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Kudzorera Pain

Back Clinic Back Pain Chiropractic Treatment Team. PaEl Paso Back Clinic, tinotora marwadzo ekudzokera shure zvakanyanya.

Mushure mekuongorora chikonzero chekusagadzikana / kurwadziwa kwako, tichaita zvese zviri mukati mesimba redu kurapa nzvimbo uye kubvisa zviratidzo zvako.

Zvinokonzera zvinokonzera kurwadziwa shure:
Kune nhamba isingagumi yemhando dzemarwadzo ekudzokera shure, uye zvakasiyana-siyana zvekukuvara uye zvirwere zvinogona kukonzera kusagadzikana munzvimbo iyi yemuviri. Imwe yeakawanda Kakawanda tinoona mumwe wevarwere vedu muEast Side El Paso nenzvimbo dzakapoteredza dzinosanganisira:

Disc Herniation
Mukati memusana mune madhisiki anochinjika anotenderedza mapfupa ako uye anotora kuvhunduka. Pese kana madhisiki aya akatyoka, anogona kudzvanya tsinga inotungamira kuzasi kwechiveve. KushungurudzikaKana tsandanyama pahunde yakawandisa kana kukuvadzwa, zvichikonzera kuomarara uye kurwadziwa, rudzi urwu rwekukuvara runowanzo kurongerwa senge musana. Izvi zvinogona kuva mhedzisiro yekuedza kusimudza chinhu chinogona kukonzera kurwadziwa kwakanyanya uye kukanganisa uye inorema zvakanyanya. Kuongorora chikonzero chikuru chemarwadzo ako.

Osteoarthritis
Osteoarthritis inoratidzwa nekunonoka kupera kwekudzivirira kwe cartilage. Kana musana uchibatwa nechirwere ichi, chinokonzera kukanganisa kumapfupa anokonzera kurwadziwa kusingaperi, kuoma, uye kufamba zvishoma. SprainKana marunda ari muzongoza nekumusana akatambanudzwa kana kubvaruka, anonzi musana sprain. Kazhinji, kukuvara uku kunokonzera marwadzo munharaunda. Spasms inoita kuti tsandanyama dzekumusana dzishande zvakapfurikidza dzinogona kutanga kubatirana, uye dzinogona kutogara dzakabatwa- kunonziwo tsinga. Tsandanyama spasms inogona kuuya nekurwadziwa uye kuomarara kusvika dambudziko ragadzirisa.

Isu tinoda kuzadzisa kuongororwa nekukasira, tichibatanidza kumashure uye bvunzo pamwe neiyo-ye-iyo-ye-ye-yekufungidzira yekufungidzira, saka tinogona kukupa iwe sarudzo dzakanyanya kurapa. Kutanga, tichataura newe nezve zviratidzo zvako, izvo zvinozotipa ruzivo rwakakomba maererano nemamiriro ako ari pasi. Tichazowongorora muviri, panguva yatichatarisa nyaya dzemamiriro, kuongorora musana wako uye kuongorora musana wako. Kana tikafungidzira kukuvara, senge dhisiki kana kukuvara kwetsinga, isu tingango raira bvunzo dzekufungidzira kuti tiwane ongororo.

Regenerative mishonga kumarwadzo ako kumashure. PaEl Paso Back Clinic, unogona kuve nechokwadi kuti uri mumaoko akanakisa naChiremba wedu weChiropractic uye Massage Therapist. Chinangwa chedu panguva yekurapa kwako marwadzo hakusi kungobvisa zviratidzo zvako - asiwo kudzivirira kudzoka uye kurapa marwadzo ako.


Clinical Approach yekuziva HIV: A Comprehensive Guide

Clinical Approach yekuziva HIV: A Comprehensive Guide

Vanamazvikokota vezvehutano vanopa sei nzira yekiriniki yekuziva HIV kune vanhu vari kurwadziwa nekupa zororo?

ziviso

Muviri wemunhu wakatarisana neakasiyana ezvakatipoteredza zvinhu, kukuvara, uye hutachiona hunogona kukonzera nyaya kuhurongwa hwemuviri. Sezvo vanhu vazhinji vanogara vachifamba kubva kune imwe nzvimbo kuenda kune imwe, kuve neutano kwakakosha zvakanyanya. Kuwana nguva yekuita nguva yehutano hwemunhu uye kugara zvakanaka kwakakosha zvakanyanya, sezvo vanhu vazhinji vakawana comorbidities uye anopindirana enjodzi profiles izvo zviri kuvakonzera kurwadziwa. Kana vanhu vachinge vasangana nenyaya dzekuneta, tsandanyama uye kurwadziwa kwemajoini, kana kusagadzikana kwekudzivirira muviri, vazhinji vezvehutano vanofanirwa kuongorora mamiriro ezvinhu uye kubvunza vanhu ivo pavakasangana neaya maprofile enjodzi uye kuti anokanganisa sei mabasa avo ezuva nezuva. Imwe yemhando dzenjodzi dzinoita sedzinokanganisa muviri ihutachiona hwehutachiona hunozivikanwa seHuman Immunodeficiency Virus kana HIV. Izvi zvinogona kuita kuti vazhinji vezvehutano vauye nehurongwa hwekurapa hwemunhu kuti vaderedze mafambiro enjodzi aya uye kudzidzisa munhu wacho zvekuita kugadzirisa zviratidzo zveHIV. Chinyorwa chanhasi chinotarisa mabatiro anoita HIV kumunhu, zviratidzo zvake, pamwe nemishonga isiri yekuvhiya yekudzora HIV. Isu tinokurukura nevarapi vane hunyanzvi vanobatana navo vanobatanidza ruzivo rwevarwere vedu kuti vaone mhedzisiro yeHIV nezviratidzo zvayo. Isu tinozivisawo uye tinotungamira varwere kuti vangaziva sei kukanganisa kweHIV uye kubvunza vavanosanganisirwa navo vezvokurapa mibvunzo yakaoma kuti vabatanidze chirongwa chekurapa chakasarudzika kubatanidza marapirwo mazhinji asiri ekuvhiya kugadzirisa zviratidzo. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer.

 

Chii Chinonzi HIV?

 

Unogara uchinzwa wakaneta kunyange pashure pokunge wazorora zvakanaka usiku here? Unonzwa huro yako ichirwadza pasina zviratidzo zvefuruu? Kana kuti urikunzwa kurwadziwa kwemhasuru uye majoini munzvimbo dzakasiyana dzemuviri wako? Pasi rose, vanhu vazhinji vanowanzosangana nezviratidzo izvi kubva kuhutachiona hwehutachiona hunozivikanwa seHuman Immunodeficiency Virus kana HIV. HIV ndeyemhuri yeretroviridae, iyo yakanangana nemasoja emuviri, zvikuru maCD4+ T cells. MaCD4+T cell anoita basa rakakosha mukupindura kwedziviriro yemuviri, asi kana HIV yatanga kupedza mareceptor uye kumisa maseru anenge auya. (Masenga et al., 2023) Izvi zvinokonzeresa kuti vanhu vange vaine hutachiwana hweHIV uye, kana vakasarapwa nekukasika, zvinogona kutungamira mukufambira mberi kwematanho akaomarara. Zvisinei, vanhu vanobata sei HIV? Zvakanaka, iyo yakajairika mode ndeye nokusangana pabonde kusina kudzivirirwa, kugoverana tsono, kana kuburikidza nekuratidzwa kwaamai-mucheche, izvo zvinoderedza huwandu hweT-helper cell uye, nekufamba kwenguva, zvinogona kuwedzera simba rekudzivirira muviri. (van Heuvel et al., 2022) Izvi zvinoita kuti vanhu vakawanda vave nezviratidzo zvakasiyana-siyana zvemukondombera izvo zvinogona kusiyana, zvichienderana nekuoma uye mafambiro eutachiona. 

 

Zviratidzo

Ikozvino, kuti kufambira mberi kweHIV kutapure immune system yemuviri uye kukonzeresa kuti zviratidzo zvakasiyana siyana zvibate munhu, nyanzvi dzezvehutano dzakawanda dzinofanirwa kutarisa maitiro eiyo exosomes yemuiti uye basa ravo rekubatana neHIV. Iyo generational process ye exosomes inokonzeresa kupindirana kwengozi profiles pamwe nehutachiona hweHIV sezvo exosomes inogona kutakura hutachiona kubva kumaseru ane hutachiona kuenda kumaseru asina hutachiona emuviri nekuibatsira kudzora kurwisa kwemuenzi kuhutachiona hwehutachiona. (Chen et al., 2021) Kusvika ipapo, zvinogona kutungamirira kukufambira mberi kwematanho akati wandei eHIV uye zviratidzo zvayo. Kana munhu achinge achibata neutachiwana hweHIV mumatanho akanyanya, zviratidzo zvacho zvinogona kupfava uye zvikanganiswe zviri nyore sehutachiona hwehutachiona. Zvimwe zvezviratidzo zvinogona kusanganisira:

  • Muscle aches
  • kurwadza kwemajoini
  • Kuoma kurara
  • Kuneta 
  • Neuropathy
  • Kupfupika kwemhepo
  • Dzorera glands

Izvi zvinodaro nekuti ma cytokines ekuzvimba kubva ku immune system anokwidziridzwa uye kukanganiswa neHIV. Apo cytokines inoputika inobatanidzwa neHIV, zviratidzo zvine simba guru pahupenyu hwemunhu, zvichikonzera kuti ave neshungu. (Schnall et al., 2020) Uyezve, kana HIV yasvika pakunonoka kunonoka, utachiona uhwu hunenge husina kushanda asi hunogona kuramba huchingowedzera pasina zviratidzo mumuviri. Zvisinei, apo HIV inosvika padanho rayo rakaoma, inogona kutungamirira kukukura kweAIDS. Sezvineiwo, kufambira mberi kwekurapa kurapa HIV kubva pamatanho ayo akaomarara kunogona kubatsira kugadzirisa zviratidzo zvine chekuita nazvo. 

