Whiplash
Back Clinic Whiplash Chiropractic Physical Therapy Team. Whiplash ishoko rinoshandiswa rinoshandiswa kurondedzera kukuvadzwa kumutsipa wekervical (neck). Izvi zvinowanzokonzerwa nekuputsika kwemotokari, iyo inokanganisa mutsipa nemusoro kuti zvirove shure uye mberi (kunyanya kufungidzira / kutengesa ) Vanenge mamiriyoni e3 vekuAmerica vanorwadziwa uye vanotambura ne whiplash gore negore. Zvizhinji zvekukuvara ikoko kunobva munjodzi dzemotokari, asi kune dzimwe nzira dzekutsungirira kukuvara kwe whiplash.
Zviratidzo zve whiplash zvinogona kusanganisira kurwadziwa kwemutsipa, unyoro uye kuoma, musoro, dzungu, kusvotwa, kurwadziwa kwepfudzi kana ruoko, paresthesias (chiveve / kurira), kusaona, uye muzviitiko zvisingawanzoitiki zvakaoma kumedza. Nenguva isipi mushure mokunge zvaitika panguva yakaoma chiropractor inotarisa pakuderedza kuputika kwemutsipa uchishandisa nzira dzakasiyana-siyana dzokurapa (semuenzaniso, ultrasound).
Vanogona zvakare kushandisa zvinyoro-nyoro kutambanudza uye manyorero ekurapa maitiro (semuenzaniso, tsandanyama simba rekurapa, rudzi rwekutambanudza). A chiropractor anogonawo kukurudzira kuti uise ice pack mumutsipa wako uye / kana chiedza chetsigiro yemutsipa kuti ushandise kwenguva pfupi. Sezvo mutsipa wako uchiwedzera kupisa uye kurwadziwa kuchiderera, chiropractor yako ichaita spinal manipulation kana mamwe maitiro ekudzoreredza kufamba kwakajairika kumajoini emutsipa wako.
by Dr Alex Jimenez Neck Pain Treatments , Whiplash
Vaya vanonzwa kurwadziwa kwemutsipa, kuoma, musoro, pfudzi uye kurwadziwa shure vanogona kutambura nekukuvara kwe whiplash. Kuziva zviratidzo nezviratidzo zve whiplash kunobatsira vanhu kuziva kukuvara uye kubatsira varapi vehutano kugadzira chirongwa chekurapa chinoshanda?
Whiplash Zviratidzo uye Zviratidzo
Whiplash kukuvara kwemutsipa kunowanzoitika mushure mekudhumhana kwemotokari kana tsaona asi inogona kuitika nekukuvara kupi uko kunokurumidza kurova mutsipa mberi uye kumashure. Iko kukuvara kwakapfava kusvika pakati pemitsipa yemutsipa. Kazhinji whiplash zviratidzo uye zviratidzo zvinosanganisira:
Neck marwadzo
Kuoma kwemutsipa
kurwadziwa nemusoro
Chizutu
papfudzi marwadzo
Kutambudzika shure
Kunzwa kwekunzwa mumutsipa kana pasi pemaoko. (Johns Hopkins Mushonga. 2024 )
Vamwe vanhu vanogona kukura kurwadziwa kusingaperi uye misoro.
Zviratidzo uye kurapwa zvinoenderana nekuoma kwekukuvara. Kurapa kunogona kusanganisira mishonga inorwadza pamusoro-the-counter, ice uye kupisa kupisa, chiropractic, kurapa kwemuviri, uye kutambanudza maekisesaizi.
Kazhinji Zviratidzo uye Zviratidzo
Iko kamwe-kamwe kurova kufamba kwemusoro kunogona kukanganisa zvivako zvakawanda mukati memutsipa. Zviumbwa izvi zvinosanganisira:
tsandanyama
mapfupa
Joints
Tendons
Ligamende
Intervertebral discs
Tsinga
Tsinga.
Chero chipi nechipi kana zvose izvi zvinogona kuchinjwa nekukuvara kwe whiplash. (MedlinePlus, 2017 )
Statistics
Whiplash mutsara wemutsipa unoitika kubva pakukurumidza mutsipa-jerking kufamba. Kukuvara kweWhiplash kunodarika hafu yekukuvara kwemotokari yemotokari. (Michele Sterling, 2014 Kunyange nekukuvara kudiki, zviratidzo zvinowanzoitika zvinosanganisira: (Nobuhiro Tanaka et al., 2018 )
Neck marwadzo
Kutevera kuoma
Mutsipa unyoro
Nhamba shoma yekufamba kwemutsipa
Vanhu vanogona kukudziridza kusagadzikana kwemutsipa uye kurwadziwa nguva pfupi mushure mekukuvara; zvisinei, kurwadziwa kwakanyanya uye kuoma hakuitike mushure mekukuvara. Zviratidzo zvinowanzowedzera kuwedzera zuva rinotevera kana maawa makumi maviri nemana gare gare. (Nobuhiro Tanaka et al., 2018 )
Kutanga Zviratidzo
Vatsvakurudzi vakaona kuti inenge inopfuura hafu yevanhu vane whiplash vanoita zviratidzo mukati memaawa matanhatu ekukuvara. Vanosvika 90% vanotanga zviratidzo mukati memaawa makumi maviri nemana, uye 24% vanotanga zviratidzo mukati meawa makumi manomwe nemaviri. (Nobuhiro Tanaka et al., 2018 )
Whiplash vs. Traumatic Cervical Spine Injury
Whiplash inotsanangura kunyorova kusvika pakati pekukuvara kwemutsipa pasina skeletal yakakura kana zviratidzo zvetsinga. Kukuvara kukuru kwemutsipa kunogona kukonzera kuputsika uye kuparadzaniswa kwemusana kunogona kukanganisa tsinga uye musana. Pane imwe nguva munhu anotanga matambudziko eurological ane chokuita nekukuvara kwemutsipa, kuongororwa kunoshanduka kubva ku whiplash kusvika kune kukuvara kwekervical spine. Misiyano iyi inogona kuvhiringa sezvo iri pachikamu chimwe chete. Kuti unzwisise zviri nani kuoma kwemutsipa sprain, iyo Quebec classification system inoparadzanisa kukuvara kwemutsipa muzvikamu zvinotevera (Nobuhiro Tanaka et al., 2018 )
Bhuku 0
Izvi zvinoreva kuti hapana zviratidzo zvemutsipa kana zviratidzo zvekuongororwa kwemuviri.
Bhuku 1
Kune kurwadziwa kwemutsipa uye kuoma.
Zvishoma zvakawanikwa kubva mukuongororwa kwemuviri.
Bhuku 2
Inoratidza kurwadziwa kwemutsipa uye kuoma
Mutsipa unyoro
Kuderera kwekufamba kana mitsipa yekufamba pakuongorora kwemuviri.
Bhuku 3
Inosanganisira kurwadziwa kwemasuru uye kuoma.
Neurologic zviratidzo zvinosanganisira:
Numbness
Tingling
Kushaya simba mumaoko
Decreased reflexes
Bhuku 4
Inosanganisira kutyoka kana kutsemuka kwemapfupa emuzongoza.
