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:
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:
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.
by Dr Alex Jimenez Chiropractic Examination , Musoro
Kunzwisisa ndege dzekufamba kungabatsira vanhu kugadzirisa kurovedza muviri kuti vawedzere kusimba kwekuita kwemuviri nemitambo uye kuderedza njodzi yekukuvara?
Planes of Motion
Ndege dzemuviri dzekufamba indege dzesagittal, dzemberi, uye dzakachinjika, dzinoipatsanura kuita kuruboshwe nekurudyi, kumberi nekumashure, uye kumusoro nepasi. Muviri unofamba mumativi akasiyana panguva yebasa rezuva nezuva, mabasa epamba, uye kuita zvemuviri / maekisesaizi. Mafambiro ari mundege imwe neimwe anoenderana nekuenda mberi/kumashure, kudivi-ku-kudivi, uye kutenderera. Funga nezvendege yega yega semutsara wekufungidzira kana girazi regirazi rinokamura muviri kuita zvikamu zvinopikisa kana wakamira munzvimbo yeanatomical. (National Academy of Sports Medicine, 2024 )
Sagittal ndege -Inokamura muviri mumativi ekurudyi nekuruboshwe.Ndege yepamberi - Inokamura muviri kumberi nekumashure.Transverse ndege - Inokamura muviri kuita zvikamu zvepamusoro nepasi.
Kuti uone ndege yekufamba kweimwe kufamba, funga kuti kufamba kwaizobatana sei nemitsetse yekufungidzira kana mahwendefa. Kana kufamba kunofambirana nemutsara wekufungidzira, kufamba kuri kuitika mundege iyoyo yekufamba. Semuenzaniso, kana uchikwira kumusoro, kufamba kumberi uye kumusoro pahudyu, ibvi, uye chitsitsinho kunoitika kunyanya mundege yesagittal nekuti kufamba ikoko kunofambirana nemutsara wekufungidzira unokamura muviri mumativi ekurudyi nekuruboshwe. Kufamba kwendege yemberi kunoitika paunenge uchifamba uchikwira masitepisi wosvika paruoko. Mafambiro ari mundege yemberi nekuti ruoko rweparutivi runosvika runomhanya rwakafanana nemutsetse, ruchitsemura muviri muzvikamu zvemberi neshure. Kana ukacheuka kuti utarise kumashure, kutenderera kunoitika mundege inochinjika nekuti mutumbi wako wepamusoro unomhanya wakafanana nemutsetse, uchitsemura muviri muchikamu chepamusoro nechepazasi. Mafambiro ega ega pane chero akabatana mumuviri anogona kuitika mundege imwe kana ndege dzakawanda. Kufamba kwakaoma kunowanzoitika mundege dzinoverengeka dzekufamba panguva imwe chete.
Sagittal Plane
Movement mu sagittal ndege kazhinji zvinoitika pamberi kana kumashure. Iyi ndiyo ndege inonyanyozivikanwa yekufamba nekuti miitiro mizhinji yemazuva ese inoitika mukati mekusvika kweruoko pamberi. Kufamba, kutumira mameseji, kana komputa basa rinosanganisira kufamba zvakanyanya mundege yesagittal. Mazhinji ekudya mechanics anoitika mune sagittal ndege. Mafambiro anosanganisira:
Kufungidzirwa - Mafambiro ekukotama anodzikisa kona pajoinhi.Extension -Kufamba kunowedzera kunowedzera kona pajoint.Hyperextension - Kuwedzera kona pajoint kupfuura kwayakarerekera.Dorsiflexion – Kupeta pachiziso kuitira kuti pamusoro petsoka ifambe ichienda kushin.Plantarflexion – Kusaidzira tsoka pasi uye kure nemuviri.
Mazhinji maekisesaizi ekurovedza simba mundege yesagittal anosanganisira biceps curls, kumberi kana kudzosera kumashure mapapu, squats, kusvetuka-svetuka, kumhanya, imbwa yekudzika, uye yoga chair inomira.
Frontal Plane
Ndege yepamberi inopatsanura muviri kuita zvikamu zvemberi / zvemberi uye kumashure / kumashure. Kufamba kwendege kumberi kune lateral kana kudivi-kudivi uye kunosanganisira:
Kudzvanywa – Kufambisa muviri kana nhengo nedivi uye kure nepakati pemuviri.Adduction – Kufambisa muviri kana nhengo yakananga pakati pemuviri.Elevation - Kufambisa mapendekete kumusoro.kusuruvara - Kufambisa mapendekete pasi.Eversion – Kutenderedza tsoka yakananga mukati/pakati pepakati.Inversion – Kutenderedza tsoka kudivi rekunze/padivi.
Mafambiro endege emberi haana kunyanya kufanana nekufamba kwesagittal. Semuyenzaniso, vanhu vanofamba kumberi kupfuura divi kuenda kudivi kana kusvika kune chimwe chinhu kumberi kwete kudivi rakananga. Kufamba kwendege kumberi mukugwinya kunosanganisira mapapu eparutivi, kusimudzwa kwepfudzi, uye kukwidibira kwedivi, uye mukumisikidzwa kweyoga, mabhenderi edivi akamira uye katatu.
Transverse Plane
Iyo ndege inotenderera inokamura muviri kuita zvikamu zvepamusoro / zvepamusoro uye pasi / pasi. Kutenderera kwendege kunowanzo sanganisira kutenderera. Kufamba mundege iyi hakuna kunyanya kuwanda. Kukuvara kwekurovedza muviri kunowanzoitika panguva yekutenderera / kutenderera kwekufamba. (National Academy of Sports Medicine, 2024 ) Mafambiro anosanganisira:
Kuchinja -Kufambisa torso kana nhengo yakatenderedza axis yayo yakatwasuka.Pronation -Kutenderedza ruwoko kana tsoka kuenda padivi remuchindwe kana tsoka-yakadzika pasi.Supination -Kutenderedza ruwoko kana tsoka kuenda padivi remuchindwe kana tsoka-parutivi-kumusoro.Horizontal Abduction – Kufambisa ruoko rwepamusoro kure nepakati pemuviri kana rwakasimudzwa kusvika pa90 degrees.Horizontal Adduction – Kufambisa ruoko rwepamusoro kuenda nechepakati pemuviri kana rasimudzwa kusvika pa90 degrees.
Zviitiko zvemazuva ese mundege yemberi zvinosanganisira kutenderedza musoro kutarisa kumashure kana kutenderedza bhero regonhi. Kuekisesaiza mundege inochinjika kunosanganisira kurova bhora regorofu, kutenderedza baseball bat, kana kuita twist yakagara.
Kudzidzira Mukati memapurani eMotion Benefits
Kudzidzira mundege dzese nhatu kunogona kubatsira nekufamba munzira dzinoverengeka, zvichipa kurerukirwa kukuru muhupenyu nemitambo.
Inogadzirira Muviri Wemabasa Ezuva Nezuva
Mapurogiramu mazhinji echinyakare ekudzidzisa simba anotarisa pakudzidzisa tsandanyama imwe panguva, kazhinji mune imwe ndege yekufamba. Semuyenzaniso, vanosimudza uremu vanogona kuita bicep curls kunyanya kushanda mabiceps mundege yesagittal, chipfuva chinobhururuka kurovedza muviri kunyanya kushanda tsandanyama dzepectoral mundege inochinjika, kana kusimudza kwemashure kuti ishande mapendekete mundege yekumberi. Nekudaro, maekisesaizi emukomboni achangobva kuve akajairika. Compound mafambiro anobvumira vanhu kudzidzisa akati wandei mhasuru mapoka panguva imwe chete uye mundege dzakasiyana dzekufamba.
Nenzira iyi, zviitwa zvekudzidzisa zvinotevedzera zviitwa zvemazuva ese. Semuyenzaniso, vanhu vanowanzo simudza mabhegi akawanda anorema egirosari votendeuka kuti vavhure mota kana trunk, zvichisanganisira zvese zviri zviviri sagittal uye transverse kufamba. Kugadzirira muviri kuita zviitwa zvakaomarara zvine maekisesaizi akakomba kunobvumira vanhu kuti vazviite zviri nyore muswere wese.
Inogadzirira Muviri weMitambo uye Zvekuita Zvemuviri
Mafambiro akaomesesa akawanda-anoronga anobatsira kugadzirira kuita kwakachengeteka uye kunoshanda kwemuviri uye kuita kwemitambo (National Academy of Sports Medicine, 2024 ) Vatsvakurudzi uye nyanzvi vanonzwisisa kuti zvinhu zvakawanda zvemuviri uye zvemitambo zvinoda kuti muviri ufambe nenzira dzakasiyana, kazhinji nokukurumidza uye pasi pekunetseka kwakanyanya. Ongororo dzinoverengeka dzakawana kuti kukuvara kweanterior cruciate ligament/ACL kunowanzo kuitika panguva yezvirongwa zvakawanda pane kungofamba-famba. (Quatman CE, Quatman-Yates CC, & Hewett TE 2010 ) Kudzidzisa muviri kuti uite mafambiro akawanda-anoronga zvakachengeteka uye zvinobudirira kuburikidza nekurovedza muviri kunogona kubatsira kuderedza njodzi yekukuvara panguva yemabasa ezuva nezuva kana kushungurudza makwikwi emitambo.
