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 , Injury Care
Kukuvara kwemabvi kunogona kuwanikwa muvanhu vakagwinya vanosimudza masimbi. Kunzwisisa marudzi ekurema kwekukuvara kwebvi kunogona kubatsira mukudzivirira here?
Weightlifting Mabvi Kukuvara
Kudzidzira uremu kwakachengeteka zvikuru kumabvi sezvo kurovedza uremu nguva dzose kunogona kuvandudza simba remabvi uye kudzivirira kukuvadzwa chero bedzi fomu yakarurama ichiteverwa. Kune Vanhu vane kukuvara kwemabvi kubva kune mamwe mabasa, zvisizvo kurovedza uremu zvinogona kuwedzera kukuvara. (Ulrika Aasa et al., 2017 ) Zvakare, kumonyorora kamwe kamwe, kurongeka kwakashata, uye kukuvadzwa kwagara kuripo kunogona kuwedzera njodzi yekuwedzera kana kugadzira kumwe kukuvara. (Hagen Hartmann et al, 2013 ) Muviri nemabvi zvakagadzirirwa kutsigira vertical forces pamajoini.
Kazhinji Kukuvara
Weightlifting mabvi kukuvadzwa kunoitika sezvo majoini emabvi anotsungirira zvakasiyana-siyana zvekunetseka uye kushungurudza. Mukurovedza uremu, matsimba anonamatira kune yakaoma bone system yemabvi akabatanidzwa anogona kukuvadzwa nekufamba kwakashata, kuremedza uremu, uye kuwedzera huremu nekukurumidza. Kukuvara uku kunogona kuguma nekurwadziwa, kuzvimba, uye kusagadzikana kunogona kubva kune zviduku kusvika kune zvakanyanya, kubva pakuputika kana kubvarura zvishoma kusvika pakubvarura kwakakwana mumatambudziko makuru.
Anterior Cruciate Ligament - ACL - Kukuvara
Iyi ligament inonamira femur bone yechidya kuzasi kwegumbo shin bone/tibia uye inodzora kutenderera kwakanyanya kana kuwedzera kwemabvi akabatanidzwa. (American Academy of Family Physicians. 2024 )
Anterior zvinoreva pamberi.
Kukuvara kweAACL kunoonekwa zvakanyanya muvatambi asi zvinogona kuitika kune chero munhu.
Kukuvadzwa kwakanyanya kune ACL kunowanzoreva kuvhiyazve kuvaka uye kusvika kumwedzi gumi nemiviri yekuvandudza.
Paunenge uchisimudza uremu, edza kudzivirira kumonyanisa mafambiro emabvi, nemaune kana netsaona, pasi pemutoro wakawandisa.
Posterior Cruciate Ligament – PCL – Kukuvara
Iyo PCL inobatanidza femur uye tibia panzvimbo dzakasiyana kune ACL.
Iyo inodzora chero kufamba kwekudzokera kumashure kwetibia pamubatanidzwa.
Kukuvara kunoitika zvakanyanya nemasimba epamusoro-soro semugumisiro wetsaona uye dzimwe nguva mumabasa apo kushungurudzwa kwechisimba kumabvi kunoitika.
Medial Collateral Ligament – MCL – Kukuvara
Iyi ligament inochengetedza ibvi kubva pakukotama zvakanyanya kusvika mukati / pakati.
Kukuvara kunonyanya kuitika kubva pakubata kusvika kunze kwebvi kana kubva kune netsaona bodyweight simba pagumbo rinokotama pakona isina kujairika.
Lateral Collateral Ligament – LCL – Kukuvara
Iyi ligament inobatanidza bhonzo duku regumbo rezasi / fibula kune femur.
Zvakapesana neMCL.
Inochengetedza kufamba kwakanyanyisa kwekunze.
Kukuvara kweLCL kunoitika apo simba rinosundira ibvi kunze.
Cartilage Kukuvara
Cartilage inodzivirira mapfupa kubva pakukweshana pamwe chete uye makusheni anokanganisa masimba.
Knee menisci is cartilage iyo inomisa majoini emabvi mukati nekunze.
Mamwe marudzi eshwashwa anodzivirira chidya uye mapfupa ekushin.
Kana cartilage ikabvaruka kana kukuvara, kuvhiyiwa kungadiwa.
Tendonitis
Yakawedzera uye yakanyanyisa kushandiswa kwemabvi tendon inogona kutungamirira mukurema kwekukuvara kwemabvi.
Kukuvara kwakabatana kunozivikanwa se iliotibial band syndrome / ITB inokonzera marwadzo kune kunze kwebvi, kazhinji mumhanyi, asi inogona kuitika kubva pakushandisa zvakanyanya.
Kuzorora, kutambanudza, kurapa kwemuviri, uye anti-kuzvimba mishonga chirongwa chakajairika chekurapa.
Vanhu vanofanirwa kubvunza murapi wepanyama kuti varwadze kwenguva yakareba kupfuura mavhiki maviri. (Simeon Mellinger, Nyasha Anne Neurohr 2019 )
Osteoarthritis
Sezvo muviri uchikura, kupfeka kwakajairwa uye kubvaruka kunogona kukonzera kukura kwe chemajoini yemabvi akabatanidzwa. (Jeffrey B. Driban et al., 2017 )
Mamiriro acho anoita kuti shwashwa riwombe uye mapfupa achikweshana, zvichikonzera marwadzo nekuoma.
dziviriro
Vanhu vanokwanisa kuderedza njodzi yavo yekuremesa kukuvara kwebvi uye kurwadziwa nekutevera kurudziro yachiremba wavo uye yevarairidzi vega.
Vanhu vane kukuvara kwebvi kuripo vanofanira kutevera mazano echiremba wavo kana wepanyama.
Sleeve yemabvi inogona kuchengetedza tsandanyama nemajoini, ichipa dziviriro netsigiro.
Kutambanudza mhasuru dzegumbo nemabvi zvinogona kuchengetedza kubatana kuchinjika.
Dzivisa kungoerekana wafamba nedivi.
Zvinogoneka kurudziro zvinogona kusanganisira:
Kudzivisa Mamwe Maekisesaizi
Maekisesaizi ekuzviparadzanisa nevamwe senge gumbo curls, akamira, kana pabhenji, pamwe nekushandisa muchina wekuwedzera gumbo, anogona kusimbisa ibvi.
