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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.

Hip Labral Misodzi Miedzo: El Paso Back Clinic

Hip Labral Misodzi Miedzo: El Paso Back Clinic

by | 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. 

Hip Labral Tear Tests: EPs Chiropractic Team

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

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.

Ropa Rokuongorora Kuongororwa Ankylosing Spondylitis Back Clinic

Ropa Rokuongorora Kuongororwa Ankylosing Spondylitis Back Clinic

by | 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.Ropa Rokuongorora Kuongororwa Ankylosing Spondylitis

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

  • Nhoroondo yemhuri inoita chikamu mukuongororwa nekuda kwe genetic element ye ankylosing spondylitis.
  • Iyo HLA-B27 gene inoenderana neankylosing spondylitis; kana munhu anacho, mumwe wevabereki vake anacho.

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 or ESR bvunzot.

  • 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, kana kuti ANA, tevera mapuroteni ari mukati memukati mesero, achiudza muviri masero ayo muvengi.
  • 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

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.

Scoliosis Diagnosis: Iyo Adams Forward Bend Test Back Clinic

Scoliosis Diagnosis: Iyo Adams Forward Bend Test Back Clinic

by | Musoro, Kuongorora Maedzo

The Adams mberi bend bvunzo inzira iri nyore yekuongorora iyo inogona kubatsira ne scoliosis kuongororwa uye kubatsira mukugadzira chirongwa chekurapa. Bvunzo racho rakatumidzwa zita re Chiremba wechiRungu William Adams. Sechikamu chekuongororwa, chiremba kana chiropractor anotarisa abnormal side-to-side bend mumusana.Scoliosis Kuongororwa: The Adams Forward Bend Test

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 imhando ye kyphosis apo iyo thoracic vertebrae inogona kukura zvisina kuenzana panguva yekukura uye inokonzera vertebrae kukura kuita wedge-yakafanana chimiro.
  • Congenital musana mamiriro izvo zvinokonzeresa kukombama kwemusana.

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

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

Nei Ndichida X-ray kana MRI yeLower Back Pain El Paso, TX?

Nei Ndichida X-ray kana MRI yeLower Back Pain El Paso, TX?

by | 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.

 

11860 Vista Del Sol, Ste. 128 Nei Ndichida X-ray kana MRI yeLower Back Pain El Paso, TX?

 

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

 

 

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.

 

 

Zvinhu Zvitanhatu Zvisinganzwisisiki Zvisina Kuipa Iyo Chiropractic Inobatsira El Paso, TX.

Zvinhu Zvitanhatu Zvisinganzwisisiki Zvisina Kuipa Iyo Chiropractic Inobatsira El Paso, TX.

by | Kuongorora Maedzo, Spine Care

Dzimwe nguva pane kusagadzikana kwemupaka uye zvinokonzera kusasarudzwa kwemakiromita chaiwo kana mamwe mavhirivheni zvingawedzerwa. Izvi zvipfeko zvisingaiti zvemupaka zvinoratidzwa nehutatu hutano hunonzi lordosis, kyphosis, uye scoliosis.

Izvo hazvirevi kuti zvive zvakasikwa zvakakanganiswa, zvakakanganiswa, kana kuti zvikave. Nzvimbo yepanyama yemusana ane hutano yakangoita zvakananga nemakona mashoma ari mberi pamberi kumashure kuitira kuti rutivi rwemukati rwuve rwuzarure.

Kuona musana kubva kumashure, iwe unofanirwa kuona chimwe chinhu chakasiyana zvachose - musana unomhanya wakananga pasi, kumusoro kusvika pasi usina kana divi kumakona emakona. Izvi hazviwanzo kuitika kunyange zvakadaro.

Iyo mutsara inoumbwa ne vertebrae, mapfupa mashoma ayo akaiswa pamusoro peumwe neumwe nemigumisiro yekusimudzira mabhuku pakati peimwe neimwe. Aya mapfupa anoita sezvibatanidzwa, zvichibvumira musana wechipfuva kuti ugovere uye kushandura nenzira dzakasiyana-siyana.

Dzinonyoroka, dzinofungira zvishoma mukati mechemberi, uye zvakare zvishoma pamutsipa. Iko kusvitsa kwemhepo, kusanganiswa nemafambiro emuviri, kunogona kuisa kushungurudzika kwakakura pamusana uye izvi zvishoma zvinyorwa zvinobatsira kunyora zvimwe zvekukanganisa.

Mamiriro akasiyana-siyana emarudzi akasiyana-siyana emakumbo ekuvhururuka

musipinha kusagadzikana kuti chiropractic inogona kubatsira el paso tx.

Chimwe nechimwe chezvinhu izvi zvitatu zvinokonzerwa nekuputika kwepamuviri zvinokanganisa imwe nzvimbo yepamusoro nenzira yakanyatsonaka.

