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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*

Diki Fiber Neuropathy: Zvaunoda Kuziva

by Dr Alex Jimenez | Nerve Injury, Neuropathy

Vanhu vanoonekwa vaine peripheral neuropathy, kana nediki fiber neuropathy, vanogona kunzwisisa zviratidzo uye zvinokonzeresa rubatsiro neangangove marapirwo?

Diki Fiber Neuropathy

Diki fiber neuropathy imhando chaiyo yeuropathy, sezvo kune marudzi akasiyana, ari kukuvara kwetsinga, kukuvara, chirwere, uye / kana kusashanda. Zviratidzo zvinogona kukonzera kurwadziwa, kurasikirwa kwekunzwa, uye zviratidzo zvekugaya uye weti. Zviitiko zvakawanda zveuropathy senge peripheral neuropathy zvinosanganisira madiki uye makuru fiber. Zvikonzero zvinowanzoitika zvinosanganisira chirwere cheshuga chenguva refu, kushomeka kwekudya, kunwa doro, uye chemotherapy.

Diki fiber neuropathy inoonekwa mushure mekuongororwa kwekuongorora kunoratidza zviri pachena kuti diki tsinga fibers inobatanidzwa.
Iwo madiki tsinga fiber anoona kunzwa, tembiricha, uye kurwadziwa uye anobatsira kudzora mabasa asingadi.
Isolated diki-fiber neuropathy haiwanzo, asi tsvakiridzo irikuenderera mberi parudzi rwekukuvara kwetsinga uye kurapwa kunokwanisa. (Stephen A. Johnson, nevamwe, 2021)
Diki fiber neuropathy haina njodzi chaiyo asi chiratidzo/chiratidzo chechikonzero chechikonzero/mamiriro ari kukanganisa tsinga dzemuviri.

zviratidzo

Zviratidzo zvinosanganisira: (Heidrun H. Krämer, nevamwe, 2023)

Marwadzo - zviratidzo zvinogona kubva kune zvinyoro kana zvine mwero kusagadzikana kusvika pakushungurudzika kwakanyanya uye zvinogona kuitika chero nguva.
Kurasikirwa kwekunzwa.
Nekuti tsinga diki dzinobatsira nekugaya, BP, uye kudzora dundira - zviratidzo zve autonomic dysfunction zvinogona kusiyana uye zvinogona kusanganisira:
Kuvhara, manyoka, kusagadzikana, kuchengetedza weti - kusakwanisa kubvisa zvachose dundira.
Kana paine kufambira mberi kwekukuvara kwetsinga, kusimba kwemarwadzo kunogona kuderera, asi kurasikirwa kwekunzwa kwakajairwa uye zviratidzo zvekuzvimirira zvinogona kuwedzera. (Josef Finsterer, Fulvio A. Scorza. 2022)
Hypersensitivity kunobata uye kunzwa kurwadziwa kunogona kukonzera marwadzo pasina chinokonzera.
Kurasikirwa kwekunzwa kunogona kuita kuti vanhu vatadze kunyatsoona manzwiro ekubata, tembiricha, uye kurwadziwa munzvimbo dzakakanganiswa, izvo zvinogona kutungamirira kumhando dzakasiyana dzekukuvara.
Kunyange zvazvo tsvakurudzo yakawedzerwa ichidiwa, mamwe matambudziko asina kuonekwa neuropathies angave ane zviduku zvefiber neuropathy zvinobatanidzwa.
Imwe ongororo yakaratidza kuti neurogenic rosacea, mamiriro eganda, anogona kunge aine zvimwe zvinhu zvediki fiber neuropathy. (Min Li, et al., 2023)

Diki Nerve Fibers

Kune marudzi akati wandei etsinga diki; maviri mudiki faibha neuropathy anosanganisira A-delta uye C. (Josef Finsterer, Fulvio A. Scorza. 2022)
Aya madiki tsinga fiber akagoverwa mumuviri wese kusanganisira kumusoro kweminwe nezvigunwe, hunde, uye nhengo dzemukati.
Fiber idzi dzinowanzowanikwa munzvimbo dzepamusoro dzemuviri, sepadyo nepamusoro peganda. (Mohammad A. Khoshnoodi, et al., 2016)
Idzo tsinga diki dzetsinga dzinokuvara dzinobatanidzwa mukufambisa marwadzo uye tembiricha sensations.
Tsinga zhinji dzine rudzi rwakakosha rwekusunga inonzi myelin inodzidzivirira uye inowedzera kumhanya kwetsinga.
Mitsipa midiki inogona kunge iine sheath yakatetepa, ichiita kuti iwedzere kukuvara uye kukuvara panguva dzekutanga mamiriro uye zvirwere. (Heidrun H. Krämer, nevamwe, 2023)

Vanhu Panjodzi

Mhando dzakawanda dzeperipheral neuropathy dzinokonzera kukanganisa kune diki uye hombe peripheral nerve fibers. Nekuda kweizvi, mazhinji neuropathies musanganiswa wediki-fiber uye yakakura-fiber neuropathy. Zvinowanzoitika panjodzi dzekusanganiswa fiber neuropathy dzinosanganisira: (Stephen A. Johnson, nevamwe, 2021)

chirwere cheshuga
Kusakwana kwezvokudya
Kunyanya kunwa doro
Zvimwe zvinetso zvekudzivirira
Mushonga toxicity

Isolated diki-fiber neuropathy haiwanzo, asi kune mamiriro anozivikanwa anobatsira kune chikonzero uye anosanganisira: (Stephen A. Johnson, nevamwe, 2021)

Sjogren Syndrome

Iyi autoimmune disorder inokonzera kuoma kwemaziso nemuromo, matambudziko emazino, uye kurwadziwa kwemajoini.
Inogonawo kukonzera kukuvara kwetsinga mumuviri wese.

Fabry Chirwere

Ichi chiitiko chinokonzeresa kuunganidzwa kwemamwe mafuta / lipids mumuviri izvo zvinogona kutungamira kune neurological mhedzisiro.

