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.
by Dr Alex Jimenez Kugadzirira Therap , chisingaperi Pain , Kufamba & Kuchinja , Mishonga , Viscerosomatic Reflex
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
VIDEO
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
by Dr Alex Jimenez Kufamba & Kuchinja , Kurara Utano
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?
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
VIDEO
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
by Dr Alex Jimenez Chiropractic , Kufamba & Kuchinja
Kune vanhu vane zviratidzo zvekurwadziwa kwepelvis uye matambudziko anosanganisirwa, kubatanidza pelvic floor physiotherapy kurovedza muviri kunobatsira nekurapa nekudzivirira?
Pelvic Floor Physical Therapy
Mitsipa yepelvic iri pazasi pepelvis uye inodzivirira nhengo dzepelvic semukadzi, cervix, chibereko, dundira, urethra, uye rectum. (US Food and Drug Administration. 2019 )
Ivo vanopa posture rutsigiro, rubatsiro mu orgasm basa, kufambisa sphincter basa, uye kubatsira kupomba lymphatic ropa. (Dulcegleika Vilas Boas Sartori, et al., 2021 ) (Varuna Raizada, Ravinder K. Mittal. 2008 )
Kana tsandanyama dzatadza kushanda nemazvo, vanhu vanogona kuona zviratidzo zvakaita se:
Kusangana kunorwadza
Prolapse - apo nhengo kana matishu inodonha kana kusuduruka kubva panzvimbo.
Urinary incontinence
Matambudziko ekuzvimbirwa
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:
Kuongororwa kwePelvic floor.
Kuongororwa kwechimiro, kufamba, uye simba repakati.
Kana bvunzo dzekutanga nekuongororwa kwapera, murapi anoenda pamusoro pezviitwa zvepelvic pasi uye nekupa chirongwa chekurapa.
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
VIDEO
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 .
by Dr Alex Jimenez Foot Orthotics , Kufamba & Kuchinja
Vanhu vane plantar fasciitis vanogona kusangana nekupisa-ups. Kuziva zvikonzero zvingabatsira here kuwana zororo remarwadzo?
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?
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?
VIDEO
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
by Dr Alex Jimenez Chiropractic , chisingaperi Pain , Kufamba & Kuchinja , Spinal Decompression Treatments , Spine Care , Mishonga , Viscerosomatic Reflex
Kuora kwepelinha kunogona sei kuderedza marwadzo uku uchidzoreredza kushanduka kwemusana muvanhu vazhinji vane lumbar degenerative disorders?
ziviso
Sezvo isu tichigara tichichembera, ndizvo zvakaitawo mizongoza yedu uye spinal discs, semvura yepanyama uye zvinovaka muviri zvinomira hydrating madhisiki uye zvichiita kuti adzike. Kana disc degeneration inotanga kukanganisa musana, inogona kukonzera kurwadziwa-kufanana nezviratidzo munzvimbo dzechiuno, izvo zvino zvinokura kuva marwadzo emusana kana zvimwe zvirwere zvemusculoskeletal zvinokanganisa mazamu ezasi. Kana disc degeneration inotanga kukanganisa nharaunda yechiuno, vanhu vazhinji vanozoona kuti havasi kuchinjika sezvavaive vadiki. Zviratidzo zvemuviri zvekuomesa mhasuru dzavo kubva pakusimudza zvisina kufanira, kudonha, kana kutakura zvinhu zvinorema zvinogona kukonzera kusagadzikana kwetsandanyama uye kurwadziwa. Kana izvi zvikaitika, vanhu vazhinji vanozobata marwadzo nemishonga yemumba, iyo inogona kupa zororo renguva pfupi asi inogona kuwedzera zvakanyanya kana vanhu vakaita kudzokorora mafambiro kune yavo lumbar spine, izvo zvinogona kukonzera kukuvara. Neraki, kurapa kusiri-kuvhiya kunogona kubatsira kudzikamisa nzira ye disc degeneration uchidzoreredza spinal disc. Nyaya yanhasi inotarisa kuti sei disc degeneration inokanganisa lumbar flexibility uye kuti marapirwo akaita sepinal decompression anoderedza disc degeneration apo achidzorera lumbar flexibility. Sezvineiwo, tinotaurirana nevanopihwa zvekurapa vane ruzivo vanosanganisa ruzivo rwevarwere vedu kuti vape zvirongwa zvakasiyana-siyana zvekurapa kuderedza dhisiki yekuderera uye kupa marwadzo. Isu tinovazivisawo kuti kune zvisiri zvekuvhiya zvingasarudzwa kuderedza marwadzo-sezviratidzo zvinosanganiswa ne disc degeneration uye kubatsira kudzorera lumbar flexibility. Tinokurudzira varwere vedu kubvunza mibvunzo inoshamisa yedzidzo kune vatinosanganisirwa vapepi vekurapa nezvezviratidzo zvavo zvinoenderana nekurwadziwa kwemuviri munzvimbo yakachengeteka uye yakanaka. Dr. Alex Jimenez, DC, anobatanidza ruzivo urwu sebasa rezvidzidzo. Disclaimer
DDD Inobata Sei Lumbar Flexibility?
