chisingaperi Pain
Back Clinic Chronic Pain Chiropractic Physical Therapy Team. Munhu wose anonzwa kurwadziwa nguva nenguva. Kugunura munwe wako kana kutora musuru, kurwadziwa inzira yemuviri wako yekukuudza chimwe chinhu chakaipa. Kukuvara kunoporesa, iwe unorega kukuvadza.
Chirwere chisingaperi chinoshanda zvakasiyana. Muviri unoramba uchirwadza mavhiki, mwedzi, kana kunyange makore pashure pekukuvara. Vanachiremba vanotsanangura kurwadziwa kusingaperi sekurwadziwa kupi zvako kunotora 3 kusvika kumwedzi ye6 kana kupfuura. Kurwadziwa kusingagumi kunogona kukanganisa hupenyu hwako hwezuva nezuva uye hutano hwepfungwa. Marwadzo anouya kubva munhevedzano yemharidzo dzinofamba nemutsinga wetsinga. Kana kukuvara, kukuvara kunoshandura ma sensors ekurwadziwa munzvimbo iyoyo. Vanotumira shoko riri muchimiro chechiratidzo chemagetsi, chinofamba kubva mutsinga kuenda kutsinga kutozosvikira chasvika muuropi. Uropi hunobata chiratidzo uye hunotumira meseji yekuti muviri wakuvadzwa.
Mumamiriro ezvinhu akajairika, chiratidzo chinomira kana chikonzero chemarwadzo chagadziriswa, muviri unogadzirisa ronda pamunwe kana mhasuru yakabvaruka. Asi nekurwadziwa kusingaperi, masaini etsinga anoramba achipfura kunyangwe kukuvara kwapora.
Mamiriro ezvinhu anokonzera kurwadziwa kusingaperi kunogona kutanga pasina chero chikonzero chaicho. Asi kune vakawanda, inotanga mushure mekukuvara kana nekuda kwehutano hwehutano. Zvimwe zvezvinotungamirira zvinokonzera:
chirwere chemumajoini
Matambudziko kumashure
Fibromyalgia, mamiriro ezvinhu umo vanhu vanonzwa kurwadziwa kwemasimba mumitumbi yavo
zvirwere
Migraines uye dzimwe misoro
Nzira kukanganisa
Kukuvara kwakapfuura kana kuvhiyiwa
zviratidzo
Marwadzo anokwanisa kubva kubva munyoro kusvika kune akaoma uye anogona kupfuurira zuva nezuva kana kuuya uye kuenda. Inogona kunzwa se:
Ivhu rakaoma
Burning
Shooting
Soreness
Kunyanya
Kushushikana
Kushungurudza
Throbbing
Kuti uwane mhinduro kumibvunzo ipi yaungave unayo ndapota fonera Dr. Jimenez pa915-850-0900
by Dr Alex Jimenez Chiropractic , Chiropractic Examination , chisingaperi Pain , Kukanganiswa kwakakomba , Healthcare Providers , Mishonga , Viscerosomatic Reflex
Ko vashandi vehutano mukiriniki yechiropractic vanopa sei nzira yekiriniki yekuziva kukanganisa kune vanhu vari kurwadziwa?
ziviso
Chero chinyorwa chaunoverenga pamusoro pekushandisa zvinodhaka pakati pevanamukoti chinenge chichidzokorora zvakataurwa neAmerican Nurses Association, iyo inotaura kuti, maererano neruzhinji, 10% yevanamukoti, kana mumwe mugumi kana zviuru mazana matatu eVanamukoti Vakanyoresa muUnited States. States, vanotsamira pamishonga yerumwe rudzi. Kukanganisika kwemhando ipi neipi kubasa, kunyanya kana kuchibva mukushandisa zvinodhaka kana kushandiswa, kunogona kuve nemhedzisiro yakakomba kumukoti uye basa rehukoti nekuda kwezvikonzero zvakati wandei. Kunyatsoita, kurongeka, kugona kufunga kwakadzama, uye kuona kwakakosha mubasa rehukoti. Nekuti kukanganisa kana tsaona dzinogona kuitika, chero kusakwanisa kuendesa hunyanzvi uhu kunoisa varwere, vaunoshanda navo, uye mukoti panjodzi. Uyezve, vanhu vanoona vanamukoti sevakavimbika, vakavimbika, uye vakatendeseka. Kukanganisa kunogona kukanganisa maonero iwayo, kunyanya kana akaunzwa nedoro kana zvinodhaka. Muzvikamu zvinotevera, tichaongorora kukanganiswa, zvikonzero zvacho, uye zvaunosungirwa kuita nemutemo kana uchitenda kuti waunoshanda naye haakodzeri. Chinyorwa chanhasi chinotarisa nzira yekiriniki yekuziva kukanganisa munzvimbo yekiriniki. Isu tinokurukurirana nevazivisi vane hukama nevanorapa vanobatanidza ruzivo rwevarwere vedu kuti vaongorore marwadzo-sematambudziko avari kusangana nawo. Isu tinozivisawo uye kutungamira varwere pakurapa kwakasiyana uye kubvunza mibvunzo yakaoma kune avo vanobatana navo vatapi vezvokurapa kuti vabatanidze chirongwa chekurapa chakasarudzika. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer .
Tsanangudzo Yekukanganisa
Tsanangudzo yakakosha yehurema ndeye "Mamiriro ekudzikiswa, kupera simba kana kukuvadzwa, kunyanya mupfungwa kana mumuviri" ( "Kukanganisa," nd" ) Uchaona kuti iyi ingori tsananguro yemamiriro ezvinhu uye kuti hapana chikonzero chinopiwa. Izvi zvinokonzerwa nekuwanda kwezvikonzero zvinogona kuitika. Nepo zvimwe zvikonzero zvingava nyore kuratidza, zvimwe zvingasadaro. Nekuda kweizvozvo, zvakakosha kuziva uye kufunga mamiriro uye chikonzero, kana zvichizivikanwa, tichitaura nezve kukanganiswa. Ruzhinji rwakaremara rwakatikomberedza sevanamukoti ndeichi: Varwere vedu. Ivo vari mukuderedzwa, kushaya simba, kana kukuvadzwa mamiriro, kunyangwe ivo vangave vakakanganiswa nechirwere kana kukuvara. Saizvozvo, iwe unokanganiswa nehurwere kana wakashanda shifiti ine dzihwa rakashata. Zviratidzo zvekunzwa kunonoka, kutadza kufunga, uye kuongorora basa rako kakawanda mienzaniso yekukanganiswa munzvimbo yekiriniki.
Chirwere kana kukuvara kunogona kuve nemhedzisiro dzakasiyana uye kukanganisa mabatiro aunoita basa rako kune akasiyana madhigirii, asi sezvo dhigirii rehurema rinowedzera, ndizvo zvinoitawo mukana wekuti iwe ukanganisa. Kuchengetedzeka kwevese iwe nevaya vakakukomberedza, kusanganisira varwere vako uye vaunoshanda navo, kwakabatana zvakanyanya nedhigirii rehurema hwako. Iwe, varwere vako, uye vaunoshanda navo havana kuchengeteka zvakanyanya kana kuita kwako kuchikanganiswa. Kunyangwe vanamukoti vachiziva kuti varwere vari panjodzi nekuti vanokanganiswa neimwe nzira. Isu tinoziva zvakare kuti kukanganisa kunogona kuita kuti iwe uwedzere kukanganisa. Iwe uri munhu ane mutoro uye haungamboshanda kana kukanganisa kwako kwakakura zvekuisa varwere vako munjodzi. Zvisinei, zvakadini kana waunoshanda naye akaremara? Zvakatoipisisa, ko kana uchifunga kuti kwakatozvikuvadza? Unofamba sei? Unotaura navo here? Unoudza mumwe munhu nezvazvo here? Iwe unotarisira kuti hapana chakaipa chinoitika uye wochifuratira?
Kuchengetedza kuchengetedzwa kwevarwere chinhu chinonyanya kukosha kune vanamukoti mumutsara wavo webasa. Ibasa rako kuziva zvekuita uye kuti ungazviita sei kana waunoshanda naye achiita seari kukanganiswa. Asi kuti uite izvozvo, unofanirwa kukwanisa kuona kukanganisa kunogona kuitika mauri iwe nevamwe vanhu. Zvekutonga uye zvinodiwa zvekushuma zvinofanirwa kuzivikanwa kwauri. Iwe unofanirwawo kuziva nezvezvingangoitika kwauri iwe pachako kana iwe usingaite chinhu.
Zvikonzero Zvokukanganisa
Unogona kufunga kuti tiri kukurukura nezvekushandiswa kwezvinodhaka panguva yaunonzwa kana kuverenga izwi rekushomeka kubasa. Zvisinei, pane zvimwe zvikonzero zvingangokonzera kunze kwekushandisa zvisina kunaka doro kana zvinodhaka, uye kuwana mhedziso isiri iyo kazhinji kunogona kuva nemigumisiro isingatarisirwi. Iwe haufanirwe kutarisa mukati kana kuona kuti chii chiri kukonzera kuremara kweumwe wako. Ndiro basa revamwe. Iwe unofanirwa kuona zviratidzo zvekukanganisa uye kutora danho rakakodzera. Chimwe chezvinhu zvaunofanira kufunga usati waudza waunoshanda naye nezvekupindwa muropa nezvinodhaka ndechekuti uri kuona kukanganiswa chaiko here kana kuti kwete. Munhu wose anombonzwa achirwara, agumbuka, kana kuti anonetsekana. Kunyangwe isu tingasashanda semazuva ese, hapana pamusoro pekuita kwedu kunoisa chero munhu panjodzi, uye hazviitike kazhinji. "Kukanganisa hakusi kuita zuva rakashata asi maitiro asina hunhu uye anotyisa kune vamwe" ( Hyatt, 2007, p. 6 ) Chirevo ichi chinodzinga chiitiko chekare chaunogona kufamba zvishoma nezvishoma pane zvakajairika nekuda kwekutonhora kwakanyanya.
Inoshanda Mushonga Kufurira Beyond Majoini- Vhidhiyo
VIDEO
Musiyano Pakati Pekukanganisa & Zuva Rakaipa
"Kukanganiswa kunoratidzwa nekusakwanisa kuita mabasa ehunyanzvi uye mabasa anoenderana nemaitiro ehukoti," sekureva kweFlorida Intervention Project for Nurses (IPN) inotaura zvakare inotaura kuti hakusi kukanganisa kwese kubasa kunoda kupindira kunokodzera. kuva maitiro akasiyana. ( Intervention Project for Nurses [IPN], nda para.1 ) Dzimwe nguva, pfungwa isina kusimba yokuti mumwe munhu haasi iye pachake inoita kuti zviwanikwe. Vashandi vanogona kunzwa kusagadzikana kana kunzwa kutya. Vatariri vanogona kuona kukwira kwenhamba yezvichemo zvakakwidzwa mushandi kana nevashandi biyavo pamusoro pemunhu iyeye. Kune maitiro ekuzvibata anoratidza kuti pane matambudziko. Tisati taongorora maitiro aya, ngatitarisei zvimwe zvikonzero zvingangove zvisiri kushandisa zvinodhaka kana zvinodhaka izvo zvinogona kunge zvichikonzera kudzikira kwemaitiro ane njodzi mumabasa ehukoti.
Dzidzo & Dzidzo Deficits
Zviitiko zvine ngozi zvewaunoshanda naye zvinogona kubva mukusadzidziswa kwakakwana, ruzivo, kana kujairana nebasa razvino. Izvi zvinonyanya kushanda kune vanamukoti vane rezinesi munguva pfupi yapfuura uye vanamukoti vanochinja kubva kune imwe nzvimbo yekudzidzira kuenda kune imwe. Vanamukoti vari mukudzidziswa kwekuvandudza vangangoda kuva nechivimbo chakanyanya mumaitirwo ezvinhu echinyakare kana kuti vanoda kudzidziswa gadziridzo dzakakurudzirwa kumitemo kana maitiro. Dzidzo yekuvandudza inogonawo kusangana nekupikiswa kana shanduko uye inoda kubudirira. Kana mukoti asingadi kubvuma kuti ruzivo rwavo kana kugona kwavo hakuna kuenzana, kushomeka kwedzidzo uku kunogona kuita sekukanganisa. Vanogona kutora nguva yakareba kupfuura mamwe vanamukoti kuita mabasa, pakati pezvimwe zviratidzo. Fungidziro dzisiridzo pamusoro pekuti ndeipi nzira inonyatso nzwisisika kana nzira yekupedzisa basa inogona kutungamira mukukanganisa padivi pemukoti. Neimwe nzira, vanogona kunge vakanyanya kukoshesa kutsoropodzwa uye kuyedza kuchengetedza kudzikama kwavo nekusimbirira kuti vanokwanisa.
Chirwere Chomuviri
Takambokurukura nyaya yekuedza kushanda kana wabatwa nechando. Kune vazhinji vedu, chiitiko chekuva nechirwere chidiki kana kutapukirwa kwakatibata kumashure pamwe inozivikanwa. Asi, kuwedzera kwekusagadzikana kwemamiriro ezvinhu kunogona kukonzera kukanganisa kwemazuva ekuita. Kufanana nezvimwe zvirwere zvakawanda, chirwere cheshuga, uye arthritis zvinogona kuita kuti mumwe munhu anzwe ari pasi pe100% yavo pachavo pane mamwe mazuva. Zvakakosha kuyeuka kuti iwe unogona kunge usingazivi kuti waunoshanda naye ane zvirwere izvi. Nekuda kwezita riri nani kana rakakodzera rekuisa izvi pasi, iva nechokwadi kuti munhu wauri kuda kupomera mhosva yekushandisa zvinodhaka haana pamuviri asati aenda kumberi. Nomuzvarirwo, urwu runyoro rushoma rwezvese zvinogoneka tsananguro dzemuviri. Chingori chiyeuchidzo chehushamwari chekufunga nezve mukana wekuti mukoti asingagone angave asina kusimba mumuviri.
Kukuvara Munyama
Kufanana nemamiriro okurapa, kukuvara kunogonawo kukanganisa kukwanisa kwomunhu kuita basa. Kunyange zvazvo zvingangoitika kuti pangava nezviratidzo zviri pachena zvekukuvara—zvakadai sokukamhina kana kumwe kufamba kusiri kwechisikigo, nzvimbo dzakasungwa mabhandeji, kana kushandiswa kwetsvimbo yekufambisa kana imwe rubatsiro rwemuchina—izvi handizvo zvinogara zvakadaro. Munhu ane musana kana mamwe marudzi akasiyana emutsinga anogona kuedza kuvanza kusagadzikana kwavo uye miganhu yavo.
