Chiropractic News
Back Clinic Chiropractic Nhau. El Paso, TX. Chiropractor, Dr. Alex Jimenez anounza zvakasiyana-siyana zvechiropractic zvinyorwa zvinosangana nezvino-zvino mukugadzirisa maitiro, teknolojia, uye kuwanikwa kwezvokurapa. Ndiyo nzvimbo yechitatu pakukura kwemishonga nhasi. Izwi rokuti chiropractic rinobva muchiGiriki zvinoreva kurapwa nemaoko , izvo chaizvo izvo chiropractors vanoshandisa maoko avo kushandura muviri uye kukurudzira kupora uye kugara zvakanaka. Chiremba wechiropractic (DC), chiropractor kana chiropractic chiremba, inyanzvi yehutano yakadzidziswa kuongorora nekurapa kusagadzikana kwemusculoskeletal uye nervous system. Chiropractors vanobata varwere veese mazera, vacheche, vana, uye vakuru. Vanotenda mune yechinyakare (isina-yekuvhiya) maoko-on nzira yekurapa izvi kusagadzikana.
Icho chiropractic philosophy inobva pane zvinotevera kutenda zvinotaurwa: Mabasa ese emuviri akabatana pamwe chete nekupora kunoda muviri wese. Utano hwehutano hwehutano, kunyanya musana, chinhu chinokosha mumuviri une utano. Mutsipa wemusana unotakura mazano mumuviri wose uye unozvidavirira pamabasa akawanda emuviri anosanganisira kufamba kwekuzvidira (sekufamba) uye mabasa asingadiwi (sekufema). Kana masisitimu emuviri ari mukuenzanisa, inodanwa homeostasis . Kukanganisika kwemapfupa, tsandanyama, uye tsinga zvinowedzera njodzi yekuvhiringidzika pamwe nemamwe matambudziko ehutano uye zvinogona kukanganisa homeostasis. Kana masisitimu emuviri achiwirirana, hunhu hwemunhu hunowana kugona kunoshamisa kwekuchengeta hutano uye kuzviporesa. Kuti uwane mhinduro kumibvunzo ipi yaungave unayo ndapota fonera Dr. Alexander Jimenez pa 915-850-0900
by Dr Alex Jimenez Chiropractic , Chiropractic Examination , Chiropractic News , chisingaperi Pain , Kufungidzira & Diagnostics , Mishonga
Ko vashandi vehutano mukiriniki yechiropractic vanopa sei nzira yekiriniki yekudzivirira zvikanganiso zvekurapa kune vanhu vari kurwadziwa?
ziviso
Zvikanganiso zvekurapa zvakakonzera kufa kwe44,000-98,000 muchipatara kufa kweAmerica gore negore, uye zvimwe zvakawanda zvakakonzera kukuvara kwakaipisisa. ( Kohn et al., 2000 ) Iyi yaipfuura nhamba yevanhu vaifa gore negore neAIDS, kenza yemazamu, uye tsaona dzemotokari panguva iyoyo. Zvinoenderana netsvakiridzo yakazotevera, nhamba chaiyo yevakafa inogona kunge iri pedyo ne400,000, ichiisa zvikanganiso zvekurapa seyechitatu inonyanya kukonzera rufu muUS. Kazhinji, zvikanganiso izvi hazvisi chibereko chenyanzvi dzekurapa dzakaipa panyama; Asi, iwo mhedzisiro yehurongwa hwehurongwa hwehutano hwehutano, hwakadai sekusagadzikana muridzi wekudzidzira maitiro, zvakavanzika inishuwarenzi network, kusavapo kana kusavapo kwekuchengetedza protocol, uye kutarisirwa kusarongeka. Chinyorwa chemazuva ano chinotarisa nzira yekiriniki yekudzivirira kukanganisa kwehutano muhutano hwehutano. Isu tinokurukura vanobatana nevarapi vekurapa vanonyanya kurapa kwakasiyana siyana kubatsira vanhu vari kurwara nenyaya dzisingaperi. Isu tinotungamirawo varwere vedu nekuvabvumira kubvunza avo vanobatana navo vekurapa mibvunzo yakakosha uye yakaoma kunzwisisa. Dr. Alex Jimenez, DC, anongoshandisa ruzivo urwu sebasa rekudzidzisa. Disclaimer
Kutsanangura Zvikanganiso Zvekurapa
Kuona kuti ndechipi chikanganiso chekurapa inhanho yakakosha mune chero hurukuro yekudzivirira kukanganisa kwekurapa. Iwe unogona kufunga kuti iri ibasa rakareruka kwazvo, asi izvi zvinongoitika chete kusvikira wapinda muhuwandu hwakawanda hwemazwi anoshandiswa. Mazwi mazhinji anoshandiswa zvakafanana (dzimwe nguva zvisiri izvo) sezvo mamwe mazwi achichinjika, uye dzimwe nguva, zvinoreva izwi zvinoenderana nehunyanzvi huri kukurukurwa.
Kunyange zvazvo chikamu chehutano chakataura kuti kuchengetedzwa kwevarwere uye kubvisa kana kuderedza zvikanganiso zvekurapa zvaive zvakakosha, Grober naBohnen vakacherechedza munguva ichangopfuura se2005 kuti vakanga vakundikana mune imwe nzvimbo inokosha: kusarudza tsanangudzo ye "zvichida mubvunzo wakanyanya kukosha ... kukanganisa kwekurapa? Chikanganiso chekurapa ndiko kutadza kupedzisa chiito chakarongwa munzvimbo yekurapa. ( Grober & Bohnen, 2005 ) Zvisinei, hapana kana rimwe remashoko anowanzozivikanwa nemunhu ane dambudziko rezvokurapa—varwere, utano, kana chimwe chinhu—rinodudzwa murondedzero iyi. Zvisinei neizvi, tsananguro yacho inopa hwaro hwakasimba hwekumwe budiriro. Sezvauri kuona, iyo tsanangudzo chaiyo ine zvikamu zviviri:
Kukanganisa kuita : Kutadza kuzadzisa chiito chakarongwa sezvakarongwa.Kutadza kuronga: inzira iyo, kunyangwe nekuita kwakakwana, haiburitse mhedzisiro inodiwa.
Pfungwa dzekukanganisa kwekuita uye kuronga kukanganisa hakuna kukwana kana tichizotsanangura kukanganisa kwekurapa zvakakwana. Izvi zvinogona kuitika chero kupi, kwete chete kunzvimbo yekurapa. Chikamu chekurapa kwekurapa chinofanira kuwedzerwa. Izvi zvinounza pfungwa yezviitiko zvisingafadzi, zvinonzi zviitiko zvakashata. Tsanangudzo yakajairika yechiitiko chakashata kukuvadza kusingatarisirwi kune varwere vanounzwa nekurapa kwekurapa kwete chirwere chavo chiri pasi. Tsanangudzo iyi yakawana kugamuchirwa pasi rose neimwe nzira. Semuenzaniso, kuAustralia, izwi rekuti zviitiko rinotsanangurwa sekuti kukuvadza kwakakonzera munhu kuwana hutano. Izvi zvinosanganisira kutapukira, kudonha kunokonzera kukuvara, uye nyaya nemishonga yekurapa nemidziyo yekurapa. Zvimwe zviitiko zvisina kunaka zvinogona kudzivirirwa.