Zvimwe Zviratidzo
Zvimwe zviratidzo zve whiplash uye zviratidzo zvinogona kubatanidzwa nekukuvara asi zvisingawanzoitiki kana kuti zvinongoitika nekukuvara kwakanyanya zvinosanganisira (Nobuhiro Tanaka et al., 2018 )
Kurwisana musoro
Jaw kurwadziwa
Matambudziko okurara
Migraine musoro
Dambudziko kuisa pfungwa
Kuverenga zvakaoma
Chiratidzo chakasvibiswa
Chizutu
Kutyaira matambudziko
Rare Symptoms
Vanhu vane kukuvara kwakanyanya vanogona kukura zviratidzo zvisingawanzo izvo zvinowanzoratidza kukuvara kwecervical spine uye zvinosanganisira: (Nobuhiro Tanaka et al., 2018 )
kukanganwa
Kupopota
Izwi rinoshanduka
Torticollis - kurwadza kwemasuru kunorwadza kunoita kuti musoro uende kune rumwe rutivi.
Kubuda ropa muuropi
Matambudziko
Vazhinji vanhu vanowanzopora kubva kuzviratidzo zvavo mukati memavhiki mashoma kusvika kumwedzi mishoma. (Michele Sterling, 2014 ) Zvisinei, zvinetso zve whiplash zvinogona kuitika, kunyanya nekukuvara kwakakomba 3 kana giredhi 4. Zvinetso zvinowanzoitika zvekukuvara kwe whiplash zvinosanganisira kurwadziwa kusingaperi / kwenguva refu uye misoro. (Michele Sterling, 2014 ) Kukuvara kwechirwere chepervical spine kunogona kukanganisa mutsara wepelinha uye kusanganiswa nezvinetso zvisingaperi zvetsinga, kusanganisira kupera, kushaya simba, uye kuoma kufamba. (Luc van Den Hauwe et al., 2020 )
mabatiro
Marwadzo acho anowedzera zvakanyanya zuva rinotevera kupfuura mushure mekukuvara. Whiplash musculoskeletal kukuvara kurapwa kunoenderana nekuti kukuvara kwakanyanya kana kuti munhu wacho akagadzira kurwadziwa kwemutsipa kusingagumi uye kuoma.
Marwadzo akanyanya anogona kurapwa nemishonga inodarika-the-counter seTylenol uye Advil, iyo inorapa zvinobudirira marwadzo.
Advil is nonsteroidal anti-inflammatory inogona kutorwa nekurwadziwa kweTylenol, iyo inoshanda nenzira dzakasiyana.
Chinonyanya kukosha chekurapa ndechekukurudzira kushanda nguva dzose nekutambanudza uye kurovedza muviri. (Michele Sterling, 2014 )
Physical therapy inoshandisa akasiyana siyana ekufambisa maekisesaizi kusimbisa mitsipa yemutsipa uye kubvisa marwadzo.
Chiropractic kugadziridzwa uye kusiri-kuvhiya decompression inogona kubatsira kugadzirisa uye kudyisa musana.
Acupuncture inogona kukonzera kuti muviri uburitse mahomoni echisikigo anopa zororo rekurwadziwa, kubatsira kuzorodza matishu akapfava, kuwedzera kutenderera, uye kuderedza kuzvimba. Iyo cervical spine inogona kudzoka pakurongeka kana zvinyoro zvinyoro zvisisina kupisa uye kuputika. (Tae-Woong Moon et al., 2014 )
Neck Injuries
VIDEO
References
Mushonga, JH (2024). Whiplash Injury. www.hopkinsmedicine.org/health/conditions-and-diseases/whiplash-injury
MedlinePlus. (2017). Kukuvara Kwemutsipa uye Kuvhiringidzika. Zvakatorwa kubva medlineplus.gov/neckinjuriesanddisorders.html#cat_95
Sterling M. (2014). Physiotherapy manejimendi ye whiplash-associated kusagadzikana (WAD). Nyaya ye physiotherapy, 60 (1), 5-12. doi.org/10.1016/j.jphys.2013.12.004
Tanaka, N., Atesok, K., Nakanishi, K., Kamei, N., Nakamae, T., Kotaka, S., & Adachi, N. (2018). Pathology uye Kurapa kweTraumatic Cervical Spine Syndrome: Whiplash Injury. Kufambira mberi mune orthopedics, 2018, 4765050. doi.org/10.1155/2018/4765050
van Den Hauwe L, Sundgren PC, Flanders AE. (2020). Spinal Trauma uye Spinal Cord Injury (SCI). Mu: Hodler J, Kubik-Huch RA, von Schulthess GK, vapepeti. Zvirwere zveBrain, Musoro uye Mutsipa, Spine 2020-2023: Diagnostic Imaging [Internet]. Cham (CH): Springer; 2020. Chitsauko 19. Inowanikwa kubva: www.yori.nlm.nih.gov/books/NBK554330/ doi: 10.1007/978-3-030-38490-6_19
Mwedzi, TW, Posadzki, P., Choi, TY, Park, TY, Kim, HJ, Lee, MS, & Ernst, E. (2014). Acupuncture yekurapa whiplash yakabatana nechirwere: kurongeka kwekuongorora kwe randomized kliniki miedzo. Evidence-based complementary and alternative medicine: eCAM, 2014, 870271. doi.org/10.1155/2014/870271
by Dr Alex Jimenez Injury Care , Whiplash
Vanhu vakatambura nekervical acceleration-deceleration / CAD inowanzozivikanwa se whiplash, inogona kunzwa misoro, uye zvimwe zviratidzo zvakadai sekuoma kwemutsipa, kurwadziwa, kuneta, uye fudzi / mutsipa / musana kusagadzikana. Ko kurapa kusiri kwekuvhiya uye nekuchengetedza kunobatsira here kuderedza zviratidzo?
Cervical Acceleration - Deceleration kana CAD
Cervical acceleration-deceleration ndiyo nzira yekukuvara kwemutsipa kunokonzerwa nechisimba shure-uye-kunze kwemutsipa kufamba. Izvi zvinowanzoitika mumashure-ekupedzisira kudhumhana kwemotokari apo musoro nemutsipa zvinorova mberi uye kumashure nekukurumidzira kwakanyanya uye / kana kuderera zvichiita kuti mutsipa uchinje uye / kana kuti uwedzere nokukurumidza, kupfuura zvinowanzoitika, kushungurudza uye zvichida kubvarura mhasuru matishu uye tsinga, ligaments, dislocation of spinal discs uye herniations, uye cervical bone fractures.
Kune zviratidzo zvisinganatsiridzi kana kuipa mushure me2 kusvika kumavhiki e3, ona mupi wehutano kana chiropractor kuti uwedzere kuongororwa uye kurapwa.
Kukuvara kweWhiplash kunetsa kana kupuruzira mitsipa yemutsipa uye / kana ligaments, asi inogonawo kukanganisa vertebrae / mapfupa, disc cushions pakati pe vertebrae, uye / kana tsinga.
Kune vanhu vanonzwa kurwadziwa kwemusoro kunotanga pazasi pedehenya zvichitevera tsaona yemotokari kunowanzoita whiplash musoro. (National Institute of Neurological Disorders uye Stroke. 2023 )
zviratidzo
Zviratidzo zveWhiplash zvinogona kuuya pakarepo, kana mushure memaawa akawanda kusvika mazuva mashomanana mushure mechiitiko chacho, uye zvinowanzowedzera kuipa mumazuva mushure mekukuvara. Zviratidzo zvinogona kupedza mavhiki mashomanana kusvika kumwedzi mishomanana, uye zvinogona kuderedza zvakanyanya basa uye mararamiro ekufamba. Zviratidzo zvinogona kusanganisira: (National Institute of Neurological Disorders uye Stroke. 2023 )
Marwadzo anopinda mumapendekete nekumusana.
