Nerve Injury
Back Clinic Nerve Injury Team. Tsinga hadzina kusimba uye dzinogona kukuvadzwa nekumanikidzwa, kutatamuka, kana kucheka. Kukuvadzwa kwetsinga kunogona kumisa masaini kuenda nekubva kuuropi, zvichiita kuti tsandanyama dzisashande zvakanaka uye kurasikirwa nekunzwa munzvimbo yakakuvara. Sisitimu yetsinga inodzora mashandiro mazhinji emuviri, kubva pakudzora kufema kwemunhu kusvika pakudzora tsandanyama dzavo pamwe nekuona kupisa uye kutonhora. Asi, kana kukuvadzwa kubva mukukuvadzwa kana mamiriro ari pasi kunokonzera kukuvara kwetsinga, hupenyu hwemunhu hunogona kukanganiswa zvikuru. Dr. Alex Jimenez anotsanangura pfungwa dzakasiyana-siyana kuburikidza nekuunganidza kwake zvinyorwa zvinotenderera kune marudzi ekukuvadzwa uye mamiriro ezvinhu anogona kukonzera kukanganiswa kwetsinga pamwe nekukurukura maitiro akasiyana-siyana ekurapa uye kugadzirisa kuderedza marwadzo ehutano uye kudzorera hupenyu hwomunhu.
General Disclaimer *
Ruzivo rwuri pano haruna kuitirwa kutsiva hukama hwemunhu-pamwe nenyanzvi yezvehutano ane hunyanzvi kana chiremba ane rezinesi uye harisi zano rekurapa. Tinokukurudzira kuti uzviitire sarudzo dzehutano maererano netsvagiridzo yako uye kudyidzana nenyanzvi yezvehutano inokwanisa. Ruzivo rwedu ruzivo rwakagumira kuchiropractic, musculoskeletal, mishonga yemuviri, hutano, nyaya dzehutano dzakasimba, zvinyorwa zvemishonga zvinoshanda, misoro, uye nhaurirano. Isu tinopa uye tinopa kushandira pamwe kwekiriniki nenyanzvi kubva kwakasiyana siyana yezvirango. Imwe neimwe nyanzvi inotongwa nehunyanzvi hwavo chiyero chekudzidzira uye kutonga kwavo kwerezinesi. Isu tinoshandisa inoshanda hutano & hutano mapuroteni kurapa uye kutsigira kuchengetedza kwekukuvadzwa kana kusagadzikana kwemusculoskeletal system. Mavhidhiyo edu, zvinotumirwa, misoro, zvidzidzo, uye ruzivo rwunobata nyaya dzekiriniki, nyaya, uye misoro inechekuita nerutsigiro, zvakananga kana zvisina kunanga, mamiriro edu ekurapa. Hofisi yedu yaedza zvine musoro kupa magwaro anotsigira uye yakaona. chidzidzo chetsvakiridzo chakakodzera kana zvidzidzo zvinotsigira zvatakatumira. Isu tinopa makopi ekutsigira zvidzidzo zvekutsvagisa anowanikwa kumabhodhi ekutonga uye neruzhinji pakukumbira.
Isu tinonzwisisa kuti tinofukidza zvinhu zvinoda imwe tsananguro yekuti ingabatsire sei mune imwe chirongwa chekutarisira kana yekurapa protocol; Naizvozvo, kuti uenderere mberi nekukurukura nyaya iri pamusoro, ndapota inzwa wakasununguka kubvunza Dr. Alex Jimenez kana taura nesu isu 915-850-0900 .
Dr. Alex Jimenez DC, Msacp , CCST , IFMCP *, CIFM *, atn *
email: qeqeshi@elpasofunctionalmedicine.com
Inobvumirwa mu: Texas & New Mexico *
by Dr Alex Jimenez Nerve Injury , Neuropathy
Ko kunzwisisa kuti nociceptors inoshanda sei uye basa ravo mukugadzirisa zviratidzo zvinorwadza zvinobatsira vanhu vari kutarisira kukuvara uye / kana kurarama nemarwadzo asingagumi?
Nociceptors
Nociceptors magumo etsinga anoona zvinokuvadza zvinokurudzira, zvakadai sekupisa kwakanyanya, kudzvinyirira, uye makemikari, uye zviratidzo zvinorwadza. Ndidzo dziviriro yekutanga yemuviri kubva kune zvinogona kukanganisa zvinopinda nharaunda.
Nociceptors iri muganda, tsandanyama, majoini, mapfupa, nhengo dzomukati, matishu akadzika, uye cornea.
Vanoona zvinhu zvinokuvadza vozvishandura kuva zviratidzo zvemagetsi.
Aya masaini anotumirwa kunzvimbo dzepamusoro dzehuropi.
Uropi hunodudzira zviratidzo semarwadzo, izvo zvinokurudzira muviri kuti udzivise kukurudzira kunokuvadza.
Nociceptors, inowanzonzi pain receptors, yakasununguka nerve endings muviri wose. Ivo vanoita basa rakakosha mumanzwiro uye kuita kwemuviri pakurwadziwa. Chinangwa chikuru che nociceptor ndechekupindura kukanganisa kumuviri kuburikidza nekutumira zviratidzo kumusana wepelinha uye uropi. (Purves D, Augustine GJ, Fitzpatrick D, et al., vapepeti. 2001 ) Kana iwe ukaputira rutsoka rwako, ma nociceptors paganda anoshandiswa, kutumira chiratidzo kuuropi kuburikidza nehutachiona hwehutachiona kumusana wepelinha. Marwadzo anobva kune chero chikonzero anotapurirwa nenzira iyi. Zviratidzo zvekurwadziwa zvakaoma, zvinotakura ruzivo pamusoro penzvimbo yekukurudzira uye kusimba. Izvi zvinoita kuti uropi hunyatsogadzirisa marwadzo uye kutumira kutaurirana kumashure kunovhara mamwe masaini ekurwadziwa.
kupatsanura
Kune makirasi akasiyana e nociceptors, ayo anobva pane rudzi rwekukurudzira kwavanoita (Yunivhesiti yeTexas McGovern Medical Chikoro, 2020 )
Thermal
Thermal nociceptors inopindura kune kupisa kwakanyanya kana kutonhora.
Semuenzaniso, kana uchibata chitofu chinopisa, ma nociceptors, ayo anoratidza kurwadziwa, anogadziriswa pakarepo, dzimwe nguva usati waziva zvawakaita.
Mechanical
Mechanical nociceptors inopindura kutambanudza kwakanyanya kana kuomeswa, sekudhonza hamstring kana kushungurudza tendon.
Misungo kana tendon yakatambanudzwa kupfuura kukwanisa kwavo, inokurudzira nociceptors uye kutumira zviratidzo zvinorwadza kuuropi.
mushonga
Kemikari nociceptors inopindura kumakemikari anobudiswa kubva mukukuvara kwenyama.
Semuenzaniso, prostaglandin uye chinhu P kana makemikari ekunze senge topical capsaicin pain creams.
Silent
Silent nociceptors inofanira kutanga kushandiswa nekuputika kwenyama isati yapindura kune mechanical, thermal, kana chemical stimulus.
Mazhinji visceral nociceptors ari panhengo dzemuviri.
Polymodal
Polymodal nociceptors inopindura kune mechanical, thermal, uye chemical stimuli.
Mechano-thermal
Mechano-thermal nociceptors inopindura kune mechanical uye thermal stimuli.
Pain Transmission
Nociceptors inoratidzirwawo nekukasira kwavanoita kutumira zviratidzo zvinorwadza. Kufambisa kwekufambisa kunotarirwa nemhando yefiber fiber inozivikanwa seaxon nociceptor ine. Kune mhando mbiri huru.
Rudzi rwekutanga iA fiber axon, mafibhi akakomberedzwa nemafuta, sheath inodzivirira inonzi myelin.
Myelin inobvumira masaini etsinga / chiito chinogona kufamba nekukurumidza.
Rudzi rwechipiri ndiC fiber axons, iyo isina kutenderedzwa nemyelin uye inofambisa zvishoma. (Yunivhesiti yeTexas McGovern Medical Chikoro, 2020 )
Nekuda kwekusiyana kwekumhanya kwekutapurirana, zviratidzo zvinorwadza kubva kuA fibers zvinosvika kumusana wekutanga. Somugumisiro, mushure mekukuvara kwakanyanya, munhu anonzwa kurwadziwa muzvikamu zviviri, imwe kubva kuA fibers uye imwe kubva kuC fibers. (Ngassapa DN 1996 )
Pain Perception Phases
Kana kukuvadzwa kuchiitika, ma nociceptors anokurudzirwa anoshandisa A fibers, zvichiita kuti munhu anzwe kurwadziwa kwakanyanya, kunorwadza.
Ichi ndicho chikamu chekutanga chemarwadzo, chinozivikanwa sekurwadziwa kwekukurumidza, nokuti haisi kunyanya kusimba asi inouya pakarepo mushure mekukurudzira.