Amyloidosis

Ichi chirwere chisingawanzoitiki chinokonzera kuunganidzwa kwemapuroteni mumuviri.
Mapuroteni anogona kukuvadza matishu semoyo kana tsinga.

Lewy Body Disease

Ichi chirwere chetsinga chinokonzera dementia uye kusafamba zvakanaka uye chinogona kukonzera kukuvara kwetsinga.

Lupus

Ichi chirwere che autoimmune chinokanganisa majoini, ganda, uye dzimwe nguva nerve tishu.

Utachiona hwehutachiona

Zvirwere izvi zvinowanzokonzera kutonhora kana gastrointestinal / GI kugumbuka.
Kashoma kazhinji vanogona kukonzera zvimwe zvinokonzeresa sediki fiber neuropathy.

Aya mamiriro akaonekwa achikonzeresa diki-fiber neuropathy kana kutanga sediki-fiber neuropathy isati yafambira mberi kune yakakura nerve fiber. Vanogonawo kutanga semusanganiswa weuropathy, nediki uye huru fiber.

Kufambira mberi

Kazhinji kukuvadzwa kunowedzera pamwero wepakati, zvichiita kuti uwedzere zviratidzo mukati memwedzi kana makore. Iyo fiber nerve inobatwa neiyo iri pasi pemamiriro anowanzo derera zvishoma nezvishoma, zvisinei kuti ari kupi. (Mohammad A. Khoshnoodi, et al., 2016) Mishonga inogona kubatsira kuderedza kukuvadza kune peripheral nerves. Kune vanhu vanoonekwa padanho rekutanga, zvinokwanisika kumisa kufambira mberi, uye zvinogona kudzivirira kubatanidzwa kwemafibhi makuru.

Mishonga

Kurapa kudzivirira kufambira mberi kunoda kudzora mamiriro ekurapa ari pasi nemaitiro ekurapa zvichienderana nechikonzero. Mishonga inogona kubatsira kudzivirira kufambira mberi inosanganisira:

Kudzora shuga yeropa kune vanhu vane chirwere cheshuga.
Nutritional supplementation kuitira kurapwa kwekushaya vhitamini.
Kurega kunwa doro.
Kudzivirirwa kwekudzivirira kwekudzivirira kwezvirwere zve autoimmune.
Plasmapheresis - ropa rinotorwa uye plasma inorapwa uye inodzoserwa kana kuchinjana kuitira kurapwa kwezvirwere zve autoimmune.

Symptom Treatment

Vanhu vanogona kuwana kurapwa kwezviratidzo zvisingadzose kana kurapa mamiriro acho asi zvinogona kubatsira nekuzorora kwenguva pfupi. Symptomatic kurapwa inogona kusanganisira: (Josef Finsterer, Fulvio A. Scorza. 2022)

Pain management inogona kusanganisira mishonga uye/kana topical analgesics.
Physical therapy - kutambanudza, masaja, decompression, uye kugadzirisa kuti muviri ugare wakasununguka uye uchichinjika.
Kugadziriswa kwekubatsira kuvandudza kurongeka, izvo zvinogona kukanganisa nekurasikirwa kwekunzwa.
Mishonga yekubvisa zviratidzo zveGI.
Kupfeka zvipfeko zvehunyanzvi senge neuropathy masokisi kubatsira nemarwadzo etsoka zviratidzo.

Kurapa uye kurapa kweuropathies kazhinji kunosanganisira chiremba wetsinga. Chiremba wetsinga anogona kupa mushonga wekubatsira kuderedza zviratidzo zvekurwadziwa uye kupa kupindira mune zvekurapa senge immunotherapy kana paine kunetsekana kuti autoimmune process inogona kunge iri chikonzero. Pamusoro pezvo, kurapwa kunogona kusanganisira kuchengetwa kwemushonga wepanyama uye chiremba wekudzoreredza kana timu yekurapa muviri kuti ipe matambara uye maekisesaizi kubatsira kusimbisa muviri uye kuchengetedza kufamba uye kuchinjika.

Peripheral Neuropathy Ngano & Chokwadi

References

Johnson, SA, Shouman, K., Shelly, S., Sandroni, P., Berini, SE, Dyck, PJB, Hoffman, EM, Mandrekar, J., Niu, Z., Lamb, CJ, Low, PA, Singer , W., Mauermann, ML, Mills, J., Dubey, D., Staff, NP, & Klein, CJ (2021). Diki Fiber Neuropathy Chiitiko, Kuwanda, Kukanganisa Kwenguva refu, uye Kuremara. Neurology, 97(22), e2236–e2247. doi.org/10.1212/WNL.0000000000012894

Finsterer, J., & Scorza, FA (2022). Diki fiber neuropathy. Acta neurologica Scandinavica, 145 (5), 493-503. doi.org/10.1111/ane.13591

Krämer, HH, Bücker, P., Jeibmann, A., Richter, H., Rosenbohm, A., Jeske, J., Baka, P., Geber, C., Wassenberg, M., Fangerau, T., Karst , U., Schänzer, A., & van Thriel, C. (2023). Gadolinium kusiyanisa vamiririri: dermal deposits uye zvinogona kuitika pane epidermal diki nerve fibers. Nyaya yeNeurology, 270 (8), 3981-3991. doi.org/10.1007/s00415-023-11740-z

Li, M., Tao, M., Zhang, Y., Pan, R., Gu, D., & Xu, Y. (2023). Neurogenic rosacea inogona kunge iri diki fiber neuropathy. Miganho mukutsvaga marwadzo (Lausanne, Switzerland), 4, 1122134. doi.org/10.3389/fpain.2023.1122134

Khoshnoodi, MA, Truelove, S., Burakgazi, A., Hoke, A., Mammen, AL, & Polydefkis, M. (2016). Longitudinal Assessment yeDiki Fiber Neuropathy: Uchapupu hweIsina-Length-Dependent Distal Axonopathy. JAMA neurology, 73 (6), 684-690. doi.org/10.1001/jamaneurol.2016.0057

