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Chiropractic Examination

Back Clinic Chiropractic Examination. Chekutanga chiropractic kuongororwa kwemusculoskeletal kusagadzikana kunowanzo kuve nezvikamu zvina: kubvunzana, nhoroondo yenyaya, uye kuongororwa kwemuviri. Laboratory kuongororwa uye X-ray kuongororwa kunogona kuitwa. Hofisi yedu inopa yakawedzera Functional and Integrative Wellness Assessments kuitira kuti tiunze nzwisiso huru mukuratidzira kwemuviri wemurwere.

Kubvunzurudza:
Murwere achasangana nechiropractor iyo ichaongorora uye inopokana nemashoko mashomanana emarwadzo ake ekumusoro, zvakadai se:
Nguva uye nguva dzezviratidzo
Tsanangudzo yezviratidzo (eg kupisa, throbbing)
Nzvimbo dzekutambudzika
Chii chinoita kuti kurwadziwa kunzwe kuri nani (semu kugara, kutambanudza)
Chii chinoita kuti marwadzo aya awedzere kuipa (semuimira, kusimudza).
Nyaya yenyaya. Iyo chiropractor inoratidza nzvimbo (s) yekunyunyuta uye mararamiro emarwadzo shure kuburikidza nekubvunza mibvunzo nekudzidza zvakawanda pamusoro penzvimbo dzakasiyana dzenhoroondo yemurwere, kusanganisira:
Nhoroondo yemhuri
Zvokudya
Nhoroondo yekare yemamwe marapirwo (chiropractic, osteopathic, mishonga nezvimwe)
Occupational history
Nhoroondo yepfungwa
Dzimwe nzvimbo dzekuferefeta, kazhinji zvichibva pamhinduro dzemibvunzo iri pamusoro.

Kuongorora kwepanyama:
Tichashandisa nzira dzakasiyana-siyana kuti tigoona mutsara wemutsara unoda chiropractic mishonga, kusanganisira asi isingagumi kumagadzirirwo emagetsi uye ekufamba-famba anogadzirisa zvikamu zvepamuviri zvinenge zvisungo zvepasitini (zvisingabvumirwi mukufamba kwavo) kana kugadziriswa. Zvichienderana nemigumisiro yenyaya iri pamusoro apa, chiropractor ingashandisa mamwe maitiro ekuongororwa, akadai se:
X-ray kuti uwane zvinyorwa (nzvimbo yakashandurwa ye vertebra)
Chigadziri chinoona kutonhorera kweganda munzvimbo dzakasvibiswa kuti ione nzvimbo dzomumumvuri nechinzvimbo chakakura chekushisa chinoda kushandiswa.

Kuongorora Kurapa:
Kana zvichidikanwa isu tinoshandisawo akasiyana-siyana ekuongorora lab maprotocol kuitira kuona yakazara kiriniki mufananidzo wemurwere. Takabatana nemaLab epamusoro muguta kuitira kuti tipe varwere vedu mufananidzo wekiriniki wakakwana uye marapirwo akakodzera.


Kukosha Kwekuchengeta Mamiriro Ekugara Aine Utano

Kukosha Kwekuchengeta Mamiriro Ekugara Aine Utano

Kune vanhu vanogara kubasa kwemaawa akawanda, makore ekudzidzira maitiro asina kunaka anogona kugadziriswa kuburikidza nenhanho-ne-nhanho nzira yekuve nechokwadi chechimiro chemuviri wakakwana paagere?

Kukosha Kwekuchengeta Mamiriro Ekugara Aine Utano

Kugara Kumira

Kugara wakatwasuka nechimiro chine hutano kunoda kurongeka kwehudyu, pelvis, kuzasi kumashure, kumusoro kumashure, mapfudzi, mutsipa, uye musoro. Kudzidza kana kuzvidzidzisa kuti urambe wakagara zvakanaka kunogona kuderedza marwadzo ekumusana, kunatsiridza kufema uye kugaya, uye kuderedza kushushikana mumutsipa nemapfudzi. (Albarrati, A. et al., 2018) Inotanga nekuteerera kumira kwezuva rose uye kuigadzirisa pese panomira mberi musoro, kurenda, kana kutsvedza kunokura. Maekisesaizi anotarisirwa anogonawo kubatsira kuvaka simba repamusoro-remuviri, uye kutambanudza kunogona kudzikamisa nekusimbisa mhasuru dzepakati, musana, uye majoini epelvic. (Albarrati, A. et al., 2018)

Sit Up Straight Guide

Kugara wakatwasuka kunogona kusagadzikana nekuti haisi nzvimbo yemusikirwo yekuti muviri ugare kwenguva yakareba. Mazuva ano, basa, chikoro, nguva dzekugadzwa, uye zvimwe zviitiko zvinoda kuti tigare nguva yakareba kupfuura yataifunga. Misumbu inofanirawo kushanda zvinopesana negiravhiti, zvichiita kuti tsandanyama kuneta, slouching, uye slumping, izvo zvinogona kukonzera chisingaperi musana, gumbo, mutsipa, uye / kana kurwadziwa kwepfudzi. (Jung, KS et al., 2020)

Kugara wakatwasuka kungaite kunge kuri nyore, asi chinotarisisa chinenge chiri pakutwasanuka chete nechepasi/lumbar musana. Ichi chimiro hachigadziriswi uye chinopedza simba uye chinosimbisa kumusoro uye pasi kumashure. (Jung, KS et al., 2020) Muviri wose unoda kutariswa paunenge uchidzivirira kugadzikana uye kuenzana kwemusana. Kudzidza nekuchengetedza kugona kugara wakatwasuka inzira inoda kudzidzira. Tsvaga chigaro chakasununguka chekugara, uye tevera matanho aya kuti uwane iyo yakakwana postural alignment (Canadian Center yeOccupational Health uye Safety, 2022)

Knee Spacing

  • Hudyu dzinofanirwa kunge dziri pakona ye90-degree.

Knee Position

  • Mabvi anofanirwa kunge ari pa90-degree angle level nehudyu.
  • Shandisa piro kuti uwane nzvimbo yakarurama yebvi kana chigaro chakanyanya kuderera.

Chengetedza Tsoka dzakapfava paFloor

  • Kana tsoka dzisingasviki pasi, isa chitsiko chetsoka, bhokisi, bhuku, kana chimwe chinhu chakati sandara pasi padzo.

Mabhonzo Akagara

  • Iyo inozivikanwawo se ischial tuberosities, aya mabhonzo maviri emakona ari pazasi pe pelvis.
  • Inzwa pakuvawana.

Pelvis Adjustment

  • Shandura muviri kuitira kuti mapfupa akagara akananga pasi pepelvis pane kuti agare kure kumashure, achisimbisa kuzasi kumashure kana kure zvakanyanya kumberi, zvichitungamira mukudonha.

Spine Check

  • Panofanira kunge paine kamuzongoza kadiki, uye munhu anofanira kukwanisa kutsveta ruoko pakati pezasi nekuseri kwechigaro.

Shoulder Check

  • Mapendekete anofanira kunge akaenzana uye akaenzana akaenzana nemahudyu.
  • Kana mapendekete akadhonzwa kumashure kana mapendekete akasimudzwa kana kupeta mberi, asunungure munzvimbo isina kwaakarerekera.

Head Positioning

  • Musoro unenge warerekera kure mberi wakagara basa uye zuva richifamba.
  • Gadzirisa musoro wepamusoro kuti uenzanise mutsipa nepamusoro pemusana.
  • Musoro unofanirwa kurerekera mberi zvishoma, nenzeve dzakabatana nemapfudzi.

Tarisa Pain uye Kusagadzikana

  • Marwadzo anogona kunge ari nekuda kwekusaenzana kwemuzongoza, pelvis, kana chiuno.
  • Shandisa chitsigiro chechigaro chechiuno kana isa tauro rakamoneredzwa kana cushion kuzasi kumashure kuti musana wakatwasuka.

Mazano Akawedzerwa

Zvishandiso uye matipi ekubatsira kudzivirira uye kudzivirira musana, hudyu, uye kurwadziwa kwemutsipa.

Chairs

  • Ese mabhero uye muridzo we ergonomic desk chair hazvina basa.
  • Tarisa pazvinhu zvakaita sehuremu hwechigaro chinogadziriswa uye lumbar rutsigiro. Iyo chaiyo chigaro kudzika kurudziro dzakadzika kana kureba uye kudzika kana kupfupi. (van Niekerk, SM et al., 2012)

Makuseni

  • Kana wakagara pacushion kana kushandisa imwe kusimudzira musana kana mahudyu, kurudziro haifanirwe kunyanyopfava.
  • Makusheni akanyanya kupfava anobvumira kugona kusimuka kubva kune imwe hip kuenda kune inotevera, kazhinji pasina kuzviziva.
  • Kazhinji vanopedzisira vaita flat uye vanorasikirwa nerutsigiro.

Monitor Position

  • Iko hakuna chikonzero chekugara wakatwasuka kana iyo yekutarisa yakanyanya kana yakaderera.
  • Iyo yekutarisa inofanirwa kunge iri padanho reziso kuchengetedza chaiyo musoro uye kurongeka kwepfudzi.
  • Kana iyo monitor yakaderera, isa bhokisi kana bhuku pasi payo.
  • Kana yakanyanya kukwirira, simudza urefu hwechigaro uye isa chitsiko chetsoka pasi petsoka kuti dzirambe dzakadzikama.

Dzivisa Kuyambuka Makumbo kana Tsoka

  • Kuyambuka makumbo kana tsoka kunoisa stress kune yakatarisana nehudyu, chidya, nemabvi uye kunopfeka muviri nekukurumidza.
  • Kana chiuno kana makumbo achineta nguva isati yakwana, munhu wacho haasi kugara zvakanaka kana pachigaro chisiri icho.

Shandisa Comfortable Footwear

  • Kuchengeta tsoka dzakati sandarara pasi paunenge wakagara zvakakosha.
  • Izvi hazvigoneki mune zvitsitsinho zvepamusoro kana shangu dzepuratifomu.
  • Shandura bhutsu dzakapfava pawakagara.

Tora zororo renguva dzose

  • Kunyangwe ne ergonomic desk chair, muviri haurevi kuti ugare kwemaawa nemaawa.
  • Simuka ingangoita awa yega, uchifamba uye uchitambanudza kuti udzorere tsandanyama uye kutenderera.

