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 , Pamuviri Utano
Kune vanhu vari kutarisana nemarwadzo ekudzokera shure uye matambudziko, kuziva nzira yekuvandudza nekuchengetedza intervertebral disc hutano hunobatsira kuderedza zviratidzo here?
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.
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
VIDEO
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
by Dr Alex Jimenez Chiropractic Examination , Human Physiology
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?
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.
Dynamometers chimwe chishandiso chinobatsira kuyera simba remhasuru.
Vanoyera simba rinobuda panguva yekuputika kwemasuru kuti vaone kana mhasuru dzakasimba zvakakwana.
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
VIDEO
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
by Dr Alex Jimenez Chiropractic Examination , Sciatica
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?
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.
Vanhu vazhinji vanonzwa kurwadziwa nekukurumidza mushure me laminectomy kana hemilaminectomy.
Fusion inogona kutora mwedzi mitanhatu kusvika mipfumbamwe kupora zvachose.
Kana kuvhiyiwa kukaitwa pasina kusanganiswa kwakatangira cyst, marwadzo anogona kudzoka, uye imwe cyst inogona kuumbwa mukati memakore maviri.
Kuvhiya Matambudziko anosanganisira kutapukirwa, kubuda ropa, uye kukuvara kumusana kana nerve midzi.
Mawaniro Andakaita Kufamba Kwangu Kudzoka NeChiropractic
VIDEO
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
by Dr Alex Jimenez vatambi , Chiropractic Examination
Tsoka dzevanhu dzichapisa pakufamba kana kumhanya; zvisinei, kutsva tsoka kunogona kuva chiratidzo chehutano hwehutano hwakafanana nerutsoka rwomutambi kana kukuvara kwetsinga kana kukanganisa. Kuziva nezvezviratidzo izvi kungabatsira here kuona mhinduro dzekurerutsa nekuporesa mamiriro ari pasi?
Kutsva Tsoka
Vanofamba uye vanomhanya vanowanzoona kupisa mutsoka dzavo. Izvi ndezvemuzvarirwo kubva pakuwedzera kutenderera, kurova kwemoyo, kudziya kana kupisa kwemigwagwa yemigwagwa, uye nzira. Asi tsoka dzinogona kunzwa kupisa kusina kujairika kana kutsva. Kazhinji, kupisa kunokonzerwa nemasokisi neshangu uye kuneta mushure mekushanda kwenguva refu. Matanho ekutanga ekuzvitarisira anosanganisira kuedza shangu nyowani kana nyanzvi uye kugadzirisa maekisesaizi. Kana tsoka dzinopisa dzikaramba dziripo kana paine zviratidzo zvehutachiona, kurira, kusanzwa, kana kurwadziwa, vanhu vanofanirwa kuona mupi wehutano. (Mayo Clinic. 2018 )
Footwear
Bhutsu nemapfekero adzinoita zvingava zvakakonzera.
Kutanga, tarisa zvinhu zveshangu. Dzinogona kunge dziri shangu uye/kana insoles dzisingatenderere mhepo. Vanogona kupisa uye kudikitira pasina kutenderera kwemhepo kwakatenderedza tsoka.
Paunosarudza shangu dzekumhanya, funga nezve mesh material inobvumira kuyerera kwemhepo kuchengetedza tsoka.
Funga kugadzirirwa shangu dzine saizi yakakodzera, sezvo tsoka dzinozvimba pakumhanya kana kufamba.
Kana shangu dzakanyanya kudiki, mweya haugone kutenderera, zvichiita kuti pave nekukakavadzana pakati petsoka neshangu.
Bhutsu dzakakurisa dzinogonawo kuita kuti pave nekukweshana sezvo tsoka dzichifamba zvakanyanya.
Insoles inogonawo kubatsira.
Mamwe insoles anogona kuita kuti tsoka dzipise, kunyange kana shangu dzichifema.
Shandura insoles kubva kune imwe shangu kuti uone kana vari kubatsira, uye kana zvakadaro, tarisa mune zvitsva insoles.
Mazano ekubatsira kudzivirira tsoka dzinopisa:
Misoro Mafuta
Shandisa anti-blister/chafing topical cream kuzora nekudzivirira tsoka.
Izvi zvinoderedza kupokana uye kudzivirira mablisters.