Kuoma kwemutsipa
Kufamba kwemutsipa zvishoma
Tsvina dzemuviri
Chiveve uye tingling sensations - paresthesias kana pini uye tsono muminwe, maoko, kana maoko.
Matambudziko okurara
Kuneta
Kusvibiswa
Kukanganisika kwekuziva - ndangariro uye/kana kuisa pfungwa pamatambudziko.
Kurira munzeve - tinnitus
Chizutu
Chiratidzo chakasvibiswa
kusuruvara
Musoro wemusoro - Musoro we whiplash unowanzotanga pazasi pedehenya uye unogona kusiyanisa zvakanyanya. Vanhu vazhinji vanonzwa kurwadziwa kune rumwe rutivi rwemusoro uye kumusana, kunyange zvazvo vamwe vachigona kuona zviratidzo mumusoro wavo wose, uye nhamba duku inonzwa misoro pahuma kana kuseri kwemaziso. (Monica Drottning. 2003 )
Misoro inogona kuwedzera nekufambisa mutsipa, kunyanya kana wakatarisa kumusoro.
Musoro wemusoro unowanzobatanidzwa nekurwadziwa kwepfudzi pamwe chete nemutsipa uye mhasuru dzepafudzi izvo kana zvabatwa zvinogona kuwedzera marwadzo.
Whiplash misoro inogona kutungamirira kumutsipa usingagumi wemusoro unozivikanwa se cervicogenic headaches. (Phil Page. 2011 )
Zvinokonzera
Chikonzero chinowanzokonzera whiplash ndeyekumashure-kumagumo emotokari dzemotokari uye kudhumhana. (National Institute of Neurological Disorders uye Stroke. 2023 )
Kutamba mitambo - hockey, martial arts, tsiva, nhabvu yenhabvu, gymnastics, basketball, volleyball, nhabvu, uye baseball.
Kutsvedza nekudonha kunoita kuti musoro ungoerekana wazununguka kumberi nekumashure.
Kurohwa - kurohwa kana kuzungunutswa.
Kurohwa mumusoro nechinhu chinorema kana chakasimba.
mabatiro
Zviratidzo zvinowanzogadziriswa mukati memavhiki maviri kusvika matatu.
Icing mutsipa kwemaminitsi gumi kakawanda pazuva kunogona kubatsira kuderedza marwadzo uye kuzvimba. (National Institute of Neurological Disorders uye Stroke. 2023 )
Zvakakoshawo kuzorora mutsipa wako mushure mekukuvara.
Iro cervical collar inogona kushandiswa kwekanguva kudzikamisa mutsipa, asi nekuda kwekupora kwenguva refu, zvinokurudzirwa kuchengetedza nzvimbo yacho.
Kuderedzwa kwekuita kwemuviri kusvika munhu akwanisa kutarisa pamapfudzi ese ari maviri, uye kutenderedza musoro wake kuenda mberi, nzira yese kumashure, uye kubva kune rumwe rutivi kuenda kune rumwe pasina kurwadziwa kana kuoma.
Zvimwe Zvokurapa
Traction uye decompression therapies.
Chiropractic kuchinjaTherapeutic akasiyana masaja maitiro.
Electronic nerve stimulation
Posture kudzidzisa
Stretching
Kugadzirisa nzvimbo yekurara.
Non-steroidal anti-inflammatories - NSAIDs - Ibuprofen kana Naproxen.
Tsandanyama dzinozorodza
Kana zviratidzo zvikasavandudza, mupi wehutano anogona kukurudzira kurapwa kwemuviri uye / kana mishonga yakasimba yemarwadzo. Nokuda kwemusoro we whiplash unogara kwemwedzi inoverengeka, acupuncture, kana majekiseni emusana anogona kukurudzirwa.
Neck Injuries
VIDEO
References
National Institute of Neurological Disorders uye Stroke. Whiplash Ruzivo Peji.
Drottning M. (2003). Cervicogenic musoro mushure mekukuvara kwe whiplash. Ikozvino kurwadziwa uye misoro yemusoro, 7 (5), 384-386. doi.org/10.1007/s11916-003-0038-9
Peji P. (2011). Cervicogenic misoro: humbowo-inotungamirwa nzira yekiriniki manejimendi. International Journal of sports Physical Therapy, 6(3), 254–266.
by Dr Alex Jimenez Chiropractic , Whiplash
Whiplash kukuvadzwa kwemutsipa uko, nokuti mitoro uye kusunungurwa kunowedzera mumutsipa, ivo vakava chido chikuru mukudzidza kwemaitiro ekukuvara kwe whiplash. Zvidzidzo zvechivanhu, zvisinei, zvakangotaura kumhanya kwepamusoro kwemusoro kunoenderana neyakagadziriswa referensi furemu.
Sezvo kukurumidza kwemusoro kunowanzova mugumisiro wemusoro-kudzivisa kukanganisa, idzi dzepamusoro dzepamusoro dzinogona kunge dzakanakira whiplash kukuvara uye hazviratidzi mitoro yakagadzirwa mumitsipa yemutsipa. Iyo kinematics yemusoro yakaverengerwa maererano neaxis pakati peC7-T1 vertebra kuti ipe chiratidzo chiri nani chesimba. Peak yekutanga mukutsvagisa yekumhanyisa inobuda kubva mukumhanyisa kwetorso zvinoenderana nemusoro uchiri-umire.
Iyi peak ndiyo yakakura uye gare gare yekumhanyisa peak, inodzorwa nekukanganisa pakati pemusoro wekudzivirira uye musoro. Kana kukwidziridzwa kwemusoro kuchiyerwa, mhedzisiro inoratidza kukosha kwekuyeresa hama yemusoro pane mhedziso dynamics, yekutanga isina kunaka peak haina kucherechedzwa.
Chikonzero cheWhiplash Kukuvara
Cadaveric, mhuka uye zvidzidzo zvevanhu zvakatungamirira vatsvakurudzi kuti vataure nzvimbo dzakasiyana-siyana dzeatomical dzekukuvara kwe whiplash, kusanganisira cervical facet joints , facet capsular ligaments, vertebral arteries, dorsal root ganglia, craniovertebral junction, uye cervical tsandanyama. Kukuvara kwetsandanyama kunogona kukonzera zvimwe zviratidzo muvarwere; zvisinei, zvemaatomical nzvimbo dzakanyorwa pamusoro apa, chete majoini epamuviri ave akabatanidzwa nekusingaperi whiplash kurwadziwa. Iwo majoini akave chinangwa chekutsvaga kwakanangana nekunzwisisa iyo mechanical hwaro hwekukuvara kusingaperi whiplash.
Mune chidzidzo chakaitwa nevatsvakurudzi uye vashandi pamwe navo (1996), kurwadziwa kusingaperi kwe whiplash kwakasunungurwa munenge 60% yevarwere ve whiplash neanesthetizing medial mapazi ekervical dorsal rami. Matavi eArticular kubva mumitsipa iyi anomhanya kuburikidza ne capsular tissues uye zvichida anobva mu capsular tissue kubva ku mechanoreceptors uye nociceptors. Nzvimbo dzinogona kukuvara mukati mezvikamu zvezvikamu zvinosanganisira kuputsika kwebhoni, kuputika kwerectal folds (menisci), kana kuputika kana misodzi ye capsular ligament. Skeletal fractures uye aspect hemarthroses hazviwanzoonekwa mu whiplash varwere uye naizvozvo zvine chokuita nekutakura. Kupwanya kwemapeta kunowanzoitika mushure mekuuraya kwechipfuva kana kukuvara kwemusoro, uye kufamba kwekervical vertebra inopindirana nemhando iyi yekukuvara kwakanyorwa panguva yekuremerwa kwakanyanya kunobatanidza nekukuvara kwe whiplash muzvidzidzo zvevanhu.
