Herniated Disc
Back Clinic Herniated Disc Chiropractic Team. A herniated disc inoreva dambudziko neimwe yerubbery cushions (discs) pakati pemapfupa ega ega (vertebrae) anonamira kumusoro kuti aite musana wako.
Spinal disc ine nzvimbo yakapfava yakavharirwa mukati mekunze kwakaoma. Dzimwe nguva inonzi dhisiki yakatsvedza kana dhisiki rakaputika, herniated disc inoitika apo dzimwe nzvimbo dzakapfava dzinosundira kunze kuburikidza nekubvarura mukati mekunze kwakaoma.
A herniated disc inogona kutsamwisa mitsipa yakapoteredza iyo inogona kukonzera marwadzo, kupera, kana kushaya simba kweruoko kana gumbo. Kune rumwe rutivi, vanhu vazhinji havaoni zviratidzo kubva kune herniated disk. Vanhu vazhinji vane herniated disc havazodi kuvhiyiwa kugadzirisa dambudziko.
zviratidzo
Mazhinji disniedic disks anowanikwa mumucheto wezasi (lumbar spine), kunyange zvazvo anogonawo kuitika mumutsipa (cervical spine). Zviratidzo zvinowanzozivikanwa zve diski herniated:
Kurwadza kweruoko kana gumbo: A herniated disk muzasi kumashure, kazhinji munhu anonzwa kurwadziwa kwakanyanya mumagadziko, chidya, uye mhuru. Inogonawo kusanganisira chikamu chetsoka. Kana iyo herniated disc iri mumutsipa, kurwadziwa kunowanzo kuve kwakanyanya mufudzi uye ruoko. Marwadzo aya anogona kupfura ruoko kana gumbo pakukosora, kuhotsira, kana kufambisa musana mune dzimwe nzvimbo.
Kugunun'una kana kutinhira: Dhayi yakarongeka inogona kunzwa sechinhu chisina simba kana kutinhira mumuviri chikamu chinoshandiswa nemitsipa yakakanganiswa.
Kushayiwa simba: Misumbu inoshandiswa nemisungo yakakanganiswa inowanzosvibisa. Izvi zvinogona kukonzera kugumburwa kana kukanganisa kukwanisa kusimudza kana kubata zvinhu.
Mumwe munhu anogona kuve nekodhi yekaroti asingazivi. Zviratidzo zveHerniated dzimwe nguva zvinoratidzika pamifananidzo yepelinha yevanhu vasina zviratidzo zve dambudziko re disc. Kuti uwane mhinduro kumibvunzo ipi yaungave unayo ndapota fonera Dr. Jimenez pa915-850-0900
by Dr Alex Jimenez Chiropractic , Herniated Disc
Kune vanhu vari kurwadziwa shure kubva kune disc herniated, vanogona kunzwisisa musiyano pakati pekuvhiyiwa uye chiropractic kubatsira vanhu kuwana chirongwa chekurapa chakakodzera here?
Kuvhiya kana Chiropractic
Kurarama nemarwadzo ekumusana kunogona kutyisa, uye zvakadaro vazhinji vanonetseka pasina kutsvaga rubatsiro. Nhasi, kune nhamba yakakura yekuvhiya uye nzira dzisiri dzekuvhiya dziri nani pakurapa musana uye matambudziko emusana uye kugadzirisa zviratidzo. Kune vanhu vanogona kunge vane herniated disc kana kuti vanoda kuziva nezve nzira dzekubvisa marwadzo avo ekumusana, mupi wehutano, chiremba wepanyama, nyanzvi yemuzongoza, uye chiropractor anogona kuvazivisa nezvesarudzo dzekurapa. Kuvhiya uye chiropractic kurapa kurapwa kwakakurumbira kune herniated, bulging, kana slipped disc.
A herniated disc ndiyo iyo cartilage discs iyo inosimudzira vertebrae inosimuka kubva panzvimbo uye kubuda kunze.
Kuvhiya dhisiki yeherniated kunosanganisira kubvisa kana kugadzirisa disc.
Chiropractic nonsurgically repositions the disc uye inogadzirisa musana.
Mishonga miviri ine zvinangwa zvakafanana zvine misiyano yakakosha.
Chiropractic Care
Chiropractic inzira yekurapa iyo inotarisa pakugadzirisa nekuchengetedza kurongeka kwepelinha kuti ibatsire nematambudziko emusana uye maitiro. Chiropractors vakadzidziswa uye vane marezinesi ekurapa vanotora nzira yekusavhiya, kurapa kwakaratidza kunorwadza kusingaperi, kushanduka, uye nyaya dzekufamba.
Nzira Iyo Inoshanda
Chiropractic kurapwa inokurudzira uye inotsigira maitiro emuviri ekuporesa maitiro. Inofungidzirwa sekurwadziwa kwemajoini kumashure, mutsipa, makumbo, maoko, tsoka, uye maoko. Inowanzobatanidza zvirongwa umo chiropractor mumuviri uye kunyatsogadzirisa vertebrae neruoko, inozivikanwawo semusana manipulation kana chiropractic kugadzirisa. (MedlinePlus. 2023 ) Chiropractor anoita ongororo yakakwana yekurapa uye anomhanyisa bvunzo kuti aone kuongororwa. A chiropractor achagadzira chirongwa chekurapa chinogona kusanganisira timu yemassage uye vemuviri varapi, acupuncturists , varairidzi vezvehutano, uye vezvekudya kuti vabate nzvimbo dzakakanganisika nemaitiro akasiyana, vanokurudzira maekisesaizi anonangwa, gadzirisa mararamiro uye kudya kunovaka muviri kutsigira kurapwa, uye kutarisa kufambira mberi. Yakasanganiswa nekutambanudza uye kudzvinyirirwa kwakasimba, nzira dzakawanda dzinogona kuwedzera kufamba kwekubatana uye kubvisa zviratidzo zvinorwadza. (National Center for Complimentary uye Integrative Health. 2019 Yakawedzerwa maprotocol ekutsigira kana kusimudzira chiropractic kurapwa anosanganisira:
Kupisa uye kurapa kwechando kuderedza kuzvimba uye kuwedzera kutenderera kweropa.
Kushandisa midziyo yekukurudzira tsandanyama netsinga nemagetsi.
Kukudziridza kuzorora uye maitiro ekufema kwakadzika.
Kubatanidza zviitwa zvekusimudzira kudzoreredza.
Kugadzira muitiro wenguva dzose wekusimbisa muviri.
Kuita kugadzirisa kudya uye mararamiro.
Kutora zvimwe zvekudya zvinowedzera.
Spinal manipulation uye chiropractic kugadzirisa zvakaratidzwa kuvandudza zviratidzo uye kudzorera kufamba mumamiriro ekurwadziwa kusingaperi. Imwe ongororo yakawana kuti vanhu vane chirwere chisingaperi lumbar / low back pain vakashuma kuvandudzwa kukuru mushure memavhiki matanhatu echiropractic kurapwa. (Ian D. Coulter et al., 2018 )
Prices
Iko kunze kwehomwe mari yechiropractic kurapwa kunoenderana nezvinhu zvakasiyana.Simon Dagenais et al., 2015 )
Surgery
Kune huwandu hwezvishoma invasive maitiro ekuvhiya kurapa herniated discs. Izvi zvinoshanda kurerutsira tsinga nekubvisa kana kutsiva madhisiki akakuvadzwa kana kudzikamisa vertebrae, kubvisa marwadzo uye kuzvimba.
Nzira Iyo Inoshanda
A herniated disc inogona kuitika mune chero chikamu chemusana asi inowanzoonekwa muzasi / lumbar spine uye mumutsipa / cervical spine. Kuvhiya kunokurudzirwa kana: (American Academy yeOrthopedic Surgeons. 2022 )
Mamwe marapirwo anochengetedza, semishonga uye kurapwa kwemuviri, haakwanise kugadzirisa zviratidzo.
Marwadzo uye zviratidzo zvinokanganisa hupenyu hwezuva nezuva nekushanda.
