chirwere chemumajoini
Back Clinic Arthritis Team. Arthritis chirwere chakapararira asi chisinganyatsonzwisiswi. Shoko rokuti arthritis hariratidzi chirwere chimwe chete asi kuti rinoreva kurwadziwa kwemajoini kana chirwere chejojo. 100 mhando dzakasiyana dziripo. Vanhu vemazera ese, zvepabonde, uye madzinza vanogona kuita arthritis. Ndiyo inonyanya kukonzera kuremara muAmerica. Vanopfuura mamiriyoni makumi mashanu evakuru uye 50 vana vane imwe nzira yekurwadziwa kwemajoini kana chirwere. Zvinowanzoitika pakati pevakadzi uye zvinowanzoitika kana vanhu vachikura. Zviratidzo zvinosanganisira kuzvimba, kurwadziwa, kuoma, uye kuderera kwekufamba kwekufamba (ROM).
Zviratidzo zvinogona kuuya nekuenda, uye zvinogona kuva zvakapfava, zvine mwero, kana zvakanyanya. Vanogona kugara vakafanana kwemakore asi vanogona kuwedzera kuipa nekufamba kwenguva. Muzviitiko zvakakomba, zvinogona kukonzera kurwadziwa kusingaperi, kusakwanisa kuita mabasa ezuva nezuva uye kunetseka kufamba kana kukwira masitepisi. Inogona kukonzera kukuvara kwechigarire pamwe nekushanduka. Shanduko idzi dzinogona kuoneka, kureva, majoini emunwe wepfundo, asi kazhinji anongoonekwa pa x-ray. Mamwe marudzi earthritis anokanganisa maziso, mwoyo, itsvo, mapapu, uye ganda.
by Dr Alex Jimenez Kugadzirira Therap , chirwere chemumajoini
Kune vanhu vane arthritis, kubatanidza acupuncture nemamwe marapirwo anogona kubatsira kugadzirisa marwadzo nezvimwe zviratidzo?
Acupuncture YeArthritis
Acupuncture yave iripo kwezviuru zvemakore uye imhando yemishonga yechinyakare yeChinese iyo inoshandisa tsono dzakaiswa munzvimbo dzakasiyana dzemuviri kubvisa marwadzo nekuzvimba. Kuita kwakavakirwa papfungwa yesimba rehupenyu rinoyerera mumuviri wese munzira dzinonzi meridians. Kana kuyerera kwesimba kunovhiringidzwa, kuvharwa, kana kukuvadzwa, kurwadziwa kana kurwara kunogona kuuya. (Arthritis Foundation. ND .) Imwe tsvagiridzo inodiwa kuona kuti nzira dzekurapa acupuncture dzinoshanda sei uye kushanda kwayo kwese. Nekudaro, pane humbowo huri kubuda hunoratidza kuti acupuncture inogona kupa zororo rechiratidzo kune vanhu vane kurwadziwa kwemajoini, kunyanya avo vane osteoarthritis uye rheumatoid arthritis. (Pei-Chi Chou, Heng-Yi Chu. 2018 )
Benefits
Iyo chaiyo nzira inoderedza marwadzo uye kuzvimba haisati yanyatsojeka. Dzidziso dzinosanganisira kuti tsono dzinodzvinyirira mhinduro dzekuzvimba, kuvandudza kuyerera kweropa, uye kuzorora mhasuru. Kunyangwe acupuncture isingagone kurapa kana kudzosera arthritis, inogona kubatsira kugadzirisa marwadzo uye kudzikira zviratidzo zvine chekuita nazvo, kunyanya mukubatana nemamwe marapirwo. (Pei-Chi Chou, Heng-Yi Chu. 2018 )
Rheumatoid Arthritis
Ongororo yakarongeka yezvidzidzo makumi mana nematatu, kusanganisira vanhu nemhuka dzine rheumatoid arthritis, yakaratidza mhedzisiro dzakasiyana. Zvidzidzo zvakati wandei zvakaratidza kuvandudzwa kwezviratidzo uye kuderera kwebiological mamaki erheumatoid arthritis zvichitevera chikamu chimwe kusvika kutatu cheacupuncture kwemavhiki mana kana kupfuura. (Sharon L. Kolasinski et al., 2020 ) Mhedzisiro inobatsira inotevera kurapwa kweacupuncture yerheumatoid arthritis inosanganisira:
Kuderedza kurwadziwa
Yakaderedzwa kuoma kwemajoini
Kuvandudzwa kwebasa remuviri
Migumisiro yezvidzidzo zvevanhu nemhuka yakaratidza kuti acupuncture ine mukana we down-regulate :
Mazinga e interleukins
Mazinga e tumor necrosis factor
Yakananga sero inosaina mapuroteni / cytokines inobatanidzwa mumhinduro yekuzvimba, iyo inokwidziridzwa mumamiriro e autoimmune senge rheumatoid arthritis. (Pei-Chi Chou, Heng-Yi Chu. 2018 )
Vazhinji vezvidzidzo zvezvidzidzo vanga vachiwanawo mamwe marudzi ekurapwa, kunyanya mishonga. Naizvozvo, zvakaoma kugumisa kuti kubatsira kunoita acupuncture kuri yoga kana kuti sewedzero yekuwedzera kune mamwe marapiro ekurapa. (Pei-Chi Chou, Heng-Yi Chu. 2018 )
Osteoarthritis
Acupuncture ye osteoarthritis yeruoko, hip, uye ibvi inokurudzirwa, maererano neAmerican College of Rheumatology uye Arthritis Foundation, zvinoreva kuti zvingave zvakakodzera kuedza, kunyange zvazvo tsvakurudzo yakawanda ichidiwa kusimbisa kushanda kwayo. Nekudaro, sezvo njodzi iri idiki, acupuncture inowanzoonekwa seyakachengeteka imwe nzira yekurapa yekudzora zviratidzo. (Sharon L. Kolasinski et al., 2020 )
chisingaperi Pain
Sezvo miedzo yekiriniki inoratidza kuti acupuncture inogona kushanda mukupa zororo rekurwadziwa, inogona kunge iri sarudzo inokurudzirwa kune vanhu vanotambura nekurwadziwa kusingaperi. Ongororo ichangoburwa yakarongeka yevarwere ve20,827 uye 39 miedzo yakagumisa kuti acupuncture inoshanda pakurapa kusingaperi musculoskeletal kurwadziwa, musoro, uye osteoarthritis kurwadziwa. (Andrew J. Vickers et al., 2018 )
Mamwe mabhenefiti anogoneka anosanganisira iyo antioxidative mhedzisiro: (Pei-Chi Chou, Heng-Yi Chu. 2018 )
Kuderedza oxidative kusagadzikana uye kuzvimba
Kuvandudza metabolism yesimba
Kukurudzira kusunungurwa kwe endorphins / mahomoni anobatsira kuderedza marwadzo.
chengetedzo
Acupuncture inoonekwa seyakachengeteka maitiro neane rezinesi uye ane certified nyanzvi.
Kudzidzira acupuncture muUnited States, acupuncturist inoda hushoma hwedhigirii re masters kubva kuchirongwa chakatenderwa neAmerican Academy of Acupuncture uye Oriental Medicine uye rezinesi mudunhu ravakawana kurapwa kwavo acupuncture.
Vanachiremba vane MD kana DO degree vane rezinesi muUnited States kudzidzira mushonga vanogona zvakare kupihwa rezinesi neAmerican Academy of Medical Acupuncture mushure mekuwedzera kudzidziswa.
ngozi
Njodzi dzine chekuita neacupuncture dziri kubuda ropa nekupwanya, kunyanya kune vanhu vane chirwere chekubuda ropa senge hemophilia kana kutora mushonga wekuderedza ropa. Vanhu vanokurudzirwa kutaura nemutarisiri wavo wehutano kuti vaone kana acupuncture iri sarudzo yakachengeteka.
Migumisiro Yechiri
Vanhu vazhinji havaone chero mhedzisiro, kunyangwe zvingangoitika zvinogona kusanganisira: (Shifen Xu et al., 2013 )
Soreness
Kudzora
Scarring
Tsono kuvhundutsa: mhinduro yevasovagal inotaridza sekunzwa kupera simba, maoko anodziya, kutonhora, uye kurutsa zvishoma.
Acupuncture Session
Munguva yekutanga kurapwa, vanhu vanozokurukura nhoroondo yavo yekurapa uye kuti majoini nenzvimbo dzemiviri yavo dziri kuratidza zviratidzo.
Mushure mekuongororwa kwemuviri, munhu wacho anorara patafura yekurapwa.
Vanhu vanogona kunge vakatarisa kumusoro kana pasi zvichienderana nenzvimbo dzemuviri iyo acupuncturist inoda kuwana.
Zvinokurudzirwa kupfeka zvipfeko zvakasununguka zvinogona kupetwa kana kutamiswa kubva munzira kuti uwane nzvimbo dzakasiyana nyore nyore.