Cineradiography inoshandiswa kuongorora intervertebral motion yezvidzidzo zvakaratidzwa kune zvakafananidzirwa zvakaratidza kuti C5 vertebra inotenderera pamusoro pechinhanho kupfuura panguva yekuwedzera kwekuzvidira kunofamba. Iyi nzira yekufambisa yakaguma nekumanikidzika kwezvikamu zvepadheti kumashure kuburikidza ne-induced-induced motion panguva yebasa uye kuwedzera kukanganiswa kwemitumbi ye vertebral anterior. Vatsvagiri ava vakakurudzira kuti posterior synovial fold inogona kudzvanywa nekutsikirirwa kwemashure kweiyo facet majoini kunyangwe kufamba kwakashandurwa uku kwakaonekwa mune zvina chete pazvitanhatu zvidzidzo. Iyi nzira yakarongwa yekukuvara inovimbisa. Ongororo yekutevera inoyera mitoro inoshandiswa kune meniscus panguva yekuputika kwe whiplash uye mitoro inofanirwa kukuvadza meniscus inodiwa kuti isimbise kana iyi nzira yekukuvara inorongwa inoitika pamitoro inogadzirwa panguva yekurwisana kunobudisa kukuvara kwe whiplash.
The facet joint capsules ine tsinga dzakanaka, dzisina myelinated dzinogona kunge dzine basa re nociceptive. Kubvisa matsinga aya nejekiseni rekusiyanisa midhiya kwakagadzira whiplash-senge marwadzo maitiro muvanhuwo zvavo. Misodzi kana kuputika kune cervical facet joint capsular ligaments yakaonekwawo pasi pemamiriro ekuremedza akaoma. Kuwedzera capsular ligament strain yakarongedzerwa senzira yekukuvara kwe whiplash pasi pezvidiki-kune mwero-kurodha zvinodiwa. Nekutevera kurodha kusvika kukundikana, iyo tekinoroji inonetsa mu capsular ligaments pasi pese maviri whiplash-senge mirwi uye cadaveric motion zvikamu ichangobva kuverengerwa. Maximum strains mu facet joint capsular ligaments pasi pemitoro yaive, paavhareji, hafu. Mune miviri yezviyero zve13, nziyo dzepamusoro dzakaonekwa mu ligament pasi pe whiplash-like mirwi yakakura kudarika iyo yakaonekwa mukukundikana kwavo kwekutanga.
Kuwana uku kwakaratidza kuti mitsipa yakagadzirwa panguva yetsaona yemotokari inogona kukuvadza vamwe vanhu 'facet capsular ligaments. Rimwe basa rinodiwa kuti rione kana kuputika uku kunounza marwadzo uye kana kukundikana kwepasi kunowanikwa nekuputsika mukati me capsular ligaments mukupindura kwemasumbu anowirirana.
Kukuvadzwa kweWhiplash kwakaratidza kuoma kutsvakurudza nokuti pathoanatomy yayo yakaramba isinganzwisisike. Iyo facet joints yakave yakaparadzaniswa senzvimbo yekurwadziwa kusingaperi muhuwandu hwevanhu.
Kunzwisisa zviri nani etiology yekukuvara kwe whiplash kuchaita kuti kuve nekuvandudzwa kwekutarisira uye nzira dzekudzivirira kukuvara. Kuongororwa kwechidzidzo chevanhu kwakapa ruzivo rwakakosha rwekinematic uye kinetic mhinduro inodiwa kuita bvunzo dzemasero iwayo, uye kuongororwa kwematishu kwakatungamira kune inogoneka mechanical tsananguro yekukuvara kwe whiplash. Kuwedzera kutsvagisa kunodiwa kupedzisa kubatana pakati pezviratidzo zve whiplash zvinowanikwa nevamwe vanhu uye tsaona yemotokari.
Kuwanda kweruzivo rwedu kunogumira kune chiropractic uye kukuvara kwemusana uye mamiriro. Kuti ukurukure zvingasarudzwa panyaya iyi, tapota bvunza Dr. Jimenez kana kutibata nesu pa 915-850-0900 .
NaDkt Alex Jimenez
Zvimwe Zvinyorwa: Automobile Accident Injuries
Whiplash, pakati pekumwe kukuvara kwetsaona yemotokari, inowanzotaurwa nevaya vakakuvadzwa nemotokari, zvisinei nekuoma uye giredhi mutsaona. Whiplash inowanzova mhedzisiro yekukasira, kumashure-uye-kubuda jolt yemusoro nemutsipa mune chero nzira. Simba guru rekukanganisa rinogona kukonzera kukanganisa kana kukuvara kumutsipa wekervical uye mamwe ose emusana. Sezvineiwo, kurapwa kwakasiyana kunowanikwa kurapa kukuvara kwetsaona yemotokari.
VIDEO
by Dr Alex Jimenez Kungoerekana Kungoerekana Kungoitika , Car Accident Specialist , Chiropractic , Chiropractic News , El Paso Chiropractic News , Kukuvara Kwevanhu , Whiplash
Zvidzidzo pamusoro pekubudirira kwechiropractic kutarisira varwere vane marwadzo echipiri kune whiplash kukuvara vari kubuda. Muna 1996, Woodward et al. yakabudisa chidzidzo pamusoro pekubudirira kwechiropractic kurapwa kwekukuvara kwe whiplash.
Muna 1994, Gargan naBannister vakabudisa pepa pamusoro pekupora kwevarwere uye vakaona kuti apo varwere vakanga vachiri zviratidzo mushure memwedzi mitatu, paive neine 90% mukana wekuti varambe vakuvara. Vanyori vechidzidzo ichi vaibva kuDhipatimendi reOrthopedic Surgery muBristol, England. Hapana kurapa kwakajairika kwakaratidzwa kuve kwakabudirira mune idzi dzakabva kusingaperi whiplash kukuvara varwere. Zvisinei, kubudirira kwepamusoro kwakawanikwa nevanokuvadzwa kwe whiplash kuburikidza nechiropractic kuchengetedza mukudzorera marudzi aya evarwere.
Whiplash Treatment Study Results
Muchidzidzo cheWoodward, 93 muzana yevarwere ve28 vakadzidza kudzoka zvakare vakawanikwa vane nhamba yakakura yekuvandudza kunotevera chiropractic kuchengetedza. Chiropractic kuchengetedza muchidzidzo ichi yaisanganisira PNF, spinal manipulation, uye cryotherapy. Vazhinji vevarwere ve28 vaive nekutanga kurapwa neNSAIDs collars uye physiotherapy. Ivhareji yakareba nguva isati yasvika apo varwere vakatanga chiropractic kuchengetedza yaiva 15.5 mwedzi mushure meMVA (kusiyana kwe3-44 mwedzi).
Ichi chidzidzo chakanyora izvo zvakawanda zveDCs zvinowanikwa mumakiriniki maitiro: chiropractic kuchengetedza inoshanda kune vanhu vanokuvadzwa mutsaona yemotokari. Zviratidzo kubva mumusoro kusvika kumarwadzo ekudzokera shure, kurwadziwa kwemutsipa, kurwadziwa kwe interscapular, uye marwadzo ekupedzisira ane chokuita neparesthesias zvose zvakapindura kuhutano hwechiropractic.