Pakati pechikamu chechipiri chemarwadzo, C fibers inoshandiswa, inokonzera kurwadziwa kwakanyanya, kupisa kunopfuurira kunyange mushure mokunge kukurudzira kwamira.
Icho chokwadi chekuti C fibers inotakura marwadzo ekupisa inotsanangura kuti sei pane kunonoka kwenguva pfupi usati wanzwa kunzwa.
Mafibisi eC anotakurawo kurwadza, kurwadziwa kunorwadza kunokonzerwa nenhengo dzemuviri, senge tsandanyama kana kurwadziwa nemudumbu. (Ngassapa DN 1996 )
Kukuvadza Chiremba Chiropractic uye Inoshanda Mushonga Kliniki
Injury Medical Chiropractic uye Functional Medicine Clinic inoshanda nevarapi vehutano hwekutanga uye nyanzvi kuvaka hutano hwakakwana uye hutano mhinduro. Isu tinotarisisa pane izvo zvinokushandira iwe kubvisa marwadzo, kudzoreredza basa, kudzivirira kukuvara, uye kubatsira kudzikisira nyaya kuburikidza nekugadzirisa kunobatsira muviri kuzvigadzirisa. Vanogonawo kushanda nevamwe vashandi vezvokurapa kuti vabatanidze chirongwa chekurapa kugadzirisa matambudziko emusculoskeletal.
Kubva Kukuvara Kuti Udzoke NeChiropractic Care
VIDEO
References
Purves D, AG, Fitzpatrick D, et al., vapepeti. (2001). Nociceptors. MuNeuroscience. 2nd edition. (2nd ed.). Sunderland (MA): Sinauer Associates. www.yori.nlm.nih.gov/books/NBK10965/
Yunivhesiti yeTexas McGovern Medical Chikoro. (2020). Chitsauko 6: Marwadzo Mitemo. nba.uth.tmc.edu/neuroscience/m/s2/chapter06.html
Ngassapa DN (1996). Kuenzanisa kwekushanda kwemaitiro emukati A- uye C-nerve fibers mumarwadzo emazino. East African medical journal, 73(3), 207–209.
by Dr Alex Jimenez Injury Care , Nerve Injury
Kunzwisisa anatomy uye kushanda kweiyo refu thoracic nerve inogona kubatsira vanhu kuita sarudzo dzine ruzivo rwehutano mushure mekukuvara kune nerve?
Long Thoracic Nerve
Iyo inonziwo posterior thoracic nerve, iyo yakareba thoracic nerve / LTN itsinga yakaonda yepamusoro inomhanya kubva kumutsipa wekervical kusvika kumadziro echipfuva chikamu chehunde. Inopa mota basa kune thorax's serratus anterior muscle, ichibatsira kudzikamisa bendekete. Kukuvara kune iyi nerve kunogona kukonzera kushomeka kana kusajairika kwepfudzi uye fudzi rekufamba, kusanganisira kuomerwa nekusimudza ruoko panguva yekusvika kumusoro.
Anatomy
Iyo yakareba thoracic nerve inobva ku ventral rami ye cervical nerves C5, C6, uye C7. (Waxenbaum JA, Reddy V, Bordoni B. 2023 ) Mune vamwe vanhu, mudzi kubva kuC7 haupo; mune dzimwe, duku tsinga midzi matavi kubva C8. Midzi yetsinga kubva kuC5 neC6 inopinda mukati memukati scalene muscle kuti ibatane neC7 nerve. Iyo inofamba kuseri kwebrachial plexus axillary artery uye tsinga uye inodzika pasi nedivi redivi rechipfuva. Iyo yakareba thoracic nerve inogumira pachikamu chezasi che serratus anterior muscle, ichitumira tsinga diki kune fungidziro yemhasuru yega yega, inonamatira kune nenyuchi . Nokuti iyo yakareba thoracic nerve iri padivi rechipfuva chechipfuva, inogona kukuvara panguva yemitambo kana maitiro ekuvhiya. Iyo tsinga inewo dhayamita diki pane imwe cervical uye brachial plexus nerve, iyo inowedzera kugona kwayo kwekukuvara.
basa
Iyo tsinga refu yepachipfuva inonamira nechepazasi pebendekete yopinza sezvo tsandanyama inotsvedza mumbabvu. Inopa mota basa kune serratus anterior tsandanyama, yakakosha kune yakajairika mafudzi kufamba. Kana ikakoirana, inokweva bendekete kurwisana nembabvu nechipfuva, ichibatsira kufamba uye kudzikamisa ruoko apo inofamba ichienda mberi ichikwira panguva yekufamba kwepfudzi. Kukuvara kune refu thoracic nerve inokonzera mamiriro anonzi scapular winging. Izvi zvinoitika apo serratus anterior muscle inopera simba kana kuremara mushure mekukuvara. (Lung K, St Lucia K, Lui F. 2024 )
Kukwanisa Kukuvara
Iyo LTN haina kudzivirirwa uye inogona kukuvadzwa nezvinhu zvakati wandei, zvinosanganisira:
Heavy backpacks
Sports
Mabasa ayo muviri hauna kujaira, sekuchera
Kushandisa madondoro
Conditions
Kukuvara kune yakareba thoracic nerve inogona kuitika semugumisiro wekushungurudzika, kusimudza zviremera zvinorema pamusoro pefudzi, kana nzira yekuvhiya. Maitiro ekuvhiya anogona kuisa nerve panjodzi yekukuvara inogona kusanganisira: (Lung K, St Lucia K, Lui F. 2024 )
Axillary lymph node dissection
Kuiswa zvisina kunaka intercostal drains
Chest tube placements
Mastectomy
Thoracotomy
Iyo yakareba thoracic nerve inodzivirirwa panguva idzi maitiro nechiremba anovhiya uye nzira yakakodzera yekuvhiya, asi dzimwe nguva, matambudziko anomuka panguva yekuvhiyiwa, uye nerve inogona kukuvara. Vanhu vanogona zvakare kuve nekusiyana kweanatomical inoisa tsinga dzavo munzvimbo dzakasiyana. Chiremba anovhiya angasazviona uye nekukuvadza tsinga dzavo panguva yekuvhiyiwa.
Iyo yepamusoro yakareba thoracic nerve inogonawo kukuvadzwa panguva yemitambo kana kushungurudzika kune trunk. Kurova kune rumwe rutivi kana kuti kamwe-kamwe pamusoro wakatambanudzwa kusvika pamapfudzi zvingave zvakakwana kukuvadza tsinga, kuremadza serratus anterior muscle.
Kushaya simba kana kupera simba kwe serratus anterior muscle kuchaguma nemapapiro ane scapula. Kuedza izvi:
Mira anenge mamita maviri kubva pamadziro, wakatarisa pairi.
Isa maoko ose pamadziro uye zvinyoronyoro sunda pariri.
Kana imwe yemapendekete yakanamatira kunze zvisina kujairika, inogona kunge iri mapapiro ane scapula.
Ita kuti nhengo yemhuri kana shamwari imire shure kwako uye tarisa nzvimbo yefudzi refudzi.
Kana iwe uchifungidzira winged scapula, shanyira chiremba anogona kuongorora mamiriro acho uye kuona kana pane kukuvara kwenguva refu kwethoracic.
Kubata scapula kunogona kukonzera kunetseka kusimudza ruoko pamusoro. Iyo serratus anterior muscle inoshanda pamwe nemamwe scapular stabilizers, akadai sepamusoro trapezius uye levator scapula, kuti iite zvakanaka pfudzi kana uchisimudza ruoko. Kukundikana kwe serratus kudzikamisa bendekete rinogona kuita kuti kusimudza ruoko kusagoneke.
Kuongororwa kwekiriniki kunowanzo shandiswa kuongorora kukuvara kwenguva refu kwethoracic nerve. X-rays uye MRIs haigoni kuratidza kukuvara kwetsinga zvakananga, kunyange zvazvo MRI inogona kuratidza zvimwe zviratidzo zvechipiri kubatsira kusimbisa kuongororwa. Electromyographic kana EMG bvunzo inogonawo kuitwa kuti iongorore kushanda kweiyo refu thoracic nerve.
Kurapa uye Rehabilitation
Kurapa kurwadziwa kweLTN uye kuderedzwa kufamba kunogona kusanganisira:
Zorora
Kuchena kana kuvhara
Anti-inflammatory pain mishonga
Tsigiro yemutsipa kana piro
Kudzivisa basa rakaoma uye kutyaira
Kana iyo tsinga refu ye thoracic yakakuvadzwa zvakanyanya uye serratus anterior yakaremara zvachose, nzira yakanakisisa yekuita ndeyekushanda uye kutarisa mamiriro acho ezvinhu. Kudzoreredza kwakazara kwebasa remaoko kunogona kutora rimwe kusvika makore maviri. Kana kukuvara kwekusingaperi kwetsinga kwakaitika, kuvhiyiwa kungave sarudzo yekudzorera kufamba kwepfudzi uye basa. Mhando dzinoverengeka dzakasiyana dzekuvhiya dzinogona kushandiswa kugadzirisa winged scapula. (Vetter M. et al., 2017 )
Imwe inosanganisira kuendesa pectoralis huru tendon kune scapula (Vetter M. et al., 2017 ) saka inoshanda seserratus.
