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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.


Bone Kukura Stimulator: Iyo Inosimudzira Kudzoreredza

Bone Kukura Stimulator: Iyo Inosimudzira Kudzoreredza

Ko mapfupa ekukura anosimudzira anogona kubatsira kukurudzira kuporesa kwemapfupa mumamiriro ezvinhu apo kuputsika kana fusions kutadza kupora zvakanaka?

Bone Kukura Stimulator: Iyo Inosimudzira Kudzoreredza

Bone Kukura Stimulator

Vanhu vanochengeta mapfupa akatyoka vanowanzo poresa kutyoka nekurapa kwakakodzera, izvo zvinogona kusanganisira kukanda, kugadzirisa, uye kuvhiyiwa. Mhando iyi yekuvhiya inoitwa pamuzongoza uye majoini mumuviri wese; kazhinji, pfupa rinoporesa pasina dambudziko. Kuporesa mapfupa inzira yepanyama, sezvo mapfupa anogara achitsiviwa nemitsva, uye mushure mekukuvadzwa, muviri unogona kuporesa kukanganisa kwepfupa. Zvisinei, kuporesa kwepfupa dzimwe nguva hakuitike zvakanaka uye / kana zvachose. Kupora kwemapfupa kunogona kutora nguva yakareba, iyo inozivikanwa se kunonoka mubatanidzwa, kana kuti zvingasaitika zvachose, kana a nonunion. Apa ndipo apo mupi wehutano anogona kukurudzira kukura kwebhonzo kukurudzira.

Mashandiro Ainoita

Bone growth stimulators inoshandisa kunze kana kuiswa magetsi kana ultrasonic simba kune yakaputsika kana fusion site, inokurudzira bone kukura. Zvishandiso izvi zvinowanzo shandiswa kana kutyoka kusingapore mukati menguva inotarisirwa (kutyoka kusiri kwechimiro) kana kana musana wemuzongoza usina kunyatsobatana. (FDA, 2022)

  • Dzinouya mumhando dzakasiyana, saizi, uye matekinoroji zvichienderana nenzvimbo yekutyoka.
  • Inonyanya kushandiswa pfupa stimulators mu orthopedics magetsi uye ultrasound stimulators.
  • Iyo inosimudzira inoburitsa pulsed electromagnetic kana ultrasonic impulse kunzvimbo iyo kuporesa kwemapfupa kunofanirwa kuitika.
  • Zvizhinji zvemazuva ano zvinosimudzira mapfupa zvakanamirwa padyo nenzvimbo yekuputsika kana kusanganiswa nediki bhatiri paki uye inopfekwa kwenguva zuva rega rega inogona kupedza maminetsi kana maawa.

Kukurudzira kweMagetsi

  • Midziyo inoendesa yakaderera-level magetsi pulses kunzvimbo yekutyoka, iyo inogona kukurudzira masero emapfupa kuti agadzire mapfupa matsva.

Ultrasound Kukurudzira

  • Ivo vanoburitsa yakaderera-yakanyanya pulsed ultrasound mafungu, ayo anotorwa nefupa uye anogona kukurudzira kuporesa kwemapfupa.

Inodyarwa vs. Zvekunze

  • Zvimwe zvinokurudzira zvinoiswa pakuvhiyiwa, zvichipa kukurudzira nguva dzose panzvimbo yekutyoka, nepo zvimwe zviri kunze uye zvakapfekwa pamusoro peganda kana kukanda.

Chinangwa ndechekumisa nhevedzano yema receptors mumuviri kukurudzira mhinduro yekuporesa. (Vana, SG 2003) Iyo inosimudzira inomutsa nzira inoburitsa makemikari mukati memuviri kukurudzira kuporeswa kwekutsemuka. Mhando yemaitiro mumuviri iyi inonzi a chika, uye zvinoitika apo chiratidzo chimwe chinokurudzira imwe nzira, uye zvakadaro kusvikira kuporesa kwapera. Iyo bone stimulator inovimbisa kuti cascade inoenderera mberi kusvika maitiro ekuporesa apera.

zvinobudirira

Zvidzidzo zvekushanda kwebhonzo stimulator zvinoratidza mabhenefiti maviri:

  1. Kutambudzika kuduku kunobatanidzwa nemapfupa ekuporesa maitiro.
  2. Kukurumidza kuporesa kuputsika.

Nekudaro, zvidzidzo izvi hazvina kuratidza kuti misiyano iyi inotungamira mukuvandudza mashandiro evarwere. Zvingaita sekuti kana paine marwadzo mashoma uye nekukurumidza kupora, ipapo murwere anofanira kupora pasina matambudziko. Zvisinei, vamwe vatsvakurudzi vakaratidza kuti izvi zvichida nokuti kusiyana kwemarwadzo uye nguva dzekuporesa zviduku uye hazvioneki. (Aleem, IS et al., 2016)

  • Kunyange zvazvo mapfupa ekukura stimulators anogona kushanda, zvigumisiro zvinogona kusiyana, uye kushanda kwavo kuchiri kuongororwa.
  • Zvimwe zvidzidzo zvakaratidza kuti zvinokurudzira zvinogona kuderedza marwadzo uye kukurumidza kuporesa nguva, asi vamwe vakaratidza migumisiro yakavhenganiswa.
  • Zvakakosha kukurukura zvinobatsira uye njodzi dzekukurudzira kukura kwepfupa nachiremba kuti aone kana iri iyo nzira yekurapa yakarurama.

Kana Kukurudzira Kuchidiwa

Bone stimulators parizvino haashandiswe kurapa kwekutyoka. Zvinokwanisika kuti mapfupa ekuporesa stimulators achashandiswa nguva dzose mune ramangwana. Vanoita sevanotaridza bhenefiti mukutsemuka kusiri kuporesa kana kutyoka kungangonetsa kupora. Zvimwe zvikonzero izvo vanhu vangave nedambudziko rekuporesa kuputsika kukuvara kuropa rekupa uye kutenderedza pakatyoka, kukuvara kune chaiwo mapfupa, uye kunyanya-kutyoka kwakabatana. (Victoria, G. et al., 2009) Kukuvara uku kunogona kusanganisira (FDA, 2022)

Nonunion Fractures

  • Kana kutyoka kusingapore mukati menguva inotarisirwa.
  • Vhura mafractures
  • Kunetseka kwekunetseka
  • Scaphoid bone fractures
  • Talus fractures

Failed Fusions

  • Kana musana wemuzongoza usina kubudirira.

High-Risk Varwere

  • Kune vanhu vane zvinhu zvinogona kukanganisa kupora kwemapfupa, sekuputa, chirwere cheshuga, kana mimwe mishonga

Kupora kwebhonzo kunowanzoitika pasina dambudziko rakawanda. Nekudaro, pane mamiriro ezvinhu apo vanhu vane nyaya dzekuporesa mushure mekutsemuka kana kuvhiyiwa. Bone stimulators haisi kushandiswa kwemaitiro ekurapa kwemapfupa asi mumamiriro ezvinhu apo matanho angave achidiwa kubatsira kukurudzira muviri. Kunyange kuvandudzwa kungave kudiki, kunogona kuve kwakakosha kana uri mutsauko pakati pekuporesa nekusapora.

Kukuvadza Chiremba Chiropractic uye Inoshanda Mushonga Kliniki

SeMhuri Yekudzidzira Mukoti Practitioner, Dr. Jimenez anobatanidza unyanzvi hwehutano hwepamusoro nechiropractic kuchengetedza kugadzirisa mamiriro akasiyana-siyana. Kiriniki yedu inobatanidza Functional MedicineAcupunctureElectro-Acupuncture, uye Sports Medicine kugadzira zvirongwa zvekuchengetedza zvakagadzirirwa zvinokurudzira kupora kwechisikigo, kufamba, uye kugara kwenguva refu. Nekutarisa kuchinjika, kugona, uye simba, tinopa varwere simba kuti vabudirire, zvisinei nezera kana matambudziko ehutano. At El Paso's Chiropractic Rehabilitation Clinic & Yakabatanidzwa Mushonga Center, isu tinoshuva kutarisa pakurapa varwere mushure mekukuvara uye kusingaperi kurwadziwa syndromes. Isu tinotarisisa kuvandudza kugona kwako kuburikidza nekuchinjika, kufamba, uye agility zvirongwa zvakagadzirirwa mazera ese uye hurema. Isu tinoshandisa mu-munhu uye chaiyo yehutano kudzidzisa uye yakazara hurongwa hwekutarisira kuve nechokwadi chega chega kutarisirwa kwemurwere uye hutano hwakanaka.