Stress & Kuneta
Sezvo zvakajairika kuti zvikonzero izvi zviitike pamwe chete kana kuti chimwe chiratidzike sechiratidzo chechimwe, zvinogona kuonekwa sechikonzero chakaungana. Zvinogonawo kuva mhedzisiro yezviitiko kunze kwenzvimbo yebasa, mukati mebasa, kana zvese zviri zviviri. Mumwe munhu achangobva mukurambana kana mumwe munhu ari mutarisiri mukuru wehama iri kurwara zvakanyanya pamba mienzaniso miviri. Mamiriro ese ari maviri haafadzi, asi ko kana zvinhu izvi zvaive zvechipiri kumatambudziko emari? Vese kunetseka pamusoro peizvi uye kuyedza kushanda mamwe mashifiti nekuda kwematambudziko avo ehupfumi zvinogona kukanganisa kugona kwavo kurara. Mumwe munhu ari mumamiriro ezvinhu aya anogona kukurumidza kuneta mupfungwa uye mumuviri nekukurumidza. Zvichienderana nehunhu hwavo, zvaisazonzwikawo kuti vamwe vavo vange vasingazive nezvematambudziko aya. Neimwe nzira, chikonzero chinogona kunge chakananga sekushushikana pabasa, zvichikonzera kupera simba uye kuderera kwekukurudzira. Kuneta uye kusagutsikana nebasa, chokwadi, "zvinozivikanwa mukati mebasa roukoti" ( Van Bogaert et al., 2017 )
Mental Kurwara
Kunyangwe vanamukoti vachida kuzvifunga sevakasimba uye vasingabatwe nemamiriro ezvinhu ayo vamwe vaizoona sekushaya simba, chokwadi ndechekuti isu tiri panjodzi yehutano hwepfungwa sekufunganya nekuora mwoyo, pamwe nekusagadzikana kwekushandisa zvinodhaka, nekuda kwezvikonzero zvakawanda zvakafanana. . Mune mamwe mabasa ehukoti, tinoshanda nevarwere vari kufa nguva dzose-pamwe kunyange kufa kwevacheche-kana tinoona migumisiro inotyisa kubva muzviitiko zvechisimba kana zvetsaona. Mamiriro akaita seaya anogona kushanda seanotangira kuzvirwere zvakaita sePost Traumatic Stress Disorder (PTSD). Vanamukoti havasi vakadzi vepamusoro kana varume vakuru-zvakare, iyi inongova mienzaniso mishoma. Vashandi vehutano vanogona kukanganisa kana zvikakanganisa ruzhinji rwevanhu.
Kushandiswa kwezvinodhaka
Kupindwa muropa nezvinodhaka ndiko kunonyanya kurwara uye kukuvadza munhu, nzvimbo yacho, uye kunyangwe basa racho, kunyangwe zvisiri izvo zvakajairika kupfuura izvo zvakambotsanangurwa zvinokonzeresa kukanganisa. Kushandisa zvinodhaka hakuitike kuti zvipere zvoga nekufamba kwenguva pasina rubatsiro kubva kune vaunoshanda navo nevakuru, kusiyana nemamiriro ekurapa kana kukuvara. Izvi hazvireve kuti kupindira kune zvimwe zvinokonzeresa kukanganisa hakuna kufanira kana kunofanirwa kudzivirirwa. Kana iwe ukasaita kana chimwe chinhu chakaita sekurwadziwa kwakaderera kumashure ndicho chikonzero chekukanganiswa, unogona kupedzisira wapindwa muropa neanopedza marwadzo pakutanga. Inosanganisirwa muunganidzwa pasi pechidzidzo ichi hurema hunounzwa nekushandisa zvisizvo kana kunyanyisa kwemishonga yavakatemerwa ivo kana vamwe. Kukanganiswa kunowanzobatanidzwa nemigumisiro yekushandiswa kwepamusoro kana kunyanya kuwandisa. Panguva imwecheteyo, inogonawo kubva pane dzimwe nguva kubva kuzviitiko zvakashata zvine chokuita nemishonga yakajairika, yakadai sekusvotwa, kurara, kana dzungu. Kushandiswa kana kusashandiswa zvisirizvo kwe "zvinodhaka zvemumugwagwa" kana zvisiri zvemishonga zvakadai semethamphetamine, ecstasy, kana cannabis. Kushandiswa zvisina kunaka kana kusingaperi kana kunyanyisa kunwa doro. Mukoti anogona kunge akadhakwa zvakanyanya kana kubatwa nechadzimira, asi zvese zviri zviviri zvingakanganisa kugona kwake. Kushandiswa kwenguva refu kunogonawo kukonzera zvirwere zvemuviri kana kukanganisa kwekuziva izvo zvinoita kuti zviome kuti mukoti aite pamwero wakakwana. Sezvo kutsanangurirwa kwese kwemukoti kunowanzova pamusoro pebasa ravo semukoti, kupinda kwekushungurudzwa kwavo kana kupindwa muropa munzvimbo yavo yebasa kazhinji chiratidzo chekuti hurwere hwavo hwakabva papi.
Nekuda kwekuti vashandi vehutano vanoona nezvebasa ravo, humbowo hwechirwere dzimwe nguva hunoratidza kunonoka kwechirwere. Nyaya dzepabasa dzinowanzova nhanho yekupedzisira yekudzika, uye kana chirwere chikaonekwa, vaunoshanda navo vanogara vachishamisika "( Washington State Department of Health, 2016, p.6 ) Apo kukanganisa kunotanga kuonekwa kubasa, vashandi pamwe nevashandi vanogona kuramba kana kuderedza nyaya yacho, vachipa zvikonzero kana kudzivisa kunetsana vachitarisira kuti nyaya yacho ichanyangarika.
Unique Risk Factors Kune Vanamukoti
Mukana wekuva nechirwere chekushandisa zvinodhaka unokonzerwa nezvinhu zvakasiyana-siyana, zvinosanganisira nhaka, kurerwa, kumanikidzwa kwevabereki nevezera, nezvimwewo. Nekudaro, kushanda semukoti kunopa mashoma akasarudzika enjodzi zvinhu zvisipo mune mamwe mabasa. Iwo mahombe enjodzi yeawa anobatwa nanamukoti munzvimbo yehutano ndeaya:
Acess & Maonero
Mishonga inotenderwa kuwanikwa nemishonga inowanzo shandiswa nanamukoti pane ruzhinji rwevanhu, kunyange zvazvo kusagadzikana kwekushandisa zvinodhaka kusingakanganisi vanamukoti kakawanda kupfuura vanhu vose. Tsananguro ndeyokuti vanamukoti vanobata mishonga iyi zuva nezuva, kunyange pasina kunyorerwa. Kune izvi, isu tinowedzera ruzivo rwedu rwekurapa kwemushonga, mashandisiro, uye dosi uye tinoshanda munzvimbo inoonekwa mabhenefiti ekushandiswa kwemishonga. Izvi zvinoratidza kuti tinozvishingisa pachedu pakukwanisa kuzviongorora nekuzvirapa uye nekugona kwedu kubata mishonga iyi.
kushushikana
Zvimwe zvezviratidzo zvekuti vanamukoti vese dzimwe nguva chikamu chezvinoshungurudza zvakakonzera kuti vatadze zvinosanganisira:
Mashifiti akawedzerwa Basa rinorema Kusavapo kwevashandi Varwere vanokurumidzira zvakanyanya pavanenge vachichengetedza kudzikama pasi pemamiriro ezvinhu anonzwisa tsitsi.
Izvi zvinonyanya kuzivikanwa kune vese vanamukoti uye dzimwe nguva zvinogona kuve zvichikonzerwa nekuita basa. Iwo ese chikamu chinodiwa chemutsara unodiwa webasa. Zvirongwa zvebasa chete zvakaratidza hukama hunobatsira nekushandisa zvinodhaka. Marwadzo kana kushaya hope mushure mekuchinja kunoda kwakajairika uye zvinowanzoshanda sechikonzero chekutanga chekutora mushonga kubatsira nekurwadziwa nekurwadziwa, kukurudzira kuzorora, kana kurara.
Kushaya Dzidzo
Pano, izwi rokuti "kushaya dzidzo" harirevi kusaziva zvinodhaka. Sezvatambotaura, hapana kushomeka kwechikoro ikoko. Kwete. Muchirevo chechinyorwa chino, kusaziva nezvematambudziko ekushandisa zvinodhaka uye zviratidzo zvinoyambiro nezviratidzo zvinorehwa. Nguva zhinji, vashandi vehutano havakwanise kuona izvi zviratidzo uye zviratidzo mukati mavo nevamwe vanhu. Kunyangwe vakazvizivisa, kushorwa kunobva mukushaikwa kweruzivo nezve kusagadzikana uku - kunyanya kana murwere ari mushandi wezvehutano pamwe naye - nekuti isu tinowanzo kubata vashandi vezvehutano - kusanganisira isu pachedu - kune yakakwira mwero kupfuura isu vashandi vasiri vehutano.
Kuziva Zviratidzo
Kana mukoti akabatwa achishandisa zvinodhaka kana doro kubasa, nzira yakakodzera yekuita mazuva ano rubatsiro uye kurapwa kwete kuregedzerwa nekukurumidza. Pfungwa iri pakuti mukoti anozokwanisa kudzokera kubasa mushure mekurapwa nekubatsirwa. Zvisinei, kupindira kwepakutanga ndicho chinhu chinokosha chegadziriro iyi. Sezvatakambotaura, kushandiswa kwezvinodhaka kungada kuenderera mberi kwechinguva zviratidzo zvekukanganisika pabasa zvisati zvabuda pachena. Naizvozvo, mukutsvaga chigumisiro chakabudirira, nguva pachayo inova tyisidziro. Zvakakodzera kuzviyeuchidza kuti kushandisa zvinodhaka kungasava iyo chete tsananguro yekukanganisa sezvatinoongorora zvimwe zviratidzo zvinogona kukonzerwa nekushandisa zvinodhaka. Nekuda kwekuchengetedzwa kwevarwere uye kwevashandi, kupindira kunodiwa zvisinei nechikonzero. Kutsvaga shanduko yehunhu kana shanduko kubva kune yekutanga kwete yezviitwa zvimwe zvinonyanya kubatsira. Mushure mezvose, isu tese tinoziva kuti mukoti asina kugona asi agara achiratidzika kuvhiringika kana kufamba zvishoma zvishoma pane vamwe kana achinge apedza mabasa. Pamwe ingori yekuda kuzvisarudzira, asi kana mukoti aimboratidzika kunge akakwenenzverwa uye achibudirira akangoerekana atanga kuita husimbe uye kusangwarira, panogona kunge paine nyaya yakadzama iripo.
Nekune rimwe divi, zvakakoshawo kuona kana mukoti, anga achingogara ane usimbe uye akatsiga asi achigara ari mukati mezvimiro zvinogamuchirika, akaerekana asisagamuchirwe kana kuti anononoka zvakanyanya uye akashata. Zvisinei, kuchinja kunooneka kunogona kunge kuri kunze kwemamiriro ekupfeka kwavo. Kunyange munhu anowanzo fara anogona kuita seakaora mwoyo, kutya, kana kutya. Munhu akanyarara anogona kuita seane hupenyu, anotaurisa, uye anoshamwaridzana. Zvinogonekawo kuti munhu anonyara anozviparadzanisa nevamwe kupfuura nguva dzose, kana kuti munhu anowanzotaura uye anoshingaira anotonyanya kutaura uye anoshingaira kupfuura nguva dzose. Yeuka kuti maitiro haakoshi mune dzakawanda zviitiko pane shanduko yekunongedza dambudziko. Zvakafanana nekutarisa kutsauka kubva kune yakajairika BP kana tembiricha sechiratidzo chenyaya. Zvimwe zviratidzo zvekuchinja kwekutarisa zvinosanganisira:
Maitiro anofamba Kusvibiswa Kukurova Kuchema kana kuseka zvisina kufanira Kunyumwa kana kuve nehanya zvakanyanya nekushoropodzwa. Kusachinja-chinja kana kuomerera zvakanyanya kumaitiro kana zvisingadiwi. Kuvhiringidzika, kana ndangariro dzakaipa
Kana zvasvika pakuita basa, unogona kuona zvinotevera:
Kusimuka kwekunonoka uye kusavapo, kunyanya kana vachitevera maitiro. Tsananguro dzinoshamisa dzekusavapo Kumbomira kwenguva refu kana kudarika nguva dzose Kusavapo kweunhu kubva kubasa, Kare, mabasa akajairika aida nguva yakawanda. Zvisina kujairika kana zvinokahadzika "mashortcuts" anoshandiswa mukushanda haatsigire danho rinotarisirwa rekutarisira. Kana kunaka kana zvirimo zvechati zvikava zvisina kusimba kana kusarudzika, pane kusarongeka kukuru uye kusaita hanya. Kukwira kwezvichemo kana zvichemo zvemukoti.
Mumwe nomumwe wavo anonongedzera kunhau inobvira. Vanogona kunge vakanyatsojeka kana kushamisa zvakakwana kuti vakupe fungidziro yekuti chimwe chinhu chakadzimwa. Unogona kuona kuti vari kushandisa zvinofemesa mweya, mindi, kana kutsenga chingamu kakawanda kupfuura zvavaimboita. Vanogona kun'un'una kupfuura nguva dzese kana kuratidza kutaura kwakamira zvine hungwaru nekunyarara kwenguva refu vachifunga mhinduro yavo. "Vadzidzi vavo vakamanikidzwa (kana kuderedzwa)?" kana kuti “Doro iroro randarinzwa?” mimwe mibvunzo yekuzvibvunza iwe paunenge uchienda. Sevanamukoti, tinogona kuwana hunches kana intuition. Kugona kwedu kwekuzvarwa nakwo mhedzisiro kubva mukudzidziswa kwedu kwakakura uye hunhu uhwu hunowanzovakirwa pane zvatinoona isu tisingazive. Nokudaro, ndapota usavafuratira. Nepo usingafanire kuvafuratira, haufanire kuvagamuchira sevhangeri.