Zvichienderana nenzvimbo dzinoda kuwanikwa, vanhu vanogona kukumbirwa kuti vachinje hembe dzekurapa.
Acupuncturist achashandisa doro swabs kuti abvise utachiona panzvimbo asati apinza tsono.
Tsono dzakagadzirwa nesimbi isina tsvina uye dzakatetepa zvakanyanya.
Vanhu vanogona kunzwa piniki diki munzvimbo dzakaoma semaoko netsoka, asi kupinza tsono kunofanirwa kuve kwakasununguka uye kutenderwa zvakanaka pasina kusagadzikana kwakanyanya.
Kune electroacupuncture, iyo acupuncturist ichapfuura yakapfava yemagetsi ikozvino kuburikidza netsono, kazhinji 40 kusvika 80 volts.
Tsono dzinogara panzvimbo kwemaminitsi makumi maviri kusvika makumi matatu.
Mushure mokunge kurapwa kwapera, acupuncturist achabvisa tsono uye azvirase.
maitikiro
Kuwanda kwezvikamu zveacupuncture kuchasiyana zvichienderana nekuoma kwezviratidzo uye kana kushanya kwacho kwatenderwa uye kudzoserwa nekambani yeinishuwarenzi yehutano.
Mutengo uye Inishuwarenzi
Mari yeacupuncture inogona kusiyana kubva pamadhora makumi manomwe nemashanu kusvika pamadhora mazana maviri pachikamu.
Chikamu chekutanga, icho chinosanganisira kuongorora kwekutanga uye kuongorora, kazhinji inodhura kupfuura kushanya kwekutevera.
Kuti inishuwarenzi yehutano ichabhadhara imwe kana kuti yese yemitengo yezvikamu zveacupuncture zvinoenderana nekambani yega yeinishuwarenzi uye mamiriro ari kurapwa.
Medicare parizvino inovhara masevhisi acupuncture kusvika ku12 kushanya mukati me90-zuva nguva yekusingaperi yakaderera musana kurwadziwa chete.
Medicare haizovhara acupuncture kune mamwe mamiriro. (Medicare.gov. ND )
Acupuncture haisi mushonga wearthritis, asi inogona kunge iri chishandiso chinobatsira kubata marwadzo nezvimwe zviratidzo. Iva nechokwadi chekubvunza mupi wehutano kana acupuncture zvakachengeteka kuedza zvichienderana nenhoroondo yezvokurapa.
Arthritis Yakatsanangurwa
VIDEO
References
Arthritis Foundation. (ND). Acupuncture yeArthritis (Health & Wellness, Issue. www.arthritis.org/health-wellness/treatment/complementary-therapies/natural-therapies/acupuncture-for-arthritis
Chou, PC, & Chu, HY (2018). Clinical Efficacy yeAcupuncture paRheumatoid Arthritis uye Associated Mechanisms: A Systemic Ongororo. Evidence-based complementary and alternative medicine: eCAM, 2018, 8596918. doi.org/10.1155/2018/8596918
Kolasinski, SL, Neogi, T., Hochberg, MC, Oatis, C., Guyatt, G., Block, J., Callahan, L., Copenhaver, C., Dodge, C., Felson, D., Gellar, K., Harvey, WF, Hawker, G., Herzig, E., Kwoh, CK, Nelson, AE, Samuels, J., Scanzello, C., White, D., Wise, B., … Reston, J. (2020). 2019 American College yeRheumatology/Arthritis Foundation Nhungamiro Yekutungamira kweOsteoarthritis yeRuoko, Hip, uye Knee. Kuchengetwa kweArthritis & tsvakurudzo, 72 (2), 149-162. doi.org/10.1002/acr.24131
Vickers, AJ, Vertosick, EA, Lewith, G., MacPherson, H., Foster, NE, Sherman, KJ, Irnich, D., Witt, CM, Linde, K., & Acupuncture Trialists 'Kubatana (2018). Acupuncture yeChirwere Chisingaperi: Kuvandudzwa kweMurwere Wega Data Meta-Analysis. Nyaya yemarwadzo, 19 (5), 455-474. doi.org/10.1016/j.jpain.2017.11.005
Xu, S., Wang, L., Cooper, E., Zhang, M., Manheimer, E., Berman, B., Shen, X., & Lao, L. (2013). Zviitiko zvakashata zveacupuncture: kuongorora kwakarongeka kwemakesi enyaya. Evidence-based complementary and alternative medicine : eCAM, 2013, 581203. doi.org/10.1155/2013/581203
Medicare.gov. (ND). Acupuncture. Zvakatorwa kubva www.medicare.gov/coverage/acupuncture
by Dr Alex Jimenez chirwere chemumajoini , Chiropractic , chisingaperi Pain , Spinal Decompression Treatments , Spine Care , Mishonga , Viscerosomatic Reflex
Vanhu vane osteoarthritis vanogona here kubatanidza spinal decompression therapy kudzoreredza kufamba kwemusana uye hupenyu hwehupenyu?
ziviso
Sezvo muviri uchikura, ndizvo zvinoitawo musana, sezvo spinal disc pakati pemajoini uye mapfupa inotanga kupera mvura kubva pakumanikidzika nguva dzose kuburikidza nekudzokorora kufamba. Izvo zvinhu zvakawanda zvezvakatipoteredza zvinokonzera chirwere ichi chinokanganisa chinogona kusiyana mukati memunhu uye zvinotungamirira kumamiriro eArthritic mukati mepamusoro uye pasi. Imwe yemhando dzakajairika dzearthritis ndeye osteoarthritis, uye inogona kubata vanhu vazhinji pasi rese. Kubata neosteoarthritis mumajoini avo kunogona kukonzera marwadzo akawanda-sezviratidzo anowirirana nemamwe mamiriro emuviri, zvichikonzera kurwadziwa kunotaurwa. Nekudaro, marapirwo mazhinji anogona kubatsira kunonoka maitiro eosteoarthritis uye kudzoreredza muviri kubva kumarwadzo-sezviratidzo zvemajoini. Chinyorwa chemazuva ano chinotarisa kuti osteoarthritis inokanganisa sei kufamba kwepelinha uye kuti marapirwo angadzorere sei musana wekufamba kubva pamhedzisiro yeosteoarthritis. Tinotaura nevarapi vane hunyanzvi vanoshandisa ruzivo rwevarwere vedu kupa marapirwo akasiyana siyana kuderedza kukanganiswa kweosteoarthritis pamajoini. Isu tinozivisawo varwere kuti kurapwa kwakawanda sei kunogona kubatsira kudzikisira kuderera kweiyo osteoarthritis. Isu tinokurudzira varwere vedu kuti vabvunze avo vanobatana navo vekurapa mibvunzo yakaoma uye yakakosha pamusoro pemarwadzo-sezviratidzo zvavari kusangana nazvo kubva kune osteoarthritis. Dr. Jimenez, D.C., anobatanidza ruzivo urwu sebasa rezvidzidzo. Disclaimer .
Osteoarthritis Inobata Sei Spinal Mobility?
Wakamboona kuoma kwemangwanani mushure mekuzorora kwakanaka kwehusiku? Iwe unonzwa kunyorova mumajoini ako mushure mekumwe kudzvanywa kwechiedza here? Kana kuti iwe unonzwa kushomeka kwekufamba mumajoini ako, zvichikonzera kurambidzwa kwekufamba? Zvizhinji zvezviitiko izvi zvinorwadza zvakabatanidzwa neosteoarthritis, chirwere chinopera simba chekubatana chakabata vanhu vakawanda, kusanganisira vanhu vakuru. Sezvambotaurwa, kana muviri wakwegura, ndozvinoitawo majoini, mapfupa, uye musana. Nezve osteoarthritis, majoini anozodzikira kuburikidza nekupfeka kwechisikigo uye kubvaruka kutenderedza cartilage. Osteoarthritis inobata majoini akawanda senge mahudyu nemabvi, ayo akanyanya kuwanda, uye musana, uye anokonzera akawanda sensory-motor dysfunctions. ( Yao et al., 2023 ) Kana iyo cartilage yakakomberedza majoini akabatwa anotanga kuipa, iyo pathogenesis ye osteoarthritis inokonzera kukanganisa cytokine balance ye proinflammatory cytokines kuti itange mhirizhonga inokonzera shwashwa uye imwe intra-articular structure kukanganisa kumativi ose. ( Molnar et al., 2021 ) Zvinoitwa izvi ndezvekuti kana osteoarthritis ikatanga kukanganisa majoini, inogona kutungamirira kune dzakawanda dzinonzi marwadzo-sezviratidzo.