Lace Zvakanaka
Vanhu vanogona kunge vachisunga bhutsu zvakanyanya, vachimanikidza kutenderera, kana kutsamwisa tsinga dziri pamusoro petsoka.
Vanhu vanofanira kukwanisa kutsveta chigunwe chimwe pasi pepfundo.
Rangarira kuti tsoka dzichazvimba kana kufamba kana kumhanya kunotanga
Vanhu vangangoda kusunungura tambo dzavo mushure mekudziya.
Vanhu vanokurudzirwa kuti vadzidze machira ematekinoroji ayo anozoita kuti asanyanya kusimba pamusoro penzvimbo dzakaoma.
Cushioning
Kuneta kubva pakushanda kwenguva refu kana mazuva akareba akamira / kufamba kunogona kukonzera kupisa tsoka.
Vanhu vamwe navamwe vangada kuwedzera kusungirirwa mubhutsu.
Tarisa basa uye shangu dzemitambo dzakawedzera cushioning.
Shoe Allergy
Vanhu vanogona kunge vaine allergic reaction kana kunzwa kune jira, zvinonamira, dhayi, kana mamwe makemikari. (Cleveland Clinic. 2023 ) Makemikari anoshandiswa mukugadzira anosiyana edehwe kana achienzaniswa nemucheka uye akasiyana nemhando uye mugadziri.
Alergy yeshangu inogona kukonzera kupisa, kuputika, uye kuzvimba.
Zvinokurudzirwa kuziva kana zviratidzo zvinongoitika kana wakapfeka shangu dzakati.
Zvinokurudzirwa ndezvekuedza mhando dzakasiyana uye mhando dzeshangu.
Socks
Iyo sock jira inogona kunge ichibatsira kune inopisa kana kupisa tsoka. Matanho ekutora anogona kusanganisira:
Dzivisa donje
Cotton ifaibha yechisikigo asi haikurudzirwe kufamba nekumhanya sezvo inobata dikita rinogona kuchengeta tsoka dzakanyorova.
Zvinokurudzirwa kushandisa masokisi akagadzirwa neCool-Max uye mamwe mafiber ekugadzira anobvisa ziya nekuzvitonhodza pasi.
Wool
Masokisi emvere anogonawo kukonzera kukwenya uye kunzwa kupisa.
Chimbofunga masokisi emitambo akagadzirwa neshinda isina chikwekwe.
Kufungisisa
Vanhu vaigona kuve nehanya kune mamwe machira kana dhayi mumasokisi.
Cherechedza kuti masokisi api anokonzera kupisa kana kupisa zviratidzo zvetsoka.
Vanhu vanogona zvakare kuve nehanya kune zvigadzirwa zvekuwachira uye vanokurudzirwa kuedza imwe mhando kana mhando.
Medical Conditions
Pamusoro peshangu uye masokisi, mamiriro ekurapa anogona kukonzera uye kubatsira kune zviratidzo.
Tsoka Yemutambi
Rutsoka rwemutambi chirwere chefungal.
Vanhu vanogona kunzwa kupisa munzvimbo yakakanganiswa.
Kazhinji, inokwenya, yakatsvuka, inoyera, kana kutsemuka.
Tenderedza shangu.
Iyo fungus inokura munzvimbo dzakanyorova, saka, zvinokurudzirwa kutenderedza shangu kuti dziite kuti dziome pakati pekushanda.
Shamba uye uomesa tsoka mushure mekufamba kana kumhanya.
Edza kumba nepamusoro-the-counter mhinduro, hupfu, uye mishonga yekurapa tsoka yemutambi.
Peripheral Neuropathy
Vanhu vanowanzo sangana nekupisa tsoka kunze kwepavanenge vachirovedza muviri zvinogona kunge zvichikonzerwa nekukuvara kwetsinga inozivikanwa se peripheral neuropathy. (National Institute of Neurological Disorders uye Stroke. 2023 ) Peripheral neuropathy zviratidzo zvinosanganisira mapini netsono, chiveve, kurira, kurira, uye / kana kupisa kunzwa.
Kuongorora
Chirwere cheshuga chimwe chezvikonzero zvinowanzokonzera peripheral neuropathy.
Chirwere cheshuga chinogona kuuya chero pazera.
