Pamuviri Utano
Back Clinic Spinal Hutsanana. Iyo musana ndiyo inodzivirira dzimba yehutano hwemagetsi, urongwa hwakasimba zvokuti hunoita mabasa ose mumuviri womunhu. Nzira inotyisa inoudza muviri wako kufema, inotaurira mwoyo wako kuti urove, inotaurira maoko ako nemakumbo kuti uende, unoudza muviri wako kuti sei uye sei kubudisa masero matsva uye iyo ine simba rekudzivirira kuporesa. Chimwe chinokanganisa kana chisina kunaka chinogona kupindira zvakanyanya zviratidzo zvese zvinotumirwa kuburikidza nehurongwa hwemitsipa, pakupedzisira zvichiguma nekurwadziwa mumuviri, kuora kwemukati nekurasikirwa kwezvinhu zvakawanda zvezuva nezuva zvatinotora zvishoma.
Utsanana hwemusana hunokosha zvikuru, asi 89 muzana yevanhu venyika haizivi kukosha kwekuchengetedza kurongeka kwakakodzera kwe vertebrae kuburikidza nekugadzirisa chiropractic, pamwe nekudzivirira musana kubva mukukuvadzwa kuburikidza nemararamiro ane hutano. Pane kudaro tinoregeredza mizongoza yedu. Sevana isu tinotanga hupenyu hwedu nekudonha uye nzendo dzinopinza mitsipa yedu, tinokura kuva vanhu vakuru vasina kumira zvakanaka, tinosimudza zvinhu zvinorema, kutakura zvakaremerwa kumashure mapaketi, uye tinotambura kukuvara kuburikidza netsaona dzemotokari, kukanganisa kwemitambo uye kushushikana.
Pinda muhutano hwehutano hwemangwana-nhasi. Joinha kuwedzera kwehuwandu hwehuwandu hunonakidzwa neutano hukuru uye hukama kuburikidza nekugara uchichengeta mizongoza yavo. Taura nechiropractor yako nhasi nezve nzira dzaungagone kuvandudza musana wako utsanana.
by Dr Alex Jimenez Chiropractic , chisingaperi Pain , Kukanganiswa kwakakomba , Kufamba & Kuchinja , Pamuviri Utano , Spine Care , Mishonga , Viscerosomatic Reflex
Vanhu vane Ehlers-Danlos syndrome vanogona kuwana zororo kuburikidza neakasiyana-siyana asiri ekuvhiya marapirwo kuderedza kusagadzikana kwemajoini?
ziviso
Majoini nemarunda akatenderedza musculoskeletal system inobvumira iyo yepamusoro uye yakaderera migumo kudzikamisa muviri uye kufambisa. Iwo akasiyana mhasuru uye akapfava anobatanidza tishu anotenderedza majoini anobatsira kudzivirira kubva mukukuvadzwa. Kana zvakatipoteredza zvinhu kana kusagadzikana kukatanga kukanganisa muviri, vanhu vazhinji vanogadzira nyaya dzinokonzeresa kuwanda kwengozi profiles, izvo zvinozokanganisa kugadzikana kwemajoini. Imwe yezvirwere zvinokanganisa majoini uye inobatana tishu iEDS kana Ehlers-Danlos syndrome. Iyi yekubatanidza tishu kusagadzikana inogona kuita kuti majoini ari mumuviri ave hypermobile. Inogona kukonzera kusagadzikana kwemajoini kumusoro uye pasi, zvichiita kuti munhu agare achirwadziwa. Chinyorwa chanhasi chakanangana neEhlers-Danlos syndrome nezviratidzo zvayo uye kuti kune nzira dzisiri dzekuvhiya dzekugadzirisa chirwere ichi chinosanganisa. Isu tinokurukura nevarapi vane hunyanzvi hwekurapa vanobatanidza ruzivo rwevarwere vedu kuti vaongorore kuti Ehlers-Danlos syndrome inogona kudyidzana sei nemamwe matambudziko emusculoskeletal. Isu tinozivisawo uye kutungamira varwere kuti kurapa kwakasiyana-siyana kusiri kwekuvhiya kunogona kubatsira sei kuderedza marwadzo-sezviratidzo uye kubata Ehlers-Danlos syndrome. Isuwo tinokurudzira varwere vedu kuti vabvunze avo vanobatana navo vezvokurapa mibvunzo yakawanda yakaoma uye yakakosha pamusoro pekubatanidza kurapa kwakasiyana-siyana kusiri kwekuvhiya sechikamu chemaitiro avo ezuva nezuva kubata mhedzisiro yeEhlers-Danlos syndrome. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer .
Chii chinonzi Ehlers-Danlos Syndrome?
Iwe unowanzonzwa wakaneta zvikuru muswere wose wezuva, kunyange pashure pokurara usiku hwose here? Iwe unopwanya nyore uye unoshamisika kuti aya mavanga ari kubva kupi? Kana kuti wakamboona here kuti une huwandu hwakawedzerwa mumajoini ako? Zvizhinji zvezvinhu izvi zvinowanzoenderana nechirwere chinozivikanwa seEhlers-Danlos syndrome kana EDS inokanganisa majoini avo uye majoini. EDS inokanganisa matishu akabatana ari mumuviri. Iwo anobatanidza matishu ari mumuviri anobatsira kupa simba uye elasticity kuganda, majoini, pamwe nemadziro emidziyo yeropa, saka kana munhu ari kubata neEDS, inogona kukonzera kukanganisa kukuru kune musculoskeletal system. EDS inonyanya kuongororwa nekliniki, uye vanachiremba vakawanda vakaona kuti gene coding ye collagen uye mapuroteni anopindirana mumuviri anogona kubatsira kuziva kuti rudzi rweEDS runobata munhu. ( Miklovic naSieg, 2024 )
Zviratidzo
Kana uchinzwisisa EDS, zvakakosha kuti uzive kuomarara kweiyi connective tissue disorder. EDS inoiswa mumhando dzakawanda dzine akasiyana maficha uye matambudziko anosiyana zvichienderana nekuomarara. Imwe yemhando dzakajairika dzeEDS hypermobile Ehlers-Danlos syndrome. Rudzi urwu rweEDS runoratidzwa ne general joint hypermobility, kusagadzikana kwemajoini, uye kurwadziwa. Zvimwe zvezviratidzo zvinosanganiswa ne hypermobile EDS zvinosanganisira subluxation, dislocation, uye kukuvara kwenyama yakapfava izvo zvinowanzoitika uye zvinogona kuitika zvega kana nekushungurudzika kudiki. ( Hakim, 1993 ) Izvi zvinowanzokonzera kurwadziwa kwakanyanya kune majoini ari kumusoro uye pasi. Nehupamhi hwayo hwezviratidzo uye hunhu hwemamiriro acho pachawo, vazhinji havawanzo kuziva kuti hypermobility yakabatana inowanzoitika muhuwandu hwevanhu uye inogona kupa pasina matambudziko anoratidza kuti inobatanidza tishu kusagadzikana. ( Gensemer et al., 2021 ) Uyezve, hypermobile EDS inogona kutungamirira kukuremara kwemusana nekuda kwe hyperextensibility yeganda, majoini, uye fragility yakasiyana-siyana. Iyo pathophysiology yepinal deformity yakabatana ne hypermobile EDS inonyanya kukonzerwa nemhasuru hypotonia uye ligament laxity. ( Uehara et al., 2023 ) Izvi zvinokonzeresa kuti vanhu vazhinji vaderedze hupenyu hwavo uye mabasa ezuva nezuva zvakanyanya. Zvisinei, kune nzira dzekugadzirisa EDS uye zviratidzo zvayo zvinopindirana kuderedza kusagadzikana kwemajoini.
Movement Medicine: Chiropractic Care-Vhidhiyo
VIDEO
Nzira dzekutarisira EDS
Kana zvasvika pakutsvaga nzira dzekugadzirisa EDS kuderedza marwadzo uye kusagadzikana kwemajoini, kurapa kusina kuvhiyiwa kunogona kubatsira kugadzirisa mamiriro emuviri uye emanzwiro emamiriro acho. Kurapa kusiri-kuvhiya kwevanhu vane EDS kunowanzo tarisa pakugadzirisa kushanda kwemuviri uku uchivandudza simba retsandanyama uye kugadzikana kwemajoini. ( Buryk-Iggers et al., 2022 ) Vanhu vazhinji vane EDS vachaedza kubatanidza maitiro ekugadzirisa marwadzo uye kurapa kwepanyama uye shandisa mabhureki nemidziyo yekubatsira kuderedza mhedzisiro yeEDS uye kugadzirisa hupenyu hwavo.
Kurapa Kusina-kuvhiya KweEDS
Kurapa kwakasiyana-siyana kusiri kwekuvhiya senge MET (muscle simba nzira), electrotherapy, light physical therapy, chiropractic care, uye masaja. inogona kubatsira kusimbisa apo toning yakapoteredza tsandanyama kutenderedza majoini, kupa zororo rakakwana rekurwadziwa, uye kudzikisira kutsamira kwenguva refu pamishonga. ( Broida et al., 2021 ) Uyezve, vanhu vanobata neEDS vane chinangwa chekusimbisa tsandanyama dzakakanganisika, kudzikamisa majoini, nekuvandudza kugona. Mishonga isiri-yekuvhiya inobvumira munhu wacho kuti ave nechirongwa chekurapa chakagadzirirwa chekuoma kwezviratidzo zveEDS uye kubatsira kuderedza marwadzo ane chokuita nemamiriro acho ezvinhu. Vanhu vazhinji, pavanenge vachipfuura nehurongwa hwavo hwekurapa zvakateerana kuti vatarise EDS yavo uye kuderedza marwadzo-sezviratidzo, vanozoona kuvandudzwa kwechiratidzo chekusagadzikana. ( Khokhar et al., 2023 ) Izvi zvinoreva kuti kurapa kusina kuvhiyiwa kunobvumira vanhu kuti vanyatsofunga nezvemiviri yavo uye kuderedza marwadzo akafanana nemigumisiro yeEDS, nokudaro vachibvumira vanhu vakawanda vane EDS kuti vararame hupenyu hwakazara, hunofadza pasina kunzwa kurwadziwa uye kusagadzikana.
