Basa Rakafanana Kukuvara
Back Clinic Work-Related Kukuvara Chiropractic uye Physical Therapy Team. Kukuvara kwebasa nemamiriro ezvinhu zvinogona kuitika kubva mumamiriro ezvinhu akasiyana-siyana, kuchinja mararamiro emunhu, zvisinei, izvo zvinoitika mubasa rekushanda zvinogonawo kuva zvinokanganisa uye zvinokanganisa, zvinokanganisa kushanda kweumwe munhu. Kukuvara kwakabatana nebasa kunogona kusanganisira kuputsika kwemapfupa uye mhasuru / sprains kumamiriro ezvinhu anokonzera kuora kwezvimiro zvakawanda zvemuviri, zvakadai searthritis.
Izvo zvinonziwo kukuvadzwa kwebasa, kudzokorora uye nguva dzose kufamba kwemaoko, maoko, mafudzi, mutsipa uye shure, pakati pevamwe, zvinogona kupera zvishoma nezvishoma matishu, zvichiwedzera njodzi yekukuvara iyo inogona kupedzisira yakonzera mamwe matambudziko. Muunganidzwa wezvinyorwa unoratidza zvikonzero nemhedzisiro yekukuvara kwakawanda kwakabatana nebasa, ichinyatso kutsanangura zvakasiyana-siyana. 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 | Kukuvara Kwevanhu , Basa Rakafanana Kukuvara
Munguva yekudonha vanhu vanowanzotambanudza maoko avo kuti vabatsire kudonha, izvo zvinogona kurovera pasi zvichikonzera kuwira paruoko rwakatambanudzwa kana kukuvara kweFOOSH. Vanhu vanofanirwa kuongororwa nemupi wehutano kana vachitenda kuti hapana kukuvara here?
FOOSH Kukuvara
Kudonha kunowanzokonzera kukuvara kudiki. Kukuvara kweFOOSH kunoitika pakudonha uye kuedza kuputsa kudonha nekutambanudza ruoko nemaoko. Izvi zvinogona kukonzera kukuvara kwepamusoro senge sprain kana kutyoka. Asi dzimwe nguva, kuwira pamaoko kunogona kukonzera kukuvara kwakakomba uye / kana kugadzira ramangwana musculoskeletal nyaya. Vanhu vakawa kana kukuvadzwa neFOOSH vanofanira kubvunza mutarisiri wavo wehutano uyezve murapi wepanyama kana chiropractor kuti agadzirire zvakachengeteka chirongwa chekurapa kugadzirisa, kusimbisa, uye kukurumidzira kupora.
Mushure mekukuvadzwa
Kune vanhu vakawira pasi uye vakamhara paruoko, ruoko, kana ruoko, hezvino zvinhu zvishoma kuti uve nechokwadi chekuchengetedza kwakakodzera kwekukuvara, kusanganisira:
Tevera iyo RICE protocol yekukuvara kwakanyanya
Shanyira mushandi wezvehutano kana kiriniki yemunharaunda yechimbichimbi
Bata murapi wepanyama
Kukuvara kweFOOSH kunogona kuve kwakakomba, saka kudzivirira kuti nyaya diki dzive matambudziko akakura, ongororwa nana chiremba wemashuloskeletal. Mupi wehutano achawana imaging scan yevakakuvara nenzvimbo dzakatenderedza. Vachaita ongororo yemuviri kuti vaone rudzi rwekukuvara, senge sprain kana tsandanyama strain. Kusawana kurapwa kwakakodzera mushure mekudonha kunogona kukonzera kurwadziwa kusingaperi uye kurasikirwa kwebasa. (J. Chiu, SN Robinovitch. 1998 )
Kazhinji Kukuvara
Kukuvara kweFOOSH kunogona kukuvadza nzvimbo dzakasiyana. Izvi zvinowanzobatanidza chiwoko neruoko, asi gokora kana bendekete zvinogonawo kukuvara. Kukuvara kwakajairika kunosanganisira:
Kutyoka kweColles
Kutyoka kwechanza uko magumo ebhonzo reruoko anodzoserwa kumashure.
Kutyoka kwaSmith
Kutyoka kwechanza, kwakafanana nekutyoka kweColles, ndipo panobviswa magumo ebhonzo reruoko akananga kumberi kwechanza.
Kutyoka kweBoxer
Kutyoka kwemapfupa madiki ari muruoko.
Kazhinji, zvinoitika mushure mekurova chimwe chinhu, asi zvinogona kuitika kubva pakudonha pachibhakera chakatambanudzwa.
Kutsemuka kwegokora kana kutyoka
Gokora rinogona kubuda mujoini kana kutyora bhonzo mugokora.
Collarbone fracture
Simba rinobva pakudonha nemaoko nemaoko zvakatambanudzwa rinogona kufamba kusvika pacollarbone, zvichikonzera kuputsika.
Proximal humeral fracture
Kuwira pakukuvara kweruoko kwakatambanudzwa kunogona kuita kuti pfupa reruoko ripinde mupfudzi, zvichikonzera kutsemuka kwehumeral.
Kutsemuka kwepafudzi
Bendekete rinogona kubuda kunze kwekubatana.
Izvi zvinogona kukonzera rotator cuff kubvarura kana kukuvara kwebhubhu.