Kumira kana kufamba kunova kwakaoma kana kusagoneka.
Iyo herniated disc inokonzera kuoma kufamba, kushaya simba kwemhasuru, uye dundira kana kudzora ura.
Munhu wacho ane utano hwakanaka, asina utachiona, osteoporosis, kana arthritis.
Maitiro ekuvhiya anoshandiswa anosanganisira:
Fusion Surgery
Spinal fusion ndiyo inowanzoitika kune yakaderera back herniated disc.
Zvinosanganisira kushandisa zvigadzirwa zvemabhonzo kusanganisa vertebrae kuti iwedzere kugadzikana uye kusunungura uye kudzivirira kutsamwa kwetsinga uye kudzvanywa. (American Academy yeNeurological Surgeons. 2024 )
Laminotomy uye Laminectomy
Herniated disc zviratidzo zvinoonekwa kubva kumanikidziro akaiswa pamitsipa.
Laminotomy inosanganisira kugadzira diki diki mu lamina, kana arch ye spinal vertebrae, kusunungura kumanikidza.
Dzimwe nguva, lamina yose inobviswa, inozivikanwa se laminectomy. (American Academy yeNeurological Surgeons. 2024 )
Discectomy
Discectomy, inozivikanwawo se microdiscectomy, inogona kuitwa pa lumbar kana cervical spine.
Chiremba anovhiya anowana dhisiki yakakanganiswa kuburikidza nediki incision uye anobvisa zvikamu zve disc. (American Academy yeOrthopedic Surgeons. 2022 )
Artificial Disc Surgery
Imwe nzira inosanganisira kuisa artificial disc.
Izvi zvinonyanya kushandiswa kune hernia muzasi musana; dhisiki rakasakara kana kukuvara rinobviswa, uye prosthetic yakasarudzika inotsiva disc rakabviswa. (American Academy yeOrthopedic Surgeons. 2022 )
Izvi zvinobvumira kufamba kwakawanda.
Kubudirira kwekuvhiya herniated disc kunobva pane zvakasiyana-siyana. Kufambira mberi muunyanzvi hushoma hwakanyanya kuvandudza migumisiro yenguva refu, nekuongorora kumwe kuona kuti inenge 80% yakashuma zvakanaka-yakanaka migumisiro pamakore matanhatu ekutevera. (George J. Dohrmann, Nassir Mansour 2015 ) Zvisinei, pane mukana wokuitikazve. Inenge 20% kusvika ku25% yevanhu vane herniated lumbar discs vanonzwa zvakare-herniation pane imwe nguva. (American Academy yeNeurological Surgeons. 2024 )
Prices
Kuvhiya herniated disc kunonyanya kukosha, uye mari yacho inoenderana nehuwandu uye chiyero chekurapa.
Hurongwa hweinishuwarenzi hwemunhu hunosarudzawo mari.
Mari yakajairika yekuvhiya inotangira pakati pe $14,000 ne $30,000. (Anna NA Tosteson et al., 2008 )
Kusarudza Kurapa
Paunosarudza pakati pechiropractic uye kuvhiyiwa kwe disc herniated, zvinhu zvakawanda zvinogona kusarudza sarudzo, kusanganisira:
Chiropractic ndiyo isinganyanyi kupindira isina kuvhiyiwa sarudzo.
Chiropractic kugadziriswa haigoni kubatsira mamwe maitiro akaoma e-herniated discs.
Chiropractic kugadziriswa kunodzivirira iyo herniated disc kubva pakuwedzera uye kuderedza zviratidzo.
Kuvhiya kunopa marwadzo uye zororo rechiratidzo nekukurumidza kupfuura chiropractic kana kuchengetedza kurapwa asi kunoda yakakosha kupora nguva uye inodhura. (Anna NA Tosteson et al., 2008 )
Kuvhiya kungave kusina kukodzera kune vanhu vane osteoarthritis kana osteoporosis.
Chiropractic therapy iri pakati pezvinonyanya kuchengetedza nzira dzokurapa dze disc herniated uye inogona kuedzwa kutanga isati yaenderera mberi nekuvhiyiwa. Kazhinji, kuvhiyiwa kunongokurudzirwa kana nzira dzisiri dzekudzivirira dzisati dzakwanisa kumisa kana kubata marwadzo nezviratidzo. Injury Medical Chiropractic uye Functional Medicine Clinic inoshanda nevarapi vehutano hwekutanga uye nyanzvi kuti vagadzire hutano hwakakwana uye hutano mhinduro iyo inobatsira zvizere munhu kuti adzokere kune zvakajairika.
Quick Patient Process
VIDEO
References
MedlinePlus.MedlinePlus. (2023). Chiropractic. Zvakatorwa kubva medlineplus.gov/chiropractic.html
National Center for Complimentary uye Integrative Health. (2019). Chiropractic: zvakadzama. Zvakatorwa kubva www.nccih.nih.gov/health/chiropractic-in-depth
Coulter, ID, Crawford, C., Hurwitz, EL, Vernon, H., Khorsan, R., Suttorp Booth, M., & Herman, PM (2018). Kubata uye kuunganidza kurapa kusingaperi kurwadziwa kwepashure: kuongororwa kwakarongeka uye meta-analysis. The spine magazine: yepamutemo magazini yeNorth American Spine Society, 18 (5), 866-879. doi.org/10.1016/j.spinee.2018.01.013
Dagenais, S., Brady, O., Haldeman, S., & Manga, P. (2015). Kuongororwa kwakarongeka kunoenzanisa mari yechiropractic kuchengetedza kune mamwe maitiro ekurwadziwa kwemusana muUnited States. BMC hutano masevhisi tsvagiridzo, 15, 474. doi.org/10.1186/s12913-015-1140-5
American Academy yeOrthopedic Surgeons. (2022). Herniated disk muzasi kumashure. orthoinfo.aaos.org/en/diseases-conditions/herniated-disk-in-the-lower-back/
American Academy yeNeurological Surgeons. Vanachiremba, AA o. N. (2024). Herniated disc. www.aans.org/en/Patients/Neurosurgical-Conditions-and-Treatments/Herniated-Disc
Dohrmann, GJ, & Mansour, N. (2015). Yenguva Yakareba Mibairo yeKushanda kwakasiyana-siyana kweLumbar Disc Herniation: Kuongororwa kwevanopfuura 39,000 Varwere. Misimboti yekurapa uye maitiro : chinyorwa chepasi rose cheKuwait University, Health Science Center, 24(3), 285–290. doi.org/10.1159/000375499
Tosteson, AN, Skinner, JS, Tosteson, TD, Lurie, JD, Andersson, GB, Berven, S., Grove, MR, Hanscom, B., Ropa, EA, & Weinstein, JN (2008). Iko kushandiswa kwemari yekuvhiya kunopesana nekusashanda kurapwa kwelumbar disc herniation kwemakore maviri: humbowo kubva kuSpine Patient Outcomes Research Trial (SPORT). Muzongoza, 33(19), 2108–2115. doi.org/10.1097/brs.0b013e318182e390
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
by Dr Alex Jimenez Chiropractic , chisingaperi Pain , Herniated Disc , Kufamba & Kuchinja , Spinal Decompression Treatments , Spine Care , Mishonga , Viscerosomatic Reflex
Vanhu vane kurwadziwa kwemusana mumitsipa uye kumashure vanogona kushandisa decompression therapy kudzoreredza spinal disc kureba uye kuwana zororo?
