakaderera kumashure curve zvishoma uchiomesa mhasuru dzepazasi nenzira yakanaka.
Kumisikidza uye kuchengetedza iyi curve munzvimbo yekugara inofanirwa kunzwa yakasikwa.
Inhale uye uwedzere kusimudza kumusoro kwembabvu cage.
Kufema kunoita kuti musana nembabvu zvirebe zvishoma.
Exhale uye bvumira mbabvu cage uye kumusoro kumashure kuti vadzokere kunzvimbo yavo yechisikigo.
Dzokorora kusvika ku10 kamwechete kana kaviri pazuva.
Pachiitwa ichi, shandisa kufema kukudziridza kusimudza kwembabvu uye kutakura zvakanyanya.
Usanyanya kubuda pane spinal extension.
Pane kudaro, tarisa kuti sei kufema /kufemereka kunotsigira kufamba kwembabvu nekumusoro kwemusana uye kuumba tsandanyama kubva ipapo.
Edza kusimudza mbabvu yembabvu zvakaenzana kumativi ose sezvo muviri unobvumira.
Nekudzidzira, vanhu vanozoona hutano hunochinja uye kuwedzera chinhambwe pakati pembabvu nepelvis.
Ita maekisesaizi nekumashure kumadziro kuti utungamirire kumashure.
Imwe mutsauko wepelvis uye rib cage posture kurovedza muviri ndeyekusimudza maoko.
Izvi zvichagadzira maonero akasiyana ekudzidzira kuziva kwemaitiro.
Tarisa pakufamba kwembabvu kana maoko akasimudzwa.
Kusimudza maoko kunoita kuti basa rive nyore, rakaoma, kana kuti rakasiyana here?
Kuti uwedzere kuvandudzwa kwechimiro, tambanudza pectoral tsandanyama.
Vanhu vari kutsvaga dzimwe nzira dzekusimbisa hutano hwakanaka vanofanirwa kufunga nezve yoga.
Chidzidzo chakabudiswa mu International Journal yeYoga inoratidza kuti nzira huru yekumisikidza iyo musimboti inogona kunge iri yekusanganisira dzakasiyana siyana dzeyoga postures mumuitiro. (Mrithunjay Rathore et al., 2017 ) Tsandanyama dzeab dzinonamatira kunzvimbo dzakasiyana-siyana pambabvu uye dzinoita basa mukumisikidza, kurongeka, uye kuenzana. Vatsvakurudzi vakacherechedza mhasuru mbiri, ekunze obliques, uye dumbu rakachinjika, sekiyi yekumisikidzwa zvine hutano.
VIDEO
Drzał-Grabiec, J., Snela, S., Rykała, J., Podgórska, J., & Banaś, A. (2013). Kuchinja kwechimiro chemuviri chevakadzi vari kuitika nezera. BMC geriatrics, 13, 108. doi.org/10.1186/1471-2318-13-108
Rathore, M., Trivedi, S., Abraham, J., & Sinha, MB (2017). Anatomical Correlation yeCore Muscle Activation mune Yakasiyana Yogic Postures. International Journal of yoga, 10(2), 59–66. doi.org/10.4103/0973-6131.205515
Papegaaij, S., Taube, W., Baudry, S., Otten, E., & Hortobágyi, T. (2014). Kuchembera kunokonzera kurongekazve kwecortical uye musana wekudzora kwechimiro. Miganho mukuchembera neuroscience, 6, 28. doi.org/10.3389/fnagi.2014.00028
by Dr Alex Jimenez Chiropractic , Spine Care
Facet hypertrophy chirwere chisingarapike, chisingaperi chinokanganisa majoini emuzongoza. Kuziva zviratidzo, kubatsira mukuongororwa, uye kurapwa?
Facet hypertrophy inoita kuti majoini emuzongoza akure. Vanowanikwa apo vertebrae inosangana kuseri kwe vertebrae inoumba musana. Aya majoini anodzikamisa musana kana uchimonyoroka nekukotama. Hypertrophy inoitika kana kukuvadzwa kuchidzika pasi shwashwa rinomisa mapfupa anosangana mujoini. Izvi zvinogona kusanganisira:
Kukwegura
Pfeka uye ubvarure
chirwere chemumajoini
Zvimwe zvirwere zvemajoini zvinogona kukuvadza facet joints.
Kuzvimba, kukura kwebhonzo idzva, uye kuputika kwebhonzo zvinogona kuitika apo chibatanidza chinoedza kugadzirisa shwashwa raparara. Kuzvimba uye kukura kwebhonzo idzva kunogona kuderedza musana wemusana uye kumanikidza tsinga dzakatenderedza, zvichikonzera marwadzo uye zvimwe zviratidzo zvekunzwa. Chirwere ichi hachina mushonga uye chinowedzera nekufamba kwenguva. Chinangwa chekurapa ndechekugadzirisa zviratidzo zvekurwadziwa uye kuderedza kufambira mberi kwechirwere.
Facet hypertrophy inogona kutsanangurwa se unilateral kana mbiri .
Unilateral - kurwadziwa kunonzwika kune rumwe rutivi.
Bilateral - kurwadziwa kunonzwika kumativi ose maviri
Munzvimbo dzinotevera: (Romain Perolat et al., 2018 )
magaro
Mativi ezvidya
Mashu
Zviratidzo zvinogona kuva nehupamhi hwakasiyana-siyana, kubva pakurwadziwa kunorwadza kusvika kune kusingaperi, kushungurudza kurwadziwa. Nzvimbo yezviratidzo zvinoenderana nejoint yakakanganiswa uye tsinga dzinobatanidzwa, Marwadzo anoratidza apo majoini akakura uye kukura kwebhonzo kutsva kunomanikidza tsinga dziri pedyo. Mhedzisiro inotungamira mukukuvadzwa kwetsinga uye zvinotevera zviratidzo: (Weill Cornell Mushonga Brain & Spine Center. 2023 ) (Misidhari Sinai. 2022 )
Kuoma, kunyanya pakusimuka kana kubva pachigaro.
Kusagona kumira zvakanaka pakufamba.
Kusagona kutarisa kumusoro kuruboshwe kana kurudyi pasina kutenderedza muviri wese.