Edza Sitting-Standing Desk

Kugara wakatwasuka kunoda kuziva kurongeka kwemuviri, mhasuru dzakagadzikana dzepakati, uye chiuno chakaenzana, mahudyu, musana, mapfudzi, mutsipa, uye musoro. Zvinogona kutora nguva kuti matanho aya asati ave akajairika, asi anozova hunhu hwechipiri nekutsungirira nekuita. Injury Medical Chiropractic uye Functional Medicine Clinic inoshanda nevarapi vehutano hwekutanga uye nyanzvi kuti vagadzire hutano hwakakwana uye hutano mhinduro iyo inobatsira zvizere munhu kuti adzokere kune zvakajairika. Kushandisa nzira yakabatanidzwa yekurapa kukuvara uye chirwere chisingaperi chinorwadza kuvandudza kugona kuburikidza nekuchinja, kufamba, uye agility zvirongwa zvekubvisa marwadzo. Vapepi vedu vanogadzira zvirongwa zvekuchengetedza zvemunhu zvemurwere wega wega, kusanganisira Functional Medicine, Acupuncture, Electro-Acupuncture, uye Mitambo Mushonga misimboti. Kana kumwe kurapwa kuchidiwa, Dr. Jimenez akabatana nevanovhiya vepamusoro, nyanzvi dzekiriniki, vatsvakurudzi vezvokurapa, uye vagadziri vekugadzirisa kuti vape kurapa kwakanyanya.


Mamiriro uye Kufamba


References

Albarrati, A., Zafar, H., Alghadir, AH, & Anwer, S. (2018). Mhedzisiro yeAkatwasuka uye Akadzivirirwa Kwekugara Zvimiro paKufema Kwetsandanyama Kusimba muVarume Vechidiki Vane Utano. BioMed tsvagiridzo yenyika, 2018, 3058970. doi.org/10.1155/2018/3058970

Jung, KS, Jung, JH, In, TS, & Cho, HY (2020). Mhedzisiro Yekugara Kwenguva Yakarebesa NeSlumped Posture paTrunk Muscular Fatigue muAdolescents vane uye vasina Chronic Lower Back Pain. Medicina (Kaunas, Lithuania), 57(1), 3. doi.org/10.3390/medicina57010003

Canadian Center yeOccupational Health uye Kuchengetedzeka. (2022). Kushanda munzvimbo yakagara - nzvimbo yakanaka yemuviri. Zvakatorwa kubva www.ccohs.ca/oshanswers/ergonomics/sitting/sitting_position.html

van Niekerk, SM, Louw, QA, & Hillier, S. (2012). Kubudirira kwekupindira kwechigaro munzvimbo yebasa kuderedza zviratidzo zvemusculoskeletal. Ongororo yakarongeka. BMC musculoskeletal kusagadzikana, 13, 145. doi.org/10.1186/1471-2474-13-145

Nzira dzeKuziva Kukanganiswa muChiropractic Clinic

Nzira dzeKuziva Kukanganiswa muChiropractic Clinic

Ko vashandi vehutano mukiriniki yechiropractic vanopa sei nzira yekiriniki yekuziva kukanganisa kune vanhu vari kurwadziwa?

ziviso

 

Chero chinyorwa chaunoverenga pamusoro pekushandisa zvinodhaka pakati pevanamukoti chinenge chichidzokorora zvakataurwa neAmerican Nurses Association, iyo inotaura kuti, maererano neruzhinji, 10% yevanamukoti, kana mumwe mugumi kana zviuru mazana matatu eVanamukoti Vakanyoresa muUnited States. States, vanotsamira pamishonga yerumwe rudzi. Kukanganisika kwemhando ipi neipi kubasa, kunyanya kana kuchibva mukushandisa zvinodhaka kana kushandiswa, kunogona kuve nemhedzisiro yakakomba kumukoti uye basa rehukoti nekuda kwezvikonzero zvakati wandei. Kunyatsoita, kurongeka, kugona kufunga kwakadzama, uye kuona kwakakosha mubasa rehukoti. Nekuti kukanganisa kana tsaona dzinogona kuitika, chero kusakwanisa kuendesa hunyanzvi uhu kunoisa varwere, vaunoshanda navo, uye mukoti panjodzi. Uyezve, vanhu vanoona vanamukoti sevakavimbika, vakavimbika, uye vakatendeseka. Kukanganisa kunogona kukanganisa maonero iwayo, kunyanya kana akaunzwa nedoro kana zvinodhaka. Muzvikamu zvinotevera, tichaongorora kukanganiswa, zvikonzero zvacho, uye zvaunosungirwa kuita nemutemo kana uchitenda kuti waunoshanda naye haakodzeri. Chinyorwa chanhasi chinotarisa nzira yekiriniki yekuziva kukanganisa munzvimbo yekiriniki. Isu tinokurukurirana nevazivisi vane hukama nevanorapa vanobatanidza ruzivo rwevarwere vedu kuti vaongorore marwadzo-sematambudziko avari kusangana nawo. Isu tinozivisawo uye kutungamira varwere pakurapa kwakasiyana uye kubvunza mibvunzo yakaoma kune avo vanobatana navo vatapi vezvokurapa kuti vabatanidze chirongwa chekurapa chakasarudzika. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer.

 

Tsanangudzo Yekukanganisa

Tsanangudzo yakakosha yehurema ndeye "Mamiriro ekudzikiswa, kupera simba kana kukuvadzwa, kunyanya mupfungwa kana mumuviri" ("Kukanganisa," nd") Uchaona kuti iyi ingori tsananguro yemamiriro ezvinhu uye kuti hapana chikonzero chinopiwa. Izvi zvinokonzerwa nekuwanda kwezvikonzero zvinogona kuitika. Nepo zvimwe zvikonzero zvingava nyore kuratidza, zvimwe zvingasadaro. Nekuda kweizvozvo, zvakakosha kuziva uye kufunga mamiriro uye chikonzero, kana zvichizivikanwa, tichitaura nezve kukanganiswa. Ruzhinji rwakaremara rwakatikomberedza sevanamukoti ndeichi: Varwere vedu. Ivo vari mukuderedzwa, kushaya simba, kana kukuvadzwa mamiriro, kunyangwe ivo vangave vakakanganiswa nechirwere kana kukuvara. Saizvozvo, iwe unokanganiswa nehurwere kana wakashanda shifiti ine dzihwa rakashata. Zviratidzo zvekunzwa kunonoka, kutadza kufunga, uye kuongorora basa rako kakawanda mienzaniso yekukanganiswa munzvimbo yekiriniki.

 

Chirwere kana kukuvara kunogona kuve nemhedzisiro dzakasiyana uye kukanganisa mabatiro aunoita basa rako kune akasiyana madhigirii, asi sezvo dhigirii rehurema rinowedzera, ndizvo zvinoitawo mukana wekuti iwe ukanganisa. Kuchengetedzeka kwevese iwe nevaya vakakukomberedza, kusanganisira varwere vako uye vaunoshanda navo, kwakabatana zvakanyanya nedhigirii rehurema hwako. Iwe, varwere vako, uye vaunoshanda navo havana kuchengeteka zvakanyanya kana kuita kwako kuchikanganiswa. Kunyangwe vanamukoti vachiziva kuti varwere vari panjodzi nekuti vanokanganiswa neimwe nzira. Isu tinoziva zvakare kuti kukanganisa kunogona kuita kuti iwe uwedzere kukanganisa. Iwe uri munhu ane mutoro uye haungamboshanda kana kukanganisa kwako kwakakura zvekuisa varwere vako munjodzi. Zvisinei, zvakadini kana waunoshanda naye akaremara? Zvakatoipisisa, ko kana uchifunga kuti kwakatozvikuvadza? Unofamba sei? Unotaura navo here? Unoudza mumwe munhu nezvazvo here? Iwe unotarisira kuti hapana chakaipa chinoitika uye wochifuratira?

 

Kuchengetedza kuchengetedzwa kwevarwere chinhu chinonyanya kukosha kune vanamukoti mumutsara wavo webasa. Ibasa rako kuziva zvekuita uye kuti ungazviita sei kana waunoshanda naye achiita seari kukanganiswa. Asi kuti uite izvozvo, unofanirwa kukwanisa kuona kukanganisa kunogona kuitika mauri iwe nevamwe vanhu. Zvekutonga uye zvinodiwa zvekushuma zvinofanirwa kuzivikanwa kwauri. Iwe unofanirwawo kuziva nezvezvingangoitika kwauri iwe pachako kana iwe usingaite chinhu.

 

Zvikonzero Zvokukanganisa

Unogona kufunga kuti tiri kukurukura nezvekushandiswa kwezvinodhaka panguva yaunonzwa kana kuverenga mutsara wekushomeka pabasa. Zvisinei, pane zvimwe zvikonzero zvingangokonzera kunze kwekushandisa zvisina kunaka doro kana kushandisa zvinodhaka, uye kuwana mhedziso isiri iyo kazhinji kunogona kuva nemigumisiro isingatarisirwi. Haufanirwe kutarisa kana kuona kuti chii chiri kukonzera kuremara kwemumwe wako. Ndiro basa revamwe. Iwe unofanirwa kuona zviratidzo zvekukanganisa uye kutora danho rakakodzera. Chimwe chezvinhu zvaunofanira kufunga usati waudza waunoshanda naye nezvekupindwa muropa nezvinodhaka ndechekuti uri kuona kukanganiswa chaiko here kana kuti kwete. Munhu wose anombonzwa achirwara, anogumbuka, kana kuti anonetsekana. Kunyangwe isu tingasashanda semazuva ese, hapana nezve maitiro edu anoisa chero munhu panjodzi, uye hazviitike kazhinji. "Kukanganisa muhutano hwehutano hunotsanangurwa sekusakwanisa kana kuswedera kutadza kuita, iyo yakakamurwa kuva mapoka maviri anogona kukanganisa vose nyanzvi uye murwere" (Baldisseri, 2007) Chirevo ichi chinodzinga chiitiko chekare chaunogona kufamba zvishoma nezvishoma pane zvakajairika nekuda kwekutonhora kwakanyanya.

 


Inoshanda Mushonga Kufurira Beyond Majoini- Vhidhiyo


Musiyano Pakati Pekukanganisa & Zuva Rakaipa

"Kukanganisa kunoratidzwa nekusakwanisa kuita mabasa ehunyanzvi uye mabasa anoenderana nemaitiro ehukoti." Kuva nezuva rakashata kunogona kukanganisa mafungiro emunhu uye mafambiro ebasa. Dzimwe nguva, fungidziro isina kusimba yekuti mumwe munhu haasi ivo pachavo inotungamira kune iyi kuwanikwa. Vashandi vanogona kunzwa kusagadzikana kana kunzwa kutya. Vatariri vanogona kuona kukwira kwenhamba yezvichemo zvakakwidzwa mushandi kana nevashandi biyavo pamusoro pemunhu iyeye. Maitiro ekuzvibata anoratidza kuti nyaya dziriko uye dzinogona kutungamira mukukonzeresa zvikanganiso zvekurapa. Zvikanganiso zvekurapa mumasangano ezvehutano zvinogona kuunza dambudziko rakakura rehutano iro rinogona kutyisidzira kuchengetedzwa kwemurwere. (Rodziewicz et al., 2024) Tisati taongorora maitiro aya, ngatitarisei zvimwe zvikonzero zvingangove kunze kwekushandisa zvinodhaka kana zvinodhaka izvo zvingave zvichikonzera kudzikira kwemaitiro ane njodzi mumabasa ehukoti.