References
Broida, SE, Sweeney, AP, Gottschalk, MB, & Wagner, ER (2021). Kutungamirirwa kwekusagadzikana kwefudzi mu hypermobility-type Ehlers-Danlos syndrome. JSES Rev Rep Tech , 1 (3), 155-164. doi.org/10.1016/j.xrrt.2021.03.002
Buryk-Iggers, S., Mittal, N., Santa Mina, D., Adams, SC, Englesakis, M., Rachinsky, M., Lopez-Hernandez, L., Hussey, L., McGillis, L., McLean , L., Laflamme, C., Rozenberg, D., & Clarke, H. (2022). Kudzidzira uye Kugadzirisa muvanhu vane Ehlers-Danlos Syndrome: Ongororo Yakarongeka. Arch Rehabil Res Clin Transl , 4 (2), 100189. doi.org/10.1016/j.arrct.2022.100189
Gensemer, C., Burks, R., Kautz, S., Mutongi, DP, Lavallee, M., & Norris, RA (2021). Hypermobile Ehlers-Danlos syndromes: Complex phenotypes, kuongororwa kwakaoma, uye zvikonzero zvisinganzwisisike. Dev Dyn , 250 (3), 318-344. doi.org/10.1002/dvdy.220
Hakim, A. (1993). Hypermobile Ehlers-Danlos Syndrome. MuMP Adam, J. Feldman, GM Mirzaa, RA Pagon, SE Wallace, LJH Bean, KW Gripp, & A. Amemiya (Eds.), GeneReviews((R)) . www.ncbi.nlm.nih.gov/pubmed/20301456
Khokhar, D., Masimba, B., Yamani, M., & Edwards, MA (2023). Mabhenefiti eOsteopathic Manipulative Treatment pane Murwere Ane Ehlers-Danlos Syndrome. Cureus , 15 (5), e38698. doi.org/10.7759/cureus.38698
Miklovic, T., & Sieg, VC (2024). Ehlers-Danlos Syndrome. In StatPearls . www.ncbi.nlm.nih.gov/pubmed/31747221
Uehara, M., Takahashi, J., & Kosho, T. (2023). Spinal Deformity muEhlers-Danlos Syndrome: Tarisa paMusculocontractural Type. Genes (Basel) , 14 (6). doi.org/10.3390/genes14061173
Disclaimer
by Dr Alex Jimenez Pamuviri Utano , Spine Care
Kune vanhu vakaneta dzimwe nzira dzese dzekurapa dzekurwadziwa kwemusana uye nerve root compression, kuvhiyiwa kwelaser spine kunogona kubatsira kuderedza kudzvanywa kwetsinga uye kupa zororo rinogara kwenguva refu?
Laser Spine Surgery
Laser spine kuvhiyiwa ishoma invasive kuvhiya maitiro ayo anoshandisa laser kucheka nekubvisa masipinha zvimiro zviri kumanikidza tsinga uye kukonzera kurwadziwa kwakanyanya. Maitiro ekuita zvishoma anowanzo konzera kurwadziwa kushoma, kukuvara kwetishu, uye kupora nekukurumidza kupfuura kuvhiya kwakawanda.
Ainoita
Minimally invasive maitiro anokonzera kushoma mavanga uye kukuvadza kune zvivako zvakapoteredza, kazhinji kuderedza zviratidzo zvinorwadza uye nguva shoma yekudzorera. (Stern, J. 2009 ) Zvidiki zvidiki zvinogadzirwa kuti zviwane spinal column zvimiro. Nekuvhiyiwa kwakavhurika-musana, kuchekwa kukuru kunoitwa pasi kumashure kuti uwane musana. Kuvhiya kwacho kunosiyana nekumwe kuvhiya pakuti danda relaser, pane zvimwe zviridzwa zvekuvhiya, rinoshandiswa kucheka zvimiro mumusana. Zvisinei, kuchekwa kwekutanga kuburikidza neganda kunogadzirwa nekuvhiya scalpel. Laser ipfupiso yeChiedza Amplification Inokurudzirwa neEmission of Radiation. Laser inogona kuburitsa kupisa kwakanyanya kucheka nepakati zvinyoro zvinyoro, kunyanya izvo zvine mvura yakakwira, senge spinal column discs. (Stern, J. 2009 ) Kune akawanda ekuvhiyiwa kwemuzongoza, iyo laser haigone kushandiswa kucheka nepakati pebhonzo sezvo ichigadzira ipapo sparks zvinogona kukuvadza zvimiro zvakatenderedza. Asi, kuvhiyiwa kwelaser spine kunonyanya kushandiswa kuita discectomy, inova nzira yekuvhiya inobvisa chikamu chebulging kana herniated disc iyo iri kusundira kune yakatenderedza tsinga midzi, zvichikonzera kudzvinyirira kwetsinga uye sciatic kurwadziwa. (Stern, J. 2009 )
Kuvhiya Ngozi
Kuvhiyiwa kweLaser spine kunogona kubatsira kugadzirisa chikonzero chekumanikidzwa kwetsinga midzi, asi kune njodzi yakawedzera yekukuvadza kune zvivakwa zviri pedyo. Njodzi dzinobatanidzwa dzinosanganisira: (Brouwer, PA et al., 2015 )
Kurwara
Bleeding
Ropa rinovhara
Zviratidzo zvakasara
Kudzorera zviratidzo
Kuwedzera kukuvara kwetsinga
Kukuvadza kune membrane yakatenderedza musana.
Kuda kumwe kuvhiyiwa
Laser beam haina kurongeka semamwe maturusi ekuvhiya uye inoda kudzidzira kugona uye kudzora kudzivirira kukuvara kumusana uye nerve midzi. (Stern, J. 2009 ) Nemhaka yokuti lasers haigoni kugura nepakati pemapfupa, zvimwe midziyo yekuvhiya inowanzoshandiswa kumativi emakona uye pamakona akasiyana-siyana nokuti inoshanda zvakanyanya uye inobvumira kunyatsojeka. (Atlantic Brain uye Spine, 2022 )
chinangwa
Kuvhiyiwa kweLaser spine kunoitwa kubvisa zvimiro zviri kukonzera kutsinga kwetsinga. Nerve root compression inosanganiswa nemamiriro anotevera (Cleveland Clinic. 2018 )
Bulging discs
Herniated discs
Sciatica
Spinal stenosis
Musana tambo mamota
Midzi yetsinga yakakuvara kana kukuvadzwa uye inogara ichitumira zviratidzo zvinorwadza zvisingaperi zvinogona kubviswa nekuvhiyiwa kwelaser, kunozivikanwa se nerve ablation. Iyo laser inopisa uye inoparadza nerve fibers. (Stern, J. 2009 ) Nekuti kuvhiyiwa kwelaser spine kunogumira mukurapa kumwe kusagadzikana kwemusana, maitiro mazhinji emuzongoza asingashandisi laser. (Atlantic Brain uye Spine. 2022 )
Kugadzirira
Chikwata chekuvhiya chinopa mirairo yakadzama pamusoro pezvaunofanira kuita mumazuva nemaawa vasati vavhiyiwa. Kukurudzira kuporeswa kwakanaka uye kupora kwakanaka, zvinokurudzirwa kuti murwere arambe achishanda, adye chikafu chine hutano, uye arege kusvuta asati avhiyiwa. Vanhu vangada kurega kutora mimwe mishonga kudzivirira kubuda ropa kwakanyanya kana kusangana neanesthesia panguva yekuvhiya. Zivisai mutano wehutano nezvese zvinonyorerwa, over-the-counter zvinodhaka, uye zvekuwedzera zviri kutorwa.
Kuvhiyiwa kweLaser spine inzira yekunze kuchipatara kana nzvimbo yekuvhiya yekunze. Murwere angangoenda kumba pazuva rimwe chete rekuvhiyiwa. (Cleveland Clinic. 2018 ) Varwere havagoni kutyaira vachienda kana kuti kubva kuchipatara vasati vavhiyiwa kana kuti vapedza, saka rongai kuti mhuri kana shamwari dzivape chokufambisa. Kuderedza kushushikana uye kukoshesa hutano hwepfungwa uye hwepfungwa kwakakosha kudzikisa kuzvimba uye kubatsira kupora. Utano hwemurwere hunoenda mukuvhiyiwa, zviri nyore kupora uye kugadzirisa.
Zvatinotarisira
Kuvhiyiwa kuchasarudzwa nemurwere uye mupi wehutano uye kunorongwa kuchipatara kana kunze kwekuvhiya nzvimbo. Ronga kuti shamwari kana nhengo yemhuri ityaire kuenda kunovhiyiwa uye kumba.
