Kukuvara Kwevanhu
Back Clinic Personal Injury Chiropractic Team. Kukuvara kubva mutsaona hakugoni kungokonzera kukuvadzwa kwemuviri kune iwe kana mudiwa, kubatanidzwa munyaya yekukuvara kwemunhu kunowanzova mamiriro ezvinhu akaoma uye anonetsa kubata. Aya marudzi emamiriro ezvinhu zvinosuruvarisa kuti akajairika uye kana munhu wacho akatarisana nemarwadzo uye kusagadzikana semugumisiro wekushungurudzika kubva mutsaona kana mamiriro ezvinhu ari pasi akave akawedzerwa nekukuvara, kuwana kurapa kwakakodzera kwenyaya yavo chaiyo inogona kuva imwe dambudziko. pachayo.
Dr. Alex Jimenez's kuunganidza zvinyorwa zvekukuvara kwemunhu zvinoratidza zvakasiyana-siyana zvekukuvara kwemunhu, kusanganisira njodzi dzemotokari dzinokonzera whiplash, uyewo muchidimbu mishonga yakasiyana-siyana inoshanda, yakadai sechiropractic kuchengetedza. Kuti uwane rumwe ruzivo, ndapota inzwa wakasununguka kuti utaure nesu pa (915) 850-0900 kana mameseji kufonera Dr. Jimenez pachezvangu pa (915) 540-8444.
by Dr Alex Jimenez Neck Pain Treatments , Whiplash
Vaya vanonzwa kurwadziwa kwemutsipa, kuoma, musoro, pfudzi uye kurwadziwa shure vanogona kutambura nekukuvara kwe whiplash. Kuziva zviratidzo nezviratidzo zve whiplash kunobatsira vanhu kuziva kukuvara uye kubatsira varapi vehutano kugadzira chirongwa chekurapa chinoshanda?
Whiplash Zviratidzo uye Zviratidzo
Whiplash kukuvara kwemutsipa kunowanzoitika mushure mekudhumhana kwemotokari kana tsaona asi inogona kuitika nekukuvara kupi uko kunokurumidza kurova mutsipa mberi uye kumashure. Iko kukuvara kwakapfava kusvika pakati pemitsipa yemutsipa. Kazhinji whiplash zviratidzo uye zviratidzo zvinosanganisira:
Neck marwadzo
Kuoma kwemutsipa
kurwadziwa nemusoro
Chizutu
papfudzi marwadzo
Kutambudzika shure
Kunzwa kwekunzwa mumutsipa kana pasi pemaoko. (Johns Hopkins Mushonga. 2024 )
Vamwe vanhu vanogona kukura kurwadziwa kusingaperi uye misoro.
Zviratidzo uye kurapwa zvinoenderana nekuoma kwekukuvara. Kurapa kunogona kusanganisira mishonga inorwadza pamusoro-the-counter, ice uye kupisa kupisa, chiropractic, kurapa kwemuviri, uye kutambanudza maekisesaizi.
Kazhinji Zviratidzo uye Zviratidzo
Iko kamwe-kamwe kurova kufamba kwemusoro kunogona kukanganisa zvivako zvakawanda mukati memutsipa. Zviumbwa izvi zvinosanganisira:
tsandanyama
mapfupa
Joints
Tendons
Ligamende
Intervertebral discs
Tsinga
Tsinga.
Chero chipi nechipi kana zvose izvi zvinogona kuchinjwa nekukuvara kwe whiplash. (MedlinePlus, 2017 )
Statistics
Whiplash mutsara wemutsipa unoitika kubva pakukurumidza mutsipa-jerking kufamba. Kukuvara kweWhiplash kunodarika hafu yekukuvara kwemotokari yemotokari. (Michele Sterling, 2014 Kunyange nekukuvara kudiki, zviratidzo zvinowanzoitika zvinosanganisira: (Nobuhiro Tanaka et al., 2018 )
Neck marwadzo
Kutevera kuoma
Mutsipa unyoro
Nhamba shoma yekufamba kwemutsipa
Vanhu vanogona kukudziridza kusagadzikana kwemutsipa uye kurwadziwa nguva pfupi mushure mekukuvara; zvisinei, kurwadziwa kwakanyanya uye kuoma hakuitike mushure mekukuvara. Zviratidzo zvinowanzowedzera kuwedzera zuva rinotevera kana maawa makumi maviri nemana gare gare. (Nobuhiro Tanaka et al., 2018 )
Kutanga Zviratidzo
Vatsvakurudzi vakaona kuti inenge inopfuura hafu yevanhu vane whiplash vanoita zviratidzo mukati memaawa matanhatu ekukuvara. Vanosvika 90% vanotanga zviratidzo mukati memaawa makumi maviri nemana, uye 24% vanotanga zviratidzo mukati meawa makumi manomwe nemaviri. (Nobuhiro Tanaka et al., 2018 )
Whiplash vs. Traumatic Cervical Spine Injury
Whiplash inotsanangura kunyorova kusvika pakati pekukuvara kwemutsipa pasina skeletal yakakura kana zviratidzo zvetsinga. Kukuvara kukuru kwemutsipa kunogona kukonzera kuputsika uye kuparadzaniswa kwemusana kunogona kukanganisa tsinga uye musana. Pane imwe nguva munhu anotanga matambudziko eurological ane chokuita nekukuvara kwemutsipa, kuongororwa kunoshanduka kubva ku whiplash kusvika kune kukuvara kwekervical spine. Misiyano iyi inogona kuvhiringa sezvo iri pachikamu chimwe chete. Kuti unzwisise zviri nani kuoma kwemutsipa sprain, iyo Quebec classification system inoparadzanisa kukuvara kwemutsipa muzvikamu zvinotevera (Nobuhiro Tanaka et al., 2018 )
Bhuku 0
Izvi zvinoreva kuti hapana zviratidzo zvemutsipa kana zviratidzo zvekuongororwa kwemuviri.
Bhuku 1
Kune kurwadziwa kwemutsipa uye kuoma.
Zvishoma zvakawanikwa kubva mukuongororwa kwemuviri.
Bhuku 2
Inoratidza kurwadziwa kwemutsipa uye kuoma
Mutsipa unyoro
Kuderera kwekufamba kana mitsipa yekufamba pakuongorora kwemuviri.
Bhuku 3
Inosanganisira kurwadziwa kwemasuru uye kuoma.
Neurologic zviratidzo zvinosanganisira:
Numbness
Tingling
Kushaya simba mumaoko
Decreased reflexes
Bhuku 4
Inosanganisira kutyoka kana kutsemuka kwemapfupa emuzongoza.
Zvimwe Zviratidzo
Zvimwe zviratidzo zve whiplash uye zviratidzo zvinogona kubatanidzwa nekukuvara asi zvisingawanzoitiki kana kuti zvinongoitika nekukuvara kwakanyanya zvinosanganisira (Nobuhiro Tanaka et al., 2018 )
Kurwisana musoro
Jaw kurwadziwa
Matambudziko okurara
Migraine musoro
Dambudziko kuisa pfungwa
Kuverenga zvakaoma
Chiratidzo chakasvibiswa
Chizutu
Kutyaira matambudziko
Rare Symptoms
Vanhu vane kukuvara kwakanyanya vanogona kukura zviratidzo zvisingawanzo izvo zvinowanzoratidza kukuvara kwecervical spine uye zvinosanganisira: (Nobuhiro Tanaka et al., 2018 )
kukanganwa
Kupopota
Izwi rinoshanduka
Torticollis - kurwadza kwemasuru kunorwadza kunoita kuti musoro uende kune rumwe rutivi.