Drug Diversion
Kuwana mushonga wesarudzo unogona kuganhurirwa kune mukoti ane dambudziko rekushandisa zvinodhaka kana vasiri kushanda. Izvi zvinogona kunge zviri nekuda kwezvikonzero zvakasiyana, sekuti mhuri yavo haichanyorerwe mushonga iwoyo, chiremba wavo kana wemishonga achinyumwira, kana zvimwe zvikonzero. Vanowanzo edza kuwedzera iyo yekuwana kubva kubasa mumamiriro ezvinhu akadai. Uye mukoti anozoda kugadzira mukuvanza maitiro aya nekuda kwedziviriro iripo, kunyanya kana zvasvika pazvinhu zvakarambidzwa.
Pakati pezviratidzo zveyambiro zvekutarisira ndezvi:
Nguva nenguva kana nechido kupa kuva mukoti wemishonga. Varwere vanoramba vachinyunyuta pamusoro pekusagadzikana kunyange mushure mekugamuchira marwadzo. Zvinyorwa zvinoratidza kuti murwere akapiwa mishonga inopedza marwadzo kupfuura zvaidiwa pamamiriro avo ezvinhu. Kune mishumo yakawanda uye yakawanda yekuteuka kwezvinodhaka uye marara. Kana mukoti uyu achiita zvekutenderera kwemishonga zvine chekuita nevamwe vanamukoti, nhamba yakawandisa yemishonga inodzorwa inopihwa.
Nhamba dzezvinodhaka hadzina kururama; Kana usati waona mushonga wapihwa kana kupihwa, mukoti anogona kukukumbira kuti usayinewo mushonga wacho. Urwu ndirwo runyorwa, sezvakangoita mamwe. Sezvakaita mamwe mazita, vanamukoti vakachenjera zvikuru nekuda kwedzidzo yedu, kudzidziswa, uye zviitiko, saka dzimwe nguva ingori njere yedumbu iyo inokunyevera nezvenyaya inogona kuitika. Nekudaro, segwara rakajairwa, chero chinhu chinonzwa kuremerwa chinofanira kutariswa mberi. Zvisungo zvako kune varwere vako uye vaunoshanda navo zvinoda izvi.
Zvinyorwa
Iyo Florida Nurse Practice Act inotyorwa kana mukoti achidzidzira akadhakwa. Zvese hurwere nekushandisa zvinodhaka zvakanyorwa sezvingangokonzeresa kukanganisa uku mundima inotsanangura izvi sekutyora uye zvinogona kukonzera chirango. Zvinenge zvisiri pamutemo zvakare kutadza kuburitsa pachena kukanganiswa kwemukoti kana kuisa chengetedzo yemurwere munjodzi nekumubvumidza kushanda iye akaremara. Zvinogoneka kune wese munhu kana pasina kuedza kuvhara mukoti kana nyaya ikafuratirwa netarisiro yekuti ichapera. Semushandi, iwe unofanirwa kutaurirana zvizere nemirau uye maitiro nzvimbo imwe neimwe ingangove yakagadzirirwa zviitiko izvi chete. Izvi zvichange zvagadzirwa kuti ive nechokwadi chekutevedzwa kwese kwemutemo nezvisungo zvemutemo. Hazvina kumbofanira kuti utaure nemunhu waunoshanda naye akaremara. Gara uchikumbira mutariri kana maneja mukoti kuti akubatsire. Maneja kana mutariri angangotanga abata mukoti akaremara; zvisinei, kuva nevanhu vakawanda varipo panguva yekupindira kuchaita:
Ipa humbowo hwakapihwa kuna mukoti huremu hwakawedzerwa nekuti anogona kupokana nekukanganiswa. Huyai zvapupu zvezviitiko zvingangodiwa mukunzwa kana misangano gare gare. Ipa simba kune meseji, tsigiro yemanzwiro, uye kuchengetedza kuchengetedzwa kana mukoti achiratidza kushushikana kana hutsinye kana abatwa. Kupindira kwekutanga hakufanire kunge kuri kupomera kana kuyedza kuziva nyaya yemukoti.
Zvinofanira kunge zvichibva pachokwadi uye kupa humbowo hwakanyorwa hwezvaonekwa uye zvinonetsa kuita kuti mukoti aone kuti sei uri kuvakumbira kuti varege kushanda izvozvi. Iko kukanganisa uye chero kupindira kunotevera kunogona kutaurwa mune imwe yenzira mbiri. Iyo Florida State Board yeNursing ndiyo yekutanga yavo. Zvakanyanya, Dhipatimendi rehutano raizogamuchira mushumo, kuferefeta zvichemo, uye kutora matanho akakodzera. Chechipiri chiito chingave chekutumira chirevo kuIntervention Project for Nurses (IPN). IPN yakagadzirwa muna 1983 nekuita kwemutemo kuchengetedza hutano hweveruzhinji nekuchengetedzeka. Chan et al., 2019 ) Inoita izvi nekupa tarisiro yepedyo kune vanamukoti vanoonekwa sevasina kuchengetedzeka kudzidzira nekuda kwehurema hunounzwa nekushandisa zvinodhaka kana kudhakwa, kushandisa zvisirizvo, kana zvese, kana nekuda kwehurwere hwemuviri kana hwepfungwa hunogona kukanganisa kugona kweane rezinesi kudzidzira zvakachengetedzeka uye nehunyanzvi. .
Aya mapurogiramu ekusiyana-ku-kuranga akagadzirwa munyika yose, uye muFlorida, chikamu cheIntegrated Patient Network (IPN) nekuda kwekuziva kuti mukoti ane dambudziko rekushandisa zvinodhaka anofanira kuwana kutarisirwa uye kurapwa sezvakaita chero munhu. zvimwe. Kuburikidza nezvirongwa zvayo, vanamukoti vanogona kuwana kurapwa kusiri chirango uye kudzoreredzwa. IPN ichabatsira mukoti kubudirira kudzoka kuzodzidzira kana akabvuma kusiya basa uye kupedza chirongwa ichi achichengeta zvakavanzika — kunyangwe kubva kuBoard of Nursing. IPN inotumira faira kuDhipatimendi rehutano kana mukoti akatambira mazwi aya asi ochinja pfungwa dzake. Dzimwe nyaya dzinogona kumhan'arwa kuDhipatimendi rehutano neIPN, uko kurapwa UYE chirango chingatangwa. Kutora chikamu kwebazi rezvehutano kunogona kuita kuti rezinesi remukoti rimbomiswa kana kukanzurwa izvo zvinoita kuti zviomere kudzoka kubasa. Zvinotarisirwa kuti kuburikidza nekupa nzira dzisiri dzechirango, vanamukoti vachakurudzirwa kutsvaga rubatsiro vasati vatarisana nechirango uye vanogona kupedzisira vakwanisa kudzokera kukudzidzira.
mhedziso
Nekuda kwemamiriro ezvinhu akasiyana-siyana akapoteredza dzidzo yedu uye kudzidziswa kwedu, maonerwo atinoita, uye kuti tinozviona sevanhu vakasimba kupfuura vamwe, nyaya yekuremara kubasa kwevanamukoti yakanyanya kuoma. Kare, kana mushandi akanga akaremara pabasa, chirango chingave chakaitwa nokuda kwokukanganisika kwacho kana kuti zvikanganiso zvakaitwa. Izvi zvainyanya kushanda mumamiriro ezvinhu apo zvakaonekwa kuti mukoti akanga akadhakwa kana kuti akakanganiswa nechimwe chinhu. Wakanga wabuda pamukova uye hauna kuzodzoka shure kwaizvozvo. Unorasawo rezinesi, zvichikutadzisa kudzokera kubasa semukoti. Nechemumoyo, zvirongwa zvisiri zvechirango zvakasimudzwa nekuziva kuti isu hatina kudzivirirwa kune zvakafanana zvinonetsa sevamwe. Pfungwa iri shure kwezvirongwa izvi ndeyekuona matambudziko, kusanganisira kusagadzikana kwekushandisa zvinodhaka, kutanga kuitira kuti mhedzisiro yakanaka iwanikwe kune ese mapato.
References
Chan, CWH, Ng, NHY, Chan, HYL, Wong, MMH, & Chow, KM (2019). Ongororo yakarongeka yemhedzisiro yezvirongwa zvekudzidziswa kwevafambisi vepamberi. BMC Health Serv Res , 19 (1), 362. doi.org/10.1186/s12913-019-4192-0
Hyatt,J.(2017). Kukanganisa munzvimbo yebasa; Supervisor zviito. Zvakatorwa kubva www.mdanerson.org/transcripts/Impairment_Text_edited_9_27_01.html
Kukanganisa. (nd). In Dictionary.com Unabridged. Zvakatorwa kubva www.dictionary.com/browse/impairment
Kupindira Chirongwa cheVanamukoti. (nda). Chii chinonzi impairment? Yakadzorerwa Kubvumbi 2, 2017, kubva www.ipnfl.org/ipnfaq.html
National Council of State Boards of Nursing. (2011). Dambudziko rekushandisa zvinodhaka muhukoti: Bhuku rekushandisa uye nhungamiro yezvimwe uye zvechirango chekutarisa zvirongwa. Zvakatorwa kubva www.ncsbn.org/SUDN_11.pdf
Van Bogaert, P., Peremans, L., Van Heusden, D., Verspuy, M., Kureckova, V., Van de Cruys, Z., & Franck, E. (2017). Vanofanotaura nezvekuneta, kuita basa uye mukoti vakashuma mhedzisiro yebasa uye mhando yekutarisira: yakasanganiswa nzira yekudzidza. BMC Vanamukoti , 16 , 5. doi.org/10.1186/s12912-016-0200-4
Washington State Department of Health. (2016). Nhungamiro yekubatsira vamwe vaunoshanda navo vanoratidza kukanganisa munzvimbo yebasa. Zvakatorwa kubva www.doh.wa.gov/portals/1/Documents/Pubs/600006.pdf
Disclaimer
by Dr Alex Jimenez Chiropractic , chisingaperi Pain , Hip Pain & Dambudziko , Mishonga , Viscerosomatic Reflex
Vanhu vemitambo vanogona here kubatanidza MET (muscle energy techniques) kurapa kuderedza marwadzo-semigumisiro ye-adductor strain?
ziviso
Mitezo yepasi yemuviri ine basa rakakosha sezvo ichipa kugadzikana uye kufamba kune munhu. Vamhanyi vazhinji vanoshandisa migumo yavo yepasi nekuwedzera simba rakawanda rekushandisa simba rekuhwina mitambo kana makwikwi. Iwo mamhasuru akasiyana siyana, matishu akapfava, ligaments, uye majoini anobatsira kutsigira skeletal chimiro chemuviri uye anogona kukundwa nekukuvara kubva pakudzokorora kufamba kana zvakatipoteredza. Imwe yemhasuru inogona kukanganiswa nekugara uchidzokorora kufamba uye mamiriro ezvakatipoteredza ndeye adductor tsandanyama, izvo zvinogona kuita kuti vatambi vakawanda vagare vachirwadziwa uye kukanganisa maitiro avo panguva yemakwikwi. Sezvineiwo, pane nzira iyo marapirwo mazhinji anopa kudzikisa tsandanyama kushushikana mune adductors uye kupa zororo kune yakaderera migumo. Chinyorwa chanhasi chinotarisa mabatiro anoita adductor strain inogona kukanganisa vanhu vazhinji, kuti MET therapy inogona kubatsira sei neanductor strain, uye maitiro ayo akanaka kune vanhu vemitambo. Isu tinokurukurirana nevazivisi vezvokurapa vane ruzivo vanosimbisa ruzivo rwevarwere vedu kuti vaongorore marwadzo-semigumisiro ye-adductor strain mumakumbo ezasi. Isu tinozivisawo uye kutungamira varwere kuti sei MET therapy inogona kubatsira kutambanudza uye kusimbisa yakasimba adductor tsandanyama kuderedza kunetsa uye kupa zororo. Isu tinokurudzirawo varwere vedu kuti vabvunze avo vanobatana navo vezvokurapa mibvunzo yakawanda yakaoma uye yakakosha pamusoro pekubatanidza MET uye mamwe asiri ekuvhiya marapirwo muchirongwa chavo chemunhu chekurapa mararamiro ane hutano. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer .
Adductor Strain Inobata Sei Vanhu?
Unonzwa kuoma muzvidya zvako nemakumbo mushure mezuva refu kubasa? Iwe unosangana nekusagadzikana kana uchifamba kubva kune imwe nzvimbo uchienda kune imwe? Kana kuti unonzwa kurwadziwa here paunotambanudza zvidya zvako izvo zvinokonzera zororo renguva pfupi? Vanhu vazhinji vanonzwa kurwadziwa mumakumbo avo ezasi vanowanzofunga kuti kurwadziwa kwehudyu, asi mhasuru dzavo dzeadductor dziri kurwadziwa. Mishonga ye-adductor inosanganisira misumbu mitatu inopa torque kumucheto wezasi nekuvabvumira kuti vafambe mukati kana munhu achifamba uye anobatsira kuchengetedza hunde hutsika. Saka, apo vatambi vakawanda vanotanga kuita nguva dzose vachidzokorora pavanenge vachitamba, zvinogona kukonzera nyaya kune vanowedzera. Sekukuvadzwa kunowanzoitika kune vatambi vakawanda, kushungurudza kweadductor kunogona kuisa kushungurudzika kwakanyanya pane tendon chaiyo, zvichiita kuti biomechanical abnormalities inokanganisa musculoskeletal system. ( Kiel naKaiser, 2024a ) Uyewo, apo vatambi vanotanga kushandisa nguva dzose kudzokorora kufamba panguva yekuwedzera kwevhoriyamu kana kusimba kwebasa rekudzidzira basa, zvinogona kukonzera kushungurudzika mumakumbo ezasi. ( Kiel naKaiser, 2024b ) Izvi, zvakare, zvinogona kuita kuti vanhu vazhinji vanzwe sekunge vari kunzwa kurwadziwa kwehudyu uye groin kana chokwadi, kushungurudzika kuputsika mumasumbu e-adductor zvichikonzera kurwadziwa kwemyofascial.