Inokurudzira Kusiyana Kwekusimbisa Muviri Wakazara
Vanhu vanowanzo kuwira mune mamwe mafambiro ekufamba, akadai sekudzokorora kuita zvakafanana kugwinya basa kana maekisesaizi. Izvi zvinogona kuita kuti vave nendege yavanofarira yekufamba. Imwe nzira yekusiya nzira imwechete ndeyekusanganisira mafambiro kubva kune ese ndege dzekufamba. Semuenzaniso, akawanda abdominal Workout machines anobatsira kudzidzisa mundege dzakawanda dzekufamba, zvichinetsa muviri wako kufamba nenzira dzakasiyana. Dumbbells, kettlebells, TRX straps, uye mabhendi anobvumira vanhu kuti vafambe majoini vakasununguka mundege dzakasiyana-siyana dzekufamba uye kushanda mhasuru dzinoverengeka.
Vanomhanya vanodzidzisa zvakanyanya mundege yesagittal, kunyangwe vakayambuka-chitima nekushambira, kuchovha bhasikoro, kana kushandisa cardio michina. Nechikonzero ichi, varairidzi nevarairidzi vanowanzokurudzira kuita imwe nzira yeyoga kana uremu kudzidzisa izvo zvinovatendera kutamisa majoini avo nenzira dzakasiyana, kusanganisira lateral mafambiro kana kutenderera. Kunyangwe kuchinjika kudzidziswa kunofanirwa kubatanidza ese matatu ndege dzekufamba. Semuenzaniso, vanofamba vanogona kusarudza kuita mhuru iri nyore kana hamstring kutambanudza pamagumo ekushanda kwavo asi vanogonawo kubatsirwa kubva pakugara kwemusana kutenderera kana kutambanudza chiuno.
Kukuvadza Chiremba Chiropractic uye Inoshanda Mushonga Kliniki
Kunzwisisa pfungwa uye kukosha kwekudzidziswa mundege nhatu dzekufamba kunogona kubatsira kuvandudza mitambo nekuita kwemuviri uye kudzivirira kukuvara kwemusculoskeletal. Chiropractic kuchengetedza ine chinangwa chekubatsira vanhu kusimudzira kufamba nekurwadziwa kushoma nekuda kwemamiriro, mushure mekukuvara, kana kuvhiyiwa. Injury Medical Chiropractic uye Functional Medicine Clinic inoshanda nevarapi vehutano hwekutanga uye nyanzvi kuvaka hutano hwakakwana uye hutano mhinduro. Isu tinotarisisa pane izvo zvinokushandira iwe kubvisa marwadzo, kudzoreredza basa, kudzivirira kukuvara, uye kubatsira kudzikisira nyaya kuburikidza nekugadzirisa kunobatsira muviri kuzvigadzirisa. Vanogonawo kushanda nevamwe vashandi vezvokurapa kuti vabatanidze chirongwa chekurapa kugadzirisa matambudziko emusculoskeletal.
Musiyano weKushandisa Tsika Tsoka Orthotics
VIDEO
References
National Academy of Sports Medicine. (2024). Sagittal, Frontal uye Transverse Body Planes: Exercises & Movements. NASM. blog.nasm.org/exercise-programming/sagittal-frontal-traverse-planes-explained-with-exercises?utm_source=blog&utm_medium=referral&utm_campaign=organic&utm_content=ReasonsToBecomeCES
Quatman, CE, Quatman-Yates, CC, & Hewett, TE (2010). A 'ndege' tsananguro yeanterior cruciate ligament kukuvara kwemaitiro: a systematic review. Mishonga yemitambo (Auckland, NZ), 40 (9), 729-746. doi.org/10.2165/11534950-000000000-00000
by Dr Alex Jimenez Chiropractic Examination , Herniated Disc
Nepo mamwe ma disc herniations asingakonzerese zviratidzo, vanhu vakaremerwa ne disc herniated vanogona kuona kufutisa kudzvinyirira zviratidzo zvakadai sekurwadziwa, kushaya simba, kupera simba, kana kurira. Kuita chirongwa chekurapa kwemuviri uye kurasikirwa nehuremu chirongwa chinogona kubatsira vanhu kuwana zororo?
Kufutisa Kufutisa
Kufutisa ndicho chimwe chinhu chikuru chinogona kuita kuti herniated disc uye marwadzo asingaperi ekudzokera shure. Kana muviri uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uremu huremu, zvinogona kutungamirira kune kufutisa kudzvinyirirwa pa intervertebral discs uye kukanganisa kumira uye musana. Vatsvagiri vakaona kuti zvimwe zvinhu, senge kuzvimba kana shanduko yemetabolism ine chekuita nekufutisa, inogona zvakare kuve nechekuita. (Sheng B. et al., 2017 ) Kune vanhu vane uremu hwepamusoro, kurasikirwa kwehuremu kunogona kubatsira kugadzirisa dhidhi ye-herniated pamwe chete nekurapa kwepanyama uye inogona kuwedzera zvakanyanya kudzivirira kwe disc herniated. (Tokmak M. et al., 2015 )
Matambudziko Omuzongoza
Maererano naDr. Alexander Jimenez, muridzi uye mukuru chiropractor paInjury Medical Chiropractic uye Functional Medicine Clinic, "Kana nzvimbo yepelvis uye lumbar spine ichichinja kubva pakurongeka uye kuchinjwa, inogona kubatsira zvakanyanya mukupfekedzwa kwekunze kwefiber dzekunze mukati. nzvimbo yekumashure ye discs. Aya mafibhi ekunze anogara uye anodzivirira zvinhu zvakapfava zvinobvisa uye zvinotora kuvhunduka mumusana. Nokufamba kwenguva, kufutisa kufutisa kupfeka uye kubvaruka pamafibers kunogona kukonzera kurwadziwa kusingaperi uye misodzi yeradial diki, zvichiita kuti iparare zvachose. " Kutsemuka kunoita kuti zvinhu zvakapfava zvibvire, kushatirisa, uye kupisa midzi yetsinga dzakatenderedza. Mazhinji herniated discs anoitika pakati pemativi uye kumashure kwe vertebra.
Matambudziko Ekufamba
Kufutisa kunoita kuti kufamba kunetse, kazhinji kuchikonzera zviratidzo senge kupfupika kwekufema uye/kana kutanga kuneta uye kuneta kunyangwe nekuita kushoma kwemuviri.
Kurapa kwepanyama uye kurovedza muviri kunobatsira kubvisa kufutisa uye disc herniation.
Nekudaro, iyo kufutisa kudzvinyirirwa uye herniation kurwadziwa kunogona kuita kuti zviome kutora chikamu mumitsipa yemoyo nguva dzose.
Matambudziko Okuongorora
Kufutisa kunogona kukanganisa kuongororwa uye kurapwa kwezvirwere zvemusana.
Izvi zvinodaro nekuti zvirambidzo zvehuremu uye mimwe miedzo yekufungidzira, senge spinal MRI, inogona kunetsa kana kusakwanisa kuwana.
Kuongororwa kwemuviri kunogona kusakwanisa kuona zviratidzo zvekumanikidzwa kwetsinga kana munhu akafuta. Zvinhu izvi zvinogona kunonoka kuongororwa.
Disc Position uye Mamiriro
Kufutisa haisi iyo chete chinhu chinoisa kumanikidza pama disc. Chimiro chemuviri wemunhu chinokanganisa zvakanyanya hutano hwema cushion anobata kuvhunduka. Kugara kunounza kunyanya kudzvinyirirwa, kuteverwa nekumira, paunenge wakarara pamusana wako unoisa dambudziko shoma pamadhisiki uye, zvichienderana nekukuvara, kunogona kubatsira kuderedza zviratidzo.
Zviratidzo zvinoenderana nenzvimbo yeherniation.
Nzvimbo mbiri dzinowanzozivikanwa ndeye cervical spine / neck area uye lumbar spine / pasi kumashure.
Disc herniations mumutsipa inogona kukanganisa maoko.
Disc herniations muzasi kumashure inokanganisa matako nemakumbo.