Vanhu vanofanira kudzidza kudzivirira tsoka dzavo, sezvo kurovedza muviri kunokurudzirwa kune chirwere cheshuga.
Mamwe mamiriro anogona kuburitsa peripheral neuropathy anosanganisira:
Vitamin B-12 kushomeka
Doro rinoshatiswa
Dambudziko rekutenderera
AIDS
Heavy metal poisoning
Massage uye Movement
Kukwiza tsoka kunowedzerawo kutenderera.
Kudzidzira muviri kwakadai sekufamba kunokurudzirwa kune peripheral neuropathy sezvo inovandudza kutenderera kutsoka.
Zvimwe Zvinokonzera
Zviratidzo zvinogonawo kukonzerwa nemamwe mamiriro anosanganisira: (Cleveland Clinic. 2023 )
Tsinga Kuvharirwa
Kuchinja kunokanganisa musana kana kukuvadzwa kwemusana kunogona kukonzera kukuvara / kukuvadza kune tsinga dzinogona kukonzera marwadzo, kurira, uye kupera kwetsoka.
Tarsal Tunnel Syndrome
Kudzvinyirirwa kweiyo posterior tibial nerve mugumbo rako rezasi kunogona kukonzera kurira uye kupisa mutsoka dzako.
Morton's Neuroma
Morton's neuroma, iyo inokonzerwa nekukora tsinga tishu, inogona kukonzera marwadzo uye kupisa pazasi pezvigunwe.
Autoimmune Diseases
Zvirwere zvakaita semultiple sclerosis kana lupus zvinogona kukonzera kupisa tsoka.
Kuzvitarisira
Kugadziridza kana kuwedzera kumaitiro netsika zvinogona kubatsira.
Usafamba kana kumhanya wakapfeka shangu dzakasakara.
Chengetedza tsoka nekushandisa masokisi ekurudyi, hupfu hwetsoka, uye mafuta ekuzora, uye vhara chero nzvimbo dzinokwesha nekukwesha.
Pakarepo shandura kunze kweshangu uye masokisi mushure mekurovedza muviri, uchibvumira kuoma kwemhepo.
Izvi zvichabatsira kuderedza njodzi yemutambi wetsoka fungus kukura.
Soka tsoka mumvura inotonhorera. Usashandisa ice, sezvo inogona kukuvadza ganda.
Nyura tsoka muEpsom munyu kuti ubvise marwadzo uye kuzvimba uye kuomesa mablisters.
Simudza tsoka mushure mekuita maekisesaizi.
Tenderedza shangu nemasokisi pakati pezvirongwa zvekurovedza muviri uye mukati mezuva.
Edza shangu dzakasiyana, masokisi, uye insoles.
Overtraining inogona kuwedzera zviratidzo.
Edza zvishoma nezvishoma kuvaka pachinhambwe uchitarisa zviratidzo.
Ona chiremba kana nyanzvi yezveutano kana zviratidzo enderera uye hazvibatanidzwe nekufamba kana kumhanya kurovedza muviri.
Kuongorora Integrative Medicine
VIDEO
References
Mayo Clinic. (2018). Kutsva Tsoka .
National Institute of Neurological Disorders uye Stroke. (2023). Peripheral Neuropathy .
Cleveland Clinic. (2023) Kupisa Tsoka Syndrome .
by Dr Alex Jimenez Chiropractic Examination , Musoro
Ko mishonga yemusculoskeletal inogona kurapa vanhu vane upper crossed syndrome kuti vabvise marwadzo, kugadzirisa chimiro, uye kusimbisa mhasuru mumutsipa, mapfudzi nechipfuva?
Upper Crossed Syndrome
Upper crossed syndrome inzvimbo umo tsandanyama dzemapfudzi, mutsipa, uye chipfuva zvinopera simba uye kusimba, uye kazhinji inounzwa kubva pakuita maitiro asina kunaka. Zviratidzo zvinowanzobatanidza:
Kuoma kwemutsipa uye kudhonza manzwiro.
Jaw tension uye/kana tightness
Upper back tension, kushaya kuchinjika, kuoma, uye kurwadziwa kunorwadza.
Mutsipa, pfudzi, uye kurwadziwa kwepamusoro musana.