Saka, kune vanhu vanoita zvemitambo vanotarisana ne-adductor strain, vanachiremba vekutanga vanofanira kusiyanisa pakati pe-adductor strain uye nguva dzose musuru kuomeswa mumigumo yezasi, sezvo zviratidzo zvinorwadza dzimwe nguva zvine mapeji enjodzi akawandisa ane acute anotanga kurwadziwa zviratidzo zvine chekuita nekukuvara kwakasiyana nzira. ( McHugh et al., 2023 ) Izvi ndezvokuti kana vatambi vakashandisa zvakanyanya misumbu yavo ye-adductor, inokonzera marwadzo, sezvo kukuvadzwa kwakawanda mukati me adductors kunobatanidzwa nehudyu uye nzvimbo yegoro. ( Koscso et al., 2022 ) Zvisinei, kune nzira dzevatambi kuti vawane zororo ravanotsvaka kuti vaderedze kushushikana kweadductor uye kudzokera kumuitiro wavo.
Movement Medicine- Vhidhiyo
VIDEO
Iyo MET Therapy Inobatsira NeAdductor Strain
Kune vatambi uye vanhu vanoita basa rekuita muviri, MET therapy inogona kuva chikamu chinokosha chekugadzirisa maitiro e-adductor strain. MET (muscle energy technique) therapy, imwe nzira ye osteopathic manipulative medicine, inoshandiswa nenyanzvi dzemarwadzo dzakadai sechiropractors, massage therapists, uye vanachiremba vemitambo kuti vaderedze zviratidzo zvinorwadza musculoskeletal system. Nekushandisa zvinyoro-nyoro, zvinodzorwa tsandanyama contraction, nyanzvi idzi dzinogona kuvandudza musculoskeletal basa nekubatanidza majoini, kutambanudza mhasuru dzakasimba uye fascia, nekuvandudza kutenderera uye lymphatic kuyerera. ( Waxenbaum et al., 2024 ) Nyanzvi dzakawanda dzemarwadzo, kusanganisira chiropractors uye massage therapists, dzinobatanidza MET therapy muzviito zvavo nekuda kwekubudirira kwayo mukugadzirisa kusaenzana kwetsandanyama uye kugadzirisa nyaya dzinokonzera marwadzo uye zvishoma kufamba mumakumbo ezasi.
Iyo Yakanaka Mhedzisiro yeMET Therapy
Imwe yemigumisiro yakanaka yeMET therapy ye-adductor strain ndeyokuti apo vatambi uye vanhu vanotanga kuishandisa sechikamu chekudzoka kwavo, marwadzo avo anoderedzwa, uye kufamba kwemasumbu kunowedzera sezvo kune kuchinja mune viscoelastic properties munyoro. ( Thomas et al., 2019 ) Kune mhasuru dzeadductor, MET therapy inobatsira ne:
Kuwedzera tsandanyama kureba & flexibility Deredza tsandanyama Kuvandudza kubuda kweropa uye kukurudzira kupora Wedzera basa rekubatana
MET therapy, kana yakabatanidzwa kuti isunungure marwadzo e-adductor strain, inogona kuisa vanhu vakawanda vakasununguka sezvo inotarisa zvakanyanya pakuzorodza kwemhasuru, kurebesa, uye kusimbisa mhasuru dzakakanganisika. Kurapa kweMET kunogona kusanganiswa nemamwe marapirwo muurongwa hwemunhu hwemunhu hwekurapa kuti uwedzere kufamba, rangarira izvo zviri kukonzera marwadzo uye kusagadzikana kumiviri yavo, uye kurarama hupenyu hune hutano.
References
Kiel, J., & Kaiser, K. (2024a). Adductor Strain. In StatPearls . www.ncbi.nlm.nih.gov/pubmed/29630218
Kiel, J., & Kaiser, K. (2024b). Stress Reaction uye Kutsemuka. In StatPearls . www.ncbi.nlm.nih.gov/pubmed/29939612
Koscso, JM, McElheny, K., Carr, JB, 2nd, & Hippensteel, KJ (2022). Lower Extremity Muscle Kukuvara muMutambi Wepamusoro. Curr Rev Musculoskelet Med , 15 (6), 500-512. doi.org/10.1007/s12178-022-09786-z
McHugh, MP, Nicholas, SJ, & Tyler, TF (2023). Adductor Matambudziko muVatambi. Int J Mitambo yeInt Ther , 18 (2), 288-292. doi.org/10.26603/001c.72626
Thomas, E., Cavallaro, AR, Mani, D., Bianco, A., & Palma, A. (2019). Kubudirira kwemaitiro emagetsi emhasuru mune zviratidzo uye asymptomatic zvidzidzo: kuongororwa kwakarongeka. Chiropr Man Therap , 27 , 35. doi.org/10.1186/s12998-019-0258-7
Waxenbaum, JA, Woo, MJ, & Lu, M. (2024). Physiology, Muscle Energy. In StatPearls . www.ncbi.nlm.nih.gov/pubmed/32644455
Disclaimer
by Dr Alex Jimenez chisingaperi Pain , Kukanganiswa kwakakomba , kugwinya , Kufamba & Kuchinja , Mishonga , Viscerosomatic Reflex
Kutambanudzira kwakasiyana-siyana kunogona kubatsira kune vanhu vanobata nemaoko uye kurwadziwa kwemaoko nekudzikisa marwadzo uye kusagadzikana kumigumo?
ziviso
Munyika inofambiswa netekinoroji, zvakajairika kuti vanhu vanzwe kurwadziwa kwemaoko nemaoko pane imwe nguva muhupenyu hwavo. Maoko ichikamu chekumusoro kwemuviri uye anoshandiswa kune akasiyana mabasa uye mabasa epamba zuva rese. Idzo dzepamberi dzinopa hukama hwekukonzeresa nemaoko nemaoko ekumusoro migumo sezvo vachipa akakosha mota mabasa kumuviri. Maoko anotsigira muviri kana akatakura chinhu; mhasuru dzakasiyana-siyana, ligaments, tendon, uye majoini anobatsira wrist nekufamba uye kuchinjika. Nekudaro, kana kukuvara kana mafambiro emazuva ese atanga kukanganisa maoko uye kukonzera nyaya nemaoko nechanza, zvinogona kunetsa kuita mabasa akareruka uye kukanganisa mararamiro emunhu. Neraki, nzira dzakawanda dziripo dzekudzikisa marwadzo uye kusagadzikana kwechanza nemaoko. Chinyorwa chanhasi chinotarisa kuti chii chinokonzera kurwadziwa kwemaoko nemaoko, nzira yekudzivirira marwadzo emaoko nemaoko kuti asadzoke, uye kuti kubatanidza zvakasiyana-siyana kunogona kubatsira sei kuderedza marwadzo-sezvinoita. Isu tinokurukurirana nevarapi vane hunyanzvi vanosimbisa ruzivo rwevarwere vedu kuti vaongorore zvikonzero zvakawanda zvinotungamira mukukura kwemaoko uye kurwadziwa kwemaoko. Isu tinozivisawo uye kutungamira varwere nezvekuti kwakasiyana-siyana kutambanudza uye matekiniki anogona kubatsira kuderedza mikana yeruoko uye kurwadziwa kwemaoko kubva pakudzoka. Isu tinokurudzirawo varwere vedu kuti vabvunze avo vanobatana navo vekurapa mibvunzo yakawanda yakaoma uye yakakosha pamusoro pekubatanidza aya matamba uye matekiniki mumaitiro avo emazuva ese kuti vararame hupenyu hune hutano. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer .
Chii Chinokonzera Kurwadza Kwemaoko uye Ruoko?
Iwe unowanzonzwa kurwadziwa kana kuoma muchiuno chako mushure mekunyora zuva rese pakombuta kana foni? Une dambudziko rekubata zvinhu mumaoko ako here? Kana kuti kangani maoko ako achirwadza zvokuti kuakwinya kunoita kuti uzorodzwe kwenguva pfupi? Vanhu vazhinji, kusanganisira vakwegura, vakambonzwa kurwadziwa pane imwe nguva, uye nguva yakawanda, inobata maoko nemaoko. Sezvo munhu wese anoshandisa maoko ake nemaoko kana achiita mabasa akasiyana-siyana, apo kukuvara kana kudzokorora kufamba kunotanga kukanganisa maoko nemaoko, zvinogona kuva nemigumisiro yakakura pamabasa akareruka. Paunenge uchibata nekurwadziwa kwemaoko nemaoko, zvinogona kuita kuti hupenyu husatsungirike kumunhu. Sezvo marwadzo ari mhinduro yakajairika yekudzivirira kune chero kukuvara uye zvinogona kukuvadza zvinokonzeresa muchimiro chayo chakaoma, kana nguva refu kana kusashanda neuromuscular nyaya dzinotanga kukanganisa muviri, zvinogona kuita kuti kuremara nekurwadziwa. ( Merkle et al., 2020 ) Pakurwadziwa kwemaoko nemaoko, zviitiko zvakawanda zvinotungamira mukukura kwayo zvinokonzerwa ne micro-stress kana kudzokorora kushandiswa kwemisodzi.
Izvi zvinodaro nekuti sezvo pasi rose richifambiswa neruzivo rwemichina, vanhu vazhinji vari kushandisa makomputa kana nharembozha kutaurirana, izvo zvinogona kuva chimwe chezvikonzero zvekukura kwekurwadziwa kwemaoko nemaoko. Kana vanhu vazhinji vachigara vachishandisa michina yemagetsi, kufamba-famba uye kushandiswa kwezvigunwe kunowedzera mutoro wavo uye kunowedzera kuwanda kwekusagadzikana kwemusculoskeletal. ( Baabdullah et al., 2020 ) Zvimwe zvidzidzo zvakataura kuti vanhu vakawanda pavanotanga kuita kudzokorora mafambiro nguva dzose uye vaine nzvimbo dzakasiyana dzemajoini emaoko avo pavanenge vachishandisa zvigadzirwa zvemagetsi nguva dzose, zvinogona kukonzera marwadzo kumajoini emaoko avo uye kukanganisa chimiro. ( Amjad et al., 2020 ) Uyezve, kana kudzokorora kudengenyeka kunoratidzwa kana kusimba kweangular kufamba kunokanganisa maoko nemaoko, zvinogona kutungamirira ku carpal tunnel syndrome uye kukanganisa maoko. ( Osiak et al., 2022 ) Majoini akasiyana-siyana, marunda, uye tsandanyama zvakare zvinobatwa mumaoko nechanza semapoinzi epanotangira ruoko. Neraki, kune nzira dzakawanda idzo vanhu vazhinji vanogona kuderedza marwadzo-semhedzisiro yewako uye kurwadziwa kwemaoko.
Zvakanakira Kutambanudza-Vhidhiyo
VIDEO
Maitiro ekudzivirira Wrist & Ruoko Kurwadza Kubva Kudzoka
Kune nzira dzakawanda dzekudzikisa kurwadziwa kwemaoko nemaoko, uye vanhu vazhinji vanoedza kutsvaga nzira dzekurapa kuderedza marwadzo. Kurapa kusiri kwekuvhiya senge kurapa kwemaoko kunogona kubatsira nekurwadziwa kwemaoko nemaoko nekushandisa masimba ekuunganidza kubvumira kuchinjika kwechanza uye kuwedzera kuvandudza kushanda kwemota. ( Gutierrez-Espinoza et al., 2022 ) Kumwe kurapwa kusiri kwekuvhiya kunogona kubatsira nekurwadziwa kwemaoko nemaoko ndeye acupuncture. Acupuncture inoshandisa diki, yakasimba, tsono dzakatetepa kuti dziiswe mune dzakasiyana-siyana acupoints paruoko kuti kuderedze kurwadziwa kwakanyanya uye kudzosa basa rekufamba kumaoko nechanza. ( Trinh et al., 2022 )
Yakasiyana-siyana Kutambanudza KweWrist & Marwadzo Emaoko
Sezvineiwo, pane a nyore uye kuwanikwa nzira yekuti vanhu vazhinji vaderedze mhedzisiro yeruoko uye kurwadziwa-kutambanudza ruoko uye nekubatanidza iyo yoga mumaitiro avo. Yoga inotambanudza maoko nemaoko inogona kubatsira kuderedza uye kuderedza kuomarara, uye kutambanudza uku kunogona kuitwa kwemaminetsi mashoma, zvichipa mhedzisiro inobatsira. ( Gandolfi et al., 2023 ) Pazasi pane mamwe ematanho aya anogona Kupinzwa nyore nyore mumaitiro emunhu wese, zvichiita kuti zvive nyore kwauri kutora kutonga kwechanza chako uye hutano hwemaoko.
Wrist Flexor Stretch
Maitirwo Azvo:
Tambanudza ruoko rwako pamberi pako nechanza chako mudenga. Shandisa rumwe ruoko kudhonzera zvigunwe zvinyoro nyoro kudzoka kumuviri kusvika wanzwa kutambanudza ruoko rwako. Bata nzvimbo iyi kwemasekondi gumi nemashanu kusvika makumi matatu. Dzokorora 2-3 nguva nechanza chimwe nechimwe.
Wrist Extensor Stretch
Maitirwo Azvo:
Tambanudza ruoko rwako pamberi pemuviri wako chanza chako chakatarisa pasi. Dhonza zvigunwe zvinyoro nyoro kumuviri wako nerumwe ruoko kusvika wanzwa kutambanudza kunze kweruoko rwako. Bata kwemasekondi makumi matatu kusvika makumi matanhatu. Ita izvi 2-3 nguva paruoko.
Munamato Kutambanudza
Maitirwo Azvo:
Isa zvanza pamwe chete munzvimbo yekunamatira pamberi chechipfuva, pasi pechirebvu. Zvishoma nezvishoma kuderedza maoko akabatana akananga muchiuno, achichengeta maoko ari pedyo nedumbu rako uye zvanza zvako pamwechete kusvikira wanzwa kutambanudza pasi pemaoko ako. Bata kwemasekonzi makumi matatu uye dzokorora zvishoma.
Tendon Glides
Maitirwo Azvo:
Tanga neminwe yako yakatambanudzwa kunze. Zvadaro, kotamisa zvigunwe zvako kuti uite chibhakera chechirauro; unofanira kunzwa kutambanudza asi pasina kurwadziwa. Dzokera kunzvimbo yekutanga uye ukotamise zvigunwe zvako kuti ubate kumusoro kwechanza chako, uchichengeta zvigunwe zvako zvakananga. Pakupedzisira, kotamisa zvigunwe zvako muchibhakera chakazara. Dzokorora kutevedzana kagumi.
