Kungoerekana Kungoerekana Kungoitika
Back Clinic Auto Accident Injuries Chiropractic uye Physical Therapy Team. Tsaona zhinji dzemotokari dzinoitika pasi rose gore rega rega, dzichikanganisa vanhu vakawanda, mumuviri nepfungwa. Kubva pamarwadzo emutsipa uye kumashure kusvika pakuputsika kwemapfupa uye whiplash, kukuvara kwemotokari yemotokari uye zviratidzo zvavo zvinosanganiswa zvinogona kupikisa hupenyu hwezuva nezuva hweavo vakawana mamiriro ezvinhu asingatarisirwi.
Dr. Alex Jimenez's collection of articles inotaura nezvekukuvadzwa kwemotokari kunokonzerwa nekushungurudzika, kusanganisira izvo zviratidzo zvakananga zvinokanganisa muviri uye mamwe maitiro ekurapa anowanikwa kune imwe neimwe yekukuvara kana mamiriro anokonzerwa nenjodzi yemotokari. Kuve wakabatanidzwa mutsaona yemotokari haigoni kungotungamirira mukukuvadzwa asi inogona kunge yakazara nekuvhiringidzika uye kuvhiringidzika.
Izvo zvakakosha kuve nemupi ane hunyanzvi anoshanda muzvinhu izvi anonyatso ongorora mamiriro akatenderedza chero kukuvara. Kuti uwane rumwe ruzivo, ndapota inzwa wakasununguka kuti utaure nesu pa (915) 850-0900 kana mameseji kufonera Dr. Jimenez pachezvangu pa (915) 540-8444.
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP Kungoerekana Kungoerekana Kungoitika , Mishonga , Whiplash
Kusangana nekukuvara kwe whiplash kunogona kuvhiringidza uye kunorwadza. Kuziva zviratidzo zvezvinetso zvakakomba, kutsvaga kupindira mune zvekurapa panguva, uye kutevera chirongwa chakarongeka chekugadzirisa whiplash kubatsira vanhu kuwana zororo uye kudzorera basa uye hupenyu hwehupenyu?
Whiplash Rehabilitation
Kune vanhu vachangobva kupinda mutsaona yemotokari, kana kurwadziwa kwemutsipa kwekutanga uye kuoma kwapfuura, zvakakosha kuti uzive zvinogona kunonoka zviratidzo, sekukuvara kwetsinga. Nepo vazhinji vachipora nekukasira, vamwe vanogona kuona zviratidzo zvenguva refu zvinoda kurapwa nehukasha uye manejimendi.
Neck Kukuvara
Kukuvara kweWhiplash kunokonzerwa nekukasira, kurova zvine simba kumashure nekudzoka kwemusoro, kunowanzoitika mukukonana kwemotokari kumashure, uye ndeimwe yekukuvara kwakanyanya kwemutsipa. Zvimwe zvikonzero zvinogona kusanganisira: (Johns Hopkins Mushonga, 2024 )
Zviratidzo zvinogona kusanganisira: (Johns Hopkins Mushonga, 2024 )
Marwadzo anopenya kumapfudzi uye/kana kumusoro kumusana
Kuoma kwemutsipa
Headaches
Mobility, Flexibility, uye Sensations
Zviratidzo zvekukuvara kwemutsipa zvinogona kusiyana mukuoma asi zvinowanzobatanidza: (Johns Hopkins Mushonga, 2024 ) (American Academy yePhysical Medicine uye Rehabilitation, 2024 ) (Medline Plus, 2024 )
Marwadzo emutsipa uye kuoma kunowanzova zviratidzo zvinonyanya kuoneka uye zvinogona kutora maawa akati wandei kuti zvioneke uye kuwedzera zuva rinotevera.
Yakaderedza huwandu hwekufamba
Kutadza kutendeuka kana kurereka musoro
Hunyoro, kurwadziwa, kana kuoma mumapfudzi, kumusoro kwemusana, kana maoko - dzimwe nguva kunoperekedzwa nechiveve kana kurira.
Kushaya simba
Kuneta
Headaches
Kuneta uye kushatirwa
Chizutu
Chiratidzo chakasvibiswa
Manzwiro asina kujairika akapoteredza chiso
Kunetseka kuisa pfungwa kana kurangarira zvinhu
Vanhu vanogona kusanzwa chero zviratidzo zvakanangana nekutevera tsaona, sezvo dzimwe nguva zvinogona kutora maawa kana mavhiki akati wandei kuti zviitike. (Medline Plus, 2024 )
Pakarepo Kuchenjerera Kurapwa
Tsvaka rubatsiro rwekuchipatara kubva kumubatsiri wehutano kana kiriniki yekukurumidzira kune chero chezviratidzo zvinotevera (NHS, 2023 )
Mitsipa yakakuvara uye vari kurwadziwa zvakanyanya zvisingabviswe nemishonga yekutenga-the-counter.
Kunzwa mapini netsono kana kurira mune rimwe kana mativi ese emuviri.
Kutadza kufamba kana kugara zvakanaka.
Inzwa nekukasira kuvhunduka kumashure kana mutsipa, ichienda mumaoko nemakumbo.
Maoko kana makumbo anonzwa kupera simba, sezvo zviratidzo izvi zvingaratidza kukuvara kwetsinga mumutsipa kana kumashure.
Kubatsira Kwenguva pfupi Pain
Kurapa kwenguva pfupi kunowanzobatanidza mishonga yekuderedza marwadzo, kuzvimba, uye mhasuru uye zvinosanganisira. (Yunivhesiti yeRochester Medical Center, 2024 )
Non-steroidal anti-inflammatory Drugs
Tsvina dzinozorodza
Topical gels
Injections
Anticonvulsants kune vanhu vane marwadzo ane chekuita netsinga kana kurira kwekunzwa. (Medline Plus, 2020 )
Mamwe marapirwo anogona kusanganisira: (Yunivhesiti yeRochester Medical Center, 2024 )
Aizi kazhinji kwemaawa makumi maviri nemana ekutanga
Neck brace
Physical therapy
Zvinyoro zvemutsipa zvinyoro
Kutevera kurudziro yemupi wehutano maererano nekushandiswa kwemushonga, kusanganisira dosi uye nguva, kwakakosha pakugadzirisa zviratidzo uku uchinyatso dzikisa zvingangoitika.