Kupopotedzana musoro
Mapendekete akatenderedzwa
Hunched musana
Upper Crossed Syndrome uye Kumira
Mamiriro acho anokanganisa hutano hwakanaka nekugadzira kusaenzana kwemhasuru pakati pemusana nechipfuva .
Iwo mamhasuru mapfupi mapfupi ari muchipfuva chepamusoro anotambanudzwa zvakanyanya uye anoramba ari muchikamu che-semi-contracted state achidhonza mhasuru dzekumusana.
Izvi zvinoita kuti mhasuru dziri kumusoro kumashure, mapfudzi, uye mutsipa zvidhonzwe uye kupera simba.
Mhedzisiro yacho ndeyekurembera kumashure, mapendekete emberi, uye mutsipa wakabuda.
Iyo chaiyo misumbu inobatwa inosanganisira trapezius uye levator scapula / rutivi rwemitsipa yemutsipa. (Hospital for Special Surgery. 2023 )
Vanhu vane kurwadziwa shure kunotora mavhiki maviri kana kupfuura vanokurudzirwa kubvunza nyanzvi yemuzongoza kana mutapi wehutano kuti aongorore uye aone chikonzero. yezviratidzo zvemarwadzo . (National Institute of Arthritis uye Musculoskeletal uye Skin Zvirwere. 2023 )
Lingering Pain
Kusaenzana kwemhasuru activation uye kufamba uye chimiro chisina kunaka zvese zvinobatsira kune zviratidzo.
Chirwere ichi chinoratidzwa nekuoma kusingaperi, kushushikana, kurwadziwa, uye kuwedzera kusafamba kwechipfuva nemapfudzi.
Nekufamba kwenguva kusimba uye kudhonza, kusanganiswa nekushaya simba kunogona kutungamirira kukuvadzwa kwemapfudzi. (Seidi F, et al., 2020 )
Zvinokonzera
Pane zvimwe zviitiko uye mabasa anogona kubatsira mukuvandudza uye kuwedzera kweiyo syndrome. Zvinhu zvinowedzera kuwedzera zviratidzo zvinosanganisira: (National Institute of Arthritis uye Musculoskeletal uye Skin Zvirwere. 2023 - - (Seidi F, et al., 2020 )
Kushungurudzika kwemuviri / kukuvadzwa kune chero nzvimbo dzemhasuru.
Mabasa ane kuwanda kwesimba remuviri, kusimudza zvinorema, uye njodzi dzekukuvara.
Kudzidzira zvisizvo zvimiro uye zvimiro.
Mabasa anoda nguva yakawedzerwa yekugara uye/kana kumira.
Kusaita basa uye/kana kugara pasi.
Pamusoro pemitambo yemitambo.
Kusvuta.
Nekudaro, iyo syndrome inodzivirirwa uye inodzoreka.
Mishonga
Kushanda nechiropractor uye yemuviri masaja therapy timu inogona kubatsira kuona nekugadzira yakasarudzika chirongwa chekurapa icho chinonyanya kushanda uye chakakodzera. Chiropractic uye murapi wepanyama achapa sarudzo dzinoverengeka, dzinogona kusanganisira: (Misidhari-Sinai. 2022 - - (National Institute of Arthritis uye Musculoskeletal uye Skin Zvirwere. 2023 - - (Bae WS, et al., 2016 )
Bracing
Massage therapy kuwedzera kutenderera, kuzorora, uye kudzorera tsandanyama.
Chiropractic kugadziridzwa kwepinal realignment uye posture retraining.
Kwete-kuvhiya michina traction uye decompression therapy .
Kinesiology taping - kupora uye kudzivirira.
Posture kudzidzisa.
Kudzidzisa tsandanyama kufamba.
Maekisesaizi anonangana nematishu akapfava uye majoini.
Core kusimbisa.
Majekiseni eSteroid kune imwe nzvimbo.
Prescription anti-inflammatory medication yezviratidzo zvinorwadza - kwenguva pfupi.
