Injury Care
Back Clinic Injury Care Chiropractic uye Physical Therapy Team. Pane nzira mbiri dzekukuvara kwekukuvara. Ivo vari kushingaira uye pusa kurapwa. Nepo zvese zviri zviviri zvichikwanisa kuendesa varwere munzira yekunaya, kurapwa chete ndiko kune simba-refu uye kunoita kuti varwere vafambe.
Isu tinotarisa pakurapa kukuvadzwa kunowanikwa mutsaona dzemotokari, kukuvara kwemunhu, kukuvara kwebasa, uye kukuvara kwemitambo uye tinopa masevhisi ekugadzirisa marwadzo ekupindira uye zvirongwa zvekurapa. Zvese kubva kumapundu nemavanga kusvika kutemwa nemarunda uye kurwadza kwemusana.
Passive Injury Care
Chiremba kana murapi wepanyama anowanzo kupa rubatsiro rwekungokuvara. Zvinosanganisira:
Acupuncture Kushandisa kupisa / mazaya kuti aore maronda Pain medication
Ndiyo nzira yakanaka yekutanga kubatsira kubatsira kuderedza marwadzo, asi kusagadzikana kwekukuvara kwakanyanya hakusi kurapa kwakanyanya. Kunyange zvazvo iyo inobatsira munhu akuvadzwa kunzwa zviri nani munguva iyo, rubatsiro harugari. Murwere haazogadziri zvakakwana mukukuvara kunze kwokunge achishanda nesimba kuti adzokere kumararamiro avo.
Kushingaira Kukuvara Kutarisira
Kurapa kwakasimba kunoitwa nachiremba kana murapi wepanyama kunoenderana nekuzvipira kwemunhu akuvara pabasa. Kana varwere vachitora varidzi vehutano hwavo, iyo inoshanda yekuchengeta kukuvara maitiro inova yakanyanyisa uye inobudirira. Urongwa hwekuita hwakagadziridzwa huchabatsira munhu akakuvara achinje kuita basa rakazara uye kugadzirisa hutano hwavo hwese hwepanyama uye hwepfungwa.
Musana, mutsipa, uye musana Headaches Mabvi, mapfudzi, uye mawoko Torn ligaments Kukuvara kwemaviri yakasimba (musuru inomarara uye inopera)
Chii chinonzi kubatwa nekukuvara kunosanganisira?
Urongwa hwekurapa hunoshanda hunoita kuti muviri urambe wakasimba uye uchichinjika sezvinobvira kuburikidza neakasarudzika basa / chirongwa chekuchinja, chinodzikamisa maitiro enguva refu uye chinobatsira varwere vakakuvara kushandira kukurumidza kupora. Semuenzaniso, mukukuvadzwa kweMedical & Chiropractic kliniki yekukuvara, chiremba achashanda nemurwere kuti anzwisise chikonzero chekukuvara, obva agadzira chirongwa chekugadzirisa chinochengetedza murwere uye chinovadzosa kuhutano hwakanaka pasina nguva.
Kuti uwane mhinduro kumibvunzo ipi neipi yaungave unayo, ndapota fonera Dr. Jimenez pa915-850-0900
by Dr Alex Jimenez Kugadzirira Therap , Injury Care
Kune vanhu vari kubata nekukuvara uye mamiriro ekurwadziwa, kubatanidza acupuncture muchirongwa chekurapa kunobatsira kuderedza uye kugadzirisa marwadzo?
Acupuncture Pain Management
Marwadzo ekutarisira marwadzo anosanganisira kurapa kwemuviri, mishonga, inotonhora marapirwo, chiropractic, uye masaja. Imwe nzira iri kukura ndeye acupuncture. (Sangano Rinoona nezve Utano Pasi pose. 2021 ) Maererano nomushumo weWorld Health Organization, kurapwa kweacupuncture ndiyo inonyanya kushandiswa pakurapa kwechivanhu pasi rose. (Sangano Rinoona nezve Utano Pasi pose. 2021 ) Kurapa kweacupuncture kunopfuura mamiriyoni gumi kunoitwa gore negore muU.S.Jason Jishun Hao, Michele Mittelman. 2014 )
Chii ichochi?
Acupuncture inzira yekurapa inosanganisira kuisa tsono dzakasimba asi dzakatetepa pane dzakati tsvikiti mumuviri kurapa dzimwe nyaya dzehutano. Inogona kushandiswa pachayo kana kukurudzirwa nemagetsi emagetsi, anonzi electroacupuncture. Acupuncture yakatanga kuChina makore angangoita 3,000 apfuura uye inozivikanwa semushonga wechinyakare weChinese kana TCM. Mumakore achangopfuura, tsika yacho yakawana kugamuchirwa uye kudiwa pasi rese. (Jason Jishun Hao, Michele Mittelman. 2014 )
Chinoshanda sei?
Acupuncture pain management inoshanda nekuenzanisa kuyerera kwe qi/chi/energy, inofamba nemeridians, kana migero mumuviri. Nekuisa tsono mumapoinzi chaiwo padivi pezviteshi izvi, chiyero chinodzoserwa kune hutano hwese uye kugara zvakanaka. Kana simba racho risina kuenzana nekuda kwemukati uye kunze kwekunetseka kunogona kusanganisira kukuvara, mamiriro ezvinhu, kudya kusina kunaka, uye kushungurudzika, vanhu vanogona kuratidza zviratidzo uye zvirwere. Uchishandisa nzira dzekuongorora uye kubvunzurudza kwakadzama, varapi vanogona kuona kuti ndeapi maorgan system uye meridian chiteshi anoda kugadziriswa kuti adzorere basa. Kune anopfuura zviuru zviviri zveacupoints mumuviri. (Johns Hopkins Mushonga. 2024 ) Pfungwa imwe neimwe ine chinangwa chayo uye basa: mamwe anowedzera simba, mamwe anoderedza, achibatsira kuenzanisa muviri kutsigira kupora uye kupora. Acupuncture pain management inodarika simba rekuporesa uye inogona kubatsira kuderedza marwadzo nekukurudzira tsinga, tsandanyama, uye fascia / connective tissue, kudzora maitiro ezvirwere zvemuviri, tsinga dzemagetsi mhinduro, lymphatic flow, uye kuwedzera kuzorora kwemhasuru.
Types
Mhando dzakasiyana dzeacupuncture dzakagadziridzwa mukudzidziswa uye masitayipi, asi ese anosanganisira kudiwa mune mamwe mapoinzi uye anosanganisira:
Orthopedic / Dry Needling
Iyi nzira inosanganisa Traditional Chinese Mushonga uye chimiro chekugadzirisa kurapa marwadzo, kukuvara kwetishu, kusaenzana kwemuviri, uye zvimwe zvakajairika systemic kusagadzikana.
Five Element Style
Iyi inyanzvi yemweya uye yemanzwiro inoshandisa zvinhu zvishanu zvechisikigo, zvinosanganisira huni, moto, pasi, simbi, uye mvura, kuendesa simba, kugadzira chiyero mumuviri.
Chimiro cheJapan
inoshandisa nzira dzakafanana neTCM asi inoshandisa nzira yakapusa, sekushandisa tsono shoma kana kudziisa pakadzika pasi pemuviri.
korean
Iyi nzira inoshandisa nzira mbiri kubva kuChinese neJapan acupuncture.
Vashandi vanogona kushandisa tsono dzakawanda nemhando dzakasiyana dzetsono, semhando yemhangura, panzvimbo yemhando yesimbi isina tsvina.
Iyi mhando yeacupuncture inoshandisa chete acupoints paruoko kurapa nzvimbo dzakasiyana dzemuviri.
Handset
Izvi zvakafanana neKorea acupuncture asi inotsamira pane mamwe mapoinzi munzeve kurapa dzimwe nzvimbo dzemuviri.
Chinangwa ndechekukunda kusaenzana uye diharmonies.
Distal
Iyi nzira inobata marwadzo zvisina kunanga.
Varapi vanoisa tsono munzvimbo dzisiri dzenzvimbo yekusagadzikana.
Semuyenzaniso, varapi vanogona kuisa tsono kumativi emagokora kuitira marwadzo emabvi kana makumbo ezasi kuitira kurwadziwa kwepfudzi.
