Kunzwisisa Maitiro Asingaoneki Maitiro Ekutambudzika muEl Paso, Tx

Sei kukanganisa kwepanyika kana kukuvadzwa kunokonzerwa nekushungurudzika kunoita kuti urombo husingaperi, husingagadzirwi mune vamwe varwere? Ndezvipi zviri mubasa rekushandura kwekukuvara kwemukati nekurwadziwa kwakanyanya mumamiriro ekurwara asingagumi? Sei kune mamwe marwadzo anopindura kune zvinorwisa zvinodhaka zvinodhaka uye / kana mishonga, asi dzimwe mhando dzekutambudzika dzinoda opiates?

 

Pain iyi inyanzvi inobatanidza hutachiona hwehutachiona hwehutachiona (PNS) uye inonzi central nervous system (CNS). Kukuvara kwemavara kunokonzera PNS, iyo inotumira zviratidzo kuburikidza nemutsipa wepelinha kupinda muuropi, umo maonero ekurwadziwa anoitika. Zvisinei, chii chinoita kuti ruzivo rwakanyanya rwekutambudzika ruve chinhu chisingaregi? Pane chinhu chingaitwa kuti chidzivirire? Uchapupu hunoratidza kuti Chronic pain kunokonzerwa nekubatanidzwa kwezvirongwa, zvakadai seyeurological "memory" yekutambudzika kwakapfuura.

 

Nociception: The Simplest Pathway

 

Kutambudzika kwakanaka kana kusina kunzwisisika kunoratidzika sechiitiko chinogara chichigadzikana chinowanikwa mukupindura zvakanyanya kukanganisa kana kukuvara. Icho chidziviriro, kutinyevera kuti tibve kubva pakutanga kwekutukwa uye kutarisira kutambudzika. Nzira dzinoita kuti marwadzo ausciceptive awedzere, anosanganisira kutengesa, izvo zvinowedzera kushungurudzika kwekunze kunokurudzira kuita magetsi mune imwe nhengo yepamusoro inonzi nociceptive primary afferent nerves. Ivo vanoratidzika mushutu zvino vanofambisa ruzivo rwekunzwa kubva kuPNS kuenda kuCNS.

 

MuCSS, data inorwadza inoparadzirwa ne-primary sensory neurons mukati memasero ekufungidzira. Mushure mokunge ruzivo rwunotamirwa kunzvimbo dzose dzouropi dzinofanirwa kutarisa kwedu, chiitiko chaicho chekunzwa chinoitika. Manzwiro echeccpp is a simple reaction to a specially simple, stimulus stimulus. Asi ma mechanics inotarisira kurwadziwa kwepasciceptive haigoni kuziva zviratidzo, zvakadai sekurwadziwa kunoramba kuchiri pasinei nekubviswa kana kuporesa kwekukurudzira, sekuita kwekurwadziwa kwechimiro chepantom.

 

Pain uye kupikiswa kwechiremera

 

Mune mamiriro ekukuvadzwa kwakanyanya, zvakadai semavanga ekuvhiya, kukanganisa kwenyama kunogona kukurudzira kuputika kwemaitiro. Zvisinei, mamwe mamiriro ezvinhu, kunyanya arthritis, anogonawo kuratidzwa nekuenderera mberi kwezviitiko zvekuvhiringidzika kunobatanidza zviratidzo zvakanyanya zvinorwadza. Nzira dzehutano huno hunoenderana nekuvhiringidzika kwechigunwe uye kupindura kwekuvhiringidza kwakasiyana nekurwadziwa kwekutanga-kunyevera nociceptive kurwadziwa.

