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 | Injury Care , Kukuvara Kwevanhu
Kana kukuvara kwegomarara kuchiitika, kuziva zviratidzo zvinogona kubatsira mukuongororwa, kurapwa, uye nguva dzekupora?
Groin Strain Injury
A strain groin kukuvara kwemukati mechidya tsandanyama. A kudhonza zvidya imhando yehutachiwana hwemasumbu inobata boka remuscular adductor (mhasuru dzinobatsira kukwevera makumbo). (Parisa Sedaghati, et al., 2013 ) Kukuvara kunokonzerwa kana tsandanyama yakatambanudzwa kupfuura zvayakajairwa kufamba, zvichiita kuti misodzi ibude. Matambudziko akanyanya anogona kubvarura tsandanyama nepakati. (Parisa Sedaghati, et al., 2013 )
Kudhonzwa kwemhasuru yezvidya kunokonzera marwadzo nekupfava kunowedzera pakusvina makumbo pamwechete.
Panogonawo kunge paine kuzvimba kana mavanga mukati mezvidya kana mukati mehudyu.
Kudhonza zvidya zvisina kuoma kunotora mavhiki mana kusvika matanhatu kuti apore nekurapwa kwakanaka. (Andreas Serner, et al., 2020 )
zviratidzo
Kudhonza groin kunogona kurwadza, kukanganisa kufamba, kufamba masitepisi, uye / kana kutyaira motokari. Pamusoro pekurwadziwa, zvimwe zviratidzo zvakapoteredza nzvimbo yakakuvara zvinosanganisira: (Parisa Sedaghati et al., 2013 )
Ruzha rwekubuda kana kurira kwekunzwa kana kukuvara kuchiitika.
Kuwedzera kurwadziwa pakukwevera makumbo pamwe chete.
Rufu
Kuzvimba
Kupwanya kwechidya kana mukati mehudyu.
Groin inodhonza inoiswa graded nekuomarara uye kuti yakawanda sei inokanganisa kufamba:
Bhuku 1
Kusagadzikana kwakapfava asi hazvina kukwana kudzikamisa mabasa.
Bhuku 2
Kusagadzikana kuri pakati nepakati nekuzvimba kana maronda anoganhura kumhanya uye/kana kusvetuka.
Bhuku 3
Kukuvara kwakanyanya nekuzvimba kukuru uye mavanga kunogona kukonzera marwadzo paunenge uchifamba uye mhasuru.
Zviratidzo zvekunetseka kwakanyanya kwegomba
Kuoma kufamba
Kurwadza kwegoro paugere kana kuzorora
Kurwadza kwegororo usiku
Mutariri wehutano anofanirwa kuona kudhonza kwakanyanya kwegomba nekuti mhasuru inogona kunge yakatsemuka kana kuti iri padhuze nekuputika.
Muzviitiko zvakakomba, kuvhiyiwa kunodiwa kuti ubatanidzezve migumo yakabvaruka.
Chimiro chinodhonza ndizvo dzimwe nguva inoperekedzwa nekuputsika kwekunetseka kwepubis / kumberi-kwakatarisana nemapfupa epelvic , iyo inogona kuwedzera zvakanyanya kupora uye kupora nguva. (Parisa Sedaghati et al., 2013 )
Zvinokonzera
Groin pulls inowanzoonekwa nevatambi uye vanhu vanotamba mitambo apo vanofanira kumira uye kuchinja mazano nokukurumidza, vachiisa kunyanya kunetseka pamisungo ye-adductor. (Parisa Sedaghati et al., 2013 ) Ngozi inowedzerwa muvanhu vano: (T. Sean Lynch et al., 2017 )
Iva nemasimba asina simba ehudyu abductor.
Havasi muhutano hwakakwana.
Iva nekukuvara kwekare kana chiuno.
Kudhonza kunogonawo kuitika kubva pakudonha kana zviitiko zvakanyanyisa pasina mamiriro akakodzera.
kuongorora chirwere
Mutariri wehutano achaita ongororo yakakwana kuti asimbise kuongororwa uye kuratidza kuomarara. Izvi zvinosanganisira: (Juan C. Suarez et al., 2013 )
Ongororo Yenhoroondo Yezvokurapa
Izvi zvinosanganisira chero kukuvara kwekare uye zvakananga nezve kupi uye riini zviratidzo zvakatanga.
Kuongorora Kwepanyama
Izvi zvinosanganisira kupuruzira - kubata-bata zvishoma uye kudzvanya nharaunda yegodzi uye kushandisa gumbo kuti unzwisise zviri nani kuti kukuvara kwacho kwakakura kupi uye kwakakura sei.
Imaging Studies
Ultrasound kana X-rays.
Kana tsandanyama kuputika kana kuputsika kuchifungidzirwa, MRI scan inogona kurairwa kuti ione kukuvara kwenyama yakapfava uye kutsemuka kwekunetseka zviri nani.
Kusiyanisa Kuziva
Mamwe mamiriro anogona kutevedzera kudhonza kwegoriro uye zvinoda kurapwa kwakasiyana. Izvi zvinosanganisira: (Juan C. Suarez, nevamwe, 2013 )
Vadivelu Comedy Sports Hernia
Iyi mhando ye inguinal hernia zvinoitika nemitambo uye kukuvara kwebasa.
Zvinokonzera kuti chikamu cheura chipfure nepamusana usina simba mugodzi.
Hip Labral Tear
Uku ndiko kubvaruka mumhete ye cartilage ye labrum kunze kwemupendero wehudyu joint socket.
Hip Osteoarthritis
Iyi ndiyo nzira yekupfeka-uye-kubvarura yeArthritis inogona kuunza nezviratidzo zvemarwadzo ekugomera.
Osteitis Pubis
Uku ndiko kuzvimba kwepubic joint uye zvimiro zvakatenderedza, kazhinji zvinokonzerwa nekunyanyisa kwehudyu nemhasuru dzemakumbo.
Referred Groin Pain
Kurwadza kwetsinga uku kunotangira kuzasi kumashure, kazhinji nekuda kwetsinga yakatsikirirwa, asi inonzwika mugodhi.
mabatiro
Kutanga kurapwa kunochengetedza uye kunosanganisira kuzorora, kushandisa ice, kurapwa kwemuviri, uye kunyorerwa kutambanudza zvinyoro uye kurovedza muviri.
Vanhu vangada madondoro kana chigadziriso chekufamba kuti vaderedze marwadzo uye kudzivirira kumwe kukuvara kana marwadzo akakosha. (Andreas Serner, et al., 2020 )
Kurapa kwepanyama kuchava chikamu chechirongwa chekurapa.
Over-the-counter pain pains seTylenol/acetaminophen kana Advil/ibuprofen inogona kubatsira nekurwadziwa kwenguva pfupi.
Kana pane kurwadziwa kwakanyanya kubva pakukuvara kwegiredhi 3, mishonga yemishonga inogona kushandiswa kwenguva pfupi kuti ibatsire kuderedza marwadzo. (Andreas Serner, et al., 2020 )
Kuvhiya hakuwanzodikanwa. (Andreas Serner, et al., 2020 )
kupora
Nguva dzekupora dzinogona kusiyana zvichienderana nekuoma kwekukuvara uye chimiro chemuviri pamberi pekukuvara.