Yakaderedzwa huwandu hwekufamba uye kufamba.
Chiveve kana kuti kurira kwemapini netsono.
Tsvina dzemuviri
Utsi husina simba
Burning pain
Izvi zvinotevera zviratidzo zvakanangana nenzvimbo yejojo rakakanganiswa (Weill Cornell Mushonga Brain & Spine Center. 2023 ) (Misidhari Sinai. 2022 )
Kupisa marwadzo kubva pajoini rakakanganiswa kupinda mumagaro, muhudyu, uye nechepamusoro pechidya kana majoini/s akakanganisika ari kuzasi musana.
Kupisa marwadzo kubva pajojo rakakanganiswa kupinda mubendekete, mutsipa, uye kumashure kwemusoro kana majoini akakanganisika ari kumusana.
Kutemwa nemusoro kana mubatanidzwa unobatwa uri mumutsipa.
Chikonzero chinowanzoitika ndeche kuderera kwezera yemajoini, inonzi spondylosis . Tsvagiridzo inoratidza kuti vanopfuura 80% yevanhu vane makore makumi mana kana kupfuura vane radiologic humbowo hwe spondylosis, kunyangwe vangave vasina zviratidzo. (Yunivhesiti yeToledo Medical Center. ND Mamiriro anotevera anogonawo kuwedzera njodzi yefacet hypertrophy (Weill Cornell Mushonga Brain & Spine Center. 2023 )
Mamiriro asina kunaka
Kunyanya kuwandisa kana kuoma
Sedentary lifestyle
Kukuvara kana kukuvadzwa kumusana
Mamiriro ekuzvimba senge rheumatoid arthritis kana ankylosing spondylitis
Osteoarthritis
Genetic predisposition kune mamiriro
Kuongororwa kunogona kuva kwakaoma kana mutsipa kana kurwadziwa shure ndiko kunyunyuta kukuru, sezvo zviratidzo zvinogona kutevedzera mamiriro ezvinhu akadai sciatica kubva kune herniated disc kana hip arthritis. (Weill Cornell Mushonga Brain & Spine Center. 2023 )
CT inoongorora ine kana isina myelogram - kushandiswa kwekusiyanisa dhayi munzvimbo yakatenderedza musana.
MRI
X-rays ine kana isina myelogram
Kuongororwa kunosimbiswa nekubaya jekiseni rekuongorora rinosanganisira kubaya jekiseni rekutindivadza, dzimwe nguva rine anti-kuzvimba senge cortisone, mujoini kana tsinga dziri pedyo nejoini rabatwa. Majekiseni maviri anopihwa panguva dzakasiyana kuratidza mhedzisiro. (Romain Perolat et al., 2018 )
Kana kukurumidza kusununguka kunovandudza mushure mejekiseni rega rega, iyo facet joint inosimbiswa senzvimbo yezviratidzo zvemarwadzo.
Kana iyo block ikasaderedza marwadzo, iyo facet yakabatana ingangove isiri iyo sosi yemarwadzo ezviratidzo. (Brigham uye Chipatara chevakadzi. 2023 )
Iko hakuna mushonga we facet hypertrophy.
Kurapa kwekutanga kunosanganisira kushandisa marapirwo anochengetedza (Romain Perolat et al., 2018 )
Massage therapy
Physical therapy kusimbisa mhasuru dzepakati uye musana.
Zviitwa zvakanangwa kubatsira kuchengetedza kuchinjika.
Chiropractic kugadzirisa kugadzirisa musana.
Healthy posture retraining.
Non-surgery mechanical decompression. Kushingirira kudzikamisa musana
Acupuncture
Nonsteroidal anti-inflammatory - aspirin, ibuprofen, naproxen.
Kuzorodza tsandanyama - cyclobenzaprine kana metaxalone.
Majekiseni eSteroid mumajoini emafacet.
Injection yeplatelet-rich plasma / PRP mumajoini.
A medial branch block inobaya anesthetic yemunharaunda pedyo nepakati tsinga dzinobatana nejoint rakatsva.
Medial nerves itsinga diki dziri kunze kwenzvimbo yakabatana pedyo netsinga inotumira masaini uye mamwe mafungiro kuuropi.
A facet block inobaya mushonga kunze kwenzvimbo yakabatana pedyo netsinga inopa mubatanidzwa unonzi medial branch.
Neurolysis, inozivikanwawo se rhizotomy kana neurotomy, inzira inoparadza tsinga dzakakanganisika kuti dzibvise marwadzo, kuderedza hurema, uye kuderedza kudiwa kweanalgesics. Kurapa uku kunogona kuderedza marwadzo kwemwedzi mitanhatu kusvika ku12 kusvikira tsinga yatangazve, uko kumwe kurapwa kungave kuri madikanwa. (Matthew Smuck et al., 2012 ) Neurolysis inogona kuitwa uchishandisa imwe yeanotevera maitiro (Romain Perolat et al., 2018 )
Radiofrequency ablation RFA - kushandiswa kwekupisa kuburikidza ne radiofrequency.Cryoneurolysis - kushandiswa kwekushisa kwechando kune yakananga tsinga.Kemikari neurolysis - kushandisa makemikari ejenti, senge musanganiswa we phenol uye doro.Kucheka tsinga nekuvhiya chiridzwa.
Kana imwe kana akawanda majoini akakuvadzwa zvakanyanya, anogona kusashanda uye kurwadza. Kuvhiya kunogona kukurudzirwa kana zviratidzo zvikasazorodzwa nemamwe marapiro. (Ali Fahir Ozer, et al., 2015 )
Facet hypertrophy chirwere chisingaperi chinofambira mberi nezera uye hachikanganisi tarisiro yehupenyu. (Weill Cornell Mushonga Brain & Spine Center. 2023 ) Chirwere chacho hachirapiki, asi zviratidzo zvinogona kugadziriswa nemishonga inochengetedza
Mutariri wehutano anogona kubatsira kugadzira chirongwa chekurapa zvichienderana nehukuru uye nzvimbo yejoini yakabatwa.
Kukurumidza kuongororwa uye kurapwa kunogona kubatsira vanhu kuwana mhedzisiro yakanaka.
