Kuongorora Maedzo
Back Clinic Screening Miedzo. Kuongorora bvunzo kazhinji ndiyo yekutanga ongororo inopedzwa uye inoshandiswa kuona kana kumwe kuongororwa kwekuongorora kungave kuchidikanwa. Nekuti kuongororwa bvunzo inhanho yekutanga yekuongororwa, ivo vakagadzirirwa kuti ive mukana wekuwedzeredza chiitiko chechokwadi chechirwere. Yakagadzirwa kuti ive yakasiyana neyekuongorora bvunzo pakuti inogona kuratidza mhedzisiro yakanaka pane yekuongororwa bvunzo.
Izvi zvinogona kutungamira kune ese ari maviri echokwadi positives pamwe nemanyepo enhema. Kana bvunzo yekuongorora yaonekwa kuti yakanaka, bvunzo yekuongorora inopedzwa kuratidza kuongororwa. Zvadaro, tichakurukura kuongororwa kwekuongororwa kwekuongorora. Mazhinji ekuongorora bvunzo anowanikwa kune varapi uye advanced chiropractic varapi kuti vashandise mukuita kwavo. Kune mamwe maedzo, pane yakati wandei yekutsvagisa inoratidza kubatsirwa kwebvunzo dzakadaro pakukurumidza kuongororwa uye kurapwa. Dr. Alex Jimenez anopa maitiro akakodzera ekuongorora uye ekuongorora anoshandiswa muhofisi kuti awedzere kujekesa uye akakodzera kuongororwa kwekuongorora.
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP Nerve Injury , Neuropathy , Kuongorora Maedzo
Vanhu varikunzwa kurwadziwa kwetsinga kana manzwiro akasiyana siyana kuwana nerve conduction velocity kudzidza kuti vaongorore hutano hwetsinga uye kushanda?
Nerve Conduction Velocity
Nerve conduction velocity (NCV) muedzo usingaiti unoyera kukurumidza uye simba rekukurudzira tsinga uchishandisa magetsi anoiswa paganda. Inoshandiswa kuongorora kukuvara kwetsinga kana chirwere, kazhinji padivi peEMG (electromyogram) kusiyanisa pakati pezvinetso zvetsinga uye tsandanyama. Inogonawo kuongorora nyaya dzekunzwa, kurwadziwa, uye kushaya simba kwemagumo.
Muedzo uyu unosanganisira kuvhunduka kwemagetsi kwakachengeteka uko kunogona kusagadzikana zvishoma asi kusingarwadze.
Nerve conduction velocity (NCV) inoyera kukurumidza kwemagetsi emagetsi anofamba achitevedza nerve fiber, iyo inoyera kuti masaini emagetsi anokurumidza kufamba sei kuburikidza netsinga.
Ruzivo urwu runoratidza hutano hwetsinga uye basa.
Electromyography (EMG) bvunzo dzetsinga dzinosanganisira kuisa tutsono mumhasuru.
NCV inononoka inogona kuratidza kukuvara kwetsinga kana kusashanda.
Test Uses
Kazhinji, bvunzo inorairwa kuti iongorore peripheral nerve zvirwere, izvo zvinobatana kubva mumhasuru, nhengo, uye ganda kumusana kana uropi. Inogona kubatsira kuziva rudzi uye nzvimbo yekukuvara kwetsinga.
Peripheral nerve mamiriro anowanzo kukonzera marwadzo, kurasikirwa kwekunzwa, kurira, kana kupisa.
Utera hunyoro uye kuderera kwemafungiro kunogona kuonekwa panguva yekuongorora tsinga.
Conditions
Nerve conduction zvidzidzo zvinoitwa kubatsira kuongorora mamiriro.
Herniated disc chirwereSciatic nerve matambudziko
Carpal tunnel syndrome
Guillain-Pazvibato zvechizarira urwere
Kukuvadzwa kwetsinga (neuropathy), senge kubva kuchirwere cheshuga, chemotherapy, kana autoimmune kusagadzikana
Charcot-Marie-Tooth chirwere
Nerve compression
Mamiriro mazhinji akasiyana, anosanganisira kukuvadzwa, kuzvimba, uye mamota, anogona kumanikidza imwe kana akawanda tsinga.
Radiculopathy
Kazhinji inotsanangurwa sepinched nerve, radiculopathy inogona kukanganisa ruoko kana gumbo, zvichikonzera kurwadziwa uye kushaya simba.
Peripheral Neuropathy
Kukuvadzwa kwetsinga uku kunotanga mutsinga dzakanyanya kureba, idzo dziri kure nepakati pemuviri, sezvigunwe nezvigunwe. Kunowanzokonzerwa nekunwa doro zvisina kufanira kusingaperi, chirwere cheshuga chisingadzoreki, kushomeka kwezvokudya zvinovaka muviri, uye zvirwere zvinoputika. (Ferdous M. et al., 2020 )
Carpal Tunnel Syndrome
Inowanzo kukonzerwa nezvirwere zvinoputika kana kunyanya kushandiswa kwemaoko, zvakadai kubva pamusangano webasa, carpal tunnel syndrome inokonzera kupera, kurwadziwa, uye kushaya simba kweminwe nemaoko. (Tada K. et al., 2022 )
Ulnar neuropathy
Ichi chiitiko chinowanzoitika chinokonzera kurwadziwa kwemaoko uye kuchinja kwekunzwa, kazhinji nekuda kwekudzokorora mafambiro kana nzvimbo yakareba iyo inokonzera kudzvinyirira paurnar nerve.
Guillain-Barré syndrome (GBS)
Ichi chirwere chinoputika chinokonzera kupera simba, kana kurasikirwa kwechifukidzo chekudzivirira chakakomberedza mitsipa, izvo zvinoguma nekushaya simba kwemakumbo.
Inotanga mutsinga dzemotokari, iyo inotumira zviratidzo kumasumbu mumakumbo. (Shibuya K. et al., 2022 )
Kuzvimba kunoenda kutsinga dzepamusoro pemuviri, kazhinji kunokanganisa tsandanyama dzinodzora kufema.
Kutsigira kwekufema kunodiwa kusvikira mamiriro acho aita nani.
Chronic Demyelinating Polyneuropathy (CIDP)
Ichi chirwere chisingaperi, chimiro cheGBS chinowanzobata makumbo uye chinokonzera zvikamu zvekushaya simba.
ICU neuropathy
Kuchinja kwemetabolic, kurwara kwakanyanya, uye kusafamba zvakakwana kunogona kukonzera tsinga kukudziridza maitiro ekushaya simba uye kurasikirwa kwekunzwa.
Myasthenia gravis (MG)
Ichi chimiro che autoimmune chinokanganisa kusangana pakati petsinga nemamhasuru.
Myasthenia gravis inokonzera kurembera kwemaziso uye kupera simba kwemaoko nemapendekete.
Amyotrophic lateral sclerosis (ALS)
ALS chirwere chakakomba, chinopera simba chinokanganisa tsinga dzemuzongoza.
Amyotrophic lateral sclerosis inofambira mberi nekukurumidza, zvichiita kuti tsandanyama dzisasimba mumuviri wese.
Zvinoitwa sei
Maelectrode epamusoro anoiswa paganda pamusoro petsinga, uye magetsi madiki anoiswa kuti akurudzire tsinga.
