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 DC, APRN, FNP-BC, CFMP, IFMCP Injury Care , Kukuvara Kwevanhu
Ko mapfupa ekukura anosimudzira anogona kubatsira kukurudzira kuporesa kwemapfupa mumamiriro ezvinhu apo kuputsika kana fusions kutadza kupora zvakanaka?
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:
Kutambudzika kuduku kunobatanidzwa nemapfupa ekuporesa maitiro.
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 Medicine , Acupuncture , Electro-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
VIDEO
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
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP Kugadzirira Therap , Adrenal Fatigue (AF) , Alzheimer's , Anti Aging , vatambi , Kungoerekana Kungoerekana Kungoitika , Kudzorera Pain , Basal Metabolic Index (BMI) , Car Accident Specialist , Chiropractic Examination , Kukanganiswa kwakakomba , kusuruvara , Detoxification , Epigenetic's , Fibromyalgia , Fibromyalgia , kugwinya , Functional Medicine , Healthcare Providers , Hip Pain & Dambudziko , Human Physiology , Neuropathy , Kukuvara Kwevanhu , Sciatica , Dambudziko Rekurwa Kwakawanda , Mishonga , Wellness , Whiplash
Dr. Alex Jimenez: Pioneering Integrative Care seChiropractor uye Nurse Practitioner
Dr. Alex Jimenez, chiropractor ane rezinesi uye bhodhi-yakasimbiswa mukoti chiremba ari muEl Paso, Texas, anounza makore anopfuura 25 ehunyanzvi kune yake Injury Medical & Chiropractic Clinic practice. Rezinesi rake rembiri rinopa yakasarudzika ruzivo mune etiologies, pathogenesis, uye kurapwa kweakaomesesa mamiriro ekiriniki, zvichimugonesa kuendesa yakatarisana nemurwere, yekubatanidza kuchengetedza iyo mabhiriji mushonga wepanyama, mushonga unoshanda, uye yepamberi diagnostics. Kubatanidza ruzivo rwechiropractic nemukoti-anotungamirirwa nehutungamiri hwezvokurapa, Dr. Jimenez anopa mazano ekurapa akazara anoenderana neacute uye asingagumi mamiriro ezvinhu, kukurudzira kusimba kwemasabolism, hupenyu hurefu, uye hutano hwemunhu wose.
Huviri Unyanzvi: Chiropractic uye Mukoti Practitioner Mabasa
Dr. Jimenez's practice inomira pamusana pekukwanisa kwake kubatanidza biomechanical focus yechiropractic kuchengetedza nemukoti chiremba wekuongorora uye kurapa. Sechiropractor, anonyanya kudzorera basa remusculoskeletal, kunyanya mushure mekushungurudzika, mutsipa, musana, musana, uye kukuvara kwenyama. Kupindira kwake kwechiropractic kunosimbisa nzira dzisingabatsiri, dzakadai sekuderera kwemusana, kugadziriswa kwebhuku, nekugadzirisa kushanda, kuderedza marwadzo uye kuwedzera kufamba.
Sezvo ari bhodhi-yakasimbiswa mukoti chiremba, Dr. Jimenez anoshandisa uchapupu-based medicine kugadzirisa systemic uye metabolic dysfunctions. Unyanzvi hwake hunosvika pakugadzirisa zvisingaperi kusagadzikana kusagadzikana, kusaenzana kwehomoni, kurasikirwa nehuremu, hutano hwepabonde, uye kurwadziwa syndromes. Maonero maviri aya anomutendera kuti aone zvikonzero zvechirwere, kubva pakusawirirana kwebiomechanical kuenda kukusaenzana kwemuviri, uye kuronga marapirwo ekurapa anogadzirisa zviratidzo uye zvikonzero.
Kubatana kwemabasa aya kunoita kuti Dr. Jimenez ape nzira yakakwana iyo inonyanya kushanda mumamiriro ezvinhu akaoma akadai sciatica, fibromyalgia, disc herniation, spondylolisthesis, uye kusingaperi kwemutsipa kana kurwadziwa shure. Zvirongwa zvake zvinosanganisa zvinosanganisa kuongororwa kwemishonga, kupindira kwemararamiro, uye kuongororwa kwepamusoro kuti uwane homeostasis uye physiological balance.