Kukuvadza Chiremba Chiropractic uye Inoshanda Mushonga Kliniki
Ona varapi vehutano kana urikusangana nechimwe chezviratidzo izvi. Kana iri herniated disc inokonzera zviratidzo, unogona kutangwa pamavhiki matanhatu e kurapa kwekuchengetedza . Izvi zvinogona kusanganisira kurapwa kwemuviri, kuzorora, kudzidziswa kwehutano, mishonga, uye kuvhiyiwa, izvo zvinogona kukurudzirwa mune zvimwe zviitiko. Kukurira miganhu iyi kunogoneka. Injury Medical Chiropractic uye Functional Medicine Clinic inoshanda nevarapi vehutano hwekutanga uye nyanzvi kugadzira hutano hwakakwana uye hutano mhinduro. Isu tinotarisa pane izvo zvinokuitira iwe kubvisa marwadzo, kudzoreredza basa, kudzivirira kukuvara, uye kubatsira kurerutsa marwadzo kuburikidza nekugadziriswa kwemusana kunobatsira muviri kuzvigadzirisa pachawo. Vanogonawo kushanda nevamwe vashandi vezvokurapa kuti vabatanidze chirongwa chekurapa kugadzirisa nyaya dzemusculoskeletal.
Uremu Kuderedza Techniques
VIDEO
References
Sheng, B., Feng, C., Zhang, D., Spitler, H., & Shi, L. (2017). Kushamwaridzana pakati peKufutisa uye Zvirwere zveMuzongoza: A Medical Expenditure Panel Study Analysis. Chinyorwa chepasi rose chetsvakiridzo yezvakatipoteredza uye hutano hweveruzhinji, 14(2), 183. doi.org/10.3390/ijerph14020183
Tokmak, M., Altiok, IB, Guven, M., Aras, AB, & Cosar, M. (2015). Spontaneous Regression yeLumbar Disc Herniation Mushure mekurasikirwa Kwehuremu: Nyaya Yenyaya. Turkish neurosurgery, 25 (4), 657-661. doi.org/10.5137/1019-5149.JTN.9183-13.1
by Dr Alex Jimenez Chiropractic Examination , Kufungidzira & Diagnostics
MaMRIs anoshandiswa sei kubatsira kuongorora bulging uye herniated discs uye kubatsira vatapi vehutano kugadzira zvirongwa zvekurapa zvinobudirira kune vanhu vane zviratidzo zvekurwadziwa shure?
Herniated Bulging Disc MRI
A herniated bulging disc inowanzozivikanwa panguva yemagnetic resonance imaging (MRI); zvisinei, kazhinji kacho chiitiko chekutsvaga chakaitwa kune zvimwe zvikonzero uko matambudziko emusana uye / kana kukuvara kunowanikwa. A bulging disc yakajairika, kunyangwe kune vanhu vasina zviratidzo. A herniated kana bulging disc kumusana inogona kuonekwa neMRI bvunzo, inowanzokurudzirwa kana mumwe munhu achinzwa zviratidzo zvekudzokera shure kwemavhiki matanhatu. (American Academy yeNeurological Surgeons, 2024 ) Kupfeka kwakajairwa uye kubvarura uye zera kunokonzera shanduko muspinal disc/s cushion kuti ipunduke uye ive isina kurongeka nemuzongoza. (Brinjikji W. et al., 2015 ) Uye ne disc herniated, inogona kudzvanya pamutsipa wepelinha uye tsinga. Kudzokorora kusimudza zvinorema, kudzidzira maitiro asina kunaka, nhoroondo yekukuvara kwemusana, kana mamiriro ehutano ari pasi pezvikonzero zvinowanzoitika.
Bulging Disc
Bulging discs inowanzoitika kunyange muvanhu vane hutano asi inogona kuva yakaoma kududzira yakazvimiririra paMRI, saka zvimwe zviratidzo uye zvakawanikwa zvakakosha pakuongorora.
Zvinokonzera
A bulging disc inowanzoonekwa sezera-ane hukama nekuchinja kwekuchinja kunokonzera kuti dhisiki iende pasi negiravhiti. (Penn Mushonga, 2018 )
zviratidzo
Vazhinji vane dhisiki rinoputika havazove nezviratidzo pakutanga. (Wu PH, Kim HS, & Jang IT 2020 ) Zvakawanikwa zveMRI zvinobatsira asi zvinoda kuongororwa pamwe chete nezvimwe zviratidzo (American Academy yeNeurological Surgeons, 2024 ) (Penn Mushonga, 2018 )
Kutambudzika shure
Marwadzo mumakumbo uye/kana matako
Kuchinja kwekufamba uye / kana kuoma kufamba
Zviratidzo zvinobata divi rimwe chete
Kuputika kwakakosha kunotarisirwa kukonzera kurwadziwa kwegumbo nekuda kwekushatirwa kune tsinga dzinodzika nemakumbo. (Amin RM, Andrade NS, & Neuman BJ 2017 ) Sezvo mamiriro acho achifambira mberi, zvinopfuura disc imwe inogona kuchinjwa, zvichiita kuti kune mamwe mamiriro emusana, kusanganisira spinal stenosis.
A Bulging Disc PaMRI
A disc bulge ichayera pamusoro pe25% yehuwandu hwe disc circumference. Kuchinja kwayo kunowanzoita 3 millimeters kana zvishoma kubva kune yakajairika chimiro uye chinzvimbo che disc. (Radiopaedia, 2024 )
Herniated Disc
A herniated disc inosimuka kubva panzvimbo yayo chaiyo uye inomanikidza tsinga dzemusana dziri pedyo, zvichikonzera marwadzo uye nyaya dzekufamba.
Zvinokonzera
Herniated disc zvikonzero zvinosanganisira:American Academy yeOrthopedic Surgeons, 2022 )
Kukuvara kwetsaona dzemotokari
Basa kana mitambo inodzokorora kukuvara kwekufamba
Kusimudza kunorema uye/kana Maitiro ekusimudza asina kunaka
Kuva kunyanyisa
Basa rekugara uye / kana mararamiro anoisa kumanikidza pamuzongoza kana wakagara.
Kusvuta kunogona kukurumidzisa kukuvadzwa kwemusana.
zviratidzo
Zviratidzo zvinosanganisira musana nemakumbo kurwadziwa pamwe ne: (American Academy yeOrthopedic Surgeons, 2022 )
Tingling nezvekufadza
Numbness
Kupisa kwekunzwa
Tsvina dzemuviri
Utsi husina simba
Herniated Disc paMRI
Herniated discs ichayera isingasviki 25% yehuwandu hwe disc circumference. Nekudaro, herniation yakavakirwa pamhando uye inogona kusanganisira: (Wei B., & Wu H. 2023 )
Disc Protrusion - kutama kwacho kunogumira, uye ligaments iri intact.Disc Extrusion - chikamu che disc chinoramba chakabatana asi chakatsvedza kuburikidza ne annulus kana kunze kwekuvhara kwe disc.Disc Sequestration - chidimbu chemahara chakaparadzana uye chakatsemuka kubva kune huru disc.
Vanokwikwidza Kune Spinal MRI
Iyo MRI inowanzochengeteka kune vakawanda, kusanganisira avo vane midziyo yemoyo yakasimwa senge nyowani-modhi pacemaker. (Bhuva AN et al., 2020 ) Zvakadaro, zvakakosha kuve nechokwadi chekuti timu yezvehutano inoziva nezve cochlear implants kana zvimwe zvigadziriso kuitira kuti patorwe matanho anodiwa. Zvinokurudzirwa kune vanhu vese kuti zviratidzo zvivepo kwemavhiki matanhatu pamberi peMRI. Nyanzvi inogona kuda kuona MRI mhinduro nekukurumidza, kunyanya kana zviratidzo zvinosanganisira: (American Academy yeNeurological Surgeons, 2024 )
Kukuvara chaiko, sekudonha kwakakonzera marwadzo
Chirwere chemazuva ano kana chemazuva ano kana fivha ine zviratidzo zvemusana
Kushaya simba kwakanyanya mumaoko kana makumbo
Kurasika kwekunzwa pelvic.
Nhoroondo yekenza yemetastatic.
Kurasikirwa kwechibvunda kana kutora mahara
MRI inogona kudiwa kana zviratidzo zviri kukurumidza kuwedzera. Nekudaro, vazhinji vane disc bulge havana zviratidzo zvachose. Muzviitiko zvakawanda, MRI inzira yekunze inogona kupedzwa muawa kana pasi asi inogona kutora nguva yakareba kana dhayi yekusiyanisa ikashandiswa. Mutariri wehutano achapa mirairo chaiyo pamusoro pekugadzirira MRI.
mabatiro
Kurapa kwe disc herniated kana bulging kunoenderana nechikonzero uye kuoma kwezviratidzo.
Bulging Disc
Mazhinji disc bulges haadi kurapwa; zvisinei, bulging disc kurwadziwa kurapwa kunogona kusanganisira: (American Academy yeOrthopedic Surgeons, 2022 ) (American Academy yeNeurological Surgeons, 2024 )
Zorora
Hapana kusimudza zvinorema
Kufamba zvishoma
Pamusoro-the-counter marwadzo ekuzorodza, kusanganisira nonsteroidal anti-inflammatory drugs (NSAIDs).