 

Kucherechedza kuiswa kana nzvimbo yeimwe njodzi kana kukuvadzwa, kuitika kwezviitiko zvinotyisa zvinowanikwa munzeve yekutya. Ichi chimiro chemuviri "mhepo-mhepo" chinotanga paganda, iyo inogona kuitika pamwe chete nemisungo yeropa, uye inoguma nehutachiona hwehutano pamwe nemutsara wepinini (dorsal horn) uye uropi. Masero anovhiringidza anokomberedza nzvimbo dzekuvhiringidzika kwemhuka uye anogadzira makotokine uye chemokines, zvinhu zvinotarisirwa kupindira mushonga wekuporesa uye kuchinja patsva. Asi, avo vamiririri vanogonawo kuonekwa sekutsamwa uye kugadzirisa zvinhu zvepfungwa dzekutanga dzinotenderera dzakapoteredza nzvimbo yekutambudzika.

 

Nokudaro, zvikonzero zvikuru zvinokonzera marwadzo ekuvhiringidza zvinosanganisira kukanganisa ku-high-threshold nociceptors, inozivikanwa seperiipheral senitization, kuchinja uye kuchinjwa kwee-neuroni muhurongwa hwekutya, uye kuwedzerwa kwekunakidza kweeuroni mukati meCSS. Izvi zvinomiririra hukuru hwekusimudzirwa uye inopomerwa mhosva ye hypersensitivity, apo nzvimbo dziri pedo neavo yekukuvadza kwechokwadi dzichanzwa kurwadziwa sokunge izvi zvakakuvara. Izvi zvinogonawo kuita maererano nekukurudzira kunowanzoita kuti urege kurwadziwa, zvakadai sekubata, kupfeka zvipfeko, kupinza chiedza, kana kuti kunyange kuputira bvudzi rako, sekunge kuti zvakanyanya kurwadza, zvinonzi sa allodynia.

 

Peripheral uye Central Sensitization (Video)

 

 

Mamwe Maitiro Emarwadzo

 

Hurwa neuropathic inokonzerwa nekukuvadza kana kukuvadza kwenheyo yenheyo, yakadai seCarpal tunnel syndrome, postherpetic neuralgia uye chirwere cheshuga chirwere chepfungwa. Kunyange zvazvo dzimwe nzira dzinoita seinoita kuti marwadzo europathic asvike nevaya vanokonzera kurwadziwa, vazhinji vavo vakasiyana, uye naizvozvo vachada nzira yakasiyana kune avo vanotungamira.

 

Izvo zvinoshandiswa pakutsvaga nepakati pekunzwisisika zvinoshandiswa, zvinyorwa uye zvinoshandiswa, panguva yekutsvaga kweurotransmitter, glutamate, iyo inofungidzirwa kuti inosunungurwa apo inogamuchirwa N-methyl-D-aspartate (NMDA).

 

Nzira yehutano inoumbwa neyekudzivirira kana yekunakidza neurotransmitter. Zvizhinji zvezvinobvumira hurongwa hwedu hwemagetsi kuti zvipindure zvakakodzera kukanganisa kana kukuvadza ndiko kugadzirisa zvakanaka kana kuvhara kwemhando dzakasiyana-siyana. Kuwedzera kwekutsvaga kwehurongwa hwemitsipa kunoonekwa kuva dambudziko mumatambudziko akasiyana-siyana. Semuenzaniso, kunyanya kugadziriswa kweNMDA receptor kunogonawo kufananidzwa nehutano hwehutambudzi, kusagadzikana kusakanganisika, uye kunyange kuvhiringidzika.

 

Kunyangwe kurwadziwa kunowanzoitika, kune imwe nguva, kunobatsira mutori weNMDA uye inotendwa kutungamirira kubudiswa kwe glutamate. Kunyange zvakadaro, mukurwadziwa kweuropathy, kunyanya kuderera kune NMDA receptor chinhu chinokosha.

 

Nemamwe marudzi ekurwadziwa kusingaperi, akadai se fibromyalgia uye zvinokonzerwa nemusoro-soro, dzimwe nzira dzinoshanda mukuputika uye neuropathic zvinorwadza zvinogonawo kuumba kusagadzikana kwakafanana mumarwadzo ekurwadziwa, kusanganisira kusimbisa pakati, kukwira kwepamusoro kwenzira dzomusiyo, nekuderedza central nervous system inhibitory mechanisms.