Kakawanda, tendon inofanira kurebeswa, iyo inogona kuitwa uchishandisa chikamu che hamstring tendon.
Mushure mekuvhiyiwa, vanhu vangangopfeka chipfuramabwe paruoko rwavo kwemavhiki mashoma, uyezve zvinyoro-nyoro-ye-kufamba maekisesaizi zvinotangwa.
Mushure memavhiki masere kusvika gumi, kusimba kunowedzera zvishoma nezvishoma kwetendon itsva kunogona kutanga.
Kufamba kwakazara kwepfudzi uye kupora simba kunotarisirwa mwedzi mitanhatu kusvika ku12 mushure mekuvhiyiwa.
Kurapa kwepanyama kunogona kushandiswa kubatsira kuvandudza serratus anterior mabasa. (Berthold JB, Burg TM, & Nussbaum RP 2017 ) Maekisesaizi ekusimbisa serratus basa anogona kusanganisira:
Vadivelu Comedy Supine Punches
Rara nemanhede wosimudza maoko ese akananga kusirin'i.
Gadzira chibhakera worovera mudenga wakananga kusirin'i.
Ita shuwa kuti kufamba kwakadzikama uye nemaune, uye chengetedza gokora rakatwasuka.
Bata nzvimbo yacho kwemasekondi matatu, wozodzikisa zvishoma nezvishoma ruoko panzvimbo yekutanga.
Ita 10 kusvika ku15 kudzokorora.
Kubata dumbbell diki mumaoko ako kunogona kuita kuti chiitwa chiwedzere kunetsa.
kusundira kumusoro
Rara nedumbu woisa maoko ako pasi nemapendekete kuita seuri kuda kuita pushup.
Ita pushup uye pfuurira mberi, uchibvumira mapendekete kuti aputire pathorax.
Bata nzvimbo iyi kwemasekonzi matatu, uye zvishoma nezvishoma usunungure.
Ita 10 kune 15 reps.
Kana izvi zvakanyanya kuoma, ita pushup kumadziro kuti uderedze mhedzisiro yegiravhiti pachiitwa.
Scapular Winging muKudzika
VIDEO
References
Waxenbaum, JA, Reddy, V., & Bordoni, B. (2024). Anatomy, Musoro uye Mutsipa: Cervical Nerves. MuStatPearls. www.ncbi.nlm.nih.gov/pubmed/30844163
Lung, K., St Lucia, K., & Lui, F. (2024). Anatomy, Thorax, Serratus Anterior Muscles. MuStatPearls. www.ncbi.nlm.nih.gov/pubmed/30285352
Vetter, M., Charran, O., Yilmaz, E., Edwards, B., Muhleman, MA, Oskouian, RJ, Tubbs, RS, & Loukas, M. (2017). Winged Scapula: Ongororo Yakazara Yekurapa Kuvhiya. Cureus, 9(12), e1923. doi.org/10.7759/cureus.1923
Berthold, JB, Burg, TM, & Nussbaum, RP (2017). Yakareba Thoracic Nerve Injury Inokonzerwa Nepamusoro Weight Kusimudza Inotungamira kuScapular Dyskinesis uye Medial Scapular Winging. Chinyorwa cheAmerican Osteopathic Association, 117 (2), 133-137. doi.org/10.7556/jaoa.2017.025
by Dr Alex Jimenez Kudzorera Pain , Chiropractic , Nerve Injury , Mishonga , Viscerosomatic Reflex
Vanhu vane kukuvara kwetsinga vanogona here kubatanidza marapirwo asiri ekuvhiya kuderedza marwadzo uye kudzoreredza kushanda kwemota kumiviri yavo?
ziviso
Muviri wemunhu muchina wakaomesesa wetsinga, mapfupa, nhengo, matishu, uye tsandanyama dzinobatsira munhu kuti afambe, asununguke, uye agadzikane panguva yezviitiko zvakasiyana-siyana pasina kurwadziwa uye kusagadzikana. Nekudaro, kana zvinhu zvakawanda zvatanga kukuvadza muviri, zvinogona kutungamira kune akawanda anopindirana njodzi profiles izvo zvinogona kukanganisa magumo emuviri uye kukuvara kwetsinga. Kubata nekukuvara kwetsinga kunogona kutungamirira kumarwadzo anotaurwa musculoskeletal system, uye vanhu vazhinji vanofunga kuti kurwadziwa kwetsandanyama panzvimbo yekukuvara kwetsinga. Kana izvozvo zvikaitika, vanhu vazhinji vanozotanga kutsvaga kurapwa kuti vaderedze kwete chete zviratidzo zvekukuvara kwetsinga asiwo kuderedza marwadzo ane chekuita netsinga. Muchinyorwa chanhasi, isu tichatarisa izvo zvinokonzeresa kukuvara kwetsinga uye maitiro asiri ekuvhiya marapirwo senge chiropractic kuchengetedza uye acupuncture inogona kubatsira nekudzikisa iyo zviratidzo zvinopindirana zvekukuvara kwetsinga uye kupa zororo kumuviri. Isu tinokurukura nevarapi vane hunyanzvi vanozivisa varwere vedu nezve kukuvara kwetsinga kunogona kukanganisa musculoskeletal system. Patinenge tichibvunza mibvunzo ine ruzivo kune vatinoshamwaridzana navo vezvokurapa, tinorayira varwere kuti vaise marapirwo asina kuvhiyiwa sechiropractic kuchengetedza uye acupuncture kudzorera kushanda kwemotokari kumuviri. Dr. Alex Jimenez, DC, anobatanidza ruzivo urwu sebasa rezvidzidzo. Disclaimer .
Chii Chinokonzera Kukuvara Kwetsinga?
Unogara uchinzwa kurira kana kuti chiveve mumakumbo ako, maoko, tsoka, uye maoko here? Tsandanyama dzako dzinonzwa kupera simba here zvekuti kubata zvinhu zvinoita sekunge kwakaoma? Kana kuti unonzwa kurwadziwa mumigumo yako, zvichiita kuti zvive zvakaoma kuita mabasa ezuva nezuva? Muviri une matiririyoni etsinga dzinobuda kubva pakati penheyo system uye dzakapindirana nemamhasuru, matishu, uye nhengo dzemota-sensory function. Kukuvara kunoshungurudza, tsaona, uye zvakajairwa zvakatipoteredza zvinokanganisa tsinga uye zvinokonzeresa kuwanda kwengozi profiles. Kazhinji pane zvisiri izvo, vanhu vazhinji vanobata neasina-mechini uye emagetsi kukuvara kwetsinga kunogona kuitika kumuviri. Nekukuvara kwetsinga, vanhu vazhinji vanogona kunzwa zviratidzo zvakasiyana zvichienderana nekuoma. Neuropraxia, imwe nzira iri pakati nepakati yekukuvara kwetsinga, inokonzeresa kudzvanywa kwetsinga kumusoro uye kuzasi kunokonzera kusashanda kwemota. ( Carballo Cuello naDe Jesus, 2024 )
Pamusoro pezvo, neuropraxia inogona kukonzeresa kukanganisa kwekushanda kune motor-sensory dysfunction iyo inovhiringa peripheral nervous system, zvichiratidza izvi zvinovharira tsinga conduction uye kupera simba kwenguva pfupi kana paresthesia. ( Biso & Munakomi, 2024 ) Kana izvi zvikaitika, vanhu vakawanda vanotarisana nekukuvara kwetsinga yeperipheral iyo inobatanidza neuropraxia inogona kusangana nekukanganiswa kwemaitiro uye kushanda kune unyanzvi hwekunzwa-motor mumigumo, izvo zvinotungamirira kukuremara kwemuviri uye kurwadziwa kweuropathic, nokudaro kukanganisa mararamiro emunhu. ( Lopes et al., 2022 ) Vanhu vazhinji vanobata nekukuvara kwetsinga vanogona kuve nenguva dzakasiyana dzekupora zvichienderana nekuoma. Vanhu vazhinji vanowanzofunga kuti vari kubata nemarwadzo emusculoskeletal mumutsipa wavo, mafudzi, kumashure, uye kumagumo, asi zvinosanganiswa nekukuvara kwetsinga. Kana izvi zvikaitika, vanhu vazhinji vanogona kutsvaga kurapwa kuti vaderedze marwadzo-senge zviratidzo kubva mukukuvara kwetsinga.