 

Dzidzo & Dzidzo Deficits

Zviitiko zvine ngozi zvewaunoshanda naye zvinogona kubva mukusadzidziswa kwakakwana, ruzivo, kana kujairana nebasa razvino. Izvi zvinonyanya kushanda kune vanamukoti vane rezinesi munguva pfupi yapfuura uye vanamukoti vanochinja kubva kune imwe nzvimbo yekudzidzira kuenda kune imwe. Vanamukoti vari mukudzidziswa kwekuvandudza vangangoda kuva nechivimbo chakanyanya mumaitirwo ezvinhu echinyakare kana kuti vanoda kudzidziswa gadziridzo dzakakurudzirwa kumitemo kana maitiro. Dzidzo yekuvandudza inogonawo kusangana nekupikiswa kana shanduko uye inoda kubudirira. Kana mukoti asingadi kubvuma kuti ruzivo rwavo kana kugona kwavo hakuna kuenzana, kushomeka kwedzidzo uku kunogona kuita sekukanganisa. Vanogona kutora nguva yakareba kupfuura mamwe vanamukoti kuita mabasa, pakati pezvimwe zviratidzo. Fungidziro dzisiridzo pamusoro pekuti ndeipi nzira inonyatso nzwisisika kana nzira yekupedzisa basa inogona kutungamira mukukanganisa padivi pemukoti. Neimwe nzira, vanogona kunge vakanyanya kukoshesa kutsoropodzwa uye kuyedza kuchengetedza kudzikama kwavo nekusimbirira kuti vanokwanisa.

 

Chirwere Chomuviri

Takambokurukura nyaya yekuedza kushanda kana wabatwa nechando. Kune vazhinji vedu, chiitiko chekuva nechirwere chidiki kana kutapukirwa kwakatibata kumashure pamwe inozivikanwa. Asi, kuwedzera kwekusagadzikana kwemamiriro ezvinhu kunogona kukonzera kukanganisa kwemazuva ekuita. Kufanana nezvimwe zvirwere zvakawanda, chirwere cheshuga, uye arthritis zvinogona kuita kuti mumwe munhu anzwe ari pasi pe100% yavo pachavo pane mamwe mazuva. Zvakakosha kuyeuka kuti iwe unogona kunge usingazivi kuti waunoshanda naye ane zvirwere izvi. Nekuda kwezita riri nani kana rakakodzera rekuisa izvi pasi, iva nechokwadi kuti munhu wauri kuda kupomera mhosva yekushandisa zvinodhaka haana pamuviri asati aenda kumberi. Nomuzvarirwo, urwu runyoro rushoma rwezvese zvinogoneka tsananguro dzemuviri. Chingori chiyeuchidzo chehushamwari chekufunga nezve mukana wekuti mukoti asingagone angave asina kusimba mumuviri.

 

Kukuvara Munyama

Kufanana nemamiriro okurapa, kukuvara kunogonawo kukanganisa kukwanisa kwomunhu kuita basa. Kunyange zvazvo zvingangoitika kuti pangava nezviratidzo zviri pachena zvekukuvara—zvakadai sokukamhina kana kumwe kufamba kusiri kwechisikigo, nzvimbo dzakasungwa mabhandeji, kana kushandiswa kwetsvimbo yekufambisa kana imwe rubatsiro rwemuchina—izvi handizvo zvinogara zvakadaro. Munhu ane musana kana mamwe marudzi akasiyana emutsinga anogona kuedza kuvanza kusagadzikana kwavo uye miganhu yavo.

 

Stress & Kuneta

Sezvo zvakajairika kuti zvikonzero izvi zviitike pamwe chete kana kuti chimwe chiratidzike sechiratidzo chechimwe, zvinogona kuonekwa sechikonzero chakaungana. Zvinogonawo kuva mhedzisiro yezviitiko kunze kwenzvimbo yebasa, mukati mebasa, kana zvese zviri zviviri. Mumwe munhu achangobva mukurambana kana mumwe munhu ari mutarisiri mukuru wehama iri kurwara zvakanyanya pamba mienzaniso miviri. Mamiriro ese ari maviri haafadzi, asi ko kana zvinhu izvi zvaive zvechipiri kumatambudziko emari? Vese kunetseka pamusoro peizvi uye kuyedza kushanda mamwe mashifiti nekuda kwematambudziko avo ehupfumi zvinogona kukanganisa kugona kwavo kurara. Mumwe munhu ari mumamiriro ezvinhu aya anogona kukurumidza kuneta mupfungwa uye mumuviri nekukurumidza. Zvichienderana nehunhu hwavo, zvaisazonzwikawo kuti vamwe vavo vange vasingazive nezvematambudziko aya. Neimwe nzira, chikonzero chinogona kunge chakananga sekushushikana pabasa, zvichikonzera kupera simba uye kuderera kwekukurudzira. Kuneta uye kusagutsikana nebasa, chokwadi, "zvinozivikanwa mukati mebasa roukoti" (Van Bogaert et al., 2017)

 

Mental Kurwara

Kunyangwe vanamukoti vachida kuzvifunga sevakasimba uye vasingabatwe nemamiriro ezvinhu ayo vamwe vaizoona sekushaya simba, chokwadi ndechekuti isu tiri panjodzi yehutano hwepfungwa sekufunganya nekuora mwoyo, pamwe nekusagadzikana kwekushandisa zvinodhaka, nekuda kwezvikonzero zvakawanda zvakafanana. . Mune mamwe mabasa ehukoti, tinoshanda nevarwere vari kufa nguva dzose-pamwe kunyange kufa kwevacheche-kana tinoona migumisiro inotyisa kubva muzviitiko zvechisimba kana zvetsaona. Mamiriro akaita seaya anogona kushanda seanotangira kuzvirwere zvakaita sePost Traumatic Stress Disorder (PTSD). Vanamukoti havasi vakadzi vepamusoro kana varume vakuru-zvakare, iyi inongova mienzaniso mishoma. Vashandi vehutano vanogona kukanganisa kana zvikakanganisa ruzhinji rwevanhu.

 

Kushandiswa kwezvinodhaka

Kupindwa muropa nezvinodhaka ndiko kunonyanya kurwara uye kukuvadza munhu, nzvimbo yacho, uye kunyangwe basa racho, kunyangwe zvisiri izvo zvakajairika kupfuura izvo zvakambotsanangurwa zvinokonzeresa kukanganisa. Kushandisa zvinodhaka hakuitike kuti zvipere zvoga nekufamba kwenguva pasina rubatsiro kubva kune vaunoshanda navo nevakuru, kusiyana nemamiriro ekurapa kana kukuvara. Izvi hazvireve kuti kupindira kune zvimwe zvinokonzeresa kukanganisa hakuna kufanira kana kunofanirwa kudzivirirwa. Kana iwe ukasaita kana chimwe chinhu chakaita sekurwadziwa kwakaderera kumashure ndicho chikonzero chekukanganiswa, unogona kupedzisira wapindwa muropa neanopedza marwadzo pakutanga. Inosanganisirwa muunganidzwa pasi pechidzidzo ichi hurema hunounzwa nekushandisa zvisizvo kana kunyanyisa kwemishonga yavakatemerwa ivo kana vamwe. Kukanganiswa kunowanzobatanidzwa nemigumisiro yekushandiswa kwepamusoro kana kunyanya kuwandisa. Panguva imwecheteyo, inogonawo kubva pane dzimwe nguva kubva kuzviitiko zvakashata zvine chokuita nemishonga yakajairika, yakadai sekusvotwa, kurara, kana dzungu. Kushandiswa kana kusashandiswa zvisirizvo kwe "zvinodhaka zvemumugwagwa" kana zvisiri zvemishonga zvakadai semethamphetamine, ecstasy, kana cannabis. Kushandiswa zvisina kunaka kana kusingaperi kana kunyanyisa kunwa doro. Mukoti anogona kunge akadhakwa zvakanyanya kana kubatwa nechadzimira, asi zvese zviri zviviri zvingakanganisa kugona kwake. Kushandiswa kwenguva refu kunogonawo kukonzera zvirwere zvemuviri kana kukanganisa kwekuziva izvo zvinoita kuti zviome kuti mukoti aite pamwero wakakwana. Sezvo kutsanangurirwa kwese kwemukoti kunowanzova pamusoro pebasa ravo semukoti, kupinda kwekushungurudzwa kwavo kana kupindwa muropa munzvimbo yavo yebasa kazhinji chiratidzo chekuti hurwere hwavo hwakabva papi.

 

Nekuda kwekuti vashandi vehutano vanoona nezvebasa ravo, humbowo hwechirwere dzimwe nguva hunoratidza kunonoka kwechirwere. Nyaya dzepabasa dzinowanzova nhanho yekupedzisira yekudzika, uye kana chirwere chikaonekwa, vaunoshanda navo vanogara vachishamisika "(Washington State Department of Health, 2016, p.6) Apo kukanganisa kunotanga kuonekwa kubasa, vashandi pamwe nevashandi vanogona kuramba kana kuderedza nyaya yacho, vachipa zvikonzero kana kudzivisa kunetsana vachitarisira kuti nyaya yacho ichanyangarika.

 

Unique Risk Factors Kune Vanamukoti

Mukana wekuva nechirwere chekushandisa zvinodhaka unokonzerwa nezvinhu zvakasiyana-siyana, zvinosanganisira nhaka, kurerwa, kumanikidzwa kwevabereki nevezera, nezvimwewo. Nekudaro, kushanda semukoti kunopa mashoma akasarudzika enjodzi zvinhu zvisipo mune mamwe mabasa. Iwo mahombe enjodzi yeawa anobatwa nanamukoti munzvimbo yehutano ndeaya:

  • upindo
  • Maitiro
  • kushushikana
  • Kushaya dzidzo (Hakim, 2023)

 

Acess & Maonero

Mishonga inotenderwa kuwanikwa nemishonga inowanzo shandiswa nanamukoti pane ruzhinji rwevanhu, kunyange zvazvo kusagadzikana kwekushandisa zvinodhaka kusingakanganisi vanamukoti kakawanda kupfuura vanhu vose. Tsananguro ndeyokuti vanamukoti vanobata mishonga iyi zuva nezuva, kunyange pasina kunyorerwa. Kune izvi, isu tinowedzera ruzivo rwedu rwekurapa kwemushonga, mashandisiro, uye dosi uye tinoshanda munzvimbo inoonekwa mabhenefiti ekushandiswa kwemishonga. Izvi zvinoratidza kuti tinozvishingisa pachedu pakukwanisa kuzviongorora nekuzvirapa uye nekugona kwedu kubata mishonga iyi.

 

kushushikana

Zvimwe zvezviratidzo zvekuti vanamukoti vese dzimwe nguva chikamu chezvinoshungurudza zvakakonzera kuti vatadze zvinosanganisira:

  • Mashifiti akawedzerwa
  • Basa rinorema
  • Kusavapo kwevashandi
  • Varwere vanokurumidzira zvakanyanya pavanenge vachichengetedza kudzikama pasi pemamiriro ezvinhu anonzwisa tsitsi. 

