by Dr Alex Jimenez Kukanganiswa kwakakomba , Injury Care
Vanhu vanotambura nechigunwe chakamisikidzwa: Kuziva zviratidzo nezviratidzo zvemunwe usina kutyoka kana kubviswa zvinobvumira kurapwa kumba uye nguva yekuona mupi wehutano?
Chigunwe chakajairirwa, chinozivikanwawo sechigunwe chakatsemuka, kukuvara kunowanzoitika kana muromo wemunwe ukasundirwa kuruoko zvine simba, zvichiita kuti chibatanidza chiomerwe. Izvi zvinogona kukonzera marwadzo uye kuzvimba mune imwe kana kupfuura zvigunwe kana majoini emunwe uye kukonzera ligaments kutambanudza, kuputika, kana kubvarura. (American Society for Surgery of the Hand. 2015 ) Chigunwe chakajairirwa chinowanzopora nechando, kuzorora, uye kutepa. Izvi zvinowanzokwana kuti zvibvumire kupora muvhiki kana maviri kana pasina mafractures kana dislocation aripo. (Carruthers, KH et al., 2016 ) Kunyange ichirwadza, inofanira kukwanisa kufamba. Zvisinei, kana chigunwe chisingakwanisi kuzununguka, chinogona kutyoka kana kutsemuka uye chinoda X-rays, sezvo chigunwe chakatyoka kana kutsemuka kwemajoini kunogona kutora mwedzi kuti apore.
Kurapa kunosanganisira icing, kuyedzwa, kutepa, kuzorora, kuona chiropractor kana osteopath, uye kufambira mberi kwekushandisa nguva nenguva kuti uwanezve simba uye kugona.
Danho rekutanga kupinza kukuvara nekuichengeta yakakwira.
Shandisa ice pack kana bhegi remiriwo yakaoma yakaputirwa netauro.
Isai chigunwe mukati memaminitsi gumi nemashanu.
Bvisa chando uye mirira kusvikira chigunwe chadzokera kune yakajairika tembiricha usati waisazve icing.
Usaite ice chigunwe chakajamirwa kweanopfuura matatu maminetsi gumi nemashanu muawa imwe chete.
Kana munwe wakajamirwa usingafambi nyore kana kuti kurwadziwa kunowedzera paunenge uchiedza kuifambisa, unoda kuona mupi wehutano uye une X-ray kutarisa kuputsika kwepfupa kana kuparadzaniswa. (American Society for Surgery of the Hand. 2015 )
Edza kutamisa munwe zvishoma mushure mekuputika, uye kurwadziwa kunopera.
Kana kukuvara kuri kunyoro, munwe unofanirwa kufamba nekusagadzikana kudiki kwenguva pfupi.
Kana chigunwe chakakanyiwa chisina kutyoka kana kutsemuka, chinogona kusungirirwa kumunwe uri padivi pacho kuti usafambe, unozivikanwa sebuddy taping. (Won SH et al., 2014 )
Medical-giredhi tepi uye gauze pakati peminwe inofanira kushandiswa kudzivirira mablister uye unyoro paunenge uchipora.
Mumwe murapi wezvehutano anogona kupa zano rekuti chigunwe chisungirirwe kuti chigunwe chakamira chakabatana nemimwe minwe.
A splint inogonawo kubatsira kudzivirira chigunwe chakamira kubva pakukuvara zvakare.
Chigunwe chakamisikidzwa chinofanira kuchengetedzwa chichiri kupora pakutanga, asi pakupedzisira, chinoda kufamba uye kuchinjika kuvaka simba uye kushanduka.
Targeted physical therapy exercises inogona kubatsira pakupora.
Mutariri wepamusoro anogona kukwanisa kutumira murapi wepanyama kuti ave nechokwadi chekuti chigunwe chine hutano hwekufamba uye kutenderera pazvinopora.
Chiropractor kana osteopath inogonawo kupa mazano ekubatsira kugadzirisa chigunwe, ruoko, uye ruoko kune zvakajairika basa.
Zvichienderana nekuwanda kwekukuvara, munwe uye ruoko zvinogona kurwadza uye kuzvimba kwemazuva mashoma kana mavhiki.
Zvinogona kutora nguva kuti utange kunzwa zvakanaka.
Kana kupora kwatanga, vanhu vanozoda kudzoka pakuishandisa zvakajairika.
Kudzivisa kushandisa jammed chigunwe ichaita kuti ishaye simba, iyo inogona, nekufamba kwenguva, ichiwedzera simba uye kuwedzera njodzi yekukuvara zvakare.
Kana marwadzo uye kuzvimba zvikaramba zviripo, ona mutarisiri wehutano kuti atariswe kuti angangotyoka, kutsemuka, kana kumwe kunetsa nekukurumidza, sezvo kukuvara uku kwakaoma kurapa kana munhu akamirira kwenguva refu. (Yunivhesiti yeUtah Hutano, 2021 )
PaInjury Medical Chiropractic uye Functional Medicine Clinic, isu tinonyanya kutarisa pakurapa kukuvara kwevarwere uye kusingaperi kurwadziwa syndromes uye kuvandudza kugona kuburikidza nekuchinjika, kufamba, uye agility zvirongwa zvinoenderana nemunhu. Vapeji vedu vanoshandisa nzira yakabatanidzwa kugadzira zvirongwa zvekuchengetedza zvemunhu zvinosanganisira Functional Medicine, Acupuncture, Electro-Acupuncture, uye Sports Medicine protocol. Chinangwa chedu ndechekubvisa marwadzo nemasikirwo nekudzorera hutano uye kushanda kumuviri. Kana munhu wacho achida kumwe kurapwa, anozoendeswa kukiriniki kana chiremba anonyatsovakodzera. Dr. Jimenez akabatana nevarapi vepamusoro, nyanzvi dzemakiriniki, vatsvakurudzi vezvokurapa, uye vatapi vekutanga vekugadzirisa kuti vape mishonga inobatsira zvikuru.
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American Society for Surgery of the Hand. (2015). Jammed chigunwe. www.assh.org/handcare/condition/jammed-finger
Carruthers, KH, Skie, M., & Jain, M. (2016). Jam Kukuvara kweChigunwe: Kuongororwa uye Kutungamirirwa Kwekukuvara kune Interphalangeal Joints Pakati peMitambo Yakawanda uye Mazinga eChiitiko. Hutano hwemitambo, 8(5), 469–478. doi.org/10.1177/1941738116658643
Won, SH, Lee, S., Chung, CY, Lee, KM, Sung, KH, Kim, TG, Choi, Y., Lee, SH, Kwon, DG, Ha, JH, Lee, SY, & Park, MS (2014). Buddy taping: inzira yakachengeteka yekurapa kukuvara kwemunwe uye zvigunwe? Makiriniki mukuvhiya kwemapfupa, 6 (1), 26-31. doi.org/10.4055/cios.2014.6.1.26
Yunivhesiti yeUtah Health. (2021). Yunivhesiti yeUtah Health. Ndinofanira kunetseka nezvechigunwe chakamira here? Yunivhesiti yeUtah Health. healthcare.utah.edu/the-scope/all/2021/03/should-i-worry-about-jammed-finger
by Dr Alex Jimenez Chiropractic , Chiropractic Examination , Chiropractic News , chisingaperi Pain , Kufungidzira & Diagnostics , Mishonga
Ko vashandi vehutano mukiriniki yechiropractic vanopa sei nzira yekiriniki yekudzivirira zvikanganiso zvekurapa kune vanhu vari kurwadziwa?
Zvikanganiso zvekurapa zvakakonzera kufa kwe44,000-98,000 muchipatara kufa kweAmerica gore negore, uye zvimwe zvakawanda zvakakonzera kukuvara kwakaipisisa. ( Kohn et al., 2000 ) Iyi yaipfuura nhamba yevanhu vaifa gore negore neAIDS, kenza yemazamu, uye tsaona dzemotokari panguva iyoyo. Zvinoenderana netsvakiridzo yakazotevera, nhamba chaiyo yevakafa inogona kunge iri pedyo ne400,000, ichiisa zvikanganiso zvekurapa seyechitatu inonyanya kukonzera rufu muUS. Kazhinji, zvikanganiso izvi hazvisi chibereko chenyanzvi dzekurapa dzakaipa panyama; Asi, iwo mhedzisiro yehurongwa hwehurongwa hwehutano hwehutano, hwakadai sekusagadzikana muridzi wekudzidzira maitiro, zvakavanzika inishuwarenzi network, kusavapo kana kusavapo kwekuchengetedza protocol, uye kutarisirwa kusarongeka. Chinyorwa chemazuva ano chinotarisa nzira yekiriniki yekudzivirira kukanganisa kwehutano muhutano hwehutano. Isu tinokurukura vanobatana nevarapi vekurapa vanonyanya kurapa kwakasiyana siyana kubatsira vanhu vari kurwara nenyaya dzisingaperi. Isu tinotungamirawo varwere vedu nekuvabvumira kubvunza avo vanobatana navo vekurapa mibvunzo yakakosha uye yakaoma kunzwisisa. Dr. Alex Jimenez, DC, anongoshandisa ruzivo urwu sebasa rekudzidzisa. Disclaimer
Kuona kuti ndechipi chikanganiso chekurapa inhanho yakakosha mune chero hurukuro yekudzivirira kukanganisa kwekurapa. Iwe unogona kufunga kuti iri ibasa rakareruka kwazvo, asi izvi zvinongoitika chete kusvikira wapinda muhuwandu hwakawanda hwemazwi anoshandiswa. Mazwi mazhinji anoshandiswa zvakafanana (dzimwe nguva zvisiri izvo) sezvo mamwe mazwi achichinjika, uye dzimwe nguva, zvinoreva izwi zvinoenderana nehunyanzvi huri kukurukurwa.
Kunyange zvazvo chikamu chehutano chakataura kuti kuchengetedzwa kwevarwere uye kubvisa kana kuderedza zvikanganiso zvekurapa zvaive zvakakosha, Grober naBohnen vakacherechedza munguva ichangopfuura se2005 kuti vakanga vakundikana mune imwe nzvimbo inokosha: kusarudza tsanangudzo ye "zvichida mubvunzo wakanyanya kukosha ... kukanganisa kwekurapa? Chikanganiso chekurapa ndiko kutadza kupedzisa chiito chakarongwa munzvimbo yekurapa. ( Grober & Bohnen, 2005 ) Zvisinei, hapana kana rimwe remashoko anowanzozivikanwa nemunhu ane dambudziko rezvokurapa—varwere, utano, kana chimwe chinhu—rinodudzwa murondedzero iyi. Zvisinei neizvi, tsananguro yacho inopa hwaro hwakasimba hwekumwe budiriro. Sezvauri kuona, iyo tsanangudzo chaiyo ine zvikamu zviviri:
Kukanganisa kuita : Kutadza kuzadzisa chiito chakarongwa sezvakarongwa.Kutadza kuronga: inzira iyo, kunyangwe nekuita kwakakwana, haiburitse mhedzisiro inodiwa.
Pfungwa dzekukanganisa kwekuita uye kuronga kukanganisa hakuna kukwana kana tichizotsanangura kukanganisa kwekurapa zvakakwana. Izvi zvinogona kuitika chero kupi, kwete chete kunzvimbo yekurapa. Chikamu chekurapa kwekurapa chinofanira kuwedzerwa. Izvi zvinounza pfungwa yezviitiko zvisingafadzi, zvinonzi zviitiko zvakashata. Tsanangudzo yakajairika yechiitiko chakashata kukuvadza kusingatarisirwi kune varwere vanounzwa nekurapa kwekurapa kwete chirwere chavo chiri pasi. Tsanangudzo iyi yakawana kugamuchirwa pasi rose neimwe nzira. Semuenzaniso, kuAustralia, izwi rekuti zviitiko rinotsanangurwa sekuti kukuvadza kwakakonzera munhu kuwana hutano. Izvi zvinosanganisira kutapukira, kudonha kunokonzera kukuvara, uye nyaya nemishonga yekurapa nemidziyo yekurapa. Zvimwe zviitiko zvisina kunaka zvinogona kudzivirirwa.
Nyaya chete ine pfungwa iyi ndeyekuti hazvisi zvese zvakaipa zvinoitika netsaona kana nemaune. Nekuti murwere anogona kupedzisira abatsirwa, chiitiko chinotarisirwa asi chinoshivirira chinogona kuitika. Munguva yechemotherapy, kusvotwa uye kurasikirwa kwebvudzi mienzaniso miviri. Muchiitiko ichi, kuramba kurapwa kunokurudzirwa ndiyo chete nzira ine musoro yekudzivirira mhedzisiro isingafadzi. Isu nokudaro tinosvika pane pfungwa yekudzivirirwa uye isingadzivirirwe yakaipa zviitiko apo isu tinoenderera mberi nekunatsa tsananguro yedu. Hazvisi nyore kuronga sarudzo yekushivirira imwe mhedzisiro kana yaonekwa kuti yakanaka mhedzisiro ichaitika panguva imwe chete. Asi chinangwa chega hachisi chikonzero chekuzvipembedza. ( Patient Safety Network, 2016, ndima.3 ) Mumwe muenzaniso wekukanganisa kwakarongwa kungave kugurwa kwetsoka yekurudyi nekuda kwebundu kuruoko rworuboshwe, iyo inenge ichibvuma chiitiko chisingafadzi chinozivikanwa uye chakafanotaurwa mune tarisiro yemigumisiro inobatsira apo pasina imwe yakambomuka kare. Hapana humbowo hunotsigira tarisiro yemugumisiro wakanaka.