Nguva inotora kuti chiratidzo chemagetsi chifambe pakati pemagetsi chinoyerwa, uye nguva ino inoshandiswa kuverenga NCV.
Values
Normal NCV values kazhinji ari pakati pe50 uye 70 metres pasekondi. Zvisinei, izvi zvakakosha zvinogona kusiyana zvichienderana netsinga uye munhu.
NCV Factors
Zvinhu zvakasiyana zvinogona kukanganisa NCV.
zera
Sex
Mamiriro ekurapa akaita sechirwere cheshuga
Tsanangudzo
NCV inononoka inogona kuratidza kukuvara kwetsinga kana demyelination (kurasikirwa kwemyelin sheath, iyo insulates nerve fibers), nepo EMG inogona kubatsira kuona kana dambudziko riri mutsinga kana tsandanyama.
Results
Mhedzisiro yekuyedzwa kweNCV inogona kushandiswa kuona rudzi, kuoma, uye nzvimbo yekukuvara kwetsinga. Mhedzisiro ichave yakagadzirira mufomu reshumo rinenge vhiki mushure mebvunzo.
Muedzo unoyera velocity (kukurumidza sei tsinga inotumira masaini) uye amplitude (ingani tsinga fiber dzakaitwa). (Tavee J. 2019 )
Zviyero zvinotumirwa kukombiyuta uye zvinoratidzwa semasaisai uye nhamba dzenhamba.
Izvo zvakakosha zvinofananidzwa nechiyero chechiyero chinobva pane yakaedzwa nerve.
Nharaunda pakati pemagetsi.
Zera remunhu.
Kuenzaniswa nechiyero, mhedzisiro yeNCV inogona kuona mamwe mapatani ekukuvara kwetsinga. (Tada K. et al., 2022 ) Migumisiro inosanganisira: (Tavee J. 2019 )
Kana imwe kana dzakawanda tsinga dzabatwa.
Kana mota tsinga (kudzora kufamba), tsinga dzekunzwa (kutumira masaini), kana zvese zviri zviviri zvakakanganiswa.
Kana tsinga yakavharika kana kukuvara.
Kuoma kwekukuvara.
Rudzi rwekukuvara kwetsinga
Axonal (kukuvadza kune nerve pachayo)
Demyelination (kukuvadza kune inodzivirira mafuta layer yakatenderedza nerve)
Mhedzisiro yacho inogona kubatsira kunongedza kune kumwe kuongororwa.
Kugadzirira Kusati Kwaitwa Muedzo
Vanhu havazodi kuchinja kudya kwavo vasati vava neNCV. Nekudaro, varwere vanozokumbirwa kudzivirira mafuta ekuzora kana makirimu paganda ravo vasati vaongororwa. Vanhu vanenge vaine EMG panguva yeNCV yavo vanogona kukumbirwa kuti varege kutora mishonga kana ma supplements anowedzera njodzi yekubuda ropa nekupwanya. Kana murapi wehutano akati usarege kunwa mishonga nekuda kwehutano, murwere anogona kunyeverwa kuti anogona kuve nemavanga mushure mekuongororwa kweEMG.
NCV inogona kuraira kusawana bvunzo kune avo vane magetsi emagetsi ekuisa.
Ita shuwa kuti vatapi vako vehutano vanoziva nhoroondo yako yese yekurapa.
Injury Medical Chiropractic & Functional Medicine Clinic
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.
Peripheral Neuropathy uye Chiropractic Care
VIDEO
References
Ferdousi, M., Kalteniece, A., Azmi, S., Petropoulos, IN, Worthington, A., D'Onofrio, L., Dhage, S., Ponirakis, G., Alam, U., Marshall, A., Faber, CG, Lauria, G., Soran, H., & Malik, & 2020). Corneal confocal microscopy ichienzaniswa nehuwandu hwekunzwa bvunzo uye tsinga conduction yekuongorora uye stratifying kuoma kwechirwere cheshuga peripheral neuropathy. BMJ yakavhura tsvagiridzo yechirwere cheshuga & nehanya, 8(2), e001801. doi.org/10.1136/bmjdrc-2020-001801
Tada, K., Murai, A., Nakamura, Y., Nakade, Y., & Tsuchiya, H. (2022). MuCarpal Tunnel Syndrome, Sensory Nerve Conduction Velocities Yakaipisisa muFinger Finger kupfuura muIndex Finger. Frontiers muNeurology, 13, 851108. doi.org/10.3389/fneur.2022.851108
Shibuya, K., Tsuneyama, A., Misawa, S., Suzuki, YI, Suichi, T., Kojima, Y., Nakamura, K., Kano, H., Ohtani, R., Aotsuka, Y., Morooka, M., Prado, M., & Kuwabara, S. (2022). Mhando dzakasiyana dzekunzwa tsinga kubatanidzwa mune zvisingaperi kuzvimba demyelinating polyneuropathy subtypes. Tsandanyama netsinga, 66(2), 131–135. doi.org/10.1002/mus.27530
Tavee J. (2019). Nerve conduction zvidzidzo: Basic concepts. Handbook of Clinical Neurology, 160, 217-224. doi.org/10.1016/B978-0-444-64032-1.00014-X
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP Kufungidzira & Diagnostics , Kuongorora Maedzo , Vakwegura
Chii chinonzi bone density test, inoitwa sei, uye zvinorevei?
Bone Density Test
Muedzo webhonzo density unoongorora huremu hwemapfupa, hunoratidza kusimba kwebhonzo rose. Kuongorora kuwanda kwemapfupa kana kuwanda kunodiwa pakuongorora osteopenia kana osteoporosis, mamiriro ezvinhu anowedzera njodzi yekutyoka mapfupa. Iyo scan inoitwa kuburikidza nehuviri-simba X-ray absorptiometry (DEXA), iyo inoongorora ukobvu hwemapfupa. Migumisiro inobva kuDEXA scans inofananidzwa nemaitiro akaenzana kuti aone kana kuwedzera kwepfupa kwakaderera pane zvakajairika uye kana osteopenia kana osteoporosis iripo.
Kuongorora
Nzira yacho inoongorora kusimba kwebhonzo, kana kuti uremu hwebhonzo. Kuwanda kwemapfupa, kana kuwanda, chiratidzo chese chesimba remapfupa. Iyo yakakura kusimba kwemapfupa, iyo yakakura uye yakasimba mapfupa. Muedzo uyu unoshandiswa kuona osteoporosis, chirwere chinoratidzwa nebrittle mapfupa ari panjodzi yekutyoka nekuda kwekuderera kwakanyanya kwemapfupa. Kuongororwa kwemapfupa emapfupa kunogonawo kuongorora osteopenia, chirwere chinoratidzwa nechepasi pane chemazuva ose bhonzo chinogona kukonzera osteoporosis. (National Institute of Arthritis uye Musculoskeletal uye Skin Zvirwere, 2025 ) Zvinokurudzirwa kuti vakadzi vose vane makore 65 zvichikwira uye varume vose vane makore 70 zvichienda mberi vane ongororo yakaitwa kuti ione kuparara kwemapfupa kuitira kudzivirira kutyoka. (Kling JM, Clarke BL, & Sandhu NP 2014 )
Bone density scans inogona kumisikidza nhanho yekutanga yefupa density uye yekutevera shanduko nekufamba kwenguva.