Kubuda ropa muuropi
Matambudziko
Vazhinji vanhu vanowanzopora kubva kuzviratidzo zvavo mukati memavhiki mashoma kusvika kumwedzi mishoma. (Michele Sterling, 2014 ) Zvisinei, zvinetso zve whiplash zvinogona kuitika, kunyanya nekukuvara kwakakomba 3 kana giredhi 4. Zvinetso zvinowanzoitika zvekukuvara kwe whiplash zvinosanganisira kurwadziwa kusingaperi / kwenguva refu uye misoro. (Michele Sterling, 2014 ) Kukuvara kwechirwere chepervical spine kunogona kukanganisa mutsara wepelinha uye kusanganiswa nezvinetso zvisingaperi zvetsinga, kusanganisira kupera, kushaya simba, uye kuoma kufamba. (Luc van Den Hauwe et al., 2020 )
mabatiro
Marwadzo acho anowedzera zvakanyanya zuva rinotevera kupfuura mushure mekukuvara. Whiplash musculoskeletal kukuvara kurapwa kunoenderana nekuti kukuvara kwakanyanya kana kuti munhu wacho akagadzira kurwadziwa kwemutsipa kusingagumi uye kuoma.
Marwadzo akanyanya anogona kurapwa nemishonga inodarika-the-counter seTylenol uye Advil, iyo inorapa zvinobudirira marwadzo.
Advil is nonsteroidal anti-inflammatory inogona kutorwa nekurwadziwa kweTylenol, iyo inoshanda nenzira dzakasiyana.
Chinonyanya kukosha chekurapa ndechekukurudzira kushanda nguva dzose nekutambanudza uye kurovedza muviri. (Michele Sterling, 2014 )
Physical therapy inoshandisa akasiyana siyana ekufambisa maekisesaizi kusimbisa mitsipa yemutsipa uye kubvisa marwadzo.
Chiropractic kugadziridzwa uye kusiri-kuvhiya decompression inogona kubatsira kugadzirisa uye kudyisa musana.
Acupuncture inogona kukonzera kuti muviri uburitse mahomoni echisikigo anopa zororo rekurwadziwa, kubatsira kuzorodza matishu akapfava, kuwedzera kutenderera, uye kuderedza kuzvimba. Iyo cervical spine inogona kudzoka pakurongeka kana zvinyoro zvinyoro zvisisina kupisa uye kuputika. (Tae-Woong Moon et al., 2014 )
Neck Injuries
VIDEO
References
Mushonga, JH (2024). Whiplash Injury. www.hopkinsmedicine.org/health/conditions-and-diseases/whiplash-injury
MedlinePlus. (2017). Kukuvara Kwemutsipa uye Kuvhiringidzika. Zvakatorwa kubva medlineplus.gov/neckinjuriesanddisorders.html#cat_95
Sterling M. (2014). Physiotherapy manejimendi ye whiplash-associated kusagadzikana (WAD). Nyaya ye physiotherapy, 60 (1), 5-12. doi.org/10.1016/j.jphys.2013.12.004
Tanaka, N., Atesok, K., Nakanishi, K., Kamei, N., Nakamae, T., Kotaka, S., & Adachi, N. (2018). Pathology uye Kurapa kweTraumatic Cervical Spine Syndrome: Whiplash Injury. Kufambira mberi mune orthopedics, 2018, 4765050. doi.org/10.1155/2018/4765050
van Den Hauwe L, Sundgren PC, Flanders AE. (2020). Spinal Trauma uye Spinal Cord Injury (SCI). Mu: Hodler J, Kubik-Huch RA, von Schulthess GK, vapepeti. Zvirwere zveBrain, Musoro uye Mutsipa, Spine 2020-2023: Diagnostic Imaging [Internet]. Cham (CH): Springer; 2020. Chitsauko 19. Inowanikwa kubva: www.yori.nlm.nih.gov/books/NBK554330/ doi: 10.1007/978-3-030-38490-6_19
Mwedzi, TW, Posadzki, P., Choi, TY, Park, TY, Kim, HJ, Lee, MS, & Ernst, E. (2014). Acupuncture yekurapa whiplash yakabatana nechirwere: kurongeka kwekuongorora kwe randomized kliniki miedzo. Evidence-based complementary and alternative medicine: eCAM, 2014, 870271. doi.org/10.1155/2014/870271
by Dr Alex Jimenez Pasi Pasi Pain , Kukuvara Kwevanhu
Kune vanhu vane kurwadziwa kwepazasi kumashure vanogona kunzwisisa anatomy uye basa remultifidus tsandanyama rubatsiro mukudzivirira kukuvara uye mukuvandudza chirongwa chekurapa chakanyanya kushanda?
Multifidus Muscle
Iyo multifidus mhasuru dzakareba uye dzakamanikana kune rumwe rutivi rwepinini mbiru, iyo inobatsira kudzikamisa nzvimbo yakaderera yemuzongoza kana lumbar spine. (Maryse Fortin, Luciana Gazzi Macedo 2013 ) Kugara zvakanyanya, kuita maitiro asina kunaka, uye kusava nekufamba kunogona kufambira mberi kune multifidus muscle kupera simba kana atrophy, izvo zvinogona kutungamirira kumusana usina kugadzikana, vertebral compression, uye kurwadziwa shure. (Paul W. Hodges, Lieven Danneels 2019 )
Anatomy
Inozivikanwa sechidzitiro chakadzika, ndiyo yemukati-kati yezvikamu zvitatu zvetsandanyama zvemusana uye inodzora kufamba kwemusana. Mamwe maviri akaturikidzana, anozivikanwa seyemukati uye epamusoro, ane mutoro weiyo thoracic cage / mbabvu cage uye kufamba kwepfudzi. (Anouk Agten et al., 2020 ) Iyo multifidus ine mapoinzi ekunamatira pa:
The thoracic musana wepakati kumashure.
The lumbar musana wezasi musana.
The iliac spine - mujinga mebapiro-akaita mapapiro iliac bone yepelvis.
Sacrum - nhevedzano yemapfupa ari pazasi pemusana akabatana nemuswe.
Paunenge wakamira kana kufamba, iyo multifidus muscle inoshanda ne transversus abdominus uye pelvic floor muscles kuti igadzikane lumbar spine. (Christine Lynders 2019 )
Basa retsandanyama
Basa guru nderokudzikamisa pasi kumashure, asi inobatsirawo kuwedzera musana wepasi pose paunosvika kana kutambanudza. (Jennifer Padwal et al., 2020 ) Nemhaka yokuti mhasuru ine mapeji akawanda ekubatanidza uye inoshandiswa neimwe bazi retsinga rinozivikanwa se posterior rami, inobvumira vertebra imwe neimwe kushanda yega uye zvakanyanya.
Izvi zvinodzivirira kubva pakuora kwemusana uye kukura kweArthritis. (Jeffrey J Hebert et al., 2015 )
Iyo multifidus tsandanyama inoshanda nemamwe maviri akadzika mhasuru mapoka kuti agadzikane uye kufambisa musana. (Jeffrey J Hebert et al., 2015 )
Iyo rotatores tsandanyama inogonesa unilateral kutenderera, kutendeuka kubva kune rimwe divi kuenda kune rimwe divi, uye bilateral kuwedzera kana kukotama kumashure uye kumberi.
Iyo semispinalis muscle pamusoro pe multifidus inobvumira kuwedzera uye kutenderera kwemusoro, mutsipa, uye kumusoro kumashure.