  • Hyper kana Hypo Isheosis Ichi chirwere chepelinha chekuputika chinokanganisa musana wezasi, zvichikonzera musana kutenderedza mukati kana kunze zvakanyanya.
  • Hyper kana Hypo Kyphosis Ichi chirwere chepelinha chekupenga chinokanganisa iyo yekumusoro kumashure, zvichikonzera musana kukotama, zvichikonzera iyo nzvimbo kutenderera kana kugadzikana zvisina kujairika.
  • Scoliosis Ichi chirwere chepelinha chakakombama chirwere chinogona kukanganisa musana wese, kuchikonzera kudzora padivi, kugadzira C kana S chimiro.

Ndezvipi zviratidzo?

musipinha kusagadzikana kuti chiropractic inogona kubatsira el paso tx.

Rudzi rumwe norumwe rwekuputika runoratidza zviratidzo zvaro. Kunyange zvazvo zvimwe zviratidzo zvinogona kuitika, vazhinji vanosiyana nehutano hwekudzivirira.

  • Lordosis
    • Kutaridzika kwe `` backway '' uko matako anonamira kunze kana kunonyanya kutaurwa.
    • Kushungurudzika kumashure, kazhinji munharaunda yegurukota
    • Paanovata pasi rakaoma kumashure, nzvimbo yakaderera kumashure haina kubata pamusoro, kunyange kana ichiedza kuisa mapepa uye kururamisa pasi.
    • Dambudziko nemamwe maitiro
    • Kutambudzika shure
  • Kyphosis
    • Mhete kana hump kusvika kumusoro
    • Kumusoro kurwadziwa shure uye kuneta mushure mekugara kana kumira kwenguva refu (Scheuermann s kyphosis)
    • Mhete kana kudzokera shure kuneta
    • Musoro unotama kure mberi pane kuva wakarurama
  • Scoliosis
    • Hips kana chiuno hazvina kufanana
    • Rimwe refudzi rimwe rakakwirira kupfuura rimwe
    • Munhu wacho anonamatira kune rumwe rutivi

Ndezvipi zvinokonzera?

Zvakawanda zvehutano zvakasiyana-siyana zvinogona kukonzera musana wechirwere kuti urege kushandiswa zvakanaka kana kuti kugadzira kupera kwepamuviri. Mumwe nomumwe maginhi inotaurwa inosangana nemamiriro akasiyana nemamiriro ezvinhu.

  • Lordosis
    • Osteoporosis
    • Achondroplasia
    • Discitis
    • kufutisa
    • Spondylolisthesis
    • Kyphosis
  • Kyphosis
    • chirwere chemumajoini
    • Tumhonyo pamusoro kana mumutsara
    • Congenital kyphosis (kusanzwisisika kwekuvandudzwa kwema vertebrae apo munhu ari mutero)
    • Spina bifida
    • Chirwere cha Scheuermann's
    • Zvipembenene zvipembenene
    • Osteoporosis
    • Tsika slouching kana kushaya mamiriro mashoma

Scoliosis ichiri chiduku chechakavanzika kunechiremba. Havana chokwadi kuti chii chaicho chinokonzera nzira yakajairika ye scoliosis iyo inowanzoonekwa muvana nevechiri kuyaruka. Zvimwe zvezvinokonzera zvavakatsanangurira zvinosanganisira:

chiropractic inogona kubatsira el paso tx.
  • Hereditary, ine chido chekufamba mumhuri
  • Kurwara
  • Chirema chekuzvarwa
  • gumo

Spinal curvature kusagadzikana & Chiropractic

Mharapara zvinokonzera kushungurudzika kwepamuviri zvakaratidzwa kuva zvinobudirira. Chiropractic inobatsira kudzorera musana wehutano hwepanyama kunyangwe kana murwere aine imwe yemhando idzi dzemamiriro.

Pane screenings inowanikwa nevana nevakuru kuti vaone chero mapiritsi emusana mumashure avo ekutanga kuburikidza nechiropractor yako. Kuziva kwokutanga kwezvinetso izvi zvakakosha mukuzviziva zvisati zvanyanya kuoma.

Yakasarudzika Spine & * SCIATICA KUSVIRWA * | El Paso, TX (2019)

4 Makomborero e Scoliosis Kuongorora Kubva Kuchiropractor

4 Makomborero e Scoliosis Kuongorora Kubva Kuchiropractor

by | Kuongorora Maedzo

Inofungidzirwa kuti scoliosis inobata chero kupi zvako kubva ku2 kusvika ku3 muzana yevana nevakuru muUnited States. Icho chinenge mamiriyoni matanhatu kusvika mapfumbamwe vanhu. Kunyange zvazvo ichiita sokuti inokura kakawanda mukati memakore akaenzana ezera revarume nevasikana, inogonawo kukura mucheche. Gore roga roga, anenge ane vana 30,000 vakagadzirwa ne scoliosis back brace apo 38,000 vanhu vane chirwere chepinjini fusion kugadzirisa dambudziko racho. Scoliosis screenings inogona kuva nezvikomborero zvakanyanya kuburikidza nekuziva zvose zvinokonzera ngozi kune scoliosis uye kubvumira kutanga kurapwa.

Pakutanga iwe unoona scoliosis, zviri nyore kurapa.

