Spine Care
Back Clinic Chiropractic Spine Care Team. Iyo musana wakagadzirwa nematatu echisikigo macurves; mutsipa wakakombama kana cervical spine, chekumusoro kumashure curvature kana thoracic musana, uye yezasi kumashure curvature kana lumbar spine, izvo zvinouya pamwe chete kuti zvigadzire chimiro chidiki kana chichionekwa kubva parutivi. Iyo musana chimiro chakakosha sezvo ichibatsira kutsigira kumira kwakamira kwevanhu, inopa muviri kushanduka kwekufamba uye inoita basa rakakosha rekuchengetedza musana. Hutano hwemuzongoza hwakakosha kuitira kuti ive nechokwadi chekuti muviri uri kushanda kusvika pakukwanisa kwawo. Dr. Alex Jimenez anonyatsoratidza muunganidzwa wake wezvinyorwa pamusoro pekuchengetedza musana, nzira yekutsigira zvakanaka musana une utano. Kuti uwane rumwe ruzivo, ndapota inzwa wakasununguka kuti utaure nesu pa (915) 850-0900 kana mameseji kufonera Dr. Jimenez pachezvangu pa (915) 540-8444.
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
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
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 | Spine Care, Mishonga
Spinal stenosis izwi rinoshandiswa kutsanangura musana wakatetepa. Kurapa kunosiyana nekuti nyaya yemunhu wese yakasiyana. Vamwe vanhu vanonzwa zviratidzo zvakapfava, nepo vamwe vachiona zviratidzo zvakakomba. Kuziva marapirwo angaite here kunobatsira murwere nechikwata chezvehutano kugadzirisa uye kugadzirisa hurongwa hwekurapa kumamiriro emunhu?
Spinal Stenosis Treatments
Nzvimbo dziri mukati memuzongoza dzinogona kuita dzakatetepa kupfuura dzavanofanirwa kunge vari, izvo zvinogona kukonzera kudzvanywa pamidzi yetsinga uye musana. Kwese kwese kumusana kunogona kukanganiswa. Iko kupfupika kunogona kukonzera marwadzo, kupisa, uye / kana kurwadza kumashure uye kushaya simba mumakumbo netsoka. Spinal stenosis ine akati wandei ekutanga kurapwa. Paunenge uchishanda kuburikidza nespinal stenosis kurapwa, mupi wehutano anoongorora zviratidzo uye otanga kurapwa nekutanga-mutsara kurapa, senge mushonga wemarwadzo uye / kana kurapa kwemuviri. Izvi zvinowanzova zvekutanga pakati pevanhu vane chirwere ichi.
Mishonga
Chirwere chisingaperi chimwe chezviratidzo zvikuru. Kurapa kwekutanga kazhinji kunosanganisira kushandisa mishonga/s yekubvisa marwadzo. Mishonga inowanzotaurwa ndeye nonsteroidal anti-inflammatories kana NSAIDs. Iyi mishonga inoderedza marwadzo uye kuzvimba. Zvisinei, NSAIDs hazvikurudzirwi kushandiswa kwenguva refu, uye mamwe mishonga inogona kushandiswa kubvisa marwadzo anosanganisira:Sudhir Diwan et al., 2019)
- Tylenol - acetaminophen
- Gabapentin
- Pregabalin
- Opioids yezviitiko zvakanyanya
kusimbisa muviri
Kudzidzira muviri kunogona kuderedza spinal stenosis zviratidzo nekutora kumanikidza kubva patsinga, izvo zvinogona kuderedza marwadzo nekuvandudza kufamba. (Andrée-Anne Marchand et al., 2021) Vatariri vehutano vanozokurudzira maekisesaizi anonyanya kushanda kumunhu. Mienzaniso inosanganisira:
- Zviitwa zveAerobic, senge kufamba
- Akagara lumbar flexion
- Lumbar flexion mukureva nhema
- Kuwedzerwa lumbar kuwedzera
- Hip uye core kusimbisa
- Kumira chiuno chechiuno
Therapy Therapy
Imwe yekutanga spinal stenosis kurapwa ndeye kurapa kwemuviri, iyo inowanzoshandiswa pamwe nemishonga inorwadza. Kazhinji, vanhu vanotora mavhiki matanhatu kusvika masere ekurapa kwemuviri, nezvikamu zviviri kana katatu pasvondo. Kushandisa kurapa kwemuviri kwakaratidzwa kune (Sudhir Diwan et al., 2019)
- Deredza marwadzo
- Wedzera kufamba
- Deredza mishonga yemarwadzo.
- Deredza zviratidzo zvehutano hwepfungwa sekutsamwa, kuora mwoyo, uye kuchinja kwemafungiro.
- Muzviitiko zvakakomba, kurapwa kwepanyama mushure mekuvhiyiwa kunogona kuderedza nguva dzekupora.
Kudzoka Braces
Back braces inogona kubatsira kuderedza kufamba uye kudzvinyirira pamusana. Izvi zvinobatsira nekuti kunyangwe kufamba kudiki kwemuzongoza kunogona kutungamira kune kushatirwa kwetsinga, kurwadziwa, uye kuwedzera zviratidzo. Nokufamba kwenguva, kusungirirwa kunogona kutungamirira kune kuwedzera kwakanaka kwekufamba. (Carlo Ammendolia et al., 2019)
Injections
Epidural steroid jekiseni inogona kukurudzirwa kubvisa zviratidzo zvakakomba. Steroids inoshanda se anti-inflammatories kuderedza marwadzo uye kuzvimba kunokonzerwa nekuzvimba uye kushatirwa kwetsinga dzemusana. Zvinoonekwa sezvisina kuvhiyiwa nzira dzekurapa. Maererano nekutsvakurudza, majekiseni anogona kunyatsogadzirisa marwadzo kwemavhiki maviri uye kusvika kumwedzi mitanhatu, uye imwe tsvakurudzo yakawana kuti mushure mejekiseni remusana, zororo rinogona kupedza mwedzi makumi maviri nemana. (Sudhir Diwan et al., 2019)
Yakaomeswa Ligaments Decompression Procedure
Vamwe vanhu vanogona kukurudzirwa kuita decompression process. Iyi nzira inosanganisira kushandisa tsono yakatetepa inopinzwa kumashure. Iyo yakakora ligament tissue inobviswa kuti ideredze kudzvanywa pamusana netsinga. Tsvagiridzo yakawana kuti maitiro anogona kuderedza zviratidzo uye kudiwa kwekuvhiya kwakawanda. (Nagy Mekhail et al., 2021)
Zvimwe Kurapa
Pamusoro pekurapa kwekutanga, vanhu vanogona kuendeswa kune mamwe marapirwo ekurapa zviratidzo, kusanganisira:
Acupuncture
- Izvi zvinosanganisira kuiswa kwetsono dzakatetepa mumaacupoints akasiyana-siyana kuti abvise zviratidzo.