Kuderedza Somatosensory Marwadzo NeSpinal Decompression

by Dr Alex Jimenez | Chiropractic, Dzose Kudzorera Painini, chisingaperi Pain, Nerve Injury, Spinal Decompression Treatments, Spine Care, Mishonga, Viscerosomatic Reflex

Kuora kwemusana kunobatsira sei kuderedza marwadzo e-somatosensory ane chokuita nevanhu vanobata nemarwadzo ekumusana nemakumbo?

ziviso

Sezvatinoziva tese, muviri wemunhu ihurongwa hwakaoma hunoshanda pamwechete kuita zviito zvakasiyana-siyana pasina kunzwa kurwadziwa kana kusagadzikana. Nemhasuru, nhengo, matishu, ligaments, mapfupa, uye nerve midzi, chikamu chimwe nechimwe chine basa racho uye chinopindirana nedzimwe nhengo dzemuviri. Semuenzaniso, musana unoshanda pamwe nepakati tsinga system kuraira tsandanyama uye nhengo kuti dzishande nemazvo. Zvichakadaro, tsinga midzi uye tsandanyama zvinoshanda pamwe chete kuti zvipe kufamba, kugadzikana, uye kushanduka kumucheto wepamusoro uye wepasi. Zvisinei, nekufamba kwenguva, muviri unochembera zvoga, uye izvi zvinogona kutungamirira kuzvinhu zvisingadiwi. Zvinhu zvinowanzoitika uye zvinoshungurudza zvinogona kukanganisa zviratidzo zve neuron kubva muuropi uye zvinokonzera marwadzo e-somatosensory kumusoro uye pasi. Kunzwa kunorwadza uku kunogona kukanganisa chikamu chemuviri wega wega, zvichiita kuti munhu wacho ashungurudzike. Neraki, kune nzira dzekudzikisa marwadzo e-somatosensory uye kupa zororo kumuviri. Chinyorwa chanhasi chinoongorora kuti somatosensory pain inogona kukanganisa sei makumbo ezasi, kunyanya makumbo nemusana, uye kuti kurapa kusiri kwekuvhiya senge spinal decompression kunogona sei kuderedza somatosensory marwadzo muzasi. Panguva imwecheteyo, isu tinoshanda takabatana-ne-ruoko nevatambi vezvokurapa vakavimbiswa vanoshandisa ruzivo rwemurwere wedu kurapa uye kuderedza marwadzo e-somatosensory anokanganisa makumbo uye musana. Isu tinovazivisawo kuti kurapa kusiri kwekuvhiya senge spinal decompression inogona kubatsira kudzikamisa marwadzo akasara-sezviratidzo kubva kuzasi. Tinokurudzira varwere vedu kuti vabvunze mibvunzo yakakosha uye yakakosha pavanenge vachitsvaga dzidzo kubva kune vatinoshanda navo vekurapa nezvekurwadziwa kwavo. Dr. Alex Jimenez, DC, anobatanidza ruzivo urwu sebasa rekudzidzisa. Disclaimer

Ko Somatosensory Pain Inobata Sei Makumbo & Kumashure?

Uri kuona chiveve kana kurira mumakumbo ako kana musana izvo zvinonyangarika mushure memaminitsi mashoma? Iwe unonzwa marwadzo asina mubvunzo mu lumbar spine mushure mebasa here? Kana kuti unonzwa kunzwa kunodziya kumashure kwemakumbo ako kunoshanduka kuva marwadzo akapinza ekupfura? Idzi nyaya dzinogona kunge dzakabatana neiyo somatosensory system mukati mepakati tsinga system, iyo inopa yekuzvidira reflexes kumapoka emhasuru. Kana mafambiro akajairika kana masimba anotyisa achikonzera matambudziko kune somatosensory system nekufamba kwenguva, zvinogona kutungamirira kumarwadzo anokanganisa magumo emuviri. (Finnerup, Kuner, & Jensen, 2021) Marwadzo aya anogona kuperekedzwa nekutsva, kubaya, kana kudzvinya manzwiro anokanganisa nzvimbo yechiuno. Zvinhu zvakawanda zvinogona kusanganiswa nemarwadzo e-somatosensory, iyo inhengo yenheyo yepakati uye inoshanda nemutsipa wepelinha. Kana musana wemusana ukava wakamanikidzwa kana kuwedzera nekuda kwekukuvara kana zvinhu zvakajairika, zvinogona kutungamirira kumarwadzo emusana uye gumbo. Semuenzaniso, herniated disc munzvimbo ye lumbosacral inogona kuita kuti midzi yetsinga itumire zviratidzo zvinorwadza kuuropi uye inokonzera kukanganisa kumashure nemakumbo. (Aminoff & Goodin, 1988)

Apo vanhu vari kutarisana nemarwadzo ekudzokera shure uye emakumbo kubva kumarwadzo e-somatosensory, zvinogona kuvaita kuti vashungurudzike nekuderedza mararamiro avo uye kutungamirira kuhupenyu hwekuremara. (Rosenberger et al., 2020) Panguva imwecheteyo, vanhu vanotarisana nemarwadzo e-somatosensory vachatangawo kunzwa zvinokonzerwa nekuputika kubva munzvimbo yakakanganiswa yemhasuru mumakumbo uye kumashure. Sezvo kuzvimba kuri kuzvidavirira kwemuviri kana uchibata nekurwadziwa, iyo cytokines yekuzvimba inogona kukonzera kubuda kwehuropi kuburikidza nemuzongoza, zvichikonzera gumbo uye kurwadziwa kumashure. (Matsuda, Huh, & Ji, 2019) Kusvika ipapo, somatosensory pain inosanganiswa nekuzvimba kunokonzerwa neyakajairwa kana kushungurudza zvinhu zvinogona kukonzera kupindirana kwengozi zvinhu zvinokonzeresa gumbo uye musana. Sezvineiwo, kurapa kwakawanda kunogona kuderedza izvi zvinoputika njodzi zvinhu zvinokonzerwa nekurwadziwa kwesomatosensory uye kubatsira kudzoreredza basa rezasi remuviri.

