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Dambudziko Rekurwa Kwakawanda

Back Clinic Yakanyanya Kurwadza Kwemusana Kurapwa Chikwata. Kurwadza kwakanyanya kwemusana kunodarika marwadzo ari pamusoro penguva dzose sprain uye strain. Kurwadza kwakanyanya kwemusana kunoda kuongororwa kwakadzama nekuda kwechikonzero / s kana pfungwa isiri nyore kuongororwa kana kuoneka. Izvi zvinoda mamwe maitiro ekuongororwa kuitira kuti aone chikonzero chekuomarara kwemharidzo. Nociceptive uye kurwadziwa kweuropathic kunogona kuwedzera kuputsika mukurwadziwa kwakanyanya uye kusingaperi, izvo zvakasiyana muchimiro uye basa.

Nekurwadziwa kwakanyanya, kuoma kwemarwadzo kunoenderana nehuwandu hwekukuvara kwenyama. Vanhu vane reflex yekudzivirira mukunzvenga marwadzo erudzi urwu. Nerudzi urwu rwemarwadzo, pane reflex yekukwevera kumashure nekukurumidza mushure mekufamba kana kuva mune imwe nzvimbo. Kurwadza kwakanyanya kunogona kuva chiratidzo chekukuvara kana kurwara kwenyama. Kana dambudziko rapora marwadzo anopora. Kurwadza kwakanyanya inzira yekurwadziwa kwe nociceptive. Nekurwadziwa kusingaperi, tsinga dzinoramba dzichitumira mameseji ekurwadziwa mushure mekunge kukuvara kwetishu kwekutanga kwapora. Neuropathy inowira mumhando iyi.


Kuongorora kwevarwere ne Hip Pain

Kuongorora kwevarwere ne Hip Pain

Hip marwadzo iyo inonyanyozivikanwa noutano hunogona kukonzerwa nehuwandu hwakawanda hwezvinetso, zvisinei, nzvimbo yekurwadziwa kwechirwere chomurwere inogona kupa ruzivo runokosha pamusoro pechinhu chinokonzera chiitiko ichi chinowanikwa mune hutano. Nhamo mukati mehudyu kana kugunun'una kunogona kuitika nekuda kwezvinetso mukati mekubatana kwechiuno pachako apo kurwadziwa kune kunze kwechiuno, chidya chepamusoro nechokunze kwemakumbo kungangove kwakakonzerwa nezvinetso nemigumisiro, maitiro nemasumbu, pakati pemamwe mavara , yakakomberedza chiuno chechiuno. Uyezve, kurwadziwa kwechiputi kunogona kuitika nekuda kwekukuvadzwa nemamiriro ezvinhu, kusanganisira kurwadziwa shure.

ngovepo

Hurukuro yeHuru ndiyo inowanzoita uye inokonzera mamiriro ezvinhu anokanganisa varwere vezera rose. Kusiyanisa kwekutsvaga kwehupwa hwechiputi kwakazara, kuratidza dambudziko rekuongorora. Varwere vanowanzotaura kuti kurwadziwa kwavo kwechiuno kunowanikwa kune imwe yematatu eatomic nzvimbo: anterior hip uye groin, mushure wekupedzisira uye musango, kana kuti mushure mutsva. Anterior hip uye kurwadziwa kunowanzobatanidzwa ne-intra-articular pathology, yakadai sewasteoarthritis uye hip labral misodzi. Upfu hwakashata hwepasimusi hunobatanidza ne piriformis syndrome, sacroiliac joint disys function, lumbar radiculopathy, uye zvishoma nezvishoma ischiofemoral impingement uye vascular claudication. Kurwadziwa kwepakuputika kunokonzerwa ne-trochanteric pain pain syndrome. Clinical tests test, kunyange zvazvo zvichibatsira, hazvirevi zvakanyanya kana kuti zvakanyanya kuti zviongororwe zvizhinji; zvisinei, nzira yepamusoro yehupiti yekuongorora inogona kushandiswa. Dhidhiyumu inofanira kuitwa kana kuputsika kwakanyanya, kuparadzaniswa, kana kupererwa mupfungwa kunofungidzirwa. Pakutanga pachena radiography yehupano inofanira kusanganisira maonero anteroposterior emagetsi uye frog-gumbo rakagadziriswa kuona kwechirwere chechiratidzo. Maginetic resonance imaging inofanira kuitika kana nhoroondo uye zvakajeka zvizere zvishoma hazvisi kuongororwa. Magnetic resonance imaging inokosha pakuona kusvibiswa kwemashiripiti, kuputika kwepfungwa, uye osteonecrosis yemusoro wevakadzi. Magnetic resonance arthrography ndiwo muedzo wekuongororwa wekusarudza kwekuchema kwemisodzi.

ziviso

Hurukuro yeHuru ndiyo inowanzotaurwa muhurukuro yepamusoro uye inogona kukanganisa varwere vezera rose. Mune rumwe ruzivo, 14.3% yevanhu vakuru 60 makore nemakore akapfuura vakarondedzera kurwadziwa kukuru kwechiputi mumazuva mazhinji pamusoro pemavhiki matanhatu akapfuura.Urombo hweXXUMUM Hip hunowanzopa chinetso chekuongorora nekurapa. Kusiyana kwekutsvaga kwekurwadziwa kwechiputi (eTable A) yakazara, kusanganisira zvose intra-articular uye yakawedzera-articular pathology, uye inopesana nezera. Nhoroondo uye kuongorora kwepanyama kunokosha kuti uongorore zvakakwana chinokonzera kurwadziwa kwechiuno.

 

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Anatomy

Chibatanidzwa chekuputika isungano yebhogi-uye-yakasungirirwa synovial yakagadzirirwa kubvumira kufamba kwemaaaaaaaaaaaaaaaaaaaa achiendesa mutoro pakati pekumusoro nechepasi. I-acetabular rim inogadzirwa ne fibrocartilage (labrum), iyo inowedzera kudzika uye kugadzikana kumubatanidzwa wechikadzi. Izvo zvipfeko zvinoputika zvakaputirwa ne hyaline cartilage iyo inodzinga shear nekumanikidzika simba panguva yekutakura kutakura uye kuputika. Mitsipa yakakura isina kukodzera inoputika inobva mudunhu re lumbosacral, iyo inogona kuita kuti zvive zvakaoma kusiyanisa hutano hupakati hwehup uye marwadzo anokonzera mhirizhonga.

Nhengo yehuputi yakawanda yekutenderera ndeyechipiri kune iyo yejojo ​​yegenohumeral uye inobvumirwa nehuwandu hwemasumbu anokomberedza chiuno. Misi miviri inoshandura inosanganisira iriopsoas, rectus femoris, pectineus, uye sartorius musungo. I-gluteus maximus uye nhengo dzemuviri dzisingaregi dzinobvumira kuwedzerwa. Zviduku zviduku, zvakadai se gluteus medius uye minimus, piriformis, obturator externus uye internus, uye quadratus femoris misumbu, inyore zvakapoteredza trocanter yakakura, kubvumira kubatwa, kutengesa, uye kutenderera mukati nekunze.

Mune vanhu vane hutachiona vasina muviri, kune huwandu hwekukura kwezvivako zvepelvis nevakadzi uko kunowanzokuvara. Nzvimbo dzepamusoro dzepophyseal dzakakuvara munharaunda yechiuno dzinosanganisira ischium, anterior yakakwirira yakasi spine, anterior inferior iliac musana, creed yakaac, trochanter shoma, uye guru trochanter. The apophysis yepamusoro yakac spine matures inopera uye inogona kukuvadza kusvika kumakore 25 emakore.2

Dr Jimenez White Coat

Chibatanidzwa chekuputika chimwe chezvikamu zvakakura zvinowanikwa mumuviri womunhu uye zvinoshumira mukukanda sezvo chidya chinopfuurira mberi uye kumashure. Nhengo yehudyu inotenderera zvakare kana ichinge ichigara uye ine kuchinja kwekutungamira uchifamba. Zvimwe zvakasiyana-siyana zvezvivakwa zvakakomba zvakapoteredza musungo wekuputika Apo kukuvadzwa kana chimiro chinokanganisa izvi, zvinogona kukonzera kurwadziwa kwechiuno.

Dr. Alex Jimenez DC, CCST

Kuongorora kweHur Pain

History

Zera chete rinogona kuderedza kusiyanisa kwekurwadziwa kwechiuno. Muchirwere chekare uye vachirwere vechidiki, congenital malformations ye femoroacetabular joint, kuvhuvhuta fractures, uye kukuvara kwepophyseal kana epiphyseal zvinofanira kufungwa. Mune avo vane urombo huputi, hupuru hwekuputika kazhinji hunokonzerwa nemusumbutendinous strain, ligamentous sprain, kupesana, kana bursitis. Kuvanhu vakwegura, chirwere chinokonzera osteoarthritis uye kuputsika kunofanira kutanga kutorwa.

Varwere vane marwadzo ekuputika vanofanira kubvunzwa pamusoro pekushungurudzika kwakashata kana kukurudzira basa, zvinhu zvinowedzera kana kuderedza marwadzo, nzira yekukuvara, nenguva yekutanga. Mibvunzo yakabatana nehup hip, zvakadai sekusununguka kwekupinda nekubuda mumotokari, kupfeka shangu, kumhanya, kufamba, uye kukwira uye kukwira pasi, kunogona kubatsira.3 Nzvimbo yekurwadziwa inodzidza nokuti hupuka huputi hunowanikwa munzvimbo kune chimwe chezvikamu zvitatu zvakakosha zveatomic nzvimbo: hip anterior uye groin, mushure mushure uye chibage, uye mushure mutsva (eFigure A).

 

 

Kuongorora Kwepanyama

Muchiuno chinongororwa chinofanira kuongorora chiuno, kumashure, mimba, uye vascular uye neurologic systems. Iko kunotanga nekutarisa kwekutsvaga uye kuongororwa kwemashoko (Mufananidzo 1), inoteverwa nekuongororwa kwemurwere akagara pasi, supine, lateral, uye nzvimbo dzakanaka (Zvifananidzo 2 kusvika 6, uye eFigure B). Kuongororwa mumiviri yepanyama kwekuongororwa kwehuputi hwehuputi inopfupikiswa muTebhu 1.