Deep Squat Training
Tsvagiridzo inoratidza kuti squat yakadzika inogona kudzivirira kubva pakukuvara kwegumbo rezasi kana ibvi rine hutano. Nekudaro, izvi zvinoitika kana zvichiitwa nehunyanzvi hwakakodzera, pasi pekutariswa kwenyanzvi, uye nekufamba zvishoma nezvishoma. (Hagen Hartmann et al, 2013 )
Vanhu vanofanira kutaura nachiremba wavo vasati vatanga maitiro matsva ekurovedza muviri. Mudzidzisi wega anogona kupa kudzidziswa mukudzidza maitiro akakodzera uye uremu fomu.
Mabviro andakaita ACL yangu Chikamu 2
VIDEO
References
Aasa, U., Svartholm, I., Andersson, F., & Berglund, L. (2017). Kukuvadza pakati pe weightlifters uye powerlifters: kuongorora kwakarongeka. Magazini yeBritish yemishonga yemitambo, 51 (4), 211-219. doi.org/10.1136/bjsports-2016-096037
Hartmann, H., Wirth, K., & Klusemann, M. (2013). Kuongororwa kwemutoro pamabvi akabatanidzwa uye vertebral column ine shanduko mukudzika kwekudzika uye kuremerwa kwehuremu. Mishonga yemitambo (Auckland, NZ), 43 (10), 993-1008. doi.org/10.1007/s40279-013-0073-6
American Academy of Family Physicians. ACL kukuvara. (2024). ACL kukuvara (Zvirwere uye Mamiriro, Nyaya. familydoctor.org/condition/acl-injuries/
Mellinger, S., & Neurohr, GA (2019). Evidence based treatment options for common knee kukuvara mumhanyi. Nhoroondo dzemushonga wekushandura, 7(Suppl 7), S249. doi.org/10.21037/atm.2019.04.08
Driban, JB, Hootman, JM, Sitler, MR, Harris, KP, & Cattano, NM (2017). Kutora Chikamu Mune Mimwe Mitambo Yakabatana NeKnee Osteoarthritis? Ongororo Yakarongeka. Nyaya yekudzidziswa kwemitambo, 52 (6), 497-506. doi.org/10.4085/1062-6050-50.2.08
by Dr Alex Jimenez Kukanganiswa kwakakomba , Mamiriro Ekutongwa
Vanhu vanoita maekisesaizi anorema vanogona kukudziridza mazamu ekupisa kubva pakunyanyisa. Kuziva zvikonzero nezviratidzo zvingabatsira here kudzivirira zvikamu zvenguva yemberi kuti zvisaitike?
Heat Cramps
Heat cramps inogona kukura panguva yekurovedza muviri kubva pakuwedzeredza kana kuratidzwa kwenguva refu kune tembiricha yakakwira. The tsandanyama cramps, spasms, uye kurwadziwa zvinogona kubva kunyoro kusvika kune yakaoma.
Tsandanyama Cramps uye Dehydration
Heat cramps inowanzokura nekuda kwekupererwa nemvura uye kurasikirwa kwe electrolyte. (Robert Gauer, Bryce K. Meyers 2019 ) Zviratidzo zvinosanganisira:
Electrolytes sesodium, calcium, uye magnesium yakakosha pakushanda zvakanaka tsandanyama, kusanganisira moyo. Basa guru rekudikitira nderekugadzirisa tembiricha yemuviri. (MedlinePlus. 2015 ) Dikita kazhinji mvura, electrolytes, uye sodium. Kudikitira zvakanyanya kubva pakuita basa remuviri uye kurovedza muviri kana nharaunda inopisa inogona kukonzera kusaenzana kwe electrolyte kunotungamirira kumakumbo, spasms, uye zvimwe zviratidzo.
Zvikonzero uye Mabasa
Kupisa chinyamunhari kunowanzobata vanhu vanodikitira zvakanyanya panguva yebasa rakaoma kana kuratidzwa kune kupisa kunopisa kwenguva refu. Muviri uye nhengo dzinoda kutonhora pasi, izvo zvinokonzera kubuda dikita. Zvisinei, kudikitira zvakanyanya kunogona kukonzera kupera mvura mumuviri uye kupera kwe electrolyte. (Centers for Disease Control and Prevention. 2022 )
Risk Factors
Zvinhu zvinogona kuwedzera njodzi yekugadzira matinji ekupisa zvinosanganisira: (Robert Gauer, Bryce K. Meyers 2019 )
Zera - Vana nevakuru vane makore 65 zvichikwira vane njodzi yakanyanya.
Kutsvaira kwakanyanya.
Low sodium kudya.
Preexisting Medical Conditions - chirwere chemoyo, chirwere cheshuga mellitus, uye kufutisa mamiriro ezvinhu anogona kuwedzera njodzi yekupwanya kwetsandanyama.
Mishonga - BP, diuretics, uye antidepressants inogona kukanganisa electrolyte balance uye hydration.
Kunwa doro.
Kuzvitarisira
Kana kupisa kunotanga kutanga, pakarepo misa chiitiko uye tsvaga nzvimbo inotonhorera. Rehydrate muviri kuti udzorere kupera kwemvura. Kugara uine hydrated uye kunwa zvinwiwa nguva nenguva panguva yebasa rakasimba kana munzvimbo inopisa kunogona kubatsira kudzivirira muviri kubva mukupwanya. mienzaniso yezvinwiwa zvinowedzera electrolytes zvinosanganisira:
Kushandisa zvinyoro kumanikidza uye kukwiza tsandanyama dzakakanganisika zvinogona kubatsira kuderedza marwadzo uye spasms. Sezvo zviratidzo zvinopera, zvinokurudzirwa kuti usakurumidza kudzokera kukuita basa rinonetsa nekuti kuwedzera kusimba kunogona zvishoma nezvishoma kutungamira mukupisa kana kupera simba. (Centers for Disease Control and Prevention. 2021 ) Heatstroke uye kupera kupisa zvirwere zviviri zvine chekuita nekupisa. (Centers for Disease Control and Prevention. 2022 )
Kupisa ndipo apo muviri unorasikirwa nekukwanisa kudzora tembiricha uye zvinogona kukonzera kutonhora kwakanyanya.Kupisa kupera simba ndiyo mhinduro yemuviri kune yakawandisa mvura uye kurasikirwa kwe electrolyte.