Kukuvara kwakawanda kuchapora mukati memavhiki mana kusvika matanhatu nekuzorora uye kurapwa kwakakodzera.
Kuomarara kwezvidya kunogona kutora kusvika mavhiki gumi nemaviri kana kupfuura kana kuvhiyiwa kuchibatanidzwa. (Andreas Serner, et al., 2020 )
Kukuvara Rehabilitation
VIDEO
References
Sedaghati, P., Alizadeh, MH, Shirzad, E., & Ardjmand, A. (2013). Ongororo yekukuvara kwemitambo-induced groin. Trauma pamwedzi, 18(3), 107–112. doi.org/10.5812/traumamon.12666
Serner, A., Weir, A., Tol, JL, Thorborg, K., Lanzinger, S., Otten, R., & Hölmich, P. (2020). Dzokera kuMutambo Mushure meCriteria-Yakavakirwa Rehabilitation yeAcute Adductor Kukuvara muVatambi Vechirume: A Anotarisira Cohort Kudzidza. Orthopedic magazini yemishonga yemitambo, 8 (1), 2325967119897247. doi.org/10.1177/2325967119897247
Lynch, TS, Bedi, A., & Larson, CM (2017). Athletic Hip Kukuvara. The Journal of the American Academy of Orthopedic Surgeons, 25 (4), 269-279. doi.org/10.5435/JAAOS-D-16-00171
Suarez, JC, Ely, EE, Mutnal, AB, Figueroa, NM, Klika, AK, Patel, PD, & Barsoum, WK (2013). Yakakwana nzira yekuongororwa kwemarwadzo ekugomera. The Journal of the American Academy of Orthopedic Surgeons, 21 (9), 558-570. doi.org/10.5435/JAAOS-21-09-558
by Dr Alex Jimenez | Injury Care , Whiplash
Vanhu vakatambura nekervical acceleration-deceleration / CAD inowanzozivikanwa se whiplash, inogona kunzwa misoro, uye zvimwe zviratidzo zvakadai sekuoma kwemutsipa, kurwadziwa, kuneta, uye fudzi / mutsipa / musana kusagadzikana. Ko kurapa kusiri kwekuvhiya uye nekuchengetedza kunobatsira here kuderedza zviratidzo?
Cervical Acceleration - Deceleration kana CAD
Cervical acceleration-deceleration ndiyo nzira yekukuvara kwemutsipa kunokonzerwa nechisimba shure-uye-kunze kwemutsipa kufamba. Izvi zvinowanzoitika mumashure-ekupedzisira kudhumhana kwemotokari apo musoro nemutsipa zvinorova mberi uye kumashure nekukurumidzira kwakanyanya uye / kana kuderera zvichiita kuti mutsipa uchinje uye / kana kuti uwedzere nokukurumidza, kupfuura zvinowanzoitika, kushungurudza uye zvichida kubvarura mhasuru matishu uye tsinga, ligaments, dislocation of spinal discs uye herniations, uye cervical bone fractures.
Kune zviratidzo zvisinganatsiridzi kana kuipa mushure me2 kusvika kumavhiki e3, ona mupi wehutano kana chiropractor kuti uwedzere kuongororwa uye kurapwa.
Kukuvara kweWhiplash kunetsa kana kupuruzira mitsipa yemutsipa uye / kana ligaments, asi inogonawo kukanganisa vertebrae / mapfupa, disc cushions pakati pe vertebrae, uye / kana tsinga.
Kune vanhu vanonzwa kurwadziwa kwemusoro kunotanga pazasi pedehenya zvichitevera tsaona yemotokari kunowanzoita whiplash musoro. (National Institute of Neurological Disorders uye Stroke. 2023 )
zviratidzo
Zviratidzo zveWhiplash zvinogona kuuya pakarepo, kana mushure memaawa akawanda kusvika mazuva mashomanana mushure mechiitiko chacho, uye zvinowanzowedzera kuipa mumazuva mushure mekukuvara. Zviratidzo zvinogona kupedza mavhiki mashomanana kusvika kumwedzi mishomanana, uye zvinogona kuderedza zvakanyanya basa uye mararamiro ekufamba. Zviratidzo zvinogona kusanganisira: (National Institute of Neurological Disorders uye Stroke. 2023 )
Marwadzo anopinda mumapendekete nekumusana.
Kuoma kwemutsipa
Kufamba kwemutsipa zvishoma
Tsvina dzemuviri
Chiveve uye tingling sensations - paresthesias kana pini uye tsono muminwe, maoko, kana maoko.
Matambudziko okurara
Kuneta
Kusvibiswa
Kukanganisika kwekuziva - ndangariro uye/kana kuisa pfungwa pamatambudziko.
Kurira munzeve - tinnitus
Chizutu
Chiratidzo chakasvibiswa
kusuruvara
Musoro wemusoro - Musoro we whiplash unowanzotanga pazasi pedehenya uye unogona kusiyanisa zvakanyanya. Vanhu vazhinji vanonzwa kurwadziwa kune rumwe rutivi rwemusoro uye kumusana, kunyange zvazvo vamwe vachigona kuona zviratidzo mumusoro wavo wose, uye nhamba duku inonzwa misoro pahuma kana kuseri kwemaziso. (Monica Drottning. 2003 )
Misoro inogona kuwedzera nekufambisa mutsipa, kunyanya kana wakatarisa kumusoro.
Musoro wemusoro unowanzobatanidzwa nekurwadziwa kwepfudzi pamwe chete nemutsipa uye mhasuru dzepafudzi izvo kana zvabatwa zvinogona kuwedzera marwadzo.
Whiplash misoro inogona kutungamirira kumutsipa usingagumi wemusoro unozivikanwa se cervicogenic headaches. (Phil Page. 2011 )
Zvinokonzera
Chikonzero chinowanzokonzera whiplash ndeyekumashure-kumagumo emotokari dzemotokari uye kudhumhana. (National Institute of Neurological Disorders uye Stroke. 2023 )
Nekudaro, kukuvara kwekervical acceleration-deceleration kunogonawo kuitika kubva:
Kutamba mitambo - hockey, martial arts, tsiva, nhabvu yenhabvu, gymnastics, basketball, volleyball, nhabvu, uye baseball.
Kutsvedza nekudonha kunoita kuti musoro ungoerekana wazununguka kumberi nekumashure.
Kurohwa - kurohwa kana kuzungunutswa.
Kurohwa mumusoro nechinhu chinorema kana chakasimba.
mabatiro
Zviratidzo zvinowanzogadziriswa mukati memavhiki maviri kusvika matatu.
Icing mutsipa kwemaminitsi gumi kakawanda pazuva kunogona kubatsira kuderedza marwadzo uye kuzvimba. (National Institute of Neurological Disorders uye Stroke. 2023 )
Zvakakoshawo kuzorora mutsipa wako mushure mekukuvara.
Iro cervical collar inogona kushandiswa kwekanguva kudzikamisa mutsipa, asi nekuda kwekupora kwenguva refu, zvinokurudzirwa kuchengetedza nzvimbo yacho.
Kuderedzwa kwekuita kwemuviri kusvika munhu akwanisa kutarisa pamapfudzi ese ari maviri, uye kutenderedza musoro wake kuenda mberi, nzira yese kumashure, uye kubva kune rumwe rutivi kuenda kune rumwe pasina kurwadziwa kana kuoma.
Zvimwe Zvokurapa
Traction uye decompression therapies.