Kubva Kukuvara kusvika Kudzoreredzwa neChiropractic Care


References

US Food & Drug Administration. (2022). AccelStim Bone Kukura Stimulator - P210035. Zvakatorwa kubva www.fda.gov/medical-devices/recently-approved-devices/accelstim-bone-growth-stimulator-p210035#:~:text=What%20is%20it?, the%20transducer%20to%20the%20fracture

Vana, SG (2003). Stimulators yemapfupa ekupora. Biologic uye biomechanical. Orthopedic mukoti, 22(6), 421–428. doi.org/10.1097/00006416-200311000-00010

Aleem, IS, Aleem, I., Evaniew, N., Busse, JW, Yaszemski, M., Agarwal, A., Einhorn, T., & Bhandari, M. (2016). Kubudirira Kwemagetsi Anosimudzira Kupora Kwemapfupa: Meta-Kuongorora kweRandomized Sham-Controlled Trials. Scientific Reports, 6, 31724. doi.org/10.1038/srep31724

Victoria, G., Petrisor, B., Drew, B., & Dick, D. (2009). Bone stimulation for fracture kuporeswa: Chii chiri kunetsa? Indian Journal yeOrthopedics, 43 (2), 117-120. doi.org/10.4103/0019-5413.50844

Pioneering Integrative Care seChiropractor uye Mukoti Practitioner

Pioneering Integrative Care seChiropractor uye Mukoti Practitioner

Dr. Alex Jimenez: Pioneering Integrative Care seChiropractor uye Nurse Practitioner

Dr. Alex Jimenez, chiropractor ane rezinesi uye bhodhi-yakasimbiswa mukoti chiremba ari muEl Paso, Texas, anounza makore anopfuura 25 ehunyanzvi kune yake Injury Medical & Chiropractic Clinic practice. Rezinesi rake rembiri rinopa yakasarudzika ruzivo mune etiologies, pathogenesis, uye kurapwa kweakaomesesa mamiriro ekiriniki, zvichimugonesa kuendesa yakatarisana nemurwere, yekubatanidza kuchengetedza iyo mabhiriji mushonga wepanyama, mushonga unoshanda, uye yepamberi diagnostics. Kubatanidza ruzivo rwechiropractic nemukoti-anotungamirirwa nehutungamiri hwezvokurapa, Dr. Jimenez anopa mazano ekurapa akazara anoenderana neacute uye asingagumi mamiriro ezvinhu, kukurudzira kusimba kwemasabolism, hupenyu hurefu, uye hutano hwemunhu wose.

Huviri Unyanzvi: Chiropractic uye Mukoti Practitioner Mabasa

Dr. Jimenez's practice inomira pamusana pekukwanisa kwake kubatanidza biomechanical focus yechiropractic kuchengetedza nemukoti chiremba wekuongorora uye kurapa. Sechiropractor, anonyanya kudzorera basa remusculoskeletal, kunyanya mushure mekushungurudzika, mutsipa, musana, musana, uye kukuvara kwenyama. Kupindira kwake kwechiropractic kunosimbisa nzira dzisingabatsiri, dzakadai sekuderera kwemusana, kugadziriswa kwebhuku, nekugadzirisa kushanda, kuderedza marwadzo uye kuwedzera kufamba.

Sezvo ari bhodhi-yakasimbiswa mukoti chiremba, Dr. Jimenez anoshandisa uchapupu-based medicine kugadzirisa systemic uye metabolic dysfunctions. Unyanzvi hwake hunosvika pakugadzirisa zvisingaperi kusagadzikana kusagadzikana, kusaenzana kwehomoni, kurasikirwa nehuremu, hutano hwepabonde, uye kurwadziwa syndromes. Maonero maviri aya anomutendera kuti aone zvikonzero zvechirwere, kubva pakusawirirana kwebiomechanical kuenda kukusaenzana kwemuviri, uye kuronga marapirwo ekurapa anogadzirisa zviratidzo uye zvikonzero.

Kubatana kwemabasa aya kunoita kuti Dr. Jimenez ape nzira yakakwana iyo inonyanya kushanda mumamiriro ezvinhu akaoma akadai sciatica, fibromyalgia, disc herniation, spondylolisthesis, uye kusingaperi kwemutsipa kana kurwadziwa shure. Zvirongwa zvake zvinosanganisa zvinosanganisa kuongororwa kwemishonga, kupindira kwemararamiro, uye kuongororwa kwepamusoro kuti uwane homeostasis uye physiological balance.

Kurapa Protocols: Uchapupu-hwakavakirwa uye Murwere-Pakati

Kutora kubva mukubatanidza maprotocol akatsanangurwa pawebhusaiti yake, www.chiromed.com, Dr. Jimenez anoshandisa nzira yakasiyana-siyana yekutarisira varwere. Zvirongwa zvake zvekurapa zvakadzika muhumbowo-mushonga, mushonga unoshanda, uye mararamiro ehutano hwakanaka, akagadzirirwa kune yakasarudzika mamiriro ehutano emurwere, mararamiro, uye nhoroondo yekurapa. Pazasi pane zvakakosha zvikamu zveyekubatanidza yake yekuchengeta modhi:

1. Chiropractic Care uye Functional Rehabilitation

  • Kugadzikana kwepamuviri: Non-surgical decompression therapy inoshandiswa kugadzirisa kudzvinyirira pamakumbo emusana, kugadzirisa mamiriro akaita se disc herniation, sciatica, uye spinal stenosis. Iyi modhi inosimudzira kuporesa nekuvandudza kuyerera kweropa uye kuendesa zvinovaka muviri kunzvimbo dzakakanganisika.
  • Manual Adjustments: Kugadziriswa kwakanangwa kunogadzirisa musana, kuderedza kudzvanywa kwetsinga, uye kudzoreredza kufamba kwemajoini. Izvi zvinonyanya kushanda kune whiplash, scoliosis, uye maitiro asina kunaka.
  • Functional Strength Training: Dr. Jimenez anogadzira zvirongwa zvekugadzirisa kugadzirisa kupora uye kudzivirira kukuvara zvakare. Zvirongwa izvi zvakagadzirirwa vatambi uye vanhu vari kutsvaga kuita kwakaringana uye zvinosanganisira kufamba, kuchinjika, uye agility kudzidziswa.

2. Functional Medicine Assessments

  • Mushonga unoshanda zvishandiso zvinoongorora metabolic, hormonal, uye hutano mamiriro. Kuongorora uku kunoratidza zvikonzero zvemamiriro ezvinhu akadai sekuneta, kuwedzera uremu, kana kurwadziwa kusingaperi, zvichiita kuti kupindira kwakanyatsojeka.
  • Yepamberi yekuongorora mapuroteni, kusanganisira mapaneru eropa uye kufungidzira, inopa data-inofambiswa ruzivo mune etiologies uye pathogenesis. Izvi zvinobvumira Dr. Jimenez kuti agadzirise kukanganisa kwepasi pane kungovhara zviratidzo.

3. Mararamiro uye Kupindira Kwezvokudya

  • Kurasikirwa Kwehuremu uye Metabolic Resilience: Dr. Jimenez anobatanidza mazano ekupa mazano ekudya uye kugadzirisa kushandiswa kwemagetsi kuti atsigire kuderedza uremu uye kudzivirira zvirwere zvisingaperi seshuga kana chirwere chemwoyo.
  • Hormone uye Utano Hwepabonde: Marejisheni akasarudzika anogadzirisa kusaenzana kwehomoni uye kusagadzikana kwepabonde, kuvandudza hupenyu uye hutano hwese.
  • Pain Management: Kugadziriswa kwezvokudya uye mararamiro ehupenyu kunobatsirana nemishonga yepanyama kugadzirisa zvirwere zvisingaperi zvinorwadza, kuderedza kuvimba nemishonga.

4. Specialized Care for Complex Conditions

  • Sciatica uye Disc Kukuvara: Dr. Jimenez anoshandisa zvakanangwa decompression uye rehabilitation protocols kuderedza tsinga uye kudzorera basa.
  • Chisingaperi Degenerative Disorders: Mamiriro ezvinhu akafanana nefibromyalgia, arthritis, uye spondylolisthesis inotungamirirwa kuburikidza nehurongwa hwekubatanidza hunobatanidza kurapa kwepanyama, rubatsiro rwekudya, uye kugadzirisa metabolic.
  • Mitambo uye Auto Accident Kukuvara: Tailored rehabilitation programs inobata kukuvara kwenyama yakapfava, kukuvara kwepfudzi, uye whiplash, kuve nechokwadi chekupora nekukurumidza uye kusimba kwenguva refu.

5. Advanced Wellness Programs

  • Dr. Jimenez's kiriniki inopa zvirongwa zvehutano hwakakwana pamusoro pehupenyu hurefu, kutarisira ganda, uye kurasikirwa kwebvudzi. Zvirongwa izvi zvinosanganisa kudya kunovaka muviri, mararamiro ekudzidzisa, uye ekucheka-kumucheto marapiro kusimudzira simba uye aesthetic hutano.
  • Mapurogiramu epamusoro-soro ekugadzirisa maitiro anokwidziridza kushanda kwevatambi, kubatanidza kushanda kwesimba rekudzidzira uye kupindira-kwakatarisa kupindira.

Chikwata Chekubatanidza uye Kliniki Yakakosha

Injury Medical & Chiropractic Clinic ndiyo huru yeEl Paso yekufamba, kushanduka, uye agility centre, kubatanidza chiropractors, vanamukoti varapi, vanamukoti vakanyoreswa, vadzidzisi vezvokudya, uye vadzidzisi vekuita muviri. Boka rekiriniki rinoita mabasa akasiyana-siyana rinoshanda pamwe chete kuti ripe rubatsiro rwemunhu, zvichiita kuti varwere vawane mhedzisiro yehutano inoyerwa. Masevhisi akakosha anosanganisira:

  • Acupuncture: A Complementary therapy kuderedza marwadzo uye kukurudzira kuzorora.
  • Advanced Nutritional Programs: Humbowo-hwakavakirwa zvirongwa zvekudya kutsigira hutano hwemetabolism uye kupora.
  • Kudzidzira Kuita Kwenyama: Zvirongwa zvekusimudzira kusimba, kudzivirira kukuvara, uye optimize kuita kwemitambo.