Vanhu vanogona kurairwa nechikwata chechiropractic kurapa kuti vadzivise kuzorora pamubhedha zvakanyanya uye kudzikisira kana kudzivirira zviitiko zvinogona kukonzera marwadzo kana kuwedzera zviratidzo. (Misidhari-Sinai. 2022 )
Zvidzidzo zvakaratidza chiropractic spinal manipulation zvinobudirira kuderedza mitsipa, musana, uye zviratidzo zvekurwadziwa kwepashure. (Gevers-Montoro C, nevamwe, 2021 )
Kuzvibata Management
Pane nzira dzekuzvigadzirisa wega upper-crossed syndrome uye zviratidzo zvakabatana. Maitiro akajairika anosanganisira: (National Institute of Neurological Disorders uye Stroke. 2023 - - (National Institute of Arthritis uye Musculoskeletal uye Skin Zvirwere. 2023 )
Kudzidzira kumira zvakanaka.
Kuwedzera kana kudzikisira kuita kwemuviri sekukurudzirwa neboka rekurapa.
Kushandisa ice kana kupisa mapaketi kuti abvise marwadzo uye kuwedzera kutenderera kukurudzira tsandanyama kugadzirisa uye kuporesa.
Kushandisa topical pain creams kana gels.
Over-the-counter nonsteroidal - NSAIDs, seAdvil kana Motrin uye Aleve.
Tsandanyama zvinozorodza kuderedza kushushikana kwenguva pfupi.
Wedzera Mararamiro Ako
VIDEO
References
Hospital for Special Surgery. Famba nechinangwa chekurwisa epamusoro uye yakaderera yakayambuka masyndromes.
National Institute of Arthritis uye Musculoskeletal uye Skin Zvirwere. Kurwadza kwemusana.
Seidi, F., Bayattork, M., Minoonejad, H., Andersen, LL, & Peji, P. (2020). Comprehensive corrective exercise programme inovandudza kurongeka, mhasuru activation, uye maitiro ekufamba kwevarume vane upper crossed syndrome: a randomized controlled trial. Mishumo yeSainzi, 10(1), 20688. doi.org/10.1038/s41598-020-77571-4
Bae, WS, Lee, HO, Shin, JW, & Lee, KC (2016). Mhedzisiro yepakati uye yakaderera trapezius simba rekudzidzira uye levator scapulae uye yepamusoro trapezius kutambanudza maitiro mu upper crossed syndrome. Nyaya yePhysical Therapy Sayenzi, 28 (5), 1636-1639. doi.org/10.1589/jpts.28.1636
National Institute of Neurological Disorders uye Stroke. Kurwadza kwemusana.
Misidhari-Sinai. Kurwadza kwemusana nemutsipa.
Gevers-Montoro, C., Provencher, B., Descarreaux, M., Ortega de Mues, A., & Piché, M. (2021). Clinical Effectiveness uye Efficacy yeChiropractic Spinal Manipulation yeSpine Pain. Miganho mukutsvaga kurwadziwa (Lausanne, Switzerland), 2, 765921. doi.org/10.3389/fpain.2021.765921
by Dr Alex Jimenez Chiropractic Examination , Mamiriro Ekutongwa
Iyo gluteal tsandanyama / glutes inosanganisira matako. Iboka remhasuru rine simba rine mhasuru nhatu. Iyo gluteus maximus, gluteus medius, uye gluteus minimus. Iyo glute tsandanyama inobatsira simba kuita kwemuviri uye mafambiro ezuva nezuva sekufamba, kumira, uye kugara uye kubatsira kudzivirira kukuvara kupakati, kumashure, tsandanyama dzemudumbu, uye mamwe mamhasuru anotsigira uye matishu. Vanhu vanogona kukudziridza kusaenzana kweglute uko rimwe divi rinowedzera kutonga uye rinoita zvakanyanya kana rakakwirira kupfuura rimwe. Kusaenzana kusingatariswe kunogona kukonzera kusaenzana kwemhasuru, matambudziko ekumira, uye nyaya dzemarwadzo. Injury Medical Chiropractic uye Functional Medicine Clinic inogona kugadzira hurongwa hwekurapa hwemunhu kuti ubvise zviratidzo uye kudzoreredza kurongeka, kuenzanisa, uye hutano.