Nekudaro, kunyangwe osteoarthritis inogona kukanganisa majoini, sezvizvi, zvakawanda zvezvakatipoteredza zvinhu zvinotora chikamu mukukura kweosteoarthritis. Kusaita muviri, kufutisa, kuremara kwebhonzo, uye kukuvara kwemajoini ndizvo zvimwe zvezvikonzero zvinogona kufambisira mberi maitiro ekuora. Zviratidzo zvakabatana neizvi zvakatipoteredza zvinosanganisira:
Pain Kuomarara kwakabatana Tenderness Kupisa Kuzvimba Grating sensation Bhubu rinoputika
Vanhu vazhinji vanobata nemarwadzo-sezviratidzo zvinokonzerwa neosteoarthritis vanozotsanangurira vanachiremba vavo vekutanga kuti marwadzo anosiyana nekufamba kwenguva, kudzika, rudzi rwechiitiko, kukanganisa, uye rhythm. Izvi zvinodaro nekuti kurwadziwa kweosteoarthritis kwakaoma uye kwakawanda. ( Wood et al., 2022 ) Zvisinei, vanhu vakawanda vanogona kutsvaga rubatsiro rwavanoda kuti vaderedze marwadzo-senyaya anokonzerwa neosteoarthritis kuburikidza nemishonga inogona kuderedza kufambira mberi kwekuparara.
Kutarisa Kwakadzika PaSpinal Decompression-Vhidhiyo
VIDEO
Kana zvasvika pakutsvaga kurapwa kuti uderedze mhedzisiro yeosteoarthritis, vanhu vazhinji vanotsvaga marapirwo anodhura uye akachengeteka kune vanhu vakura. Kurapa kusiri-kuvhiya kunogona kuve mhinduro iyo vanhu vazhinji vanotsvaga kuderedza kufambira mberi kweosteoarthritis. Apo vanhu vane osteoarthritis vanoenda kune vasiri kuvhiyiwa marapirwo, vanoona kuti marwadzo akaderera, mararamiro avo anowedzera, uye basa ravo remuviri rakavandudzwa. ( Alkhawajah & Alshami, 2019 ) Panguva imwecheteyo, kurapa kusiri kwekuvhiya kunogona kusanganiswa nemamwe marapirwo kune chirongwa chekurapa chemunhu. Hapana-kuvhiya mishonga inogona kubva kuchiropractic kuchengetedza kusvika kumusana wepinal decompression sezvavanoshanda pakugadzirisa zvinyoronyoro musana kuburikidza nekukwevera uye kubatsira kuderedza marwadzo emajoini uye mhasuru. Vhidhiyo iri pamusoro apa inopa kutarisa kwakadzama kwekuora kwemusana uye kuti ingabatsire sei vanhu vari kurwadziwa.
Spinal Decompression Kudzorera Spinal Mobility Kubva Osteoarthritis
Sezvo kupera kwepelinha inzira yekurapa kusiri kuvhiyiwa, inogona kubatsira kudzikisa nzira yeosteoarthritis. Spinal decompression inosanganisira traction kuti zvinyoronyoro kukwevera pamusoro pemusana, zvichibvumira ma discs uye majoini kuti ave nemafuta uye achibvumira kurapa kwechisikigo kuitika. Izvi ndezvokuti mhasuru dzakapoteredza dzinodzivirira majoini dziri kutambanudzwa zvinyoronyoro uye vertebral disc nzvimbo iri kuwedzerwa kubvumira kuti dhidhi idzorerwe uye kuputika kudzoreredza kudzokera kunzvimbo yayo yepakutanga. ( Cyriax, 1950 ) Kuora kwemusana kunogona kubatsira kuderedza kuderera kwemaitiro e osteoarthritis, uye kana yakabatanidzwa nekurapa kwepanyama, mhasuru dzakapoteredza, matishu, uye ligaments zvinosimbiswa.
Kusiyana neizvi, kufamba kwekubatana uye musana uye kushanduka kunowedzera. Spinal decompression inogonawo kubatsira vanhu vazhinji kuderedza mikana yavo yekuvhiyiwa, sezvikamu zvakatevedzana zvinogona kubatsira kupa zororo rekurwadziwa uye kuvandudzwa kwebasa kumusana. ( Choi et al., 2022 ) Kana vanhu vachiwanazve kufamba kwavo kwemusana kudzokera kumiviri yavo kubva pakuora kwemusana, vanogona kuita shanduko duku mumararamiro avo ezuva nezuva kuti vaderedze kuderera kwemaitiro e osteoarthritis.
References
Alkhawajah, H. A., & Alshami, A. M. (2019). Mhedzisiro yekuunganidza pamwe nekufamba pamarwadzo uye kushanda kune varwere vane knee osteoarthritis: randomized double-blind controlled controlled. BMC Musculoskelet Disord , 20 (1), 452. doi.org/10.1186/s12891-019-2841-4
Choi, E., Gil, HY, Ju, J., Han, WK, Nahm, FS, & Lee, PB (2022). Mhedzisiro yeNonsurgical Spinal Decompression paKusimba Kwemarwadzo uye Herniated Disc Volume muSubacute Lumbar Herniated Disc. International Journal of Clinical Practice , 2022 , 6343837. doi.org/10.1155/2022/6343837
Cyriax, J. (1950). Kurapa kwezvironda zve lumbar disk. Br Med J , 2 (4694), 1434-1438. doi.org/10.1136/bmj.2.4694.1434
Molnar, V., Matisic, V., Kodvanj, I., Bjelica, R., Jelec, Z., Hudetz, D., Rod, E., Cukelj, F., Vrdoljak, T., Vidovic, D., Staresinic, M., Sabalic, S., Dobricic, B., Petrovic, T., Anticevic, D., Boric, I., Kosir, R., Zmrzljak, U. P., & Primorac, D. (2021). Cytokines uye Chemokines Inobatanidzwa muOsteoarthritis Pathogenesis. Int J Mol Sci , 22 (17). doi.org/10.3390/ijms22179208
Wood, M. J., Miller, R. E., & Malfait, A. M. (2022). The Genesis of Pain muOsteoarthritis: Kuzvimba seMurevereri weOsteoarthritis Pain. Clin Geriatr Med , 38 (2), 221-238. doi.org/10.1016/j.cger.2021.11.013
Yao, Q., Wu, X., Tao, C., Gong, W., Chen, M., Qu, M., Zhong, Y., He, T., Chen, S., & Xiao, G. (2023). Osteoarthritis: pathogenic zviratidzo nzira uye zvinangwa zvekurapa. Signal Transduct Target Ther , 8 (1), 56. doi.org/10.1038/s41392-023-01330-w
Disclaimer
by Dr Alex Jimenez chirwere chemumajoini , Kukanganiswa kwakakomba
Sezvo muviri uchikura, vanhu vanoda kugara vachishanda uye kuchengetedza hutano husina marwadzo mararamiro. Maseru anovandudza arthritis uye cartilage kukuvara angave ramangwana remushonga weuromusculoskeletal uye kupora kwemajoini?
Regenerative Masero EArthritis uye Cartilage Kukuvadzwa
Vanhu vanoda kuramba vachiita mabasa emuviri avanoda, ayo anoda majoini ane hutano. Masayendisiti ari kudzidza nzira yekushandisa kugona kwemasero anovandudza kugadzirisa uye kumerazve shwashwa rakakuvadzwa uye rakashata. Ikozvino stem cell kurapwa kwematambudziko ecartilage haina kuratidzwa kudzosera mhedzisiro yeArthritis uye nepo zvidzidzo zvichiratidza kuvandudzwa kwekiriniki, kumwe kutsvakurudza kunokosha. (Bryan M. Saltzman, et al., 2016 )
Cartilage uye Kuti Inokuvadzwa Sei
Cartilage imhando yetishu dzinobatanidza. Mumajoini, kune marudzi mashoma e cartilage. Inonyanya kutaurwa nezvayo ndeye yakatsetseka lining inozivikanwa se articular kana hyaline cartilage. Rudzi urwu runoumba mutsara wakatsetseka wecushion pamagumo ebhonzo pajoini. (Rocky S. Tuan, nevamwe, 2013 )
Iyo tishu yakasimba kwazvo uye inokwanisa kudzvanya uye kutora simba.
Inotsvedzerera chaizvo inobvumira bandi kuti rinyure zvisina simba kuburikidza nechikamu chekufamba.
Kana shwashwa remajoini rikakuvadzwa, cushioning inogona kupera.
Mukukuvadzwa kunotyisa, simba rinongoerekana raita kuti cartilage iparadze uye / kana kutambura kukuvara, iyo inofumura pfupa riri pasi.
Mune osteoarthritis - degenerative kana kupfeka-uye-kubvarura arthritis, iyo yakatsetseka layer inogona kupera pasi yakaonda uye isina kuenzana.
Pakupedzisira, cushion inopera, majoini anopisa uye akazvimba uye mafambiro anooma uye anorwadza.