Kiriniki inogamuchira mainishuwarenzi makuru, anosanganisira Aetna, Blue Cross Blue Shield, Cigna, uye Yekutanga Hutano, ichiita kuti chengetedzo iwanikwe kune yakakura murwere base.

Insights kubva kune Dual Licensure

Dr. Jimenez's rezinesi sezvose chiropractor uye mukoti mushandi anomupa kunzwisisa kwakazara kwemaitiro echirwere uye nzira dzekurapa. Kudzidzira kwake chiropractic kunomushongedza kugadzirisa biomechanical dysfunctions, nepo mukoti wake nyanzvi yehunyanzvi inomubvumira kubata systemic mamiriro ane lens yekurapa. Aya maonero maviri anowedzera kugona kwake ku:

  • Kujekesa Etiologies: Nokubatanidza musculoskeletal assessments ne metabolic uye hormonal evaluations, Dr. Jimenez anotsanangura zvikonzero zvakasiyana-siyana zvemamiriro ezvinhu, kuvimbisa kupindira kwakananga.
  • Nzwisisa Pathogenesis: Ruzivo rwake rwekufambira mberi kwechirwere runozivisa zvirongwa zvekurapa zvinomisa kana kudzosera kumashure maitiro ekuderera.
  • Dhizaina Yakakodzera Regimens: Kubatanidza mishonga yepanyama, yezvokudya, uye yezvokurapa, Dr. Jimenez anogadzira zvirongwa zvehutano zvekubatana zvinogadzirisa zviratidzo zvose uye kukanganiswa kwepasi.

Iyi nzira yekubatanidza inonyanya kukosha kune varwere vane zvirwere zvisingaperi kana zvakasiyana-siyana, sezvo inotarisa kuwirirana pakati pemuviri, metabolic, uye mararamiro ehupenyu.

Murwere-Pakati Kuchengeta: Mu-Munhu uye Online

Chiitiko chaDr. Jimenez chinosimbisa kutarisisa kwemunhu, kunyangwe varwere vanoshanya mumunhu pa11860 Vista Del Sol, Suite 128, El Paso, TX 79936, kana kuita kuburikidza nefoni. Mushonga wake unoshanda, unowanikwa kuburikidza www.dralexjimenez.com, inodzidzisa varwere pamitemo yehutano hwakakwana, inovhara misoro kubva kuhutano hwemusana kusvika kune metabolic optimization. Iyo webhusaiti ine:

  • Zvinodzidzisa Zvemukati: Zvinyorwa zveBlog, zvinyorwa, uye mavhidhiyo zvinopa ruzivo rwechiropractic kuchengetedza, mushonga unoshanda, uye kugadzirisa kukuvara.
  • Patient Uchapupu: Nhau dzakabudirira dzinoratidza kushanduka kwekutarisira kwaDkt Jimenez, kuratidza migumisiro yemamiriro ezvinhu akaita se sciatica, kukuvara kwemitambo, uye kurwadziwa kusingaperi.
  • Appointment Booking: A mushandisi-ane hushamwari interface inobvumira varwere kuronga mu-munhu kana online kubvunzana, negwara rakajeka pane zvavanofanira kutarisira pakushanya kwavo kwekutanga.

Kuzvipira kune Dzidzo uye Hutano Hwenharaunda

Dr. Jimenez akazvipira kupa varwere simba kuburikidza nedzidzo. Webhusaiti yake yakazara, ichipa humbowo-hwakavakirwa ruzivo nezvehutano mamiriro, nzira dzekurapa, uye hutano maitiro. Nekukurudzira ruzivo rwehutano, Dr. Jimenez anoita kuti varwere vaite zvisarudzo zvine ruzivo uye vatarisire kugara kwavo zvakanaka.

Kuzvipira kwake kunosvika kunharaunda yeEl Paso, kwaanovavarira kuwedzera ruzivo rwekutarisirwa kwekubatanidza. Dr. Jimenez vanokurudzira hutano hwehutano hwakanaka uye kuchengetedza kwekudzivirira kuburikidza nemasangano, zvinyorwa zvepaIndaneti, uye nharaunda.

mhedziso

Dr. Alex Jimenez unyanzvi huviri sechiropractor uye mukoti chiremba anomugadza semutungamiri mumishonga inobatanidza. Kugona kwake bhiriji mushonga wemuviri nesystemic hutano manejimendi inomubvumira kugadzirisa nyaya dzakaoma dzekiriniki nemazvo uye tsitsi. Dr. Jimenez anopa kutarisirwa kwemunhu kunokurudzira kuporesa, kusimba, uye hupenyu hurefu kuburikidza nekushandisa uchapupu-based protocols, kuongororwa kwepamusoro, uye mararamiro ehupenyu.

Kuti uwane rumwe ruzivo kana kuronga nguva yekuonana, shanya www.dralexjimenez.com kana kubata kiriniki pa +1-915-412-6677.

Email mibvunzo inogona kutumirwa kune qeqeshi@elpasofunctionalmedicine.com.

Yakadhonzwa Tsandanyama: Zviratidzo uye Kuporesa Nguva Inotsanangurwa

Yakadhonzwa Tsandanyama: Zviratidzo uye Kuporesa Nguva Inotsanangurwa

Ndeapi mazano ekudhonzwa kwemhasuru kukuvara kuti unyatsopora?

Yakadhonzwa Tsandanyama: Zviratidzo uye Kuporesa Nguva Inotsanangurwa

 

Yakadhonzwa Muscle Recovery Time

Tsandanyama yakadhonzwa, inozivikanwa nekurapa senge dhizaini, inoitika kana tsandanyama fiber dzakatambanudzwa kure uye dzimwe nguva kubvaruka. Kukuvara kwemhasuru kunodhonzwa kazhinji kunotanga kupora mukati memazuva. Kukuvara kwakapfava kunogona kuporesa zvachose muvhiki imwe kusvika kumatatu, asi mamwe matambudziko akakomba kana misodzi, zvichienderana nekuoma, inogona kutora mavhiki matanhatu kusvika ku12 kana kupfuura. (Fernandes TL, Pedrinelli A., & Hernandez AJ 2015) Zororo, hydration, zvokudya zvine utano, uye zvishoma nezvishoma kudzokera kumabasa zvinogona kubatsira kukurumidza kupora nguva.

Nemakore

Nguva yekupora kubva pamhasuru yakadhonzwa zvinoenderana nekuoma kwekukuvara.

Kudhonzwa tsandanyama dzinowanzo kupatsanurwa kuita mamakisi matatu zvichienderana nedhigirii uye saizi yeakadhonzwa tsandanyama fiber, sezvinotevera (Chipatara Chekuvhiyiwa Kwakakosha, 2024)

Grade 1 (nyoro)

  • Anoporesa mumazuva mashoma.
  • A microscopic kubvarura kana kutambanudza mumhasuru fiber.
  • Inogona kunzwa kurwadziwa, asi iwe unogona kushandisa mhasuru.

Grade 2 (pakati)

  • Anoporesa mumavhiki mana kusvika matanhatu.
  • Kudambuka kwetsandanyama kunokonzera marwadzo anooneka uye kuzvimba, zvichiita kuti zviome kufamba kana kushandisa tsandanyama yakakuvara.

Grade 3 (yakaoma)

  • Anoporesa mumwedzi yakawanda
  • Rudzi urwu rwekushungurudzika kwemhasuru hunokonzera kubvarura kwakakwana, kunozivikanwawo sekuputika.
  • Zvinokonzera kurwadziwa kwakanyanya, kuzvimba kukuru, uye kusakwanisa kushandisa tsandanyama.
  • Kuvhiya kungadiwa mune zvimwe zviitiko.
  • Makuru mamhasuru, senge hamstrings uye quadriceps, anogona kutora nguva yakareba kuti aporese pane madiki mamhasuru nekuda kwekukura kwawo uye mitoro inorema inorema.

Nhengo dzeMuviri Zviri Kunyanya Kukuvara

Izvi zvinotevera zvinonyanya kubatwa nemhasuru, kudhonza, kana misodzi (Nölle LV et al., 2022)

  • Mutsipa - levator scapulae uye trapezius
  • Mafudzi - rotator cuff tsandanyama
  • Kuzasi kumashure - erector spinae
  • Kudya - adductors
  • Pamberi pechidya - quadriceps
  • Seri kwechidya - hamstrings
  • Mhuru - gastrocnemius uye soleus

Kuporesa Matanho uye Zvinhu

Misungo yakadhonzwa inoporesa mumatanho matatu anofungidzirwa, kunyange nguva uye kufambira mberi kunogona kusiyana nemunhu uye kukuvara kwakanyanya (Baoge L. et al., 2012).

