Kungoerekana Kungoerekana Kungoitika
Back Clinic Auto Accident Injuries Chiropractic Physical Therapy Team. Njodzi dzemotokari ndechimwe chezvikonzero zvinokonzera kukuvara. Vanopfuura 30,000 vakauraya uye imwe 1.6 miriyoni yaisanganisira kumwe kukuvadzwa. Kukuvadza kwavanoita kunogona kuva kwakakura. Mutengo woupfumi wetsaona dzemotokari unofungidzirwa kuva madhora mabhiriyoni 277 gore rimwe nerimwe kana kuti inenge US$897 nokuda kwomunhu ari wose anogara muUnited States.
Tsaona dzemotokari dzakawanda dzinoitika pasi rose gore negore, dzichikanganisa vanhu pfungwa nemuviri. Kubva pamutsipa uye kurwadziwa shure kusvika pakuputsika kwemapfupa, kukuvara kwemotokari kunogona kupikisa hupenyu hwezuva nezuva hweavo vanobatwa. Tsaona dzemotokari dzinoitika pasi rose gore rega rega, dzichikanganisa vanhu vakawanda, mumuviri nepfungwa.
Kubva pamarwadzo emutsipa uye kumashure kusvika pakuputsika kwemapfupa uye whiplash, kukuvara kwemotokari yemotokari uye zviratidzo zvavo zvinosanganiswa zvinogona kupikisa hupenyu hwezuva nezuva hweavo vakawana mamiriro ezvinhu asingatarisirwi. Dr. Alex Jimenez's collection of articles inotaura nezvekukuvara kwemotokari kunokonzerwa nekushungurudzika, kusanganisira izvo zviratidzo zvakananga zvinokanganisa muviri uye mamwe maitiro ekurapa anowanikwa kune imwe neimwe yekukuvara kana mamiriro anokonzerwa nenjodzi yemotokari.
Kuve wakabatanidzwa mutsaona yemotokari haigoni kutungamirira kukukuvadzwa chete asi inogona kunge yakazara nekuvhiringidzika uye kuvhiringidzika. Izvo zvakakosha kuve nemupi ane hunyanzvi anoshanda muzvinhu izvi anonyatso ongorora mamiriro akatenderedza chero kukuvara. Kuti uwane rumwe ruzivo, ndapota inzwa wakasununguka kuti utaure nesu pa (915) 850-0900 kana mameseji kufonera Dr. Jimenez pachezvangu pa (915) 540-8444.
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP Kugadzirira Therap , Adrenal Fatigue (AF) , Alzheimer's , Anti Aging , vatambi , Kungoerekana Kungoerekana Kungoitika , Kudzorera Pain , Basal Metabolic Index (BMI) , Car Accident Specialist , Chiropractic Examination , Kukanganiswa kwakakomba , kusuruvara , Detoxification , Epigenetic's , Fibromyalgia , Fibromyalgia , kugwinya , Functional Medicine , Healthcare Providers , Hip Pain & Dambudziko , Human Physiology , Neuropathy , Kukuvara Kwevanhu , Sciatica , Dambudziko Rekurwa Kwakawanda , Mishonga , Wellness , Whiplash
Dr. Alex Jimenez: Pioneering Integrative Care seChiropractor uye Nurse Practitioner
Dr. Alex Jimenez, chiropractor ane rezinesi uye bhodhi-yakasimbiswa mukoti chiremba ari muEl Paso, Texas, anounza makore anopfuura 25 ehunyanzvi kune yake Injury Medical & Chiropractic Clinic practice. Rezinesi rake rembiri rinopa yakasarudzika ruzivo mune etiologies, pathogenesis, uye kurapwa kweakaomesesa mamiriro ekiriniki, zvichimugonesa kuendesa yakatarisana nemurwere, yekubatanidza kuchengetedza iyo mabhiriji mushonga wepanyama, mushonga unoshanda, uye yepamberi diagnostics. Kubatanidza ruzivo rwechiropractic nemukoti-anotungamirirwa nehutungamiri hwezvokurapa, Dr. Jimenez anopa mazano ekurapa akazara anoenderana neacute uye asingagumi mamiriro ezvinhu, kukurudzira kusimba kwemasabolism, hupenyu hurefu, uye hutano hwemunhu wose.
Huviri Unyanzvi: Chiropractic uye Mukoti Practitioner Mabasa
Dr. Jimenez's practice inomira pamusana pekukwanisa kwake kubatanidza biomechanical focus yechiropractic kuchengetedza nemukoti chiremba wekuongorora uye kurapa. Sechiropractor, anonyanya kudzorera basa remusculoskeletal, kunyanya mushure mekushungurudzika, mutsipa, musana, musana, uye kukuvara kwenyama. Kupindira kwake kwechiropractic kunosimbisa nzira dzisingabatsiri, dzakadai sekuderera kwemusana, kugadziriswa kwebhuku, nekugadzirisa kushanda, kuderedza marwadzo uye kuwedzera kufamba.
Sezvo ari bhodhi-yakasimbiswa mukoti chiremba, Dr. Jimenez anoshandisa uchapupu-based medicine kugadzirisa systemic uye metabolic dysfunctions. Unyanzvi hwake hunosvika pakugadzirisa zvisingaperi kusagadzikana kusagadzikana, kusaenzana kwehomoni, kurasikirwa nehuremu, hutano hwepabonde, uye kurwadziwa syndromes. Maonero maviri aya anomutendera kuti aone zvikonzero zvechirwere, kubva pakusawirirana kwebiomechanical kuenda kukusaenzana kwemuviri, uye kuronga marapirwo ekurapa anogadzirisa zviratidzo uye zvikonzero.
Kubatana kwemabasa aya kunoita kuti Dr. Jimenez ape nzira yakakwana iyo inonyanya kushanda mumamiriro ezvinhu akaoma akadai sciatica, fibromyalgia, disc herniation, spondylolisthesis, uye kusingaperi kwemutsipa kana kurwadziwa shure. Zvirongwa zvake zvinosanganisa zvinosanganisa kuongororwa kwemishonga, kupindira kwemararamiro, uye kuongororwa kwepamusoro kuti uwane homeostasis uye physiological balance.
Kurapa Protocols: Uchapupu-hwakavakirwa uye Murwere-Pakati
Kutora kubva mukubatanidza maprotocol akatsanangurwa pawebhusaiti yake, www.chiromed.com , Dr. Jimenez anoshandisa nzira yakasiyana-siyana yekutarisira varwere. Zvirongwa zvake zvekurapa zvakadzika muhumbowo-mushonga, mushonga unoshanda, uye mararamiro ehutano hwakanaka, akagadzirirwa kune yakasarudzika mamiriro ehutano emurwere, mararamiro, uye nhoroondo yekurapa. Pazasi pane zvakakosha zvikamu zveyekubatanidza yake yekuchengeta modhi:
1. Chiropractic Care uye Functional Rehabilitation
Kugadzikana kwepamuviri : Non-surgical decompression therapy inoshandiswa kugadzirisa kudzvinyirira pamakumbo emusana, kugadzirisa mamiriro akaita se disc herniation, sciatica, uye spinal stenosis. Iyi modhi inosimudzira kuporesa nekuvandudza kuyerera kweropa uye kuendesa zvinovaka muviri kunzvimbo dzakakanganisika.Manual Adjustments : Kugadziriswa kwakanangwa kunogadzirisa musana, kuderedza kudzvanywa kwetsinga, uye kudzoreredza kufamba kwemajoini. Izvi zvinonyanya kushanda kune whiplash, scoliosis, uye maitiro asina kunaka.Functional Strength Training : Dr. Jimenez anogadzira zvirongwa zvekugadzirisa kugadzirisa kupora uye kudzivirira kukuvara zvakare. Zvirongwa izvi zvakagadzirirwa vatambi uye vanhu vari kutsvaga kuita kwakaringana uye zvinosanganisira kufamba, kuchinjika, uye agility kudzidziswa.
2. Functional Medicine Assessments
Mushonga unoshanda zvishandiso zvinoongorora metabolic, hormonal, uye hutano mamiriro. Kuongorora uku kunoratidza zvikonzero zvemamiriro ezvinhu akadai sekuneta, kuwedzera uremu, kana kurwadziwa kusingaperi, zvichiita kuti kupindira kwakanyatsojeka.Yepamberi yekuongorora mapuroteni, kusanganisira mapaneru eropa uye kufungidzira, inopa data-inofambiswa ruzivo mune etiologies uye pathogenesis. Izvi zvinobvumira Dr. Jimenez kuti agadzirise kukanganisa kwepasi pane kungovhara zviratidzo.