Matanho Okudzorera
Kuti uone chirongwa chakakodzera chekurapa whiplash rehabilitation plan, mupi wehutano achaongorora kuti kurwadziwa kunobata sei hupenyu hwezuva nezuva, kusanganisira hutano hwepfungwa uye kugona kuita mabasa enguva dzose. (American Academy yePhysical Medicine uye Rehabilitation, 2024 ) X-rays kana mamwe maedzo ekufungidzira achaitwa kuti aone kukuvadzwa kwemutsipa kana musana kwakakura sei. Kuzorora uye icing nzvimbo yakakuvara inokurudzirwa kubvisa kuzvimba. Mumwe mupi anogona kukurudzira zvishoma nezvishoma kuwedzera kufamba kwemutsipa kakawanda zuva nezuva uye kuenderera mberi nemabasa emazuva ose, sezvo kurovedza muviri kuchabatsira kuchengetedza kushanduka. Kusafambisa mutsipa kunogona kuwedzera marwadzo, kuoma, uye kuporesa. Kurapa kwepanyama kunogona kukurudzirwa kana zviratidzo zvikaenderera kweinopfuura vhiki imwe kana mbiri. (American Academy yePhysical Medicine uye Rehabilitation, 2024 )
Nenguva isipi Kusvikira Marwadzo uye Zviratidzo Zvigadziriswa
Whiplash rehabilitation kuporesa uye kudzorerwa kwebasa kunoenderana nekuoma kwekukuvara. Vakawanda vanopora nokukurumidza; zvisinei, mumamiriro ezvinhu akaoma, kurwadziwa uye zvimwe zviratidzo zvinogona kupedza mwedzi ye12 kana kupfuura. (American Academy yePhysical Medicine uye Rehabilitation, 2024 ) Zvinokurudzirwa kuona mupi kana: (Johns Hopkins Mushonga, 2024 )
Marwadzo anowedzera
Zviratidzo zvinogara kwenguva refu kupfuura zvinofungidzirwa nemupi wehutano
Zvimwe zviratidzo zvinokura, sekushaya simba, chiveve, kana kunzwa kwepini netsono.
Kukuvara Kwenguva Yakareba Migumisiro
Vanhu vari mu whiplash rehabilitation vanowanzopora mumavhiki mashomanana kusvika kumwedzi, asi vamwe vanogona kuva nemarwadzo anogara kwenguva refu sezvo kukuvara kunogona kukonzera kukuvara kwetsinga. (Fundaun J. et al., 2022 ) Kurukura chero zviratidzo zvitsva kana kuwedzera kuwedzera nevarapi vehutano kuti vawane mazano. (Johns Hopkins Mushonga, 2024 )
Chronic Neck uye Back Pain Management
Mishonga yekusingaperi mutsipa uye kurwadziwa shure kunosanganisira: (National Institute of Arthritis uye Musculoskeletal uye Skin Zvirwere, 2023 )
Physical therapy kubatsira kusimbisa tsandanyama.
Acupuncture.
Non-surgery decompression. Over-the-counter pain relievers, yakadai seacetaminophen kana NSAIDs.
Muscle relaxants for tightness and tension.
Mishonga yemarwadzo ekunyora.
Kana kurwadziwa kukava kusingaperi, antidepressants yakadai se serotonin uye norepinephrine reuptake inhibitors inogona kurongerwa. Iyi mishonga inogona kubatsira kugadzirisa marwadzo nekuvandudza kurara kwehutano. (Ferreira GE et al., 2023 ) Nokuda kwekuputika kwakanyanya uye kurwadziwa, majekiseni e corticosteroid zvakananga munzvimbo yakakanganiswa anogona kupa zororo. Varapi vehutano vanopa majekiseni aya, achipa mhedzisiro inogara kwenguva refu. (Harvard Health Publishing, 2015 )
Kukuvadza Chiremba Chiropractic uye Inoshanda Mushonga Kliniki
Kufamba nekukuvara kwe whiplash kunogona kuva kwakaoma, asi kunzwisisa chirongwa chekugadzirisa whiplash kunogona kubatsira zvakanyanya mukugadzirisa. Mutariri wehutano anogona kuona nzira dzekurapa dzinoshanda. Zvakakosha kutaura nemupi wehutano kuti aone chikonzero uye chiyero chekukuvara kuti ape dzidzo yemurwere ega ega maererano nekurapwa. Izvi zvinogona kusanganisira kurapwa kwemuviri, kuzorora, kudzidziswa kwehutano, mishonga, uye kuvhiyiwa, izvo zvinogona kukurudzirwa mune zvimwe zviitiko. Kukurira miganhu iyi kunogoneka. Injury Medical Chiropractic uye Functional Medicine Clinic inoshanda nevarapi vehutano hwekutanga uye nyanzvi kugadzira hutano hwakakwana uye hutano mhinduro. Isu tinotarisa pane izvo zvinokuitira iwe kubvisa marwadzo, kudzoreredza basa, kudzivirira kukuvara, uye kubatsira kurerutsa marwadzo kuburikidza nekugadziriswa kwemusana kunobatsira muviri kuzvigadzirisa pachawo. Vanogonawo kushanda nevamwe vashandi vezvokurapa kubatanidza chirongwa chekurapa kugadzirisa nyaya dzemusculoskeletal.