Zvakajairwa & Whiplash X-Rays
Whiplash MRI Zviwanikwa
Zvinyorwa zvakaratidzawo kukuvara kwecervical disc hazvishamisi mushure mekukuvara kwe whiplash. Mune chidzidzo chakabudiswa pamusoro pechiropractic kuchengetedza disk herniations, zvakaratidzwa kuti varwere vanovandudza kliniki uye iyo inodzokorora MRI imaging inowanzoratidza kuderera ukuru kana kugadziriswa kwe disk herniation. Pakati pevarwere ve28 vakadzidza uye vakatevera, vazhinji vaiva ne disc herniations yakaita zvakanaka kune chiropractic kuchengetedza.
Muchidzidzo chechangobva kuitika chakaitwa naKhan et al., yakabudiswa mu Journal of Orthopedic Medicine, pamusoro pevarwere vakakuvadzwa ne whiplash maererano nekurwadziwa kwekervical uye kusagadzikana, varwere vakaiswa mumapoka zvichienderana nemazinga emigumisiro yakanaka kune chiropractic kuchengetedza:
Gira I I: Varwere vane kurwadziwa kwemutsipa bedzi uye vanovharirwa mutsipa ROM. Varwere vaiva ne "saga hangar" kugovera marwadzo pasina kushaya kweuropiki; 72 yepakati aiva nechiitiko chinoshamisa.
Boka II: Varwere vane zviratidzo zvetsinga kana zviratidzo uye mashoma musana ROM. Varwere vaive nechiveve, kurira, uye paresthesias kumucheto.
Boka rechitatu: Varwere vaiva nemarwadzo makuru emutsipa nemutsipa wakazara ROM uye kuparadzirwa kunorwadza kunoshamisa kubva kumagumo. Varwere ava vaiwanzorondedzera kurwadziwa kwechipfuva, kusvotwa, kurutsa, kupera simba, uye kusashanda zvakanaka.
Migumisiro yechirongwa ichi yakaratidza kuti mukirasi I, 36 / 50 varwere (72%) vakaita zvakanaka kune chiropractic: muboka rechipiri, 30 / 32 varwere (94 muzana) vakapindura zvakanaka kuchipatractic care; uye muboka III, chete 3 / 11 mamiriro ezvinhu (27%) akabvuma zvakanaka kuchipatractic care. Pakanga pane musiyano mukuru pamigumisiro pakati pemapoka matatu.
Ichi chidzidzo chinopa humbowo hutsva hwekuti chiropractic kuchengetedza inoshanda kune varwere vakakuvadzwa ne whiplash. Zvisinei, chidzidzo chacho hachina kufunga nezvevarwere vane kukuvara kwemusana, kukuvara kwekupedzisira, uye kukuvara kweTMJ. Izvo hazvina kuzivisa kuti ndevapi varwere vaive nekukuvara kwe disc, radiculopathy, uye concussive kukuvara kwehuropi (zvingangoita boka III varwere). Aya marudzi evarwere anopindura zviri nani kumuenzaniso wechiropractic kuchengetedza pamwe chete nevatambi vemarudzi akawanda.
Zvidzidzo izvi zvinoratidza izvo maDC akawanda akatoona, kuti chiremba wechiropractic anofanira kunge ari mutarisiri mukuru muzviitiko izvi. Ipfungwa yakajairika kuti muzviitiko zvakaita sevarwere veboka III, kutarisirwa kunofanirwa kuve kwakasiyana-siyana kuti uwane mhedzisiro yakanakisa mumamiriro ezvinhu akaoma.
Kuwanda kweruzivo rwedu kunogumira kune chiropractic uye kukuvara kwemusana uye mamiriro. Kuti ukurukure zvingasarudzwa panyaya iyi, tapota bvunza Dr. Jimenez kana kutibata nesu pa 915-850-0900 .
Zvimwe Zvinyorwa: Automobile Accident Injuries
Whiplash, pakati pekumwe kukuvara kwetsaona yemotokari, inowanzotaurwa nevaya vakakuvadzwa nemotokari, zvisinei nekuoma uye giredhi mutsaona. Whiplash inowanzova mhedzisiro yekukasira, kumashure-uye-kubuda jolt yemusoro nemutsipa mune chero nzira. Simba guru rekukanganisa rinogona kukonzera kukanganisa kana kukuvara kumutsipa wekervical uye mamwe ose emusana. Sezvineiwo, kurapwa kwakasiyana kunowanikwa kurapa kukuvara kwetsaona yemotokari.
VIDEO
by Dr Alex Jimenez Kungoerekana Kungoerekana Kungoitika , Kungoerekana Kungoerekana Kungoitika , Whiplash
Nepo kupwanya, kusuruvara, uye kupwanya zvakajairika, whiplash uye kukuvara kusingaperi kwechaplash hakugone kuratidza kwemazuva akati wandei kana mavhiki. Nepo mota dzanhasi dzakachengeteka kupfuura nakare kose, vanogona vachiri kungoita zvakanyanya kana zvasvika kumuviri uye musculoskeletal hutano. Kubatanidzwa mutsaona yemotokari, kunyangwe pombi diki inogona kupa kamwe kamwe jolt kumuzongoza kuti kunyangwe hazvo munhu angave asina kunzwa chero chinhu senge kusagadzikana kana kurwadziwa, zvaive zvakakwana kutamisa iwo ma disc / s kubva panzvimbo kana kumiseta kuti vabve kunze kwenzvimbo. Hapana munhu anoda kuve nenjodzi yemotokari kana yemudhudhudhu, asi zvisinei nemabatiro akanaka ekutyaira, kana mafambiro ekuchengetedza pamotokari, mutyairi wepakati anozobatanidzwa mutsaona dzemotokari nhatu kana ina muhupenyu hwavo. .
Whiplash
Kuputika nekukuvara kusingaperi kwechaplash kunoitika mutsaona dzemotokari. Vanopfuura mamirioni matatu eAmerica vanoona chiremba uye chiropractor yetsaona dzemotokari uye whiplash mhedzisiro. Zvinongotora 2.5 mph hit kuti ikonzere kukuvara. Uye whiplash haingoitika chete kana ikarohwa kubva kumashure, kune nzira dzinoverengeka munhu dzaanogona kuitiswa whiplash, kusanganisira kuve T-boned, kutasva kwepaki, uye kudonha pabhasikoro kana bhiza.
zviratidzo
Zvizhinji zvezviratidzo zve whiplash zvinokura mumaawa makumi maviri nemana ekutanga , asi izvi hazviwanzo kuitika. Zviratidzo zvakajairika zvinosanganisira:
Neck marwadzo
Mutsipa wakaomarara
Kunyanya kurwadziwa kwemutsipa kana uchifamba, kutenderera
Kutemwa nemusoro kunotangira pasi pemusoro
Kurasikirwa kwekufamba kwakawanda
Chizutu
Kuneta
papfudzi marwadzo
Kurwadziwa kwehondo
Kumusoro kurwadziwa shure
Kutambudzika kwakadzoka shure
Chiratidzo chakasvibiswa kufunganya
Nausea
kusuruvara
Kuomesa nekushushikana
Matambudziko ekurangarira
Matambudziko okurara
Chokwadi uye Stats
Vazhinji vanhu vanoziva kuti vakarova zuva kana maviri mumashure, asi kune vamwe, zvinogona kutora mavhiki mashoma kana kunyangwe mwedzi kuti ubudise. Whiplash iri yakarongedzwa nedhigiri kana giredhi :
Bhuku 0
Munhu wacho haana zvichemo uye hapana zviratidzo / zviratidzo zvekukuvara mumuviri.