Zvikanganiso zvekurapa zvinokonzeresa kukuvadza kumurwere ndizvo zvinonyanya kutariswa patsvakiridzo yedu. Zvakangodaro, zvikanganiso zvekurapa zvinogona uye zvinoitika kana murwere asina kukuvadzwa. Kuitika kwekupotsa kwepedyo kunogona kupa data rakakosha pakuronga nzira yekudzikisa zvikanganiso zvekurapa munzvimbo yehutano. Zvakadaro, kuwanda kwezviitiko izvi zvichienzaniswa neakawanda makiriniki anovaudza zvinofanirwa kuongororwa. Pedyo nekupotsa zvikanganiso zvekurapa zvinogona kunge zvakakonzera kukuvadza asi hazvina kumurwere, kunyangwe murwere ari kuita zvakanaka. ( Martinez et al., 2017 ) Sei uchibvuma chimwe chinhu chinogona kuguma nedanho repamutemo? Funga nezvechiitiko apo mukoti, chero chikonzero chipi, anga achangobva kutarisa mifananidzo yemishonga yakasiyana uye akanga ava kuda kupa mushonga. Zvichida chimwe chinhu chinoramba chiri mundangariro dzake, uye anosarudza kuti handiwo maratidzirwo emushonga chaiwo. Paakatarisa, akaona kuti akanga apiwa mishonga isiri iyo. Mushure mekutarisa mapepa ose, anogadzirisa chikanganiso uye anopa murwere tsamba yakakodzera. Zvingaite here kudzivirira kukanganisa mune ramangwana kana rekodhi rekodhi raisanganisira mafoto emushonga wakakodzera? Zviri nyore kukanganwa kuti pane kukanganisa uye mukana wekukuvadza. Chokwadi ichocho chinoramba chiri chechokwadi pasinei nokuti takaita rombo rakanaka here kuiwana munguva kana kuti kutambura chero migumisiro yakaipa.
Tinoda data rakazara kugadzira mhinduro dzinovandudza kuchengetedza kwevarwere uye kuderedza zvikanganiso zvekurapa. Zvirinani, kana murwere ari munzvimbo yekurapa, zvese zvinogona kuitwa kudzivirira kukuvadzwa uye kuvaisa munjodzi zvinofanirwa kutaurwa. Vanachiremba vakawanda vakasarudza kuti kushandisa mitsara zvikanganiso uye zviitiko zvakashata zvaive zvakanyanya uye zvakakodzera mushure mekuongorora zvikanganiso uye zviitiko zvakashata muhutano hwehutano uye kukurukura simba ravo uye kushaya simba kwavo muna 2003. Iyi tsanangudzo yakabatanidzwa yaizowedzera kuunganidza deta, kusanganisira kukanganisa, kufona kwepedyo, pedyo. misuva, uye zvikanganiso zvinoshanda uye zvakavandika. Pamusoro pezvo, izwi rakashata zviitiko rinosanganisira mazwi anowanzoreva kukuvadzwa kwemurwere, sekukuvara kwekurapa uye iatrogenic kukuvara. Chinhu chimwe chete chakasara ndechekuona kana bhodhi rekuongorora inhengo yakakodzera yekubata kupatsanurwa kwezviitiko zvinodzivirirwa uye zvisingadzivirirwe zvakashata.
Chiitiko chevarindi chiitiko chinodiwa kuzivisa kune Joint Commission. The Joint Commission inotaura kuti chiitiko chevarindi chiitiko chisingatarisirwi chinosanganisira kukuvara kwakanyanya mumuviri kana mupfungwa. ( "Sentinel Zviitiko," 2004, p.35 ) Hapana sarudzo, sezvo inoda kunyorwa. Zvizhinji zvivakwa zvehutano, zvisinei, zvinochengeta zvinyorwa zvadzo zvichitsanangura zviitiko zvevatumwa uye zvekuita kana mumwe achivimbisa kuti zviyero zveJoint Commission zvinosangana. Iyi ndiyo imwe yemamiriro ezvinhu apo zviri nani kuva akachengeteka pane urombo. Sezvo “serious” iri pfungwa ine mwero, pangava neimwe nzira yokusagadzikana pakudzivirira waunoshanda naye kana kuti mushandirwi. Ukuwo, kushuma chiitiko chemurindi zvisiri izvo zviri nani pane kutadza kushuma chiitiko chevarindi. Kutadza kuburitsa pachena kunogona kuve nemhedzisiro yakakomba, kusanganisira kumisa basa.
Paunenge uchifunga nezvekukanganisa kwekurapa, vanhu vanowanzoita chikanganiso chekungotarisa zvikanganiso zvechiremba. Kukanganisa kwemishonga pasina mubvunzo kunowanzoitika uye kunosanganisira akawanda ekukanganisa kwemaitiro semamwe zvikanganiso zvekurapa. Kuputsika mukutaurirana, kukanganisa kwakaitwa panguva yekunyorerwa kana kugovera, uye zvimwe zvinhu zvakawanda zvinogoneka. Asi isu tinenge tichifungira zvisizvo nyaya iyi kana tikafunga kuti kukanganisa kwezvinodhaka ndiko chete honzeri yekukuvadza kumurwere. Rimwe dambudziko guru mukuisa mhosho dzekurapa dzakasiyana ndere kuona kuti chikanganiso chiri mumapoka zvichienderana nemaitirwo anoitwa kana mhedzisiro. Zvinotenderwa kuongorora aya maclass pano, kupihwa kuedza kwakawanda kwakaitwa kugadzira tsananguro dzekushanda dzinosanganisira zvese maitiro uye mhedzisiro, mazhinji acho akavakirwa pabasa raLucian Leape kubva kuma1990s.
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Kushanda uye kusashanda ndiwo mapoka maviri makuru ezviitiko zvakashata izvo Leape nevamwe vake vakasiyanisa muchidzidzo ichi. ( Leape et al., 1991 ) Matambudziko ekuvhiya aisanganisira utachiona hwemaronda, kutadza kuvhiyiwa, nyaya dzisiri dzehunyanzvi, kunonoka kunetsa, uye matambudziko ehunyanzvi. Nonoperative: misoro yakadai semishonga ine chokuita nemishonga, isina kuongororwa, kubatwa zvisina kunaka, nzira-yakabatana, kudonha, kuputsika, postpartum, anesthesia-yakabatana, neonatal, uye kubata-zvose musoro wegadziriro yakabatanidzwa pasi pechikamu ichi chezviitiko zvakashata. Leape akarongawo zvikanganiso nekunongedza poindi yekuparara kwemaitiro. Akaisawo izvi mumisoro mishanu, inosanganisira:
maitiro mutambo Mishonga Inorapwa chirwere Kudzivirira
Mazhinji maitiro ekukanganisa anowira pasi peinopfuura musoro wenyaya, asi iwo ese anobatsira kuratidza chaicho chikonzero chenyaya. Kana kupfuura chiremba mumwe akabatanidzwa mukugadzirisa nzvimbo chaidzo dzinoda kuvandudzwa, ipapo mimwe mibvunzo inogona kudiwa.
Nehunyanzvi, kukanganisa kwekurapa kunogona kuitwa nechero mushandi pachipatara. Izvo hazvina kuganhurirwa kune nyanzvi dzekurapa sevanachiremba uye vanamukoti. Mutungamiriri anogona kusunungura gonhi, kana kuti mushandi wokuchenesa anogona kusiya kemikari mukati memwana. Chinonyanya kukosha kupfuura kuzivikanwa kweakakanganisa ndicho chikonzero chiri shure kwayo. Ko pamberi pazvo? Uye tingava sei nechokwadi chokuti izvozvo hazviitiki zvakare? Mushure mekuunganidza data rese riri pamusoro uye nezvimwe zvakawanda, inguva yekuona kuti ungadzivirira sei zvikanganiso zvakafanana. Kana dziri zviitiko zvevarindi, Joint Commission yakaraira kubvira 1997 kuti zviitiko zvese izvi zviitwe nzira inonzi Root Cause Analysis (RCA). Nekudaro, kushandisa nzira iyi kune zviitiko zvinoda kuziviswa kune vekunze zvingada kugadziriswa.
MaRCA "akatora ruzivo pamwe nemaonero makuru." Ivo vanoita kuti masystem ekuongorora ave nyore, kuongorora kana kugadzirisa kwakakosha, uye maitiro ekutevera. ( Williams, 2001 ) Chii chaizvo chinonzi RCA, zvakadaro? Nekuongorora zviitiko zvakakonzera kukanganisa, RCA inogona kutarisa pane zviitiko uye maitiro pane kuongorora kana kupa mhosva kune chaivo vanhu. ( AHRQ,2017 ) Ndicho chikonzero nei zvakakosha. Iyo RCA inowanzo shandisa chishandiso chinonzi Five Whys. Iyi ndiyo nzira yekuramba uchizvibvunza iwe "nei" mushure mekunge watenda kuti waona chikonzero chenyaya.
Chikonzero icho ichinzi "zvishanu nei" imhaka yekuti, nepo shanu iri nzvimbo yakanaka yekutanga, iwe unofanirwa kugara uchibvunza kuti sei kusvika waona chiri kukonzera dambudziko. Kubvunza kuti sei uchidzokorodza uchigona kuratidza kukanganisa kwakawanda pamatanho akasiyana, asi iwe unofanirwa kuramba uchibvunza kuti sei nezvese chikamu chenyaya kusvika wapererwa nezvimwe zvinhu zvinogona kugadziriswa kuti zvipe mhedzisiro inodiwa. Nekudaro, zvishandiso zvakasiyana kunze kweiyi zvinogona kushandiswa mukutsvagisa chikonzero. Vamwe vakawanda variko. MaRCA anofanirwa kunge ari emhando dzakasiyana siyana uye anoenderana uye achibatanidza mapato ese ane chekuita nekukanganisa kudzivirira kusanzwisisana kana kutaura zvisirizvo zvezviitiko.
Zvikanganiso zvekurapa muzvipatara zvinowanzoitika uye kazhinji zvisingataurwi zviitiko zvinokanganisa hutano hwevarwere zvakanyanya. Vanhu vanosvika chikamu chimwe muzvina chemiriyoni vanofungidzirwa kuti vanofa gore rega rega nekuda kwekukanganisa kwekurapa. Huwandu uhu hahugamuchirwe munguva iyo kuchengetedzwa kwevarwere kunofungidzirwa kuti ndiko kwekutanga, asi hapana zvakawanda zviri kuitwa kushandura maitiro. Kana zvikanganiso zvehutano zvakanyatsotsanangurwa uye chikonzero chechinetso chinowanikwa pasina kupa mhosva kune vamwe vashandi, izvi hazvidiwi. Shanduko dzakakosha dzinogona kuitwa kana zvikonzero zvakakosha zvehurongwa kana kukanganisa kwemaitiro zvakaonekwa nemazvo. Nzira inopindirana, yakasiyana-siyana yekuongorora chikonzero chemudzi iyo inoshandisa masisitimu akafanana neaya mashanu ekuti sei kuongorora pasi kudzamara matambudziko ese uye hurema hwaratidzwa chinhu chinobatsira. Kunyange zvazvo iko zvino kwave kuri madikanwa pakumuka kwezviitiko zvevarindi, iyo Root Cause Analysis inogona uye inofanira kushandiswa kune zvese zvinokonzeresa kukanganisa, kusanganisira pedyo nekupotsa.
Agency for Healthcare Research uye Hunhu. (2016). Root Cause Analysis. Yakadzorerwa Kurume 20, 2017, kubva psnet.ahrq.gov/primer/root-cause-analysis
Grober, ED, & Bohnen, JM (2005). Kutsanangura kukanganisa kwekurapa. Anogona J Surg , 48 (1), 39-44. www.ncbi.nlm.nih.gov/pubmed/15757035
Kohn, LT, Corrigan, J., Donaldson, MS, & Institute of Medicine (US). Komiti yeKunaka Kwehutano Hwehutano muAmerica. (2000). Kukanganisa munhu : kuvaka hutano hwakachengeteka . National Academy Press. books.nap.edu/books/0309068371/html/index.html
Leape, LL, Brennan, TA, Laird, N., Lawthers, AG, Localio, AR, Barnes, BA, Hebert, L., Newhouse, JP, Weiler, PC, & Hiatt, H. (1991). Chimiro chezviitiko zvakashata muvarwere vari muchipatara. Mibairo yeHarvard Medical Practice Chidzidzo II. N Engl J Med , 324 (6), 377-384. doi.org/10.1056/NEJM199102073240605
Lippincott ® NursingCenter ® . NursingCenter. (2004). www.nursingcenter.com/pdfjournal?AID=531210&an=00152193-200411000-00038&Journal_ID=54016&Issue_ID=531132
Martinez, W., Lehmann, LS, Hu, YY, Desai, SP, & Shapiro, J. (2017). Matanho Ekuona uye Kuongorora Zviitiko Zvakaipa uye Nekupotsa Pedyo paAcademic Medical Center. Jt Comm J Qual Patient Saf , 43 (1), 5-15. doi.org/10.1016/j.jcjq.2016.11.001
Patient Safety Network. (2016). Zviitiko zvakashata, pedyo nekupotsa, uye kukanganisa. Yakadzorerwa Kurume 20, 2017, kubva psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors
Williams, PM (2001). Matekiniki ekuongorora chikonzero chemudzi. Proc (Bayl Univ Med Cent) , 14 (2), 154-157. doi.org/10.1080/08998280.2001.11927753
by Dr Alex Jimenez Gastro Intestinal Health , Health Coaching
Kune vanhu vari kusangana nekugara vachizvimbirwa nekuda kwemishonga, kushushikana, kana kushaikwa kwefiber, kufamba maekisesaizi kunobatsira here kukurudzira kugara ura?
Kuzvimbirwa chinhu chinowanzoitika. Kunyanya kugara, mishonga, kushushikana, kana kusawana fiber yakakwana zvinogona kukonzera kusafamba kwe bowel. Kugadziriswa kwemararamiro kunogona kudzora zviitiko zvakawanda. Imwe yenzira dzinonyanya kushanda ndeye kubatanidza nguva dzose ine mwero-yakasimba maekisesaizi, uchikurudzira ura mhasuru kuti dzibatane zvakasikwa (Huang, R., nevamwe, 2014 ) Izvi zvinosanganisira kumhanya, yoga, mvura aerobics, uye simba kana kukurumidza kufamba kuitira kuderedza kuvimbiswa.