Kurapa Protocols: Uchapupu-hwakavakirwa uye Murwere-Pakati
Kutora kubva mukubatanidza maprotocol akatsanangurwa pawebhusaiti yake, www.chiromed.com , Dr. Jimenez anoshandisa nzira yakasiyana-siyana yekutarisira varwere. Zvirongwa zvake zvekurapa zvakadzika muhumbowo-mushonga, mushonga unoshanda, uye mararamiro ehutano hwakanaka, akagadzirirwa kune yakasarudzika mamiriro ehutano emurwere, mararamiro, uye nhoroondo yekurapa. Pazasi pane zvakakosha zvikamu zveyekubatanidza yake yekuchengeta modhi:
1. Chiropractic Care uye Functional Rehabilitation
Kugadzikana kwepamuviri : Non-surgical decompression therapy inoshandiswa kugadzirisa kudzvinyirira pamakumbo emusana, kugadzirisa mamiriro akaita se disc herniation, sciatica, uye spinal stenosis. Iyi modhi inosimudzira kuporesa nekuvandudza kuyerera kweropa uye kuendesa zvinovaka muviri kunzvimbo dzakakanganisika.Manual Adjustments : Kugadziriswa kwakanangwa kunogadzirisa musana, kuderedza kudzvanywa kwetsinga, uye kudzoreredza kufamba kwemajoini. Izvi zvinonyanya kushanda kune whiplash, scoliosis, uye maitiro asina kunaka.Functional Strength Training : Dr. Jimenez anogadzira zvirongwa zvekugadzirisa kugadzirisa kupora uye kudzivirira kukuvara zvakare. Zvirongwa izvi zvakagadzirirwa vatambi uye vanhu vari kutsvaga kuita kwakaringana uye zvinosanganisira kufamba, kuchinjika, uye agility kudzidziswa.
2. Functional Medicine Assessments
Mushonga unoshanda zvishandiso zvinoongorora metabolic, hormonal, uye hutano mamiriro. Kuongorora uku kunoratidza zvikonzero zvemamiriro ezvinhu akadai sekuneta, kuwedzera uremu, kana kurwadziwa kusingaperi, zvichiita kuti kupindira kwakanyatsojeka.Yepamberi yekuongorora mapuroteni, kusanganisira mapaneru eropa uye kufungidzira, inopa data-inofambiswa ruzivo mune etiologies uye pathogenesis. Izvi zvinobvumira Dr. Jimenez kuti agadzirise kukanganisa kwepasi pane kungovhara zviratidzo.
3. Mararamiro uye Kupindira Kwezvokudya
Kurasikirwa Kwehuremu uye Metabolic Resilience : Dr. Jimenez anobatanidza mazano ekupa mazano ekudya uye kugadzirisa kushandiswa kwemagetsi kuti atsigire kuderedza uremu uye kudzivirira zvirwere zvisingaperi seshuga kana chirwere chemwoyo.Hormone uye Utano Hwepabonde : Marejisheni akasarudzika anogadzirisa kusaenzana kwehomoni uye kusagadzikana kwepabonde, kuvandudza hupenyu uye hutano hwese.Pain Management : Kugadziriswa kwezvokudya uye mararamiro ehupenyu kunobatsirana nemishonga yepanyama kugadzirisa zvirwere zvisingaperi zvinorwadza, kuderedza kuvimba nemishonga.
4. Specialized Care for Complex Conditions
Sciatica uye Disc Kukuvara : Dr. Jimenez anoshandisa zvakanangwa decompression uye rehabilitation protocols kuderedza tsinga uye kudzorera basa.Chisingaperi Degenerative Disorders : Mamiriro ezvinhu akafanana nefibromyalgia, arthritis, uye spondylolisthesis inotungamirirwa kuburikidza nehurongwa hwekubatanidza hunobatanidza kurapa kwepanyama, rubatsiro rwekudya, uye kugadzirisa metabolic.Mitambo uye Auto Accident Kukuvara : Tailored rehabilitation programs inobata kukuvara kwenyama yakapfava, kukuvara kwepfudzi, uye whiplash, kuve nechokwadi chekupora nekukurumidza uye kusimba kwenguva refu.