Kufamba Ndiko Kiyi Yekuporesa Here?- Vhidhiyo
VIDEO
Kurapa Kusina Kuvhiya Kwekukuvara Kwetsinga
Kana zvasvika pakurapa kukuvara kwetsinga, zvinoenderana nekuoma kwezviratidzo zvavanokonzera. Sarudzo dzekuvhiya dzinokurudzirwa kudzoreredza mota-sensory basa kana zvakakomba ma mechanical zvinhu zvichikonzera kukuvara kwetsinga. Nekudaro, vanhu vazhinji vanozobuda mukuvhiya kurapwa nekuda kwekudhura kwavo uye kazhinji vanotora-the-counter mishonga yekurerutsa marwadzo. Nekudaro, kana kukuvara kwetsinga kusiri kwemagetsi, vanhu vazhinji vanogona kutsvaga kurapwa kusiri kwekuvhiya kuderedza kukuvara kwetsinga kunobata musculoskeletal system. Mishonga yakawanda isiri yekuvhiya inofarirwa nevanhu vazhinji nekuti inodhura uye inogona kupedzisira yawedzera kutarisirwa kwemunhu nekuvandudza mhedzisiro yavo yekupora. ( El Melhat et al., 2024 ) Mishonga isiri-yekuvhiya inogona kuuya nenzira dzakawanda, kubva kuchiropractic kuchengetedza kusvika kune acupuncture, kubatsira kuderedza migumisiro yekukuvara kwehutano husina-mechanical uye kubatsira kudzorera kunzwa-motor basa re musculoskeletal system.
Chiropractic Care
Chiropractic kuchengetedza ndeimwe yeakawanda asina-kuvhiya marapirwo anoshandisa mechanical uye manual manipulation yemusana kugadzirisa muviri uye kubatsira kudzorera kunzwa-motor basa kumagumo. Nekukuvara kwetsinga, chiropractic kuchengetedza inogona kubatsira neural mobilization kuti isunungure tsinga dzakabatwa munzvimbo dzakakanganiswa dzemhasuru, nokudaro kuderedza marwadzo-sezviratidzo zvekunzwa kwekunzwa. ( Jefferson-Falardeau & Houle, 2019 ) Uyezve, chiropractic kuchengetedza inogona kubatsira kuwedzera ROM (kusiyana kwekufamba) mumigumo uye kuderedza numbing uye tingling sensations.
Acupuncture
Acupuncture imwe isiri-yekuvhiya kurapwa iyo inogona zvakare kubatsira kuderedza isiri-mechanicha tsinga kukuvara kumuviri. Kana nyanzvi yeacupuncturist ikashandisa tsono diki, dzakatetepa panzvimbo dzakasiyana dzekumanikidza kudzosera iyo neuron siginecha uye kudzoreredza kuyerera kwesimba remuviri, acupuncture inogona kubatsira kuvandudza kushanda kwekiriniki yekurwadziwa kwetsinga uye kubatsira kusimudzira hupenyu hwemunhu. ( Li et al., 2023 Uyezve, acupuncture inogona kubatsira kuvandudza manzwiro uye kugona kwetsinga uye inogona kusanganiswa nemamwe marapirwo asiri ekuvhiya. ( Jang et al., 2021 ) Kana zvasvika pakuderedza marwadzo-sezviratidzo zvine chekuita nekukuvara kwetsinga, kurapwa kusiri kwekuvhiya kunogona kupa zororo rinotsvakwa nevanhu vazhinji uye rinotungamira kuhupenyu hunofadza, hune hutano.
References
Biso, G., & Munakomi, S. (2024). Neuroanatomy, Neurapraxia. In StatPearls . www.ncbi.nlm.nih.gov/pubmed/32491678
Carballo Cuello, CM, & De Jesus, O. (2024). Neurapraxia. In StatPearls . www.ncbi.nlm.nih.gov/pubmed/32809336
El Melhat, AM, Youssef, ASA, Zebdawi, MR, Hafez, MA, Khalil, LH, & Harrison, DE (2024). Nzira dzisiri dzeKuvhiya kuMutungamiri weLumbar Disc Herniation Inobatanidza neRadiculopathy: Kudzokorora Kurondedzera. J Clin Med , 13 (4). doi.org/10.3390/jcm13040974
Jang, JH, Song, EM, Do, YH, Ahn, S., Oh, JY, Hwang, TY, Ryu, Y., Jeon, S., Song, MY, & Park, HJ (2021). Acupuncture inoderedza kurwadziwa kusingaperi uye comorbid mamiriro mune mbeva modhi yeuropathic kurwadziwa: kubatanidzwa kweDNA methylation mu prefrontal cortex. Pain , 162 (2), 514-530. doi.org/10.1097/j.pain.0000000000002031
Jefferson-Falardeau, J., & Houle, S. (2019). Chiropractic Management yeMurwere Ane Radial Nerve Entrapment Symptoms: A Case Study. J Chiropr Med , 18 (4), 327-334. doi.org/10.1016/j.jcm.2019.07.003
Li, X., Liu, Y., Jing, Z., Fan, B., Pan, W., Mao, S., & Han, Y. (2023). Migumisiro yeAcupuncture Therapy mu Diabetic Neuropathic Pain: Kuongorora kwakarongeka uye meta-analysis. Mubatsiri Ther Med , 78 , 102992. doi.org/10.1016/j.ctim.2023.102992
Lopes, B., Sousa, P., Alvites, R., Branquinho, M., Sousa, AC, Mendonca, C., Atayde, LM, Luis, AL, Varejao, ASP, & Mauricio, AC (2022). Peripheral Nerve Injury Treatments uye Advances: One Health Perspective. Int J Mol Sci , 23 (2). doi.org/10.3390/ijms23020918
Disclaimer
by Dr Alex Jimenez Chiropractic , Nerve Injury
Axillary nerve kukuvara kunogona kukonzera marwadzo, kushaya simba, uye kurasikirwa kwemafudzi. Ko kurapa kwemuviri kunogona kubatsira kudzoreredza uye kuchengetedza mafudzi akabatana kushanduka?
Axillary Nerve
The axillary nerve, kana kuti circumflex nerve, itsinga yeperipheral inomhanya nepafudzi uye inotsigira kufamba uye kunzwa mumakumbo epamusoro. Inobva mumutsipa pabrachial plexus, network yetsinga dzinotambanudzira kubva mumutsipa uye kumusoro torso kusvika pamapfudzi nemaoko. Chinangwa chayo chikuru ndechekupa nerve basa kujoinhi yepafudzi uye mhasuru nhatu muruwoko uye zvakare innervates rimwe ganda mudunhu.
Anatomy
Kunze kweiyo cranial nerves, tsinga dzese dzemuviri dzinobva pamutsipa wepelinha, dzinobuda kubva pakati pe vertebrae uye dzinoramba dzichienda kune dzimwe mhasuru dzakasiyana-siyana uye zvimwe zvimiro. Iyo axillary nerve inotumidzwa zita reaxilla, zita rekurapa rehapwa. Vanhu vane mbiri, imwe kudivi rimwe nerimwe. Mushure mokusiya musana, tsinga yeaxillary inomhanya kuseri kweaxillary artery uye inopfuurira kumucheto wepafudzi kumucheto kwe subscapularis muscle. Inodzokera shure uye inofamba ichidzika neruoko ichitevedza posterior humeral circumflex artery, iyo inozopfuura nepakati pe quadrangular space (nzvimbo diki yebendekete iri pamusoro pehapwa apo pane gaka mumasuru inobvumira tsinga netsinga dzeropa kupfuura. kusvika kuruoko isati yapatsanuka kuita matavi ekupedzisira, anoti:
Anterior Division
Inopa mota innervation kune iyo deltoid's anterior uye yepakati misoro, ichibvumira ruoko kubvuta kana kusuduruka kubva pamuviri.
Inotenderera pamutsipa wehumerus / inonakidza pfupa, inoenda pasi pe deltoid muscle, uye yobva yabatanidza kumucheto wepamberi we. deltoid .
Madiki mashoma matavi akacheka anoshumira ganda munzvimbo iyoyo.
Posterior Division
Innervates teres madiki tsandanyama uye chikamu chezasi che deltoid.
Inopinda mufascia yakadzika uye inova iyo yepamusoro lateral cutaneous nerve.
Inobva yaputira kumucheto wezasi we deltoid, inobatanidza kune ganda pamusoro pezvikamu zviviri kubva muzvitatu zvemusuru, uye inovhara musoro wakareba we triceps brachii.
Articular Branch
Inobva pahunde yeaxillary nerve uye inopinda mujojo ye glenohumeral, iyo iri mufudzi, pasi pe subscapularis muscle.
