Mamiriro Ekutongwa
Back Clinic Conditions Yakarapwa. Chronic Pain, Auto Accident Care, Back Pain, Low Back Pain, Back Injuries, Sciatica, Neck Pain, Kukuvara Kwebasa, Kukuvara Kwemunhu, Kukuvara Kwemitambo, Migraine Headaches, Scoliosis, Complex Herniated Discs, Fibromyalgia, Wellness & Nutrition, Stress Management, uye Kukuvara Kwakaoma.
PaEl Paso's Chiropractic Rehabilitation Clinic & Integrated Medicine Center, isu tinonyanya kufunga nezvekurapa varwere mushure mekukuvadzwa kwakashata uye zvirwere zvisingaperi zvinorwadza. Isu tinotarisisa kuvandudza kugona kwako kuburikidza nekushanduka, kufamba, uye agility zvirongwa zvakagadzirirwa mazera ese uye hurema.
Kana Dr. Alex Jimenez achinzwa kuti unoda kumwe kurapwa, ipapo iwe uchatumirwa kukiriniki kana Chiremba anonyatso kufanirwa iwe. Dr. Jimenez akabatana nevarapi vepamusoro, nyanzvi dzemakiriniki, vatsvakurudzi vezvokurapa, uye premiere rehabilitation providers kuti vaunze El Paso mishonga yepamusoro yekiriniki munharaunda yedu. Kupa iyo yepamusoro isingapindike maprotocol ndiyo yedu yekutanga. Kunzwisisa kwekiriniki ndizvo zvinodiwa nevarwere vedu kuitira kuti tivape kutarisirwa kwakakodzera kunodiwa. Kuti uwane mhinduro kumibvunzo ipi yaungave unayo ndapota fonera Dr. Jimenez pa915-850-0900
by Dr Alex Jimenez Mamiriro Ekutongwa , Neuropathy
Zvimwe zvirwere zvetsinga zvinogona kukonzera acute episodes of peripheral neuropathy, uye kune vanhu vanoonekwa kuti vane chirwere chisingaperi cheuropathy, chirwere chemuviri chinogona kubatsira kuvandudza kukwanisa kufamba zvakachengeteka pamwe chete nemishonga, maitiro, uye mararamiro ekugadzirisa kuti abatsire kudzora nekugadzirisa zviratidzo?
Peripheral Neuropathy Kurapa
Peripheral neuropathy kurapwa kunosanganisira zviratidzo zvekurapa uye manejimendi ekurapa kubatsira kudzivirira kuwedzera kukuvara kwetsinga.
Kune acute mhando dzeperipheral neuropathy, kupindira kwekurapa uye marapirwo anogona kurapa ari pasi pemaitiro, kugadzirisa mamiriro.
Kune zvisingaperi marudzi eperipheral neuropathy, kupindira kwekurapa uye mararamiro ehupenyu zvinogona kubatsira kudzivirira kufambira mberi kwemamiriro.
Chronic peripheral neuropathy kurapwa inotarisa pakudzora zviratidzo zvekurwadziwa uye kudzivirira nzvimbo dzekunzwa kuderera kubva mukukuvadzwa kana kutapukirwa.
Kuzvitarisira uye Kugadzirisa Mararamiro
Kune vanhu vakaonekwa kuti vane peripheral neuropathy kana kuti vari panjodzi yekuvandudza mamiriro acho, mararamiro anoita basa rakakosha mukugadzirisa zviratidzo uye kudzivirira kukuvara kwetsinga kubva pakuipa uye zvinogona kutodzivirira mamiriro acho kukura. (Jonathan Enders et al., 2023 )
Pain Management
Vanhu vanokwanisa kuedza marapirwo ekuzvitarisira aya voona kuti uye ndeapi anobatsira kuderedza kusagadzikana kwavo vobva vagadzira muitiro wavanogona kushanda nawo. Kuzvitarisira kwezviratidzo zvekurwadziwa kunosanganisira:
Kuisa pedhi yekudziya inodziya panzvimbo dzinorwadza.
Kuisa pedhi yekutonhora (kwete ice) panzvimbo dzinorwadza.
Kuvhara nzvimbo kana kuisiya isina kufukidzwa, zvichienderana nekunyaradza mazinga.
Pfeka mbatya dzisina kusimba, masokisi, shangu, uye/kana magirovhosi asina kugadzirwa nezvinhu zvinogona kukonzera kushatirwa.
Rega kushandisa mafuta ekuzora kana sipo zvinogona kukonzera kusvotwa.
Shandisa mafuta anozorodza kana lotions.
Kuchengeta nzvimbo dzinorwadza dzakachena.
Kudzivirira Kukuvara
Kunzwa kuderera ndeimwe yeanowanzo mhedzisiro inogona kutungamirira kumatambudziko akaita sekugumburwa, kunetseka kutenderera, uye kukuvara. Kudzivirira uye kugara uchitarisa kukuvara kunogona kubatsira kudzivirira matambudziko senge maronda ane hutachiona. (Nadja Klafke et al., 2023 ) Kugadziriswa kwehupenyu hwekugadzirisa nekudzivirira kukuvara kunosanganisira:
Pfeka bhutsu dzakakwenenzverwa uye masokisi.
Ongorora tsoka, zvigunwe, zvigunwe, uye maoko nguva nenguva kuti utarise mavanga kana mavanga asina kumbonzwa.
Kuchenesa uye kuvhara macheka kudzivirira zvirwere.
Chenjerera zvakanyanya nemidziyo inopinza senge yekubikira nebasa kana maturusi ekurima.
Kutarisira Zvirwere
Mararamiro ehupenyu anogona kubatsira kudzivirira kufambira mberi kwechirwere uye anonyatso kuenderana nenjodzi uye zvinokonzeresa. Kubatsira kudzivirira peripheral neuropathy kana kufambira mberi kwayo kunogona kuitwa ne: (Jonathan Enders et al., 2023 )
Chengetedza hutano hwakanaka hweglucose kana uine chirwere cheshuga.
Dzivisa doro kune chero peripheral neuropathy.
Chengetedza kudya kwakakwana, izvo zvinogona kusanganisira mavitamini ekuwedzera, kunyanya kune vanodya miriwo kana vegans.
Over-the-Counter Therapies
Mishonga shomanana yemishonga inogona kubatsira nezviratidzo zvinorwadza uye inogona kutorwa sezvinodiwa. Over-the-counter pain therapies inosanganisira: (Michael Überall et al., 2022 )
Topical lidocaine spray, chigamba, kana makirimu.
Capsaicin creams kana zvigamba.
Topical Icy Hot
Non-steroidal anti-inflammatory medication - Advil/ibuprofen kana Aleve/naproxen
Tylenol/acetaminophen
Mishonga iyi inogona kubatsira kubvisa zviratidzo zvinorwadza zveperipheral neuropathy, asi hazvibatsire kuvandudza kuderera kwekunzwa, kushaya simba, kana kurongeka kwematambudziko. (Jonathan Enders et al., 2023 )
Prescription Therapies
Mishonga yekurapa yekurapa peripheral neuropathy inosanganisira mishonga yemarwadzo uye anti-inflammatories. Mhando dzisingaperi dzeperipheral neuropathy dzinosanganisira:
Doro neuropathy
Diabetes neuropathy
Chemotherapy-induced neuropathy
Mishonga yemishonga yemhando dzisingaperi inosiyana nekurapa kweacute mhando dzeperipheral neuropathy.
Pain Management
Mishonga yemishonga inogona kubatsira kugadzirisa marwadzo uye kusagadzikana. Mishonga inosanganisira (Michael Überall et al., 2022 )
Lyrica - pregabalin
Neurontin - gabapentin
Elavil - amitriptyline
Effexor - venlafaxine
Cymbalta - duloxetine
Muzviitiko zvakakomba, intravenous/IV lidocaine inogona kudikanwa. (Sanja Horvat et al., 2022 )
Dzimwe nguva, mushonga wekuwedzera simba kana vhitamini B12 inopiwa kuburikidza nejekiseni inogona kubatsira kudzivirira kufambira mberi apo peripheral neuropathy inobatanidzwa nekushayikwa kwakanyanya kwevhitamini. Mishonga yekurapa inogona kubatsira kubata maitiro ari pasi pemamwe marudzi eacute peripheral neuropathy. Kurapa kweacute peripheral neuropathy, senge Miller-Fisher syndrome kana Guillain-Barré syndrome, inogona kusanganisira:
Corticosteroids
Immunoglobulins - immune system mapuroteni
Plasmapheresis inzira inobvisa chikamu chemvura yeropa, ichidzosa masero eropa, ayo anogadzirisa kuwanda kwesimba remuviri. (Sanja Horvat et al., 2022 )
Vatsvagiri vanotenda kuti pane hukama pakati pemamiriro aya uye kuzvimba nerve kukuvara , uye kushandura immune system kunobatsira pakurapa zviratidzo uye chirwere chiripo.