- Imwe tsvagiridzo yakawana kuti acupuncture inogona kushanda zvakanyanya mukuderedza zviratidzo pane kurapwa kwemuviri chete. Zvose zviri zviviri zvinogoneka uye zvinogona kuvandudza kufamba uye kurwadziwa. (Hiroyuki Oka et al., 2018)
Chiropractic
- Mushonga uyu unoderedza kudzvanywa kwetsinga, unochengetedza musana, uye unobatsira kuvandudza kufamba.
masaja
- Massage inobatsira kuwedzera kutenderera, kuzorodza tsandanyama, uye kuderedza marwadzo nekuoma.
Itsva Kurapa Sarudzo
Sezvo tsvakiridzo yespinal stenosis ichienderera mberi, marapirwo matsva ari kubuda kubatsira kudzoreredza uye kugadzirisa zviratidzo muvanhu vasingadaire kumishonga yechivanhu kana vasingakwanise kutora mishonga yakajairika nekuda kwezvikonzero zvakasiyana. Zvisinei, humwe humbowo hunoratidzwa hunovimbisa; mainishuwarenzi ezvokurapa anogona kuvaona sekuedza uye kusapa kuvharwa kusvikira kuchengetedzwa kwavo kwaratidzwa. Mamwe marapirwo matsva anosanganisira:
Acupotomy
Acupotomy imhando yeacupuncture inoshandisa tsono dzakatetepa nediki, flat, scalpel-type tip kuti ibvise kushushikana munzvimbo dzinorwadza. Tsvagiridzo pamusoro pemhedzisiro yayo ichiri shoma, asi yekutanga data inoratidza kuti inogona kuve inoshanda yekuwedzera kurapwa. (Ji Hoon Han et al., 2021)
Cell Stem Therapy
Stem cells ndiwo maseru anobva kune mamwe maseru ese. Ivo vanoita seyakagadzirwa kuti muviri ugadzire masero akasarudzika ane mabasa chaiwo. (National Institutes of Health. 2016)
- Vanhu vane spinal stenosis vanogona kukura kukuvara kwenyama yakapfava.
- Stem cell therapy inoshandisa stem masero kubatsira kugadzirisa kukuvara kana kurwara matishu.
- Stem cell therapy inogona kubatsira kugadzirisa kana kuvandudza nzvimbo dzakakuvadzwa uye kupa zororo rechiratidzo.
- Zvidzidzo zvekiriniki zvespinal stenosis zvinoshuma kuti inogona kunge iri nzira yekurapa inoshanda kune vamwe.
- Nekudaro, kutsvagisa kwakawanda kunodiwa kusimbisa kana kurapa kwacho kunoshanda zvakakwana kuti ishandiswe zvakanyanya. (Hideki Sudo et al., 2023)
Dynamic Kudzikamisa Zvishandiso
LimiFlex chishandiso chekurapa chiri kutsvagirwa uye kuongororwa kwekugona kwayo kudzoreredza kufamba uye kugadzikana mumusana. Inoiswa kumusana kuburikidza nekuvhiya. Maererano nekutsvakurudza, vanhu vane spinal stenosis vanogamuchira LimiFlex vanowanzoona kuderedzwa kwakanyanya kwemarwadzo uye zviratidzo pane mamwe maitiro ekurapa. (T Jansen et al., 2015)
Lumbar Interspinous Distraction Decompression
Lumbar interspinous distraction decompression ndiyo imwe nzira yekuvhiya yespinal stenosis. Kuvhiyiwa kunoitwa nekuchekwa pamusoro pemusana uye kunoisa mudziyo pakati pema vertebrae maviri kugadzira nzvimbo. Izvi zvinoderedza kufamba uye kudzvinyirira pamitsipa. Mhedzisiro yekutanga inoratidza kunaka kwenguva pfupi kubva kune zviratidzo; data yenguva refu haisati yavepo sezvo iri imwe itsva spinal stenosis yekurapa sarudzo. (UK National Health Service, 2022)
Maitiro Ekuvhiya
Kune akati wandei maitiro ekuvhiya anowanikwa kune spinal stenosis. Zvimwe zvinosanganisira: (NYU Langone Health. 2024) Kuvhiyiwa kwespinal stenosis kunowanzochengeterwa vanhu vane zviratidzo zvakakomba, senge chiveve mumaoko kana makumbo. Kana zviratidzo izvi zvikakura, zvinoratidza kudzvanywa kunonyanya kuzivikanwa kwetsinga dzemusana uye kudiwa kwekurapa kwakanyanya. (NYU Langone Health. 2024)
Laminectomy
- A laminectomy inobvisa chikamu kana yese yelamina, iyo vertebral bone inovhara musana.
- Iyo nzira yakagadzirirwa kuderedza kumanikidzwa kwetsinga uye musana.
Laminotomy uye Foraminotomy
- Kuvhiya kwese kunoshandiswa kana spinal stenosis yemunhu ikakanganisa kuvhurwa kwevertebral foramen.
- Marunda, shwashwa, kana mamwe matishu anosunga tsinga anobviswa.