Wanga uchiona kuoma kumusana kwako paunomuka mangwanani here? Unonzwa tsandanyama kurwadza here paunokotama uye uchinhonga zvinhu zvinorema? Kana kuti unonzwa marwadzo anopenya mumakumbo ako uye musana? Kana vanhu vazhinji vari mukurwadziwa kwakanyanya, vazhinji havawanzoona kuti kurwadziwa kwavo kwepazasi kunogona kuve kwakabatana nemusana wavo unoderera. Sezvo iyo spinal disc uye muviri zvinogona kuderera zvakasununguka, zvinogona kutungamirira kukuvandudzwa kwehutano hwe musculoskeletal. DDD, kana kuti degenerative disc chirwere, inowanzoremara mamiriro ayo anogona kukanganisa zvakanyanya musculoskeletal system uye ndicho chikonzero chikuru chekuti vanhu vashaye mabasa avo ezuva nezuva. ( Cao et al., 2022 ) Kana zvinhu zvakajairika kana zvinoshungurudza zvinotanga kukonzera kudzokorora mafambiro kumusana, zvinogona kuita kuti spinal disc iomerwe uye, nekufamba kwenguva, inopera. Izvi, zvakare, zvinoita kuti musana urege kushanduka uye unova dambudziko remagariro nehupfumi.
Apo disc degeneration inotanga kukonzera kusagadzikana kwepelinha, inogona kutungamirira kukukura kwemarwadzo ekudzokera shure. Sezvo kurwadziwa kwepashure kunowanzo kunetseka nezvehutano, kunogona kukanganisa vanhu vazhinji pasi rese, sezvo disc degeneration iri chinhu chinowanzoitika. ( Samanta et al., 2023 ) Sezvo disc degeneration ine-multi-factorial disorder, iyo musculoskeletal uye organ systems inobatwawo sezvo inogona kukonzera marwadzo anotaurwa kunzvimbo dzakasiyana dzemuviri. Sezvineiwo, vanhu vazhinji vanogona kuwana kurapwa kwavanenge vachitsvaga, sezvo vazhinji vachitsvaga zororo kubva kumatambudziko mazhinji anokonzerwa ne disc degeneration.
Kukuvara Kwemuzongoza In Athletes- Vhidhiyo
VIDEO
Sezvo disc degeneration iri-multi-factorial chikonzero chekuremara, inogona kuva yekutanga sosi yemarwadzo ekudzokera shure. Kana zvinhu zvakajairika zvichikonzera marwadzo ekudzokera shure, zvinogona kuwirirana ne disc degeneration uye zvinogona kukonzera masero, maumbirwo, kuumbwa, uye kuchinja kwemagetsi mumuzongoza. ( Ashinsky et al., 2021 ) Zvisinei, vanhu vakawanda vari kutsvaga kurapwa vanogona kutarisa kune vasiri kuvhiyiwa marapirwo sezvo asingadhuri uye akachengeteka pamuzongoza. Mishonga isiri-yekuvhiya yakachengeteka uye yakapfava pamuzongoza sezvo ichikwanisa kuchinjika kumarwadzo emunhu uye kusanganiswa nemamwe mafomu ekurapa. Imwe yeasina-kuvhiya marapirwo is spinal decompression, iyo inoshandisa zvinyoro traction pamuzongoza kudzorera mvura yespinal disc kubva mukuora uye kubatsira kukanda-kutanga kupora kwemuviri. Vhidhiyo iri pamusoro inoratidza kuti disc degeneration yakabatana sei ne disc herniation uye kuti marapirwo aya anogona sei kuderedza marwadzo ayo-semhedzisiro pamuzongoza.