Surgery
Mune zvimwe zviitiko, maitiro ekuvhiya anogona kubatsira vanhu vane mamwe marudzi eperipheral neuropathy. Kana imwe mamiriro ari kuwedzera zviratidzo kana nzira yeperipheral neuropathy, kuvhiyiwa kunogona kubatsira kubvisa zviratidzo uye kudzivirira kufambira mberi kwechirwere. Izvi zvakaratidza kushanda kana tsinga dzakasungwa kana vascular insufficiency zviri zvinhu. (Wenqiang Yang et al., 2016 )
Anowirirana uye Anotsiva Mushonga
Dzimwe nzira dzinopindirana uye dzimwe nzira dzinogona kubatsira vanhu kurarama nemarwadzo uye kusagadzikana. Mishonga iyi inogona kushanda senzira inoenderera kune avo vane chronic peripheral neuropathy. Sarudzo dzinogona kusanganisira: (Nadja Klafke et al., 2023 )
Acupuncture inosanganisira kuiswa kwetsono munzvimbo dzakananga dzemuviri kubatsira kuderedza zviratidzo zvemarwadzo.
Acupressure inosanganisira kushandisa kumanikidza kune dzimwe nzvimbo dzemuviri kubatsira kuderedza zviratidzo zvinorwadza.
Massage therapy inogona kubatsira kuzorodza tsandanyama.
Kufungisisa uye kurapwa kwekuzorora kunogona kubatsira kubata zviratidzo.
Kurapa kwepanyama kunogonawo kushanda sechikamu chakakosha chekurarama nekusingaperi peripheral neuropathy uye kupora kubva kune acute peripheral neuropathy.
Kurapa kwepanyama kunogona kubatsira kusimbisa mhasuru dzisina kusimba, kuvandudza kurongeka, uye kudzidza maitiro ekuchinja kune kunzwa uye mota shanduko kuti ufambe zvakachengeteka.
Vanhu vari kufunga nezvekuwedzera kana kumwe kurapwa vanokurudzirwa kuti vataure nevanovapa vekutanga vehutano kuti vaone kana kwakachengeteka kumamiriro avo. Injury Medical Chiropractic uye Functional Medicine Clinic ichashanda nemupi wehutano hwemunhu uye / kana nyanzvi kugadzira hutano hwakakwana uye hutano hwekugadzirisa mhinduro yekupa marwadzo nekuvandudza hupenyu.
Peripheral Neuropathy: Yakabudirira Kudzoreredza Nyaya
VIDEO
References
Enders, J., Elliott, D., & Wright, DE (2023). Emerging Nonpharmacologic Interventions Kurapa Diabetic Peripheral Neuropathy. Antioxidants & redox kusaina, 38 (13-15), 989-1000. doi.org/10.1089/ars.2022.0158
Klafke, N., Bossert, J., Kröger, B., Neuberger, P., Heyder, U., Layer, M., Winkler, M., Idler, C., Kaschdailewitsch, E., Heine, R., John, H., Zielke, T., Schmeling, B., Joy, S., Mertens, I., Babadag-Savas, B., Kohler, S., Mahler, C., Witt, CM, Steinmann, D. , ... Stolz, R. (2023). Kudzivirira uye Kurapa kweChemotherapy-Induced Peripheral Neuropathy (CIPN) neNon-Pharmacological Interventions: Clinical Recommendations kubva kuSystematic Scoping Review uye Nyanzvi Yekubvumirana. Sainzi dzekurapa (Basel, Switzerland), 11(1), 15. doi.org/10.3390/medsci11010015
Überall, M., Bösl, I., Hollanders, E., Sabatschus, I., & Eerdekens, M. (2022). Inorwadza chirwere cheshuga peripheral neuropathy: chaiyo-nyika kuenzanisa pakati pekurapwa kwepamusoro ne lidocaine 700 mg medicated plaster uye nemuromo kurapwa. BMJ yakavhura tsvagiridzo yechirwere cheshuga & nehanya, 10 (6), e003062. doi.org/10.1136/bmjdrc-2022-003062
Horvat, S., Staffhorst, B., & Cobben, JMG (2022). Intravenous Lidocaine Yekurapa Kwekurwara Kusingaperi: A Retrospective Cohort Study. Nyaya yekutsvakurudza kurwadziwa, 15, 3459-3467. doi.org/10.2147/JPR.S379208
Yang, W., Guo, Z., Yu, Y., Xu, J., & Zhang, L. (2016). Kunyaradza Kurwadziwa uye Utano Hunoenderana Nehutano-hwe-Hupenyu Kuvandudza Mushure meMicrosurgical Decompression yeEntrapped Peripheral Nerves muVarwere Vane Painful Diabetic Peripheral Neuropathy. Iyo Journal yekuvhiya tsoka uye ankle: kuburitswa kwepamutemo kweAmerican College of Foot uye Ankle Surgeons, 55 (6), 1185-1189. doi.org/10.1053/j.jfas.2016.07.004
by Dr Alex Jimenez Kugadzirira Therap , Mamiriro Ekutongwa
Kune vanhu vari kubata nechirwere chisingaperi chekuneta, kubatanidza acupuncture nemamwe maprotocol ekurapa kubatsira kudzorera kushanda uye kuvandudza hupenyu?
Acupuncture For Chronic Fatigue Syndrome
Tsvagiridzo iri kutarisa kuti acupuncture inogona kubatsira sei kubata zviratidzo zvekuneta kusingaperi. Zvidzidzo izvi zvakatarisa pane chaiwo acupoints uye matekiniki uye nemabatiro avakaita zvimwe zviratidzo kana kusakwana kwakabatana nemamiriro acho. Vatsvakurudzi vakawana kuti acupuncture inogona kubatsira kubata uye kuderedza zvimwe zviratidzo (Qing Zhang et al., 2019 ) Nekudaro, ivo vaive vachiri kutadza kuona kuti acupuncture inoshanda sei chaizvo.