Inflammatory Stage (zero kusvika mazuva matatu)

  • Paunenge uchikweva tsandanyama, muviri unoita pakarepo nemhinduro yekuzvimba iyo inogona kusanganisira kuzvimba, kutsvuka, mavanga, uye kurwadziwa.
  • Zororo rakakosha panguva iyi kudzivirira kukuvara kuti kuwedzere.

Kugadzirisa Danho (mazuva matatu kusvika 21)

  • Yakakuvadzwa tsandanyama fiber inogadziriswa uye inokura zvakare panguva ino.
  • Collagen inozadza chero misodzi yekuvakazve yakakuvadzwa tsandanyama tishu.
  • Kufamba kwakapfava uye kuita kuri nyore kunogona kubatsira mafibhi kusimuka zvakanaka uye kuderedza kuoma.
  • Tanga zvishoma nezvishoma kufambisa tsandanyama yakadhonzwa nekukurumidza, asi dzivirira kuita zvakawandisa nekukurumidza, sezvo inogona kunonoka uye kurebesa kupora.

Remodeling Stage (mavhiki matatu kusvika kune rimwe gore)

  • Matishu akagadziridzwa anowedzera kusimba uye anochinjika kune nguva dzose kufamba.
  • Scar tishu inogona kuumba.
  • Zvishoma nezvishoma kuwedzera mamwe maitiro, kutambanudza, uye kusimbisa maekisesaizi kunobatsira kubata tsandanyama yakadhonzwa uye kudzokera kusimba rakazara uye basa asi kunofanirwa kuitwa nekuchenjerera kuti urege kukuvara zvakare.

Kukurumidza Kuporesa

Kuti ubatsire kukurumidza kupora kubva pamhasuru yakadhonzwa, edza nzira idzi dzakareruka: (Baoge L. et al., 2012) (Laumonier T. & Menetrey J. 2016)

Zorora

  • Dzivisa mabasa anokonzera marwadzo, asi fambisa tsandanyama zvinyoronyoro kudzivirira kuoma.
  • Kuzorora kwenguva refu kunogona kunonoka kupora, saka chengetedza chiyero pakati pekuzorora nekurovedza muviri.

chando

  • Wedzera ice kwe10-20 maminetsi kwemaawa makumi mana nemasere ekutanga kuderedza kuzvimba uye kurwadziwa.
  • Ice inobatsira kudzora kuzvimba nekudzikamisa kuyerera kweropa kunzvimbo yakakuvara.

Kudzvinyirira

  • Shandisa masasikisi ekumanikidza kana kuputira chikamu chakakuvara mumabhandeji kubatsira kuderedza kuzvimba.
  • Ita shuwa kuti kusungirirwa hakuna kunyanya kusimba saka kutenderera hakugurwe.

Elevation

  • Simudza nzvimbo yakakuvara pamusoro peyero yemoyo zuva rese.
  • Izvi zvinobatsira kuderedza kuzvimba nekubvumira zvinwiwa kubva panzvimbo yekukuvara.

Heat

  • Mushure memazuva maviri kusvika matatu ekutanga, kupisa kupisa kunowedzera kutenderera kweropa uye kunovandudza kushanduka, kubatsira musuru kupora.

Idya Utano

  • Wana mapuroteni akakwana ekugadzirisa tsandanyama.

Chengetedza Hydration

  • Inwa mvura yakawanda kuti ibatsire nekutenderera nekuzora mhasuru.

Massage uye Physical Therapy

  • Aya maoko-pakupindira anogona kuvandudza kutenderera, kubatsira kuderedza mavanga mavanga, uye kudzoreredza huwandu hwekufamba.

Over-the-counter Mishonga

  • Kana zvichidiwa, mishonga yemishonga isingasviki-kupisa senge Advil kana Motrin (ibuprofen) uye Aleve (naproxen sodium) inogona kubatsira nekurwadziwa nekuzvimba.
  • Shandisa chete sekurairwa.

Aya matanho anogona kubatsira kukurudzira kukurumidza kupora uye kukurumidza kudzoka kune zvakajairika zviitiko zvezuva nezuva.

Nguva Yokutangazve Kuita Zvakajairika

Vanhu vangangoda vhiki imwe kusvika maviri kuti vadzoke vasati vatangazve kuita zvenguva dzose kune zvinyoro zvinyoro. Zvisinei, nokuda kwekukuvara kwakanyanya, zvinogona kutora mavhiki mana kusvika matanhatu kana kupfuura kuti udzokere kumabasa ose ezuva nezuva. (Harvard Health Publishing, 2023) Zvakakosha kudzokera zvishoma nezvishoma kumabasa ezuva nezuva kudzivirira kukuvara zvakare, izvo zvinogona kunonoka uye kurebesa kupora. Tevedzera izvi kurudziro kuti udzoke kubva kune yakadhonzwa tsandanyama zvakachengeteka uye nekukurumidza (Kraemer W., Denegar C., & Flanagan S. 2009)

  • Kana marwadzo apera, kuputika kwakaderera, uye mhasuru inonzwa zviri nani, tanga nemitambo yakaderera.
  • Zvishoma nezvishoma tangazve mabasa enguva dzose, uchidzivirira kunyanyisa nzvimbo yakakuvara.
  • Zvishoma nezvishoma wedzera maitiro ekuita uye mira kana paine kurwadziwa.
  • Dzivisa mabasa akasimba anoisa kushushikana kwakanyanya pamhasuru yakakuvara kusvikira tsandanyama yapora zvachose.

Bata neHealthcare Provider

Nepo mhasuru zhinji dzakadhonzwa dzichipora nekuchengetwa kwemba, tsvaga kurapwa kana: (Penn Mushonga, 2023)

  • Marwadzo anoenderera mberi kana kuwedzera mushure memazuva manomwe kusvika gumi.
  • Izvi zvinogona kuratidza kukuvara kwakanyanya, senge tsandanyama yakabvaruka.
  • Kurwadziwa kwakanyanya, kurasikirwa kwekufamba uye simba, uye kuzvimba zvinokanganisa mabasa ezuva nezuva kana kuratidza zviratidzo zvekuipa pasinei nekuzorora uye kuzvitarisira.
  • Zvakaoma kufambisa nzvimbo yakakanganisika, kana tsandanyama haigoni kutakura uremu, zvichiratidza kukuvara kwakanyanya.
  • Pane zviratidzo zvehutachiona, kusanganisira kutsvuka, kudziya, kuwedzera kuzvimba, kana kupisa, kunyanya kana ganda rakachekwa kana kuputsika pedyo nenzvimbo yakakuvara.
  • Pane mavanga asina kujairika kana kuremara kunoonekwa, izvo zvinogona kuratidza kutyoka kwebhonzo kunoda kuongororwa nenyanzvi.

Mumwe mupi wehutano anogona kukurudzira zvidzidzo zvekufungidzira, zvakadai seMRI, ultrasound, kana X-rays, kuongorora kuwanda kwekukuvara, kutonga kunze kwekuputsika, kana kutarisa misodzi yemhasuru.

Injury Medical Chiropractic & Functional Medicine Clinic

Injury Medical Chiropractic uye Functional Medicine Clinic inoshanda nevarapi vehutano hwekutanga uye nyanzvi kugadzira hutano hwakakwana uye hutano mhinduro. Isu tinotarisa pane izvo zvinoshanda kwauri kuti ubvise marwadzo, kudzoreredza basa, uye kudzivirira kukuvara. Nezve marwadzo emusculoskeletal, nyanzvi dzakaita sechiropractors, acupuncturists, uye masaja therapists vanogona kubatsira kudzikisira marwadzo kuburikidza nekuchinja kwemusana kunobatsira muviri kuzvigadzirisa. Vanogonawo kushanda nevamwe vashandi vezvokurapa kuti vabatanidze chirongwa chekurapa kugadzirisa nyaya dzemusculoskeletal.


Iti Zvakanaka Kurwadziwa neChiropractic Care


References

Fernandes, TL, Pedrinelli, A., & Hernandez, AJ (2015). MUSCLE INJURY – PHYSIOPATTHOLOGY, DIAGNOSIS, RAPA, UYE CLINICAL PRESENTATION. Revista brasileira de ortopedia, 46(3), 247–255. doi.org/10.1016/S2255-4971(15)30190-7

Hospital for Special Surgery. JNR, MD. (2024). Muscle Strain: Zvinokonzera, Zviratidzo, Kurapa. www.hss.edu/conditions_muscle-strain.asp

Nölle, LV, Mishra, A., Martynenko, OV, & Schmitt, S. (2022). Kuongororwa kwekukuvara kwemhasuru kuomarara mumienzaniso yemuviri wemunhu inoshanda. Chinyorwa chemaitiro emagetsi ezvinyorwa zvebiomedical, 135, 105463. doi.org/10.1016/j.jmbbm.2022.105463

Baoge, L., Van Den Steen, E., Rimbaut, S., Philips, N., Witvrouw, E., Almqvist, KF, Vanderstraeten, G., & Vanden Bossche, LC (2012). Kurapa kwekukuvara kweskeletal muscle: kuongorora. ISRN orthopedics, 2012, 689012. doi.org/10.5402/2012/689012

Laumonier, T., & Menetrey, J. (2016). Kukuvara kwetsandanyama uye nzira dzekuvandudza kugadzirisa kwavo. Chinyorwa cheExperimental Orthopaedics, 3(1), 15. doi.org/10.1186/s40634-016-0051-7

Harvard Health Publishing. (2023). Kushungurudzika kwetsandanyama. www.health.harvard.edu/staying-healthy/muscle-strain-a-to-z

Kraemer, W., Denegar, C., & Flanagan, S. (2009). Kupora kubva mukukuvadzwa mumutambo: kufunga mukuchinja kubva pakurapa kuenda kuhutano hwekuita. Hutano hweMitambo, 1(5), 392–395. doi.org/10.1177/1941738109343156

Penn Mushonga. (2023). Matambudziko. www.pennmedicine.org/for-patients-and-visitors/patient-information/conditions-treated-a-to-z/strains

Complex Regional Pain Syndrome Inotsanangurwa uye Yakarapwa

Complex Regional Pain Syndrome Inotsanangurwa uye Yakarapwa

Vanhu vanobata nekurwadziwa kusingaperi zvichitevera kukuvara kudiki, kuvhiyiwa, kana kushungurudzika vanogona kunge vachisangana nedambudziko rekurwadziwa kwedunhu. Ndezvipi zviratidzo, kuongororwa, uye marapiro aripo?