Pasinei nekukuvadzwa, vanhu vanofanira kushanyira mupi wehutano kuti vaongorore kukanganisa. Kana kukuvadzwa kwakakomba, murapi anogona kuita yakarurama kana kusiyanisa kuongororwa uye kugadzira chirongwa chekurapa. (William R. VanWye et al., 2016 )
Therapy Therapy
Vanhu vanogona kubatsirwa nekurapa kwemuviri kubatsira kupora uye kudzokera kune yavo yapfuura nhanho yebasa. Kurapa kwepanyama kunosiyana zvichienderana nekukuvara chaiko, asi kazhinji, murapi wepanyama anogona kubatsira vanhu kuti vadzokere kubasa mushure mekudonha paruoko rwakatambanudzwa. (William R. VanWye et al., 2016 ) Mishonga yakajairika inogona kusanganisira:
Kurapa uye nzira dzekuderedza marwadzo, kuzvimba, uye kuzvimba.
Mirayiridzo yekuti ungapfeka sei chipfuramabwe cheruoko zvakanaka.
Kudzidzira uye kutambanudza kuvandudza huwandu hwekufamba, simba, uye kushanda kwekufamba.
Balance exercises.
Scar tissue management kana kuvhiyiwa kwaidiwa.
The therapy team ichaita kuti kurapwa kwakakodzera inoshandiswa kukurumidza uye zvakachengeteka kudzokera kune zvakajairika zviitiko.
Chiropractic Kuchengeta Kuporeswa Mushure mekukuvadzwa
VIDEO
References
Chiu, J., & Robinovitch, SN (1998). Kufanotaura kwemasimba ekumusoro kwekupedzisira kunokanganisa panguva yekudonha paruoko rwakatambanudzwa. Nyaya yebiomechanics, 31 (12), 1169-1176. doi.org/10.1016/s0021-9290(98)00137-7
VanWye, WR, Hoover, DL, & Willgruber, S. (2016). Physical Therapist kuongorora uye kusiyanisa kuongororwa kwekutambudzika-kutanga kurwadza kwegorofu: A case report. Physiotherapy dzidziso uye tsika, 32 (7), 556-565. doi.org/10.1080/09593985.2016.1219798
by Dr Alex Jimenez | Kungoerekana Kungoerekana Kungoitika , Kukuvara Kwevanhu , Basa Rakafanana Kukuvara
Vanhu vangasaziva kuti vane mbabvu yakatsemuka kusvika zviratidzo zvakaita sekurwadziwa kana uchifemereka zvatanga kuratidza. Kuziva zviratidzo uye zvinokonzeresa mbabvu dzakatsemuka kana kutyoka zvingabatsira here pakuongorora nekurapwa?
Mbabvu Yakatsemuka
Mbabvu yakatyoka/yakatyoka inotsanangura chero kutyoka kwebhonzo. Mbabvu yakatsemuka imhando yekutyoka mbabvu uye itsanangudzo yakawanda pane kuongororwa nechiremba mbabvu inenge yatyoka zvishoma. Chero kukanganisa kwakashata kuchipfuva kana kumashure kunogona kukonzera mbabvu yakatsemuka, kusanganisira:
Kudonha
Kudhumhana kwemotokari
Kukuvara kwemitambo
Chikosoro chechisimba
Chiratidzo chikuru kurwadziwa kana uchifema.
Kukuvara kunowanzopora mukati memavhiki matanhatu.
zviratidzo
Mbabvu dzakatsemuka dzinowanzokonzerwa nekudonha, kukuvara pachipfuva, kana kukosora kwakanyanya. Zviratidzo zvinosanganisira:
Kuzvimba kana kupfava kwakapoteredza nzvimbo yakakuvara.
Kurwadza kwechipfuva kana uchifema/kufema, kuhotsira, kuseka, kana kukosora.
Kurwadza kwechipfuva nekufamba kana pakurara mune dzimwe nzvimbo.
Kupwanya kunobvira.
Kunyangwe zvisingawanzo, mbabvu yakatsemuka inogona kukonzera matambudziko senge pneumonia.
Ona varapi vehutano nekukasika kana uchinetsekana kufema, kurwadziwa kwakanyanya muchipfuva, kana chikosoro chinoramba chine machuru, fivha yakanyanya, uye/kana kutonhorwa.
Types
Kazhinji, mbabvu inowanzotyoka munzvimbo imwe, zvichiita kuti pave nekutsemuka kusina kukwana, zvinoreva kutsemuka kana kutsemuka kusingapfuuri nepfupa. Mamwe marudzi ekutyoka kwembabvu anosanganisira:
Vakadzingwa uye Nondisplaced Fractures
Mbabvu dzakatyoka zvachose dzinogona kana kusasimuka kubva panzvimbo.
Kana mbabvu ikafamba, iyi inozivikanwa sea displaced mbabvu kutyoka uye inogona kubaya mapapu kana kukuvadza mamwe matishu nenhengo. (Yale Medicine. 2024 )
Mbabvu inoramba iri panzvimbo kazhinji zvinoreva kuti mbabvu haina kunyatsotyoka nepakati uye inozivikanwa sea nondisplaced mbabvu yakatyoka .
Flail Chest
Chikamu chembabvu chinogona kubvaruka kubva pabhonzo rakapoteredza uye tsandanyama, kunyange izvi zvisingawanzoitiki.
Kana izvi zvikaitika, ribcage icharasikirwa nekugadzikana, uye pfupa richafamba zvakasununguka sezvo munhu ari kufema kana kubudisa.
