Kukanganiswa kwakakomba
Back Clinic Complex Injuries Chiropractic Team. Kukuvara kwakaoma kunoitika kana vanhu vakakuvara zvakanyanya kana njodzi, kana vane nyaya dzakanyanya kuoma nekuda kwekushungurudzika kwakawanda, mhedzisiro yepfungwa, uye nhoroondo dzezvekurapa dzagara dziripo. Kukuvara kwakaomarara kunogona kuve kukuvadzwa kweseri kwekumusoro, kurwadza kwakanyanya kwetishu, uye kupindirana (kunoperekedza kana kubatanidzwa), kukuvara kumidziyo kana tsinga. Kukuvara uku kunopfuura kudarika kwakajairwa uye kushungurudza uye kunoda yakadzika mwero wekuongorora iyo ingasave nyore kuoneka.
El Paso, TX's Injury specialist, chiropractor, Dr. Alexander Jimenez anokurukura nzira dzokurapa, pamwe nekugadzirisa, kurovedza musuru / simba, kudya, uye kudzokera kumabasa emuviri. Zvirongwa zvedu ndezvemuzvarirwo uye zvinoshandisa kugona kwemuviri kuzadzisa zvinangwa zvakayerwa, pane kuunza makemikari anokuvadza, zvinonetsa kutsiva mahormone, maoparesheni asingadiwe, kana zvinodhaka zvinopinda muropa. Tinoda kuti urarame hupenyu hunoshanda hunozadzikiswa nesimba rakawanda, mafungiro akanaka, kurara zviri nani, uye kurwadziwa kushoma. Chinangwa chedu ndechekupa simba varwere vedu kuchengetedza mararamiro ane hutano.
by Dr Alex Jimenez Kukanganiswa kwakakomba , Sciatica
Kune vanhu vanokuvadza mitsipa yavo kana musana, mhasuru dzinogona kuputika kana kubata, zvichiita kuti zviome kupedza zuva rose, maekisesaizi, mabasa emuviri, nezvimwewo. Ko skeletal muscle relaxers ingabatsira here kubvisa marwadzo uye kuderedza kuwandisa?
Back Spasms Muscle Relaxers
Back muscle spasms inowanzorwadza musana inonzwa sekukurumidza kusungirirwa kana kuputika mumasuru emusana. Vanogona kubva padiki twinge kusvika kumarwadzo akaomarara.
Zvinokonzera
Murombo kumira : Kugara kana kumira nechimiro chakashata kunogona kunetsa musana.Kunyanyisa : Kunhonga chimwe chinhu, kukotama, kana kusimudza kunogona kukonzera kutsemuka.nemvura : Kusanwa mvura yakakwana kunogona kukonzera kusagadzikana kwe electrolyte, zvichiita kuti spasms.Pasi pemamiriro ezvinhu : A herniated disc kana degenerative disc chirwere chinogona kukonzera musana spasms.Tsandanyama kusaenzana : Tsandanyama dzisina simba kana tsandanyama dzakanyanya kusimba zvinogona kukonzera spasms.
Mishonga
Mishonga yekumba : Unogona kushandisa kupisa kana chando, kutora pamusoro-the-counter marwadzo mushonga, kuedza zvinyoronyoro kutambanudza, kana kukwiza nzvimbo.kusimbisa muviri : Kuvandudza musana wako simba uye kuchinjika nekurovedza muviri kana kurapa kwemuviri. Hydration uye kudya : Inwa mvura yakakwana uye idya chikafu chine magnesium necalcium. Chiropractic Adjustments : Izvi zvinogona kugadzirisa musana kune chaiyo chinzvimbo uye tsandanyama kuzorora.Kwete-kuvhiya Decompression : Kuparara kwemusana kunobvumira ropa rakawanda uye zvokudya kuporesa nzvimbo dzinorwadza.
Skeletal Muscle Relaxers
Mutariri wehutano anogona kupa skeletal muscle relaxers. Mishonga iyi haiwanikwe pamusoro pekaunda uye inofanirwa kunyorerwa nemupi wehutano.
Skeletal muscle relaxers zvingangokonzera hope.
Vanhu havafanire kutyaira, kushandisa michina inorema, kana kuita zvimwe zviitiko zvemuviri vachitora kumashure spasm muscle relaxers.
Skeletal muscle relaxers hazvikurudzirwi kune 65 kana kupfuura nokuti dzakachengeteka, dzimwe nzira dzinoshanda dziripo.
Uyewo, vakadzi vane pamuviri kana vanoyamwisa havafaniri kutora mishonga iyi.
Kurukura nyaya idzi nemutarisiri wako wehutano.
carisoprodol
Carisoprodol inowanikwa kazhinji uye seSoma neVanadom mhando. Inoshanda nekudzvinyirira nerve impulses iri muuropi nemuzongoza. Vatariri vehutano vanorayira mushonga uyu pamwe chete nekurapa kwepanyama kwekuporesa kuburitswa kwechero tsandanyama spasm uye manejimendi ekukuvadzwa kwemisuloskeletal uye / kana kurwadziwa. (Witenko C. et al., 2014 ) Hazvisi zvekuenderera mberi nekutora mishonga kuti unzwe zviri nani asi zvakanyanya sekusvetuka kutanga kubatsira nechirongwa chekurapa kwemuviri.
Back muscle spasms muenzaniso wakakwana wemamiriro ezvinhu anogona kubatsirwa ne carisoprodol munguva pfupi.
Carisoprodol inogona kuita tsika.
Iva nechokwadi chekutaura nemupi wehutano usati wangoerekana wasiya mushonga uyu.
Carisoprodol inogona kukonzera mhedzisiro inogona kukanganisa kufunga kana kuita.
Dzivisa kunwa doro sezvo zvinogona kuwedzera hope uye dzungu izvo zvinowanzokonzerwa ne carisoprodol. (Zacny JP, Paice JA, & Coalson DW 2012 )
Zivisa mutarisiri wako wehutano nezve chero zvinodhaka allergies, chirwere cheitsvo, kana chirwere chechiropa, kana iwe ukabatwa nepfari.
Cyclobenzaprine
Cyclobenzaprine inowanikwa seAmrix uye mune generic fomu. Kungofanana nedzimwe tsandanyama dzinozorodza, cyclobenzaprine inogona kukonzera chizuru kana kurara. Iyo sedation mhedzisiro ndeye mabatiro aanoita pane zvinorwadza, tension-zadza tsandanyama. Cyclobenzaprine inoshandiswa pamwe chete nekurapa kwepanyama kurapa mamiriro ane skeletal tsandanyama uye / kana kukuvara, kunyanya kana marwadzo kana spasm inobatanidzwa. Kana yakashandiswa pamwe chete nekurapa kwepanyama, inogona kubatsira kukurumidza kupora.
Cyclobenzaprine ikemikari yakabatana ne tricyclic antidepressants.
Kunyange zvazvo ichionekwa sechinobva kune tricyclic antidepressant kirasi, haina kuisa njodzi imwechete kune hutano hwechiropa.
Maererano neNational Institutes of Health, zvikonzero zvekusatora mushonga uyu zvinosanganisira kuve nechirwere chethyroid, moyo block, congestive heart failure, heart rhythm disorder, kana kuti nguva pfupi yadarika yave nechirwere chemoyo. (Witenko C. et al., 2014 )
Metaxalone
Skelaxin izita rezita re metaxalone. Sezvimwe nezvimwe zvinozorodza tsandanyama, metaxalone inoshandiswa pamwe chete nekurapa kwemuviri uye kuzorora kana tsandanyama dzanyanya kusimba. (Witenko C. et al., 2014 ) Inoshanda nekudzvanyirira tsinga muuropi nemuzongoza. Kuwedzera kune vanhu vakura uye vakadzi vane pamuviri, metaxalone haiwanzo kurongerwa kune avo vane chirwere cheitsvo, chirwere chechiropa, pfari, kana kusagadzikana kweropa.