Glute Muscle Imbalance
Yakasimba, ine hutano glutes inosimudzira lumbopelvic kugadzikana uye mutinhimira , zvichireva kuti vanochengeta yakaderera musana uye pelvis mukurongeka kwakaringana kudzivirira matambudziko uye kukuvara. Glute kusaenzana kunoitika kana rimwe divi re glutes rakakura, rakasimba, kana rakawanda. Glute kusaenzana kwakajairika uye chikamu cheyakajairika anatomy yemunhu, sezvo muviri usina kunyatsoenderana. Kuchinja uye kushandisa iro rinonyanya kutonga divi kana uchitora huremu kana kutora zvinhu zvakajairika, saka rimwe divi rinokura. Sezvinongoita munhu anosarudza ruoko rumwe, ruoko, uye gumbo pane rimwe, rimwe divi re glute rinogona kushanda nesimba uye kusimba.
Zvinokonzera
Pane zvikonzero zvakawanda zvekusawirirana kwe glute muscle, kusanganisira:
Anatomical musiyano- Wese munhu ane akasiyana akaumbwa mhasuru, mapoinzi ekunamatira, uye nerve nzira. Izvi zvakasiyana-siyana zvinogona kuita kuti rimwe divi rema glutes rive rakanyanya kutonga kana kusimba.
Mamiriro asina kunaka.
Zviratidzo zvekurwadziwa shure zvinogona kuita kuti vanhu vatore maitiro asina kunaka uye kuisa, sekutsamira kune rumwe rutivi.
Kukuvara kwagara kuripo.
Kusakwana kugadziriswa kubva mukukuvadzwa kwekare.
Kukuvara kwetsinga.
Ankle sprains inogona kutungamirira mukuderedza glute activation.
Kudzidziswa kusina kunaka
Kureba kwemakumbo kusawirirana
Atrophy
Muzongoza mamiriro
Basa rebasa
Zvinhu zvemitambo zvinogona kukoshesa rimwe divi remuviri pane rimwe.
Kuchinja Muviri
Kana kurwadziwa kunowanikwa mune imwe nzvimbo yemuviri, zviratidzo zvinotumirwa kunyevera mamwe masumbu kuti abvumirane / asimbise senzira yekudzivirira kudzivirira kuwedzera kukuvara. Idzi shanduko dzinoshandura mafambiro ekufamba, zvichiita kuti tsandanyama kusaenzana mu glutes nedzimwe nzvimbo. Vanhu vasingagadzirise kubva mukukuvadzwa zvakanaka vanogona kusara vasina kuenzana.
Chiropractic Relief uye Kudzorera
Ichi chirwere chinoda kugadziriswa kudzivirira kumwe kukuvadzwa uye nyaya nechimiro. Kurapa kunosiyana zvichienderana nemunhu uye kukura kwedambudziko. Chirongwa chekurapa chekudzivirira nekuvandudza mamwe maitiro ekusaenzana kweglute anogona kusanganisira zvinotevera.
Spinal decompression ichatambanudza muviri uye tsandanyama kunzvimbo inoshanda.Therapeutic massage ichazorodza mhasuru uye kuwedzera kuyerera kweropa.
Chiropractic kugadzirisa kugadzirisa musana uye muviri.
Targeted stretches uye maekisesaizi achapihwa kuchengetedza kurongeka.
Unilateral training kana kurovedza rutivi rumwe rwomuviri panguva kunogona kubatsira kuvaka nokusimbisa rutivi rusina kusimba.Kusimbisa kwepakati kunogona kugadzirisa mutsauko pamativi ese emuviri.
Chiropractic Nzira Yekunyaradza Marwadzo
VIDEO
References
Bini, Rodrigo Rico, naAlice Flores Bini. "Kuenzanisa kwelinea alba kureba uye musimboti-tsandanyama kubatanidzwa panguva yepakati uye yakaderera kumashure maekisesaizi." Nyaya yeBodywork uye Movement Therapies vol. 28 (2021): 131-137. doi:10.1016/j.jbmt.2021.07.006
Buckthorpe, Matthew, et al. "Kuongorora uye Kurapa GLUTEUS MAXIMUS KUSHANDA - MAZANO YECLINICAL." International Journal of sports physical therapy vol. 14,4 (2019): 655-669.