 


Nzira Isiri Yekuvhiya Kuhutano- Vhidhiyo


Kurapa Kusina Kuvhiya KweHIV

 

Kana zvasvika pakurapa HIV, kurapa kusiri kwekuvhiya kunogona kubatsira kubata zviratidzo zvayakabatana nazvo uku ichivandudza zvakanyanya tarisiro yehupenyu uye hupenyu hwemunhu anenge abatwa nehutachiona. Pamishonga isiri yekuvhiya, chinangwa chikuru ndechekuongorora HIV nekukasika uye kuongorora mamiriro ezvinhu kuburikidza nekuuya nezvitsva uye zvitsva zvekuongororwa kweHIV kuwedzera kuwanda nekudzivirira kweHIV mumakiriniki uye asiri ekiriniki. (Delaney & DiNenno, 2021) Pazasi pane mamwe marapirwo asiri ekuvhiya ekudzora HIV.

 

Mishonga yemaAntiretroviral

Ikozvino, mamwe emamwe marapirwo asiri ekuvhiya ekudzora HIV nekutora mishonga yemaAntiretroviral. Izvi zvinobvumira munhu ane HIV kuti ave nehanya nekutora mishonga yemaAntiretroviral zuva nezuva, izvo zvinobva zvabatsira kuvandudza kudzvanywa kweutachiona hweHIV uye zvinopa nzira dzinoshanda dzenzira dzekurapa dzekusimudzira mabasa emaARV. (Huerta, 2020) Uyezve, chinangwa chikuru chemishonga yemaAntiretroviral therapy ndiko kuderedza hutachiwana hweHIV kusvika mwero usingaonekwe, chengetedza immune system kushanda, uye kudzivirira kufambira mberi kweAIDS.

 

Mararamiro Ekugadzirisa

Kunyange zvazvo kurarama neHIV nhasi kwakasiyana zvikuru nemakumi emakore apfuura, nekuda kwekufambira mberi kukuru mune zvekurapa. Vanhu vazhinji vanogona kuenda kuvarapi vavo vehutano kuti vavhenekwe nekukurumidza uye kurapwa kunoshanda kuti vararame hupenyu hurefu uye hune hutano. Kuziva, dzidzo, uye kuramba uchishanda nekuongorora hutano zvinoramba zvakakosha mukurwisa HIV nekufambira mberi kwayo. Pamusoro pezvo, kudya kwakaringana, kurovedza muviri nguva dzose, uye tsigiro yehutano hwepfungwa kwakakoshawo kune vanhu vanorarama neHIV, zvichibatsira kusimbisa immune system uye kugadzirisa zviratidzo. Panguva imwecheteyo, kugara uchishanyira mupi wehutano kuitira kuongororwa ropa kwakakosha kutarisa kushanda kweART uye kugadzirisa chirongwa chekurapa sezvinodiwa kuti urarame hupenyu hune hutano.

 


References

Chen, J., Li, C., Li, R., Chen, H., Chen, D., & Li, W. (2021). Exosomes muutachiona hweHIV. Curr Opin HIV AIDS, 16(5), 262-270. doi.org/10.1097/COH.0000000000000694

Delaney, KP, & DiNenno, EA (2021). Matanho ekuongorora hutachiwana hwemadhipatimendi ehutano kuti apedze Denda muUS Ndiri J Prev Med, 61(5 Suppl 1), S6-S15. doi.org/10.1016/j.amepre.2021.06.002

Huerta, L. (2020). Mupepeti: Anti-infective 2020: HIV-Kubva pathogenesis kusvika kurapwa. Curr Opin Pharmacol, 54, x-xii. doi.org/10.1016/j.coph.2020.12.001

Masenga, SK, Mweene, BC, Luwaya, E., Muchaili, L., Chona, M., & Kirabo, A. (2023). HIV-Host Cell Kudyidzana. Masero, 12(10). doi.org/10.3390/cells12101351

Schnall, R., Jia, H., & Reame, N. (2020). Kushamwaridzana Pakati peHIV Symptom Burden uye Inflammatory Cytokines: Ongororo neBonde uye Menopause Stage. J Womens Health (Larchmt), 29(1), 119-127. doi.org/10.1089/jwh.2019.7749

van Heuvel, Y., Schatz, S., Rosengarten, JF, & Stitz, J. (2022). Infectious RNA: Human Immunodeficiency Virus (HIV) Biology, Therapeutic Intervention, uye Kutsvaka Mushonga. Chepfu (Basel), 14(2). doi.org/10.3390/toxins14020138

 

Disclaimer

Kuongorora Periscapular Bursitis: Zviratidzo uye Kuongororwa

Kuongorora Periscapular Bursitis: Zviratidzo uye Kuongororwa

Kune vanhu vari kunzwa kurwadziwa kwepfudzi nekumusoro kumashure, periscapular bursitis ingave chikonzero chinogoneka here?

Kuongorora Periscapular Bursitis: Zviratidzo uye Kuongororwa

Periscapular Bursitis

The scapula/shoulder blade ibhonzo rinoshandura nzvimbo nepamusoro pemuviri uye kufamba kwefudzi. Iyo scapula motion yakakosha kune yakajairika basa repafudzi uye musana. Kana kufamba kusina kujairika kana kungoerekana kwaitika, kuzvimba uye zviratidzo zvinorwadza zvinogona kukura. (Augustine H. Conduah et al., 2010)

Normal Scapula Basa

The scapula ibhonzo retriangular kumusana wepamusoro kunze kwembabvu. Rutivi rwayo rwekunze kana rweparutivi rwune socket yejoinhi / glenoid, nepo rimwe bhonzo rinoshanda semapoinzi ekunamatira kune akasiyana pfudzi uye musana tsandanyama. Iyo scapula inoshanduka pambabvu kana ichifambisa ruoko mberi nekumashure. Sangano iri rinonzi scapulothoracic motion uye yakakosha kune yakajairika basa rekumusoro kwepamusoro uye kubatana kwepafudzi. Kana iyo scapula isingatsvedzeri mukufamba kwakarongeka, basa remuviri nemapfudzi majoini rinogona kuoma uye rinorwadza. (JE Kuhn et al., 1998)

Scapular Bursa

A bursa isaga rinozadzwa nemvura inobvumira kufamba kwakatsetseka, kutsetseka pakati pezvimiro, matishu emuviri, mapfupa, uye tendon. Bursae inowanikwa mumuviri wese, kusanganisira iyo iri pamberi pemabvi, kunze kwehudyu, uye pamapfudzi. Kana bursa ichipisa uye kushatirwa, mafambiro akajairika anogona kurwadza. Kune mabhesi akatenderedza scapula kumusana wepamusoro. Maviri emasaga aya ari pakati pemapfupa uye serratus anterior muscle inodzora kufamba kwe scapular pamadziro echipfuva. Imwe bursa sac iri pakona yepamusoro ye scapula, pedyo nemusana pazasi pemutsipa, uye imwe iri pakona yepasi ye scapula, pedyo nechepakati-kumashure. Chero kana ese mabhegi mabhegi anogona kukanganiswa ne periscapular bursitis. Kune mamwe mabhesi akatenderedza scapula uye matendon akapoteredza, asi masaga maviri emakona anowanzova mabhesi ekutanga anokura periscapular bursitis.

Kupisa

Kana mabursae aya achinge atsva uye ashatirwa, akazvimba, uye akakora, mamiriro anozivikanwa sebursitis mhedzisiro. Kana bursitis ikaitika padhuze ne scapula, tsandanyama, uye mapendekete mafambiro anogona kutungamirira mukusagadzikana uye kurwadziwa. Zviratidzo zvinowanzoonekwa zve periscapular bursitis zvinosanganisira:

  • Kukwenya nekufamba
  • Kukuya manzwiro kana crepitus
  • Pain
  • Hunyoro zvakananga pamusoro pe bursa (Augustine H. Conduah et al., 2010)
  • Abnormal scapular sensations uye mafambiro

Kuongororwa kwe scapula kunogona kuratidza kufamba kusina kujairika kwebendekete. Izvi zvinogona kutungamirira ku winging, uko blade yepafudzi isina kubatwa zvakanaka kusvika kumbabvu cage uye inobuda zvisiri izvo. Vanhu vane winging ye scapula vanowanzova neabnormal shoulder joint mechanics nokuti kumira kwefudzi kunochinjwa.

Zvinokonzera

Zvikonzero zve periscapular bursitis zvinogona kunge zvakasiyana. Inonyanya kuzivikanwa ndeye overuse syndrome, apo chimwe chiitiko chiri kukonzera kutsamwa kune bursa. Izvi zvinogona kusanganisira:

  • Zviitwa zvine chekuita nemitambo zvinokonzerwa nekudzokorora kushandiswa.
  • Mabasa ane chekuita nebasa anokonzerwa nekudzokorora kushandiswa.
  • Kukuvara kunorwadza kunokonzera kuzvimba kana kutsamwa kune bursa.