Kukuvadza Kwevanhu Kuvandudza
VIDEO
References
Johns Hopkins Mushonga. (2024). Whiplash Injury. www.hopkinsmedicine.org/health/conditions-and-diseases/whiplash-injury
American Academy yePhysical Medicine uye Rehabilitation. (2024). Cervical whiplash. www.aapmr.org/about-physiatry/conditions-treatments/musculoskeletal-medicine/cervical-whiplash
Rush University Medical Center. (2014). 5 chokwadi nezve whiplash. www.rush.edu/news/5-facts-about-whiplash
National Library of Medicine. MedlinePlus. (2024). Whiplash. Zvakatorwa kubva medlineplus.gov/ency/imagepages/9853.htm
National Health Service NHS. (2023). Whiplash. www.nhs.uk/conditions/whiplash/
Yunivhesiti yeRochester Medical Center. (2024). Whiplash kukuvara. www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=85&contentid=p01388
National Library of Medicine. MedlinePlus. (2020). Pregabalin. Zvakatorwa kubva medlineplus.gov/druginfo/meds/a605045.html
Fundaun, J., Kolski, M., Baskozos, G., Dilley, A., Sterling, M., & Schmid, AB (2022). Nerve pathology uye kurwadziwa kweuropathic mushure mekukuvara kwe whiplash: kuongorora kwakarongeka uye meta-analysis. Marwadzo, 163(7), e789–e811. doi.org/10.1097/j.pain.0000000000002509
National Institute of Arthritis uye Musculoskeletal uye Skin Zvirwere. (2023). Kurwadziwa shure: kuongororwa, kurapwa, uye matanho ekutora. Zvakatorwa kubva www.niams.nih.gov/health-topics/back-pain/diagnosis-treatment-and-steps-to-take
Ferreira, GE, Abdel-Shaheed, C., Underwood, M., Finnerup, NB, Zuva, RO, McLachlan, A., Eldabe, S., Zadro, JR, & Maher, CG (2023). Kubudirira, kuchengeteka, uye kushivirira kweAntidepressants nokuda kwemarwadzo muvakuru: kuongororwa kwekuongorora kwakarongeka. BMJ (Clinical research ed.), 380, e072415. doi.org/10.1136/bmj-2022-072415
Harvard Health Publishing. (2015). Mazano matsva ane chinangwa chekuvandudza kuchengetedzwa kwekurwadziwa-kubvisa majekiseni epinal steroid. Harvard Health Publishingwww.health.harvard.edu/blog/new-recommendations-aim-to-improve-safety-of-pain-relieving-spinal-steroid-injections-201505077991
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 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 DC, APRN, FNP-BC, CFMP, IFMCP 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
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP Kungoerekana Kungoerekana Kungoitika , Kungoerekana Kungoerekana Kungoitika , Chiropractic , Dzose Kudzorera Painini , utano , Neck Pain , Mishonga , Viscerosomatic Reflex , Wellness
ziviso
Vanhu vazhinji vanogara vari mumotokari dzavo uye vachityaira kubva kune imwe nzvimbo kuenda kune imwe munguva inokurumidza. Rini auto ngozi kuitika, zvakawanda zvinokanganisa zvinogona kukanganisa vanhu vazhinji, kunyanya miviri yavo uye mafungiro. Manzwiro anokonzerwa netsaona yemotokari anogona kuchinja mararamiro emunhu uye anokanganisa munhu sezvaanoshungurudzika. Ipapo kune divi remuviri, uko muviri unoenda mberi nekukurumidza, zvichikonzera marwadzo muchikamu chepamusoro nechepazasi. Mimhasuru, ligaments, uye matishu zvinowandirwa kupfuura kugona kwavo kukonzeresa marwadzo-sezviratidzo kugadzira uye kupindirana nemamwe maprofile enjodzi. Chinyorwa chanhasi chinokurukura mhedzisiro yetsaona yemotokari inoitika pamuviri, zviratidzo zvine chekuita netsaona dzemotokari, uye kuti kurapwa senge chiropractic kuchengetedza kunoshandisa sei matekiniki akaita seMET nzira yekuongorora muviri. Isu tinopa ruzivo nezvevarwere vedu kune vane certified varapi vanopa nzira dzekurapa dzinowanikwa seMET (muscle energy techniques) kune vanhu vanobata nemarwadzo ekumusana nemutsipa ane chekuita netsaona dzemotokari. Isu tinokurudzira murwere wega wega zvakafanira nekuvaendesa kune vatakabatana navo vekurapa zvinoenderana nemhedzisiro yavo yekuongorora. Tinobvuma kuti dzidzo inzira inoshamisa patinobvunza vatinopa mibvunzo yakakosha pakubvumwa kwemurwere. Dr. Alex Jimenez, DC, anoongorora ruzivo urwu sebasa rekudzidzisa. Disclaimer
Mhedzisiro Yenjodzi Yemotokari Pamuviri
Wanga uchinetsekana nekurwadziwa kunorwadza mumutsipa wako kana kumashure mushure mekudhumhana kwemotokari? Wakamboona tsandanyama dzako dzakaoma kana kudhonzwa? Kana kuti wanga uchitarisana nemarwadzo asingadiwi-sezviratidzo zvinokanganisa hupenyu hwako hwezuva nezuva? Kana munhu apinda mutsaona yemotokari, musana, mutsipa, uye kumashure pamwe chete nemapoka avo emhasuru akabatana, anobatwa nemarwadzo. Kana zvasvika kune zvinokonzeresa tsaona yemotokari pamuviri, isu tinofanirwa kutarisa kuti muviri unoita sei kana mota dzabonderana. Zvidzidzo zvekutsvaga zvakaratidza kurwadziwa kwemutsipa kunowanzoitika kune vakawanda vakuru vanobatanidzwa mutsaona yemotokari. Kana munhu akadhumhana neimwe mota, mitsipa yavo inokandwa mberi nekukurumidza, zvichiita kuti whiplash iite pamutsipa nemapfudzi. Kwete mutsipa chete uri kukanganiswa, asiwo musana. Zvimwe zvidzidzo zvakataurwa kuti kurwadziwa kwepashure kunoenderana nekudhumhana kwemotokari kunogona kuita kuti tsandanyama dzemusana dziwedzere uye dzive nekukuvara kwemuviri kusingaurayi nekufamba kwenguva, ingave panguva kana zuva mushure menjodzi. Kusvika ipapo, zvinogona kutungamira kune zvisingadiwe zviratidzo zvine chekuita netsaona dzemotokari uye kuwirirana nemaprofayiri engozi akawandisa.
Zviratidzo Zvinosangana Nenjodzi Dzemotokari
Zviratidzo zvine chekuita netsaona dzemotokari dzinobata mhasuru dzemutsipa neshure dzinosiyana zvichienderana nekuomarara kwekudhumhana. Maererano ne "Clinical Application yeNeuromuscular Techniques," Leon Chaitow, ND, DO, naJudith Walker DeLany, LMT, vakataura kuti kana mumwe munhu achitambura nenjodzi yemotokari, masimba anoshungurudza anokanganisa kwete chete cervical kana temporomandibular muscle asiwo lumbar muscles. . Izvi zvinoita kuti mhasuru dzenyama fiber dzibvamburwe nekukuvadzwa, izvo zvinokonzeresa kurwadziwa kwetsandanyama. Bhuku racho rakataurawo kuti munhu akuvara mukudhumhana anogona kuita nociceptive modulated mutsipa, mapendekete, uye musana kusashanda zvakanaka kwetsandanyama. Kusvika panguva iyoyo, flexor uye extensor muscle ndeye hyperextended, kupfupiswa, uye kuomeswa, iyo inokonzerwa nekukonzera kuoma kwemisumbu, kurwadziwa, uye zvishoma zvishoma zvekufamba kumutsipa, fudzi, uye kumashure.