Izvi zvinonyanya kuzivikanwa kune vese vanamukoti uye dzimwe nguva zvinogona kuve zvichikonzerwa nekuita basa. Iwo ese chikamu chinodiwa chemutsara unodiwa webasa. Zvirongwa zvebasa chete zvakaratidza hukama hunobatsira nekushandisa zvinodhaka. Marwadzo kana kushaya hope mushure mekuchinja kunoda kwakajairika uye zvinowanzoshanda sechikonzero chekutanga chekutora mushonga kubatsira nekurwadziwa nekurwadziwa, kukurudzira kuzorora, kana kurara.

 

Kushaya Dzidzo

Pano, izwi rokuti "kushaya dzidzo" harirevi kusaziva zvinodhaka. Sezvatambotaura, hapana kushomeka kwechikoro ikoko. Kwete. Muchirevo chechinyorwa chino, kusaziva nezvematambudziko ekushandisa zvinodhaka uye zviratidzo zvinoyambiro nezviratidzo zvinorehwa. Nguva zhinji, vashandi vehutano havakwanise kuona izvi zviratidzo uye zviratidzo mukati mavo nevamwe vanhu. Kunyangwe vakazvizivisa, kushorwa kunobva mukushaikwa kweruzivo nezve kusagadzikana uku - kunyanya kana murwere ari mushandi wezvehutano pamwe naye - nekuti isu tinowanzo kubata vashandi vezvehutano - kusanganisira isu pachedu - kune yakakwira mwero kupfuura isu vashandi vasiri vehutano.

 

Kuziva Zviratidzo

Kana mukoti akabatwa achishandisa zvinodhaka kana doro kubasa, nzira yakakodzera yekuita mazuva ano rubatsiro uye kurapwa kwete kuregedzerwa nekukurumidza. Pfungwa iri pakuti mukoti anozokwanisa kudzokera kubasa mushure mekurapwa nekubatsirwa. Zvisinei, kupindira kwepakutanga ndicho chinhu chinokosha chegadziriro iyi. Sezvatakambotaura, kushandiswa kwezvinodhaka kungada kuenderera mberi kwechinguva zviratidzo zvekukanganisika pabasa zvisati zvabuda pachena. Naizvozvo, mukutsvaga chigumisiro chakabudirira, nguva pachayo inova tyisidziro. Zvakakodzera kuzviyeuchidza kuti kushandisa zvinodhaka kungasava iyo chete tsananguro yekukanganisa sezvatinoongorora zvimwe zviratidzo zvinogona kukonzerwa nekushandisa zvinodhaka. Nekuda kwekuchengetedzwa kwevarwere uye kwevashandi, kupindira kunodiwa zvisinei nechikonzero. Kutsvaga shanduko yehunhu kana shanduko kubva kune yekutanga kwete yezviitwa zvimwe zvinonyanya kubatsira. Mushure mezvose, isu tese tinoziva kuti mukoti asina kugona asi agara achiratidzika kuvhiringika kana kufamba zvishoma zvishoma pane vamwe kana achinge apedza mabasa. Pamwe ingori yekuda kuzvisarudzira, asi kana mukoti aimboratidzika kunge akakwenenzverwa uye achibudirira akangoerekana atanga kuita husimbe uye kusangwarira, panogona kunge paine nyaya yakadzama iripo.

 

Nekune rimwe divi, zvakakoshawo kuona kana mukoti, anga achingogara ane usimbe uye akatsiga asi achigara ari mukati mezvimiro zvinogamuchirika, akaerekana asisagamuchirwe kana kuti anononoka zvakanyanya uye akashata. Zvisinei, kuchinja kunooneka kunogona kunge kuri kunze kwemamiriro ekupfeka kwavo. Kunyange munhu anowanzo fara anogona kuita seakaora mwoyo, kutya, kana kutya. Munhu akanyarara anogona kuita seane hupenyu, anotaurisa, uye anoshamwaridzana. Zvinogonekawo kuti munhu anonyara anozviparadzanisa nevamwe kupfuura nguva dzose, kana kuti munhu anowanzotaura uye anoshingaira anotonyanya kutaura uye anoshingaira kupfuura nguva dzose. Yeuka kuti maitiro haakoshi mune dzakawanda zviitiko pane shanduko yekunongedza dambudziko. Zvakafanana nekutarisa kutsauka kubva kune yakajairika BP kana tembiricha sechiratidzo chenyaya. Zvimwe zviratidzo zvekuchinja kwekutarisa zvinosanganisira: 

  • Maitiro anofamba 
  • Kusvibiswa
  • Kukurova
  • Kuchema kana kuseka zvisina kufanira
  • Kunyumwa kana kuve nehanya zvakanyanya nekushoropodzwa.
  • Kusachinja-chinja kana kuomerera zvakanyanya kumaitiro kana zvisingadiwi.
  • Kuvhiringidzika, kana ndangariro dzakaipa

Kana zvasvika pakuita basa, unogona kuona zvinotevera:

  • Kusimuka kwekunonoka uye kusavapo, kunyanya kana vachitevera maitiro.
  • Tsananguro dzinoshamisa dzekusavapo
  • Kumbomira kwenguva refu kana kudarika nguva dzose 
  • Kusavapo kweunhu kubva kubasa, 
  • Kare, mabasa akajairika aida nguva yakawanda.
  • Zvisina kujairika kana zvinokahadzika "mashortcuts" anoshandiswa mukushanda haatsigire danho rinotarisirwa rekutarisira. 
  • Kana kunaka kana zvirimo zvechati zvikava zvisina kusimba kana kusarudzika, pane kusarongeka kukuru uye kusaita hanya. 
  • Kukwira kwezvichemo kana zvichemo zvemukoti. 

Mumwe nomumwe wavo anonongedzera kunhau inobvira. Vanogona kunge vakanyatsojeka kana kushamisa zvakakwana kuti vakupe fungidziro yekuti chimwe chinhu chakadzimwa. Unogona kuona kuti vari kushandisa zvinofemesa mweya, mindi, kana kutsenga chingamu kakawanda kupfuura zvavaimboita. Vanogona kun'un'una kupfuura nguva dzese kana kuratidza kutaura kwakamira zvine hungwaru nekunyarara kwenguva refu vachifunga mhinduro yavo. "Vadzidzi vavo vakamanikidzwa (kana kuderedzwa)?" kana kuti “Doro iroro randarinzwa?” mimwe mibvunzo yekuzvibvunza iwe paunenge uchienda. Sevanamukoti, tinogona kuwana hunches kana intuition. Kugona kwedu kwekuzvarwa nakwo mhedzisiro kubva mukudzidziswa kwedu kwakakura uye hunhu uhwu hunowanzovakirwa pane zvatinoona isu tisingazive. Nokudaro, ndapota usavafuratira. Nepo usingafanire kuvafuratira, haufanire kuvagamuchira sevhangeri.

 

Drug Diversion

Kuwana mushonga wesarudzo unogona kuganhurirwa kune mukoti ane dambudziko rekushandisa zvinodhaka kana vasiri kushanda. Izvi zvinogona kunge zviri nekuda kwezvikonzero zvakasiyana, sekuti mhuri yavo haichanyorerwe mushonga iwoyo, chiremba wavo kana wemishonga achinyumwira, kana zvimwe zvikonzero. Vanowanzo edza kuwedzera iyo yekuwana kubva kubasa mumamiriro ezvinhu akadai. Uye mukoti anozoda kugadzira mukuvanza maitiro aya nekuda kwedziviriro iripo, kunyanya kana zvasvika pazvinhu zvakarambidzwa.

Pakati pezviratidzo zveyambiro zvekutarisira ndezvi:

  • Nguva nenguva kana nechido kupa kuva mukoti wemishonga. 
  • Varwere vanoramba vachinyunyuta pamusoro pekusagadzikana kunyange mushure mekugamuchira marwadzo.
  • Zvinyorwa zvinoratidza kuti murwere akapiwa mishonga inopedza marwadzo kupfuura zvaidiwa pamamiriro avo ezvinhu. 
  • Kune mishumo yakawanda uye yakawanda yekuteuka kwezvinodhaka uye marara. 
  • Kana mukoti uyu achiita zvekutenderera kwemishonga zvine chekuita nevamwe vanamukoti, nhamba yakawandisa yemishonga inodzorwa inopihwa. 

Nhamba dzezvinodhaka hadzina kururama; Kana usati waona mushonga wapihwa kana kupihwa, mukoti anogona kukukumbira kuti usayinewo mushonga wacho. Urwu ndirwo runyorwa, sezvakangoita mamwe. Sezvakaita mamwe mazita, vanamukoti vakachenjera zvikuru nekuda kwedzidzo yedu, kudzidziswa, uye zviitiko, saka dzimwe nguva ingori njere yedumbu iyo inokunyevera nezvenyaya inogona kuitika. Nekudaro, segwara rakajairwa, chero chinhu chinonzwa kuremerwa chinofanira kutariswa mberi. Zvisungo zvako kune varwere vako uye vaunoshanda navo zvinoda izvi. 

 

Zvinyorwa

Iyo Florida Nurse Practice Act inotyorwa kana mukoti achidzidzira akadhakwa. Zvese hurwere nekushandisa zvinodhaka zvakanyorwa sezvingangokonzeresa kukanganisa uku mundima inotsanangura izvi sekutyora uye zvinogona kukonzera chirango. Zvinenge zvisiri pamutemo zvakare kutadza kuburitsa pachena kukanganiswa kwemukoti kana kuisa chengetedzo yemurwere munjodzi nekumubvumidza kushanda iye akaremara. Zvinogoneka kune wese munhu kana pasina kuedza kuvhara mukoti kana nyaya ikafuratirwa netarisiro yekuti ichapera. Semushandi, iwe unofanirwa kutaurirana zvizere nemirau uye maitiro nzvimbo imwe neimwe ingangove yakagadzirirwa zviitiko izvi chete. Izvi zvichange zvagadzirwa kuti ive nechokwadi chekutevedzwa kwese kwemutemo nezvisungo zvemutemo. Hazvina kumbofanira kuti utaure nemunhu waunoshanda naye akaremara. Gara uchikumbira mutariri kana maneja mukoti kuti akubatsire. Maneja kana mutariri angangotanga abata mukoti akaremara; zvisinei, kuva nevanhu vakawanda varipo panguva yekupindira kuchaita:

  • Ipa humbowo hwakapihwa kuna mukoti huremu hwakawedzerwa nekuti anogona kupokana nekukanganiswa. 
  • Huyai zvapupu zvezviitiko zvingangodiwa mukunzwa kana misangano gare gare.
  • Ipa simba kune meseji, tsigiro yemanzwiro, uye kuchengetedza kuchengetedzwa kana mukoti achiratidza kushushikana kana hutsinye kana abatwa. 
  • Kupindira kwekutanga hakufanire kunge kuri kupomera kana kuyedza kuziva nyaya yemukoti. 