Ichi chikamu chembabvu chakatyoka chinodaidzwa kuti flail segment.
Izvi zvine njodzi nekuti zvinogona kubaya mapapu zvokonzera mamwe matambudziko akanyanya, senge mabayo.
Zvinokonzera
Zvinonyanya kukonzera mbabvu dzakatsemuka zvinosanganisira:
Kudhumhana kwemotokari
Tsaona dzevanofamba netsoka
kana
Impact kukuvara kubva mumitambo
Kuwedzeredza / Kudzokorora kunetseka kunounzwa nebasa kana mitambo
Kukosora kwakanyanya
Vanhu vakura vanogona kusangana nekutyoka kubva mukukuvadzwa kudiki nekuda kwekurasika kunowedzera kwemaminerari emapfupa. (Christian Liebsch et al., 2019 )
Kufanana kweRib Fractures
Kutyoka kwembabvu ndiyo yakajairika mhando yekutyoka kwebhonzo.
Ivo vanoverengera 10% kusvika 20% yezvose zvinokuvadza zvinokuvadza zvinoonekwa mumakamuri ekukurumidzira.
Muzviitiko apo munhu anotsvaka kutarisira kukuvara kwakakomba pachipfuva, 60% kusvika 80% inosanganisira mbabvu yakatyoka. (Christian Liebsch et al., 2019 )
kuongorora chirwere
Mbabvu yakatsemuka inoonekwa nekuongororwa kwemuviri uye bvunzo dzekufungidzira. Panguva yekuongororwa, mupi wehutano anoteerera kumapapu, anodzvanya zvinyoro nyoro pambabvu, uye tarisa sezvo mbabvu inofamba. Iyo yekufungidzira bvunzo sarudzo dzinosanganisira: (Sarah Majercik, Fredric M. Pieracci 2017 )
X-rays - Aya ndeekuona mbabvu dzichangobva kutsemuka kana dzakatyoka.
CT Scan -Iyi bvunzo yekufungidzira inosanganisira akawanda X-rays uye inogona kuona madiki madiki.
MRI -Iyi bvunzo yekufungidzira ndeyematishu akapfava uye anogona kazhinji kuona madiki madiki kana kukuvadzwa kwecartilage.
Bone Scan -Iyi bvunzo yekufungidzira inoshandisa radioactive tracer kuona chimiro chemapfupa uye inogona kuratidza kudiki kushushikana kutyoka.
mabatiro
Kare, kurapwa kwaisanganisira kuputira chipfuva nebhande raizivikanwa sembabvu bhandi. Izvi hazviwanzo shandiswa nhasi sezvo zvichigona kudzora kufema, zvichiwedzera njodzi yemabayo kana kunyange kudonha zvishoma kwemapapu. (L. May, C. Hillermann, S. Patil 2016 ) Mbabvu yakatsemuka kutsemuka kuri nyore kunoda zvinotevera:
Zorora
Over-the-counter kana mishonga yemishonga inogona kubatsira kugadzirisa zviratidzo zvinorwadza.
Nonsteroidal anti-inflammatory drugs – NSAIDs senge ibuprofen kana naproxen inokurudzirwa.
Kana zororo racho rakawanda, vanhu vanogona kunyorerwa mishonga yakasimba yemarwadzo zvichienderana nekuoma uye mamiriro ezvinhu.
Kurapa kwepanyama kunogona kukurumidza kupora uye kubatsira kuchengetedza huwandu hwekufamba kwemadziro echipfuva.
Kune varwere vasina simba uye vanhu vakura, kurapwa kwemuviri kunogona kubatsira murwere kufamba uye kugadzirisa mamwe mabasa.
Murapi wepanyama anogona kudzidzisa munhu wacho kutamisa pakati pemubhedha nemacheya zvakachengeteka asi achichengeta kuziva nezve chero mafambiro kana chinzvimbo chinoita kuti marwadzo awedzere.
Murapi wepanyama acharaira exercises kuchengetedza muviri wakasimba uye mitezo sezvinobvira.
Semuenzaniso, lateral twists inogona kubatsira kuvandudza mararamiro ekufambisa mumuzongoza we thoracic.
Munguva yekutanga kupora, zvinokurudzirwa kurara munzvimbo yakarurama.
Kurara pasi kunogona kuwedzera kumanikidzwa, zvichikonzera marwadzo uye zvichida kuwedzera kukuvara.
Shandisa mapillow nemabolsters kubatsira kutsigira kugara pamubhedha.
Imwe nzira ndeyekurara pachigaro chakarembera.