 

Peripheral Sensitization

 

Cyclo-oxygenase (COX) inobatawo basa rinokosha munharaunda dzose uye pakati pekunzwa. COX-2 imwe yemakemikari anokonzerwa panguva yekuvhiringidza; COX-2 inoshandura arachidonic acid mu prostaglandin, iyo inowedzera kunzwisisika kwepachivi nociceptor terminals. Zvichida, kuputika kwechirwere kunokonzerawo COX-2 kubudiswa kubva kuCNS. Zviratidzo kubva kune peripheral nociceptors zvinokonzera kukwidziridzwa uku, asi ipapo inoratidzikawo kunge chikamu chemasorasi kune kutengesa kwezviratidzo zvinorwadza mukati mekuvhara ropa-muropi.

 

Semuenzaniso, muzviratidzo zvekuedza, COX-2 inoumbwa kubva kuCNS kunyange kana mhuka dzichigadzirisa chirwere chepfungwa mushure mekutsvaira kuputika. Iko-COX-2 iyo inoratidzwa pamusoro pezvinyorwa zvepineal neurons yemutsipa wepelineni inosunungura prostaglandin, iyo inoshanda pamagetsi ekumusoro, kana kuti zvigaro zve presynaptic zvezinonzi nociceptive sensory fibers, kuwedzera kubudiswa kwekutumira. Uyezve, vanoita zvinyorwa pamapapiro emapuranga neurons kuti vabudise zvakananga zvekudzivirira. Uye pakupedzisira, vanodzivisa basa re glycine receptor, uye ichi ndicho chirevo chekudzivirira. Nokudaro, ma prostaglandin anoita kuwedzera kwekunakidzwa kwepakati neuroni.

 

 

Brain Plasticity uye Central Sensitization

 

Central senitization inotsanangura kuchinja kunoitika muuropi pakuita kuti kuwedzere kushungurudzika kwesimba. Mushure mokudzokorora zvakare, huwandu hwemhomoni uye huropi hwemasimba emagetsi hunoshanduka sezvo neuroni dzichikura "chiyeuchidzo" chekuita kune izvo zviratidzo. Kukurudzirwa nguva dzose kunoita kuti chiyeuchidzo chakasimba zvikuru, saka uropi huchapindura zvakanyanya nekubudirira kana uchitaridzirwa zvakafanana mune ramangwana. Izvozvo zvinogadziriswa muhupi hwehutano nekuita zvinoshandiswa se neural plasticity, iyo inotsanangura kukwanisa kwouropi kuti ichinje pachayo nyore, kana kuti pakati pekusimudzira. Nokudaro, uropi hunoshandiswa kana kuti hunosimbiswa nemaitiro akare kana kuti akadzokororwa kuti ave anonyanya kufarira.

 

Iko kuchinja kwepakati kunzwisisika kunowanikwa mushure mokunge uchinge uchingana nemarwadzo. Kutsvakurudza mumhuka kunoratidza kuti kudzokorora kunorwadza kunorwadza kuchachinja mhuka yemarwadzo uye kunounza kurwadziwa kwakanyanya kupindura. Vatsvakurudzi vanofunga kuti izvi zvinogadziriswa zvinogona kurondedzera kurwadziwa kunoramba kuripo kunogona kuitika kunyange mushure mekubudirira kubudirira kumashure. Kunyange zvazvo tambo yakakoswa inogona kubviswa kubva mumhino yakanyungudutswa, kurwadziwa kunogona kupfuurira seyekuyeuka kudzvinyirira kwenzara. Vacheche vanochekwa vachidzingiswa pasina anesthesia vachaita zvakanyanyisa kukurudzira kunomutsa, munguva yakareba, majekiseni, uye dzimwe nzira dzinorwadza. Izvozvi vana havasi ivo chete vanoita zvakanyanya nezvemhando yehumodynamic, inozivikanwa se tachycardia uye tachypnea, asi ivo vachavawo nekuchema kwakanyanya zvakare.

