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Kufamba & Kuchinja

Back Clinic Mobility & Flexibility: Muviri wemunhu unochengeta mwero wechisikigo kuti uve nechokwadi chekuti zvimiro zvawo zvese zviri kushanda nemazvo. Mapfupa, mhasuru, ligaments, tendon, uye mamwe matishu anoshanda pamwe chete kuti abvumire kufamba kwakasiyana uye kuchengetedza kusimba kwakakodzera uye kudya kwakaringana kunogona kubatsira kuchengetedza muviri kushanda zvakanaka. Kufamba kukuru kunoreva kuita mafambiro anoshanda pasina zvirambidzo muhuwandu hwekufamba (ROM).

Rangarira kuti kuchinjika chinhu chekufamba, asi kuchinjika kwakanyanya hazvidiwi kuita mafambiro anoshanda. Munhu anoshanduka-shanduka anogona kuve nesimba repakati, kuenzanisa, kana kurongeka asi haakwanise kuita mafambisirwo akaenzana ekushanda semunhu ane kufamba kukuru. Maererano naDkt. Alex Jimenez's kuunganidza zvinyorwa pamusoro pekufamba uye kushanduka, vanhu vasingatambanudzi muviri wavo kazhinji vanogona kuona misumbu yakapfupika kana kuoma, kuderedza kukwanisa kwavo kufamba zvakanaka.


Kuongorora Periscapular Bursitis: Zviratidzo uye Kuongororwa

Kuongorora Periscapular Bursitis: Zviratidzo uye Kuongororwa

Kune vanhu vari kunzwa kurwadziwa kwepfudzi nekumusoro kumashure, periscapular bursitis ingave chikonzero chinogoneka here?

Kuongorora Periscapular Bursitis: Zviratidzo uye Kuongororwa

Periscapular Bursitis

The scapula/shoulder blade ibhonzo rinoshandura nzvimbo nepamusoro pemuviri uye kufamba kwefudzi. Iyo scapula motion yakakosha kune yakajairika basa repafudzi uye musana. Kana kufamba kusina kujairika kana kungoerekana kwaitika, kuzvimba uye zviratidzo zvinorwadza zvinogona kukura. (Augustine H. Conduah et al., 2010)

Normal Scapula Basa

The scapula ibhonzo retriangular kumusana wepamusoro kunze kwembabvu. Rutivi rwayo rwekunze kana rweparutivi rwune socket yejoinhi / glenoid, nepo rimwe bhonzo rinoshanda semapoinzi ekunamatira kune akasiyana pfudzi uye musana tsandanyama. Iyo scapula inoshanduka pambabvu kana ichifambisa ruoko mberi nekumashure. Sangano iri rinonzi scapulothoracic motion uye yakakosha kune yakajairika basa rekumusoro kwepamusoro uye kubatana kwepafudzi. Kana iyo scapula isingatsvedzeri mukufamba kwakarongeka, basa remuviri nemapfudzi majoini rinogona kuoma uye rinorwadza. (JE Kuhn et al., 1998)

Scapular Bursa

A bursa isaga rinozadzwa nemvura inobvumira kufamba kwakatsetseka, kutsetseka pakati pezvimiro, matishu emuviri, mapfupa, uye tendon. Bursae inowanikwa mumuviri wese, kusanganisira iyo iri pamberi pemabvi, kunze kwehudyu, uye pamapfudzi. Kana bursa ichipisa uye kushatirwa, mafambiro akajairika anogona kurwadza. Kune mabhesi akatenderedza scapula kumusana wepamusoro. Maviri emasaga aya ari pakati pemapfupa uye serratus anterior muscle inodzora kufamba kwe scapular pamadziro echipfuva. Imwe bursa sac iri pakona yepamusoro ye scapula, pedyo nemusana pazasi pemutsipa, uye imwe iri pakona yepasi ye scapula, pedyo nechepakati-kumashure. Chero kana ese mabhegi mabhegi anogona kukanganiswa ne periscapular bursitis. Kune mamwe mabhesi akatenderedza scapula uye matendon akapoteredza, asi masaga maviri emakona anowanzova mabhesi ekutanga anokura periscapular bursitis.

Kupisa

Kana mabursae aya achinge atsva uye ashatirwa, akazvimba, uye akakora, mamiriro anozivikanwa sebursitis mhedzisiro. Kana bursitis ikaitika padhuze ne scapula, tsandanyama, uye mapendekete mafambiro anogona kutungamirira mukusagadzikana uye kurwadziwa. Zviratidzo zvinowanzoonekwa zve periscapular bursitis zvinosanganisira:

  • Kukwenya nekufamba
  • Kukuya manzwiro kana crepitus
  • Pain
  • Hunyoro zvakananga pamusoro pe bursa (Augustine H. Conduah et al., 2010)
  • Abnormal scapular sensations uye mafambiro

Kuongororwa kwe scapula kunogona kuratidza kufamba kusina kujairika kwebendekete. Izvi zvinogona kutungamirira ku winging, uko blade yepafudzi isina kubatwa zvakanaka kusvika kumbabvu cage uye inobuda zvisiri izvo. Vanhu vane winging ye scapula vanowanzova neabnormal shoulder joint mechanics nokuti kumira kwefudzi kunochinjwa.

Zvinokonzera

Zvikonzero zve periscapular bursitis zvinogona kunge zvakasiyana. Inonyanya kuzivikanwa ndeye overuse syndrome, apo chimwe chiitiko chiri kukonzera kutsamwa kune bursa. Izvi zvinogona kusanganisira:

  • Zviitwa zvine chekuita nemitambo zvinokonzerwa nekudzokorora kushandiswa.
  • Mabasa ane chekuita nebasa anokonzerwa nekudzokorora kushandiswa.
  • Kukuvara kunorwadza kunokonzera kuzvimba kana kutsamwa kune bursa.

Mamwe mamiriro ezvinhu anogona kukonzera abnormal anatomy kana bone protuberances, inotsamwisa bursa. Imwe mamiriro ndeye benign bone kukura inozivikanwa seosteochondroma. (Antônio Marcelo Gonçalves de Souza naRosalvo Zósimo Bispo Júnior 2014) Izvi zvinokura zvinogona kuburitsa kubva pascapula, zvichitungamira mukushatirwa uye kuzvimba.

mabatiro

Kurapa kweperiscapular bursitis kunotanga nekuchengetedza therapies. Mishonga inoparadza haiwanzodikanwa kugadzirisa dambudziko. Kurapa kunogona kusanganisira:

Zorora

  • Nhanho yekutanga ndeyekuzorora iyo yakashatirwa bursa uye kugadzirisa kuzvimba.
  • Izvi zvinogona kutora mavhiki mashoma uye zvinogona kuitwa nekugadzirisa zvemuviri, mitambo, kana mabasa ane chekuita nebasa.

chando

  • Ice inobatsira kuderedza kuzvimba uye kudzora marwadzo.
  • Kuziva maitiro ekuita ice kukuvara zvakanaka kunogona kubatsira kubata marwadzo uye kuzvimba.

Therapy Therapy

  • Kurapa kwepanyama kunogona kuderedza zviratidzo zvekuzvimba kuburikidza nemitambo yakasiyana-siyana uye kutambanudza.
  • Mushonga wacho unogona kuvandudza scapular mechanics kuitira kuti kukuvara kurege kuenderera mberi uye kudzokororwa.
  • Kufamba kusina kujairika kwe scapula pane mbabvu hakugoni kutungamirira kukukura kwebursitis, asi kana aya ma mechanics asina kunaka asina kugadziriswa, dambudziko rinogona kudzoka zvakare.

Anti-Inflammatory Mishonga

  • Non-steroidal anti-inflammatory mishonga inoshandiswa kudzora kuzvimba munguva pfupi. (Augustine H. Conduah et al., 2010)
  • Mishonga inogona kubatsira kudzivirira mhinduro yekuzvimba.
  • Vasati vatora chero mushonga, vanhu vanofanirwa kuvimbisa nemupi wehutano wavo kuti wakachengeteka.