Before Surgery
Murwere achaendeswa kukamuri yepamberi uye anokumbirwa kuti achinje gauni.
Murwere achaongororwa kwenguva pfupi mumuviri uye apindure mibvunzo nezve nhoroondo yekurapa.
Murwere anorara pamubhedha wemuchipatara, uye mukoti anoisa IV kuti aendese mishonga nemvura.
Boka rekuvhiya richashandisa mubhedha wechipatara kutakura murwere mukati nekubuda mukamuri yekuvhiya.
Chikwata chekuvhiya chichabatsira murwere kupinda patafura yekuvhiya, uye murwere achapihwa anesthesia.
Murwere anogona kugamuchira general anesthesia , izvo zvichaita kuti murwere arare kuvhiyiwa, kana regional anesthesia , kubaiwa muzongoza kuti riveveve nzvimbo yakabatwa. (Cleveland Clinic. 2018 )
Chikwata chekuvhiya chinozouraya ganda uko kuchaitwa.
Mushonga unouraya utachiona uchashandiswa kuuraya utachiona uye kudzivirira njodzi yeutachiona.
Kana wacheneswa, mutumbi unozofukidzwa nemachira ekudzivirira kuti nzvimbo yekuvhiyiwa igare yakachena.
Panguva Yokuvhiya
Kune discectomy, chiremba anovhiya achaita diki incision isingasviki masendimita imwe pakureba ine scalpel pamwe nemuzongoza kuti uwane nerve midzi.
Chishandiso chekuvhiya chinonzi endoscope ikhamera inopinzwa mukati meiyo yekuona musana. (Brouwer, PA et al., 2015 )
Kamwe dambudziko redhisiki chikamu chinokonzera compression iripo, iyo laser inoiswa kuti icheke nayo.
Iyo yakachekwa disc chikamu inobviswa, uye iyo incision saiti yakashongedzwa.
Mushure mekuvhiya
Mushure mekuvhiyiwa, murwere anounzwa kuimba yekudzikinura, uko zviratidzo zvakakosha zvinotariswa sezvo mhedzisiro yeanesthesia inopera.
Kana yagadzikana, murwere anogona kazhinji kuenda kumba kweawa imwe kana maviri mushure mekuvhiyiwa.
Chiremba anovhiya achasarudza kana munhu wacho akajeka kuti atangezve kutyaira.
kupora
Kutevera discectomy, munhu wacho anogona kudzokera kubasa mukati memazuva mashomanana kusvika kumavhiki mashomanana, zvichienderana nekuoma, asi zvinogona kutora kusvika kumwedzi mitatu kuti adzokere kumabasa emazuva ose. Kureba kwekupora kunogona kubva pamavhiki maviri kusvika mana kana pasi kuti utangezve basa rekugara kana mavhiki masere kusvika gumi nemaviri kune rimwe basa rinorema rinoda kusimudza zvinorema. (Yunivhesiti yeWisconsin Chikoro cheMishonga uye Hutano Hwevanhu, 2021 ) Mumavhiki maviri ekutanga, murwere anopihwa zvirambidzo kuitira kuti musana upore kusvika wanyatsogadzikana. Zvirambidzo zvinogona kusanganisira: (Yunivhesiti yeWisconsin Chikoro cheMishonga uye Hutano Hwevanhu, 2021 )
Hapana kukotama, kumonyorora, kana kusimudza.
Hapana kurovedza muviri kunonetesa, kusanganisira kurovedza muviri, basa repamba, basa repachivanze, uye bonde.
Hapana doro padanho rekutanga rekupora kana uchitora narcotic pain pain.
Hapana kutyaira kana kushandisa mota kusvika yakurukurwa nachiremba anovhiya.
Mutariri wehutano anogona kukurudzira physically therapy kuzorora, kusimbisa, uye kuchengetedza hutano hwemusculoskeletal. Kurapa kwepanyama kunogona kuva kaviri kana katatu pavhiki kwemavhiki mana kusvika matanhatu.
urongwa
Zvakanakira kudzoreredza kurudziro dzinosanganisira:
Kurara zvakakwana, maawa manomwe kusvika masere.
Kuchengeta mafungire akanaka uye kudzidza kubata uye kugadzirisa kushushikana.
Kuchengetedza hydration yemuviri.
Kutevera chirongwa chekurovedza muviri sekurairwa nemurapi wepanyama.
Kudzidzira hutano hwakanaka nekugara, kumira, kufamba, uye kurara.
Kugara uchishanda uye kudzikisira huwandu hwenguva yakashandiswa wakagara. Edza kusimuka uye kufamba maawa maviri kusvika kumaawa maviri masikati kuti ugare wakashanda uye kudzivirira kuvhara ropa. Zvishoma nezvishoma wedzera huwandu hwenguva kana chinhambwe sezvo kupora kunowedzera.
Usasundidzira kuita zvakawandisa nekukurumidza. Kuwedzera muviri kunogona kuwedzera marwadzo uye kunonoka kupora.
Kudzidza nzira dzekusimudza dzekushandisa mhasuru uye mhasuru dzemakumbo kudzivirira kuwedzera kumanikidza pamuzongoza.
Kurukurai nzira dzekurapa dzekutarisira zviratidzo nemupi wehutano kana nyanzvi kuti uone kana laser spine kuvhiya kwakakodzera. Injury Medical Chiropractic uye Functional Medicine Clinic zvirongwa zvekutarisira uye masevhisi ekiriniki ane hunyanzvi uye akatarisana nekukuvara uye kudzoreredza kwakazara maitiro. Dr. Jimenez akabatana nevarapi vepamusoro, nyanzvi dzekiriniki, vatsvakurudzi vezvokurapa, varapi, vadzidzisi, uye premiere rehabilitation providers. Isu tinotarisa kudzoreredza mabasa emuviri akajairwa mushure mekukuvadzwa uye kukuvara kwenyama yakapfava tichishandisa Specialized Chiropractic Protocols, Wellness Programs, Functional and integrative Nutrition, Agility and mobility Fitness Training, uye Rehabilitation Systems kwemazera ose. Nzvimbo dzedu dzekudzidzira dzinosanganisira Wellness & Nutrition, Chronic Pain, Personal Injury, Auto Accident Care, Basa Kukuvara, Back Injury, Low Back Pain, Neck Pain, Migraine Headaches, Sports Injuries, Severe Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Marwadzo, Kukuvara Kwakaoma, Stress Management, Functional Medicine Kurapa, uye in-scope care protocol.
Nzira Isiri Yekuvhiya
VIDEO
References
Stern, J. SpineLine. (2009). Lasers muSpine Surgery: Ongororo. Mafungiro Azvino, 17-23. www.spine.org/Portals/0/assets/downloads/KnowYourBack/LaserSurgery.pdf
Brouwer, PA, Brand, R., van den Akker-van Marle, ME, Jacobs, WC, Schenk, B., van den Berg-Huijsmans, AA, Koes, BW, van Buchem, MA, Arts, MP, & Peul , WC (2015). Percutaneous laser disc decompression inopesana neyakajairwa microdiscectomy mu sciatica: a randomized controlled trial. The spine magazine: yepamutemo magazini yeNorth American Spine Society, 15 (5), 857-865. doi.org/10.1016/j.spinee.2015.01.020
Atlantic Brain uye Spine. (2022). Chokwadi Nezve Laser Spine Surgery [2022 Update]. Atlantic Brain uye Spine Blog. www.brainspinesurgery.com/blog/the-truth-about-laser-spine-surgery-2022-update?rq=Laser%20Spine%20Surgery
Cleveland Clinic. (2018). Ko Laser Spine Surgery Inogona Kugadzirisa Kurwadza Kwako Kwekumashure? health.clevelandclinic.org/can-laser-spine-surgery-fix-your-back-pain/
Yunivhesiti yeWisconsin Chikoro cheMishonga uye Hutano Hwevanhu. (2021). Mirayiridzo Yekuchengeta Mumba mushure meLumbar Laminectomy, Decompression kana Discectomy Surgery. patient.uwhealth.org/healthfacts/4466
by Dr Alex Jimenez Chiropractic Examination , Pamuviri Utano
Kune vanhu vari kutarisana nemarwadzo ekudzokera shure uye matambudziko, kuziva nzira yekuvandudza nekuchengetedza intervertebral disc hutano hunobatsira kuderedza zviratidzo here?
Intervertebral Disc Utano
Mutsipa wemusana une 24 mapfupa anofambiswa uye 33 mapfupa anonzi vertebrae. Iwo vertebral mapfupa akaturikidzana pamusoro peumwe neumwe. Iyo intervertebral disc ndiyo inomisa zvinhu pakati pemapfupa ari pedyo. (Dartmouth. 2008 )
mapfupa
Mabhonzo emusana madiki uye akatenderera munzvimbo inonzi vertebral body. Kumashure kune mhete yebhoni kubva kune iyo protrusions inowedzera uye arches uye nzira dzinoumbwa. Chimiro chega chega chine chinangwa chimwe kana kupfuura uye chinosanganisira: (Waxenbaum JA, Reddy V, Williams C, et al., 2023 )
Kudzikamisa musana.
Kupa nzvimbo yekubatanidza tishu uye kumashure mamhasuru kuti abatanidze.
Kupa mugero wokuti musana womuzongoza upfuure nokwakachena.