Symptom Timing
Nguva uye urefu hwekupisa kupisa kunogona kuona kana kurapwa kuchidikanwa. (Centers for Disease Control and Prevention. 2022 )
Panguva kana Mushure meMabasa
Ruzhinji rwekupisa matinji anokura panguva yezviitwa nekuda kwekushanda nesimba nekudikitira, zvichiita kuti mamwe maelectrolyte arasikirwe uye muviri uwedzere kupera mvura.
Zviratidzo zvinogonawo kukura maminetsi kusvika kumaawa mushure mekunge basa ramira.
chinguva
Zvizhinji zvine chekuita nekupisa tsandanyama cramps inogadzirisa nekuzorora uye hydration mukati me30-60 maminetsi.
Kana tsandanyama kurovera kana kuti spasms ikasapera mukati meawa imwe chete, tsvaga rubatsiro kuna chiremba.
Kune vanhu vane mamiriro emoyo kana pane yakaderera-sodium yekudya vanokudziridza kupisa kwemukati, zvisinei nekuti kwenguva yakareba sei, rubatsiro rwekurapa runodiwa kuti vaone kuti hapana matambudziko.
dziviriro
Mazano ekudzivirira kupisa cramps zvinosanganisira: (Centers for Disease Control and Prevention. 2022 )
Inwa zvinwiwa zvakawanda usati waita uye panguva yemitambo.
Dzivisa doro uye zvinwiwa zvine caffeine.
Rega kuita maekisesaizi kana kuratidzwa kupisa kwakanyanya panguva yezuva rakanyanyisa.
Dzivisa zvipfeko zvakasimba uye zvitema-ruvara.
Kuongorora Varwere MuChiropractic Setting
VIDEO
References
Gauer, R., & Meyers, BK (2019). Zvirwere Zvinoenderana Nekupisa. Chiremba wemhuri yeAmerica, 99(8), 482–489.
Centers for Disease Control and Prevention. (2022). Kushungurudzika kwekupisa - chirwere chinoenderana nekupisa. Sangano reNational Institute for Occupational Safety and Health (NIOSH) Yakadzorerwa kubva www.cdc.gov/niosh/topics/heattress/heatrelillness.html#cramps
MedlinePlus. (2015). Ziya. Zvakatorwa kubva medlineplus.gov/sweat.html#cat_47
FoodData Central. (2019). Nzungu, kokonati mvura (mvura kubva coconuts). Zvakatorwa kubva fdc.nal.usda.gov/fdc-app.html#/food-details/170174/nutrients
FoodData Central. (2019). Mukaka, nonfat, fluid, ine vhitamini A yakawedzerwa uye vhitamini D (isina mafuta kana skim). Zvakatorwa kubva fdc.nal.usda.gov/fdc-app.html#/food-details/746776/nutrients
Centers for Disease Control and Prevention. (2012). Mibvunzo inowanzo bvunzwa (FAQ) nezve kupisa kwakanyanya. Zvakatorwa kubva www.cdc.gov/disasters/extremeheat/faq.html
by Dr Alex Jimenez Kukanganiswa kwakakomba , Injury Care
Mafinger sprains uye dislocation zvakajairika kukuvara kwemaoko izvo zvinogona kuitika panguva yebasa, zvemuviri / zvemitambo zviitiko, kana mukudhumhana kwemotokari uye tsaona. Kuziva zviratidzo kunobatsira mukugadzira nzira yekurapa inoshanda here?
Zvigunwe zveChigunwe uye Kubviswa
Zvigunwe zvigunwe uye kuputika zvinowanzoitika kukuvara kweruoko kunokonzera marwadzo uye kuzvimba.
A sprain inoitika kana chigunwe chemunwe chinotsigira chibatanidza chinotambanudzwa kupfuura miganhu yayo nenzira inosimbisa ligaments uye tendon.
Iyo ligament tissue inogona kubvaruka zvishoma kana zvachose. Kana kukanganisa kwakaipa zvakakwana, chibatanidza chinoparadzana.
Uku kutsemuka - Kutsemuka kunoitika kana chibatanidza chiri muchigunwe chabviswa panzvimbo yaro.
Zvose zvinokuvadza zvinogona kukonzera marwadzo uye kuoma mumunwe uye ruoko.
Sprains
Zvigunwe zvinoputika zvinogona kuitika chero nguva iyo munwe unokotama nenzira isina kunaka kana isina kujairika. Izvi zvinogona kuitika kubva pakudonha neruoko kana kukuvadzwa kana uchiita mabasa emuviri semitambo kana mabasa epamba. Sprains inogona kuitika mune chero ipi zvayo yemajoini mumunwe. Zvisinei, kazhinji, chibatanidza chiri pakati pemunwe chinoputika. Iyo inozivikanwa se proximal interphalangeal kana PIP joint. (John Elfar, Tobias Mann. 2013 ) Zviratidzo zvemunwe sprain zvinogona kusanganisira:
mabatiro
Vanhu vanokurudzirwa kuti vasafambisa munwe wakakuvara pavanenge vachipora uye vachipora. Zvinogona kuva zvakaoma kuita, asi kupfeka splint kunogona kubatsira.
Zvitsigiro zvitsigiro zvinowanzogadzirwa kubva mufuro uye simbi inopfakanyika.
Chigunwe chine sprain chinogonawo kusungirirwa kune chimwe cheminwe iri padivi pacho paunenge uchipora, unozivikanwa sebuddy-taping.
Kutsemura chigunwe chakatsemuka paunenge uchiita mabasa kunogona kudzivirira ruoko kubva pakuipa kana kuwedzera kukuvara.
Zvisinei, kutsemuka chigunwe kana chisingadiwe kunogona kuita kuti mubatanidzwa uome. (OrthoInfo. American Academy yeOrthopedic Surgeons. 2022 )
Kukuvara kunozivikanwa se " gamekeeper's thumb" imhando yakakomba ye sprain.
Kukuvara kumarunda pachigunwe chechigunwe kunogona kukonzera kunetsa mukutsikirira uye kubata.
Kukuvara uku kunofanira kazhinji kusungirirwa kumusoro kana kupatsanurwa kwenguva yakati wandei yekupora kuzere uye kungada kuvhiyiwa. (Chen-Yu Hung, Matthew Varacallo, Ke-Vin Chang. 2023 )
Mamwe marapirwo ekubatsira sprained chigunwe anosanganisira:
Simudza ruoko kana ruchizvimba uye rwakazvimba.
Nyoro zvigunwe zviitwa / kufamba kudzivirira kuoma.
