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Kukuvara Kwevanhu

Back Clinic Personal Injury Chiropractic Team. Kukuvara kubva mutsaona hakugoni kungokonzera kukuvadzwa kwemuviri kune iwe kana mudiwa, kubatanidzwa munyaya yekukuvara kwemunhu kunowanzova mamiriro ezvinhu akaoma uye anonetsa kubata. Aya marudzi emamiriro ezvinhu zvinosuruvarisa kuti akajairika uye kana munhu wacho akatarisana nemarwadzo uye kusagadzikana semugumisiro wekushungurudzika kubva mutsaona kana mamiriro ezvinhu ari pasi akave akawedzerwa nekukuvara, kuwana kurapa kwakakodzera kwenyaya yavo chaiyo inogona kuva imwe dambudziko. pachayo.

Dr. Alex Jimenez's kuunganidza zvinyorwa zvekukuvara kwemunhu zvinoratidza zvakasiyana-siyana zvekukuvara kwemunhu, kusanganisira njodzi dzemotokari dzinokonzera whiplash, uyewo muchidimbu mishonga yakasiyana-siyana inoshanda, yakadai sechiropractic kuchengetedza. Kuti uwane rumwe ruzivo, ndapota inzwa wakasununguka kuti utaure nesu pa (915) 850-0900 kana mameseji kufonera Dr. Jimenez pachezvangu pa (915) 540-8444.


Kuputsika Kwekupwanya: Kuvhiya, Kukanda, uye Kurapa Kwepanyama

Kuputsika Kwekupwanya: Kuvhiya, Kukanda, uye Kurapa Kwepanyama

Kudzidza nezve zviratidzo zvekutyoka uye kugadzirisa zvinogona kubatsira vanhu vamwe nevarapi vehutano kugadzira kurapa kunoshanda uye zvirongwa zvekuvandudza?

Kuputsika Kwekupwanya: Kuvhiya, Kukanda, uye Kurapa Kwepanyama

Comminuted Fractures

A comminuted fracture ndiko kutyora kwakanyanya uko bhonzo rinotsemuka kuita zvidimbu zvitatu. Kutyoka kwakapetwa kunowanzoitika mumapfupa marefu seaya ari mumaoko nemakumbo. Asi zvinogonawo kuitika kune dzimwe nzvimbo, kusanganisira mbabvu. (Corinne Tarantino, 2022) Zvinowanzokonzereswa nekukanganisa kwakanyanya, sekurovera kwemotokari / tsaona kana kudonha kwakanyanya. Zvichienderana nenzvimbo yekutyoka, kupora kubva pakutyoka kwakapetwa kunogona kutora mwedzi uye kazhinji kunosanganisira:

  • Kuvhiya - Chiremba anovhiya anoisa screws netsvimbo kuti abate zvidimbu zvebhonzo pachinzvimbo. Dzimwe nguva, iyo Hardware inosiiwa mukati zvachose. (American Academy yeOrthopedic Surgeons, 2021)
  • Kupfeka cast kwemwedzi yakati wandei.
  • Kurapa kwepanyama.

Types

Mumhando idzi dzekuputsika, pfupa rakaputsika zvachose, kwete kungoputika. Kuzorora ndiko kutsemuka kwakanyanya kana pfupa rikatyoka kuita zvidimbu zvina kana kupfuura. (Corinne Tarantino, 2022)

zviratidzo

Zviratidzo zvakafanana nezvemamwe mapfupa akatyoka, asi anogona kunge akanyanya kusimba nekuti pfupa rakatyoka munzvimbo dzakawanda, izvo zvinoreva kuti panogona kuve nekukuvadzwa kwematishu akapfava kupfuura kungoputsika kuri nyore. Zviratidzo zvekutyoka kwebhonzo zvinosanganisira: (MedlinePlus, 2024)

  • Kuramba kurwadza
  • Kuzvimba
  • Kudzora
  • Deformity - bhonzo rinotarisa kunze kwenzvimbo kana kuti pane imwe nzira isinganzwisisike.
  • Tingling
  • Numbness
  • Kunetsa kufambisa nhengo.

Zvinokonzera

Simba rakasimba rinokonzera kuputsika kwakagadzikana, kazhinji njodzi yemotokari kana kudonha kwakaoma, asi inogonawo kuguma nekukuvara kwemitambo. (Corinne Tarantino, 2022)

kuongorora chirwere

Kutyoka kwakapetwa kunoonekwa neX-ray, inoratidza pakatyoka bhonzo uye kuti zvidimbu zvingani zvarakatsemuka kuita (MedlinePlus, 2024) Vatariri vehutano vanoongorora chero mapfupa akatyoka asiwo vanotarisa kumwe kukuvadzwa.

mabatiro

Kazhinji, mapfupa akatyoka anogona kurapwa nemakanda, mabhureshi, kana bhutsu kuitira kuti asafambe. (MedlinePlus, 2024) Nemhaka yokuti kutyoka kwacho kwakanyanyisa, kunowanzoda kumwe kurapwa, kusanganisira kuvhiyiwa. Dzimwe nguva, pfupa rinogona kugadziriswa panzvimbo yekuvhiya uchishandisa a nzira yekudzikisa yakavharwa, uko mupi wehutano anogadzirisa pfupa nemaoko. Kuvhiya kunogona kukurudzirwa kana zvisingaite kana kusashanda.

Mhando dzekuvhiya

Kuvhiyiwa kunobvumira mupi wehutano kuti aise zvakanaka zvidimbu zvese zvebhonzo kuti apore mune yakasimba, yakagadzikana maumbirwo. Iwo marudzi maviri anowanzo shandiswa kurapa comminuted fractures ndeaya: (American Academy yeOrthopedic Surgeons, 2021)

External Fixation

  • Kuvhiyiwa uku kunoshandisa tsvimbo nemascurus kunze kwemuviri kudzikamisa bhonzo.
  • Iyi furemu yekunze inoiswa panguva yekuvhiyiwa uye gare gare inobviswa.

Vhura Kuderedza Kugadziriswa Kwemukati - ORIF

  • Munguva yekuvhiyiwa uku, bhonzo rinogadziriswa nesimbi ndiro, screws, tsvimbo, uye / kana waya dzakaiswa mukati memuviri wako.
  • Dzimwe nguva, idzi ndedzechigarire, asi mune dzimwe nguva, dzinobviswa gare gare.
  • Chiremba wemapfupa anoita kuvhiya uku.

Kudzingwa

Mushure mekuvhiyiwa, kukanda kunowanzodiwa kudzivirira pfupa kubva pakufamba uye kubvumira kuporesa. Kazhinji, iyo cast inopfekwa kwemavhiki matanhatu kusvika masere, asi ingangoda kupfekwa kwenguva yakareba neyakapwanyika fractures. Vamwe vanoda kukandwa kwemwedzi yakati wandei (American Academy yeOrthopedic Surgeons, 2021) Dzimwe nguva, avo vane kunze kwekugadziriswa vanofanira kuramba vakapfeka chikanda mushure mekubvisa mapini nematanda, vachipa pfupa nguva yakawanda yekudzikama. Murapi wehutano anozivisa murwere kuti inguva yakadii yekukanda ichada kupfekwa uye ndezvipi zviitiko zvemitambo zvinofanirwa kudzivirirwa kunyangwe kukanda kwapera.

Therapy Therapy

Mupi wehutano anogona kukurudzira kurapwa kwemuviri kubatsira kurapa kuputsika. Kazhinji, kana kukanda kwabviswa, kurapwa kwemuviri kunogadziriswa kubatsira kuvakazve simba uye huwandu hwekufamba. (Corinne Tarantino, 2022)

Prognosis

Kunyange zvazvo kuputsika uku kwakakomba, kunorapika. The prognosis yakanaka kune vanhu vanotevera chirongwa chekurapa chevanopa hutano. Vazhinji havana marwadzo anononoka mushure mekukuvara kwekutanga uye vanogona kupedzisira vadzokera kumabasa enguva dzose. (American Academy yeOrthopedic Surgeons, 2021)

kupora

Kupodza munhu anenge atyoka anogona kutora mwedzi yakawanda. Munguva iyoyo, zvinobatsira kuisa pfungwa pamabasa anogona kuitwa, sezvitsva zvekuzvivaraidza zvisingasanganisi kukuvara kwemuviri. Taura nemupi wehutano nezve chero matambudziko nekukandwa kana kurwadziwa kunoramba kuripo uye zvekutarisira panguva yekupora.