Kukuvadza Chiremba Chiropractic uye Inoshanda Mushonga Kliniki
shure spasms : Zvekuzorodza tsandanyama zvinogona kubatsira vanhu, pamwe nechirongwa chekurapa chemunhu. Injury Medical Chiropractic uye Functional Medicine Clinic inoshanda nevarapi vehutano hwekutanga uye nyanzvi kuvaka hutano hwakakwana uye hutano mhinduro. Isu tinotarisisa pane izvo zvinokushandira iwe kubvisa marwadzo, kudzoreredza basa, kudzivirira kukuvara, uye kudzikisira nyaya kuburikidza nekugadzirisa kunobatsira muviri kuti uzvigadzirise. Vanogonawo kushanda nevamwe vashandi vezvokurapa kuti vabatanidze chirongwa chekurapa kugadzirisa matambudziko emusculoskeletal.
Thoracic Spine Pain
VIDEO
References
Witenko, C., Moorman-Li, R., Motycka, C., Duane, K., Hincapie-Castillo, J., Leonard, P., & Valaer, C. (2014). Mafungiro ekushandiswa kwakakodzera kweskeletal muscle relaxants kune manejimendi acute low back pain. P & T: bhuku rinoongororwa nevezera reformulary management, 39 (6), 427–435.
Zacny, JP, Paice, JA, & Coalson, DW (2012). Subjective uye psychomotor mhedzisiro ye carisoprodol pamwe chete neoxycodone mune vane hutano vanozvipira. Kutsamira pazvinodhaka nedoro, 120 (1-3), 229–232. doi.org/10.1016/j.drugalcdep.2011.07.006
by Dr Alex Jimenez Injury Care , Dambudziko Rekurwa Kwakawanda
Kushandisa ice ndiyo yakanakisa sarudzo kune vanhu vanosangana neacute back strain kukuvara?
Tembiricha Kurapa
Kurapa tembiricha yechando, inozivikanwawo secryotherapy kana kutonhora kurapa, kurapwa kunoshandisa kutonhora kwechando kuderedza marwadzo nekuzvimba. Inogona kushandiswa nenzira dzakasiyana-siyana, kusanganisira:
Ice packs:
Ice massage
Zvipfapfaidzo zvinotonhorera
Mhepo inopisa
Mabhati echando
Ice inowanzokurudzirwa kukuvara kwakanyanya uye inzira yakajairika uye iri nyore yekurapa marwadzo uye kuzvimba. Vanhu vanogona kutenga gel packs kana kugadzira yavo nema ice cubes mubhegi repurasitiki kana tauro. Heat therapy inowanzo shandiswa zvakanyanya nenyaya dzisingaperi dzinosanganisira mhasuru spasms kuwedzera kutenderera kweropa .
Iyo Ice Inobvisa Marwadzo uye Inoderedza Kuzvimba
Kurapa tembiricha yechando kunoshanda ne:
Mitsipa yeropa yakatetepa inononoka kufamba kweropa kunzvimbo yakakuvara uye matishu akapfava uye kunoderedza kuzvimba.
Kuderera kweropa kunobatsirawo kudzora kuzvimba kwakanyanya.
Ice ine yenguva pfupi-analgesic-numbing effect. Kutonhorwa kunopedza tsinga, kunobvisa marwadzo.
Kubvisa marwadzo kunobvumira kuti tsandanyama dzisununguke.
Kudzora kutenderera kweropa kunobatsira kudzora marwadzo nekuderedza kuyerera kwemakemikari anogumbura anogona kupinza nzvimbo yekukuvara. Aya makemikari ndeechisikigo uye mhinduro chaiyo yekuzvimba, asi chando chinovachengeta mukutarisa kuti vabatsire kudzora marwadzo.
Mushure mekukuvadzwa Kwemusana
Nokuda kwekukuvara kwemashure, ice uye mishonga inorwisa-kupisa seNSAID ndiyo mutsara wekutanga wekurapa panguva yekuputika, iyo inowanzotora 24 kusvika maawa 72. Nekuti kupisa kunogona kuwedzera kuzvimba nekuwedzera kutenderera kweropa, hazvikurudzirwe sekutanga kurapwa. Mushure memazuva mashoma ekutanga, vanachiremba vazhinji uye nyanzvi dzemarwadzo dzinokurudzira kushandisa ice kana kupisa, zvichienderana nezvinodiwa nemunhu. Kunyange zvazvo vatsvakurudzi vachiramba vachiongorora nzira dzakanakisisa dzekurapa kukuvara kwakanyanya, vanachiremba vakawanda vachiri kukurudzira ice semutsara wekutanga wekudzivirira kwekukuvara kwemusana.
Ongororo yezvidzidzo yakaongorora mapoka makumi maviri ekurapa akasiyana kuti adzidze nezve kuchengeteka uye kushanda kwawo. (McIntosh G. & Hall H. 2011 ) Mishonga yaisanganisira mishonga inorwadza, acupuncture, McKenzie exercises, mamwe maekisesaizi emusana, uye kurapwa kwekushisa. Nezvekurapwa kwekushisa, kuongorora kwakawana humbowo hune mwero hwekuti kushandisa kupisa kupisa mazuva mashanu mushure mekukuvara kunogona kubatsira kubvisa marwadzo. Nekudaro, pakanga pasina humbowo hwakakwana hwekutsigira kushanda kwechero yekurapa tembiricha, ichida tsvakurudzo yakawanda. (McIntosh G. & Hall H. 2011 )
Physical Therapy uye Basa
Ongororo yakawana kuti kuzorora kwenguva refu kunofanira kudziviswa, uye kurovedza muviri kwakapfava uye kudzoka kunofambira mberi kumabasa emuviri kunofanira kukurudzirwa kuwana mhedzisiro yakanakisa yekuzorodza kurwadziwa uye kudzorera basa. Kuramba uchishanda zvakanyanya kunoderedza nguva yekusava pabasa uye kuremara kwenguva inosvika gore rimwechete kana zvichienzaniswa nekurapa kwechivanhu. (McIntosh G. & Hall H. 2011 ) Tsvagiridzo yakawana zvakare kuti kuunza kurapwa kwemuviri nekukurumidza kunogona kukurumidza kupora. Basa rekufambisa, maitiro anotarirwa, uye kusimbisa kurovedza muviri zvakaratidzwa kubvisa marwadzo, kuderedza kudzoka kwekukuvara, nekuvandudza basa rose. Kutsvakurudza kwakawanda kunotsigira kuita zvemuviri uye maekisesaizi senzira dzekurapa dzinoshanda dzeacute low back strains. Zvakadaro, kumwe kutsvagurudza maererano nekurapa tembiricha kunodiwa. (French SD et al., 2006 ) (Ona QY et al., 2021 )
Kukuvadza Chiremba Chiropractic uye Inoshanda Mushonga Kliniki
Zvakakosha kutaura nemupi wehutano kuti aone chikonzero uye chiyero chekukuvara kuti ape dzidzo yemurwere ega ega maererano nekurapwa. Izvi zvinogona kusanganisira kurapwa kwemuviri, kuzorora, kudzidziswa kwehutano, mishonga, uye kuvhiyiwa, izvo zvinogona kukurudzirwa mune zvimwe zviitiko. Kukurira miganhu iyi kunogoneka. Injury Medical Chiropractic uye Functional Medicine Clinic inoshanda nevarapi vehutano hwekutanga uye nyanzvi kugadzira hutano hwakakwana uye hutano mhinduro. Isu tinotarisisa pane izvo zvinokushandira iwe kudzoreredza marwadzo, kudzoreredza basa, kudzivirira kukuvara, uye kubatsira kuderedza marwadzo kuburikidza nekugadziriswa kwemusana kunobatsira muviri kuzvigadzirisa pachawo. Vanogonawo kushanda nevamwe vashandi vezvokurapa kubatanidza chirongwa chekurapa kugadzirisa nyaya dzemusculoskeletal.
Kupfuura Panyika: Kunzwisisa Migumisiro Yekukuvara Kwemunhu
VIDEO
References
McIntosh, G., & Hall, H. (2011). Marwadzo ekumusana (acute). BMJ kiriniki uchapupu, 2011, 1102.