3. Mararamiro uye Kupindira Kwezvokudya
Kurasikirwa Kwehuremu uye Metabolic Resilience : Dr. Jimenez anobatanidza mazano ekupa mazano ekudya uye kugadzirisa kushandiswa kwemagetsi kuti atsigire kuderedza uremu uye kudzivirira zvirwere zvisingaperi seshuga kana chirwere chemwoyo.Hormone uye Utano Hwepabonde : Marejisheni akasarudzika anogadzirisa kusaenzana kwehomoni uye kusagadzikana kwepabonde, kuvandudza hupenyu uye hutano hwese.Pain Management : Kugadziriswa kwezvokudya uye mararamiro ehupenyu kunobatsirana nemishonga yepanyama kugadzirisa zvirwere zvisingaperi zvinorwadza, kuderedza kuvimba nemishonga.
4. Specialized Care for Complex Conditions
Sciatica uye Disc Kukuvara : Dr. Jimenez anoshandisa zvakanangwa decompression uye rehabilitation protocols kuderedza tsinga uye kudzorera basa.Chisingaperi Degenerative Disorders : Mamiriro ezvinhu akafanana nefibromyalgia, arthritis, uye spondylolisthesis inotungamirirwa kuburikidza nehurongwa hwekubatanidza hunobatanidza kurapa kwepanyama, rubatsiro rwekudya, uye kugadzirisa metabolic.Mitambo uye Auto Accident Kukuvara : Tailored rehabilitation programs inobata kukuvara kwenyama yakapfava, kukuvara kwepfudzi, uye whiplash, kuve nechokwadi chekupora nekukurumidza uye kusimba kwenguva refu.
5. Advanced Wellness Programs
Dr. Jimenez's kiriniki inopa zvirongwa zvehutano hwakakwana pamusoro pehupenyu hurefu, kutarisira ganda, uye kurasikirwa kwebvudzi. Zvirongwa izvi zvinosanganisa kudya kunovaka muviri, mararamiro ekudzidzisa, uye ekucheka-kumucheto marapiro kusimudzira simba uye aesthetic hutano.
Mapurogiramu epamusoro-soro ekugadzirisa maitiro anokwidziridza kushanda kwevatambi, kubatanidza kushanda kwesimba rekudzidzira uye kupindira-kwakatarisa kupindira.
Chikwata Chekubatanidza uye Kliniki Yakakosha
Injury Medical & Chiropractic Clinic ndiyo huru yeEl Paso yekufamba, kushanduka, uye agility centre, kubatanidza chiropractors, vanamukoti varapi, vanamukoti vakanyoreswa, vadzidzisi vezvokudya, uye vadzidzisi vekuita muviri. Boka rekiriniki rinoita mabasa akasiyana-siyana rinoshanda pamwe chete kuti ripe rubatsiro rwemunhu, zvichiita kuti varwere vawane mhedzisiro yehutano inoyerwa. Masevhisi akakosha anosanganisira:
Acupuncture : A Complementary therapy kuderedza marwadzo uye kukurudzira kuzorora.Advanced Nutritional Programs : Humbowo-hwakavakirwa zvirongwa zvekudya kutsigira hutano hwemetabolism uye kupora.Kudzidzira Kuita Kwenyama : Zvirongwa zvekusimudzira kusimba, kudzivirira kukuvara, uye optimize kuita kwemitambo.
Kiriniki inogamuchira mainishuwarenzi makuru, anosanganisira Aetna, Blue Cross Blue Shield, Cigna, uye Yekutanga Hutano, ichiita kuti chengetedzo iwanikwe kune yakakura murwere base.
Insights kubva kune Dual Licensure
Dr. Jimenez's rezinesi sezvose chiropractor uye mukoti mushandi anomupa kunzwisisa kwakazara kwemaitiro echirwere uye nzira dzekurapa. Kudzidzira kwake chiropractic kunomushongedza kugadzirisa biomechanical dysfunctions, nepo mukoti wake nyanzvi yehunyanzvi inomubvumira kubata systemic mamiriro ane lens yekurapa. Aya maonero maviri anowedzera kugona kwake ku:
Kujekesa Etiologies : Nokubatanidza musculoskeletal assessments ne metabolic uye hormonal evaluations, Dr. Jimenez anotsanangura zvikonzero zvakasiyana-siyana zvemamiriro ezvinhu, kuvimbisa kupindira kwakananga.Nzwisisa Pathogenesis : Ruzivo rwake rwekufambira mberi kwechirwere runozivisa zvirongwa zvekurapa zvinomisa kana kudzosera kumashure maitiro ekuderera.Dhizaina Yakakodzera Regimens : Kubatanidza mishonga yepanyama, yezvokudya, uye yezvokurapa, Dr. Jimenez anogadzira zvirongwa zvehutano zvekubatana zvinogadzirisa zviratidzo zvose uye kukanganiswa kwepasi.
Iyi nzira yekubatanidza inonyanya kukosha kune varwere vane zvirwere zvisingaperi kana zvakasiyana-siyana, sezvo inotarisa kuwirirana pakati pemuviri, metabolic, uye mararamiro ehupenyu.
Murwere-Pakati Kuchengeta: Mu-Munhu uye Online
Chiitiko chaDr. Jimenez chinosimbisa kutarisisa kwemunhu, kunyangwe varwere vanoshanya mumunhu pa11860 Vista Del Sol, Suite 128, El Paso, TX 79936, kana kuita kuburikidza nefoni. Mushonga wake unoshanda, unowanikwa kuburikidza www.dralexjimenez.com , inodzidzisa varwere pamitemo yehutano hwakakwana, inovhara misoro kubva kuhutano hwemusana kusvika kune metabolic optimization. Iyo webhusaiti ine:
Zvinodzidzisa Zvemukati : Zvinyorwa zveBlog, zvinyorwa, uye mavhidhiyo zvinopa ruzivo rwechiropractic kuchengetedza, mushonga unoshanda, uye kugadzirisa kukuvara.Patient Uchapupu : Nhau dzakabudirira dzinoratidza kushanduka kwekutarisira kwaDkt Jimenez, kuratidza migumisiro yemamiriro ezvinhu akaita se sciatica, kukuvara kwemitambo, uye kurwadziwa kusingaperi.Appointment Booking : A mushandisi-ane hushamwari interface inobvumira varwere kuronga mu-munhu kana online kubvunzana, negwara rakajeka pane zvavanofanira kutarisira pakushanya kwavo kwekutanga.
Kuzvipira kune Dzidzo uye Hutano Hwenharaunda
Dr. Jimenez akazvipira kupa varwere simba kuburikidza nedzidzo. Webhusaiti yake yakazara, ichipa humbowo-hwakavakirwa ruzivo nezvehutano mamiriro, nzira dzekurapa, uye hutano maitiro. Nekukurudzira ruzivo rwehutano, Dr. Jimenez anoita kuti varwere vaite zvisarudzo zvine ruzivo uye vatarisire kugara kwavo zvakanaka.
Kuzvipira kwake kunosvika kunharaunda yeEl Paso, kwaanovavarira kuwedzera ruzivo rwekutarisirwa kwekubatanidza. Dr. Jimenez vanokurudzira hutano hwehutano hwakanaka uye kuchengetedza kwekudzivirira kuburikidza nemasangano, zvinyorwa zvepaIndaneti, uye nharaunda.
mhedziso
Dr. Alex Jimenez unyanzvi huviri sechiropractor uye mukoti chiremba anomugadza semutungamiri mumishonga inobatanidza. Kugona kwake bhiriji mushonga wemuviri nesystemic hutano manejimendi inomubvumira kugadzirisa nyaya dzakaoma dzekiriniki nemazvo uye tsitsi. Dr. Jimenez anopa kutarisirwa kwemunhu kunokurudzira kuporesa, kusimba, uye hupenyu hurefu kuburikidza nekushandisa uchapupu-based protocols, kuongororwa kwepamusoro, uye mararamiro ehupenyu.
Kuti uwane rumwe ruzivo kana kuronga nguva yekuonana, shanya www.dralexjimenez.com kana kubata kiriniki pa +1-915-412-6677.