Injury Medical Chiropractic uye Functional Medicine Clinic inoshanda nevarapi vekutanga vehutano uye nyanzvi kuti vagadzirise hutano hwakakwana uye hutano mhinduro kuburikidza nenzira yakabatanidzwa yekurapa kukuvara uye kusingaperi kurwadziwa syndromes, kuvandudza kuchinjika, kufamba, uye agility zvirongwa zvekubvisa marwadzo uye kubatsira vanhu kudzokera normal. Vapepi vedu vanogadzira zvirongwa zvekuchengetedza zvemunhu zvemurwere wega wega. Kana mamwe marapirwo achidiwa, Dr. Jimenez akabatana nevarapi vepamusoro, nyanzvi dzekiriniki, vatsvakurudzi vezvokurapa, uye vagadziri vekugadzirisa kuti vape mishonga inobatsira zvikuru.


Nzira Yekuporesa Kukuvadzwa Kwemunhu


References

Corinne Tarantino, MPH. Osmosis. (2022). Comminuted Fracture: Chii icho, Mienzaniso uye Zvimwe. www.osmosis.org/answers/comminuted-fracture

Throckmorton TW American Academy yeOrthopedic Surgeons. (2021). Kutyoka (kutyoka mapfupa). orthoinfo.aaos.org/en/diseases-conditions/fractures-broken-bones/

MedlinePlus. National Library of Medicine. (2024). Kutsemuka Kunonziwo: Bvunzo rakaputsika. Zvakatorwa kubva medlineplus.gov/fractures.html

Usaregeredza Whiplash Zviratidzo uye Zviratidzo: Tsvaga Kurapa

Usaregeredza Whiplash Zviratidzo uye Zviratidzo: Tsvaga Kurapa

Vaya vanonzwa kurwadziwa kwemutsipa, kuoma, musoro, pfudzi uye kurwadziwa shure vanogona kutambura nekukuvara kwe whiplash. Kuziva zviratidzo nezviratidzo zve whiplash kunobatsira vanhu kuziva kukuvara uye kubatsira varapi vehutano kugadzira chirongwa chekurapa chinoshanda?

Usaregeredza Whiplash Zviratidzo uye Zviratidzo: Tsvaga Kurapa

Whiplash Zviratidzo uye Zviratidzo

Whiplash kukuvara kwemutsipa kunowanzoitika mushure mekudhumhana kwemotokari kana tsaona asi inogona kuitika nekukuvara kupi uko kunokurumidza kurova mutsipa mberi uye kumashure. Iko kukuvara kwakapfava kusvika pakati pemitsipa yemutsipa. Kazhinji whiplash zviratidzo uye zviratidzo zvinosanganisira:

  • Neck marwadzo
  • Kuoma kwemutsipa
  • kurwadziwa nemusoro
  • Chizutu
  • papfudzi marwadzo
  • Kutambudzika shure
  • Kunzwa kwekunzwa mumutsipa kana pasi pemaoko. (Johns Hopkins Mushonga. 2024)
  • Vamwe vanhu vanogona kukura kurwadziwa kusingaperi uye misoro.

Zviratidzo uye kurapwa zvinoenderana nekuoma kwekukuvara. Kurapa kunogona kusanganisira mishonga inorwadza pamusoro-the-counter, ice uye kupisa kupisa, chiropractic, kurapa kwemuviri, uye kutambanudza maekisesaizi.

Kazhinji Zviratidzo uye Zviratidzo

Iko kamwe-kamwe kurova kufamba kwemusoro kunogona kukanganisa zvivako zvakawanda mukati memutsipa. Zviumbwa izvi zvinosanganisira:

  • tsandanyama
  • mapfupa
  • Joints
  • Tendons
  • Ligamende
  • Intervertebral discs
  • Tsinga
  • Tsinga.
  • Chero chipi nechipi kana zvose izvi zvinogona kuchinjwa nekukuvara kwe whiplash. (MedlinePlus, 2017)

Statistics

Whiplash mutsara wemutsipa unoitika kubva pakukurumidza mutsipa-jerking kufamba. Kukuvara kweWhiplash kunodarika hafu yekukuvara kwemotokari yemotokari. (Michele Sterling, 2014Kunyange nekukuvara kudiki, zviratidzo zvinowanzoitika zvinosanganisira: (Nobuhiro Tanaka et al., 2018)

  • Neck marwadzo
  • Kutevera kuoma
  • Mutsipa unyoro
  • Nhamba shoma yekufamba kwemutsipa

Vanhu vanogona kukudziridza kusagadzikana kwemutsipa uye kurwadziwa nguva pfupi mushure mekukuvara; zvisinei, kurwadziwa kwakanyanya uye kuoma hakuitike mushure mekukuvara. Zviratidzo zvinowanzowedzera kuwedzera zuva rinotevera kana maawa makumi maviri nemana gare gare. (Nobuhiro Tanaka et al., 2018)

Kutanga Zviratidzo

Vatsvakurudzi vakaona kuti inenge inopfuura hafu yevanhu vane whiplash vanoita zviratidzo mukati memaawa matanhatu ekukuvara. Vanosvika 90% vanotanga zviratidzo mukati memaawa makumi maviri nemana, uye 24% vanotanga zviratidzo mukati meawa makumi manomwe nemaviri. (Nobuhiro Tanaka et al., 2018)

Whiplash vs. Traumatic Cervical Spine Injury

Whiplash inotsanangura kunyorova kusvika pakati pekukuvara kwemutsipa pasina skeletal yakakura kana zviratidzo zvetsinga. Kukuvara kukuru kwemutsipa kunogona kukonzera kuputsika uye kuparadzaniswa kwemusana kunogona kukanganisa tsinga uye musana. Pane imwe nguva munhu anotanga matambudziko eurological ane chokuita nekukuvara kwemutsipa, kuongororwa kunoshanduka kubva ku whiplash kusvika kune kukuvara kwekervical spine. Misiyano iyi inogona kuvhiringa sezvo iri pachikamu chimwe chete. Kuti unzwisise zviri nani kuoma kwemutsipa sprain, iyo Quebec classification system inoparadzanisa kukuvara kwemutsipa muzvikamu zvinotevera (Nobuhiro Tanaka et al., 2018)

Bhuku 0

  • Izvi zvinoreva kuti hapana zviratidzo zvemutsipa kana zviratidzo zvekuongororwa kwemuviri.

Bhuku 1

  • Kune kurwadziwa kwemutsipa uye kuoma.
  • Zvishoma zvakawanikwa kubva mukuongororwa kwemuviri.

Bhuku 2

  • Inoratidza kurwadziwa kwemutsipa uye kuoma
  • Mutsipa unyoro
  • Kuderera kwekufamba kana mitsipa yekufamba pakuongorora kwemuviri.

Bhuku 3

  • Inosanganisira kurwadziwa kwemasuru uye kuoma.
  • Neurologic zviratidzo zvinosanganisira:
  • Numbness
  • Tingling
  • Kushaya simba mumaoko
  • Decreased reflexes

Bhuku 4

  • Inosanganisira kutyoka kana kutsemuka kwemapfupa emuzongoza.