French, SD, Cameron, M., Walker, BF, Reggars, JW, & Esterman, AJ (2006). Ongororo yeCochrane yekupisa kwepamusoro kana kutonhora kwemarwadzo emusana. Muzongoza, 31(9), 998–1006. doi.org/10.1097/01.brs.0000214881.10814.64
Ona, QY, Tan, JB, & Kumar, DS (2021). Acute low back pain: kuongororwa uye manejimendi. Singapore Medical Journal, 62 (6), 271-275. doi.org/10.11622/smedj.2021086
by Dr Alex Jimenez chirwere chemumajoini , Kukanganiswa kwakakomba , Mitambo Injodzi
Kunzwisisa here kuti ndezvipi bvunzo dzemabvi dzinoshandiswa kubatsira mupi wehutano kuona chikonzero chevanhu vari kurwadziwa nemabvi?
Knee Pain Tests
Kuongororwa kwemabvi ndiyo danho rokutanga pakuziva chikonzero chekurwadziwa kwemabvi. Kuongororwa kwemabvi kwakasiyana kunogona kuitwa panguva yebvunzo kubatsira mupi wehutano kuwana chikonzero uye kugadzira hurongwa hwekurapa hwakakwana. Iyi miedzo inoongorora basa remabvi uye mararamiro ekufamba uye kutarisa mamiriro uye kukuvara kwakadai seArthritis, meniscus misodzi, ACL misodzi, kumwe kukuvara kwe ligament, uye nyaya dzemabvi.
Kutarisa Kana Mumabvi Muine Fluid
Vanhu vazhinji vanoziva kana ibvi ravo rakazvimba, sezvavanogona kuona kana kunzwa kuzvimba. Nekudaro, kana paine mvura yakawandisa mumabvi akabatanidzwa, mupi wehutano anogona kumanikidza iyo joint kuti inzwe kune yakawandisa mvura. Fluid inowanzoonekwa pamusoro pemabvi uye inogona kuomeswa munzvimbo iyi. Fluid inogonawo kuonekwa kumashure kwebvi, inonzi Baker's cyst kana mvura yaungana kuita sumbu. (Frush TJ, & Noyes FR 2015 )
Miedzo yeArthritis
Zvimwe zvakawanikwa zvinowanikwa zvinogona kuona ibvi chirwere chemumajoini :
Crepitus
Crepitus ndiko kunzwa kana shwashwa kana kuti bhonzo riri pachena richikwesha kana ibvi rakakotama. (Lo GH et al., 2018 )
Muongorori achanzwa uye anoteerera kukuya sezvo ibvi rakakotama kumashure uye mberi.
Kuremara
Sezvo cartilage yemabvi inopera, mabvi anogona kugogodza-mabvi zvishoma nezvishoma kana kupfugama-makumbo.
Limited Motion
Kana arthritis, bone spurs, uye kuzvimba zvichidzivirira kufamba kwakajairika, mafambiro emabvi anowanzova mashoma.
Yakabvaruka Meniscus Miedzo
Miedzo inoshandiswa kuona kana kune meniscus misodzi inosanganisira:
Joint Line Hunyoro
Joint line tenderness ndiyo isiri-yakananga bvunzo umo nzvimbo ye meniscus inonzwa. Inonzi muedzo wakanaka kana pane marwadzo munharaunda iyi.
Muedzo waMcMurray
Muedzo uyu unoitwa murwere akazvambarara. Muongorori anokotama ibvi uye anotenderedza shin bone.
Kudzvanya kunogona kunzwika pamusoro pekubvarura sezvo ibvi rinounzwa kubva kuzere kuchinjika kusvika kuzere kuwedzeredzwa. (Gupta Y., Mahara D., & Lamichhane A. 2016 )
Ege's Muedzo
Muedzo uyu unoitwa murwere achigwara.
Muedzo unoitwa negumbo rakazara kunze kutenderedzwa kana mukati kutenderera, zvichienderana nekuti iyo lateral kana medial meniscus iri kuedzwa.
Kudzvanya kunonzwika kana kunzwikwa pamusoro penzvimbo yekubvarura.
ACL Misodzi Miedzo
Iyi miedzo yemarwadzo emabvi ndeye anterior cruciate ligament (ACL) kubvarura:
Lachman Test
Muedzo weLachman ndeimwe yeakanyanya kuvimbika kuongorora ACL misodzi.
Nebvi rakakotama zvishoma, muongorori anodzikamisa chidya achikwevera shin mberi.
Iyo shin inoenda kure kumberi neiyo ACL yakabvaruka.
Anterior Drawer Test
Muedzo uyu unoitwa murwere akazvambarara.
Ibvi rakakotama 90 madhigirii, uye ipapo shin inodhonzwa kumberi kutarisa kugadzikana kwe ACL.
Pivot Shift Muedzo
Muedzo wepivot shift unogona kuoma, kunyanya kana murwere ari kusangana nekusagadzikana uye asingakwanisi kuzorodza ibvi.
Uyu muedzo unoisa kushushikana pamabvi akabatanidzwa uye unoongorora kugadzikana kwekutenderera kweAACL.
Zvimwe Kukuvara KweLigament
Nokuda kwekufungidzirwa kukuvara kune mamwe marunda, kusanganisira iyo posterior cruciate ligament (PCL) , medial collateral ligament (MCL) , uye lateral collateral ligament (LCL) , bvunzo dzinotevera dzinogona kushandiswa:
Posterior Drawer Test
Iyo dhirowa yepashure inoitwa zvakafanana neye anterior dhirowa bvunzo, umo murwere anorara akatambarara.
Ibvi rakakotama 90 degrees; iyo shin inosundirwa kumashure kuti iongorore kugadzikana uye kushanda uye kuona kana posterior cruciate ligament (PCL) yakakuvadzwa.
Collateral Ligament Kugadzikana
Side-to-side kugadzikana kwemabvi kunoona matambudziko neMCL neLCL.
Iyo shin inochinjirwa kune rumwe rutivi, murwere akarara pasi uye ibvi rakakotama zvishoma.
Kukuvadzwa kweLCL kana MCL kunokonzera kuti ibvi rivhure zvakanyanya, chirwere chinozivikanwa se varus (LCL) or valgus (MCL) kusagadzikana. (Ohori T. et al., 2017 )
Kneecap Tests
Miedzo yenyaya dze kneecap inosanganisira:
Patellar Gaya
Mukuedza uku, kunonziwo chiratidzo chaClarke, murwere anorara nemanhede gumbo rakawedzerwa.
Muongorori anosundidzira pfumo pasi kuti abereke marwadzo emabvi apo murwere anoshandura mhasuru dzechidya.
Cartilage yakakuvadzwa inogona kukonzera kunzwa kwekukuya / crepitus.
Patellar Hunyoro
Muongorori anogona kusimudza zvishoma kneecap uye kuisa zvakananga kumanikidziro pane zvikamu zvepasi.
Muongorori anotarisa nzvimbo dzekunzwa kana kurwadziwa.
Patellar Kutya
Uyu muedzo unoratidza kneecap isina kugadzikana.
Muongorori anoisa kumanikidza pa kneecap mune imwe nzira, uye murwere anganzwa sokuti kneecap ichabuda.
Kukuvadza Chiremba Chiropractic uye Inoshanda Mushonga Kliniki
Kuongororwa kwemarwadzo emabvi kunowanzo tarisa huwandu hwekufamba, zviratidzo zvisingafadzi, uye manzwi anogona kuratidza rudzi rwakati rwekukuvara kwemabvi. Injury Medical Chiropractic uye Functional Medicine Clinic inoshanda nevarapi vehutano hwekutanga uye nyanzvi kugadzira hutano hwakakwana uye hutano mhinduro. Isu tinotarisa pane izvo zvinoshanda kwauri kuti ubvise marwadzo, kudzoreredza basa, uye kudzivirira kukuvara. Nezve marwadzo emusculoskeletal, nyanzvi dzakaita sechiropractors, acupuncturists, uye masaja therapists vanogona kubatsira kudzikisira marwadzo kuburikidza nekuchinja kwemusana kunobatsira muviri kuzvigadzirisa. Vanogonawo kushanda nevamwe vashandi vezvokurapa kuti vabatanidze chirongwa chekurapa kugadzirisa nyaya dzemusculoskeletal.