Scoliosis inowanzoitika muhuduku. Kune vasikana, kazhinji inowanikwa pakati pe7 nemakore 14 yemakore. Vakomana vanozvikurira zvishoma gare gare, pakati pe6 uye 16 yemakore emakore.

Kuwana scoliosis kuongorora gore negore panguva iyi yakaoma yezera rinotendera vanachiremba kuziva chirwere ichi uye kutanga kutanga kuchibata zvisati zvave zvakakomba. Advanced scoliosis inogona kutora mishonga yakawanda, kubvongodza, uye kunyange kuvhiyiwa.

Chiropractic yakaratidzwa kubatsira rubatsiro, kufanana, kutora muviri, uye kurapa muviri. Kune mararamiro emapaupa ayo chiropractors anoita izvo zvakananga pakurapa kwe scoliosis.

Paunenge uchitaura nezvemamiriro ekutanga, iyo Cobb angle inogona kurega kufambira mberi uye kunyange kuderedzwa kuitira kuti musana wacho uve nemhepo yakawanda. Zvisiri-kurapwa zvinowanzova zvakanyanyobudirira muzvikamu zvepakutanga zve scoliosis, saka kukurumidza kutanga uye kufungidzirwa kwekutanga kunokosha.

scoliosis screening chiropractor, el paso, tx.

Kuziva huwandu hwehutachiona hwekutanga hunogona kutarisa nyaya dzezvino uye kudzivirira nguva yemberi.

Chiropractors vanogona kuziva zvimwe zvikoro zvinokonzera njodzi musati mamiriro acho ezvinhu asati atanga. A scoliosis kuongorora kunovabvumira kuti vaone kukanganisa mu rwonzi rwomuzongoza Common chiratidzo chakajairika chekuti vanozoita scoliosis.

Kana vabereki vachiziva kuti mwana wavo ari mukana wekutengesa scoliosis, vanogona kutora matanho anobatsira nekutarisa kumba kwezviratidzo zve scoliosis pamwe nekuchengetedza maitiro ekukurudzirwa kuongorora. Vachaziva kutarisa zviratidzo uye vanogona kuvashanyira nokukurumidza kuitira kuti mushonga unogona kutanga panguva yekutanga.

Batsira vanotsvakurudza uye vanachiremba vanoshanda zvakanyanya mukurapa chikorosiosis.

Matanho ekutanga uye kukura kwe scoliosis zvichiri kukanganiswa mune zvakavanzika kune vanotsvakurudza uye vanachiremba. Nepo pave nekuve nekufambisa kukuru kwakaitwa mukuvandudza kunzwisisa chiitiko chacho, kuchine zvakawanda zvakasara kudzidza.

Pakave nezvakawanda zvidzidzo zvakabatsira vanachiremba kutsvaga vana vane njodzi huru uye kuita ekutanga ekuongorora chirwere, sekuita sekutingoro yekakumbo uye netsoka zvakabatana ne scoliosis. Zvisinei, kuongorora, kuongororwa, uye kurapwa zvakakosha kuchengetedza kudengenyeka kwedhesi yezvidzidzo zvakawanda kuti zviitwe uye zvimwe tsvakurudzo dzinofanira kuitwa.

Kunyanya kuwanda kuongorora kunoreva kuziva zvimwe zviitiko zve scoliosis pamatanho ekutanga. Izvi zvinogona kuve nemaviri-prong mhedzisiro pakutsvaga. Iyo yaizopa yakawanda dhata kuti iongororwe uye kudzidza, uye yaizowedzera kufarira mune iyo mamiriro sezvo mamwe makesi ekutanga enhanho scoliosis anowanikwa. Izvi zvinowedzera kukurudzira kutsvagisa.

Dzivisa iyo "yekumirira mutambo" yekuona kana scoliosis ichafambira mberi.

Chero mubereki uyo akafanirwa kumiririra migumisiro yechipimo kana kuti kuona kana mamiriro ezvinhu achange awedzerwa kana kuti akaipisisa anoziva zvakanaka kufunganya kwekutamba iyo mutezo wekumirira. Mhuri inowanzova munhu wokutanga kuwana scoliosis mumwana.

Kunyangwe ivo vachigona kufungidzira dambudziko, kana kuziva kuti dambudziko riripo, vanogona kutora nzira yekumirira nekuona kuti vawane kurapwa. Kana iko kwakakora kukasira vanogona kupedzisira vaenda kunotsvaga kurapwa, asi kuramba uchingogunun'una kwekusaziva kana iyo curve ichawedzera - uye kunetsekana kwazvinogadzira - zvinogona kukanganisa kwete chete vabereki rugare rwepfungwa - asi zvemwanawo.

Scoliosis screenings inopa rugare rwepfungwa uye kuongorora kukura kwemwana kuitira kuti kana scoliosis yavo ikafambira mberi kana kuve dambudziko inogona kugadziriswa nenzira inokurumidza, inoshanda kwazvo.