Chigunwe Kutambanudza
Maitirwo Azvo:
Tambanudza ruoko rwako neminwe yako pamwe chete. kweva chigunwe chako kure neminwe yako kusvika pakusununguka. Bata kwemasekondi makumi matatu kusvika makumi matanhatu. Dzokorora 2-3 nguva nechigunwe chimwe nechimwe.
Zunza kunze
Maitirwo Azvo:
Mushure mekutambanudza, zunza maoko ako zvishoma sekunge uri kuedza kuaomesa. Izvi zvinobatsira kuderedza kushushikana uye kukurudzira kutenderera.
References
Amjad, F., Farooq, MN, Batool, R., & Irshad, A. (2020). Kuwanda kwekurwadziwa kwemaoko uye zvakabatana nenjodzi muvadzidzi vanoshandisa nharembozha. Pak J Med Sci , 36 (4), 746-749. doi.org/10.12669/pjms.36.4.1797
Baabdullah, A., Bokhary, D., Kabli, Y., Saggaf, O., Daiwali, M., & Hamdi, A. (2020). Kushamwaridzana pakati pekupindwa muropa ne-smartphone uye kurwadziwa kwechigunwe / ruoko: Chidzidzo chemuchinjika. Mushonga (Baltimore) , 99 (10), e19124. doi.org/10.1097/MD.0000000000019124
Gandolfi, MG, Zamparini, F., Spinelli, A., & Prati, C. (2023). Asana yeMutsipa, Mafudzi, uye Wrists Kudzivirira Musculoskeletal Disorders pakati peDental Professionals: In-Office Yoga Protocol. J Funct Morphol Kinesiol , 8 (1). doi.org/10.3390/jfmk8010026
Gutierrez-Espinoza, H., Araya-Quintanilla, F., Olguin-Huerta, C., Valenzuela-Fuenzalida, J., Gutierrez-Monclus, R., & Moncada-Ramirez, V. (2022). Kubudirira kwebhuku rekurapa muvarwere vane distal radius fracture: kuongorora kwakarongeka uye meta-analysis. J Man Manip Ther , 30 (1), 33-45. doi.org/10.1080/10669817.2021.1992090
Merkle, SL, Sluka, KA, & Frey-Law, LA (2020). Kudyidzana pakati pemarwadzo nekufamba. J Hand Ther , 33 (1), 60-66. doi.org/10.1016/j.jht.2018.05.001
Osiak, K., Elnazir, P., Walocha, JA, & Pasternak, A. (2022). Carpal tunnel syndrome: mamiriro-e-the-art wongororo. Folia Morphol (Warsz) , 81 (4), 851-862. doi.org/10.5603/FM.a2021.0121
Trinh, K., Zhou, F., Belski, N., Deng, J., & Wong, CY (2022). Mhedzisiro yeAcupuncture paRuoko neWrist Pain Intensity, Functional Status, uye Hupenyu Hwevanhu Vakuru: Ongororo Yakarongeka. Med Acupunct , 34 (1), 34-48. doi.org/10.1089/acu.2021.0046
Disclaimer
by Dr Alex Jimenez Chiropractic , Chiropractic Examination , Chiropractic News , chisingaperi Pain , Kufungidzira & Diagnostics , Mishonga
Ko vashandi vehutano mukiriniki yechiropractic vanopa sei nzira yekiriniki yekudzivirira zvikanganiso zvekurapa kune vanhu vari kurwadziwa?
ziviso
Zvikanganiso zvekurapa zvakakonzera kufa kwe44,000-98,000 muchipatara kufa kweAmerica gore negore, uye zvimwe zvakawanda zvakakonzera kukuvara kwakaipisisa. ( Kohn et al., 2000 ) Iyi yaipfuura nhamba yevanhu vaifa gore negore neAIDS, kenza yemazamu, uye tsaona dzemotokari panguva iyoyo. Zvinoenderana netsvakiridzo yakazotevera, nhamba chaiyo yevakafa inogona kunge iri pedyo ne400,000, ichiisa zvikanganiso zvekurapa seyechitatu inonyanya kukonzera rufu muUS. Kazhinji, zvikanganiso izvi hazvisi chibereko chenyanzvi dzekurapa dzakaipa panyama; Asi, iwo mhedzisiro yehurongwa hwehurongwa hwehutano hwehutano, hwakadai sekusagadzikana muridzi wekudzidzira maitiro, zvakavanzika inishuwarenzi network, kusavapo kana kusavapo kwekuchengetedza protocol, uye kutarisirwa kusarongeka. Chinyorwa chemazuva ano chinotarisa nzira yekiriniki yekudzivirira kukanganisa kwehutano muhutano hwehutano. Isu tinokurukura vanobatana nevarapi vekurapa vanonyanya kurapa kwakasiyana siyana kubatsira vanhu vari kurwara nenyaya dzisingaperi. Isu tinotungamirawo varwere vedu nekuvabvumira kubvunza avo vanobatana navo vekurapa mibvunzo yakakosha uye yakaoma kunzwisisa. Dr. Alex Jimenez, DC, anongoshandisa ruzivo urwu sebasa rekudzidzisa. Disclaimer
Kutsanangura Zvikanganiso Zvekurapa
Kuona kuti ndechipi chikanganiso chekurapa inhanho yakakosha mune chero hurukuro yekudzivirira kukanganisa kwekurapa. Iwe unogona kufunga kuti iri ibasa rakareruka kwazvo, asi izvi zvinongoitika chete kusvikira wapinda muhuwandu hwakawanda hwemazwi anoshandiswa. Mazwi mazhinji anoshandiswa zvakafanana (dzimwe nguva zvisiri izvo) sezvo mamwe mazwi achichinjika, uye dzimwe nguva, zvinoreva izwi zvinoenderana nehunyanzvi huri kukurukurwa.
Kunyange zvazvo chikamu chehutano chakataura kuti kuchengetedzwa kwevarwere uye kubvisa kana kuderedza zvikanganiso zvekurapa zvaive zvakakosha, Grober naBohnen vakacherechedza munguva ichangopfuura se2005 kuti vakanga vakundikana mune imwe nzvimbo inokosha: kusarudza tsanangudzo ye "zvichida mubvunzo wakanyanya kukosha ... kukanganisa kwekurapa? Chikanganiso chekurapa ndiko kutadza kupedzisa chiito chakarongwa munzvimbo yekurapa. ( Grober & Bohnen, 2005 ) Zvisinei, hapana kana rimwe remashoko anowanzozivikanwa nemunhu ane dambudziko rezvokurapa—varwere, utano, kana chimwe chinhu—rinodudzwa murondedzero iyi. Zvisinei neizvi, tsananguro yacho inopa hwaro hwakasimba hwekumwe budiriro. Sezvauri kuona, iyo tsanangudzo chaiyo ine zvikamu zviviri:
Kukanganisa kuita : Kutadza kuzadzisa chiito chakarongwa sezvakarongwa.Kutadza kuronga: inzira iyo, kunyangwe nekuita kwakakwana, haiburitse mhedzisiro inodiwa.
Pfungwa dzekukanganisa kwekuita uye kuronga kukanganisa hakuna kukwana kana tichizotsanangura kukanganisa kwekurapa zvakakwana. Izvi zvinogona kuitika chero kupi, kwete chete kunzvimbo yekurapa. Chikamu chekurapa kwekurapa chinofanira kuwedzerwa. Izvi zvinounza pfungwa yezviitiko zvisingafadzi, zvinonzi zviitiko zvakashata. Tsanangudzo yakajairika yechiitiko chakashata kukuvadza kusingatarisirwi kune varwere vanounzwa nekurapa kwekurapa kwete chirwere chavo chiri pasi. Tsanangudzo iyi yakawana kugamuchirwa pasi rose neimwe nzira. Semuenzaniso, kuAustralia, izwi rekuti zviitiko rinotsanangurwa sekuti kukuvadza kwakakonzera munhu kuwana hutano. Izvi zvinosanganisira kutapukira, kudonha kunokonzera kukuvara, uye nyaya nemishonga yekurapa nemidziyo yekurapa. Zvimwe zviitiko zvisina kunaka zvinogona kudzivirirwa.
Mhando Dzakajairika dzeKukanganisa Kwekurapa
Nyaya chete ine pfungwa iyi ndeyekuti hazvisi zvese zvakaipa zvinoitika netsaona kana nemaune. Nekuti murwere anogona kupedzisira abatsirwa, chiitiko chinotarisirwa asi chinoshivirira chinogona kuitika. Munguva yechemotherapy, kusvotwa uye kurasikirwa kwebvudzi mienzaniso miviri. Muchiitiko ichi, kuramba kurapwa kunokurudzirwa ndiyo chete nzira ine musoro yekudzivirira mhedzisiro isingafadzi. Isu nokudaro tinosvika pane pfungwa yekudzivirirwa uye isingadzivirirwe yakaipa zviitiko apo isu tinoenderera mberi nekunatsa tsananguro yedu. Hazvisi nyore kuronga sarudzo yekushivirira imwe mhedzisiro kana yaonekwa kuti yakanaka mhedzisiro ichaitika panguva imwe chete. Asi chinangwa chega hachisi chikonzero chekuzvipembedza. ( Patient Safety Network, 2016, ndima.3 ) Mumwe muenzaniso wekukanganisa kwakarongwa kungave kugurwa kwetsoka yekurudyi nekuda kwebundu kuruoko rworuboshwe, iyo inenge ichibvuma chiitiko chisingafadzi chinozivikanwa uye chakafanotaurwa mune tarisiro yemigumisiro inobatsira apo pasina imwe yakambomuka kare. Hapana humbowo hunotsigira tarisiro yemugumisiro wakanaka.
Zvikanganiso zvekurapa zvinokonzeresa kukuvadza kumurwere ndizvo zvinonyanya kutariswa patsvakiridzo yedu. Zvakangodaro, zvikanganiso zvekurapa zvinogona uye zvinoitika kana murwere asina kukuvadzwa. Kuitika kwekupotsa kwepedyo kunogona kupa data rakakosha pakuronga nzira yekudzikisa zvikanganiso zvekurapa munzvimbo yehutano. Zvakadaro, kuwanda kwezviitiko izvi zvichienzaniswa neakawanda makiriniki anovaudza zvinofanirwa kuongororwa. Pedyo nekupotsa zvikanganiso zvekurapa zvinogona kunge zvakakonzera kukuvadza asi hazvina kumurwere, kunyangwe murwere ari kuita zvakanaka. ( Martinez et al., 2017 ) Sei uchibvuma chimwe chinhu chinogona kuguma nedanho repamutemo? Funga nezvechiitiko apo mukoti, chero chikonzero chipi, anga achangobva kutarisa mifananidzo yemishonga yakasiyana uye akanga ava kuda kupa mushonga. Zvichida chimwe chinhu chinoramba chiri mundangariro dzake, uye anosarudza kuti handiwo maratidzirwo emushonga chaiwo. Paakatarisa, akaona kuti akanga apiwa mishonga isiri iyo. Mushure mekutarisa mapepa ose, anogadzirisa chikanganiso uye anopa murwere tsamba yakakodzera. Zvingaite here kudzivirira kukanganisa mune ramangwana kana rekodhi rekodhi raisanganisira mafoto emushonga wakakodzera? Zviri nyore kukanganwa kuti pane kukanganisa uye mukana wekukuvadza. Chokwadi ichocho chinoramba chiri chechokwadi pasinei nokuti takaita rombo rakanaka here kuiwana munguva kana kuti kutambura chero migumisiro yakaipa.
Kukanganisa kweZvabuda & Maitiro
Tinoda data rakazara kugadzira mhinduro dzinovandudza kuchengetedza kwevarwere uye kuderedza zvikanganiso zvekurapa. Zvirinani, kana murwere ari munzvimbo yekurapa, zvese zvinogona kuitwa kudzivirira kukuvadzwa uye kuvaisa munjodzi zvinofanirwa kutaurwa. Vanachiremba vakawanda vakasarudza kuti kushandisa mitsara zvikanganiso uye zviitiko zvakashata zvaive zvakanyanya uye zvakakodzera mushure mekuongorora zvikanganiso uye zviitiko zvakashata muhutano hwehutano uye kukurukura simba ravo uye kushaya simba kwavo muna 2003. Iyi tsanangudzo yakabatanidzwa yaizowedzera kuunganidza deta, kusanganisira kukanganisa, kufona kwepedyo, pedyo. misuva, uye zvikanganiso zvinoshanda uye zvakavandika. Pamusoro pezvo, izwi rakashata zviitiko rinosanganisira mazwi anowanzoreva kukuvadzwa kwemurwere, sekukuvara kwekurapa uye iatrogenic kukuvara. Chinhu chimwe chete chakasara ndechekuona kana bhodhi rekuongorora inhengo yakakodzera yekubata kupatsanurwa kwezviitiko zvinodzivirirwa uye zvisingadzivirirwe zvakashata.
Chiitiko chevarindi chiitiko chinodiwa kuzivisa kune Joint Commission. The Joint Commission inotaura kuti chiitiko chevarindi chiitiko chisingatarisirwi chinosanganisira kukuvara kwakanyanya mumuviri kana mupfungwa. ( "Sentinel Zviitiko," 2004, p.35 ) Hapana sarudzo, sezvo inoda kunyorwa. Zvizhinji zvivakwa zvehutano, zvisinei, zvinochengeta zvinyorwa zvadzo zvichitsanangura zviitiko zvevatumwa uye zvekuita kana mumwe achivimbisa kuti zviyero zveJoint Commission zvinosangana. Iyi ndiyo imwe yemamiriro ezvinhu apo zviri nani kuva akachengeteka pane urombo. Sezvo “serious” iri pfungwa ine mwero, pangava neimwe nzira yokusagadzikana pakudzivirira waunoshanda naye kana kuti mushandirwi. Ukuwo, kushuma chiitiko chemurindi zvisiri izvo zviri nani pane kutadza kushuma chiitiko chevarindi. Kutadza kuburitsa pachena kunogona kuve nemhedzisiro yakakomba, kusanganisira kumisa basa.