Kukunda ACL Injury
VIDEO
References
Frush, TJ, & Noyes, FR (2015). Baker's Cyst: Diagnostic uye Kuvhiya Kufunga. Hutano hwemitambo, 7(4), 359–365. doi.org/10.1177/1941738113520130
Lo, GH, Strayhorn, MT, Driban, JB, Mutengo, LL, Eaton, CB, & Mcalindon, TE (2018). Subjective Crepitus seRisk Factor yeIncident Symptomatic Knee Osteoarthritis: Data Kubva kuOsteoarthritis Initiative. Kuchengetwa kweArthritis & tsvakurudzo, 70 (1), 53-60. doi.org/10.1002/acr.23246
Gupta, Y., Mahara, D., & Lamichhane, A. (2016). Muedzo waMcMurray uye Joint Line Tenderness yeMedical Meniscus Tear: Dzakakwana Here? Chinyorwa cheEthiopiya chehutano sainzi, 26 (6), 567-572. doi.org/10.4314/ejhs.v26i6.10
Ohori, T., Mae, T., Shino, K., Tachibana, Y., Fujie, H., Yoshikawa, H., & Nakata, K. (2017). Varus-valgus kusagadzikana mune anterior cruciate ligament-deficient knee: mhedzisiro ye posterior tibial load. Chinyorwa chekuedza orthopaedics, 4 (1), 24. doi.org/10.1186/s40634-017-0087-3
by Dr Alex Jimenez Kukanganiswa kwakakomba , Kutemwa nemusoro nekurapwa
Ndeupi rudzi rwemiedzo yeconcussion iripo kubatsira kusimbisa huwandu hwekukuvara kwemusoro uye kubatsira kuongorora kuvandudzwa panguva yekupora?
Concussion Miedzo
A concussion shanduko yenguva pfupi mukushanda kwehuropi kunoitika kubva mukukuvadzwa kwehuropi kana TBI. Inogona kukonzera matambudziko ekufunga uye manzwiro uye inogona kutora mavhiki kusvika kumakore kuti ipore. Miedzo yeconcussion inoitwa mushure mekufungidzirwa kukuvara kwemusoro uye inoshandiswawo mushure mekuongororwa kuongorora kufambira mberi kwekuporesa. Iwo maedzo asingapindire anoyera mashandiro ehuropi. Miedzo yakawanda inosiyana pamapirwo avanoitwa uye kuti inoyera sei.
miedzo
Kukuvara kwakapfava kana kuri pakati nepakati kwehuropi kunogona kukonzera kukuvara kuhuropi kusingaonekwe nemiedzo yekufungidzira kwehuropi. Zvisinei, kukuvara kwacho kunogona kukonzera zviratidzo zvakakomba, zvinosanganisira kutemwa nemusoro, kuchinja kwemanzwiro, kunetseka kuisa pfungwa pachinhu chimwe, uye matambudziko ekuyeuka. (Haider MN et al., 2021 ) Mhedzisiro yekurohwa inogona kuoma kutsanangura, asi kuongororwa kweconcussion kunogona kubatsira kuziva uye kuenzanisa shanduko idzi. Kune vanhu vasina nguva yekuporesa kana kusangana nekumwe kukuvara kwehuropi pavanenge vachipora, mhedzisiro yacho inogona kurebeswa uye kuwedzera. Ichi ndicho chimwe chikonzero nei kuongororwa kweconcussion kwakakosha kuti uwane kuongororwa uye kutevedzera kurudziro yekurapa kudzivirira kuwedzera kukuvara kuhuropi. Kuongororwa kunogona kubatsira kumisa zvinangwa, kugadzirisa, uye kuongorora kuti mhedzisiro inovandudza sei nekufamba kwenguva. Nekuvandudza, vanhu vanogona kutora chikamu mukudzoreredza uye kutevera mirairo yachiremba yavo yekudzokera zvishoma nezvishoma kubasa, chikoro, uye zvimwe zviitiko.
Measurements
Miedzo yeConcussion inogona kuyera zvidiki-diki zvekushanda kwehuropi, sekuona kana kunzwa kwekuona uye kumhanya kwekupindura (Joyce AS et al., 2015 ) Kukuvadzwa kunochengetwa kunogona kukanganisa hunyanzvi uhu, sekunonoka kuita sarudzo. Kukuvara kwehuropi kunoshungurudza kunogona kuve kwakabatana nekukuvara kwakakomba, sekutsemuka kwedehenya, kuzvimba, kuputika, kana kubuda ropa muuropi. Kukuvara uku kunogona kuonekwa nekuedza kwekufungidzira uye kazhinji kunoda kuvhiyiwa kana kumwe kupindira. Kukuvadzwa kwehuropi kubva mukubuda ropa kana kuzvimba kunokonzeresa zviratidzo zvetsinga nezviratidzo, kusanganisira kurasikirwa nekuona zvishoma, kupera simba, uye kushaya simba. Vanhu vanogona kuita concussion pamwe chete nekukuvara kwehuropi kunooneka kana pasina kukuvara kwehuropi.
Mhando dzeMiedzo
Kune akati wandei emhando dzeconcussion tests. Vanhu vanogona kunge vaine imwe kana yakawanda yeiyi, zvichienderana nechiyero chiyero chinoshandiswa muchikoro chavo, nhandare yemitambo, kana nachiremba wavo. Izvi zvinogona kusanganisira:
Online Checklists
Nhamba dzinoverengeka dzakasiyana dzekutarisa dzepamhepo dziripo kuti dzitarise concussion.
Miyedzo iyi inogona kusanganisira mibvunzo pamusoro pezviratidzo uye inowanzoshandiswa sekuzviongorora asi haina kuitirwa kutsiva kuongororwa nana chiremba.
Baseline uye Post-Kukuvara Miedzo
Zvikoro zvakawanda nemaligi emitambo anoita zviyero zveunyanzvi hwepamberi pemwaka, kusanganisira bvunzo dzendangariro kana bvunzo dzekumhanya uye chokwadi, kungave mufomu yekubvunzurudza kana nekuyedza komputa.
Vanhu vanogona kukumbirwa kuti vatorezve bvunzo iyo inoshandiswa sekuenzanisa kana vakasangana nekukuvara kwehuropi.
Yakamisikidzwa Kuongorora kweConcussion - SAC
Iyi bvunzo yemaminetsi mashanu inogona kuitwa padivi mushure mekukuvara kwemitambo kana gare gare.
Iyo inoongorora kutaridzika, ndangariro yekukurumidza, neurologic basa, kutarisisa, uye kunonoka kurangarira. (Kaufman MW et al., 2021 )
King-Devick Concussion Test
Iyi bvunzo yemaminetsi maviri inogona kuitwa padivi mushure mekukuvara kwemitambo kana kuti gare gare kuongorora mutauro, kufamba kweziso, uye kutarisa. (Krause DA et al., 2022 )
Post-Concussion Symptom Scale
Muedzo uyu unosanganisira mibvunzo makumi maviri nemiviri inosanganisira neurocognitive factor, kusanganisira kuomerwa nekuisa pfungwa kana kurangarira, zviratidzo zvemuviri zvakaita sekutemwa nemusoro uye dzungu, uye zviratidzo zvepfungwa sekusuwa kana kushatirwa. (Langevin P. et al., 2022 )
Sport Concussion Assessment Turusi - SCAT
Muedzo uyu unosanganisira ongororo yepa-munda inocherekedza zviratidzo zveconcussion, ndangariro yekuongorora uchishandisa Maddocks mibvunzo (ipfupi rondedzero yemibvunzo chaiyo), Glasgow Coma Scale (GCS), uye cervical spine assessment.
Kuongororwa kwekunze-mumunda kunosanganisira kuongororwa kwekuziva, neurological, kuenzanisa, uye kunonoka kurangarira. (Kaufman MW et al., 2021 )
Buffalo Concussion Physical Examination – BCPE
Ongororo yakagadziridzwa yemuviri inoongorora kupfava kwemutsipa uye huwandu hwekufamba, musoro, shaya, uye kusarongeka kwechiso, kuongorora kwekufamba kweziso, uye kubatana. (Haider MN et al., 2021 )
Mushure mekurohwa, vanhu vanozoongororwawo muviri, kusanganisira kuongororwa kwetsinga, muhofisi yachiremba.