Kuchengeta mararamiro anoshanda uye uremu hune hutano hunogona kubatsira kudzivirira kumwe kushushikana kwemajoini. Vanhu vanogona kukurudzirwa kuita nguva dzose kutambanudza uye kusimbisa maekisesaizi kuderedza kuzvimba, kuderedza kushushikana, nekuvandudza hutano hwese.
VIDEO
Perolat, R., Kastler, A., Nicot, B., Pellat, JM, Tahon, F., Attye, A., Heck, O., Boubagra, K., Grand, S., & Krainik, A. ( 2018). Facet Joint Syndrome: kubva pakuongororwa kusvika pakupindira manejimendi. Manzwisisiro ekufungidzira, 9(5), 773–789. doi.org/10.1007/s13244-018-0638-x
Weill Cornell Mushonga Brain & Spine Center. (2023). Zviratidzo zve facet syndrome .
Misidhari Sinai. (2022). Facet yakabatana chirwere .
Yunivhesiti yeToledo Medical Center. (ND). Spondylosis .
Weill Cornell Mushonga Brain & Spine Center. (2023). Facet syndrome .
Weill Cornell Mushonga Brain & Spine Center. (2023). Kuongorora uye kurapa facet syndrome .
Brigham uye Chipatara chevakadzi. (2023). Facet uye medial bazi blocks .
Smuck, M., Crisostomo, RA, Trivedi, K., & Agrawal, D. (2012). Kubudirira kwekutanga uye kudzokororwa kwepakati yebazi neurotomy ye zygapophysial marwadzo akabatana: kuongorora kwakarongeka. PM & R: bhuku rekukuvara, basa, uye kugadzirisa, 4 (9), 686-692. doi.org/10.1016/j.pmrj.2012.06.007
Ozer, AF, Suzer, T., Sasani, M., Oktenoglu, T., Cezayirli, P., Marandi, HJ, & Erbulut, DU (2015). Yakareruka facet yekubatanidza kugadzirisa ine dynamic pedicular system: Tekinoroji chinyorwa uye nyaya dzakatevedzana. Nyaya ye craniovertebral junction & musana, 6 (2), 65-68. doi.org/10.4103/0974-8237.156049
by Dr Alex Jimenez Injury Care , Kukuvara Kwevanhu
Kana kukuvara kwegomarara kuchiitika, kuziva zviratidzo zvinogona kubatsira mukuongororwa, kurapwa, uye nguva dzekupora?
A strain groin kukuvara kwemukati mechidya tsandanyama. A kudhonza zvidya imhando yehutachiwana hwemasumbu inobata boka remuscular adductor (mhasuru dzinobatsira kukwevera makumbo). (Parisa Sedaghati, et al., 2013 ) Kukuvara kunokonzerwa kana tsandanyama yakatambanudzwa kupfuura zvayakajairwa kufamba, zvichiita kuti misodzi ibude. Matambudziko akanyanya anogona kubvarura tsandanyama nepakati. (Parisa Sedaghati, et al., 2013 )
Kudhonzwa kwemhasuru yezvidya kunokonzera marwadzo nekupfava kunowedzera pakusvina makumbo pamwechete.
Panogonawo kunge paine kuzvimba kana mavanga mukati mezvidya kana mukati mehudyu.
Kudhonza zvidya zvisina kuoma kunotora mavhiki mana kusvika matanhatu kuti apore nekurapwa kwakanaka. (Andreas Serner, et al., 2020 )
Kudhonza groin kunogona kurwadza, kukanganisa kufamba, kufamba masitepisi, uye / kana kutyaira motokari. Pamusoro pekurwadziwa, zvimwe zviratidzo zvakapoteredza nzvimbo yakakuvara zvinosanganisira: (Parisa Sedaghati et al., 2013 )
Ruzha rwekubuda kana kurira kwekunzwa kana kukuvara kuchiitika.
Kuwedzera kurwadziwa pakukwevera makumbo pamwe chete.
Rufu
Kuzvimba
Kupwanya kwechidya kana mukati mehudyu.
Groin inodhonza inoiswa graded nekuomarara uye kuti yakawanda sei inokanganisa kufamba:
Kusagadzikana kwakapfava asi hazvina kukwana kudzikamisa mabasa.
Kusagadzikana kuri pakati nepakati nekuzvimba kana maronda anoganhura kumhanya uye/kana kusvetuka.
Kukuvara kwakanyanya nekuzvimba kukuru uye mavanga kunogona kukonzera marwadzo paunenge uchifamba uye mhasuru.
Kuoma kufamba
Kurwadza kwegoro paugere kana kuzorora
Kurwadza kwegororo usiku
Mutariri wehutano anofanirwa kuona kudhonza kwakanyanya kwegomba nekuti mhasuru inogona kunge yakatsemuka kana kuti iri padhuze nekuputika.
Muzviitiko zvakakomba, kuvhiyiwa kunodiwa kuti ubatanidzezve migumo yakabvaruka.
Chimiro chinodhonza ndizvo dzimwe nguva inoperekedzwa nekuputsika kwekunetseka kwepubis / kumberi-kwakatarisana nemapfupa epelvic , iyo inogona kuwedzera zvakanyanya kupora uye kupora nguva. (Parisa Sedaghati et al., 2013 )
Groin pulls inowanzoonekwa nevatambi uye vanhu vanotamba mitambo apo vanofanira kumira uye kuchinja mazano nokukurumidza, vachiisa kunyanya kunetseka pamisungo ye-adductor. (Parisa Sedaghati et al., 2013 ) Ngozi inowedzerwa muvanhu vano: (T. Sean Lynch et al., 2017 )
Iva nemasimba asina simba ehudyu abductor.
Havasi muhutano hwakakwana.
Iva nekukuvara kwekare kana chiuno.
Kudhonza kunogonawo kuitika kubva pakudonha kana zviitiko zvakanyanyisa pasina mamiriro akakodzera.
Mutariri wehutano achaita ongororo yakakwana kuti asimbise kuongororwa uye kuratidza kuomarara. Izvi zvinosanganisira: (Juan C. Suarez et al., 2013 )
Izvi zvinosanganisira chero kukuvara kwekare uye zvakananga nezve kupi uye riini zviratidzo zvakatanga.