Zvimwe Zviratidzo

Zvimwe zviratidzo zve whiplash uye zviratidzo zvinogona kubatanidzwa nekukuvara asi zvisingawanzoitiki kana kuti zvinongoitika nekukuvara kwakanyanya zvinosanganisira (Nobuhiro Tanaka et al., 2018)

  • Kurwisana musoro
  • Jaw kurwadziwa
  • Matambudziko okurara
  • Migraine musoro
  • Dambudziko kuisa pfungwa
  • Kuverenga zvakaoma
  • Chiratidzo chakasvibiswa
  • Chizutu
  • Kutyaira matambudziko

Rare Symptoms

Vanhu vane kukuvara kwakanyanya vanogona kukura zviratidzo zvisingawanzo izvo zvinowanzoratidza kukuvara kwecervical spine uye zvinosanganisira: (Nobuhiro Tanaka et al., 2018)

  • kukanganwa
  • Kupopota
  • Izwi rinoshanduka
  • Torticollis - kurwadza kwemasuru kunorwadza kunoita kuti musoro uende kune rumwe rutivi.
  • Kubuda ropa muuropi

Matambudziko

Vazhinji vanhu vanowanzopora kubva kuzviratidzo zvavo mukati memavhiki mashoma kusvika kumwedzi mishoma. (Michele Sterling, 2014) Zvisinei, zvinetso zve whiplash zvinogona kuitika, kunyanya nekukuvara kwakakomba 3 kana giredhi 4. Zvinetso zvinowanzoitika zvekukuvara kwe whiplash zvinosanganisira kurwadziwa kusingaperi / kwenguva refu uye misoro. (Michele Sterling, 2014) Kukuvara kwechirwere chepervical spine kunogona kukanganisa mutsara wepelinha uye kusanganiswa nezvinetso zvisingaperi zvetsinga, kusanganisira kupera, kushaya simba, uye kuoma kufamba. (Luc van Den Hauwe et al., 2020)

mabatiro

Marwadzo acho anowedzera zvakanyanya zuva rinotevera kupfuura mushure mekukuvara. Whiplash musculoskeletal kukuvara kurapwa kunoenderana nekuti kukuvara kwakanyanya kana kuti munhu wacho akagadzira kurwadziwa kwemutsipa kusingagumi uye kuoma.

  • Marwadzo akanyanya anogona kurapwa nemishonga inodarika-the-counter seTylenol uye Advil, iyo inorapa zvinobudirira marwadzo.
  • Advil is nonsteroidal anti-inflammatory inogona kutorwa nekurwadziwa kweTylenol, iyo inoshanda nenzira dzakasiyana.
  • Chinonyanya kukosha chekurapa ndechekukurudzira kushanda nguva dzose nekutambanudza uye kurovedza muviri. (Michele Sterling, 2014)
  • Physical therapy inoshandisa akasiyana siyana ekufambisa maekisesaizi kusimbisa mitsipa yemutsipa uye kubvisa marwadzo.
  • Chiropractic kugadziridzwa uye kusiri-kuvhiya decompression inogona kubatsira kugadzirisa uye kudyisa musana.
  • Acupuncture inogona kukonzera kuti muviri uburitse mahomoni echisikigo anopa zororo rekurwadziwa, kubatsira kuzorodza matishu akapfava, kuwedzera kutenderera, uye kuderedza kuzvimba. Iyo cervical spine inogona kudzoka pakurongeka kana zvinyoro zvinyoro zvisisina kupisa uye kuputika. (Tae-Woong Moon et al., 2014)

Neck Injuries


References

Mushonga, JH (2024). Whiplash Injury. www.hopkinsmedicine.org/health/conditions-and-diseases/whiplash-injury

MedlinePlus. (2017). Kukuvara Kwemutsipa uye Kuvhiringidzika. Zvakatorwa kubva medlineplus.gov/neckinjuriesanddisorders.html#cat_95

Sterling M. (2014). Physiotherapy manejimendi ye whiplash-associated kusagadzikana (WAD). Nyaya ye physiotherapy, 60 (1), 5-12. doi.org/10.1016/j.jphys.2013.12.004

Tanaka, N., Atesok, K., Nakanishi, K., Kamei, N., Nakamae, T., Kotaka, S., & Adachi, N. (2018). Pathology uye Kurapa kweTraumatic Cervical Spine Syndrome: Whiplash Injury. Kufambira mberi mune orthopedics, 2018, 4765050. doi.org/10.1155/2018/4765050

van Den Hauwe L, Sundgren PC, Flanders AE. (2020). Spinal Trauma uye Spinal Cord Injury (SCI). Mu: Hodler J, Kubik-Huch RA, von Schulthess GK, vapepeti. Zvirwere zveBrain, Musoro uye Mutsipa, Spine 2020-2023: Diagnostic Imaging [Internet]. Cham (CH): Springer; 2020. Chitsauko 19. Inowanikwa kubva: www.yori.nlm.nih.gov/books/NBK554330/ doi: 10.1007/978-3-030-38490-6_19

Mwedzi, TW, Posadzki, P., Choi, TY, Park, TY, Kim, HJ, Lee, MS, & Ernst, E. (2014). Acupuncture yekurapa whiplash yakabatana nechirwere: kurongeka kwekuongorora kwe randomized kliniki miedzo. Evidence-based complementary and alternative medicine: eCAM, 2014, 870271. doi.org/10.1155/2014/870271

Iyo Yekupedzisira Nhungamiro Yekusimbisa Multifidus Muscle

Iyo Yekupedzisira Nhungamiro Yekusimbisa Multifidus Muscle

Kune vanhu vane kurwadziwa kwepazasi kumashure vanogona kunzwisisa anatomy uye basa remultifidus tsandanyama rubatsiro mukudzivirira kukuvara uye mukuvandudza chirongwa chekurapa chakanyanya kushanda?

Iyo Yekupedzisira Nhungamiro Yekusimbisa Multifidus Muscle

Multifidus Muscle

Iyo multifidus mhasuru dzakareba uye dzakamanikana kune rumwe rutivi rwepinini mbiru, iyo inobatsira kudzikamisa nzvimbo yakaderera yemuzongoza kana lumbar spine. (Maryse Fortin, Luciana Gazzi Macedo 2013) Kugara zvakanyanya, kuita maitiro asina kunaka, uye kusava nekufamba kunogona kufambira mberi kune multifidus muscle kupera simba kana atrophy, izvo zvinogona kutungamirira kumusana usina kugadzikana, vertebral compression, uye kurwadziwa shure. (Paul W. Hodges, Lieven Danneels 2019)

Anatomy

Inozivikanwa sechidzitiro chakadzika, ndiyo yemukati-kati yezvikamu zvitatu zvetsandanyama zvemusana uye inodzora kufamba kwemusana. Mamwe maviri akaturikidzana, anozivikanwa seyemukati uye epamusoro, ane mutoro weiyo thoracic cage / mbabvu cage uye kufamba kwepfudzi. (Anouk Agten et al., 2020) Iyo multifidus ine mapoinzi ekunamatira pa:

  • The thoracic musana wepakati kumashure.
  • The lumbar musana wezasi musana.
  • The iliac spine - mujinga mebapiro-akaita mapapiro iliac bone yepelvis.
  • Sacrum - nhevedzano yemapfupa ari pazasi pemusana akabatana nemuswe.
  • Paunenge wakamira kana kufamba, iyo multifidus muscle inoshanda ne transversus abdominus uye pelvic floor muscles kuti igadzikane lumbar spine. (Christine Lynders 2019)

Basa retsandanyama

Basa guru nderokudzikamisa pasi kumashure, asi inobatsirawo kuwedzera musana wepasi pose paunosvika kana kutambanudza. (Jennifer Padwal et al., 2020) Nemhaka yokuti mhasuru ine mapeji akawanda ekubatanidza uye inoshandiswa neimwe bazi retsinga rinozivikanwa se posterior rami, inobvumira vertebra imwe neimwe kushanda yega uye zvakanyanya.