Kununura Zviratidzo
Zvidzidzo zvakasiyana-siyana zvakaratidza kuti acupuncture inogona kuvandudza kuneta kwemuviri nepfungwa, kusanganisira:
Kwaivewo Nekunatsiridza Mukati
Zvimwe zvidzidzo Zvakawana Kuti Acupuncture Yakabatsira Sei Mu
Kurapa Kunosiyana Nekudzidza
Imwe nyaya yekuongorora yakaratidza kuvandudzwa mumapoka evatambi vakaiswa kuburikidza nemhando yezviitwa zvinopedza muviri uye kuzorora kwenguva pfupi. Rimwe boka revatambi rakarapwa neacupuncture pane acupoints akasarudzwa apo vamwe vakapiwa zororo rakawedzerwa. Ongororo yakashandiswa kune metabolic profiles yeweti samples dzakaunganidzwa kubva kuvamhanyi pamapoinzi matatu: pamberi pemaekisesaizi, pamberi uye mushure mekurapa acupuncture, kana kutora kuzorora kwenguva refu. Mhedzisiro yacho yakaratidza kuti kudzoreredzwa kwematabolites akakanganisika muvatambi vaibatwa neacupuncture kwakakurumidza zvakanyanya kupfuura kune avo vakangotora kuzorora kwenguva refu. (Haifeng Ma et al., 2015 )
Vatsvagiri vakati zvidzidzo zvinosanganisira acupuncture chete kana musanganiswa nekumwe marapiro zvinoita kunge zvinoratidza kuti inoshanda mukuderedza kuneta. (Yu-Yi Wang et al., 2014 ) Zvisinei, zvimwe zvidzidzo zvinodikanwa kusimbisa mabhenefiti. Uku ndiko kuchinja kukuru kubva pakuongorora kwakawana humbowo hushoma hwekushanda kwemamwe marapirwo ekubvisa zviratidzo zvekuneta zvisingaperi. (Terje Alraek et al., 2011 )
Imwe wongororo yedzimwe nzira dzekurapa dzakawana acupuncture uye dzimwe nzira dzekufungisisa dzakaratidza vimbiso yakanyanya yekuferefeta ramangwana. (Nicole S. Porter et al., 2010 )
Imwe ongororo yakaenzanisa prednisone, steroid, ine acupuncture nzira inonzi coiling dragon uye kumwe kurapa kunonzi cupping. Yakataura kuti kurapwa kwe acupuncture uye cupping kwakapfuura steroid maererano nekuneta. (Wei Xu et al., 2012 )
Imwe ongororo yakawana kuti kudiwa nekupisa kana moxibustion kwakaburitsa zvirinani pane yakajairwa acupuncture maererano nekuneta kwemuviri nepfungwa. (Chen Lu, Xiu-Juan Yang, Jie Hu 2014 )
Kubva Kukurukurirana Kuchinja: Kuongorora Varwere MuChiropractic Setting
VIDEO
References
Zhang, Q., Gong, J., Dong, H., Xu, S., Wang, W., & Huang, G. (2019). Acupuncture ye chronic fatigue syndrome: kuongorora kwakarongeka uye meta-analysis. Acupuncture mumishonga: bhuku reBritish Medical Acupuncture Society, 37 (4), 211-222. doi.org/10.1136/acupmed-2017-011582
Frisk, J., Källström, AC, Wall, N., Fredrikson, M., & Hammar, M. (2012). Acupuncture inovandudza hutano-hwehupenyu-hwehupenyu (HRQoL) uye kurara muvakadzi vane kenza yemazamu uye inopisa. Tsigiro yekuchengetedza mugomarara: gwaro repamutemo reMultinational Association of Supportive Care muCancer, 20 (4), 715-724. doi.org/10.1007/s00520-011-1134-8
Gao, DX, & Bai, XH (2019). Zhen ci yan jiu = Tsvakurudzo yeAcupuncture, 44(2), 140–143. doi.org/10.13702/j.1000-0607.170761
Mandıroğlu, S., & Ozdilekcan, C. (2017). Mhedzisiro yeAcupuncture pane Chronic Insomnia: Chirevo cheMakesi maviri ane Polysomnographic Evaluation. Nyaya ye acupuncture uye meridian zvidzidzo, 10 (2), 135-138. doi.org/10.1016/j.jams.2016.09.018
Zhu, L., Ma, Y., Ye, S., & Shu, Z. (2018). Acupuncture for Diarrhoea-Predominant Irritable Bowel Syndrome: Network Meta-Analysis. Evidence-based complementary and alternative medicine: eCAM, 2018, 2890465. doi.org/10.1155/2018/2890465
Ma, H., Liu, X., Wu, Y., & Zhang, N. (2015). Iko Kupindira Migumisiro yeAcupuncture paKuneta Kunokonzerwa neExhaustive Physical Exercises: A Metabolomics Investigation. Evidence-based complementary and alternative medicine: eCAM, 2015, 508302. doi.org/10.1155/2015/508302
Wang, YY, Li, XX, Liu, JP, Luo, H., Ma, LX, & Alraek, T. (2014). Traditional Chinese mushonga we chronic fatigue syndrome: kurongeka kwekuongorora kwe randomized kliniki miedzo. Kuwedzera kurapwa mukurapa, 22 (4), 826-833. doi.org/10.1016/j.ctim.2014.06.004
Alraek, T., Lee, MS, Choi, TY, Cao, H., & Liu, J. (2011). Mushonga unopindirana uye wakasiyana kune varwere vane chirwere chisingaperi chekuneta: kuongororwa kwakarongeka. BMC inopindirana uye imwe mushonga, 11, 87. doi.org/10.1186/1472-6882-11-87
Porter, NS, Jason, LA, Boulton, A., Bothne, N., & Coleman, B. (2010). Mamwe maitiro ekurapa anoshandiswa mukurapa uye manejimendi ye myalgic encephalomyelitis / chronic fatigue syndrome uye fibromyalgia. Chinyorwa cheimwe nzira uye yekuwedzera mushonga (New York, NY), 16 (3), 235-249. doi.org/10.1089/acm.2008.0376
Lu, C., Yang, XJ, & Hu, J. (2014). Zhen ci yan jiu = Tsvakurudzo yeAcupuncture, 39(4), 313–317.
by Dr Alex Jimenez Kugadzirira Therap , Mamiriro Ekutongwa
Kune vanhu vari kusangana nematambudziko emaziso, kurapwa kwe acupuncture kunogona kubatsira uye kubatsira hutano hweziso hwese?
Acupuncture Yehutano Weziso
Acupuncture imwe nzira yekurapa inosanganisira kuisa tsono dzakatetepa panzvimbo dzakati dzemuviri. Chinangwa ndechekudzoreredza hutano uye hutano nekudzoreredza uye kuenzanisa kutenderera kwesimba kuburikidza nenzira dzemuviri wese. Idzi nzira, dzinozivikanwa semeridians, dzakaparadzana netsinga uye nzira dzeropa.
Zvidzidzo zvakaratidza kuti kuiswa kwetsono kunokanganisa kuunganidzwa kwemamwe ma neurotransmitters netsinga dziri pedyo uye zvinogona kunge zviri izvo zvinokonzeresa hutano hunobatsira. (Heming Zhu 2014 )
Masayendisiti haana chokwadi chekuti acupuncture inoshanda sei, asi zvakaratidzwa kuti zvinopa zororo rekurwadziwa uye kuderedza kenza kurapwa kusvotwa. (Weidong Lu, David S. Rosenthal 2013 )
Zvidzidzo zvakaratidza kuti acupuncture inogona kubatsira kurapa mamiriro emeso senge yakaoma eye syndrome. (Tae-Hun Kim et al., 2012 )
Matambudziko Emaziso
Kune vamwe vanhu, kusaenzana kwemuviri kunogona kukonzerwa nedambudziko remaziso kana chirwere. Neacupuncture, kusaenzana-kukonzera zviratidzo zvinogadziriswa. Acupuncture inokurudzira kutenderera kwesimba neropa kumativi emeso.
Acupuncture yakashandiswa seimwe nzira yekurapa ye chronic dry eye syndrome. (Tae-Hun Kim et al., 2012 )
Zvidzidzo zvakaratidza kuti acupuncture inobatsira kudzikisa tembiricha yemeso kudzikisa kubuda kwemisodzi.
Iyo nzira zvakare dzimwe nguva inoshandiswa kurapa glaucoma.
Glaucoma chirwere cheoptic nerve chinowanzo kukonzerwa nepamusoro-yakajairika mazinga ekumanikidza kwemaziso.
Imwe ongororo yakawana kudzvanywa kwemaziso kwakadzikira zvakanyanya mushure mekuita acupuncture. (Simon K. Law, Tianjing Li 2013 )
Chimwe chidzidzo chakaratidza kubudirira kuderedzwa kweallergiki uye kuzvimba zviratidzo zvechirwere chemaziso. (Justine R. Smith nevamwe vake, 2004 )
Eye Acupoints
Izvi zvinotevera acupoints ndezvehutano hwemaziso.
Jingming
Jingming – UB-1 iri mukona yemukati meziso.Pfungwa iyi inofungidzirwa kuti inowedzera simba neropa uye kubatsira nezvinetso zvakaita sekusaona zvakanaka, katarakiti, glaucoma, upofu hweusiku, uye conjunctivitis. (Tilo Blechschmidt et al., 2017 )
Zanzhu
Nzvimbo yeZanzhu – UB-2 iri paburi pamucheto wemukati wetsiye.Iyi acupoint inoshandiswa kana vanhu vachinyunyuta pamusoro pemusoro, kusaona zvakanaka, kurwadziwa, kubvarura, kutsvuka, kuzununguka, uye glaucoma. (Gerhard Litscher 2012 )
Yuyao
Yuyao iri pakati petsiye, pamusoro pemwana.Iyi poindi inoshandiswa kurapa kushushikana kwemaziso, kukwenya kwemaziso, ptosis , kana kuti kana ziso repamusoro ranyura, kusviba kwecornea, kutsvuka, uye kuzvimba. (Xiao-yan Tao et al., 2008 )
Sizhukong
The Sizhukog - SJ 23 nzvimbo iri munzvimbo ine mhango kunze kwetsiye.Inofungidzirwa kuti inzvimbo apo kugadzirwa kwe<em>acupuncture kunogona kubatsira nekurwadziwa kweziso nechiso, kubatanidza kutemwa nemusoro, kutsvuka, kurwadziwa, kusaona zvakanaka, kurwadza kwezino, uye kuremara kwechiso. (Hongjie Ma et al., 2018 )
Tongzilia
Iyo Tongzilia - GB 1 iri kunze kwekona yeziso.Pfungwa inobatsira kupenya maziso.