Physical therapy
Muzviitiko zvisingawanzoitiki izvo zvisina kugadziriswa nekurapa kwekuchengetedza, kuvhiyiwa kunogona kukurudzirwa.
Yeuka kuti zvakawanikwa zveMRI zvingasaziva kana kubvisa kunze kwemamiriro ose ezvinhu, kusanganisira kushungurudzika kwemisungo kana kukuvara kwemakumbo, izvo zvingada kurapwa kwakasiyana-siyana, zvakadai sekutambanudza kutambanudza uye maitiro. (Brinjikji W. et al., 2015 ) (Fujii K. et al., 2019 )
Herniated Disc
Kurapa kunoenderana nechinokonzera uye kuoma kwezviratidzo, kana zviripo. Inogona kusanganisira kumira-yega kana musanganiswa wekurapa kwepanyama, mishonga, uye steroid jekiseni. Nyaya dzinowanzogadziriswa mumavhiki matanhatu kusvika gumi nemaviri (Penn Mushonga, 2018 ). Kukurudzira tsinga dzemagetsi kunogona kuitwa kuburikidza nemidziyo yakasarudzika uye/kana acupuncture kubatsira nekutsikirira tsinga. (National Institute of Neurological Disorders uye Stroke, 2020 ) Kuvhiya kunogona kukurudzirwa kana marapirwo anochengetedza akakundikana kuwana marwadzo makuru uye kuporesa. (Wang S. et al., 2023 )
Kukuvadza Chiremba Chiropractic uye Inoshanda Mushonga Kliniki
Mutariri wehutano anogona kukurukura nzira dzokurapa zvakadai semishonga yemarwadzo, kurapwa kwemuviri, uye kuvhiyiwa. Injury Medical Chiropractic uye Functional Medicine Clinic inoshanda nevarapi vehutano hwekutanga uye nyanzvi kugadzira hutano hwakakwana uye hutano mhinduro. Isu tinotarisa pane izvo zvinoshanda kwauri kuti ubvise marwadzo, kudzoreredza basa, uye kudzivirira kukuvara. Nezve marwadzo emusculoskeletal, nyanzvi dzakaita sechiropractors, acupuncturists, uye masaja therapists vanogona kubatsira kudzikisira marwadzo kuburikidza nekuchinja kwemusana kunobatsira muviri kuzvigadzirisa. Vanogonawo kushanda nevamwe vashandi vezvokurapa kuti vabatanidze chirongwa chekurapa kugadzirisa nyaya dzemusculoskeletal.
Midzi Zvikonzero zveSpinal Stenosis
VIDEO
References
American Academy yeNeurological Surgeons. (2024). Herniated disc. www.aans.org/patients/conditions-treatments/herniated-disc/
Brinjikji, W., Diehn, FE, Jarvik, JG, Carr, CM, Kallmes, DF, Murad, MH, & Luetmer, PH (2015). MRI Zvakawanikwa zveDisc Degeneration Zvakanyanya Kuwanda kune Vakuru vane Low Back Pain kupfuura muAsymptomatic Controls: A Systematic Review uye Meta-Analysis. AJNR. American Journal yeNeuroradiology, 36 (12), 2394-2399. doi.org/10.3174/ajnr.A4498
Penn Mushonga. (2018). Bulging Disc vs. Herniated Disc: Chii Chinosiyana? Penn Musculoskeletal uye Rheumatology Blog. www.pennmedicine.org/updates/blogs/musculoskeletal-and-rheumatology/2018/november/bulging-disc-vs-herniated-disc
Wu, PH, Kim, HS, & Jang, IT (2020). Intervertebral Disc Diseases CHIKAMU 2: Ongororo Yezvino Yekuongorora uye Kurapa Matanho eIntervertebral Disc Disease. International Journal of Molecular Sciences, 21(6), 2135. doi.org/10.3390/ijms21062135
Amin, RM, Andrade, NS, & Neuman, BJ (2017). Lumbar Disc Herniation. Ikozvino wongororo musculoskeletal mushonga, 10 (4), 507-516. doi.org/10.1007/s12178-017-9441-4
Radiopaedia. (2024). Disc herniation. radiopaedia.org/articles/disc-herniation
American Academy yeOrthopedic Surgeons. (2022). Herniated disk muzasi kumashure. orthoinfo.aaos.org/en/diseases-conditions/herniated-disk-in-the-lower-back/
Wei, B., & Wu, H. (2023). Kudzidza kweKugoverwa kweLumbar Modic Shanduko muVarwere vane Low Back Pain uye Correlation neLumbar Degeneration Diseases. Nyaya yekutsvakurudza kurwadziwa, 16, 3725-3733. doi.org/10.2147/JPR.S430792
Bhuva, AN, Moralee, R., Mwedzi, JC, & Manisty, CH (2020). Kuita kuti MRI iwanikwe kune varwere vane cardiac implantable electronic devices: kukura kudiwa uye zvipingamupinyi zvekuchinja. European radiology, 30 (3), 1378-1384. doi.org/10.1007/s00330-019-06449-5
Brinjikji, W., Luetmer, PH, Comstock, B., Bresnahan, BW, Chen, LE, Deyo, RA, Halabi, S., Turner, JA, Avins, AL, James, K., Wald, JT, Kallmes, DF, & Jarvik, JG (2015). Yakarongeka mabhuku ekuongororwa kwekufungidzira maficha ekuderera kwemusana muasymptomatic populations. AJNR. American Journal yeNeuroradiology, 36 (4), 811-816. doi.org/10.3174/ajnr.A4173
Fujii, K., Yamazaki, M., Kang, JD, Risbud, MV, Cho, SK, Qureshi, SA, Hecht, AC, & Iatridis, JC (2019). Discogenic Back Pain: Zvinyorwa Kudzokorora Tsanangudzo, Kuongororwa, uye Kurapa. JBMR plus, 3(5), e10180. doi.org/10.1002/jbm4.10180
Wang, S., Zhao, T., Han, D., Zhou, X., Wang, Y., Zhao, F., Shi, J., & Shi, G. (2023). Kurongeka kwecervical disc herniation myelopathy kana radiculopathy: magnetic resonance imaging-based analysis. Quantitative imaging mukurapa uye kuvhiyiwa, 13 (8), 4984-4994. doi.org/10.21037/qims-22-1387
National Institute of Neurological Disorders uye Stroke. (2020). Low back pain fact sheet. Zvakatorwa kubva www.ninds.nih.gov/sites/default/files/migrate-documents/low_back_pain_20-ns-5161_march_2020_508c.pdf
by Dr Alex Jimenez Chiropractic Examination , Hip Pain & Dambudziko
Nyamandanda (iliacus muscle) imhasuru yakaita gonyonhatu mubhonzo repelvic inochinjika nekutenderedza bhonzo rechidya. Inoshanda pamwe nemamwe mamhasuru ari muhudyu nechidya kubatsira kukotama, kumhanya, kufamba, kugara, uye kuchengetedza chimiro chakakodzera. Kukuvara uye zvirwere zvinowanzoitika zvinogona kukanganisa basa rayo, zvichikonzera marwadzo nekuoma. Kurapa muviri kungabatsira here?
Iyo Iliacus Muscle
Iyo iliacus imwe yemamhasuru akakosha emuhudyu. Iyo iliacus nemamhasuru akatenderedza anoshanda pamwechete kugadzira kugadzikana uye huwandu hwekufamba kunodiwa pakukotama, kutamba, kugara, nekufamba.
Anatomy
Iyo iliacus muscle inhengo yehudyu yakaoma system muhudyu uye pelvis. Tsandanyama mbiri dziri padivi pebhonzo repelvic dzinoita kuti chidya chikwanise kupfakanyika uye kutenderera. Ivo havana kuvharwa neiyo femoral nerve, iyo inopa kufamba uye kunzwa kumakumbo ezasi. (Bordoni B. uye Varacallo M. 2023 ) Tsandanyama ye iliacus inogara pairium yakaita sebapiro uye inopinda mukati yakakombama pamusoro peirium, inonzi iliac fossa. Pamusoro pemhasuru inosungirirwa kumapapiro ekumusoro eirium kana kuti iliac crest. Inopfuurira mberi kwekubatana kwehudyu, iyo inobatanidza nepamusoro pehudyu bone / femur pane zvishoma trochanter protrusion. Iyo iliacus chikamu chetatu huru yemasuru inonzi iliopsoas, kusanganisira iyo huru psoas uye maduku psoas muscles. Idzi mhasuru dzakasungirirwawo kumusoro kwefemur asi dzinowedzera kumusoro, dzichibatanidza lumbar/lower spine pane akati wandei akabatanidzwa. Iyo iliopsoas zvakare inopindirana neiyo quadratus lumborum muscle, yakadzika tsandanyama yezasi kumashure inotangira pane iliac crest uye inonamira kune lumbar spine pane akati wandei. Iyo quadratus lumborum inogonesa kuchinjika uye kukwirira kwemusana, nepo iliopsoas inogonesa kutenderera uye kutenderera kwehudyu nechidya.
mabasa
Iyo iliacus muscle ine mabasa mazhinji anosanganisira: (Physiopedia, 2024 )
Kuchinja uye kutenderedza femur.