ziviso
Vanhu vazhinji havazivi kuti sezvo muviri uchikura, ndizvo zvinoitawo musana. Iyo musana chikamu chemusculoskeletal system inopa tsigiro yemuviri kumuviri nekuichengeta wakatwasuka. Misungo yakakomberedza, ligaments, uye matishu akakomberedza musana anobatsira nekugadzikana uye kufamba, nepo spinal disc uye majoini zvinopa kuvhunduka kutorwa kubva kune sheer vertical uremu. Kana munhu ari kufamba nemabasa avo ezuva nezuva, musana unogona kubvumira munhu kuti afambe pasina kurwadziwa kana kusagadzikana. Zvisinei, nekufamba kwenguva, musana unoenda kuburikidza nekushanduka kwekuchinja kunogona kukonzera marwadzo uye kusagadzikana kumuviri, nokudaro zvichisiya munhu wacho achitarisana nepamusoro pehuwandu hwehutachiona hunogona kukanganisa mitsipa yavo nemusana. Kusvika ipapo, vanhu vazhinji vanotsvaga marapirwo ekudzikisa marwadzo anokanganisa musana wavo uye kudzorera dhisiki kureba mumiviri yavo. Chinyorwa chanhasi chinotarisa kuti marwadzo emuzongoza anokanganisa sei mutsipa uye musana wemunhu uye kuti marapirwo akaita semusana decompression anogona kuderedza marwadzo emusana uye kudzorera disc kureba. Tinotaura nevarapi vane hunyanzvi vanosimbisa ruzivo rwevarwere vedu kuti vaone kuti kurwadziwa kwemusana kunogona kukanganisa zvakanyanya kugara kwemunhu uye hupenyu hwemiviri yavo. Isu tinozivisawo uye kutungamira varwere nezvekuti kubatanidza musana decompression inogona kubatsira kuderedza marwadzo emusana uye kudzorera spinal disc kureba. Tinokurudzira varwere vedu kuti vabvunze avo vanobatana navo vezvokurapa mibvunzo yakaoma uye yakakosha pamusoro pekubatanidza marapirwo asiri ekuvhiya muhutano uye hutano hwekuita kuti vabvise marwadzo emusana uye kuwanazve hupenyu hwavo. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer .
Marwadzo eMuzongoza Anobata Sei Mutsipa WeMunhu & Kumusana
Iwe unonzwa nguva dzose tsandanyama aches uye marwadzo mumutsipa wako uye musana? Wakambosangana nekuoma uye kushomeka kwekufamba paunenge uchimonyoroka nekutendeuka? Kana kuti zvinhu zvinorema zvinokonzeresa kuomarara kwetsandanyama kana uchifamba uchibva pane imwe nzvimbo uchienda kune imwe? Vanhu vazhinji vachange vari kufamba uye vari munzvimbo dzinoshamisa vasinganzwe kurwadziwa uye kusagadzikana kana zvasvika kumusana. Izvi zvinokonzerwa nemhasuru dzakapoteredzwa uye matishu ari kutambanudzwa uye spinal discs inotora kune yakatwasuka kudzvanywa pamuzongoza. Zvisinei, apo mamiriro ezvakatipoteredza, kukuvadzwa kunorwadza, kana kuchembera kwepanyama kunotanga kukanganisa musana, zvinogona kutungamirira kukurudzirwa kwemarwadzo emusana. Izvi zvinodaro nekuti chikamu chekunze che spinal disc chakasimba, uye chikamu chemukati che disc chiri kukanganiswa. Kana kusagadzikana kusinganzwisisike kunotanga kuderedza kunwa kwemvura mukati me diski, inogona mukati kukurudzira marwadzo ekugamuchira pasina zviratidzo zvetsinga mukati me disc. ( Zhang et al., 2009 ) Izvi zvinoita kuti vanhu vazhinji vatarise kurwadziwa kwemutsipa nemusana mumiviri yavo uye kunoderedza hupenyu hwavo.
Marwadzo emuzongoza anogona kutungamira kune anowandikira njodzi profiles izvo zvinokonzeresa vanhu vazhinji kubata nekurwadziwa kwakadzika kumashure uye kurwadziwa kwemutsipa, izvo zvinozoita kuti tsandanyama dzakatenderedza dzisasimba, kusimba, uye kuwanda. Panguva imwecheteyo, iyo yakakomberedza midzi midzi inobatwawo sezvo tsinga dzetsinga dzakakomberedza kunze uye mukati mezvikamu zvespinal disc, iyo inokonzera nociceptive marwadzo ehupfumi kumutsipa uye kumashure uye inotungamirira kumarwadzo e discogenic. ( Coppes et al., 1997 ) Apo vanhu vazhinji vari kutarisana nemarwadzo emusuru anoenderana nespinal discs, inokonzera marwadzo-spasm-pain cycle inogona kukanganisa miviri yavo nekuda kwekusafamba zvakakwana uye kunokonzera kurwadza kwemisimba mitambo pavanenge vachiedza kufamba. ( Roland, 1986 ) Kana munhu aine mafambiro mashoma anokonzera kuti ari kurwadziwa nemuzongoza, kureba kwavo kwechisikigo kunoderera zvishoma nezvishoma, zvichikonzera nyaya dzakawanda kumiviri yavo uye mitoro yemagariro. Neraki, apo vanhu vazhinji vari kubata nemarwadzo emusana, kurapwa kwakawanda kunogona kuderedza marwadzo emusana uye kudzoreredza dhisiki yavo kureba.
Movement Medicine- Vhidhiyo
VIDEO
Iyo Spinal Decompression Inoderedza Spinal Marwadzo
Kana vanhu vachitsvaga marapirwo ekurwadziwa kwemusana, vazhinji vanotsvaga marapirwo ekuvhiya kuti vaderedze marwadzo avo, asi zvichave zvishoma. Nekudaro, vanhu vazhinji vanozosarudza kurapwa kusiri kwekuvhiya nekuda kwekugona kwavo. Mishonga isiri-yekuvhiya inodhura uye inogoneka kumarwadzo emunhu nekusagadzikana. Kubva pakurapwa kwechiropractic kusvika kuacupuncture, zvichienderana nekuoma kwemarwadzo emunhu, vazhinji vachawana zororo ravanotsvaka. Imwe yemishonga ine hunyanzvi yekuderedza marwadzo emusana ndeyekuora kwemusana. Spinal decompression inobvumira munhu kusungirirwa mutafura yekudhonza. Izvi zvinodaro nekuti inodhonza zvinyoro nyoro kumusana kuti igadzirise iyo spinal disc nekudzikisa kudzvanywa kumusana kushevedzera kupora kwemuviri kudzikamisa marwadzo. ( Ramos naMartin, 1994 ) Uyezve, apo vanhu vakawanda vari kushandisa musana wemusana, kufambisa kunyoro kunopa motokari kuvhiringidza kumusana kunogona kukonzera kuchinja kwemuviri kune spinal disc uye kubatsira kudzorera mararamiro emunhu, kushanduka, uye kufamba. ( Amjad et al., 2022 )
Spinal Decompression Kudzorera Spinal Disc Height
Kana munhu achinge akasungirirwa mumuchina wepinal decompression machine, kupfava kunobatsira kuti spinal disc idzokere kumusana, ichibvumira mvura uye zvinovaka muviri kuti zvidzore mvura yemuzongoza, zvichiwedzera kureba kwemusana. Izvi zvinodaro nekuti musana wemuzongoza unogadzira kudzvinyirira kwakashata pamuzongoza, zvichiita kuti spinal disc idzokere kuhupamhi hwayo hwepakutanga uye kupa zororo. Uyezve, chinhu chinoshamisa chinoitwa nepelinha decompression ndechekuti inogona kusanganiswa nekurapa kwepanyama kubatsira kutambanudza uye kusimbisa mhasuru dzakapoteredza pedyo nemuzongoza kuti upe kugadzikana uye kushanduka. ( Vanti et al., 2023 ) Izvi zvinobvumira munhu wacho kuti anyatsofunga nezvemiviri yavo uye atange kusanganisira kuchinja kwetsika kuduku kuderedza marwadzo kubva pakudzoka. Apo vanhu vazhinji vanotanga kufunga nezvehutano hwavo uye hutano nekuenda kunorapwa, vanozowanazve hupenyu hwavo uye kudzokera kumararamiro avo ezuva nezuva pasina nyaya dzinokanganisa musana wavo.