 

 

kuri

Radiography. Mifananidzo yehupano inofanira kuitwa kana pane chikonzero chekunyunyuta kwakanyanya, kuparadzaniswa, kana kuputsika kwepfungwa. Pakutanga pachena radiography yemuhudyu inofanira kusanganisira maonero anteroposterior emagetsi uye frog-gumbo rinotarisa kuona kwechirwere chechiratidzo.4

Magnetic Resonance Imaging uye Arthrography. Chiitiko chinowanzoitwa magnetic resonance imaging (MRI) chechiuno chinogona kuona mhando dzakawanda dzisina kunaka, uye iyo inofanirwa kufungidzira mafungiro kana pachena ray radiography haisati ichitsanangurira chirwere mumurwere ane kurwadziwa kunoramba kuripo.5 Inonzi MRI inokonzerwa nehuwandu hwe30% uye yakarurama ye36% yekuongorora hup labral misodzi, asi magnetic resonance arthrography inopa kuwedzera kwekunzwa kwe90% nekururamisa kwe91% nokuda kwekuona kusvimha misodzi.6,7

Ultrasonography. Ultrasonography iyi nzira inobatsira yekuongorora maitiro emunhu mumwechete, kusimbisa kushungurudzwa kwebursitis, uye kujekesa kushanda pamwe chete uye zvikonzero zvinokonzera kurwadziwa kwehudyu.8 Ultrasonography inonyanya kubatsira mukuchengeteka uye kunyatsoita zvirwere zvinotungamirirwa nemafungiro uye zvido zvinopoteredza hip.9 Zvakakosha uyo ane ruzivo rwema ultrasonographer kuti aite chidzidzo chekuongorora; zvisinei, humwe uchapupu huripo hunoratidza kuti vanachiremba vane ruzivo vasina ruzivo vane mazano akakodzera vanogona kuongorora zvirwere zvakavimbika zvakafanana neyavo vanoziva musculoskeletal ultrasonographer.10,11

Dr Jimenez White Coat

Izvi ndizvo zvinokonzera marwadzo ekuputika. Kunyange zvazvo humwe hupuka hwechiputi hunogona kungova kwenguva pfupi, mamwe marwadzo ekuputika anogona kuva asingagumi kana akasiyiwa asingateereri kwenguva yakareba. Zvimwe zvinoita zvinowanzokonzera hupuka hwechiputi zvinosanganisira, arthritis, fracture, sprain, avascular necrosis, chirwere cheGaucher, sciatica, kushungurudzika kwemisimba, iyootibial band syndrome kana IT band syndrome uye hematoma, pakati pevamwe vanotsanangurwa pasi apa.

Dr. Alex Jimenez DC, CCST

Kusiyanisa Kuchengetedzwa kweAnterior Hip Pain

Anterior chiuno kana kurwadziwa kwekurwadziwa kunoratidza kubatanidzwa kwejojo ​​yehudyu pachayo. Varwere vanowanzo tarisa marwadzo nekumhanyisa chiuno chechigunwe nechigunwe uye chigunwe muchimiro cheEC Izvi zvinozivikanwa seC chiratidzo (Mufananidzo 1A).

Osteoarthritis

Osteoarthritis ndiyo inonyanya kuongororwa kuvakuru vakwegura vasina kufamba zvishomanana uye kutanga zvishoma kwezviratidzo. Varwere vane nguva dzose, kurwadza kwakadzika, kunorwadza uye kuoma kwakanyanya kuwedzera nekugara kwenguva refu uye kuyerwa kwekutakura. Kuongorora kunoratidza kuderera kwemafambiro, uye kunyanyisa kwekuputika kunowanzokonzera marwadzo. Rain radiographs inoratidza kuti kuvapo kwemaoko akabatanidzwa-nzvimbo kuderedza, osteophytosis, uye subchondral sclerosis uye cyst formation.12

Femoroacetabular Impingement

Varwere vane femoroacetabular impingement vanowanzova vaduku uye mumuviri. Vanotsanangura kutanga kwekushungurudzika kwekutambudzika kunowedzera nekugara, kuchikwira kubva pachigaro, kupinda mukati kana kunze kwemotokari, kana kumira mberi.13 Marwadzo anowanikwa munharaunda yeguruva pamwe chete nemamwe mazai emhepo kusvika kune inonzi lateral hip uye mucheka wekunze.14 Chiyero cheFABER (ruvara, kubata, kutenderera kwekunze; Chiratidzo 3) ine unhu hukuru hwe96% kusvika 99%. Chiyero cheFADIR (ruzivo, kutengesa mukati, kurongedzwa mukati); kuongorora kwemugwaro (Mufananidzo 4), uye kururamisa mitsipa yakarurama pakurwisana nekuedzwa (Figure 5) inoshandawo, nekunzwisisika kwe6%, 88%, uye 56% , zvichienderana.30 Mukuwedzera pane maonero ekutenderera kwemasvikiro ekupedzisira anteroposterior uye, later Dunn inofanira kuwanikwa kuti ibatsire kuona maziso asina kuchena.14,15

Hip Labral Tear

Hip labral misodzi inokonzera kusuruvara kana kuora kunorwadza, uye hafu yevamwe varwere vane marwadzo anorwadziwa anokonzera kumusana weal lateral, mucheka wekunze, uye chibage. Zvinorwadza zvinowanzova nekunyengera kunotanga, asi pane dzimwe nguva zvinotanga kushamisika shure kwechiitiko chinoshungurudza. Inenge imwe hafu yevarwere vane chirwere ichi vanewo zviratidzo zvemagetsi, zvakadai sokubata kana kurwadziwa kunoratidzira nebasa.17 Miedzo yeFADIR neFABER inoshanda pakuona intra-articular pathology (kunzwisisika ndeye 96% kusvika 75% yeFADIR muedzo uye iri 88% nokuda kwekuedzwa kweFABER), kunyange zvazvo kuedza hakuna kuve kwakanyanya.14,15,18 Magnetic resonance arthrography inoonekwa sechiedza chekuongororwa chekusarudza kwekuchema kwemazuva.6,19 Zvisinei, kana kusvimha misodzi kusinganzwisisiki, zvimwe zviduku zvisingaoneki zvidhori, zvakadaro sezviri pachena radiography uye MRI inowanzogadziriswa, inofanira kushandiswa kutanga kutonga zvimwe zvinokonzera hup uye kurwadziwa kweguru.

Iliopsoas Bursitis (Internal Snapping Hip)

Varwere vane chirwere ichi vane huputi hwehuputi hwepamusoro apo vanowedzera chiuno kubva panzvimbo yakaoma, kazhinji kunobatanidza nekunze, kubata, kana kubuda kwechiuno.20 Dynamic real-time ultrasonography inonyanya kubatsira pakuongorora nzira dzakasiyana-siyana dzekunyengedza hip.8

Mhirizhonga kana Kushungurudzika Kwepfungwa

Kuita zvemashiripiti kana kupesana kuputsika kwechiuno kunofanira kuonekwa kana kushungurudzika kana kudzokorora kubata-kutakura maitiro kunobatanidzwa, kunyange kana zvakajeka zvizere zvinowanzoitika zvisina kunaka.21 Zvirwere, izvi zvinokuvadza zvinokonzera huputi hwemukati kana kurwadziwa kunenge kuchiwedzera nekuita.21 Pain inogona kuva iripo nekunyanyisa kwekufambisa, kusimudzira mhaka yakarurama yemakumbo, chirongwa chegwaro, kana kutemwa.22 MRI inobatsira pakuona kwemaitiro ekuputika kwemashiripiti uye kuputsika kwepfungwa kusingaoneki pahara radiograph.23

Transient Synovitis uye Septic Arthritis

Kubudirira kwose kweatraumatic anterior hip kurwa kunokonzera kushaya simba kwekutakura kunofanira kusimudzira kusafungirwa kwechirwere che synovitis uye septic arthritis. Zvimwe zvinokonzerwa nehutachiona hwechirwere muvanhu vakuru zvinosanganisira makore akwegura kupfuura makore anonzi 80, chirwere cheshuga mellitus, rheumatoid arthritis, kuvhiyiwa kwekubatana kwemajoka, uye hupfeshe hwemabvi kana mabvi.24 Fever, kukwana kweropa, nhamba ye erythrocyte sedimentation, uye C-reactive protein level inofanira kushandiswa kuti uongorore dambudziko reematric arthritis.25,26 MRI inobatsira pakusiyanisa septic arthritis kubva nguva yakareba synovitis.27,28 Zvisinei, hip aspiration uchishandisa imaging yakatungamirirwa sefosoroscopy, computed tomography, kana kuti ultrasonography inokurudzirwa kana mubatanidzwa wepachirwere uchifungidzirwa.29

Osteonecrosis

Legg-Calv -Perthes chirwere chinonzi idiopathic osteonecrosis yemusoro wechikadzi muvana vane makore maviri kusvika gumi nemaviri ekuberekwa, ine murume-kusvika-mukadzi chiyero che12: 4 Muvanhu vakuru, zvinhu zvine njodzi ye osteonecrosis zvinosanganisira systemic lupus erythematosus, sickle cell chirwere, hutachiona hwehutachiona hwehutachiona hwehutachiona, kuputa, kudhakwa, uye kushandisa corticosteroid. 1.4 Marwadzo chiratidzo chinoratidza uye chinowanzo nyengera. Range rekufamba rinotanga kuchengetedzwa asi rinogona kudzikira uye kurwadza sezvo chirwere ichi chichienderera mberi.30,31 MRI yakakosha mukuongororwa uye kufungidzira kweosteonecrosis yemusoro wechikadzi.

Kusiyana kwekuona Kuona kwePasipo Hip uye Buttock Pain

Piriformis Syndrome uye Ischiofemoral Impingement

Chirwere chePiriformis chinokonzera marwadzo ehutu anokonzerwa nekugara kana kufamba, uye kana pasina mazhenje emvura pasi pechidya chakasvibiswa kubva kune sciatic nerve compression.34,35 Pain nerugwaro rwerugwaro rwunoshandiswa zvakanyanya, asi unyoro nehutambo hwechidimbu chinokonzera chinogona kubatsira nechinorwara.35

Ischiofemoral kusungirirwa isinganyatsonzwisisiki mamiriro ezvinhu anogona kutungamirira kumarwadzo asingasviki ematambudziko nemirairo kusvika kumashure ekupedzisira. 36,37 Iyi mamiriro inofungidzirwa kuti ndeyekukonzera kwe quadratus femoris muscle pakati pe trochanter shoma uye ischium.