Kune vanhu vane osteoporosis kana osteopenia, pfupa density scan inogona kubatsira kutarisa kuti mapfupa avo anopindura sei pakurapwa.
nzira
Chiyero chepfupa chinonyanyozivikanwa ndeye maviri-simba X-ray absorptiometry, kana DEXA, scan. A DEXA scan yakafanana nekutora X-ray, asi inoshandisa matanda maviri kugadzira kuverenga kwakadzama uye kwakadzama. (National Institute of Arthritis uye Musculoskeletal uye Skin Zvirwere, 2025 )
Munguva yeDEXA scan, murwere anorara nemanhede patafura nemakumbo ake akasimudzwa papuratifomu.
Iyo X-ray scanner ichapfuura pamusoro pemusana nemuhudyu apo imwe inoongorora pasi.
Panguva iyo scan inoitika, murwere anokumbirwa kuti arambe akanyarara kuti awane mufananidzo chaiwo.
Iyo scan inowana kuverengerwa kwepfupa density kubva ku muzongoza uye hudyu, mapfupa maviri anowanzotyoka, uye kazhinji anotora asingasviki maminetsi makumi matatu.
Results
A DEXA scan inoyera kusimba kwemapfupa mukati magiramu pa centimita akaenzana (g/cm²) . Nhamba iyi inoratidza kuti masero emapfupa akaungana sei munzvimbo yakati rebhonzo. Iyi pfupa density kuverenga inozofananidzwa neyakajairwa kukosha kuti uone kana pfupa density iri mukati meyakajairika renji kana yakaderera pane avhareji.
Kune vakadzi vane postmenopausal nevarume vane makore makumi mashanu zvichikwira, pfupa density values inopihwa T mamaki. Iwo maT-scores anobva afananidzwa neakamisikidzwa bhonzo density level yeane hutano ane makore makumi matatu ekukura ane peak bone density level. (Kling JM, Clarke BL, & Sandhu NP 2014 ) Zvibodzwa zvinoratidza zvinotevera: (Kling JM, Clarke BL, & Sandhu NP, 2014 )
Yakaenzana nekubvisa 1.0 kana pamusoro: Yakajairika bhonzo density
Pakati peminus 1.0 uye minus 2.5: Low bone density (osteopenia)
Yakaenzana nekubvisa 2.5 kana pasi: Osteoporosis
Bone density values dzinotaurwa sechibodzwa cheZ chevakadzi vasina kuenda kumwedzi uye varume vari pasi pemakore makumi mashanu.
Z zvibodzwa zvinofananidzwa nehuwandu hwemapfupa evanhu vezera rimwe chete uye zvepabonde.
AZ chibodzwa cheminus 2.0 kana pasi chinoratidza kuderera kwemapfupa, izvo zvinogona kukonzerwa nezvimwe zvinhu kunze kwekuchembera, senge. migumisiro yemishonga, kushomeka kwekudya, kana matambudziko ethyroid .
Arthritis Kuongororwa
Nekuti DEXA scan inongoyera ukobvu hwemapfupa, haishande kuongorora arthritis. I-X-ray yejojo rakakanganiswa ikozvino ndiyo nzira yakarurama yekuongorora arthritis. Iyo Kellgren-Lawrence classification system inoronga huwandu hweArthritis zvichienderana nekuoma kwekukuvara kwemajoini kunoonekwa paX-ray. Maererano nehurongwa uhu, arthritis inogona kuiswa se: (Kohn MD, Sassoon AA, & Fernando ND 2016 )
Grade 1 (mudiki)
Nzvimbo shoma shoma kana kuti isina majoini iri kutetepa, nekukwanisa kuumbwa kwebhonzo.
Grade 2 (nyoro)
Zvinogoneka nzvimbo yejointing ichitetepa, ine chokwadi bhonzo spur kuumbwa.
Grade 3 (pakati)
Yakakwana nzvimbo yakabatana ichitetepa, ine mwero bone spur formation, mild sclerosis (abnormal thickening of bone), uye zvinogona kukanganisa magumo emapfupa.
Grade 4 (yakaoma)
Yakanyanya majoini nzvimbo kutetepa, hombe spur kuumbwa, marked sclerosis, uye deformation chaiyo yemabhonzo magumo.
Injury Medical Chiropractic & Functional Medicine Clinic
Kuita maekisesaizi kunogona kubatsira zvakanyanya pakuvandudza kusimba kwemapfupa, kufamba kwemajoini, uye kusimba kwemhasuru dzakatenderedza, dzinotsigira nekudzivirira majoini nemapfupa. Taura nemutarisiri wehutano kuti udzidze kuti ndezvipi zvinopindira uye nzira dzekurapa dziripo dzinogona kunyanya kushanda. 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.
Osteoporosis
VIDEO
References
National Institute of Arthritis uye Musculoskeletal uye Skin Zvirwere. (2025). Bone mineral density bvunzo: izvo nhamba dzinorevei. Zvakatorwa kubva www.niams.nih.gov/health-topics/bone-mineral-density-tests-what-numbers-mean
Kling, JM, Clarke, BL, & Sandhu, NP (2014). Osteoporosis kudzivirira, kuongorora, uye kurapwa: wongororo. Nyaya yehutano hwevakadzi (2002), 23 (7), 563-572. doi.org/10.1089/jwh.2013.4611
Kohn, MD, Sassoon, AA, & Fernando, ND (2016). Zvikamu Muchidimbu: Kellgren-Lawrence Kukamurwa kweOsteoarthritis. Clinical orthopedics uye tsvakurudzo yakabatana, 474 (8), 1886-1893. doi.org/10.1007/s11999-016-4732-4
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP Pasi Pasi Pain , Kuongorora Maedzo
Ko Oswestry Low Back Pain Disability Questionnaire inogona kubatsira kuongorora kuti marwadzo ekudzokera shure anokanganisa sei kukwanisa kwevanhu kuita mabasa ezuva nezuva nemabasa uye kubatsira varapi vepanyama kuti vaise chiyero chemugumisiro muurongwa hwekurapa hunobudirira?
Oswestry Disability Questionnaire
The Oswestry Disability Questionnaire, inozivikanwawo seOswestry Disability Index, inopa chinangwa dhata pamusoro pekurwadziwa kwemunhu. Inotarisa kuoma kwemarwadzo uye kuti inoderedza zvakadini mabasa avo ezuva nezuva. Bvunzurudzo chiyero chakasimbiswa chinotsigirwa netsvagurudzo inogona kushandiswa kururamisa kudiwa kwekurapwa. Inosanganisira mibvunzo ine chekuita nezviratidzo uye kuoma kwemarwadzo ekudzokera shure uye kuti zviratidzo izvi zvinokanganisa sei mabasa enguva dzose. Kurwadza kwepazasi kumashure kunogona kukonzerwa nezvikonzero zvakasiyana (National Institute of Neurological Disorders uye Stroke, 2020 )
Murombo kumira Kuberekwa
Kushushikana kwetsandanyama yepasi
Tsandanyama kusaenzana
Bulging discs
Herniated discs
Ropa kumanikidza midzi
Sacroiliac pamwe chete pakubata
Arthritis, kusanganisira kuzvimba marudzi eArthritis senge psoriatic arthritis uye ankylosing spondylitis.