Complex Regional Pain Syndrome Inotsanangurwa uye Yakarapwa

Akaoma Nharaunda Pain Syndrome

Reflex sympathetic dystrophy syndrome (RSDS), inonyanya kuzivikanwa seyakaoma nzvimbo yemarwadzo syndrome (CRPS) Chronic pain mamiriro ezvinhu apo munhu anonzwa kurwadziwa kwakanyanya, kunoramba kuripo mugumbo, kazhinji kunotevera kukuvara, iyo inonyanya kudzika kupfuura kubva pakushungurudzika kwekutanga. Inonzi neuroinfigueatory disorder umo mhinduro yemuviri kune kukuvara inokanganisa. Mamiriro acho anoratidzwa nekurwadziwa kwakanyanya kunopisa, kazhinji muruwoko kana gumbo, izvo zvinogona kuitika zvichitevera kukuvara kudiki, kuvhiyiwa, kana kushungurudzika. Inobatanidzwa nekuchinja kusiri kwenguva mutembiricha yeganda, kuzvimba, uye kunzwa kubata, kazhinji kunokanganisa tsinga dzenzvimbo, ganda, tsandanyama, tsinga dzeropa, uye mapfupa. Mamwe mazita ainozivikanwa nawo anosanganisira:

  • Causalgia
  • Shoulder-Hand Syndrome
  • Sudeck's Atrophy

Zvinokonzera

CRPS chirwere chisingaperi chinorwadza chinotendwa kuti chinobva mukusashanda mukati mepakati kana peripheral nervous system (National Institute of Neurological Disorders uye Stroke, 2017) It zvinosanganisira kushatirwa uye kuwedzeredza kusiri kujairika kwetishu yetsinga, zvichitungamira kune zvisingaite pamitsipa inokanganisa tsinga dzeropa uye ganda. Zvidzidzo zvemhuka zvinoratidza kuti norepinephrine, catecholamine yakasunungurwa kubva mutsinga dzinonzwira tsitsi, inowana kukwanisa kushandura nzira dzinorwadza mushure mekukuvara kwetsinga kana tsinga, zvichikonzera CRPS. Imwe dzidziso ndeyokuti CRPS, iyo inotevera kukuvara, inokonzerwa nekukonzera mhinduro yekudzivirira muviri uye zviratidzo zvinoramba zvichiitika zvekuputika (kuzvimba, kubwinya, kudziya). (Goh EL, Chidambaram S., & Ma, D. 2017) Zvinofungidzirwa kuti zvine zvikonzero zvakawanda zvinounza zviratidzo zvakafanana.

zvinokonzera

Panogona kuva nezvikonzero zvakawanda, kusanganisira:

zviratidzo

CRPS inowanzobata imwe yemagumo (ruoko, gumbo, ruoko, kana tsoka). Chiratidzo chekutanga kurwadziwa kwakanyanya, kunoramba kuripo. (National Institute of Neurological Disorders uye Stroke, 2017) Zvimwe zviratidzo zvinogona kusanganisira

  • Burning pain
  • Kuzvimba
  • Kuwedzera kwekunzwa kweganda
  • Kunyanya kunzwisiswa pakubata, kazhinji zvichikonzera kuremara kwakanyanya munhengo inobatwa.
  • Kuoma uye kuzvimba mumajoini akabatwa
  • Kuchinja kweruvara rweganda - dzvuku, tsvuku, tsvuku, tsvuku.
  • Kuchinja kwekushisa kweganda - kudziya kana kutonhora kudarika kunopesana.
  • Kuchinja kweganda - kupenya, kutetepa, kudikitira.
  • Kuchinja kwezvipikiri uye maitiro ekukura kwebvudzi.
  • Marwadzo anogona kupararira, semuenzaniso, kubva kumunwe kusvika kuruoko rwose uye kumucheto wakatarisana kana kubva kuruboshwe kuenda kuruoko rworudyi.
  • Kushungurudzika mupfungwa kunogona kuita kuti zviratidzo zviwedzere.

Dzimwe nyanzvi dzinoti matanho matatu panguva iyo shanduko inofambira mberi inoitika paganda renzvimbo yakakanganiswa, tsandanyama, majoini, ligaments, uye mapfupa (Harvard Health Publishing, 2023). Zvisinei, kumwe kutsvakurudza kunodiwa.

Nhanho

Stage One

  • Inotora 1 kusvika kumwedzi mitatu
  • Kurwadza kwakanyanya, kupisa
  • Tsvina inoputika
  • Kuomarara kwakabatana
  • Kukura kwebvudzi nokukurumidza
  • Rudzi rweganda uye shanduko yekushisa (Stanford Medicine, 2025)

Chikamu Chechipiri

  • Zvinotora kubva 3 kusvika 6 mwedzi
  • Marwadzo anowedzera
  • Kuzvimba
  • Kuderera kwebvudzi kukura
  • Zvipikiri zvakatsemuka, brittle, grooved, mavara
  • Mabhonzo akapfava
  • Majoini akaoma
  • Inzwi remhasuru dzisina simba

Stage Three

  • Marwadzo anoenderera mberi
  • Tsvina atrophy
  • Mufambiro wakaganhurirwa zvikuru
  • Shanduko dzisingadzoreki paganda nemapfupa
  • Kubatana kwemhasuru nematendon - mitezo inogona kumonyoroka

kuongorora chirwere

  • Nhoroondo yekiriniki yemurwere - zviratidzo nezviratidzo ndicho chinhu chikuru mukuongororwa.
  • Kuongororwa kwakaoma nekuti zviratidzo zvakawanda zvinopindirana nemamwe mamiriro. (Goh EL, Chidambaram S., & Ma, D. 2017)
  • Hapana kuongororwa ropa kwakananga kana kumwe kuongororwa.
  • X-rays inogona kuratidza osteoporosis, uye nyukireya bone scans inogona kuratidza maitiro ekutora anobatsira kuongorora.

Mishonga

Kurapa kunotarisa pakubvisa zviratidzo zvinorwadza uye kunogona kusanganisira: (Goh EL, Chidambaram S., & Ma, D. 2017)

  • Kurapa kwepanyama uye kurovedza muviri
  • Psychotherapy kuderedza kushushikana, kusagadzikana, uye kushushikana
  • Tsinga dzinonzwa tsitsi
  • Surgery
  • Spinal cord stimulation
  • Intrathecal drug pumps

Mishonga

Izvi zvinogona kusanganisira:

  • Misoro analgesics
  • Anti-seizure mishonga
  • Antidepressants
  • Corticosteroids
  • Opioids

Zvinofungidzirwa kuti kune 50,000 nyaya itsva gore negore muUnited States. (Tajerian M., & Clark JD 2016)

Injury Medical Chiropractic & Functional Medicine Clinic

Injury Medical Chiropractic uye Functional Medicine Clinic inoshanda nevarapi vehutano hwekutanga uye nyanzvi kugadzira hutano hwakakwana uye hutano mhinduro. Isu tinotarisa pane izvo zvinoshanda kwauri kuti ubvise marwadzo, kudzoreredza basa, uye kudzivirira kukuvara. Nezve marwadzo emusculoskeletal, nyanzvi dzakaita sechiropractors, acupuncturists, uye masaja therapists vanogona kubatsira kudzikisira marwadzo kuburikidza nekuchinja kwemusana kunobatsira muviri kuzvigadzirisa. Vanogonawo kushanda nevamwe vashandi vezvokurapa kuti vabatanidze chirongwa chekurapa kugadzirisa nyaya dzemusculoskeletal.