Kusiyana ne-sciatica kubva ku disc herniation, piriformis syndrome uye kuve ischiofemoral kupindirwa kunowedzera nekushanda kunze kwehup rotation. MRI inobatsira pakuongorora mamiriro aya.38

mwe

Zvimwe zvinokonzera kurwadziwa kweperiki mushure kunosanganisira sacroiliac kubatana kusagadzikana, 39 lumbar radiculopathy, 40 uye kuputika kwemapurisa.41 Kuvapo kwechimburamabwe, kuputa kunorwadza, uye kukanganiswa kwemukati kwechiuno kunopedzisira kuitika kusagadzikana kwechiputi kudarika matambudziko anobva kumucheto wakadzika .42

Kusiyanisa Kuziva Kuda Kwakaitwa Hip Pain

Greater Trochanteric Pain Syndrome

Kurwadziwa kwekupedzisira kwehudyu kunokanganisa 10% kusvika 25% yehuwandu hwevanhu.43 Greater trochanteric pain syndrome inoreva kurwadziwa pamusoro peiyo huru trochanter. Kukanganisa kwakawanda kwechiuno chekupedzisira kunogona kutungamira kune rudzi urwu rwekurwadziwa, kusanganisira iliotibial band thickening, bursitis, uye misodzi yeiyo gluteus medius uye minimus mhasuru kusungirirwa. 43 45 Varwere vanogona kunge vaine kusimba kwemangwanani uye vanogona kutadza kurara pane vakawirwa divi. Gluteus minimus uye medius kukuvara kunouya nekurwadziwa mumashure ekumashure mhedzisiro yehudyu semhedzisiro yekusarura kana kuzara-kwakazara kubvarura pane gluteal kuisa. Vazhinji varwere vane atraumatic, inonyengera kutanga kwezviratidzo kubva mukudzokorora kudzokorora.43,45,46

Mukupedzisa, kurwadziwa kwehudyu chichemo chakajairika chinogona kuitika nekuda kwenzvimbo dzakasiyana siyana dzehutano. Zvakare, iyo chaiyo nzvimbo yemurwere wehudyu kurwadziwa kunogona kupa ruzivo rwakakosha kune vezvehutano nezvezvinonyanya kukonzera dambudziko. Chinangwa chechinyorwa chiri pamusoro apa chaive chekuratidza uye nekukurukura kuongororwa kwemurwere nekurwadziwa kwechiuno. Chiyero cheruzivo rwedu chinogumira kuchiropractic pamwe nekukuvara kwepamuviri nemamiriro. Kuti ukurukure nyaya yacho, ndapota inzwa wakasununguka kubvunza Dr. Jimenez kana kuti tibate isu pa915-850-0900 .

Yakarongedzwa naDkt Alex Jimenez

Data Sources: Takatsvaga zvinyorwa zvehup pathology muAmerica Family Physician, pamwe chete nezvakanyorwa. Isu takatsvagawo Agency ye Healthcare Research uye Quality Evidence Reports, Clinical Evidence, Institute for Clinical Systems Improvement, ma US Guidelines Clearinghouse, uye UpToDate. Takaita sarudzo yePublicMusiki achishandisa mazwi ezvinyorwa zvakanyanya zvechirwere chepachirwere chechirwere chepfungwa, kushungurudzika kwechiputi chepanyama, kufungidzira zvekudzivirira hupombwe kunokonzera kuputika, kufungidzira kufanana kwemajeri, kufungidzira osteomyelitis, ischiofemoral impingement syndrome, meralgia paresthetica kuongorora, MRI arthrogram hip labrum, septic arthritis systematic review, uye inonzi ultrasound hip pain. Tsvaga mazuva: March naApril 2011, uye August 15, 2013.

Author Information: Aafp.org

 

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Zvimwe Zvimwe Zvinyorwa: Zvakanaka Kudzoka Pain

Kutambudzika shureIchi ndicho chimwe chezvikonzero zvakanyanya zvehurema uye nemazuva akarasika pabasa pasirese. Kutambudzika kwekuseri kunopa kune chechipiri chikonzero chakajairika chekushanyirwa kwehofisi yechiremba, kuwanda chete nehutachiona hwepamusoro-hwekufema. Vanenge makumi masere muzana muzana yevagari vanozorwadziwa nemusana kamwechete kamwe muhupenyu hwavo hwese. Iyo musana chivakwa chakaomarara chakaumbwa nemapfupa, majoini, mitsipa, uye mhasuru, pakati pezvimwe zvinyoro zvinyoro. Nekuda kweizvi, kukuvara uye / kana mamiriro akawedzeredzwa, sengeherniated discs, zvinogona kutungamirira kune zviratidzo zvekurwadziwa shure. Kukuvara kwemitambo kana kukuvara kwepamberi yemotokari kazhinji kunowanzokonzera kukonzera kurwadziwa, zvisinei, dzimwe nguva kufamba kwakanyanya kunogona kuva nemigumisiro inorwadza. Nenzira yakanaka, nzira dzakasiyana dzokurapa, dzakadai sechiropractic, dzinogona kubatsira kuderedza marwadzo shure kuburikidza nekushandurwa kwepelinha nekugadzirisa maitiro, pakupedzisira kunatsiridza marwadzo ekurwadziwa.

 

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NHAURWA INOKOSHA INOKOSHA: Hip Pain Chiropractic Treatment

Hazvina kuchena
References

1. Kisimusi C, Crespo CJ, Franckowiak SC, et al. Ndezvipi zvakajairika kurwadziwa kwehudyu pakati pevakuru vakuru? Mhedzisiro kubva kuChitatu National Health uye Nutrition Ongororo OngororoJ Fam Pract. 2002;51(4):345�348.

2. Rossi F, Dragoni S. Acute avulsion kutsemuka kwepabvu muvachiri kukwikwidza vatambiSkeletal Radiol. 2001;30(3):127�131.

3. Martin HD, Shears SA, Palmer IJ. Kuongorora kwehudyu. Mutambo Med Arthrosc. 2010;18(2):63�75.

4. Gough-Palmer A, McHugh K. Kuongorora kurwadziwa kwehudyu mumwana akanakaBMJ. 2007;334(7605):1216�1217.

5. Bencardino JT, Palmer WE. Kufungidzira kwekushushikana kwechiuno muvatambiRadiol Clin North Am. 2002;40(2):267�287.

6. Czerny C, Hofmann S, Neuhold A, uye al. Zvipuka zveacetabular labrum: kurongeka kweM MR imaging uye MR arthrography mukuona uye staging.Radiology. 1996;200(1):225�230.

7. Czerny C, Hofmann S, Urban M, uye al. MR arthrography yevakuru acetabular capsular-labral complexAJR Am J Roentgenol. 1999;173(2):345�349.

8. Deslandes M, Guillin R, Kadhinari E, et al. Iyo inobvarura iliopsoas tendon: nyowani nzira dzinoshandisa ine simba sonographyAJR Am J Roentgenol. 2008;190(3):576�581.

9. Blankenbaker DG, De Smet AA. Kukuvara kwehudyu muvatambiRadiol Clin North Am. 2010;48(6):1155�1178.

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11. Ramwadhdoebe S, Sakkers RJ, Uiterwaal CS, et al. Kuongororwa kwechirongwa chekudzidzisa cheyese ultrasound kuongorora kwekuvandudza dysplasia yehudyu mukudzivirira kwehutano hwevana.Pediatr Radiol. 2010;40(10):1634�1639.

12. Altman R, Alarc n G, Appelrouth D, uye al. IAmerican College yeRheumatology nzira yekumisikidza uye kuzivisa kweosteoarthritis yehudyuArthritis Rheum. 1991;34(5):505�514.

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14. Clohisy JC, Knaus ER, Hunt DM, uye al. Kiriniki mharidzo yevarwere vane chiratidzo chechiratidzo chekumberi kwechiuno kupinza. Clin Orthop Relat Res. 2009;467(3):638�644.

15. Ito K, Leunig M, Ganz R. Histopathologic maficha eacetabular labrum mune femoroacetabular impingement.Clin Orthop Relat Res. 2004; (429): 262-271.

16. Beall DP, Yakanaka CF, Martin HD, et al. Kufungidzira zvitsva zve femoroacetabular impingement syndromeSkeletal Radiol. 2005;34(11):691�701.

17. Burnett RS, Della Rocca GJ, Prather H, uye al. Clinical mharidzo yevarwere vane misodzi yeacetabular labrumJ Bone Joint Surg Am. 2006;88(7):1448�1457.

18. Leunig M, Werlen S, Ungersb ck A, et al. Kuongororwa kweacetabular labrum naMR arthrography [kururamisa kwakaburitswa kunoonekwa mu J Bone Joint Surg. 1997; 79 (4): 693]J Bone Joint Surg. 1997;79(2):230�234.

19. Groh MM, Herrera J. Kuongorora kwakazara kwehudyu labral misodziCurr Rev Musculoskelet Med. 2009;2(2):105�117.

20. Blankenbaker DG, De Smet AA, Keene JS. Sonography yeiyoopsoas tendon uye jekiseni yeiyoopsoas bursa yekuongororwa uye manejimendi yeanorwadza kupaza hudyu.Skeletal Radiol. 2006;35(8):565�571.

21. Egol KA, Koval KJ, Kummer F, uye al. Kushungurudzika kutsemuka kwemukadzi wemutsipaClin Orthop Relat Res. 1998; (348): 72-78.

22. Fullerton LR Jr, Snowdy HA. Mutsipa wechikadzi unoshungurudza kutsemukaAm J Sports Med. 1988;16(4):365�377.

23. Newberg AH, Newman JS. Kufungidzira hudyu inorwadzaClin Orthop Relat Res. 2003; (406): 19-28.

24. Margaretten INI, Kohlwes J, Moore D, et al. Uyu murwere mukuru ane septic arthritis?JAMA. 2007;297(13):1478�1488.

25. Eich GF, Superti-Furga A, Umbricht FS, uye al. Muhudyu unorwadza: ongororo yemaitiro ekiriniki yekutora sarudzoEur J Pediatr. 1999;158(11):923�928.

26. Kocher MS, Zurakowski D, Kasser JR. Kusiyanisa pakati pe septic arthritis uye yenguva pfupi synovitis yehudyu muvanaJ Bone Joint Surg Am. 1999;81(12):1662�1670.

27. Learch TJ, Farooki S. Magnetic resonance imaging ye septic arthritis. Clin Imaging. 2000;24(4):236�242.

28. Lee SK, Suh KJ, Kim YW, et al. Septic arthritis inopesana neyechinguva synovitis paMR imagingRadiology. 1999;211(2):459�465.

29. Leopold SS, Battista V, Oliverio JA. Kudzivirirwa uye kugona kweiyo intraarticular jekiseni jekiseni uchishandisa anatomic mamakiClin Orthop Relat Res. 2001; (391): 192-197.

30. Mitchell DG, Rao VM, Dalinka MK, et al. Vakadzi musoro avascular necrosis: kuwirirana kweMM imaging, radiographic staging, radionuclide imaging, uye zvekuchipatara zvakawanikwa.Radiology. 1987;162(3):709�715.

31. Mont MA, Zywiel MG, Chiratidzo DR, et al. Nhoroondo yechisikirwo yeasina kurapwa asymptomatic osteonecrosis yemusoro wechikadziJ Bone Joint Surg Am. 2010;92(12):2165�2170.