Results
Chiremba anozoongorora zvichienderana nezviratidzo, kuongororwa kwemuviri, uye mhedzisiro yebvunzo yeconcussion. Semuenzaniso, kune vanhu vakatyoka mapfupa akati wandei uye vari kutora marwadzo ane simba mishonga, concussion test results inogona kunge isina kujairika kunyangwe vasina kusangana ne concussion. Mhedzisiro yekuongorora mhirizhonga inogona kuenzaniswa nemigumisiro pamberi pekukuvara kwemusoro. Kazhinji, kuyedzwa kwekutanga kunodiwa kuti utore chikamu mune mamwe maligi emitambo panhanho dzehunyanzvi uye dzeamateur. Nhamba yakaderera inogona kuratidza kuti kukuvara kwemusoro kwakakanganisa kushanda kwehuropi. Dzimwe nguva, kuyedzwa kunogona kuitwa mukati memaawa mashoma ekurwadziwa kwemusoro uyezve zvakare mazuva mashoma gare gare. Mhinduro dzevanhu vasina kuyerwa kusati kwaitwa a kukuvara mumusoro inogona kuenzaniswa neavhareji yemigumisiro yevanhu vezera ravo.
Kukuvadza Chiremba Chiropractic uye Inoshanda Mushonga Kliniki
Injury Medical Chiropractic uye Functional Medicine Clinic inoshanda nevarapi vehutano hwekutanga uye nyanzvi kugadzira hutano hwakakwana uye hutano mhinduro. Isu tinotarisa pane izvo zvinoshanda kwauri kuti ubvise marwadzo, kudzoreredza basa, uye kudzivirira kukuvara. Nezve marwadzo emusculoskeletal, nyanzvi dzakaita sechiropractors, acupuncturists, uye masaja therapists vanogona kubatsira kudzikisira marwadzo kuburikidza nekuchinja kwemusana kunobatsira muviri kuzvigadzirisa. Vanogonawo kushanda nevamwe vashandi vezvokurapa kuti vabatanidze chirongwa chekurapa kugadzirisa nyaya dzemusculoskeletal.
Lumbar Spine Injuries muMitambo: Chiropractic Healing
VIDEO
References
Haider, MN, Cunningham, A., Darling, S., Suffoletto, HN, Freitas, MS, Jain, RK, Willer, B., & Leddy, JJ (2021). Kutorwa kweBuffalo Concussion Physical Examination ngozi yekunonoka kupora (RDR) mamakisi kuona vana vari panjodzi yekuenderera mberi postconcussive zviratidzo. Magazini yeBritish yemishonga yemitambo, 55 (24), 1427-1433. doi.org/10.1136/bjsports-2020-103690
Joyce, AS, Labella, CR, Carl, RL, Lai, JS, & Zelko, FA (2015). Iyo Postconcussion Symptom Scale: kushandiswa kwetatu-chinhu chimiro. Mushonga nesainzi mumitambo nekurovedza muviri, 47(6), 1119-1123. doi.org/10.1249/MSS.0000000000000534
Kaufman, MW, Su, CA, Trivedi, NN, Lee, MK, Nelson, GB, Cupp, SA, & Voos, JE (2021). Izvozvi Mamiriro Ezvino E Concussion Assessment Scales: A Critical Analysis Ongororo. JBJS wongororo, 9(6), e20.00108. doi.org/10.2106/JBJS.RVW.20.00108
Krause, DA, Hollman, JH, Breuer, LT, & Stuart, MJ (2022). Validity Indices yeKing-Devick Concussion Test muHockey Players. Clinical magazine yemishonga yemitambo: chinyorwa chepamutemo cheCanadian Academy yeSport Medicine, 32 (3), e313-e315. doi.org/10.1097/JSM.0000000000000938
Langevin, P., Frémont, P., Fait, P., & Roy, JS (2022). Kupindura kwePost-Concussion Symptom Scale yekutarisa Clinical Recovery Mushure meConcussion kana Mild Traumatic Brain Injury. Orthopedic magazini yemishonga yemitambo, 10 (10), 23259671221127049. doi.org/10.1177/23259671221127049
by Dr Alex Jimenez Kukanganiswa kwakakomba , Injury Care
Ko marapirwo emuviri anogona kubatsira vanhu vane Colles' kana wrist kutyoka?
Kuputsika kweColles
Wrist yakatyoka kana Colles fracture inogona kuva chiitiko chinorwadza uye chinoshungurudza. Vanhu vangasakwanisa kuita mabasa avo kana kuita zvekutandara. A Colles fracture kutyora muradius bhonzo re forearm rinoitika pedyo nechanza, kazhinji inenge inch kubva kumucheto kwebhonzo. Imhando yakajairika yekutyoka wrist inowanzokonzerwa ne achiwira paruoko rwakatambanudzwa . (American Academy yeOrthopedic Surgeons, 2022 ) Munhu wacho paanomhara paruoko rwake, panoperera pfupa repfupa rinotsemuka rosundirwa kuruoko rwomukati. Kana wrist ikachinjika kana ichidonha paruoko, radius inogona kutyoka yoenda kumberi kwechanza. Uku kunonzi kutsemuka kwaSmith. (Matsuura, Y. et al., 2017 ) Chikwata chekurapa kwemuviri chinogona kubatsira kuvandudza mafambiro ekushanda kukurumidza uye zvakachengeteka kudzokera kune yakajairika basa.
zviratidzo
Vanhu vakatambura nekushungurudzika kuruoko rwavo kana kuti vakawira paruoko rwavo kana ruoko vanogona kunge vane Colles fracture. Zviratidzo uye zviratidzo zvechanza kana Colles kuputsika zvinosanganisira: (American Academy yeOrthopedic Surgeons, 2022 )
Kudzora
Kutadza kufamba muchanza.
Kuzvimba ruoko, chanza, kana ruoko.
Pain
Kuremara kunoonekwa kana bundu kuseri kweruoko pedyo nechanza.
Kutanga Kurapa
Vanhu vakadonha vakakuvara chanza neruoko uye vanofungidzira kutyoka kweColles vanotsvaga kurapwa nekukurumidza. Fonera varapi vehutano kana zivisa kukiriniki yemunharaunda ye emergency. Kusiiwa isina kurapwa, inogona kukonzera matambudziko uye kurasikirwa zvachose kweruoko uye ruoko. (American Academy yeOrthopedic Surgeons, 2022 )
X-ray inoratidza kutsemuka kwechanza.
Nekuda kwekurwadziwa uye kuzvimba, zvinokurudzirwa kuti vanhu vaise ice pack pamaoko nemaoko avo kudzamara vasvika kune vehutano kana kamuri yekukurumidzira. Iyo RICE musimboti inogona kubatsira kudzora kuzvimba uye kuderedza marwadzo kusvika nyanzvi yekurapa yakwanisa kupa kurapwa. Kurapa kwekutanga ndiko kuderedza kuputsika. Apa ndipo apo mupi wehutano anogadzika bhonzo rakatyoka kana mapfupa adzokera panzvimbo chaiyo kuti ave nechokwadi chekupora. Izvi zvinoitwa nemaoko kana pfupa rakatyoka risiri kure zvakanyanya. Kana kuputsika kwakanyanya, chirongwa chekuvhiya chinozivikanwa sekuzarura kuderedzwa kwemukati kugadzirisa kana ORIF inogona kudiwa kuderedza kuputsika. (American Academy yeOrthopedic Surgeons, 2022 )
Kana imwe nguva kuputsika kwave kuderedzwa, kunofanira kunge kusina kufamba. Izvi zvinoitwa nekukandira kana simbi. Vanhu vangangodiwawo kupfeka chipfuramabwe. Vangada kushanyira chiremba wepanyama kuti vadzidze kupfeka chipfuramabwe zvakanaka. Zvakakosha kuchengetedza mapfupa asina kusimba kuti aporeswe. Bvunza mushandi wezvehutano nezvemibvunzo nezve cast, sling, kana brace.