Mamwe mamiriro ezvinhu anogona kukonzera abnormal anatomy kana bone protuberances, inotsamwisa bursa. Imwe mamiriro ndeye benign bone kukura inozivikanwa seosteochondroma. (Antônio Marcelo Gonçalves de Souza naRosalvo Zósimo Bispo Júnior 2014) Izvi zvinokura zvinogona kuburitsa kubva pascapula, zvichitungamira mukushatirwa uye kuzvimba.

mabatiro

Kurapa kweperiscapular bursitis kunotanga nekuchengetedza therapies. Mishonga inoparadza haiwanzodikanwa kugadzirisa dambudziko. Kurapa kunogona kusanganisira:

Zorora

  • Nhanho yekutanga ndeyekuzorora iyo yakashatirwa bursa uye kugadzirisa kuzvimba.
  • Izvi zvinogona kutora mavhiki mashoma uye zvinogona kuitwa nekugadzirisa zvemuviri, mitambo, kana mabasa ane chekuita nebasa.

chando

  • Ice inobatsira kuderedza kuzvimba uye kudzora marwadzo.
  • Kuziva maitiro ekuita ice kukuvara zvakanaka kunogona kubatsira kubata marwadzo uye kuzvimba.

Therapy Therapy

  • Kurapa kwepanyama kunogona kuderedza zviratidzo zvekuzvimba kuburikidza nemitambo yakasiyana-siyana uye kutambanudza.
  • Mushonga wacho unogona kuvandudza scapular mechanics kuitira kuti kukuvara kurege kuenderera mberi uye kudzokororwa.
  • Kufamba kusina kujairika kwe scapula pane mbabvu hakugoni kutungamirira kukukura kwebursitis, asi kana aya ma mechanics asina kunaka asina kugadziriswa, dambudziko rinogona kudzoka zvakare.

Anti-Inflammatory Mishonga

  • Non-steroidal anti-inflammatory mishonga inoshandiswa kudzora kuzvimba munguva pfupi. (Augustine H. Conduah et al., 2010)
  • Mishonga inogona kubatsira kudzivirira mhinduro yekuzvimba.
  • Vasati vatora chero mushonga, vanhu vanofanirwa kuvimbisa nemupi wehutano wavo kuti wakachengeteka.

Cortisone Majekiseni

  • Kubudirira kurapwa ne cortisone kupfura chiratidzo chokuti kuvhiyiwa kuchave kwakabudirira kune vanhu vangada kuvhiyiwa.
  • Majekiseni eCortisone anogona kubatsira zvakanyanya mukuunza ine simba rekurwisa-kuzvimba dosi yakananga kunzvimbo yekuzvimba. (Augustine H. Conduah et al., 2010)
  • Majekiseni eCortisone anofanirwa kuganhurirwa maererano nekuti majekiseni mangani anopihwa kumunhu, asi mudiki majekiseni anogona kubatsira zvakanyanya.
  • Zvisinei, cortisone shots inofanira kuitwa chete kana kuongororwa kwasimbiswa.

Surgery

  • Kuvhiya hakuwanzodikanwa asi kunogona kushanda muvanhu vasingakwanise kuwana zororo nemishonga inochengetedza.
  • Kuvhiya kunowanzo shandiswa kune vanhu vane abnormal scapular anatomy, sekukura kwebhonzo kana mapundu.

PaInjury Medical Chiropractic uye Functional Medicine Clinic, tinobata kukuvara uye kusingaperi kurwadziwa syndromes nekuvandudza kugona kwemunhu kuburikidza nekuchinjika, kufamba, uye agility zvirongwa zvakagadzirirwa mapoka ese ezera nekuremara. Zvirongwa zvedu zvekuchengetedza chiropractor uye masevhisi ekiriniki ane hunyanzvi uye akatarisana nekukuvara uye kudzoreredza kwakazara maitiro. Kana kumwe kurapwa kuchidiwa, vanhu vanozoendeswa kukiriniki kana chiremba anonyatsokodzera kukuvara kwavo, mamiriro, uye / kana hurwere.


Scapular Winging muKudzika


References

Conduah, AH, Baker, CL, 3rd, & Baker, CL, Jr (2010). Clinical manejimendi ye scapulothoracic bursitis uye iyo snapping scapula. Utano hwemitambo, 2(2), 147–155. doi.org/10.1177/1941738109338359

Kuhn, JE, Plancher, KD, & Hawkins, RJ (1998). Symptomatic scapulothoracic crepitus uye bursitis. The Journal of the American Academy of Orthopedic Surgeons, 6 (5), 267-273. doi.org/10.5435/00124635-199809000-00001

de Souza, AM, & Bispo Júnior, RZ (2014). Osteochondroma: kufuratira kana kuongorora? Revista brasileira de ortopedia, 49(6), 555–564. doi.org/10.1016/j.rboe.2013.10.002

Kubudirira Kurapa Sarudzo dzeLumbar Spinal Stenosis: Spinal Decompression

Kubudirira Kurapa Sarudzo dzeLumbar Spinal Stenosis: Spinal Decompression

Vanhu vane lumbar spinal stenosis vanogona here kushandisa spinal decompression kuderedza kurwadza kwemusana uye kudzoreredza kufamba?

ziviso

Vanhu vazhinji pasi rese vakasangana nekurwadziwa kwemusana pane imwe nguva muhupenyu hwavo izvo zvakakanganisa kufamba kwavo uye zvakakanganisa maitiro avo. Zvakawanda zvezvakatipoteredza zvinogona kutungamira mukudzika kwemarwadzo ekudzokera shure, sekusimudza zvinorema zvisina kufanira, kusamira zvakanaka, kukuvara kunoshungurudza, uye tsaona dzinogona kukanganisa tsandanyama dzakatenderedza, musana, uye nerve midzi. Kana izvi zvikaitika, zvinogona kutungamira kune lumbar spinal stenosis uye kukonzeresa kuwanda kwengozi profiles inoenderana nekurwadziwa kwemusana. Kana vanhu vachibata lumbar spinal stenosis, vanogona kunge vachifunga kuti marwadzo avo ari muzasi. Kusvika ipapo, vanhu vazhinji vanotsvaga kurapwa kwete kungoderedza marwadzo ekudzokera shure asiwo kuderedza mhedzisiro ye lumbar spinal stenosis. Mamwe marapirwo, senge spinal decompression, iyo isiri yekuvhiya kurapwa, inogona kubatsira kudzoreredza kufamba kumuviri. Nyaya yanhasi inotarisa kuti lumbar spinal stenosis inobata sei kuzasi kwemashure uye kuongororwa kwayo paunenge uchitarisa kuti kuora kwemusana kunogona sei kupa zororo kumunhu uye kuva nemigumisiro yakanaka mukudzorera kufamba. Isu tinotaura nevarapi vane hunyanzvi vanosimbisa ruzivo rwevarwere vedu kuti vaone kuti lumbar spinal stenosis inopindirana sei nekurwadziwa kwemusana, zvichikonzera nyaya dzekufamba. Isu tinozivisawo uye kutungamira varwere nezvekuti spinal decompression inzira yakanaka yekurapa iyo inogona kusanganiswa nemamwe marapirwo. Tinokurudzira varwere vedu kuti vabvunze avo vanobatana navo vezvokurapa mibvunzo yakaoma uye yakakosha pamusoro pekubatanidza decompression therapy kuti ibvise marwadzo anokonzerwa nelumbar stenosis apo kuderedza marwadzo anoputika sekurwadziwa kwepazasi kuti awanezve kufamba kwemunhu. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer.

 

Maitiro eLumbar Spinal Stenosis Inobata Kuzasi Kumashure

Iwe unonzwa kurira kwekunzwa kumashure kwemakumbo ako kunokanganisa kugona kwako kufamba-famba? Kana kuti kuzasi kwako kunonzwa kushoma kufambisa kupfuura zvayaijaira? Kana vanhu vazhinji vachinzwa kurwadziwa kwakadzika kumashure munguva yehupenyu hwavo, inogona kuwirirana ne lumbar spinal stenosis. Lumbar spinal stenosis inowanzoitika apo musana wemuzongoza uri muzasi musana unova wakamanikana, zvichitungamirira kukuchinja kwekuchinja. Kana musana wemusana ukatanga kutetepa mumusana, unogona kukonzera kusagadzikana kukuru, kukanganisa mabasa ezuva nezuva, uye zvinogona kukonzera kuremara kunofambira mberi kune vanhu vakawanda. (Munakomi et al., 2024) Zviratidzo zvinokonzerwa nelumbar spinal stenosis kubva kune zvinyoro kusvika kune zvakanyanya, uye pane izvo zvakatipoteredza zvinoenderana nenyaya yacho. Panguva imwecheteyo, lumbar spinal stenosis inoratidzwa nezviratidzo zvakadai sekurwadziwa kwepamusoro kunogona kukonzera shanduko ye spondylotic iyo inokonzera kurwadziwa kwepashure kunogona kukanganisa hupenyu hwemunhu. (Ogon et al., 2022) Izvi zvinoita kuti vanhu vakawanda vaende kune vanachiremba vavo vekutanga kuti vawane chirwere uye vadzidze kugadzirisa marwadzo ane chokuita nelumbar spinal stenosis.