Spinal Decompression Kuderedza DDD
Kana vanhu vazhinji vari kuenda kunorapwa kwe disc degeneration, vazhinji vanowanzo edza musana decompression sezvo zvichikwanisika. Vazhinji vashandi vehutano vanoongorora munhu nekugadzira hurongwa hwemunhu asati apinda muchina wekudhonza. Vanhu vazhinji vachawana CT scan yekuongorora shanduko dzakakonzerwa neDDD. ( Dullerud & Nakstad, 1994 ) Izvi zvinotarisa kuti nzvimbo ye diski yakaoma sei. Muchina wekudhonza wepinal decompression unosarudza iyo yakakwana nguva yekurapa, frequency, uye maitiro ekutonga traction kumusana kuderedza DDD. ( Pellecchia, 1994 ) Uyezve, kushanda zvakanaka kwekudhonza kubva kumusana wepelinha kunogona kubatsira vanhu vakawanda vane yakaderera shure uye kupa zororo. ( Beurskens et al., 1995 )
References
Ashinsky, B., Smith, HE, Mauck, RL, & Gullbrand, SE (2021). Intervertebral disc degeneration uye kuberekwa patsva: chikamu chekufamba. Eur Cell Mater , 41 , 370-380. doi.org/10.22203/eCM.v041a24
Beurskens, AJ, de Vet, HC, Koke, AJ, Lindeman, E., Regtop, W., van der Heijden, GJ, & Knipschild, PG (1995). Kubudirira kwekukwevera kune kusiri-chaiyo kurwadza kwakaderera kumashure: a randomized clinical trial. Lancet , 346 (8990), 1596-1600. doi.org/10.1016/s0140-6736(95)91930-9
Cao, G., Yang, S., Cao, J., Tan, Z., Wu, L., Dong, F., Ding, W., & Zhang, F. (2022). Basa reOxidative Stress muIntervertebral Disc Degeneration. Oxid Med Cell Longev , 2022 , 2166817. doi.org/10.1155/2022/2166817
Dullerud, R., & Nakstad, PH (1994). CT inoshanduka mushure mekuchengetedza kurapwa kwe lumbar disk herniation. Acta Radiol , 35 (5), 415-419. www.ncbi.nlm.nih.gov/pubmed/8086244
Pellecchia, GL (1994). Lumbar traction: wongororo yezvinyorwa. J Orthop Sports Phys Ther , 20 (5), 262-267. doi.org/10.2519/jospt.1994.20.5.262
Samanta, A., Lufkin, T., & Kraus, P. (2023). Intervertebral disc degeneration-Yazvino maitiro ekurapa uye matambudziko. Front Public Health , 11 , 1156749. doi.org/10.3389/fpubh.2023.1156749
Disclaimer
by Dr Alex Jimenez Chiropractic , chisingaperi Pain , Kufamba & Kuchinja , Spinal Decompression Treatments , Spine Care , Mishonga , Viscerosomatic Reflex
Vashandi vehutano vanogona kubatsira vanhu vane marwadzo emusana nekubatanidza kusavhiyiwa kwemusana kudzoreredza kudzoreredza kufamba?