Paunenge uchifunga nezvekukanganisa kwekurapa, vanhu vanowanzoita chikanganiso chekungotarisa zvikanganiso zvechiremba. Kukanganisa kwemishonga pasina mubvunzo kunowanzoitika uye kunosanganisira akawanda ekukanganisa kwemaitiro semamwe zvikanganiso zvekurapa. Kuputsika mukutaurirana, kukanganisa kwakaitwa panguva yekunyorerwa kana kugovera, uye zvimwe zvinhu zvakawanda zvinogoneka. Asi isu tinenge tichifungira zvisizvo nyaya iyi kana tikafunga kuti kukanganisa kwezvinodhaka ndiko chete honzeri yekukuvadza kumurwere. Rimwe dambudziko guru mukuisa mhosho dzekurapa dzakasiyana ndere kuona kuti chikanganiso chiri mumapoka zvichienderana nemaitirwo anoitwa kana mhedzisiro. Zvinotenderwa kuongorora aya maclass pano, kupihwa kuedza kwakawanda kwakaitwa kugadzira tsananguro dzekushanda dzinosanganisira zvese maitiro uye mhedzisiro, mazhinji acho akavakirwa pabasa raLucian Leape kubva kuma1990s.
Natsiridza Mararamiro Ako Nhasi- Vhidhiyo
VIDEO
Kuongorora & Kudzivirira Kukanganisa Kwezvokurapa
Kushanda uye kusashanda ndiwo mapoka maviri makuru ezviitiko zvakashata izvo Leape nevamwe vake vakasiyanisa muchidzidzo ichi. ( Leape et al., 1991 ) Matambudziko ekuvhiya aisanganisira utachiona hwemaronda, kutadza kuvhiyiwa, nyaya dzisiri dzehunyanzvi, kunonoka kunetsa, uye matambudziko ehunyanzvi. Nonoperative: misoro yakadai semishonga ine chokuita nemishonga, isina kuongororwa, kubatwa zvisina kunaka, nzira-yakabatana, kudonha, kuputsika, postpartum, anesthesia-yakabatana, neonatal, uye kubata-zvose musoro wegadziriro yakabatanidzwa pasi pechikamu ichi chezviitiko zvakashata. Leape akarongawo zvikanganiso nekunongedza poindi yekuparara kwemaitiro. Akaisawo izvi mumisoro mishanu, inosanganisira:
maitiro mutambo Mishonga Inorapwa chirwere Kudzivirira
Mazhinji maitiro ekukanganisa anowira pasi peinopfuura musoro wenyaya, asi iwo ese anobatsira kuratidza chaicho chikonzero chenyaya. Kana kupfuura chiremba mumwe akabatanidzwa mukugadzirisa nzvimbo chaidzo dzinoda kuvandudzwa, ipapo mimwe mibvunzo inogona kudiwa.
Nehunyanzvi, kukanganisa kwekurapa kunogona kuitwa nechero mushandi pachipatara. Izvo hazvina kuganhurirwa kune nyanzvi dzekurapa sevanachiremba uye vanamukoti. Mutungamiriri anogona kusunungura gonhi, kana kuti mushandi wokuchenesa anogona kusiya kemikari mukati memwana. Chinonyanya kukosha kupfuura kuzivikanwa kweakakanganisa ndicho chikonzero chiri shure kwayo. Ko pamberi pazvo? Uye tingava sei nechokwadi chokuti izvozvo hazviitiki zvakare? Mushure mekuunganidza data rese riri pamusoro uye nezvimwe zvakawanda, inguva yekuona kuti ungadzivirira sei zvikanganiso zvakafanana. Kana dziri zviitiko zvevarindi, Joint Commission yakaraira kubvira 1997 kuti zviitiko zvese izvi zviitwe nzira inonzi Root Cause Analysis (RCA). Nekudaro, kushandisa nzira iyi kune zviitiko zvinoda kuziviswa kune vekunze zvingada kugadziriswa.
Chii chinonzi Root Cause Analysis?
MaRCA "akatora ruzivo pamwe nemaonero makuru." Ivo vanoita kuti masystem ekuongorora ave nyore, kuongorora kana kugadzirisa kwakakosha, uye maitiro ekutevera. ( Williams, 2001 ) Chii chaizvo chinonzi RCA, zvakadaro? Nekuongorora zviitiko zvakakonzera kukanganisa, RCA inogona kutarisa pane zviitiko uye maitiro pane kuongorora kana kupa mhosva kune chaivo vanhu. ( AHRQ,2017 ) Ndicho chikonzero nei zvakakosha. Iyo RCA inowanzo shandisa chishandiso chinonzi Five Whys. Iyi ndiyo nzira yekuramba uchizvibvunza iwe "nei" mushure mekunge watenda kuti waona chikonzero chenyaya.
Chikonzero icho ichinzi "zvishanu nei" imhaka yekuti, nepo shanu iri nzvimbo yakanaka yekutanga, iwe unofanirwa kugara uchibvunza kuti sei kusvika waona chiri kukonzera dambudziko. Kubvunza kuti sei uchidzokorodza uchigona kuratidza kukanganisa kwakawanda pamatanho akasiyana, asi iwe unofanirwa kuramba uchibvunza kuti sei nezvese chikamu chenyaya kusvika wapererwa nezvimwe zvinhu zvinogona kugadziriswa kuti zvipe mhedzisiro inodiwa. Nekudaro, zvishandiso zvakasiyana kunze kweiyi zvinogona kushandiswa mukutsvagisa chikonzero. Vamwe vakawanda variko. MaRCA anofanirwa kunge ari emhando dzakasiyana siyana uye anoenderana uye achibatanidza mapato ese ane chekuita nekukanganisa kudzivirira kusanzwisisana kana kutaura zvisirizvo zvezviitiko.
mhedziso
Zvikanganiso zvekurapa muzvipatara zvinowanzoitika uye kazhinji zvisingataurwi zviitiko zvinokanganisa hutano hwevarwere zvakanyanya. Vanhu vanosvika chikamu chimwe muzvina chemiriyoni vanofungidzirwa kuti vanofa gore rega rega nekuda kwekukanganisa kwekurapa. Huwandu uhu hahugamuchirwe munguva iyo kuchengetedzwa kwevarwere kunofungidzirwa kuti ndiko kwekutanga, asi hapana zvakawanda zviri kuitwa kushandura maitiro. Kana zvikanganiso zvehutano zvakanyatsotsanangurwa uye chikonzero chechinetso chinowanikwa pasina kupa mhosva kune vamwe vashandi, izvi hazvidiwi. Shanduko dzakakosha dzinogona kuitwa kana zvikonzero zvakakosha zvehurongwa kana kukanganisa kwemaitiro zvakaonekwa nemazvo. Nzira inopindirana, yakasiyana-siyana yekuongorora chikonzero chemudzi iyo inoshandisa masisitimu akafanana neaya mashanu ekuti sei kuongorora pasi kudzamara matambudziko ese uye hurema hwaratidzwa chinhu chinobatsira. Kunyange zvazvo iko zvino kwave kuri madikanwa pakumuka kwezviitiko zvevarindi, iyo Root Cause Analysis inogona uye inofanira kushandiswa kune zvese zvinokonzeresa kukanganisa, kusanganisira pedyo nekupotsa.
References
Agency for Healthcare Research uye Hunhu. (2016). Root Cause Analysis. Yakadzorerwa Kurume 20, 2017, kubva psnet.ahrq.gov/primer/root-cause-analysis
Grober, ED, & Bohnen, JM (2005). Kutsanangura kukanganisa kwekurapa. Anogona J Surg , 48 (1), 39-44. www.ncbi.nlm.nih.gov/pubmed/15757035
Kohn, LT, Corrigan, J., Donaldson, MS, & Institute of Medicine (US). Komiti yeKunaka Kwehutano Hwehutano muAmerica. (2000). Kukanganisa munhu : kuvaka hutano hwakachengeteka . National Academy Press. books.nap.edu/books/0309068371/html/index.html
Leape, LL, Brennan, TA, Laird, N., Lawthers, AG, Localio, AR, Barnes, BA, Hebert, L., Newhouse, JP, Weiler, PC, & Hiatt, H. (1991). Chimiro chezviitiko zvakashata muvarwere vari muchipatara. Mibairo yeHarvard Medical Practice Chidzidzo II. N Engl J Med , 324 (6), 377-384. doi.org/10.1056/NEJM199102073240605
Lippincott ® NursingCenter ® . NursingCenter. (2004). www.nursingcenter.com/pdfjournal?AID=531210&an=00152193-200411000-00038&Journal_ID=54016&Issue_ID=531132
Martinez, W., Lehmann, LS, Hu, YY, Desai, SP, & Shapiro, J. (2017). Matanho Ekuona uye Kuongorora Zviitiko Zvakaipa uye Nekupotsa Pedyo paAcademic Medical Center. Jt Comm J Qual Patient Saf , 43 (1), 5-15. doi.org/10.1016/j.jcjq.2016.11.001
Patient Safety Network. (2016). Zviitiko zvakashata, pedyo nekupotsa, uye kukanganisa. Yakadzorerwa Kurume 20, 2017, kubva psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors
Williams, PM (2001). Matekiniki ekuongorora chikonzero chemudzi. Proc (Bayl Univ Med Cent) , 14 (2), 154-157. doi.org/10.1080/08998280.2001.11927753
Disclaimer
by Dr Alex Jimenez Chiropractic , chisingaperi Pain , Kukanganiswa kwakakomba , Kufamba & Kuchinja , Pamuviri Utano , Spine Care , Mishonga , Viscerosomatic Reflex
Vanhu vane Ehlers-Danlos syndrome vanogona kuwana zororo kuburikidza neakasiyana-siyana asiri ekuvhiya marapirwo kuderedza kusagadzikana kwemajoini?
ziviso
Majoini nemarunda akatenderedza musculoskeletal system inobvumira iyo yepamusoro uye yakaderera migumo kudzikamisa muviri uye kufambisa. Iwo akasiyana mhasuru uye akapfava anobatanidza tishu anotenderedza majoini anobatsira kudzivirira kubva mukukuvadzwa. Kana zvakatipoteredza zvinhu kana kusagadzikana kukatanga kukanganisa muviri, vanhu vazhinji vanogadzira nyaya dzinokonzeresa kuwanda kwengozi profiles, izvo zvinozokanganisa kugadzikana kwemajoini. Imwe yezvirwere zvinokanganisa majoini uye inobatana tishu iEDS kana Ehlers-Danlos syndrome. Iyi yekubatanidza tishu kusagadzikana inogona kuita kuti majoini ari mumuviri ave hypermobile. Inogona kukonzera kusagadzikana kwemajoini kumusoro uye pasi, zvichiita kuti munhu agare achirwadziwa. Chinyorwa chanhasi chakanangana neEhlers-Danlos syndrome nezviratidzo zvayo uye kuti kune nzira dzisiri dzekuvhiya dzekugadzirisa chirwere ichi chinosanganisa. Isu tinokurukura nevarapi vane hunyanzvi hwekurapa vanobatanidza ruzivo rwevarwere vedu kuti vaongorore kuti Ehlers-Danlos syndrome inogona kudyidzana sei nemamwe matambudziko emusculoskeletal. Isu tinozivisawo uye kutungamira varwere kuti kurapa kwakasiyana-siyana kusiri kwekuvhiya kunogona kubatsira sei kuderedza marwadzo-sezviratidzo uye kubata Ehlers-Danlos syndrome. Isuwo tinokurudzira varwere vedu kuti vabvunze avo vanobatana navo vezvokurapa mibvunzo yakawanda yakaoma uye yakakosha pamusoro pekubatanidza kurapa kwakasiyana-siyana kusiri kwekuvhiya sechikamu chemaitiro avo ezuva nezuva kubata mhedzisiro yeEhlers-Danlos syndrome. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer .
Chii chinonzi Ehlers-Danlos Syndrome?
Iwe unowanzonzwa wakaneta zvikuru muswere wose wezuva, kunyange pashure pokurara usiku hwose here? Iwe unopwanya nyore uye unoshamisika kuti aya mavanga ari kubva kupi? Kana kuti wakamboona here kuti une huwandu hwakawedzerwa mumajoini ako? Zvizhinji zvezvinhu izvi zvinowanzoenderana nechirwere chinozivikanwa seEhlers-Danlos syndrome kana EDS inokanganisa majoini avo uye majoini. EDS inokanganisa matishu akabatana ari mumuviri. Iwo anobatanidza matishu ari mumuviri anobatsira kupa simba uye elasticity kuganda, majoini, pamwe nemadziro emidziyo yeropa, saka kana munhu ari kubata neEDS, inogona kukonzera kukanganisa kukuru kune musculoskeletal system. EDS inonyanya kuongororwa nekliniki, uye vanachiremba vakawanda vakaona kuti gene coding ye collagen uye mapuroteni anopindirana mumuviri anogona kubatsira kuziva kuti rudzi rweEDS runobata munhu. ( Miklovic naSieg, 2024 )
Zviratidzo
Kana uchinzwisisa EDS, zvakakosha kuti uzive kuomarara kweiyi connective tissue disorder. EDS inoiswa mumhando dzakawanda dzine akasiyana maficha uye matambudziko anosiyana zvichienderana nekuomarara. Imwe yemhando dzakajairika dzeEDS hypermobile Ehlers-Danlos syndrome. Rudzi urwu rweEDS runoratidzwa ne general joint hypermobility, kusagadzikana kwemajoini, uye kurwadziwa. Zvimwe zvezviratidzo zvinosanganiswa ne hypermobile EDS zvinosanganisira subluxation, dislocation, uye kukuvara kwenyama yakapfava izvo zvinowanzoitika uye zvinogona kuitika zvega kana nekushungurudzika kudiki. ( Hakim, 1993 ) Izvi zvinowanzokonzera kurwadziwa kwakanyanya kune majoini ari kumusoro uye pasi. Nehupamhi hwayo hwezviratidzo uye hunhu hwemamiriro acho pachawo, vazhinji havawanzo kuziva kuti hypermobility yakabatana inowanzoitika muhuwandu hwevanhu uye inogona kupa pasina matambudziko anoratidza kuti inobatanidza tishu kusagadzikana. ( Gensemer et al., 2021 ) Uyezve, hypermobile EDS inogona kutungamirira kukuremara kwemusana nekuda kwe hyperextensibility yeganda, majoini, uye fragility yakasiyana-siyana. Iyo pathophysiology yepinal deformity yakabatana ne hypermobile EDS inonyanya kukonzerwa nemhasuru hypotonia uye ligament laxity. ( Uehara et al., 2023 ) Izvi zvinokonzeresa kuti vanhu vazhinji vaderedze hupenyu hwavo uye mabasa ezuva nezuva zvakanyanya. Zvisinei, kune nzira dzekugadzirisa EDS uye zviratidzo zvayo zvinopindirana kuderedza kusagadzikana kwemajoini.