Icing chigunwe chakakuvara.
Tora mushonga unorwisa kuzvimba.
Vanhu vasina kutyoka mapfupa kana kutsemura mubatanidzwa vangangokwanisa kufambisa chigunwe chavo mukati mevhiki. Chiremba achaisa nguva yekuti unotanga rinhi kushandisa munwe kazhinji.
Vanhu vanokwenya munwe wavo unonzwa kuzvimba uye kuomarara kwenguva yakareba kupfuura mavhiki mashoma vanokurudzirwa kuonana nachiremba kana nyanzvi.
Ivo vanozoda kutarisa ruoko kuti vaone kuti hapana kuputika kana kuputsika. (OrthoInfo. American Academy yeOrthopedic Surgeons. 2022 )
Zvigunwe zvezvigunwe uye zvigunwe zvemunwe muvana zvingada kuparadzaniswa kana kunyorerwa kwenguva yakareba, sezvo ligament isati yanyatsokura kana yakasimba, iyo inogona kukonzera kubvarura.
Dislocations
Kubviswa kwemunwe kukuvara kwakanyanya kunosanganisira ligament, joint capsule, cartilage, uye mamwe matissue anokonzera kusarongeka kwemunwe. Marunda nemajoini capsule anobvaruka kana mubatanidzwa wabviswa. Iko kubatanidzwa kunoda kugadziriswa, iyo inogona kuva nzira iri nyore, kana mumatambudziko akaoma, varwere vangada kuiswa pasi peanesthesia kana kuvhiyiwa kuti vagadzirise mubatanidzwa zvakanaka.
Muzviitiko izvi, tendon kana mamwe matishu anogona kunge achidzivirira mubatanidzwa kuti upinde munzvimbo.
Kudzosa chigunwe munzvimbo chaiyo inozivikanwa se "kuderedza." Kana yangoderedzwa, chigunwe chinoda kupatsanurwa.
Vanhu vanodawo X-ray kuti vaone kuti mubatanidzwa wakarongedzwa zvakanaka uye kuti chero mapfupa haana kutyoka kana kutyoka pavakatsigira kukuvara. (James R. Borchers, Thomas M. Best. 2012 )
Kana uchinge wagadzikwa patsva, kutarisira chigunwe chabviswa zvakangofanana nemunwe wakadzvanywa. Kushandisa ice pamunwe, kuchengetedza ruoko kukwidziridzwa kuderedza kuzvimba.
Vanhu vanofanirwa kutarisa nachiremba wavo kuti vazive nguva yekutanga kufambisa chigunwe. (James R. Borchers, Thomas M. Best. 2012 )
Iyo Chiropractic Nzira Yekuvandudza Utano
VIDEO
References
Elfar, J., & Mann, T. (2013). Kutsemuka-kudislocation kweiyo proximal interphalangeal joint. The Journal of the American Academy of Orthopedic Surgeons, 21 (2), 88-98. doi.org/10.5435/JAAOS-21-02-88
OrthoInfo kubva kuAmerican Academy yeOrthopedic Surgeons. (2022) Kutyoka kwemaoko .
Hung, CY, Varacallo, M., & Chang, KV (2023). Gamekeeper's Thumb. MuStatPearls. StatPearls Publishing.
OrthoInfo kubva kuAmerican Academy yeOrthopedic Surgeons. (2022) Kutyoka kweminwe .
Borchers, JR, & Best, TM (2012). Kutyoka kwemunwe kwakajairika uye kutsemuka. Chiremba wemhuri yeAmerica, 85(8), 805–810.
by Dr Alex Jimenez Kukanganiswa kwakakomba , Hip Pain & Dambudziko
Vanhu vanotambura nehudyu, chidya, uye/kana kurwadza kwegomarara vanogona kunge vachisangana neiliopsoas syndrome. Kuziva zviratidzo nezvinokonzeresa kungabatsira here pakuongorora nekurapwa?
Iliopsoas Syndrome
Iliopsoas syndrome inosanganisira mamiriro akati wandei anokanganisa mukati mehudyu tsandanyama uye anogona kukonzera kurwadziwa kwehudyu nechidya. Tsandanyama inobatsira kukotamisa gumbo rakananga kumuviri.
Mamiriro acho anowanzokonzerwa nekukuvadzwa kwepamusoro uye anowanzobata vanhu vanodzokorora maitiro ehudyu, semabhasikoro, gymnasts, vatambi, vanomhanya, uye vatambi venhabvu. (Liran Lifshitz, et al., 2020 )
Izwi rinowanzoshandiswa zvakasiyana ne psoas syndrome, iliopsoas tendonitis, snapping hip syndrome, uye iliopsoas bursitis. Zvisinei, kune misiyano yekiriniki.
zviratidzo
Zviratidzo zvinosanganisira: (American Association yeHip uye Knee Surgeons . 2020)
Kunyorova munzvimbo yehudyu uye mugomba.
Hip kana groin kudzvanya kana kubvuta zvinonzwika uye/kana kunzwika panguva yekufamba.
Marwadzo uye/kana kuoma muhudyu nechidya.
Marwadzo anowedzera pakukotama hudyu - kufamba, kukwira masitepisi, kuputika, kugara.
Kufambisa kunosanganisira kuunza ibvi kuchipfuva kunogona kuwedzera marwadzo.
Zvinokonzera
Iyo iliopsoas mhasuru imhasuru dzehudyu dziri kumberi kwehudyu. Ivo vakagadzirwa ne psoas huru, psoas minor, uye iliacus . Madiki, masaga akazara-mvura-mabhegi ari mukati memubatanidzwa wehudyu pakati pemapfupa uye matishu akapfava. Iyo bursae inoderedza kukweshera uye inopa cushioning kubatsira tendon, tsandanyama, uye zvimwe zvimiro kufamba zvakanaka pamusoro pemabhonzo akakurumbira.
Iliopsoas bursitis inoitika kana iyo bursa, iyo iri pakati peiliopsoas tendon uye mukati mejojo rehudyu, inoputika uye inogumburwa.
Iliopsoas tendonitis/hip tendonitis inoitika kana iyo tendon iyo inonamira bhonzo rechidya kune iliopsoas tsandanyama inozvimba uye kushatirwa.