  • Izvi zvinodzivirira kubva pakuora kwemusana uye kukura kweArthritis. (Jeffrey J Hebert et al., 2015)
  • Iyo multifidus tsandanyama inoshanda nemamwe maviri akadzika mhasuru mapoka kuti agadzikane uye kufambisa musana. (Jeffrey J Hebert et al., 2015)
  • Iyo rotatores tsandanyama inogonesa unilateral kutenderera, kutendeuka kubva kune rimwe divi kuenda kune rimwe divi, uye bilateral kuwedzera kana kukotama kumashure uye kumberi.
  • Iyo semispinalis muscle pamusoro pe multifidus inobvumira kuwedzera uye kutenderera kwemusoro, mutsipa, uye kumusoro kumashure.
  • Iyo multifidus muscle inochengetedza simba remusana nokuti ine zvakawanda zvakasungirirwa kumusana pane mamwe mapeji, izvo zvinoderedza kushanduka kwemusana uye kutenderera asi kunowedzera simba uye kugadzikana. (Anouk Agten et al., 2020)

Pasi Pasi Pain

Iyo isina simba multifidus tsandanyama inodzikamisa musana uye inopa shoma rutsigiro kune vertebra. Izvi zvinowedzera kudzvanywa pamhasuru uye matishu anobatanidza pakati uye ari padyo nepinal column, zvichiwedzera njodzi yezviratidzo zvekurwadziwa kumashure. (Paul W. Hodges, Lieven Danneels 2019) Kurasikirwa kwesimba remhasuru uye kugadzikana kunogona kukonzera atrophy kana kupera. Izvi zvinogona kukonzera compression uye mamwe matambudziko kumashure. (Paul W. Hodges et al., 2015) Matambudziko ekudzokera shure ane chokuita ne multifidus muscle deterioration anosanganisira (Paul W. Hodges, Lieven Danneels 2019)

  • Herniated discs - zvakare anoputika kana akatsvedza madhisiki.
  • Nerve entrapment kana compression pinched nerve.
  • Sciatica
  • Referred pain - kurwadziwa kwetsinga kunobva kumusana kwakanzwika kune dzimwe nzvimbo.
  • Osteoarthritis - kupfeka-uye-kubvarura arthritis
  • Spinal osteophytes - bone spurs
  • Mudumbu usina simba kana pelvic pasi tsandanyama zvinogona kukanganisa musimboti, zvichiwedzera njodzi yekusingaperi kurwadziwa kwemusana uye kukuvara.

Vanhu vanokurudzirwa kubvunza chiremba wepanyama uye chiropractor vanogona kubatsira kukudziridza zvakakodzera mabatiro, kugadzirisa, nekusimbisa chirongwa chinobva pazera, kukuvara, mamiriro epasi, uye kugona kwemuviri.


Ko Core Exercises Inogona Kubatsira Nekurwadza Kwekumashure?


References

Fortin, M., & Macedo, LG (2013). Multifidus uye paraspinal muscle boka rinoyambuka-sectional nzvimbo dzevarwere vane marwadzo ekudzokera shure uye kudzora varwere: kuongorora kwakarongeka nekutarisa pakupofumadza. Physical therapy, 93 (7), 873-888. doi.org/10.2522/ptj.20120457

Hodges, PW, & Danneels, L. (2019). Shanduko muChimiro uye Basa reKumashure Muscles muLow Back Pain: Yakasiyana Nguva Mapoinzi, Observation, uye Mechanisms. The Journal of orthopedic uye mitambo yekurapa kwepanyama, 49 (6), 464-476. doi.org/10.2519/jospt.2019.8827

Agten, A., Stevens, S., Verbrughe, J., Eijnde, BO, Timmermans, A., & Vandenabeele, F. (2020). Iyo lumbar multifidus inoratidzwa nemhando yakakura I muscle fibers kana ichienzaniswa ne erector spinae. Anatomy & cell biology, 53(2), 143–150. doi.org/10.5115/acb.20.009

Lynders C. (2019). Iro Rinokosha Basa Rekuvandudza kweTransversus Abdominis mukudzivirira uye Kurapa kweLow Back Pain. HSS magazini: the musculoskeletal magazine yeChipatara cheSpecial Surgery, 15(3), 214–220. doi.org/10.1007/s11420-019-09717-8

Padwal, J., Berry, DB, Hubbard, JC, Zlomislic, V., Allen, RT, Garfin, SR, Ward, SR, & Shahidi, B. (2020). Misiyano yedunhu pakati pepamusoro uye yakadzika lumbar multifidus mune varwere vane chisingaperi lumbar spine pathology. BMC musculoskeletal kusagadzikana, 21 (1), 764. doi.org/10.1186/s12891-020-03791-4

Hebert, JJ, Koppenhaver, SL, Teyhen, DS, Walker, BF, & Fritz, JM (2015). Kuongororwa kwe lumbar multifidus muscle basa kuburikidza ne palpation: kuvimbika uye kutendeseka kwehutano hutsva hwekliniki. The spine magazine: yepamutemo magazini yeNorth American Spine Society, 15 (6), 1196-1202. doi.org/10.1016/j.spinee.2013.08.056

Hodges, PW, James, G., Blomster, L., Hall, L., Schmid, A., Shu, C., Little, C., & Melrose, J. (2015). Multifidus Muscle Changes Mushure mekukuvadzwa Kwekumashure Inoratidzwa neKugadziriswa Kwemaitiro eMuscle, Adipose uye Connective Tissue, asi Kwete Muscle Atrophy: Molecular and Morphological Evidence. Muzongoza, 40(14), 1057–1071. doi.org/10.1097/BRS.0000000000000972

FOOSH Kurapa Kukuvara: Chii Chaunofanira Kuziva

FOOSH Kurapa Kukuvara: Chii Chaunofanira Kuziva

Munguva yekudonha vanhu vanowanzotambanudza maoko avo kuti vabatsire kudonha, izvo zvinogona kurovera pasi zvichikonzera kuwira paruoko rwakatambanudzwa kana kukuvara kweFOOSH. Vanhu vanofanirwa kuongororwa nemupi wehutano kana vachitenda kuti hapana kukuvara here?

FOOSH Kurapa Kukuvara: Chii Chaunofanira Kuziva

FOOSH Kukuvara

Kudonha kunowanzokonzera kukuvara kudiki. Kukuvara kweFOOSH kunoitika pakudonha uye kuedza kuputsa kudonha nekutambanudza ruoko nemaoko. Izvi zvinogona kukonzera kukuvara kwepamusoro senge sprain kana kutyoka. Asi dzimwe nguva, kuwira pamaoko kunogona kukonzera kukuvara kwakakomba uye / kana kugadzira ramangwana musculoskeletal nyaya. Vanhu vakawa kana kukuvadzwa neFOOSH vanofanira kubvunza mutarisiri wavo wehutano uyezve murapi wepanyama kana chiropractor kuti agadzirire zvakachengeteka chirongwa chekurapa kugadzirisa, kusimbisa, uye kukurumidzira kupora.

Mushure mekukuvadzwa

Kune vanhu vakawira pasi uye vakamhara paruoko, ruoko, kana ruoko, hezvino zvinhu zvishoma kuti uve nechokwadi chekuchengetedza kwakakodzera kwekukuvara, kusanganisira:

  • Tevera iyo RICE protocol yekukuvara kwakanyanya
  • Shanyira mushandi wezvehutano kana kiriniki yemunharaunda yechimbichimbi
  • Bata murapi wepanyama

Kukuvara kweFOOSH kunogona kuve kwakakomba, saka kudzivirira kuti nyaya diki dzive matambudziko akakura, ongororwa nana chiremba wemashuloskeletal. Mupi wehutano achawana imaging scan yevakakuvara nenzvimbo dzakatenderedza. Vachaita ongororo yemuviri kuti vaone rudzi rwekukuvara, senge sprain kana tsandanyama strain. Kusawana kurapwa kwakakodzera mushure mekudonha kunogona kukonzera kurwadziwa kusingaperi uye kurasikirwa kwebasa. (J. Chiu, SN Robinovitch. 1998)

Kazhinji Kukuvara

Kukuvara kweFOOSH kunogona kukuvadza nzvimbo dzakasiyana. Izvi zvinowanzobatanidza chiwoko neruoko, asi gokora kana bendekete zvinogonawo kukuvara. Kukuvara kwakajairika kunosanganisira:

Kutyoka kweColles

  • Kutyoka kwechanza uko magumo ebhonzo reruoko anodzoserwa kumashure.