32. Assouline-Dayan Y, Chang C, Greenspan A, et al. Pathogenesis uye nhoroondo yechisikigo ye osteonecrosisSemin Arthritis Rheum. 2002;32(2):94�124.

33. Totty WG, Murphy WA, Ganz WI, et al. Magnetic resonance imaging yezvakajairwa uye ischemic chikadzi musoroAJR Am J Roentgenol. 1984;143(6):1273�1280.

34. Kirschner JS, Foye PM, Cole JL. Piriformis syndrome, kuongororwa uye kurapwaMusungo Nerve. 2009;40(1):10�18.

35. Hopayian K, Rwiyo F, Riera R, et al. Iwo makiriniki maficha eiyo piriformis syndromeEur Spine J. 2010;19(12):2095�2109.

36. Torriani M, Souto SC, Thomas BJ, et al. Ischiofemoral impingement chirwereAJR Am J Roentgenol. 2009;193(1):186�190.

37. Ali AM, Whitwell D, Ostlere SJ. Nyaya yenyaya: imaging uye yekuvhiya kurapwa kweanopwanya chiuno nekuda kweschiofemoral impingementSkeletal Radiol. 2011;40(5):653�656.

38. Lee EY, Margherita AJ, Gierada DS, et al. MRI yepiriformis syndrome. AJR Am J Roentgenol. 2004;183(1):63�64.

39. Slipman CW, Jackson HB, Lipetz JS, uye al. Sacroiliac marwadzo akabatana ekuendesa nzvimboArch Phys Med Rehabil. 2000;81(3):334�338.

40. Moore KL, Dalley AF, Agur AM. Clinically Oriented Anatomy. 6th ed. Philadelphia, Pa.: Lippincott Williams & Wilkins; 2010.

41. Adlakha S, Burket M, Cooper C. Percutaneous kupindira kwechirwere chisingaperi chisingaperi chemukati ariac arteri yekusingaperi mabara claudication.Catheter Cardiovasc Interv. 2009;74(2):257�259.

42. Brown MD, Gomez-Marin O, Brookfield KF, et al. Kusiyanisa kuongororwa kwechirwere chehudyu maringe nemusana chirwereClin Orthop Relat Res. 2004; (419): 280-284.

43. Segal NA, Felson DT, Torner JC, et al .; Multicenter Osteoarthritis Yekudzidza Boka. Yakakura trochanteric pain syndromeArch Phys Med Rehabil. 2007;88(8):988�992.

44. Strauss EJ, Nho SJ, Kelly BT. Yakakura trochanteric pain syndromeMutambo Med Arthrosc. 2010;18(2):113�119.

45. Williams BS, Cohen SP. Yakakura trochanteric pain syndromeAnesth Analg. 2009;108(5):1662�1670.

46. Tibor LM, Sekiya JK. Kusiyanisa kuongororwa kwekutambudzika kwakakomberedza kubatana kwehudyuArthroscopy. 2008;24(12):1407�1421.

Close Accordion
Nhutano Hutsva Yekushanda Zvakarurama

Nhutano Hutsva Yekushanda Zvakarurama

Kugara pa desk kwenguva yakareba haisi utano uye kunogona kutungamirira kune zvinetso zveutano. Sezvo dzidzo dzakawanda uye dzakawanda dzichiratidza zvinokonzera kugara kwenguva refu, mamwe makambani ari kutora matanho ekudzivirira hutano hwevashandi nekuisa rakanaka basa zviteshi. Iyi madhavhisi anotora munhu kubva panzvimbo yakagara uye anovaendesa kune imwe yavanoramira. Somugumisiro, vazhinji vevashandi vari kunakidzwa nehutano hwakasiyana-siyana.

Health Benefits

Inobatanidza hutano hwakanaka hwemashure

Zvinyorwa zvese, kushanduka kwemashure kunenge kuchinja kwemuviri kunoitwa kana uchichinja nzvimbo. Ikoko kune kufamba kwakakura sekuenda kubva pakagara kusvika pakamira, kumire kunonamatira, uye kumire kune kugara, asiwo kufamba kwakanyanya sekugadzirisa kusungirirwa kwemaoko kana kutamisa rutsoka.

Ergonomists anoratidza kuti munhu anofanira kunge achiita kuchinja kwemazuva akawanda kweawa. Vanokurudzirawo kuti vanhu vadzivise chero nzvimbo ipi zvayo yakadai sekumire, kugara, kana kumira kwenguva yakareba, pane kutsigira kutendeuka kana kufambisa maminitsi ose e20 kana zvichibvira.

Kugadzikana kwakagadziriswa kwakabatanidzwa mukurema, chirwere chemwoyo, nezvimwe zvirwere zvehutano. Kana muviri wakaiswa nenzira yakadaro inobatsira kufamba kwakanaka, muviri unofamba kakawanda uye nenzira yakawanda. Izvi hazviitike kuti zviitike nekugadzika kwemasimba, kunyanya kwenguva refu.

Iinovandudza Utano Hwenyika

Kugara kana kumira kwenguva yakareba nguva haisi yakanaka kumusana. Kana munhu akamira kana akagara pasina hutano hwakanaka hunochinja hutachiona hunogona kutanga kuwirirana uye disks dzinenge dzakaoma. Izvi zvinoderedza marwadzo ekukwanisa kukwana zvakakwana muviri, zvichiita kuti kurasikirwa kwekufamba, kuderedzwa kushanduka, uye kurwadziwa.

Iyo musana inoumbwa nemapfupa mashoma, vertebrae, ayo anokonzerwa nemapulisa, maridhi akazara madhayiki. Mune mutsara wakagwinya, madhishi anozadzwa nehutachiona huchipa mhuka yakanaka ye vertebrae sezvavanofamba uye vachitsigira muviri. Zvisinei, mabhuku acho anoda kufamba achikurudzira kuteura ropa kuitira kuti vagone kuramba vachishanda sezvavanofanira. Kushanda yakarurama inokonzera kufamba ikoko, zvichiita kuti kuderedzwa kwehutano hwemagunha.

utano hunobatsira hushanda zvakajeka e paso tx.

Inoderedza Mamiriro Akanaka

Kuramba uye kugara kwenguva refu kunogona kukonzera marwadzo uye mamwe matambudziko ekufamba. Pavanenge vachigovera mamwe marwadzo, mumwe nomumwe anounza matambudziko ake. Mutsipa wakaoma uye wakaoma, mafudzi akaoma anowanzobatanidzwa nekugara uye kumira, kazhinji nekuda kwekombiyuta isina kunaka kutarisa kuiswa. Nhepfenyuro yakashata yemakumbo, mahudyu akaoma, uye marwadzo ekudzivirira kumashure zvakare matambudziko evanhu vakawanda vanoita zvakawanda kana vakagara pamabasa avo.

Kushandisa nzvimbo yakatwasuka yekushandira inoita kuti muviri uve wakasarudzika, hutano hutano hunokurudzira hunhu, kufamba kazhinji. Iyo musana wakanyatsoenderana pamusoro pehudyu, mahudyu akavhurika, uye tsoka dzakatsigirwa zvakakwana. Inosimudzira mamiriro ayo ari kupesana zvachose nekuvhima pamusoro petafura - iyo yakajairwa mamiriro ekugara workstation.

Iyo Inochengetedza Zvimedu Zvisungo Zvinoshanda

Apo paine nzvimbo yakagadzika, mitsipa mikuru inonyanya kusvibiswa uye inowanzobatanidzwa. Nokufamba kwenguva, mishonga iyi inogona kunyatsodzidziswa kuti ive isina simba, kana yakasviba uye kwete kuita sezvinofanira. Izvi zvinoreva kuti vanomira kutsigira mushure nemuviri zvinotungamirira kuhurombo husina maturo, kurasikirwa kwehutano, kusava nekufamba, kunonoka kuchinja, uye kurwadziwa.

Kushanda wakamira kunokurudzira madiki kufamba anobata iyo yepakati. Haisi kuita kunge crunches panzvimbo yekurovedza muviri, asi zvakanyanya kuita senge iri kuenderera mini-Workout iyo inochengetedza iyo mhasuru mhasuru toni uye inotsigira. Mhedzisiro yacho musana une hutano, mashoma matambudziko emimba, kumira kwakanaka, uye yakagadziriswa kuparadzirwa.

Zvimwe zvehutano mabhenefiti ekushanda wakamira zvinosanganisira kudzikira kwenjodzi yemamwe kanzira secancer yekoloni uye kenza yemazamu, kuvandudzwa kwekutenderera, kushanda kwehuropi zviri nani, uye kudzikira kwenjodzi yemamiriro ehutano seshuga, chirwere chemwoyo, uye neBP. Kushanda wakamira ndicho chinzvimbo chechisikigo chemuviri basa uye hutano.

Health Benefits: Chiropractic Care Crossfit Kuvandudza

Yakanyanya Kudzokera Paine Chiropractic Treatment

Yakanyanya Kudzokera Paine Chiropractic Treatment

Gale Grijalva akatambura nemarwadzo ekurwadziwa zvakanyanya nekuda kwekukuvara kwepamberi yemotokari. Apo yaimbova yakaoma zvikuru kuenda pamusoro pebasa rake rezuva nezuva, Gale Grijalva iye zvino anokwanisa kubatanidzwa mumabasa ekunyama akange asingakwanisi kupinda pamberi pekutenda kuna Dr. Alex Jimenez, chiropractor muEl Paso, TX. Gale Grijalva anorondedzera kurwara kwaDkt Jimenez uye anokurukura kuti akanyatsokwanisa kumubatsira sei, kusanganisira kupindura zvinetso zvaangave nazvo. Gale Grijalva akawanawo zviitiko kuburikidza nekuvandudza.

Chiropractic Severe Back Pain Treatment

 

Zvakanyanya kusingaperi kurwadziwa shure chinhu chakakomba, chinogara chiripo chinosangana noupenyu hwomunhu hwezuva nezuva. Kutambudzika kwemukoko kunogara kwemwedzi mitatu kunonzi kusingaperi. Iyo musana inokosha chikamu chemuviri. Kunyanya kusingaperi kusuruvara kunorwadza kungave nzira yemutsitsi yekuudza mutumbi kuti kune dambudziko. Iyo mutsara inoumbwa ne bony vertebrae, soft spinal discs, zvinyorwa zvepande, tendon, ligaments uye tendon. Mukati yebony vertebral artery ine mutsara wesimbi, iyo yakashata asi inobudirira nzira yeropa yenheyo yepamusoro yenheyo.

kurwadziwa kwakakomba kunorwa chiropractic treatment paso tx.