Iyo multifidus muscle inochengetedza simba remusana nokuti ine zvakawanda zvakasungirirwa kumusana pane mamwe mapeji, izvo zvinoderedza kushanduka kwemusana uye kutenderera asi kunowedzera simba uye kugadzikana. (Anouk Agten et al., 2020 )
Pasi Pasi Pain
Iyo isina simba multifidus tsandanyama inodzikamisa musana uye inopa shoma rutsigiro kune vertebra. Izvi zvinowedzera kudzvanywa pamhasuru uye matishu anobatanidza pakati uye ari padyo nepinal column, zvichiwedzera njodzi yezviratidzo zvekurwadziwa kumashure. (Paul W. Hodges, Lieven Danneels 2019 ) Kurasikirwa kwesimba remhasuru uye kugadzikana kunogona kukonzera atrophy kana kupera. Izvi zvinogona kukonzera compression uye mamwe matambudziko kumashure. (Paul W. Hodges et al., 2015 ) Matambudziko ekudzokera shure ane chokuita ne multifidus muscle deterioration anosanganisira (Paul W. Hodges, Lieven Danneels 2019 )
Herniated discs - zvakare anoputika kana akatsvedza madhisiki.
Nerve entrapment kana compression pinched nerve.
Sciatica
Referred pain - kurwadziwa kwetsinga kunobva kumusana kwakanzwika kune dzimwe nzvimbo.
Osteoarthritis - kupfeka-uye-kubvarura arthritis
Spinal osteophytes - bone spurs
Mudumbu usina simba kana pelvic pasi tsandanyama zvinogona kukanganisa musimboti, zvichiwedzera njodzi yekusingaperi kurwadziwa kwemusana uye kukuvara.
Vanhu vanokurudzirwa kubvunza chiremba wepanyama uye chiropractor vanogona kubatsira kukudziridza zvakakodzera mabatiro , kugadzirisa, nekusimbisa chirongwa chinobva pazera, kukuvara, mamiriro epasi, uye kugona kwemuviri.
Ko Core Exercises Inogona Kubatsira Nekurwadza Kwekumashure?
VIDEO
References
Fortin, M., & Macedo, LG (2013). Multifidus uye paraspinal muscle boka rinoyambuka-sectional nzvimbo dzevarwere vane marwadzo ekudzokera shure uye kudzora varwere: kuongorora kwakarongeka nekutarisa pakupofumadza. Physical therapy, 93 (7), 873-888. doi.org/10.2522/ptj.20120457
Hodges, PW, & Danneels, L. (2019). Shanduko muChimiro uye Basa reKumashure Muscles muLow Back Pain: Yakasiyana Nguva Mapoinzi, Observation, uye Mechanisms. The Journal of orthopedic uye mitambo yekurapa kwepanyama, 49 (6), 464-476. doi.org/10.2519/jospt.2019.8827
Agten, A., Stevens, S., Verbrughe, J., Eijnde, BO, Timmermans, A., & Vandenabeele, F. (2020). Iyo lumbar multifidus inoratidzwa nemhando yakakura I muscle fibers kana ichienzaniswa ne erector spinae. Anatomy & cell biology, 53(2), 143–150. doi.org/10.5115/acb.20.009
Lynders C. (2019). Iro Rinokosha Basa Rekuvandudza kweTransversus Abdominis mukudzivirira uye Kurapa kweLow Back Pain. HSS magazini: the musculoskeletal magazine yeChipatara cheSpecial Surgery, 15(3), 214–220. doi.org/10.1007/s11420-019-09717-8
Padwal, J., Berry, DB, Hubbard, JC, Zlomislic, V., Allen, RT, Garfin, SR, Ward, SR, & Shahidi, B. (2020). Misiyano yedunhu pakati pepamusoro uye yakadzika lumbar multifidus mune varwere vane chisingaperi lumbar spine pathology. BMC musculoskeletal kusagadzikana, 21 (1), 764. doi.org/10.1186/s12891-020-03791-4
Hebert, JJ, Koppenhaver, SL, Teyhen, DS, Walker, BF, & Fritz, JM (2015). Kuongororwa kwe lumbar multifidus muscle basa kuburikidza ne palpation: kuvimbika uye kutendeseka kwehutano hutsva hwekliniki. The spine magazine: yepamutemo magazini yeNorth American Spine Society, 15 (6), 1196-1202. doi.org/10.1016/j.spinee.2013.08.056
Hodges, PW, James, G., Blomster, L., Hall, L., Schmid, A., Shu, C., Little, C., & Melrose, J. (2015). Multifidus Muscle Changes Mushure mekukuvadzwa Kwekumashure Inoratidzwa neKugadziriswa Kwemaitiro eMuscle, Adipose uye Connective Tissue, asi Kwete Muscle Atrophy: Molecular and Morphological Evidence. Muzongoza, 40(14), 1057–1071. doi.org/10.1097/BRS.0000000000000972
by Dr Alex Jimenez Kukuvara Kwevanhu , Basa Rakafanana Kukuvara
Munguva yekudonha vanhu vanowanzotambanudza maoko avo kuti vabatsire kudonha, izvo zvinogona kurovera pasi zvichikonzera kuwira paruoko rwakatambanudzwa kana kukuvara kweFOOSH. Vanhu vanofanirwa kuongororwa nemupi wehutano kana vachitenda kuti hapana kukuvara here?
FOOSH Kukuvara
Kudonha kunowanzokonzera kukuvara kudiki. Kukuvara kweFOOSH kunoitika pakudonha uye kuedza kuputsa kudonha nekutambanudza ruoko nemaoko. Izvi zvinogona kukonzera kukuvara kwepamusoro senge sprain kana kutyoka. Asi dzimwe nguva, kuwira pamaoko kunogona kukonzera kukuvara kwakakomba uye / kana kugadzira ramangwana musculoskeletal nyaya. Vanhu vakawa kana kukuvadzwa neFOOSH vanofanira kubvunza mutarisiri wavo wehutano uyezve murapi wepanyama kana chiropractor kuti agadzirire zvakachengeteka chirongwa chekurapa kugadzirisa, kusimbisa, uye kukurumidzira kupora.
Mushure mekukuvadzwa
Kune vanhu vakawira pasi uye vakamhara paruoko, ruoko, kana ruoko, hezvino zvinhu zvishoma kuti uve nechokwadi chekuchengetedza kwakakodzera kwekukuvara, kusanganisira:
Tevera iyo RICE protocol yekukuvara kwakanyanya
Shanyira mushandi wezvehutano kana kiriniki yemunharaunda yechimbichimbi
Bata murapi wepanyama
Kukuvara kweFOOSH kunogona kuve kwakakomba, saka kudzivirira kuti nyaya diki dzive matambudziko akakura, ongororwa nana chiremba wemashuloskeletal. Mupi wehutano achawana imaging scan yevakakuvara nenzvimbo dzakatenderedza. Vachaita ongororo yemuviri kuti vaone rudzi rwekukuvara, senge sprain kana tsandanyama strain. Kusawana kurapwa kwakakodzera mushure mekudonha kunogona kukonzera kurwadziwa kusingaperi uye kurasikirwa kwebasa. (J. Chiu, SN Robinovitch. 1998 )
Kazhinji Kukuvara
Kukuvara kweFOOSH kunogona kukuvadza nzvimbo dzakasiyana. Izvi zvinowanzobatanidza chiwoko neruoko, asi gokora kana bendekete zvinogonawo kukuvara. Kukuvara kwakajairika kunosanganisira:
Kutyoka kweColles
Kutyoka kwechanza uko magumo ebhonzo reruoko anodzoserwa kumashure.
Kutyoka kwaSmith
Kutyoka kwechanza, kwakafanana nekutyoka kweColles, ndipo panobviswa magumo ebhonzo reruoko akananga kumberi kwechanza.
Kutyoka kweBoxer
Kutyoka kwemapfupa madiki ari muruoko.