Iliopsoas bursitis uye tendonitis zvinowanzokonzerwa nekukuvara kwakanyanya uye zviitiko zvakanyanya sekuchovha bhasikoro, kumhanya, kukwasva, kana kudzidziswa simba.
kuongorora chirwere
Vashandi vehutano vanogona kuongorora iliopsoas syndrome zvichienderana nechiratidzo chenhoroondo uye kuongororwa kwehudyu.
Imaging tests - MRI uye X-rays inogona kushandiswa kutonga kunze kwekumwe kukuvadzwa kana mamiriro akaita semisodzi yemhasuru. (Paul Walker, et al., 2021 )
mabatiro
Zvizhinji zvinyoro zviitiko zvehudyu bursitis uye hip tendonitis zvinogona kutarisirwa uchishandisa nzira yeRICE (American Association of Orthopedic Surgeons. 2020 )
Zorora
Dzivisa kuisa uremu pahudyu kwemazuva mashoma mushure mekukuvara.
chando
Isa ice pakarepo mushure mekukuvara kuti uunze kuzvimba pasi.
Shandisa inotonhora paki kwemaminitsi makumi maviri panguva, kakawanda pazuva.
Usaisa ice zvakananga paganda.
Kudzvinyirira
Putira nzvimbo yacho mubhandiji rakapfava kana shandisa kabudura kapfupi kudzivirira kuwedzera kuzvimba.
Elevation
Zorora kakawanda sezvinobvira negumbo rakasimudzwa kupfuura mwoyo.
Kurapa Kwekurapa
Non-steroidal anti-inflammatory drugs senge ibuprofen uye naproxen sodium inogona kuderedza marwadzo uye kuderedza kuzvimba. (Paul Walker, et al., 2021 )
Majekiseni eSteroid anogona kushandiswa kana zviratidzo zvikaenderera mberi kana kudzoka nemamwe majekiseni akaiswa sezvinodiwa. (Paul Walker, et al., 2021 )
Mushure mekurwadziwa uye kuzvimba zvapera, physically therapy inogona kukurudzirwa, pamwe nekudzidzira zvinyoro zvishoma nezvishoma kuvandudza simba rehudyu uye kushanduka. (Paul Walker, et al., 2021 )
Mumwe mupi wehutano anogona kukurudzira kuvhiyiwa mumamiriro ezvinhu akaoma apo marwadzo anopfuurira, uye kurapa kwekuchengetedza hakupi rubatsiro rwakakwana.
Nekudaro, izvi hazviwanzo nekuda kwekushaya simba kwetsandanyama uye njodzi dzekukuvara kwetsinga. (Paul Walker, et al., 2021 )
Hip Labral Tear - Chiropractic Treatment
VIDEO
References
Lifshitz, L., Bar Sela, S., Gal, N., Martin, R., & Fleitman Klar, M. (2020). Iliopsoas Iyo Yakavanzika Muscle: Anatomy, Diagnosis, uye Kurapa. Mishumo yezvino yemishonga yemitambo, 19 (6), 235-243. doi.org/10.1249/JSR.0000000000000723
American Association yeHip uye Knee Surgeons. Iliopsoas tendonitis/bursitis .
Walker, P., Ellis, E., Scofield, J., Kongchum, T., Sherman, WF, & Kaye, AD (2021). Snapping Hip Syndrome: A Comprehensive Update. Ongororo dzeOrthopedic, 13(2), 25088. doi.org/10.52965/001c.25088
American Association of Orthopedic Surgeons. OrthoInfo. Hip strains .
by Dr Alex Jimenez Kukanganiswa kwakakomba , Sciatica Nerve Pain
Kukuvara kwetsandanyama yeHamstring kwakajairika, kunyanya muvatambi uye vanhu vane mabasa anorema. Pane mukana uri nani wekupora kuzere nekugadzirisa kwekuvhiya uye post-op rehabilitation?
Hamstring Muscle Tear
Kazhinji, kukuvadzwa kwemhasuru yehamstring imisodzi yetsandanyama. Aya marudzi ekukuvadzwa ndiwo matsimba emhasuru anoitika kana tsinga dzemhasuru dzakatambanudzwa kupfuura zvadzinojaira. Misodzi yakakwana yemhasuru ye hamstring haina kujairika, asi inoitika kune vese vatambi nevasiri vatambi. Kusarudza chirongwa chekurapa chakanyanya kunoenderana ne:
Kuoma kwetendon kubvaruka
Zvinotarisirwa nemunhu akuvara.
Misodzi isina kukwana ndipo apo hamstring muscle iri yakatambanudzwa zvakanyanya, asi isina kubviswa zvachose .Kana kubvarura kuchipera, kukuvara kunonyanya kukosha, sezvo magumo haasisina kubatana. (American Academy yeOrthopedic Surgeons. 2021 )
Misodzi yakakwana zvinowanzoitika pamusoro pemhasuru apo tendon inobvarura kubva pachiuno.Kusvimha misodzi kunowanzoitika kana pane kamwe-kamwe kuputika kwehudyu uye kuwedzera kwekubatana kwemabvi - apo misumbu inobvumirana munzvimbo iyi, inotambanudzwa kupfuura miganhu yayo.
Misodzi yakazara inozivikanwa sekukuvara kwakasiyana uye ingangoda kurapwa kwakanyanya. (American Academy yeOrthopedic Surgeons. 2021 )
Vanhu vanotsigira rudzi urwu rwekukuvara vanotsanangura kubaya kwakapinza kumashure kwechidya.
Kukuvara kunogona kuitika kune vatambi kana vanhu vezera repakati. (American Academy yeOrthopedic Surgeons. 2021 )
Basic hamstring strains inogona kurapwa nematanho akareruka - kuzorora, ice, anti-kuzvimba mishonga, uye inochengetedza marapirwo.
zviratidzo
Zviratidzo zve hamstring muscle strain zvinogona kusanganisira kurwadziwa, maronda, kuzvimba, uye kuoma kwekufamba. (American Academy yeOrthopedic Surgeons. 2021 ) Vanhu vanochengeta kukuvara uku vanowanzonzwa kurwadziwa kamwe kamwe. Zviratidzo zvekubvaruka zvinogona kusanganisira:
Kurwadza kwakapinza panosangana garo nechidya.
Kunetsa kufamba.
Kugara kunogona kuoma sezvo kumucheto kwechigaro kunogona kuisa kudzvinyirira zvakananga pakukuvara.
Spasms uye cramping sensations kumashure kwehudyu.
Kushaya simba mugumbo, kunyanya kana uchikotama mabvi kana kusimudza gumbo shure kwemuviri.