Kuporeswa kunotora mavhiki matanhatu. (L. May, C. Hillermann, S. Patil 2016 )
Zvimwe Mamiriro
Izvo zvingaita senge mbabvu yakatsemuka inogona kunge yakafanana nemamiriro ezvinhu, ndosaka zvakakosha kuti uongororwe. Zvimwe zvinokonzera zviratidzo zvinogona kusanganisira:
Mbabvu dzakapwanyika -Izvi zvinoitika kana mbabvu dzisati dzatsemuka, asi tsinga diki dzeropa dzakatenderedza dunhu rinoputika nekudonha mumatishu akatenderedza. (Sarah Majercik, Fredric M. Pieracci 2017 )
Popped mbabvu – Apa ndipo panobvaruka mbabvu cartilage yotyoka, zvoita kuti isverere kubva panzvimbo. (Sarah Majercik, Fredric M. Pieracci 2017 )
Yakadhonzwa tsandanyama - Kuonda kwemhasuru, kana kudhonzwa tsandanyama, kunoitika kana tsandanyama yawandisa, izvo zvinogona kutungamira kubvaruka. Mbabvu hadzina kukanganiswa, asi dzinogona kunzwa sedziri. (Sarah Majercik, Fredric M. Pieracci 2017 )
chimbichimbi
Dambudziko rinonyanya kuitika kutadza kutora kufema kwakadzika nekuda kwemarwadzo. Kana mapapu asingakwanisi kufema zvakadzika zvakakwana, mucous uye mwando zvinogona kuungana uye zvinotungamirira kuhutachiona hwakafanana nemabayo. (L. May, C. Hillermann, S. Patil 2016 ) Kutyoka kwembabvu kwakadzingwa kunogonawo kukuvadza mamwe matishu kana nhengo, kuwedzera njodzi yekudonha kwemapapu / pneumothorax kana kubuda ropa mukati. Zvinokurudzirwa kutsvaga kurapwa nekukurumidza kana zviratidzo zvikakura senge:
Kupfupika kwemhepo
Kuoma kufema kufema
Bluish ruvara rweganda rinokonzerwa nekushaikwa kweokisijeni
Chikosoro chinoramba chine machuru
Kurwadza kwechipfuva kana uchifemera mukati nekubuda
Fivha, dikita, uye kutonhorwa
Rapid moyo rate
Simba reChiropractic Care Mukukuvara Kwekugadzirisa
VIDEO
References
Yale Medicine. (2024). Kutyoka mbabvu (mbabvu yakatyoka) .
Liebsch, C., Seiffert, T., Vlcek, M., Beer, M., Huber-Lang, M., & Wilke, H. J. (2019). Mienzaniso ye serial rib fractures mushure mekurwadziwa kwechipfuva: kuongororwa kwezviitiko zve380. PloS imwe, 14(12), e0224105. doi.org/10.1371/journal.pone.0224105
May L, Hillermann C, Patil S. (2016). Rib fracture management. BJA Dzidzo. Vhoriyamu 16, Nyaya 1. Mapeji 26-32, ISSN 2058-5349. doi:10.1093/bjaceaccp/mkv011
Majercik, S., & Pieracci, F. M. (2017). Chest Wall Trauma. Makiriniki ekuvhiya thoracic, 27 (2), 113-121. doi.org/10.1016/j.thorsurg.2017.01.004
by Dr Alex Jimenez | Kukuvara Kwevanhu , Basa Rakafanana Kukuvara
Gokora rakatsemuka kukuvara kunowanzoitika muvakuru nevana uye zvinowanzoitika pamwe chete nekutyoka kwebhonzo uye kukuvara kwetsinga uye matishu. Ko kurapwa kwemuviri kunogona kubatsira kutsigira kupora uye kuve nechokwadi chekufamba?
Yakabviswa Gokora Kukuvara
Kutsemuka kwegokora kunowanzo kukonzerwa nekushungurudzika kana mapfupa egokora haachabatana. Vanhu vanowira paruoko rwakatambanudzwa ndicho chinonyanya kukonzera kukuvara. (James Layson, Ben J. Best 2023 ) Vashandi vehutano vachaedza kutamisa gokora vachishandisa kuderedzwa kwakavharwa. Vanhu vangada kuvhiyiwa kana vasingakwanisi kutamisa gokora vachishandisa kuderedzwa kwakavharwa.
Resetting The Elbow
Gokora rakagadzirwa nehinge uye bhora-ne-socket joint, zvichiita kuti rifambe zvakasiyana: (American Society for Surgery of the Hand. 2021 )
Hinge joint
Iyo hinge basa inobvumira kukotama uye kutwasanudza kweruoko.
Bhora-ne-socket joint
Bhora-uye-socket basa rinokubvumira kutenderedza chanza cheruoko rwako kutarisana kumusoro kana kutarisana pasi.
Kukuvadzwa kwegokora kunogona kukanganisa mapfupa, tsandanyama, ligaments, uye matishu. (American Academy yeOrthopedic Surgeons. 2021 ) Kana gokora richiramba riri kunze kwejoinhi, ndipo panowedzera kukuvara. Golbow dislocations haiwanzo dzokera mumajoini avo ega uye inokurudzirwa kuti iongororwe nemupi wehutano ane hunyanzvi kudzivirira kukanganisa zvachose kune tsinga kana basa.
Hazvikurudzirwi kuedza kugadzirisa gokora uri wega.
Mumwe mupi wehutano achashanda kudzorera chibatanidza uye kuona kurongeka kwakakodzera.
Pamberi pekugadzirisa, ivo vachaita ongororo yemuviri kuti vaone kutenderera kweropa uye chero kukuvara kwetsinga.
Vanopa vanozoodha yekufungidzira scan kuti iongorore dislocation uye kuona mapfupa akatyoka. (American Academy yeOrthopedic Surgeons. 2021 )
Type yeDislocation
Iwo marudzi maviri egokora anotsemuka ndeaya: (James Layson, Ben J. Best 2023 )
Kushamiswa kwemashure
Inoitika kana paine simba rakakosha paruoko rinopararira rakananga kugokora.