Kune marapirwo eArthritis uye kukuvadzwa kwecartilage, asi marapirwo aya anowanzo kunangana nekubvisa zviratidzo nekugadzirisa pasi shwashwa rakakuvadzwa kana kutsiva nzvimbo yejoinhi neyakagadzirwa kudyara, sekutsiva ibvi kana kuvhiya hudyu. (Robert F. LaPrade, nevamwe, 2016 )
Regenerative Masero
Regenerative stem masero maseru akakosha ane kugona kuwanda uye kukura kuva mhando dzakasiyana dzematishu. Muchirongwa chekuvhiyiwa kwemapfupa ematambudziko ekubatana, masero e stem anowanikwa kubva kune vanhu vakuru stem cell primary sources ayo ari bone mwongo uye mafuta tishu. Aya masero ane simba rekukura kuva masero emota, anonzi chondrocytes. (Rocky S. Tuan, nevamwe, 2013 )
Zvinobatsirawo nekukurudzira muviri kuderedza kuzvimba, kukurudzira kugadzirisa masero, uye kunatsiridza kutenderera kweropa.
Iyi nzira inokonzerwa nemagetsi masaini uye kukura zvinhu kukurudzira muviri kumutsa maitiro ekuporesa.
Kana ma stem maseru awanikwa, anofanirwa kuendeswa kunzvimbo yekukuvadzwa kwecartilage.
Cartilage chinhu chakaoma chinotsanangurwa sechikafu chimiro chinoumbwa necollagen, proteoglycans, mvura, uye masero. (Rocky S. Tuan, nevamwe, 2013 )
Kuti udzore zvakare cartilage, iyo yakaoma tishu inofanirawo kuvakwa patsva.
Pane zvidzidzo pamhando dzematishu scaffolds akagadzirwa kuti agadzirise mhando yakafanana yecartilage chimiro.
Masero e stem anogona kubva apinzwa mu scaffold, netarisiro yekudzoreredza yakajairika mhando ye cartilage.
Non-Kuvhiya Arthritis Kurapa
Standard kurapa senge cortisone shots kana marapirwo emuviri anoshanda zvakare uye anopa mabhenefiti anogona kushandiswa pamwe chete nemasero ekuvandudza earthritis uye kukuvadzwa kweshwashwa munguva pfupi iri kutevera. Dhata inotora nguva uye saka izvi zvinokanganisa sei hutano hwenguva refu hwekubatana kunodiwa kuenderera mberi nekutsvagisa maererano nehuinjiniya hwematishu uye kuendesa maseru kuona nzira yakanakisa yekubatsira vanhu.
chirwere chemumajoini
VIDEO
References
LaPrade, RF, Dragoo, JL, Koh, JL, Murray, IR, Geeslin, AG, & Chu, CR (2016). AAOS Research Symposium Updates uye Consensus: Biologic Kurapa kweOrthopedic Injuries. The Journal of the American Academy of Orthopedic Surgeons, 24 (7), e62-e78. doi.org/10.5435/JAAOS-D-16-00086
Saltzman, BM, Kuhns, BD, Weber, AE, Yanke, A., & Nho, SJ (2016). Stem Cells muOrthopedics: A Comprehensive Guide for the General Orthopedist. American Journal of orthopedics (Belle Mead, NJ), 45 (5), 280–326.
Tuan, RS, Chen, AF, & Klatt, BA (2013). Cartilage kuvandudzwa. The Journal of the American Academy of Orthopedic Surgeons, 21 (5), 303-311. doi.org/10.5435/JAAOS-21-05-303
by Dr Alex Jimenez chirwere chemumajoini
Kukwegura Arthritis: Kuchinja kunoita muviri nekufamba kwemakore kunotariswa nekudya kwemunhu, kurovedza muviri/maekisesaizi, majini, kushushikana mupfungwa, kurara, uye kuzvitarisira. Sezvo muviri uchikura, kuderera kwechisikigo kubva mukupfeka kwemazuva ese uye kubvarura kuchavepo. Chinonyanya kutariswa ndechekunzwisisa kuti kuderera kwezera-kwezera kunogona kukanganisa sei muviri uye zvekuita kudzivirira nekurapwa.
Kukwegura Arthritis
Arthritis inoreva kuzvimba kwemajoini uye ndicho chikonzero chikuru chezvirwere zvakasiyana zvinosanganisira:
Osteoarthritis
Fibromyalgia
Inotapukira arthritis
Gout - metabolic arthritis
Rheumatoid chearthritis
Lupus
Childhood arthritis
Kuzvimba chiratidzo chimwe chete chinowanzoperekedzwa nekuzvimba, kurwadziwa, kuoma, kusafamba, uye kurasikirwa nebasa.
Osteoarthritis
Rudzi runonyanya kuzivikanwa rwearthritis iosteoarthritis, apo shwashwa riri mukati memajoini rinotanga kuparara, uye mapfupa otanga kuumbwa patsva.
Inozivikanwa se degenerative joint disease/ wear and tear arthritis.
Maoko, mahudyu, nemabvi ndiwo anonyanya kukanganiswa.
Shanduko idzi dzinowanzokura zvishoma nezvishoma asi dzinowedzera kana dzisina kurapwa.
Zviratidzo zvinosanganisira kurwadziwa kwakanyanya, kuoma, uye kuzvimba.
Fibromyalgia
Fibromyalgia chirwere chinokonzera marwadzo munzvimbo dzakasiyana dzemuviri, matambudziko ekurara, uye kuneta.
Vanhu vane fibromyalgia vanogona kunyanya kunzwisiswa nemarwadzo ekunzwa.
Kurapa uye zvirongwa zvekutarisira zviripo kubatsira kurerutsa zviratidzo uye kudzoreredza basa.
Infectious Arthritis
Infectious arthritis kana septic arthritis
Utachiona hunobva kune imwe nzvimbo yemuviri hunogona kupinda mujoini kana kuti mvura yakaipoteredza.
Utachiona hunogona kupinda mumuviri kubva pamaronda akazaruka, majekiseni, kana kuvhiyiwa.
Infectious arthritis inowanzowanikwa mujoini rimwe chete.
Staphylococcus aureus Utachiona kana fungus inogonawo kugadzira zviratidzo zvekuzvimba zveArthritic.
Gout
Gout imhando yakajairika yeArthritis inokonzera kuzvimba uye kurwadziwa.
Kazhinji inongobata chibatanidza chimwe chete, kazhinji chigunwe chikuru chetsoka.
Zviratidzo zvinogona kuwedzera , Aizivikanwa flags , uye dzimwe nguva dzisina zviratidzo, dzinozivikanwa se kuregererwa .Idzokororo gout episode dzinogona kudzikira mukati gouty arthritis
Rheumatoid Arthritis
Rheumatoid arthritis chirwere che autoimmune uye chinoputika umo immune system inorwisa masero ane hutano, zvichikonzera kuzvimba.
Rheumatoid arthritis inorwisa majoini akawanda panguva imwe chete, kunyanya mumaoko, maoko, nemabvi. Rheumatoid arthritis inokonzera kuti jira rejoints rizvimbe uye rinotanga kukuvadza matishu ari pedyo.
Kukuvadzwa kwetishu kwakakomba kana kusingagumi zvakakwana kunogona kukonzera marwadzo, matambudziko ekuenzanisa, uye kuremara kunooneka.
Rheumatoid arthritis inogonawo kukanganisa nhengo, semapapu, moyo, uye maziso, nekukonzera kuzvimba.
Lupus
Lupus chirwere che autoimmune chinokanganisa masisitimu emuviri akasiyana.Chirwere che autoimmune ndipo apo immune system inokanganisa matishu ayo ebhakitiriya, hutachiona, kana fungal intruders uye kuvarwisa.
Zviratidzo zveLupus zvinogona kunge zvisina kujeka, zvichiita kuti chirwere chacho chiomerwe kuongorora.
Chirwere ichi chinozivikanwa semutevedzeri mukuru nekuti zviratidzo zvinogona kutevedzera zvimwe zvirwere .
Zviratidzo zvinotangira kubva pakupfava kusvika kuhupenyu hunotyisidzira.
Kuona a nyanzvi yerheumatologist inokurudzirwa, sezvo vari nyanzvi dzinogona kuongorora nekurapa arthritis, lupus, uye zvimwe zvirwere zvine chekuita nemajoini.
Childhood Arthritis
Arthritis muvana inozivikanwa se arthritis yevechidiki kana yehuduku .
Juvenile idiopathic arthritis/ juvenile rheumatoid arthritis ndiyo inowanzoitika.Mamiriro acho anogona kukonzera kukuvadzwa kwemajoini kwenguva refu kunogona kukonzera kuremara.
Kukwegura Arthritis uye Chiropractic Care
Chiropractic kuchengetedza inokurudzirwa kurapwa kwemhando ipi zvayo yeArthritis. Chiropractic kuchengetedza inogona kushanda pamwe nemamwe marapirwo kuderedza kuzvimba uye kuzvimba, kuderedza marwadzo, uye kunatsiridza kufamba uye kuchinjika.
A chiropractor achashandisa mifananidzo yemuviri asati atanga kurapwa.