Chiropractic kuchinja
Therapeutic akasiyana masaja maitiro.
Electronic nerve stimulation
Posture kudzidzisa
Stretching
Kugadzirisa nzvimbo yekurara.
Non-steroidal anti-inflammatories - NSAIDs - Ibuprofen kana Naproxen.
Tsandanyama dzinozorodza
Kana zviratidzo zvikasavandudza, mupi wehutano anogona kukurudzira kurapwa kwemuviri uye / kana mishonga yakasimba yemarwadzo. Nokuda kwemusoro we whiplash unogara kwemwedzi inoverengeka, acupuncture, kana majekiseni emusana anogona kukurudzirwa.
Neck Injuries
VIDEO
References
National Institute of Neurological Disorders uye Stroke. Whiplash Ruzivo Peji.
Drottning M. (2003). Cervicogenic musoro mushure mekukuvara kwe whiplash. Ikozvino kurwadziwa uye misoro yemusoro, 7 (5), 384-386. doi.org/10.1007/s11916-003-0038-9
Peji P. (2011). Cervicogenic misoro: humbowo-inotungamirwa nzira yekiriniki manejimendi. International Journal of sports Physical Therapy, 6(3), 254–266.
by Dr Alex Jimenez | Mamiriro Ekutongwa , Kukuvara Kwevanhu
Temporomandibular joint disorder inokonzera marwadzo uye kuvharika kweshaya izvo zvinogona kuipisisa nezvimwe zviitiko. Vanhu vanogona sei kubata nekudzivirira kuputika nekudzidza zvekusaita kuti mamiriro acho awedzere?
Zvausingafaniri Kuita Temporomandibular Joint Disorder
Unyoro, kurwadza, kurwadziwa, uye kuvhara shaya zviratidzo zve temporomandibular joint disorder kana TMJ. The temporomandibular joint inobatanidza shaya nedehenya. Inoshandiswa zuva nezuva pakudya, kunwa, uye kutaura. Idhisiki diki riri mujoini rinobvumira mapfupa eshaya kuti atsvedze uye atsvedze nemazvo. NeTMJ, dhisiki rinochinja kubva panzvimbo, zvichitungamira pakudzvanya, kubvarura, uye kushomeka kweshaya. Zvinogonawo kukonzera marwadzo mushaya uye kumeso, kurwadziwa kwemutsipa, uye misoro, uye tsandanyama dzakatenderedza shaya nemutsipa dzinogona kurwadza uye/kana kupinda mu spasm. Chero chero rudzi rwechiito chinosimbisa kana kushanda zvakanyanya mujoinhi rinogona kukonzeresa uye kuwedzera zviratidzo zveTMJ. (Schiffman E, nevamwe. 2014 ) Ichi chinyorwa chinotarisa kudzivisa mabasa anoita kuti TMJ iwedzere uye zvisingafaniri kuita kubatsira kuchengetedza zviratidzo zveTMJ.
Bhabhurigamu
Kutsenga gum hakukurudzirwe kune vanhu vane TMJ.
Rushaya ndeimwe yenhengo dzinoshandiswa zvakanyanya mumuviri.
Kuderedza kushandiswa kwakanyanya kunoderedza kumanikidzwa kunobvumira majoini nemamhasuru kuti azorore.
Kuzorora mhasuru dzinorwadza uye majoini ndiyo nhanho yekutanga mukupora kwekukuvara.
Kudya Chewy uye Hard Foods
Zvokudya zvinotsenga uye zvakaoma zvinoita kuti shaya ishande nguva yakawanda.
Rega kudya zvinhu zvakaoma sezvihwitsi zvinotsenga, zvingwa zvakaoma uye zvinotsenga, miriwo yakaita sechibage chiri pamuguri, uye michero yakaita semaapuro.
Zvokudya izvi zvinogona kuisa kunyanya kunetseka pashaya, uye kudzivirira chibatanidza kubva pakuzorora zvakanaka nekuporesa.
Kutsenga Kudivi Rimwe Chete
Vanhu vazhinji vanotsenga chikafu chavo parutivi rumwe chete rwemuromo.
Izvi zvinogona kusimbisa kune rumwe rutivi rwejojo ye temporomandibular uye mhasuru dzakapoteredza, zvichiita kuti marwadzo uye kusagadzikana. (Urbano Santana-Mora, et al., 2013 )
Gara uchiziva tsika dzekutsenga uye ita chokwadi chekushandisa mativi ese emuromo.
Vanhu vane dambudziko remazino kana kurwadziwa kwemazino vanokurudzirwa kuona chiremba wemazino.
Zvisiri Zvekushanda Shaya Mabasa
Kupfuura zuva rega rega, vanhu vanowanzoita zvinhu vasingazive kana nemaitiro.
Somuenzaniso, vanhu:
Kuverenga kana kunyora kungatsenga chinyoreso kana penzura.
Kuruma nzara dzavo kana kutsenga mukati memuromo wavo vachiona TV kana internet vachitsvaga.
Zviitwa izvi zvinogona kuisa kushushikana pajoinhi, kuwedzera mamiriro, uye kuwedzera kupora.
Kuzorora paChirebvu
Vanhu vanozorora shaya mumaoko avo pavanenge vachidzidza, pasocial media, kana kuona TV.
Nzvimbo iyi inogona kugadzikana, asi inogona kukanganisa shaya.
Iyi chinzvimbo inogona kuvaka kudzvanywa parutivi rweshaya uye kusunda pajoinhi, zvichiita kuti dhisiki rifambe kubva panzvimbo zvichikanganisa kuti shaya inovhurika nekuvhara sei.
Kuputsa tsika yekuzorora kwechirebvu kunogona kubvumira chibatanidza kuti chizorore uye kuporesa zvakanaka.
Kubvisa Mazino
Bruxism ishoko rekurapa rekutsemura mazino.
Izvi zvinogona kuitika masikati kana panguva yekurara.
Kusunga mazino kunowanzounzwa nekunetseka uye kunogona kuisa dzvinyiriro inoshamisa pamhasuru dzeshaya uye kuwedzera TMJ.
Chiremba wemazino anogona kuraira chidziviriro pamuromo chinofanira kupfekwa pakuvata kudzivirira mazino kuti asanyanya kunyanya. (Miriam Garrigós-Pedrón, et al., 2019 )
Kutsvedza
Basa reshaya rinonyatsoenderana nechimiro chemuviri.
Rushaya runoshanda zvakanaka kana musoro uri pamusoro pemutsipa wekervical uye chimiro chakamira.
Slouching inogona kuchinja mashandire anoita tsandanyama dzeshaya uye mavhuriko nekuvhara shaya.
Chikamu chekurapa kwemuviri kweTMJ chiri kushanda pakugadzirisa posture uye kudzidziswa.
Izvi zvinogona kusanganisira kusimbisa musana uye mhasuru dzemapfudzi uye kumisikidza zviyeuchidzo zvekumira.
Kugara uye kumira zvakanaka kunogona kuita kuti shaya irambe ichishanda zvakanaka.
Kumisa Kurapa
Vazhinji vane musculoskeletal nyaya uye zviratidzo vanomirira kuti marwadzo aende.
Vanhu vane matambudziko neshaya havafanire kumirira kurapwa.