Famba Zvirinani, Rarama Zvirinani- Vhidhiyo

Kana muviri uchibata nemarwadzo e-somatosensory, zvinogona kuita kuti vanhu vazhinji vafunge kuti vari kungobata neimwe sosi yemarwadzo kubva kune imwe tsandanyama nzvimbo. Zvakadaro, zvinogona kutungamira kune multifactorial nyaya dzinobata dzakasiyana nzvimbo dzemuviri. Izvi zvinozivikanwa sekurwadziwa kunotaurwa, apo chikamu chimwe chemuviri chinobata nemarwadzo asi chiri mune imwe nzvimbo. Marwadzo anorehwa anogonawo kusanganiswa ne somato-visceral/visceral-somatic pain, apo tsandanyama kana nhengo yakakanganisika inobata imwe kana imwe, zvichikonzera mamwe marwadzo-senyaya. Nekudaro, kurapwa kwakawanda kunogona kuderedza marwadzo e-somatosensory kubva pakukonzera mamwe matambudziko emakumbo uye kumashure. Mishonga isiri-yekuvhiya senge chiropractic kuchengetedza uye spinal decompression inogona kubatsira kudzikisira mhedzisiro ye somatosensory kurwadziwa kunobata pasi pemigumo yemuviri inokonzera gumbo uye musana. Mishonga iyi inobvumira nyanzvi yemarwadzo kuti ibatanidze nzira dzakasiyana-siyana dzekurapa kutambanudza mhasuru dzakakanganisika uye kugadzirisa musana panzvimbo yayo yepakutanga. Vanhu vazhinji vanogona kuona kuvandudzwa kwekufamba kwavo uye mabasa ezuva nezuva sezvo marwadzo-senge zviratidzo zvine chekuita nekurwadziwa somatosensory zvakaderedzwa. (Gose, Naguszewski, & Naguszewski, 1998) Apo vanhu vanotarisana nemarwadzo e-somatosensory vanotanga kufunga nezvehutano hwavo uye hutano kuti vaderedze marwadzo avari kusangana nawo, vanogona kutarisa mune zvisiri zvekuvhiya kurapwa sezvo zvichidhura, zvakachengeteka, uye zvinopa mugumisiro wakanaka. Pamusoro pezvo, marapirwo asiri ekuvhiya anogona kuve ega kumarwadzo emunhu uye anotanga kuona kuvandudzwa mushure menguva shoma yekurapa. (Saal naSaal, 1989) Tarisa vhidhiyo iri pamusoro kuti udzidze zvakawanda nezvekuti kurapa kusina kuvhiyiwa kunogona kusanganiswa sei nemamwe marapirwo ekuvandudza hutano hwemunhu.

Spinal Decompression Inoderedza Somatosenosory Pain

Iye zvino musana wepelinha kurapwa kusiri kwekuvhiya kunogona kubatsira kuderedza somatosensory kurwadziwa kunobata makumbo uye kumashure. Sezvo somatosensory pain inopindirana nemutsipa wepelinha, inogona kukanganisa lumbosacral musana uye inotungamirira kumarwadzo emusana nemakumbo. Nekuora kwemusana, inoshandisa kudhonza zvinyoro kudhonza musana, izvo zvinozogona kuderedza zviratidzo zvine chekuita nekurwadziwa kwe somatosensory. Spinal decompression inogona kubatsira kuvandudza somatosensory system nekudzikisa marwadzo uye kuderedza aggravated nerve root compression kusunungura makumbo nemusana. (Daniel, 2007)

Uyezve, kuora kwepelinha kunogona kusanganiswa nemamwe marapirwo asina kuvhiyiwa, sechiropractic, sezvo inogona kubatsira nekuderedza migumisiro yehutano hwemagetsi uye kubatsira kudzorera ROM yejojo (range of motion). (Kirkaldy-Willis naCassidy, 1985) Spinal decompression inogona kugadzira chiitiko chakanaka kune vanhu vazhinji vanobata gumbo uye kurwadziwa shure kunobatanidza ne somatosensory kurwadziwa pavanenge vachidzoka hutano hwavo uye hutano.

References

Aminoff, MJ, & Goodin, DS (1988). Dermatomal somatosensory yakamutsa mikana mu lumbosacral midzi compression. J Neurol Neurosurg Psychiatry, 51(5), 740-742. doi.org/10.1136/jnnp.51.5.740-a

Daniel, DM (2007). Kusina-kuvhiya musana decompression therapy: zvinyorwa zvesainzi zvinotsigira zvikumbiro zvinobudirira zvakaitwa mukushambadzira midhiya? Chiropr Osteopat, 15, 7. doi.org/10.1186/1746-1340-15-7

Finnerup, NB, Kuner, R., & Jensen, TS (2021). Neuropathic Pain: Kubva kuMechanism kuenda Kukurapa. Physiol Rev, 101(1), 259-301. doi.org/10.1152/physrev.00045.2019

Gose, EE, Naguszewski, WK, & Naguszewski, RK (1998). Vertebral axial decompression therapy yekurwadziwa kunobatanidza ne-herniated kana degenerated discs kana facet syndrome: chidzidzo chemugumisiro. Neurol Res, 20(3), 186-190. doi.org/10.1080/01616412.1998.11740504

Kirkaldy-Willis, WH, & Cassidy, JD (1985). Spinal manipulation mukurapa kwekurwadziwa-musana. Anogona Fam Chiremba, 31, 535-540. www.ncbi.nlm.nih.gov/pubmed/21274223

www.ncbi.nlm.nih.gov/pmc/articles/PMC2327983/pdf/canfamphys00205-0107.pdf

Matsuda, M., Huh, Y., & Ji, RR (2019). Mabasa ekuzvimba, neurogenic kuzvimba, uye neuroinflammation mukurwadziwa. J Anesth, 33(1), 131-139. doi.org/10.1007/s00540-018-2579-4

Rosenberger, DC, Blechschmidt, V., Timmerman, H., Wolff, A., & Treede, RD (2020). Matambudziko ekurwadziwa kweuropathic: tarisa padiabetesic neuropathy. J Neural Transm (Vienna), 127(4), 589-624. doi.org/10.1007/s00702-020-02145-7

Saal, JA, & Saal, JS (1989). Kusashanda kurapwa kweherniated lumbar intervertebral disc ine radiculopathy. Chidzidzo chemhedzisiro. Pine (Phila Pa 1976), 14(4), 431-437. doi.org/10.1097/00007632-198904000-00018

Disclaimer

Mitemo Yekurwadza Kwetsinga: Radiculopathy, Radiculitis, Neuritis

by Dr Alex Jimenez | Nerve Injury, Sciatica Nerve Pain

Kurapa kunonyanya kubudirira here kana varwere vachiziva mazwi akakosha anotsanangura kurwadziwa kwavo kumashure uye mamiriro anoenderana?