Acupuncture inobatsirawo kurapa kutemwa nemusoro, kutsvuka, kurwadziwa kwemaziso, kunzwisiswa kwakareruka, kuoma kwemaziso, katarakiti, uye conjunctivitis. (GladGirl 2013 )
Zvidzidzo zvepakutanga neacupuncture zvakaratidza vimbiso yekuvandudza hutano hwemaziso. Vanhu vari kufunga acupuncture vanokurudzirwa kubvunza mutarisiri wavo wekutanga wehutano kuti vaone kana ingave sarudzo kune avo vasina kuwana sarudzo nenzira dzechivanhu.
Neck Injuries
VIDEO
References
Zhu H. (2014). Acupoints Inotanga Maitiro Ekuporesa. Medical acupuncture, 26(5), 264–270. doi.org/10.1089/acu.2014.1057
Lu, W., & Rosenthal, DS (2013). Acupuncture yekurwadziwa kwegomarara uye zviratidzo zvinoenderana. Ikozvino kurwadziwa uye misoro mishumo, 17(3), 321. doi.org/10.1007/s11916-013-0321-3
Kim, TH, Kang, JW, Kim, KH, Kang, KW, Shin, MS, Jung, SY, Kim, AR, Jung, HJ, Choi, JB, Hong, KE, Lee, SD, & Choi, SM (2012 ) Acupuncture yekurapa ziso rakaoma: muyedzo wakawanda wakasarudzika unodzorwa neanoshingaira kuenzanisa kupindira (teardrops). PloS imwe, 7(5), e36638. doi.org/10.1371/journal.pone.0036638
Mutemo, SK, & Li, T. (2013). Acupuncture ye glaucoma. Iyo Cochrane dhatabhesi yeakarongeka wongororo, 5(5), CD006030. doi.org/10.1002/14651858.CD006030.pub3
Smith, JR, Spurrier, NJ, Martin, JT, & Rosenbaum, JT (2004). Kunyanya kushandiswa kwemishonga yekuwedzera uye imwe nzira nevarwere vane chirwere chemaziso chinoputika. Ocular immunology uye kuzvimba, 12 (3), 203-214. doi.org/10.1080/092739490500200
Blechschmidt, T., Krumsiek, M., & Todorova, MG (2017). Mhedzisiro yeAcupuncture paKuona Basa muVarwere vane Congenital uye Yakawanikwa Nystagmus. Mishonga (Basel, Switzerland), 4(2), 33. doi.org/10.3390/medicines4020033
Litscher G. (2012). Yakabatanidzwa laser mushonga uye yakakwirira-tech acupuncture kuyunivhesiti yezvokurapa yeGraz, austria, Europe. Evidence-based complementary and alternative medicine: eCAM, 2012, 103109. doi.org/10.1155/2012/103109
Tao, XY, Sun, CX, Yang, JL, Mao, M., Liao, CC, Meng, JG, Fan, WB, Zhang, YF, Ren, XR, & Yu, HF (2008). Zhongguo zhen jiu = Chinese acupuncture & moxibustion, 28(3), 191–193.
Ma, H., Feng, L., Wang, J., & Yang, Z. (2018). Zhongguo zhen jiu = Chinese acupuncture & moxibustion, 38(3), 273–276. doi.org/10.13703/j.0255-2930.2018.03.011
GladGirl Iyo Lash & Brow Nyanzvi Blog. Acupuncture yeHutano hweZiso. (2013). www.gladgirl.com/blogs/lash-brow-expert/acupuncture-for-eye-health
by Dr Alex Jimenez Kugadzirira Therap , chisingaperi Pain , Mamiriro Ekutongwa , Mishonga , Viscerosomatic Reflex
Vanhu vane kurwadziwa kweshaya vanogona here kuwana zororo mukurapa acupuncture kuderedza marwadzo nekuvandudza kufamba kweshaya munzvimbo dzepamusoro dzemuviri?
ziviso
Musoro chikamu chepamusoro musculoskeletal body quadrant inotsigirwa nenharaunda yemutsipa, iyo inosanganisira dehenya, mhasuru dzakasiyana-siyana, uye nhengo dzinokosha dzinopa kugadzikana, kufamba, uye kushanda. Kutenderedza musoro, zviso zvakasiyana-siyana zvinosanganisira muromo, mhino, maziso, uye shaya kubvumira muenzi kudya, kutaura, kunhuwidza, uye kuona. Kunyange zvazvo musoro uchipa manzwiro uye motokari basa, mutsipa unosanganisira kugadzikana kwemotokari kuti uone kuti hapana kukuvara kana kushungurudzika kunobata musoro. Inowanikwa pazasi pemaziso ishaya, iyo inobvumira kushanda kwemotokari nemhasuru dzakasiyana-siyana uye majoini kune hyperextend pasina kurwadziwa kana kusagadzikana. Nekudaro, zvinhu zvakawanda zvinogona kukanganisa tsandanyama dzeshaya uye majoini kuti akumbire marwadzo uye kusagadzikana, izvo zvinogona kukonzera kupenya kunorwadza marwadzo kusvika kumitsipa yemutsipa. Chinyorwa chanhasi chinotarisa kuti kurwadziwa kweshaya kunogona kukanganisa sei muviri wepamusoro, kuti kurapwa kusiri kwekuvhiya kunogona kubatsira sei nekurwadziwa kweshaya, uye kuti marapirwo akaita seacupuncture anogona kubatsira kudzoreredza kufamba kweshaya. Isu tinotaura nevarapi vane hunyanzvi vanobatanidza ruzivo rwevarwere vedu kuti vape kurapwa kuderedza marwadzo eshaya anokanganisa nzvimbo yavo yeshaya nemutsipa. Isu tinozivisawo nekutungamira varwere kuti kurapwa kweacupuncture uye kusiri-kuvhiya kunogona kubatsira sei vanhu vazhinji vane marwadzo anoenderana neshaya. Tinokurudzira varwere vedu kubvunza avo vanobatana navo vezvokurapa mibvunzo yakaoma uye yakakosha pamusoro pekuti kurwadziwa kwavo kunokanganisa sei hupenyu hwavo uye kunoderedza kurwadziwa kweshaya. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer .
Marwadzo Eshaya Anobata The Upper Body
Iwe unonzwa kurwadza kwetsandanyama mushaya dzako nemutsipa tsandanyama zuva rose? Wagara uchikwesha kana kukwiza tsandanyama dzeshaya kuti uderedze kushushikana here? Kana kuti wanga uchibata nemusoro kana kurwadziwa kwemutsipa nguva dzose zvinokanganisa maitiro ako ezuva nezuva? Vanhu vazhinji vane zviratidzo izvi zvinorwadza-senge vari kubata nekurwadziwa kweshaya kana TMJ (temporomandibular joint syndrome). Shaya ine mastication tsandanyama kudivi rega rega rinobatsira kupa mabasa akasiyana senge kutsenga, kumedza kana kutaura. Kana zvinhu zvakawanda zvinoshungurudza kana zvakajairika zvinotanga kukanganisa shaya, zvinogona kukanganisa sensory-motor basa remuviri wepamusoro. Kune vanhu, kurwadziwa kweshaya kwakajairika pasi rese, uye neTMJ, inogona kuve nyaya sezvo kurwadziwa kuchiita kunge kunokanganisa kudzora mota yeshaya uku uchiperekedzwa nekuvhurika muromo kusingabvumirwe uye kutadza kurumwa nesimba. (Al Sayegh et al., 2019 ) Uyezve, TMJ inokanganisa kwete chete mastication muscles asiwo temporomandibular joint, iyo inobatanidza shaya nedehenya, iyo inoputika uye inokonzera nyaya dzakawanda.