Elzanie A, Borger J. Anatomy, Bony Pelvis uye Lower Limb, Gluteus Maximus Muscle. [Yakagadziridzwa 2023 Kubvumbi 1]. Mu: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Inowanikwa kubva: www.yori.nlm.nih.gov/books/NBK538193/
Liu R, Wen X, Tong Z, Wang K, Wang C. Kuchinja kwe gluteus medius muscle muvarwere vakuru vane unilateral developmental hip dysplasia. BMC Musculoskelet Disord. 2012;13(1):101. doi:10.1186/1471-2474-13-101
Lin CI, Khajooei M, Engel T, nevamwe. Mhedzisiro yekusagadzikana kweankle isingaperi pamitsipa mitsetse muzasi. Li Y, ed. PLoS IMWE. 2021;16(2):e0247581. doi:10.1371/journal.pone.0247581
Pool-Goudzwaard, AL et al. "Kusakwana kwe lumbopelvic kugadzikana: kiriniki, anatomical uye biomechanical nzira kune 'a-specific' yakaderera musana kurwadziwa." Manual therapy vol. 3,1 (1998): 12-20. doi:10.1054/math.1998.0311
Vazirian, Milad, et al. "Lumbopelvic rhythm panguva yekufamba kwehunde mundege yesagittal: Ongororo yenzira dzekuyera kinematic uye maitiro ehunhu." Physical Therapy uye Rehabilitation vol. 3 (2016): 5. doi:10.7243/2055-2386-3-5
by Dr Alex Jimenez Chiropractic Examination , Nerve Injury
Iyo tsinga yetsinga inotaurirana nemuviri wose uye inopindirana nekuchinja kwemukati nekunze uchishandisa magetsi nemakemikari mafungiro ekutumira uye kugamuchira mameseji. Mharidzo dzinofamba/synapse kubva kune imwe neuron kuenda kune imwe uchishandisa makemikari anozivikanwa anozivikanwa seaneurotransmitters. Paresthesia inoreva manzwiro chiveve, kurira, kuputika, kukambaira kweganda, kukwenya, kana kupisa, kazhinji mumawoko, mawoko, makumbo, uye/kana tsoka, asi zvinogona kukanganisa dzimwe nzvimbo dzemuviri. Chiropractic kuchengetedza, massage therapy, decompression therapy, uye mushonga unoshanda unogona kubvisa matishu uye kudzvinyirira kwetsinga, kuvandudza kushanduka, kufamba-famba, uye kufamba, uye kusimbisa misumbu yakakomberedza tsinga yakakanganiswa kuchengetedza hutano hwakakwana uye kudzivirira kuipa kana kuwedzera kukuvara.
Paresthesia
Kunzwa kunouya pasina yambiro uye kazhinji hakuna marwadzo uye kunotsanangurwa se kurira kana kusanzwa. Pane zvikonzero zvakasiyana-siyana zveparesthesia, kusanganisira:
Yakamanikidzwa kana pinched nerve.
Kukuvara kwetsinga.
Kukuvadzwa kwetsinga kubva kuchirwere cheshuga.
Yakakwira vhitamini D kana mamwe mavhitamini.
High blood pressure.
Utachiona.
Fibromyalgia.
Multiple sclerosis. Stroke.
Bundu mumusana kana muuropi.
Vamwe vanhu vakadaro chisingaperi kana kwenguva refu paresthesia , iyo inogona kuva chiratidzo chekukuvara kwakanyanya kwetsinga kana mamiriro. Kuwedzerwa kushushikana kwemuviri kunogona kuita kuti matishu akatenderedza atsamwise kana kupinza tsinga inotungamira mukumanikidza kuvaka. Kumanikidzwa uku kunokonzera paresthesia munzvimbo ichikanganisa kutenderera uye basa. Tsinga yakatsikirirwa inogona kuitika chero kupi mumuviri, senge mutsipa, pfudzi, wrist, musana, uye chiso.
A herniated disc muzasi musana inogona kukonzera marwadzo ekudzokera shure uye paresthesia mugumbo kana rutsoka kune rumwe rutivi rwakakanganiswa.
Carpal tunnel syndrome itsinga yakapinyirwa muchiuno inokonzera chiveve uye kurira kweruwoko nezvigunwe.
Pinched nerve zviratidzo zvinogona kupindirana kana kugara.
Kazhinji, kunzwa kwechinguvana kunokonzerwa kana kudzvinyirirwa kunoiswa patsinga inobatwa.
Kana dzvinyiriro iyoyo yarerutswa, kusagadzikana kunopera.