Acupressure
Iyi nzira yekurapa inomutsa akasiyana acupoints pasina kushandisa tsono.
Varapi vanoshandisa chaiyo kuisa zvigunwe, maoko, kana mamwe maturusi nemafuta akakosha kuisa kudzvanywa pamusoro pemapoinzi chaiwo kuwedzera kuyerera kwesimba.
Vanopa vanogona kusanganisa uye kushandisa mafomu akasiyana zvichienderana nezvinodiwa nemunhu.
Conditions
Imwe ongororo yeanopfuura 2,000 yesainzi wongororo yeacupuncture therapies yakawana kuti inoshanda kune post-stroke aphasia, mutsipa, bendekete, kurwadza kwemusana, kurwadziwa kwetsandanyama, kurwadziwa kwefibromyalgia, nyaya dzekuyamwisa mushure mekusununguka, zviratidzo zvevascular dementia, uye zviratidzo zvekusawirirana. (Liming Lu et al., 2022 ) Ongororo yemakonzo nenyanzvi dzezveuropiyo yakawana kuti electroacupuncture inogona kuderedza kuzvimba. (Shenbin Liu et al., 2020 ) National Center for Complementary and Integrative Health yakaona kuti acupuncture inogona kubatsira kune: (National Center for Complementary uye Integrative Health. 2022 )
Carpal tunnel syndrome
Dzoka shure uye mumutsipa
Sciatica
Myofascial pain syndrome Chronic pelvic pain syndrome
Fibromyalgia
Osteoarthritis
Inovandudza kurara
kushushikana
Headaches
Migraines
Menopausal hot flashes
Kurwadziwa mushure mekuvhiyiwa
Kenza kurwadziwa
Nausea uye kurutsa muvarwere vegomarara vari kurapwa
Chronic prostatitis
kugaya
Irritable bowel syndrome
Mumwaka allergies
Urinary incontinence
Infertility
Asthma
Kurega kuputa
kusuruvara
chengetedzo
Kana kurapwa kuchiitwa neakadzidziswa zvakanyanya, ane rezinesi, uye ane certified acupuncturist, zvakachengeteka zvakanyanya. Zviitiko zvakakomba zvakakomba zvakanyanya zvaive pneumothorax / kudonha mapapu, matambudziko emwoyo, uye kupera simba, izvo mune dzimwe nguva zvakakonzera kushungurudzika, sekuputsika. (Petra Bäumler et al., 2021 ) Kune dzimwe njodzi dzenguva pfupi dzine chekuita neacupuncture, dzinosanganisira:
Pain
Bleeding
Kudzora
Kukurova
Dzungu kune vanhu vasina kudya kana kutya tsono.
Zvakakomba mhedzisiro ine chekuita neacupuncture, senge mapapu akaboorwa kana hutachiona, haawanzo kuwanikwa. Kune vanhu vane allergies yesimbi, utachiona, kana ronda rakavhurika munzvimbo inozopinzwa tsono, zvinokurudzirwa kudzivirira acupuncture. Vanhu vane chirwere chekubuda ropa, vari kutora chero mishonga senge anticoagulant, kana vane pamuviri, vanofanira kutaura neacupuncturist vasati vatanga chirongwa chekurapa.
Zvaunotarisira
Kushanya kwomunhu ari wose kuchaitwa maererano nezvaanoda chaizvo, uye shanyo yokutanga ingangotora awa kana maviri. Ongororo yekutanga ichasanganisira nhoroondo yakazara yezvekurapa / yehutano. Munhu wacho achapedza maminetsi mashoma achikurukura zvinonetsa uye zvinangwa zvehutano neacupuncturist. Vanhu vachakumbirwa kurara patafura yekurapwa kuitira kuti murapi akwanise kuwana mitezo, musana, uye dumbu. Mushure mekuisa tsono, dzinogara panzvimbo yemaminitsi makumi maviri kusvika makumi matatu. Panguva ino, vanhu vanogona kuzorora, kufungisisa, kurara, kuteerera mimhanzi, etc. Mushandi anogona kutarisa kana uye sei pulse yachinja uye kuwedzera kana kubvisa tsono. Mushure mekunge tsono dzabviswa, murapi achasarudza nzira yekurapa. Zvichienderana nekuti chirwere chacho chisingaperi kana kuti chakakomba sei, vanogona kukurudzira akati wandei acupuncture kurapwa kwemarwadzo mukati memavhiki akati wandei.
Chiropractic Kuchengeta Kuporeswa Mushure mekukuvadzwa
VIDEO
References
Sangano Rinoona nezve Utano Pasi pose. (2021). WHO mabhenji echiito cheacupuncture.
Hao, J. J., & Mittelman, M. (2014). Acupuncture: yapfuura, ikozvino, uye ramangwana. Kufambira mberi kwepasi rose muhutano nemushonga, 3(4), 6–8. doi.org/10.7453/gahmj.2014.042
Johns Hopkins Mushonga. (2024). Acupuncture.
Lu, L., Zhang, Y., Tang, X., Ge, S., Wen, H., Zeng, J., Wang, L., Zeng, Z., Rada, G., Ávila, C., Vergara, C., Tang, Y., Zhang, P., Chen, R., Dong, Y., Wei, X., Luo, W., Wang, L., Guyatt, G., Tang, C., … Xu, N. (2022). Humbowo pakurapa kweacupuncture hahushandiswe mumakiriniki maitiro uye mutemo wehutano. BMJ (Clinical research ed.), 376, e067475. doi.org/10.1136/bmj-2021-067475
Liu, S., Wang, Z. F., Su, Y. S., Ray, R. S., Jing, X. H., Wang, Y. Q., & Ma, Q. (2020). Somatotopic Organisation uye Kusimba Kutsamira muDriving Distinct NPY-Kuratidza Tsitsi Nzira neElectroacupuncture. Neuron, 108(3), 436–450.e7. doi.org/10.1016/j.neuron.2020.07.015
National Center for Complementary uye Integrative Health. (2022). Acupuncture: zvaunoda kuziva.
Bäumler, P., Zhang, W., Stübinger, T., & Irnich, D. (2021). Zviitiko zvakashata zvine chekuita neAcupuncture: kurongeka kwekuongorora uye meta-kuongorora kwevanotarisira zvidzidzo zvekiriniki. BMJ vhura, 11(9), e045961. doi.org/10.1136/bmjopen-2020-045961
by Dr Alex Jimenez Injury Care , Kukuvara Kwevanhu
Kufambira mberi kunogona kuve kwakaoma kune vanhu vari mu post total ankle replacement surgery. Kurapa kwemuviri kungabatsira sei mukudzorera uye kudzorera basa regumbo?
Total Ankle Replacement Post Surgery Physical Therapy
Total ankle replacement surgery inzira huru inotora nguva kuti apore. Kuvhiyiwa kweankle kutsiva kana arthroplasty kunogona kubatsira vanhu vane kurwadziwa kusingaperi kwechikwama kana kuremara . Iyi nzira inogona kuvandudza zvakanyanya kurwadziwa kwemunhu uye kushanda nenguva. Kurapa kwepanyama kwakakosha kuti uwanezve kufamba muchitsiko uye kudzorera kufamba kwakazara. Murapi wepanyama achashanda nemunhu kudzora marwadzo nekuputika, kudzorera mararamiro emakumbo emakumbo, chitima pakufamba kufamba uye kuenzanisa, uye kuvakazve simba mugumbo. Izvi zvichabatsira kuwedzera mikana yekubudirira kubudirira mushure mekuvhiyiwa.