TMJ ine mwero wakanaka wekupora nekurapa kwechinyakare, icho chiri chikonzero chikuru chekutsvagisa kurapwa. (G Dimitroulis. 2018 )
Chiremba wemazino kana mutapi wehutano anogona kupa kuongororwa kwakaringana kana TMJ ichifungidzirwa.
Vanhu vanogona kubatsirwa nekushanyira murapi wepanyama kuti vadzidze maekisesaizi uye nzira dzekuzvirapa. (Yasser Khaled, et al., 2017 )
mabatiro
Kurapa kunogona kusanganisira:
Kurapa kwekutanga kunotarisa kunyaradza marwadzo uye kushanda kweshaya kunovhura uye kuvhara kuvandudzwa.
Maekisesaizi ekuita kuti shaya ifambe zvakanaka.
Kuunganidza pamwe chete.
Mishonga yekuchengetedza zvakakodzera musungo basa. (Amira Mokhtar Abouelhuda, et al., 2018 )
Murindi anogona kubatsira nehusiku mazino ekukuya/bruxism.
Anti-inflammatory treatments.
Muzviitiko zvakakomba, kuvhiyiwa kunogona kukurudzirwa kugadzirisa dambudziko, sechisarudzo chekupedzisira. (Meghan K Murphy, et al., 2013 )
Tevedzera kurudziro pane zvausingaite uye dzivirira zvimwe zviitiko.
Kukurumidza Murwere Kutangwa
VIDEO
References
Schiffman, E., Ohrbach, R., Truelove, E., Look, J., Anderson, G., Goulet, JP, List, T., Svensson, P., Gonzalez, Y., Lobbezoo, F., Michelotti , A., Brooks, SL, Ceusters, W., Drangsholt, M., Ettlin, D., Gaul, C., Goldberg, LJ, Haythornthwaite, JA, Hollender, L., Jensen, R., … Orofacial Pain Special Kufarira Boka, International Association for the Study of Pain (2014). Diagnostic Criteria yeTemporomandibular Disorders (DC/TMD) yeClinical and Research Applications: mazano eInternational RDC/TMD Consortium Network* uye Orofacial Pain Special Interest Group†. Nyaya yekurwadziwa kwemuromo & kwechiso uye musoro, 28 (1), 6-27. doi.org/10.11607/jop.1151
Santana-Mora, U., López-Cedrún, J., Mora, MJ, Otero, XL, & Santana-Penín, U. (2013). Temporomandibular disorders: the habitual chewing side syndrome. PloS imwe, 8(4), e59980. doi.org/10.1371/journal.pone.0059980
Garrigós-Pedrón, M., Elizagaray-García, I., Domínguez-Gordillo, AA, Del-Castillo-Pardo-de-Vera, JL, & Gil-Martínez, A. (2019). Temporomandibular kusagadzikana: kuvandudza mhedzisiro uchishandisa nzira dzakasiyana siyana. Nyaya yehutano hwakasiyana-siyana hwehutano, 12, 733-747. doi.org/10.2147/JMDH.S178507
Dimitroulis G. (2018). Kutarisira kwe temporomandibular joint disorders: maonero echiremba anovhiya. Australian Dental Journal, 63 Suppl 1, S79–S90. doi.org/10.1111/adj.12593
Khaled Y, Quach JK, Brennan MT, NapeÑas JJ. Migumisiro mushure mekurapa kwepanyama kwekurapa kwehutano hwe temporomandibular. Oral Surg Oral Med Oral Pathol Oral Radiol, 2017;124(3: e190. doi:10.1016/j.oooo.2017.05.477
Abouelhuda, AM, Khalifa, AK, Kim, YK, & Hegazy, SA (2018). Isiri-invasive nzira dzakasiyana dzekurapa kune temporomandibular kusagadzikana: kuongororwa kwemabhuku. Nyaya yeKorea Association yeOral uye Maxillofacial Surgeons, 44 (2), 43-51. doi.org/10.5125/jkaoms.2018.44.2.43
Murphy, MK, MacBarb, RF, Wong, ME, & Athanasiou, KA (2013). Temporomandibular kusagadzikana: wongororo ye etiology, kiriniki manejimendi, uye tishu engineering maitiro. The International Journal of oral & maxillofacial implants, 28(6), e393–e414. doi.org/10.11607/jomi.te20
by Dr Alex Jimenez | Mamiriro Ekutongwa , Kukuvara Kwevanhu
Kuoma uye kurwadziwa kunowedzera pamapfudzi kunogona kuva adhesive capsulitis, (frozen shoulder ), mamiriro ari mupfudzi bhora-ne-socket joint/glenohumeral joint. Inowanzokura nekufamba kwenguva uye inodzikamisa kushandiswa kweruoko. Marwadzo uye kusimba kunotadzisa kufamba kweruoko, uye nguva yezviratidzo inogona kuramba ichienderera kwemwedzi 12-18. Chikonzero chacho hachiwanzozivikanwi, asi chinowanzoitika kune vanhu vanopfuura 40, vanhu vane chirwere cheshuga, chirwere chetachiona, uye mamiriro emwoyo vane ngozi yakawanda yekuvandudza mamiriro acho ezvinhu, uye vakadzi vanowanzoita mamiriro acho kupfuura varume. Chiropractic kurapwa inogona kushanda pakubvisa marwadzo uye kukurumidza kupora.
Kuoma uye Marwadzo
Kubatana kwepafudzi kunobvumira kufamba kwakawanda kudarika chero imwe nhengo mumuviri. Bendekete rakaoma nechando rinokonzeresa kuti capsule yakatenderedza pfudzi yejoinhi kuti ibate uye igadzire mavanga. Iyo capsule contraction uye kuumbwa kwekunamatira kunoita kuti pfudzi rive rakaomarara, rinodzora kufamba, uye rinokonzera marwadzo uye kusagadzikana zviratidzo.
Nhanho
Kufambira mberi kunoratidzwa nezvikamu zvitatu :
Kusununguka
Kuoma uye kurwadziwa zvinotanga kudzora kufamba.
-oma
Kufamba uye kufamba kunorambidzwa zvakanyanya.
Kubata
Bendekete rinotanga kusununguka.
Zvinogona kutora makore kugadzirisa zvizere zviratidzo.
Muzviitiko zvinyoro, bendekete rakaomeswa rinogona kuenda roga asi hazvireve kuti raporeswa zvechokwadi uye rakanyatsoenderana.
Kunyangwe muzviitiko zvinyoro kutsvaga kurapwa kunokurudzirwa, pane kungomirira kuti iende.
zviratidzo
Yakatemerwa renji yekufamba.
Kuoma uye kuoma.
Kurwadza kwakadzikama kana kurwadza mukati mebendekete.
Marwadzo anogona kupenya muruwoko rwepamusoro.
Marwadzo anogona kukonzerwa nekufamba kudiki.
Zviratidzo hazvisi nguva dzose nekuda kwekushaya simba kana kukuvara, asi chaizvoizvo kuoma kwemajoini .
Zvinokonzera
Mapendekete mazhinji akaomeswa nechando anoitika pasina kukuvara kana chikonzero chinonzwisisika asi mamiriro acho anowanzo kubatanidzwa kune systemic mamiriro kana iyo inobata muviri wese.
Zera uye Gender
Mapendekete akaomeswa nechando anowanzobata vanhu vari pakati pemakore makumi mana kusvika makumi matanhatu emakore, uye anowanikwa muvakadzi kupfuura varume.