Bhuku 1
Pane marwadzo mutsipa asi zviripo hapana zviratidzo zvekukuvara.
Bhuku 2
Pane zviratidzo / zviratidzo zve musculoskeletal kukuvara uye kurwadziwa kwemutsipa kuri kuratidza.
Bhuku 3
Pane zviratidzo / zviratidzo zvekukuvara kwetsinga uye kurwadziwa kwemutsipa kuri kuratidza.
Ivhareji yenguva yenguva vanhu vazhinji vanogara pamba kubva kubasa ingangoita mazuva makumi mana. Zvisinei, apo kurwadziwa kwechiplash kunogara kwenguva refu kupfuura mavhiki mashoma, inoonekwa kunge isingaperi whiplash.
Chisingaperi Whiplash
Vamwe vanhu vane whiplash inosangana nezviratidzo zvinorwadza kwemakore . Izvi ndezvechokwadi kune avo vanodzivisa kana kuramba kurapwa uye vanodzidza kurarama nazvo.
Treatment Options
Kune nzira dzinoshanda kwazvo dzekurapa whiplash uye kukuvara kusingaperi kwechiplash. Zvichienderana nezviyero zvekukuvara / s, kugadzira iyo chaiyo yekurapa / chirongwa chekuvandudza inoda munhu kubvunza nechiropractor kukurukura sarudzo dzinogona kusanganisira:
Pain Relief
Marwadzo anogona kuve anorwadza. Kupfuura-the-counter kurwadziwa kunodzora senge ibuprofen yekuzorora kwenguva pfupi. Zvisinei, munhu wacho achada kurapwa kwakawedzerwa kuti ave nechokwadi kuti hachizove kurwadziwa kusingaperi.
Neck chibooreso
Neck brace inobatsira kudzora marwadzo, asi haifanire kupfekwa kweanopfuura mazuva matatu kana mana . Kana ikapfekwa kwenguva refu tsandanyama dzemutsipa dzinodzivirirwa kuwana simba rinodiwa kutsigira musoro.
Usagare Kwakareba
Dzivisa kuchengeta musoro mune chero chinzvimbo chimwe kwenguva refu . Izvi zvinosanganisira kugara pamubhedha, kuona TV, kana kushanda padhesiki. Izvi zvinoisa huwandu hwakawanda hwekumanikidza uye kushushikana pamutsipa, zvichiita kuti marwadzo atonyanya uye ave kwenguva refu
Kurara Zvakakodzera uye Kwakanaka
Kune vazhinji, zvinogona kunetsa kupinda munzvimbo yakasununguka pakurara. Kurara kumusana nemusoro wakashandurwa kune rumwe rutivi kunogona kuwedzera kurwadziwa. Edza zvemhando yepamusoro ergonomic mutsago Mutsipa Wakafanana
Whiplash inogona kukonzera musana kuti usuduruke kubva mukuenderana. Izvi zvinogona kutungamira kune mamwe matambudziko kumashure kana mapendekete. Iyo inogara iri zano rakanaka kuona chiropractor iyo inonyanya kugadzirisa kukuvara kwenjodzi yemotokari kugadzirisa musana uye mutsipa, pamwe nekugadzirisa kusimbisa mhasuru uye kudzivirira kumwe kukuvara. Ona chiropractor kuti uongorore kukuvara uye gadzira yakagadziriswa chirongwa chekurapa chinoshandira mamiriro emunhu.
Munhu wese akasiyana
Vamwe vanhu vanogona kuomarara uye kurwadza kwemazuva mashoma uyezve vakanaka pasina kurwadziwa kwakanyanya. Vamwe vanhu vanoona kurwadziwa kwakanyanya pakarepo mushure mekuparara, nepo vamwe vasina kurwadziwa kwemazuva kana kunyangwe mavhiki. Zviitiko zvese izvi zvakajairika. Nyoro nyoro kukuvadzwa inogona kunyengera kwazvo. Vamwe havawani kurwadziwa chero kwemwedzi mushure metsaona iyi. Vazhinji havafunge kuti vanofanirwa kuona chiremba kana chiropractor nekuti hapana kurwadziwa kana zviratidzo. Nekudaro, pazasi pezvinetso zvakakomba kungave kuri kugadzirira kuburitsa kusanganisira:
Kugara achitemwa nemusoro
Chiveve kana mapini uye tsono mumaoko kana mumaoko
Pain pakati pemapfudzi emafudzi
Murombo kumira
Kusingaperi kwemhasuru kusagadzikana
Zvinorwadza spasms
Kugadziriswa kwemadhisiki
Zvinorwadza zvinopisa arthritis
Iko kukurumidza kukura kweArthritis
Misungo inorwadza, yakasimba, kana isingachinjiki
Kurara kuvhiringidzika
Kuneta
Chizutu
Mutumbi Muumbi
VIDEO
Kuderera kwezviitiko zvemuviri
Kushanda kwemuviri chinhu chekutanga mukufambira mberi kwe sarcopenia Kuramba kurovedza muviri kunogona kubatsira kuchengetedza tsandanyama uye kubatsira kuvaka mhasuru simba. Vanhu vakagara zvakanyanya vanogona kuwedzera mhedzisiro yesarcopenia.
Kuderera kwema motor neurons
Kukwegura kunoperekedzwa nemotokari kurasikirwa neuroni kunokonzerwa nekufa kwesero. Izvi zvinotungamira mukudzikira kwemhasuru fiber. Uku kuderera kwemhasuru yemasuru kunotungamira ku:
Kukanganisika kuita
Kuderedzwa kweanoshanda masimba
Kukwanisa kuderera kwekuita mabasa ezuva nezuva
Dr. Alex Jimenez's Blog Post Disiki
Chiyero cheruzivo rwedu chinogumira kuchiropractic, musculoskeletal, mishonga yemuviri, hutano, uye zvine hutano nyaya dzehutano uye / kana anoshanda mushonga zvinyorwa, misoro, uye hurukuro. Isu tinoshandisa zvinoshanda zvehutano & hutano zvirongwa kuti tibate uye titsigire kuchengetedza kwekukuvara kana kusagadzikana kweiyo musculoskeletal system. Zvatinotumira, misoro, zvidzidzo, uye ruzivo rwunovhara nyaya dzemakiriniki, nyaya, uye misoro inoenderana uye inotsigira zvakanangana kana zvisina kunangana kwedu kweclinic maitiro. *
Hofisi yedu yakaedza zvine mutsigo kupa tsigiro uye yakaratidza yakaringana research yekutsvagisa kana zvidzidzo zvinotsigira zvatatumira. Isu tinoitawo makopi ekutsigira ekutsvagisa zvidzidzo zviwanikwe kubhodhi uye kana kuruzhinji pakukumbira Isu tinonzwisisa kuti tinofukidza zvinhu zvinoda imwe tsananguro yekuti ingabatsire sei mune imwe chirongwa chekutarisira kana yekurapa protocol; Naizvozvo, kuti uenderere mberi nekukurukura nyaya iri pamusoro, ndapota inzwa wakasununguka kubvunza Dr.Alex Jimenez kana kutibata nesu pa915-850-0900. Mupiki (s) Anobvumidzwa muTexas & New Mexico *
References
Mashandiro anoita Mutsipa: UpToDate. (2020) Patient dzidzo: Neck pain (Beyond the Basics)www.uptodate.com/contents/neck-pain-beyond-the-basics
Zviratidzo: NYAYA DZIMWE. (2018) horThoracic kusagadzikana mune whiplash-inosangana matambudziko: Kuongorora kwakarongekawww.ncbi.nlm.nih.gov/pmc/articles/PMC5865734/
Zvinokonzera: AyoMayo Clinic. (Nd) hipWhiplash. www.mayoclinic.org/diseases-conditions/whiplash/symptoms-causes/syc-20378921
by Dr Alex Jimenez Neck Pain Treatments , Whiplash
Axial kurwadziwa kwemutsipa inozivikanwawo seyakareruka kurwadziwa kwemutsipa, whiplash, uye remuromo wechibereko / mutsipa. Iwo anoreva marwadzo uye kusagadzikana kumhanya uchitevedza musana kana kumashure kwemutsipa. Axial inotsanangurwa sekuumba kana kutenderedza axis. Rudzi urwu rwekurwadziwa runogara rwakakomberedza mutsipa uye nekukurumidza zvakapoteredzwa zvivakwa. Iyo haina kutambanudza / kubuda kune maoko, maoko, zvigunwe, uye dzimwe nzvimbo dzomuviri . Axial kurwadziwa kwemutsipa kwakasiyana nemamwe maviri mamiriro emutsipa. Vari:
Cervical radiculopathy inotsanangura kutsamwa kana kumanikidza / kutsimbirira kwetsinga sezvo ichibuda mumuzongoza . Mitsipa yekervical spine inozivikanwa se peripheral nerves. Ivo vane basa rekutumira masaini kuenda nekubva kuuropi kuenda kunzvimbo dzakati dzemaoko nemaoko. Zviratidzo zvinotumirwa kubva kuuropi ndezvekufamba kwetsandanyama, nepo zviratidzo zvinoenda kuuropi ndezvekunzwa.