Email mibvunzo inogona kutumirwa kune qeqeshi@elpasofunctionalmedicine.com .
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP Kungoerekana Kungoerekana Kungoitika , Kukuvara Kwevanhu , Basa Rakafanana Kukuvara
Kudzidza nezve zviratidzo zvekutyoka uye kugadzirisa zvinogona kubatsira vanhu vamwe nevarapi vehutano kugadzira kurapa kunoshanda uye zvirongwa zvekuvandudza?
Comminuted Fractures
A comminuted fracture ndiko kutyora kwakanyanya uko bhonzo rinotsemuka kuita zvidimbu zvitatu. Kutyoka kwakapetwa kunowanzoitika mumapfupa marefu seaya ari mumaoko nemakumbo. Asi zvinogonawo kuitika kune dzimwe nzvimbo, kusanganisira mbabvu. (Corinne Tarantino, 2022 ) Zvinowanzokonzereswa nekukanganisa kwakanyanya, sekurovera kwemotokari / tsaona kana kudonha kwakanyanya. Zvichienderana nenzvimbo yekutyoka, kupora kubva pakutyoka kwakapetwa kunogona kutora mwedzi uye kazhinji kunosanganisira:
Kuvhiya - Chiremba anovhiya anoisa screws netsvimbo kuti abate zvidimbu zvebhonzo pachinzvimbo. Dzimwe nguva, iyo Hardware inosiiwa mukati zvachose. (American Academy yeOrthopedic Surgeons, 2021 )
Kupfeka cast kwemwedzi yakati wandei.
Kurapa kwepanyama.
Types
Mumhando idzi dzekuputsika, pfupa rakaputsika zvachose, kwete kungoputika. Kuzorora ndiko kutsemuka kwakanyanya kana pfupa rikatyoka kuita zvidimbu zvina kana kupfuura. (Corinne Tarantino, 2022 )
zviratidzo
Zviratidzo zvakafanana nezvemamwe mapfupa akatyoka, asi anogona kunge akanyanya kusimba nekuti pfupa rakatyoka munzvimbo dzakawanda, izvo zvinoreva kuti panogona kuve nekukuvadzwa kwematishu akapfava kupfuura kungoputsika kuri nyore. Zviratidzo zvekutyoka kwebhonzo zvinosanganisira: (MedlinePlus, 2024 )
Kuramba kurwadza
Kuzvimba
Kudzora
Deformity - bhonzo rinotarisa kunze kwenzvimbo kana kuti pane imwe nzira isinganzwisisike.
Tingling
Numbness
Kunetsa kufambisa nhengo.
Zvinokonzera
Simba rakasimba rinokonzera kuputsika kwakagadzikana, kazhinji njodzi yemotokari kana kudonha kwakaoma, asi inogonawo kuguma nekukuvara kwemitambo. (Corinne Tarantino, 2022 )
kuongorora chirwere
Kutyoka kwakapetwa kunoonekwa neX-ray, inoratidza pakatyoka bhonzo uye kuti zvidimbu zvingani zvarakatsemuka kuita (MedlinePlus, 2024 ) Vatariri vehutano vanoongorora chero mapfupa akatyoka asiwo vanotarisa kumwe kukuvadzwa.
mabatiro
Kazhinji, mapfupa akatyoka anogona kurapwa nemakanda, mabhureshi, kana bhutsu kuitira kuti asafambe. (MedlinePlus, 2024 ) Nemhaka yokuti kutyoka kwacho kwakanyanyisa, kunowanzoda kumwe kurapwa, kusanganisira kuvhiyiwa. Dzimwe nguva, pfupa rinogona kugadziriswa panzvimbo yekuvhiya uchishandisa a nzira yekudzikisa yakavharwa , uko mupi wehutano anogadzirisa pfupa nemaoko. Kuvhiya kunogona kukurudzirwa kana zvisingaite kana kusashanda.
Mhando dzekuvhiya
Kuvhiyiwa kunobvumira mupi wehutano kuti aise zvakanaka zvidimbu zvese zvebhonzo kuti apore mune yakasimba, yakagadzikana maumbirwo. Iwo marudzi maviri anowanzo shandiswa kurapa comminuted fractures ndeaya: (American Academy yeOrthopedic Surgeons, 2021 )
External Fixation
Kuvhiyiwa uku kunoshandisa tsvimbo nemascurus kunze kwemuviri kudzikamisa bhonzo.
Iyi furemu yekunze inoiswa panguva yekuvhiyiwa uye gare gare inobviswa.
Vhura Kuderedza Kugadziriswa Kwemukati - ORIF
Munguva yekuvhiyiwa uku, bhonzo rinogadziriswa nesimbi ndiro, screws, tsvimbo, uye / kana waya dzakaiswa mukati memuviri wako.
Dzimwe nguva, idzi ndedzechigarire, asi mune dzimwe nguva, dzinobviswa gare gare.
Chiremba wemapfupa anoita kuvhiya uku.
Kudzingwa
Mushure mekuvhiyiwa, kukanda kunowanzodiwa kudzivirira pfupa kubva pakufamba uye kubvumira kuporesa. Kazhinji, iyo cast inopfekwa kwemavhiki matanhatu kusvika masere, asi ingangoda kupfekwa kwenguva yakareba neyakapwanyika fractures. Vamwe vanoda kukandwa kwemwedzi yakati wandei (American Academy yeOrthopedic Surgeons, 2021 ) Dzimwe nguva, avo vane kunze kwekugadziriswa vanofanira kuramba vakapfeka chikanda mushure mekubvisa mapini nematanda, vachipa pfupa nguva yakawanda yekudzikama. Murapi wehutano anozivisa murwere kuti inguva yakadii yekukanda ichada kupfekwa uye ndezvipi zviitiko zvemitambo zvinofanirwa kudzivirirwa kunyangwe kukanda kwapera.
Therapy Therapy
Mupi wehutano anogona kukurudzira kurapwa kwemuviri kubatsira kurapa kuputsika. Kazhinji, kana kukanda kwabviswa, kurapwa kwemuviri kunogadziriswa kubatsira kuvakazve simba uye huwandu hwekufamba. (Corinne Tarantino, 2022 )
Prognosis
Kunyange zvazvo kuputsika uku kwakakomba, kunorapika. The prognosis yakanaka kune vanhu vanotevera chirongwa chekurapa chevanopa hutano. Vazhinji havana marwadzo anononoka mushure mekukuvara kwekutanga uye vanogona kupedzisira vadzokera kumabasa enguva dzose. (American Academy yeOrthopedic Surgeons, 2021 )
kupora
Kupodza munhu anenge atyoka anogona kutora mwedzi yakawanda. Munguva iyoyo, zvinobatsira kuisa pfungwa pamabasa anogona kuitwa, sezvitsva zvekuzvivaraidza zvisingasanganisi kukuvara kwemuviri. Taura nemupi wehutano nezve chero matambudziko nekukandwa kana kurwadziwa kunoramba kuripo uye zvekutarisira panguva yekupora.
Injury Medical Chiropractic uye Functional Medicine Clinic inoshanda nevarapi vekutanga vehutano uye nyanzvi kuti vagadzirise hutano hwakakwana uye hutano mhinduro kuburikidza nenzira yakabatanidzwa yekurapa kukuvara uye kusingaperi kurwadziwa syndromes, kuvandudza kuchinjika, kufamba, uye agility zvirongwa zvekubvisa marwadzo uye kubatsira vanhu kudzokera normal. Vapepi vedu vanogadzira zvirongwa zvekuchengetedza zvemunhu zvemurwere wega wega. Kana mamwe marapirwo achidiwa, Dr. Jimenez akabatana nevarapi vepamusoro, nyanzvi dzekiriniki, vatsvakurudzi vezvokurapa, uye vagadziri vekugadzirisa kuti vape mishonga inobatsira zvikuru.