Mhando Dzakajairika dzeKukanganisa Kwekurapa
Nyaya chete ine pfungwa iyi ndeyekuti hazvisi zvese zvakaipa zvinoitika netsaona kana nemaune. Nekuti murwere anogona kupedzisira abatsirwa, chiitiko chinotarisirwa asi chinoshivirira chinogona kuitika. Munguva yechemotherapy, kusvotwa uye kurasikirwa kwebvudzi mienzaniso miviri. Muchiitiko ichi, kuramba kurapwa kunokurudzirwa ndiyo chete nzira ine musoro yekudzivirira mhedzisiro isingafadzi. Isu nokudaro tinosvika pane pfungwa yekudzivirirwa uye isingadzivirirwe yakaipa zviitiko apo isu tinoenderera mberi nekunatsa tsananguro yedu. Hazvisi nyore kuronga sarudzo yekushivirira imwe mhedzisiro kana yaonekwa kuti yakanaka mhedzisiro ichaitika panguva imwe chete. Asi chinangwa chega hachisi chikonzero chekuzvipembedza. ( Patient Safety Network, 2016, ndima.3 ) Mumwe muenzaniso wekukanganisa kwakarongwa kungave kugurwa kwetsoka yekurudyi nekuda kwebundu kuruoko rworuboshwe, iyo inenge ichibvuma chiitiko chisingafadzi chinozivikanwa uye chakafanotaurwa mune tarisiro yemigumisiro inobatsira apo pasina imwe yakambomuka kare. Hapana humbowo hunotsigira tarisiro yemugumisiro wakanaka.
Zvikanganiso zvekurapa zvinokonzeresa kukuvadza kumurwere ndizvo zvinonyanya kutariswa patsvakiridzo yedu. Zvakangodaro, zvikanganiso zvekurapa zvinogona uye zvinoitika kana murwere asina kukuvadzwa. Kuitika kwekupotsa kwepedyo kunogona kupa data rakakosha pakuronga nzira yekudzikisa zvikanganiso zvekurapa munzvimbo yehutano. Zvakadaro, kuwanda kwezviitiko izvi zvichienzaniswa neakawanda makiriniki anovaudza zvinofanirwa kuongororwa. Pedyo nekupotsa zvikanganiso zvekurapa zvinogona kunge zvakakonzera kukuvadza asi hazvina kumurwere, kunyangwe murwere ari kuita zvakanaka. ( Martinez et al., 2017 ) Sei uchibvuma chimwe chinhu chinogona kuguma nedanho repamutemo? Funga nezvechiitiko apo mukoti, chero chikonzero chipi, anga achangobva kutarisa mifananidzo yemishonga yakasiyana uye akanga ava kuda kupa mushonga. Zvichida chimwe chinhu chinoramba chiri mundangariro dzake, uye anosarudza kuti handiwo maratidzirwo emushonga chaiwo. Paakatarisa, akaona kuti akanga apiwa mishonga isiri iyo. Mushure mekutarisa mapepa ose, anogadzirisa chikanganiso uye anopa murwere tsamba yakakodzera. Zvingaite here kudzivirira kukanganisa mune ramangwana kana rekodhi rekodhi raisanganisira mafoto emushonga wakakodzera? Zviri nyore kukanganwa kuti pane kukanganisa uye mukana wekukuvadza. Chokwadi ichocho chinoramba chiri chechokwadi pasinei nokuti takaita rombo rakanaka here kuiwana munguva kana kuti kutambura chero migumisiro yakaipa.
Kukanganisa kweZvabuda & Maitiro
Tinoda data rakazara kugadzira mhinduro dzinovandudza kuchengetedza kwevarwere uye kuderedza zvikanganiso zvekurapa. Zvirinani, kana murwere ari munzvimbo yekurapa, zvese zvinogona kuitwa kudzivirira kukuvadzwa uye kuvaisa munjodzi zvinofanirwa kutaurwa. Vanachiremba vakawanda vakasarudza kuti kushandisa mitsara zvikanganiso uye zviitiko zvakashata zvaive zvakanyanya uye zvakakodzera mushure mekuongorora zvikanganiso uye zviitiko zvakashata muhutano hwehutano uye kukurukura simba ravo uye kushaya simba kwavo muna 2003. Iyi tsanangudzo yakabatanidzwa yaizowedzera kuunganidza deta, kusanganisira kukanganisa, kufona kwepedyo, pedyo. misuva, uye zvikanganiso zvinoshanda uye zvakavandika. Pamusoro pezvo, izwi rakashata zviitiko rinosanganisira mazwi anowanzoreva kukuvadzwa kwemurwere, sekukuvara kwekurapa uye iatrogenic kukuvara. Chinhu chimwe chete chakasara ndechekuona kana bhodhi rekuongorora inhengo yakakodzera yekubata kupatsanurwa kwezviitiko zvinodzivirirwa uye zvisingadzivirirwe zvakashata.
Chiitiko chevarindi chiitiko chinodiwa kuzivisa kune Joint Commission. The Joint Commission inotaura kuti chiitiko chevarindi chiitiko chisingatarisirwi chinosanganisira kukuvara kwakanyanya mumuviri kana mupfungwa. ( "Sentinel Zviitiko," 2004, p.35 ) Hapana sarudzo, sezvo inoda kunyorwa. Zvizhinji zvivakwa zvehutano, zvisinei, zvinochengeta zvinyorwa zvadzo zvichitsanangura zviitiko zvevatumwa uye zvekuita kana mumwe achivimbisa kuti zviyero zveJoint Commission zvinosangana. Iyi ndiyo imwe yemamiriro ezvinhu apo zviri nani kuva akachengeteka pane urombo. Sezvo “serious” iri pfungwa ine mwero, pangava neimwe nzira yokusagadzikana pakudzivirira waunoshanda naye kana kuti mushandirwi. Ukuwo, kushuma chiitiko chemurindi zvisiri izvo zviri nani pane kutadza kushuma chiitiko chevarindi. Kutadza kuburitsa pachena kunogona kuve nemhedzisiro yakakomba, kusanganisira kumisa basa.
Paunenge uchifunga nezvekukanganisa kwekurapa, vanhu vanowanzoita chikanganiso chekungotarisa zvikanganiso zvechiremba. Kukanganisa kwemishonga pasina mubvunzo kunowanzoitika uye kunosanganisira akawanda ekukanganisa kwemaitiro semamwe zvikanganiso zvekurapa. Kuputsika mukutaurirana, kukanganisa kwakaitwa panguva yekunyorerwa kana kugovera, uye zvimwe zvinhu zvakawanda zvinogoneka. Asi isu tinenge tichifungira zvisizvo nyaya iyi kana tikafunga kuti kukanganisa kwezvinodhaka ndiko chete honzeri yekukuvadza kumurwere. Rimwe dambudziko guru mukuisa mhosho dzekurapa dzakasiyana ndere kuona kuti chikanganiso chiri mumapoka zvichienderana nemaitirwo anoitwa kana mhedzisiro. Zvinotenderwa kuongorora aya maclass pano, kupihwa kuedza kwakawanda kwakaitwa kugadzira tsananguro dzekushanda dzinosanganisira zvese maitiro uye mhedzisiro, mazhinji acho akavakirwa pabasa raLucian Leape kubva kuma1990s.