Kutyoka kwaSmith

  • Kutyoka kwechanza, kwakafanana nekutyoka kweColles, ndipo panobviswa magumo ebhonzo reruoko akananga kumberi kwechanza.

Kutyoka kweBoxer

  • Kutyoka kwemapfupa madiki ari muruoko.
  • Kazhinji, zvinoitika mushure mekurova chimwe chinhu, asi zvinogona kuitika kubva pakudonha pachibhakera chakatambanudzwa.

Kutsemuka kwegokora kana kutyoka

  • Gokora rinogona kubuda mujoini kana kutyora bhonzo mugokora.

Collarbone fracture

  • Simba rinobva pakudonha nemaoko nemaoko zvakatambanudzwa rinogona kufamba kusvika pacollarbone, zvichikonzera kuputsika.

Proximal humeral fracture

  • Kuwira pakukuvara kweruoko kwakatambanudzwa kunogona kuita kuti pfupa reruoko ripinde mupfudzi, zvichikonzera kutsemuka kwehumeral.

Kutsemuka kwepafudzi

  • Bendekete rinogona kubuda kunze kwekubatana.
  • Izvi zvinogona kukonzera rotator cuff kubvarura kana kukuvara kwebhubhu.

Pasinei nekukuvadzwa, vanhu vanofanira kushanyira mupi wehutano kuti vaongorore kukanganisa. Kana kukuvadzwa kwakakomba, murapi anogona kuita yakarurama kana kusiyanisa kuongororwa uye kugadzira chirongwa chekurapa. (William R. VanWye et al., 2016)

Therapy Therapy

Vanhu vanogona kubatsirwa nekurapa kwemuviri kubatsira kupora uye kudzokera kune yavo yapfuura nhanho yebasa. Kurapa kwepanyama kunosiyana zvichienderana nekukuvara chaiko, asi kazhinji, murapi wepanyama anogona kubatsira vanhu kuti vadzokere kubasa mushure mekudonha paruoko rwakatambanudzwa. (William R. VanWye et al., 2016) Mishonga yakajairika inogona kusanganisira:

  • Kurapa uye nzira dzekuderedza marwadzo, kuzvimba, uye kuzvimba.
  • Mirayiridzo yekuti ungapfeka sei chipfuramabwe cheruoko zvakanaka.
  • Kudzidzira uye kutambanudza kuvandudza huwandu hwekufamba, simba, uye kushanda kwekufamba.
  • Balance exercises.
  • Scar tissue management kana kuvhiyiwa kwaidiwa.

The therapy team ichaita kuti kurapwa kwakakodzera inoshandiswa kukurumidza uye zvakachengeteka kudzokera kune zvakajairika zviitiko.


Chiropractic Kuchengeta Kuporeswa Mushure mekukuvadzwa


References

Chiu, J., & Robinovitch, SN (1998). Kufanotaura kwemasimba ekumusoro kwekupedzisira kunokanganisa panguva yekudonha paruoko rwakatambanudzwa. Nyaya yebiomechanics, 31 (12), 1169-1176. doi.org/10.1016/s0021-9290(98)00137-7

VanWye, WR, Hoover, DL, & Willgruber, S. (2016). Physical Therapist kuongorora uye kusiyanisa kuongororwa kwekutambudzika-kutanga kurwadza kwegorofu: A case report. Physiotherapy dzidziso uye tsika, 32 (7), 556-565. doi.org/10.1080/09593985.2016.1219798

Yakatsemuka Mbabvu: Gwaro Rakazara pamusoro peZvikonzero uye Mabatirwo Azvo

Yakatsemuka Mbabvu: Gwaro Rakazara pamusoro peZvikonzero uye Mabatirwo Azvo

Vanhu vangasaziva kuti vane mbabvu yakatsemuka kusvika zviratidzo zvakaita sekurwadziwa kana uchifemereka zvatanga kuratidza. Kuziva zviratidzo uye zvinokonzeresa mbabvu dzakatsemuka kana kutyoka zvingabatsira here pakuongorora nekurapwa?

Yakatsemuka Mbabvu: Gwaro Rakazara pamusoro peZvikonzero uye Mabatirwo Azvo

Mbabvu Yakatsemuka

Mbabvu yakatyoka/yakatyoka inotsanangura chero kutyoka kwebhonzo. Mbabvu yakatsemuka imhando yekutyoka mbabvu uye itsanangudzo yakawanda pane kuongororwa nechiremba mbabvu inenge yatyoka zvishoma. Chero kukanganisa kwakashata kuchipfuva kana kumashure kunogona kukonzera mbabvu yakatsemuka, kusanganisira:

  • Kudonha
  • Kudhumhana kwemotokari
  • Kukuvara kwemitambo
  • Chikosoro chechisimba
  1. Chiratidzo chikuru kurwadziwa kana uchifema.
  2. Kukuvara kunowanzopora mukati memavhiki matanhatu.

zviratidzo

Mbabvu dzakatsemuka dzinowanzokonzerwa nekudonha, kukuvara pachipfuva, kana kukosora kwakanyanya. Zviratidzo zvinosanganisira:

  • Kuzvimba kana kupfava kwakapoteredza nzvimbo yakakuvara.
  • Kurwadza kwechipfuva kana uchifema/kufema, kuhotsira, kuseka, kana kukosora.
  • Kurwadza kwechipfuva nekufamba kana pakurara mune dzimwe nzvimbo.
  • Kupwanya kunobvira.
  • Kunyangwe zvisingawanzo, mbabvu yakatsemuka inogona kukonzera matambudziko senge pneumonia.
  • Ona varapi vehutano nekukasika kana uchinetsekana kufema, kurwadziwa kwakanyanya muchipfuva, kana chikosoro chinoramba chine machuru, fivha yakanyanya, uye/kana kutonhorwa.

Types

Kazhinji, mbabvu inowanzotyoka munzvimbo imwe, zvichiita kuti pave nekutsemuka kusina kukwana, zvinoreva kutsemuka kana kutsemuka kusingapfuuri nepfupa. Mamwe marudzi ekutyoka kwembabvu anosanganisira:

Vakadzingwa uye Nondisplaced Fractures

  • Mbabvu dzakatyoka zvachose dzinogona kana kusasimuka kubva panzvimbo.
  • Kana mbabvu ikafamba, iyi inozivikanwa sea displaced mbabvu kutyoka uye inogona kubaya mapapu kana kukuvadza mamwe matishu nenhengo. (Yale Medicine. 2024)
  • Mbabvu inoramba iri panzvimbo kazhinji zvinoreva kuti mbabvu haina kunyatsotyoka nepakati uye inozivikanwa sea nondisplaced mbabvu yakatyoka.

Flail Chest

  • Chikamu chembabvu chinogona kubvaruka kubva pabhonzo rakapoteredza uye tsandanyama, kunyange izvi zvisingawanzoitiki.
  • Kana izvi zvikaitika, ribcage icharasikirwa nekugadzikana, uye pfupa richafamba zvakasununguka sezvo munhu ari kufema kana kubudisa.
  • Ichi chikamu chembabvu chakatyoka chinodaidzwa kuti flail segment.
  • Izvi zvine njodzi nekuti zvinogona kubaya mapapu zvokonzera mamwe matambudziko akanyanya, senge mabayo.