Lumbar vertebrae compression fractures - kazhinji kubva mukushungurudzika kana osteoporosis.
Kuvhiyiwa kwakaderera kumashure - kunosanganisira spinal fusions, dicectomies, uye laminectomies.
Spinal stenosis
Spondylolisthesis
Scoliosis
Mashandiro Anoita Gwaro Remibvunzo
The Oswestry Disability Questionnaire ine mibvunzo ye10 pamusoro pemigumisiro yemarwadzo ekudzokera shure muupenyu hwezuva nezuva. Mibvunzo yacho yakakamurwa muzvikamu zvinotevera: (American Academy yeOrthopedic Surgeons, ND )
Pain Intensity
Kurwadziwa kwakanyanya sei?
Kana mishonga inonyaradza marwadzo ikashandiswa, inguva yakadii yechiratidzo yavanopa?
Personal Care
Murwere anogona here kuita mabasa ekuzvitarisira sekugeza uye kupfeka kana achirwadziwa zvakanyanya kana zvisingakwanisi?
Kana rubatsiro rwokunyama runobva kune mumwe munhu ruchidiwa?
Kusimudza
Murwere anogona here kusimudza zvinhu zvakaita sezviyereso zvine kana pasina kurwadziwa?
Kusimudza kungaitwa kubva pasi kana pakakwirira setafura kana zvinhu zvacho zvikareruka, zviri pakati nepakati, kana kuti zvinorema?
kufamba
Kana uye kusvika pamwero wakadii marwadzo anodzikamisa daro rekufamba kwemurwere uye kuzvimiririra?
Kana mudziyo wekubatsira semudonzvo kana madondoro uchidiwa?
Akagara
Kana zvakadaro, kurwadziwa kwakadini kunoganhurira kugara kwemurwere?
akamira
Kana zvakadaro, kurwadziwa kwakadini kunoganhurira kushivirira kwakamira kwomurwere?
Kurara
Kana zvakadaro, kurwadziwa kwakadini kunoganhurira nguva yokurara kwomurwere?
Kana mushonga wemarwadzo uchidiwa kubatsira murwere kurara zvakanaka?
Social Life
Kana uye kusvika pamwero wakadii mabasa emagariro emurwere akaganhurirwa nekuda kwezviratidzo zvekurwadziwa?
Kuenda
Kana zvakadaro, marwadzo anoganhurira kusvika kutambanukoi kukwanisa kwomurwere kufamba?
Basa uye / kana Kugadzira Kumba Mabasa
Kurwadziwa kunoderedza kukwanisa kwemurwere kuita zvine chekuita nebasa uye/kana mabasa emumba, anosanganisira mabasa anorema uye akareruka?
Varwere vanozvizivisa ivo pachavo ruzivo uye vanozvizadzisa ivo pachavo zvichienderana nekunzwisisa kwavo kuwanda kwekurwadziwa kwavo kwepazasi nekuremara.
Mubvunzo wega wega unogona kupihwa zvibodzwa pakati pe0 ne5, 0 ichiratidza kuti hapana painogumira uye 5 ichiratidza hurema hwakakwana.
Zvibodzwa kubva mumibvunzo yese zvinowedzerwa pamwe chete kuti zviwedzere zvibodzwa makumi mashanu.
Mimhanzi
Iyo Oswestry Disability Questionnaire inoongorora kuti yakawanda sei kurwadziwa kwemurwere kudzika kumashure kunomisa zviitiko zvezuva nezuva. Ruzivo urwu runoshandiswa mumagwaro ekiriniki emabasa ekurapa. Chibodzwa chepamusoro chinoratidza huwandu hukuru hwekuremara, zvichienderana nezvinotevera zvibodzwa maitiro:
0–4: Hapana hurema
5–14: Kuremara zvishoma
15–24: Hurema huri pakati nepakati
25–34: Kuremara kwakanyanya
35–50: Kuremara zvachose
Varapi vepanyama vanofanirwa kugadzira zvinangwa zveumwe neumwe murwere kuti agadzire chirongwa chekurapa uye kugamuchira mvumo kubva kumakambani einishuwarenzi. Chimwe chezvakakosha zvechinangwa chekurapa kwemuviri ndechekuti inofanirwa kuyerwa. Iyo Oswestry Disability Questionnaire inopa nhamba yenhamba yekutevera mipimo yekushanda uye kutarisa huwandu hwekufamba uye kuyedzwa kwesimba. Chiyero chekutanga chinotorwa pakutanga kwekurapa, uye kufambira mberi kunoteverwa mukushanya kwekutevera. Chibodzwa chitsva chinoshandiswa sechinangwa chekurapa. Maererano nekuongorora, the misiyano yekiriniki yakakosha (MCID ) yeOswestry Disability Questionnaire iri 12.88 . Iyo MCID ndiyo yakaderera mamakisi evanopa hutano anofanirwa kusimbisa kufambira mberi kwemurwere mukushanda nekuda kwekurapwa. (Johnsen, LG et al., 2013 )
Nekutevera shanduko muhuwandu hwese pamberi, panguva, uye mushure mekurapwa, vatapi vehutano vanogona kuongorora zvirinani kuti kurapwa kunovandudza zviratidzo. Kudzikira kwezvibodzwa zvese nemapoinzi gumi nematatu kana kudarika kungaratidza kuti kurapwa kuri kubatsira kuvandudza marwadzo ekumusana uye nhanho yekuremara. Pamwe chete nemhedzisiro yekuongororwa kwemuviri, zvibodzwa zvemurwere uye kuoma kwezviratidzo zvinogona kubatsira vatapi vehutano kuona chirongwa chakakodzera chekurapa.
Hapana Kuremara
Kurapa hakuna kudiwa kunze kwekupa zano rekusimudza mechanics uye zvakajairika kurovedza muviri kuchengetedza hutano.
Hurema Hunyoro
Matanho ekuchengetedza, akadai sekurapa kwemuviri, kurovedza muviri, kupisa kana kutonhora kurapwa, mishonga yemarwadzo, uye kuzorora, zvinodiwa kubatsira kuderedza zviratidzo.
Kuremara Pakati
Kunyanya kupindira kwehasha kunodiwa, izvo zvinogona kusanganisira mabasa akawanda ekurapa kwemuviri uye kugadzirisa marwadzo.
Kuremara Kwakanyanya
Kupindira mune zvekurapa kwakakosha kunodiwa, kusanganisira kuvhiyiwa, kugadzirisa marwadzo, midziyo yakaita sewiricheya, uye rubatsiro kubva kune anochengeta.
Yakaremara zvachose
Varwere vangave vari pamubhedha kana kuti vane zviratidzo zviri kuwedzera, uye muchengeti anodiwa kuti apedze mabasa ezuva nezuva uye mabasa ekuzvitarisira.