Inobatsira kuchengetedza kumira kwemuviri kwakakodzera paunenge wakamira uye wakagara.
Inogadzira kufamba kwehudyu kunogonesa kufamba, kumhanya, uye kukwira masitepisi.
Inopa hip flexion - kuunza ibvi kuchipfuva.
Inogonesa kurerekera kumberi kwepelvis uye kudivi-kukotama.
Conditions
Mamiriro akati wandei anogona kukanganisa iyo iliacus tsandanyama, kunyanya kubva pasi uye / kana kukuvara zvakanyanya. Aya mamiriro, pamwe chete anozivikanwa se Iliopsoas syndrome , zvinowanzoitika mugumisiro wekushandisa zvakanyanya / kudzokorora kunetseka kana kukuvara. Izvi zvinosanganisira:
Iliopsoas tendinopathy - iyo inokanganisa tendon.
Iliopsoas bursitis - iyo inokanganisa cushioning sacs inozivikanwa sebursae.
Iliopsoas syndrome inogona kubata chero munhu asi inowanikwa mu:
Vanhu uye vatambi vanoramba vachishandisa mafambiro anochinjisa mahudyu.
Track-and-field vatambi
Gymnasts
Dancers
Iriopsoas Bursitis
Uku ndiko kuzvimba kwecushioning sac kana bursa pasi peiliacus muscle, iyo inobatsira tsandanyama kutsvedza pamusoro pebhonzo repelvic. Zviratidzo zvinogona kubva pakusagadzikana zvishoma kusvika kumarwadzo anopenya kuburikidza nezvikamu zvegumbo uye chiuno. Vanomhanya, vanotsvedza, uye vanoshambira vanowanzobatwa, uye vanhu vanogara vaine hudyu dzakasimba uye vanhu vane mhando dzakasiyana dzearthritis vanogonawo kukanganiswa. Kurumidza kurapwa kunogona kudzivirira zviratidzo kubva pakuwedzera. Mhosva dzakapfava dzinogona kurapwa nekuzvitarisira uye kutambanudza kubatsira kubvisa kusimba, kuzorora, ice application, uye pamusoro-the-counter nonsteroidal anti-inflammatory drugs. Muzviitiko zvakanyanya, nzira dzekurapa dzinogona kukurudzirwa dzinosanganisira: (Physiopedia, 2024 )
Physical therapy
Mubatsiri anofamba midziyo yekubvisa kudzvanywa - semuenzaniso, tsvimbo.
Corticosteroid steroid jekiseni
Prescription anti-inflammatory medication
Iliopsoas Tendinopathy
Chimwe chiitiko chinokanganisa mhasuru dze iliacus iliopsoas tendinopathy, dzimwe nguva inonzi snapping hip syndrome, nekuti vanhu vanogona kunzwa kurira kunonzwika (Davenport KL. 2019 ) Mamiriro acho anowanzoonekwa nevatambi vanodzokorodza kushanduka uye hyperextend mahudyu avo uye zvinogona kukonzera kurwadziwa kwehudyu uye kugomera kunowedzera kuipa nekukava kana kutenderera. Kurapa kweiliopsoas tendinopathy kunogona kusanganisira:
Kudzoreredza kusaenzana kwemhasuru nekusimbisa uye kutambanudza maekisesaizi.
Kana izvi zvisingakwanisi kupa rubatsiro, majekiseni e corticosteroid anogona kushandiswa. A saline hydro dissection inogona kudzoreredza kushushikana kwakatenderedza tendon nekubaya majekiseni ezvinwiwa izvo cushion uye kusunungura matishu akabatwa.
Kuvhiyiwa kweTendon kunogona kukurudzirwa kana dzimwe sarudzo dzakundikana. Kusunungurwa kwekuvhiya kunosanganisira kugura tendon kuderedza marwadzo nekuvandudza mararamiro ekufamba.
Rehabilitation
Kusimbiswa kwemhasuru kwakakosha pakugadziriswa kwekukuvara kwetsandanyama iliacus. Iyo iliopsoas chikamu chakakosha cheboka repakati uye inogona kubatsirwa nekutambanudza uye kusimbisa maekisesaizi (Yogateket, 2019 )
Lunge rinotambanudza
Gumbo rakarurama rinosimudza
Mabvi-ku-chipfuva anotambanudza
Kumira kwehudyu kuchinjika nemabhandi ekupikisa
Mamwe maitiro eyoga anogonawo kubatsira uye kusanganisira misiyano pabhiriji pose inokurudzira hip flexion. (Yoga International, 2024 )
Kukuvadza Chiremba Chiropractic uye Inoshanda Mushonga Kliniki
Iliopsoas kurwadziwa kunowanzo kunzwika kumberi kweiyo hips , chidya, nechepakati-shure, neshure. Chiropractic kuchengetedza inogona kubatsira neiliacus kukuvara kwemhasuru kuburikidza:
Evaluation
A chiropractor anogona kuongorora mamiriro acho uye kuona kana iliacus muscle iri kukonzera marwadzo.
Kuronga kurapa
Chiropractor inogona kugadzira chirongwa chekurapa chakasarudzika chinogona kusanganisira mirairo yekurovedza muviri, kugadzirisa, uye mamwe marapirwo.
Rehabilitation
A chiropractor anogona kugadzira chirongwa chekuvandudza kukurumidza kuporesa.
Injury Medical Chiropractic uye Functional Medicine Clinic inoshanda nevarapi vehutano hwekutanga uye nyanzvi kugadzira hutano hwakakwana uye hutano mhinduro. Isu tinotarisa pane izvo zvinoshanda kwauri kuti ubvise marwadzo, kudzoreredza basa, uye kudzivirira kukuvara. Nezve marwadzo emusculoskeletal, nyanzvi dzakaita sechiropractors, acupuncturists, uye masaja therapists vanogona kubatsira kudzikisira marwadzo kuburikidza nekuchinja kwemusana kunobatsira muviri kuzvigadzirisa. Vanogonawo kushanda nevamwe vashandi vezvokurapa kuti vabatanidze chirongwa chekurapa kugadzirisa nyaya dzemusculoskeletal.
Hip Labral Tear uye Chiropractic Care
VIDEO
References
Bordoni, B., & Varacallo, M. (2024). Anatomy, Bony Pelvis, uye Lower Limb, Iliopsoas Muscle. MuStatPearls. www.ncbi.nlm.nih.gov/pubmed/30285403
Physiopedia. (2024). Iliacus. www.physio-pedia.com/Iliacus
Physiopedia. (2024). Iliopsoas bursitis. www.physio-pedia.com/Iliopsoas_Bursitis
Davenport KL. (2019). Hudyu yenyanzvi yekutamba. Kuita Arts Medicine, 77-87. doi.org/https://doi.org/10.1016/B978-0-323-58182-0.00009-2
Yogateket. Lizette Pompa. (2019). Yakakosha yoga nhengo dzemuviri. Hip flexor/psoas uye yoga. Yogateket. www.yogateket.com/blog/hip-flexor-psoas-and-yoga
Yoga International. Amber Burke. (2024). 8 inomirira iliopsoas kuburitswa. yogainternational.com/article/view/8-poses-for-iliopsoas-release/
by Dr Alex Jimenez Chiropractic Examination , utano
Kune vanhu vangangoda kutora mishonga inorwadza kuti vatarise kukuvara kana mamiriro, kuziva zvinogona kuitika zvinogona kubatsira mukurapwa?
Mishonga Yemarwadzo Epain Effects
Over-the-counter uye mishonga yemarwadzo ekunyora inogona kubatsira kubvisa kusagadzikana kwemuviri uye kushungurudzika asi inogona kukonzera migumisiro. Varwere vanogona kusaratidza mhedzisiro kana vachishandisa mamwe mishonga kana ruzivo rwakapfava, rushoma, rwakaomarara, kana kusashiviririka. Pain drug side effects zvinogona kusanganisira:
Allergic reactions
Kushungurudza mudumbu
Kudzora
Chizutu
Nekudaro, mhedzisiro yemishonga haibati munhu wese nenzira imwechete.
Pain Relief
Murwere nemubatsiri wavo wehutano vanogona kusarudza kana vakaisa panjodzi yekuva nemhedzisiro uye kuti ndeapi mhedzisiro yavanofarirwa. Vanhu vamwe navamwe vanogona kukanganiswa nemimwe mishonga asi vanogona kushivirira mimwe. Semuenzaniso, vanhu vane nhoroondo yemaronda vanogona kukurudzirwa kuti vadzivise anti-inflammatories. Kune avo vane dambudziko rekurara, zvinokurudzirwa kuti vadzivise marwadzo emishonga anozivikanwa kuti anokanganisa kurara.