Saka, TMJ yaizokanganisa sei muviri wepamusoro? Zvakanaka, apo TMJ inokanganisa mastication tsandanyama uye temporomandibular joint, vanhu vazhinji vanozoona zviratidzo zvakasiyana-siyana se:
Kutadza kufamba mukanwa pakutsenga Kubuda/kuparuka kunzwa pakuvhura kana kuvhara shaya Musoro / Migraines Nzeve kurwadziwa Zino kurwadziwa Kurwadza kwemutsipa nemafudzi
Izvi zvinokonzera myofascial uye intraarticular disorders inobata mhasuru uye majoini eshaya, ayo akabatanidzwa nedehenya. ( Maini & Dua, 2024 ) Kusvika panguva iyoyo, vanhu vakawanda vachange vachinzwa marwadzo anotaurwa, vachifunga kuti vari kubatwa nezino rinorwadza kana richikonzerwa nokukonzera mapoinzi mumhasuru dzemastication. Apa ndipo apo TMJ inoperekedzwa nekurwadziwa kwemhasuru-majoini mumutsipa kana kumusoro kumashure kana kana mazino achiperekedza TMJ, asi zvinoenderana nemunhu uye mamiriro avari pasi. Zvisinei, mishonga yakawanda inogona kuderedza marwadzo eshaya uye zviratidzo zvayo zvinosanganiswa zvinokanganisa shaya nemutsipa.
Nzira Isiri Yekuvhiya Kuhutano- Vhidhiyo
VIDEO
Kurapa Kusina Kuvhiya Kwekurwadza kweJaw
Pakudzikisa kurwadziwa kweshaya, vanhu vazhinji vanotsvaga kurapwa kuti vaderedze marwadzo-semhedzisiro uye vadzoke kufamba vachidzokera kushaya dzavo. Zvinogona kuva zvakaoma uye zvakaoma kana vanhu vachibata nemarwadzo eshaya. Iyo inyaya yakawanda inogona kukanganisa mitsipa uye kumashure nzvimbo. Saka, kana vanhu vachitaura nevarapi vavo vekutanga nezvekurwadziwa kweshaya, vanozowana kuongororwa kuti marwadzo avo aripi uye kana vaine zvichemo zvine chekuita nekurwadziwa kweshaya. Mushure mezvo, vanachiremba vazhinji vanozotaura kune nyanzvi dzemusculoskeletal kuti vabvise marwadzo eshaya. Kurapa uye matekiniki anoshandiswa nechiropractors, masaja therapists, uye physiotherapists anogona kubatsira kudzoreredza yakazvimba uye yakaoma mastication tsandanyama. Matekinoroji akaita seakapfava matishu ekuunganidza anogona kubatsira kuzorodza masticatory tsandanyama nekuarebesa kusvika padanho rekuburitsa mapoinzi ekutanga mumamhasuru. ( Kuc et al., 2020 ) Panguva imwecheteyo, physiotherapy inogona kubatsira musungo weshaya kuburikidza nemaitiro akasiyana-siyana ekuzorodza kuti uwedzere mararamiro ekufambisa paunenge uchisimbisa shaya kuderedza marwadzo uye kushungurudzika. ( Byra et al., 2020 ) Mishonga mizhinji iyi haivhiyiwe, zvinoreva kuti haipindike uye inoshanda pakurwadziwa kwemunhu asi ichikwanisika.
Acupuncture Kudzorera Jaw Mobility
Kana zvasvika kune zvisiri zvekuvhiya kurapwa, imwe yemhando dzekare ndeye acupuncture, iyo inogona kubatsira kuderedza marwadzo-semhedzisiro yemarwadzo eshaya uye kudzorera kufamba. Acupuncture yakatanga kubva kuChina, uye nyanzvi dzekurapa dzakadzidziswa zvakanyanya dzinoshandisa tsono dzakatetepa, dzakasimba kuti dziiswe mumaacupoints pamuviri kuvhiringidza chiratidzo chemarwadzo uye kupa zororo. Nekuda kwemarwadzo eshaya, acupuncturists achaisa tsono paacupoints yeshaya kana mitsipa yakapoteredza kuderedza mechanical hypersensitivity yemasero etsinga ari kukonzera marwadzo panguva yekuvandudza sensory-motor basa nemhinduro yakanaka. ( Teja & Nareswari, 2021 ) Uyezve, paunenge uchitarisana nemarwadzo enzeve akabatanidzwa ne TMJ inobata mitsipa yemutsipa, acupuncture inogona kubatsira kuwedzera mararamiro emutsipa wekufamba nekuisa tsono pamitsipa yemutsipa wekervical. ( Sajadi et al., 2019 ) Apo kurapwa kweacupuncture kunobatsira vanhu vakawanda vane kurwadziwa kweshaya kunobata mitsipa yavo nemisoro, vanogona kupa zvinobatsira, migumisiro yakanaka kuburikidza nekurapa kwakatevedzana uye kuvandudza kushanda kweshaya.
References
Al Sayegh, S., Borgwardt, A., Svensson, KG, Kumar, A., Grigoriadis, A., & Christidis, N. (2019). Mhedzisiro yeChisingaperi uye Yekuedza Acute Masseter Pain pane Precision Biting Behaviour muVanhu. Mberi Physiol , 10 , 1369. doi.org/10.3389/fphys.2019.01369
Byra, J., Kulesa-Mrowiecka, M., & Pihut, M. (2020). Physiotherapy mu hypomobility ye temporomandibular joints. Folia Med Cracov , 60 (2), 123-134. www.ncbi.nlm.nih.gov/pubmed/33252600
Kuc, J., Szarejko, KD, & Golebiewska, M. (2020). Kuongororwa kweSoft Tissue Mobilization muVarwere vane Temporomandibular Disorder-Myofascial Pain with Referral. Int J Maererano neHurumende yeHurumende , 17 (24). doi.org/10.3390/ijerph17249576
Maini, K., & Dua, A. (2024). Temporomandibular Syndrome. In StatPearls . www.ncbi.nlm.nih.gov/pubmed/31869076
Sajadi, S., Forogh, B., & ZoghAli, M. (2019). Cervical Trigger Point Acupuncture yekurapwa kweSomatic Tinnitus. Vadivelu Comedy Dailymotion vi Stud , 12 (6), 197-200. doi.org/10.1016/j.jams.2019.07.004
Teja, Y., & Nareswari, I. (2021). Acupuncture Therapies yeAddressing Post Odontectomy Neuropathy. Med Acupunct , 33 (5), 358-363. doi.org/10.1089/acu.2020.1472
Disclaimer
by Dr Alex Jimenez Kukanganiswa kwakakomba , Mamiriro Ekutongwa
Vanhu vanoita maekisesaizi anorema vanogona kukudziridza mazamu ekupisa kubva pakunyanyisa. Kuziva zvikonzero nezviratidzo zvingabatsira here kudzivirira zvikamu zvenguva yemberi kuti zvisaitike?
Heat Cramps
Heat cramps inogona kukura panguva yekurovedza muviri kubva pakuwedzeredza kana kuratidzwa kwenguva refu kune tembiricha yakakwira. The tsandanyama cramps, spasms, uye kurwadziwa zvinogona kubva kunyoro kusvika kune yakaoma.
Tsandanyama Cramps uye Dehydration
Heat cramps inowanzokura nekuda kwekupererwa nemvura uye kurasikirwa kwe electrolyte. (Robert Gauer, Bryce K. Meyers 2019 ) Zviratidzo zvinosanganisira:
Electrolytes sesodium, calcium, uye magnesium yakakosha pakushanda zvakanaka tsandanyama, kusanganisira moyo. Basa guru rekudikitira nderekugadzirisa tembiricha yemuviri. (MedlinePlus. 2015 ) Dikita kazhinji mvura, electrolytes, uye sodium. Kudikitira zvakanyanya kubva pakuita basa remuviri uye kurovedza muviri kana nharaunda inopisa inogona kukonzera kusaenzana kwe electrolyte kunotungamirira kumakumbo, spasms, uye zvimwe zviratidzo.