ziviso
Vanhu vazhinji havazivi kuti kuisa dzvinyiriro isingadiwe pamitsipa yavo kunogona kutungamirira kumarwadzo asingagumi mukati memusana wavo discs iyo inokanganisa kufamba kwavo kwemusana. Izvi zvinowanzoitika nemabasa anodiwa anoda kuti vanhu vatakure zvinhu zvinorema, kutsika zvisizvo, kana kusashanda muviri, izvo zvinoita kuti tsandanyama dzakatenderedza musana dziwande uye zvinotungamira kune marwadzo anotaurwa anokanganisa zvikamu zvekumusoro nezasi zvemuviri. Izvi zvinogona kuita kuti vanhu vaende kuvanachiremba vavo vekutanga kuti vanorapwa kurwadziwa kwemusana. Izvi zvinoita kuti varasikirwe nehurongwa hwavo hwebasa hwakabatikana uye kubhadhara mutengo wakakwira kuti varapwe. Kurwadza kwemusana kunobatana nenyaya dzemusana kunogona kuva dambudziko hombe uye kuita kuti vanzwe kusuwa. Neraki, akawanda emakiriniki sarudzo anodhura-anoshanda uye akasarudzika kune vanhu vazhinji vanobata nemarwadzo emusana izvo zviri kuita kuti vawane zororo ravanokodzera. Chinyorwa chanhasi chinotarisa kuti sei marwadzo emuzongoza achibata vanhu vazhinji uye kuti kupera kwemusana kunogona kubatsira sei kuderedza marwadzo emusana uye kudzorera kufamba kwemusana. Sezvineiwo, tinotaurirana nevanopihwa zvekurapa vane ruzivo vanobatanidza ruzivo rwevarwere vedu kupa zvirongwa zvakasiyana-siyana zvekurapa kuderedza marwadzo emusana anokanganisa misana yavo. Isu tinovazivisa zvakare kuti pane zvisiri zvekuvhiya sarudzo dzekudzikisa marwadzo-senge zviratidzo zvine chekuita nenyaya dzemusana mumuviri. Tinokurudzira varwere vedu kubvunza mibvunzo inoshamisa yedzidzo kune vatinosanganisirwa vapepi vezvokurapa nezvezviratidzo zvavo zvinoenderana nekurwadziwa kwemuviri munzvimbo yakachengeteka uye yakanaka. Dr. Alex Jimenez, DC, anobatanidza ruzivo urwu sebasa rezvidzidzo. Disclaimer
Sei Kurwadza Kwemuzongoza Kuri Kubata Vanhu Vakawanda?
Wakambosangana nemarwadzo kubva kumusana wako mhasuru dzinoita sedziri kurwadza mushure mekukotama nguva dzose kuti utore zvinhu? Iwe kana vadiwa vako unonzwa kuomarara kwetsandanyama kumashure uye unonzwa chiveve munzvimbo dzako dzepamusoro kana dzezasi dzemuviri? Kana kuti uri kuwana zororo kwenguva pfupi mushure mekutambanudza mhasuru dzako dzemusana, chete kuti marwadzo adzoke? Vanhu vazhinji vane kurwadziwa shure havambozivi kuti kurwadziwa kwavo kuri mukati memusana wavo. Sezvo musana uri S-curve shape ine matunhu matatu akasiyana mumuviri, spinal discs mukati mega ega segment segment inogona kudzvinyirirwa uye kutadza kurongeka nekufamba kwenguva. Izvi zvinokonzeresa shanduko yekuchinja mukati memusana uye zvinogona kukonzera kuti matatu akasiyana matunhu emusana aite marwadzo-senge nyaya mumuviri. Kana zvinhu zvakati wandei zvakatipoteredza zvichitanga kuve zvikonzero zvekuderera kwespinal discs, zvinogona kukanganisa musana wemuzongoza. Inogona kuva pesvedzero yakasimba inokanganisa basa ravo, predisposing disc kukuvadzwa. (Choi, 2009 ) Panguva imwecheteyo, izvi zvinogona kukonzera kukanganisa kukuru kana uchirapwa nekuda kwekudhura kwayo uye inogona kutanga kuchinja kwezera-kwezera kunokonzera nyaya dzepathophysiological kune vertebral body. (Gallucci et al., 2005 )
Deyo et al., 1990 ) Izvi zvinobva zvaita kuti vanhu vagare vachitambura uye vachitsvakurudza marapiro akasiyana-siyana kuti vaderedze marwadzo avari kunzwa. Kana marwadzo emuzongoza achibata vanhu vazhinji, vazhinji vanotsvaga marapirwo asingadhuri kuti varerutsire marwadzo avari kusangana nawo uye kuti vayeuke maitiro ezuva nezuva avanotora nekufamba kwenguva voagadzirisa.