Therapy Therapy
Mushure memavhiki mana kusvika matanhatu ekusagadzikana, mupi wehutano anogona kubvisa cast uye kutumira murapi wepanyama kana timu. (American Academy yeOrthopedic Surgeons, 2022 ) Murapi wepanyama anogona kuyera uye kuongorora marwadzo, kuzvimba, kufamba kwekufamba, nekusimbisa. Murapi wepanyama anogona kuongorora mavanga ekuvhiya uye kuongorora ruoko, ruoko, uye ruoko rwevanhu vakaita chirongwa cheORIF kudzikisa kuputsika. Mushure mekuongorora kwekutanga, murapi wepanyama achashanda nemurwere kugadzira chirongwa chakakodzera chekutarisira kubatsira kuvandudza kukanganisa uye kusakwanisa kushanda. Murapi anogona kuraira chirongwa chekurovedza muviri zvakare.
Marwadzo uye Kuzvimba
Vanhu vanogona kunzwa kurwadziwa uye kuzvimba pamaoko avo nemaoko.
Murapi wepanyama anogona kupa vanhu marapirwo akasiyana siyana uye maitiro ekubatsira kuderedza kuzvimba uye kurwadziwa.
Range of Motion
Mushure mekutyoka kweColles, vanhu vanogona kurasikirwa neruoko, ruoko, uye kufamba kwegokora.
Bendekete rinogonawo kusimba, kunyanya mushure mekupfeka chipfuramabwe.
Range yekufamba maekisesaizi eruoko, wrist, uye gokora zvinogona kurairwa.
simba
Kupera simba kunowanzoitika mushure mekutyoka kweColles.
Zviitwa zvinotarisa ruoko, wrist, uye simba regokora zvinogona kurairwa.
Kumba-maekisesaizi uye kutambanudza kunozowana zvakanakisa mhedzisiro kubva mukurapa kwemuviri.
vanga tishu
Vanhu vakamboita ORIF maitiro vanogona kunge vaine mavanga mavanga akagadzirwa akapoteredza nzvimbo yekuvhiya.
Murapi wepanyama anogona kuita scar tissue massage uye kuunganidza kubatsira kuvandudza kufamba uye anogona kudzidzisa varwere maitiro ekuzvikwiza.
Kukuvadza Chiremba Chiropractic uye Inoshanda Mushonga Kliniki
Mushure memavhiki mashoma ekurapwa kwemuviri, vanhu vanofanirwa kuona mafambiro uye simba ravo zvichivandudza apo kurwadziwa uye kuzvimba kuchiderera. Vanhu vanowana zviri nyore kushandisa maoko nemaoko avo kuita mabasa anoshanda. Kunyange zvazvo kuputsika kuchifanira kuporeswa zvakakwana mavhiki matanhatu kusvika masere mushure mekukuvara, vanhu vanogona kunge vachiri vashoma kune zvingangoita 12 kusvika kumavhiki e16. PaInjury Medical Chiropractic uye Functional Medicine Clinic, tinotarisa pane izvo zvinoshanda kune wese murwere kudzorera basa. Kana kumwe kurapwa kuchidiwa, vanhu vanozoendeswa kukiriniki kana chiremba anonyatsokodzera kukuvara kwavo, mamiriro avo, kana hurwere.
Kukuvadza Kwevanhu Kuvandudza
VIDEO
References
American Academy yeOrthopedic Surgeons. (2022). Distal radius fractures (chanza chakatyoka). orthoinfo.aaos.org/en/diseases-conditions/distal-radius-fractures-broken-wrist/
Matsuura, Y., Rokkaku, T., Kuniyoshi, K., Takahashi, K., Suzuki, T., Kanazuka, A., Akasaka, T., Hirosawa, N., Iwase, M., Yamazaki, A., Orita, S., & Ohtori, S. (2017). Kutyoka kwaSmith kunowanzoitika mushure mekudonha muchanza cheruoko. Journal of orthopedic research: kuburitswa kwepamutemo kweOrthopedic Research Society, 35 (11), 2435-2441. doi.org/10.1002/jor.23556
by Dr Alex Jimenez Arthropathies , Chiropractic Examination , Dambudziko Rekurwa Kwakawanda
Kurwadziwa shure ndechimwe chezvikonzero zvinowanzoitika zvekutsvaga hutano hwehutano. Vanhu vanorwara nemarwadzo ekumusana asi vasingazive chikonzero vanogona kunge vaine chirwere chekuzvimba majoini kana autoimmune mamiriro. Kuona rheumatologist kunogona kubatsira here?
Rheumatologist
Zvichienderana nekuti chii chiri kukonzera kurwadziwa kumashure, vanhu vangangoda kuona chiremba wavo wekutanga kuti vatumirwe. Vanhu vanokurudzirwa kuti vaone rheumatologist kana vane marwadzo ekumusana kusingabvi mukukuvadzwa kusingaendi mushure memavhiki mashomanana, kurwadziwa kunodzoka mushure mekurapwa, kana zviratidzo zvinoratidza chirwere cherheumatic. Rheumatologists vanorapa kurwadziwa kwakanyanya kana kunoramba kuchienderera mberi uye inyanzvi muzvirwere zve autoimmune, zvinosanganisira lupus, Sjogren's syndrome, rheumatoid arthritis, ankylosing spondylitis, axial spondylitis, Psoriatic arthritis, uye mamwe marudzi ekuzvimba kana autoimmune arthritis.
Vanoitei?
Rheumatologist inyanzvi kana chiremba wevana akapedza kudzidziswa kwakakosha mukurapa mamiriro anoti:
Kuvhiringidza
Autoimmune
Zvinoenderana nechirwere chejoint chinorwadza
Vanachiremba vanoongorora, kurapa, uye kugadzirisa mamiriro aya kwenguva refu. Zvichienderana nekuongororwa uye zvinodiwa zvekuchengeta, vanogonawo kutungamira kana kuve chikamu chechikwata chinosanganisira vamwe vatapi vehutano.
zviratidzo
Kana tsandanyama dzichirwadza, marwadzo aripo, kana majoini achirwadza, uye kunyanya kana paine zviratidzo zvekuzvimba zvisingapere, kuona mupi wehutano anokurudzirwa. Zviratidzo zvekuputika zvinosanganisira:
Rufu
Kuzvimba
Pain
Kushushikana
Kurasikirwa kwebasa rekubatana
Kazhinji, kuti vaone rheumatologist, vanhu vanoda kutumirwa kubva kune wavo wekutanga muchengeti uye vanogona kutumirwa kana:
Hapana humbowo hwekukuvara kwemusana.
Mishonga yekumba senge kupisa kupisa, mishonga yekurapa, kana kurapwa kwemuviri hakuna kubudirira.
Pane kusava nechokwadi kuti chii chiri kukonzera kurwadziwa kwemusana, asi ndinofungidzira kuti irheumatological.
Kuongororwa kweropa kwezviratidzo zvekuzvimba kana mamwe masoja ekudzivirira chirwere anoburitsa mhedzisiro isina kujairika.
Pane kuongororwa kwechirwere cherheumatic uye kurudzira nyanzvi kuti igadzirise.
Kune nhoroondo yemhuri yerheumatic kana autoimmune mamiriro ayo anogona kukonzera kurwadziwa shure.
Pane chirwere chisingaperi chinorwadza chinozotanga kurwadziwa shure (Chipatara Chekuvhiyiwa Kwakakosha, 2023 )
Vanhu vanogona zvakare kuendeswa kune rheumatologist kana kurwadziwa kwavo kumashure kuchiperekedzwa ne:
Mamwe marudzi eArthritis anogona kukonzera zvachose, kufambira mberi kwekukuvara kwemajoini.
Conditions
Mamiriro ezvinhu anogona kukanganisa musana uye kukonzera kurwadziwa shure uye anorapwa ne rheumatologist anosanganisira: (Johns Hopkins Mushonga, 2024 )
Rheumatoid arthritis (RA)
Izvi zvinowanzotanga mumajoini madiki emaoko netsoka uye gare gare zvinoenda kumutsipa uye / kana kumashure.
Inogonawo kukanganisa nhengo dzemuviri dzakasiyana uye ine systemic zviratidzo.
Ankylosing Spondylitis (AS)
Kunyanya chirwere chemusana, chinogonawo kukanganisa mapepa, mahudyu, mabvi, uye zvitsitsinho.