Movement Medicine: Chiropractic Care-Vhidhiyo
VIDEO
Nzira dzekutarisira EDS
Kana zvasvika pakutsvaga nzira dzekugadzirisa EDS kuderedza marwadzo uye kusagadzikana kwemajoini, kurapa kusina kuvhiyiwa kunogona kubatsira kugadzirisa mamiriro emuviri uye emanzwiro emamiriro acho. Kurapa kusiri-kuvhiya kwevanhu vane EDS kunowanzo tarisa pakugadzirisa kushanda kwemuviri uku uchivandudza simba retsandanyama uye kugadzikana kwemajoini. ( Buryk-Iggers et al., 2022 ) Vanhu vazhinji vane EDS vachaedza kubatanidza maitiro ekugadzirisa marwadzo uye kurapa kwepanyama uye shandisa mabhureki nemidziyo yekubatsira kuderedza mhedzisiro yeEDS uye kugadzirisa hupenyu hwavo.
Kurapa Kusina-kuvhiya KweEDS
Kurapa kwakasiyana-siyana kusiri kwekuvhiya senge MET (muscle simba nzira), electrotherapy, light physical therapy, chiropractic care, uye masaja. inogona kubatsira kusimbisa apo toning yakapoteredza tsandanyama kutenderedza majoini, kupa zororo rakakwana rekurwadziwa, uye kudzikisira kutsamira kwenguva refu pamishonga. ( Broida et al., 2021 ) Uyezve, vanhu vanobata neEDS vane chinangwa chekusimbisa tsandanyama dzakakanganisika, kudzikamisa majoini, nekuvandudza kugona. Mishonga isiri-yekuvhiya inobvumira munhu wacho kuti ave nechirongwa chekurapa chakagadzirirwa chekuoma kwezviratidzo zveEDS uye kubatsira kuderedza marwadzo ane chokuita nemamiriro acho ezvinhu. Vanhu vazhinji, pavanenge vachipfuura nehurongwa hwavo hwekurapa zvakateerana kuti vatarise EDS yavo uye kuderedza marwadzo-sezviratidzo, vanozoona kuvandudzwa kwechiratidzo chekusagadzikana. ( Khokhar et al., 2023 ) Izvi zvinoreva kuti kurapa kusina kuvhiyiwa kunobvumira vanhu kuti vanyatsofunga nezvemiviri yavo uye kuderedza marwadzo akafanana nemigumisiro yeEDS, nokudaro vachibvumira vanhu vakawanda vane EDS kuti vararame hupenyu hwakazara, hunofadza pasina kunzwa kurwadziwa uye kusagadzikana.
References
Broida, SE, Sweeney, AP, Gottschalk, MB, & Wagner, ER (2021). Kutungamirirwa kwekusagadzikana kwefudzi mu hypermobility-type Ehlers-Danlos syndrome. JSES Rev Rep Tech , 1 (3), 155-164. doi.org/10.1016/j.xrrt.2021.03.002
Buryk-Iggers, S., Mittal, N., Santa Mina, D., Adams, SC, Englesakis, M., Rachinsky, M., Lopez-Hernandez, L., Hussey, L., McGillis, L., McLean , L., Laflamme, C., Rozenberg, D., & Clarke, H. (2022). Kudzidzira uye Kugadzirisa muvanhu vane Ehlers-Danlos Syndrome: Ongororo Yakarongeka. Arch Rehabil Res Clin Transl , 4 (2), 100189. doi.org/10.1016/j.arrct.2022.100189
Gensemer, C., Burks, R., Kautz, S., Mutongi, DP, Lavallee, M., & Norris, RA (2021). Hypermobile Ehlers-Danlos syndromes: Complex phenotypes, kuongororwa kwakaoma, uye zvikonzero zvisinganzwisisike. Dev Dyn , 250 (3), 318-344. doi.org/10.1002/dvdy.220
Hakim, A. (1993). Hypermobile Ehlers-Danlos Syndrome. MuMP Adam, J. Feldman, GM Mirzaa, RA Pagon, SE Wallace, LJH Bean, KW Gripp, & A. Amemiya (Eds.), GeneReviews((R)) . www.ncbi.nlm.nih.gov/pubmed/20301456
Khokhar, D., Masimba, B., Yamani, M., & Edwards, MA (2023). Mabhenefiti eOsteopathic Manipulative Treatment pane Murwere Ane Ehlers-Danlos Syndrome. Cureus , 15 (5), e38698. doi.org/10.7759/cureus.38698
Miklovic, T., & Sieg, VC (2024). Ehlers-Danlos Syndrome. In StatPearls . www.ncbi.nlm.nih.gov/pubmed/31747221
Uehara, M., Takahashi, J., & Kosho, T. (2023). Spinal Deformity muEhlers-Danlos Syndrome: Tarisa paMusculocontractural Type. Genes (Basel) , 14 (6). doi.org/10.3390/genes14061173
Disclaimer
by Dr Alex Jimenez Chiropractic , chisingaperi Pain , Kufamba & Kuchinja , Pamuviri Utano , Spine Care , Mishonga , Viscerosomatic Reflex
Vanhu vane majoini hypermobility vanogona kuwana zororo kuburikidza nekusavhiya kurapwa mukuderedza marwadzo uye kudzoreredza kufamba kwemuviri?
ziviso
Kana munhu afambisa muviri wake, mhasuru dzakapoteredzwa, majoini, uye tsinga zvinosanganisirwa mumabasa akasiyana-siyana anovabvumira kutambanudza uye kuchinjika pasina kurwadziwa kana kusagadzikana. Kudzokororwa kwakawanda kunoita kuti munhu wacho aenderere mberi nemuitiro wake. Zvisinei, apo majoini, tsandanyama, uye marunda zvakatambanudzwa kure kupfuura zvinojairika mukumusoro nezasi migumo pasina marwadzo, inozivikanwa sejoint hypermobility. Ichi chinosanganisa matishu chirwere chinogona kuenderana nezvimwe zviratidzo zvinobata muviri uye kuita kuti vanhu vazhinji vatsvage kurapwa kuti vatarise majoini hypermobility zviratidzo. Muchinyorwa chanhasi, tichatarisa majoini hypermobility uye kuti dzakasiyana-siyana dzisiri dzekuvhiya kurapwa dzinogona kubatsira kuderedza marwadzo anokonzerwa nekubatana hypermobility uye kudzorera kufamba kwemuviri. Isu tinotaura nevarapi vane hunyanzvi vanosimbisa ruzivo rwevarwere vedu kuti vaone kuti kurwadziwa kwavo kungave kwakabatana sei nekubatana hypermobility. Isu tinozivisawo uye kutungamira varwere kuti kubatanidza kurapa kwakasiyana-siyana kusiri kwekuvhiya kunogona kubatsira sei kuvandudza basa rekubatana uku uchibata zviratidzo zvinosanganisirwa. Tinokurudzira varwere vedu kubvunza avo vanobatana navo vezvokurapa mibvunzo yakaoma uye ine njere pamusoro pekubatanidza kurapa kusiri kwekuvhiya sechikamu chemaitiro avo ekuderedza marwadzo uye kusagadzikana kubva mukubatana hypermobility. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer .
Chii chinonzi Joint Hypermobility?
Unowanzonzwa majoini ako akavharirwa mumaoko ako, mawoko, mabvi, nemagokora here? Unonzwa kurwadziwa uye kuneta mumajoini ako kana muviri wako uchinzwa wakaneta nguva dzose? Kana kuti paunotambanudza mativi ako, anotambanudzira kure kupfuura nguva dzose kuti unzwe kurerukirwa here? Mazhinji eaya akasiyana mamiriro anowanzo kuenderana nevanhu vane majoini hypermobility. Joint hypermobility idambudziko rakagarwa nhaka rine autosomal dominant mapatani anoratidza kubatana hyperlaxity uye musculoskeletal kurwadziwa mukati memigumo yemuviri. ( Carbonell-Bobadilla et al., 2020 ) Iyi inobatanidza matishu mamiriro inowanzoenderana nekuchinjika kweakabatana matissue senge ligaments uye tendon mumuviri. Muenzaniso ungave kana chigunwe chemunhu chichibata ruoko rwavo rwemukati pasina kunzwa kurwadziwa kana kusagadzikana, vane majoini hypermobility. Pamusoro pezvo, vanhu vazhinji vanobata nejoint hypermobility vanowanzova nechirwere chakaoma sezvo vachizokura ganda uye ganda kusasimba nekufamba kwenguva, zvichikonzera matambudziko emusculoskeletal. ( Tofts et al., 2023 )
Kana vanhu vachibata nekubatana hypermobility nekufamba kwenguva, vazhinji vanowanzova nechiratidzo chekubatana hypermobility. Ivo vanozopa ne musculoskeletal uye systemic zviratidzo zvinotungamira mukuratidza skeletal deformities, matishu uye ganda fragility, uye misiyano yezvimiro muhurongwa hwemuviri. ( Nicholson et al., 2022 ) Zvimwe zvezviratidzo zvekuti joint hypermobility inoratidzwa mukuongororwa zvinosanganisira:
Kurwadziwa kwetsandanyama uye kuoma kwemajoini Kudzvanya majoini Kuneta Digestive issues Balance nyaya
Sezvineiwo, kune akasiyana marapirwo anogona kushandiswa nevanhu vazhinji kubatsira kudzoreredza mhasuru dzakatenderedza dzakatenderedza majoini uye kuderedza zviratidzo zvinokonzeresa zvinokonzerwa nekubatana hypermobility.
Movement SeMushonga-Vhidhiyo
VIDEO
Nonsurgical Treatments For Joint Hypermobility
Paunenge uchibata nejoint hypermobility, vanhu vazhinji vanofanirwa kutsvaga marapirwo ekudzikisa marwadzo anowirirana-senge zviratidzo zvejoint hypermobility uye kubatsira kurerutsa migumo yemuviri uchidzoreredza kufamba. Mimwe marapirwo akanakisa epajoint hypermobility kurapa kusiri kwekuvhiya kusingapindike, kupfava pamajoini nemamhasuru, uye kusingadhuri. Kurapa kwakasiyana-siyana kusiri kwekuvhiya kunogona kurongedzerwa kumunhu zvichienderana nekuoma kwekubatana kwavo hypermobility uye comorbidities zvinokanganisa muviri wemunhu. Mishonga isiri-yekuvhiya inogona kusunungura muviri kubva pajojo hypermobility nekurapa zvikonzero zvekurwadziwa kuburikidza nekuderedza uye kuwedzera kugona kwekushanda uye kudzorera hupenyu hwemunhu. ( Atwell et al., 2021 ) Mishonga mitatu isiri yekuvhiya iyo yakanakisa yekudzikisa marwadzo kubva mukubatana hypermobility uye kubatsira kusimbisa mhasuru dzakatenderedza dziri pazasi.
Chiropractic Care
Chiropractic kuchengetedza inoshandisa spinal manipulation uye inobatsira kudzoreredza kufamba kwakabatana mumuviri kuderedza mhedzisiro yekubatana hypermobility nekudzikamisa majoini akabatwa kubva kune hypermobile extremities. ( Boudreau et al., 2020 ) Chiropractors inosanganisira mechanical uye manual manipulation uye maitiro akasiyana-siyana ekubatsira vanhu vakawanda kuvandudza mararamiro avo nekunyanya kufunga nezvemiviri yavo uye kushanda nemamwe marapirwo akawanda kusimbisa kufamba kunodzorwa. Nezvimwe zvirwere zvinosanganiswa nekubatana kwe hypermobility, sekurwadziwa kwemusana nemutsipa, chiropractic kuchengetedza inogona kuderedza zviratidzo izvi uye inobvumira munhu kuti awanezve hupenyu hwake.
Acupuncture
Kumwe kurapwa kusiri kwekuvhiya uko vanhu vazhinji vanogona kubatanidza kuderedza majoini hypermobility uye comorbidities ayo ndeye acupuncture. Acupuncture inoshandisa tsono diki, dzakatetepa, dzakasimba dzinoshandiswa nemaacupuncturists kuvharira marwadzo uye kudzoreredza kuyerera kwesimba remuviri. Kana vanhu vazhinji vari kubata nekubatana hypermobility, migumo yavo mumakumbo, maoko, uye tsoka dziri kurwadziwa nekufamba kwenguva, izvo zvinogona kukonzera kuti muviri ugadzikane. Chii chinoita acupuncture inobatsira kuderedza marwadzo anokonzerwa nekubatana hypermobility yakabatana nemigumo uye kudzorera kuenzanisa nekushanda kumuviri ( Luan et al., 2023 ) Izvi zvinoreva kuti kana munhu ari kubata nekuoma uye kurwadziwa kwetsandanyama kubva kujoint hypermobility, acupuncture inogona kubatsira kudzoreredza marwadzo nekuisa tsono mumaacupoints emuviri kuti ipe zororo.
Therapy Therapy
Physical therapy ndiyo yekupedzisira isiri-kuvhiya kurapwa vanhu vazhinji vanogona kubatanidza mumaitiro avo ezuva nezuva. Kurapa kwepanyama kunogona kubatsira kubata hypermobility yakabatana iyo yakagadzirirwa kubatsira kusimbisa mhasuru dzisina simba dzakatenderedza majoini akakanganisika, kuvandudza kugadzikana kwemunhu uye kubatsira kuderedza njodzi yekuparara. Pamusoro pezvo, vanhu vazhinji vanogona kushandisa yakaderera-inokanganisa maekisesaizi kuti vave nechokwadi chekudzora mota kana uchiita maekisesaizi enguva dzose pasina kuisa kuomesera kwakanyanyisa pamajoini. ( Russell et al., 2022 )
Nekubatanidza aya matatu ekurapa asiri ekuvhiya sechikamu cheakarongedzerwa kurapwa kwemajoini hypermobility, vanhu vazhinji vanozotanga kunzwa mutsauko pachiyero chavo. Havazonzwa kurwadziwa kwemajoini nekunyanya kurangarira muviri uye nekubatanidza shanduko diki mumaitiro avo. Kunyangwe kugara nekubatana kwe hypermobility kunogona kuve dambudziko kune vanhu vazhinji, nekubatanidza uye nekushandisa musanganiswa wakakodzera weasina-kuvhiya marapirwo, vazhinji vanogona kutanga kurarama hupenyu hunoshanda uye hunogutsa.