Kukuvadza Chiremba Chiropractic uye Inoshanda Mushonga Kliniki
Kuvandudzwa kwekufamba, simba, uye kunaka kwekufamba uye kuderera kwehuwandu hwehuwandu hunogona kubatsira kuratidza maitiro akanaka ekurapwa mukugadzirisa marwadzo emusana. Kunyatsoongorora kwezvokurapa uye kuongororwa kwekuongorora, zvakadai se-X-ray, MRI, kana EMG, inogona kubatsira kuziva zvikonzero, kuziva chikonzero chechinetso, uye kugadzira chirongwa chekurapa chinoshanda. Injury Medical Chiropractic uye Functional Medicine Clinic inoshanda nevarapi vehutano hwekutanga uye nyanzvi kugadzira zvirongwa zvekurapa zvemunhu. Kushandisa nzira yakabatanidzwa yekurapa kukuvara uye kusingaperi kurwadziwa syndromes kuvandudza kushanduka, kufamba, uye agility uye kubatsira vanhu kudzokera kumabasa emazuva ose. Vapeji vedu vanoshandisa Functional Medicine, Acupuncture, Electro-Acupuncture, uye Sports Medicine nheyo. Kana mamwe marapirwo achidiwa, Dr. Jimenez akabatana nevanovhiya vepamusoro, nyanzvi dzekiriniki, vatsvakurudzi vezvokurapa, uye vanopa rubatsiro.
Kugadzirisa Hutano Hwako
VIDEO
References
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
American Academy yeOrthopedic Surgeons. (ND). Oswestry Low Back Pain Disability Questionnaire. www.aaos.org/globalassets/quality-and-practice-resources/patient-reported-outcome-measures/spine/oswestry-2.pdf
Johnsen, LG, Hellum, C., Nygaard, OP, Storheim, K., Brox, JI, Rossvoll, I., Leivseth, G., & Grotle, M. (2013). Kuenzanisa kweSF6D, EQ5D, uye oswestry disability index mune varwere vane chirwere chisingaperi chisingarware shure uye degenerative disc chirwere. BMC musculoskeletal kusagadzikana, 14, 148. doi.org/10.1186/1471-2474-14-148
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP Hip Pain & Dambudziko , Kuongorora Maedzo
Hudyu ijoini rebhora-ne-socket rinoumbwa nemusoro wefemu uye socket, inova chikamu chepelvis. Iyo labrum igoroti mhete pane socket chikamu chejojo yehudyu iyo inobatsira kuchengetedza majoini emvura mukati kuti ave nechokwadi chekusawirirana kwehudyu kufamba uye kurongeka panguva yekufamba. A labral misodzi yehudyu kukuvara kune labrum. Kukura kwekukuvara kunogona kusiyana. Dzimwe nguva, hip labrum inogona kuva nemisodzi midiki kana kuputika kumicheto, kazhinji kunokonzerwa nekupfeka zvishoma nezvishoma. Mune zvimwe zviitiko, chikamu chebhubhu chinogona kuparadzanisa kana kubvamburwa kubva pachigadziko chepfupa. Mhando dzekukuvara kwemhando idzi dzinowanzokonzerwa nekushungurudzika. Kune Conservative hip labral tear test kuti uone rudzi rwekukuvara. Iyo Injury Medical Chiropractic uye Functional Medicine Clinic timu inogona kubatsira.
zviratidzo
Zviratidzo zvakafanana zvisinei nerudzi rwekubvaruka, asi kwazvinonzwikwa zvinoenderana nekuti kubvaruka kuri kumberi here kana kumashure. Zviratidzo zvakajairika zvinosanganisira:
Hudyu yakaoma
Chikamu chisina kukwana chekufamba
Kudzvanya kana kukiya manzwiro muhudyu yekubatana kana uchifamba.
Marwadzo muhudyu, chiuno, kana magaro, kunyanya pakufamba kana kumhanya.
Usiku kusagadzikana uye kurwadziwa zviratidzo pakurara.
Mimwe misodzi inogona kusakonzera zviratidzo uye inogona kusaonekwa kwemakore.
Hip Labral Misodzi Miedzo
A hip labral misodzi inogona kuitika chero padivi pe labrum. Inogona kutsanangurwa seanterior kana posterior, zvichienderana nekuti chikamu chipi chejoinhi chinokanganiswa:
Anterior hip labral misodzi : Mhando yakajairika yehudyu labral misodzi. Misodzi iyi inoitika pamberi pekubatana kwehudyu.Posterior hip labral misodzi : Mhando iyi inooneka kumashure kwehudyu joint.
miedzo
Iyo inonyanya kuzivikanwa hip labral misodzi bvunzo inosanganisira:
Iyo Hip Impingement Test
Gumbo Rakakwana Kusimudza Muedzo
The FABER Muedzo - inomirira Flexion, Abduction, uye External Rotation.
The CHETATU Muedzo - inomirira Hip Internal Rotation ine Distraction.
Hip Impingement Miedzo
Kune marudzi maviri ehudyu impingement bvunzo.
Anterior Hip Impingement
Muedzo uyu unosanganisira murwere akarara nemabvi ake akakotama pa90 madhigirii obva atenderera mukati akananga mumuviri.
Kana pane marwadzo, muedzo unofungidzirwa kuti wakanaka.
Posterior Hip Impingement
Muedzo uyu unosanganisira murwere akarara nemanhede achitambanudzira hudyu uye mabvi avo akatambanuka uye akakotama pa90 degrees.
Gumbo rinobva ratenderedzwa kunze nemuviri.
Kana zvikaguma nemarwadzo kana kutya, zvinoonekwa sezvakanaka.
Gumbo Rakarurama Simudza Muedzo
Uyu muedzo unoshandiswa pahutano hwakasiyana-siyana hunosanganisira kurwadziwa shure.
Kuongororwa kunotanga murwere akagara kana kurara.
Parutivi rusina kukanganiswa, huwandu hwekufamba hunoongororwa.
Ipapo chiuno chinochinjika apo ibvi rakatwasuka pamakumbo ese.
Murwere anogona kukumbirwa kuchinjisa mutsipa kana kutambanudza tsoka kutambanudza tsinga.
The FABER Test
Inomirira Flexion, Abduction, uye External Rotation.
Muedzo unotanga murwere avete nemanhede makumbo akatwasuka.
Gumbo rakabatwa rinoiswa muchimiro chechina chinzvimbo.
Chiremba anozoshandisa kuwedzera kuderera kuderera kune ibvi rakakotama.
Kana paine kurwadziwa kwehudyu kana kugomera, bvunzo yacho yakanaka.
Iyo YECHITATU Muedzo
Izvi zvinomirira - the Hip Internal Rotation ne Kushungurudza
Muedzo unotanga murwere avete nemanhede.
Murwere anobva achinjisa ibvi rake ku90 madhigirii uye anoritenderedza mukati akapoteredza 10 madhigirii.
Hudyu inozotenderedzwa ichienda mukati ichidzika nekudzika pajojo rehudyu.
Mufambiro wacho unodzokororwa nejoinhi rakavhiringika/kudhonzwa nepakati.
Inofungidzirwa kuti yakanaka kana marwadzo aripo apo hip inotenderera uye inoderedza marwadzo kana ichikanganiswa uye ichitenderera.
Chiropractic Treatment
Chiropractic kurapwa kunosanganisira kugadzirisa hudyu kugadzirisa mapfupa akatenderedza muhudyu uye kumusoro kuburikidza nemuzongoza, soft tissue massage therapy kuzorodza tsandanyama dzakatenderedza pelvis nechidya, inonangwa flexibility exercises kudzoreredza kufamba kwekufamba, motor control exercises, uye kusimbisa maekisesaizi kugadzirisa tsandanyama kusaenzana.