Massage Rehabilitation

Kuongororwa uye Kutungamirirwa kweRheumatoid Arthritis

Kuongororwa uye Kutungamirirwa kweRheumatoid Arthritis

by | chirwere chemumajoini, Arthropathies, Chiropractic, Chiropractic Examination, chisingaperi Pain, Mamiriro Ekutongwa, utano, Kufungidzira & Diagnostics, Research Studies, Kuongorora Maedzo, Mishonga, Wellness

Nezvevanhu vane mamiriyoni e1.5 muUnited States vane rheumatoid arthritis. Rheumatoid chearthritis, kana RA, chirwere chisingagumi, chirwere chinotapira muviri chinoratidzwa nekurwadziwa nekuputika kwezvibatanidzwa. NeA RA, maitiro ezvirwere zvezvirwere, izvo zvinochengetedza hupenyu hwedu nekurwisa zvinhu zvekunze zvakadai sebhakitiriya uye mavairusi, vachirwisa zvisiri izvo mapurisa. Rheumatoid arthritis inowanzokonzera manotsi emaoko, tsoka, maziso, zvigaro, mabvi uye maziso. Nyanzvi dzakawanda dzehutano dzinokurudzira kutanga kufungidzirwa uye kurapa RA.  

ngovepo

  Rheumatoid arthritis ndiyo inonyanya kufarirwa systemic kupisa arthritis. Vakadzi, vanosvuta, uye avo vane nhoroondo yemhuri yechirwere vanowanzo kanganiswa. Maitiro ekuongororwa anosanganisira kuve nenhengo imwechete pamwe nekuzvimba chaiko kusingatsanangurwe nechimwe chirwere. Iko mukana weiyo rheumatoid arthritis kuongororwa kunowedzera pamwe nenhamba yediki majoini akabatanidzwa. Mune murwere ane hutachiona hweArthritis, kuvapo kwerheumatoid factor kana anti-citrullinated protein antibody, kana kukwidziridzwa kweC-inoshanda mapuroteni level kana erythrocyte sedimentation chiyero chinoratidza kuongororwa kwerheumatoid arthritis. Pakutanga kuongorora kwerabhoritari kunofanira kusanganisira huwandu hweropa hwakazara nemusiyano uye kuongororwa kweiyo renal uye hepatic basa. Varwere vanotora biologic vamiririri vanofanirwa kuongororwa hepatitis B, hepatitis C, uye tibhii. Pakutanga kuongororwa kwerheumatoid arthritis inobvumira kurapwa kwekutanga nezvirwere-kugadzirisa antirheumatic agents. Kubatanidzwa kwemishonga kunowanzo shandiswa kudzora chirwere. Methotrexate inowanzo iri yekutanga-mutsara mushonga we rheumatoid arthritis. Biologic vamiririri, senge bundu necrosis factor inhibitors, inowanzoonekwa seyechipiri-mutsara vamiririri kana inogona kuwedzerwa kune maviri marapirwo. Izvo zvinangwa zvekurapa zvinosanganisira kudzikisira kwekutambudzika kwekubatana uye kuzvimba, kudzivirira kweiyo radiographic kukuvara uye kuoneka kwekuremara, uye kuenderera kwebasa uye zviitiko zvevanhu. Joint kutsiva inoratidzirwa kune varwere vane zvakakomba kwemajoini kukuvara vane zviratidzo zvisina kutarisirwa zvakanaka nevekurapa manejimendi. (Ndini Chiremba weNzara. 2011; 84 (11): 1245-1252. Copyright 2011 American Academy yeMhuri Varapi.) Rheumatoid arthritis (RA) ndiyo inonyanya kurwisa arthritis, ine kupararira kwoupenyu hwepamusoro kusvika ku1 muzana munyika yose.1 Inset inogona kuitika chero ipi zvayo, asi inokwira pakati pe30 ne50 makore.XVUMX Kuremara kwakajairika uye kunokosha. Muchikwata chikuru cheUnited States, 2 muzana yevarwere vane RA vakave nekuremara kwebasa mushure memakore 35.10  

Etiology uye Pathophysiology

  Kufanana nezvakawanda autoimmune hosha, iyo etiology yeRA ine multifactorial. Kugadziriswa kweGenetic kunoonekwa mukubatana kwemhuri uye monozygotic mapatya zvidzidzo, ne50 muzana yeRA njodzi inokonzerwa nemajini zvinhu. 4 Sangano reGenetic reRA rinosanganisira munhu leukocyte antigen-DR45 uye -DRB1, uye akasiyana maeleles anonzi epitope yakagovaniswa. 6,7, 4 Zvidzidzo zveGenome-wide musangano zvakaratidza mamwe masiginecha echisimba ayo anowedzera njodzi yeRA uye zvimwe zvirwere zvekuzvimiririra, kusanganisira STAT40 geni uye CD5 locus.8 Kusvuta ndiko kukonzera kukuru kwezvakatipoteredza kweRA, kunyanya kune avo vane maitiro ekuzvarwa. inogona kuburitsa mhinduro yekuzvimiririra, hapana imwe pathogen yakaratidza kuti inokonzeresa RA.9 RA inozivikanwa nenzira dzinopisa dzinotungamira mukuwanda kwemasero e synovial mumajoini. Yakazotevera pannus kuumbwa kunogona kutungamira kune ari pasi pekartilage kuparadzwa uye bony erosions. Kuwedzeredza kwepro-inflammatory cytokines, kusanganisira bundu necrosis factor (TNF) uye interleukin-6, inotungamira yekuparadza.  