Takakomborerwa kukuisa kwauri 'El Paso's Premier Premier Wellness & Kukuvara Kuchengeta Kliniki.

Masevhisi edu akasarudzika uye anotarisana nekukuvara uye kuita kwakazara kugadzirisaNzvimbo dzedu dzekuita dzinosanganisira: Wellness & Nutrition, Kurwara Kusingaperi, Kukuvara Kwevanhu, Kutarisira Njodzi Kwemotokari, Kushanda Kushanda, Kudzokera Kukuvadza, Low Kudzorera Pain, Neck Pain, Migraine Headache, Sport Kukuvara, Yakanyanya Sciatica, Scoliosis, Akaomarara Herniated Discs, Fibromyalgia, Chronic Chronic Pain, Stress Management, uye Complex Injuries.

SaEl Paso s Chiropractic Rehabilitation Clinic & Yakabatanidzwa Mushonga Center, we tine shungu takanangana nekurapa varwere mushure mekukuvara kunoshungurudza uye syndromes echirwere chisingaperi. Isu tinotarisa pakuvandudza kugona kwako kuburikidza nekuchinjika, kufamba uye nekukurumidza zvirongwa zvakagadzirirwa mazera ese mazera nekuremara.

Kana wakambofarira vhidhiyo iyi uye / kana kuti takakubatsira nenzira ipi zvayo fadza usununguka nokunyora magwaro uye recommend us.

Nyaradza: Dr. Alex Jimenez Chiropractor

Health Utano: www.healthgrades.com/review/3SDJ4

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Ruzivo: Dr. Alex Jimenez Chiropractor

Clinical Site: www.dralexjimenez.com

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Mitambo yekukuvadza Site: chiropracticscientist.com

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Kurudzira: PUSH-se-Rx

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Kunzwisisa Kubva Kurwadziwa uye Sciatica

Kunzwisisa Kubva Kurwadziwa uye Sciatica

Imwe yeshamwari dzangu yakandikurudzira, kasingaperi, uye yakangowedzera kunaka kwayo (Dr. Alex Jimenez, DC) aive. Saka ndakaipa pfuti. Ndakanga ndiine sciatica yakaipa chaizvo uye yaindiuraya, ndaisakwanisa kufamba, asi anga achindibatsira kubuda, ndinogona kufamba izvozvi… Ini ndaisakwanisa kufamba anopfuura mayadhi makumi maviri nemashanu, iyo (sciatica) yainyatsondibata. Ndaifanira kuwana rubatsiro. Handikwanise kutaura zvakakwana nezvaDr Jimenez, anga achindibatsira kubuda, ndinogona kufamba.

 

Edgar M. Reyes

 

Maererano neAmerican Association of Neurological Surgeons, vanenge 75 kusvika ku85 muzana yevanhu vari muUnited States voga vachaona marwadzo emarwadzo munguva yeupenyu hwavo hwose, apo 50 muzana inotambura kupfuura imwe nguva muchikamu. Kutambudzika shure ndechimwe chekunyunyuta kwakanyanya kunowanzo kutaurwa pakati pehuwandu hwevanhu uye kazhinji chiratidzo chinogona kuratidza kuvapo kwechimwe chinetso. Kutambudzika kwekuseri kunogona kukonzerwa nezvakasiyana zvinhu, zvimwe nekuda kwehunhu hwakaipa, sekumira zvisina kunaka, uye vamwe nekuda kwekukuvara kubva mutsaona. Dzimwe nyaya dzehutano, dzakadai sekushomeka kwedisiki chirwere, kana DDD, uye arthritis zvinogona zvakare kukonzera kurwadziwa musana.

 

Baku kurwadza kunogona kusanganisira kurwadziwa kwepamusoro shure, kurwadziwa kwepakati shure uye kurwadziwa kwepamusoro, kakawanda kunowirirana sciatica, kana sciatic nerve pain, chiitiko chinoratidzwa nekudzvinyirira kana kuiswa kwehutano hwenhesi hunoonekwa muzasi. Hurwa kurwadziwa uye sciatica zvave zvakanyatsobatanidzwa nehuwandu hwehutano hwehutano. Kazhinji kacho, sciatica, kana sciatic nerve pain, inokonzerwa nehutano hwehutano hwakakonzerwa nemukomana. Sciatic nerve ndiyo nyere yakakura mumumuviri wevanhu, iyo inobatanidza kusvika mumidzi yemawere mumhara yechepasi kumashure uye inomhanya mumashure, pasi pasi muchiuno uye kumashure kwegumbo rimwe nerimwe. Zvimwe zvikamu zvemuviri uyu zvinobuda kubva pamhuru kusvika kune tsoka uye kuzvigunwe. Sciatica inogona kuonekwa nezviratidzo zvinotevera.

 

  • Kutambudzika kwekudzokera shure kunopisa pasi imwe kana makumbo maviri
  • Iro uye / kana kurwadziwa kwetsoka pamwe chete nekukanganiswa nekutsva kwekunzwa
  • Unhu mumakumbo, tsoka uye / kana zvigunwe
  • Kushungurudzika kusingagumi uye kusagadzikana pane imwe kana kumativi ose maviri emakumbo
  • Zviratidzo zvinorwadza zvakanyanya mumigumo yakadzika
  • Kuva nezvinetso paunogara uye paunenge uchimuka

 

Zvakakosha kunzwisisa kuti kurwadziwa shure uye sciatica hazviwanzoonekwa sehutano hwakanaka ivo pachavo asi, zvinowanzotaridzirwa sekusanganiswa kwezviratidzo zvakasiyana-siyana zvinokonzerwa nekukuvara kwepanyika uye / kana mamiriro. Kuongorora kwakakodzera kwechikonzero chezviratidzo zvako kunowedzera kukosha kuitira kuchengetedza uye nekugadzirisa zvinorwadza kumashure uye sciatica. Sezvambotaurwa pamusoro apa, zvinhu zvakawanda zvinogona kukonzera marwadzo shure uye sciatica zviratidzo. Pasi apa, tichakurukura zvimwe zvepfungwa zvinowanzoita kuti utano huve nehutano hunogona kukonzera marwadzo shure uye sciatica, kusanganisira chirwere chinopera simba, lumbar spinal stenosis, lumbar herniated disc uye spondylolisthesis. Inenge 90 muzana yemhosva dze sciatica dzinokonzerwa nekudzivisa matanho.

 

Degenerative Disc Disease

 

Kuora kweiyo intervertebral discs, inowanikwa pakati pemiti yese yepamusoro, iyo nzira yechisikigo iyo inowanzoitika nezera, asi kune vamwe vanhu, zvisinei, inogona kutanga kukura mberi kwekugara. Mune musana une utano, intervertebral discs inoshingaira sekunyanyisa pakati pemapfupa emupendero, izvo zvinozopa hurefu uye hubvumira musana kuti ugare wakasununguka apo uchida simba. Apo patinotanga kukwegura, idzi mabhuku e rubbery anotanga kukanganisa uye kukanganisa kutendeseka. Anenge munhu wose acharatidza zviratidzo zvekupfeka-uye-kusveta pamwe chete nemasana emagunha pamusoro penguva, asi kwete munhu wose achaona chirwere chinopera simba, kana DDD. Kunyange zvazvo kwete chaizvoizvo chirwere, DDD inoreva mamiriro ezvinhu umo marwadzo ane kuora kweiyo intervertebral discs.

 

Imwe kana kupfuura yakawanda yakasvibiswa pamwe chete nehurefu hwepamusoro inogona kuvhiringidza mutsara uye kuita sciatica. Izvi zvinowanzozivikanwa apo disi shoma inowanikwa pachena. Bhubu rinoputika rinogonawo kukura nekuderedzwa kwe disc uye kunogona kutungamirira ku sciatica. Zviratidzo zvehutachiona hwehutachiona, kana DDD, dzinowanzoitika kune yakaderera shure, zvisinei, dzinogonawo kukura mumutsipa, zvichienderana nenzvimbo yedhidhi dzakashata. Zviratidzo zvinowanzoonekwa zveDDD zvinosanganisira, kurwadziwa uye kusagadzikana, kunyanya kana uchingogara, kupfugama, kusimudza kana kukanganisa, kufungidzira uye / kana kupera mumagumo, uye kuderedza zviratidzo paunofamba uye uchifamba, sezvinongoita nekuchinja nzvimbo kana kurara pasi. Kushayiwa simba mumakumbo emakumbo kana kudonha kwetsoka kunogona kuva chiratidzo chokuti pane kukanganisa kumidzi yeropa.

 

Lumbar Spinal Stenosis

 

Chimwe chikonzero chinowanzokonzera kurwadziwa shure uye sciatica ndechekumbeka kwepinal stenosis. Kudengenyeka kwechisikirwo kwemusana unoitika nezera kunogona kukonzera kushanduka kwakasiyana-siyana kumucheto. Lumbar spinal stenosis inounzwa kuburikidza nekupeta zvishoma nezvishoma kwemugodhi wemusana wemugero unowanzoita mukukwegura uye inowanzokonzera vanhu pamusoro pezera re50. Apo nzvimbo yakakomberedza rwonzi rwepelinha inowedzera, inogona kuisa zviyero zvisingakoshi zvekumanikidzwa kwepelinha nemidzi midzi. Uyezve, inogona kuva mugumisiro we diski inoburitsa, yakawedzerwa mafundo, kana kuwanda kwezviviri. Nhamba shomanana chete yevanhu vanoberekerwa nehutano hwepfungwa dzinogona kukura kuva lumbar spinal stenosis. Izvi zvinozivikanwa se congenital spinal stenosis uye inowanzoongororwa mune varume.

 

Arthritis, kana kuora kwechikamu chero chipi zvacho mumuviri, chave chichinzi ndicho chikonzero chinowanzovhiringidza chepinini stenosis. Sezvo intervertebral disc inotanga kupfeka-uye-kusveta zvisikwa zvinotanga, vanokwanisa kurasikirwa nemvura uye vanozoguma vaoma, pakupedzisira vachirasikirwa nekukwirira uye kunyange kudonha. Izvi zvinogona kuisa dambudziko pamasangano emakumbo, majoini anopa kuchinja uye kuenderera kune musana, zvichiita kuti arthritis. Somugumisiro, mitsipa yakapoteredza zvivako zvepamusoro zvinogona kuwedzera muhukuru, kuderedza nzvimbo yevheti. Uyezve, muviri wevanhu unogona kupindura nokukura mapfupa matsva, kuwedzerawo kuderedza nzvimbo yemitsipa kuti ipfuure. Zviratidzo zve lumbar spinal stenosis zvinogona kusanganisira, kurwadziwa, kurira kana kutsva kwekunzwa, kushaya simba uye kushaya simba, uyewo zviratidzo zvishoma zvinorwadza paunoramira mberi kana kugara.