Zvinokonzera Marwadzo


References

National Institute of Neurological Disorders uye Stroke. (2017). Complex regional pain syndrome chokwadi sheet. Zvakatorwa kubva www.ninds.nih.gov/sites/default/files/migrate-documents/CRPS_FactSheet-E_508C.pdf

Goh, EL, Chidambaram, S., & Ma, D. (2017). Complex region pain syndrome: yazvino update. Kupisa & Kushungurudza, 5, 2. doi.org/10.1186/s41038-016-0066-4

Bruehl S. (2015). Complex regional pain syndrome. BMJ (Clinical research ed.), 351, h2730. doi.org/10.1136/bmj.h2730

Harvard Health Publishing. (2023). Complex Regional Pain Syndrome (CRPS). www.health.harvard.edu/a_to_z/complex-regional-pain-syndrome-crps-a-to-z

Stanford Medicine. (2025). Complex Regional Pain Syndrome (CRPS). med.stanford.edu/pain/about/chronic-pain/crps.html

Tajerian, M., & Clark, JD (2016). New Concepts in Complex Regional Pain Syndrome. Makiriniki Emaoko, 32 (1), 41-49. doi.org/10.1016/j.hcl.2015.08.003

Scaphoid Fracture Recovery: Zvaunoda Kuziva

Scaphoid Fracture Recovery: Zvaunoda Kuziva

Vanhu vakatyoka pfupa re scaphoid vanogona kunzwa kurwadziwa uye kuzvimba muchanza pazasi pechigunwe. Ko immobilization nekukandwa uye kurapwa kwemuviri kunobatsira here?

Scaphoid Fracture Recovery: Zvaunoda Kuziva

Scaphoid Kutsemuka

Kutyoka kwescaphoid kutsemuka mune rimwe remaoko madiki kana carpal mapfupa. Rudzi urwu rwekutsemuka kunoitika kazhinji mushure mea kuwira paruoko rwakatambanudzwa. Zviratidzo zvinowanzo sanganisira kuzvimba uye kurwadziwa muchiuno pazasi pepasi pechigunwe. Izvi zvipembenene zvinogona kuva zvakaoma kuongorora sezvo zvisingawanzoonekwa pa X-ray. Kana X-ray isina kunaka uye mupi wehutano anofungidzira kuputsika kwescaphoid, MRI inogona kudiwa. Kuvhiya kunogona kudiwa mune zvakanyanya kuomarara kana kana kukuvara kusiri kupora nemazvo. (American Academy yeOrthopedic Surgeons, 2023)

Kuputsika Mukati - Navicular Bone

Iyo scaphoid imwe yemabhonzo masere ecarpal ari muchanza. Inowanikwa pasi pechigunwe chechigunwe uye yakaita sebhinzi yeitsvo. Iri bhonzo rinogona kuzivikanwa nekubata chigunwe-kumusoro chinzvimbo uye kunzwa kwegomba pakati pematendon maviri pazasi pechigunwe chako. Iyo scaphoid inowanikwa pasi pegomba. Kuputsika mu scaphoid bone kunowanzoitika pakati pepfupa asi kunogonawo kuitika kune chero kumagumo. Kuputsika kwe scaphoid kunogona kubviswa kana kusatamiswa (American Academy yeOrthopedic Surgeons, 2023)

Displaced Fracture

  • Ndiyo apo zvimedu zvemapfupa zvakabva pakurongeka.

Non-displaced Fracture

  • Ndiyo apo zvidimbu zvinenge zvichiri munzvimbo yazvo yenguva dzose muruoko.

Ropa re<em>scaphoid rinobva mumudziyo muduku unopinda muchikamu chiri kure zvikuru chebhonzo royerera richidzokera nepakati pebhonzo. Nekuda kweiyi ropa diki diki, kutyoka pakati kunogona kumisa kutenderera kune chikamu chepfupa. Nekuda kweizvi, scaphoid fractures inoda kuongororwa nekukurumidza uye kurapwa.

zviratidzo

Marwadzo kana kurwadza kwakadzika pachigunwe-parutivi rwechanza, kazhinji mushure mekudonha paruoko rwakatambanudzwa, kunogona kuve kutsemuka kwescaphoid. Zvimwe zviratidzo zvinoonekwa zvinosanganisira: (American Academy yeOrthopedic Surgeons, 2023)

  • Hunyoro pazasi penzvimbo ine gomba.
  • Marwadzo pazasi penzvimbo ine mhango.
  • Kuzvimba muchanza
  • Kunetsa kubata zvinhu

Marwadzo anogona kuwedzera kubva: (American Academy yeOrthopedic Surgeons, 2023)

  • Kubata
  • Kudhiraivha
  • Kusundidzira
  • Kunyorera

kuongorora chirwere

Mupi wehutano anoongorora ruoko rwekunyorova uye kurwadziwa mugomba uye / kana pfupa. Kana kuzorora kuchifungidzirwa, ivo vanoraira X-ray. (Clementson M., Björkman A., & Thomsen NOB 2020) Varwere vazhinji vanobatwa nechanza chakatsemuka kana chatyoka. Kuongororwa kunogona kuoma nekuti kuputsika kazhinji hakuoneki paX-rays kusvika mavhiki mushure mekutanga kupora. Vanachiremba vanowanzobata kukuvara kwechanza sekutyoka kwescaphoid pakutanga uye vozodzokorora X-rays mukati memavhiki maviri. (American Academy yeOrthopedic Surgeons, 2023) Kana kukuvara kusingaratidzi paX-ray, mupi anogona kuraira MRI, sezvo kuputsika uku kunogona kuve nyore kuona paMRI. MRI inogona kubatsira kuvimbisa kurapwa kwakakodzera nekukurumidza. (Wong SBS, & Peh WCG 2019)

mabatiro

Kana chanza chatyoka chikaonekwa, chanza chinenge chisisafambe muakakandirwa. Nekudaro, mupi wehutano anogona zvakare kuisa ruoko mukanda kana X-ray isina kunaka asi vanofungidzira kutyoka. Izvi zvichagadzirisa kukuvara kusvikira MRI inogona kuitwa. Nekusagadzikana uye kurapwa kwekutevera, scaphoid fractures inowanzoporesa pasina kuvhiyiwa. Dzokorora X-rays inotorwa kwemavhiki akawanda kana mwedzi kuitira kuti mupi ave nechokwadi chokuti kukuvara kuri kuporesa zvakanaka. Kana isiri kuporesa zvakanaka, kuvhiyiwa kunogona kukurudzirwa. (Clementson M., Björkman A., & Thomsen NOB 2020) Kana kutyoka kwacho kuchibviswa, kupora nenzira kwayo kungave kwakaoma. Muchiitiko ichi, chiremba angakurudzira kuvhiyiwa kwekutanga kuti agadzirise mapfupa. (Clementson M., Björkman A., & Thomsen NOB 2020) Kuvhiyiwa kwemhando iyi kunosanganisira kubanira bhonzo panzvimbo nema screws.

Nguva Yekuporesa

kupora

Nechanza chiri mukanda, vanhu vanozorairwa pazviitwa kuti vadzivise kuisa kunyange diki diki rekunetsa (American Academy yeOrthopedic Surgeons, 2023)

  • Kusimudza
  • Kusundidzira
  • Kudhonza zvinhu zvinorema kudarika pondo imwe.
  • Mabasa emutambo
  • Kukanda
  • Climbing
  • Kushandisa maturusi kana muchina unodedera.

Rehabilitation chikamu chakakosha chekuporesa nekuti immobilization inotora nguva yakareba. Wrist range-of-motion exercises inogona kutangwa, ichiteverwa nekusimbisa maekisesaizi eiyo wrist flexors uye extensors. Supination, pronation, uye grip exercises zvakare chikamu chekurapa kwemuviri.

Matambudziko

Scaphoid fractures inogona kutungamirira kumatambudziko akakomba, kunyanya kana asina kunyatsorapwa. Izvi zvinosanganisira: (American Academy yeOrthopedic Surgeons, 2023) (Almigdad A. et al., 2024)

Nonunion

  • Izvi zvinotsanangura kuputsika kunotadza kupora.

Carpal Collapse

  • Ichi chimiro che degenerative arthritis.

Osteoarthritis

  • Chirwere ichi chinokonzera kuora kwekashwa mujoini.

Avascular necrosis

  • Apa ndipo apo ropa rinopiwa pabhonzo rinoderedzwa kana kutemwa, zvichiita kuti bhonzo rife.

Kukuvadza Chiremba Chiropractic uye Inoshanda Mushonga Kliniki

Injury Medical Chiropractic uye Functional Medicine Clinic inoshanda nevarapi vehutano hwekutanga uye nyanzvi kuvaka hutano hwakakwana uye hutano mhinduro. Isu tinotarisisa pane zvinokuitira kuti ubvise marwadzo, kudzoreredza basa, kudzivirira kukuvara, uye kudzikisira nyaya kuburikidza nekugadzirisa kunobatsira muviri kuzvigadzirisa. Kiriniki inogonawo kushanda nevamwe vashandi vekurapa kuti vabatanidze chirongwa chekurapa kugadzirisa matambudziko emusculoskeletal.