Risk Factors

  Kukwegura, nhoroondo yemhuri yechirwere, uye bonde rechikadzi zvinosanganisirwa nenjodzi yakawedzera yeRA, kunyangwe mutsauko wepabonde usinga nyanyozivikanwa muvarwere vakura.1 Zvese zviripo uye pamberi pekusvuta fodya zvinowedzera njodzi yeRA (zvine ngozi [RR] = 1.4, inosvika ku2.2 yevanopfuura makumi mana-mapaketi-gore vanoputa) .40 Kubata kunowanzo kukonzera RA kuregererwa, pamwe nekuda kwekubvumidzwa kwema immunologic.11 Parity inogona kuve neyakareba kukanganisa; RA kashoma kuti ionekwe mumadzimai ane parous pane vakadzi vasina maturo (RR = 12) .0.61 Kuyamwisa kunoderedza njodzi yeRA (RR = 13,14 mumadzimai akayamwisa kweanenge mwedzi makumi maviri nemana), nepo kutanga kuenda kumwedzi (RR = 0.5 kune avo vane kuenda kumwedzi pazera remakore gumi kana mudiki) uye nguva dzisina kujairika dzekuenda kumwedzi (RR = 24) kuwedzera njodzi.1.3 Kushandisa mapiritsi ekudzivirira kubata pamuviri kana vhitamini E hakukanganisa njodzi yeRA.10   image-16.png

kuongorora chirwere

   

Mharidzo Yakafanana

  Varwere vane RA vanowanzova nemarwadzo uye kuoma mumanyoro akawanda. Izvo zvinoputika, zvinopindira interphalangeal joints, uye metacarpophalangeal joints inowanzobatanidzwa. Kushushikana kwamangwanani kunogara kweawa imwe chete kunoratidzira etiology inopisa. Boggy kuzvimba nemhaka ye synovitis inogona kuonekwa (Mufananidzo 1), kana kuti mashura synovial thickening angave akarembera pamubvunzo wokubatana. Vashandi vanogonawo kuisa nehuwandu husinganzwisisiki arthralgias vasati vatanga kuonekwa kwechirwere chemajoini. Zviratidzo zvekuneta, kuora kurasikirwa, uye kutsika-grade fever zvinogona kuitika nehosha inoshanda.  

Zviratidzo Zvokuziva

  Mu2010, iyo American College yeRheumatology uye European League Against Rheumatism yakabatana kugadzira matsva maitiro eRA (Tafura 1) .16 Maitiro matsva aya kuedza kwekupima RA pakutanga kune varwere vangangosangana ne1987 American College yeRheumatology classification. maitiro. Maitiro e2010 haasanganise kuvepo kwerheumatoid nodules kana radiographic erosive shanduko, ese ari maviri ari mashoma mukana mukutanga RA. Symmetric arthri- tis haidiwe mumatanho e2010, ichibvumidza mharidzo yekutanga asymmetric. Mukuwedzera, vaDutch vatsvakurudzi vakagadzira uye vakagadzirisa mutemo wekufanotaura kwekliniki yeRA (Tafura 2) .17,18 Chinangwa chemutemo uyu ndechokubatsira kuziva varwere vane chirwere chisina kukodzera cheArthritis chinonyanya kufambira mberi kuRA, uye kutungamira zvinotevera- kumusoro uye kutumira.  

Miedzo yekuongorora

  Zvirwere zvekuzvimiririra senge RA zvinowanzo kuve nekuvapo kwe autoanti- miviri. Rheumatoid chinhu hachisi chakanangana neRA uye chinogona kunge chiripo kune varwere vane zvimwe zvirwere, zvakaita sehepatitis C, uye mune vakwegura vane hutano. Anti-citrullinated protein antibody yakanyanya kujeka kuRA uye inogona kutora chikamu muchirwere chepathogenesis.6 Inosvika- makumi mashanu kusvika makumi masere muzana muzana yevanhu vane RA vane rheumatoid factor, anti-citrullinated protein antibody, kana ese ari maviri. 50 Varwere vane RA vanogona yakanaka antinuclear antibody bvunzo mhedzisiro, uye muyedzo ndewekufungidzira kukosha mune vechidiki mafomu echirwere ichi.80 C-inoshanda mapuroteni mazinga uye erythrocyte sedimentation mwero zvinowanzo kuwedzerwa neRA inoshanda, uye aya akanyanya chikamu maatomu chikamu chikamu chetsva RA yekumisikidza maitiro. 10 C-inoshanda mapuroteni mazinga uye erythrocyte sedimentation mwero inogona zvakare kushandiswa kutevera chirwere chiitiko uye kupindura kumushonga. Baseline izere huwandu hweropa nemusiyano uye kuongororwa kweiyo renal uye hepatic basa zvinobatsira nekuti mhedzisiro inogona kukanganisa nzira dzekurapa (semuenzaniso, murwere ane kusakwana kweitsvo kana akakosha thrombocytopenia angangodaro asina kupihwa nonsteroidal anti-inflammatory drug [NSAID]). Kupfava kweanemia kwechirwere chisingaperi kunoitika mu19 kusvika 16 muzana yevarwere vese vane RA, 33 kunyangwe mudumbu kurasikirwa kweropa kunofanirwa kutariswa kune varwere vanotora corticosteroids kana NSAIDs. Methotrexate inopesana nevarwere vane hepatic chirwere, senge hepatitis C, uye nevarwere vane hurema hwakakomba. 60 Biologic Therapy, senge TNF inhibitor, inoda yakaipa tuberculin bvunzo kana kurapwa kweanodzimba tibhii. Hepatitis B kugadziriswazve kunogona kuitika neTNF inhibitor kushandiswa.20 Radiography yemaoko nemakumbo inofanira kuitwa kuti iongorore maitiro eaperiarticular erosive shanduko, iyo inogona kunge iri chiratidzo cheinotyisa RA subtype.21  