Zvikonzero uye Mabasa
Kupisa chinyamunhari kunowanzobata vanhu vanodikitira zvakanyanya panguva yebasa rakaoma kana kuratidzwa kune kupisa kunopisa kwenguva refu. Muviri uye nhengo dzinoda kutonhora pasi, izvo zvinokonzera kubuda dikita. Zvisinei, kudikitira zvakanyanya kunogona kukonzera kupera mvura mumuviri uye kupera kwe electrolyte. (Centers for Disease Control and Prevention. 2022 )
Risk Factors
Zvinhu zvinogona kuwedzera njodzi yekugadzira matinji ekupisa zvinosanganisira: (Robert Gauer, Bryce K. Meyers 2019 )
Zera - Vana nevakuru vane makore 65 zvichikwira vane njodzi yakanyanya.
Kutsvaira kwakanyanya.
Low sodium kudya.
Preexisting Medical Conditions - chirwere chemoyo, chirwere cheshuga mellitus, uye kufutisa mamiriro ezvinhu anogona kuwedzera njodzi yekupwanya kwetsandanyama.
Mishonga - BP, diuretics, uye antidepressants inogona kukanganisa electrolyte balance uye hydration.
Kunwa doro.
Kuzvitarisira
Kana kupisa kunotanga kutanga, pakarepo misa chiitiko uye tsvaga nzvimbo inotonhorera. Rehydrate muviri kuti udzorere kupera kwemvura. Kugara uine hydrated uye kunwa zvinwiwa nguva nenguva panguva yebasa rakasimba kana munzvimbo inopisa kunogona kubatsira kudzivirira muviri kubva mukupwanya. mienzaniso yezvinwiwa zvinowedzera electrolytes zvinosanganisira:
Kushandisa zvinyoro kumanikidza uye kukwiza tsandanyama dzakakanganisika zvinogona kubatsira kuderedza marwadzo uye spasms. Sezvo zviratidzo zvinopera, zvinokurudzirwa kuti usakurumidza kudzokera kukuita basa rinonetsa nekuti kuwedzera kusimba kunogona zvishoma nezvishoma kutungamira mukupisa kana kupera simba. (Centers for Disease Control and Prevention. 2021 ) Heatstroke uye kupera kupisa zvirwere zviviri zvine chekuita nekupisa. (Centers for Disease Control and Prevention. 2022 )
Kupisa ndipo apo muviri unorasikirwa nekukwanisa kudzora tembiricha uye zvinogona kukonzera kutonhora kwakanyanya.Kupisa kupera simba ndiyo mhinduro yemuviri kune yakawandisa mvura uye kurasikirwa kwe electrolyte.
Symptom Timing
Nguva uye urefu hwekupisa kupisa kunogona kuona kana kurapwa kuchidikanwa. (Centers for Disease Control and Prevention. 2022 )
Panguva kana Mushure meMabasa
Ruzhinji rwekupisa matinji anokura panguva yezviitwa nekuda kwekushanda nesimba nekudikitira, zvichiita kuti mamwe maelectrolyte arasikirwe uye muviri uwedzere kupera mvura.
Zviratidzo zvinogonawo kukura maminetsi kusvika kumaawa mushure mekunge basa ramira.
chinguva
Zvizhinji zvine chekuita nekupisa tsandanyama cramps inogadzirisa nekuzorora uye hydration mukati me30-60 maminetsi.
Kana tsandanyama kurovera kana kuti spasms ikasapera mukati meawa imwe chete, tsvaga rubatsiro kuna chiremba.
Kune vanhu vane mamiriro emoyo kana pane yakaderera-sodium yekudya vanokudziridza kupisa kwemukati, zvisinei nekuti kwenguva yakareba sei, rubatsiro rwekurapa runodiwa kuti vaone kuti hapana matambudziko.
dziviriro
Mazano ekudzivirira kupisa cramps zvinosanganisira: (Centers for Disease Control and Prevention. 2022 )
Inwa zvinwiwa zvakawanda usati waita uye panguva yemitambo.
Dzivisa doro uye zvinwiwa zvine caffeine.
Rega kuita maekisesaizi kana kuratidzwa kupisa kwakanyanya panguva yezuva rakanyanyisa.
Dzivisa zvipfeko zvakasimba uye zvitema-ruvara.
Kuongorora Varwere MuChiropractic Setting
VIDEO
References
Gauer, R., & Meyers, BK (2019). Zvirwere Zvinoenderana Nekupisa. Chiremba wemhuri yeAmerica, 99(8), 482–489.
Centers for Disease Control and Prevention. (2022). Kushungurudzika kwekupisa - chirwere chinoenderana nekupisa. Sangano reNational Institute for Occupational Safety and Health (NIOSH) Yakadzorerwa kubva www.cdc.gov/niosh/topics/heattress/heatrelillness.html#cramps
MedlinePlus. (2015). Ziya. Zvakatorwa kubva medlineplus.gov/sweat.html#cat_47
FoodData Central. (2019). Nzungu, kokonati mvura (mvura kubva coconuts). Zvakatorwa kubva fdc.nal.usda.gov/fdc-app.html#/food-details/170174/nutrients
FoodData Central. (2019). Mukaka, nonfat, fluid, ine vhitamini A yakawedzerwa uye vhitamini D (isina mafuta kana skim). Zvakatorwa kubva fdc.nal.usda.gov/fdc-app.html#/food-details/746776/nutrients
Centers for Disease Control and Prevention. (2012). Mibvunzo inowanzo bvunzwa (FAQ) nezve kupisa kwakanyanya. Zvakatorwa kubva www.cdc.gov/disasters/extremeheat/faq.html
by Dr Alex Jimenez Mamiriro Ekutongwa , Sciatica
Ko spinal stenosis kurapa kwemuviri kunogona kuvandudza hupenyu uye kuderedza zviratidzo zvinorwadza kune vanhu vari kubata nemamiriro ekuderera?
Spinal Stenosis Physical Therapy
Spinal stenosis inokonzera kutetepa kwekuvhura kwe vertebrae. Mazaru akakanganisika ndeaya:
Iyo yepakati spinal canal - panogara tambo yemuzongoza.
Foramen - maburi madiki ari kumativi ega ega vertebra apo midzi yetsinga inobuda kubva kumusana.
Spinal stenosis inowanzoitika mu lumbar spine / kuzasi kumashure.
Inogonawo kuitika mumutsipa wekervical spine / mutsipa. (Jon Lurie, Christy Tomkins-Lane 2016 )
Madhisiki ari pakati pemusana we vertebrae anopa cushioning uye kuvhunduka kubatwa mumuzongoza uye nemuviri wese. Degenerative shanduko kuma discs inotendwa kuva kutanga kwespinal stenosis. Kana ma discs asina kukwana hydration / mvura uye dhisiki kureba kunoderera nekufamba kwenguva, iyo cushioning uye kuvhunduka kutorwa kunova kushoma uye kushoma. Iyo vertebrae inogona kubva yamanikidzwa, zvichikonzera kupesana. Degenerative spinal stenosis inogonawo kukura kubva kune yakawandisa scar tissue uye bone spurs (kukura kunokura pamucheto webhonzo) iyo inogona kuumba mushure mekukuvara kana kuvhiyiwa kwemusana.
Kuongorora
Chiremba achaita kuongororwa kwespinal stenosis. Chiremba achatora mufananidzo wemuzongoza kuti aone nzvimbo chaiyo yekuora uye kuyera kuti mazaruro akatetepa sei. Marwadzo, kuoma, kufamba zvishoma, uye kurasikirwa kwehuwandu hwekufamba kunowanzovapo. Kana spinal stenosis yakonzera kutsinga kwetsinga, panogonawo kuva nemarwadzo, chiveve, kurira, kana kupera simba mumagaro (sciatica), zvidya, uye makumbo ezasi. Murapi wepanyama anozoona dhigirii nekuongorora zvinotevera:
Vertebrae mobility - kuti musana unokotama uye unomonyoroka munzira dzakasiyana.
Kugona kushandura nzvimbo.
Kusimba kwepakati, musana, uye tsandanyama dzehudyu.
musaridzwa
Musoro
Gait pattern
Nerve compression kuona kana pane zviratidzo mumakumbo.
Mhosva dzakapfava kazhinji hadzibatanidzi kudzvanywa kwetsinga, sezvo kuomarara kwemusana kunowanzoitika.