Vanhu vane Ngozi Yakawedzerwa
Kunyanya Kukuvadza
Vanhu vane mabasa kana zvekuzvivaraidza zvinoda kudzokorora mafambiro vari panjodzi huru yekumanikidzwa kwetsinga, paresthesia, kana kukuvara.
Chero ani zvake anogona kuwana pinched nerve, uye vanhu vazhinji vanozonzwa paresthesia pane imwe nguva.
Kuramba Ndakarara Pasi
kufutisa
Huremu hwekuwedzera nzvimbo dzakawedzera kudzvanywa patsinga.
chirwere cheshuga
Chirwere cheshuga chinogona kukonzera kukuvara kwetsinga uye tishu.
Kuberekwa
Huremu uye kuwana mvura kunogona kukonzera kuzvimba uye kuwedzera kudzvanywa patsinga.
Thyroid Disease
Izvi zvinoisa vanhu panjodzi ye carpal tunnel syndrome.
Rheumatoid chearthritis
Izvi zvinokonzera kuzvimba, izvo zvinogona zvakare kudzvanya tsinga mumajoini.
kuongorora chirwere
Kuti atarise paresthesis, chiremba anotarisa nhoroondo yezvekurapa kwemunhu uye kubvunza mibvunzo nezve zviratidzo. Vachaita ongororo yemuviri uye, zvichienderana nezvakawanikwa, vanogona kukurudzira bvunzo dzinogona kusanganisira:
Chidzidzo Chekuita Netsinga
Izvi zvinoyera kuti kukurumidza kwetsinga dzinofamba sei mumamhasuru.
Electromyography - EMG
Kuti utarise basa remagetsi rekuti tsinga nemhasuru zvinopindirana sei.
Magnetic Resonance Imaging - MRI
Izvi zvinotarisa nzvimbo dzakasiyana dzemuviri mukutsanangurwa kwepamusoro.
Ultrassom
Inoshandiswa kugadzira mifananidzo, izvi zvinogona kuiswa kunzvimbo diki kutsvaga kudzvanywa kwetsinga kana kukuvara.
Chiropractic
Nzira dzekurapa dzinoenderana nechikonzero cheparesthesia. Kukanganisa kwemuviri kunogona kukonzera kukanganiswa kwetsinga kunogona kutungamirira kumatambudziko ehutano akadai semigraines, kana kuti inogona kukanganisa kutaurirana kwetsinga uye kuvhara kutenderera kwakakodzera. Chiropractic kuchengetedza inotarisa pakurapa tsinga uye inzira yakachengeteka uye inoshanda yekurapa matambudziko etsinga anokonzera kusagadzikana uye manzwiro. Mushure mekunyatsoongorora nzvimbo dzine dambudziko, masaja, decompression, uye chiropractic kugadzirisa kuchaita:
Gadzirisa uye gadzirisa zvakakwana nerve basa .
Dzorera kutenderera kweropa kwakakodzera.
Wedzera kushanda kwemaitiro emuviri.
Kurudzira mwero wakanyanya wehutano nekugwinya.
Sayenzi Yekufamba
VIDEO
References
Bova, Joseph, naAdam Sergent. "Chiropractic manejimendi yemukadzi ane makore makumi maviri nemana ane idiopathic, inopindirana-kurudyi hemiparesthesia." Nyaya yechiropractic mishonga vol. 24 (13,4): 2014-282. doi:6/j.jcm.10.1016
Christensen, Kim D, naKirsten Buswell. "Chiropractic mhedzisiro yekutarisira radiculopathy munzvimbo yechipatara: kuongororwa kwekare kwevarwere ve162." Nyaya yechiropractic mishonga vol. 7,3 (2008): 115-25. doi:10.1016/j.jcm.2008.05.001
Freihofer, HP Jr. “Parästhesien” [Paresthesia]. Schweizerische Monatsschrift fur Zahnheilkunde = Revue mensuelle suisse d'odonto-stomatologie vol. 89,2 (1979): 124-5.
Karne, Sampada Swapneel, uye Nilima Sudhakar Bhalerao. "Carpal Tunnel Syndrome muHypothyroidism." Nyaya yeClinical uye Diagnostic research: JCDR vol. 10,2 (2016): OC36-8. doi:10.7860/JCDR/2016/16464.7316
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