Kudonha nemaoko akatambanudzwa kuti uzvibate, uye gokora rejoini rinosundira kumashure/kumashure.
Anterior Dislocation
Izvi hazvinyanyi kuwanda uye zvinobva kusimba rinoiswa pagokora rakachinjika.
Kuwira pasi kana ruoko rwuri kumusoro pedyo nebendekete.
Muchiitiko ichi, gokora regokora rinosundira mberi/anterior.
X-rays inoshandiswa kuona rudzi rwe dislocation uye kuziva chero mapfupa akatyoka. (American Society for Surgery of the Hand. 2021 )
Zvichienderana nekukuvara, mupi anogona kuraira CT scan kana MRI kuti ave nechokwadi chekuti hapana kukuvadzwa kwakaitika kune nerve kana ligaments. (Radiopaedia. 2023 )
Zviratidzo nezviratidzo
Kukanganiswa kwegokora kunowanzokonzerwa nekushungurudzika. (American Academy yeOrthopedic Surgeons. 2021 ) Zviratidzo nezviratidzo zvinosanganisira: (American Society for Surgery of the Hand. 2021 )
Kutadza kufambisa gokora.
Kupwanya uye kuzvimba kwakatenderedza nzvimbo.
Kurwadza kwakanyanya mugokora nenzvimbo yakapoteredza.
Kuremara kwakapoteredza gokora rakabatana.
Chiveve, kurira, kana kupera simba muruwoko kana ruoko zvinogona kuratidza kukuvara kwetsinga.
Kurapa Pasina Kuvhiya
Vapepi vehutano vanotanga vanoedza kurapa gokora rakatsemuka vachishandisa nzira yakavharwa yekudzikisa. (American Society for Surgery of the Hand. 2021 )
Kuderedzwa kwakavharwa kunoreva kuti gokora rinogona kutamiswa pasina kuvhiyiwa.
Pamberi pekuderedzwa kwakavharwa, mupi wehutano achapa mishonga yekubatsira kuzorodza munhu uye kugadzirisa marwadzo. (Medline Plus. 2022 )
Kana angotamiswa munzvimbo yakarurama, mupi wehutano anoshandisa splint (kazhinji pa 90-degree angle of flexion) kuchengetedza gokora panzvimbo. (James Layson, Ben J. Best 2023 )
Chinangwa ndechekudzivirira kuwedzera kwegokora, izvo zvinogona kukonzera kubviswazve.
Iyo splint inoramba iripo kwevhiki imwe kusvika kumatatu. (American Academy yeOrthopedic Surgeons. 2021 )
Murapi wepanyama anoongorora mafambiro uye anonyora maekisesaizi kudzivirira gokora rekufamba kwekurasikirwa.
Kurapa Nokuvhiyiwa
Gokora rinoramba risina kugadzikana nekuwedzera kudiki.
Mabhonzo haasi kunyatsoenderana.
Iyo ligaments inoda kuwedzera kugadziriswa mushure mekuvhara kuderedzwa.
Complex elbow dislocations inogona kuita kuti zviome kuchengetedza kubatana.
Mudziyo wekubatsira, senge hinge yekunze, unogona kukurudzirwa kubatsira kudzivirira kutsemukazve gokora.
Chiremba anovhiya anozokurudzira kurapwa kwemuviri mushure mekuvhiyiwa kubatsira nemhando-ye-kufamba maekisesaizi kuti uwedzere uye nekukurumidza kupora.
kupora
Nguva dzekupora dzinogona kusiyana sezvo kukuvara kwese kwakasiyana. (American Society for Surgery of the Hand. 2021 )
Nguva yekudzorera inoenderana nekugadzikana kwegokora mushure mekuvhara kuderedzwa kana kuvhiyiwa.
Vatapi vehutano vanozotanga maekisesaizi ekufamba. (American Society for Surgery of the Hand. 2021 )
Kudzikamisa kuti jekiseni risingafambike kwenguva yakareba sei kunodzivirira kuoma, mavanga, uye kuvharika kufamba.
Vatapi vehutano havakurudzire immobilization kweanopfuura mavhiki mashoma.
Kutangazve Mabasa Akajairika
Kutangazve kuita zvenguva dzose zvinowanzoenderana nerudzi rwekurapa kwekubviswa kwegokora: (Ortho Bullets. 2023 )
Yakavharwa Kuderedzwa
Gokora rinotsemuka kwemazuva mashanu kusvika gumi.
Vanhu vanogona kuita kurapa kwemuviri kutanga kuita basa rekubatsira kudzivirira kurasikirwa kwekufamba.
Vanhu vanokurudzirwa kuita maekisesaizi akareruka mukati memavhiki maviri mushure mekukuvara.
Kuvhiya Kuderedza
Gokora rinogona kuiswa musimbi inobvumira kuwedzera zvishoma nezvishoma kufamba.
Zvakakosha kuchengetedza kufamba kunodzorwa kudzivirira kurasikirwa kwekufamba.
Gokora rinogona kuwedzera zvakazara mukati memavhiki matanhatu kusvika masere, kunyange zvazvo zvichigona kutora mwedzi mishanu kuti igadziriswe.
Mutariri wehutano anozoona kana zvakachengeteka kuti utangezve basa rakajairwa.