Kunzwa chiveve kana kupisa semugumisiro we sciatic nerve irritation .
Kuzvimba uye kuputika kumashure kwehudyu - nekufamba kwenguva inogona kufamba ichidzika kumashure kwebvi nemhuru uye zvichida mutsoka.
Nekuchekwa kwe hamstring kwakazara, kazhinji kune kuzvimba kwakakosha uye mavanga anokura kumashure kwechidya.
kuongorora chirwere
Zviratidzo zvinogona kunetsa kuona mumatanho ekutanga ndosaka maX-ray ehudyu kana chidya anowanzo kuwanikwa.
Mune mamwe mamiriro ezvinhu, chidimbu chepfupa chinogona kubviswa kubva pachiuno pamwe chete ne hamstring muscle attachment. Kuongororwa kweMRI kunogona kuitwa kuti iongorore kusungirirwa uye inogona kutsanangura zvakakosha zvemukati wakakwana wemhasuru kubvaruka, kusanganisira:American Academy yeOrthopedic Surgeons. 2021 )
Nhamba yematendon inobatanidzwa.
Kupesanisa nekubvarura zvisina kukwana.
Huwandu hwekudzosa - huwandu hwematendon akadhonza kumashure.
Izvi zvichatungamirira kukura kwekurapa.
mabatiro
Kurapa kwemisodzi yakakwana kuchaenderana nezvinhu zvakasiyana. Imwe shanduko ndeyemurwere uye zvavanotarisira.
Kurapa ndiko kunyanyisa muvanhu vadiki sevatambi vepamusoro .
Kurapa ndiko kushomeka kwehasha muvanhu vezera repakati .
Kakawanda tendon imwe chete kubvarura inogona kurapwa kwete-kuvhiya. Kana imwe tendon ichibatanidzwa, kazhinji haina kudhonzwa kure zvakanyanya kubva kune yakajairika yakabatana uye inogadzira mavanga mavanga munzvimbo yakanaka.
Sezvineiwo, kana marunda matatu abvaruka, anowanzo dhonza anopfuura masendimita mashoma kubva pabhonzo. Izvi zviitiko zvine mhedzisiro iri nani nekugadzirisa kwekuvhiya. (UW Health. 2017 )
Vanachiremba vanovhiya vachashandisa hunhu hwemurwere - vatambi vepamusoro-soro kana vanhu vasinganyanyi kusimba - kutungamirira mazano ekurapwa.
Rehabilitation
Rehabilitation inotevera kuvhiyiwa inogona kutora 3-6 mwedzi kana kupfuura.
Mavhiki matanhatu ekutanga anoderedza kurema nekushandisa madondoro.
Varwere vanogona kukurudzirwa kupfeka brace kuti vaderedze kushushikana pane yakagadziriswa hamstring tendons.
Kusimbisa hakutangi kusvika mwedzi mitatu post-op, uye kunyange mabasa akareruka anowanzo kunonoka. (UW Health. 2017 )
Nekuti kukuvara uku kunogona kuva nenguva yakareba yekupora, vamwe vanhu vanogona kusarudza kurapwa pasina kuvhiyiwa .
Dzimwe nguva vanhu ava vanoona zviratidzo zvekusagadzikana kubva pakugara uye vanogona kuratidza kushaya simba kwenguva refu kwemhasuru yehamstring.
Kupora kwakazara kubva mukukuvadzwa kwemhasuru yakazara kunotora nguva. Zvidzidzo zvakaratidza vatambi vepamusoro-soro vanokwanisa kutangazve mitambo yemakwikwi mushure mekugadzirisa uye kugadziridzwa kweacute hamstring muscle kukuvara. (Samuel K. Chu, Monica E. Rho. 2016 )
Kunonoka kurapwa kwekuvhiya hakugone kutungamirira kumigumisiro yakanaka nguva dzose.
Kana iyo tendon ichibvarurwa kubva pakubatanidzwa kwayo kwakajairika, inotanga kuve nemavanga kutenderedza manyoro akapoteredzwa.
Kana paine kunonoka kweanopfuura mavhiki mashoma zvichitevera kukuvara kwekutanga, kuwanazve hurefu hwakazara hwetendon uye tsandanyama kunogona kuve kwakaoma.
Izvi zvinogona kunonoka kudzoreredza maitiro uye zvinogona kudzikisira mukana wekupora kuzere. (Ho Yoon Kwak, et al., 2011 )
Nekukuvadzwa kwakanyanya, pane mukana uri nani wekupora kuzere nekugadziriswa kwekuvhiya asi zvinogona kusanganisira kupora kwenguva refu uye kuzvipira kune post-op rehabilitation plan.
VIDEO
References
American Academy yeOrthopedic Surgeons. (2021) Hamstring muscle kukuvara .
UW Health. (2017) Nhungamiro yekudzoreredza inotevera proximal hamstring yekutanga kugadzirisa .
Chu, SK, & Rho, ME (2016). Hamstring Kukuvara muMutambi: Kuongororwa, Kurapa, uye Kudzokera Kutamba. Mishumo yezvino yemishonga yemitambo, 15 (3), 184-190. doi.org/10.1249/JSR.0000000000000264
Kwak, HY, Bae, SW, Choi, YS, & Jang, MS (2011). Kugadziriswa kwekutanga kwekuvhiya kwekuputika kwakakwana kweproximal hamstring tendons. Makiriniki mukuvhiya kwemapfupa, 3(3), 249–253. doi.org/10.4055/cios.2011.3.3.249
by Dr Alex Jimenez chirwere chemumajoini , Kukanganiswa kwakakomba
Sezvo muviri uchikura, vanhu vanoda kugara vachishanda uye kuchengetedza hutano husina marwadzo mararamiro. Maseru anovandudza arthritis uye cartilage kukuvara angave ramangwana remushonga weuromusculoskeletal uye kupora kwemajoini?