Anatomical Variations
Mumushumo wenyaya, vatapi vehutano vakacherekedza chiitiko chetsinga tsinga yakananga kubva pahunde repamusoro rebrachial plexus kwete tambo yekumashure. (Subasinghe SK uye Goonewardene S. 2016 ) Muchiitiko ichi, yakange isingabatsiri subscapularis muscle, latissimus dorsi, uye deltoid uye teres maduku maduku uye aivawo nebazi rinotaurirana kune tambo yemashure. Imwe nyaya yakanyorwa nezvakawanda zvisiri izvo mukati meiyo axillary nerve mumunhu ane marwadzo uye zvakanyanya kushomeka kwekufamba kwepfudzi. (Pizzo RA et al., 2019 ) Munguva yereverse shoulder arthroplasty, chiremba anovhiya akawana kuti tsinga yeaxillary yaimhanya padivi peiyo coracoid pachinzvimbo chepasi uye yakagara pedyo ne subscapularis muscle pane kufamba nepakati penzvimbo ye quadrangular. Mhosva yakacherekedza mishumo yapfuura yeaxillary nerves isingamhanye nepakati penzvimbo yequadrangular. Mune izvo zviitiko, tsinga yakabaya subscapularis tsandanyama kana kupatsanurwa kuita matavi isati yasvika kune quadrangular space.
basa
Iyo axillary nerve inoshanda semotor nerve inodzora kufamba uye tsinga yekunzwa inodzora manzwiro akaita sekubata kana tembiricha.
motokari
Semutsinga wemota, iyo axillary nerve inovharisa mamhasuru matatu muruwoko uye inosanganisira:
Deltoid
Inobvumira kuchinjika kwejoint repafudzi uye kutenderedza bendekete mukati.
Musoro Wakareba weTriceps
Inomhanya ichidzika nekuseri kweruoko rwekunze, ichibvumira kutwasanuka, kukweva ruoko rwepamusoro kuenda kumuviri, kana kutambanudza kumashure.
Iyo radial tsinga inogona zvakare kuvharidzira tsandanyama iyi.
Teres Minor
Imwe yemhasuru dze rotator cuff inotanga kunze kwepfudzi uye inomhanya diagonally pamucheto wezasi webendekete.
Inoshanda pamwe nemamwe masumbu kubvumira kutenderera kwekunze kwekubatana kwepafudzi.
Sensory
Mune basa rayo rekunzwa, tsinga inotakura ruzivo kuuropi kubva kune zvinotevera:
Glenohumeral joint kana bhora-ne-socket joint pafudzi.
Ganda riri pasi pezvikamu zviviri kubva muzvitatu zve deltoid muscle kuburikidza nepamusoro lateral cutaneous bazi.
Kukuvara uye Mamiriro ezvinhu
Matambudziko neaxillary nerve anogona kukonzerwa nekukuvara chero kupi paruoko nepafudzi uye nechirwere. Kukuvara kwakajairika kunosanganisira:
Dislocations
Yekubatana kwepafudzi, izvo zvinogona kukonzera axillary nerve palsy.
kutsemuka
Yemutsipa wekuvhiya wehumerus.
Kudzvinyirira
Izvi zvinobva pakufamba nemadondoro, anonziwo crutch palsy.
Direct Trauma
Izvi zvinogona kubva kumitambo yekuchinja, basa, tsaona yemotokari, kudhumhana, kana kuputika.
Added Pressure
Izvi zvinogona kubva pakupfeka simbi kana splint.
Kuvhiya Kukuvara Kwetsaona
Kukuvara kana kukanganisa kunogona kubva pakuvhiyiwa kwepafudzi, kunyanya kuvhiyiwa kwearthroscopic pane yakaderera glenoid uye capsule.
Quadrangular Space Syndrome
Apa ndipo panodzvinyirirwa tsinga yeaxillary painopfuura nepanzvimbo iyoyo, iyo inonyanyozivikanwa nevatambi vanoita nguva zhinji kufamba kwepamusoro)
Nerve Root Damage
Pakati pechishanu uye chechitanhatu cervical vertebrae, apo tsinga inobuda kubva mumutsipa wepelinha, iyo inogona kukonzerwa nekudhonza, kudzvinyirira, spinal disc prolapse, kana bulging disc.
Systemic Neurological Disorders
Muenzaniso - multiple sclerosis
Erb's Palsy
Chirwere chinowanzokonzerwa nekukuvara kwekuzvarwa kunonzi shoulder dystocia, apo bendekete remwana rinomira panguva yekusununguka.
Axillary Nerve Palsy
Kukuvadza kunogona kukonzera rudzi rweperipheral neuropathy iyo inogona kukonzera kushaya simba mu deltoid uye teres minor muscles.
Izvi zvinogona kuguma nekurasikirwa nekukwanisa kusimudza ruoko kubva pamuviri uye kushaya simba mukufamba kwakasiyana-siyana kwemafudzi.
Kana kukuvara kwakanyanya, kunogona kukonzera kuremara kwe deltoid nedzimwe tsandanyama diki, zvichikonzera kuremara kwepfudzi, umo vanhu vasingagone kuisa mapendekete avo akarara pasi.
Axillary nerve damage zvakare inogona kutungamira kune shanduko, kudzikisira, kana kurasikirwa kwekunzwa muchikamu chidiki cheruoko chiri pazasi pefudzi.
Nhepfenyuro Yekukuvara Kwetsinga
Yakapetwa katatu muvarume kupfuura vakadzi.
Inogona kunge iripo mune dzakawanda se65% yekukuvara kwepafudzi.
Ngozi yekukuvadzwa nekuda kwekusagadzikana inowedzera zvakanyanya mushure mezera re50.
miedzo
Kana mupi wehutano akafungidzira dambudziko neaxillary nerve function, ivo vanoyedza mapendekete ekufamba uye kunzwa kweganda. Kusiyana kwekufamba pakati pemapfudzi kunogona kuratidza kukuvara kwetsinga. Vanhu vanogona kutumirwa ku electromyography uye nerve conduction kudzidza kuti vaone kuparara kwetsinga. Mune zvimwe zviitiko, MRI uye / kana X-rays inogona kurairwa, kunyanya kana chikonzero chekukuvara kwetsinga chisingazivikanwi.
Rehabilitation
Zvichienderana nekuoma uye chikonzero chekukuvara, kurapwa kusina kuvhiyiwa kunogona kukurudzirwa, nekuvhiyiwa sechisarudzo chekupedzisira. Kurapa kusiri-kuvhiya kunogona kusanganisira kumwe kusanganiswa kwekusagadzikana, kuzorora, ice, kurapa kwemuviri, uye anti-kuzvimba meds. Kurapa kwepanyama kunowanzotora mavhiki matanhatu uye kunotarisa pakusimbisa nekukurudzira tsandanyama kudzivirira kuoma kwemajoini, izvo zvinogona kukanganisa kushanda kwenguva refu.
Surgery
Kana kurapa kwechinyakare kukasashanda, kuvhiyiwa kunogona kukurudzirwa, kunyanya kana mwedzi yakati wandei yapfuura pasina kuvandudzwa. Migumisiro yekuvhiya inowanzova nani kana kuvhiyiwa kuchiitwa mukati memwedzi mitanhatu yekukuvara, uye pasinei nenguva yakatarwa, kufungidzira kunoonekwa kwakanaka mune inenge 90% yezviitiko. Maitiro ekuvhiya anoitirwa axillary nerve dysfunction kana kukuvara anosanganisira:
Neurolysis
Iyi nzira inosanganisira kukuvadzwa kwakanangwa / kuderera kwetsinga fibers, kukanganisa masaini etsinga, uye kubvisa marwadzo apo nzvimbo yakakuvadzwa ichipora.
Neurorrhaphy
Iyi nzira inosona tsinga yakachekwa ichidzokera pamwe chete.
Nerve Grafting
Kubatanidza kunosanganisira kutapurirana chikamu cheimwe tsinga, kazhinji iyo sural nerve, kubatanidza tsinga dzakachekwa.
Izvi zvinobatsira, kunyanya kana chikamu chakakanganisika chakakurisa kuti chigadziriswe neurorrhaphy.
Iyo inobvumira nzira yezviratidzo uye inokurudzira kukurazve kwe nerve axon.
Neurotization kana Nerve Transfer
Zvakafanana nekubatanidza asi inoshandiswa kana tsinga yanyanya kukuvadzwa kuti ipore.
Iyi nzira inosanganisira kuisirwa tsinga ine hutano asi isingakoshi, kana chikamu chetsinga, kutsiva iyo yakakuvara uye kudzorera kushanda.
Kukuvadza Chiremba Chiropractic uye Inoshanda Mushonga Kliniki
Injury Medical Chiropractic uye Functional Medicine Clinic inoshanda nevarapi vehutano hwekutanga uye nyanzvi kugadzira hutano hwakakwana uye hutano mhinduro. Isu tinotarisa pane izvo zvinoshanda kwauri kuti ubvise marwadzo, kudzoreredza basa, uye kudzivirira kukuvara. Nezve marwadzo emusculoskeletal, nyanzvi dzakaita sechiropractors, acupuncturists, uye masaja therapists vanogona kubatsira kudzikisira marwadzo kuburikidza nekuchinja kwemusana kunobatsira muviri kuzvigadzirisa. Vanogonawo kushanda nevamwe vashandi vezvokurapa kuti vabatanidze chirongwa chekurapa kugadzirisa nyaya dzemusculoskeletal.