Natsiridza Mararamiro Ako Nhasi- Vhidhiyo
VIDEO
Kuongorora & Kudzivirira Kukanganisa Kwezvokurapa
Kushanda uye kusashanda ndiwo mapoka maviri makuru ezviitiko zvakashata izvo Leape nevamwe vake vakasiyanisa muchidzidzo ichi. ( Leape et al., 1991 ) Matambudziko ekuvhiya aisanganisira utachiona hwemaronda, kutadza kuvhiyiwa, nyaya dzisiri dzehunyanzvi, kunonoka kunetsa, uye matambudziko ehunyanzvi. Nonoperative: misoro yakadai semishonga ine chokuita nemishonga, isina kuongororwa, kubatwa zvisina kunaka, nzira-yakabatana, kudonha, kuputsika, postpartum, anesthesia-yakabatana, neonatal, uye kubata-zvose musoro wegadziriro yakabatanidzwa pasi pechikamu ichi chezviitiko zvakashata. Leape akarongawo zvikanganiso nekunongedza poindi yekuparara kwemaitiro. Akaisawo izvi mumisoro mishanu, inosanganisira:
maitiro mutambo Mishonga Inorapwa chirwere Kudzivirira
Mazhinji maitiro ekukanganisa anowira pasi peinopfuura musoro wenyaya, asi iwo ese anobatsira kuratidza chaicho chikonzero chenyaya. Kana kupfuura chiremba mumwe akabatanidzwa mukugadzirisa nzvimbo chaidzo dzinoda kuvandudzwa, ipapo mimwe mibvunzo inogona kudiwa.
Nehunyanzvi, kukanganisa kwekurapa kunogona kuitwa nechero mushandi pachipatara. Izvo hazvina kuganhurirwa kune nyanzvi dzekurapa sevanachiremba uye vanamukoti. Mutungamiriri anogona kusunungura gonhi, kana kuti mushandi wokuchenesa anogona kusiya kemikari mukati memwana. Chinonyanya kukosha kupfuura kuzivikanwa kweakakanganisa ndicho chikonzero chiri shure kwayo. Ko pamberi pazvo? Uye tingava sei nechokwadi chokuti izvozvo hazviitiki zvakare? Mushure mekuunganidza data rese riri pamusoro uye nezvimwe zvakawanda, inguva yekuona kuti ungadzivirira sei zvikanganiso zvakafanana. Kana dziri zviitiko zvevarindi, Joint Commission yakaraira kubvira 1997 kuti zviitiko zvese izvi zviitwe nzira inonzi Root Cause Analysis (RCA). Nekudaro, kushandisa nzira iyi kune zviitiko zvinoda kuziviswa kune vekunze zvingada kugadziriswa.
Chii chinonzi Root Cause Analysis?
MaRCA "akatora ruzivo pamwe nemaonero makuru." Ivo vanoita kuti masystem ekuongorora ave nyore, kuongorora kana kugadzirisa kwakakosha, uye maitiro ekutevera. ( Williams, 2001 ) Chii chaizvo chinonzi RCA, zvakadaro? Nekuongorora zviitiko zvakakonzera kukanganisa, RCA inogona kutarisa pane zviitiko uye maitiro pane kuongorora kana kupa mhosva kune chaivo vanhu. ( AHRQ,2017 ) Ndicho chikonzero nei zvakakosha. Iyo RCA inowanzo shandisa chishandiso chinonzi Five Whys. Iyi ndiyo nzira yekuramba uchizvibvunza iwe "nei" mushure mekunge watenda kuti waona chikonzero chenyaya.
Chikonzero icho ichinzi "zvishanu nei" imhaka yekuti, nepo shanu iri nzvimbo yakanaka yekutanga, iwe unofanirwa kugara uchibvunza kuti sei kusvika waona chiri kukonzera dambudziko. Kubvunza kuti sei uchidzokorodza uchigona kuratidza kukanganisa kwakawanda pamatanho akasiyana, asi iwe unofanirwa kuramba uchibvunza kuti sei nezvese chikamu chenyaya kusvika wapererwa nezvimwe zvinhu zvinogona kugadziriswa kuti zvipe mhedzisiro inodiwa. Nekudaro, zvishandiso zvakasiyana kunze kweiyi zvinogona kushandiswa mukutsvagisa chikonzero. Vamwe vakawanda variko. MaRCA anofanirwa kunge ari emhando dzakasiyana siyana uye anoenderana uye achibatanidza mapato ese ane chekuita nekukanganisa kudzivirira kusanzwisisana kana kutaura zvisirizvo zvezviitiko.
mhedziso
Zvikanganiso zvekurapa muzvipatara zvinowanzoitika uye kazhinji zvisingataurwi zviitiko zvinokanganisa hutano hwevarwere zvakanyanya. Vanhu vanosvika chikamu chimwe muzvina chemiriyoni vanofungidzirwa kuti vanofa gore rega rega nekuda kwekukanganisa kwekurapa. Huwandu uhu hahugamuchirwe munguva iyo kuchengetedzwa kwevarwere kunofungidzirwa kuti ndiko kwekutanga, asi hapana zvakawanda zviri kuitwa kushandura maitiro. Kana zvikanganiso zvehutano zvakanyatsotsanangurwa uye chikonzero chechinetso chinowanikwa pasina kupa mhosva kune vamwe vashandi, izvi hazvidiwi. Shanduko dzakakosha dzinogona kuitwa kana zvikonzero zvakakosha zvehurongwa kana kukanganisa kwemaitiro zvakaonekwa nemazvo. Nzira inopindirana, yakasiyana-siyana yekuongorora chikonzero chemudzi iyo inoshandisa masisitimu akafanana neaya mashanu ekuti sei kuongorora pasi kudzamara matambudziko ese uye hurema hwaratidzwa chinhu chinobatsira. Kunyange zvazvo iko zvino kwave kuri madikanwa pakumuka kwezviitiko zvevarindi, iyo Root Cause Analysis inogona uye inofanira kushandiswa kune zvese zvinokonzeresa kukanganisa, kusanganisira pedyo nekupotsa.
References
Agency for Healthcare Research uye Hunhu. (2016). Root Cause Analysis. Yakadzorerwa Kurume 20, 2017, kubva psnet.ahrq.gov/primer/root-cause-analysis
Grober, ED, & Bohnen, JM (2005). Kutsanangura kukanganisa kwekurapa. Anogona J Surg , 48 (1), 39-44. www.ncbi.nlm.nih.gov/pubmed/15757035
Kohn, LT, Corrigan, J., Donaldson, MS, & Institute of Medicine (US). Komiti yeKunaka Kwehutano Hwehutano muAmerica. (2000). Kukanganisa munhu : kuvaka hutano hwakachengeteka . National Academy Press. books.nap.edu/books/0309068371/html/index.html
Leape, LL, Brennan, TA, Laird, N., Lawthers, AG, Localio, AR, Barnes, BA, Hebert, L., Newhouse, JP, Weiler, PC, & Hiatt, H. (1991). Chimiro chezviitiko zvakashata muvarwere vari muchipatara. Mibairo yeHarvard Medical Practice Chidzidzo II. N Engl J Med , 324 (6), 377-384. doi.org/10.1056/NEJM199102073240605
Lippincott ® NursingCenter ® . NursingCenter. (2004). www.nursingcenter.com/pdfjournal?AID=531210&an=00152193-200411000-00038&Journal_ID=54016&Issue_ID=531132
Martinez, W., Lehmann, LS, Hu, YY, Desai, SP, & Shapiro, J. (2017). Matanho Ekuona uye Kuongorora Zviitiko Zvakaipa uye Nekupotsa Pedyo paAcademic Medical Center. Jt Comm J Qual Patient Saf , 43 (1), 5-15. doi.org/10.1016/j.jcjq.2016.11.001
Patient Safety Network. (2016). Zviitiko zvakashata, pedyo nekupotsa, uye kukanganisa. Yakadzorerwa Kurume 20, 2017, kubva psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors
Williams, PM (2001). Matekiniki ekuongorora chikonzero chemudzi. Proc (Bayl Univ Med Cent) , 14 (2), 154-157. doi.org/10.1080/08998280.2001.11927753
Disclaimer
by Dr Alex Jimenez Chiropractic News , utano
Mazuvano, vanhu vari kuedza kudzivisa kuvhiyiwa vane mamwe marapirwo aungaitwa. Mushonga wekuvandudza unogona kubatsira kurapa kukuvara kweuromusculoskeletal?