Kuvhura Rubatsiro Rwemarwadzo: Maonero atinoita mafambiro ekuderedza marwadzo-Vhidhiyo
VIDEO
Wanga uchisangana neyakaganhurwa yekufamba kumapfudzi ako, mutsipa, uye kumashure? Zvakadini nekunzwa kuoma kwemhasuru paunenge uchitambanudza? Kana kuti unonzwa kupfava kwemhasuru mune dzimwe nzvimbo dzemuviri mushure metsaona yemotokari? Zvizhinji zveizvi zvinorwadza-sezviratidzo zvinosanganiswa nenjodzi dzemotokari dzinobata mutsipa, mapendekete, uye kumashure. Izvi zvinokonzeresa kurwadziwa kwemuviri nguva dzose, uye nyaya dzakawanda dzinokura nekufamba kwenguva mumapoka akasiyana siyana emhasuru. Sezvineiwo kune nzira dzekudzikisa marwadzo uye kubatsira kudzorera muviri kuti ushande. Vhidhiyo iri pamusoro inotsanangura kuti chiropractic kuchengetedza inoshandiswa sei kuongorora muviri kuburikidza nekugadzirisa musana. Chiropractic kuchengetedza inoshandisa nzira dzakasiyana-siyana kuti dzibatsire nemusana wepinal subluxation uye kusunungura mitsipa yakaoma, yakasimba kuti ibatsire kuzorora uye kudzorera rimwe nerimwe boka remhasuru paunenge uchibvisa marwadzo asingadiwi kubva mumasumbu emasumbu nemarunda.
Chiropractic Care & The MET Technique Kuongorora Muviri
Zvidzidzo zvinoratidza kuti tsaona dzemotokari ndicho chikonzero chikuru chekukuvara kwemusana uye kwemhasuru kunorapwa nechiropractic kuchengetedza. Kana munhu achitambura mushure mekuita tsaona yemotokari, anozonzwa kurwadziwa muviri wese uye kuyedza kutsvaga nzira dzekubvisa marwadzo anokanganisa hupenyu hwavo hwezuva nezuva kuburikidza nekurapwa. Imwe yemishonga inogona kubatsira kuderedza marwadzo uye kudzorera muviri ndeye chiropractic kuchengetedza. Apo chiropractors vari kurapa muviri kuderedza marwadzo, vanoshandisa nzira dzakasiyana-siyana seMET nzira (muscle energy technique) kutambanudza uye kusimbisa zvinyoro zvinyoro uye kushandisa manyorero ekugadzirisa kugadzirisa musana, kushanda kunze kwemisungo yakaoma, tsinga, uye ligaments kudzivirira. kumwe kukuvadzwa pamuviri uku uchidzora vanhu vakabatwa pachimiro. Chiropractic kuchengetedza zvakare ine hukama hwepedyo nemamwe marapirwo senge kurapa kwemuviri kubatsira kusimbisa tsandanyama mumuviri uye kubatsira vanhu vazhinji kuziva mashandiro anoita miviri yavo.
mhedziso
Pakazere, kana munhu aine kurwadziwa kumashure, mutsipa, uye tsandanyama dzemapfudzi kubva mutsaona yemotokari, zvinogona kukanganisa hupenyu hwavo hwepfungwa uye hwepanyama. Migumisiro yenjodzi yemotokari inokonzera zviratidzo zvinorwadza zvisingadiwi kukura uye kuwirirana ne nociceptive modulated dysfunction. Kusvika ipapo, zvinogona kukonzera nyaya sekuomarara kwemhasuru uye hunyoro munzvimbo dzakakanganisika. Neraki, marapirwo akaita sechiropractic kuchengetedza anobvumira muviri kuti udzorerwe kuburikidza nemanyorero manipulation uye iyo MET nzira yekutambanudza zvinyoro nyoro matishu akapfava uye tsandanyama uye kugadzirisa muviri kuti udzokere kushanda. Kubatanidza chiropractic kuchengetedza neMET tekinoroji, muviri unowana zororo, uye muenzi anogona kunge asina kurwadziwa.
References
Chaitow, Leon, uye Judith Walker DeLany. Clinical Kushandiswa kweNeuromuscular Techniques . Churchill Livingstone, 2002.
Anofa, Stephen, naJ Walter Strapp. "Chiropractic Kurapa kweVarwere muMotokari Tsaona dzeMotokari: A Statistical Analysis." Iyo Nhoroondo yeCanada Chiropractic Association , US National Raibhurari yeMishonga, Gunyana 1992, www.ncbi.nlm.nih.gov/pmc/articles/PMC2484939/ .
Fewster, Kayla M, nevamwe. "Low-Velocity Motor Vehicle Collision Characteristics Inobatanidzwa neKunzi Kurwadza Kwekudzokera." Traffic Injury Prevention , US National Raibhurari yeMishonga, 10 Chivabvu 2019, pubmed.ncbi.nlm.nih.gov/31074647/ .
Vos, Cees J, nevamwe. "Impact yeMotokari Tsaona dzeMota paNeck Pain uye Kuremara muGeneral Practice." The British Journal of General Practice: Nyaya yeRoyal College yeGeneral Practitioners , US National Raibhurari yeMishonga, Gunyana 2008, www.ncbi.nlm.nih.gov/pmc/articles/PMC2529200/ .
Disclaimer
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP Kungoerekana Kungoerekana Kungoitika , Kukuvara Kwevanhu
The NHTSA marekodhi anoratidza kuti kudhumhana kwemashure ndiko kunonyanya kuitika uye kunoita 30% yetsaona dzese dzemumigwagwa, tsaona, uye kubonderana. Kudhumhana kwemashure kunogona kubuda pasina. Imwe nguva mutyairi anenge akamira panzvimbo yakamira kana kuti chiedza, obva adhonzerwa mberi nesimba reimwe mota zvichikonzera kukuvara kwakakomba uye kusimudzira kunogona kukanganisa kugona kwemunhu. Kukuvara kwekukonana kwemashure kunonyanya kukanganisa mutsipa uye kumashure. Izvi zvinokonzerwa nesimba rakawandisa uye kushanduka kwakanyanya uye kurova muviri kunopfuura. Chiropractic care, massage, uye decompression therapy inogona kugadzirisa muviri, kuzorodza mhasuru, kusunungura tsinga dzakamanikidzwa, kukurumidza kupora, uye kudzoreredza kufamba uye kushanda.
Rear-End Collision Kukuvara
Kukuvara kwekukonana kwemashure kunogona kubva kubva kune zvinyoro kusvika kune zvakakomba, uye izvo zvinoita sekudhonza zvishoma zvinogona kukonzera kukuvara kwakanyanya. Kukuvara kwakanyanya kunosanganisira:
Kusanganiswa
Kukuvara kwemutsipa uye musana
Whiplash Mhedziso
Uropi hunoshungurudza uye kumwe kukuvara kwemusoro. Kukuvara kumeso
Kukuvara kwemazino
Kuchenesa
Mapfupa akapwanyika
Mbabvu dzakapwanyika kana dzakatsemuka
Punctured mapapu
Internal bleeding
kuremara
Mamiriro ezvinhu aripo kare akadai se degenerative disc chirwere anogona kuwedzera.