References
Atwell, K., Michael, W., Dubey, J., James, S., Martonffy, A., Anderson, S., Rudin, N., & Schrager, S. (2021). Kuongororwa uye Kutungamira kweHypermobility Spectrum Disorders muPrimary Care. J Ndiri Bhodhi Fam Med , 34 (4), 838-848. doi.org/10.3122/jabfm.2021.04.200374
Boudreau, PA, Steiman, I., & Mior, S. (2020). Clinical manejimendi yebenign joint hypermobility syndrome: nyaya inoteedzana. J Can Chiropr Assoc , 64 (1), 43-54. www.ncbi.nlm.nih.gov/pubmed/32476667
www.ncbi.nlm.nih.gov/pmc/articles/PMC7250515/pdf/jcca-64-43.pdf
Carbonell-Bobadilla, N., Rodriguez-Alvarez, AA, Rojas-Garcia, G., Barragan-Garfias, JA, Orrantia-Vertiz, M., & Rodriguez-Romo, R. (2020). [Joint hypermobility syndrome]. Acta Ortop Mex , 34 (6), 441-449. www.ncbi.nlm.nih.gov/pubmed/34020527 (Sindrome de hipermovilidad articular.)
Luan, L., Zhu, M., Adams, R., Witchalls, J., Pranata, A., & Han, J. (2023). Mhedzisiro yeacupuncture kana yakafanana needling therapy pakurwadziwa, proprioception, kuenzanisa, uye kuzvishuvira basa kune vanhu vane chisingaperi chikwama kusagadzikana: Kuongororwa kwakarongeka uye meta-analysis. Mubatsiri Ther Med , 77 , 102983. doi.org/10.1016/j.ctim.2023.102983
Nicholson, LL, Simmonds, J., Pacey, V., De Wandele, I., Rombaut, L., Williams, CM, & Chan, C. (2022). Maonero epasi rose pane Joint Hypermobility: A Synthesis Yezvino Sayenzi Kutungamira Clinical uye Tsvagiridzo Mazano. J Clin Rheumatol , 28 (6), 314-320. doi.org/10.1097/RHU.0000000000001864
Russek, LN, Block, NP, Byrne, E., Chalela, S., Chan, C., Comerford, M., Frost, N., Hennessey, S., McCarthy, A., Nicholson, LL, Parry, J ., Simmonds, J., Stott, PJ, Thomas, L., Treleaven, J., Wagner, W., & Hakim, A. (2022). Mharidzo uye kurapa kwepanyama kutungamira kwepamusoro cervical kusagadzikana kune varwere vane symptomatic generalized joint hypermobility: International nyanzvi kubvumirana mazano. Mberi Med (Lausanne) , 9 , 1072764. doi.org/10.3389/fmed.2022.1072764
Tofts, LJ, Simmonds, J., Schwartz, SB, Richheimer, RM, O'Connor, C., Elias, E., Engelbert, R., Cleary, K., Tinkle, BT, Kline, AD, Hakim, AJ , van Rossum, MAJ, & Pacey, V. (2023). Pediatric joint hypermobility: a diagnostic framework uye nhoroondo yekuongorora. Orphanet J Rare Dis , 18 (1), 104. doi.org/10.1186/s13023-023-02717-2
Disclaimer
by Dr Alex Jimenez Chiropractic , chisingaperi Pain , Herniated Disc , Spinal Decompression Treatments , Spine Care , Mishonga , Viscerosomatic Reflex
Ko vanhu vane herniated disc vanogona kuwana zororo ravari kutsvaga kubva mukurapa traction kana decompression kupa zororo rekurwadziwa?
ziviso
Muzongoza unobvumira munhu kuti afambe uye achinjike asinganzwi kurwadziwa uye kusagadzikana kana munhu ari kufamba. Izvi zvinodaro nekuti musana chikamu chemusculoskeletal system inosanganisira tsandanyama, tendon, ligaments, musana, uye spinal discs. Izvi zvikamu zvakakomberedza musana uye zvine matunhu matatu kuti abvumire kumusoro uye kuzasi migumo kuita mabasa avo. Zvisinei, musana unochemberawo apo muviri unotanga kuchembera zvawo. Kufamba kwakawanda kana zviito zvenguva dzose zvinogona kuita kuti muviri uome uye, nekufamba kwenguva, zvinogona kuita kuti spinal disc iite herniate. Kana izvi zvikaitika, herniated disc inogona kutungamirira kumarwadzo uye kusagadzikana mumigumo, zvichiita kuti vanhu vabatane nekuderedzwa kwehupenyu uye kurwadziwa munzvimbo nhatu dzepelinha. Sezvineiwo, kune akawanda marapirwo, senge traction therapy uye decompression, kuderedza marwadzo uye kusagadzikana kunobatanidza ne herniated discs. Nyaya yanhasi inotarisa kuti sei herniated discs inokonzera nyaya mumusana uye migumisiro yekuti marapirwo maviri aya angabatsira sei kuderedza herniated discs. Isu tinotaura nevarapi vane hunyanzvi vanosimbisa ruzivo rwevarwere vedu kuti vaone kuti herniated disc mumusana ingave iri nyaya inokonzera kurwadziwa kwetsandanyama. Isu tinozivisawo uye kutungamira varwere nezvekuti kubatanidza spinal decompression uye traction therapy inogona kubatsira kugadzirisa musana uye kuderedza disc herniation iri kukonzera musana. Tinokurudzira varwere vedu kuti vabvunze avo vanobatana navo vezvokurapa mibvunzo yakaoma uye yakakosha pamusoro pekubatanidza kurapa kusiri kwekuvhiya sechikamu chemaitiro avo kuderedza marwadzo uye kusagadzikana mumiviri yavo. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer .
Sei Herniated Discs Inokonzera Matambudziko Mumusana?
Wanga uchingogara uchinzwa kusagadzikana mumutsipa wako kana kumashure izvo zvisingakubvumire kuti uzorore? Iwe unonzwa kurira kwekunzwa kumusoro uye kuzasi migumo, kuita kubata zvinhu kana kufamba kwakaoma? Kana kuti wakaona here kuti uri kuzembera padhesiki rako kana kuti wakamira uye kuti kutambanudza kunokonzera marwadzo? Sezvo musana uchichengeta muviri wakatwasuka, zvikamu zvawo zvikuru zvinosanganisira vertebrae inofambiswa, nerve root fibers, uye spinal discs kubatsira kutumira masaini neuron kuuropi kubvumira kufamba, kuvharira masimba anokatyamadza pamuzongoza, uye kuve anochinjika. Iyo musana inobvumira munhu kuita mabasa akasiyana-siyana pasina kurwadziwa uye kusagadzikana kuburikidza nekudzokorora mafambiro. Zvisinei, kana muviri uchinge wakwegura, zvinogona kutungamirira kukuchinja kwehutano mumusana, zvichiita kuti spinal disc iite herniate nekufamba kwenguva. A herniated disc inowanzoitika inokanganisa musculoskeletal mamiriro ayo anoita kuti nucleus pulposus iparadze chero nharaunda isina simba yeannulus fibrosus uye kudzvinyirira midzi yetsinga yakatenderedza. ( Ge et al., 2019 Dzimwe nguva, kana kudzokorora kunotanga kukonzeresa dhisiki yeherniated, chikamu chemukati che disc chinogona kuve chakashongedzwa uye brittle. Kusiyana neizvi, chikamu chekunze chinowedzera fibrotic uye zvishoma elastic, zvichiita kuti diski iwedzere uye ive yakamanikana. A herniated disc inogona kukanganisa vechidiki nevakuru vevanhu sezvo vachigona kuva nemupiro wezvakawanda unokonzera proinflammatory shanduko kumuviri. ( Wu et al., 2020 )
Apo vanhu vazhinji vari kutarisana nekurwadziwa kunobatanidza ne disc herniated, diski pachayo inopinda kuburikidza nekuchinja kwe morphological kuburikidza nekufananidzwa kwe disc kuva chikamu chekukuvara, iyo inoteverwa nekutamiswa uye kuvharwa kwechikamu chemukati disc mu vertebral canal kuti compress. musana wetsinga midzi. ( Diaconu et al., 2021 ) Izvi zvinokonzeresa zviratidzo zvemarwadzo, chiveve, uye kupera simba munzvimbo dzepamusoro nedzezasi dzemuviri kuburikidza nekupinza tsinga. Saka nei, vanhu vazhinji vari kubata nezviratidzo zvinorwadza kubva mumaoko nemakumbo avo ari kupenya marwadzo. Kana kudzvinyirirwa kwetsinga kunobatanidza ne-herniated discs kunotanga kukonzera marwadzo uye kusagadzikana, vanhu vazhinji vanotanga kutsvaga kurapwa kuti vaderedze marwadzo ayo herniated disc ari kukonzera kupa zororo kumitumbi yavo.
Spinal Decompression In Depth-Vhidhiyo
VIDEO
Migumisiro YeTraction Therapy Mukuderedza Herniated Disc
Vanhu vazhinji vari kutambura nekurwadziwa kuri kukanganiswa ne herniated discs mumusana wavo vanogona kutsvaga marapirwo senge traction therapy kuderedza marwadzo. Traction therapy kurapwa kusiri kwekuvhiya kunotambanudza uye kuunganidza musana. Traction therapy inogona kuitwa nemuchina kana nemaoko nenyanzvi yemarwadzo kana nerubatsiro rwemichina michina. Mhedzisiro ye traction therapy inogona kuderedza simba rekumanikidza pa spinal disc apo ichideredza nerve root compression nekuwedzera disc kureba mukati memusana. ( Wang et al., 2022 ) Izvi zvinobvumira majoini akapoteredza mukati memuzongoza kuti ave mobile uye anokanganisa zvakanaka musana. Ne traction therapy, inopindirana kana yakatsiga tension masimba anobatsira kutambanudza musana, kuderedza marwadzo, nekuvandudza mashandiro anoita. ( Kuligowski et al., 2021 )
Migumisiro Yekuora Kwemusana Mukuderedza Herniated Disc
Imwe nzira yekurapa isiri-yekuvhiya ndeye spinal decompression, yakaomesesa vhezheni yekudhonza iyo inoshandisa tekinoroji yekombuta kuti ibatsire kushandisa inodzorwa, zvinyoro zvinodhonza masimba kumusana. Spinal decompression inoita ndeyokuti inogona kubatsira kuderedza mutsara wepelinha uye kubatsira kudhonza herniated disc kudzokera kunzvimbo yayo yepakutanga apo ichidzikamisa musana uye kuchengetedza mapfupa anokosha uye zvinyoro zvinyoro zvakachengeteka. ( Zhang et al., 2022 ) Uyezve, kupera kwepelinha kunogona kugadzira kudzvinyirira kwakashata pamusana wekubvumira kuyerera kwemvura inovaka muviri uye ropa reokisijeni kudzokera kumadhisiki paunenge uchigadzira hukama hunopesana apo kushushikana kwehutano kunotangwa. ( Ramos naMartin, 1994 ) Zvose zvinokonzerwa nemusana uye traction therapy zvinogona kupa nzira dzakawanda dzokurapa kuti dzipe zororo kune vanhu vakawanda vanobata herniated discs. Zvichienderana nekuoma kwakaita herniated disc yakakonzera nyaya kumusana wemunhu, vazhinji vanogona kuvimba nemishonga isiri-yekuvhiya nekuda kweurongwa hwayo hunogadziriswa hunoenderana nekurwadziwa kwemunhu uye hunogona kusanganiswa nemamwe marapirwo ekusimbisa tsandanyama dzakapoteredza. Nekuita izvi, vanhu vazhinji vanogona kunge vasina kurwadziwa nekufamba kwenguva vachifunga nezvemiviri yavo.
References
Diaconu, GS, Mihalache, CG, Popescu, G., Man, GM, Rusu, RG, Toader, C., Ciucurel, C., Stocheci, CM, Mitroi, G., & Georgescu, LI (2021). Clinical uye pathological kufunga mu lumbar herniated disc inobatanidza nekuputika kwezvironda. Rom J Morphol Embryol , 62 (4), 951-960. doi.org/10.47162/RJME.62.4.07
Ge, CY, Hao, DJ, Yan, L., Shan, LQ, Zhao, QP, He, BR, & Hui, H. (2019). Intradural Lumbar Disc Herniation: Nyaya Yenyaya uye Mabhuku Ongororo. Clin Interv Kuchembera , 14 , 2295-2299. doi.org/10.2147/CIA.S228717
Kuligowski, T., Skrzek, A., & Cieslik, B. (2021). Manual Therapy muCervical uye Lumbar Radiculopathy: Ongororo Yakarongeka yeMabhuku. Int J Maererano neHurumende yeHurumende , 18 (11). doi.org/10.3390/ijerph18116176
Ramos, G., & Martin, W. (1994). Migumisiro ye vertebral axial decompression pane intradiscal pressure. J Neurosurg , 81 (3), 350-353. doi.org/10.3171/jns.1994.81.3.0350
Wang, W., Long, F., Wu, X., Li, S., & Lin, J. (2022). Clinical Efficacy yeMechanical Traction sePhysical Therapy yeLumbar Disc Herniation: Meta-Analysis. Comput Math Nzira Med , 2022 , 5670303. doi.org/10.1155/2022/5670303
Wu, PH, Kim, HS, & Jang, IT (2020). Intervertebral Disc Diseases CHIKAMU 2: Ongororo Yezvino Yekuongorora uye Kurapa Matanho eIntervertebral Disc Disease. Int J Mol Sci , 21 (6). doi.org/10.3390/ijms21062135
Zhang, Y., Wei, FL, Liu, ZX, Zhou, CP, Du, MR, Quan, J., & Wang, YP (2022). Kuenzanisa kwemashure ekudzikisa maitiro uye yakajairika laminectomy ye lumbar spinal stenosis. Front Surg , 9 , 997973. doi.org/10.3389/fsurg.2022.997973
Disclaimer