Zvinofanira kunge zvichibva pachokwadi uye kupa humbowo hwakanyorwa hwezvaonekwa uye zvinonetsa kuita kuti mukoti aone kuti sei uri kuvakumbira kuti varege kushanda izvozvi. Iko kukanganisa uye chero kupindira kunotevera kunogona kutaurwa mune imwe yenzira mbiri. Iyo Florida State Board yeNursing ndiyo yekutanga yavo. Zvakanyanya, Dhipatimendi rehutano raizogamuchira mushumo, kuferefeta zvichemo, uye kutora matanho akakodzera. Chechipiri chiito chingave chekutumira chirevo kuIntervention Project for Nurses (IPN). IPN yakagadzirwa muna 1983 nekuita kwemutemo kuchengetedza hutano hweveruzhinji nekuchengetedzeka.Chan et al., 2019) Inoita izvi nekupa tarisiro yepedyo kune vanamukoti vanoonekwa sevasina kuchengetedzeka kudzidzira nekuda kwehurema hunounzwa nekushandisa zvinodhaka kana kudhakwa, kushandisa zvisirizvo, kana zvese, kana nekuda kwehurwere hwemuviri kana hwepfungwa hunogona kukanganisa kugona kweane rezinesi kudzidzira zvakachengetedzeka uye nehunyanzvi. . 

 

Aya mapurogiramu ekusiyana-ku-kuranga akagadzirwa munyika yose, uye muFlorida, chikamu cheIntegrated Patient Network (IPN) nekuda kwekuziva kuti mukoti ane dambudziko rekushandisa zvinodhaka anofanira kuwana kutarisirwa uye kurapwa sezvakaita chero munhu. zvimwe. Kuburikidza nezvirongwa zvayo, vanamukoti vanogona kuwana kurapwa kusiri chirango uye kudzoreredzwa. IPN ichabatsira mukoti kubudirira kudzoka kuzodzidzira kana akabvuma kusiya basa uye kupedza chirongwa ichi achichengeta zvakavanzika — kunyangwe kubva kuBoard of Nursing. IPN inotumira faira kuDhipatimendi rehutano kana mukoti akatambira mazwi aya asi ochinja pfungwa dzake. Dzimwe nyaya dzinogona kumhan'arwa kuDhipatimendi rehutano neIPN, uko kurapwa UYE chirango chingatangwa. Kutora chikamu kwebazi rezvehutano kunogona kuita kuti rezinesi remukoti rimbomiswa kana kukanzurwa izvo zvinoita kuti zviomere kudzoka kubasa. Zvinotarisirwa kuti kuburikidza nekupa nzira dzisiri dzechirango, vanamukoti vachakurudzirwa kutsvaga rubatsiro vasati vatarisana nechirango uye vanogona kupedzisira vakwanisa kudzokera kukudzidzira.

 

mhedziso

Nekuda kwemamiriro ezvinhu akasiyana-siyana akapoteredza dzidzo yedu uye kudzidziswa kwedu, maonerwo atinoita, uye kuti tinozviona sevanhu vakasimba kupfuura vamwe, nyaya yekuremara kubasa kwevanamukoti yakanyanya kuoma. Kare, kana mushandi akanga akaremara pabasa, chirango chingave chakaitwa nokuda kwokukanganisika kwacho kana kuti zvikanganiso zvakaitwa. Izvi zvainyanya kushanda mumamiriro ezvinhu apo zvakaonekwa kuti mukoti akanga akadhakwa kana kuti akakanganiswa nechimwe chinhu. Wakanga wabuda pamukova uye hauna kuzodzoka shure kwaizvozvo. Unorasawo rezinesi, zvichikutadzisa kudzokera kubasa semukoti. Nechemumoyo, zvirongwa zvisiri zvechirango zvakasimudzwa nekuziva kuti isu hatina kudzivirirwa kune zvakafanana zvinonetsa sevamwe. Pfungwa iri shure kwezvirongwa izvi ndeyekuona matambudziko, kusanganisira kusagadzikana kwekushandisa zvinodhaka, kutanga kuitira kuti mhedzisiro yakanaka iwanikwe kune ese mapato.

 


References

Baldisseri, MR (2007). Nyanzvi yehutano yakakanganiswa. Crit Care Med, 35(2 Suppl), S106-116. doi.org/10.1097/01.CCM.0000252918.87746.96

Chan, CWH, Ng, NHY, Chan, HYL, Wong, MMH, & Chow, KM (2019). Ongororo yakarongeka yemhedzisiro yezvirongwa zvekudzidziswa kwevafambisi vepamberi. BMC Health Serv Res, 19(1), 362. doi.org/10.1186/s12913-019-4192-0

Hakim, A. (2023). Kuongorora matambudziko edzidzo yekiriniki kubva pamaonero evadzidzisi vevanamukoti nevadzidzi: Chidzidzo chemuchinjika. SAGE Vhura Med, 11, 20503121221143578. doi.org/10.1177/20503121221143578

Kukanganisa. (nd). In Dictionary.com Unabridged. Zvakatorwa kubva www.dictionary.com/browse/impairment

Rodziewicz, TL, Houseman, B., & Hipskind, JE (2024). Kuderedza Kukanganisa Kwezvokurapa uye Kudzivirira. In StatPearls. www.ncbi.nlm.nih.gov/pubmed/29763131

Van Bogaert, P., Peremans, L., Van Heusden, D., Verspuy, M., Kureckova, V., Van de Cruys, Z., & Franck, E. (2017). Vanofanotaura nezvekuneta, kuita basa uye mukoti vakashuma mhedzisiro yebasa uye mhando yekutarisira: yakasanganiswa nzira yekudzidza. BMC Vanamukoti, 16, 5. doi.org/10.1186/s12912-016-0200-4

Washington State Department of Health. (2016). Nhungamiro yekubatsira vamwe vaunoshanda navo vanoratidza kukanganisa munzvimbo yebasa. Zvakatorwa kubva www.doh.wa.gov/portals/1/Documents/Pubs/600006.pdf

 

Disclaimer

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Kuwedzera Simba Remapfupa: Kudzivirira Kubva Kuputsika

Bone Strength

Simba remapfupa rakakosha, sehudyu yakatsemuka inogona kuve yakakomba kune vanhu vakura. Ongororo yakawana kuti kune vanhu vane makore ekuma60 vakatyoka hudyu, 6.5% yevakadzi uye 9.4% yevarume vakafa mukati megore. Pakati pevanhu vane makore ekuma80, 13.1% yevakadzi uye 19.6% yevarume vakafa mukati megore. (Dimet-Wiley, nevamwe, 2022)

Kuwedzera simba remapfupa kunogona kubatsira kudzivirira nyaya dzakasiyana-siyana. Kuwedzera kuduku mumapfupa emamineral density kwakaratidzwa kubatsira kubatsira kuderedza njodzi yekuputsika, kunyanya kuputika kwechiuno. Chidzidzo chemakumi emakore-refu chakawana kuti kungowedzera 3% kwesimba remapfupa kunobatsira kuderedza mukana wekutyoka chiuno. Vatsvagiri vakanyoresa mapoka maviri evanhu vane makore makumi matanhatu zvichikwira, rimwe muna 60 uye rechipiri muna 1989.

  • Kuwanda kwemaminerari ebhonzo remuhuro wemukadzi wega wega pamusoro pebhonzo rechidya pedyo nehudyu kwakayerwa.
  • Vakazotevera zvidzidzo kwemakore kuti vaone kuti ndiani akawana hip fractures.
  • Kunyange zvazvo pfupa yemamineral density yeboka rechipiri yaingova 3% yakakwirira kudarika boka rekutanga, zvidzidzo izvi zvakawana 46% kuderedza muhudyu kuputsika. (Tran, T. et al., 2023)

Bone Loss

Kurasikirwa kwemapfupa kunofambira mberi muvarume nevakadzi uye kunowedzera sezvo muviri unokwegura. Osteoporosis mamiriro ezvinhu apo mapfupa emapfupa anoora. (Dhipatimendi rehutano neHuman Services Hofisi yeChirwere Kudzivirira uye Hutano Kukurudzira. 2020) Mabhonzo anogara achiputsika uye achichinja sechinhu chakajairika chekugadzirisa. Kana chiyero chechiitiko ichi chikakanganiswa, osteoporosis inokura, zvichiita kuti mapfupa awedzere kuparara pane kuumbwa. Nepo varume nevakadzi vachirasikirwa nemapfupa, zvinowanzoitika muvakadzi. (National Institute of Arthritis uye Musculoskeletal Diseases. 2022Kuenda kumwedzi kunokonzera njodzi nekuda kwekuderera kweesrogen (National Library yeMishonga, Medline Plus, 2022). Estrogen inosimbisa simba remapfupa nekudzivirira kubva pakuputsika kwemapfupa; nekurasikirwa kweesrogen, kuputsika kwemapfupa kunowedzera. Nekudaro, chero munhu wezera ripi neripi kana kumashure anogona kuona kurasikirwa kwemapfupa nekuda kwezvinotevera:

  • Endocrine kusagadzikana.
  • Zvirwere zvomudumbu.
  • Zvirwere zvinopisa senge rheumatoid arthritis.
  • Mamwe magomarara.
  • Mishonga inotorwa kurapa mamiriro aya, senge steroids kana oncology meds, inogona zvakare kukurumidzira kurasikirwa kwemapfupa. (National Library of Medicine. Medline Plus, 2022)

kusimbisa muviri

Kunyange zvazvo kumwe kurasikirwa kwesimba remapfupa kwakajairika, nzira dzakawanda dziripo kuchengetedza hutano hwemapfupa. Kuita maekisesaizi, kunyanya kutakura uremu, kunogona kuwedzera simba remapfupa. Kana mapfupa nemhasuru zvikashandiswa kubata chinzvimbo chinopikisa simba rinokwevera zvinhu pasi, izvi zvinosimbisa bhonzo, zvichiita kuti rivandudzwe rakasimba. Kufamba uye kurovedza muviri semushonga uye masimba anofambiswa kuburikidza nemapfupa anogadzira masaini masaini anoudza maseru kuti awedzere kuumbwa kwemapfupa maererano nekuputsika. Maekisesaizi anotarisa pane kumira, kuenzanisa, kufamba, uye kurongeka zvinokurudzirwa kune vanhu vane osteoporosis kusimbisa core, quadriceps, uye hip flexors. Mhando dzakasiyana dzemaekisesaizi dzinogona kusanganisira:

  • Kufamba kusimbisa musana nemahudyu.
  • Kufamba kunze kana pane treadmill kunopa simba rekutakura kune bhonzo.
  • Mapuranga uye mapush-ups anogona kusimbisa forearm uye wrist mapfupa.
  • Kubata bhodhoro remvura muruoko rumwe norumwe uye kusimudza kumusoro nekudzika kagumi pamwe chete kana kuchinjana kashoma pazuva.
  • Side gumbo rinosimudza rinogona kusimbisa hudyu nemapfupa epamberi panguva imwe chete.
  • Kudzidzira uremu kunopa mapfupa ekurovedza muviri kuburikidza nekuita kuti atsigire mutoro unorema.
  • Chero chirongwa chekurapa maekisesaizi chinofanirwa kugadzirwa nemupi wehutano, murapi wepanyama, uye mudzidzisi zvinoenderana nemamiriro emunhu uye zvakavakodzera.

dhayeti

Izvo zvinopinda mumuviri zvinokanganisa hutano hwemapfupa. Calcium uye vitamini D ndiwo akakosha pakuvaka mapfupa, asi ese ari maviri anodiwa sezvo vhitamini D inodiwa kuti itore calcium inopinzwa. Calcium inogona kuwanikwa mu:

  • dheri
  • Zvigadzirwa zvemukaka uye zvisiri zvemukaka zvakasimbiswa ne calcium.
  • Leafy greens.
  • Bhinzi.
  • Amamondi.
  • Iyo inokurudzirwa zuva rega rega calcium yekudya kune vakuru vanopfuura makumi mashanu ndeye 50 milligrams.