Cortisone Majekiseni

  • Kubudirira kurapwa ne cortisone kupfura chiratidzo chokuti kuvhiyiwa kuchave kwakabudirira kune vanhu vangada kuvhiyiwa.
  • Majekiseni eCortisone anogona kubatsira zvakanyanya mukuunza ine simba rekurwisa-kuzvimba dosi yakananga kunzvimbo yekuzvimba. (Augustine H. Conduah et al., 2010)
  • Majekiseni eCortisone anofanirwa kuganhurirwa maererano nekuti majekiseni mangani anopihwa kumunhu, asi mudiki majekiseni anogona kubatsira zvakanyanya.
  • Zvisinei, cortisone shots inofanira kuitwa chete kana kuongororwa kwasimbiswa.

Surgery

  • Kuvhiya hakuwanzodikanwa asi kunogona kushanda muvanhu vasingakwanise kuwana zororo nemishonga inochengetedza.
  • Kuvhiya kunowanzo shandiswa kune vanhu vane abnormal scapular anatomy, sekukura kwebhonzo kana mapundu.

PaInjury Medical Chiropractic uye Functional Medicine Clinic, tinobata kukuvara uye kusingaperi kurwadziwa syndromes nekuvandudza kugona kwemunhu kuburikidza nekuchinjika, kufamba, uye agility zvirongwa zvakagadzirirwa mapoka ese ezera nekuremara. Zvirongwa zvedu zvekuchengetedza chiropractor uye masevhisi ekiriniki ane hunyanzvi uye akatarisana nekukuvara uye kudzoreredza kwakazara maitiro. Kana kumwe kurapwa kuchidiwa, vanhu vanozoendeswa kukiriniki kana chiremba anonyatsokodzera kukuvara kwavo, mamiriro, uye / kana hurwere.


Scapular Winging muKudzika


References

Conduah, AH, Baker, CL, 3rd, & Baker, CL, Jr (2010). Clinical manejimendi ye scapulothoracic bursitis uye iyo snapping scapula. Utano hwemitambo, 2(2), 147–155. doi.org/10.1177/1941738109338359

Kuhn, JE, Plancher, KD, & Hawkins, RJ (1998). Symptomatic scapulothoracic crepitus uye bursitis. The Journal of the American Academy of Orthopedic Surgeons, 6 (5), 267-273. doi.org/10.5435/00124635-199809000-00001

de Souza, AM, & Bispo Júnior, RZ (2014). Osteochondroma: kufuratira kana kuongorora? Revista brasileira de ortopedia, 49(6), 555–564. doi.org/10.1016/j.rboe.2013.10.002

Kukosha Kwekurapa Kusina Kuvhiya Kuderedza Joint Hypermobility

Kukosha Kwekurapa Kusina Kuvhiya Kuderedza Joint Hypermobility

Vanhu vane majoini hypermobility vanogona kuwana zororo kuburikidza nekusavhiya kurapwa mukuderedza marwadzo uye kudzoreredza kufamba kwemuviri?

ziviso

Kana munhu afambisa muviri wake, mhasuru dzakapoteredzwa, majoini, uye tsinga zvinosanganisirwa mumabasa akasiyana-siyana anovabvumira kutambanudza uye kuchinjika pasina kurwadziwa kana kusagadzikana. Kudzokororwa kwakawanda kunoita kuti munhu wacho aenderere mberi nemuitiro wake. Zvisinei, apo majoini, tsandanyama, uye marunda zvakatambanudzwa kure kupfuura zvinojairika mukumusoro nezasi migumo pasina marwadzo, inozivikanwa sejoint hypermobility. Ichi chinosanganisa matishu chirwere chinogona kuenderana nezvimwe zviratidzo zvinobata muviri uye kuita kuti vanhu vazhinji vatsvage kurapwa kuti vatarise majoini hypermobility zviratidzo. Muchinyorwa chanhasi, tichatarisa majoini hypermobility uye kuti dzakasiyana-siyana dzisiri dzekuvhiya kurapwa dzinogona kubatsira kuderedza marwadzo anokonzerwa nekubatana hypermobility uye kudzorera kufamba kwemuviri. Isu tinotaura nevarapi vane hunyanzvi vanosimbisa ruzivo rwevarwere vedu kuti vaone kuti kurwadziwa kwavo kungave kwakabatana sei nekubatana hypermobility. Isu tinozivisawo uye kutungamira varwere kuti kubatanidza kurapa kwakasiyana-siyana kusiri kwekuvhiya kunogona kubatsira sei kuvandudza basa rekubatana uku uchibata zviratidzo zvinosanganisirwa. Tinokurudzira varwere vedu kubvunza avo vanobatana navo vezvokurapa mibvunzo yakaoma uye ine njere pamusoro pekubatanidza kurapa kusiri kwekuvhiya sechikamu chemaitiro avo ekuderedza marwadzo uye kusagadzikana kubva mukubatana hypermobility. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer.

 

Chii chinonzi Joint Hypermobility?

Unowanzonzwa majoini ako akavharirwa mumaoko ako, mawoko, mabvi, nemagokora here? Unonzwa kurwadziwa uye kuneta mumajoini ako kana muviri wako uchinzwa wakaneta nguva dzose? Kana kuti paunotambanudza mativi ako, anotambanudzira kure kupfuura nguva dzose kuti unzwe kurerukirwa here? Mazhinji eaya akasiyana mamiriro anowanzo kuenderana nevanhu vane majoini hypermobility. Joint hypermobility idambudziko rakagarwa nhaka rine autosomal dominant mapatani anoratidza kubatana hyperlaxity uye musculoskeletal kurwadziwa mukati memigumo yemuviri. (Carbonell-Bobadilla et al., 2020) Iyi inobatanidza matishu mamiriro inowanzoenderana nekuchinjika kweakabatana matissue senge ligaments uye tendon mumuviri. Muenzaniso ungave kana chigunwe chemunhu chichibata ruoko rwavo rwemukati pasina kunzwa kurwadziwa kana kusagadzikana, vane majoini hypermobility. Pamusoro pezvo, vanhu vazhinji vanobata nejoint hypermobility vanowanzova nechirwere chakaoma sezvo vachizokura ganda uye ganda kusasimba nekufamba kwenguva, zvichikonzera matambudziko emusculoskeletal. (Tofts et al., 2023)

 

 

Kana vanhu vachibata nekubatana hypermobility nekufamba kwenguva, vazhinji vanowanzova nechiratidzo chekubatana hypermobility. Ivo vanozopa ne musculoskeletal uye systemic zviratidzo zvinotungamira mukuratidza skeletal deformities, matishu uye ganda fragility, uye misiyano yezvimiro muhurongwa hwemuviri. (Nicholson et al., 2022) Zvimwe zvezviratidzo zvekuti joint hypermobility inoratidzwa mukuongororwa zvinosanganisira:

  • Kurwadziwa kwetsandanyama uye kuoma kwemajoini
  • Kudzvanya majoini
  • Kuneta
  • Digestive issues
  • Balance nyaya

Sezvineiwo, kune akasiyana marapirwo anogona kushandiswa nevanhu vazhinji kubatsira kudzoreredza mhasuru dzakatenderedza dzakatenderedza majoini uye kuderedza zviratidzo zvinokonzeresa zvinokonzerwa nekubatana hypermobility. 


Movement SeMushonga-Vhidhiyo


Nonsurgical Treatments For Joint Hypermobility

Paunenge uchibata nejoint hypermobility, vanhu vazhinji vanofanirwa kutsvaga marapirwo ekudzikisa marwadzo anowirirana-senge zviratidzo zvejoint hypermobility uye kubatsira kurerutsa migumo yemuviri uchidzoreredza kufamba. Mimwe marapirwo akanakisa epajoint hypermobility kurapa kusiri kwekuvhiya kusingapindike, kupfava pamajoini nemamhasuru, uye kusingadhuri. Kurapa kwakasiyana-siyana kusiri kwekuvhiya kunogona kurongedzerwa kumunhu zvichienderana nekuoma kwekubatana kwavo hypermobility uye comorbidities zvinokanganisa muviri wemunhu. Mishonga isiri-yekuvhiya inogona kusunungura muviri kubva pajojo hypermobility nekurapa zvikonzero zvekurwadziwa kuburikidza nekuderedza uye kuwedzera kugona kwekushanda uye kudzorera hupenyu hwemunhu. (Atwell et al., 2021) Mishonga mitatu isiri yekuvhiya iyo yakanakisa yekudzikisa marwadzo kubva mukubatana hypermobility uye kubatsira kusimbisa mhasuru dzakatenderedza dziri pazasi.