Kupa nzvimbo iyo tsinga dzinobuda uye dzinobuda kunze kunzvimbo dzese dzemuviri.
mamiriro
Iyo intervertebral disc ndiyo cushioning inogara pakati pe vertebrae. Dhizaini yemuzongoza inoibvumira kufamba munzira dzakasiyana siyana:
Flexion kana kukotama
Kuwedzera kana arching
Kurereka uye kutenderera kana kumonyorora.
Masimba ane simba anoshanda uye anofurira musana wekona kuti ubudise mafambiro aya. Iyo intervertebral disc inobata kuvhunduka panguva yekufamba uye inodzivirira vertebrae uye musana kubva mukukuvara uye / kana kukuvadzwa.
Kunze, matishu akasimba akarukwa efiber anoita nzvimbo inonzi annulus fibrosis. Iyo annulus fibrosis ine uye inodzivirira iyo yakapfava gel chinhu chiri pakati, iyo nucleus pulposus. (YS Nosikova et al., 2012 ) Iyo nucleus pulposis inopa kuvhunduka, kushanduka, uye kutendeseka, kunyanya pasi pekumanikidzwa panguva yekufamba kwepelinha.
hurongwa
Iyo nucleus pulposus chinhu chakapfava gel chiri pakati pe disc chinobvumira elasticity uye kuchinjika pasi pesimba rekushushikana kuti ritore kudzvanywa. (Nedresky D, Reddy V, Singh G. 2024 ) The swivel action inoshandura kurereka uye kutenderera kwe vertebra kumusoro nepasi, kuvharidzira mhedzisiro yekufamba kwemusana. Madhisiki anotenderera achipindura kune iyo musana inofamba. Iyo nucleus pulposus inogadzirwa zvakanyanya nemvura, iyo inofamba ichipinda nekubuda kuburikidza nediki pores, ichiita senge nzira pakati pe vertebra uye disc bone. Nzvimbo dzemuviri dzinotakura musana, sekugara uye kumira, kusundira mvura kunze kwe diski. Kurara pasi pamusana kana panzvimbo yepamusoro kunofambisa kudzorerwa kwemvura mu disc. Sezvo muviri uchikura, madhisiki anorasikirwa nemvura /kushaya mvura mumuviri , zvichiita kuti disc degeneration. Iyo intervertebral disc haina ropa rekupa, izvo zvinoreva kuti kuti diski igamuchire chikafu chinodiwa uye nekubvisa tsvina, inofanirwa kuvimba nekutenderera kwemvura kuti igare ine hutano.
Care
Dzimwe nzira dzekuchengetedza intervertebral disc hutano dzinosanganisira:
Kuteerera kune chimiro.
Kuchinja nzvimbo kazhinji zuva rose.
Kuita maekisesaizi uye kufamba-famba.
Kushandisa mechanics emuviri chaiwo kune zviitiko zvemuviri.
Kurara pametiresi inotsigira.
Kunwa mvura yakawanda.
Kudya zvine hutano.
Kuchengeta huremu hune hutano.
Kunwa doro zvine mwero.
Kurega kusvuta.
PaInjury Medical Chiropractic uye Functional Medicine Clinic, tinobata kukuvara uye kusingaperi kurwadziwa syndromes nekuvandudza kugona kwemunhu kuburikidza nekuchinjika, kufamba, uye agility zvirongwa zvakagadzirirwa mapoka ese ezera nekuremara. Chikwata chedu chechiropractic, zvirongwa zvekuchengeta, uye masevhisi ekiriniki ane hunyanzvi uye akatarisana nekukuvara uye kudzoreredza kwakazara maitiro. Nzvimbo dzedu dzekudzidzira dzinosanganisira Wellness & Nutrition, Acupuncture, Chronic Pain, Kukuvadza Kwemunhu, Auto Accident Care, Kukuvara Kwebasa, Kukuvara Kwemusana, Kurwadziwa Kwepashure, Marwadzo Emutsipa, Migraine Headaches, Kukuvara Kwemitambo, Severe Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia. , Kurwara Kusingaperi, Kukuvara Kwakaoma, Stress Management, Functional Medicine Kurapa, uye in-scope care protocols. Kana kumwe kurapwa kuchidiwa, vanhu vanozoendeswa kukiriniki kana chiremba anonyatsokodzera kukuvara kwavo, mamiriro, uye / kana hurwere.
Kupfuura Panyika: Kunzwisisa Migumisiro Yekukuvara Kwemunhu
VIDEO
References
Dartmouth Ronan O'Rahilly, MD. (2008). Basic Human Anatomy. Chitsauko 39: The vertebral column. MuD. Rand Swenson, MD, PhD (Mupepeti.), BASIC HUMAN ANATOMY Chidzidzo cheDunhu cheChimiro Chevanhu. WB Saunders. humananatomy.host.dartmouth.edu/BHA/public_html/part_7/chapter_39.html
Waxenbaum, JA, Reddy, V., Williams, C., & Futterman, B. (2024). Anatomy, Back, Lumbar Vertebrae. MuStatPearls. www.ncbi.nlm.nih.gov/pubmed/29083618
Nosikova, YS, Santerre, JP, Grynpas, M., Gibson, G., & Kandel, RA (2012). Hunhu hwe annulus fibrosus-vertebral body interface: kuzivikanwa kwezvinhu zvitsva zvemaitiro. Nyaya yeanatomy, 221 (6), 577-589. doi.org/10.1111/j.1469-7580.2012.01537.x
Nedresky D, Reddy V, Singh G. (2024). Anatomy, Kumashure, Nucleus Pulposus. MuStatPearls. www.ncbi.nlm.nih.gov/pubmed/30570994
by Dr Alex Jimenez Chiropractic , chisingaperi Pain , Kufamba & Kuchinja , Pamuviri Utano , Spine Care , Mishonga , Viscerosomatic Reflex
Vanhu vane majoini hypermobility vanogona kuwana zororo kuburikidza nekusavhiya kurapwa mukuderedza marwadzo uye kudzoreredza kufamba kwemuviri?
ziviso
Kana munhu afambisa muviri wake, mhasuru dzakapoteredzwa, majoini, uye tsinga zvinosanganisirwa mumabasa akasiyana-siyana anovabvumira kutambanudza uye kuchinjika pasina kurwadziwa kana kusagadzikana. Kudzokororwa kwakawanda kunoita kuti munhu wacho aenderere mberi nemuitiro wake. Zvisinei, apo majoini, tsandanyama, uye marunda zvakatambanudzwa kure kupfuura zvinojairika mukumusoro nezasi migumo pasina marwadzo, inozivikanwa sejoint hypermobility. Ichi chinosanganisa matishu chirwere chinogona kuenderana nezvimwe zviratidzo zvinobata muviri uye kuita kuti vanhu vazhinji vatsvage kurapwa kuti vatarise majoini hypermobility zviratidzo. Muchinyorwa chanhasi, tichatarisa majoini hypermobility uye kuti dzakasiyana-siyana dzisiri dzekuvhiya kurapwa dzinogona kubatsira kuderedza marwadzo anokonzerwa nekubatana hypermobility uye kudzorera kufamba kwemuviri. Isu tinotaura nevarapi vane hunyanzvi vanosimbisa ruzivo rwevarwere vedu kuti vaone kuti kurwadziwa kwavo kungave kwakabatana sei nekubatana hypermobility. Isu tinozivisawo uye kutungamira varwere kuti kubatanidza kurapa kwakasiyana-siyana kusiri kwekuvhiya kunogona kubatsira sei kuvandudza basa rekubatana uku uchibata zviratidzo zvinosanganisirwa. Tinokurudzira varwere vedu kubvunza avo vanobatana navo vezvokurapa mibvunzo yakaoma uye ine njere pamusoro pekubatanidza kurapa kusiri kwekuvhiya sechikamu chemaitiro avo ekuderedza marwadzo uye kusagadzikana kubva mukubatana hypermobility. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer .
Chii chinonzi Joint Hypermobility?
Unowanzonzwa majoini ako akavharirwa mumaoko ako, mawoko, mabvi, nemagokora here? Unonzwa kurwadziwa uye kuneta mumajoini ako kana muviri wako uchinzwa wakaneta nguva dzose? Kana kuti paunotambanudza mativi ako, anotambanudzira kure kupfuura nguva dzose kuti unzwe kurerukirwa here? Mazhinji eaya akasiyana mamiriro anowanzo kuenderana nevanhu vane majoini hypermobility. Joint hypermobility idambudziko rakagarwa nhaka rine autosomal dominant mapatani anoratidza kubatana hyperlaxity uye musculoskeletal kurwadziwa mukati memigumo yemuviri. ( Carbonell-Bobadilla et al., 2020 ) Iyi inobatanidza matishu mamiriro inowanzoenderana nekuchinjika kweakabatana matissue senge ligaments uye tendon mumuviri. Muenzaniso ungave kana chigunwe chemunhu chichibata ruoko rwavo rwemukati pasina kunzwa kurwadziwa kana kusagadzikana, vane majoini hypermobility. Pamusoro pezvo, vanhu vazhinji vanobata nejoint hypermobility vanowanzova nechirwere chakaoma sezvo vachizokura ganda uye ganda kusasimba nekufamba kwenguva, zvichikonzera matambudziko emusculoskeletal. ( Tofts et al., 2023 )
Kana vanhu vachibata nekubatana hypermobility nekufamba kwenguva, vazhinji vanowanzova nechiratidzo chekubatana hypermobility. Ivo vanozopa ne musculoskeletal uye systemic zviratidzo zvinotungamira mukuratidza skeletal deformities, matishu uye ganda fragility, uye misiyano yezvimiro muhurongwa hwemuviri. ( Nicholson et al., 2022 ) Zvimwe zvezviratidzo zvekuti joint hypermobility inoratidzwa mukuongororwa zvinosanganisira:
Kurwadziwa kwetsandanyama uye kuoma kwemajoini Kudzvanya majoini Kuneta Digestive issues Balance nyaya
Sezvineiwo, kune akasiyana marapirwo anogona kushandiswa nevanhu vazhinji kubatsira kudzoreredza mhasuru dzakatenderedza dzakatenderedza majoini uye kuderedza zviratidzo zvinokonzeresa zvinokonzerwa nekubatana hypermobility.