Kazhinji, zvinoitika mushure mekurova chimwe chinhu, asi zvinogona kuitika kubva pakudonha pachibhakera chakatambanudzwa.
Kutsemuka kwegokora kana kutyoka
Gokora rinogona kubuda mujoini kana kutyora bhonzo mugokora.
Collarbone fracture
Simba rinobva pakudonha nemaoko nemaoko zvakatambanudzwa rinogona kufamba kusvika pacollarbone, zvichikonzera kuputsika.
Proximal humeral fracture
Kuwira pakukuvara kweruoko kwakatambanudzwa kunogona kuita kuti pfupa reruoko ripinde mupfudzi, zvichikonzera kutsemuka kwehumeral.
Kutsemuka kwepafudzi
Bendekete rinogona kubuda kunze kwekubatana.
Izvi zvinogona kukonzera rotator cuff kubvarura kana kukuvara kwebhubhu.
Pasinei nekukuvadzwa, vanhu vanofanira kushanyira mupi wehutano kuti vaongorore kukanganisa. Kana kukuvadzwa kwakakomba, murapi anogona kuita yakarurama kana kusiyanisa kuongororwa uye kugadzira chirongwa chekurapa. (William R. VanWye et al., 2016 )
Therapy Therapy
Vanhu vanogona kubatsirwa nekurapa kwemuviri kubatsira kupora uye kudzokera kune yavo yapfuura nhanho yebasa. Kurapa kwepanyama kunosiyana zvichienderana nekukuvara chaiko, asi kazhinji, murapi wepanyama anogona kubatsira vanhu kuti vadzokere kubasa mushure mekudonha paruoko rwakatambanudzwa. (William R. VanWye et al., 2016 ) Mishonga yakajairika inogona kusanganisira:
Kurapa uye nzira dzekuderedza marwadzo, kuzvimba, uye kuzvimba.
Mirayiridzo yekuti ungapfeka sei chipfuramabwe cheruoko zvakanaka.
Kudzidzira uye kutambanudza kuvandudza huwandu hwekufamba, simba, uye kushanda kwekufamba.
Balance exercises.
Scar tissue management kana kuvhiyiwa kwaidiwa.
The therapy team ichaita kuti kurapwa kwakakodzera inoshandiswa kukurumidza uye zvakachengeteka kudzokera kune zvakajairika zviitiko.
Chiropractic Kuchengeta Kuporeswa Mushure mekukuvadzwa
VIDEO
References
Chiu, J., & Robinovitch, SN (1998). Kufanotaura kwemasimba ekumusoro kwekupedzisira kunokanganisa panguva yekudonha paruoko rwakatambanudzwa. Nyaya yebiomechanics, 31 (12), 1169-1176. doi.org/10.1016/s0021-9290(98)00137-7
VanWye, WR, Hoover, DL, & Willgruber, S. (2016). Physical Therapist kuongorora uye kusiyanisa kuongororwa kwekutambudzika-kutanga kurwadza kwegorofu: A case report. Physiotherapy dzidziso uye tsika, 32 (7), 556-565. doi.org/10.1080/09593985.2016.1219798
by Dr Alex Jimenez Kungoerekana Kungoerekana Kungoitika , Kukuvara Kwevanhu , Basa Rakafanana Kukuvara
Vanhu vangasaziva kuti vane mbabvu yakatsemuka kusvika zviratidzo zvakaita sekurwadziwa kana uchifemereka zvatanga kuratidza. Kuziva zviratidzo uye zvinokonzeresa mbabvu dzakatsemuka kana kutyoka zvingabatsira here pakuongorora nekurapwa?
Mbabvu Yakatsemuka
Mbabvu yakatyoka/yakatyoka inotsanangura chero kutyoka kwebhonzo. Mbabvu yakatsemuka imhando yekutyoka mbabvu uye itsanangudzo yakawanda pane kuongororwa nechiremba mbabvu inenge yatyoka zvishoma. Chero kukanganisa kwakashata kuchipfuva kana kumashure kunogona kukonzera mbabvu yakatsemuka, kusanganisira:
Kudonha
Kudhumhana kwemotokari
Kukuvara kwemitambo
Chikosoro chechisimba
Chiratidzo chikuru kurwadziwa kana uchifema.
Kukuvara kunowanzopora mukati memavhiki matanhatu.
zviratidzo
Mbabvu dzakatsemuka dzinowanzokonzerwa nekudonha, kukuvara pachipfuva, kana kukosora kwakanyanya. Zviratidzo zvinosanganisira:
Kuzvimba kana kupfava kwakapoteredza nzvimbo yakakuvara.
Kurwadza kwechipfuva kana uchifema/kufema, kuhotsira, kuseka, kana kukosora.
Kurwadza kwechipfuva nekufamba kana pakurara mune dzimwe nzvimbo.
Kupwanya kunobvira.
Kunyangwe zvisingawanzo, mbabvu yakatsemuka inogona kukonzera matambudziko senge pneumonia.
Ona varapi vehutano nekukasika kana uchinetsekana kufema, kurwadziwa kwakanyanya muchipfuva, kana chikosoro chinoramba chine machuru, fivha yakanyanya, uye/kana kutonhorwa.
Types
Kazhinji, mbabvu inowanzotyoka munzvimbo imwe, zvichiita kuti pave nekutsemuka kusina kukwana, zvinoreva kutsemuka kana kutsemuka kusingapfuuri nepfupa. Mamwe marudzi ekutyoka kwembabvu anosanganisira:
Vakadzingwa uye Nondisplaced Fractures
Mbabvu dzakatyoka zvachose dzinogona kana kusasimuka kubva panzvimbo.
Kana mbabvu ikafamba, iyi inozivikanwa sea displaced mbabvu kutyoka uye inogona kubaya mapapu kana kukuvadza mamwe matishu nenhengo. (Yale Medicine. 2024 )
Mbabvu inoramba iri panzvimbo kazhinji zvinoreva kuti mbabvu haina kunyatsotyoka nepakati uye inozivikanwa sea nondisplaced mbabvu yakatyoka .
Flail Chest
Chikamu chembabvu chinogona kubvaruka kubva pabhonzo rakapoteredza uye tsandanyama, kunyange izvi zvisingawanzoitiki.
Kana izvi zvikaitika, ribcage icharasikirwa nekugadzikana, uye pfupa richafamba zvakasununguka sezvo munhu ari kufema kana kubudisa.
Ichi chikamu chembabvu chakatyoka chinodaidzwa kuti flail segment.
Izvi zvine njodzi nekuti zvinogona kubaya mapapu zvokonzera mamwe matambudziko akanyanya, senge mabayo.
Zvinokonzera
Zvinonyanya kukonzera mbabvu dzakatsemuka zvinosanganisira:
Kudhumhana kwemotokari
Tsaona dzevanofamba netsoka
kana
Impact kukuvara kubva mumitambo
Kuwedzeredza / Kudzokorora kunetseka kunounzwa nebasa kana mitambo
Kukosora kwakanyanya
Vanhu vakura vanogona kusangana nekutyoka kubva mukukuvadzwa kudiki nekuda kwekurasika kunowedzera kwemaminerari emapfupa. (Christian Liebsch et al., 2019 )
Kufanana kweRib Fractures
Kutyoka kwembabvu ndiyo yakajairika mhando yekutyoka kwebhonzo.
Ivo vanoverengera 10% kusvika 20% yezvose zvinokuvadza zvinokuvadza zvinoonekwa mumakamuri ekukurumidzira.