Nzira Yekuporesa Kukuvadzwa Kwemunhu
VIDEO
References
Corinne Tarantino, MPH. Osmosis. (2022). Comminuted Fracture: Chii icho, Mienzaniso uye Zvimwe. www.osmosis.org/answers/comminuted-fracture
Throckmorton TW American Academy yeOrthopedic Surgeons. (2021). Kutyoka (kutyoka mapfupa). orthoinfo.aaos.org/en/diseases-conditions/fractures-broken-bones/
MedlinePlus. National Library of Medicine. (2024). Kutsemuka Kunonziwo: Bvunzo rakaputsika. Zvakatorwa kubva medlineplus.gov/fractures.html
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP Kungoerekana Kungoerekana Kungoitika , Injury Care
Tsaona dzemotokari uye kudhumhana zvinogona kukonzera kukuvara kwebvi nemakumbo munzira dzakasiyana siyana. Tsaona dzemotokari dzinonzi kudhumhana kwesimba repamusoro-soro maringe nekutsvedza uye kudonha maronda ayo anowanzo kuderera-simba. Zvisinei, 30mph kana pasi-kudhumhana kunogona kuva nemigumisiro yakakomba uye inokuvadza pamabvi nemakumbo. Masimba anoerekana akwanisa kuita kuti mabvi akonderane nedhibhodhi kana kusundira tsoka nemakumbo mumuviri, zvichiunza kudzvanywa kwakanyanya uye kumanikidza mapfupa, tsandanyama, uye ligaments zvinokuvadza zvinyoro zvinyoro uye zvimiro zvebhonzo kubva mukukanganisa. The Injury Medical Chiropractic uye Functional Medicine Clinic Team inogona kugadzirisa, kugadzirisa, kusimbisa, uye kudzorera basa kune vanhu vane zviduku kusvika zvakanyanya kukuvadzwa kwemotokari.
Knee uye Ankle Kukuvara
Musculoskeletal mota tsaona/kurovera kukuvara kunokanganisa kufamba kwemuviri. Mhedzisiro yacho inogona kudhonza, kubvarura, kupwanya, nekupwanya mapfupa, tsandanyama, tendon, ligaments, discs, uye tsinga. Kukuvara uku kunodzora huwandu hwekufamba uye kunogona kukonzera marwadzo uye zviratidzo zvekunzwa. The National Accident Sampling System inoshuma 33% yekukuvara kunowanikwa panguva yekudhumhana kwemotokari kune kuzasi.
Pasinei nemabvi uye zviziso zvemakumbo zvine zvinyoro zvinyoro zvinotora uye kugovera simba resimba, masimba kubva mukudhumhana anowanzoitika pakarepo uye zvisingatarisirwi, zvichiita kuti munhu amire, izvo zvinokurira zvivakwa.
Kunyangwe kuvhunduka kutsika pabrake pedal kunogona kukonzera kukuvara kutsoka netsoka.
Mutyairi ane pfungwa yekuedza kupikisa masimba anogona kuona tsoka, zviziso zvemakumbo, uye kukuvara kwemabvi kubva pakukwenya kubva pauriri hwemotokari.
Kudhumhana kwemotokari kunogona kukonzera madhiri, sprains, kuputsika, uye kutsemuka.
Kubvaruka, Kudzvinyirirwa, kana Kupwanyika Ibvi
Kana tsoka ikadyarwa pafloorboard muviri uchiramba uchienda kumberi kana kudivi, simba rinogona kufamba richipinda mumabvi, zvichikonzera kumonyoroka kana kuveura .
Zvichienderana nerudzi rwekukuvara, simba rekuita rinogona kukuvadza mitsara yakasiyana.
Mitsipa inopikisa masimba anosundira ibvi mukati / mukati uye kunze / kumucheto uye zvishoma zvinopesana nemasimba ekutenderera.
Kana imwe yeiyi mitsipa yakakuvadzwa, kuzvimba, kurwadziwa, uye mashoma ekufamba anogona kuguma.
Kuisa uremu pagumbo rakakanganiswa kunogona kuva kwakaoma.
Mune zvimwe zviitiko, marunda anobvaruka zvachose, zvinoda kugadziriswa.
Kana munhu wacho achinge aita basa rakapfava, vanogona kutanga chirongwa chekudzorera kudzorera basa.
Nguva dzekupora dzinosiyana zvichienderana nenzvimbo uye kuoma kwekukuvara.
Kutyoka Knee kana Ankle
Kana kutyoka kuchiitika mumubatanidzwa, semabvi kana makumbo, maitiro ekuvhiya angave ari madikanwa kugadzirisa pfupa rakatyoka / s.
Mabhonzo akatyoka anogona kukonzera kukuvadzwa panguva imwe chete uye/kana kuzvimba kweakabatana tishu izvo zvinogona kuita kuti mhasuru dzibatane/kuomesa kana kusimba. atrophy panguva yekupora uye kupora.
Majoini nemapfupa zvinochengetwa zvine hutano nekufamba kuri pakati nepakati uye kurema.
Kuputsika kunoda immobilization yenzvimbo yakakanganiswa.
Chirongwa chekuvandudza kurapa kwemuviri chinogona kutanga kana brace kana cast inodonha.
Targeted exercises uye kuramba kunosimbisa uye kutambanudza mubatanidzwa kuti uvandudze kushanduka uye kukurudzira kuporeswa kuburikidza nekuvandudzwa kwekutenderera.
Kubvarura Meniscus
Iyo meniscus inzvimbo yakaita seC yeshwashwa inozorora pakati pechidya nemapfupa eshin.
Inoita sechinhu chinokatyamadza.
Iyo meniscus inogona kubvaruka, zvichikonzera kurwadziwa, kuoma, uye kurasikirwa kwekufamba.
Kukuvara uku kunogona kuporesa zvakasununguka nekuzorora kwakakodzera uye maitiro ekurapa.
A chiropractic auto collision nyanzvi inogona kuongorora kuoma kwekubvarura uye kupa mazano anodiwa kugadzirisa uye kusimbisa ibvi.
Kana kubvarura zvakanyanya zvakakwana, kuvhiyiwa kungadiwa.
Chigunwe Chekusvetwa
Mitsipa yakaomeswa uye sprained ligaments inogona kuguma kubva pamakumbo ari pasi pesimba guru.
Matambudziko uye sprains zvinosiyana mukuoma.
Ose ari maviri anoratidza kuti yekubatanidza tishu yakakuvadzwa kana kutambanudzwa kupfuura yakajairika miganhu.
Vanogona kuuya nekurwadziwa, kuzvimba, uye matambudziko ekufambisa nzvimbo yakakanganisika.
Nekurapwa kwakakodzera uye kugadziriswa, kupora kunogoneka.
Kubvarura Achilles Tendon
Iyo Achilles tendon inobatanidza mhuru yemhuru kune chitsitsinho uye inofanirwa kufamba, kumhanya, kuita basa remuviri, uye kutakura uremu.
Kana tendon ikabvaruka, kuvhiyiwa kunodiwa kuti ubatanidze tsandanyama uye tendon.
Mushure mekupora, munhu wacho anogona kutanga kurapwa kwemuviri kushanda tendon uye tsandanyama, zvishoma nezvishoma kuvaka simba uye huwandu hwekufamba.
Zvakakosha kuita izvi nekutariswa kwenyanzvi musculoskeletal rehabilitation kuti urege kukuvara zvakare kana kugadzira kukuvara kutsva.
Chiropractic Treatment
Chero kukuvadzwa kwemotokari yemusculoskeletal kunogona kukonzera kurwadziwa kwakanyanya kunowedzera nebasa, kuzvimba, kuzvimba, kutsvuka, uye / kana kupisa munzvimbo yakakanganiswa. Ichi ndicho chikonzero kunyatsoongorora kukuvara kwakakosha kana mamiriro acho achifanirwa kunyatsogadziriswa uye kunyatsorapwa. Kuongororwa kwemuviri kuchasiyana zvichienderana nemamiriro emunhu uye kunogona kusanganisira:
Kuongorora kwesimba
Range of motion
Reflexes
Zvimwe zvakasiyana-siyana kuti zvione zvikonzero zvinokonzera.
Diagnostic imaging yakadai seX-rays, MRIs, uye CT scans inogona kubatsira kuziva uye kujekesa huwandu hwekukuvara, hunhu, uye nzvimbo uye kutonga kunze matambudziko.