Movement SeMushonga-Vhidhiyo
VIDEO
Nonsurgical Treatments For Joint Hypermobility
Paunenge uchibata nejoint hypermobility, vanhu vazhinji vanofanirwa kutsvaga marapirwo ekudzikisa marwadzo anowirirana-senge zviratidzo zvejoint hypermobility uye kubatsira kurerutsa migumo yemuviri uchidzoreredza kufamba. Mimwe marapirwo akanakisa epajoint hypermobility kurapa kusiri kwekuvhiya kusingapindike, kupfava pamajoini nemamhasuru, uye kusingadhuri. Kurapa kwakasiyana-siyana kusiri kwekuvhiya kunogona kurongedzerwa kumunhu zvichienderana nekuoma kwekubatana kwavo hypermobility uye comorbidities zvinokanganisa muviri wemunhu. Mishonga isiri-yekuvhiya inogona kusunungura muviri kubva pajojo hypermobility nekurapa zvikonzero zvekurwadziwa kuburikidza nekuderedza uye kuwedzera kugona kwekushanda uye kudzorera hupenyu hwemunhu. ( Atwell et al., 2021 ) Mishonga mitatu isiri yekuvhiya iyo yakanakisa yekudzikisa marwadzo kubva mukubatana hypermobility uye kubatsira kusimbisa mhasuru dzakatenderedza dziri pazasi.
Chiropractic Care
Chiropractic kuchengetedza inoshandisa spinal manipulation uye inobatsira kudzoreredza kufamba kwakabatana mumuviri kuderedza mhedzisiro yekubatana hypermobility nekudzikamisa majoini akabatwa kubva kune hypermobile extremities. ( Boudreau et al., 2020 ) Chiropractors inosanganisira mechanical uye manual manipulation uye maitiro akasiyana-siyana ekubatsira vanhu vakawanda kuvandudza mararamiro avo nekunyanya kufunga nezvemiviri yavo uye kushanda nemamwe marapirwo akawanda kusimbisa kufamba kunodzorwa. Nezvimwe zvirwere zvinosanganiswa nekubatana kwe hypermobility, sekurwadziwa kwemusana nemutsipa, chiropractic kuchengetedza inogona kuderedza zviratidzo izvi uye inobvumira munhu kuti awanezve hupenyu hwake.
Acupuncture
Kumwe kurapwa kusiri kwekuvhiya uko vanhu vazhinji vanogona kubatanidza kuderedza majoini hypermobility uye comorbidities ayo ndeye acupuncture. Acupuncture inoshandisa tsono diki, dzakatetepa, dzakasimba dzinoshandiswa nemaacupuncturists kuvharira marwadzo uye kudzoreredza kuyerera kwesimba remuviri. Kana vanhu vazhinji vari kubata nekubatana hypermobility, migumo yavo mumakumbo, maoko, uye tsoka dziri kurwadziwa nekufamba kwenguva, izvo zvinogona kukonzera kuti muviri ugadzikane. Chii chinoita acupuncture inobatsira kuderedza marwadzo anokonzerwa nekubatana hypermobility yakabatana nemigumo uye kudzorera kuenzanisa nekushanda kumuviri ( Luan et al., 2023 ) Izvi zvinoreva kuti kana munhu ari kubata nekuoma uye kurwadziwa kwetsandanyama kubva kujoint hypermobility, acupuncture inogona kubatsira kudzoreredza marwadzo nekuisa tsono mumaacupoints emuviri kuti ipe zororo.
Therapy Therapy
Physical therapy ndiyo yekupedzisira isiri-kuvhiya kurapwa vanhu vazhinji vanogona kubatanidza mumaitiro avo ezuva nezuva. Kurapa kwepanyama kunogona kubatsira kubata hypermobility yakabatana iyo yakagadzirirwa kubatsira kusimbisa mhasuru dzisina simba dzakatenderedza majoini akakanganisika, kuvandudza kugadzikana kwemunhu uye kubatsira kuderedza njodzi yekuparara. Pamusoro pezvo, vanhu vazhinji vanogona kushandisa yakaderera-inokanganisa maekisesaizi kuti vave nechokwadi chekudzora mota kana uchiita maekisesaizi enguva dzose pasina kuisa kuomesera kwakanyanyisa pamajoini. ( Russell et al., 2022 )
Nekubatanidza aya matatu ekurapa asiri ekuvhiya sechikamu cheakarongedzerwa kurapwa kwemajoini hypermobility, vanhu vazhinji vanozotanga kunzwa mutsauko pachiyero chavo. Havazonzwa kurwadziwa kwemajoini nekunyanya kurangarira muviri uye nekubatanidza shanduko diki mumaitiro avo. Kunyangwe kugara nekubatana kwe hypermobility kunogona kuve dambudziko kune vanhu vazhinji, nekubatanidza uye nekushandisa musanganiswa wakakodzera weasina-kuvhiya marapirwo, vazhinji vanogona kutanga kurarama hupenyu hunoshanda uye hunogutsa.
References
Atwell, K., Michael, W., Dubey, J., James, S., Martonffy, A., Anderson, S., Rudin, N., & Schrager, S. (2021). Kuongororwa uye Kutungamira kweHypermobility Spectrum Disorders muPrimary Care. J Ndiri Bhodhi Fam Med , 34 (4), 838-848. doi.org/10.3122/jabfm.2021.04.200374
Boudreau, PA, Steiman, I., & Mior, S. (2020). Clinical manejimendi yebenign joint hypermobility syndrome: nyaya inoteedzana. J Can Chiropr Assoc , 64 (1), 43-54. www.ncbi.nlm.nih.gov/pubmed/32476667
www.ncbi.nlm.nih.gov/pmc/articles/PMC7250515/pdf/jcca-64-43.pdf
Carbonell-Bobadilla, N., Rodriguez-Alvarez, AA, Rojas-Garcia, G., Barragan-Garfias, JA, Orrantia-Vertiz, M., & Rodriguez-Romo, R. (2020). [Joint hypermobility syndrome]. Acta Ortop Mex , 34 (6), 441-449. www.ncbi.nlm.nih.gov/pubmed/34020527 (Sindrome de hipermovilidad articular.)
Luan, L., Zhu, M., Adams, R., Witchalls, J., Pranata, A., & Han, J. (2023). Mhedzisiro yeacupuncture kana yakafanana needling therapy pakurwadziwa, proprioception, kuenzanisa, uye kuzvishuvira basa kune vanhu vane chisingaperi chikwama kusagadzikana: Kuongororwa kwakarongeka uye meta-analysis. Mubatsiri Ther Med , 77 , 102983. doi.org/10.1016/j.ctim.2023.102983
Nicholson, LL, Simmonds, J., Pacey, V., De Wandele, I., Rombaut, L., Williams, CM, & Chan, C. (2022). Maonero epasi rose pane Joint Hypermobility: A Synthesis Yezvino Sayenzi Kutungamira Clinical uye Tsvagiridzo Mazano. J Clin Rheumatol , 28 (6), 314-320. doi.org/10.1097/RHU.0000000000001864
Russek, LN, Block, NP, Byrne, E., Chalela, S., Chan, C., Comerford, M., Frost, N., Hennessey, S., McCarthy, A., Nicholson, LL, Parry, J ., Simmonds, J., Stott, PJ, Thomas, L., Treleaven, J., Wagner, W., & Hakim, A. (2022). Mharidzo uye kurapa kwepanyama kutungamira kwepamusoro cervical kusagadzikana kune varwere vane symptomatic generalized joint hypermobility: International nyanzvi kubvumirana mazano. Mberi Med (Lausanne) , 9 , 1072764. doi.org/10.3389/fmed.2022.1072764
Tofts, LJ, Simmonds, J., Schwartz, SB, Richheimer, RM, O'Connor, C., Elias, E., Engelbert, R., Cleary, K., Tinkle, BT, Kline, AD, Hakim, AJ , van Rossum, MAJ, & Pacey, V. (2023). Pediatric joint hypermobility: a diagnostic framework uye nhoroondo yekuongorora. Orphanet J Rare Dis , 18 (1), 104. doi.org/10.1186/s13023-023-02717-2
Disclaimer
by Dr Alex Jimenez Pamuviri Utano , Spine Care
Kune vanhu vanotarisa kuvandudza hutano hwavo hwemusana, kunzwisisa anatomy ye intervertebral foramen kubatsira mukugadzirisa kukuvara nekudzivirira?
Intervertebral Foramen
Iyo intervertebral foramen, aka neural foramen, ndiyo inovhura pakati pe vertebrae iyo iyo musana wetsinga midzi inobatanidza nekubuda kune dzimwe nzvimbo dzemuviri. Kana iyo foramina ikatetepa, inogona kuisa yakawedzera kudzvanywa patsinga midzi padyo uye yakatenderedza, zvichikonzera marwadzo zviratidzo uye sensations. Izvi zvinonzi neuroforaminal stenosis. (Sumihisa Orita et al., 2016 )
Anatomy
The vertebrae inoumba musana.