- Ose ari maviri anoderedza kudzvanywa kwetsinga dzinofamba neforomeni.
Laminoplasty
- A laminoplasty inobvisa kudzvanywa pamutsipa wemusana nekubvisa zvikamu zvepinal canal's lamina.
- Izvi zvinowedzera musana wemusana uye zvinoderedza kumanikidzwa patsinga. (Columbia Neurosurgery, 2024)
Discectomy
- Kuvhiya uku kunosanganisira kubvisa herniated kana bulging discs ari kuisa kumanikidza pamuzongoza uye tsinga.
Spinal fusion
- Spinal fusion inosanganisira kujoinha mavertebrae maviri uchishandisa zvimedu zvesimbi zvakaita setsvimbo uye screws.
- Iwo vertebrae akanyanya kugadzikana nekuti matanda uye screws zvinoshanda sesimbi.
Ndeupi Kurapa Kwakarurama?
Nekuti zvirongwa zvese zvekurapa zvinosiyana, kuona iyo inonyanya kushanda ndiyo yakanyatsokodzera mupi wehutano. Imwe neimwe nzira ichave yakasarudzika kune munhu. Kuti usarudze kuti ndeupi kurapa kwakanyanya, vatapi vehutano vanoongorora: (National Institute of Arthritis uye Musculoskeletal uye Skin Zvirwere. 2023)
- Kuoma kwezviratidzo.
- Chiyero chezvino chehutano hwese.
- Chiyero chekukuvadza kuri kuitika muzongoza.
- Chiyero chekuremara uye kuti kufamba uye kunaka kwehupenyu zvinokanganiswa sei.
Injury Medical Chiropractic uye Functional Medicine Clinic ichashanda nemunhu mukuru wehutano hwehutano uye / kana nyanzvi kuti vabatsire kuziva nzira dzakanakisisa dzokurapa uye kunetseka maererano nemishonga kana mamwe maitiro ekurapa.
Kuvhura Wellness
References
Diwan, S., Sayed, D., Deer, TR, Salomons, A., & Liang, K. (2019). An Algorithmic Approach yekurapa Lumbar Spinal Stenosis: An Evidenced-Based Approach. Mushonga wemarwadzo (Malden, Mass.), 20 (Suppl 2), S23-S31. doi.org/10.1093/pm/pnz133
Marchand, AA, Houle, M., O'Shaughnessy, J., Châtillon, C. É., Cantin, V., & Descarreaux, M. (2021). Kubudirira kwechirongwa chekudzidzira-based prehabilitation chirongwa chevarwere vakamirira kuvhiyiwa kwelumbar spinal stenosis: chirongwa chekliniki chisingaverengeki. Mishumo yeSainzi, 11(1), 11080. doi.org/10.1038/s41598-021-90537-4
Ammendolia, C., Rampersaud, YR, Southerst, D., Ahmed, A., Schneider, M., Hawker, G., Bombardier, C., & Côté, P. (2019). Mhedzisiro yeprototype lumbar spinal stenosis bhandi zvichienderana nerutsigiro rwechiuno pakufamba kugona mu lumbar spinal stenosis: muedzo wakasarudzika unodzorwa. The spine magazine: yepamutemo magazini yeNorth American Spine Society, 19 (3), 386-394. doi.org/10.1016/j.spinee.2018.07.012
Mekhail, N., Costandi, S., Nageeb, G., Ekladios, C., & Saied, O. (2021). Kugara kwemaitiro mashoma ekuderedza lumbar decompression muvarwere vane symptomatic lumbar spinal stenosis: Kutevera kwenguva refu. Marwadzo maitiro: iyo yepamutemo magazini yeWorld Institute of Pain, 21 (8), 826-835. doi.org/10.1111/papr.13020
Oka, H., Matsudaira, K., Takano, Y., Kasuya, D., Niiya, M., Tonosu, J., Fukushima, M., Oshima, Y., Fujii, T., Tanaka, S., & Inanami, H. (2018). Chidzidzo chekuenzanisa chemishonga mitatu yekuchengetedza muvarwere vane lumbar spinal stenosis: lumbar spinal stenosis ne acupuncture uye physical therapy study (LAP study). BMC yekuwedzera uye imwe mushonga, 18(1), 19. doi.org/10.1186/s12906-018-2087-y
Han, JH, Lee, HJ, Woo, SH, Park, YK, Choi, GY, Heo, ES, Kim, JS, Lee, JH, Park, CA, Lee, WD, Yang, CS, Kim, AR, & Han , CH (2021). Kubudirira uye kuchengetedzwa kweacupotomy pane lumbar spinal stenosis: pragmatic randomized, controlled, pilot clinical trial: A study protocol. Mushonga, 100(51), e28175. doi.org/10.1097/MD.0000000000028175
Sudo, H., Miyakoshi, T., Watanabe, Y., Ito, YM, Kahata, K., Tha, KK, Yokota, N., Kato, H., Terada, T., Iwasaki, N., Arato, T., Sato, N., & Isoe, T. (2023). Protocol yekurapa lumbar spinal canal stenosis nemusanganiswa we ultrapurified, allogenic bone marrow-derived mesenchymal stem cells uye in situ-forming gel: a multicentre, anotarisira, maviri-mapofu randomized controlled controlled. BMJ vhura, 13(2), e065476. doi.org/10.1136/bmjopen-2022-065476
National Institutes of Health. (2016). Stem cell basics. US Department of Health and Human Services. Zvakatorwa kubva stemcells.nih.gov/info/basics/stc-basics
Jansen, T., Bornemann, R., Otten, L., Sander, K., Wirtz, D., & Pflugmacher, R. (2015). Vergleich dorsaler Dekompression nicht stabilisiert und dynamisch stabilisiert mit LimiFlex™ [Kuenzaniswa kweDorsal Decompression uye Dorsal Decompression Yakasanganiswa neDynamic Stabilization Device LimiFlex™]. Zeitschrift fur Orthopadie und Unfallchirurgie, 153(4), 415–422. doi.org/10.1055/s-0035-1545990
UK National Health Service. (2022). Kuvhiyiwa kweLumbar decompression: Kunoitwa sei. www.nhs.uk/conditions/lumbar-decompression-surgery/what-happens/
NYU Langone Health. (2024). Kuvhiya kwespinal stenosis. nyulangone.org/conditions/spinal-stenosis/treatments/surgery-for-spinal-stenosis
Columbia Neurosurgery. (2024). Cervical laminoplasty nzira. www.neurosurgery.columbia.edu/patient-care/treatments/cervical-laminoplasty
National Institute of Arthritis uye Musculoskeletal uye Skin Zvirwere. (2023). Spinal stenosis: Kuongororwa, kurapwa uye matanho ekutora. Zvakatorwa kubva www.niams.nih.gov/health-topics/spinal-stenosis/diagnosis-treatment-and-steps-to-take
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
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 | Chiropractic, chisingaperi Pain, Herniated Disc, Spinal Decompression Treatments, Spine Care, Mishonga, Viscerosomatic Reflex
Ko vanhu vane herniated disc vanogona kuwana zororo ravari kutsvaga kubva mukurapa traction kana decompression kupa zororo rekurwadziwa?