References
Amjad, F., Mohseni-Bandpei, MA, Gilani, SA, Ahmad, A., & Hanif, A. (2022). Migumisiro yekusavhiyiwa kwekugadzirisa kurapa mukuwedzera kune nguva dzose kurapwa kwepanyama pamarwadzo, mararamiro ekufamba, kutsungirira, kuremara kwekushanda uye hupenyu hwehupenyu hunopesana nemaitiro ekugadzirisa muviri chete kune varwere vane lumbar radiculopathy; muedzo unodzorwa zvisina mwero. BMC Musculoskelet Disord , 23 (1), 255. doi.org/10.1186/s12891-022-05196-x
Coppes, MH, Marani, E., Thomeer, RT, & Groen, GJ (1997). Innervation ye "zvinorwadza" lumbar discs. Pine (Phila Pa 1976) , 22 (20), 2342-2349; hurukuro 2349-2350. doi.org/10.1097/00007632-199710150-00005
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
Roland, MO (1986). Kuongororwa kwakakosha kwehuchapupu hwekurwadziwa-spasm-pain cycle mumatambudziko emusana. Clin Biomech (Bristol, Avon) , 1 (2), 102-109. doi.org/10.1016/0268-0033(86)90085-9
Vanti, C., Saccardo, K., Panizzolo, A., Turone, L., Guccione, AA, & Pillastrini, P. (2023). Mhedzisiro yekuwedzera kwe mechanical traction kune kurapa kwepanyama pamarwadzo ekudzokera shure? Ongororo yakarongeka ine meta-analysis. Acta Orthop Traumatol Turc , 57 (1), 3-16. doi.org/10.5152/j.aott.2023.21323
Zhang, YG, Guo, TM, Guo, X., & Wu, SX (2009). Clinical diagnostic ye discogenic low back pain. Int J Biol Sci , 5 (7), 647-658. doi.org/10.7150/ijbs.5.647
Disclaimer
by Dr Alex Jimenez Kudzorera Pain , Chiropractic , chisingaperi Pain , Herniated Disc , Pasi Pasi Pain , Spinal Decompression Treatments , Pamuviri Utano , Mishonga , Viscerosomatic Reflex
Ko vanhu vane herniated pain inoenderana nekurwadziwa kwemusana vanogona kuwana zororo kuburikidza nemusana decompression kudzorera kufamba?
ziviso
Vanhu vazhinji pasi rose vakanzwa kurwadziwa munharaunda yekuseri uye vanowanzonyunyuta kuti zvinokanganisa kufamba kwavo pavanenge vachiita maitiro avo. Iyo musculoskeletal system ine mhasuru dzakasiyana-siyana, zvinyoro zvinyoro, majoini, ligaments, uye mapfupa anobatsira kutenderedza musana uye kudzivirira nhengo dzinokosha. Iyo musana ine mapfupa, majoini, uye nerve midzi ine hukama hwakatanhamara neyepakati tsinga system uye musculoskeletal system sezvo musana wemuzongoza unodzivirirwa nemajoini emusana uye madhisiki ane tsinga midzi yakapararira uye anobatsira kupa sensory-motor. kushanda kumucheto wepamusoro nepamusoro. Apo zvirwere zvakasiyana-siyana kana zvinhu zvakatipoteredza zvinotanga kuita kuti musana unodzvinyirira spinal discs nguva dzose, zvinogona kutungamirira kune herniation uye kukanganisa kufamba kwemuviri nekufamba kwenguva. Vanhu, vaduku nevakuru, vachaona kuti marwadzo haasi kubva pamishonga yepamba uye vangatofanira kutsvaga kurapwa kana kurwadziwa kwakanyanya. Nekudaro, zvinogona kutungamira kutarisana nekushushikana kusingakoshi kana uchitsvaga kurapwa kunokwanisika. Chinyorwa chemazuva ano chinotarisa kuti herniation inogona kukanganisa sei kuderera kwekufamba uye kuti marapirwo akaita sedecompression anogona kubatsira kudzoreredza musana. Isu tinotaura nevanopihwa zvekurapa vane ruzivo vanobatanidza ruzivo rwevarwere vedu kuti vape mhinduro dzakasiyana siyana dzekudzorera yakaderera kumashure kufamba kumusana. Isu tinozivisawo varwere kuti marapirwo akaita sedecompression anogona kudzoreredza kufamba kwemusana kumuviri. Tinokurudzira varwere vedu kuti vabvunze mibvunzo yakaoma uye yekudzidzisa kune vatinoshamwaridzana navo vezvokurapa pamusoro pemarwadzo-sezviratidzo zvavari kusangana nazvo zvinowirirana ne disc herniation inobata musana. Dr. Alex Jimenez, D.C., anoshandisa ruzivo urwu sebasa rezvidzidzo. Disclaimer .
Disc Herniation Inobata Low Back Mobility
Iwe unowanzo sangana nekuoma kana kuderera kwekufamba mumusana wako wepasi izvo zvinokukonzera kufamba zvishoma zvishoma kupfuura nguva dzose? Unonzwa here marwadzo mutsinga dzako dzepazasi kubva pakutambanudza kana kukotama kuti utore chinhu? Kana kuti unonzwa chiveve kana kurira kwekunzwa pasi pemakumbo ako anonzwa asina kugadzikana? Kana vanhu vazhinji vatanga kuita kudzokorora mafambiro, izvo zvinogona kuita kuti maspinal discs avo anomanikidza nekufamba kwenguva uye pakupedzisira ave herniated. Kana vanhu vazhinji vakashanda zvakanyanya miviri yavo, spinal discs yavo inogona kupedzisira yatsemuka, zvichiita kuti chikamu chemukati chibude uye kudzvanya pane yakatenderedza nerve mudzi. Izvi zvinokonzeresa kuti disc tissue ive necentral ballon-type cyst inokonzera kuparara kwekuchinja, zvichiita kuti kurwadza kwemusana uye herniation. ( Ge et al., 2019 )
Panguva imwecheteyo, apo vanhu vazhinji vanotanga kutarisana nemarwadzo ekudzokera shure kubva kune herniated discs, vanozotanga kurasikirwa nekufamba mumashure avo ezasi. Izvi zvinogona kunge zvakakonzerwa nemhasuru dzisina simba dzemudumbu dzakasanganiswa nekufamba kushoma. Kana vanhu vazhinji vasina mhasuru dzakasimba dzekupa tsigiro uye kufamba kumusana wavo wezasi, zvinogona kutanga nekurwadza kwemasuru, zvichiita kuti varambe vachirwadziwa kumusana pasina kurapwa uye zvichikanganisa hupenyu hwavo. ( Chu, 2022 ) Zvisinei, kubata nemarwadzo ekudzokera shure hakufaniri kuva kunonetesa sezvo mishonga yakawanda inogona kuderedza migumisiro yemarwadzo ekudzokera shure anoenderana ne disc herniation apo uchidzorera kuderera kwemusana kufamba.