 

Chiropractic Care

Chiropractic kuchengetedza inoshandisa spinal manipulation uye inobatsira kudzoreredza kufamba kwakabatana mumuviri kuderedza mhedzisiro yekubatana hypermobility nekudzikamisa majoini akabatwa kubva kune hypermobile extremities. (Boudreau et al., 2020) Chiropractors inosanganisira mechanical uye manual manipulation uye maitiro akasiyana-siyana ekubatsira vanhu vakawanda kuvandudza mararamiro avo nekunyanya kufunga nezvemiviri yavo uye kushanda nemamwe marapirwo akawanda kusimbisa kufamba kunodzorwa. Nezvimwe zvirwere zvinosanganiswa nekubatana kwe hypermobility, sekurwadziwa kwemusana nemutsipa, chiropractic kuchengetedza inogona kuderedza zviratidzo izvi uye inobvumira munhu kuti awanezve hupenyu hwake.

 

Acupuncture

Kumwe kurapwa kusiri kwekuvhiya uko vanhu vazhinji vanogona kubatanidza kuderedza majoini hypermobility uye comorbidities ayo ndeye acupuncture. Acupuncture inoshandisa tsono diki, dzakatetepa, dzakasimba dzinoshandiswa nemaacupuncturists kuvharira marwadzo uye kudzoreredza kuyerera kwesimba remuviri. Kana vanhu vazhinji vari kubata nekubatana hypermobility, migumo yavo mumakumbo, maoko, uye tsoka dziri kurwadziwa nekufamba kwenguva, izvo zvinogona kukonzera kuti muviri ugadzikane. Chii chinoita acupuncture inobatsira kuderedza marwadzo anokonzerwa nekubatana hypermobility yakabatana nemigumo uye kudzorera kuenzanisa nekushanda kumuviri (Luan et al., 2023) Izvi zvinoreva kuti kana munhu ari kubata nekuoma uye kurwadziwa kwetsandanyama kubva kujoint hypermobility, acupuncture inogona kubatsira kudzoreredza marwadzo nekuisa tsono mumaacupoints emuviri kuti ipe zororo. 

 

Therapy Therapy

Physical therapy ndiyo yekupedzisira isiri-kuvhiya kurapwa vanhu vazhinji vanogona kubatanidza mumaitiro avo ezuva nezuva. Kurapa kwepanyama kunogona kubatsira kubata hypermobility yakabatana iyo yakagadzirirwa kubatsira kusimbisa mhasuru dzisina simba dzakatenderedza majoini akakanganisika, kuvandudza kugadzikana kwemunhu uye kubatsira kuderedza njodzi yekuparara. Pamusoro pezvo, vanhu vazhinji vanogona kushandisa yakaderera-inokanganisa maekisesaizi kuti vave nechokwadi chekudzora mota kana uchiita maekisesaizi enguva dzose pasina kuisa kuomesera kwakanyanyisa pamajoini. (Russell et al., 2022)

 

 

Nekubatanidza aya matatu ekurapa asiri ekuvhiya sechikamu cheakarongedzerwa kurapwa kwemajoini hypermobility, vanhu vazhinji vanozotanga kunzwa mutsauko pachiyero chavo. Havazonzwa kurwadziwa kwemajoini nekunyanya kurangarira muviri uye nekubatanidza shanduko diki mumaitiro avo. Kunyangwe kugara nekubatana kwe hypermobility kunogona kuve dambudziko kune vanhu vazhinji, nekubatanidza uye nekushandisa musanganiswa wakakodzera weasina-kuvhiya marapirwo, vazhinji vanogona kutanga kurarama hupenyu hunoshanda uye hunogutsa.


References

Atwell, K., Michael, W., Dubey, J., James, S., Martonffy, A., Anderson, S., Rudin, N., & Schrager, S. (2021). Kuongororwa uye Kutungamira kweHypermobility Spectrum Disorders muPrimary Care. J Ndiri Bhodhi Fam Med, 34(4), 838-848. doi.org/10.3122/jabfm.2021.04.200374

Boudreau, PA, Steiman, I., & Mior, S. (2020). Clinical manejimendi yebenign joint hypermobility syndrome: nyaya inoteedzana. J Can Chiropr Assoc, 64(1), 43-54. www.ncbi.nlm.nih.gov/pubmed/32476667

www.ncbi.nlm.nih.gov/pmc/articles/PMC7250515/pdf/jcca-64-43.pdf

Carbonell-Bobadilla, N., Rodriguez-Alvarez, AA, Rojas-Garcia, G., Barragan-Garfias, JA, Orrantia-Vertiz, M., & Rodriguez-Romo, R. (2020). [Joint hypermobility syndrome]. Acta Ortop Mex, 34(6), 441-449. www.ncbi.nlm.nih.gov/pubmed/34020527 (Sindrome de hipermovilidad articular.)

Luan, L., Zhu, M., Adams, R., Witchalls, J., Pranata, A., & Han, J. (2023). Mhedzisiro yeacupuncture kana yakafanana needling therapy pakurwadziwa, proprioception, kuenzanisa, uye kuzvishuvira basa kune vanhu vane chisingaperi chikwama kusagadzikana: Kuongororwa kwakarongeka uye meta-analysis. Mubatsiri Ther Med, 77, 102983. doi.org/10.1016/j.ctim.2023.102983

Nicholson, LL, Simmonds, J., Pacey, V., De Wandele, I., Rombaut, L., Williams, CM, & Chan, C. (2022). Maonero epasi rose pane Joint Hypermobility: A Synthesis Yezvino Sayenzi Kutungamira Clinical uye Tsvagiridzo Mazano. J Clin Rheumatol, 28(6), 314-320. doi.org/10.1097/RHU.0000000000001864

Russek, LN, Block, NP, Byrne, E., Chalela, S., Chan, C., Comerford, M., Frost, N., Hennessey, S., McCarthy, A., Nicholson, LL, Parry, J ., Simmonds, J., Stott, PJ, Thomas, L., Treleaven, J., Wagner, W., & Hakim, A. (2022). Mharidzo uye kurapa kwepanyama kutungamira kwepamusoro cervical kusagadzikana kune varwere vane symptomatic generalized joint hypermobility: International nyanzvi kubvumirana mazano. Mberi Med (Lausanne), 9, 1072764. doi.org/10.3389/fmed.2022.1072764

Tofts, LJ, Simmonds, J., Schwartz, SB, Richheimer, RM, O'Connor, C., Elias, E., Engelbert, R., Cleary, K., Tinkle, BT, Kline, AD, Hakim, AJ , van Rossum, MAJ, & Pacey, V. (2023). Pediatric joint hypermobility: a diagnostic framework uye nhoroondo yekuongorora. Orphanet J Rare Dis, 18(1), 104. doi.org/10.1186/s13023-023-02717-2

Disclaimer

Basa reDecompression Therapy mukudzoreredza Spinal Disc Height

Basa reDecompression Therapy mukudzoreredza Spinal Disc Height

Vanhu vane kurwadziwa kwemusana mumitsipa uye kumashure vanogona kushandisa decompression therapy kudzoreredza spinal disc kureba uye kuwana zororo?

ziviso

Vanhu vazhinji havazivi kuti sezvo muviri uchikura, ndizvo zvinoitawo musana. Iyo musana chikamu chemusculoskeletal system inopa tsigiro yemuviri kumuviri nekuichengeta wakatwasuka. Misungo yakakomberedza, ligaments, uye matishu akakomberedza musana anobatsira nekugadzikana uye kufamba, nepo spinal disc uye majoini zvinopa kuvhunduka kutorwa kubva kune sheer vertical uremu. Kana munhu ari kufamba nemabasa avo ezuva nezuva, musana unogona kubvumira munhu kuti afambe pasina kurwadziwa kana kusagadzikana. Zvisinei, nekufamba kwenguva, musana unoenda kuburikidza nekushanduka kwekuchinja kunogona kukonzera marwadzo uye kusagadzikana kumuviri, nokudaro zvichisiya munhu wacho achitarisana nepamusoro pehuwandu hwehutachiona hunogona kukanganisa mitsipa yavo nemusana. Kusvika ipapo, vanhu vazhinji vanotsvaga marapirwo ekudzikisa marwadzo anokanganisa musana wavo uye kudzorera dhisiki kureba mumiviri yavo. Chinyorwa chanhasi chinotarisa kuti marwadzo emuzongoza anokanganisa sei mutsipa uye musana wemunhu uye kuti marapirwo akaita semusana decompression anogona kuderedza marwadzo emusana uye kudzorera disc kureba. Tinotaura nevarapi vane hunyanzvi vanosimbisa ruzivo rwevarwere vedu kuti vaone kuti kurwadziwa kwemusana kunogona kukanganisa zvakanyanya kugara kwemunhu uye hupenyu hwemiviri yavo. Isu tinozivisawo uye kutungamira varwere nezvekuti kubatanidza musana decompression inogona kubatsira kuderedza marwadzo emusana uye kudzorera spinal disc kureba. Tinokurudzira varwere vedu kuti vabvunze avo vanobatana navo vezvokurapa mibvunzo yakaoma uye yakakosha pamusoro pekubatanidza marapirwo asiri ekuvhiya muhutano uye hutano hwekuita kuti vabvise marwadzo emusana uye kuwanazve hupenyu hwavo. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer.