Total Ankle Replacement
Gumbo repamakumbo ichikamu chegumbo rezasi apo shinbone/tibia inosangana netalus bone pamusoro petsoka. Chinogona kuitika inzvimbo inotsvedza/articular cartilage inopfeka magumo emabhonzo aya inotanga kutetepa kana kuipa. Sezvo kuora kunofambira mberi, kunogona kutungamirira kumarwadzo makuru, kuremara, uye kuoma kufamba. (Cleveland Clinic. 2021 ) Apa ndipo apo nyanzvi inogona kukurudzira kuchinjwa kwegumbo rose kuitira migumisiro yakanakisisa. Mamiriro akasiyana-siyana anogona kubatsirwa nemaitiro aya, kusanganisira:
Kukuvadzwa kwemajoini kunokonzerwa negout
Post-traumatic arthritis
Rheumatoid chearthritis
Advanced osteoarthritis
Osteonecrosis
Septic arthritis (Cort D. Lawton et al., 2017 )
Panguva yekutsiviwa kwegumbo, chiremba wemapfupa anobvisa magumo akakuvadzwa etibia uye talus mapfupa uye anoatsiva nechivharo chekugadzira. Chikamu che polyethylene chakachengetedzwawo pakati pezvigadziro zviviri kuti zvitsigire kufamba kwakatsetseka kwemagumo matsva akabatanidzwa. (Massachusetts General Hospital. ND ) Kutevera maitiro, vanhu vanowanzoiswa mubhutsu yekudzivirira kana splint. Mutariri wehutano achakurudzira kugara kure negumbo kwe4 kusvika kumavhiki masere kubvumira kuporeswa.
Therapy Therapy
Kurapa kwekunze kwevarwere kunowanzotangwa mavhiki akati wandei mushure mekuvhiyiwa kwetsoka. (UW Health Orthopedics uye Rehabilitation. 2018 ) Kurapa kwepanyama kunogona kugara kwemwedzi mishanu kana kupfuura, zvichienderana nekuoma kwemamiriro acho uye kukuvara. Murapi wepanyama achatarisa munzvimbo dzakasiyana kuti awane mhedzisiro yakanaka. (Cort D. Lawton et al., 2017 )
Marwadzo uye Kuzvimba Kudzora
Kurwadziwa kwepashure uye kuzvimba zvinowanzoitika mushure mekutsiviwa kwechidzitiro chose. Hazvishamisi kuti gumbo rizvimba kunyange kwemwedzi mitanhatu kusvika ku12 mushure mekuvhiyiwa. (UW Health Orthopedics uye Rehabilitation. 2018 ) Chiremba anovhiya anowanzo kupa mishonga inobatsira kugadzirisa kusagadzikana pakutanga, uye kurapa kwemuviri kunobatsirawo pakugadzirisa zviratidzo. Mishonga inoshandiswa inogona kusanganisira:
Kukurudzira kwemagetsi - zvinyoro zvinyoro zvemagetsi zvinoshandiswa kumamhasuru.
chando
Vasopneumatic compression, uko iyo inflatable sleeve inoshandiswa kugadzira kumanikidza kutenderedza nzvimbo, inowanzoshandiswa pakutanga kwekurapa kwemuviri kuderedza marwadzo kana kuzvimba.
Mamwe maitiro, akadai sekutambanudza uye anonangwa maekisesaizi, anosanganiswa nemamwe marapirwo.
Range of Motion
Pakutanga mushure mekuita, gumbo richava rakaoma zvikuru uye rakaoma. Izvi zvinokonzerwa nezvikonzero zvakati wandei, zvinosanganisira kuzvimba uye kuzvimba mushure mekuvhiyiwa uye nguva yakashandiswa isina kufambiswa mubhutsu.
Murapi wepanyama anozoshandisa nzira dzakasiyana siyana dzekuvandudza majoini emajoini ekufamba kuti atenderere uye kuchinjika.
Murapi wepanyama anogona kushandisa kutambanudza kusinganzwisisike kunokonzerwa nekunze kwesimba senge murapi kana bhendi rekudzivirira) kubatsira kuvandudza kufamba.
Manual tekinoroji senge nyoro matishu masaja uye majoini kuunganidza anoshandiswa zvakare. (Massachusetts General Hospital. ND )
Murapi achagadzira chirongwa chekuvandudza imba chinosanganisira maitiro ekuzvitambanudza uye mafambisirwo akapfava.
Gait uye Balance Training
Mushure memavhiki ekugara kubva pamakumbo akabatwa, chiremba anovhiya achabvisa murwere kuti atange kufamba kudzidzira.
Murapi wepanyama anozoshanda kuvandudza iyo yakazara gait pateni uye kuderedza kukamhina.
Vachabatsirawo kushanduka kubva pakushandisa madondoro kana mufambi kuenda kufamba wakazvimirira. (UW Health Orthopedics uye Rehabilitation. 2018 )
Mushure memavhiki akawanda ekuderera kwekufamba uye kushaikwa kwekutakura huremu hupi pamakumbo, mhasuru dzakatenderedza chitsitsinho dzinowanzoita atrophied / kupera simba, izvo zvinogona kukanganisa chiyero.
Kana munhu wacho achigona kutanga kuisa uremu pagumbo, murapi anozoshandisa proprioceptive / pfungwa yekudzidziswa chinzvimbo chemuviri kuvandudza kugadzikana kwese. (UW Health Orthopedics uye Rehabilitation. 2018 )
Maekisesaizi ekuenzanisa achawedzerwa kupurogiramu yepamba uye inofambira mberi kubva vhiki nevhiki.
simba
Mimhasuru yegumbo, chiziso, uye tsoka inopera simba kubva pakuvhiyiwa uye nguva inopedzwa mutsinga kana bhutsu. Izvi zvimiro zvine basa rakakosha mukuenzanisa, kugona kumira, kufamba, uye kukwira kana kudzika masitepisi.
Kuwanazve simba uye simba remasumbu aya ndicho chinangwa chakakosha chekugadzirisa.
Mumavhiki ekutanga, murapi wepanyama achatarisa pane zvinyoro zvekusimbisa zviitwa.
Isometrics inobata zvishoma mhasuru asi dzivisa kutsamwisa nzvimbo yekuvhiya.
Sezvo nguva ichipfuura uye kutakura uremu kunobvumirwa, izvi zvinyoro-nyoro zvinofamba zvinotsiviwa nemamwe anonetsa, semabhendi ekupikisa uye maekisesaizi ekumira, kukurumidza kuwana simba.
Kurapa Ankle Sprains neChiropractic Care
VIDEO
References
Cleveland Clinic. (2021). Total ankle replacement .
Lawton, C. D., Butler, B. A., Dekker, R. G., 2nd, Prescott, A., & Kadakia, A. R. (2017). Yakazara ankle arthroplasty inopesana neankle arthrodesis-kuenzanisa kwezvakabuda mumakore gumi apfuura. Nyaya yekuvhiyiwa kwemapfupa uye tsvagiridzo, 12 (1), 76. doi.org/10.1186/s13018-017-0576-1
Massachusetts General Hospital. (ND). Physical therapy nhungamiro kune yakazara ankle arthroplasty .
UW Health Orthopedics uye Rehabilitation. (2018). Nhungamiro yekudzoreredza inotevera yakazara ankle arthroplasty .
by Dr Alex Jimenez Injury Care , masaja
Kune vanhu vane dambudziko rekufamba kana kushanda zvakajairwa nekuda kwekukuvara, kuvhiyiwa, kana kurwara, chiropractic uye timu yekurapa yemuviri inogona kubatsira kukurumidza kupora?