 

Lumbar Herniated Disc

 

Dhairied herniated ndiyo mamiriro ezvinhu anogona kuitika chero upi noupi pamwe chete nehupamhi hwepamusoro, zvisinei, iyo inowanzosangana nechezasi kumashure kana lumbar spine. Iyo inogonawo kutumidzwa sechisimba, kuputika kana kuputika disc. Bhuku rinonzi lumbar herniated rinoonekwa sechimwe chezvinhu zvinowanzokonzera marwadzo ekudzokera shure, uye sciatica. Rimwe disc intertetebral inotanga kunyorera apo ganda rakanyorova, sejelly, rinozivikanwa senucleus pulposus, rinorwisana nehuro yayo yekunze, inozivikanwa se annulus fibrosus, nemhaka yekupfeka-uye-kusvimha kana kukuvadzwa kamwe kamwe. Nokuramba uchimanikidzira, jelly-like nucleus inogona kupfurikidza nekeri yekunze yekunze kana iyo inogona kuita kuti ringe iwedzere, ichiisa kuwedzera kumutsipa wepamuviri uye midzi yayo yakakomberedza midzi.

 

Uyezve, iyo intervertebral disc mashoko inogona kusunungura makemikari uye / kana zvinhu zvinogona kugumbura zvivako zvakakomberedza zvepamusoro, zvichiita kuti utsi huputike. Kana musinga inogumbuka, inogona kutungamirira kune zviratidzo zvekutambudzika uye kusagadzikana, kushaya simba uye kushaya simba mune rimwe kana makumbo maviri, zvichida kunzi sciatica, kana sciatic nerve pain. Mumwe munhu anogonawo kukudziridza dhienhiyo asina kumboona zviratidzo chero chipi zvacho. Bhuku rinonzi lumbar herniated rinowanzokonzerwa nekuderera kwechimiro chepamusoro uye madhishi, zvisinei, kushungurudzika uye / kana kukuvadzwa kunogona kukonzerawo lumbar disc herniations. Zviratidzo zvekambani yekamberi inonzi sciatica inosanganisira sciatica, kushungurudzika, kushaya simba, kushaya simba, uye kurasikirwa kwechigunha kana kutora zvirwere mumatambudziko akaoma. Izvi zviratidzo zvekupedzisira zvichange zvichitsvaga kurapwa nokukurumidza.

 

Spondylolisthesis

 

Spondylolisthesis chimwe chikonzero chinowanzokonzera marwadzo ekudzokera shure uye sciatica, zvikurukuru mumitambo miduku. Kudzokorora kunetseka kumucheto kumashure, kana kuti kurira kwepabonde, kunogona kukonzera kukanganiswa kana kuputsika mupfungwa mune rimwe remaritabrae. Muzviitiko izvi, zvisinei, kuputsika kwepfungwa kunowanzoita kuti pfupa risanyanya kuoma, kusvika pakusakwanisa kuchengetedza nzvimbo yakakodzera mumumhanza, pakupedzisira zvichiita kuti vertebra itange kuchinja kana kuputika kunze kwenzvimbo. Ichi chiitiko ndicho chinowanzozivikanwa sepondylolisthesis. Mune vana nevechiri kuyaruka, spondylolisthesis inogona kuitika kuburikidza nenguva yekukura nokukurumidza, nenzira yekufananidzira, panguva yekukura kwevechiri kuyaruka. Ichi chiitiko chinowanzoitika semugumisiro wokunyanyisa, kudarika, kana kutengesa, uye kunyange nekuda kweiyo genetics.

 

Nyanzvi dzakawanda dzehutano dzinoratidzira spondylolisthesis seyechikoro chepasi kana yepamusoro, zvichienderana nekuwanda kweii vertebrae yakashandurwa kana kuti yakabuda kunze kwenzvimbo. Chikwata chepamusoro chechikoro chinowanzowanikwa kana kupfuura huwandu hwe50 hwehupamhi hwepenetra yakakanganiswa inofamba mberi kusvika kune vertebra pasi payo. Vanhu vane chikoro chepamusoro chepondylolisthesis vanowanzotsanangurira maonero makuru ekurwadziwa uye kusagadzikana pamwe nekukuvara kwehutano. Muzviitiko zvakawanda, zvakadaro, vanhu vane spondylolisthesis havazovi nehumwe zviratidzo zvakajeka, sezviripo, vazhinji havazivi nezvechiitiko kusvikira x-ray inotorwa nokuda kwekukuvara kusina kukodzera uye / kana mamiriro. Vanhu vane spondylolisthesis vanogona kunzwa kurwadziwa shure uye sciatica, kusanganisira masaisai emasisipo, kuoma kwakasimba uye hamstrings zvakasimba.

 

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Dr. Alex Jimenez's Insight

Kusuruvara shure ndeimwe yezvikonzero zvinowanzovhiringidza nei vanhu vanowanzoshaya mazuva kubva kubasa kana kuenda kuchiremba, sezvo yakavawo chimwe chezvikonzero zvinokonzerwa nekuremara pasi pose. Sezvakangoitika, zvakave zvichiverengerwa kuti inenge 80 yezana yevanhu ichave kana kuti vakave nekurwadziwa shure shure kamwechete muupenyu hwavo hwose. Nenzira yakanaka, mishonga yakasiyana-siyana inowanikwa iyo inogona kubatsira kuderedza zviratidzo zvekurwadziwa shure. Zvakakosha kuti unzwisise kurwadziwa shure uye sciatica, kuunganidza kwezviratidzo zvinowanzobatanidzwa nehutano hwepfungwa dziri mumucheto kumashure, kuitira kuti uwane hutachiwana hwakanaka uye urambe uchiine chirongwa chakakodzera chekurapa kuitira kuti usununguke zviratidzo zvehutambudzo shure uye sciatica.

 

Kurapa Kwekudzoka Kwekare uye Sciatica

 

Chiropractic kuchengetedza inonyatsozivikanwa, imwe nzira yekurapa sarudzo inowanzoshandiswa kubatsira kubata, kubata nekudzivirira marwadzo shure uye sciatica. Sezvo pane zvinhu zvakawanda zvinogona kuita kuti zviratidzo zvekurwadziwa kweparuvara uye kurwadziwa kwepfungwa dzisina kusimba, chiremba wechiropractic, kana chiropractor, danho rekutanga raizove kuziva kuti chii chinokonzera zviratidzo zvevarwere. Kusarudza kugadziriswa kunosanganisira kuongorora kufungisisa kwehupenyu hwehutano hwemurwere, uye kuongorora kwepanyama uye kwepfungwa. Kuongorora kuongororwa kunogona kusanganisira x-ray, MRI, CT scan uye / kana kuti magetsi ekugadzirisa magetsi, akadai senzira yekudzidzira kukurumidza kuongorora kana electromyography. Izvi zviongororwa uye miedzo zvinobatsira kutsanangura zvinogona kuitika zvinopesana nemishonga.

 

Chinangwa chechiropractic kuchengetedza ndechekubatsira kukurudzira kukwanisa kwemuviri wemunhu kuzviraramisa. Inobva pasayenzi yezvesayenzi iyo inongoita zvishoma pamusana pemvura inokonzera kurwadziwa uye kuderedzwa basa nekushanda. Kuchengetedza chiropractic hakusi inoparadza, kana kusina chirwere, uye hazvina mishonga. Chirwere chechiropractic chinyorwa chinopiwa chinoenderana nechinokonzera marwadzo omunhu uye sciatica. Chirongwa chekurapa chinogona kusanganisira mishonga yakawanda yakasiyana-siyana uye kurapwa, semvura inotonhora / inotonhora, ultrasound, TENS, uye kugadzirisa kwepelinha kana maitiro ekushandisa. Kana chiremba wechiropractic asarudza kuti murwere wepachiviri chepfungwa chinoda kurapwa nemhando yakasiyana yechiremba, zvino munhu wacho anogona kutumirwa kune mumwe mushandi wehutano.

 

Zvinyorwa zvepanyama zvezviitiko izvi zvinobudirira uye zvinowanzo zvine zvikamu zviviri: kushanda uye kusatendeka. Passive therapeutics yakagadzirwa ne ultrasound, magetsi ekusimudzira, kupisa uye mazaya evha pamwe ne iontophoresis. Kushanda muviri therapeutics maitiro kunosanganisira kutambisa maitiro, kudzokera shure uye kushandiswa kwepasi kunokonzerwa nemamiriro ezvinhu. Bhuku remitambo inoratidzika, yakadai semafungiro emusana uye / kana maitiro ekushandisa, anogona kunge akabatanidzwa muchikamu nechiropractor. Zviratidzo zvepanyama zvinowanzokurudzira 20 maminitsi ekugadzirisa lumbar kugadzirisa maitiro zuva nezuva. Kuita musimba kusimba kunokosha zvakare mukurapa kurwadziwa shure. Kutsika-kunakidza aerobics zvakare kunokosha uye kunosanganisira mvura inoporesa, mabhasi, uye kufamba.

 

Kurapa kwemuviri chinhu chakakosha pakurapa musana nyaya dzehutano. Kana iwe ukasangana nemurapi wepanyama, pachave nekuongororwa kwakazara. Kuyedzwa kuchaitwa uye chirongwa chega chega chekurapa chichagadziriswa zvichibva pane zvinangwa zvemurwere. Kana iwe uchirwadziwa nemusana kana sciatica, usamirire zvakare kuti uwane zororo. Bata nyanzvi yehutano kuti utange kubvunza kune-mumwe-uye kuongorora kwakazara. Mazhinji chiropractors uye varapi vemuviri vanozivikanwa, vane ruzivo uye vakazvipira kukubatsira kuti unzwe zvirinani. Ivo vakabatsira vamwe vazhinji kupora kubva kuhutano hwemusana uye vanogona kukubatsira iwewo. Chiyero cheruzivo rwedu chinogumira kuchiropractic pamwe nekukuvara kwepamuviri nemamiriro. Kuti ukurukure nyaya yacho, ndapota inzwa wakasununguka kubvunza Dr. Jimenez kana kuti tibate isu pa 915-850-0900 .