Kana imwe yeiyi nerve/s ikashatirwa, kuputika, kana kukuvara, zvinogona kukonzera:
Uturu hunorwadza
Kushaya simba
Numbness
Kuvhiringidza kunzwa
Burning pain
Dzimwe mhando dzekusanzwisisika kwekunzwa mumaoko, maoko, kana zvigunwe.
Cervical myelopathy rinotsanangura kudzvinyirira kwetambo yemuzongoza pachayo . Iyo tambo yemuzongoza ndiyo ruzivo mugwagwa / pombi kune ese mativi emuviri. Kune huwandu hwezviratidzo hunogona kusanganisira:
Zviratidzo zvakafanana nekervical radiculopathy Matambudziko ekuyera
Zvinetso zvekugadzirisa
Kurasikirwa kwehunyanzvi hwemotokari
Bowel uye bladder kusagadzikana
Axial kurwadziwa kwemutsipa
Axial kurwadziwa kwemutsipa rudzi rwakajairika rwekurwadziwa kwemutsipa. Inobata kwakatenderedza gumi muzana yevagari. Zvisinei, ruzhinji rwezviitiko izvi harwune zvakakomba zviratidzo zvinodzikamisa zviitwa zvezuva nezuva .
zviratidzo
Marwadzo kumashure kwemutsipa ndicho chiratidzo chekutanga uye chakajairika. dzimwe nguva kurwadziwa kunofamba kuenda ku hwaro hwe dehenya, fudzi, kana bhanhire reza.
Kuoma kwemutsipa
Headaches
Yakarongeka tsandanyama kurwadziwa
Kunodziya
Tingling
Kuvandudza Njodzi zvinhu
Mamiriro asina kunaka, kushomeka kwe ergonomics, uye kushomeka kwemhasuru kunowedzera mikana yekukura kurwadziwa kwemutsipa. Zvinhu zvinotyisa yekusimudzira inosanganisira:
zera
Trauma - Tsaona yemotokari, mitambo, pachako, kukuvara kwebasa
Headaches
kusuruvara
Chronic pain pain
Matambudziko okurara
kuongorora chirwere
Kubva pane zviratidzo uye bvunzo dzepanyama kuwanikwa ndiko kuongororwa kunowanzoitwa. Chiremba anowanzo kuraira x-ray, CT, kana MRI yekervical spine. Izvi zvinoda kukurumidza kushanya kuchipatara/kiriniki kuti aongororwe. Panogona kuve nezviratidzo zvakakomba zvinogona kuratidza chimwe chinhu chine njodzi, zvichikonzera marwadzo senge hutachiona, kenza, kana kutyoka . Zviratidzo izvi zvinosanganisira:
Pamberi pekushungurudzika / kukuvara kubva pakuwa, tsaona yemotokari, mitambo, kukuvara kwebasa
chimhepo
Kuonda
Night sweats
Kugara uchirwadziwa husiku
Rheumatic mamiriro / zvirwere zvinokonzeresa kurwadziwa kwemutsipa zvinogona kusanganisira kuomarara kwemangwanani uye kusasimba zvinova nani sezvo zuva richifambira mberi. Kana zviratidzo zvikaenderera kweanopfuura masvondo matanhatu , kufungidzira kwemusana kunogona kukurudzirwa, kunyanya kune vanhu vakambovhiyiwa mutsipa kana musana
mabatiro
Pane nzira dzakasiyana siyana dzekurapa. Kuvhiya hakuwanzo kudikanwa kunze kwezviitiko zvakakomba. Kudzokera kumabasa akajairwa kanenge pakarepo ndechimwe chezvinhu zvakakosha kudzivirira marwadzo kubva pakuva asingaperi. Mishonga yekutanga inowanzotanga ne:
Physical therapy
Chiropractic
Kutambanudza maitiro
Kusimbisa maitiro
Acetaminophen
Anti-kupisa mishonga / s
Misuru inozorodza dzimwe nguva inorayirwa
Kana cervical spine fracture yakaonekwa, kusungirirwa kwemutsipa kunogona kukurudzirwa kushandiswa kwenguva pfupi. Kora yakapfava inogona kushandiswa kana kurwadziwa kwakanyanya, asi chiremba kazhinji anorega kushandisa mushure memazuva matatu. Dzimwe nzira dzisiri-dzisiri dzekurapa dzinosanganisira:
TENS - transcutaneous magetsi etsinga kukurudzira
Electromagnetic kurapwa
Qigong Acupuncture
Yakadzika-mwero laser kurapwa
Kufungisisa-maitiro ekurapa
Zvirwere zvinopinza senge injections , tsinga ablation sejari hazviwanzodikanwa. Asi kana zvichidikanwa, zvinogona kubatsira kune izvo zviitiko.
Zvinokonzera
Mhando dzakasiyana dzemutsipa maatomical zvivakwa zvinogona kukonzera marwadzo. Zvinowanzoitika zvinosanganisira:
Murombo kumira
zera
Degeneration
Ergonomics
Kukuvadza kumhasuru kana ligaments
chirwere chemumajoini
Zvese izvi zvinogona inokanganisa vertebral miviri, discs, uye maficha majoini . Pfudzi arthritis kana rotator cuff kubvarura anogona tevedzera axial mutsipa kurwadziwa. Kusashanda kweiyo temporomandibular jaw joint kana tsinga dzeropa dzemutsipa zvinogona kukonzera axial kurwadziwa, asi hazviwanzo.
Prognosis
Zviratidzo zvinowanzo kudzikiswa mukati memavhiki e4-6 kubva pakatanga kurwadziwa. Marwadzo anoenderera mberi kweizvi anofanirwa kukurudzira kushanyira chiropractic chiremba
dziviriro
Chengetedza mhasuru dzemutsipa dzakasimba ne kusimbisa muviri .