 

Kuongororwa kweLumbar Spinal Stenosis

Kana zvasvika pakuongorora lumbar spinal stenosis, vatapi vehutano vakawanda vachabatanidza kuongorora kwakazara, kunosanganisira kuongorora kwepanyama kuti uone kuti musana wemunhu uri kufamba sei uye kuongorora kwekufungidzira seMRIs uye CT scans kuti vaone mutsara wepelinha uye kuongorora kukura kweiyo. kuderedza kunokonzera marwadzo mumucheto wezasi. Izvi zvinodaro nekuti kana vanhu vachibata lumbar spinal stenosis, inogona kuratidza neurogenic claudication mumigumo yepasi, kunyanya kana munhu akamira kana kugara. Marwadzo anodzikira kana chinzvimbo chavo chashandurwa. (Sobanski et al., 2023) Uyezve, lumbar spinal stenosis ndechimwe chezvinowanzoonekwa zvirwere zvemusana izvo vazhinji vehutano hwehutano vanoongorora uye vanoongorora. Kana pane kuderera mumusana wepelinha, zvichiita kuti pave nekugadzirwa kwelumbar spinal, kufamba kwakajeka sekufamba kunogona kuwedzera zviratidzo kusvika kumucheto wezasi uye kuwedzera okisijeni mumutsipa wepelinha, iyo inogona kudarika ropa rinowanikwa rinoyerera kusvika kumagumo. (Deer et al., 2019) Kusvika panguva iyoyo, marapirwo akaita sepinal decompression anogona kubatsira kuderedza marwadzo ekumusana ane chokuita nelumbar spinal stenosis.

 


Nzira Isiri Yekuvhiya Kuhutano- Vhidhiyo


Nzira Yekununura Uchishandisa Spinal Decompression

Kana zvasvika kune vanhu vari kusangana nemarwadzo anokonzerwa nelumbar spinal stenosis, vanhu vazhinji vanogona kutsvaga marapirwo asiri ekuvhiya senge spinal decompression kuti abvise marwadzo ekumusana. Kuora kwemusana kwakabuda sechinhu chisingaiti, chinoshanda chekurapa sarudzo ye lumbar spinal stenosis. Inoshandisa zvinyoro-nyoro mechanical traction pamusana kuti itambanudzwe, isunungure tsinga dzemusana nekugadzira nzvimbo yakawanda mukati memusana wemusana. Spinal decompression inoderedza kuderera kwemaitiro apo mhasuru dzakatenderedza dzakatambanudzwa zvinyoro nyoro, uye iyo spinal disc kureba kunowedzera nekuda kwekumanikidza kwakashata. (Kang et al., 2016

 

Mabhenefiti eSpinal Decompression & Kudzoreredza Mobility

Pamusoro pezvo, iyo nyoro inodhonza kubva kumusana decompression inobatsira kukwidziridza kuyerera kwezvinovaka muviri uye okisijeni kudzokera kune yakakanganiswa spinal discs uye musana kusimudzira iri nani kuporesa nharaunda yemuviri. Sezvo kupera kwepelinha kunogona kusanganiswa nemamwe marapirwo asiri ekuvhiya, sekurapa kwemuviri uye kugadzirwa kwepelinha, inogona kupa mhedzisiro yakanaka yenguva refu kune vanhu vane lumbar spinal stenosis. (Ammendolia et al., 2022) Mimwe yemigumisiro inobatsira yemusana decompression inosanganisira:

  • Kunyaradza marwadzo nekuderedza kumanikidzwa kubva kumusana wetsinga kuderedza marwadzo uye kusagadzikana mumucheto wezasi zvakanyanya. 
  • Kufambiswa kwakanaka kunobvumira munhu kuti adzokere kumabasa avo ezuva nezuva zviri nyore.

Vanhu vazhinji vanogona kubatsirwa nemusana wekudzikisa kuderedza migumisiro ye lumbar spinal stenosis uye kuva nekufamba kwavo kwepasi kudzorerwa shure kwezvikamu zvakatevedzana kuderedza mikana yemarwadzo kubva pakudzoka. Nekufunga zvakanyanya nezvehutano hwavo uye hutano, vanhu vazhinji vanogona kuita diki diki shanduko mumabasa avo kuderedza marwadzo uye kuramba vachifambisa muhupenyu hwavo hwese. Izvi zvinovabvumira kuti vave nepfungwa yetariro yekuvasunungura kubva mukurwadziwa kwavanga vari pasi. 

 


References

Ammendolia, C., Hofkirchner, C., Plener, J., Bussieres, A., Schneider, MJ, Young, JJ, Furlan, AD, Stuber, K., Ahmed, A., Cancelliere, C., Adeboyejo, A ., & Ornelas, J. (2022). Kusashanda kurapwa kwe lumbar spinal stenosis neurogenic claudication: yakagadziridzwa yakarongeka ongororo. BMJ Open, 12(1), e057724. doi.org/10.1136/bmjopen-2021-057724

Deer, T., Sayed, D., Michels, J., Josephson, Y., Li, S., & Calodney, AK (2019). Ongororo yeLumbar Spinal Stenosis neIntermittent Neurogenic Claudication: Chirwere uye Kuongororwa. Pain Med, 20(Suppl 2), S32-S44. doi.org/10.1093/pm/pnz161

Kang, JI, Jeong, DK, & Choi, H. (2016). Mhedzisiro yepelinha decompression pane lumbar muscle basa uye disk urefu kune varwere vane herniated intervertebral disk. Zvinyorwa zvePhysical Therapy Science, 28(11), 3125-3130. doi.org/10.1589/jpts.28.3125

Munakomi, S., Foris, LA, & Varacallo, M. (2024). Spinal Stenosis uye Neurogenic Claudication. In StatPearls. www.ncbi.nlm.nih.gov/pubmed/28613622

Ogon, I., Teramoto, A., Takashima, H., Terashima, Y., Yoshimoto, M., Emori, M., Iba, K., Takebayashi, T., & Yamashita, T. (2022). Zvinhu zvinosanganiswa nemarwadzo ekudzokera shure kune varwere vane lumbar spinal stenosis: chidzidzo chemuchinjikwa. BMC Musculoskelet Disord, 23(1), 552. doi.org/10.1186/s12891-022-05483-7

Sobanski, D., Staszkiewicz, R., Stachura, M., Gadzielinski, M., & Grabarek, BO (2023). Mharidzo, Kuongororwa, uye Kutungamirirwa kwePain Back Pain Inobatanidza neSpinal Stenosis: Ongororo Yenyaya. Med Sci Monit, 29, e939237. doi.org/10.12659/MSM.939237

 

Disclaimer

Kusunungura Kubatana Pakati peElectroacupuncture & Sciatica Pain

Kusunungura Kubatana Pakati peElectroacupuncture & Sciatica Pain

Migumisiro ye electroacupuncture inogona kuderedza sciatica kune vanhu vanobata nemarwadzo ekudzokera shure kuti vadzorere kufamba kwavo?

ziviso

Kana vanhu vazhinji vatanga kushandisa zvakanyanya tsandanyama dzavo muzasi quadrants, zvinogona kutungamira kune dzakawanda nyaya dzinokonzera marwadzo uye kusagadzikana. Imwe yematambudziko anowanzo marwadzo muzasi quadrants ye musculoskeletal system is sciatica, iyo inobatanidza nekurwadziwa kwepashure. Iyi marwadzo duo inogona kukanganisa maitiro emunhu ezuva nezuva uye inotungamirira kumarwadzo nekusagadzikana. Ichi chirwere chemusculoskeletal chinowanzoitika, uye kana chinokanganisa rimwe remakumbo uye nechepasi shure, vanhu vazhinji vanotaura kuti imarwadzo ekupfura anopenya asingaendi kwechinguva. Sezvineiwo, kune marapiro akaita se electroacupuncture kuderedza sciatica yakabatana nekurwadziwa kwemusana. Nyaya yanhasi inotarisa sciatica-low-back connection, kuti electroacupuncture inoderedza sei marwadzo aya, uye kuti electroacupuncture inogona sei kudzorera kufamba kumunhu. Isu tinotaura nevanopihwa zvekurapa vanosimbisa ruzivo rwevarwere kuti vaongorore nzira yekudzikisa sciatica-low-back connection ne electroacupuncture. Isu tinozivisawo uye kutungamira varwere nezve nzira iyo electroacupuncture therapy inogona kusanganiswa nemamwe marapirwo kudzorera kufamba kumuviri. Tinokurudzira varwere vedu kuti vabvunze avo vanobatana navo vezvokurapa mibvunzo yakaoma uye yakakosha pamusoro pekubatanidza electroacupuncture therapy sechikamu chemaitiro avo ekuderedza sciatica inobatanidza nekurwadziwa kwepamusoro. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer.