Endocrine Matambudziko
Vanhu vane chirwere cheshuga vane mukana wakawedzerwa wekuita bendekete rakaoma nechando.
Zvimwe zvisizvo zve endocrine senge matambudziko ehuroyi zvinogona kutungamira mukukura kwechiitiko ichi.
Shoulder Trauma uye/kana Kuvhiya
Vanhu vanotsigira kukuvara kwepfudzi, kana kuvhiyiwa pamapfudzi vanogona kukudziridza chisungo chakaoma uye chinorwadza.
Kana kukuvadzwa kana kuvhiyiwa kunoteverwa nekurebesa immobilization / kuzorora ruoko, njodzi yekugadzira bendekete rechando inowedzera.
Zvimwe Systemic Conditions
Mamiriro akati wandei akadai sechirwere chemoyo akabatanidzwawo nenjodzi yakawedzera yekuvandudza mamiriro uye anogona kusanganisira:
High cholesterol
Chirwere cheAdrenal
Chirwere chemwoyo nemapapu
Chirwere chePalinson
Kuoma uye kurwadziwa zvinogonawo kubatanidzwa nekukuvara kwejoini kubva mukukuvadzwa kana mamwe matambudziko epafudzi anosanganisira:
Kukuvara kwetsandanyama kana kubatana
Rotator cuff tendinopathy
Calcific tendinitis
Dislocation
kutsemuka
Osteoarthritis
Mapendekete akaomeswa nechando akabatana nechimwe chezvikonzero izvi anoonekwa sechipiri.
mabatiro
Kuongororwa kunoitwa nekucherechedza huwandu hwekufamba mumapfudzi, tichifunga nezvemhando mbiri idzi:
Active Range
Iyi ndiyo nzira iyo munhu anogona kufambisa chikamu chemuviri ari ega.
Passive Range
Uku ndiko kureba kunoita mumwe munhu semurapi kana chiremba kufambisa nhengo yemuviri.
Mishonga
Chiropractic, masaja, uye kurapwa kwemuviri kunosanganisira kutambanudza, kugadzirisa, uye maekisesaizi ekuzorodza kurwadziwa zviratidzo uye kudzorera kufamba uye kushanda.
Kazhinji, simba harina kukanganiswa nefudzi rechando asi chiropractor angada kusimbisa mhasuru dzakapoteredza kuti atsigire zviri nani pfudzi uye kudzivirira kuwedzera kukuvara kana kukonzera kukuvara kutsva.
Anti-inflammatory medication uye corticosteroid injections inogona kubatsira kugadzirisa zviratidzo zvekurwadziwa.
Kuwana kuongororwa uye kurapwa panguva yechando kunogona kuchengetedza mamiriro acho kufambira mberi uye kukurumidza kupora nguva.
Kuvandudza Utano: Kuongorora uye Kurapa
VIDEO
References
Brun, Shane. "Idiopathic yakaoma pfudzi." Australian Journal of general practice vol. 48,11 (2019): 757-761. doi:10.31128/AJGP-07-19-4992
Chan, Hui Bin Yvonne, et al. "Kurapa kwepanyama mukutarisira kwemafudzi akaomeswa." Singapore medical journal vol. 58,12 (2017): 685-689. doi:10.11622/smedj.2017107
Cho, Chul-Hyun, nevamwe. "Kurapwa Strategy for Frozen Shoulder." Makiriniki ekuvhiya kwemapfupa vol. 11,3 (2019): 249-257. doi:10.4055/cios.2019.11.3.249
Duzgun, Irem, nevamwe. "Ndeipi nzira yekumisikidza mafudzi akaomeswa nechando: manyorero posterior capsule kutambanudza kana scapular mobilization?". Chinyorwa cheMusculoskeletal & neuronal interactions vol. 19,3 (2019): 311-316.
Jain, Tarang K, uye Neena K Sharma. "Kubudirira kwekupindira kwe physiotherapeutic mukurapa kwechando chepfudzi / adhesive capsulitis: kuongorora kwakarongeka." Nyaya yemusana uye musculoskeletal rehabilitation vol. 27,3 (2014): 247-73. doi:10.3233/BMR-130443
Kim, Min-Su, et al. "Kuongororwa uye kurapwa kwecalcific tendinitis yepafudzi." Makiriniki ari papfudzi negokora vol. 23,4 210-216. 27 Nov. 2020, doi:10.5397/cise.2020.00318
Millar, Neal L nevamwe. "Frozen shoulder." Ongororo yezvakasikwa. Zvirwere zvekutanga vol. 8,1 59. 8 Sep. 2022, doi:10.1038/s41572-022-00386-2
by Dr Alex Jimenez | masaja , Basa Rakafanana Kukuvara
Pfuti dzemassage dzinogona kubatsira kudzoreredza tsandanyama dziri kurwadza uye kudzivirira kurwadza kana dzashandiswa pamberi uye mushure mekuita zvemuviri, basa, chikoro, uye kurovedza muviri. Ivo vanopa mabhenefiti ekurapa masaja nekunanga mhasuru nekukurumidza kuputika pulses. Massage pfuti anogona kuva percussive kana vibration -based. Percussive therapy inobatsira kuwedzera kuyerera kweropa kunzvimbo yakanangwa, iyo inoderedza kuzvimba uye kushushikana kwemhasuru, uye inopwanya mapfundo/mapikisi angave akaumbwa mumatishu kubva pakuwedzera kushushikana kana kuita kwakanyanya kwemuviri. Imwe yemabhenefiti ndeyekuti ivo vanouya neinochinjika masaja pfuti musoro zvakabatanidzwa zvinonangana akasiyana mhasuru mapoka uye zvinopa akasiyana marudzi emasaji. Kune akawanda marudzi eanochinjika masaja misoro, isu tinoenda pamusoro peakajairika kupa zano rakajairwa rekuti vanoshanda sei. Kana uine kurwadziwa kwemajoini, kukuvara, kurwadziwa kwakanyanya kwetsandanyama, kana zvimwe zvirwere zvemusculoskeletal, ita chokwadi chekuwana mvumo kubva kuna chiremba usati washandisa massage pfuti .
Massage Pfuti Musoro Zvinamatidzwa
Misiyano yezvibatanidzwa / misoro yakagadzirwa uye yakaumbwa zvakasiyana kuti ishandise zvinobudirira kuwanda kwakaringana kwekumanikidza kumutsiridza mapoinzi emuviri, kunyaradza matishu, uye kusunungura yakasimba uye inorwadza tsandanyama. Misoro yakasiyana-siyana yakagadzirwa nechinangwa chakasiyana zvichienderana nemapoka emasumbu anotarirwa. Izvi zvinowedzera kushanda uye zvinovimbisa kunyaradza kwakanyanya uye kuchengeteka.
Bhora Musoro
Kusungirirwa kwebhora ndeyekupora kwemhasuru dzese.
Inopa nzvimbo yakafararira uye inoteedzera maoko ehunyanzvi hwemassage therapist, ichipa inonyevenutsa kukanya.
Yakagadzirwa neyakagadzika zvinhu, iyo bhora massage musoro inogona kusvika mukati memhasuru.
Chimiro chayo chakatenderera chinoita kuti iwedzere kuchinjika kushandisa chero kupi, kunyanya mapoka makuru emhasuru senge quads uye glutes.