Muzviitiko apo munhu anotsvaka kutarisira kukuvara kwakakomba pachipfuva, 60% kusvika 80% inosanganisira mbabvu yakatyoka. (Christian Liebsch et al., 2019 )
kuongorora chirwere
Mbabvu yakatsemuka inoonekwa nekuongororwa kwemuviri uye bvunzo dzekufungidzira. Panguva yekuongororwa, mupi wehutano anoteerera kumapapu, anodzvanya zvinyoro nyoro pambabvu, uye tarisa sezvo mbabvu inofamba. Iyo yekufungidzira bvunzo sarudzo dzinosanganisira: (Sarah Majercik, Fredric M. Pieracci 2017 )
X-rays - Aya ndeekuona mbabvu dzichangobva kutsemuka kana dzakatyoka.CT Scan -Iyi bvunzo yekufungidzira inosanganisira akawanda X-rays uye inogona kuona madiki madiki.MRI -Iyi bvunzo yekufungidzira ndeyematishu akapfava uye anogona kazhinji kuona madiki madiki kana kukuvadzwa kwecartilage.Bone Scan -Iyi bvunzo yekufungidzira inoshandisa radioactive tracer kuona chimiro chemapfupa uye inogona kuratidza kudiki kushushikana kutyoka.
mabatiro
Kare, kurapwa kwaisanganisira kuputira chipfuva nebhande raizivikanwa sembabvu bhandi. Izvi hazviwanzo shandiswa nhasi sezvo zvichigona kudzora kufema, zvichiwedzera njodzi yemabayo kana kunyange kudonha zvishoma kwemapapu. (L. May, C. Hillermann, S. Patil 2016 ) Mbabvu yakatsemuka kutsemuka kuri nyore kunoda zvinotevera:
Zorora
Over-the-counter kana mishonga yemishonga inogona kubatsira kugadzirisa zviratidzo zvinorwadza.
Nonsteroidal anti-inflammatory drugs – NSAIDs senge ibuprofen kana naproxen inokurudzirwa.
Kana zororo racho rakawanda, vanhu vanogona kunyorerwa mishonga yakasimba yemarwadzo zvichienderana nekuoma uye mamiriro ezvinhu.
Kurapa kwepanyama kunogona kukurumidza kupora uye kubatsira kuchengetedza huwandu hwekufamba kwemadziro echipfuva.
Kune varwere vasina simba uye vanhu vakura, kurapwa kwemuviri kunogona kubatsira murwere kufamba uye kugadzirisa mamwe mabasa.
Murapi wepanyama anogona kudzidzisa munhu wacho kutamisa pakati pemubhedha nemacheya zvakachengeteka asi achichengeta kuziva nezve chero mafambiro kana chinzvimbo chinoita kuti marwadzo awedzere.
Murapi wepanyama acharaira exercises kuchengetedza muviri wakasimba uye mitezo sezvinobvira.
Semuenzaniso, lateral twists inogona kubatsira kuvandudza mararamiro ekufambisa mumuzongoza we thoracic.
Munguva yekutanga kupora, zvinokurudzirwa kurara munzvimbo yakarurama.
Kurara pasi kunogona kuwedzera kumanikidzwa, zvichikonzera marwadzo uye zvichida kuwedzera kukuvara.
Shandisa mapillow nemabolsters kubatsira kutsigira kugara pamubhedha.
Imwe nzira ndeyekurara pachigaro chakarembera.
Kuporeswa kunotora mavhiki matanhatu. (L. May, C. Hillermann, S. Patil 2016 )
Zvimwe Mamiriro
Izvo zvingaita senge mbabvu yakatsemuka inogona kunge yakafanana nemamiriro ezvinhu, ndosaka zvakakosha kuti uongororwe. Zvimwe zvinokonzera zviratidzo zvinogona kusanganisira:
Mbabvu dzakapwanyika -Izvi zvinoitika kana mbabvu dzisati dzatsemuka, asi tsinga diki dzeropa dzakatenderedza dunhu rinoputika nekudonha mumatishu akatenderedza. (Sarah Majercik, Fredric M. Pieracci 2017 )Popped mbabvu – Apa ndipo panobvaruka mbabvu cartilage yotyoka, zvoita kuti isverere kubva panzvimbo. (Sarah Majercik, Fredric M. Pieracci 2017 )Yakadhonzwa tsandanyama - Kuonda kwemhasuru, kana kudhonzwa tsandanyama, kunoitika kana tsandanyama yawandisa, izvo zvinogona kutungamira kubvaruka. Mbabvu hadzina kukanganiswa, asi dzinogona kunzwa sedziri. (Sarah Majercik, Fredric M. Pieracci 2017 )
chimbichimbi
Dambudziko rinonyanya kuitika kutadza kutora kufema kwakadzika nekuda kwemarwadzo. Kana mapapu asingakwanisi kufema zvakadzika zvakakwana, mucous uye mwando zvinogona kuungana uye zvinotungamirira kuhutachiona hwakafanana nemabayo. (L. May, C. Hillermann, S. Patil 2016 ) Kutyoka kwembabvu kwakadzingwa kunogonawo kukuvadza mamwe matishu kana nhengo, kuwedzera njodzi yekudonha kwemapapu / pneumothorax kana kubuda ropa mukati. Zvinokurudzirwa kutsvaga kurapwa nekukurumidza kana zviratidzo zvikakura senge:
Kupfupika kwemhepo
Kuoma kufema kufema
Bluish ruvara rweganda rinokonzerwa nekushaikwa kweokisijeni
Chikosoro chinoramba chine machuru
Kurwadza kwechipfuva kana uchifemera mukati nekubuda
Fivha, dikita, uye kutonhorwa
Rapid moyo rate
Simba reChiropractic Care Mukukuvara Kwekugadzirisa
VIDEO
References
Yale Medicine. (2024). Kutyoka mbabvu (mbabvu yakatyoka) .
Liebsch, C., Seiffert, T., Vlcek, M., Beer, M., Huber-Lang, M., & Wilke, H. J. (2019). Mienzaniso ye serial rib fractures mushure mekurwadziwa kwechipfuva: kuongororwa kwezviitiko zve380. PloS imwe, 14(12), e0224105. doi.org/10.1371/journal.pone.0224105
May L, Hillermann C, Patil S. (2016). Rib fracture management. BJA Dzidzo. Vhoriyamu 16, Nyaya 1. Mapeji 26-32, ISSN 2058-5349. doi:10.1093/bjaceaccp/mkv011
Majercik, S., & Pieracci, F. M. (2017). Chest Wall Trauma. Makiriniki ekuvhiya thoracic, 27 (2), 113-121. doi.org/10.1016/j.thorsurg.2017.01.004
by Dr Alex Jimenez Kukuvara Kwevanhu , Mitambo Injodzi
Kune vanhu vari mumitambo, vanofarira kusimba, uye avo vanoita mabasa emuviri, kukuvara kwetsandanyama kunowanzoitika. Kushandisa ice tepi kungabatsira here panguva yekutanga kana yakaipisisa chikamu chekukuvara kuderedza kuzvimba uye kuzvimba kukurumidza kupora uye kudzokera kumabasa nekukurumidza?
Mushure mekukuvara kwetsandanyama, vanhu vanokurudzirwa kutevera R.I.C.E. nzira yekubatsira kuderedza kuzvimba uye kuzvimba. R.I.C.E. ndiyo acronym ye Rest, Ice, Compression, uye Elevation. (Michigan Medicine. Yunivhesiti yeMichigan. 2023 ) Kutonhora kunobatsira kuderedza marwadzo, kudzikisa tembiricha yetishu, uye kuderedza kuzvimba kwakatenderedza nzvimbo yekukuvara. Nekudzora kuzvimba neaizi uye kudzvanywa kutanga mushure mekukuvara, vanhu vanogona kuchengetedza yakafanira nhanho yekufamba uye kufamba kwakatenderedza chikamu chemuviri chakakuvara. (Jon E. Block. 2010 ) Pane nzira dzakasiyana dzekushandisa ice kune kukuvara.