5. Advanced Wellness Programs
Dr. Jimenez's kiriniki inopa zvirongwa zvehutano hwakakwana pamusoro pehupenyu hurefu, kutarisira ganda, uye kurasikirwa kwebvudzi. Zvirongwa izvi zvinosanganisa kudya kunovaka muviri, mararamiro ekudzidzisa, uye ekucheka-kumucheto marapiro kusimudzira simba uye aesthetic hutano.
Mapurogiramu epamusoro-soro ekugadzirisa maitiro anokwidziridza kushanda kwevatambi, kubatanidza kushanda kwesimba rekudzidzira uye kupindira-kwakatarisa kupindira.
Chikwata Chekubatanidza uye Kliniki Yakakosha
Injury Medical & Chiropractic Clinic ndiyo huru yeEl Paso yekufamba, kushanduka, uye agility centre, kubatanidza chiropractors, vanamukoti varapi, vanamukoti vakanyoreswa, vadzidzisi vezvokudya, uye vadzidzisi vekuita muviri. Boka rekiriniki rinoita mabasa akasiyana-siyana rinoshanda pamwe chete kuti ripe rubatsiro rwemunhu, zvichiita kuti varwere vawane mhedzisiro yehutano inoyerwa. Masevhisi akakosha anosanganisira:
Acupuncture : A Complementary therapy kuderedza marwadzo uye kukurudzira kuzorora.Advanced Nutritional Programs : Humbowo-hwakavakirwa zvirongwa zvekudya kutsigira hutano hwemetabolism uye kupora.Kudzidzira Kuita Kwenyama : Zvirongwa zvekusimudzira kusimba, kudzivirira kukuvara, uye optimize kuita kwemitambo.
Kiriniki inogamuchira mainishuwarenzi makuru, anosanganisira Aetna, Blue Cross Blue Shield, Cigna, uye Yekutanga Hutano, ichiita kuti chengetedzo iwanikwe kune yakakura murwere base.
Insights kubva kune Dual Licensure
Dr. Jimenez's rezinesi sezvose chiropractor uye mukoti mushandi anomupa kunzwisisa kwakazara kwemaitiro echirwere uye nzira dzekurapa. Kudzidzira kwake chiropractic kunomushongedza kugadzirisa biomechanical dysfunctions, nepo mukoti wake nyanzvi yehunyanzvi inomubvumira kubata systemic mamiriro ane lens yekurapa. Aya maonero maviri anowedzera kugona kwake ku:
Kujekesa Etiologies : Nokubatanidza musculoskeletal assessments ne metabolic uye hormonal evaluations, Dr. Jimenez anotsanangura zvikonzero zvakasiyana-siyana zvemamiriro ezvinhu, kuvimbisa kupindira kwakananga.Nzwisisa Pathogenesis : Ruzivo rwake rwekufambira mberi kwechirwere runozivisa zvirongwa zvekurapa zvinomisa kana kudzosera kumashure maitiro ekuderera.Dhizaina Yakakodzera Regimens : Kubatanidza mishonga yepanyama, yezvokudya, uye yezvokurapa, Dr. Jimenez anogadzira zvirongwa zvehutano zvekubatana zvinogadzirisa zviratidzo zvose uye kukanganiswa kwepasi.
Iyi nzira yekubatanidza inonyanya kukosha kune varwere vane zvirwere zvisingaperi kana zvakasiyana-siyana, sezvo inotarisa kuwirirana pakati pemuviri, metabolic, uye mararamiro ehupenyu.