Imwe ongororo yakaongorora vakadzi vezera repakati vakafutisa vaive nekuzvimba kwenguva refu kwemavhiki gumi nemaviri. (Tantawy, SA, et al., 2017 )
Boka rekutanga raifamba pane treadmill katatu pavhiki kwemaminitsi makumi matanhatu.
Boka rechipiri harina kuita chero basa remuviri.
Boka rekutanga rakave nekuvandudzwa kukuru muzviratidzo zvavo zvekudzivirira uye hutano hwekuongorora hupenyu.
A gut bacteria kusaenzana kunobatanidzwawo nenyaya dzekuzvimbirwa. Chimwe chidzidzo chakanangana nemhedzisiro yekufamba nekukurumidza uchipesana nemaekisesaizi ayo akasimbisa mhasuru dzepakati semapuranga ari mumatumbo microbiota kuumbwa. (Morita, E., et al., 2019 ) Mhedzisiro yakaratidza kuti aerobic exercises senge simba / brisk kufamba kunogona kubatsira kuwedzera intestinal Bacteroides , chikamu chakakosha chehutano hwehutachiona hwehutachiona. Zvidzidzo zvakaratidza mhedzisiro yakanaka kana vanhu vakapinda mune inokwana maminetsi makumi maviri ekufamba nekukurumidza zuva nezuva. (Morita, E., et al., 2019 )
Kuita zvemuviri kunogona kuve chinhu chakakosha chekudzivirira mukuderedza kenza yekoloni. (National Cancer Institute. 2023 ) Vamwe vanofungidzira kuderedzwa kwengozi kuva 50%, uye kurovedza muviri kunogona kunyange kubatsira kudzivirira kudzokorora mushure mekuongorora kenza yekoloni, uyewo 50% mune zvimwe zvidzidzo kune varwere vane danho rechipiri kana rechitatu rekenza yekoloni. (Schoenberg MH 2016 )
Mhedzisiro yakanakisa yakawanikwa kuburikidza nepakati-kusimba maekisesaizi, senge simba / kufamba nekukurumidza, anenge maawa matanhatu pasvondo.
Kufa kwakaderedzwa ne23% muvanhu vakanga vakasimba mumuviri kwemaminitsi makumi maviri kakawanda pavhiki.
Varwere vegomarara remudumbu vasingashande vakatanga kurovedza muviri mushure mekuongororwa kwavo vaive vavandudza mhedzisiro pane vanhu vakaramba vakangogara, zvichiratidza kuti hazvina kunonoka kutanga kurovedza muviri.Schoenberg MH 2016 )
Varwere vainyanya kushanda vaiva nemigumisiro yakanakisisa.
Vamwe vamhanyi uye vanofamba vanosangana nekoloni yakanyanyisa kushanda, zvichikonzera manyoka ane chokuita nekurovedza muviri kana zvigaro zvakasununguka, zvinonzi runner's trots. Kusvika ku50% yevatambi vekutsungirira vanosangana nematambudziko emudumbu panguva yekurovedza muviri kwakanyanya. (de Oliveira, EP et al., 2014 ) Matanho ekudzivirira anogona kutorwa anosanganisira.
Kusadya mukati memaawa maviri ekurovedza muviri.
Dzivisa caffeine uye mvura inodziya usati waita maekisesaizi.
Kana uine hanya nelactose, dzivisa zvigadzirwa zvemukaka kana kushandisa Lactase.
Ita shuwa kuti muviri wakazara-hydrated usati waita maekisesaizi.
Hydrating panguva yekurovedza muviri.
Kana kurovedza muviri mu mangwanani :
Inwa anenge 2.5 makapu emvura kana chinwiwa chemitambo usati warara.
Inwa zvinenge 2.5 makapu emvura mushure mekumuka.
Inwa imwe 1.5 - 2.5 makapu emvura 20-30 maminetsi usati waita maekisesaizi.
Inwa 12-16 fluid ounces yega yega 5-15 maminetsi panguva yekurovedza muviri.
If kurovedza muviri kweanopfuura maminitsi makumi mapfumbamwe :
Inwa 12 - 16 fluid-ounce solution ine 30-60 gramu yemakhahydrates, sodium, potassium, uye magnesium maminitsi mashanu kusvika gumi nemashanu.
Periodic constipation inogona kugadzirisa nekugadzirisa mararamiro senge yakawedzera fiber kudya, kuita muviri, uye zvinwiwa. Vanhu vari kuona stool ine ropa kana hematochezia, vachangobva kurasikirwa mapaundi gumi kana kupfuura, vane iron inoshaya anemia, vane fecal occult / yakavanzika kuongororwa ropa, kana vane nhoroondo yemhuri yekenza yekoloni vanoda kuona mupi wehutano kana nyanzvi kuti aite zvakananga. bvunzo dzediagnostic kuona kuti hapana matambudziko kana mamiriro akakomba. (Jamshed, N. et al., 2011 ) Vasati vatanga kufamba kuti vabatsirwe nekuzvimbirwa, vanhu vanofanirwa kubvunza varapi vavo vehutano kuti vaone kana zvisina njodzi kwavari.
PaInjury Medical Chiropractic uye Functional Medicine Clinic, nzvimbo dzedu dzekudzidzira dzinosanganisira Wellness & Nutrition, Chronic Pain, Personal Injury, Auto Accident Care, Basa Kukuvara, Kukuvara Kwekudzokera, Low Back Pain, Neck Pain, Migraine Headaches, Kukuvara Kwemitambo, Zvakaoma. Sciatica , Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Pain, Complex Injuries, Stress Management, Functional Medicine Treatments, uye in-scope care protocols. Isu tinotarisisa pane izvo zvinokushandira iwe kuzadzisa zvinangwa zvekuvandudza uye kugadzira muviri wakavandudzwa kuburikidza nenzira dzekutsvagisa uye zvirongwa zvehutano hwakakwana. Kana kumwe kurapwa kuchidiwa, vanhu vanozoendeswa kukiriniki kana chiremba anonyatsokodzera kukuvara kwavo, mamiriro, uye / kana hurwere.
VIDEO
Huang, R., Ho, SY, Lo, WS, & Lam, TH (2014). Kuita zvemuviri uye kuvimbiswa muHong Kong vechidiki. PloS imwe, 9(2), e90193. doi.org/10.1371/journal.pone.0090193
Tantawy, SA, Kamel, DM, Abdelbasset, WK, & Elgohary, HM (2017). Mhedzisiro yeinorongwa yekurovedza muviri uye kudzora kwekudya kugadzirisa kuvimbiswa muvakadzi vepakati-kati vakafutisa. Chirwere cheshuga, metabolic syndrome uye kufutisa: zvinangwa uye kurapwa, 10, 513-519. doi.org/10.2147/DMSO.S140250
Morita, E., Yokoyama, H., Imai, D., Takeda, R., Ota, A., Kawai, E., Hisada, T., Emoto, M., Suzuki, Y., & Okazaki, K. (2019). Aerobic Exercise Training neBrisk Walking Inowedzera Intestinal Bacteroides muVakadzi Vakwegura Vane Utano. Nutrients, 11(4), 868. doi.org/10.3390/nu11040868
National Cancer Institute. (2023). Colorectal Cancer Prevention (PDQ (R)): Patient Version. MuPDQ Cancer Information Summaries. www.cancer.gov/types/colorectal/patient/colorectal-prevention-pdq www.ncbi.nlm.nih.gov/pubmed/26389376
Schoenberg MH (2016). Kuita Kwenyama uye Kudya muPrayimari uye Yepamusoro Kudzivirirwa kweColorectal Cancer. Mushonga weVisceral, 32 (3), 199-204. doi.org/10.1159/000446492
de Oliveira, EP, Burini, RC, & Jeukendrup, A. (2014). Kunyunyuta kweGastrointestinal panguva yekurovedza muviri: kuwanda, etiology, uye zvinovaka muviri zvinokurudzira. Mushonga wemitambo (Auckland, NZ), 44 Suppl 1(Suppl 1), S79–S85. doi.org/10.1007/s40279-014-0153-2
Jamshed, N., Lee, ZE, & Olden, KW (2011). Diagnostic nzira yekuvhara kusingaperi kune vanhu vakuru. Chiremba wemhuri yeAmerica, 84 (3), 299-306.
by Dr Alex Jimenez kusimbisa muviri , kugwinya
Kune vanhu vari kutsvaga kuvandudza hutano hwavo, bvunzo yekuongorora kusimba inogona kuona nzvimbo dzinogona kuitika uye kubatsira kuongorora hutano hwese uye chimiro chemuviri?
Muedzo wekusimba, unozivikanwawo sekuongorora kusimba, unobatsira kuongorora hutano hwemunhu hwese uye hwemuviri. Inosanganisira nhevedzano yezviitwa zvekugadzira chirongwa chakakodzera chekurovedza muviri chehutano hwese uye kusimba. (National Strength and Conditioning Association. 2017 ) Fitness ongororo yekuongorora mabhenefiti anosanganisira:
Kuziva nzvimbo dzinoda kuvandudzwa.
Kubatsira nyanzvi mukunzwisisa kuti ndedzipi mhando dzemaekisesaizi dzakachengeteka uye dzinoshanda zvakanyanya.
Kubatsira kuyera kufambira mberi kwehutano nekufamba kwenguva.
Kubvumira chirongwa chega chega chinogona kubatsira kudzivirira kukuvara uye kuchengetedza hutano hwese hwemuviri.
Ongororo inogona kusanganisira yakawanda yebvunzo, kusanganisira:
Miyedzo yekuumbwa kwemuviri.
Miedzo yemwoyo yemwoyo.
Miedzo yekutsungirira.
Range of kufamba bvunzo.
Izvo zvinoitirwa kuve nechokwadi kuti munhu wacho haazove panjodzi yekukuvara uye kupa mudzidzisi ruzivo rwunodiwa kuti amise akajeka uye anoshanda zvinangwa zvekusimba. Vanhu vanoshamisika kana kuyedzwa kusimba kwaizovabatsira vanofanira kubvunza mutarisiri wavo wehutano.
Usati watanga chirongwa chekusimbisa muviri, zvakakosha kuzivisa murairidzi wenhoroondo yezvehutano hwega uye kuwana mvumo inodiwa kubva kune vekutanga vehutano. (Harvard Health Publishing. Harvard Medical School. 2012 ) Vanamazvikokota vezvekusimba vanowanzo shandisa imwe kana anopfuura maturusi ekuvheneka kubatsira kuona hutano hwekutanga.National Academy of Sports Medicine. 2020 ) Pakati pemibvunzo, vanhu vanogona kubvunzwa nezvemishonga iri kunwiwa, chero matambudziko edzungu kana kurwadziwa, kana mamiriro ekurapa anogona kukanganisa kugona kwavo maekisesaizi.
Kuumbwa kwemuviri kunotsanangura huwandu hwehuremu hwemuviri, kusanganisira tsandanyama, mapfupa, uye mafuta. Nzira dzinonyanyozivikanwa dzekufungidzira kuumbwa kwemuviri dzinosanganisira:
Munguva yeBIA, zviratidzo zvemagetsi zvinotumirwa kubva kumagetsi kuburikidza nemakumbo etsoka kusvika kudumbu kufungidzira kuumbwa kwemuviri. (Doylestown Health. 2024 )
Zviyero izvi zvinoshandisa calipers kufungidzira huwandu hwemafuta emuviri mupete yeganda.
Cardiovascular endurance test, inozivikanwawo sekuyedzwa kwekushushikana, inoyera kuti moyo nemapapu zvinoshanda sei kupa mweya uye simba kumuviri panguva yekurovedza muviri. (UC Davis Hutano, 2024 ) Mayedzo matatu anonyanya kushandiswa anosanganisira:
Maminitsi gumi nemaviri ekumhanya bvunzo anoitwa pachitsiko, uye munhu asati aita maekisesaizi emwoyo uye kufema mwero unofananidzwa nemoyo wapashure pekurovedza muviri uye mwero wekufema.
Exercise stress test inoitwa pane treadmill kana stationary bhasikoro.
Zvinosanganisira kushandisa moyo chekutarisa uye BP kuyera zviratidzo zvakakosha panguva yekurovedza muviri.
Inoitwa pane treadmill kana bhasikoro rakamira.
V02 max kuyedza inoshandisa mudziyo wekufema kuyera huwandu hwakanyanya hwekushandiswa kweokisijeni panguva yekurovedza muviri (UC Davis Hutano, 2024 )
Vamwe varairidzi vachabatanidza maekisesaizi senge sit-ups kana push-ups kuyera mhinduro kune chaiwo maekisesaizi.
Iyi mibairo yekutanga inogona kushandiswa gare gare kuona kana hutano uye kusimba mazinga avandudzwa.
Kuyedzwa kwetsandanyama kunoyera kureba kwenguva iyo boka remhasuru rinogona kubvumirana uye kusunungura risati raneta. Kuedza kwesimba kunoyera kuwanda kwesimba rekumanikidza boka remhasuru rinogona kuita. (American Council pamusoro peKuekisesaiza, Jiminez C., 2018 ) Zviitwa zvinoshandiswa zvinosanganisira:
The push-up test.
Core simba uye kugadzikana bvunzo.
Dzimwe nguva, mudzidzisi achashandisa metronome kuyera kuti munhu anogona kufambirana nenguva yakareba sei. Migumisiro inobva yaenzaniswa nevanhu vezera rimwechete uye zvepabonde kuti vagadzire nhanho yekutanga. Miedzo yesimba uye yekutsungirira yakakosha sezvo ichibatsira mudzidzisi nzvimbo iyo mapoka emhasuru akasimba, ari panjodzi, uye anoda kutariswa. (Heyward, VH, Gibson, AL 2014 ).