Regenerative Masero EArthritis uye Cartilage Kukuvadzwa
Vanhu vanoda kuramba vachiita mabasa emuviri avanoda, ayo anoda majoini ane hutano. Masayendisiti ari kudzidza nzira yekushandisa kugona kwemasero anovandudza kugadzirisa uye kumerazve shwashwa rakakuvadzwa uye rakashata. Ikozvino stem cell kurapwa kwematambudziko ecartilage haina kuratidzwa kudzosera mhedzisiro yeArthritis uye nepo zvidzidzo zvichiratidza kuvandudzwa kwekiriniki, kumwe kutsvakurudza kunokosha. (Bryan M. Saltzman, et al., 2016 )
Cartilage uye Kuti Inokuvadzwa Sei
Cartilage imhando yetishu dzinobatanidza. Mumajoini, kune marudzi mashoma e cartilage. Inonyanya kutaurwa nezvayo ndeye yakatsetseka lining inozivikanwa se articular kana hyaline cartilage. Rudzi urwu runoumba mutsara wakatsetseka wecushion pamagumo ebhonzo pajoini. (Rocky S. Tuan, nevamwe, 2013 )
Iyo tishu yakasimba kwazvo uye inokwanisa kudzvanya uye kutora simba.
Inotsvedzerera chaizvo inobvumira bandi kuti rinyure zvisina simba kuburikidza nechikamu chekufamba.
Kana shwashwa remajoini rikakuvadzwa, cushioning inogona kupera.
Mukukuvadzwa kunotyisa, simba rinongoerekana raita kuti cartilage iparadze uye / kana kutambura kukuvara, iyo inofumura pfupa riri pasi.
Mune osteoarthritis - degenerative kana kupfeka-uye-kubvarura arthritis, iyo yakatsetseka layer inogona kupera pasi yakaonda uye isina kuenzana.
Pakupedzisira, cushion inopera, majoini anopisa uye akazvimba uye mafambiro anooma uye anorwadza.
Kune marapirwo eArthritis uye kukuvadzwa kwecartilage, asi marapirwo aya anowanzo kunangana nekubvisa zviratidzo nekugadzirisa pasi shwashwa rakakuvadzwa kana kutsiva nzvimbo yejoinhi neyakagadzirwa kudyara, sekutsiva ibvi kana kuvhiya hudyu. (Robert F. LaPrade, nevamwe, 2016 )
Regenerative Masero
Regenerative stem masero maseru akakosha ane kugona kuwanda uye kukura kuva mhando dzakasiyana dzematishu. Muchirongwa chekuvhiyiwa kwemapfupa ematambudziko ekubatana, masero e stem anowanikwa kubva kune vanhu vakuru stem cell primary sources ayo ari bone mwongo uye mafuta tishu. Aya masero ane simba rekukura kuva masero emota, anonzi chondrocytes. (Rocky S. Tuan, nevamwe, 2013 )
Zvinobatsirawo nekukurudzira muviri kuderedza kuzvimba, kukurudzira kugadzirisa masero, uye kunatsiridza kutenderera kweropa.
Iyi nzira inokonzerwa nemagetsi masaini uye kukura zvinhu kukurudzira muviri kumutsa maitiro ekuporesa.
Kana ma stem maseru awanikwa, anofanirwa kuendeswa kunzvimbo yekukuvadzwa kwecartilage.
Cartilage chinhu chakaoma chinotsanangurwa sechikafu chimiro chinoumbwa necollagen, proteoglycans, mvura, uye masero. (Rocky S. Tuan, nevamwe, 2013 )
Kuti udzore zvakare cartilage, iyo yakaoma tishu inofanirawo kuvakwa patsva.
Pane zvidzidzo pamhando dzematishu scaffolds akagadzirwa kuti agadzirise mhando yakafanana yecartilage chimiro.
Masero e stem anogona kubva apinzwa mu scaffold, netarisiro yekudzoreredza yakajairika mhando ye cartilage.
Non-Kuvhiya Arthritis Kurapa
Standard kurapa senge cortisone shots kana marapirwo emuviri anoshanda zvakare uye anopa mabhenefiti anogona kushandiswa pamwe chete nemasero ekuvandudza earthritis uye kukuvadzwa kweshwashwa munguva pfupi iri kutevera. Dhata inotora nguva uye saka izvi zvinokanganisa sei hutano hwenguva refu hwekubatana kunodiwa kuenderera mberi nekutsvagisa maererano nehuinjiniya hwematishu uye kuendesa maseru kuona nzira yakanakisa yekubatsira vanhu.
chirwere chemumajoini
VIDEO
References
LaPrade, RF, Dragoo, JL, Koh, JL, Murray, IR, Geeslin, AG, & Chu, CR (2016). AAOS Research Symposium Updates uye Consensus: Biologic Kurapa kweOrthopedic Injuries. The Journal of the American Academy of Orthopedic Surgeons, 24 (7), e62-e78. doi.org/10.5435/JAAOS-D-16-00086
Saltzman, BM, Kuhns, BD, Weber, AE, Yanke, A., & Nho, SJ (2016). Stem Cells muOrthopedics: A Comprehensive Guide for the General Orthopedist. American Journal of orthopedics (Belle Mead, NJ), 45 (5), 280–326.
Tuan, RS, Chen, AF, & Klatt, BA (2013). Cartilage kuvandudzwa. The Journal of the American Academy of Orthopedic Surgeons, 21 (5), 303-311. doi.org/10.5435/JAAOS-21-05-303
by Dr Alex Jimenez Kukanganiswa kwakakomba , Sciatica
Kubatanidza kurapwa kwechiropractic neakajairika marapirwo emushonga, kurovedza muviri, uye / kana kurapa kwemuviri kunobatsira kubvisa sciatic endometriosis kurwadziwa zviratidzo?
Sciatic Endometriosis
Sciatic endometriosis imamiriro ekuti masero eendometrial (tishu inofanana neranza rechibereko) inokura kunze kweiyo uterine lining uye nekumanikidza sciatic nerve. Izvi zvinoisa kushushikana uye kudzvanywa patsinga inokonzera musana, pelvic, muhudyu, uye kurwadziwa kwemakumbo, kunyanya pamberi uye panguva yekuenda kumwedzi. Inogonawo kukonzera marwadzo, nguva dzisina kujairika, uye kushaya mbereko. (IAmerican College yeObstetricians uye Gynecologists. 2021 )
Idzi nzvimbo dze endometrial tissue kukura dzinozivikanwawo semaronda kana ma implants.
Vakadzi vane sciatic endometriosis vanowanzonzwa kurwadziwa kwemakumbo uye kupera simba mukati menguva yavo yekuenda kumwedzi. (Lena Marie Seegers, et al., 2023 )
Sciatic endometriosis inogonawo kukonzera marwadzo kana weti, panguva yekufamba ura, panguva yebonde, uye kuneta, uye kubuda ropa kusingaenzaniswi.