Kudhumhana Types
Kudhumhana kwemashure kunogona kuitika nenzira dzinoverengeka. Mhando dzinonyanyozivikanwa dzinosanganisira:
Tailgating
Kana vatyairi vari kumashure vachitevera mumwe mutyairi zvakanyanya, uye mutyairi anotungamira anononoka kana kuti achifanira kumira nekukurumidza, mutyairi weshure anorova mota nekuti pakanga pasina nguva yakakwana uye chinhambwe chekumira.
Slow Speed Collisions
Slow-speed/low-impact kukonana kana fender benders zvinogona kukonzera kukuvara kwemusana uye concussions.
Vanogonawo kutungamirira kukukuvara kwechiso uye musoro kubva kamwe kamwe airbag kutumirwa.
Motokari Mirwi-Ups
Kudhumhana kamwe chete kumashure mumugwagwa une mafashama kana mugwagwa mukuru unogona kukonzera kudhumhana kwemotokari dzakawanda.
Tsaona idzi dzinogona kukonzera kukuvara kunoparadza.
Zvinokonzera
Zvikonzero zvinogona kutora pfungwa kure nemugwagwa zvinosanganisira:
Kumhanyisa
Kutyaira kwakakanganiswa - Kutaura kana kutumira mameseji.
Tailgating
Kutarisa chinhu chakafanana netsaona uchityaira.
Kuchinja kwenzira isina kuchengetedzeka
Kutyaira hope kana kuneta
Njodzi dzenzvimbo yekuvaka
Mamiriro ekunze asina kunaka
Tsaona dzekupaka motokari
Chiropractic Care
Zviratidzo zvekukuvara kwemashure ekudhumhana zvinogona kusavapo nekukurumidza mushure metsaona. Zvinogona kutora maawa makumi maviri nemana kusvika makumi mana nemasere kuti zviratidzo zvekusagadzikana zviuye uye dzimwe nguva kureba. Iyo adrenaline kumhanya inobvumira munhu kuti asaone zviratidzo zvemuviri, ndosaka vanhu vachifunga kuti vakanaka kana vasipo. Kuregeredza zviratidzo kunowedzera njodzi yekukuvara zvachose. A herniated disc, semuenzaniso, yakasara isina kubatwa, inogona kutungamirira kukukuvara kwekusingaperi kwetsinga. Chiropractic kurapwa kwemashure-ekupedzisira kudhumhana ndeimwe yenzira dzinoshanda dzinowanikwa. A chiropractor anoshandisa musana kuti agadzirise rwonzi rwomuzongoza, achibvumira muviri kuderedza kuzvimba cytokine kugadzirwa, izvo zvinoderedza kuzvimba mhinduro. Maitiro chaiwo uye maturusi akasiyana-siyana anogona kugadzirisa vertebrae yega, kudzoreredza kuchinjika kwemajoini, uye kutyora mavanga kuitira kuti nzvimbo dzipore nekukurumidza.
The Spine In A Rear-End Auto Accident
VIDEO
References
Chen, Feng, nevamwe. "Kuferefeta Pakukuvadzwa Kwekukuvara Kwevatyairi muKudhumhana Kwekupedzisira Pakati PeMotokari Dzichishandisa Random Paramita Bivariate Yakarairwa Probit Model." International Journal of Environment research and Public Health vol. 16,14 2632. 23 Jul. 2019, doi:10.3390/ijerph16142632
Davis, CG "Kumashure-kukanganisa: mota uye mhinduro yemugari." Journal of manipulative uye physiological therapeutics vol. 21,9 (1998): 629-39.
Anofa, Stephen, naJ Walter Strapp. "Chiropractic kurapwa kwevarwere mutsaona dzemotokari: kuongororwa kwenhamba." The Journal of the Canadian Chiropractic Association vol. 36,3 (1992): 139–145.
Garmoe, W. "Kudhumana kwemashure." Archives of physical medicine and rehabilitation vol. 79,8 (1998): 1024-5. doi:10.1016/s0003-9993(98)90106-x
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP Kungoerekana Kungoerekana Kungoitika , Chiropractic , Dzose Kudzorera Painini , Spinal Decompression Treatments
ziviso
Wese munhu anogara achifamba mumotokari yavo sezvavanoenda kubva kune imwe nzvimbo kuenda kune imwe munguva shoma. Dzimwe nguva njodzi dzinoitika semotokari kuroverana mumwe nemumwe uye kukonzera kurwadziwa kwakanyanya kumuviri sezvaunoenda kumberi, zvichikonzera shure uye marwadzo mutsipa kumunhu. Aya ndiwo maitiro emuviri pamuviri, asi manzwiro emanzwiro anotorawo kukanganisa pamunhu. Zvinogona kuita kuti munhu ave neshungu uye kukanganisa hupenyu hwake. Chinyorwa chanhasi chinokurukura mhedzisiro yetsaona yemotokari inokonzera musana nemuviri, pamwe nekuti isiri-yekuvhiya decompression therapy inogona kubatsira sei kuderedza marwadzo kumashure kubva mutsaona yemotokari. Varwere vanotaurirwa kune vanokwanisa, vane hunyanzvi vanopa hunyanzvi mukuora kwemusana uye kurapwa kusiri kwekuvhiya. Isu tinoenda pamwe chete nevarwere vedu nekuvaendesa kune vatinoshanda navo vekurapa maererano nekuongororwa kwavo kana zvakakodzera. Isu tinoona kuti dzidzo yakakosha pakubvunza mibvunzo yakakosha kune vatinopa. Dr. Jimenez DC inopa ruzivo urwu sebasa rekudzidzisa chete. Disclaimer
Inishuwarenzi yangu inogona kuibhadhara here? Hongu, zvingadaro. Kana iwe usina chokwadi, heino chinongedzo kune vese vanopa inishuwarenzi vatinovhara. Kana uine mibvunzo kana zvinokunetsa, tapota fonera Dr. Jimenez pa915-850-0900.