Friction Massage
Vanhu vanogona kugadzira mavanga enyama kana matishu anonamatira anodzikamisa kufamba kwakajairika mushure mekukuvara kana kuvhiyiwa. Boka rekutarisira marwadzo rinogona kushandisa marapirwo akasiyana siyana uye maitiro uye rinogona kusanganisira friction massage sechikamu chechirongwa chekurapa kwekuvandudza. Friction massage, inozivikanwawo se transverse friction kana cross friction masaja, inzira inoshandiswa kubatsira kuvandudza mavanga mavanga uye adhesion kufamba kuti ifambe zvirinani uye kuderedza iyo yakaipa mhedzisiro. Murapi anoshandisa zvigunwe zvavo kukwiza vanga racho munzira iri pamakona ekurudyi kumutsara wemavanga. Iyo inyanzvi yehunyanzvi inopwanya matishu anonamira ayo ari kudzikamisa kufamba kwakajairika muganda uye pasi pematishu. (Haris Begovic, et al., 2016 )
Scar Tissue uye Adhesions
Kune vanhu vanoda kuvhiyiwa nekuda kwekukuvara kana chirwere chemapfupa, chiremba wavo anocheka muganda, tendon, uye mhasuru tishu panguva yekuvhiya. Kana sutured uye kupora kwatanga, mavanga mavanga anoita. Muviri une hutano unoumbwa ne collagen iyo inoumbwa nemasero akarongwa nenzira yenguva dzose. Hutano collagen yakasimba uye inogona kuramba masimba kana matishu adhonzwa uye akatambanudzwa. (Paula Chaves, et al., 2017 )
Munguva yekuporesa mushure mekukuvadzwa, masero e collagen anoradzikwa pasi nenzira isina haphazard uye anoumba scar tissue. Iko kuunganidzwa kwakangoerekana kwaitika kwemaseru kunova kwakaomarara uye hakuite zvakanaka kune kukakavara uye kutambanudza masimba. (Qing Chun, et al., 2016 ) Muviri unogona kugadzira mavanga mushure mekukuvara kwetishu yakapfava, senge tsandanyama kana kuti tendon strain. (Qing Chun, et al., 2016 )
Kana tsandanyama kana tendon ikamanikidzwa muviri unoburitsa collagen nyowani panguva yekurapa. Iyo collagen nyowani inoradzikwa pasi nenzira isina kujairika, uye mavanga mavanga kana matishu anonamira anogona kuumba ayo anogona kudzikamisa yakajairika nhanho yekufamba. Muviri une hutano unotatamuka uye unotsvedza muviri paunofamba. Scar tissue yakaoma. Panzvimbo yevanga tissue , panogona kuve nekumwe kufamba, asi yakasimba, isinganyanyi kuchinjika, uye inogona kurwadza. Kana mavanga mavanga kana adhesions ari kudzora kufamba, cross-friction massage inogona kuvandudza tishu kuyerera uye kutsvedza. Iyi nzira inonzi remodeling.
Zvinangwa zvemasaji
Zvinangwa uye zvinangwa zvekukwesha massage kune adhesions kana mavanga mavanga anogona kusanganisira:
Kukurudzira nerve fibers kuderedza uye kubvisa marwadzo.
Wedzera kutenderera kweropa kune tishu.
Kushanda nyama yakakanganiswa kuti iparadze mavanga.
Collagen fibers tishu reignment.
Kuvandudza mechanoreceptor basa.
Massage Technique
Friction massage kurapwa kunotevera imwe nzira: (Paula Chaves, et al., 2017 )
Nzvimbo yese yevanga remavanga kana adhesion inofanira kurapwa.
Kana mavanga ari mumhasuru, anofanira kunge akasununguka.
Kana iyo scar tissue iri mu tendon sheath, iyo tendon inofanira kutambanudzwa zvishoma panguva yekuita.
Murapi anoisa zvigunwe zviviri kana zvitatu pamusoro pevanga kana kunamatira uye vanofambisa zvigunwe zvavo perpendicular kune vanga kuti vatsvedzerere collagen fibers pasi.
Zvigunwe uye matishu ari pasi zvinofamba pamwechete.
Iyo massage inofanirwa kunzwa yakadzika uye isina kugadzikana asi isingarwadze.
Panogona kunge paine kurwadziwa, asi kunofanira kuramba kuri mukati mekushivirira kwemunhu.
Kana iyo massage inorwadza zvakanyanya, kushomeka kudiki kunogona kushandiswa.
Mushure memaminitsi akati wandei murapi anoongorora mafambiro enyama.
Kutambanudzira chaiko kunogona kuitwa kurebesa mavanga mavanga kana adhesions.
Pa-kumba maekisesaizi uye kutambanudza kunogona kurongerwa kuchengetedza kuchinjika.
Contraindications
Pane mamiriro ezvinhu apo friction massage haifanirwe kushandiswa uye inogona kusanganisira: (Paula Chaves, et al., 2017 )
Kutenderedza ronda rinoshanda rakavhurika.
Kana pane hutachiona hwehutachiona.
Nzvimbo dzine kuderera kwekunzwa.
Kana calcification iripo mumhasuru kana tendon tishu.
Murapi anotsanangura maitiro uye kuzivisa zvinangwa uye njodzi dzine chekuita nazvo.
Zvirwere Zvakarapwa
Kuongororwa kunogona kurapwa nefriction massage kunogona kusanganisira: (Paula Chaves, et al., 2017 )
Tsandanyama misodzi kana kuomesera.
Kune tendonitis kana tendinopathy.
Mushure mekuputika tendon.
Adhesive capsulitis mubendekete/yakaoma nechando.
Joint contracture.
Ligament misodzi.
Scar tissue buildup mushure mekuvhiyiwa kana kushungurudzika.
Friction massage inzira yakakurumbira inoshandiswa mukurapa kwemuviri, asi kumwe kutsvagurudza kunoratidza kuti haina kunyatso shanda kupfuura mamwe maitiro ekuvandudza. Imwe ongororo yakawana kuti static kutambanudza uye maekisesaizi ainyanya kushanda kupfuura masaja mukuvandudza hurefu hwematishu uye simba muvatambi venhabvu vasina kukuvara. Zvimwe zvidzidzo zvakatsigira izvi, asi vanhu vanogona kuona kuti iyo massage inobatsira kuvandudza kufamba kwematishu akakuvara zvakare. (Mohammed Ali Fakhro, nevamwe. 2020 )
Chinangwa chikuru chekurapa kupi zvako mukurapa kwemuviri ndechekubatsira munhu kuti awanezve kufamba uye kushanduka. Friction massage, yakasanganiswa neyakanangwa kutambanudza uye maekisesaizi, inogona kubatsira vanhu kukurumidza kupora uye kudzokera kune zvakajairika.
Chiropractic Care Mushure meNjodzi uye Kukuvara
VIDEO
References
Begovic, H., Zhou, GQ, Schuster, S., & Zheng, YP (2016). Iyo neuromotor mhedzisiro ye transverse friction massage. Manual therapy, 26, 70-76. doi.org/10.1016/j.math.2016.07.007
Chaves, P., Simões, D., Paço, M., Pinho, F., Duarte, JA, & Ribeiro, F. (2017). Cyriax's deep friction massage application parameters: Humbowo kubva pamuchinjikwa-chikamu chidzidzo ne physiotherapists. Musculoskeletal sainzi & tsika, 32, 92-97. doi.org/10.1016/j.msksp.2017.09.005
Chun, Q., ZhiYong, W., Fei, S., & XiQiao, W. (2016). Dynamic biological shanduko mufibroblasts panguva ye hypertrophic scar kuumbwa uye kudzoreredza. Chinyorwa cheronda repasi rose, 13(2), 257–262. doi.org/10.1111/iwj.12283
Fakhro, MA, Chahine, H., Srour, H., & Hijazi, K. (2020). Mhedzisiro yeyakadzika transverse friction massage vs kutambanudza pakuita kwevatambi venhabvu. Chinyorwa chepasi rose che orthopedics, 11(1), 47–56. doi.org/10.5312/wjo.v11.i1.47
by Dr Alex Jimenez Injury Care , Kukuvara Kwevanhu
Kana kukuvara kwegomarara kuchiitika, kuziva zviratidzo zvinogona kubatsira mukuongororwa, kurapwa, uye nguva dzekupora?
Groin Strain Injury
A strain groin kukuvara kwemukati mechidya tsandanyama. A kudhonza zvidya imhando yehutachiwana hwemasumbu inobata boka remuscular adductor (mhasuru dzinobatsira kukwevera makumbo). (Parisa Sedaghati, et al., 2013 ) Kukuvara kunokonzerwa kana tsandanyama yakatambanudzwa kupfuura zvayakajairwa kufamba, zvichiita kuti misodzi ibude. Matambudziko akanyanya anogona kubvarura tsandanyama nepakati. (Parisa Sedaghati, et al., 2013 )
Kudhonzwa kwemhasuru yezvidya kunokonzera marwadzo nekupfava kunowedzera pakusvina makumbo pamwechete.
Panogonawo kunge paine kuzvimba kana mavanga mukati mezvidya kana mukati mehudyu.