Nyanzvi yehutano ine hunyanzvi inosanganisa data nenhoroondo yekurapa kuti igadzire kuongororwa kwakaringana. Kugona kwedu kurapa zvakanaka vanhu vane tsaona kunobva pakushandisa hunyanzvi hwekiriniki mu musculoskeletal kuongororwa uye kutarisirwa . Chikwata chedu chekurapa chinotora nzira inoshanda yekubatsira vanhu kukurumidza kupora kubva mukukuvara kwetsandanyama vachishandisa kurapwa kwazvino kunobvira. Paunosangana nemumwe wevashandi vedu, iwe unozonzwa wakasununguka uye uine chivimbo chekuti wauya kunzvimbo chaiyo.
Kubva Kukuvara Kusvika Pakupora
VIDEO
References
Dischinger, PC et al. "Migumisiro uye mari yekukuvara kwepasi." Zviitiko zvepagore. Association for the Advancement of Automotive Medicine vol. 48 (2004): 339-53.
Fildes, B nevamwe. "Kukuvara kwemakumbo ezasi kune vanofamba nemotokari." Accident; kuongorora nekudzivirira vol. 29,6 (1997): 785-91. doi:10.1016/s0001-4575(97)00047-x
Gane, Elise M et al. "Kukanganisa kwekukuvara kwemusculoskeletal kunotsigirwa mumigwagwa yemigwagwa pamigumisiro ine chokuita nebasa: protocol yekuongorora kwakarongeka." Ongororo dzakarongwa vol. 7,1 202. 20 Nov. 2018, doi:10.1186/s13643-018-0869-4
Hardin, EC et al. "Masimba etsoka nemakumbo panguva yekudhumhana kwemotokari: pesvedzero yemamhasuru." Chinyorwa chebiomechanics vol. 37,5 (2004): 637-44. doi:10.1016/j.jbiomech.2003.09.030
Li, Wen-Wei, uye Cheng-Chang Lu. "Kuremara kwebvi zvichitevera tsaona yemotokari." Emergency medicine magazine: EMJ vol. 38,6 (2021): 449-473. doi:10.1136/emermed-2020-210054
M, Asgari, naKeyvanian Sh S. "Crash Injury Analysis yeKnee Joint Kufunga nezvekuchengetedzwa kwevanofamba netsoka." Chinyorwa chebiomedical physics & Engineering vol. 9,5 569-578. 1 Gumiguru 2019, doi:10.31661/jbpe.v0i0.424
Torry, Michael R et al. "Ukama hwemabvi ekugera simba uye nguva yekuwedzera pashanduro dzemabvi muvakadzi vanoita kudonhedza kudonha: chidzidzo chebiplane fluoroscopy." Clinical biomechanics (Bristol, Avon) vol. 26,10 (2011): 1019-24. doi:10.1016/j.clinbiomech.2011.06.010
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP Kungoerekana Kungoerekana Kungoitika , Whiplash
Tsaona dzemotokari zviitiko zvinoshungurudza mupfungwa uye mumuviri. Mushure menjodzi, vanhu vanofungidzira kuti vakanaka kana vasina mapfupa akatyoka kana kucheka kucheka. Nekudaro, kunyangwe tsaona diki dzinogona kukonzera kukuvadzwa kukuru, asi munhu wacho haazvizive. Kukuvara kusingaoneki / kunonokerwa chero kukuvara kusiri pachena kana kusingaonekwi nemunhu kusvika maawa, mazuva, kana mavhiki gare gare. Zvinonyanya kuzivikanwa kukuvara kwenyama yakapfava, kukuvara kwemusana, whiplash, concussions, uye kubuda ropa mukati. Ichi ndicho chikonzero zvakakosha kuona chiremba kana chiropractic tsaona nyanzvi nekukurumidza sezvinobvira mushure metsaona.
Kukuvadza Kusingaonekwi Auto Accident
Muviri unopinda mu afyeight kana kuti flight mode mutsaona yemotokari. Izvi zvinoreva kuti kuvhiya kukuru kweAdrenaline kunoita kuti chero chinhu chiri kuitika kumuviri chisaonekwe uye chisanzwe. Munhu wacho haanzwi kurwadziwa uye kusagadzikana zviratidzo kusvikira gare gare kana kuti gare gare.
Nyoro Tissue
Kukuvara kwenyama yakapfava kunokanganisa tsandanyama, tendon, ligaments, uye nhengo dzemuviri kunze kwepfupa.
Kunyangwe pakumhanya kwakaderera, tsaona, uye kubonderana zvinounza simba rakakura pamuviri.
Vatyairi nevafambi vanowanzomira nemotokari kamwe kamwe kana kukandwa.
Izvi zvinoisa kushushikana kwakanyanya pamajoini nedzimwe nzvimbo dzemuviri.
Whiplash
Kukuvara kusingaonekwi kunyoro-tishu ndeye whiplash.
Uko mhasuru dzemitsipa dzinongoerekana dzakandwa kumberi neshure zvine simba, zvichiita kuti tsandanyama nemarunda atambanuke kupfuura nhanho yazvo yekufamba.
Kukuvara kunowanzokonzera kurwadziwa, kuzvimba, kuderera kwekufamba, uye misoro.
Zviratidzo zvingasavapo pakarepo.
Kusiyiwa isina kurapwa, whiplash inogona kutungamirira kumarwadzo asingagumi kwenguva refu.
Head Injuries
Kukuvara mumusoro ndechimwe chinokanganisa chisingaoneki.
Kunyangwe kana musoro usina kurova/kukanganisa chero chinhu, simba uye manyawi zvinogona kuita kuti uropi hudhumanane nemukati medehenya.
Izvi zvinogona kutungamirira kune concussion kana kutonyanya kukuvara kwehuropi.
Mhedziso
A concussion is traumatic brain injury. Vanhu vanogona kuita concussion pasina kurasikirwa nepfungwa, zvichienderana nekuoma kwetsaona. Zviratidzo zvinogona kunonoka kana kusaonekwa, asi kunonoka kurapwa kunogona kukonzera kupora kwenguva refu. Zviratidzo zvinogona kusanganisira:
Kuneta.
Headache.
Kusanganiswa.
Kusakwanisa kurangarira tsaona.
Nausea.
Kurira munzeve.
Chizutu.
Back Muscles kana Spine Injuries
Misungo yekumashure uye kukuvara kwemusana kukuvara kusingaoneki kunogona kuitika mushure menjodzi yemotokari. Zviratidzo zvekukuvara kwemusana zvinosanganisira:
Misungo yekumashure inogona kuomeswa nekuda kwekukanganisa uye tension kuvaka-up.
Tsandanyama dzinorwadza kana kurwadziwa zvinogona kusavapo kusvikira zuva kana maviri gare gare.
Kuoma kwemuviri.
Kuderera kwekufamba.
Tsandanyama mhasuru.
Kunetseka nekufamba, kumira, kana kugara.
Headaches.
Chiveve uye kurira.
Kukuvara kumusana, kunyange kwakakomba, kunogona kusaoneka pakarepo.
Mhedzisiro yacho inogona kuita kuti musana ubve pakurongeka zvakanyanya.
Kuzvimba nekubuda ropa mukati kana kutenderedza musana wemusana kunogona kukonzera chiveve kana kuoma mitezo kunogona kufambira mberi zvishoma nezvishoma.
Uku kukuvadza kusingaoneki kunogona kuva nemigumisiro yenguva refu, kusanganisira kuoma mitezo.
Chiropractic Care
Chiropractic mushonga unoshanda wekukuvara kweuromusculoskeletal. Chiropractor achaongorora kukanganisa uye kuoma kwayo kuti aone kurapwa kwakanakisisa kumunhu. Inobvisa marwadzo uye zviratidzo zvinoshungurudza, inosunungura uye inozorodza misumbu, uye inodzorera kurongeka, kufamba, uye kufamba kwakazara. Chiropractic inoshandisa maturusi akati wandei uye unyanzvi kudzorera musana uye kuenzana kwemuviri. Mibairo inosanganisira:
Marwadzo akapera.
Yakagadziriswa kutenderera.
Kugadzirisa kurongeka.
Yakasunungurwa yakamanikidzwa / yakatsikirirwa tsinga.
Kuvandudzwa kwemaitiro uye kuenzanisa.
Kuvandudzika kuchinjika.
Kudzoreredzwa kwekufamba.