Izvi zvinosanganisira kupuruzira - kubata-bata zvishoma uye kudzvanya nharaunda yegodzi uye kushandisa gumbo kuti unzwisise zviri nani kuti kukuvara kwacho kwakakura kupi uye kwakakura sei.
Ultrasound kana X-rays.
Kana tsandanyama kuputika kana kuputsika kuchifungidzirwa, MRI scan inogona kurairwa kuti ione kukuvara kwenyama yakapfava uye kutsemuka kwekunetseka zviri nani.
Mamwe mamiriro anogona kutevedzera kudhonza kwegoriro uye zvinoda kurapwa kwakasiyana. Izvi zvinosanganisira: (Juan C. Suarez, nevamwe, 2013 )
Iyi mhando ye inguinal hernia zvinoitika nemitambo uye kukuvara kwebasa.
Zvinokonzera kuti chikamu cheura chipfure nepamusana usina simba mugodzi.
Uku ndiko kubvaruka mumhete ye cartilage ye labrum kunze kwemupendero wehudyu joint socket.
Iyi ndiyo nzira yekupfeka-uye-kubvarura yeArthritis inogona kuunza nezviratidzo zvemarwadzo ekugomera.
Uku ndiko kuzvimba kwepubic joint uye zvimiro zvakatenderedza, kazhinji zvinokonzerwa nekunyanyisa kwehudyu nemhasuru dzemakumbo.
Kurwadza kwetsinga uku kunotangira kuzasi kumashure, kazhinji nekuda kwetsinga yakatsikirirwa, asi inonzwika mugodhi.
Kutanga kurapwa kunochengetedza uye kunosanganisira kuzorora, kushandisa ice, kurapwa kwemuviri, uye kunyorerwa kutambanudza zvinyoro uye kurovedza muviri.
Vanhu vangada madondoro kana chigadziriso chekufamba kuti vaderedze marwadzo uye kudzivirira kumwe kukuvara kana marwadzo akakosha. (Andreas Serner, et al., 2020 )
Kurapa kwepanyama kuchava chikamu chechirongwa chekurapa.
Over-the-counter pain pains seTylenol/acetaminophen kana Advil/ibuprofen inogona kubatsira nekurwadziwa kwenguva pfupi.
Kana pane kurwadziwa kwakanyanya kubva pakukuvara kwegiredhi 3, mishonga yemishonga inogona kushandiswa kwenguva pfupi kuti ibatsire kuderedza marwadzo. (Andreas Serner, et al., 2020 )
Kuvhiya hakuwanzodikanwa. (Andreas Serner, et al., 2020 )
Nguva dzekupora dzinogona kusiyana zvichienderana nekuoma kwekukuvara uye chimiro chemuviri pamberi pekukuvara.
Kukuvara kwakawanda kuchapora mukati memavhiki mana kusvika matanhatu nekuzorora uye kurapwa kwakakodzera.
Kuomarara kwezvidya kunogona kutora kusvika mavhiki gumi nemaviri kana kupfuura kana kuvhiyiwa kuchibatanidzwa. (Andreas Serner, et al., 2020 )
VIDEO
Sedaghati, P., Alizadeh, MH, Shirzad, E., & Ardjmand, A. (2013). Ongororo yekukuvara kwemitambo-induced groin. Trauma pamwedzi, 18(3), 107–112. doi.org/10.5812/traumamon.12666
Serner, A., Weir, A., Tol, JL, Thorborg, K., Lanzinger, S., Otten, R., & Hölmich, P. (2020). Dzokera kuMutambo Mushure meCriteria-Yakavakirwa Rehabilitation yeAcute Adductor Kukuvara muVatambi Vechirume: A Anotarisira Cohort Kudzidza. Orthopedic magazini yemishonga yemitambo, 8 (1), 2325967119897247. doi.org/10.1177/2325967119897247
Lynch, TS, Bedi, A., & Larson, CM (2017). Athletic Hip Kukuvara. The Journal of the American Academy of Orthopedic Surgeons, 25 (4), 269-279. doi.org/10.5435/JAAOS-D-16-00171
Suarez, JC, Ely, EE, Mutnal, AB, Figueroa, NM, Klika, AK, Patel, PD, & Barsoum, WK (2013). Yakakwana nzira yekuongororwa kwemarwadzo ekugomera. The Journal of the American Academy of Orthopedic Surgeons, 21 (9), 558-570. doi.org/10.5435/JAAOS-21-09-558
by Dr Alex Jimenez Hip Pain & Dambudziko , Mitambo Injodzi
Vatambi uye vanhu vakagwinya vanotora chikamu mumitambo, maekisesaizi, uye mitambo inosanganisira kukava, kutenderera, uye/kana kushandura mafambiro vanogona kukudziridza pelvis yakanyanyisa kukuvara kwe pubic symphysis/join kumberi kwepelvis inozivikanwa se osteitis pubis. Kuziva zviratidzo uye zvinokonzera rubatsiro mukurapa nekudzivirira?
Osteitis pubis ndiko kuzvimba kwejoinhi rinobatanidza mapfupa epelvic, rinonzi pelvic symphysis, uye zvimiro zvakaripoteredza. The pubic symphysis ijoint pamberi nepasi pedundira. Inobata mativi maviri emboro pamwe chete kumberi. Iyo pubis symphysis ine zvishoma zvishoma kufamba, asi kana kusagadzikana kana kuenderera mberi kunetseka kunoiswa pajoinhi, groin uye kurwadziwa kwepelvic kunogona kuratidza. Kukuvara kwe osteitis pubis kunowanzo kuvadza zvakanyanya muvanhu vakagwinya uye vatambi asi zvinogonawo kuitika semhedzisiro yekukuvara kwemuviri, nhumbu, uye / kana kuzvara mwana.