ziviso
Muzongoza unobvumira munhu kuti afambe uye achinjike asinganzwi kurwadziwa uye kusagadzikana kana munhu ari kufamba. Izvi zvinodaro nekuti musana chikamu chemusculoskeletal system inosanganisira tsandanyama, tendon, ligaments, musana, uye spinal discs. Izvi zvikamu zvakakomberedza musana uye zvine matunhu matatu kuti abvumire kumusoro uye kuzasi migumo kuita mabasa avo. Zvisinei, musana unochemberawo apo muviri unotanga kuchembera zvawo. Kufamba kwakawanda kana zviito zvenguva dzose zvinogona kuita kuti muviri uome uye, nekufamba kwenguva, zvinogona kuita kuti spinal disc iite herniate. Kana izvi zvikaitika, herniated disc inogona kutungamirira kumarwadzo uye kusagadzikana mumigumo, zvichiita kuti vanhu vabatane nekuderedzwa kwehupenyu uye kurwadziwa munzvimbo nhatu dzepelinha. Sezvineiwo, kune akawanda marapirwo, senge traction therapy uye decompression, kuderedza marwadzo uye kusagadzikana kunobatanidza ne herniated discs. Nyaya yanhasi inotarisa kuti sei herniated discs inokonzera nyaya mumusana uye migumisiro yekuti marapirwo maviri aya angabatsira sei kuderedza herniated discs. Isu tinotaura nevarapi vane hunyanzvi vanosimbisa ruzivo rwevarwere vedu kuti vaone kuti herniated disc mumusana ingave iri nyaya inokonzera kurwadziwa kwetsandanyama. Isu tinozivisawo uye kutungamira varwere nezvekuti kubatanidza spinal decompression uye traction therapy inogona kubatsira kugadzirisa musana uye kuderedza disc herniation iri kukonzera musana. Tinokurudzira varwere vedu kuti vabvunze avo vanobatana navo vezvokurapa mibvunzo yakaoma uye yakakosha pamusoro pekubatanidza kurapa kusiri kwekuvhiya sechikamu chemaitiro avo kuderedza marwadzo uye kusagadzikana mumiviri yavo. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer.
Sei Herniated Discs Inokonzera Matambudziko Mumusana?
Wanga uchingogara uchinzwa kusagadzikana mumutsipa wako kana kumashure izvo zvisingakubvumire kuti uzorore? Iwe unonzwa kurira kwekunzwa kumusoro uye kuzasi migumo, kuita kubata zvinhu kana kufamba kwakaoma? Kana kuti wakaona here kuti uri kuzembera padhesiki rako kana kuti wakamira uye kuti kutambanudza kunokonzera marwadzo? Sezvo musana uchichengeta muviri wakatwasuka, zvikamu zvawo zvikuru zvinosanganisira vertebrae inofambiswa, nerve root fibers, uye spinal discs kubatsira kutumira masaini neuron kuuropi kubvumira kufamba, kuvharira masimba anokatyamadza pamuzongoza, uye kuve anochinjika. Iyo musana inobvumira munhu kuita mabasa akasiyana-siyana pasina kurwadziwa uye kusagadzikana kuburikidza nekudzokorora mafambiro. Zvisinei, kana muviri uchinge wakwegura, zvinogona kutungamirira kukuchinja kwehutano mumusana, zvichiita kuti spinal disc iite herniate nekufamba kwenguva. A herniated disc inowanzoitika inokanganisa musculoskeletal mamiriro ayo anoita kuti nucleus pulposus iparadze chero nharaunda isina simba yeannulus fibrosus uye kudzvinyirira midzi yetsinga yakatenderedza. (Ge et al., 2019Dzimwe nguva, kana kudzokorora kunotanga kukonzeresa dhisiki yeherniated, chikamu chemukati che disc chinogona kuve chakashongedzwa uye brittle. Kusiyana neizvi, chikamu chekunze chinowedzera fibrotic uye zvishoma elastic, zvichiita kuti diski iwedzere uye ive yakamanikana. A herniated disc inogona kukanganisa vechidiki nevakuru vevanhu sezvo vachigona kuva nemupiro wezvakawanda unokonzera proinflammatory shanduko kumuviri. (Wu et al., 2020)
Apo vanhu vazhinji vari kutarisana nekurwadziwa kunobatanidza ne disc herniated, diski pachayo inopinda kuburikidza nekuchinja kwe morphological kuburikidza nekufananidzwa kwe disc kuva chikamu chekukuvara, iyo inoteverwa nekutamiswa uye kuvharwa kwechikamu chemukati disc mu vertebral canal kuti compress. musana wetsinga midzi. (Diaconu et al., 2021) Izvi zvinokonzeresa zviratidzo zvemarwadzo, chiveve, uye kupera simba munzvimbo dzepamusoro nedzezasi dzemuviri kuburikidza nekupinza tsinga. Saka nei, vanhu vazhinji vari kubata nezviratidzo zvinorwadza kubva mumaoko nemakumbo avo ari kupenya marwadzo. Kana kudzvinyirirwa kwetsinga kunobatanidza ne-herniated discs kunotanga kukonzera marwadzo uye kusagadzikana, vanhu vazhinji vanotanga kutsvaga kurapwa kuti vaderedze marwadzo ayo herniated disc ari kukonzera kupa zororo kumitumbi yavo.