Kudhonza zvidya zvisina kuoma kunotora mavhiki mana kusvika matanhatu kuti apore nekurapwa kwakanaka. (Andreas Serner, et al., 2020 )
zviratidzo
Kudhonza groin kunogona kurwadza, kukanganisa kufamba, kufamba masitepisi, uye / kana kutyaira motokari. Pamusoro pekurwadziwa, zvimwe zviratidzo zvakapoteredza nzvimbo yakakuvara zvinosanganisira: (Parisa Sedaghati et al., 2013 )
Ruzha rwekubuda kana kurira kwekunzwa kana kukuvara kuchiitika.
Kuwedzera kurwadziwa pakukwevera makumbo pamwe chete.
Rufu
Kuzvimba
Kupwanya kwechidya kana mukati mehudyu.
Groin inodhonza inoiswa graded nekuomarara uye kuti yakawanda sei inokanganisa kufamba:
Bhuku 1
Kusagadzikana kwakapfava asi hazvina kukwana kudzikamisa mabasa.
Bhuku 2
Kusagadzikana kuri pakati nepakati nekuzvimba kana maronda anoganhura kumhanya uye/kana kusvetuka.
Bhuku 3
Kukuvara kwakanyanya nekuzvimba kukuru uye mavanga kunogona kukonzera marwadzo paunenge uchifamba uye mhasuru.
Zviratidzo zvekunetseka kwakanyanya kwegomba
Kuoma kufamba
Kurwadza kwegoro paugere kana kuzorora
Kurwadza kwegororo usiku
Mutariri wehutano anofanirwa kuona kudhonza kwakanyanya kwegomba nekuti mhasuru inogona kunge yakatsemuka kana kuti iri padhuze nekuputika.
Muzviitiko zvakakomba, kuvhiyiwa kunodiwa kuti ubatanidzezve migumo yakabvaruka.
Chimiro chinodhonza ndizvo dzimwe nguva inoperekedzwa nekuputsika kwekunetseka kwepubis / kumberi-kwakatarisana nemapfupa epelvic , iyo inogona kuwedzera zvakanyanya kupora uye kupora nguva. (Parisa Sedaghati et al., 2013 )
Zvinokonzera
Groin pulls inowanzoonekwa nevatambi uye vanhu vanotamba mitambo apo vanofanira kumira uye kuchinja mazano nokukurumidza, vachiisa kunyanya kunetseka pamisungo ye-adductor. (Parisa Sedaghati et al., 2013 ) Ngozi inowedzerwa muvanhu vano: (T. Sean Lynch et al., 2017 )
Iva nemasimba asina simba ehudyu abductor.
Havasi muhutano hwakakwana.
Iva nekukuvara kwekare kana chiuno.
Kudhonza kunogonawo kuitika kubva pakudonha kana zviitiko zvakanyanyisa pasina mamiriro akakodzera.
kuongorora chirwere
Mutariri wehutano achaita ongororo yakakwana kuti asimbise kuongororwa uye kuratidza kuomarara. Izvi zvinosanganisira: (Juan C. Suarez et al., 2013 )
Ongororo Yenhoroondo Yezvokurapa
Izvi zvinosanganisira chero kukuvara kwekare uye zvakananga nezve kupi uye riini zviratidzo zvakatanga.
Kuongorora Kwepanyama
Izvi zvinosanganisira kupuruzira - kubata-bata zvishoma uye kudzvanya nharaunda yegodzi uye kushandisa gumbo kuti unzwisise zviri nani kuti kukuvara kwacho kwakakura kupi uye kwakakura sei.
Imaging Studies
Ultrasound kana X-rays.
Kana tsandanyama kuputika kana kuputsika kuchifungidzirwa, MRI scan inogona kurairwa kuti ione kukuvara kwenyama yakapfava uye kutsemuka kwekunetseka zviri nani.
Kusiyanisa Kuziva
Mamwe mamiriro anogona kutevedzera kudhonza kwegoriro uye zvinoda kurapwa kwakasiyana. Izvi zvinosanganisira: (Juan C. Suarez, nevamwe, 2013 )
Vadivelu Comedy Sports Hernia
Iyi mhando ye inguinal hernia zvinoitika nemitambo uye kukuvara kwebasa.
Zvinokonzera kuti chikamu cheura chipfure nepamusana usina simba mugodzi.
Hip Labral Tear
Uku ndiko kubvaruka mumhete ye cartilage ye labrum kunze kwemupendero wehudyu joint socket.
Hip Osteoarthritis
Iyi ndiyo nzira yekupfeka-uye-kubvarura yeArthritis inogona kuunza nezviratidzo zvemarwadzo ekugomera.
Osteitis Pubis
Uku ndiko kuzvimba kwepubic joint uye zvimiro zvakatenderedza, kazhinji zvinokonzerwa nekunyanyisa kwehudyu nemhasuru dzemakumbo.
Referred Groin Pain
Kurwadza kwetsinga uku kunotangira kuzasi kumashure, kazhinji nekuda kwetsinga yakatsikirirwa, asi inonzwika mugodhi.
mabatiro
Kutanga kurapwa kunochengetedza uye kunosanganisira kuzorora, kushandisa ice, kurapwa kwemuviri, uye kunyorerwa kutambanudza zvinyoro uye kurovedza muviri.
Vanhu vangada madondoro kana chigadziriso chekufamba kuti vaderedze marwadzo uye kudzivirira kumwe kukuvara kana marwadzo akakosha. (Andreas Serner, et al., 2020 )
Kurapa kwepanyama kuchava chikamu chechirongwa chekurapa.
Over-the-counter pain pains seTylenol/acetaminophen kana Advil/ibuprofen inogona kubatsira nekurwadziwa kwenguva pfupi.
Kana pane kurwadziwa kwakanyanya kubva pakukuvara kwegiredhi 3, mishonga yemishonga inogona kushandiswa kwenguva pfupi kuti ibatsire kuderedza marwadzo. (Andreas Serner, et al., 2020 )
Kuvhiya hakuwanzodikanwa. (Andreas Serner, et al., 2020 )
kupora
Nguva dzekupora dzinogona kusiyana zvichienderana nekuoma kwekukuvara uye chimiro chemuviri pamberi pekukuvara.
Kukuvara kwakawanda kuchapora mukati memavhiki mana kusvika matanhatu nekuzorora uye kurapwa kwakakodzera.
Kuomarara kwezvidya kunogona kutora kusvika mavhiki gumi nemaviri kana kupfuura kana kuvhiyiwa kuchibatanidzwa. (Andreas Serner, et al., 2020 )
Kukuvara Rehabilitation
VIDEO
References
Sedaghati, P., Alizadeh, MH, Shirzad, E., & Ardjmand, A. (2013). Ongororo yekukuvara kwemitambo-induced groin. Trauma pamwedzi, 18(3), 107–112. doi.org/10.5812/traumamon.12666
Serner, A., Weir, A., Tol, JL, Thorborg, K., Lanzinger, S., Otten, R., & Hölmich, P. (2020). Dzokera kuMutambo Mushure meCriteria-Yakavakirwa Rehabilitation yeAcute Adductor Kukuvara muVatambi Vechirume: A Anotarisira Cohort Kudzidza. Orthopedic magazini yemishonga yemitambo, 8 (1), 2325967119897247. doi.org/10.1177/2325967119897247
Lynch, TS, Bedi, A., & Larson, CM (2017). Athletic Hip Kukuvara. The Journal of the American Academy of Orthopedic Surgeons, 25 (4), 269-279. doi.org/10.5435/JAAOS-D-16-00171
Suarez, JC, Ely, EE, Mutnal, AB, Figueroa, NM, Klika, AK, Patel, PD, & Barsoum, WK (2013). Yakakwana nzira yekuongororwa kwemarwadzo ekugomera. The Journal of the American Academy of Orthopedic Surgeons, 21 (9), 558-570. doi.org/10.5435/JAAOS-21-09-558
by Dr Alex Jimenez Kukanganiswa kwakakomba , Injury Care
Mafinger sprains uye dislocation zvakajairika kukuvara kwemaoko izvo zvinogona kuitika panguva yebasa, zvemuviri / zvemitambo zviitiko, kana mukudhumhana kwemotokari uye tsaona. Kuziva zviratidzo kunobatsira mukugadzira nzira yekurapa inoshanda here?
Zvigunwe zveChigunwe uye Kubviswa
Zvigunwe zvigunwe uye kuputika zvinowanzoitika kukuvara kweruoko kunokonzera marwadzo uye kuzvimba.