 

The Sciatica & Low Back Connection

Iwe unonzwa tsandanyama aches kana kurwadziwa kuzasi kwako kumashure kana makumbo ako? Iwe unonzwa kupenya, kuputika kurwadziwa mumakumbo ako kunokanganisa kukwanisa kwako kufamba? Kana kuti wakamboona here kuti makumbo ako nemusana wako zvinorwadza zvakanyanya paunenge wakatakura chinhu chinorema? Zvizhinji zvezviitiko izvi zvinosanganiswa ne sciatica, iyo inopindirana nekurwadziwa kwepashure. Iye zvino, sciatica inowanzoonekwa nekurwadziwa kunowedzera kunofamba ne sciatic nerve kubva kumucheto kumashure, kukanganisa hupenyu hwemunhu. Mumusculoskeletal system, sciatic nerve inoita basa rinokosha nekupa motokari basa kumakumbo. (Davis et al., 2024) Ikozvino, kana sciatic nerve, nharaunda yelumbar ine basa rakakosha. Iyo lumbar dunhu munharaunda yemusculoskeletal inewo basa rakakosha mukupa rutsigiro, simba, uye kuchinjika kumuviri. Zvisinei, zvose zviri zviviri sciatic nerve uye lumbar spinal region zvinowanzoita kushungurudzika uye kukuvara kubva mukukuvara kwekukuvara uye zvakatipoteredza zvinogona kukanganisa lumbar spinal discs uye sciatic nerve.

 

 

Kudzokorora mafambiro, kufutisa, kusimudza zvisina kunaka, kuderera kwemusana, uye musculoskeletal mamiriro ezvinhu ndezvikonzero zvishomanana uye njodzi dzinokonzera kukura kwe sciatica inobatanidza nechepasi kumashure. Chii chinozoitika ndechekuti mvura yemukati uye kuderera kunoramba kuripo kweproteoglycans ye spinal discs inoputsika pakati pe vertebrae uye inobuda kunze kuti itsigire pane sciatic nerve, iyo inogona kushatirwa uye kukonzera kutaurwa kunopisa marwadzo mumakumbo uye kuzasi musana. . (Zhou et al., 2021) Iko kusanganiswa kwesciatica uye kurwadziwa kwepashure kunogona kuva nyaya yehupfumi hwevanhu zvichienderana nekuoma kwemarwadzo ayo sciatic nerve inokonzera uye inogona kuita kuti vanhu varasikirwe pane chero mabasa avari kuita.Siddiq et al., 2020) Nepo sciatica-senge zviratidzo zvinowanzoenderana nenharaunda yelumbar, vanhu vazhinji vanogona kuwana zororo ravari kutsvaga kuburikidza nekurapa kwakasiyana.

 


Sciatica Zvinokonzera- Vhidhiyo


Electroacupuncture Kuderedza The Sciatica-Low Back Connection

Kana zvasvika pakudzikisa sciatic-low-back connection, vanhu vazhinji vanotsvaga kurapwa kunokwanisika uye kunoshanda mukuderedza marwadzo-senge nyaya. Mishonga isiri-yekuvhiya senge electroacupuncture inogona kubatsira kune vanhu vazhinji vari kunzwa sciatica marwadzo anoenderana nechepasi musana. Electroacupuncture imwe nzira yechinyakare acupuncture therapy inotangira kuChina. Vakadzidziswa zvakanyanya ma acupuncturists vanotevera iwo akafanana acupuncture misimboti nekuisa yakasimba tsinga dzakatetepa pamaacupoints akasiyana mumuviri kudzorera qui kana chi (simba rekuyerera). Electroacupuncture inobatanidza tsono uye electrostimulation kuti kuderedze marwadzo epakati-anogadzirisa maitiro anokonzera kuderera kwemarwadzo ekudzokera shure uye sciatica nekuvhara zviratidzo zvinorwadza uye kupa zororo rekurwadziwa. (Kong, 2020) Panguva imwecheteyo, electroacupuncture inopa analgesic properties kukurudzira endorphins uye kuderedza marwadzo ekurwadziwa kwemarwadzo emusana zvakachengeteka. (Sung et al., 2021)

 

 

Electroacupuncture Kudzorera Kufamba

Apo makumbo ezasi ari kusangana nekufamba zvishoma nekuda kwe sciatica inobatanidza nekurwadziwa kwepashure, electroacupuncture inogona kubatsira kuzorora mamhasuru ari kuwedzera sciatic nerve uye kunyange kubatsira kuvandudza kuyerera kweropa kune lumbar tsandanyama. Izvi zvinodaro nekuti electroacupuncture inogona kukurudzira chaiwo matunhu emuviri kuderedza somato-vagal-adrenal reflexes kusunungura uye kudzoreredza kufamba kune yakaderera migumo. (Liu et al., 2021) Uyezve, electroacupuncture inogona kusanganiswa nemamwe maitiro asina kuvhiyiwa kuti abatsire kusimbisa nheyo uye mutsara wepamusoro, zvichiita kuti vanhu vanyatsofunga kuti ndezvipi zvinokonzera sciatica uye kurwadziwa kwepashure. Nokuita izvi, vanhu vazhinji vari kurwisana ne sciatica yakabatana nemarwadzo ekudzokera shure vanogona kusanganisira electroacupuncture sechikamu chepurogiramu yavo yekurapa pamwe chete nemaitiro akazara ekuvandudza mararamiro avo uye kupa nzira yekuvandudza kufamba kwavo. 

 


References

Davis, D., Maini, K., Taqi, M., & Vasudevan, A. (2024). Sciatica. In StatPearls. www.ncbi.nlm.nih.gov/pubmed/29939685

Kong, JT (2020). Electroacupuncture yeKurapa Kurwara Kwekudzokera Kweshure Kusingaperi: Preliminary Research Results. Med Acupunct, 32(6), 396-397. doi.org/10.1089/acu.2020.1495

Liu, S., Wang, Z., Su, Y., Qi, L., Yang, W., Fu, M., Jing, X., Wang, Y., & Ma, Q. (2021). A neuroanatomical hwaro hwe electroacupuncture kutyaira iyo vagal-adrenal axis. muzvarirwo, 598(7882), 641-645. doi.org/10.1038/s41586-021-04001-4

Siddiq, MAB, Clegg, D., Hasan, SA, & Rasker, JJ (2020). Extra-spinal sciatica uye sciatica mimics: kuongorora kwekuongorora. Korean J Pain, 33(4), 305-317. doi.org/10.3344/kjp.2020.33.4.305

Sung, WS, Park, JR, Park, K., Youn, I., Yeum, HW, Kim, S., Choi, J., Cho, Y., Hong, Y., Park, Y., Kim, EJ , & Nam, D. (2021). Kubudirira uye kuchengetedzwa kwe electroacupuncture kune nonspecific isingaperi kurwadziwa kwepashure: A protocol yekuongorora kwakarongeka uye / kana meta-analysis. Mushonga (Baltimore), 100(4), e24281. doi.org/10.1097/MD.0000000000024281

Zhou, J., Mi, J., Peng, Y., Han, H., & Liu, Z. (2021). Causal Associations of Obesity neIntervertebral Degeneration, Low Back Pain, uye Sciatica: A Two-Sample Mendelian Randomization Study. Front Endocrinol (Lausanne), 12, 740200. doi.org/10.3389/fendo.2021.740200

Disclaimer

Kunzwisisa Electroacupuncture uye Maitiro Ainobvisa Gut Kuzvimba

Kunzwisisa Electroacupuncture uye Maitiro Ainobvisa Gut Kuzvimba

Vanhu vari kubata nekuzvimba kwemudumbu vangazorodzwa neelectroacupuncture kuti vaderedze zviratidzo zvekurwadza kwemusana & kugadzirisa ura hunoita?

ziviso

Kana zvasvika kumuviri, iyo gut system ine hukama hunonakidza kumapoka akasiyana emuviri. Iyo gut system inoshanda nepakati tsinga, immune system, uye musculoskeletal system sezvo ichibatsira kudzivirira muviri kubva kumabhakitiriya anokuvadza uchidzora kuzvimba. Nekudaro, kana zvinhu zvezvakatipoteredza zvatanga kukanganisa muviri uye kuita kuti gut system iende haywire, zvinogona kukonzera nyaya dzakawanda dzekurwadziwa uye kusagadzikana kumuviri. Imwe yenyaya iyo ura inogona kukanganisa ndeye musculoskeletal system, zvichikonzera marwadzo ekumusana ane chekuita nekuzvimba kwematumbo. Nekudaro, marapirwo mazhinji anogona kubatsira kuderedza mhedzisiro yekuzvimba kwematumbo izvo zviri kukonzera kurwadziwa shure. Chinyorwa chanhasi chinotarisa kubatanidzwa kwehutumbu-kumashure kurwadziwa, kuti electroacupuncture inogona kubatanidzwa sei sekurapa, uye kuti inogona kuderedza kuzvimba. Tinotaura nevarapi vane hunyanzvi vanosanganisa ruzivo rwevarwere vedu kuti vaone kuti kuzvimba kwematumbo kunokanganisa sei miviri yavo, zvichikonzera kurwadziwa kwemusana. Isu tinozivisawo uye kutungamira varwere nezve nzira iyo electroacupuncture therapy inogona kubatsira kuderedza kuzvimba zvinokonzeresa ura uye kumashure nyaya uye kudzoreredza ura kushanda. Tinokurudzira varwere vedu kuti vabvunze avo vanobatana navo vekurapa mibvunzo yakaoma uye yakakosha nezve kubatanidza akasiyana-siyana asiri ekuvhiya marapirwo kuderedza kuzvimba kwematumbo kunoenderana nemarwadzo ekumusana. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer.