Spinal Decompression In Depth-Vhidhiyo
Migumisiro YeTraction Therapy Mukuderedza Herniated Disc
Vanhu vazhinji vari kutambura nekurwadziwa kuri kukanganiswa ne herniated discs mumusana wavo vanogona kutsvaga marapirwo senge traction therapy kuderedza marwadzo. Traction therapy kurapwa kusiri kwekuvhiya kunotambanudza uye kuunganidza musana. Traction therapy inogona kuitwa nemuchina kana nemaoko nenyanzvi yemarwadzo kana nerubatsiro rwemichina michina. Mhedzisiro ye traction therapy inogona kuderedza simba rekumanikidza pa spinal disc apo ichideredza nerve root compression nekuwedzera disc kureba mukati memusana. (Wang et al., 2022) Izvi zvinobvumira majoini akapoteredza mukati memuzongoza kuti ave mobile uye anokanganisa zvakanaka musana. Ne traction therapy, inopindirana kana yakatsiga tension masimba anobatsira kutambanudza musana, kuderedza marwadzo, nekuvandudza mashandiro anoita. (Kuligowski et al., 2021)
Migumisiro Yekuora Kwemusana Mukuderedza Herniated Disc
Imwe nzira yekurapa isiri-yekuvhiya ndeye spinal decompression, yakaomesesa vhezheni yekudhonza iyo inoshandisa tekinoroji yekombuta kuti ibatsire kushandisa inodzorwa, zvinyoro zvinodhonza masimba kumusana. Spinal decompression inoita ndeyokuti inogona kubatsira kuderedza mutsara wepelinha uye kubatsira kudhonza herniated disc kudzokera kunzvimbo yayo yepakutanga apo ichidzikamisa musana uye kuchengetedza mapfupa anokosha uye zvinyoro zvinyoro zvakachengeteka. (Zhang et al., 2022) Uyezve, kupera kwepelinha kunogona kugadzira kudzvinyirira kwakashata pamusana wekubvumira kuyerera kwemvura inovaka muviri uye ropa reokisijeni kudzokera kumadhisiki paunenge uchigadzira hukama hunopesana apo kushushikana kwehutano kunotangwa. (Ramos naMartin, 1994) Zvose zvinokonzerwa nemusana uye traction therapy zvinogona kupa nzira dzakawanda dzokurapa kuti dzipe zororo kune vanhu vakawanda vanobata herniated discs. Zvichienderana nekuoma kwakaita herniated disc yakakonzera nyaya kumusana wemunhu, vazhinji vanogona kuvimba nemishonga isiri-yekuvhiya nekuda kweurongwa hwayo hunogadziriswa hunoenderana nekurwadziwa kwemunhu uye hunogona kusanganiswa nemamwe marapirwo ekusimbisa tsandanyama dzakapoteredza. Nekuita izvi, vanhu vazhinji vanogona kunge vasina kurwadziwa nekufamba kwenguva vachifunga nezvemiviri yavo.
References
Diaconu, GS, Mihalache, CG, Popescu, G., Man, GM, Rusu, RG, Toader, C., Ciucurel, C., Stocheci, CM, Mitroi, G., & Georgescu, LI (2021). Clinical uye pathological kufunga mu lumbar herniated disc inobatanidza nekuputika kwezvironda. Rom J Morphol Embryol, 62(4), 951-960. doi.org/10.47162/RJME.62.4.07
Ge, CY, Hao, DJ, Yan, L., Shan, LQ, Zhao, QP, He, BR, & Hui, H. (2019). Intradural Lumbar Disc Herniation: Nyaya Yenyaya uye Mabhuku Ongororo. Clin Interv Kuchembera, 14, 2295-2299. doi.org/10.2147/CIA.S228717
Kuligowski, T., Skrzek, A., & Cieslik, B. (2021). Manual Therapy muCervical uye Lumbar Radiculopathy: Ongororo Yakarongeka yeMabhuku. Int J Maererano neHurumende yeHurumende, 18(11). doi.org/10.3390/ijerph18116176
Ramos, G., & Martin, W. (1994). Migumisiro ye vertebral axial decompression pane intradiscal pressure. J Neurosurg, 81(3), 350-353. doi.org/10.3171/jns.1994.81.3.0350
Wang, W., Long, F., Wu, X., Li, S., & Lin, J. (2022). Clinical Efficacy yeMechanical Traction sePhysical Therapy yeLumbar Disc Herniation: Meta-Analysis. Comput Math Nzira Med, 2022, 5670303. doi.org/10.1155/2022/5670303
Wu, PH, Kim, HS, & Jang, IT (2020). Intervertebral Disc Diseases CHIKAMU 2: Ongororo Yezvino Yekuongorora uye Kurapa Matanho eIntervertebral Disc Disease. Int J Mol Sci, 21(6). doi.org/10.3390/ijms21062135
Zhang, Y., Wei, FL, Liu, ZX, Zhou, CP, Du, MR, Quan, J., & Wang, YP (2022). Kuenzanisa kwemashure ekudzikisa maitiro uye yakajairika laminectomy ye lumbar spinal stenosis. Front Surg, 9, 997973. doi.org/10.3389/fsurg.2022.997973
Disclaimer
by Dr Alex Jimenez | Chiropractic, chisingaperi Pain, Herniated Disc, Kufamba & Kuchinja, Spinal Decompression Treatments, Spine Care, Mishonga, Viscerosomatic Reflex
Vanhu vane kurwadziwa kwemusana mumitsipa uye kumashure vanogona kushandisa decompression therapy kudzoreredza spinal disc kureba uye kuwana zororo?