Regenerative Medicine
Regenerative mushonga unoshandisa masero mbishi emuviri uye unoshandiswa mukurapa cancer uye kuderedza njodzi yehutachiona. (American Cancer Society. 2020 ) Vatsvakurudzi vari kutsvaga dzimwe nzira dzekushandisa masero aya mumishonga yekurapa.
Chii Masero Aya
kurapa
Regenerative cell therapy inoshandisa maseru aya sekurapa kwechirwere kana mamiriro.
Masero ekudzorera anopiwa kuvanhu kuti vatsive masero anenge aparadzwa kana kuti akafa.
Munyaya yegomarara, anogona kushandiswa kubatsira muviri kuti udzore kugona kugadzira masero ekuvandudza mushure mekurapwa. (American Cancer Society. 2020 )
Kune vanhu vane myeloma yakawanda uye mamwe marudzi eukemia, regenerative cell therapy inoshandiswa kubvisa kenza masero.
The therapy inonzi graft-versus-tumor effect/GvT , apo masero machena eropa/WBCs anoshandiswa kubvisa bundu regomarara. (American Cancer Society. 2020 )
Zvavanogona Kurapa
Uyu mushonga mutsva uchiri kuenda kuburikidza nekutsvaga. Iyo Chikafu neDrug Administration yakangoibvumidza kune mamwe magomarara uye mamiriro anokanganisa ropa uye immune system. (Centers for Disease Control and Prevention. 2019 Regenerative cell therapy ndeye FDA-inotenderwa kurapa: (National Cancer Institute. 2015 )
Leukemia
Lymphoma
Multiple myeloma
Neuroblastoma
Inoshandiswawo kuderedza njodzi yekutapukirwa mushure mekuitazve masero ekuisirwa muvanhu vane cancer yeropa. (US Food & Drug Administration. 2023 )
Vatsvakurudzi vari kudzidza kuti masero aya anogona sei kubata mamwe mamiriro. Miedzo yemakiriniki iri kuongorora maitiro ekushandisa kurapa kwezvirwere zveurourodegenerative senge:
Masero Types
Panguva yeregenerative cell therapy, masero anopiwa kuburikidza nemutsara unopinza. Nzvimbo nhatu dzinogona kuwanikwa masero anoumba ropa ibhonzo, rukuvhute, uye ropa. Transplants inogona kusanganisira: (American Cancer Society. 2020 )
Autologous
Masero acho anotorwa kubva kumunhu anenge achiwana kurapwa.
Allgeneic
Masero anopiwa nemumwe munhu.
Syngeneic
Masero anobva papatya rakafanana, kana riripo.
chengetedzo
Kurapa kwakaratidza kupa mabhenefiti asi kune njodzi.
Imwe njodzi inozivikanwa se chirwere chegraft-versus-host - GVHD .
Inoitika muchikamu chimwe chete kubva muzvitatu kusvika kuhafu yevakagamuchira allogeneic.
Apa ndipo apo muviri hauzive masero machena eropa eanopa uye anoarwisa zvichikonzera matambudziko nezviratidzo mumuviri wese.
Kurapa mishonga yeGVHD inopihwa kudzvanyirira immune system kuti irege kurwisa masero evanopa. (American Cancer Society. 2020 )
Dzimwe njodzi dzinogona kusanganisira: (American Cancer Society. 2020 )
Kenza zvakare
Gomarara idzva
Hepatic veno-occlusive chirwere
Post-transplant lymphoproliferative disorder - PTLD
Ramangwana Zvingangoitika
Nguva yemberi yeregenerative cell therapy iri kuvimbisa. Tsvagiridzo irikuenderera mberi yekuona kuti maseru aya anogona sei kurapa mamiriro uye kutsvaga nzira nyowani dzekurapa nekurapa zvirwere.National Institutes of Health. 2022 ) Mushonga uyu mushonga mutsva unogona kushandiswa mune ramangwana marapirwo sechikamu che nzira dzakasiyana siyana kune neuromusculoskeletal kukuvara uye mamiriro.
Quick Patient Initiation process
VIDEO
References
American Cancer Society. (2020). Mashandisiro anoita stem cell uye bone marrow transplants kurapa cancer .
National Institutes of Health. (2016). Stem cell basics .
Centers for Disease Control and Prevention. (2019). Stem cell uye exosome zvigadzirwa .
National Cancer Institute. (2015). Stem cell transplants mukurapa cancer .
US Food & Drug Administration. (2023). FDA inobvumidza kurapa kwesero kune varwere vane gomarara reropa kuderedza njodzi yekutapukirwa zvichitevera kutapurirana masero .
Aly RM (2020). Yazvino mamiriro e stem cell-based therapies: mhedziso. Stem cell kuongorora, 7, 8. doi.org/10.21037/sci-2020-001
American Cancer Society. (2020). Stem cell kana bone marrow transplant side effects .
National Institutes of Health. (2022). Kuisa stem cell-based therapies mumamiriro ezvinhu .
by Dr Alex Jimenez Chiropractic News , Kufamba & Kuchinja
Kutambanudza Chinangwa : Muviri unoda kuchinjika kuti uchengetedze huwandu hwakazara hwekufamba. Kutambanudza kunoita kuti tsandanyama dzirambe dzakasimba, dzakasimba, uye dzine utano; pasina iyo, mhasuru inopfupika uye inooma uye yakasimba. Ipapo, kana tsandanyama dziri kudikanwa, dzinenge dzisina simba uye hadzigoni kutambanudza zvizere. Izvi zvinowedzera njodzi yekurwadziwa kwemajoini, kushungurudza, kukuvara, uye kukuvara kwetsandanyama. Semuenzaniso, kugara pachigaro kwenguva yakareba kunoguma kune yakasimba glute tsandanyama uye hamstrings, izvo zvinotungamirira kumusana kusagadzikana zviratidzo uye inhibits kufamba. Injury Medical Chiropractic uye Functional Medicine Clinic inogona kubatsira vanhu kugadzira chirongwa chekutambanudza munhu kuti vachengetedze kufamba kwakanaka, kushanduka, uye kushanda.
Benefits
Muviri unofanirwa kuchinjika kuchengetedza kufamba, kuenzanisa, uye kuzvimiririra. Zvakanakira kugara uchitambanudza zvinosanganisira:
Tsandanyama dzinoshanda pamazinga akakwana.
Inochengetedza urefu hwemhasuru.
Inochengetedza simba remhasuru.
Kuwedzera kweropa.
Endorphin kuburitswa.
Parasympathetic activation .Kunoderedza kushushikana.
Kubviswa kwehupfu hwepanyama.
Inobvisa marwadzo emuviri uye kuvava.
Inovandudza kugona uye kuita mumabasa emuviri.
Inoderedza njodzi yekukuvara.
Inovandudza chimiro.
Nzvimbo Dzakakosha
Nzvimbo dzakakosha pakufamba dzinosanganisira:
Kuzasi kumashure/waistline
Hip flexors hamstrings
Quadriceps pamberi pehudyu.