Kuyera kuchinjika kwemajoini kwakakosha pakuona kana vanhu vaine postural imbalances, kusagadzikana kwetsoka, kana miganhu mukufamba kwekufamba. (Pate R, Oria M, Pillsbury L, 2012 )
Kuyedzwa kwepafudzi kuchinjika kunoongorora kuchinjika uye kufamba kwejoint repafudzi.
Inoitwa nekushandisa ruoko rumwe kusvika kuseri kwemutsipa, pakati pemapendekete, uye rumwe ruoko kusvika kuseri kwemashure, kumapfudzi, kuyera kuti maoko ari kure zvakadii. (Baumgartner TA, PhD, Jackson AS, PhD et al., 2015 )
Muedzo uyu unoyera kusimba muzasi kumashure uye hamstring tsandanyama. (American Council of Exercise, Metcalf A. 2014 )
Muedzo wekugara-uye-kusvika unoitwa pasi nemakumbo akawedzerwa zvakakwana.
Kutsetseka kunopimwa nemainchi mangani maoko ari kubva kutsoka kana achisvika kumberi.
Trunk lift test inoshandiswa kuyera kusimba muzasi kumashure.
Zvinoitwa wakarara wakatarisa pasi pasi nemaoko padivi pako.
Munhu wacho anozokumbirwa kusimudza muviri wavo wepamusoro nemamhasuru ekumashure chete.
Kuchinjika kunoyerwa nemasentimita mangani munhu anogona kuzvisimudza kubva pasi. (Baumgartner TA, PhD, Jackson AS, PhD et al., 2015 )
Fitness ongororo yekuongorora ine mabhenefiti akasiyana. Inogona kubatsira varairidzi kugadzira chirongwa chekurovedza muviri, kubatsira vanhu kuona nzvimbo dzekusimba dzinoda kuvandudzwa, kuyera kufambira mberi, uye kuwedzera kusimba uye kutsungirira kumaitiro avo, izvo zvinogona kubatsira kudzivirira kukuvara nekubatsira. chengetedza hutano hwese . Isu tinotarisisa pane izvo zvinokushandira iwe uye kuyedza kuvandudza muviri kuburikidza neakatsvagirwa nzira uye yakazara hutano zvirongwa. Aya mapurogiramu echisikigo anoshandisa kugona kwemuviri kuzadzisa zvinangwa zvekuvandudza. Bvunza nyanzvi yezvehutano kana nyanzvi yekugwinya kuti akutungamirire kana uchida zano.
VIDEO
National Strength and Conditioning Association. (2017). Zvinangwa zvekuongorora. www.nsca.com/education/articles/kinetic-select/purposes-of-assessment/
Harvard Health Publishing. Harvard Medical School. (2012). Unoda here kuona chiremba usati watanga chirongwa chako chekurovedza muviri? HealthBeat. www.health.harvard.edu/healthbeat/do-you-need-to-see-a-doctor-before-starting-your-exercise-program
National Academy of Sports Medicine. (2020). PAR-Q-+ Mubvunzo Wekugadzirira Kwekuita Zvenyama kune wese munhu. www.nasm.org/docs/pdf/parqplus-2020.pdf?sfvrsn=401bf1af_24
Doylestown Health. (2024). Bio-Electrical Impedance Analysis (BIA) -Muviri Kuongorora Kwemuviri. www.doylestownhealth.org/service-lines/nutrition#maintabbed-content-tab-2BDAD9F8-F379-403C-8C9C-75D7BFA6E596-1-1
National Heart, Lung, uye Ropa Institute. US Department of Health and Human Services. (ND). calculator your body mass index. Zvakatorwa kubva www.nhlbi.nih.gov/health/educational/lose_wt/BMI/bmicalc.htm
UC Davis Hutano. (2024). VO2max uye Aerobic Fitness. health.ucdavis.edu/sports-medicine/resources/vo2description
Sangano reAmerican Council on Exercise. Jiminez C. (2018). Kunzwisisa 1-RM uye Zvakafanotaurwa 1-RM Ongororo. ACE Fitness. www.acefitness.org/fitness-certifications/ace-answers/exam-preparation-blog/2894/understanding-1-rm-and-predicted-1-rm-assessments/
Heyward, VH, Gibson, AL (2014). Advanced Fitness Assessment uye Exercise Prescription. United Kingdom: Human Kinetics. www.google.com/books/edition/Advanced_Fitness_Assessment_and_Exercise/PkdoAwAAQBAJhl=en&gbpv=1&dq=Strength+and+endurance+tests+muscle+groups+are+stronger+and+weaker&pg=PA173&printsec=frontcover#v=onepage&q=Strength%20and%20endurance%20tests%20muscle%20groups%20are%20stronger%20and%20weaker&f=false
Pate R, Oria M, Pillsbury L, (Eds). (2012). Zviyero zvine chekuita nehutano hwevechidiki: Flexibility. MuR. Pate, M. Oria, & L. Pillsbury (Eds.), Zviyero zveFitness uye Hutano Hwakabuda muVechidiki. doi.org/10.17226/13483
Baumgartner, T. A., Jackson, A. S., Mahar, M. T., Rowe, D. A. (2015). Chiyero cheKuongorora muKinesiology. United States: Jones & Bartlett Kudzidza. www.google.com/books/edition/Measurement_for_Evaluation_in_Kinesiolog/_oCHCgAAQBAJ?hl=en&gbpv=1&dq=Measurement+for+Evaluation+in+Kinesiology+(9th+Edition).&printsec=frontcover#v=onepage&q&f=
American Council of Exercise. Metcalf A. (2014). Nzira yekuvandudza kushanduka uye kuichengetedza. ACE Fitness. www.acefitness.org/resources/everyone/blog/3761/how-to-improve-flexibility-and-maintain-it/
by Dr Alex Jimenez Chiropractic , chisingaperi Pain , Kukanganiswa kwakakomba , Kufamba & Kuchinja , Pamuviri Utano , Spine Care , Mishonga , Viscerosomatic Reflex
Vanhu vane Ehlers-Danlos syndrome vanogona kuwana zororo kuburikidza neakasiyana-siyana asiri ekuvhiya marapirwo kuderedza kusagadzikana kwemajoini?
Majoini nemarunda akatenderedza musculoskeletal system inobvumira iyo yepamusoro uye yakaderera migumo kudzikamisa muviri uye kufambisa. Iwo akasiyana mhasuru uye akapfava anobatanidza tishu anotenderedza majoini anobatsira kudzivirira kubva mukukuvadzwa. Kana zvakatipoteredza zvinhu kana kusagadzikana kukatanga kukanganisa muviri, vanhu vazhinji vanogadzira nyaya dzinokonzeresa kuwanda kwengozi profiles, izvo zvinozokanganisa kugadzikana kwemajoini. Imwe yezvirwere zvinokanganisa majoini uye inobatana tishu iEDS kana Ehlers-Danlos syndrome. Iyi yekubatanidza tishu kusagadzikana inogona kuita kuti majoini ari mumuviri ave hypermobile. Inogona kukonzera kusagadzikana kwemajoini kumusoro uye pasi, zvichiita kuti munhu agare achirwadziwa. Chinyorwa chanhasi chakanangana neEhlers-Danlos syndrome nezviratidzo zvayo uye kuti kune nzira dzisiri dzekuvhiya dzekugadzirisa chirwere ichi chinosanganisa. Isu tinokurukura nevarapi vane hunyanzvi hwekurapa vanobatanidza ruzivo rwevarwere vedu kuti vaongorore kuti Ehlers-Danlos syndrome inogona kudyidzana sei nemamwe matambudziko emusculoskeletal. Isu tinozivisawo uye kutungamira varwere kuti kurapa kwakasiyana-siyana kusiri kwekuvhiya kunogona kubatsira sei kuderedza marwadzo-sezviratidzo uye kubata Ehlers-Danlos syndrome. Isuwo tinokurudzira varwere vedu kuti vabvunze avo vanobatana navo vezvokurapa mibvunzo yakawanda yakaoma uye yakakosha pamusoro pekubatanidza kurapa kwakasiyana-siyana kusiri kwekuvhiya sechikamu chemaitiro avo ezuva nezuva kubata mhedzisiro yeEhlers-Danlos syndrome. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer .
Iwe unowanzonzwa wakaneta zvikuru muswere wose wezuva, kunyange pashure pokurara usiku hwose here? Iwe unopwanya nyore uye unoshamisika kuti aya mavanga ari kubva kupi? Kana kuti wakamboona here kuti une huwandu hwakawedzerwa mumajoini ako? Zvizhinji zvezvinhu izvi zvinowanzoenderana nechirwere chinozivikanwa seEhlers-Danlos syndrome kana EDS inokanganisa majoini avo uye majoini. EDS inokanganisa matishu akabatana ari mumuviri. Iwo anobatanidza matishu ari mumuviri anobatsira kupa simba uye elasticity kuganda, majoini, pamwe nemadziro emidziyo yeropa, saka kana munhu ari kubata neEDS, inogona kukonzera kukanganisa kukuru kune musculoskeletal system. EDS inonyanya kuongororwa nekliniki, uye vanachiremba vakawanda vakaona kuti gene coding ye collagen uye mapuroteni anopindirana mumuviri anogona kubatsira kuziva kuti rudzi rweEDS runobata munhu. ( Miklovic naSieg, 2024 )
Kana uchinzwisisa EDS, zvakakosha kuti uzive kuomarara kweiyi connective tissue disorder. EDS inoiswa mumhando dzakawanda dzine akasiyana maficha uye matambudziko anosiyana zvichienderana nekuomarara. Imwe yemhando dzakajairika dzeEDS hypermobile Ehlers-Danlos syndrome. Rudzi urwu rweEDS runoratidzwa ne general joint hypermobility, kusagadzikana kwemajoini, uye kurwadziwa. Zvimwe zvezviratidzo zvinosanganiswa ne hypermobile EDS zvinosanganisira subluxation, dislocation, uye kukuvara kwenyama yakapfava izvo zvinowanzoitika uye zvinogona kuitika zvega kana nekushungurudzika kudiki. ( Hakim, 1993 ) Izvi zvinowanzokonzera kurwadziwa kwakanyanya kune majoini ari kumusoro uye pasi. Nehupamhi hwayo hwezviratidzo uye hunhu hwemamiriro acho pachawo, vazhinji havawanzo kuziva kuti hypermobility yakabatana inowanzoitika muhuwandu hwevanhu uye inogona kupa pasina matambudziko anoratidza kuti inobatanidza tishu kusagadzikana. ( Gensemer et al., 2021 ) Uyezve, hypermobile EDS inogona kutungamirira kukuremara kwemusana nekuda kwe hyperextensibility yeganda, majoini, uye fragility yakasiyana-siyana. Iyo pathophysiology yepinal deformity yakabatana ne hypermobile EDS inonyanya kukonzerwa nemhasuru hypotonia uye ligament laxity. ( Uehara et al., 2023 ) Izvi zvinokonzeresa kuti vanhu vazhinji vaderedze hupenyu hwavo uye mabasa ezuva nezuva zvakanyanya. Zvisinei, kune nzira dzekugadzirisa EDS uye zviratidzo zvayo zvinopindirana kuderedza kusagadzikana kwemajoini.
VIDEO
Kana zvasvika pakutsvaga nzira dzekugadzirisa EDS kuderedza marwadzo uye kusagadzikana kwemajoini, kurapa kusina kuvhiyiwa kunogona kubatsira kugadzirisa mamiriro emuviri uye emanzwiro emamiriro acho. Kurapa kusiri-kuvhiya kwevanhu vane EDS kunowanzo tarisa pakugadzirisa kushanda kwemuviri uku uchivandudza simba retsandanyama uye kugadzikana kwemajoini. ( Buryk-Iggers et al., 2022 ) Vanhu vazhinji vane EDS vachaedza kubatanidza maitiro ekugadzirisa marwadzo uye kurapa kwepanyama uye shandisa mabhureki nemidziyo yekubatsira kuderedza mhedzisiro yeEDS uye kugadzirisa hupenyu hwavo.
Kurapa kwakasiyana-siyana kusiri kwekuvhiya senge MET (muscle simba nzira), electrotherapy, light physical therapy, chiropractic care, uye masaja. inogona kubatsira kusimbisa apo toning yakapoteredza tsandanyama kutenderedza majoini, kupa zororo rakakwana rekurwadziwa, uye kudzikisira kutsamira kwenguva refu pamishonga. ( Broida et al., 2021 ) Uyezve, vanhu vanobata neEDS vane chinangwa chekusimbisa tsandanyama dzakakanganisika, kudzikamisa majoini, nekuvandudza kugona. Mishonga isiri-yekuvhiya inobvumira munhu wacho kuti ave nechirongwa chekurapa chakagadzirirwa chekuoma kwezviratidzo zveEDS uye kubatsira kuderedza marwadzo ane chokuita nemamiriro acho ezvinhu. Vanhu vazhinji, pavanenge vachipfuura nehurongwa hwavo hwekurapa zvakateerana kuti vatarise EDS yavo uye kuderedza marwadzo-sezviratidzo, vanozoona kuvandudzwa kwechiratidzo chekusagadzikana. ( Khokhar et al., 2023 ) Izvi zvinoreva kuti kurapa kusina kuvhiyiwa kunobvumira vanhu kuti vanyatsofunga nezvemiviri yavo uye kuderedza marwadzo akafanana nemigumisiro yeEDS, nokudaro vachibvumira vanhu vakawanda vane EDS kuti vararame hupenyu hwakazara, hunofadza pasina kunzwa kurwadziwa uye kusagadzikana.