Sayenzi Yekufamba-Vhidhiyo
VIDEO
Wakambosangana neasina mubvunzo aches aches anopenya kubva kuzasi kwako uye achifamba achidzika makumbo ako? Unonzwa kuoma here paunokotama kuti utore chinhu chinoita kuti tsandanyama iome kumusana kwako? Kana kuti unonzwa kurwadziwa kumusana kwako kubva pakugara zvakanyanya kana kumira? Kana vanhu vazhinji vachitarisana neaya maronda-akaita nyaya muzasi mavo, zvinogona kutungamira kuhupenyu hwekuremara asi zvichikanganisa hupenyu hwavo. Izvi zvinokonzerwa ne disc disc herniation inokanganisa kufamba kwepasi kwemunhu uye, kana isina kurapwa pakarepo, inogona kutungamirira kumatambudziko asingagumi. Nekudaro, vanhu vazhinji vanotsvaga kurapwa kwekurwadziwa kwavo kwepazasi uye kuwana zororo ravanoda. Mazhinji maekisesaizi ekurapa akasanganiswa neasina-kuvhiya marapirwo anogona kubatsira kudzoreredza mhasuru dzehunde dzakasimba kuti dzigadzikane kuzasi kumashure zviri nani uye kubatsira kuderedza marwadzo ekumusana. ( Hlaing et al., 2021 ) Apo vanhu vanotanga kufunga nezvehutano hwavo uye hutano hwakanaka, kunyanya pavanenge vachitarisana nekurwadziwa kwepashure kunokanganisa kufamba kwavo, vachaona kuti marwadzo mazhinji anobva pane zvakajairika, zvinodzokorora zvinokonzera kuti spinal disc yavo iomerwe uye herniated. Nokudaro, kushandisa traction kune lumbar spine kunogona kubatsira kuderedza lumbar disc protrusion iyo inokonzera marwadzo ekudzokera shure. ( Matthews, 1968 ) Mishonga yakaita sechiropractic care, traction therapy, uye spinal decompression zvose zvisiri zvekuvhiya zvinodhura uye zvinyoro pamusoro pemusana. Ivo vanobatsira kugadzirisa muviri uye kubatsira kukanda kutanga kwemuviri kuporesa chinhu kuti udzore mvura yemuzongoza disc. Apo vanhu vazhinji vanotanga kuita kurapa kunopfuurira kuderedza marwadzo avo emusana akabatanidzwa nemadhisiki e-herniated, vanozotanga kuona kuvandudzwa kwekufamba kwavo kwemusana uye kurwadziwa kwavo kuderera. Tarisa vhidhiyo iri pamusoro apa kuti uone kuti kurapa kusiri kwekuvhiya kunogona kubatsira sei kudzorera kufamba kumuviri uye kuderedza marwadzo-sezviratidzo.
Decompression Kudzorera The Spine
Kana zvasvika pakuderedza marwadzo-sezviratidzo zvinokonzerwa ne disc herniation izvo zviri kukonzera kufamba zvishoma uye kuderera kwemarwadzo ekudzokera shure, kuora kwemusana kunogona kuva mhinduro iyo vanhu vakawanda vari kutsvaga kuti vaise muhutano hwavo uye hutano hwakanaka. Sezvo lumbar herniated spinal discs iri chikonzero chinowanzokonzera marwadzo ekudzokera shure uye radiculopathy, kupera kwepelinha kunogona kubatsira zvinyoronyoro kudhonza herniated disc kudzokera kunzvimbo yayo yepakutanga kukurudzira kuporesa. Sezvo musana uye lumbar traction iri chikamu che physiotherapy kurapwa, vanogona kubatsira kuderedza marwadzo ekurwadziwa kubva kumusana uye kuderedza saizi ye herniated disc. ( Choi et al., 2022 ) Kana vanhu vazhinji vachinzwa kurerukirwa kubva mukudhonzwa zvinyoro kubva mukuora kwemusana, vanozoona kuti kufamba kwavo kwadzoka. Mushure mekutevera kurapwa, kurwadziwa kwavo kuchaderedzwa sezvo spinal disc yavo yapora zvachose. ( Cyriax, 1950 ) Nevanhu vazhinji vari kutsvaga marapirwo akawanda ekuderedza marwadzo emusana uye kuwanazve pfungwa yehupenyu, kubatanidza marapirwo aya kunogona kupa mhedzisiro inobatsira kune yavo musculoskeletal system.
References
Choi, E., Gil, HY, Ju, J., Han, WK, Nahm, FS, & Lee, PB (2022). Mhedzisiro yeNonsurgical Spinal Decompression paKusimba Kwemarwadzo uye Herniated Disc Volume muSubacute Lumbar Herniated Disc. International Journal of Clinical Practice , 2022 , 6343837. doi.org/10.1155/2022/6343837
Chu, E. C. (2022). Huru yedumbu yeaortic aneurysm inounzwa ine concomitant acute lumbar disc herniation - nyaya yenyaya. J Med Hupenyu , 15 (6), 871-875. doi.org/10.25122/jml-2021-0419
Cyriax, J. (1950). Kurapa kwezvironda zve lumbar disk. Br Med J , 2 (4694), 1434-1438. doi.org/10.1136/bmj.2.4694.1434
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
Hlaing, S. S., Puntumetakul, R., Khine, E. E., & Boucaut, R. (2021). Migumisiro ye core stabilization exercise uye kusimbisa kurovedza muviri pa proprioception, kuenzanisa, mhasuru uye marwadzo ane chokuita nemigumisiro kune varwere vane subacute nonspecific low back pain: a randomized controlled trial. BMC Musculoskelet Disord , 22 (1), 998. doi.org/10.1186/s12891-021-04858-6
Matthews, J. A. (1968). Dynamic discography: chidzidzo che lumbar traction. Ann Phys Med , 9 (7), 275-279. doi.org/10.1093/rheumatology/9.7.275
Disclaimer
by Dr Alex Jimenez Kudzorera Pain , Chiropractic , chisingaperi Pain , Herniated Disc , Pasi Pasi Pain , Spinal Decompression Treatments , Pamuviri Utano , Mishonga , Viscerosomatic Reflex
Vapi vehutano vanogona kubatsira vanhu vazhinji vane lumbar disc degeneration kuwana zororo kuburikidza nemusana decompression kurapwa?
ziviso
Vanhu vazhinji vanowanzoita mafambiro emazuva ese anogona kubvumira musana kukotama, kumonyoroka, uye kutendeuka nenzira dzakasiyana-siyana vasinganzwe kurwadziwa uye kusagadzikana. Zvisinei, sezvo muviri uchikura, ndizvo zvinoitawo musana, sezvo spinal discs inotanga maitiro echisikigo ekuderera. Sezvo spinal discs mumutsara wepinini inotora vertical pressure huremu, inodzikamisa iyo yepamusoro uye yakaderera migumo uye inopa kufamba. Kusvika panguva iyoyo, apo vanhu vazhinji vanotambura nekukuvadzwa kwakasiyana-siyana kana kwezvakatipoteredza zvinokonzera kuti spinal disc iomerwe, inogona kutungamirira kumatambudziko akaderera anokonzera marwadzo uye kusagadzikana kana munhu achiita basa. Sezvo kurwadziwa kwepashure nderimwe rematambudziko matatu akajairika akabatwa nevanhu vazhinji pasi rese, inogona kuve nyaya yemagariro nehupfumi inogona kutungamira kuhupenyu hwekuremara uye kusuruvara. Kurwadziwa kwepashure kunowanzoenderana ne disc degeneration, uye mitsipa yakapoteredza uye mhasuru tishu inogona kukanganisa kumusoro uye pasi. Izvi zvinokonzera marwadzo anotaurwa kumapoka akasiyana-siyana emusculoskeletal, zvichiita kuti vanhu vakawanda vatsvake kurapwa kusingagoneki chete asiwo kunoshanda mukuderedza marwadzo. Nyaya yanhasi inotarisa anatomy ye lumbar disc, kuti disc degeneration inobata sei lumbar spine, uye kuti kupera kwemusana kunogona kuderedza sei lumbar disc degeneration kubva pakukonzera marwadzo akawanda kusvika kuzasi. Tinotaura nevarapi vane hunyanzvi vanosanganisa ruzivo rwevarwere vedu kupa zvirongwa zvakawanda zvekurapa kudzikamisa marwadzo-sezviratidzo zvine chekuita nelumbar disc degeneration inokonzera kuderera kwemusana. Isu tinozivisawo varwere vedu kuti kune zvisiri zvekuvhiya zvingasarudzwa kuti kuderedze idzi marwadzo-sematambudziko anoenderana ne disc degeneration uye kudzorera lumbar kufamba kumuviri. Tinokurudzira varwere vedu kubvunza mibvunzo yakaoma uye inodzidzisa kune vatinosanganisirwa varapi vekurapa nezve kurwadziwa-kufanana nezviratidzo zvavari kusangana nazvo zvinoenderana nechepasi musana. Dr. Alex Jimenez, DC, anoshandisa ruzivo urwu sebasa rezvidzidzo. Disclaimer .