Pain Pain Chiropractic Treatment
VIDEO
References
Subasinghe, SK, & Goonewardene, S. (2016). Kusiyana Kusingawanzoitiki kweAxillary Nerve Yakagadzirwa SeDavi Rakananga reHuru Yepamusoro. Nyaya yekiriniki uye yekuongorora tsvakurudzo: JCDR, 10 (8), ND01-ND2. doi.org/10.7860/JCDR/2016/20048.8255
Pizzo, RA, Lynch, J., Adams, DM, Yoon, RS, & Liporace, FA (2019). Zvisina kujairika anatomic musiyano weiyo axillary nerve inopikisa nzira yedeltopectoral kupfudzi: nyaya yenyaya. Kuchengeteka kwemurwere mukuvhiya, 13, 9. doi.org/10.1186/s13037-019-0189-1
by Dr Alex Jimenez Nerve Injury , Neuropathy
Kuona kana kusanzwa kweruoko kuchiitika kamwe kamwe kana zvishoma nezvishoma uye kana paine zvimwe zviratidzo zvinobatsira varapi vehutano kuongorora nekurapa mamiriro acho?
Ruoko Ruveve
Ruoko ruveve kana kurira zviratidzo zvinowanzoitika zvinogona kukonzeresa zvakasiyana-siyana zvekurapa. Chiveve chinogona kukonzerwa nekukasira kwehutano hwekukurumidzira, kusagadzikana kwetsinga, kana kushomeka kwekudya. (National Institute of Neurological Disorders uye Stroke, 2024 ) Dzimwe nguva, chiratidzo ichi chinobva pakukotsira kweruoko uye chinogona kugadziriswa mushure memaminitsi mashoma. Kunzwa kungave kwenguva pfupi, zvichikonzerwa nechinhu chakafanana nekurara panzvimbo isiri iyo. Nekudaro, kusanzwa kweruoko uye kurira kunogona kukonzerwa neuropathy uye kukuvara kusingagumi uye kufambira mberi kwetsinga uye zvinogonawo kuitika kamwe kamwe nekuda kwemamiriro akakomba, akadai sekurwadziwa kwemoyo kana sitiroko.
Matambudziko Ekutenderera
Kusafamba zvakanaka kweropa muruwoko kunogona kukonzera chiveve uye kurira sezvo tsinga dzisingakwanisi kugamuchira oxygen yakakwana. Mamiriro ezvinhu anogona kukanganisa kubuda kweropa uye anosanganisira: (Bryan L. naSingh A. 2024 )
Atherosclerosis - plaque buildup mutsinga dzinogona kuda mishonga kana kuvhiyiwa.
Frostbite yakanyanya inogona kukuvadza tsinga dzeropa asi inogona kugadziriswa nekudziya kwakakodzera nekuchengeta maronda.
Vasculitis - kuzvimba kwetsinga dzeropa dzinogona kurapwa nemishonga.
Kurara Chinzvimbo
Muenzaniso wakajairika wekuerekana wanzwa chiveve uye kurira ndiko kunzwa kuti ruoko rwakarara. Izvi zvinowanzoitika mushure mekurara zvisingaite kana kutsamira paruoko kwenguva yakareba. Inozivikanwa separesthesia, kunzwa uku kunoenderana nekudzvanywa kana kushatirwa kwetsinga. (Bryan L. naSingh A. 2024 ) Kurara mune dzimwe nzvimbo kwave kwakabatana nekutsikirirwa kwetsinga, kunyanya kana maoko kana maoko akaputirwa kana kupeta pasi pemuviri, pamwe chete nekuchengetedza kurongeka kwakakodzera kwemusana paunenge wakarara, ndiyo nzira yakanakisisa yekudzivirira kusanzwa kweruoko.
Kukuvara Kwetsinga uye Mamiriro
Chiveve chinoramba chiripo chinogona kunge chakabatana nekukuvara kana dambudziko rehutano riri pasi rinokanganisa brachial plexus, boka retsinga dzinomhanya kubva kumutsipa wezasi kusvika kumapfudzi epamusoro uye inodzora kufamba uye kunzwa mumaoko. (Gomo reSinai, 2022 ) Kukuvara kunogona kukanganisa tsinga idzi kunosanganisira: (Smith, SM et al., 2021 )
A herniated disc inokonzerwa nekukwegura kana kushungurudzika inokonzera kuti dhidhi ibude uye isimbise pamudzi wetsinga.
Kukuvara kwekupisa kana kuruma kunokanganisa mutsipa nemapfudzi .
Backpacker's palsy inokonzerwa nekumanikidzwa pamapfudzi.
Kukuvara pakuzvarwa sekunge Erb-Duchenne's palsy uye Klumpke's palsy.
Traumatic nerve root avulsion kukuvara umo musana wetsinga unokuvadzwa.
Zvirwere uye kusagadzikana zvinogona kukonzera chiveve mumaoko zvinosanganisira mamiriro anokanganisa hurongwa hwetsinga, senge multiple sclerosis, fibromyalgia, Raynaud phenomenon, uye shingles. (National Heart, Lung, uye Ropa Institute, 2023 ) (Smith, SM et al., 2021 )
Chiveve uye Mamiriro Ehutano Akakomba
Kurohwa
Iyi injodzi yekurapa umo kuvharika kunodzivirira ropa kuti risasvike kuuropi.
Chiratidzo chimwe chesitiroko inonzwa kurira kune rimwe divi remuviri.
Vanhu vanogonawo kusakwanisa kufambisa nhengo imwe kana kupfuura. (Centers yeChirwere Kudzivirira uye Kudzivirira, 2024 )
Tsvaga kurapwa kwekukurumidza.
Chirwere chemoyo
Kana mwoyo wakuvadzwa, ropa harigoni kutenderera uye rinogona kutungamirira kuhosha duku kana huru yemwoyo.
Zviratidzo zvechirwere chemoyo zvinosanganisira chiveve mune rimwe kana maoko ose, uye haisi nguva dzose ruoko rworuboshwe. (National Heart, Lung, uye Ropa Institute, 2022 )
Kudzvinyirirwa kurwadziwa muchipfuva uye kupfupika kwekufema zvimwe zviratidzo zvinoda kurapwa nekukurumidza.
Mharapara Osteoarthritis
kenza
Neoplasm tumors inogona kukanganisa brachial plexus nerve, zvichikonzera kurasikirwa kwekunzwa mumaoko.
Gomarara remuzamu neremapapu ndiro rinonyanya kuitika. (Smith, SM et al., 2021 )
chirwere cheshuga
Kurasikirwa kwekunzwa mumaoko kunogona kuva chiratidzo cheperipheral neuropathy, iyo inogona kukonzerwa nechirwere cheshuga chisingadzorwi. (Johns Hopkins Mushonga, 2024 )
Kurapa kunoda kutarisira shuga yeropa uye yemuromo nemishonga yemusoro.
Chiveve chemushonga
Hukama huri pakati pekunzwa chiveve nekushandiswa kwemishonga hunogona kunge hwakaoma. (Senderovich H. uye Jeyapragasan G. 2018 )
Mishonga yakawanda, senge gabapentin, inogona kushandiswa kuderedza manzwiro ekunzwa kweruoko.
Mimwe mishonga inogona kukonzera chiveve semhedzisiro.
Mimwe mishonga inogona kukonzera matambudziko, uye kusanzwa kweruoko kunogona kuve chiratidzo chematambudziko iwayo.
Zivisai varapi vehutano nezvemishonga inotorwa kuti vaone hukama pakati pavo uye chero shanduko yekunzwa.
Kushayikwa kweVitamin
Peripheral neuropathy inogonawo kukonzerwa nekushomeka kwekudya uye kusaenzana kwevhitamini, izvo zvinogona kukuvadza tsinga uye kukonzera kurasikirwa kwekunzwa kuruboshwe kana ruoko rworudyi. Mamiriro akajairika ndeyekushaikwa kwevhitamini B12 uye yakawandisa vhitamini B6. (National Institute of Neurological Disorders uye Stroke, 2024 ) Kunwa doro zvakanyanyisa uye kumwe kusagadzikana kunokanganisa kudya kunovaka muviri kunogona kukonzera kukuvara kwetsinga.
Kukuvadza Chiremba Chiropractic uye Inoshanda Mushonga Kliniki
PaInjury Medical Chiropractic uye Functional Medicine Clinic, nzvimbo dzedu dzekudzidzira dzinosanganisira Chronic Pain, Kukuvadza Kwemunhu, Auto Accident Care, Kukuvara Kwebasa, Kukuvara Kwekudzokera, Kurwadziwa Kwepashure, Kurwadziwa Kwemutsipa, Migraine Headaches, Kukuvara Kwemitambo, Severe Sciatica, Scoliosis, Complex Herniated. Discs, Fibromyalgia, Chronic Pain, Complex Injuries, Stress Management, Wellness & Nutrition, Functional Medicine Treatments, uye in-scope care protocols. Isu tinotarisa pane izvo zvinoshanda kwauri kuti ubvise marwadzo uye kudzoreredza basa. Kana kumwe kurapwa kuchidiwa, vanhu vanozoendeswa kukiriniki kana chiremba anonyatsokodzera kukuvara kwavo, mamiriro, uye / kana hurwere.