Broida, SE, Sweeney, AP, Gottschalk, MB, & Wagner, ER (2021). Kutungamirirwa kwekusagadzikana kwefudzi mu hypermobility-type Ehlers-Danlos syndrome. JSES Rev Rep Tech , 1 (3), 155-164. doi.org/10.1016/j.xrrt.2021.03.002
Buryk-Iggers, S., Mittal, N., Santa Mina, D., Adams, SC, Englesakis, M., Rachinsky, M., Lopez-Hernandez, L., Hussey, L., McGillis, L., McLean , L., Laflamme, C., Rozenberg, D., & Clarke, H. (2022). Kudzidzira uye Kugadzirisa muvanhu vane Ehlers-Danlos Syndrome: Ongororo Yakarongeka. Arch Rehabil Res Clin Transl , 4 (2), 100189. doi.org/10.1016/j.arrct.2022.100189
Gensemer, C., Burks, R., Kautz, S., Mutongi, DP, Lavallee, M., & Norris, RA (2021). Hypermobile Ehlers-Danlos syndromes: Complex phenotypes, kuongororwa kwakaoma, uye zvikonzero zvisinganzwisisike. Dev Dyn , 250 (3), 318-344. doi.org/10.1002/dvdy.220
Hakim, A. (1993). Hypermobile Ehlers-Danlos Syndrome. MuMP Adam, J. Feldman, GM Mirzaa, RA Pagon, SE Wallace, LJH Bean, KW Gripp, & A. Amemiya (Eds.), GeneReviews((R)) . www.ncbi.nlm.nih.gov/pubmed/20301456
Khokhar, D., Masimba, B., Yamani, M., & Edwards, MA (2023). Mabhenefiti eOsteopathic Manipulative Treatment pane Murwere Ane Ehlers-Danlos Syndrome. Cureus , 15 (5), e38698. doi.org/10.7759/cureus.38698
Miklovic, T., & Sieg, VC (2024). Ehlers-Danlos Syndrome. In StatPearls . www.ncbi.nlm.nih.gov/pubmed/31747221
Uehara, M., Takahashi, J., & Kosho, T. (2023). Spinal Deformity muEhlers-Danlos Syndrome: Tarisa paMusculocontractural Type. Genes (Basel) , 14 (6). doi.org/10.3390/genes14061173
by Dr Alex Jimenez Kukanganiswa kwakakomba , Kufamba & Kuchinja
Kunzwisisa majoini ehinge emuviri uye mashandisiro aanoita kunobatsira here nekufamba uye matambudziko ekusagadzikana uye kugadzirisa mamiriro kune vanhu vane dambudziko rekunyatsokotama kana kutambanudza zvigunwe zvavo, zvigunwe, magokora, zviziso zvemakumbo, kana mabvi?
Majoini mafomu apo rimwe pfupa rinobatana kune rimwe, richibvumira kufamba. Mhando dzakasiyana dzemajoini dzinosiyana mukugadzirisa uye kufamba zvichienderana nenzvimbo yavo. Izvi zvinosanganisira hinge, bhora uye socket, planar, pivot, saddle, uye ellipsoid joints. (Bundless. General Biology, ND ) Hinge joints is synovial joints inofamba nendege imwe yekufamba: kuchinjika uye kuwedzera. Hinge majoini anowanikwa muminwe, magokora, mabvi, zvitsitsinho, uye zvigunwe uye kudzora kufamba kwemabasa akasiyana. Kukuvara, osteoarthritis, uye autoimmune mamiriro anogona kukanganisa hinge majoini. Kuzorora, mishonga, ice, uye kurapwa kwepanyama kunogona kubatsira kuderedza marwadzo, kuvandudza simba uye mararamiro ekufamba, uye kubatsira kugadzirisa mamiriro ezvinhu.
Gungano rinoumbwa nekubatanidzwa kwemapfupa maviri kana kupfuura. Muviri wemunhu une zvikamu zvitatu zvakakosha zvemajoini, zvakakamurwa nedhigirii ravanogona kufamba. Izvi zvinosanganisira: (Bundless. General Biology, ND )
Aya majoini akagadziriswa, asingazungunuke.
Yakagadzirwa nemapfupa maviri kana kupfuura.
Iyo inozivikanwawo se cartilaginous joints.
A fibrocartilage disc inoparadzanisa mapfupa anoumba majoini.
Aya majoini anofambiswa anobvumira kuita zvishoma kufamba.
Iyo inozivikanwawo se synovial joints.
Aya ndiwo anonyanya kuzivikanwa akasununguka majoini efoni anobvumira kufamba munzira dzakawanda.
Mapfupa anoumba majoini akavharwa nearticular cartilage uye akavharirwa mujojo capsule yakazadzwa ne synovial fluid inobvumira kufamba kwakatsetseka.
Synovial majoini akaiswa mumhando dzakasiyana zvichienderana nekusiyana kwechimiro uye huwandu hwekufamba ndege dzavanobvumira. Hinge joint isangano re synovial rinobvumira kufamba mundege imwe yekufamba, yakafanana nehinge yemusuwo inoenda mberi nekumashure. Mukati mejoinhi, kuguma kwebhonzo rimwe kunowanzoita convex / kunongedza kunze, neimwe concave / yakatenderedzwa mukati kubvumira migumo kuti ikwane zvakanaka. Nekuti hinge majoini anongofamba nepakati imwe ndege yekufamba, anowanzo kugadzikana kupfuura mamwe ma synovial joints. (Bundless. General Biology, ND ) Hinge majoini anosanganisira:
Zvigunwe nezvigunwe zvigunwe - bvumira zvigunwe nezvigunwe kuti zvikotamire uye zviwedzere.
Kubatana kwegokora - kunobvumira gokora kukotama uye kuwedzera.
Mabvi akabatanidzwa - anobvumira mabvi kuti akotame uye awedzere.
The talocrural joint of the ankle - inobvumira gumbo kuti rifambe kumusoro/dorsiflexion uye pasi/plantarflexion.
Majoini emahinji anobvumira makumbo nemaoko, zvigunwe, uye zvigunwe kuti zviende kure uye kukotama zvichienda kumuviri. Kufamba uku kwakakosha pazviitwa zvemazuva ese, sekugeza, kupfeka, kudya, kufamba, kusimuka, uye kugara pasi.
Osteoarthritis uye kuzvimba mafomu eArthritis anogona kukanganisa chero majoini (Arthritis Foundation. ND ) Autoimmune kuzvimba maitiro eArthritis, kusanganisira rheumatoid uye psoriatic arthritis, inogona kuita kuti muviri urwise majoini awo. Izvi zvinowanzobata mabvi nezvigunwe, zvichikonzera kuzvimba, kuoma, uye kurwadziwa. (Kamata, M., Tada, Y. 2020 ) Gout chirwere chinoputika chearthritis chinotanga kubva kumazinga akakwirira euric acid muropa uye kazhinji inokanganisa hinge joint yechigunwe chikuru. Mamwe mamiriro anokanganisa hinge joints anosanganisira:
Kukuvara kune cartilage mukati memajoini kana matsinga anodzikamisa kunze kwemajoini.
Ligament sprains kana misodzi inogona kubva pazvigunwe zvakakanyiwa kana zvigunwe, zvitsitsinho zvakatenderedzwa, kukuvara kwakamonyoroka, uye kukanganisa kwakananga pamabvi.
Kukuvara uku kunogona kukanganisawo meniscus, iyo cartilage yakaoma mukati memabvi akabatanidzwa iyo inobatsira cushion uye kutora kuvhunduka.
Mamiriro ezvinhu anokanganisa majoini ehinge anowanzo kukonzera kuzvimba uye kuzvimba, zvichikonzera kurwadziwa uye kufamba kushoma.
Mushure mekukuvara kana panguva yekuzvimba mamiriro ekuputika, kudzikisira kufamba kwakasimba uye kuzorora mubatanidzwa wakakanganiswa kunogona kuderedza kuwedzera kushushikana uye. marwadzo .
Kushandisa ice kunogona kuderedza kuzvimba uye kuzvimba.
Mishonga inobvisa marwadzo seNSAID inogonawo kubatsira kuderedza marwadzo. (Arthritis Foundation. ND )
Kana marwadzo uye kuzvimba zvichitanga kupera, kurapwa kwepanyama uye / kana kwekushanda kunogona kubatsira kugadzirisa nzvimbo dzakakanganiswa.
Murapi achapa kutambanudza uye maekisesaizi kubatsira kuvandudza majoini ekufamba uye kusimbisa mhasuru dzinotsigira.
Kune vanhu vari kurwadziwa nemajoini ehinge kubva ku autoimmune mamiriro, biologic mishonga yekudzikisa autoimmune chiitiko chemuviri inopihwa kuburikidza neinfusions inounzwa mavhiki akati wandei kana mwedzi. (Kamata, M., Tada, Y. 2020 )
Cortisone jekiseni inogonawo kushandiswa kuderedza kuzvimba.
PaInjury Medical Chiropractic uye Functional Medicine Clinic, isu tinonyanya kutarisa pakurapa kukuvara kwevarwere uye kusingaperi kurwadziwa syndromes uye kuvandudza kugona kuburikidza nekuchinjika, kufamba, uye agility zvirongwa zvinoenderana nemunhu. Vapeji vedu vanoshandisa nzira yakabatanidzwa kugadzira zvirongwa zvekuchengetedza zvemunhu zvinosanganisira Functional Medicine, Acupuncture, Electro-Acupuncture, uye Sports Medicine protocol. Chinangwa chedu ndechekubvisa marwadzo nemasikirwo nekudzorera hutano uye kushanda kumuviri. Kana munhu wacho achida kumwe kurapwa, anozoendeswa kukiriniki kana chiremba anonyatsovakodzera. Dr. Jimenez akabatana nevarapi vepamusoro, nyanzvi dzemakiriniki, vatsvakurudzi vezvokurapa, uye vatapi vekutanga vekugadzirisa kuti vape mishonga inobatsira zvikuru.
VIDEO
Bundless. General Biology. (ND). 38.12: Majoini uye Skeletal Movement - Mhando dzeSynovial Joints. In. LibreTexts Biology. bio.libretexts.org/Bookshelves/Introductory_and_General_Biology/Book%3A_General_Biology_%28Boundless%29/38%3A_The_Musculoskeletal_System/38.12%3A_Joints_and_Skeletal_Movement_-_Types_of_Synovial_Joints
Arthritis Foundation. (ND). Osteoarthritis. Arthritis Foundation. www.arthritis.org/diseases/osteoarthritis
Kamata, M., & Tada, Y. (2020). Kubudirira uye Kuchengetedzeka kweBiologics yePsoriasis uye Psoriatic Arthritis uye Maitiro Avo paComorbidities: Ongororo Yezvinyorwa. International Journal of Molecular Sciences, 21(5), 1690. doi.org/10.3390/ijms21051690
by Dr Alex Jimenez Kugadzirira Therap , Chiropractic , Sciatica , Sciatica Nerve Pain , Mishonga , Viscerosomatic Reflex
Kune vanhu vanobata sciatica, kurapwa kusiri kwekuvhiya senge chiropractic kuchengetedza uye acupuncture kunoderedza marwadzo nekudzorera basa?
Muviri wemunhu muchina wakaoma unobvumira muenzi kuti afambe uye agadzikane paanenge achizorora. Nezvikwata zvakasiyana-siyana zvemhasuru munzvimbo dzepamusoro nedzezasi dzemuviri, mhasuru dzakatenderedza, mhasuru, tsinga, uye tsinga dzinoshanda chinangwa chemuviri sezvo vese vane mabasa chaiwo ekuchengetedza muenzi achishanda. Nekudaro, vanhu vazhinji vakagadzira maitiro akasiyana-siyana anokonzeresa zviitwa zvinonetsa izvo zvinokonzeresa kudzokorora mafambiro kumamhasuru avo uye tsinga uye kukanganisa musculoskeletal system yavo. Imwe yetsinga iyo vanhu vazhinji vanga vachibata nekurwadziwa ndeye sciatic nerve, iyo inokonzera nyaya dzakawanda muzasi kwemuviri migumo uye, kana isina kurapwa ipapo, inotungamirira kumarwadzo nekuremara. Sezvineiwo, vanhu vazhinji vakatsvaga kurapwa kusiri-kuvhiya kuderedza sciatica uye kudzorera basa remuviri kumunhu. Nyaya yanhasi inotarisa pakunzwisisa sciatica uye kuti kurapa kusiri kwekuvhiya senge chiropractic kuchengetedza uye acupuncture kunogona kubatsira kuderedza sciatic marwadzo-sezvinoita izvo zviri kukonzera kupindirana kwengozi profiles muzasi kwemuviri migumo. Isu tinokurukurirana nevazivisi vezvokurapa vane ruzivo vanobatana neruzivo rwevarwere kuti vaongorore kuti sciatica inowanzoenderana sei nemamiriro ezvinhu ezvakatipoteredza anokonzera kusagadzikana mumuviri. Isu tinozivisawo uye kutungamira varwere kuti kurapa kwakasiyana-siyana kusiri kwekuvhiya kunogona kubatsira sei kuderedza sciatica uye zviratidzo zvayo zvinowirirana. Isu tinokurudzirawo varwere vedu kuti vabvunze avo vanobatana navo vezvokurapa mibvunzo yakawanda yakaoma uye yakakosha nezve kubatanidza dzakasiyana siyana dzisiri dzekuvhiya marapirwo sechikamu che maitiro avo ezuva nezuva kuderedza mikana nemigumisiro ye sciatica kubva pakudzoka. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer .
Iwe unowanzonzwa kurwadziwa kunopenya kunofamba pasi rimwe kana makumbo ose kana wakagara pasi kwenguva yakareba here? Kangani iwe wakamboona tingling sensations zvinoita kuti iwe uzununguse gumbo kuti uderedze mhedzisiro? Kana kuti wakacherechedza here kuti kutambanudza makumbo ako kunokonzera kusununguka kwenguva pfupi? Kunyange zvazvo zviratidzo izvi zvinoputika zvinogona kukanganisa mazamu ezasi, vanhu vazhinji vanogona kufunga kuti inorwadza shure, asi chaizvoizvo, sciatica. Sciatica inowanzoitika musculoskeletal condition inobata vanhu vakawanda pasi rose nekukonzera marwadzo kune sciatic nerve uye inopenya kusvika kumakumbo. Iyo sciatic nerve yakakosha mukupa yakananga uye isina kunanga mota basa kumamhasuru emakumbo. ( Davis et al., 2024 ) Kana sciatic nerve yakamanikidzwa, vanhu vazhinji vanotaura kuti marwadzo anogona kusiyanisa zvakanyanya, achiperekedzwa nezviratidzo zvakadai sekurira, kupera simba, uye kushaya simba kwetsandanyama zvinogona kukanganisa kukwanisa kwemunhu kufamba nekushanda.
Zvisinei, zvimwe zvezvikonzero zvinokonzera kukura kwe sciatica zvinogona kutamba muchinhu chinokonzera marwadzo mumakumbo ezasi. Zvizhinji zvemukati uye zvakatipoteredza zvinhu zvinowanzobatanidzwa ne sciatica, zvichikonzera lumbar nerve root compression pane sciatic nerve. Zvinhu zvakadai sehutano husina kunaka, kushungurudzika kwemuviri, uye basa rekushanda zvakabatana nekuvandudzwa kwesciatica uye zvinogona kukanganisa maitiro emunhu. ( Gimenez-Campos et al., 2022 ) Uyezve, zvimwe zvezvikonzero zvinokonzera sciatica zvinogona kusanganisira mamiriro emusculoskeletal akafanana ne-herniated discs, bone spurs, kana spinal stenosis, iyo inogona kuwirirana nezvinhu izvi zvakasikwa uye zvakatipoteredza zvinogona kuderedza vanhu vakawanda 'motility uye hupenyu hwehupenyu. ( Zhou et al., 2021 ) Izvi zvinoita kuti vanhu vazhinji vatsvage marapiro ekubvisa sciatica marwadzo uye zviratidzo zvayo zvinowirirana. Kunyange zvazvo kurwadziwa kunokonzerwa ne sciatica kunogona kusiyana, vanhu vakawanda vanowanzotsvaga kurapwa kusina kuvhiyiwa kuti vaderedze kusagadzikana kwavo uye kurwadziwa kubva kune sciatica. Izvi zvinovabvumira kuti vaise mhinduro dzinoshanda dzekugadzirisa sciatica.
VIDEO
Kana zvasvika pakutsvaga mishonga isina kuvhiyiwa kuderedza sciatica, kurapa kusina kuvhiyiwa kunogona kuderedza marwadzo-semigumisiro apo ichibatsira kudzorera kushanda kwemuviri uye kufamba. Panguva imwecheteyo, kurapa kusiri kwekuvhiya kunogadziriswa kumarwadzo emunhu uye kunogona kuiswa mumuitiro wemunhu. Mamwe marapirwo asiri ekuvhiya senge chiropractic kuchengetedza akanakisa mukuderedza sciatica uye zviratidzo zvayo zvinorwadza. Chiropractic kuchengetedza imhando yeasina-kuvhiya kurapa iyo inotarisa kudzorera muviri musana wekufamba uchivandudza basa remuviri. Chiropractic kuchengetedza inoshandisa mechanical uye manual maitiro e sciatica kugadzirisa musana uye kubatsira muviri kupora zvakasununguka pasina kuvhiyiwa kana mishonga. Chiropractic kuchengetedza inogona kubatsira kuderedza intradiscal pressure, kuwedzera intervertebral disc nzvimbo kureba, uye kuvandudza mararamiro ekufamba mumucheto wezasi. ( Gudavalli et al., 2016 ) Paunenge uchibata ne sciatica, chiropractic kuchengetedza inogona kuderedza kumanikidzika kusingadikanwi pane sciatic nerve uye kubatsira kuderedza dambudziko rekudzoka zvakare kuburikidza nemishonga inotevedzana.
Mimwe yemigumisiro yechiropractic kuchengetedza yekuderedza sciatica inogona kupa ruzivo kumunhu sezvo chiropractors vanoshanda pamwe chete nevanorapa vatapi vezvehutano kuti vagadzire chirongwa chemunhu kuti abvise marwadzo-sezviratidzo. Vanhu vazhinji vanoshandisa chiropractic kuchengetedza kuderedza mhedzisiro ye sciatica inogona kusanganisira kurapwa kwemuviri kusimbisa mhasuru dzisina simba. iyo yakapoteredza iyo yakaderera kumashure, tambanudza kuti uvandudze kushanduka uye uwedzere kurangarira kuti ndezvipi zvinhu zviri kukonzera sciatic kurwadziwa mumigumo yavo yepasi. Chiropractic kuchengetedza inogona kutungamirira vanhu vakawanda pane zvakakodzera poster ergonomics, uye maitiro akasiyana-siyana ekuderedza mikana ye sciatica kudzoka apo ichipa maitiro akanaka kumuviri wezasi.
Imwe nzira yekusavhiya kurapwa iyo inogona kubatsira kuderedza marwadzo-semhedzisiro ye sciatica ndeye acupuncture. Sechikamu chakakosha mumishonga yechivanhu yechiChinese, acupuncture therapy inosanganisira nyanzvi dzinoisa tsono dzakatetepa, dzakasimba panzvimbo dzakatarwa pamuviri. Kana zvasvika kune kuderedza sciatica, acupuncture therapy inogona kuita analgesic mhedzisiro paacupoints yemuviri, gadzirisa iyo microglia, uye modulate mamwe mareceptor munzira yemarwadzo kune tsinga system. ( Zhang et al., 2023 ) Acupuncture therapy inotarisa kudzoreredza kuyerera kwesimba remuviri kana Qi kukurudzira kuporeswa.
Nezvemigumisiro yeacupuncture therapy pakuderedza sciatica, acupuncture therapy inogona kubatsira kuderedza zviratidzo zvinorwadza izvo sciatica inogadzira kuburikidza nekushandura chiratidzo cheuropi uye kudzorera motokari inoenderana kana kuvhiringidzika kwekunzwa kwenharaunda yakakanganiswa. ( Yu et al., 2022 ) Uyezve, acupuncture therapy inogona kubatsira kupa marwadzo nekusunungura endorphins, marwadzo epanyama emuviri, kune chaiyo acupoint inopindirana ne sciatic nerve, kuderedza kuzvimba kwakakomberedza sciatic nerve, nokudaro kuderedza kudzvinyirira uye kurwadziwa uye kubatsira kuvandudza tsinga. Zvose chiropractic kuchengetedza uye acupuncture zvinopa zvakakosha zvisiri zvekuvhiya zvingasarudzwa zvinogona kupa rubatsiro mukugadzirisa uye kuderedza marwadzo anokonzerwa nesciatica. Apo vanhu vazhinji vari kutarisana ne sciatica uye vachitsvaga mhinduro dzakawanda dzekuderedza marwadzo-semigumisiro, idzi mbiri dzisina-kuvhiya marapirwo dzinogona kubatsira vanhu vakawanda kugadzirisa zvinokonzera sciatica, kuwedzera maitiro ekuporesa kwemuviri, uye kubatsira kupa rubatsiro rukuru kubva. kurwadziwa.
Davis, D., Maini, K., Taqi, M., & Vasudevan, A. (2024). Sciatica. In StatPearls . www.ncbi.nlm.nih.gov/pubmed/29939685
Gimenez-Campos, MS, Pimenta-Fermisson-Ramos, P., Diaz-Cambronero, JI, Carbonell-Sanchis, R., Lopez-Briz, E., & Ruiz-Garcia, V. (2022). Kuongororwa kwakarongeka uye meta-kuongorora kwekubudirira uye zviitiko zvakashata zve gabapentin uye pregabalin nokuda kwekurwadziwa kwesciatica. Aten Primaria , 54 (1), 102144. doi.org/10.1016/j.aprim.2021.102144
Gudavalli, MR, Olding, K., Joachim, G., & Cox, JM (2016). Chiropractic Distraction Spinal Manipulation paPostsurgical Inopfuurira Kuderera Kudzoka uye Radicular Pain Varwere: A Retrospective Case Series. J Chiropr Med , 15 (2), 121-128. doi.org/10.1016/j.jcm.2016.04.004
Yu, FT, Liu, CZ, Ni, GX, Cai, GW, Liu, ZS, Zhou, XQ, Ma, CY, Meng, XL, Tu, JF, Li, HW, Yang, JW, Yan, SY, Fu, HY, Xu, WT, Li, J., Xiang, HC, Zuva, TH, Zhang, B., Li, MH, . . . Wang, LQ (2022). Acupuncture for chronic sciatica: protocol ye multicenter randomized controlled trial. BMJ Open , 12 (5), e054566. doi.org/10.1136/bmjopen-2021-054566
Zhang, Z., Hu, T., Huang, P., Yang, M., Huang, Z., Xia, Y., Zhang, X., Zhang, X., & Ni, G. (2023). Kubudirira uye kuchengetedzeka kweacupuncture therapy ye sciatica: Kuongorora kwakarongeka uye meta-kuongorora kwemaitiro akadzora nzira. Front Neurosci , 17 , 1097830. doi.org/10.3389/fnins.2023.1097830
Zhou, J., Mi, J., Peng, Y., Han, H., & Liu, Z. (2021). Causal Associations of Obesity neIntervertebral Degeneration, Low Back Pain, uye Sciatica: A Two-Sample Mendelian Randomization Study. Front Endocrinol (Lausanne) , 12 , 740200. doi.org/10.3389/fendo.2021.740200
by Dr Alex Jimenez vatambi , Mitambo Injodzi
Ndedzipi nguva dzekuporesa dzekukuvara kwemitambo kwakajairwa kwevatambi uye vanhu vamwe vanopinda mumitambo yekutandara?
Musikana wechidiki, anofara mune zvemitambo ari kuwana gumi-electrotherapy kurapwa kukiriniki yekurapa.
Nguva yekuporesa kubva mukukuvara kwemitambo inoenderana nezvinhu zvakasiyana, senge nzvimbo uye chiyero chekukuvara uye hutano hweganda, majoini, tendon, tsandanyama, uye mapfupa. Izvo zvakakoshawo kutora nguva yekupora kana kusamhanya kudzoka mumitambo yemitambo mapfupa kana matishu asati apora zvizere. Kuti udzivise kukuvadzwa zvakare, iva nechokwadi chokuti chiremba anochenesa hutano asati adzokera kumitambo kana kushanda nesimba.
Zvinoenderana netsvakiridzo yeCDC, avhareji ye8.6 miriyoni yemitambo uye kukuvara-kwakanangana nekuvaraidzwa kunoitika gore rega. (Sheu, Y., Chen, LH, uye Hedegaard, H. 2016 ) Zvisineyi, kukuvara kwemitambo kwakawanda ndekwepamusoro-soro kana kukonzereswa nemhando dzepasi-giredhi strains kana sprains; zvishoma 20% yekukuvara kunokonzerwa nekutyoka kwemapfupa kana kukuvara kwakanyanya. Kutyoka kwebhonzo kunotora nguva yakareba kudarika sprains kana kuputika, uye kuputika kwetendon kana tsandanyama kunogona kutora mwedzi mumwe munhu asati adzoka zvakakwana kumabasa. Vanhu vane chimiro chakanaka chemuviri vasina chirwere chepasi kana kuremara, izvi ndizvo zvavanogona kutarisira kana vachinge vapora kubva mukukuvara kwemitambo kunotevera:
Mumitambo, chiyero chepamusoro chekutyoka kwemapfupa chinoitika nenhabvu uye mitambo yekusangana. Zvizhinji zvakatenderedza kumucheto kwezasi asi zvinogona kusanganisira mitsipa nemafudzi, maoko, uye mbabvu.
Zvinoenderana nezera remunhu, hutano, rudzi, uye nzvimbo.
Kazhinji, zvinotora mavhiki matanhatu kuti apore.
Muchiitiko ichi, pfupa rinoputsika munzvimbo dzakawanda.
Zvingada kuvhiyiwa kuti pfupa rigadzikane.
Nguva yekuporesa inogona kutora kusvika kumwedzi misere.
Inogona kuda immobilization yefudzi nepamusoro ruoko.
Zvinogona kutora mavhiki mashanu kusvika gumi kuti apore zvizere.
Zvigunwe kana zvigunwe zvakaputsika zvinogona kupora mumavhiki matatu kusvika mashanu.
Chikamu chechirongwa chekurapa chinosanganisira maitiro ekufema.
Painkillers inogona kudiwa kwenguva pfupi.
Kazhinji, zvinotora mavhiki matanhatu kuti apore.
Inogona kusanganisira chero ipi zvayo yezvinomwe zvemutsipa vertebrae.
Chitsigiso chemuhuro kana kuti halo mudziyo wakakwenenzverwa mudehenya kuitira kugadzikana chinogona kushandiswa.
Zvinogona kutora kusvika kumasvondo matanhatu kuti apore.
Maererano neshumo yeCDC, sprains uye strains account ye41.4% yekukuvara kwemitambo yese. (Sheu, Y., Chen, LH, uye Hedegaard, H. 2016 )
A sprain ndiko kutatamuka kana kubvaruka kwemarunda kana kuti mabhandi akaomarara enyama ine fibrous inobatanidza mapfupa maviri pajoini.
A dambudziko ndiko kuwanda kana kubvaruka kwemhasuru kana tendons .
Inogona kupora mumazuva mashanu kana pasina matambudziko.
Kusvuuka kwakanyanya kunosanganisira kubvaruka kana kuputika matendon anogona kutora mavhiki matatu kusvika matanhatu kuti apore.