 

Marwadzo eMuzongoza Anobata Sei Mutsipa WeMunhu & Kumusana

Iwe unonzwa nguva dzose tsandanyama aches uye marwadzo mumutsipa wako uye musana? Wakambosangana nekuoma uye kushomeka kwekufamba paunenge uchimonyoroka nekutendeuka? Kana kuti zvinhu zvinorema zvinokonzeresa kuomarara kwetsandanyama kana uchifamba uchibva pane imwe nzvimbo uchienda kune imwe? Vanhu vazhinji vachange vari kufamba uye vari munzvimbo dzinoshamisa vasinganzwe kurwadziwa uye kusagadzikana kana zvasvika kumusana. Izvi zvinokonzerwa nemhasuru dzakapoteredzwa uye matishu ari kutambanudzwa uye spinal discs inotora kune yakatwasuka kudzvanywa pamuzongoza. Zvisinei, apo mamiriro ezvakatipoteredza, kukuvadzwa kunorwadza, kana kuchembera kwepanyama kunotanga kukanganisa musana, zvinogona kutungamirira kukurudzirwa kwemarwadzo emusana. Izvi zvinodaro nekuti chikamu chekunze che spinal disc chakasimba, uye chikamu chemukati che disc chiri kukanganiswa. Kana kusagadzikana kusinganzwisisike kunotanga kuderedza kunwa kwemvura mukati me diski, inogona mukati kukurudzira marwadzo ekugamuchira pasina zviratidzo zvetsinga mukati me disc. (Zhang et al., 2009) Izvi zvinoita kuti vanhu vazhinji vatarise kurwadziwa kwemutsipa nemusana mumiviri yavo uye kunoderedza hupenyu hwavo. 

 

 

Marwadzo emuzongoza anogona kutungamira kune anowandikira njodzi profiles izvo zvinokonzeresa vanhu vazhinji kubata nekurwadziwa kwakadzika kumashure uye kurwadziwa kwemutsipa, izvo zvinozoita kuti tsandanyama dzakatenderedza dzisasimba, kusimba, uye kuwanda. Panguva imwecheteyo, iyo yakakomberedza midzi midzi inobatwawo sezvo tsinga dzetsinga dzakakomberedza kunze uye mukati mezvikamu zvespinal disc, iyo inokonzera nociceptive marwadzo ehupfumi kumutsipa uye kumashure uye inotungamirira kumarwadzo e discogenic. (Coppes et al., 1997) Apo vanhu vazhinji vari kutarisana nemarwadzo emusuru anoenderana nespinal discs, inokonzera marwadzo-spasm-pain cycle inogona kukanganisa miviri yavo nekuda kwekusafamba zvakakwana uye kunokonzera kurwadza kwemisimba mitambo pavanenge vachiedza kufamba. (Roland, 1986) Kana munhu aine mafambiro mashoma anokonzera kuti ari kurwadziwa nemuzongoza, kureba kwavo kwechisikigo kunoderera zvishoma nezvishoma, zvichikonzera nyaya dzakawanda kumiviri yavo uye mitoro yemagariro. Neraki, apo vanhu vazhinji vari kubata nemarwadzo emusana, kurapwa kwakawanda kunogona kuderedza marwadzo emusana uye kudzoreredza dhisiki yavo kureba.

 


Movement Medicine- Vhidhiyo


Iyo Spinal Decompression Inoderedza Spinal Marwadzo

Kana vanhu vachitsvaga marapirwo ekurwadziwa kwemusana, vazhinji vanotsvaga marapirwo ekuvhiya kuti vaderedze marwadzo avo, asi zvichave zvishoma. Nekudaro, vanhu vazhinji vanozosarudza kurapwa kusiri kwekuvhiya nekuda kwekugona kwavo. Mishonga isiri-yekuvhiya inodhura uye inogoneka kumarwadzo emunhu nekusagadzikana. Kubva pakurapwa kwechiropractic kusvika kuacupuncture, zvichienderana nekuoma kwemarwadzo emunhu, vazhinji vachawana zororo ravanotsvaka. Imwe yemishonga ine hunyanzvi yekuderedza marwadzo emusana ndeyekuora kwemusana. Spinal decompression inobvumira munhu kusungirirwa mutafura yekudhonza. Izvi zvinodaro nekuti inodhonza zvinyoro nyoro kumusana kuti igadzirise iyo spinal disc nekudzikisa kudzvanywa kumusana kushevedzera kupora kwemuviri kudzikamisa marwadzo. (Ramos naMartin, 1994) Uyezve, apo vanhu vakawanda vari kushandisa musana wemusana, kufambisa kunyoro kunopa motokari kuvhiringidza kumusana kunogona kukonzera kuchinja kwemuviri kune spinal disc uye kubatsira kudzorera mararamiro emunhu, kushanduka, uye kufamba. (Amjad et al., 2022)

 

Spinal Decompression Kudzorera Spinal Disc Height

 

Kana munhu achinge akasungirirwa mumuchina wepinal decompression machine, kupfava kunobatsira kuti spinal disc idzokere kumusana, ichibvumira mvura uye zvinovaka muviri kuti zvidzore mvura yemuzongoza, zvichiwedzera kureba kwemusana. Izvi zvinodaro nekuti musana wemuzongoza unogadzira kudzvinyirira kwakashata pamuzongoza, zvichiita kuti spinal disc idzokere kuhupamhi hwayo hwepakutanga uye kupa zororo. Uyezve, chinhu chinoshamisa chinoitwa nepelinha decompression ndechekuti inogona kusanganiswa nekurapa kwepanyama kubatsira kutambanudza uye kusimbisa mhasuru dzakapoteredza pedyo nemuzongoza kuti upe kugadzikana uye kushanduka. (Vanti et al., 2023) Izvi zvinobvumira munhu wacho kuti anyatsofunga nezvemiviri yavo uye atange kusanganisira kuchinja kwetsika kuduku kuderedza marwadzo kubva pakudzoka. Apo vanhu vazhinji vanotanga kufunga nezvehutano hwavo uye hutano nekuenda kunorapwa, vanozowanazve hupenyu hwavo uye kudzokera kumararamiro avo ezuva nezuva pasina nyaya dzinokanganisa musana wavo. 