U/Fork Yakagadzirwa Musoro
Musoro wepurasitiki, wakapetwa kaviri unozivikanwawo semusoro weforogo.
Iyo yekunamatira inopa zororo kunzvimbo dzakaita semapfudzi, musana, mutsipa, mhuru, uye Achilles tendon.
Bullet Musoro
Musoro wepurasitiki unonzi wakadaro nekuda kwechimiro chayo chakanongedza.
Izvi zvinokurudzirwa kusimba uye kusagadzikana mumajoini, matishu akadzika, mapoinzi ekutanga, uye / kana nzvimbo diki dzemhasuru setsoka uye wrist.
Flat Musoro
Musoro wakafuratira wakasiyana-siyana ndeye full-body general massage.
Inobatsira kudzikisira kuoma uye marwadzo ekuzorora kwemhasuru yemuviri, kusanganisira mapoka emhasuru ari padyo nemajoini emapfupa.
Musoro Wakaita Sefoshoro
Musoro wakaita sefoshoro ndewe tsandanyama dzedumbu nedzezasi.
Iyo yakabatanidzwa inopa kukurudzira kusunungura mhasuru dzakaomarara.
Kushandisa Musoro Wekurudyi
Ndeupi musoro wekushandisa unoenderana nezvido zvemunhu uye zvaanoda. Funga zvinotevera zvinhu paunosarudza musoro wepfuti yemassage:
Nzvimbo Dzakanangwa
Ziva nzvimbo dzemuviri dzinoda kutariswa zvakanyanya.
Kana kuomarara kwetsandanyama kana kurwadza kuri kuitika mumapoka makuru emhasuru, senge musana kana makumbo, kusungirirwa kwebhora kunokurudzirwa.
Kune dzimwe nzvimbo dzakanyatsojeka senge mapoinzi, musoro webullet unokurudzirwa.
Misoro inogona kushandiswa pamwe chete - somuenzaniso, musoro mukuru wepamusoro unoshandiswa kusunungura uye kusunungura uye kusunungura nzvimbo yakawanda, ipapo musoro wakanyatsojeka unoshandiswa kuisa kuisa massage panzvimbo chaiyo yakaoma kana kuti trigger point.
Massage Kusimba
Massage intensity mazinga anogona kusiana kubva pachiedza masaja kusvika kuzere simba.
Kuti ubate zvakapfava pamhasuru dzinonzwa, musoro wakatsetseka kana forkhead zvakabatanidzwa zvinokurudzirwa.
Nekupinda mukati memhasuru yakadzika uye kumanikidza kusingachinji, musoro webullet kana foshoro yemusoro zvakabatanidzwa zvinokurudzirwa.
Chaicho Mamiriro
Funga chero mamiriro chaiwo kana kukuvara kwekare uye ikozvino.
Kune vanhu vari kupora kubva mukukuvadzwa kana nenzvimbo dzakaoma, zvakakosha kuti usarudze musoro wepfuti unopa zororo rinodikanwa pasina kukonzera kusagadzikana kana kuwedzera kukuvara.
Edza Misoro Yakasiyana uye Zvirongwa
Edza neakasiyana masaja emusoro zvakanamirwa uye kumhanya kuti uwane iyo inoshanda zvakanyanya kune chinangwa chakarongwa.
Ongorora chimwe nechimwe kuti uwane zvaunofarira.
Tanga neiyo yakaderera kugadzika uye zvishoma nezvishoma kuwedzera, zvichibva padanho rekunyaradza.
Gara uchitaurirana nemupi wehutano ane hunyanzvi maererano nechero dambudziko rekurapa usati washandisa a massage pfuti .
Kusarudza The Right Massage Head Attachment
VIDEO
References
Bergh, Anna, nevamwe. "Ongororo Yakarongeka yeKuwedzera uye Imwe nzira yeVeterinary Medicine muMutambo uye Shamwari Mhuka: Yakapfava Tissue Mobilization." Mhuka: bhuku rakavhurika rekuwana kubva kuMDPI vol. 12,11 1440. 2 Jun. 2022, doi:10.3390/ani12111440
Imtiyaz, Shagufta, nevamwe. "Kuenzanisa Mhedzisiro yeVibration Therapy uye Massage mukudzivirira Kunonoka Kutanga Muscle Soreness (DOMS)." Nyaya yeClinical uye Diagnostic research: JCDR vol. 8,1 (2014): 133-6. doi:10.7860/JCDR/2014/7294.3971
Konrad, Andreas, nevamwe. "Zvakaoma Mhedzisiro dzePercussive Massage Kurapa neHypervolt Chishandiso paPlantar Flexor Muscles 'Range yeKufamba uye Kuita." Journal of sports sainzi & mushonga vol. 19,4 690-694. 19 Nov. 2020
Leabeater, Alana et al. "Pasi pePfuti: Mhedzisiro yepercussive massage therapy pakupora kwemuviri uye pfungwa muvakuru vanoshanda." Nyaya yekudzidzira mitambo, 10.4085/1062-6050-0041.23. 26 Chivabvu. 2023, doi:10.4085/1062-6050-0041.23
Lupowitz, Lewis. "Vibration Therapy - A Clinical Commentary." International Journal of sports physical therapy vol. 17,6 984-987. 1 Aug. 2022, doi:10.26603/001c.36964
Yin, Yikun, et al. "Maitiro ekudzidziswa kwekuzunguza pakunonoka kurwadza kwemhasuru: Meta-analysis." Mushonga vol. 101,42 (2022): e31259. doi:10.1097/MD.0000000000031259
by Dr Alex Jimenez | Kukuvara Kwevanhu , Basa Rakafanana Kukuvara
Kuwedzeresa uye kudzokorora kukuvara kwekunetseka kunoita chikamu chechina chese kukuvara kwebasa. Kudzokorodza kudhonza, kusimudza, kubaya manhamba, kutaipa, kusunda, kubata, kutakura, uye kuongorora ndizvo zvinonyanya kukonzera kukuvara kwebasa. Mhando dzekukuvadzwa idzi ndidzo dzinonyanya kukonzera kurovha mazuva kubasa. Kuwedzera muviri kunogona kutungamirira kuhutano husingagumi hwemuviri, kubva pakurwadziwa kusingaperi kusvika kumarwadzo asingagumi emajoini anokonzerwa nekupfeka kwepamusoro uye kubvarura kwemarudzi akasiyana-siyana emusculoskeletal tissues. Chiropractic mushonga unotora yakazara uye yakazara-muviri nzira yekurapa neuromusculoskeletal kukuvara. Chiropractic inobvisa mhasuru dzakasimba kana dzakakuvadzwa, inowedzera kuyerera kwesimba retsinga, uye inonyatso kurongedza majoini kuburikidza nekugadzirisa, spinal traction, decompression, uye nzira dzakasiyana dzemanyorero manipulation.
Kuwedzeresa uye Kudzokorora Kushungurudzika Kukuvara
Kuwedzeresa uye kudzokorora kukuvara kwekunetseka kunowanzoitika nekufamba kwenguva / makore ekuita basa rimwechete rakaoma nguva dzose. Zvisinei, kukuvara kwakanyanya kunogona kuitika nekumwe kamwe kamwe kana kunyanyisa kufamba . Mushandi anogona kukuvadza tsandanyama, tendon, majoini, uye ligaments. Kuwedzeredza kunogona kutungamira kune musculoskeletal kusagadzikana nezviratidzo zvinosanganisira:
Kupisa
Kuzvimba
Numbness
Kushushikana
Kurwara kwenguva refu
Kupera kana kurasikirwa kwese kwekufamba mumhasuru, tendon, ligaments, uye majoini.