Chiratidzo chinonyanyozivikanwa marwadzo pamusoro pepamberi pechiuno. Marwadzo anowanzonzwika pakati, asi rimwe divi rinogona kurwadza kupfuura rimwe. Marwadzo acho anowanzo penya / anopararira kunze. Zvimwe zviratidzo nezviratidzo zvinosanganisira: (VaPatrick Gomella, VaPatrick Mufarrij. 2017 )
Kurwadza kwepazasi kwedumbu pakati pechiuno
Limping
Hip uye / kana gumbo kupera simba
Kuoma kukwira matanho
Marwadzo kana uchifamba, uchimhanya, uye/kana uchichinja nzira
Kudzvanya kana kubuda ruzha nekufamba kana pakuchinja mafambiro
Marwadzo kana akarara pasi nedivi
Marwadzo pakuhotsira kana kukosora
Osteitis pubis inogona kuvhiringika nekumwe kukuvadzwa, kusanganisira groin strain / groin pull, a direct inguinal hernia, ilioinguinal neuralgia, kana kuputsika kwepelvic stress.
Osteitis pubis kukuvara kunowanzoitika apo symphysis joint inoratidzirwa kune yakawandisa, inoenderera mberi, inotungamira kushungurudzika uye kushandiswa zvakanyanya kwehudyu nemakumbo emakumbo. Zvikonzero zvinosanganisira: (VaPatrick Gomella, VaPatrick Mufarrij. 2017 )
Mabasa emutambo
Kuratidza
Mimba uye kubereka mwana
Kukuvara kwePelvic sekudonha kwakanyanya
Kukuvara kunowanikwa zvichienderana nekuongorora kwepanyama uye kuongororwa kwekufungidzira. Mimwe bvunzo inogona kushandiswa kutonga kunze kwezvimwe zvinokonzeresa.
Kuongororwa kwemuviri kunosanganisira kushandura hudyu kuti uise kushushikana pane rectus abdominis trunk muscle uye adductor chidya tsandanyama mapoka.
Marwadzo panguva yekushandiswa chiratidzo chinowanzoitika chemamiriro acho.
Vanhu vanogona kukumbirwa kufamba kuti vatarise zvisizvo mumatanho ekufamba kana kuona kana zviratidzo zvichiitika nemamwe mafambiro.
X-rays inowanzoratidza kusawirirana kwejoints pamwe nesclerosis / thickening ye pubic symphysis.
Magnetic resonance imaging - MRI inogona kuratidza kubatana uye kutenderedza pfupa kuzvimba.
Zvimwe zviitiko hazvizoratidze zviratidzo zvekukuvara pa X-ray kana MRI.
Kurapa kunoshanda kunogona kutora mwedzi yakawanda kana kupfuura. Nekuti kuzvimba ndicho chikonzero chinokonzera zviratidzo, kurapwa kunowanzo kusanganisira: (Tricia Beatty. 2012 )
Inobvumira kupisa kwakanyanya kuderera.
Panguva yekupora, kurara kumusana kunogona kukurudzirwa kuderedza marwadzo.
Ice packs inobatsira kuderedza kuzvimba.
Kupisa kunobatsira kurerutsa marwadzo mushure mekunge kuzvimba kwekutanga kwadzika.
Over-the-counter nonsteroidal anti-inflammatory drugs - NSAIDs senge ibuprofen uye naproxen inogona kuderedza marwadzo uye kuzvimba.
Kana zviratidzo zvakanyanya, madondoro kana tsvimbo inogona kukurudzirwa kuderedza kushushikana pane pelvis .
Pakave nekuedza kurapa mamiriro nemajekiseni e-cortisone, asi humbowo hunotsigira kushandiswa kwayo hushoma uye hunoda kumwe kutsvakurudza. (Alessio Giai Via, et al., 2019 )
Kana yangoonekwa, kufungidzira kwekupora kuzere kwakanaka asi kunogona kutora nguva. Zvinogona kutora vamwe vanhu mwedzi mitanhatu kana kupfuura kuti vadzokere kune pre-kukuvara danho rekushanda, asi vazhinji vanodzoka mushure memwedzi mitatu. Kana kurapwa kwechinyakare kukatadza kupa zororo mushure memwedzi mitanhatu, kuvhiyiwa kunogona kukurudzirwa. (Michael Dirkx, Christopher Vitale. 2023 )
VIDEO
Gomella, P., & Mufarrij, P. (2017). Osteitis pubis: Chikonzero chisingawaniki chekurwadziwa kwe suprapubic. Ongororo muurology, 19 (3), 156-163. doi.org/10.3909/riu0767
Beatty T. (2012). Osteitis pubis muvatambi. Mishumo yezvino yemishonga yemitambo, 11 (2), 96-98. doi.org/10.1249/JSR.0b013e318249c32b
Via, AG, Frizziero, A., Finotti, P., Oliva, F., Randelli, F., & Maffulli, N. (2018). Kutungamirirwa kwe osteitis pubis muvatambi: kugadziriswa uye kudzokera kukudzidzira - kuongororwa kwezvinyorwa zvemazuva ano. Vhura bhuku rekushandisa remishonga yemitambo, 10, 1-10. doi.org/10.2147/OAJSM.S155077
Dirkx M, Vitale C. Osteitis Pubis. [Yakavandudzwa 2022 Zvita 11]. Mu: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Inowanikwa kubva: www.yori.nlm.nih.gov/books/NBK556168/
by Dr Alex Jimenez Detoxification , Mishonga Inobatanidza
Kune vanhu vanorwara neallergies, kushandisa acupuncture kunogona kubatsira kudzoreredza uye kugadzirisa zviratidzo?
Acupuncture iri kuita inoremekedzwa imwe nzira yekurapa kune dzakasiyana siyana nyaya dzekurapa, kubva pakufunganya kusvika kune fibromyalgia kusvika pakuonda. Pane humbowo hwekuti acupuncture inogona kubatsira neallergies nekuderedza zviratidzo nekuvandudza hupenyu. (Shaoyan Feng, et al., 2015 ) The American Academy yeOtolaryngology-Musoro uye Neck Surgery Foundation inokurudzira vanachiremba kuti vape acupuncture kuvarwere vari kutsvaga marapirwo asiri emishonga kune avo allergies kana kuvaendesa kune acupuncturist. (Michael D. Seidman, et al., 2015 )
Acupuncture itsika yechiChinese mushonga/TCM tsika umo tsono dzakatetepa zvakanyanya dzinoiswa mumuviri panguva dzakatarwa, dzichigadzira network yenzira dzesimba dzinozivikanwa semeridians.