Vitamin D inogona kubva kune:

  • Sunlight
  • Hove.
  • Howa.
  • Mukaka wakasimbiswa.
  • Zvigadzirwa.
  • Iyo inokurudzirwa zuva nezuva yevhitamini D yekudya kune vanhu vakuru vane makore makumi manomwe ndeye 70 micrograms uye 15 micrograms kune vanhu vanopfuura makumi manomwe.

Zvidzidzo zvakawana kuti kuwedzera calcium uye vitamin D kudya nekuwedzera kunogona kubatsira kuchengetedza hutano hwemapfupa. Taura nemutarisiri wehutano nezvekuti ma supplements anogona kubatsira here.

Hormone Therapy

Madzimai zvakare anowanzo gadzira testosterone, iyo inokurudzira kuumbwa kwemapfupa. Sezvo mazinga achidonha nezera uye achikanganisa simba remapfupa, kurapa kwehomoni kunogona kukurudzirwa. Kuderera kwemazinga e testosterone kunotanga nevakadzi vane makore ekuma20 uye varume vari mumakore avo makumi matatu. Kudonha kwakajairika muvakadzi ndeye 30% kusvika 1% pagore vasati vasvika kumwedzi uye kunodzikama zvishoma mushure. Varwere vechikadzi vari panjodzi yekurasikirwa nemapfupa vanogona kunyorerwa testosterone mumhando dzakasiyana-siyana dzinoramba dzichibudisa iyo hormone. Muyero wakaderera, saka varwere havaone bvudzi risingadiwe kukura kana kuchinja kweganda. Yakasanganiswa neestrogen, testosterone inobudirira inowedzera kukura kwemapfupa muvarwere vechikadzi. Haasi munhu wese mumiriri wekurapwa kwehomoni, senge vanhu vane nhoroondo yekenza yemazamu, chirwere chemoyo, kugwamba kweropa, kana chirwere chechiropa. (National Library of Medicine. Medline Plus, 2019)

Kuita zvigadziriso zvidiki zvinogona kukwidziridza hutano hwemapfupa uye hutano hwakakwana

PaInjury Medical Chiropractic uye Functional Medicine Clinic, isu tinonyanya kutarisa pakurapa kukuvara kwevarwere uye kusingaperi kurwadziwa kwechirwere chekugadzira zvirongwa zvemunhu zvekuchengetedza izvo zvinovandudza kugona kuburikidza nekuchinjika, kufamba, uye agility zvirongwa zvinoenderana nemunhu. Tichishandisa nzira yakabatanidzwa, chinangwa chedu ndechekubvisa marwadzo zvakasikwa nekudzorera hutano uye kushanda kumuviri kuburikidza neFunctional Medicine, Acupuncture, Electro-Acupuncture, uye Sports Medicine protocol. Kana munhu wacho achida kumwe kurapwa, achaendeswa kukiriniki kana chiremba anonyatsovakodzera, sezvo Dr. Jimenez akabatana nevarapi vepamusoro, nyanzvi dzemakiriniki, vatsvakurudzi vezvokurapa, uye premier rehabilitation providers kuti vape kurapa kwakanyanya kwekliniki. . Isu tinotarisisa pane izvo zvinokushandira iwe uye kuyedza kuvandudza muviri kuburikidza neakatsvagirwa nzira uye yakazara hutano zvirongwa.


Chiropractic Care: Movement Medicine


References

Dimet-Wiley, A., Golovko, G., & Watowich, SJ (2022). Kwegore Rimwechete Kufa Kwekuparara Kwegore muVakuru Vakwegura Vane Hudyu Dzekutsemuka Hunoenderana Nemamwe Mapazi Akanyanya Kutsemuka: Retrospective Cohort Chidzidzo. JMIR kuchembera, 5(1), e32683. doi.org/10.2196/32683

Tran, TS, Ho-Le, TP, Bliuc, D., Center, JR, Blank, RD, & Nguyen, TV (2023). Kudzivirirwa kweHip Fractures: Kutengeserana pakati peZvikomborero Zviduku kune Vanhu uye Mabhenefiti Makuru kuNharaunda. Chinyorwa chepfupa nemaminerari research: iyo yepamutemo magazini yeAmerican Society yeBone uye Mineral Research, 38 (11), 1594-1602. doi.org/10.1002/jbmr.4907

Dhipatimendi rehutano neHuman Services Hofisi yeChirwere Kudzivirira uye Hutano Kukurudzira. (2020). Osteoporosis Workgroup. Zvakatorwa kubva health.gov/healthypeople/about/workgroups/osteoporosis-workgroup

National Institute of Arthritis uye Musculoskeletal Diseases. (2022). Osteoporosis. Zvakatorwa kubva www.niams.nih.gov/health-topics/osteoporosis

National Library of Medicine. MedlinePlus. (2022). Chii chinokonzera kupera kwemapfupa? Zvakatorwa kubva medlineplus.gov/ency/patientinstructions/000506.htm

National Library of Medicine. MedlinePlus. (2019). Hormone replacement therapy. Zvakatorwa kubva medlineplus.gov/hormonereplacementtherapy.html

Kuvimbisa Kuchengetedzeka Kwemurwere: A Clinical Approach muChiropractic Clinic

Kuvimbisa Kuchengetedzeka Kwemurwere: A Clinical Approach muChiropractic Clinic

Ko vashandi vehutano mukiriniki yechiropractic vanopa sei nzira yekiriniki yekudzivirira zvikanganiso zvekurapa kune vanhu vari kurwadziwa?

ziviso

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

Kutsanangura Zvikanganiso Zvekurapa

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.

 

Mhando Dzakajairika dzeKukanganisa Kwekurapa

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.

 

Kukanganisa kweZvabuda & Maitiro

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. 

 


Natsiridza Mararamiro Ako Nhasi- Vhidhiyo


Kuongorora & Kudzivirira Kukanganisa Kwezvokurapa

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.

 

Chii chinonzi Root Cause Analysis?

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.

 

mhedziso

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.

 


References

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

Disclaimer

Kuvandudza Intervertebral Disc Utano: Matanho eKugara zvakanaka

Kuvandudza Intervertebral Disc Utano: Matanho eKugara zvakanaka

Kune vanhu vari kutarisana nemarwadzo ekudzokera shure uye matambudziko, kuziva nzira yekuvandudza nekuchengetedza intervertebral disc hutano hunobatsira kuderedza zviratidzo here?

Kuvandudza Intervertebral Disc Utano: Matanho eKugara zvakanaka

Intervertebral Disc Utano

Mutsipa wemusana une 24 mapfupa anofambiswa uye 33 mapfupa anonzi vertebrae. Iwo vertebral mapfupa akaturikidzana pamusoro peumwe neumwe. Iyo intervertebral disc ndiyo inomisa zvinhu pakati pemapfupa ari pedyo. (Dartmouth. 2008)

mapfupa

Mabhonzo emusana madiki uye akatenderera munzvimbo inonzi vertebral body. Kumashure kune mhete yebhoni kubva kune iyo protrusions inowedzera uye arches uye nzira dzinoumbwa. Chimiro chega chega chine chinangwa chimwe kana kupfuura uye chinosanganisira: (Waxenbaum JA, Reddy V, Williams C, et al., 2023)

  • Kudzikamisa musana.
  • Kupa nzvimbo yekubatanidza tishu uye kumashure mamhasuru kuti abatanidze.
  • Kupa mugero wokuti musana womuzongoza upfuure nokwakachena.
  • Kupa nzvimbo iyo tsinga dzinobuda uye dzinobuda kunze kunzvimbo dzese dzemuviri.

mamiriro

Iyo intervertebral disc ndiyo cushioning inogara pakati pe vertebrae. Dhizaini yemuzongoza inoibvumira kufamba munzira dzakasiyana siyana:

  • Flexion kana kukotama
  • Kuwedzera kana arching
  • Kurereka uye kutenderera kana kumonyorora.

Masimba ane simba anoshanda uye anofurira musana wekona kuti ubudise mafambiro aya. Iyo intervertebral disc inobata kuvhunduka panguva yekufamba uye inodzivirira vertebrae uye musana kubva mukukuvara uye / kana kukuvadzwa.

Ability

Kunze, matishu akasimba akarukwa efiber anoita nzvimbo inonzi annulus fibrosis. Iyo annulus fibrosis ine uye inodzivirira iyo yakapfava gel chinhu chiri pakati, iyo nucleus pulposus. (YS Nosikova et al., 2012) Iyo nucleus pulposis inopa kuvhunduka, kushanduka, uye kutendeseka, kunyanya pasi pekumanikidzwa panguva yekufamba kwepelinha.

hurongwa

Iyo nucleus pulposus chinhu chakapfava gel chiri pakati pe disc chinobvumira elasticity uye kuchinjika pasi pesimba rekushushikana kuti ritore kudzvanywa. (Nedresky D, Reddy V, Singh G. 2024) The swivel action inoshandura kurereka uye kutenderera kwe vertebra kumusoro nepasi, kuvharidzira mhedzisiro yekufamba kwemusana. Madhisiki anotenderera achipindura kune iyo musana inofamba. Iyo nucleus pulposus inogadzirwa zvakanyanya nemvura, iyo inofamba ichipinda nekubuda kuburikidza nediki pores, ichiita senge nzira pakati pe vertebra uye disc bone. Nzvimbo dzemuviri dzinotakura musana, sekugara uye kumira, kusundira mvura kunze kwe diski. Kurara pasi pamusana kana panzvimbo yepamusoro kunofambisa kudzorerwa kwemvura mu disc. Sezvo muviri uchikura, madhisiki anorasikirwa nemvura /kushaya mvura mumuviri, zvichiita kuti disc degeneration. Iyo intervertebral disc haina ropa rekupa, izvo zvinoreva kuti kuti diski igamuchire chikafu chinodiwa uye nekubvisa tsvina, inofanirwa kuvimba nekutenderera kwemvura kuti igare ine hutano.