 

Ichi chiyeuchidzo chepfungwa chekurwadziwa chakadzidzwa zvakanyanya. Mumushumo pamusoro peongororo dzake dzekare dzakapfuura, Woolf akataura kuti kuwedzerwa kwekufuratira kwakanaka kunotevera kukanganisa kwemhuka yepachiviri kana kukuvadzwa hakubatsiri pakuenderera mberi kwezviratidzo zvekupinza maitiro; asi, maawa mashure mushure mekutsvaira kwepakati pese, musana wepelinha runyanga runyanga neuron rekugamuchira minda rakaramba richiwedzera. Vatsvakurudzi zvakare vakaratidza kukosha kwemukati weNMDA receptor kusvika pakugadziriswa nekuchengetedzwa kwekukurudzirwa pakati.

 

 

 

Zvinorehwa Nekutambudzika Kwemarwadzo

 

Kana imwe nguva yakakonzerwa kukurudzirwa, hukuru hukuru hweanalgesics hunowanzodiwa kuti hudzivirire. Pregetive analgesia, kana kuti kurapwa kusati kwasvika marwadzo, kunogona kuderedza migumisiro yezvose izvi zvinokurudzira pa CNS. Woolf akaratidza kuti chirwere che morphine chaidiwa kuti chigadzire pakati pekutengesa kwepamusoro, chakapiwa mushure mekukurumidza kusvibisa magetsi kukurudzira mumakumbo, yaiva chegumi chechiresi chaidiwa kubvisa basa mushure mokunge rakura. Izvi zvinoshandura kuchipatara tsika.

 

Mune chirwere chemakiriniki yeVIHNUMX varwere vanoita mushure mehutachi hsterectomy, vanhu vakagamuchira 60 mg morphine mukati mekunyora panguva yekuderedzwa kweaneshesia inoda kunyanya morphine nokuda kwekugadzirisa kurwadziwa kwemashure. Uyezve, kurwadziwa kwekunzwa kwepamusoro pevanga, kunonzi sechipiri hyperalgesia, kwakaderedzwawo muboka morphine rakatorwa. An analgesia yakagadzirira yakashandiswa nokubudirira kwakafanana mune imwe nzira yekugadzira, kusanganisira chironga chepachipembenene uye postorthopaedic operation.

 

Chirwere chimwe chete che40 kana 60 mg / kg ye rectal acetaminophen ine morphine-inoparadzanisa kushanda pazuva-chirwere chevana, kana ichigadziriswa mukududzirwa kweaneshesia. Uyezve, vana vane anorgesia yakakwana neAcetaminophen vanoona zvakanyanya kudengenyeka kwemashure uye kusvetuka.

 

Vanopikisana neNMDA vakapa antisopia postoperative pavanotungamirirwa zvakakodzera. Nhamba dzakasiyana-siyana dziripo mumabhuku anotsigira kushandiswa kwe ketamine uye dextromethorphan munguva yekufananidzira. Mune varwere vanotarisana neanterior cruciate ligament reconstruction, 24-awa-anorwadza anorgesia opioid kushandiswa zvakanyanya kudarika mu preoperative dextromethorphan mutauro maererano neboka re placebo.

 

Muchidimbu-mapofu, mahofisi akachengetedzwa ne placebo-controlled, gabapentin yakaratidzwa sechirongwa chekare chinotarisirwa kuvarwere vanotapukira mastectomy uye hysterectomy. Preoperative yemuromo gabapentin yakagadzirisa kurwadziwa uye kushandiswa kwemashure kunoshandiswa pasina kuiswa mumigumisiro kana kuenzaniswa ne placebo.