Chiropractic Care: Iyo Yakasikwa Nzira Yokupora Kubva Kukuvara
VIDEO
References
National Institute of Neurological Disorders uye Stroke. (2024). Paresthesia. Zvakatorwa kubva www.ninds.nih.gov/health-information/disorders/glossary-neurological-terms#paresthesia
Bryan, L., Singh, A. Sleep Foundation. (2024). Chiveve Mumaoko Paunenge Wakarara: Zvinokonzera uye Mishonga. www.sleepfoundation.org/physical-health/numbness-in-hands-while-sleeping
Gomo reSinai. (2022). Brachial plexopathy. www.mountsinai.org/health-library/diseases-conditions/brachial-plexopathy
Smith, SM, McMullen, CW, & Herring, SA (2021). Differential Diagnosis for the Painful Tingling Arm. Mishumo yezvino yemishonga yemitambo, 20 (9), 462-469. doi.org/10.1249/JSR.0000000000000877
National Heart, Lung, uye Ropa Institute. (2023). Vasculitis. Zvakatorwa kubva www.nhlbi.nih.gov/health/vasculitis/symptoms#:~:text=Nerve%20problems%2C%20including%20numbness%2C%20tingling,can%20also%20occur%20with%20vasculitis .
Centers for Disease Control and Prevention. (2024). Stroke zviratidzo uye zviratidzo. Zvakatorwa kubva www.cdc.gov/stroke/signs-symptoms/?CDC_AAref_Val=https://www.cdc.gov/stroke/signs_symptoms.htm
National Heart, Lung, uye Ropa Institute. (2022). Chii Chinonzi Hosha Yemoyo? Zvakatorwa kubva www.nhlbi.nih.gov/health/heart-attack
National Institute of Arthritis uye Musculoskeletal uye Skin Zvirwere. (2023). Spinal Stenosis Basics. Zvakatorwa kubva www.niams.nih.gov/health-topics/spinal-stenosis/basics/symptoms-causes
Johns Hopkins Mushonga. (2024). Peripheral Neuropathy. www.hopkinsmedicine.org/health/conditions-and-diseases/peripheral-neuropathy
Senderovich, H., & Jeyapragasan, G. (2018). Pane basa rekubatanidza kushandiswa kwegabapentin uye pregabalin mukudzora kurwadziwa? Too good to be true?. Tsvagiridzo yezvino yekurapa uye maonero, 34 (4), 677-682. doi.org/10.1080/03007995.2017.1391756
National Institute of Neurological Disorders uye Stroke. (2024). Peripheral Neuropathy. Zvakatorwa kubva www.ninds.nih.gov/health-information/disorders/peripheral-neuropathy
by Dr Alex Jimenez Kukanganiswa kwakakomba , Nerve Injury
Vanhu vanonzwa kurwadziwa, chiveve, kurira, kana kunzwa kupisa pamberi nekunze kwechidya vanogona kuve ne meralgia paresthetica, tsinga inopinzwa. Kunzwisisa mamiriro acho kunogona kubatsira here vatapi vehutano kugadzira chirongwa chekurapa chinoshanda?
Meralgia Paresthetica
Meralgia paresthetica, kana MP, inozivikanwawo seBernhardt-Roth syndrome, lateral femoral cutaneous nerve syndrome, kana lateral femoral cutaneous neuralgia. Zvinoitika apo tsinga yechipfuva yefemoral cutaneous, tsinga yekunzwa inopfuura nepamuromo wepelvis ichidzika nechekumberi kwechidya, inomanikidzwa. Iyo nerve inopa ruzivo pamusoro pekunzwa pamusoro pepamberi uye kunze kwehudyu. Izvi zvinogona kuitika nekuda kwezvikonzero zvakawanda, kusanganisira:
Kukuvara kwehudyu nguva pfupi yadarika, sekunge mota yadhumhana/tsaona.
Kudzokorora mabasa ehudyu, sekuchovha bhasikoro.
Kuberekwa
Kuwedzera kwehuwandu
Kupfeka zvipfeko zvakasimba.
Iyo nerve entrapment mamiriro inokonzera kurira, kusanzwa, uye kupisa kurwadziwa pamberi uye / kana kunze kwechidya.
Zvinokonzera
Panogona kuve nezvikonzero zvakasiyana-siyana zvechirwere ichi, asi chinowanzoonekwa pakubata pamuviri, kuwedzera uremu kamwe kamwe, kupfeka hembe dzakasimba kana mabhandi, uye mamwe mamiriro. (Ivins GK 2000 ) Dzimwe nguva, meralgia paresthetica inogona kukonzerwa nemaitiro ekurapa. Semuenzaniso, mamiriro acho anogona kuratidza mushure mekunge munhu avhiyiwa uye ari munzvimbo isina kujairika kwenguva yakareba, uko kune zvakananga kunze kwekumanikidza patsinga. Zvakare, tsinga inogona kukuvadzwa panguva yekuvhiya. (Cheatham SW et al., 2013 ) Izvi zvinogona kuitika kana kusungirirwa kwepfupa kunowanikwa kubva pachiuno kana anterior hip replacement operation.
zviratidzo
Vanhu vanogona kusangana nezvimwe kana zvese zvinotevera zviratidzo (Chung KH et al., 2010 )
Chiveve kunze kwechidya.
Kurwadza kana kupisa kunze kwechidya.
Sensitivity kubata zvishoma kunze kwechidya.
Kuwedzera kwezviratidzo nezvimwe zvinzvimbo.
Kuwedzera zviratidzo kana uchipfeka mabhandi, mabhandi ebasa, kana hembe dzakasimba-chiuno.
Zviratidzo zvinogona kuuya uye kuenda kana kuramba. Vamwe vanhu havaonekwe uye havakanganisi hupenyu hwavo kana mabasa avo, nepo vamwe vanogona kunetsa uye kukonzera kurwadziwa kukuru. (Scholz C. et al., 2023 )
mabatiro
Kurapa kunoenderana nenguva yakareba sei kukuvara kwave kuripo uye kuwanda uye kuoma kwemamiriro acho.
Zvipfeko Kunatsiridzwa
Kana chikonzero chacho chiri nekuda kwezvipfeko zvakasimba, mabhanhire, kana mabhanhire ebasa, ipapo kuchinja kwenguo kunofanira kuderedza zviratidzo.
Kuberekwa
Vakadzi vane pamuviri vanowanzowana kusununguka kwakakwana kwezviratidzo zvavo mushure mekusununguka. (Hosley, CM, uye McCullough, LD 2011 )
Chirongwa chekuderedza uremu
Kana kuwedzera uremu huchangobva kuitika kunofungidzirwa kuti kunobatsira kumamiriro acho ezvinhu, ipapo purogiramu yekurasikirwa inogona kukurudzirwa.
Cortisone Majekiseni
Kana matanho akareruka akasabvisa zviratidzo, jekiseni re cortisone rakatenderedza tsinga rinogona kukurudzirwa. Chinangwa ndechekuderedza kuzvimba kunobatsira kune nerve pressure (Houle S. 2012 ) . Cortisone jekiseni inogona kunge iri kurapa kwakaringana kana kurapwa kwenguva pfupi.
Chiropractic
Chiropractic kuchengetedza inogona kuve inoshanda, yakasikwa, uye yakachengeteka kurapwa. Kugadziriswa kunogona kubatsira kubvisa kumanikidzwa kune lateral femoral cutaneous nerve (LFCN) nekugadzirisa musana uye kudzorera nerve basa. Chiropractors vanogona zvakare kushandisa zvinyoro zvinyoro marapirwo, senge masaja, kudzoreredza kushushikana kwetsandanyama uye kutsigira kupora kwemuviri. Dzimwe nzira dzechiropractic dzinogona kushandiswa dzinosanganisira:
Pelvic mobilizationsMyofascial therapy
Transverse friction massage
Kutarisa maitiro
Kudzikamisa maekisesaizi epakati uye pelvis
Therapeutic kinesiology tepi
Chiropractic chirongwa chekurapa chinogona kusanganisira 10-15 kurapwa kwemavhiki e6-8, asi nhamba yemishonga inodiwa ichasiyana kubva kumunhu nemunhu. Kana pasina kufambira mberi kunoonekwa mushure memavhiki matatu-3, ingave nguva yekubvunza nyanzvi kana chiremba anovhiya.
Surgery
Kuvhiya hakuwanzodikanwa. Zvisinei, nzira yokuvhiya inogona kurangarirwa apo kurapa kwose kwokungwarira kunokundikana kugovera betsero. (Schwaiger K. et al., 2018 ) Chiremba anovhiya anovhiya uye anozivisa tsinga, anotarisa nzvimbo dzekumanikidza, uye anoedza kusunungura tsinga kubva kune chero nzvimbo iyo inogona kudzvanywa. Neimwe nzira, vamwe vanachiremba vanovhiya transect/kucheka tsinga saka haichakonzeri matambudziko. Kana iyo transection process ikaitwa, pachava nenzvimbo yekusingaperi yekushaya chiveve pamberi pehudyu.