Kufungidzira kunopa nzwisiso yemamiriro emajoini, uye zvinoonekwa, zvakasanganiswa nekuzvimiririra kubva kumunhu, zvinobvumira chiropractor kugadzira chirongwa chemunhu. Kana chiropractor yangoona maitiro ayo muviri unogona kubata, kurapwa kunotanga kunogona kusanganisira:
Kurapa kurapa
Percussive massage
Ultrassom
Electrotherapy
Low-level inotonhora laser therapy
Infrared kupisa
Chinangwa cheChiropractor ndechekugadzirisa, kugadzirisa uye kusimbisa muviri, kubvisa kumanikidzwa kana kushushikana panosangana majoini, uye kukurumidza kuporeswa nekugadzirisa.
LLT Laser Therapy
VIDEO
References
Abyad, A, uye JT Boyer. "Arthritis uye kuchembera." Maonero azvino mu rheumatology vol. 4,2 (1992): 153-9. doi:10.1097/00002281-199204000-00004
Chalan, Paulina, nevamwe. "Rheumatoid Arthritis, Immunosenescence uye Zviratidzo zvekukwegura." Current kuchembera sainzi vol. 8,2 (2015): 131-46. doi:10.2174/1874609808666150727110744
Goronzy, Jorg J nevamwe. "Kuchembera kwekudzivirira muviri, uye rheumatoid arthritis." Rheumatic zvirwere makiriniki eNorth America vol. 36,2 (2010): 297-310. doi:10.1016/j.rdc.2010.03.001
Greene, MA, uye RF Loeser. "Kuzvimba kunoenderana nekukwegura muosteoarthritis." Osteoarthritis uye cartilage vol. 23,11 (2015): 1966-71. doi:10.1016/j.joca.2015.01.008
Sacitharan, Pradeep Kumar. "Kukwegura uye Osteoarthritis." Sub-cellular biochemistry vol. 91 (2019): 123-159. doi:10.1007/978-981-13-3681-2_6
by Dr Alex Jimenez chirwere chemumajoini , Chiropractic , Functional Medicine , utano , Mishonga , Viscerosomatic Reflex , Wellness
ziviso
Muviri une mhinduro yekudzivirira inozivikanwa seye immune system inouya kuzonunura kana zviitiko zvinoshungurudza kana kukuvara kuchikanganisa dzimwe nzvimbo dzemuviri. The rokuzvidzivirira inoburitsa cytokines inozvimba kunzvimbo yakakanganisika uye inotanga maitiro ekuporesa kugadzirisa kukuvara uku ichibvisawo vatorwa vanopinda mumuviri. Kupisa inogona kubatsira nekukuvadza muviri, zvichienderana nekuti kukuvara kwacho kwakakanganisa sei nzvimbo yacho. Kana kuzvimba kukatanga kukonzera kukanganisa pamhasuru dzakatenderedza, ligaments, uye majoini, zvinogona kutungamira kune zvisingaperi nyaya dzine chekuita nekurwadziwa. Kusvika ipapo, zvinoita kuti muviri ushaye basa uchitevedzera zvimwe zviratidzo. Chinyorwa chanhasi chinoongorora kuti mhinduro dzisingaperi dzekuzvimba dzinokanganisa sei majoini, zviratidzo zvakabatana nazvo, uye maitiro ekugadzirisa kuzvimba kusingaperi. Isu tinoendesa varwere kune vane certified vapeji vanonyanya kurapa-kuzvimba kurapwa kubatsira vanhu vazhinji vari kubata nekuzvimba kusingaperi kwemajoini. Isu tinotungamirawo varwere vedu nekutaura kune vatinoshanda navo vekurapa zvinoenderana nekuongorora kwavo kana zvakakodzera. Isu tinoona kuti dzidzo ndiyo mhinduro yekubvunza vatinopa mibvunzo ine njere. Dr. Alex Jimenez DC anopa ruzivo urwu sebasa rekudzidzisa chete. Disclaimer
Chronic Inflammatory Response Inobata Sei Majoini?
Wanga uchirwadziwa mune mamwe matunhu emuviri wako here? Zvakadini nokunzwa unyoro mumhasuru dzako? Majoini ako anorwadza here paunenge uchiita mabasa emazuva ese? Kana wanga uchibata nenyaya idzi, zvinogona kunge zviri nekuda kwemhinduro dzisingaperi dzekuzvimba dzinokanganisa majoini ako emusculoskeletal. Sezvambotaurwa, kuzvimba kunogona kubatsira uye kukuvadza muviri, zvichienderana nekuoma kwesimba rakatorwa nemuviri. Mune chimiro chayo chinobatsira, muviri unomutsa immune system uye unobvisa hutachiona kubva kubhakitiriya, mavhairasi, uye zvimwe zvinokonzeresa nharaunda kukurudzira kuporeswa nekugadzirisa matishu. Izvi zvinogona kuita kuti nzvimbo yakakanganiswa ive tsvuku uye inopisa, nokudaro kugadzirisa masero akakuvadzwa.
Nekudaro, muchimiro chayo chinokuvadza, zvidzidzo zvinoratidza kuti mhinduro dzisingaperi dzekuzvimba dzinogona kuputsa kushivirira kwemuviri, zvichikonzera shanduko huru kune ese matushu, nhengo, uye majoini. Kusvika ipapo, mhedzisiro yekuzvimba kwakanyanya inogona kukonzera kukuvadza kumajoini uye cartilage, zvichiita kuti vagone kubatanidzwa nekurwadziwa uye pamwe nekuremara nekufamba kwenguva. Majoini anobatsira kuti muviri ufambe, wakakomberedzwa neconnective muscle tissue inobatsira kudzikamisa muviri; apo mhinduro dzisingaperi dzinopisa dzinotanga kukanganisa majoini, dzinogona kuva murevereri wemarwadzo uye kusagadzikana apo ichikonzera kusagadzikana kwemasculoskeletal. Zvidzidzo zvinoratidza kuti kuzvimba mumajoini kunogona kukonzera kukuvadzwa kwekashwa uye kuguma nekuderera kwekuchinja kumuviri. Izvi zvinosanganisira kurasikirwa kwebasa, kusagadzikana kwemajoini, uye zvimwe zviratidzo zvine chekuita nekuzvimba kwemajoini kusingaperi.
Zviratidzo Zvinosanganiswa NeChisingaperi Joint Inflammation
Kana zvasvika pakuzvimba kwemajoini kusingaperi, inogona kutevedzera mamwe mamiriro asingaperi anounza kusagadzikana kwemajoini uku achipfuura akasiyana asingaperi kusagadzikana. Izvi zvinoita kuti kuongororwa kuve kwakaoma, kunyanya kana munhu ari kubata nekuzvimba kune rimwe divi remuviri wake, asi zvinokanganisa chimwe chikamu. Izvi zvinozivikanwa se chinonzi kurwadziwa , uye zvidzidzo zvinoratidza kuti mafomu akawanda ekuputika anokanganisa majoini dzimwe nguva ane arthritic uye ane systemic zviratidzo zvinogona kuitika munzvimbo dzakasiyana dzemuviri. Zvimwe zvacho zviratidzo zvakabatana nekusingaperi kuzvimba kwemajoini kunogona kusanganisira:
Kuzvimba Kushushikana Kukuya manzwi Kufamba kwakaoma Numbness Join kuremara
Musiyano Uripo Pakati Pemajoini Ane Utano & Anopisa Majoini-Vhidhiyo
VIDEO
Wanga uchitarisana nekurwadziwa kwemajoini muhupenyu hwako hwese here? Iwe unonzwa kuoma kwemhasuru mune dzimwe nzvimbo paunofamba-famba here? Kana kuti unonzwa kupfava kwetsandanyama mune dzimwe nzvimbo here? Zvizhinji zvezviratidzo izvi zvine chekuita nekuzvimba kwemajoini, zvinogona kupindirana nemarwadzo emusculoskeletal. Vhidhiyo iri pamusoro inotsanangura musiyano pakati pehutano hwakanaka uye majoini anopisa. Majoini ane hutano anoshandiswa kana tsandanyama dzakatenderedza dzasimba uye dzichishanda asi pasina marwadzo anoitwa pamuviri. Kuzvimba majoini kunogona kukonzerwa nezvakawanda zvinhu zvakaita semararamiro emararamiro, kusaita zvemuviri, kana mamiriro ekare ane chekuita nekuzvimba marwadzo emajoini. Zvidzidzo zvinoratidza kuti cytokines inoputika inogona kuwedzera kusagadzikana kwemusculoskeletal kunokanganisa mashuloskeletal tissues akakomberedza majoini. Kusvika ipapo, kuzvimba kwemusculoskeletal system kunogona kupindirana nemarwadzo emajoini, zvichikanganisa zvakananga hupenyu hwemunhu. Sezvineiwo, kune nzira dzekugadzirisa chisingaperi kuzvimba kwemajoini uye kudzoreredza hutano hwemunhu uye hutano.