Mune zvimwe zviitiko zvakanyanya, panogona kuva nekurwadziwa kukuru, kufamba kuduku, uye kudzvinyirira kwetsinga, zvichiita kuti gumbo riore.
Chiratidzo chinowanzoitika chespinal stenosis kuwedzera marwadzo nekukotama kumashure kana kuwedzera kwe lumbar spine. Izvi zvinosanganisira nzvimbo dzinowedzera musana, zvakadai sokumira, kufamba, uye kurara padumbu. Zviratidzo zvinowanzovandudza kana uchikotama kumberi uye kana musana wakamira zvakanyanya munzvimbo yakachinjika kana yakabhenda, senge wakagara uye wakatsamira. Nzvimbo dzemuviri idzi dzinovhura nzvimbo dzepakati pepinal canal.
Surgery
Spinal stenosis ndicho chikonzero chinowanzoitika chekuvhiyiwa muvakuru 65 uye vakuru. Zvisinei, kuvhiyiwa kunowanzoitwa sechisarudzo chekupedzisira kana marwadzo, zviratidzo, uye kuremara zvichiramba mushure mekuedza kurapa kwekuchengetedza, kusanganisira chiropractic, kusagadzikana kwekusavhiya , uye kurapwa kwemuviri, kwemwedzi kana makore. Kuoma kwezviratidzo uye hutano huripo huno huchasarudza kana chiremba achakurudzira kuvhiyiwa. (Zhuomao Mo, et al., 2018 ) Matanho ekuchengetedza anogona kuve akachengeteka uye anobudirira. Ongororo yakarongeka kana ongororo yakavakirwa pane zvese zviripo zvekutanga tsvagiridzo yakawana kuti kurapwa kwemuviri uye kurovedza muviri kwakaguma nemhedzisiro yakafanana pakuvhiya kwekuvandudza marwadzo nekuremara. (Zhuomao Mo, et al., 2018 ) Kunze kwezviitiko zvakakomba, kuvhiyiwa kazhinji hakudiwi.
Physical Therapy yeSpinal Stenosis
Chinangwa chePhysical Therapy chinosanganisira:
Kuderedza marwadzo uye kuoma kwemajoini.
Kubvisa kudzvanywa kwetsinga.
Kuderedza kusimba mumasumbu akapoteredza.
Kuvandudza huwandu hwekufamba.
Kuvandudza postural alignment.
Kusimbisa mhasuru dzepakati.
Kuvandudza simba remakumbo kubatsira nekuenzanisa uye basa rose.
Kutambanudza kwetsandanyama dzeshure , kusanganisira izvo zvinomhanya zvakadzika pamwe chete nemuzongoza uye izvo zvinomhanya diagonally kubva pachiuno kusvika kune lumbar spine, zvinobatsira kubvisa kuoma kwemhasuru uye kurwadziwa uye zvinogona kuvandudza kufamba kwese uye mararamiro ekufamba kwelumbar spine.Kutambanudza mhasuru dzehudyu , kusanganisira hip flexors mberi, piriformis kumashure, uye nyundo dzinomhanya kubva kumashure kwehudyu ichidzika negumbo kusvika kumabvi, inokoshawo sezvo misumbu iyi yakasungirirwa pachiuno, iyo inobatanidza zvakananga kune musana.Maekisesaizi ekusimbisa abdominal core muscles , kusanganisira mamhasuru ari muhunde, pelvis, kuzasi kumashure, muhudyu, uye dumbu, anobatsira kudzikamisa musana uye kuudzivirira kubva pakufamba zvakanyanya uye kumanikidza masimba.Ne spinal stenosis, mhasuru dzepakati dzinowanzova dzisina simba uye dzisingashande uye dzisingakwanisi kuita basa radzo kutsigira musana. Maekisesaizi emukati anowanzotanga nekuita kuti tsandanyama dzedumbu dzakadzika dzakarara wakarara nemabvi akabhenda.
Maekisesaizi anozofambira mberi sezvo munhu achiwana simba rakawanda uye kutonga sezvo musana unodzikama.
Spinal stenosis kurapa kwemuviri kunosanganisirawo kuenzanisa kudzidziswa uye glute maekisesaizi ekusimbisa gumbo tsandanyama.
dziviriro
Kushanda nemushonga wepanyama kunogona kubatsira kudzivirira matambudziko emangwana nekuchengetedza kufamba kwepelinha, kuchengetedza munhu ari kushanda, uye kurovedza muviri kuchengetedza simba uye kugadzikana kupa nheyo yakasimba yekutsigira pasi pasi uye kudzivirira zviratidzo kubva pakuwedzera.
Yakanyanya Spinal Stenosis Physical Therapy
Physical therapy inowanzobatanidza kuita kutambanudzwa kwezasi kumashure, mahudyu, uye makumbo, maekisesaizi ekufamba, uye core kusimbisa maekisesaizi kuvandudza musana uye kuderedza marwadzo. Mishonga senge kupisa kana kurudziro yemagetsi inogonawo kushandiswa pane imwe nyaya-ne-kesi hwaro kana paine marwadzo akanyanya kana kusimba mumhasuru dzekumusana. Nekudaro, hapana humbowo hwakakwana hwekiriniki hwekutsigira kuti kune mamwe mabhenefiti. (Luciana Gazzi Macedo, et al., 2013 ) Kubudirira kwehutano hwepanyama kwakakwirira nokuti kuvhiyiwa chete hakugoni kusimbisa misumbu inodzikamisa musana, kuwedzera kufamba kana kushanduka kwemisungo yakapoteredza, uye kugadzirisa postural alignment.
Zvikonzero Zvinokonzera Spinal Stenosis
VIDEO
References
Lurie, J., & Tomkins-Lane, C. (2016). Kutungamirirwa kwe lumbar spinal stenosis. BMJ (Clinical research ed.), 352, h6234. doi.org/10.1136/bmj.h6234
Mo, Z., Zhang, R., Chang, M., & Tang, S. (2018). Exercise therapy inopesana nekuvhiyiwa kwe lumbar spinal stenosis: kuongorora kwakarongeka uye meta-analysis. Pakistan magazini yezvekurapa sainzi, 34 (4), 879-885. doi.org/10.12669/pjms.344.14349
Macedo, L. G., Hum, A., Kuleba, L., Mo, J., Truong, L., Yeung, M., & Battié, M. C. (2013). Physical therapy inopindira kune degenerative lumbar spinal stenosis: kuongorora kwakarongeka. Physical therapy, 93 (12), 1646-1660. doi.org/10.2522/ptj.20120379
by Dr Alex Jimenez Mamiriro Ekutongwa , Kutemwa nemusoro nekurapwa
Kune vanhu vanobatwa nemusoro unoitika 15 kana kupfuura mazuva pamwedzi kweinopfuura mwedzi mitatu, kuziva zviratidzo nezviratidzo zvingabatsira here vatapi vehutano kubatsira kurapa nekudzivirira kusagadzikana kwemusoro usingaperi?
Kusagadzikana Kupopotedzana musoro
Vanhu vazhinji vakasangana netension-mhando yemusoro. Marwadzo acho anowanzo kurondedzerwa seasina kusimba kuomesa kana kumanikidza kumativi ese emusoro, sekunge uine bhandi rekusimbisa rakatenderedza musoro. Vamwe vanhu vanonzwa misoro iyi kazhinji, chiitiko chinozivikanwa sechisingaperi tension headache. Kutemwa kwemusoro kusingagumi hakuwanzoitiki asi kunogona kukanganisa, sezvo kunogona kukanganisa hutano hwehupenyu uye hupenyu hwezuva nezuva.
Kushungurudzika kwemusoro kunowanzokonzerwa nekushushikana, kufunganya, kupera mvura mumuviri, kutsanya, kana kushaikwa kwekurara uye kazhinji kunogadzirisa nemishonga yekupfuura-the-counter. (Cleveland Clinic. 2023 )
Ichi ndicho chirwere chekutanga chemusoro chinokanganisa 3% yevanhu.
Kusagadzikana kwemusoro wemusoro kunogona kuitika zuva nezuva uye nekukanganisa kunaka kwehupenyu nekushanda kwezuva nezuva. (Cleveland Clinic. 2023 )
zviratidzo
Kushungurudzika kwemusoro kunogona kunzi kushungurudza musoro or kutemwa nemusoro mhasuru .