ziviso
Vanhu vazhinji havazivi kuti sezvo muviri uchikura, ndizvo zvinoitawo musana. Iyo musana chikamu chemusculoskeletal system inopa tsigiro yemuviri kumuviri nekuichengeta wakatwasuka. Misungo yakakomberedza, ligaments, uye matishu akakomberedza musana anobatsira nekugadzikana uye kufamba, nepo spinal disc uye majoini zvinopa kuvhunduka kutorwa kubva kune sheer vertical uremu. Kana munhu ari kufamba nemabasa avo ezuva nezuva, musana unogona kubvumira munhu kuti afambe pasina kurwadziwa kana kusagadzikana. Zvisinei, nekufamba kwenguva, musana unoenda kuburikidza nekushanduka kwekuchinja kunogona kukonzera marwadzo uye kusagadzikana kumuviri, nokudaro zvichisiya munhu wacho achitarisana nepamusoro pehuwandu hwehutachiona hunogona kukanganisa mitsipa yavo nemusana. Kusvika ipapo, vanhu vazhinji vanotsvaga marapirwo ekudzikisa marwadzo anokanganisa musana wavo uye kudzorera dhisiki kureba mumiviri yavo. Chinyorwa chanhasi chinotarisa kuti marwadzo emuzongoza anokanganisa sei mutsipa uye musana wemunhu uye kuti marapirwo akaita semusana decompression anogona kuderedza marwadzo emusana uye kudzorera disc kureba. Tinotaura nevarapi vane hunyanzvi vanosimbisa ruzivo rwevarwere vedu kuti vaone kuti kurwadziwa kwemusana kunogona kukanganisa zvakanyanya kugara kwemunhu uye hupenyu hwemiviri yavo. Isu tinozivisawo uye kutungamira varwere nezvekuti kubatanidza musana decompression inogona kubatsira kuderedza marwadzo emusana uye kudzorera spinal disc kureba. Tinokurudzira varwere vedu kuti vabvunze avo vanobatana navo vezvokurapa mibvunzo yakaoma uye yakakosha pamusoro pekubatanidza marapirwo asiri ekuvhiya muhutano uye hutano hwekuita kuti vabvise marwadzo emusana uye kuwanazve hupenyu hwavo. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer.
Marwadzo eMuzongoza Anobata Sei Mutsipa WeMunhu & Kumusana
Iwe unonzwa nguva dzose tsandanyama aches uye marwadzo mumutsipa wako uye musana? Wakambosangana nekuoma uye kushomeka kwekufamba paunenge uchimonyoroka nekutendeuka? Kana kuti zvinhu zvinorema zvinokonzeresa kuomarara kwetsandanyama kana uchifamba uchibva pane imwe nzvimbo uchienda kune imwe? Vanhu vazhinji vachange vari kufamba uye vari munzvimbo dzinoshamisa vasinganzwe kurwadziwa uye kusagadzikana kana zvasvika kumusana. Izvi zvinokonzerwa nemhasuru dzakapoteredzwa uye matishu ari kutambanudzwa uye spinal discs inotora kune yakatwasuka kudzvanywa pamuzongoza. Zvisinei, apo mamiriro ezvakatipoteredza, kukuvadzwa kunorwadza, kana kuchembera kwepanyama kunotanga kukanganisa musana, zvinogona kutungamirira kukurudzirwa kwemarwadzo emusana. Izvi zvinodaro nekuti chikamu chekunze che spinal disc chakasimba, uye chikamu chemukati che disc chiri kukanganiswa. Kana kusagadzikana kusinganzwisisike kunotanga kuderedza kunwa kwemvura mukati me diski, inogona mukati kukurudzira marwadzo ekugamuchira pasina zviratidzo zvetsinga mukati me disc. (Zhang et al., 2009) Izvi zvinoita kuti vanhu vazhinji vatarise kurwadziwa kwemutsipa nemusana mumiviri yavo uye kunoderedza hupenyu hwavo.
Marwadzo emuzongoza anogona kutungamira kune anowandikira njodzi profiles izvo zvinokonzeresa vanhu vazhinji kubata nekurwadziwa kwakadzika kumashure uye kurwadziwa kwemutsipa, izvo zvinozoita kuti tsandanyama dzakatenderedza dzisasimba, kusimba, uye kuwanda. Panguva imwecheteyo, iyo yakakomberedza midzi midzi inobatwawo sezvo tsinga dzetsinga dzakakomberedza kunze uye mukati mezvikamu zvespinal disc, iyo inokonzera nociceptive marwadzo ehupfumi kumutsipa uye kumashure uye inotungamirira kumarwadzo e discogenic. (Coppes et al., 1997) Apo vanhu vazhinji vari kutarisana nemarwadzo emusuru anoenderana nespinal discs, inokonzera marwadzo-spasm-pain cycle inogona kukanganisa miviri yavo nekuda kwekusafamba zvakakwana uye kunokonzera kurwadza kwemisimba mitambo pavanenge vachiedza kufamba. (Roland, 1986) Kana munhu aine mafambiro mashoma anokonzera kuti ari kurwadziwa nemuzongoza, kureba kwavo kwechisikigo kunoderera zvishoma nezvishoma, zvichikonzera nyaya dzakawanda kumiviri yavo uye mitoro yemagariro. Neraki, apo vanhu vazhinji vari kubata nemarwadzo emusana, kurapwa kwakawanda kunogona kuderedza marwadzo emusana uye kudzoreredza dhisiki yavo kureba.