Iyo Sciatic Nerve
Kazhinji, maronda e endometrial anokura uye anonamira kumaovari, fallopian chubhu, dundira, matumbu, rectum, kana peritoneum/abdominal cavity lining. (IAmerican College yeObstetricians uye Gynecologists. 2021 )
Kukura kusina kujairika kunogona kukonzerwa nepamusoro-kupfuura-yakajairika mazinga eestrogen.
Vatsvakurudzi vanotenda kuti endometriosis ine hukama nekudzoka kumwedzi, izvo zvinoita kuti ropa rekuenda kumwedzi riyerere richidzokera muchiuno panzvimbo yekubuda nemukati memukadzi. (Sangano Rinoona nezve Utano Pasi pose. 2023 )
Dzimwe nguva, masero anokura munzvimbo yepelvis kumusoro kwe sciatic nerve. (Adaya Yahaya, et al., 2021 )
Iyo sciatic nerve ndiyo tsinga refu kwazvo mumuviri uye inofamba ichidzika kumashure kwegumbo rega rega. (Johns Hopkins Mushonga. 2023 )
Kana maronda e endometrial achiisa kudzvanywa pane sciatic nerve, anogona kukonzera kushatirwa uye kuzvimba kunotungamira kurwadziwa kwakanyanya kwepelvic, izvo zvinoita kuti zviome kubata pamuviri. (Liang Yanchun, et al., 2019 )
zviratidzo
Vamwe vakadzi vane endometriosis havaone zviratidzo kana kududzira zvisizvo zviratidzo senge premenstrual syndrome/PMS zviratidzo. Zviratidzo zvinowanzoonekwa uye zviratidzo zve sciatic endometriosis zvinosanganisira:
Kutadza kufamba kana kumira.
Kurasikirwa kwekunzwa, kushaya simba kwetsandanyama, uye kuchinja kwereflex.
Kukamhina.
Matanho epakati.
Kuzvimba uye kusvotwa.
Kuzvimbirwa kana kuita manyoka pamberi kana mushure mekutevera.
Zvinorwadza, zvinorema, uye/kana nguva dzisina kujairika.
Kubuda ropa pakati pekutevera.
Marwadzo panguva yebonde, weti, uye ura.
Marwadzo mudumbu, pelvis, kuzasi musana, chiuno, uye magaro. (MedlinePlus. 2022 )
Kushaya simba, kuita chiveve, kurira, kupisa, kana kusanzwa kurwadza kwemusana kwegumbo rimwe chete kana ose.
Kudonha kwetsoka kana dambudziko rekusimudza pamberi petsoka. (Center for Endometriosis Care. 2023 )
Kushaya mbereko.
Kuneta.
Kuora mwoyo uye kuzvidya mwoyo.
kuongorora chirwere
Endometriosis, kusanganisira sciatic endometriosis, kazhinji haigone kuongororwa nepelvic bvunzo kana Ultrasound pachayo. Mupi wehutano angangoda kuita biopsy achishandisa laparoscopy uye kukurukura kutenderera kwekuenda kumwedzi, zviratidzo, uye nhoroondo yekurapa.
Iyo laparoscopy maitiro inosanganisira kuita diki diki uye kutora matishu sampu ine maturusi akasungirirwa pachubhu yakatetepa ine kamera. (MedlinePlus. 2022 )
Miedzo yekufungidzira, senge magineti resonance imaging/MRI, uye computed tomography/CT scans, inogona kubatsira kupa ruzivo rwakakosha nezvenzvimbo uye saizi yechero maronda eendometrial. (IAmerican College yeObstetricians uye Gynecologists. 2021 )
mabatiro
Zviratidzo zvinogona dzimwe nguva kudzoreredzwa kwenguva pfupi ne-over-the-counter/OTC zvinoderedza marwadzo. Zvichienderana nemamiriro uye kuoma kwehutano mupi wehutano anogona kuraira kurapwa kwehomoni kudzivirira matsva endometrial implants kubva pakukura. Izvi zvinogona kusanganisira:
Hormonal birth control.
Progestin - chimiro chekugadzira cheprogesterone.
Gonadotropin-inoburitsa hormone - GnRH agonists.
Kana kurwadziwa kukaramba kuchienderera kana kuwedzera, vanhu vangangoda kuvhiyiwa kuti vabvise nyama.
Muzviitiko zvakanyanya, hysterectomy kana kuvhiyiwa kubviswa kwechibereko kunogona kukurudzirwa. (IAmerican College yeObstetricians uye Gynecologists. 2021 )
Physical therapy , kurovedza muviri kwakapfava, uye kushandisa kupisa kana kutonhora kunzvimbo yakakanganisika kunogonawo kubatsira. (Johns Hopkins Mushonga. 2023 )
Sciatica Pakadzika
VIDEO
References
IAmerican College yeObstetricians uye Gynecologists. Endometriosis.
Seegers, LM, DeFaria Yeh, D., Yonetsu, T., Sugiyama, T., Minami, Y., Soeda, T., Araki, M., Nakajima, A., Yuki, H., Kinoshita, D., Suzuki, K., Niida, T., Lee, H., McNulty, I., Nakamura, S., Kakuta, T., Fuster, V., & Jang, IK (2023). Zvepabonde Kusiyana muCoronary Atherosclerotic Phenotype uye Kuporesa Pateni paOptical Coherence Tomography Imaging. Kutenderera. Cardiovascular imaging, 16(8), e015227. doi.org/10.1161/CIRCIMAGING.123.015227
Sangano Rinoona nezve Utano Pasi pose. Endometriosis.
Yahaya, A., Chauhan, G., Idowu, A., Sumathi, V., Botchu, R., & Evans, S. (2021). Carcinoma inomuka mukati me sciatic nerve endometriosis: nyaya yenyaya. Nyaya yekuvhiya nyaya mishumo, 2021(12), rjab512. doi.org/10.1093/jscr/rjab512
Johns Hopkins Mushonga. Sciatica.
Yanchun, L., Yunhe, Z., Meng, X., Shuqin, C., Qingtang, Z., & Shuzhong, Y. (2019). Kubviswa kwe endometrioma ichipfuura nekuruboshwe hukuru sciatic foramen vachishandisa concomitant laparoscopic uye transgluteal approach: case report. BMC hutano hwevakadzi, 19(1), 95. doi.org/10.1186/s12905-019-0796-0
MedlinePlus. Endometriosis.
Center for Endometriosis Care. Sciatic endometriosis.
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