References

Amjad, F., Mohseni-Bandpei, MA, Gilani, SA, Ahmad, A., & Hanif, A. (2022). Migumisiro yekusavhiyiwa kwekugadzirisa kurapa mukuwedzera kune nguva dzose kurapwa kwepanyama pamarwadzo, mararamiro ekufamba, kutsungirira, kuremara kwekushanda uye hupenyu hwehupenyu hunopesana nemaitiro ekugadzirisa muviri chete kune varwere vane lumbar radiculopathy; muedzo unodzorwa zvisina mwero. BMC Musculoskelet Disord, 23(1), 255. doi.org/10.1186/s12891-022-05196-x

Coppes, MH, Marani, E., Thomeer, RT, & Groen, GJ (1997). Innervation ye "zvinorwadza" lumbar discs. Pine (Phila Pa 1976), 22(20), 2342-2349; hurukuro 2349-2350. doi.org/10.1097/00007632-199710150-00005

Ramos, G., & Martin, W. (1994). Migumisiro ye vertebral axial decompression pane intradiscal pressure. J Neurosurg, 81(3), 350-353. doi.org/10.3171/jns.1994.81.3.0350

Roland, MO (1986). Kuongororwa kwakakosha kwehuchapupu hwekurwadziwa-spasm-pain cycle mumatambudziko emusana. Clin Biomech (Bristol, Avon), 1(2), 102-109. doi.org/10.1016/0268-0033(86)90085-9

Vanti, C., Saccardo, K., Panizzolo, A., Turone, L., Guccione, AA, & Pillastrini, P. (2023). Mhedzisiro yekuwedzera kwe mechanical traction kune kurapa kwepanyama pamarwadzo ekudzokera shure? Ongororo yakarongeka ine meta-analysis. Acta Orthop Traumatol Turc, 57(1), 3-16. doi.org/10.5152/j.aott.2023.21323

Zhang, YG, Guo, TM, Guo, X., & Wu, SX (2009). Clinical diagnostic ye discogenic low back pain. Int J Biol Sci, 5(7), 647-658. doi.org/10.7150/ijbs.5.647

Disclaimer

Acupuncture Yekuderedza Joint Pain muLupus: A Natural Approach

Acupuncture Yekuderedza Joint Pain muLupus: A Natural Approach

Vanhu vari kubata nemarwadzo emajoini vanogona here kubatanidza acupuncture therapy kubata lupus zviratidzo uye kudzoreredza kufamba kwemuviri?

ziviso

Iwo immune system yakakosha kumuviri sezvo basa rayo guru ndere kuchengetedza zvakakosha zvimiro kubva kune vanopinda nekunze izvo zvinogona kukonzera marwadzo-senge nyaya uye kusagadzikana. Iwo immune system ine hukama hune hutano neakasiyana masisitimu emuviri, kusanganisira musculoskeletal system, sezvo inoputika cytokines inobatsira kuporesa tsandanyama uye kukuvara kwetishu kana muviri wakuvadzwa. Nokufamba kwenguva, zvakadaro, kana zvakajairwa zvakatipoteredza uye genetic zvinhu zvinotanga kukura mumuviri, immune system inotanga kutumira aya ma cytokines kune ane hutano, akajairwa maseru. Kusvika ipapo, muviri unotanga panjodzi yekuva nezvirwere zve autoimmune. Ikozvino, zvirwere zve autoimmune mumuviri zvinogona kukonzera bongozozo nekufamba kwenguva pazvisina kubatwa, zvichikonzera kusagadzikana kusingaperi kunogona kukonzera kupindirana kwezviratidzo musculoskeletal system. Chimwe chezvirwere zvinotapukira che autoimmune systemic lupus erythematosus kana lupus, uye chinogona kukonzera kuti munhu agare achirwadziwa nekusagadzikana uku achienderana nekurwadziwa kwetsandanyama nemajoini. Chinyorwa chanhasi chinotarisa zvinhu nemhedzisiro ye lupus, mutoro wekurwadziwa kwejoint mu lupus, uye kuti nzira dzakakwana senge acupuncture dzinogona kubatsira kubata lupus uchidzoreredza kufamba kwemuviri. Isu tinotaura nevarapi vane hunyanzvi vanobatanidza ruzivo rwevarwere vedu kuti vaone kuti vangaderedza sei marwadzo anokonzerwa ne lupus pamajoini. Isu tinozivisawo uye kutungamira varwere kuti acupuncture inogona kubatsira sei kubata lupus uye kusanganisa mamwe marapirwo kuderedza marwadzo ayo-senge zviratidzo zvinokanganisa musculoskeletal system. Isu tinokurudzira varwere vedu kuti vabvunze avo vanobatana navo vekurapa mibvunzo yakaoma uye yakakosha nezve kubatanidza acupuncture therapy kuti ibvise kuzvimba kwe lupus uku vachitsvaga nzira dzechisikigo dzekudzorera kufamba. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer.

 

Zvinhu uye Mhedzisiro yeLupus

Wanga uchinzwa kurwadziwa kwemajoini kumusoro kana kuzasi migumo, zvichiita kuti zviome kushanda zuva rese? Wanga uchinzwa migumisiro yenguva dzose yokuneta here? Vanhu vazhinji vanosangana nematambudziko aya-sekurwadziwa vanogona kuisa panjodzi yekuvandudza systemic lupus erythematosus. Muchirwere ichi che autoimmune, immune system yemuviri inokanganisa inotanga kurwisa matishu ayo, zvichizotungamira mukuzvimba uye nemhando yezviratidzo-sekurwadziwa. Lupis inonetsa kuongorora nekuda kweiyo yakaoma immune dysregulation iyo inogona kutungamira mukuwedzeredza kugadzirwa kwema cytokines anogona kukanganisa muviri. (Lazar naKahlenberg, 2023) Panguva imwecheteyo, lupus inogona kukanganisa vanhu vakasiyana-siyana, nezviratidzo uye kuomarara zvichisiyana zvichienderana nekupfava kana kuomarara kwezvinhu zvinokanganisa muviri. Lupus inogona kukanganisa nhengo dzemuviri dzakasiyana, kusanganisira majoini, ganda, itsvo, masero eropa, uye zvimwe zvakakosha nhengo dzemuviri uye nhengo, sezvo zvakatipoteredza uye mahomoni zvinogona kukanganisa kukura kwayo. (Tsang & Bultink, 2021) Pamusoro pezvo, lupus inogona kudyidzana zvakanyanya nemamwe macomorbidities ari kukonzera kuwanda kwengozi profiles nekuzvimba izvo zvinogona kukanganisa majoini musculoskeletal system.

 

Mutoro weJoint Pain MuLupus

 

Lupus inonetsa kuongorora sezvo ichiwanzotevedzera zvimwe zvirwere; chiratidzo chemarwadzo chinowanzo batwa ne lupus majoini. Vanhu vane lupus vanonzwa kurwadziwa kwemajoini, izvo zvinogona kukonzera kuzvimba mhedzisiro uye kukuvadzwa kwechimiro kumajoini, tendon, tsandanyama, uye mapfupa, zvichikonzera pathological abnormalities. (Di Matteo et al., 2021) Sezvo lupus ichikonzera kuzvimba mhedzisiro mumajoini, vanhu vazhinji vanozofunga kuti vari kusangana neArthritis, uye inogona kukonzera kupindirana kwengozi profiles sezvo ichiperekedzwa nelupus, nekudaro ichikonzera marwadzo emunharaunda mumajoini zvisinei nekwaakabva. (Senthelal et al., 2024) Kurwadza kwemajoini muvanhu vane lupus kunogona kukanganisa zvakanyanya mabasa ezuva nezuva, kuderedza kufamba uye hupenyu hwese hwese pavanenge vachiedza kuwana zororo. 

 


Kuvhura Zvakavanzika zveKuzvimba-Vhidhiyo


 

A Holistic Nzira Yekugadzirisa Lupus

Nepo kurapa kwakajairwa kwe lupus kunosanganisira mishonga uye immunosuppressants kuderedza kuzvimba kunokonzerwa ne lupus, vanhu vazhinji vanoda kutsvaga nzira dzakakwana dzekugadzirisa lupus uye kuderedza kuzvimba mhedzisiro kubva pakukanganisa majoini avo nekuita shanduko diki muhupenyu hwavo. Vanhu vazhinji vanosanganisira zvinorwisa-kuzvimba zvikafu zvakapfuma mune antioxidants kudzikamisa iyo yekuzvimba mhedzisiro. Zvakasiyana-siyana zvinowedzera, senge vhitamini D, calcium, zinc, nezvimwewo, zvinogona kubatsira kuderedza kuzvimba kunokonzerwa ne lupus uye kusimbisa hutano hwemapfupa. Pamusoro pezvo, kurapwa kusiri kwekuvhiya kunogona kuvandudza kugona kwemoyo uye kuderedza kuneta uku uchivandudza kushanda kwepfungwa, izvo zvinogona kubatsira kuvandudza hupenyu hwemunhu nekugadzirisa zviratidzo zvinokonzerwa nelupus. (Fangtham et al., 2019)

 