Yakarongerwa segiredhi 1 - nyoro nyoro inogona kupora mumavhiki maviri.
Giredhi 3 - kuomarara kwakanyanya kungada mwedzi mitatu kana kupfuura kuti apore zvachose.
Kushandiswa kwemhuru kudzvinyirira sleeves kunogona kukurumidza kupora kwematambudziko uye sprains mugumbo rezasi.
Kubata, kukanganisa, kudonha, kukurumidza kuchinja, kana kurova kufamba kunogona kukonzera kukuvara kwe whiplash.
Nguva yekurapa inogona kutora mavhiki mashoma kusvika kumavhiki matanhatu.
Kusanganisira anterior cruciate ligament.
Kazhinji, zvinoda mwedzi yekupora uye kudzoreredzwa, zvichienderana nezvakati wandei zvinhu, kusanganisira rudzi rwemitambo chiitiko.
Kupora zvakakwana kubva pakuvhiyiwa kunotora mwedzi mitanhatu kusvika ku12.
Pasina kuvhiyiwa, hapana nguva yakatarwa yekuvandudza.
Kukuvara kwakakomba.
Izvi zvinoitika apo tendon inenge yabvaruka zvishoma kana zvachose.
Vanhu vangangoda kuvhiyiwa zvakanyanya.
Nguva yekudzorera ndeye mwedzi mina kusvika kumitanhatu.
Zvinoenderana nekudzika uye nzvimbo yekukuvara.
Zvinogona kutora chero kubva pavhiki kusvika kumwedzi kuti apore.
Kana pasina kukuvara kunoperekedza, stitches inogona kubviswa mukati memavhiki maviri kusvika matatu.
Kana kucheka kwakadzika kunoda matinji, nguva yakawanda inodiwa.
Zvinokonzerwa nekukuvadzwa kweganda, zvichiita kuti tsinga dzeropa dzityoke.
Muzviitiko zvakawanda, kuputika kunotora mazuva mashanu kusvika manomwe kuti apore.
Kana ukarapwa nemazvo, zvinowanzotora mavhiki maviri ekuzorora uye kupora murwere asati adzokera kubasa.
Mushure mekunge kuzvimba kwekutanga nekuzvimba kwapera, chiremba anozokurudzira chirongwa chekurapa icho chinowanzobatanidza kurapa kwemuviri, kuzviitira kugadzirisa muviri, kana kutariswa nemurapi wepanyama kana timu. Sezvineiwo, vatambi uye vanhu vanogara vachiita maekisesaizi vanowanzova nekukurumidza kupora nguva nekuti ivo vari muchimiro chepamusoro chemuviri, uye moyo wavo wemoyo unopa ropa rakasimba rinomhanyisa kupora. PaEl Paso's Chiropractic Rehabilitation Clinic & Integrated Medicine Center, isu tinonyanya kufunga nezvekurapa kukuvara kwevarwere uye kusingaperi kurwadziwa syndromes. Isu tinotarisa pakuvandudza kugona kuburikidza nekuchinjika, kufamba, uye agility zvirongwa zvakagadzirirwa kumunhu. Isu tinoshandisa mu-munhu uye chaiyo yehutano kudzidzisa uye yakazara hurongwa hwekutarisira kuve nechokwadi chega chega kutarisirwa kwemurwere uye hutano hwakanaka.
Vapeji vedu vanoshandisa nzira yakabatanidzwa kugadzira zvirongwa zvekuchengetedza zvemunhu zvinosanganisira Functional Medicine, Acupuncture, Electro-Acupuncture, uye Mitambo yeMishonga misimboti. Chinangwa chedu ndechekubvisa marwadzo nemasikirwo nekudzorera hutano uye kushanda kumuviri.
Kana chiropractor ichinzwa kuti munhu anoda kumwe kurapwa, vanozoendeswa kukiriniki kana chiremba akanyatsovakodzera. Dr. Jimenez akabatana nevarapi vepamusoro, nyanzvi dzemakiriniki, vatsvakurudzi vezvokurapa, uye vatapi vekutanga vekugadzirisa kuti vape mishonga yepamusoro yekiriniki munharaunda yedu. Kupa maprotocol asingasviki zvakanyanya ndiko kwatinonyanya kukoshesa, uye yedu yakasarudzika murwere-yakavakirwa kiriniki ruzivo ndizvo zvatinopa.
VIDEO
Sheu, Y., Chen, LH, & Hedegaard, H. (2016). Mitambo- neKutandara-ine chekuita Nekukuvara Zvikamu muUnited States, 2011-2014. National health statistics report, (99), 1–12.
by Dr Alex Jimenez Hip Pain & Dambudziko , Neuropathy
Kune vanhu vari kunzwa kurwadziwa kwepelvic, inogona kunge iri kusagadzikana kwepudendal nerve inozivikanwa se pudendal neuropathy kana neuralgia inotungamirira kumarwadzo asingagumi. Mamiriro acho anogona kukonzerwa nepudendal nerve entrapment, uko nerve inomanikidzwa kana kukuvadzwa. Kuziva zviratidzo kungabatsira here varapi vehutano kunyatsoongorora mamiriro acho uye kugadzira chirongwa chekurapa chinoshanda?
Iyo pudendal nerve ndiyo tsinga huru inoshandira perineum, iyo inzvimbo iri pakati pe anus ne genitalia - scrotum muvarume uye vulva muvakadzi. Iyo pudendal nerve inomhanya nepakati pe gluteus tsandanyama / matako uye ichipinda mu perineum. Inotakura ruzivo rwekunzwa kubva kune ekunze genitalia uye ganda rakatenderedza anus uye perineum uye inotumira mota / mafambiro masaini kune akasiyana mhasuru dzepelvic. (Origoni, M. et al., 2014 ) Pudendal neuralgia, inonziwo pudendal neuropathy, chirwere chepudendal nerve chinogona kutungamirira kumarwadzo asingagumi epelvic.
Kurwara kwepelvic kusingagumi kubva pudendal neuropathy kunogona kukonzerwa nechero ipi inotevera (Kaur J. et al., 2024 )
Kunyanya kugara panzvimbo dzakaoma, zvigaro, zvigaro zvebhasikoro, nezvimwewo. Vatyairi vemabhasikoro vanowanzoita pudendal nerve entrapment.
Trauma kumagaro kana pelvis.
Kuberekwa.
Diabetes neuropathy.
Maumbirwo emapfupa anosundidzira tsinga dzepudendal.
Kukobvura kwemarunda akapoteredza pudendal nerve.
Pudendal nerve pain inogona kurondedzerwa sekubaya, kupwanya, kupisa, kusanzwa, kana mapini netsono uye inogona kupa (Kaur J. et al., 2024 )
Mu perineum.
Munzvimbo yekumashure.
Muvarume, kurwadziwa muscrotum kana peni.
Muvakadzi, kurwadziwa mu labia kana vulva.
Panguva yebonde.
Pakuita weti.
Panguva yekufamba ura.
Pakugara nekuenda mushure mekusimuka.
Nemhaka yokuti zviratidzo zvinowanzooma kusiyanisa, pudendal neuropathy inogona kuoma kusiyanisa kubva kune mamwe marudzi ekurwadziwa kwepelvic kusingaperi.
Kugara kwenguva refu pachigaro chebhasikoro kunogona kukonzera pelvic nerve compression, izvo zvinogona kutungamirira kumarwadzo asingagumi epelvic. Kuwanda kwepudendal neuropathy (kurwadza kwepelvic kusingaperi kunokonzerwa nekupinda kana kumanikidzika kwepudendal nerve) inowanzonzi Cyclist's Syndrome. Kugara pane zvimwe zvigaro zvebhasikoro kwenguva refu kunoisa dzvinyiriro huru pane pudendal nerve. Kudzvinyirira kunogona kukonzera kuzvimba kwakatenderedza tsinga, izvo zvinokonzeresa marwadzo uye, nekufamba kwenguva, zvinogona kutungamirira kune nerve trauma. Kudzvinyirirwa kwetsinga uye kuzvimba kunogona kukonzera marwadzo anotsanangurwa sekupisa, kuruma, kana mapini netsono. (Durante, JA, uye Macintyre, IG 2010 ) Kune vanhu vane pudendal neuropathy inokonzerwa nekuchovha bhasikoro, zviratidzo zvinogona kuoneka mushure mekuchovha bhasikoro kwenguva refu uye dzimwe nguva mwedzi kana makore gare gare.
Ongororo yezvidzidzo yakapa mazano anotevera ekudzivirira Cyclist's Syndrome (Chiaramonte, R., Pavone, P., Vecchio, M. 2021 )
Tora kuzorora zvishoma 20-30 masekonzi mushure memaminitsi makumi maviri ega ega ekutasva.
Paunenge uchikwira, shandura nzvimbo kakawanda.
Simuka kutsika nguva nenguva.
Tora nguva yekuzorora pakati pezvikamu zvekutasva uye mijaho yekuzorora uye kuzorodza pelvic nerve. Kuzorora kwemazuva 3-10 kunogona kubatsira mukupora. (Durante, JA, uye Macintyre, IG 2010 )
Kana zviratidzo zvekurwadziwa kwepelvic zvisati zvatanga kukura, zorora uye ona mutapi wehutano kana nyanzvi kuti aongororwe.
Shandisa chigaro chakapfava, chakafara nemhuno pfupi.
Iva nenzvimbo yechigaro kana kurerekera kumberi zvishoma.
Zvigaro zvine maburi ekucheka zvinoisa zvakanyanya kumanikidza pane perineum.
Kana chiveve kana kurwadziwa kuripo, edza chigaro chisina maburi.
Rongedza hurefu hwechigaro kuitira kuti ibvi rakakotama zvishoma pazasi pedeal stroke.
Huremu hwemuviri hunofanira kugara pamapfupa akagara/ischial tuberosities.
Kuchengeta mubato kureba pasi pechigaro kunogona kuderedza kudzvanywa.
Iyo Triathlon bhasikoro yakanyanyisa-mberi chinzvimbo inofanira kudzivirirwa.
Kuwedzera kurongeka kuri nani.
Mabhasikoro emakomo akave akabatanidzwa nehuwandu hwengozi ye erectile dysfunction kupfuura mabhasikoro emugwagwa.
Pfeka zvikabudura zvebhasikoro.
Mutariri wehutano anogona kushandisa musanganiswa wekurapa.
Iyo neuropathy inogona kurapwa nekuzorora kana chikonzero chakanyanya kugara kana kuchovha bhasikoro.
Pelvic floor physical therapy inogona kubatsira kuzorora uye kurebesa tsandanyama.Zvirongwa zvekuvandudza muviri, kusanganisira kutambanudza uye kurovedza muviri kwakanangwa, zvinogona kusunungura tsinga.
Chiropractic kugadzirisa kunogona kugadzirisa musana uye pelvis.
Iyo inoshanda yekuburitsa tekinoroji / ART inosanganisira kushandisa kumanikidza kune tsandanyama munzvimbo iyi uchitambanudza uye uchisimbisa. (Chiaramonte, R., Pavone, P., Vecchio, M. 2021 )
Nerve blocks inogona kubatsira kubvisa marwadzo anokonzerwa netsinga entrapment. (Kaur J. et al., 2024 )
Zvimwe zvinozorodza tsandanyama, antidepressants, uye anticonvulsants zvinogona kurairwa, dzimwe nguva pamwe chete.
Kuvhiyiwa kwetsinga kunogona kukurudzirwa kana mishonga yose inochengetedza yakapera. (Durante, JA, uye Macintyre, IG 2010 )
Injury Medical Chiropractic uye Functional Medicine Clinic zvirongwa zvekutarisira uye masevhisi ekiriniki ane hunyanzvi uye akatarisana nekukuvara uye kudzoreredza kwakazara maitiro. Nzvimbo dzedu dzekudzidzira dzinosanganisira Wellness uye kudya kunovaka muviri, Kurwara Kusingaperi, Kukuvara Kwemunhu, Auto Accident Care, Kukuvara Kwebasa, Kukuvara Kwemusana, Kurwadziwa Kwepashure, Kurwadziwa Kwemutsipa, Migraine Headaches, Kukuvara Kwemitambo, Yakaoma sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic. Marwadzo, Kukuvara Kwakaoma, Stress Management, uye Functional Medicine Kurapa. Kana munhu wacho achida kumwe kurapwa, achaendeswa kukiriniki kana chiremba anonyatsokodzera mamiriro avo ezvinhu, sezvo Dr. Jimenez akabatana nevanovhiya vepamusoro, nyanzvi dzemakiriniki, vatsvakurudzi vezvokurapa, varapi, vadzidzisi, uye premiere rehabilitation providers.
VIDEO
Origoni, M., Leone Roberti Maggiore, U., Salvatore, S., & Candiani, M. (2014). Neurobiological nzira dzekurwadziwa kwepelvic. BioMed tsvagiridzo yenyika, 2014, 903848. doi.org/10.1155/2014/903848
Kaur, J., Leslie, SW, & Singh, P. (2024). Pudendal Nerve Entrapment Syndrome. MuStatPearls. www.ncbi.nlm.nih.gov/pubmed/31334992
Durante, JA, & Macintyre, IG (2010). Pudendal nerve entrapment mune Ironman mutambi: nyaya yenyaya. The Journal of the Canadian Chiropractic Association, 54 (4), 276-281.
Chiaramonte, R., Pavone, P., & Vecchio, M. (2021). Kuongororwa, Kugadzirisa uye Kudzivirira Matanho ePudendal Neuropathy muCyclists, A Systematic Review. Nyaya yekushanda morphology uye kinesiology, 6 (2), 42. doi.org/10.3390/jfmk6020042
by Dr Alex Jimenez Pamuviri Utano , Spine Care
Kune vanhu vakaneta dzimwe nzira dzese dzekurapa dzekurwadziwa kwemusana uye nerve root compression, kuvhiyiwa kwelaser spine kunogona kubatsira kuderedza kudzvanywa kwetsinga uye kupa zororo rinogara kwenguva refu?