Zviratidzo zvehurongwa, kusanganisira fivha uye kuneta, zvinogona kuratidza.
Axial Spondylitis
Izvi zvinonyanya kukanganisa musana, chipfuva, uye pelvis.
Inogonawo kukonzera matambudziko neanobatanidza tishu, maziso, ura, uye ganda.
Psoriatic Arthritis (PSA)
Marwadzo muzasi kumashure anowanzoitika, kunyanya mumatambudziko akaoma.
Inogona kukanganisa mamwe majoini uye kukonzera psoriasis.
Reactive Arthritis
Uku ndiko kuita kwechirwere.
Inowanzoitika mumakumbo, maoko, uye tsoka dzemakumbo asi inogona kusanganisira musana.
Enteropathic Arthritis
Izvi zvinonyanya kukanganisa musana asi zvinogona kusanganisira mamwe majoini.
Inobatanidzwa nechirwere chinoputika.
Zvirwere zve autoimmune izvo zvisingatarise musana asi zvinogona kukonzera kurwadziwa shure zvinosanganisira:
Lupus
Sjögren's syndrome
Hashimoto's thyroiditis
Kutsvaga Chiremba
Vanhu vanogona kunge vakanaka nesarudzo yavo yekutanga yehutano maererano neiyo rheumatologist yekuona. Nekudaro, ivo vangangoda kutsvagisa dzimwe sarudzo kuti vave nechokwadi chekuti rheumatologist yakasarudzwa. Zvinhu zvekutarisa zvinosanganisira:
Tsvaga online zvinyorwa zvekurapa.
Shanyira mawebhusaiti evanachiremba vari kutariswa kuti vadzidze zvakawanda nezve kudzidziswa kwavo, maitiro, uye hunyanzvi.
Tarisa online wongororo.
Tarisa pahutano hwehutano hwehutano.
Bvunza nhengo dzechikwata chezvehutano, shamwari, uye mhuri kuti vakurudzire.
Bata mahofisi erheumatologists kuti uone kana vari kugamuchira varwere vatsva.
Kana wangosarudza, endesa ruzivo kune chiremba wekutanga wekuchengeta kuti vagone kutumira.
Kugadzirira Kushanya Kwekutanga
Usati waona rheumatologist mutsva, tora maminetsi mashoma kugadzirira kuitira kuti iwe ugone kuita zvakanyanya pakugadzwa. Munhu mumwe nomumwe achada kuva:
Rondedzero yezviratidzo zvine chekuita neshure, kusanganisira kuwanda uye kuomarara.
Rondedzero yezvinoita kuti zviratidzo zvive nani kana zvakanyanya.
Ikopi yezvichangobva kuongororwa zvabuda uye zvinyorwa kubva kune vamwe vanachiremba.
Vanhu vanogona kukumbira vanovapa kuti vatumire ruzivo rwavo rwekurapa kuhofisi yerheumatologist pamberi.
Rondedzero yemishonga yakaedzwa uye kuti yakashanda sei.
Rondedzero yemishonga yese, over-the-counter uye prescription, supplements, uye mishonga yemakwenzi yakatorwa.
Rondedzero yemishonga yemishonga.
Yakazara nhoroondo yezvekurapa uye nhoroondo yemhuri yezvinogona hukama zvirwere.
Rondedzero yemibvunzo chero ine chekuita nemamiriro, kurapwa, nezvimwe.
Kana zvichiita, zadzisa chero mapepa ehofisi itsva pachine nguva kuti uchengetedze nguva pazuva rekuronga.
Kukuvadza Chiremba Chiropractic uye Inoshanda Mushonga Kliniki
Kutaura nemupi wehutano kwakakosha. Injury Medical Chiropractic uye Functional Medicine Clinic inoshanda nevanopa hutano hwekutanga uye nyanzvi kugadzira zvirongwa zvekurapa zvemunhu. Kushandisa nzira yakabatanidzwa yekurapa kukuvara uye kusingaperi kurwadziwa syndromes kuvandudza kushanduka, kufamba, uye agility uye kubatsira vanhu kudzokera kumabasa emazuva ose. Kana mamwe marapirwo achidiwa, Dr. Jimenez akabatana nevanovhiya vepamusoro, nyanzvi dzekiriniki, vatsvakurudzi vezvokurapa, uye vanopa rubatsiro.
Quick Patient Initiation process
VIDEO
References
Hospital for Special Surgery. (2023). Chii Chinonzi Rheumatologist uye Ndeapi Mamiriro Avanorapa? www.hss.edu/conditions_what-is-a-rheumatologist.asp#when
Yale University Chikoro cheMishonga. Dee, JE (2021). 5 zvikonzero nei murwere achifanira kuona rheumatologist. medicine.yale.edu/news-article/5-zvikonzero-tokuona-a-rheumatologist/
National Institute of Arthritis uye Musculoskeletal uye Skin Zvirwere. (2023). Autoimmune zvirwere. Zvakatorwa kubva www.niams.nih.gov/health-topics/autoimmune-diseases
Johns Hopkins Mushonga. (2024). Spinal arthritis (arthritis kumashure kana mutsipa). www.hopkinsmedicine.org/health/conditions-and-diseases/spinal-arthritis
by Dr Alex Jimenez Kukanganiswa kwakakomba , Mamiriro Ekutongwa
Vanhu vanobata nezviratidzo zvakadai sekurwadziwa kamwe kamwe, kushaya simba, uye unyoro kumashure kwebvi vanogona kuve nekukuvara kwehamstring. Kuziva zviratidzo uye kuzvitarisira kunogona kuunza zororo here?
Hamstring Pain Kuseri Kwemabvi
Iyo hamstrings ine mamhasuru matatu akareba anodzika kumashure kwechidya, achiyambuka nepamusoro pemabvi, uye akabatana nemapfupa munzvimbo iyoyo. Kukuvara kwehamstring, senge kushungurudza kana kuchema , tendonitis, kana biceps femoris tendinopathy, inogona kukonzera marwadzo kumashure kwebvi, kuoma kupfugama, kuzvimba, uye kuputika. A hamstring strain inoitika kana tsandanyama yakatambanudzwa kure kana kubvaruka zvachose. Izvi zvinogona kuitika kubva kamwe kamwe, kufamba kwechisimba kana kutambanudza. Hamstring tendonitis inokura nekufamba kwenguva, kazhinji mushure mekuwedzera kamwe kamwe mukuita, apo hamstring tishu haigone kupora kubva pakuremedza zvakanyanya. Marwadzo anowanzo kunzwika mushure mekuita muviri uye kurovedza muviri uye, mumatambudziko akaoma, panguva yebasa kana zuva rose. Biceps femoris tendinopathy inogonawo kukonzera marwadzo kumashure kwebvi. Matambudziko, tendonitis, bursitis, uye tsandanyama misodzi zvese zvinogoneka tsananguro yekukuvara kwehamstring kunotungamirira kumarwadzo kumashure kwemabvi. Kukurukurirana zviratidzo zvinorwadza nemupi wehutano hwehutano zvinokurudzirwa, kunyanya kana zvikaitika kamwe kamwe panguva yekurovedza muviri kana kurovedza muviri. Vanogona kubatsira kuziva chikonzero chaicho uye kupa hutungamiri hwekugadzirisa, kusanganisira kurapa kwepanyama kutumira.
Zvinokonzera uye Zvinokonzera
Vanhu vanogona kunzwa kurwadziwa kwehando kuseri kwemabvi kana tsandanyama dziri munzvimbo iyoyo dzanyanya kushanda, kuputika, kana kukuvara, senge kubva muzviitiko zvakaita sekumhanya, kufamba, kutamba, nhabvu, kana basketball. Mhando dzekukuvara dzinogona kuitika uye zvikonzero zvadzo.
Tendonitis
Strain kana kubvarura
Bursitis
Uku kuzvimba kwemasaga madiki akazadzwa nemvura anobatsira majoini ekumisikidza panguva yekufamba.