Sei Acupuncture Inogona Kubatsira Lupus & Kudzoreredza Kufamba

Imwe yemhando dzekare dzekusavhiya uye dzakazara nzira dzekudzikisa kuzvimba uye kubata lupus ndeye acupuncture. Acupuncture inobatanidza tsono dzakasimba, dzakatetepa dzinoshandiswa nenyanzvi dzakarovedzwa zvikuru kuti dziiswe munzvimbo chaidzo dzemuviri kuenzanisa qi (simba) yomuviri nokunyandura tsinga dzetsinga uye kuburitsa makemikari anobatsira mumamhasuru, musana, uye uropi. Pamusoro pezvo, acupuncture, iine mishoma mhedzisiro uye yakazara maitiro, inogona kubatsira kubata lupus. Izvi zvinodaro nekuti kana acupuncture tsono ikaiswa paacupoints yemuviri, inogona kukanganisa masaini ekurwadziwa ari kukonzera marwadzo munzvimbo yakakanganiswa uye kugadzirisa iyo inoputika cytokines kubva lupus kupa zororo. (Wang et al., 2023) Izvi zvinokonzerwa nehuzivi hwayo hwekugadzirisa kwete marwadzo emuviri chete asiwo zviratidzo zvepfungwa uye zvepfungwa zvekurarama nechirwere chisingaperi se lupus.

 

 

Pamusoro pezvo, acupuncture inogona kubatsira kudzoreredza kufamba kwekubatana uchibata lupus kuburikidza nekurapa kwakatevedzana, sezvo vanhu vazhinji vanocherekedza kuti majoini ekufamba kwavo anovandudzwa uye kurwadziwa kwavo kunoderera. Izvi zvinodaro nekuti kuisirwa uye kushandura tsono muacupoints yemuviri kukonzeresa shanduko mune afferent sensory input kune yepakati tsinga system, iyo inowedzera alpha motoneuron excitability uye kuderedza kuzvimba. (Kim et al., 2020) Apo vanhu vari kutarisana ne lupus uye vari kuedza kutsvaga dzimwe nzira dzakakwana dzokubvisa kuzvimba uye kurwadziwa kwemajoini kunokonzerwa ne lupus, acupuncture, uye kurapwa kusina kuvhiyiwa kunogona kupa chiedza chetariro mukugadzirisa matambudziko ezuva nezuva e lupus. 

 


References

Di Matteo, A., Smerilli, G., Cipolletta, E., Salaffi, F., De Angelis, R., Di Carlo, M., Filippucci, E., & Grassi, W. (2021). Imaging ye Joint uye Soft Tissue Inobatanidzwa muSystem Lupus Erythematosus. Curr Rheumatol Rep, 23(9), 73. doi.org/10.1007/s11926-021-01040-8

Fangtham, M., Kasturi, S., Bannuru, RR, Nash, JL, & Wang, C. (2019). Non-pharmacologic therapies ye systemic lupus erythematosus. Lupus, 28(6), 703-712. doi.org/10.1177/0961203319841435

Kim, D., Jang, S., & Park, J. (2020). Electroacupuncture uye Manual Acupuncture Inowedzera Joint Flexibility asi Inoderedza Kusimba Kwetsandanyama. Healthcare (Basel), 8(4). doi.org/10.3390/healthcare8040414

Lazar, S., & Kahlenberg, JM (2023). Systemic Lupus Erythematosus: Itsva Diagnostic uye Therapeutic Nzira. Annu Rev Med, 74, 339-352. doi.org/10.1146/annurev-med-043021-032611

Senthelal, S., Li, J., Ardeshirzadeh, S., & Thomas, MA (2024). Arthritis. In StatPearls. www.ncbi.nlm.nih.gov/pubmed/30085534

Tsang, ASMWP, & Bultink, IEM (2021). Zvitsva zvitsva mu systemic lupus erythematosus. Rheumatology (Oxford), 60(Suppl 6), vi21-vi28. doi.org/10.1093/rheumatology/keab498

Wang, H., Wang, B., Huang, J., Yang, Z., Rwiyo, Z., Zhu, Q., Xie, Z., Zuva, Q., & Zhao, T. (2023). Kubudirira uye kuchengetedzwa kweacupuncture therapy yakasanganiswa neyakajairwa pharmacotherapy mukurapa kwe systemic lupus erythematosus: Kuongororwa kwakarongeka uye meta-analysis. Mushonga (Baltimore), 102(40), e35418. doi.org/10.1097/MD.0000000000035418

Disclaimer

Rara Zvirinani NemaTips Aya eKufamba Kwemubhedha

Rara Zvirinani NemaTips Aya eKufamba Kwemubhedha

Vanhu vari mumashure ekuvhiyiwa kupora kana kubata nechirwere kana kukuvadzwa vanogona kuwana mhasuru dzisina simba uye kutsungirira izvo zvinogona kukonzera kurasikirwa kwekanguva kwekurara uye kusakwanisa kufamba-famba zvakajairika nekuda kwekushaya simba, kuderera kwekufamba, kana kurwadziwa. Vanogona here kubatsirwa nekurapa kwemuviri kubatsira kudzokera kune yakajairika kushanda kwekufamba?

Rara Zvirinani NemaTips Aya eKufamba Kwemubhedha

Kurara Mobility

Kune vanhu vari muchipatara kana kumusha kubva mukukuvara, kurwara, kana kupora kuvhiyiwa, murapi wepanyama anoongorora nzvimbo dzakasiyana dzekufamba kwekushanda. Izvi zvinosanganisira kutamiswa - kubva pakugara kuenda kunzvimbo dzakamira, kufamba, uye kufamba kwekurara. Kurara kufamba ndiko kugona kuita mafambiro chaiwo paunenge uri pamubhedha. Murapi anogona kuongorora kurara kana kufamba kwemubhedha uye kurumbidza mazano uye maekisesaizi ekuvandudza mafambiro. (O'Sullivan, SB, Schmitz, TJ 2016) Murapi anogona kuita kuti munhu wacho ashandise michina chaiyo, senge trapeze yemubhedha kana bhodhi rekutsvedza, kubatsira kufamba-famba.

Mubhedha uye Kurara Kufamba

Kana murapi wepanyama achitarisa kufamba, vanoongorora mafambiro akasiyana anosanganisira: (O'Sullivan, SB, Schmitz, TJ 2016)

  • Kufamba kubva pakugara kusvika pakuzvambarara.
  • Kubva pakuzvambarara kusvika pakugara.
  • Kukunguruka.
  • Kukwenya kana kutsvedza kumusoro kana pasi.
  • Kupuruzira kana kutsvedza nedivi.
  • Kumonyorora.
  • Kusvika.
  • Kusimudza chiuno.

Kufamba kwese uku kunoda simba mumapoka emhasuru akasiyana. Nekutarisa mafambiro ega ega mukufamba kwekurara, murapi anogona kushandira mamwe mapoka emhasuru angave asina kusimba uye anoda maekisesaizi anonangwa uye anotambanudza kuti adzorere kufamba kune zvakajairika. (O'Sullivan, S. B., Schmitz, T. J. 2016) Vanhu vanoshanyira murapi mukiriniki yekunze kana nzvimbo yekudzorera vanogona kunge vaine basa remunhu pakurara patafura yekurapwa. Izvo zvakafanana patafura yekurapa zvinogona kuitwa mumubhedha.

kukosha

Muviri unoreva kufamba.

Kune vanhu vasingagone kufamba zvakanaka pamubhedha wavo, muviri unogona kutadza kushandisa atrophy kana kupera simba retsandanyama, izvo zvinogona kukonzera kuoma kwakawedzera. Kusakwanisa kufamba kunogonawo kutungamirira kumaronda ekumanikidza, kunyanya kune vanhu vakanyanya deconditioned uye / kana kuramba vari munzvimbo imwe kwenguva yakareba. Utano hweganda hunogona kutanga kuparara, zvichitungamirira kumaronda anorwadza anoda kutariswa kwakadzama. Kukwanisa kufamba-famba pamubhedha kunogona kubatsira kudzivirira maronda ekumanikidza. (Surajit Bhattacharya, RK Mishra. 2015)

Kuvandudza

Murapi wepanyama anogona kunyora maekisesaizi chaiwo ekusimbisa mapoka emhasuru uye kuvandudza kufamba kwekurara. Mimhasuru yacho inosanganisira:

  • Shoulder uye rotator cuff tsandanyama.
  • Triceps uye biceps mumaoko.
  • Gluteus tsandanyama dzehudyu.
  • hamstrings
  • Quadriceps
  • Mhuru dzemhuru

Mapendekete, maoko, chiuno, uye makumbo zvinoshanda pamwe chete pakufambisa muviri pamubhedha.