Vanogona kuunza nekugomara, kurwadziwa kunorwadza uye kunosanganisira kusimba kana kudzvanywa pahuma, mativi, kana kumashure kwemusoro. (Cleveland Clinic. 2023 )
Uyezve, vamwe vanhu vanonzwa kupfava pamusoro pemusoro, mutsipa, uye mapfudzi.
Musoro wemusoro usingaperi unoitika mazuva gumi nemashanu kana anopfuura pamwedzi paavhareji kweinopfuura mwedzi mitatu.
Musoro wemusoro unogona kugara kwemaawa akati wandei kana kuenderera kwemazuva akati wandei.
Zvinokonzera
Kushungurudzika kwemusoro kunowanzokonzerwa nemhasuru dzakasimba mumapfudzi, mutsipa, shaya, uye scalp.
Kugeda-geda kwemazino/bruxism uye kubata shaya kunogona kubatsirawo pachiitiko ichi.
Musoro wemusoro unogona kuunzwa nekushushikana, kushushikana, kana kusagadzikana uye zvinowanzoitika kune vanhu:
Shanda maawa akawanda mumabasa anonetsa.
Usawana hope dzakakwana.
Ramba kudya.
Kazhinji kunwa doro. (Cleveland Clinic. 2023 )
kuongorora chirwere
Vanhu vari kurwadziwa nemusoro izvo zvinokanganisa hupenyu hwezuva nezuva kana kuti vanoda kutora mishonga kanopfuura kaviri pasvondo vanokurudzirwa kuonana nemupi wehutano. Pamberi pekusangana, zvinogona kubatsira kuchengeta a musoro diary :
Nyora mazuva
Times
Tsanangudzo yekurwadziwa, kusimba, uye zvimwe zviratidzo.
Mimwe mibvunzo inogona kubvunzwa nemupi wehutano inosanganisira:
Marwadzo acho ari kupuruzira, akapinza, kana kubaya here, kana kuti anogara akamira uye akagomara?
Kurwadziwa kuri papi zvakanyanya?
Zviri pamusoro pese, kune rumwe rutivi, pahuma, kana kuseri kwemaziso here?
Kutemwa nemusoro kunokanganisa kurara here?
Kushanda kana kuita mabasa kwakaoma here kana kuti hazvibviri?
Mutariri wehutano angangokwanisa kuongorora mamiriro acho zvichienderana nezviratidzo chete. Zvisinei, kana mutsara wemusoro wakasiyana kana wakasiyana, mupi anogona kuraira miedzo yekufungidzira, seMRI kana CT scans, kuti atonge zvimwe zvirwere. Kusagadzikana kwemusoro wemusoro kunogona kuvhiringika nezvimwe zvisingaperi zvemazuva ese zvemusoro kusagadzikana senge chronic migraine, hemicrania continua, temporomandibular joint dysfunction/TMJ, kana cluster headaches. (Fayyaz Ahmed. 2012 )
mabatiro
Pharmacological therapy yekusingaperi tension misoro inowanzobatanidza mishonga yekudzivirira.
Amitriptyline mumwe mushonga wakawanikwa uchibatsira mukudzivirira kusagadzikana kwemusoro.
Tricyclic antidepressant mushonga unonyaradza uye unowanzo kutorwa usati warara. (Jeffrey L. Jackson et al., 2017 )
Maererano nemeta-analysis ye22 yakabudiswa zvidzidzo mu Journal of General Internal Medicine, mishonga iyi yakakwirira kune placebo mukuderedza misoro yemusoro, neavhareji ye4.8 mazuva mashoma emusoro pamwedzi.
Mishonga yekuwedzera yekudzivirira inogona kusanganisira mamwe antidepressants senge:
Remeron - mirtazapine.
Anti-seizure mishonga - seNeurontin - gabapentin, kana Topamax - topiramate.
Mutariri wehutano anogonawo kupa mishonga yekurapa misoro yemusoro, iyo inosanganisira:
Mishonga isiri-steroidal anti-inflammatory drugs kana NSAIDs, kusanganisira acetaminophen, naproxen, indomethacin, kana ketorolac.
Opiates
Tsvina dzinozorodza
Benzodiazepines - Valium
Non-Mishonga Kurapa
Maitiro ekurapa dzimwe nguva anoshandiswa ari ega kana musanganiswa nemishonga kudzivirira uye kugadzirisa kusagadzikana kwemusoro usingaperi. Mienzaniso inosanganisira:
Acupuncture
Imwe nzira yekurapa inosanganisira kushandisa tsono kumutsa mapoinzi chaiwo pamuviri unotendwa kuti unobatana nedzimwe nzira/meridians inotakura yakakosha simba/chi muviri wese.
Biofeedback
MuElectromyography - EMG biofeedback, maelectrodes anoiswa paganda remusoro, mutsipa, uye kumusoro kwemuviri kuti aone kuputika kwemhasuru.
Murwere anodzidziswa kudzora tension yetsandanyama kudzivirira kutemwa nemusoro. (William J. Mullally et al., 2009 )
Nzira yacho inogona kudhura uye inopedza nguva, uye pane humbowo hushoma hunotsigira kushanda kwayo.
Therapy Therapy
Murapi wepanyama anogona kushanda kunze kuomarara uye mhasuru dzakasimba.
Dzidzisa vanhu pane zvakatambanudzwa uye zvakanangwa maekisesaizi ekusunungura yakasimba musoro uye mhasuru dzemutsipa.
Cognitive Behavioral Therapy/CBT
Zvinosanganisira kudzidza kuziva zvinokonzeresa musoro uye kurarama nenzira isinganetseki uye inogadzirisa.
Nyanzvi dzemusoro dzinowanzokurudzira CBT mukuwedzera kumishonga pakugadzira chirongwa chekurapa. (Katrin Probyn et al., 2017 )
Kugeya mazino uye kubata shaya kudzidziswa/kurapa kunogona kubatsira kana vari vabatsiri.
Kugara uchirovedza muviri, pamwe nekudzidzira hutsanana hwekurara, kunogona kubatsira mukudzivirira.
Supplements
Vamwe vanhu vane misoro isingaperi yemusoro vanogona kuwana zororo vachishandisa zvinowedzera. IAmerican Academy yeNeurology neAmerican Headache Society inoshuma zvinotevera zvinowedzera zvinogona kushanda: (National Center for Complementary uye Integrative Health. 2021 )
butterbur
Fivha
Magnesium
Riboflavin
Kana musoro ukauya kamwe kamwe, zvichikonzera kumuka kubva kuhope, kana kugara kwemazuva, zvakakosha kubvunza mutano wehutano kuti abvise chero zvikonzero uye kugadzira personalized treatment plan .
Kupopotedzana musoro
VIDEO
References
Cleveland Clinic. (2023). Kupopotedzana musoro .
Ahmed F. (2012). Headache disorders: kusiyanisa uye kugadzirisa zvakajairika subtypes. British Journal of pain, 6 (3), 124-132. doi.org/10.1177/2049463712459691
Jackson, JL, Mancuso, JM, Nickoloff, S., Bernstein, R., & Kay, C. (2017). Tricyclic uye Tetracyclic Antidepressants for the Prevention of Frequent Episodic or Chronic Tension-Type Headache in Adults: A Systematic Review uye Meta-Analysis. Nyaya yemishonga yakawanda yemukati, 32 (12), 1351-1358. doi.org/10.1007/s11606-017-4121-z
Mullally, WJ, Hall, K., & Goldstein, R. (2009). Kubudirira kwebiofeedback mukurapa migraine uye tension type headache . Chiremba wemarwadzo, 12 (6), 1005-1011.
Probyn, K., Bowers, H., Mistry, D., Caldwell, F., Underwood, M., Patel, S., Sandhu, HK, Matharu, M., Pincus, T., & CHESS chikwata. (2017). Non-pharmacological self-management kune vanhu vanogara nemigraine kana tension-type headache: kuongorora kwakarongeka kunosanganisira kuongororwa kwezvikamu zvekupindira. BMJ yakavhurika, 7(8), e016670. doi.org/10.1136/bmjopen-2017-016670
National Center for Complementary uye Integrative Health. (2021). Musoro Wemusoro: Zvaunoda Kuziva .