Injury Medical Chiropractic uye Functional Medicine Clinic inoshanda nevarapi vehutano hwekutanga uye nyanzvi kuti vagadzire chirongwa chekurapa chakajairwa kuti vabvise marwadzo, kurapa kukuvara, kuvandudza kuchinjika, kufamba, uye kugona, uye kubatsira vanhu kuti vadzokere kubasa rakakwana. Kana mamwe marapirwo achidiwa, Dr. Jimenez akabatana nevarapi vepamusoro, nyanzvi dzekiriniki, vatsvakurudzi vezvokurapa, uye vagadziri vekugadzirisa kuti vape mishonga inobatsira zvikuru.
Chiropractic Kuchengetedza Kusagadzikana Kwemakumbo
VIDEO
References
Ivins GK (2000). Meralgia paresthetica, iyo isinganzwisisike kuongororwa: ruzivo rwekiriniki nevarwere vakuru gumi nemana. Nhoroondo dzekuvhiya, 14(232), 2–281. doi.org/10.1097/00000658-200008000-00019
Cheatham, SW, Kolber, MJ, & Salamh, PA (2013). Meralgia paresthetica: kuongororwa kwemabhuku. International Journal of sports Physical Therapy, 8(6), 883–893.
Chung, KH, Lee, JY, Ko, TK, Park, CH, Chun, DH, Yang, HJ, Gill, HJ, & Kim, MK (2010). Meralgia paresthetica inobata vakadzi vakasara vakaitwa cesarean section -A case report-. Korean magazini yeanesthesiology, 59 Suppl(Suppl), S86-S89. doi.org/10.4097/kjae.2010.59.S.S86
Scholz, C., Hohenhaus, M., Pedro, MT, Uerschels, AK, & Dengler, NF (2023). Meralgia Paresthetica: Kukosha, Kuongororwa, uye Kurapa. Deutsches Arzteblatt international, 120(39), 655–661. doi.org/10.3238/arztebl.m2023.0170
Hosley, CM, & McCullough, LD (2011). Acute neurological issues pamuviri uye peripartum. The Neurohospitalist, 1(2), 104–116. doi.org/10.1177/1941875211399126
Houle S. (2012). Chiropractic manejimendi yekusingaperi idiopathic meralgia paresthetica: chiitiko chekudzidza. Nyaya yechiropractic mishonga, 11 (1), 36-41. doi.org/10.1016/j.jcm.2011.06.008
Schwaiger, K., Panzenbeck, P., Purschke, M., Russe, E., Kaplan, R., Heinrich, K., Mandal, P., & Wechselberger, G. (2018). Kuvhiyiwa kuderedzwa kweiyo lateral femoral cutaneous nerve (LFCN) yeMeralgia paresthetica kurapwa: Kuedza kana mamiriro ehunyanzvi? A single-center result analysis. Mushonga, 97(33), e11914. doi.org/10.1097/MD.0000000000011914
by Dr Alex Jimenez Kugadzirira Therap , Injury Care , Nerve Injury
Kunzwisisa nzvimbo yebhonzo rinosekesa uye kuti kurwadziwa kunogona kugadziriswa sei mushure mekukuvara kunobatsira kukurumidza kupora nekudzivirira kune vanhu vakarova pfupa ravo rinosetsa?
Elbow Funny Bone Nerve Injury
Kuseri kwegokora kune nzvimbo inozivikanwa se "funny bone," uko ulnar nerve ine matishu mashoma uye kudzivirira kwemapfupa. Apa ndipo panopfuura chikamu cheurnar nerve ichitenderedza kumashure kwegokora. Nekuti matishu mashoma uye bhonzo zvinodzivirira tsinga munzvimbo ino, kutora kurova sekurovera mune chimwe chinhu kunogona kukonzera kuvhunduka kwemagetsi-kunge kurwadziwa uye kurira kudzika pasi peruoko uye kune zvigunwe zvekunze zvinowanzoitika tsinga yakatsamwa. Kukuvara kwakawanda kune inosekesa bone bone kunogadzirisa nekukurumidza, uye kurwadziwa kunonyangarika mushure memasekondi mashoma kana maminetsi, asi dzimwe nguva, ulnar tsinga kukuvara kunogona kutungamirira kune zvinoramba zvichiratidza zviratidzo.
Anatomy
Iro bhonzo rinosetsa harisi bhonzo asi tsinga yeulnar. Tsinga inodzika neruoko, ichipfuura nekuseri kwegokora. (Dimitrova, A. et al., 2019 ) Nemhaka yokuti tsinga yeurnar iri pamusoro pegokora uye pane cushion ine mafuta shoma, kubhuroka zvishoma panzvimbo iyi kunogona kukonzera marwadzo uye kurira kwekunzwa pasi peruoko. Mapfupa matatu anosanganisira kusangana kwegokora kunosanganisira:
Humerus - pfupa reruoko
Ulna uye radius - forearm mapfupa
Iyo humerus ine groove inodzivirira uye inobata ulnar nerve sezvainopfuura kuseri kwejoinhi. Apa ndipo panogona kukuvara tsinga kana kushatirwa kana tsinga ikarohwa kana kudzvanywa kumucheto kwebhonzo, zvichikonzera kurwadziwa kwebhonzo kunonakidza.
Electrical Pain Sensation
Kana uchirova ulnar tsinga kana kusetsa bhonzo uko ulnar tsinga inopa kunzwa, kurwadziwa, uye magetsi / tingling sensations inowanikwa kubva kumberi kusvika kune yekunze zvigunwe. Ichi chikamu cheruoko neruoko chinonzi ulnar nerve distribution. (American Academy yeOrthopedic Surgeons. 2024 ) The ulnar nerve inopa kunzwa mune yakawanda yepinky finger uye inenge hafu yemhete yemunwe. Dzimwe tsinga, kusanganisira yepakati uye radial nerve, inopa kunzwa kune rumwe ruoko rwasara.
mabatiro
Kazhinji, jolt yakapinza kugokora inokurumidza kugadzirisa. Mamwe mazano ekubatsira zviratidzo kukurumidza kukurumidza anosanganisira:
Vachizunza zunza ruoko.
Kutwasanudza nekukotamisa gokora kutambanudza tsinga.
Kuderera kwekufamba kwegokora.
Kuisa ice panzvimbo.
Kutora anti-inflammatory drugs.
Kurapa Marwadzo Akareba
Muzviitiko zvisingawanzoitiki, kukuvadzwa kune ulnar nerve kunogona kukonzera zviratidzo zvinoramba zvichiitika, chirwere chinonzi cubital tunnel syndrome. Cubital tunnel syndrome inogona kuitika mushure mekukuvara kana kubva kugokora zvakanyanya. Vanhu vane cubital tunnel syndrome vanogona kubatsirwa nekupfeka splint husiku. Yakajairwa-saizi splints inogona kuodha pamhepo, asi mazhinji anogadzirwa neanoshanda kana ruoko therapist. Kana zviratidzo zvikava zvinogara kwenguva refu, kuvhiyiwa kunogona kukurudzirwa kuti kuderedze kudzvinyirira uye kushushikana pamutsipa weurnar (American Academy yeOrthopedic Surgeons, 2024 ) Iyo nzira inobvisa tsinga nekubvisa chero zvimisikidzo zvakarikomberedza uye nekuzvisunungura. Muzviitiko zvakakomba, tsinga inodzoserwa kune imwe nzvimbo isingaisi zvakanyanya kumanikidza patsinga, inozivikanwa seulnar nerve transposition.
Kukuvara Kwechiremba Chiropractic uye Functional Medicine Clinic inoshanda nevarapi vehutano hwekutanga uye nyanzvi kugadzira hutano hwakakwana uye hutano mhinduro inobatsira vanhu kuti vadzokere kune zvakajairwa. Vatapi vedu vanogadzira zvirongwa zvekuchengetedza zvepamunhu zvemurwere wega wega, kusanganisira Functional Medicine, Acupuncture, Electro-Acupuncture, uye Mishonga yeMishonga misimboti kuburikidza nenzira yakabatanidzwa yekurapa kukuvara uye kusingaperi kurwadziwa syndromes kuvandudza kugona kuburikidza nekuchinjika, kufamba, uye agility zvirongwa zvekubvisa marwadzo. Kana kumwe kurapwa kuchidiwa, Dr. Jimenez akabatana nevanovhiya vepamusoro, nyanzvi dzekiriniki, vatsvakurudzi vezvokurapa, uye vagadziri vekugadzirisa kuti vape kurapa kwakanyanya.
Chiropractic Treatment For Carpal Tunnel Syndrome
VIDEO
References
Dimitrova, A., Murchison, C., & Oken, B. (2019). Mhedzisiro yemunharaunda yeacupuncture pane yepakati uye ulnar nerve muvarwere vane carpal tunnel syndrome: mutyairi mechanistic kudzidza protocol. Miedzo, 20(1), 8. doi.org/10.1186/s13063-018-3094-5
American Academy yeOrthopedic Surgeons. (2024). Ulnar nerve entrapment pagokora. orthoinfo.aaos.org/en/diseases-conditions/ulnar-nerve-entrapment-at-the-elbow-cubital-tunnel-syndrome/