 

The Gut-Back Pain Connection

Iwe unonzwa tsandanyama aches kana kurwadziwa muura mako kana kuzasi kumashure? Zvakadini nokupisa kupisa munzvimbo dzakasiyana-siyana dzomuviri wako? Kana kuti wakambosangana nechero nguva shoma-yesimba muzuva rako rese? Nepo hutumbu huchizivikanwa sehuropi hwechipiri sezvo huchishanda ne immune system, rimwe rematanho akakosha kudzora immune system yemuviri. Izvi zvinodaro nekuti gut microbiome inogara matiririyoni ebhakitiriya kugaya chikafu uye kudzivirira muviri kubva kuhutachiona hwakashata. Kana zvinhu zvakatipoteredza zvatanga kukanganisa hutachiona hwemukati, zvinogona kutungamira immune system kuita hyperactive, zvichiita kuti ma cytokines awedzere kuburitsa, uye mhedzisiro iyi inogona kutekeshera mumuviri wese, zvichiratidza zviratidzo nemamiriro akasiyana-siyana anorwadza, kusanganisira. kurwadziwa kwemusana. Sezvo kuzvimba kuri kuzvidzivirira kwemuviri kune kukuvara kana hutachiona, kunobvisa nyaya inokuvadza munzvimbo yakakanganiswa uye inobatsira kupora. Saka kana ma cytokines ekuzvimba anotanga kuwanda kuburitsa nekuda kwekuzvimba kwemudumbu, anogona kukanganisa gut system, achibvumira chepfu uye mabhakitiriya kupinda muropa uye kuenda kunzvimbo dzakasiyana dzemuviri, zvichikonzera kurwadziwa. Ikozvino, izvi zvinokonzerwa neakasiyana siyana ezvakatipoteredza izvo zvinotungamira mukukura kwemarwadzo ekumusana. Kana mabhakitiriya anokuvadza kubva mukuzvimba anotanga kukonzera kurwadziwa shure, anogona kuzvibatanidza uye kukanganisa intervertebral disc homeostasis, zvichiita kuti immune system irwise intervertebral disc uye kukonzera kurwadziwa shure. (Yao et al., 2023) Izvi zvinokonzerwa nekubatana kwehutu uye kumashure kuburikidza nenzira dzakaoma dzetsinga dzinotumira ruzivo kubva muhutu kusvika kumusana uye kusvika kuuropi.

 

 

Saka, kana kuzvimba kukatanga kukonzera nyaya mumuviri, zvinogona kutungamira kumatambudziko emusculoskeletal sekurwadziwa kwemusana. Gut kuzvimba kunogona kukonzera kusaenzana pakati pekuumbwa kwesymbiont uye pathobiont kuderedza kutendeseka uye kushanda kwemukati wematumbo zvipingamupinyi, kukonzera marwadzo, uye kuwedzera mamorekuru anopisa. (Ratna et al., 2023) Mamolekemu anopisa anogona kuwedzera marwadzo ekugamuchira uye kushushikana kwemasuru, zvichiita kuti kusagadzikana uye kurwadziwa muzasi. Sezvineiwo, zvinhu zvezvakatipoteredza zvakaita sekusamira zvakanaka, kusaita zvemuviri, uye kusadya zvakanaka maitiro zvinogona kukonzera kuti gut system iite kuzvimba kwemhasuru dzekumusana. Kana paine dysbiosis mugut microbiota, zvinokonzeresa zvinokonzeresa zvinogona kusanganiswa zvisina kunanga nekurwadziwa kwevisceral uye central nervous systemic functioning kushandura muviri uye kuita kuti ive mune inopfuurira mamiriro ekusingaperi systemic kuzvimba kukonzeresa kurwadziwa shure. (Dekker Nitert et al., 2020) Nekudaro, kune akawanda asiri ekuvhiya marapirwo uye akazara nzira dzekudzikisa kuzvimba kwematumbo uye kudzoreredza kurwadziwa shure.

 

Kubatanidza Electroacupuncture SeKurapa

Kana vanhu vachinzwa kurwadziwa nekumusana kwakabatana nekuzvimba kwematumbo, vanoenda kuna chiremba wavo wekutanga wehutano uye vanotsanangura mamiriro acho. Tichifunga nezvekubatana pakati pekuzvimba kweura uye kurwadziwa kwemusana, nekugadzirisa zvakatipoteredza izvo zvinokonzeresa mafambiro enjodzi aya, vanachiremba vazhinji vanogona kushanda nenyanzvi dzemarwadzo kuderedza kuzvimba kwematumbo uye kurwadziwa kwemusana. Nyanzvi dzemarwadzo dzakaita sechiropractors, acupuncturists, uye masaja therapists anogona kubatsira kusimbisa mhasuru dzakakanganisika dziri kukonzera kurwadziwa kwemusana uye nekupa nzira dzakakwana senge anti-kuzvimba mavhitamini uye ma supplements ekudzikisa kuzvimba kwematumbo. Imwe yemishonga yekare isiri yekuvhiya inogona kuita ese ndeye electroacupuncture. Electroacupuncture inosanganisa echinyakare Chinese therapy uye tekinoroji yemazuva ano inoshandisa kurudziro yemagetsi uye tsono dzakatetepa dzakasimba kuti dzipinzwe muacupoint yemuviri kuti iwane qi kana simba. Izvi zvinoita izvi ndezvekuti zvinopa kukurudzira kwemagetsi uye anti-kuzvimba mhedzisiro yekukurudzira cholinergic reflexes muura uye HPA axis. (Yang et al., 2024) Electroacupuncture inogonawo kusanganiswa nemamwe marapirwo kuti kuderedze migumisiro yekuputika inobatanidza nemarwadzo ekudzokera shure.

 

Electroacupuncture Inoderedza Sei Kuzvimba kweGut

Sezvo electroacupuncture inogona kuderedza kuzvimba kwematumbo kunokonzera kurwadza kwemusana, inogona kubatsira kudzora maruva emudumbu nekusimudzira intestinal motility uye kuvhara masaini emarwadzo kubva pakukanganisa mhasuru dzekumusana. (An et al., 2022) Izvi zvinodaro nekuti electroacupuncture inogona kubatsira kuzorodza tsandanyama dzakasimba dzinokonzera kurwadziwa kwemusana. Pamusoro pezvo, kana vanhu vasvika pakurapwa uku, vanenge vachitungamirwa nevanodzidzira acupuncturist vanogona kupinza tsono nenzira kwayo uku vachigadzira electroacupuncture therapy zvinoenderana nezvinodiwa nemunhu uye kurwadziwa. Sezvo electroacupuncture inogona kusanganiswa nemamwe marapirwo, inogona kunyatso kudzikisa huremu hwemuviri uye kudzoreredza kugayiwa uye kunyura kuumba gut microbiota. (Xia et al., 2022) Izvi zvinobvumira vanhu kuita shanduko diki kumaitiro avo uye kudzivirira kuzvimba kwematumbo kubva pakukanganisa muviri uye kukonzera kurwadziwa kumashure. Vanogona kuvandudza hupenyu hwavo nekubatanidza electroacupuncture sechikamu chehutano hwavo uye hutano hwekurapa. 

 


Kuvhura Zvakavanzika Zvekuzvimba-Vhidhiyo


References

An, J., Wang, L., Song, S., Tian, ​​L., Liu, Q., Mei, M., Li, W., & Liu, S. (2022). Electroacupuncture inoderedza shuga yeropa nekudzora maruva emudumbu murudzi rwechipiri rwechirwere cheshuga. J Diabetes, 14(10), 695-710. doi.org/10.1111/1753-0407.13323

Dekker Nitert, M., Mousa, A., Barrett, HL, Naderpoor, N., & de Courten, B. (2020). Yakashandurwa Gut Microbiota Kuumbwa Kwakabatana NeKurwadziwa Kwekumashure muKuwedzeredza uye Kufutisa Vanhu. Front Endocrinol (Lausanne), 11, 605. doi.org/10.3389/fendo.2020.00605

Ratna, HVK, Jeyaraman, M., Yadav, S., Jeyaraman, N., & Nallakumarasamy, A. (2023). Dysbiotic Gut ndiyo Chikonzero cheKurwadza Kwekudzokera? Cureus, 15(7), e42496. doi.org/10.7759/cureus.42496

Xia, X., Xie, Y., Gong, Y., Zhan, M., He, Y., Liang, X., Jin, Y., Yang, Y., & Ding, W. (2022). Electroacupuncture yakasimudzira defensins yematumbo uye yakanunura iyo dysbiotic cecal microbiota yemafuta akanyanya kudya-induced obese mice. Upenyu Sci, 309, 120961. doi.org/10.1016/j.lfs.2022.120961

Yang, Y., Pang, F., Zhou, M., Guo, X., Yang, Y., Qiu, W., Liao, C., Chen, Y., & Tang, C. (2024). Electroacupuncture Inoderedza Chirwere Chinokonzera Chirwere muMakonzo Akanyanya neKushandisa Nrf2 / HO-1 Kuratidzira Nzira uye Kugadzirisa Intestinal Barrier. Chirwere cheshuga Metab Syndr Obes, 17, 435-452. doi.org/10.2147/DMSO.S449112

Yao, B., Cai, Y., Wang, W., Deng, J., Zhao, L., Han, Z., & Wan, L. (2023). Mhedzisiro yeGut Microbiota paKufambira mberi kweIntervertebral Disc Degeneration. Orthopedic Kuvhiya, 15(3), 858-867. doi.org/10.1111/os.13626

Disclaimer

Kurapa Kunobudirira Kwekurwadza Kwekumashure: Electroacupuncture Solutions

Kurapa Kunobudirira Kwekurwadza Kwekumashure: Electroacupuncture Solutions

Vanhu vane kurwadziwa kwepashure vanogona here kushandisa electroacupuncture therapy kuderedza marwadzo uye kudzoreredza kufamba kudzokera kumiviri yavo?