Kurapa uye Kurapa
VIDEO
References
Chamberlain, Rachel. "Hip Pain muVakuru: Kuongorora uye Kusiyanisa Kuongororwa." Chiremba wemhuri yeAmerica vol. 103,2 (2021): 81-89.
Groh, MM, Herrera, J. Ongororo yakazara yehudyu labral misodzi. Curr Rev Musculoskelet Med 2, 105-117 (2009). doi.org/10.1007/s12178-009-9052-9
Karen M. Myrick, Carl W. Nissen, Muedzo WECHITATU: Kuongorora Hip Labral Misodzi NeNew Physical Examination Technique, The Journal for Nurse Practitioners, Volume 9, Issue 8, 2013, Mapeji 501-505, ISSN 1555-4155, doi.org/10.1016/j.nurpra.2013.06.008 . (www.sciencedirect.com/science/article/pii/S155541551300367X )
Roanna M. Burgess, Alison Rushton, Chris Wright, Cathryn Daborn, Kutendeseka uye kurongeka kwemakiriniki ekuongorora zvirwere zvinoshandiswa kuona labral pathology yehudyu: Kuongorora kwakarongeka, Manual Therapy, Volume 16, Issue 4, 2011, Mapeji 318-326 , ISSN 1356-689X, doi.org/10.1016/j.math.2011.01.002 (www.sciencedirect.com/science/article/pii/S1356689X11000038 )
Su, Tiao, nevamwe. "Kuongororwa uye kurapwa kwerabral misodzi." Chinese medical journal vol. 132,2 (2019): 211-219. doi:10.1097/CM9.0000000000000020
Wilson, John J, naMasaru Furukawa. "Kuongororwa kwemurwere ane kurwadziwa kwehudyu." Chiremba wemhuri yeAmerica vol. 89,1 (2014): 27-34.
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP Kuongorora Maedzo , Spine Care
Kuongorora ankylosing spondylitis kazhinji inosanganisira miedzo yakawanda. Kana vanachiremba vakaraira kuongororwa ropa kuti vaone ankylosing spondylitis, munhu ari kusangana nezviratidzo zvakanyanya mumusana nemajoini. Kazhinji, kuongororwa kweropa kunoreva kuti chiremba ari kutsvaga humbowo hwechimwe chinhu chingave chiri kukonzera zviratidzo. Zvisinei, kuongororwa kweropa kwega hakugoni kunyatsoongorora ankylosing spondylitis, asi kana yakabatanidzwa nekufungidzira uye kuongorora, inogona kupa mazano anokosha anonongedza mhinduro.
Ankylosing Spondylitis Ropa Rokuongorora Kuongororwa
Ankylosing spondylitis ndiyo arthritis iyo inonyanya kukanganisa musana uye chiuno . Zvinogona kuve zvakaoma kuongorora sezvo pasina bvunzo imwe chete inogona kupa ruzivo rwakakwana rwekuongororwa kwechokwadi. Iko kusanganiswa kwekuongorora kwekuongorora kunoshandiswa, kusanganisira kuongorora kwemuviri, imaging, uye kuongororwa ropa. Vanachiremba havasi kungotsvaga mhedzisiro inonongedzera kune ankylosing spondylitis, asi ivo vari kutsvaga chero mhedzisiro inogona kunongedzera kure nemhedzisiro yespondylitis inogona kupa tsananguro yakasiyana yezviratidzo.
Physical Exam
Nzira yekuongorora ichatanga nenhoroondo yezvehutano yemunhu, nhoroondo yemhuri, uye kuongororwa kwemuviri. Munguva yekuongorora, chiremba achabvunza mibvunzo kubatsira kubvisa mamwe mamiriro ezvinhu:
Zviratidzo zvagara zvichionekwa kwenguva yakareba sei?
Zviratidzo zvinova nani nekuzorora kana kurovedza muviri?
Zviratidzo zviri kuwedzera here kana kuramba zvakafanana?
Zviratidzo zvinowedzera pane imwe nguva yezuva here?
Chiremba anozotarisa zvisingakwanisi mukufamba uye palpate nyoro nzvimbo. Vazhinji mamiriro ezvinhu anogona kukonzera zviratidzo zvakafanana , saka chiremba achatarisa kuti aone kana marwadzo kana kushaya kwekufamba kunopindirana neankylosing spondylitis. Chiratidzo cheankylosing spondylitis kurwadziwa uye kuoma mumajoini e sacroiliac . Majoini e sacroiliac anowanikwa muzasi kumashure, uko hwaro hwemusana uye pelvis zvinosangana. Chiremba anotarisa mamwe mamiriro emusana uye zviratidzo:
Zviratidzo zvekurwadziwa shure zvinokonzerwa ne-kukuvadzwa, maitiro ekugadzirisa, uye / kana nzvimbo dzekurara.
Lumbar spinal stenosis
Rheumatoid chearthritis
Psoriatic arthritis
Kuparadzanisa idiopathic skeletal hyperostosis
Family History
kuri
X-rays inowanzoshanda sedanho rekutanga pakuongororwa.
Sezvo chirwere ichi chichifambira mberi, mapfupa maduku matsva anoumba pakati pe vertebrae, pakupedzisira anoabatanidza.
X-rays inoshanda zvakanyanya pakuronga kufambira mberi kwechirwere pane yekutanga kuongororwa.
MRI inopa mifananidzo yakajeka mumatanho ekutanga sezvo zvinyorwa zvidiki zvichionekwa.
Dambudziko reRopa
Kuongororwa kweropa kunogona kubatsira kutonga kunze kwemamwe mamiriro uye kutarisa zviratidzo zvekuzvimba, kupa humbowo hunotsigira pamwe nemhedzisiro yekuongororwa kwekufungidzira. Zvinowanzotora rinenge zuva kana maviri kuti uwane mhinduro. Chiremba anogona kuraira imwe yeinotevera kuongororwa ropa:
HLA-B27
HLA-B27 bvunzo.
Iyo HLA-B27 gene inoratidza mureza mutsvuku kuti ankylosing spondylitis inogona kunge iripo.
Vanhu vane jini iri vane njodzi yakanyanya yekukudziridza mamiriro acho.
Yakasanganiswa nezviratidzo, mamwe maLab, uye bvunzo, inogona kubatsira kusimbisa kuongororwa.
ESR
Erythrocyte sedimentation rate ESR bvunzo t.
Muedzo weESR unoyera kuzvimba mumuviri nekuverenga chiyero kana kuti kukurumidza kukurumidza kwemasero matsvuku eropa kusvika kuzasi kwesampuli yeropa.
Kana vakagadzikana nekukurumidza kupfuura zvakajairwa, mhedzisiro inokwidziridzwa ESR.
Izvi zvinoreva kuti muviri uri kusangana nekuzvimba.
ESR mhedzisiro inogona kudzoka yakakwira, asi izvi chete hazvitarise AS.
CRP
C-inoshanda mapuroteni CRP bvunzo .
A CRP bvunzo inotarisa CRP mazinga , puroteni inobatanidza nekuzvimba mumuviri.