Kutarisira Chronic Joint Inflammation
Sezvo kuzvimba kuchibatsira uye kuchikuvadza kumuviri, kune nzira dzakasiyana dzekugadzirisa zvisingaperi zvinoratidzira zvinokonzeresa kurwadziwa kwemajoini. Vanhu vazhinji vanoda kudzikisa kuzvimba mumajoini avo vanozotanga kubatanidza nzira dzechisikigo dzekudzikisa marwadzo. Kudya chikafu chakakwira mufiber kunogona kubatsira kuderedza kuzvimba mamaki, kusanganisira zviitiko zvemuviri kuvandudza musculoskeletal uye kugadzikana kwemajoini uye kushandisa chiropractic kuchengetedza. Zvidzidzo zvinoratidza kuti kusingaperi kuzvimba kwemajoini kwakabatana nekurwadziwa kunokanganisa kugona kwemunhu kurara uye hutano hwepfungwa. Kusvika ipapo, kubatanidza marapirwo ekugadzirisa zvinokonzeresa kuzvimba zvinogona kuvandudza kuzvibata kwemunhu. Iye zvino chiropractic kuchengetedza inobatsira sei kubata kusingaperi kuzvimba kwemajoini? Chiropractic care zvinosanganisira nzira dzekudzikisa kuzvimba dzinobatsira kusunungura mhasuru dzakaomarara dzakatenderedza majoini anopisa. Joint kuzvimba kunogonawo kuve nekuda kwe kugutsikana (spinal misalignment) yakabatana nemamiriro ekunze. Kushandisa chiropractic kuchengetedza kwete chete kuderedza zviratidzo zvinokonzerwa nekubatana kwekubatana asi zvinogona kuderedza chikonzero chekuputika. Kana munhu angopedza kurapa kwavo kwechiropractic, vanogona kudzokera kumabasa akajairwa pasina njodzi yekukuvara zvakare uye kuzvimba zvakare.
mhedziso
Kuzvimba mumuviri kunogona kubatsira uye kukuvadza zvichienderana nenzvimbo yakabatwa. Muviri unosunungura cytokines inoputika kana chiitiko chinotyisa kana kukuvara kwakaitika mune dzimwe nzvimbo dzemuviri. Izvi zvinokonzerwa nehutachiona hwehutachiona hunopindura kumasero akakuvadzwa, zvichiita kuti nzvimbo yacho ive yakatsvuka, inopisa, uye yakazvimba kukurudzira kupora. Kusvika ipapo, kuzvimba kunogona kukanganisa tsandanyama dzakatenderedza, ligaments, uye majoini, izvo zvinogona kutungamira kune zvisingaperi nyaya dzine chekuita nekurwadziwa. Kuzvimba kwemajoini kunogara kwasara kwakakwira mhedzisiro inokonzeresa kukuvadza kune cartilage uye majoini zvimiro, nekudaro zvichiita kuti vagone kubatanidzwa nekurwadziwa uye kuremara. Neraki, marapirwo senge yakakwira fiber uye anti-kuzvimba chikafu, kuwana maekisesaizi akakwana, uye chiropractic kuchengetedza inogona kubatsira kubata kusingaperi kuzvimba kwemajoini uye zviratidzo zvayo zvinorwadza. Nenzira iyi, vanhu vazhinji vanogona kutangazve mabasa avo enguva dzose.
References
Furman, David, nevamwe. "Kuzvimba Kusingaperi muEtiology yeChirwere mukati meHupenyu Span." Nature Medicine , US National Raibhurari yeMishonga, Zvita 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC7147972/ .
Kim, Yeesuk, et al. "Kuongororwa uye Kurapa kweChirwere Chinopisa Chirwere." Hip & Pelvis , Korean Hip Society, Zvita 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5729162/ .
Lee, Yvonne C. "Zvinoitika uye Kurapwa Kwemarwadzo Asingaperi muInflammatory Arthritis." Iyezvino Rheumatology Mishumo , US National Raibhurari yeMishonga, Ndira 2013, www.ncbi.nlm.nih.gov/pmc/articles/PMC3552517/ .
Poudel, Pooja, et al. "Inflammatory Arthritis - Statpearls - NCBI Booksherufu." Mu: StatPearls [Internet]. Treasure Island (FL) , StatPearls Publishing, 21 Kubvumbi 2022, www.yori.nlm.nih.gov/books/NBK507704/ .
Puntillo, Filomena, nevamwe. "Pathophysiology yeMusculoskeletal Pain: Ongororo Inorondedzera." Therapeutic Kufambira mberi muMusculoskeletal Disease , SAGE Publications, 26 Feb. 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC7934019/ .
Disclaimer
by Dr Alex Jimenez chirwere chemumajoini , Chiropractic , chisingaperi Pain , Functional Medicine , Hip Pain & Dambudziko , Mishonga , Viscerosomatic Reflex , Wellness
ziviso
Mahudyu ari mumucheto wezasi wemuviri anobatsira kudzikamisa huremu hwehafu yepamusoro apo ichipa kufamba kune hafu yepasi. The hips bvumirawo muviri kumonyoroka, kutendeuka, uye kukotama seri neshure. Majoini ehudyu anobatana nechomukati mefupa rechiuno, ukuwo bhonzo remuhudyu rakabatana nesacroiliac joint, rinobatana nemuzongoza. Rini kusakara uye kubvaruka inokanganisa majoini sekukura kwemuviri, nyaya sekurwadziwa kwehudyu uye osteoarthritis ine chekuita nazvo yakaderera musana marwadzo kuitika, zvichiita kuti zviratidzo zvakasiyana-siyana zvibude mumuviri. Chinyorwa chanhasi chinotarisa osteoarthritis, kuti inobata sei muhudyu, uye mabatiro ehudyu osteoarthritis. Isu tinotumira varwere kune vane certified vapei nyanzvi musculoskeletal therapies kubatsira avo vane marwadzo ehudyu uye osteoarthritis. Isu tinotungamirawo varwere vedu nekutaura kune vatinoshanda navo vekurapa zvinoenderana nekuongorora kwavo kana zvakakodzera. Isu tinoona kuti dzidzo ndiyo mhinduro yekubvunza vatinopa mibvunzo ine njere. Dr. Alex Jimenez DC anopa ruzivo urwu sebasa rekudzidzisa chete. Disclaimer
Chii chinonzi Osteoarthritis?
Wanga uchinzwa kurwadziwa muhudyu mako kana kuzasi kumashure? Zvakadini nekuomarara kwetsandanyama pedyo nechidya? Ko zviratidzo zvakabatana ne sciatica zvinoratidzika kunge zvinoputika pedyo nehudyu yako uye kumashure kwegumbo rako here? Zvizhinji zvezviratidzo izvi zviratidzo zvekuti unogona kunge uri panjodzi yekuva neosteoarthritis pedyo nehudyu yako. Nepo arthritis ichireva kuzvimba kwemajoini emuviri, osteoarthritis imhando yeArthritis inokonzera kuparara kwejoint cartilage, zvichikonzera kurwadziwa kwemajoini uye kurasikirwa kwekushanda. Kunyangwe paine mazana akati wandei emhando dzeArthritis, chemajoini ndeimwe yemhando dzakajairika dzinobatwa nevanhu vazhinji, kunyanya vakuru vakuru. Sezvo muviri unowedzera kukwegura kuburikidza nezera, kugadziriswa kubva mukukuvadzwa kunotanga kuderera, uye cartilage (inobatanidza mapfupa anodzivirira mapfupa kubva kune mumwe nemumwe) inotanga kuonda kunze, ichikonzera kuputika kwepfupa pamwe chete, zvichiita kuti kuzvimba kuitike, mapfupa emapfupa, uye kurwadziwa kusingadzivisiki. Osteoarthritis inowanzobatanidzwa nekukwegura uye iri multifactorial sezvinhu zvinogona kuwedzera njodzi yekuvandudza osteoarthritis zvinosanganisira:
Sex zera kufutisa Kukuvara kwemajoini Genetics Bone deformities
Inobata sei Hudyu?
Sezvo osteoarthritis inokanganisa majoini, inokonzera sei kukanganisa pahudyu? Kana nyaya dzehutano dzichikanganisa muviri, zvinogona kukonzera zviratidzo zvinorwadza kuwedzera zvishoma nezvishoma uye kuve njodzi yekuvandudza kurwadziwa kwehudyu. Zvidzidzo zvinoratidza kuti kurwadziwa kwehudyu kunowanzoitika kune vose vanhu vakuru uye maitiro emabasa munzvimbo dzepamberi, dzemberi, kana dzemashure pedyo nechiuno.
Anterior hip kurwadziwa : Zvikonzero chinonzi kurwadziwa (marwadzo anonzwa mune imwe chikamu chemuviri asi chaizvoizvo mune imwe nzvimbo yakasiyana) inobatanidzwa nemukati menhengo zvirongwa.Kurwadza kwehudyu kunotevera : Zvinokonzera kupera-uye-kubvarura marwadzo pazvinyoro zvinyoro zvinyama kumativi ehudyu.Posterior hudyu kurwadziwa : Zvikonzero chinonzi kurwadziwa yakabatana neiyo lumbar spinal pathology senge sciatic nerve entrapment inoenderana neyakadzika gluteal syndrome.