Nerve Pain Types

Kana vanhu vachida kunzwisisa zviri nani musana wavo wekuongorora, kukwanisa kusiyanisa pakati pemashoko anokosha kunogona kuita mutsauko mukuru mukunzwisisa kugadzirwa kwechirongwa chemunhu. Matemu anotsanangura kurwadziwa shure uye akasiyana anoenderana mamiriro anogona kusanganisira:

Sciatica
Radiating uye Referred kurwadziwa
Radiculopathy
radiculitis
Neuropathy
Neuritis

Zvinokonzera Kurwadza Kwemusana

Zviratidzo zvinorwadza shure zvinowanzokonzerwa nekuenderera mberi kwemaitiro asina kunaka / maitiro asina kunaka uye akawandisa uye asina simba. Kunyange kune vanhu vanorovedza muviri nguva dzose, kusarudzwa kwekufamba kunoitwa zuva rose kunogona kukanganisa nzira iyo misumbu, tendon, ligaments, uye fascia inoshanda kuchengetedza kurongeka kwemuviri kwakakodzera.

Kukuvara kune, uye mamiriro e, zvimiro zvepinal column senge mapfupa, discs, uye tsinga, kazhinji zvakakomba kupfuura matambudziko ekumira uye nyoro-ane marwadzo ane hukama.
Zvichienderana nekuongororwa, matambudziko emuumbirwo anogona kukonzera zviratidzo zvine chekuita nekutsikirirwa kwetsinga, kutsamwa, uye / kana kuzvimba. (Michigan Medicine, 2022)

Spine uye Nervous System

Mitsipa yeperipheral inotambanukira kusvika kumagumo nekunzwa uye kugona kufamba.
Midzi yetsinga inobuda mumugero wemusana unova chikamu cheperipheral nervous system.
Iyo musana wetsinga midzi inobva yabuda mumutsara wepinini kuburikidza neforamen. (American Academy yeNeurological Surgeons, 2023)
Kubatana kwemitsipa kubva kumusana uye kubuda kunze kweforamina kunoitika pamatanho ose emusana.

Terms

Kune akasiyana mazwi ekurapa kana uchiwana musana wekuongorora kana kuenda kuburikidza nekurapa maitiro.

Radiculopathy

Radiculopathy ishoko remumburera, rinotsanangura chero maitiro echirwere anokanganisa musana wetsinga uye chimwe chinhu chiri kuitika kumuviri.
Kana mupi wehutano akakuzivisa iwe kuti kurwadziwa kwako kunokonzerwa neradiculopathy, nhamba yezvimwe zvirwere zvakanyanya, zviratidzo zvechipatara, uye zviratidzo zvinogona kuiswa sechikamu chetsanangudzo.
Zvinowanzokonzera radiculopathy zvinosanganisira herniated disc/s uye spinal stenosis.
Zvishoma zvinokonzeresa zvinogona kusanganisira synovial cyst kana bundu rinodzvanya patsinga midzi. (Johns Hopkins Mushonga, 2023)
Radiculopathy inogona kuitika mumutsipa, pasi kumashure, kana munzvimbo ye thoracic.
Kazhinji, radiculopathy inounzwa neimwe nzira yekumanikidza yetsinga midzi.
Semuyenzaniso, extruded material kubva a herniated disc inogona kumhara patsinga, zvichikonzera kumanikidza kuvaka.
Izvi zvinogona kukonzera zviratidzo zvine chekuita neradiculopathy, kusanganisira kupera simba, kushaya simba, kurwadziwa, kana manzwiro emagetsi. (Johns Hopkins Mushonga, 2023)

Kunyangwe paine musana wetsinga midzi kudivi rese remuzongoza, kukuvara, kukuvara, kana nyaya dzinobva mukuderera zvinokanganisa tsinga mune asymmetric fashoni. Shanduko dzekuchinja, dzinozivikanwa sekupfeka uye kubvaruka, zvinowanzoitika nenzira iyi. Uchishandisa iyo yapfuura herniated disc muenzaniso, zvinhu zvinodonha kubva kudhisiki chimiro zvinowanzo famba munzira imwe. Kana izvi zvikaitika, zviratidzo zvinowanzoonekwa padivi apo tsinga yetsinga inosangana ne disc material, asi kwete rumwe rutivi. (American Association yeNeurological Surgeons, 2023)

radiculitis

Radiculitis imhando yeradiculopathy asi ndeye kuzvimba uye kwete kumanikidza. (Johns Hopkins Mushonga, 2023)
Radicu- inoreva musana wetsinga midzi.
Chivakashure - ndizvo zvinoreva kuzvimba.
Shoko iri rinoreva musana wetsinga mudzi kupiswa uye / kana akatsamwa pane ku rakamanikidzwa.
Mune disc herniations, ndiyo gel chinhu chine makemikari akasiyana-siyana ari kupisa.
Kana iyo gel inobata nemidzi yetsinga, mhinduro yekuzvimba inotangwa. (Rothman SM, Winkelstein BA 2007)