Mabhegi echando anotengwa nechitoro uye mapepa anotonhora.
Kunyura chikamu chemuviri chakuvadzwa muchamupupuri chinotonhora kana tabhu.
Kugadzira zvakare kushandiswa ice packs.
Bhandi rekumanikidza rinogona kushandiswa pamwe chete nechando.
Ice Tape bhandeji rekumanikidza rinopa kutonhora kurapwa zvese kamwechete. Mushure mekukuvara, kuishandisa kunogona kubatsira kuderedza marwadzo uye kuzvimba panguva yakaoma yekuzvimba chikamu chekuporesa. (Matthew J. Kraeutler et al., 2015 )
Iyo Tepi Inoshanda Sei
Iyo tepi ibhande rinochinjika rinoiswa nerapeutic cooling gel. Kana yaiswa kune yakakuvara chikamu chemuviri uye ichiratidzwa kumhepo, iyo gel inoshanda, ichigadzira kutonhora kutenderedza nzvimbo. Mushonga wekurapa unogona kutora maawa mashanu kusvika matanhatu. Yakasanganiswa nebhandiji inoshanduka, inopa ice therapy uye compression. Iyo ice tepi inogona kushandiswa yakananga kunze kwepakeji asi inogona zvakare kuchengetwa mufiriji kuti iwedzere kutonhora. Zvichienderana nemirairo yemuiti, tepi haifaniri kuchengetwa mufiriji sezvo izvi zvinogona kuita kuti zviome kuputira nzvimbo yakakuvara.
Advantages
Zvakanakira zvinosanganisira zvinotevera:
Nyore Shandisa
Chigadzirwa chacho chiri nyore kushandisa.
Bvisa tepi, uye tanga kuiputira kumativi ekuvara kwemuviri.
Fasteners Hazvidiwi
Iyo yekuputira inonamatira pachayo, saka tepi inoramba iripo pasina kushandisa zvimedu kana fasteners.
Nyore Kucheka
The standard roll is 48 inches kureba uye 2 inches yakafara.
Kukuvara kwakawanda kunoda zvakakwana kuputira nzvimbo yakakuvara.
Chigero cheka huwandu chaihwo hunodiwa, uye chengeta imwe yese mubhegi rinovharika.
Inogona kudzoka
Mushure memaminitsi gumi nemashanu kusvika makumi maviri ekushandiswa, chigadzirwa chacho chinogona kubviswa nyore nyore, chakapetwa, chakachengetwa mubhegi, uye kushandiswa zvakare.
Iyo tepi inogona kushandiswa kakawanda.
Iyo tepi inotanga kurasikirwa nekutonhora kwayo mushure mekushandisa kwakati wandei.
takurika
Iyo tepi haidi kuiswa mune inotonhorera kana uchifamba.
Inotakurika zviri nyore uye yakakwana yekukurumidza ice uye compression application pakarepo mushure mekukuvara.
Inogona kuderedza marwadzo uye kuzvimba uye kuchengetwa panzvimbo yebasa.
payakaipira
Zvishoma zvakashata zvinosanganisira zvinotevera:
Kemikari Kunhuwa
Iyo gel painoputira kuputira inogona kuva nemushonga wemushonga.
Haina kunhuhwirira kwakasimba semafuta ekurwadziwa, asi kunhuhwirira kwemakemikari kunogona kunetsa vamwe vanhu.
Kunogona Kusatonhora Zvakakwana
Iyo tepi inoshanda kukurumidza kunyaradza kurwadziwa uye kuzvimba, asi inogona kusatonhora zvakakwana kumushandisi kana ikaiswa kubva pasuru patembiricha yekamuri.
Nekudaro, inogona kuiswa mufiriji kuti iwedzere kutonhora uye inogona kupa yakanyanya kutonhora kutonhora, kunyanya kune avo vanobata tendonitis kana bursitis.
Kunamira Kunogona Kuvhiringidza
Tepi inogona kunge yakatinamira kune vamwe.
Ichi chinonamira chinhu chinogona kuve chigumbuso chidiki.
Nekudaro, inongonzwa yakanamatira kana ichiiswa.
Mamwe maflecks egel anogona kusara kumashure kana abviswa.
Iyo tepi yechando inogonawo kunamatira kune zvipfeko.
Kune vanhu vari kutsvaga nekukurumidza, pa-kuenda-kutonhodza kurapwa kwevakakuvara kana kurwadza kwenhengo dzemuviri, ice tepi inogona kunge iri sarudzo. Zvingave zvakanaka kuvepo kuti upe kutonhora kwekumanikidza kana kukuvara kudiki kuchiitika paunenge uchitora chikamu mumitambo kana zviitiko zvemuviri uye zororo rekushandisa zvakanyanya kana kudzokorora kukuvara kwekunetseka.
Kurapa Ankle Sprains
VIDEO
References
Michigan Medicine. Yunivhesiti yeMichigan. Zororo, Ice, Kumanikidza, uye Kukwira (RICE) .
Block J. E. (2010). Kutonhora uye kudzvinyirira mukutarisira kwekukuvara kwemusculoskeletal uye orthopedic operative maitiro: ongororo yekurondedzera. Vhura bhuku rekushandisa remishonga yemitambo, 1, 105–113. doi.org/10.2147/oajsm.s11102
Kraeutler, M. J., Reynolds, K. A., Long, C., & McCarty, E. C. (2015). Compressive cryotherapy versus ice-inotarisirwa, kudzidza randomized pamusoro pekurwadziwa kwepashure kune varwere vane arthroscopic rotator cuff kugadziriswa kana subacromial decompression. Nyaya yekuvhiyiwa kwepfudzi negokora, 24 (6), 854-859. doi.org/10.1016/j.jse.2015.02.004
by Dr Alex Jimenez Kukuvara Kwevanhu , Basa Rakafanana Kukuvara
Gokora rakatsemuka kukuvara kunowanzoitika muvakuru nevana uye zvinowanzoitika pamwe chete nekutyoka kwebhonzo uye kukuvara kwetsinga uye matishu. Ko kurapwa kwemuviri kunogona kubatsira kutsigira kupora uye kuve nechokwadi chekufamba?
Yakabviswa Gokora Kukuvara
Kutsemuka kwegokora kunowanzo kukonzerwa nekushungurudzika kana mapfupa egokora haachabatana. Vanhu vanowira paruoko rwakatambanudzwa ndicho chinonyanya kukonzera kukuvara. (James Layson, Ben J. Best 2023 ) Vashandi vehutano vachaedza kutamisa gokora vachishandisa kuderedzwa kwakavharwa. Vanhu vangada kuvhiyiwa kana vasingakwanisi kutamisa gokora vachishandisa kuderedzwa kwakavharwa.
Resetting The Elbow
Gokora rakagadzirwa nehinge uye bhora-ne-socket joint, zvichiita kuti rifambe zvakasiyana: (American Society for Surgery of the Hand. 2021 )
Hinge joint
Iyo hinge basa inobvumira kukotama uye kutwasanudza kweruoko.
Bhora-ne-socket joint
Bhora-uye-socket basa rinokubvumira kutenderedza chanza cheruoko rwako kutarisana kumusoro kana kutarisana pasi.
Kukuvadzwa kwegokora kunogona kukanganisa mapfupa, tsandanyama, ligaments, uye matishu. (American Academy yeOrthopedic Surgeons. 2021 ) Kana gokora richiramba riri kunze kwejoinhi, ndipo panowedzera kukuvara. Golbow dislocations haiwanzo dzokera mumajoini avo ega uye inokurudzirwa kuti iongororwe nemupi wehutano ane hunyanzvi kudzivirira kukanganisa zvachose kune tsinga kana basa.