 

Yakarongedzwa naDkt Alex Jimenez

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Zvimwe Zvinyorwa: Kubva Painini

Kutambudzika shure ndechimwe chezvikonzero zvakakosha zvikuru zvekuremara uye mazuva asina kukwana kubasa pasi rose. Sezvakangoitika, kurwadziwa kwekudzokera shure kwave kuchiitwa sechipiri chikonzero chikuru chechiremba chekushanyira, chakanyanya kupfurikidza nehutachiona hwepamusoro-kuporesa. Inenge 80 muzana yevanhu vanozoona rumwe rudzi rwemarwadzo emutsipa kamwechete kamwe chete muupenyu hwavo hwose. Iyo musana inorongwa yakaoma yakaumbwa nemapfupa, mafundo, magirasi nemasumbu, pakati pezvimwe zvinyoro zvishoma. Nemhaka yeizvi, kukuvadzwa uye / kana mamiriro ezvinhu akawandisa, akadai herniated discs, zvinogona kutungamirira kune zviratidzo zvekurwadziwa shure. Kukuvara kwemitambo kana kukuvara kwepamberi yemotokari kazhinji kunowanzokonzera kukonzera kurwadziwa, zvisinei, dzimwe nguva kufamba kwakanyanya kunogona kuva nemigumisiro inorwadza. Nenzira yakanaka, nzira dzakasiyana dzokurapa, dzakadai sechiropractic, dzinogona kubatsira kuderedza marwadzo shure kuburikidza nekushandurwa kwepelinha nekugadzirisa maitiro, pakupedzisira kunatsiridza marwadzo ekurwadziwa.

 

 

 

blog chinyorwa chekartoon paperboy makuru makuru

 

NHAURWA INOKOSHA INOKOSHA: Sciatica Treatment

 

 

Chiropractic Care for General Back Pain

Chiropractic Care for General Back Pain

Kushungurudza kumashure chiratidzo chinowanzokonzera huwandu hwehuwandu hwevanhu, kunyange zvazvo kune vanhu vakawanda, kushamwaridzana kwakanyanya kunowanzova kwakanyarara uye kwechinguva. Zvinosuruvarisa, kurwadziwa kumashure kunogona kuva nyaya inogara iripo kune vamwe vanhu. Muzviitiko zvakasiyana, zviratidzo izvi zvinogona kutotoda kurapwa munguva pfupi.

Kana wakambonzwa kurwadziwa kwemusana nguva yehupenyu hwako, kunyanya kana kutsva, kusagadzikana kunoramba kuchiitika, zvichiita kuti munhu atadze kudzora ura kana dundira, kutsvaga kuongororwa kwakakodzera nekukurumidza zvakakosha kuti uone kwakabva. zviratidzo uye kutanga kurapwa. Teerera kumuviri wako.

Kutsvaga Rubatsiro kubva kuHealthcare Professional

Marwadzo ekudzokera shure, kurwadza uye kuoma zvinowanzoitika uye zvinogona kugadzirisa pachavo pasina kudiwa kwekuongororwa kwechiremba. Asi, zvimwe zviratidzo zvinogona kuratidza kukura kwekunetseka kwakanyanya. Zviratidzo zvinotevera zvingada kuwedzera kuongororwa sezvo izvi zvinogona kuratidza mamiriro emusana: kurwadziwa kunogara kwenguva yakareba kupfuura mavhiki matanhatu; kurwadziwa, kushaya simba kana kupera mumakumbo; kunetseka kurara nekuda kwemusana kana kurwadziwa kwemutsipa; uye / kana kamwe kamwe marwadzo ekudzokera shure pasina chikonzero chakajeka. Kana wakambosangana nechero chezviratidzo zvataurwa pamusoro apa, zvakakosha kuti utsvage kuongororwa kwakakodzera kubva kune nyanzvi yezvehutano ine hunyanzvi.

Chiropractic kuchengetedza inowanzoshandiswa kurapa sarudzo iyo inoshandiswa kugadzirisa matambudziko akawanda emusana. Chiropractic inonyanya kuisa pfungwa pamushuloskeletal system uye nervous system. Paanoshanyira chiremba wechiropractic, kana chiropractor, nyanzvi yehutano inotanga kuongorora kuongorora kwemutsara kuti aone kana chirwere chepasipinha, chinonziwo kudimburwa, kana chero humwe rudzi rwekukuvara kana chikonzero ndicho chikonzero chezviratidzo.

Pamwe chete newongororo yenhoroondo yezvekurapa yemunhu, kusanganisira chero mhedzisiro yebvunzo yapfuura kubva pakugadzwa kwekutanga nevamwe vanachiremba, kana iripo. Kuti apedze kuongororwa kwepelinha, kunze kwekuongorora kwepanyama, chiropractor ingadawo zvimwe zvidzidzo, zvakadai se-X-ray kana MRI scan. Izvi zvichabatsira kuona panobva zviratidzo. Pasinei nokuti munhu wacho akaonekwa kuti ane kukuvara kwakafanana kana mamiriro ezvinhu, akadai sciatica, kana imwe yakaoma uye yakaoma, chiremba wechiropractic achazotevera netsanangudzo yemazuva ano yechikonzero cheumwe munhu wezviratidzo zvavo vasati vagadzira zvakakodzera. chirongwa chekurapa.

Nyanzvi yezvehutano inofanirwa kupa mhedziso yesarudzo dzekurapa, kusanganisira kukurukurwa kwakadzama kwemabhenefiti uye njodzi dzinogona kuitika dzeumwe neumwe. Iyo inonyanya kuzivikanwa chiropractic kuchengetedza maitiro uye maitiro ekurapa anosanganisira musana wekuchinja uye manyore manipulations. Kuburikidza nekushandiswa kwechiropractic kugadzirisa uye manipulations, chiropractor ichanyatsogadzirisa musana, zvichibatsira kuderedza kushushikana uye kudzvinyirirwa kuri kuiswa kune zvivako zvakapoteredza musana kuitira kuvandudza basa. Nekudzoreredza kurongeka kwepelinha kwemunhu, chero kurwadziwa, kuzvimba uye kupera simba, pamwe nezvimwe zviratidzo zvekurwadziwa kwemusana uye kusagadzikana, zvichaderedzwa, zvichipa munhu wacho simba rake rekutanga, kufamba uye kuchinjika, kusimudzira hutano hwavo hwese uye hutano. .

Uyezve, chiropractor inogonawo kukurudzira nhevedzano yekutamba uye maekisesaizi, pamwe neakati wandei shanduko yemararamiro, kuti uwedzere kuvandudza kukuvara kwemunhu kana mamiriro uye kukurudzira nekukurumidza kupora nguva. Physical therapy uye kuvhiyiwa kwemusana zvinogonawo kurapwa zvingasarudzwa zvemarudzi akasiyana-siyana ematambudziko ekudzokera shure, Zvisinei, kuvhiyiwa kwemusana kunokurudzirwa chete kana nzira dzekuchengetedza dzakakundikana kare. Kunyange zvazvo kurwadziwa shure kunowanzovhiringidza pakati pehuwandu hwevanhu, kutsvaga kuongororwa uye kutevera kuburikidza nekurapa kunokosha kuti munhu ave nechokwadi chokuti munhu anogara ane hutano hwakanaka uye hutano hwakanaka.

Sourced kupitia Scoop.it kubva: www.elpasochiropractorblog.com

Zviratidzo zvekurwadziwa kumashure zvinokanganisa huwandu hwakawanda hwevanhu uye, nepo ruzhinji rwematambudziko rwunozvigadzirisa vega, zvakakosha kutsvaga kurapwa nekukurumidza kuti uone chinokonzera zviratidzo, kunyanya nekurwadziwa kusingaperi. Chiropractic kurapwa inogona kubatsira kudzorera iyo yekutanga hutano yemuzongoza.

Nhepfenyuro inotungamirira: Mishonga Inoratidzwa Chikamu 6

Dhiyabhorosi Gentempo nevamwe vari kuunza hukuru hukuru munharaunda yedu pamusoro pezvirwere uye njodzi dzavo.

Mishonga Yakaratidzwa uye Yakaratidzwa paChikamu # 6

Semubatsiri wezvehutano, Dr.Patrick Gentempo anga achitsvaga chokwadi chiri kumashure kwemhedzisiro yemishonga muvanhu Paunenge uchiita sarudzo dzakakomba nezve iwe nehutano hwevana vako, zvakakosha kuti uve neruzivo rwechokwadi nezvese marapirwo auri kuita, kusanganisira kupihwa mishonga inodiwa, pakati pevamwe.

Kuti uwane mamwe mashoko, ndapota ivai vakasununguka kubvunza Dr. Jimenez kana kuti tibatane nesu pa 915-850-0900 .Pamusoro muperekedzi

NaDkt Alex Jimenez

The Correlation of Neuropathy and Chronic Pain

The Correlation of Neuropathy and Chronic Pain

Neuropathy inoratidzwa nemishonga sechimiro chemarwadzo asingagumi anogona kuwanzokonzerwa nekukuvadzwa kana kuchinja kwehutano hwepakati kana peripheral nervous system. Peripheral neuropathic kurwadziwa kwakambonzi kunorwadza neuropathy, kurwadziwa kwetsinga, kunzwa peripheral neuropathy kana peripheral neuritis. Munhu ari kubatwa neuropathy anowanzo tsanangura zviratidzo zvawo kunge zvisina kufanana nevamwe vaakamboona kare. Kana zvasvika kune neuropathy zvakadaro, zvakakosha kuti unzwisise kuti kurwadziwa kusingaperi hakusi chiratidzo chekukuvara asi kuti, marwadzo acho ndiwo maitiro echirwere. Neuropathy haina kubatanidzwa nemaitiro ekuporesa kana, pachinzvimbo chekukuvara chaiko mumuviri, tsinga pachadzo dzinotadza kushanda uye ndidzo dzinokonzera marwadzo.

Zviratidzo zveNeuropathy

Marwadzo ekumusana kana rumwe rudzi rwechiratidzo chinorwadza chinoratidzwa neuropathy chinogona kutsanangurwa nenzira dzakawanda. Izvi zvinogona kutsanangurwa se: yakaoma, inopinza, yemagetsi kuvhunduka-kufanana, kupfura, semheni, kana kuti lancinating; kudzika, kupisa kana kutonhora; nechiveve chinoramba chiripo, kurira kana kushaya simba; uye/kana kutevedza tsinga nzira mumaoko, maoko, makumbo kana tsoka. Uyezve, zviratidzo zveuropathy zvinogona kuratidzwa nekurwadziwa uye kusagadzikana kubva pakubata kwakareruka kana kumwe kurudziro iyo kazhinji haifanirwe kukonzera marwadzo, pamwe ne hypersensitivity kune inowanzo rwadza kukurudzira.