Zvinokonzera

Zvinonyanya kukonzera mbabvu dzakatsemuka zvinosanganisira:

  • Kudhumhana kwemotokari
  • Tsaona dzevanofamba netsoka
  • kana
  • Impact kukuvara kubva mumitambo
  • Kuwedzeredza / Kudzokorora kunetseka kunounzwa nebasa kana mitambo
  • Kukosora kwakanyanya
  • Vanhu vakura vanogona kusangana nekutyoka kubva mukukuvadzwa kudiki nekuda kwekurasika kunowedzera kwemaminerari emapfupa. (Christian Liebsch et al., 2019)

Kufanana kweRib Fractures

  • Kutyoka kwembabvu ndiyo yakajairika mhando yekutyoka kwebhonzo.
  • Ivo vanoverengera 10% kusvika 20% yezvose zvinokuvadza zvinokuvadza zvinoonekwa mumakamuri ekukurumidzira.
  • Muzviitiko apo munhu anotsvaka kutarisira kukuvara kwakakomba pachipfuva, 60% kusvika 80% inosanganisira mbabvu yakatyoka. (Christian Liebsch et al., 2019)

kuongorora chirwere

Mbabvu yakatsemuka inoonekwa nekuongororwa kwemuviri uye bvunzo dzekufungidzira. Panguva yekuongororwa, mupi wehutano anoteerera kumapapu, anodzvanya zvinyoro nyoro pambabvu, uye tarisa sezvo mbabvu inofamba. Iyo yekufungidzira bvunzo sarudzo dzinosanganisira: (Sarah Majercik, Fredric M. Pieracci 2017)

  • X-rays - Aya ndeekuona mbabvu dzichangobva kutsemuka kana dzakatyoka.
  • CT Scan -Iyi bvunzo yekufungidzira inosanganisira akawanda X-rays uye inogona kuona madiki madiki.
  • MRI -Iyi bvunzo yekufungidzira ndeyematishu akapfava uye anogona kazhinji kuona madiki madiki kana kukuvadzwa kwecartilage.
  • Bone Scan -Iyi bvunzo yekufungidzira inoshandisa radioactive tracer kuona chimiro chemapfupa uye inogona kuratidza kudiki kushushikana kutyoka.

mabatiro

Kare, kurapwa kwaisanganisira kuputira chipfuva nebhande raizivikanwa sembabvu bhandi. Izvi hazviwanzo shandiswa nhasi sezvo zvichigona kudzora kufema, zvichiwedzera njodzi yemabayo kana kunyange kudonha zvishoma kwemapapu. (L. May, C. Hillermann, S. Patil 2016) Mbabvu yakatsemuka kutsemuka kuri nyore kunoda zvinotevera:

  • Zorora
  • Over-the-counter kana mishonga yemishonga inogona kubatsira kugadzirisa zviratidzo zvinorwadza.
  • Nonsteroidal anti-inflammatory drugs – NSAIDs senge ibuprofen kana naproxen inokurudzirwa.
  • Kana zororo racho rakawanda, vanhu vanogona kunyorerwa mishonga yakasimba yemarwadzo zvichienderana nekuoma uye mamiriro ezvinhu.
  • Kurapa kwepanyama kunogona kukurumidza kupora uye kubatsira kuchengetedza huwandu hwekufamba kwemadziro echipfuva.
  • Kune varwere vasina simba uye vanhu vakura, kurapwa kwemuviri kunogona kubatsira murwere kufamba uye kugadzirisa mamwe mabasa.
  • Murapi wepanyama anogona kudzidzisa munhu wacho kutamisa pakati pemubhedha nemacheya zvakachengeteka asi achichengeta kuziva nezve chero mafambiro kana chinzvimbo chinoita kuti marwadzo awedzere.
  • Murapi wepanyama acharaira exercises kuchengetedza muviri wakasimba uye mitezo sezvinobvira.
  • Semuenzaniso, lateral twists inogona kubatsira kuvandudza mararamiro ekufambisa mumuzongoza we thoracic.
  1. Munguva yekutanga kupora, zvinokurudzirwa kurara munzvimbo yakarurama.
  2. Kurara pasi kunogona kuwedzera kumanikidzwa, zvichikonzera marwadzo uye zvichida kuwedzera kukuvara.
  3. Shandisa mapillow nemabolsters kubatsira kutsigira kugara pamubhedha.
  4. Imwe nzira ndeyekurara pachigaro chakarembera.
  5. Kuporeswa kunotora mavhiki matanhatu. (L. May, C. Hillermann, S. Patil 2016)

Zvimwe Mamiriro

Izvo zvingaita senge mbabvu yakatsemuka inogona kunge yakafanana nemamiriro ezvinhu, ndosaka zvakakosha kuti uongororwe. Zvimwe zvinokonzera zviratidzo zvinogona kusanganisira:

  • Mbabvu dzakapwanyika -Izvi zvinoitika kana mbabvu dzisati dzatsemuka, asi tsinga diki dzeropa dzakatenderedza dunhu rinoputika nekudonha mumatishu akatenderedza. (Sarah Majercik, Fredric M. Pieracci 2017)
  • Popped mbabvu – Apa ndipo panobvaruka mbabvu cartilage yotyoka, zvoita kuti isverere kubva panzvimbo. (Sarah Majercik, Fredric M. Pieracci 2017)
  • Yakadhonzwa tsandanyama - Kuonda kwemhasuru, kana kudhonzwa tsandanyama, kunoitika kana tsandanyama yawandisa, izvo zvinogona kutungamira kubvaruka. Mbabvu hadzina kukanganiswa, asi dzinogona kunzwa sedziri. (Sarah Majercik, Fredric M. Pieracci 2017)

chimbichimbi

Dambudziko rinonyanya kuitika kutadza kutora kufema kwakadzika nekuda kwemarwadzo. Kana mapapu asingakwanisi kufema zvakadzika zvakakwana, mucous uye mwando zvinogona kuungana uye zvinotungamirira kuhutachiona hwakafanana nemabayo. (L. May, C. Hillermann, S. Patil 2016) Kutyoka kwembabvu kwakadzingwa kunogonawo kukuvadza mamwe matishu kana nhengo, kuwedzera njodzi yekudonha kwemapapu / pneumothorax kana kubuda ropa mukati. Zvinokurudzirwa kutsvaga kurapwa nekukurumidza kana zviratidzo zvikakura senge:

  • Kupfupika kwemhepo
  • Kuoma kufema kufema
  • Bluish ruvara rweganda rinokonzerwa nekushaikwa kweokisijeni
  • Chikosoro chinoramba chine machuru
  • Kurwadza kwechipfuva kana uchifemera mukati nekubuda
  • Fivha, dikita, uye kutonhorwa
  • Rapid moyo rate

Simba reChiropractic Care Mukukuvara Kwekugadzirisa


References

Yale Medicine. (2024). Kutyoka mbabvu (mbabvu yakatyoka).

Liebsch, C., Seiffert, T., Vlcek, M., Beer, M., Huber-Lang, M., & Wilke, H. J. (2019). Mienzaniso ye serial rib fractures mushure mekurwadziwa kwechipfuva: kuongororwa kwezviitiko zve380. PloS imwe, 14(12), e0224105. doi.org/10.1371/journal.pone.0224105

May L, Hillermann C, Patil S. (2016). Rib fracture management. BJA Dzidzo. Vhoriyamu 16, Nyaya 1. Mapeji 26-32, ISSN 2058-5349. doi:10.1093/bjaceaccp/mkv011

Majercik, S., & Pieracci, F. M. (2017). Chest Wall Trauma. Makiriniki ekuvhiya thoracic, 27 (2), 113-121. doi.org/10.1016/j.thorsurg.2017.01.004

Cold Therapy ne Ice Tape yeMusculoskeletal Injuries

Cold Therapy ne Ice Tape yeMusculoskeletal Injuries

Kune vanhu vari mumitambo, vanofarira kusimba, uye avo vanoita mabasa emuviri, kukuvara kwetsandanyama kunowanzoitika. Kushandisa ice tepi kungabatsira here panguva yekutanga kana yakaipisisa chikamu chekukuvara kuderedza kuzvimba uye kuzvimba kukurumidza kupora uye kudzokera kumabasa nekukurumidza?