 

Preoperative kutungamirirwa kwe-nonsteroidal anti-inflammatory drugs (NSAIDs) yakaratidza kuderera kukuru kwekushandisa kweopioid pashure pacho. COX-2s inoshandiswa nekuda kwekushaiwa kwavo kweplatelet zvinokonzerwa nekukosha kwepachiviri chekuchengetedzwa kwepamusoro kana ichienzaniswa neNSAID dzinowanikwa. Celecoxib, rofecoxib, valdecoxib, uye parecoxib, kunze kweUnited States, inotungamirirwa kunyatsogadzirisa kuderedza narcotic inoshandiswa nekuwedzera kupfuura 40 muzana, uye varwere vazhinji vanoshandisa pasi pehafu yeopioid kana vachienzaniswa ne placebo.

 

Kuvhara kuitisa kwetsinga munguva yekutangisa kunoita sekudzivirira kukura kwepakati pekukurudzira. Phantom limb syndrome (PLS) inonzi yakamisirwa musana wemhepo wepelinha.
kazhinji kacho kupisa kana kuputika kurwadziwa mumuviri kunobviswa. Chimwe chinokonzera chikonzero ndechokuti nhubu dzemawere pachigadziro dzinokurudzirwa uye uropi hunoshandura zviratidzo sezvinotangira chikamu chinoputirwa. Icho ndicho chigadziriswa mukati memakorinti kuitira kuti nzvimbo itaure kuti ruoko ikozvino inopindura zviratidzo kubva kune dzimwe nhengo dzomuviri asi richiri kududzira ivo sekuuya kune ruoko rwakatorwa.

 

Zvisinei, kune vanorwara pasi-endity amputation pasi pepidural anesthesia, kwete mumwe wevarwere ve11 avo vakagamuchira lumbar epidural blockade ne bupivacaine uye morphine kwemaawa 72 vasati vashandurwa vakagadzirwa PLS. Kune vanhu vaive vaine anesthesia vasati vasati vasati vasvika kare kare, 5 yevarwere ve14 vakanga vane PLS pavhiki dze6 uye 3 yakaramba ichiwana PLS mugore re1.

 

Woolf naChong vakatsanangura kuti kurapa kwakakwana, inopindira, uye kushandiswa kwemashure kunosanganisira "NSAIDs kuderedza kushanda / centralization ya nociceptors, nzvimbo yeanesthetics yepamusoro kudzivirira zvinokonzera kushanda, uye mapiritsi anonyanya kushandiswa akadai seopiates." Kurapa kurwadziwa kwepurooperative nemaitiro ekugadzirira kunowedzera kugutsikana, kunonoka kusununguka, kunoshandisa kushandiswa kweopioid, pamwe nekudzikwa kwemazuva ekupedzisira, sedation, nausea, nekuchengetwa kwemakuta, uye zvinogona kutomisa kukura kwehupenyu husingaperi. Anesthesiologists uye vanachiremba vanofanirwa kufunga nezvekubatanidza maitiro aya muhupenyu hwavo hwezuva nezuva.

 

Kana kurwadziwa kuchiitika semugumisiro wekukuvadzwa kana kukuvadzwa nekuda kwekuvhiyiwa, rwonzi rwepelinha runogona kuwana hutachiona husingaoneki umo kusuruvara kwakanyanya kuitika kunogona kuitika kwemazuva, vhiki kana makore.