ziviso

Vanhu vazhinji pasi rose vakabata nemarwadzo ekudzokera shure kubva kune zvakawanda zvinhu uye kukuvara kunorwadza kunogona kukonzera marwadzo-sezviratidzo zvakatenderedza spinal discs, tsandanyama, ligaments, uye nerve midzi. Izvi zvinodaro nekuti muviri unofamba uchidzokororwa izvo zvinoita kuti mhasuru dzakatenderedza nemarunda awedzere uye akasimba, achiwedzera tsinga midzi uye kukonzera marwadzo anotaurwa. Kana kuti inogona kuva kukuvadzwa kunorwadza kunobata ma spinal discs munharaunda ye lumbar iyo inogona kuva herniated kana kuderera kuti iwedzere midzi yetsinga uye inotungamirira kumarwadzo ekuderera. Pasinei nemhedzisiro, kurwadziwa kwepashure idambudziko rakajairika musculoskeletal, uye vanhu vazhinji vanowanzotsvaga kurapwa kuti vaderedze marwadzo-semhedzisiro uye kubatsira vanhu vazhinji kuti vadzorerwe kufamba kwavo. Chinyorwa chanhasi chinoongorora kuti nei kurwadziwa kwepazasi inyaya yepasi rose, kuti electroacupuncture inogona kubatsira sei kudzikisira, uye kuti ingadzoke sei kufamba. Isu tinotaura nevarapi vane hunyanzvi vanosimbisa ruzivo rwevarwere vedu kuti vanzwisise zviri nani kuti sei kurwadziwa kwakaderera kumashure iri nyaya mumiviri yavo. Isu tinozivisawo uye kutungamira varwere nezve nzira iyo electroacupuncture therapy inogona kubatsira kuderedza yakaderera musana uye kunyange kubatsira nekudzorera kufamba kwemuviri. Tinokurudzira varwere vedu kuti vabvunze avo vanobatana navo vezvokurapa mibvunzo yakaoma uye yakakosha pamusoro pekuderedza kukanganiswa kwemarwadzo ekudzokera shure uye kuwana marapirwo akasiyana-siyana ekubatanidza. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer.

Sei Kurwadziwa Kwekudzokera Kuri Inyaya Yepasirese?

Unonzwa kuoma muzasi mako mushure mekutakura kana kusimudza chinhu chinorema here? Unonzwa marwadzo anopenya achifamba achidzika kumakumbo ako? Kana kuti unonzwa tsandanyama kurwadza kumusana kwako kubva pakuvhima kwenguva yakareba? Zvizhinji zveizvi zvinorwadza-senge nyaya zvine chekuita nemamiriro ekunze izvo zvinogona kuita kuti muviri uwedzere kurwadziwa kwemusana. Kana zvasvika pakurwadziwa kwemusana, inyaya yemagariro nehupfumi inobata pasi rose vanhu vazhinji, kunyanya vanoshanda. Kana vanhu vazhinji vachiita mafambiro akasiyana siyana kana kuita mabasa, mafambiro aya anogona kusunungura zvishoma nezvishoma matsinga ekuzasi. Izvi zvinoita kuti muviri unzwe kuti chimwe chinhu chakashata nechepasi uye zvivako zvakakosha zvemuzongoza, nokudaro kutora dzimwe nzira dzekuchengetedza kugadzikana kwemusana. (Hauser et al., 2022

 

 

Uyezve, zviratidzo zvakawanda zvemarwadzo ekudzokera shure hazvina kujeka, uye kufamba kwekusimudza kunorema, kukotama, kupeta, uye kudengenyeka kwemuviri wose ibasa rengozi zvinhu zvinotungamirira mukukura kwemarwadzo ekudzokera shure. (Becker & Childress, 2019) Izvi zvinokonzera vanhu vakawanda vane kurwadziwa kwepashure kuti vatarise mutoro wekushayikwa kwebasa kana kuti kuisa maitiro avo ezuva nezuva. Kana izvi zvikaitika, vanhu vazhinji vanotanga kutsvaga kurapwa kuti vaderedze zviratidzo zvinokonzerwa nekurwadziwa kwemusana.


Kuzarura Relief-Vhidhiyo


Electroacupuncture For Low Back Pain

Kana zvasvika pakuderedza marwadzo ekumusana, vanhu vazhinji vanoenda kumarapi akasiyana siyana kuti vabvise marwadzo ekuzasi kwavo uye nezviratidzo zvavo zvakabatana. Saka, ndosaka marapirwo asiri ekuvhiya senge electroacupuncture achigona kubatsira kudzikamisa marwadzo ekumusana uye kubatsira matinji kuti atangezve kufamba. Electroacupuncture imwe nzira yeacupuncture inoshandisa kurudziro yemagetsi pane acupoints emuviri kudzivirira zviratidzo zvinorwadza. Electroacupuncture yakashandiswa zvakanyanya pazvirwere zvemusculoskeletal, kusanganisira kurwadziwa kwemusana, sezvo yakashandiswa senzira yekurapa kuderedza kushandiswa kwemishonga apo iri sarudzo inoshanda kana yasanganiswa nemamwe marapirwo. (Sung et al., 2021)

 

 

Pamusoro pezvo, electroacupuncture inoitwa nenyanzvi dzakadzidziswa uye, kana ichishandiswa kurapa kurwadziwa kwakadzika kumashure, inobvumira kukurudzira munzvimbo dzakakura dzemuviri dzakatenderedza acupoint kubvumira paramita zvinosanganisira kusimba, nguva, uye kuwanda kuti marwadzo aenderere mberi. nzvimbo ichazivikanwa nenyanzvi dzehutano. (Francescato Torres et al., 2019) Electroacupuncture inogona kubatsira kuderedza marwadzo ekuzasi uye kutsigira vanhu vakawanda kuburikidza nemaitiro akasiyana-siyana ekudzorera kufamba. (Kong, 2020)

 

Electroacupuncture Kudzorera Kufamba

Kana uchidzoreredza kufamba kwemuviri kubva kumarwadzo ekumusana, electroacupuncture inogona kupa kurapa mhedzisiro nekuvhara masaini ekurwadziwa, zvichiita kuti muviri usafambe, uye uchibvumira mhasuru kuzorora. (Sheng et al., 2021) Electroacupuncture yakasanganiswa nemamwe marapirwo akaita sekurapa kwepanyama kunogona kubatsira kutambanudza uye kusimbisa mhasuru dzakatenderedza kumashure nemarunda kuti kuderedze marwadzo anowedzera anokanganisa kufamba uye kuita kuti vanhu vazhinji vafunge kuti ndezvipi mafambiro ari kukonzera marwadzo kumashure. Kana vanhu vatanga kuita shanduko diki kana hombe kuhutano hwavo uye hutano, ivo vanozotanga kuona mabatiro avanozviita ivo vachidzivirira zvakafanana kudzokorora mafambiro ari kukonzera kuzasi kwavo nyaya uye kurarama hupenyu hune hutano. 

 


References

Becker, BA, & Childress, MA (2019). Nonspecific Low Back Pain uye Dzokera Kubasa. American Family Physician, 100(11), 697-703. www.ncbi.nlm.nih.gov/pubmed/31790184

www.aafp.org/pubs/afp/issues/2019/1201/p697.pdf

Francescato Torres, S., Brandt de Macedo, AC, Dias Antunes, M., Merllin Batista de Souza, I., Dimitre Rodrigo Pereira Santos, F., de Sousa do Espirito Santo, A., Ribeiro Jacob, F., Torres Cruz, A., de Oliveira Januario, P., & Pasqual Marques, A. (2019). Migumisiro ye electroacupuncture frequencies pamarwadzo asingagumi ekudzokera shure kune vakwegura vakuru: katatu-mapofu, 12-months protocol yekuedza kurongeka. miedzo, 20(1), 762. doi.org/10.1186/s13063-019-3813-6

Hauser, RA, Matias, D., Woznica, D., Rawlings, B., & Woldin, BA (2022). Kusagadzikana kweLumbar se etiology yemarwadzo ekudzokera shure uye kurapwa kwayo neprolotherapy: Ongororo. J Back Musculoskelet Rehabil, 35(4), 701-712. doi.org/10.3233/BMR-210097

Kong, JT (2020). Electroacupuncture yeKurapa Kurwara Kwekudzokera Kweshure Kusingaperi: Preliminary Research Results. Med Acupunct, 32(6), 396-397. doi.org/10.1089/acu.2020.1495

Sheng, X., Yue, H., Zhang, Q., Chen, D., Qiu, W., Tang, J., Fan, T., Gu, J., Jiang, B., Qiu, M., & Chen, L. (2021). Kubudirira kwe electroacupuncture muvarwere vane vakakundikana shure kwekuvhiyiwa syndrome: kudzidza protocol ye randomized controlled trial. miedzo, 22(1), 702. doi.org/10.1186/s13063-021-05652-4

Sung, WS, Park, JR, Park, K., Youn, I., Yeum, HW, Kim, S., Choi, J., Cho, Y., Hong, Y., Park, Y., Kim, EJ , & Nam, D. (2021). Kubudirira uye kuchengetedzwa kwe electroacupuncture kune nonspecific isingaperi kurwadziwa kwepashure: A protocol yekuongorora kwakarongeka uye / kana meta-analysis. Mushonga (Baltimore), 100(4), e24281. doi.org/10.1097/MD.0000000000024281