Mhuru
Neck
pamafudzi
Stretch Reflex
Kana mhasuru dzakatambanudzwa, ndozvakaitawo tsandanyama spindles stretch reflex , iyo inoedza kuramba shanduko nekuita kuti tsandanyama yakatambanudzwa ibvumirane. Tsandanyama spindle basa rinobatsira kuchengetedza tsandanyama toni uye inodzivirira muviri kubva mukukuvara. Chimwe chezvikonzero zvekubata kutambanudza kwenguva yakati nekuti, sezvo tsandanyama inoramba iri munzvimbo yakatambanudzwa, iyo spindle inopindirana neiyo mamiriro matsva uye inoderedza kusaina kwayo. , zvishoma nezvishoma kudzidzisa kutambanudza receptors kubvumira kureba kukuru kwemisungo.
Chiropractic Stretch Training
Zvisinei, kutambanudza kamwe haigone kuunza kuchinjika kwakanyanya. Tsandanyama dzakasimba dzingave dzakatora mwedzi kana makore kuti dzikure; saka, zvinotora nguva kuti uwane kuchinjika uye zvinofanirwa kugara zvichishandirwa kuti zvichengetedze. Chiropractors uye physical therapists inyanzvi dzekufamba kwemuviri uye dzinogona kuongorora simba remhasuru yega yega uye kugadzira chirongwa chakajairwa chekutambanudza.
Tsandanyama Spindle Activation
VIDEO
References
Bhattacharyya, Kalyan B. "The stretch reflex and the contributions of C David Marsden." Annals yeIndia Academy yeNeurology vol. 20,1 (2017): 1-4. doi:10.4103/0972-2327.199906
Behm, David G et al. "Acute mhedzisiro yemhasuru inotambanuka pakuita kwemuviri, huwandu hwekufamba, uye chiitiko chekukuvara muvanhu vane hutano vanoshanda: ongororo yakarongeka." Applied physiology, nutrition, and metabolism = Physiologie applique, nutrition et metabolism vol. 41,1 (2016): 1-11. doi:10.1139/apnm-2015-0235
Berg, K. Kutambanudza nheyo. Mu: Prescriptive Stretching. 2nd ed. Kindle edition. Human Kinetics; 2020.
da Costa, Bruno R, uye Edgar Ramos Vieira. "Kutambanudzira kuderedza basa rine chekuita nemusculoskeletal kusagadzikana: kuongororwa kwakarongeka." Journal of rehabilitation medicine vol. 40,5 (2008): 321-8. doi:10.2340/16501977-0204
Peji, VaF. "Mafungiro azvino mumhasuru kutambanudza kurovedza muviri uye kugadzirisa." International Journal of sports physical therapy vol. 7,1 (2012): 109-19.
Witvrouw, Erik, nevamwe. "Kutambanudza uye kudzivirira kukuvara: hukama husina kujeka." Mushonga wemitambo (Auckland, NZ) vol. 34,7 (2004): 443-9. doi:10.2165/00007256-200434070-00003
by Dr Alex Jimenez Kungoerekana Kungoerekana Kungoitika , Car Accident Specialist , Chiropractic , Chiropractic News , El Paso Chiropractic News , Kukuvara Kwevanhu , Whiplash
Zvidzidzo pamusoro pekubudirira kwechiropractic kutarisira varwere vane marwadzo echipiri kune whiplash kukuvara vari kubuda. Muna 1996, Woodward et al. yakabudisa chidzidzo pamusoro pekubudirira kwechiropractic kurapwa kwekukuvara kwe whiplash.
Muna 1994, Gargan naBannister vakabudisa pepa pamusoro pekupora kwevarwere uye vakaona kuti apo varwere vakanga vachiri zviratidzo mushure memwedzi mitatu, paive neine 90% mukana wekuti varambe vakuvara. Vanyori vechidzidzo ichi vaibva kuDhipatimendi reOrthopedic Surgery muBristol, England. Hapana kurapa kwakajairika kwakaratidzwa kuve kwakabudirira mune idzi dzakabva kusingaperi whiplash kukuvara varwere. Zvisinei, kubudirira kwepamusoro kwakawanikwa nevanokuvadzwa kwe whiplash kuburikidza nechiropractic kuchengetedza mukudzorera marudzi aya evarwere.
Whiplash Treatment Study Results
Muchidzidzo cheWoodward, 93 muzana yevarwere ve28 vakadzidza kudzoka zvakare vakawanikwa vane nhamba yakakura yekuvandudza kunotevera chiropractic kuchengetedza. Chiropractic kuchengetedza muchidzidzo ichi yaisanganisira PNF, spinal manipulation, uye cryotherapy. Vazhinji vevarwere ve28 vaive nekutanga kurapwa neNSAIDs collars uye physiotherapy. Ivhareji yakareba nguva isati yasvika apo varwere vakatanga chiropractic kuchengetedza yaiva 15.5 mwedzi mushure meMVA (kusiyana kwe3-44 mwedzi).
Ichi chidzidzo chakanyora izvo zvakawanda zveDCs zvinowanikwa mumakiriniki maitiro: chiropractic kuchengetedza inoshanda kune vanhu vanokuvadzwa mutsaona yemotokari. Zviratidzo kubva mumusoro kusvika kumarwadzo ekudzokera shure, kurwadziwa kwemutsipa, kurwadziwa kwe interscapular, uye marwadzo ekupedzisira ane chokuita neparesthesias zvose zvakapindura kuhutano hwechiropractic.
Zvakajairwa & Whiplash X-Rays
Whiplash MRI Zviwanikwa
Zvinyorwa zvakaratidzawo kukuvara kwecervical disc hazvishamisi mushure mekukuvara kwe whiplash. Mune chidzidzo chakabudiswa pamusoro pechiropractic kuchengetedza disk herniations, zvakaratidzwa kuti varwere vanovandudza kliniki uye iyo inodzokorora MRI imaging inowanzoratidza kuderera ukuru kana kugadziriswa kwe disk herniation. Pakati pevarwere ve28 vakadzidza uye vakatevera, vazhinji vaiva ne disc herniations yakaita zvakanaka kune chiropractic kuchengetedza.
Muchidzidzo chechangobva kuitika chakaitwa naKhan et al., yakabudiswa mu Journal of Orthopedic Medicine, pamusoro pevarwere vakakuvadzwa ne whiplash maererano nekurwadziwa kwekervical uye kusagadzikana, varwere vakaiswa mumapoka zvichienderana nemazinga emigumisiro yakanaka kune chiropractic kuchengetedza:
Gira I I: Varwere vane kurwadziwa kwemutsipa bedzi uye vanovharirwa mutsipa ROM. Varwere vaiva ne "saga hangar" kugovera marwadzo pasina kushaya kweuropiki; 72 yepakati aiva nechiitiko chinoshamisa.
Boka II: Varwere vane zviratidzo zvetsinga kana zviratidzo uye mashoma musana ROM. Varwere vaive nechiveve, kurira, uye paresthesias kumucheto.
Boka rechitatu: Varwere vaiva nemarwadzo makuru emutsipa nemutsipa wakazara ROM uye kuparadzirwa kunorwadza kunoshamisa kubva kumagumo. Varwere ava vaiwanzorondedzera kurwadziwa kwechipfuva, kusvotwa, kurutsa, kupera simba, uye kusashanda zvakanaka.
Migumisiro yechirongwa ichi yakaratidza kuti mukirasi I, 36 / 50 varwere (72%) vakaita zvakanaka kune chiropractic: muboka rechipiri, 30 / 32 varwere (94 muzana) vakapindura zvakanaka kuchipatractic care; uye muboka III, chete 3 / 11 mamiriro ezvinhu (27%) akabvuma zvakanaka kuchipatractic care. Pakanga pane musiyano mukuru pamigumisiro pakati pemapoka matatu.