Nyaya dzese idzi dzinobata hudyu dzinopindirana nenyaya dzakasiyana siyana dzine chekuita neosteoarthritis. Kana kurwadziwa kwehudyu kuchibva kune osteoarthritis, zvinhu zvakaita sekuita kushoma kwemuviri kana kufamba kushoma paunenge uchizorora pamubhedha zvinogona kuwedzera nekuda kwemajoini ehudyu ane kushomeka kana kurambidzwa kufamba. Zvidzidzo zvinoratidza kuti kurwadziwa kwehudyu kunosanganiswa nekuremara kwekufamba kunoita kuti zviome kuongororwa nekuda kwemarwadzo anotaurwa kubva kumusana, mabvi, kana kunyange nzvimbo yekugomera.
Hudyu osteoarthritis inobatana sei nemarwadzo ekugomera? Zvidzidzo zvinoratidza kuti kana munhu achibata hudyu osteoarthritis, kugomera uye kurwadza kwemagaro kunowedzera zvishoma. Hudyu yejoini iri kuseri kwemhasuru yegodzi, ndosaka marwadzo emuhudyu achipfuura nekurwadziwa kwehudyu semudzi. Marwadzo ehudyu nehudyu anogonawo kusanganisirwa nemarwadzo ekuyerera achidzika kumabvi mumuviri.
Maekisesaizi eHip Osteoarthritis- Vhidhiyo
VIDEO
Uri kusangana nematambudziko edundira here? Zvakadini nekuomarara padyo kana kutenderedza hudyu yako uye groin area? Ko nyaya dzakadai seyakaderera kumashure uye sciatica kurwadziwa? Kusangana nenyaya idzi kunogona kuve zviratidzo zvehudyu osteoarthritis inobata muviri wako wepasi. Zvidzidzo zvinoratidza kuti hip osteoarthritis ndiyo yakakosha sosi yehurwere, kurwadziwa, gait abnormalities, uye kusashanda kunokanganisa kungangobatanidzwa nedzimwe nyaya. Neraki, kune nzira dzekugadzirisa hip osteoarthritis, sezvo vhidhiyo iri pamusoro inoratidza sere maekisesaizi makuru ehudyu osteoarthritis. Kumwe kurovedza muviri kunofamba kune vanhu vane hip osteoarthritis inogona kubatsira kusimbisa mhasuru dzakatenderedza dzakapoteredza majoini apo ichiwedzera kufamba kwemajoini kuderedza marwadzo nekuoma. Kuita maekisesaizi kunogonawo kubatsira kumunhu sezvo kuchigona kupa:
Wedzera kutenderera kweropa Chengetedza uremu Inopa simba rekuwedzera Inovandudza kurara Inosimudzira kutsungirira kwemhasuru
Mamwe marapirwo aripo anobatsira kubata hip osteoarthritis uku achideredza zviratidzo zvine chekuita nemuviri.
Kugadzirisa Hip Osteoarthritis Pain
Vanhu vazhinji vanotambura nehip osteoarthritis vanoedza kutsvaga nzira dzekubvisa marwadzo. Kunyange zvazvo vasingakwanisi kuita chero chinhu kudzivirira kupera uye kubvarura pamajoini zvachose, kune nzira dzekudzikisa pasi uye kugadzirisa hip osteoarthritis mumuviri. Shanduko diki sekubatanidza chikafu dzinogona kudzikisira mhedzisiro yekuzvimba pamajoini uku ichipa chikafu kumuviri. Hurumende yekurovedza muviri inogona kubatsira kusimbisa misumbu isina simba inotsigira majoini ichiwedzera kufamba uye huwandu hwekufamba. Kurapa senge spinal traction uye chiropractic kuchengetedza kunobvisa marwadzo uye kuomarara kubva kune majoini kusagadzikana senge osteoarthritis. Chiropractic kuchengetedza inopa spinal manipulation kumusana uye majoini kuti agadziriswe. Nepo spinal traction inobatsira iyo compressed discs kubvisa kudzvanywa patsinga dzakatenderedza dzine chekuita nekurwadziwa kwehudyu. Kubatanidza chero ipi zvayo inogona kubatsira kuderedza kufambira mberi kwehudyu osteoarthritis uye kudzosa kufamba kune hudyu.
mhedziso
Hudyu inopa kugadzikana kune kumusoro uye pasi pemuviri. Ichiri kutsigira huremu hwehafu yepamusoro uye kufamba kuenda kuhafu yepasi, mahudyu anogona kukundwa nekupfeka uye kubvaruka mumuviri. Apo majoini ehudyu anotanga kupfeka uye kubvaruka zvishoma nezvishoma, zvinogona kutungamirira kufambira mberi kwehudyu osteoarthritis, apo cartilage yemajoini inotanga kukonzera mapfupa kusveta kune mumwe nemumwe, zvichikonzera kuzvimba. Hip osteoarthritis inoita kuti kuongororwa kuve kwakaoma nekuti marwadzo anotaurwa kubva kumusana, mabvi, kana groin nzvimbo inodarika zviratidzo. Zvose hazvina kurasika, sezvo kune marapirwo aripo ekugadzirisa hip osteoarthritis iyo inogona kubatsira kuderedza kufambira mberi kwechirwere ichi uye kudzosa kufamba kwehafu yepasi yemuviri.
References
Ahuja, Vanita, et al. "Chisingaperi Hip Pain muVakuru: Ruzivo Rwazvino uye Remangwana Remangwana." Chinyorwa cheAnaesthesiology, Clinical Pharmacology , Wolters Kluwer - Medknow, 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC8022067/ .
Chamberlain, Rachel. "Hip Pain muVakuru: Kuongorora uye Kusiyanisa Kuongororwa." American Family Physician , 15 Ndira 2021, www.aafp.org/pubs/afp/issues/2021/0115/p81.html .
Khan, AM, et al. "Hip Osteoarthritis: Marwadzo Aripi?" Annals yeRoyal College yeVavhiyi veEngland , US National Raibhurari yeMishonga, Kurume 2004, pubmed.ncbi.nlm.nih.gov/15005931/ .
Kim, Chan, et al. "Kubatanidzwa kweHip Pain neRadiographic Evidence yeHip Osteoarthritis: Diagnostic Test Study." BMJ (Clinical Research Ed.) , BMJ Publishing Group Ltd., 2 Zvita 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4667842/ .
Sen, Rouhin, naJohn A Hurley. "Osteoarthritis - Statpearls - NCBI Booksherufu." Mu: StatPearls [Internet]. Treasure Island (FL) , StatPearls Publishing, 1 Chivabvu 2022, www.yori.nlm.nih.gov/books/NBK482326/ .
Disclaimer
by Dr Alex Jimenez chirwere chemumajoini , Chiropractic , chisingaperi Pain , Functional Medicine , utano , Mishonga , Viscerosomatic Reflex , Wellness
ziviso
Vanhu vazhinji vakabata nenhau dzinokanganisa hupenyu hwavo neimwe nzira kana chimiro. Vanhu vane autoimmune zvirwere vanofanira kudzidza kubata kwavo rokuzvidzivirira kubva pakugara vachirwisa miviri yavo kuti ishande zvakanaka. Basa rekutanga re immune system mumuviri kurwisa zvakatipoteredza zvinokuvadza maseru, tsandanyama, uye nhengo. Kana munhu aine chirwere che autoimmune, kungave kubva kunhoroondo yemhuri kana mamiriro ezvakatipoteredza, immune system yavo inotanga kurwisa maseru emuviri akajairwa nekuti inofunga kuti mupambi wekunze kune muviri. Mamwe akajairika autoimmune kusagadzikana ane vanhu vazhinji anosanganisira lupus, ankylosing spondylitis , uye rheumatoid arthritis. Mazhinji eaya akajairika autoimmune kusagadzikana anoenderana neakajairika zviratidzo zvinowedzera kune dzimwe nyaya dzinobata muviri. Chinyorwa chanhasi chinotarisa rheumatoid arthritis, zviratidzo zvayo, kuti inodyidzana sei nekuneta, uye kuti kune marapirwo aripo ekurapa rheumatoid arthritis pamwe nekuneta. Isu tinoendesa varwere kune vane certified vapei nyanzvi musculoskeletal therapies kubatsira avo vanorwara nerheumatoid arthritis uye kuneta. Isu tinotungamirawo varwere vedu nekutaura kune vatinoshanda navo vekurapa zvinoenderana nekuongorora kwavo kana zvakakodzera. Isu tinoona kuti dzidzo ndiyo mhinduro yekubvunza vatinopa mibvunzo ine njere. Dr. Alex Jimenez DC anopa ruzivo urwu sebasa rekudzidzisa chete. Disclaimer
Chii Chinonzi Rheumatoid Arthritis?