Mhedzisiro Yenjodzi Dzemotokari Kumusana
Wakambotambura nemarwadzo ekumusana mushure mekudhumhana kwemotokari here? Zvakadini nekusangana ne whiplash kana kurwadziwa kwemutsipa? Kana kuti kuzasi kwako kwave kunzwa kuoma uye kurwadziwa zvakanyanya? Zvizhinji zvezviratidzo izvi zviratidzo zvekuti musana, musana, uye mutsipa zvese zvakatambura nemhedzisiro yetsaona yemotokari. Tsvagiridzo yaratidza kuti kukanganisa kwemunhu mutsaona yemotokari kunokonzera kuti muviri uchinje kumberi uye kumashure mushure mekumira zvachose, zvichikonzera kukanganisa kumuviri, kunyanya kumusana. Mushure mokunge njodzi yemotokari yaitika, vanhu vazhinji havanzwi migumisiro yekukuvara kunokonzerwa nenjodzi dzemotokari dzimwe nguva kusvikira zuva rakatevera njodzi. Izvi zvinokonzerwa neadrenaline mumuviri, iyo yose iri neurotransmitter uye hormone uye yakashandurwa zvizere kune max. Mamwe mashoko ataura kuti vanhu vazhinji vanotambura nekurwadziwa kwemusana mushure mekudhumhana kwemotokari. Kunyange kana njodzi yacho yakanga isingaurayi, kukanganisa kunogona kukonzera kushungurudza pamitsipa yezasi uye kudzvinyirira tsinga dzemusana, zvichiita kuti vatsamwiswe.
Mabatirwo Anoitwa Muviri
Zvidzidzo zvekutsvaga zvakaratidza kuti kukanganisa kwetsaona yemotokari kunogona kuita kuti muviri uve nekukuvadzwa kwemuviri kusingaurayisi asiwo kukonzera kushungurudzika kwepfungwa kunogona kukanganisa psyche yemunhu. Vanhu vazhinji vakawana tsaona yemotokari vanova nemanzwiro akasiyana siyana anovasiya vachivhunduka. Panguva iyoyo, manzwiro akaita sekutambudzika, kusava nehanya, kutsamwa, kuvhunduka, uye kushungurudzika zvinoratidzwa semunhu akanga ari mutsaona akasangana nemanzwiro asina kunaka aya. Imwe tsvakiridzo yakawanikwa zvakare kuti vanhu vazhinji vanogona kusangana nemarwadzo ekudzokera shure achidzoka pamwe nekuvapo kwemanzwiro kwavari kunzwa. Neraki, kune nzira dzekudzikisa marwadzo ekudzokera kumashure anokonzerwa nenjodzi dzemotokari uye anogona kubatsira kudzoreredza musana pakushanda kwayo.
Spinal Decompression Therapy Inoderedza Kukuvara Kwetsaona Yemotokari- Vhidhiyo
VIDEO
Wakambonzwa kurwadziwa shure mushure memutsaona yemotokari here? Zvakadini nekunzwa mhedzisiro yekuomarara kwemhasuru pamutsipa uye kuderera shure zuva rakatevera? Manzwiro akafanana nekufunganya, kuvhiringidzika, uye kuvhunduka anokanganisa hupenyu hwako here? Izvi zviratidzo uye zviratidzo zvezvinenge zvichiitwa nemunhu mushure mekubatanidzwa mutsaona yemotokari uye kubata nemutsipa uye kurwadziwa shure. Kune nzira dzekurapa marwadzo emutsipa uye kumashure kuburikidza nekuderera, uye vhidhiyo iri pamusoro inotsanangura zvinokatyamadza mhedzisiro yezvinoitwa decompression kumunhu. Decompression kurapwa kusiri kwekuvhiya kunobvumira kupfava kudzikamisa iyo flattened spinal disc uye kutora kudzvanywa kubva kune yakawedzera tsinga dzakatenderedza musana. Iyo nyoro inodhonza zvakare inopomba iyo inovaka muviri kudzoka kumadhisiki akaomeswa ichiwedzera hurefu hwawo. Izvi link ichatsanangura izvo decompression inopa uye zvinokatyamadza mhedzisiro kune vanhu vazhinji vanotambura nemusana kana mutsipa kurwadziwa nekuda kwetsaona yemotokari.
Iyo Spinal Decompression Inobatsira Kununura Muzongoza Mushure meAuto Accident
Mushure mekunge munhu atambura nenjodzi yemotokari, vanonzwa kurwadziwa mumusana wavo uye kumashure zuva risati rasvika kana shure. Vanhu vazhinji vanotambura nekurwadziwa kwemusana, kurwadziwa kwemutsipa, uye whiplash kubva mutsaona yemotokari vanowanzowana nzira dzekudzikisa marwadzo mumusana wavo. Imwe yemishonga iyi ndeyekuora kwemusana. Spinal decompression inobvumira munhu kuti agare patafura yekudhonza ari supine chinzvimbo uye akasungirirwa mukati. Zvidzidzo zvetsvakiridzo zvataura kuti spinal decompression kurapwa kusiri kwekuvhiya kune vanhu vazhinji vanotambura nekurwadziwa kwemusana. Kusiyana neizvi, muchina wekukweva zvishoma nezvishoma asi zvinyoro nyoro unodhonza musana kuti ubvise marwadzo anokonzerwa nekukuvara kwemusana nekuda kwetsaona. Izvi zvichapa kupora kunoshanda kune vanhu vazhinji vanotambura nekurwadziwa kwemusana. Mamwe mashoko akataurwawo kuti kushanda kwekuora mwoyo kunogona kuderedza zviratidzo zvinopisa zvinokonzerwa nemidzi yetsinga dzakanyanya kuburikidza nekudzvinyirira kusina kunaka, zvichiita kuti zvigadzirise kumusana.
mhedziso
Pakazere, kurwadziwa kwakadzika kumashure kana kurwadziwa kwemutsipa mushure me tsaona yemotokari kushungurudza vanhu vazhinji. Kushungurudzika mupfungwa uye mumuviri kunokonzerwa nekurovera kwemotokari kunogona kuderedza manzwiro emunhu, uye kurwadziwa kwasara pashure kunogona kukanganisa mararamiro avo. Kushandisa decompression yemishonga isiri yekuvhiya inogona kupa migumisiro inobatsira mukudzorera kushanda kumashure mumusana uye kuderedza marwadzo ari munhu. Kana vanhu vakashandisa decompression, vanogona kudzokera kumabasa avo uye vanova vasina marwadzo kubva kumusana wavo wezasi.
References
Daniel, Dwain M. "Non-Surgical Spinal Decompression Therapy: Iyo Scientific Literature Inotsigira Zvikumbiro Zvekubudirira Zvakaitwa muAdvertising Media?" Chiropractic & Osteopathy , BioMed Central, 18 Chivabvu 2007, www.ncbi.nlm.nih.gov/pmc/articles/PMC1887522/ .
Kang, Jeong-Il, nevamwe. "Effect of Spinal Decompression paLumbar Muscle Activity uye Disk Height muVarwere vane Herniated Intervertebral Disk." Zvinyorwa zvePhysical Therapy Science , Sangano rePhysical Therapy Science, Mbudzi 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC5140813/ .