Usaregere Kurwadziwa Kwepashure-Njodzi
VIDEO
References
"Kukuvara kwakabatana nemotokari." JAMA vol. 249,23 (1983): 3216-22. doi:10.1001/jama.1983.03330470056034
Bharaki, P, uye E Richter. "Kudzivirira kukuvara." The New England Journal of Medicine vol. 338,2 (1998): 132-3; munyori pindura 133. doi:10.1056/NEJM199801083380215
Binder, Allan I. "Kurwadza kwemutsipa." BMJ Clinical evidence vol. 2008 1103. 4 Aug. 2008
Duncan, GJ, uye R Meals. "Makore zana ekukuvara kwemapfupa nemotokari." Orthopedics vol. 18,2 (1995): 165-70. doi:10.3928/0147-7447-19950201-15
"Motor Vehicle Safety." Annals of emergency medicine vol. 68,1 (2016): 146-7. doi:10.1016/j.annemergmed.2016.04.045
Sims, JK nevamwe. "Kukuvara kweaccident yemotokari." JACEP vol. 5,10 (1976): 796-808. doi:10.1016/s0361-1124(76)80313-9
Vassiliou, Timon, nevamwe. "Kurapa kwemuviri uye kurovedza muviri - kurapwa kwakakwana kwekudzivirira kunonoka whiplash syndrome? Randomized controlled muyedzo muvarwere ve200. " Marwadzo vol. 124,1-2 (2006): 69-76. doi:10.1016/j.pain.2006.03.017
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP Kungoerekana Kungoerekana Kungoitika , Mishonga
Kukuvara mushure mekuputsika kwemudhudhudhu kunosanganisira kuvhiringidzika, kuputika kweganda, kukuvara kwenyama yakapfava kune tendon, ligaments, uye tsandanyama, sprains, marwadzo nemisodzi, kutsemuka kwechiso neshaya, kukuvara kwehuropi, kukuvara kwemapfupa, kukuvara kwemutsipa uye musana, uye ruoko rwebhasikoro . The Kukuvadza Medical Chiropractic uye Functional Medicine Team inogona kukudziridza maonero akazara ekukuvadzwa kwakaramba kuripo kugadzira chirongwa chemunhu chekurapa kuderedza kuzvimba, kuwedzera kuchinjika, kugadzirisa misalignments, kugadzirisa muviri, kuzorora, kutambanudza, uye kusimbisa musculoskeletal system, uye kudzorera kufamba uye kushanda.
Kukuvara Kwemudhudhudhu Kuparara
Kukuvara kwemudhudhudhu hakusi nyore kupora kubva. Kukuvara kwakapfava kwenyama kunokonzerwa nekukasira dambudziko zvakajairika, pamwe chete ne herniated discs, pelvis, uye spinal misalignments iyo inogona kuva ne cascading effect pane yese yemuviri.
Pelvic Misalignment
Iyo pelvis inosanganisira pubic joint kumberi uye maviri sacroiliac majoini kumashure.
Majoini e sacroiliac anoshanda kubatanidza pelvis kumusana.
Iyo pelvis inobatanidzawo mamhasuru akasiyana siyana, kusanganisira pasi pechiuno uye hudyu.
Kana hudyu ikatsigira kuparara/kudhumhana kana kukanganisa kunoita kuti munhu adonhe pahudyu, hudyu kana chiuno chinogona kusarongeka. Pelvic misalignment ndechimwe chezvikonzero zvinokonzeresa matambudziko akakomba musana uye kurwadziwa. Kuti agadzirise pelvis, chiropractor ichagadzira chirongwa chekurapa chemuviri icho chinosanganisira zvinotevera:
Therapeutic massage kuzorodza tsandanyama uye kuwedzera kutenderera kweropa.
Yakanangidzirwa kutambanudza kwemhasuru dzakasimba uye dzakawandisa.
Kusimbisa kana kudzorera mhasuru dzisina simba uye dzakadzivirirwa.
Maekisesaizi ekudzidzisa kwakakodzera pelvis positioning kuziva.
Neck Injuries
Mukuwedzera kune whiplash, kukanganiswa kwepelinha kune vertebrae mumutsipa kunogona kuitika. A chiropractor anogona kubatsira kudzorera huwandu hwekufamba. Chikwata chekurapa chichagadzira chirongwa chekurapa kuwedzera kune chiropractic. Chinonyanya kukoshesa ndechekuvandudza kushanduka uye simba remutsipa. Mhando dzakajairika dzekurapa kwemuviri dzinosanganisira:
Massage.
Mitsipa inotambanuka.
Kusimbisa shure.
Core kusimbisa.
Kukuvara Kwegumbo Netsoka
Kukuvara kwekupedzisira kunowanzoitika, kunyanya kutsoka uye makumbo , uye zvinosanganisira:
Kupwanya.
Matambudziko.
Tsandanyama misodzi.
Road Rash.
Kutyoka kwebhonzo.
Chikwata chekurapa chinovaka chirongwa chekurapa chinoshanda kuburikidza nehurongwa hwega hwega kumusoro kwetsoka, ibvi, uye hudyu. Ichi chirongwa chinozobatsira kuporesa kukuvara kwetishu dzakapfava nekushandisa matekiniki akaita semassage therapy uye kumba-ekurovedza muviri.
Rider's Arm
Vatyairi vemidhudhudhu vanogona kutambanudza maoko avo kuti vazvidzivirire kubva pakukanganiswa kana vachidonha. Nzvimbo iyi inogona kukonzera kukuvara kunobata mapendekete, maoko, mawoko, uye maoko. Chikwata chekurapa kwemuviri chinogona kubatsira kuporesa kukuvara kwetishu dzakapfava uye kuwedzera kufamba uchishandisa kuunganidza. Chiropractic inogona kudzoreredza yakakuvadzwa tsandanyama dzepafudzi, kutsigira marunda akabvaruka, uye kurapa kukuvara kwenyama.
Iyi maoko-on maitiro anosanganisira kurerutsira mubatanidzwa kana tsandanyama kuburikidza neakajairika mafambiro maitiro kusunungura uye kuzorora kuomarara uye kuwedzera kufamba.
Manual gadziriso, yakadzika matishu masaja, kurovedza muviri, uye kupisa / kutonhora kurapwa kunobatsira kudzoreredza hutano uye kufamba uye kukurumidza kupora.
Kukuvara Rehabilitation
VIDEO
References
Dischinger, Patricia C et al. "Maitiro ekukuvadza uye kuomarara pakati pevatyairi vemidhudhudhu vari muchipatara: kuenzanisa kwevatasvi vadiki nevakuru." Zviitiko zvepagore. Association for the Advancement of Automotive Medicine vol. 50 (2006): 237-49.
Mirza, MA, uye KE Korber. "Kuputika kwakasarudzika kweanterior tibialis tendon yakabatana nekuputsika kwetibial shaft: mushumo wenyaya." Orthopedics vol. 7,8 (1984): 1329-32. doi:10.3928/0147-7447-19840801-16
Petit, Logan, nevamwe. "Ongororo yezvakajairwa midhudhudhu nzira dzekukuvadza." EFORT open wongororo vol. 5,9 544-548. 30 Sep. 2020, doi:10.1302/2058-5241.5.190090
Sander, AL nevamwe. "Mediokarpale Instabilitäten der Handwurzel" [Mediocarpal kusagadzikana kweruoko]. Der Unfallchirurg vol. 121,5 (2018): 365-372. doi:10.1007/s00113-018-0476-9
Tyler, Timothy F et al. "Kudzoreredzwa kwekukuvara kwehudyu uye pelvis." International Journal of sports physical therapy vol. 9,6 (2014): 785-97.