Murwere-Pakati Kuchengeta: Mu-Munhu uye Online
Chiitiko chaDr. Jimenez chinosimbisa kutarisisa kwemunhu, kunyangwe varwere vanoshanya mumunhu pa11860 Vista Del Sol, Suite 128, El Paso, TX 79936, kana kuita kuburikidza nefoni. Mushonga wake unoshanda, unowanikwa kuburikidza www.dralexjimenez.com , inodzidzisa varwere pamitemo yehutano hwakakwana, inovhara misoro kubva kuhutano hwemusana kusvika kune metabolic optimization. Iyo webhusaiti ine:
Zvinodzidzisa Zvemukati : Zvinyorwa zveBlog, zvinyorwa, uye mavhidhiyo zvinopa ruzivo rwechiropractic kuchengetedza, mushonga unoshanda, uye kugadzirisa kukuvara.Patient Uchapupu : Nhau dzakabudirira dzinoratidza kushanduka kwekutarisira kwaDkt Jimenez, kuratidza migumisiro yemamiriro ezvinhu akaita se sciatica, kukuvara kwemitambo, uye kurwadziwa kusingaperi.Appointment Booking : A mushandisi-ane hushamwari interface inobvumira varwere kuronga mu-munhu kana online kubvunzana, negwara rakajeka pane zvavanofanira kutarisira pakushanya kwavo kwekutanga.
Kuzvipira kune Dzidzo uye Hutano Hwenharaunda
Dr. Jimenez akazvipira kupa varwere simba kuburikidza nedzidzo. Webhusaiti yake yakazara, ichipa humbowo-hwakavakirwa ruzivo nezvehutano mamiriro, nzira dzekurapa, uye hutano maitiro. Nekukurudzira ruzivo rwehutano, Dr. Jimenez anoita kuti varwere vaite zvisarudzo zvine ruzivo uye vatarisire kugara kwavo zvakanaka.
Kuzvipira kwake kunosvika kunharaunda yeEl Paso, kwaanovavarira kuwedzera ruzivo rwekutarisirwa kwekubatanidza. Dr. Jimenez vanokurudzira hutano hwehutano hwakanaka uye kuchengetedza kwekudzivirira kuburikidza nemasangano, zvinyorwa zvepaIndaneti, uye nharaunda.
mhedziso
Dr. Alex Jimenez unyanzvi huviri sechiropractor uye mukoti chiremba anomugadza semutungamiri mumishonga inobatanidza. Kugona kwake bhiriji mushonga wemuviri nesystemic hutano manejimendi inomubvumira kugadzirisa nyaya dzakaoma dzekiriniki nemazvo uye tsitsi. Dr. Jimenez anopa kutarisirwa kwemunhu kunokurudzira kuporesa, kusimba, uye hupenyu hurefu kuburikidza nekushandisa uchapupu-based protocols, kuongororwa kwepamusoro, uye mararamiro ehupenyu.
Kuti uwane rumwe ruzivo kana kuronga nguva yekuonana, shanya www.dralexjimenez.com kana kubata kiriniki pa +1-915-412-6677.
Email mibvunzo inogona kutumirwa kune qeqeshi@elpasofunctionalmedicine.com .
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP Injury Care , Kukuvara Kwevanhu
Ndeapi mazano ekudhonzwa kwemhasuru kukuvara kuti unyatsopora?
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
VIDEO
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
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP chisingaperi Pain , Neuropathy , Kukuvara Kwevanhu
Vanhu vanobata nekurwadziwa kusingaperi zvichitevera kukuvara kudiki, kuvhiyiwa, kana kushungurudzika vanogona kunge vachisangana nedambudziko rekurwadziwa kwedunhu. Ndezvipi zviratidzo, kuongororwa, uye marapiro aripo?
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 )
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
VIDEO
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
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP Kukuvara Kwevanhu , Basa Rakafanana Kukuvara
Vanhu vakatyoka pfupa re scaphoid vanogona kunzwa kurwadziwa uye kuzvimba muchanza pazasi pechigunwe. Ko immobilization nekukandwa uye kurapwa kwemuviri kunobatsira here?
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
VIDEO
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
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP Injury Care , Kukuvara Kwevanhu , Musoro
Vanhu vane tsoka dzakakwirira here kana kutora chikamu mumitambo inosanganisira kudzokorora kwechikwama chetsoka vari panjodzi yekuvandudza kukuvara kweperoneal tendon?
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
VIDEO
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
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP Injury Care , Kukuvara Kwevanhu , Basa Rakafanana Kukuvara
Vanhu varikuomerwa nekufamba kwekushanda vanogona kubatsirwa nekurapa kwemuviri kuvabatsira kudzokera kumabasa akajairwa?
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
VIDEO
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