 

Sei kuipa kwepanyika kunokonzerwa nekushungurudzika kunokonzera kurwadziwa kusingagumi kune vamwe varwere? Kukuvara kwemavara kunotungamirira kumakwikwi ekushandurwa kwekunakidzwa kwepaginal, kusanganisira kukwira kwepamusoro kwepamusoro, kukura kwemashoko makuru uye urefu, kupera kwechikumbaridzo, kuwedzerwa kusununguka kudzokorora kukurudzira, uye kuwedzera minda yekugamuchira. Kukurudzira kwekuchinja uku, iyo iyo pamwe chete inonzi inonzi senitization, inoratidzika kuva yakakosha pakuwedzerwa kwenguva refu kwekunzwa kurwadziwa kunotsanangura kurwadziwa kusingaperi. Mishonga yakawandisa uye / kana mishonga pamwe chete nemagetsi anesimba neural blockade inogona kukonzera kukwirira kwepakati yenheyo system (CNS) inoputika, sezvinoratidzwa nokurwadziwa kuderera uye kuderedzwa kwewapioid muzvigadzirwa zvekare zvinotangira.

 

Dr. Alex Jimenez's Insight

Chiropractic kuchengetedza ndiyo imwe nzira yekurapa iyo inoshandura kugadzirisa kwepelinha nekugadzirisa manyorerwo nenzira yakachengeteka uye inobudirira kudzorera pamwe nekuchengetedza kurongeka kwakakodzera kwepamusoro. Kutsvakurudza kwekutsvakurudza kwakagadzirisa kuti maronda emusana, kana kuti kuderedzwa, kunogona kutungamirira kukurwadziwa kusingaperi. Chiropractic kuchengetedza inowanzoshandiswa mukurwa kwekutambudzika, kunyange kana zviratidzo zvisingabatanidzwi nekukuvadzwa uye / kana mamiriro mu musculoskeletal uye nervous system. Nokunyatsogadzirisa zvakare mutsipa, a chiropractor kunogona kubatsira kuderedza kushungurudzika uye kunetseka kubva kune zvivako zvakapoteredza chikamu chikuru chemuviri wepanyama, pakupedzisira kupa hurombo hwekununurwa.

 

Inic Nervous System Basa nekurwadziwa

 

Kana zvasvika pakushandiswa kuderedzwa kwezvinodhaka uye / kana mishonga, kusanganisira opioids, kuitira kuti kudzivirira migumisiro yechipfuva sehutachiona hwehutano hwehutano, basa rakakodzera remagetsi evanopindwa mu enteric rinogona kunge riri kutamba.

 

Iyo enteric nervous system (ENS) kana yemukati yehurongwa hwesimba iri rimwe rematavi akakosha eiyo autonomic nervous system (ANS) uye inoumbwa neyemeso-senge system yetsinga iyo inogadzirisa basa redumbu. Iyo inokwanisa kuita yakazvimiririra kune inonzwira tsitsi uye parasympathetic hunyanzvi masystem, kunyangwe ichizogona kukanganiswa navo Iyo ENS inogona zvakare kunzi huropi hwechipiri.

 

Izwi rinonzi enteric nervous in human is made up of some 500 million neurons, including the various types of Dogiel cells, about one hundred-hundred of the neurons in the brain. Iyo inonzi enteric nervous system inopindirwa muchigadziko chemuviri wematumbo, kutanga panopera uye kuenderera kune anus. Dogiel masero, anozivikanwawo semasero eDigiel, anoreva imwe mhando yemapupolar adrenal tissue mukati mehutachiona hwechirwere chengwaru.

 

 

Iyo ENS inokwanisa kuita mabasa ekuzvimiririra, senge kuunganidzwa kwema reflexes; kunyangwe ichiwana kuchengetedzwa kwakanyanya muhurongwa hwekuzvitonga hunotonga, inoita uye inogona kushanda yakazvimirira isina huropi uye musana. spinal Iyo enteric nervous system yakatsanangurwa se "yechipiri uropi" nekuda kwezvikonzero zvinoverengeka. Iyo enteric nervous system inogona kushanda yakazvimiririra. Iyo inowanzo kutaurirana neiyo yepakati nervous system (CNS) kuburikidza neparasympathetic, kana kuburikidza neiyo vagus nerve, uye inonzwira tsitsi, iyo iri kuburikidza neye prevertebral ganglia, hunyanzvi masystem. Nekudaro, vertebrate zvidzidzo zvinoratidza kuti kana iyo vagus nerve ikabviswa, iyo enteric nervous system inoramba ichishanda.