Idzi nzira dzinotenderera hupenyu hwakakosha simba / chi kana qi.
Imwe neimwe meridian inosanganiswa neyakasiyana system system.
Tsono dzinoiswa kunanga nhengo dzine chekuita nechirwere chiri kurapwa.
Acupuncture inogona kubatsira neallergies nekutarisa akati wandei meridians, kusanganisira mapapu, colon, dumbu, uye spleen. Aya mameridians anotendwa kuti anotenderedza hupenyu hwekudzivirira simba kana rudzi rwesimba rekudzivirira.
Kudzoreredzwa kwesimba rekudzivirira kana kushomeka kunogona kukonzera allergy zviratidzo sekuzvimba, maziso ane mvura, mhino inomhanya, kuhotsira, allergic eczema, uye conjunctivitis. (Bettina Hauswald, Yury M. Yarin. 2014 )
Chinangwa ndechekusimudzira mapoinzi kudzoreredza mwero musimba uye kubvisa zviratidzo.
Imwe dzidziso ndeye tsono dzinoshanda zvakananga patsinga dzetsinga, dzichipesvedzera mameseji kuuropi kana iyo autonomic nerve system uye kutapurirana kwezviratidzo mukati memuviri, kusanganisira immune system. (Tony Y. Chon, Mark C. Lee. 2013 )
Imwe idzo tsono dzinopesvedzera zvimwe zviitiko zvemasero, kunyanya kutakura, kuparara, uye kucheneswa kwevamiriri vebioactive.
Iko kusanganiswa kwezviito izvi kunofungidzirwa kuti kunoderedza kuzvimba senge allergic rhinitis - hay fever, iyo mukati memhino inozvimba nekuzvimba mushure mekufema mumhepo. (Bettina Hauswald, Yury M. Yarin. 2014 )
Ongororo ya2015 yakagumisa kuti kwave nemhando yepamusoro-soro yakadzorwa miedzo inoratidza kugona kweacupuncture mukurapa mwaka uye perennial allergic rhinitis. Zvidzidzo zvidiki zvakaratidza mamwe mabhenefiti ekutanga eacupuncture kana zvichienzaniswa ne antihistamines, asi kutsvagisa kwakawanda kunodiwa. (Malcolm B. Taw, et al., 2015 )
Vamwe vanhu vanosarudza acupuncture vari kutsvaga dzimwe nzira dzekurapa kwakajairwa senge mishonga, sprays nasal, uye immunotherapy.
Vamwe vari kutsvaga nzira dzekuwedzera kushanda kwemishonga yatove kutorwa, yakadai sema antihistamines kana kuti pfapfaidzo yemhino, kana kupfupisa kuti inodiwa kwenguva yakareba sei kana kuti kakawanda sei.
Kurapa kwekutanga kunowanzobatanidza kugadzwa kwevhiki kana kaviri-pasvondo kwemavhiki kana mwedzi yakati wandei, zvichienderana nekuoma kwechiratidzo.
Izvi zvinogona kuteverwa nemishonga yegore negore kana kuti pazvinenge zvichidiwa. (American Academy yeMedical Acupuncture. 2020 )
Nyika zhinji dzinoda rezinesi, chitupa, kana kunyoresa kudzidzira acupuncture, asi izvi zvinosiyana kubva mudunhu nenyika.
Recommendations ndeye murapi anosimbiswa ne National Certification Commission yeAcupuncture uye Oriental Medicine .
Chiremba anopa acupuncture.
The American Academy yeMedical Acupuncture ine runyoro rwevaacupuncturists vari zvakare vanachiremba vekurapa.
tsono dzeacupuncture dzisina kubatwa zvakanaka dzinogona kukonzera mhedzisiro yakaipa kubva kuhutachiona, nhengo dzakaboorwa, mapapu akadonha, uye kukuvara kunheyo yepakati. (National Center for Complementary uye Integrative Health. 2022 ) Usati waedza acupuncture, bvunza mutarisiri wako wekutanga wehutano, allergist, kana nyanzvi yemishonga yekubatanidza kuti uve nechokwadi chekuti isarudzo yakachengeteka uye inoshanda uye nzira yakanakisa yekuibatanidza mune yakazara. allergy kutarisira.
VIDEO
Feng, S., Han, M., Fan, Y., Yang, G., Liao, Z., Liao, W., & Li, H. (2015). Acupuncture yekurapa kweallergic rhinitis: kuongororwa kwakarongeka uye meta-analysis. American Journal of rhinology & allergies, 29 (1), 57-62. doi.org/10.2500/ajra.2015.29.4116
Seidman, MD, Gurgel, RK, Lin, SY, Schwartz, SR, Baroody, FM, Bonner, JR, Dawson, DE, Dykewicz, MS, Hackell, JM, Han, JK, Ishman, SL, Krouse, HJ, Malekzadeh, S., Mims, JW, Omole, FS, Reddy, WD, Wallace, DV, Walsh, SA, Warren, BE, Wilson, MN, … Guideline Otolaryngology Development Group. AAO-HNSF (2015). Clinical practice guideline: Allergic rhinitis. Otolaryngology-kuvhiyiwa kwemusoro nemutsipa: chinyorwa chepamutemo cheAmerican Academy yeOtolaryngology-Musoro uye Neck Surgery, 152 (1 Suppl), S1-S43. doi.org/10.1177/0194599814561600
Hauswald, B., & Yarin, YM (2014). Acupuncture mu allergic rhinitis: A Mini-Ongororo. Allergo journal international, 23(4), 115–119. doi.org/10.1007/s40629-014-0015-3
Chon, TY, & Lee, MC (2013). Acupuncture. Mayo Clinic maitiro, 88 (10), 1141-1146. doi.org/10.1016/j.mayocp.2013.06.009
Taw, MB, Reddy, WD, Omole, FS, & Seidman, MD (2015). Acupuncture uye allergic rhinitis. Ikozvino maonero mune otolaryngology & kuvhiyiwa kwemusoro nemutsipa, 23 (3), 216-220. doi.org/10.1097/MOO.0000000000000161
American Academy yeMedical Acupuncture. (2020). Acupuncture uye Mwaka Allergies .