Yakakwira CRP mazinga anoratidza kuzvimba kana hutachiona mumuviri.
Ichi chishandiso chinobatsira pakuyera kufambira mberi kwechirwere mushure mekuongororwa.
Inowanzoenderana nekuchinja kwemusana kunoratidzwa paX-ray kana MRI.
Chete 40-50% yevanhu vane ankylosing spondylitis vanoona CRP yakawedzera.
Ana
ANA bvunzo
Anuclear antibodies Izvi zvinomutsa mhinduro yekudzivirira muviri iyo muviri unorwa kuti ubvise.
Imwe ongororo yakaratidza kuti ANA inowanikwa mu19% yevanhu vane ankylosing spondylitis uye yakakwirira muvakadzi kupfuura varume.
Yakasanganiswa nemimwe bvunzo, kuvepo kweANA kunopa imwe nzira yekuongororwa.
Gut Health
The gut microbiome inoita basa rinokosha pakukonzera kukura kweankylosing spondylitis uye kurapwa kwayo.
Ongororo yekuona hutano hweura inogona kupa chiremba mufananidzo wakakwana wezviri kuitika mukati memuviri.
Ropa rekuongorora kuongororwa kweankylosing spondylitis uye mamwe mamiriro ekuzvimba anovimba zvakanyanya nekubaya pamwe chete bvunzo dzakasiyana padivi nekiriniki bvunzo nekufungidzira.
Zvinokonzera, Zviratidzo, Kuongororwa, uye Kurapwa
VIDEO
References
Cardoneanu, Anca, et al. "Unhu hwe intestinal microbiome mu ankylosing spondylitis." Mushonga wekuedza uye wekurapa vol. 22,1 (2021): 676. doi:10.3892/etm.2021.10108
Prohaska, Et al. “Antinukleäre Antikörper bei Spondylitis ankylosans (Morbus Bechterew)” [Antinuclear antibodies in ankylosing spondylitis (transl yemunyori)]. Wiener klinische Wochenschrift vol. 92,24 (1980): 876-9.
Sheehan, Nicholas J. "Mamiriro eHLA-B27." Chinyorwa cheRoyal Society of Medicine vol. 97,1 (2004): 10-4. doi:10.1177/014107680409700102
Wenker KJ, Quint JM. Ankylosing spondylitis. [Yakagadziridzwa 2022 Kubvumbi 9]. Mu: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Inowanikwa kubva: www.yori.nlm.nih.gov/books/NBK470173/
Xu, Yong-Yue, nevamwe. "Basa regut microbiome mu ankylosing spondylitis: kuongororwa kwezvidzidzo mumabhuku." Discovery mushonga vol. 22,123 (2016): 361-370.
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP Musoro , Kuongorora Maedzo
The Adams mberi bend bvunzo Chiremba wechiRungu William Adams
Scoliosis Kuongororwa
Adams mberi-bend test inogona kubatsira kuona kana pane zviratidzo zve scoliosis.
Haisi kuongororwa kwepamutemo, asi mhedzisiro inogona kushandiswa senzvimbo yekutanga.
Muedzo unoitwa nezera rechikoro vana pakati pe10 ne18 kuona kuti ari kuyaruka idiopathic scoliosis kana kuti AIS. Muedzo wakanaka inoonekwa asymmetry mumabvu ane bend mberi.
Inogona kuona scoliosis mune chero chikamu chemusana, kunyanya mu thoracic pakati uye kumusoro kumashure.
Muedzo hausi wevana chete; scoliosis inogona kukura chero zera , saka inoshandawo kune vanhu vakuru.
Adams Forward Bend Test
Muedzo unokurumidza, nyore, uye haurwadzi.
Muongorori anoongorora kuti aone kana paine chisina kuenzana kana akamira akatwasuka.
Ipapo murwere achakumbirwa kukotamira mberi.
Murwere anokumbirwa kumira nemakumbo avo pamwe chete, akatarisa kure nemuongorori.
Ipapo varwere vanokotama kumberi kubva muchiuno, maoko akarembera achidzika pasi.
Muongorori anoshandisa a scoliometer -sezinga rekuona asymmetries mukati memusana.
Kutsauka kunonzi the Cobb angle
Muedzo weAdams ucharatidza zviratidzo zve scoliosis uye / kana zvimwe zvinogona kukanganisa zvakadai se:
Mafudzi asina kufanira
Zviuno zvisina kukwana
Kushaya symmetry pakati pe vertebrae kana mapepa emafudzi.
Musoro hauenderani ne mbabvu hump kana chiuno.
Kuonekwa kwezvimwe Zvinetso zveMuzongoza
Iyo bvunzo inogona zvakare kushandiswa kutsvaga spinal curvature nyaya uye mamiriro akadai:
Kyphosis kana hunchback, uko musana wepamusoro wakakotama kumberi.Chirwere cha Scheuermann's Congenital musana mamiriro
chisimbiso
Iyo Adams bvunzo pachayo haina kukwana kusimbisa scoliosis.
X-ray yakamira ine zviyero zveCobb angles pamusoro pegumi madhigirii inodiwa pakuongorora scoliosis.
Iyo Cobb angle inosarudza kuti ndeapi vertebrae akarereka zvakanyanya.
Iyo yakakwira kona, iyo yakanyanya kuomarara mamiriro uye zvakanyanya kuitika ichaburitsa zviratidzo.
Computed tomography kana CT uye magnetic resonance imaging kana MRI scans inogonawo kushandiswa.
Pamberi Bend Test
VIDEO
References
Glavaš, Josipa et al. "Basa remushonga wechikoro mukutanga kuona uye manejimendi yeadolescent idiopathic scoliosis." Wiener klinische Wochenschrift, 1–9. 4 Oct. 2022, doi:10.1007/s00508-022-02092-1
Grossman, TW nevamwe. "Ongororo yeAdams yekumberi bend bvunzo uye scoliometer mune scoliosis chikoro chekuongorora." Journal of Pediatric orthopedics vol. 15,4 (1995): 535-8. doi:10.1097/01241398-199507000-00025
Letts, M et al. "Computerized ultrasonic digitization muchiyero chemusana curvature." Muzongoza vol. 13,10 (1988): 1106-10. doi:10.1097/00007632-198810000-00009
Senkoylu, Alpaslan, et al. "Nzira yakapusa yekuongorora kutenderera kuchinjika muadolescent idiopathic scoliosis: yakagadziridzwa bvunzo yekumberi yaAdhamu." Kuremara kwemusana vol. 9,2 (2021): 333-339. doi:10.1007/s43390-020-00221-2
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP Chiropractic Examination , Kuongorora Maedzo
Kurwadziwa kwepashure ndechimwe chezvirwere zvinowanzoitika kune vanhu vanoshanyira chiremba kana kiriniki yekukurumidzira. Apo marwadzo ekudzokera shure anowedzera, zvinogona kukuita iwe kufunga kuti chimwe chinhu chakashata nemusana wako. Chiremba anogona kupa x-ray kana MRI yekuongorora kuti uise zvinetso zvako wakasununguka.