Movement Medicine- Vhidhiyo
Iyo Spinal Decompression Inoderedza Spinal Marwadzo
Kana vanhu vachitsvaga marapirwo ekurwadziwa kwemusana, vazhinji vanotsvaga marapirwo ekuvhiya kuti vaderedze marwadzo avo, asi zvichave zvishoma. Nekudaro, vanhu vazhinji vanozosarudza kurapwa kusiri kwekuvhiya nekuda kwekugona kwavo. Mishonga isiri-yekuvhiya inodhura uye inogoneka kumarwadzo emunhu nekusagadzikana. Kubva pakurapwa kwechiropractic kusvika kuacupuncture, zvichienderana nekuoma kwemarwadzo emunhu, vazhinji vachawana zororo ravanotsvaka. Imwe yemishonga ine hunyanzvi yekuderedza marwadzo emusana ndeyekuora kwemusana. Spinal decompression inobvumira munhu kusungirirwa mutafura yekudhonza. Izvi zvinodaro nekuti inodhonza zvinyoro nyoro kumusana kuti igadzirise iyo spinal disc nekudzikisa kudzvanywa kumusana kushevedzera kupora kwemuviri kudzikamisa marwadzo. (Ramos naMartin, 1994) Uyezve, apo vanhu vakawanda vari kushandisa musana wemusana, kufambisa kunyoro kunopa motokari kuvhiringidza kumusana kunogona kukonzera kuchinja kwemuviri kune spinal disc uye kubatsira kudzorera mararamiro emunhu, kushanduka, uye kufamba. (Amjad et al., 2022)
Spinal Decompression Kudzorera Spinal Disc Height
Kana munhu achinge akasungirirwa mumuchina wepinal decompression machine, kupfava kunobatsira kuti spinal disc idzokere kumusana, ichibvumira mvura uye zvinovaka muviri kuti zvidzore mvura yemuzongoza, zvichiwedzera kureba kwemusana. Izvi zvinodaro nekuti musana wemuzongoza unogadzira kudzvinyirira kwakashata pamuzongoza, zvichiita kuti spinal disc idzokere kuhupamhi hwayo hwepakutanga uye kupa zororo. Uyezve, chinhu chinoshamisa chinoitwa nepelinha decompression ndechekuti inogona kusanganiswa nekurapa kwepanyama kubatsira kutambanudza uye kusimbisa mhasuru dzakapoteredza pedyo nemuzongoza kuti upe kugadzikana uye kushanduka. (Vanti et al., 2023) Izvi zvinobvumira munhu wacho kuti anyatsofunga nezvemiviri yavo uye atange kusanganisira kuchinja kwetsika kuduku kuderedza marwadzo kubva pakudzoka. Apo vanhu vazhinji vanotanga kufunga nezvehutano hwavo uye hutano nekuenda kunorapwa, vanozowanazve hupenyu hwavo uye kudzokera kumararamiro avo ezuva nezuva pasina nyaya dzinokanganisa musana wavo.
References
Amjad, F., Mohseni-Bandpei, MA, Gilani, SA, Ahmad, A., & Hanif, A. (2022). Migumisiro yekusavhiyiwa kwekugadzirisa kurapa mukuwedzera kune nguva dzose kurapwa kwepanyama pamarwadzo, mararamiro ekufamba, kutsungirira, kuremara kwekushanda uye hupenyu hwehupenyu hunopesana nemaitiro ekugadzirisa muviri chete kune varwere vane lumbar radiculopathy; muedzo unodzorwa zvisina mwero. BMC Musculoskelet Disord, 23(1), 255. doi.org/10.1186/s12891-022-05196-x
Coppes, MH, Marani, E., Thomeer, RT, & Groen, GJ (1997). Innervation ye "zvinorwadza" lumbar discs. Pine (Phila Pa 1976), 22(20), 2342-2349; hurukuro 2349-2350. doi.org/10.1097/00007632-199710150-00005
Ramos, G., & Martin, W. (1994). Migumisiro ye vertebral axial decompression pane intradiscal pressure. J Neurosurg, 81(3), 350-353. doi.org/10.3171/jns.1994.81.3.0350
Roland, MO (1986). Kuongororwa kwakakosha kwehuchapupu hwekurwadziwa-spasm-pain cycle mumatambudziko emusana. Clin Biomech (Bristol, Avon), 1(2), 102-109. doi.org/10.1016/0268-0033(86)90085-9
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
Zhang, YG, Guo, TM, Guo, X., & Wu, SX (2009). Clinical diagnostic ye discogenic low back pain. Int J Biol Sci, 5(7), 647-658. doi.org/10.7150/ijbs.5.647
Disclaimer
by Dr Alex Jimenez | Musoro, Spine Care
Kudzidza chikonzero chedambudziko uye nzira yekurigadzirisa nemazvo kunogona kubatsira vanhu vari kusangana nekudzokera shure kukurumidza uye zvakachengeteka kudzokera kumatanho apfuura ebasa uye chiitiko.
Back Spasm
Vanhu vanotarisana nemarwadzo ekudzokera shure kana sciatica vanowanzotsanangura zviratidzo semisungo yemusana inosimbisa kana kuputika. A back spasm anogona kunzwa zvakapfava, sechibhakera chinodzvanya kune rimwe divi remusana kana kurwadziwa kwakanyanya kunotadzisa munhu kugara, kumira, kana kufamba zvakanaka. Bask spasms inogona kuve yakaoma, zvichikonzera kuomerwa kuchengetedza yakajairika yakatwasuka chimiro.
Chii chinonzi Spasm
A back spasm inongoerekana yatanga kumashure kwetsandanyama tightness. Dzimwe nguva, kunzwa kwakasimba kunowedzera uye kwakanyanya zvekuti kunotadzisa munhu kufamba zvakanaka. Vamwe vanhu vanonetseka kukotama kumberi nekuda kwemarwadzo uye kusimba.
zviratidzo
Zvikamu zvizhinji zvinotora maawa akawanda kusvika kumazuva akati wandei. Mhosva dzakakomba dzinogona kupedza mavhiki matanhatu kusvika masere, asi spasms uye kurwadziwa kunoderera zvishoma nezvishoma, zvichibvumira munhu kuti afambe zvakanaka uye atangezve kuita zvakajairika. Zvakajairika sensations uye zviratidzo zvinogona kusanganisira:
- Dambudziko rekukotama.