Kusiyanisa Kuziva

  Kuwanikwa kweganda kunoratidzira systemic lupus erythematosus, systemic sclerosis, kana psoriatic arthritis. Polymyalgia rheumatica inofanirwa kutariswa mumurwere akura ane zviratidzo kunyanya mubendekete nemuchiuno, uye murwere anofanirwa kubvunzwa mibvunzo ine chekuita neyakabatana temporal arteritis. Chest radiography inobatsira kuongorora sarcoidosis seyetiology yeArthritis. Varwere vane kuzvimba kumashure zviratidzo, nhoroondo yehutachiona hwechirwere, kana chirwere cheziso chinoputira vanogona kunge vane spondyloarthropathy. Vanhu vane mavhiki asingasviki matanhatu ezviratidzo vanogona kuve nehutachiona maitiro, senge parvovirus. Zvazvino zvoga-zvikamu zvishoma zvekubatana kwakabatana kuzvimba zvinoratidza kristaro arthropathy, uye arthrocentesis inofanirwa kuitirwa kuongorora monosodium urate monohydrate kana calcium pyrophosphate dihydrate makristasi. Kuvapo kweakawanda myofascial trigger mapoinzi uye somatic zviratidzo zvinogona kuratidza fibromyalgia, iyo inogona kugara pamwe neRA. Kubatsira kutungamira kuongororwa uye kuona nzira yekurapa, varwere vane hutachiona arthritis vanofanira kukurumidza kutumidzwa kune rheumatology subspecialist.16,17  
Dr Jimenez White Coat
Rheumatoid arthritis, kana kuti RA, ndiyo inonyanyozivikanwa yeArthritis. RA chirwere chinotarisa muviri, chinokonzerwa apo masimba ezvirwere zvemuviri, muviri wemudziviriri wezvidziviriro, anorwisa masero ayo uye masukisi, kunyanya masangano. Rheumatoid arthritis inowanzozivikanwa nezviratidzo zvekutambudzika nekuputika, kazhinji kunobata zviduku zviduku zvemaoko, maziso nemakumbo. Maererano nehuwandu hwehutano hwezvehutano, kutanga kuongororwa uye kurapwa kweRA kunokosha kuti kudzivirira kuwedzera kwekubatana pamwe nekuderedza zviratidzo zvinorwadza. Dr. Alex Jimenez DC, CCST Insight
 

mabatiro

  Mushure meR RA yave ichiongororwa uye yekutanga kuongorora yakaitwa, chirwere chinofanira kutanga. Nhungamiro yemazuva ano yakataura nevatungamiri veRA, 21,22 asi zvisarudzo zvevarwere zvinoitawo basa rinokosha. Kune zvikonzero zvakakosha zvevakadzi vezera rekubereka nekuti mishonga yakawanda inobvisa zvinetso pahutumbi. Zvinangwa zvekurapa zvinosanganisira kuderedza marwadzo pamwe chete nekudzivirira, kudzivirira kusvibiswa (zvakadai sokutsauka kwekupedzisira) uye kuora kwemashoko (zvakadai sekushandura), kuchengetedza hupenyu hwehupenyu (hwega uye basa), nekudzora zviratidzo zvekare. Dendaase-modifying antirheumatic drugs (DMARD) ndiyo inonyanya kushandiswa neR RA.  