Vanodzivirira uye vanotsigira musana uye huremu huzhinji hunoiswa pamusana.
Foramen ndiyo imwe fomu, uye foramina ndiyo yakawanda fomu.
mamiriro
Muviri ndicho chikamu chikuru, chakatenderera chebhonzo chinoumba vertebra yega yega.
Mutumbi we vertebra imwe neimwe inosungirirwa kune mhete yebhoni.
Sezvo vertebrae yakaturikidzana, mhete inogadzira chubhu inopfuura nemuzongoza. (American Academy yeOrthopedic Surgeons 2020 )
Iyo intervertebral foramen kuvhura iri pakati pema vertebrae maviri, uko tsinga midzi inobuda musana.
Maviri neural foramina aripo pakati peviri yega yega vertebrae, neimwe kune rumwe rutivi.
Midzi yetsinga inofamba neforomeni ichienda kumuviri wese.
basa
Iyo intervertebral foramina inobuda kubva kune iyo tsinga midzi inosiya musana uye inobata kunze kune yese yemuviri.
Pasina iyo foramen, masaini etsinga haakwanise kutumira kune uye kubva kuuropi kuenda kumuviri.
Pasina zviratidzo zvetsinga, muviri haugone kushanda nemazvo.
Conditions
Mamiriro akajairika anogona kukanganisa neuroforamina is spinal stenosis. Stenosis zvinoreva kuderedza.
Spinal stenosis ndeye (kwete nguva dzose) kazhinji chirwere chinokonzerwa nezera chinosanganiswa neArthritis. (American Academy yeOrthopedic Surgeons, 2021 )
Stenosis inogona kuitika mumugero wemusana, unozivikanwa sepakati canal stenosis, uye foramina.
Marwadzo akaunzwa neuroforaminal spinal stenosis uye arthritis-inoenderana nebhonzo kukura / bone spurs / osteophytes iripo mune imwe kana akawanda foramen inokwiza kurwisa tsinga midzi inopfuura nepanzvimbo, ichikonzera kurwadziwa kwakanyanya.
Marwadzo anoperekedzwa nemamwe manzwiro, senge kurira kana kupera simba, inozivikanwa se radiculopathy. (Mudiki Kook Choi, 2019 )
Chiratidzo chikuru kurwadziwa.
Chiveve uye/kana kurira kunogona kuuya zvichienderana nekukuvara.
Neurogenic claudication inoitika semugumisiro weischemia kana kushaikwa kwekutenderera kweropa kune tsinga uye kazhinji inopa kurema mumakumbo.
Inowanzobatanidzwa nechepakati stenosis pane foraminal stenosis.
Vanhu vazhinji vane spinal stenosis vanonzwa zviri nani kana vachichinjika kana kukotama kumberi uye zvakanyanya kana vachikwenya misana yavo.
Zvimwe zviratidzo zvinosanganisira utera uye/kana kunetseka kufamba . (Seung Yeop Lee et al., 2015 )
mabatiro
Kurapa kwestenosis kune chinangwa chekudzikisa marwadzo uye kudzivirira zviratidzo zvetsinga kuti zvisaitike kana kuwedzera. Mishonga yeConservative inokurudzirwa uye inogona kushanda zvakanyanya.
Physical therapy
Acupuncture uye Electroacupuncture
Chiropractic
Non-surgery decompression
Kurapa kurapa
Nonsteroidal anti-inflammatory drugs/NSAIDs
Targeted Exercises uye kutambanudza
Cortisone jekiseni. (American Academy yeOrthopedic Surgeons, 2021 )
Kuvhiya kazhinji hakudiwi.
Nekudaro, chiremba anogona kukurudzira kuvhiyiwa kune munhu ari kusangana:
Nzira dzekuvhiya dzakasiyana dzinosanganisira:
Decompression laminectomy - kunosanganisira kubvisa kuvakwa kwebhonzo mumugero wemusana.
Spinal fusion - kana pane kusagadzikana kwemusana kana kuti yakaoma foraminal stenosis.
Nekudaro, kazhinji zviitiko hazvidi fusion. (American Academy yeOrthopedic Surgeons, 2021 )
Midzi Inokonzera Spinal Stenosis
VIDEO
References
Orita, S., Inage, K., Eguchi, Y., Kubota, G., Aoki, Y., Nakamura, J., Matsuura, Y., Furuya, T., Koda, M., & Ohtori, S. (2016). Lumbar foraminal stenosis, iyo yakavanzika stenosis inosanganisira paL5/S1. European Journal of Orthopedic Surgery & Traumatology: orthopedie traumatologie, 26 (7), 685-693. doi.org/10.1007/s00590-016-1806-7
American Academy yeOrthopedic Surgeons. (2020). Spine Basics (OrthoInfo, Nyaya. orthoinfo.aaos.org/en/diseases-conditions/spine-basics/
American Academy yeOrthopedic Surgeons. (2021). Lumbar spinal stenosis (OrthoInfo, Nyaya. orthoinfo.aaos.org/en/diseases-conditions/lumbar-spinal-stenosis/
Choi YK (2019). Lumbar foraminal neuropathy: inogadziridza pane isiri-yekuvhiya manejimendi. Magazini yeKorea yemarwadzo, 32 (3), 147-159. doi.org/10.3344/kjp.2019.32.3.147
Lee, SY, Kim, TH, Oh, JK, Lee, SJ, & Park, MS (2015). Lumbar Stenosis: A Recent Update by Ongororo yeMabhuku. Magazini yeAsia spine, 9 (5), 818-828. doi.org/10.4184/asj.2015.9.5.818
Lurie, J., & Tomkins-Lane, C. (2016). Kutungamirirwa kwe lumbar spinal stenosis. BMJ (Clinical research ed.), 352, h6234. doi.org/10.1136/bmj.h6234
Cleveland Clinic. (2021). Myelopathy (Health Library, Nyaya. my.clevelandclinic.org/health/diseases/21966-myelopathy
by Dr Alex Jimenez Chiropractic , chisingaperi Pain , Spinal Decompression Treatments , Pamuviri Utano , Spine Care , Mishonga , Viscerosomatic Reflex
Vanhu vanoshanda vari kubata ne degenerative pain syndrome vanogona kubatanidza decompression kuti vape zororo remuviri uye kufamba?
ziviso
Sechikamu chemusculoskeletal system, musana unobvumira muviri kumira wakatwasuka uye unobatsira kudzivirira musana kubva mukukuvara. Sezvo iyo yepakati tsinga sisitimu ichipa neuron masaini kubva kuhuropi kuenda kumidzi yetsinga, muviri wemunhu unogona kufambisa pasina kurwadziwa kana kusagadzikana. Izvi zvinokonzerwa nemusana wepinal discs pakati pezvikamu zvezvikamu, izvo zvinogona kuomeswa, kutora vertical axial pressure, uye kubatsira kugovera uremu kuzasi uye kumusoro kwepamusoro. Nekudaro, sekuziva kunoita vanhu vazhinji, kudzokorora mafambiro uye kupfeka uye kubvarura pamitsipa inogona kutungamira kune yakawandisa njodzi profiles izvo zvinogona kuita kuti spinal disc iderere uye kukumbira marwadzo musculoskeletal system. Kusvika ipapo, zvinogona kuita kuti munhu wacho ave mukurwadziwa kwakanyanya uye kusagadzikana nekufamba kwenguva. Chinyorwa chanhasi chinotarisa kuti degenerative pain syndrome inokanganisa sei musana, zviratidzo zvayakabatana nazvo, uye kuti decompression inogona sei kuderedza degenerative pain syndrome. Isu tinotaura nevarapi vane hunyanzvi vanobatanidza ruzivo rwevarwere vedu kuti vape marapirwo akawanda ekubvisa degenerative pain syndrome iri kukonzera mafambiro kumusana. Isu tinozivisawo uye kutungamira varwere kuti decompression inogona kubatsira sei kuderedza marwadzo-sezviratidzo zvinoenderana ne degenerative pain syndrome. Tinokurudzira varwere vedu kuti vabvunze avo vanobatana navo vezvokurapa mibvunzo yakaoma uye yakakosha pamusoro pemarwadzo anotaurwa-sezviratidzo zvavari kusangana nazvo kubva mukurwadziwa kunopera kuri kukanganisa hupenyu hwavo. Dr. Jimenez, DC, anobatanidza ruzivo urwu sebasa rezvidzidzo. Disclaimer .
Degenerative Pain Syndrome PaMuzongoza
Iwe unonzwa tsandanyama aches kana kurwadziwa kumashure kwako mushure menguva yakareba yekurara pasi, kugara, kana kumira? Iwe unonzwa kurwadziwa nguva dzose mushure mekutakura chinhu chinorema kubva kune imwe nzvimbo kuenda kune imwe? Kana kuti kumonya kana kushandura torso yako kunopa zororo renguva pfupi? Vanhu vazhinji havawanzo kuziva kuti mazhinji eaya matambudziko-akaita senge akabatana ne degenerative pain syndrome inokanganisa musana. Sezvo muviri uchikwegura zvakasununguka, musana unoitawo kuburikidza nekuderera. Apo madhisiki emusana anotanga kupera, anogona kukonzera vertical axial pressure kuti iite flat uye kusvina disc, ichikanganisa kukwanisa kwayo kuchengetedza hydrated uye ichiita kuti ibude kunze kwenzvimbo yayo yepakutanga. Panguva imwecheteyo, kureba kwespinal disc kuchadonha zvishoma nezvishoma, uye mhedzisiro ndeyekuchinja kwemasimba muzvikamu zvakakanganiswa musana. ( Kos et al., 2019 ) Kuora kunogona kudzika kusvika kumarunda akapoteredzwa, mhasuru, uye majoini apo kupera kunotanga kukanganisa musana.