Various Exercises

Kuti uvandudze kufamba kwemubhedha, kurovedza muviri kurapa kunogona kusanganisira:

  • Kudzidzira kwepamusoro
  • Lower hunde kutenderera
  • Glute exercises
  • Mabhiriji
  • Gumbo rinosimuka
  • Short arc quads
  • Mapombi eAnkle

Varapi vepanyama vanodzidziswa kuongorora mafambiro nemabasa aya uye nekuraira mishonga yekuvandudza kufamba kwemuviri. (O'Sullivan, SB, Schmitz, TJ 2016) Kuchengeta kusimba kwemuviri kwakakodzera kunogona kubatsira muviri kuti urambe uchishanda uye uchifamba. Kuita maitiro ekufambisa anorayirwa nemushonga wepanyama anogona kuchengetedza mapoka emhasuru akakodzera kushanda zvakanaka, uye kushanda nemushonga wepanyama kunogona kuve nechokwadi kuti maekisesaizi anoenderana nemamiriro ezvinhu uye anoitwa nemazvo.


Kugadzirisa Hutano Hwako


References

O'Sullivan, S. B., Schmitz, T. J. (2016). Kuvandudza Maitiro Anoshanda muKudzoreredza Kwemuviri. United States: FA Davis Company.

Bhattacharya, S., & Mishra, RK (2015). Pressure ulcers: Kunzwisisa kwazvino uye nzira nyowani dzekurapa. Indian magazine yekuvhiya kwepurasitiki: kuburitswa kwepamutemo kweSangano rePlastiki Surgeons yeIndia, 48 (1), 4-16. doi.org/10.4103/0970-0358.155260

Hutano Hwako hwePelvic: Gwaro rePelvic Floor Physical Therapy

Hutano Hwako hwePelvic: Gwaro rePelvic Floor Physical Therapy

Kune vanhu vane zviratidzo zvekurwadziwa kwepelvis uye matambudziko anosanganisirwa, kubatanidza pelvic floor physiotherapy kurovedza muviri kunobatsira nekurapa nekudzivirira?

Hutano Hwako hwePelvic: Gwaro rePelvic Floor Physical Therapy

Pelvic Floor Physical Therapy

Kana tsandanyama dzatadza kushanda nemazvo, vanhu vanogona kuona zviratidzo zvakaita se:

  1. Kusangana kunorwadza
  2. Prolapse - apo nhengo kana matishu inodonha kana kusuduruka kubva panzvimbo.
  3. Urinary incontinence
  4. Matambudziko ekuzvimbirwa
  5. Mamiriro aya anowanikwa kune vanhu vane pamuviri kana vakadzi vakuru.

Zviratidzo izvi zvinogona kurapwa nepelvic floor physical therapy kuderedza kusagadzikana. Pelvic floor physical therapy inogona kubatsira vakadzi nevanhu vane vaginas:

  • Rerutsira nyaya dzakaita senge kurwadza kwebonde, kubuda weti, uye prolapse.
  • Mukurapa kwemuviri, vanhu vanoshanda pakufema, kuzorora, uye kurebesa uye kusimbisa nzira dzekudzidzisa mhasuru dzavo kuti dzishande zvakanaka.

Zvinokonzera Pelvic Floor Issues

Kusashanda zvakanaka kwePelvic floor kunowanzoitika nezera, panguva yekuzvitakura, kana mukubatana nezviitiko zvakaita senge postpartum period uye menopause, izvo zvinogona kuderedza mazinga ehomoni.

  • Vanhu vane pamuviri vanonyanya kunetseka nenyaya dzepelvic floor asi vangasaziva kuti vane dambudziko.
  • Huremu hwepamuviri hwechibereko hunogona kumanikidza uye kushungurudza mhasuru.
  • Kusununguka kwemukadzi kunogonawo kutambanudza kana kuderedza mhasuru. (Ilaria Soave, et al., 2019)

zviratidzo

Zviratidzo zvinogona kusanganisira: (Columbia Surgery. 2022)

  • Marwadzo munharaunda yepelvis
  • Kutambudzika shure
  • Kunorwadza weti
  • Constipation
  • Urinary leakage kana incontinence
  • Kubuda kwetsvina kana kusagadzikana
  • Kusangana kunorwadza
  • Kana zvikasarapwa, zviratidzo izvi zvinogona kuwedzera nekufamba kwenguva.

Pelvic Floor Physical Therapy

Munhu anosangana nenyanzvi kuti vakurukure zviratidzo uye kuongororwa muviri kunosanganisira:

  1. Kuongororwa kwePelvic floor.
  2. Kuongororwa kwechimiro, kufamba, uye simba repakati.
  3. Kana bvunzo dzekutanga nekuongororwa kwapera, murapi anoenda pamusoro pezviitwa zvepelvic pasi uye nekupa chirongwa chekurapa.
  4. Maekisesaizi anokurudzirwa anosiyana zvichienderana nezviratidzo asi tarisa pakuzorora, kutambanudza, uye/kana kusimbisa tsandanyama.

Tsandanyama Relaxation

  • Kuzorodza tsandanyama, murapi angakurudzira maekisesaizi ekufema.
  • Kune vanhu vane pamuviri, izvi zvinoreva kuronga nguva yekufema nemacontractions.
  • Kune vanhu vari kusangana nekuvhara, maekisesaizi ekufema anogona kubatsira muviri kuzorora uye kuderedza kushushikana.

Kutambanudza Tsandanyama

  • Kutambanudza kunogona kubatsira kubvisa kusimba kwemhasuru uye kuoma.
  • Murapi anogona kubatsira kutambanudza pelvic pasi kuburikidza nenzira dzakasiyana dzekurapa.
  • Rudzi urwu rwekurapa kwemuviri runogona kubatsira kusunungura mhasuru dzakasimba kana kubatsira zvinyoro nyoro kudzoreredza nhengo dzakabviswa panzvimbo.

Kusimbisa Tsandanyama

  • Mushure mekunge pelvic pasi yasununguka uye yakasununguka, iyo inotarisisa inowanzochinja pakusimbisa mhasuru.
  • Basa resimba rinogona kunanga mhasuru dzemudumbu kana tsandanyama dzepelvic pachadzo.

Nenguva, kuzvipira, uye kurapwa kwakanangwa, vanhu vanogona kushandisa pelvic pasi kurapa kwemuviri kusunungura matishu, kusimbisa mhasuru, uye. kudzorera basa.


Spinal Decompression In Deep


References

US Food and Drug Administration. (2019). Pelvic organ prolapse (pop).

Sartori, DVB, Kawano, PR, Yamamoto, HA, Guerra, R., Pajolli, PR, & Amaro, JL (2021). Simba retsandanyama yepelvic rinoenderana nekuita zvepabonde. Kuongorora uye kliniki urology, 62 (1), 79-84. doi.org/10.4111/icu.20190248

Raizada, V., & Mittal, RK (2008). Pelvic floor anatomy uye inoshandiswa physiology. Gastroenterology makiriniki eNorth America, 37(3), 493–vii. doi.org/10.1016/j.gtc.2008.06.003

Soave, I., Scarani, S., Mallozzi, M., Nobili, F., Marci, R., & Caserta, D. (2019). Pelvic floor muscle kudzidziswa kudzivirira uye kurapwa kweurinary incontinence panguva yekuzvitakura uye mushure mekusununguka uye maitiro ayo paurinary system uye zvimiro zvinotsigira zvinoongororwa nechinangwa chekuyera nzira. Zvinyorwa zveGynecology uye Obstetrics, 299 (3), 609-623. doi.org/10.1007/s00404-018-5036-6

Columbia Surgery. (2022). Pelvic floor kusagadzikana: mibvunzo inowanzo bvunzwa.

Dzivisa Plantar Fasciitis Flare-Ups Neaya Mazano

Dzivisa Plantar Fasciitis Flare-Ups Neaya Mazano

Vanhu vane plantar fasciitis vanogona kusangana nekupisa-ups. Kuziva zvikonzero zvingabatsira here kuwana zororo remarwadzo?