Skateboarding Injury Treatment


References

American Academy yeOrthopedic Surgeons. (2023). Scaphoid kuputsika kwechanza. orthoinfo.aaos.org/en/diseases-conditions/scaphoid-fracture-of-the-wrist

Clementson, M., Björkman, A., & Thomsen, NOB (2020). Acute scaphoid fractures: nhungamiro yekuongororwa uye kurapwa. EFORT yakavhurika wongororo, 5(2), 96–103. doi.org/10.1302/2058-5241.5.190025

Wong, SBS, & Peh, WCG (2019). Basa remagineti resonance imaging mukuongorora kwe scaphoid fractures. Chinyorwa cheMedical Radiation Sayenzi, 66 (1), 3-4. doi.org/10.1002/jmrs.316

Almigdad, A., Al-Zoubi, A., Mustafa, A., Al-Qasaimeh, M., Azzam, E., Mestarihi, S., Khair, Y., & Almanasier, G. (2024). Ongororo yekuputsika kwe scaphoid, mhedzisiro yekurapa, nemhedzisiro. International orthopaedics, 48(2), 529–536. doi.org/10.1007/s00264-023-06014-2

Peroneal Tendon Kukuvadza: Zvikonzero uye Kurapa

Peroneal Tendon Kukuvadza: Zvikonzero uye Kurapa

Vanhu vane tsoka dzakakwirira here kana kutora chikamu mumitambo inosanganisira kudzokorora kwechikwama chetsoka vari panjodzi yekuvandudza kukuvara kweperoneal tendon?

Peroneal Tendon Kukuvadza: Zvikonzero uye Kurapa

Peroneal Tendon Kukuvara

Iyo peroneal tendons inobatanidza misumbu yerutivi rwekunze rwegumbo rezasi kusvika kutsoka. Zvinogona kunge zvakakomba-zvichiitika kamwe kamwe-kana kuti zvisingaperi-kukura nekufamba kwenguva. Mhando dzakakosha dzekukuvadzwa kweperoneal tendon ndeye tendonitis, misodzi, uye subluxation.

Anatomy uye Basa

Iwo maviri makuru peroneal tsandanyama (peroneus longus uye peroneus brevis) dziri kunze kwegumbo rezasi, pedyo nemhasuru dzemhuru. Iyo peroneal tendons inomhanya parutivi rwekunze kwechidzitiro uye inonamatira kutsoka, ichibatanidza mamhasuru aya nepfupa. Vanobatsira kudzikamisa majoini emakumbo, kunongedza tsoka pasi (plantarflexion), uye kushandura tsoka kunze (eversion). Mukufamba kwemazuva ose, kufamba kwetsandanyama dzeperoneal kunodzikamiswa netsandanyama dzinopidigura tsoka kana kuti kuzunungusa tsoka nechomukati kubva pachiziso chetsoka.⁠ Marunda maviri anogara mumwe pamusoro pemumwe kuseri chaiko kwe<em>fibula (pfupa duku regumbo rezasi). Uhu hwepedyo hunogona kukonzera matambudziko neperoneal tendons, sezvavanokwesha pamwe chete kuseri kwechidzitiro.

Tendonitis

Dambudziko rinowanzoitika nderokuputika kana tendonitis. Marunda acho anowanzo kupiswa kuseri kwefibula bone pajoinhi yechitsiko. Ichi chikamu chefibula ndiyo bump iri kunze kwechidzitiro, uye peroneal tendons iri kuseri kweiyo bony mukurumbira. Tendonitis inogona kukonzerwa nekudzokorora kushandiswa zvakanyanya kana kukuvara kwakanyanya. Zviratidzo zvakajairika zvetendonitis zvinosanganisira:

  • Marwadzo kuseri kwegumbo
  • Kuzvimba pamusoro peperoneal tendons
  • Unyoro hwematendon
  • Marwadzo anowanzowedzera kana tsoka yakadhonzwa pasi uye mukati, ichitambanudza peroneal tendons.
  • X-ray yegumbo inotorwa.
  • MRI inogona kuratidza kuzvimba uye mvura yakatenderedza tendons. (Walt J. & Massey P. 2023)

Kunyanya kurapwa kweperoneal tendonitis kunoitwa ne:

Ice application

  • Kushandisa ice kunzvimbo inogona kubatsira kuderedza kuzvimba uye kudzora marwadzo.

Zorora

  • Kuzorora kunokosha kubvumira tendon kupora.
  • Chishandiso chinotsigira (bhutsu yekufamba kana chitsiko chemakumbo) kana madondoro anogona kubatsira mumatambudziko akaomarara.
  • Mabhutsu nebhutsu zvinopa tsigiro, kuderedza kushushikana kwetendon, uye kubvumira kuzorora nekuzvimba kuderera.

Anti-inflammatory Medication

  • Motrin kana Aleve inopesana nekuzvimba uye inogona kuderedza kuzvimba kwakatenderedza tendon.

Therapy Therapy

  • Physical therapy inogona kubatsira kudzoreredza yakajairwa ankle joint mechanics, kubatsira nekuzvimba nekuzorodza kurwadziwa, uye kugadzirisa kusaenzana kwesimba.

Cortisone Majekiseni

  • Majekiseni eCortisone ane njodzi yakaderera kana akaiswa kunzvimbo yakapoteredza tendon uye kwete kakawanda kupfuura mwedzi mitatu yega yega.
  • Kutungamirirwa kweUltrasound kunogona kubatsira kuve nechokwadi kuti mushonga unopinzwa munzvimbo chaiyo. (Walt J. & Massey P. 2023)

Tendon Misodzi

Misodzi inogona kuitika uye inowanzoitika mu peroneus brevis tendon. Misodzi inotendwa semhedzisiro yenyaya mbiri netendon. Imwe iropa. Misodzi yeperoneus brevis tendon inenge inogara ichiitika munzvimbo iyo ropa rinopa uye kudya kwetendon ndiyo yakashata.

Nyaya yechipiri ndeyepedyo pakati pematendon maviri, zvichiita kuti peroneus brevis tendon ibatanidzwe pakati peperoneus longus tendon uye pfupa. (Saxena A., & Bareither D. 2001) Misodzi yeperoneus brevis tendon inowanzobatwa nemishonga yakafanana ye tendonitis. Inenge hafu yemisodzi yakaonekwa nekufungidzira inowanikwa iine asymptomatic. Kune vanhu vasingawani zororo rinogara kubva kune zviratidzo, kuvhiyiwa kungave kuri madikanwa. Zvisarudzo zvekuvhiya zveperoneal tendon misodzi (Dombek MF et al., 2001)

Tendon Debridement uye Kugadzirisa

  • Munguva yekukanganiswa kwetendon, iyo yakakanganisika tendon uye yakapoteredza inoputika tishu inobviswa.
  • Misodzi inogona kugadziriswa, uye tendon inogona kuve tubularized kudzorera chimiro chayo.

Tenodesis

  • Tenodesis inzira iyo nzvimbo yakakanganisika yetendon inosonera kune yakajairika tendon.
  • Muchiitiko ichi, chikamu chakakanganisika cheperoneal tendon chinobviswa, uye migumo yakasiiwa yakashongedzwa kune iri pedyo yasara peroneal tendon.
  • Tenodesis inowanzokurudzirwa kune misodzi inosanganisira zvinopfuura 50% yetendon. (Castilho RS et al., 2024)

Zvichienderana nekuvhiyiwa, Kudzoreredza mushure mekuvhiyiwa kunogona kutora mavhiki akati wandei ekuremerwa kutakura uye immobilization. Kutevera immobilization, kurapwa kunogona kutanga. Kudzorera kunowanzova mavhiki matanhatu kusvika ku12, zvichienderana nekuvhiyiwa, asi kudzoka kuzere kumitambo nemabasa kunogona kutora mwedzi yakawanda. Njodzi dzekuvhiyiwa dzinosanganisira kutapukirwa, kuoma, kusanzwa kweganda pedyo nekuchekwa, kuzvimba kunoramba kuripo, uye kurwadziwa kunoramba kuripo.

Kukuvadza Chiremba Chiropractic uye Inoshanda Mushonga Kliniki

Injury Medical Chiropractic uye Functional Medicine Clinic inoshanda nevarapi vehutano hwekutanga uye nyanzvi kuvaka hutano hwakakwana uye hutano mhinduro. Isu tinotarisisa pane izvo zvinokushandira iwe kubvisa marwadzo, kudzoreredza basa, kudzivirira kukuvara, uye kubatsira kudzikisira nyaya kuburikidza nekugadzirisa kunobatsira muviri kuzvigadzirisa. Vanogonawo kushanda nevamwe vashandi vezvokurapa kuti vabatanidze chirongwa chekurapa kugadzirisa matambudziko emusculoskeletal.


Musiyano weKushandisa Tsika Tsoka Orthotics


References

Walt, J., & Massey, P. (2025). Peroneal Tendon Syndromes. MuStatPearls. www.ncbi.nlm.nih.gov/pubmed/31335074

Saxena, A., & Bareither, D. (2001). Magnetic resonance uye cadaveric zvakawanikwa zve "watershed band" yeAchilles tendon. Iyo Journal yekuvhiya tsoka uye ankle: kuburitswa kwepamutemo kweAmerican College of Foot uye Ankle Surgeons, 40 (3), 132-136. doi.org/10.1016/s1067-2516(01)80078-8

Dombek, MF, Orsini, R., Mendicino, RW, & Saltrick, K. (2001). Peroneus brevis tendon misodzi. Makiriniki mune podiatric mushonga uye kuvhiyiwa, 18 (3), 409-427.