Nolet, Paul S, et al. "Kuratidzira kuMota Yemota Collision uye Njodzi Yenguva Yemberi Kurwadza Kwekudzokera: Ongororo Yakarongeka uye Meta-Kuongorora." Accident; Kuongorora uye Kudzivirira , US National Raibhurari yeMishonga, Chikunguru 2020, pubmed.ncbi.nlm.nih.gov/32438092/ .
Nolet, Paul S, et al. "Kubatana pakati peNhoroondo Yehupenyu Hwekukuvadzwa Kwekudzokera Mumotokari Mumotokari uye Ramangwana Kurwadza Kwekudzokera: Chidzidzo Cheboka Chevanhu." European Spine Journal: Kuburitswa Kwepamutemo kweEuropean Spine Society, European Spinal Deformity Society, uye Chikamu cheEuropean cheCervical Spine Research Society. , US National Raibhurari yeMishonga, Ndira 2018, pubmed.ncbi.nlm.nih.gov/28391385/ .
Salam, Mahmoud M. "Njodzi dzeMotokari: The Physical versus the Psychological Trauma." Nyaya yeEmergency, Trauma, uye Shock , Mednow Mabhuku & Media Pvt Ltd, 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5357873/ .
Toney-Butler, Tammy J, uye Matthew Varacallo. "Motor Vehicle Collisions - Statpearls - NCBI Booksherufu." Mu: StatPearls [Internet]. Treasure Island (FL) , StatPearls Publishing, 5 Sept. 2021, www.yori.nlm.nih.gov/books/NBK441955/ .
Disclaimer
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP Kungoerekana Kungoerekana Kungoitika , Chiropractic , Herniated Disc , Spinal Decompression Treatments
ziviso
Muviri muchina wakanyatsokwenenzverwa uri kufamba nguva dzose. Iwo akasiyana masisitimu akafanana musculoskeletal system , ivo rokuzvidzivirira , Uye joint system , kungotaura zvishomanana, zvinogona kubatsira kushanda kwemotokari yemuviri kutora muviri kubva papoint A kusvika kunongedzo B. Pakukuvadzwa kana auto ngozi kukanganisa muviri, zvinogona kukonzera nyaya dzakasiyana siyana kukanganisa muviri nekufamba kwenguva. Vanhu vazhinji vanotambura nekukuvara kwengozi yemotokari vachanzwa kurwadziwa mumutsipa wekervical uye lumbar zvikamu zvemusana wavo. Zvinogona kurovesa hana pavanenge vachiedza kunzwisisa zviri kuitika. Chinyorwa chanhasi chichatarisa nezve herniation nekuda kwetsaona dzemotokari, mabatiro azvinoita musana, uye mabatiro ekurapa decompression anogona kubatsira vanhu vazhinji vari kutambura neauto accident herniation. Kuendesa varwere kune vanokwanisa uye vane hunyanzvi vanopa avo vanonyanya kuita spinal decompression therapy. Isu tinotungamira varwere vedu nekutaura kune vatinoshanda navo vekurapa zvinoenderana nekuongorora kwavo kana zvakakodzera. Isu tinoona kuti dzidzo yakakosha pakubvunza mibvunzo ine njere kune vatinopa. Dr. Jimenez DC inopa ruzivo urwu sebasa rekudzidzisa chete. Disclaimer
Inishuwarenzi yangu inogona kuibhadhara here? Hongu, zvingadaro. Kana iwe usina chokwadi, heino chinongedzo kune vese vanopa inishuwarenzi vatinovhara. Kana uine mibvunzo kana zvinokunetsa, tapota fonera Dr. Jimenez pa915-850-0900.
Ko Auto Accident Inokonzera Sei Herniation?
Wakambonzwa kurwadziwa mumutsipa wako kana pasi kumashure here? Wakambosangana ne whiplash mumutsipa wako here? Kurwadza kwacho kwave kuchiwedzera here pashure petsaona? Zvizhinji zvezviratidzo zvinonyanya kuitika mutsaona yemotokari inobatanidza munhu. Mushure mekunge munhu apinda mutsaona yemotokari, kukuvara uye zviratidzo zvinowanzoitika mukati memaminitsi mashomanana kusvikira zuva rinotevera. Zvidzidzo zvekutsvaga zvakaratidza kuti njodzi yekukuvara kwemotokari zviratidzo senge herniation inoitika kana cervical uye lumbar zvikamu zvakuvadzwa, zvichikonzera zviratidzo senge zvinyoro zvinyoro zvinyoro uye disc derangement kuperekedzwa neradicular marwadzo zviratidzo. Auto accident herniation inotangawo kudzvanya tsinga dzakatenderedza dzakatenderedza musana. Inokonzera zviratidzo zvinoputika munzvimbo dzakakanganisika dziri mumutsipa uye kuzasi. Zvimwe zvidzidzo zvakawanikwa iyo auto accident herniation inokanganisawo chikamu che thoracic chemusana. Vanhu vazhinji vanotambura neherniation vanozonzwa kurwadziwa kwepashure kwepfudzi uye kumusoro / kuzasi kurwadza kwemusana kubva mukubatanidzwa mutsaona yemotokari.
Inobata Sei Muzongoza?
Kana munhu atambura netsaona yemotokari, zvinozoitika zvinotora kwete pamuviri chete asi musana zvakare. Zvinorwadza, zviratidzo zvekuzvimba zvinoita kuti nyama dzakapfava dzive dzakapfava pakubata. Zvidzidzo zvetsvakiridzo zvataura kuti musana unosangana nekutsemuka kunobvira padivi pechikamu chechiuno chemuzongoza nekuda kwesimba rinokonzeresa kudzvanya kweaxial uye kuwandisa kwemhasuru uye matishu akapfava, zvichikonzera kurwadziwa kwakanyanya kwekupfura. Izvi zvinoita kuti musana nemutsipa zviwedzere kupererwa nezano mushure mekunge tsaona yemotokari yaitika, zvichikanganisa hupenyu hwemunhu. Zvimwe zvidzidzo zvekutsvakurudza zvakaratidza kuti vanhu vazhinji vanotambura vanonzwa lumbosacral radicular pain pamusoro pe herniation. Kana munhu ave achitambura ne disc degeneration uye ave achibatanidzwa mutsaona yemotokari, iyo cascading migumisiro inoita kuti intervertebral disc yekunze yekunze iparadze uye inobvumira disc disc displacement kuti iite herniation pamusana. Kana iyo ruptured disc ikava herniated, inogara ichidzvanya pamidzi yetsinga, uye chero maitiro akajairwa sekukosora kana kuhotsira anowedzera marwadzo. Ndinofara, kune nzira dzokurapa dzinobatsira kuderedza herniation uye kubatsira kudzorera basa kumusana.