National Center for Complementary uye Integrative Health. (2022). Acupuncture: Zvaunoda Kuziva .
by Dr Alex Jimenez Functional Medicine , Gastro Intestinal Health , Viscerosomatic Reflex
Vanhu vane dambudziko rekugaya izvo zvisingakwanisi kuonekwa vanogona kunge vari kusangana nekushanda kwegastrointestinal kusagadzikana. Kunzwisisa marudzi kungabatsira here kugadzira zvirongwa zvekurapa zvinoshanda?
Kushanda gastrointestinal kusagadzikana, kana FGDs , ihosha dzegadziriro yekugaya umo kuvapo kwechimiro kana matishu abnormality kusingagoni kutsanangura zviratidzo. Inoshanda gastrointestinal kusagadzikana inoshaya zvinozivikanwa biomarkers uye inoongororwa zvichienderana nezviratidzo. (Christopher J. Black, et al., 2020 )
FGDs dzakashandisa kuongororwa kwekusabatanidzwa, zvichireva kuti vaigona kungoonekwa mushure mekunge organic / identifiable chirwere chabviswa. Zvisinei, muna 1988, boka revatsvakurudzi nevarapi vehutano vakasangana kuti vagadzire nzira dzakasimba dzekuongororwa kwemhando dzakasiyana dzeFGDs. Iyo nzira inozivikanwa seRome Criteria. (Max J. Schmulson, Douglas A. Drossman. 2017 )
Rondedzero yakazara sezvakatsanangurwa neRome III maitiro (Ami D. Sperber et al., 2021 )
Kushanda chirungurira
Kushanda kurwadziwa kwechipfuva kunofungidzirwa kuve kwesophageal kwakabva
Kushanda dysphagia
Globus
Kubheuka kwakanyanya kusingazivikanwe
Functional dyspepsia - inosanganisira postprandial distress syndrome uye epigastric pain syndrome.
Chronic idiopathic nausea
aerophagia
Kushanda kurutsa
Cyclic vomiting syndrome
Rumination syndrome muvanhu vakuru
Irritable bowel syndrome - IBS
Functional constipation
Manyoka anoshanda
Kusatariswa kunoshanda bowel kusagadzikana
Kushanda marwadzo emudumbu - FAP
Functional gallbladder disorder
Inoshanda biliary Sphincter yeOddi disorder
Inoshanda pancreatic Sphincter yeOddi kusagadzikana
Kushanda fecal incontinence
Functional Anorectal Pain - inosanganisira chronic proctalgia, Levator ani syndrome, isina kutaurwa inoshanda anorectal pain, uye proctalgia fugax.
Functional Defecation Disorders - inosanganisira dyssynergic defecation uye isina kukwana defecatory propulsion.
Mucheche/Mucheche (Jeffrey S. Hyams et al., 2016 )
Mucheche colic
Functional constipation
Manyoka anoshanda
Cyclic vomiting syndrome
Kuchenesa vacheche
Infant rumination syndrome
Mucheche dyschezia
Mwana/Adolescent
Kurutsa uye Aerophagia - cyclic vomiting syndrome, adolescent rumination syndrome, uye aerophagia.
Abdominal Pain-Related Functional GI Disorders dzinosanganisira:
kushanda dyspepsia
IBS
Abdominal migraine
Childhood functional abdominal kurwadziwa
Childhood functional abdominal pain syndrome
Constipation - functional constipation
Incontinence - kusagadzikana kwefecal incontinence
Kunyangwe maitiro eRome achibvumira kuongororwa kweFGDs kuve-chiratidzo-kwakavakirwa, mupi wehutano anogona achiri kumhanyisa bvunzo dzekuongorora kuti abvise zvimwe zvirwere kana kutsvaga matambudziko emugadzirirwo anokonzeresa zviratidzo.
Kunyangwe pasina zviratidzo zvinooneka zvechirwere kana matambudziko emugadzirirwo angaonekwa sekukonzera zviratidzo, hazvireve kuti hazvisi izvo. zvinorapika uye zvinogoneka . Kune vanhu vanofungidzira kuti vanogona kunge vaine kana kuti vakaonekwa vaine chirwere chemudumbu chinoshanda, zvichave zvakakosha kushanda nemupi wehutano pachirongwa chekurapa chinoshanda. Nzira dzekurapa dzinogona kusanganisira: (Asma Fikree, Peter Byrne. 2021 )
Physical therapy
Kugadziriswa kwezvokudya uye kudya
Kushungurudzika mupfungwa
Psychotherapy
Mishonga
Biofeedback
VIDEO
Dema, CJ, Drossman, DA, Talley, NJ, Ruddy, J., & Ford, AC (2020). Inoshanda gastrointestinal kusagadzikana: kufambira mberi mukunzwisisa uye manejimendi. Lancet (London, England), 396(10263), 1664–1674. doi.org/10.1016/S0140-6736(20)32115-2
Schmulson, MJ, & Drossman, DA (2017). Chii Chitsva muRoma IV. Nyaya ye neurogastroenterology uye motility, 23 (2), 151-163. doi.org/10.5056/jnm16214
Sperber, AD, Bangdiwala, SI, Drossman, DA, Ghoshal, UC, Simren, M., Tack, J., Whitehead, WE, Dumitrascu, DL, Fang, X., Fukudo, S., Kellow, J., Okeke , E., Quigley, EMM, Schmulson, M., Whorwell, P., Archampong, T., Adibi, P., Andresen, V., Benninga, MA, Bonaz, B., … Palsson, OS (2021). Kuwanda Kwepasirese uye Kuremerwa kweInoshanda Gastrointestinal Disorders, Zvabuda zveRome Foundation Global Study. Gastroenterology, 160 (1), 99-114.e3. doi.org/10.1053/j.gastro.2020.04.014
Hyams, JS, Di Lorenzo, C., Saps, M., Shulman, RJ, Staiano, A., & van Tilburg, M. (2016). Functional Disorders: Vana uye Vachiri Kuyaruka. Gastroenterology, S0016-5085(16)00181-5. Advance online kudhindwa. doi.org/10.1053/j.gastro.2016.02.015
Fikree, A., & Byrne, P. (2021). Kutungamirirwa kwehutano hwehutano hwemimba. Mishonga yekiriniki (London, England), 21 (1), 44-52. doi.org/10.7861/clinmed.2020-0980
by Dr Alex Jimenez Chiropractic , Kufamba & Kuchinja
Kune vanhu vane zviratidzo zvekurwadziwa kwepelvis uye matambudziko anosanganisirwa, kubatanidza pelvic floor physiotherapy kurovedza muviri kunobatsira nekurapa nekudzivirira?