Types
Mishoma yemienzaniso yakajairika yekukuvara kwakanyanya inosanganisira:
Soft-Tissue
Kukuvara kune tsandanyama, ligaments, tendon, uye majoini.
shure
Kudhonzwa, kudzvinyirirwa musana.
Herniated discs.
Midzi yetsinga yakadzvanywa.
Kutyoka vertebrae.
Dehydration uye Heat Stroke
Inonyanya kuzivikanwa pakati pevashandi vanoita basa remaoko rekunze.
Kudzokorora uye Kuwedzeredza
Kukuvara kunobva ku carpal tunnel syndrome kusvika kumanikidziro kuputsika.
Kazhinji mhedzisiro yemavhiki, mwedzi, kana makore ekudzokororwa kwekufamba
Muzviitiko zvakawanda, kukuvadzwa kuviri kana kupfuura kunogona kuitika panguva imwe chete.
Semuyenzaniso, mushandi ane mukana wekuchengetedza kukuvara kana apererwa nemvura kana kuti ari kuita mabasa maviri.
Zvinokonzera
Kumwe kufamba uye zviitiko zvinowanzokonzera kukuvara kwakanyanya. Zvimwe zvinonyanya kuzivikanwa zvinosanganisira:
Zuva nezuva kusimudza zvinhu, chiedza uye chinorema.
Kuita mafambiro asina kunaka anoita kuti muviri uve munzvimbo dzisina kunaka.
Kumira uye/kana kugara kana kwenguva refu.
Kushandisa simba rakawandisa kuita mabasa.
Kushanda michina inorema.
Kushanda munzvimbo dzinopisa uye/kana dzine hunyoro.
High-Rate Injury Industries
Industries umo kukuvara kwekuwandisa kwakajairika kunosanganisira:
Dzidzo.
Mabasa ehutano.
Kugadzira.
Kuvaka.
Warehouse basa.
Kutakura.
Wholesale trade.
Zvitoro zvekutengesa.
Chiropractic Treatment
Kukuvara uku kunogona kutungamirira kukurovha basa, marwadzo anopedza simba, uye mari dzokurapwa. Zvichienderana nekuoma kwekukuvara, chiropractic kuchengetedza ichashandisa masaja maitiro, spinal manipulation, traction, uye. kudzvinyirira marapirwo, kuwedzera kushanduka uye kufamba kunoderedza mikana yekukuvara kunowanzoitika. Zvakanakira chiropractic zvinosanganisira:
Inodzivirira njodzi yekuwedzera kana kukuvara mune ramangwana.
Inokurumidza kupora kubatsira vanhu kugadzirisa uye kudzoka kubasa nekukurumidza.
Inovandudza hutano hwemuviri uye hwepfungwa.
Ipa mazano ekunyatsotambanudza uye kusimbisa tsandanyama.
Nutritional anti-inflammatory suggestions.
Nokudzidza nzira yokudzivisa nayo kukuvadzwa zvakanyanyisa, vashandi vanogona kuva vanobudirira zvikuru, kunakidzwa nebasa, uye kuvandudza mararamiro avo.
Kubva Kukuvara Kusvika Pakupora
VIDEO
References
Anderson, Vern Putz, nevamwe. "Kufa kwebasa, kukuvara, kurwara, uye kurasikirwa kwehupfumi kwakabatana muchikamu chekutengesa nekutengesa." American Journal yemishonga yemaindasitiri vol. 53,7 (2010): 673-85. doi:10.1002/ajim.20813
Choi, Hyun-Woo, nevamwe. "Unhu hwekusangana kwemusculoskeletal kusagadzikana kwezvikamu zvishanu muindasitiri yebasa pakati pe2004 ne2013." Annals yeOccupational uye yezvakatipoteredza mushonga vol. 29 41. 19 Sep. 2017, doi:10.1186/s40557-017-0198-4
Friedenberg, Rivi, et al. "Matambudziko ane chekuita nebasa musculoskeletal uye kukuvara pakati pevashandi vezvekurapa vekukurumidzira uye varapi vezvehutano: Ongororo yakazara inorondedzera." Archives of Environmental & occupational health vol. 77,1 (2022): 9-17. doi:10.1080/19338244.2020.1832038
Galinsky, T et al. "Kukuvara kwakanyanya muvashandi vehutano hwepamba uye kudiwa kweergonomics." Mabasa ehutano hwepamba mwedzi mitatu vol. 20,3 (2001): 57-73. doi:10.1300/J027v20n03_04
González Fuentes, Aroa, et al. "Kukuvara kwakanyanya-kwakabatana nebasa mukuchenesa mabasa: Ongororo yezvinhu zvekufanotaura mazuva ekusavapo nenzira dzemakina ekudzidza." Applied ergonomics, vol. 105 103847. 30 Jul. 2022, doi:10.1016/j.apergo.2022.103847
Schoenfisch, Ashley L et al. "Kudzikira kwemitengo yekukuvara kwakabatana nebasa-yakanyanya kukuvadzwa kumashure pakati pemubatanidzwa drywall installers muWashington State, 1989-2008: Kuvandudzwa kwekuchengetedzwa kwebasa kana kuchinjika kwekutarisira?." American Journal yemishonga yemaindasitiri vol. 57,2 (2014): 184-94. doi:10.1002/ajim.22240
Williams, JM nevamwe. "Kukuvara kunoenderana nebasa mubazi rekukurumidzira rekumaruwa." Mushonga wemudzidzi wekukurumidzira: chinyorwa chepamutemo cheSosaiti yeAcademic Emergency Medicine vol. 4,4 (1997): 277-81. doi:10.1111/j.1553-2712.1997.tb03548.x
by Dr Alex Jimenez | Kungoerekana Kungoerekana Kungoitika , Hip Pain & Dambudziko
Seimwe yemajoini anotakura mutoro zvakanyanya mumuviri, mahudyu anenge akanganisa mafambiro ese. Kana mubatanidzwa wehudyu wakabatanidzwa mukuputsika kwemotokari, nzvimbo iri mujojo / hip capsule inogona kuzadza nemvura, zvichiita kuti kuputika kwemajoini kana kuzvimba, kuzvimba, kusuruvara-immobilizing marwadzo, uye kuoma. Kurwadziwa kwehudyu chiratidzo chekukuvara chinowanzoitika mushure mekuparara kwemotokari. Marwadzo aya anogona kubva pakupfava kusvika kune akanyanya uye anogona kunge ari enguva pfupi kana kupera kwemwedzi. Pasinei nehuwandu hwemarwadzo ari kuitika, chiito chinofanira kutorwa nokukurumidza kudzivisa kukanganisa kwenguva refu. Vanhu vanoda zvemhando yepamusoro, kutariswa kwakatarisana nemurwere kubva kunyanzvi dzine ruzivo nekukurumidza kuti vapinde munzira yekupora.