Cold Therapy ne Ice Tape yeMusculoskeletal InjuriesIce Tape

Mushure mekukuvara kwetsandanyama, vanhu vanokurudzirwa kutevera R.I.C.E. nzira yekubatsira kuderedza kuzvimba uye kuzvimba. R.I.C.E. ndiyo acronym ye Rest, Ice, Compression, uye Elevation. (Michigan Medicine. Yunivhesiti yeMichigan. 2023) Kutonhora kunobatsira kuderedza marwadzo, kudzikisa tembiricha yetishu, uye kuderedza kuzvimba kwakatenderedza nzvimbo yekukuvara. Nekudzora kuzvimba neaizi uye kudzvanywa kutanga mushure mekukuvara, vanhu vanogona kuchengetedza yakafanira nhanho yekufamba uye kufamba kwakatenderedza chikamu chemuviri chakakuvara. (Jon E. Block. 2010) Pane nzira dzakasiyana dzekushandisa ice kune kukuvara.

  • Mabhegi echando anotengwa nechitoro uye mapepa anotonhora.
  • Kunyura chikamu chemuviri chakuvadzwa muchamupupuri chinotonhora kana tabhu.
  • Kugadzira zvakare kushandiswa ice packs.
  • Bhandi rekumanikidza rinogona kushandiswa pamwe chete nechando.

Ice Tape bhandeji rekumanikidza rinopa kutonhora kurapwa zvese kamwechete. Mushure mekukuvara, kuishandisa kunogona kubatsira kuderedza marwadzo uye kuzvimba panguva yakaoma yekuzvimba chikamu chekuporesa. (Matthew J. Kraeutler et al., 2015)

Iyo Tepi Inoshanda Sei

Iyo tepi ibhande rinochinjika rinoiswa nerapeutic cooling gel. Kana yaiswa kune yakakuvara chikamu chemuviri uye ichiratidzwa kumhepo, iyo gel inoshanda, ichigadzira kutonhora kutenderedza nzvimbo. Mushonga wekurapa unogona kutora maawa mashanu kusvika matanhatu. Yakasanganiswa nebhandiji inoshanduka, inopa ice therapy uye compression. Iyo ice tepi inogona kushandiswa yakananga kunze kwepakeji asi inogona zvakare kuchengetwa mufiriji kuti iwedzere kutonhora. Zvichienderana nemirairo yemuiti, tepi haifaniri kuchengetwa mufiriji sezvo izvi zvinogona kuita kuti zviome kuputira nzvimbo yakakuvara.

Advantages

Zvakanakira zvinosanganisira zvinotevera:

Nyore Shandisa

  • Chigadzirwa chacho chiri nyore kushandisa.
  • Bvisa tepi, uye tanga kuiputira kumativi ekuvara kwemuviri.

Fasteners Hazvidiwi

  • Iyo yekuputira inonamatira pachayo, saka tepi inoramba iripo pasina kushandisa zvimedu kana fasteners.

Nyore Kucheka

  • The standard roll is 48 inches kureba uye 2 inches yakafara.
  • Kukuvara kwakawanda kunoda zvakakwana kuputira nzvimbo yakakuvara.
  • Chigero cheka huwandu chaihwo hunodiwa, uye chengeta imwe yese mubhegi rinovharika.

Inogona kudzoka

  • Mushure memaminitsi gumi nemashanu kusvika makumi maviri ekushandiswa, chigadzirwa chacho chinogona kubviswa nyore nyore, chakapetwa, chakachengetwa mubhegi, uye kushandiswa zvakare.
  • Iyo tepi inogona kushandiswa kakawanda.
  • Iyo tepi inotanga kurasikirwa nekutonhora kwayo mushure mekushandisa kwakati wandei.

takurika

  • Iyo tepi haidi kuiswa mune inotonhorera kana uchifamba.
  • Inotakurika zviri nyore uye yakakwana yekukurumidza ice uye compression application pakarepo mushure mekukuvara.
  • Inogona kuderedza marwadzo uye kuzvimba uye kuchengetwa panzvimbo yebasa.

payakaipira

Zvishoma zvakashata zvinosanganisira zvinotevera:

Kemikari Kunhuwa

  • Iyo gel painoputira kuputira inogona kuva nemushonga wemushonga.
  • Haina kunhuhwirira kwakasimba semafuta ekurwadziwa, asi kunhuhwirira kwemakemikari kunogona kunetsa vamwe vanhu.

Kunogona Kusatonhora Zvakakwana

  • Iyo tepi inoshanda kukurumidza kunyaradza kurwadziwa uye kuzvimba, asi inogona kusatonhora zvakakwana kumushandisi kana ikaiswa kubva pasuru patembiricha yekamuri.
  • Nekudaro, inogona kuiswa mufiriji kuti iwedzere kutonhora uye inogona kupa yakanyanya kutonhora kutonhora, kunyanya kune avo vanobata tendonitis kana bursitis.

Kunamira Kunogona Kuvhiringidza

  • Tepi inogona kunge yakatinamira kune vamwe.
  • Ichi chinonamira chinhu chinogona kuve chigumbuso chidiki.
  • Nekudaro, inongonzwa yakanamatira kana ichiiswa.
  • Mamwe maflecks egel anogona kusara kumashure kana abviswa.
  • Iyo tepi yechando inogonawo kunamatira kune zvipfeko.

Kune vanhu vari kutsvaga nekukurumidza, pa-kuenda-kutonhodza kurapwa kwevakakuvara kana kurwadza kwenhengo dzemuviri, ice tepi inogona kunge iri sarudzo. Zvingave zvakanaka kuvepo kuti upe kutonhora kwekumanikidza kana kukuvara kudiki kuchiitika paunenge uchitora chikamu mumitambo kana zviitiko zvemuviri uye zororo rekushandisa zvakanyanya kana kudzokorora kukuvara kwekunetseka.


Kurapa Ankle Sprains


References

Michigan Medicine. Yunivhesiti yeMichigan. Zororo, Ice, Kumanikidza, uye Kukwira (RICE).

Block J. E. (2010). Kutonhora uye kudzvinyirira mukutarisira kwekukuvara kwemusculoskeletal uye orthopedic operative maitiro: ongororo yekurondedzera. Vhura bhuku rekushandisa remishonga yemitambo, 1, 105–113. doi.org/10.2147/oajsm.s11102

Kraeutler, M. J., Reynolds, K. A., Long, C., & McCarty, E. C. (2015). Compressive cryotherapy versus ice-inotarisirwa, kudzidza randomized pamusoro pekurwadziwa kwepashure kune varwere vane arthroscopic rotator cuff kugadziriswa kana subacromial decompression. Nyaya yekuvhiyiwa kwepfudzi negokora, 24 (6), 854-859. doi.org/10.1016/j.jse.2015.02.004

Dilocated Elbow: Zvinokonzera uye Kurapa Sarudzo

Dilocated Elbow: Zvinokonzera uye Kurapa Sarudzo

Gokora rakatsemuka kukuvara kunowanzoitika muvakuru nevana uye zvinowanzoitika pamwe chete nekutyoka kwebhonzo uye kukuvara kwetsinga uye matishu. Ko kurapwa kwemuviri kunogona kubatsira kutsigira kupora uye kuve nechokwadi chekufamba?

Dilocated Elbow: Zvinokonzera uye Kurapa Sarudzo

Yakabviswa Gokora Kukuvara

Kutsemuka kwegokora kunowanzo kukonzerwa nekushungurudzika kana mapfupa egokora haachabatana. Vanhu vanowira paruoko rwakatambanudzwa ndicho chinonyanya kukonzera kukuvara. (James Layson, Ben J. Best 2023) Vashandi vehutano vachaedza kutamisa gokora vachishandisa kuderedzwa kwakavharwa. Vanhu vangada kuvhiyiwa kana vasingakwanisi kutamisa gokora vachishandisa kuderedzwa kwakavharwa.