Dzivisa Plantar Fasciitis Flare-Ups Neaya Mazano

Plantar Fasciitis Flare-Up

Plantar fasciitis chikonzero chinowanzokonzera chitsitsinho uye kurwadziwa kwetsoka. The plantar fascia ibhande retishu rinomhanya nechepasi petsoka uye rinopisa. Zvimwe zvinhu zvinogona kukonzera plantar fasciitis flare-ups, kusanganisira:

  • Kuwedzera kwemaitiro ekuita muviri.
  • Kwete kutambanudza nguva dzose.
  • Kupfeka shangu pasina kutsigirwa kwakakodzera.
  • Kuwedzera kwehuwandu.

Zvinokonzera

A plantar fasciitis flare-up inowanzokonzerwa nekuita muviri. (MedlinePlus. US National Library yeMishonga. 2022) Inogonawo kuunzwa nemamiriro ezvinhu, sekuwedzera kwehuremu hwemuviri, arthritis, kana chimiro chetsoka. (Johns Hopkins Mushonga. 2023) Pasinei nechikonzero chikuru, pane zviitiko uye zviitiko zvinogona kukonzera uye / kana kuipa mamiriro acho ezvinhu.

Itsva Yekuita Maekisesaizi

  • Kuve wakagwinya zvakanyanya kunogona kuwedzera plantar fasciitis zviratidzo.
  • A plantar fasciitis flare-up inogona kuitika mushure mekuwedzera kamwe kamwe mukuita, sekutanga chirongwa chitsva chekurovedza muviri kana kuwedzera maekisesaizi matsva kumaitiro. (MedlinePlus. US National Library yeMishonga. 2022)
  • Kufamba kana kumhanya panzvimbo dzisina kuenzana kana kudzika pasi zvinogona kukonzeresa. (Johns Hopkins Mushonga. 2023)
  • Kuderedza kushanda kwemuviri uye kumira kwenguva kunogona kubatsira.
  • Kana izvi zvisingaite, kupfeka shangu dzakasungirirwa nerutsigiro rwearch kunogona kubatsira kuderedza marwadzo. (Johns Hopkins Mushonga. 2023)

Weight Gain

  • Vanhu vane huremu hwemuviri hunowedzera kana kuwedzera vanowedzera kumanikidza kutsoka dzavo, vachivaisa panjodzi huru ye plantar fasciitis. (MedlinePlus. US National Library yeMishonga. 2022)
  • Kana uchisangana neyakagadzikana flare-ups, mutengesi wehutano anogona kupa zano rakakodzera uremu chirongwa chakasanganiswa nehurongwa hwekurapa.

Kuberekwa

Bhutsu Pasina Tsigiro

  • Kupfeka shangu pasina arch kutsigirwa kunogona kukonzera kurwadziwa kwetsoka uye plantar flare-ups.
  • Vanhu vanofanirwa kupfeka shangu dzine zvakawanda zvekusimudza uye arch rutsigiro, senge sneakers. (Ortho Info. Academy of Orthopedic Surgeons. 2022)
  • Shangu dzisina kukurudzirwa dzinosanganisira:
  • Mafiripi
  • Shangu dzakati sandara.
  • High heels, bhutsu, kana shangu dzinosimudza chitsitsinho pamusoro pezvigunwe.
  • Shangu dzakasakara seshangu dzekurovedza muviri.

Kusatwasanuka Kwakanaka kana Kutombo

  • Mhuru dzakasimba dzinogona kuwedzera kumanikidza pane plantar fascia.
  • Kutambanudza mhuru, Achilles tendon / chitsitsinho, uye pasi petsoka zvinokurudzirwa zvikuru kubatsira kurapa nekudzivirira mamiriro acho. (Johns Hopkins Mushonga. 2023)
  • Kusatambanudzira zvakakwana kana kusvetuka-svetuka kunogona kuwedzera zviratidzo.
  • Vanhu vane plantar fasciitis vanokurudzirwa kutambanudza vasati uye mushure mekuita mabasa emuviri, kurovedza muviri, vasati vaenda kunorara, uye mushure mokumuka.

Kushanda Nokurwadziwa

  • Vanhu vanogona kuedza kuenderera mberi nemitambo yemuviri panguva yekuputika.
  • Izvi hazvikurudzirwe sezvo kuita izvi kunogona kukonzera kurwadziwa kwakanyanya uye kuwedzera mamiriro acho.
  • Kana kurwadziwa kuchivapo, zvinokurudzirwa kuti:
  • Rega mabasa ese anonetsa tsoka
  • Gara kure netsoka kweinenge vhiki.

Kubvarura Plantar Fascia

  • Iyo plantar fascia haiwanzo kubvarura zvachose kubva pakudzokororwa kunetseka kunozivikanwa se plantar fascia rupture.
  • Kana izvi zvikaitika, kurwadziwa kwakangoerekana kwaitika uye vanhu vanorairwa kufonera mutarisiri wavo wehutano. (Stephanie C. Pascoe, Timothy J. Mazzola. 2016)
  • Zvisinei, vanhu vanogona kupora nokukurumidza, uye kurwadziwa kunopera nokukurumidza.
  • Vanhu vane misodzi vanozokurudzirwa kupfeka tsoka orthotic sezvo tsoka ingangove yakatambarara zvakanyanya.

Risk Factors

Plantar fasciitis inogona kuitika kune chero munhu, asi vanhu vane zvinotevera hunhu vari panjodzi yakawedzera: (Ortho Info. Academy of Orthopedic Surgeons. 2022)

  • A high-foot arch.
  • Mabasa kana mafaro nzvimbo iyo yakawedzera kunetseka patsoka.
  • Tsandanyama dzemhuru dzakasimba.
  • Kuwedzera kamwe kamwe mubasa remuviri.
  • A new exercise regimen.
  • Kuwedzera uremu hwemuviri.
  • Kuwedzera kurema kwakangoerekana kwaita panguva yekuzvitakura.

Kupisa Kunogara Kwenguva Yakadii?

  • Plantar fasciitis inogona kuva isingaperi kana isina kurapwa.
  • Nekurapwa, 90% yezviitiko zvichavandudza mukati memwedzi gumi. (Ortho Info. Academy of Orthopedic Surgeons. 2022)
  • Munguva yekuputika, gara kure netsoka zvakanyanya sezvinobvira.

mabatiro

Pamusoro pekuzorora kurapwa kweplantar fasciitis kunogona kusanganisira: (Ortho Info. Academy of Orthopedic Surgeons. 2022)

chando

  • Icing pasi petsoka kwemaminitsi gumi nemashanu zvishoma pazuva kunoderedza kuzvimba.

Nonsteroidal anti-inflammatory drugs - NSAIDs

  • Over-the-counter NSAIDs senge ibuprofen uye naproxen, inogona kuderedza marwadzo uye kuzvimba.
  • Zvinokurudzirwa kubvunza mupi wehutano hwekushandisa kwenguva pfupi uye dosage.

Shangu Dzakanaka

  • Shangu dzine arch inotsigira zvinokurudzirwa zvikuru.
  • Mupi wehutano anogona kuodha tsika orthotics kune rumwe rutsigiro.

Stretching

  • Kutambanudza kwakakosha pakurapwa.
  • Kutambanudza mhuru uye pasi petsoka zuva nezuva kuchaita kuti nyama igare yakasununguka.

Massages

  • Kukwiza nzvimbo ne therapeutic massage bhora kunonyaradza matissue.
  • Kushandisa percussive massager kunogona kuwedzera kutenderera.

Chii chinonzi Plantar Fasciitis?


References

MedlinePlus. National Library of Medicine. (2022) US Plantar fasciitis.

Johns Hopkins Mushonga. (2023) Plantar fasciitis.

Chipatara chevana cheBoston. (2023) Plantar fasciitis.

Ortho Info. Academy of Orthopedic Surgeons. (2022) Plantar fasciitis uye bone spurs.

Pascoe, SC, & Mazzola, TJ (2016). Acute Medial Plantar Fascia Tear. The Journal of orthopedic uye mitambo yekurapa kwemuviri, 46 (6), 495. doi.org/10.2519/jospt.2016.0409