DMARDs

  DMARDs inogona kunge iri biologic kana nonbiologic (Tafura 3) .23 Biologic vamiririri vanosanganisira monoclonal antibodies uye recombinant receptors kuvharira cytokines inosimudzira iko kuputika kuputika kunoitisa RA zviratidzo. Methotrexate inokurudzirwa semutsetse wekutanga kurapwa kune varwere vane RA inoshanda, kunze kwekunge zvisingabvumirwe kana kusashivirirwa.21 Leflunomide (Arava) inogona kushandiswa seimwe nzira kune methotrexate, kunyangwe mudumbu mhedzisiro inokanganisa zvakanyanya. Sulfasalazine (Azulfidine) kana hydroxychloroquine (Plaquenil) pro-kuzvimba seyemonotherapy kune varwere vane yakaderera chirwere activity kana vasina zvakashata zvekufungidzira maficha (semuenzaniso, seronegative, isiri-erosive RA) .21,22 Musanganiswa wekurapa pamwe maviri kana anopfuura maDMARD anoshanda zvakanyanya kupfuura monotherapy; zvisinei, mhedzisiro inokanganisa inogona zvakare kuve yakakura.24 Kana RA isina kunyatso kudzorwa neiyo nonbiologic DMARD, biologic DMARD inofanirwa kutangwa.21,22 TNF inhibitors ndiyo yekutanga-line biologic kurapa uye ndiyo yakanyanya kufunda yeava vamiririri. Kana TNF inhibitors isingabatsiri, mamwe marapirwo ebiologic anogona kutariswa. Kushandiswa panguva imwe chete kweanopfuura imwe biologic therapy (semuenzaniso, adalimumab [Humira] ine abatacept [Orencia]) haina kukurudzirwa nekuda kweyakagamuchirwa muyero wemhedzisiro.  

NSAIDs uye Corticosteroids

  Kushandisa zvinodhaka kweR RA kunogona kusanganisira NSAID uye muromo, muromo, kana intra-articular corticosteroids yekudzivirira marwadzo nekuputika. Zvakakodzera, NSAIDs uye corticosteroids zvinoshandiswa chete kwekutora kwenguva pfupi. DMARD ndiyo chirongwa chinosarudzwa.21,22  

Complementary Therapies

  Kupindira kwechikafu, kusanganisira kudya kwezvirimwa uye zveMediterranean, zvakadzidzwa mukurapa RA pasina humbowo hunogutsa hwekubatsira. 25,26 Kunyangwe paine mhedzisiro inofadza, pane kushaikwa kweuchapupu hwekubudirira kweacupuncture mune placebo-inodzorwa miedzo yevarwere. neRA.27,28 Pamusoro pezvo, thermotherapy uye yekurapa Ultrasound yeRA haina kudzidza zvakaringana. 29,30 Ongororo yeCochrane yemishonga yemakwenzi yeRA yakagumisa kuti gamma-linolenic acid (kubva manheru Primrose kana mafuta e currant mbeu yemafuta) uye Tripterygium wilfordii (mutinhimira mwari muzambiringa) ane zvingabatsire.31 Zvakakosha kuzivisa varwere kuti zvakakomba mhedzisiro yakaipa yakataurwa nekushandiswa kwemishonga yekurapa.31  

Kudzidzira uye Kurapa Kwepanyama

  Migumisiro yemitambo yakarongedzwa yakasarudzwa inotsigira muviri wekuita muviri kunatsiridza hupenyu hwehupenyu uye simba remasimba kune varwere vane RA.32,33 Kudzidzira maitiro ekudzidzisa maitiro asina kuratidzika kuti ane zvinokanganisa zvinokonzerwa nezvirwere zvezvirwere zveR RA, zvikamu zvinorwadza, kana kuparara kwemavara emunharaunda.34 Tai Chi yakaratidzwa kuvandudza zvinyorwa zvemafambiro kune vanhu vane RA, kunyange zvazvo miedzo isina kukwana yakawanda.35 Dambudziko rekuchengetedzwa kweYiengar yoga kune vechidiki vane RA vari kufamba.36  

Nguva yekurapa

  Kuregererwa kunowanikwa mu10 kusvika 50 muzana yevarwere vane RA, zvinoenderana nekuti kuregererwa kunotsanangurwa sei uye kusimba kwerapi.10 Kuregererwa kunowanzoitika muvanhurume, vasingasvuti, vanhu vadiki pane makore makumi mana, uye mune avo vane chirwere chekunonoka kutanga ( varwere vakura kupfuura makore makumi matanhatu nemashanu), iine pfupi nguva yechirwere, iine chirwere chakakomba chiitiko, isina kukwidziridzwa kwechikamu chakakomba chemagetsi, uye isina yakanaka rheumatoid factor kana anti-citrullinated protein antibody zvakawanikwa.40 Mushure mekurwara kwechirwere, madosi emishonga anogona kuderedzwa nekuchenjera kusvika kuhuwandu hushoma hunodiwa. Varwere vanozoda kugara vachiongororwa kuti vaone zviratidzo zvakagadzikana, uye nekukurumidza kuwedzerwa kwemushonga kunokurudzirwa nezvirwere zvinoputika.65  

Joint Replacement

  Kushandurwa kunobatanidzwa kunoratidzwa apo kune hutano hwakanyanya hukuvadza uye kusagutsikana kuronga kwezviratidzo nekurapa. Mhedziso dzenguva refu ndeyekutsigirwa, ine 4 chete kusvika ku13 yezana yekupindira kukuru kwekubatanidza kunoda kuongororazve mukati me10 years.38 Chiuno nemabvi ndiyo inowanzosimbiswa majointsiti.  