A sprain inoitika kana chigunwe chemunwe chinotsigira chibatanidza chinotambanudzwa kupfuura miganhu yayo nenzira inosimbisa ligaments uye tendon.
Iyo ligament tissue inogona kubvaruka zvishoma kana zvachose. Kana kukanganisa kwakaipa zvakakwana, chibatanidza chinoparadzana.
Uku kutsemuka - Kutsemuka kunoitika kana chibatanidza chiri muchigunwe chabviswa panzvimbo yaro.
Zvose zvinokuvadza zvinogona kukonzera marwadzo uye kuoma mumunwe uye ruoko.
Sprains
Zvigunwe zvinoputika zvinogona kuitika chero nguva iyo munwe unokotama nenzira isina kunaka kana isina kujairika. Izvi zvinogona kuitika kubva pakudonha neruoko kana kukuvadzwa kana uchiita mabasa emuviri semitambo kana mabasa epamba. Sprains inogona kuitika mune chero ipi zvayo yemajoini mumunwe. Zvisinei, kazhinji, chibatanidza chiri pakati pemunwe chinoputika. Iyo inozivikanwa se proximal interphalangeal kana PIP joint. (John Elfar, Tobias Mann. 2013 ) Zviratidzo zvemunwe sprain zvinogona kusanganisira:
mabatiro
Vanhu vanokurudzirwa kuti vasafambisa munwe wakakuvara pavanenge vachipora uye vachipora. Zvinogona kuva zvakaoma kuita, asi kupfeka splint kunogona kubatsira.
Zvitsigiro zvitsigiro zvinowanzogadzirwa kubva mufuro uye simbi inopfakanyika.
Chigunwe chine sprain chinogonawo kusungirirwa kune chimwe cheminwe iri padivi pacho paunenge uchipora, unozivikanwa sebuddy-taping.
Kutsemura chigunwe chakatsemuka paunenge uchiita mabasa kunogona kudzivirira ruoko kubva pakuipa kana kuwedzera kukuvara.
Zvisinei, kutsemuka chigunwe kana chisingadiwe kunogona kuita kuti mubatanidzwa uome. (OrthoInfo. American Academy yeOrthopedic Surgeons. 2022 )
Kukuvara kunozivikanwa se " gamekeeper's thumb" imhando yakakomba ye sprain.
Kukuvara kumarunda pachigunwe chechigunwe kunogona kukonzera kunetsa mukutsikirira uye kubata.
Kukuvara uku kunofanira kazhinji kusungirirwa kumusoro kana kupatsanurwa kwenguva yakati wandei yekupora kuzere uye kungada kuvhiyiwa. (Chen-Yu Hung, Matthew Varacallo, Ke-Vin Chang. 2023 )
Mamwe marapirwo ekubatsira sprained chigunwe anosanganisira:
Simudza ruoko kana ruchizvimba uye rwakazvimba.
Nyoro zvigunwe zviitwa / kufamba kudzivirira kuoma.
Icing chigunwe chakakuvara.
Tora mushonga unorwisa kuzvimba.
Vanhu vasina kutyoka mapfupa kana kutsemura mubatanidzwa vangangokwanisa kufambisa chigunwe chavo mukati mevhiki. Chiremba achaisa nguva yekuti unotanga rinhi kushandisa munwe kazhinji.
Vanhu vanokwenya munwe wavo unonzwa kuzvimba uye kuomarara kwenguva yakareba kupfuura mavhiki mashoma vanokurudzirwa kuonana nachiremba kana nyanzvi.
Ivo vanozoda kutarisa ruoko kuti vaone kuti hapana kuputika kana kuputsika. (OrthoInfo. American Academy yeOrthopedic Surgeons. 2022 )
Zvigunwe zvezvigunwe uye zvigunwe zvemunwe muvana zvingada kuparadzaniswa kana kunyorerwa kwenguva yakareba, sezvo ligament isati yanyatsokura kana yakasimba, iyo inogona kukonzera kubvarura.
Dislocations
Kubviswa kwemunwe kukuvara kwakanyanya kunosanganisira ligament, joint capsule, cartilage, uye mamwe matissue anokonzera kusarongeka kwemunwe. Marunda nemajoini capsule anobvaruka kana mubatanidzwa wabviswa. Iko kubatanidzwa kunoda kugadziriswa, iyo inogona kuva nzira iri nyore, kana mumatambudziko akaoma, varwere vangada kuiswa pasi peanesthesia kana kuvhiyiwa kuti vagadzirise mubatanidzwa zvakanaka.
Muzviitiko izvi, tendon kana mamwe matishu anogona kunge achidzivirira mubatanidzwa kuti upinde munzvimbo.
Kudzosa chigunwe munzvimbo chaiyo inozivikanwa se "kuderedza." Kana yangoderedzwa, chigunwe chinoda kupatsanurwa.
Vanhu vanodawo X-ray kuti vaone kuti mubatanidzwa wakarongedzwa zvakanaka uye kuti chero mapfupa haana kutyoka kana kutyoka pavakatsigira kukuvara. (James R. Borchers, Thomas M. Best. 2012 )
Kana uchinge wagadzikwa patsva, kutarisira chigunwe chabviswa zvakangofanana nemunwe wakadzvanywa. Kushandisa ice pamunwe, kuchengetedza ruoko kukwidziridzwa kuderedza kuzvimba.
Vanhu vanofanirwa kutarisa nachiremba wavo kuti vazive nguva yekutanga kufambisa chigunwe. (James R. Borchers, Thomas M. Best. 2012 )
Iyo Chiropractic Nzira Yekuvandudza Utano
VIDEO
References
Elfar, J., & Mann, T. (2013). Kutsemuka-kudislocation kweiyo proximal interphalangeal joint. The Journal of the American Academy of Orthopedic Surgeons, 21 (2), 88-98. doi.org/10.5435/JAAOS-21-02-88
OrthoInfo kubva kuAmerican Academy yeOrthopedic Surgeons. (2022) Kutyoka kwemaoko .
Hung, CY, Varacallo, M., & Chang, KV (2023). Gamekeeper's Thumb. MuStatPearls. StatPearls Publishing.
OrthoInfo kubva kuAmerican Academy yeOrthopedic Surgeons. (2022) Kutyoka kweminwe .
Borchers, JR, & Best, TM (2012). Kutyoka kwemunwe kwakajairika uye kutsemuka. Chiremba wemhuri yeAmerica, 85(8), 805–810.
by Dr Alex Jimenez utano , Injury Care
Sezvo muviri uchikura kukwanisa kurarama hupenyu zvakakwana kunogona kuoma. Ko kushandisa natural biologics kungabatsira here kuwedzera kugona kwemuviri kupora?
Natural Biologics
Kunyangwe dzimwe nguva iri nzira yekurapa inodiwa, nzira dzekuvhiya dzinogona kuve mutsara wekutanga wekurapa unounzwa kuvarwere. Natural biologics inzira isinga pindike iyo inogona kubvisa kuchipatara uye kukurumidza kupora. (Riham Mohamed Aly, 2020 )
Ndezvipi?
Muviri unoberekwa une zvikamu zvekutanga kupora uye kupora. Izvi zvinosanganisira:
Masero
Cytokines
MaProteins
Collagens
Elastin
Hyaluronic acid
Panguva yekuzvarwa, zvikamu izvi zvinenge zvakawanda asi zvinodzikira nekukura kwemuviri. Ichi ndicho chikonzero vana vanopora kubva mukukuvadzwa nekukurumidza kupfuura vanhu vakuru. Kudzorerwa kwevakuru kunogona kunonoka kubva pakuderera kwezvikamu izvi zvekuporesa kwepanyama. Chinangwa chezvakasikwa biologics kurapwa ndechekuwedzera zvinhu zvekuporesa nekudzoreredza zvikamu zvemuviri wega - autologous - kana nekuunza zvikamu zvitsva - allgeneic - kubva kune anopa. (National Institutes of Health 2016 ) Kusarudza pakati pezviviri izvi zvinoenderana nezera remunhu uye utano hwake, sezvo vanhu vakura kana kuti vane utano husina kunaka vangasangana nematambudziko kubva pakusakwana kwechikamu chacho.