Nzira Yekuporesa Kukuvadzwa Kwemunhu
VIDEO
References
Layson J, Best BJ. Gokora Kubviswa. [Yakagadziridzwa 2023 Jul 4]. Mu: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Inowanikwa kubva: www.yori.nlm.nih.gov/books/NBK549817/
American Society for Surgery of the Hand. (2021). Gorofu dislocation .
American Academy yeOrthopedic Surgeons. (2023). Gorofu dislocation .
Jones J, Carroll D, El-Feky M, et al. (2023). Gorofu dislocation . Chinyorwa chinyorwa, Radiopaedia.org doi.org/10.53347/rID-10501
Medline Plus. (2022). Yakavharwa kuderedzwa kwepfupa rakatyoka .
Ortho Bullets. (2023). Gorofu dislocation .
by Dr Alex Jimenez | Mitambo Injodzi , Basa Rakafanana Kukuvara
Kune vanhu vane kukuvara kwechigunwe cheturf, kuziva zviratidzo zvinogona kubatsira vatambi nevasiri vatambi nekurapa, nguva yekupora, uye kudzokera kumitambo?
Turf Toe Kukuvara
Kukuvadzwa kweturf chigunwe kunokanganisa zvinyoro zvinyoro zvigunwe uye tendon pazasi pechigunwe chikuru pasi pe rutsoka . Ichi chiitiko chinowanzoitika kana chigunwe chiri hyperextended / kumanikidzirwa kumusoro, sekuti kana bhora retsoka riri pasi uye chitsitsinho chinosimudzwa. (American Academy yeOrthopedic Surgeons. 2021 ) Kukuvara kwakajairika pakati pevatambi vanotamba mitambo paartificial turf, iyo ndiyo nzira iyo kukuvara kwakawana zita rayo. Nekudaro, zvinogona zvakare kukanganisa vasiri vatambi, sevanhu vanoshanda netsoka zuva rese.
Recovery time after turf toe kukuvara kunoenderana nekuomarara uye rudzi rwezviitwa izvo munhu anoronga kudzoka kwazviri.
Kudzokera kumitambo yepamusoro-soro mushure mekukuvadzwa kwakanyanya kunogona kutora mwedzi mitanhatu.
Kukuvara uku kunosiyana mukuomarara asi kazhinji kunovandudza nekuchengetedza kurapa. Muzviitiko zvakakomba, kuvhiyiwa kwaigona kudiwa.
Marwadzo ndiyo inonyanya kumisa mabasa emuviri mushure mekukuvara kwegiredhi 1, nepo mamakisi 2 ne3 anogona kutora mavhiki kusvika kumwedzi kuti apore zvachose.
zvichireva
Kukuvara kwechigunwe (turf toe injury) zvinoreva a metatarsophalangeal joint strain . Mubatanidzwa uyu unosanganisira marunda anobatanidza bhonzo pasi petsoka, pazasi pechigunwe chikuru/proximal phalanx, kumapfupa anobatanidza zvigunwe kumapfupa makuru mutsoka/metatarsals. Kukuvara kunowanzo kukonzerwa ne hyperextension iyo inowanzobva mukusundira-kure kwekufamba, sekumhanya kana kusvetuka.
Grading
Turf zvigunwe zvezvigunwe zvinogona kubva kune zvinyoro kusvika kune zvakanyanya uye zvinoiswa sezvizvi: (American Academy yeOrthopedic Surgeons. 2021 )
Bhuku 1 - Iyo nyama yakapfava yakatambanudzwa, ichikonzera marwadzo uye kuzvimba.
Bhuku 2 - Nyama yakapfava yakabvaruka zvishoma. Marwadzo anonyanya kutaurwa, ane kuzvimba kukuru uye kukoromoka, uye zvakaoma kufambisa chigunwe.
Bhuku 3 - Nyama yakapfava yakabvaruka zvachose, uye zviratidzo zvakakomba.
Izvi Zviri Kukonzera Kurwadza Kwetsoka Yangu Here?
Turf toe inogona kuva:
Kukuvadza zvakanyanya - kunokonzerwa nekudzokorora kufamba kwakafanana kakawanda kwenguva yakareba, izvo zvinoita kuti zviratidzo zviwedzere.
Kukuvara kwakanyanya - kunoitika kamwe kamwe, zvichikonzera kurwadziwa nekukurumidza.
Zviratidzo zvinogona kusanganisira zvinotevera: (Misa General Brigham. 2023 )
Yakaganhurirwa-ye-kufamba.
Hunyoro pachigunwe chikuru uye nzvimbo yakapoteredza.
Kuzvimba.
Marwadzo muchigunwe chikuru uye nzvimbo yakapoteredza.
Kutuka.
Majoini akasununguka anogona kuratidza kuti pane dislocation.
kuongorora chirwere
Kana uchinge uine turf zvigunwe zviratidzo, tarisa mupi wehutano kuti uongororwe zvakakodzera kuti vagadzire chirongwa chemunhu chekurapa. Vachaita bvunzo yemuviri kuti vaone kurwadziwa, kuzvimba, uye huwandu hwekufamba. (American Academy yeOrthopedic Surgeons. 2021 ) Kana mupi wehutano akafungidzira kukanganisa kwenyama, vanogona kukurudzira kufungidzira neX-rays uye (MRI) kuti vaone kukuvara uye kuona nzira yakakodzera yekuita.
mabatiro
Mumwe mupi wehutano achasarudza kurapwa kwakanakisisa zvichienderana nekuoma kwekukuvara. Kukuvara kwese turf zvigunwe kunogona kubatsirwa kubva kuRICE protocol: (American College yetsoka uye Ankle Surgeons. Tsoka Hutano Chokwadi. 2023 )
Zorora - Dzivisa mabasa anowedzera zviratidzo. Izvi zvinogona kusanganisira kushandisa mudziyo wekubatsira senge bhutsu yekufamba kana madondoro kuderedza kudzvanywa.