Iyo Anatomy yeLumbar Disc
Iwe unonzwa kushushikana kana kuomarara muzasi kwako kumashure mushure mekumuka mangwanani? Unonzwa kurwadziwa kamwe kamwe kana zvishoma nezvishoma kubva pakukotama pasi kuti usimudze chinhu chinorema chiri kukanganisa kuzasi kwako? Kana kuti unonzwa marwadzo mune imwe nzvimbo kana imwe kumashure kwako izvo zviri kukonzera iwe marwadzo uye kusagadzikana munzvimbo yako ye lumbar spinal? Zvizhinji zveizvi zvinorwadza-senge nyaya dzinowanzoenderana ne disc degeneration yakasanganiswa nekurwadziwa kwakadzika kumashure. The spinal disc's anatomy ine zvinhu zvitatu zvinoshanda pamwe chete mune chaiyo pateni kupikisa masimba anoiswa mulumbar musana. ( Martin et al., 2002 ) Sezvo lumbar spine iri chikamu chakakora chemusana, spinal disc inotsigira uremu hwepamusoro apo ichidzikamisa muviri wezasi. Nekudaro, iyo spinal disc inoderera nekufamba kwenguva apo muviri unochembera. Sezvo kuderera kuri maitiro echisikigo, vanhu vazhinji vanozotanga kunzwa kushoma mobile, izvo zvinogona kukonzera nyaya dzakawanda mukati me lumbar spine.
Iyo Disc Degeneration Inobata sei Iyo Lumbar Spine
Kana disc degeneration ikaitika mu lumbar spine, spinal disc inotanga kuderera muhuwandu, uye mishonga iyo hydrate disc inotanga kupera uye inomanikidzwa. Kana disc degeneration inokanganisa lumbar spine, nerve midzi kubva pakati system inobatwa. Zvinogona kubatanidzwa nechero boka repathological mamiriro anogona kutsamwisa tsinga dzakatenderedza uye kuburitsa zviratidzo zvinorwadza. ( Bogduk, 1976 ) Kusvika ipapo, izvi zvinokonzera marwadzo anotaurwa mumakumbo ezasi uye marwadzo anopenya muzasi. Panguva imwecheteyo, glycosphingolipid antibodies inoshandiswa mukudzivirira muviri, zvichiita kuti zvirwere zvinopisa. ( Brisby et al., 2002 ) Apo vanhu vari kutarisana nekurwadziwa kwepashure kunobatanidza ne disc degeneration, vanhu vazhinji vachanzwa kudzika kwavo kwemashure kuvharwa, zvichiita kuti kufamba zvishoma uye kuoma. Panguva imwecheteyo, mhasuru yakapoteredza uye zvinyoro zvinyoro zvinowedzerwa uye zvakasimbiswa. Iyo spinal disc inokanganisawo nerve fibers yakatenderedza musana, zvichitungamira kune nociceptive kuzasi kurwadza kwemusana. ( Coppes et al., 1997 ) Zvisinei, vanhu vakawanda vanogona kuwana marapirwo aripo kuti vaderedze marwadzo ekudzokera shure ane chokuita ne disc degeneration.
Mhedziso Yezve Spinal Decompression- Vhidhiyo
VIDEO
Spinal Decompression Inogona Kuderedza Lumbar Disc Degeneration
Vanhu vazhinji vanogona kutsvaga marapirwo asiri ekuvhiya kuti vaderedze marwadzo ekudzokera kumashure anoenderana neiyo disc degeneration sezvo inodhura-inoshanda uye, kuburikidza nekurapa kwakatevedzana, inogona kutanga kunzwa zviri nani. Mamwe marapirwo asiri ekuvhiya senge spinal decompression anogona kubatsira kudzoreredza spinal disc kuburikidza nekupuruzira zvinyoro uye kukurudzira kupora kwechisikigo. Spinal decompression inogona kuve yemanyorero kana mechanical, uchishandisa kumanikidza kwakashata kuwedzera disc kureba. ( Vanti et al., 2021 ) Izvi zvinoita kuti vanhu vakawanda vanzwe kurerukirwa kwavanofanirwa uye kunzwa zviri nani nekufamba kwenguva. Spinal decompression inogona kuderedza disc degeneration, kudzikamisa lumbar spine, uye kubatsira kudzorera musana wekufamba kudzokera kune yakaderera zvikamu. ( Daniel, 2007 ) Apo vanhu vazhinji vanotanga kutarisira miviri yavo uye kuderedza mikana yemarwadzo ekudzokera shure kubva pakudzoka kukonzera nyaya dzakawanda kumusana.
References
Bogduk, N. (1976). Iyo anatomy ye lumbar intervertebral disc syndrome. Med J Aust , 1 (23), 878-881. www.ncbi.nlm.nih.gov/pubmed/135200
Brisby, H., Balague, F., Schafer, D., Sheikhzadeh, A., Lekman, A., Nordin, M., Rydevik, B., & Fredman, P. (2002). Glycosphingolipid antibodies mu serum mune varwere vane sciatica. Pine (Phila Pa 1976) , 27 (4), 380-386. doi.org/10.1097/00007632-200202150-00011
Coppes, MH, Marani, E., Thomeer, RT, & Groen, GJ (1997). Innervation ye "zvinorwadza" lumbar discs. Pine (Phila Pa 1976) , 22 (20), 2342-2349; hurukuro 2349-2350. doi.org/10.1097/00007632-199710150-00005
Daniel, DM (2007). Kusina-kuvhiya musana decompression therapy: zvinyorwa zvesainzi zvinotsigira zvikumbiro zvinobudirira zvakaitwa mukushambadzira midhiya? Chiropr Osteopat , 15 , 7. doi.org/10.1186/1746-1340-15-7
Martin, MD, Boxell, CM, & Malone, DG (2002). Pathophysiology ye lumbar disc degeneration: kuongororwa kwemabhuku. Neurosurge Focus , 13 (2), E1. doi.org/10.3171/foc.2002.13.2.2
Vanti, C., Turone, L., Panizzolo, A., Guccione, AA, Bertozzi, L., & Pillastrini, P. (2021). Vertical traction ye lumbar radiculopathy: kuongorora kwakarongeka. Arch Physiother , 11 (1), 7. doi.org/10.1186/s40945-021-00102-5
Disclaimer
by Dr Alex Jimenez Kudzorera Pain , Herniated Disc
Vanhu vanobata nedambudziko rekurwadziwa kwemusana vanogona kunge vari kutambura kubva kune bulging disc. Kuziva mutsauko pakati pekutsvedza uye herniated disc zviratidzo zvingabatsira nekurapa uye kuwana zororo?
Bulging Disc Pain
Marwadzo ekumusana anogona kupera simba kana akasarapwa zvakanaka. A bulging disc ndiyo inowanzokonzera cervical, thoracic, uye zviratidzo zvinorwadza shure. Zvinoitika kana imwe yemakusheni akazadzwa nemvura pakati pe vertebrae inotanga kusimuka kubva panzvimbo. Panzvimbo pekuenderana nemicheto, iyo disc inoputika pamusoro. Izvi zvinotanga kuburitsa kudzvanywa patsinga dzinokonzera marwadzo nekuzvimba.
Bulging discs inowanzokonzerwa nezera, asi kudzokorora mafambiro uye / kana kusimudza zvinhu zvinorema zvinogona kuita kuti mamiriro acho aite.
Zviratidzo zvinogona kugadzirisa ivo pachavo, asi vanhu vanokurudzirwa kutaurirana nemushonga wepanyama uye / kana chiropractor kuti vave nechokwadi chokuti diski inoporesa zvakanaka, kana zvisina kudaro, inogona kutungamirira kukuwedzera uye / kana kuwedzera kukuvadzwa.
Bulging Disc vs. Herniated Disc
Bulging uye herniated discs zvinokonzera zviratidzo zvinorwadza.
Kuputika - intervertebral disc inofamba kubva panzvimbo asi inoramba yakasimba.