Yenguva Yakareba Kuongorora

  Kunyangwe RA ichionekwa sechirwere chemajoini, iri zvakare chirwere chehurongwa chinokwanisa kusanganisira akawanda masisitimu enhengo. Zvimwe zvinoratidzika-kuratidzwa kweRA zvinosanganisirwa muTafura 4.1,2,10 Varwere vane RA vane njodzi yakawedzera mbiri ye lymphoma, iyo inofungidzirwa kuti inokonzereswa neyakaipisisa maitiro, uye kwete mhedzisiro yekurapwa.39 Varwere vane RA zvakare iri panjodzi yekuwedzera yecoronary arteri chirwere, uye varapi vanofanirwa kushanda nevarwere kugadzirisa njodzi, zvakadai sekusvuta, kuwedzerwa kweropa, uye cholesterol yakawanda. 40,41 Kirasi III kana IV congestive moyo kutadza (CHF) ndeye contraindication yekushandisa TNF inhibitors, iyo inogona kukuvadza mhedzisiro yeCF.21 Muvarwere vane RA uye malignancy, chenjedzo inodikanwa nekuenderera mberi kwekushandisa maDMARD, kunyanya TNF inhibitors. Biologic DMARDs, methotrexate, uye leflunomide hazvifanirwe kutanga kune varwere vane herpes zoster inoshanda, hutachiona hwakakura hwehutachiona, kana hutachiona hutachiona hunoda mishonga inorwisa mabhakitiriya. 21 Matambudziko eRA nemarapirwo ayo akanyorwa muTafura 5.1,2,10  

Prognosis

  Varwere vane RA vanorarama makore matatu kusvika ku12 pasi pehuwandu hwevanhu vakawanda.40 Kuwedzera kwekufa kwevarwere ava kunonyanya kukonzerwa nekuwedzerwa kwehutano hwehutano hwemoyo, kunyanya kune avo vane chirwere chepamusoro uye chirwere chisingaperi. Izvo zvitsva zvinodhaka zvehupenyu zvinogona kuderedza kufambira mberi kwehutachiona hwehutachiona uye kuwedzera upenyu kune avo vane RA.41 Data Sources: Tsvakurudzo yakawanikwa kubva kuPM yakagadzirirwa muCliniki Queries vachishandisa mazwi anokosha rheumatoid arthritis, zvimwe zviratidzo zvinoshamisa, uye zvirwere-kuchinja antirheumatic agents. Kutsvakurudza kwaisanganisira meta-kuongorora, maitiro anongorongedzwa nema randomized, makiriniki, nekuongororwa. Yakatsvagawo iyo Agency for Healthcare Research uye Quality uchapupu hunoshuma, Clinical Evidence, database yeCchrane, Essential Evidence, uye UpToDate. Tsvaga musi: September 20, 2010. Munyori kuzivisa: Hapana hukama hwakakodzera hwemari hwekuburitsa. Mukupedzisa, rheumatoid arthritis chirwere chisingaperi, chemoto chinokonzera zviratidzo zvinorwadza, sekurwadziwa uye kusagadzikana, kuzvimba uye kuzvimba kwemajoini, pakati pevamwe. Iko kukuvara kwekubatana kunozivikanwa seRA kwakaenzana, zvichireva kuti inowanzo bata mativi ese emuviri. Early diagnosis yakakosha pakurapa RA. Chiyero cheruzivo rwedu chinogumira kuchiropractic uye musana nyaya dzehutano. Kuti ukurukure nyaya yacho, ndapota inzwa wakasununguka kubvunza Dr. Jimenez kana kuti tibate isu pa 915-850-0900 . Yakapetwa naDr.Alex Jimenez Green Call Now Button H .png  

Zvimwe Zvinyorwa Kukurukurirana: Relieving Knee Pain pasina Surgery

  Kurwadziwa kwemabvi chiratidzo chinozivikanwa chinogona kuitika nekuda kwekukuvara kwemabvi kwakasiyana uye / kana mamiriro, kusanganisira mitambo yakakuvara. Mabvi ndeimwe yenhengo dzakaoma kwazvo mumumuviri womunhu sezvo zvichiitwa-kwemaketani emapfupa mana, mitsetse ina, toni dzakasiyana-siyana, menisci mbiri, uye cartilage. Maererano neAmerican Academy of Family Physicians, zvinonyanya kukonzera kurwadziwa kwemabvi zvinosanganisira patellar subluxation, patellar tendinitis kana jumper, uye Osgood-Schlatter chirwere. Kunyange zvazvo kurwadziwa kwemabvi kunowanzoitika kune vanhu pamusoro pemakore emakore e60, kurwadziwa kwemabvi kunogonawo kuitika kune vana nevechiri kuyaruka. Kurwadziwa kwepamusoro kunogona kurapwa pamusha kutevera nzira dzeRICE, zvisinei, kukuvara kwakanyanya kwemabvi kunogona kudiwa kurapwa kwekurumidza, kusanganisira chiropractic kuchengetedza.  
blog picture ye cartoon paper boy

EXTRA EXTRA | NHAURWA INOKOSHA: El Paso, TX Chiropractor Inokurudzirwa

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Hazvina kuchena
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