Hazvikurudzirwi kuedza kugadzirisa gokora uri wega.
Mumwe mupi wehutano achashanda kudzorera chibatanidza uye kuona kurongeka kwakakodzera.
Pamberi pekugadzirisa, ivo vachaita ongororo yemuviri kuti vaone kutenderera kweropa uye chero kukuvara kwetsinga.
Vanopa vanozoodha yekufungidzira scan kuti iongorore dislocation uye kuona mapfupa akatyoka. (American Academy yeOrthopedic Surgeons. 2021 )
Type yeDislocation
Iwo marudzi maviri egokora anotsemuka ndeaya: (James Layson, Ben J. Best 2023 )
Kushamiswa kwemashure
Inoitika kana paine simba rakakosha paruoko rinopararira rakananga kugokora.
Kudonha nemaoko akatambanudzwa kuti uzvibate, uye gokora rejoini rinosundira kumashure/kumashure.
Anterior Dislocation
Izvi hazvinyanyi kuwanda uye zvinobva kusimba rinoiswa pagokora rakachinjika.
Kuwira pasi kana ruoko rwuri kumusoro pedyo nebendekete.
Muchiitiko ichi, gokora regokora rinosundira mberi/anterior.
X-rays inoshandiswa kuona rudzi rwe dislocation uye kuziva chero mapfupa akatyoka. (American Society for Surgery of the Hand. 2021 )
Zvichienderana nekukuvara, mupi anogona kuraira CT scan kana MRI kuti ave nechokwadi chekuti hapana kukuvadzwa kwakaitika kune nerve kana ligaments. (Radiopaedia. 2023 )
Zviratidzo nezviratidzo
Kukanganiswa kwegokora kunowanzokonzerwa nekushungurudzika. (American Academy yeOrthopedic Surgeons. 2021 ) Zviratidzo nezviratidzo zvinosanganisira: (American Society for Surgery of the Hand. 2021 )
Kutadza kufambisa gokora.
Kupwanya uye kuzvimba kwakatenderedza nzvimbo.
Kurwadza kwakanyanya mugokora nenzvimbo yakapoteredza.
Kuremara kwakapoteredza gokora rakabatana.
Chiveve, kurira, kana kupera simba muruwoko kana ruoko zvinogona kuratidza kukuvara kwetsinga.
Kurapa Pasina Kuvhiya
Vapepi vehutano vanotanga vanoedza kurapa gokora rakatsemuka vachishandisa nzira yakavharwa yekudzikisa. (American Society for Surgery of the Hand. 2021 )
Kuderedzwa kwakavharwa kunoreva kuti gokora rinogona kutamiswa pasina kuvhiyiwa.
Pamberi pekuderedzwa kwakavharwa, mupi wehutano achapa mishonga yekubatsira kuzorodza munhu uye kugadzirisa marwadzo. (Medline Plus. 2022 )
Kana angotamiswa munzvimbo yakarurama, mupi wehutano anoshandisa splint (kazhinji pa 90-degree angle of flexion) kuchengetedza gokora panzvimbo. (James Layson, Ben J. Best 2023 )
Chinangwa ndechekudzivirira kuwedzera kwegokora, izvo zvinogona kukonzera kubviswazve.
Iyo splint inoramba iripo kwevhiki imwe kusvika kumatatu. (American Academy yeOrthopedic Surgeons. 2021 )
Murapi wepanyama anoongorora mafambiro uye anonyora maekisesaizi kudzivirira gokora rekufamba kwekurasikirwa.
Kurapa Nokuvhiyiwa
Gokora rinoramba risina kugadzikana nekuwedzera kudiki.
Mabhonzo haasi kunyatsoenderana.
Iyo ligaments inoda kuwedzera kugadziriswa mushure mekuvhara kuderedzwa.
Complex elbow dislocations inogona kuita kuti zviome kuchengetedza kubatana.
Mudziyo wekubatsira, senge hinge yekunze, unogona kukurudzirwa kubatsira kudzivirira kutsemukazve gokora.
Chiremba anovhiya anozokurudzira kurapwa kwemuviri mushure mekuvhiyiwa kubatsira nemhando-ye-kufamba maekisesaizi kuti uwedzere uye nekukurumidza kupora.
kupora
Nguva dzekupora dzinogona kusiyana sezvo kukuvara kwese kwakasiyana. (American Society for Surgery of the Hand. 2021 )
Nguva yekudzorera inoenderana nekugadzikana kwegokora mushure mekuvhara kuderedzwa kana kuvhiyiwa.
Vatapi vehutano vanozotanga maekisesaizi ekufamba. (American Society for Surgery of the Hand. 2021 )
Kudzikamisa kuti jekiseni risingafambike kwenguva yakareba sei kunodzivirira kuoma, mavanga, uye kuvharika kufamba.
Vatapi vehutano havakurudzire immobilization kweanopfuura mavhiki mashoma.
Kutangazve Mabasa Akajairika
Kutangazve kuita zvenguva dzose zvinowanzoenderana nerudzi rwekurapa kwekubviswa kwegokora: (Ortho Bullets. 2023 )
Yakavharwa Kuderedzwa
Gokora rinotsemuka kwemazuva mashanu kusvika gumi.
Vanhu vanogona kuita kurapa kwemuviri kutanga kuita basa rekubatsira kudzivirira kurasikirwa kwekufamba.
Vanhu vanokurudzirwa kuita maekisesaizi akareruka mukati memavhiki maviri mushure mekukuvara.
Kuvhiya Kuderedza
Gokora rinogona kuiswa musimbi inobvumira kuwedzera zvishoma nezvishoma kufamba.
Zvakakosha kuchengetedza kufamba kunodzorwa kudzivirira kurasikirwa kwekufamba.
Gokora rinogona kuwedzera zvakazara mukati memavhiki matanhatu kusvika masere, kunyange zvazvo zvichigona kutora mwedzi mishanu kuti igadziriswe.
Mutariri wehutano anozoona kana zvakachengeteka kuti utangezve basa rakajairwa.
Nzira Yekuporesa Kukuvadzwa Kwemunhu
VIDEO
References
Layson J, Best BJ. Gokora Kubviswa. [Yakagadziridzwa 2023 Jul 4]. Mu: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Inowanikwa kubva: www.yori.nlm.nih.gov/books/NBK549817/
American Society for Surgery of the Hand. (2021). Gorofu dislocation .
American Academy yeOrthopedic Surgeons. (2023). Gorofu dislocation .
Jones J, Carroll D, El-Feky M, et al. (2023). Gorofu dislocation . Chinyorwa chinyorwa, Radiopaedia.org doi.org/10.53347/rID-10501
Medline Plus. (2022). Yakavharwa kuderedzwa kwepfupa rakatyoka .
Ortho Bullets. (2023). Gorofu dislocation .
by Dr Alex Jimenez Injury Care , Kukuvara Kwevanhu
Kufambira mberi kunogona kuve kwakaoma kune vanhu vari mu post total ankle replacement surgery. Kurapa kwemuviri kungabatsira sei mukudzorera uye kudzorera basa regumbo?
Total Ankle Replacement Post Surgery Physical Therapy
Total ankle replacement surgery inzira huru inotora nguva kuti apore. Kuvhiyiwa kweankle kutsiva kana arthroplasty kunogona kubatsira vanhu vane kurwadziwa kusingaperi kwechikwama kana kuremara . Iyi nzira inogona kuvandudza zvakanyanya kurwadziwa kwemunhu uye kushanda nenguva. Kurapa kwepanyama kwakakosha kuti uwanezve kufamba muchitsiko uye kudzorera kufamba kwakazara. Murapi wepanyama achashanda nemunhu kudzora marwadzo nekuputika, kudzorera mararamiro emakumbo emakumbo, chitima pakufamba kufamba uye kuenzanisa, uye kuvakazve simba mugumbo. Izvi zvichabatsira kuwedzera mikana yekubudirira kubudirira mushure mekuvhiyiwa.