Mechanical Traction For Herniation-Vhidhiyo
VIDEO
Kunzwa kurwadziwa kusingafadzi mumutsipa wako kana kumashure? Une zviito zvemazuva ese sekukosora kana kuhotsira zvinokuvadza musana wako pazvisingafanirwe kudaro? Ko kurwadziwa kunoramba kuchiwedzera muzuva rose here? Zvose izvi zviratidzo zvinokonzerwa ne disc herniation inokonzerwa nemotokari yemotokari uye inogona kukanganisa mararamiro emunhu. Nhau dzakanaka ndedzekuti traction therapy inogona kunge iri mhinduro yekubvisa zvimwe zvezviratidzo senge herniation pamuzongoza. Vhidhiyo iri pamusoro inoratidza mashandisirwo emagetsi traction anoshandiswa kune vanhu vazhinji vari kurwadziwa munzvimbo yekervical yemuviri. Traction therapy imhando ye decompression kurapa kungave kusiri kuvhiya kana kuvhiya, zvichienderana nekuti kurwadziwa kwakanyanya kunokanganisa sei muviri. Kudhonza kunobatsira musana kuburikidza nekudhonza zvinyoro nyoro, zvichiita kuti herniated discs abve kubva kumitsipa yakamanikidzwa uye agadzirise kuporesa zvivakwa kuti zvidzore muakakanganisika discs uchiwedzera dhisiki nzvimbo pakati pespinal vertebrae. Decompression / traction therapy kune imwe nzvimbo yelumbar kana yekervical yemuzongoza ine zvakawanda zvinobatsira mukudzivirira disc herniation. Izvi link ichatsanangura sei decompression kana traction inopa zororo rinokatyamadza kune vanhu vazhinji vanotambura nemutsipa uye yakaderera back pain herniation inokonzerwa nekukuvara kwemotokari.
Maitiro eDecompression Treatments Anobatsira Auto Accident Herniation
Mushure mekunge munhu atambura nekukuvara kwemotokari, muviri dzimwe nguva unozoona zvinorwadza zuva rinotevera sezvo muviri une adrenaline rush inovhara marwadzo. Kana izvi zvikaitika, nzira dzokurapa dzinobatsira kuderedza marwadzo uye kuedza kugadzirisa muviri kuti ushande zvakare. Zvidzidzo zvekutsvaga zvakaratidza kuti kurapa kwekuora mwoyo kwakabatsira vanhu vazhinji vanotambura neherniation nekuda kwetsaona dzemotokari nekushandisa kuburitsa simba rekudhonza kubva mukurapa kuderedza herniation pamuzongoza. Iri simba rinopikisa rinobatsira kurerutsa zviratidzo zvinorwadza zvinokonzerwa ne disc herniation apo tsinga dzakamanikidzwa dzadzikiswa. Zvimwe zvidzidzo zvetsvakurudzo zvakataura iyo traction therapy, kana ichishandiswa herniation, inokonzera vertebral separation kuwedzera dhisiki nzvimbo uye kuderedza nerve midzi compression. Izvi zvinobvumira kuti mitsipa yemusana iwedzere, izvo zvinobatsira kuti herniated discs adzokere kumusana uye kukonzera zororo kune vanhu vanotambura.
mhedziso
Pakazere mhedzisiro yekukuvara kwe tsaona yemotokari izvo zvinoita kuti musana uve herniated zvinokanganisa hupenyu hwemunhu. Zviratidzo zvinorwadza zvinokonzera kudzvinyirirwa kumidzi yetsinga dzakapoteredza, kutumira zviratidzo zvinorwadza kuvhiringidza uropi uye kutambanudza misumbu kana musana wakuvadzwa. Mushure mokunge tsaona yemotokari yaitika, kurwadziwa kwakasara kunokonzera hunyoro mumutsipa wekervical uye lumbar zvikamu zvemusana zvichikonzera kunyanya kurwadziwa kumunhu. Mishonga senge traction therapy inobvumira vanhu kuwana zororo ravanoda zvakanyanya sezvo herniated disc inotamiswa kunzvimbo yayo yekutanga uye yakaradzikwa patsinga midzi. Traction therapy yakapa zororo rinobatsira kumusana nekuda kwekumanikidzwa kusina kunaka uye kwakadzosa kushanda kwemusana kumuviri.
References
Cornips, Erwin M J. "Kuremara Upper Back Pain mushure meWhiplash uye Zvimwe Kurwisana Kwemotokari Kunokonzerwa neThoracic Disc Herniations: Mharidzo ye10 Cases." Wakapona , US National Raibhurari yeMishonga, 20 Chivabvu 2014, pubmed.ncbi.nlm.nih.gov/24718062/ .
Hashishi, Rami, naHasan Badday. "Frequency yeAcute Cervical uye Lumbar Pathology muMarudzi Akajairwa EMotokari Kudhumhana: Ongororo Yekudzokororwa." BMC Musculoskeletal Matambudziko , BioMed Central, 9 Mbudzi 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5680606/ .
Kumari, Anita, et al. "Migumisiro yeChishanu, Chechitatu, uye Imwe-Hafu yeMuviri Wemuviri Lumbar Traction paRight Leg Simudza Muedzo uye Marwadzo muProlapsed Intervertebral Disc Patients: A Randomized Controlled Trial." BioMed Research International , Hindawi, 16 Sep. 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC8463178/ .
Oakley, Paul A, uye Deed E Harrison. "Lumbar Extension Traction Inoderedza Zviratidzo uye Inobatsira Kuporeswa kweDisc Herniation / Sequestration mu6-Weeks, Kutevera Kukundikana Kurapa kubva kune Vatatu Vakapfuura Chiropractors: A CBP® Case Report ne8 Year Follow-Up." Zvinyorwa zvePhysical Therapy Science , Sangano rePhysical Therapy Science, Mbudzi 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5702845/ .
Pachocki, L, nevamwe. "Biomechanics yeLumbar Spine Injury muRoad Barrier Collision-Finite Element Study." Frontiers muBioengineering uye Biotechnology , Frontiers Media SA, 1 Mbudzi 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC8591065/ .
Suri, Pradeep, et al. "Zviitiko Zvinokurudzira Zvinosanganiswa neLumbar Disc Herniation." The Spine Journal: Official Journal yeNorth American Spine Society , US National Raibhurari yeMishonga, Chivabvu 2010, www.ncbi.nlm.nih.gov/pmc/articles/PMC2919742/ .
Disclaimer