Zviratidzo Zvinosangana Nekuparara Kwemarwadzo
Kana majoini akapoteredzwa, tsandanyama, uye ligaments zvinokanganiswa ne degenerative disc kurwadziwa, zvinogona kuve nekuda kwezvikonzero zvakawanda zvinopa kumarwadzo-sezviratidzo. Kuzvimba ndechimwe chezviratidzo zvinosanganiswa nechirwere chekurwadziwa, sezvo kuvhiringidzika kunogona kukanganisa rhythm ye circadian uye kuvhiringidza homeostasis, iyo inobva yaita kuti kuwedzere kudzvinyirira pamusana wepinal disc, iyo inobva yaita kuti iparadze maitiro. ( Chao-Yang et al., 2021 ) Kuzvimba kunogona kuita kuti mhasuru dzakakanganiswa dzipiswe uye kukonzera kuwanda kwehuwandu hwenjodzi, sezvo inogona kukanganisa kumusoro uye kuzasi. Pamusoro pezvo, kurodha kwemagetsi kunogona kukanganisa disc degeneration munzira dzakasiyana siyana pamazinga akasiyana vertebral. ( Salo et al., 2022 ) Izvi zvinogona kutungamirira kumarwadzo akafanana nezviratidzo se:
Ruoko negumbo hunyoro Mutsipa kurwadziwa Kurasikirwa kwemabasa ekunzwa pamusoro pepamusoro uye pasi Tingling nezvekufadza Uturu hunorwadza
Zvisinei, marapirwo akawanda anogona kubatsira kudzoreredza kufamba kwemusana uye kuderedza marwadzo ekurwadziwa kwechirwere chemusana.
Nzira Isiri Yekuvhiya Kuhutano- Vhidhiyo
VIDEO
Kana zvasvika pakutsvaga kurapwa kwedegenerative pain syndrome, vanhu vazhinji vanozoita tsvagiridzo yekuti ndeupi kurapwa kunokwanisika pakurwadziwa kwavo, saka nei vanhu vazhinji vachisarudza kurapwa kusiri kwekuvhiya kuti vaderedze marwadzo avo. Mishonga isiri-yekuvhiya inogadziriswa kumarwadzo emunhu. Vanogona kubatsira kutanga rwendo rwehutano hwemunhu, izvo zvinogona kusanganisira musanganiswa wekuita maekisesaizi, kurapa kwemaoko, uye kugadzirisa mararamiro. ( Brogger et al., 2018 ) Vhidhiyo iri pamusoro inoratidza kuti nzira isina kuvhiyiwa inogona kubatsira sei munhu ane chirwere chekurwadziwa chinokanganisa musana wavo.
Decompression Kuderedza Degenerative Pain Syndrome
Nemishonga yakawanda iripo yekuderedza marwadzo-sezviratidzo zvinokanganisa musana, kurapa kusina kuvhiyiwa kunogona kuva sarudzo. Kubva kuchiropractic kuchengetedza kusvika kuacupuncture, kurapa kusiri kwekuvhiya kunogona kusanganiswa kuderedza marwadzo-semhedzisiro. Decompression, sechikamu chesarudzo dzisiri dzekuvhiya, inzira yakanaka yekudzikisa marwadzo ekuderera mumusana. Decompression inobvumira musana wemuzongoza kuti udhonzwe zvinyoro nyoro nemushini wekudhonza kuti usunungure spinal disc. Kana muchina wekukweva uchinge waora musana, marwadzo akanyanya kuderedzwa munhengo dzese dzemuviri. ( Ljunggren et al., 1984 ) Izvi zvinokonzerwa nekudzvinyirirwa kwakashata kudzorerwa kumashure kumusana kuti uwedzere dhisiki kureba uye kudzorera mishonga zvakare kune yakakanganiswa disc uye idzorere zvakare. ( Choi et al., 2022 ) Apo vanhu vanotanga kuisa decompression kuburikidza nekurapa kwakatevedzana, kurwadziwa kwavo kwakanyanya kunoderedzwa, uye musana wavo unofambisa zvakare pavanenge vachideredza kuderera kwemaitiro pamusana. Izvi zvinovabvumira kutarisira zvirinani miviri yavo nekuita shanduko diki muhutano hwavo uye hutano.
References
Brogger, HA, Maribo, T., Christensen, R., & Schiottz-Christensen, B. (2018). Kuenzanisa kubudirira uye zvikonzero zvekupedzisira zvekuvhiya uye kwete-kuvhiya manejimendi ye lumbar spinal stenosis muhuwandu hwevanhu vakwegura: protocol yekuongorora kuongorora. BMJ Open , 8 (12), e024949. doi.org/10.1136/bmjopen-2018-024949
Chao-Yang, G., Peng, C., & Hai-Hong, Z. (2021). Mabasa eNLRP3 inflammasome mu intervertebral disc degeneration. Osteoarthritis Cartilage , 29 (6), 793-801. doi.org/10.1016/j.joca.2021.02.204
Choi, E., Gil, HY, Ju, J., Han, WK, Nahm, FS, & Lee, P.-B. (2022). Mhedzisiro yeNonsurgical Spinal Decompression paKusimba Kwemarwadzo uye Herniated Disc Volume muSubacute Lumbar Herniated Disc. International Journal of Clinical Practice , 2022 , 1-9. doi.org/10.1155/2022/6343837
Kos, N., Gradisnik, L., & Velnar, T. (2019). Ongororo pfupi yeDegenerative Intervertebral Disc Disease. Med Arch , 73 (6), 421-424. doi.org/10.5455/medarh.2019.73.421-424
Ljunggren, AE, Weber, H., & Larsen, S. (1984). Autotraction versus manual traction muvarwere vane prolapsed lumbar intervertebral discs. Scand J Rehabil Med , 16 (3), 117-124. www.ncbi.nlm.nih.gov/pubmed/6494835
Salo, S., Hurri, H., Rikkonen, T., Sund, R., Kroger, H., & Sirola, J. (2022). Kushamwaridzana pakati pezvakanyanya lumbar disc degeneration uye kuzvizivisa-yega basa rekuita kutakura. J Occup Health , 64 (1), e12316. doi.org/10.1002/1348-9585.12316
Disclaimer
by Dr Alex Jimenez Chiropractic , Pasi Pasi Pain , Neck Pain , Spinal Decompression Treatments , Pamuviri Utano , Mishonga , Viscerosomatic Reflex
Vanhu vari kubata nemutsipa uye kurwadziwa kumashure vanogona kuwana zororo ravanoda kubva pamhedzisiro yepinal decompression therapy?
ziviso
Munyika yose, vanhu vazhinji vanobata nemutsipa kana kurwadziwa shure kubva pakugara zvakanyanya kana kumira, kusamira zvakanaka, kana kusimudza zvinhu zvinorema izvo zvinoita kuti musana wavo uye tsandanyama dzirambe dzichirwadza. Sezvo muviri uchigara uchifamba, musana uri kumanikidzwa kuburikidza nekudzokorora kufamba kunogona kuita kuti spinal discs ibude kubva panzvimbo yavo yepakutanga uye kuwedzera mitsipa yakakomberedza kuti iite zviratidzo zvinorwadza mumutsipa uye kumashure. Vanhu vazhinji vanotanga kugunun'una pamusoro pemitsipa yavo uye misana yavo ichikuvadza uye kunzwa marwadzo anotumirwa munzvimbo dzakasiyana-siyana muzvikamu zvepamusoro uye nechepasi. Izvi zvinogona kubva kune yakaoma kusvika kune isingaperi, zvichienderana nekuoma kwemarwadzo. Kana vanhu vachisangana nemarwadzo aya emusculoskeletal mumiviri yavo, vazhinji vachatsvaga kurapwa kuti vaderedze marwadzo ari mumitsipa yavo uye kumashure kuti vadzokere kumaitiro avo ezuva nezuva. Saka nei, marapirwo akaita semusana decompression anogona kuita zvakanaka pakupa zororo rakakodzerwa nevanhu vazhinji. Nyaya yemazuva ano inotarisa kuti nei mutsipa uye kumashure mumuviri wemunhu ndiyo nzvimbo dzinorwadza dzinowanzobatwa nevanhu vakawanda uye kuti kuora kwepelinha kunogona kuderedza sei mutsipa uye kurwadziwa shure. Isu tinotaura nevarapi vane ruzivo rwekurapa vanobatanidza ruzivo rwevarwere vedu kuti vape maitiro akasiyana-siyana ekubvisa marwadzo emutsipa uye kumashure kubva mumuviri. Isu tinozivisawo varwere kuti marapirwo senge decompression anogona sei kuderedza musculoskeletal kurwadziwa kusagadzikana kubva mumutsipa uye kumashure. Tinokurudzira varwere vedu kuti vabvunze mibvunzo yakaoma kune vatinobata navo vezvokurapa nezvemarwadzo-sezviratidzo zvavari kusangana nazvo zvinoenderana nemutsipa wavo uye kumashure. Dr. Alex Jimenez, D.C., anoshandisa ruzivo urwu sebasa rezvidzidzo. Disclaimer .