Herniated - iyo gobvu yekunze kwekunze kwe disc inoputika, zvichiita kuti cushioning gel mukati idonhe pamutsipa wepelinha.
Nzvimbo Yezviratidzo
A bulging disc inogona kuitika chero kupi zvako pamuzongoza.
Nekudaro, mazhinji anoitika pakati peekupedzisira mashanu vertebrae muzasi kumashure.
Iyi ndiyo lumbar spine. (American Academy yeOrthopedic Surgeons. 2022 )
Izvi zvinodaro nekuti iyo yakaderera kumashure inoenderana nemhando dzese dzekumanikidza uye kufamba nemabasa ezuva nezuva, kuwedzera mikana yekurwadziwa nekukuvara.
Nzvimbo inotevera inowanzoitika ndiyo mutsipa / cervical spine uko kune nguva dzose mafambiro anoita kuti zvive nyore kukuvara uye zviratidzo zvinorwadza.
Zvinokonzera
Mabulging discs anowanzo kukonzerwa nekuchembera kwemuviri uye kusakara kwakajairwa uye kubvaruka. Sezvo nguva ichienderera mberi, intervertebral discs inoderera, inozivikanwa se degenerative disc chirwere. Izvi zvinogona kuita kuti madhisiki adonhe pasi, zvichiita kuti abude kubva pakuiswa kwawo. (Penn Mushonga. 2018 ) Zvinhu zvinogona kukonzera kana kuwedzera mamiriro acho zvinosanganisira:
Kudzidzira maitiro asina kunaka.
Kudzokorora mafambiro.
Kusimudza zvinhu zvinorema
Kukuvara kwepamuviri.
Nhoroondo yezvechiremba yemusana kana disc chirwere mumhuri.
mabatiro
Kurapa dhisiki rinoputika kunotora nguva uye kushivirira. (American Academy yeNeurological Surgeons. 2023 )
Kuongorora
Vanhu vane marwadzo ekumusana anokanganisa mabasa ezuva nezuva kana kuti atora nguva yakareba kupfuura mavhiki matanhatu, vanofanira kuona mupi wehutano kuti aongorore. Vacharayira magnetic resonance imaging scan / MRI, iyo inogona kuratidza kuti dhisiki iri kubuda kupi. (American Academy yeNeurological Surgeons. 2023 )
Zorora
Nokuda kwekurwadziwa kwe disc, kuzorora musana kunokosha. Zvisinei,
Varwere vazhinji vanobatsirwa nezuva rimwe kana maviri ekuzorora pamubhedha. (American Academy yeOrthopedic Surgeons. 2022 )
Mushure mezvo, tanga mabasa akareruka sekufamba. Dzivisa chero mafambiro anoita kuti marwadzo ako awedzere.
NSAIDs
NSAID mishonga inorwadza seAdvil, Motrin, kana Aleve inogona kuchengetedza zviratidzo zvekurwadziwa uye kuzvimba kuderedzwa.
Zvisinei, izvi ndezvekushandiswa kwenguva pfupi, sezvo chikonzero chichiri kufanira kugadziriswa.
Mumwe mupi wehutano achakurudzira dosi yakachengeteka uye kuti mishonga iyi inofanira kutorwa kwenguva yakareba sei. (American Academy yeOrthopedic Surgeons. 2022 )
Therapy Therapy
Steroid Injection
Jekiseni re epidural steroid rinogona kupa zororo kune vanhu vachiri kuona zviratidzo mushure memavhiki matanhatu.
Mupi wehutano anopinza cortisone mumusana kuderedza kuzvimba uye kurwadziwa. (American Academy yeOrthopedic Surgeons. 2022 )
Surgery
Kana kurapa kwekuchengetedza kusashanda, mupi wehutano anogona kukurudzira kuvhiyiwa, senge microdiscectomy.
Iyi nzira inoshandisa diki incisions kubvisa zvese kana chikamu chebulging disc.
Vanhu vazhinji vane disc inoputika havazodi kuvhiyiwa. (American Academy yeNeurological Surgeons. 2023 )
Kuzvimba: Integrative Medicine Nzira
VIDEO
References
Penn Mushonga. (2018) Bulging disc vs. herniated disc: Chii chakasiyana ?
American Academy yeOrthopedic Surgeons. (2022) Herniated disk muzasi kumashure .
American Academy yeNeurological Surgeons. (2023) Herniated disc .
National Institutes of Health. (2022) Spinal Manipulation: Zvaunoda Kuziva .
by Dr Alex Jimenez Chiropractic , chisingaperi Pain , Herniated Disc , Pasi Pasi Pain , Spinal Decompression Treatments , Spine Care , Mishonga , Viscerosomatic Reflex
Mune vanhu vane herniated discs, kusagadziriswa kwekusavhiya kunofananidzwa sei nekuvhiya kwechinyakare kugadzirisa musana?
ziviso
Kana vanhu vazhinji vatanga kuwedzera kumanikidza kusingakoshi kumusana wavo, zvinogona kutungamirira kumigumisiro inokuvadza kumusana wavo. Muzongoza ndiwo musana wemuviri, uchibvumira kuti zvikamu zvepamusoro uye zvepasi zvifambe uye kudzikamisa huremu hweaxial huremerwa pasina munhu anonzwa kurwadziwa kana kusagadzikana. Chimiro chemusana chakakomberedzwa nemhasuru, zvinyoro zvinyoro, ligaments, nerve midzi, uye majoini anotsigira musana. Pakati pepinal facet majoini uye chimiro madhisiki akadzika anotora kuvhunduka uye kudzvanywa kubva kune axial overload. Nekudaro, kana kushushikana kusingadiwe kunotanga kumanikidza dhisiki, inogona kutungamirira mukukura kweherniation. Zvichienderana nenzvimbo, zvinogona kukonzera marwadzo-sezviratidzo senge kuzasi uye kurwadziwa kwemutsipa kana sciatica. Dzimwe nguva, herniated discs inogona kunge yakakonzerwa nekuderera kwechisikigo, uko spinal disc kureba kunoderera, uye inogona kuputika pasi pekumanikidzwa, zvichiita kuti disc dehydration, iyo, kusvika panguva ino, inokonzera nyaya dzepelinha kune vanhu vakawanda, vachifunga kuti vari kutambura kurwadziwa kunotaurwa. munzvimbo dzakasiyana dzemuviri. Sezvineiwo, vanhu vazhinji vanogona kuwana zororo ravanotsvaga kuburikidza neasina-kuvhiya marapirwo ekudzorera dhisiki kureba uye kugadzirisa herniated disc. Nyaya yemazuva ano inotarisa pamigumisiro ye casing ye herniated discs uye kuti kupera kwepelinha, chimiro chekurapa kusina kuvhiyiwa, kunogona kubatsira kuderedza marwadzo-sezviratidzo zvinosanganiswa ne discs herniated. Pamusoro pezvo, tinotaurirana nevarapi vane hunyanzvi vanosanganisa ruzivo rwevarwere vedu kuderedza herniated disc kurwadziwa, zvichikonzera nyaya dzakawanda dzemusculoskeletal. Isu tinovazivisawo kuti kurapa kusiri kwekuvhiya kunogona kubatsira kudzikisira marwadzo anotaurwa-senge zviratidzo zvine chekuita nemadhisiki e-herniated uye kudzoreredza disc kureba mumusana wavo. Isu tinokurudzira varwere vedu kuti vabvunze inoshamisa mibvunzo yedzidzo kune vatinosanganisirwa vatapi vezvokurapa nezve marwadzo avo anorehwa anowirirana nemadhisiki eherniated. Dr. Jimenez, DC, anobatanidza ruzivo urwu sebasa rekudzidzisa. Disclaimer
Iko Kuchinja Migumisiro YeHerniated Discs
Wakambosangana nemarwadzo asingadiwi mumakumbo ako epamusoro uye ezasi mushure mezuva refu rekushanda? Zvakadini nekurwadziwa mukati memusana wako izvo zviri kukonzera zviratidzo zvechiveve kana kurira kwekunzwa mumaoko ako, tsoka, kana makumbo? Kana kuti uri kutarisana nemarwadzo anorwadza emuzasi ari kukanganisa kugona kwako kushanda? Vanhu vazhinji havazivi kuti kurwadziwa-kufanana nezviratidzo zvavari kuona hazvisi pasi kumashure, mutsipa, kana kurwadziwa kwepfudzi, asi zvinopindirana nemadhisiki e-herniated mumusana wavo. Herniated discs ndiyo apo nucleus pulposus (inner disc chikamu) inotanga kubuda kunze kwenzvimbo yayo yepakutanga kubva panzvimbo ye intervertebral. (Dydyk, Ngnitewe Massa, & Mesfin, 2023 ) Herniated discs chimwe chezvikonzero zvinowanzokonzera marwadzo ekudzokera shure, uye kazhinji, vanhu vakawanda vachayeuka chakakonzera herniation mumusana wavo.