 

Muzvinyorwa, zvinonzi enteric nervous system zvinosanganisira neyeyons neurons, afferent neurons, uye interneurons, zvose izvo zvinogadzirisa hurongwa hwehuni hwe enteric hunoenda kutakura mafungiro uye huchishanda senhengo inobatanidza pakusina kweCS input. Iyo inonzwa neurons inotaura nezvemagetsi nemakemikari. Izwi rinonzi enteric nervous rinokwanisa kuchinja mhinduro yaro zvichienderana nezvinhu zvakadai semuviri uye kunyorwa kwakawanda. Mukuwedzera, ENS ine zvitsigiro masero anenge akafanana neyenyeredzi yeuropi uye kuputika kwepachivhiri kumativi evanhu vane makumbo anokonzera ganglia akafanana neropa-brain inopinza yemidziyo yeropa.

 

Iyo enteric nervous system (ENS) inoita basa rakakosha mukuvhiringidza uye nociceptive maitiro. Zvinodhaka uye / kana mishonga inosangana neESS munguva pfupi yapfuura yakasimudza kufarira kwakanyanya nekuda kwekugona kwavo kudzora akawanda maficha ehutu physiology uye pathophysiology. Kunyanya, kuyedzwa kwemhuka kwakaratidza kuti -proteinase-activated receptors (PARs) inogona kuve yakakosha kune neurogenic kuzvimba muura. Zvakare, PAR2 agonists inoita kunge inokurudzira hutumbu hypersensitivity uye hyperalgesic nyika, zvichiratidza chinzvimbo cheiyi receptor mune visceral kurwadziwa kuona.

 

Uyezve, PAR, pamwe nemaprotinesase anovabatsira, vanomiririra zvinangwa zvitsva zvekurapa kwekurapa pane ENS. Kuwanda kweruzivo rwedu kunogumira kune chiropractic pamwe nekukuvara kwepamuviri nemamiriro. Kuti ukurukure nyaya yacho, ndapota ivai vakasununguka kubvunza Dr. Jimenez kana kuti tibvunzei kwatiri 915-850-0900 .

 

Yakarongedzwa naDkt Alex Jimenez

 

 

Mimwe Misoro: Sciatica

Sciatica inoshandiswa mune zvemishonga sekusanganiswa kwezviratidzo, panzvimbo yekukuvara kamwe uye / kana mamiriro. Zviratidzo zve sciatic nerve pain, kana sciatica, inogona kusiyanisa muhuwandu uye hukuru, zvisinei, inowanzotsanangurwa seye kamwe-kamwe, inopinza (banga-se) kana kurwadziwa kwemagetsi kunokonzera kubva pasi zvakaderera pasi pamakumbo, zviuno, mahudyu uye makumbo mutsoka. Zvimwe zviratidzo zveSciatica zvinogona kusanganisira, kurira kana kutsva kwekunzwa, kushaya simba uye kushaya simba pamwe chete nehurefu hwehutano hweshu. Sciatica kakawanda inobata vanhu pakati pemakore e30 nemakore 50. Inogona kuwanzoitika sechikonzero chekuderera kwemupaka kubva pamakore, zvisinei, kudzvinyirira nekutsamwa kwehutano husina kunaka hunokonzerwa nekuputika kana herniated disc, pakati pezvimwe zvehutano hwepabonde, zvinogonawo kukonzera kurwadziwa kwehutano.

 

 

 

NHAURWA INOKOSHA INOKOSHA: Chiropractor Sciatica Symptoms

 

 

ZVIMWE NYAYA: EXTRA EXTRA: El Paso Back Clinic | Kudzoka Pain Kuchengetedza & Kurapwa