Sei Iri Mutsipa & Kudzoka Kwakajairwa Marwadzo Nzvimbo?
Iwe unonzwa kushushikana kwemhasuru mumutsipa wako mushure mekuvhima pakombuta kana foni yako kwenguva yakareba? Unonzwa kurwadziwa shure mushure mekutakura kana kusimudza chinhu chinorema here? Kana kuti unonzwa kurira kana kuti chiveve mumaoko ako kana makumbo? Zvizhinji zveizvi zvinorwadza-sezviratidzo zvinowanzoenderana nemarwadzo emutsipa uye kumashure izvo zvinogona kushungurudza vanhu vazhinji. Saka nei zvakadaro kuti mutsipa uye kumashure kwemuviri wemunhu ndiyo inonyanya kurwadziwa nzvimbo iyo vanhu vakawanda pasi rose vanotsungirira? Vanhu vazhinji vane mabasa anodiwa zvakanyanya vanowanzoita mafambiro akajairwa achidzokororwa, izvo zvinokonzeresa kushushikana pamhasuru dzakatenderedza, ligaments, uye majoini, uye mhasuru dzinowanikwa dzinotanga kushanda zvakanyanya uye dzakasimba. Marwadzo emutsipa uye kumashure ndezvimwe zvezvichemo zvinowanzoitika zvine chekuita nezviratidzo izvo zvinoita kuti pave nepamusoro pemazuva ekushanda akarasika, kuremara, uye kushandiswa kwehutano. ( Corwell naDavis, 2020 ) Izvi zvinoita kuti vanhu vazhinji vave nekushushikana kwezvemagariro nehupfumi vasingadiwe pavanoshanyira vanachiremba vavo vekutanga. Uyezve, kurwadziwa kwemutsipa uye kumashure hazvisi-neurologic zvinokonzera musculoskeletal system; izvi zvinogona kuunza marwadzo mumasuru, tendon, ligaments, spinal discs, articular cartilage, uye bone. ( Meleger naKrivickas, 2007 ) Kusvika panguva iyoyo, kana mutsipa uye marwadzo ekudzokera shure zvisingabatanidzwi pakarepo, zvinogona kutungamirira kukubatanidza zviratidzo zvinorwadza zvinogona kutungamirira kuhupenyu hwekuremara. Sezvo musana une zvivako zvakawanda, kubva pamutsipa kusvika kumucheto kumashure, kana munhu ari kurwadziwa, zvinogona kutungamirira kumarwadzo akasiyana-siyana emagetsi anogona kukonzera mamwe marwadzo e-visceral. ( Patel et al., 2015 ) Saka nei, kurwadziwa kwemutsipa uye kumashure kune-multi-factorial uye kunotungamirira kumatambudziko akawanda.
Kana zvasvika pakudzikisa kurwadziwa kwemutsipa uye kumashure kubva mumuviri, vanhu vazhinji vanozotsvaga kurapwa kuti vazvisunungure kubva pakurwadziwa. Zvisinei, vanachiremba vakawanda vekutanga vanozoongorora varwere vavo kuti vaone kuti chii chinokonzera marwadzo avo nekunyora zvinyorwa zvemaitiro avo ezuva nezuva. Zvakawanda zvinokonzeresa zvemutsipa uye kurwadziwa shure zvinogona kuve nekuda kwe:
Kushatisa Kwakashata kushushikana Kusakwana kwemuviri Kukuvara/Kukuvara Kugara/kumira zvakanyanya Kusimudza/kutakura zvinhu zvinorema
Izvi zvinokonzera zvinogona kutungamirira kuhupenyu hwekuremara uye kukanganisa hupenyu hwehupenyu hwomunhu; zvisinei, zvinofadza, vanhu vakawanda vakatsvakurudza uye vakatsvaga kurapwa kusingadhuri uye kunogona kubatsira kuderedza marwadzo avari kusangana nawo.
Kunzwisisa Academic Low Back Pain- Vhidhiyo
VIDEO
Iwe unonzwa kurwadziwa uye marwadzo mumutsipa wako uye musana here? Unonzwa kushushikana mumhasuru dzako izvo zvinoita kuti unzwe kusuwa? Kana kuti unonzwa kurwadziwa muzvikamu zvako zvepamusoro kana zvepasi zvemuviri zvinokanganisa maitiro ako ezuva nezuva? Zvizhinji zvezviitiko izvi zvinoenderana nemarwadzo emutsipa uye kumashure, nyaya inowanzoitika vanhu vazhinji. Kana isina kurapwa pakarepo, inogona kutungamirira kuhupenyu hwekuremara uye, kune vanhu vanoshanda, vanorasikirwa nezuva rebasa. Nekudaro, vanhu vazhinji vanotsvaga marapirwo anodhura anogona kubatsira kuderedza marwadzo anobata mitsipa yavo nemusana. Mishonga yakaita sechiropractic kuchengetedza, traction therapy, massage therapy, uye spinal decompression zvese zvisiri zvekuvhiya, zvinokwanisika, uye zvinogona kubatsira kuderedza marwadzo-senge zviratidzo zvine chekuita nemutsipa uye musana. Vhidhiyo iri pamusoro inotsanangura zvinokonzeresa marwadzo ekudzokera shure uye kuti kurapa kusiri kwekuvhiya senge chiropractic kuchengetedza kunogona kushanda pamwe nekuwedzera marapirwo ekudzivirira kurwadza kwemusana nemutsipa kudzoka. Panguva imwecheteyo, apo vanhu vanotanga kuderedza basa ravo uye kuzvidzidzisa ivo pachavo pamusoro pezvavanofanira kuita kuti vadzivise marwadzo emutsipa uye kumashure kubva pakudzoka, vanogona kutanga kunzwa zviri nani. ( Tyrdal et al., 2022 )
Mhedzisiro yeDecompression Pamutsipa & Kurwadza Kwemusana
Sechikamu cheasina-kuvhiya marapirwo, spinal decompression inogona kubatsira vanhu vazhinji vanobata nemutsipa uye musana. Zvinoitwa nepinal decompression zvinosanganisira kupfava kwemuzongoza kuti decompress iyo yakakanganiswa spinal disc iyo inogona kubatanidzwa nemutsipa uye kumashure kurwadziwa. Kana musana uri kurapwa nemusana decompression, simba rinokwevera rinokwevera rinobatsira kuburitsa nzvimbo yakakura yediski pamuzongoza kuderedza intradiscal pressure uye kurwadziwa. ( Vanti et al., 2021 ) Izvi zvinobvumira zvose zvinovaka muviri uye zvinwiwa kuti zvidzoke kumusana uye spinal discs apo uchikurudzira kupora kwepanyama kwemuviri.
Pamusoro pezvo, vanhu vazhinji vane kurwadziwa kwemutsipa uye kumashure vanozotanga kuona kudzikiswa kukuru mukurwadziwa kwavo nekuremara kuburikidza nekurapa kwakatevedzana. ( Vanti et al., 2023 ) Nokubatanidza maitiro ane hutano kuderedza mikana yemutsipa uye kurwadziwa shure kubva pakudzoka, vanhu vakawanda vanogona kuita shanduko duku kumararamiro avo ezuva nezuva. Izvi zvinovabvumira kuti vave nemaonero akanaka uye kuenderera mberi nehutano hwavo uye rwendo rwehutano.
References
Corwell, B. N., & Davis, N. L. (2020). The Emergent Evaluation uye Kurapa kweNeck uye Back Pain. Emerg Med Clin North Am , 38 (1), 167-191. doi.org/10.1016/j.emc.2019.09.007
Meleger, A. L., & Krivickas, L. S. (2007). Mutsipa uye kurwadziwa shure: musculoskeletal disorders. Neurol Clin , 25 (2), 419-438. doi.org/10.1016/j.ncl.2007.01.006
Patel, V. B., Wasserman, R., & Imani, F. (2015). Kupindira Kurapa Kwekusagadzikana Kwekudzokera Kunorwadza: Ongororo Yakatarisana (Kubudirira uye Migumisiro). Anesth Pain Med , 5 (4), e29716. doi.org/10.5812/aapm.29716
Tyrdal, M. K., Veierod, M. B., Roe, C., Natvig, B., Wahl, A. K., & Stendal Robinson, H. (2022). Mutsipa uye kurwadziwa shure: Misiyano pakati pevarwere vanobatwa mukutanga uye nyanzvi yehutano hwehutano. J Rehabil Med , 54 , jrm00300. doi.org/10.2340/jrm.v54.363
Vanti, C., Saccardo, K., Panizzolo, A., Turone, L., Guccione, AA, & Pillastrini, P. (2023). Mhedzisiro yekuwedzera kwe mechanical traction kune kurapa kwepanyama pamarwadzo ekudzokera shure? Ongororo yakarongeka ine meta-analysis. Acta Orthop Traumatol Turc , 57 (1), 3-16. doi.org/10.5152/j.aott.2023.21323
Vanti, C., Turone, L., Panizzolo, A., Guccione, AA, Bertozzi, L., & Pillastrini, P. (2021). Vertical traction ye lumbar radiculopathy: kuongorora kwakarongeka. Arch Physiother , 11 (1), 7. doi.org/10.1186/s40945-021-00102-5
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