- Kunzwa kwakasimba kumashure.
- Kupuruzira marwadzo uye kunzwa.
- Marwadzo kune rimwe kana mativi ose emusana.
Dzimwe nguva, spasm inogona kukonzera marwadzo ekupenya mumagaro uye muhudyu. Kana yakaoma, inogona kuperekedzwa nemarwadzo etsinga, kupera simba, uye kurira kunopenya pasi rimwe kana makumbo ose. (Medline Plus. 2022)
Zvinokonzera
Back spasms inokonzerwa neakasimba tsandanyama tishu, izvo zvinowanzobva kune imwe mechanical stress. Kushungurudzika kunoita kuti nyama yemhasuru iri pedyo nemuzongoza idhonzwe zvisina tsarukano. Nekuda kwekudhonza, mhasuru fibers inova taut uye inorwadza. Mechanical zvikonzero zvekudzokera kumashure zvinogona kusanganisira: (Merck Manual, 2022)
- Kugara kusina kunaka uye/kana kumira.
- Kudzokorora kukuvara kwekushandisa zvakanyanya.
- Lumbar strains.
- Lumbar disc herniations.
- Low back osteoarthritis.
- Spondylolisthesis - vertebrae kuchinja kubva panzvimbo, kusanganisira anterolisthesis uye retrolisthesis.
- Spinal stenosis
Zvese izvi zvinogona kuisa kuwedzera kushushikana pane anatomical zvimiro mumusana. Misungo yepasi kumashure pedyo nezvivakwa izvi inogona kupinda mune inodzivirira spasm iyo inogona zvakare kukonzera yakasimba uye inorwadza sensation kumashure. Zvimwe zvisiri-mechini zvinokonzeresa zvepasi kumashure spasms zvinosanganisira: (Merck Manual, 2022)
- Kushungurudzika uye kuzvidya mwoyo
- Kushaikwa kwekuita basa rekuita uye maekisesaizi
- Fibromyalgia
Risk Factors
Zvikonzero zvenjodzi yekumashure spasms zvinosanganisira: (National Institute of Neurological Disorders uye Stroke, 2023)
- zera
- Zvinhu zvine chekuita nebasa - kuramba uchisimudza, kusunda, kudhonza, uye/kana kumonyorora.
- Kusagadzikana kwekugara kana kugara kwenguva refu pasina tsigiro yemusana.
- Kushaikwa kwekugadzirisa muviri.
- Kunyanya kufutisa kana kufutisa.
- Mamiriro ezvinhu epfungwa - kufunganya, kuora mwoyo, uye kushungurudzika mupfungwa.
- Nhoroondo yemhuri yezvekurapa yeankylosing spondylitis.
- kusvuta
Vanhu vanogona kurega kusvuta, kutanga kuita maekisesaizi, kana kuita zvinhu zvakanaka zvinobatsira kugadzirisa kushushikana. Vanhu vanobata neback spasms vangangoda kuona mupi wehutano kuti vaongororwe uye kurapwa.
mabatiro
Kurapa kwemusana spasms kunogona kusanganisira mishonga yemusha kana marapirwo kubva kune varapi. Iwo marapirwo akagadzirirwa kudzoreredza spasms uye kugadzirisa ma mechanic stress angave akazvikonzera. Vanamazvikokota vezvokurapa vanogonawo kuratidza nzira dzekudzivirira spasms. Mishonga yemumba inogona kusanganisira: (Merck Manual, 2022)
- Kushandiswa kwekupisa kana chando
- Low back massage
- Kugadziriswa kwemashure
- Nyoro kutambanudza
- Analgesic mishonga
- Anti-inflammatory medication (Anuj Bhatia et al., 2020)
Kana nzira dzekuzvitarisira dzisingakwanisi kupa rubatsiro, vanhu vangada kushanyira nyanzvi yezvokurapa kuti varapwe. Mishonga yekurapa inogona kusanganisira: (Merck Manual, 2022)
- Physical therapy
- Chiropractic care
- Acupuncture
- Non-surgery decompression
- Transcutaneous magetsi neuromuscular stimulation
- Steroid jekiseni
- Kuvhiyiwa kweLumbar inzira yekupedzisira yekurapa.
Vanhu vazhinji vanokwanisa kubata zviratidzo nekurapa kwemuviri kana chiropractic, izvo zvinosanganisira kudzidzira maekisesaizi uye magadzirirwo echimiro kuti abvise kusimba.
dziviriro
Kugadziriswa kwemararamiro akareruka kunogona kuve nemhedzisiro yakakosha pama spasms ekumashure. Nzira dzekudzivirira kudzoka spasms zvinogona kusanganisira: (Medline Plus. 2022) (Merck Manual, 2022)
- Kuchengetedza hydration zuva rese.
- Kugadzirisa mafambiro uye kukotama uye kusimudza maitiro.
- Kudzidzira nzira dzekugadzirisa postural.
- Kuita zuva nezuva kutambanudza uye kusimbisa maekisesaizi.
- Kuita kurovedza muviri.
- Kuita kufungisisa kana mamwe maitiro ekudzvinyirira.
Kukuvadza Kwevanhu Kuvandudza
References
Medline Plus. (2022). Kurwadziwa kwepasi-kurwadza. Zvakatorwa kubva medlineplus.gov/ency/article/007425.htm
Merck Manual. (2022). Kurwadza kwemusana. Merck Manual Consumer Version. www.merckmanuals.com/home/bone,-joint,-and-muscle-disorders/low-back-and-neck-pain/low-back-pain
National Institute of Neurological Disorders uye Stroke. (2023). Kurwadza kwemusana. Zvakatorwa kubva www.ninds.nih.gov/health-information/disorders/back-pain?
Bhatia, A., Engle, A., & Cohen, SP (2020). Ikozvino uye yeramangwana mishonga yemishonga yekurapa marwadzo ekudzokera shure. Maonero enyanzvi pane pharmacotherapy, 21 (8), 857-861. doi.org/10.1080/14656566.2020.1735353