Castilho, RS, Magalhães, JMB, Veríssimo, BPM, Perisano, C., Greco, T., & Zambelli, R. (2024). Minimally Invasive Peroneal Tenodesis Inobatsirwa nePeroneal Tendoscopy: Technique uye Preliminary Results. Medicina (Kaunas, Lithuania), 60(1), 104. doi.org/10.3390/medicina60010104

Kuzadzikisa Zvinangwa zveMarapirwo neKuyerwa Kwemagumisiro

Kuzadzikisa Zvinangwa zveMarapirwo neKuyerwa Kwemagumisiro

Vanhu varikuomerwa nekufamba kwekushanda vanogona kubatsirwa nekurapa kwemuviri kuvabatsira kudzokera kumabasa akajairwa?

Kuzadzikisa Zvinangwa zveMarapirwo neKuyerwa Kwemagumisiro

Mhedzisiro Yekuyera Miedzo

Migumisiro yekuyera miedzo inoongorora migumisiro yechirongwa chekurapa pane murwere. Inogona kushandiswa kuona basa rekutanga remurwere, kutarisa mafambiro avo, uye kuongorora kushanda kwekurapa. Ivo zvakare vanopa timu yekurapa nzira inoshanda yekuyera kufamba, kuchinjika, uye huwandu hwekufamba.

Basa uye Chinangwa

Mhedzisiro yekuyerwa bvunzo inoshandisa zvinangwa zvakasiyana. Izvi zvinosanganisira: (American Physical Therapy Association, ND)

  • Kubatsira mukumisa-chinangwa
  • Ipa kurudziro
  • Kutungamirira kurapwa
  • Kupa fungidziro yemamiriro chaiwo
  • Kupembedza kurapwa

Murapi wepanyama anogona kushandisa mamwe maitiro emhedzisiro zviyero kubatsira kuongorora kufambira mberi kwekurapa kwemuviri.

  • Vanogona kuyera simba rako uye huwandu hwekufamba.
  • Kuenzana uye chimiro chinogona kuongororwa.

Inoshanda inoshanda mhedzisiro yekuyera bvunzo inofanirwa kusangana nemamwe maitiro kuti ibatsire mukiriniki yekurapa kwemuviri. Kutanga, dzinofanira kuva dzakavimbika, zvinoreva kuti migumisiro inofanira kuenderana nemurwere mumwe nomumwe uye mukati memapoka evarwere. Dzinofanirwawo kuve dzakasimba kuti dziyere chaizvo zvadzinoda kuyera. Muedzo wekuyera unoshanda unofanirwawo kuve nyore kuitisa, saka unofanirwa kuve unoshanda uye uri nyore. Migumisiro kuyerwa kuyedzwa kunofanirwawo kuve nechinangwa. Semuenzaniso, chiyero chekuenzanisa chinofanira kuratidza kushanda kwemurwere iyezvino uye kuve nehukama nekugona kwavo kuenzanisa.

Zvakajairwa Migumisiro Yekuyera Miedzo Yakashandiswa

Zvakajairwa zvinoshanda zvekuyera maturusi anogona kushandiswa nemurapi wepanyama anosanganisira:

  • The timed up-and-go kana TUG bvunzo kuongorora kwakapfava kunoshandiswa kuongorora kufamba kwemunhu nekudzikama nekuyera kuti zvinotora nguva yakareba sei kuti amire pachigaro, kufamba chinhambwe chipfupi, kutendeuka, kufamba achidzokera, uye kugara pasi zvakare; inowanzoshandiswa kuona njodzi dzinogona kuwira muvakuru vakwegura, kunyanya avo vane zvinetso zvekufamba, sezvo nguva yakareba yekupedzisa basa inogona kuratidza kuwedzera kwekudonha. (Centers yeChirwere Kudzivirira uye Kudzivirira, 2017)
  • The Tinetti chiyero uye gait kuongororwa, inozivikanwawo sePerformance-Oriented Mobility Assessment (POMA), chirongwa chekliniki chinoshandiswa kuongorora kuenzanisa uye kukwanisa kufamba, kunyanya kune vanhu vakuru. Inoongorora kugadzikana panguva dzakasiyana dzekumira uye kufamba bvunzo uye inopa zvibodzwa zvinoratidza kudonha kwemunhu.
  • The Berg Balance Scale (BBS) chiyero chakamisikidzwa chevakuru chinoyera chiyero uye njodzi yekudonha. Inoshandiswa zvakanyanya uye inogona kuitwa munzvimbo dzakasiyana siyana.
  • The bvunzo yekufamba kwemaminetsi matanhatu (6MWT) ongororo yezvokurapa umo munhu anofamba kusvika paanokwanisa munzvimbo yakatarwa kwemaminitsi matanhatu chaiwo. Izvi zvinobvumira vatapi vehutano kuti vaongorore simba ravo rekuita maekisesaizi. Zvinonyanya kubatsira pakuongorora varwere vane mapapu kana moyo mamiriro apo kugona kufamba kunogona kukanganisa. Chinhambwe chakavharwa mukati memaminitsi matanhatu ndicho chiyero chakakosha chinoshandiswa kududzira mhinduro dzebvunzo. (Ferreira MB et al., 2022)
  • The bvunzo dzekusvika pakushanda (FRT) kuongororwa kwekiriniki kunoyera kusimba kwemunhu kuburikidza nekuona kureba kwechinhambwe chaanogona kusvika mberi akamira panzvimbo yakatarwa. Inoongorora njodzi yavo yekudonha nekuongorora kuti vangatambanudza ruoko rwavo kusvika papi vasati varasikirwa nekugadzikana. Iyo FRT inowanzo shandiswa kuongorora vanhu vakuru kana vanhu vane zvingangoitika zvekuenzanisa. 
  • The Oswestry low back pain yekuremara mibvunzo ibhuku remibvunzo rinozvimiririra rinoshandiswa kuyera huwandu hwekuremara hunowanikwa nemunhu nekuda kwekurwadziwa kwemusana. Inoongorora kuti kurwadziwa kunobata sei mabasa avo ezuva nezuva muzvinhu zvakasiyana-siyana zvehupenyu, zvakadai sekutarisira munhu, basa, uye hupenyu hwemagariro evanhu; chibodzwa chepamusoro chinoratidza kuremara kukuru. 
  • The inoshanda kuzvimirira mwero (FIM) inoongorora kukwanisa kwemurwere kuita mabasa ezuva nezuva akazvimirira. Inoyerawo hurema hwemurwere uye kuti rubatsiro rwakadii runodiwa.

Inoshanda mhedzisiro yekuyera bvunzo inopa pekutangira pakugadzira zvinangwa zvekurapa kwemuviri. Semuenzaniso, kana iyo TUG bvunzo ikatora masekonzi gumi nemapfumbamwe, vanhu vanogona kutarisa kwemasekonzi gumi. Chiyero cheTUG chinowira kana kupfuura masekonzi gumi chinoratidza kuderedzwa kwemuviri (Kear BM, Guck TP, & McGaha AL 2017) Izvi zvinogona kuva kukurudzira kunodiwa kusvika pakurapwa kwemuviri zvinangwa.

Kukuvadza Chiremba Chiropractic uye Inoshanda Mushonga Kliniki

Injury Medical Chiropractic uye Functional Medicine Clinic inoshanda nevarapi vehutano hwekutanga uye nyanzvi kuvaka hutano hwakakwana uye hutano mhinduro. Isu tinotarisisa pane izvo zvinokushandira iwe kubvisa marwadzo, kudzoreredza basa, kudzivirira kukuvara, uye kubatsira kudzikisira nyaya kuburikidza nekugadzirisa kunobatsira muviri kuzvigadzirisa. Vanogonawo kushanda nevamwe vashandi vezvokurapa kuti vabatanidze chirongwa chekurapa kugadzirisa matambudziko emusculoskeletal.


Kunzwisisa Migumisiro Yekukuvara Kwemunhu


References

American Physical Therapy Association. (ND). Mhedzisiro Matanho muKuchengeta Murwere. www.apta.org/your-practice/outcomes-measurement

Centers for Disease Control and Prevention. (2017). Nguva Yakakwana & Enda Ongororo. Zvakatorwa kubva www.cdc.gov/steadi/media/pdfs/steadi-assessment-tug-508.pdf

Ferreira, MB, Saraiva, FA, Fonseca, T., Costa, R., Marinho, A., Oliveira, JC, Carvalho, HC, Rodrigues, P., & Ferreira, JP (2022). Kushamwaridzana kwekiriniki uye zvinokonzeresa zve6-miniti yekufamba bvunzo mune rheumatoid arthritis. Mishumo yeSainzi, 12 (1), 18672. doi.org/10.1038/s41598-022-21547-z

Kear, BM, Guck, TP, & McGaha, AL (2017). Yakagadzirirwa uye Kuenda (TUG) Muedzo: Normative Reference Values ​​yeMazera 20 kusvika 59 Makore uye Hukama neMuviri uye Mental Health Risk Factors. Chinyorwa chekutarisira kwekutanga & hutano hwenharaunda, 8 (1), 9-13. doi.org/10.1177/2150131916659282