Radiating kana Referred Pain

Marwadzo ekupenya anotevera nzira yeimwe tsinga dzeparipheral dzinotumira ruzivo rwekunzwa sekupisa, kutonhora, mapini netsono, uye kurwadziwa.
Chinonyanya kukonzera marwadzo ekupenya ndiko kupinza / kudzvanywa kwemusana wetsinga midzi. (American Academy yeOrthopedic Surgeons. OrthoInfo)
Marwadzo anotaurwa anowanikwa mune imwe nzvimbo yemuviri iyo iri kure nemarwadzo ayo anowanzova nhengo. (Murray GM., 2009)
Inogona kuunzwa nemyofascial trigger point kana visceral chiitiko.
Muenzaniso wekurwadziwa kunoratidzwa zviratidzo mushaya kana ruoko kana munhu aine chirwere chemoyo. (Murray GM., 2009)

mudzi

Mazwi ekuti radicular pain uye radiculopathy anowanzo kuvhiringika.
Radicular pain chiratidzo che radiculopathy.
Radicular pain inopenya kubva kumusana wetsinga midzi kusvika kune chimwe chikamu kana nzira yose pasi pegumbo / kumucheto.
Zvisinei, kurwadziwa kwakanyanya hakurevi zviratidzo zvakakwana zve radiculopathy.
Radiculopathy zviratidzo zvinosanganisirawo chiveve, kushaya simba, kana manzwiro emagetsi semapini netsono, kupisa, kana kuvhunduka kunofamba kumucheto. (Johns Hopkins Mushonga, 2023)

Neuropathy

Neuropathy imwe amburera izwi rinoreva chero kusashanda kana chirwere chinokanganisa tsinga.
Iyo inowanzoiswa maererano nechikonzero, senge chirwere cheshuga cheuropathy, kana nzvimbo.
Neuropathy inogona kuitika chero kupi mumuviri - kusanganisira tsinga dzeparipheral, iyo autonomic tsinga / nhengo tsinga, kana tsinga dziri mukati medehenya uye isingavanzi maziso, nzeve, mhino, nezvimwe.
Muenzaniso weperipheral neuropathy is carpal tunnel syndrome. (American Academy yeOrthopedic Surgeons. OrthoInfo. 2023)
Imwe mamiriro emusana anozivikanwa kukonzera peripheral neuropathy is spinal stenosis. (Bostelmann R, Zella S, Steiger HJ, et al., 2016)
Mumamiriro ezvinhu aya, shanduko muforamina ine mhedzisiro inoderera pane iyo nzvimbo inotanga kudzvanya tsinga pavanenge vachibuda.
Neuropathy inogona kukanganisa tsinga imwe chete kana tsinga dzakawanda panguva imwe chete.
Kana tsinga dzakawanda dzichibatanidzwa inozivikanwa se polyneuropathy.
Kana ingori imwe chete, inozivikanwa se mononeuropathy. (Cleveland Clinic. 2023)

Neuritis

Neuritis imhando yeuropathy inoratidza kuzvimba kwetsinga. (American Association yeNeurological Surgeons)
Neuritis inotsanangura kuzvimba kwetsinga dzeparipheral mushure mekunge dzabuda mumutsara. (National Institutes of Health. US National Library yeMishonga. Medline Plus. 2022)
Peripheral nerves idzo refu, tambo dzakatetepa dzinopa kunzwa, kunzwa, uye mafambiro ekufambisa kunzvimbo dzese dzemuviri dziri kunze kwepakati tsinga system.
Neuritis inogona kutungamirira kumarwadzo makuru, pamwe chete nezvimwe zviratidzo zvetsinga. (National Institutes of Health. US National Library yeMishonga. Medline Plus. 2022)

Sciatica

Sciatica inotsanangura zviratidzo zvinosanganisira marwadzo anopenya uye manzwiro anofamba muhudyu, chiuno, gumbo, uye tsoka.
Chimwe chezvikonzero zvinowanzokonzera sciatica ndeye radiculopathy.
Chimwe chinonzi spinal stenosis. (Cleveland Clinic. 2023)
Piriformis syndrome ndiyo iyo musungo wakasimba / piriformis musuru inomanikidza sciatic nerve, iyo inomhanya pasi. (Cass SP. 2015)

Chiropractic

Chiropractic kugadzirisa, kusagadzikana kwekusavhiya, MET, uye dzakasiyana-siyana dzemasaja marapirwo anogona kudzoreredza zviratidzo, kusunungura tsinga dzakanamira kana dzakabatwa uye kudzoreredza basa. Kuburikidza nemishonga, chiropractor uye varapi vanotsanangura zviri kuitika uye nei vari kushandisa imwe nzira. Kuziva zvishoma nezve mashandiro anoita neuromusculoskeletal system kunogona kubatsira mupi wehutano uye murwere mukugadzira nekugadzirisa nzira dzekurapa dzinoshanda.

Sciatica Panguva Yepamuviri

References

Michigan Medicine. Upper uye Middle Back Pain.

American Academy yeNeurological Surgeons. Anatomy yeSpine uye Peripheral Nervous System.

Johns Hopkins Mushonga. Mamiriro Outano. Radiculopathy.

American Association yeNeurological Surgeons. Herniated Disc.

American Academy yeOrthopedic Surgeons. OrthoInfo. Cervical Radiculopathy (Pinched Nerve).

Rothman, SM, & Winkelstein, BA (2007). Kemikari uye mekiniki nerve midzi kutuka inokonzeresa kusiyanisa maitiro ekunzwa uye glial activation iyo inowedzerwa mukubatana. Kutsvakurudza kweBrain, 1181, 30-43. doi.org/10.1016/j.brainres.2007.08.064

Murray GM (2009). Guest Editorial: marwadzo akataurwa. Chinyorwa chekushandiswa kwesainzi yemuromo: Revista FOB, 17(6), i. doi.org/10.1590/s1678-77572009000600001

American Academy yeOrthopedic Surgeons. OrthoInfo. Carpal Tunnel Syndrome.

Bostelmann, R., Zella, S., Steiger, HJ, & Petridis, AK (2016). Ko Spinal Canal Compression ingave Chikonzero chePolyneuropathy? Makiriniki uye maitiro, 6 (1), 816. doi.org/10.4081/cp.2016.816

Cleveland Clinic. Mononeuropathy.

American Association yeNeurological Surgeons. Glossary yeNeurosurgical Terminology.

National Institutes of Health. US National Library yeMishonga. Medline Plus. Peripheral Nerve Disorders.