Care

Dzimwe nzira dzekuchengetedza intervertebral disc hutano dzinosanganisira:

  • Kuteerera kune chimiro.
  • Kuchinja nzvimbo kazhinji zuva rose.
  • Kuita maekisesaizi uye kufamba-famba.
  • Kushandisa mechanics emuviri chaiwo kune zviitiko zvemuviri.
  • Kurara pametiresi inotsigira.
  • Kunwa mvura yakawanda.
  • Kudya zvine hutano.
  • Kuchengeta huremu hune hutano.
  • Kunwa doro zvine mwero.
  • Kurega kusvuta.

PaInjury Medical Chiropractic uye Functional Medicine Clinic, tinobata kukuvara uye kusingaperi kurwadziwa syndromes nekuvandudza kugona kwemunhu kuburikidza nekuchinjika, kufamba, uye agility zvirongwa zvakagadzirirwa mapoka ese ezera nekuremara. Chikwata chedu chechiropractic, zvirongwa zvekuchengeta, uye masevhisi ekiriniki ane hunyanzvi uye akatarisana nekukuvara uye kudzoreredza kwakazara maitiro. Nzvimbo dzedu dzekudzidzira dzinosanganisira Wellness & Nutrition, Acupuncture, Chronic Pain, Kukuvadza Kwemunhu, Auto Accident Care, Kukuvara Kwebasa, Kukuvara Kwemusana, Kurwadziwa Kwepashure, Marwadzo Emutsipa, Migraine Headaches, Kukuvara Kwemitambo, Severe Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia. , Kurwara Kusingaperi, Kukuvara Kwakaoma, Stress Management, Functional Medicine Kurapa, uye in-scope care protocols. Kana kumwe kurapwa kuchidiwa, vanhu vanozoendeswa kukiriniki kana chiremba anonyatsokodzera kukuvara kwavo, mamiriro, uye / kana hurwere.


Kupfuura Panyika: Kunzwisisa Migumisiro Yekukuvara Kwemunhu


References

Dartmouth Ronan O'Rahilly, MD. (2008). Basic Human Anatomy. Chitsauko 39: The vertebral column. MuD. Rand Swenson, MD, PhD (Mupepeti.), BASIC HUMAN ANATOMY Chidzidzo cheDunhu cheChimiro Chevanhu. WB Saunders. humananatomy.host.dartmouth.edu/BHA/public_html/part_7/chapter_39.html

Waxenbaum, JA, Reddy, V., Williams, C., & Futterman, B. (2024). Anatomy, Back, Lumbar Vertebrae. MuStatPearls. www.ncbi.nlm.nih.gov/pubmed/29083618

Nosikova, YS, Santerre, JP, Grynpas, M., Gibson, G., & Kandel, RA (2012). Hunhu hwe annulus fibrosus-vertebral body interface: kuzivikanwa kwezvinhu zvitsva zvemaitiro. Nyaya yeanatomy, 221 (6), 577-589. doi.org/10.1111/j.1469-7580.2012.01537.x

Nedresky D, Reddy V, Singh G. (2024). Anatomy, Kumashure, Nucleus Pulposus. MuStatPearls. www.ncbi.nlm.nih.gov/pubmed/30570994

Structural Mechanics uye Movement: Biomechanics Inotsanangurwa

Structural Mechanics uye Movement: Biomechanics Inotsanangurwa

Kune vanhu vari kusangana nematambudziko emusculoskeletal uye zviratidzo zvekurwadziwa, vanogona kudzidza nezve biomechanics uye kuti inoshanda sei pakufamba, kurovedza muviri, uye kuita, kubatsira mukurapa kwekukuvara nekudzivirira?

Structural Mechanics uye Movement: Biomechanics Inotsanangurwa

Biomechanics

Biomechanics inodzidza mafomu ese ehupenyu uye mashandiro awo emuchina. Vazhinji vanofunga nezve biomechanics mumitambo uye kuita kwemitambo, asi biomechanics inobatsira kugadzira nekuvandudza matekinoroji, zvishandiso, uye maitiro ekugadzirisa kukuvara. (Tung-Wu Lu, Chu-Fen Chang 2012) Masayendisiti, vanachiremba vemishonga yemitambo, physiotherapists, chiropractors, uye maconditioning nyanzvi vanoshandisa biomechanics kubatsira kugadzira dzidziso mapuroteni uye matekiniki ekuvandudza mhedzisiro yekurapa.

Muviri Kufambisa

Biomechanics inodzidza mafambiro emuviri, kusanganisira kuti tsandanyama, mapfupa, tendon, uye ligaments zvinoshanda sei pamwe chete, kunyanya kana kufamba kusiri kwakaringana kana kurongeka. Icho chikamu chemunda mukuru we kinesiology, kunyanya kutarisisa mafambiro mechanics uye ongororo yekuti zvikamu zvese zvemuviri zvinoshanda sei pamwechete kugadzira mitambo uye yakajairika mafambiro. (José M Vilar et al., 2013) Biomechanics inosanganisira:

  • Maumbirwo emapfupa nemamhasuru.
  • Kukwanisa kufamba.
  • Mechanics yekutenderera kweropa, renal basa, uye mamwe mabasa.
  • Kudzidza kwemasimba uye mhedzisiro yemasimba aya pamatishu, mvura, kana zvinhu zvinoshandiswa kuongororwa, kurapwa, kana kutsvagisa. (Jose I. Priego-Quesada 2021)

Sports

Mitambo biomechanics inodzidza mafambiro mukurovedza muviri, kurovedza, uye mitambo, iyo inosanganisira fizikisi uye mitemo yemakanika. Semuyenzaniso, iyo biomechanics yeimwe kurovedza muviri inotarisa:

  • Chimiro chemuviri.
  • Kufamba kwetsoka, mahudyu, mabvi, musana, mapendekete, nemaoko.

Kuziva maitiro ekufambisa kwakaringana kunobatsira kuita zvakanyanya kurovedza muviri uchidzivirira kukuvara, kugadzirisa zvikanganiso zvefomu, kuzivisa mapuroteni ekudzidzisa, uye kuwedzera mhedzisiro yakanaka. Kunzwisisa kuti muviri unofamba sei uye nei uchifamba nenzira inobatsira vashandi vezvokurapa kudzivirira nekurapa kukuvara, kuderedza zviratidzo zvemarwadzo, nekuvandudza kushanda.

midziyo

Biomechanics inoshandiswa mukugadzirwa kwemidziyo yemuviri neyemitambo yekuvandudza mashandiro. Semuenzaniso, bhutsu inogona kugadzirwa kuti inyatsoita basa remutsetse weskateboarder, mumhanyi wedaro refu, kana mutambi wenhabvu. Nzvimbo dzekutamba dzinodzidzwawo nekuda kweichi chinangwa, sekuti kuoma kwepasi kweartificial turf kunokanganisa kuita kwemitambo. (Jose I. Priego-Quesada 2021)

Vanhu

  • Biomechanics inogona kuongorora mafambiro emunhu kuti awedzere kushanda panguva yekudzidziswa nemitambo.
  • Semuyenzaniso, kumhanya kwemunhu kana kuswing kunogona kutorwa mifananidzo ine mazano ezvekuchinja kuti uvandudze.

Kukuvara

  • Sayenzi inodzidza zvinokonzeresa, kurapwa, uye kudzivirira kwekukuvara kweuromusculoskeletal.
  • Tsvakurudzo inogona kuongorora masimba anokonzera kukuvadzwa uye kupa ruzivo kune vashandi vezvokurapa pamusoro pekuti vangaderedza sei njodzi yekukuvara.

kudzidza

  • Biomechanics inodzidza matekiniki emitambo uye masisitimu ekudzidzisa kugadzira nzira dzekuvandudza kugona.
  • Izvi zvinogona kusanganisira kutsvagisa pamusoro pekumisikidza, kuburitsa, kutevera-kuburikidza, nezvimwe.
  • Inogona kuongorora uye kubatsira kugadzira nzira nyowani dzekudzidzisa zvichibva pane izvo zvemuchina zvinodikanwa zvemutambo, zvine chinangwa chekuunza zvirinani. mutambo.
  • Semuenzaniso, kushandiswa kwemhasuru kunoyerwa mukuchovha bhasikoro uchishandisa electromyography uye kinematics, iyo inobatsira vaongorori kuongorora zvinhu zvakaita semamiriro, zvikamu, kana kurovedza muviri zvakanyanya kunokanganisa activation. (Jose I. Priego-Quesada 2021)

Motions

Mune biomechanics, mafambiro emuviri anorehwa kubva kune anatomical chinzvimbo:

  • Kumira wakatwasuka, wakatarisa kumberi
  • Zvombo kumativi
  • Matinji akatarisa mberi
  • Tsoka dzakaparadzana zvishoma, zvigunwe zvichienda mberi.

Iwo matatu anatomical ndege anosanganisira:

  • Sagittal - yepakati - Kupatsanura muviri muhafu yekurudyi nekuruboshwe ndiyo sagittal / yepakati ndege. Flexion uye kuwedzera kunoitika mune sagittal ndege.
  • Frontal - Ndege yekumberi inopatsanura muviri kumberi nekumashure mativi asi zvakare inosanganisira kupambwa, kana kufambisa nhengo kubva pakati, uye kudhonzesa, kana kufambisa nhengo yakananga pakati mundege yepamberi.
  • Shanduka - yakachinjika. -Nheyo dzepamusoro nedzepasi dzemuviri dzakakamurwa nendege inochinjika/yakatwasuka. Kutenderera kunoitika pano. (American Council pamusoro peKuita muviri 2017)
  • Kufambisa muviri mundege dzese nhatu kunoitika nebasa remazuva ese. Ichi ndicho chikonzero kuita maekisesaizi mundege yega yega yekufamba kuvaka simba, basa, uye kugadzikana kunokurudzirwa.