Laser spine kuvhiyiwa ishoma invasive kuvhiya maitiro ayo anoshandisa laser kucheka nekubvisa masipinha zvimiro zviri kumanikidza tsinga uye kukonzera kurwadziwa kwakanyanya. Maitiro ekuita zvishoma anowanzo konzera kurwadziwa kushoma, kukuvara kwetishu, uye kupora nekukurumidza kupfuura kuvhiya kwakawanda.
Minimally invasive maitiro anokonzera kushoma mavanga uye kukuvadza kune zvivako zvakapoteredza, kazhinji kuderedza zviratidzo zvinorwadza uye nguva shoma yekudzorera. (Stern, J. 2009 ) Zvidiki zvidiki zvinogadzirwa kuti zviwane spinal column zvimiro. Nekuvhiyiwa kwakavhurika-musana, kuchekwa kukuru kunoitwa pasi kumashure kuti uwane musana. Kuvhiya kwacho kunosiyana nekumwe kuvhiya pakuti danda relaser, pane zvimwe zviridzwa zvekuvhiya, rinoshandiswa kucheka zvimiro mumusana. Zvisinei, kuchekwa kwekutanga kuburikidza neganda kunogadzirwa nekuvhiya scalpel. Laser ipfupiso yeChiedza Amplification Inokurudzirwa neEmission of Radiation. Laser inogona kuburitsa kupisa kwakanyanya kucheka nepakati zvinyoro zvinyoro, kunyanya izvo zvine mvura yakakwira, senge spinal column discs. (Stern, J. 2009 ) Kune akawanda ekuvhiyiwa kwemuzongoza, iyo laser haigone kushandiswa kucheka nepakati pebhonzo sezvo ichigadzira ipapo sparks zvinogona kukuvadza zvimiro zvakatenderedza. Asi, kuvhiyiwa kwelaser spine kunonyanya kushandiswa kuita discectomy, inova nzira yekuvhiya inobvisa chikamu chebulging kana herniated disc iyo iri kusundira kune yakatenderedza tsinga midzi, zvichikonzera kudzvinyirira kwetsinga uye sciatic kurwadziwa. (Stern, J. 2009 )
Kuvhiyiwa kweLaser spine kunogona kubatsira kugadzirisa chikonzero chekumanikidzwa kwetsinga midzi, asi kune njodzi yakawedzera yekukuvadza kune zvivakwa zviri pedyo. Njodzi dzinobatanidzwa dzinosanganisira: (Brouwer, PA et al., 2015 )
Kurwara
Bleeding
Ropa rinovhara
Zviratidzo zvakasara
Kudzorera zviratidzo
Kuwedzera kukuvara kwetsinga
Kukuvadza kune membrane yakatenderedza musana.
Kuda kumwe kuvhiyiwa
Laser beam haina kurongeka semamwe maturusi ekuvhiya uye inoda kudzidzira kugona uye kudzora kudzivirira kukuvara kumusana uye nerve midzi. (Stern, J. 2009 ) Nemhaka yokuti lasers haigoni kugura nepakati pemapfupa, zvimwe midziyo yekuvhiya inowanzoshandiswa kumativi emakona uye pamakona akasiyana-siyana nokuti inoshanda zvakanyanya uye inobvumira kunyatsojeka. (Atlantic Brain uye Spine, 2022 )
Kuvhiyiwa kweLaser spine kunoitwa kubvisa zvimiro zviri kukonzera kutsinga kwetsinga. Nerve root compression inosanganiswa nemamiriro anotevera (Cleveland Clinic. 2018 )
Bulging discs
Herniated discs
Sciatica
Spinal stenosis
Musana tambo mamota
Midzi yetsinga yakakuvara kana kukuvadzwa uye inogara ichitumira zviratidzo zvinorwadza zvisingaperi zvinogona kubviswa nekuvhiyiwa kwelaser, kunozivikanwa se nerve ablation. Iyo laser inopisa uye inoparadza nerve fibers. (Stern, J. 2009 ) Nekuti kuvhiyiwa kwelaser spine kunogumira mukurapa kumwe kusagadzikana kwemusana, maitiro mazhinji emuzongoza asingashandisi laser. (Atlantic Brain uye Spine. 2022 )
Chikwata chekuvhiya chinopa mirairo yakadzama pamusoro pezvaunofanira kuita mumazuva nemaawa vasati vavhiyiwa. Kukurudzira kuporeswa kwakanaka uye kupora kwakanaka, zvinokurudzirwa kuti murwere arambe achishanda, adye chikafu chine hutano, uye arege kusvuta asati avhiyiwa. Vanhu vangada kurega kutora mimwe mishonga kudzivirira kubuda ropa kwakanyanya kana kusangana neanesthesia panguva yekuvhiya. Zivisai mutano wehutano nezvese zvinonyorerwa, over-the-counter zvinodhaka, uye zvekuwedzera zviri kutorwa.
Kuvhiyiwa kweLaser spine inzira yekunze kuchipatara kana nzvimbo yekuvhiya yekunze. Murwere angangoenda kumba pazuva rimwe chete rekuvhiyiwa. (Cleveland Clinic. 2018 ) Varwere havagoni kutyaira vachienda kana kuti kubva kuchipatara vasati vavhiyiwa kana kuti vapedza, saka rongai kuti mhuri kana shamwari dzivape chokufambisa. Kuderedza kushushikana uye kukoshesa hutano hwepfungwa uye hwepfungwa kwakakosha kudzikisa kuzvimba uye kubatsira kupora. Utano hwemurwere hunoenda mukuvhiyiwa, zviri nyore kupora uye kugadzirisa.
Kuvhiyiwa kuchasarudzwa nemurwere uye mupi wehutano uye kunorongwa kuchipatara kana kunze kwekuvhiya nzvimbo. Ronga kuti shamwari kana nhengo yemhuri ityaire kuenda kunovhiyiwa uye kumba.
Murwere achaendeswa kukamuri yepamberi uye anokumbirwa kuti achinje gauni.
Murwere achaongororwa kwenguva pfupi mumuviri uye apindure mibvunzo nezve nhoroondo yekurapa.
Murwere anorara pamubhedha wemuchipatara, uye mukoti anoisa IV kuti aendese mishonga nemvura.
Boka rekuvhiya richashandisa mubhedha wechipatara kutakura murwere mukati nekubuda mukamuri yekuvhiya.
Chikwata chekuvhiya chichabatsira murwere kupinda patafura yekuvhiya, uye murwere achapihwa anesthesia.
Murwere anogona kugamuchira general anesthesia , izvo zvichaita kuti murwere arare kuvhiyiwa, kana regional anesthesia , kubaiwa muzongoza kuti riveveve nzvimbo yakabatwa. (Cleveland Clinic. 2018 )
Chikwata chekuvhiya chinozouraya ganda uko kuchaitwa.
Mushonga unouraya utachiona uchashandiswa kuuraya utachiona uye kudzivirira njodzi yeutachiona.
Kana wacheneswa, mutumbi unozofukidzwa nemachira ekudzivirira kuti nzvimbo yekuvhiyiwa igare yakachena.
Kune discectomy, chiremba anovhiya achaita diki incision isingasviki masendimita imwe pakureba ine scalpel pamwe nemuzongoza kuti uwane nerve midzi.
Chishandiso chekuvhiya chinonzi endoscope ikhamera inopinzwa mukati meiyo yekuona musana. (Brouwer, PA et al., 2015 )
Kamwe dambudziko redhisiki chikamu chinokonzera compression iripo, iyo laser inoiswa kuti icheke nayo.
Iyo yakachekwa disc chikamu inobviswa, uye iyo incision saiti yakashongedzwa.
Mushure mekuvhiyiwa, murwere anounzwa kuimba yekudzikinura, uko zviratidzo zvakakosha zvinotariswa sezvo mhedzisiro yeanesthesia inopera.
Kana yagadzikana, murwere anogona kazhinji kuenda kumba kweawa imwe kana maviri mushure mekuvhiyiwa.
Chiremba anovhiya achasarudza kana munhu wacho akajeka kuti atangezve kutyaira.
Kutevera discectomy, munhu wacho anogona kudzokera kubasa mukati memazuva mashomanana kusvika kumavhiki mashomanana, zvichienderana nekuoma, asi zvinogona kutora kusvika kumwedzi mitatu kuti adzokere kumabasa emazuva ose. Kureba kwekupora kunogona kubva pamavhiki maviri kusvika mana kana pasi kuti utangezve basa rekugara kana mavhiki masere kusvika gumi nemaviri kune rimwe basa rinorema rinoda kusimudza zvinorema. (Yunivhesiti yeWisconsin Chikoro cheMishonga uye Hutano Hwevanhu, 2021 ) Mumavhiki maviri ekutanga, murwere anopihwa zvirambidzo kuitira kuti musana upore kusvika wanyatsogadzikana. Zvirambidzo zvinogona kusanganisira: (Yunivhesiti yeWisconsin Chikoro cheMishonga uye Hutano Hwevanhu, 2021 )
Hapana kukotama, kumonyorora, kana kusimudza.
Hapana kurovedza muviri kunonetesa, kusanganisira kurovedza muviri, basa repamba, basa repachivanze, uye bonde.
Hapana doro padanho rekutanga rekupora kana uchitora narcotic pain pain.
Hapana kutyaira kana kushandisa mota kusvika yakurukurwa nachiremba anovhiya.
Mutariri wehutano anogona kukurudzira physically therapy kuzorora, kusimbisa, uye kuchengetedza hutano hwemusculoskeletal. Kurapa kwepanyama kunogona kuva kaviri kana katatu pavhiki kwemavhiki mana kusvika matanhatu.
Zvakanakira kudzoreredza kurudziro dzinosanganisira:
Kurara zvakakwana, maawa manomwe kusvika masere.
Kuchengeta mafungire akanaka uye kudzidza kubata uye kugadzirisa kushushikana.
Kuchengetedza hydration yemuviri.
Kutevera chirongwa chekurovedza muviri sekurairwa nemurapi wepanyama.
Kudzidzira hutano hwakanaka nekugara, kumira, kufamba, uye kurara.
Kugara uchishanda uye kudzikisira huwandu hwenguva yakashandiswa wakagara. Edza kusimuka uye kufamba maawa maviri kusvika kumaawa maviri masikati kuti ugare wakashanda uye kudzivirira kuvhara ropa. Zvishoma nezvishoma wedzera huwandu hwenguva kana chinhambwe sezvo kupora kunowedzera.
Usasundidzira kuita zvakawandisa nekukurumidza. Kuwedzera muviri kunogona kuwedzera marwadzo uye kunonoka kupora.
Kudzidza nzira dzekusimudza dzekushandisa mhasuru uye mhasuru dzemakumbo kudzivirira kuwedzera kumanikidza pamuzongoza.
Kurukurai nzira dzekurapa dzekutarisira zviratidzo nemupi wehutano kana nyanzvi kuti uone kana laser spine kuvhiya kwakakodzera. Injury Medical Chiropractic uye Functional Medicine Clinic zvirongwa zvekutarisira uye masevhisi ekiriniki ane hunyanzvi uye akatarisana nekukuvara uye kudzoreredza kwakazara maitiro. Dr. Jimenez akabatana nevarapi vepamusoro, nyanzvi dzekiriniki, vatsvakurudzi vezvokurapa, varapi, vadzidzisi, uye premiere rehabilitation providers. Isu tinotarisa kudzoreredza mabasa emuviri akajairwa mushure mekukuvadzwa uye kukuvara kwenyama yakapfava tichishandisa Specialized Chiropractic Protocols, Wellness Programs, Functional and integrative Nutrition, Agility and mobility Fitness Training, uye Rehabilitation Systems kwemazera ose. Nzvimbo dzedu dzekudzidzira dzinosanganisira Wellness & Nutrition, Chronic Pain, Personal Injury, Auto Accident Care, Basa Kukuvara, Back Injury, Low Back Pain, Neck Pain, Migraine Headaches, Sports Injuries, Severe Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Marwadzo, Kukuvara Kwakaoma, Stress Management, Functional Medicine Kurapa, uye in-scope care protocol.
VIDEO
Stern, J. SpineLine. (2009). Lasers muSpine Surgery: Ongororo. Mafungiro Azvino, 17-23. www.spine.org/Portals/0/assets/downloads/KnowYourBack/LaserSurgery.pdf
Brouwer, PA, Brand, R., van den Akker-van Marle, ME, Jacobs, WC, Schenk, B., van den Berg-Huijsmans, AA, Koes, BW, van Buchem, MA, Arts, MP, & Peul , WC (2015). Percutaneous laser disc decompression inopesana neyakajairwa microdiscectomy mu sciatica: a randomized controlled trial. The spine magazine: yepamutemo magazini yeNorth American Spine Society, 15 (5), 857-865. doi.org/10.1016/j.spinee.2015.01.020
Atlantic Brain uye Spine. (2022). Chokwadi Nezve Laser Spine Surgery [2022 Update]. Atlantic Brain uye Spine Blog. www.brainspinesurgery.com/blog/the-truth-about-laser-spine-surgery-2022-update?rq=Laser%20Spine%20Surgery
Cleveland Clinic. (2018). Ko Laser Spine Surgery Inogona Kugadzirisa Kurwadza Kwako Kwekumashure? health.clevelandclinic.org/can-laser-spine-surgery-fix-your-back-pain/
Yunivhesiti yeWisconsin Chikoro cheMishonga uye Hutano Hwevanhu. (2021). Mirayiridzo Yekuchengeta Mumba mushure meLumbar Laminectomy, Decompression kana Discectomy Surgery. patient.uwhealth.org/healthfacts/4466