Mitsipa yepelvic iri pazasi pepelvis uye inodzivirira nhengo dzepelvic semukadzi, cervix, chibereko, dundira, urethra, uye rectum. (US Food and Drug Administration. 2019 )
Ivo vanopa posture rutsigiro, rubatsiro mu orgasm basa, kufambisa sphincter basa, uye kubatsira kupomba lymphatic ropa. (Dulcegleika Vilas Boas Sartori, et al., 2021 ) (Varuna Raizada, Ravinder K. Mittal. 2008 )
Kana tsandanyama dzatadza kushanda nemazvo, vanhu vanogona kuona zviratidzo zvakaita se:
Kusangana kunorwadza
Prolapse - apo nhengo kana matishu inodonha kana kusuduruka kubva panzvimbo.
Urinary incontinence
Matambudziko ekuzvimbirwa
Mamiriro aya anowanikwa kune vanhu vane pamuviri kana vakadzi vakuru.
Zviratidzo izvi zvinogona kurapwa nepelvic floor physical therapy kuderedza kusagadzikana. Pelvic floor physical therapy inogona kubatsira vakadzi nevanhu vane vaginas:
Rerutsira nyaya dzakaita senge kurwadza kwebonde, kubuda weti, uye prolapse.
Mukurapa kwemuviri, vanhu vanoshanda pakufema, kuzorora, uye kurebesa uye kusimbisa nzira dzekudzidzisa mhasuru dzavo kuti dzishande zvakanaka.
Kusashanda zvakanaka kwePelvic floor kunowanzoitika nezera, panguva yekuzvitakura, kana mukubatana nezviitiko zvakaita senge postpartum period uye menopause, izvo zvinogona kuderedza mazinga ehomoni.
Vanhu vane pamuviri vanonyanya kunetseka nenyaya dzepelvic floor asi vangasaziva kuti vane dambudziko.
Huremu hwepamuviri hwechibereko hunogona kumanikidza uye kushungurudza mhasuru.
Kusununguka kwemukadzi kunogonawo kutambanudza kana kuderedza mhasuru. (Ilaria Soave, et al., 2019 )
Zviratidzo zvinogona kusanganisira: (Columbia Surgery. 2022 )
Marwadzo munharaunda yepelvis
Kutambudzika shure
Kunorwadza weti
Constipation
Urinary leakage kana incontinence
Kubuda kwetsvina kana kusagadzikana
Kusangana kunorwadza
Kana zvikasarapwa, zviratidzo izvi zvinogona kuwedzera nekufamba kwenguva.
Munhu anosangana nenyanzvi kuti vakurukure zviratidzo uye kuongororwa muviri kunosanganisira:
Kuongororwa kwePelvic floor.
Kuongororwa kwechimiro, kufamba, uye simba repakati.
Kana bvunzo dzekutanga nekuongororwa kwapera, murapi anoenda pamusoro pezviitwa zvepelvic pasi uye nekupa chirongwa chekurapa.
Maekisesaizi anokurudzirwa anosiyana zvichienderana nezviratidzo asi tarisa pakuzorora, kutambanudza, uye/kana kusimbisa tsandanyama.
Kuzorodza tsandanyama, murapi angakurudzira maekisesaizi ekufema.
Kune vanhu vane pamuviri, izvi zvinoreva kuronga nguva yekufema nemacontractions.
Kune vanhu vari kusangana nekuvhara, maekisesaizi ekufema anogona kubatsira muviri kuzorora uye kuderedza kushushikana.
Kutambanudza kunogona kubatsira kubvisa kusimba kwemhasuru uye kuoma.
Murapi anogona kubatsira kutambanudza pelvic pasi kuburikidza nenzira dzakasiyana dzekurapa.
Rudzi urwu rwekurapa kwemuviri runogona kubatsira kusunungura mhasuru dzakasimba kana kubatsira zvinyoro nyoro kudzoreredza nhengo dzakabviswa panzvimbo.
Mushure mekunge pelvic pasi yasununguka uye yakasununguka, iyo inotarisisa inowanzochinja pakusimbisa mhasuru.
Basa resimba rinogona kunanga mhasuru dzemudumbu kana tsandanyama dzepelvic pachadzo.
Nenguva, kuzvipira, uye kurapwa kwakanangwa, vanhu vanogona kushandisa pelvic pasi kurapa kwemuviri kusunungura matishu, kusimbisa mhasuru, uye. kudzorera basa .
VIDEO
US Food and Drug Administration. (2019). Pelvic organ prolapse (pop) .
Sartori, DVB, Kawano, PR, Yamamoto, HA, Guerra, R., Pajolli, PR, & Amaro, JL (2021). Simba retsandanyama yepelvic rinoenderana nekuita zvepabonde. Kuongorora uye kliniki urology, 62 (1), 79-84. doi.org/10.4111/icu.20190248
Raizada, V., & Mittal, RK (2008). Pelvic floor anatomy uye inoshandiswa physiology. Gastroenterology makiriniki eNorth America, 37(3), 493–vii. doi.org/10.1016/j.gtc.2008.06.003
Soave, I., Scarani, S., Mallozzi, M., Nobili, F., Marci, R., & Caserta, D. (2019). Pelvic floor muscle kudzidziswa kudzivirira uye kurapwa kweurinary incontinence panguva yekuzvitakura uye mushure mekusununguka uye maitiro ayo paurinary system uye zvimiro zvinotsigira zvinoongororwa nechinangwa chekuyera nzira. Zvinyorwa zveGynecology uye Obstetrics, 299 (3), 609-623. doi.org/10.1007/s00404-018-5036-6
Columbia Surgery. (2022). Pelvic floor kusagadzikana: mibvunzo inowanzo bvunzwa .