Kuverenga Mazita uye Kubvunza Mibvunzo
Paunenge uchitora-the-counter mishonga, verenga chinyorwa chemigumisiro, uye woyera njodzi dzinogona kuitika maererano nemishonga inobatsira pakunyaradza marwadzo. Bvunza wezvemishonga kana mutarisiri wehutano nezve chero chinhu chisinganzwisisike. Mimwe mibairo ndeye emergency yekurapa, senge kurwadziswa. Kuziva zviratidzo zveallergic reaction uye kugadzirira kufonera rubatsiro rwechimbichimbi kana zviratidzo zviripo. (American Academy yeAllergy, Asthma & Immunology, 2024 ) Izvi zvinogona kusanganisira:
Itching
Hives
Mapundu
Muromo kana kuzvimba kumeso
Kupfupika kwemhepo
Kana murapi wehutano akaraira mushonga, kurukurai njodzi dzinotarisirwa uye zvakanakira. Mushonga wacho uchauya netsamba inonyora mhedzisiro ine chekuita nemushonga.
Njodzi dzeOpioid
Opioid mishonga ine simba yekuraira, inowanzoshandiswa pakushandisa zvakanyanya, kwenguva pfupi, sekurwadziwa kwepashure pekuvhiyiwa kana mushure mekukuvara kwakanyanya. Zvimwe zvinokonzerwa neopioid zvinosanganisira: (Plein LM uye Rittner HL 2018 ) Zvinowanzoitika zvinosanganisira sedation, kuvimbiswa , uye kusvotwa. Kushandiswa kwenguva refu kunogona kukonzera kuora mwoyo uye / kana kusagadzikana kwepabonde. Nezvinodhaka, pane njodzi yekupindwa muropa iyo inogona kushandura hupenyu hwemunhu, sezvo kupindwa muropa kunogona kunetsa kukunda. Chimwe chezvikonzero izvo CDC yakaburitsa nhungamiro pamirairo yeopioid yaive nekuda kwehuwandu hwekuwedzeredza uye kufa.
CDC inokurudzira kuti varapi vasanyore maopioid semutsetse wekutanga kurapwa kwemarwadzo ekudzokera shure.
CDC inokurudzira kuti vatapi vehutano vanotanga vabata varwere vane chirwere chisingaperi chemusana kana chemutsipa vachishandisa kwete-pharmacological therapies kana mishonga kunze kweopioid.
Opioid inofanira kushandiswa chete kana zvinotarisirwa kubatsira marwadzo uye basa zvinotarisirwa kudarika njodzi kune murwere.
Nevanopfuura hafu yevashandisi veopioid vanogara vachinzwa kurwadziwa kwemusana, havana kuratidzwa kubatsira kudzorera vanhu kubasa kana hupenyu hwemazuva ese nekukurumidza, uye havana kunatsiridza kushanda kwavo kana vakashandiswa kurapa chiitiko cheacute. (Deyo RA Von Korff M. uye Duhrkoop D. 2015 ) Kubudirira kweopioid inenge 30% yekusununguka kwenguva pfupi uye haina kuvandudza kushanda kwemuviri.
Mienzaniso uye Mienzaniso
Mienzaniso yemishonga yakajairika inoshandiswa kurapa marwadzo ekudzokera shure.
Advil
Active Ingredient - Ibuprofen
Drug Kirasi - NSAID
Over-the-counter kana Prescribed - Inowanikwa pane-the-counter
Side Effects - zviratidzo zvine chekuita neGI uye Reye's Syndrome muvana
Aleve uye Mamwe maGeneric Brands
Active Ingredient - Naproxen
Drug Kirasi - NSAID
Over-the-counter kana Prescribed - Inowanikwa ese ari maviri zvichienderana nesimba.
Side Effects - zviratidzo zvine chekuita neGI, kutemwa nemusoro
Tylenol uye Mamwe maGeneric Brands
Active Ingredient - Acetaminophen
Drug Kirasi Analgesic - marwadzo reliever
Over-the-counter kana Prescribed - Inowanikwa sezviri zviviri uye inogona kunyorerwa necodeine.
Side Effects - Inogona kukanganisa chiropa
lyrica
Active Ingredient - Pregabalin
Drug Kirasi - Anticonvulsant
Kupfuura-the-counter kana Kunyorerwa - Yakanyorerwa FDA-inotenderwa kurwadza kweshingles uye neuropathy muchirwere cheshuga. Zvimwe zvinoshandisa off-label.
Zvikonzero - Chidzungu, hope, kuzvimba, kuwedzera uremu.
Neurontin
Active Ingredient - Gabapentin
Drug Kirasi - Anticonvulsant
Pamusoro-the-counter kana Yakanyorerwa - Yakanyorerwa FDA-inotenderwa marwadzo eshingles
Side Effects - Chidzungu, hope, allergic reaction, kubvisa, uye pfari.
Kukuvadza Chiremba Chiropractic uye Inoshanda Mushonga Kliniki
Chiropractic therapy iri pakati pezvimwe zvekuchengetedza maitiro ekurapa uye inogona kuedzwa kutanga. Injury Medical Chiropractic uye Functional Medicine Clinic inoshanda nevarapi vehutano hwekutanga uye nyanzvi kugadzira hutano hwakakwana uye hutano mhinduro. Isu tinotarisa pane izvo zvinoshanda kwauri kuti ubvise marwadzo, kudzoreredza basa, uye kudzivirira kukuvara. Nezve marwadzo emusculoskeletal, nyanzvi dzakaita sechiropractors, acupuncturists, uye masaja therapists vanogona kubatsira kudzikisira marwadzo kuburikidza nekuchinja kwemusana kunobatsira muviri kuzvigadzirisa.
Chisingaperi Muviri Kurwadziwa Kupora
VIDEO
References
American Academy yeAllergy, Asthma & Immunology. (2024). Anaphylaxis Zviratidzo & Kuongororwa. www.aaaai.org/conditions-treatments/allergies/anaphylaxis
Plein, LM, & Rittner, HL (2018). Opioids uye immune system - shamwari kana muvengi. British Journal of Pharmacology, 175 (14), 2717-2725. doi.org/10.1111/bph.13750
Deyo, RA, Von Korff, M., & Duhrkoop, D. (2015). Opioids yekurwadziwa kwemusana. BMJ (Clinical research ed.), 350, g6380. doi.org/10.1136/bmj.g6380
by Dr Alex Jimenez Chiropractic Examination , Dzose Kudzorera Painini
Pane kuongororwa ropa kune vanhu vane zvisingaperi uye zvakakomba zviratidzo zvekurwadziwa kwemusana zvinogona kubatsira vatapi vehutano kuongorora?
Ropa Kuongorora Kubatsira Kuziva Kurwadza Kwemusana
Kana mupi wehutano achifungidzira hutachiona kana kuzvimba arthritis ndiyo inokonzera kurwadziwa shure, kuongororwa ropa kunogona kushandiswa kuongorora. Paunenge uchiedza kutsvaga chikonzero chemarwadzo ekudzokera shure, mupi wehutano achaongorora nhoroondo yehutano hwemurwere, kuita kuongorora kwepanyama, uye, kana zvichidiwa, kuraira kuongororwa kwekuongorora. (Dansie EJ uye Turk DC 2013 ) Somuenzaniso, National Institute of Arthritis and Musculoskeletal and Skin Diseases inotaura kuti MRIs inogona kuratidza kukanganisa mumusana. Kunyange zvakadaro, munhu angasanzwa kurwadziwa kana kuona zvimwe zviratidzo. Iyo NIAMS inotiwo vanhu vane hutano, vasina marwadzo vanogona kunge vakasimudza SED mazinga. A high sedimentation rate kana sed rate, inozivikanwawo seye erythrocyte sedimentation rate (ESR) bvunzo, inogona kuratidza kuzvimba mumuviri. (National Institute of Arthritis uye Musculoskeletal uye Skin Zvirwere, 2023 )
Miedzo Inowanzoshandiswa
Kuongororwa ropa kunogona kubatsira kuongorora marwadzo ekudzokera shure kunosanganisira:
Kuverenga Ropa Kwakazara - CBC
Muedzo uyu unogona kuratidza kuzvimba kana utachiona.
Sed Rate kana Erythrocyte Sedimentation Rate
Uyu muedzo unoyera kuzvimba nekuongorora kuti masero matsvuku eropa anogara sei kuburikidza neplasma.
Kuzvimba kunogona kunongedzera kune utachiona. (Harrison M. 2015 )
Kana chiyero cheSED chichiratidza kuti kuzvimba kuripo, mukana wechikonzero chechikonzero chinogona kunge chiri chimwe chimiro cheArthritis kana bundu, izvo zvisingawanzo.