Total Ankle Replacement
Gumbo repamakumbo ichikamu chegumbo rezasi apo shinbone/tibia inosangana netalus bone pamusoro petsoka. Chinogona kuitika inzvimbo inotsvedza/articular cartilage inopfeka magumo emabhonzo aya inotanga kutetepa kana kuipa. Sezvo kuora kunofambira mberi, kunogona kutungamirira kumarwadzo makuru, kuremara, uye kuoma kufamba. (Cleveland Clinic. 2021 ) Apa ndipo apo nyanzvi inogona kukurudzira kuchinjwa kwegumbo rose kuitira migumisiro yakanakisisa. Mamiriro akasiyana-siyana anogona kubatsirwa nemaitiro aya, kusanganisira:
Kukuvadzwa kwemajoini kunokonzerwa negout
Post-traumatic arthritis
Rheumatoid chearthritis
Advanced osteoarthritis
Osteonecrosis
Septic arthritis (Cort D. Lawton et al., 2017 )
Panguva yekutsiviwa kwegumbo, chiremba wemapfupa anobvisa magumo akakuvadzwa etibia uye talus mapfupa uye anoatsiva nechivharo chekugadzira. Chikamu che polyethylene chakachengetedzwawo pakati pezvigadziro zviviri kuti zvitsigire kufamba kwakatsetseka kwemagumo matsva akabatanidzwa. (Massachusetts General Hospital. ND ) Kutevera maitiro, vanhu vanowanzoiswa mubhutsu yekudzivirira kana splint. Mutariri wehutano achakurudzira kugara kure negumbo kwe4 kusvika kumavhiki masere kubvumira kuporeswa.
Therapy Therapy
Kurapa kwekunze kwevarwere kunowanzotangwa mavhiki akati wandei mushure mekuvhiyiwa kwetsoka. (UW Health Orthopedics uye Rehabilitation. 2018 ) Kurapa kwepanyama kunogona kugara kwemwedzi mishanu kana kupfuura, zvichienderana nekuoma kwemamiriro acho uye kukuvara. Murapi wepanyama achatarisa munzvimbo dzakasiyana kuti awane mhedzisiro yakanaka. (Cort D. Lawton et al., 2017 )
Marwadzo uye Kuzvimba Kudzora
Kurwadziwa kwepashure uye kuzvimba zvinowanzoitika mushure mekutsiviwa kwechidzitiro chose. Hazvishamisi kuti gumbo rizvimba kunyange kwemwedzi mitanhatu kusvika ku12 mushure mekuvhiyiwa. (UW Health Orthopedics uye Rehabilitation. 2018 ) Chiremba anovhiya anowanzo kupa mishonga inobatsira kugadzirisa kusagadzikana pakutanga, uye kurapa kwemuviri kunobatsirawo pakugadzirisa zviratidzo. Mishonga inoshandiswa inogona kusanganisira:
Kukurudzira kwemagetsi - zvinyoro zvinyoro zvemagetsi zvinoshandiswa kumamhasuru.
chando
Vasopneumatic compression, uko iyo inflatable sleeve inoshandiswa kugadzira kumanikidza kutenderedza nzvimbo, inowanzoshandiswa pakutanga kwekurapa kwemuviri kuderedza marwadzo kana kuzvimba.
Mamwe maitiro, akadai sekutambanudza uye anonangwa maekisesaizi, anosanganiswa nemamwe marapirwo.
Range of Motion
Pakutanga mushure mekuita, gumbo richava rakaoma zvikuru uye rakaoma. Izvi zvinokonzerwa nezvikonzero zvakati wandei, zvinosanganisira kuzvimba uye kuzvimba mushure mekuvhiyiwa uye nguva yakashandiswa isina kufambiswa mubhutsu.
Murapi wepanyama anozoshandisa nzira dzakasiyana siyana dzekuvandudza majoini emajoini ekufamba kuti atenderere uye kuchinjika.
Murapi wepanyama anogona kushandisa kutambanudza kusinganzwisisike kunokonzerwa nekunze kwesimba senge murapi kana bhendi rekudzivirira) kubatsira kuvandudza kufamba.
Manual tekinoroji senge nyoro matishu masaja uye majoini kuunganidza anoshandiswa zvakare. (Massachusetts General Hospital. ND )
Murapi achagadzira chirongwa chekuvandudza imba chinosanganisira maitiro ekuzvitambanudza uye mafambisirwo akapfava.
Gait uye Balance Training
Mushure memavhiki ekugara kubva pamakumbo akabatwa, chiremba anovhiya achabvisa murwere kuti atange kufamba kudzidzira.
Murapi wepanyama anozoshanda kuvandudza iyo yakazara gait pateni uye kuderedza kukamhina.
Vachabatsirawo kushanduka kubva pakushandisa madondoro kana mufambi kuenda kufamba wakazvimirira. (UW Health Orthopedics uye Rehabilitation. 2018 )
Mushure memavhiki akawanda ekuderera kwekufamba uye kushaikwa kwekutakura huremu hupi pamakumbo, mhasuru dzakatenderedza chitsitsinho dzinowanzoita atrophied / kupera simba, izvo zvinogona kukanganisa chiyero.
Kana munhu wacho achigona kutanga kuisa uremu pagumbo, murapi anozoshandisa proprioceptive / pfungwa yekudzidziswa chinzvimbo chemuviri kuvandudza kugadzikana kwese. (UW Health Orthopedics uye Rehabilitation. 2018 )
Maekisesaizi ekuenzanisa achawedzerwa kupurogiramu yepamba uye inofambira mberi kubva vhiki nevhiki.
simba
Mimhasuru yegumbo, chiziso, uye tsoka inopera simba kubva pakuvhiyiwa uye nguva inopedzwa mutsinga kana bhutsu. Izvi zvimiro zvine basa rakakosha mukuenzanisa, kugona kumira, kufamba, uye kukwira kana kudzika masitepisi.
Kuwanazve simba uye simba remasumbu aya ndicho chinangwa chakakosha chekugadzirisa.
Mumavhiki ekutanga, murapi wepanyama achatarisa pane zvinyoro zvekusimbisa zviitwa.
Isometrics inobata zvishoma mhasuru asi dzivisa kutsamwisa nzvimbo yekuvhiya.
Sezvo nguva ichipfuura uye kutakura uremu kunobvumirwa, izvi zvinyoro-nyoro zvinofamba zvinotsiviwa nemamwe anonetsa, semabhendi ekupikisa uye maekisesaizi ekumira, kukurumidza kuwana simba.
Kurapa Ankle Sprains neChiropractic Care
VIDEO
References
Cleveland Clinic. (2021). Total ankle replacement .
Lawton, C. D., Butler, B. A., Dekker, R. G., 2nd, Prescott, A., & Kadakia, A. R. (2017). Yakazara ankle arthroplasty inopesana neankle arthrodesis-kuenzanisa kwezvakabuda mumakore gumi apfuura. Nyaya yekuvhiyiwa kwemapfupa uye tsvagiridzo, 12 (1), 76. doi.org/10.1186/s13018-017-0576-1
Massachusetts General Hospital. (ND). Physical therapy nhungamiro kune yakazara ankle arthroplasty .
UW Health Orthopedics uye Rehabilitation. (2018). Nhungamiro yekudzoreredza inotevera yakazara ankle arthroplasty .