Vehicle Crash Hip Injury
Majoini ehudyu anofanirwa kuve ane hutano uye anoshanda zvinobudirira sezvinobvira kuti arambe achishanda. Arthritis, kuputika kwechiuno, bursitis, tendonitis, kukuvara kubva pakudonha, uye kudhumhana kwemotokari ndizvo zvinowanzokonzera kurwadziwa kwehudyu kusingaperi. Zvichienderana nerudzi rwekukuvara, vanhu vanogona kunzwa zviratidzo zvinorwadza muhudyu, kugomera, mukati mejojo rehudyu, kana matako.
Kushamwaridzana Nekukuvara
Kukuvara kwakanyanya kunokonzera kurwadziwa muhudyu mushure mekudhumhana kunosanganisira:
Hip Ligament Sprains kana Strains
A hip ligament sprain kana strain inokonzerwa nemarunda akawandisa kana kubvaruka.
Aya matishu anosungira mapfupa kune mamwe mapfupa uye anopa kugadzikana kune majoini.
Kukuvara uku kungangoda kuzorora uye ice kuti apore, zvichienderana nekuoma.
Chiropractic, decompression, uye physio massage therapies zvingave zvakakosha pakugadzirisa zvakare uye kuchengetedza mhasuru dzichichinjika uye dzakasununguka.
Bursitis
Bursitis kuzvimba kwebursa, kana sag-yakazadzwa nemvura inopa cushioning / zvinhu pakati pemapfupa nemamhasuru.
Ndicho chimwe chezvikonzero zvikuru zvekurwadziwa kwehudyu mushure mekudhumhana kwemotokari uye zvinoda kurapwa nekukurumidza.
Tendonitis
Tendonitis imhando yekukuvara inobata zvinyoro zvinyoro senge tendon uye ligaments, zvinopesana nefupa uye tsandanyama.
Tendonitis inogona kukonzera kurwadziwa kusingaperi uye zviratidzo zvakasiyana-siyana zvekusagadzikana mukati uye kumativi ehudyu nzvimbo kana isina kusiyiwa.
Hip Labral Tear
A hip labral tear imhando yekukuvadzwa kwemajoini umo nyoro/labrum inovhara socket yehudyu inobvaruka.
Iyo matishu inovimbisa kuti musoro wehudyu unofamba zvakanaka mukati memubatanidzwa.
Kukuvadza kune labrum kunogona kutungamirira kune zviratidzo zvinorwadza zvakanyanya uye kukanganisa kufamba.
Hip Kubvisa
Kutsemuka kwehudyu zvinoreva kuti bhora remukadzi rabuda musocket, zvichiita kuti bhonzo repamusoro regumbo ritsvedze kubva panzvimbo.
Hip dislocation inogona kukonzera avascular necrosis , kunova kufa kwenyama yemapfupa kubva pakuvharika muropa.
Hip Fractures
Mapfupa ehudyu anogona kuputsika kuita zvikamu zvitatu:
Tsoka
Pubis
Ischium
Kutyoka kwehudyu, kana kutsemuka kwehudyu, kunoitika pese apo kuputika, kutsemuka, kana kupwanyika kunoitika kune chero ipi zvayo yezvikamu izvi zvehudyu.
Acetabular Kutsemuka
Kutyoka kweacetabular kutsemuka kana kutsemuka kuri kunze kwechigadziko chehudyu chinobata mapfupa ehudyu nechidya pamwechete.
Kutyoka kwechikamu chemuviri ichi hakuna kufanana nekuda kwenzvimbo.
Simba rakakosha uye kukanganisa kunowanzodikanwa kukonzera rudzi urwu rwekutsemuka.
zviratidzo
Kana chimwe chezviratidzo zvinotevera mushure mekuparara kwemotokari kwakaitika, inogona kuva kukuvara kwehudyu uye inofanira kuongororwa nenyanzvi yezvokurapa. Izvi zvinosanganisira:
Kurwadziwa kana kupfava panzvimbo yekukuvara.
Kutuka.
Kuzvimba.
Kunetsa kufambisa hudyu/s.
Kurwadziwa kwakanyanya pakufamba.
Kukamhina.
Kupera simba remhasuru.
Marwadzo emudumbu.
Kurwadza kwebvi.
Kurwadza kwegoro.
Kurapa uye Rehabilitation
Chiremba kana nyanzvi inofanirwa kugara ichiongorora matambudziko ehudyu uye zviratidzo zvinorwadza. Nerubatsiro rwekuongorora kwemuviri uye kuongororwa senge X-rays, CT Scans, kana MRI, chiremba anogona kuongorora uye kukurudzira nzira dzekurapa. Kurapa mushure mekuparara kwemotokari kunoenderana nekuoma kwekukuvara. Semuyenzaniso , Kutyoka kwehudyu kunowanzoda kuvhiyiwa nokukurumidza, asi kumwe kukuvadzwa kungangoda mishonga, kuzorora, nekugadzirisa. Zvirongwa zvekurapa zvinogona kusanganisira:
Zorora
Marwadzo, mhasuru zvinozorodza, uye anti-kuzvimba mishonga.
Physical therapy
Massage therapy
Chiropractic kugadzirisa
Spinal decompression
Dzidzira kurapa
Steroid jekiseni
Kuvhiya - mushure mekuvhiyiwa, murapi wepanyama anogona kubatsira kutambanudza uye kushanda pamhasuru dzakatenderedza hudyu kuti awane kufamba uye kusununguka kwekupora zvachose.
Yese yehudyu kutsiva
Chikwata chedu chinoshanda pamwe nenyanzvi dzinodiwa kuti dzipe hutano hwakakwana hunodiwa kuti uwane kupora kuzere uye kuporeswa kwekuzorodzwa kwenguva refu. Chikwata chichashanda pamwe chete kugadzira chirongwa chakazara chekurapa kusimbisa mhasuru dzehudyu kuitira kutsigirwa zviri nani uye kuwedzera kwekufamba.
Movement seMushonga
VIDEO
References
Cooper, Joseph, nevamwe. "Hip dislocation uye kukuvara kwakafanana mukubonderana kwemotokari." Kukuvara vol. 49,7 (2018): 1297-1301. doi:10.1016/j.injury.2018.04.023
Fadl, Shaimaa A, naClaire K Sandstrom. "Pattern Recognition: Iyo Mechanism-yakavakirwa Nzira yeKukuvadza Kuonekwa mushure meMota Kudhumhana." Radiographics: wongororo yakadhindwa yeRadiological Society yeNorth America, Inc vol. 39,3 (2019): 857-876. doi:10.1148/rg.2019180063
Frank, CJ nevamwe. "Acetabular fractures." The Nebraska medical journal vol. 80,5 (1995): 118-23.
Masiewicz, Spencer, et al. "Posterior Hip Dislocation." StatPearls, StatPearls Publishing, 22 Kubvumbi 2023.
Monma, H, uye T Sugita. "Iyo nzira yekushungurudza kumashure kwehudyu kukuvara kwebrake pedal pane kukuvara kwedashboard?." Kukuvara vol. 32,3 (2001): 221-2. doi:10.1016/s0020-1383(00)00183-2
Patel, Vijal, nevamwe. "Kushamwaridzana pakati pemabvi airbag deployment uye ibvi-chidya-hudyu kuputika ngozi yekukuvara mukukonana kwemotokari: Chidzidzo cheboka rakafanana." Accident; Analysis and Prevention vol. 50 (2013): 964-7. doi:10.1016/j.aap.2012.07.023