Sezvineiwo, zviitiko zvakawanda zvekurwadziwa kwemusana, kunyangwe kurwadziwa kwakanyanya, kunovandudza mukati memazuva kana mavhiki mashoma. Zviitiko zvizhinji zvinogadziriswa ne chiropractic , kurapwa kwemuviri, kupisa / ice therapy, uye kuzorora. Uye mazhinji emakesi aya haadi chero mhando yepinal imaging. Zvisinei, ndicho chikonzero X-ray, MRI, uye CT scans zvakakosha kuti uone zviri kuitika.
Yakatemerwa tsandanyama Sprained ligament Murombo kumira
Izvi zvinowanzoitika zvinokonzeresa kurwadza kwemusana zvinogona kurwadza uye kudzikisira zviitiko.
Kudzora Kurwadziwa Kugara Kwakareba Kupfuura 2 / 3 Mavhiki
Subacute kurwadziwa kunotora pakati pe4 uye 12 mavhiki, nepo kusingaperi kurwadziwa shure kunotora mwedzi mitatu kana kupfuura. Izvi hazvisi zviratidzo zvekunyanya kuderera kwemusana wemusana.
Zvishoma pane 1% yevanhu vane kurwadziwa kwakadzika kumashure vanoonekwa vaine mamiriro angada kuvhiyiwa musana:
X-rays kana MRIs yeKuongorora Low Back Pain
Doctors vanogona kukurudzira x-ray kana MRI kana kurwadziwa kwepashure kuchibva mukukuvadzwa kunorwadza , se:
pitikoti
Fall
Tsaona yemotokari
Zvimwe zvinogona kukonzera marwadzo ekudzokera shure zvinogona kubvumidza kufungidzira kwekurapa nekukurumidza kana gare gare.
Iyo yekuongorora maitiro anotanga nekuongorora kweakadzika kumashure zviratidzo uye kuti vanoenderana sei nezvakawanikwa munguva ye:
Kuedzwa kwepanyama Neurological bvunzo Nhoroondo yezvechiremba
Chiremba anoshandisa mhedzisiro iyi kuti aone kana kufungidzira kwemusana kwakakosha, pamwe chete nerudzi rwekufungidzira bvunzo, x-ray, kana MRI uye nguva yekusimbisa kuongororwa.
Iyo Yakadzika Y kumashure X-Ray / MRI
X-ray spinal imaging inonyanya kuona matambudziko emapfupa asi ndizvo haina hukuru nekukuvara kwakapfava kwematehwe . X-ray series inogona kuitwa kuti iongorore vertebral compression fractures.
pashure
Posterior
Maonero anozotevera
MRI muyedzo isina-radiation. MRIs kugadzira 3-D anatomical maonero emapfupa emuzongoza uye akapfava tishu . Dhiya rakasiyana gadolinium inoshandiswa kugadzirisa uye kugadzirisa iwo mhando yemifananidzo. Misiyano yacho inoiswa kuburikidza neye mutsipa unopinda ruoko kana ruoko pamberi kana panguva yekuyedzwa. An MRI inogona kuongorora zviratidzo zvetsinga, senge kupisa kurwadziwa kana kurwadziwa kunoitika mushure mekuongororwa kenza.
Zviratidzo, Co-iripo Medical Diagnoses, uye Mamiriro ezvinhu angada Spine Kufungidzira
Neurological zviratidzo
Kurwadza kwepazasi kumashure kunopenya, mafeni kunze, kana kudzika mumagaro, makumbo, uye tsoka
Kusabatwa zvakanaka mumuviri wepazasi kunogona kuratidza kukanganisika kwenzara
Kuzeya, kuonda, uye pamwe kushaya simba kunokura
Kusakwanisa kusimudza tsoka yako, akadonha tsoka
Co-iripo kurapwa ekuongororwa uye mamiriro
kenza
chirwere cheshuga
chimhepo
Osteoporosis
Yepfuura spinal fracture
Kuvhiyiwa kwenguva pfupi Zvichangoitika hutachiona
Immunosuppressant kushandisa mishonga
Corticosteroid mushonga
Kuonda
X-ray Radiation Kuratidzwa
Radiation kumuviri wako wese inoyerwa kuburikidza nemillisievert (mSv), inozivikanwawo sedhizi rinoshanda. The radiation dose yakaenzana pese paunosangana ne x-ray. Paunenge uchitora x-ray, iyo radiation isina kudhonzwa nemuviri inogadzira mufananidzo .
Door inoshanda inobatsira chiremba kuyera njodzi yacho mhedzisiro inogona kuitika of radiographic imaging:
CT scans inoshandisa radiation zvakare
Matishu emuviri chaiwo uye nhengo dziri kuzasi kumashure dzinonzwa kuratidzwa nemwaranzi, senge nhengo dzekubereka.
MRI Radiation-Yakasununguka Nei Isingori Shandisai Iyi Muedzo Nguva Yese
MRI haigone kushandiswa kune vese varwere nekuda kweiyo ine simba magineti tekinoroji. Vakadzi vane pamuviri kana vanhu vane simbi mukati memuviri wavo, semusana wepinal cord stimulator, moyo pacemaker, nezvimwewo, haigoni kuongororwa neMRI.
Kuongororwa kweMRI kunodhurawo; vanachiremba havadi kunyora bvunzo dzisina kufanira dzinowedzera mari. Kana kuti nekuda kwetsanangudzo yakanaka iyo MRIs inopa, dzimwe nguva nyaya yemuzongoza inogona kutaridzika yakaoma asi isiri.
muenzaniso: Iyo MRI yemusana wepashure inoratidza a herniated disc mumurwere asina kurwadziwa shure / gumbo kana zvimwe zviratidzo.
Ichi ndicho chikonzero vanachiremba vachiunza zvese zvavakawana senge zviratidzo, kuongororwa kwemuviri, uye nhoroondo yekurapa kuti vasimbise kuongororwa uye kugadzira chirongwa chekurapa chetsika.
Kunyepedzera Bvunzo Tora
Kana kurwadziwa kwakadzika shure kunotora mararamiro ayo, teerera zvinokurudzirwa nachiremba. Vanogona kusaraira lumbar x-ray kana MRI nekukurumidza asi rangarira nyaya dzataurwa pamusoro apa, senge zviratidzo zvetsinga uye hutano huripo huripo. Asi miedzo iyi inobatsira kuziva chikonzero kana zvikonzero zvekurwadziwa. Rangarira kuti izvi ndezvekubatsira kuti varwere vawane hutano hwakakwana uye husina kurwadziwa.
Maitiro ekubvisa Back Pain zvakasikwa | (2020) Tsoka Vanofamba | El Paso, Tx
VIDEO
NCBI Resources
Kufungidzira kuongorora chinhu chakakosha pakuongororwa kwehuremu hwekutambudzika. Iko kukurumidza kushanduka kwehunyanzvi hwekufungidzira kwakashandura zvakanyanya kuongororwa uye kurapwa kwekukuvara kwemuzongoza. Kunyepedzera kuongororwa uchishandisa CT neMRI, pakati pevamwe, zvinobatsira mune akacomeka uye asingagumi marongero. Spinal tambo uye yakanyoro-nyowani kukuvara inonyanya kuongororwa nemagineti resonance imaging, kana MRI , asi computed tomography scanning kana CT scans inonyatso ongorora kukuvara kwemusana kana kuputsika kwemusana.