Vera Ching, Claudia, nevamwe. "Kukuvara kwetracheal mushure metsaona yemudhudhudhu." BMJ nyaya mishumo vol. 13,9 e238895. 14 Sep. 2020, doi:10.1136/bcr-2020-238895
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP Kungoerekana Kungoerekana Kungoitika , Kungoerekana Kungoerekana Kungoitika , Chiropractic , Dzose Kudzorera Painini , utano , Neck Pain , Mishonga , Viscerosomatic Reflex , Wellness
ziviso
Vanhu vazhinji vanogara vari mumotokari dzavo uye vachityaira kubva kune imwe nzvimbo kuenda kune imwe munguva inokurumidza. Rini auto ngozi kuitika, zvakawanda zvinokanganisa zvinogona kukanganisa vanhu vazhinji, kunyanya miviri yavo uye mafungiro. Manzwiro anokonzerwa netsaona yemotokari anogona kuchinja mararamiro emunhu uye anokanganisa munhu sezvaanoshungurudzika. Ipapo kune divi remuviri, uko muviri unoenda mberi nekukurumidza, zvichikonzera marwadzo muchikamu chepamusoro nechepazasi. Mimhasuru, ligaments, uye matishu zvinowandirwa kupfuura kugona kwavo kukonzeresa marwadzo-sezviratidzo kugadzira uye kupindirana nemamwe maprofile enjodzi. Chinyorwa chanhasi chinokurukura mhedzisiro yetsaona yemotokari inoitika pamuviri, zviratidzo zvine chekuita netsaona dzemotokari, uye kuti kurapwa senge chiropractic kuchengetedza kunoshandisa sei matekiniki akaita seMET nzira yekuongorora muviri. Isu tinopa ruzivo nezvevarwere vedu kune vane certified varapi vanopa nzira dzekurapa dzinowanikwa seMET (muscle energy techniques) kune vanhu vanobata nemarwadzo ekumusana nemutsipa ane chekuita netsaona dzemotokari. Isu tinokurudzira murwere wega wega zvakafanira nekuvaendesa kune vatakabatana navo vekurapa zvinoenderana nemhedzisiro yavo yekuongorora. Tinobvuma kuti dzidzo inzira inoshamisa patinobvunza vatinopa mibvunzo yakakosha pakubvumwa kwemurwere. Dr. Alex Jimenez, DC, anoongorora ruzivo urwu sebasa rekudzidzisa. Disclaimer
Mhedzisiro Yenjodzi Yemotokari Pamuviri
Wanga uchinetsekana nekurwadziwa kunorwadza mumutsipa wako kana kumashure mushure mekudhumhana kwemotokari? Wakamboona tsandanyama dzako dzakaoma kana kudhonzwa? Kana kuti wanga uchitarisana nemarwadzo asingadiwi-sezviratidzo zvinokanganisa hupenyu hwako hwezuva nezuva? Kana munhu apinda mutsaona yemotokari, musana, mutsipa, uye kumashure pamwe chete nemapoka avo emhasuru akabatana, anobatwa nemarwadzo. Kana zvasvika kune zvinokonzeresa tsaona yemotokari pamuviri, isu tinofanirwa kutarisa kuti muviri unoita sei kana mota dzabonderana. Zvidzidzo zvekutsvaga zvakaratidza kurwadziwa kwemutsipa kunowanzoitika kune vakawanda vakuru vanobatanidzwa mutsaona yemotokari. Kana munhu akadhumhana neimwe mota, mitsipa yavo inokandwa mberi nekukurumidza, zvichiita kuti whiplash iite pamutsipa nemapfudzi. Kwete mutsipa chete uri kukanganiswa, asiwo musana. Zvimwe zvidzidzo zvakataurwa kuti kurwadziwa kwepashure kunoenderana nekudhumhana kwemotokari kunogona kuita kuti tsandanyama dzemusana dziwedzere uye dzive nekukuvara kwemuviri kusingaurayi nekufamba kwenguva, ingave panguva kana zuva mushure menjodzi. Kusvika ipapo, zvinogona kutungamira kune zvisingadiwe zviratidzo zvine chekuita netsaona dzemotokari uye kuwirirana nemaprofayiri engozi akawandisa.
Zviratidzo Zvinosangana Nenjodzi Dzemotokari
Zviratidzo zvine chekuita netsaona dzemotokari dzinobata mhasuru dzemutsipa neshure dzinosiyana zvichienderana nekuomarara kwekudhumhana. Maererano ne "Clinical Application yeNeuromuscular Techniques," Leon Chaitow, ND, DO, naJudith Walker DeLany, LMT, vakataura kuti kana mumwe munhu achitambura nenjodzi yemotokari, masimba anoshungurudza anokanganisa kwete chete cervical kana temporomandibular muscle asiwo lumbar muscles. . Izvi zvinoita kuti mhasuru dzenyama fiber dzibvamburwe nekukuvadzwa, izvo zvinokonzeresa kurwadziwa kwetsandanyama. Bhuku racho rakataurawo kuti munhu akuvara mukudhumhana anogona kuita nociceptive modulated mutsipa, mapendekete, uye musana kusashanda zvakanaka kwetsandanyama. Kusvika panguva iyoyo, flexor uye extensor muscle ndeye hyperextended, kupfupiswa, uye kuomeswa, iyo inokonzerwa nekukonzera kuoma kwemisumbu, kurwadziwa, uye zvishoma zvishoma zvekufamba kumutsipa, fudzi, uye kumashure.
Kuvhura Rubatsiro Rwemarwadzo: Maonero atinoita mafambiro ekuderedza marwadzo-Vhidhiyo
VIDEO
Wanga uchisangana neyakaganhurwa yekufamba kumapfudzi ako, mutsipa, uye kumashure? Zvakadini nekunzwa kuoma kwemhasuru paunenge uchitambanudza? Kana kuti unonzwa kupfava kwemhasuru mune dzimwe nzvimbo dzemuviri mushure metsaona yemotokari? Zvizhinji zveizvi zvinorwadza-sezviratidzo zvinosanganiswa nenjodzi dzemotokari dzinobata mutsipa, mapendekete, uye kumashure. Izvi zvinokonzeresa kurwadziwa kwemuviri nguva dzose, uye nyaya dzakawanda dzinokura nekufamba kwenguva mumapoka akasiyana siyana emhasuru. Sezvineiwo kune nzira dzekudzikisa marwadzo uye kubatsira kudzorera muviri kuti ushande. Vhidhiyo iri pamusoro inotsanangura kuti chiropractic kuchengetedza inoshandiswa sei kuongorora muviri kuburikidza nekugadzirisa musana. Chiropractic kuchengetedza inoshandisa nzira dzakasiyana-siyana kuti dzibatsire nemusana wepinal subluxation uye kusunungura mitsipa yakaoma, yakasimba kuti ibatsire kuzorora uye kudzorera rimwe nerimwe boka remhasuru paunenge uchibvisa marwadzo asingadiwi kubva mumasumbu emasumbu nemarunda.
Chiropractic Care & The MET Technique Kuongorora Muviri
Zvidzidzo zvinoratidza kuti tsaona dzemotokari ndicho chikonzero chikuru chekukuvara kwemusana uye kwemhasuru kunorapwa nechiropractic kuchengetedza. Kana munhu achitambura mushure mekuita tsaona yemotokari, anozonzwa kurwadziwa muviri wese uye kuyedza kutsvaga nzira dzekubvisa marwadzo anokanganisa hupenyu hwavo hwezuva nezuva kuburikidza nekurapwa. Imwe yemishonga inogona kubatsira kuderedza marwadzo uye kudzorera muviri ndeye chiropractic kuchengetedza. Apo chiropractors vari kurapa muviri kuderedza marwadzo, vanoshandisa nzira dzakasiyana-siyana seMET nzira (muscle energy technique) kutambanudza uye kusimbisa zvinyoro zvinyoro uye kushandisa manyorero ekugadzirisa kugadzirisa musana, kushanda kunze kwemisungo yakaoma, tsinga, uye ligaments kudzivirira. kumwe kukuvadzwa pamuviri uku uchidzora vanhu vakabatwa pachimiro. Chiropractic kuchengetedza zvakare ine hukama hwepedyo nemamwe marapirwo senge kurapa kwemuviri kubatsira kusimbisa tsandanyama mumuviri uye kubatsira vanhu vazhinji kuziva mashandiro anoita miviri yavo.
mhedziso
Pakazere, kana munhu aine kurwadziwa kumashure, mutsipa, uye tsandanyama dzemapfudzi kubva mutsaona yemotokari, zvinogona kukanganisa hupenyu hwavo hwepfungwa uye hwepanyama. Migumisiro yenjodzi yemotokari inokonzera zviratidzo zvinorwadza zvisingadiwi kukura uye kuwirirana ne nociceptive modulated dysfunction. Kusvika ipapo, zvinogona kukonzera nyaya sekuomarara kwemhasuru uye hunyoro munzvimbo dzakakanganisika. Neraki, marapirwo akaita sechiropractic kuchengetedza anobvumira muviri kuti udzorerwe kuburikidza nemanyorero manipulation uye iyo MET nzira yekutambanudza zvinyoro nyoro matishu akapfava uye tsandanyama uye kugadzirisa muviri kuti udzokere kushanda. Kubatanidza chiropractic kuchengetedza neMET tekinoroji, muviri unowana zororo, uye muenzi anogona kunge asina kurwadziwa.