Ice - Isa ice kwemaminetsi makumi maviri, wozomirira maminetsi makumi mana usati waisa zvakare.
Kutsikirira - Putira chigunwe netsoka nebhandeji re elastic kutsigira uye kuderedza kuzvimba.
Kukwidziridzwa - Isa tsoka pamusoro pechiyero chemoyo kubatsira kuderedza kuzvimba.
Bhuku 1
Giredhi 1 turf chigunwe chinokamurwa neakatambanudzwa matishu, kurwadziwa, uye kuzvimba. Kurapa kunogona kusanganisira: (Ali-Asgar Najefi et al., 2018 )
Kubaya kutsigira chigunwe.
Kupfeka shangu dzine sole yakaoma.
Tsigiro yeOrthotic, senge a turf toe plate .
Mashoma 2 uye 3
Magiredhi 2 ne3 anouya nechidimbu kana kuti akazara nyama kubvaruka, kurwadziwa kwakanyanya, uye kuzvimba. Mishonga yekunyanya kuomarara turf toe inogona kusanganisira: (Ali-Asgar Najefi et al., 2018 )
Kutakura uremu hushoma
Kushandisa midziyo yekubatsira senge madondoro, bhutsu yekufamba, kana kukanda.
Zvimwe Kurapa
Isingasviki 2% yekukuvara uku kunoda kuvhiyiwa. Inowanzokurudzirwa kana pane kusagadzikana mujoini kana kana kurapa kwekuchengetedza kusingabudiriri. (Ali-Asgar Najefi et al., 2018 ) (Zachariah W. Pinter et al., 2020 )
Kurapa kwepanyama kunobatsira kuderedza marwadzo nekuvandudza mararamiro uye simba mushure mekukuvara. (American Academy yeOrthopedic Surgeons. 2021 )
Physical therapy inosanganisirawo proprioception uye agility kurovedza maekisesaizi, orthotics, uye kupfeka zvinokurudzirwa shangu dzezvimwe zviitiko zvemuviri. (Lisa Chinn, Jay Hertel. 2010 )
Murapi wepanyama anogonawo kubatsira kuve nechokwadi kuti munhu wacho haadzokeri kumabasa emuviri asati kukuvara kwanyatsopora uye kudzivirira njodzi yekukuvara zvakare.
Nguva yekudzoreredza
Kupora kunoenderana nekuoma kwekukuvara. (Ali-Asgar Najefi et al., 2018 )
Grade 1 - Chidzidzo chepamusoro sezvo chichisiyana zvichienderana nekushivirira kwemarwadzo emunhu.
Grade 2 - Vhiki ina kusvika kumatanhatu yekusagona kufamba.
Giredhi 3 - Masvondo masere mashoma ekutadza kufamba.
Zvinogona kutora kusvika kumwedzi mitanhatu kuti udzokere kune zvakajairika basa.
Kudzokera Kuzvinhu Zvakajairika
Mushure megiredhi 1 turf toe kukuvara, vanhu vanogona kudzokera kumabasa akajairwa kana marwadzo ari pasi pesimba. Magiredhi 2 ne3 anotora nguva yakareba kuti apore. Kudzokera kumitambo yemitambo mushure mekukuvara kwegiredhi 2 kunogona kutora mwedzi miviri kana mitatu, nepo kukuvara kwegiredhi 3 uye zviitiko zvinoda kuvhiyiwa zvinogona kutora kusvika kumwedzi mitanhatu. (Ali-Asgar Najefi et al., 2018 )
Mitambo Chiropractic Kurapa
VIDEO
References
American Academy yeOrthopedic Surgeons. (2021). Turf toe .
Misa General Brigham. (2023). Turf toe .
American College yetsoka uye Ankle Surgeons. Tsoka Hutano Chokwadi. (2023). RICE protocol .
Najefi, AA, Jeyaseelan, L., & Welck, M. (2018). Turf toe: A Clinic update. EFORT yakavhurika wongororo, 3(9), 501–506. doi.org/10.1302/2058-5241.3.180012
Pinter, ZW, Farnell, CG, Huntley, S., Patel, HA, Peng, J., McMurtrie, J., Ray, JL, Naranje, S., & Shah, AB (2020). Migumisiro yeChronic Turf Toe Repair in Non-athlete Population: A Retrospective Study. Indian Journal of orthopaedics, 54 (1), 43–48. doi.org/10.1007/s43465-019-00010-8
Chinn, L., & Hertel, J. (2010). Kugadziriswa kwekukuvara kwetsoka nemakumbo muvatambi. Makiriniki mumishonga yemitambo, 29 (1), 157-167. doi.org/10.1016/j.csm.2009.09.006
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 | Kukuvara Kwevanhu , Basa Rakafanana Kukuvara
Tsaona dzekutsvedza nekudonha ndezvimwe zvinonyanya kukonzera kukuvara kubasa/kubasa uye zvinogona kuitika chero kupi. Nzvimbo dzebasa dzinogona kuve nemhando dzese dzenjodzi dzekutsvedza kana kugumburwa, kusanganisira pasi dzisina kuenzana kana dzakatsemuka, midziyo, fenicha, tambo, uriri hwakanyorova, uye clutter kubva kumarara. Vanhu vanopinda mutsaona yekutsvedza-uye-kudonha vanogona kuchengetedza kukuvara kwakasiyana mukuomarara. Chinokosha kuona chiremba kana chiropractor nekukurumidza kunyora kukuvara kwekutsvedza uye kudonha uye kugadzira chirongwa chemunhu uye chirongwa chekuvandudza. Injury Medical Chiropractic uye Functional Medicine Clinic inogona kubatsira.