Spinal Decompression In-Depth- Vhidhiyo
VIDEO
Iwe unogara uchinzwa mhasuru aches uye kurwadziwa mumuviri wako idzo nzvimbo dzako dzese dzekunyunyuta? Unonzwa tsandanyama dzako dzichidhonza zvisina kunaka mushure mekusimudza kana kutakura chinhu chinorema? Kana kuti unonzwa uchinetseka nguva dzose mumutsipa wako, mapfudzi, kana musana? Kana vanhu vazhinji vachinetsekana nekurwadziwa kwakawanda, vanowanzofunga kuti ingori marwadzo ekudzokera shure apo inogona kunge iri nyaya yemuzongoza inogona kunge iri honzeri yemarwadzo avari kunzwa. Kana izvi zvikaitika, vanhu vazhinji vanosarudza kurapwa kusiri kwekuvhiya nekuda kwekudhura kwayo uye kuti ingaite sei munhu zvichienderana nekuoma kwemarwadzo. Imwe yeasina-kuvhiya marapirwo is spinal decompression/traction therapy. Vhidhiyo iri pamusoro apa inopa kutarisa kwakadzama kuti kuputika kwemusana kunogona kubatsira sei kuderedza marwadzo emusana ane chokuita nekurwadziwa kwepashure. Marwadzo emuzongoza anogona kuwedzera nezera uye kutsamwiswa nekunyanyisa lumbar kuwedzera, saka kubatanidza musana decompression inogona kubatsira kuderedza marwadzo kumusoro uye kuzasi. (Katz et al., 2022 )
Sei Spinal Decompression Inogona Kuderedza Spinal Kurwadza
Cyriax, 1950 ) Spinal decompression inoshandisa zvinyoro zvinyoro kudhonza majoini emusana kuti irege spinal disc idzokere panzvimbo yayo yepakutanga uye kubatsira kuwedzera kunwa kwemvura kumashure. Apo vanhu vanotanga kubatanidza kuora kwepelinha muhutano hwavo uye mararamiro ehutano, vanogona kuderedza marwadzo avo emusana mushure mekurapa mashomanana akatevedzana.
Spinal Decompression Kudzorera Spinal Mobility
Spinal decompression inogonawo kuiswa pamwe nemamwe asingashandisi kurapwa kuti adzorere kufamba kwemusana. Apo nyanzvi dzemarwadzo dzinoshandisa kupera kwepelinha mukati memaitiro avo, vanogona kubatsira kubata zvakasiyana-siyana zvemusculoskeletal mamiriro, kusanganisira zvirwere zvemusana, kubvumira munhu kuti awanezve kufamba kwemusana. (Pettman, 2007 ) Panguva imwecheteyo, nyanzvi dzemarwadzo dzinogona kushandisa mechanical uye manual manipulation kuderedza marwadzo anonzwa munhu. Kana kupera kwemusana kunotanga kushandisa zvinyoro traction pamuzongoza, zvinogona kubatsira kuderedza kurwadza kwakanyanya kwakabatana netsinga, kugadzira kudzvinyirirwa kwakashata mukati mezvikamu zvemusana, uye kubvisa musculoskeletal kusagadzikana kunokonzera marwadzo. (Daniel, 2007 ) Apo vanhu vanotanga kufunga zvakanyanya nezvehutano hwavo uye hutano kuti vaderedze marwadzo avo, kuora kwemusana kunogona kuva mhinduro kuburikidza neurongwa hwemunhu uye inogona kubatsira vanhu vakawanda kuwana zororo ravakakodzera.
References
Choi, YS (2009). Pathophysiology ye degenerative disc chirwere. Asian Spine Journal , 3 (1), 39-44. doi.org/10.4184/asj.2009.3.1.39
Cyriax, J. (1950). Kurapa kwezvironda zve lumbar disk. Br Med J , 2 (4694), 1434-1438. doi.org/10.1136/bmj.2.4694.1434
Daniel, DM (2007). Kusina-kuvhiya musana decompression therapy: zvinyorwa zvesainzi zvinotsigira zvikumbiro zvinobudirira zvakaitwa mukushambadzira midhiya? Chiropr Osteopat , 15 , 7. doi.org/10.1186/1746-1340-15-7
Deyo, RA, Loeser, JD, & Bigos, SJ (1990). Herniated lumbar intervertebral disk. Ann Intern Med , 112 (8), 598-603. doi.org/10.7326/0003-4819-112-8-598
Gallucci, M., Puglielli, E., Splendiani, A., Pistoia, F., & Spacca, G. (2005). Degenerative kusagadzikana kwemusana. Eur Radiol , 15 (3), 591-598. doi.org/10.1007/s00330-004-2618-4
Katz, JN, Zimmerman, ZE, Mass, H., & Makhni, MC (2022). Kuongororwa uye Kutungamirirwa kweLumbar Spinal Stenosis: Ongororo. JAMA , 327 (17), 1688-1699. doi.org/10.1001/jama.2022.5921
Pettman, E. (2007). Nhoroondo ye manipulative therapy. J Man Manip Ther , 15 (3), 165-174. doi.org/10.1179/106698107790819873
Disclaimer
by Dr Alex Jimenez Injury Care , Kufamba & Kuchinja
Kune vanhu vane collarbone yakatyoka, kurapwa kwekuchengetedza kunogona kubatsira mukugadzirisa maitiro?