Kuzvimba kubva bursitis kunogona kukanganisa tsinga mukati me hamstring, zvichikonzera kurwadziwa. (American Academy yeOrthopedic Surgeons, 2020 )
Pes anserine
Muscle Overload
Zvakaoma Nyaya
Zvizhinji zvinokonzera kurwadziwa kuseri kwemabvi zvinorapika nyore kumba nekuzvitarisira uye kuzorora. Nekudaro, inogona kuve yakanyanya kuomarara, kuratidza kuvharika kweropa, hutachiona, tsandanyama yakabvaruka kana tendon/ligament. Hamstring kurwadziwa kwemabvi kunogona kunge kwakakomba kana chimwe chezvinotevera chikaitika (American Academy yeOrthopedic Surgeons, 2021 )
Kamwe kamwe kurwadziwa panguva yekurovedza muviri, kazhinji panguva yekufamba kwakazara.
Kunzwa pop kana kurwadziwa kwakanyanya kunokonzera kudonha kana kukamhina.
Marwadzo anowedzera nekufamba kwenguva uye anodzivirira kana kutadzisa kufamba kana kuita maekisesaizi semazuva ose.
Kana kurwadziwa kwakanyanya uye kusingagadzirisi nekuzorora uye anti-kuzvimba mishonga, kuongororwa nenyanzvi yehutano inodiwa.
Inoongorora Hamstring Pain
Mumwe mupi wehutano achabvunza nezve zviratidzo uye kukuvara, kusanganisira zvakaitika apo kurwadziwa kwakatanga. Vachaita ongororo yemuviri, iyo inogona kusanganisira kudzvanya kuseri kwechidya kutsvaga kuzvimba, mavanga, kupfava, kana mhasuru dzakasungwa. (American Academy yeOrthopedic Surgeons, 2021 ) Mutariri wehutano achakumbira murwere kuti aite zvakananga zvinopesana nekufamba, zvakadai sebhuku rekuongorora tsandanyama, uye kuyera huwandu hwekufamba. Kuongororwa kwekuongorora kunosanganisira X-ray kana MRI kuti uone chiyero chekukuvara uye izvo zvinyoro zvinyoro kana mapfupa angave akabatanidzwa.
Kuzvitarisira
Mutsara wekutanga wekurapa hamstring marwadzo emabvi ndiyo RICE protocol, iyo inosanganisira: (Gomo reSiani, 2024 )
Zorora
Rega chero basa rinokonzera zviratidzo uye kurwadziwa.
Mutariri wehutano anogona kukurudzira madondoro kana scooter yemabvi mumatambudziko akaomarara.
chando
Isa mapepa anotonhora kunzvimbo yakazvimba kana inorwadza kwemaminitsi makumi maviri zuva rese.
Kudzvinyirira
Bhandi remabvi, kuputira, kana bhandeji rinoisa kudzvanya zvinyoro panzvimbo yakakuvara inogona kubatsira kuderedza nekudzivirira kuzvimba.
Elevation
Kusimudza gumbo kumusoro kupfuura mwoyo kuchabatsira kuderedza kuzvimba uye kuunganidza ropa.
Vanhu vangangoda kurara pamubhedha kana sofa uye kusimudza makumbo avo nemapiro.
Vanhu vanogona kushandisa marwadzo epamba-pamba senge acetaminophen kana NSAIDs senge ibuprofen kana naproxen. Nekufamba kwenguva, uye zvichienderana nekuoma kwekukuvara, mupi wehutano anozopa zano pane zvinyoro hamstring kutambanudza uye nzira yekudzoreredza kudzoka mukuita basa remuviri.
Professional Therapy uye Kuvhiya Kurapa
Zvichienderana nekuoma kwemamiriro acho, mupi wehutano anogona kukurudzira mamwe mapindiro, anosanganisira (American Academy yeOrthopedic Surgeons, 2021 )
Immobilization
Mupi wehutano anozopa zano kumisa ibvi kuti ribatsire nekupora kwemhasuru, izvo zvinogona kusanganisira kupfeka mabvi brace kana kushandisa madondoro.
Physical therapy
Mupi wehutano anogona kuendesa murwere kumurapi wepanyama, uyo achaita ongororo yemunhu uye anonyora maekisesaizi anonangwa kuporesa kukuvara uye kuwanazve simba, kushanduka, uye kufamba.
Surgery
Tendon avulsion kukuvadzwa ndeye apo hamstring tendon inobvarura zvachose kubva papfupa, uye kuvhiyiwa kunodiwa kuti ubatanidze tendon.
Platelet-rich plasma - PRP
Platelet-rich plasma yave imwe kurapa kwe hamstring muscle strain kana tendonitis. (Seow D. et al., 2021 )
Kurapa kwacho kunosanganisira kubaya mushonga unobva muropa remurwere uchipinda mutsandanyama kuti aporese kukuvara kwacho.
kupora
Kufanotaura kuti kukuvara kwe hamstring kunotora nguva yakareba sei kupora uye kuti kurwadziwa kucharamba kuripo kunoenderana nerudzi, nzvimbo, uye kuomarara. Rudzi rwakanyanya kuoma ndeye hamstring inouya isina kubatanidzwa kumativi emabvi. Uku kuvhiya kugadzirisa uye kugadzirisa tora inenge mwedzi mitatu usati wadzokera kumitambo uye kurovedza muviri (American Academy yeOrthopedic Surgeons, 2021 ). Kukuvara kushoma senge tendonitis kana kuomarara kunogona kutora nguva shoma kupora. Zvisinei, zvakakosha kuti udzivise kukuvadza nzvimbo yacho kuitira kuti mamiriro acho asave asingagumi. Izvi zvinosanganisira: (American Academy yeOrthopedic Surgeons, 2021 )
Kutambanudzira kukurudzira uye kuchengetedza kuchinjika.
Kugadzirisa kusaenzana kwemhasuru pakati pe quadriceps uye hamstring.
Kutsungirira uye kugadzirisa.
Kudzivisa kushandisa zvakanyanya.
Injury Medical Chiropractic uye Functional Medicine Clinic inoshanda nevarapi vehutano hwekutanga uye nyanzvi kugadzira zvirongwa zvekurapa zvemunhu. Isu tinotarisa pane zvinokushandira iwe uye tinoshandisa nzira yakabatanidzwa yekurapa kukuvara uye kusingaperi kurwadziwa syndromes kuvandudza kuchinjika, kufamba, uye agility, kubvisa marwadzo uye kubatsira vanhu kudzokera kumabasa enguva dzose. Kana mamwe marapirwo achidiwa, Dr. Jimenez akabatana nevanovhiya vepamusoro, nyanzvi dzekiriniki, vatsvakurudzi vezvokurapa, uye vanopa rubatsiro. Vapeji vedu vanoshandisa Functional Medicine, Acupuncture, Electro-Acupuncture, uye Sports Medicine nheyo.
Chiropractic Kuchengetedza Kusagadzikana Kwemakumbo
VIDEO
References
National Library of Medicine. (2017). Tendinitis Inonziwo: Tendonitis. Zvakatorwa kubva medlineplus.gov/tendinitis.html
American Academy yeOrthopedic Surgeons. OrthoInfo. (2020). Sprains, strains, uye kumwe kukuvadzwa kwenyama yakapfava. orthoinfo.aaos.org/en/diseases-conditions/sprains-strains-and-other-soft-tissue-injuries/
American Academy yeOrthopedic Surgeons. OrthoInfo. (2021). Hamstring muscle kukuvara. orthoinfo.aaos.org/en/diseases-conditions/hamstring-muscle-injuries/
American Academy yeOrthopedic Surgeons. OrthoInfo. (2021). Pes aserine (mabvi tendon) bursitis. orthoinfo.aaos.org/en/diseases-conditions/pes-anserine-knee-tendon-bursitis/
Gomo reSiani. (2024). Hamstring strain - aftercare. www.mountsinai.org/health-library/selfcare-instructions/hamstring-strain-aftercare
Seow, D., Shimozono, Y., Tengku Yusof, TNB, Yasui, Y., Massey, A., & Kennedy, JG (2021). Platelet-Rich Plasma Injection yeKurapa kweHamstring Kukuvara: Ongororo Yakarongeka uye Meta-kuongorora NeBest-Worst Case Analysis. Magazini yeAmerica yemishonga yemitambo, 49 (2), 529-537. doi.org/10.1177/0363546520916729