Ichi chidzidzo chinopa humbowo hutsva hwekuti chiropractic kuchengetedza inoshanda kune varwere vakakuvadzwa ne whiplash. Zvisinei, chidzidzo chacho hachina kufunga nezvevarwere vane kukuvara kwemusana, kukuvara kwekupedzisira, uye kukuvara kweTMJ. Izvo hazvina kuzivisa kuti ndevapi varwere vaive nekukuvara kwe disc, radiculopathy, uye concussive kukuvara kwehuropi (zvingangoita boka III varwere). Aya marudzi evarwere anopindura zviri nani kumuenzaniso wechiropractic kuchengetedza pamwe chete nevatambi vemarudzi akawanda.
Zvidzidzo izvi zvinoratidza izvo maDC akawanda akatoona, kuti chiremba wechiropractic anofanira kunge ari mutarisiri mukuru muzviitiko izvi. Ipfungwa yakajairika kuti muzviitiko zvakaita sevarwere veboka III, kutarisirwa kunofanirwa kuve kwakasiyana-siyana kuti uwane mhedzisiro yakanakisa mumamiriro ezvinhu akaoma.
Kuwanda kweruzivo rwedu kunogumira kune chiropractic uye kukuvara kwemusana uye mamiriro. Kuti ukurukure zvingasarudzwa panyaya iyi, tapota bvunza Dr. Jimenez kana kutibata nesu pa 915-850-0900 .
Zvimwe Zvinyorwa: Automobile Accident Injuries
Whiplash, pakati pekumwe kukuvara kwetsaona yemotokari, inowanzotaurwa nevaya vakakuvadzwa nemotokari, zvisinei nekuoma uye giredhi mutsaona. Whiplash inowanzova mhedzisiro yekukasira, kumashure-uye-kubuda jolt yemusoro nemutsipa mune chero nzira. Simba guru rekukanganisa rinogona kukonzera kukanganisa kana kukuvara kumutsipa wekervical uye mamwe ose emusana. Sezvineiwo, kurapwa kwakasiyana kunowanikwa kurapa kukuvara kwetsaona yemotokari.
VIDEO
by Dr Alex Jimenez Arthropathies , Chiropractic News
Ankylosing spondylitis chirwere chinoputika chinokonzera marwadzo uye kuoma mumajoini emusana. . Nokufamba kwenguva, inogona kufambira mberi kusanganisa mapfupa emusana/vertebrae, ichidzikamisa kufamba kwemuzongoza uye zvichikonzera kusagadzikana zviratidzo. Chirwere ichi chinowanzoitika muvarume asi chinobatawo vakadzi. Iko hakuna inozivikanwa, imwe chete chikonzero, asi vanhu vane chakati gene, HLA-B27 DMARDs, or Chirwere-Kuchinja Antirheumatic Drugs
Biologics
Kusiyana nemishonga yenguva dzose, iyo inogadzirwa, biologics inogadzirwa kubva uye mukati mezvipenyu zvipenyu.
Vanokura mutsika kana kukohwa kubva muropa.
Biologics yakaoma uye inodhura.
Biologics inopa mamwe ekurapa ane simba kune akawanda mamiriro.
Maviri biologics anowanzoshandiswa kurapa ankylosing spondylitis ndeaya:
TNF inhibitors .IL-17 inhibitors .
TNF Inhibitors
TNF - tumor necrosis factor , TNF inhibitors mishonga yehupenyu inotarisa uye inodzvinyirira TNF, iyo inobatanidzwa mukugadzirisa zvirwere mumuviri wose.Kuvhara kana kudzvinyirira TNF kunoderedza kuzvimba uye kunogona kunonoka kufambira mberi kweankylosing spondylitis.
Inogona kupihwa kuburikidza nejekiseni kana infusion kupa mushonga.
Migumisiro Yechiri
Migumisiro yakabatana nemishonga iyi, pamwe chete nemamwe mamiriro ezvinhu, anosanganisira:
IL-17 Inhibitors
IL - interleukin - IL-17 ipuroteni inobatanidzwa mukugadzirisa maitiro uye mamiriro.IL-17 inhibitors inodzvinyirira kuzvimba iyo iri mishonga mitsva yakaratidzwa kubatsira avo vane ankylosing spondylitis.
Vanachiremba vanowanzoshandisa IL-17 inhibitors kuburikidza nejekiseni.
Migumisiro Yechiri
Minor side effects dzinosanganisira:
Headaches
Dzihwa
Irritation panzvimbo yejekiseni.
Zvimwe zvakakomba maside effects zvinosanganisira:
Dzimwe kenza
Zvirwere zvakanyanya
High blood pressure
Other Kurapwa
Zvinangwa zvekurapa ankylosing spondylitis zvinosanganisira:
Kunonotsa kufambira mberi kwechirwere.
Kuderedza kuzvimba.
Kuderedza marwadzo.
Kuvandudza kana kuchengetedza majoini uye musana wekufamba.
Biologics haisi iyo yekutanga-mutsara kurapwa kweankylosing spondylitis.
Vapepi vanowanzotanga kubata chirwere chekutanga nemishonga inorwisa-kuzvimba, senge NSAIDs, kuderedza kuzvimba uye kunonoka kufambira mberi kwemamiriro.
Chiropractic kuchengetedza uye kurapwa kwepanyama kunokurudzirwa kuchengetedza uye / kana kuvandudza chimiro, simba remhasuru, uye kutsungirira.
Mararamiro anokurudzirwa uye kugadzirisa kwekudya.
Mamiriro ekudzidzisa anotambanudza uye maekisesaizi.
Mazano ekufambisa akanakisa ekupedza zvakachengeteka uye nechivimbo mabasa ezuva nezuva.
Biologic Mishonga
Biologics ye ankylosing spondylitis inogona kana kuti isingakodzeri. Mishonga iyi inoitirwa kubatsira kubvisa kuzvimba kunoenderana nemamiriro ezvinhu uye kunonotsa kufambira mberi kwechirwere. Chikwata chako chezvehutano chichashanda newe kuona nzira yekurapa kwayo uye nekutsanangura mabhenefiti, njodzi, uye marudzi ekurapa. Ivo vanozotarisa mamiriro acho, kutevedzera mafambiro, uye kugadzirisa hurongwa zvinoenderana.
Kuongorora Hormone Therapy
VIDEO
References
Ankylosing spondylitis. (nd) National Institute of Arthritis uye Musculoskeletal uye Skin Zvirwere. US Department of Health and Human Services. Inowanikwa pa: www.niams.nih.gov/health-topics/ankylosing-spondylitis#:~:text=Ankylosing%20spondylitis%20is%20a%20type,the%20spine%20can%20cause%20stiffness (Yakapinda: Gumiguru 12, 2022).
Chen C, Zhang X, Xiao L, Zhang X, Ma X. Kuenzanisa Kubudirira kweBiologic Therapy Regimens yeAnkylosing Spondylitis: Kuongorora Kwakarongeka uye Network Meta-Analysis. Mushonga (Baltimore). 2016 Mar;95(11):e3060. doi: 10.1097/MD.0000000000003060. PMID: 26986130; PMCID: PMC4839911.