Zvikamu zvekuporesa zvinobva kune vanopa zvinogona kuratidza kuvimbiswa kwakawanda, sezvo marapirwo anowanzo kuwanikwa kubva kune akaraswa ekuzvarwa matissue pakuzvara.
Matishu ekuzvarwa akapfuma muzvikamu zvekuporesa, zvine muunganidzwa wakawanda wezvinhu zvakasikwa zvekuporesa.
Izvo zvakakosha kuti uzive kuti hapana kukuvadza kuna amai kana kumwana kubva kune zvakawanikwa tishu zvigadzirwa.
Autologous Kurapa
Yakatorwa kubva kumunhu anogamuchira cell therapy. (Yun Qian, et al., 2017 )
Platelet-Rich Plasma - PRP
Platelet-rich plasma inorimwa nekudhirowa ropa remunhu nekuritenderedza mucentrifuge kuparadzanisa plasma.
Mvura inobuda inodzoserwa munzvimbo yakakuvara kuti igadzire nzvimbo yekupora.
Iyi fomu yezvakasikwa biologics inoshanda kune vanhu vane kukuvara kudiki kunogona kugadziriswa nyore.
Iyi nzira haibatsiri kune vanhu vakwegura avo vatova nekuderedzwa kwezvikamu zvekuporesa kwepanyama.
Mararamiro akadai sekusvuta, kudya kusina hutano, uye doro / kushandisa zvinodhaka zvinogona kuderedza kushanda kwemishonga yePRP.
Bone Marrow Aspirate
Iyi inzira inoparadza, inorwadza inotanga nekuisa murwere pasi peanesthesia uye kuchera mubhonzo kuti abvise mwongo. (American Cancer Society, 2023 )
Kufanana nePRP, kubudirira kunoenderana nezera remunhu, hutano, uye mararamiro.
Maitiro ekupinda seizvi ane mukana wepamusoro wehutachiona uye anoda nguva yakareba yekupora.
Adipose-Derived Stem Cells
Adipose tissue / mafuta marapirwo anounganidzwa kuburikidza nemaitiro akafanana nemaitiro e liposuction.
Nzira yacho inoitwa pasi peanesthesia yakawanda uye invasive process.
Kana nyama yacho yaunganidzwa, masero anoparadzaniswa uye anodzorerwa. (Loubna Mazini, nevamwe. 2020 )
Kubudirira kwekurapa kunoenderana nehutano hwemunhu, zera, uye mararamiro.
Pane ngozi yakawanda yehutachiona pakusarudza nzira iyi uye nguva yekudzorera kwenguva refu.
Kurapa kweAllogeneic
Donor-based regenerative masero.
Amniotic Fluid Therapy
Amniotic fluid ine akasiyana ekukura zvinhu, cytokines, uye anti-kuzvimba mapuroteni anogona kukurudzira kugadziriswa kwetishu, kuderedza kuzvimba, uye kukurudzira kuvandudzwa kweserura. (Petra Klemmt. 2012 )
Yakaunganidzwa panguva yekuzvarwa, kurapwa uku ndiko kurapwa kwakakodzera kune vanhu vakakuvara kunokanganisa kushanda kwezuva nezuva.
Vanachiremba nevarapi vari kushandisa amniotic fluid therapy kurapa mamiriro mazhinji, kubva kumapfupa kusvika kumaronda.
Amniotic fluid inounganidzwa panguva yekuzvarwa uye yakazara nekuwedzera kuporesa zvikamu zvichienzaniswa ne autologous sources.
Amniotic fluid ndiyo immune-yakasarudzika (inoganhurira kana inodzvinyirira immune immune) uye njodzi yekurambwa ishoma.
Mishonga iyi inowanzoitwa muhofisi yachiremba ine nguva shoma shoma mushure mekurapwa.
Wharton's Jelly
Wharton's jelly inotorwa kubva mumbilical cord panguva yekuzvarwa uye inonyanya kuumbwa nejel substance inoumbwa ne hyaluronic acid uye network ye collagen fibers.
Hunhu hwayo hwakasiyana hunoita kuti ive yakanaka pakudzivirira nekutsigira rukuvhute. (Vikram Sabbapathy, et al., 2014 )
Inotendwa kuve nehuwandu hwemesenchymal stem maseru ane kugona kusiyanisa mumhando dzakasiyana siyana dzemasero, uye zvimwe zvakavanzika kukura zvinhu uye cytokines. (F. Gao, nevamwe, 2016 )
Inoonekwa seyakanyanya kukosha sosi yekusimudzira kuporeswa kweakasiyana matishu, anosanganisira bhonzo, cartilage, ganda, uye nerve tishu.
Iyo ine immune-yakasarudzika ine njodzi shoma yekurambwa uye idiki kana iripo, yekupora nguva mushure mekurapwa muhofisi.
Exosomes
Exosomes madiki, membrane-akasungwa vesicles anoita basa mukutaurirana mukati memuviri. (Carl Randall Harrell, et al., 2019 )
Iwo ane akasiyana bioactive mamorekuru, anosanganisira mapuroteni, lipids, nucleic acids (seRNA), uye mamorekuru anoisa chiratidzo.
Iwo anoshanda semotokari dzekutamisa mamorekuru ekusaina kubva kune imwe sero kuenda kune imwe, achibvumira maseru kuti ape hunhu uye basa remasero ari pedyo kana ari kure.
Zvinogona kuunganidzwa kana kupatsanurwa kubva kune dzakasiyana siyana zvinwiwa zvipenyu uye sero tsika kuburikidza nehunyanzvi hunyanzvi asi dzakasimba zvakanyanya kana dzakaunganidzwa pakuzvarwa.
Iwo exosomes ari mukati meguvhu anoshandiswa kugadzirisa matishu uye kugadzirwa patsva, zvichiratidza maseru kusimudzira: Kuwedzera - kuwedzera kwenhamba yemasero kuburikidza nekupatsanurwa kwesero.
Differentiation - shanduko yemasero asina hunyanzvi kuita maseru akasarudzika.
Kupora kwetishu munzvimbo dzakakuvadzwa kana dzakakuvara.
Exosomes kubva mumbilical cord ine immune-yakaropafadzwa ine njodzi shoma yekurambwa.
Mishonga yakanakira kuwedzera kutaurirana kwesero uye kutanga kugadzirisa kana yapetwa neimwe sosi yeallogeneic therapy senge amniotic fluid kana Wharton's Jelly.
Kusarudza ipi Natural biologics kurapwa ndiyo yakanakisisa yakasiyana nemunhu wese. Pakusarudza marapirwo, zvakakosha kuti vanhu vabvunze vanovapa hutano hwekutanga kuti vaone kuti ndechipi chikumbiro chichava nemhedzisiro yakakwana.
Ko Motion Kiyi Pakupora?
VIDEO
References
Aly RM (2020). Yazvino mamiriro e stem cell-based therapies: mhedziso. Stem cell kuongorora, 7, 8. doi.org/10.21037/sci-2020-001
National Institutes of Health. (2016). Stem Cell Basics .
Qian, Y., Han, Q., Chen, W., Song, J., Zhao, X., Ouyang, Y., Yuan, W., & Fan, C. (2017). Platelet-Rich Plasma Yakagadzirwa Kukura Zvinhu Zvinobatsira Kune Stem Cell Differentiation muMusculoskeletal Regeneration. Miganho mumakemikari, 5, 89. doi.org/10.3389/fchem.2017.00089
American Cancer Society. (2023). Mhando dzeStem Cell uye Bone Marrow Transplants .