Cleveland Clinic. Spinal Stenosis.

Cass SP (2015). Piriformis syndrome: chikonzero che-non-discogenic sciatica. Ikozvino mishonga yemitambo yemitambo inoshuma 14 (1), 41-44. doi.org/10.1249/JSR.0000000000000110

Radial Nerve: Peripheral Upper Extremity

by Dr Alex Jimenez | Kukanganiswa kwakakomba, Nerve Injury

Iyo brachial plexus inetiweki yetsinga dzinotanga mumutsipa / mutsipa spinal cord uye kufamba ichidzika pasi. cervicoaxillary canal muhapwa. Kuumba munzvimbo yejojo repafudzi pachikamu chebazi chebrachial plexus, tsinga yeradial inotambanuka ichidzika neruoko, kuburikidza nejoinho yegokora, kusvika paruoko, nepachanza, uye matipi ezvigunwe. Mitsipa inokwanisa kukuvara izvo zvinogona kukonzera kusashanda zvisina kujairika zvinotungamira kumanzwiro asina kujairika uye kukanganisa kushanda kwemhasuru.

Radial Tsinga

Imwe yetsinga huru dzepamusoro.

Kune imwe brachial plexus kudivi rega rega remuviri inotakura tsinga kuruoko rumwe norumwe.
Iyo tsinga yeradial ine mabasa makuru maviri.
Imwe ndeyokupa manzwiro mumaoko, maoko, maoko, uye zvigunwe.
Imwe yacho ndeyekutumira mameseji kumamhasuru nezve nguva yekubvumirana.

Motor Function

Iyo tsinga yeradial inotumira masaini kumamhasuru ekuseri kweruoko neruoko painobatika.
Vanhu vane abnormal radial nerve function vanogona kuona kushaya simba kwemhasuru uye zviratidzo zvakaita wrist drop.
Kudonha kwewrist kunoitika kana mhasuru dzemberi dzemberi dzisingakwanise kutsigira wrist, zvichiita kuti munhu abate ruoko muchimiro chakachinjika.
Abnormal radial nerve function inogona kukonzera zviratidzo zvechiveve kana kurira kumashure kweruoko.

Conditions

Mamiriro ezvinhu akabatanidzwa kune radial nerve anosanganisira maronda, maronda, kuputsika, uye palsies.

Nerve Contusion

A contusion inowanzoitika kuburikidza neblunt force trauma iyo inogona kupwanya nekupwanya nerve area.
Izvi zvinokonzeresa kusashanda zvakanaka kana kusashanda.
A nerve contusion inogona kuitika kubva kumunhu, kubasa, kana kukuvara kwemitambo kana mamwe mamiriro anounza kudzvanyirira kwakanyanya pane nerve/s.

Nerve Lacerations

A laceration inoitika kana paine kukuvara kunopinda kunocheka uye/kana kucheka tsinga.
Kukuvara uku kunogona kuitika kubva pamaronda ekubaya kana kuchekwa negirazi rakaputsika, simbi, nezvimwe.

Fractures

Mabhonzo akatyoka ekumusoro kwepamusoro anogona kukonzera kukuvadzwa kwakawedzerwa kune tsinga dziri pedyo nebhonzo rakakuvadzwa.
Rudzi rwakawanda rwekutyoka kwakabatana neradial nerve malfunction ndiko kuputsika kune humerus bone.
Iyo tsinga inoputira zvakasimba kutenderedza humerus uye inogona kukuvara nekutsemuka.
Kukuvara kwakawanda kunoenderana nekutyoka kweradial nerve inopora yega uye haidi kuvhiyiwa.
Zvisinei, nzira iyo kukuvara kunoporesa nayo inogona kuva mutsauko pakati pekushanda kwemazuva ose uye kurwadziwa kusingaperi.

Crutch Palsy

Crutch palsy idzvinyiriro patsinga yeradial muhapwa inokonzerwa nekushandisa madondoro zvisizvo.
Kuti ashandise madondoro zvakanaka, munhu wacho anofanira kutsigira uremu hwemuviri wake nemaoko.
Nekudaro, vazhinji vanowanzoisa kumanikidza kutenderedza armpit kumusoro kweiyo crutch, zvichikonzera kushatirwa kune tsinga munzvimbo iyoyo.
Padding pamusoro pemadondoro uye kushandisa fomu yakakodzera kunogona kudzivirira mamiriro acho.

Saturday Night Palsy

Mugovera manheru akaoma mitezo ibasa risina kujairika retsinga yeradial mushure mekurara panzvimbo inokonzera kudzvinyirirwa zvakanangana netsinga.
Izvi zvinowanzoitika kana munhu akarara ruoko rwake rwakapfekedzwa pamusoro pechigadziko chemaoko pachigaro.
Iro zita rinobva kana vanhu vakadhakwa uye vakarara mune imwe nzvimbo isiri yemubhedha uye munzvimbo dzisina kunaka.

mabatiro

Kukuvara kwetsinga kunowanzo kukonzera zviratidzo kune nzvimbo dzakasiyana kunze kwekunge kune kukuvara kwetsinga, kuomesa kuongororwa. Kusarudza nzvimbo chaiyo yekukuvara kwetsinga ndiyo danho rekutanga pakugadzira chirongwa chakakodzera chekurapa. Kana nzvimbo yacho yaonekwa, matanho anogona kutorwa kudzivirira kuwedzera kukuvadza kune nerve.

Chinangwa ndechekubvisa kudzvanywa kubva mukutsamwisa kana kumanikidza.
Chiropractic treatment inogona kuderedza zviratidzo uye kudzorera kushanda kuburikidza:
Massage yekuzorodza nzvimbo uye kuwedzera kutenderera kweropa.
Decompression kudzoreredza kurongeka.
Kugadzirisa kudzorera kuenzana kwemuviri.
Kudzidzira uye kutambanudza kuchengetedza kurapwa, kusimbisa tsandanyama, uye kudzivirira kukuvara.
Mumamiriro ezvinhu apo pane kukanganisa kwemaitiro, kuvhiyiwa kunogona kudiwa kubvisa kudzvinyirira kana kugadzirisa kukanganisa.