Disclaimer

Wana Kudzora Pamusoro PeChisingaperi Kurwadza Kwekumashure Kurwadza neNonsurgical Therapeutics

Wana Kudzora Pamusoro PeChisingaperi Kurwadza Kwekumashure Kurwadza neNonsurgical Therapeutics

Nzira dzekurapa dzisina kuvhiyiwa dzinogona kubatsira vanhu vane kurwadziwa kwakanyanya kwemusana kuwana zororo ravari kutsvaga kudzorera kushanda kwemuviri?

ziviso

Pakati pepamusoro, yepakati, uye yakaderera kumashure zvikamu zvemusculoskeletal system, vanhu vazhinji vakakundwa nekukuvadzwa kunorwadza, kudzokorora mafambiro, uye kupindirana kwenjodzi yezvakatipoteredza izvo zvinokonzeresa kurwadziwa nekuremara, zvichikanganisa maitiro avo ezuva nezuva. Seimwe yemamiriro ezvinhu akajairika ebasa, kurwadziwa shure kunogona kuita kuti vanhu vatarise mitoro yemagariro nehupfumi uye inogona kubva kubva kune yakaoma kusvika kune isingaperi, zvichienderana nekukuvara uye zvinhu zvinoenderana nenyaya iyi. Sechikamu chemusculoskeletal system, musana une misumbu yakasiyana-siyana mumatatu matatu anotsigira kumusoro uye pasi uye ane hukama hunoshamisa nemusana sezvo boka rega rega remhasuru rinokomberedza musana uye rinodzivirira musana. Kana zvinhu zvakatipoteredza uye kukuvadzwa kunotyisa kunotanga kukonzera kurwadziwa-kufanana nezviratidzo kumashure, zvinogona kuisa munhu mukurwadziwa kwakanyanya, saka nei vazhinji vachitsvaga kurapwa kusina kuvhiyiwa kuderedza marwadzo-semigumisiro yemarwadzo ekudzokera shure uye kuwana zororo ravari. kutsvaka. Chinyorwa chemazuva ano chinotarisa kukanganiswa kwemarwadzo asingagumi emusana uye kuti kurapa kusina kuvhiyiwa kunogona kukanganisa sei vanhu vane chirwere chisingaperi chisingarware shure. Tinotaura nevarapi vane hunyanzvi vanosimbisa ruzivo rwevarwere vedu kuti vape nzira dzakawanda dzekurapa dzisiri dzekuvhiya kuti kuderedze kurwadziwa kusingaperi kwemusana kunobata migumo yavo. Isu tinozivisawo uye kutungamira varwere kuti kurapa kwakasiyana-siyana kusiri kwekuvhiya kunogona kubatsira sei hutano hwavo uye kugara zvakanaka sezvo vachigona kubatsira kuderedza musculoskeletal mamiriro senge kusingaperi kurwadziwa kwemusana. Tinokurudzira varwere vedu kuti vabvunze avo vanobatana navo vezvokurapa mibvunzo yakaoma uye yakakosha pamusoro pemarwadzo avo asingagumi ekudzokera shure uye kuti ndezvipi shanduko duku dzavanogona kubatanidza kuderedza zviratidzo zvayo zvinorwadza. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer.

 

Mhedzisiro Yechisingaperi Low Back Pain

Iwe unogara uchinzwa zvakakomba tsandanyama aches kana marwadzo kumashure kwako mushure menguva yakaoma yezuva rekushanda? Unonzwa kuneta kwetsandanyama kubva kumusana kusvika kumakumbo ako mushure mekutakura chinhu chinorema here? Kana kuti wakamboona here kuti kumonyorora kana kutenderedza mafambiro kunorerutsa musana wako kwenguva pfupi, wotowedzera kuipa mushure mechinguva? Kazhinji, mazhinji ezviitiko izvi zvinorwadza-sezvinoita zvine chekuita nekurwadziwa kusingaperi kwemusana, uye zvinogona kuve nekuda kwezvikonzero zvakasiyana-siyana zvinoenderana neichi chinowanzoitika musculoskeletal mamiriro. Kana zvasvika kune mamiriro emusculoskeletal ane chekuita nekusingaperi kuderera kwemarwadzo ekudzokera shure, iwo akapararira apo maitiro avo ari kupararira. Kusvika ipapo, vanobata vanhu vazhinji sezvo vari ivo nhamba yekutanga inonyanya kukonzera kurwadziwa kwakanyanya kwenguva refu uye kuremara kwemuviri. (Woolf naPfleger, 2003) Sezvo marwadzo ekudzokera shure achigona kunge akanyanya kana asingaperi, anogona kuve akawanda semamwe akawanda zviratidzo zvinorwadza zvinowanzokonzera kupindirana kwengozi profiles mumuviri. Mhedzisiro yemarwadzo asingagumi ekudzokera shure ane zvikonzero zvinokonzera pathological izvo zvisina kunyatsotsanangurwa asi zvinogona kuenderana nekusagadzikana kwepfungwa. (Andersson, 1999)

 

 

Uyezve, kuchinja kunopera mukati memusana kunogonawo kukonzera kukanganisa pakukura kwemarwadzo asingagumi emusana. Zvinhu zvine njodzi izvo zvinokonzeresa kuwanda kwengozi profiles zvinogona kubva pakuputa uye kufutisa kuenda kumabasa akasiyana siyana anoda mafambiro akawandisa. (Atkinson, 2004) Kana izvozvo zvikaitika, zvinoita kuti vanhu vazvidye mwoyo zvisina basa izvo zvinokanganisa upenyu hwavo uye zvinovashungurudza. Apa ndipo apo vanhu vazhinji vanotanga kutsvaga kurapwa kuti vaderedze mhedzisiro yekusingaperi marwadzo emusana uye kuderedza mikana yekutsvaga kupindira kwekuvhiya. 

 


Basa ReChiropractic Care Pakuvandudza Utano Hwako- Vhidhiyo


Kurapa Kusina Kuvhiya Kwekurwara Kwemusana Kusingaperi

Kana vanhu vachibata nemarwadzo asingagumi emusana, vazhinji havawanzozivi kuti kufamba kwakasiyana-siyana, makore, uye pathologies zvinogona kushandura musana, zvichiita kuti spinal discs iende kuburikidza nekuchinja kunopera kunoenderana nekuvandudzwa kwekusingaperi kunorwadza shure. (Benoist, 2003) Kana shanduko dzakaipa dzichitanga kukonzera marwadzo-sezviratidzo kumashure, vazhinji vanozotanga kutsvaga kurapwa kunokwanisika uye kunoshanda. Nokudaro, ichi ndicho chikonzero kurapa kusiri kwekuvhiya kunogona kubatsira kuderedza marwadzo-sezviratidzo zvekusingaperi marwadzo emusana uye kubatsira kudzorera kufamba kwemuviri. Mishonga isiri-yekuvhiya inoitirwa marwadzo emunhu uye inotangira paacupuncture kuenda ku massage therapy uye spinal decompression. Mishonga isiri-yekuvhiya zvakare inokwanisika uye inobatsira kudzikisa kupindirana kwenjodzi profiles yekusingaperi kurwadza kwemusana uku ichideredza mamiriro ayo akabatana.

 

Spinal Decompression Effects Pane Chronic Low Back Pain

 

Spinal decompression, sezvakambotaurwa, inzira yekurapa kusiri kwekuvhiya kunosanganisira mechanical zvinyoro traction pamusana kuti uderedze kusingaperi marwadzo ekudzokera shure uye anogona kuderedza marwadzo-sezviratidzo zvinosangana nazvo. Spinal decompression inobatsira kuderedza kukweshera kwemhasuru dzemudumbu, zvichikanganisa lumbar spine asi inopawo marwadzo uye basa remuviri. (Choi et al., 2022) Spinal decompression yakachengeteka uchiri munyoro pamuzongoza, wakasanganiswa nekudzikamisa maekisesaizi ekusimudzira intra-abdominal pressure uye musana wemuzongoza kune lumbar. (Hlaing et al., 2021) Kana munhu achibatanidza kuora kwepelinha sechikamu cherwendo rwavo rwehutano uye hutano hwakanaka, kurwadziwa kwavo nekuremara kunoderera nekufamba kwenguva apo kusimbisa mhasuru dzisina simba dzakabatwa nekusingaperi kunorwadza shure. Kubatanidza kurapa kusina kuvhiyiwa uku kunogona kubatsira munhu kuti anyatsofunga nezvezvakatipoteredza zvaari kuita pamisana yavo uye kurarama hupenyu huri nani uye hune hutano.

 


References

Andersson, GB (1999). Epidemiological features of chronic low-back pain. Lancet, 354(9178), 581-585. doi.org/10.1016/S0140-6736(99)01312-4

Atkinson, JH (2004). Kurwara kwemusana kusingagumi: kutsvaga zvikonzero uye kurapa. J Rheumatol, 31(12), 2323-2325. www.ncbi.nlm.nih.gov/pubmed/15570628

www.jrheum.org/content/jrheum/31/12/2323.full.pdf

Benoist, M. (2003). Natural nhoroondo yekukwegura musana. Eur Spine J, 12 Suppl 2(Zviwedzerwa 2), S86-89. doi.org/10.1007/s00586-003-0593-0

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

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