Kutsvedza uye Kudonha Kukuvara
Munhu anogona kuwana zvinotevera:
Musculoskeletal kukuvara
Kukuvara kumashure uye / kana musana
Kukuvara kwehudyu, ibvi, uye zviziso zvemakumbo
Kukuvara kwetsinga
Mabhonzo akatyoka kana kutyoka
Kutsemuka kwechiso
Kukuvara kwebongo
kuremara
Kuremara zvachose
Zvinopa Zvinhu
Rudzi rwekukuvara uye chiyero chekuomarara zvinoenderana nemuviri uye zvipenyu zvinhu zviripo panguva yekutsvedza nekudonha. Izvi zvinosanganisira:
Physical Condition
Zera remunhu, saizi, murume kana mukadzi, uye hutano hunogona kukanganisa rudzi rwekukuvara kunopihwa.
Hurefu uye Nzvimbo Yekudonha
Kutsvedza, kugumburwa, kugumburwa, kana kudonha kukuvara kunogona kuve kushoma kusvika kune zvakanyanya, zvichienderana nesimba, kureba, uye nzvimbo.
Surface Impact
Iko kukurumidza panguva yekudonha uye kuti muviri unobata sei pamusoro inoita basa rakakosha mukuoma kwekukuvara.
Nzvimbo yeMuviri
Protective reflexes, dzakadai semaoko akatambanudzwa, kuputsa kudonha kana kuti kwete kana muviri wakarova pasi zvakananga kuona kukuvara uye kusvika papi.
zviratidzo
Marwadzo etsandanyama uye tension ndizvo zvinowanzoitika mushure mekutsvedza nekudonha.
Mimhasuru fibers inotambanuka, zvichikonzera kuzvimba nekuzvimba kukura.
Marwadzo anogona kazhinji kutanga pakarepo kana mazuva mashoma gare gare, anozivikanwa seanononoka kukuvara zviratidzo.
Kana mitsipa ikaramba ichikuvadza kana kutsamwa, inotanga kuzvimba, uye muviri unopindura kudzivirira nzvimbo dzakakuvadzwa.
Iko kusangana kuzvimba uye kushatirwa kunogona kukonzera tightness uye spasms.
Kuenderera mberi nekusagadzikana uye kurwadziwa.
Mudumbu kusagadzikana uye kurwadziwa.
Kupwanya kukuru.
Kuganhurirwa mukufamba.
Chiropractic Treatment
Chiropractors inyanzvi mune kutsvedza-uye-kudonha kukuvara uye achashandisa zvigadziriso uye akasiyana siyana ekurapa mapuroteni kugadzirisa muviri uye kudzoreredza basa. Chinangwa ndechekubvisa zviratidzo, kugadzirisa nzvimbo yakakuvara, uye kudzorera kufamba. Physical therapy uye maekisesaizi ekuvaka simba pasi pekutariswa kwenyanzvi uye kumba kunoitwa kuti kudzoserwe kushandiswa kwechikamu chemuviri chakakuvara.
Kupisa
VIDEO
References
Li, Jie, nevamwe. "Kutsvedza uye Kudonha Zviitiko Kubasa: A Visual Analytics Analysis yeResearch Domain." International Journal of Environment research and Public Health vol. 16,24 4972. 6 Zvita 2019, doi:10.3390/ijerph16244972
Pant, Puspa Raj et al. "Kukuvara kwakabatana nekumba uye nebasa mudunhu reMakwanpur, Nepal: ongororo yemhuri." Kudzivirira Kukuvara: chinyorwa cheInternational Society for Child and Adolescent Injury Prevention vol. 27,5 (2021): 450-455. doi:10.1136/injuryprev-2020-043986
Shigemura, Tomonori, et al. "Unhu hwekukuvara kwenhanho kudonha: chidzidzo chekudzoka." European Journal of Trauma uye Kuvhiyiwa Kwekukurumidzira: kuburitswa kwepamutemo kweEuropean Trauma Society vol. 47,6 (2021): 1867-1871. doi:10.1007/s00068-020-01339-8
Smith, Caroline K, naJena Williams. "Kukuvara kunoenderana nebasa muWashington State's Trucking Indasitiri, neindasitiri nebasa." Accident; kuongorora nekudzivirira vol. 65 (2014): 63-71. doi:10.1016/j.aap.2013.12.012
Mwanakomana, Hyung Min, et al. "Kukuvara kwekudonha kwebasa kunouya kudhipatimendi rekukurumidzira." Emergency mushonga Australasia: EMA vol. 26,2 (2014): 188-93. doi:10.1111/1742-6723.12166