Dzivisa Kuvhiya

References

Ansari FH, Juergens AL. Saturday Night Palsy. [Yakagadziridzwa 2023 Kubvumbi 24]. Mu: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Inowanikwa kubva: www.yori.nlm.nih.gov/books/NBK557520/

Barton, NJ. "Radial nerve lesions." Ruoko vol. 5,3 (1973): 200-8. doi:10.1016/0072-968x(73)90029-6

Daly, Michael, uye Chris Langhammer. "Radial Nerve Injury muHumeral Shaft Fracture." The Orthopedic Clinics yeNorth America vol. 53,2 (2022): 145-154. doi:10.1016/j.ocl.2022.01.001

DeCastro A, Keefe P. Wrist Drop. [Yakagadziridzwa 2022 Jul 18]. Mu: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Inowanikwa kubva: www.yori.nlm.nih.gov/books/NBK532993/

Eaton, CJ, uye GD Lister. "Radial nerve compression." Makiriniki Emaoko vol. 8,2 (1992): 345-57.

Glover NM, Murphy PB. Anatomy, Shoulder uye Upper Limb, Radial Nerve. [Yakagadziridzwa 2022 Aug 29]. Mu: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Inowanikwa kubva: www.yori.nlm.nih.gov/books/NBK534840/

Ljungquist, Karin L et al. "Radial nerve kukuvara." The Journal of hand surgery vol. 40,1 (2015): 166-72. doi:10.1016/j.jhsa.2014.05.010

Węgiel, Andrzej, et al. "Radial nerve compression: maonero eanatomical uye mhedzisiro yekiriniki." Neurosurgical ongororo vol. 46,1 53. 13 Feb. 2023, doi:10.1007/s10143-023-01944-2

Nerve Yakadzvanywa Mumabvi

by Dr Alex Jimenez | Injury Care, Nerve Injury

Tsinga inova akanyudzwa/ kudzvanywa kana kuwedzerwa kumanikidzwa kunoiswa pairi nezvimiro zvakapoteredza zvinogona kusanganisira tsandanyama, mapfupa, ligaments, tendon, kana kusanganiswa. Izvi zvinokuvadza uye zvinokuvadza tsinga inokonzera matambudziko ekushanda uye zviratidzo uye manzwiro munzvimbo iyoyo kana dzimwe nhengo dzemuviri dzinopiwa netsinga iyoyo. Vanachiremba vanotaura izvi sekutsikirira tsinga kana kuvharirwa. Kunyangwe compressed nerves dzinowanzobatanidzwa neiyo mutsipa, maoko, maoko, magokora, uye kuzasi kumashure, chero tsinga mumuviri inogona kusangana nekutsamwa, spasms, kuzvimba, uye kudzvanywa. Zvinokonzera uye kurapwa kwetsinga yakamanikidzwa mumabvi.

Nerve Yakadzvanywa Mumabvi

Pane tsinga imwe chete inopfuura nepabvi iyo ine njodzi yakawedzera yekumanikidzwa. Ibazi retsinga ye sciatic inonzi peroneal nerve. Tsinga inotenderera kunze kwebvi isati yafamba ichidzika kunze kwegumbo rezasi. Pasi pemabvi, inorara pakati pebhonzo neganda, zvichiita kuti zvive nyore kutsamwiswa kana kudzvinyirirwa nechinhu chipi nechipi chinogona kuisa kunze kwebvi.

Zvinokonzera

Kukuvara kunorwadza nekufamba kwenguva kunogona kutungamirira kudzvinyiriro patsinga kubva mukati memabvi. Zvikonzero zvinowanzoitika zvekumanikidzwa nerve mumabvi zvinosanganisira:

Kazhinji Kupesanisa Makumbo

Kudzvinyirirwa nebvi rakapesana, apo makumbo akayambuka ndicho chikonzero chinowanzoitika.

Ibvi chibooreso

Chitsigiro chakanyanya-chakasimba kana chakasimba chinogona kudzvanya gumbo netsinga.

Chidya-Yakakwirira Compression Stockings

Yakagadzirirwa kuchengetedza kudzvanywa pamakumbo, kana yakanyanya kusimba aya masokisi anogona kumanikidza tsinga.

Squatting Posture Kwenguva Yakareba

ichi nzvimbo inoisa dzvinyiriro padivi pebvi.

Fractures

Kutyoka kwegumbo hombe rezasi bhonzo/tibia kana dzimwe nguva bhonzo diki/fibula pedyo nebvi rinogona kubata tsinga.

Lower Leg Cast

Chikamu chekukanda chakakomberedza ibvi chinogona kuva chakasimba uye kudzvinyirira nerve.
Udza chiremba kana simbi kana simbi inonzwa yakasimba kana kuti iri kukonzera chiveve kana kurwadziwa mugumbo.

Knee-High Boots

Kumusoro kwebhutsu kunogona kumhara pazasi pebvi uye kuve kwakanyanya kuomesa tsinga.

Knee Ligament Injury

Iyo tsinga inogona kumanikidzwa nekuda kwekubuda ropa kana kuzvimba kubva kune yakakuvara ligament.

Kuvhiyiwa Kwemabvi Matambudziko

Izvi hazviwanzo, asi tsinga inogona kubatwa nekusaziva panguva yekuvhiya mabvi kana nzira yeArthroscopic.

Kuzorora Kwemubhedha Kwenguva refu

Paunenge wakarara pasi makumbo anowanzotenderera kunze uye mabvi anofamba.
Mune chinzvimbo ichi, metiresi inogona kuisa kumanikidza pane nerve.

Tumors kana Cysts

Mabundu kana cysts anogona kukura kumusoro kumusoro kana padivi petsinga inogumbura uye nekumanikidza nzvimbo.

Abdominal kana Gynecologic Surgery

Midziyo inoshandiswa kuchengetedza makumbo achitenderedzwa kunze uye mabvi akachinjika kuitira gynecologic uye kuvhiyiwa kwemudumbu kunogona kumanikidza tsinga.