Wanga uchinzwa kuoma uye kuzvimba kwakatenderedza majoini ako? wakambosangana nematambudziko emudumbu anokanganisa hupenyu hwako here? Kana kuti zvinetso zvokushaya hope kana kuti kuneta zvinoratidzika kuva zvinotapura kunaka kwoupenyu hwako here? Zvizhinji zvezviratidzo izvi zvinosanganiswa ne rheumatoid arthritis. Rheumatoid arthritis chirwere che autoimmune chinokonzera kuzvimba uye kuzvimba mumajoini. Vhidhiyo iri pamusoro inotsanangura maitiro ekugadzirisa rheumatoid arthritis uye zviratidzo zvayo. Kuneta ndechimwe chezviratidzo zvine chekuita nerheumatoid arthritis sezvo cytokines inoputika inogona kunge iri co-morbidity mukushandura huropi kushanda izvo zvinogona kutungamira mukusangana kwemarwadzo uye kuneta mumuviri, zvidzidzo zvinoratidza . Kunyange zvazvo pasina kumbove nemushonga we rheumatoid arthritis, nzira dzakasiyana-siyana dzokurapa dzinogona kubatsira vanhu kugadzirisa zviratidzo zve rheumatoid arthritis.
Zviratidzo
Zvimwe zvezvinowanzo itwa rheumatoid arthritis zviratidzo kumuviri zvinosanganisira kurwadziwa, kuzvimba uye kuzvimba kwemajoini, kuremara kwemajoini, uye kuoma. Kusiyana nekupfeka uye kubvarura kukuvadzwa kubva kumhando dzakasiyana dzezvakajairwa nyaya dzekuzvimba, rheumatoid arthritis zviratidzo zvinogona kuuya nekuenda izvo zvinogona kubva kune zvakapfava, zvine mwero, kana zvakatonyanya. Kana izvi zvikaitika, rheumatoid arthritis inogona kuva mugumisiro wekuita kuti zvive zvakaoma kuita mabasa akareruka uye kukonzera kuchinjwa kwemajoini. Kutsvakurudza kunoratidza kuti rheumatoid arthritis inobatanidza nekuzvimba inogona kukuvadza nhengo dzemuviri dzakasiyana senge ura. Matambudziko emudumbu senge leaky gut, IBS, kana SIBO anogona kukonzera flare-ups muvanhu vane rheumatoid arthritis. Izvi zvinozivikanwa se somato-visceral marwadzo, uko misumbu inokanganisa nhengo dzinokosha, zvichiita kuti muviri uve nematambudziko.
Kuneta Kunoenderana Sei neRA?
Vanhu vane rheumatoid arthritis vanotambura nezviratidzo zvakasiyana-siyana zvine chekuita nenyaya dzekuzvimba. Kana kuzvimba kukatanga kukanganisa muviri, kunogona kupindirana nemaprofile ekuneta uye hurombo hwehupenyu mumunhu. Saka kuneta kunobatana sei nerheumatoid arthritis? Zvidzidzo zvinoratidza kuti kuneta kunoonekwa sechimwe chezviratidzo zvakakomba zverheumatoid arthritis iyo inoremedza vanhu, nekudaro ichibatanidzwa nekuderedza hutano hwavo uye hutano. Kuneta kune zviyero zvakawanda zvinobata vanhu vazhinji. Vamwe vanhu vachatsanangura kuvarapi vavo vekutanga kuti vanogara vakaneta, kushanda zvakapfurikidza, uye vachidzokorora kushushikana kubva muupenyu hwezuva nezuva kana kusagadzikana kunobata miviri yavo. Kune vanhu vane rheumatoid arthritis, zvidzidzo zvinoratidza kuti zvinhu zvakakwirira zvinoputira zvine chokuita nokuneta zvinogona kuita kuti vanzwe vapera simba. Izvi zvine hukama kune vanhu vane kushaya hope kubva kune mamwe mamiriro.
Kugadzirisa Rheumatoid Arthritis-Vhidhiyo
VIDEO
Wanga uchinzwa kuoma uye kuzvimba kwakatenderedza majoini ako? wakambosangana nematambudziko emudumbu anokanganisa hupenyu hwako here? Kana kuti zvinetso zvokushaya hope kana kuti kuneta zvinoratidzika kuva zvinotapura kunaka kwoupenyu hwako here? Zvizhinji zvezviratidzo izvi zvinosanganiswa ne rheumatoid arthritis. Rheumatoid arthritis chirwere chisingaperi che autoimmune chinokonzera kuzvimba uye kuzvimba mumajoini. Vhidhiyo iri pamusoro inotsanangura maitiro ekugadzirisa rheumatoid arthritis uye zviratidzo zvayo. Kuneta ndechimwe chezviratidzo zvine chekuita nerheumatoid arthritis sezvo cytokines inoputika inogona kunge iri co-morbidity mukushandura huropi kushanda izvo zvinogona kutungamira mukusangana kwemarwadzo uye kuneta mumuviri, zvidzidzo zvinoratidza . Kunyange zvazvo pasina kumbove nemushonga we rheumatoid arthritis, nzira dzakasiyana-siyana dzokurapa dzinogona kubatsira vanhu kugadzirisa zviratidzo zve rheumatoid arthritis.
Kurapa KweRA & Kuneta
Kunyange zvazvo pasina kumbove nemushonga we rheumatoid arthritis, kune nzira dzekugadzirisa zviratidzo zvinosanganiswa zverheumatoid arthritis. Kudya zvinorwisa-kuzvimba zvakapfuma zvekudya zvinogona kuderedza mhedzisiro yekuzvimba pamajoini. Imwe nzira paunenge uchisimbisa muviri inogona kubatsira kusunungura majoini akaomarara uye kudzosa simba retsandanyama, nokudaro kudzoreredza kufamba kwemajoini. Kurapa senge chiropractic kuchengetedza kunogona zvakare kupa zororo rekurwadziwa uye manejimendi kune vanhu vanobata rheumatoid arthritis. Chiropractic kuchengetedza inosanganisira passive uye inoshanda kurapa maitiro e rheumatoid arthritis uye kuneta. Chiropractors inoshandisa spinal gadziriso uye manyorero manipulation kuti aderedze misalignment kana subluxation yemuzongoza. Chiropractic kuchengetedza inogonawo kubatsira nezviratidzo zvakawanda senge kuneta kwakabatana ne rheumatoid arthritis pasina kurapa kunoparadza kana mishonga. Chiropractic kuchengetedza inogona kuvandudza kushanda kwemapfupa, majoini, uye kunyange tsinga dzemuviri mumuviri.
mhedziso
Rheumatoid arthritis chirwere chisingaperi chinoputika chinokonzera kuoma kwemajoini uye kuzvimba. Zvikonzero zvechirwere che autoimmune ichi hazvizivikanwe. Zvakadaro, zvinhu zvakaita sekushushikana, matambudziko emudumbu, uye kufutisa zvinosanganisirwa nezviratidzo zvakaita sekuneta, kudonha kwemukati, kuoma kwemhasuru, uye hurombo hwehupenyu hunogona kuve nekubatanidzwa nerheumatoid arthritis. Mishonga yakaita sekudya zvinorwisa-kuzvimba chikafu, kurovedza muviri, uye chiropractic kuchengetedza zvinogona kubatsira kugadzirisa nyaya dzekuzvimba zvinokonzeresa rheumatoid arthritis uye zvinogona kuderedza mhedzisiro yekuneta kubva mumuviri, nokudaro kunonoka kufambira mberi uye kudzosa hupenyu hwemunhu.
References
Chauhan, Krati, et al. "Rheumatoid Arthritis - Statpearls - NCBI Booksherufu." Mu: StatPearls [Internet]. Treasure Island (FL) , StatPearls Publishing, 30 Kubvumbi 2022, www.yori.nlm.nih.gov/books/NBK441999/ .
Korte, S Mechiel, uye Rainer H Straub. "Kuneta muInflammatory Rheumatic Disorders: Pathophysiological Mechanisms." Rheumatology (Oxford, England) , Oxford University Press, 1 Mbudzi 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6827268/ .
Pope, Janet E. "Kutarisira Kuneta muRheumatoid Arthritis." RMD Vhura , BMJ Publishing Group, Chivabvu 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7299512/ .
Santos, Eduardo JF, nevamwe. "Kukanganisa Kwekuneta muRheumatoid Arthritis uye Matambudziko Ekuongorora Kwayo." Rheumatology (Oxford, England) , Oxford University Press, 1 Mbudzi 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6827262/ .
Vashandi, Mayo Clinic. "Rheumatoid Arthritis." Mayo Clinic , Mayo Foundation Yekurapa Dzidzo uye Tsvagiridzo, 18 May 2021, www.mayoclinic.org/diseases-conditions/rheumatoid-arthritis/symptoms-causes/syc-20353648 .
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