Mimwe yemigumisiro inotungamirira ku disc herniation ndeyokuti vanhu vazhinji vachatakura zvinhu zvinorema nguva dzose kubva kune imwe nzvimbo kuenda kune imwe, uye kushanduka kwehuremu kunogona kuita kuti diski irambe ichimanikidzwa uye nokudaro inotungamirira ku herniation. Uyezve, apo intervertebral disc inotanga kuratidza zviratidzo zvekuoma, zvinogona kukonzera kusagadzikana kwepelinha kufamba. (Haughton, Lim, & An, 1999 ) Izvi zvinokonzera morphologic kuchinja mukati me intervertebral disc uye inokonzera kuti irege kupera. Iyo chondroitin sulfation yeproteoglycan mu diski inopinda kuburikidza nekuchinja mu diski pachayo, uye kana kuora kunobatanidza ne discs herniated, zvinogona kutungamirira kumatambudziko emusculoskeletal. (Hutton et al., 1997 )
Chikonzero Chinokonzera Marwadzo- Vhidhiyo
VIDEO
Apo kuchinja kunopera kunotanga kukanganisa intervertebral discs, zvinogona kutungamirira kune intervertebral kureba kurasikirwa, kusaina kunorwadza kusinganzwisisike, uye nerve root entrapment inobatanidza ne disc disruption. (Milette et al., 1999 ) Izvi zvinokonzera cascading effect sezvo yekunze annulus ye spinal disc inoputika kana kuputika, zvichikonzera marwadzo kumusana. Kana iyo yekunze annulus ye spinal disc inotanga kuve ne nerve ingrowth mumadhisiki akabatwa, izvo zvino zvinotungamira kune vanhu vanobata ne musculoskeletal kusagadzikana kunoenderana nekurwadziwa. (Freemont et al., 1997 ) Vanhu vazhinji vachatsvaga kurapwa kusiri kwekuvhiya pavanenge vachiwana kurapwa kuti vaderedze marwadzo anokonzerwa nemadhisiki eherniated nekuda kwekudhura kwawo uye kuti yakachengeteka sei kumusana wavo. Chiropractic care, massage therapy, spinal decompression, uye traction therapy inowanikwa marapirwo anogona kushandiswa mumunhu, anosanganisira chirongwa chekuchengetedza kurapwa kuderedza chero marwadzo ari kubatwa nemunhu. Vhidhiyo inotsanangura kuti marapirwo aya angashandise sei misimboti yehutano hwakanaka kuona panowanikwa marwadzo uye kubata chero nyaya dzehutano nechero zvingakonzeresa.
Spinal Decompression Kuderedza Herniated Disc
Nezvekurapa kusiri kwekuvhiya kunoderedza herniated discs, spinal decompression inogona kubatsira kuderedza marwadzo anokanganisa kufamba kwemusana. Spinal decompression inoshandisa mechanical traction kutambanudza zvinyoronyoro musana uye kubvumira herniated disc kuti idzokere panzvimbo yayo yepakutanga. Spinal decompression inobatanidza kudzvinyirira kwakashata, iyo inobatsira mishonga inowedzera dhisiki regenerative zvinhu. (Choi et al., 2022 ) Izvi zvinobvumira iyo facet majoini uye aggravated tsinga kuve nekudzikisira kudzvinyirira uye kuwedzera disc nzvimbo kureba. Panguva imwecheteyo, kupera kwepelinha kunogona kusanganiswa nekurapa kwepanyama kuderedza marwadzo-sezviratidzo zvinosanganiswa ne-herniated discs uye kupa migumisiro inobatsira. (Amjad et al., 2022 ) Zvimwe zvezvinhu zvinobatsira zvine chekuita nemusana decompression zvinosanganisira:
Kuvandudzwa kwemarwadzo mumucheto wepamusoro uye pasi Spinal range yekufamba Kutsungirira kwetsandanyama kwakadzorerwa Joint ROM yakadzorerwa
Apo vanhu vazhinji vanonyanya kufunga nezvekuti zvinhu zvakasiyana-siyana zviri kukonzera sei nyaya dzemusana, vanogona kuita shanduko shoma muhupenyu hwavo hwezuva nezuva, uye izvo zvinogona kuderedza mikana yemarwadzo kubva pakudzoka. Izvi zvinovabvumira kunakidzwa nehupenyu zvizere uye kuenderera mberi nehutano hwavo uye rwendo rwekugwinya.
References
Amjad, F., Mohseni-Bandpei, MA, Gilani, SA, Ahmad, A., & Hanif, A. (2022). Migumisiro yekusavhiyiwa kwekugadzirisa kurapa mukuwedzera kune nguva dzose kurapwa kwepanyama pamarwadzo, mararamiro ekufamba, kutsungirira, kuremara kwekushanda uye hupenyu hwehupenyu hunopesana nemaitiro ekugadzirisa muviri chete kune varwere vane lumbar radiculopathy; muedzo unodzorwa zvisina mwero. BMC Musculoskelet Disord , 23 (1), 255. doi.org/10.1186/s12891-022-05196-x
Choi, E., Gil, HY, Ju, J., Han, WK, Nahm, FS, & Lee, P.-B. (2022). Mhedzisiro yeNonsurgical Spinal Decompression paKusimba Kwemarwadzo uye Herniated Disc Volume muSubacute Lumbar Herniated Disc. International Journal of Clinical Practice , 2022 , 6343837. doi.org/10.1155/2022/6343837
Dydyk, AM, Ngnitewe Massa, R., & Mesfin, FB (2023). Disc Herniation. In StatPearls . www.ncbi.nlm.nih.gov/pubmed/28722852
Freemont, AJ, Peacock, TE, Goupille, P., Hoyland, JA, O'Brien, J., & Jayson, MI (1997). Nerve ingrowth muchirwere che intervertebral disc mumarwadzo asingagumi ekudzokera shure. Lancet , 350 (9072), 178-181. doi.org/10.1016/s0140-6736(97)02135-1
Haughton, VM, Lim, TH, & An, H. (1999). Intervertebral disk kuonekwa kwakabatana nekuoma kwe lumbar spinal motion segments. AJNR Am J Neuroradiol , 20 (6), 1161-1165. www.ncbi.nlm.nih.gov/pubmed/10445464
www.ajnr.org/content/ajnr/20/6/1161.full.pdf
Hutton, WC, Elmer, WA, Boden, SD, Horton, WC, & Carr, K. (1997). Kuongororwa kwechondroitin sulfate mu lumbar intervertebral discs pamatanho maviri akasiyana ekuderera sekuongororwa ne discogram. Nyaya yeSpinal Disorders , 10 (1), 47-54. www.ncbi.nlm.nih.gov/pubmed/9041496
Milette, PC, Fontaine, S., Lepanto, L., Cardinal, E., & Breton, G. (1999). Kusiyanisa lumbar disc protrusions, disc bulges, uye discs ane yakajairika contour asi abnormal signal intensity. Magnetic resonance imaging ine discographic correlations. Pine (Phila Pa 1976) , 24 (1), 44-53. doi.org/10.1097/00007632-199901010-00011
Disclaimer