Tools

Zvishandiso zvakasiyana-siyana zvinoshandiswa kudzidza biomechanics. Zvidzidzo zvinowanzoitwa pachishandiswa mudziyo unozivikanwa se electromyography kana EMG sensors. Masenso anoiswa paganda uye anoyera huwandu uye dhigirii remhasuru fiber activation mune mamwe mamhasuru panguva yekuyedza maekisesaizi. EMGs inogona kubatsira:

  • Vatsvakurudzi vanonzwisisa kuti ndeapi maekisesaizi anoshanda kupfuura mamwe.
  • Varapi vanoziva kana tsandanyama dzevarwere dziri kushanda nemazvo.
  1. Dynamometers chimwe chishandiso chinobatsira kuyera simba remhasuru.
  2. Vanoyera simba rinobuda panguva yekuputika kwemasuru kuti vaone kana mhasuru dzakasimba zvakakwana.
  3. Iyo inoshandiswa kuyera simba rekubata, iyo inogona kuva chiratidzo chesimba rose, hutano, uye hupenyu hurefu. (Li Huang et al., 2022)

Beyond Adjustments: Chiropractic uye Integrative Healthcare


References

Lu, TW, & Chang, CF (2012). Biomechanics yekufamba kwevanhu uye mashandisirwo ayo ekiriniki. Magazini yeKaohsiung yesayenzi yezvokurapa, 28(2 Suppl), S13–S25. doi.org/10.1016/j.kjms.2011.08.004

Vilar, JM, Miró, F., Rivero, MA, & Spinella, G. (2013). Biomechanics. BioMed research international, 2013, 271543. doi.org/10.1155/2013/271543

Priego-Quesada JI (2021). Exercise Biomechanics uye Physiology. Hupenyu (Basel, Switzerland), 11(2), 159. doi.org/10.3390/life11020159

Sangano reAmerican Council on Exercise. Makeba Edwards. (2017). Planes of Motion Inotsanangurwa (Exercise Sayenzi, Nyaya. www.acefitness.org/fitness-certifications/ace-answers/exam-preparation-blog/2863/the-planes-of-motion-explained/

Huang, L., Liu, Y., Lin, T., Hou, L., Song, Q., Ge, N., & Yue, J. (2022). Kuvimbika uye kuvimbika kwemaoko maviri dynamometers kana achishandiswa nevakuru vanogara munharaunda vane makore anopfuura makumi mashanu. BMC geriatrics, 50 (22), 1. doi.org/10.1186/s12877-022-03270-6

Kunzwisisa Spinal Synovial Cysts: Mhedziso

Kunzwisisa Spinal Synovial Cysts: Mhedziso

Vanhu vakapfuura nekukuvara kwemusana vanogona kugadzira synovial spinal cyst senzira yekudzivirira musana unogona kukonzera zviratidzo zvinorwadza uye manzwiro. Kuziva zviratidzo kunobatsira here vatapi vehutano kugadzira chirongwa chekurapa chakakwana kuti vabvise marwadzo, kudzivirira kuwedzera kwemamiriro ezvinhu uye mamwe mamiriro emusana?

Kunzwisisa Spinal Synovial Cysts: Mhedziso

Spinal Synovial Cysts

Spinal synovial cysts ibhenign fluid-filled sacs inokura mumajoini emusana. Vanoumba nekuda kwekuderera kwemusana kana kukuvara. Ma cysts anogona kuumba chero kupi muzongoza, asi mazhinji anoitika munzvimbo yelumbar/kuzasi kumashure. Ivo vanowanzokura mumajoini kana majoini anochengeta vertebrae / musana mapfupa akabatana.

zviratidzo

Muzviitiko zvakawanda, synovial cysts haikonzeri zviratidzo. Nekudaro, chiremba kana nyanzvi ichada kutarisa zviratidzo zve degenerative disc chirwere, spinal stenosis, kana cauda equina syndrome. Kana zviratidzo zviripo, zvinowanzokonzera radiculopathy kana nerve compression, izvo zvinogona kukonzera kurwadziwa shure, kushaya simba, kupera simba, uye kupenya kunorwadza kunokonzerwa nekutsamwa. Kuoma kwezviratidzo kunoenderana nekukura uye nzvimbo ye cyst. Synovial cysts inogona kukanganisa rumwe rutivi rwemusana kana maviri uye inogona kuumba pane imwe musana kana pamazinga akawanda.

Migumisiro Inogona Kusanganisira

  • Radiculopathy zviratidzo zvinogona kukura kana cyst kana kuzvimba kunokonzerwa ne cyst kukasangana nemusana wetsinga midzi. Izvi zvinogona kukonzera sciatica, kushaya simba, kupera simba, kana kuoma kudzora mamwe mamhasuru.
  • Neurogenic claudication/impingement uye kuzvimba kwespinal nerves zvinogona kukonzera cramping, kurwadziwa, uye/kana kurira muzasi musana, makumbo, mahudyu, nemagaro. (Martin J. Wilby et al., 2009)
  • Kana musana wemusana wakabatanidzwa, zvinogona kukonzera myelopathy /Kutsikirira kwakakomba kwepinal cord kunogona kukonzera chiveve, kushaya simba, uye kuenzanisa matambudziko. (Dong Shin Kim et al., 2014)
  • Zviratidzo zvine chokuita necauda equina, kusanganisira matambudziko ehutu uye / kana dundira, kushaya simba kwegumbo, uye chigaro anesthesia / kurasikirwa kwekunzwa muhudyu, matako, uye perineum, zvinogona kuuya asi zvisingawanzoitiki, sezvakaita synovial cysts pakati nepakati nemutsipa. Kana thoracic uye cervical synovial cysts ikakura, inogona kukonzera zviratidzo senge chiveve, kurira, kurwadziwa, kana kushaya simba munzvimbo yakabatwa.

Zvinokonzera

Spinal synovial cysts inowanzokonzerwa nekuchinja kwekuchinja senge osteoarthritis inokura mumubatanidzwa nekufamba kwenguva. Nekugara uchipfeka uye kubvaruka, facet joint cartilage / zvinhu zviri mujointi zvinopa dziviriro, nzvimbo yakatsetseka, kuderedza kukweshera, uye kubatwa nekutya kunotanga kupera. Sezvo maitiro acho achienderera mberi, synovium inogona kugadzira cyst.

  • Matambudziko, makuru uye madiki, ane kuzvimba uye kuderera mhedzisiro pamajoini anogona kukonzera kuumbwa kwe cyst.
  • Inenge chikamu chimwe muzvitatu chevanhu vane spinal synovial cyst vanewo spondylolisthesis.
  • Ichi chiitiko ndechekuti vertebrae inotsvedza kubva panzvimbo kana kubva pakurongeka ichienda kune vertebra iri pasi.
  • Icho chiratidzo chekusagadzikana kwemusana.
  • Kusagadzikana kunogona kuitika munzvimbo ipi neipi yemuzongoza, asi L4-5 ndiyo mazinga akajairika.
  • Ichi chikamu chemuzongoza chinotora huremu hwepamusoro hwemuviri.
  • Kana kusagadzikana kuchiitika, cyst inogona kukura.
  • Zvisinei, cysts inogona kuumba pasina kusagadzikana.

kuongorora chirwere

mabatiro

Mamwe ma cysts anoramba ari madiki uye anokonzera mashoma kana asina zviratidzo. Cyst inoda kurapwa chete kana ichikonzera zviratidzo. (Nancy E, Epstein, Jamie Baisden. 2012)

Mararamiro Ekugadzirisa

  • Nyanzvi yezvehutano inokurudzira kudzivirira zvimwe zviitiko zvinowedzera zviratidzo.
  • Vanhu vanogona kurairwa kuti vatange kutambanudza uye kunonangwa zviitwa.
  • Physical therapy kana occupational therapy inogonawo kukurudzirwa.
  • Kushandiswa kwenguva nenguva kwe-over-the-counter nonsteroidal anti-inflammatories/NSAIDs senge ibuprofen nenaproxen kunogona kubatsira kubvisa marwadzo pano neapo.

Maitirwo Evarwere Vepanze

  • Kune ma cysts anokonzera kurwadziwa kwakanyanya, chiveve, kushaya simba, uye zvimwe zvinhu, maitiro ekubvisa mvura / aspiration kubva mucyst anogona kukurudzirwa.
  • Imwe ongororo yakawana kuti huwandu hwebudiriro hunotangira pa0 kusvika pa50 muzana.
  • Vanhu vanoenda kuburikidza neshuviro vanowanzoda maitiro ekudzokorora kana fluid kuvaka-up ikadzoka. (Nancy E, Epstein, Jamie Baisden. 2012)
  • Epidural corticosteroid jekiseni inogona kuderedza kuzvimba uye inogona kuva sarudzo yekubvisa marwadzo.
  • Varwere vanokurudzirwa kugamuchira majekiseni asingapfuuri matatu pagore.

Nzira dzekuvhiya

Pamatambudziko akaoma kana anoramba aripo, chiremba anogona kukurudzira kuvhiyiwa kwedecompression kubvisa cyst uye pfupa rakakomberedza kuti abvise kudzvinyirira pamidzi yetsinga. Sarudzo dzekuvhiya dzinotangira kubva kudiki invasive endoscopic maitiro kusvika kuhombe, maoparesheni akavhurika. Iyo yakanakisa yekuvhiya sarudzo inosiyana zvichienderana nekuoma kwemamiriro ezvinhu uye kana kusagadzikana kwakabatana kuripo. Sarudzo dzekuvhiya dzinosanganisira:

  • Laminectomy - Kubviswa kwebhoni chimiro chinodzivirira uye chinovhara musana canal / lamina.
  • Hemilaminectomy - Yakagadziridzwa laminectomy apo chikamu chidiki chelamina chinobviswa.
  • Facetectomy -Kubviswa kwechikamu chechikamu chakakanganisika chejoint apo synovial cyst iripo, kazhinji ichitevera laminectomy kana hemilaminectomy.
  • Fusion yezvikamu zvezvikamu uye vertebra - Inoderedza vertebral kufamba munzvimbo yakakuvara.
  1. Vanhu vazhinji vanonzwa kurwadziwa nekukurumidza mushure me laminectomy kana hemilaminectomy.
  2. Fusion inogona kutora mwedzi mitanhatu kusvika mipfumbamwe kupora zvachose.
  3. Kana kuvhiyiwa kukaitwa pasina kusanganiswa kwakatangira cyst, marwadzo anogona kudzoka, uye imwe cyst inogona kuumbwa mukati memakore maviri.
  4. Kuvhiya Matambudziko anosanganisira kutapukirwa, kubuda ropa, uye kukuvara kumusana kana nerve midzi.

Mawaniro Andakaita Kufamba Kwangu Kudzoka NeChiropractic


References

Wilby, MJ, Fraser, RD, Vernon-Roberts, B., & Moore, RJ (2009). Kuwanda uye pathogenesis ye synovial cysts mukati me ligamentum flavum mune varwere vane lumbar spinal stenosis uye radiculopathy. Muzongoza, 34(23), 2518–2524. doi.org/10.1097/BRS.0b013e3181b22bd0

Kim, DS, Yang, JS, Cho, YJ, & Kang, SH (2014). Acute myelopathy inokonzerwa necervical synovial cyst. Nyaya yeKorea Neurosurgical Society, 56 (1), 55-57. doi.org/10.3340/jkns.2014.56.1.55

Epstein, NE, & Baisden, J. (2012). Kuongororwa uye manejimendi e synovial cysts: Kubudirira kwekuvhiya kunopesana necyst aspiration. Kuvhiya tsinga dzepasi rose, 3(Suppl 3), S157–S166. doi.org/10.4103/2152-7806.98576