Resetting The Elbow

Gokora rakagadzirwa nehinge uye bhora-ne-socket joint, zvichiita kuti rifambe zvakasiyana: (American Society for Surgery of the Hand. 2021)

Hinge joint

  • Iyo hinge basa inobvumira kukotama uye kutwasanudza kweruoko.

Bhora-ne-socket joint

  • Bhora-uye-socket basa rinokubvumira kutenderedza chanza cheruoko rwako kutarisana kumusoro kana kutarisana pasi.

Kukuvadzwa kwegokora kunogona kukanganisa mapfupa, tsandanyama, ligaments, uye matishu. (American Academy yeOrthopedic Surgeons. 2021) Kana gokora richiramba riri kunze kwejoinhi, ndipo panowedzera kukuvara. Golbow dislocations haiwanzo dzokera mumajoini avo ega uye inokurudzirwa kuti iongororwe nemupi wehutano ane hunyanzvi kudzivirira kukanganisa zvachose kune tsinga kana basa.

  • Hazvikurudzirwi kuedza kugadzirisa gokora uri wega.
  • Mumwe mupi wehutano achashanda kudzorera chibatanidza uye kuona kurongeka kwakakodzera.
  • Pamberi pekugadzirisa, ivo vachaita ongororo yemuviri kuti vaone kutenderera kweropa uye chero kukuvara kwetsinga.
  • Vanopa vanozoodha yekufungidzira scan kuti iongorore dislocation uye kuona mapfupa akatyoka. (American Academy yeOrthopedic Surgeons. 2021)

Type yeDislocation

Iwo marudzi maviri egokora anotsemuka ndeaya: (James Layson, Ben J. Best 2023)

Kushamiswa kwemashure

  • Inoitika kana paine simba rakakosha paruoko rinopararira rakananga kugokora.
  • Kudonha nemaoko akatambanudzwa kuti uzvibate, uye gokora rejoini rinosundira kumashure/kumashure.

Anterior Dislocation

  • Izvi hazvinyanyi kuwanda uye zvinobva kusimba rinoiswa pagokora rakachinjika.
  • Kuwira pasi kana ruoko rwuri kumusoro pedyo nebendekete.
  • Muchiitiko ichi, gokora regokora rinosundira mberi/anterior.
  • X-rays inoshandiswa kuona rudzi rwe dislocation uye kuziva chero mapfupa akatyoka. (American Society for Surgery of the Hand. 2021)
  • Zvichienderana nekukuvara, mupi anogona kuraira CT scan kana MRI kuti ave nechokwadi chekuti hapana kukuvadzwa kwakaitika kune nerve kana ligaments. (Radiopaedia. 2023)

Zviratidzo nezviratidzo

Kukanganiswa kwegokora kunowanzokonzerwa nekushungurudzika. (American Academy yeOrthopedic Surgeons. 2021) Zviratidzo nezviratidzo zvinosanganisira: (American Society for Surgery of the Hand. 2021)

  • Kutadza kufambisa gokora.
  • Kupwanya uye kuzvimba kwakatenderedza nzvimbo.
  • Kurwadza kwakanyanya mugokora nenzvimbo yakapoteredza.
  • Kuremara kwakapoteredza gokora rakabatana.
  • Chiveve, kurira, kana kupera simba muruwoko kana ruoko zvinogona kuratidza kukuvara kwetsinga.

Kurapa Pasina Kuvhiya

  • Vapepi vehutano vanotanga vanoedza kurapa gokora rakatsemuka vachishandisa nzira yakavharwa yekudzikisa. (American Society for Surgery of the Hand. 2021)
  • Kuderedzwa kwakavharwa kunoreva kuti gokora rinogona kutamiswa pasina kuvhiyiwa.
  • Pamberi pekuderedzwa kwakavharwa, mupi wehutano achapa mishonga yekubatsira kuzorodza munhu uye kugadzirisa marwadzo. (Medline Plus. 2022)
  • Kana angotamiswa munzvimbo yakarurama, mupi wehutano anoshandisa splint (kazhinji pa 90-degree angle of flexion) kuchengetedza gokora panzvimbo. (James Layson, Ben J. Best 2023)
  • Chinangwa ndechekudzivirira kuwedzera kwegokora, izvo zvinogona kukonzera kubviswazve.
  • Iyo splint inoramba iripo kwevhiki imwe kusvika kumatatu. (American Academy yeOrthopedic Surgeons. 2021)
  • Murapi wepanyama anoongorora mafambiro uye anonyora maekisesaizi kudzivirira gokora rekufamba kwekurasikirwa.

Kurapa Nokuvhiyiwa

  1. Gokora rinoramba risina kugadzikana nekuwedzera kudiki.
  2. Mabhonzo haasi kunyatsoenderana.
  3. Iyo ligaments inoda kuwedzera kugadziriswa mushure mekuvhara kuderedzwa.
  • Complex elbow dislocations inogona kuita kuti zviome kuchengetedza kubatana.
  • Mudziyo wekubatsira, senge hinge yekunze, unogona kukurudzirwa kubatsira kudzivirira kutsemukazve gokora.
  • Chiremba anovhiya anozokurudzira kurapwa kwemuviri mushure mekuvhiyiwa kubatsira nemhando-ye-kufamba maekisesaizi kuti uwedzere uye nekukurumidza kupora.

kupora

  • Nguva dzekupora dzinogona kusiyana sezvo kukuvara kwese kwakasiyana. (American Society for Surgery of the Hand. 2021)
  • Nguva yekudzorera inoenderana nekugadzikana kwegokora mushure mekuvhara kuderedzwa kana kuvhiyiwa.
  • Vatapi vehutano vanozotanga maekisesaizi ekufamba. (American Society for Surgery of the Hand. 2021)
  • Kudzikamisa kuti jekiseni risingafambike kwenguva yakareba sei kunodzivirira kuoma, mavanga, uye kuvharika kufamba.
  • Vatapi vehutano havakurudzire immobilization kweanopfuura mavhiki mashoma.

Kutangazve Mabasa Akajairika

Kutangazve kuita zvenguva dzose zvinowanzoenderana nerudzi rwekurapa kwekubviswa kwegokora: (Ortho Bullets. 2023)

Yakavharwa Kuderedzwa

  • Gokora rinotsemuka kwemazuva mashanu kusvika gumi.
  • Vanhu vanogona kuita kurapa kwemuviri kutanga kuita basa rekubatsira kudzivirira kurasikirwa kwekufamba.
  • Vanhu vanokurudzirwa kuita maekisesaizi akareruka mukati memavhiki maviri mushure mekukuvara.

Kuvhiya Kuderedza

  • Gokora rinogona kuiswa musimbi inobvumira kuwedzera zvishoma nezvishoma kufamba.
  • Zvakakosha kuchengetedza kufamba kunodzorwa kudzivirira kurasikirwa kwekufamba.
  • Gokora rinogona kuwedzera zvakazara mukati memavhiki matanhatu kusvika masere, kunyange zvazvo zvichigona kutora mwedzi mishanu kuti igadziriswe.
  • Mutariri wehutano anozoona kana zvakachengeteka kuti utangezve basa rakajairwa.

Nzira Yekuporesa Kukuvadzwa Kwemunhu


References

Layson J, Best BJ. Gokora Kubviswa. [Yakagadziridzwa 2023 Jul 4]. Mu: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Inowanikwa kubva: www.yori.nlm.nih.gov/books/NBK549817/

American Society for Surgery of the Hand. (2021). Gorofu dislocation.

American Academy yeOrthopedic Surgeons. (2023). Gorofu dislocation.

Jones J, Carroll D, El-Feky M, et al. (2023). Gorofu dislocation. Chinyorwa chinyorwa, Radiopaedia.org  doi.org/10.53347/rID-10501

Medline Plus. (2022). Yakavharwa kuderedzwa kwepfupa rakatyoka.

Ortho Bullets. (2023). Gorofu dislocation.