CRP kana C-reactive Protein
HLA-B27
A genetic marker muropa iyo inowanzoitika kune vanhu vane ankylosing spondylitis uye reactive arthritis. (McMichael A. uye Bowness P. 2002 )
Mucherechedzo uyu unogona kuongororwa kana mupi wehutano akafungidzira chero chirwere.
Ankylosing spondylitis chirwere chinoputika chinokanganisa majoini e sacroiliac, mahudyu, uye musana. (Sieper J. et al., 2002 )
Reactive arthritis imhando inoitika mushure mekutapukirwa mune imwe nzira yemuviri kana nzvimbo. (Hamdulay SS, Glynne SJ, uye Keat A. 2006 )
Kukuvadza Chiremba Chiropractic uye Inoshanda Mushonga Kliniki
PaInjury Medical Chiropractic uye Functional Medicine Clinic, tinotarisa pane izvo zvinoshanda kwauri kuti ubvise marwadzo uye kudzorera basa. Nezve kurwadziwa kwemusculoskeletal, nyanzvi dzakadai sechiropractors, acupuncturists , uye varapi vemasaji vanogona kubatsira kuderedza marwadzo kuburikidza nekugadziriswa kwemusana kunobatsira muviri kuti uzvigadzirise. Nzvimbo dzedu dzekudzidzira dzinosanganisira Chronic Pain, Kukuvara Kwemunhu, Auto Accident Care, Kukuvara Kwebasa, Kukuvara Kwekudzokera, Kurwadziwa Kwepashure, Kurwadza Kwemutsipa, Migraine Headaches, Kukuvara Kwemitambo, sciatica yakaoma, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Pain, Complex Injuries. , Stress Management, Hutano uye kudya kunovaka muviri, Functional Medicine Kurapa, uye in-scope care protocols. Vanogonawo kushanda pamwe nevamwe vanamazvikokota vezvehutano vanobatana kuti vagadzire chirongwa chemunhu chekurapa kubatsira kubvisa marwadzo emhasuru, kuvandudza kushanduka kwemuviri uye kufamba, kugadzirisa nyaya dzemusculoskeletal, uye kudzivirira zviratidzo zvinorwadza zveramangwana kuti zvirege kuitika zvakare.
Integrative Medicine Nzira
VIDEO
References
Dansie, EJ, & Turk, DC (2013). Kuongororwa kwevarwere vane kurwadziwa kusingaperi. British Journal of anesthesia, 111(1), 19–25. doi.org/10.1093/bja/aet124
National Institute of Arthritis uye Musculoskeletal uye Skin Zvirwere. (2023). Kurwadza Kwemusana. Zvakatorwa kubva www.niams.nih.gov/health-topics/back-pain
Harrison M. (2015). Erythrocyte sedimentation rate uye C-reactive protein. Australian prescriber, 38(3), 93–94. doi.org/10.18773/austprescr.2015.034
Sproston, NR, & Ashworth, JJ (2018). Basa reC-Reactive Protein paSaiti dzeKuzvimba uye Utachiona. Miganho mune immunology, 9, 754. doi.org/10.3389/fimmu.2018.00754
McMichael, A., & Bowness, P. (2002). HLA-B27: basa rechisikigo uye pathogenic basa mu spondyloarthritis. Tsvakurudzo yeArthritis, 4 Suppl 3 (Suppl 3), S153-S158. doi.org/10.1186/ar571
Sieper, J., Braun, J., Rudwaleit, M., Boonen, A., & Zink, A. (2002). Ankylosing spondylitis: mhedziso. Annals yezvirwere zverheumatic, 61 Suppl 3 (Suppl 3), iii8–iii18. doi.org/10.1136/ard.61.suppl_3.iii8
Hamdulay, SS, Glynne, SJ, & Keat, A. (2006). Ndeipi arthritis inoshanda? Journal of Medical Journal, 82(969), 446–453. doi.org/10.1136/pgmj.2005.044057
by Dr Alex Jimenez Chiropractic , Chiropractic Examination , chisingaperi Pain , Mamiriro Ekutongwa , utano , Health News El Paso , Healthcare Providers , Zvidziviriro Zvekuchengetedza , Mishonga
Vanokwanisa here vashandi vehutano kushandisa HEART protocol kune vanhu vanotengeswa vachipa nzvimbo yakachengeteka?
ziviso
Pasi rose, nhepfenyuro zhinji dzemuno nemasangano ari kutarisisa chiitiko icho vanhu vazhinji vanofanirwa kuziva. Chiitiko ichi chinozivikanwa sekutengesa, uye chinogona kubatanidzwa nezviitiko zvakawanda, kubva pakumanikidzwa kushanda kuenda kune zvepabonde, uye zvinogona kukanganisa pfungwa yemunhu yekuzvikoshesa. Kunyange vanhu vazhinji vachizobatanidza kuti kutengesa kunobata vakadzi vazhinji nevana, kunogona kukanganisa vanhu vazhinji zvisinei nezera, murume kana mukadzi uye kwakabva. Kunyange zvazvo vazhinji vakapukunyuka mukutengesa vari kubata nekukuvadzwa kwepfungwa uye kwepanyama kwavanowana kubva kune vatengesi vavo, vashandi vakawanda vezvokurapa vanogona kushandisa zvibvumirano nemabasa kuburikidza nekugadzirisa HEART kupa nzvimbo yakachengeteka kune vanhu vanotambura nekutengesa. Chinyorwa chanhasi chakanangana netsanangudzo yekutengeserana, chii chinonzi HEART, uye kuti inoshandiswa sei muchipatara. Isu tinokurukurirana nevazivisi vane hukama nevanorapa vanobatanidza ruzivo rwevarwere vedu kuti vaongorore uye vaone kutengeswa nenzira yekiriniki tichipa nzvimbo yakachengeteka. Isu tinozivisawo uye kutungamira varwere pavanenge vachibvunza avo vanosanganisirwa murapi mibvunzo yakaoma kuti vagadzire zvirongwa zvekurapa zvekurwadziwa kwavo uye kuvapa nzvimbo yakachengeteka uye chiitiko chakanaka. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer .
Tsanangudzo Yekutengesa
Kana zvasvika pakutsanangura kutengesa, zvinogona kunetsa sezvo zvichiwanzobatanidzwa nezvimwe zvinhu. Nekudaro, tsananguro huru yekutengeserana ndeye "kupinza basa, kutakura, kutamisa, kana kuchengetedza vanhu vazhinji kana munhu ari kutyisidzirwa kana kumanikidzwa kuwana mvumo yemunhu ane simba rekutonga vanhu kuti vabirwe." Nekutengeswa kwevanhu kuri kunetsa veruzhinji kunobata marudzi ese, mapoka emagariro, huwandu hwevanhu, uye varume nevakadzi, zvinogona kukanganisa nzanga uye munhu ari kutengeswa. ( Toney-Butler et al., 2024 ) Uyezve, vanhu vakawanda vanowanzokanganisa kutengesa uye kuverevedza zvisiri pamutemo sezvo zvakasiyana zvachose. Kupinza vanhu munyika zvisiri pamutemo kunoda kuti munhu atakurwe aendeswe munyika nenzira dzokuzvidira. Kunyange zvazvo kutengesa kuchigona kuuya nenzira mbiri, dzinova dzebasa nedzekutengesa, zvinogona kuitika mumba memunhu wacho. ( Rambhatla et al., 2021 ) Izvi zvinodaro nekuti vapukunyuki vazhinji vachawana rubatsiro rwezvehutano vanonzwa manzwiro akasiyana-siyana ekutya kana kunyara izvo zvinogona kuvatadzisa kukumbira rubatsiro nekuda kwezvavakasangana nazvo nemutengesi wavo. Nekudaro, kana vanhu vazhinji vari vapukunyuki vekutengesa vari kutambura nematambudziko akakura ehutano, hwepfungwa, uye hwemagariro uye vari kutsvaga rubatsiro rwehutano, vazhinji vezvehutano vanoita basa rakakosha nekuvagadzirira nzvimbo yakachengeteka uye inopindura. ( Iyo Lancet Dunhu Hutano-Western, 2022 )
VIDEO
Chii chinonzi MOYO Mukiriniki Setting
Kana zvasvika pakugadzira nzvimbo yakachengeteka uye yakanaka munzvimbo yekiriniki, vazhinji vashandi vezvehutano vanowanzotadza zviratidzo zvekutengesa nekuda kwekushaikwa kwekudzidziswa kana kusatya kuziva nekurapa varwere vari kutengesa. ( Lee et al., 2021 ) Zvisinei, mitemo yehutano yehutano inofanira kushandiswa, uye HEART inofanira kuiswa mune imwe nzira yekliniki yekuongorora nekugadzira chirongwa chekurapa chakagadzirirwa kumurwere. Vashandi vezvehutano vanogona kuita nemurwere munhaurirano-ye-imwe kure nemutengesi wavo uye vanogona kupa zvakakosha zvekurapa uye zvepfungwa zvekuchengetedza. ( Exeni McAmis et al., 2022 ) Nekubatanidza HEART protocol mukiriniki yehutano, vanachiremba vazhinji uye vashandi vezvokurapa vanogona kubatsira varwere vazhinji kuti vave munzvimbo yakachengeteka. Pazasi pane izvo HEART inomiririra.