Yakaputsika Collarbone
Yakaputsika collarbones yakajairika kukuvara kwemapfupa kunogona kuitika mune chero zera zera. Iyo inozivikanwawo se clavicle, ibhonzo riri pamusoro pechipfuva, pakati pechipfuva / sternum uye bendekete / scapula. Iyo clavicle inogona kuonekwa nyore nyore nokuti ganda chete rinovhara chikamu chikuru chepfupa. Clavicle fractures yakajairika zvakanyanya, uye inoverengera 2% - 5% yekutyoka kwese. (Radiopaedia. 2023 ) Collarbones yakaputsika inoitika mu:
Vacheche - kazhinji panguva yekuzvarwa.
Vana nevechiri kuyaruka - nekuti iyo clavicle haina kunyatsokura kusvika pakupera kuyaruka.
Vatambi - nekuda kwenjodzi dzekurohwa kana kudonha.
Kuburikidza nemhando dzakasiyana dzetsaona nekudonha.
Ruzhinji rwekuputsika collarbones inogona kurapwa nekusavhiya kurapwa, kazhinji, nechipfuramabwe kuti pfupa riporese uye kurapa kwemuviri uye kugadzirisa.
Dzimwe nguva, apo clavicle fractures yakabviswa zvakanyanya kubva pakurongeka, kurapwa kwekuvhiya kunogona kukurudzirwa.
Pane nzira dzekurapa dzinofanirwa kukurukurwa nachiremba wemapfupa, chiremba wepanyama, uye / kana chiropractor.
Collarbone yakatyoka haina kunyanyisa kupfuura mamwe mapfupa akatyoka.
Kamwe pfupa rakaputsika rinoporesa, vanhu vazhinji vane huwandu hwakazara hwekufamba uye vanogona kudzokera kumabasa asati aputsika. (Johns Hopkins Mushonga. 2023 )
Types
Kukuvara kwakaputsika kweclavicle kunopatsanurwa kuita marudzi matatu zvichienderana nenzvimbo yekutyoka. (Radiopaedia. 2023 )
Mid-Shaft Clavicle Fractures
Izvi zvinoitika munzvimbo yepakati iyo inogona kunge iri nyore kutsemuka, kupatsanura, uye / kana kutsemuka kuita zvidimbu zvakawanda.
Mabreak akawanda - segmental fractures.Kutama kwakakosha – kuparadzana.Kupfupika kureba kwebhonzo .
Distal Clavicle Fractures
Izvi zvinoitika pedyo nekuguma kwecollarbone pajojo repafudzi.
Ichi chikamu chepfudzi chinonzi acromioclavicular/AC joint.
Distal clavicle fractures inogona kuva nemaitiro ekurapa akafanana sekukuvara kwekubatana kwe AC.
Medial Clavicle Fractures
Izvi hazvina kunyanya kuwanda uye zvinowanzoenderana nekukuvara kune sternoclavicular joint.
The sternoclavicular joint inotsigira bendekete uye ndiro rega rinobatanidza ruoko nemuviri.
Kukura kweplate fractures ye clavicle inogona kuonekwa mukupera kwevechiri kuyaruka uye kutanga kwe20s.
zviratidzo
Zviratidzo zvakajairika zvecollarbone yakatyoka zvinosanganisira: (National Library yeMishonga: MedlinePlus. 2022 )
Marwadzo pamusoro pecollarbone.
papfudzi marwadzo .Kutadza kufambisa ruoko.
Zvakaoma kusimudza ruoko kubva parutivi.
Kuzvimba nekupwanya pabendekete.
Mavanga acho anogona kusvika pachipfuva nepahapwa.
Chiveve uye kurira pasi peruoko.
Kuremara kwecollarbone.
Pamusoro pekuzvimba, vamwe vanhu vanogona kunge vaine bumpu panzvimbo yakaitika pakatyoka.
Zvinogona kutora mwedzi yakati wandei kuti bundu iri rinyatsopora, asi izvi zvakajairika.
Kana bundu richiita kunge rakazvimba kana kushatirwa, zivisa mupi wehutano.