Mazini, L., Rochette, L., Admou, B., Amal, S., & Malka, G. (2020). Tariro neMiganhu yeAdipose-Derived Stem Cells (ADSCs) uye Mesenchymal Stem Cells (MSCs) muKupodza Maronda. International Journal of Molecular Sciences, 21(4), 1306. doi.org/10.3390/ijms21041306
Klemmt P. (2012). Kushandiswa kweamniotic fluid stem masero mune yekutanga sainzi uye kuvandudzwa kwetishu. Organogenesis, 8(3), 76. doi.org/10.4161/org.23023
Sabapathy, V., Sundaram, B., VM, S., Mankuzhy, P., & Kumar, S. (2014). Human Wharton's Jelly Mesenchymal Stem Cells plasticity inowedzera ganda risina vanga ringapora nekukura kwebvudzi. PloS imwe, 9(4), e93726. doi.org/10.1371/journal.pone.0093726
Gao, F., Chiu, SM, Motan, DA, Zhang, Z., Chen, L., Ji, HL, Tse, HF, Fu, QL, & Lian, Q. (2016). Mesenchymal stem masero uye immunomodulation: ikozvino mamiriro uye ramangwana tarisiro. Sero rufu & chirwere, 7(1), e2062. doi.org/10.1038/cddis.2015.327
Harrell, CR, Jovicic, N., Djonov, V., Arsenijevic, N., & Volarevic, V. (2019). Mesenchymal Stem Cell-Derived Exosomes uye Zvimwe Zvimwe Zvinyorwa Zvitsva seMishonga Mitsva muTherapy of Inflammatory Diseases. Masero, 8(12), 1605. doi.org/10.3390/cells8121605
by Dr Alex Jimenez Injury Care
Kana vanhu vachinge vaona neuromusculoskeletal kukuvara kwekukuvara, kutevedzera zvakakosha kudhonzwa mhasuru kurapwa mapuroteni kubatsira mukurapa uye kupora kuzere?
Kudhonzwa Muscle Treatment
Kudhonzwa tsandanyama kana tsandanyama kunetsa kunoitika kana tsandanyama yakatambanudzwa kupfuura kugona kwayo zvichikonzera kusagadzikana zviratidzo uye nyaya dzekufamba. Misodzi yeMicroscopic inogona kuitika mukati memhasuru fibers inogona kuwedzera kukuvara. Rudzi urwu rwekukuvara kazhinji runokonzeresa kunyorova kunorwadza kwakanyanya, mavanga, uye kusafamba, uye kukuvara kwetsinga kunogona kukura zvakare. Matambudziko akajairika anosanganisira:
Yakadhonzwa hamstrings
Groin strains
Yakadhonzwa tsandanyama dzedumbu
Matambudziko emhuru
Kudhonzerwa kwemhasuru kurapwa kunoda kushivirira kusimudzira kupora kwakakodzera uye kudzoreredza kwekushanda kwakanaka.
Vanhu vanofanirwa kutarisa pamatanho akasiyana ekuporesa.
Zvishoma nezvishoma wedzera maitiro ekuita sezvo muviri uchibvumira kudzivirira kuoma uye atrophy izvo zvinogona kukonzera matambudziko.
zviratidzo
Zviratidzo zvinowanzoonekwa zverudzi urwu rwekukuvara zvinosanganisira:
Pain
Kufamba zvishoma
Tsvina dzemuviri
Kuzvimba
Kudzora
Kazhinji vanhu vanozonzwa kubatwa kana kubvarura kamwe kamwe uye vobva vatadza kuenderera mberi nechiitwa.
Grading
Kukuvara kwetsandanyama kunoyerwa nekuomarara: (Hospital for Special Surgery. 2019 )
Bhuku I
Kusagadzikana munyoro.
Kazhinji hapana kuremara.
Kazhinji haidziviriri basa.
Bhuku II
Kusagadzikana kuri pakati nepakati
Inogona kuderedza kukwanisa kuita mamwe mabasa.
Inogona kuva nekuzvimba kuri pakati nepakati uye mavanga.
Giredhi III
Kukuvara kwakanyanya kunogona kukonzera kurwadziwa kukuru.
Tsandanyama mhasuru.
Kuzvimba.
Kupwanya kukuru.
Basic Treatment Protocols
Kukuvara kwakawanda kwakadhonzwa kwetsandanyama kunopora nekurapa kuri nyore. Kutevera matanho akakodzera kunogona kuita kuti kukurumidza kupora. Mumatanho ekutanga mushure mekukuvara, pane kuenzana pakati pekuita zvakanyanya kana kusakwana. Kuwanda kwebasa iro munhu achakwanisa kuita, uye nguva inodiwa kuti apore inoenderana nekuoma kwekukuvara. Heano mamwe nhungamiro munzira kwayo.
Zorora
Kuzorora kunokurudzirwa kwekutanga kupora.
Zvichienderana nekuoma kwekukuvara izvi zvinogona kutora kubva kune rimwe kusvika kune mazuva mashanu.
Immobilization kazhinji haidiwi, uye kusafamba zvachose kunogona kutungamirira kumisumbu uye kuoma kwekubatana.
Izvi zvinogona kukuvadza uye kukanganisa kufamba. (Joel M. Kary. 2010 )
Kana kusafamba kuchidikanwa, sekushandisa splint kana cast, kutarisisa kunofanirwa kutariswa ne mutano wehutano .
Kutonhora Therapy
Cold therapy inofanira kutanga nekukurumidza sezvinobvira mushure mekuchengetedza tsandanyama yakadhonzwa.
Kurapa/chando kunobatsira kuderedza kuzvimba, kubuda ropa, uye kurwadziwa. (Gerard A Malanga, Ning Yan, Jill Stark. 2015 )
Cold therapy application inogona kuitwa kazhinji, asi haifanirwe kudarika maminitsi gumi nemashanu panguva.
Stretching
Kutambanudza kwakakosha kuzorodza tsandanyama uye kwekutanga-kuunganidza.
Tsandanyama dzinochengetedza kushanduka dzinobatsira kudzivirira kuwedzera kukuvara.
Kusimbisa
Kukuvara uye nguva yekuzorora kunogona kuderedza simba remhasuru.
Zvakakosha kuvakazve simba usati wadzokera kumabasa emuviri.
Misumbu yakasimbiswa inobatsira kudzivirira kukuvara zvakare.
Kuwedzera Kuita Kudzivirira Tsandanyama Kuneta
Tsandanyama dzakaneta dzine mukana wakakura wokuchengetedza kukuvara. (SD Mair, AV Seaber, RR Glisson, WE Garrett Mwana 1996 )
Kuti udzivise kukuvara iva nechokwadi chekuti mhasuru hadzina kunyanya kusimba.
Zvishoma nezvishoma wedzera maitiro ekuita paunotanga chirongwa chekurovedza muviri kuvaka kutsungirira.
Kunyatsodziya
Kudziya kusati kwaita mabasa emuviri kuchabatsira kusunungura misumbu uye kudzivirira kukuvara.
Kutanga basa kana kurovedza muviri nemhasuru dzakaomarara zvinogona kutungamira kune yakawedzera mukana wekunetseka.
Zvidzidzo zvakaratidza kuti tembiricha inogona kukanganisa kuoma kwemhasuru. (KW Ranatunga. 2018 )
Kuchengetedza kudziya kwemuviri uye tsandanyama kunobatsira kudzivirira kukuvara uye kukuvara zvakare.
Kukuvara uye Chiropractic: Iyo Mugwagwa Wekupora
VIDEO
References
Chipatara Chekuvhiyiwa Kwakakosha, Kushungurudzika Kwetsandanyama: Zvaunoda Kuziva Nezve Tsandanyama Dzakadhonzwa.
Kary JM (2010). Kuongororwa uye manejimendi e quadriceps strains uye contusions. Ikozvino wongororo musculoskeletal mushonga, 3 (1-4), 26-31. doi.org/10.1007/s12178-010-9064-5
Malanga, GA, Yan, N., & Stark, J. (2015). Nzira uye kushanda kwekupisa uye kutonhora kwekurapa kwekukuvara kwemasculoskeletal. Mushonga wepashure, 127 (1), 57-65. doi.org/10.1080/00325481.2015.992719
Mair, SD, Seaber, AV, Glisson, RR, & Garrett, WE, Jr (1996). Basa rekuneta mukunetseka kune acute muscle strain kukuvara. Magazini yeAmerica yemishonga yemitambo, 24 (2), 137-143. doi.org/10.1177/036354659602400203
Ranatunga KW (2018). Tembiricha Mhedzisiro paSimba uye Actin⁻Kudyidzana kweMyosin muMuscle: Kutarisa Kumashure pane Zvimwe Zviwanikwa Zvekuedza. International Journal of Molecular Sciences, 19(5), 1538. doi.org/10.3390/ijms19051538