Gerriets V, Goyal A, Khaddour K. Tumor Necrosis Factor Inhibitors. [Yakagadziridzwa 2022 Chikunguru 4]. Mu: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Inowanikwa kubva: www.yori.nlm.nih.gov/books/NBK482425/
Lindström, U., Olofsson, T., Wedrén, S. et al. Biological kurapwa kweankylosing spondylitis: chidzidzo chenyika yose chemaitiro ekurapa padanho remurwere mumakiriniki maitiro. Arthritis Res Ther 21, 128 (2019). doi.org/10.1186/s13075-019-1908-9
Yin, Y., Wang, M., Liu, M. et al. Kubudirira uye kuchengetedzwa kweIL-17 inhibitors yekurapa ankylosing spondylitis: kuongorora kwakarongeka uye meta-analysis. Arthritis Res Ther 22, 111 (2020). doi.org/10.1186/s13075-020-02208-w
by Dr Alex Jimenez Chiropractic News , Mishonga Inobatanidza
Kutarisirwa kwehutano hakufanirwe kuve kwakaderera; nesarudzo dzakawanda, zviziviso, ongororo, shoko remuromo, nezvimwewo, kuwana hutano hwehutano hwakanaka kunogona kuve kwakaoma. Izvi zvinogona kuva chiremba, chiremba wemazino, nutritionist, kana chiropractor. Nzira yekuziva sei kana chikwata chepamusoro chechiropractic chiri kukubata iwe?
Apo Chiropractic Care Inodiwa
Vanhu vanoshamisika kana vachifanira kuona chiropractor. Zviratidzo uye zviratidzo zvinogona kuratidza kuti unofanira kuona chiropractor zvinosanganisira:
Dambudziko kumira, kufamba, kukotama, kana kuita mabasa ezuva nezuva.
Kusagadzikana kana kurwadziwa kana wakagara kana wakarara.
Headaches.
Neck kurwadziwa.
Bendekete, ruoko, kana kurira kweruoko kana kurwadziwa.
Kutambudzika shure.
Kurwadza kwehudyu.
Marwadzo anodzika negumbo rimwe chete kana ose.
Kurwadza kwebvi.
Matambudziko etsoka senge chiveve, kurira, kana kurwadziwa.
Pamusoro Chiropractic Team
Chikwata chepamusoro chechiropractic chichaita mabasa avo zvakabatana; kunyange nezvipingamupinyi, vachazviita. Ivo vanozotaurirana zvinobudirira kune mumwe nemumwe uye nevarwere, kutsanangura maitiro ese, kupa kurapwa kwemunhu uye kwete saizi imwe inokodzera nzira dzese, uye kukoshesa nguva yevarwere.
kutaurirana
Kukurukurirana kwakakosha kuti vanhu vanzwisise uye vavimbe nehurongwa hwavo hwekurapa.
Chiropractor uye vashandi vanotsigira vachaona kuti murwere anonzwisisa zvichaitika uye kuti zvichakanganisa sei kukuvara / mamiriro avo.
Chiremba nevashandi vanoramba vachibvunza kuti uri sei.
Zvinangwa zvekupedzisira zvechikwata ndezvekuita kuti kurapwa kuitwe uye kugutsikana kwemurwere.
Yakapa Multiple Treatment Options
Kugadziriswa kwemusana handizvo chete izvo vanhu vanofanira kufunga nezvazvo pavanenge vachifunga nezvekurapa. Nzira dzakawanda dzekurapa dzakawanikwa kuti dziite zvakanakisa kana uchibata nemamiriro emusculoskeletal uye kusagadzikana . Iyo chiropractor ichakurukura uye nekupa chaiyo kurapwa sarudzo dzinogona kusanganisira:
Nguva Yemurwere
Chiropractic kiriniki yepamusoro hainzwi sekunge mikova iri kungotenderera nevarwere vachimhanya vachibuda segirosari.
Kugadzwa kwemurwere wese inguva yavo ne:
Kukurukurirana kwakadzama
Therapeutic prep-massage kusunungura mhasuru uye majoini pamberi pekugadzirisa.
Kunyatsogadzirisa chiropractic
Mibvunzo yemurwere mushure mekuchengeta -Chiropractor kana vashandi vachatora nguva yekupindura mibvunzo yako yese uye kwete kutambisa nguva yako wakamirira.Inokurudzirwa kutambanudza zviitwa
Kuongorora muviri
Ruzivo rwehutano
Kurapa Kuri Kushanda
Chiropractic kuchengetedza inogona kutora nguva yekurapa, kugadzirisa, uye kuporesa kukuvara kana mamiriro.
Mishonga inoshanda, uye unoona uye unonzwa kufambira mberi.
Iwe unogona kufamba-famba usingatyi kukonzera marwadzo.
Chivimbo chako chinokura mauri nechikwata.
Kana kurapwa kusiri kushanda kana kuburitsa mhedzisiro inogara, chiropractor inokuendesa kune imwe nyanzvi yezvekurapa.
Chikwata chepamusoro chechiropractic chinoda kurapwa kwakanakisa kwemurwere wega wega, kunyangwe kana vasingakwanisi kupa.
Kugutsikana kweMurwere
Kana uchibatwa nepamusoro chiropractic team kubva pamberi pedhesiki, murongi wekuchengeta varwere, masaja therapists, nutritionist, uye kiriniki maneja, chiitiko chose chakanaka uye chinofadza; unogona kunzwa mutsauko wobva wafara.
Functional Medicine
VIDEO
References
Clijsters, Mattijs et al. "Chiropractic kurapwa inosvika kune spinal musculoskeletal mamiriro: a cross-sectional ongororo." Chiropractic & manual therapies vol. 22,1 33. 1 Oct. 2014, doi:10.1186/s12998-014-0033-8
Eriksen, K., Rochester, RP & Hurwitz, EL Symptomatic reactions, migumisiro yekliniki uye kugutsikana kwevarwere kunobatanidza nepamusoro pekervical chiropractic care: Anotarisira, akawanda, cohort kudzidza. BMC Musculoskelet Disord 12, 219 (2011). doi.org/10.1186/1471-2474-12-219
Gary Gaumer, Zvinhu Zvinosanganiswa Nekugutsikana Kwemurwere neChiropractic Care: Ongororo uye Ongororo yeMabhuku,doi.org/10.1016/j.jmpt.2006.06.013 (www.sciencedirect.com/science/article/pii/S0161475406001588 )
Kerns, RD, Krebs, EE & Atkins, D. Kuita Integrated Multimodal Pain Care Chokwadi: Nzira Inoenda Mberi. J GEN INTERN MED 33, 1–3 (2018). doi.org/10.1007/s11606-018-4361-6
Pribicevic, M., Pollard, H. Nzira yekurapa yakawanda-modal yefudzi: A 4 murwere nyaya dzakatevedzana. Chiropr Man Therap 13, 20 (2005). doi.org/10.1186/1746-1340-13-20
by Dr Alex Jimenez Chiropractic News , Musoro
Kuvandudza chimiro kunogona kuva kwakaoma. Kusamira zvakanaka kunowanzo kukonzeresa kwakasiyana-siyana musculoskeletal nyaya senge Chronic pain muviri wose . Mamiriro asina kunaka anogona kunge akadzika midzi muuropi zvekuti inova yekusaziva yekumisikidza reflex iyo inonzwa zvakanaka asi inogona kunge iri kuwedzera kunetsa kwemusana, hudyu, uye gumbo. The Alexander Technique
Alexander Technique
Maitiro anotarisa pakudzidza pfungwa-muviri kuziva . Inzira yekudzidzisa kudzidzisa vanhu kuti vazive kumira kwemuviri wavo uye kushandura maitiro asina kunaka / maitiro ekufamba kuita ane hutano. Chinangwa ndechekudzidza kushandisa mazinga akakwana ekudhonzwa kwemhasuru kuzviitiko zvemazuva ese, sekugara, kusimuka, uye kufamba nenzira ine hutano kuchengetedza hutano hwakakwana hwemusculoskeletal system.