Clavicular Kuzvimba
Kana iyo sternoclavicular joint yakazvimba kana kukura, inonzi clavicular kuzvimba.
Zvinowanzokonzerwa nekushungurudzika, chirwere, kana chirwere chinokanganisa mvura inowanikwa mumajoini. (John Edwin, et al., 2018 )
kuongorora chirwere
Kukiriniki yehutano kana mukamuri yekukurumidzira, X-ray ichawanikwa kuti iongorore rudzi rwekutyoka chaiko.
Vachaita ongororo kuti vaone kuti tsinga uye tsinga dzeropa dzakatenderedza collarbone yakaputsika hazvina kubviswa.
Mitsipa nemidziyo hazviwanzokuvara, asi mumatambudziko akaoma, kukuvara uku kunogona kuitika.
mabatiro
Kurapa kunoitwa kuburikidza nekubvumira pfupa kupora kana kuti nekuvhiya maitiro ekudzorera kurongeka kwakakodzera. Mamwe marapirwo akajairika ekutyoka mapfupa haashandiswe kune clavicle fractures.
Semuenzaniso, kukanda collarbone yakaputsika hakuitwe.
Mukuwedzera, kugadzirisa zvakare pfupa kana kuderedza kuvharwa hakuiti nokuti hapana nzira yekubata pfupa rakaputsika mukurongeka kwakakodzera pasina kuvhiyiwa.
Kana kuvhiyiwa iri sarudzo mupi wehutano anotarisa zvinotevera zvinhu: (Kusvika pari zvino. 2023 )
Nzvimbo Yekutsemuka uye Dhigirii reKubvisa
Nondisplaced kana zvishoma kubviswa fractures zvinowanzogadziriswa pasina kuvhiyiwa.
zera
Vanhu vadiki vane kugona kwakawedzera kupora kubva pakatyoka pasina kuvhiyiwa.
Kupfupisa kweChimedu chekutsemuka
Kutyoka kwakadzingwa kunogona kupora, asi kana paine kupfupikiswa kweiyo collarbone, kuvhiyiwa kungangodiwa.
Zvimwe Kukuvara
Vanhu vane kukuvara kwemusoro kana kuputsika kwakawanda vanogona kurapwa pasina kuvhiyiwa.
Zvinotarisirwa Nomurwere
Kana kukuvara kunosanganisira mutambi, basa rinorema, kana ruoko rwuri rukudzo, panogona kuve nechikonzero chakawanda chekuvhiyiwa.
Dominant Arm
Apo kuputsika kunoitika musimba guru, migumisiro yacho inowanzoonekwa.
Ruzhinji rwekuputsika uku kunogona kutarisirwa pasina kuvhiyiwa, asi kune mamiriro ezvinhu apo kuvhiyiwa kunogona kuunza mhedzisiro iri nani.
Inotsigira Kurapa Kusina-kuvhiya
Chipfuramabwe kana nhamba-8 clavicle brace.
Iyo nhamba-8 brace haina kuratidzwa kukanganisa kurongeka kwekutyoka, uye vanhu vazhinji vanowanzowana chipfuramabwe chakanyanya kugadzikana. (Kusvika pari zvino. 2023 )
Yakaputsika collarbones inofanira kupora mukati memavhiki 6-12 muvakuru
3-6 mavhiki muvana
Varwere vadiki vanowanzodzokera kumabasa akazara pamberi pemavhiki gumi nemaviri.
Marwadzo anowanzopera mukati memavhiki mashoma. (Kusvika pari zvino. 2023 )
Immobilization hainyanyi kudiwa kupfuura mavhiki mashoma, uye nekubvumidzwa kwachiremba basa rechiedza uye zvinyoro nyoro kugadzirisa kunotanga.
Kukuvara Kwenguva refu
VIDEO
References
Radiopaedia. Clavicular fracture .
Johns Hopkins Mushonga. Clavicle fractures .
National Library yeMishonga: MedlinePlus. Yakaputsika collarbone - aftercare .
Kusvika pari zvino. Clavicle fractures .
Edwin, J., Ahmed, S., Verma, S., Tytherleigh-Strong, G., Karuppaiah, K., & Sinha, J. (2018). Kuzvimba kwejojo ye sternoclavicular: kuongorora kwekushungurudza uye kusingakuvadzi pathologies. EFORT yakavhurika wongororo, 3(8), 471–484. doi.org/10.1302/2058-5241.3.170078