H-Kunzwa
I "H" mu MOYO ndeyekunzwa sevashandi vakawanda vezvokurapa kwete kungonzwa chete asi kuona zviri kuitika mukiriniki uye kuisa ruzivo rwezvakatipoteredza. Izvi zvinokonzerwa nekutarisa murwere uye kuti ndiani anoperekedzwa navo. Nevatapi vehutano vari kumberi, vanodyidzana nevarwere uye vangasaziva kuti ndezvipi zvinetswa zvehutano zviri kuvakanganisa. Izvi zvinogona kuva nekuda kwezvinotevera:
Zvipingamupinyi zvemutauro kana tsika Kutya matsotsi Kutya mutengesi Kusavimba nemupi wehutano ( Gutfraind et al., 2023 )
Nekusanganisa chikamu chekunzwa muMOYO, vazhinji vashandi vezvehutano vanogona kupa nzira yakachengeteka, inofunga, uye inobata kumurwere uye kuziva chekutarisira kana murwere achiuya kuzorapwa.
E-Kuongorora
Iye "E " mu HEART inoshandiswa kuongorora kukosha kwayo mukusimudzira kushamwaridzana kwevarwere munzvimbo yekushungurudzika-inoziva nzvimbo yekuchengetedza. Izvi zvakakosha zvakanyanya nekuti munhu ari kutsvaga hutano. Kune varwere vari kutengeswa, zvakakosha kuona mireza matsvuku arikusangana nemunhu. Mamwe emireza matsvuku ayo vazhinji vanopa hutano vanofanirwa kutarisa ndeaya:
Utano hwepanyama Kuzvibata Utano Murwere ane munhu anodzora Murwere haana ID yake
Uyezve, nguva dzose zvakakosha kuratidza tsitsi, kuve nehanya kumunhu paanenge achitaura zvaanoda uye zvinomunetsa, uye kushandisa nzira isina kutonga panguva yekubvunzurudza. Izvi zvinobatsira munhu kuona kuti vari munzvimbo yakachengeteka pavanenge vachikurukura nyaya dzinonetsa. Panguva imwecheteyo, zvakakosha kuti tisarega murwere achishungurudzika zvakare apo tichidzivirira pfungwa yekununura uye kuwedzeredza murwere kune hutano hwepfungwa sezvatinoda kuti vave nekuzvikoshesa kwavo. Panguva imwe chete, zvakanakisisa kuyeuka mana "Rs " paunenge uchiita nzira yekutambudzika-ruzivo; vari:
Ziva : Kunzwisisa kuti kushungurudzika kunogona kukanganisa sei vanhu. Ziva : Kuziva zviratidzo zvekushungurudzika. Pindura : Ita kuti vashandi vese vadzidziswe, vashandise humbowo-hwakabata maitiro, uye vape nharaunda yakachengeteka. Resist Re-trauma : Kuziva kuti mamwe maitiro anogona kukonzera ndangariro dzinorwadza asi uchidzivisa kushungurudzazve murwere.
Nokushandisa zvina “Rs " uye "E " mu MOYO, vashandi vakawanda vehutano vanogona kupa zviwanikwa zvakakosha kune vanopona mukutengesa nehurongwa hwakasimba hwekutsigira.
A-Activating
Iye "A " mu HEART inomirira activating, uko vashandi vehutano vanofanirwa kuve nemaprotocol akakodzera ekuita vashandi vese. Izvi zvinobvumira varapi vehutano kuti vanzwisise kuti zvinobatsira sei kugadzira protocol kumunhu ari kutengeswa, kunzwisisa mitemo yavo yehurumende uye yehurumende yekurekodha, uye kunyora zvinhu zvakakosha zveanoshanda trauma-ruzivo rwekuongorora maitiro kana uchiongorora murwere. Izvi zvinobvumira chimiro chehwaro kutsigira mhinduro kune vanofungidzirwa varwere vari kutengeswa. Panguva imwecheteyo, nekutevera mitemo yeHIPAA nemitemo yesangano, vatapi vehutano vakawanda vanofanira kutsanangura nzira yekubika kuvakuru vakuru. Pamusoro pezvo, zvakanakira kugadzira protocol yekutengesa ndezvi:
Kujekesa maitiro Wedzera kudzidziswa kwevashandi Gadzirisa kudyidzana nevarwere vekutengesa Kuvandudza kuvimba kwevashandi Gadzirira chero mamiriro ezvinhu anotyisa Kuwedzera kugadzirira kubatsira kutengesa varwere Kurisa rutsigiro rwevarwere Gadzira kushandira pamwe kwekunze zviwanikwa
R-Kutsvaga
Iye "R " mu HEART inomirira resourcing, sezvo vazhinji vanopa hutano vanofanira kuona mareferensi masisitimu. Izvi zvinobvumira vashandi vehutano kuti vanzwisise meseji yakakosha kuburitsa kana vachiongorora vabatwa nekutengesa uye kukosha kwekupindura kuchengetedzeka, emergency, uye kushuma zvinodiwa. Pavanenge vachiongorora uye vachibvunzurudza murwere, vazhinji vachafanira kuziva kuti murwere wavo angangove akabatwa nekutengesa, izvo zvavanoda pakarepo, uye zvipi zvingabatsira kwenguva refu.
T-Kudzidzisa
Iyo "T" mu MOYO inomirira kudzidziswa, sezvo zvakakosha kuti vazhinji vanopa hutano varambe vachidzidzisa kuona kutengesa; izvi zvinopa chivimbo kune vakawanda vashandi vehutano uye zvinogona kubatsira kuchengetedza hupenyu hwemunhu. Nekushandisa HEART protocol, iyo "T" inobvumira chiremba kuremekedza sarudzo yemunhu yekuda rubatsiro, achipa tsigiro yakanaka achivakurudzira kuti vadzoke, vachipa rubatsiro nehurongwa hwekuchengetedza, uye kuvaka network yekushandisa. Izvi zvinodaro nekuti kana murwere achiperekedzwa nemumwe munhu ari kudzora nekupindura murwere, kupa ruzivo nekuchenjerera kunogona kupa tariro kumunhu kuti aite kufamba. Panguva imwecheteyo, kupa rubatsiro rwemunharaunda uye pakarepo rubatsiro runogona kubatsira munhu mukufamba kwenguva. Izvi zvinobvumira varapi vehutano kuvaka hukama hwekuvimba uye kunyange kubatsira vanhu kuti vave neruzivo rwakachengetedzeka uye rwakanaka parwendo rwavo rwehutano uye hutano.
References
Exeni McAmis, NE, Mirabella, AC, McCarthy, EM, Cama, CA, Fogarasi, MC, Thomas, LA, Feinn, RS, & Rivera-Godreau, I. (2022). Kuongorora ruzivo rwevanopa hutano hwekutengesa kwevanhu. PLOS ONE , 17 (3), e0264338. doi.org/10.1371/journal.pone.0264338
Gutfraind, A., Yagci Sokat, K., Muscioni, G., Alahmadi, S., Hudlow, J., Hershow, R., & Norgeot, B. (2023). Vakakuvadzwa nekutengesa kwevanhu uye kushandiswa muhutano hwehutano: chidzidzo chekudzoka zvakare uchishandisa yakakura yakawanda-state dataset uye ICD-10 codes. Front Public Health , 11 , 1243413. doi.org/10.3389/fpubh.2023.1243413
Lee, H., Geynisman-Tan, J., Hofer, S., Anderson, E., Caravan, S., & Titchen, K. (2021). Mhedzisiro Yekudzidziswa Kutengeswa Kwevanhu paRuzivo neMafungiro eVashandi vehutano. J Med Educ Curric Dev , 8 , 23821205211016523. doi.org/10.1177/23821205211016523
Rambhatla, R., Jamgochian, M., Ricco, C., Shah, R., Ghani, H., Silence, C., Rao, B., & Kourosh, AS (2021). Kuzivikanwa kwezviratidzo zveganda muvanhu vakapona nekutengesa vanhu. Int J Womens Dermatol , 7 (5Chikamu B), 677-682. doi.org/10.1016/j.ijwd.2021.09.011
The Lancet Regional Health-Western, P. (2022). Kutengeswa kwevanhu kunopfuura mhosva. Lancet Reg Hutano West Pac , 20 , 100444. doi.org/10.1016/j.lanwpc.2022.100444
Toney-Butler, TJ, Ladd, M., & Mittel, O. (2024). Human Trafficking. In StatPearls . www.ncbi.nlm.nih.gov/pubmed/28613660
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