Dzidziso ndeyokuti kushomeka kunoderedza kusakara uye kubvaruka pamamhasuru uye zvimiro zvemuzongoza zviri panjodzi yekutsikirirwa.
Chinangwa chikuru cheAlexander Technique ndechekubvisa maitiro ese asina kunaka ekudhonzera musana uye kudzidzisazve pfungwa nemuviri kuti zviswedere kufamba uye kumira kwemuviri nenzira itsva uye ine hutano.
Dzidziso
Iyo nzira inogona kuitwa mukirasi marongero kana mumwe-on-one dzidziso nekuti munhu wese postural uye mafambiro maitiro akasiyana. Mudzidzisi anobatsira kuona maitiro ekusawirirana uye anodzidzisa munhu wacho kuti angaagadzirisa sei. Kubata kwevanhu chinhu chakakosha cheAlexander Technique. Achishandisa maoko ake zvinyoronyoro kuti agadzirise munhu wacho kuti amire zvakanaka, mudzidzisi anobatsira kusunungura dzvinyiriro inobva mumusoro, mumutsipa, pamapfudzi, uye kumusoro kwemusana. Munhu wacho anodzidza kusunungura kushushikana mumuviri wake wose. Iyo Alexander Technique imhando yemaoko-pakurapa; hakusi kushandiswa kana kukwizwa. Inoshandisa kubata kwakareruka pasina njodzi yekukuvara kumusana, ichibvumira chero munhu kutora chikamu. Nekudaro, vanhu vanofanirwa kuve vakagadzirira kutora chikamu / kuita hurongwa kuti vawane mabhenefiti. Vanhu vazhinji vanogona kuona kana zvakavakodzera panguva yemutambo chidzidzo chekutanga. Chirongwa chakajairika chinodzidzisa:
Kugara zvakanaka.
Kuderedza kushandiswa zvakanyanya kwe superficial musculature .
Kuwedzera proprioceptive kuziva.
Kugara wakangwarira nyevero yemuviri yekunetsana nekutsikirirwa.
Tension Build Up
Vanhu kazhinji havatombo ziva kuti vari kugara vachiisa dzvinyiriro pamusana wavo kubva kumaitiro asina kunaka ekumashure, kuvaka muscular tension havana kumboziva kuti vakagadzira. Semuenzaniso, maitiro asina kunaka emutsipa anosanganisira:
Kusundidzira musoro mberi
Kunyura pamusoro
Kupinza mapendekete kumashure
Aya maitiro anogadzira / anovaka kudzvanywa uye kushushikana kunopenya kunze uye kudzika kusvika kune hombe tsandanyama dzemusana. Tsika yekudzika pasi inogona kukweva nekushandura chimiro chemusana, zvichitungamira kune maitiro ekuremara kwemusana mumatambudziko akaomarara.
Kana kukakavara kwaburitswa, mutsipa nemuviri zvinotanga kumira zvakati twasu, pasina kudhonzera pasi kana kudududza.
Frederick Matthias Alexander
Akagadzira hunyanzvi muma1890 kuti abatsire matambudziko ake emhasuru anokanganisa basa rake rekuita . Pakuita mutambo wacho aiomesa mutsipa wake wokweva musoro wake kumashure uye mudenga, izvo zvaiita kuti arambe akasunga huro uye inzwi rake ripere. Haana kuziva kuti ari kuita izvi kusvikira aita zvokutamba pamberi pechionioni ndokuona nzvimbo yake isingafadzi. Akaona izvi uye akazvidzidzira kuti azviratidzire, agare akasununguka, uye azive chero tension kuvaka mumamhasuru kuti asunungure ipapo. Alexander Technique vadzidzisi / varapi vanodzidzira pasi rese. The American Society yeAlexander Technique kana AmSAT webhusaiti
Mutumbi Muumbi
VIDEO
Kudzidzira Kufunga
Kukudziridza tsika yekufunga kunogona kubatsira kuziva zvinokonzeresa maitiro asina kunaka kana pfungwa. Kungofanana nekudya uye kurovedza muviri, kudzidzira kufunga kwakasiyana kune wese munhu. Zvinokurudzirwa kuedza zvinhu zvakasiyana se:
Kufamba ndiyo imwe nzira yekuzviita iwe pachako. Nyora chinhu chimwe chete chinokufadza.
Chinhu chimwe chaunoda kuvandudza.
Chinangwa chimwe chaunoda kuzadzisa zuva iroro kana vhiki iroro.
Kuteerera mimhanzi yepfungwa kunogona kubatsira kuderedza kushungurudzika nekubvumira munhu kuti aise pfungwa dzake apo pfungwa dzake dziri kuenda kumativi ose.
Panzvimbo pekutendeukira kunhau kana email paunomuka, tora kapu yekofi kana tii uye teerera kune yaunofarira podcast kana mimhanzi.
Isa foni kure uye uteerere pfungwa dzako uye iwe pachako.
Edza kufungisisa mangwanani paunomuka. Izvi zvinobatsira kuseta zvibodzwa/zvirongwa zvezuva. Chinangwa-kuisa pfungwa kwakaratidzwa kuderedza kushushikana kwemazinga uye kufunganya. Zvisinei, kana mambakwedza asingakwanisi saka usiku asati avata anogona kushandiswa kufungisisa nezvezviitiko zvezuva, izvo zvakafamba zvakanaka, izvo zvisina, nzira yekuvandudza chimwe chinhu, pasinei nokuti chii, chinangwa ndechekuwana nguva yekuti iwe pachako ufunge, kumisa zvinangwa, uye kugadzira hurongwa hwekuzadzisa zvinangwa izvozvo.
References
Becker, Jordan J nevamwe. "Uchapupu hwekutanga hwekugoneka, hunobudirira, uye nzira dzeAlexander maitiro emakirasi eboka rekurwadziwa kusingaperi kwemutsipa." Kuwedzera kurapwa mumishonga vol. 39 (2018): 80-86. doi:10.1016/j.ctim.2018.05.012
Cacciatore et al., Kuvandudza mune otomatiki postural coordination inotevera Alexander tekinoroji zvidzidzo mumunhu ane yakaderera musana. Physical Therapy Journal, 2005; 85:565-578. Yakasvika muna Ndira 5, 2011
Chin, Brian et al. "Nzira dzepfungwa dzinotyaira kusimba mukugadzikana mukudzidziswa kwekufunga: Muedzo unodzorwa zvisingaite." Hutano hwepfungwa: gwaro repamutemo reDivision of Health Psychology, American Psychological Association vol. 38,8 (2019): 759-768. doi:10.1037/hea0000763
Little P, Lewith G, Webley F, et al. Randomized inodzorwa muyedzo weAlexander tekiniki zvidzidzo, kurovedza muviri, uye masaja (ATEAM) yekusingaperi uye inodzokororwa kurwadziwa shure. Iye BMJ. 2008;337:a884. doi: doi.org/10.1136/bmj.a884 .
Paolucci, Teresa et al. "Kurwara kunorwadza shure uye postural rehabilitation exercise: kuongorora mabhuku." Journal of pain research vol. 12 95-107. Zvita 20 2018, doi:10.2147/JPR.S171729
Kutambanudza Chinangwa