References
Chaitow, Leon, uye Judith Walker DeLany. Clinical Kushandiswa kweNeuromuscular Techniques . Churchill Livingstone, 2002.
Anofa, Stephen, naJ Walter Strapp. "Chiropractic Kurapa kweVarwere muMotokari Tsaona dzeMotokari: A Statistical Analysis." Iyo Nhoroondo yeCanada Chiropractic Association , US National Raibhurari yeMishonga, Gunyana 1992, www.ncbi.nlm.nih.gov/pmc/articles/PMC2484939/ .
Fewster, Kayla M, nevamwe. "Low-Velocity Motor Vehicle Collision Characteristics Inobatanidzwa neKunzi Kurwadza Kwekudzokera." Traffic Injury Prevention , US National Raibhurari yeMishonga, 10 Chivabvu 2019, pubmed.ncbi.nlm.nih.gov/31074647/ .
Vos, Cees J, nevamwe. "Impact yeMotokari Tsaona dzeMota paNeck Pain uye Kuremara muGeneral Practice." The British Journal of General Practice: Nyaya yeRoyal College yeGeneral Practitioners , US National Raibhurari yeMishonga, Gunyana 2008, www.ncbi.nlm.nih.gov/pmc/articles/PMC2529200/ .
Disclaimer
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP Kungoerekana Kungoerekana Kungoitika , Car Accident Specialist , Chiropractic , Chiropractic News , El Paso Chiropractic News , Kukuvara Kwevanhu , Whiplash
Zvidzidzo pamusoro pekubudirira kwechiropractic kutarisira varwere vane marwadzo echipiri kune whiplash kukuvara vari kubuda. Muna 1996, Woodward et al. yakabudisa chidzidzo pamusoro pekubudirira kwechiropractic kurapwa kwekukuvara kwe whiplash.
Muna 1994, Gargan naBannister vakabudisa pepa pamusoro pekupora kwevarwere uye vakaona kuti apo varwere vakanga vachiri zviratidzo mushure memwedzi mitatu, paive neine 90% mukana wekuti varambe vakuvara. Vanyori vechidzidzo ichi vaibva kuDhipatimendi reOrthopedic Surgery muBristol, England. Hapana kurapa kwakajairika kwakaratidzwa kuve kwakabudirira mune idzi dzakabva kusingaperi whiplash kukuvara varwere. Zvisinei, kubudirira kwepamusoro kwakawanikwa nevanokuvadzwa kwe whiplash kuburikidza nechiropractic kuchengetedza mukudzorera marudzi aya evarwere.
Whiplash Treatment Study Results
Muchidzidzo cheWoodward, 93 muzana yevarwere ve28 vakadzidza kudzoka zvakare vakawanikwa vane nhamba yakakura yekuvandudza kunotevera chiropractic kuchengetedza. Chiropractic kuchengetedza muchidzidzo ichi yaisanganisira PNF, spinal manipulation, uye cryotherapy. Vazhinji vevarwere ve28 vaive nekutanga kurapwa neNSAIDs collars uye physiotherapy. Ivhareji yakareba nguva isati yasvika apo varwere vakatanga chiropractic kuchengetedza yaiva 15.5 mwedzi mushure meMVA (kusiyana kwe3-44 mwedzi).
Ichi chidzidzo chakanyora izvo zvakawanda zveDCs zvinowanikwa mumakiriniki maitiro: chiropractic kuchengetedza inoshanda kune vanhu vanokuvadzwa mutsaona yemotokari. Zviratidzo kubva mumusoro kusvika kumarwadzo ekudzokera shure, kurwadziwa kwemutsipa, kurwadziwa kwe interscapular, uye marwadzo ekupedzisira ane chokuita neparesthesias zvose zvakapindura kuhutano hwechiropractic.
Zvakajairwa & Whiplash X-Rays
Whiplash MRI Zviwanikwa
Zvinyorwa zvakaratidzawo kukuvara kwecervical disc hazvishamisi mushure mekukuvara kwe whiplash. Mune chidzidzo chakabudiswa pamusoro pechiropractic kuchengetedza disk herniations, zvakaratidzwa kuti varwere vanovandudza kliniki uye iyo inodzokorora MRI imaging inowanzoratidza kuderera ukuru kana kugadziriswa kwe disk herniation. Pakati pevarwere ve28 vakadzidza uye vakatevera, vazhinji vaiva ne disc herniations yakaita zvakanaka kune chiropractic kuchengetedza.
Muchidzidzo chechangobva kuitika chakaitwa naKhan et al., yakabudiswa mu Journal of Orthopedic Medicine, pamusoro pevarwere vakakuvadzwa ne whiplash maererano nekurwadziwa kwekervical uye kusagadzikana, varwere vakaiswa mumapoka zvichienderana nemazinga emigumisiro yakanaka kune chiropractic kuchengetedza:
Gira I I: Varwere vane kurwadziwa kwemutsipa bedzi uye vanovharirwa mutsipa ROM. Varwere vaiva ne "saga hangar" kugovera marwadzo pasina kushaya kweuropiki; 72 yepakati aiva nechiitiko chinoshamisa.
Boka II: Varwere vane zviratidzo zvetsinga kana zviratidzo uye mashoma musana ROM. Varwere vaive nechiveve, kurira, uye paresthesias kumucheto.
Boka rechitatu: Varwere vaiva nemarwadzo makuru emutsipa nemutsipa wakazara ROM uye kuparadzirwa kunorwadza kunoshamisa kubva kumagumo. Varwere ava vaiwanzorondedzera kurwadziwa kwechipfuva, kusvotwa, kurutsa, kupera simba, uye kusashanda zvakanaka.
Migumisiro yechirongwa ichi yakaratidza kuti mukirasi I, 36 / 50 varwere (72%) vakaita zvakanaka kune chiropractic: muboka rechipiri, 30 / 32 varwere (94 muzana) vakapindura zvakanaka kuchipatractic care; uye muboka III, chete 3 / 11 mamiriro ezvinhu (27%) akabvuma zvakanaka kuchipatractic care. Pakanga pane musiyano mukuru pamigumisiro pakati pemapoka matatu.
Ichi chidzidzo chinopa humbowo hutsva hwekuti chiropractic kuchengetedza inoshanda kune varwere vakakuvadzwa ne whiplash. Zvisinei, chidzidzo chacho hachina kufunga nezvevarwere vane kukuvara kwemusana, kukuvara kwekupedzisira, uye kukuvara kweTMJ. Izvo hazvina kuzivisa kuti ndevapi varwere vaive nekukuvara kwe disc, radiculopathy, uye concussive kukuvara kwehuropi (zvingangoita boka III varwere). Aya marudzi evarwere anopindura zviri nani kumuenzaniso wechiropractic kuchengetedza pamwe chete nevatambi vemarudzi akawanda.
Zvidzidzo izvi zvinoratidza izvo maDC akawanda akatoona, kuti chiremba wechiropractic anofanira kunge ari mutarisiri mukuru muzviitiko izvi. Ipfungwa yakajairika kuti muzviitiko zvakaita sevarwere veboka III, kutarisirwa kunofanirwa kuve kwakasiyana-siyana kuti uwane mhedzisiro yakanakisa mumamiriro ezvinhu akaoma.
Kuwanda kweruzivo rwedu kunogumira kune chiropractic uye kukuvara kwemusana uye mamiriro. Kuti ukurukure zvingasarudzwa panyaya iyi, tapota bvunza Dr. Jimenez kana kutibata nesu pa 915-850-0900 .
Zvimwe Zvinyorwa: Automobile Accident Injuries
Whiplash, pakati pekumwe kukuvara kwetsaona yemotokari, inowanzotaurwa nevaya vakakuvadzwa nemotokari, zvisinei nekuoma uye giredhi mutsaona. Whiplash inowanzova mhedzisiro yekukasira, kumashure-uye-kubuda jolt yemusoro nemutsipa mune chero nzira. Simba guru rekukanganisa rinogona kukonzera kukanganisa kana kukuvara kumutsipa wekervical uye mamwe ose emusana. Sezvineiwo, kurapwa kwakasiyana kunowanikwa kurapa kukuvara kwetsaona yemotokari.
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