Tambanudza mutsipa nguva dzose .A kudya zvine hutano zvakanangana nerutsigiro rwemabhonzo .
Kurara kwakaringana, semuenzaniso, kurara kumashure kana parutivi nepillow inotsigira yakasikwa curve yemutsipa.Kana pane komputa yebasa kana nguva yakareba, fambisa maziso nechetatu chepamusoro chechidzitiro.
Dzivisa kutarisa pasi kana pafoni, kuverenga, nezvimwewo, kwenguva yakareba nekuchengeta maoko akatsigirwa pane armrest.Magirazi anofanira kusundidzirwa kumusoro pamhino zambuko; kana vanotsvedza pasi, pane katsika kekuti musoro utevere.Usakanganwa kudaro tarisa kumusoro kazhinji .
Kugadzirisa chimiro, ergonomics, uye kusimba kwemhasuru kunogona kubatsira kudzivirira kutanga kwemarwadzo uye kubatsira kuderedza zviratidzo.
Whiplash Neck Pain Kurapa
VIDEO
by Dr Alex Jimenez Whiplash
Physical therapy zvinosanganisira zvese passivity uye inoshanda kurapa uye An ndiwo mushonga unoshanda we whiplash , kunyanya zvakasanganiswa nemamwe marapirwo, senge bracing uye chiropractic. Whiplash inoita kuti zvinyoro zvinyoro zvichidzika mumutsipa mako zvikanganisike. Therapist yemuviri inogona kushanda newe kuti dzosera kushanda kwakakodzera uye kufamba kweaya matishu.
Passive kurapwa kubatsira zorora kunetseka mumhasuru yematehwe yakaunzwa panguva yetsaona mutsipa nemuviri. Inotarisirwa kurapa kungoita nekuti murwere haashingaire kutora chikamu . Nyowani kubva mukukuvara kurwadziwa kwakanyanya kunogara mukati Naizvozvo kurapwa kungoita ndekwekutanga kurapwa kwekuti muviri wako unotanga kupora uye unogadzirisa zviratidzo.
Chinangwa chekutanga chekurapa kwemuviri ndechekuti varwere vatore chikamu chekurapa kusvika vagokwanisa kuzviitira vega. Iyo mishonga yekurapa inodzidziswa nemurwere wemurwere ndeye kusimbisa muviri wako wese kuti uve nechokwadi chekuti musana wako unotsigirwa zvakakwana.
Passive Treatment
Yakadzika Tissue Massage
Iyi nzira inotarisa pane yakasimba tsandanyama kusagadzikana kunoitika kubva mukukuvara. Dzvinyiriro yakananga inoshandiswa
Ligamende Tendons tsandanyama
Izvi zvichabatsira matishu aya kupora nekukurumidza uye nekuasunungura.
Kupisa / Cold Therapy
Kurapa kwembambo kunoshandiswa nevarapi vemuviri kutenderera kweropa rakawanda kunzvimbo yakakuvara. Kuwedzera kweropa kuyerera kunotendera oksijeni yakawanda, uye zvinovaka muviri kunzvimbo yacho. Ropa rinobvisawo marara zvigadzirwa zvakagadzirwa nemasasas spasms.
Cold kurapa kunoderedza kuyerera kweropa, iro inobatsira kudzikisa kuzvimba, tsandanyama dzemasumbu, uye kurwadziwa. Varapi venyama vanopesana pakati pekupisa nekutonhora kurapa zvichienderana nemamiriro emurwere.
Kunyangwe mutsaona yemotokari kana imwe mhando yekurwara inopisa uye inotonhora kurapwa kunogona kushandiswa pa musha . Ice inofanira kushandiswa kutanga kuburitsa kuzvimba . Pashure Maawa makumi maviri nemana kusvika makumi mana nemashanu, chinja pakati pechando nekupisa. Iko kupisa kunobatsira kudzikamisa tsandanyama uye kunowedzera kuyerera kweropa kunzvimbo yakakuvadzwa. Usamboisa ice kana kupisa zvakananga paganda, kuputira mu tauro wobva waisa.
Ultrassom
Ultrasound inobatsira kuderedza tsandanyama:
Cramping
Pain
Spasms
Kushushikana
Kuzvimba
Mafungu anonzwika anotumirwa zvakadzika mukati memasurutsipa uye anogadzira kupisa kwakapfava kunotenderera iro iropa iro rinogonesa maitiro ekurapa.
Active Treatment
Kana chikamu chinoshanda chekurapa chichitanga, murapi achakudzidzisa / kukudzidzisa iwe maitiro akasiyana emuviri kuti ushande pane simba uye huwandu hwekufamba kana majoints anofambisa sei nyore kana kwete. Chirongwa chega chega chekurapa chemuviri chakagadziriswa kune chero mamiriro emurwere, hutano, uye nhoroondo yekurapa.
Mamwe maekisesaizi anogona kunge asina kukodzera kune mumwe munhu ane whiplash kukuvara sezvo anogona kuwedzera zviratidzo zvavo uye kuwedzera kukuvara. Kudzidza maitiro ekugadzirisa ako eema uye kushandisa ergonomics mune zvako zvezuva nezuva zviitiko ndechimwe chikamu chechirongwa chekurapa. Kana ichinge yadzoreredzwa iyi basa richaenderera kubatsira nekuda kwekudzidziswa / kurovedza muviri unogona kudzivirira dzimwe nzira dzekurwadziwa kwemutsipa dzinokura kubva kuhupenyu hwekugara.
Kurapa kwepanyama kwevarwere ve whiplash kunobatsira kuderedza tsandanyama dzemasuru, kuwedzera ropa, uye kukurudzira kupora kwemitsipa.
Spinal Kuvhara Imwe Kurapa Sarudzo
Whiplash inorapwa zvakanyanya, imwe sarudzo iri kushandisa cervical brace kana cervical collar. Brace inopa rutsigiro kumutsipa nepo zvinyoro zvawo zvinopora. Basa rakapfava rematehwe nderokutsigira mutsipa wako, asi kana vakuvara, havakwanise kuita basa ravo. Ipapo ndipo panouya brace.
Cervical zvishandiso zvinoderedza kufamba kwemutsipa uye kutsigira musoro wako, izvo zvinobvisa uremu pamutsipa.
Izvi zvinobvumira tsandanyama kuzorora ivo vachipora. Chiremba wako anokuzivisa iwe kuti iwe unofanirwa kupfeka brace kwenguva yakareba sei. Kazhinji, inopfekwa kwemavhiki maviri kana matatu. Chiremba anozotsanangura mapfekero ainoita, izvo zvinoreva kuti ingazviremere sei zuva rega rega, kutarisira kola, kubata zviitiko zvezuva nezuva sekushambidza, kugara, kurara, nezvimwewo zviratidzo zvinowanzopera mumavhiki maviri kusvika matatu. Nekudaro, kana kuchine kurwadziwa, soreness, kana zvimwe zviratidzo, ungangofanira kuedza kumwe kurapwa.
Whiplash Massage Therapy El Paso, TX Chiropractor
VIDEO
CNCBI Zviwanikwa
Mushure metsaona yemotokari, unogona kucherechedza kurwadziwa kwemutsipa. `` Zvinogona kuva kupenya kusinganzwisisike kwaunofunga kuti hakusi chinhu asi chengetedza zvakanyanya kuti ungangove uine whiplash. tsime.