Zviratidzo zveuropathy zvinogona kuratidza semhedzisiro yemhando ipi neipi yemarwadzo inopinza kana kumanikidza tsinga. Mienzaniso yekurwadziwa kweuropathic iyo inobereka kubva munharaunda yemuzongoza inosanganisira: kurwadziwa kusingaperi kunofamba pasi kureba kwegumbo, inozivikanwawo se radiculopathy kana sciatica; kurwadziwa kusingaperi kunopenya pamwe chete neruoko, kunonziwo cervical radiculopathy; uye zvishoma nezvishoma kana marwadzo anoramba achitevera maitiro ekuvhiya shure, anowanzobatanidzwa nekukundikana kwekuvhiyiwa kwemashure syndrome. Zvimwe zvinonyatsozivikanwa zvikonzero zveuropathy ndezvi: chirwere cheshuga; phantom limb pain kana region pain syndrome, inonziwo RPS. Kana chirwere cheuropathy chemunhu chikasarapwa nenzira kwayo, matambudziko mazhinji akadai sekuora mwoyo, kusarara, kunzwa kutya uye kusagadzikana, kushomeka kwekudyidzana munharaunda uye kusakwanisa kuita mabasa ezuva nezuva kana basa zvakatsanangurwa senyaya dzinogara dzichibata avo vanotambura nechirwere chisingaperi. kurwadziwa kwakabatana neuropathy uye zvimwe zviratidzo zvayo.

Mitauro yeRuka Pain

Kana zvasvika kune zviratidzo zveuropathic, zvakakosha kuti tive nekunzwisisa kwese kwemarudzi makuru akasiyana-siyana emarwadzo ekudzokera shure, zvinonyanya kukosha nokuti kunyatsogadzirisa marudzi aya ezviratidzo zvinogona kutungamirira vanhu kuti vagamuchire chirongwa chekurapa chakanakisisa.

Nociceptive Pain uye Neuropathy

Vashandi vezvehutano uye vanyanzvi mune zvehutano zvinowanzoisa marwadzo mune chimwe chezvikamu zviviri zvakasiyana: marwadzo neuropathic uye nociceptive, kana somatic, kurwadziwa.

Nociceptive pain inonzwika ne nociceptor sensory fibers mushure mekunge pane kukanganisa kana kukuvadzwa kune chimiro mumuviri, zvakadai semasumbu, ligaments, tendon, mapfupa, majoini kana dzimwe nhengo. Nociceptive kurwadziwa kunowanzozivikanwa sekurwadziwa kwakadzika, kuputika, kurira kana kurwadziwa. Zviitiko zvakapararira zvekurwadziwa kwe nociceptive kunobatanidza nemarwadzo ekudzokera shure kwekutambudzika uye kusagadzikana zvinosanganisira: kurwadziwa mushure mekutambudzika kwakananga kubva mutsaona yemotokari kana imwe nyaya yekukuvara kwevanhu; kurwadziwa mushure mekuvhiyiwa shure; uye kurwadziwa kwearthritis. Nociceptive pain inowanzowanikwa munzvimbo uye inogona kuvandudza nekurapa kurapwa. Neuropathic pain, kana neuropathies, inoitika kana paine kukuvara kana kukuvara kwetsinga tishu. Neuropathy inowanzozivikanwa sekupisa, kurwadziwa kwakanyanya kwekupfura uye / kana chiveve chinoramba chiripo kana kurira kwekunzwa. Zviitiko zvakapararira zvekurwadziwa kweuropathic zvinosanganiswa nezviratidzo zvemashure zvekurwadziwa uye kusagadzikana zvinosanganisira: sciatica, kurwadziwa kunofamba kubva kumusana pasi peruoko, kurwadziwa kunopfuurira mushure mekuvhiyiwa kwemashure.

Zvinotendwa kuti muzviitiko zvakawanda, kurwadziwa kwakawedzerwa kwenociceptive kunogona kutungamirira kuuropathy uye munhu anogona kuzonzwa kurwadziwa kweuropathic uye kurwadziwa kwenociceptive panguva imwe chete. �

Zvakanaka kurwadziwa uye kuora mwoyo

Zvakakoshawo kuziva mutsauko uripo pakati pekurwadziwa kwakanyanya uye kurwadziwa kusingaperi sezvo nzira mbiri idzi dzemarwadzo dzinogona kunge dzakasiyana muchimiro nekushanda.

Nekurwadziwa kwakanyanya semuenzaniso, chiyero chekuomarara chinogona kuenderana zvakananga negiredhi rekukuvadzwa kwematishu kana kukuvara. Izvi zvinopa vanhu vane reflex inodzivirira, yakadai sereflex yekufambisa nhengo pakarepo mushure mekubata chinhu chakapinza. Kurwadza kwakanyanya kunogona kuonekwa sechiratidzo chezvinyama zvakakuvadzwa kana zvirwere, apo kana dambudziko repasi rakaporeswa, kurwadziwa kunopera zvakare. Kurwadza kwakanyanya inzira yekurwadziwa kwe nociceptive. Nekurwadziwa kusingaperi semuenzaniso, marwadzo acho haana chimiro chakafanana uye basa sezvaanoita nekurwadziwa kwakanyanya. Mune mamwe mazwi, haishande inodzivirira kana chimwe chiitiko chebhayoloji. Pane kudaro, tsinga dzinoramba dzichitumira zviratidzo zvinorwadza kuuropi zvisinei kana pasina kukuvara kwetishu. Neuropathy inzira yekurwadziwa kusingaperi.

Anatomy of Nerve Pain

Mutsipa wemuzongoza unoshanda sechikamu chekutanga chemuviri chepakati tsinga inotumira meseji kubva kuhuropi uye ichiparadzira izvi kune tsinga mumuviri wese. Tsinga dzinogona kuwanikwa dzichifamba kumativi ese emuviri, dzichipinda nekubuda muzongoza pamwe chete nehurefu hwayo hwose.

Nerve Pain Inoshanda Sei?

Pane 31 mapaundi emagunha emupfupa anokwanisa kuwanikwa achibuda mumutsara wepelinha pakati pekuzaruka kwekuparadzanisa rimwe vertebrae. Mutsipa wehutano, kana kuti iyo nharo inobva mumutsipa wepelinha, matavi kusvika mumatavi maduku akawanda anotonga nzvimbo dzakasiyana dzomuviri, zvinonyanya kutaurwa sehutachiona hwemhiri. Semuenzaniso, mutsara unobva kumucheto wezasi unenge uine matavi emativi ose anotenderera kusvika kune zvigunwe. Puropheral nerve inoita purogiramu yenheyo yenheyo. Nzira dzomukati dzinenge dzichibatanidzwa nemagetsi nemagetsi. Nzira dzisina kunzwa dzinogamuchira zvinokanganisa, zvakadai sekuti chimwe chinhu chinonzwa sei uye chinorwadza kana kwete. Izvo zvinosanganisira nerve fibers inozivikanwa semafungiro emagetsi. Uyezve, mechanoreceptor fibers mupfungwa mutumbi kufambisa uye kuomeswa kwakaiswa mumuviri apo nociceptor fibers pfungwa yomuviri wekukuvara. Motokari mishonga inofamba mumatumbu ese uye inokurudzira kufamba kwayo. Izvi zvinosanganisira nerve fibers inozivikanwa semagetsi.

Nzira Kukuvadza uye Neuropathy Pain

Kunyange zvazvo pasina ruzivo rwakakwana kana humwe uchapupu hunotsigira hutsananguro inotevera, inofungirwa kuti kukuvadza kana kukuvadza kune chero ipi zvayo pamusoro pemhando dzedumbu dzingave chikonzero chinogona kutungamirira mukukura kwekutambudzika kwepfungwa kana neuropathy. Kazhinji, nzvimbo yechipfupa chemashuga iyo yakakanganiswa neuropathy inorondedzerwa semishonga seyo axon, iyo iri mukati memashoko emugwagwa we nerve cell, uye / kana yakavhara ye myelin, iyo inozivikanwa semafuta kunze kweheath inochengetedza nerve sero uye inobatsira kutumira ruzivo mukati mehutano hwenheyo. Apo kuora kweuropathy kunorwa kunokonzerwa nekukuvadza kana kukuvadza kune zvataurwa pamusoro apa, chirwere chekushaya ropa chinotsigirwa nekusajairika kwekugadzirisa kwezvinokonzerwa nemanzwiro ne-central central nervous system uye purogiramu yenheyo yenheyo.

Musoro Wenyaya: Vaxxed�Kubva Pakuvavha kuenda Kunjodzi

Kuti uwane maitiro emigumisiro kubva kuHIV vachiona webcard webciti www.cdc.gov/vaccines/vac-gen/…

Muna 2013, nyanzvi yezvezvinhu zvipenyu Dr. Brian Hooker vakatambira runhare kubva kuna Senior Scientist kuUS Centers for Disease Control and Prevention (CDC) uyo akatungamira ongororo yesangano iri muna 2004 pamusoro pemushonga weMeasles-Mumps-Rubella (MMR) autism.

Mumwe musayendisiti, Dr. William Thompson, akareurura kuti CDC yakasiya dambudziko rinokosha munhoroondo yavo yekupedzisira iyo yakaratidza ukama hunokonzera pakati pemishonga yeMMR uye autism. Kwemwedzi inoverengeka, Dr. Hooker anonyorera foni dzaakaitwa kwaari naDkt. Thompson uyo anopa mashoko akavanzika akaparadzwa nevamwe vake paCDC.

Dr. Hooker anonyorera rubatsiro rwaDr. Andrew Wakefield, muBritish gastroenterologist achipomerwa zvenhema kuti akatanga anti-vax movement paakatanga kuzivisa muna 1998 kuti mushonga weMMR unogona kukonzera autism. Mukuedza kwake kutsigira hutano hwevana, Wakefield anotungamira chinyorwa ichi achiongorora humbowo hwekuvhara kunotyisa kwakaitwa nebazi rehurumende rinopomerwa kuchengetedza hutano hwevagari vemuAmerica.

Kubvunzurudza nemishonga inodhaka, vanachiremba, vezvematongerwe enyika, nevabereki vane chirwere-vacheche vana vanoratidza unyengeri hunotyisa hwakakonzera kuwedzera kwekuwedzera kwe autism uye inogona kunge iri dambudziko guru rehupenyu hwedu.

MaAmerica anofanirwa kunyatsogadzirisa matambudziko ehupfumi, zvemagariro evanhu uye ezvakatipoteredza zvatinoona. Asi iyo yakaputsa sangano rezvematongerwe enyika inongoita kuti zvinhu zviwedzere.

Yasvika nguva yekuvaka musangano wevanhu kupedza kushaikwa nehurombo; kudzivisa njodzi yemamiriro ekunze; kuvaka hupfumi, hupfumi; uye kuziva chiremerera nekodzero dzevanhu dzemunhu wese. Simba rekugadzira iyi nyika nyowani harisi mutariro yedu; hazvisi muzviroto zvedu - zviri mumaoko edu.

Kuti uwane mamwe mashoko, ndapota ivai vakasununguka kubvunza Dr. Jimenez kana kuti tibatane nesu pa 915-850-0900 .

NaDkt Alex Jimenez